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@@ -0,0 +1,1449 @@
+1
+00:00:08,590 --> 00:00:10,190
+الطب والعافية والمنافسة
+
+2
+00:00:12,870 --> 00:00:20,930
+المرة الماضية تكلمنا مقدمة حول علاقة الـ
+
+3
+00:00:20,930 --> 00:00:24,270
+hardness المختلفة بعضها البعض، وكيف ممكن الـ fluids
+
+4
+00:00:24,270 --> 00:00:29,230
+ينتقل من مكان إلى مكان، والشرط التي بتصير اليوم
+
+5
+00:00:29,230 --> 00:00:33,330
+مادام تكلمنا عن الـ osmotic pressure والـ
+
+6
+00:00:33,330 --> 00:00:36,470
+osmolality والـ osmolarity، وكيف هو الدور الرئيسي
+
+7
+00:00:36,470 --> 00:00:40,910
+لانتقال الـ fluids والـ water من مكان إلى مكان
+
+8
+00:00:41,920 --> 00:00:49,100
+خلّينا نشوف كيف هذه المسائل نتعامل معها، وتعريفاتها
+
+9
+00:00:49,100 --> 00:00:52,660
+وقضايا الحسابية تبعها، أعتقد أنكم أخذتم في توجيهي
+
+10
+00:00:52,660 --> 00:00:57,640
+أشياء من هذا النوع، وزمولارتي وجبت نحسبهم، ستكون
+
+11
+00:00:57,640 --> 00:01:01,420
+سهلة إن شاء الله، هي معقدة شوية لأنها حسابات رياضية
+
+12
+00:01:01,420 --> 00:01:07,140
+وأعرف الدكاترة ما يحبوا الحسابات، لكن خلينا ن... نبصر
+
+13
+00:01:07,140 --> 00:01:12,360
+في الأمور، بداية سنتكلم على الـ osmosis، what is
+
+14
+00:01:12,360 --> 00:01:17,380
+osmosis؟ osmosis is the net diffusion of water
+
+15
+00:01:17,380 --> 00:01:21,680
+across a selectively permeable membrane from a
+
+16
+00:01:21,680 --> 00:01:27,280
+region of high water concentration to a region of low
+
+17
+00:01:27,280 --> 00:01:33,180
+water concentration، همم؟ إذًا هنا الـ water بيطبق الـ
+
+18
+00:01:33,180 --> 00:01:40,900
+physical laws of diffusion عبر الـ... across the
+
+19
+00:01:40,900 --> 00:01:46,740
+concentration gradient، بمعنى آخر أنه عندنا المية
+
+20
+00:01:46,740 --> 00:01:52,920
+الأكثر تركيزًا، يعني الأقل solute تركيزًا، والمية
+
+21
+00:01:52,920 --> 00:02:00,540
+الأقل water concentration، إذًا بتكون more water
+
+22
+00:02:00,540 --> 00:02:05,760
+concentration، طيب، إذًا نتكلم عن انتقال المية من
+
+23
+00:02:05,760 --> 00:02:06,820
+مكان with high
+
+24
+00:02:09,970 --> 00:02:16,190
+water concentration، يعني low solute concentration
+
+25
+00:02:16,190 --> 00:02:20,190
+إلى higher solute concentration، الـ solute
+
+26
+00:02:20,190 --> 00:02:24,830
+concentration، هذه كلمة
+
+27
+00:02:24,830 --> 00:02:33,930
+عامة بدنا نعرفها، ونعرف كيف نتعامل معها، طيب
+
+28
+00:02:36,160 --> 00:02:40,300
+وشروط الـ osmolality أو الـ osmosis عرفناه، والـ the
+
+29
+00:02:40,300 --> 00:02:44,400
+rate of osmosis، the rate of diffusion per a per
+
+30
+00:02:44,400 --> 00:02:49,100
+time unit، تمام؟ لذا the rate of diffusion of water
+
+31
+00:02:49,100 --> 00:02:53,570
+is called the rate of osmosis، relation between
+
+32
+00:02:53,570 --> 00:03:01,550
+moles and osmoles، عشان نعرف هالـ
+
+33
+00:03:01,550 --> 00:03:06,570
+concentration of solutes في داخل المية اللي من
+
+34
+00:03:06,570 --> 00:03:13,480
+خلالها، بتحكم حركة الـ fluids من داخل الخلية إلى
+
+35
+00:03:13,480 --> 00:03:19,160
+الخارج، أو بالعكس، إذًا نحتاج إلى تعريف، التعريفات
+
+36
+00:03:19,160 --> 00:03:26,250
+تساعدنا في الموضوع، التعريف الأول، نقول هناك حاجة
+
+37
+00:03:26,250 --> 00:03:30,850
+تسمى osmols، osmols تعبر عن osmolarity أو الـ
+
+38
+00:03:30,850 --> 00:03:36,290
+osmotic pressure، بعد فترة سنتقل للتعريف هذا، والـ
+
+39
+00:03:36,290 --> 00:03:44,870
+osmols تساوي وجود particles of one mole، وعشان نكون
+
+40
+00:03:44,870 --> 00:03:51,130
+دقيقين، إذا كان هذا الـ substance monovalent، إذا
+
+41
+00:03:51,130 --> 00:03:59,190
+كانت مكونة من عنصر واحد، أو تتحلل بشكل، أَديني، آآه،
+
+42
+00:03:59,190 --> 00:04:03,830
+one type، one... one... one particles، each mole
+
+43
+00:04:03,830 --> 00:04:10,590
+gives just... each substance gives one molecule، the
+
+44
+00:04:10,590 --> 00:04:14,770
+molecule will stay as it is، molecule زي ما نقولوا
+
+45
+00:04:14,770 --> 00:04:20,670
+glucose، بيظل glucose molecules، إذا لما يكون في عندي
+
+46
+00:04:20,670 --> 00:04:26,270
+أنا one mole of glucose، ما يكون عندي one osmole of
+
+47
+00:04:26,270 --> 00:04:31,830
+glucose، تمام؟ فقلنا إذا قياساتنا، إذا كان عندي
+
+48
+00:04:31,830 --> 00:04:37,520
+أنا one mole of glucose in one liter of water، بنقول
+
+49
+00:04:37,520 --> 00:04:43,160
+عندنا one osmole of glucose in one liter of، آآه؟
+
+50
+00:04:43,160 --> 00:04:46,780
+of water، لكن لو كان عندنا sodium chloride مثلًا،
+
+51
+00:04:46,780 --> 00:04:53,660
+هنلاقي أنه كل one molecule بتعطيني two active ions،
+
+52
+00:04:53,660 --> 00:04:57,260
+إذًا بتعطيني two active، osmotically active particles،
+
+53
+00:04:57,260 --> 00:05:02,920
+ليه just one، فإذا صار عندي one molecule، one mole
+
+54
+00:05:02,920 --> 00:05:06,450
+of sodium chloride، each molecule is divided into
+
+55
+00:05:06,450 --> 00:05:11,970
+two molecules، one sodium and one chloride، إذًا عندي
+
+56
+00:05:11,970 --> 00:05:16,090
+two active particles، في الحالة هذه الـ one osmol،
+
+57
+00:05:16,090 --> 00:05:22,870
+one mol... the one mol gives two osmols per liter،
+
+58
+00:05:22,870 --> 00:05:26,970
+for example، يعني إذا حسبنا إحنا هي ستكون per
+
+59
+00:05:26,970 --> 00:05:33,790
+liter، إذًا one mole ممكن تعطيني two osmoles، إن كان
+
+60
+00:05:33,790 --> 00:05:39,450
+الـ substance dissociating into three particles، زي
+
+61
+00:05:39,450 --> 00:05:44,950
+مثلًا الـ... الـ... اللي هو آه؟ Sodium sulfate،
+
+62
+00:05:44,950 --> 00:05:48,930
+اثنين Sodium وواحد Sulfate مثلًا، ستعطيني، وهكذا،
+
+63
+00:05:48,930 --> 00:05:53,150
+ستعطيني ثلاثة، و... نحسبها، إذًا الـ total number of
+
+64
+00:05:53,150 --> 00:05:56,490
+particles in a solution is measured in osmoles،
+
+65
+00:05:56,490 --> 00:06:00,750
+one osmole equal to one mole، تعرفين الـ particles
+
+66
+00:06:00,750 --> 00:06:06,410
+في الـ one mole تساوي 6.02 في 10 أس 3
+
+67
+00:06:06,410 --> 00:06:11,130
+و20، therefore the solution containing one mole
+
+68
+00:06:11,130 --> 00:06:13,870
+of glucose in each liter has a concentration of
+
+69
+00:06:13,870 --> 00:06:21,620
+one osmole per liter، وتكلمنا عن الـ آآه؟ الـ sodium
+
+70
+00:06:21,620 --> 00:06:27,020
+chloride، وتكلمنا عن الـ sodium sulfate، طيب، thus
+
+71
+00:06:27,020 --> 00:06:31,320
+the term osmol refers to the number of osmotically
+
+72
+00:06:31,320 --> 00:06:35,080
+active particles، osmotically active particles in a
+
+73
+00:06:35,080 --> 00:06:38,320
+solution rather than the molar concentration of
+
+74
+00:06:38,320 --> 00:06:39,300
+the solution.
+
+75
+00:06:43,010 --> 00:06:49,130
+طيب، الـ osmole per liter قياس كبير في شغلنا في الـ
+
+76
+00:06:49,130 --> 00:06:53,770
+biology، ما نلاقيش osmole per liter، فاستخدمنا الـ
+
+77
+00:06:53,770 --> 00:07:02,070
+milliosmole per liter، لحيث أنه يكون أرقامنا أرقام
+
+78
+00:07:02,070 --> 00:07:05,430
+معقولة، ما تبقاش point something كل مرة بتصير عندي
+
+79
+00:07:05,430 --> 00:07:08,850
+آآه، أسهل الأرقام تبع الـ biology، فالـ milliosmole
+
+80
+00:07:08,850 --> 00:07:14,480
+يساوي طبعًا آيش؟ واحدة بالألف من osmole، بيجي تعريف الـ
+
+81
+00:07:14,480 --> 00:07:20,000
+osmolality and osmolarity، osmolality تعني أنه إحنا
+
+82
+00:07:20,000 --> 00:07:26,000
+بنحسب الحسابات هذه الـ... الـ... الـ... الـ... الـ...
+
+83
+00:07:26,000 --> 00:07:26,080
+الـ... الـ... الـ... الـ... الـ... الـ... الـ... الـ... الـ
+
+84
+00:07:26,080 --> 00:07:26,160
+... الـ... الـ... الـ... الـ... الـ... الـ... الـ... الـ
+
+85
+00:07:26,160 --> 00:07:26,560
+الـ... الـ... الـ... الـ... الـ... الـ... الـ... الـ... الـ
+
+86
+00:07:26,560 --> 00:07:26,840
+... الـ... الـ... الـ... الـ... الـ... الـ... الـ... الـ
+
+87
+00:07:26,840 --> 00:07:27,720
+الـ... الـ... الـ... الـ... الـ... الـ... الـ... الـ... الـ
+
+88
+00:07:27,720 --> 00:07:28,160
+... الـ... الـ... الـ... الـ... الـ... الـ... الـ... الـ
+
+89
+00:07:28,160 --> 00:07:28,660
+الـ... الـ... الـ... الـ... الـ... الـ... الـ... الـ... الـ
+
+90
+00:07:28,660 --> 00:07:30,940
+... الـ... الـ... الـ... الـ... الـ... الـ... الـ... الـ
+
+91
+00:07:30,940 --> 00:07:30,960
+الـ... الـ... الـ... الـ... الـ... الـ... الـ... الـ... الـ
+
+92
+00:07:30,960 --> 00:07:31,220
+... الـ... الـ... الـ... الـ... الـ... الـ... الـ... الـ
+
+93
+00:07:31,220 --> 00:07:35,740
+الـ...
+
+94
+00:07:35,740 --> 00:07:41,620
+الـ... الـ...
+
+95
+00:07:44,450 --> 00:07:46,950
+فلذلك اعتبرنا أخذنا تعبير ثاني، اللي هو الـ
+
+96
+00:07:46,950 --> 00:07:50,270
+osmolarity، which means the osmotically active
+
+97
+00:07:50,270 --> 00:07:53,590
+substance
+
+98
+00:07:53,590 --> 00:07:59,990
+in one liter، more than one kilogram، إذًا الـ
+
+99
+00:07:59,990 --> 00:08:02,990
+osmolarity بتتعامل مع الـ liter، والـ osmolarity
+
+100
+00:08:02,990 --> 00:08:10,190
+بتتعامل مع kilogram of water، إلى حد ما هو الـ one
+
+101
+00:08:10,190 --> 00:08:17,110
+liter، في تركيبات نفسها one kilogram تقريبًا، لأنه
+
+102
+00:08:17,110 --> 00:08:21,030
+نتكلم على water بحت هي، عشان نقول الـ water في صفات
+
+103
+00:08:21,030 --> 00:08:26,210
+معينة، بتاعة أرقام معينة، one kilogram equals one
+
+104
+00:08:26,210 --> 00:08:30,350
+آه؟ one liter، لكن بدرجة حرارة الجسم 37،
+
+105
+00:08:30,350 --> 00:08:35,210
+وفي وجود مواد أخرى إضافية، صار عند الكثافة تغيرت،
+
+106
+00:08:35,210 --> 00:08:39,050
+وصار وزن الـ liter هو آيش؟ كيلوجرام، إحنا نتجاوز
+
+107
+00:08:39,050 --> 00:08:42,940
+في فروقات بسيطة، ومن احتساب آه؟ أنه... فلذلك
+
+108
+00:08:42,940 --> 00:08:47,340
+معاملاتنا في الـ biology، في الـ physiology، نتعامل مع
+
+109
+00:08:47,340 --> 00:08:50,460
+الـ osmolarity more than... than آه؟ الـ osmolarity
+
+110
+00:08:50,460 --> 00:08:57,220
+because we are dealing with solutes in volume، not
+
+111
+00:08:57,220 --> 00:09:02,680
+in weight، therefore
+
+112
+00:09:02,680 --> 00:09:08,720
+most
+
+113
+00:09:08,720 --> 00:09:15,600
+of the calculations، هو أزمولاريتي أكثر من أزمولاريتي
+
+114
+00:09:15,600 --> 00:09:19,780
+أكثر من أزمولاريتي، أكثر من أزمولاريتي، أكثر من
+
+115
+00:09:19,780 --> 00:09:21,100
+أزمولاريتي، أكثر من أزمولاريتي، أكثر من أزمولاريتي، أكثر
+
+116
+00:09:21,100 --> 00:09:22,360
+من أزمولاريتي، أكثر من أزمولاريتي، أكثر من أزمولاريتي،
+
+117
+00:09:22,360 --> 00:09:23,920
+أكثر من أزمولاريتي، أكثر من أزمولاريتي، أكثر من
+
+118
+00:09:23,920 --> 00:09:26,320
+أزمولاريتي، أكثر من أزمولاريتي، أكثر من أزمولاريتي، أكثر
+
+119
+00:09:26,320 --> 00:09:30,480
+من أزمولاريتي
+
+120
+00:09:30,480 --> 00:09:34,820
+أكثر من أزمولاريتي، أكثر من أزمولاريتي، أكثر من
+
+121
+00:09:34,820 --> 00:09:35,860
+أزمولاريتي
+
+122
+00:09:46,230 --> 00:09:51,930
+لو عملنا some sort of pressure، طبعًا هذا الـ
+
+123
+00:09:51,930 --> 00:09:56,570
+movement of water، it has its own power، if we can
+
+124
+00:09:56,570 --> 00:09:59,850
+stop that diffusion by some sort of physical
+
+125
+00:09:59,850 --> 00:10:02,970
+pressure، هذا الـ physical pressure،
+
+126
+00:10:05,740 --> 00:10:09,820
+اللازم to stop diffusion is called the osmotic
+
+127
+00:10:09,820 --> 00:10:12,280
+pressure، إذًا الـ osmotic pressure is physical
+
+128
+00:10:12,280 --> 00:10:17,260
+pressure used to stop the osmosis، إذًا الـ osmosis،
+
+129
+00:10:17,260 --> 00:10:22,100
+الـ osmolar concentration يساوي osmotic pressure
+
+130
+00:10:22,100 --> 00:10:27,040
+معين، تمام؟ إذًا كيف نحسب إحنا الـ osmotic pressure
+
+131
+00:10:27,040 --> 00:10:27,880
+هذا
+
+132
+00:10:38,230 --> 00:10:43,230
+الدرجة الصحيحة التي تحتاجها لإيقاف الأزموزية اسمها
+
+133
+00:10:43,230 --> 00:10:47,990
+درجة أزموزية، أزموزية، أزموزية، أزموزية، أزموزية،
+
+134
+00:10:47,990 --> 00:10:54,270
+أزموزية، أزموزية، أزموزية، أزموزية، أزموزية، أزموزية،
+
+135
+00:10:54,270 --> 00:10:54,290
+أزموزية، أزموزية، أزموزية، أزموزية، أزموزية، أزموزية،
+
+136
+00:10:54,290 --> 00:10:59,390
+أزموزية، أزموزية، أزموزية، أزموزية، أزموزية، أزموزية،
+
+137
+00:10:59,390 --> 00:11:06,600
+أزموزية، كيف إحنا ممكن نحول الـ أزمولاريتي هذه؟ كيف
+
+138
+00:11:06,600 --> 00:11:10,560
+نحسب الـ أزمولاريتي الموجودة كده، تساوي osmotic
+
+139
+00:11:10,560 --> 00:11:14,640
+pressure، تمام؟ ممكن إحنا نحط في المعمل تجربة، و
+
+140
+00:11:14,640 --> 00:11:19,780
+نعمل الـ pressure ونزيده، ونقيس بسهولة، لكن ممكن
+
+141
+00:11:19,780 --> 00:11:29,400
+نستخدم إحنا قانون van't Hoff لتحويل الحساب، آآه؟
+
+142
+00:11:34,740 --> 00:11:36,880
+البراشر الموجود يساوي الـ concentration of the
+
+143
+00:11:36,880 --> 00:11:42,480
+solutes، البراشر المطلوب يساوي الـ concentration of
+
+144
+00:11:42,480 --> 00:11:44,880
+the solutes، البراشر الموجود يساوي الـ concentration
+
+145
+00:11:44,880 --> 00:11:44,920
+of the solutes، البراشر المطلوب يساوي الـ
+
+146
+00:11:44,920 --> 00:11:45,060
+concentration of the solutes، البراشر المطلوب
+
+147
+00:11:45,060 --> 00:11:45,360
+solutes، البراشر المطلوب يساوي الـ concentration of
+
+148
+00:11:45,360 --> 00:11:46,200
+the solutes، البراشر المطلوب يساوي الـ concentration
+
+149
+00:11:46,200 --> 00:11:47,340
+of the solutes، البراشر المطلوب يساوي الـ
+
+150
+00:11:47,340 --> 00:11:48,660
+concentration of the solutes، البراشر المطلوب يساوي
+
+151
+00:11:48,660 --> 00:11:51,620
+الـ concentration of the solutes، البراشر المطلوب يس
+
+152
+00:11:51,990 --> 00:11:59,370
+و R is the ideal gas constant، و T is the absolute
+
+153
+00:11:59,370 --> 00:12:09,610
+temperature، تمام؟ بسهولة نحسب الحسبة هذه، نجد أن كل
+
+154
+00:12:09,610 --> 00:12:15,010
+أزمول يساوي
+
+155
+00:12:15,010 --> 00:12:22,440
+تسعة عشر ألفًا وثلاثمئة ملي متر، إذًا كل أزمول يحتاج
+
+156
+00:12:22,440 --> 00:12:27,900
+إلى تسعة عشر ألفًا وثلاثمئة ملي متر زئبق to stop its
+
+157
+00:12:27,900 --> 00:12:33,960
+effect of diffusion، تمام؟ إذًا one osmol needs
+
+158
+00:12:33,960 --> 00:12:39,640
+تسعة عشر ألفًا وثلاثمئة ملي متر زئبق pressure، في
+
+159
+00:12:39,640 --> 00:12:42,640
+الحالة هذه إحنا نتكلم عن الـ osmol، طب الميلي osmol
+
+160
+00:12:42,640 --> 00:12:46,580
+أنا راح أقول لك، شغلنا كله على ميلي osmol، هيساوي 19
+
+161
+00:12:46,580 --> 00:12:51,600
+.3 ملي متر زئبق، إذًا لما يكون أنا عندي نحسب
+
+162
+00:12:51,600 --> 00:12:54,920
+حسبة osmol، الـ concentration لشيء معين، بدي أعرف
+
+163
+00:12:54,920 --> 00:12:59,080
+osmotic pressure، بقدره، فيه كل ميلي osmol في الرقم
+
+164
+00:12:59,080 --> 00:13:07,250
+اللي إحنا 19.3، مش هيك، طيب، calculation of the
+
+165
+00:13:07,250 --> 00:13:11,570
+osmolarity and osmotic pressure of a solution، إحنا
+
+166
+00:13:11,570 --> 00:13:15,310
+عندنا أشهر solution عندنا، آيش هو الـ sodium
+
+167
+00:13:15,310 --> 00:13:18,810
+chloride، عندنا ثلاثة... اثنين solutions نستخدمهم
+
+168
+00:13:18,810 --> 00:13:25,410
+باستمرار كل يوم، أنتم ستستخدمونهم، normal saline، و
+
+169
+00:13:25,410 --> 00:13:31,330
+بالإنكليزي saline، إحنا بنقوله saline، هيك، saline
+
+170
+00:13:31,330 --> 00:13:33,750
+بالإنكليزي، ما أعرف الـ American بيرفضوا saline
+
+171
+00:13:33,750 --> 00:13:38,270
+زينا ولا... زي الـ English saline ولا saline ولا
+
+172
+00:13:38,270 --> 00:13:42,270
+آيش؟ بيرفض الـ American هؤلاء، لغتهم قوية شوية، لكن
+
+173
+00:13:42,270 --> 00:13:45,430
+بالإنكليزي بيقولوا saline زي ما إحنا بعملنا
+
+174
+00:13:45,430 --> 00:13:49,830
+الإنكليزية نقول، لأ، نقول saline، saline، إذًا
+
+175
+00:13:49,830 --> 00:13:53,790
+point nine percent sodium chloride، نسميه normal
+
+176
+00:13:53,790 --> 00:14:00,1
+
+223
+00:17:32,830 --> 00:17:36,330
+osmotic pressure للـ body fluids المختلفة اللي هي
+
+224
+00:17:36,330 --> 00:17:39,990
+الـ osmolar تبعتها حوالي التلاتمية وشوية، حوالي خمس
+
+225
+00:17:39,990 --> 00:17:44,920
+تلاتة وتسعمائة وأربع وأربعين، لو عدلنا الرقم هينزل شوية
+
+226
+00:17:44,920 --> 00:17:53,120
+حاجة ناجية يساوي خمسة آلاف وأربعمئة وكسر، تمام؟ ليش؟
+
+227
+00:17:53,120 --> 00:17:55,760
+لأن هو مش على أصبت الـ coefficient قبل كده
+
+228
+00:18:00,330 --> 00:18:04,950
+المواد هذه بصدد dissociation كامل، وكل مادة لها
+
+229
+00:18:04,950 --> 00:18:08,290
+dissociation coefficient مختلف، أو co-efficient
+
+230
+00:18:08,290 --> 00:18:16,450
+coefficient مختلف، فلذلك بنحسب الـ real effect
+
+231
+00:18:16,450 --> 00:18:21,140
+بيبقاش بالحسبة النظرية، لأ، بنضرب في factor ينعدل
+
+232
+00:18:21,140 --> 00:18:24,820
+النسبة هنا بنضرب في ثلاثة وتسعين في المئة، تطلع
+
+233
+00:18:24,820 --> 00:18:27,760
+مئتَين وثمانية وثمانين ملي أوزمول/لتر، إذا الـ
+
+234
+00:18:27,760 --> 00:18:32,700
+osmolarity of the normal cell line تساوي كده؟ مئتَين
+
+235
+00:18:32,700 --> 00:18:39,360
+وثمانية وثمانين، اللي هي الآن هنشوف الـ osmolarity of the
+
+236
+00:18:39,360 --> 00:18:41,820
+body fluids in general، هنلاقيها نفس الرقم تقريباً
+
+237
+00:18:41,820 --> 00:18:50,500
+تمام، لأن هو تركيب الجسم برده، هنعدل الـ dissociation
+
+238
+00:18:50,500 --> 00:18:55,320
+أو الـ  coefficient، هنلاقيها وصلت 282، 281، نفس
+
+239
+00:18:55,320 --> 00:19:00,060
+الأرقام، لو طلعنا هنا، هنقول أن الـ plasma الأزمولية
+
+240
+00:19:00,060 --> 00:19:05,900
+تبعتها 301، هذه أرقام حسابية بحتة
+
+241
+00:19:08,660 --> 00:19:19,760
+الـ interstitial fluid 300 ملي، امبارح لازمة البروتين
+
+242
+00:19:20,850 --> 00:19:25,070
+فبتطلع أعلى شوية، صغيرة من الـ آخَرين، والـ
+
+243
+00:19:25,070 --> 00:19:28,810
+intracellular بتطلع زيها تقريباً، برجع تاني، البروتين
+
+244
+00:19:28,810 --> 00:19:32,270
+بيعلى فيها، فبتطلع قريبة من الـ plasma، لكن مش هي
+
+245
+00:19:32,270 --> 00:19:35,870
+الأرقام واحدة فيهم، لما نعمل correction، نضرب كل
+
+246
+00:19:35,870 --> 00:19:41,150
+واحدة في الـ factor بتاعها، بيطلع عندي 282 plasma و 281
+
+247
+00:19:41,150 --> 00:19:45,010
+الـ intracellular fluid، و 281 الـ intracellular
+
+248
+00:19:45,010 --> 00:19:48,470
+fluid، إذا الـ total
+
+249
+00:19:51,930 --> 00:19:55,710
+الـ total osmotic pressure at 37 degrees
+
+250
+00:19:55,710 --> 00:19:59,770
+centigrade هنا، بيطلع خمسة آلاف وأربعمئة وثلاثة
+
+251
+00:19:59,770 --> 00:20:02,770
+وأربعين، هنا خمسة آلاف وأربعمئة وثلاثة وعشرين، هذا
+
+252
+00:20:02,770 --> 00:20:06,390
+بعد التعديل اللي قلناه، بعد ما نضرب بالـ factor، بيطلع
+
+253
+00:20:06,390 --> 00:20:12,030
+حقيقة مش خمسة آلاف وتسعمائة وأربع وأربعين، لأ، بيطلع أقل
+
+254
+00:20:12,030 --> 00:20:15,550
+بخمسمائة ملي متر زئبق،  millimeter millimeter millimeter millimeter millimeter not
+
+255
+00:20:15,550 --> 00:20:26,180
+that، الآن لما نطلع على الـ extracellular
+
+256
+00:20:26,180 --> 00:20:29,200
+الفلويد، من اللي هي جزيئات صوديوم بيمثل ثمانية في المئة
+
+257
+00:20:29,200 --> 00:20:34,810
+من الـ osmotic pressure، مش كده؟ لأن هو 154 من صوديوم
+
+258
+00:20:34,810 --> 00:20:38,050
+chloride في الآخر بيجسم لحاله جزيئين، فبيَدِّي إيه؟
+
+259
+00:20:38,050 --> 00:20:41,170
+شيء رهيب، يعني ثمانين في المئة من osmolality of
+
+260
+00:20:41,170 --> 00:20:46,210
+the extracellular fluid، البلازما و الـ interstitial
+
+261
+00:20:46,210 --> 00:20:51,690
+fluid بتتمثل من خلال صوديوم كلوريد، الـ
+
+262
+00:20:51,690 --> 00:20:57,980
+intercellular fluid، النهج هو أن البوتاسيوم بيمثل
+
+263
+00:20:57,980 --> 00:21:05,960
+فقط 50%، والـ 50% الآخر بيمثلها الفوسفات
+
+264
+00:21:05,960 --> 00:21:11,640
+والبروتين، كلهم بيشاركوا في الموضوع، لكن الصوديوم
+
+265
+00:21:11,640 --> 00:21:17,320
+كلوريد له تأثير قوي جداً، هنتكلم عن
+
+266
+00:21:17,320 --> 00:21:21,480
+الصوديوم كلوريد concentration، في نفس الوقت أنا
+
+267
+00:21:21,480 --> 00:21:25,420
+بتكلم عن الصوديوم كلوريد، أو osmotically active
+
+268
+00:21:25,420 --> 00:21:29,400
+substance، في البلازما أو في الـ extracellular fluid، يعني أنا
+
+269
+00:21:29,400 --> 00:21:32,260
+رقم الـ concentration بيديني indication على طول
+
+270
+00:21:32,260 --> 00:21:38,160
+لإيه؟ للـ osmolality، مش كده؟ لأنه هو السبب الرئيسي
+
+271
+00:21:38,160 --> 00:21:41,400
+في الـ إيه؟ في الـ osmolar activity في الـ
+
+272
+00:21:41,400 --> 00:21:45,980
+extracellular fluid compartment، تمام؟ إحنا في الـ
+
+273
+00:21:45,980 --> 00:21:49,020
+day to day examinations اللي بنعملها، الـ analysis
+
+274
+00:21:49,020 --> 00:21:53,610
+اللي بنعملها في المستشفى، ما بنحسبش كتير الـ osmolality
+
+275
+00:21:53,610 --> 00:21:57,370
+لكن بسهولة بنبعت عينة دم، وبنقول إيه الـ
+
+276
+00:21:57,370 --> 00:22:00,970
+electrolytes، Sodium, Potassium, Chloride، بديناها
+
+277
+00:22:00,970 --> 00:22:04,410
+بسهولة، فلما أختار علاج، أنا Sodium, Chloride أَخَفِّض
+
+278
+00:22:04,410 --> 00:22:07,650
+معناه أنا بتوقع أن إيه؟ الـ osmolality نفسها تكون
+
+279
+00:22:07,650 --> 00:22:12,150
+إيه؟ مُخَفَّضَة، لأنها 80% من الـ osmolality تبعها بسبب
+
+280
+00:22:12,150 --> 00:22:12,630
+سببها
+
+281
+00:22:15,940 --> 00:22:18,840
+إذا هنا الجملة اللي أنا قُلتُها يبدو .. أنا مش كان
+
+282
+00:22:18,840 --> 00:22:22,880
+قُلتُها قبل كده، مش هي دور الـ proteins؟ آه، هنا
+
+283
+00:22:22,880 --> 00:22:26,220
+بتقول the slight difference between the plasma and
+
+284
+00:22:26,220 --> 00:22:29,780
+interstitial fluid is caused by the osmotic effect
+
+285
+00:22:29,780 --> 00:22:32,860
+of the plasma proteins which maintain about a
+
+286
+00:22:32,860 --> 00:22:37,290
+twenty millimeter mercury greater pressure in the
+
+287
+00:22:37,290 --> 00:22:41,550
+capillaries than in the cerebellum،  الـ موجود الـ
+
+288
+00:22:41,550 --> 00:22:45,830
+high plasma proteins بتأكد  لأن فيه عندي أنا فرق
+
+289
+00:22:45,830 --> 00:22:59,810
+دائماً في المنطقة
+
+290
+00:22:59,810 --> 00:23:07,260
+اللي مافيهاش plasma proteins، الآن موضوعنا، حاول ..
+
+291
+00:23:07,260 --> 00:23:12,040
+إذا فيه عندنا تعبيرات مختلفة، إحنا بنقول
+
+292
+00:23:12,040 --> 00:23:14,000
+osmolarity، إيش معناها، بعدين بنقول osmotic
+
+293
+00:23:14,000 --> 00:23:17,380
+pressure، الاتنين ما بيعنيوش نفس الشيء، لكن هما ..
+
+294
+00:23:17,380 --> 00:23:22,070
+الاتنين بيعبروا عن شيء،  لو لا إيش؟ واحد هناك بيعبر
+
+295
+00:23:22,070 --> 00:23:24,970
+لأن osmotically active substance، يعني بيعبر عن الـ
+
+296
+00:23:24,970 --> 00:23:30,490
+pressure اللي لازم لمنع الـ diffusion اللي بيسببه
+
+297
+00:23:30,490 --> 00:23:33,050
+osmotically active substance، طيب هنا what is
+
+298
+00:23:33,050 --> 00:23:35,710
+isotonic solution, hypotonic solution، و
+
+299
+00:23:35,710 --> 00:23:39,490
+hypertonic solution، تمام؟ طيب، بقول أن الـ isotonic
+
+300
+00:23:39,490 --> 00:23:44,350
+solution، عشان نكون إحنا دقيقين، بنقول إنه في وجود
+
+301
+00:23:44,350 --> 00:23:52,720
+الـ semi permeable membrane، أو الـ membrane الموجودة حوالي
+
+302
+00:23:52,720 --> 00:23:58,040
+solutes، يعني ما ينفعش أن الـ solutes تتحرك عبر
+
+303
+00:23:58,040 --> 00:24:02,060
+الـ membrane، بس تتحرك المياه، ما نتكلمش عن الـ
+
+304
+00:24:02,060 --> 00:24:04,960
+osmolarity، إحنا في الحالة هذه، ناخد تعبير آخر
+
+305
+00:24:04,960 --> 00:24:09,450
+أحسن، اللي هو الإيزوتونيك، بس تعني أنه فيه عدد solutes
+
+306
+00:24:09,450 --> 00:24:14,990
+impermeable to the solutes، ما بتقدرش تعدي، إذا اللي
+
+307
+00:24:14,990 --> 00:24:18,970
+بيعدي بس مين؟ المياه، في الحالة هذه اللي بيقول فيها
+
+308
+00:24:18,970 --> 00:24:23,250
+أن isotonic solution، يعني solution لو حطيناه فيه
+
+309
+00:24:23,250 --> 00:24:27,950
+حوالين cells، وبنلاقي الـ cells size is not swollen
+
+310
+00:24:27,950 --> 00:24:34,990
+or shrink، تمام؟ no change in the size of the cells
+
+311
+00:24:35,920 --> 00:24:42,220
+إذا هذا isotonic solution، طيب لو حطينا الـ cells
+
+312
+00:24:42,220 --> 00:24:47,320
+هذه في high bow في other solution، وفيهها لقينا
+
+313
+00:24:47,320 --> 00:24:52,640
+الـ cells انتفخت، معناها المياه دي اتحركت من إيه؟ إلى
+
+314
+00:24:52,640 --> 00:24:56,680
+داخل الـ cells، انتفخت، معناه الـ osmolarity هذه واطية
+
+315
+00:24:56,680 --> 00:25:00,460
+في الحالة هذه
+
+316
+00:25:00,460 --> 00:25:05,220
+ما علاقه بالـ cell size؟ ما بنقولش عنه iso ..
+
+317
+00:25:05,220 --> 00:25:10,200
+isosmotic، لأ، بنقول هنا إيه؟  isotonic، هنا
+
+318
+00:25:10,200 --> 00:25:11,240
+بنقول hypotonic
+
+319
+00:25:14,560 --> 00:25:22,140
+hypertonic solution، يعني أنه ينتج عن hypertonic
+
+320
+00:25:22,140 --> 00:25:27,120
+hypertonic
+
+321
+00:25:27,120 --> 00:25:28,950
+hypertonic hypertonic hypertonic، من الداخل فتسحب
+
+322
+00:25:28,950 --> 00:25:32,630
+المياه من داخل الـ cells، إذا الـ tonicity، أنا بتكلم
+
+323
+00:25:32,630 --> 00:25:38,370
+hypertonic أو isotonic، أقصد علاقة الـ solutions هذه
+
+324
+00:25:38,370 --> 00:25:42,970
+بالـ cell size اللي موجودة في داخلها، هل هتزيد حجمها
+
+325
+00:25:42,970 --> 00:25:50,150
+أو لا، لكن تخيلوا لو إحنا بنتكلم عن osmolarity of a
+
+326
+00:25:50,150 --> 00:25:57,340
+solution that is caused by permeable permeant
+
+327
+00:25:57,340 --> 00:26:03,560
+solutes، الـ membrane ماهيش membrane مايبقاش عندها
+
+328
+00:26:03,560 --> 00:26:09,060
+permeant solutes، يعني المياه تتحرك والـ solutes
+
+329
+00:26:09,060 --> 00:26:12,860
+تتحرك، تمام، في الحالة هذه زي اليوريا مثلاً، إذا إحنا
+
+330
+00:26:12,860 --> 00:26:17,780
+عاملين الـ osmolarity أو حاطين solution يوريا و
+
+331
+00:26:17,780 --> 00:26:23,620
+isosmotic، تمام، عندي تلاتمائة ملي أوزمول من يوريا in
+
+332
+00:26:23,620 --> 00:26:30,850
+water، تمام، وحطينا cells جواها، أو عملنا hyper
+
+333
+00:26:30,850 --> 00:26:33,430
+ما هوش الـ iso، الـ iso مش هتخرج كتير، hyper أو hypo
+
+334
+00:26:33,430 --> 00:26:38,630
+هيكون فيه اختلاف في الـ size temporary، لأن المياه بسرعة
+
+335
+00:26:38,630 --> 00:26:42,190
+انتقلت، لكن شوية صغيرة، الـ .. الـ .. الـ urea برضه
+
+336
+00:26:42,190 --> 00:26:45,870
+هتنتقل من الـ higher concentration للـ إيه؟ للـ lower
+
+337
+00:26:45,870 --> 00:26:50,270
+concentration، ففي الحالة هذه الـ solute بتنتقل والـ
+
+338
+00:26:50,270 --> 00:26:53,880
+water بتنتقل، وفي الآخر بيرجع كل شيء لإيه؟ لأ طبعاً
+
+339
+00:26:53,880 --> 00:27:00,640
+في الحالة هذه، أنا بدي أَقِيس osmolarity
+
+340
+00:27:00,640 --> 00:27:05,180
+أو osmolarity للمواد permeant عبر الـ semipermeable
+
+341
+00:27:05,180 --> 00:27:09,580
+membrane، ما نقدرش نقول isotonic و hypertonic و
+
+342
+00:27:09,580 --> 00:27:14,360
+hypotonic، ليش؟ لأن الشرط يكون عندي الـ solute
+
+343
+00:27:14,360 --> 00:27:18,240
+impermeable، تمام؟ ولأن بيصير shrinkage وبيظل
+
+344
+00:27:18,240 --> 00:27:23,070
+عليه، بيصير swelling وبيظل عليه، لكن في حالتنا
+
+345
+00:27:23,070 --> 00:27:27,450
+التانية اللي اتكلمنا عنها، لأ، أفضل أتكلم عن osmolarity جوه
+
+346
+00:27:27,450 --> 00:27:32,350
+الـ osmolarity هذه، هذا الـ solution، لأنه عندنا solution
+
+347
+00:27:32,350 --> 00:27:36,390
+الجديد فيه osmolarity، إذا استخدم التعبير
+
+348
+00:27:36,390 --> 00:27:41,570
+الثاني، hyperosmolar، عندي isosmotic، hypo
+
+349
+00:27:41,570 --> 00:27:47,950
+osmolar أو hyperosmolar، يعني osmolarity تبعته لما
+
+350
+00:27:47,950 --> 00:27:52,970
+قيسناها متساوية مع الـ cell أو مش متساوية، بغض النظر
+
+351
+00:27:52,970 --> 00:27:59,610
+إيش تأثيره على الـ cell size؟ the term hyperosmotic
+
+352
+00:27:59,610 --> 00:28:02,510
+and hyperosmolar refer to solutions that have
+
+353
+00:28:02,510 --> 00:28:04,010
+higher or lower osmolarity
+
+354
+00:28:13,370 --> 00:28:18,250
+الشيء الأعلى، هو المصادر المنفذة مثل اليوريا، يمكن
+
+355
+00:28:18,250 --> 00:28:21,090
+أن يسبب فيها تغيير ترانزيشن  في التوازن بين
+
+356
+00:28:21,090 --> 00:28:24,670
+الـ intracellular و الـ extracellular fluid، ولكن في وقت كافٍ
+
+357
+00:28:24,670 --> 00:28:31,190
+التوازن من هذه المصادر يصبح في الـ intracellular
+
+358
+00:28:31,190 --> 00:28:34,930
+و الـ extracellular fluid، في الـ extracellular fluid في
+
+359
+00:28:34,930 --> 00:28:36,690
+الـ extracellular fluid في الـ extracellular fluid في
+
+360
+00:28:36,690 --> 00:28:39,780
+الـ extracellular fluid في الـ extracellular fluid أو
+
+361
+00:28:39,780 --> 00:28:42,700
+osmolar equilibrium بين الـ intracellular و الـ intracellular
+
+362
+00:28:42,700 --> 00:28:48,100
+fluids is rapidly obtained، هذه مسألة ذكرناها
+
+363
+00:28:48,100 --> 00:28:52,580
+لأنها clinically، أنا ما أتكلمش عن
+
+364
+00:29:03,670 --> 00:29:08,070
+ملاحظ، إحنا في ثواني بيصير الانتقال، يعني
+
+365
+00:29:08,070 --> 00:29:12,250
+equilibrium of water concentration، يعني الـ osmosis،
+
+366
+00:29:12,250 --> 00:29:17,070
+osmolar equilibrium، بيصير في in terms of seconds
+
+367
+00:29:17,070 --> 00:29:22,840
+okay، in terms of seconds، maximum in minutes، إذا لما
+
+368
+00:29:22,840 --> 00:29:25,440
+كنت أنا بعمل تجربة أو أشوف .. أحط شيء على شيء عشان
+
+369
+00:29:25,440 --> 00:29:32,320
+أشوف الـ .. الـ .. هذه التجربة اللي حصلت غريبة جداً،
+
+370
+00:29:32,320 --> 00:29:37,380
+يعني الواحد برضه بيتعلم في حياته، كنا بنصطاد سمك
+
+371
+00:29:37,380 --> 00:29:42,060
+على البحر بالسنارة، تمام؟ وبنستخدم دود معين
+
+372
+00:29:42,060 --> 00:29:46,860
+لِلصيد، تمام؟ الدود أحياناً ما نلاقيهوش، الدود المطلوب
+
+373
+00:29:46,860 --> 00:29:50,700
+لِلصيد، ما نلاقيش دود رفيع، فنختاره ونختاره وما نِنصَرْش
+
+374
+00:29:50,700 --> 00:29:53,400
+ونروح فواحد جاء اختياره قال لي لا لا، هو اللي
+
+375
+00:29:53,400 --> 00:29:56,060
+اللي مابيتعَوّد، تعال هات ميه، من أين المياه اللي بتشرب منها؟
+
+376
+00:29:56,060 --> 00:29:59,040
+قلت لي هاي الجزازة، قال لي هات، هتِتفَرِّز المياه لحظة
+
+377
+00:29:59,040 --> 00:30:02,800
+حطينا شوية مياه، وبعدين قال لي حط الدود هذا رفيع
+
+378
+00:30:02,800 --> 00:30:07,580
+المُشْنَفَّع في المياه هذه، وكلها بتِتفَخ،صارف على إيه؟
+
+379
+00:30:07,580 --> 00:30:11,260
+بس في ثواني، بسهولة، فأنا أقول سبحان الله، لأن
+
+380
+00:30:11,260 --> 00:30:15,100
+هذا الدود إحنا واخدينه من البحر، يعني seals of
+
+381
+00:30:15,100 --> 00:30:19,920
+polarity، فلما حطيناه في hypotonic solution،
+
+382
+00:30:19,920 --> 00:30:22,620
+hyposmolar solution، على طول انتقلت للـ
+
+383
+00:30:22,620 --> 00:30:29,360
+cells، وانتفخت الدودة واستخدمناها بسهولة، بس لِعِلْمِكُم
+
+384
+00:30:29,360 --> 00:30:32,640
+مواصفات الدودة بتتغير، والسمكة بتبطل تجي عليه
+
+385
+00:30:32,640 --> 00:30:37,340
+إجراءي، لأنها بتستخدم العشام، فبنغير تركيز العشام
+
+386
+00:30:37,340 --> 00:30:41,200
+فتطور، يعني إذا كنت ستصطاد ثاني، روح دور على طعم صحي
+
+387
+00:30:41,200 --> 00:30:47,120
+أحسن لكم، بس الفكرة أن استخدامها يعني اختيار
+
+388
+00:30:47,120 --> 00:30:51,260
+حَكَى لي عنها، أنا أدركت معناها، لكن هو مش واخد إن هو مش
+
+389
+00:30:51,260 --> 00:30:55,760
+عامل هيك، لكن هـ .. طبعاً في ثواني، وأنا واجِب أحط له
+
+390
+00:30:55,760 --> 00:31:01,540
+.. طيب، أنا عندي dehydration وعندي جفاف في الخلايا
+
+391
+00:31:01,540 --> 00:31:05,500
+وكده، وبقول آه في ثواني شربت مياه؟ كده بدي لما
+
+392
+00:31:05,500 --> 00:31:09,420
+المياه اللي أنا شربتها؟ عشان يصير لها absorption
+
+393
+00:31:09,420 --> 00:31:14,080
+وتنتشر في الجسم، ويرجع الـ diffusion complete من
+
+394
+00:31:14,080 --> 00:31:18,0
+
+445
+00:35:11,740 --> 00:35:16,060
+للبلازما ومنه للـ interstitial fluid بتكلم أنا عن
+
+446
+00:35:16,060 --> 00:35:20,900
+حركة الماء الأسموزية اللي حطيتها بتتغيرش بتظل في
+
+447
+00:35:20,900 --> 00:35:24,960
+الـ compartment هذه لكن الأسموزي البراشر هان
+
+448
+00:35:24,960 --> 00:35:28,860
+بتتعادل، فالماء بتروح لكن الأسموزية اللي حطيتها
+
+449
+00:35:28,860 --> 00:35:35,180
+بتظل ثابتة وهي بتحكم كم تاخد ماء أو كم تعطى ماء إن
+
+450
+00:35:35,180 --> 00:35:38,140
+إذا أنا حطيت fluids hypotonic تمام
+
+451
+00:35:40,640 --> 00:35:43,560
+الحجم المائي اللي حطيته و الـ Osmoles اللي حطيتها أنا
+
+452
+00:35:43,560 --> 00:35:47,760
+فيه بتخلط مع الـ Accessory Fluid، تقديني خلطة جديدة
+
+453
+00:35:47,760 --> 00:35:51,180
+فيها الـ Accessory Fluid Osmolarity أوتّر من اللازم
+
+454
+00:35:51,180 --> 00:35:55,420
+تمام، مجموعة الـ Osmoles هتظل هي هي لكن الماء هتتقل
+
+455
+00:35:55,420 --> 00:35:58,360
+لِمَن؟ لأن أنت Cellular وفي الحالة هذه الأساسي
+
+456
+00:35:58,360 --> 00:36:02,200
+حيوط شوية الـ Osmotic Pressure تبعها بحيث يتساوى
+
+457
+00:36:02,200 --> 00:36:06,600
+مع مين؟ آه، لكن الـ Osmoles لو حطينا hypertonic
+
+458
+00:36:06,600 --> 00:36:14,230
+solution وهنحسبها مع بعض، هنلاقي إن الماء
+
+459
+00:36:14,230 --> 00:36:18,110
+هتتقل هنا أو هنا، فخلّنا نحسب مع بعض الحسبة هذه
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/4h-Rll8QLkk_raw.json b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/4h-Rll8QLkk_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..296b7cd41731f9415ddeaf40d8e01eeb13c19e78
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/4h-Rll8QLkk_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 3440, "start": 5.04, "end": 34.4, "text": "اليوم احنا هنكمل اللي هو how urine is formed in the kidney زي ما احنا عارفين احنا ال urine بيبدأ ب filtration عبر ال glomerulus مستمير glomerulus filtration بعدين بيصير في عملية reabsorption tubular reabsorption و هدول التنتين عمليتين هم ال major procedures", "tokens": [6027, 1829, 20498, 1975, 5016, 8315, 8032, 1863, 24793, 1211, 13672, 1829, 31439, 577, 27638, 307, 8693, 294, 264, 19000, 30767, 1829, 19446, 1975, 5016, 8315, 6225, 9640, 5172, 9957, 1975, 5016, 8315, 2423, 27638, 4724, 1829, 44510, 10721, 4724, 43623, 6225, 26890, 2423, 1563, 14301, 26107, 3714, 14851, 2304, 13546, 1563, 14301, 26107, 43623, 39182, 9957, 4724, 1829, 9381, 13546, 8978, 6225, 42213, 10632, 319, 17243, 284, 1695, 10809, 1040, 319, 17243, 284, 1695, 4032, 8032, 3215, 12610, 16712, 29399, 9957, 6225, 2304, 20292, 2655, 9957, 8032, 2304, 2423, 2563, 13846], "avg_logprob": -0.20631720301925496, "compression_ratio": 1.6018099547511313, "no_speech_prob": 0.0, "words": [{"start": 5.04, "end": 5.36, "word": "اليوم", "probability": 0.7339680989583334}, {"start": 5.36, "end": 5.7, "word": " احنا", "probability": 0.9200846354166666}, {"start": 5.7, "end": 7.08, "word": " هنكمل", "probability": 0.9766845703125}, {"start": 7.08, "end": 8.28, "word": " اللي", "probability": 0.724609375}, {"start": 8.28, "end": 8.94, "word": " هو", "probability": 0.9853515625}, {"start": 8.94, "end": 11.54, "word": " how", "probability": 0.76708984375}, {"start": 11.54, "end": 11.96, "word": " urine", "probability": 0.953125}, {"start": 11.96, "end": 12.24, "word": " is", "probability": 0.9619140625}, {"start": 12.24, "end": 12.8, "word": " formed", "probability": 0.9130859375}, {"start": 12.8, "end": 13.86, "word": " in", "probability": 0.56494140625}, {"start": 13.86, "end": 13.98, "word": " the", "probability": 0.884765625}, {"start": 13.98, "end": 14.3, "word": " kidney", "probability": 0.9765625}, {"start": 14.3, "end": 16.56, "word": " زي", "probability": 0.841552734375}, {"start": 16.56, "end": 16.62, "word": " ما", "probability": 0.97509765625}, {"start": 16.62, "end": 16.76, "word": " احنا", "probability": 0.92626953125}, {"start": 16.76, "end": 17.18, "word": " عارفين", "probability": 0.9923095703125}, {"start": 17.18, "end": 17.56, "word": " احنا", "probability": 0.93359375}, {"start": 17.56, "end": 18.6, "word": " ال", "probability": 0.97705078125}, {"start": 18.6, "end": 18.84, "word": " urine", "probability": 0.990234375}, {"start": 18.84, "end": 19.34, "word": " بيبدأ", "probability": 0.9276123046875}, {"start": 19.34, "end": 19.56, "word": " ب", "probability": 0.448486328125}, {"start": 19.56, "end": 21.92, "word": " filtration", "probability": 0.8017578125}, {"start": 21.92, "end": 22.66, "word": " عبر", "probability": 0.988037109375}, {"start": 22.66, "end": 22.78, "word": " ال", "probability": 0.79541015625}, {"start": 22.78, "end": 23.44, "word": " glomerulus", "probability": 0.8859049479166666}, {"start": 23.44, "end": 23.9, "word": " مستمير", "probability": 0.394927978515625}, {"start": 23.9, "end": 24.5, "word": " glomerulus", "probability": 0.76220703125}, {"start": 24.5, "end": 25.0, "word": " filtration", "probability": 0.919921875}, {"start": 25.0, "end": 26.1, "word": " بعدين", "probability": 0.7060546875}, {"start": 26.1, "end": 26.38, "word": " بيصير", "probability": 0.9100341796875}, {"start": 26.38, "end": 26.48, "word": " في", "probability": 0.6826171875}, {"start": 26.48, "end": 26.86, "word": " عملية", "probability": 0.9318033854166666}, {"start": 26.86, "end": 28.04, "word": " reabsorption", "probability": 0.88916015625}, {"start": 28.04, "end": 28.94, "word": " tubular", "probability": 0.707275390625}, {"start": 28.94, "end": 29.82, "word": " reabsorption", "probability": 0.967529296875}, {"start": 29.82, "end": 30.64, "word": " و", "probability": 0.673828125}, {"start": 30.64, "end": 30.9, "word": " هدول", "probability": 0.91796875}, {"start": 30.9, "end": 31.58, "word": " التنتين", "probability": 0.7447916666666666}, {"start": 31.58, "end": 32.2, "word": " عمليتين", "probability": 0.8501953125}, {"start": 32.2, "end": 32.42, "word": " هم", "probability": 0.893798828125}, {"start": 32.42, "end": 32.6, "word": " ال", "probability": 0.91455078125}, {"start": 32.6, "end": 32.98, "word": " major", "probability": 0.97314453125}, {"start": 32.98, "end": 34.4, "word": " procedures", "probability": 0.35400390625}], "temperature": 1.0}, {"id": 2, "seek": 6343, "start": 35.13, "end": 63.43, "text": "بالحقهم بروسوس اخرى اصغر شوية اقل شوية كمان وهي ال secretion فعملية ال filtration زائد ال reabsorption زائد ال secretion بتديني ال final quality of urine final quantity of urine يعتمد اتكلمنا في اخر نقطة في ال reabsorption انه", "tokens": [3555, 6027, 5016, 4587, 16095, 4724, 32887, 3794, 41779, 1975, 34740, 7578, 1975, 9381, 17082, 2288, 13412, 2407, 10632, 1975, 4587, 1211, 13412, 2407, 10632, 9122, 2304, 7649, 37037, 1829, 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"end": 39.79, "word": " شوية", "probability": 0.97314453125}, {"start": 39.79, "end": 40.79, "word": " كمان", "probability": 0.7893880208333334}, {"start": 40.79, "end": 42.09, "word": " وهي", "probability": 0.68603515625}, {"start": 42.09, "end": 42.45, "word": " ال", "probability": 0.89111328125}, {"start": 42.45, "end": 43.25, "word": " secretion", "probability": 0.634033203125}, {"start": 43.25, "end": 44.31, "word": " فعملية", "probability": 0.9464111328125}, {"start": 44.31, "end": 45.13, "word": " ال", "probability": 0.89892578125}, {"start": 45.13, "end": 45.99, "word": " filtration", "probability": 0.94482421875}, {"start": 45.99, "end": 48.41, "word": " زائد", "probability": 0.8043619791666666}, {"start": 48.41, "end": 49.03, "word": " ال", "probability": 0.97705078125}, {"start": 49.03, "end": 49.97, "word": " reabsorption", "probability": 0.7513427734375}, {"start": 49.97, "end": 50.25, "word": " زائد", "probability": 0.9373372395833334}, {"start": 50.25, "end": 50.35, 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498.37, "text": "إنه حيصير في عندنا عملية active reabsorption for solutes and it is impermeable to water يعني لما ناخد ال solutes و يصير عندنا hypotonicity فى داخل ال filtrate ال water will not be able to follow the solutes مش ده ال professor ما كان في ال tribune راح السوديو مليفروريد تلحقها الميه", "tokens": [28814, 1863, 3224, 11331, 1829, 9381, 13546, 8978, 43242, 8315, 6225, 42213, 10632, 4967, 319, 17243, 284, 1695, 337, 1404, 1819, 293, 309, 307, 10100, 1398, 712, 281, 1281, 37495, 22653, 5296, 15042, 8717, 47283, 3215, 2423, 1404, 1819, 4032, 7251, 9381, 13546, 43242, 8315, 2477, 17698, 11630, 507, 6156, 7578, 11778, 47283, 1211, 2423, 29148, 4404, 2423, 1281, 486, 406, 312, 1075, 281, 1524, 264, 1404, 1819, 37893, 11778, 3224, 2423, 8304, 19446, 25961, 8978, 2423, 15039, 2613, 12602, 39319, 21136, 2407, 16254, 2407, 3714, 20292, 5172, 2288, 13063, 25708, 6055, 1211, 5016, 4587, 11296, 9673, 1829, 3224], "avg_logprob": -0.3084375008940697, "compression_ratio": 1.534412955465587, 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ال water هيكون hypo osmotic اذا عن hypo osmotic حقيقة ال thick ascending limb هذا", "tokens": [39237, 10943, 22807, 1975, 15730, 45595, 13063, 25528, 4032, 2423, 1281, 8032, 25708, 6027, 16095, 3714, 33599, 1829, 9957, 8978, 2423, 29148, 4404, 1975, 15730, 43242, 11296, 5296, 15042, 1975, 8315, 7251, 9381, 13546, 319, 17243, 284, 1695, 5296, 15042, 9122, 2304, 10632, 9122, 3555, 48923, 9154, 2423, 1404, 1819, 8032, 1829, 9381, 13546, 18871, 16254, 2423, 10809, 1040, 29148, 4404, 7251, 9778, 1211, 9381, 3714, 16095, 47395, 8978, 2423, 5060, 15526, 2029, 30390, 8032, 1863, 15040, 38436, 20328, 5016, 2288, 5551, 9778, 3215, 8315, 2423, 1404, 1819, 4032, 5551, 11242, 6027, 3660, 2423, 1281, 8032, 1829, 30544, 2477, 2259, 3003, 76, 9411, 1975, 15730, 18871, 2477, 2259, 3003, 76, 9411, 11331, 38436, 28671, 2423, 5060, 15526, 2029, 30390, 23758], "avg_logprob": -0.26033056668998783, "compression_ratio": 1.788, "no_speech_prob": 0.0, "words": [{"start": 518.43, "end": 518.99, "word": "تمام؟", 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"word": " طيب", "probability": 0.7965494791666666}, {"start": 1670.85, "end": 1671.99, "word": " ال", "probability": 0.80615234375}, {"start": 1671.99, "end": 1672.27, "word": " thick", "probability": 0.79833984375}, {"start": 1672.27, "end": 1672.75, "word": " ascending", "probability": 0.906494140625}, {"start": 1672.75, "end": 1673.25, "word": " limb", "probability": 0.96484375}, {"start": 1673.25, "end": 1675.29, "word": " بتطلعلي", "probability": 0.781787109375}, {"start": 1675.29, "end": 1679.95, "word": " الفلتات", "probability": 0.79052734375}, {"start": 1679.95, "end": 1681.13, "word": " ساحبة", "probability": 0.8019205729166666}, {"start": 1681.13, "end": 1681.61, "word": " منه", "probability": 0.88134765625}, {"start": 1681.61, "end": 1682.85, "word": " كمية", "probability": 0.9912109375}, {"start": 1682.85, "end": 1683.15, "word": " كبيرة", "probability": 0.9873046875}, {"start": 1683.15, "end": 1683.37, "word": " من", "probability": 0.943359375}, {"start": 1683.37, "end": 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3583.91, "end": 3584.05, "word": " اللي", "probability": 0.74072265625}, {"start": 3584.05, "end": 3584.33, "word": " بتقدر", "probability": 0.8683268229166666}, {"start": 3584.33, "end": 3584.59, "word": " تعمل", "probability": 0.9640299479166666}, {"start": 3584.59, "end": 3585.05, "word": " dilution", "probability": 0.776611328125}], "temperature": 1.0}, {"id": 141, "seek": 360750, "start": 3585.8, "end": 3607.5, "text": "تدخل المضلة اي تدخل المضلة تعمله more concentration فإذا أنا بدي اعمل dilution كتير المضلة ايش؟ بتدخلش تمام؟ لأنه هلاحظ انا انه عشان الميه اتخش من المضلة مضلة دكت مضلة ايه؟ دكت الى داخل ال cells تبع المضلة الى ال interstitium تحتاج الى water", "tokens": [2655, 3215, 9778, 1211, 9673, 11242, 37977, 1975, 1829, 6055, 3215, 9778, 1211, 9673, 11242, 37977, 6055, 25957, 43761, 544, 9856, 6156, 28814, 15730, 41850, 4724, 16254, 1975, 25957, 1211, 11504, 1448, 9122, 2655, 13546, 9673, 11242, 37977, 1975, 1829, 8592, 22807, 39894, 3215, 9778, 1211, 8592, 46811, 10943, 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3593.7, "word": " تمام؟", "probability": 0.7040201822916666}, {"start": 3593.7, "end": 3594.16, "word": " لأنه", "probability": 0.8504231770833334}, {"start": 3594.16, "end": 3594.7, "word": " هلاحظ", "probability": 0.9261474609375}, {"start": 3594.7, "end": 3595.3, "word": " انا", "probability": 0.6904296875}, {"start": 3595.3, "end": 3595.86, "word": " انه", "probability": 0.646240234375}, {"start": 3595.86, "end": 3596.08, "word": " عشان", "probability": 0.96728515625}, {"start": 3596.08, "end": 3596.58, "word": " الميه", "probability": 0.8982747395833334}, {"start": 3596.58, "end": 3597.1, "word": " اتخش", "probability": 0.73297119140625}, {"start": 3597.1, "end": 3597.34, "word": " من", "probability": 0.9931640625}, {"start": 3597.34, "end": 3598.02, "word": " المضلة", "probability": 0.9788411458333334}, {"start": 3598.02, "end": 3599.0, "word": " مضلة", "probability": 0.7150065104166666}, {"start": 3599.0, "end": 3599.8, "word": " دكت", "probability": 0.5781046549479166}, {"start": 3599.8, "end": 3600.7, "word": " مضلة", "probability": 0.7738444010416666}, {"start": 3600.7, "end": 3601.22, "word": " ايه؟", "probability": 0.8944091796875}, {"start": 3601.22, "end": 3601.7, "word": " دكت", "probability": 0.9228515625}, {"start": 3601.7, "end": 3602.06, "word": " الى", "probability": 0.6617431640625}, {"start": 3602.06, "end": 3602.44, "word": " داخل", "probability": 0.9638671875}, {"start": 3602.44, "end": 3602.9, "word": " ال", "probability": 0.9384765625}, {"start": 3602.9, "end": 3603.48, "word": " cells", "probability": 0.728515625}, {"start": 3603.48, "end": 3604.14, "word": " تبع", "probability": 0.8019205729166666}, {"start": 3604.14, "end": 3604.68, "word": " المضلة", "probability": 0.9581705729166666}, {"start": 3604.68, "end": 3604.88, "word": " الى", "probability": 0.92578125}, {"start": 3604.88, "end": 3604.98, "word": " ال", "probability": 0.9716796875}, {"start": 3604.98, "end": 3605.7, "word": " interstitium", "probability": 0.69805908203125}, {"start": 3605.7, "end": 3606.74, "word": " تحتاج", "probability": 0.9523111979166666}, {"start": 3606.74, "end": 3607.12, "word": " الى", "probability": 0.833251953125}, {"start": 3607.12, "end": 3607.5, "word": " water", "probability": 0.96142578125}], "temperature": 1.0}, {"id": 142, "seek": 363348, "start": 3608.4, "end": 3633.48, "text": "carriers water pores water channels إذا فتحت ال water channels ممكن الميه تبدأ تطلع و يصبح more concentration صحيح diluted urine و صحيح اللي حواليها ال interstitium ايزوزموتك تمام هو شيبرزموتك لكنه ايزوزموتك لكن الميه مش قادرة تطلع منه لإن ال water channels ايه مسكرة", "tokens": [6166, 10525, 1281, 30082, 1281, 9235, 11933, 15730, 6156, 2655, 33753, 2423, 1281, 9235, 3714, 43020, 9673, 1829, 3224, 6055, 44510, 10721, 6055, 9566, 1211, 3615, 4032, 7251, 9381, 49628, 544, 9856, 20328, 5016, 1829, 5016, 11504, 4866, 27638, 4032, 20328, 5016, 1829, 5016, 13672, 1829, 11331, 2407, 6027, 1829, 11296, 2423, 728, 372, 270, 2197, 1975, 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3616.84, "word": " صحيح", "probability": 0.9827880859375}, {"start": 3616.84, "end": 3617.5, "word": " diluted", "probability": 0.522491455078125}, {"start": 3617.5, "end": 3618.32, "word": " urine", "probability": 0.90966796875}, {"start": 3618.32, "end": 3618.8, "word": " و", "probability": 0.8583984375}, {"start": 3618.8, "end": 3619.14, "word": " صحيح", "probability": 0.91064453125}, {"start": 3619.14, "end": 3619.26, "word": " اللي", "probability": 0.88720703125}, {"start": 3619.26, "end": 3619.72, "word": " حواليها", "probability": 0.82451171875}, {"start": 3619.72, "end": 3619.98, "word": " ال", "probability": 0.5751953125}, {"start": 3619.98, "end": 3622.14, "word": " interstitium", "probability": 0.7088623046875}, {"start": 3622.14, "end": 3623.32, "word": " ايزوزموتك", "probability": 0.79931640625}, {"start": 3623.32, "end": 3624.56, "word": " تمام", "probability": 0.931640625}, {"start": 3624.56, "end": 3625.34, "word": " هو", "probability": 0.658203125}, {"start": 3625.34, "end": 3626.36, "word": " شيبرزموتك", "probability": 0.7327357700892857}, {"start": 3626.36, "end": 3626.92, "word": " لكنه", "probability": 0.83642578125}, {"start": 3626.92, "end": 3627.6, "word": " ايزوزموتك", "probability": 0.95941162109375}, {"start": 3627.6, "end": 3628.14, "word": " لكن", "probability": 0.904296875}, {"start": 3628.14, "end": 3628.54, "word": " الميه", "probability": 0.9825846354166666}, {"start": 3628.54, "end": 3628.72, "word": " مش", "probability": 0.98876953125}, {"start": 3628.72, "end": 3629.22, "word": " قادرة", "probability": 0.8924153645833334}, {"start": 3629.22, "end": 3630.26, "word": " تطلع", "probability": 0.990966796875}, {"start": 3630.26, "end": 3630.54, "word": " منه", "probability": 0.990234375}, {"start": 3630.54, "end": 3630.88, "word": " لإن", "probability": 0.81103515625}, {"start": 3630.88, "end": 3631.1, "word": " ال", "probability": 0.76025390625}, {"start": 3631.1, "end": 3631.36, "word": " water", "probability": 0.958984375}, {"start": 3631.36, "end": 3631.82, "word": " channels", "probability": 0.98046875}, {"start": 3631.82, "end": 3632.64, "word": " ايه", "probability": 0.841796875}, {"start": 3632.64, "end": 3633.48, "word": " مسكرة", "probability": 0.7696533203125}], "temperature": 1.0}, {"id": 143, "seek": 364033, "start": 3634.13, "end": 3640.33, "text": "واضح؟ واضح الكلام ولا لا؟ اذا احنا ال digital tribune", "tokens": [2407, 46958, 5016, 22807, 4032, 46958, 5016, 2423, 28820, 10943, 49429, 20193, 22807, 1975, 15730, 1975, 5016, 8315, 2423, 4562, 15039, 2613], "avg_logprob": -0.334748651670373, "compression_ratio": 1.1527777777777777, "no_speech_prob": 0.0, "words": [{"start": 3634.13, "end": 3634.77, "word": "واضح؟", "probability": 0.7630615234375}, {"start": 3634.77, "end": 3635.27, "word": " واضح", "probability": 0.91845703125}, {"start": 3635.27, "end": 3635.55, "word": " الكلام", "probability": 0.8158365885416666}, {"start": 3635.55, "end": 3635.67, "word": " ولا", "probability": 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\ No newline at end of file
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/7Y5WSKHPBrE.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/7Y5WSKHPBrE.srt
new file mode 100644
index 0000000000000000000000000000000000000000..bbaf5864b2409686bab10f912559bb1fd7d47295
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/7Y5WSKHPBrE.srt
@@ -0,0 +1,1531 @@
+1
+00:00:05,820 --> 00:00:09,560
+تلج حسب الظروف المختلفة لما بيدخل على الرئتين
+
+2
+00:00:09,560 --> 00:00:13,280
+يدخل حسب على ال .. يصير الـ alveoli الدقيقة هادية
+
+3
+00:00:13,280 --> 00:00:17,420
+ما يصيرش تلج وإلا حيصير جوا cracks و هنخش في إيه؟
+
+4
+00:00:17,420 --> 00:00:20,920
+احنا بس نبرد ثواني كنا رشحنا أو حالتنا حالة
+
+5
+00:00:20,920 --> 00:00:24,680
+فما بالك لو كانت المسألة هادي دائماً احنا معرضين
+
+6
+00:00:24,680 --> 00:00:28,020
+للهواء الخارجي، الـ alveoli مش معرضين
+
+7
+00:00:28,020 --> 00:00:32,700
+للهواء الخارجي، بيصير عاملين تدفئة إذا هدي .. إذا
+
+8
+00:00:32,700 --> 00:00:39,160
+صار عندي حاجتين: filtration و تدفئة (warming)، والتالت
+
+9
+00:00:39,160 --> 00:00:44,640
+humidification، الهواء اللي بده يخش بده يكون رطب
+
+10
+00:00:44,640 --> 00:00:51,220
+ما يكونش جاف، يجفف لي الميوكاس، ويجفف لي الـ .. الـ ..
+
+11
+00:00:51,220 --> 00:00:54,100
+الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ
+
+12
+00:00:54,100 --> 00:00:54,200
+.. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ
+
+13
+00:00:54,200 --> 00:00:54,500
+الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ
+
+14
+00:00:54,500 --> 00:00:55,040
+.. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ
+
+15
+00:00:55,040 --> 00:00:55,360
+الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ
+
+16
+00:00:55,360 --> 00:00:56,720
+.. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ
+
+17
+00:00:56,720 --> 00:01:00,420
+.. الـ .. الـ .. الـ ..
+
+18
+00:01:00,420 --> 00:01:00,660
+الـ .. الـ
+
+19
+00:01:03,850 --> 00:01:08,450
+cracks وبيصير عندي spread
+
+20
+00:01:08,450 --> 00:01:14,210
+of infection، تمام؟ إذا عندي هي تلت حاجات وفي حاجة
+
+21
+00:01:14,210 --> 00:01:18,670
+رابعة كتير مهمة، أنا لو لا هالريقتين هدول ما بقدر
+
+22
+00:01:18,670 --> 00:01:21,790
+أخاطبهم أو يتخاطبون لي، لو لا الـ air passages هذه
+
+23
+00:01:21,790 --> 00:01:27,030
+اللي فيها، اه، حاطين الزمارة فيها كده، الـ larynx، اه
+
+24
+00:01:27,030 --> 00:01:36,910
+وحاطين اللي هي حلق ولسان وشفايف، و soft palate، و
+
+25
+00:01:36,910 --> 00:01:42,690
+intercostals و abdominal muscles و diaphragm هذا
+
+26
+00:01:42,690 --> 00:01:46,650
+كله طاقم في الآخر بيقدر الـ phonation، بيقدر الـ
+
+27
+00:01:46,650 --> 00:01:51,630
+speech، تمام؟ الكلام هذا طبعاً إله مركزية بتحكمه، و
+
+28
+00:01:51,630 --> 00:01:56,510
+هي الأساس بحيث أن هذا كل الطاقم اللي اتكلمنا عنه
+
+29
+00:01:56,510 --> 00:02:01,030
+من عضلات بتزيد الضغط في داخل الرئتين إلى الـ vocal
+
+30
+00:02:01,030 --> 00:02:07,420
+cords بتفتح وبتسكر، بتشد وبتِرخي، بتزيد الهواء، و
+
+31
+00:02:07,420 --> 00:02:10,800
+بتجلله عشان يطلع عندي أنغام مختلفة من الصوت
+
+32
+00:02:10,800 --> 00:02:15,860
+phonation عملية إنه يطلع صوت رفيع ولا خميل ولا
+
+33
+00:02:15,860 --> 00:02:21,580
+شديد ولا عالي ولا هادي، مربوط وين؟ في الـ larynx، في
+
+34
+00:02:21,580 --> 00:02:26,500
+الـ vocal cords، بعدين الصوت اللي طلع هذا يتحول إلى
+
+35
+00:02:26,500 --> 00:02:29,960
+أحرف، والحمد لله رب العالمين، كلكم بتعرفوا المخارج
+
+36
+00:02:29,960 --> 00:02:33,380
+وكلكم بتعرفوا صفات الحروف، وكل حرف كيف بيطلع، و اين
+
+37
+00:02:33,380 --> 00:02:38,220
+بننزل هذه المرحلة النهائية، تمام، اللي هي وانت
+
+38
+00:02:38,220 --> 00:02:42,960
+بتتكلمي، لا بتفكري أن حرف الـ .. الحرف يطلع من الحلق
+
+39
+00:02:42,960 --> 00:02:48,420
+ولا يطلع من الخيشوم ولا غيره، إنت بس بتقول أي حاجة
+
+40
+00:02:48,420 --> 00:02:52,260
+بيطلع لحاله، لأن في مركزية في الداخل، احنا أول ما
+
+41
+00:02:53,500 --> 00:02:56,720
+بدأنا ننمو، واتعلمنا، سمعنا هذا الكلام من إيه؟ من
+
+42
+00:02:56,720 --> 00:03:01,600
+الأم، فبدأنا نقلدها، ثم برمجنا دماغنا لما نطلع
+
+43
+00:03:01,600 --> 00:03:05,700
+الحرف أو الكلمة أو الفكرة، احنا بنقول الفكرة جالسين
+
+44
+00:03:05,700 --> 00:03:08,280
+قبل ما .. قبل ما نعرف إيش بنقول، بنقول، طالعة
+
+45
+00:03:08,280 --> 00:03:12,620
+لساننا يعني، واحنا بنفكر وبنتكلم، يعني مش بنفكر، و
+
+46
+00:03:12,620 --> 00:03:16,140
+بعدين .. اه، هذه في غير لغة الأم، بيقرر واحد إيش
+
+47
+00:03:16,140 --> 00:03:19,940
+بيقول، وبعدين بيقوله، لكن في لغة الأم اللي مبرمج إنت
+
+48
+00:03:19,940 --> 00:03:26,480
+عليها، بتفكري وبتتكلمي في نفس الوقت، الفكرة ما فيش فرق
+
+49
+00:03:26,480 --> 00:03:31,200
+ما بين انتقال الفكرة إلى كلام، أي وقت محسوس هو فيه
+
+50
+00:03:31,200 --> 00:03:35,460
+فرق، بس الفرق هذا إيه؟ مش محسوس، من كتر ما هي الفكرة
+
+51
+00:03:35,460 --> 00:03:39,860
+وأنا بكلمك، وأقعد مستغرب أنا كيف أن الكلام قبل ما
+
+52
+00:03:39,860 --> 00:03:42,360
+إيه، ما تطلع الفكرة من رأسي، مش عارف إيش بده أقول
+
+53
+00:03:42,360 --> 00:03:46,820
+بِسمعها سماع، في الآخر، السرعة، السرعة الرهيبة اللي
+
+54
+00:03:46,820 --> 00:03:53,410
+بتنفذها إيه؟ نقل الفكرة من مركز الـ .. الكلام، اه، من مركز
+
+55
+00:03:53,410 --> 00:03:57,470
+الفكرة إلى مركز الكلام، ومركز الكلام هذا فوراً شوف
+
+56
+00:03:57,470 --> 00:04:02,550
+كده، سرعة العصب بحيث إنه يزود ضغط الصدر عشان الصوت
+
+57
+00:04:02,550 --> 00:04:09,610
+يعلى شوية، أو يوطى شوية، أو يظل مندفع، الحجاب الحاجز ضغط
+
+58
+00:04:09,610 --> 00:04:13,010
+باستمرار عشان الـ intra-thoracic pressure يظل عالي
+
+59
+00:04:13,010 --> 00:04:16,470
+عشان .. وطول ما هو عالي، طول ما أنا إيه فيه هوا
+
+60
+00:04:16,470 --> 00:04:19,930
+مندفع على الخارج، والـ vocal cords بتزيد وبتجيل
+
+61
+00:04:19,930 --> 00:04:24,770
+بحيث إنه تدينا الصوت، الـ pitch اللي أنا بديه، ثم
+
+62
+00:04:24,770 --> 00:04:28,650
+بيجي الطاقم الأخير اللي إنتوا اتكلمتوا عنه، اللي هو
+
+63
+00:04:28,650 --> 00:04:33,470
+طاقم المخارج، والـ إيه، والصفات اللي بيعمل لي الحرف
+
+64
+00:04:33,470 --> 00:04:38,530
+اللي أنا في الآخر، وعلمه آدم الأسماء كلها، فأصبح
+
+65
+00:04:38,530 --> 00:04:48,050
+إنسان بيتكلم وبينطق، وإله قامة معتدلة، وإله يدين
+
+66
+00:04:48,050 --> 00:04:53,730
+القفزة في الخلق ما بين الإنسان وبين أي مخلوق آخر
+
+67
+00:04:53,730 --> 00:04:59,250
+على وجه الأرض غير الإنسان، قفزة ضخمة، كبيرة، مفترض
+
+68
+00:04:59,250 --> 00:05:03,690
+إنه لو هذا إجا عفوياً بالصدفة زي ما قالوا، إلا جينا
+
+69
+00:05:03,690 --> 00:05:07,670
+إشي قريب من الإنسان هيك، تسعين المية، أو إشي خمسة و
+
+70
+00:05:07,670 --> 00:05:10,130
+تسعين المية، أو إشي سبعة وتسعين المية، دولة عشان ..
+
+71
+00:05:10,130 --> 00:05:14,370
+بعدين هنلاقي كان إنسان طويل وعريض، وبس من غير ..
+
+72
+00:05:14,370 --> 00:05:20,280
+من دماغه، وماكملش تفكيره، اه، يعني نلاقي إنسان طويل و
+
+73
+00:05:20,280 --> 00:05:23,880
+عريض، بس إيه؟ دي كلها إيه؟ مش أصابع حلوة هيك، اه، كلها
+
+74
+00:05:23,880 --> 00:05:27,940
+إيه كذا، وإيه؟ إله دماغ طبعاً، إيش هيعفي الدماغ اللي
+
+75
+00:05:27,940 --> 00:05:32,520
+بيفكر فيه الإنسان كويس، في عدم وجود الأصابع، في عدم
+
+76
+00:05:32,520 --> 00:05:38,560
+وجود أشياء كتير، اه، فبرجع تاني بقول، الجسم
+
+77
+00:05:41,460 --> 00:05:44,920
+بني برضه بالاقتصاد، فالهواء اللي
+
+78
+00:05:44,920 --> 00:05:49,160
+طالع كمان عاملنا صوت، وعاملنا أشياء، كلام، وعاملنا
+
+79
+00:05:49,160 --> 00:05:54,780
+هو داخل لنفس، نفس، بس في نفس الوجهة، مدام في مكينة
+
+80
+00:05:54,780 --> 00:06:00,160
+ضخ هواء، إذا نستخلصه برضه في إيجاد ما يسمى بالصوت، ما
+
+81
+00:06:00,160 --> 00:06:03,840
+إيجاد .. ما بعملش مكينة تانية للصوت، بس تشغل صوت، و
+
+82
+00:06:03,840 --> 00:06:09,190
+بعدين هذا يشغل نفس، لأ، إيجاد هادي معهد، إذا الجهاز
+
+83
+00:06:09,190 --> 00:06:13,770
+التنفسي عندها بيعمل تلت أشياء مهمة، وحاجة رابعة
+
+84
+00:06:13,770 --> 00:06:19,930
+بتخصش التنفس نفسه، يعني تلتة بتخص عملية التنفس، الـ
+
+85
+00:06:19,930 --> 00:06:23,490
+humidification، والـ warming، والـ filtration بتخص
+
+86
+00:06:23,490 --> 00:06:27,470
+عملية الهواء نفسه، لكن الرابعة، الـ phonation وظيفة
+
+87
+00:06:27,470 --> 00:06:30,670
+إضافية، يعني مالها الجهاز التنفسي، لكن مالهاش علاقة
+
+88
+00:06:30,670 --> 00:06:35,870
+هي إيه؟ بالتنفس، يعني الرطوبة بتحمي، الفلترة بتحمي،
+
+89
+00:06:35,870 --> 00:06:43,990
+التدفئة بتحمي، لكن الصوت هذا صفة إضافية رابعة، إذن
+
+90
+00:06:43,990 --> 00:06:48,550
+الجهاز التنفسي اللي عندي بيبدأ بالـ nose، الأنف، وما
+
+91
+00:06:48,550 --> 00:06:52,750
+أدراك ما، الأنف، الأنف فيه حاجز أنفي نازل، سبتمبر، في
+
+92
+00:06:52,750 --> 00:06:58,430
+النص، وفي من الجناب طالع، what is called، كونكا
+
+93
+00:06:58,430 --> 00:07:03,410
+مجموهم كونكي، إثنين بالعرض ماشيين هيك، عاملين زي
+
+94
+00:07:03,410 --> 00:07:08,300
+ردياتر، حاجزين في وسط الإيه؟ بس بالعرض، في وسط الفراغ
+
+95
+00:07:08,300 --> 00:07:13,600
+الأنفي هذا، تشوفوا الأنفي نازل سبتمبر في النص، وعندي من
+
+96
+00:07:13,600 --> 00:07:17,520
+الجانب جاي كونكا، وكونكا سموها بعد شوية turbulent
+
+97
+00:07:17,520 --> 00:07:23,160
+ليش؟ لأن الكونكا تؤدي إلى turbulence، بتلخبط الهواء
+
+98
+00:07:23,160 --> 00:07:26,960
+فقالوا إذا هذه turbulent، هي كونكا عظمياً، لكن
+
+99
+00:07:26,960 --> 00:07:29,860
+functionally سموها turbulent، هتكلم معنا بعد شوية
+
+100
+00:07:29,860 --> 00:07:33,180
+وعلى الجانب التاني من النازل إيه؟ اه، فإذا عندي
+
+101
+00:07:33,180 --> 00:07:36,230
+أنفين، فيه نازل سبتمبر، وهان الـ turbinates
+
+102
+00:07:36,230 --> 00:07:39,590
+بيقسموا لي الهواء إلى تلت أقسام، الهواء بنزل في الـ
+
+103
+00:07:39,590 --> 00:07:43,050
+.. في الـ .. في المنطقة الوسطانية، أو في النص، وفوق،
+
+104
+00:07:43,050 --> 00:07:49,890
+تمام؟ إذا صار عندي أنا nasal cavity، و nasal الـ
+
+105
+00:07:49,890 --> 00:07:56,010
+turbinates، و nasal sinuses، عندي أنا هذا الهواء اللي
+
+106
+00:07:56,010 --> 00:08:02,090
+داخلها، مشبوك في sinuses، الـ sinuses لهم فائدة في
+
+107
+00:08:02,090 --> 00:08:07,590
+التدفئة، والصوت، الـ phonation ده مع الصوت، لكن الـ
+
+108
+00:08:07,590 --> 00:08:13,150
+nasal space هذا اللي الهواء بيخش فيه عشان يتfilter، و
+
+109
+00:08:13,150 --> 00:08:18,030
+يتدفّى، وكده، يديش مساحته، اتصوروا، لجينا عندي مساحة
+
+110
+00:08:18,030 --> 00:08:24,440
+ستمائة centimeter، ستمائة ولا إثنين وستين؟ عشرة في
+
+111
+00:08:24,440 --> 00:08:30,920
+ستين، اه، ستمائة، ستمائة وعشرين centimeter مربع، مساحة
+
+112
+00:08:30,920 --> 00:08:35,260
+الـ surface area اللي الهواء لما بيخش الـ nose بيخش
+
+113
+00:08:35,260 --> 00:08:40,180
+فيها، تمام، المتر المربع عشرة آلاف centimeter، مش هيك
+
+114
+00:08:40,180 --> 00:08:44,820
+احنا بنتكلم عن ستمائة، ستمائة وعشرين، يعني حوالي عشرة
+
+115
+00:08:44,820 --> 00:08:49,930
+centimeter عرض مثلاً، في ستين centimeter، هذه، تصوروا
+
+116
+00:08:49,930 --> 00:08:54,590
+أن الـ nose تبعنا هذا، إله جد، في surface area، إله
+
+117
+00:08:54,590 --> 00:09:02,490
+أهمية كبيرة جداً في تنقية الهواء، وتدفئة الهواء، والـ
+
+118
+00:09:02,490 --> 00:09:05,850
+humidification
+
+119
+00:09:05,850 --> 00:09:12,330
+وترطيب الهواء، تمام؟ الـ nose إله دور، والـ trachea
+
+120
+00:09:12,330 --> 00:09:16,070
+إلها دور، والـ bronchus إلها دور، طب خليني أتكلم عن
+
+121
+00:09:16,070 --> 00:09:18,470
+الموضوع هذا بشكل أوسع
+
+122
+00:09:24,350 --> 00:09:28,450
+طيب الـ .. خلينا جايبنا نتكلم عن الـ .. خلينا بدأنا
+
+123
+00:09:28,450 --> 00:09:37,190
+فيها نتكلم عنها، طب okay، نتكلم
+
+124
+00:09:37,190 --> 00:09:40,950
+عنها، مدن، بدأنا الكلام حولها
+
+125
+00:09:56,950 --> 00:10:00,890
+the normal respiratory functions of the nose، إذا
+
+126
+00:10:00,890 --> 00:10:04,110
+بدأ أنا أتكلم عن مين؟ عن الـ nose، لأن الهوا أولاً
+
+127
+00:10:04,110 --> 00:10:10,870
+بدخل بقابل الـ nose، بقابل الـ .. الهوا داخل لحظة، لأن
+
+128
+00:10:10,870 --> 00:10:14,870
+الهوا بدخل كده، وبعدين يغير اتجاهه، عشان كده فتحات
+
+129
+00:10:14,870 --> 00:10:20,910
+الأنف مش جاية قدام هيك، مش بس منظر جمالي، هو منظر
+
+130
+00:10:20,910 --> 00:10:23,590
+جمالي جداً، إن كانوا تحت، بس بعض الناس بجي
+
+131
+00:10:23,590 --> 00:10:29,810
+المناخيرهم فاتحة بشكل مزعج أمامك كده، شايف؟ لكن فضل
+
+132
+00:10:29,810 --> 00:10:33,750
+ربنا إنه خلقها .. مش بس منظر جمالي، لأ، كمان علشان
+
+133
+00:10:33,750 --> 00:10:38,510
+الهواء يغير اتجاهه، تمام؟ والـ nose، شغلته
+
+134
+00:10:38,510 --> 00:10:43,050
+الأساسية، يَخبط الهواء، يغير اتجاهات في الهواء، لإنه
+
+135
+00:10:43,050 --> 00:10:46,450
+كل ما بيغير اتجاهه الهواء، كل ما بيشغل الـ nose أكتر
+
+136
+00:10:46,450 --> 00:10:50,850
+كيف يعني؟ الغبرة المحمولة في الـ .. في الهواء
+
+137
+00:10:50,850 --> 00:10:57,320
+الداخل، أحجام مختلفة، أحجام مختلفة، بالقطع، كلها
+
+138
+00:10:57,320 --> 00:11:03,960
+الغبرة وزنها أكثر من وزن الـ particles of air، لذلك
+
+139
+00:11:03,960 --> 00:11:06,780
+لما الهواء يبقى مندفع بشكل معين، وحامل معه الـ
+
+140
+00:11:06,780 --> 00:11:10,580
+particles، ثم يصير تغيير في اتجاه الهواء، بيغير
+
+141
+00:11:10,580 --> 00:11:15,060
+اتجاهه أسرع من بيغيره من الـ particles، الـ particles
+
+142
+00:11:15,060 --> 00:11:17,900
+بتبقى مندفعة على أنها كتلة
+
+143
+00:11:20,450 --> 00:11:24,190
+لها كتلة، حركة، لها عزم .. إيش بيسموه أنتم العجلة
+
+144
+00:11:24,190 --> 00:11:28,930
+ولا إيش .. في التوجيه، كنا زمان ندوس .. إيه؟ تسا ..
+
+145
+00:11:28,930 --> 00:11:32,810
+لها وزن معين بيخليها مدفوعة بشكل معين، هذا بيقدر إن
+
+146
+00:11:32,810 --> 00:11:36,610
+الهواء بيغير اتجاهه، لكن الـ .. الـ particles هذه
+
+147
+00:11:36,610 --> 00:11:41,350
+بتخبط في الحيط اللي هي إيه؟ اللي واجهتها، الحيط
+
+148
+00:11:41,350 --> 00:11:45,030
+اللي واجهتها الـ mucous membrane، مخاط، يلزق فيها
+
+149
+00:11:45,030 --> 00:11:49,170
+الـ إيه؟ الـ particles، تمام؟ إذا هو أول ما الهواء
+
+150
+00:11:49,170 --> 00:11:59,180
+بيخش، بينحرف، ويغير اتجاهه، فبيضرب في سقف الأنف، بيضرب
+
+151
+00:11:59,180 --> 00:12:02,240
+في الـ turbinates، فبتلاقي اتجاهه تشتت في كل اتجاه
+
+152
+00:12:02,240 --> 00:12:07,520
+الـ air، الـ .. الـ .. الـ .. الـ .. الـ .. الـ pollution particles
+
+153
+00:12:07,520 --> 00:12:10,620
+هذه الموجودة في الهواء بتبدأ تغير اتجاهها، مش مدفوعة
+
+154
+00:12:10,620 --> 00:12:14,580
+كلها إلى الـ إيه؟ إلى الرئتين، فتتجه، و ليش أي شيء
+
+155
+00:12:14,580 --> 00:12:18,980
+لفوق ولا تحت، ويمين وشمال، فبتلتصق في الـ mucus
+
+156
+00:12:18,980 --> 00:12:23,980
+membrane المنتشر في كل مكان، تمام؟ غير كده، فيه شعر في
+
+157
+00:12:23,980 --> 00:12:27,680
+باب الـ ..  في الأنف، الـ big particles هذه بيمسكها
+
+158
+00:12:27,680 --> 00:12:33,760
+الشعر، الأصغر بتلزق وين؟ في الميوكاس، من برا، يعني لحد
+
+159
+00:12:33,760 --> 00:12:39,480
+الـ 6 مايكرون، بيلزق في الـ .. يعني ما بيدخلش على التراكية
+
+160
+00:12:39,480 --> 00:12:45,900
+إلا الـ particles الحجمها أقل من 6 مايكرون، تمام؟
+
+161
+00:12:45,900 --> 00:12:51,630
+لاحظوا الهواء مدفوع في التراكية، وإذا أدّانا إثنين
+
+162
+00:12:51,630 --> 00:12:55,610
+main bronchi، والـ main bronchi بيدّونا شوية
+
+163
+00:12:55,610 --> 00:13:00,230
+bronchioles، بعدين كل bronchiole بيدّي بالـ .. كان
+
+164
+00:13:00,230 --> 00:13:05,070
+ضخم جداً من الـ .. اللي هو الـ terminal bronchiole
+
+165
+00:13:05,070 --> 00:13:10,070
+تمام؟ حاجة وستين ألف terminal bronchiole، فهذا
+
+166
+00:1
+
+223
+00:17:25,650 --> 00:17:30,230
+بالنسبة للـ centigrade جزء
+
+224
+00:17:30,230 --> 00:17:37,590
+منها تمام؟ إذًا الـ humidification هتلاقي الهواء
+
+225
+00:17:37,590 --> 00:17:43,550
+ترتب ترطيب مشبع اثنين إلى ثلاثة في المئة أقل من
+
+226
+00:17:43,550 --> 00:17:47,910
+التشبع اثنين إلى ثلاثة في المئة أقل من  highly
+
+227
+00:17:47,910 --> 00:17:51,990
+humidified
+
+228
+00:17:51,990 --> 00:17:55,990
+بالنسبة
+
+229
+00:17:55,990 --> 00:18:00,310
+للـ particles احنا إيه هنتكلم عنها بالتفصيل
+
+230
+00:18:00,310 --> 00:18:05,450
+اتكلمنا
+
+231
+00:18:05,450 --> 00:18:09,930
+عن الـ nose و الـ size of particles هنا وقلنا أنه
+
+232
+00:18:09,930 --> 00:18:15,970
+عندي الـ particles الكبيرة، الـ particles أكتر من ستة
+
+233
+00:18:15,970 --> 00:18:20,530
+ميكرون، أو يعني أكتر من خمسة لحد الستة خلص منها
+
+234
+00:18:20,530 --> 00:18:24,570
+النوز، من البرونكولات المتبقية، الكثير منهم بين
+
+235
+00:18:24,570 --> 00:18:29,870
+واحد إلى خمسة ميكرومتر تقع في البرونكولات الصغيره
+
+236
+00:18:29,870 --> 00:18:30,490
+الصغيره
+
+237
+00:18:30,490 --> 00:18:30,810
+
+238
+00:18:30,810 --> 00:18:41,830
+
+239
+00:18:41,830 --> 00:18:43,050
+
+240
+00:18:43,050 --> 00:18:44,990
+
+241
+00:18:44,990 --> 00:18:49,090
+and many armies طيب
+
+242
+00:18:49,090 --> 00:18:54,550
+ماشي vocalization
+
+243
+00:18:54,550 --> 00:18:58,730
+إذًا إنه الجزء الأخير، إذًا كانوا humidification و
+
+244
+00:18:58,730 --> 00:19:07,190
+filtration اتكلمنا عنها، و humidification طيب إذًا
+
+245
+00:19:07,190 --> 00:19:10,010
+filtration و humidification و warming، الـ warming
+
+246
+00:19:10,010 --> 00:19:15,510
+موجود بالإضافة لنزل الـ space هذا، الـ nasal
+
+247
+00:19:15,510 --> 00:19:19,750
+sinuses تستخدم في الـ warming of the air بالإضافة
+
+248
+00:19:19,750 --> 00:19:24,550
+لأنها لها دور في الـ...في الـ...في الـ speech
+
+249
+00:19:24,550 --> 00:19:27,850
+تبعنا الـ speech، إحنا بنفسنا، موحش ثاني الـ speech
+
+250
+00:19:27,850 --> 00:19:35,770
+عندنا phonation و...و articulation and resonance
+
+251
+00:19:35,770 --> 00:19:42,410
+phonation اللي هو الصوت اللي بيطلع، اللي متعلق بصوت
+
+252
+00:19:42,410 --> 00:19:49,430
+شديد، رفيع، رخيم، خشن، ما أعرفش إيش هذه كلها مسؤولة
+
+253
+00:19:49,430 --> 00:19:53,710
+من؟ الـ vocal cords، أما الـ articulation التفصيل
+
+254
+00:19:53,710 --> 00:19:57,690
+والمخارج، اتكلمنا عنها، أما عن الـ resonance الـ
+
+255
+00:19:57,690 --> 00:20:03,090
+resonance إن الهواء يمر في تجاويف في مناطق تعمل صوت
+
+256
+00:20:03,090 --> 00:20:08,370
+طبل، الجيوب الأنفية بتديله الصوت اللي هو لما إحنا
+
+257
+00:20:08,370 --> 00:20:12,830
+بنبقى مرشحين ومسكرة الجيوب الأنفية، من حد ما الواحد
+
+258
+00:20:12,830 --> 00:20:16,180
+يتكلم، أول كلمة كيف حالك يا ديمة؟ مالك سلامتك؟ إيش
+
+259
+00:20:16,180 --> 00:20:20,940
+فيه؟ كيف عرفت إنه عندها...من الصوت عرفت إنه في
+
+260
+00:20:20,940 --> 00:20:24,780
+عندها رشح لأنه بيسكر الـ nasal sinuses، فالصوت
+
+261
+00:20:24,780 --> 00:20:29,040
+بيغير تمامًا، فالصوت هذا اللي بيميز الـ resonance زي
+
+262
+00:20:29,040 --> 00:20:31,880
+ما الصوت، راح الـ resonance، الفرغات اللي...اللي
+
+263
+00:20:31,880 --> 00:20:35,880
+بيمشي فيها الصوت بتدل على الرنين هذا، الـ nasal
+
+264
+00:20:35,880 --> 00:20:39,960
+sinuses، الـ mouth نفسه، إنه في عندي mouth أنا موجود
+
+265
+00:20:40,160 --> 00:20:45,360
+تمام؟ ضخم؟ كبير هيك؟ بدي صوت؟ الريقات...نفسهم
+
+266
+00:20:45,360 --> 00:20:52,160
+تمام؟ أبحاب بيطلع الصوت منهم...من الحنجرة وكده
+
+267
+00:20:52,160 --> 00:20:57,520
+هذه الفرق...مساحات بيمشي فيها الصوت بتديله رخامة
+
+268
+00:20:57,520 --> 00:21:01,200
+بتديله resonance، الـ articulation اللي بتعمل من
+
+269
+00:21:01,200 --> 00:21:07,320
+خلال الحلق، و الـ soft palate، والأسنان، و الـ tongue
+
+270
+00:21:07,320 --> 00:21:12,600
+بتعمل إيه؟ اللي هو مخارج الحروف، وتشكل، وتغير، و
+
+271
+00:21:12,600 --> 00:21:16,760
+تعمل سواء، أما الـ phonation نفسه، الـ vocal cords
+
+272
+00:21:16,760 --> 00:21:21,600
+هدول طبعًا إن فيه اسمهم vocal folds أساسًا اسم إيش؟
+
+273
+00:21:21,600 --> 00:21:25,900
+vocal folds لإنه طيات، وطيات على الـ vocal cords في
+
+274
+00:21:25,900 --> 00:21:28,580
+الـ...في الـ larynx، طية واحدة يعني إن الـ vocal
+
+275
+00:21:28,580 --> 00:21:32,970
+cords مش ألف ولا مية، هم اثنين، لكن إنهم مشبوكة منهم
+
+276
+00:21:32,970 --> 00:21:39,570
+مجموعة من الـ...هم شبكين في الغضاريف الحنجرة بس
+
+277
+00:21:39,570 --> 00:21:44,090
+الغضاريف هذه مشبوكة بمجموعة من العضلات بتشد على
+
+278
+00:21:44,090 --> 00:21:47,590
+vocal cords تمام؟ بيخلي عندي أنا أصوات الـ
+
+279
+00:21:47,590 --> 00:21:51,970
+phonation، عملية الـ phonation اللي بالتمام تمام؟ إذًا
+
+280
+00:21:51,970 --> 00:21:58,390
+هذا بالنسبة لفوائد أخرى غير تنفسية بالنسبة لمين؟ لـ
+
+281
+00:21:58,390 --> 00:21:59,090
+الـ...
+
+282
+00:22:02,910 --> 00:22:08,630
+الجهاز التنفسي، ما هو باسمه، the functions of the
+
+283
+00:22:08,630 --> 00:22:15,250
+nose، نرجع ثاني لأشياء أنا رطيتها شوية عشان إيه
+
+284
+00:22:15,250 --> 00:22:26,870
+نكمل الموضوع، إن إحنا غير ربع ساعة أعتقد الآن
+
+285
+00:22:26,870 --> 00:22:31,090
+عندي أنا هنا respiratory passages، عندي تراكيب
+
+286
+00:22:31,520 --> 00:22:37,000
+supported بالـ...بالـ...الـ...الـ cartilages الـ C
+
+287
+00:22:37,000 --> 00:22:42,020
+shape أو الـ U shape cartilages، مش كده؟ الـ...كل ما
+
+288
+00:22:42,020 --> 00:22:48,160
+نزلنا لتحت بنصل...بنصل لـ...بيقل الـ cartilages
+
+289
+00:22:48,530 --> 00:22:54,250
+وبيزيد محل الـ cartilage more muscular tissue لدرجة
+
+290
+00:22:54,250 --> 00:23:00,530
+أنه عندنا في الـ...الـ bronchioles، the bronchioles are
+
+291
+00:23:00,530 --> 00:23:04,830
+not present plates، the plates are not present، اللي
+
+292
+00:23:04,830 --> 00:23:07,330
+هو الـ cartilage plates in the bronchioles، وما كانش
+
+293
+00:23:07,330 --> 00:23:10,830
+بقدر أقول أنا وصلت لـ bronchiole لما يكون عندي إيه
+
+294
+00:23:10,830 --> 00:23:14,620
+بطل فيه cartilage، أنا جاب الـ...الـ bronchiole في
+
+295
+00:23:14,620 --> 00:23:17,580
+عندي bronchi بتصغر، الـ bronchiole أصلاً، بس طول ما
+
+296
+00:23:17,580 --> 00:23:20,600
+فيها supported by cartilage، الـ bronchiole...بين الـ
+
+297
+00:23:20,600 --> 00:23:24,140
+cartilage موجود fibrostitious و muscles، لكن لما
+
+298
+00:23:24,140 --> 00:23:27,280
+أخش على الـ bronchioles أنا بلاقى just fibrostitious
+
+299
+00:23:27,280 --> 00:23:32,020
+و muscles من غير إيه؟ طب كيف يبقى الفتحة؟ اللي
+
+300
+00:23:32,020 --> 00:23:35,080
+بفتحها الله، بفتحها الـ negative pressure اللي
+
+301
+00:23:35,080 --> 00:23:38,840
+موجود براها، لشدها، الـ compliance تبع الـ...الـ
+
+302
+00:23:38,840 --> 00:23:41,940
+الـ elasticity تبع الـ tissues تبع الـ lung، فتحها
+
+303
+00:23:41,940 --> 00:23:46,920
+شدها muscular
+
+304
+00:23:46,920 --> 00:23:50,820
+wall of the bronchi، اتكلمت عنه، الـ respirator الـ
+
+305
+00:23:50,820 --> 00:23:53,800
+bronchioles، الـ respirator الـ bronchioles which are
+
+306
+00:23:53,800 --> 00:23:57,540
+هنا، بعد الـ bronchioles، اتكلمت عنها، مافيش فيها
+
+307
+00:23:57,540 --> 00:24:02,100
+كارتيج، اتجددت، الـ respirator الـ bronchioles فيها...
+
+308
+00:24:02,100 --> 00:24:07,380
+عندنا epithelium شبيه بالـ alveolar epithelium، لكن
+
+309
+00:24:07,380 --> 00:24:11,280
+مافيش عندي أنا إيه، فيه muscular tissue كتير، الخاص
+
+310
+00:24:11,280 --> 00:24:16,120
+بنا fibers وبعض البرونكيولز، البرونكيولز، البرونكيولز
+
+311
+00:24:16,120 --> 00:24:20,340
+البرونكيولز، البرونكيولز، البرونكيولز، البرونكيولز
+
+312
+00:24:20,340 --> 00:24:21,300
+البرونكيولز، البرونكيولز، البرونكيولز، البرونكيولز
+
+313
+00:24:21,300 --> 00:24:23,120
+البرونكيولز، البرونكيولز، البرونكيولز، البرونكيولز
+
+314
+00:24:23,120 --> 00:24:23,140
+البرونكيولز، البرونكيولز، البرونكيولز، البرونكيولز
+
+315
+00:24:23,140 --> 00:24:23,200
+البرونكيولز، البرونكيولز، البرونكيولز، البرونكيولز
+
+316
+00:24:23,200 --> 00:24:23,480
+البرونكيولز، البرونكيولز، البرونكيولز، البرونكيولز
+
+317
+00:24:23,480 --> 00:24:31,200
+البرونكيولز، البرونكيولز، البرونكيولز
+
+318
+00:24:31,200 --> 00:24:31,560
+البر
+
+319
+00:24:34,260 --> 00:24:39,740
+ممكن يكون عندي أنا، يعني هو معظم المشاكل الـ
+
+320
+00:24:39,740 --> 00:24:42,560
+diseases في الرئتين، إنهم يعملوا إيه؟ إنهم يعملوا
+
+321
+00:24:42,560 --> 00:24:45,800
+destruction أو narrowing، هتكلم عن الـ emphysema اللي
+
+322
+00:24:45,800 --> 00:24:47,800
+بتعمل destruction، وعن الـ bronchial asthma اللي
+
+323
+00:24:47,800 --> 00:24:52,920
+بتعمل إيه؟ narrowing، اللي عندي، إذًا الآن صار عندي
+
+324
+00:24:52,920 --> 00:24:57,740
+bronchioles ممكن تنسد فيها mucus، يمكن يصير فيها
+
+325
+00:24:57,740 --> 00:25:02,950
+وذمة، تجلط، ممكن muscle spasm، يعني تلات حاجات تعمل
+
+326
+00:25:02,950 --> 00:25:06,430
+الـ Narrowing of the، البرونشية تري، يا إما plug
+
+327
+00:25:06,430 --> 00:25:09,950
+of mucous، البلغم، إفرازات، صدّة الـ...الـ...الـ
+
+328
+00:25:09,950 --> 00:25:14,630
+human، يا إما وذمة في الـ wall، ورم في الـ إيه؟ الـ
+
+329
+00:25:14,630 --> 00:25:17,630
+الـ...الـ...الـ cartilages الصغيرة، أو اللي هو الـ
+
+330
+00:25:17,630 --> 00:25:20,270
+terminal bronchioles اللي هي mainly muscular،
+
+331
+00:25:20,270 --> 00:25:24,110
+هتعمل spasm، فهذا بيؤدي إلى الـ إيه؟ لذلك الـ
+
+332
+00:25:24,110 --> 00:25:26,750
+resistance، إحنا فين بنلاقي resistance أكتر شيء؟
+
+333
+00:25:26,750 --> 00:25:34,860
+الـ resistance بنلاقيها أكتر في نهاية البرونكي و
+
+334
+00:25:34,860 --> 00:25:40,540
+أول البرونكيولز، نهاية البرونكي وأول البرونكيولز
+
+335
+00:25:40,540 --> 00:25:44,400
+لأن إذا دخلنا على البرونكيولز إحنا برده هنلاقي
+
+336
+00:25:44,400 --> 00:25:51,580
+عندنا إيه؟ متسع ضخم، إذا
+
+337
+00:25:51,580 --> 00:25:59,900
+الهواء اللي داخل الرئتين هذا بيدخل من نوز واسع إلى
+
+338
+00:26:00,410 --> 00:26:05,530
+الـ larynx إلى trachea إلى bronchi تتفرع main و
+
+339
+00:26:05,530 --> 00:26:09,050
+branching bronchi، وبعدين بتفقد الـ cartilage، تبقى
+
+340
+00:26:09,050 --> 00:26:11,670
+حابس البرونكيول، بس بعد ما نخش البرونكيول الـ
+
+341
+00:26:11,670 --> 00:26:15,970
+resistance بتروح، ليش؟ لإنه صار عندي ٦٥ ألف
+
+342
+00:26:15,970 --> 00:26:21,590
+برونكيول مقابل المجموعة القليلة من الـ...من الـ...
+
+343
+00:26:21,590 --> 00:26:25,130
+البرونكي، فبيؤدي إلى إن الـ low resistance اللي فاتت
+
+344
+00:26:25,130 --> 00:26:33,730
+فاتت، تنزل ضغط الهواء المندفع، تخلي الهواء يهدأ، إنه
+
+345
+00:26:33,730 --> 00:26:37,090
+بيصل...تخلي الهواء يصل للـ...للـ alveoli، مش
+
+346
+00:26:37,090 --> 00:26:42,710
+مندفع حتى ما يجرح الـ إيه؟ الـ alveoli، هادي اللي أشبه
+
+347
+00:26:42,710 --> 00:26:47,570
+بالـ...بالـ cellophane membrane الرقيقة تمام؟ اللي
+
+348
+00:26:47,570 --> 00:26:53,990
+أجل شيء بي...بيمزقه، إذا عندي resistance في
+
+349
+00:26:53,990 --> 00:27:00,010
+المنطقة هذه، لكن عندي bronchioles أضيق، واحد ونصف
+
+350
+00:27:00,010 --> 00:27:04,650
+مليمتر، bronchioles وفيها muscles، يعني من العملية
+
+351
+00:27:04,650 --> 00:27:07,630
+اللي تكلمنا عنها من شوية، الضيق هذا بيقدر أي ميكروب
+
+352
+00:27:07,630 --> 00:27:13,250
+يسكرها، أي spasm يسكرها، إذًا ممكن يصير عندي الـ...الـ...الـ
+
+353
+00:27:13,250 --> 00:27:16,670
+الـ...الـ...diseases أكتر بتيجي من إيه؟ من الـ small
+
+354
+00:27:16,670 --> 00:27:19,950
+bronchioles هذه، لأنه بيصير فيها الـ spasm، بيصير فيها
+
+355
+00:27:19,950 --> 00:27:23,970
+الضيقة، الـ secretions بتسكرها، البلغم بيحفيها
+
+356
+00:27:23,970 --> 00:27:29,410
+نهائيًا، الـ lungs هذه، الـ system هذا فيه nerve
+
+357
+00:27:29,410 --> 00:27:31,790
+supply؟ آه فيه nerve supply، في عندي sympathetic؟
+
+358
+00:27:31,790 --> 00:27:35,790
+okay، فيه sympathetic على الـ outer of the lung لكن
+
+359
+00:27:35,790 --> 00:27:39,270
+inside، deep in the...in the...deep in the...in
+
+360
+00:27:39,270 --> 00:27:42,350
+the lung there is no sympathetic stimulation، لكن
+
+361
+00:27:42,350 --> 00:27:45,070
+الـ noradrenaline و الـ adrenaline بيصلوا للـ lung
+
+362
+00:27:45,070 --> 00:27:49,790
+اللي جايين من وين؟ من الغدد الكظرية تمام؟ مش
+
+363
+00:27:49,790 --> 00:27:53,190
+محتاجين إنه الـ sympathetic stimulation تيجي by the
+
+364
+00:27:53,190 --> 00:27:56,910
+nerves themselves، لكن الـ...الـ chemical اللي بتطلع
+
+365
+00:27:56,910 --> 00:28:02,130
+اللي هو إيه؟ الـ chemical transmitter تبع الـ...الـ
+
+366
+00:28:02,130 --> 00:28:06,090
+الـ sympathetic nervous system، اللي هي الـ
+
+367
+00:28:06,090 --> 00:28:08,850
+noradrenaline و norepinephrine و الـ epinephrine
+
+368
+00:28:08,850 --> 00:28:13,630
+هدول بيمشوا في الدم، بيصلوا، يعني اللي هم تأثير فيه
+
+369
+00:28:13,630 --> 00:28:17,350
+receptors موجودة تستجيب لمين؟ لـ الـ adrenergic
+
+370
+00:28:17,350 --> 00:28:22,060
+stimuli، الـ nerve endings نفسها قليلة في داخل الـ...
+
+371
+00:28:22,060 --> 00:28:25,000
+الـ...الـ lung، لكن في عندي الـ receptors تستجيب
+
+372
+00:28:25,000 --> 00:28:27,980
+للأدرينالين والنورادرينالين، الـ sympathetic ما كانتش
+
+373
+00:28:27,980 --> 00:28:31,620
+بتطلع إلا في الطوارئ، وفي الطوارئ أنا محتاج نفس أكتر
+
+374
+00:28:31,620 --> 00:28:35,040
+فالأدرينالين أكتر، فالـ bronchi بتوسع، والـ bronchi
+
+375
+00:28:35,040 --> 00:28:38,760
+بتوسع، والنفس بيصير إيه؟ بيصير أكتر، أخش نفس وأطلع
+
+376
+00:28:38,760 --> 00:28:42,020
+بيديني الـ sympathetic استعداد، بس مش by its nerve
+
+377
+00:28:42,020 --> 00:28:45,280
+terminal directly، لكن عبر مين؟ mainly عبر
+
+378
+00:28:45,280 --> 00:28:49,660
+السبيرانين والأدرينالين تمام؟ إذًا الـ stimulation ها
+
+379
+00:28:49,910 --> 00:28:51,570
+
+380
+00:28:51,570 --> 00:28:52,130
+
+381
+00:28:52,130 --> 00:28:54,730
+
+382
+00:28:54,730 --> 00:28:55,370
+
+383
+00:28:55,370 --> 00:28:58,550
+
+384
+00:28:58,550 --> 00:28:59,050
+
+385
+00:28:59,050 --> 00:28:59,990
+
+386
+00:28:59,990 --> 00:29:01,470
+
+387
+00:29:01,470 --> 00:29:05,090
+
+388
+00:29:05,090 --> 00:29:09,990
+
+389
+00:29:14,220 --> 00:29:16,560
+عملوا irritation، الـ irritation هذا بيعمل
+
+390
+00:29:16,560 --> 00:29:19,220
+inflammatory process، وذمة و plugs و secretions
+
+391
+00:29:19,220 --> 00:29:23,620
+وتسد، وفوق هيك وهيك وهيك، بيتنكد وبتطرب و
+
+392
+00:29:23,620 --> 00:29:26,620
+بيعمل كمان super imposed، بيجينا عنده para
+
+393
+00:29:26,620 --> 00:29:29,440
+sympathetic stimulation، بيعمل الـ spasm كمان لمين؟
+
+394
+00:29:29,440 --> 00:29:32,620
+للعضلات، تمام؟ فالـ sympathetic...para
+
+395
+00:29:32,620 --> 00:29:35,480
+sympathetic بينكد على الإنسان من ناحية رئتين، لأنه
+
+396
+00:29:35,480 --> 00:29:38,600
+بيعمل الـ spasm فوق الهم الأساسي اللي هو الـ
+
+397
+00:29:38,600 --> 00:29:41,880
+irritation اللي عملت للـ plugs وعملت للوذمة و
+
+398
+00:29:41,880 --> 00:29:47,000
+عملت للمشاكل، الباراسمباتيك منتشر في كل مكان
+
+399
+00:29:47,000 --> 00:29:51,820
+more penetrating للـ...للـ...للـ lungs مش زي
+
+4
+
+445
+00:32:47,080 --> 00:32:47,220
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+446
+00:32:47,220 --> 00:32:47,880
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+447
+00:32:47,880 --> 00:32:48,140
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+448
+00:32:48,140 --> 00:32:48,220
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+449
+00:32:48,220 --> 00:32:52,750
+ال .. ال .. ال ..الـ intercostal muscles بتشد الـ
+
+450
+00:32:52,750 --> 00:32:57,050
+muscles of expiration بتشد، بيعلق عند الضغط في داخل
+
+451
+00:32:57,050 --> 00:33:02,770
+الرئتين، بعدين فجأة بيفتح الـ epiglottis، كل شيء بتطلع
+
+452
+00:33:02,770 --> 00:33:07,770
+على شكل كحة، ده نفس مندفع، قد يصل سرعته إلى سبعين ميل
+
+453
+00:33:07,770 --> 00:33:13,510
+في الساعة، مندفع جدًا، تمام؟ سبعين ميل في الساعة
+
+454
+00:33:13,510 --> 00:33:18,950
+بيقدر إلى أنه وأنا بأضغط، بجد كمان الـ mucous أو
+
+455
+00:33:18,950 --> 00:33:22,270
+الـ epithelium اللي بين الـ .. الـ cartilage rings
+
+456
+00:33:22,270 --> 00:33:27,850
+الـ respiratory، بتندفع هذه المناطق إلى الـ human، تمام؟ لما
+
+457
+00:33:27,850 --> 00:33:30,470
+تضغط عليها، منبرة هي طارية بتخش لجوة، هذا بيقدي
+
+458
+00:33:30,470 --> 00:33:33,450
+الأشياء اللي موجودة في الـ slit sand، اللي مخبية
+
+459
+00:33:33,450 --> 00:33:39,010
+كمان مع ضغط، بتتسير في اتجاه الهواء، بحيث أنه أي حاجة
+
+460
+00:33:39,010 --> 00:33:44,430
+غريبة تاخدها الـ إيه؟ الاندفاع الـ .. الطيار هواوي
+
+461
+00:33:45,270 --> 00:33:49,670
+الـ sneezing، الـ irritation بيكون وين؟ في الـ .. أه
+
+462
+00:33:49,670 --> 00:33:52,550
+above، في الـ nose، فهذا بيقدر إلى نفس الـ picture
+
+463
+00:33:52,550 --> 00:33:59,890
+لكنه عندي كمان الـ .. الـ .. أثناء بعمل ضغطي على
+
+464
+00:33:59,890 --> 00:34:04,850
+الـ uvula، بتنزل لتحت، اللي هو soft palate بينزل لتحت
+
+465
+00:34:04,850 --> 00:34:08,170
+في اتجاه الحنك، بيخلي إنه الهواء اللي .. اللي اندفع
+
+466
+00:34:08,170 --> 00:34:11,550
+من الـ trachea، ساعتها لما إيه؟ الـ epiglottis فاتح، أنه مش يطلع
+
+467
+00:34:11,550 --> 00:34:14,510
+من الحلق، يطلع من الـ إيه؟ من الأنف، لإن هو ده
+
+468
+00:34:14,510 --> 00:34:18,490
+الطريقة، فبيقدر إلى تنظيف الـ .. الأنف من الـ إيه؟ من
+
+469
+00:34:18,490 --> 00:34:24,870
+أي foreign material، الـ .. الـ nasal الـ reflex تبع
+
+470
+00:34:24,870 --> 00:34:28,970
+الـ .. الـ .. الـ sneezing، الـ afferent تبعه trigeminal
+
+471
+00:34:28,970 --> 00:34:33,220
+الـ efferent، الفيصل هو هو الـ .. الـ .. الـ  facial
+
+472
+00:34:33,220 --> 00:34:37,380
+الـ efferent، تمام؟ الفيصل نفسه، والـ afferent، الفيصل
+
+473
+00:34:37,380 --> 00:34:42,680
+الجهتين، إذًا عندي steps هنا، اتنين ونص لتر من
+
+474
+00:34:42,680 --> 00:34:46,960
+الهواء، بناخد نفس عميق، بعدين بيسكر، بعدين بيزيد
+
+475
+00:34:46,960 --> 00:34:50,300
+الضغط، بعدين إيه؟ بندفع اتنين ونص لتر rapidly
+
+476
+00:34:50,300 --> 00:34:54,560
+inspired، the epiglottis closes، أبضومنا الـ muscles
+
+477
+00:34:54,560 --> 00:34:57,580
+contract forcefully، مش بس هم، وكل الـ expiratory
+
+478
+00:34:57,580 --> 00:35:02,430
+muscles بتضغط forcefully، بعدين، fourth، the vocal
+
+479
+00:35:02,430 --> 00:35:05,850
+cords and the epiglottis is suddenly open widely، هو
+
+480
+00:35:05,850 --> 00:35:11,550
+إيه؟ بيندفع الهواء بسرعة، سبعين إلى مئة mile بالـ
+
+481
+00:35:11,550 --> 00:35:14,310
+إيه؟ mile يعني يضربوا في اتنين point four في one
+
+482
+00:35:14,310 --> 00:35:19,010
+point six، الـ mile في one point six four، أظن، فسرعة
+
+483
+00:35:19,010 --> 00:35:24,310
+إيه رهيبة، بتنط الـ .. الـ مئة كيلو متر في الساعة، تمام؟
+
+484
+00:35:24,310 --> 00:35:31,120
+وهاكذا بنكون إحنا إيه؟ اتكلمنا عن الفصل الأول
+
+485
+00:35:31,120 --> 00:35:34,120
+خلصنا الـ functions المختلفة، هذه اللي بيساعدنا في
+
+486
+00:35:34,120 --> 00:35:36,680
+الـ respiration، و الله يعطيكم العافية، و من اللي
+
+487
+00:35:36,680 --> 00:35:37,340
+هيسأل؟
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/FAWeBdtIYag.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/FAWeBdtIYag.srt
new file mode 100644
index 0000000000000000000000000000000000000000..f5d90203652edfe59b26a9e645648aadd08ffa5c
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/FAWeBdtIYag.srt
@@ -0,0 +1,725 @@
+1
+00:00:05,280 --> 00:00:07,800
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:07,800 --> 00:00:12,780
+اليوم موضوعنا كتير مهم وهو موضوع ال pulmonary
+
+3
+00:00:12,780 --> 00:00:19,040
+edema. Pulmonary edema is something fatal, something
+
+4
+00:00:19,040 --> 00:00:26,640
+very dangerous situation in which we are facing a
+
+5
+00:00:26,640 --> 00:00:31,660
+lung that is, instead of full of air, it is full of
+
+6
+00:00:31,660 --> 00:00:33,380
+fluid.
+
+7
+00:00:36,170 --> 00:00:44,410
+البرمونة القديمة بتبدأ من حيث الضغط في ال mainly
+
+8
+00:00:44,410 --> 00:00:47,850
+في معظم الحالات، الضغط في ال left side of the
+
+9
+00:00:47,850 --> 00:00:54,290
+heart بيبدأ يزيد، تمام؟ فبيبدأ إلى failing في ال
+
+10
+00:00:54,290 --> 00:00:59,430
+heart بشكل معين، بيؤدي إلى تجمع الدم في ال pulmonary
+
+11
+00:00:59,430 --> 00:01:08,570
+veins وال pulmonary capillaries.
+
+12
+00:01:08,570 --> 00:01:12,990
+المبدأ: ضغط زائد فيها. يعني لما ال left atrium لسبب
+
+13
+00:01:12,990 --> 00:01:16,330
+ما، ال left atrium، لسبب أن ال
+
+14
+00:01:16,330 --> 00:01:19,490
+left ventricle صار فيه مشكلة، إن كان
+
+15
+00:01:19,490 --> 00:01:22,850
+فيه blood pressure عالي، عمل failing، إن كان فيه
+
+16
+00:01:22,850 --> 00:01:26,610
+mitral stenosis، إن كان في ...
+
+17
+00:01:29,270 --> 00:01:36,610
+أي حاجة أخرى تؤدي إلى
+
+18
+00:01:36,610 --> 00:01:41,690
+heart failure، بسبب أي حاجة تعمل heart failure.
+
+19
+00:01:41,690 --> 00:01:45,910
+بسبب هذه الأسباب، بدأنا بال mitral stenosis لأنها أكثر شيء
+
+20
+00:01:45,910 --> 00:01:51,690
+يؤدي إلى تجمع الدم وراء  الميترال فالف، يعني في
+
+21
+00:01:51,690 --> 00:01:55,590
+ال left atrium وفي ال pulmonary veins وفي ال
+
+22
+00:01:55,590 --> 00:02:01,860
+capillaries. بيبدأ، يعني عندي أنا في العادة ال ... ال
+
+23
+00:02:01,860 --> 00:02:07,260
+intra-atrial pressure ما بيزيدش عن خمسة ملي متر
+
+24
+00:02:07,260 --> 00:02:11,780
+زئبق في العادة، ساعة يعني ما قبل ال systole
+
+25
+00:02:11,780 --> 00:02:18,420
+بالضبط، أو during ال systole. هذا بينعكس على أن
+
+26
+00:02:18,420 --> 00:02:21,960
+دائماً عندي أنا ضغط capillaries أعلى بواحد
+
+27
+00:02:21,960 --> 00:02:25,320
+أو اثنين ملي متر زئبق من اللي هو ال ... ال left
+
+28
+00:02:25,320 --> 00:02:30,480
+atrium، لأنه لو هذا الفرق ما كان، ما ن دفعش الدم من ال
+
+29
+00:02:30,480 --> 00:02:33,020
+capillaries إلى ال left atrium. لازم ضغط ال left
+
+30
+00:02:33,020 --> 00:02:36,660
+atrium يكون إيه؟ ضغط ال capillaries يكون أعلى من
+
+31
+00:02:36,660 --> 00:02:39,980
+ال left atrium، مش كده؟ حسب قواعد القوانين اللي
+
+32
+00:02:39,980 --> 00:02:48,100
+إحنا بنعرفها. الآن لو ارتفع عندي ال intra-atrial
+
+33
+00:02:48,100 --> 00:02:53,570
+pressure، ال left side، ال intra-atrial pressure، لحد سبعة ملي متر
+
+34
+00:02:53,570 --> 00:02:58,690
+زئبق، هنلاحظ أنه ما نحسش بأي فروقات حقيقية. بيصير
+
+35
+00:02:58,690 --> 00:03:03,330
+بيصير يعني good compensation وما بيصيرش أي مشكلة لو
+
+36
+00:03:03,330 --> 00:03:07,470
+ارتفع عن السبعة.  مالـ pulmonary capillaries و
+
+37
+00:03:07,470 --> 00:03:09,930
+ال pulmonary veins اللي قبلها، و ال pulmonary
+
+38
+00:03:09,930 --> 00:03:15,270
+arteries اللي بعدها، هنلاحظ أن ال blood pressure
+
+39
+00:03:15,270 --> 00:03:17,850
+فيهم، ال pulmonary blood pressure، بيبدأ يرتفع.
+
+40
+00:03:19,900 --> 00:03:22,980
+ال intra-atrial blood pressure لما بيرتفع، بينعكس
+
+41
+00:03:22,980 --> 00:03:26,340
+الضغط المرتفع  على ال right side of the heart.
+
+42
+00:03:26,340 --> 00:03:28,980
+زي ما قبل شوية أنا قلت، لما يصير عندي blood
+
+43
+00:03:28,980 --> 00:03:33,120
+hypertension، الضغط العام في الأوعية، فبيعمل
+
+44
+00:03:33,120 --> 00:03:37,960
+تأثيره على ال left ventricle، تمام؟ لما البرمونة
+
+45
+00:03:37,960 --> 00:03:40,940
+في ال circulation، ضغطها يرتفع، تأثيره يصير على ال
+
+46
+00:03:40,940 --> 00:03:45,890
+right side of the heart، تمام. هنخش في إيه؟ في
+
+47
+00:03:45,890 --> 00:03:52,450
+pulmonary edema، في right sided heart failure، تمام. إذًا
+
+48
+00:03:52,450 --> 00:03:59,670
+إحنا ممكن نبدأ نخش في مراحل
+
+49
+00:03:59,670 --> 00:04:07,270
+مختلفة من المشاكل. إذًا، لو المشكلة في ال left side
+
+50
+00:04:07,270 --> 00:04:13,860
+of the heart، فبتنعكس على إيه؟ على ال pulmonary
+
+51
+00:04:13,860 --> 00:04:16,660
+circulation، أولاً، ثم من pulmonary circulation على عكس
+
+52
+00:04:16,660 --> 00:04:22,880
+الذي يحدث على ال right side. واضحة؟ طيب لذلك هنا
+
+53
+00:04:22,880 --> 00:04:27,920
+أن إذا ارتفعت لحد سبعة، إحنا بنلاحظ هنا الكلام in
+
+54
+00:04:27,920 --> 00:04:33,760
+general بيقول إنه إحنا في الطبيعي من واحد لخمسة
+
+55
+00:04:33,760 --> 00:04:39,280
+ملي متر زئبق في ال intra-atrial pressure. هذا
+
+56
+00:04:39,280 --> 00:04:44,740
+الطبيعي، ممكن يزيد أحياناً لحد أربعين إلى خمسين
+
+57
+00:04:44,740 --> 00:04:50,020
+ملي متر زئبق، لكن إذا وصل في العادة لخمسين،
+
+58
+00:04:50,020 --> 00:04:53,640
+نخش في pulmonary edema، نخش في إيه؟ في pulmonary
+
+59
+00:04:53,640 --> 00:04:59,160
+edema، لأنه صار عنده ال filtration forces اللي
+
+60
+00:04:59,160 --> 00:05:03,040
+موجودة كبيرة جداً، filtration forces.
+
+61
+00:05:03,040 --> 00:05:06,720
+إحنا بعد شوية صغيرة هندرس هذه الفورسز عشان تعرفوا
+
+62
+00:05:06,720 --> 00:05:11,580
+تفاصيلها، لكن يعني إحنا بنتكلم، لو جينا لسيرة ال
+
+63
+00:05:11,580 --> 00:05:14,740
+capillary circulation، اللي فاكرينها أنتو عبارة عن
+
+64
+00:05:14,740 --> 00:05:21,140
+عندنا filtration وعندنا reabsorption، مش كده؟ الفرق
+
+65
+00:05:21,140 --> 00:05:25,910
+بين هذا وهذا بياخده مين؟ ال lymphatics. إذًا كان
+
+66
+00:05:25,910 --> 00:05:30,950
+قدرة ال filtration أكثر من قدرة، الفرق بين
+
+67
+00:05:30,950 --> 00:05:34,290
+ال filtration وال absorption أكبر من قدرة ال
+
+68
+00:05:34,290 --> 00:05:37,670
+lymphatics، الباقي بيبقى موجود وبيعمل pulmonary edema.
+
+69
+00:05:37,670 --> 00:05:41,510
+مش هيك؟ فاكرين الكلام هذا؟ نفس الكلام إحنا اللي
+
+70
+00:05:41,510 --> 00:05:45,310
+هنا هنلاقيه، لكن فيه شوية فروقات في الأرقام وقواعد
+
+71
+00:05:45,310 --> 00:05:49,880
+اللعبة مختلفة شوية صغيرة، لكن نفس الفكرة. إذًا إحنا
+
+72
+00:05:49,880 --> 00:05:57,360
+بنلاحظ إنه لو ارتفع عن سبعة، الضغط بيزيد، لو وصل أكثر
+
+73
+00:05:57,360 --> 00:06:03,760
+من ثلاثين، but when the left atrial pressure rises
+
+74
+00:06:03,760 --> 00:06:08,620
+to a greater than seven، بنلاحظ إيه؟ ال heart
+
+75
+00:06:08,620 --> 00:06:11,760
+blood pressure، pulmonary blood pressure، blood
+
+76
+00:06:11,760 --> 00:06:16,760
+pressure عالي أكثر من هيك، ممكن نخش في إيه؟ في
+
+77
+00:06:16,760 --> 00:06:20,200
+pulmonary edema، which is killing. طيب، نتكلم
+
+78
+00:06:20,200 --> 00:06:23,660
+عن ال dynamics بالأرقام، عادلة، وإيش القواعد اللي
+
+79
+00:06:23,660 --> 00:06:27,700
+بنتعامل معها. ال dynamics of the
+
+80
+00:06:27,700 --> 00:06:31,620
+pulmonary capillary circulation. أنا ممكن حكيت قبل
+
+81
+00:06:31,620 --> 00:06:35,380
+كده إن ال ... ال capillaries بتحيط بال ...
+
+82
+00:06:35,380 --> 00:06:38,840
+بال alveoli، مش كده؟ وبتحيط بال alveoli، مش as
+
+83
+00:06:38,840 --> 00:06:43,620
+individual capillaries، إنما as a sheet of blood، زي
+
+84
+00:06:43,620 --> 00:06:47,220
+اللي بتبقى عاملة، بتعدي ال blood بيعدي على ال
+
+85
+00:06:47,220 --> 00:06:50,820
+alveoli وكأنه بيعمل scanning، هيك scanning بياخد
+
+86
+00:06:50,820 --> 00:06:55,680
+بيحمل وبيضل ماشي، بيحمل ال oxygen وبيضل ماشي، لحد ما
+
+87
+00:06:55,680 --> 00:07:02,640
+ال hemoglobin بتتشبع بال oxygen. هو في طول
+
+88
+00:07:02,640 --> 00:07:07,180
+المسافة، يعني ما يحتاجش يعدل من أول المسافة لأخرها علشان
+
+89
+00:07:07,180 --> 00:07:10,820
+يصل إلى التشبع. هو في طول المسافة بيكون تشبع، وطول المسافة
+
+90
+00:07:10,820 --> 00:07:14,760
+الثانية بيمشيها بدون إيه؟ بدون انتقال غازات.
+
+91
+00:07:14,760 --> 00:07:19,850
+بيقول خلاص، أخذ الكمية اللي لازمة. بنلاحظ إحنا
+
+92
+00:07:19,850 --> 00:07:23,910
+إن المدة اللي بيقعدها قصيرة جداً، point eight of a
+
+93
+00:07:23,910 --> 00:07:27,970
+second، point eight of a second، في الطبيعي، لكن لو
+
+94
+00:07:27,970 --> 00:07:33,590
+كان عندي cardiac output عالي، وفتحت capillaries
+
+95
+00:07:33,590 --> 00:07:37,110
+جديدة، وتوسعت ال capillaries أكثر من اللازم، السرعة
+
+96
+00:07:37,110 --> 00:07:43,090
+بتكون أسرع، بيقعد الدم في ال capillary blood، في ال
+
+97
+00:07:43,090 --> 00:07:46,550
+capillaries just point three of a second.
+
+98
+00:07:50,140 --> 00:07:55,740
+بالنسبة لل ... ال
+
+99
+00:07:55,740 --> 00:07:59,980
+... ال ... ال ... الأرقام تبعتنا، ال dynamics هنا
+
+100
+00:07:59,980 --> 00:08:04,120
+بنلاحظ إحنا لو طلعنا هنا هذه ال capillary، هذه ال
+
+101
+00:08:04,120 --> 00:08:10,680
+interstitium، وهذه ال alveoli. القواعد اللي إحنا
+
+102
+00:08:10,680 --> 00:08:14,120
+بنشتغل عليها: أول شيء، ال hydrostatic pressure في
+
+103
+00:08:14,120 --> 00:08:17,180
+داخل ال capillary، hydrostatic pressure في داخل ال
+
+104
+00:08:17,180 --> 00:08:22,870
+capillary، هنلاقيه بيختلف
+
+105
+00:08:22,870 --> 00:08:27,110
+عن إيه؟ عن ال systemic circulation. في ال systemic
+
+106
+00:08:27,110 --> 00:08:30,950
+circulation، هم بيتكلموا عن 17 ملي متر زئبق هنا،
+
+107
+00:08:30,950 --> 00:08:35,850
+بيتكلموا عن 7 ملي متر زئبق، تمام؟ اللي هو ال
+
+108
+00:08:35,850 --> 00:08:40,470
+main pressure. بيتكلموا عن oncotic pressure في
+
+109
+00:08:40,470 --> 00:08:47,740
+البلازما، ال colloid osmotic pressure، 28، تمام؟ نتكلم
+
+110
+00:08:47,740 --> 00:08:51,700
+عن ال interstitial fluid، هنا نشوف إيه ال
+
+111
+00:08:51,700 --> 00:08:53,920
+hydrostatic pressure فيه، وإيه كل هذه ال pressures
+
+112
+00:08:53,920 --> 00:08:58,360
+اللي فيه. لاحظنا إنه في عندنا hydrostatic pressure
+
+113
+00:08:58,360 --> 00:09:04,760
+سالبة، ثمانية سالبة، وهذا ناتج عن إنه عندي
+
+114
+00:09:04,760 --> 00:09:09,360
+أنا lymphatic circulation ممتازة، بتؤدي إلى suction
+
+115
+00:09:09,360 --> 00:09:13,320
+of the extra fluid، وهذه عاملة some sort of
+
+116
+00:09:13,320 --> 00:09:17,240
+negative pressure. المفاصل على فكرة هي عاملة
+
+117
+00:09:17,240 --> 00:09:20,540
+negative pressure في كل ال fluid interstitial في
+
+118
+00:09:20,540 --> 00:09:26,660
+كل الجسم، لكن هنا أعلى شوية. هلاحظ لما نتكلم عن ال
+
+119
+00:09:26,660 --> 00:09:31,900
+pleural effusion، وكيف أن ال fluid ال pleural دائماً
+
+120
+00:09:31,900 --> 00:09:35,860
+قليل، وما بيزيدش عن حده، وعامل أن خلال ال visceral
+
+121
+00:09:35,860 --> 00:09:39,660
+layer وال parietal layer، تمام. ال pleural membranes
+
+122
+00:09:39,660 --> 00:09:44,960
+في بعضها، عندي good suction من ال lymphatics. فال
+
+123
+00:09:44,960 --> 00:09:48,580
+lymphatics إذا كانت شغالة كويس، مش obstructed، بتعمل
+
+124
+00:09:48,580 --> 00:09:51,320
+عملية suction، بتقدر تشفط كل ال extra fluid اللي ممكن
+
+125
+00:09:51,320 --> 00:09:57,460
+يتحرر باتجاهها. فعندي هنا ال minus eight millimeter
+
+126
+00:09:57,460 --> 00:10:01,780
+زئبق. وعندي شيء ثاني مهم: أن ال capillaries هذه
+
+127
+00:10:01,780 --> 00:10:06,920
+more leaky، more leaky than ال systemic
+
+128
+00:10:06,920 --> 00:10:10,960
+circulation. فبنلاحظ هنا فيه more protein بيطلع مع
+
+129
+00:10:10,960 --> 00:10:14,890
+ال filtration، مزيد من البروتين.
+
+130
+00:10:14,890 --> 00:10:14,990
+(repeated word, "مزيد من البروتين" )
+
+131
+00:10:14,990 --> 00:10:15,990
+(repeated word, "مزيد من البروتين" )
+
+132
+00:10:15,990 --> 00:10:17,390
+(repeated word, "مزيد من البروتين" )
+
+133
+00:10:17,390 --> 00:10:21,370
+(repeated word, "مزيد من البروتين" )
+
+134
+00:10:21,370 --> 00:10:22,450
+(repeated word, "مزيد من البروتين" )
+
+135
+00:10:22,450 --> 00:10:23,370
+(repeated word, "مزيد من البروتين" )
+
+136
+00:10:23,370 --> 00:10:30,050
+(repeated word, "مزيد من البروتين" )
+
+137
+00:10:30,050 --> 00:10:34,930
+(repeated word, "مزيد من البروتين" )
+لأن الموضوع في اتجاه
+
+138
+00:10:34,930 --> 00:10:39,550
+واحد، مش كده؟ هنجمع ليه؟ لأنه عندي hydrostatic pressure
+
+139
+00:10:39,550 --> 00:10:44,050
+سبعة زائد
+
+140
+00:10:44,050 --> 00:10:48,970
+ناقص أربعة عشر، جاي من مين؟ من ال colloid osmotic، صار واحد
+
+141
+00:10:48,970 --> 00:10:52,890
+و عشرين. والثمانية hydrostatic pressure اللي جاية من ال
+
+142
+00:10:52,890 --> 00:10:55,710
+suction بتاع ال lymphatics. صار عندي إيه؟ صار عندي
+
+143
+00:10:55,710 --> 00:10:59,750
+filtration forces، عشرين ملي متر زئبق، في حين أن
+
+144
+00:10:59,750 --> 00:11:02,690
+ال absorption forces أقل.
+
+145
+00:11:08,460 --> 00:11:13,580
+net filtration forces اللي هي plus one، تمام؟ طيب
+
+146
+00:11:13,580 --> 00:11:16,600
+ال net forces هذه بتؤدي إلى أن دائماً في fluids
+
+147
+00:11:16,600 --> 00:11:17,260
+موجودة.
+
+148
+00:11:20,920 --> 00:11:26,380
+ال extra fluid. الجزء الثاني من ال extra fluid هذا في عندي suction
+
+149
+00:11:26,380 --> 00:11:31,820
+من مين؟ من ال lymphatics، بتؤدي إلى إيه؟ نلاقيها
+
+150
+00:11:31,820 --> 00:11:36,560
+ما بتتبقاش في ال interstitium، لأن هو خطر، أي شيء
+
+151
+00:11:36,560 --> 00:11:41,600
+بيزيد في ال interstitium فوراً هيأثر على ال alveoli لأن
+
+152
+00:11:41,600 --> 00:11:46,970
+هو عنده spaces، فراغات، air spaces، air
+
+153
+00:11:46,970 --> 00:11:52,250
+vacuoles، موجودة، تمام، وبينها فيه ماء زيادة، معناه
+
+154
+00:11:52,250 --> 00:11:56,330
+ماء إيه؟ هيخش، خاصة أن ال capillary wall هذا، أو ال
+
+155
+00:11:56,330 --> 00:12:02,450
+alveolar wall، ماهو يعني ممكن يصير مش صفر، يصير
+
+156
+00:12:02,450 --> 00:12:08,670
+أكبر، يعني more plus forces. إذًا عندي أنا ال
+
+157
+00:12:08,670 --> 00:12:13,450
+lymphatics هذه كتير مهمة، أکدنا عليها كتير، لو صارت فيها
+
+158
+00:12:13,450 --> 00:12:14,230
+obstruction، إيه؟
+
+159
+00:12:20,710 --> 00:12:28,010
+المشكلة بتصير دائمة. يوم، يوم، يوم. المشكلة هنا في
+
+160
+00:12:28,010 --> 00:12:36,950
+اليوم، يبقى، يبقى في الوقت، مشكلتنا بت ... بتسکر أحياناً.
+
+161
+00:12:36,950 --> 00:12:44,070
+بتسکر، بس الحاجة اللي بتصير أكثر دائماً هي  بتسکر.
+
+162
+00:12:44,070 --> 00:12:47,990
+ممكن يكون أنا أحسسك بسوء الفهم.
+
+163
+00:12:51,740 --> 00:12:57,000
+و أتأسف، أتأسف.
+
+164
+00:12:57,000 --> 00:13:05,120
+أتأسف.
+
+165
+00:13:05,120 --> 00:13:09,820
+أتأسف، أتأسف، أتأسف.
+
+166
+00:13:23,100 --> 00:13:33,460
+ولكن هذا له حقوق كبيرة. لكن الحقيقة المخالفة
+
+167
+00:13:33,460 --> 00:13:41,860
+كبيرة، ومخشفة، ومعروفة، شوية يزيد ويسقع.
+
+168
+00:13:50,430 --> 00:14:01,790
+معنى أسرع، شيء ... واحدة في فم الدنيا ...
+
+169
+00:14:01,790 --> 00:14:11,370
+هذا زي وصفة طبية دلوقتي ... دولة ... أبطال ... أعمال
+
+170
+00:14:11,370 --> 00:14:19,600
+... إحنا نفرح ... بس واحد ... فوزة، حبنا واحد ... يعني
+
+171
+00:14:19,600 --> 00:14:27,380
+إذا صار حاجة، إي إي إي إي إي إي إي إي إي إي إي إي
+
+172
+00:14:27,380 --> 00:14:27,680
+إي إي إي إي إي إي إي إي إي إي إي إي إي إي إي إي
+
+173
+00:14:27,680 --> 00:14:29,260
+إي إي إي إي إي إي إي إي إي إي إي إي إي إي إي إي
+
+174
+00:14:29,260 --> 00:14:30,580
+إي إي إي إي إي إي إي إي إي إي إي إي إي إي إي إي
+
+175
+00:14:30,580 --> 00:14:30,800
+إي إي إي إي إي إي إي إي إي إي إي إي إي إي إي إي
+
+176
+00:14:30,800 --> 00:14:47,780
+إي إي إي إي إي إي إي إي إي إي
+
+177
+00:14:48,770 --> 00:14:53,830
+الفرق الوحيد معنا بيمنع ال filtration، يعني الفرق بين
+
+178
+00:14:53,830 --> 00:14:57,450
+ال filtration و ال reabsorption، ال forces plus one.
+
+179
+00:14:57,450 --> 00:15:00,610
+يعني ال forces اللي هي شغالة plus one. لو ال
+
+180
+00:15:00,610 --> 00:15:03,370
+interstitial fluid pressure، ال negative pressure
+
+181
+00:15:03,370 --> 0
+
+Please provide the Arabic/English lecture transcript you wish me to correct.
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/FAWeBdtIYag_postprocess.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/FAWeBdtIYag_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..7b390d0e8bf8ec0372567dfd8f2dc370894aa781
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/FAWeBdtIYag_postprocess.srt
@@ -0,0 +1,888 @@
+1
+00:00:05,280 --> 00:00:07,800
+بسم الله الرحمن الرحيم السلام عليكم و رحمة الله
+
+2
+00:00:07,800 --> 00:00:12,780
+اليوم موضوعنا كتير مهم و هو موضوع ال palmonary
+
+3
+00:00:12,780 --> 00:00:19,040
+edema palmonary edema is something fatal something
+
+4
+00:00:19,040 --> 00:00:26,640
+very dangerous situation in which we are facing a
+
+5
+00:00:26,640 --> 00:00:31,660
+lung that is instead of full of air it is full of
+
+6
+00:00:31,660 --> 00:00:33,380
+a of fluids
+
+7
+00:00:36,170 --> 00:00:44,410
+البرمونة القديمة بتبدأ من حيثه الضغط في ال mainly
+
+8
+00:00:44,410 --> 00:00:47,850
+في معظم الحالات، الضغط في ال left side of the
+
+9
+00:00:47,850 --> 00:00:54,290
+heart بيبدأ يزيد، تمام؟ فبيقدر إلى failing في ال
+
+10
+00:00:54,290 --> 00:00:59,430
+heart بشكل معين، بيقدر إلى انه تجمع الدم ال virus
+
+11
+00:00:59,430 --> 00:01:08,570
+bloodالـ pulmonary veins الـ pulmonary capillaries
+
+12
+00:01:08,570 --> 00:01:12,990
+المبدأت ضغط ازيد فيها يعني لما ال left atrium لسبب
+
+13
+00:01:12,990 --> 00:01:16,330
+انه ال right at .. ال left atrium لسبب انه ال
+
+14
+00:01:16,330 --> 00:01:19,490
+right .. ال left ventricle صار فيه مشكلة ان كان
+
+15
+00:01:19,490 --> 00:01:22,850
+فيه blood pressure عالي عمل failing ان كان فيه
+
+16
+00:01:22,850 --> 00:01:26,610
+mitral stenosis ان كان في ..
+
+17
+00:01:29,270 --> 00:01:36,610
+أي حاجة أخرى ستأخدها
+
+18
+00:01:36,610 --> 00:01:41,690
+تحت المطالب بسبب اي حاجة تعمل فيها heart failure
+
+19
+00:01:41,690 --> 00:01:45,910
+بسبب الأسباب، بدات الميطرالسينوزس لأنها أكتر الشيء
+
+20
+00:01:45,910 --> 00:01:51,690
+بيقدر إلى أنه تجمع الدم ورا الميطرالفالف، يعني في
+
+21
+00:01:51,690 --> 00:01:55,590
+الـ left atrium و في الـ pulmonary veins و الـ
+
+22
+00:01:55,590 --> 00:02:01,860
+capillaries، ببدأ يعنيعندي انا في العادة ال .. ال
+
+23
+00:02:01,860 --> 00:02:07,260
+intra-atrial pressure ما بيزيدش عن خمسة ملي متر
+
+24
+00:02:07,260 --> 00:02:11,780
+ميركوري في العادة ساعة يعني ما قبل ال cystole
+
+25
+00:02:11,780 --> 00:02:18,420
+بالظبط او during ال cystole هذا بنعكس على انه
+
+26
+00:02:18,420 --> 00:02:21,960
+دائما عندي انا بلمونة capillaries اعلى بواحد
+
+27
+00:02:21,960 --> 00:02:25,320
+الاتنين ملي متر ميركوري من اللي هو ال ..الـ left
+
+28
+00:02:25,320 --> 00:02:30,480
+atrium لأنه لو لهذا الفرق كان ماندفعش الدم من ال
+
+29
+00:02:30,480 --> 00:02:33,020
+capillaries الى ال left atrium لازم جهة ال left
+
+30
+00:02:33,020 --> 00:02:36,660
+atrium تكون ايه؟ جهة ال capillaries تكون اعلى من
+
+31
+00:02:36,660 --> 00:02:39,980
+ال left atrium مش كده؟ حسب قواعد القوانين اللي
+
+32
+00:02:39,980 --> 00:02:48,100
+احنا بنعرفها الان لو ارتفع عندي ال ال intra atrial
+
+33
+00:02:48,100 --> 00:02:53,570
+left side ال intra atrial بشرالى حد سبعة مليمتر
+
+34
+00:02:53,570 --> 00:02:58,690
+ماركوري ماللاحظ انه مانحسش بأي فروقات حقيقية بيصير
+
+35
+00:02:58,690 --> 00:03:03,330
+بيصير يعني good compensation ومابصرش اي مشكلة لو
+
+36
+00:03:03,330 --> 00:03:07,470
+ارتفع عن السبعة مالاج ال balmonary capillaries و
+
+37
+00:03:07,470 --> 00:03:09,930
+ال balmonary veins اللي جابلها و ال balmonary
+
+38
+00:03:09,930 --> 00:03:15,270
+arteries اللي بعدها هنلاحظ انه ال blood pressure
+
+39
+00:03:15,270 --> 00:03:17,850
+فيهم انت balmonary ال blood pressure بديعلى
+
+40
+00:03:19,900 --> 00:03:22,980
+الانترابرمون الى blood pressure لما بيعلى بينعكس
+
+41
+00:03:22,980 --> 00:03:26,340
+الضغط تبعه العالى على ال right side of the heart
+
+42
+00:03:26,340 --> 00:03:28,980
+زى ما قبل شوية انا قولت لما يصير عندى blood
+
+43
+00:03:28,980 --> 00:03:33,120
+hypertension الضغط العام فى الأورطة عليه فبيعمل
+
+44
+00:03:33,120 --> 00:03:37,960
+تأثيره على ال left ventricle تمام؟ لما البرمونة
+
+45
+00:03:37,960 --> 00:03:40,940
+الى circulation ضغطها يعلى تأثيره هيصير على ال
+
+46
+00:03:40,940 --> 00:03:45,890
+right side of the heartتمام هنخش في ايه في
+
+47
+00:03:45,890 --> 00:03:52,450
+بالمونري في في right sided heart failure تمام اذا
+
+48
+00:03:52,450 --> 00:03:59,670
+احنا ممكن انها بتتدرش عنا ونخش في ايه في مراحل
+
+49
+00:03:59,670 --> 00:04:07,270
+مختلفة من المشاكل اذا علي المشكلة في ال left side
+
+50
+00:04:07,270 --> 00:04:13,860
+of the heart فنعكس على ال ايه على العال بالمون ري
+
+51
+00:04:13,860 --> 00:04:16,660
+سيركوليشن أولا ثم من بالمون ري سيركوليشن على عكس
+
+52
+00:04:16,660 --> 00:04:22,880
+عمين على ال right side الظهرتي واضح؟ طيب لذلك هنا
+
+53
+00:04:22,880 --> 00:04:27,920
+إن إذا ارتفعت لحد سبعة احنا بنلاحظ هنا الكلام in
+
+54
+00:04:27,920 --> 00:04:33,760
+general بتقوله انه احنا في الطبيعي من واحد لخمس
+
+55
+00:04:33,760 --> 00:04:39,280
+مليمتر mercury في الانترا atrial pressure هذا
+
+56
+00:04:39,280 --> 00:04:44,740
+الطبيعي ممكن يزيد أحيانالحد اربعين الى خمسين
+
+57
+00:04:44,740 --> 00:04:50,020
+millimeter mercury لكن اذا وصل في العادة لخمسين
+
+58
+00:04:50,020 --> 00:04:53,640
+مخش في بلمونها القديمة مخش في ايه؟ في بلمونها
+
+59
+00:04:53,640 --> 00:04:59,160
+القديمة لإنه صار عنده ال filtration forces اللي
+
+60
+00:04:59,160 --> 00:05:03,040
+موجودة في ده كبيرة زعلية كتيرال filtration forces
+
+61
+00:05:03,040 --> 00:05:06,720
+احنا بعد شوية صغيرة هندرس الفورسزها دي عشان تعرفوا
+
+62
+00:05:06,720 --> 00:05:11,580
+تفاصيلها لكن يعني احنا بتكلم لو جيبنا سيرة ال
+
+63
+00:05:11,580 --> 00:05:14,740
+capillary circulation اللي فاكرينها انتوا عبارة عن
+
+64
+00:05:14,740 --> 00:05:21,140
+عندنا filtration وعندنا reabsorption مش كده الفرق
+
+65
+00:05:21,140 --> 00:05:25,910
+بين هذا و هذا بياخروا مين ال lymphaticsإذا كان
+
+66
+00:05:25,910 --> 00:05:30,950
+قدرة ال filtration أكتر من قدرة الفرج بين ال
+
+67
+00:05:30,950 --> 00:05:34,290
+filtration و ال absorption أكبر من قدرة ال
+
+68
+00:05:34,290 --> 00:05:37,670
+lymphatics الباقي بيبقى موجود و بيعمل اللي قديمه
+
+69
+00:05:37,670 --> 00:05:41,510
+مش هيك؟ فاكرين الكلام هذا؟ نفس الكلام احنا اللي
+
+70
+00:05:41,510 --> 00:05:45,310
+هنا هنلاقيه لكن فيه شوية فروقات في الأرقام و قواعد
+
+71
+00:05:45,310 --> 00:05:49,880
+اللعبة المختلفة شوية صغيرة لكن نفس الفكرةإذا احنا
+
+72
+00:05:49,880 --> 00:05:57,360
+بنلاحظ انه لو ارتفع على سبع الضغط بزيد لو وصل اكتر
+
+73
+00:05:57,360 --> 00:06:03,760
+من تلاتين but when the left atrial pressure rises
+
+74
+00:06:03,760 --> 00:06:08,620
+to a greater than seven بنلاحظ انه ايه ال heart
+
+75
+00:06:08,620 --> 00:06:11,760
+blood pressure blood pressure بلمونة blood
+
+76
+00:06:11,760 --> 00:06:16,760
+pressure عالى اكتر من هيكممكن نخش في ايه؟ في
+
+77
+00:06:16,760 --> 00:06:20,200
+pulmonary edema which is في ال killing طيب نتكلم
+
+78
+00:06:20,200 --> 00:06:23,660
+عن ال dynamics بالأرقام عادلة وين ايش القواعد اللي
+
+79
+00:06:23,660 --> 00:06:27,700
+بت .. بت .. بت .. نتعامل معها ال dynamics of the
+
+80
+00:06:27,700 --> 00:06:31,620
+pulmonary capillary circulation انا امكن حكيت قبل
+
+81
+00:06:31,620 --> 00:06:35,380
+كده انه ال .. ال capillaries تحيط بال ..
+
+82
+00:06:35,380 --> 00:06:38,840
+بالalveolar مش كده؟و تحيط بال ال alveoli مش as
+
+83
+00:06:38,840 --> 00:06:43,620
+individual capillaries انما as a sheet blood زي
+
+84
+00:06:43,620 --> 00:06:47,220
+اللي بتبقى عاملة بتعدى ال blood بيعدى على ال
+
+85
+00:06:47,220 --> 00:06:50,820
+alveoli وكأنه بيعمل scanning هيك scanning بياخد
+
+86
+00:06:50,820 --> 00:06:55,680
+بيحمل و بيضل ماشي بيحمل ال oxygen و بيضل ماشي دل
+
+87
+00:06:55,680 --> 00:07:02,640
+علم ال hemoglobin بتشبع بال oxygenهو في طولة
+
+88
+00:07:02,640 --> 00:07:07,180
+المسافة يعني بحتاجش يعدل من أول مسافة لأخرها علشان
+
+89
+00:07:07,180 --> 00:07:10,820
+يصلوا تتشبع هو في طولة المسافة بيكون تشبع وطولتين
+
+90
+00:07:10,820 --> 00:07:14,760
+المسافة التانية بيمشيهم بدون ايه بدون انتقال غزاة
+
+91
+00:07:14,760 --> 00:07:19,850
+بيقول خلاص أخد الكمية إيه اللي لازمةبنلاحظ احنا
+
+92
+00:07:19,850 --> 00:07:23,910
+انه المدة اللى بيقعدها قصيرة جدا point eight of a
+
+93
+00:07:23,910 --> 00:07:27,970
+second point eight of a second في الطبيعى لكن لو
+
+94
+00:07:27,970 --> 00:07:33,590
+كان عندى cardio output عالى وفتحت capillaries
+
+95
+00:07:33,590 --> 00:07:37,110
+جديدة و توسعت ال capillaries أكتر من لاجة السرعة
+
+96
+00:07:37,110 --> 00:07:43,090
+بيكون أسرع بيقعد الدم في ال capillary blood في ال
+
+97
+00:07:43,090 --> 00:07:46,550
+capillaries just point three of a second
+
+98
+00:07:50,140 --> 00:07:55,740
+بالنسبة لل .. ال
+
+99
+00:07:55,740 --> 00:07:59,980
+.. ال .. ال .. الأرقام تبعتنا ال dynamics هنا
+
+100
+00:07:59,980 --> 00:08:04,120
+بنلاحظ احنا لو طلعنا هنا هذه ال capillary هذه ال
+
+101
+00:08:04,120 --> 00:08:10,680
+interstitium وهذه ال ال alveoli القواعد اللي احنا
+
+102
+00:08:10,680 --> 00:08:14,120
+بنشتغل عليها اول اشي ال hydrostatic pressure في
+
+103
+00:08:14,120 --> 00:08:17,180
+داخل ال capillary hydrostatic pressure في داخل ال
+
+104
+00:08:17,180 --> 00:08:22,870
+capillary هنالقينا بيختلف
+
+105
+00:08:22,870 --> 00:08:27,110
+عن ايه؟ عن ال system circulation في ال system
+
+106
+00:08:27,110 --> 00:08:30,950
+circulation هم بيتكلم عن 17 millimeter mercury هنا
+
+107
+00:08:30,950 --> 00:08:35,850
+بيتكلم عن 7 millimeter mercury تمام؟ اللي هو ال
+
+108
+00:08:35,850 --> 00:08:40,470
+main pressure بيتكلم عن oncotic pressure في
+
+109
+00:08:40,470 --> 00:08:47,740
+البلازمة الكلودة ال osmotic pressure 28 تمام؟نتكلم
+
+110
+00:08:47,740 --> 00:08:51,700
+عن الـ Interstitial Fluid هنا نرى ماهي الـ
+
+111
+00:08:51,700 --> 00:08:53,920
+Hydrostatic Pressure فيه و ماهي كل هذا ال pressure
+
+112
+00:08:53,920 --> 00:08:58,360
+اللي فيه لاحظنا إنه في عندنا Hydrostatic Pressure
+
+113
+00:08:58,360 --> 00:09:04,760
+negative تمانية ناجس تمانية وهذا ناتج عن إنه عندي
+
+114
+00:09:04,760 --> 00:09:09,360
+أنا lymphatic circulation ممتازة تؤدي إلى suction
+
+115
+00:09:09,360 --> 00:09:13,320
+of the extra fluid وهذه عاملة لـ some sort of
+
+116
+00:09:13,320 --> 00:09:17,240
+negative pressureالمفاتكس على فكرة هي عاملة
+
+117
+00:09:17,240 --> 00:09:20,540
+negative pressure في كل ال fluid الانترستيشالي في
+
+118
+00:09:20,540 --> 00:09:26,660
+كل الجسم لكن هنا أعلى شوية هلاحظ لما اتكلم عن ال
+
+119
+00:09:26,660 --> 00:09:31,900
+plural effusion و كيف ان ال fluid ال plural دايما
+
+120
+00:09:31,900 --> 00:09:35,860
+جليل و مابزدش عن حده و عامل ان خلال ال visceral
+
+121
+00:09:35,860 --> 00:09:39,660
+layer و ال parietal layer تمام ال plural مملزجين
+
+122
+00:09:39,660 --> 00:09:44,960
+في بعض انه عندي good suction of the lymphaticفال
+
+123
+00:09:44,960 --> 00:09:48,580
+lymphatics إذا كانت شغالة كويس مش obstructed بتعمل
+
+124
+00:09:48,580 --> 00:09:51,320
+عملية shaft بتقدر كل ال extra fluid اللي ممكن
+
+125
+00:09:51,320 --> 00:09:57,460
+يتحرر باتجاه لها فعنديها ال minus eight millimeter
+
+126
+00:09:57,460 --> 00:10:01,780
+mercury وعندي اشي تاني مهم ان ال capillaries هذه
+
+127
+00:10:01,780 --> 00:10:06,920
+more leaky more leaky than الايه ال systemic
+
+128
+00:10:06,920 --> 00:10:10,960
+circulation فبنلاحظ هنا فيها more protein بيطلع مع
+
+129
+00:10:10,960 --> 00:10:14,890
+ال filtrationمزيد من البروتين ومزيد من البروتين
+
+130
+00:10:14,890 --> 00:10:14,990
+ومزيد من البروتين ومزيد من البروتين ومزيد من
+
+131
+00:10:14,990 --> 00:10:15,990
+البروتين ومزيد من البروتين ومزيد من البروتين ومزيد
+
+132
+00:10:15,990 --> 00:10:17,390
+من البروتين ومزيد من البروتين ومزيد من البروتين
+
+133
+00:10:17,390 --> 00:10:21,370
+البروتين ومزيد من البروتين ومزيد من البروتين ومزيد
+
+134
+00:10:21,370 --> 00:10:22,450
+من البروتين ومزيد من البروتين ومزيد من البروتين
+
+135
+00:10:22,450 --> 00:10:23,370
+ومزيد من البروتين ومزيد من البروتين ومزيد من
+
+136
+00:10:23,370 --> 00:10:30,050
+البروتين ومزيد من البروتين ومزيد من البروتين ومزيد
+
+137
+00:10:30,050 --> 00:10:34,930
+من البروتين ومزيد من البروتينلأن الموضوع في اتجاه
+
+138
+00:10:34,930 --> 00:10:39,550
+واحد مش كده هقديه ليه لإنه عندي هدويوساتك براشر
+
+139
+00:10:39,550 --> 00:10:44,050
+سبعة زائد
+
+140
+00:10:44,050 --> 00:10:48,970
+minus fourteen جاي من مين من الكلويدل صار واحد
+
+141
+00:10:48,970 --> 00:10:52,890
+وعشرين والتمانية هدويوساتك براشر اللي جاية من ال
+
+142
+00:10:52,890 --> 00:10:55,710
+suction تبع الليمفاتكت صار عندي ايه صار عندي
+
+143
+00:10:55,710 --> 00:10:59,750
+filtration forces عشرين مليمتر mercury في حين انه
+
+144
+00:10:59,750 --> 00:11:02,690
+ال absorbing forces ازهان
+
+145
+00:11:08,460 --> 00:11:13,580
+net filtration forces اللي هي plus one تمام؟ طيب
+
+146
+00:11:13,580 --> 00:11:16,600
+ال net forces هذه بتقدي إلى ان دايما في fluids
+
+147
+00:11:16,600 --> 00:11:17,260
+موجودة
+
+148
+00:11:20,920 --> 00:11:26,380
+الاكسرافلول جرعه والاكسرافلول هذا فى عندى suction
+
+149
+00:11:26,380 --> 00:11:31,820
+بقى ده ايه ده ال lymphatic بتقدى الى ايه يلاقينها
+
+150
+00:11:31,820 --> 00:11:36,560
+لاتتبقى فى ال interstitium لإن هو خطير اي شيء
+
+151
+00:11:36,560 --> 00:11:41,600
+بيضيف ال interstitium فورا هاكش منه ال alveoli لإن
+
+152
+00:11:41,600 --> 00:11:46,970
+هو عنده spaces من الفرق موجودةair spaces air
+
+153
+00:11:46,970 --> 00:11:52,250
+vacuoles موجودة تمام وبينها فيه ميه زياده معناه
+
+154
+00:11:52,250 --> 00:11:56,330
+ميه ايه هتخش خاصة ان ال capillary wall هذا او ال
+
+155
+00:11:56,330 --> 00:12:02,450
+alveolar wall ماهواش يعني ممكن يصير مش zero يصير
+
+156
+00:12:02,450 --> 00:12:08,670
+اكتر يعني more plus forces اذا عندي انا ال
+
+157
+00:12:08,670 --> 00:12:13,450
+lymphatic هذه كتير مهمة اكدنا عليها كتير لو صارتها
+
+158
+00:12:13,450 --> 00:12:14,230
+obstruction ايه؟
+
+159
+00:12:20,710 --> 00:12:28,010
+المشكلة بيصير دائمة يوم يوم يوم المشكلة هنا في
+
+160
+00:12:28,010 --> 00:12:36,950
+اليوم يبقى يبقى في الوقت مشكلتنا بتت بيسكّر أحيانا
+
+161
+00:12:36,950 --> 00:12:44,070
+بيسكّر بس الحاجة اللي بيصير أكتر دائمة اتش بيسكّر
+
+162
+00:12:44,070 --> 00:12:47,990
+ممكن يكون انا احسسك سوء كفاسة
+
+163
+00:12:51,740 --> 00:12:57,000
+و اتسابق اتسابق
+
+164
+00:12:57,000 --> 00:13:05,120
+اتسابق
+
+165
+00:13:05,120 --> 00:13:09,820
+اتسابق اتسابق اتسابق
+
+166
+00:13:23,100 --> 00:13:33,460
+ولكن هذا ليه حقوق كبيرة لكن الحقيقة المخالة
+
+167
+00:13:33,460 --> 00:13:41,860
+كبيرة مخشفة ومعروفة شويه يزيد ويسقع
+
+168
+00:13:50,430 --> 00:14:01,790
+معنى أسرعيش قدسة .. شيء .. واحدة في فم الدنيا ..
+
+169
+00:14:01,790 --> 00:14:11,370
+هذا زي وصفة طبعي دلوقتي .. دولة .. أبطال .. أعمال
+
+170
+00:14:11,370 --> 00:14:19,600
+.. احنا الفرح .. بس واحد .. فوزة حبنا واحد ..يعني
+
+171
+00:14:19,600 --> 00:14:27,380
+إذا صار حاجة إي إي إي إي إي إي إي إي إي إي إي إي
+
+172
+00:14:27,380 --> 00:14:27,680
+إي إي إي إي إي إي إي إي إي إي إي إي إي إي إي إي إي
+
+173
+00:14:27,680 --> 00:14:29,260
+إي إي إي إي إي إي إي إي إي إي إي إي إي إي إي إي إي
+
+174
+00:14:29,260 --> 00:14:30,580
+إي إي إي إي إي إي إي إي إي إي إي إي إي إي إي إي إي
+
+175
+00:14:30,580 --> 00:14:30,800
+إي إي إي إي إي إي إي إي إي إي إي إي إي إي إي إي إي
+
+176
+00:14:30,800 --> 00:14:47,780
+إي إي إي إي إي إي إي إي إي إي إ
+
+177
+00:14:48,770 --> 00:14:53,830
+فرق واحد معانا بيمنع ال filtration يعني الفرق بين
+
+178
+00:14:53,830 --> 00:14:57,450
+ال filtration و ال reabsorption ال forces plus one
+
+179
+00:14:57,450 --> 00:15:00,610
+يعني ال forces اللي هي شغالة plus one لو ال
+
+180
+00:15:00,610 --> 00:15:03,370
+interstitial fluid pressure ال negative pressure
+
+181
+00:15:03,370 --> 00:15:09,030
+نجس واحد تمام هنلاقي ال forces عادلة مش كده هي ده
+
+182
+00:15:09,030 --> 00:15:13,050
+اكتر من قدرة الالـ reabsorption اللي .. was
+
+183
+00:15:13,050 --> 00:15:15,530
+suctioned by the lymphatic system اللي بيبدأ يصير
+
+184
+00:15:15,530 --> 00:15:19,150
+عندي إديمة تمام؟ هنا جالك .. اه في عندي انا نوعين
+
+185
+00:15:19,150 --> 00:15:30,390
+هان من ال .. من الإديمة نوع .. بيأخدوا طباب ..
+
+186
+00:15:30,390 --> 00:15:39,710
+طباب .. يسافرون يأخدوا الأحوال اللي هي .. اللي هي
+
+187
+00:15:39,710 --> 00:15:40,630
+إديمة
+
+188
+00:15:47,950 --> 00:15:57,950
+وقفت فانا ذاهب إلى النار، ذهبت بحرارة فشخصية
+
+189
+00:15:57,950 --> 00:16:00,970
+مغربية،
+
+190
+00:16:13,420 --> 00:16:18,660
+الانتراج الفلويد البراشر في ال .. في ال system of
+
+191
+00:16:18,660 --> 00:16:23,960
+circulation 17 ملي متر مرتفع ان هو نقية N7
+
+192
+00:16:23,960 --> 00:16:31,280
+الانتراج الفلويد البراشر في الجلد هو اكتشاف اكتشاف
+
+193
+00:16:31,280 --> 00:16:36,540
+اكتشاف اكتشاف اكتشاف اكتشاف اكتشاف اكتشاف
+
+194
+00:16:36,640 --> 00:16:40,660
+الـ Malmonary capillaries مرتبط بشكل كبير، بشكل
+
+195
+00:16:40,660 --> 00:16:46,580
+كبير، بشكل كبير، بشكل كبير، بشكل كبير، بشكل كبير،
+
+196
+00:16:46,580 --> 00:16:48,580
+بشكل كبير، بشكل كبير، بشكل كبير، بشكل كبير، بشكل
+
+197
+00:16:48,580 --> 00:16:48,960
+كبير، بشكل كبير، بشكل كبير، بشكل كبير، بشكل كبير،
+
+198
+00:16:48,960 --> 00:16:48,980
+بشكل كبير، بشكل كبير، بشكل كبير، بشكل كبير، بشكل
+
+199
+00:16:48,980 --> 00:16:51,420
+كبير، بشكل كبير، بشكل كبير، بشكل كبير، بشكل كبير،
+
+200
+00:16:51,420 --> 00:16:55,820
+بشكل كبير، بشكل كبير، بشكل كبير، بشكل كبير، بشكل
+
+201
+00:16:55,820 --> 00:16:59,580
+كبير، بشكل
+
+202
+00:16:59,580 --> 00:17:05,140
+كبير، بشكلإذا عندنا الـ positive pressure احنا
+
+203
+00:17:05,140 --> 00:17:09,000
+طبعا الـ intra-alveolar pressure في العادة بيصير
+
+204
+00:17:09,000 --> 00:17:10,620
+كون zero الـ intra-alveolar pressure
+
+205
+00:17:10,620 --> 00:17:23,320
+الهيدروستيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيكيك
+
+206
+00:17:23,670 --> 00:17:28,270
+لذلك ان لو ال pressure عندى فى داخل ال ال ال ال ال
+
+207
+00:17:28,270 --> 00:17:28,850
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+208
+00:17:28,850 --> 00:17:29,670
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+209
+00:17:29,670 --> 00:17:30,510
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+210
+00:17:30,510 --> 00:17:38,810
+ال ال ال ال
+
+211
+00:17:38,810 --> 00:17:40,170
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+212
+00:17:40,170 --> 00:17:40,250
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+213
+00:17:40,250 --> 00:17:41,030
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+214
+00:17:41,030 --> 00:17:41,110
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+215
+00:17:58,020 --> 00:18:04,560
+الان ال .. بلمونري إديمة قولنا إذا في عندي أنه
+
+216
+00:18:04,560 --> 00:18:09,420
+نوعين عندي ال acute إديمة و ال chronic إديمة ال
+
+217
+00:18:09,420 --> 00:18:14,560
+acute إديمة متى بتصير؟ بدنا نعرف حاجة اسمها
+
+218
+00:18:14,560 --> 00:18:19,080
+بلمونري إديمة safety factor بلمونري إديمة safety
+
+219
+00:18:19,080 --> 00:18:24,790
+factorالبرمونة القديمة safety factor لاحظنا انه
+
+220
+00:18:24,790 --> 00:18:30,650
+انا حقيقة عشان يصير عندى قديمة يعني مافدش انا ال
+
+221
+00:18:30,650 --> 00:18:36,610
+fluids تبعتي اللى بتطلع من ال capillaries ال
+
+222
+00:18:36,610 --> 00:18:41,110
+interstitial space بيصير ال lymphatic مش جادة
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/FAWeBdtIYag_raw.json b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/FAWeBdtIYag_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..2fb72ed42be6665ac080d4ce10a6f054f3b6009b
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/FAWeBdtIYag_raw.json
@@ -0,0 +1 @@
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atrium لسبب انه ال right at .. ال left atrium لسبب انه ال right .. ال left ventricle صار فيه مشكلة ان كان فيه blood pressure عالي عمل failing ان كان فيه mitral stenosis ان كان في ..", "tokens": [6027, 39184, 8331, 46386, 29390, 2423, 39184, 8331, 46386, 1410, 373, 4889, 9673, 44510, 10721, 2655, 48812, 17082, 9566, 1975, 11622, 25708, 8978, 11296, 37495, 22653, 5296, 15042, 2423, 1411, 412, 13015, 5296, 35457, 3555, 16472, 3224, 2423, 558, 412, 4386, 2423, 1411, 412, 13015, 5296, 35457, 3555, 16472, 3224, 2423, 558, 4386, 2423, 1411, 6931, 1341, 306, 20328, 9640, 8978, 3224, 37893, 28820, 3660, 16472, 25961, 8978, 3224, 3390, 3321, 6225, 6027, 1829, 6225, 42213, 18223, 16472, 25961, 8978, 3224, 2194, 2155, 28031, 8211, 16472, 25961, 8978, 4386], "avg_logprob": -0.32083334525426227, "compression_ratio": 1.7920792079207921, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 61.05, "end": 61.21, "word": "الـ", "probability": 0.207275390625}, {"start": 61.21, "end": 61.63, 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عادلة وين ايش القواعد اللي بت .. بت .. بت .. نتعامل معها ال dynamics of the pulmonary capillary circulation انا امكن حكيت قبل كده انه ال .. ال capillaries تحيط بال .. بالalveolar مش كده؟", "tokens": [2304, 43020, 8717, 9778, 8592, 8978, 1975, 1829, 3224, 22807, 8978, 8331, 46386, 1257, 5619, 597, 307, 8978, 2423, 8011, 23032, 1829, 3555, 8717, 2655, 4117, 19528, 18871, 2423, 15679, 20666, 10721, 2288, 4587, 10943, 6225, 18513, 37977, 4032, 9957, 1975, 1829, 8592, 25062, 14407, 22488, 13672, 1829, 39894, 4386, 39894, 4386, 39894, 4386, 8717, 2655, 3615, 10943, 1211, 20449, 11296, 2423, 15679, 295, 264, 8331, 46386, 1410, 46367, 23168, 1975, 8315, 1975, 43020, 11331, 4117, 36081, 12174, 36150, 9122, 3215, 3224, 16472, 3224, 2423, 4386, 2423, 1410, 373, 4889, 6055, 5016, 1829, 9566, 20666, 4386, 20666, 304, 303, 15276, 37893, 9122, 3215, 3224, 22807], "avg_logprob": -0.22420400437319055, "compression_ratio": 1.6446280991735538, "no_speech_prob": 0.0, "words": [{"start": 375.26, "end": 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1061.11, "word": " ال", "probability": 0.88037109375}, {"start": 1061.11, "end": 1061.11, "word": " ال", "probability": 0.8779296875}, {"start": 1061.11, "end": 1061.11, "word": " ال", "probability": 0.86962890625}, {"start": 1061.11, "end": 1061.11, "word": " ال", "probability": 0.86669921875}, {"start": 1061.11, "end": 1061.11, "word": " ال", "probability": 0.85693359375}, {"start": 1061.11, "end": 1061.11, "word": " ال", "probability": 0.849609375}, {"start": 1061.11, "end": 1061.11, "word": " ال", "probability": 0.8349609375}, {"start": 1061.11, "end": 1061.11, "word": " ال", "probability": 0.81494140625}, {"start": 1061.11, "end": 1061.11, "word": " ال", "probability": 0.82666015625}, {"start": 1061.11, "end": 1061.11, "word": " ال", "probability": 0.7978515625}, {"start": 1061.11, "end": 1061.11, "word": " ال", "probability": 0.80517578125}, {"start": 1061.11, "end": 1061.11, "word": " ال", "probability": 0.77001953125}, {"start": 1061.11, "end": 1061.11, "word": " ال", "probability": 0.7783203125}, {"start": 1061.11, "end": 1061.11, "word": " ال", "probability": 0.76513671875}, {"start": 1061.11, "end": 1061.11, "word": " ال", "probability": 0.75244140625}, {"start": 1061.11, "end": 1061.11, "word": " ال", "probability": 0.73388671875}, {"start": 1061.11, "end": 1061.11, "word": " ال", "probability": 0.73681640625}, {"start": 1061.11, "end": 1061.11, "word": " ال", "probability": 0.71728515625}, {"start": 1061.11, "end": 1061.11, "word": " ال", "probability": 0.6708984375}, {"start": 1061.11, "end": 1061.11, "word": " ال", "probability": 0.71875}, {"start": 1061.11, "end": 1061.11, "word": " ال", "probability": 0.468505859375}, {"start": 1061.11, "end": 1061.11, "word": " ال", "probability": 0.344482421875}, {"start": 1061.11, "end": 1061.11, "word": " ال", "probability": 0.6201171875}, {"start": 1061.11, "end": 1061.11, "word": " ال", "probability": 0.449462890625}, {"start": 1061.11, "end": 1061.11, "word": " ال", "probability": 0.62890625}], "temperature": 1.0}, {"id": 41, "seek": 110024, "start": 1078.02, "end": 1100.24, "text": "الان ال .. بلمونري إديمة قولنا إذا في عندي أنه نوعين عندي ال acute إديمة و ال chronic إديمة ال acute إديمة متى بتصير؟ بدنا نعرف حاجة اسمها بلمونري إديمة safety factor بلمونري إديمة safety factor", "tokens": [6027, 7649, 2423, 4386, 4724, 19528, 11536, 16572, 11933, 3215, 32640, 3660, 12174, 12610, 8315, 11933, 15730, 8978, 18871, 16254, 14739, 3224, 8717, 45367, 9957, 18871, 16254, 2423, 24390, 11933, 3215, 32640, 3660, 4032, 2423, 14493, 11933, 3215, 32640, 3660, 2423, 24390, 11933, 3215, 32640, 3660, 44650, 7578, 39894, 9381, 13546, 22807, 47525, 8315, 8717, 3615, 28480, 11331, 26108, 3660, 24525, 2304, 11296, 4724, 19528, 11536, 16572, 11933, 3215, 32640, 3660, 4514, 5952, 4724, 19528, 11536, 16572, 11933, 3215, 32640, 3660, 4514, 5952], "avg_logprob": -0.23604911157772654, "compression_ratio": 1.8452380952380953, "no_speech_prob": 0.0, "words": [{"start": 1078.0200000000002, "end": 1079.0800000000002, "word": "الان", "probability": 0.886962890625}, {"start": 1079.0800000000002, "end": 1080.14, "word": " ال", "probability": 0.419921875}, {"start": 1080.14, "end": 1080.64, "word": " ..", "probability": 0.457275390625}, {"start": 1080.64, "end": 1082.92, "word": " بلمونري", "probability": 0.58642578125}, {"start": 1082.92, "end": 1083.34, "word": " إديمة", "probability": 0.6361083984375}, {"start": 1083.34, "end": 1083.64, "word": " قولنا", "probability": 0.6512858072916666}, {"start": 1083.64, "end": 1083.84, "word": " إذا", "probability": 0.87451171875}, {"start": 1083.84, "end": 1084.04, "word": " في", "probability": 0.611328125}, {"start": 1084.04, "end": 1084.32, "word": " عندي", "probability": 0.703857421875}, {"start": 1084.32, "end": 1084.56, "word": " أنه", "probability": 0.3614501953125}, {"start": 1084.56, "end": 1085.0, "word": " نوعين", "probability": 0.96923828125}, {"start": 1085.0, "end": 1085.66, "word": " عندي", "probability": 0.7247314453125}, {"start": 1085.66, "end": 1085.78, "word": " ال", "probability": 0.9267578125}, {"start": 1085.78, "end": 1086.22, "word": " acute", "probability": 0.873046875}, {"start": 1086.22, "end": 1086.82, "word": " إديمة", "probability": 0.81475830078125}, {"start": 1086.82, "end": 1087.38, "word": " و", "probability": 0.6904296875}, {"start": 1087.38, "end": 1087.5, "word": " ال", "probability": 0.845703125}, {"start": 1087.5, "end": 1087.92, "word": " chronic", "probability": 0.96044921875}, {"start": 1087.92, "end": 1088.46, "word": " إديمة", "probability": 0.9349365234375}, {"start": 1088.46, "end": 1089.42, "word": " ال", "probability": 0.95361328125}, {"start": 1089.42, "end": 1089.76, "word": " acute", "probability": 0.998046875}, {"start": 1089.76, "end": 1090.34, "word": " إديمة", "probability": 0.9715576171875}, {"start": 1090.34, "end": 1090.74, "word": " متى", "probability": 0.939208984375}, {"start": 1090.74, "end": 1091.94, "word": " بتصير؟", "probability": 0.90771484375}, {"start": 1091.94, "end": 1093.28, "word": " بدنا", "probability": 0.615234375}, {"start": 1093.28, "end": 1094.08, "word": " نعرف", "probability": 0.8857421875}, {"start": 1094.08, "end": 1094.28, "word": " حاجة", "probability": 0.9397786458333334}, {"start": 1094.28, "end": 1094.56, "word": " اسمها", "probability": 0.7985026041666666}, {"start": 1094.56, "end": 1095.12, "word": " بلمونري", "probability": 0.8165283203125}, {"start": 1095.12, "end": 1095.64, "word": " إديمة", "probability": 0.9739990234375}, {"start": 1095.64, "end": 1095.92, "word": " safety", "probability": 0.94873046875}, {"start": 1095.92, "end": 1096.48, "word": " factor", "probability": 0.9052734375}, {"start": 1096.48, "end": 1097.52, "word": " بلمونري", "probability": 0.9542236328125}, {"start": 1097.52, "end": 1098.08, "word": " إديمة", "probability": 0.980712890625}, {"start": 1098.08, "end": 1099.08, "word": " safety", "probability": 0.95654296875}, {"start": 1099.08, "end": 1100.24, "word": " factor", "probability": 0.9345703125}], "temperature": 1.0}, {"id": 42, "seek": 112110, "start": 1101.21, "end": 1121.11, "text": "البرمونة القديمة safety factor لاحظنا انه انا حقيقة عشان يصير عندى قديمة يعني مافدش انا ال fluids تبعتي اللى بتطلع من ال capillaries ال interstitial space بيصير ال lymphatic مش جادة", "tokens": [6027, 26890, 2304, 11536, 3660, 25062, 16254, 46007, 4514, 5952, 20193, 5016, 19913, 8315, 16472, 3224, 1975, 8315, 11331, 38436, 28671, 6225, 8592, 7649, 7251, 9381, 13546, 43242, 7578, 12174, 16254, 46007, 37495, 22653, 19446, 5172, 3215, 8592, 1975, 8315, 2423, 33033, 6055, 3555, 3615, 31371, 13672, 7578, 39894, 9566, 1211, 3615, 9154, 2423, 1410, 373, 4889, 2423, 728, 372, 270, 831, 1901, 4724, 1829, 9381, 13546, 2423, 31070, 2399, 37893, 10874, 18513, 3660], "avg_logprob": -0.2762499952316284, "compression_ratio": 1.4578947368421054, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1101.21, "end": 1101.87, "word": "البرمونة", "probability": 0.8005859375}, {"start": 1101.87, "end": 1102.27, "word": " القديمة", "probability": 0.7068684895833334}, {"start": 1102.27, "end": 1102.55, "word": " safety", "probability": 0.3857421875}, {"start": 1102.55, "end": 1103.13, "word": " factor", "probability": 0.8896484375}, {"start": 1103.13, "end": 1104.43, "word": " لاحظنا", "probability": 0.81048583984375}, {"start": 1104.43, "end": 1104.79, "word": " انه", "probability": 0.5947265625}, {"start": 1104.79, "end": 1105.09, "word": " انا", "probability": 0.8662109375}, {"start": 1105.09, "end": 1105.71, "word": " حقيقة", "probability": 0.83837890625}, {"start": 1105.71, "end": 1106.73, "word": " عشان", "probability": 0.94384765625}, {"start": 1106.73, "end": 1106.97, "word": " يصير", "probability": 0.8204752604166666}, {"start": 1106.97, "end": 1107.27, "word": " عندى", "probability": 0.709716796875}, {"start": 1107.27, "end": 1107.77, "word": " قديمة", "probability": 0.8728841145833334}, {"start": 1107.77, "end": 1109.51, "word": " يعني", "probability": 0.873291015625}, {"start": 1109.51, "end": 1109.85, "word": " مافدش", "probability": 0.55157470703125}, {"start": 1109.85, "end": 1110.19, "word": " انا", "probability": 0.930908203125}, {"start": 1110.19, "end": 1110.65, "word": " ال", "probability": 0.94873046875}, {"start": 1110.65, "end": 1111.13, "word": " fluids", "probability": 0.8212890625}, {"start": 1111.13, "end": 1111.81, "word": " تبعتي", "probability": 0.8719482421875}, {"start": 1111.81, "end": 1112.81, "word": " اللى", "probability": 0.92529296875}, {"start": 1112.81, "end": 1113.45, "word": " بتطلع", "probability": 0.971923828125}, {"start": 1113.45, "end": 1113.81, "word": " من", "probability": 0.98828125}, {"start": 1113.81, "end": 1114.57, "word": " ال", "probability": 0.91748046875}, {"start": 1114.57, "end": 1115.27, "word": " capillaries", "probability": 0.7188313802083334}, {"start": 1115.27, "end": 1116.61, "word": " ال", "probability": 0.37548828125}, {"start": 1116.61, "end": 1117.41, "word": " interstitial", "probability": 0.712066650390625}, {"start": 1117.41, "end": 1118.21, "word": " space", "probability": 0.9453125}, {"start": 1118.21, "end": 1120.01, "word": " بيصير", "probability": 0.890380859375}, {"start": 1120.01, "end": 1120.13, "word": " ال", "probability": 0.91796875}, {"start": 1120.13, "end": 1120.55, "word": " lymphatic", "probability": 0.79931640625}, {"start": 1120.55, "end": 1120.83, "word": " مش", "probability": 0.916015625}, {"start": 1120.83, "end": 1121.11, "word": " جادة", "probability": 0.76513671875}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 1130.4635, "duration_after_vad": 1045.9281250000006}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/Hcx1Ai8Xk6c_raw.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/Hcx1Ai8Xk6c_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..6c010a392ce8d1b71b7c511870326582fae66786
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/Hcx1Ai8Xk6c_raw.srt
@@ -0,0 +1,2024 @@
+1
+00:00:13,870 --> 00:00:18,030
+الـ blood volume إذا قلنا عنه أنه هان نقدر نعتبره
+
+2
+00:00:18,030 --> 00:00:21,730
+compartment خاصة لإن هو موجود في إيه؟ في blood
+
+3
+00:00:21,730 --> 00:00:26,910
+vessels شملها، في منه solid و منه fluid وهذا 40
+
+4
+00:00:26,910 --> 00:00:32,910
+إلى 60 the
+
+5
+00:00:32,910 --> 00:00:36,950
+average blood volume البلد كبلد مش ك .. كبلازمة
+
+6
+00:00:36,950 --> 00:00:44,000
+يمثل 7% من وزن الجسم 7% من إيه؟ من وزن الجسملكن ال
+
+7
+00:00:44,000 --> 00:00:48,700
+plasma الحالها كده؟ ال plasma خمس المية، خمس
+
+8
+00:00:48,700 --> 00:00:54,300
+المية، معناه بس ال plasma مع ال ايه؟ ال plasma مع
+
+9
+00:00:54,300 --> 00:00:57,340
+ال red blood cells و ال other cells يمثلوا ايه؟
+
+10
+00:00:57,340 --> 00:01:02,220
+يمثلوا سبعة المية، حوالي خمس لتر، حوالي خمس
+
+11
+00:01:02,220 --> 00:01:05,860
+لتر،طيب
+
+12
+00:01:05,860 --> 00:01:09,320
+hematocrit
+
+13
+00:01:09,320 --> 00:01:13,580
+اتكلمنا عنهابس نقطة مهمة في الماتوكريات ملاحظة
+
+14
+00:01:13,580 --> 00:01:18,180
+المكتوب بالأحمر هنا احنا لما فصلنا بال
+
+15
+00:01:18,180 --> 00:01:23,040
+centrifugation ال centrifuge عملنا خلينا ال red
+
+16
+00:01:23,040 --> 00:01:29,120
+blood cells تنطرد خارجياو لأنه أثقل اه و البلازمه
+
+17
+00:01:29,120 --> 00:01:33,240
+بتضال برا صار عندى packed red blood cells مضغوطة
+
+18
+00:01:33,240 --> 00:01:37,860
+هذا لا يعني انها حقيقة صار البلازمه كلها طلعت برا
+
+19
+00:01:37,860 --> 00:01:41,460
+عندى 3 الى 4 عامية من البلازمه بتضال محشورة بين ال
+
+20
+00:01:41,460 --> 00:01:47,100
+ايه بين red blood cells لذلك لما بدنا احنا نتكلم
+
+21
+00:01:47,100 --> 00:01:54,710
+عن ال ال hematocrit حقيقةهي الهيموتوكريته بيطلع بس
+
+22
+00:01:54,710 --> 00:01:56,830
+ستة و تسعين في المية منها هو ال blood red cells
+
+23
+00:01:56,830 --> 00:02:01,070
+لإن في أربع عالمية بتنظف لمن؟ للبلازمة لكن
+
+24
+00:02:01,070 --> 00:02:04,570
+الهيموتوكريته اللي بنقرأها احنا بنعتمد عليها خلاص
+
+25
+00:02:04,570 --> 00:02:07,950
+هي ايه؟ هيموتوكريته بتعامل معاها بس للعلم ان في
+
+26
+00:02:07,950 --> 00:02:11,330
+جنون من البلازمة بيكون ايه؟ ضايل بينها اما
+
+27
+00:02:11,330 --> 00:02:13,750
+الهيموتوكريته المقروقة خلاص ان احنا بنقرأ
+
+28
+00:02:13,750 --> 00:02:19,450
+بالهيموتوكريته tubeومنسجلها لكن بيعلم أنها ليست 40
+
+29
+00:02:19,450 --> 00:02:26,730
+% حقيقيا بالظبط هي أقل من 40% لأنه في عندى 3400
+
+30
+00:02:26,730 --> 00:02:32,610
+موجودة plasma بينهم ومدى ان نتكلم عن ال hematocrit
+
+31
+00:02:32,610 --> 00:02:35,390
+اللي علاقة بال RBC's هي حاجات اللي فيها أنيميا
+
+32
+00:02:35,390 --> 00:02:40,810
+معناها ال hematocrit فيها هتنخفضهتهبط معناها لو
+
+33
+00:02:40,810 --> 00:02:43,730
+عندنا حالات polycyzemia red blood cells زاد ال
+
+34
+00:02:43,730 --> 00:02:47,690
+hematocrit حد زيت مش كده بس الاستخدام الاكتر هو ال
+
+35
+00:02:47,690 --> 00:02:49,950
+hematocrit مش عشان اعرف اذا في انيميا ولا في
+
+36
+00:02:49,950 --> 00:02:55,730
+polycyzemia الاستخدام الاكتر ان اعرف ال
+
+37
+00:02:55,730 --> 00:02:58,910
+dehydration status يعني اجدش فيه plasma هو الاهم
+
+38
+00:02:58,910 --> 00:03:02,310
+ان اجدش فيه red blood cells لان ال red blood cells
+
+39
+00:03:02,310 --> 00:03:06,110
+الموجودة ثابتة لكن اللي بطلع و بنزل عندى ال plasma
+
+40
+00:03:07,240 --> 00:03:11,720
+لذلك لو واحدة وجيت فقدت كمية كبيرة من الدم و صار
+
+41
+00:03:11,720 --> 00:03:16,700
+عندها hypotension و أغمى عليها أو حالة حالة و
+
+42
+00:03:16,700 --> 00:03:19,240
+أخدتها من عين الدم لو فحصل اني ماتت و جيت تبقى
+
+43
+00:03:19,240 --> 00:03:24,240
+حاجة ايش هنلاجيه؟ طبيعي لكن اديها فترة كافيةو تبدأ
+
+44
+00:03:24,240 --> 00:03:28,480
+ال fluids تنتقل من ال interstitial fluid ل
+
+45
+00:03:28,480 --> 00:03:31,560
+البلازما بمعنى اخر لو كان .. في .. في مجال انها
+
+46
+00:03:31,560 --> 00:03:34,900
+تبقى عايشة يعني لو كانش عندنا severe bleeding لو
+
+47
+00:03:34,900 --> 00:03:38,060
+كان ال bleeding moderate او minimal تمام الجسم
+
+48
+00:03:38,060 --> 00:03:41,480
+بيبدأ يعود نفسه بنفسه ان بعض ال fluids هتطلع من ال
+
+49
+00:03:41,480 --> 00:03:44,380
+interstitial fluid ل البلازما و الفقدان هذا اللي
+
+50
+00:03:44,380 --> 00:03:48,220
+بيصير في ال interstitial fluid بتعود من مين؟ من ال
+
+51
+00:03:48,220 --> 00:03:52,640
+intracellular لان بيصير على طول نزاحة كله بيزيح في
+
+52
+00:03:52,640 --> 00:03:55,990
+هاتجاهبحيث يصير في الآخر equilibrium ال
+
+53
+00:03:55,990 --> 00:03:58,050
+equilibrium هي اللي هتتكلم ايه اللي بيحكمه بعد
+
+54
+00:03:58,050 --> 00:04:00,970
+شوارع صغير هتتكلم ايه اللي بيحكمه لكن لو فقدنا ال
+
+55
+00:04:00,970 --> 00:04:06,110
+plasma pressure فيها fluids يعني هتمشي هكذا اه لو
+
+56
+00:04:06,110 --> 00:04:10,290
+زاد ال plasma هتمشي باتجاه هذا بس مش هتصرح كتير
+
+57
+00:04:10,290 --> 00:04:14,980
+باتجاه هذا لان كله هتدخل و تشيل الزيادة تمام؟لكن
+
+58
+00:04:14,980 --> 00:04:20,400
+في حالات الطوارئ لما احنا بنفقد نزيف دمء بسرعة
+
+59
+00:04:20,400 --> 00:04:24,160
+طبعا اللي بسرعة بيموت، مالحاجش الجسم يعوض حاله،
+
+60
+00:04:24,160 --> 00:04:28,840
+لكن لو كان gradual و minimal و كده فبنلاقي انه
+
+61
+00:04:28,840 --> 00:04:33,880
+خلال ساعات .. خلال ساعات بكون الجسم عوض الضغط من
+
+62
+00:04:33,880 --> 00:04:38,390
+أول وجهته على .. إلى اشي قابل للحياةإلى إشي معقول
+
+63
+00:04:38,390 --> 00:04:42,070
+لإنه جزء من ال hydrostatic pressure جزء من ال
+
+64
+00:04:42,070 --> 00:04:46,390
+transition fluid هينتخر إلى ال plasma و هذا الجزء
+
+65
+00:04:46,390 --> 00:04:52,150
+اللي فقد هيعوض جزء منه من .. بحيث في الآخر عندي ..
+
+66
+00:04:52,150 --> 00:05:00,110
+بحيث في الآخر عندي أنا إيش؟ إنه في عندي نوع من
+
+67
+00:05:00,110 --> 00:05:04,120
+التوازن بين التلاتة compartments هذههنتكلم إيش
+
+68
+00:05:04,120 --> 00:05:07,560
+اللي بيحكمهم إذا الوضع الأساسي اللي أنا بتكلم عنه
+
+69
+00:05:07,560 --> 00:05:14,700
+في ال .. في ال hematocrite الفقدان البسيط البطيق
+
+70
+00:05:14,700 --> 00:05:18,880
+تمام الفقدان البطيق هذا بتدين إن الحالة هادى يعني
+
+71
+00:05:18,880 --> 00:05:23,160
+لو أحنا صبرنا على الست اللي نزفها في هادى بعد شوية
+
+72
+00:05:23,160 --> 00:05:28,140
+هنتطلع هنلاجى عندها ال hematocrite انخفض كتير ليش؟
+
+73
+00:05:28,140 --> 00:05:34,080
+لإن الدم اللي طلع اتعود ب .. ب fluidsإذا فقدنا
+
+74
+00:05:34,080 --> 00:05:38,160
+إحنا في الأول بلازمة و RBC's لكن في التعويض كان
+
+75
+00:05:38,160 --> 00:05:42,920
+إيه؟ بس بس بس بس بس بس بس بس بس بس بس بس بس بس بس
+
+76
+00:05:42,920 --> 00:05:43,220
+بس بس بس بس بس بس بس بس بس بس بس بس بس بس بس بس بس
+
+77
+00:05:43,220 --> 00:05:43,220
+بس بس بس بس بس بس بس بس بس بس بس بس بس بس بس بس بس
+
+78
+00:05:43,220 --> 00:05:43,240
+بس بس بس بس بس بس بس بس بس بس بس بس بس بس بس بس بس
+
+79
+00:05:43,240 --> 00:05:48,460
+بس بس بس بس بس بس بس بس بس بس بس بس بس بس بس بس بس
+
+80
+00:05:48,460 --> 00:06:01,260
+بس بس بس بس بس بس بس بس بس بس بس بس بس بس
+
+81
+00:06:01,870 --> 00:06:04,150
+تمام في فقدان كبير سريع
+
+82
+00:06:20,300 --> 00:06:27,060
+الهيماتوكريت مهمة في حالات الهيدراشيا للبطل خاصة
+
+83
+00:06:27,060 --> 00:06:31,100
+في وجود الأزمات يجب أن تراقب الهيدراشيا في وجود
+
+84
+00:06:33,910 --> 00:06:40,150
+ديارية في وجود انا بدي قاعد المريض fluids انا بدي
+
+85
+00:06:40,150 --> 00:06:44,090
+fluids لوين اديله fluids لو اجتاش ممكن انا ال
+
+86
+00:06:44,090 --> 00:06:47,930
+fluids يبقى ال over hydration و اموته من كتر ما
+
+87
+00:06:47,930 --> 00:06:51,470
+نديته قنقته الجلب مش قادر يتصرف في ال fluids صار
+
+88
+00:06:51,470 --> 00:06:56,610
+عليه عبء ازيادة تمام برضه هذه ال hematocrit من
+
+89
+00:06:56,610 --> 00:07:01,910
+فترة لفترة قرايتها بالدين انا كيف وضعيفي ال fluids
+
+90
+00:07:01,910 --> 00:07:04,810
+اللى بعطيها بعطى fluids مناسب و لا بدى اكتر و لا
+
+91
+00:07:04,810 --> 00:07:07,410
+اقل ممكن اه والله انا ميعطى و مغالب حالي و في
+
+92
+00:07:07,410 --> 00:07:10,190
+الأكل انا مش بيعطي اشي تمام يعني الان انا محتاج
+
+93
+00:07:10,190 --> 00:07:14,250
+اكتر فال hematocrit بتراكب دايما ال hydration
+
+94
+00:07:14,250 --> 00:07:18,930
+status ال fluids اكتر ما بتراكب اللي هي ال RBC's
+
+95
+00:07:18,930 --> 00:07:23,790
+ال compartments
+
+96
+00:07:23,790 --> 00:07:30,480
+هذه فيه اللي لها compositionالى حد ما من
+
+97
+00:07:30,480 --> 00:07:36,260
+compartment لكمpartment مختلف وبعدين
+
+98
+00:07:36,260 --> 00:07:40,040
+هندرس اللي هو ايش اللي بضبط كل compartment
+
+99
+00:07:40,040 --> 00:07:47,080
+خصوصيتها بعدها اذا اول شي هنتكلم عن ال accessory
+
+100
+00:07:47,080 --> 00:07:50,360
+fluid لو طلعنا هذا الجزء يمثل accessory fluid
+
+101
+00:07:50,360 --> 00:07:55,960
+نلاحظ ان ال main كتابة فيه ايش Sodium اه و ال main
+
+102
+00:07:55,960 --> 00:07:58,040
+anion Fluoride
+
+103
+00:08:00,010 --> 00:08:04,010
+مع الكلوريد فيه باي كربونات لكن الكلوريد هو ال
+
+104
+00:08:04,010 --> 00:08:08,230
+main لكن الصوديوم هو صوديوم و بس و قليل من
+
+105
+00:08:08,230 --> 00:08:14,950
+البوتاسيوم تمام و قليل من ال كالسيوم اما ال
+
+106
+00:08:14,950 --> 00:08:17,270
+infrastructure compartment ال composition ايون ال
+
+107
+00:08:17,270 --> 00:08:21,670
+composition تبعها ال main كتايون هو البوتاسيوم و
+
+108
+00:08:21,670 --> 00:08:27,510
+عندي قليل من ال ايه عكس ال اه و قليل من المغنيسيوم
+
+109
+00:08:27,510 --> 00:08:28,870
+لكن ال main انايون
+
+110
+00:08:34,560 --> 00:08:40,400
+البيكربونات جليلة والكلورايتز جليلة في عندى non
+
+111
+00:08:40,400 --> 00:08:45,860
+ionic composition للبلازما تمام هو ال ionic
+
+112
+00:08:45,860 --> 00:08:50,480
+composition احنا مهتمين فيه لانه زى ما قلتلكم هو
+
+113
+00:08:50,480 --> 00:08:56,290
+الواسطةلأشياء كتير مهمة التركيب هذا ان الصوديوم
+
+114
+00:08:56,290 --> 00:09:00,470
+يكون عالي والبوتاسيوم كذا تركيبة الخلايا و ال
+
+115
+00:09:00,470 --> 00:09:07,050
+gates تبع الخلايا وانتقال المواد من خارج الخلية
+
+116
+00:09:07,050 --> 00:09:11,370
+إلى داخل الخلية او بالعكس مرتبط بالشيالين تبعوننا
+
+117
+00:09:11,370 --> 00:09:15,570
+اللي بيديرهم الصوديوم والبوتاسيوم ال carriers اللي
+
+118
+00:09:15,570 --> 00:09:19,130
+بتنقل الأشياء من جوا ولا برا بحكومها انك تخش ولا
+
+119
+00:09:19,130 --> 00:09:23,470
+تطلع الصوديوم والبوتاسيوم تمام؟ لذلكهذول كتير
+
+120
+00:09:23,470 --> 00:09:27,470
+مهمين لكن هم مهمين عشان يخدموا غيرهم غيرهم اللي هو
+
+121
+00:09:27,470 --> 00:09:33,750
+السكر و ال lipids لإن جسمنا بيعيش بشكل رئيسي على
+
+122
+00:09:33,750 --> 00:09:37,910
+ال lipids مش على السكر لكن أهم فينا بيعيش على
+
+123
+00:09:37,910 --> 00:09:42,590
+السكر فكل مهم إن دماغنا بيعيش على السكر عضلاتنا
+
+124
+00:09:42,590 --> 00:09:48,930
+لكن كمية الطاقة اللي بفقدها بالعضلات و الجلب أكتر
+
+125
+00:09:48,930 --> 00:09:52,210
+كتير من كمية الطاقة اللي بفقدها بال brainلكن ال
+
+126
+00:09:52,210 --> 00:09:57,790
+brain يعني هو ايه؟ هو المهم تمام؟ فلذلك المعادلة
+
+127
+00:09:57,790 --> 00:10:01,710
+بين الأهمية و الكمية ال quality و ال quantity يعني
+
+128
+00:10:01,710 --> 00:10:06,110
+بتظل اتنين مهمين فعنا هنا عندنا phospholipids
+
+129
+00:10:06,110 --> 00:10:13,190
+موجودة كمية كبيرة في داخل ال plasma محمولة عشان
+
+130
+00:10:13,190 --> 00:10:16,090
+تنتقل من ال liver الى different parts of the body
+
+131
+00:10:18,430 --> 00:10:21,230
+الكلستيرول اللى هو اللى يمثل كمية كبيرة من اللى
+
+132
+00:10:21,230 --> 00:10:26,350
+ايه من ال limits عندنا ال neutral fats عندنا ال
+
+133
+00:10:26,350 --> 00:10:30,150
+glucose عندنا ال waste products الأخرى in general
+
+134
+00:10:30,150 --> 00:10:34,750
+التركيزات
+
+135
+00:10:34,750 --> 00:10:38,550
+يعني احنا زى ما بنقول احنا عندنا ال concentration
+
+136
+00:10:38,550 --> 00:10:41,550
+of sodium في ال extraction of fluid حوالي 142
+
+137
+00:10:41,550 --> 00:10:50,550
+milliequivalent كذلك او millieosmolكذلك البوتاسيوم
+
+138
+00:10:50,550 --> 00:10:54,450
+داخل ال cells بنلاقي حوالي المية نفس الرقم تقريبا
+
+139
+00:10:54,450 --> 00:11:00,250
+انا 142 انا 140 هان في البلازم البوتاسيوم 4.2
+
+140
+00:11:00,250 --> 00:11:03,470
+الصوديوم
+
+141
+00:11:03,470 --> 00:11:14,310
+في داخل ال cells هيكون منخفض كتير ليش 14 ان هو و
+
+142
+00:11:14,310 --> 00:11:19,700
+هكذا هنلاقي الفروقات ما بينوهذه لنا برضه فيها كلام
+
+143
+00:11:19,700 --> 00:11:25,640
+المعدل النهائي ان عندي انا intracellular
+
+144
+00:11:25,640 --> 00:11:29,020
+compartment و extracellular compartment بينهم cell
+
+145
+00:11:29,020 --> 00:11:35,480
+membrane اللى بيحكم الحركة بين هذا و هذا ال
+
+146
+00:11:35,480 --> 00:11:42,280
+osmolality طبعا اذا لو انا فقدت ميه من ال
+
+147
+00:11:42,280 --> 00:11:47,380
+accessory fluid ال osmolality ايش بيصير فيها تعلى
+
+148
+00:11:48,520 --> 00:11:54,580
+فبصير عندى انا ازمولارية عالية فقدت fluid ال ionic
+
+149
+00:11:54,580 --> 00:11:59,500
+composition زاد ازمولارية عالية في حين انه ال
+
+150
+00:11:59,500 --> 00:12:03,020
+interstellar ماحدش كلامها ف automatically الميه
+
+151
+00:12:03,020 --> 00:12:09,240
+هتنتقل من ازمولارية العالية الواطية
+
+152
+00:12:09,240 --> 00:12:16,400
+الى العالية الميه من المن ال higher water
+
+153
+00:12:16,400 --> 00:12:19,840
+concentration لل less water concentration بمعنى
+
+154
+00:12:19,840 --> 00:12:24,380
+انه من ال osmolality الواطية لل osmolality العالية
+
+155
+00:12:24,380 --> 00:12:29,560
+تمام؟ اذا احنا طبيعة القانون تبعنا القانون الطبيعي
+
+156
+00:12:29,560 --> 00:12:33,600
+اللي بيحكم انتقال المواد من الأعلى إلى الأعلى
+
+157
+00:12:33,600 --> 00:12:38,740
+الأوطى ال osmolality هنا متعرفة انه عندي انا لإنه
+
+158
+00:12:38,740 --> 00:12:42,140
+من case ال osmolality بال ionic compositionفكل ما
+
+159
+00:12:42,140 --> 00:12:46,020
+زاد ال ionic concentration كل ما ازمه نزل زادت لكن
+
+160
+00:12:46,020 --> 00:12:50,200
+لما نتكلم عن انتقال هو انتقال سهر الميه من المنطقة
+
+161
+00:12:50,200 --> 00:12:55,900
+الأكتر إلى المنطقة الأقل تمام بمعنى انه اللي هي
+
+162
+00:12:55,900 --> 00:12:59,360
+الميه المنطقة اللي فيها ionic أقل إلى المنطقة اللي
+
+163
+00:12:59,360 --> 00:13:03,440
+فيها ionic أكتر سهل لو احنا فاهمينا كلنا مش كده
+
+164
+00:13:03,440 --> 00:13:07,780
+اذا لما احنا نفكر شوية سوائل من ال from the
+
+165
+00:13:07,780 --> 00:13:11,400
+interstitial fluidمعناها بتبدأ عندى انا سواء اتحرك
+
+166
+00:13:11,400 --> 00:13:16,860
+من وين من ال intracellular fluid لحين ما ايه يصير
+
+167
+00:13:16,860 --> 00:13:21,120
+equilibrium في الحالة هذه ال intracellular fluid
+
+168
+00:13:21,120 --> 00:13:27,520
+concentration زاد لانه فقد مية يعني ازمولية بدل ما
+
+169
+00:13:27,520 --> 00:13:31,360
+كانت حوالي تلاتمية في داخل ال cells و تلاتمية في
+
+170
+00:13:31,360 --> 00:13:34,780
+ال interstitial لما ال interstitial فقد مية و صار
+
+171
+00:13:34,780 --> 00:13:40,950
+تلاتمية و عشرة هذا بدهيفكر شوية من ميته وتعالى
+
+172
+00:13:40,950 --> 00:13:43,850
+القزمانة تبعته وينزلها تلات مية وخمسة وهذا بيصير
+
+173
+00:13:43,850 --> 00:13:46,590
+تلات مية وخمسة تقريبا يعني in general إلى حساب انا
+
+174
+00:13:46,590 --> 00:13:51,830
+حاسبه كذا لإن ال volumes مش واحدة يعني اه اذا
+
+175
+00:13:51,830 --> 00:13:55,830
+بيصير equilibrium إذا ال intracerebral fluid و ال
+
+176
+00:13:55,830 --> 00:13:58,690
+extracerebral fluid و ال interstitial يحكمهم في
+
+177
+00:13:58,690 --> 00:14:02,870
+انتقال الميه من hand ل hand اشوة
+
+178
+00:14:05,560 --> 00:14:11,800
+small solute osmolality of the small solute في حين
+
+179
+00:14:11,800 --> 00:14:18,260
+انه من ال fluid للبلازمة بيحكمنا ايش بيقولنا
+
+180
+00:14:18,260 --> 00:14:18,920
+حاجتين
+
+181
+00:14:22,820 --> 00:14:26,600
+بتقدي الى ان الفلوسة بتقل هان او هان الاتنين
+
+182
+00:14:26,600 --> 00:14:31,320
+بيشتغلوا عكس بعض بحيث ان هذا بيزود ال filtration و
+
+183
+00:14:31,320 --> 00:14:34,380
+هذا بيمنع ال filtration بحيث يصير دائما بينهم ايه
+
+184
+00:14:34,380 --> 00:14:39,240
+اكوليبريام لل hydrostatic و ال oncotic pressure
+
+185
+00:14:39,240 --> 00:14:41,880
+يصلوا الى مرحلة متوازن
+
+186
+00:14:48,670 --> 00:14:55,250
+المختلفة المهمة بين هاتين الانتجارات هي تركيز
+
+187
+00:14:55,250 --> 00:14:58,470
+البروتين في البلازمه اذا احنا بتتكلم عن مين نقعد
+
+188
+00:14:58,470 --> 00:15:02,630
+عن ال .. عن ال .. عن ال .. عن ال .. عن ال .. عن ال
+
+189
+00:15:02,630 --> 00:15:02,670
+.. عن ال .. عن ال .. عن ال .. عن ال .. عن ال .. عن
+
+190
+00:15:02,670 --> 00:15:02,710
+ال .. عن ال .. عن ال .. عن ال .. عن ال .. عن ال ..
+
+191
+00:15:02,710 --> 00:15:02,750
+عن ال .. عن ال .. عن ال .. عن ال .. عن ال .. عن ال
+
+192
+00:15:02,750 --> 00:15:02,750
+.. عن ال .. عن ال .. عن ال .. عن ال .. عن ال .. عن
+
+193
+00:15:02,750 --> 00:15:02,790
+ال .. عن ال .. عن ال .. عن ال .. عن ال .. عن ال ..
+
+194
+00:15:02,790 --> 00:15:02,790
+عن ال .. عن ال .. عن ال .. عن ال .. عن ال .. عن ال
+
+195
+00:15:02,790 --> 00:15:02,970
+.. عن ال .. عن ال .. عن ال .. عن ال .. عن ال .. عن
+
+196
+00:15:02,970 --> 00:15:03,290
+ال .. عن ال .. عن ال .. عن ال .. عن ال .. عن ال ..
+
+197
+00:15:03,290 --> 00:15:03,350
+عن ال .. عن ال .. عن ال .. عن ال .. عن ال .. عن ال
+
+198
+00:15:03,350 --> 00:15:11,550
+.. عن ال ..
+
+199
+00:15:11,550 --> 00:15:13,330
+عن ال ..
+
+200
+00:15:16,670 --> 00:15:21,250
+يقول مادان في more protein عندي معناها فيها more
+
+201
+00:15:21,250 --> 00:15:26,810
+cations لإن ال protein هذا more negative فبيقدر
+
+202
+00:15:26,810 --> 00:15:33,140
+يمسك يتواتش to more cationsفبنلاحظ احنا ولو انه
+
+203
+00:15:33,140 --> 00:15:36,860
+صار equilibrium لكن ال equilibrium بي .. مش بالظبط
+
+204
+00:15:36,860 --> 00:15:40,440
+كيف يعني لما تكون عندك semi permeable membrane و
+
+205
+00:15:40,440 --> 00:15:43,980
+في جهة منهم في more protein هنلاقي انه صار في
+
+206
+00:15:43,980 --> 00:15:46,880
+الجهة هذه صحيح ال concentration في الآخر ال
+
+207
+00:15:46,880 --> 00:15:53,050
+cosmolality واحدة ال cosmolality واحدة لكنهيقدى
+
+208
+00:15:53,050 --> 00:15:56,990
+الى انه في هذه المنطقة more cations وفي هذه
+
+209
+00:15:56,990 --> 00:16:01,730
+المنطقة more anions بسبب وجود ال ال ال ال ال ال ال
+
+210
+00:16:01,730 --> 00:16:02,090
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+211
+00:16:02,090 --> 00:16:05,110
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+212
+00:16:05,110 --> 00:16:06,310
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+213
+00:16:06,310 --> 00:16:06,490
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+214
+00:16:06,490 --> 00:16:06,550
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+215
+00:16:06,550 --> 00:16:06,550
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+216
+00:16:06,550 --> 00:16:06,550
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+217
+00:16:06,550 --> 00:16:06,550
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+218
+00:16:06,550 --> 00:16:06,550
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+219
+00:16:06,550 --> 00:16:06,550
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+220
+00:16:06,550 --> 00:16:07,750
+ال ال ال ال ال ال ال ال ال التنقل من
+
+221
+00:16:15,360 --> 00:16:18,660
+ملاها تنتقل فبديوا ينتقلوا لها ال positive مش هي
+
+222
+00:16:18,660 --> 00:16:21,580
+تروح تتساوى بالجهة التانية يعني مش هي اللي بتنتقل
+
+223
+00:16:21,580 --> 00:16:24,220
+للجهة الأخرى من ال membrane انها بتقدرش فبديوا
+
+224
+00:16:24,220 --> 00:16:27,960
+يضطروا ان الجهة تمسك more cations فهذا بيقدر إلى
+
+225
+00:16:27,960 --> 00:16:31,400
+انه دايما في وجود ال proteins في جهة من جهات ال
+
+226
+00:16:31,400 --> 00:16:34,800
+membranes انها تكون عندنا ال equilibrium في الآخر
+
+227
+00:16:34,800 --> 00:16:41,700
+okay في ناحية ال a لكن بيضل ال ال
+
+228
+00:16:41,700 --> 00:16:47,900
+الالكاتيونيك الاكترولايت
+
+229
+00:16:47,900 --> 00:16:52,920
+تتجمع في جهة الشسم في حين ان الانيونز تتجمع في
+
+230
+00:16:52,920 --> 00:16:57,140
+الجهة المعيدة عن البروتيز هنا هنلاحظ احنا ان
+
+231
+00:16:57,140 --> 00:17:03,860
+الاسمولاليتي في كلهم في الانترستيشيل والبلازما
+
+232
+00:17:03,860 --> 00:17:06,260
+والانتراسيلولار واحدة
+
+233
+00:17:28,920 --> 00:17:32,720
+Ionic composition of the plasma and interstitial
+
+234
+00:17:32,720 --> 00:17:33,400
+fluid
+
+235
+00:17:38,840 --> 00:17:48,560
+referring again to important
+
+236
+00:17:48,560 --> 00:18:02,740
+constituents of the intracellular fluid كلمت
+
+237
+00:18:02,740 --> 00:18:03,060
+عنها
+
+238
+00:18:05,940 --> 00:18:11,260
+fluids in the different compartments طبعا عندنا
+
+239
+00:18:11,260 --> 00:18:17,240
+fluid موتر موجود في كل مكان طيب جد احنا كيف عرفنا
+
+240
+00:18:17,240 --> 00:18:25,220
+ان هذا 40% و هذا 15% و هذا 5% و ال blood ان ال
+
+241
+00:18:25,220 --> 00:18:29,460
+plasma الجد و الشسم الجد طبعا عرفناهم باستخدام
+
+242
+00:18:29,460 --> 00:18:35,220
+indicatorsفي انها substances خاصة بتفيدنا في
+
+243
+00:18:35,220 --> 00:18:38,800
+القياس indicator substances هذه ال indicator
+
+244
+00:18:38,800 --> 00:18:43,460
+substances انا ممكن استخدمها بحيث ان اتعرفني على
+
+245
+00:18:43,460 --> 00:18:48,340
+الأحجام المختلفة النظرية الأساسية فيها dilution
+
+246
+00:18:48,340 --> 00:18:52,720
+theory مش مسميها ال dilution theory يعني مادة
+
+247
+00:18:52,720 --> 00:19:00,060
+مركزة عرف انا حجمها وعرف تركيزها تمام خففتهاو بقدر
+
+248
+00:19:00,060 --> 00:19:03,380
+اعرف تخفيف التركيز المخففة للمادة المخففة
+
+249
+00:19:03,380 --> 00:19:08,220
+اوتوماتيا انا باعرف ال volume مش كده اذا الحجم
+
+250
+00:19:08,220 --> 00:19:13,540
+الصغير في التركيز العالي يساوي التركيز الواطي في
+
+251
+00:19:13,540 --> 00:19:16,660
+الحجم الكبير احنا عارفنا التركيز الواطي ان انا بكل
+
+252
+00:19:16,660 --> 00:19:19,660
+بساطة باخد عينة من المكان اللي بديها و باعرف
+
+253
+00:19:19,660 --> 00:19:23,880
+التركيز الجديد جداش تمام من التركيز الجديد هذا
+
+254
+00:19:23,880 --> 00:19:26,740
+بقدر اضغط هدا في هدا يساوي هدا في هدا بطلع الكمية
+
+255
+00:19:26,740 --> 00:19:33,140
+هذه ال dilutionطبعا علشان اعمل هذه العملية لازم
+
+256
+00:19:33,140 --> 00:19:37,260
+ادي فرصة للمادة المركزة اللي اعطيتها لازم اديها
+
+257
+00:19:37,260 --> 00:19:39,380
+فرصة كافية انها تكون ايه صارت عندها
+
+258
+00:19:42,230 --> 00:19:46,510
+أخدت فترة كافية لتوزيع المتكافئ يعني جدرت هذه
+
+259
+00:19:46,510 --> 00:19:49,050
+المادة تتوزع في كل ال compartment اللي انا بدي ايه
+
+260
+00:19:49,050 --> 00:19:52,270
+اللي انا اعطيتها بدي اجيسها اديتها فترة كافية
+
+261
+00:19:52,270 --> 00:19:56,970
+تلاتين الى ستين دقيقة توزعت في الفترة هذه ايش
+
+262
+00:19:56,970 --> 00:19:59,850
+فقدنا عن طريق ال urine او ال stool او كده بدي
+
+263
+00:19:59,850 --> 00:20:03,190
+اقسمهم بدي اشيلهم من ال ايه؟ من الكمية الرئيسية
+
+264
+00:20:03,190 --> 00:20:07,030
+لان بعرف ال ball بجري فيه التركيز لجديد في ال
+
+265
+00:20:07,030 --> 00:20:10,240
+volume اللي اتوزع فيه بعرف ال volumeis a dilution
+
+266
+00:20:10,240 --> 00:20:15,500
+theory بيحتاج الى .. الى ايه الى principle الى ..
+
+267
+00:20:15,500 --> 00:20:19,920
+الى indicator substance تمام وبستخدم ال dilution
+
+268
+00:20:19,920 --> 00:20:24,160
+principle من خلاله بقدر اعرف كل شيء مثلا بدنا نعرف
+
+269
+00:20:24,160 --> 00:20:29,480
+ال total body fluids ال total body water طب بدي
+
+270
+00:20:29,480 --> 00:20:34,990
+indicator معناها انه ينتشر في كل ال compartmentsمش
+
+271
+00:20:34,990 --> 00:20:37,990
+هيك؟ بده اعرف ال total انا يعني بده اعرف ال
+
+272
+00:20:37,990 --> 00:20:40,690
+intracellular و ال extracellular و البلازمه
+
+273
+00:20:40,690 --> 00:20:44,370
+intracellular و interstellar و البلازمه كدهش تمام؟
+
+274
+00:20:44,370 --> 00:20:48,030
+بدي حاجة تنتشر في كل .. اش في عندي مادة ممكن تنتشر
+
+275
+00:20:48,030 --> 00:20:53,850
+في كل الأشياء هذه؟ الميه الميه هي بتستطيع انها
+
+276
+00:20:53,850 --> 00:20:57,410
+ايه؟ تنتقل طب انا كده بدي اميز ميه اللي انا حطيتها
+
+277
+00:20:57,410 --> 00:21:02,890
+من مجل ميه بخليها radioactive يعني ال hydrogen
+
+278
+00:21:02,890 --> 00:21:08,330
+اللي فيهابدل ما هو ميه معموله من هيدروجين عادي بحط
+
+279
+00:21:08,330 --> 00:21:14,090
+هيدروجين radioactive تريتيوم او بحط ال heavy water
+
+280
+00:21:14,090 --> 00:21:21,090
+اللي هو H2 مش .. ها تريتيوم H3 تريتيوم وده
+
+281
+00:21:21,090 --> 00:21:25,270
+Deuterium اه اذا عندي H3 وH2 بقدر بحدهم
+
+282
+00:21:25,270 --> 00:21:31,240
+radioactive يعني بقدر ا ..انا بالمناسبة اشتغلت
+
+283
+00:21:31,240 --> 00:21:35,020
+فيهم كتير هدول اللي بتريتهم هذي اشتغلت فيه كتير و
+
+284
+00:21:35,020 --> 00:21:37,340
+يا ما شربته و انا مش ماخد بالي و بقى انا بجيس و
+
+285
+00:21:37,340 --> 00:21:40,580
+بقى اعمل ما بتسوي الله لسه اتعرف لكن الصح اني كنت
+
+286
+00:21:40,580 --> 00:21:45,460
+استخدم mouth pipette لإن ادق ال .. ال .. ال .. ال
+
+287
+00:21:45,460 --> 00:21:48,200
+automatic pipette مش .. مش .. مش دقيقة كتير كانت
+
+288
+00:21:48,200 --> 00:21:51,920
+فكتير من الأحيان ألاجي ال rubber tube اللي بدي
+
+289
+00:21:51,920 --> 00:21:56,960
+أشفط منها مليانا و يكشل ما علينا الله اللي بستور
+
+290
+00:21:56,960 --> 00:22:00,260
+يعني هو ال .. ال .. الاشياء إلها مخاطريعني لو ال
+
+291
+00:22:00,260 --> 00:22:04,700
+safety يعني ال guides اللي واحد بيستخدمها لكن
+
+292
+00:22:04,700 --> 00:22:07,680
+بيصير أحيانا يعني المرات كنت مروح متناكدة أحس أني
+
+293
+00:22:07,680 --> 00:22:11,100
+أخدت كمية كبيرة من إيه من الإشعاع لكن الله اللي
+
+294
+00:22:11,100 --> 00:22:17,420
+بصر ان شاء الله فال Tritium هذا H3 ممكن ناخد و
+
+295
+00:22:17,420 --> 00:22:23,040
+بيطلع radiations تمام ال radiations هذه بيجيسها في
+
+296
+00:22:23,040 --> 00:22:26,980
+counter في counter خاص بها ال radiations هذه
+
+297
+00:22:27,420 --> 00:22:32,260
+الريتيوم بيطلع بيتا ردياشن فلذلك نضع بيتا counter
+
+298
+00:22:32,260 --> 00:22:36,420
+تمام البيتا counter هذا نستطيع ان نضع المادة اللي
+
+299
+00:22:36,420 --> 00:22:43,020
+نريد ان نستخدمها نضعها نجيس ردياشن تبعها جداش و
+
+300
+00:22:43,020 --> 00:22:47,320
+بعدين نضع المواد بعد ما توزعت جداش الردياشن فيها
+
+301
+00:22:47,320 --> 00:22:55,010
+الردياشن يمثل التركيز فردياشن في volumeيساوي ال
+
+302
+00:22:55,010 --> 00:23:02,190
+radiation في volume مش كده نفس الجثة و من هنا
+
+303
+00:23:02,190 --> 00:23:04,770
+بنقدر نحسب الحسابة اذا لما نتكلم عن total body
+
+304
+00:23:04,770 --> 00:23:08,830
+water بنتكلم عن ميه لإنها الوحيدة اللي مش الوحيدة
+
+305
+00:23:08,830 --> 00:23:12,710
+يعني هي من الأشياء اللي يقدر ينتشر من كل مكان لكن
+
+306
+00:23:12,710 --> 00:23:16,010
+عشان اعرف ميتي انا بتعملها ايه radioactive water
+
+307
+00:23:16,010 --> 00:23:19,110
+radioactive بعملش هشتر من ال concentration لكن
+
+308
+00:23:19,110 --> 00:23:22,780
+بعملها ايهبعملها count count لل radiation تبع ال
+
+309
+00:23:22,780 --> 00:23:25,060
+activity radiation activity تبعتها من ال count
+
+310
+00:23:25,060 --> 00:23:29,660
+بعرفها تمام بديها injection و بقى أصبر فترة أنها
+
+311
+00:23:29,660 --> 00:23:34,000
+تكون توزعة evenly بالتساوي في كل الجسم وبعدين بقعد
+
+312
+00:23:34,000 --> 00:23:39,770
+واخد عيلة من البلازمةوبجيس العين هذه كده التركيز
+
+313
+00:23:39,770 --> 00:23:44,950
+فيها طبعا اذا التركيز في ال volume مع التركيز في
+
+314
+00:23:44,950 --> 00:23:48,790
+ال body water ال body water بطلع بسهولة بنعرف اذا
+
+315
+00:23:48,790 --> 00:23:55,410
+ال body water من ايه خلال غير ال .. غير ال water
+
+316
+00:23:55,410 --> 00:23:59,210
+في عندنا مادة تانية اسمها antipyrene تستطيع برضه
+
+317
+00:23:59,210 --> 00:24:01,430
+هذه المادة انها
+
+318
+00:24:03,870 --> 00:24:10,610
+انها تستخدم لقياس ال water ال total body water
+
+319
+00:24:10,610 --> 00:24:14,410
+تمام لما بدي استخدم ان اجيس ال extra cellular اذا
+
+320
+00:24:14,410 --> 00:24:23,190
+انا جيست ال total بدي اجيس ال intracellular بقدرش
+
+321
+00:24:23,190 --> 00:24:27,690
+اجيس ال intracellular direct بقدرش اجيس ال
+
+322
+00:24:27,690 --> 00:24:33,470
+intracellular direct لأ لازم اجيسها indirectيعني
+
+323
+00:24:33,470 --> 00:24:37,770
+بجيس ال total بعدين ال extracellular و الفرج هيكون
+
+324
+00:24:37,770 --> 00:24:42,730
+ال extracellular is مهم .. أهميتها في أنها بجيسها
+
+325
+00:24:42,730 --> 00:24:46,370
+هي نفسها و بيساعدني في قياس مين ال intracellular
+
+326
+00:24:46,370 --> 00:24:50,530
+ال extracellular water هذه لما بدي أنا أجيسها بدي
+
+327
+00:24:50,530 --> 00:24:54,890
+حاجة اللي بتيجي فيها أو بتطلعش لل intracellular
+
+328
+00:24:54,890 --> 00:24:58,690
+بتظل موزعة بالتساوي بس في الايه؟ في ال
+
+329
+00:24:58,690 --> 00:25:03,710
+extracellular تمام؟ الميه الأولانيةالراديو اكتر
+
+330
+00:25:03,710 --> 00:25:07,650
+ووتر استخدمناها تنتشر فى كل مكان بدنا يعلق توتر
+
+331
+00:25:07,650 --> 00:25:10,990
+لكن انا بدي بس ال extra cellular compartment
+
+332
+00:25:10,990 --> 00:25:15,170
+مهناها ايش اكتر اش موجود ايش الاش اللى بيجي بس فى
+
+333
+00:25:15,170 --> 00:25:18,090
+ال extra cellular compartment وبطلعش منه ال sodium
+
+334
+00:25:18,090 --> 00:25:21,250
+ال sodium لو تركناه فترة احنا بيصل ال intra
+
+335
+00:25:21,250 --> 00:25:26,030
+cellular لكن فى فترة معينة بيكون اتشر بسهولة فى ال
+
+336
+00:25:26,030 --> 00:25:28,330
+extra cellular بدون ما يصل ال ايه ال intra
+
+337
+00:25:28,330 --> 00:25:33,160
+cellular إلى حد ما هو مش دقيقلذلك قلنا هو هذا
+
+338
+00:25:33,160 --> 00:25:37,140
+sodium space مش ال extracellular fluid combined
+
+339
+00:25:37,140 --> 00:25:41,920
+space سبناه sodium space لأنه أخد كل ال
+
+340
+00:25:41,920 --> 00:25:47,740
+extracellular صحيح زائد دخلي شوية نفد عمين ففي جزء
+
+341
+00:25:47,740 --> 00:25:51,980
+من التركيز سبعه راح لل intracellular معناه صار
+
+342
+00:25:51,980 --> 00:25:59,140
+الحسمة أجل من اللازم طبعا لإنه صار عندي تركيز أجل
+
+343
+00:26:00,310 --> 00:26:03,770
+فبيكبرلي الحجم لما انه جزء من وشرة الانترا سيلولار
+
+344
+00:26:03,770 --> 00:26:08,510
+فلذلك هو التركيزه اللي خاف مش لإنه ال extra
+
+345
+00:26:08,510 --> 00:26:11,890
+cellular كبيرة لإنه أخد جزء من ال extra cellular و
+
+346
+00:26:11,890 --> 00:26:15,950
+جزء من ال intracellular تمام ففي الحسبة تبعتي بطلع
+
+347
+00:26:15,950 --> 00:26:20,030
+بنحسب الجزء اللي ايه ال intracellular مش كده لإنه
+
+348
+00:26:20,030 --> 00:26:23,870
+انا عندي اللي دخلته محسب ال sodium ال radioactive
+
+349
+00:26:23,870 --> 00:26:27,800
+sodium اللي دخلته انا محسباللي دخل extracellular
+
+350
+00:26:27,800 --> 00:26:32,720
+اداني تركيز معين شرد منه كمان شوية فخف ال ايه لما
+
+351
+00:26:32,720 --> 00:26:37,800
+خف انا التركيز معناه ال volume هزيد طبعا اذا بديني
+
+352
+00:26:37,800 --> 00:26:42,580
+حجم اكبر من اللازم فسمينا extracellular او ادق
+
+353
+00:26:42,580 --> 00:26:46,660
+اتها ال extracellular space sodium space طبعا و
+
+354
+00:26:46,660 --> 00:26:53,510
+هكذا مع مين مع ال inulin مثلاطبعا هو حسنا فقط في
+
+355
+00:26:53,510 --> 00:26:56,810
+الاكساسيلرال فلويد لكن بحرب شوية منه للإيه
+
+356
+00:26:56,810 --> 00:27:02,190
+للإنترال فبنحتبره in unispace لكن إلى حد ما من
+
+357
+00:27:02,190 --> 00:27:06,610
+قراءة هذا و هذا و هذا إلى حد ما بنعرف الاكساسيلرال
+
+358
+00:27:06,610 --> 00:27:10,670
+جديش عندنا برضه radioactive أيوثالميت و
+
+359
+00:27:10,670 --> 00:27:14,310
+radioactive ثيوثالفيت هدول برضه من خلالهم نقدر
+
+360
+00:27:14,310 --> 00:27:20,990
+نعمل ال calculations تبعتناالإنترال فلويد إذا مخصم
+
+361
+00:27:20,990 --> 00:27:27,390
+ال total من إيه؟ نخص ال plasma طيب بدي أنا أحسب ال
+
+362
+00:27:27,390 --> 00:27:32,210
+plasma ال plasma بدي مادة تخش في blood vessels
+
+363
+00:27:32,210 --> 00:27:37,310
+ماتطلعش إيش هتكون هذه؟ proteins مش كده؟ proteins
+
+364
+00:27:37,310 --> 00:27:42,050
+بحط albumin radioactive albumin بحكي radioactive
+
+365
+00:27:42,050 --> 00:27:48,190
+albumin وبعدين بعمله إيه؟ إقياس تمام؟ بعمله إقياس
+
+366
+00:27:48,800 --> 00:27:53,840
+أو بقدر اعرف من خلالها ال plasma volume طب دي ال
+
+367
+00:27:53,840 --> 00:27:58,520
+blood volume ال blood volume من خلال ال plasma
+
+368
+00:27:58,520 --> 00:28:03,940
+volume زائد زائد hematocrit زائد hematocrit اذا من
+
+369
+00:28:03,940 --> 00:28:06,840
+خلال معرفة ال hematocrit و ال plasma volume
+
+370
+00:28:06,840 --> 00:28:10,580
+اتوماتيكي بقدر اعرف كمان الدم blood volume اللي هو
+
+371
+00:28:10,580 --> 00:28:14,360
+ال RBC volume او بعرف ال total من خلال الحسبة
+
+372
+00:28:14,360 --> 00:28:16,940
+الصغيرة هذه كمان اذا
+
+373
+00:28:18,690 --> 00:28:22,770
+هذا ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+374
+00:28:22,770 --> 00:28:23,230
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+375
+00:28:23,230 --> 00:28:23,730
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+376
+00:28:23,730 --> 00:28:27,990
+.. ال .. ال .. ال ..
+
+377
+00:28:27,990 --> 00:28:31,590
+ال ..
+
+378
+00:28:31,590 --> 00:28:31,670
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+379
+00:28:31,670 --> 00:28:31,730
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+380
+00:28:31,730 --> 00:28:31,830
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+381
+00:28:31,830 --> 00:28:31,870
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+382
+00:28:31,870 --> 00:28:31,950
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+383
+00:28:31,950 --> 00:28:32,030
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+384
+00:28:32,030 --> 00:28:32,030
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+385
+00:28:32,030 --> 00:28:32,030
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+386
+00:28:32,030 --> 00:28:32,030
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+387
+00:28:32,030 --> 00:28:44,390
+.. ال .. ال .. ال .. ال .. ال ..
+
+388
+00:28:49,200 --> 00:28:55,580
+في عد وصيلة أخرى لقياس البلازما مش ان اجيس
+
+389
+00:28:55,580 --> 00:29:01,540
+البلازما عن طريق ال blood اقصد مش اجيس ال blood عن
+
+390
+00:29:01,540 --> 00:29:05,400
+طريق ان اجيس البلازما و اعمل بال hematocrit لأ
+
+391
+00:29:05,400 --> 00:29:08,140
+بعمل dilution theory مباشرة لكمبارتمنت اسمه blood
+
+392
+00:29:08,140 --> 00:29:13,100
+تمام؟ كمبارتمنت اسمه blood بدعمله dilution theory
+
+393
+00:29:13,100 --> 00:29:18,800
+عادي احط كميةتمام و هذه الكمية بحيث انها ماتطلعش
+
+394
+00:29:18,800 --> 00:29:23,020
+من ال blood vessels ماتطلعش تمام و بعدين بشوف
+
+395
+00:29:23,020 --> 00:29:27,440
+تركيزها في ال blood و بعدين بقى اضرب ال theory
+
+396
+00:29:27,440 --> 00:29:30,360
+عادى ده ليش ال theory تركيز في كده يساوي تركيز في
+
+397
+00:29:30,360 --> 00:29:36,400
+كده تمام في الحالة هذه بدي احط انا red blood cells
+
+398
+00:29:36,400 --> 00:29:39,640
+labelled with radioactive material red blood cells
+
+399
+00:29:39,640 --> 00:29:46,390
+حطيت كمية معينة activity معينةفى ال blood بعد 10
+
+400
+00:29:46,390 --> 00:29:50,910
+دقائق اي عين سامبل من ال blood ال RBC مابتطلعش
+
+401
+00:29:50,910 --> 00:29:54,730
+مابتطلعش
+
+402
+00:29:54,730 --> 00:29:58,970
+فبعد شوية بشوف كده ال radio activity تبع سانتر
+
+403
+00:29:58,970 --> 00:30:04,690
+اعتقد احنا هنا خلصنا لها لأ خلنا هنا لسه هنا الجزء
+
+404
+00:30:04,690 --> 00:30:10,330
+الأخير بدنا عشر دقائق بقى نولع نص مش هيك okay طيب
+
+405
+00:30:10,330 --> 00:30:13,470
+احنا ان شاء الله الجزء الأخر احنا اتكلمنا عنه بس
+
+406
+00:30:13,470 --> 00:30:19,190
+بنعيده تانىطيب ال .. ال .. انتقال من مكان لمكان مش
+
+407
+00:30:19,190 --> 00:30:22,370
+هيك؟ اتكلمنا انه ال .. ال .. ما بين ال
+
+408
+00:30:22,370 --> 00:30:25,130
+intracellular و ال extracellular لزمة ال membrane
+
+409
+00:30:25,130 --> 00:30:29,450
+يحكمهم .. يحكم انتقال ال fluids من هان لهان اللي
+
+410
+00:30:29,450 --> 00:30:35,470
+هو ايه؟ اللي هو ال osmosis ال osmotic pressure ال
+
+411
+00:30:35,470 --> 00:30:39,640
+osmolality تبعت هادي و هاديوهذه هنتكلم عليها كلام
+
+412
+00:30:39,640 --> 00:30:43,200
+كتير حقيقة بعد المحاضرة اللى جاية هنتكلم كلام كتير
+
+413
+00:30:43,200 --> 00:30:47,140
+حول المسألة هذه لو ضفنا احنا fluid حطنا احنا كل
+
+414
+00:30:47,140 --> 00:30:50,520
+يوم بنضيف بنحط الناس محليل مظبوط المحلوق اللى بحطه
+
+415
+00:30:50,520 --> 00:30:55,700
+انا هذا ايش بتتوقع بعد كده يعمل لوين بيصل ايش اثر
+
+416
+00:30:55,700 --> 00:30:59,380
+على اخر الخط اللى هو ال intracellular زادوا جللوا
+
+417
+00:30:59,380 --> 00:31:03,220
+عملوا سوى اه فى عندى anaerobic pressure او عندى
+
+418
+00:31:03,220 --> 00:31:10,200
+electrolyte concentrationطبعا وعندى يعني عكس بعد
+
+419
+00:31:10,200 --> 00:31:12,660
+كده على blood pressure يعني محط محطه fluid جاعد
+
+420
+00:31:12,660 --> 00:31:15,980
+انا بسوّد البلازمة volume معناه انا بسوّد جاعد ايه
+
+421
+00:31:15,980 --> 00:31:19,220
+ال blood pressure مش هيك لإن ال blood pressure
+
+422
+00:31:19,220 --> 00:31:23,100
+يقولنا volume مع مين مع blood vessel العلاقة بين
+
+423
+00:31:23,100 --> 00:31:26,680
+التانين يسوى لإيه ال blood pressure هذا زاد بزاد
+
+424
+00:31:26,680 --> 00:31:29,140
+blood pressure هذا وسع بزاد blood pressure هذا ضيق
+
+425
+00:31:29,140 --> 00:31:30,540
+بزيد blood pressure راية كذا
+
+426
+00:31:36,330 --> 00:31:39,110
+a frequent problem in treating seriously ill
+
+427
+00:31:39,110 --> 00:31:43,990
+patients is maintaining adequate fluids in one or
+
+428
+00:31:43,990 --> 00:31:45,590
+both of the intestinal and excretional
+
+429
+00:31:45,590 --> 00:31:48,390
+compartments تمام جدا، لذلك و أنا متعامل مع
+
+430
+00:31:48,390 --> 00:31:53,990
+المسألة هذه، بدأ أبقى عارف أنا إيش بشتغل قاعدة،
+
+431
+00:31:53,990 --> 00:31:58,390
+إذن يقولون هذا بيحكم الكابليري من brain و القواعد
+
+432
+00:31:58,390 --> 00:32:02,430
+اللي بتحكمه من pressure و من osmotic أو from
+
+433
+00:32:02,430 --> 00:32:07,360
+oncotic pressure يعنيواحد عنده ال proteins بتهرب
+
+434
+00:32:07,360 --> 00:32:13,220
+من الجسم واحد عنده نفروتيك سندروم الكلية صارت
+
+435
+00:32:13,220 --> 00:32:18,600
+اتهرب لبروتينات صار عندي مشكلة في النفرون النفرون
+
+436
+00:32:18,600 --> 00:32:24,820
+بطل يطلع بس ل fluids و معها بروتين البروتين هذا مش
+
+437
+00:32:24,820 --> 00:32:29,820
+مصمم النفرون يعيد امتصاصه لأن هو أصلا حجمه كبير ال
+
+438
+00:32:29,820 --> 00:32:35,470
+amino acids و ال small proteins بترجعلكن البيومين
+
+439
+00:32:35,470 --> 00:32:39,770
+يطلع او اصغر من البيومين شوية بحيث انه مش small
+
+440
+00:32:39,770 --> 00:32:45,730
+proteins اكبر بتطلع و بتظل طالع تمام فمتفاجأت في
+
+441
+00:32:45,730 --> 00:32:49,590
+ال urine و احنا بنفحص انه عندنا كمية البيومين او
+
+442
+00:32:49,590 --> 00:32:53,450
+كمية البروتينات طالعة كبيرة نسميها proteinuria ايش
+
+443
+00:32:53,450 --> 00:32:57,850
+نسميها proteinuria او البيومينوريا حسب هو اللي طلع
+
+444
+00:32:57,850 --> 00:33:02,380
+البيومين ولا نوع تانياه الأغلب هو البيومين فبنقول
+
+445
+00:33:02,380 --> 00:33:07,080
+البيومينوريا لإن أصغر البروتينات في الدم البيومين
+
+446
+00:33:07,080 --> 00:33:11,740
+البجين الفيبرينيون وغيره ايه أكبر منه فهو الأصغر
+
+447
+00:33:11,740 --> 00:33:15,240
+فهو لما بيطلع الدم بيطلع أول واحد إذا عندي
+
+448
+00:33:15,240 --> 00:33:19,300
+البيومينوريا البروتينوريا الناس بيسموها زلال عنده
+
+449
+00:33:19,300 --> 00:33:23,700
+زلال في ال إيه؟ في ال bowl كان عنده زلال في ال
+
+450
+00:33:23,700 --> 00:33:27,620
+bowl مايأكلش بيض لإن البيض فيه زلال غلط
+
+451
+00:33:29,090 --> 00:33:33,450
+60 غلط انا بفقد ال protein جاعد من الدم في ال bowl
+
+452
+00:33:33,450 --> 00:33:37,490
+اش هيصير ال .. اش هيصير في ال ايه؟ في ال protein
+
+453
+00:33:37,490 --> 00:33:43,150
+في الدم؟ هيجل مش كده؟ ال oncotic pressure اللي
+
+454
+00:33:43,150 --> 00:33:46,990
+برجع ال fluids من ال interstitial fluid بعد ما ال
+
+455
+00:33:46,990 --> 00:33:51,250
+hydrostatic pressure يهبط صارت كميته اقل صار في
+
+456
+00:33:51,250 --> 00:33:53,190
+عندي fluids دخلت ال interstitial fluid بال
+
+457
+00:33:53,190 --> 00:33:55,990
+hydrostatic pressure و ال oncotic pressure مش جادة
+
+458
+00:33:55,990 --> 00:33:59,800
+رجعهافبصير عندي إديمة فالناس اللي عندهم ال
+
+459
+00:33:59,800 --> 00:34:03,560
+proteinuria الناس اللي عندهم nephrotic syndrome
+
+460
+00:34:03,560 --> 00:34:09,920
+بيجيون منفخين ليش منفخين؟لأن هبط البروتين في الدم
+
+461
+00:34:09,920 --> 00:34:16,020
+فبش أدى عندى ايه الى انه ال fluids هربت واستقرت في
+
+462
+00:34:16,020 --> 00:34:20,600
+الايه مش جادرال اذا انا بدى احلها باني بديهم
+
+463
+00:34:20,600 --> 00:34:26,300
+infusion human albumin بديهم في الدم مباشرة human
+
+464
+00:34:26,300 --> 00:34:29,670
+albumin عشان يزودوا ال album في الدمتمام؟ عشان
+
+465
+00:34:29,670 --> 00:34:33,450
+ايه؟ اعود اسحب ال .. ال fluids اللي هربت للانسج
+
+466
+00:34:33,450 --> 00:34:37,350
+عشان اضيع ال .. القديمة بس سبب الهروب الأساسي هو
+
+467
+00:34:37,350 --> 00:34:46,150
+مين؟ الكلية هربت ممكن يكون عند ال liver ضعف بطل
+
+468
+00:34:46,150 --> 00:34:52,430
+يصنع مش كده؟ فلو كان عندي انا liver failure بجل
+
+469
+00:34:52,430 --> 00:34:56,110
+تصنيع البروتينات البروتينات في ال plasma بتجل
+
+470
+00:34:56,110 --> 00:35:03,510
+تمام؟لو عندى تهريب مباشر من الكيليا البروتينات فى
+
+471
+00:35:03,510 --> 00:35:08,990
+البلازما بتجل هدول الاتنين بيقدوا الى انه عندي
+
+472
+00:35:08,990 --> 00:35:13,470
+يقدى الى انه ال oncotic pressure اللى موجود فى ال
+
+473
+00:35:13,470 --> 00:35:17,370
+capillaries اللى بيرجع ال fluids بيجل و بتقدى لها
+
+474
+00:35:17,370 --> 00:35:24,530
+أديمة ال interstitial fluid بيزيدال .. ال .. ال ..
+
+475
+00:35:24,530 --> 00:35:24,950
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+476
+00:35:24,950 --> 00:35:25,130
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+477
+00:35:25,130 --> 00:35:25,350
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+478
+00:35:25,350 --> 00:35:27,270
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+479
+00:35:27,270 --> 00:35:27,450
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+480
+00:35:27,450 --> 00:35:31,110
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+481
+00:35:31,110 --> 00:35:31,390
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+482
+00:35:31,390 --> 00:35:36,470
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+483
+00:35:36,470 --> 00:35:38,390
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+484
+00:35:38,390 --> 00:35:38,390
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+485
+00:35:38,390 --> 00:35:38,390
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+486
+00:35:38,390 --> 00:35:38,390
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+487
+00:35:38,390 --> 00:35:43,870
+ال .. ال .. ال .. ال .. ال ..
+
+488
+00:35:43,870 --> 00:35:49,190
+ال .. ال ..
+
+489
+00:35:51,710 --> 00:35:54,350
+الكلمة زلال هذه الغريبة العجيبة اللى موجودة بين
+
+490
+00:35:54,350 --> 00:35:57,970
+الناس اه عنده زلال مايأكلش زلال لإنه عنده زلال طب
+
+491
+00:35:57,970 --> 00:36:02,870
+واش يعني بنعوضه اخسرنا بنعوضه اذا ممكن نعوضه احنا
+
+492
+00:36:02,870 --> 00:36:08,310
+ال protein اللى اللى راح عبر الكيليا يئما انه
+
+493
+00:36:08,310 --> 00:36:11,610
+بناخد مباشرة او بنديله high protein diet ايش
+
+494
+00:36:11,610 --> 00:36:17,000
+بنعطيله العيان high proteinعشان نقول للملح خد اللي
+
+495
+00:36:17,000 --> 00:36:22,120
+بد فيه من ال amino acids و صنعك كميات اكبر من
+
+496
+00:36:22,120 --> 00:36:26,360
+البروتين الى داخل ال A الى البلازم حتى تحمي الجسم
+
+497
+00:36:26,360 --> 00:36:32,160
+عندنا ال cell membrane بين ال fluid و ال A بيحكم
+
+498
+00:36:32,160 --> 00:36:35,320
+ال osmotic pressure ال sodium و ال potassium
+
+499
+00:36:35,320 --> 00:36:39,140
+concentration هان و هان اللي عاملين ال osmolality
+
+500
+00:36:39,140 --> 00:36:44,310
+تمام؟ osmolality زادت بيصحب ميه هان ثم هتجلدبتروح
+
+501
+00:36:44,310 --> 00:36:49,790
+ميه لمين؟ ل الجهة التانية وال factors هذه اذا
+
+502
+00:36:49,790 --> 00:36:53,270
+المرة الجاية هتكلم عن principles of osmosis and
+
+503
+00:36:53,270 --> 00:36:56,470
+osmotic pressure وكيف بنحسبها يلا يعطيكوا العفو
+
+504
+00:36:56,470 --> 00:37:00,390
+مين هالسؤال يك معانا احنا ضايل ست دقايق ولو انه
+
+505
+00:37:00,390 --> 00:37:04,150
+الناس خاطر مرة احنا معانا وجيت لسه مين هالسؤال يا
+
+506
+00:37:04,150 --> 00:37:07,610
+بنات؟ يلا يعطيكوا العفو
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/JLUGFMrGdhc.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/JLUGFMrGdhc.srt
new file mode 100644
index 0000000000000000000000000000000000000000..584ebccafdde21fe036888b09cf0b97ac1b91168
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/JLUGFMrGdhc.srt
@@ -0,0 +1,1371 @@
+1
+00:00:05,780 --> 00:00:12,280
+Okay، اليوم إن شاء الله هنتكلم عن الجزء الثاني من
+
+2
+00:00:12,280 --> 00:00:18,140
+الـ urine formation وهو الـ reabsorption، احنا عندنا
+
+3
+00:00:18,140 --> 00:00:21,460
+الـ urine formation بتكون من filtration،
+
+4
+00:00:22,140 --> 00:00:26,200
+reabsorption، secretion، المخصص اللي بتدينا إيه؟ الـ
+
+5
+00:00:26,200 --> 00:00:29,720
+urine اليوم
+
+6
+00:00:29,720 --> 00:00:34,100
+هنتكلم عن جزئية الـ reabsorption
+
+7
+00:00:39,080 --> 00:00:43,940
+في عندنا مبادئ عامة،
+
+8
+00:00:43,940 --> 00:00:52,600
+نتكلم فيها في موضوع الـ reabsorption، وهي
+
+9
+00:00:52,600 --> 00:00:57,200
+النقطة الأولى أن الـ tubular reabsorption is highly
+
+10
+00:00:57,200 --> 00:01:01,860
+selective، بمعنى أنه بتم الـ reabsorption، بتم الـ
+
+11
+00:01:01,860 --> 00:01:07,160
+filtration، لكن الـ kidney reabsorbs what is needed
+
+12
+00:01:08,110 --> 00:01:12,230
+it is… it selects the substances that are needed
+
+13
+00:01:12,230 --> 00:01:17,150
+for reabsorption، مش أي مادة، مش أي شيء نزل، إذا
+
+14
+00:01:17,150 --> 00:01:21,770
+احنا بننزل كل شيء، twenty percent من الـ plasma بينزل
+
+15
+00:01:21,770 --> 00:01:26,530
+في الفترات، بعد الـ… البروتينات، آه، واللي نزل قعدت
+
+16
+00:01:26,530 --> 00:01:29,650
+بناخد اللي احنا بس عايزينه، فالـ waste products احنا
+
+17
+00:01:29,650 --> 00:01:33,430
+مش عايزينها بتضلها كمية كبيرة، تمام؟ إذا
+
+18
+00:01:33,430 --> 00:01:38,750
+selectively reabsorption، selectively، selective
+
+19
+00:01:38,750 --> 00:01:42,510
+reabsorption بيصير لـ different substances، مش أي
+
+20
+00:01:42,510 --> 00:01:45,510
+substance، إذا بنعمل reabsorption للـ Sodium، للـ
+
+21
+00:01:45,510 --> 00:01:50,030
+Potassium، للـ water، للـ glucose، للـ amino acids، للـ
+
+22
+00:01:50,030 --> 00:01:53,970
+proteins، للـ phosphates، للمواد حسب برضه، مش
+
+23
+00:01:53,970 --> 00:01:57,570
+selective، معناها كله لأ، حسب حاجة الجسم، يعني هنا
+
+24
+00:01:57,570 --> 00:02:01,350
+بيصير عملية إيه؟ في الكلية، in general regulation
+
+25
+00:02:01,350 --> 00:02:05,090
+أحيانًا الـ regulation بيصير في الـ in the proximal
+
+26
+00:02:05,090 --> 00:02:09,290
+tubule، بس في معظم الأحوال الـ regulation بتكون في
+
+27
+00:02:09,290 --> 00:02:12,930
+الـ distal tubule، يعني الـ proximal tubule هي دي
+
+28
+00:02:12,930 --> 00:02:18,330
+عشان تصفي الحساب الرئيسي، الكمية الأكبر الـ… الـ…
+
+29
+00:02:18,330 --> 00:02:19,090
+الـ… الـ… الـ… الـ… الـ… الـ… الـ… الـ… الـ…
+
+30
+00:02:19,090 --> 00:02:19,290
+الـ… الـ… الـ… الـ… الـ… الـ… الـ… الـ… الـ…
+
+31
+00:02:19,290 --> 00:02:19,870
+الـ… الـ… الـ… الـ… الـ… الـ… الـ… الـ… الـ…
+
+32
+00:02:19,870 --> 00:02:20,770
+الـ… الـ… الـ… الـ… الـ… الـ… الـ… الـ… الـ…
+
+33
+00:02:20,770 --> 00:02:21,310
+الـ… الـ… الـ… الـ… الـ… الـ… الـ… الـ… الـ…
+
+34
+00:02:21,310 --> 00:02:28,250
+الـ… الـ… الـ…
+
+35
+00:02:28,250 --> 00:02:31,170
+الـ… الـ… الـ… الـ… الـ… الـ… الـ… الـ… الـ…
+
+36
+00:02:31,170 --> 00:02:31,290
+الـ… الـ… الـ… الـ… الـ… الـ… الـ… الـ… الـ…
+
+37
+00:02:31,290 --> 00:02:31,470
+الـ… الـ… الـ… الـ… الـ… الـ… الـ… الـ… الـ…
+
+38
+00:02:31,470 --> 00:02:31,510
+الـ… الـ… الـ… الـ… الـ… الـ… الـ… الـ… الـ…
+
+39
+00:02:31,510 --> 00:02:33,750
+الـ… الـ… الـ… الـ… الـ… الـ… الـ… الـ… الـ…
+
+40
+00:02:33,750 --> 00:02:46,330
+الـ… الـ… الـ… الـ… الـ… الـ…
+
+41
+00:02:46,440 --> 00:02:51,740
+الـ Glucose و الـ Amino Acids و بعض المواد Highly
+
+42
+00:02:51,740 --> 00:02:55,820
+Reabsorbed، زي الصوديوم، الكلوريد، والبيكربونات، و
+
+43
+00:02:55,820 --> 00:02:57,980
+Certain waste products such as urea and
+
+44
+00:02:57,980 --> 00:03:01,860
+creatinine، conversely are poorly reabsorbed from
+
+45
+00:03:01,860 --> 00:03:05,880
+the tubules and excreted in relatively large
+
+46
+00:03:05,880 --> 00:03:09,720
+amounts، لأنهم بصرفهم مش Reabsorbed، Therefore
+
+47
+00:03:12,610 --> 00:03:16,290
+باستخدام التحكم في مدى مدى مدى مدى مدى مدى مدى مدى
+
+48
+00:03:16,290 --> 00:03:16,810
+مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى
+
+49
+00:03:16,810 --> 00:03:23,450
+مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى
+
+50
+00:03:23,450 --> 00:03:23,770
+مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى
+
+51
+00:03:23,770 --> 00:03:24,190
+مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى
+
+52
+00:03:24,190 --> 00:03:26,550
+مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى
+
+53
+00:03:26,550 --> 00:03:31,510
+مدى
+
+54
+00:03:31,510 --> 00:03:40,350
+مدى مدى
+
+55
+00:03:40,350 --> 00:03:48,600
+إذن الـ transport in general، احنا محتاجين عشان الـ
+
+56
+00:03:48,600 --> 00:03:54,420
+reabsorption، أن الـ tubular filtrate، the filtrate
+
+57
+00:03:54,420 --> 00:03:58,300
+which is inside the tubule now is called filtrate
+
+58
+00:03:58,300 --> 00:04:03,660
+تمام، it's not urine yet، اليورين في الآخر، هذا اسمه
+
+59
+00:04:03,660 --> 00:04:08,900
+filtrate، the filtrate to be reabsorbed should
+
+60
+00:04:08,900 --> 00:04:14,750
+cross the tubular membrane، crossing the tubular
+
+61
+00:04:14,750 --> 00:04:18,650
+membrane، ياما يكون transcellular، يعني يعدي الـ cell
+
+62
+00:04:18,650 --> 00:04:25,510
+أو من الـ cell to the interstitial fluid، ثم إلى الـ
+
+63
+00:04:25,510 --> 00:04:32,590
+tubular capillaries، أو between cells، intercellular
+
+64
+00:04:32,590 --> 00:04:37,260
+أو paracellular بين الـ cells، ها الـ proximal tubule
+
+65
+00:04:37,260 --> 00:04:42,180
+لها مواصفات خاصة، عندنا نتكلم عنها بين الـ tubule…
+
+66
+00:04:42,180 --> 00:04:45,300
+بين الـ cell و الـ cell، في حاجة اسمها tight
+
+67
+00:04:45,300 --> 00:04:50,060
+junctions، tight junctions، الغريب في الموضوع أن الـ
+
+68
+00:04:50,060 --> 00:04:53,180
+tight junctions ها اللي في الـ proximal tubule are
+
+69
+00:04:53,180 --> 00:04:59,280
+leaky… leaky، يعني ما همش tight junctions، لكن
+
+70
+00:04:59,280 --> 00:05:03,220
+هم إيه؟ مش tight في الـ distal tubule، the tight
+
+71
+00:05:03,220 --> 00:05:07,490
+junctions are tight junctions، لكن في الـ proximal tubule
+
+72
+00:05:07,490 --> 00:05:10,830
+الـ tight junction is not tight junction، بيقدر يعدي
+
+73
+00:05:10,830 --> 00:05:15,570
+منها المية، بيقدر يعدي منها الـ sodium و الـ potassium
+
+74
+00:05:15,570 --> 00:05:21,910
+و الـ chloride و الـ magnesium و الـ calcium، مجموعة
+
+75
+00:05:21,910 --> 00:05:28,570
+كبيرة بتقدر تعدي من إيه؟ من الـ tight junction، حسب الـ
+
+76
+00:05:28,570 --> 00:05:33,550
+interstitial fluid الموجود، ليش بدي تنتبه بس لـ
+
+77
+00:05:34,360 --> 00:05:40,120
+تركيبة الخلية، هذه خلية من خلايا الـ… الـ…
+
+78
+00:05:40,120 --> 00:05:46,120
+proximal convoluted، هذا هو الـ human… هو الـ… الـ…
+
+79
+00:05:46,120 --> 00:05:49,600
+human… الـ human… الـ border أو membrane of the
+
+80
+00:05:49,600 --> 00:05:55,060
+cells، أو لأنه عامل brush، بيسميه brush border، تمام؟
+
+81
+00:05:55,060 --> 00:05:59,120
+إذا هذا لما نقول الـ inner border أو الـ human
+
+82
+00:05:59,120 --> 00:06:04,660
+border أو brush border، نعني إيه؟ وهنا عندنا tight
+
+83
+00:06:04,660 --> 00:06:08,480
+junction between the cells، وهنا عندنا lateral
+
+84
+00:06:08,480 --> 00:06:14,680
+border، وهنا basal border، لأنه زي ما أنتو شايفين الـ
+
+85
+00:06:14,680 --> 00:06:18,060
+tight junction بياخد جزء بس من الـ lateral border، و
+
+86
+00:06:18,060 --> 00:06:22,680
+الجزء الثاني free، ففي عندها الـ basolateral
+
+87
+00:06:22,680 --> 00:06:26,760
+membrane، زي بعض، بنسميها دايماً basolateral membrane
+
+88
+00:06:26,760 --> 00:06:29,320
+ليش؟ لأن الـ lateral membrane فاتح على الـ interstitial
+
+89
+00:06:29,320 --> 00:06:32,260
+fluid، و الـ basal membrane فاتح على الـ interstitial
+
+90
+00:06:32,260 --> 00:06:36,560
+fluid، تمام؟ فلذلك لما نتكلم عن الـ mechanisms اللي
+
+91
+00:06:36,560 --> 00:06:39,460
+بتصير في الجهة الأخرى، نتكلم على أشياء بتصير في الـ
+
+92
+00:06:39,460 --> 00:06:42,770
+basolateral membrane، لذلك لما يكون هنا التغيرات في
+
+93
+00:06:42,770 --> 00:06:46,590
+الـ Interstitial Fluid، هنا هينزاد الـ Osmolality
+
+94
+00:06:46,590 --> 00:06:51,510
+مثلاً لسبب من الأسباب، بسهولة الـ tight junction هذه
+
+95
+00:06:51,510 --> 00:06:56,130
+ماهي tight، فبقدر، بدل ما يشي يعدي عبر الـ cells، و
+
+96
+00:06:56,130 --> 00:07:00,050
+يتعدي عبر الـ… other wall to the interstitial
+
+97
+00:07:00,050 --> 00:07:04,670
+fluid، ممكن يعدي من الـ tight junction مباشرةً، واضح؟
+
+98
+00:07:04,670 --> 00:07:08,870
+إذا، طبيعي تركيبة الـ… اللي هنا، نتكلم عنها، إذا في
+
+99
+00:07:08,870 --> 00:07:12,470
+عندنا الـ… brush border، basolateral membrane،
+
+100
+00:07:12,470 --> 00:07:15,150
+interstitial fluid، هنا مفترض أنه في basement
+
+101
+00:07:15,150 --> 00:07:18,710
+membrane، بنشوفه في الصور الثانية، هنا في المنطقة
+
+102
+00:07:18,710 --> 00:07:21,930
+هذه في basement membrane، بعد الـ basement من برة،
+
+103
+00:07:21,930 --> 00:07:24,190
+بيجيه الـ interstitial fluid من جديد، و الـ
+
+104
+00:07:24,190 --> 00:07:35,940
+capillaries، تمام؟ طيب، نرجع تاني لإيه؟ الـ…
+
+105
+00:07:35,940 --> 00:07:41,020
+الـ… الـ… routes of entry، is، يعني إما transcellular
+
+106
+00:07:41,020 --> 00:07:46,340
+يا إما paracellular، أو intercellular، up mean…
+
+107
+00:07:46,340 --> 00:07:51,580
+which is not tight in the distal tubule، it is
+
+108
+00:07:51,580 --> 00:07:59,120
+tight، بعد منها هتروح من الـ cells هذه حتى، صار في
+
+109
+00:07:59,120 --> 00:08:03,560
+الآخر capillary network which surrounds الـ… الـ…
+
+110
+00:08:03,560 --> 00:08:07,320
+tubule، اسمها peritubular capillary network، تمام؟
+
+111
+00:08:07,320 --> 00:08:15,880
+عيب الـ
+
+112
+00:08:15,880 --> 00:08:20,360
+transport
+
+113
+00:08:20,360 --> 00:08:27,400
+that occurs here in the proximal tubule، عبر الـ… عبر الـ…
+
+114
+00:08:27,400 --> 00:08:30,460
+cells، عبر الـ… يعني to… to… to… to cross
+
+115
+00:08:30,460 --> 00:08:36,260
+the… the… the cells to the interstitium، the
+
+116
+00:08:36,260 --> 00:08:39,300
+process of reabsorption، the… the transport
+
+117
+00:08:39,300 --> 00:08:42,700
+mechanism، من الـ… إلى الـ… إلى الـ interstitium
+
+118
+00:08:42,700 --> 00:08:44,520
+يقولنا يا إما عبر الـ cell، يا إما عبر الـ tight
+
+119
+00:08:44,520 --> 00:08:50,220
+junction، هذا بياخد two types of إيه؟ of transport
+
+120
+00:08:50,220 --> 00:08:55,360
+يا إما active transport، يا إما passive transport
+
+121
+00:08:55,360 --> 00:09:01,140
+تمام؟ active transport، الـ active transport
+
+122
+00:09:01,140 --> 00:09:05,120
+مرة تكون primary active، و مرة تكون secondary
+
+123
+00:09:05,120 --> 00:09:11,940
+active، الـ primary active، هنا نموذج تبعنا الـ sodium
+
+124
+00:09:11,940 --> 00:09:15,740
+-potassium ATPase enzyme، بيعمل active reabsorption
+
+125
+00:09:15,740 --> 00:09:18,320
+أو active transport of sodium، البوتاسيوم على الـ
+
+126
+00:09:18,320 --> 00:09:23,060
+basolateral membrane، تمام؟ هذا الـ active transport
+
+127
+00:09:23,060 --> 00:09:28,350
+على الـ basolateral membrane، هذا هو بيؤدي إلى إنه
+
+128
+00:09:28,350 --> 00:09:32,190
+الـ concentration of sodium في داخل الـ cells بينخفض
+
+129
+00:09:32,190 --> 00:09:38,370
+تمام؟ بيساعد إنه… إنه الـ sodium يدخل من الـ… إلى
+
+130
+00:09:38,370 --> 00:09:43,130
+الـ cells، ليش؟ لإنه الكمية اللي بتدخل أول شيء، أول
+
+131
+00:09:43,130 --> 00:09:46,290
+شيء، already عندنا الـ concentration of sodium في الـ
+
+132
+00:09:46,290 --> 00:09:50,850
+filtrate 142، أو حوالي كده، في حين إنه الـ
+
+133
+00:09:50,850 --> 00:09:53,450
+concentration في داخل الـ cells 12
+
+134
+00:09:55,620 --> 00:10:04,800
+في داخل الـ cells، 12، عامل equivalent لـ 140
+
+135
+00:10:04,800 --> 00:10:08,540
+140 140 140
+
+136
+00:10:08,540 --> 00:10:10,320
+140 140 140 140 140 140
+
+137
+00:10:10,320 --> 00:10:10,380
+140 140 140 140 140 140
+
+138
+00:10:10,380 --> 00:10:12,480
+140 140 140 140 140 140
+
+139
+00:10:12,480 --> 00:10:12,820
+140 140 140 140 140 140
+
+140
+00:10:12,820 --> 00:10:12,840
+140 140 140 140 140 140
+
+141
+00:10:12,840 --> 00:10:13,220
+140 140 140 140 140 140
+
+142
+00:10:13,220 --> 00:10:23,220
+140 140 140 140 140 140
+
+143
+00:10:23,220 --> 00:10:28,350
+فيصير rapid transport إلى داخل الـ cells، تمام؟
+
+144
+00:10:28,350 --> 00:10:34,130
+وفي عندي carrier proteins موجودين على الـ luminal
+
+145
+00:10:34,130 --> 00:10:38,630
+border، بيعملوا facilitate diffusion، إذا عندي تلات
+
+146
+00:10:38,630 --> 00:10:43,210
+حاجات مهمة، الـ electrochemical gradient، و الـ
+
+147
+00:10:43,210 --> 00:10:46,110
+carrier proteins، بيساعدوا على انتقال الصوديوم إلى
+
+148
+00:10:46,110 --> 00:10:48,670
+الداخل، انتقل الصوديوم إلى الداخل، صار الـ
+
+149
+00:10:48,670 --> 00:10:50,890
+concentration جوا الـ cells زي الـ concentration
+
+150
+00:10:50,890 --> 00:10:54,720
+برة الـ cells، اتوقف، لإيه؟ الـ transport مش كده، الـ
+
+151
+00:10:54,720 --> 00:10:59,580
+diffusion اتوقف، لكن الـ… الـ… pumping system to the
+
+152
+00:10:59,580 --> 00:11:03,120
+outside، to the interstitial fluid، by the
+
+153
+00:11:03,120 --> 00:11:07,000
+basolateral membrane ATPase enzymes، أو pumping
+
+154
+00:11:07,000 --> 00:11:13,600
+system، will preserve
+
+155
+00:11:13,600 --> 00:11:17,540
+the low concentration of sodium inside the cell
+
+156
+00:11:17,540 --> 00:11:21,520
+هيحافظ على low sodium concentration في داخل الخلية
+
+157
+00:11:21,520 --> 00:11:24,660
+وهيخلي الـ flow of sodium ما يتوقفش
+
+158
+00:11:26,980 --> 00:11:30,900
+إذاً، هذا على الـ basolateral، قلنا هذا active
+
+159
+00:11:30,900 --> 00:11:37,860
+transport، لإنه using energy، ATP is used for energy
+
+160
+00:11:37,860 --> 00:11:42,940
+production، طيب، اللي عدى تو من الـ… لداخل الخلية
+
+161
+00:11:42,940 --> 00:11:48,100
+ده عدى passive، مش كده؟ عدى passive، passive
+
+162
+00:11:48,100 --> 00:11:52,360
+diffusion، أو facilitated diffusion، إذا عدى عبر الـ
+
+163
+00:11:53,270 --> 00:11:57,510
+carrier، فهو passive diffusion، إذا عدى عبر الـ
+
+164
+00:11:57,510 --> 00:12:00,870
+tight junction، فهو… يقول إن هذا facilitated، عبر الـ
+
+165
+00:12:00,870 --> 00:12:03,970
+protein carrier، إذا عبر الـ tight junction فهو
+
+166
+00:12:03,970 --> 00:12:07,470
+passive diffusion، حتى من غير إيه؟ facilitation، و
+
+167
+00:12:07,470 --> 00:12:10,970
+ممكن يعدي عبر الـ cell بـ low diffusion rate، من غير
+
+168
+00:12:10,970 --> 00:12:16,810
+… من غير carrier proteins، برضه passive
+
+169
+00:12:20,070 --> 00:12:24,470
+والأساس في انتقاله عن active process، يعني الـ
+
+170
+00:12:24,470 --> 00:12:29,230
+active هي اللي شدته لنفس الـ ion، لنفس الـ cation
+
+171
+00:12:29,230 --> 00:12:35,790
+فإذا لازم نعتبره primary active
+
+172
+00:12:35,790 --> 00:12:38,870
+transport
+
+173
+00:12:38,870 --> 00:12:43,810
+لأنه هو اللي اتخذ هناك، شد وراه ده هو الـ process، نفس
+
+174
+00:12:43,810 --> 00:12:47,510
+الـ protein، في حين أنه نفس الكلام ممكن يصير للجلوكوز
+
+175
+00:12:47,510 --> 00:12:51,650
+أو للـ amino acids، لكنه الـ primary mechanism of
+
+176
+00:12:51,650 --> 00:12:55,270
+transport، مش للجلوكوز، ده للصوديوم، تمام؟ فبنسميه
+
+177
+00:12:55,270 --> 00:12:59,610
+secondary active، تمام؟ واضح؟ يعني قصدي أقول على
+
+178
+00:12:59,610 --> 00:13:03,270
+الـ basolateral active، واضح؟ لكن على الـ brush border
+
+179
+00:13:03,270 --> 00:13:09,080
+passive،
+
+223
+00:16:14,090 --> 00:16:20,500
+موجود هذا؟ برضه في الـ intercalated cells في الـ
+
+224
+00:16:20,500 --> 00:16:24,440
+intercalated وفي الـ principle بس mainly في الـ
+
+225
+00:16:24,440 --> 00:16:28,940
+intercalated وفي عنه الـ calcium ATPase system وين
+
+226
+00:16:28,940 --> 00:16:37,580
+موجود؟ في الـ thick ascending في الـ thick ascending
+
+227
+00:16:37,580 --> 00:16:44,640
+إيه الـ M وموجود برضه في الـ distal إذا في عندي هنا
+
+228
+00:16:44,640 --> 00:16:47,800
+system
+
+229
+00:16:47,800 --> 00:16:52,660
+موجود هنا الأنواع في الـ proximal tubular
+
+230
+00:16:52,660 --> 00:16:57,700
+cells brush border intense brush border على اليمين
+
+231
+00:16:57,700 --> 00:17:01,760
+الـ side الـ basolateral الـ basal برضه في brush
+
+232
+00:17:01,760 --> 00:17:05,740
+border بس مش بالكثافة الموجودة في اه طبعاً بديل
+
+233
+00:17:05,740 --> 00:17:10,520
+surface area لل transport إن كان على الجهة دي أو
+
+234
+00:17:10,520 --> 00:17:13,320
+الجهة دي عالي هو هذا بيدينا الكفاءة اللي بتشتغل
+
+235
+00:17:13,320 --> 00:17:20,540
+فيها الـ proximal convoluted tubules واضح أن الـ
+
+236
+00:17:20,540 --> 00:17:24,900
+الـ basal والـ lateral borders the same يعني الـ
+
+237
+00:17:24,900 --> 00:17:28,180
+pumping system موجود هنا وهنا الاثنين مكشوفين
+
+238
+00:17:28,180 --> 00:17:32,680
+لمين؟ للـ interstitial fluid طب إذا كنت بسميه one
+
+239
+00:17:32,680 --> 00:17:36,080
+membrane مثلاً basolateral membrane وخلاص واضح أن
+
+240
+00:17:36,080 --> 00:17:41,060
+الصوديوم ممكن يخش عبر الـ Trans Cellular Route
+
+241
+00:17:41,060 --> 00:17:45,060
+وعبر الـ إيه؟ والـ water نفس الكلام بيقدر يعدي عبر
+
+242
+00:17:45,060 --> 00:17:47,520
+الـ Trans Cellular Route وعبر الـ Para Cellular
+
+243
+00:17:47,520 --> 00:18:00,900
+Route لذا
+
+244
+00:18:00,900 --> 00:18:04,880
+قلنا عندنا Electrochemical Gradient بالإضافة لـ
+
+245
+00:18:04,880 --> 00:18:10,360
+وجود إذا هدول بيساعدوا الصوديوم إنه ينتقل مش هيك؟
+
+246
+00:18:10,360 --> 00:18:13,620
+Electrochemical gradient ويحافظ على الـ chemical
+
+247
+00:18:13,620 --> 00:18:16,560
+gradient هذه الـ...الـ concentration gradient عن الـ
+
+248
+00:18:16,560 --> 00:18:18,500
+chemical gradient...اللي هو الـ pumping system مش
+
+249
+00:18:18,500 --> 00:18:23,320
+كده؟ آه طب غير هيك في أشياء إضافية إنه عندي...
+
+250
+00:18:23,320 --> 00:18:30,220
+عندي الـ...الـ...الـ transport surface area
+
+251
+00:18:30,220 --> 00:18:35,230
+كبير بسبب إيش؟ بسبب الـ brush border لدرجة إن الـ
+
+252
+00:18:35,230 --> 00:18:40,530
+surface هذا بيتضاعف عشرين مرة بسبب إيه؟ الـ brush
+
+253
+00:18:40,530 --> 00:18:45,610
+border بالإضافة
+
+254
+00:18:45,610 --> 00:18:48,250
+لوجود الـ proteins إذا الـ proteins brush border
+
+255
+00:18:48,250 --> 00:18:52,090
+واسع الـ surface area واسعة وعندي electrochemical
+
+256
+00:18:52,090 --> 00:18:55,050
+gradient فالـ electrochemical gradient بكل أريحية
+
+257
+00:18:55,050 --> 00:19:03,080
+انتقال واسع كبير غير محدود تماماً هذا إيه؟ الـ primary
+
+258
+00:19:03,080 --> 00:19:07,460
+active transport الكلام اللي قلناه هذا من شوية
+
+259
+00:19:07,460 --> 00:19:12,240
+هنجيء عنده...هنرجع له كلام يعني ليش قلنا مواصفات
+
+260
+00:19:12,240 --> 00:19:19,320
+الـ membrane وركزنا عليها ركزنا عليها لإنه
+
+261
+00:19:19,320 --> 00:19:26,020
+عندنا الصوديوم هذا انتقاله من الداخل إلى خارج الـ
+
+262
+00:19:26,020 --> 00:19:34,720
+tubule unlimited  طبعاً يعني مالهاش فترة
+
+263
+00:19:34,720 --> 00:19:38,260
+محدودة علينا فترة في الـ proximal tubule نقول والله
+
+264
+00:19:38,260 --> 00:19:42,120
+إحنا مش قادرين نمتص الصوديوم أكثر من هيك طبعاً لأ
+
+265
+00:19:42,120 --> 00:19:46,160
+الطاقة اللي موجودة عندنا لامتصاص الصوديوم عالية لإن
+
+266
+00:19:46,160 --> 00:19:49,760
+في مواد ثانية اللي حاجة بيسموها transport maximum
+
+267
+00:19:49,760 --> 00:19:54,320
+طبعاً إذا الـ level معين ما تزيدش عنه transport
+
+268
+00:19:54,320 --> 00:19:59,000
+maximum برضه أخذتوها مش هيك؟ طيب كويس أمشي عنه
+
+269
+00:19:59,000 --> 00:20:03,000
+بصراحة، طيب، secondary electro transport قلنا هذا
+
+270
+00:20:03,000 --> 00:20:09,940
+بأن يعتمد على مواد أخرى بتساعدنا...بتساعدنا الـ
+
+271
+00:20:09,940 --> 00:20:15,140
+sodium pumping system أو الـ sodium pumping system
+
+272
+00:20:15,140 --> 00:20:18,700
+على الطرف الـ...الـ يمين الـ brush border بيساعدنا
+
+273
+00:20:18,700 --> 00:20:24,210
+الـ...الـ carriers في إيه؟ في انتقالها إذن الـ energy
+
+274
+00:20:24,210 --> 00:20:29,150
+أساساً ما تُفقدش من أجل الـ glucose من أجل الصوديوم
+
+275
+00:20:29,150 --> 00:20:35,850
+لكن الصوديوم داخل آخدها معاه هذا بيسمى co
+
+276
+00:20:35,850 --> 00:20:40,650
+-transport أو ممكن يكون a counter transport و
+
+277
+00:20:40,650 --> 00:20:44,150
+الصوديوم داخل طلع مادة ثانية اللي بيسمى counter
+
+278
+00:20:44,150 --> 00:20:47,510
+transport وهذا بيصير في الـ proximal tubule مع
+
+279
+00:20:47,510 --> 00:20:51,790
+مين؟ مع الهيدروجين وهنا...هنا في الـ proximal
+
+280
+00:20:51,790 --> 00:20:55,260
+tubule للهيدروجين في الـ counter-transport دوره
+
+281
+00:20:55,260 --> 00:21:00,840
+عشان يساعد الـ reabsorption of إيه؟ of بيكربونات
+
+282
+00:21:00,840 --> 00:21:06,820
+هذه ما أخذتهاش طيب إذا الصوديوم لما بيطلع secreted
+
+283
+00:21:06,820 --> 00:21:09,400
+في الـ proximal convoluted tubule by counter
+
+284
+00:21:09,400 --> 00:21:14,580
+-transport آه it will react with the بيكربونات and
+
+285
+00:21:14,580 --> 00:21:19,080
+convert it to إيه؟ to carbonic acid الـ carbonic
+
+286
+00:21:19,080 --> 00:21:22,620
+acid هذا والـ dissociate إلى carbon dioxide and
+
+287
+00:21:22,620 --> 00:21:26,680
+water تمام الـ water is reabsorbed easily والـ
+
+288
+00:21:26,680 --> 00:21:29,260
+carbon dioxide is reabsorbed والـ diffuse is
+
+289
+00:21:29,260 --> 00:21:34,020
+freely لا يتوقف الـ oxygen والـ carbon dioxide can
+
+290
+00:21:34,020 --> 00:21:37,980
+cross membranes without limits مش كده؟ إذا صارت
+
+291
+00:21:37,980 --> 00:21:41,760
+water reabsorbing كبيرة جداً following
+
+292
+00:21:41,760 --> 00:21:48,990
+الصوديوم والـ chloride والكربون ديوسايد وهو
+
+293
+00:21:48,990 --> 00:21:53,470
+الهيدروجين السكريشن لإعادة إعادة إعادة إعادة
+
+294
+00:21:53,470 --> 00:21:55,150
+إعادة إعادة إعادة إعادة إعادة إعادة إعادة إعادة
+
+295
+00:21:55,150 --> 00:21:56,370
+إعادة إعادة إعادة إعادة إعادة إعادة إعادة إعادة
+
+296
+00:21:56,370 --> 00:22:05,870
+إعادة إعادة
+
+297
+00:22:05,870 --> 00:22:09,930
+إعادة
+
+298
+00:22:09,930 --> 00:22:10,670
+إعادة
+
+299
+00:22:20,350 --> 00:22:25,890
+النقطة الثالثة إذا قلنا عنها simple diffusion و
+
+300
+00:22:25,890 --> 00:22:29,530
+active transport primary وsecondary والنقطة
+
+301
+00:22:29,530 --> 00:22:33,730
+الثالثة pinocytosis والـ pinocytosis is a type of
+
+302
+00:22:33,730 --> 00:22:38,830
+active transport ليش؟ لإنه it uses energy during
+
+303
+00:22:38,830 --> 00:22:43,970
+its completion
+
+304
+00:22:43,970 --> 00:22:49,690
+لإن في عندي هيصير pinocytosis بمعنى إنه المواد اللي
+
+305
+00:22:49,690 --> 00:22:54,610
+أكبر شوية من الـ...الـ pores اللي موجودة في الـ...
+
+306
+00:22:54,610 --> 00:22:59,210
+في الـ cells تمام؟ وأكبر شوية من أنها تنحمل على
+
+307
+00:22:59,210 --> 00:23:03,790
+carrier فبيصير تنحمل من خلال أنها pinocytosis
+
+308
+00:23:03,790 --> 00:23:07,950
+بالذات الـ...الـ...الـ small proteins هذه اللي...اللي
+
+309
+00:23:07,950 --> 00:23:12,210
+بيصير لها filtration minimal trace amounts تمام؟ هذه
+
+310
+00:23:12,210 --> 00:23:15,390
+ما بتنزلش في الـ urine لأ بتعود لها reabsorption عن
+
+311
+00:23:15,390 --> 00:23:18,810
+طريق الـ إيه؟ pinocytosis الـ pinocytosis الـ protein
+
+312
+00:23:18,810 --> 00:23:24,490
+will attach to specific sites على الـ...الـ brush
+
+313
+00:23:24,490 --> 00:23:29,310
+border تمام؟ then there will be invagination
+
+314
+00:23:29,310 --> 00:23:33,810
+and it will be pinched out of the membrane to make
+
+315
+00:23:33,810 --> 00:23:36,980
+a vesicle inside the cell plasma هذا الفيزيكلي
+
+316
+00:23:36,980 --> 00:23:42,580
+يتعامل مع الليزوزومات والبروتوليسيس ستحدث
+
+317
+00:23:42,580 --> 00:23:47,020
+وستحصل على أمينو أسيد مرة أخرى وأمينو أسيد
+
+318
+00:23:47,020 --> 00:23:53,720
+ستتعامل مع أمينو أسيد مثل أمينو أسيد مختلفة مثل
+
+319
+00:23:53,720 --> 00:23:59,860
+أمينو أسيد مختلفة مثل أمينو أسيد glucose
+
+320
+00:23:59,860 --> 00:24:03,640
+concentrated will move by diffusion إذا الفكرة إن
+
+321
+00:24:03,640 --> 00:24:06,800
+الصوديوم على الـ basolateral membrane لأن عشان
+
+322
+00:24:06,800 --> 00:24:11,480
+نفهمها كلها واضحة هجيب لكم الصورة الصورة هذه إن
+
+323
+00:24:11,480 --> 00:24:18,810
+بتكون كويسة إذا الآن هذا basolateral membrane هذا الـ
+
+324
+00:24:18,810 --> 00:24:21,970
+brush border وهذا basolateral membrane تمام الـ
+
+325
+00:24:21,970 --> 00:24:25,830
+sodium pumping system شغال طلع الصوديوم الصوديوم
+
+326
+00:24:25,830 --> 00:24:30,780
+concentration داخل الـ cell بيظل واطي بالرغم من الـ
+
+327
+00:24:30,780 --> 00:24:33,860
+إيه؟ اللي بيدخل الـ carrier system الـ
+
+328
+00:24:33,860 --> 00:24:36,100
+electronegativity والـ brush border بدي فرصة
+
+329
+00:24:36,100 --> 00:24:38,680
+لصوديوم كثير يدخل ويدخل معاه الـ glucose والـ
+
+330
+00:24:38,680 --> 00:24:42,740
+amino acids الـ glucose والـ amino acids هدول دخلوا
+
+331
+00:24:42,740 --> 00:24:46,480
+by facilitation of the إيه؟ of the carrier system
+
+332
+00:24:46,480 --> 00:24:50,020
+هذا الـ facilitation of carrier system مش موجود
+
+333
+00:24:50,660 --> 00:24:54,320
+ما بيقدروش يرجعوا من خلاله هذا بس بيدخلهم للداخل اللي
+
+334
+00:24:54,320 --> 00:24:56,780
+أنا عندي high concentration of glucose و high
+
+335
+00:24:56,780 --> 00:24:59,000
+concentration of amino acids they will diffuse
+
+336
+00:24:59,000 --> 00:25:01,920
+passively to the interstitial fluid لإن الـ
+
+337
+00:25:01,920 --> 00:25:04,740
+interstitial fluid فيه low concentration of glucose
+
+338
+00:25:04,740 --> 00:25:08,180
+and amino acids تمام؟ إذا الصوديوم بيركزهم داخل الـ
+
+339
+00:25:08,180 --> 00:25:11,900
+cells وبعدين هم هم هم هم هم هم هم هم هم هم هم
+
+340
+00:25:11,900 --> 00:25:12,080
+هم هم هم هم هم هم هم هم هم هم هم
+
+341
+00:25:12,080 --> 00:25:16,100
+هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم
+
+342
+00:25:16,100 --> 00:25:16,180
+هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم
+
+343
+00:25:16,180 --> 00:25:20,280
+هم
+
+344
+00:25:20,940 --> 00:25:26,700
+اللي موجود تمام فيه low glucose و low amino acids
+
+345
+00:25:26,700 --> 00:25:29,860
+إذا ذلك هيدخل عندنا session of ulcerative colitis
+
+346
+00:25:29,860 --> 00:25:33,780
+ويرجعوا في الـ إيه؟ من أول وجديد في الدم مثلاً دخلوا
+
+347
+00:25:33,780 --> 00:25:37,480
+الـ filtrate وعاودوا رجعوا كل هيئتهم لكن طريق اللي
+
+348
+00:25:37,480 --> 00:25:45,880
+بدنا نشرحه خلنا إيه؟ يظل طالع تفضلي دخلوا
+
+349
+00:25:45,880 --> 00:25:49,020
+مع الصوديوم دخلوا صاروا داخل الـ cells مع الـ
+
+350
+00:25:49,020 --> 00:25:55,620
+sodium تَكاثر وجودهم، علي تركيزهم، صار التركيز
+
+351
+00:25:55,620 --> 00:25:58,960
+العالي هذا، صار بيعملوا simple diffusion لإيه؟
+
+352
+00:25:58,960 --> 00:26:02,580
+للـ interstitial fluid، okay؟ إذا الـ basolateral
+
+353
+00:26:02,580 --> 00:26:07,300
+membrane محتاجين
+
+354
+00:26:07,300 --> 00:26:12,580
+إيه؟ إلى carrier system، إذا هنا بعد ما تم الأمر
+
+355
+00:26:12,580 --> 00:26:17,290
+بدخله، صار high concentration، فبيطلعوا من خلال
+
+356
+00:26:17,290 --> 00:26:22,250
+channels خاصة لكن التركيز الموجود بيسمح لهم إنهم
+
+357
+00:26:22,250 --> 00:26:25,530
+إيه؟ to diffuse out of the إيه؟ of the cell
+
+358
+00:26:25,530 --> 00:26:31,730
+pinocytosis
+
+359
+00:26:31,730 --> 00:26:35,590
+هنوضحها الـ transport maximum طبعاً أنا جيب
+
+360
+00:26:35,590 --> 00:26:40,430
+شرحه بعدين في عندي carrier system معناه الـ carrier
+
+361
+00:26:40,430 --> 00:26:45,830
+system هذا هيديني الـ limit الـ carrier system مش
+
+362
+00:26:45,830 --> 00:26:49,570
+مفتوح لإيه؟ إلى ما لا نهاية مثلاً في عندي carrier system
+
+363
+00:26:49,570 --> 00:26:54,390
+عبارة عن proteins وإيش؟ وenzymes إذا الـ carrier
+
+364
+00:26:54,390 --> 00:26:58,230
+system facilitation protein carrier protein وإيه؟
+
+365
+00:26:58,230 --> 00:27:05,270
+enzymes الاثنين هدول اللي  مُشاركة في النقل إذا وصلنا
+
+366
+00:27:05,270 --> 00:27:10,100
+لـ maximum transport ability for this carrier system
+
+367
+00:27:10,100 --> 00:27:14,100
+تمام بيصير عند الأشياء الموجودة في الـ human بتقدرش
+
+368
+00:27:14,100 --> 00:27:18,680
+تنتقل إلى داخل الـ cell أو إلى الـ interstitium هتبقى
+
+369
+00:27:18,680 --> 00:27:23,180
+طالعة للخارج وهذا اللي بيحصل في الـ diabetes من
+
+370
+00:27:23,180 --> 00:27:28,360
+mellitus في حالات إيه؟ مرض السكري إن الـ glucose
+
+371
+00:27:28,360 --> 00:27:34,120
+اللي صار عمل filtration كبير لإن السكر عندنا في
+
+372
+00:27:34,120 --> 00:27:38,400
+الدم عالي فبيقدر إن عندي high glucose
+
+373
+00:27:38,400 --> 00:27:43,480
+concentration above طبعاً طول ما هو أعلى من الـ
+
+374
+00:27:43,480 --> 00:27:47,860
+limit تبع الـ transport maximum مش هيظهر بوضوح في
+
+375
+00:27:47,860 --> 00:27:51,460
+البول لكن هو اسمه على فكرة ده باسم ليس البول
+
+376
+00:27:51,460 --> 00:27:57,900
+السكري وانتبهوا له لما لقوا إن النمل بينزل على هذا
+
+377
+00:27:57,900 --> 00:28:00,520
+البول فلماذا النمل بينزل على هذا البول ولماذا
+
+378
+00:28:00,520 --> 00:28:07,970
+على غيره؟ يعني لقوا حاجة حلوة تمام؟ و...و هذا من
+
+379
+00:28:07,970 --> 00:28:10,710
+أيام أبقراط على فكرة معروف الـ diabetes من أيام
+
+380
+00:28:10,710 --> 00:28:17,070
+أبقراط فده قديم يعني مش مشكلة إذا في عندي أنا سكر
+
+381
+00:28:17,070 --> 00:28:21,550
+زاد عن طاقة اللي هي الـ...الـ transport system الـ
+
+382
+00:28:21,550 --> 00:28:27,970
+facilitation by the carriers لما نصل لإنه بطل الـ
+
+383
+00:28:27,970 --> 00:28:35,710
+kidney تقدر تأخذ anymore يعني إحنا لو عندنا السكر
+
+384
+00:28:35,710 --> 00:28:42,190
+جزء منه يمتص وجزء طلع علينا كمان جزء أكبر يمتص
+
+385
+00:28:42,190 --> 00:28:47,190
+وجزء طلع علينا كمان خلاص كل اللي زاد طلع بنقول بس
+
+386
+00:28:47,190 --> 00:28:48,410
+هذا الـ transport maximum
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/JLUGFMrGdhc_postprocess.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/JLUGFMrGdhc_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..934e04bac516e4dd87df23500f0b0f69ddeca628
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/JLUGFMrGdhc_postprocess.srt
@@ -0,0 +1,1544 @@
+1
+00:00:05,780 --> 00:00:12,280
+Okay اليوم ان شاء الله هنتكلم عن الجزء التاني من
+
+2
+00:00:12,280 --> 00:00:18,140
+ال urine formation وهو ال reabsorption احنا عندنا
+
+3
+00:00:18,140 --> 00:00:21,460
+ال urine formation بتكون من filtration,
+
+4
+00:00:22,140 --> 00:00:26,200
+reabsorption, secretion المخصص اللي بتدينا ايه ال
+
+5
+00:00:26,200 --> 00:00:29,720
+urine اليوم
+
+6
+00:00:29,720 --> 00:00:34,100
+هنتكلم عن جزئية ال reabsorption
+
+7
+00:00:39,080 --> 00:00:43,940
+في عندنا مبادئ عامة
+
+8
+00:00:43,940 --> 00:00:52,600
+نتكلم فيها في موضوع ال reabsorption وهي
+
+9
+00:00:52,600 --> 00:00:57,200
+النقطة الأولى ان ال tubular reabsorption is highly
+
+10
+00:00:57,200 --> 00:01:01,860
+selective بمعنى انه بتم ال reabsorption بتم ال
+
+11
+00:01:01,860 --> 00:01:07,160
+filtration لكن ال kidney reabsorbs what is needed
+
+12
+00:01:08,110 --> 00:01:12,230
+it is .. it selects the substances that are needed
+
+13
+00:01:12,230 --> 00:01:17,150
+for pre absorption مش أي مادة مش اي شئ نزل اذا
+
+14
+00:01:17,150 --> 00:01:21,770
+احنا بننزل كل شئ twenty percent من ال plasma بنزل
+
+15
+00:01:21,770 --> 00:01:26,530
+في الفترات بعد ال ..البروتينز اه و اللي نزل قعدت
+
+16
+00:01:26,530 --> 00:01:29,650
+بناخد اللي احنا بس عايزينه فال waste products احنا
+
+17
+00:01:29,650 --> 00:01:33,430
+مش عايزينها بتضل تلعب كمية كبيرة تمام؟ اذا
+
+18
+00:01:33,430 --> 00:01:38,750
+selectively reabsorption selectively selective
+
+19
+00:01:38,750 --> 00:01:42,510
+reabsorption بيصير ل ال different substances مش اي
+
+20
+00:01:42,510 --> 00:01:45,510
+substance اذا بنعمل reabsorption لل Sodium لل
+
+21
+00:01:45,510 --> 00:01:50,030
+Potassiumلل water ل ال glucose ل ال amino acids ل
+
+22
+00:01:50,030 --> 00:01:53,970
+ال proteins ل ال phosphates ل المجدر حسب برضه مش
+
+23
+00:01:53,970 --> 00:01:57,570
+selective معناها كله لأ حسب حاجة الجسم يعني هنا
+
+24
+00:01:57,570 --> 00:02:01,350
+بيصير عملية ايه في الكيلية in general regulation
+
+25
+00:02:01,350 --> 00:02:05,090
+احيانا ال regulation بيصير في ال in the proximal
+
+26
+00:02:05,090 --> 00:02:09,290
+tubule بس في معظم الأحوال ال regulation بتنفي ايه
+
+27
+00:02:09,290 --> 00:02:12,930
+في ال distal tubule يعني ال proximal tubule هي دي
+
+28
+00:02:12,930 --> 00:02:18,330
+عشان تصفي الحساب الرئيسي الكمية الأكبرال .. ال ..
+
+29
+00:02:18,330 --> 00:02:19,090
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+30
+00:02:19,090 --> 00:02:19,290
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+31
+00:02:19,290 --> 00:02:19,870
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+32
+00:02:19,870 --> 00:02:20,770
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+33
+00:02:20,770 --> 00:02:21,310
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+34
+00:02:21,310 --> 00:02:28,250
+.. ال .. ال ..
+
+35
+00:02:28,250 --> 00:02:31,170
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+36
+00:02:31,170 --> 00:02:31,290
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+37
+00:02:31,290 --> 00:02:31,470
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+38
+00:02:31,470 --> 00:02:31,510
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+39
+00:02:31,510 --> 00:02:33,750
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+40
+00:02:33,750 --> 00:02:46,330
+.. ال .. ال .. ال .. ال .. ال ..
+
+41
+00:02:46,440 --> 00:02:51,740
+الـ Glucose و الـ Amino Acids و بعض المواد Highly
+
+42
+00:02:51,740 --> 00:02:55,820
+Reabsorbed زي الصوديوموليكوليرايد والبايكربونيات و
+
+43
+00:02:55,820 --> 00:02:57,980
+Certain waste products such as azurea and
+
+44
+00:02:57,980 --> 00:03:01,860
+creatinine conversely are poorly reabsorbed from
+
+45
+00:03:01,860 --> 00:03:05,880
+the tubules and executed in relatively large
+
+46
+00:03:05,880 --> 00:03:09,720
+amounts لأنهم بصرفهم مش Reabsorption Therefore
+
+47
+00:03:12,610 --> 00:03:16,290
+باستخدام التحكم في مدى مدى مدى مدى مدى مدى مدى مدى
+
+48
+00:03:16,290 --> 00:03:16,810
+مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى
+
+49
+00:03:16,810 --> 00:03:23,450
+مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى
+
+50
+00:03:23,450 --> 00:03:23,770
+مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى
+
+51
+00:03:23,770 --> 00:03:24,190
+مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى
+
+52
+00:03:24,190 --> 00:03:26,550
+مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى
+
+53
+00:03:26,550 --> 00:03:31,510
+مدى
+
+54
+00:03:31,510 --> 00:03:40,350
+مدى مدى
+
+55
+00:03:40,350 --> 00:03:48,600
+مإذا ال transport in general احنا محتاجين عشان ال
+
+56
+00:03:48,600 --> 00:03:54,420
+reabsorption انه ال tubular filtrate the filtrate
+
+57
+00:03:54,420 --> 00:03:58,300
+which is inside the tubule now is called filtrate
+
+58
+00:03:58,300 --> 00:04:03,660
+تمام it's not urine yet يورين في الآخر هذا اسمه
+
+59
+00:04:03,660 --> 00:04:08,900
+filtrate the filtrate to be reabsorbed should
+
+60
+00:04:08,900 --> 00:04:14,750
+cross thethe tubular membrane crossing the tubular
+
+61
+00:04:14,750 --> 00:04:18,650
+membrane يما يكون transcellular يعني يعدي ال cell
+
+62
+00:04:18,650 --> 00:04:25,510
+او من ال cell to the interstitial fluid ثم الى ال
+
+63
+00:04:25,510 --> 00:04:32,590
+tubular capillaries او between cells intercellular
+
+64
+00:04:32,590 --> 00:04:37,260
+او paracellularبين الcells ها ال proximal tubule
+
+65
+00:04:37,260 --> 00:04:42,180
+لها مواصفات خاصة عندنا نتكلم عنها بين ال tubule ..
+
+66
+00:04:42,180 --> 00:04:45,300
+بين ال cell و ال cell في حاجة اسمها tight
+
+67
+00:04:45,300 --> 00:04:50,060
+junctions tight junctions الغريب في الموضوع ان ال
+
+68
+00:04:50,060 --> 00:04:53,180
+tight junctions ها اللي في ال proximal tubule are
+
+69
+00:04:53,180 --> 00:04:59,280
+leaky .. leaky يعني ما هماش tight هم junctions لكن
+
+70
+00:04:59,280 --> 00:05:03,220
+هم ايه؟ مش tight في ال distal tubule the tight
+
+71
+00:05:03,220 --> 00:05:07,490
+junctionis tied junction لكن في البروكسيمال تيبيول
+
+72
+00:05:07,490 --> 00:05:10,830
+الـ tied junction is not tied junction بيقدر يعد
+
+73
+00:05:10,830 --> 00:05:15,570
+منها الميه بيقدر يعد منها ال sodium و ال potassium
+
+74
+00:05:15,570 --> 00:05:21,910
+و ال chloride و ال magnesium و ال calcium مجموعة
+
+75
+00:05:21,910 --> 00:05:28,570
+كبيرة بتقدر تعد من ايه من ال tied junction حسب ال
+
+76
+00:05:28,570 --> 00:05:33,550
+interstitial fluid الموجود ليش بدي تنتبه بس ل
+
+77
+00:05:34,360 --> 00:05:40,120
+تركيبة الهنهن خلية هذه خلية من خلايا ال ال
+
+78
+00:05:40,120 --> 00:05:46,120
+proximal convertible هذا هن ال human هن ال ال
+
+79
+00:05:46,120 --> 00:05:49,600
+humaner ال humaner ال border او membrane of the
+
+80
+00:05:49,600 --> 00:05:55,060
+cells او لأنه عامل brush بيسميه brush border تمام؟
+
+81
+00:05:55,060 --> 00:05:59,120
+اذا هذا لما نقول the inner border او ال humaner
+
+82
+00:05:59,120 --> 00:06:04,660
+border او brush border نعني ايه؟وهنا عندنا tight
+
+83
+00:06:04,660 --> 00:06:08,480
+junction between the cells وهنا عندنا lateral
+
+84
+00:06:08,480 --> 00:06:14,680
+border وهنا basal borderلأنه زي ما انتوا شايفين ال
+
+85
+00:06:14,680 --> 00:06:18,060
+tie junction بياخد جزء بس من ال lateral border و
+
+86
+00:06:18,060 --> 00:06:22,680
+الجزء التاني free ففي عندها ال basolateral
+
+87
+00:06:22,680 --> 00:06:26,760
+membrane زي بعض بنسمي دايما basolateral membrane
+
+88
+00:06:26,760 --> 00:06:29,320
+ليش؟ لأن ال lateral membrane فاتح ال interstitial
+
+89
+00:06:29,320 --> 00:06:32,260
+fluid و ال basal membrane فاتح ال interstitial
+
+90
+00:06:32,260 --> 00:06:36,560
+fluid تمام؟ فلذلك لما نتكلم عن ال mechanisms اللي
+
+91
+00:06:36,560 --> 00:06:39,460
+بتصير في الجهة الأخرى نتكلم على أشياء بتصير في ال
+
+92
+00:06:39,460 --> 00:06:42,770
+basolateral membraneلذلك لما يكون هنا التغيرات في
+
+93
+00:06:42,770 --> 00:06:46,590
+الـ Interstitial Fluid هنا هنزاد الـ Osmolality
+
+94
+00:06:46,590 --> 00:06:51,510
+مثلا لسبب من الأسباب بسهولة الـ tight junction هذه
+
+95
+00:06:51,510 --> 00:06:56,130
+ماهياش tight فبقدر بدل ما يشي يعدى عبر ال cells و
+
+96
+00:06:56,130 --> 00:07:00,050
+يتعدي عبر الالـ other wall to the interstitial
+
+97
+00:07:00,050 --> 00:07:04,670
+fluid ممكن تعدي من ال touch junction مباشرة، واضح؟
+
+98
+00:07:04,670 --> 00:07:08,870
+إذا طبيعي تركيبة الـ A اللي هنا، نتكلم عنها إذا في
+
+99
+00:07:08,870 --> 00:07:12,470
+عندنا السلب، brush border، basolateral membrane،
+
+100
+00:07:12,470 --> 00:07:15,150
+interstitial fluid، هنا مفترض أنه في basement
+
+101
+00:07:15,150 --> 00:07:18,710
+membrane، بنشوفه في الصور تانية، هنا في المنطقة
+
+102
+00:07:18,710 --> 00:07:21,930
+هذه في basement membrane، بعد ال basement من برا،
+
+103
+00:07:21,930 --> 00:07:24,190
+بيجيه ال interstitial fluid من جديد، و ال
+
+104
+00:07:24,190 --> 00:07:35,940
+capillaries، تمام؟طيب نرجع تاني لإيه ال ..
+
+105
+00:07:35,940 --> 00:07:41,020
+ال .. ال roots of entry is يعني إما transcellular
+
+106
+00:07:41,020 --> 00:07:46,340
+يا إما parascellular أو intercellular up mean ..
+
+107
+00:07:46,340 --> 00:07:51,580
+which is not tight in the distal tubule it is
+
+108
+00:07:51,580 --> 00:07:59,120
+tight بعد منها هتروحمن ال cells هذه حتى صار في
+
+109
+00:07:59,120 --> 00:08:03,560
+الأخر capillary network which surrounds الايه ال
+
+110
+00:08:03,560 --> 00:08:07,320
+tubule اسمها peritubular capillary network تمام؟
+
+111
+00:08:07,320 --> 00:08:15,880
+عيب ال
+
+112
+00:08:15,880 --> 00:08:20,360
+transport
+
+113
+00:08:20,360 --> 00:08:27,400
+that occurs here in the proximal tubule عبر العبر
+
+114
+00:08:27,400 --> 00:08:30,460
+ال cells عبر ال يعني to .. to .. to .. to cross
+
+115
+00:08:30,460 --> 00:08:36,260
+the .. the .. the cells to the interstitium the
+
+116
+00:08:36,260 --> 00:08:39,300
+process of reabsorption the .. the transport
+
+117
+00:08:39,300 --> 00:08:42,700
+mechanism من اليوم إلى ال .. إلى ال interstitium
+
+118
+00:08:42,700 --> 00:08:44,520
+يقولنا يا إما عبر ال cell يا إما عبر ال tide
+
+119
+00:08:44,520 --> 00:08:50,220
+junction هذا بياخد two types of إيه؟ of transport
+
+120
+00:08:50,220 --> 00:08:55,360
+يا إما active transport يا إما passive transport
+
+121
+00:08:55,360 --> 00:09:01,140
+تمام؟اكتف تختول اكتف التعييل ال active transport
+
+122
+00:09:01,140 --> 00:09:05,120
+مرة تكون primary active و مرة تكون secondary
+
+123
+00:09:05,120 --> 00:09:11,940
+active ال primary active هنا نموذج تبعنا ال sodium
+
+124
+00:09:11,940 --> 00:09:15,740
+-potassium ATPase enzyme بيعمل active reabsorption
+
+125
+00:09:15,740 --> 00:09:18,320
+او active transport of sodium البوتاسيوم على ال
+
+126
+00:09:18,320 --> 00:09:23,060
+mesolateral membrane تمام هذا ال active transport
+
+127
+00:09:23,060 --> 00:09:28,350
+على ال mesolateral membraneهدا هو بيقدّي إلى إنه
+
+128
+00:09:28,350 --> 00:09:32,190
+ال concentration of sodium في داخل ال cells بينخفض
+
+129
+00:09:32,190 --> 00:09:38,370
+تمام؟ بيساعد إنه إنه ال sodium يدخل من اليوم إلى
+
+130
+00:09:38,370 --> 00:09:43,130
+ال cells ليش؟ لإنه الكمية اللي بتدخل أول إشي أول
+
+131
+00:09:43,130 --> 00:09:46,290
+إشي already عندنا ال concentration of sodium في ال
+
+132
+00:09:46,290 --> 00:09:50,850
+filtrate 142 أو حيث كده في حين إنه ال
+
+133
+00:09:50,850 --> 00:09:53,450
+concentration في داخل ال cells 12
+
+134
+00:09:55,620 --> 00:10:04,800
+في داخل ال cells اتناش عامل equivalent اربعتاش
+
+135
+00:10:04,800 --> 00:10:08,540
+اربعتاش اربعتاش اربعتاش
+
+136
+00:10:08,540 --> 00:10:10,320
+اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش
+
+137
+00:10:10,320 --> 00:10:10,380
+اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش
+
+138
+00:10:10,380 --> 00:10:12,480
+اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش
+
+139
+00:10:12,480 --> 00:10:12,820
+اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش
+
+140
+00:10:12,820 --> 00:10:12,840
+اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش
+
+141
+00:10:12,840 --> 00:10:13,220
+اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش
+
+142
+00:10:13,220 --> 00:10:23,220
+اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش
+
+143
+00:10:23,220 --> 00:10:28,350
+اربيصير rapid transport إلى داخل ال cells تمام؟
+
+144
+00:10:28,350 --> 00:10:34,130
+وفي عندي carrier proteins موجودين على ال luminal
+
+145
+00:10:34,130 --> 00:10:38,630
+border بيعمل facilitate ال diffusion إذا عندي تلت
+
+146
+00:10:38,630 --> 00:10:43,210
+حاجات مهمينها ال electrochemical gradient و ال
+
+147
+00:10:43,210 --> 00:10:46,110
+carrier proteins بيساعدوا على انتقال الصوديم إلى
+
+148
+00:10:46,110 --> 00:10:48,670
+الداخل انتقل الصوديم إلى الداخل صار ال
+
+149
+00:10:48,670 --> 00:10:50,890
+concentration دوة جوا ال cells زي ال concentration
+
+150
+00:10:50,890 --> 00:10:54,720
+برا ال cells اتوقف لإيه؟الـ transport مش كده ال
+
+151
+00:10:54,720 --> 00:10:59,580
+diffusion اتوقف لكن ال ..الـ Bombing System to the
+
+152
+00:10:59,580 --> 00:11:03,120
+outside to the interstitial fluid by the
+
+153
+00:11:03,120 --> 00:11:07,000
+basolateral membrane ATPase enzymes أو Bombing
+
+154
+00:11:07,000 --> 00:11:13,600
+System will preserve
+
+155
+00:11:13,600 --> 00:11:17,540
+the low concentration of sodium inside the egg
+
+156
+00:11:17,540 --> 00:11:21,520
+هيحافظ على low sodium concentration في داخل السلسل
+
+157
+00:11:21,520 --> 00:11:24,660
+وهيخلى ال flow of sodium لايتوقف
+
+158
+00:11:26,980 --> 00:11:30,900
+إذاً هذا على ال basolateral قولنا هذا active
+
+159
+00:11:30,900 --> 00:11:37,860
+transport لإنه using energy ATP is used for energy
+
+160
+00:11:37,860 --> 00:11:42,940
+production طيب اللي عدى تو من اليوم لداخل السلها
+
+161
+00:11:42,940 --> 00:11:48,100
+ده عدى passive مش كده عدى passive passive
+
+162
+00:11:48,100 --> 00:11:52,360
+diffusion أو facilitated diffusion إذا عدى عبر ال
+
+163
+00:11:53,270 --> 00:11:57,510
+الـ carrier فهو passive diffusion، إذا عد عبر ال
+
+164
+00:11:57,510 --> 00:12:00,870
+tie junction فهو .. يقول إن هذا facilitated عبر ال
+
+165
+00:12:00,870 --> 00:12:03,970
+protein carrier، إذا عبر ال tie junction فهو
+
+166
+00:12:03,970 --> 00:12:07,470
+passive diffusion حتى من غير ايه؟ facilitation و
+
+167
+00:12:07,470 --> 00:12:10,970
+ممكن يعد عبر ال cell ب low diffusion rate من غير
+
+168
+00:12:10,970 --> 00:12:16,810
+.. من غير carrier proteins برضه passive
+
+169
+00:12:20,070 --> 00:12:24,470
+والأساس في انتقاله عن active process يعني ال
+
+170
+00:12:24,470 --> 00:12:29,230
+active هي اللي شدته لنفس ال ion لنفس ال cation
+
+171
+00:12:29,230 --> 00:12:35,790
+فإذا لازم نعتبره primary active
+
+172
+00:12:35,790 --> 00:12:38,870
+transport
+
+173
+00:12:38,870 --> 00:12:43,810
+لأن هو اللي اتخذ هناك شد وراهده هو ال process نفس
+
+174
+00:12:43,810 --> 00:12:47,510
+ال protein في حين انه نفس الكلام ممكن يصير لجلوكوز
+
+175
+00:12:47,510 --> 00:12:51,650
+او ل minor acids لكنه ال primary mechanism of
+
+176
+00:12:51,650 --> 00:12:55,270
+transport مش لجلوكوز ده ال sodium تمام فبنسميه
+
+177
+00:12:55,270 --> 00:12:59,610
+secondary active تمام واضح يعني جصد انا اقول على
+
+178
+00:12:59,610 --> 00:13:03,270
+ال pesolateral active واضح لكن على ال brush border
+
+179
+00:13:03,270 --> 00:13:09,080
+passiveلكنه بما انه ال passive هذا نفس ال ion تبع
+
+180
+00:13:09,080 --> 00:13:11,620
+ال ion اللي هو بسبب ال ion اللي هو actively
+
+181
+00:13:11,620 --> 00:13:14,060
+reabsorbed على الجهة الأخرى إذا بنعتبر ال process
+
+182
+00:13:14,060 --> 00:13:17,900
+كلها ايه؟ active transport على الجهتين لكنها جزء
+
+183
+00:13:17,900 --> 00:13:20,920
+منها secondary active transport قولنا في عندنا ليش
+
+184
+00:13:20,920 --> 00:13:25,320
+career system؟ عشان هو داخل وهذا النظام الموجود ان
+
+185
+00:13:25,320 --> 00:13:29,020
+هو داخل يحمل معنات تانية هو أساسا الفكرة مش أنه
+
+186
+00:13:29,020 --> 00:13:31,540
+بدنا ال sodium يدخل و البوتاسيو يدخل ان هدول
+
+187
+00:13:31,540 --> 00:13:35,600
+الواصلة يدخل ال ايه؟ to selectإذا هذا ال carrier
+
+188
+00:13:35,600 --> 00:13:40,640
+بيدخل Sodium زي كل ال carriers لكنه الجهة التانية
+
+189
+00:13:40,640 --> 00:13:45,760
+منه chloride الجهة التانية منه glucose الجهة
+
+190
+00:13:45,760 --> 00:13:51,980
+التانية منه amino acids في الغالب اللي بيحمل amino
+
+191
+00:13:51,980 --> 00:13:56,200
+acids مش هو اللي بيحمل glucose مش هو يعني
+
+192
+00:13:56,200 --> 00:13:59,040
+specificity في ال .. في ال .. في ال .. في ال
+
+193
+00:13:59,040 --> 00:14:03,330
+carriersتمام؟ لكن ال chloride مرات بنحمل معاهم
+
+194
+00:14:03,330 --> 00:14:06,510
+Sodium و chloride مع ال glucose Sodium و chloride
+
+195
+00:14:06,510 --> 00:14:09,870
+مع ال amino acids لذلك في ال .. في ال proximal
+
+196
+00:14:09,870 --> 00:14:14,690
+tubule هذه الطويلة أولها ال glucose و ال amino
+
+197
+00:14:14,690 --> 00:14:18,870
+acids are transported rapidly من ال filtrate إلى
+
+198
+00:14:18,870 --> 00:14:24,130
+داخل ال .. ال cells أو ال interstitium بعد شوية
+
+199
+00:14:24,130 --> 00:14:27,330
+بيصيروا لهم complete reabsorption الجزء الأخير من
+
+200
+00:14:27,330 --> 00:14:32,260
+ال .. من ال tubuleمن ال proximal TPU الجزء الأخير
+
+201
+00:14:32,260 --> 00:14:36,380
+في عند الكاريارز و ال sodium channels و الدنيا
+
+202
+00:14:36,380 --> 00:14:40,200
+شغالة لكن خلصت ال soda ال ايه ال glucose و ال ايه
+
+203
+00:14:40,200 --> 00:14:44,420
+و ال minuses هنا بينفرد ال ايه ال chloride بأنه
+
+204
+00:14:44,420 --> 00:14:48,460
+لحاله بيطلع طبعا في الجزء التاني اذا ال chloride
+
+205
+00:14:48,460 --> 00:14:52,180
+بينفرد بال ايه بالانتقال اللي كان ينتقل معاهم في
+
+206
+00:14:52,180 --> 00:14:56,180
+المرة الأولى كانوا بيزحموه بيخلوه ماينتقلش كاملا
+
+207
+00:14:56,470 --> 00:15:01,010
+لكن هم طبيعتهم ان هم are reabsorbed completely
+
+208
+00:15:01,010 --> 00:15:04,670
+فالجزء الأخير بيكون فيه عنده career system لكن
+
+209
+00:15:04,670 --> 00:15:07,770
+بيستخدموا ويستخدموا لإيه فقط لل chloride
+
+210
+00:15:16,240 --> 00:15:20,400
+في عندي كذا pumping system لل primary transport
+
+211
+00:15:20,400 --> 00:15:26,000
+الأشهر طبعا قاطبة هو ال sodium potassium ال TBS في
+
+212
+00:15:26,000 --> 00:15:29,960
+عندي hydrogen pump hydrogen pump هلاجيه وين ال
+
+213
+00:15:29,960 --> 00:15:34,240
+hydrogen pump هذا هلاجيه في ال distal tubule اه
+
+214
+00:15:34,240 --> 00:15:43,060
+انا بتكلم هنا فين انا بتكلم على الكل يعني هلاجيه
+
+215
+00:15:43,060 --> 00:15:47,970
+وين في ال distal tubuleوين في ال distal tubule في
+
+216
+00:15:47,970 --> 00:15:50,290
+ال intercalated عند ال distal tubule تنقسم لأنه
+
+217
+00:15:50,290 --> 00:15:54,130
+عيب من ال cells cells principal cells و
+
+218
+00:15:54,130 --> 00:15:57,650
+intercalated cells أهلا جيه في ال intercalated
+
+219
+00:15:57,650 --> 00:16:02,030
+cells إيش أعرفكوا؟ أخدتوا وين؟ في ال transport
+
+220
+00:16:02,030 --> 00:16:05,490
+يعني أه أه طيب ماشي ماشي ماشي إذا أنا مغلمش حالة
+
+221
+00:16:05,490 --> 00:16:09,890
+إذا عند hydrogen potassium ATPase و Sodium
+
+222
+00:16:09,890 --> 00:16:14,090
+potassium ATPase ال hydrogen potassium ATPase وين
+
+223
+00:16:14,090 --> 00:16:20,500
+موجود هذا؟برضه فى ال intercalated cells فى ال
+
+224
+00:16:20,500 --> 00:16:24,440
+intercalated و فى ال principle بس mainly فى ال
+
+225
+00:16:24,440 --> 00:16:28,940
+intercalated و فى عنه ال calcium ATPase system وين
+
+226
+00:16:28,940 --> 00:16:37,580
+موجود؟ في ال thick ascending في ال thick ascending
+
+227
+00:16:37,580 --> 00:16:44,640
+ايه ال M و موجود برضه فى ال distalإذا في عندي هان
+
+228
+00:16:44,640 --> 00:16:47,800
+system
+
+229
+00:16:47,800 --> 00:16:52,660
+موجود هنا الأنواع ضحيه ال ال ال proximal tubular
+
+230
+00:16:52,660 --> 00:16:57,700
+cells brush border intense brush border على اليمنى
+
+231
+00:16:57,700 --> 00:17:01,760
+ال side ال basolateral ال basal برضه في brush
+
+232
+00:17:01,760 --> 00:17:05,740
+border بس مش مش بالكثافة الموجودة في اه طبعا بديلي
+
+233
+00:17:05,740 --> 00:17:10,520
+surface area لل transportإن كان على الجهة ده أو
+
+234
+00:17:10,520 --> 00:17:13,320
+الجهة دي عالي هو هذا بيدينا الكفاءة اللي بتشتغل
+
+235
+00:17:13,320 --> 00:17:20,540
+فيها ال proximal convoluted tubules واضح أنه ال ال
+
+236
+00:17:20,540 --> 00:17:24,900
+ال basal و ال lateral borders the same يعني ال
+
+237
+00:17:24,900 --> 00:17:28,180
+pumping system موجود هنا و هنا التانين مكشوفين
+
+238
+00:17:28,180 --> 00:17:32,680
+لمين لل interstitial fluid طب إذا كنت بيسميه one
+
+239
+00:17:32,680 --> 00:17:36,080
+membrane مثلا basolateral membrane و خلاص واضح أن
+
+240
+00:17:36,080 --> 00:17:41,060
+الصوديو ممكن يخش عبر ال aالـ Trans Cellular Route
+
+241
+00:17:41,060 --> 00:17:45,060
+و عبر ال ايه؟ و ال water نفس الكلام بيقدر يعدى عبر
+
+242
+00:17:45,060 --> 00:17:47,520
+ال Trans Cellular Route و عبر ال Parallel Cellular
+
+243
+00:17:47,520 --> 00:18:00,900
+Route لذا
+
+244
+00:18:00,900 --> 00:18:04,880
+قولنا عندنا Electrochemical Gradient بالاضافة لو
+
+245
+00:18:04,880 --> 00:18:10,360
+وجودإذا هدول بيساعدوا ال sodium إنه ينتقل مش هيك؟
+
+246
+00:18:10,360 --> 00:18:13,620
+Electrochemical gradient ويحافظ على ال chemical
+
+247
+00:18:13,620 --> 00:18:16,560
+gradient هذه ال .. ال concentration gradient عن ال
+
+248
+00:18:16,560 --> 00:18:18,500
+chemical gradient .. اللي هو ال bombing system مش
+
+249
+00:18:18,500 --> 00:18:23,320
+كده؟ أه طب غير هيك في أشياء إضافية إنه عندي ..
+
+250
+00:18:23,320 --> 00:18:30,220
+عندي ال .. ال .. ال transport surface surface area
+
+251
+00:18:30,220 --> 00:18:35,230
+big بسبب إيش؟بسبب ال brush border لدرجة انه ال
+
+252
+00:18:35,230 --> 00:18:40,530
+surface هذا بيتضاعف عشرين مرة بسبب ايه ال brush
+
+253
+00:18:40,530 --> 00:18:45,610
+border بالاضافة
+
+254
+00:18:45,610 --> 00:18:48,250
+لووجود ال proteins اذا ال proteins brush border
+
+255
+00:18:48,250 --> 00:18:52,090
+واسع ال surface area واسعة وعندي electrochemical
+
+256
+00:18:52,090 --> 00:18:55,050
+gradient فال electrochemical gradient بكل ارياحية
+
+257
+00:18:55,050 --> 00:19:03,080
+انتقال واسع كبير غير محدود تمامهذا ايه ال primary
+
+258
+00:19:03,080 --> 00:19:07,460
+active transport الكلام اللي قلناه هذا من شوية
+
+259
+00:19:07,460 --> 00:19:12,240
+هلجيت عنده .. هنرجعله كلام يعني ليش قلنا مواصفات
+
+260
+00:19:12,240 --> 00:19:19,320
+ال ال membrane و ركزنا عليها ركزنا عليها لإنه
+
+261
+00:19:19,320 --> 00:19:26,020
+عندنا ال sodium هذا انتقاله من اليمن إلى خارج ال
+
+262
+00:19:26,020 --> 00:19:34,720
+tubule unlimitedunlimited طبعا يعني مالهاش فترة
+
+263
+00:19:34,720 --> 00:19:38,260
+مديوش علينا فترة في ال proximal tubule نقول والله
+
+264
+00:19:38,260 --> 00:19:42,120
+احنا مش قادرين امتصاص الصوديوم اكتر من هيك طبعا لأ
+
+265
+00:19:42,120 --> 00:19:46,160
+الطاقة اللى موجودة عندنا لمتصاص الصوديوم عالية لإن
+
+266
+00:19:46,160 --> 00:19:49,760
+فى مواد تانية اللى حاجة بيسموها transport maximum
+
+267
+00:19:49,760 --> 00:19:54,320
+طبعا اذا ال level معين لاتزيد عنه transport
+
+268
+00:19:54,320 --> 00:19:59,000
+maximum برضه أخدتوها مش هيكطيب كويس أمشي عنه
+
+269
+00:19:59,000 --> 00:20:03,000
+بصراحة، طيب، secondary electro transport قولنا هذا
+
+270
+00:20:03,000 --> 00:20:09,940
+بأن مطابق على مواد أخرى بتساعدنا .. بتساعدنا ال
+
+271
+00:20:09,940 --> 00:20:15,140
+sodium pumping system أو ال sodium pumping system
+
+272
+00:20:15,140 --> 00:20:18,700
+على الطرف البيئة اليمنى ال brush border بيساعدنا
+
+273
+00:20:18,700 --> 00:20:24,210
+ال .. ال carriers في إيه؟ في انتقالهاإذن ال energy
+
+274
+00:20:24,210 --> 00:20:29,150
+أساسا ما تفقدتش من أجل ال glucose من أجل الصوديوم
+
+275
+00:20:29,150 --> 00:20:35,850
+لكن الصوديوم داخل أخدها معاه هذا بيسمي co
+
+276
+00:20:35,850 --> 00:20:40,650
+-transport أو ممكن يكون a counter transport و
+
+277
+00:20:40,650 --> 00:20:44,150
+الصوديوم داخل طلع مادة تانية اللي بيسمي counter
+
+278
+00:20:44,150 --> 00:20:47,510
+transport و هذا بيصير في ال proximal tubule مع
+
+279
+00:20:47,510 --> 00:20:51,790
+مين؟ مع الهيدروجين و هان .. هان في ال proximal
+
+280
+00:20:51,790 --> 00:20:55,260
+tubuleالهيدروجين في ال counter-transport دوره
+
+281
+00:20:55,260 --> 00:21:00,840
+علشان يساعد ال reabsorption of ايه؟ of بيكربونيت
+
+282
+00:21:00,840 --> 00:21:06,820
+هذه ماخدتهاش طيب اذا ال sodium لما بيطلع secreted
+
+283
+00:21:06,820 --> 00:21:09,400
+في ال proximal convoluted tubule by counter
+
+284
+00:21:09,400 --> 00:21:14,580
+-transport اه it will react with the بيكربونيت and
+
+285
+00:21:14,580 --> 00:21:19,080
+convert it to ايه؟ to carbonic acid ال carbonic
+
+286
+00:21:19,080 --> 00:21:22,620
+acid هذاوالـ dissociate إلى carbon dioxide and
+
+287
+00:21:22,620 --> 00:21:26,680
+water تمام ال water is reabsorbed easily و ال
+
+288
+00:21:26,680 --> 00:21:29,260
+carbon dioxide is reabsorbed و ال diffuse is
+
+289
+00:21:29,260 --> 00:21:34,020
+freely لا يتوقف ال oxygen و ال carbon dioxide can
+
+290
+00:21:34,020 --> 00:21:37,980
+cross membranes without limits مش كده إذا صارت
+
+291
+00:21:37,980 --> 00:21:41,760
+water reabsorbing كبسيه تبعتها عالي جدا following
+
+292
+00:21:41,760 --> 00:21:48,990
+ال sodium و ال chloride و الالكربون ديوسايد وهو
+
+293
+00:21:48,990 --> 00:21:53,470
+الهيدروجين السكريشين لإعادة إعادة إعادة إعادة
+
+294
+00:21:53,470 --> 00:21:55,150
+إعادة إعادة إعادة إعادة إعادة إعادة إعادة إعادة
+
+295
+00:21:55,150 --> 00:21:56,370
+إعادة إعادة إعادة إعادة إعادة إعادة إعادة إعادة
+
+296
+00:21:56,370 --> 00:22:05,870
+إعادة إعادة
+
+297
+00:22:05,870 --> 00:22:09,930
+إعادة
+
+298
+00:22:09,930 --> 00:22:10,670
+إعادة
+
+299
+00:22:20,350 --> 00:22:25,890
+النقطة التالتة إذا قلنا عنها simple diffusion و
+
+300
+00:22:25,890 --> 00:22:29,530
+active transport primary و secondary و النقطة
+
+301
+00:22:29,530 --> 00:22:33,730
+التالتة penocytosis و ال penocytosis is a type of
+
+302
+00:22:33,730 --> 00:22:38,830
+active transport ليش؟ لإنه it uses energy during
+
+303
+00:22:38,830 --> 00:22:43,970
+its completion
+
+304
+00:22:43,970 --> 00:22:49,690
+لإن في عندي هيصير penocytosis بمعنى إنهالمواد اللي
+
+305
+00:22:49,690 --> 00:22:54,610
+أكبر شوية من ال .. ال pores اللي موجودة في ال ..
+
+306
+00:22:54,610 --> 00:22:59,210
+في ال cells تمام؟ و أكبر شوية من أنها تنحمل على
+
+307
+00:22:59,210 --> 00:23:03,790
+carrier فبيصير تنحمل من خلال أنها penocytosis
+
+308
+00:23:03,790 --> 00:23:07,950
+بالذات ال .. ال .. ال small proteins هذه اللياللي
+
+309
+00:23:07,950 --> 00:23:12,210
+بيصيلها filtration minimal trace amounts تمام؟ هذه
+
+310
+00:23:12,210 --> 00:23:15,390
+مابتنزلش في ال urine لأ بتعودي لها reabsorption عن
+
+311
+00:23:15,390 --> 00:23:18,810
+طريق ال ايه؟ Penocytosis ال penocytosis ال protein
+
+312
+00:23:18,810 --> 00:23:24,490
+will attach to specific sites على ال ال brush
+
+313
+00:23:24,490 --> 00:23:29,310
+border تمام؟ then there will be invagination IOTOS
+
+314
+00:23:29,310 --> 00:23:33,810
+and it will be pinched out of the membrane to make
+
+315
+00:23:33,810 --> 00:23:36,980
+a vesicle inside the acetyl plasmaهذا الفيزيوكليزم
+
+316
+00:23:36,980 --> 00:23:42,580
+يتعامل مع الانزينات العزوزومال والبروتوليسيس ستحدث
+
+317
+00:23:42,580 --> 00:23:47,020
+وستحصل على أماينو أسيد مرة أخرى وأماينو أسيد
+
+318
+00:23:47,020 --> 00:23:53,720
+ستتعامل مع أماينو أسيد مثل أماينو أسيد مختلفة مثل
+
+319
+00:23:53,720 --> 00:23:59,860
+أماينو أسيد مختلفة مثل أماينو أسيدglucose
+
+320
+00:23:59,860 --> 00:24:03,640
+concentrated will move by diffusion اذا الفكرة ان
+
+321
+00:24:03,640 --> 00:24:06,800
+ال sodium على ال basolateral membrane لان عشان
+
+322
+00:24:06,800 --> 00:24:11,480
+نفهمها كلها واضحة هجيبلكوا الصورة الصورة هادي انها
+
+323
+00:24:11,480 --> 00:24:18,810
+بتكون كويسة اذا الان هد basolateral membraneهذا ال
+
+324
+00:24:18,810 --> 00:24:21,970
+brush border وهذا بيزولاترا الممبرين تمام ال
+
+325
+00:24:21,970 --> 00:24:25,830
+sodium pumping system شغال طلع sodium ال sodium
+
+326
+00:24:25,830 --> 00:24:30,780
+concentration داخل ال cell بيظل واطيبالرغم من ال
+
+327
+00:24:30,780 --> 00:24:33,860
+ايه اللي بيدخل ال career system ال
+
+328
+00:24:33,860 --> 00:24:36,100
+electronegativity و ال brush border بدي فرصة
+
+329
+00:24:36,100 --> 00:24:38,680
+لصوديوم كتير يدخل و يدخل معاه ال glucose و ال
+
+330
+00:24:38,680 --> 00:24:42,740
+amino acids ال glucose و ال amino acids هدول دخلوا
+
+331
+00:24:42,740 --> 00:24:46,480
+by facilitation of the ايه of the career system
+
+332
+00:24:46,480 --> 00:24:50,020
+هذا ال facilitation of career system مش موجود
+
+333
+00:24:50,660 --> 00:24:54,320
+بيقدروش يرجعوا من خلاله هذا بس بتفحقهم للداخل اللي
+
+334
+00:24:54,320 --> 00:24:56,780
+انا عندي high concentration of glucose و high
+
+335
+00:24:56,780 --> 00:24:59,000
+concentration of aminoacids they will diffuse
+
+336
+00:24:59,000 --> 00:25:01,920
+passively to the a interstitial fluid لإن ال
+
+337
+00:25:01,920 --> 00:25:04,740
+interstitial fluid في low concentration of glucose
+
+338
+00:25:04,740 --> 00:25:08,180
+and aminoacids تمام؟ اذا ال sodium بيركزهم داخل ال
+
+339
+00:25:08,180 --> 00:25:11,900
+cells و بعدين هم هم هم هم هم هم هم هم هم هم هم هم
+
+340
+00:25:11,900 --> 00:25:12,080
+هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم
+
+341
+00:25:12,080 --> 00:25:16,100
+هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم
+
+342
+00:25:16,100 --> 00:25:16,180
+هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم
+
+343
+00:25:16,180 --> 00:25:20,280
+هم ه
+
+344
+00:25:20,940 --> 00:25:26,700
+اللي موجود تمام فيه low glucose و low amino acids
+
+345
+00:25:26,700 --> 00:25:29,860
+اذا ذلك هيدخل عندنا session of ulcerative colitis
+
+346
+00:25:29,860 --> 00:25:33,780
+ويرجعوا في ال ايه من اول و جديد في الدم مثلا دخلوا
+
+347
+00:25:33,780 --> 00:25:37,480
+ال filtrate و عاودوا رجعوا كل هيتهم لكن طريق اللي
+
+348
+00:25:37,480 --> 00:25:45,880
+بدنا نشيه خلنا ايه يظل طالع تفضلي دخلوا
+
+349
+00:25:45,880 --> 00:25:49,020
+مع ال sodium دخلوا صاروا داخل ال cells مع ال
+
+350
+00:25:49,020 --> 00:25:55,620
+sodiumتكاثر وجودهم، علي تركيزهم، صار التركيز
+
+351
+00:25:55,620 --> 00:25:58,960
+العالي هذا، صار بيعملوا simple diffusion للإيه؟
+
+352
+00:25:58,960 --> 00:26:02,580
+للـ interstitial fluid، okay؟ إذا البيزولات
+
+353
+00:26:02,580 --> 00:26:07,300
+المنبراين محتاجين
+
+354
+00:26:07,300 --> 00:26:12,580
+إيه؟ إلى carrier system، إذا هان بعد ما تم الأمر
+
+355
+00:26:12,580 --> 00:26:17,290
+بدخله، صار high concentration، فبطلعوامن خلال
+
+356
+00:26:17,290 --> 00:26:22,250
+channels خاصة لكن التركيز الموجود بيسمحي لهم انهم
+
+357
+00:26:22,250 --> 00:26:25,530
+ايه to diffuse out of the ايه of the cell
+
+358
+00:26:25,530 --> 00:26:31,730
+penocytosis
+
+359
+00:26:31,730 --> 00:26:35,590
+انظر نوضحها ال transport maximum تقوى انا جيب
+
+360
+00:26:35,590 --> 00:26:40,430
+سيرته بعدين في عندى career system معناه ال career
+
+361
+00:26:40,430 --> 00:26:45,830
+system هذا هيديني ال limitال career system مش
+
+362
+00:26:45,830 --> 00:26:49,570
+مفتوح لإيه إلى ما لنهاية مثلا في عند career system
+
+363
+00:26:49,570 --> 00:26:54,390
+عبارة عن proteins و إيش و enzymes إذا ال career
+
+364
+00:26:54,390 --> 00:26:58,230
+system facilitation protein career protein و إيه
+
+365
+00:26:58,230 --> 00:27:05,270
+enzymes التانين هدول اللي مطاقة في النقل إذا وصلنا
+
+366
+00:27:05,270 --> 00:27:10,100
+ل maximumtransport ability for this career system
+
+367
+00:27:10,100 --> 00:27:14,100
+تمام بيصير عند الأشياء الموجودة في ال human بتقدرش
+
+368
+00:27:14,100 --> 00:27:18,680
+تنجل إلى داخل ال cell أو إلى ال interstitium هتبقى
+
+369
+00:27:18,680 --> 00:27:23,180
+طالع إلى الخارج وهذا اللي بيحصل في ال diabetes من
+
+370
+00:27:23,180 --> 00:27:28,360
+ال litus في حالات ايه مرض السكري انه ال glucose
+
+371
+00:27:28,360 --> 00:27:34,120
+اللي صار عمل filtration كبير لإن السكر عندنا في
+
+372
+00:27:34,120 --> 00:27:38,400
+الدم عاليفبيقدر الى اني عندى high glucose
+
+373
+00:27:38,400 --> 00:27:43,480
+concentration above طبعا طول ما هو أجال من ال
+
+374
+00:27:43,480 --> 00:27:47,860
+limit تبع ال transport maximum مش هيظهر بوضوح فى
+
+375
+00:27:47,860 --> 00:27:51,460
+البول لكن هو اسمه على فكرة ده باسم ليس البول
+
+376
+00:27:51,460 --> 00:27:57,900
+السكري وانتبهوله لما لجوا انه الدبان بينزل على هذا
+
+377
+00:27:57,900 --> 00:28:00,520
+البول فجالوا ليش الدبان بينزل على هذا البول و ليش
+
+378
+00:28:00,520 --> 00:28:07,970
+على غيره ماعنى دجوا لجوا حلو تمام؟و .. و هذا من
+
+379
+00:28:07,970 --> 00:28:10,710
+أيام البنسينة على فكرة معروف ال diabetes من أيام
+
+380
+00:28:10,710 --> 00:28:17,070
+البنسينة فده جوي يعني مش مشكلة اذا في عندي انا سكر
+
+381
+00:28:17,070 --> 00:28:21,550
+زاد عن طاقة اللي هي ال .. ال transport system ال
+
+382
+00:28:21,550 --> 00:28:27,970
+facilitation by the carriers لما نصل لإنه بطل ال
+
+383
+00:28:27,970 --> 00:28:35,710
+kidney تقدر تاخد anymoreيعني احنا لو علينا السكر
+
+384
+00:28:35,710 --> 00:28:42,190
+جزء منه يمتص وجزء طلع علينا كمان جزء أكبر يمتص
+
+385
+00:28:42,190 --> 00:28:47,190
+وجزء طلع علينا كمان خلاص كل اللي عيلي طلع بنقول بس
+
+386
+00:28:47,190 --> 00:28:48,410
+هذا ال transport maximum
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/JLUGFMrGdhc_raw.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/JLUGFMrGdhc_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..8c806cb00a5daed1c1ec0a811643bf4c3063a982
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/JLUGFMrGdhc_raw.srt
@@ -0,0 +1,1556 @@
+1
+00:00:05,780 --> 00:00:12,280
+Okay اليوم ان شاء الله هنتكلم عن الجزء التاني من
+
+2
+00:00:12,280 --> 00:00:18,140
+ال urine formation وهو ال reabsorption احنا عندنا
+
+3
+00:00:18,140 --> 00:00:21,460
+ال urine formation بتكون من filtration,
+
+4
+00:00:22,140 --> 00:00:26,200
+reabsorption, secretion المخصص اللي بتدينا ايه ال
+
+5
+00:00:26,200 --> 00:00:29,720
+urine اليوم
+
+6
+00:00:29,720 --> 00:00:34,100
+هنتكلم عن جزئية ال reabsorption
+
+7
+00:00:39,080 --> 00:00:43,940
+في عندنا مبادئ عامة
+
+8
+00:00:43,940 --> 00:00:52,600
+نتكلم فيها في موضوع ال reabsorption وهي
+
+9
+00:00:52,600 --> 00:00:57,200
+النقطة الأولى ان ال tubular reabsorption is highly
+
+10
+00:00:57,200 --> 00:01:01,860
+selective بمعنى انه بتم ال reabsorption بتم ال
+
+11
+00:01:01,860 --> 00:01:07,160
+filtration لكن ال kidney reabsorbs what is needed
+
+12
+00:01:08,110 --> 00:01:12,230
+it is .. it selects the substances that are needed
+
+13
+00:01:12,230 --> 00:01:17,150
+for pre absorption مش أي مادة مش اي شئ نزل اذا
+
+14
+00:01:17,150 --> 00:01:21,770
+احنا بننزل كل شئ twenty percent من ال plasma بنزل
+
+15
+00:01:21,770 --> 00:01:26,530
+في الفترات بعد ال ..البروتينز اه و اللي نزل قعدت
+
+16
+00:01:26,530 --> 00:01:29,650
+بناخد اللي احنا بس عايزينه فال waste products احنا
+
+17
+00:01:29,650 --> 00:01:33,430
+مش عايزينها بتضل تلعب كمية كبيرة تمام؟ اذا
+
+18
+00:01:33,430 --> 00:01:38,750
+selectively reabsorption selectively selective
+
+19
+00:01:38,750 --> 00:01:42,510
+reabsorption بيصير ل ال different substances مش اي
+
+20
+00:01:42,510 --> 00:01:45,510
+substance اذا بنعمل reabsorption لل Sodium لل
+
+21
+00:01:45,510 --> 00:01:50,030
+Potassiumلل water ل ال glucose ل ال amino acids ل
+
+22
+00:01:50,030 --> 00:01:53,970
+ال proteins ل ال phosphates ل المجدر حسب برضه مش
+
+23
+00:01:53,970 --> 00:01:57,570
+selective معناها كله لأ حسب حاجة الجسم يعني هنا
+
+24
+00:01:57,570 --> 00:02:01,350
+بيصير عملية ايه في الكيلية in general regulation
+
+25
+00:02:01,350 --> 00:02:05,090
+احيانا ال regulation بيصير في ال in the proximal
+
+26
+00:02:05,090 --> 00:02:09,290
+tubule بس في معظم الأحوال ال regulation بتنفي ايه
+
+27
+00:02:09,290 --> 00:02:12,930
+في ال distal tubule يعني ال proximal tubule هي دي
+
+28
+00:02:12,930 --> 00:02:18,330
+عشان تصفي الحساب الرئيسي الكمية الأكبرال .. ال ..
+
+29
+00:02:18,330 --> 00:02:19,090
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+30
+00:02:19,090 --> 00:02:19,290
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+31
+00:02:19,290 --> 00:02:19,870
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+32
+00:02:19,870 --> 00:02:20,770
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+33
+00:02:20,770 --> 00:02:21,310
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+34
+00:02:21,310 --> 00:02:28,250
+.. ال .. ال ..
+
+35
+00:02:28,250 --> 00:02:31,170
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+36
+00:02:31,170 --> 00:02:31,170
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+37
+00:02:31,170 --> 00:02:31,290
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+38
+00:02:31,290 --> 00:02:31,470
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+39
+00:02:31,470 --> 00:02:31,510
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+40
+00:02:31,510 --> 00:02:33,750
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+41
+00:02:33,750 --> 00:02:33,750
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+42
+00:02:33,750 --> 00:02:46,330
+.. ال .. ال .. ال .. ال .. ال ..
+
+43
+00:02:46,440 --> 00:02:51,740
+الـ Glucose و الـ Amino Acids و بعض المواد Highly
+
+44
+00:02:51,740 --> 00:02:55,820
+Reabsorbed زي الصوديوموليكوليرايد والبايكربونيات و
+
+45
+00:02:55,820 --> 00:02:57,980
+Certain waste products such as azurea and
+
+46
+00:02:57,980 --> 00:03:01,860
+creatinine conversely are poorly reabsorbed from
+
+47
+00:03:01,860 --> 00:03:05,880
+the tubules and executed in relatively large
+
+48
+00:03:05,880 --> 00:03:09,720
+amounts لأنهم بصرفهم مش Reabsorption Therefore
+
+49
+00:03:12,610 --> 00:03:16,290
+باستخدام التحكم في مدى مدى مدى مدى مدى مدى مدى مدى
+
+50
+00:03:16,290 --> 00:03:16,810
+مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى
+
+51
+00:03:16,810 --> 00:03:23,450
+مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى
+
+52
+00:03:23,450 --> 00:03:23,770
+مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى
+
+53
+00:03:23,770 --> 00:03:24,190
+مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى
+
+54
+00:03:24,190 --> 00:03:26,550
+مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى مدى
+
+55
+00:03:26,550 --> 00:03:31,510
+مدى
+
+56
+00:03:31,510 --> 00:03:40,350
+مدى مدى
+
+57
+00:03:40,350 --> 00:03:48,600
+مإذا ال transport in general احنا محتاجين عشان ال
+
+58
+00:03:48,600 --> 00:03:54,420
+reabsorption انه ال tubular filtrate the filtrate
+
+59
+00:03:54,420 --> 00:03:58,300
+which is inside the tubule now is called filtrate
+
+60
+00:03:58,300 --> 00:04:03,660
+تمام it's not urine yet يورين في الآخر هذا اسمه
+
+61
+00:04:03,660 --> 00:04:08,900
+filtrate the filtrate to be reabsorbed should
+
+62
+00:04:08,900 --> 00:04:14,750
+cross thethe tubular membrane crossing the tubular
+
+63
+00:04:14,750 --> 00:04:18,650
+membrane يما يكون transcellular يعني يعدي ال cell
+
+64
+00:04:18,650 --> 00:04:25,510
+او من ال cell to the interstitial fluid ثم الى ال
+
+65
+00:04:25,510 --> 00:04:32,590
+tubular capillaries او between cells intercellular
+
+66
+00:04:32,590 --> 00:04:37,260
+او paracellularبين الcells ها ال proximal tubule
+
+67
+00:04:37,260 --> 00:04:42,180
+لها مواصفات خاصة عندنا نتكلم عنها بين ال tubule ..
+
+68
+00:04:42,180 --> 00:04:45,300
+بين ال cell و ال cell في حاجة اسمها tight
+
+69
+00:04:45,300 --> 00:04:50,060
+junctions tight junctions الغريب في الموضوع ان ال
+
+70
+00:04:50,060 --> 00:04:53,180
+tight junctions ها اللي في ال proximal tubule are
+
+71
+00:04:53,180 --> 00:04:59,280
+leaky .. leaky يعني ما هماش tight هم junctions لكن
+
+72
+00:04:59,280 --> 00:05:03,220
+هم ايه؟ مش tight في ال distal tubule the tight
+
+73
+00:05:03,220 --> 00:05:07,490
+junctionis tied junction لكن في البروكسيمال تيبيول
+
+74
+00:05:07,490 --> 00:05:10,830
+الـ tied junction is not tied junction بيقدر يعد
+
+75
+00:05:10,830 --> 00:05:15,570
+منها الميه بيقدر يعد منها ال sodium و ال potassium
+
+76
+00:05:15,570 --> 00:05:21,910
+و ال chloride و ال magnesium و ال calcium مجموعة
+
+77
+00:05:21,910 --> 00:05:28,570
+كبيرة بتقدر تعد من ايه من ال tied junction حسب ال
+
+78
+00:05:28,570 --> 00:05:33,550
+interstitial fluid الموجود ليش بدي تنتبه بس ل
+
+79
+00:05:34,360 --> 00:05:40,120
+تركيبة الهنهن خلية هذه خلية من خلايا ال ال
+
+80
+00:05:40,120 --> 00:05:46,120
+proximal convertible هذا هن ال human هن ال ال
+
+81
+00:05:46,120 --> 00:05:49,600
+humaner ال humaner ال border او membrane of the
+
+82
+00:05:49,600 --> 00:05:55,060
+cells او لأنه عامل brush بيسميه brush border تمام؟
+
+83
+00:05:55,060 --> 00:05:59,120
+اذا هذا لما نقول the inner border او ال humaner
+
+84
+00:05:59,120 --> 00:06:04,660
+border او brush border نعني ايه؟وهنا عندنا tight
+
+85
+00:06:04,660 --> 00:06:08,480
+junction between the cells وهنا عندنا lateral
+
+86
+00:06:08,480 --> 00:06:14,680
+border وهنا basal borderلأنه زي ما انتوا شايفين ال
+
+87
+00:06:14,680 --> 00:06:18,060
+tie junction بياخد جزء بس من ال lateral border و
+
+88
+00:06:18,060 --> 00:06:22,680
+الجزء التاني free ففي عندها ال basolateral
+
+89
+00:06:22,680 --> 00:06:26,760
+membrane زي بعض بنسمي دايما basolateral membrane
+
+90
+00:06:26,760 --> 00:06:29,320
+ليش؟ لأن ال lateral membrane فاتح ال interstitial
+
+91
+00:06:29,320 --> 00:06:32,260
+fluid و ال basal membrane فاتح ال interstitial
+
+92
+00:06:32,260 --> 00:06:36,560
+fluid تمام؟ فلذلك لما نتكلم عن ال mechanisms اللي
+
+93
+00:06:36,560 --> 00:06:39,460
+بتصير في الجهة الأخرى نتكلم على أشياء بتصير في ال
+
+94
+00:06:39,460 --> 00:06:42,770
+basolateral membraneلذلك لما يكون هنا التغيرات في
+
+95
+00:06:42,770 --> 00:06:46,590
+الـ Interstitial Fluid هنا هنزاد الـ Osmolality
+
+96
+00:06:46,590 --> 00:06:51,510
+مثلا لسبب من الأسباب بسهولة الـ tight junction هذه
+
+97
+00:06:51,510 --> 00:06:56,130
+ماهياش tight فبقدر بدل ما يشي يعدى عبر ال cells و
+
+98
+00:06:56,130 --> 00:07:00,050
+يتعدي عبر الالـ other wall to the interstitial
+
+99
+00:07:00,050 --> 00:07:04,670
+fluid ممكن تعدي من ال touch junction مباشرة، واضح؟
+
+100
+00:07:04,670 --> 00:07:08,870
+إذا طبيعي تركيبة الـ A اللي هنا، نتكلم عنها إذا في
+
+101
+00:07:08,870 --> 00:07:12,470
+عندنا السلب، brush border، basolateral membrane،
+
+102
+00:07:12,470 --> 00:07:15,150
+interstitial fluid، هنا مفترض أنه في basement
+
+103
+00:07:15,150 --> 00:07:18,710
+membrane، بنشوفه في الصور تانية، هنا في المنطقة
+
+104
+00:07:18,710 --> 00:07:21,930
+هذه في basement membrane، بعد ال basement من برا،
+
+105
+00:07:21,930 --> 00:07:24,190
+بيجيه ال interstitial fluid من جديد، و ال
+
+106
+00:07:24,190 --> 00:07:35,940
+capillaries، تمام؟طيب نرجع تاني لإيه ال ..
+
+107
+00:07:35,940 --> 00:07:41,020
+ال .. ال roots of entry is يعني إما transcellular
+
+108
+00:07:41,020 --> 00:07:46,340
+يا إما parascellular أو intercellular up mean ..
+
+109
+00:07:46,340 --> 00:07:51,580
+which is not tight in the distal tubule it is
+
+110
+00:07:51,580 --> 00:07:59,120
+tight بعد منها هتروحمن ال cells هذه حتى صار في
+
+111
+00:07:59,120 --> 00:08:03,560
+الأخر capillary network which surrounds الايه ال
+
+112
+00:08:03,560 --> 00:08:07,320
+tubule اسمها peritubular capillary network تمام؟
+
+113
+00:08:07,320 --> 00:08:15,880
+عيب ال
+
+114
+00:08:15,880 --> 00:08:20,360
+transport
+
+115
+00:08:20,360 --> 00:08:27,400
+that occurs here in the proximal tubule عبر العبر
+
+116
+00:08:27,400 --> 00:08:30,460
+ال cells عبر ال يعني to .. to .. to .. to cross
+
+117
+00:08:30,460 --> 00:08:36,260
+the .. the .. the cells to the interstitium the
+
+118
+00:08:36,260 --> 00:08:39,300
+process of reabsorption the .. the transport
+
+119
+00:08:39,300 --> 00:08:42,700
+mechanism من اليوم إلى ال .. إلى ال interstitium
+
+120
+00:08:42,700 --> 00:08:44,520
+يقولنا يا إما عبر ال cell يا إما عبر ال tide
+
+121
+00:08:44,520 --> 00:08:50,220
+junction هذا بياخد two types of إيه؟ of transport
+
+122
+00:08:50,220 --> 00:08:55,360
+يا إما active transport يا إما passive transport
+
+123
+00:08:55,360 --> 00:09:01,140
+تمام؟اكتف تختول اكتف التعييل ال active transport
+
+124
+00:09:01,140 --> 00:09:05,120
+مرة تكون primary active و مرة تكون secondary
+
+125
+00:09:05,120 --> 00:09:11,940
+active ال primary active هنا نموذج تبعنا ال sodium
+
+126
+00:09:11,940 --> 00:09:15,740
+-potassium ATPase enzyme بيعمل active reabsorption
+
+127
+00:09:15,740 --> 00:09:18,320
+او active transport of sodium البوتاسيوم على ال
+
+128
+00:09:18,320 --> 00:09:23,060
+mesolateral membrane تمام هذا ال active transport
+
+129
+00:09:23,060 --> 00:09:28,350
+على ال mesolateral membraneهدا هو بيقدّي إلى إنه
+
+130
+00:09:28,350 --> 00:09:32,190
+ال concentration of sodium في داخل ال cells بينخفض
+
+131
+00:09:32,190 --> 00:09:38,370
+تمام؟ بيساعد إنه إنه ال sodium يدخل من اليوم إلى
+
+132
+00:09:38,370 --> 00:09:43,130
+ال cells ليش؟ لإنه الكمية اللي بتدخل أول إشي أول
+
+133
+00:09:43,130 --> 00:09:46,290
+إشي already عندنا ال concentration of sodium في ال
+
+134
+00:09:46,290 --> 00:09:50,850
+filtrate 142 أو حيث كده في حين إنه ال
+
+135
+00:09:50,850 --> 00:09:53,450
+concentration في داخل ال cells 12
+
+136
+00:09:55,620 --> 00:10:04,800
+في داخل ال cells اتناش عامل equivalent اربعتاش
+
+137
+00:10:04,800 --> 00:10:08,540
+اربعتاش اربعتاش اربعتاش
+
+138
+00:10:08,540 --> 00:10:10,320
+اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش
+
+139
+00:10:10,320 --> 00:10:10,380
+اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش
+
+140
+00:10:10,380 --> 00:10:12,480
+اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش
+
+141
+00:10:12,480 --> 00:10:12,820
+اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش
+
+142
+00:10:12,820 --> 00:10:12,840
+اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش
+
+143
+00:10:12,840 --> 00:10:13,220
+اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش
+
+144
+00:10:13,220 --> 00:10:13,220
+اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش
+
+145
+00:10:13,220 --> 00:10:23,220
+اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش اربعتاش
+
+146
+00:10:23,220 --> 00:10:28,350
+اربيصير rapid transport إلى داخل ال cells تمام؟
+
+147
+00:10:28,350 --> 00:10:34,130
+وفي عندي carrier proteins موجودين على ال luminal
+
+148
+00:10:34,130 --> 00:10:38,630
+border بيعمل facilitate ال diffusion إذا عندي تلت
+
+149
+00:10:38,630 --> 00:10:43,210
+حاجات مهمينها ال electrochemical gradient و ال
+
+150
+00:10:43,210 --> 00:10:46,110
+carrier proteins بيساعدوا على انتقال الصوديم إلى
+
+151
+00:10:46,110 --> 00:10:48,670
+الداخل انتقل الصوديم إلى الداخل صار ال
+
+152
+00:10:48,670 --> 00:10:50,890
+concentration دوة جوا ال cells زي ال concentration
+
+153
+00:10:50,890 --> 00:10:54,720
+برا ال cells اتوقف لإيه؟الـ transport مش كده ال
+
+154
+00:10:54,720 --> 00:10:59,580
+diffusion اتوقف لكن ال ..الـ Bombing System to the
+
+155
+00:10:59,580 --> 00:11:03,120
+outside to the interstitial fluid by the
+
+156
+00:11:03,120 --> 00:11:07,000
+basolateral membrane ATPase enzymes أو Bombing
+
+157
+00:11:07,000 --> 00:11:13,600
+System will preserve
+
+158
+00:11:13,600 --> 00:11:17,540
+the low concentration of sodium inside the egg
+
+159
+00:11:17,540 --> 00:11:21,520
+هيحافظ على low sodium concentration في داخل السلسل
+
+160
+00:11:21,520 --> 00:11:24,660
+وهيخلى ال flow of sodium لايتوقف
+
+161
+00:11:26,980 --> 00:11:30,900
+إذاً هذا على ال basolateral قولنا هذا active
+
+162
+00:11:30,900 --> 00:11:37,860
+transport لإنه using energy ATP is used for energy
+
+163
+00:11:37,860 --> 00:11:42,940
+production طيب اللي عدى تو من اليوم لداخل السلها
+
+164
+00:11:42,940 --> 00:11:48,100
+ده عدى passive مش كده عدى passive passive
+
+165
+00:11:48,100 --> 00:11:52,360
+diffusion أو facilitated diffusion إذا عدى عبر ال
+
+166
+00:11:53,270 --> 00:11:57,510
+الـ carrier فهو passive diffusion، إذا عد عبر ال
+
+167
+00:11:57,510 --> 00:12:00,870
+tie junction فهو .. يقول إن هذا facilitated عبر ال
+
+168
+00:12:00,870 --> 00:12:03,970
+protein carrier، إذا عبر ال tie junction فهو
+
+169
+00:12:03,970 --> 00:12:07,470
+passive diffusion حتى من غير ايه؟ facilitation و
+
+170
+00:12:07,470 --> 00:12:10,970
+ممكن يعد عبر ال cell ب low diffusion rate من غير
+
+171
+00:12:10,970 --> 00:12:16,810
+.. من غير carrier proteins برضه passive
+
+172
+00:12:20,070 --> 00:12:24,470
+والأساس في انتقاله عن active process يعني ال
+
+173
+00:12:24,470 --> 00:12:29,230
+active هي اللي شدته لنفس ال ion لنفس ال cation
+
+174
+00:12:29,230 --> 00:12:35,790
+فإذا لازم نعتبره primary active
+
+175
+00:12:35,790 --> 00:12:38,870
+transport
+
+176
+00:12:38,870 --> 00:12:43,810
+لأن هو اللي اتخذ هناك شد وراهده هو ال process نفس
+
+177
+00:12:43,810 --> 00:12:47,510
+ال protein في حين انه نفس الكلام ممكن يصير لجلوكوز
+
+178
+00:12:47,510 --> 00:12:51,650
+او ل minor acids لكنه ال primary mechanism of
+
+179
+00:12:51,650 --> 00:12:55,270
+transport مش لجلوكوز ده ال sodium تمام فبنسميه
+
+180
+00:12:55,270 --> 00:12:59,610
+secondary active تمام واضح يعني جصد انا اقول على
+
+181
+00:12:59,610 --> 00:13:03,270
+ال pesolateral active واضح لكن على ال brush border
+
+182
+00:13:03,270 --> 00:13:09,080
+passiveلكنه بما انه ال passive هذا نفس ال ion تبع
+
+183
+00:13:09,080 --> 00:13:11,620
+ال ion اللي هو بسبب ال ion اللي هو actively
+
+184
+00:13:11,620 --> 00:13:14,060
+reabsorbed على الجهة الأخرى إذا بنعتبر ال process
+
+185
+00:13:14,060 --> 00:13:17,900
+كلها ايه؟ active transport على الجهتين لكنها جزء
+
+186
+00:13:17,900 --> 00:13:20,920
+منها secondary active transport قولنا في عندنا ليش
+
+187
+00:13:20,920 --> 00:13:25,320
+career system؟ عشان هو داخل وهذا النظام الموجود ان
+
+188
+00:13:25,320 --> 00:13:29,020
+هو داخل يحمل معنات تانية هو أساسا الفكرة مش أنه
+
+189
+00:13:29,020 --> 00:13:31,540
+بدنا ال sodium يدخل و البوتاسيو يدخل ان هدول
+
+190
+00:13:31,540 --> 00:13:35,600
+الواصلة يدخل ال ايه؟ to selectإذا هذا ال carrier
+
+191
+00:13:35,600 --> 00:13:40,640
+بيدخل Sodium زي كل ال carriers لكنه الجهة التانية
+
+192
+00:13:40,640 --> 00:13:45,760
+منه chloride الجهة التانية منه glucose الجهة
+
+193
+00:13:45,760 --> 00:13:51,980
+التانية منه amino acids في الغالب اللي بيحمل amino
+
+194
+00:13:51,980 --> 00:13:56,200
+acids مش هو اللي بيحمل glucose مش هو يعني
+
+195
+00:13:56,200 --> 00:13:59,040
+specificity في ال .. في ال .. في ال .. في ال
+
+196
+00:13:59,040 --> 00:14:03,330
+carriersتمام؟ لكن ال chloride مرات بنحمل معاهم
+
+197
+00:14:03,330 --> 00:14:06,510
+Sodium و chloride مع ال glucose Sodium و chloride
+
+198
+00:14:06,510 --> 00:14:09,870
+مع ال amino acids لذلك في ال .. في ال proximal
+
+199
+00:14:09,870 --> 00:14:14,690
+tubule هذه الطويلة أولها ال glucose و ال amino
+
+200
+00:14:14,690 --> 00:14:18,870
+acids are transported rapidly من ال filtrate إلى
+
+201
+00:14:18,870 --> 00:14:24,130
+داخل ال .. ال cells أو ال interstitium بعد شوية
+
+202
+00:14:24,130 --> 00:14:27,330
+بيصيروا لهم complete reabsorption الجزء الأخير من
+
+203
+00:14:27,330 --> 00:14:32,260
+ال .. من ال tubuleمن ال proximal TPU الجزء الأخير
+
+204
+00:14:32,260 --> 00:14:36,380
+في عند الكاريارز و ال sodium channels و الدنيا
+
+205
+00:14:36,380 --> 00:14:40,200
+شغالة لكن خلصت ال soda ال ايه ال glucose و ال ايه
+
+206
+00:14:40,200 --> 00:14:44,420
+و ال minuses هنا بينفرد ال ايه ال chloride بأنه
+
+207
+00:14:44,420 --> 00:14:48,460
+لحاله بيطلع طبعا في الجزء التاني اذا ال chloride
+
+208
+00:14:48,460 --> 00:14:52,180
+بينفرد بال ايه بالانتقال اللي كان ينتقل معاهم في
+
+209
+00:14:52,180 --> 00:14:56,180
+المرة الأولى كانوا بيزحموه بيخلوه ماينتقلش كاملا
+
+210
+00:14:56,470 --> 00:15:01,010
+لكن هم طبيعتهم ان هم are reabsorbed completely
+
+211
+00:15:01,010 --> 00:15:04,670
+فالجزء الأخير بيكون فيه عنده career system لكن
+
+212
+00:15:04,670 --> 00:15:07,770
+بيستخدموا ويستخدموا لإيه فقط لل chloride
+
+213
+00:15:16,240 --> 00:15:20,400
+في عندي كذا pumping system لل primary transport
+
+214
+00:15:20,400 --> 00:15:26,000
+الأشهر طبعا قاطبة هو ال sodium potassium ال TBS في
+
+215
+00:15:26,000 --> 00:15:29,960
+عندي hydrogen pump hydrogen pump هلاجيه وين ال
+
+216
+00:15:29,960 --> 00:15:34,240
+hydrogen pump هذا هلاجيه في ال distal tubule اه
+
+217
+00:15:34,240 --> 00:15:43,060
+انا بتكلم هنا فين انا بتكلم على الكل يعني هلاجيه
+
+218
+00:15:43,060 --> 00:15:47,970
+وين في ال distal tubuleوين في ال distal tubule في
+
+219
+00:15:47,970 --> 00:15:50,290
+ال intercalated عند ال distal tubule تنقسم لأنه
+
+220
+00:15:50,290 --> 00:15:54,130
+عيب من ال cells cells principal cells و
+
+221
+00:15:54,130 --> 00:15:57,650
+intercalated cells أهلا جيه في ال intercalated
+
+222
+00:15:57,650 --> 00:16:02,030
+cells إيش أعرفكوا؟ أخدتوا وين؟ في ال transport
+
+223
+00:16:02,030 --> 00:16:05,490
+يعني أه أه طيب ماشي ماشي ماشي إذا أنا مغلمش حالة
+
+224
+00:16:05,490 --> 00:16:09,890
+إذا عند hydrogen potassium ATPase و Sodium
+
+225
+00:16:09,890 --> 00:16:14,090
+potassium ATPase ال hydrogen potassium ATPase وين
+
+226
+00:16:14,090 --> 00:16:20,500
+موجود هذا؟برضه فى ال intercalated cells فى ال
+
+227
+00:16:20,500 --> 00:16:24,440
+intercalated و فى ال principle بس mainly فى ال
+
+228
+00:16:24,440 --> 00:16:28,940
+intercalated و فى عنه ال calcium ATPase system وين
+
+229
+00:16:28,940 --> 00:16:37,580
+موجود؟ في ال thick ascending في ال thick ascending
+
+230
+00:16:37,580 --> 00:16:44,640
+ايه ال M و موجود برضه فى ال distalإذا في عندي هان
+
+231
+00:16:44,640 --> 00:16:47,800
+system
+
+232
+00:16:47,800 --> 00:16:52,660
+موجود هنا الأنواع ضحيه ال ال ال proximal tubular
+
+233
+00:16:52,660 --> 00:16:57,700
+cells brush border intense brush border على اليمنى
+
+234
+00:16:57,700 --> 00:17:01,760
+ال side ال basolateral ال basal برضه في brush
+
+235
+00:17:01,760 --> 00:17:05,740
+border بس مش مش بالكثافة الموجودة في اه طبعا بديلي
+
+236
+00:17:05,740 --> 00:17:10,520
+surface area لل transportإن كان على الجهة ده أو
+
+237
+00:17:10,520 --> 00:17:13,320
+الجهة دي عالي هو هذا بيدينا الكفاءة اللي بتشتغل
+
+238
+00:17:13,320 --> 00:17:20,540
+فيها ال proximal convoluted tubules واضح أنه ال ال
+
+239
+00:17:20,540 --> 00:17:24,900
+ال basal و ال lateral borders the same يعني ال
+
+240
+00:17:24,900 --> 00:17:28,180
+pumping system موجود هنا و هنا التانين مكشوفين
+
+241
+00:17:28,180 --> 00:17:32,680
+لمين لل interstitial fluid طب إذا كنت بيسميه one
+
+242
+00:17:32,680 --> 00:17:36,080
+membrane مثلا basolateral membrane و خلاص واضح أن
+
+243
+00:17:36,080 --> 00:17:41,060
+الصوديو ممكن يخش عبر ال aالـ Trans Cellular Route
+
+244
+00:17:41,060 --> 00:17:45,060
+و عبر ال ايه؟ و ال water نفس الكلام بيقدر يعدى عبر
+
+245
+00:17:45,060 --> 00:17:47,520
+ال Trans Cellular Route و عبر ال Parallel Cellular
+
+246
+00:17:47,520 --> 00:18:00,900
+Route لذا
+
+247
+00:18:00,900 --> 00:18:04,880
+قولنا عندنا Electrochemical Gradient بالاضافة لو
+
+248
+00:18:04,880 --> 00:18:10,360
+وجودإذا هدول بيساعدوا ال sodium إنه ينتقل مش هيك؟
+
+249
+00:18:10,360 --> 00:18:13,620
+Electrochemical gradient ويحافظ على ال chemical
+
+250
+00:18:13,620 --> 00:18:16,560
+gradient هذه ال .. ال concentration gradient عن ال
+
+251
+00:18:16,560 --> 00:18:18,500
+chemical gradient .. اللي هو ال bombing system مش
+
+252
+00:18:18,500 --> 00:18:23,320
+كده؟ أه طب غير هيك في أشياء إضافية إنه عندي ..
+
+253
+00:18:23,320 --> 00:18:30,220
+عندي ال .. ال .. ال transport surface surface area
+
+254
+00:18:30,220 --> 00:18:35,230
+big بسبب إيش؟بسبب ال brush border لدرجة انه ال
+
+255
+00:18:35,230 --> 00:18:40,530
+surface هذا بيتضاعف عشرين مرة بسبب ايه ال brush
+
+256
+00:18:40,530 --> 00:18:45,610
+border بالاضافة
+
+257
+00:18:45,610 --> 00:18:48,250
+لووجود ال proteins اذا ال proteins brush border
+
+258
+00:18:48,250 --> 00:18:52,090
+واسع ال surface area واسعة وعندي electrochemical
+
+259
+00:18:52,090 --> 00:18:55,050
+gradient فال electrochemical gradient بكل ارياحية
+
+260
+00:18:55,050 --> 00:19:03,080
+انتقال واسع كبير غير محدود تمامهذا ايه ال primary
+
+261
+00:19:03,080 --> 00:19:07,460
+active transport الكلام اللي قلناه هذا من شوية
+
+262
+00:19:07,460 --> 00:19:12,240
+هلجيت عنده .. هنرجعله كلام يعني ليش قلنا مواصفات
+
+263
+00:19:12,240 --> 00:19:19,320
+ال ال membrane و ركزنا عليها ركزنا عليها لإنه
+
+264
+00:19:19,320 --> 00:19:26,020
+عندنا ال sodium هذا انتقاله من اليمن إلى خارج ال
+
+265
+00:19:26,020 --> 00:19:34,720
+tubule unlimitedunlimited طبعا يعني مالهاش فترة
+
+266
+00:19:34,720 --> 00:19:38,260
+مديوش علينا فترة في ال proximal tubule نقول والله
+
+267
+00:19:38,260 --> 00:19:42,120
+احنا مش قادرين امتصاص الصوديوم اكتر من هيك طبعا لأ
+
+268
+00:19:42,120 --> 00:19:46,160
+الطاقة اللى موجودة عندنا لمتصاص الصوديوم عالية لإن
+
+269
+00:19:46,160 --> 00:19:49,760
+فى مواد تانية اللى حاجة بيسموها transport maximum
+
+270
+00:19:49,760 --> 00:19:54,320
+طبعا اذا ال level معين لاتزيد عنه transport
+
+271
+00:19:54,320 --> 00:19:59,000
+maximum برضه أخدتوها مش هيكطيب كويس أمشي عنه
+
+272
+00:19:59,000 --> 00:20:03,000
+بصراحة، طيب، secondary electro transport قولنا هذا
+
+273
+00:20:03,000 --> 00:20:09,940
+بأن مطابق على مواد أخرى بتساعدنا .. بتساعدنا ال
+
+274
+00:20:09,940 --> 00:20:15,140
+sodium pumping system أو ال sodium pumping system
+
+275
+00:20:15,140 --> 00:20:18,700
+على الطرف البيئة اليمنى ال brush border بيساعدنا
+
+276
+00:20:18,700 --> 00:20:24,210
+ال .. ال carriers في إيه؟ في انتقالهاإذن ال energy
+
+277
+00:20:24,210 --> 00:20:29,150
+أساسا ما تفقدتش من أجل ال glucose من أجل الصوديوم
+
+278
+00:20:29,150 --> 00:20:35,850
+لكن الصوديوم داخل أخدها معاه هذا بيسمي co
+
+279
+00:20:35,850 --> 00:20:40,650
+-transport أو ممكن يكون a counter transport و
+
+280
+00:20:40,650 --> 00:20:44,150
+الصوديوم داخل طلع مادة تانية اللي بيسمي counter
+
+281
+00:20:44,150 --> 00:20:47,510
+transport و هذا بيصير في ال proximal tubule مع
+
+282
+00:20:47,510 --> 00:20:51,790
+مين؟ مع الهيدروجين و هان .. هان في ال proximal
+
+283
+00:20:51,790 --> 00:20:55,260
+tubuleالهيدروجين في ال counter-transport دوره
+
+284
+00:20:55,260 --> 00:21:00,840
+علشان يساعد ال reabsorption of ايه؟ of بيكربونيت
+
+285
+00:21:00,840 --> 00:21:06,820
+هذه ماخدتهاش طيب اذا ال sodium لما بيطلع secreted
+
+286
+00:21:06,820 --> 00:21:09,400
+في ال proximal convoluted tubule by counter
+
+287
+00:21:09,400 --> 00:21:14,580
+-transport اه it will react with the بيكربونيت and
+
+288
+00:21:14,580 --> 00:21:19,080
+convert it to ايه؟ to carbonic acid ال carbonic
+
+289
+00:21:19,080 --> 00:21:22,620
+acid هذاوالـ dissociate إلى carbon dioxide and
+
+290
+00:21:22,620 --> 00:21:26,680
+water تمام ال water is reabsorbed easily و ال
+
+291
+00:21:26,680 --> 00:21:29,260
+carbon dioxide is reabsorbed و ال diffuse is
+
+292
+00:21:29,260 --> 00:21:34,020
+freely لا يتوقف ال oxygen و ال carbon dioxide can
+
+293
+00:21:34,020 --> 00:21:37,980
+cross membranes without limits مش كده إذا صارت
+
+294
+00:21:37,980 --> 00:21:41,760
+water reabsorbing كبسيه تبعتها عالي جدا following
+
+295
+00:21:41,760 --> 00:21:48,990
+ال sodium و ال chloride و الالكربون ديوسايد وهو
+
+296
+00:21:48,990 --> 00:21:53,470
+الهيدروجين السكريشين لإعادة إعادة إعادة إعادة
+
+297
+00:21:53,470 --> 00:21:55,150
+إعادة إعادة إعادة إعادة إعادة إعادة إعادة إعادة
+
+298
+00:21:55,150 --> 00:21:56,370
+إعادة إعادة إعادة إعادة إعادة إعادة إعادة إعادة
+
+299
+00:21:56,370 --> 00:22:05,870
+إعادة إعادة
+
+300
+00:22:05,870 --> 00:22:09,930
+إعادة
+
+301
+00:22:09,930 --> 00:22:10,670
+إعادة
+
+302
+00:22:20,350 --> 00:22:25,890
+النقطة التالتة إذا قلنا عنها simple diffusion و
+
+303
+00:22:25,890 --> 00:22:29,530
+active transport primary و secondary و النقطة
+
+304
+00:22:29,530 --> 00:22:33,730
+التالتة penocytosis و ال penocytosis is a type of
+
+305
+00:22:33,730 --> 00:22:38,830
+active transport ليش؟ لإنه it uses energy during
+
+306
+00:22:38,830 --> 00:22:43,970
+its completion
+
+307
+00:22:43,970 --> 00:22:49,690
+لإن في عندي هيصير penocytosis بمعنى إنهالمواد اللي
+
+308
+00:22:49,690 --> 00:22:54,610
+أكبر شوية من ال .. ال pores اللي موجودة في ال ..
+
+309
+00:22:54,610 --> 00:22:59,210
+في ال cells تمام؟ و أكبر شوية من أنها تنحمل على
+
+310
+00:22:59,210 --> 00:23:03,790
+carrier فبيصير تنحمل من خلال أنها penocytosis
+
+311
+00:23:03,790 --> 00:23:07,950
+بالذات ال .. ال .. ال small proteins هذه اللياللي
+
+312
+00:23:07,950 --> 00:23:12,210
+بيصيلها filtration minimal trace amounts تمام؟ هذه
+
+313
+00:23:12,210 --> 00:23:15,390
+مابتنزلش في ال urine لأ بتعودي لها reabsorption عن
+
+314
+00:23:15,390 --> 00:23:18,810
+طريق ال ايه؟ Penocytosis ال penocytosis ال protein
+
+315
+00:23:18,810 --> 00:23:24,490
+will attach to specific sites على ال ال brush
+
+316
+00:23:24,490 --> 00:23:29,310
+border تمام؟ then there will be invagination IOTOS
+
+317
+00:23:29,310 --> 00:23:33,810
+and it will be pinched out of the membrane to make
+
+318
+00:23:33,810 --> 00:23:36,980
+a vesicle inside the acetyl plasmaهذا الفيزيوكليزم
+
+319
+00:23:36,980 --> 00:23:42,580
+يتعامل مع الانزينات العزوزومال والبروتوليسيس ستحدث
+
+320
+00:23:42,580 --> 00:23:47,020
+وستحصل على أماينو أسيد مرة أخرى وأماينو أسيد
+
+321
+00:23:47,020 --> 00:23:53,720
+ستتعامل مع أماينو أسيد مثل أماينو أسيد مختلفة مثل
+
+322
+00:23:53,720 --> 00:23:59,860
+أماينو أسيد مختلفة مثل أماينو أسيدglucose
+
+323
+00:23:59,860 --> 00:24:03,640
+concentrated will move by diffusion اذا الفكرة ان
+
+324
+00:24:03,640 --> 00:24:06,800
+ال sodium على ال basolateral membrane لان عشان
+
+325
+00:24:06,800 --> 00:24:11,480
+نفهمها كلها واضحة هجيبلكوا الصورة الصورة هادي انها
+
+326
+00:24:11,480 --> 00:24:18,810
+بتكون كويسة اذا الان هد basolateral membraneهذا ال
+
+327
+00:24:18,810 --> 00:24:21,970
+brush border وهذا بيزولاترا الممبرين تمام ال
+
+328
+00:24:21,970 --> 00:24:25,830
+sodium pumping system شغال طلع sodium ال sodium
+
+329
+00:24:25,830 --> 00:24:30,780
+concentration داخل ال cell بيظل واطيبالرغم من ال
+
+330
+00:24:30,780 --> 00:24:33,860
+ايه اللي بيدخل ال career system ال
+
+331
+00:24:33,860 --> 00:24:36,100
+electronegativity و ال brush border بدي فرصة
+
+332
+00:24:36,100 --> 00:24:38,680
+لصوديوم كتير يدخل و يدخل معاه ال glucose و ال
+
+333
+00:24:38,680 --> 00:24:42,740
+amino acids ال glucose و ال amino acids هدول دخلوا
+
+334
+00:24:42,740 --> 00:24:46,480
+by facilitation of the ايه of the career system
+
+335
+00:24:46,480 --> 00:24:50,020
+هذا ال facilitation of career system مش موجود
+
+336
+00:24:50,660 --> 00:24:54,320
+بيقدروش يرجعوا من خلاله هذا بس بتفحقهم للداخل اللي
+
+337
+00:24:54,320 --> 00:24:56,780
+انا عندي high concentration of glucose و high
+
+338
+00:24:56,780 --> 00:24:59,000
+concentration of aminoacids they will diffuse
+
+339
+00:24:59,000 --> 00:25:01,920
+passively to the a interstitial fluid لإن ال
+
+340
+00:25:01,920 --> 00:25:04,740
+interstitial fluid في low concentration of glucose
+
+341
+00:25:04,740 --> 00:25:08,180
+and aminoacids تمام؟ اذا ال sodium بيركزهم داخل ال
+
+342
+00:25:08,180 --> 00:25:11,900
+cells و بعدين هم هم هم هم هم هم هم هم هم هم هم هم
+
+343
+00:25:11,900 --> 00:25:12,080
+هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم
+
+344
+00:25:12,080 --> 00:25:16,100
+هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم
+
+345
+00:25:16,100 --> 00:25:16,180
+هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم هم
+
+346
+00:25:16,180 --> 00:25:20,280
+هم ه
+
+347
+00:25:20,940 --> 00:25:26,700
+اللي موجود تمام فيه low glucose و low amino acids
+
+348
+00:25:26,700 --> 00:25:29,860
+اذا ذلك هيدخل عندنا session of ulcerative colitis
+
+349
+00:25:29,860 --> 00:25:33,780
+ويرجعوا في ال ايه من اول و جديد في الدم مثلا دخلوا
+
+350
+00:25:33,780 --> 00:25:37,480
+ال filtrate و عاودوا رجعوا كل هيتهم لكن طريق اللي
+
+351
+00:25:37,480 --> 00:25:45,880
+بدنا نشيه خلنا ايه يظل طالع تفضلي دخلوا
+
+352
+00:25:45,880 --> 00:25:49,020
+مع ال sodium دخلوا صاروا داخل ال cells مع ال
+
+353
+00:25:49,020 --> 00:25:55,620
+sodiumتكاثر وجودهم، علي تركيزهم، صار التركيز
+
+354
+00:25:55,620 --> 00:25:58,960
+العالي هذا، صار بيعملوا simple diffusion للإيه؟
+
+355
+00:25:58,960 --> 00:26:02,580
+للـ interstitial fluid، okay؟ إذا البيزولات
+
+356
+00:26:02,580 --> 00:26:07,300
+المنبراين محتاجين
+
+357
+00:26:07,300 --> 00:26:12,580
+إيه؟ إلى carrier system، إذا هان بعد ما تم الأمر
+
+358
+00:26:12,580 --> 00:26:17,290
+بدخله، صار high concentration، فبطلعوامن خلال
+
+359
+00:26:17,290 --> 00:26:22,250
+channels خاصة لكن التركيز الموجود بيسمحي لهم انهم
+
+360
+00:26:22,250 --> 00:26:25,530
+ايه to diffuse out of the ايه of the cell
+
+361
+00:26:25,530 --> 00:26:31,730
+penocytosis
+
+362
+00:26:31,730 --> 00:26:35,590
+انظر نوضحها ال transport maximum تقوى انا جيب
+
+363
+00:26:35,590 --> 00:26:40,430
+سيرته بعدين في عندى career system معناه ال career
+
+364
+00:26:40,430 --> 00:26:45,830
+system هذا هيديني ال limitال career system مش
+
+365
+00:26:45,830 --> 00:26:49,570
+مفتوح لإيه إلى ما لنهاية مثلا في عند career system
+
+366
+00:26:49,570 --> 00:26:54,390
+عبارة عن proteins و إيش و enzymes إذا ال career
+
+367
+00:26:54,390 --> 00:26:58,230
+system facilitation protein career protein و إيه
+
+368
+00:26:58,230 --> 00:27:05,270
+enzymes التانين هدول اللي مطاقة في النقل إذا وصلنا
+
+369
+00:27:05,270 --> 00:27:10,100
+ل maximumtransport ability for this career system
+
+370
+00:27:10,100 --> 00:27:14,100
+تمام بيصير عند الأشياء الموجودة في ال human بتقدرش
+
+371
+00:27:14,100 --> 00:27:18,680
+تنجل إلى داخل ال cell أو إلى ال interstitium هتبقى
+
+372
+00:27:18,680 --> 00:27:23,180
+طالع إلى الخارج وهذا اللي بيحصل في ال diabetes من
+
+373
+00:27:23,180 --> 00:27:28,360
+ال litus في حالات ايه مرض السكري انه ال glucose
+
+374
+00:27:28,360 --> 00:27:34,120
+اللي صار عمل filtration كبير لإن السكر عندنا في
+
+375
+00:27:34,120 --> 00:27:38,400
+الدم عاليفبيقدر الى اني عندى high glucose
+
+376
+00:27:38,400 --> 00:27:43,480
+concentration above طبعا طول ما هو أجال من ال
+
+377
+00:27:43,480 --> 00:27:47,860
+limit تبع ال transport maximum مش هيظهر بوضوح فى
+
+378
+00:27:47,860 --> 00:27:51,460
+البول لكن هو اسمه على فكرة ده باسم ليس البول
+
+379
+00:27:51,460 --> 00:27:57,900
+السكري وانتبهوله لما لجوا انه الدبان بينزل على هذا
+
+380
+00:27:57,900 --> 00:28:00,520
+البول فجالوا ليش الدبان بينزل على هذا البول و ليش
+
+381
+00:28:00,520 --> 00:28:07,970
+على غيره ماعنى دجوا لجوا حلو تمام؟و .. و هذا من
+
+382
+00:28:07,970 --> 00:28:10,710
+أيام البنسينة على فكرة معروف ال diabetes من أيام
+
+383
+00:28:10,710 --> 00:28:17,070
+البنسينة فده جوي يعني مش مشكلة اذا في عندي انا سكر
+
+384
+00:28:17,070 --> 00:28:21,550
+زاد عن طاقة اللي هي ال .. ال transport system ال
+
+385
+00:28:21,550 --> 00:28:27,970
+facilitation by the carriers لما نصل لإنه بطل ال
+
+386
+00:28:27,970 --> 00:28:35,710
+kidney تقدر تاخد anymoreيعني احنا لو علينا السكر
+
+387
+00:28:35,710 --> 00:28:42,190
+جزء منه يمتص وجزء طلع علينا كمان جزء أكبر يمتص
+
+388
+00:28:42,190 --> 00:28:47,190
+وجزء طلع علينا كمان خلاص كل اللي عيلي طلع بنقول بس
+
+389
+00:28:47,190 --> 00:28:48,410
+هذا ال transport maximum
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/KuCzOB_w3GQ.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/KuCzOB_w3GQ.srt
new file mode 100644
index 0000000000000000000000000000000000000000..1bd6e62b53941bde3a2777811ad0919075cae1fe
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/KuCzOB_w3GQ.srt
@@ -0,0 +1,2214 @@
+1
+00:00:04,980 --> 00:00:09,360
+absorption of solutes and water in the proximal
+
+2
+00:00:09,360 --> 00:00:12,860
+and, probably, as a result of increased filtration
+
+3
+00:00:12,860 --> 00:00:18,300
+rate هذا ما يسمى؟ اللي هو ال glomerulotubular
+
+4
+00:00:18,300 --> 00:00:24,860
+balance وهذا
+
+5
+00:00:24,860 --> 00:00:30,360
+الـbalance موجود كfactor، تكلمنا عنه، مختلف عن الـ
+
+6
+00:00:30,360 --> 00:00:35,940
+hormones ومختلف عن ايه؟ الـneural control. فهو يعني
+
+7
+00:00:35,940 --> 00:00:41,160
+بمعنى آخر، لو كان عندي isolated kidney model، حيصير
+
+8
+00:00:41,160 --> 00:00:45,980
+لو شيلنا الكلية من الجسم، لا متصلة بأعصاب ولا
+
+9
+00:00:45,980 --> 00:00:51,760
+بعلاقاتها الهرمونية، ووضعنا لها ضغوط مختلفة عشان نظبط الـ
+
+10
+00:00:51,760 --> 00:00:56,360
+GFR وزاد الـfiltration، هلاقي أنه في glomerular
+
+11
+00:00:56,360 --> 00:01:00,160
+balance موجود. لذلك أنا قلت لكم إذا عندنا الـ
+
+12
+00:01:00,160 --> 00:01:03,400
+glomerular balance هي factor، اثنين عندنا hormonal
+
+13
+00:01:03,400 --> 00:01:07,450
+control، ثلاثة. إذن هذا مفصل عنهم، مش  متعلق
+
+14
+00:01:07,450 --> 00:01:11,250
+بخلايا بالهرمون ولا بالإيه، it is an autogenous
+
+15
+00:01:11,250 --> 00:01:19,530
+property موجودة في داخل النفرون أو الكلية. the
+
+16
+00:01:19,530 --> 00:01:20,050
+importance
+
+17
+00:01:49,030 --> 00:01:50,930
+بالنسبة للنسبة للنسبة للنسبة للنسبة للنسبة للنسبة
+
+18
+00:01:50,930 --> 00:01:50,970
+للنسبة للنسبة للنسبة للنسبة للنسبة للنسبة للنسبة
+
+19
+00:01:50,970 --> 00:01:54,060
+للنسبة، ويطلع البديل معناه الكلية  فشلت  to fail
+
+20
+00:01:54,060 --> 00:01:57,420
+إذا
+
+21
+00:01:57,420 --> 00:02:00,440
+الـglomerular balance acts as a second line of
+
+22
+00:02:00,440 --> 00:02:03,820
+defense to buffer the effects of spontaneous
+
+23
+00:02:03,820 --> 00:02:08,040
+changes in GFR on urine output. إذا الـfirst line
+
+24
+00:02:08,040 --> 00:02:11,720
+of defense مين؟ الـautoregulation، مش كده؟ right
+
+25
+00:02:11,720 --> 00:02:18,950
+effect of arterial pressure on urine output. هنا
+
+26
+00:02:18,950 --> 00:02:22,870
+مدام كده، إحنا جبنا سيرة الـpressure. لو اتكلم عن
+
+27
+00:02:22,870 --> 00:02:25,890
+الـautoregulation وقلنا لكم okay، بيصير auto
+
+28
+00:02:25,890 --> 00:02:31,150
+regulation، بس برضه بيزيد شوية الـload. اذا هنا بعد
+
+29
+00:02:31,150 --> 00:02:33,590
+ماصار مسكون الموضوعين، موضوع الـautoregulation
+
+30
+00:02:33,590 --> 00:02:37,790
+وموضوع الـglomerular balance. طب خليني اتكلم عن الـ
+
+31
+00:02:37,790 --> 00:02:40,570
+pressure. الـpressure زي ما قلنا، لو صار variations
+
+32
+00:02:40,570 --> 00:02:44,650
+كبيرة، الـautoregulation بيقدر يعني إلى حد ما
+
+33
+00:02:44,650 --> 00:02:48,680
+يعدمها وكأنها مش موجودة، لكن هيظل minimal effect
+
+34
+00:02:48,680 --> 00:02:52,940
+اللي بيؤدي إلى what is called pressure diuresis
+
+35
+00:02:52,940 --> 00:02:57,220
+and pressure natriuresis. الـvolume of urine زاد
+
+36
+00:02:57,220 --> 00:03:02,960
+فبنسميها pressure diuresis. diuretics اللي بتدر
+
+37
+00:03:02,960 --> 00:03:07,440
+البول، diuresis إدرار البول الزائد. لذلك بقول كلمة
+
+38
+00:03:07,440 --> 00:03:12,870
+diuretics. إحنا عندنا diuresis، وعندنا pressure natri-
+
+39
+00:03:12,870 --> 00:03:16,630
+uresis.  ناتريوم اللي هو الصوديوم. ناتري يوريسس
+
+40
+00:03:16,630 --> 00:03:22,030
+يعني الصوديوم اللي بيطلع في البول كثر. واتكلمنا
+
+41
+00:03:22,030 --> 00:03:24,970
+عن الـvariations of pressure اللي ممكن في الآخر
+
+42
+00:03:24,970 --> 00:03:34,140
+يتحكم فيها الجسم. بسبب ايه؟ طب ليش بيصير الـ .. الـ ..
+
+43
+00:03:34,140 --> 00:03:36,580
+هذا الـincrease؟ the slight increase in GFR that
+
+44
+00:03:36,580 --> 00:03:40,580
+does or rather contributes in part to the effect of
+
+45
+00:03:40,580 --> 00:03:45,220
+increased arterial pressure on urine output. طيب،
+
+46
+00:03:45,220 --> 00:03:49,080
+إذا جزء .. ليش الـ .. ليش .. ليش .. لما الـpressure
+
+47
+00:03:49,080 --> 00:03:53,540
+يزيد والـautoregulation والـglomerular... glomerular
+
+48
+00:03:53,540 --> 00:03:57,160
+balance أو ... آه ... أو glomerulotubular balance
+
+49
+00:03:57,160 --> 00:03:59,780
+الجهتين اللي بتأثر على الـGFR، هو الـauto-
+
+50
+00:03:59,780 --> 00:04:03,280
+regulation، الـglomerular balance هو اللي اتكلمنا
+
+51
+00:04:03,280 --> 00:04:07,820
+عنه الآن. ليش بيزيد؟ لأنه الـGFR بتزيد، ولو أنه
+
+52
+00:04:07,820 --> 00:04:12,620
+اتحكمنا في معظم الـchanges، لكن أنه في جزء ايه،
+
+53
+00:04:12,620 --> 00:04:17,680
+حيبقى له تأثير. اثنين: إحنا لما يزيد الـpressure، لما
+
+54
+00:04:17,680 --> 00:04:20,500
+يزيد الـpressure، إيش بيصير في الـrenin-
+
+55
+00:04:20,500 --> 00:04:25,760
+angiotensin system؟ يحبط، مش كده؟ هو الـrenin-
+
+56
+00:04:25,760 --> 00:04:30,020
+angiotensin system يستنفر لما يكون في نقص، لكن لما
+
+57
+00:04:30,020 --> 00:04:33,800
+يكون فيه ضغط، بيصير suppression. فالـsystem هادئ
+
+58
+00:04:33,800 --> 00:04:38,860
+بكل مواصفاته المهمة للـreabsorption. راح هتكلم عنه
+
+59
+00:04:38,860 --> 00:04:42,220
+أنه مواصفاته مش مضادة للأوعية الدموية، كمان كمان بيزيد الـ
+
+60
+00:04:42,220 --> 00:04:48,000
+ايه؟ الـtubular reabsorption، تمام؟ ثلاثة: لما يزيد
+
+61
+00:04:48,000 --> 00:04:53,640
+الـpressure عندنا، تمام؟ هيزيد كمان الـpressure في
+
+62
+00:04:53,640 --> 00:04:57,660
+الـperitubular capillaries. اذا عندي factor في الـ
+
+63
+00:04:57,660 --> 00:05:03,480
+reabsorption، آه؟ يخلي
+
+64
+00:05:03,480 --> 00:05:05,680
+الـreabsorption يقل، لأن الـhydrostatic pressure
+
+65
+00:05:05,680 --> 00:05:12,210
+إيش؟ هيزيد هناك. بمعنى آخر، a second effect of
+
+66
+00:05:12,210 --> 00:05:15,510
+increasing arterial pressure that raises urine
+
+67
+00:05:15,510 --> 00:05:19,490
+output is that it decreases the percentage of
+
+68
+00:05:19,490 --> 00:05:23,150
+filtered load of sodium and water that is
+
+69
+00:05:23,150 --> 00:05:26,570
+reabsorbed by the tubule. يعني الـpressure نفسه
+
+70
+00:05:26,570 --> 00:05:27,930
+بيخلي الـreabsorption
+
+71
+00:05:30,120 --> 00:05:34,340
+process يقل. لما يزيد الـpressure، بمعنى ليش؟ لأن
+
+72
+00:05:34,340 --> 00:05:41,260
+عندي الـhydrostatic pressure زاد.
+
+73
+00:05:42,410 --> 00:05:47,250
+فإحنا قلنا الـreabsorption عملية معاكسة بالظبط
+
+74
+00:05:47,250 --> 00:05:51,370
+لعملية الـfiltration. عشان كده إحنا ما درسناش لحالها
+
+75
+00:05:51,370 --> 00:05:55,450
+لأن درسناها مع الـfiltration. لو درسناها لوحدها، بالظبط مملة لأن عكس
+
+76
+00:05:55,450 --> 00:06:00,010
+الـfiltration. لذلك، أما بيزيد الـhydrostatic
+
+77
+00:06:00,010 --> 00:06:03,350
+pressure بيقلل الـreabsorption لأن في الـ
+
+78
+00:06:03,350 --> 00:06:06,370
+reabsorption، هلاقي factor، الـhydrostatic pressure
+
+79
+00:06:06,370 --> 00:06:11,140
+صار زيادة. الاثنين عندي أنا لما الـpressure .. لما
+
+80
+00:06:11,140 --> 00:06:17,060
+الـpressure يعلى والـfiltration، الـflow rate
+
+81
+00:06:17,060 --> 00:06:22,320
+بيزيد. ده هيؤدي إلى أنه كمية الـGFR، الـflow
+
+82
+00:06:22,320 --> 00:06:27,240
+rate، قلت. كمان بمعنى أن الـuncritical pressure
+
+83
+00:06:27,240 --> 00:06:32,450
+برضه إيش؟ مش هيعلى كتير، هيظل ايه؟ واطئ. اذا، أن كنت
+
+84
+00:06:32,450 --> 00:06:35,350
+بضغط واطئ وحابسك بضغط عالي، إذا عملت الـ
+
+85
+00:06:35,350 --> 00:06:38,330
+reabsorption نفسها كلها إيه؟ هتقطع. اذا الـ
+
+86
+00:06:38,330 --> 00:06:42,630
+pressure بيعمل لها اللي هو بيخلي الـfiltered، الـ
+
+87
+00:06:42,630 --> 00:06:46,670
+percentage of filtered load of the sodium and
+
+88
+00:06:46,670 --> 00:06:51,090
+water that is reabsorbed بيخليها ايه؟ decreased.
+
+89
+00:06:51,090 --> 00:06:53,510
+إذا decreased is the percentage of the filtered
+
+90
+00:06:53,510 --> 00:06:57,770
+load that is reabsorbed. بمعنى أن الـprocess بتاعة
+
+91
+00:06:57,770 --> 00:07:02,050
+الـreabsorption تتمثل في أنك لو تركت pressure وفي
+
+92
+00:07:02,050 --> 00:07:05,930
+الـhydrostatic pressure، هتؤدي إلى أنه تقلل بطريقة تمنع
+
+93
+00:07:05,930 --> 00:07:11,830
+الـmore reabsorption. اذا بغضب بيزيد الـGFR بنلاقي
+
+94
+00:07:11,830 --> 00:07:18,990
+slight increase. بيزيد. اثنين: ملاحظة أن الـprocess الـ
+
+95
+00:07:18,990 --> 00:07:24,050
+reabsorption بتقل بسبب الـmechanics تبعتها، الـ
+
+96
+00:07:24,050 --> 00:07:29,630
+pressure، خربطتها. طلعت أقول أن تأثير الأنجيوتنسين two
+
+97
+00:07:29,630 --> 00:07:35,400
+أنه يحبط. الأنجيوتنسين two in general بيقلل الـ
+
+98
+00:07:35,400 --> 00:07:38,580
+reabsorption لحاله بدون أي مواصفات أخرى. لو حطيناه
+
+99
+00:07:38,580 --> 00:07:41,480
+بدون أي تأثير آخر، بس على الـtubule، هنلاقي ازاد الـ
+
+100
+00:07:41,480 --> 00:07:44,720
+reabsorption أو قل. تمام؟ هنتكلم عنه بعدين بالتفصيل.
+
+101
+00:07:44,720 --> 00:07:47,120
+لو اتكلم عن الـhormones، بس أنا ما تكلمتش على الـ
+
+102
+00:07:47,120 --> 00:07:51,220
+hormones هنا. أنا بتكلم على الـpressure، إيش بيقود
+
+103
+00:07:51,220 --> 00:07:54,220
+العملية اللي بيقودها الـblood pressure لوحده، تمام؟
+
+104
+00:07:54,220 --> 00:07:56,940
+من ضمن الناس اللي بيأثر عليهم، اللي هو الـrenin-
+
+105
+00:07:56,940 --> 00:07:59,020
+angiotensin system. اذا قلنا
+
+106
+00:08:03,840 --> 00:08:07,520
+بيقلل الأنجيوتنسين 2. طيب الأنجيوتنسين 2 نفسه
+
+107
+00:08:07,520 --> 00:08:11,640
+increases sodium reabsorption by tubules. لما يقل
+
+108
+00:08:11,640 --> 00:08:15,320
+بيقلل الـreabsorption، والأنجيوتنسين 2 stimulates
+
+109
+00:08:15,320 --> 00:08:20,300
+الألدوستيرون. الألدوستيرون بيعمل ايه؟ بيزيد الـ
+
+110
+00:08:20,300 --> 00:08:25,800
+reabsorption للصوديوم. إذا الأنجيوتنسين 2 هيأثر
+
+111
+00:08:25,800 --> 00:08:29,440
+مباشرة على الـtubule بيقلل الـreabsorption، وعبر
+
+112
+00:08:29,440 --> 00:08:35,990
+أنه بيعمل  stimulation ل renin system. لما بيهبط، لأن
+
+113
+00:08:35,990 --> 00:08:38,890
+الأنجيوتنسين 2 هذا من الـmain stimulants
+
+114
+00:08:38,890 --> 00:08:43,190
+للألدوستيرون. لما ندرس، إن شاء الله، في الـendocrine
+
+115
+00:08:43,190 --> 00:08:48,010
+لما ندرس الألدوستيرون، هنلاقي what are the main
+
+116
+00:08:49,280 --> 00:08:55,860
+factors للألدوستيرون؟ هي البوتاسيوم والأنجيوتنسين 2.
+
+117
+00:08:55,860 --> 00:09:00,980
+فلما الأنجيوتنسين 2 يحبط، الألدوستيرون يحبط.
+
+118
+00:09:00,980 --> 00:09:06,180
+الأنجيوتنسين
+
+119
+00:09:07,930 --> 00:09:12,310
+بيشتغل على تلت مستويات. إحنا دخلنا في وسط الشغل.
+
+120
+00:09:12,310 --> 00:09:16,190
+جبنا جزئية diuresis عشان نفهمه. شيلناه من اللي إيه؟
+
+121
+00:09:16,190 --> 00:09:18,830
+اللي اتفرض أن إحنا ما تكلمناش عنه. لأن إذا إحنا
+
+122
+00:09:18,830 --> 00:09:25,410
+متكلم عن مين؟ قاعدين على الـfactors that regulate
+
+123
+00:09:25,410 --> 00:09:32,600
+reabsorption. قلنا tubuloglomerular balance، و
+
+124
+00:09:32,600 --> 00:09:36,420
+بعدين hormonal factors. التاني إيش في النص عشان
+
+125
+00:09:36,420 --> 00:09:40,800
+الآن نوضحه نفهمه كويس. أن الـ .. إذا الـfactor التاني
+
+126
+00:09:40,800 --> 00:09:45,380
+اللي بيأثر على مين؟ على reabsorption، الـhormones، الـ
+
+127
+00:09:45,380 --> 00:09:48,480
+hormones. عندنا الألدوستيرون بيأثر على الـ
+
+128
+00:09:48,480 --> 00:09:52,920
+reabsorption. طبعا بيأثر وين؟ mainly على اللي
+
+129
+00:09:52,920 --> 00:09:58,020
+هو الـdistal tubule، وله تأثير بسيط على الـcollecting
+
+130
+00:09:58,020 --> 00:10:05,310
+duct. هي collecting tubule and duct. collecting
+
+131
+00:10:05,310 --> 00:10:09,670
+tubule. هذه معاها الجزئية اللي من الـa، اللي هي distal
+
+132
+00:10:09,670 --> 00:10:13,190
+الأنجيوتنسين 2.
+
+133
+00:10:13,190 --> 00:10:19,090
+بيشتغل على الـproximal. الأنجيوتنسين 2 بيشتغل على
+
+134
+00:10:19,090 --> 00:10:24,710
+الـproximal tubule، والـcollecting
+
+135
+00:10:24,710 --> 00:10:28,910
+tubule.  الانتقال ده هرمون
+
+136
+00:10:29,320 --> 00:10:33,500
+أشتغل ديستال تيبيول وأشتغل ديستال تيبيول و
+
+137
+00:10:33,500 --> 00:10:34,720
+أشتغل ديستال تيبيول وأشتغل ديستال تيبيول و
+
+138
+00:10:34,720 --> 00:10:36,880
+أشتغل ديستال تيبيول وأشتغل ديستال تيبيول و
+
+139
+00:10:36,880 --> 00:10:39,300
+أشتغل ديستال تيبيول وأشتغل ديستال تيبيول و
+
+140
+00:10:39,300 --> 00:10:40,820
+أشتغل ديستال تيبيول وأشتغل ديستال تيبيول و
+
+141
+00:10:40,820 --> 00:10:44,640
+أشتغل ديستال تيبيول وأشتغل ديستال تيبيول و
+
+142
+00:10:44,640 --> 00:10:48,380
+أشتغل ديستال تيبيول وأشتغل ديستال تيبيول و
+
+143
+00:10:48,380 --> 00:10:53,920
+أشتغل ديستال تيبيول
+
+144
+00:10:56,330 --> 00:10:59,910
+بتكلم عن the hormonal control over reabsorption.
+
+145
+00:10:59,910 --> 00:11:06,450
+هنكتب دي ليهم خمسة: Aldosterone 1, 2, 2 مش كده؟
+
+146
+00:11:06,450 --> 00:11:11,630
+Antidiuretic hormone، هذا الشيء الجديد اللي بتوم
+
+147
+00:11:11,630 --> 00:11:15,170
+أجيب نفسي عليه قبل كده، هنشرحه إن شاء الله، اللي هو
+
+148
+00:11:15,170 --> 00:11:21,030
+Atrial Natriuretic Peptide (ANP)، والـparathyroid
+
+149
+00:11:21,600 --> 00:11:25,760
+الباراثيرويد متحكم، بس متعلق على اللي إلها، اللي هو
+
+150
+00:11:25,760 --> 00:11:30,260
+الكالسيوم والفوسفات وشوية مجانسة طبعا.
+
+151
+00:11:30,260 --> 00:11:35,080
+الباراثيرويد، الـatrial natriuretic peptide، لأ، مهتم لأن هذا
+
+152
+00:11:35,080 --> 00:11:38,300
+بيطلع من الأذين، من القلب، من الـright atrium.
+
+153
+00:11:38,300 --> 00:11:43,560
+بيحس جيداً بكمية fluids. لما يزيد الـvenous return
+
+154
+00:11:43,560 --> 00:11:47,020
+يعني الـextracellular fluid compartment زادت، و
+
+155
+00:11:47,020 --> 00:11:52,500
+البلازما فولوم زاد. معناه الـfluids اللي بتصل الـright
+
+156
+00:11:52,500 --> 00:11:57,200
+atrium كترت، فهو بيصير more dilatation، فبينبهي يا
+
+157
+00:11:57,200 --> 00:12:01,400
+جماعة، أنتوا أنا الـissue كثر، ايه؟ فبيبعت للكل إشارة
+
+158
+00:12:01,400 --> 00:12:06,840
+لما يكتر إفرازه، أنه يخفف من الـreabsorption، تمام؟
+
+159
+00:12:06,840 --> 00:12:10,540
+هنا، لما يقل بيقلل الـreabsorption، ولما يزيد بيقلل
+
+160
+00:12:10,540 --> 00:12:13,460
+الـreabsorption. بيشتغل بعملية عكسية لأنه بيطلع هو
+
+161
+00:12:13,460 --> 00:12:18,240
+stimulated by increased volume. مش زي الـ
+
+162
+00:12:18,240 --> 00:12:23,000
+aldosterone. والتاني بيشتغل العكس. هو ممكن هتجي
+
+163
+00:12:23,000 --> 00:12:27,360
+أسئلة فيه. ليش؟ لأنه عكس الألدوستيرون، وعلاقته
+
+164
+00:12:27,360 --> 00:12:31,620
+بالـexcess fluid volume عكسية. يعني إذا زادت، يزيد
+
+165
+00:12:31,620 --> 00:12:36,560
+ويقلل شغل الكلية. التاني، إذا زادت يقل، وإذا
+
+166
+00:12:36,560 --> 00:12:40,120
+قلت يزيد ويزيد شغل الكلية، تمام؟ الـabsorptive
+
+167
+00:12:40,120 --> 00:12:44,490
+mechanism اللي بيتكلم عنها الألدوستيرون يزيد عبارة
+
+168
+00:12:44,490 --> 00:12:45,570
+عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن
+
+169
+00:12:45,570 --> 00:12:46,510
+عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة
+
+170
+00:12:46,510 --> 00:12:46,850
+عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن
+
+171
+00:12:46,850 --> 00:12:52,510
+عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة
+
+172
+00:12:52,510 --> 00:12:57,010
+عن عبارة عن عبارة
+
+173
+00:12:57,010 --> 00:12:58,290
+عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن
+
+174
+00:12:58,290 --> 00:12:58,370
+عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة
+
+175
+00:12:58,370 --> 00:12:5
+
+223
+00:16:45,290 --> 00:16:49,130
+اللدوستيرون له علاقة بالـ Hydrogen Sodium
+
+224
+00:16:49,760 --> 00:16:54,720
+اللي هو مقاومة الترانسبورت هذا لما نأخذ صوديوم و
+
+225
+00:16:54,720 --> 00:16:58,040
+نطلق هيدروجين، تمام؟ الألدوستيرون بيشتغل على
+
+226
+00:16:58,040 --> 00:17:01,180
+الـ sodium pumping system و بيعمل استيموليشن و بيزيد
+
+227
+00:17:01,180 --> 00:17:07,420
+برضه الـ apical border permeability for صوديوم
+
+228
+00:17:07,420 --> 00:17:09,380
+reabsorption and secretion of hydrogen
+
+229
+00:17:15,500 --> 00:17:21,240
+إذاً الألدوستيرون مهم في معالجة  تركيز البوتاسيوم
+
+230
+00:17:21,240 --> 00:17:22,260
+ 
+
+231
+00:17:22,260 --> 00:17:25,940
+ 
+
+232
+00:17:25,940 --> 00:17:33,040
+ 
+
+233
+00:17:33,040 --> 00:17:34,920
+ 
+
+234
+00:17:34,920 --> 00:17:35,160
+ 
+
+235
+00:17:35,160 --> 00:17:43,540
+ 
+
+236
+00:17:43,540 --> 00:17:49,570
+البوتاسيوم، ارتفاعه أو هبوطه أخطر من ايه؟ من الـ sodium
+
+237
+00:17:49,570 --> 00:17:53,630
+ارتفاعه أو هبوطه ليش؟ لأن فورًا أنا الـ plasma والـ
+
+238
+00:17:53,630 --> 00:18:00,330
+potassium هنا هيصل الـ nerve endings، هيصل الـ heart
+
+239
+00:18:00,330 --> 00:18:04,270
+الـ heart قبل الـ nerve endings لأن الـ nerve endings
+
+240
+00:18:04,270 --> 00:18:07,210
+ممكن تكون في الـ interstitium لكن الـ heart بيصل له
+
+241
+00:18:07,210 --> 00:18:11,590
+الـ plasma تمام؟ إذا احنا أثرنا الـ potassium ينزل
+
+242
+00:18:11,590 --> 00:18:16,780
+شوية على الـ heart بيتوقف عمله، هذا التوقف
+
+243
+00:18:16,780 --> 00:18:22,740
+عمله، ونرجع و احنا  على  لما بدنا نتخلص أو لو ..
+
+244
+00:18:22,740 --> 00:18:25,960
+بلاش كلمة هذه، احنا مستخدمين، قاعدين  الـ الـ
+
+245
+00:18:25,960 --> 00:18:33,120
+potassium chloride لما نعطيه للـ أي حد فيه خطر
+
+246
+00:18:33,120 --> 00:18:37,840
+شديد، تمام؟ لما ندّي للأطفال rehydration fluids بدنا
+
+247
+00:18:37,840 --> 00:18:41,620
+ندّي جُدًّا بالـ potassium،  لأنه احنا
+
+248
+00:18:41,620 --> 00:18:50,470
+ايه؟ ممكن نكون killing fluids، قاعدين في حالات الـ
+
+249
+00:18:50,470 --> 00:18:55,750
+IVF، حكيته قبل كده؟ اه في حالات الـ IVF اللي هو
+
+250
+00:18:55,750 --> 00:19:00,810
+أطفال الأنابيب، لما بيصير أحيانًا أنه بيصير عندي خمسة
+
+251
+00:19:00,810 --> 00:19:06,210
+ستة أجنة، سبعة، ثمانية موجودين في الرحم، طبعًا
+
+252
+00:19:06,210 --> 00:19:10,410
+خطأ، المركز أساسًا مش لازم يرجع أجنة أكثر
+
+253
+00:19:10,410 --> 00:19:14,130
+من ثلاثة، لأن إذا رجعنا أجنة أكثر من ثلاثة للرحم
+
+254
+00:19:14,130 --> 00:19:18,010
+فرصة أن يصير عندي multiple pregnancies عالية
+
+255
+00:19:18,010 --> 00:19:22,710
+معناها فرصة أن يصير early delivery عالية، يعني
+
+256
+00:19:22,710 --> 00:19:26,190
+هتولد الست في أول السادس أو أول السابع، وفي عدم
+
+257
+00:19:26,190 --> 00:19:29,730
+وجود إمكانيات حضانة عالية، بيقدروا يحضنوا كلهم في الآخر
+
+258
+00:19:29,730 --> 00:19:34,430
+مُفرحة، لما يكونوا هنزعل لأنهم هيروحوا بدري في أول
+
+259
+00:19:34,430 --> 00:19:38,030
+السابع، كلهم من ولادها، وكلهم في الحضانة كويسين لكن
+
+260
+00:19:38,030 --> 00:19:41,530
+يوم يوم، تخ تخ تخ، السبعة ماتوا أو الخمسة ماتوا
+
+261
+00:19:41,530 --> 00:19:47,550
+ليش؟ لأنه فيش إمكانية كبيرة، عالية، هو صعب على الطفل
+
+262
+00:19:47,550 --> 00:19:52,010
+أن ينولد برّا من من يطلع من رحم أمه في أشهر
+
+263
+00:19:52,010 --> 00:19:56,270
+مبكرة، okay، في الدول المتقدمة في حضانة ممتازة زي
+
+264
+00:19:56,270 --> 00:19:58,930
+ما ممكن أعودهم، هذا الكلام، بس هذا مش موجود في كل
+
+265
+00:19:58,930 --> 00:20:04,290
+مكان لأنه مكلف جدًا، الحل أن نعمل reduction of the
+
+266
+00:20:04,290 --> 00:20:08,490
+number of embryos لما نلاقي خمسة أجنة في الرحم
+
+267
+00:20:08,490 --> 00:20:13,770
+موجودين، وهذا هيُهدد خطر المجموعة كلها، هيكون خطر على
+
+268
+00:20:13,770 --> 00:20:17,090
+حياة المجموعة كلها، مش واحد اثنين هيموتوا والباقيين،
+
+269
+00:20:17,090 --> 00:20:20,910
+لا، كلهم هينزلوا بدري، فبيعمل عملية reduction
+
+270
+00:20:20,910 --> 00:20:25,050
+لعدد الأجنة، بيشيلوا واحد أو اثنين بحيث
+
+271
+00:20:25,050 --> 00:20:29,390
+يخففوا من حمل الرحم عشان يقدروا يصلوا للشهر الثامن
+
+272
+00:20:29,390 --> 00:20:33,190
+أو التاسع، فبيعملوا injection of potassium chloride
+
+273
+00:20:33,190 --> 00:20:37,070
+بيحُقنوا إبرة، هيك على الجنين، وبيوقف الجنين
+
+274
+00:20:37,070 --> 00:20:40,710
+potassium chloride، بيرفع الـ potassium، بيوقف القلب
+
+275
+00:20:40,710 --> 00:20:45,530
+فورًا، تمام؟ وبيوقف الجنين عن، فبيظل في فرق
+
+276
+00:20:45,530 --> 00:20:54,190
+لاخته، هذا بالنسبة لايه؟ للبوتاسيوم خطير لذلك
+
+277
+00:20:54,190 --> 00:20:58,090
+اللدوستيرون تمام؟ بيهتم بالبوتاسيوم أكثر منه
+
+278
+00:20:58,090 --> 00:21:02,110
+وأخطر، البوتاسيوم ايه؟ أخطر، و
+
+279
+00:21:02,110 --> 00:21:05,770
+بنتكلم عن أربعة من الـ equivalent، أربعة لو صارت
+
+280
+00:21:05,770 --> 00:21:08,790
+خمسة أو ستة، ونخش في خطر، في حين أنك بتتكلم  مئة
+
+281
+00:21:08,790 --> 00:21:11,230
+وخمسين، يا أخي تصير مئة وستين، إيش بده يصير؟
+
+282
+00:21:11,530 --> 00:21:16,870
+هذا شوية expansion of the volume، بتزيد شوية الضغط
+
+283
+00:21:16,870 --> 00:21:20,590
+لكن البوتاسيوم ما بيتعاملش مع الضغط، بيتعامل مع ايه؟
+
+284
+00:21:20,590 --> 00:21:23,270
+توصيلية الـ heart، ولا الـ neuromuscular junctions
+
+285
+00:21:23,270 --> 00:21:28,390
+النقطة الثانية اللي هو الـ angiotensin 2، إذا
+
+286
+00:21:28,390 --> 00:21:32,770
+الألدوستيرون له تأثير، أحد الكلام عن الـ hormonal
+
+287
+00:21:32,770 --> 00:21:35,630
+part تمام؟ قبل كده اتكلمنا عن الايه؟
+
+288
+00:21:42,010 --> 00:21:48,690
+الأنغيوتنسين 2، هو ربما الانجيوتنسين 2 هو
+
+289
+00:21:48,690 --> 00:21:50,990
+الأنغيوتنسين 2 هو الأنغيوتنسين 2 هو الأنغيوتنسين 2
+
+290
+00:21:50,990 --> 00:21:52,570
+هو الأنغيوتنسين 2 هو الأنغيوتنسين 2 هو
+
+291
+00:21:52,570 --> 00:21:53,630
+الأنغيوتنسين 2 هو الأنغيوتنسين 2 هو الأنغيوتنسين 2
+
+292
+00:21:53,630 --> 00:21:56,170
+هو الأنغيوتنسين 2 هو الأنغيوتنسين 2 هو
+
+293
+00:21:56,170 --> 00:22:01,170
+الأنغيوتنسين 2 هو الأنغيوتنسين 2 هو الأنغيوتن
+
+294
+00:22:01,820 --> 00:22:07,740
+الأنغيوتنسين، ما تنسى أنه بيعمل expansion
+
+295
+00:22:07,740 --> 00:22:12,200
+بيزيد الضغط، فهو بيعمل expansion للـ body fluids
+
+296
+00:22:12,200 --> 00:22:15,940
+بمعنى أن الـ sodium retaining، يعني بيحافظ على
+
+297
+00:22:15,940 --> 00:22:19,240
+الصوديوم، يعني بيعمل ايه؟ صوديوم ومياه، يعني expansion
+
+298
+00:22:19,240 --> 00:22:23,780
+تمام؟ هو أقوى واحد، لأنه بيشتغل مباشر بنفسه، وعبر
+
+299
+00:22:23,780 --> 00:22:27,640
+زملائه اللي هم الألدوستيرون اللي بيستعين بهم، تمام؟
+
+300
+00:22:28,920 --> 00:22:33,660
+المصادر، المزيد من الأنجيوتنسين تساعد في إعادة
+
+301
+00:22:33,660 --> 00:22:36,880
+إعادة امتصاص الدم، وأكثر من امتصاص الهيموجلوبين للطبيعي
+
+302
+00:22:36,880 --> 00:22:38,880
+بإعادة امتصاص الهيموجلوبين للطبيعي، بإعادة
+
+303
+00:22:38,880 --> 00:22:39,460
+امتصاص الهيموجلوبين للطبيعي، بإعادة امتصاص
+
+304
+00:22:39,460 --> 00:22:40,280
+الهيموجلوبين للطبيعي، بإعادة امتصاص الهيموجلوبين
+
+305
+00:22:40,280 --> 00:22:41,160
+الهيموجلوبين للطبيعي، بإعادة امتصاص الهيموجلوبين
+
+306
+00:22:41,160 --> 00:22:43,600
+الهيموجلوبين للطبيعي، بإعادة امتصاص الهيموجلوبين
+
+307
+00:22:43,600 --> 00:22:50,800
+للطبيعي، بإعادة امتصاص الهيموجلوبين للطبعا، إذا انخفضت
+
+308
+00:22:50,800 --> 00:22:55,180
+إنسان يراه، فبيشتغل بثلاث نقاط على أنه يحافظ على الـ
+
+309
+00:22:55,180 --> 00:22:58,420
+sodium والـ water، منها اللي قلنا عليها، الألدوستيرون
+
+310
+00:22:58,420 --> 00:23:01,360
+مش كده؟ هاي، انخفضت، استمرت في الألدوستيرون اللي احنا
+
+311
+00:23:01,360 --> 00:23:07,470
+عارفينها، اثنين منها اللي هو التحكم في الـ efferent
+
+312
+00:23:07,470 --> 00:23:12,110
+arteriole تمام؟ إذاً الـ angiotensin 2 زود الـ
+
+313
+00:23:12,110 --> 00:23:15,350
+constriction  للـ efferent بيزيد الـ filtration
+
+314
+00:23:15,350 --> 00:23:21,350
+مش كده؟ بيزيد الـ filtration وبي… وبي… هذا
+
+315
+00:23:21,350 --> 00:23:23,410
+علاقته بالـ filtration، خلاص، الكلام عن الـ
+
+316
+00:23:23,410 --> 00:23:27,450
+reabsorption، الـ angiotensin 2 لما يزيد بيزيد الـ
+
+317
+00:23:27,450 --> 00:23:30,910
+reabsorption في الـ different parts of the
+
+318
+00:23:33,760 --> 00:23:37,160
+هذه النقطة الثالثة، خليني أدخل عليها، عشت نفسي، الـ
+
+319
+00:23:37,160 --> 00:23:39,960
+Direct Stimulus Sodium Reabsorption in the
+
+320
+00:23:39,960 --> 00:23:42,780
+proximal tubule, the loop of Henle, and the distal
+
+321
+00:23:42,780 --> 00:23:44,780
+tubule and the collecting tubule، يعني في الـ
+
+322
+00:23:44,780 --> 00:23:48,680
+different parts of the nephron، Reabsorption of
+
+323
+00:23:48,680 --> 00:23:53,600
+Sodium، و sodium طبعًا يجر الماء، في الغالب، الـ
+
+324
+00:23:53,600 --> 00:23:57,460
+different parts is stimulated to reabsorb more
+
+325
+00:23:57,460 --> 00:24:02,460
+sodium، ولما يجي الألدوستيرون، بيجي نفس الكلام،
+
+326
+00:24:02,460 --> 00:24:04,860
+الـ reabsorption، إذاً الـ different parts is
+
+327
+00:24:04,860 --> 00:24:07,400
+stimulated to reabsorb more sodium if the
+
+328
+00:24:07,400 --> 00:24:11,120
+angiotensin 2 increases، تمام؟ إذاً لما الـ
+
+329
+00:24:11,120 --> 00:24:15,960
+angiotensin 2 يزيد، بيزيد الـ reabsorption
+
+330
+00:24:15,960 --> 00:24:20,450
+everywhere، مش بميكانيزم معينة، مباشرة مباشرة مباشرة
+
+331
+00:24:20,450 --> 00:24:25,210
+مباشرة مباشرة، direct effect، مباشرة
+
+332
+00:24:25,210 --> 00:24:25,350
+مباشرة direct effect مباشرة مباشرة direct effect
+
+333
+00:24:25,350 --> 00:24:27,390
+مباشرة مباشرة direct effect مباشرة مباشرة direct
+
+334
+00:24:27,390 --> 00:24:30,370
+effect مباشرة مباشرة direct effect مباشرة مباشرة
+
+335
+00:24:30,370 --> 00:24:31,310
+direct effect مباشرة direct effect مباشرة direct
+
+336
+00:24:31,310 --> 00:24:32,270
+effect مباشرة direct effect مباشرة direct effect
+
+337
+00:24:32,270 --> 00:24:36,130
+مباشرة direct effect مباشرة
+
+338
+00:24:36,130 --> 00:24:41,350
+direct effect مباشرة direct effect مباشرة direct
+
+339
+00:24:41,350 --> 00:24:42,290
+effect مباشرة direct effect مباشرة direct effect
+
+340
+00:24:42,290 --> 00:24:42,350
+مباشرة direct effect مباشرة direct effect مباشرة
+
+341
+00:24:42,350 --> 00:24:42,570
+direct effect مباشرة direct effect مباشرة direct
+
+342
+00:24:42,570 --> 00:24:46,150
+effect مباشرة direct effect مباشرة
+
+343
+00:24:49,680 --> 00:24:54,800
+النقطة الثانية اللي سبناها، احنا هان، بدها تفاصيل أن
+
+344
+00:24:54,800 --> 00:25:00,940
+الأنغيوتنسين بيشتغل على الأريوليولات الإفْرِنْتِيَّة، اللي بتشتغل
+
+345
+00:25:00,940 --> 00:25:02,200
+الأريوليولات الإفْرِنْتِيَّة الإفْرِنْتِيَّة الإفْرِنْتِيَّة
+
+346
+00:25:02,200 --> 00:25:02,580
+الإفْرِنْتِيَّة الإفْرِنْتِيَّة الإفْرِنْتِيَّة الإفْرِنْتِيَّة الإفْرِنْتِيَّة
+
+347
+00:25:02,580 --> 00:25:10,100
+الإفْرِنْتِيَّة الإفْرِنْتِيَّة
+
+348
+00:25:10,100 --> 00:25:15,040
+الإفْرِنْتِيَّة الإفْرِنْتِيَّة الإفْرِنْتِيَّة الإفْرِنْتِيَّة الإفْرِنْتِيَّة
+
+349
+00:25:15,040 --> 00:25:15,160
+الإفْرِنْتِيَّة الإفْرِنْتِيَّة الإفْرِنْتِيَّة الإفْرِنْتِيَّة الإفْرِنْتِيَّة
+
+350
+00:25:15,160 --> 00:25:15,240
+الإفْرِنْتِيَّة الإفْرِنْتِيَّة الإفْرِنْتِيَّة الإفْرِنْتِيَّة الإفْرِنْتِيَّة
+
+351
+00:25:15,240 --> 00:25:20,130
+الإفْرِنْتِيَّة الإفْرِنْتِيَّة، ممكن يكون مش mild، أكثر شوية
+
+352
+00:25:20,130 --> 00:25:27,970
+هذا يكون أكثر شوية، تمام؟ بيزيد الـ filtration، مش كده؟
+
+353
+00:25:27,970 --> 00:25:31,030
+معناها اللي… اللي… اللي… اللي… اللي… الـ
+
+354
+00:25:31,030 --> 00:25:31,850
+…ال… ال… ال… ال… ال… ال… ال… ال…
+
+355
+00:25:31,850 --> 00:25:31,990
+ال… ال… ال… ال… ال… ال… ال… ال… ال
+
+356
+00:25:31,990 --> 00:25:32,070
+…ال… ال… ال… ال… ال… ال… ال… ال… ال
+
+357
+00:25:32,070 --> 00:25:32,310
+ال… ال… ال… ال… ال… ال… ال… ال… ال
+
+358
+00:25:32,310 --> 00:25:32,850
+…ال… ال… ال… ال… ال… ال… ال… ال… ال
+
+359
+00:25:32,850 --> 00:25:33,150
+ال… ال… ال… ال… ال… ال… ال… ال… ال
+
+360
+00:25:33,150 --> 00:25:34,390
+…ال… ال… ال… ال… ال… ال… ال… ال… ال
+
+361
+00:25:34,390 --> 00:25:35,150
+ال… ال… ال… ال… ال… ال… ال… ال… ال
+
+362
+00:25:35,150 --> 00:25:41,250
+ال… ال… ال… ال… ال… ال… ال… ال… ال
+
+363
+00:25:45,730 --> 00:25:50,910
+طب هذه النقطة الأولى، أولًا، الإفرنت الأريوليول بتقوم
+
+364
+00:25:50,910 --> 00:25:54,050
+بتضييق كبير للبريتيوبيلر، بتقوم بتضييق كبير
+
+365
+00:25:54,050 --> 00:25:55,170
+للـ بريتيوبيلر، بتقوم بتضييق كبير للـ بريتيوبيلر، بتقوم
+
+366
+00:25:55,170 --> 00:25:56,270
+بتضييق كبير للبريتيوبيلر، بتقوم بتضييق كبير
+
+367
+00:25:56,270 --> 00:25:57,790
+للـ بريتيوبيلر، بتقوم بتضييق كبير للبريتيوبيلر، بتقوم
+
+368
+00:25:57,790 --> 00:26:03,690
+بتضييق كبير للبريتيوبيلر، تضييق كبير للبريتيوبيلر،
+
+369
+00:26:03,690 --> 00:26:07,590
+تضييق كبير للبريتيوبيلر، تضييق كبير للبريتيوبيلر،
+
+370
+00:26:07,590 --> 00:26:10,430
+تضييق كبير للبريتيوبيلر، تضييق كبير للبريتيوبيلر،
+
+371
+00:26:10,430 --> 00:26:13,590
+تضييق كبير للبريتيوبيلر، تضييق كبير للبروت
+
+372
+00:26:14,610 --> 00:26:17,030
+reabsorption على الـ level تبع الـ peritubular
+
+373
+00:26:17,030 --> 00:26:20,810
+capillaries، أن كل ده الـ factor، احنا هان، لما يزيد
+
+374
+00:26:20,810 --> 00:26:26,830
+الـ filtration، بمعنى أن الـ filtration زاد، مش مش ل…
+
+375
+00:26:26,830 --> 00:26:33,510
+…لأن الـ flow rate زاد، تمام؟ الـ flow rate زاد، احنا
+
+376
+00:26:33,510 --> 00:26:37,110
+عندنا العلاقة
+
+377
+00:26:37,110 --> 00:26:42,330
+ما بين الـ filtration fraction يساوي الـ GFR على الـ
+
+378
+00:26:42,330 --> 00:26:47,560
+Renal Plasma Flow، فلما عندنا Renal Blood Flow، Renal
+
+379
+00:26:47,560 --> 00:26:51,440
+Plasma Flow يزيد، تمام؟ معناها الـ filtration ايش؟
+
+380
+00:26:51,440 --> 00:26:57,580
+بيزيد، معناها الـ colloidal الـ colloidal بيقل، لأنه
+
+381
+00:26:57,580 --> 00:27:02,380
+زاد الـ filtration، مش كده؟ زاد الـ filtration، بمعنى
+
+382
+00:27:02,380 --> 00:27:07,710
+أبسط من العلاقة اللي هي معقدة هذه، أنه لما الأنجيوتن
+
+383
+00:27:07,710 --> 00:27:14,030
+ب يضيّق، الـ time for filtration increases، طب كمية
+
+384
+00:27:14,030 --> 00:27:18,290
+الماء اللي هتروح لأنه صار exposed للـ surface of
+
+385
+00:27:18,290 --> 00:27:22,050
+filtration أطول، هيصير more concentrated، هيصير
+
+386
+00:27:22,050 --> 00:27:24,690
+عندي more colloidal، هيصير more reabsorption عبر
+
+387
+00:27:24,690 --> 00:27:27,650
+الـ colloidal، تمام؟ إذا في الحالة هذه أنا عندي
+
+388
+00:27:27,650 --> 00:27:32,560
+بيشتغل الـ angiotensin 2 على الـ hashtag، بيشتغل
+
+389
+00:27:32,560 --> 00:27:35,720
+أنه بيزيد الـ Colloidal في البريتيوبيلر، وبيقلل الـ
+
+390
+00:27:35,720 --> 00:27:38,580
+hydrostatic في البريتيوبيلر، فالـ two factors هدول
+
+391
+00:27:38,580 --> 00:27:41,180
+بيساعدوني على الـ reabsorption لما يقل
+
+445
+00:31:35,820 --> 00:31:39,160
+نفتح الـ water channels المياه تدخل إلى؟ إلى الـ
+
+446
+00:31:39,160 --> 00:31:45,140
+collecting duct epithelia وبعدين لما نكون
+
+447
+00:31:45,140 --> 00:31:47,620
+متص ماء في هذه الحالة، نقوم بعمل concentration للـ urine
+
+448
+00:31:47,620 --> 00:31:54,120
+يكون hyperosmotic من؟ هو hyperosmotic  النخاع، أليس كذلك؟
+
+449
+00:31:54,120 --> 00:31:59,120
+كذلك؟ يوجد concentration gradient طالما يوجد
+
+450
+00:31:59,120 --> 00:32:03,490
+reabsorption of water by antidiuretic hormone معناها
+
+451
+00:32:03,490 --> 00:32:06,710
+يوجد osmotic gradient يتكون، نتحدث عن الجزء
+
+452
+00:32:06,710 --> 00:32:09,050
+الأخر، نحن في الـ collecting duct، الـ collecting duct
+
+453
+00:32:09,050 --> 00:32:13,590
+طبعا، أين توجد؟ في النخاع، أليس كذلك؟ في النخاع، الـ
+
+454
+00:32:13,590 --> 00:32:17,010
+collecting duct في النخاع، إذا فتحت الـ water
+
+455
+00:32:17,010 --> 00:32:18,130
+channels
+
+456
+00:32:20,740 --> 00:32:24,700
+وأننا نعلم أن الـ hyperosmotic medulla تمتص الـ
+
+457
+00:32:24,700 --> 00:32:28,780
+water من أين؟ من الظهارية، تدفع الـ water من الـ
+
+458
+00:32:28,780 --> 00:32:32,760
+filtrate من السائل الأنبوبي إلى داخل الخلايا
+
+459
+00:32:32,760 --> 00:32:37,580
+سوف تنتقل،  الآلية واضحة، عبر الـ osmosis الذي
+
+460
+00:32:37,580 --> 00:32:42,440
+موجود في الـ interstitium.  حسنًا، للأعلى قليلاً، في الـ
+
+461
+00:32:42,440 --> 00:32:47,900
+collecting tubule القشري في الـ distal tubule
+
+462
+00:32:47,900 --> 00:32:54,860
+القشري، تمام؟ هذه الآلية صالحة؟ حسنًا، نحن هنا
+
+463
+00:32:54,860 --> 00:33:00,180
+لا تسرعوا، أنا أصحح لكم، حسنًا، لدينا هنا
+
+464
+00:33:00,180 --> 00:33:04,160
+يعتمد reabsorption of water على وجود الـ
+
+465
+00:33:04,160 --> 00:33:08,480
+interstitium المركز، أليس كذلك؟ حسنًا، في الـ.. في الـ
+
+466
+00:33:08,480 --> 00:33:11,140
+الـ.. في الـ cortex، الـ interstitium ليس
+
+467
+00:33:11,140 --> 00:33:15,220
+مركزًا، صحيح؟ حسنًا، okay، فتحنا الـ channels
+
+468
+00:33:15,220 --> 00:33:19,350
+المياه، كيف ستفعل ماذا؟ عليها تشغيل الآلية بأن
+
+469
+00:33:19,350 --> 00:33:22,790
+الهرمون المضاد لإدرار البول، لكن فتحنا الـ channels، جاءت الـ water
+
+470
+00:33:22,790 --> 00:33:25,570
+يؤثر على النفاذية، تعتمد على الهرمون المضاد لإدرار البول في
+
+471
+00:33:25,570 --> 00:33:28,890
+الـ distal tubule وفي الـ collecting cortical
+
+472
+00:33:28,890 --> 00:33:32,930
+collecting يعتمد عمله على الهرمون المضاد لإدرار البول، و الـ
+
+473
+00:33:32,930 --> 00:33:35,790
+collecting duct يعتمد على الهرمون المضاد لإدرار البول في
+
+474
+00:33:35,790 --> 00:33:39,130
+collecting duct، الهرمون المضاد لإدرار البول فتح الـ channels، و
+
+475
+00:33:39,130 --> 00:33:43,610
+جاء ماذا؟ تدفق هائل إلى الـ interstitium، إلى الـ interstitium في
+
+476
+00:33:43,610 --> 00:33:46,610
+الحالة، يكون ماذا؟ نعم، مركز، concentrated interstitium
+
+477
+00:33:47,630 --> 00:33:51,150
+لكن القشرة ليس لديها concentrated interstitial،  ليس لديها
+
+478
+00:33:51,150 --> 00:33:56,950
+الـ.. الـ.. الـ osmolality في القشرة يكون، يكون
+
+479
+00:33:56,950 --> 00:34:03,110
+متساوي التنافذي، حوالي ثلاثمئة، ثلاثمئة تقريبًا
+
+480
+00:34:03,110 --> 00:34:05,490
+الـ.. الـ.. الـ tubular filtrate osmolality في
+
+481
+00:34:05,490 --> 00:34:10,470
+هذه الحالة يكون في
+
+482
+00:34:10,470 --> 00:34:15,570
+الـ distal tubule في الـ distal tubule، تمام، في
+
+483
+00:34:15,570 --> 00:34:19,190
+الـ Early Distal Tubule في الـ Thick Ascending
+
+484
+00:34:19,190 --> 00:34:22,410
+Limb، نهايته، المتسربة كم تكون عند الـ
+
+485
+00:34:22,410 --> 00:34:27,250
+Osmolality الخاص بها، عندما أضفنا ماء، إذن لا يزال يوجد فرق كبير
+
+486
+00:34:27,250 --> 00:34:32,810
+في الـ Osmolality بين المتسربة والقشرة، لأنه
+
+487
+00:34:32,810 --> 00:34:35,210
+دخلنا في الـ Thick Ascending Limb وسحبنا الـ
+
+488
+00:34:35,210 --> 00:34:40,670
+Solids، وصلنا إلى الـ early part أيضًا، مستحيل
+
+489
+00:34:40,670 --> 00:34:44,750
+للمياه، لكننا نسحب  solutes، والمتسربة
+
+490
+00:34:44,750 --> 00:34:48,970
+أصبحت ماذا؟ مخففة، في هذه الحالة، إذا سمحنا
+
+491
+00:34:48,970 --> 00:34:53,590
+للمياه، الـ channels ستفتح تلقائيًا، ستتمكن المياه
+
+492
+00:34:53,590 --> 00:34:56,790
+من الخروج والوصول إلى الـ interstitium، لأن الـ interstitium
+
+493
+00:34:56,790 --> 0:35:04,650
+هو 300 طبعًا؟  إذا قلنا نحن، إذا كانت هذه المتسربة
+
+494
+00:35:04,650 --> 00:35:09,890
+لدينا concentrating mechanisms والمتسربة هذا يؤثر
+
+495
+00:35:09,890 --> 00:35:13,490
+على الهرمون المضاد لإدرار البول، الحد الأقصى يخرج من القشرة
+
+496
+00:35:13,490 --> 00:35:18,390
+إلى النخاع 300، القشرة ليس لديها القدرة على عمل تأثير أكثر
+
+497
+00:35:18,390 --> 00:35:22,050
+من ماذا؟ يزيد تركيزه إلى 300، لأن الـ intersection الخاص به
+
+498
+00:35:22,050 --> 00:35:28,410
+على 300، أليس كذلك؟ لذلك،  يقدر أن يتحول من 100 إلى
+
+499
+00:35:28,410 --> 00:35:34,170
+يعطيني ثلاثمئة،  تذهب المياه إلى ثلاثمئة
+
+500
+00:35:34,170 --> 00:35:38,280
+يستقر عند 300، تمام؟  إذا في هذه الحالة، الـ Antidiuretic
+
+501
+00:35:38,280 --> 00:35:40,860
+hormone، آلية عمله فعالة في القشرة
+
+502
+00:35:40,860 --> 00:35:43,260
+لأنني أتحدث عن المتسربة،  ليس، ليس، ليس
+
+503
+00:35:43,260 --> 00:35:46,420
+متساوي التنافذي، أتحدث عن المتسربة، إذا كان الحد الأقصى
+
+504
+00:35:46,420 --> 00:35:51,220
+يصل إليه هذا المتسربة، ينزل إلى النخاع، ليس من الممكن أن ينزل..
+
+505
+00:35:51,220 --> 00:35:54,340
+يخرج أكثر من 300، لماذا؟ لأن قدرة القشرة 300
+
+506
+00:35:54,340 --> 00:35:58,920
+ومعناها أني أقدر أسلم في الحالات الشديدة التي
+
+507
+00:35:58,920 --> 00:36:02,460
+أحتاج فيها ماء كثير، أقدر أسلم فقط إلى
+
+508
+00:36:02,460 --> 00:36:07,700
+الـ interstitium للنخاع، أقدر أسلم filtrate أو
+
+509
+00:36:07,700 --> 00:36:11,180
+tubular fluid تركيزه حوالي ثلاثمئة، هذا هو الحد الأقصى
+
+510
+00:36:11,180 --> 00:36:13,500
+بعد ذلك، لدينا  high bar
+
+511
+00:36:13,500 --> 00:36:17,040
+concentration  يحدث هنا، لأن النخاع يكون ليس على
+
+512
+00:36:17,040 --> 00:36:21,040
+الـ osmotic، يكون  high bar osmotic  يأخذ فقط
+
+513
+00:36:21,040 --> 00:36:28,180
+ما يحتاجه،  حسب الحد الأقصى الخاص به، ليس في النخاع، الـ
+
+514
+00:36:28,180 --> 00:36:31,640
+maximum الخاص بتركيزه، الذي يقدر عمله للـ urine يعني
+
+515
+00:36:31,640 --> 00:36:36,740
+أنت  تتحدث عن ثلاثمئة،  لا، لا، لا، لا، لا، لا، لا، لا، لا، لا
+
+516
+00:36:36,740 --> 00:36:36,760
+لا لا لا لا لا لا لا لا لا لا لا لا لا لا لا لا لا
+
+517
+00:36:36,760 --> 00:36:37,200
+لا لا لا لا لا لا لا لا لا لا لا لا لا لا لا لا لا
+
+518
+00:36:37,200 --> 00:36:47,140
+لا
+
+519
+00:36:47,140 --> 00:36:51,020
+لا لا لا لا لا لا لا لا لا لا لا لا لا لا لا لا لا لا
+
+520
+00:36:51,020 --> 00:36:51,460
+لا لا لا لا لا لا لا لا لا لا لا لا لا لا لا لا لا
+
+521
+00:36:51,460 --> 00:36:57,380
+لا لا لا لا لا لا لا لا لا لا لا لا
+
+522
+00:36:57,380 --> 00:37:03,020
+لا لا
+
+523
+00:37:03,250 --> 00:37:07,850
+الـ water channels مفتوحة، و الـ interstitium جاهز، كل ما
+
+524
+00:37:07,850 --> 00:37:11,910
+نزل،  نمتص منه قليل، فيزيد الـ concentration في الـ
+
+525
+00:37:11,910 --> 00:37:14,710
+tubular filtrate، في النهاية، القطرة التي ستنزل في الـ
+
+526
+00:37:14,710 --> 00:37:19,050
+pelvis of the kidney سيكون تركيزها مثل تركيز ماذا؟
+
+527
+00:37:19,050 --> 00:37:23,370
+الـ interstitium، الكلام واضح؟ واضح؟ من كان
+
+528
+00:37:23,370 --> 00:37:29,270
+أفضل؟ واضح؟ تمام؟ واضح للجميع؟ تمام،  حسنًا، إذاً
+
+529
+00:37:29,270 --> 00:37:34,870
+الآلية واحدة في الـ proximal، في الـ.. في الـ
+
+530
+00:37:34,870 --> 00:37:38,290
+cortical وفي الـ ماذا؟ لماذا عملت الـ cortical فقط؟
+
+531
+00:37:38,290 --> 00:37:43,130
+بفتح البوابات؟ لأنه يوجد hypo osmotic tubular
+
+532
+00:37:43,130 --> 00:37:48,450
+fluid، فإذا فتحنا له المجال ليخرج من القشرة
+
+533
+00:37:48,450 --> 00:37:53,090
+يوجد لدينا فرق كبير،  حسنًا، كيف
+
+534
+00:37:53,090 --> 00:37:55,670
+هذه الآلية تحدث؟ قلت لكم،  الآلية هي فتح
+
+535
+00:37:55,670 --> 00:37:59,090
+الـ channels أم لا تفتح، بعد ذلك، الـ osmolality
+
+536
+00:37:59,090 --> 00:38:02,080
+الذي في الـ interstitium هو الذي يكمل العملية، يعني
+
+537
+00:38:02,080 --> 00:38:07,380
+لدينا ما يسمى V2 receptors موجودة من الـ late
+
+538
+00:38:07,380 --> 00:38:14,260
+distal إلى نهاية الـ collecting duct، V2 يعني هؤلاء هم
+
+539
+00:38:14,260 --> 00:38:17,680
+الذين يحفزون الـ water pores أو water channels
+
+540
+00:38:17,680 --> 00:38:25,630
+الـ aquaporins، مستقبلات V2، الهرمون المضاد لإدرار البول
+
+541
+00:38:25,630 --> 00:38:29,810
+يعمل، يعمل، يعمل، يعمل، يعمل، يعمل، يعمل، يعمل
+
+542
+00:38:29,810 --> 00:38:30,750
+يعمل، يعمل، يعمل، يعمل، يعمل، يعمل، يعمل، يعمل، يعمل
+
+543
+00:38:30,750 --> 00:38:30,790
+يعمل، يعمل، يعمل، يعمل، يعمل، يعمل، يعمل، يعمل، يعمل
+
+544
+00:38:30,790 --> 00:38:31,530
+يعمل، يعمل، يعمل، يعمل، يعمل، يعمل، يعمل، يعمل، يعمل
+
+545
+00:38:31,530 --> 00:38:33,530
+يعمل، يعمل، يعمل، يعمل، يعمل، يعمل، يعمل، يعمل، يعمل
+
+546
+00:38:33,530 --> 00:38:36,030
+يعمل، يعمل، يعمل، يعمل، يعمل، يعمل، يعمل
+
+547
+00:38:43,470 --> 00:38:47,170
+التي هي نوع معين من البروتينات موجودة في الـ..
+
+548
+00:38:47,170 --> 00:38:51,610
+في الـ cytoplasm،  ويمكن، إذا كان التحفيز بسيطًا
+
+549
+00:38:51,610 --> 00:38:55,010
+نستخدم الـ aquaporin الموجود في الـ cytoplasm يعني
+
+550
+00:38:55,010 --> 00:38:57,850
+تحت الغشاء، تحت الغشاء القمي، يوجد لدينا
+
+551
+00:38:57,850 --> 00:39:02,970
+حويصلات تحتوي على بروتينات خاصة، إذا كان الهرمون المضاد لإدرار البول
+
+552
+00:39:02,970 --> 00:39:06,430
+هذا عمل تحفيز، فالبروتينات تذهب،  تلتصق بـ
+
+553
+00:39:06,430 --> 00:39:09,510
+ماذا؟ بالغشاء، تمام؟ ثم يحدث لها  extra..
+
+554
+00:39:09,510 --> 00:39:15,430
+extravasation أو exocytosis، فتخرج على الغشاء
+
+555
+00:39:15,430 --> 00:39:19,250
+الطرفي، وتعمل water channels، إذا كان الهرمون المضاد لإدرار البول
+
+556
+00:39:19,250 --> 00:39:22,570
+جاء، جزء منها سيختفي، جاء جزء منها.. جاء الذي على
+
+557
+00:39:22,570 --> 00:39:26,070
+الآخر سيذهب و يختفي،  تصبح المياه كلها، تمام، تخرج
+
+558
+00:39:26,070 --> 00:39:32,750
+خارجًا، إذا هو يفتح channels أو يضيفها أو يزيدها، تمام؟
+
+559
+00:39:32,750 --> 00:39:37,750
+نعم هو هو، لكني أزيد فتحات التسريب أو أضيفها
+
+560
+00:39:37,750 --> 00:39:41,730
+حسب ما أريد،  تركيزه، يوجد  V2 receptors
+
+561
+00:39:41,730 --> 00:39:45,170
+تزيد، هذه الآلية، هذه الآلية الخلوية
+
+562
+00:39:45,170 --> 00:39:47,390
+تؤدي إلى حركة متزامنة لـ
+
+563
+00:39:47,390 --> 00:39:50,430
+بروتين داخل الخلايا يسمى aquaporin، aquaporin ماذا؟
+
+564
+00:39:50,430 --> 00:39:55,050
+يعني  aquaporin؟ لذلك،  aquaporin  قنوات مائية، هؤلاء
+
+565
+00:39:59,580 --> 00:40:04,180
+Aquaporin 2،  يوجد 3 و 4، الـ aquaporin 2 هؤلاء الذين
+
+566
+00:40:04,180 --> 00:40:07,360
+هم موجودون على الـ brush border، الـ apical border الذي
+
+567
+00:40:07,360 --> 00:40:13,260
+الأولى، تتحكم فيها الـ aquaporin أو aqua
+
+568
+00:40:13,260 --> 00:40:18,830
+3 و 4 موجودة على الـ basolateral، ليس لها علاقة بـ A
+
+569
+00:40:18,830 --> 00:40:21,550
+بـ الهرمون المضاد لإدرار البول، لكنها تفتح الـ channels
+
+570
+00:40:21,550 --> 00:40:25,450
+بحيث تساعد على دخول الماء إلى الـ interstitium،  لكن
+
+571
+00:40:25,450 --> 00:40:27,590
+ليست تحت سيطرة الـ A،  الهرمون المضاد لإدرار البول
+
+572
+00:40:27,590 --> 00:40:30,790
+التي تحت سيطرة الهرمون المضاد لإدرار البول
+
+573
+00:40:30,790 --> 00:40:34,230
+الذي هو على الـ A، الغشاء القمي، يفتح، تخرج
+
+574
+00:40:34,230 --> 00:40:39,030
+المياه،  تذهب المياه إلى أين؟ للدخول
+
+575
+00:40:39,030 --> 00:40:42,750
+إلى الكلية مرة أخرى، إلى الـ interstitium، تذهب إلى
+
+576
+00:40:42,750 --> 00:40:43,030
+الخارج
+
+577
+00:40:46,650 --> 00:40:51,530
+الجزيئات تتجمع وتندمج مع الغشاء الخلوي من خلال
+
+578
+00:40:51,530 --> 00:40:57,610
+الإخراج الخلوي  لتكوين قنوات مائية تسمح لمرور الماء
+
+579
+00:40:57,610 --> 00:41:00,990
+بسرعة من خلال الخلايا،  يوجد  Aquaporins  ثلاثة
+
+580
+00:41:00,990 --> 00:41:03,970
+أو أربعة،  غير موجودة،  ليست موجودة هنا، ليست موجودة على
+
+581
+00:41:03,970 --> 00:41:07,130
+الـ basolateral،  و زيادة aquaporin تعمل  لماذا؟ أكثر
+
+582
+00:41:07,130 --> 00:41:13,370
+تجارب، تجارب  aquaporin،  لأن العملية تصبح
+
+583
+00:41:13,370 --> 00:41:16,720
+أسرع وأكبر،  عندما يتخلص الجسم من الهرمون المضاد لإدرار البول
+
+584
+00:41:16,720 --> 00:41:20,800
+عندما يتخلص الجسم من الهرمون المضاد لإدرار البول، عندما
+
+585
+00:41:20,800 --> 00:41:22,620
+يتخلص الجسم من الهرمون المضاد لإدرار البول، عندما يتخلص
+
+586
+00:41:22,620 --> 00:41:25,660
+الجسم من الهرمون المضاد لإدرار البول، عندما يتخلص الجسم من
+
+587
+00:41:25,660 --> 00:41:27,440
+الهرمون المضاد لإدرار البول، عندما يتخلص الجسم من الهرمون
+
+588
+00:41:27,440 --> 00:41:27,620
+يتخلص الجسم من الهرمون المضاد لإدرار البول، عندما يتخلص
+
+589
+00:41:27,620 --> 00:41:29,060
+الجسم من الهرمون المضاد لإدرار البول، عندما يتخلص الجسم من
+
+590
+00:41:29,060 --> 00:41:32,880
+الهرمون المضاد لإدرار البول، سنعيد دراسته في الـ
+
+591
+00:41:32,880 --> 00:41:37,060
+Endocrine  سنتحدث  إذا.. ليس على مستوى الكلى، يعني
+
+592
+00:41:37,060 --> 00:41:40,880
+سنتحدث عنه، سنتحدث عنه على مستوى الـ.. الغدة الكظرية
+
+593
+00:41:40,880 --> 00:41:44,440
+تمام؟ لأنه يمكن أن يزيد ويمكن أن يقل، وما هي أسباب
+
+594
+00:41:44,440 --> 00:41:49,940
+التي تجعله يزيد، كـ أمراض، ليس كنظام  فسيولوجي
+
+595
+00:41:49,940 --> 00:41:57,000
+للتحكم، نعم؟ لا، الثالث، أو الرابع
+
+596
+00:41:57,980 --> 00:42:00,940
+تحدثنا عن الهرمون المضاد لإدرار البول، الثالث سنتحدث عن
+
+597
+00:42:00,940 --> 00:42:02,100
+الرابع، الهرمون المضاد لإدرار البول، الثالث، الألدوستيرون
+
+598
+00:42:02,100 --> 00:42:05,840
+الأنجيوتنسين الثاني، الهرمون المضاد لإدرار البول، الثالث، الهرمون
+
+599
+00:42:05,840 --> 00:42:06,940
+المضاد لإدرار البول، الثالث، الهرمون المضاد لإدرار البول، الثالث
+
+600
+00:42:06,940 --> 00:42:08,180
+المضاد لإدرار البول، الثالث، الهرمون المضاد لإدرار البول، الثالث
+
+601
+00:42:08,180 --> 00:42:10,620
+المضاد لإدرار البول، الثالث، الهرمون المضاد لإدرار البول، الثالث
+
+602
+00:42:10,620 --> 00:42:10,960
+المضاد لإدرار البول، الثالث، الهرمون المضاد لإدرار البول، الثالث
+
+603
+00:42:10,960 --> 00:42:14,580
+المضاد لإدرار البول، الثالث، الهرمون المضاد لإدرار البول، الثالث
+
+604
+00:42:14,580 --> 00:42:17,600
+المضاد لإدرار البول، الثالث، الهرمون المضاد لإدرار البول، الثالث
+
+605
+00:42:17,600 --> 00:42:25,520
+المضاد لإدرار البول، الثالث
+
+606
+00:42:26,740 --> 00:42:31,760
+يقل الحجم،  البصل يقل، لكنه يشغل الكلى بطريقة
+
+607
+00:42:31,760 --> 00:42:35,980
+عكسية، لأنه عندما يزيد الحجم، يريد أن يقلله، حسنًا، الـ
+
+608
+00:42:35,980 --> 00:42:43,180
+mechanism of action الخاص به أين؟ أين عمله؟ هو يزيد
+
+609
+00:42:43,180 --> 00:42:46,680
+مستويات هذا الببتيد، بدوره يثبط
+
+610
+00:42:46,680 --> 00:42:49,340
+reabsorption of sodium and water بواسطة الأنابيب الكلوية
+
+611
+00:42:49,340 --> 00:42:52,860
+خاصة في الـ collecting duct، لذلك
+
+612
+00:42:52,860 --> 00:42:56,550
+يعمل على الجزء الأخير، تمام؟  بشكل رئيسي على الجزء الأخير
+
+613
+00:42:56,550 --> 00:42:59,410
+لكنه على الأنبوب كله، يقل
+
+667
+00:46:19,290 --> 00:46:23,090
+عايشين سباحة لا لأ لو أن يعني عشان تشوفوا كدهش أنه
+
+668
+00:46:23,090 --> 00:46:26,610
+الحياة الـ aldosterone والـ .. والـ aldosterone
+
+669
+00:46:26,610 --> 00:46:31,370
+بطلّي علامة الـ hormone system كامل لو واحد منه
+
+670
+00:46:31,370 --> 00:46:35,290
+فشل الباقي بيكمل في multiple control systems إذا
+
+671
+00:46:35,290 --> 00:46:38,570
+أنت بتتكلم في الـ control قلنا الـ autogenic one اللي
+
+672
+00:46:38,570 --> 00:46:42,910
+هو الـ glomerotubular balance بعدين الـ hormones
+
+673
+00:46:42,910 --> 00:46:46,870
+بعدين الفمتداخلك وهذا الـ physiology الـ
+
+674
+00:46:46,870 --> 00:46:50,850
+homeostasis مانظبطش احنا مش عايشين سباحة لا لأن
+
+675
+00:46:50,850 --> 00:46:54,010
+يعني عشان تشوفوا كدهش أنه الحياة هي الـ
+
+676
+00:46:54,010 --> 00:46:57,310
+aldosterone والـ .. والـ aldosterone بطلّي علاج للـ
+
+677
+00:46:57,310 --> 00:47:02,750
+hormone system كامل لو واحد منه فشل الباقي بيكمل
+
+678
+00:47:02,750 --> 00:47:06,230
+في multiple control systems إذا أنا بتتكلم في الـ
+
+679
+00:47:06,230 --> 00:47:09,670
+control قلنا الـ autogenic one اللي هو الـ .. الـ
+
+680
+00:47:09,670 --> 00:47:14,090
+glomerotubular balance بعدين الـ hormones بعدين الـ
+
+681
+00:47:14,090 --> 00:47:17,480
+..فمتداخلك وهذا الـ physiology الـ homeostasis
+
+682
+00:47:17,480 --> 00:47:21,640
+مانظبطش احنا مش عايشين سباحة لا لا لو أن يعني عشان
+
+683
+00:47:21,640 --> 00:47:23,060
+تشوفوا كدهش أنه الحياة
+
+684
+00:47:23,060 --> 00:47:41,680
+(This line appears to be gibberish and should be removed)
+
+685
+00:47:44,410 --> 00:47:47,130
+وهذا الـ physiology الـ homeostasis مانظبطش .. احنا
+
+686
+00:47:47,130 --> 00:47:50,450
+مش عايشين سباحة لا لا لو أن .. يعني عشان تشوفوا
+
+687
+00:47:50,450 --> 00:47:53,490
+كدهش أنه الحياة .. والـ .. والـ .. والـ .. والـ ..
+
+688
+00:47:53,490 --> 00:47:53,950
+والـ .. والـ .. والـ .. والـ .. والـ .. والـ .. و
+
+689
+00:47:53,950 --> 00:47:54,290
+الـ .. والـ .. والـ .. والـ .. والـ .. والـ .. والـ
+
+690
+00:47:54,290 --> 00:47:54,570
+الـ .. والـ .. والـ .. والـ .. والـ .. والـ .. والـ
+
+691
+00:47:54,570 --> 00:47:55,850
+.. والـ .. والـ .. والـ .. والـ .. والـ .. والـ ..
+
+692
+00:47:55,850 --> 00:47:56,410
+والـ .. والـ .. والـ .. والـ .. والـ .. والـ .. و
+
+693
+00:47:56,410 --> 00:47:59,230
+الـ .. والـ .. والـ .. والـ .. والـ .. والـ .. والـ
+
+694
+00:47:59,230 --> 00:48:08,810
+.. والـ .. والـ .. و
+
+695
+00:48:13,130 --> 00:48:15,830
+وهذا الـ physiology الـ homeostasis مانزبطش .. احنا
+
+696
+00:48:15,830 --> 00:48:19,170
+مش عايشين سباق لا لا لو أن .. يعني عشان تشوفوا
+
+697
+00:48:19,170 --> 00:48:24,370
+كدهش أنه الحياة .. system كامل لو واحد منه فشل
+
+698
+00:48:24,370 --> 00:48:28,070
+الباقي بيكمل في multiple control systems إذا أنا
+
+699
+00:48:28,070 --> 00:48:32,250
+بتتكلم في الـ control قلنا الـ autogenic one اللي هو الـ
+
+700
+00:48:32,250 --> 00:48:36,750
+glomerotubular balance بعدين الـ hormones بعدين الـ
+
+701
+00:48:36,750 --> 00:48:40,090
+.. فمتداخلة وهذا الـ physiology الـ homeostasis
+
+702
+00:48:40,090 --> 00:48:43,920
+مانزبطش .. احنا مش عايشين سباق لا لا لو أن .. يعني
+
+703
+00:48:43,920 --> 00:48:47,100
+عشان تشوفوا جيدًا أنه على الحياة  هاجم الـ hormones
+
+704
+00:48:47,100 --> 00:48:51,620
+فمتداخلك وهذا الـ physiological الـ homeostasis
+
+705
+00:48:51,620 --> 00:48:55,120
+مانظبطش .. احنا مش عايشين سباق لا لا .. لو أن ..
+
+706
+00:48:55,120 --> 00:48:57,420
+يعني عشان تشوفوا جيدًا أنه على الحياة هاجم الـ
+
+707
+00:48:57,420 --> 00:48:57,660
+hormones
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/KuCzOB_w3GQ_raw.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/KuCzOB_w3GQ_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..7e8a037866965831ed33f6fbb25326b145c3abcd
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/KuCzOB_w3GQ_raw.srt
@@ -0,0 +1,2912 @@
+1
+00:00:04,980 --> 00:00:09,360
+absorption of solutes and water in the proximal
+
+2
+00:00:09,360 --> 00:00:12,860
+and lobohinly as a result of increased filtration
+
+3
+00:00:12,860 --> 00:00:18,300
+rate هذا مسمى ايه؟ اللي هو ال glomerulotubular
+
+4
+00:00:18,300 --> 00:00:24,860
+balance وهذا
+
+5
+00:00:24,860 --> 00:00:30,360
+ال balance موجود ك factor اتكلمنا عنه مختلف عن ال
+
+6
+00:00:30,360 --> 00:00:35,940
+hormones ومختلف عن ايه؟ ال neural controlفهو يعني
+
+7
+00:00:35,940 --> 00:00:41,160
+بمعنى آخر لو كان عندي isolated kidney model حيصير
+
+8
+00:00:41,160 --> 00:00:45,980
+لو شيلنا الكلية من الجسم لا متصلة بأعصاب ولا
+
+9
+00:00:45,980 --> 00:00:51,760
+علاقلها هرمونات وخطنا لها ضغوط مختلفة عشان نظبط ال
+
+10
+00:00:51,760 --> 00:00:56,360
+GFR وزاد ال filtration هلاجئ انه في glomerular
+
+11
+00:00:56,360 --> 00:01:00,160
+balance موجود لذلك انا قلتلكم اذا عندنا ال
+
+12
+00:01:00,160 --> 00:01:03,400
+glomerular balance هي factor اتنين عندنا hormonal
+
+13
+00:01:03,400 --> 00:01:07,450
+control تلاتةإذن هذا مفصل عنهم، مش موالوش على
+
+14
+00:01:07,450 --> 00:01:11,250
+خلايا بالورمون ولا بالإيه، it is an autogenous
+
+15
+00:01:11,250 --> 00:01:19,530
+property موجودة في داخل النفرون أو الكلية، the
+
+16
+00:01:19,530 --> 00:01:20,050
+importance
+
+17
+00:01:49,030 --> 00:01:50,930
+بالنسبة للنسبة للنسبة للنسبة للنسبة للنسبة للنسبة
+
+18
+00:01:50,930 --> 00:01:50,970
+للنسبة للنسبة للنسبة للنسبة للنسبة للنسبة للنسبة
+
+19
+00:01:50,970 --> 00:01:50,970
+للنسبة للنسبة للنسبة للنسبة للنسبة للنسبة للنسبة
+
+20
+00:01:50,970 --> 00:01:50,970
+للنسبة للنسبة للنسبة للنسبة للنسبة للنسبة للنسبة
+
+21
+00:01:50,970 --> 00:01:50,970
+للنسبة للنسبة للنسبة للنسبة للنسبة للنسبة للنسبة
+
+22
+00:01:50,970 --> 00:01:50,970
+للنسبة للنسبة للنسبة للنسبة للنسبة للنسبة للنسبة
+
+23
+00:01:50,970 --> 00:01:50,970
+للنسبة للنسبة للنسبة للنسبة للنسبة للنسبة للنسبة
+
+24
+00:01:50,970 --> 00:01:54,060
+للنسبةو يطلع البدوية معناه الكلية بارفية to fail
+
+25
+00:01:54,060 --> 00:01:57,420
+إذا
+
+26
+00:01:57,420 --> 00:02:00,440
+الـ Gramatical balance acts as a second line of
+
+27
+00:02:00,440 --> 00:02:03,820
+defense to buffer the effects of spontaneous
+
+28
+00:02:03,820 --> 00:02:08,040
+changes in GFR on urine output إذا ال first line
+
+29
+00:02:08,040 --> 00:02:11,720
+of defense مين؟ ال auto regression مش كده؟ right
+
+30
+00:02:11,720 --> 00:02:18,950
+effect of arterial pressure in urineoutput هنا
+
+31
+00:02:18,950 --> 00:02:22,870
+مدام كده احنا جيبنا سيرة ال pressure لو اتكلم عن
+
+32
+00:02:22,870 --> 00:02:25,890
+ال auto regulation وقلنا لكوا okay بيصير auto
+
+33
+00:02:25,890 --> 00:02:31,150
+regulation بس برضه بيزيد شوية ال load اذا هنا بعد
+
+34
+00:02:31,150 --> 00:02:33,590
+ما صار مسكون الموضوعين موضوع ال auto regulation
+
+35
+00:02:33,590 --> 00:02:37,790
+وموضوع ال glomerular balance طب خليني اتكلم عن ال
+
+36
+00:02:37,790 --> 00:02:40,570
+pressure ال pressure زي ما قلنا لو صار variations
+
+37
+00:02:40,570 --> 00:02:44,650
+كبيرة ال auto regulation بيقدر يعني إلى حد ما
+
+38
+00:02:44,650 --> 00:02:48,680
+يعدمهاوكأنها مش موجودة لكن هيظل minimal effect
+
+39
+00:02:48,680 --> 00:02:52,940
+إليه بتقدي إلى what is called pressure diuresis
+
+40
+00:02:52,940 --> 00:02:57,220
+and pressure natriuresis ال volume of urine زاد
+
+41
+00:02:57,220 --> 00:03:02,960
+فبنسميها pressure diuresis diuretics اللي بتدر
+
+42
+00:03:02,960 --> 00:03:07,440
+البول، diuresis إدرار البول الزايد لذلك بقول كلمة
+
+43
+00:03:07,440 --> 00:03:12,870
+diuretics احنا وعنا diuresisو لدينا البراشر ناتريو
+
+44
+00:03:12,870 --> 00:03:16,630
+يوريسس ناتريوم اللي هو من الصوديوم ناتريو يوريسس
+
+45
+00:03:16,630 --> 00:03:22,030
+يعني الصوديوم اللي بيطلع في ال مول كتر و اتكلمنا
+
+46
+00:03:22,030 --> 00:03:24,970
+عن ال variations of pressure اللي ممكن في الآخر
+
+47
+00:03:24,970 --> 00:03:34,140
+يتحكم فيها الجسم بسبب ايه؟طب ليش بيصير ال .. ال ..
+
+48
+00:03:34,140 --> 00:03:36,580
+هذا ال increase؟ the slight increase in GFR that
+
+49
+00:03:36,580 --> 00:03:40,580
+does or care contributes in part to the effect of
+
+50
+00:03:40,580 --> 00:03:45,220
+increased arterial pressure on urine output طيب،
+
+51
+00:03:45,220 --> 00:03:49,080
+اذا جزء .. ليش ال .. ليش .. ليش .. لما ال pressure
+
+52
+00:03:49,080 --> 00:03:53,540
+يزيد و ال auto regulation و ال tumor .. tumor
+
+53
+00:03:53,540 --> 00:03:57,160
+balance او .. اه .. او tumor tubular balance
+
+54
+00:03:57,160 --> 00:03:59,780
+الجهتيناللي بتجيب ال glomeral هو ال auto
+
+55
+00:03:59,780 --> 00:04:03,280
+-regulation، ال glomeral balance هو اللي اتكلمنا
+
+56
+00:04:03,280 --> 00:04:07,820
+عنه الآن، ليش بزيد؟ لأنه ال GFR بتزيد، ولو انه
+
+57
+00:04:07,820 --> 00:04:12,620
+اتحكمنا في معظم ال changes، لكن انه في جزء ايه،
+
+58
+00:04:12,620 --> 00:04:17,680
+حيبقى له، اتنين احنا لما يزيد ال pressure، لما
+
+59
+00:04:17,680 --> 00:04:20,500
+يزيد ال pressure، ايش بيصير في ال renin
+
+60
+00:04:20,500 --> 00:04:25,760
+-angiotensin system؟يحبط مش كده؟ هو الـ Renal
+
+61
+00:04:25,760 --> 00:04:30,020
+Agitation System يستنفر لما اتضغط يوتع لكن لما
+
+62
+00:04:30,020 --> 00:04:33,800
+اتضغطي على بيصير suppression فال agitation هادته
+
+63
+00:04:33,800 --> 00:04:38,860
+بكل مواصفاته المهمة لل reabsorption راح هتكلم عنه
+
+64
+00:04:38,860 --> 00:04:42,220
+انه مواصفات مش مضاد vessels كمان كمان بيزود ال
+
+65
+00:04:42,220 --> 00:04:48,000
+ايه؟ ال tubular reabsorption تمام؟تلاتة لما يزيد
+
+66
+00:04:48,000 --> 00:04:53,640
+ال pressure عندنا، تمام؟ هيزيد كمان ال pressure في
+
+67
+00:04:53,640 --> 00:04:57,660
+ال peritubular capillaries، اذا عندي factor في ال
+
+68
+00:04:57,660 --> 00:05:03,480
+reabsorption، اه؟ خلى
+
+69
+00:05:03,480 --> 00:05:05,680
+ال reabsorption يجل، ان ال hydrostatic pressure
+
+70
+00:05:05,680 --> 00:05:12,210
+ايش؟هيزيد هناك بمعنى آخر a second effect of
+
+71
+00:05:12,210 --> 00:05:15,510
+increasing the air pressure that raises urine
+
+72
+00:05:15,510 --> 00:05:19,490
+output is that it decreases the percentage of
+
+73
+00:05:19,490 --> 00:05:23,150
+filtered load of sodium and water that is
+
+74
+00:05:23,150 --> 00:05:26,570
+reabsorbed by the tubule يعني ال pressure نفسه
+
+75
+00:05:26,570 --> 00:05:27,930
+بيخلى ال reabsorption
+
+76
+00:05:30,120 --> 00:05:34,340
+process اتجل لما يزيد ال pressure بمعنى ليش؟ لإن
+
+77
+00:05:34,340 --> 00:05:41,260
+عندي ال hydrostatic pressure زاد
+
+78
+00:05:42,410 --> 00:05:47,250
+فحنا قولنا ال reabsorption عملية معاكسة بالظبط
+
+79
+00:05:47,250 --> 00:05:51,370
+عملية ال filtration عشان كده احنا مادرسلاش لحالها
+
+80
+00:05:51,370 --> 00:05:55,450
+لإن درستها لو درست واحد لاجوها بالظبط مملة لإن عكس
+
+81
+00:05:55,450 --> 00:06:00,010
+ال filtration لذلك اما بيزيد ال hydrostatic
+
+82
+00:06:00,010 --> 00:06:03,350
+pressure بيجلل ال reabsorption لإن في ال
+
+83
+00:06:03,350 --> 00:06:06,370
+reabsorption هلاجي factor ال hydrostatic pressure
+
+84
+00:06:06,370 --> 00:06:11,140
+صار زيادةالاتنين عندى انا لما ال pressure .. لما
+
+85
+00:06:11,140 --> 00:06:17,060
+ال pressure يعلى و ال filtration ال flow rate
+
+86
+00:06:17,060 --> 00:06:22,320
+بيزيد ده اتطلع انا بلاجى انه كمية ال GFR لل flow
+
+87
+00:06:22,320 --> 00:06:27,240
+rate جلت كمان بمعنى انه ال uncritical pressure
+
+88
+00:06:27,240 --> 00:06:32,450
+برضه ايش مش هيعلى كتيرهيضل ايه؟ واطعى، اذا ان كنت
+
+89
+00:06:32,450 --> 00:06:35,350
+برشهر واطعى وحبسك برشهر عالى، اذا عملت ال
+
+90
+00:06:35,350 --> 00:06:38,330
+reabsorption نفسها كلها ايه؟ هتقطع، اذا ال
+
+91
+00:06:38,330 --> 00:06:42,630
+pressure بيعمل لها اللي هو بيخلي ال filter ال
+
+92
+00:06:42,630 --> 00:06:46,670
+percentage of filtered load of the sodium and
+
+93
+00:06:46,670 --> 00:06:51,090
+water that is reabsorbed بيخليها ايه؟ decreased،
+
+94
+00:06:51,090 --> 00:06:53,510
+اذا decreased is the percentage of the filtered
+
+95
+00:06:53,510 --> 00:06:57,770
+load that is reabsorbedبمعنى ان ال process بتاعة
+
+96
+00:06:57,770 --> 00:07:02,050
+ال reabsorption تتمثل فى أنكوترك براشر و في
+
+97
+00:07:02,050 --> 00:07:05,930
+الهيدروسالكبراشر هتقدى الى انه تلقالب بطريقة تمنع
+
+98
+00:07:05,930 --> 00:07:11,830
+ال more reabsorption اذا بغضب بزيد ال GFR بنلاقي
+
+99
+00:07:11,830 --> 00:07:18,990
+slight increase بزيدأتنين ملاحظة ان ال process الـ
+
+100
+00:07:18,990 --> 00:07:24,050
+reabsorption بتجيل بسبب ال mechanics تبعتها ال
+
+101
+00:07:24,050 --> 00:07:29,630
+pressure رخبطها طلعت أقول ان تأثير الانجوتنسين two
+
+102
+00:07:29,630 --> 00:07:35,400
+انه حبط ان الانجوتنسين twoin general بيجلل ال
+
+103
+00:07:35,400 --> 00:07:38,580
+reabsorption لحاله بدون اي مواصفات اخرى لو حطناها
+
+104
+00:07:38,580 --> 00:07:41,480
+بدون اي تأثير اخر بس ع ال tribunal هنلاقي ازاد ال
+
+105
+00:07:41,480 --> 00:07:44,720
+reabsorption او جلد تمام هنتكلم عنه عدو بالتفصيل
+
+106
+00:07:44,720 --> 00:07:47,120
+لو اتكلم عن ال hormonات بس انا ماتكلمش على ال
+
+107
+00:07:47,120 --> 00:07:51,220
+hormonات جاندي انا بتكلم على ال pressure ايش بيقود
+
+108
+00:07:51,220 --> 00:07:54,220
+العملية اللي يقودها ال blood pressure لو عليا تمام
+
+109
+00:07:54,220 --> 00:07:56,940
+من ضمن الناس اللي بيأثر عليهم اللي هو ال renin
+
+110
+00:07:56,940 --> 00:07:59,020
+-angiotensis system اذا قلنا
+
+111
+00:08:03,840 --> 00:08:07,520
+بجلل الانجوتنسين 2 طيب الانجوتنسين 2 itself
+
+112
+00:08:07,520 --> 00:08:11,640
+increases Sodium reabsorption by tubules لما يجل
+
+113
+00:08:11,640 --> 00:08:15,320
+بيجل ال reabsorption و الانجوتنسين 2 stimulates
+
+114
+00:08:15,320 --> 00:08:20,300
+الألدوستران الألدوستران بيعمل ايه بيزود ال
+
+115
+00:08:20,300 --> 00:08:25,800
+reabsorption للصوديوم إذا الانجوتنسين 2 هيأثر
+
+116
+00:08:25,800 --> 00:08:29,440
+مباشرة على ال tubule بيجلل ال reabsorption و عبر
+
+117
+00:08:29,440 --> 00:08:35,990
+انه بيعملالبرادبشار برنين سيستيم لما بيهبط لإن
+
+118
+00:08:35,990 --> 00:08:38,890
+الانجليتانسين 2 هذا من ال main stimulants
+
+119
+00:08:38,890 --> 00:08:43,190
+للالدوستيرون لما ندرس ان شاء الله في ال endocrine
+
+120
+00:08:43,190 --> 00:08:48,010
+لما ندرس الالدوستيرون هنلاقي what are the main
+
+121
+00:08:49,280 --> 00:08:55,860
+فاكتوريات الالدوستيرون هي بوتاسيوم و أنجوتانسين 2
+
+122
+00:08:55,860 --> 00:09:00,980
+فلما انجوتانسين 2 يحبط الالدوستيرون يحبط
+
+123
+00:09:00,980 --> 00:09:06,180
+الانجوتانسين
+
+124
+00:09:07,930 --> 00:09:12,310
+بيشتغل على تلت مستويات احنا دخلنا في وسط الشغل
+
+125
+00:09:12,310 --> 00:09:16,190
+جيبنا جثة دياريسي عشان نفهمه شيلوه من اللي ايه
+
+126
+00:09:16,190 --> 00:09:18,830
+اللي اتفرضوا ان احنا متكلماش عنه لان اذا احنا
+
+127
+00:09:18,830 --> 00:09:25,410
+متكلم عن مين جاعدين على ال factors that regulate
+
+128
+00:09:25,410 --> 00:09:32,600
+reabsorption قولنا tubuloglomero tubular balanceو
+
+129
+00:09:32,600 --> 00:09:36,420
+بعدين hormonal factors التاني ايش في النص عشان
+
+130
+00:09:36,420 --> 00:09:40,800
+الان وضعه نفهمه كويس ان ال .. اذا ال factor التاني
+
+131
+00:09:40,800 --> 00:09:45,380
+اللي بيأثر ع مين؟ على reabsorption ال hormones ال
+
+132
+00:09:45,380 --> 00:09:48,480
+hormones عندنا ال aldosterone بيأثر على ال
+
+133
+00:09:48,480 --> 00:09:52,920
+reabsorption طبعا بيأثر وين؟ mainly على اللي
+
+134
+00:09:52,920 --> 00:09:58,020
+الدستال مصبوط ويله تأثير بسيط على ال collecting
+
+135
+00:09:58,020 --> 00:10:05,310
+ductهي collecting tubule and duct collecting
+
+136
+00:10:05,310 --> 00:10:09,670
+tubule هذه معاها الجزية اللي من ال a اللي ديستال
+
+137
+00:10:09,670 --> 00:10:13,190
+الانجوتينسينتو
+
+138
+00:10:13,190 --> 00:10:19,090
+بيشتغل على ال proximal الانجوتينسينتو بيشتغل على
+
+139
+00:10:19,090 --> 00:10:24,710
+ال proximal اتك اسننق لمفهن ال tubule وcollecting
+
+140
+00:10:24,710 --> 00:10:28,910
+tubule الانتداديوهرمون
+
+141
+00:10:29,320 --> 00:10:33,500
+أشتغلت ديستال تيبيول و أشتغلت ديستال تيبيول و
+
+142
+00:10:33,500 --> 00:10:34,720
+أشتغلت ديستال تيبيول و أشتغلت ديستال تيبيول و
+
+143
+00:10:34,720 --> 00:10:36,880
+أشتغلت ديستال تيبيول و أشتغلت ديستال تيبيول و
+
+144
+00:10:36,880 --> 00:10:39,300
+أشتغلت ديستال تيبيول و أشتغلت ديستال تيبيول و
+
+145
+00:10:39,300 --> 00:10:40,820
+أشتغلت ديستال تيبيول و أشتغلت ديستال تيبيول و
+
+146
+00:10:40,820 --> 00:10:44,640
+أشتغلت ديستال تيبيول و أشتغلت ديستال تيبيول و
+
+147
+00:10:44,640 --> 00:10:48,380
+أشتغلت ديستال تيبيول و أشتغلت ديستال تيبيول و
+
+148
+00:10:48,380 --> 00:10:53,920
+أشتغلت ديستال تيبيول
+
+149
+00:10:56,330 --> 00:10:59,910
+بتكلم عن the hormonal control over your absorption
+
+150
+00:10:59,910 --> 00:11:06,450
+نكتب دي ليهم خمسة Aldosterone 1,2,2 مش كده
+
+151
+00:11:06,450 --> 00:11:11,630
+Antidiuretic hormone هذا الشيء الجديد اللي بتوم
+
+152
+00:11:11,630 --> 00:11:15,170
+أجيب نفسي قبل كده هنشرحه ان شاء الله اللي هو
+
+153
+00:11:15,170 --> 00:11:21,030
+Atrial Natriuretic Peptide ALP و ال Parathyroid
+
+154
+00:11:21,600 --> 00:11:25,760
+البراثيرويد متحكم بس متعلق على اللي إلها اللي هو
+
+155
+00:11:25,760 --> 00:11:30,260
+الكالسيوم و الفوسفات و شوية مجنسية طبعا
+
+156
+00:11:30,260 --> 00:11:35,080
+البراثيرويد الاترينترويوتركبيبتايد لأ مهتم لإن هذا
+
+157
+00:11:35,080 --> 00:11:38,300
+بيطلع من الاتريام من القلب من ال right atrium
+
+158
+00:11:38,300 --> 00:11:43,560
+بيجيس جديش عنده fluids لما يزيد ال Venus return
+
+159
+00:11:43,560 --> 00:11:47,020
+يعني ال extra cellular fluid compartment زادت و
+
+160
+00:11:47,020 --> 00:11:52,500
+البلازمةوليوم زاد معناه الفلولز اللي بتصل ال right
+
+161
+00:11:52,500 --> 00:11:57,200
+atrium كترت فهو بيصير more dilatation فبنبهي يا
+
+162
+00:11:57,200 --> 00:12:01,400
+جماعة أنتوا أنا ال issue كترأه؟ فبيبعت للكل إشارة
+
+163
+00:12:01,400 --> 00:12:06,840
+لما يكتر إفرازه أنه يخففي من ال reabsorption تمام؟
+
+164
+00:12:06,840 --> 00:12:10,540
+هنا لما يعلق بيجي ل reabsorption و لما يوتع بيعلق
+
+165
+00:12:10,540 --> 00:12:13,460
+ل reabsorption بيشتغل بعملية عكسية لأنه بيطلع هو
+
+166
+00:12:13,460 --> 00:12:18,240
+stimulated by increased volume مش زي ال
+
+167
+00:12:18,240 --> 00:12:23,000
+aldosterone و التانينه بيشتغل العكس، هو ممكن هديجي
+
+168
+00:12:23,000 --> 00:12:27,360
+أسئلة فيه ليش؟ لأنه عكس ال aldosterone و علاقته
+
+169
+00:12:27,360 --> 00:12:31,620
+بال excess fluid volume عكسية، يعني إذا زادت بيزيد
+
+170
+00:12:31,620 --> 00:12:36,560
+و بجلد شغل الكيلية، التانين إذا زادت بيجل و إذا
+
+171
+00:12:36,560 --> 00:12:40,120
+جلت بيزيد و بيزود شغل الكيلية، تمام؟ ال absorptive
+
+172
+00:12:40,120 --> 00:12:44,490
+ميكانيزم اللي بيتكلم عنهاالالدوستيرون يزيد عبارة
+
+173
+00:12:44,490 --> 00:12:45,570
+عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن
+
+174
+00:12:45,570 --> 00:12:46,510
+عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة
+
+175
+00:12:46,510 --> 00:12:46,850
+عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن
+
+176
+00:12:46,850 --> 00:12:52,510
+عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة
+
+177
+00:12:52,510 --> 00:12:57,010
+عن عبارة عن عبارة
+
+178
+00:12:57,010 --> 00:12:58,290
+عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن
+
+179
+00:12:58,290 --> 00:12:58,370
+عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة
+
+180
+00:12:58,370 --> 00:12:59,010
+عن عبارة عن عبارة عن عبارة عن عبارة عن عبارة عن
+
+181
+00:12:59,010 --> 00:13:07,690
+عبارة عن عبارة
+
+182
+00:13:07,980 --> 00:13:11,540
+بلازمة potassium concentration لذا البوتاسيوم لما
+
+183
+00:13:11,540 --> 00:13:17,620
+ازيد هي تمام بتعمل بتطلع الادوسترون عشان نتخلص منه
+
+184
+00:13:17,620 --> 00:13:21,900
+بس في مقابل التخلص منه احنا بنبنطس ايه؟ Sodium مش
+
+185
+00:13:21,900 --> 00:13:26,580
+كده؟ لذلك يقولون اول factor احنا في ال ايه؟ في
+
+186
+00:13:26,580 --> 00:13:28,680
+التحكم في الادوسترون ال potassium concentration
+
+187
+00:13:28,680 --> 00:13:34,300
+اتنين ايه؟ اللي هو ال .. ال angiotensin two
+
+188
+00:13:35,470 --> 00:13:39,910
+والتالتة بيجي .. يعني ال potassium ال تالت بيقول
+
+189
+00:13:39,910 --> 00:13:48,510
+انه لو جلل او زاد ال sodium بيلاقي انه صار ايه؟
+
+190
+00:13:48,510 --> 00:13:52,590
+suppression ل ال aldosterone لحظة تشعروا ان زاد ال
+
+191
+00:13:52,590 --> 00:13:56,850
+sodium ال concentration زاد بيلاقي ايه؟ ال
+
+192
+00:13:56,850 --> 00:14:01,210
+aldosterone level بيجل يعني ال sodium عامل تالت بس
+
+193
+00:14:01,210 --> 00:14:06,670
+مش as strong as ده ايه؟ potassium السمينسهو فيه
+
+194
+00:14:06,670 --> 00:14:14,490
+فاكتور رابع تتذكروا ساعتها تمام ال SETH كفاكتور
+
+195
+00:14:14,490 --> 00:14:17,310
+رابع ماعلينا إذا في عندي أنا ال aldosterone هنا
+
+196
+00:14:17,310 --> 00:14:23,510
+إذا زاد البوتاسيوم mainly stimulated هو بيقدر إلى
+
+197
+00:14:23,510 --> 00:14:26,490
+إنه يزود ال reabsorption of sodium and secretion
+
+198
+00:14:26,490 --> 00:14:33,850
+معظم معظم of the excreted potassium is secreted
+
+199
+00:14:35,070 --> 00:14:38,790
+معظم البوتاسيوم اللي بيصير له excretion بيبقى جامع
+
+200
+00:14:38,790 --> 00:14:42,130
+ال filtrate بيبقى جامع ال digital tribute بيصير له
+
+201
+00:14:42,130 --> 00:14:47,710
+secretion تمام؟ اذا المعظم .. most of the excreted
+
+202
+00:14:47,710 --> 00:14:52,530
+potassium is secreted واضح؟ عشان كتير احنا اللي
+
+203
+00:14:52,530 --> 00:14:56,030
+اخلط من كلمة excretion و secretion ال excretion ال
+
+204
+00:14:56,030 --> 00:14:59,630
+final result لكن ال secretion ال process بتنفي
+
+205
+00:14:59,630 --> 00:15:03,530
+ايه؟ في ال .. في ال .. نفر
+
+206
+00:15:06,160 --> 00:15:12,800
+الميكانيزم انه ال primary انه ال aldosterone بيشغل
+
+207
+00:15:12,800 --> 00:15:15,540
+على الطبق اللي قلنا عليه ال principle cells لإن في
+
+208
+00:15:15,540 --> 00:15:20,060
+ال intercalated بيشغلش عليها ال aldosterone كيف ال
+
+209
+00:15:20,060 --> 00:15:23,620
+aldosterone increases reabsorption of sodium and
+
+210
+00:15:23,620 --> 00:15:30,620
+secretion of ايه؟ of بوتاسيم اصلا حكينا قلنا ال
+
+211
+00:15:30,620 --> 00:15:36,900
+ايش ال atbsبومبينج سيستم في الـ distal tubule هذه
+
+212
+00:15:36,900 --> 00:15:41,140
+Simulated by aldosterone، مش كده؟ قولنا أزالت
+
+213
+00:15:41,140 --> 00:15:46,420
+بجلد، جلد بجلد، وهذه
+
+214
+00:15:46,420 --> 00:15:50,920
+احنا عارفينها وانا خليت النقطة المذكورة نشرحها، مش
+
+215
+00:15:50,920 --> 00:15:53,700
+عشان اقول النقطة هذه، لإن شرحناها بالتفصيل، لأ
+
+216
+00:15:53,700 --> 00:15:58,480
+عشان في نقطتين أخرتين أو نقطة مهمة هنا، ان ال
+
+217
+00:15:58,480 --> 00:16:02,660
+aldosterone also increases the sodium permeability
+
+218
+00:16:04,350 --> 00:16:06,690
+of the luminal side of the membrane يعني
+
+219
+00:16:06,690 --> 00:16:09,430
+الالدوسيرون مش بس بيزود ال bombing system على
+
+220
+00:16:09,430 --> 00:16:14,690
+بيزولاتر الممبران تمام لأ كمان بيزود ال sodium
+
+221
+00:16:14,690 --> 00:16:19,710
+hydrogen exchange
+
+222
+00:16:19,710 --> 00:16:25,610
+mechanism هنا عبر الالـ Brush Board عبر الـ Apical
+
+223
+00:16:25,610 --> 00:16:29,250
+Membrane إذا القلدستيرون بيزود ال Sodium
+
+224
+00:16:29,250 --> 00:16:35,130
+Reabsorption صار على ال Principal Cells وعلى ال
+
+225
+00:16:35,130 --> 00:16:37,130
+Intercalated Cells لكن ال Intercalated Cell هي
+
+226
+00:16:37,130 --> 00:16:41,890
+اللي ايه؟ بتطلع ال Hydrogen مش كده؟ طيب مش بس في
+
+227
+00:16:41,890 --> 00:16:45,290
+ال Distal كمان في اللي ايه؟ في ال Proximal لأن
+
+228
+00:16:45,290 --> 00:16:49,130
+القلدستيرون له علاقة بال .. بال Hydrogen Sodium
+
+229
+00:16:49,760 --> 00:16:54,720
+اللي هو مقاومة الترانسبورت هذا لما نأخد صوديوم و
+
+230
+00:16:54,720 --> 00:16:58,040
+نطلق حيدروجين تمام الهيسين ألدسترون بيشتغل على
+
+231
+00:16:58,040 --> 00:17:01,180
+اتباين بومبينج سيستم و بيعمل استموليشن و بيزود
+
+232
+00:17:01,180 --> 00:17:07,420
+برضه الابيكال بوردر بيرميابيليتي for صوديوم
+
+233
+00:17:07,420 --> 00:17:09,380
+reabsorption and secretion of hydrogen
+
+234
+00:17:15,500 --> 00:17:21,240
+إذا الالدوستيرون مهم كمعالجة تركيز التركيز التركيز
+
+235
+00:17:21,240 --> 00:17:22,260
+التركيز التركيز التركيز التركيز التركيز التركيز
+
+236
+00:17:22,260 --> 00:17:25,940
+التركيز التركيز التركيز التركيز التركيز التركيز
+
+237
+00:17:25,940 --> 00:17:33,040
+التركيز التركيز التركيز التركيز التركيز التركيز
+
+238
+00:17:33,040 --> 00:17:34,920
+التركيز التركيز التركيز التركيز التركيز التركيز
+
+239
+00:17:34,920 --> 00:17:34,920
+التركيز التركيز التركيز التركيز التركيز التركيز
+
+240
+00:17:34,920 --> 00:17:35,160
+التركيز التركيز التركيز التركيز التركيز التركيز
+
+241
+00:17:35,160 --> 00:17:35,160
+التركيز التركيز التركيز التركيز التركيز التركيز
+
+242
+00:17:35,160 --> 00:17:43,540
+التركيز التركيز التركيز التركيز التركيز التركيز
+
+243
+00:17:43,540 --> 00:17:49,570
+التركيارتفاعه او هبوته اخطر من ايه؟ من ال sodium
+
+244
+00:17:49,570 --> 00:17:53,630
+ارتفاع او هبوته ليش؟ لأن فورا انا ال plasma و ال
+
+245
+00:17:53,630 --> 00:18:00,330
+potassium هنا هيصل ال nerve endings هيصل ال heart
+
+246
+00:18:00,330 --> 00:18:04,270
+ال heart قبل ال nerve endings لأن ال nerve endings
+
+247
+00:18:04,270 --> 00:18:07,210
+ممكن تكون فى ال interstitium لكن ال heart بيصلوا
+
+248
+00:18:07,210 --> 00:18:11,590
+ال plasma تمام؟ اذا احنا اتصلنا ال potassium يزل
+
+249
+00:18:11,590 --> 00:18:16,780
+شوية على ال ايه؟ على ال heart بيتوقف عملهالتوقف
+
+250
+00:18:16,780 --> 00:18:22,740
+عمله و نرجع و احنا على لما بدنا نتخلص او لو ..
+
+251
+00:18:22,740 --> 00:18:25,960
+بلاش كلمة هذه احنا مستجرين قاعدين ال .. ال
+
+252
+00:18:25,960 --> 00:18:33,120
+potassium chloride لما نعطيه لل .. لأي حد فيه خطر
+
+253
+00:18:33,120 --> 00:18:37,840
+شديد تمام؟ لما ندل الأطفال rehydration fluids بدنا
+
+254
+00:18:37,840 --> 00:18:41,620
+ندل جدا لل potassium جديش احنا معطيين لإنه احنا
+
+255
+00:18:41,620 --> 00:18:50,470
+ايه؟ ممكن نكونkilling fluids قاعدين في حالات ال
+
+256
+00:18:50,470 --> 00:18:55,750
+IVF حكيته قصدي قبل كده؟ اه في حالات ال IVF اللي هو
+
+257
+00:18:55,750 --> 00:19:00,810
+أطفالي أنابيب لما بيصير أحيانا انه بيصير عندى خمس
+
+258
+00:19:00,810 --> 00:19:06,210
+ست أجنة موجودين سبعة تمانية موجودين في الرحمطبعا
+
+259
+00:19:06,210 --> 00:19:10,410
+خطأ أن المركز أساسا مش لازم يدّي يرجّع أجننا أكتر
+
+260
+00:19:10,410 --> 00:19:14,130
+من تلاتة لأن إذا رجعنا أجننا أكتر من تلاتة لرحيم
+
+261
+00:19:14,130 --> 00:19:18,010
+فرصة أنه يصير عندى multiple pregnancies عالية
+
+262
+00:19:18,010 --> 00:19:22,710
+معناها فرصة أنه يصير early delivery عالية يعني
+
+263
+00:19:22,710 --> 00:19:26,190
+هتولد الست في أول السادس أو أول السابع وفي وعدم
+
+264
+00:19:26,190 --> 00:19:29,730
+وجود إمكانيات حضانة عالية بيقدّي لهم كلهم في الأخر
+
+265
+00:19:29,730 --> 00:19:34,430
+مفرحنة لما إجوالكن هنزعل لإنهم هيروحوا بدري فى أول
+
+266
+00:19:34,430 --> 00:19:38,030
+السابع كلهم من ولده وكلهم فى الحضانة كويسين لكن
+
+267
+00:19:38,030 --> 00:19:41,530
+يوم يوم تخ تخ تخ تخ السبعة ماتوا أو الكمسة ماتوا
+
+268
+00:19:41,530 --> 00:19:47,550
+ليش؟ لإنه فشت إمكانية كبيرة عالية هو صعب على الطفل
+
+269
+00:19:47,550 --> 00:19:52,010
+إنه ينولد برا من .. من .. يطلع من رحم أمه فى أشهر
+
+270
+00:19:52,010 --> 00:19:56,270
+مبكرة okay فى الدولات المتقدمة فى حضانة ممتعة زى
+
+271
+00:19:56,270 --> 00:19:58,930
+ما ممكن اتعودهم هذا الكلام بس هذا مش موشف فى كل
+
+272
+00:19:58,930 --> 00:20:04,290
+مكان لإنه مكلف جداالحل ان نعمل reduction of the
+
+273
+00:20:04,290 --> 00:20:08,490
+number of embryos لما نلاقي خمسة اجنة في الرحم
+
+274
+00:20:08,490 --> 00:20:13,770
+موجودين وهذا هيهدد خطر المجموع كله، هيكون خطر على
+
+275
+00:20:13,770 --> 00:20:17,090
+حياة كل المجموع، مش واحد اتنين هيموتوا والباجينة،
+
+276
+00:20:17,090 --> 00:20:20,910
+لأ، هيكلهم ينزلوا بدريوكلهم فبيعمل عملية reduction
+
+277
+00:20:20,910 --> 00:20:25,050
+للإيه لعدد الأجنة بيشيلوا واحد او اتنين بحيث
+
+278
+00:20:25,050 --> 00:20:29,390
+يخففوا من حمل الرحم عشان يقدروا يصلوا للشهر التامن
+
+279
+00:20:29,390 --> 00:20:33,190
+او التاسع فبيعملهم ejection of potassium chloride
+
+280
+00:20:33,190 --> 00:20:37,070
+بيحشوا بقبرة هيك على الجنين وبيحجن الجنين
+
+281
+00:20:37,070 --> 00:20:40,710
+potassium chloride بيعلى ال potassium بيوقف القلب
+
+282
+00:20:40,710 --> 00:20:45,530
+فورا تمام؟ وبيتوقف الجنين عن الايه فبيظل في فرق
+
+283
+00:20:45,530 --> 00:20:54,190
+لإيه لاختههذا بالنسبة للإيه؟ للبوتاسيوم خطير لذلك
+
+284
+00:20:54,190 --> 00:20:58,090
+القلد الصيران تمام بيهتم في البوتاسيوم البوتاسيومي
+
+285
+00:20:58,090 --> 00:21:02,110
+أكتر منه و أخطر البوتاسيوم البوتاسيوم إيه؟ أخطر و
+
+286
+00:21:02,110 --> 00:21:05,770
+بنتكلم عن أربعة من ال equivalent أربعة لو صارت
+
+287
+00:21:05,770 --> 00:21:08,790
+خمسة أو ستة و نخش في خطر في حين أنك بتكلم صدر مية
+
+288
+00:21:08,790 --> 00:21:11,230
+و دون و خمسين يا أخي تصير مية و ستين إيش بده يصير؟
+
+289
+00:21:11,530 --> 00:21:16,870
+هذا شوية expansion of the volume بتزيد شوية ضغط
+
+290
+00:21:16,870 --> 00:21:20,590
+لكن البوتنازيو متعاملش مع ضغط متعامل مع ايه؟
+
+291
+00:21:20,590 --> 00:21:23,270
+تكسيسية ال heart و لا ال neuromuscular junctions
+
+292
+00:21:23,270 --> 00:21:28,390
+المقطة التانية اللي هو ال angiotensin 2 إذا
+
+293
+00:21:28,390 --> 00:21:32,770
+الألدوسترون له تأثير احد الكلام عن ال hormonal
+
+294
+00:21:32,770 --> 00:21:35,630
+part تمام؟ قبل كده اتكلمنا عن الايه؟
+
+295
+00:21:42,010 --> 00:21:48,690
+الانجوتانسين 2 هو ربما الانجوتانسين 2 هو
+
+296
+00:21:48,690 --> 00:21:50,990
+الانجوتانسين 2 هو الانجوتانسين 2 هو الانجوتانسين 2
+
+297
+00:21:50,990 --> 00:21:52,570
+هو الانجوتانسين 2 هو الانجوتانسين 2 هو
+
+298
+00:21:52,570 --> 00:21:53,630
+الانجوتانسين 2 هو الانجوتانسين 2 هو الانجوتانسين 2
+
+299
+00:21:53,630 --> 00:21:53,630
+هو الانجوتانسين 2 هو الانجوتانسين 2 هو
+
+300
+00:21:53,630 --> 00:21:53,630
+الانجوتانسين 2 هو الانجوتانسين 2 هو الانجوتانسين 2
+
+301
+00:21:53,630 --> 00:21:53,630
+هو الانجوتانسين 2 هو الانجوتانسين 2 هو
+
+302
+00:21:53,630 --> 00:21:53,630
+الانجوتانسين 2 هو الانجوتانسين 2 هو الانجوتانسين 2
+
+303
+00:21:53,630 --> 00:21:56,170
+هو الانجوتانسين 2 هو الانجوتانسين 2 هو
+
+304
+00:21:56,170 --> 00:22:01,170
+الانجوتانسين 2 هو الانجوتانسين 2 هو الانجوتان
+
+305
+00:22:01,820 --> 00:22:07,740
+الالدوستيرون الانجليزي تنسى انه يعمل expansion
+
+306
+00:22:07,740 --> 00:22:12,200
+يزغط الضغط فهو بيعمل expansion لل body fluids
+
+307
+00:22:12,200 --> 00:22:15,940
+بمعنى ان ال sodium retaining يعني بيحافظ على
+
+308
+00:22:15,940 --> 00:22:19,240
+السوديوم يعني بيعمل ايه سوديوم وميه يعني expansion
+
+309
+00:22:19,240 --> 00:22:23,780
+تمام هو اقوى واحد لانه بيشتغل مباشر بنفسه وعبر
+
+310
+00:22:23,780 --> 00:22:27,640
+زملاته اللي هم الالدوستيرون اللي يستنجد فيهم تمام
+
+311
+00:22:28,920 --> 00:22:33,660
+المصادر المزيد من الاشيوتينسين تساعد في إعادة
+
+312
+00:22:33,660 --> 00:22:36,880
+إعادة مدرسة الدم وأكثر من مدرسة الهيروليوم للطبيعي
+
+313
+00:22:36,880 --> 00:22:38,880
+بإعادة مدارسة المدرسة الهيروليوم للطبيعي بإعادة
+
+314
+00:22:38,880 --> 00:22:39,460
+مدارسة المدرسة الهيروليوم للطبيعي بإعادة مدارسة
+
+315
+00:22:39,460 --> 00:22:40,280
+المدارسة الهيروليوم للطبيعي بإعادة مدارسة المدارسة
+
+316
+00:22:40,280 --> 00:22:41,160
+الهيروليوم للطبيعي بإعادة مدارسة المدارسة
+
+317
+00:22:41,160 --> 00:22:43,600
+الهيروليوم للطبيعي بإعادة مدارسة الهيروليوم
+
+318
+00:22:43,600 --> 00:22:50,800
+للطبيعي بإعادة مدارسة الهيروليوم للطبعا اذا انزلت
+
+319
+00:22:50,800 --> 00:22:55,180
+انسان تروه فبيشتغل بتلات نقاط على انه يحافظ على ال
+
+320
+00:22:55,180 --> 00:22:58,420
+sodium وال water منها اللي قلنا عليها الالد السرار
+
+321
+00:22:58,420 --> 00:23:01,360
+مش كده هاي انزلت استمرت في الالد السرار اللي احنا
+
+322
+00:23:01,360 --> 00:23:07,470
+عارفينها اتنين منها اللي هو التحكمفي الـ efferent
+
+323
+00:23:07,470 --> 00:23:12,110
+arteriole تمام؟ إذا الـ angiotensin 2 زود ال
+
+324
+00:23:12,110 --> 00:23:15,350
+construction معي لل efferent بيزود ال filtration
+
+325
+00:23:15,350 --> 00:23:21,350
+مش كده؟ بيزود ال filtration و بي .. و بي .. هذا
+
+326
+00:23:21,350 --> 00:23:23,410
+علاقته بال filtration خلاص الكلام عن ال
+
+327
+00:23:23,410 --> 00:23:27,450
+reabsorption ال angiotensin 2 لما يزيد بيزود ال
+
+328
+00:23:27,450 --> 00:23:30,910
+reabsorption في ال different parts of the
+
+329
+00:23:33,760 --> 00:23:37,160
+هذه النقطة التالتة خلّيني أدخل عليها عشت نفسي الـ
+
+330
+00:23:37,160 --> 00:23:39,960
+Direct Stimulus Sodium Reabsorption in the
+
+331
+00:23:39,960 --> 00:23:42,780
+proximal tubule, the lobophilic and the distal
+
+332
+00:23:42,780 --> 00:23:44,780
+tubule and the collective tubule يعني في الـ
+
+333
+00:23:44,780 --> 00:23:48,680
+different parts of the نفرون Reabsorption of
+
+334
+00:23:48,680 --> 00:23:53,600
+Sodium و Sodium طبعا يليل ال water في الغالبالـ
+
+335
+00:23:53,600 --> 00:23:57,460
+different bars is stimulated to reabsorb more
+
+336
+00:23:57,460 --> 00:24:02,460
+sodium ولمّا يجيل ال aldosterone بيجيل نفس الكلام
+
+337
+00:24:02,460 --> 00:24:04,860
+ال reabsorption إذا ال different bars is
+
+338
+00:24:04,860 --> 00:24:07,400
+stimulated to reabsorb more sodium if the
+
+339
+00:24:07,400 --> 00:24:11,120
+angiotensin 2 increases تمام؟ إذا لما ال
+
+340
+00:24:11,120 --> 00:24:15,960
+angiotensin 2 يزيد بيزيد ال reabsorption
+
+341
+00:24:15,960 --> 00:24:20,450
+everywhere مش بميكانيزم معينةمباشرة مباشرة مباشرة
+
+342
+00:24:20,450 --> 00:24:25,210
+مباشرة مباشرة direct effect مباشرة
+
+343
+00:24:25,210 --> 00:24:25,350
+مباشرة direct effect مباشرة مباشرة direct effect
+
+344
+00:24:25,350 --> 00:24:27,390
+مباشرة مباشرة direct effect مباشرة مباشرة direct
+
+345
+00:24:27,390 --> 00:24:30,370
+effect مباشرة مباشرة direct effect مباشرة مباشرة
+
+346
+00:24:30,370 --> 00:24:31,310
+direct effect مباشرة direct effect مباشرة direct
+
+347
+00:24:31,310 --> 00:24:32,270
+effect مباشرة direct effect مباشرة direct effect
+
+348
+00:24:32,270 --> 00:24:36,130
+مباشرة direct effect مباشرة
+
+349
+00:24:36,130 --> 00:24:41,350
+direct effect مباشرة direct effect مباشرة direct
+
+350
+00:24:41,350 --> 00:24:42,290
+effect مباشرة direct effect مباشرة direct effect
+
+351
+00:24:42,290 --> 00:24:42,290
+مباشرة direct effect مباشرة direct effect مباشرة
+
+352
+00:24:42,290 --> 00:24:42,290
+direct effect مباشرة direct effect مباشرة direct
+
+353
+00:24:42,290 --> 00:24:42,290
+effect مباشرة direct effect مباشرة direct effect
+
+354
+00:24:42,290 --> 00:24:42,350
+مباشرة direct effect مباشرة direct effect مباشرة
+
+355
+00:24:42,350 --> 00:24:42,570
+direct effect مباشرة direct effect مباشرة direct
+
+356
+00:24:42,570 --> 00:24:46,150
+effect مباشرة direct effect مباشرة
+
+357
+00:24:49,680 --> 00:24:54,800
+النقطة التانية اللى سبناها احنا هان بدها تفاصيل ان
+
+358
+00:24:54,800 --> 00:25:00,940
+الانجليكاس تشتغل الارتريالات الافرنطية اللى تشتغل
+
+359
+00:25:00,940 --> 00:25:02,200
+الارتريالات الافرنطية الافرنطية الافرنطية
+
+360
+00:25:02,200 --> 00:25:02,580
+الافرنطية الافرنطية الافرنطية الافرنطية الافرنطية
+
+361
+00:25:02,580 --> 00:25:10,100
+الافرنطية الافرنطية
+
+362
+00:25:10,100 --> 00:25:15,040
+الافرنطية الافرنطية الافرنطية الافرنطية الافرنطية
+
+363
+00:25:15,040 --> 00:25:15,160
+الافرنطية الافرنطية الافرنطية الافرنطية الافرنطية
+
+364
+00:25:15,160 --> 00:25:15,240
+الافرنطية الافرنطية الافرنطية الافرنطية الافرنطية
+
+365
+00:25:15,240 --> 00:25:20,130
+الافرنطية الافرنطية الممكن يكون مش mild اكتر شوية
+
+366
+00:25:20,130 --> 00:25:27,970
+هذا يكون اكتر شوية تمام بيزود ال filtration مش كده
+
+367
+00:25:27,970 --> 00:25:31,030
+معناها اللي .. اللي .. اللي .. اللي .. اللي .. ال
+
+368
+00:25:31,030 --> 00:25:31,850
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+369
+00:25:31,850 --> 00:25:31,990
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+370
+00:25:31,990 --> 00:25:32,070
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+371
+00:25:32,070 --> 00:25:32,310
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+372
+00:25:32,310 --> 00:25:32,850
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+373
+00:25:32,850 --> 00:25:33,150
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+374
+00:25:33,150 --> 00:25:34,390
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+375
+00:25:34,390 --> 00:25:35,150
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+376
+00:25:35,150 --> 00:25:35,150
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+377
+00:25:35,150 --> 00:25:41,250
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+378
+00:25:45,730 --> 00:25:50,910
+طب هذا النقطة الأولى أولا إفرانت الارتريوالر تقوم
+
+379
+00:25:50,910 --> 00:25:54,050
+بتقليم كبيرة البروتيوبلا تقوم بتقليم كبيرة
+
+380
+00:25:54,050 --> 00:25:55,170
+البروتيوبلا تقوم بتقليم كبيرة البروتيوبلا تقوم
+
+381
+00:25:55,170 --> 00:25:56,270
+بتقليم كبيرة البروتيوبلا تقوم بتقليم كبيرة
+
+382
+00:25:56,270 --> 00:25:57,790
+البروتيوبلا تقوم بتقليم كبيرة البروتيوبلا تقوم
+
+383
+00:25:57,790 --> 00:26:03,690
+بتقليم كبيرة البروتيوبلا تقليم كبيرة البروتيوبلا
+
+384
+00:26:03,690 --> 00:26:07,590
+تقليم كبيرة البروتيوبلا تقليم كبيرة البروتيوبلا
+
+385
+00:26:07,590 --> 00:26:10,430
+تقليم كبيرة البروتيوبلا تقليم كبيرة البروتيوبلا
+
+386
+00:26:10,430 --> 00:26:13,590
+تقليم كبيرة البروتيوبلا تقليم كبيرة البروت
+
+387
+00:26:14,610 --> 00:26:17,030
+reabsorption على ال level تبع ال vertebral
+
+388
+00:26:17,030 --> 00:26:20,810
+capillaries انه كله ده ال factor احنا هان لما يزيد
+
+389
+00:26:20,810 --> 00:26:26,830
+ال filtration بمعنى انه ال filtration زاد مش مش ل
+
+390
+00:26:26,830 --> 00:26:33,510
+.. لإن ال flow rate جال تمام ال flow rate جال احنا
+
+391
+00:26:33,510 --> 00:26:37,110
+عندنا العلاقة
+
+392
+00:26:37,110 --> 00:26:42,330
+ما بين ال filtration fraction يساوي ال GFR على ال
+
+393
+00:26:42,330 --> 00:26:47,560
+Aعالى Renal Flow فلما عندنا Renal Blood Flow Renal
+
+394
+00:26:47,560 --> 00:26:51,440
+Plasma Flow يجل تمام معناه ال filtration ايش؟
+
+395
+00:26:51,440 --> 00:26:57,580
+بيزيد معناها ال colloidal ال colloidal بيعلق لأنه
+
+396
+00:26:57,580 --> 00:27:02,380
+زاد ال filtration مش كده؟ زاد ال filtration بمعنى
+
+397
+00:27:02,380 --> 00:27:07,710
+أخر أبسط من العلاقة اللي هي معقدة هذهإنه لما الاشي
+
+398
+00:27:07,710 --> 00:27:14,030
+بمشي بطيق ال time for filtration increases طب كمية
+
+399
+00:27:14,030 --> 00:27:18,290
+الماء اللي هتروح لإنه صار exposed لل surface of
+
+400
+00:27:18,290 --> 00:27:22,050
+filtration أطول هيصير more concentrated، هيصير
+
+401
+00:27:22,050 --> 00:27:24,690
+عندى more colloidal، هيصير more reabsorption عبر
+
+402
+00:27:24,690 --> 00:27:27,650
+ال colloidal، تمام؟ إذا في الحالة هذه أنا عندى
+
+403
+00:27:27,650 --> 00:27:32,560
+بشتغل ال android instant 2على الـ Hashtag بيشتغل
+
+404
+00:27:32,560 --> 00:27:35,720
+انه بيزود الـ Colloidal في البريتيوبيلر و بيجلل ال
+
+405
+00:27:35,720 --> 00:27:38,580
+hydrostatic في البريتيوبيلر فال two factors هدول
+
+406
+00:27:38,580 --> 00:27:41,180
+بيساعدولي على ال reabsorption لما يجلل ال
+
+407
+00:27:41,180 --> 00:27:43,340
+hydrostatic pressure لإنه صار under constriction
+
+408
+00:27:43,340 --> 00:27:45,440
+تمام جلل ال hydrostatic pressure بيزيد ال
+
+409
+00:27:45,440 --> 00:27:48,800
+reabsorption لما يزيد colloidal pressure بيزيد ال
+
+410
+00:27:48,800 --> 00:27:52,200
+ايه reabsorption اصلا انتوا اتكلمنا عن ايش عكس ذلك
+
+411
+00:27:52,200 --> 00:27:56,180
+لما ال blood pressure بيزيد قولنامش كده؟ بيزيد ال
+
+412
+00:27:56,180 --> 00:27:59,000
+peritubular capillary بشر بيجيل ال ايه؟ ال
+
+413
+00:27:59,000 --> 00:28:04,500
+reabsorption طيب، اذا ال angiotensin 2 simulates
+
+414
+00:28:04,500 --> 00:28:08,660
+aldosterone ال angiotensin 2 constricts different
+
+415
+00:28:08,660 --> 00:28:12,180
+arteriole which has two effects on the peritubular
+
+416
+00:28:12,180 --> 00:28:16,720
+capillary dynamics الميكانيزم، لكن المحصلة ان هذه
+
+417
+00:28:16,720 --> 00:28:20,880
+العملية بتأدي ل more reabsorption عبر الهيدروسينات
+
+418
+00:28:20,880 --> 00:28:26,590
+بشر و عبر ال ايه؟ ال colloidal بشروالتالتة قولنا
+
+419
+00:28:26,590 --> 00:28:30,670
+لأ الو direct properties على ال all parts of the
+
+420
+00:28:30,670 --> 00:28:34,190
+nephron to increase reabsorption إذا الانجوتينسين
+
+421
+00:28:34,190 --> 00:28:37,810
+تسيموليه ال sodium transport across both the
+
+422
+00:28:37,810 --> 00:28:40,430
+luminal and the bisilateral
+
+423
+00:28:43,940 --> 00:28:48,440
+فهمناها ال reabsorptive forces بس ال basolateral
+
+424
+00:28:48,440 --> 00:28:54,360
+وين؟ ال aldosterone مش كده؟ ماشي مال aldosterone
+
+425
+00:28:54,360 --> 00:28:59,000
+هو انا شو ت listen toه قولنا اول اوال effect تبعه
+
+426
+00:28:59,000 --> 00:29:01,580
+انه زود ال aldosterone فال aldosterone هيزود ال
+
+427
+00:29:01,580 --> 00:29:05,760
+ايه؟ ال bombing system و هيزود برضه ال communal
+
+428
+00:29:05,760 --> 00:29:11,490
+transport mechanism مش كده؟واحد من إفعالات
+
+429
+00:29:11,490 --> 00:29:17,670
+الانجوتينسين 2 هو .. واحد من إفعالات الانجوتينسين
+
+430
+00:29:17,670 --> 00:29:20,970
+2 هو تسيمولات صوديوم بوتاسيوم في محطة البريزولات
+
+431
+00:29:20,970 --> 00:29:23,370
+البريزولات البريزولات البريزولات البريزولات
+
+432
+00:29:23,370 --> 00:29:23,490
+البريزولات البريزولات البريزولات البريزولات
+
+433
+00:29:23,490 --> 00:29:24,050
+البريزولات البريزولات البريزولات البريزولات
+
+434
+00:29:24,050 --> 00:29:24,730
+البريزولات البريزولات البريزولات البريزولات
+
+435
+00:29:24,730 --> 00:29:28,150
+البريزولات البريزولات البريزولات البريزولات
+
+436
+00:29:28,150 --> 00:29:31,310
+البريزولات البريزولات البريزولات البريزولات
+
+437
+00:29:31,310 --> 00:29:34,890
+البريزولات البريزولات البريزولات البر
+
+438
+00:29:38,140 --> 00:29:44,240
+هذا الانجدنسين تبعه
+
+439
+00:29:44,240 --> 00:29:51,020
+الالدستيرون من ضمن الميكانيزمات اللي بشتغل عليها
+
+440
+00:30:11,010 --> 00:30:17,550
+هذا بالنسبة للهرمون التاني أنجليتنسين 2إذا اتكلمنا
+
+441
+00:30:17,550 --> 00:30:21,050
+عن الادوسترون و انجدنز الـ2 و الـ antidiuretic
+
+442
+00:30:21,050 --> 00:30:25,150
+hormone هنا محتاجين احنا نعمل شوية تفاصيل عنه لإنه
+
+443
+00:30:25,150 --> 00:30:28,930
+جيبنا سيرته كتير و ما اتكلمناش عن التفاصيل تمام؟
+
+444
+00:30:28,930 --> 00:30:31,990
+الـ antidiuretic hormone increases water
+
+445
+00:30:31,990 --> 00:30:35,990
+reabsorption كيف؟
+
+446
+00:30:35,990 --> 00:30:41,470
+و أين؟يزيد ال water reabsorption في ال distal
+
+447
+00:30:41,470 --> 00:30:44,450
+nephron و ال collecting ده يعني من بعد ال
+
+448
+00:30:44,450 --> 00:30:47,730
+juxtapose من ال apparatus بشوية صغيرة ال early و
+
+449
+00:30:47,730 --> 00:30:51,470
+ال late من سيبها لإنهم بقى ما بيبطوا water لكن ال
+
+450
+00:30:51,470 --> 00:30:57,050
+late distal ال connecting و ال collecting و ال
+
+451
+00:30:57,050 --> 00:31:02,530
+مدلة reductive هدول كلهم under the effect of Aإذا
+
+452
+00:31:02,530 --> 00:31:05,030
+ال digital tribute, collectible tribute و
+
+453
+00:31:05,030 --> 00:31:08,110
+collecting duct هن كلهم affected بعض ال
+
+454
+00:31:08,110 --> 00:31:13,830
+antihormones وزيادة ال antihormones هان بيزيد ال
+
+455
+00:31:13,830 --> 00:31:19,370
+reabsorption كيف بيزيد ال reabsorption هان؟ طيب
+
+456
+00:31:19,370 --> 00:31:22,870
+لما نتكلم احنا ال reabsorption نتكلم تحت .. خلينا
+
+457
+00:31:22,870 --> 00:31:26,410
+نتكلم تحت على ال collecting duct على ال collecting
+
+458
+00:31:26,410 --> 00:31:29,590
+duct في ال collecting duct الميكانيزم ان احنا
+
+459
+00:31:29,590 --> 00:31:35,820
+بنفتحالـ water channels هنتكلم عنها بعد شوية لما
+
+460
+00:31:35,820 --> 00:31:39,160
+نفتح ال water channels الميه تخش للإيه؟ لل
+
+461
+00:31:39,160 --> 00:31:45,140
+collecting duct epithelia وبعدين لما احنا بنبقى
+
+462
+00:31:45,140 --> 00:31:47,620
+متص ميه في الحالة هذه بنعمل concentration لل urine
+
+463
+00:31:47,620 --> 00:31:54,120
+بيكون hyperosmotic مين؟ هي hyperosmotic مضلة مش
+
+464
+00:31:54,120 --> 00:31:59,120
+كده؟ في عندي concentration gradient مدام في عندنا
+
+465
+00:31:59,120 --> 00:32:03,490
+reabsorptionof water by antiretic hormone معناها
+
+466
+00:32:03,490 --> 00:32:06,710
+فى عندى osmotic gradient اتكون بتكلم عن الجزء
+
+467
+00:32:06,710 --> 00:32:09,050
+الأخر احنا ال collecting duct ال collecting duct
+
+468
+00:32:09,050 --> 00:32:13,590
+طبعا اين موجودة هي فى المضلة مش كده فى المضلة ال
+
+469
+00:32:13,590 --> 00:32:17,010
+collecting duct فى المضلة إذا فتحت ال water
+
+470
+00:32:17,010 --> 00:32:18,130
+channels
+
+471
+00:32:20,740 --> 00:32:24,700
+واناجينا ان الـ hyper osmotic medulla بتشفط ال
+
+472
+00:32:24,700 --> 00:32:28,780
+water من وين من الابيثيليا هتدفع ال water من ال
+
+473
+00:32:28,780 --> 00:32:32,760
+filtrate من ال tubular fluid إلى داخل ال cells
+
+474
+00:32:32,760 --> 00:32:37,580
+هتنتقل واضح الميكانيزم اذا عبر ال osmosis اللي
+
+475
+00:32:37,580 --> 00:32:42,440
+موجود في ال interstitium طيب لفوق شوية في ال
+
+476
+00:32:42,440 --> 00:32:47,900
+collecting tubule cortical في ال distal tubule
+
+477
+00:32:47,900 --> 00:32:54,860
+corticalتمام؟ الميكانيزم هذا بتنفع؟ طب احنا هنا
+
+478
+00:32:54,860 --> 00:33:00,180
+ماتقولوش تسرعوش انا بتغلطكوا طب احنا عندنا هنا
+
+479
+00:33:00,180 --> 00:33:04,160
+اعتمد ال reabsorption of water على وجود ال
+
+480
+00:33:04,160 --> 00:33:08,480
+interstitium concentrated مش كده؟ طيب في ال .. في
+
+481
+00:33:08,480 --> 00:33:11,140
+ال .. في ال cortex ال interstitium ماهواش
+
+482
+00:33:11,140 --> 00:33:15,220
+concentrated مظبوط؟ طب okay فتحنا ال channels
+
+483
+00:33:15,220 --> 00:33:19,350
+الميه كيف هتعدل ال ايه؟عندها تشغل الميكانيزم ان
+
+484
+00:33:19,350 --> 00:33:22,790
+الانتردو كهرمون بس فتحت channels جالك ال water
+
+485
+00:33:22,790 --> 00:33:25,570
+يقبل permeability انت احتمل على انتردو كهرمون في
+
+486
+00:33:25,570 --> 00:33:28,890
+ال distal tubule و في ال collecting cortical
+
+487
+00:33:28,890 --> 00:33:32,930
+collecting يحتمل عميل على انتردو كهرمون و ال
+
+488
+00:33:32,930 --> 00:33:35,790
+collecting duct يحتمل على انتردو كهرمون في ال
+
+489
+00:33:35,790 --> 00:33:39,130
+collecting duct الانتردو كهرمون فتحت channels و
+
+490
+00:33:39,130 --> 00:33:43,610
+لجينا ايه اندفاع رهيب لإنترستيشن لإن انترستيشن في
+
+491
+00:33:43,610 --> 00:33:46,610
+الحالة يعني بيكون ايه اه في concentrated interest
+
+492
+00:33:47,630 --> 00:33:51,150
+بس الكورتيكس مافيش concentrated interstitial جداش
+
+493
+00:33:51,150 --> 00:33:56,950
+ال .. ال .. ال osmolality في الكورتيكس بيكون بيكون
+
+494
+00:33:56,950 --> 00:34:03,110
+as osmotic جداش يعني تلت مية حوالي تلت مية طب جداش
+
+495
+00:34:03,110 --> 00:34:05,490
+ال .. ال .. ال tubular filtrate osmolality في
+
+496
+00:34:05,490 --> 00:34:10,470
+الحالة هذه بيكون في
+
+497
+00:34:10,470 --> 00:34:15,570
+ال distal tubule في ليه ال distal tubule تمام في
+
+498
+00:34:15,570 --> 00:34:19,190
+..الـ Early Distal Tribule في الـ Thick Ascending
+
+499
+00:34:19,190 --> 00:34:22,410
+Limb نهايته الفلترات كم يكون فيه عند الـ
+
+500
+00:34:22,410 --> 00:34:27,250
+Osmolality تبعته لما سق مية إذن لازال في فرق كبير
+
+501
+00:34:27,250 --> 00:34:32,810
+في ال Osmolality بين الفلترات و ال cortex لأنه
+
+502
+00:34:32,810 --> 00:34:35,210
+احنا جونا في ال Thick Ascending Limb سحبنا ال
+
+503
+00:34:35,210 --> 00:34:40,670
+Solids وصلنا لديستالالـ early part برضه مستحيل
+
+504
+00:34:40,670 --> 00:34:44,750
+للماء للماء لكن احنا قاعدين مسحب solutes فتفلترات
+
+505
+00:34:44,750 --> 00:34:48,970
+جو معادي صار ايه؟ diluted في الحالة هذه اذا سمحت
+
+506
+00:34:48,970 --> 00:34:53,590
+للماء ال channel هنا تفتح اوتوماتيكالي هتقدر الميه
+
+507
+00:34:53,590 --> 00:34:56,790
+تطلع و تصل ال ال interstitium لان ال interstitium
+
+508
+00:34:56,790 --> 00:35:04,650
+هي 300 طبعا؟ اذا نقولنا احنا لو الفلترات هذا في
+
+509
+00:35:04,650 --> 00:35:09,890
+عندي concentrating mechanismsوالفيلتريات ده يؤثر
+
+510
+00:35:09,890 --> 00:35:13,490
+علي انترنت الحرمون ال maximum بتطلع من ال cortex
+
+511
+00:35:13,490 --> 00:35:18,390
+للمضالة 300 ال cortex ماعندوش قدر يعمل تأثير اكتر
+
+512
+00:35:18,390 --> 00:35:22,050
+من ايه يزود قسمه ل 300 لإن ال intersection تبعه
+
+513
+00:35:22,050 --> 00:35:28,410
+على 300 مش كده فلذلك هو بيقدر يتحول من 100 انه
+
+514
+00:35:28,410 --> 00:35:34,170
+يديني تلتين الميه يتروح فبتعالى بتجيل الميه لتلت
+
+515
+00:35:34,170 --> 00:35:38,280
+بيسبرج على 300 تمامإذا في الحالة هذه الـ Antidote
+
+516
+00:35:38,280 --> 00:35:40,860
+hormone ميكانيزم of action effective في ال cortex
+
+517
+00:35:40,860 --> 00:35:43,260
+لإن أنا بتكلم عن infiltrate مش .. مش .. مش
+
+518
+00:35:43,260 --> 00:35:46,420
+isosmotic بتكلم عن infiltrate إذا ال maximum
+
+519
+00:35:46,420 --> 00:35:51,220
+بيصلّي ال filtrate هذا بنزل للمضلة مش ممكن ينزل ..
+
+520
+00:35:51,220 --> 00:35:54,340
+يطلع أكتر من 300 ليش؟ لإن قدرة ال cortex هناك 300
+
+521
+00:35:54,340 --> 00:35:58,920
+ومعناها إن أنا بقدر أسلمه في حالات شديدة اللي
+
+522
+00:35:58,920 --> 00:36:02,460
+محتاج فيها ميّه كتير بقدر أسلمه بس لل
+
+523
+00:36:02,460 --> 00:36:07,700
+Interestation للمضلة Reductبقدر اسلمه فيلتريت او
+
+524
+00:36:07,700 --> 00:36:11,180
+tubular fluid تركيزه جداش تلاتمية من الاغزمه ال
+
+525
+00:36:11,180 --> 00:36:13,500
+maximum بعدين هنا عندنا بيجي ال high bar
+
+526
+00:36:13,500 --> 00:36:17,040
+concentration بيصير هان لإن المضالة بتبقى مش على
+
+527
+00:36:17,040 --> 00:36:21,040
+ال ازموتك بتبقى high bar ايه ازموتك بتقدر تاخد جد
+
+528
+00:36:21,040 --> 00:36:28,180
+ما بدها حسب ال maximum تبعها جداش لأ في المضالة ال
+
+529
+00:36:28,180 --> 00:36:31,640
+maximum تبع تركيزها اللي بتقدر تعمله لل ball يعني
+
+530
+00:36:31,640 --> 00:36:36,740
+انت راسيه جداشلأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ
+
+531
+00:36:36,740 --> 00:36:36,760
+لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ
+
+532
+00:36:36,760 --> 00:36:37,200
+لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ
+
+533
+00:36:37,200 --> 00:36:47,140
+لأ
+
+534
+00:36:47,140 --> 00:36:51,020
+لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ
+
+535
+00:36:51,020 --> 00:36:51,460
+لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ
+
+536
+00:36:51,460 --> 00:36:51,460
+لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ
+
+537
+00:36:51,460 --> 00:36:57,380
+لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ
+
+538
+00:36:57,380 --> 00:37:03,020
+لأ لأ
+
+539
+00:37:03,250 --> 00:37:07,850
+الـ water channels فاتحة والـ interstitium جاهز كل
+
+540
+00:37:07,850 --> 00:37:11,910
+ما بنزل بشفط منه شوية فبيزيد ال concentration فال
+
+541
+00:37:11,910 --> 00:37:14,710
+tubular filtrate في الأخر ال drop اللي هتنزل في ال
+
+542
+00:37:14,710 --> 00:37:19,050
+pelvis of the kidney هتكون تركيزها زي تركيز الايه
+
+543
+00:37:19,050 --> 00:37:23,370
+ال interstitium واضح الكلام؟ واضح؟ مين اللي كان
+
+544
+00:37:23,370 --> 00:37:29,270
+أحسن؟ واضح؟ تمام؟ واضحين كله؟ تمام يلا طيب إذا
+
+545
+00:37:29,270 --> 00:37:34,870
+الميكانزم واحدة في ال proximalفي ال .. في ال
+
+546
+00:37:34,870 --> 00:37:38,290
+cortical و في ال ايه؟ ليش ال cortical اشتغلت فيه
+
+547
+00:37:38,290 --> 00:37:43,130
+بس افتح البواب؟ لأنه في عندي hypo osmotic tubular
+
+548
+00:37:43,130 --> 00:37:48,450
+fluid فإذا لو فتحناله المجال انه يطلع ال cortex
+
+549
+00:37:48,450 --> 00:37:53,090
+صار عندي انا في فرق منهم ايه؟ كبير طيب كيف
+
+550
+00:37:53,090 --> 00:37:55,670
+الميكانيزم هذي بتصير؟ قولتلكم ميكانيزم انه تفتح
+
+551
+00:37:55,670 --> 00:37:59,090
+الوضع ال channels ولا ما تفتحش بعدين ال osmolality
+
+552
+00:37:59,090 --> 00:38:02,080
+اللي في ال intercession هو اللي بيكمل المشواريعني
+
+553
+00:38:02,080 --> 00:38:07,380
+لدينا ما يسمى V2 ريسيبتورز موجودين من الـ late
+
+554
+00:38:07,380 --> 00:38:14,260
+distal لنهاية ال collecting duct V2 يعني هدول هم
+
+555
+00:38:14,260 --> 00:38:17,680
+اللي simulating ال water pools أو water channels
+
+556
+00:38:17,680 --> 00:38:25,630
+ال aqua pouringأكوا بورين V2 ريسبتور هذي الانتجار
+
+557
+00:38:25,630 --> 00:38:29,810
+الحرموني تعمل تعمل تعمل تعمل تعمل تعمل تعمل تعمل
+
+558
+00:38:29,810 --> 00:38:30,750
+تعمل تعمل تعمل تعمل تعمل تعمل تعمل تعمل تعمل تعمل
+
+559
+00:38:30,750 --> 00:38:30,790
+تعمل تعمل تعمل تعمل تعمل تعمل تعمل تعمل تعمل تعمل
+
+560
+00:38:30,790 --> 00:38:31,530
+تعمل تعمل تعمل تعمل تعمل تعمل تعمل تعمل تعمل تعمل
+
+561
+00:38:31,530 --> 00:38:33,530
+تعمل تعمل تعمل تعمل تعمل تعمل تعمل تعمل تعمل تعمل
+
+562
+00:38:33,530 --> 00:38:33,530
+تعمل تعمل تعمل تعمل تعمل تعمل تعمل تعمل تعمل تعمل
+
+563
+00:38:33,530 --> 00:38:36,030
+تعمل تعمل تعمل تعمل تعمل تعمل تعمل تعمل
+
+564
+00:38:43,470 --> 00:38:47,170
+اللي هم certain type of proteins موجودة في ال ..
+
+565
+00:38:47,170 --> 00:38:51,610
+في ال cytoplasm وممكن يكون إذا ال simulation بسيط
+
+566
+00:38:51,610 --> 00:38:55,010
+نستخدم ال aquaporin الموجود في ال cytoplasm يعني
+
+567
+00:38:55,010 --> 00:38:57,850
+تحت ال membrane تحت ال apical membrane موجود عندنا
+
+568
+00:38:57,850 --> 00:39:02,970
+vesiclesتحتوي على proteins خاصة إذا الانترنت هرمون
+
+569
+00:39:02,970 --> 00:39:06,430
+هذا عمل stimulation فال proteins بتروح بتتلتصق بال
+
+570
+00:39:06,430 --> 00:39:09,510
+إيه بال membrane تمام ثم بيصيبلها extra ..
+
+571
+00:39:09,510 --> 00:39:15,430
+extravasation أو exocytosis فبتطلع على ال membrane
+
+572
+00:39:15,430 --> 00:39:19,250
+border و بتعمل water channels إذا الانترنت هرمون
+
+573
+00:39:19,250 --> 00:39:22,570
+جال جزء منهم هينضب جال جزء منهم .. جال اللي على
+
+574
+00:39:22,570 --> 00:39:26,070
+الآخر هيروح و اختفو بيصير الميه كلها تمام بتطلع
+
+575
+00:39:26,070 --> 00:39:32,750
+براإذا هو بفتح channels أو بجللها أو بكترها تمام؟
+
+576
+00:39:32,750 --> 00:39:37,750
+وشافت هو هو بس أنا بزود فتحات التسريب أو بجللها
+
+577
+00:39:37,750 --> 00:39:41,730
+حسب ما أنا إيش بديه، تركيزة فعندي ال V2 ريسبتورز
+
+578
+00:39:41,730 --> 00:39:45,170
+increasing ال mechanism هذا ال cellular mechanism
+
+579
+00:39:45,170 --> 00:39:47,390
+بتقدر إلى إن simultaneous movement of
+
+580
+00:39:47,390 --> 00:39:50,430
+intracellular protein called aquaporin أكوه إيش
+
+581
+00:39:50,430 --> 00:39:55,050
+يعني أكوه؟ لذلك أكوه التوعن ميه هدول
+
+582
+00:39:59,580 --> 00:40:04,180
+Aquaporin 2 في عندي 3 و 4 ال aquaporin 2 هدول اللي
+
+583
+00:40:04,180 --> 00:40:07,360
+هم موجود على ال brush border ال apical border اللي
+
+584
+00:40:07,360 --> 00:40:13,260
+الأولى بتكون المون بتحكم فيهم ال aquaporin او aqua
+
+585
+00:40:13,260 --> 00:40:18,830
+3 و 4 موجودة على ال basolateralمعلومش علاقة بالـ A
+
+586
+00:40:18,830 --> 00:40:21,550
+بالـ Antidote hormone بس هم فاتحين ال channels
+
+587
+00:40:21,550 --> 00:40:25,450
+بحيث انه يساعد على ال A تدخل ال interstitium لكن
+
+588
+00:40:25,450 --> 00:40:27,590
+هو مش under control of the A of the antidote
+
+589
+00:40:27,590 --> 00:40:30,790
+hormone اللي under control of the antidote hormone
+
+590
+00:40:30,790 --> 00:40:34,230
+اللي هو على ال A ال apical membrane بيفتح بتطلع
+
+591
+00:40:34,230 --> 00:40:39,030
+الميه بيروحه الميه بتضالها ايه؟ لتحصي الدخول
+
+592
+00:40:39,030 --> 00:40:42,750
+الكلية من جديد إلى ال interstitium بتضالها to the
+
+593
+00:40:42,750 --> 00:40:43,030
+out
+
+594
+00:40:46,650 --> 00:40:51,530
+الموليكيولات تجمع و تفوز مع ممبرا للسلب من خلال
+
+595
+00:40:51,530 --> 00:40:57,610
+اكزوسيتوزيس لتصوير قطع الماء التي تسمح لتفوز الماء
+
+596
+00:40:57,610 --> 00:41:00,990
+بسرعة من خلال السلبيات هناك اخرين اكوابورين تلاتة
+
+597
+00:41:00,990 --> 00:41:03,970
+او اربعة مش موجودين و مش عندنا هنا مش موجودين على
+
+598
+00:41:03,970 --> 00:41:07,130
+ال بيزولاترال والاكرانيك انكريز بيعمل ليه اكثر
+
+599
+00:41:07,130 --> 00:41:13,370
+تجارب تجارب اكوابورين عشان التضالع العملية تصبح
+
+600
+00:41:13,370 --> 00:41:16,720
+أسرع و أكبرعندما يتخلص الجزء من الاندرويد الحرموني
+
+601
+00:41:16,720 --> 00:41:20,800
+عندما يتخلص الجزء من الاندرويد الحرموني عندما
+
+602
+00:41:20,800 --> 00:41:22,620
+يتخلص الجزء من الاندرويد الحرموني عندما يتخلص
+
+603
+00:41:22,620 --> 00:41:25,660
+الجزء من الاندرويد الحرموني عندما يتخلص الجزء من
+
+604
+00:41:25,660 --> 00:41:27,440
+الاندرويد الحرموني عندما يتخلص الجزء من الاندرويد
+
+605
+00:41:27,440 --> 00:41:27,440
+الحرموني عندما يتخلص الجزء من الاندرويد الحرموني
+
+606
+00:41:27,440 --> 00:41:27,440
+عندما يتخلص الجزء من الاندرويد الحرموني عندما
+
+607
+00:41:27,440 --> 00:41:27,620
+يتخلص الجزء من الاندرويد الحرموني عندما يتخلص
+
+608
+00:41:27,620 --> 00:41:29,060
+الجزء من الاندرويد الحرموني عندما يتخلص الجزء من
+
+609
+00:41:29,060 --> 00:41:32,880
+الانالـ Antidocrine هعود ندرسه تاني في الـ
+
+610
+00:41:32,880 --> 00:41:37,060
+Endocrine ونتكلم لو .. مش على مستوى الكل يعني
+
+611
+00:41:37,060 --> 00:41:40,880
+هنتكلم عنه هنتكلم عنه على مستوى ال .. ب Twitter
+
+612
+00:41:40,880 --> 00:41:44,440
+gland تمام؟ لإنه ممكن يزيد و ممكن يجلد و إيش أسباب
+
+613
+00:41:44,440 --> 00:41:49,940
+اللي بيخلي يزيد ك diseases مش ك physiological
+
+614
+00:41:49,940 --> 00:41:57,000
+controlling system أه؟ لأ التالت هذا أو الرابع
+
+615
+00:41:57,980 --> 00:42:00,940
+أتكلمنا عن الانتريد الكرمون التالت هنتكلم عن
+
+616
+00:42:00,940 --> 00:42:02,100
+الرابع الانتريد الكرمون التالت الالدوسترون
+
+617
+00:42:02,100 --> 00:42:05,840
+الهيوتينسين تو الانتريد الكرمون التالت الانتريد
+
+618
+00:42:05,840 --> 00:42:06,940
+الكرمون التالت الانتريد الكرمون التالت الانتريد
+
+619
+00:42:06,940 --> 00:42:08,180
+الكرمون التالت الانتريد الكرمون التالت الانتريد
+
+620
+00:42:08,180 --> 00:42:10,620
+الكرمون التالت الانتريد الكرمون التالت الانتريد
+
+621
+00:42:10,620 --> 00:42:10,960
+الكرمون التالت الانتريد الكرمون التالت الانتريد
+
+622
+00:42:10,960 --> 00:42:14,580
+الكرمون التالت الانتريد الكرمون التالت الانتريد
+
+623
+00:42:14,580 --> 00:42:17,600
+الكرمون التالت الانتريد الكرمون التالت الانتريد
+
+624
+00:42:17,600 --> 00:42:25,520
+الكرمون التالت الان
+
+625
+00:42:26,740 --> 00:42:31,760
+أقل ال volume البصل بيقل لكن بيشغل الكيليا بطريقة
+
+626
+00:42:31,760 --> 00:42:35,980
+عكسية لإن هو لما يزيد ال volume بده يقلله طيب ال
+
+627
+00:42:35,980 --> 00:42:43,180
+mechanism of action تبعه وين وين شغله هو increase
+
+628
+00:42:43,180 --> 00:42:46,680
+levels of this peptide in turn inhibit the
+
+629
+00:42:46,680 --> 00:42:49,340
+reabsorption of sodium and water by the renal
+
+630
+00:42:49,340 --> 00:42:52,860
+tubules especially in the collecting duct لذا
+
+631
+00:42:52,860 --> 00:42:56,550
+بيشغل على الجزء الأخرتمام؟ mainly على الجزر أخر
+
+632
+00:42:56,550 --> 00:42:59,410
+لكن هو على ال tubule كله بيجلل ال reabsorption
+
+633
+00:42:59,410 --> 00:43:02,290
+اللي هو ذاتي و بيزود ال reabsorption اللي هو إيه
+
+634
+00:43:02,290 --> 00:43:05,970
+جالب بس ال main action تبقى على مين؟ ال collecting
+
+635
+00:43:05,970 --> 00:43:11,790
+duct Parathyroid هرمون، هذا إيه علاقة بالمين؟ بال
+
+636
+00:43:11,790 --> 00:43:18,130
+.. بال calcium و الفوسفات و قليل من إيه؟ ال
+
+637
+00:43:18,130 --> 00:43:22,150
+magnesium ال calcium بيشتغل في ال calcium ع ال
+
+638
+00:43:22,150 --> 00:43:26,080
+distal tubuleبزود ال reabsorption في كالسوم وين؟
+
+639
+00:43:26,080 --> 00:43:29,260
+في ال distal tubule لما يزيد برهيرويد البرهيرويد
+
+640
+00:43:29,260 --> 00:43:32,480
+هي هرمون شكلته الرئيسيه اللي بيحفظوها شكلته
+
+641
+00:43:32,480 --> 00:43:36,520
+الرئيسيه المحافظه على مستوى الكالسو في الدم ماليش
+
+642
+00:43:36,520 --> 00:43:40,600
+بيفهمش اللي هي و هو قوي تمام؟ هو هو ايه؟ هرمون قوي
+
+643
+00:43:40,600 --> 00:43:44,460
+ان جلل كالسو في الدم بن جنب بده يعليه من أول جهزة
+
+644
+00:43:44,460 --> 00:43:47,320
+كما كان فبياخد من العظم وبياخد من ال intestine
+
+645
+00:43:47,320 --> 00:43:51,640
+وبياخد من هنا ممنعه بده يعليهفهو هرمون قوي، شغلته
+
+646
+00:43:51,640 --> 00:43:55,340
+يحافظ على مين؟ مش شغلته يبني عظيمة، لأ لأ مالوش
+
+647
+00:43:55,340 --> 00:43:59,140
+علاقة بينها العظيم هو، هو بيكسر العظيم، شغلته
+
+648
+00:43:59,140 --> 00:44:02,820
+يحافظ على إيه؟ الكالسيوم كدا، لكن إذا دوتوله
+
+649
+00:44:02,820 --> 00:44:05,820
+كالسيوم كافي، بهدا، بهدا و بسكت، و الكالسيوم يزيد،
+
+650
+00:44:05,820 --> 00:44:09,400
+انا بروح للعظيمةلكن إيه النقص يا أقولكوا؟ النقص
+
+651
+00:44:09,400 --> 00:44:13,300
+براتيرويد بنهش في العضم، بيكسّه، تمام؟ اللي يسحب
+
+652
+00:44:13,300 --> 00:44:16,520
+ال .. اللي إيه؟ ال calcium المطلوب بيحس بلازمة
+
+653
+00:44:16,520 --> 00:44:20,400
+level of calcium ده اللي إيه؟ طبيعية، ليش؟ لإن ال
+
+654
+00:44:20,400 --> 00:44:24,460
+calcium level زي ال potassium، خطير لإيه؟ ل .. ل
+
+655
+00:44:24,460 --> 00:44:27,520
+.. ل .. ل .. ل .. ل .. ل .. لل cardiac بالذات،
+
+656
+00:44:27,520 --> 00:44:30,220
+okay لل muscles كلها، نرفع ال muscles كله، لكن ال
+
+657
+00:44:30,220 --> 00:44:34,670
+cardiac برضه toxicity لل heart بتزيدإذا نبدو حافظ
+
+658
+00:44:34,670 --> 00:44:38,830
+على level هذا لإنه هذا مش بس احنا محتاجينه الدم ال
+
+659
+00:44:38,830 --> 00:44:42,430
+plasma لأ لإن في ناس أخرين متعقدين معاهم إنه نضبط
+
+660
+00:44:42,430 --> 00:44:46,410
+الأمور و إلا إيه تختل البلد كلها ضرب المفاعل شسمه
+
+661
+00:44:46,410 --> 00:44:49,930
+هيخرب الدنيا كلها مش بس هيخرب الكهربا هيموت الناس
+
+662
+00:44:49,930 --> 00:44:52,710
+الإشعال طلع مش إنه فيش كهربا طبعا إن شاء الله
+
+663
+00:44:52,710 --> 00:44:56,070
+مافيه كهربا من نام على الشمعةلكن لأ الآن الإشعاع
+
+664
+00:44:56,070 --> 00:44:59,510
+اللي طلع مال الدنيا هذا مش خطر اليابان لحالها، خطر
+
+665
+00:44:59,510 --> 00:45:03,710
+على كل مكان كالسيوم ازاد .. الجسم لا يسمح بالإيه
+
+666
+00:45:03,710 --> 00:45:07,730
+بإنه إشي يطلع out of control عطول فيه ميكانيزمات
+
+667
+00:45:07,730 --> 00:45:10,610
+دائما الإشي .. مش ميكانيزم واحد، بيوجد كذا
+
+668
+00:45:10,610 --> 00:45:13,230
+ميكانيزم زي ما أنتوا شايفين ال regulation كام تم،
+
+669
+00:45:13,230 --> 00:45:19,460
+مش كده؟ إشي بيضعب يأكد إشي، اه؟ sympatheticبيطلع
+
+670
+00:45:19,460 --> 00:45:21,200
+ال renin و ال renin بيطلع ال angiotensin 2 و ال
+
+671
+00:45:21,200 --> 00:45:24,700
+angiotensin 2 بيطلع ال .. ال .. ال aldosterone و
+
+672
+00:45:24,700 --> 00:45:27,620
+ال .. ال .. و ال aldosterone بيطلع ال antihormone
+
+673
+00:45:27,620 --> 00:45:33,200
+system كامل لو واحد منه فشل الباقي بيكمل ف
+
+674
+00:45:33,200 --> 00:45:36,540
+multiple control systems ازاي نتكلم ال control من
+
+675
+00:45:36,540 --> 00:45:39,340
+ال .. ال autogenic one اللي هو ال .. ال
+
+676
+00:45:39,340 --> 00:45:43,780
+glomerotubular balance بعدين ال hormones بعدين ال
+
+677
+00:45:43,780 --> 00:45:47,150
+.. فمتداخلةو هاد ال physiology ال homeostasis
+
+678
+00:45:47,150 --> 00:45:50,910
+مانظبطش .. احنا مش عايشين سباحة للا لو ان .. يعني
+
+679
+00:45:50,910 --> 00:45:55,310
+عشان تشوف كدهش انه الحياة .. ال .. ال aldosterone
+
+680
+00:45:55,310 --> 00:45:57,810
+و ال .. ال .. و ال aldosterone بتطلع علامة ال
+
+681
+00:45:57,810 --> 00:46:04,410
+hormone لو واحد منه فشل ال باقي بيكمل ف multiple
+
+682
+00:46:04,410 --> 00:46:08,110
+control systems لزم تتكلم ال control قلنا ال .. ال
+
+683
+00:46:08,110 --> 00:46:10,790
+autogenic one اللي هو ال .. ال glomerotubular
+
+684
+00:46:10,790 --> 00:46:16,770
+balance بعدين ال hormones بعدين الفمتداخلك و هذا
+
+685
+00:46:16,770 --> 00:46:19,290
+ال physiology ال homeostasis مانظبطش احنا مش
+
+686
+00:46:19,290 --> 00:46:23,090
+عايشين سباحة لا لأ لو ان يعني عشان تشوفوا كدهش انه
+
+687
+00:46:23,090 --> 00:46:26,610
+الحياة ال aldosterone و ال .. و ال aldosterone
+
+688
+00:46:26,610 --> 00:46:31,370
+بطلّي علامة ال hormone ا system كامل لو واحد منه
+
+689
+00:46:31,370 --> 00:46:35,290
+فشل الباقي بيكمل ف multiple control systems اذا
+
+690
+00:46:35,290 --> 00:46:38,570
+انت بتتكلم ال control قلنا ال autogenic one اللي
+
+691
+00:46:38,570 --> 00:46:42,910
+هو ال glomerotubular balance بعدين ال hormones
+
+692
+00:46:42,910 --> 00:46:46,870
+بعدين الفمتداخلك و هذا ال physiology ال
+
+693
+00:46:46,870 --> 00:46:50,850
+homeostasis مانظبطش احنا مش عايشين سباحة لأ لإن
+
+694
+00:46:50,850 --> 00:46:54,010
+يعني عشان تشوفوا كدهش انه الحياة هي .. ال
+
+695
+00:46:54,010 --> 00:46:57,310
+aldosterone و ال .. و ال aldosterone بطلّي علاج لل
+
+696
+00:46:57,310 --> 00:47:02,750
+hormone system كامل لو واحد منه فشل ال باقي بيكمل
+
+697
+00:47:02,750 --> 00:47:06,230
+ف multiple control systems اذا انا بتتكلم ال
+
+698
+00:47:06,230 --> 00:47:09,670
+control قلنا ال autogenic one اللي هو ال .. ال
+
+699
+00:47:09,670 --> 00:47:14,090
+glomerotubular balance بعدين ال hormones بعدين ال
+
+700
+00:47:14,090 --> 00:47:17,480
+..فمتداخلك و هاد ال physiology ال homeostasis
+
+701
+00:47:17,480 --> 00:47:21,640
+مانظبطش احنا مش عايشين سباحة لأ لأ لو يعني عشان
+
+702
+00:47:21,640 --> 00:47:23,060
+تشوفوا كدهش انه الحياة
+
+703
+00:47:23,060 --> 00:47:41,680
+هالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهال
+
+704
+00:47:44,410 --> 00:47:47,130
+و هذا ال physiology ال homeostasis مانظبطش .. احنا
+
+705
+00:47:47,130 --> 00:47:50,450
+مش عايشين سباحة لا لأ لو ان .. يعني عشان تشوفوا
+
+706
+00:47:50,450 --> 00:47:53,490
+كدهش انه الحياة .. و ال .. و ال .. و ال .. و ال ..
+
+707
+00:47:53,490 --> 00:47:53,950
+و ال .. و ال .. و ال .. و ال .. و ال .. و ال .. و
+
+708
+00:47:53,950 --> 00:47:54,290
+ال .. و ال .. و ال .. و ال .. و ال .. و ال .. و ال
+
+709
+00:47:54,290 --> 00:47:54,290
+.. و ال .. و ال .. و ال .. و ال .. و ال .. و ال ..
+
+710
+00:47:54,290 --> 00:47:54,290
+و ال .. و ال .. و ال .. و ال .. و ال .. و ال .. و
+
+711
+00:47:54,290 --> 00:47:54,570
+ال .. و ال .. و ال .. و ال .. و ال .. و ال .. و ال
+
+712
+00:47:54,570 --> 00:47:55,850
+.. و ال .. و ال .. و ال .. و ال .. و ال .. و ال ..
+
+713
+00:47:55,850 --> 00:47:56,410
+و ال .. و ال .. و ال .. و ال .. و ال .. و ال .. و
+
+714
+00:47:56,410 --> 00:47:59,230
+ال .. و ال .. و ال .. و ال .. و ال .. و ال .. و ال
+
+715
+00:47:59,230 --> 00:48:08,810
+.. و ال .. و ال .. و
+
+716
+00:48:13,130 --> 00:48:15,830
+و هذا ال physiology ال homeostasis مانزبطش .. احنا
+
+717
+00:48:15,830 --> 00:48:19,170
+مش عايشين سباق لأ لأ لو ان .. يعني عشان تشوفوا
+
+718
+00:48:19,170 --> 00:48:24,370
+كدهش انه الحياة .. system كامل لو واحد منه فشل
+
+719
+00:48:24,370 --> 00:48:28,070
+الباقي بيكمل ف multiple control systems اذا انا
+
+720
+00:48:28,070 --> 00:48:32,250
+بتتكلم ال control قلنا ال autogenic one اللي هو ال
+
+721
+00:48:32,250 --> 00:48:36,750
+glomerotubular balance بعدين ال hormones بعدين ال
+
+722
+00:48:36,750 --> 00:48:40,090
+.. فمتداخلة و هذا ال physiology ال homeostasis
+
+723
+00:48:40,090 --> 00:48:43,920
+مانزبطش .. احنا مش عايشين سباق لأ لألو ان .. يعني
+
+724
+00:48:43,920 --> 00:48:47,100
+عشان تشوف و جدش انه على الحياة هاجم ال hormones
+
+725
+00:48:47,100 --> 00:48:51,620
+فمتداخلك و هذا ال physiological ال homeostasis
+
+726
+00:48:51,620 --> 00:48:55,120
+مانظبطش .. احنا مش عايشين سباق له لا .. لو ان ..
+
+727
+00:48:55,120 --> 00:48:57,420
+يعني عشان تشوف و جدش انه على الحياة هاجم ال
+
+728
+00:48:57,420 --> 00:48:57,660
+hormones
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/LKlxenVpS-o_postprocess.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/LKlxenVpS-o_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..ba834a3206defcbbd5b08514cb5b21db736061e4
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/LKlxenVpS-o_postprocess.srt
@@ -0,0 +1,3436 @@
+1
+00:00:05,410 --> 00:00:13,110
+هنكمل الحديث حول الرينا
+
+2
+00:00:13,110 --> 00:00:18,750
+ال blood flow بس مش من وجهة نظر ال structure من
+
+3
+00:00:18,750 --> 00:00:22,250
+وجهة نظر ال function القيم الأساسية لرينا ال blood
+
+4
+00:00:22,250 --> 00:00:28,590
+flow اللي هو يديني flow كافي ل good filtration
+
+5
+00:00:28,590 --> 00:00:32,870
+تمام؟ اذا هناك ارتباط كبير ما بين الرينا ال blood
+
+6
+00:00:32,870 --> 00:00:38,680
+flowو بين ال glomerular filtration rate تمام هنا
+
+7
+00:00:38,680 --> 00:00:48,680
+هنطلع نلاقي انه الكيليا على غير العادة الكيليا
+
+8
+00:00:48,680 --> 00:00:57,500
+على غير العادة فيها blood flow blood
+
+9
+00:00:57,500 --> 00:01:02,900
+flow عالي يعني 22% اكتر من الخمس تقريبامن ال
+
+10
+00:01:02,900 --> 00:01:07,500
+cardiac output بيكون
+
+11
+00:01:07,500 --> 00:01:11,300
+بيصل الكيلية طبعا اذا اكتر من خمس ال cardiac
+
+12
+00:01:11,300 --> 00:01:16,000
+output بيخش الكيلية هنلاحظ احنا طبعا كمية كبيرة
+
+13
+00:01:16,000 --> 00:01:21,440
+بالنسبة لوزن الكيلية الكيلية تمثل من الجسم point
+
+14
+00:01:21,440 --> 00:01:25,960
+four percent لا تمثل يعني twenty percent او twenty
+
+15
+00:01:25,960 --> 00:01:29,640
+two percent زي ما ال product supply بالنسبة لل
+
+16
+00:01:29,640 --> 00:01:35,620
+cardiac outputإذا هناك زيادة غير عادية في ال blood
+
+17
+00:01:35,620 --> 00:01:40,720
+supply للكلية و هذا من خلال احنا طبعا مدرسته و
+
+18
+00:01:40,720 --> 00:01:43,760
+اللي هندرسه بعد كده بنعرف ان الكلية اللي عمل ال
+
+19
+00:01:43,760 --> 00:01:47,620
+blood supply الرئيسي إليها عشان يعمل ال filtration
+
+20
+00:01:47,620 --> 00:01:51,420
+و ال function تبعها مش عشان ال nutrition ل ال
+
+21
+00:01:51,420 --> 00:01:55,220
+kidney tissuesيعني مش ال kid nutritious metabolism
+
+22
+00:01:55,220 --> 00:02:01,020
+او kidney cells metabolism او kidney cells
+
+23
+00:02:01,020 --> 00:02:06,460
+nutrition هو الأساس انما هناك function التمثل في
+
+24
+00:02:06,460 --> 00:02:13,180
+filtration وabsorption و secretion هذا بيخلي ال
+
+25
+00:02:13,180 --> 00:02:16,480
+renal blood flow يكون عالي حتى نقدر نتخلص من waste
+
+26
+00:02:16,480 --> 00:02:25,390
+products لو طلعنا علىمقارنة بال brain مقارنة بال
+
+27
+00:02:25,390 --> 00:02:28,070
+brain هنلاقي أنه ال blood supply
+
+28
+00:02:36,530 --> 00:02:42,150
+ال blood supply ل الكلية سبع أضعاف ال blood supply
+
+29
+00:02:42,150 --> 00:02:48,070
+ل ال brain في حين أن الكلية في العادة تستهلك فقط
+
+30
+00:02:48,070 --> 00:02:51,990
+ضعف استهلاك ال brain من ال oxygen، لذا في عندي خمس
+
+31
+00:02:51,990 --> 00:02:57,830
+أضعاف فارق لإيش هدول جايين، مش جايين علشان يدوني
+
+32
+00:02:57,830 --> 00:03:02,550
+nutrition، انما جايين علشان ايه؟ to be filtered
+
+33
+00:03:02,550 --> 00:03:06,420
+and clearedمجموعة كبيرة من الوزن اللي تمتلقها
+
+34
+00:03:06,420 --> 00:03:10,960
+الكدنية مرتبطة بقيمة مرتبطة مرتبطة مرتبطة مرتبطة
+
+35
+00:03:10,960 --> 00:03:12,020
+مرتبطة مرتبطة مرتبطة مرتبطة مرتبطة مرتبطة مرتبطة
+
+36
+00:03:12,020 --> 00:03:14,060
+مرتبطة مرتبطة مرتبطة مرتبطة مرتبطة مرتبطة مرتبطة
+
+37
+00:03:14,060 --> 00:03:17,240
+مرتبطة مرتبطة مرتبطة مرتبطة مرتبطة مرتبطة مرتبطة
+
+38
+00:03:17,240 --> 00:03:20,040
+مرتبطة مرتبطة مرتبطة مرتبطة مرتبطة مرتبطة مرتبطة
+
+39
+00:03:20,040 --> 00:03:31,820
+مرتبطة مرتبطة مرتبطة مرتبطة مرتبطة مرتبطة
+
+40
+00:03:31,820 --> 00:03:37,550
+مطبعا الفيلتر اللى للصوديوم هو زى ما حكينا
+
+41
+00:03:37,550 --> 00:03:42,970
+الكاتايون اللى هو عن طريقه بتتم التعامل مع ال
+
+42
+00:03:42,970 --> 00:03:49,040
+cellular transport mechanismsعن طريقه بيتم إدخال
+
+43
+00:03:49,040 --> 00:03:54,260
+الميه بعده يعني تليه الميه وعن طريقه بيدخل ورا ال
+
+44
+00:03:54,260 --> 00:03:58,560
+.. ال .. ال glucose و ال amino acids و معظم ال
+
+45
+00:03:58,560 --> 00:04:01,520
+nutrients الأخرى اللي احنا عايزينها بيكون ال
+
+46
+00:04:01,520 --> 00:04:05,200
+sodium carriers، transporter، ميكانيزم تعتمد على
+
+47
+00:04:05,200 --> 00:04:11,210
+ال sodium هي الأساس في انتقالهالذلك السوديوم مؤشر
+
+48
+00:04:11,210 --> 00:04:14,370
+على كم فيه activity في داخل الـA في داخل
+
+49
+00:04:14,370 --> 00:04:18,530
+الـtubules طبعا بيصير ال filtration و بيصير معظمه
+
+50
+00:04:18,530 --> 00:04:22,430
+99% من السوديوم is reabsorbed طبعا ال reabsorption
+
+51
+00:04:22,430 --> 00:04:26,270
+تبعه بيقدر مع ال functions الأخرى لذلك هناك علاقة
+
+52
+00:04:26,270 --> 00:04:29,910
+مقترضية ما بين الـA السوديوم reabsorption و ال
+
+53
+00:04:29,910 --> 00:04:34,090
+oxygen consumption لو نزلنا السوديوم reabsorption
+
+54
+00:04:34,090 --> 00:04:38,500
+إلى الصفربمعنى انه نزلنا ال filtration rate الى
+
+55
+00:04:38,500 --> 00:04:47,640
+الصفر تمام بأي تكنيك معين هلاحظ انه انه بينخفض ال
+
+56
+00:04:47,640 --> 00:04:52,180
+oxygen consumption انخفاض كبير تمام بيبقى فقط
+
+57
+00:04:52,180 --> 00:04:59,580
+الاستهلاك 5 الربع 25% من ال oxygen consumption
+
+58
+00:04:59,580 --> 00:05:04,900
+بيستمر تلت أرباع الاستهلاك بيختفيبالنسبة للخلايا
+
+59
+00:05:04,900 --> 00:05:12,500
+الاساسية للخلايا الاساسية هي استخدام 25% من
+
+60
+00:05:12,500 --> 00:05:19,800
+الدكتورين و 75% استخدام البربوس الاخر للخلايا
+
+61
+00:05:19,800 --> 00:05:25,600
+تمام بيتمثل عبر طبعا ال sodium زي اللي كتتم 75%
+
+62
+00:05:25,600 --> 00:05:29,260
+منها هذه تتناسب ترضي مع ال sodium زي ما انتوا
+
+63
+00:05:29,260 --> 00:05:34,650
+شايفينها عندي أنا الجزئية هذه basicسابتة بزيدش ولا
+
+64
+00:05:34,650 --> 00:05:38,530
+بتقل لكن إذا زودنا ال sodium reabsorption من اللي
+
+65
+00:05:38,530 --> 00:05:42,110
+بزيد مع ال oxygen consumption إذا ال sodium
+
+66
+00:05:42,110 --> 00:05:45,830
+reabsorption و ال oxygen consumption مرتبطين مع
+
+67
+00:05:45,830 --> 00:05:50,590
+بعض و من البعض determination of renal blood flow
+
+68
+00:05:50,590 --> 00:06:01,070
+is determined by أي اي
+
+69
+00:06:08,860 --> 00:06:13,120
+blood flow في أي مكان كيلية او غير كيلية بتعتمد
+
+70
+00:06:13,120 --> 00:06:17,620
+على ال pressure gradients الفارق بين ال arterial و
+
+71
+00:06:17,620 --> 00:06:21,220
+ال venous ال pressure gradients بين الطرفين هذا
+
+72
+00:06:21,220 --> 00:06:24,140
+اللي بتخلي الاشي يندفع لإن هن في ضغط عالي و هن ضغط
+
+73
+00:06:24,140 --> 00:06:28,780
+واطي يندفع و resistance فى الطريق مش كده هتدوس ان
+
+74
+00:06:28,780 --> 00:06:31,420
+شاء الله فى الفصل الجاى ال circulation بتاخد
+
+75
+00:06:31,420 --> 00:06:35,250
+تفاصيل عنهاو اتلاقوا ان عندي أنا ايه عشان ال flow
+
+76
+00:06:35,250 --> 00:06:39,930
+هذا بيتحكم في ال pressure gradient بين الطرفين
+
+77
+00:06:39,930 --> 00:06:43,870
+blood vessels بالاضافة لل resistance الموجودة، اذا
+
+78
+00:06:43,870 --> 00:06:50,970
+العلاقة بين هذا وهذا هو بيمثل اللي ايه اللي بيحدد
+
+79
+00:06:50,970 --> 00:06:58,090
+ليه ال flow كيف بدي يكون، اذا نتكلم عن ال the
+
+80
+00:06:58,090 --> 00:07:02,420
+renal heart pressure is aboutequal to the systemic
+
+81
+00:07:02,420 --> 00:07:07,880
+pressure، تمام؟ إذا عندي blood pressure ال
+
+82
+00:07:07,880 --> 00:07:12,720
+arterial يعني شبيه بال .. بال arterial .. بال ..
+
+83
+00:07:12,720 --> 00:07:16,220
+بال aortic blood pressure لإن هو طالع من الأورطة
+
+84
+00:07:16,220 --> 00:07:20,110
+على طولالـ Venus من تلاتة إلى أربعة مليمتر ميركورد
+
+85
+00:07:20,110 --> 00:07:24,990
+فتطلع ان هنكون فرق بين حوالي مية و عشرة او المتوسط
+
+86
+00:07:24,990 --> 00:07:28,870
+مية و قلنا مية و عشرية تمانين على متوسطها مية مية
+
+87
+00:07:28,870 --> 00:07:32,790
+ناجس تلاتة إلى أربعة يعني في عندي ايه في فرق ضغط
+
+88
+00:07:32,790 --> 00:07:37,250
+pressure gradient عالي موجود بيقدر ال good flow
+
+89
+00:07:37,250 --> 00:07:40,330
+اللي اتكلمنا عنه طيب بالنسبة لل
+
+90
+00:07:43,790 --> 00:07:46,550
+resistance اذا انا اقول انها علاقة ما بين ال .. ال
+
+91
+00:07:46,550 --> 00:07:49,250
+arterial pressure و ال virus pressure اللي هو ال
+
+92
+00:07:49,250 --> 00:07:52,550
+pressure gradient هو ال .. ال resistance ال
+
+93
+00:07:52,550 --> 00:07:57,270
+resistance وين ما تمشي ال blood flow في اي blood
+
+94
+00:07:57,270 --> 00:08:01,010
+vessel فيه resistanceطبعا طول ما ال blood ماشي فيه
+
+95
+00:08:01,010 --> 00:08:06,350
+محجوز ب blood vessel ومش قادر يتحرك لورا هيك فيه
+
+96
+00:08:06,350 --> 00:08:10,250
+resistance ال resistance هذه بتزيد في بعض الأماكن
+
+97
+00:08:10,250 --> 00:08:12,910
+كل ما دياج ال blood pressure ال vessel blood
+
+98
+00:08:12,910 --> 00:08:16,730
+vessel كل ما ال resistance بتزيد لذلك بيلاقي ان ال
+
+99
+00:08:16,730 --> 00:08:20,990
+resistance في التمركز بداة في ال intra lobularو ال
+
+100
+00:08:20,990 --> 00:08:23,350
+a front و ال a front ال a front و ال a front
+
+101
+00:08:23,350 --> 00:08:28,170
+هنتكلم عنهم بعد كده بتفصيل لإنه في عندي مواد أو
+
+102
+00:08:28,170 --> 00:08:31,730
+أشياء بتخلي ال a front to be dilated أو to be
+
+103
+00:08:31,730 --> 00:08:35,990
+constricted معناها بيزود ال GFR و العكس صحيح إذا
+
+104
+00:08:35,990 --> 00:08:41,890
+صار في ال a front vasoconstriction بيزود ال GFR أو
+
+105
+00:08:41,890 --> 00:08:46,550
+vasodilatation بيجلل ال GFR لكن بدنا نلاحظ إنه أي
+
+106
+00:08:46,550 --> 00:08:48,930
+vasoconstriction إن كان في ال a front ولا في ال a
+
+107
+00:08:48,930 --> 00:08:53,220
+front في الآخر هيعمل ليههينزل ال blood flow تمام
+
+108
+00:08:53,220 --> 00:08:56,320
+لإن كل ما زالت ال blood flow ال resistance بزيد
+
+109
+00:08:56,320 --> 00:09:01,000
+بجل ال blood flow مش كده فلذلك احنا الجزء انه بجل
+
+110
+00:09:01,000 --> 00:09:05,740
+ال blood flow لدرجة بحيث مايأثرش على ال filtration
+
+111
+00:09:05,740 --> 00:09:11,880
+ماشي الحال لكن إذا الجل ب blood flow تمام ال
+
+112
+00:09:11,880 --> 00:09:16,160
+mechanism هتزيادة يعني ال ال ال ال ال ال GFR
+
+113
+00:09:16,160 --> 00:09:20,000
+automatically هتنزلتمام؟ اذا في عندنا كلام حول
+
+114
+00:09:20,000 --> 00:09:23,460
+احنا بالذات بال .. بالنسبة لمن؟ لل .. افرد ال
+
+115
+00:09:23,460 --> 00:09:26,520
+arteriole قولنا اذا صارله vasoconstriction mild
+
+116
+00:09:26,520 --> 00:09:31,740
+بيزود ال GFR تمام؟ لكن اذا كان ال vasoconstriction
+
+117
+00:09:31,740 --> 00:09:35,680
+severe بيجلل ال GFR لإن صار ال blood flow كله ايش
+
+118
+00:09:35,680 --> 00:09:40,040
+منخفض و ال GF .. و ال blood flow ال GFR تعتمد
+
+119
+00:09:40,040 --> 00:09:42,780
+اعتماد كله على ايه؟ على ال blood flow
+
+120
+00:09:48,260 --> 00:09:53,540
+هنا هنلاحظ حاجة غريبة جدا في الكلية تمام هنلاحظ
+
+121
+00:09:53,540 --> 00:09:59,480
+حاجة غريبة في الكلية انه فيها حاجة بيسميها auto
+
+122
+00:09:59,480 --> 00:10:04,540
+regulation auto regulation في حاجة اسمها ايش؟ auto
+
+123
+00:10:04,540 --> 00:10:07,760
+regulation بالنسبالي احنا ال blood vessels بتكلم
+
+124
+00:10:07,760 --> 00:10:18,910
+عن ال blood supply في auto regulation لل لل GFRهو
+
+125
+00:10:18,910 --> 00:10:22,350
+في auto regulation انا اتكلم عن ال blood flow ال
+
+126
+00:10:22,350 --> 00:10:29,050
+blood flow هذا اللي بيعمل GFR عالية ان زاد ال
+
+127
+00:10:29,050 --> 00:10:33,450
+blood pressure لحد معين لحوالي مية و ستين
+
+128
+00:10:33,450 --> 00:10:38,510
+millimeter mercury او نزل لحد سبعين millimeter
+
+129
+00:10:38,510 --> 00:10:41,990
+mercury هنلاحظ ان ال GFR متغيرش متغيرش
+
+130
+00:10:41,990 --> 00:10:46,230
+significantly متغيرش بسيط يعني في عندي range واسع
+
+131
+00:10:46,230 --> 00:10:50,270
+من ال blood pressureتمام اللى هو بيقدر ال blood
+
+132
+00:10:50,270 --> 00:10:53,110
+flow العالى احنا قولنا ال blood flow بالفرق بين ال
+
+133
+00:10:53,110 --> 00:10:55,510
+arteria و ال venous لان ال arteria عالى و ال
+
+134
+00:10:55,510 --> 00:10:58,050
+venous ماتأثرش معناها ال flow بيزيد و ال
+
+135
+00:10:58,050 --> 00:11:03,470
+resistance ماتأثرتش تمام؟ اذا في عندي انا range
+
+136
+00:11:03,470 --> 00:11:08,570
+عالى من ال variations و يضل الكل يعامل auto
+
+137
+00:11:08,570 --> 00:11:14,910
+regulation لنفسها بحيث انه مايزلش ال ايه ال ..ال
+
+138
+00:11:14,910 --> 00:11:19,450
+filtration rate و ال excretion significantly بيصير
+
+139
+00:11:19,450 --> 00:11:24,030
+في حقيقة هتتعلموها اسمها pressure diuresis و
+
+140
+00:11:24,030 --> 00:11:27,690
+pressure natriuresis بمعنى زيادة ال pressure هيزود
+
+141
+00:11:27,690 --> 00:11:31,550
+ال excretion
+
+142
+00:11:31,550 --> 00:11:35,570
+of urine و هيزود ال excretion of sodium nature
+
+143
+00:11:35,570 --> 00:11:43,190
+diuresis او pressure diuresisلكن الـ changes مش
+
+144
+00:11:43,190 --> 00:11:48,010
+متناسبة مع الزيادة يعني زيادة ال blood pressure
+
+145
+00:11:48,010 --> 00:11:51,670
+زيادة ال .. اللي هتتناسب مع جديش طلع ال sodium
+
+146
+00:11:51,670 --> 00:11:55,910
+زيادة أو طلع جديش urine زيادة لإنه في auto
+
+147
+00:11:55,910 --> 00:11:59,430
+regulation و ال auto regulation هادي عملية
+
+148
+00:11:59,430 --> 00:12:04,730
+intrinsic في داخل الكلية تمام؟ بتعتمد أساسا على
+
+149
+00:12:04,730 --> 00:12:10,780
+what is called maculadinsa ال maculadinsa هاديفي
+
+150
+00:12:10,780 --> 00:12:15,260
+بداية الـ distal tubule هنشرحها بعد شوية حساسة
+
+151
+00:12:15,260 --> 00:12:20,180
+لقداشي بيوصلها Sodium بيوصلها Sodium كتير بتقول أن
+
+152
+00:12:20,180 --> 00:12:23,360
+Sodium هذا أكبر من قدرة ال distal tubule to deal
+
+153
+00:12:23,360 --> 00:12:26,780
+with أكتر من قدرة ال distal tubule متعامل معاه
+
+154
+00:12:26,780 --> 00:12:32,040
+فلذلك بتبعت إشارة ل أفرند سكربدياجي شوية بجالي ال
+
+155
+00:12:32,040 --> 00:12:36,180
+GFR برغم ان ال pressure عالي برا صار مائة و سبعين
+
+156
+00:12:36,180 --> 00:12:40,820
+لكن اللي ده ال afferent سكر دياجي ليش؟ لإنه بده
+
+157
+00:12:40,820 --> 00:12:46,100
+ينزل ال GFR لإيش يتناسب مع ال nephron function و
+
+158
+00:12:46,100 --> 00:12:51,000
+العكس صحيح لو ال ال ال sodium delivered to the
+
+159
+00:12:51,000 --> 00:12:55,500
+distal tribule عند الميكروفينس حس انه ال sodium
+
+160
+00:12:55,500 --> 00:13:03,700
+delivery جال تروح تدي إشارة لمين؟لأفرند و لإفران
+
+161
+00:13:03,700 --> 00:13:09,860
+لأن عملية زيادة ال GFR أو نقصانها التانيين بتحكموا
+
+162
+00:13:09,860 --> 00:13:13,920
+فيه بطريقة عكسية صحيح لكن التانيين بتحكموا فيه
+
+163
+00:13:13,920 --> 00:13:18,320
+فبتدى إشارة أن اللي جاينا صوديوم يجليل زودولى شوية
+
+164
+00:13:18,320 --> 00:13:23,420
+فلو نزلنا سبعين اربناشر برضه ايه بنلاقي ال GFR
+
+165
+00:13:23,420 --> 00:13:27,820
+مناسبة لإنها تدى function طبيعى بحيث انه يصل
+
+166
+00:13:27,820 --> 00:13:31,910
+الصوديوم طبيعى لمينهذه العملية تسمى auto
+
+167
+00:13:31,910 --> 00:13:35,450
+regulation هندرسها برضه بتفصيل شوية اليوم في نفس
+
+168
+00:13:35,450 --> 00:13:40,670
+المحاضرة هذه هنلاحظ
+
+169
+00:13:40,670 --> 00:13:45,070
+في جثة ال blood flow انه ال blood supply او blood
+
+170
+00:13:45,070 --> 00:13:50,670
+flow in the vasecta لا يمثل من ال blood flow في
+
+171
+00:13:50,670 --> 00:13:53,230
+الrenal blood flow ال total اكتر من واحد الاتنين
+
+172
+00:13:53,230 --> 00:13:58,710
+في المية تمام؟ ليش؟ لأن احنا قلتلكم انا في الأساس
+
+173
+00:13:59,190 --> 00:14:03,550
+ان الفازاركتا والجكستام الدولار نيفرونز شغلتهم
+
+174
+00:14:03,550 --> 00:14:07,850
+الأساسية مش انهم ت filtrate and excrete ال wasp
+
+175
+00:14:07,850 --> 00:14:11,910
+products و الكلام هذا شغلتهم الأساسية انهم محتاجين
+
+176
+00:14:11,910 --> 00:14:14,550
+concentrated urine ولا لا فالفترات اللي بدنا فيها
+
+177
+00:14:14,550 --> 00:14:17,390
+concentrated urine بيشتغلوا الفترات اللي مابدناش
+
+178
+00:14:17,390 --> 00:14:20,330
+concentrated urine بيشتغلوش لذلك ال blood supply
+
+179
+00:14:20,330 --> 00:14:23,750
+اللي هم بيزيد و بيقل و ال osmotic gradient اللي هم
+
+180
+00:14:23,750 --> 00:14:30,410
+بيكونوهفي المضلة بيتكون و بيختفي بيزيد و بيقل حسب
+
+181
+00:14:30,410 --> 00:14:35,290
+حاجات الجسم لذلك ال بذركة اللي هي تمثل blood
+
+182
+00:14:35,290 --> 00:14:43,370
+supply لل .. لل .. دي ال mainly للجفص المضلة
+
+183
+00:14:43,370 --> 00:14:48,810
+للنفرونز هنلاقي فيها blood supply محدود the
+
+184
+00:14:48,810 --> 00:14:52,640
+control of the glomeral filtrationتكلمنا من
+
+185
+00:14:52,640 --> 00:14:56,320
+المحاضرة الفاترة تقولنا ال glomeral filtration
+
+186
+00:14:56,320 --> 00:15:01,920
+يعتمد على two types of brushes مش كده متصارعين ال
+
+187
+00:15:01,920 --> 00:15:07,420
+hydrostatic على جانبينال bo .. ال capillary wall
+
+188
+00:15:07,420 --> 00:15:11,800
+of the glomerulus و اسمه .. و colloidal على برق
+
+189
+00:15:11,800 --> 00:15:16,660
+الجهتين مش كده؟ و الفرج ما بينهم مديني محصلة كده
+
+190
+00:15:16,660 --> 00:15:21,700
+يصير filtration طيب إذا عندي هدول ال two factors
+
+191
+00:15:21,700 --> 00:15:28,660
+hydrostatic pressure و ال colloidal pressureطيب
+
+192
+00:15:28,660 --> 00:15:32,580
+إذا في عندى colloidal pressure بدو يندرس لحال و
+
+193
+00:15:32,580 --> 00:15:35,960
+hydrostatic pressure بدو يندرس لحال ال hydrostatic
+
+194
+00:15:35,960 --> 00:15:43,680
+pressure هذا اللي جاي عبر ال رينا القاطري ال
+
+195
+00:15:43,680 --> 00:15:46,760
+hydrostatic pressure بيتقل إلى أن يصل ال afferent
+
+196
+00:15:46,760 --> 00:15:50,180
+تمام إيش ال factors اللي بتزود ال hydrostatic
+
+197
+00:15:50,180 --> 00:15:52,960
+pressure اللي في المقابل هيزود ال filtration مش
+
+198
+00:15:52,960 --> 00:15:57,710
+كده ال auto regulation mechanisms هتتحكم فيهلكن في
+
+199
+00:15:57,710 --> 00:16:02,630
+جزء مش هينطبطه يعني في minimal factor هضل موجود
+
+200
+00:16:02,630 --> 00:16:05,550
+بعدين لو زاد pressure عن 170 هصير عندى severe
+
+201
+00:16:05,550 --> 00:16:09,390
+diuresis pressure diuresis و لو جال عن 70 معناها
+
+202
+00:16:09,390 --> 00:16:14,030
+انه هيصير really blood flow هي drop كويس و ال GFR
+
+203
+00:16:14,030 --> 00:16:18,310
+نفسه هيصير في high drop و ال excretion of urine
+
+204
+00:16:18,310 --> 00:16:22,690
+will be dropped و ال function of the kidney اذا هو
+
+205
+00:16:22,690 --> 00:16:28,370
+ال dropهنلاحظ ان الـ hydrostatic pressure هذا او
+
+206
+00:16:28,370 --> 00:16:35,350
+influenced by three factors ياما nervous factors و
+
+207
+00:16:35,350 --> 00:16:39,350
+هين mainly sympathetic innervation ياما hormonal
+
+208
+00:16:39,350 --> 00:16:44,650
+factors ان كانت hormones systemic او hormones
+
+209
+00:16:44,650 --> 00:16:49,370
+local تسمى autocoids فهنلاحظ اكتر substance that
+
+210
+00:16:49,370 --> 00:16:57,000
+affects the blood vesselsالـ microcirculation تعمل
+
+211
+00:16:57,000 --> 00:16:58,420
+بشكل موجود بشكل موجود بشكل موجود بشكل موجود بشكل
+
+212
+00:16:58,420 --> 00:17:00,600
+موجود بشكل موجود بشكل موجود بشكل موجود بشكل موجود
+
+213
+00:17:00,600 --> 00:17:02,420
+بشكل موجود بشكل موجود بشكل موجود بشكل موجود بشكل
+
+214
+00:17:02,420 --> 00:17:02,960
+موجود بشكل موجود بشكل موجود بشكل موجود بشكل موجود
+
+215
+00:17:02,960 --> 00:17:03,100
+بشكل موجود بشكل موجود بشكل موجود بشكل موجود بشكل
+
+216
+00:17:03,100 --> 00:17:05,520
+موجود بشكل موجود بشكل موجود بشكل موجود بشكل موجود
+
+217
+00:17:05,520 --> 00:17:07,020
+بشكل موجود بشكل موجود بشكل موجود بشكل موجود بشكل
+
+218
+00:17:07,020 --> 00:17:17,940
+موجود بشكل موجود بشكل موجود بشكل
+
+219
+00:17:17,940 --> 00:17:22,500
+موجود بشكل
+
+220
+00:17:22,500 --> 00:17:25,800
+موجالـ auto regulation بيزود ال hydrostatic
+
+221
+00:17:25,800 --> 00:17:29,040
+pressure و بيجلله إذا صار vazoconstriction على
+
+222
+00:17:29,040 --> 00:17:31,500
+الafferent بيجلل ال hydrostatic pressure اللي هو
+
+223
+00:17:31,500 --> 00:17:34,600
+ال active ال active hydrostatic pressure اللي
+
+224
+00:17:34,600 --> 00:17:38,540
+بيشتغل و بعمل filtration إذا صح قبل الafferent ال
+
+225
+00:17:38,540 --> 00:17:41,360
+pressure عالي لكن بعد الafferent فصار
+
+226
+00:17:41,360 --> 00:17:45,820
+vazoconstriction جلمتمام؟ اذا عندي ال .. ال auto
+
+227
+00:17:45,820 --> 00:17:48,880
+regulation احنا دروسها برضه بالتفصيل اذا في تلات
+
+228
+00:17:48,880 --> 00:17:52,500
+نقطة مهمة sympathetic و hormones و ايه؟ طب ال
+
+229
+00:17:52,500 --> 00:17:56,300
+sympathetic ايه الشغله؟ sympathetic nervous system
+
+230
+00:17:56,300 --> 00:18:03,380
+activation decreases GFR وهذا حقيقة كتير مهم كيف
+
+231
+00:18:03,380 --> 00:18:07,160
+يعني؟ يعني انا حكيتلك قبل كده انه في عندنا درجات
+
+232
+00:18:07,160 --> 00:18:14,080
+من ال ..من ال sympathetic stimulation او يعني لما
+
+233
+00:18:14,080 --> 00:18:16,840
+يصير عندى انا حالات طوارئ تستدعي ال sympathetic
+
+234
+00:18:16,840 --> 00:18:21,640
+stimulation رد فعل الجسم بيختلف بيبدأ بال
+
+235
+00:18:21,640 --> 00:18:26,120
+splanchnic area بجلد دم فيها عشان ال sympathetic
+
+236
+00:18:27,160 --> 00:18:30,920
+عشان لما يصير عندى hemorrhage مثلا تمام ال
+
+237
+00:18:30,920 --> 00:18:34,580
+sympathetic stimulation بيقدر الى ان ال area of
+
+238
+00:18:34,580 --> 00:18:37,480
+vasoconstriction ال blood supply اللى جاى لمنطقة
+
+239
+00:18:37,480 --> 00:18:41,400
+الأمعاق و حول ال area of vasoconstriction بيصير
+
+240
+00:18:41,400 --> 00:18:45,480
+لها vasoconstriction حتى ال veins الرئيسية ال
+
+241
+00:18:45,480 --> 00:18:47,840
+portal vein غيره بيصير لها vasoconstriction عشان
+
+242
+00:18:47,840 --> 00:18:51,930
+يضخوا دم لل ايه لل general circulationبعدها او
+
+243
+00:18:51,930 --> 00:18:55,890
+معاها ال skin blood supply برضه بيختفي بيصير كله
+
+244
+00:18:55,890 --> 00:18:59,890
+ايه لل general circulation بعدها الكيلية تفقد ال
+
+245
+00:18:59,890 --> 00:19:02,930
+blood supply تبعها اللي بيكون عندي severe
+
+246
+00:19:02,930 --> 00:19:06,190
+sympathetic stimulation بيصير severe spasm لرينا
+
+247
+00:19:06,190 --> 00:19:12,130
+ال blood vessels بتقدر ال blood flowبيدخلهاش تمام؟
+
+248
+00:19:12,130 --> 00:19:15,730
+لذا هذه مش ال day-to-day regulation يعني ال blood
+
+249
+00:19:15,730 --> 00:19:19,350
+pressure عالي شوية ال baroreceptors انتبهوا و
+
+250
+00:19:19,350 --> 00:19:24,410
+جالوا ل ال vasoactive center جالي ال ال ال ال ال
+
+251
+00:19:24,410 --> 00:19:27,230
+ال tone او زود ال tone للتحكم في ال blood pressure
+
+252
+00:19:27,230 --> 00:19:31,270
+يعني مش الأشياء ال ال day-to-day changes emergency
+
+253
+00:19:31,270 --> 00:19:34,330
+acute changes بتقدر إلى severe stimulation of
+
+254
+00:19:34,330 --> 00:19:37,930
+sympathetic nervous system بتقدر إلى انه يجل
+
+255
+00:19:37,930 --> 00:19:43,550
+الايه؟الـrenal blood flow وقد يكون خطير لدرجة انه
+
+256
+00:19:43,550 --> 00:19:49,050
+ممكن يدخل الكدليا في ischemia كبيرة مدة طويلة وهذه
+
+257
+00:19:49,050 --> 00:19:53,530
+تؤدي الى acute renal failure تمام؟ قد تكون short
+
+258
+00:19:53,530 --> 00:19:57,030
+duration acute renal failure reversible وقد تكون
+
+259
+00:19:57,030 --> 00:20:01,650
+severe ischemia او تؤدي في الآخر الى chronic renal
+
+260
+00:20:01,650 --> 00:20:05,430
+failure ونحتاج الى ان كل هذه كلها خلاص اتعطلت
+
+261
+00:20:05,430 --> 00:20:06,710
+وبدها تبديل
+
+262
+00:20:10,170 --> 00:20:15,030
+اكتفاء قوي من مدرسين شخصيات الحرارة يمكن أن يصنع
+
+263
+00:20:15,030 --> 00:20:17,290
+الحرارات الحرارية ويقلل مدارس الحرارة الحرارية
+
+264
+00:20:17,290 --> 00:20:22,690
+مدارس حرارة الحرارة الحرارية مدارس
+
+265
+00:20:22,690 --> 00:20:23,310
+حرارة الحرارة الحرارية مدارس حرارة الحرارة
+
+266
+00:20:23,310 --> 00:20:23,950
+الحرارية مدارس حرارة الحرارة الحرارية مدارس حرارة
+
+267
+00:20:23,950 --> 00:20:24,290
+مدارس حرارة الحرارة الحرارية مدارس حرارة الحرارة
+
+268
+00:20:24,290 --> 00:20:28,290
+الحرارية مدارس حرارة الحرارة الحرارة الحرارية
+
+269
+00:20:28,290 --> 00:20:39,230
+مدارس حرارة الحرارة الحرارة الحرارة الحر
+
+270
+00:20:39,420 --> 00:20:43,400
+في وقت الطوارئ تمام لما to be stimulated over
+
+271
+00:20:43,400 --> 00:20:47,760
+stimulation الكلية بتاخد نصيب من الموضوع هذا ال
+
+272
+00:20:47,760 --> 00:20:53,060
+autocoids و ال hormones عندنا هربونات نقول نور
+
+273
+00:20:53,060 --> 00:20:57,440
+ابنفرين و ابنفرين ما هم ال sympathetic مش كده هم
+
+274
+00:20:57,440 --> 00:21:00,720
+ال sympathetic نور ابنفرين و ابنفرين ان كان اجا
+
+275
+00:21:00,720 --> 00:21:04,380
+مباشر عبر ال nerve او اجا من خلال ال suprarenal
+
+276
+00:21:04,380 --> 00:21:08,850
+medulla وصل الكلية هيقدي الى vasoconstrictionو
+
+277
+00:21:08,850 --> 00:21:13,030
+يجللوا ال a ال ال ال gfa ال blue mirror filtration
+
+278
+00:21:13,030 --> 00:21:19,170
+rate ال endothelin هذا vasoactive substance بتشتغل
+
+279
+00:21:19,170 --> 00:21:22,990
+زي ال non-epinephrine و زي ال epinephrine و هذه
+
+280
+00:21:22,990 --> 00:21:27,880
+عبارة عن مادة في الغالب موجودة في الجسمفي كل blood
+
+281
+00:21:27,880 --> 00:21:31,860
+vessels إذا صار injured لل blood vessels بتعمل
+
+282
+00:21:31,860 --> 00:21:36,260
+some sort of reaction عشان تمنع ال bleeding some
+
+283
+00:21:36,260 --> 00:21:39,460
+sort of homeostasis أو هنا hemostasis ال
+
+284
+00:21:39,460 --> 00:21:41,820
+homeostasis طبعا ال blood vessels هنا بيبقى intact
+
+285
+00:21:41,820 --> 00:21:47,080
+فبتعمل hemostasis الدم يبقى مايصيرش نظيف كبير
+
+286
+00:21:47,080 --> 00:21:51,630
+فبتعمل vasospasm لل injured vesselحتى تمنع انه ايه
+
+287
+00:21:51,630 --> 00:21:55,670
+يصير منه bleeding اندوثيلين اذا تطلع مادة من
+
+288
+00:21:55,670 --> 00:21:59,090
+الاندوثيليم تبع blood vessels when it is injured
+
+289
+00:21:59,090 --> 00:22:02,530
+when the endothelium is ايه injured by any injury
+
+290
+00:22:02,530 --> 00:22:11,770
+هاي الاندوثيلين بنلاحظ أحيانا بعض الحالات اللي
+
+291
+00:22:11,770 --> 00:22:15,690
+فيها trauma generalized trauma لل blood vessels
+
+292
+00:22:15,690 --> 00:22:17,630
+toxemia of pregnancy
+
+293
+00:22:21,260 --> 00:22:26,040
+حالات ال acute and chronic renal failure يوريميا
+
+294
+00:22:26,040 --> 00:22:32,020
+يعني renal failure حالات بيصير فيها من لحظ ال
+
+295
+00:22:32,020 --> 00:22:34,240
+endothelin ال blood level ل ال endothelin كمان
+
+296
+00:22:34,240 --> 00:22:38,740
+عالي لإنه صار انا عندي systemic problem في ال
+
+297
+00:22:38,740 --> 00:22:44,260
+toxicity of pregnancy بتسمهم الحملبعض الستات بعد
+
+298
+00:22:44,260 --> 00:22:49,640
+الشهر السابع مثلا بنلاقي ضغطهم عليه كتير، ضغطهم
+
+299
+00:22:49,640 --> 00:22:52,880
+أثناء الحمل، طبعا الضغط العالي بيعمل injury لمين؟
+
+300
+00:22:53,440 --> 00:22:57,640
+لل blood vessels المشكلة انه ازعلي لانه بيعمل
+
+301
+00:22:57,640 --> 00:23:02,060
+chronic destruction لل ايه؟ لل blood vessels ففي
+
+302
+00:23:02,060 --> 00:23:05,860
+هذه الحالات اللي فيها injury تكسيمي او كده بنلاحظ
+
+303
+00:23:05,860 --> 00:23:08,960
+ان ال endothelin هذا من اللي جالي شوية بس قلنالكم
+
+304
+00:23:08,960 --> 00:23:12,500
+هو vasoactive كويس ازعلي هيعمل vasospasm ويجلل
+
+305
+00:23:12,500 --> 00:23:17,720
+الrenal flow ويجلل ال GFR وهو مشكلة يعني شغلاته
+
+306
+00:23:17,720 --> 00:23:24,710
+الرئيسية في غالب hemostasis هنا في الحالة ديطيب
+
+307
+00:23:24,710 --> 00:23:27,230
+هذا بالنسبة لمن؟ ال non-epinephrine و ال
+
+308
+00:23:27,230 --> 00:23:30,870
+epinephrine و ال endotheline ال angiotensin 2
+
+309
+00:23:30,870 --> 00:23:35,950
+constricts afferent arteriole اذا هاي تلتة هرموز
+
+310
+00:23:35,950 --> 00:23:40,570
+الرابع هتكلم عن angiotensin 2 تمام الخامس هتكلم عن
+
+311
+00:23:40,570 --> 00:23:44,870
+prostaglandins هتكلم
+
+312
+00:23:44,870 --> 00:23:49,970
+عن prostaglandins و بعدين السادس او الخامس و
+
+313
+00:23:49,970 --> 00:23:54,490
+السادس ال nitric oxide لانه vasodilatorطيب نتكلم
+
+314
+00:23:54,490 --> 00:24:00,170
+عميقين على الانجيوتنسين 2 الانجيوتنسين 2 أساسا
+
+315
+00:24:00,170 --> 00:24:08,250
+ناتج عن ان في عندي رنن .. رنن stimulated فطلع في
+
+316
+00:24:08,250 --> 00:24:13,750
+الدم هذا ال .. رنن بيأثر على what is called
+
+317
+00:24:13,750 --> 00:24:18,830
+انجيوتنسينوجين هذا الانجيوتنسينوجين بروتين بيطلع
+
+318
+00:24:18,830 --> 00:24:24,750
+من ال liver تمام؟بيجي الرنن اللي طالع من الكلية من
+
+319
+00:24:24,750 --> 00:24:28,090
+وين من الكلية؟ من الجكسة جلوميرول الاباراتوس حد
+
+320
+00:24:28,090 --> 00:24:32,670
+جيت حنتكلم عنه الجكسة جلوميرولة الجهاز اللي عند ال
+
+321
+00:24:32,670 --> 00:24:36,090
+glomerulus اللي يتكون من مياكي لدنسة اللي اتكلمنا
+
+322
+00:24:36,090 --> 00:24:41,370
+عن اتوي وجكسة جلوميرول السلز هدول مع بعض يطلعولي
+
+323
+00:24:41,370 --> 00:24:44,890
+رنن الرنن بيروح to the circulation
+
+324
+00:24:54,960 --> 00:24:59,740
+الأنجوتينسينوين هدا هو مشهد السيركوليشن هلاقي
+
+325
+00:24:59,740 --> 00:25:01,900
+الانزايم الانجوتينسينوين هدا هو مشهد السيركوليشن
+
+326
+00:25:01,900 --> 00:25:02,780
+هلاقي الانزايم الانجوتينسينوين هدا هو مشهد
+
+327
+00:25:02,780 --> 00:25:04,800
+السيركوليشن هلاقي الانزايم الانجوتينسينوين هدا هو
+
+328
+00:25:04,800 --> 00:25:07,240
+مشهد السيركوليشن هلاقي الانزايم الانجوتنسينوين هدا
+
+329
+00:25:07,240 --> 00:25:08,300
+هو مشهد السيركوليشن هلاقي الانزايم الانجوتنسينوين
+
+330
+00:25:08,300 --> 00:25:13,020
+هدا هو مشهد السيركوليشن هلاقي الانزايم
+
+331
+00:25:13,020 --> 00:25:14,880
+الانجوتنسينوين هدا هو مشهد السيركوليشن هلاقي
+
+332
+00:25:14,880 --> 00:25:17,910
+الانزايم الانجوتنسينوين هدا هو مشهتمام
+
+333
+00:25:17,910 --> 00:25:21,410
+الانجريوتنسين 2 قلتلك قبل كده هو the most active
+
+334
+00:25:21,410 --> 00:25:25,690
+vasoactive substance in the body الانجريوتنسين 2
+
+335
+00:25:25,690 --> 00:25:31,550
+هذا له function local وله function general إذا
+
+336
+00:25:31,550 --> 00:25:37,030
+وجدت ماعندي أنا ال blood supply يجيل في الكيليا
+
+337
+00:25:37,030 --> 00:25:40,230
+بنبح
+
+338
+00:25:40,230 --> 00:25:43,710
+ال renin-angiotensin system بنسميه renin
+
+339
+00:25:43,710 --> 00:25:44,870
+-angiotensin system
+
+340
+00:25:47,740 --> 00:25:50,700
+إذا ال .. هذا ال system يعني ال androgen system
+
+341
+00:25:50,700 --> 00:25:55,400
+كتير مهم و الكيلية فيه مش بتطبط نفسها بس كمان
+
+342
+00:25:55,400 --> 00:26:02,920
+بتطبط فيه ايه ال systemic blood flow ليش؟ لإن وجود
+
+343
+00:26:02,920 --> 00:26:07,580
+دم مواصل الكيلية واطي معناه الدم برا كمان ايه واطي
+
+344
+00:26:07,580 --> 00:26:12,100
+تستنفر ال system اللي بيعمل عملية ايه محافظة على
+
+345
+00:26:12,100 --> 00:26:18,610
+ال ..الـ blood pressure بتمثل في الانجوتنس انتوهات
+
+346
+00:26:18,610 --> 00:26:22,070
+لما بيطلع من خلال ال renin انجوتنس ال system بروح
+
+347
+00:26:22,070 --> 00:26:25,250
+بستنفرلي كمان ال antidiuretic hormone بستنفرلي ال
+
+348
+00:26:25,250 --> 00:26:29,110
+aldosterone كل الأشياء اللي بتحافظ على ايه؟ على
+
+349
+00:26:29,110 --> 00:26:34,570
+ضغط يعلىو fluids to be retained in the body، ممنوع
+
+350
+00:26:34,570 --> 00:26:37,310
+ال fluids تطلع برا، تمام، فال antidote hormone
+
+351
+00:26:37,310 --> 00:26:40,750
+بتطلع بزيادة، ممنوع ال fluids تطلع برا، فال
+
+352
+00:26:40,750 --> 00:26:44,050
+aldosterone بتطلع و في ال vasoactive substance
+
+353
+00:26:44,050 --> 00:26:47,010
+الangiotensin 2 بتعمل vasoconstriction، كده بنعلّي
+
+354
+00:26:47,010 --> 00:26:51,350
+الضغط، بنحسن الضغط، في حالات الطوارئلكن إله شغلانة
+
+355
+00:26:51,350 --> 00:26:54,430
+تانية الـ angiotensin 2 locally عشان يخلّي ال
+
+356
+00:26:54,430 --> 00:26:59,790
+kidney function طبيعي فرنن لما بيطلع بتكون
+
+357
+00:26:59,790 --> 00:27:01,790
+angiotensin 2، ال angiotensin 2 يقولنا إيه إيش
+
+358
+00:27:01,790 --> 00:27:05,730
+بيشتغل؟ بيشتغل على إيه؟ على ال .. على ال E front
+
+359
+00:27:05,730 --> 00:27:09,910
+بالذات، بيشتغل ع مين؟ على ال E front بالذات، بيقدر
+
+360
+00:27:09,910 --> 00:27:13,170
+إلى vasoconstriction في ال E front تمام؟ إيش بيقدر
+
+361
+00:27:13,170 --> 00:27:15,130
+هذا؟ إنه يزود ال GFR
+
+362
+00:27:17,860 --> 00:27:22,560
+لما يجل طبعا هو ممكن زي ما جلنا بيعمل general
+
+363
+00:27:22,560 --> 00:27:25,840
+circulation phase constriction مش كده؟إذا
+
+364
+00:27:25,840 --> 00:27:29,000
+الانجليتانسين 2 كان عاملة عاملة عاملة عاملة عاملة
+
+365
+00:27:29,000 --> 00:27:32,380
+عاملة عاملة عاملة عاملة عاملة عاملة عاملة عاملة
+
+366
+00:27:32,380 --> 00:27:37,360
+عاملة عاملة عاملة عاملة عاملة عاملة عاملة عاملة
+
+367
+00:27:37,360 --> 00:27:37,420
+عاملة عاملة عاملة عاملة عاملة عاملة عاملة عاملة
+
+368
+00:27:37,420 --> 00:27:40,400
+عاملة عاملة عاملة عاملة عاملة عاملة عاملة عاملة
+
+369
+00:27:40,400 --> 00:27:49,540
+عاملة عام
+
+370
+00:27:50,080 --> 00:27:54,700
+ع ال mainly ع ال efferent لكن ممكن إيش لو قولنا
+
+371
+00:27:54,700 --> 00:28:01,780
+إنه ال sodium اللي بيصل المكولادينسا كتير يعني ال
+
+372
+00:28:01,780 --> 00:28:05,240
+GFR كتير ممكن يعملي تأثير مباشر ع مين؟ ع ال
+
+373
+00:28:05,240 --> 00:28:09,100
+afferent كمان كمان بيعملي vasoconstriction ع ال
+
+374
+00:28:09,100 --> 00:28:15,790
+afferent عشان يجللالشي اسمه او اذا بيقدر يعمل هنا
+
+375
+00:28:15,790 --> 00:28:19,130
+construction يجلل ال filtration وهنا يعمل
+
+376
+00:28:19,130 --> 00:28:22,770
+vasodilatation يجلل ال filtration تمام؟ اذا على ال
+
+377
+00:28:22,770 --> 00:28:25,150
+a front vasodilatation بيجلل ال filtration على ال
+
+378
+00:28:25,150 --> 00:28:28,730
+a front vasodilatation بيجلل ال filtration والعكس
+
+379
+00:28:28,730 --> 00:28:29,950
+صحيح
+
+380
+00:28:37,790 --> 00:28:41,570
+هنتكلم عنه كثير في كل رحلتنا مع الكلية عن
+
+381
+00:28:41,570 --> 00:28:46,870
+جيبستيريا تانجويتانزيتو في كل مكان وشغلته اللي هو
+
+382
+00:28:46,870 --> 00:28:49,930
+systemic و local الوكال بيشتغل mainly على ال
+
+383
+00:28:49,930 --> 00:28:52,970
+إيفراند وإله ميكانيزم هتكلم عنها بعد شوية
+
+384
+00:28:52,970 --> 00:29:00,190
+endothelial derived nitric oxide nitric oxide one
+
+385
+00:29:00,190 --> 00:29:05,510
+of the auto coils او hormones that is vasodilator
+
+386
+00:29:06,910 --> 00:29:10,410
+تمام؟ Vasodilators و هدول مش بس في الكيلية موجود
+
+387
+00:29:10,410 --> 00:29:15,870
+everywhere ال .. ال nitrous .. ال nitric oxide و
+
+388
+00:29:15,870 --> 00:29:18,690
+هو إذا سمعتوا أنتوا في ال Viagra اللي متكلم عنها
+
+389
+00:29:18,690 --> 00:29:25,970
+اللي هو أساسهاعشان تجعل الـ Nitric Oxide موجود
+
+390
+00:29:25,970 --> 00:29:32,910
+بشكل متواصل، نمنع تكسيره نفق الـ Sildraphil اللي
+
+391
+00:29:32,910 --> 00:29:36,910
+هو الـ Viagra اللي نقول عنها هذه بتمنع تكسير الـ
+
+392
+00:29:36,910 --> 00:29:39,990
+Nitric Oxide فهذه المادة الـ Vasodilator بتاخد مدة
+
+393
+00:29:39,990 --> 00:29:45,350
+طويلةوجودها فبيقدّي الى انه nervous stimulation
+
+394
+00:29:45,350 --> 00:29:49,610
+اللي بيطلع ال nitrous nitric oxide انه طلع nitric
+
+395
+00:29:49,610 --> 00:29:53,970
+oxide وما تكسرش فبتجمع فبتجمع فبتجمع فبصير ال
+
+396
+00:29:53,970 --> 00:30:00,090
+vasoactive dose عالية فبتعمل من هنا لما بعض الناس
+
+397
+00:30:00,090 --> 00:30:05,250
+بياخدوا Viagra بيصير معهم صداع شديدتمام لإنه بيبقى
+
+398
+00:30:05,250 --> 00:30:10,970
+عندى انا generalized vasodilatation في اكتر من
+
+399
+00:30:10,970 --> 00:30:14,490
+مكان مش بس في الأماكن اللى احنا بدناياها coronary
+
+400
+00:30:14,490 --> 00:30:18,690
+او penile او كده فبيصير عنده صداع في ال in
+
+401
+00:30:18,690 --> 00:30:22,710
+cerebral arteries بتعمل صداع عشان بتعمل
+
+402
+00:30:22,710 --> 00:30:29,010
+vasodilatation بتقدر الى انه تعمله صداع شديد هذا
+
+403
+00:30:29,010 --> 00:30:33,690
+بالنسبة لمين نيتريك اكسايدبنوجد في داخل الكيلية
+
+404
+00:30:33,690 --> 00:30:37,970
+وفي كل الأنسجة وهذا من الأشياء اللي ايه إذا زاد
+
+405
+00:30:37,970 --> 00:30:39,810
+بيزود ال filtration rate وإذا جالد بيزود ال
+
+406
+00:30:39,810 --> 00:30:40,970
+filtration rate وإذا جالد بيزود ال filtration rate
+
+407
+00:30:40,970 --> 00:30:41,910
+وإذا جالد بيزود ال filtration rate وإذا جالد بيزود
+
+408
+00:30:41,910 --> 00:30:43,290
+ال filtration rate وإذا جالد بيزود ال filtration
+
+409
+00:30:43,290 --> 00:30:43,510
+rate وإذا جالد بيزود ال filtration rate وإذا جالد
+
+410
+00:30:43,510 --> 00:30:43,770
+وإذا جالد بيزود ال filtration rate وإذا جالد بيزود
+
+411
+00:30:43,770 --> 00:30:45,610
+ال filtration rate وإذا جالد بيزود ال filtration
+
+412
+00:30:45,610 --> 00:30:51,270
+rate وإذا جالد بيزود ال filtration rate وإذا جالد
+
+413
+00:30:51,270 --> 00:30:55,400
+بيزود ال filtration rateتمام؟ عندنا مجموعة ال E
+
+414
+00:30:55,400 --> 00:31:00,560
+-prostaglandins و ال I-prostaglandins مجموعة كبيرة
+
+415
+00:31:00,560 --> 00:31:04,360
+حقيقة منها عندنا ال E2 و ال I2 هدول ايه؟
+
+416
+00:31:04,360 --> 00:31:09,300
+Vasodilators هدول ايه؟ Vasodilators مع البرادكينين
+
+417
+00:31:09,300 --> 00:31:16,420
+بيشتغلوا ال prostaglandins تشغل locally في المناطق
+
+418
+00:31:16,420 --> 00:31:22,760
+على الال .. ال .. ال arterials الجبل الكابيلاريز
+
+419
+00:31:22,760 --> 00:31:25,960
+الجبل الكابيلاريز الجبل الكابيلاريز الجبل
+
+420
+00:31:25,960 --> 00:31:28,060
+الكابيلاريز الجبل الكابيلاريز الجبل الكابيلاريز
+
+421
+00:31:28,060 --> 00:31:28,500
+الجبل الكابيلاريز الجبل الكابيلاريز الجبل
+
+422
+00:31:28,500 --> 00:31:28,700
+الكابيلاريز الجبل الكابيلاريز الجبل الكابيلاريز
+
+423
+00:31:28,700 --> 00:31:31,920
+الجبل الكابيلاريز الجبل الكابيلاريز الجبل
+
+424
+00:31:31,920 --> 00:31:33,300
+الكابيلاريز الجبل الكابيلاريز الجبل الكابيلاريز
+
+425
+00:31:33,300 --> 00:31:35,720
+الجبل الكابيلاريز الجبل الكابيلاريز الجبل
+
+426
+00:31:35,720 --> 00:31:35,740
+الكابيلاريز الجبل الكابيلاريز الجبل الكابيلاريز
+
+427
+00:31:35,740 --> 00:31:42,100
+الجبل الكابيلاريز الجلل .. ال .. ال tissue لال
+
+428
+00:31:42,100 --> 00:31:46,080
+oxygen لما ال metabolites زيد و ال oxygen يجلف
+
+429
+00:31:46,080 --> 00:31:50,200
+فبتطلع بصة glandes تفتح ال pre capillary pre bed
+
+430
+00:31:50,200 --> 00:31:55,960
+sphincter فبصير ال ايه ال blood supply لها ال
+
+431
+00:31:55,960 --> 00:32:02,720
+capillary bed هذا بزيد عن ال .. عن اول اذا قلتلكم
+
+432
+00:32:02,720 --> 00:32:06,520
+انا 10% من ال capillary beds فاتحة at a timeتمام
+
+433
+00:32:06,520 --> 00:32:10,260
+فبيتحكم فيها وقت إيش تفتح و وقت إيش تسكر من ضمن
+
+434
+00:32:10,260 --> 00:32:12,360
+الأشياء اللي بتحكم فيها اللي هم ال إيه ال
+
+435
+00:32:12,360 --> 00:32:15,580
+prostaglandins ال prostaglandins موجودين local في
+
+436
+00:32:15,580 --> 00:32:18,420
+كل مكان و ممكن يطلعوا و ينزلوا و يعملوا function
+
+437
+00:32:18,420 --> 00:32:22,880
+محدد يعني و بتكسروا بسرعة مافيش عندهم مجال انه
+
+438
+00:32:22,880 --> 00:32:27,020
+يخشوا الدم اه و في الدم ايه ينتشروا و يشتغلوا هان
+
+439
+00:32:27,020 --> 00:32:30,460
+و هان لذلك هم بتكونوا و بتكسروا بسرعة فبيشتغلوا
+
+440
+00:32:30,460 --> 00:32:33,660
+local إذا طلعوا بعيدوا عن مكانهم بيكونوا ايه خلاص
+
+441
+00:32:33,660 --> 00:32:39,190
+بتكسروا بياخدوش وقت طويلunder stressful conditions
+
+442
+00:32:39,190 --> 00:32:42,090
+such as volume depletion or after surgery
+
+443
+00:32:42,090 --> 00:32:44,690
+administration of non-steroidal anti-inflammatory
+
+444
+00:32:44,690 --> 00:32:50,090
+agents هذه مهمة تمام هذه مهمة في الأوجات اللي فيها
+
+445
+00:32:50,090 --> 00:32:53,690
+طالعة prostaglandins و vasodilators و احنا
+
+446
+00:32:53,690 --> 00:32:57,190
+محتاجينهاتمام عشان تحمل كلية عشان تعمل good blood
+
+447
+00:32:57,190 --> 00:33:01,150
+supply تعمل good perfusion لل blood لل .. لل
+
+448
+00:33:01,150 --> 00:33:05,170
+tissues of blood تمام with blood اروح انا استخدم
+
+449
+00:33:05,170 --> 00:33:10,550
+أشياء ضد ال .. ال .. ال prostaglandins تمام هو
+
+450
+00:33:10,550 --> 00:33:15,430
+احنا الacamol اللي بستخدمه كل يوم كيف بشتغل تمام
+
+451
+00:33:15,430 --> 00:33:21,480
+الacamol هو antiprostaglandin تماماحنا عموما ال
+
+452
+00:33:21,480 --> 00:33:24,980
+analgesics أو ال anti-inflammatory drugs اللي
+
+453
+00:33:24,980 --> 00:33:30,000
+منتجهم لجسمين جسم بنسميهم anti-steroidal وجسم
+
+454
+00:33:30,000 --> 00:33:33,900
+بنسميهم non-steroidal anti-inflammatory إذا في
+
+455
+00:33:33,900 --> 00:33:37,460
+عندي non-steroidal anti-inflammatory هدول بيشتغلوا
+
+456
+00:33:37,460 --> 00:33:40,810
+على إيه؟ بيشتغلوا على ال prostaglandinsتمام؟ إذا
+
+457
+00:33:40,810 --> 00:33:43,970
+في عندى ال drugs شائع عندنا كتير, anti
+
+458
+00:33:43,970 --> 00:33:46,970
+inflammatory drugs, analgesics, هذه بتشغل على إيه؟
+
+459
+00:33:46,970 --> 00:33:50,450
+إنها تعمل suppression لل إيه؟ Prostaglandins فإذا
+
+460
+00:33:50,450 --> 00:33:53,470
+أنا استخدمتها هذه الأشياء ال anti inflammatory في
+
+461
+00:33:53,470 --> 00:33:57,130
+أوقات أنا محتاج ال prostaglandins تمام؟ هذا ممكن
+
+462
+00:33:57,130 --> 00:34:00,310
+أعمل أنا severe ischemia أو severe damage لمين؟ لل
+
+463
+00:34:00,310 --> 00:34:06,610
+kidney functionع فكرة اليوم من السبب الرئيسي لل
+
+464
+00:34:06,610 --> 00:34:08,910
+renal failure .. لل renal failure acute او
+
+465
+00:34:08,910 --> 00:34:12,170
+chronic، بالذات ال chronic هو ال anti-inflammatory
+
+466
+00:34:12,170 --> 00:34:17,350
+drugs، يعني اليوم في عالم المتحضر هذا اللي ركبي
+
+467
+00:34:17,350 --> 00:34:20,840
+بجعني بدل اخدكل أنواع ال a ال anti-rheumatics و ال
+
+468
+00:34:20,840 --> 00:34:24,320
+anti-inflammatory هدول بيقدروا إلى اني عندى drop
+
+469
+00:34:24,320 --> 00:34:27,920
+في ال a في ال prostaglandins في الكلية بالذات
+
+470
+00:34:27,920 --> 00:34:30,820
+بتقدر إلى a vasoconstriction و destruction و
+
+471
+00:34:30,820 --> 00:34:34,380
+damage continuous damage لمين للكلية بتنتهي بكل
+
+472
+00:34:34,380 --> 00:34:38,440
+الكلينة الفالية احنا فكنا من الركب دخلنا على ال a
+
+473
+00:34:38,440 --> 00:34:44,250
+ع الكلية انواع اهوانانه كما هو لذلك في بعض الستات
+
+474
+00:34:44,250 --> 00:34:48,250
+اللي جوا او الرجال .. الستات بالذات مضمنين أدوية
+
+475
+00:34:48,250 --> 00:34:52,870
+اه لأ بدهم يوازنوا شوية وجهة بهمش يعني okay يعني
+
+476
+00:34:52,870 --> 00:34:56,870
+انا مش لازم .. مش هارجع شباب هم نفسي مارجع شباب مش
+
+477
+00:34:56,870 --> 00:35:03,010
+هنرجع شباب لكن ناخد energy معقولة لكن مش severe
+
+478
+00:35:03,010 --> 00:35:06,590
+doses و continuous و daily و اه لإن هنخش في مشكلة
+
+479
+00:35:06,590 --> 00:35:12,720
+أكبر منهابالنسبة للمواضيع المضغوطة مثل بوليوم
+
+480
+00:35:12,720 --> 00:35:16,020
+ديبليشن، عنا bleeding، عنا dehydration، عنا كذا
+
+481
+00:35:16,020 --> 00:35:20,160
+The administration of non-steroidal anti
+
+482
+00:35:20,160 --> 00:35:22,140
+-inflammatory agents اللي هم بيشتغلوا الـ non
+
+483
+00:35:22,140 --> 00:35:25,060
+-steroidal على الـ antiprostaglandin such as
+
+484
+00:35:25,060 --> 00:35:29,020
+aspirin that inhibit prostaglandin synthesis may
+
+485
+00:35:29,020 --> 00:35:35,480
+cause significant reduction in GFR الـ auto
+
+486
+00:35:35,480 --> 00:35:40,580
+regulationof GFR and adrenal blood flow انا بدأت
+
+487
+00:35:40,580 --> 00:35:46,760
+اتكلم عنه لكن احنا بيهمنا انه ال auto regulation
+
+488
+00:35:46,760 --> 00:35:49,880
+نتكلم
+
+489
+00:35:49,880 --> 00:35:53,560
+لو اتكلم عنه نتكلم عن ال juxtaglomerular
+
+490
+00:35:53,560 --> 00:35:58,640
+juxtaglomerular apparatus juxtaglomerular
+
+491
+00:35:58,640 --> 00:36:03,360
+apparatus بتكون من two components
+
+492
+00:36:06,230 --> 00:36:11,750
+عندى انا highly pigmented
+
+493
+00:36:11,750 --> 00:36:15,310
+cells
+
+494
+00:36:15,310 --> 00:36:21,030
+different in shape from the surrounding it is
+
+495
+00:36:21,030 --> 00:36:24,750
+columnar و the surrounding cuboidal تمام؟
+
+496
+00:36:24,750 --> 00:36:28,590
+condensed و the color is بليك بليك هنا في المنطقة
+
+497
+00:36:28,590 --> 00:36:35,230
+غامجة شوية عن الباقي macula densaمكيول يعني بقعة
+
+498
+00:36:35,230 --> 00:36:41,730
+دنس غامق مكثر مكولا دنسا ملاحظ في هالمنطقة دي في
+
+499
+00:36:41,730 --> 00:36:44,050
+ال .. في ال .. في ال .. في ال .. في ال .. في ال ..
+
+500
+00:36:44,050 --> 00:36:44,350
+في ال .. في ال .. في ال .. في ال .. في ال .. في ال
+
+501
+00:36:44,350 --> 00:36:44,490
+.. في ال .. في ال .. في ال .. في ال .. في ال .. في
+
+502
+00:36:44,490 --> 00:36:44,970
+ال .. في ال .. في ال .. في ال .. في ال .. في ال ..
+
+503
+00:36:44,970 --> 00:36:46,390
+في ال .. في ال .. في ال .. في ال .. في ال .. في ال
+
+504
+00:36:46,390 --> 00:36:46,550
+.. في ال .. في ال .. في ال .. في ال .. في ال .. في
+
+505
+00:36:46,550 --> 00:36:46,970
+ال .. في ال .. في ال .. في ال .. في ال .. في ال ..
+
+506
+00:36:46,970 --> 00:36:56,330
+في ال .. في ال .. في ال .. في ال .. في ال ..
+
+507
+00:37:00,160 --> 00:37:04,220
+إذا في عندي hand كمان changes موجودة في ال wall of
+
+508
+00:37:04,220 --> 00:37:10,940
+the afferent and efferent هلاجي انه ال ال ال
+
+509
+00:37:10,940 --> 00:37:18,380
+smooth muscles fibers اللي supporting ال الالـ
+
+510
+00:37:18,380 --> 00:37:21,240
+afferent والـ afferent في المنطقة هذه بتغيروا لشكل
+
+511
+00:37:21,240 --> 00:37:25,220
+تاني لخلايا من نوع آخر تمام؟ خلايا ماللاحظ احنا
+
+512
+00:37:25,220 --> 00:37:28,860
+فيها انها عندنا فيها golgi apparatus كتير يعني
+
+513
+00:37:28,860 --> 00:37:33,720
+secretary function لها بالذات هدول ال main cells
+
+514
+00:37:33,720 --> 00:37:35,380
+that secretes renin in the kidney
+
+515
+00:37:35,380 --> 00:37:41,120
+الجكستاجلوميرولاباريتاس طبعا لاحظوا انتوا الآنالـ
+
+516
+00:37:41,120 --> 00:37:44,780
+.. انه ال .. ال .. ال .. الـ distal tubule بدايتها
+
+517
+00:37:44,780 --> 00:37:49,060
+جنب ال a front و ال a front لذلك لما نقول انه لما
+
+518
+00:37:49,060 --> 00:37:54,700
+يصل ال sodium زيادة لأ ال distal بتمنع .. بتتنبه
+
+519
+00:37:54,700 --> 00:37:57,460
+ال a front و ال a front انه لأ اللي زي عندي زاد او
+
+520
+00:37:57,460 --> 00:38:02,080
+جال عشان يعمل auto regulation ما هم ملاصقين لها مش
+
+521
+00:38:02,080 --> 00:38:06,680
+بعاد عنها واضح؟ من هنا التركيبة هذه بتخلي الإشارة
+
+522
+00:38:06,680 --> 00:38:12,020
+سريعة ما بين ال .. ال ..ال .. ال .. ال .. ال .. ال
+
+523
+00:38:12,020 --> 00:38:12,360
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+524
+00:38:12,360 --> 00:38:12,520
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+525
+00:38:12,520 --> 00:38:13,780
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+526
+00:38:13,780 --> 00:38:14,620
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+527
+00:38:14,620 --> 00:38:19,780
+ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+528
+00:38:19,780 --> 00:38:22,320
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+529
+00:38:22,320 --> 00:38:23,020
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+530
+00:38:23,020 --> 00:38:23,220
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+531
+00:38:23,220 --> 00:38:24,280
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+532
+00:38:24,280 --> 00:38:29,200
+ال .. ال .. ال .. ال .. ال ..
+
+533
+00:38:29,200 --> 00:38:38,480
+ال .. ال ..
+
+534
+00:38:39,370 --> 00:38:45,490
+الـ auto regulation هو الجزء المهم هنا نسميه
+
+535
+00:38:45,490 --> 00:38:49,190
+tubular glomerular feedback tubular glomerular
+
+536
+00:38:49,190 --> 00:38:52,610
+feedback اللي احنا تاوم شرحته اسمه tubular
+
+537
+00:38:52,610 --> 00:38:56,830
+glomerular لان auto regulation نوعين glomerular
+
+538
+00:38:56,830 --> 00:39:02,670
+tubular و tubular glomerular هذا tubular
+
+539
+00:39:02,670 --> 00:39:06,290
+glomerular feedback أو tubular glomerular auto
+
+540
+00:39:06,290 --> 00:39:10,460
+regulationهذه واحدة و glomerular و tubular balance
+
+541
+00:39:10,460 --> 00:39:14,280
+هذا نوع تاني ال glomerular tubular balance ان لو
+
+542
+00:39:14,280 --> 00:39:20,100
+زاد ال filtration ال gfr glomerulus glomerulo نبدأ
+
+543
+00:39:20,100 --> 00:39:23,320
+من بداية اسم ال glomerulus اذا زاد glomerulus
+
+544
+00:39:23,320 --> 00:39:26,840
+function و ال filtration اتوماتيكالي بزيد ال
+
+545
+00:39:26,840 --> 00:39:30,840
+tubular function الوريه absorption ل level معين
+
+546
+00:39:30,840 --> 00:39:34,440
+يعني بينهم balance تمام؟ هذا يتعلق بال filtration
+
+547
+00:39:34,440 --> 00:39:39,560
+يتعلق بال ايه؟بال reabsorption هنا auto regulation
+
+548
+00:39:39,560 --> 00:39:44,900
+لل GFR عبر التحكم في blood vessels من هنا الكلام
+
+549
+00:39:44,900 --> 00:39:50,260
+حول ال control of blood flow فعندي auto regulation
+
+550
+00:39:50,260 --> 00:39:55,360
+لل blood supply لل glomerulus من خلال ال tubular
+
+551
+00:39:55,360 --> 00:39:59,140
+function فال tubule is a z function ال function
+
+552
+00:39:59,140 --> 00:40:04,280
+اللي اللي ال load عليها أوجل بتنبهالأفراند
+
+553
+00:40:04,280 --> 00:40:10,420
+والإفراند ارتيريوزي تيوبيلو جلوميرلر اوتو
+
+554
+00:40:10,420 --> 00:40:14,480
+ريجوليشن او feedback تاني جلوميرلر تيوبيلر balance
+
+555
+00:40:14,480 --> 00:40:18,320
+يبدأ من حياته الاسم الأولاني
+
+556
+00:40:23,740 --> 00:40:26,900
+هذا الفيديوهات يسيطر على نفسه على نفسه على نفسه
+
+557
+00:40:26,900 --> 00:40:28,720
+على نفسه على نفسه على نفسه على نفسه على نفسه على
+
+558
+00:40:28,720 --> 00:40:34,260
+نفسه على نفسه على نفسه على نفسه على نفسه على نفسه
+
+559
+00:40:34,260 --> 00:40:35,460
+على نفسه على نفسه على نفسه على نفسه على نفسه على
+
+560
+00:40:35,460 --> 00:40:37,880
+نفسه على نفسه على نفسه على نفسه على نفسه على نفسه
+
+561
+00:40:37,880 --> 00:40:39,240
+على نفسه على نفسه على نفسه على نفسه على نفسه على
+
+562
+00:40:39,240 --> 00:40:42,640
+نفسه على نفسه على نفسه على نفسه على نفسه على نفسه
+
+563
+00:40:42,640 --> 00:40:43,400
+على نفسه على نفسه على نفسه على نفسه على نفسه على
+
+564
+00:40:43,400 --> 00:40:47,280
+على نفسه على نفسه على نفسه على نفسه على نفسه على
+
+565
+00:40:47,280 --> 00:40:50,330
+نفسis out regulated at the expense of it إذا هي
+
+566
+00:40:50,330 --> 00:40:57,750
+عبارة عن إيه تحكم في ال tubular function بحيث ال
+
+567
+00:40:57,750 --> 00:41:02,590
+tubular function يكون ال load اللي عليه جد ال
+
+568
+00:41:02,590 --> 00:41:06,970
+function تبعه تمام؟ مالفعش أنا أدى احنا الأن
+
+569
+00:41:06,970 --> 00:41:12,210
+هنلاحظ أنه ال proximal tubule تشتغل شغل كبير لبه
+
+570
+00:41:12,210 --> 00:41:16,210
+في اللي بيشتغل شغلك تبقى كبيرالـ fine regulation
+
+571
+00:41:16,210 --> 00:41:21,050
+للـ distal tubule الـ distal tubule بتشتغل 5% من
+
+572
+00:41:21,050 --> 00:41:25,590
+ال reabsorption لل Sodium او لل water او اكتر او
+
+573
+00:41:25,590 --> 00:41:31,350
+اقل محدودة 20% maximum لكن لما تديها load اكبر
+
+574
+00:41:31,350 --> 00:41:35,090
+منها ده مابتقدرش تتعامل معاه تمام فإذا ال load هي
+
+575
+00:41:35,090 --> 00:41:40,750
+شغلتها تضبط الأمور بدقةفإذا زاد ال load عن قدرتها
+
+576
+00:41:40,750 --> 00:41:43,810
+اتوماتيكا اللي بيصير ال simulation لل ايه لل
+
+577
+00:41:43,810 --> 00:41:48,330
+autoregulator ميكانزم يجلل ال GFR عشان اللي يصلها
+
+578
+00:41:48,330 --> 00:41:56,570
+في الآخر تبقى منضبط حسب قدرتها واضح؟ طيب إذا عندنا
+
+579
+00:41:56,570 --> 00:42:02,130
+two components هنا نتعامل مع ماكولا دنسا و أفراند
+
+580
+00:42:02,130 --> 00:42:05,650
+و إفراند جانب بعض هي جاعدة بينهم عندنا ال أفراند
+
+581
+00:42:05,650 --> 00:42:09,200
+أرتيويلر feedback mechanismوهذا لما يزيد ال load
+
+582
+00:42:09,200 --> 00:42:13,620
+بتعمل simulation لل .. لل .. لل .. لل running يعمل
+
+583
+00:42:13,620 --> 00:42:17,460
+visa constriction لل afferent تمام؟ ولو جل ال load
+
+584
+00:42:17,460 --> 00:42:21,880
+بتعمل ايه؟ بيجل ال .. ال .. ال .. ال .. ال
+
+585
+00:42:21,880 --> 00:42:27,680
+construction يعني فهذا التأثير على ال afferent ال
+
+586
+00:42:27,680 --> 00:42:33,790
+afferent إذا صار على عكسهذه الميكانيزمات تعتمد على
+
+587
+00:42:33,790 --> 00:42:39,050
+اتجارات خاصة جكساجلوميلار جكساجلوميلار
+
+588
+00:42:39,050 --> 00:42:42,110
+جكساجلوميلار جكساجلوميلار جكساجلوميلار
+
+589
+00:42:42,110 --> 00:42:43,430
+جكساجلوميلار جكساجلوميلار جكساجلوميلار
+
+590
+00:42:43,430 --> 00:42:43,550
+جكساجلوميلار جكساجلوميلار جكساجلوميلار
+
+591
+00:42:43,550 --> 00:42:43,670
+جكساجلوميلار جكساجلوميلار جكساجلوميلار
+
+592
+00:42:43,670 --> 00:42:46,970
+جكساجلوميلار جكساجلوميلار
+
+593
+00:42:46,970 --> 00:42:49,330
+جكساجلوميلار جكساجلوميلار جكساجلوميلار
+
+594
+00:42:49,330 --> 00:42:53,330
+جكساجلوميلار جكساجلوميلار جكساجلوميلار
+
+595
+00:42:53,330 --> 00:42:57,790
+جكساجلوميلار
+
+596
+00:42:57,790 --> 00:43:09,000
+جكساجلوميلار جكساجلوميلار جتمام؟ إذا جل ال sodium
+
+597
+00:43:09,000 --> 00:43:14,440
+chloride اللى واصل لمكولا دينسا تمام؟ إذا جل بتقدي
+
+598
+00:43:14,440 --> 00:43:19,420
+إلى انه ايه؟ decrease of the sodium chloride which
+
+599
+00:43:19,420 --> 00:43:24,660
+causes dilatation of the afferent arteriole
+
+600
+00:43:24,660 --> 00:43:29,780
+هذا مباشر مش عبر الرنن هذا التأثير احنا مش عارفينه
+
+601
+00:43:29,780 --> 00:43:33,830
+كيف بيصيرتأثير ال renin أساسا و ال angiotensin 2
+
+602
+00:43:33,830 --> 00:43:38,410
+على ال efferent لكن ملاحظ احنا انه بيصير direct
+
+603
+00:43:38,410 --> 00:43:44,890
+ميكانيزم معينة انه يصير vazospasm لل efferent عشان
+
+604
+00:43:44,890 --> 00:43:49,310
+يجلي ال GFR إذا كان ال delivery ساد وإذا ال
+
+605
+00:43:49,310 --> 00:43:53,750
+delivery جال بيصير release و بيصير vazodilatation
+
+606
+00:43:53,750 --> 00:43:58,050
+و ال flow بيزيد هذا بالنسبة لمن؟ لل efferentهو هذه
+
+607
+00:43:58,050 --> 00:44:01,110
+المسألة في خلاف هو ال afferent بتأثر و لا بتأثرش
+
+608
+00:44:01,110 --> 00:44:05,270
+لإنه متأكدين إحنا إنه ال renin angiotensism شغال
+
+609
+00:44:05,270 --> 00:44:08,870
+على ال afferent لكن ال afferent إيش دوره؟في
+
+610
+00:44:08,870 --> 00:44:13,610
+ميكانيزم معينة توازي ال .. تساعد ال ايه ال effect
+
+611
+00:44:13,610 --> 00:44:18,450
+على ال افران تساعدها بمعنى اذا هان صار dilatation
+
+612
+00:44:18,450 --> 00:44:22,330
+هان بيصير ايه construction و اذا صار هان
+
+613
+00:44:22,330 --> 00:44:26,970
+construction ممكن هان يصير ايه dilatation بحيث
+
+614
+00:44:26,970 --> 00:44:30,990
+الجهتين بدهم يشتغلوا في اتجاه تزويد ال GFR او
+
+615
+00:44:30,990 --> 00:44:33,970
+الجهتين يشتغلوا في اتجاه تجليل ال GFR
+
+616
+00:44:37,430 --> 00:44:42,070
+المكونات دينسا تسلسل بسبب تغيير في تحضير الوزن
+
+617
+00:44:42,070 --> 00:44:48,490
+للتيبيوت الديستالي برضه هنا خلاف حول هو ال ال ال
+
+618
+00:44:48,490 --> 00:44:49,150
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+619
+00:44:49,150 --> 00:44:50,090
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+620
+00:44:50,090 --> 00:44:50,570
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+621
+00:44:50,570 --> 00:44:51,930
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+622
+00:44:51,930 --> 00:44:53,610
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+623
+00:44:53,610 --> 00:44:54,430
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+624
+00:44:54,430 --> 00:44:56,970
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+625
+00:45:01,820 --> 00:45:04,940
+ولا لأ في load عند زيادة في flow زيادة tubular
+
+626
+00:45:04,940 --> 00:45:10,300
+flow و Sodiumزيادة فبرضه فيها خلاص مش مهم كتير
+
+627
+00:45:10,300 --> 00:45:15,560
+المهم فيه sensation sensory effect هال
+
+628
+00:45:15,560 --> 00:45:19,920
+الماكولادينسا بتنتبه لما يزيد عنده ال sodium load
+
+629
+00:45:19,920 --> 00:45:24,860
+تمام ان كان concentration ولا sodium مش م
+
+630
+00:45:24,860 --> 00:45:28,180
+concentrated لكنه معاه flow عالي بيقدر إلى انه
+
+631
+00:45:28,180 --> 00:45:32,060
+sensation experimental studies suggest that
+
+632
+00:45:32,060 --> 00:45:38,080
+decreased GFRوهو ما يجعل الـ flow rate لدسترد
+
+633
+00:45:38,080 --> 00:45:41,900
+تيبول يتخلص من الـ GFR وهو ما يجعل ال flow rate
+
+634
+00:45:41,900 --> 00:45:43,240
+لدسترد تيبول يتخلص من الـ GFR وهو ما يجعل ال flow
+
+635
+00:45:43,240 --> 00:45:44,400
+rate لدسترد تيبول يتخلص من الـ GFR وهو ما يجعل ال
+
+636
+00:45:44,400 --> 00:45:46,240
+flow rate لدسترد تيبول يتخلص من الـ GFR وهو ما
+
+637
+00:45:46,240 --> 00:45:47,140
+يجعل ال flow rate لدسترد تيبول يتخلص من الـ GFR
+
+638
+00:45:47,140 --> 00:45:49,600
+وهو ما يجعل ال flow rate لدسترد تيبول يتخلص من الـ
+
+639
+00:45:49,600 --> 00:45:51,480
+GFR وهو ما يجعل ال flow rate لدسترد تيبول يتخلص من
+
+640
+00:45:51,480 --> 00:45:54,140
+الـ GFR وهو ما يجعل ال flow rate لدسترد تيبول
+
+641
+00:45:54,140 --> 00:45:55,880
+يتخلص من الـ
+
+642
+00:46:05,140 --> 00:46:08,820
+إذا الماكيلودين سهر جت ال signal اللي لها two
+
+643
+00:46:08,820 --> 00:46:12,300
+effects افكت على الافراند مش عارفين كده بالظبط بس
+
+644
+00:46:12,300 --> 00:46:16,420
+افكت على ال افراند اللي هو عن طريق الدمان it
+
+645
+00:46:16,420 --> 00:46:20,660
+decreases the resistance of the blood flow لما جلس
+
+646
+00:46:20,660 --> 00:46:24,100
+ال sodium delivery للدستة اللي احنا بنتكلم بيحصل
+
+647
+00:46:24,100 --> 00:46:27,700
+ال stimulation it decreases the resistance to the
+
+648
+00:46:27,700 --> 00:46:30,100
+blood flow in the afferant arteriole which raises
+
+649
+00:46:30,100 --> 00:46:32,980
+glomeral endostatic pressure and helps return of
+
+650
+00:46:32,980 --> 00:46:39,820
+GFR تمام؟ماجولناش كيف ماجولناش كيف لكن اللي بنقول
+
+651
+00:46:39,820 --> 00:46:42,800
+عنها كيف it increases renin release from the
+
+652
+00:46:42,800 --> 00:46:46,640
+juxtaglomerular cells of the afferent and efferent
+
+653
+00:46:46,640 --> 00:46:51,000
+arterioles which are major storage sites for renin
+
+654
+00:46:51,000 --> 00:46:53,840
+و renin هذا بيعمل انجوتنسين one زي ما أكدلكم
+
+655
+00:46:53,840 --> 00:46:57,720
+finally the angiotensin two constricts the
+
+656
+00:46:57,720 --> 00:47:00,520
+efferent arterioles thereby increasing the
+
+657
+00:47:00,520 --> 00:47:01,300
+glomerular
+
+658
+00:47:04,500 --> 00:47:09,040
+and resulting and returning GFR towards normal
+
+659
+00:47:09,040 --> 00:47:15,580
+طبعا إذا إضافة إنه لو الأشي قررنا نقول دوره كمان
+
+660
+00:47:15,580 --> 00:47:20,260
+على ال general circulation الرسم هذي تدينا دور ال
+
+661
+00:47:20,260 --> 00:47:29,500
+arterial pressure لو جال لو
+
+662
+00:47:29,500 --> 00:47:33,060
+جال ال arterial pressure بيقدّي إلى إنه ال GFR
+
+663
+00:47:33,060 --> 00:47:39,840
+بيجلالدليفري للماكولادينسا بيجيل تمام بيقده الى
+
+664
+00:47:39,840 --> 00:47:46,240
+حاجتين الافرند بيعمله vasoconstriction تمام افرند
+
+665
+00:47:46,240 --> 00:47:49,860
+ارتيويلاريزيستانس ريزيستانس بتزيه بتجيل تبتصر
+
+666
+00:47:49,860 --> 00:47:55,850
+vasodilatation تمام بيزود ال GFRوالطرف التاني على
+
+667
+00:47:55,850 --> 00:48:00,230
+الـ afferent بيزود ال renin angiotensin 2 بيزود ال
+
+668
+00:48:00,230 --> 00:48:04,130
+afferent resistance بتقل ال afferent resistance
+
+669
+00:48:04,130 --> 00:48:09,170
+بتزيد بتزيد فبيصير عند ال GFR من الطرفين بزيد هذا
+
+670
+00:48:09,170 --> 00:48:13,320
+ال resistance زادتبمعنى انه فازل كونستريكشن صار
+
+671
+00:48:13,320 --> 00:48:16,840
+وهذا ال resistance جلت مثلا عندنا فازل relation
+
+672
+00:48:16,840 --> 00:48:22,120
+بيصير فبيقدر تنين لان ال GFR بتزيد تمام و بيرجع ال
+
+673
+00:48:22,120 --> 00:48:25,280
+pressure ال glomerular pressure إلى A إلى طبيعته
+
+674
+00:48:25,280 --> 00:48:31,600
+من خلال زيادة resistance في ال a front و نقصان
+
+675
+00:48:31,600 --> 00:48:34,440
+resistance في ال a في ال a front هذه بتنقص من
+
+676
+00:48:34,440 --> 00:48:38,260
+ناحية ال a front و بتزيد من ناحية ال a front بتقدر
+
+677
+00:48:38,260 --> 00:48:46,270
+إلى aللزيادة هنا تقدي إلى ان ال flow rate الجي اف
+
+678
+00:48:46,270 --> 00:48:55,030
+ار يزيد طيب اذا
+
+679
+00:48:55,030 --> 00:49:00,210
+هنا عنده اتوا ميكانزم اتكلمنا عنهم when both these
+
+680
+00:49:00,210 --> 00:49:03,410
+mechanisms are functioning together the GFR
+
+681
+00:49:03,410 --> 00:49:09,830
+changes onlyThe GFR changes only few percentage
+
+682
+00:49:09,830 --> 00:49:14,430
+points تغير اللي حيصير في ال GFR جليل معناه ال
+
+683
+00:49:14,430 --> 00:49:18,890
+function مش ايه هيتغير هيرجع طبيعي واضح؟ لذلك قلنا
+
+684
+00:49:18,890 --> 00:49:24,130
+عليه من أول انه بين سبعين ومية و سبتين بيصير
+
+685
+00:49:24,130 --> 00:49:29,470
+تغيرات محسسش فرق كبير فيها ليش؟ لإن عندي زاد ال
+
+686
+00:49:29,470 --> 00:49:36,800
+pressure زاد ال GFR ال auto regulation بتمو لما
+
+687
+00:49:36,800 --> 00:49:41,540
+اقل كذلك ال auto regulation بتتم لكن بتظل
+
+688
+00:49:41,540 --> 00:49:45,980
+percentage واضحة ان في عندى لما ازيد الضغط في
+
+689
+00:49:45,980 --> 00:49:51,700
+percentage واضحة جليلة صحيح لكن بيزيد ال ال ال ال
+
+690
+00:49:51,700 --> 00:49:56,400
+urine و ال sodium excretion بعض الناس بيعرف ضغطه
+
+691
+00:49:56,400 --> 00:50:01,140
+زاد او مازدش من خلال ال urine على طول فورا زاد ال
+
+692
+00:50:01,140 --> 00:50:04,930
+urine قالوا دكتور الحق عندى الضغط زادمش عارف اكيد
+
+693
+00:50:04,930 --> 00:50:10,510
+بول زاد افحص بتلاقيه عالم الفعل بلوكيج
+
+694
+00:50:10,510 --> 00:50:15,510
+of agitation to formation further reduces GFR
+
+695
+00:50:15,510 --> 00:50:21,510
+during hyper hyperperfusion لما احنا يكون عندنا
+
+696
+00:50:21,510 --> 00:50:25,970
+blood pressure عالي اليوم من ال من ال من ال bugs
+
+697
+00:50:25,970 --> 00:50:30,920
+الرئيسية اللي بنعطيها انه ال converting enzymeاللي
+
+698
+00:50:30,920 --> 00:50:34,280
+بيمنع اللي اللي بيحول أنجوتنسين 2 إلى أنجوتنسين 1
+
+699
+00:50:34,280 --> 00:50:41,260
+بنعمله inhibition ACE inhibitors ACE inhibitors
+
+700
+00:50:41,260 --> 00:50:44,980
+أنجوتنسين converting enzyme inhibitors إذا عملنا
+
+701
+00:50:44,980 --> 00:50:47,620
+انه inhibition لل converting enzyme معناه
+
+702
+00:50:47,620 --> 00:50:52,120
+أنجوتنسين 1 بتكون لكن أنجوتنسين 2 متكون أنجوتنسين
+
+703
+00:50:52,120 --> 00:50:55,540
+1 mild vasoconstrictor أنجوتنسين 2 very severe
+
+704
+00:50:55,540 --> 00:50:57,140
+very strong vasoconstrictor
+
+705
+00:51:00,770 --> 00:51:04,750
+هذه ال drugs بنديها لنا الناس كل يوم و ماخدش بقى
+
+706
+00:51:04,750 --> 00:51:10,590
+انا مينميزش كتير تمام احيانا
+
+707
+00:51:10,590 --> 00:51:17,130
+احيانا ال drugs هذه ممنوع نستخدمها كيف يعني؟ يعني
+
+708
+00:51:17,130 --> 00:51:23,930
+انا لما الدغط بيعلى عندى بدي اصبط الدغط طب لما
+
+709
+00:51:23,930 --> 00:51:28,670
+يكون الدغط مصدره من الكلية انه الكلية انتبهت و
+
+710
+00:51:28,670 --> 00:51:32,760
+طلعت rentingتمام؟ عشان تتعالج الضغط عشان تتعرف
+
+711
+00:51:32,760 --> 00:51:38,800
+تشتغل فانت تيش تقولها انجوتنسين 2 اللي انت طلعتيه
+
+712
+00:51:38,800 --> 00:51:40,940
+عشان تتعرف تشتغل اللي بدّيش هي معناه ال kidney
+
+713
+00:51:40,940 --> 00:51:45,100
+function ايش هتسير فيه تصوروا هالحالة عندك من ضمن
+
+714
+00:51:45,100 --> 00:51:50,260
+الحالات اللي بتعمل طبعا in general اي scheme يالا
+
+715
+00:51:50,260 --> 00:51:54,060
+الكلية بتقدر الرنين يعلى ممكن تعمل hyper tension
+
+716
+00:51:54,060 --> 00:52:01,550
+يعني الضغط بتقسمه نوعين من الدكاترةدكاترة الكلة و
+
+717
+00:52:01,550 --> 00:52:06,390
+دكاترة القلب ليش؟ لأن هذا ممكن يكون سبب الرئيسي في
+
+718
+00:52:06,390 --> 00:52:09,610
+معظم الحالات القلب و تبع الكلة برضه بيقول انا ممكن
+
+719
+00:52:09,610 --> 00:52:13,610
+يكون من عندي شايل ايه اضغطت فالتانيين بتقسموا تبع
+
+720
+00:52:13,610 --> 00:52:19,370
+الكلة في حالة خاصة اسمها arena arti stenosis arena
+
+721
+00:52:19,370 --> 00:52:26,510
+arti stenosis في عندي ولد مولود بإن الشريان تبع
+
+722
+00:52:26,510 --> 00:52:34,030
+الكلةضيق لما الكلية يكون في شرينها ضيق الدم اللى
+
+723
+00:52:34,030 --> 00:52:38,890
+واصل الكائش بيكون جليل الكلية بتعرفش انه هي بس
+
+724
+00:52:38,890 --> 00:52:44,210
+عليها جليل بتفكر انه ايه كل الجسم الدم فيه مش واصل
+
+725
+00:52:44,210 --> 00:52:48,090
+انها شغلتها تحس الدم و تطبطه من ضمن شغلة الكلية
+
+726
+00:52:48,090 --> 00:52:51,630
+انها تطبط الدم فالدم وصلها جليل بتطلع رينه نجراي
+
+727
+00:52:51,630 --> 00:52:58,910
+الدق برا كويس فبتقدر انه ايه يعلىلما بيقلى برا ال
+
+728
+00:52:58,910 --> 00:53:02,910
+.. ال stenosis اللى موجود فى الارض بيصير يدخل ..
+
+729
+00:53:02,910 --> 00:53:09,230
+يخش فيه flow أكتر فبيصلها دم كويس فبتشتغل تمام؟
+
+730
+00:53:09,230 --> 00:53:12,570
+اذا هى زورت الضغط، الضغط، الضغط حتى المنطقة الديجة
+
+731
+00:53:12,570 --> 00:53:16,390
+صار فيها ضغط عالى فنزل ال flow أكتر فأدى إلى ان هى
+
+732
+00:53:16,390 --> 00:53:21,490
+تحس ان هى قدك معايا صلحت الضغطاللي وصلها بس هى
+
+733
+00:53:21,490 --> 00:53:26,290
+خربت الضغط اللى ايه اللى فى الجسم كله احنا بنروح
+
+734
+00:53:26,290 --> 00:53:29,310
+نخرب اكتر و اكتر مش ماخدين بالنا ان هدى الحالة
+
+735
+00:53:29,310 --> 00:53:33,110
+بالذات حالة ريان الاردستينوزيس بنقول بسيط اديلها
+
+736
+00:53:33,110 --> 00:53:35,930
+ايه angiotensin 2 converting enzyme inhibitors
+
+737
+00:53:35,930 --> 00:53:39,490
+بندي inhibitors تمام angiotensin 2 ايش بيصير فيه
+
+738
+00:53:40,190 --> 00:53:43,770
+الكل يبقى بتصرخ عني وأنا بصرخ .. بصرخ أيه أو أعطيه
+
+739
+00:53:43,770 --> 00:53:47,010
+فبتأدي في الآخر أنه الأدوية اللي أنا بديها أجوى من
+
+740
+00:53:47,010 --> 00:53:50,190
+أيه من ال renin و ال .. ال responses لإن أنا بدي
+
+741
+00:53:50,190 --> 00:53:53,850
+خلاص أي renin يطلع أعمله inhibition مش هكمل شغله
+
+742
+00:53:53,850 --> 00:53:57,350
+مش inhibition لل renin .. renin لل .. عشان تنسمته
+
+743
+00:53:58,410 --> 00:54:00,290
+فأيانا ان بطلجات بيطلع في الأكل انا بعمل
+
+744
+00:54:00,290 --> 00:54:02,950
+inhalation ل الانجوتنسين تقولي اللي حصل اللي حصل
+
+745
+00:54:02,950 --> 00:54:06,470
+ان هي و الكلية لها طاقة محددة تصل لمرحلة مابتقدرش
+
+746
+00:54:06,470 --> 00:54:09,330
+تطلع اكتر من هي و انا ببساطة مدي دوز يعمل
+
+747
+00:54:09,330 --> 00:54:13,230
+inhalation عشان اوطي الضغط معناها برجع الرينا ال R
+
+748
+00:54:13,230 --> 00:54:17,970
+-testosis بيقدر الى انه ال blood flow للكلية اياش
+
+749
+00:54:17,970 --> 00:54:22,250
+واطي بيخش في رينا ال ischemia و كل ال kidney
+
+750
+00:54:22,250 --> 00:54:26,420
+function بتهبطتمام؟ مالاجي صار خشنة في حالة uremia
+
+751
+00:54:26,420 --> 00:54:31,580
+شوية شوية شوية، تمام؟ ففي عند ال .. ال .. ال .. ال
+
+752
+00:54:31,580 --> 00:54:33,500
+.. ال .. هدو .. هدى الحالة، هدى ال converting
+
+753
+00:54:33,500 --> 00:54:37,000
+enzyme، ال inhibitors هدى، في بعض الحالات مش لازم
+
+754
+00:54:37,000 --> 00:54:40,130
+أستخدمها، بدي أستخدم لعب تاني من ال إيه؟من ال
+
+755
+00:54:40,130 --> 00:54:45,370
+inhibitors من ال drugs that is lowering blood
+
+756
+00:54:45,370 --> 00:54:48,430
+pressure عشان أدي فرصة ل أنجوتينسين 2 تدل شغال
+
+757
+00:54:48,430 --> 00:54:53,390
+عشان يقدي لإيه good function لإنه تأثيره مش بس على
+
+758
+00:54:53,390 --> 00:54:58,650
+ال renal blood flow كمان ال GFR لإن أنجوتينسين 2
+
+759
+00:54:58,650 --> 00:55:02,640
+أثرلي على ال efferentلأنه okay الدم شاى جليل لكن
+
+760
+00:55:02,640 --> 00:55:06,060
+هي عملت شوية construction قدت إلى أنه ال .. ال ..
+
+761
+00:55:06,060 --> 00:55:10,100
+ال .. ال GFR يتحسن فانا لما قعدت من كمان تأثير على
+
+762
+00:55:10,100 --> 00:55:13,860
+ال efferent لما قعدت من تأثير على ال efferent صار
+
+763
+00:55:13,860 --> 00:55:16,500
+الدم جليل و أنا مش بدي فوز على ال efferent يصلح
+
+764
+00:55:16,500 --> 00:55:23,580
+حاله فبيقدر إلى low GFR و lowfunctioning kidney
+
+765
+00:55:23,580 --> 00:55:28,580
+والوريه بتاعها والكلية تانية نبيعها والالكتروليس
+
+766
+00:55:28,580 --> 00:55:32,380
+الأخرى و ال trace كل ال function تبع الكلية بيوضع
+
+767
+00:55:34,110 --> 00:55:37,590
+فهذه حالة معينة من حالات الرينا ال hypoperfusion
+
+768
+00:55:37,590 --> 00:55:40,230
+هو رينا الارتسينوزيس لازم ناخد بالنا منها لأنه
+
+769
+00:55:40,230 --> 00:55:44,130
+بكرا ال clinical احنا هنشوف الاشياء ده و نمارسه و
+
+770
+00:55:44,130 --> 00:55:47,530
+ننتبهله اه ليش بالله ال angiotensin 2 ع طول من حد
+
+771
+00:55:47,530 --> 00:55:51,690
+ما استخدمت ال angiotensin 2 inhibitors ع طول
+
+772
+00:55:51,690 --> 00:55:55,770
+اليورية عليته و هتشوفوها باضح تمام دكاتر الجلب بحب
+
+773
+00:55:55,770 --> 00:55:59,810
+يعطوه هذا دكاتر كده بحبوش يعطوه ال inhibitors
+
+774
+00:56:04,820 --> 00:56:18,980
+الكلب مبسوط فورا
+
+775
+00:56:18,980 --> 00:56:27,280
+لأن هو بالنسبة له محبوش بيخبطله شغل الكلبطيب اذا
+
+776
+00:56:27,280 --> 00:56:31,300
+.. لكن في حالات ال congestive heart failure per se
+
+777
+00:56:31,300 --> 00:56:35,160
+ال .. ال convert .. ال convert انظمي كويس ندي احنا
+
+778
+00:56:35,160 --> 00:56:39,520
+لحالات ال .. ال .. ال chronic heart failure
+
+779
+00:56:39,520 --> 00:56:42,360
+congestive heart failure نديله مياهم ياخدوا
+
+780
+00:56:42,360 --> 00:56:47,840
+جرعواطي على طول تمام؟ جرعواطية على طول لكن انتوا
+
+781
+00:56:47,840 --> 00:56:54,200
+الآن فهمتوا الصراع بين ايه؟ الجهتين طيب
+
+782
+00:56:54,200 --> 00:57:00,660
+هذا بالنسبة لإيه؟الـ Autoregulation
+
+783
+00:57:00,660 --> 00:57:09,620
+عبارة عن الـ Tubular Glomerular Feedback Mechanism
+
+784
+00:57:09,620 --> 00:57:12,000
+Autoregulation في حاجة تانية في ال Autoregulation
+
+785
+00:57:12,000 --> 00:57:18,100
+في حاجة يسموها Myogenic Autoregulation بمعنى إنه
+
+786
+00:57:18,100 --> 00:57:24,340
+إذا اتضغط عليفي مكان ما تمام بروح بيصير response
+
+787
+00:57:24,340 --> 00:57:28,540
+reflex spasm للبسل هذا يعني البسل اللي الضغط عليه
+
+788
+00:57:28,540 --> 00:57:31,720
+يوسعه بيروح ايه بيصير some sort of
+
+789
+00:57:31,720 --> 00:57:37,120
+vasoconstriction reflex spasm انه يعاود ادياج عشان
+
+790
+00:57:37,120 --> 00:57:40,640
+يجلل ايه ال flow لما الضغط عليه راح الجل اصار
+
+791
+00:57:40,640 --> 00:57:47,660
+vasoconstriction لما الضغط جل يعاود بفتح عشان يدفع
+
+792
+00:57:47,660 --> 00:57:52,690
+more flowتمام؟ جالك اه هو عندك لما بيه على الضغط
+
+793
+00:57:52,690 --> 00:57:58,130
+بيقدّي إلى some sort of calcium entrance to the
+
+794
+00:57:58,130 --> 00:58:01,970
+cells بتقدّي لإيه؟ Spasm في ال smooth muscles
+
+795
+00:58:01,970 --> 00:58:05,790
+بتقدّي ل vasoconstriction إلى كده تمام؟ طبعا هي
+
+796
+00:58:05,790 --> 00:58:09,270
+يعني هو بيصير في auto regulation بس مابيش auto
+
+797
+00:58:09,270 --> 00:58:13,680
+regulation بيحس في الآخر اتحكميعني يكون يكفي لإنه
+
+798
+00:58:13,680 --> 00:58:18,200
+يضبط ال blood flow معناه مافيش عندنا مشكلة إذا ضغط
+
+799
+00:58:18,200 --> 00:58:20,700
+طبيعي لأ بيروح بيعمل vasoconstriction بيعود يظبط
+
+800
+00:58:20,700 --> 00:58:25,820
+حاله بحاله يعني في موجود إشي بس يعني its effect is
+
+801
+00:58:25,820 --> 00:58:31,120
+not so prominent تمام؟ هذا ال myogenic theory
+
+802
+00:58:31,120 --> 00:58:35,280
+myogenic auto regulation ال myo يعني muscle اه؟
+
+803
+00:58:35,280 --> 00:58:39,680
+myogenic يعني muscular فال muscles can relax لما
+
+804
+00:58:39,680 --> 00:58:44,270
+يكون في عندنالس blood pressure و can a construct
+
+805
+00:58:44,270 --> 00:58:49,670
+when we have a more blood pressure a phenomenon
+
+806
+00:58:49,670 --> 00:58:52,530
+هنا ايش بيقولها ايه another mechanism
+
+807
+00:59:07,700 --> 00:59:14,880
+النظرية التابعتها ان كالسيوم تدخل ايوان والسيلز
+
+808
+00:59:14,880 --> 00:59:16,200
+تؤدي الى ال
+
+809
+00:59:22,830 --> 00:59:25,890
+التالتة او احنا قلنا ال auto regulation reflex هذا
+
+810
+00:59:25,890 --> 00:59:29,750
+ال feedback وقلنا ال myogenic theory وقلنا في نوع
+
+811
+00:59:29,750 --> 00:59:34,750
+اخر كلام في الفصل هذا اللي هو ال dietary ال
+
+812
+00:59:34,750 --> 00:59:40,530
+dietary regulation لاحظنا انه اللي بياكل نسبة
+
+813
+00:59:40,530 --> 00:59:45,470
+بروتين عالي ال blood flow بزيد و اللي عنده السكر
+
+814
+00:59:45,470 --> 00:59:50,570
+عالي ال blood flow بزيد و ال GFR و ال blood flow
+
+815
+00:59:50,570 --> 01:00:00,350
+ليش؟يقولك ما هو ال ال GFR العادية حاملة كمية amino
+
+816
+01:00:00,350 --> 01:00:06,010
+acids عالية يعني أنا ماأكل بروتين كتير طبعا كل أكل
+
+817
+01:00:06,010 --> 01:00:13,770
+انا بروتينات اذا أنا بخير و بحب اللحون و بحب أنجي
+
+818
+01:00:13,770 --> 01:00:17,930
+أشياء من المنطقة زي الناس عادي مش مماجون فال amino
+
+819
+01:00:17,930 --> 01:00:20,970
+acids عندي اللي بتصل الدم بتصل اللي بيصلها
+
+820
+01:00:20,970 --> 01:00:25,540
+filtrationالأمينو أسس بيصير فيلتراشيون حيكون عندي
+
+821
+01:00:25,540 --> 01:00:30,500
+عبق على الصوديوم يدخلها داخل ال tubes من هو عن
+
+822
+01:00:30,500 --> 01:00:34,320
+طريق ال reabsorption للأمينو أسس عبر مين؟ عبر ال
+
+823
+01:00:34,320 --> 01:00:37,380
+sodium channels عبر ال sodium carriers facilitated
+
+824
+01:00:37,380 --> 01:00:42,280
+diffusion، transport، facilitated transport فعبر
+
+825
+01:00:42,280 --> 01:00:44,560
+الصوديوم، فبيصير more reabsorption من الصوديوم
+
+826
+01:00:44,560 --> 01:00:48,920
+الصوديوم اللي بيصل الماكولاتينسابقل لإن احنا
+
+827
+01:00:48,920 --> 01:00:52,940
+استخدمنا Sodium أكتر في ال reabsorption، مش هيك؟
+
+828
+01:00:52,940 --> 01:00:56,360
+هاد ال theory هيك بتقول انه يعني ال reabsorption
+
+829
+01:00:56,360 --> 01:00:59,960
+اللي بيزيد لل mine acids و للشجر نفس الكلام، لل
+
+830
+01:00:59,960 --> 01:01:03,280
+glucose، لما يزيد ال blood glucose، برضه ال
+
+831
+01:01:03,280 --> 01:01:07,120
+glucose يعني تنتهي من نفس التفسيرإنه عندي صار الـ
+
+832
+01:01:07,120 --> 01:01:10,740
+Reabsorption ميكانيزم زادت إن كان لإنه ال amino
+
+833
+01:01:10,740 --> 01:01:15,360
+acids زاد أو السكر زاد فال Sodium Reabsorption في
+
+834
+01:01:15,360 --> 01:01:18,460
+ال proximal بزيد ال Sodium اللي بيصل ال distal
+
+835
+01:01:18,460 --> 01:01:21,980
+للماكرودينسا بجل بيقدي إلى إنه إيه يعمل auto
+
+836
+01:01:21,980 --> 01:01:25,890
+regulation إنه زود ال GFRليش؟ لأنه الـ GFR هنا
+
+837
+01:01:25,890 --> 01:01:30,190
+قلنا معتمدين احنا ال Sodium ال Sodium ال ال ال ال
+
+838
+01:01:30,190 --> 01:01:30,890
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+839
+01:01:30,890 --> 01:01:31,370
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+840
+01:01:31,370 --> 01:01:32,630
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+841
+01:01:32,630 --> 01:01:33,510
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+842
+01:01:33,510 --> 01:01:34,890
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+843
+01:01:34,890 --> 01:01:36,530
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+844
+01:01:36,530 --> 01:01:36,810
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+845
+01:01:36,810 --> 01:01:38,330
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+846
+01:01:38,330 --> 01:01:42,530
+ال
+
+847
+01:01:42,530 --> 01:01:46,930
+ال ال ال الللوتر لان الاتنين بيمشوا بنفس البرالين
+
+848
+01:01:46,930 --> 01:01:50,690
+في اتنين فلما يجل الصوديوم لانه زاد ال
+
+849
+01:01:50,690 --> 01:01:53,410
+reabsorption تبعه بسبب انه زاد عندي ال amino acids
+
+850
+01:01:53,410 --> 01:01:57,670
+او ال glucose فبيقدر ان ال delivery بيجل بيصير
+
+851
+01:01:57,670 --> 01:02:03,190
+عندي more response narrowing لل efferent بزيد ال
+
+852
+01:02:03,190 --> 01:02:11,570
+GFR تمام؟ و بيصير عندي more ايه؟ more GFRالـ
+
+853
+01:02:11,570 --> 01:02:15,270
+proximal معناه more reabsorption لمن؟ للwater لأن
+
+854
+01:02:15,270 --> 01:02:17,950
+الاتنين بيمشوا بنفس ال barrel to each other فلما
+
+855
+01:02:17,950 --> 01:02:21,790
+يجل الصوديوم لأنه زاد ال reabsorption تبعه بسبب
+
+856
+01:02:21,790 --> 01:02:25,770
+انه زاد عندي ال amino acids او ال glucose فبيقدر
+
+857
+01:02:25,770 --> 01:02:29,450
+إلى ان ال delivery بيجل بيصير عندي more response
+
+858
+01:02:29,450 --> 01:02:37,470
+narrowing لل ال efferent بزيد ال GFR تمام؟ و بيصير
+
+859
+01:02:37,470 --> 01:02:40,330
+عندي more ايه؟ more GFR
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/Ua1FY6qeg4Q.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/Ua1FY6qeg4Q.srt
new file mode 100644
index 0000000000000000000000000000000000000000..45e3a0f2ef201842ca3a36d7fef1353d8aee5156
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/Ua1FY6qeg4Q.srt
@@ -0,0 +1,3178 @@
+1
+00:00:11,440 --> 00:00:17,440
+السلام عليكم بسم الله الرحمن الرحيم اليوم هتكلم عن
+
+2
+00:00:17,440 --> 00:00:21,020
+الجهاز التنفسي  the respiratory
+
+3
+00:00:21,020 --> 00:00:26,300
+tract pulmonary ventilation أول محاضرة عن
+
+4
+00:00:26,300 --> 00:00:32,880
+ عملية التنفس  respiration  هدفها وصول الأكسجين
+
+5
+00:00:32,880 --> 00:00:40,060
+المناسب للخلايا، والتخلص من ثاني أكسيد الكربون الزائد إلى
+
+6
+00:00:40,060 --> 00:00:45,080
+الخارج، تمام؟  عشان تصير هذه العملية، نحتاج أن
+
+7
+00:00:45,080 --> 00:00:50,560
+تصير أربع عمليات، الأولى
+
+8
+00:00:50,560 --> 00:00:55,260
+عملية التنفس الميكانيكية، التي تنقل الهواء، كيف
+
+9
+00:00:55,260 --> 00:01:00,660
+الهواء يدخل، ويخرج، وكيف يستقبل، و
+
+10
+00:01:00,660 --> 00:01:04,740
+mechanics  التي تنقل العملية هذه للجهاز الخارجي
+
+11
+00:01:04,740 --> 00:01:08,440
+الذي يجلب الأكسجين للدم، اثنين: عملية الانتقال
+
+12
+00:01:08,440 --> 00:01:15,700
+بين الهواء الخارجي والدم، ثلاثة: عملية نقل
+
+13
+00:01:15,700 --> 00:01:20,200
+الأكسجين عبر الدم إلى الخلايا، وانتقاله هناك
+
+14
+00:01:20,200 --> 00:01:25,640
+إلى الأنسجة والخلايا، والعملية الرابعة المهمة جداً
+
+15
+00:01:25,640 --> 00:01:28,340
+عملية التحكم،  control،  في هذه المسألة، لا نحتاج
+
+16
+00:01:28,340 --> 00:01:34,660
+إلى أكثر مما نحتاج، نتنفس زيادة أو نتنفس أقل حسب
+
+17
+00:01:36,600 --> 00:01:42,540
+الحاجة، تمام؟ الجسم، يعني أنا أكون جالساً مرتاحاً، حاجتي
+
+18
+00:01:42,540 --> 00:01:45,980
+للأكسجين مختلفة عن ما أكون جالساً أركض، تمام؟
+
+19
+00:01:45,980 --> 00:01:50,120
+استهلاكي للأكسجين أكثر، أحتاج أن أدخل
+
+20
+00:01:50,120 --> 00:01:54,740
+أكسجين أكثر، وأتخلص من ثاني أكسيد الكربون أكثر، لكن
+
+21
+00:01:54,740 --> 00:02:01,580
+أنا أكون مرتاحاً يختلف الوضع،  هناك عملية ضبط شديدة هنا
+
+22
+00:02:01,580 --> 00:02:05,260
+تشارك هذه العملية في، ماذا قلنا؟  الـ
+
+23
+00:02:05,260 --> 00:02:09,980
+homeostasis، التي هي، كما قلنا، الخلايا جزء منها فيما يخص
+
+24
+00:02:09,980 --> 00:02:16,620
+الإلكتروليتات، والماء، وحجم السوائل خارج الخلوية
+
+25
+00:02:16,620 --> 00:02:19,620
+وضغط الدم، وتركيز الهيدروجين
+
+26
+00:02:20,310 --> 00:02:24,030
+وتركيز البوتاسيوم، هذه كلها وظيفة الخلايا، اليوم
+
+27
+00:02:24,030 --> 00:02:28,250
+نتكلم عن عملية ثانية، أو وظيفة أخرى، الرئتان تؤديان
+
+28
+00:02:28,250 --> 00:02:34,990
+إلى وصول الأكسجين بشكل مناسب إلى الأنسجة المختلفة، و
+
+29
+00:02:34,990 --> 00:02:38,890
+التخلص من ثاني أكسيد الكربون الناتج عن عملية التنفس
+
+30
+00:02:38,890 --> 00:02:43,510
+الخلوي، تمام؟ إذن، لدينا أربعة أشياء، آخرها عملية
+
+31
+00:02:43,510 --> 00:02:45,190
+التحكم التي تكلمت عنها
+
+32
+00:02:48,870 --> 00:02:55,630
+عملية التنفس تتلخص في شيئين: الميكانيكية الخاصة بـ
+
+33
+00:02:55,630 --> 00:03:00,890
+الرئتين في إدخال وإخراج الهواء،  inspiration  و  expiration، الميكانيكية الخارجية
+
+34
+00:03:00,890 --> 00:03:03,810
+هذا يتم إما عبر الحجاب الحاجز،  diaphragmatic
+
+35
+00:03:03,810 --> 00:03:10,910
+respiration، أو يتم عبر الـ ماذا؟  جدار الصدر،
+
+36
+00:03:10,910 --> 00:03:18,880
+والأضلاع، والعضلات، تمام؟ ليس  الـ ماذا؟ ليس
+
+37
+00:03:18,880 --> 00:03:25,120
+الحجاب الحاجز، بل الأضلاع والعضلات،
+
+38
+00:03:25,120 --> 00:03:30,740
+ ribs and the muscles
+
+39
+00:03:30,740 --> 00:03:35,660
+associating the ribs during
+
+40
+00:03:35,660 --> 00:03:40,920
+a rest most of the respiration is diaphragmatic
+
+41
+00:03:43,360 --> 00:03:50,680
+نتنفس عبر الحجاب الحاجز، عندما ينزل إلى أسفل يزيد الـ
+
+42
+00:03:50,680 --> 00:03:55,940
+ حجم القفص الصدري، يزيد
+
+43
+00:03:55,940 --> 00:04:00,220
+الحجم الرأسي، ينزل إلى أسفل، فالقطر الرأسي
+
+44
+00:04:00,220 --> 00:04:07,440
+يزيد، فيزيد حجم القفص الصدري أو سعته، و
+
+45
+00:04:07,440 --> 00:04:15,590
+يدخل الهواء، عندما يتوقف عن الانقباض، عندما يتوقف
+
+46
+00:04:15,590 --> 00:04:22,530
+الحجاب الحاجز عن الانقباض، يعود إلى وضعه الأصلي بفعل
+
+47
+00:04:22,530 --> 00:04:24,030
+أن لدينا الرئتين
+
+48
+00:04:26,450 --> 00:04:29,810
+عبارة عن نسيج مرن، وهذا النسيج المرن
+
+49
+00:04:29,810 --> 00:04:33,190
+مثل البالون، عندما ننفخه، ثم نتركه، يعود
+
+50
+00:04:33,190 --> 00:04:38,870
+ويرجع إلى حاله،  فعملية الشهيق  inspiration  عملية نشطة
+
+51
+00:04:38,870 --> 00:04:43,310
+process  تستهلك طاقة فيها انقباض عضلات، لكن في
+
+52
+00:04:43,310 --> 00:04:49,560
+الوضع الطبيعي، عملية الزفير  expiration  عملية سلبية
+
+53
+00:04:49,560 --> 00:04:55,520
+ليست فيها انقباض عضلات،  normal recoil forces of
+
+54
+00:04:55,520 --> 00:04:59,580
+the lung and chest will do it  تمام؟ بالنسبة للـ
+
+55
+00:04:59,580 --> 00:05:05,280
+تنفس الحجاب الحاجز، عندما نضغط الحجاب
+
+56
+00:05:05,280 --> 00:05:10,570
+الحاجز، الذي في الأسفل، عندما ينقبض، من فوق يشد
+
+57
+00:05:10,570 --> 00:05:14,770
+أنسجة الرئة إلى الخارج، ولها مرونة، فـ
+
+58
+00:05:14,770 --> 00:05:19,850
+عندما نزيل هذه القوة، نزيل الـ
+
+59
+00:05:19,850 --> 00:05:25,050
+قوة الحجاب الحاجز، تعود  الارتداد المرن
+
+60
+00:05:25,050 --> 00:05:29,380
+للرئة، يحاول أن يرجعها، بالإضافة إلى أن
+
+61
+00:05:29,380 --> 00:05:33,420
+الحجاب الحاجز يضغط على الأعضاء البطنية، تمام؟ عندما
+
+62
+00:05:33,420 --> 00:05:36,520
+يُزال ضغط الأعضاء البطنية، تعود إلى
+
+63
+00:05:36,520 --> 00:05:40,240
+أماكنها، والأعضاء البطنية تدفع الحجاب الحاجز إلى أعلى، و
+
+64
+00:05:40,240 --> 00:05:46,600
+البنية الارتدادية، البنية المرنة  the elastic structure of the
+
+65
+00:05:46,600 --> 00:05:51,940
+الرئة، وهنا الرئتان بالذات، لأنه باعتباره القفص
+
+66
+00:05:51,940 --> 00:05:57,950
+الضلعي في مكانه لم يتحرك، يحاول أن يعود إلى
+
+67
+00:05:57,950 --> 00:06:02,090
+وضعه الأصلي الذي كان فيه، الآن
+
+68
+00:06:02,090 --> 00:06:07,250
+نريد أن نعرف أن، كما ذكرت، أن
+
+69
+00:06:07,250 --> 00:06:12,070
+عملية الشهيق  inspiration  نشطة، و
+
+70
+00:06:12,070 --> 00:06:13,310
+الزفير  expiration  سلبية
+
+71
+00:06:15,900 --> 00:06:20,240
+لكن، لذلك، عملية الشهيق تأخذ وقتاً
+
+72
+00:06:20,240 --> 00:06:24,160
+أطول،  experience  تأخذ وقتاً أطول،
+
+73
+00:06:24,160 --> 00:06:28,000
+لأنها تسحب بقوة، الثانية تخرج بسهولة، هذه
+
+74
+00:06:28,000 --> 00:06:32,700
+تأخذ ثانيتين، هذه قد تأخذ ثلاث ثوان، عملية الـ
+
+75
+00:06:32,700 --> 00:06:38,540
+أو أكثر قليلاً
+
+76
+00:06:38,540 --> 00:06:39,000
+...
+
+77
+00:06:44,270 --> 00:06:48,610
+النقطة الثانية، لكن هل أنا أستطيع أن؟ هل
+
+78
+00:06:48,610 --> 00:06:54,710
+أنا أستطيع أن أجري عملية زفير أقوى؟
+
+79
+00:06:54,710 --> 00:06:59,250
+ stronger expiration  تمام؟ أو أستطيع أن أجري عملية زفير أقوى
+
+80
+00:06:59,250 --> 00:07:02,730
+وفي هذه الحالة تكون نشطة، تمام؟ يعني أنا في
+
+81
+00:07:02,730 --> 00:07:05,810
+العادة، الشهيق نشط  active،  والزفير
+
+82
+00:07:05,810 --> 00:07:11,290
+سلبياً  passive، لكن هل أستطيع أن أجري عملية تنفس أكثر نشاطاً؟
+
+83
+00:07:11,290 --> 00:07:15,250
+بمعنى شهيق أسرع وزفير
+
+84
+00:07:15,250 --> 00:07:19,070
+أسرع، يمكن أن تدخل عضلات أخرى لكي
+
+85
+00:07:19,070 --> 00:07:26,750
+تعمل هذه العملية في الزفير الذي تحدثنا عنه
+
+86
+00:07:26,750 --> 00:07:30,110
+عندما نتحدث عن هذا التنفس بالحجاب الحاجز  fragmentic respiration
+
+87
+00:07:30,110 --> 00:07:35,910
+تمام، يمكن أن يساعد أن العضلات البطنية تعمل
+
+88
+00:07:35,910 --> 00:07:41,460
+انقباضاً، وتضغط على الأعضاء، أنا لا أتحدث
+
+89
+00:07:41,460 --> 00:07:43,780
+بعد عن الرئة، أنا أتحدث عن النوع الأول من
+
+90
+00:07:43,780 --> 00:07:48,820
+التنفس، وهو التنفس بالحجاب الحاجز  pragmatic، تمام، كما يوجد نشط
+
+91
+00:07:48,820 --> 00:07:52,200
+ويمكن أن نعود إلى السلبي  passive، يمكنني أيضاً أن
+
+92
+00:07:52,200 --> 00:07:56,060
+أساعدها بعملية نشطة أخرى، أن أجري انقباضاً
+
+93
+00:07:56,060 --> 00:07:58,180
+of the abdominal muscles،  العضلات البطنية
+
+94
+00:07:58,180 --> 00:08:01,740
+ستضغط على الأعضاء البطنية، وستدفع الـ
+
+95
+00:08:01,740 --> 00:08:06,510
+حجاب الحاجز إلى أعلى، تمام؟ إذن هذه العملية،
+
+96
+00:08:06,510 --> 00:08:09,750
+التنفس بالحجاب الحاجز، يمكن أن تكون فقط، لكن يمكنني أن أساند الـ
+
+97
+00:08:09,750 --> 00:08:13,710
+الزفير منها بـ ماذا؟ بانقباض البطن،  abdominal contraction،
+
+98
+00:08:14,410 --> 00:08:16,450
+ abdominal muscles contraction، abdominal wall
+
+99
+00:08:16,450 --> 00:08:19,670
+contraction  يقدر أن يدفع  الـ ماذا؟ الحجاب الحاجز
+
+100
+00:08:19,670 --> 00:08:23,310
+إلى أعلى، تمام؟
+
+101
+00:08:23,310 --> 00:08:29,650
+في معظم الأوقات، في الواقع، التنفس لدينا يكون
+
+102
+00:08:29,650 --> 00:08:33,190
+تنفس بالحجاب الحاجز  diaphragmatic، إلا إذا كنا، يعني،  كان لدينا نحتاج
+
+103
+00:08:33,190 --> 00:08:37,030
+مجهوداً، نحتاج أكسجين أكثر، نحتاج إلى مجهود أكبر، فدخلنا
+
+104
+00:08:37,030 --> 00:08:42,090
+النوع الثاني من الـ من التنفس، وهو عن
+
+105
+00:08:42,090 --> 00:08:48,810
+طريق الأضلاع،  ال ribs، ربنا خلقها في وضع مائل إلى
+
+106
+00:08:48,810 --> 00:08:54,350
+إلى الأسفل،  يمكن أخذتم  القفص الصدري chest
+
+107
+00:08:54,350 --> 00:08:59,150
+أخذتم  chest  وضربتم مثلاً  الـ دلو،  وعندما ينزل
+
+108
+00:08:59,150 --> 00:09:01,670
+إلى أسفل، يمكن أن يصبح صفراً،  الـ
+
+109
+00:09:01,670 --> 00:09:06,550
+القطر الأنتروبستيرال  anthropocarpal diameter، لكن كلما رفعناها لأعلى، القطر الأنتروبستيرال
+
+110
+00:09:06,550 --> 00:09:13,410
+يزيد، يعني أنه في هذه الحالة، يرفع
+
+111
+00:09:13,410 --> 00:09:16,450
+الأضلاع إلى أعلى،  ويمكن أن  يحدث هذا،  إذا فهمتم
+
+112
+00:09:16,450 --> 00:09:19,490
+هذه الآلية، لكن يهمني أن أريكم صورة جيدة،  أعتقد أنها موجودة في الـ
+
+113
+00:09:19,490 --> 00:09:20,870
+أعتقد أنها موجودة في الـ
+
+114
+00:09:25,400 --> 00:09:28,660
+الكتاب التشريحي الذي أخذتموه، الآن،  ما معنى الـ
+
+115
+00:09:28,660 --> 00:09:34,580
+ العضلات الوربية الخارجية  external intercostal تعمل رفعاً للأضلاع،  و
+
+116
+00:09:34,580 --> 00:09:38,220
+ العضلات الوربية الداخلية  internal intercostal تعمل خفضاً للأضلاع، ما
+
+117
+00:09:38,220 --> 00:09:43,890
+المعنى؟  حسب اتجاه الألياف، طبعاً،  جيد،  أنا أعرف أن
+
+118
+00:09:43,890 --> 00:09:47,150
+أنتم تعرفونها، لكني متأكد من أنكم لا تفهمونها
+
+119
+00:09:47,150 --> 00:09:50,770
+أنا أعرف أنكم تعرفونها،  حفظتموها، تخيلوا هذا
+
+120
+00:09:50,770 --> 00:09:54,110
+المفصل،  الذي رسمته، هذه ضلع،  هذه
+
+121
+00:09:54,110 --> 00:09:57,910
+اعتبروها خشب، أو أي شيء، ولها مفصل مثبت
+
+122
+00:09:57,910 --> 00:10:03,470
+فيه،  ولها مفصل مثبت هنا،  وهذا  ماذا؟  هذا رافعة
+
+123
+00:10:03,470 --> 00:10:07,730
+أي شيء، تخيلوا الأخضر، إذا كانت هذه
+
+124
+00:10:07,730 --> 00:10:11,390
+العضلة الخضراء هذه عضلة،  أجريت انقباضاً، تتوقعون اتجاه
+
+125
+00:10:11,390 --> 00:10:16,570
+الحركة أن تكون؟  الخضراء، أتحدث عن الحركة،  ستكون إلى الأسفل، لماذا؟
+
+126
+00:10:16,570 --> 00:10:22,610
+لأن القوة المقاومة في الأسفل،  الارتكاز  أقرب
+
+127
+00:10:22,610 --> 00:10:28,710
+إلى؟  أقرب للمفصل، الثاني أبعد عن المفصل، فالقوة فوق
+
+128
+00:10:28,710 --> 00:10:32,510
+أكبر، لأن ذراع القوة طويل، فـ الانقباض هنا سيخفض
+
+129
+00:10:32,510 --> 00:10:38,070
+الجزء العلوي وليس حسب الذي في الأسفل، والعكس صحيح،  عندما يكون بالعكس
+
+130
+00:10:38,070 --> 00:10:42,010
+يصبح معكوساً،  الـ
+
+131
+00:10:42,010 --> 00:10:47,170
+ العضلات الوربية الداخلية  internal intercostal  تمام؟  ستجد أن الارتكاز
+
+132
+00:10:47,170 --> 00:10:50,870
+سيصبح أقرب للمفصل،  النقطة الأصلية  أقرب للمفصل،  الـ
+
+133
+00:10:50,870 --> 00:10:55,850
+الارتكاز أبعد، فعندما يحدث انقباض،  أقوى ستكون في
+
+134
+00:10:55,850 --> 00:11:00,850
+تحريك الذي في الأسفل إلى أعلى،  مفهوم؟ من هنا أنا كنت،  و
+
+135
+00:11:00,850 --> 00:11:05,730
+عندما درست التشريح سابقاً معكم، Okay،  الـ
+
+136
+00:11:05,730 --> 00:11:09,170
+الوربية  Intercoasters  وحفظناها، لكن ما معنى،  يعني، هذه
+
+137
+00:11:09,170 --> 00:11:12,850
+تنعكس بعضها في الاتجاه الخاص بها؟ ما معنى هذه ترفع لأعلى
+
+138
+00:11:12,850 --> 00:11:16,030
+وهذه تنزل إلى أسفل؟  بالفكرة البسيطة هذه التي
+
+139
+00:11:16,030 --> 00:11:21,050
+تشاهدونها، واضحة؟  كنتم تفهمون هذا من قبل؟ جيد
+
+140
+00:11:21,240 --> 00:11:24,940
+نفس الكلام هنا، مفصل الأضلاع، نفس الكلام
+
+141
+00:11:24,940 --> 00:11:28,460
+النقطة هذه تابعة للعضلة،  هذه العضلة عندما يحدث لها
+
+142
+00:11:28,460 --> 00:11:32,280
+انقباض،  سيحدث أن  الجزء السفلي  سيرتفع إلى أعلى طبعاً
+
+143
+00:11:32,280 --> 00:11:38,920
+وهذه العضلة العلوية سترفعها،  يعني كل عضلة سترفع
+
+144
+00:11:38,920 --> 00:11:42,240
+الضلع الذي تحته طبعاً،  فعندما  تتقلص جميعها
+
+145
+00:11:42,240 --> 00:11:46,370
+معاً، تمام؟  فيستطيع في النهاية إلى أن جميع
+
+146
+00:11:46,370 --> 00:11:50,750
+الأضلاع ترتفع لأعلى، والعكس صحيح،  اللون الآخر الأخضر
+
+147
+00:11:50,750 --> 00:11:56,730
+الذي يكون فيه الأصل أقرب للمفصل، والارتكاز أبعد لأن
+
+148
+00:11:56,730 --> 00:12:04,970
+التفاعل  جميعها سينزل إلى أسفل، جيد،  إذن،  الـ
+
+149
+00:12:04,970 --> 00:12:08,650
+التنفس الهادئ الطبيعي يتم بالكامل تقريباً
+
+150
+00:12:08,650 --> 00:12:11,350
+بواسطة الطريقة الأولى، وهي؟ هذه
+
+151
+00:12:11,350 --> 00:12:15,590
+الحجاب الحاجز، أثناء الشهيق  pragmatic  انقباض  الحجاب الحاجز
+
+152
+00:12:15,590 --> 00:12:18,950
+يسحب السطح السفلي للرئة
+
+153
+00:12:18,950 --> 00:12:25,850
+لأسفل، تمام؟  عندما ينزل إلى أسفل، يسحب معه الـ ماذا؟  الـ
+
+154
+00:12:25,850 --> 00:12:34,470
+الحد السفلي للرئة، أنزله هكذا، تمام؟ فيستطيع
+
+155
+00:12:34,470 --> 00:12:39,290
+إلى أن تتسع، لأن يتسع القفص الصدري، الهواء
+
+156
+00:12:39,290 --> 00:12:44,780
+يدخل، سأتحدث الآن كيف يدخل هذا الهواء، وماذا يدخل وكيف
+
+157
+00:12:44,780 --> 00:12:50,640
+ما الذي يخرج،  لكن قبل هذا الكلام،  تحدثنا، إذا في
+
+158
+00:12:50,640 --> 00:12:57,140
+الفيلم،  في المرحلة الأولى،  تحدثنا
+
+159
+00:12:57,140 --> 00:12:59,860
+أن  الشهيق  نشط  في
+
+160
+00:12:59,860 --> 00:13:03,740
+الحجاب الحاجز،  والزفير سلبي،  يمكن
+
+161
+00:13:03,740 --> 00:13:06,700
+أن يدعم  الزفير  بعضلات  إضافية
+
+162
+00:13:09,170 --> 00:13:15,070
+الثانية طريقة للشهيق من خلال الأضلاع أيضاً
+
+163
+00:13:15,070 --> 00:13:23,490
+الشهيق يحتاج إلى انقباض عضلي،  والزفير
+
+164
+00:13:23,490 --> 00:13:27,650
+ليس محتاجاً إلى أن،  الداخلية تتقلص تتقلص تتقلص
+
+165
+00:13:27,650 --> 00:13:30,870
+تتقلص تتقلص تتقلص تتقلص تتقلص تتقلص تتقلص
+
+166
+00:13:30,870 --> 00:13:32,150
+تتقلص تتقلص تتقلص تتقلص تتقلص تتقلص تتقلص
+
+167
+00:13:32,150 --> 00:13:35,290
+تتقلص تتقلص تتقلص تتقلص تتقلص تتقلص تتقلص
+
+168
+00:13:35,290 --> 00:13:41,200
+تتقلص تتقلص  تبقى الرئتان،  تمام،  فهذا يؤدي إلى
+
+169
+00:13:41,200 --> 00:13:45,240
+إلى أن الثاني ستكون سلبية  passive أيضاً،  هذا يعطينا
+
+170
+00:13:45,240 --> 00:13:49,360
+وقت الشهيق أكثر من وقت الزفير،  لأن
+
+171
+00:13:49,360 --> 00:13:54,780
+هذا نشط وسريع،  والثاني مطول، لأنه يعمل
+
+172
+00:13:54,780 --> 00:14:01,
+
+223
+00:17:26,630 --> 00:17:38,670
+الـ rectus abdominis ها دي بتشد لتحت، هدول
+
+224
+00:17:38,670 --> 00:17:41,510
+التنتين إذا بيساعدوني في الـ إيه؟ في أن أعمل
+
+225
+00:17:41,510 --> 00:17:45,910
+forced expiration، طيب
+
+226
+00:17:45,910 --> 00:17:49,450
+لما بدي أنا أعمل inspiration قوي، بدي أعمل
+
+227
+00:17:49,450 --> 00:17:52,010
+inspiration قوي،  قلنا الأساس الـ external
+
+228
+00:17:52,010 --> 00:17:56,690
+intercostals، مين ممكن يساعدها؟ طبعًا احنا أساسًا لما
+
+229
+00:17:56,690 --> 00:17:59,670
+الـ external intercostal تتدخل، معناه أنا بدي .. بدي
+
+230
+00:17:59,670 --> 00:18:02,990
+force expiration لأن في العادة بيبقى ده pragmatic
+
+231
+00:18:02,990 --> 00:18:06,610
+expiration، فإذا دخلت أنا الـ external معناه أنا
+
+232
+00:18:06,610 --> 00:18:10,410
+بديت بدي إيه؟ مساعدة، بدي إشي أقوى، لكن ممكن بدي
+
+233
+00:18:10,410 --> 00:18:14,470
+أقوى أكثر، تتدخل عندي زي ما قلنا rectus abdominis
+
+234
+00:18:14,470 --> 00:18:17,210
+مسكة في الـ chest wall من تحت، بتشدوا لتحت
+
+235
+00:18:21,680 --> 00:18:25,800
+العضلات اللي مسكين هنا، الطويلة، هذي هذي واحدة
+
+236
+00:18:25,800 --> 00:18:28,240
+و هذي واحدة، بس طبعًا الناس اللي عندهم كمال أجسام
+
+237
+00:18:28,240 --> 00:18:31,820
+بيكون منظرها أحلى كتير من الرسمة هذه، فبتشد الـ
+
+238
+00:18:31,820 --> 00:18:35,880
+sternum، هذا هذا الـ sternum، بتشده لتحت فبتؤدي إلى
+
+239
+00:18:35,880 --> 00:18:42,040
+إيه الغرض من أنه تعمل expiration عندي؟
+
+240
+00:18:42,040 --> 00:18:47,140
+عضلات ثانية مسكة في الـ manubrium هنا، تمام؟ مسكة
+
+241
+00:18:47,140 --> 00:18:51,110
+هنا، عضلات هي اللي بنشوفها احنا كلها، هذه العضلة
+
+242
+00:18:51,110 --> 00:18:55,490
+sternocleidomastoid
+
+243
+00:18:55,490 --> 00:18:58,790
+وأحيانًا بيختصرها بيقول sternomastoid بدل ما يقول
+
+244
+00:18:58,790 --> 00:19:03,110
+sternocleido يعني clavicle، فالسرنة هي مسكة
+
+245
+00:19:03,110 --> 00:19:08,530
+على الـ joint، بتشده لفوق، مسكة فوق في الـ mastoid process
+
+246
+00:19:08,530 --> 00:19:12,930
+مش كده؟ sternocleidomastoid بترفع الـ chest لفوق
+
+247
+00:19:12,930 --> 00:19:19,710
+فبيصير الـ inspiration أقوى، وإيه السرعة في أنه يدخل
+
+248
+00:19:19,710 --> 00:19:26,990
+الهواء، انتقال أسرع، الـ sternocleidomastoid، أخذنا الـ
+
+249
+00:19:26,990 --> 00:19:28,790
+chest،  is that the serratus anterior؟
+
+250
+00:19:28,790 --> 00:19:32,310
+بتعرفوها؟ الـ serratus muscles ماسكة وين؟ على الـ
+
+251
+00:19:32,310 --> 00:19:36,290
+chest wall أو على مين؟ على الـ scapula، فأنا عشان هي
+
+252
+00:19:36,290 --> 00:19:39,610
+تشتغل وتساعدني في الـ inspiration، لازم أثبت الـ
+
+253
+00:19:39,610 --> 00:19:44,760
+scapula، في العادة الـ scapula هي اللي بتتحرك على الـ
+
+254
+00:19:44,760 --> 00:19:48,220
+chest wall، ثابتة يعني الـ end تبع الـ serratus
+
+255
+00:19:48,220 --> 00:19:50,940
+اللي جاية على الـ chest wall هو الثابت في العادة، و
+
+256
+00:19:50,940 --> 00:19:54,520
+الـ serratus بتستخدم لتحريك الـ إيه؟ الـ scapula، لكن
+
+257
+00:19:54,520 --> 00:19:58,220
+إن أنا إذا حركت الـ scapula وحطيت إيدي وبسكت بقوة
+
+258
+00:19:58,220 --> 00:20:00,740
+هيك مع الـ scapula، أنا حارّك، وأثبت، بصير استخدامها
+
+259
+00:20:00,740 --> 00:20:04,520
+تساعدني في تثبيت الطرف الثاني اللي هي الـ abdomen
+
+260
+00:20:04,520 --> 00:20:09,130
+والباقي اللي بتتعلق بالـ ribs، بصير الـ ribs اللي
+
+261
+00:20:09,130 --> 00:20:13,130
+بتتحرك، مش الـ scapula تتحرك، إذا لذلك بتلاقيه ماسك
+
+262
+00:20:13,130 --> 00:20:18,710
+في شيء، وبتنفس، معناه ماسكة، هادي معناه هو بيساعد، و
+
+263
+00:20:18,710 --> 00:20:24,090
+بيثبت الـ scapula، عشان الـ serratus muscles هي اللي
+
+264
+00:20:24,090 --> 00:20:28,690
+تصير الحركة بالعكس، تصير بدل ما الـ insertion يكون
+
+265
+00:20:28,690 --> 00:20:32,350
+في الـ scapula، الآن صار insertion في الـ ribs اللي
+
+266
+00:20:32,350 --> 00:20:33,690
+مثبت، الـ origin ثابت
+
+267
+00:20:36,350 --> 00:20:43,150
+والـ scalene muscles، بس كـ .. برضه في الـ two ribs
+
+268
+00:20:43,150 --> 00:20:47,650
+بس كلهم مع الـ .. مع الـ .. مع الـ .. الـ vertebra، لما
+
+269
+00:20:47,650 --> 00:20:50,330
+تدرسوا الـ hidranic بتدرسوها،  حقيقة ثانية درستوا
+
+270
+00:20:50,330 --> 00:20:56,820
+scalene muscles،  إنت؟ الـ .. الـ .. الـ .. اه؟  بيصير في
+
+271
+00:20:56,820 --> 00:21:00,380
+عندي تلاتة scalene muscles هتدرسوها أكثر أول ما
+
+272
+00:21:00,380 --> 00:21:04,240
+تدرسوا الـ hidden neck، أعتقد هي بتكون .. لأن هي بين
+
+273
+00:21:04,240 --> 00:21:07,140
+التانين، وإنت راسمها، أنا مش عارف، المهم هي بين
+
+274
+00:21:07,140 --> 00:21:11,320
+التانين، ماسكة فبتساعد برضه نفس الشيء، بترفع لفوق أو
+
+275
+00:21:11,320 --> 00:21:15,640
+أقل، بتثبت الـ .. الـ ribs، إذا كانت أثناء الـ
+
+276
+00:21:15,640 --> 00:21:18,440
+inspiration، الـ expiration العادية، يعني ليش
+
+277
+00:21:18,440 --> 00:21:23,100
+لما الـ muscles اللي هو الـ .. الـ external اتشد لفوق؟
+
+278
+00:21:24,810 --> 00:21:30,010
+بديها تساعدها، آخر واحدة فوق، فيش Intercostals يعني
+
+279
+00:21:30,010 --> 00:21:33,810
+آخر إيش فوق؟ مفترض إنه كل واحدة بتشد لتحتها، طب
+
+280
+00:21:33,810 --> 00:21:38,050
+الأولى هي هذه، من بتثبتها وتشدها، الـ scalene
+
+281
+00:21:38,050 --> 00:21:42,650
+muscles اللي موجودة بتثبتها بحيث إنه هي تقدر
+
+282
+00:21:42,650 --> 00:21:52,330
+تساعدها ترفعها، إذا عندنا احنا مجموعة من الـ
+
+283
+00:21:52,330 --> 00:21:56,550
+muscles بتساعد الـ external intercostal، الـ
+
+284
+00:21:56,550 --> 00:22:01,010
+sternocleidomastoid، الـ serratus muscles، الـ
+
+285
+00:22:01,010 --> 00:22:06,410
+anterior serratus، والـ scalene muscles، طيب
+
+286
+00:22:06,410 --> 00:22:13,430
+movement of air in and out of the lung and the
+
+287
+00:22:13,430 --> 00:22:16,590
+pressure that causes the movement، طيب الآن عشان
+
+288
+00:22:16,590 --> 00:22:22,570
+نفهم احنا الموضوع هنا، نفهم كيف بيصير الـ inspiration
+
+289
+00:22:22,570 --> 00:22:26,550
+الآن
+
+290
+00:22:26,550 --> 00:22:32,990
+احنا قلنا الـ lung زي الـ organs الأخرى، لها serous
+
+291
+00:22:32,990 --> 00:22:37,570
+sac، هي داخلة فيه، والـ serous sac لما تدخل فيه بتعمل
+
+292
+00:22:37,570 --> 00:22:41,270
+طبقتين، طبقة visceral على الـ organ
+
+293
+00:22:41,270 --> 00:22:44,570
+نفسه، على الـ viscus، وطبقة parietal على الـ chest
+
+294
+00:22:44,570 --> 00:22:52,290
+wall، مش كده؟ في العادة، في العادة هنا عندي أنا في في
+
+295
+00:22:52,290 --> 00:22:57,970
+الـ .. في الـ pleural cavity، هذه اسمها pleural، وهذا
+
+296
+00:22:57,970 --> 00:23:01,550
+الفرق بين الـ two layers، سميناها pleural cavity، في
+
+297
+00:23:01,550 --> 00:23:07,010
+القاعدة، في عندي أنا fluid دائمًا secreted، وعندي
+
+298
+00:23:07,010 --> 00:23:11,110
+lymphatics دائمًا بتشتغل، تمام؟ ففي دائرة الـ .. الـ
+
+299
+00:23:11,110 --> 00:23:15,370
+pleural، الـ fluid مش ثابت، متغير، secreted and إيه
+
+300
+00:23:15,760 --> 00:23:20,920
+reabsorbed again، والـ lymphatics بتعمل absorption
+
+301
+00:23:20,920 --> 00:23:24,900
+بقوة، بحيث إنه تمنع الزيادة نهائيًا، فدائمًا بحطه under
+
+302
+00:23:24,900 --> 00:23:29,040
+negative pressure
+
+303
+00:23:29,040 --> 00:23:35,540
+الـ negative pressure هذا، بيجرى يقاوم
+
+304
+00:23:35,540 --> 00:23:41,440
+الـ recoil تبع مين؟ تبع الـ lungs، يعني الـ lungs دائمًا
+
+305
+00:23:41,440 --> 00:23:47,010
+بتحاول إنها to recoil، يعني احنا لو نفخنا الـ .. الـ
+
+306
+00:23:47,010 --> 00:23:51,590
+pleural .. الـ pleural cavity، لو دخلنا إبرة هيك في الـ
+
+307
+00:23:51,590 --> 00:23:55,250
+chest wall، للـ pleural cavity، على طول النفس، و
+
+308
+00:23:55,250 --> 00:23:59,110
+هوووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووو
+
+309
+00:23:59,330 --> 00:24:04,350
+لأن الـ .. الـ .. الـ .. زي الـ lungs هذه محبوسة، بدها
+
+310
+00:24:04,350 --> 00:24:08,070
+تنضغط، مش جاهزة، تمام؟ ففي شيء بينسحب، يخليها to
+
+311
+00:24:08,070 --> 00:24:11,490
+collapse، to recoil، ففي شيء بيخليها، فبيصير
+
+312
+00:24:11,490 --> 00:24:14,810
+المفتوحة، مُعلقة، وواقع الأمر هي وكأنها مُلزقة في
+
+313
+00:24:14,810 --> 00:24:18,350
+الـ chest wall، بالـ negative pressure، لكنها مش
+
+314
+00:24:18,350 --> 00:24:22,490
+sealed، بمعنى مُلزقة وثابتة، لأن أثناء الـ respiration
+
+315
+00:24:22,490 --> 00:24:26,390
+بيصير sliding، وsliding ناعم، من غير ما يؤثر على الـ
+
+316
+00:24:26,390 --> 00:24:30,410
+chest wall ولا يؤثر على الـ lung tissue، تمام؟ إذا
+
+317
+00:24:30,410 --> 00:24:33,610
+في عندي أنا negative pressure ناتجة عن إنه في عندي
+
+318
+00:24:33,610 --> 00:24:37,670
+recoil، بدها ترجع، لكن الـ lymphatic منعت إنه أي fluid
+
+319
+00:24:37,670 --> 00:24:41,850
+يَزيد زيادة، فبتسحب بقوة، negative pressure، محافظة
+
+320
+00:24:41,850 --> 00:24:44,730
+على negative pressure، إذا البلورة كافية، دائمًا
+
+321
+00:24:44,730 --> 00:24:48,250
+under negative pressure، لما نجي ندرسها at
+
+322
+00:24:48,250 --> 00:24:52,100
+rest، واحنا واحنا مش أثناء عملية الـ inspiration
+
+323
+00:24:52,100 --> 00:24:55,300
+ولا أثناء عملية الـ expiration، واحنا واقفين بين الـ
+
+324
+00:24:55,300 --> 00:24:58,800
+inspiration والـ expiration، الهواء دخل ووقف، و
+
+325
+00:24:58,800 --> 00:25:03,520
+بعدين أنا ببدأ أطلّع، كمان مرة، بنرجع لـ minus five
+
+326
+00:25:03,520 --> 00:25:10,200
+centimeter water، تمام؟ إذا جينا الـ intra pleural
+
+327
+00:25:10,200 --> 00:25:19,150
+.. intra pleural pressure بيساوي إيه؟ ناقص خمسة سنتيمتر
+
+328
+00:25:19,150 --> 00:25:26,430
+ماء، طيب أنا أثناء ما بدي أعمل عملية الـ
+
+329
+00:25:26,430 --> 00:25:31,470
+inspiration، نزلت الـ diaphragm أو رفعت الـ ribs لفوق
+
+330
+00:25:31,470 --> 00:25:37,410
+وسّعت الـ chest cage، القفص الصدري هذا، اتزود حجمه
+
+331
+00:25:37,410 --> 00:25:43,270
+تمام، لما زاد حجمه، يعني شدّ البلورة الباريتالية برة
+
+332
+00:25:44,210 --> 00:25:49,110
+وسّعتها، وبما إن الـ fluid اللي بينها وبين الفصّرة
+
+333
+00:25:49,110 --> 00:25:54,290
+الرئة ومافيش مجال إنه يزيد، انسحب لأيه؟ للفصّرة
+
+334
+00:25:54,290 --> 00:25:58,330
+البلورة معها، والفصّرة، البلورة ملزقة في مين؟ في الـ
+
+335
+00:25:58,330 --> 00:26:02,910
+lung، تمام، مافيش فراغ اللي يهرب الضغط هذا، فاضطرت الـ
+
+336
+00:26:02,910 --> 00:26:08,050
+lung إنها تنشّد لبرة، معناه معناه حجم الـ lung زاد
+
+337
+00:26:08,050 --> 00:26:12,200
+معناه الهواء بيندفع من خلال الـ .. الماء الـ .. الـ ..
+
+338
+00:26:12,200 --> 00:26:17,580
+الـ respiratory passages إلى داخل الـ alveoli، تمام؟
+
+339
+00:26:17,580 --> 00:26:20,980
+جينا إذا احنا أثناء الـ contraction، الـ negative
+
+340
+00:26:20,980 --> 00:26:24,280
+pressure بيصل إلى سبعة ونص، الـ negative pressure
+
+341
+00:26:24,280 --> 00:26:30,500
+بيصل إلى سبعة ونص، وهذا بيؤدي إلى أنه يعمل شد على
+
+342
+00:26:30,500 --> 00:26:36,390
+الـ lung tissue، الـ lung tissue هتشد على الـ alveoli
+
+343
+00:26:36,390 --> 00:26:42,530
+جوا، تفتحها، لأن عليها شد من برا، كلها تتوسع، فبتشد
+
+344
+00:26:42,530 --> 00:26:45,190
+على الـ alveoli، الـ alveoli بيصير فيها negative
+
+345
+00:26:45,190 --> 00:26:49,750
+pressure، فيندفع الهواء عشان يعدل الـ pressure، تمام؟
+
+346
+00:26:49,750 --> 00:26:53,310
+وبيؤدي إلى اتزان، بعد ما الهواء يدخل في داخل الـ
+
+347
+00:26:53,310 --> 00:26:57,690
+alveoli، طبعًا اندفع هو بفعل إن في عندي negative
+
+348
+00:26:57,690 --> 00:27:01,990
+pressure، لكن لما اندفع، الـ pressure إيش؟ راح يتعادل
+
+349
+00:27:01,990 --> 00:27:05,950
+مع الـ atmosphere، هو أساسًا الهواء في الـ alveoli
+
+350
+00:27:05,950 --> 00:27:09,070
+مفتوح على الـ .. على الـ atmospheric air، فالـ
+
+351
+00:27:09,070 --> 00:27:13,590
+pressure جوه بيساوي الـ atmospheric air، مش كده؟ الآن
+
+352
+00:27:13,590 --> 00:27:18,550
+لما صار عندي أنا inspiration، وأنا شدّيت على الـ
+
+353
+00:27:18,550 --> 00:27:21,110
+alveoli من برا، هيك فتحت، بصير فيها negative
+
+354
+00:27:21,110 --> 00:27:25,170
+pressure، فبيدفع الهواء، بيعود الـ pressure بيصير 0
+
+355
+00:27:25,170 --> 00:27:29,690
+تمام؟ بعدين أنا بدي أنا أطلّع الهواء، الـ recoil تبع
+
+356
+00:27:29,690 --> 00:27:33,370
+الـ tissues هذه، أو الـ recoil تبع الـ chest wall، أو
+
+357
+00:27:33,370 --> 00:27:38,450
+الـ active pressure اللي أنا بدي أعمله، بيدغط الـ
+
+358
+00:27:38,450 --> 00:27:44,370
+tissue، بيضغط الـ chest wall، chest size، الـ KG، بيقلّ
+
+359
+00:27:44,370 --> 00:27:48,050
+حجمه، لإني أنا ضغطت، فبدي أنا أزيد الـ pressure على
+
+360
+00:27:48,050 --> 00:27:52,500
+مين؟ الـ lung، زاد pressure على الـ alveoli، صار عند
+
+361
+00:27:52,500 --> 00:27:56,340
+الـ alveoli فيها positive pressure، هذا أدى إلى إنه
+
+362
+00:27:56,340 --> 00:28:01,410
+إيه؟ بيخرج الهواء من أول وجديد، تمام؟ وهكذا، إذا
+
+363
+00:28:01,410 --> 00:28:03,890
+الدائرة بتدور، أنا بعمل negative pressure، بسحب
+
+364
+00:28:03,890 --> 00:28:09,290
+بالهواء، بعدين بعمل ضغط خارجي، بيخرج الهواء، أثناء
+
+365
+00:28:09,290 --> 00:28:13,590
+الحركة الأولى بيكون في عنده negative pressure أو
+
+366
+00:28:13,590 --> 00:28:16,610
+positive pressure، بس بعد شوية بصير equilibrium، يعني
+
+367
+00:28:16,610 --> 00:28:23,010
+في نهايتها برجع للسفر الـ .. الـ .. الـ .. الـ intra
+
+368
+00:28:23,010 --> 00:28:26,190
+.. الـ intrapleural pressure، برجع من أول وجديد لإيه؟ لـ
+
+369
+00:28:26,190 --> 00:28:28,750
+atmospheric، اللي يعتبره الـ zero، يعني، النقطة
+
+370
+00:28:28,750 --> 00:28:32,790
+البداية منها، تمام؟ إذا يا إما بينقص شوية،
+
+371
+00:28:32,790 --> 00:28:37,710
+بيسحبوا هواء، بيرجعوا يتعادلوا، بيزيدوا شوية، بيطلعوا
+
+372
+00:28:37,710 --> 00:28:40,450
+شوية هواء، وبيتّعادل، وهكذا، بتكمل العملية، طالعة
+
+373
+00:28:40,450 --> 00:28:47,020
+داخل، مش كده؟ هذا بالنسبة لمين؟ لعملية الـ إيه؟ الـ
+
+374
+00:28:47,020 --> 00:28:50,040
+inspiration والـ expiration، وفهمنا فيها إن
+
+375
+00:28:50,040 --> 00:28:55,640
+البلورة اللي برا، هادي مخلّية الـ lungs ساحبين
+
+376
+00:28:55,640 --> 00:28:58,460
+lungs بسبب الـ negative pressure موجودة بينهم
+
+377
+00:28:58,730 --> 00:29:04,090
+ساحبينها إلى الـ chest wall، تمام، و .. وكأنها ملتصقة
+
+378
+00:29:04,090 --> 00:29:10,310
+كأنها حاطين احنا يعني أي صمغ ماسكها، لكن واقع الأمر
+
+379
+00:29:10,310 --> 00:29:14,090
+لو في صمغ مشكلة، فهو دي أحسن من الصمغ، مشدودة بـ
+
+380
+00:29:14,090 --> 00:29:17,450
+negative pressure، لكن هذا لأنه إيه؟  اتّخرج عشان
+
+381
+00:29:17,450 --> 00:29:22,510
+ما يعملش friction، طيب
+
+382
+00:29:22,510 --> 00:29:29,430
+إذا الآن، في تغيرات بتصير في .. في تغيرات بتصير على
+
+383
+00:29:29,430 --> 00:29:35,570
+مستوى إيش؟ على مستوى الـ pleural pressure، بمعنى إنه
+
+384
+00:29:35,570 --> 00:29:38,570
+هنا، أنا بدأت الـ inspiration، هنا النقطة دي أنا مش
+
+385
+00:29:38,570 --> 00:29:42,990
+هأوضح عليها، لما بدأت الـ inspiration من minus five
+
+386
+00:29:42,990 --> 00:29:48,450
+كانت الـ intra pleural pressure، تمام، الـ chest cage
+
+387
+00:29:48,450 --> 00:29:53,190
+زاد حجمه، فبِعمِل إيه؟ more negative pressure في
+
+388
+00:29:53,190 --> 00:29:58,590
+الـ .. في الـ .. في الـ intrapleural fluid اللي موجود
+
+389
+00:29:58,590 --> 00:30:01,550
+بين الـ two layers space، هذا زاد في الـ negative
+
+390
+00:30:01,550 --> 00:30:08,610
+pressure، نزل لسبعة ونص، تمام؟ وبعدين بيعود بيط
+
+445
+00:34:23,260 --> 00:34:28,040
+بالظبط أنتَ بتحس فيه، أنا شدّته سنتي، أنتَ بتتقدم سنتي
+
+446
+00:34:28,040 --> 00:34:32,040
+تمام، لكن الموجات اللي بيني وبينك، لو أنا شدّتها
+
+447
+00:34:32,040 --> 00:34:34,980
+أنتَ بتحس أنه ضغط هزار، حتى بتتحركش بحالها، بتبقى
+
+448
+00:34:34,980 --> 00:34:40,020
+بيسكها، مش كده؟ بتحس أنه شدّ عليكي، لكن غير قابلة
+
+449
+00:34:40,020 --> 00:34:43,700
+أنها إيه؟ أن ممكن تمنعيها، أنها إيه؟ أنها تجسر، لكن
+
+450
+00:34:43,700 --> 00:34:46,780
+الحبل اللي، يمكن، مدام شدّته أنتَ وياها، هتيجي إيه في
+
+451
+00:34:46,780 --> 00:34:52,860
+اتجاه الحبل؟ ليش؟ هذا له إلاستيسيتي، إِلاستِيك، وهذا ليس
+
+452
+00:34:52,860 --> 00:34:57,060
+له إِلاستِيسيتي، مرونة، فبأدّي أنا لذلك الضغط اللي أنا
+
+453
+00:34:57,060 --> 00:35:00,860
+بعمله في البلورة، اتنين ونص، عشان أنْتَقِل للـ
+
+454
+00:35:00,860 --> 00:35:04,180
+alveoli، زي أنا بشدّ، مغيطة جاهزة، حوالي الـ tissues
+
+455
+00:35:04,180 --> 00:35:08,840
+هذه إِلاستِيك، تمام؟ فبينتقلش كله إلى الـ alveolus
+
+456
+00:35:08,840 --> 00:35:13,580
+فبيروح من أين؟ هي دائماً مغيطة، راحة، جاهزة، فتركيبها
+
+457
+00:35:13,580 --> 00:35:19,330
+مادّتها، أنها ترجع، عشان تطوّر الهواء وتفتح هذه
+
+458
+00:35:19,330 --> 00:35:22,930
+الـ elasticity في تركيبها، أدّت إلى أن الضغط اللي أنا
+
+459
+00:35:22,930 --> 00:35:28,290
+بعمله، مش كله بينتقل إلى الـ intra-alveolar surface
+
+460
+00:35:28,290 --> 00:35:31,390
+هنا في المنطقة هذه، الـ alveolar surface، لأ، جزء منه
+
+461
+00:35:31,390 --> 00:35:36,170
+ب ينتقل، تمام؟ وجزء منه بيروح في الـ  tissues، الـ
+
+462
+00:35:36,170 --> 00:35:41,070
+elasticity تبع الـ tissues، تمام؟ طيب، لو كان الـ
+
+463
+00:35:41,070 --> 00:35:46,570
+tissues stiff، كان اتحركوا بعدين، بدّي أنا بدّي أعمله في الحالة
+
+464
+00:35:46,570 --> 00:35:51,190
+هذه، ويكون عندي الـ inspiration active، وبدّي أبطّل
+
+465
+00:35:51,190 --> 00:35:54,730
+أنا أما الـ inspiration كمان active، تمام؟ لكن أنا
+
+466
+00:35:54,730 --> 00:36:01,110
+بالـ elasticity هذه، بيخلي أنه إيه؟ الـ الـ الـ
+
+467
+00:36:01,110 --> 00:36:07,050
+inspiration أهْبَط، غير كده أنا بقدر أنفخ الرئة أكثر
+
+468
+00:36:07,050 --> 00:36:11,570
+من ما بدّي، لو أنه مش elastic، أنا عندي حد معيّن وبدّي
+
+469
+00:36:11,570 --> 00:36:14,950
+اشتغل عليه، نص سنتيمتر، ونص سنتيمتر، ونص سنتيمتر، ونص
+
+470
+00:36:14,950 --> 00:36:19,550
+سنتيمتر، ما فيش مجال أن إيه؟ أفتح أكثر، ليش؟ لأن هذه إذا
+
+471
+00:36:19,550 --> 00:36:23,810
+فتحتها، بتمزّع، الحبل، شدّنا عليه أكثر، بنكسر، لكن
+
+472
+00:36:23,810 --> 00:36:29,030
+المقاومة giving way، بتعطيني فرصة أن أعمل ضغط أكثر
+
+473
+00:36:29,030 --> 00:36:32,650
+وأخد inspiratory volume، أو أطلع inspiratory volume
+
+474
+00:36:32,650 --> 00:36:35,370
+أكثر وأكثر، مظبوط؟ إذا بتعطيني مجال الـ elasticity
+
+475
+00:36:35,370 --> 00:36:39,910
+هذه، أن آخذ أكثر وأطلع أكثر، مش كده؟ لكن الفرق
+
+476
+00:36:39,910 --> 00:36:42,870
+البسيط، أن الـ intrapulmonary pressure، مش كله بينتقل
+
+477
+00:36:42,870 --> 00:36:47,250
+إلى إيه؟ الـ intra-alveolar pressure، لكن هذه مسألة
+
+478
+00:36:47,250 --> 00:36:51,030
+مش مهمة كتير، ليش؟ يعني عندي تركيبة واسعة، أجلب
+
+479
+00:36:51,030 --> 00:36:54,050
+pressure بسيط في داخل الـ alveoli، بيدخل الهواء
+
+480
+00:36:54,050 --> 00:36:57,780
+المطلوب، مش محتاجين إحنا إيه؟ أنّه قوة كبيرة، أنها
+
+481
+00:36:57,780 --> 00:37:03,620
+بتنتقل، لأن التركيبة كويسة، الـ الـ الـ الـ
+
+482
+00:37:03,620 --> 00:37:07,060
+الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+483
+00:37:07,060 --> 00:37:07,280
+الـ الـ الـ الـ الـ الـ الـ الـ
+
+484
+00:37:07,280 --> 00:37:07,740
+الـ الـ الـ الـ الـ الـ الـ الـ
+
+485
+00:37:07,740 --> 00:37:07,980
+الـ الـ الـ الـ الـ الـ الـ الـ
+
+486
+00:37:07,980 --> 00:37:09,500
+الـ الـ الـ الـ الـ الـ الـ الـ
+
+487
+00:37:09,500 --> 00:37:09,620
+الـ الـ الـ الـ الـ الـ الـ الـ
+
+488
+00:37:09,620 --> 00:37:09,720
+الـ الـ الـ الـ الـ الـ الـ الـ
+
+489
+00:37:09,720 --> 00:37:12,500
+الـ الـ الـ الـ الـ الـ الـ الـ
+
+490
+00:37:12,500 --> 00:37:21,040
+الـ الـ الـ الـ
+
+491
+00:37:23,530 --> 00:37:28,670
+والـ alveolar pressure، الفرق اللي راح، عادةً سمّيناها Trans
+
+492
+00:37:28,670 --> 00:37:33,070
+Pulmonary Pressure، شفطوا، أكلوا الـ elasticity والـ
+
+493
+00:37:33,070 --> 00:37:36,730
+recoil activity اللي إحنا محتاجينها للغُزُّ، إحنا
+
+494
+00:37:36,730 --> 00:37:38,550
+محتاجينه بالـ reportage تبعت للغُزُّ، نكون عندنا
+
+495
+00:37:38,550 --> 00:37:42,690
+مواصفات، عادي، لأشياء كتير مهمة، لكن هي في فرج بيروح
+
+496
+00:37:42,690 --> 00:37:46,210
+في داخل إيه؟ الـ lung tissue، زي ما راح في الموقع
+
+497
+00:37:46,210 --> 00:37:51,010
+أنها بتشدّ، دهان، بقوة شديدة، لكن هناك المقاومة بسيطة
+
+498
+00:37:51,010 --> 00:37:55,050
+لأن الشدّ على اللي عندها، ما فيش شدّ كتير، تمام؟ ما فيش
+
+499
+00:37:55,050 --> 00:37:58,870
+شدّ كتير، لأن الشيء راح في عملية فرد الـ elastic
+
+500
+00:37:58,870 --> 00:38:02,830
+tissues، آه، وإحنا بنشدّ، فردت معايا، بدل ما تمشي معايا
+
+501
+00:38:02,830 --> 00:38:06,890
+لأ، هي الـ الـ الـ الـ الـ tissues، الـ lung tissues فيها
+
+502
+00:38:06,890 --> 00:38:10,930
+elastic tissue، وهذا kind of tissues، وأنا بشدّ فيها
+
+503
+00:38:10,930 --> 00:38:15,750
+بدل ما هي كلها ترجع، لها تفرد، فبتعطيني أن أنا بعمل
+
+504
+00:38:15,750 --> 00:38:19,810
+قوة لفردها، وجزء من فردها بيبقى في الطرف الثاني، بنشدّ
+
+505
+00:38:19,810 --> 00:38:24,010
+شوية، يعني مش كله إيه؟ بينتقل إلى حركة مقابلة مساوية
+
+506
+00:38:25,950 --> 00:38:30,330
+طيب، الـ alveolar pressure، اتكلمنا عنه إذا، وقلنا
+
+507
+00:38:30,330 --> 00:38:34,790
+أنه في عندنا transpulmonary pressure، اللي هو
+
+508
+00:38:34,790 --> 00:38:41,750
+الفرق بين الـ إيه؟ الـ two pressures، ممكن نسميه الـ
+
+509
+00:38:41,750 --> 00:38:45,110
+recoil pressure، هو اللي إيه؟ نفس الـ elasticity
+
+510
+00:38:45,110 --> 00:38:49,790
+انفرضناها ورجعناها، وهو نفس القوة، compliance of
+
+511
+00:38:49,790 --> 00:38:54,350
+the lung، إيش يعني compliance؟ إيش يعني compliance؟
+
+512
+00:38:55,800 --> 00:39:03,400
+إيه؟ يعني المطاوعة، تمام؟ يعني أنا إذا نفختها، إذا
+
+513
+00:39:03,400 --> 00:39:09,600
+.. إذا .. إذا حطيت ضغط عليها، قداش ضغطها ده بيساوي
+
+514
+00:39:09,600 --> 00:39:13,880
+نتيجة، تمام؟ يعني إذا ضغطتها بواحد سنتيمتر
+
+515
+00:39:13,880 --> 00:39:20,060
+water، ضغط، نفختها، قداش بتنتفخ، تمام؟ يعني قداش
+
+516
+00:39:20,060 --> 00:39:25,360
+تأثير الـ one unit of pressure على الـ lung، how the
+
+517
+00:39:25,360 --> 00:39:30,180
+lung responds to إيه؟ to the changes in pressure، الـ
+
+518
+00:39:30,180 --> 00:39:34,500
+compliance، the extent to which the lungs will
+
+519
+00:39:34,500 --> 00:39:38,100
+expand for each unit increase in the trans
+
+520
+00:39:38,100 --> 00:39:43,600
+pulmonary pressure، تمام؟ الـ compliance يعني إحنا
+
+521
+00:39:43,600 --> 00:39:49,020
+شدّناها باتنين ونص، هذا الشدّ تبعنا بقى اتنين ونص
+
+522
+00:39:49,020 --> 00:39:55,620
+لكن اتنين ونص هذول عملولي كده؟ خمسماية مل، تمام؟
+
+523
+00:39:55,620 --> 00:40:02,120
+اتنين ونص عملولي خمسماية مل، يعني بمعنى أن الـ one
+
+524
+00:40:02,120 --> 00:40:09,700
+centimeter water الواحد، بينعكس على inflation كده
+
+525
+00:40:09,700 --> 00:40:13,740
+من الخمسماية؟ مئتين، مئتين
+
+526
+00:54:03,220 --> 00:54:06,680
+لذلك، كل واحد سنتيمتر pressure، بيعمل إيه؟ بيزيد
+
+527
+00:54:06,680 --> 00:54:11,080
+الـ volume تبع الـ lung، ستين تان، بيزيدهم كلهم مع بعض
+
+528
+00:54:11,080 --> 00:54:14,060
+الـ volume اللي بيزيد، مائتين ملّي لتر، لأنه اتنين و
+
+529
+00:54:14,060 --> 00:54:18,700
+نصف، بيزيدولي خمسماية ملّي لتر، تمام؟ يعني لو نفخنا الـ
+
+530
+00:54:18,700 --> 00:54:22,860
+إيه؟ الـ lung، نفخ، الضغط اللي أنا بدّيه، بدّيها
+
+531
+00:54:22,860 --> 00:54:26,260
+بدّيها، أن أدّت، بدّيها، هو هو، ده same
+
+532
+00:54:26,810 --> 00:54:30,270
+الـ lung كالـ lung، تمام؟ بلاقي كل ضغط بزيده أنا، بتزيد
+
+533
+00:54:30,270 --> 00:54:34,430
+هي زي البالون، بنتفخ شوية، بزيد الضغط، بنتفخ، بزيد
+
+534
+00:54:34,430 --> 00:54:36,490
+الضغط أكثر، بنتفخ أكثر، بزيد الضغط أكثر، بنتفخ أكثر
+
+535
+00:54:36,490 --> 00:54:43,670
+مش كده؟ لما أزيد لـ 200، بلاقيها انتفخت إيه؟ إلى واحد
+
+536
+00:54:43,670 --> 00:54:48,150
+إلى 200، 200 milliliter، بتزيد، هكذا، تمام؟ إذا الـ
+
+537
+00:54:48,150 --> 00:54:52,250
+compliance، each one pressure unit increases the
+
+538
+00:54:52,250 --> 00:54:56,950
+lung volume إلى إيه؟ مئتين milliliter، واضح؟ هذا إيه؟
+
+539
+00:54:56,950 --> 00:55:03,710
+الـ compliance، الـ compliance هذا عملناله
+
+540
+00:55:03,710 --> 00:55:09,730
+إحنا إيه؟ عملناله curve، هيك، الـ compliance diagram
+
+541
+00:55:09,730 --> 00:55:15,070
+of the lung، هذا إيه؟ الـ compliance، كيف يعني؟ وأنا
+
+542
+00:55:15,070 --> 00:55:19,610
+بنفخ فيه، في الـ lung، الـ lung بتزيد، خلينا نبدأ من
+
+543
+00:55:19,610 --> 00:55:22,650
+هنا، تمام؟ أو أنا بشفط، في الـ intrapulmonary pressure
+
+544
+00:55:22,650 --> 00:55:28,410
+تمام، الـ lung volume إيه؟ بيزيد، فلو إحنا حطينا من
+
+545
+00:55:28,410 --> 00:55:34,950
+level معيّن، مثلاً من الـ minus four، مثلاً، و
+
+546
+00:55:34,950 --> 00:55:39,470
+زودنا أربعة point one، أربعة point two، أربعة point
+
+547
+00:55:39,470 --> 00:55:44,410
+three، درجة، درجة، درجة، درجة، وكل درجة حطيناها بعد ما
+
+548
+00:55:44,410 --> 00:55:49,110
+زودنا الـ intrapulmonary pressure، زودنا .. جلّينا يعني ..
+
+549
+00:55:49,110 --> 00:55:52,470
+زودنا الـ negativity، أقصد، يعني جلّينا الضغط جوة في
+
+550
+00:55:52,470 --> 00:55:56,150
+داخل الـ  بلورة، وصبرنا نشوف لون بيصلي الـ volume، يعني
+
+551
+00:55:56,150 --> 00:55:59,810
+مدّينا عشر ثواني، عشان إيه؟ تعمل equilibrium، آه، زاد
+
+552
+00:55:59,810 --> 00:56:02,790
+الـ volume، هلق على اتنين، زاد volume على تلاتة، زاد
+
+553
+00:56:02,790 --> 00:56:07,350
+هلق على أربعة، أو آه، بـ بنجسّ بنجسّ بنجسّ الضغط، فعملت
+
+554
+00:56:07,350 --> 00:56:10,610
+الـ curve هذا، أنا إذا كان بسمّيه inspiratory
+
+555
+00:56:10,610 --> 00:56:16,150
+compliance curve أو diagram، أديان الشكل هذا، تمام؟
+
+556
+00:56:16,520 --> 00:56:21,710
+إذا عندي لحظة، أنه من بعد الخمسة، بيصير عندي إيه؟ لحدّ
+
+557
+00:56:21,710 --> 00:56:28,970
+ما أسرع الردّ الفعل، لذلك الـ الـ الـ الـ الـ الـ الـ الـ
+
+558
+00:56:28,970 --> 00:56:30,870
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+559
+00:56:30,870 --> 00:56:32,310
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+560
+00:56:32,310 --> 00:56:32,710
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+561
+00:56:32,710 --> 00:56:32,830
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+562
+00:56:32,830 --> 00:56:33,130
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+563
+00:56:33,130 --> 00:56:34,470
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+564
+00:56:34,470 --> 00:56:38,650
+الـ الـ الـ الـ الـ
+
+565
+00:56:38,650 --> 00:56:38,750
+الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ الـ
+
+566
+00:56:50,790 --> 00:56:55,530
+يعني أنا هاخد force أكبر، أعمل force أكبر، عشان أنا
+
+567
+00:56:55,530 --> 00:57:00,210
+أنا أجيب نتائج أقل، لذلك جئنا minus five، هي الـ إيه؟
+
+568
+00:57:00,210 --> 00:57:03,690
+الـ intrapulmonary pressure، بحيث بعد الـ minus five، أجل
+
+569
+00:57:03,690 --> 00:57:08,230
+زيادة، بتعطيني أحسن أحسن inflation، تمام؟ لاحظوا
+
+570
+00:57:08,230 --> 00:57:10,950
+الكُرْف ده، ليش؟ ممكن الشكل هذا، لذلك إحنا جئنا
+
+571
+00:57:10,950 --> 00:57:14,990
+النجوم في داخل البلورة، minus five، ليش؟ لأنه الـ
+
+572
+00:57:14,990 --> 00:57:19,350
+minus five هذه، أعطتني ردود فعل أفضل كتير من ما تكون
+
+573
+00:57:19,350 --> 00:57:26,570
+أجل من هيك، minus five، هنا دراسة معمولة لحدّ ستة، و
+
+574
+00:57:26,570 --> 00:57:30,110
+بعدين رجعنا إحنا، نرجع من أول وجديد، جئنا غريبة
+
+575
+00:57:30,110 --> 00:57:33,490
+جداً في الموضوع، أن في معظم الأشياء، لما نعمل إحنا
+
+576
+00:57:33,490 --> 00:57:37,630
+issue ونعكسه، برجع نفس الخط، لأ، الـ lines، ما برجعش نفس
+
+577
+00:57:37,630 --> 00:57:43,850
+الخط، الـ inspiratory curve، compliance، بشكل، والـ
+
+578
+00:57:43,850 --> 00:57:49,060
+exploratory compliance، بشكل آخر، برضه، هان اللي بيجِي
+
+579
+00:57:49,060 --> 00:57:53,700
+شوية، شوية، شوية، في أوّلها، وبعد الخمسة، تمام؟ بعد
+
+580
+00:57:53,700 --> 00:57:58,700
+الخمسة، بينزل أسرع، تمام؟ اللي هي مش مثلها، إحنا في
+
+581
+00:57:58,700 --> 00:58:02,440
+العادية، هذه الخمسة في الطبيعي عندنا، فدائماً إيه؟
+
+582
+00:58:02,440 --> 00:58:07,820
+بيكون عندنا الـ expiration أبطأ، بياخذ من ده أطول
+
+583
+00:58:07,820 --> 00:58:11,820
+تمام؟ والـ expiration، الـ inspiration بياخد ..
+
+584
+00:58:11,820 --> 00:58:17,030
+بيكون أسرع، ما علينا، هو diaphragm، العجيب فيه، الغريب
+
+585
+00:58:17,030 --> 00:58:24,510
+فيه، أن الـ two curves، أن هما عكس بعض، مش بتطبّقوش، ما
+
+586
+00:58:24,510 --> 00:58:28,970
+بتطبّقوا، تمام؟ لما أبدأ أنا أجلّ الـ pressure، هان
+
+587
+00:58:28,970 --> 00:58:35,970
+ما برجعش الـ curve من أول وجديد، هان، لأ، الـ volume
+
+588
+00:58:35,970 --> 00:58:40,670
+بأجل، أجل، من ما كان طلع، طلع بسرعة، لكن هو بأجل، بأجل، أجل
+
+589
+00:58:40,670 --> 00:58:42,750
+أجل، أجل، أجل، أجل، أجل، أجل، أجل، أجل، أجل، أجل، أجل
+
+590
+00:58:42,750 --> 00:58:48,110
+أجل، أجل، بسبب إيه؟ بسبب أن الـ recoil هذا بياخذ وقت
+
+591
+00:58:48,110 --> 00:58:54,870
+أنا بنزل الـ .. تمام؟ لما سحبته أنا active، سحبته
+
+592
+00:58:54,870 --> 00:58:59,330
+بسرعة، رجعته، بس هو برجع بقوّته، برجع بالـ structure
+
+593
+00:58:59,330 --> 00:59:03,050
+تبعه، المهم هذا هو الـ curve تبعه، inspiratory و
+
+594
+00:59:03,050 --> 00:59:07,910
+expiratory curve، هذا هنستخدمه من حاجة واحدة، يعني
+
+595
+00:59:07,910 --> 00:59:11,620
+إيش قيمته كتيرة، هذا الـ compliance curve تبع الطبيعي
+
+596
+00:59:11,620 --> 00:59:18,320
+الـ lung، في الطبيعي، هنستفيد منه في معرفة أهمية حاجة
+
+597
+00:59:18,320 --> 00:59:21,820
+اسمها surfactant، والـ surface tension، والكلام هذا
+
+598
+00:59:21,820 --> 00:59:25,920
+تمام؟ من هنا إحنا الـ curve هذا، أثّر له تطبيق في
+
+599
+00:59:25,920 --> 00:59:31,300
+الدراسة تبع الـ lung، بفهمنا شيء معيّن، هنستفيد منه
+
+600
+00:59:31,300 --> 00:59:35,640
+بعد شوية، في حدّ ذاته، هو إيش قيمته، أنه الـ inspiratory
+
+601
+00:59:35,640 --> 00:59:39,010
+ماشي بالشكل هذا، والـ expiratory ماشي بالشكل هذا، مش
+
+602
+00:59:39,010 --> 00:59:42,270
+هيفيدنا كتير، يعني، مش هيفيدنا كتير، المفهوم الـ curve
+
+603
+00:59:42,270 --> 00:59:57,970
+هذا، لكنّه بعد شوية هنفهم القصة، طيب
+
+604
+00:59:57,970 --> 01:00:02,210
+the elastic forces of the lungs can be divided into
+
+605
+01:00:02,210 --> 01:00:07,
+
+667
+01:04:48,590 --> 01:04:54,360
+إذا هذه الأشياء، بعدين احنا الآن بنغوص في المفهوم الـ
+
+668
+01:04:54,360 --> 01:04:56,800
+lung الجديد. بطلنا احنا كنا مش فاهمين، نتكلم عن
+
+669
+01:04:56,800 --> 01:05:00,100
+anatomy، حقيقة هنخش نتكلم على إيه؟ الـ physiology الـ
+
+670
+01:05:00,100 --> 01:05:04,480
+function، إزاي بيصير. طيب، الـ elastic forces of the
+
+671
+01:05:04,480 --> 01:05:10,260
+lung are determined mainly، الـ lung نفسه بتتحدد
+
+672
+01:05:10,580 --> 01:05:13,860
+بالتركيبة بتاعت الـ lung tissue اللي هو عندي الستروم
+
+673
+01:05:13,860 --> 01:05:20,880
+وكل جزء وهدول كما قلنا kinged بطريقة معينة بحيث
+
+674
+01:05:20,880 --> 01:05:24,840
+أنه ممكن ينفردوا، بس بمجرد ما يرجعوا يعملوا king king
+
+675
+01:05:24,840 --> 01:05:28,400
+فتلاقي ما تعملش أي force بتفردهم، لما تسيبهم يعودوا
+
+676
+01:05:28,400 --> 01:05:34,440
+إيه من جديد؟ بس هذه اللي هي الموضوع الخطير بتاعنا، الـ
+
+677
+01:05:34,440 --> 01:05:38,450
+elastic forces that caused by self extension are
+
+678
+01:05:38,450 --> 01:05:42,450
+much more complex، مش بهالسهولة هذه. تمام، فهمنا
+
+679
+01:05:42,450 --> 01:05:46,330
+احنا الفكرة بتاعتنا، فهمنا الفكرة بتاعتنا، وعشان نشوف
+
+680
+01:05:46,330 --> 01:05:51,170
+احنا الـ surface tension هذا قد إيه أهميته، قد إيه
+
+681
+01:05:51,170 --> 01:05:56,850
+أهميته، نحاول نشوف الـ compliance بتاع الـ lung إيه هو.
+
+682
+01:05:56,850 --> 01:05:59,250
+الآن اللي بيحدد الـ compliance، اللي بيحدد الـ
+
+683
+01:05:59,250 --> 01:06:02,650
+compliance، قد إيه بيقوم الـ inflation، الـ recoil
+
+684
+01:06:02,650 --> 01:06:09,030
+forces، الـ recoil forces قلنا صارت مجسمة جسمانياً،
+
+685
+01:06:09,030 --> 01:06:16,430
+Structured Issues، والفيلم. طيب، الآن.. الآن أنا هل
+
+686
+01:06:16,430 --> 01:06:21,230
+الـ compliance هذا، كل واحدة من الـ forces هذه كده
+
+687
+01:06:21,230 --> 01:06:26,120
+بتأثر فيه؟ تمام؟ أنا لو الـ compliance بتاع الـ
+
+688
+01:06:26,120 --> 01:06:29,200
+tissues، الـ elasticity، أقل شوية، كان النفخة بتاعت
+
+689
+01:06:29,200 --> 01:06:51,400
+ووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووو
+
+690
+01:06:51,520 --> 01:06:55,540
+بدي أحاول أن ألغي واحد منهم عشان أشوف الواحد لحاله
+
+691
+01:06:55,540 --> 01:07:00,480
+كيف تأثيره، بكده بقدر أميز إذا الـ curve الرئيسي هذا
+
+692
+01:07:00,480 --> 01:07:08,000
+تمام؟ شايفين كيف مربّط؟ بالراحة بيشتغل. الآن لو أنا
+
+693
+01:07:08,000 --> 01:07:14,080
+حاولت أشيل الـ surface tension factor، كيف ممكن
+
+694
+01:07:14,080 --> 01:07:19,660
+أشيله؟ بدي أجيب lung وبعدين بدي أنغّس self
+
+695
+01:07:19,660 --> 01:07:25,160
+-extension، أعبيها saline، أعبيها ميه، أعبيها ميه،
+
+696
+01:07:25,160 --> 01:07:29,300
+تمام؟ يعني زي بلون ملياني الآن ميه، أنا هأبدأ أنفخه
+
+697
+01:07:29,300 --> 01:07:34,000
+الآن مش بالإيه؟ بالهواء، بدي أنفخه بالميه، تمام؟ و
+
+698
+01:07:34,000 --> 01:07:37,160
+بدي أنقص الميه اللي فيه عشان أعمل negative
+
+699
+01:07:37,160 --> 01:07:40,780
+pressure، أشوف الـ record بتاعه كده، أو أدخل ميه عشان
+
+700
+01:07:40,780 --> 01:07:45,330
+إيه؟ أعمل نفيعي. يعني بدي أشيل الـ factor بتاع الـ surface
+
+701
+01:07:45,330 --> 01:07:48,490
+tension هذا، لإن صار كله مليان ميه، مافيش surface
+
+702
+01:07:48,490 --> 01:07:52,990
+tension يحاول يشد الـ.. لأ، أَكسِرت كلها من الـ.. الـ
+
+703
+01:07:52,990 --> 01:07:57,230
+alveoli، للتراكيب كلها مليانة ميه، تمام؟ وأدرس الـ
+
+704
+01:07:57,230 --> 01:08:03,690
+compliance بتاعها، بلاقي أنه أنا أي brochure بعمله، و
+
+705
+01:08:03,690 --> 01:08:08,370
+برسمه على طول، غير لما فيها هواء، لما حطيت فيها ميه
+
+706
+01:08:08,370 --> 01:08:09,910
+أدتني الـ curve القادم.
+
+707
+01:08:12,640 --> 01:08:18,100
+من أول ما أنا بدأت أنقص الضغط في البلورة، أو الضغط
+
+708
+01:08:18,100 --> 01:08:21,800
+اللي أنا بنفخه، اللي هو في ميه يعني مش في هواء، بزيد
+
+709
+01:08:21,800 --> 01:08:25,580
+الضغط داخلياً يا عن طريق التركيب بدخل ميه زيادة، يا
+
+710
+01:08:25,580 --> 01:08:28,900
+بجلل الـ pressure من بره عشان كل الـ إيه؟ أشوف الـ
+
+711
+01:08:28,900 --> 01:08:33,460
+compliance. كأي تجربة compliance، بلاقي أنه أنا وصلت
+
+712
+01:08:33,460 --> 01:08:37,200
+لـ maximum بتاعي، نص لتر، اللي أنا بزيده في force
+
+713
+01:08:37,200 --> 01:08:42,460
+بسيطة. تمام؟ إذا كان لدي elastic force كانت بتقاوم
+
+714
+01:08:42,460 --> 01:08:47,200
+راحت اختفت. إذا صار إن الآن، لأن عندي الـ elastic
+
+715
+01:08:47,200 --> 01:08:55,160
+tissue recoil forces فقط. طيب، لو رجعنا للمجموعة من
+
+716
+01:08:55,160 --> 01:08:58,160
+الأول، وجديد التانين، يعني رجعنا للهواء، نفس الـ force
+
+717
+01:08:58,160 --> 01:09:03,400
+استخدمناها، point one، ماشيناها كده، ونشوف الفرق بين
+
+718
+01:09:03,400 --> 01:09:08,490
+هذا وهذا. طبعاً الـ two curves هدول مش واحد شغال هنا
+
+719
+01:09:08,490 --> 01:09:12,750
+وواحد شغال هنا، الإتنين مشغالين على نفس الضغوط لكن
+
+720
+01:09:12,750 --> 01:09:17,690
+هذا الـ curve نشتغل عليه، واضح؟ يعني الإتنين محطوطين
+
+721
+01:09:17,690 --> 01:09:24,630
+تحت نفس الظروف، لكن هذا شكله اختلف عن إيه؟ عن هذا. هذا
+
+722
+01:09:24,630 --> 01:09:31,290
+أخد وجه أطول، وأنا بعمل التجربة، أخد وجه أطول من
+
+723
+01:09:31,290 --> 01:09:39,210
+minus five إلى minus تقريباً eight أو أقل شوية، سبعة
+
+724
+01:09:39,210 --> 01:09:44,150
+ونص. هاد لما أدانا نص لتر، اللي هو إيه؟ النص لتر الـ
+
+725
+01:09:44,150 --> 01:09:48,330
+volume expansion، في حين أنه إيه؟ لما ضيعت الهادي
+
+726
+01:09:48,330 --> 01:09:57,170
+ماخدش عندي طول القوة. إذا جينا احنا إن الـ recoil
+
+727
+01:09:57,170 --> 01:10:04,790
+forces لحالها تمام، بتاخد نفس الانفلاشين، بتاخد القوة
+
+728
+01:10:04,790 --> 01:10:07,410
+المطلوبة. في حين أنه في وجود الـ surface tension
+
+729
+01:10:07,410 --> 01:10:13,830
+احتجنا احنا إيه؟ تلت أضعاف القوة الأولانية، تمام؟
+
+730
+01:10:13,830 --> 01:10:18,530
+إذا، when the lungs are filled with air, there is an
+
+731
+01:10:18,530 --> 01:10:20,650
+interface between the alveolar one and the other.
+
+732
+01:10:20,650 --> 01:10:24,090
+In the case of saline solution filled lungs, there
+
+733
+01:10:24,090 --> 01:10:27,890
+is no air fluid interface, therefore the surface
+
+734
+01:10:27,890 --> 01:10:31,690
+tension effect is not present, only the elastic
+
+735
+01:10:31,690 --> 01:10:36,380
+forces.لاحظوا أن المدرسات، الترانسبلورية اللي
+
+736
+01:10:36,380 --> 01:10:38,840
+تحتاجها لتفتح الـ lungs، المليء بالهواء المليء بالهواء
+
+737
+01:10:38,840 --> 01:10:40,700
+المليء بالهواء المليء بالهواء المليء بالهواء
+
+738
+01:10:40,700 --> 01:10:42,960
+المليء بالهواء المليء بالهواء المليء بالهواء
+
+739
+01:10:42,960 --> 01:10:47,840
+المليء بالهواء المليء بالهواء المليء بالهواء
+
+740
+01:10:47,840 --> 01:10:47,920
+المليء بالهواء المليء بالهواء المليء بالهواء
+
+741
+01:10:47,920 --> 01:10:47,960
+المليء بالهواء المليء بالهواء المليء بالهواء
+
+742
+01:10:47,960 --> 01:10:48,400
+المليء بالهواء المليء بالهواء المليء بالهواء
+
+743
+01:10:48,400 --> 01:10:50,540
+المليء بالهواء المليء بالهواء المليء بالهواء
+
+744
+01:10:50,540 --> 01:10:53,940
+المليء بالهواء المليء بالهواء المليء بالهواء
+
+745
+01:10:53,940 --> 01:11:00,540
+المليء بالهواء
+
+746
+01:11:00,540 --> 01:11:07,690
+المليئة بالهواء، ضعف الـ elastic forces، تمام؟ يعني
+
+747
+01:11:07,690 --> 01:11:12,490
+creating recoil capacity أعلى بمرتين من الـ tissues
+
+748
+01:11:12,490 --> 01:11:16,650
+بتاعت الـ.. الـ.. الـ.. الـ.. الـ.. الـ elastic
+
+749
+01:11:16,650 --> 01:11:25,290
+recoil tissues forces، واضح؟ واضح. طيب، The fluid
+
+750
+01:11:25,290 --> 01:11:28,110
+air surface tension elastic forces of the lungs
+
+751
+01:11:28,110 --> 01:11:31,370
+also increase tremendously when the substance
+
+752
+01:11:31,370 --> 01:11:36,310
+called surfactant is not present. احنا فهمنا القصة
+
+753
+01:11:36,310 --> 01:11:42,930
+هذه، إن هو مهم، إن هو إيه؟ مهم، وفي الطبيعي، جينا إن
+
+754
+01:11:42,930 --> 01:11:48,710
+هو يمثل إتنين إلى واحد بالنسبة للـ lung tissues
+
+755
+01:11:48,710 --> 01:11:54,390
+recoil forces، تمام؟ بتزيد المشكلة أكتر لو الـ water
+
+756
+01:11:54,390 --> 01:12:00,390
+هذا، الـ fluid اللي lining الـ alveoli تركيبته اختلفت
+
+757
+01:12:00,390 --> 01:12:04,270
+وصار له surface tension أكبر. ليش؟ هو الـ surface
+
+758
+01:12:04,270 --> 01:12:08,530
+tension، أو الـ recoil forces هذه لما تلتقي مثلاً
+
+759
+01:12:08,530 --> 01:12:12,790
+مختلفة.. آه، جالك تعال في عيني، أنا مواد مختلفة، كل
+
+760
+01:12:12,790 --> 01:12:17,410
+مادة إلها إيه؟ إلها surface tension مختلفة عن
+
+761
+01:12:17,410 --> 01:12:19,690
+التانية، من راحت.
+
+762
+01:12:24,250 --> 01:12:30,410
+طيب، إذا في مادة اسمها إيه؟ surfactant، إذا كانت مش
+
+763
+01:12:30,410 --> 01:12:35,170
+موجودة، هيقدِّم ليها مشاكل كتيرة. الـ surfactant هذه
+
+764
+01:12:35,170 --> 01:12:45,770
+مادة surface acting agent، surfactant، يعني هي اسمها
+
+765
+01:12:45,770 --> 01:12:53,950
+مش اسم إنجليزي حقيقي، هو مركب، اسم مركب من إيه؟ من زي
+
+766
+01:12:53,950 --> 01:12:59,950
+فيات سيارة، فيات، مركبة تركيب زي دواء نستاتين، اللي
+
+767
+01:12:59,950 --> 01:13:05,050
+احنا بنستخدمه للـ fungus، مركب تركيب نستاتين، New York
+
+768
+01:13:05,050 --> 01:13:12,030
+State نستاتين، عشان إنه دواء يعني، فيات Fabrica
+
+769
+01:13:12,030 --> 01:13:18,330
+Italiano، ما أعرفش إيش. وهذه surfactant، surface
+
+770
+01:13:18,330 --> 01:13:26,730
+acting agent، تمام؟ طيب، يعني هذه المادة لما تنخلط
+
+771
+01:13:26,730 --> 01:13:32,590
+بالميه، تمام، بتقلل الـ surface tension، بتقلل الـ
+
+772
+01:13:32,590 --> 01:13:33,670
+surface tension، بتقلل الـ surface tension، بتقلل الـ
+
+773
+01:13:33,670 --> 01:13:34,050
+surface tension، بتقلل الـ surface tension، بتقلل الـ
+
+774
+01:13:34,050 --> 01:13:34,990
+surface tension، بتقلل الـ surface tension، بتقلل الـ
+
+775
+01:13:34,990 --> 01:13:37,410
+surface tension، بتقلل الـ surface tension، بتقلل الـ
+
+776
+01:13:37,410 --> 01:13:40,010
+surface tension، بتقلل الـ surface tension، بتقلل الـ
+
+777
+01:13:40,010 --> 01:13:41,730
+surface tension، بتقلل الـ surface tension، بتقلل الـ
+
+778
+01:13:41,730 --> 01:13:41,830
+surface tension، بتقلل الـ surface tension، بتقلل الـ
+
+779
+01:13:41,830 --> 01:13:47,870
+surface
+
+780
+01:13:47,870 --> 01:13:54,350
+tension. بتقلل الـ surface tension. الـ alveolar wall
+
+781
+01:13:54,350 --> 01:14:00,850
+فيها إن two types of cells، الـ.. الـ.. الـ flat
+
+782
+01:14:00,850 --> 01:14:05,370
+alveolar cells، اللي هو بيسميها احنا alveolar cell
+
+783
+01:14:05,370 --> 01:14:10,010
+type one، وفي عندي alveolar cell إضافية تمثل خمس
+
+784
+01:14:10,010 --> 01:14:14,690
+الـ إيه؟ eighty percent of the cells، الـ alveolar
+
+785
+01:14:14,690 --> 01:14:17,990
+cell type two. الـ type two هذه شغلتها بس تعمل
+
+786
+01:14:17,990 --> 01:14:22,490
+secretion لمين؟ لـ surfactant. الـ type one لأ، هي
+
+787
+01:14:22,490 --> 01:14:26,490
+بنعمل عن طريقها التبادل الغازات زي اللي كان thin
+
+788
+01:14:26,490 --> 01:14:30,330
+زي الـ endothelium بتاع مين؟ بتاع الكابيلاريز بتاع
+
+789
+01:14:30,330 --> 01:14:44,530
+الشعيرات الدموية، مش كده؟ طيب، surfactant
+
+790
+01:14:44,530 --> 01:14:49,210
+and its effect. surfactant is a surface active
+
+791
+01:14:49,210 --> 01:14:56,870
+agent، وهو يعني أنه يقلل كثيرًا من قوة الشد السطحي للماء، وهو مخلّص من المخلصات الخاصة اللي اتكلمنا
+
+792
+01:14:56,870 --> 01:15:01,330
+عنها. هذه المخلصات هم مخلصات جرانولارية، جرانولارية
+
+793
+01:15:05,810 --> 01:15:10,830
+يعني تحتوي على حبيبات، يعني فيه فيه production فيه
+
+794
+01:15:10,830 --> 01:15:15,530
+إشي بيصنع جوه، تمام؟ أنا قلت عشر المية؟ أنا غلطان،
+
+795
+01:15:15,530 --> 01:15:19,870
+عشر المية يمثل عشر المية من الإيه؟ من الـ الـ
+
+796
+01:15:19,870 --> 01:15:23,650
+alveolar cells. These cells are granular containing
+
+797
+01:15:23,650 --> 01:15:27,590
+lipid inclusions that are secreted in the
+
+798
+01:15:27,590 --> 01:15:34,750
+surfactant into the alveoli. إذا احنا فهمنا إن الـ
+
+799
+01:15:34,750 --> 01:15:39,790
+surfactant الآن secreted by الـ type two alveolar
+
+800
+01:15:39,790 --> 01:15:45,070
+cells اللي تمثل الـ 10% من الـ alveolar cells، هذا
+
+801
+01:15:45,070 --> 01:15:49,450
+عبارة عن مادة دهنية، مادة دهنية، لذلك اتكلمنا عن
+
+802
+01:15:49,450 --> 01:15:54,030
+احنا granular vesicles
+
+803
+01:15:54,030 --> 01:15:57,850
+containing lipid inclusions، في داخلها، يعني هذه
+
+804
+01:15:57,850 --> 01:16:01,590
+lipid إلى حد ما. طب، من إيش متكون المادة هذه، بتطلع؟
+
+805
+01:16:01,590 --> 01:16:06,450
+تتكون من several phospholipids وبعض البروتين
+
+806
+01:16:06,450 --> 01:16:11,050
+والأيونات، الفوسفوليبيد
+
+807
+01:16:11,050 --> 01:16:15,010
+أهمها الفوسفوليبيد اللي هو داي بالميتايل
+
+808
+01:16:15,010 --> 01:16:20,730
+بالميتويل فوسفتيدايل كولين، داي بالميتايل
+
+809
+01:16:20,730 --> 01:16:27,110
+فوسفتيدايل كولين. وعندنا البروتين اسمه surfactant
+
+810
+01:16:27,110 --> 01:16:31,890
+apoprotein، وعندنا calcium ions. ثلاثة مع بعض، هدول
+
+811
+01:16:31,890 --> 01:16:38,830
+كمان بيجوا كمادة بتدخل ما بين الـ water molecules
+
+812
+01:16:38,830 --> 01:16:45,130
+وبتؤدي إلى إنه تبعدها عن بعض. كل ما زادت النسبة هذه
+
+813
+01:16:45,130 --> 01:16:48,490
+كل ما زاد تأثيرها أكتر، كل ما قلت، كل ما آه، يعني
+
+814
+01:16:48,490 --> 01:16:52,050
+هذه النسبة.. نسبة معينة مختلطة، مخلوطة بحيث إنه
+
+815
+01:16:52,050 --> 01:16:54,370
+ما تمنعش الـ surface tension بتاع الـ water completely
+
+816
+01:16:54,370 --> 01:16:59,600
+لكنها إيه؟ بتقللها، وبتضعف تأثيرها. كإيه بيصير إنها جزء
+
+817
+01:16:59,600 --> 01:17:03,720
+يبقى موجود في الـ phospholipid، دايماً في الميه، وجزء
+
+818
+01:17:03,720 --> 01:17:06,560
+مش دايماً في الميه، فهذا بيؤدي إلى إنه
+
+819
+01:17:06,560 --> 01:17:09,940
+interruptions للـ water molecules، مش متماسكة مع بعض
+
+820
+01:17:09,940 --> 01:17:12,940
+البعض، في فراغات ما بين الموليكولز، مش كل الموليكولز
+
+821
+01:17:12,940 --> 01:17:21,820
+ماسكة في بعضها البعض، تمام؟ In
+
+822
+01:17:21,820 --> 01:17:24,620
+quantitative terms، the surface tension of
+
+823
+01:17:24,620 --> 01:17:28,170
+different water fluids is approximately the
+
+824
+01:17:28,170 --> 01:17:32,090
+following. إذا لما نتكلم عن أرقام، خلينا نتكلم عن
+
+825
+01:17:32,090 --> 01:17:35,730
+الـ surface tension بتاعت المواد المختلفة. الـ pure
+
+826
+01:17:35,730 --> 01:17:40,150
+water، جينا الـ surface tension بتاعها 72 dynes per
+
+827
+01:17:40,150 --> 01:17:44,990
+centimeter. الـ normal fluid lining the alveoli، من
+
+828
+01:17:44,990 --> 01:17:47,930
+غير surfactant، لو شيلنا.. جيبنا تركيب الـ fluid
+
+829
+01:17:47,930 --> 01:17:50,870
+اللي هو شبيه بالـ extra serum fluid وشيلنا منه
+
+830
+01:17:50,870 --> 01:17:55,170
+surfactant، هنلاقي إنه الـ surface tension بتاعه
+
+831
+01:17:55,170 --> 01:18:00,570
+50 داين بالسنتيمتر، لكن بالـ surfactant بينزل إلى
+
+832
+01:18:00,570 --> 01:18:05,910
+تلت.. إلى خمسة، إلى تلتين داين، حسب أنا قد إيه حاطة
+
+833
+01:18:05,910 --> 01:18:10,760
+surfactant، تمام؟ ممكن ينزل الـ surfactant نهائياً، و
+
+834
+01:18:10,760 --> 01:18:16,860
+ممكن يكون يعني متوسط 50% إلى 1 على 12 من الـ A من
+
+835
+01:18:16,860 --> 01:18:20,560
+الـ surfactant، يعني ممكن يلغي الـ
+
+889
+01:21:41,940 --> 01:21:44,340
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+890
+01:21:44,340 --> 01:21:46,500
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+891
+01:21:46,500 --> 01:21:51,700
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+892
+01:21:51,700 --> 01:21:51,800
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+893
+01:21:51,800 --> 01:21:52,060
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+894
+01:21:52,060 --> 01:21:52,140
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+895
+01:21:52,140 --> 01:21:52,280
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+896
+01:21:52,280 --> 01:21:54,220
+ال ال ال ال ال ال ال ال ال ال
+
+897
+01:22:00,930 --> 01:22:04,010
+في ال .. في .. احنا الكبار، الـ radius of our
+
+898
+01:22:04,010 --> 01:22:09,410
+alveoli حوالي مئة مايكرون، والصغار حوالي خمسين، تمام؟
+
+899
+01:22:09,410 --> 01:22:14,430
+فلذلك أنا لما بقسم على مئة، بذكر الـ self
+
+900
+01:22:14,430 --> 01:22:19,030
+-extension هذا الموجود، لكن لما أقسم على خمسين بيصير
+
+901
+01:22:19,030 --> 01:22:22,950
+عندي أضعف الكمية، الـ self-extension أضعف الـ
+
+902
+01:22:22,950 --> 01:22:27,700
+pressure، لذلك الطفل الصغير عنده radius صغير، و عدم
+
+903
+01:22:27,700 --> 01:22:30,540
+وجود surfactant، فبيقدر إلى أن الـ pressure اللي
+
+904
+01:22:30,540 --> 01:22:33,380
+موجود هيكون عالي جداً لأن الـ surface tension
+
+905
+01:22:33,380 --> 01:22:37,420
+ما تغيرش، فبقدر ما الـ surfactant زاد، وعندي diameter
+
+906
+01:22:37,420 --> 01:22:42,860
+صغير، زاد لضعف أكثر وأكثر، مش كده؟ طيب إذاً هنا
+
+907
+01:22:42,860 --> 01:22:47,200
+الخطورة في الأطفال أن الـ pressure اللي بتكون هذا
+
+908
+01:22:47,200 --> 01:22:53,060
+بتكون في الـ alveoli small، smaller، half the size، half
+
+909
+01:22:53,060 --> 01:22:59,460
+the radius of the ايه؟ of the of the adult، فبيقدّي
+
+910
+01:22:59,460 --> 01:23:02,880
+إلى أنه بيديني more pressure، بحسب الحسبة اللي
+
+911
+01:23:02,880 --> 01:23:07,180
+متكونها for the average size alveolus with the
+
+912
+01:23:07,180 --> 01:23:12,000
+radius of about micrometer، and the line with
+
+913
+01:23:12,000 --> 01:23:15,360
+normal surfactant، this calculates to be about four
+
+914
+01:23:15,360 --> 01:23:18,660
+centimeters of water pressure، حوالي ثلاثة ملي متر
+
+915
+01:23:18,660 --> 01:23:23,300
+ميكرو، ليه؟ لكن في الطفل هنلاقي بيوصل لرقم أعلى
+
+916
+01:23:23,300 --> 01:23:26,840
+أنا في وجه الـ surfactant، إذا كانت الـ alveoli
+
+917
+01:23:26,840 --> 01:23:31,360
+مرتبطة بالماء مباشرة بدون أي سيرفاكتانت، فالضغط كان
+
+918
+01:23:31,360 --> 01:23:36,300
+يصل إلى حوالي 18 سنتيمتر من ضغط الماء، يعني من
+
+919
+01:23:36,300 --> 01:23:39,580
+18 إلى 3، تلاحظوا الفرق؟ فهذا الطفل ما فيش عنده
+
+920
+01:23:39,580 --> 01:23:45,140
+سيرفاكتانت، وعنده alveoli دائماً تبقى صغيرة، فبيقدر
+
+921
+01:23:45,140 --> 01:23:50,860
+إلى أن وجود ضغط، عامله عامله الـ surface tension تبع
+
+922
+01:23:50,860 --> 01:23:56,380
+الماء هذه، 18 ضعف الطبيعي، تمام؟ إذن من هنا
+
+923
+01:23:56,380 --> 01:23:58,540
+بيصير عنده مشكلة كبيرة في كيف أني أقدر أفتح الـ
+
+924
+01:23:58,540 --> 01:24:02,140
+alveoli هذه، وأن أقدر أني أشد الـ الـ الـ
+
+925
+01:24:02,140 --> 01:24:05,520
+الـ lungs، تفتح، عشان تفتح الـ alveoli مع pressure
+
+926
+01:24:05,520 --> 01:24:08,260
+البسيط اللي أنا بعمله، محتاج لبذل كبير، pressure
+
+927
+01:24:08,260 --> 01:24:12,680
+كبير، contraction كثيرة، muscle power كثيرة، work كثير
+
+928
+01:24:12,680 --> 01:24:17,460
+يؤدي بعد شوية لطفل صغير لسه مولود إلى fatigue و
+
+929
+01:24:17,460 --> 01:24:20,460
+failure و suffocation، حينئذٍ يخرج ويموت
+
+930
+01:24:28,470 --> 01:24:31,590
+respiratory stress syndrome، اتكلمنا عنه، effect of
+
+931
+01:24:31,590 --> 01:24:36,630
+the thoracic cage on lung expansibility، طيب الآن
+
+932
+01:24:36,630 --> 01:24:39,570
+احنا اتكلمنا عن .. مهمة دقيقة إن شاء الله، مش هنطول
+
+933
+01:24:39,570 --> 01:24:44,550
+اتكلمنا عن الـ lung كـ lung لحالها، تمام؟ لكن تنسوا
+
+934
+01:24:44,550 --> 01:24:49,050
+أن الـ lung هذه موجودة وأنا بدي انفخ، أعمل force
+
+935
+01:24:49,050 --> 01:24:54,730
+انفخ، مش بانفخ بس الـ الـ lung، وكمان بفتح الـ cage
+
+936
+01:24:54,730 --> 01:24:59,880
+يعني أنا الـ recoil تبع الـ lung، وبزح الـ what الـ
+
+937
+01:24:59,880 --> 01:25:04,160
+wall الصدرية كمان للخارج، فإذا عندي أنا حقيقة
+
+938
+01:25:04,160 --> 01:25:08,980
+هشتغل عشان أخلي الـ alveoli تفتح، بدي الـ tissues هذه
+
+939
+01:25:08,980 --> 01:25:13,880
+أقوم الـ recoil تبعها، وبدي أحمل الـ chest wall
+
+940
+01:25:13,880 --> 01:25:18,940
+أحملها للخارج، بدي أقوم برضه what الـ weight تبعها
+
+941
+01:25:18,940 --> 01:25:21,700
+اللي نازل، ضاغط، أطلعه على الـ lungs، بدي أفتحها للخارج
+
+942
+01:25:21,700 --> 01:25:25,520
+العضلات بتشتغل للخارج، مش كده؟ فإذا عندي أنا لو
+
+943
+01:25:25,520 --> 01:25:30,170
+استخدمت الـ compliance factor هذا، وقلنا تعالَ نشوف
+
+944
+01:25:30,170 --> 01:25:34,130
+الـ compliance، لأن الـ lung في الـ chest واحد خدرناه
+
+945
+01:25:34,890 --> 01:25:39,210
+نائماً، paralyzed، ونفخنا، أدينا ضغط للرئتين، نشوف
+
+946
+01:25:39,210 --> 01:25:43,470
+الـ compliance، لجينا في وجود الرئتين، بتديني كل
+
+947
+01:25:43,470 --> 01:25:48,410
+واحد centimeter water إلى مئة وعشرة milliliter
+
+948
+01:25:48,410 --> 01:25:51,730
+expansion، في حين أنه لو استخدمنا الـ lung لحالها
+
+949
+01:25:51,730 --> 01:25:55,570
+بنفس الـ force، بتديني إيه؟ خمسماية، بتديني متين لصنتي
+
+950
+01:25:55,570 --> 01:26:00,410
+واحد، الصنتي الواحد بتديني إيه؟ متين، إذاً الـ lung
+
+951
+01:26:00,410 --> 01:26:07,120
+و thoracic cage معاً، تمام، بيديني محتاج ضعف
+
+952
+01:26:07,120 --> 01:26:12,020
+القوة، عشان دي نفس الهدف، يعني الـ one millimeter
+
+953
+01:26:12,020 --> 01:26:15,680
+centimeter water بيديني فقط نصف الـ expansion
+
+954
+01:26:15,680 --> 01:26:19,440
+المتوقع من الـ lung لحالها، تمام؟ إذاً أنا صار في
+
+955
+01:26:19,440 --> 01:26:22,520
+عندي هنا الآن في الـ normal عندي two factors، إذاً
+
+956
+01:26:22,520 --> 01:26:24,300
+هنا بتكلم عن بعد كده
+
+957
+01:26:29,800 --> 01:26:33,600
+لانفلاح هذا النظام الرئوي تقريباً مرتفعة، كم
+
+958
+01:26:33,600 --> 01:26:39,300
+مضاعف؟ محتاجة لانفلاح نفس الانفلاح لوحدها، تمام؟ إذاً
+
+959
+01:26:39,300 --> 01:26:43,960
+بدنا نعمل الانفلاح لحالها من غير ما أستخدم الـ
+
+960
+01:26:43,960 --> 01:26:49,340
+preparation كله، الانفلاح والجسد نفسه، بدي ضعف
+
+961
+01:26:49,340 --> 01:26:53,920
+القوة أستخدمها عشان أصل لنفس الانفلاش. لذلك، إتباع
+
+962
+01:26:53,920 --> 01:26:59,300
+نظام الانفلاح، التعامل مع الانفلاح تقريباً one half
+
+963
+01:26:59,300 --> 01:27:05,020
+that of the lungs alone، يعني 110 إلى 200، تقريباً نصف
+
+964
+01:27:05,020 --> 01:27:10,520
+الكمية، furthermore، when the lungs are expanded to
+
+965
+01:27:10,520 --> 01:27:14,280
+high volumes or compressed to low volumes، هذا في
+
+966
+01:27:14,280 --> 01:27:19,820
+آخر الـ expansion أو في آخر الـ recoil، بتدخل عندي
+
+967
+01:27:19,820 --> 01:27:24,460
+عوامل أخرى إضافية، يعني الـ resistance بيزيد لأن الـ
+
+968
+01:27:24,460 --> 01:27:27,990
+chest لديه limit معين، آخر جزء بيصير الـ compliance
+
+969
+01:27:27,990 --> 01:27:32,130
+أقل كثيراً، وفي آخر مرحلة من الـ inflation، من الـ recoil
+
+970
+01:27:32,130 --> 01:27:35,590
+برضه بيصير الـ resistance كثيرة، مش مهم كثيراً هذا
+
+971
+01:27:35,590 --> 01:27:40,770
+الكلام، لكن احنا فهمنا الآن أنه عندي أنا جهود بدي
+
+972
+01:27:40,770 --> 01:27:45,910
+أبذلها علشان أقاوم الـ recoil هذا، الآن الجهود مش بس
+
+973
+01:27:45,910 --> 01:27:50,570
+lung لحالها، اللي هيتمثل في tissue و surface tension
+
+974
+01:27:50,570 --> 01:27:56,000
+وكمان عندي الـ recoil، elastic forces المتعلقة بـ
+
+975
+01:27:56,000 --> 01:27:59,760
+chest wall، thorax wall، تمام؟ إذاً صار عندي فيه
+
+976
+01:27:59,760 --> 01:28:04,540
+ثلاثة أنواع من الـ resistance عندنا هنا، the work of
+
+977
+01:28:04,540 --> 01:28:07,120
+inspiration can be divided into three fractions.
+
+978
+01:28:07,640 --> 01:28:11,220
+الآن أنا عشان أبذل الجهد، عشان أتنفس، بستخدم ..
+
+979
+01:28:11,220 --> 01:28:16,080
+بشغل ثلاثة حاجات، الهواء اللي هو داخل، داخلاً فيه أنا
+
+980
+01:28:16,080 --> 01:28:20,370
+بلاقي عقيلها مقاومة، مش كده؟ الـ tissues اللي أنا
+
+981
+01:28:20,370 --> 01:28:24,490
+بزيحها، انسا أن elastic، الـ tissues بحت، بدأت
+
+982
+01:28:24,490 --> 01:28:27,790
+أزيحها هكذا وأرجعها لمكانها، مش مشكلة، يعني أنا حاجة
+
+983
+01:28:27,790 --> 01:28:31,210
+أزيحها ثانية، هكذا، ما رجعتش، ما فيش إيه، أنا قايل بس أنا
+
+984
+01:28:31,210 --> 01:28:35,710
+زيحتها، هذا بده جهد، مش كده؟ وكمان وأنا بزيحها
+
+985
+01:28:35,710 --> 01:28:39,650
+بتقومني، صار فيه جهد ثالث، تمام؟ إذا أنا بزيحها
+
+986
+01:28:39,650 --> 01:28:44,560
+و tissues، ولها ولها ولها work، جهد بتاخذه، هي
+
+987
+01:28:44,560 --> 01:28:47,680
+أتّفاجئ أنّها مش راضية فيه، كمان elasticity لها
+
+988
+01:28:47,680 --> 01:28:52,480
+وزن ولها elasticity، لذلك الـ work هنا بيتوزع على
+
+989
+01:28:52,480 --> 01:28:56,200
+الـ resistance الثلاثة، اللي هو resistance of the
+
+990
+01:28:56,200 --> 01:29:00,520
+airways، الـ tissue resistance work، الـ tissue لحالها
+
+991
+01:29:00,520 --> 01:29:05,180
+لأن أنا بزيحها، أبعدها، تمام، الثلاثة اللي هو recoil
+
+992
+01:29:05,180 --> 01:29:08,740
+اللي هو الـ elasticity، الـ elastic، الـ compliance
+
+993
+01:29:08,740 --> 01:29:12,600
+work أو الـ elastic work، تمام؟ إذا عندي أنا الـ work
+
+994
+01:29:12,600 --> 01:29:18,640
+اللي بستخدمه، بستخدمه لثلاثة مناطق، ثلاثة حاجات، اللي هو
+
+995
+01:29:18,640 --> 01:29:22,040
+دخول الهواء، بيتدفع في الـ air passages، وهذا أقل ..
+
+996
+01:29:22,040 --> 01:29:27,080
+أقل resistance، الـ tissues اللي أنا بزيحها، هذه برضه
+
+997
+01:29:27,080 --> 01:29:30,220
+أقل tissues و resistance، الـ elastic forces اللي هي
+
+998
+01:29:30,220 --> 01:29:34,220
+الـ compliance work، هذا أكبر، بنلاحظ احنا أنه during
+
+999
+01:29:34,220 --> 01:29:37,240
+normal، هذا آخر شيء بدي أقوله، during normal quiet
+
+1000
+01:29:37,240 --> 01:29:42,920
+respiration، 3%-5% من الطاقة المستخدمة، مستخدمة
+
+1001
+01:29:42,920 --> 01:29:43,220
+للثلاث
+
+1002
+01:29:52,200 --> 01:29:56,180
+أنا بعمل مجهود، بدي أتنفس أكثر، أنا كمية الطاقة
+
+1003
+01:29:56,180 --> 01:29:58,120
+اللي بصير أستخدمها أكثر، لأن أنا جاي بعمل مجهود
+
+1004
+01:29:58,120 --> 01:30:01,400
+كبير، بطلع، بلاقي صارت أنا محتاج إلى خمسين، قد يكون
+
+1005
+01:30:01,400 --> 01:30:05,440
+خمسين ضعف الطاقة اللي بستخدمها في الـ إيه؟ في وضع
+
+1006
+01:30:05,440 --> 01:30:09,940
+الراحة، يعني التنفس في وضع مجهود بيديني يستخدم إيه
+
+1007
+01:30:09,940 --> 01:30:12,980
+طاقة أكبر، والتنفس في وضع مرتاح بيستخدم طاقة
+
+1008
+01:30:12,980 --> 01:30:18,370
+بسيطة، مش كده؟ المرة الجاية، هنتكلم عن الـ
+
+1009
+01:30:18,370 --> 01:30:21,290
+pulmonary volumes and capacities، اللي أعتقد أن
+
+1010
+01:30:21,290 --> 01:30:25,310
+أخذتوها في المعمل، أشياء كثيرة عنها، هتسهل علينا
+
+1011
+01:30:25,310 --> 01:30:29,110
+المهمة، إن شاء الله، نقدر نخلص الفصل، اللي جاي في
+
+1012
+01:30:29,110 --> 01:30:31,010
+المحاضرة اللي جاية، الله يعطيكم العافية وبركة الله
+
+1013
+01:30:31,010 --> 01:30:31,970
+فيكم، من اللي هو السؤال؟
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/Ua1FY6qeg4Q_postprocess.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/Ua1FY6qeg4Q_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..163ed7a7ed6c5adeaf2c6c0a4f8834eb99d3828a
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/Ua1FY6qeg4Q_postprocess.srt
@@ -0,0 +1,4052 @@
+1
+00:00:11,440 --> 00:00:17,440
+السلام عليكم بسم الله الرحمن الرحيم اليوم هتكلم عن
+
+2
+00:00:17,440 --> 00:00:21,020
+ال respiratory
+
+3
+00:00:21,020 --> 00:00:26,300
+tract pulmonary ventilation أول محاضرة ال
+
+4
+00:00:26,300 --> 00:00:32,880
+respiration عملية التنفس الهدف منها وصول ال oxygen
+
+5
+00:00:32,880 --> 00:00:40,060
+المناسب للخلاياو تخلص من تانيوس الكربون الذائد إلى
+
+6
+00:00:40,060 --> 00:00:45,080
+الخارج تمام؟ عشان تصير هذه العملية محتاجين أنه
+
+7
+00:00:45,080 --> 00:00:50,560
+تصير عملية أربع عمليات تصير أربع عمليات الأولى
+
+8
+00:00:50,560 --> 00:00:55,260
+عملية التنفس الميكانيكية اللى بتنفر رقتين كيف
+
+9
+00:00:55,260 --> 00:01:00,660
+الهواء بدخل وين يروح وين ييجي وكيف يستقبل و ال
+
+10
+00:01:00,660 --> 00:01:04,740
+mechanics اللى بتنفر العملية هذه الجهاز الخارجي
+
+11
+00:01:04,740 --> 00:01:08,440
+اللى بيجيب الأكسجين إلى الدمأتنين عملية الانتقال
+
+12
+00:01:08,440 --> 00:01:15,700
+ما بين الهواء الخارجي هذه و الدم تلاتة عملية نقل
+
+13
+00:01:15,700 --> 00:01:20,200
+الدم ال oxygen عبر الدم الى الخلايا و انتقاله هناك
+
+14
+00:01:20,200 --> 00:01:25,640
+الى الأنسجة و الخلايا و العملية الرابعة المهمة جدا
+
+15
+00:01:25,640 --> 00:01:28,340
+عملية ال control في هالمسألة هذه مابتش مابتش نحتاج
+
+16
+00:01:28,340 --> 00:01:34,660
+أكتر مابتش نحتاج أقل نتنفس زيادة أو نتنفس أقل حسب
+
+17
+00:01:36,600 --> 00:01:42,540
+الحاجة تمامة الجسم يعني انا بكون قاعد مرتاح حاجة
+
+18
+00:01:42,540 --> 00:01:45,980
+ال oxygen مختلفة عن ما اكون قاعد باجري تمام
+
+19
+00:01:45,980 --> 00:01:50,120
+استهلاكي لل oxygen اكتر بدي انا اعمل عملية ادخال
+
+20
+00:01:50,120 --> 00:01:54,740
+لل oxygen اكتر تخلص ال potassium carbon اكتر لكن
+
+21
+00:01:54,740 --> 00:02:01,580
+انا اكون مرتاح بختلف الوضععنا عملية ضبط شديدة هنا
+
+22
+00:02:01,580 --> 00:02:05,260
+بتشارك هذه العملية في عملية إيش قلنا عليها ال
+
+23
+00:02:05,260 --> 00:02:09,980
+homeostasis اللي هي قلنا الكيليا جزء منها بما يخص
+
+24
+00:02:09,980 --> 00:02:16,620
+ال electrolytes و ال water و ال extra fluid volume
+
+25
+00:02:16,620 --> 00:02:19,620
+و ال blood pressure و ال hydrogen concentration
+
+26
+00:02:20,310 --> 00:02:24,030
+والبوتاسيوم كونسنترية هذه كلها شغلة الكيليا اليوم
+
+27
+00:02:24,030 --> 00:02:28,250
+نتكلم عن عملية تانية اوها شغلة ايه؟ الرئتين تؤدي
+
+28
+00:02:28,250 --> 00:02:34,990
+الى وصول اكسجين بشكل مناسب الى الأنسجة المختلفة و
+
+29
+00:02:34,990 --> 00:02:38,890
+التخلص من ثانيوس الكربون اللي ناتج عن عملية تنفذ
+
+30
+00:02:38,890 --> 00:02:43,510
+الخلوي تمام؟ اذا في عندنا اربع أشياء أخرهم عاملة
+
+31
+00:02:43,510 --> 00:02:45,190
+التحكم هذه اللي بتكلم عنها
+
+32
+00:02:48,870 --> 00:02:55,630
+عملت نفس بالتم حاجة من حاجتين، الميكانيكية تبعت
+
+33
+00:02:55,630 --> 00:03:00,890
+اللي هو الرائعتين في إدخال و إخراج الهواء اللي هو
+
+34
+00:03:00,890 --> 00:03:03,810
+ال inspiration و ال expiration، الميكانيكى الخارجى
+
+35
+00:03:03,810 --> 00:03:10,910
+هذا بالتم يا إما عبر ال diaphragm، diaphragmatic
+
+36
+00:03:10,910 --> 00:03:18,880
+respirationأو تم عبر ال ايه؟ ال .. ال chest wall و
+
+37
+00:03:18,880 --> 00:03:25,120
+ال ribs و ال muscles و ال .. تمام؟ مش ال ايه؟ مش
+
+38
+00:03:25,120 --> 00:03:30,740
+ال .. ال diaphragm لأ ال ribs and the muscles
+
+39
+00:03:30,740 --> 00:03:35,660
+associating the ribs during
+
+40
+00:03:35,660 --> 00:03:40,920
+a rest most of the respiration is diaphragmatic
+
+41
+00:03:43,360 --> 00:03:50,680
+بتنفس عبر الحجاب الحاجز اه لما بينزل لتحت بيزود ال
+
+42
+00:03:50,680 --> 00:03:55,940
+.. ال .. ال .. ال size of the chest cage اه بيزود
+
+43
+00:03:55,940 --> 00:04:00,220
+ال vertical size بينزل لتحت فال vertical diameter
+
+44
+00:04:00,220 --> 00:04:07,440
+بيزيد فبيزيد ال .. ال chest volume او capacity و
+
+45
+00:04:07,440 --> 00:04:15,590
+يدخل الهواء لما بيوقف عن ال ..عن انقباض لما بوقف
+
+46
+00:04:15,590 --> 00:04:22,530
+ال diaphragm عن انقباض برجع الى وضعه الأولاني بفعل
+
+47
+00:04:22,530 --> 00:04:24,030
+انه عندنا الرئتين
+
+48
+00:04:26,450 --> 00:04:29,810
+دقيقتين عبارة عن elastic tissue و هذا ال elastic
+
+49
+00:04:29,810 --> 00:04:33,190
+tissue انا زي البلونة لما بنفهه و بعدين اسيبه بروح
+
+50
+00:04:33,190 --> 00:04:38,870
+و برجع لحاله فعملية ال inspiration is an active
+
+51
+00:04:38,870 --> 00:04:43,310
+process بتستهلك طاقة فيها انقباض عضلات لكن في
+
+52
+00:04:43,310 --> 00:04:49,560
+الوضع العادل بسيطعملية ال expiration عملية passive
+
+53
+00:04:49,560 --> 00:04:55,520
+مش فيها انقباض عضلات ال normal recoil forces of
+
+54
+00:04:55,520 --> 00:04:59,580
+the lung and chest will do it تمام؟ بالنسبة لل
+
+55
+00:04:59,580 --> 00:05:05,280
+diaphragmatic respiration احنا لما ضغطنا ال
+
+56
+00:05:05,280 --> 00:05:10,570
+diaphragm اللي أسفل لما عمل contractionمن فوق شد
+
+57
+00:05:10,570 --> 00:05:14,770
+ال lung tissues إلى الخارج و عندها elasticity فبت
+
+58
+00:05:14,770 --> 00:05:19,850
+.. لما نرفع هذا ال force نرفع ال .. ال .. ال .. ال
+
+59
+00:05:19,850 --> 00:05:25,050
+diaphragmatic force بيرجع ال .. ال elastic coil
+
+60
+00:05:25,050 --> 00:05:29,380
+تبع ال .. ال .. ال lung يحاول يرجعهاإضافة إليه أن
+
+61
+00:05:29,380 --> 00:05:33,420
+ال diaphragm ضغط تحت ال abdominal organs تمام؟ لما
+
+62
+00:05:33,420 --> 00:05:36,520
+يصار خبرة ال abdominal organs بترجع إيه؟ لمحالها
+
+63
+00:05:36,520 --> 00:05:40,240
+فال abdominal organs بتدفع ال diaphragm لفوق و ال
+
+64
+00:05:40,240 --> 00:05:46,600
+ال recoil structure ال elastic structure of the
+
+65
+00:05:46,600 --> 00:05:51,940
+lung and هنا ال lungs بالذات لإنه باعتباره ال cage
+
+66
+00:05:51,940 --> 00:05:57,950
+ال ribs في محلها ماتحركتش بتحاول يترجع ال إيه؟ال
+
+67
+00:05:57,950 --> 00:06:02,090
+.. ال long .. الوضع الأولاني اللي كانت فيه. الآن
+
+68
+00:06:02,090 --> 00:06:07,250
+بدنا نعرف احنا انه ال .. زي ما حكيت انا انه
+
+69
+00:06:07,250 --> 00:06:12,070
+العملية ال inspiration active و ال ايه؟ و ال
+
+70
+00:06:12,070 --> 00:06:13,310
+expiration passive
+
+71
+00:06:15,900 --> 00:06:20,240
+لكن عشان كده ال .. ال .. ال inspiration تاخد وجهت
+
+72
+00:06:20,240 --> 00:06:24,160
+جالي .. جسير، ال experience تاخد وجهتها أطول،
+
+73
+00:06:24,160 --> 00:06:28,000
+لإنها دي بتسحب بقوة، التانية بتطلع من راحة، هاد
+
+74
+00:06:28,000 --> 00:06:32,700
+تاخد ثانيتين، هاد ممكن تاخد تلات ثواني، عملية ال A
+
+75
+00:06:32,700 --> 00:06:38,540
+أو أكتر شوية ال
+
+76
+00:06:38,540 --> 00:06:39,000
+..
+
+77
+00:06:44,270 --> 00:06:48,610
+النقطة التانية انه .. لكن هل انا ممكن اعمل .. هل
+
+78
+00:06:48,610 --> 00:06:54,710
+انا ممكن اعمل stronger
+
+79
+00:06:54,710 --> 00:06:59,250
+expiration تمام؟ او ممكن اعمل stronger expiration
+
+80
+00:06:59,250 --> 00:07:02,730
+وبيكون في الحالة هذي active تمام؟ يعني انا في
+
+81
+00:07:02,730 --> 00:07:05,810
+العادة ال inspiration هو active و ال expiration a
+
+82
+00:07:05,810 --> 00:07:11,290
+trust passive لكن هل انا ممكن اعمل more active
+
+83
+00:07:11,290 --> 00:07:15,250
+respirationبمعنى inspiration أسرع أجواء و
+
+84
+00:07:15,250 --> 00:07:19,070
+expiration أسرع أجواء ممكن تدخل عضلات أخرى عشان
+
+85
+00:07:19,070 --> 00:07:26,750
+تعمل عملية هذه في ال expiration اللي متكلم عليه
+
+86
+00:07:26,750 --> 00:07:30,110
+احنا لما نكون نتكلم عنه ده fragmentic respiration
+
+87
+00:07:30,110 --> 00:07:35,910
+تمام ممكن يساعد ان ال abdominal muscles تعمل
+
+88
+00:07:35,910 --> 00:07:41,460
+contraction و تضغط على الع ال organs انا متكلمش
+
+89
+00:07:41,460 --> 00:07:43,780
+لسه عن ال lung انا متكلم عن النوع الاولانى من ال
+
+90
+00:07:43,780 --> 00:07:48,820
+respiration هو ده pragmatic تمام زى ما فيه active
+
+91
+00:07:48,820 --> 00:07:52,200
+و ممكن نرجعليه passive لحاله ممكن انا اعمل كمان
+
+92
+00:07:52,200 --> 00:07:56,060
+اساعده ب active process اخرى ان اعمل contraction
+
+93
+00:07:56,060 --> 00:07:58,180
+of the abdominal muscles ال abdominal muscles
+
+94
+00:07:58,180 --> 00:08:01,740
+هيضغطوا على ال abdominal organs و هتدفع اليه ال
+
+95
+00:08:01,740 --> 00:08:06,510
+diaphragm لإلى اعلى تمام اذاهذه العملية ال
+
+96
+00:08:06,510 --> 00:08:09,750
+diaphragmatic ممكن تكون بس بس ممكن انا support ال
+
+97
+00:08:09,750 --> 00:08:13,710
+expiration منها بال ايه؟ ب abdominal contraction,
+
+98
+00:08:14,410 --> 00:08:16,450
+abdominal muscles contraction, abdominal wall
+
+99
+00:08:16,450 --> 00:08:19,670
+contraction بيقدر اليها دفع ال ايه؟ ال diaphragm
+
+100
+00:08:19,670 --> 00:08:23,310
+للأعلى تمام؟
+
+101
+00:08:23,310 --> 00:08:29,650
+احنا معظم اوقات حقيقة ال respiration عندنا بيكون
+
+102
+00:08:29,650 --> 00:08:33,190
+diaphragmatic الا اذا احنا يعني كان عندنا بدنا
+
+103
+00:08:33,190 --> 00:08:37,030
+مجهودبدنا oxygen أكتر بدنا مشدود أكتر فبدخلنا
+
+104
+00:08:37,030 --> 00:08:42,090
+النوع التاني من ال .. من ال respiration اللي هو عن
+
+105
+00:08:42,090 --> 00:08:48,810
+طريق ال ribs ال ribs ربنا خلجها في وضع مائل إلى ..
+
+106
+00:08:48,810 --> 00:08:54,350
+إلى الأسفل يمكن أخدتوا ال chess أنتوا أخدتوا ال
+
+107
+00:08:54,350 --> 00:08:59,150
+chess و ضربت مثل ال سطل اه و ال .. يعني لما ينزل
+
+108
+00:08:59,150 --> 00:09:01,670
+لتحت ممكن يصير صفر ال .. ال anthropocarpal
+
+109
+00:09:01,670 --> 00:09:06,550
+diameterلكن كل ما رفعناها فوق الانتروبستيرو دايمتر
+
+110
+00:09:06,550 --> 00:09:13,410
+بزيد معناها انه في الحالة هذه بيرفع
+
+111
+00:09:13,410 --> 00:09:16,450
+ال ribs إلى أعلى و بتقدر إلىها، اذا انت فاهمي
+
+112
+00:09:16,450 --> 00:09:19,490
+الميكانيزم هذه، لكن انا بهمني اوريكوا صورة حلوة ما
+
+113
+00:09:19,490 --> 00:09:20,870
+اعتقد انها موجودة في ال ..
+
+114
+00:09:25,400 --> 00:09:28,660
+الكتاب الاناتومي اللي انت خدتهه الان ايش معنى ال
+
+115
+00:09:28,660 --> 00:09:34,580
+external intercostal بتعمل elevation لل ribs و ال
+
+116
+00:09:34,580 --> 00:09:38,220
+internal intercostal بتعمل depression لل ribs ايش
+
+117
+00:09:38,220 --> 00:09:43,890
+معنى؟حسب اتجاه ال fibers طبعا طيب كويس انا عارف ان
+
+118
+00:09:43,890 --> 00:09:47,150
+انتوا عارفينها بس انا متأكد ان انتوا مش فاهمينها
+
+119
+00:09:47,150 --> 00:09:50,770
+انا عارف ان انتوا عارفينها حافظيناها تصوروا هان
+
+120
+00:09:50,770 --> 00:09:54,110
+المفصل هذا اللي انا راسمه هان هذه rib هان هذه
+
+121
+00:09:54,110 --> 00:09:57,910
+حديدة افترضوها خشب ايش ماكان و هان لها مفصل مثبتة
+
+122
+00:09:57,910 --> 00:10:03,470
+فيه و هان كذلك مثبتة هان و هاد لها ايه هاد العتلة
+
+123
+00:10:03,470 --> 00:10:07,730
+ايش ما تكون تكون تصوروا الأخضر هانلو احنا هذه
+
+124
+00:10:07,730 --> 00:10:11,390
+الأخضر هذه عضلة عملت contraction تتوقعون اتجاه
+
+125
+00:10:11,390 --> 00:10:16,570
+الحركة تكون الأخضر بتكلم الحركة تكون الأسفل ليش؟
+
+126
+00:10:16,570 --> 00:10:22,610
+لأنه القوة المقاومة في اللي تحت ال insertion أقرب
+
+127
+00:10:22,610 --> 00:10:28,710
+لمن؟ أقرب للمفصل التاني أبعد المفصل فالقوة فوق
+
+128
+00:10:28,710 --> 00:10:32,510
+أكتر لأن دراع القوة طويل فال contraction هنا هنزل
+
+129
+00:10:32,510 --> 00:10:38,070
+الفوق مش حسب اللي تحتوالعكس صحيح لما يكون بالعكس
+
+130
+00:10:38,070 --> 00:10:42,010
+يصير انعكست ال .. ال .. ال .. ال .. ال .. ال
+
+131
+00:10:42,010 --> 00:10:47,170
+internal intercostal تمام؟ هتلاقي أنه ال insertion
+
+132
+00:10:47,170 --> 00:10:50,870
+تبقى أقرب للمفصل ال .. ال origin أقرب للمفصل ال
+
+133
+00:10:50,870 --> 00:10:55,850
+insertion أبعد فلما يصير contraction أقوى هتكون في
+
+134
+00:10:55,850 --> 00:11:00,850
+تحريك اللي تحت لفوق، مظبوط؟ من هنا أنا كنت .. و
+
+135
+00:11:00,850 --> 00:11:05,730
+لما أنا درست الانتم زمان مع زيكمOkay ال
+
+136
+00:11:05,730 --> 00:11:09,170
+Intercoasters واحفظناها بس إيش معنى يعني هذي هم
+
+137
+00:11:09,170 --> 00:11:12,850
+تنعكس بعض في اتجاه تبعهم؟ إيش معنى هذي بتطلع لفوق
+
+138
+00:11:12,850 --> 00:11:16,030
+و هذي بتزل لتحت؟ بالفكرة البسيطة هذي اللي
+
+139
+00:11:16,030 --> 00:11:21,050
+شايفينها، واضحة؟ كنتوا فاهمين انا قبل كده هيك؟ طيب
+
+140
+00:11:21,240 --> 00:11:24,940
+نفس الكلام هنا المفصل ال ribs الحقيقية نفس الكلام
+
+141
+00:11:24,940 --> 00:11:28,460
+ال male هذي تبع العضلة هذي العضلة لما يصير لها
+
+142
+00:11:28,460 --> 00:11:32,280
+contraction هيصير ان ال lower lip هيرتفع لفوق طبعا
+
+143
+00:11:32,280 --> 00:11:38,920
+و هذي العضلة اللي فوق هترفعها يعني كل عضلة هترفع
+
+144
+00:11:38,920 --> 00:11:42,240
+ال rib اللي ايه اللي تحتها طبعا فلما كلهم
+
+145
+00:11:42,240 --> 00:11:46,370
+contraction مع بعضتمام؟ فبيقدر في الآخر إلى ان كل
+
+146
+00:11:46,370 --> 00:11:50,750
+ال a ال ribs بتفعد لفوق العكس اللون التاني الأخضر
+
+147
+00:11:50,750 --> 00:11:56,730
+اللي هو ال origin أقرب للمفصل اللي انساش أبعد لان
+
+148
+00:11:56,730 --> 00:12:04,970
+ال interaction كلهم a هينزلوا لتحت طيب كويس إذا ال
+
+149
+00:12:04,970 --> 00:12:08,650
+normal quiet breathing is accomplished almost
+
+150
+00:12:08,650 --> 00:12:11,350
+entirely by the first method اللي هي ليه؟ ده
+
+151
+00:12:11,350 --> 00:12:15,590
+pragmaticduring inspiration contraction of the
+
+152
+00:12:15,590 --> 00:12:18,950
+diaphragm pulls the lower surface of the lung
+
+153
+00:12:18,950 --> 00:12:25,850
+downward تمام؟ لما بينزل لتحت بيسحب معاه ال ايه ال
+
+154
+00:12:25,850 --> 00:12:34,470
+lower border of the lung بنزلها كده تمام؟ فبيقدر
+
+155
+00:12:34,470 --> 00:12:39,290
+إلى انه بتتسع لانه تسع ال cage ال chest الهواء
+
+156
+00:12:39,290 --> 00:12:44,780
+يدخل هتكلم الان كيفالهواء هذا ايه اللي يدخل و كيف
+
+157
+00:12:44,780 --> 00:12:50,640
+اللي يطلع بس قبل الكلام هذا اتكلمنا احنا اذا في
+
+158
+00:12:50,640 --> 00:12:57,140
+الفيلم ال .. ال .. ال .. في المرحلة الأولى اتكلمنا
+
+159
+00:12:57,140 --> 00:12:59,860
+ان ال .. ال .. ال inspiration active في
+
+160
+00:12:59,860 --> 00:13:03,740
+دايفراجماتك و ال expiration passive هو انها ممكن
+
+161
+00:13:03,740 --> 00:13:06,700
+to be supported ال expiration بأبضمنا ال muscles
+
+162
+00:13:09,170 --> 00:13:15,070
+الثانية طريقة للإنسبايرات من خلال الـ ribs برضه
+
+163
+00:13:15,070 --> 00:13:23,490
+الانسبايرات محتاجة إلى مضمون مصر و الانسبايرات
+
+164
+00:13:23,490 --> 00:13:27,650
+ليست محتاجة إلى انها الانترال تتنقل لتتنقل لتتنقل
+
+165
+00:13:27,650 --> 00:13:30,870
+لتتنقل لتتنقل لتتنقل لتتنقل لتتنقل لتتنقل لتتنقل
+
+166
+00:13:30,870 --> 00:13:32,150
+لتتنقل لتتنقل لتتنقل لتتنقل لتتنقل لتتنقل لتتنقل
+
+167
+00:13:32,150 --> 00:13:35,290
+لتتنقل لتتنقل لتتنقل لتتنقل لتتنقل لتتنقل لتتنقل
+
+168
+00:13:35,290 --> 00:13:41,200
+لتتنقل لتتنقل لتتنيبقى ال lungs تمام فهيدي الى ايه
+
+169
+00:13:41,200 --> 00:13:45,240
+الى انه برضه التاني هتكون passive برضه هديني ال
+
+170
+00:13:45,240 --> 00:13:49,360
+inspiratory time اكثر من ال expiratory time لان
+
+171
+00:13:49,360 --> 00:13:54,780
+هذا active rapid والتاني prolonged لانه بيشتغل
+
+172
+00:13:54,780 --> 00:14:01,120
+براحته passive ماهواش ايه سريع لو
+
+173
+00:14:01,120 --> 00:14:06,300
+صار ان احنا محتاجين ان نعمل more active more
+
+174
+00:14:09,810 --> 00:14:16,290
+stronger inspiration و stronger expiration تمام؟
+
+175
+00:14:16,290 --> 00:14:21,930
+احنا في عندنا حالات زي ال .. ال bronchial asthma
+
+176
+00:14:21,930 --> 00:14:26,250
+طبعا احنا مشكلة المشاكل الأولى في respiratory
+
+177
+00:14:26,250 --> 00:14:30,350
+tract في ال lungs اللي هم الأزمة ال bronchial
+
+178
+00:14:30,350 --> 00:14:34,250
+asthma هذه تعملنا مشاكل كتير و كل دراساتنا أو أهم
+
+179
+00:14:34,250 --> 00:14:40,350
+شيء في موضوع ال lungهي ال bronchial أزمة محتاج
+
+180
+00:14:40,350 --> 00:14:46,450
+انا احيانا انه اعمل inspiration و expiration بكل
+
+181
+00:14:46,450 --> 00:14:50,510
+ما استطيع من قوة ليش؟ لإن ال bronchial passages
+
+182
+00:14:50,510 --> 00:14:55,990
+بتضيقتمام؟ و المريض بيحس حاله انه راح يختنق فبده
+
+183
+00:14:55,990 --> 00:15:01,310
+نصحب هوا بقوة و طلع بقوة و نصحب قوة و طلع بقوة
+
+184
+00:15:01,310 --> 00:15:05,150
+تمام؟ فبدنا عضلات إضافية بدنا أشياء إضافية تساعد
+
+185
+00:15:05,150 --> 00:15:09,290
+عملية ال inspiration و ال expiration في العادة ال
+
+186
+00:15:09,290 --> 00:15:13,950
+intercostals بتشتغل فيها ال .. ال ..الـ external
+
+187
+00:15:13,950 --> 00:15:17,310
+بتعملني ال what ال inspiration و ال internal مابتش
+
+188
+00:15:17,310 --> 00:15:21,030
+تعملش لإنه التاني passive لكن أنا لو أحتاج أدخل ال
+
+189
+00:15:21,030 --> 00:15:24,050
+internal ال intercostal لإن بدي stronger بدي أفتح
+
+190
+00:15:24,050 --> 00:15:29,730
+صدري أنا ايه بقوة و أطلع الهواء بقوة لإن في ال ..
+
+191
+00:15:29,730 --> 00:15:34,430
+في القزمة طلوع الهواء أصعب من ال .. لإنه في ال
+
+192
+00:15:34,430 --> 00:15:37,090
+inspiration لما أكون active أنا بدخل الهواء بقوة
+
+193
+00:15:37,090 --> 00:15:41,050
+فبدخللكن ال passive بينحشز بيضال جوا فمحترق ان
+
+194
+00:15:41,050 --> 00:15:45,390
+برضه اطلع ايه بقوة عشان ال .. عشان اطلع و ادخل
+
+195
+00:15:45,390 --> 00:15:49,970
+غيره مش كده؟ فعندي انا بده ادخل ال intercostals
+
+196
+00:15:49,970 --> 00:15:54,070
+اللي هي ال internal عشان اعمل expiration عشان انزل
+
+197
+00:15:54,070 --> 00:16:01,550
+ال chest cage لتحت مش كده؟ بده في حالة ال .. ال ..
+
+198
+00:16:01,550 --> 00:16:09,500
+ال activeExpiration انا بدي اكسسوري muscles لل
+
+199
+00:16:09,500 --> 00:16:14,360
+inspiration وفي اكسسوري muscles امين لل expiration
+
+200
+00:16:14,360 --> 00:16:19,080
+خلينا نكمل كلامنا عن ال expiration فقولنا ال
+
+201
+00:16:19,080 --> 00:16:22,740
+internal intercost لازم تدخل عشان يتنزل ال chest
+
+202
+00:16:22,740 --> 00:16:23,820
+wall لتحت
+
+203
+00:16:28,720 --> 00:16:33,040
+ال abdominal muscles بالذات ال rectus abdominis ال
+
+204
+00:16:33,040 --> 00:16:37,200
+two recti هدول تمام؟ بدنا يهم يصير contraction لأن
+
+205
+00:16:37,200 --> 00:16:43,020
+هدول مسكين في ال .. في ال .. في ال .. في ال .. في
+
+206
+00:16:43,020 --> 00:16:43,100
+في ال .. في ال .. في ال .. في ال .. في ال .. في ال
+
+207
+00:16:43,100 --> 00:16:43,800
+.. في ال .. في ال .. في ال .. في ال .. في ال .. في
+
+208
+00:16:43,800 --> 00:16:43,940
+ال .. في ال .. في ال .. في ال .. في ال .. في ال ..
+
+209
+00:16:43,940 --> 00:16:45,380
+في ال .. في ال .. في ال .. في ال .. في ال .. في ال
+
+210
+00:16:45,380 --> 00:16:45,880
+.. في ال .. في ال .. في ال .. في ال .. في ال .. في
+
+211
+00:16:45,880 --> 00:16:45,900
+ال .. في ال .. في ال .. في ال .. في ال .. في ال ..
+
+212
+00:16:45,900 --> 00:16:46,200
+في ال .. في ال .. في ال .. في ال .. في ال .. في ال
+
+213
+00:16:46,200 --> 00:16:46,240
+.. في ال .. في ال .. في ال .. في ال .. في ال .. في
+
+214
+00:16:46,240 --> 00:16:49,300
+ال .. في ال .. في ال .. في ال .. في ال .. في ال ..
+
+215
+00:16:49,300 --> 00:16:55,240
+في ال .. فيأه فى عندنا الأبضام من ال muscles من
+
+216
+00:16:55,240 --> 00:16:59,460
+ضمنها فى عضلتين جواى تحت هنا نزلين قدام بتشوفوهم
+
+217
+00:16:59,460 --> 00:17:04,860
+في تابعون الكمال اذا الاجسام هدول مجطعين كده كأنهم
+
+218
+00:17:04,860 --> 00:17:10,300
+ايه عضلة مفطولة كده و مخدة جطع كده شكلها ايه شكلها
+
+219
+00:17:10,300 --> 00:17:16,220
+قوي هدول اذا شدوا ال sternum لتحت تمام يعني بيشدوا
+
+220
+00:17:16,220 --> 00:17:19,580
+ال ribs لتحت يعني بيعملوا ال slanting تبع ال ribs
+
+221
+00:17:19,580 --> 00:17:23,310
+بنزلوها مع أنها بترضوا ال ايه الهواء الزايدالـ
+
+222
+00:17:23,310 --> 00:17:26,630
+anterior abdominal muscles هان عندنا بالذات ال ..
+
+223
+00:17:26,630 --> 00:17:38,670
+ال .. ال rectus abdominis ها دي بتشد لتحت هدول
+
+224
+00:17:38,670 --> 00:17:41,510
+التنتين اذا بيساعدوني في ال ايه؟ في ان اعمل
+
+225
+00:17:41,510 --> 00:17:45,910
+expiration forced expiration forced expiration طيب
+
+226
+00:17:45,910 --> 00:17:49,450
+لما بدي انا اعمل inspiration قوي بدي اعمل
+
+227
+00:17:49,450 --> 00:17:52,010
+inspiration قويقلنا الأساس ال external
+
+228
+00:17:52,010 --> 00:17:56,690
+intercostals مين ممكن يساعدها؟ طبعا احنا أساسا لما
+
+229
+00:17:56,690 --> 00:17:59,670
+ال external intercostal تتدخل معناه انا بدي .. بدي
+
+230
+00:17:59,670 --> 00:18:02,990
+force expiration لإن في العادة بيبقى ده pragmatic
+
+231
+00:18:02,990 --> 00:18:06,610
+expiration فإذا دخلت انا ال external معناه انا
+
+232
+00:18:06,610 --> 00:18:10,410
+بديت بدي إيه؟ مساعدة، بدي إشي أقوى، لكن ممكن بدي
+
+233
+00:18:10,410 --> 00:18:14,470
+أقوى أكتر تتدخل عندى زي ما قلنا rectus abdominus
+
+234
+00:18:14,470 --> 00:18:17,210
+مسكة في ال chest wall من تحت، بتشدوا لتحت
+
+235
+00:18:21,680 --> 00:18:25,800
+العضلات اللي مسكين هنا الطويلة طولة هذي هذي واحدة
+
+236
+00:18:25,800 --> 00:18:28,240
+و هذي واحدة بس طبعا الناس اللي عندهم كمال إجتماع
+
+237
+00:18:28,240 --> 00:18:31,820
+بيكون منظرها أحلى كتير من الرسمة هذه فبتشد ال
+
+238
+00:18:31,820 --> 00:18:35,880
+sternum هدا هدا ال sternum بتشده لتحت فبتقدي إلى
+
+239
+00:18:35,880 --> 00:18:42,040
+إيه الغرض من إنه تعمل expiration عندي
+
+240
+00:18:42,040 --> 00:18:47,140
+عضلات تانية مسكة في ال manubrium هان تمام؟ مسكة
+
+241
+00:18:47,140 --> 00:18:51,110
+هان عضلات هي اللي بنشوفها احنا كلناهذه العضلة
+
+242
+00:18:51,110 --> 00:18:55,490
+sternocleidomastoid
+
+243
+00:18:55,490 --> 00:18:58,790
+و أحيانا خسرها بيقول sternomastoid بدل ما يقول
+
+244
+00:18:58,790 --> 00:19:03,110
+sternocleidocleid يعني clavicle فالسرنة هي مسكة
+
+245
+00:19:03,110 --> 00:19:08,530
+على ال joint بتشده لفوق مسكة فوق في المستايد مصر
+
+246
+00:19:08,530 --> 00:19:12,930
+مش كده؟ sternocleidomastoid بترفع ال chest على فوق
+
+247
+00:19:12,930 --> 00:19:19,710
+فبيصير ال inspirationأقوى و إيه السرعة في أنه يدخل
+
+248
+00:19:19,710 --> 00:19:26,990
+الهوا انتقال أسرع ال sternocleidomastoid أخدتوا ال
+
+249
+00:19:26,990 --> 00:19:28,790
+chest انتوا is that the serratus anterior
+
+250
+00:19:28,790 --> 00:19:32,310
+بتعرفوها؟ ال serratus muscles ماسكة وين؟ على ال
+
+251
+00:19:32,310 --> 00:19:36,290
+chest wall أو على مين؟ على ال scapula فأنا عشان هي
+
+252
+00:19:36,290 --> 00:19:39,610
+تشتغل تسير ساعدني في ال inspiration لازم أثبت ال
+
+253
+00:19:39,610 --> 00:19:44,760
+scapulaفي العادة ال scapula هي اللي بتتحرك على ال
+
+254
+00:19:44,760 --> 00:19:48,220
+chest wall السابت يعني ال end تبع ال esterritas
+
+255
+00:19:48,220 --> 00:19:50,940
+اللي جاعد على ال chest wall هو السابت في العادة و
+
+256
+00:19:50,940 --> 00:19:54,520
+ال esterritas بتتخدم لتحريك ال ايه؟ ال scapula لكن
+
+257
+00:19:54,520 --> 00:19:58,220
+ان انا اذا حركت ال scapula و حطيت ايدي و بسكت بقوة
+
+258
+00:19:58,220 --> 00:20:00,740
+هيك مع ال scapula انا حارة و أجفت بصير استخدامها
+
+259
+00:20:00,740 --> 00:20:04,520
+تساعدني في التحريك الطرف التاني اللي هي ال abdomen
+
+260
+00:20:04,520 --> 00:20:09,130
+والبصيرية اللي بتتفاقعبالـ ribs بصير ال ribs اللي
+
+261
+00:20:09,130 --> 00:20:13,130
+بتتحرك مش ال scapula تتحرك إذا لذلك بتلاقيه ماسك
+
+262
+00:20:13,130 --> 00:20:18,710
+في إشي و بتنفس معناه ماسكة هادى معناه هو بيساعد و
+
+263
+00:20:18,710 --> 00:20:24,090
+بيثبت ال scapula عشان ال serratus muscles هي اللي
+
+264
+00:20:24,090 --> 00:20:28,690
+تصير الحركة بالعكس تصير بدل ما ال insertion يكون
+
+265
+00:20:28,690 --> 00:20:32,350
+في ال scapula الآن صار insertion في ال ribs اللي
+
+266
+00:20:32,350 --> 00:20:33,690
+مثبت ال origin صافر
+
+267
+00:20:36,350 --> 00:20:43,150
+و ال skinless muscles بس ك .. برضه في ال two ribs
+
+268
+00:20:43,150 --> 00:20:47,650
+بس كهم مع ال .. مع ال .. مع ال .. ال vertebra لما
+
+269
+00:20:47,650 --> 00:20:50,330
+تدرسوا الهيدرانكي بتدرسوها حقيقة تانية درستوا
+
+270
+00:20:50,330 --> 00:20:56,820
+skinless muscles انت؟ ال .. ال .. ال .. اه؟خيص فى
+
+271
+00:20:56,820 --> 00:21:00,380
+عندى تلاتة scalars muscles هتدرسوها اكتر اول ما
+
+272
+00:21:00,380 --> 00:21:04,240
+تدرسوا ال hidden neck اعتقد هى بتكون .. لإن هي بين
+
+273
+00:21:04,240 --> 00:21:07,140
+التانين وانت راسوها انا مش عارف المهم هي بين
+
+274
+00:21:07,140 --> 00:21:11,320
+التانين ماسكة فبتبسك برضه نفس بترفع على فوق او على
+
+275
+00:21:11,320 --> 00:21:15,640
+اقل بتثبت ال .. ال ribs اذا كانت أثناء ال
+
+276
+00:21:15,640 --> 00:21:18,440
+inspiration ال .. ال exploration العادية يعني ليش
+
+277
+00:21:18,440 --> 00:21:23,100
+لما ال muscles اللى هو ال .. ال external اتشد لفوق
+
+278
+00:21:24,810 --> 00:21:30,010
+بديوا يساعدها آخر واحدة فوق فش Intercostals يعني
+
+279
+00:21:30,010 --> 00:21:33,810
+آخر إيش فوق مفترض هي انه كل واحدة بتشد لتحتها طب
+
+280
+00:21:33,810 --> 00:21:38,050
+الأولان هي هذه من تسبتها و تشدها ال scalene
+
+281
+00:21:38,050 --> 00:21:42,650
+muscles اللي موجودة بتسبتها بحيث انه هي تقدر
+
+282
+00:21:42,650 --> 00:21:52,330
+تساعدها ترفعها اذا عندنا احنا مجموعة من الالـ
+
+283
+00:21:52,330 --> 00:21:56,550
+muscles بتساعد الـ external, intercostal الـ
+
+284
+00:21:56,550 --> 00:22:01,010
+sternocleidomastoid الـ serratus muscles الـ
+
+285
+00:22:01,010 --> 00:22:06,410
+anterior serratus و الـ scalinus muscles طيب
+
+286
+00:22:06,410 --> 00:22:13,430
+movement of air in and out of the lung and the
+
+287
+00:22:13,430 --> 00:22:16,590
+pressure that causes the movement طيب الان عشان
+
+288
+00:22:16,590 --> 00:22:22,570
+نفهم احنا الموضوع هنانفهم كيف بيصير ال inspiration
+
+289
+00:22:22,570 --> 00:22:26,550
+الآن
+
+290
+00:22:26,550 --> 00:22:32,990
+احنا قولنا ال lung زي ال organs الأخرى لها siral
+
+291
+00:22:32,990 --> 00:22:37,570
+sac هي داخلة فيه و ال siral sac لما تدخل فيه بني
+
+292
+00:22:37,570 --> 00:22:41,270
+بعيش و بيعمللي طبقتين طبقة visceral على ال organ
+
+293
+00:22:41,270 --> 00:22:44,570
+نفسه على ال viscous و طبقة parietal على ال chest
+
+294
+00:22:44,570 --> 00:22:52,290
+wall مش كده في العادة في العادة هنا عندى انافي في
+
+295
+00:22:52,290 --> 00:22:57,970
+ال .. في ال plural cavity هذه اسمها plural وهذا
+
+296
+00:22:57,970 --> 00:23:01,550
+الفرق بين ال two layers سمينا plural cavity في
+
+297
+00:23:01,550 --> 00:23:07,010
+القاعدة في عندى انا fluid دايما secreted وعندي
+
+298
+00:23:07,010 --> 00:23:11,110
+lymphatics دايما ابتشفت تمام ففي دائرة ال .. ال
+
+299
+00:23:11,110 --> 00:23:15,370
+plural ال fluid مش ثابت متغير secreted and ايه
+
+300
+00:23:15,760 --> 00:23:20,920
+reabsorbed again و ال lymphatics تعملوا absorption
+
+301
+00:23:20,920 --> 00:23:24,900
+بقوة بحيث انه تمنع الزيادة نهائية فدائما حطه under
+
+302
+00:23:24,900 --> 00:23:29,040
+negative pressure
+
+303
+00:23:29,040 --> 00:23:35,540
+ال negative pressure هذا جدر يشد قاوم
+
+304
+00:23:35,540 --> 00:23:41,440
+ال recoil تبع من؟ تبع ال lungs يعني ال lungs دائما
+
+305
+00:23:41,440 --> 00:23:47,010
+بتحاولانها to recoil يعني احنا لو نفسنا ال .. ال
+
+306
+00:23:47,010 --> 00:23:51,590
+plural .. ال plural cavity لو دخلنا إبرة هيك في ال
+
+307
+00:23:51,590 --> 00:23:55,250
+chest wall لل plural cavity ع طول النفس و
+
+308
+00:23:55,250 --> 00:23:59,110
+هوووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووو
+
+309
+00:23:59,330 --> 00:24:04,350
+لأن ال .. ال .. ال .. زي ال lungs هذه محبوسة، بدها
+
+310
+00:24:04,350 --> 00:24:08,070
+ضم مش جادرة، تمام؟ ففيش شيء نفسي خليها to
+
+311
+00:24:08,070 --> 00:24:11,490
+collapse، to recoil، فيش إشي بيخليها، فمبقى
+
+312
+00:24:11,490 --> 00:24:14,810
+المفتوحة، معلجة، وواقع الأمر هي و كانها ملزجة في
+
+313
+00:24:14,810 --> 00:24:18,350
+ال chest wall بال negative pressure، لكنها مش
+
+314
+00:24:18,350 --> 00:24:22,490
+sealed بمعنى ملزجة و ثابتةلأ أثناء ال respiration
+
+315
+00:24:22,490 --> 00:24:26,390
+بيصير sliding و sliding ناعم من غير لايأثر على ال
+
+316
+00:24:26,390 --> 00:24:30,410
+chest wall و لايأثر على ال lung tissue تمام؟ إذا
+
+317
+00:24:30,410 --> 00:24:33,610
+في عندي أنا negative pressure ناتجة عن إنه في عندي
+
+318
+00:24:33,610 --> 00:24:37,670
+recoil بدي أرجع لكن ال lymphatic منع إنه أي fluid
+
+319
+00:24:37,670 --> 00:24:41,850
+بيضال زيادة فبتسحب بقوة negative pressure محافظة
+
+320
+00:24:41,850 --> 00:24:44,730
+على negative pressure إذا بلوران كافيتها دائما
+
+321
+00:24:44,730 --> 00:24:48,250
+under negative pressure لما جسناها لاجيناها mind
+
+322
+00:24:48,250 --> 00:24:52,100
+at rest و احناو احنا مش أثناء عملية ال inspiration
+
+323
+00:24:52,100 --> 00:24:55,300
+ولا أثناء عملية ال expiration و احنا واقفين بين ال
+
+324
+00:24:55,300 --> 00:24:58,800
+inspiration و ال expiration الهواء دخل و وقف و
+
+325
+00:24:58,800 --> 00:25:03,520
+بعدين انا بدأ اطلع كمان مرة لجينا minus five
+
+326
+00:25:03,520 --> 00:25:10,200
+centimeter water تمام؟ اذا لجينا ال intra plural
+
+327
+00:25:10,200 --> 00:25:19,150
+.. intra plural pressureيساوي ايه ناجس خمسة ميه
+
+328
+00:25:19,150 --> 00:25:26,430
+خمسة متر ميه طيب انا أثناء ما بدي اعمل عملية ال
+
+329
+00:25:26,430 --> 00:25:31,470
+inspiration نزلت ال diaphragm او رفعت ال ribs لفوق
+
+330
+00:25:31,470 --> 00:25:37,410
+زولت ال chest cage القفص الصدري هذا اتزود حجمه
+
+331
+00:25:37,410 --> 00:25:43,270
+تمام لما زودت حجمه يعني شدت البلورة البريطة البرة
+
+332
+00:25:44,210 --> 00:25:49,110
+وسعت وبما ان ال fluid اللى بينها وبين الفصرة
+
+333
+00:25:49,110 --> 00:25:54,290
+الجليل ومافيش مجال انه يزيد انسحب لل ايه الفصرة
+
+334
+00:25:54,290 --> 00:25:58,330
+البلورة معاها و الفصرة البلورة ملزقة في مين؟ في ال
+
+335
+00:25:58,330 --> 00:26:02,910
+lung تمام مافيش فراغ اللى يهرب الضغط هذا فاضطرت ال
+
+336
+00:26:02,910 --> 00:26:08,050
+lung انها تنشد لبرا معناها معناها حجم ال lung زاد
+
+337
+00:26:08,050 --> 00:26:12,200
+معناها الهواهيندفع من خلال ال .. الماء ال .. ال ..
+
+338
+00:26:12,200 --> 00:26:17,580
+ال respiratory passages إلى داخل الـ A تمام؟
+
+339
+00:26:17,580 --> 00:26:20,980
+لجينا إذا إحنا أثناء ال contraction ال negative
+
+340
+00:26:20,980 --> 00:26:24,280
+pressure بيصل إلى سبعة و نص ال negative pressure
+
+341
+00:26:24,280 --> 00:26:30,500
+بيصل إلى سبعة و نص وهذا بيقدر إلى أنه يعمل شد على
+
+342
+00:26:30,500 --> 00:26:36,390
+ال lung tissueالـ lung tissue هتشد على ال alveoli
+
+343
+00:26:36,390 --> 00:26:42,530
+جوا تفتحها لإن عليها شد من برا لكلها تتوسح فبتشد
+
+344
+00:26:42,530 --> 00:26:45,190
+على ال alveoli ال alveoli بيصير فيها negative
+
+345
+00:26:45,190 --> 00:26:49,750
+pressure ميندافع الهوى عشان يعدل ال pressure تمام
+
+346
+00:26:49,750 --> 00:26:53,310
+و بيعني لا توقع بعد ما الهوى يدخل في داخل ال ال
+
+347
+00:26:53,310 --> 00:26:57,690
+alveoliطبعا اندفع هو بفعل ان في عندي negative
+
+348
+00:26:57,690 --> 00:27:01,990
+pressure لكن لما اندفع ال pressure ايش؟ راح تعادل
+
+349
+00:27:01,990 --> 00:27:05,950
+مع ال atmosphere هو أساسا الهواء في ال alveoli
+
+350
+00:27:05,950 --> 00:27:09,070
+مفتوح على ال .. على ال atmospheric air فال
+
+351
+00:27:09,070 --> 00:27:13,590
+pressure جوه يسوى ال atmospheric air مش كده؟ الآن
+
+352
+00:27:13,590 --> 00:27:18,550
+لما صار عندي انا inspiration و انا شديت على ال
+
+353
+00:27:18,550 --> 00:27:21,110
+alveoli من برا هيك فتحت مصير فيها negative
+
+354
+00:27:21,110 --> 00:27:25,170
+pressureفبيدفع الهواء بيعود ال pressure بيصير A0
+
+355
+00:27:25,170 --> 00:27:29,690
+تمام؟ بعدين انا بدي انا اطلع الهواء ال recoil تبع
+
+356
+00:27:29,690 --> 00:27:33,370
+ال tissues هذه او ال recoil تبع ال chest wall او
+
+357
+00:27:33,370 --> 00:27:38,450
+ال active pressure اللي انا بدي اعمله بيدغط ال
+
+358
+00:27:38,450 --> 00:27:44,370
+tissue بيجلل ال chest wall chest size ال KG جل
+
+359
+00:27:44,370 --> 00:27:48,050
+حجمه لإنه انا دغطت فبدي انا ازاد ال pressure ع
+
+360
+00:27:48,050 --> 00:27:52,500
+مين؟الـ lung زاد pressure على ال alveoli صار عند
+
+361
+00:27:52,500 --> 00:27:56,340
+ال alveoli فيها positive pressure هذا أدى إلى أنه
+
+362
+00:27:56,340 --> 00:28:01,410
+إيه؟ بيخرج الهواء من أول و جديد تمام؟و هكذا إذا
+
+363
+00:28:01,410 --> 00:28:03,890
+الدائرة بتدور أنا بعمل negative pressure بصحى
+
+364
+00:28:03,890 --> 00:28:09,290
+بالهوى فعاد بعمل ضغط خارجي بيقدر الهوى أثناء
+
+365
+00:28:09,290 --> 00:28:13,590
+الحركة الأولى بيكون في عنده negative pressure أو
+
+366
+00:28:13,590 --> 00:28:16,610
+positive pressure بس بعد شوية بصي equilibrium يعني
+
+367
+00:28:16,610 --> 00:28:23,010
+في نهايتها برجع السفق ال .. ال .. ال ..الـ Intra
+
+368
+00:28:23,010 --> 00:28:26,190
+.. الـ Violar pressure برجع من أول جديد لإيه؟ لـ
+
+369
+00:28:26,190 --> 00:28:28,750
+Atmospheric اللي يعتبره الـ Zero يعني، النقطة
+
+370
+00:28:28,750 --> 00:28:32,790
+البادنة منها، تمام؟ إذا يا إما بينجسوا شوية،
+
+371
+00:28:32,790 --> 00:28:37,710
+بيسحبوا هوا، بيعودوا تعادل، بيزيدوا شوية، بيطلعوا
+
+372
+00:28:37,710 --> 00:28:40,450
+شوية هوا و بيتعادل، و هكذا، بتظهر العملية طالع
+
+373
+00:28:40,450 --> 00:28:47,020
+لازم، مش كده؟هذا بالنسبة لمن؟ لعملية ال ايه ال
+
+374
+00:28:47,020 --> 00:28:50,040
+inspiration و ال expiration و فهمنا فيها ان
+
+375
+00:28:50,040 --> 00:28:55,640
+البلورة الطولة يارزاها دي مخلين ال lungs سحبين ال
+
+376
+00:28:55,640 --> 00:28:58,460
+lungs بسبب ال negative pressure موجودة فيها بينهم
+
+377
+00:28:58,730 --> 00:29:04,090
+سحبينها إلى ال chest wall تمام و .. و كأنها ملتسقة
+
+378
+00:29:04,090 --> 00:29:10,310
+كأنها حاطين احنا يعني اي صمغ ماسكها لكن وقع الأمر
+
+379
+00:29:10,310 --> 00:29:14,090
+لو في صمغ مشكلة فهو دي أحسن من الصمغ مشدودة ب
+
+380
+00:29:14,090 --> 00:29:17,450
+negative pressure لكن قادم لأنها ايه؟ اتخرج عشان
+
+381
+00:29:17,450 --> 00:29:22,510
+مايعملش friction طيب
+
+382
+00:29:22,510 --> 00:29:29,430
+إذا الان في تغيرات بتصير في ..في تغيرات بتصير على
+
+383
+00:29:29,430 --> 00:29:35,570
+مستوى إيش؟ على مستوى ال plural pressure بمعنى إنه
+
+384
+00:29:35,570 --> 00:29:38,570
+هان أنا بدأت ال inspiration هان النقطة دي أنا مش
+
+385
+00:29:38,570 --> 00:29:42,990
+هاور عليها لما بدأت ال inspiration من minus five
+
+386
+00:29:42,990 --> 00:29:48,450
+كانت ال intra plural pressure تمام ال chest cage
+
+387
+00:29:48,450 --> 00:29:53,190
+زاد حجمهفبعمله إلى انه more negative pressure في
+
+388
+00:29:53,190 --> 00:29:58,590
+ال .. في ال .. في ال intraplural fluid اللي موجود
+
+389
+00:29:58,590 --> 00:30:01,550
+بين ال two layers space هذا زاد في ال negative
+
+390
+00:30:01,550 --> 00:30:08,610
+pressure نزل لسبعة و نص تمام؟ و بعدين بيعود بيطلع
+
+391
+00:30:08,610 --> 00:30:13,270
+تاني الى الخمسة نهاية الايه ال expiration برجع
+
+392
+00:30:13,270 --> 00:30:19,310
+لخمسة تمام؟ بنزل في ال inspiration لسبعة و نصبيطلع
+
+393
+00:30:19,310 --> 00:30:25,230
+في ال expiration لخمسة واضح؟ هذا ما بيصلش من
+
+394
+00:30:25,230 --> 00:30:28,830
+المرحلتين انه يرجع لخمسة من أول و جديد لأ لإن هو
+
+395
+00:30:28,830 --> 00:30:34,370
+بيضل شدد على ال lungs فاتحة تمام؟ لما يبدأ يخيها
+
+396
+00:30:34,370 --> 00:30:38,330
+في نهايته بيصل لخمسة لكن طول ما هي نفس الهواء جوا
+
+397
+00:30:38,330 --> 00:30:41,770
+هو شددها اذا بيضل ال negative pressure في داخل
+
+398
+00:30:41,770 --> 00:30:44,510
+البلورة طول مدة ال ايه ما الهواء في ال expiratory
+
+399
+00:30:44,510 --> 00:30:49,230
+phaseطبعا في حين انه في داخل ال alveoli التغير
+
+400
+00:30:49,230 --> 00:30:52,830
+بكون سريع انا بعمل positive و negative pressure
+
+401
+00:30:52,830 --> 00:30:55,110
+بدخل الهواء بتعادل بروح لكن ال plural pressure
+
+402
+00:30:55,110 --> 00:30:59,970
+ماتغيرش لانه بقى شدد ال tissues لبرا بقى شدد الحبل
+
+403
+00:30:59,970 --> 00:31:05,010
+طبعا مارحوش بعد برحل شوية بنزل إلى خمسة الان
+
+404
+00:31:05,010 --> 00:31:10,150
+هنلاحظ احنا انه during ال خلينا في هذا ال line اذا
+
+405
+00:31:10,150 --> 00:31:13,390
+ال alveolar pressureإذاً لما بدأنا ال inspiration
+
+406
+00:31:13,390 --> 00:31:19,170
+هي كان يعتبره atmospheric يعتبرنا zero تمام في وسط
+
+407
+00:31:19,170 --> 00:31:24,270
+ال inspiration بيصل لقمة ال negative هو بيقول ها و
+
+408
+00:31:24,270 --> 00:31:26,490
+بيدخل و بيدخل و بيدخل و بعودي على نهاية ال
+
+409
+00:31:26,490 --> 00:31:29,410
+inspiration برجع للسفر ال inspiration بيطلع
+
+410
+00:31:29,410 --> 00:31:33,050
+positive في قمة ال positive بعدين بيعود و برجع على
+
+411
+00:31:33,050 --> 00:31:40,550
+مين لا إيه لأ السفر إذاً هنا هنلاحظ احنا انه بيزيد
+
+412
+00:31:41,470 --> 00:31:46,350
+الـ pressure obengas عشان يدخل الهواء يطلع فقط
+
+413
+00:31:46,350 --> 00:31:53,730
+minus one يعني minus one centimeter water و plus
+
+414
+00:31:53,730 --> 00:31:58,830
+one centimeter water في داخل ال alveoli في داخل
+
+415
+00:31:58,830 --> 00:32:02,770
+ايه؟ ال alveoli فال minus one هذا بيسحب الهواء و
+
+416
+00:32:02,770 --> 00:32:06,510
+بعدين بيصير zero و ال positive one لما يصير ال
+
+417
+00:32:06,510 --> 00:32:11,190
+expiration بدفع الهواء لحد ما ينزل لل zeroمع انه
+
+418
+00:32:11,190 --> 00:32:13,210
+احنا ال forces اللي استخدامها في ال blue راجعت
+
+419
+00:32:13,210 --> 00:32:19,290
+دهاش؟ مين معايا بصح صح؟ اتنين و نص من خمسة لسبعة و
+
+420
+00:32:19,290 --> 00:32:23,450
+نص احنا زدنا .. زدنا ضغط زدنا negative pressure
+
+421
+00:32:23,450 --> 00:32:30,090
+اتنين و نص لكن هذا انعكس على ال intraalveolar فقط
+
+422
+00:32:30,090 --> 00:32:37,680
+واحد تمام؟و في الحركتين لما رجعنا زاد واحد لما سحب
+
+423
+00:32:37,680 --> 00:32:44,640
+.. حطينا اتنين و نص نقص واحد يعني في عندي فرق ما
+
+424
+00:32:44,640 --> 00:32:49,840
+بين ال intrabrunal pressure و ال .. و ال
+
+425
+00:32:49,840 --> 00:32:54,000
+intraalveolar pressure هنتكلم عنه بعد شوية بتفصيل
+
+426
+00:32:54,000 --> 00:32:59,630
+هنتكلم عنه بعد شوية بتفصيلالان احنا اذا زاد plus
+
+427
+00:32:59,630 --> 00:33:06,630
+one و minus one و الهواء تمام الان ال volume في
+
+428
+00:33:06,630 --> 00:33:11,470
+مقابل ذلك ال long volume تمام اثناء ال inspiration
+
+429
+00:33:11,470 --> 00:33:15,830
+زاد حجمهو الهواء اللي دخل فيها زاد نص لتر و during
+
+430
+00:33:15,830 --> 00:33:21,420
+inspiration نص لتر عباعد ايه بيطلع تمامأذن في عند
+
+431
+00:33:21,420 --> 00:33:25,080
+التلاتة factors هان الـ intra-plural pressure
+
+432
+00:33:25,080 --> 00:33:28,680
+بيقدر الوجود انترال الـ viral pressure بيقدر دخول
+
+433
+00:33:28,680 --> 00:33:31,540
+الهواء نص لتر في ال inspiration ال normal
+
+434
+00:33:31,540 --> 00:33:36,280
+inspiration ال tidal volume و ال expiration بيكون
+
+435
+00:33:36,280 --> 00:33:41,040
+برضه أيه كمان نص لتر مش كده؟ بس الغريبة في الموضوع
+
+436
+00:33:41,040 --> 00:33:46,500
+بالفعل اشمعنا ال plural intra-plural pressure احنا
+
+437
+00:33:46,500 --> 00:33:51,440
+نجسنا اتنين و نص centimeter waterلكن انتقل على ال
+
+438
+00:33:51,440 --> 00:33:56,100
+intro الفيولر just minus one تمام لإنه ال lung
+
+439
+00:33:56,100 --> 00:34:01,020
+تشوه دي elastic أنا لما أديكي طرف المقيتة تمام و
+
+440
+00:34:01,020 --> 00:34:05,760
+أشد المقيتة هدى أنا من عندى تمام اللى بيوصلك انت
+
+441
+00:34:05,760 --> 00:34:10,460
+من الشتة معين جليل توتر شيء بسيط غير ما انا كنت في
+
+442
+00:34:10,460 --> 00:34:14,540
+إيدي حبل و في انت ماتكي الطرف التانى بشده بالحبل
+
+443
+00:34:14,540 --> 00:34:19,180
+انت ايه تجي مقابله تماما يعني الحركة تبعتيلو انا
+
+444
+00:34:19,180 --> 00:34:23,260
+بين و بينك حبل غير قابل للتمدد تمام اللي انا بشده
+
+445
+00:34:23,260 --> 00:34:28,040
+بالظبط انت بتحس فيه انا شدته سنتي انت بتتجدمي سنتي
+
+446
+00:34:28,040 --> 00:34:32,040
+تمام لكن الموجات اللي انا بين و بينك لو انا شدتها
+
+447
+00:34:32,040 --> 00:34:34,980
+انت بتحس انه ضغط هزار حتى بتتحركش بحالها بتبقى
+
+448
+00:34:34,980 --> 00:34:40,020
+بيسكها مش كده بتحس انه شدت عليكي لكن غير قابلة
+
+449
+00:34:40,020 --> 00:34:43,700
+انها ايه ان ممكن تمنعيها انها ايه انها تجسر لكن
+
+450
+00:34:43,700 --> 00:34:46,780
+الحبل اللي يمكن مدام شدته انت وياها هتيجي ايه في
+
+451
+00:34:46,780 --> 00:34:52,860
+اتجاه الحبل ليش؟هذا له إلستيسيتي إلاستيك وهذا ليس
+
+452
+00:34:52,860 --> 00:34:57,060
+له إلاستيس مرونة فبأدى أنا لذلك الضغط اللى أنا
+
+453
+00:34:57,060 --> 00:35:00,860
+بعمله في البلورة اتنين و نص عشان انتقل لل ال
+
+454
+00:35:00,860 --> 00:35:04,180
+alveoli زي أنا بشيت مغيطة جاعة حوالى ال tissues
+
+455
+00:35:04,180 --> 00:35:08,840
+هذه إلاستيك تمام فبينتقلش كله إلى ال alveolus
+
+456
+00:35:08,840 --> 00:35:13,580
+فبروح من أين هي دايما مغيطة راحة جاهة فتركيبتها
+
+457
+00:35:13,580 --> 00:35:19,330
+مادياها إلى أنها ترجع عشان تطور الهواءو تفتح هذه
+
+458
+00:35:19,330 --> 00:35:22,930
+ال elasticity في تركبتها أدت إلى أن الضغط اللي انا
+
+459
+00:35:22,930 --> 00:35:28,290
+بعمله مش كله بينتقل الى الـ intra-alveolar surface
+
+460
+00:35:28,290 --> 00:35:31,390
+هنا في المنطقة هذه الـalveolar surface لأ جزء منه
+
+461
+00:35:31,390 --> 00:35:36,170
+بينتقل تمام؟ وجزء منه بيروح في الـA تاكل ال
+
+462
+00:35:36,170 --> 00:35:41,070
+elasticity تبع ال tissues تمام؟ طيب لو كان الاشا
+
+463
+00:35:41,070 --> 00:35:46,570
+stiff كان اتحركو بعدين بدى انا بدى اعمله في الحالة
+
+464
+00:35:46,570 --> 00:35:51,190
+هذه و يكون عندى ال inspiration active و بدى أبطال
+
+465
+00:35:51,190 --> 00:35:54,730
+انا اما ال inspiration كمان active تمام؟ لكن انا
+
+466
+00:35:54,730 --> 00:36:01,110
+بال ال elasticity هذه بيخلي انه ايه ال ال ال
+
+467
+00:36:01,110 --> 00:36:07,050
+inspiration ايهبس غير كده أنا بقدر أنفق الرئة اكتر
+
+468
+00:36:07,050 --> 00:36:11,570
+من ما بدي لو انه مش elastic انا عندى حد معين و بدى
+
+469
+00:36:11,570 --> 00:36:14,950
+اشتغل عليه نص سانتيج و نص سانتيج و نص سانتيج و نص
+
+470
+00:36:14,950 --> 00:36:19,550
+سانتيج مافيش مجال ان ايه افتح اكتر ليش لإن هذى اذا
+
+471
+00:36:19,550 --> 00:36:23,810
+فتحتها بتمزع الحبل شدنا عليه اكتر بنكتر لكن
+
+472
+00:36:23,810 --> 00:36:29,030
+الموقفة giving way تديني فرصة ان اعمل ضغط اكترو
+
+473
+00:36:29,030 --> 00:36:32,650
+اخد inspiratory volume او اطلع inspiratory volume
+
+474
+00:36:32,650 --> 00:36:35,370
+اكتر و اكتر، مظبوط؟ اذا بتديني مجال ال elasticity
+
+475
+00:36:35,370 --> 00:36:39,910
+هذه ان اخد اكتر و اطلد اكتر، مش كده؟ لكن الفرق
+
+476
+00:36:39,910 --> 00:36:42,870
+البسيط ان ال intraprenor pressure مش كله بينتقل
+
+477
+00:36:42,870 --> 00:36:47,250
+الى ايه؟ ال intra-alveolar pressure لكن هذا مسألة
+
+478
+00:36:47,250 --> 00:36:51,030
+مش مهمة كتير، ليش؟ يعني عندي تركية واسعة اجلب
+
+479
+00:36:51,030 --> 00:36:54,050
+pressure بسيط في داخل الalveoli بيدخل الهواء
+
+480
+00:36:54,050 --> 00:36:57,780
+المطلوبمش محتاجين احنا ايه انه قوة كبيرة انها
+
+481
+00:36:57,780 --> 00:37:03,620
+بتنطقل لإنه التركية كويسة ال .. ال .. ال .. ال ..
+
+482
+00:37:03,620 --> 00:37:07,060
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+483
+00:37:07,060 --> 00:37:07,280
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+484
+00:37:07,280 --> 00:37:07,740
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+485
+00:37:07,740 --> 00:37:07,980
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+486
+00:37:07,980 --> 00:37:09,500
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+487
+00:37:09,500 --> 00:37:09,620
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+488
+00:37:09,620 --> 00:37:09,720
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+489
+00:37:09,720 --> 00:37:12,500
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+490
+00:37:12,500 --> 00:37:21,040
+ال .. ال .. ال .. ال ..
+
+491
+00:37:23,530 --> 00:37:28,670
+و الفيولا براشر الفرق اللي راح عادة سمناها Trans
+
+492
+00:37:28,670 --> 00:37:33,070
+Pulmonary Pressure شفطوا أكلوا ال elasticity و ال
+
+493
+00:37:33,070 --> 00:37:36,730
+recoil activity اللي احنا محتاجينها لللغز نحن
+
+494
+00:37:36,730 --> 00:37:38,550
+محتاجينه بال reportage تبعت لللغز نكون عندنا
+
+495
+00:37:38,550 --> 00:37:42,690
+مواصفات عادي لأشياء كتير مهمةلكن هى فى فرج بيروح
+
+496
+00:37:42,690 --> 00:37:46,210
+فى داخل ايه ال lung tissue زى ما راح فى الموقع
+
+497
+00:37:46,210 --> 00:37:51,010
+انها بشد دهان بقوة شديدة لكن هناك المقاومة بسيطة
+
+498
+00:37:51,010 --> 00:37:55,050
+لإن الشد على اللى عندها مافيش شد كتير تمام؟ مافيش
+
+499
+00:37:55,050 --> 00:37:58,870
+شد كتير لإن الاشي راح فى عملية فرد ال elastic
+
+500
+00:37:58,870 --> 00:38:02,830
+tissues اه و احنا بشد فردت معايا بدل ما تمشي معايا
+
+501
+00:38:02,830 --> 00:38:06,890
+لأ هى ال ال ال ال ال tissues ال lung tissues فيها
+
+502
+00:38:06,890 --> 00:38:10,930
+elastic tissueوهذا king of tissues وانا بشد فيها
+
+503
+00:38:10,930 --> 00:38:15,750
+بدل ما هي كلها ترجع لها تفرد فبتديني ان انا بعمل
+
+504
+00:38:15,750 --> 00:38:19,810
+قوة لفردها وجزء من فردها بيبقى بطرف التاني بنشد
+
+505
+00:38:19,810 --> 00:38:24,010
+شوية يعني مش كله ايه بينتقل إلى حركة مقاملة مساوية
+
+506
+00:38:25,950 --> 00:38:30,330
+طيب ال alveolar pressure اتكلمنا عنه اذا و قلنا
+
+507
+00:38:30,330 --> 00:38:34,790
+انه في عندنا trans pulmonary pressure اللي هو
+
+508
+00:38:34,790 --> 00:38:41,750
+الفرق بين ال ايه ال two pressures ممكن نسميه ال
+
+509
+00:38:41,750 --> 00:38:45,110
+recoil pressure هو اللي ايه نفس ال elasticity
+
+510
+00:38:45,110 --> 00:38:49,790
+انفرضناها و رجعناها و هو نفس القوة compliance of
+
+511
+00:38:49,790 --> 00:38:54,350
+the lung ايش يعني compliance ايش يعني compliance
+
+512
+00:38:55,800 --> 00:39:03,400
+إيه؟ يعني المطابعة، تمام؟ يعني أنا إذا نفختها، إذا
+
+513
+00:39:03,400 --> 00:39:09,600
+.. إذا .. إذا حطيت ضغط عليها، جداش ضغطها ده بيساوي
+
+514
+00:39:09,600 --> 00:39:13,880
+نتيجة، تمام؟ يعني إذا ضغطتها بواحد centimeter
+
+515
+00:39:13,880 --> 00:39:20,060
+water، ضغط، نفحتها، جداش بتنتفخ، تمام؟يعني قداش
+
+516
+00:39:20,060 --> 00:39:25,360
+تأثير ال one unit of pressure على ال lung how the
+
+517
+00:39:25,360 --> 00:39:30,180
+lung responds to ايه to the changes in pressure ال
+
+518
+00:39:30,180 --> 00:39:34,500
+compliance the extent to which the lungs will
+
+519
+00:39:34,500 --> 00:39:38,100
+expand for each unit increase in the trans
+
+520
+00:39:38,100 --> 00:39:43,600
+pulmonary pressure تمام ال compliance يعني احنا
+
+521
+00:39:43,600 --> 00:39:49,020
+شدناها بتنين و نصهذا الشت تبعنا بقاها اتنين و نص
+
+522
+00:39:49,020 --> 00:39:55,620
+لكن اتنين و نص هذول عملولي كده؟ خمسمية مل تمام؟
+
+523
+00:39:55,620 --> 00:40:02,120
+اتنين و نص عملولي خمسمية مل يعني بمعنى ان ال one
+
+524
+00:40:02,120 --> 00:40:09,700
+centimeter water الواحد بينعكس على inflation كده
+
+525
+00:40:09,700 --> 00:40:13,740
+من الخمسمية؟ متان متان
+
+526
+00:54:03,220 --> 00:54:06,680
+لذن كل واحد centimeter pressure بيعمل ليه؟ بيزود
+
+527
+00:54:06,680 --> 00:54:11,080
+ال volume تبع ال lung ستين تان بيزودهم كلهم مع بعض
+
+528
+00:54:11,080 --> 00:54:14,060
+ال volume اللي بيزيد مائتين ملي لتر لإنه اتنين و
+
+529
+00:54:14,060 --> 00:54:18,700
+نص بيزودولي خمسمية ملي لتر، تمام؟ يعني لو نفخنا ال
+
+530
+00:54:18,700 --> 00:54:22,860
+ايه؟ ال lung نفخ، الضغط اللي أنا بديه هيه، بديها
+
+531
+00:54:22,860 --> 00:54:26,260
+هيه، ان ادت هيه سحب او ادت هيه هو هو، ده same
+
+532
+00:54:26,810 --> 00:54:30,270
+اللانج كاللانج تمام بلاقي كل ضغط بزيده أنا بتزيد
+
+533
+00:54:30,270 --> 00:54:34,430
+هي زي البلون بنتفخ شوية بزيد الضغط بنتفخ بزيد
+
+534
+00:54:34,430 --> 00:54:36,490
+الضغط أكتر بنتفخ أكتر بزيد الضغط أكتر بنتفخ أكتر
+
+535
+00:54:36,490 --> 00:54:43,670
+مش كده لما أزيد ل 200 بلاقيها انتفخت إيه إلى واحد
+
+536
+00:54:43,670 --> 00:54:48,150
+إلى 200 200 milliliter بتزيدو هكذا تمام؟ اذا ال
+
+537
+00:54:48,150 --> 00:54:52,250
+compliance each one pressure unit increases the
+
+538
+00:54:52,250 --> 00:54:56,950
+lung volume الى ايه؟ متين milliliter واضح؟ هذا ايه
+
+539
+00:54:56,950 --> 00:55:03,710
+ال compliance ال compliance هذا عملناله
+
+540
+00:55:03,710 --> 00:55:09,730
+احنا ايه؟ عملناله curve هيك ال compliance diagram
+
+541
+00:55:09,730 --> 00:55:15,070
+of the lung هذا ايه ال compliance كيف يعني؟ و انا
+
+542
+00:55:15,070 --> 00:55:19,610
+بنفخ فيهفي الـ lung ال lung بتزيد خلينا نبدأ من
+
+543
+00:55:19,610 --> 00:55:22,650
+هنا تمام او انا بشفط في ال intramural pressure
+
+544
+00:55:22,650 --> 00:55:28,410
+تمام ال lung volume ايه بيزيد فلو احنا حطينا من
+
+545
+00:55:28,410 --> 00:55:34,950
+level معين مثلا منها ال minus four مثلا و
+
+546
+00:55:34,950 --> 00:55:39,470
+زودنا اربعة point one اربعة point two اربعة point
+
+547
+00:55:39,470 --> 00:55:44,410
+three درجة درجة درجة درجة و كل درجة حطيناها بعد ما
+
+548
+00:55:44,410 --> 00:55:49,110
+زودنا ال intramural pressureزودنا .. جللنا يعني ..
+
+549
+00:55:49,110 --> 00:55:52,470
+زودنا ال negativity اقصد يعني جللنا البشر جوا في
+
+550
+00:55:52,470 --> 00:55:56,150
+داخل ال blur و صبرنا نشوف لون بيصلي ال volume يعني
+
+551
+00:55:56,150 --> 00:55:59,810
+مديها عشر ثواني عشان ايه تعمل equilibrium اه زاد
+
+552
+00:55:59,810 --> 00:56:02,790
+ال volume هلجد على اتنين زاد volume على تلاتة زاد
+
+553
+00:56:02,790 --> 00:56:07,350
+هلجد اربعة او اه ب .. بنجس بنجس بنجس الضغط فعملت
+
+554
+00:56:07,350 --> 00:56:10,610
+ال curve هذا انا اذا كان بيسمي inspiratory
+
+555
+00:56:10,610 --> 00:56:16,150
+compliance curve او diagram اديان الشكل هذا تمام؟
+
+556
+00:56:16,520 --> 00:56:21,710
+إذا عندي لحظة إنه من بعد الخمسةبيصير عندى إيه لحد
+
+557
+00:56:21,710 --> 00:56:28,970
+ما أسرع الرد الفعل لذلك ال ال ال ال ال ال ال ال ال
+
+558
+00:56:28,970 --> 00:56:30,870
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+559
+00:56:30,870 --> 00:56:32,310
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+560
+00:56:32,310 --> 00:56:32,710
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+561
+00:56:32,710 --> 00:56:32,830
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+562
+00:56:32,830 --> 00:56:33,130
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+563
+00:56:33,130 --> 00:56:34,470
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+564
+00:56:34,470 --> 00:56:38,650
+ال ال ال ال ال
+
+565
+00:56:38,650 --> 00:56:38,750
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+566
+00:56:50,790 --> 00:56:55,530
+يعني انا هاخد force أكبر اعمل force أكبر عشان انا
+
+567
+00:56:55,530 --> 00:57:00,210
+انا اجيب نتائج أقل لذلك لجينا minus five هي ال إيه
+
+568
+00:57:00,210 --> 00:57:03,690
+ال interpolar pressure بحيث بعد ال minus five أجال
+
+569
+00:57:03,690 --> 00:57:08,230
+زيادة تديني أحسن أحسن inflation تمام؟ لاحظوا
+
+570
+00:57:08,230 --> 00:57:10,950
+الكلفة ده ليش ممكن الشكل هذا لذلك احنا لجينا
+
+571
+00:57:10,950 --> 00:57:14,990
+النجوم في الداخل البلورة minus five ليش؟ لإنه ال
+
+572
+00:57:14,990 --> 00:57:19,350
+minus five هذه ادتني ردود فعل أفضل كتير من ما تكون
+
+573
+00:57:19,350 --> 00:57:26,570
+أجال من هيكminus five هنا دراسة معمولة لحد ستة و
+
+574
+00:57:26,570 --> 00:57:30,110
+بعدين رجعنا احنا نرجع من اول و جديد لجينا غريبة
+
+575
+00:57:30,110 --> 00:57:33,490
+جدا في الموضوع ان في معظم الأشياء لما نعمل احنا
+
+576
+00:57:33,490 --> 00:57:37,630
+issue و نعكسه برجع نفس الخط لأ ال lines برجعش نفس
+
+577
+00:57:37,630 --> 00:57:43,850
+الخط ال inspiratory curve compliance بشكل و ال
+
+578
+00:57:43,850 --> 00:57:49,060
+exploratory compliance بشكل اخر برضه هاناللي بيجل
+
+579
+00:57:49,060 --> 00:57:53,700
+شوية شوية شوية في أولها وبعد الخمسة تمام؟ بعد
+
+580
+00:57:53,700 --> 00:57:58,700
+الخمسة بينزل أسرع تمام؟ اللي هي مصلهاش احنا في
+
+581
+00:57:58,700 --> 00:58:02,440
+العادية هذه الخمسة في الطبيعي عندنا فدزالك ايه؟
+
+582
+00:58:02,440 --> 00:58:07,820
+بيكون عندنا ال expiration بطيق بياخد من ده أطول
+
+583
+00:58:07,820 --> 00:58:11,820
+تمام؟ و ال expiration ال inspiration بياخد ..
+
+584
+00:58:11,820 --> 00:58:17,030
+بيكون أسرعما علينا هو diaphragm العجيب فيه الغريب
+
+585
+00:58:17,030 --> 00:58:24,510
+فيه ان ال two curves ان هم عكس بعض مش بتطبقوش ما
+
+586
+00:58:24,510 --> 00:58:28,970
+بتطبقوا تمام؟ لما ابدأ انا اجلل ال pressure هان
+
+587
+00:58:28,970 --> 00:58:35,970
+مابرجعش ال curve من أول و جديد هان لأ ال volume
+
+588
+00:58:35,970 --> 00:58:40,670
+بجل أجل من ما كان طلع طلع بسرعة لكن هو بجل بجل أجل
+
+589
+00:58:40,670 --> 00:58:42,750
+أجل أجل أجل أجل أجل أجل أجل أجل أجل أجل أجل أجل
+
+590
+00:58:42,750 --> 00:58:48,110
+أجل أجبسبب ايه؟ بسبب ان ال recoil هذا بياخد وقت
+
+591
+00:58:48,110 --> 00:58:54,870
+انا بنزل ال .. تمام؟ لما سحبته انا active سحبته
+
+592
+00:58:54,870 --> 00:58:59,330
+بسرعة رجعته بس هو برجع بقوته برجع بال structure
+
+593
+00:58:59,330 --> 00:59:03,050
+تبعه المهم هذا هو ال care تبعه inspiratory و
+
+594
+00:59:03,050 --> 00:59:07,910
+expiratory care هذا هنستخدمه من حاجة واحدة يعني
+
+595
+00:59:07,910 --> 00:59:11,620
+ايش قيمته كتيرة هذا ال compliance curve تبع الطبع
+
+596
+00:59:11,620 --> 00:59:18,320
+ال lung في الطبيعي هنستفيد منه في معرفة أهمية حاجة
+
+597
+00:59:18,320 --> 00:59:21,820
+اسمها surfactant و ال surface tension و الكلام هذا
+
+598
+00:59:21,820 --> 00:59:25,920
+تمام من هنا احنا ال curve هذا اثرله تطبيق في
+
+599
+00:59:25,920 --> 00:59:31,300
+الدراسة تبع ال lung بفهمنا اشي معين هنستفيد منه
+
+600
+00:59:31,300 --> 00:59:35,640
+بعد شوية في حد ذاته هو ايش قيمته انه ال inspirator
+
+601
+00:59:35,640 --> 00:59:39,010
+ماشي بالشكل هذا و ال expert ماشي بالشكل هذامش
+
+602
+00:59:39,010 --> 00:59:42,270
+هيفيدنا كتير يعني مش هيفيدنا كتير المفهوم ال curve
+
+603
+00:59:42,270 --> 00:59:57,970
+هذا لكنه بعد شوية هنفهم القصة طيب
+
+604
+00:59:57,970 --> 01:00:02,210
+ال elastic forces of the lungs can be divided into
+
+605
+01:00:02,210 --> 01:00:07,170
+two parts اذا
+
+606
+01:00:07,170 --> 01:00:11,090
+عندي اناelastic forces بمعنى انها بتمنع ال
+
+607
+01:00:11,090 --> 01:00:16,430
+expansion و بتساعد على ايش ال recoil مش كده ال
+
+608
+01:00:16,430 --> 01:00:20,170
+elastic forces الموجودة ايش قيمتها انها بتقوم ال
+
+609
+01:00:20,170 --> 01:00:25,210
+expansion تمام ال elastic بتحاول تمنع ال expansion
+
+610
+01:00:25,210 --> 01:00:32,250
+اه و لما انا بقى أسيبها بتعود ايه بترجع زي ما كانت
+
+611
+01:00:32,250 --> 01:00:37,910
+هذه ناتجة عن طبيعة تركيب ال lung tissuesوهذا احنا
+
+612
+01:00:37,910 --> 01:00:41,750
+كلنا عارفينه ومتوقعينه لكن اشي اللي بغريب على
+
+613
+01:00:41,750 --> 01:00:44,650
+الدراسة وغريب علينا احنا في مفهومنا الآن واحنا
+
+614
+01:00:44,650 --> 01:00:50,290
+مدرس ان ال alveoli هذه lined by a film of water a
+
+615
+01:00:50,290 --> 01:00:55,950
+film of a fluid ال alveolus هذه رطبة ففي عندي film
+
+616
+01:00:55,950 --> 01:01:02,150
+of fluid هذا عمل surface tensionهتعمل ايش؟ surface
+
+617
+01:01:02,150 --> 01:01:05,930
+tension هلجيت نقطة المطر نقطة الميه؟ ليش عم اعملها
+
+618
+01:01:05,930 --> 01:01:09,590
+نقطة؟ ليش مش مفروضة غير نازلة؟ ليش مش مفروضة؟
+
+619
+01:01:09,590 --> 01:01:12,950
+النقطة المحتوطة على الجزاز المطر ليش تنزل نقطة
+
+620
+01:01:12,950 --> 01:01:15,910
+نقطة نقطة نقطة؟ ليش أول ما تنزل على الميه على
+
+621
+01:01:15,910 --> 01:01:22,590
+الجزاز تنفردش؟ ليش؟ لإن في surface tensionبين الـ
+
+622
+01:01:22,590 --> 01:01:26,210
+molecules of water هذه نخلهم يمسكوا بعض و يعملوا
+
+623
+01:01:26,210 --> 01:01:31,190
+يشدوا بعض attractive forces تخلي انه .. انه الميه
+
+624
+01:01:31,190 --> 01:01:35,650
+تتمسك في بعض البعض فلما تتمسك بعض البعض بتعملي
+
+625
+01:01:35,650 --> 01:01:40,370
+self extension مسكها بتعملي شكل دائرة مش كده
+
+626
+01:01:40,370 --> 01:01:45,790
+الفيلم of water هذا في ال .. في الalveolus بيميل
+
+627
+01:01:45,790 --> 01:01:50,130
+انهيشد الميه لبعض علي البعض و يعمل drop من أول
+
+628
+01:01:50,130 --> 01:01:56,190
+وجهته و يخلي الميه تسكر و ترجع drop لكن ال lung ال
+
+629
+01:01:56,190 --> 01:02:02,030
+alveolus مفتوحة تمام فهو دايما شدد لجوه إذا في عند
+
+630
+01:02:02,030 --> 01:02:05,810
+surface tension في الفيلم ال water بيبطن ال ايه
+
+631
+01:02:05,810 --> 01:02:10,490
+وهذه قصة كبيرة هنتكلم عنها و هنتكلم عن خطورتها و
+
+632
+01:02:10,490 --> 01:02:13,600
+عن مشاكلها اللي بتصير clinicallyicallyطبعا؟ يعني
+
+633
+01:02:13,600 --> 01:02:18,680
+في أطفال بيولدوا و بعد فترة بسيطة بيموتوا فقط لإن
+
+634
+01:02:18,680 --> 01:02:23,000
+ال surface tension هذا اللي جوا كثير تبع الميه
+
+635
+01:02:23,000 --> 01:02:26,480
+ليش؟ قال اه في مادة اسمها surfactant مفترض انها
+
+636
+01:02:26,480 --> 01:02:30,080
+تكون في داخل السائل هذا اتجلل من ال surface
+
+637
+01:02:30,080 --> 01:02:34,080
+tension تبعها اه و تخليه أخف شوية و تخلي الطفل
+
+638
+01:02:34,080 --> 01:02:39,590
+يقدر يفتح ال lung ال alveoli بسهولةلكن لما يكون
+
+639
+01:02:39,590 --> 01:02:42,170
+عندى انا ال recoil هاري شديد بسبب ال self
+
+640
+01:02:42,170 --> 01:02:46,510
+-extension اللى فاقد مادة معينة بيقدر إلى ان الطفل
+
+641
+01:02:46,510 --> 01:02:50,110
+مليون عافية بيقدر يفتح صدره يدخل الهواء الى ال
+
+642
+01:02:50,110 --> 01:02:53,350
+ivory line لإنه في عنده recoil pressures عالى تمام
+
+643
+01:02:53,350 --> 01:02:56,590
+فهذا بيقدر إلى انه يرحق خلال فترة بسيطة عضلاته
+
+644
+01:02:56,590 --> 01:03:00,970
+بتتوقف عن العمل تعبت أو بيموت respiratory distress
+
+645
+01:03:00,970 --> 01:03:06,890
+syndrome a newborn respiratory distress syndrome
+
+646
+01:03:06,890 --> 01:03:12,020
+تمامبيقولوا اه والله الرئاتين تبعتهم هدى و اللحمة
+
+647
+01:03:12,020 --> 01:03:17,760
+بتنتفخش الرئاتين مش رادية بتنتفخش بس جرعة لحمة لأ
+
+648
+01:03:17,760 --> 01:03:24,320
+هي مش جرعة لحمة هي مكاملة لكنه ال recoil تبع الميه
+
+649
+01:03:24,320 --> 01:03:29,160
+لجوه ال surface شدها لبعض و سكر ال alveoli عشان
+
+650
+01:03:29,160 --> 01:03:33,540
+تفتحها هيك بدنا pressure عالي على العضلات من برا
+
+651
+01:03:33,540 --> 01:03:39,040
+عشان يقدر يفتح ال .. ال recoil تبع ال ..الـ lung
+
+652
+01:03:39,040 --> 01:03:44,960
+نقدر نشده تمام؟ إله قوة معينة و ال self-extension
+
+653
+01:03:44,960 --> 01:03:48,400
+إله قوة معينة لكن في الطبيعة عندنا إن ال self
+
+654
+01:03:48,400 --> 01:03:53,040
+-extension هذا تبع ال film of water أو ال film of
+
+655
+01:03:53,040 --> 01:03:56,740
+fluid اللي lining ال alveoliربنا خلاجه ان هي مش
+
+656
+01:03:56,740 --> 01:04:00,960
+ميا بحت ولا extra fluid بحت لأ خلاجه ان في مادة
+
+657
+01:04:00,960 --> 01:04:07,060
+اخرى يتخلص ال surface tension يخفف بحيث انه يقدر
+
+658
+01:04:07,060 --> 01:04:09,940
+انه عامل مساعد ال recoil بس مش عامل كمية كبيرة
+
+659
+01:04:09,940 --> 01:04:16,080
+اللي ايه اللي يمنع ال expansion واضح؟ لذلك بتكلم
+
+660
+01:04:16,080 --> 01:04:20,320
+ان ال recoil هادي عند حاجتين الاستثناء نفسها بتخلي
+
+661
+01:04:20,320 --> 01:04:25,350
+ال ال ال ال ال ال tissues of the lung تميل انهاto
+
+662
+01:04:25,350 --> 01:04:28,950
+collapse و ال film of water ال surface tension
+
+663
+01:04:28,950 --> 01:04:34,810
+surface tension of the fluid that lines the inside
+
+664
+01:04:34,810 --> 01:04:39,350
+walls of the alveoli ال alveoli و other lungs و
+
+665
+01:04:39,350 --> 01:04:43,590
+اللي جنب ال alveoli ال alveoli و ال sex و ال
+
+666
+01:04:43,590 --> 01:04:48,590
+respiratory bronchus
+
+667
+01:04:48,590 --> 01:04:54,360
+اذا هذه الأشياءبعدين احنا الآن بنغوص في المفهوم ال
+
+668
+01:04:54,360 --> 01:04:56,800
+lung الجديد بطلنا احنا كنا مش فاهم نتكلم عن
+
+669
+01:04:56,800 --> 01:05:00,100
+anatomy حقيقة هنخش نتكلم على ايه ال physiology ال
+
+670
+01:05:00,100 --> 01:05:04,480
+function كيه بيصير طيب ال elastic forces of the
+
+671
+01:05:04,480 --> 01:05:10,260
+lung are determined mainly ال lung نفسه بتتحدد
+
+672
+01:05:10,580 --> 01:05:13,860
+بالتركيبة تبعت ال long tissue اللي هو عندي الستين
+
+673
+01:05:13,860 --> 01:05:20,880
+و كل جن و هدول كما قلنا kinged بطريقة معينة بحيث
+
+674
+01:05:20,880 --> 01:05:24,840
+انه ممكن ينفردوا بس بمجلهم يرجعوا يعملوا king king
+
+675
+01:05:24,840 --> 01:05:28,400
+فتنهي ما تعمل اي force بتفردهم لما تسيبهم يعودوا
+
+676
+01:05:28,400 --> 01:05:34,440
+ايه من جديد بس هذه اللي هي الموضوع الخطير تبعنا ال
+
+677
+01:05:34,440 --> 01:05:38,450
+elastic forces that caused by self extensionare
+
+678
+01:05:38,450 --> 01:05:42,450
+much more complex مش بهالوساطة هذه تمام افهمنا
+
+679
+01:05:42,450 --> 01:05:46,330
+احنا الفكرة تبعتنا افهمنا الفكرة تبعتنا وعشان نشوف
+
+680
+01:05:46,330 --> 01:05:51,170
+احنا ال surface tension هذا جداش اهميته جداش
+
+681
+01:05:51,170 --> 01:05:56,850
+اهميته نحاول نشوف ال compliance تبع ال lung ما هو
+
+682
+01:05:56,850 --> 01:05:59,250
+الآن اللي بيقوم ال compliance اللي بيحدد ال
+
+683
+01:05:59,250 --> 01:06:02,650
+compliance جداش بيقوم ال inflation ال recoil
+
+684
+01:06:02,650 --> 01:06:09,030
+forces ال recoil forces قلنا صارت مجسمة جسمانالـ
+
+685
+01:06:09,030 --> 01:06:16,430
+Structured Issues و الفيلم طيب الآن .. الآن أنا هل
+
+686
+01:06:16,430 --> 01:06:21,230
+ال compliance هذا كل واحدة من ال forces هذه كده
+
+687
+01:06:21,230 --> 01:06:26,120
+بتأثر فيه؟تمام؟ انا لو ال compliance تبع ال
+
+688
+01:06:26,120 --> 01:06:29,200
+tissues ال elasticity اقل شوية كان النفخة تبعت
+
+689
+01:06:29,200 --> 01:06:51,400
+ووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووووو
+
+690
+01:06:51,520 --> 01:06:55,540
+بدي أحاول أن ألغي واحد منهم عشان أشوف الواحد لحاله
+
+691
+01:06:55,540 --> 01:07:00,480
+كيف تأثيره بكده بقدر أميز إذا ال curve الرئيسي هذا
+
+692
+01:07:00,480 --> 01:07:08,000
+تمام؟ شايفين كيف مربطح؟ بالراحة بيشتغل الآن لو أنا
+
+693
+01:07:08,000 --> 01:07:14,080
+حاولت أشيل ال surface tension factor كيف ممكن
+
+694
+01:07:14,080 --> 01:07:19,660
+أشيله؟ بدي أجيب lungو بعدين بدي أنغس self
+
+695
+01:07:19,660 --> 01:07:25,160
+-extension، أعبيها saline، أعبيها ميه، أعبيها ميه،
+
+696
+01:07:25,160 --> 01:07:29,300
+تمام؟ يعني زي بلون ملياني الآن ميه، أنا سارت أنفخه
+
+697
+01:07:29,300 --> 01:07:34,000
+الآن مش بالإيه، بالهوا، بدي أنفخه بالميه، تمام؟ و
+
+698
+01:07:34,000 --> 01:07:37,160
+بدي أنفس الميه اللي فيه عشان أعمل negative
+
+699
+01:07:37,160 --> 01:07:40,780
+pressure، أشوف ال record تبعه كده أو أدخل ميه عشان
+
+700
+01:07:40,780 --> 01:07:45,330
+إيه أعمل نفعيعني بدي أشيل ال factor تبع ال surface
+
+701
+01:07:45,330 --> 01:07:48,490
+tension هذا لإن صار كله مليان ميه مافيش surface
+
+702
+01:07:48,490 --> 01:07:52,990
+tension يحاول يشد ال .. لأ اكسرت كلها من ال .. ال
+
+703
+01:07:52,990 --> 01:07:57,230
+violas للتراكية كلها مليانة ميه تمام؟ و أدرس ال
+
+704
+01:07:57,230 --> 01:08:03,690
+compliance سبعها بلاقي أنه أنا أي brochure بعمله و
+
+705
+01:08:03,690 --> 01:08:08,370
+برفقه على طول غير مافيها هوا لما حطيت فيها ميه
+
+706
+01:08:08,370 --> 01:08:09,910
+اتدتني ال curve القاتى
+
+707
+01:08:12,640 --> 01:08:18,100
+من أول ما أنا بدأت أنقص الضغط في البلورة أو الضغط
+
+708
+01:08:18,100 --> 01:08:21,800
+اللي أنا بنفخه اللي هو في مياه يعني مش في هوا بزيد
+
+709
+01:08:21,800 --> 01:08:25,580
+الضغط داخلي يا عن طريق التركيه بدخل مياه زيادة يا
+
+710
+01:08:25,580 --> 01:08:28,900
+بجلل ال pressure من برا عشان كل ال ايه تشوف ال
+
+711
+01:08:28,900 --> 01:08:33,460
+compliance كأي تجربة compliance بلاقي أنه أنا وصلت
+
+712
+01:08:33,460 --> 01:08:37,200
+ل maximum تبعي نص لتري اللي أنا بزيده في force
+
+713
+01:08:37,200 --> 01:08:42,460
+بسيطة تمام؟إذا كان لدي elastic force كانت بتقاوم
+
+714
+01:08:42,460 --> 01:08:47,200
+راحت اختفت إذا صار ان الان لان عندي ال elastic
+
+715
+01:08:47,200 --> 01:08:55,160
+tissue recoil forces فقط طيب لو رجعنا المجموعة من
+
+716
+01:08:55,160 --> 01:08:58,160
+أول و جديد التانين يعني رجعنا للهواء نفس ال force
+
+717
+01:08:58,160 --> 01:09:03,400
+استخدمناها point one ماشيناها كده و نشوف الفرق بين
+
+718
+01:09:03,400 --> 01:09:08,490
+هذا و هذا طبعا ال two curves هدولمش واحد شغال هنا
+
+719
+01:09:08,490 --> 01:09:12,750
+و واحد شغال هنا الاتنين مشغالين على نفس الضغوط لكن
+
+720
+01:09:12,750 --> 01:09:17,690
+هذا ال curve نشتغل عليه واضح؟ يعني الاتنين محطوطين
+
+721
+01:09:17,690 --> 01:09:24,630
+تحت الظروف لكن هذا شكله اختلف عن ايه؟ عن هذا هذا
+
+722
+01:09:24,630 --> 01:09:31,290
+أخد وجه أطول وانا بعمل التجربة أخد وجه أطول من
+
+723
+01:09:31,290 --> 01:09:39,210
+minus five إلى minus تقريبا eightأو أقل شوية سبعة
+
+724
+01:09:39,210 --> 01:09:44,150
+و نص هاد لما أدانا نص لتر اللي هو ايه النص لتر ال
+
+725
+01:09:44,150 --> 01:09:48,330
+volume expansion في حين انه ايه لما ضيعت الهادي
+
+726
+01:09:48,330 --> 01:09:57,170
+ماخدش عندي طولة القوة اذا لجينا احنا ان ال recoil
+
+727
+01:09:57,170 --> 01:10:04,790
+forces لحالها تمام بتاخدنفس الانفلاشين بتولت القوة
+
+728
+01:10:04,790 --> 01:10:07,410
+المطلوبة في حين انه في وجود ال surface tension
+
+729
+01:10:07,410 --> 01:10:13,830
+احتجنا احنا ايه؟ تلت أضعاف القوة الأولانية تمام؟
+
+730
+01:10:13,830 --> 01:10:18,530
+اذا when the lungs are filled with air there is an
+
+731
+01:10:18,530 --> 01:10:20,650
+interface between the alveolar one and the other
+
+732
+01:10:20,650 --> 01:10:24,090
+in the case of saline solution filled lungs there
+
+733
+01:10:24,090 --> 01:10:27,890
+is no air fluid interface therefore the surface
+
+734
+01:10:27,890 --> 01:10:31,690
+tension effect is not present only the elastic
+
+735
+01:10:31,690 --> 01:10:36,380
+forcesلاحظوا أن المدرسات الترانسبلورية اللي
+
+736
+01:10:36,380 --> 01:10:38,840
+تحتاجها لتفتح الهواء المليء بالهواء المليء بالهواء
+
+737
+01:10:38,840 --> 01:10:40,700
+المليء بالهواء المليء بالهواء المليء بالهواء
+
+738
+01:10:40,700 --> 01:10:42,960
+المليء بالهواء المليء بالهواء المليء بالهواء
+
+739
+01:10:42,960 --> 01:10:47,840
+المليء بالهواء المليء بالهواء المليء بالهواء
+
+740
+01:10:47,840 --> 01:10:47,920
+المليء بالهواء المليء بالهواء المليء بالهواء
+
+741
+01:10:47,920 --> 01:10:47,960
+المليء بالهواء المليء بالهواء المليء بالهواء
+
+742
+01:10:47,960 --> 01:10:48,400
+المليء بالهواء المليء بالهواء المليء بالهواء
+
+743
+01:10:48,400 --> 01:10:50,540
+المليء بالهواء المليء بالهواء المليء بالهواء
+
+744
+01:10:50,540 --> 01:10:53,940
+المليء بالهواء المليء بالهواء المليء بالهواء
+
+745
+01:10:53,940 --> 01:11:00,540
+المليء بالهواء
+
+746
+01:11:00,540 --> 01:11:07,690
+المليصار دوره ضعف ال elastic forces، تمام؟ يعني
+
+747
+01:11:07,690 --> 01:11:12,490
+creating recoil capacity أعلى بمرتين من ال tissues
+
+748
+01:11:12,490 --> 01:11:16,650
+تبع ال .. ال .. ال .. ال .. ال .. ال elastic
+
+749
+01:11:16,650 --> 01:11:25,290
+recoil tissues forces، واضح؟ واضح، طيبThe fluid
+
+750
+01:11:25,290 --> 01:11:28,110
+air surface tension elastic forces of the lungs
+
+751
+01:11:28,110 --> 01:11:31,370
+also increase tremendously when the substance
+
+752
+01:11:31,370 --> 01:11:36,310
+called surfactant is not present احنا فهمنا القصة
+
+753
+01:11:36,310 --> 01:11:42,930
+هذه ان هو مهم ان هو ايه مهم و في الطبيعي لجينا ان
+
+754
+01:11:42,930 --> 01:11:48,710
+هو يمثل اتنين الى واحد بالنسبة لل lung tissues
+
+755
+01:11:48,710 --> 01:11:54,390
+recoil forces تمام؟ بتزيد المشكلة اكبرلو ال water
+
+756
+01:11:54,390 --> 01:12:00,390
+هذا ال fluid اللي lining ال alveoli تركيبته اختلفت
+
+757
+01:12:00,390 --> 01:12:04,270
+وصار له surface tension اكبر ليش هو ال surface
+
+758
+01:12:04,270 --> 01:12:08,530
+tension او ال recoil forces هذه لما اتلقى مثلا
+
+759
+01:12:08,530 --> 01:12:12,790
+مختلف .. اه جالك تعال في عيني انا مواد مختلفة كل
+
+760
+01:12:12,790 --> 01:12:17,410
+مادة إلها ايه؟ إلها surface tension مختلفة عن
+
+761
+01:12:17,410 --> 01:12:19,690
+التانية، من راحت
+
+762
+01:12:24,250 --> 01:12:30,410
+طيب، إذا في مادة اسمها إيه؟ surfactant إذا كانت مش
+
+763
+01:12:30,410 --> 01:12:35,170
+موجودة هيقديلي إليها مشاكل كتيرة ال surfactant هذه
+
+764
+01:12:35,170 --> 01:12:45,770
+مادة surface acting agent surfactant يعني هي اسمها
+
+765
+01:12:45,770 --> 01:12:53,950
+مش اسم انجليزي حقيقي هو مركب اسم مركب من إيه؟ منزي
+
+766
+01:12:53,950 --> 01:12:59,950
+فيات سيارة فيات مركبة تركيب زي دوة نستاتين اللي
+
+767
+01:12:59,950 --> 01:13:05,050
+احنا بستخدمه لل fungus مركب تركيب نستاتين New York
+
+768
+01:13:05,050 --> 01:13:12,030
+State نستاتين عشان انه دوة يعني فيات Fabrica
+
+769
+01:13:12,030 --> 01:13:18,330
+Italiano ماعرفش ايش و هذه surfactant surface
+
+770
+01:13:18,330 --> 01:13:26,730
+acting agent تمام؟طيب يعني هذه المادة لما تنخلط
+
+771
+01:13:26,730 --> 01:13:32,590
+بالمية تمام بتجلل ال surface tension بتجلل ال
+
+772
+01:13:32,590 --> 01:13:33,670
+surface tension بتجلل ال surface tension بتجلل ال
+
+773
+01:13:33,670 --> 01:13:34,050
+surface tension بتجلل ال surface tension بتجلل ال
+
+774
+01:13:34,050 --> 01:13:34,990
+surface tension بتجلل ال surface tension بتجلل ال
+
+775
+01:13:34,990 --> 01:13:37,410
+surface tension بتجلل ال surface tension بتجلل ال
+
+776
+01:13:37,410 --> 01:13:40,010
+surface tension بتجلل ال surface tension بتجلل ال
+
+777
+01:13:40,010 --> 01:13:41,730
+surface tension بتجلل ال surface tension بتجلل ال
+
+778
+01:13:41,730 --> 01:13:41,830
+surface tension بتجلل ال surface tension بتجلل ال
+
+779
+01:13:41,830 --> 01:13:47,870
+surface
+
+780
+01:13:47,870 --> 01:13:54,350
+tension بتجلل ال surface tensionالـ alveolar wall
+
+781
+01:13:54,350 --> 01:14:00,850
+فيها انه two types of cells ال .. ال .. ال flat
+
+782
+01:14:00,850 --> 01:14:05,370
+alveolar cells اللي هو بيسميها احنا alveolar cell
+
+783
+01:14:05,370 --> 01:14:10,010
+type one و في عندي alveolar cell اضافية تمثل خمس
+
+784
+01:14:10,010 --> 01:14:14,690
+ال ايه؟ eighty percent of the cells ال alveolar
+
+785
+01:14:14,690 --> 01:14:17,990
+cell type two ال type two هذه شغلتها بس تعمل
+
+786
+01:14:17,990 --> 01:14:22,490
+secretion لمين؟ ل surfactantالـ type one لأ هالي
+
+787
+01:14:22,490 --> 01:14:26,490
+بنصير عن طريقها التبادل الغازات زي اللي كان thin
+
+788
+01:14:26,490 --> 01:14:30,330
+زي ال endothelium تبع من؟ تبع الكابينيز تبع
+
+789
+01:14:30,330 --> 01:14:44,530
+الشعارات الدموية مش كده؟ طيب surfactant
+
+790
+01:14:44,530 --> 01:14:49,210
+and its effect surfactant is a surface active
+
+791
+01:14:49,210 --> 01:14:56,870
+agentوهو يعني أنه يقلل كثيرًا حرارة المياه من
+
+792
+01:14:56,870 --> 01:15:01,330
+الماء وهو مخلص من المخلصات الخاصة اللي اتكلمنا
+
+793
+01:15:01,330 --> 01:15:05,810
+عنها هذه المخلصات هم مخلصات جرانولارية جرانولارية
+
+794
+01:15:05,810 --> 01:15:10,830
+يعني تحتوي على سيارات يعني فيه فيه production فيه
+
+795
+01:15:10,830 --> 01:15:15,530
+اشي يصنع جوا تمام؟أنا قلت عشر المية؟ أنا غلطان،
+
+796
+01:15:15,530 --> 01:15:19,870
+عشرة المية يمثل عشرة المية من الايه؟ من ال ال
+
+797
+01:15:19,870 --> 01:15:23,650
+alveolar cells these cells are granular containing
+
+798
+01:15:23,650 --> 01:15:27,590
+lipid inclusions that are secreted in the
+
+799
+01:15:27,590 --> 01:15:34,750
+surfactant into the alveoli اذا احنا افهمنا ان ال
+
+800
+01:15:34,750 --> 01:15:39,790
+surfactant الان secreted byالـ type two alveolar
+
+801
+01:15:39,790 --> 01:15:45,070
+cells اللي تمات الـ 10% من ال alveolar cells هذا
+
+802
+01:15:45,070 --> 01:15:49,450
+عبارة عن مادة دهنية مادة دهنية لذلك اتكلمنا عن
+
+803
+01:15:49,450 --> 01:15:54,030
+احنا granular vesicles
+
+804
+01:15:54,030 --> 01:15:57,850
+containing lipid inclusions في داخلها يعني هذه
+
+805
+01:15:57,850 --> 01:16:01,590
+lipid إلى حد ما طب من ايش متكون المادة هذه تطلع؟
+
+806
+01:16:01,590 --> 01:16:06,450
+تتكون من several phospholipidsو بعض البروتين
+
+807
+01:16:06,450 --> 01:16:11,050
+والعيون الفوسفوليبيد
+
+808
+01:16:11,050 --> 01:16:15,010
+أهمها الفوسفوليبيد اللي هو داي بالميتايلو
+
+809
+01:16:15,010 --> 01:16:20,730
+بالميتويل فوسفتيدايلكولين داي بالميتايل
+
+810
+01:16:20,730 --> 01:16:27,110
+فوسفتيدايلكولين وعنا البروتين اسمه surfactant
+
+811
+01:16:27,110 --> 01:16:31,890
+apoprotein وعنا calcium ions ثلاثة مع بعض هدول
+
+812
+01:16:31,890 --> 01:16:38,830
+كمان بيجوا كمادةبتدخل ما بين ال water molecules
+
+813
+01:16:38,830 --> 01:16:45,130
+وبتقدي إلى انه تبعدها عن بعض كل ما زادت النسبة هذه
+
+814
+01:16:45,130 --> 01:16:48,490
+كل ما زادت تأثيرها اكتر كل ما جلت كل ما اه يعني
+
+815
+01:16:48,490 --> 01:16:52,050
+هذا النسبة .. نسبة معينة مختوطة مخلوطة بحيث انه
+
+816
+01:16:52,050 --> 01:16:54,370
+ماتمنعش ال surface tension تبع ال water completely
+
+817
+01:16:54,370 --> 01:16:59,600
+لكنها ايه؟بتجلل و بتضعف تأثيرها كاي بيصير انها جزء
+
+818
+01:16:59,600 --> 01:17:03,720
+تبقى موجود في الـ phospholipid دايما في الميه و
+
+819
+01:17:03,720 --> 01:17:06,560
+جزء مش دايما في الميه فهذا بيقدر إلى انه
+
+820
+01:17:06,560 --> 01:17:09,940
+interruptions لل water molecules مش متماسكة مع بعض
+
+821
+01:17:09,940 --> 01:17:12,940
+البعض في فراغات ما بين الموليكولز مش كل الموليكولز
+
+822
+01:17:12,940 --> 01:17:21,820
+ماسكة في بعضها البعض تمام؟ in
+
+823
+01:17:21,820 --> 01:17:24,620
+quantitative terms the surface tension of
+
+824
+01:17:24,620 --> 01:17:28,170
+differentWater Fluids is approximately the
+
+825
+01:17:28,170 --> 01:17:32,090
+following، إذا لما نتكلم عن أرقام خلّينا نتكلم عن
+
+826
+01:17:32,090 --> 01:17:35,730
+ال surface tension تبع المواد المختلفة ال pure
+
+827
+01:17:35,730 --> 01:17:40,150
+water لجينا ال surface tension تبع 72 dynes per
+
+828
+01:17:40,150 --> 01:17:44,990
+centimeterالـ Normal Fluid lining the alveoli من
+
+829
+01:17:44,990 --> 01:17:47,930
+غير surfactant لو شيلنا .. جيبنا تركيب ال fluid
+
+830
+01:17:47,930 --> 01:17:50,870
+اللي هو شميه بال extra serum fluid وشيلنا منه
+
+831
+01:17:50,870 --> 01:17:55,170
+surfactant هنلاقي انه ال surface tension تبعه
+
+832
+01:17:55,170 --> 01:18:00,570
+خمسين داين بالسنتيمتر لكن بال surfactant بينزل إلى
+
+833
+01:18:00,570 --> 01:18:05,910
+تلت .. إلى خمسة إلى تلتين داين حسب انا قداش حاطة
+
+834
+01:18:05,910 --> 01:18:10,760
+surfactant تمام؟ ممكن ينزل ال surfactant نهائيهو
+
+835
+01:18:10,760 --> 01:18:16,860
+ممكن يكون يعني متوسط 50% إلى 1 على 12 من الـA من
+
+836
+01:18:16,860 --> 01:18:20,560
+السيرفاكتانت يعني ممكن يلغي السيرفاكتانت تبع
+
+837
+01:18:20,560 --> 01:18:26,060
+المادة هذه نص الكبية فقط تبقى surface tension ال
+
+838
+01:18:26,060 --> 01:18:31,640
+force تجيل للنص او لو زادت السيرفاكتانت ينزل لخمسة
+
+839
+01:18:31,640 --> 01:18:34,880
+ل 1 على 12 من الـA من ال original surface tension
+
+840
+01:18:34,880 --> 01:18:38,680
+تبع هذه المادة تمام؟ يبقى كده هذه المادة كتير مهمة
+
+841
+01:18:38,680 --> 01:18:43,960
+ان اذا فقدتهامعناها بيصير عندى اتن عشر ضعف او تمان
+
+842
+01:18:43,960 --> 01:18:48,540
+اضعاف او عشر اضعاف او على الأقل ضعف .. ضعفين ال
+
+843
+01:18:48,540 --> 01:18:52,180
+ايه ال surface tension تبع ال lungs معناها انا بدي
+
+844
+01:18:52,180 --> 01:18:57,100
+force اقوى في عملية ان افتح ال lungs عشان ارجع ال
+
+845
+01:18:57,100 --> 01:19:01,560
+compliance للعملية الاولانية بدي قوة اكبر اذا زاد
+
+846
+01:19:01,560 --> 01:19:04,500
+ال surface tension هذا بدي قوة اكبر عشان افتح ال
+
+847
+01:19:04,500 --> 01:19:09,500
+ايه و من هنا المشكلة بتصير عندى لما ينولد ولد صغير
+
+848
+01:19:11,120 --> 01:19:18,420
+فاقد هذه ال ايه؟ ال .. فاقد هذه ال property، هذه
+
+849
+01:19:18,420 --> 01:19:22,580
+surfactant secretion تمام؟ مشكلة كبيرة في الآخر
+
+850
+01:19:22,580 --> 01:19:25,620
+إذا ما قدتوش أنا surfactant و دي very expensive
+
+851
+01:19:25,620 --> 01:19:29,360
+materialإذا ماندلتوش أنا surfactant بإيدي، هيموت
+
+852
+01:19:29,360 --> 01:19:32,640
+فورا، و إذا ادلتوا أنا surfactant و أنا غاني زي
+
+853
+01:19:32,640 --> 01:19:36,100
+واحدة من سنتين، يعني كانت عندها المشكلة هذه، لكن
+
+854
+01:19:36,100 --> 01:19:39,460
+أهلها أغنية ودوها عصرائيل و أخدت surfactant و بضلت
+
+855
+01:19:39,460 --> 01:19:43,200
+عايشة عليها لسن اتناش ماتت، لإن بعد كده مش جادرة
+
+856
+01:19:43,200 --> 01:19:44,220
+انها
+
+857
+01:19:46,280 --> 01:19:51,240
+تواصل الحياة الطبيعية بدأت ال lungs تتغير شوية
+
+858
+01:19:51,240 --> 01:19:55,240
+شوية شوية شوية لو وصلت لمرحلة انه صار عندى
+
+859
+01:19:55,240 --> 01:19:59,860
+respirator insufficiency طبعا خليني نرجع تاني ليش
+
+860
+01:19:59,860 --> 01:20:03,400
+معنى ما نجيب سيرة الولد الصغير لإن هو اللي بنى ولد
+
+861
+01:20:03,400 --> 01:20:07,600
+و ال surfactant مفقود منه طيب و إذا الولد
+
+862
+01:20:07,600 --> 01:20:10,460
+premature بدري في العادة ال surfactant بتكونش إلا
+
+863
+01:20:10,460 --> 01:20:13,660
+في الأشهر الأخيرةفإذا ده ولد premature ممكن أحطه
+
+864
+01:20:13,660 --> 01:20:16,580
+في الحضانة فترة لحد ما ال surfactant يرجع يتكون و
+
+865
+01:20:16,580 --> 01:20:19,940
+بقولهم يلا الله سهل عليكم هذا إذا ما دخلش في إيه
+
+866
+01:20:19,940 --> 01:20:23,000
+ال respiratory infection لإن هذا اللي بيصير عندنا
+
+867
+01:20:23,000 --> 01:20:26,080
+قبل ما يتكون ال surfactant بيكون دخل في إيه في ..
+
+868
+01:20:26,080 --> 01:20:28,740
+في .. في .. في severe acute pulmonary infection
+
+869
+01:20:28,740 --> 01:20:32,420
+بيموت الولد لكن نفترض إنه إحنا في مستشفى محترمة
+
+870
+01:20:32,420 --> 01:20:37,260
+وعنا حضانة ممتازة مافيش فيها cross infection في
+
+871
+01:20:37,260 --> 01:20:40,470
+الحالة هذه لو صبرنا عليه أسبوعين تلاتةالـ
+
+872
+01:20:40,470 --> 01:20:43,350
+premature الولد بدري قبل ما عادوا ال surfactant
+
+873
+01:20:43,350 --> 01:20:46,150
+هيرجع يتكون و هيرجع على سبيل المثال ال sister روح
+
+874
+01:20:46,150 --> 01:20:49,030
+و نقوله مع السلامة لكن بعض الناس عندهم congenital
+
+875
+01:20:49,030 --> 01:20:53,190
+absence of that surfactant تاني مشكلة كبيرة طيب
+
+876
+01:20:53,190 --> 01:20:56,450
+انا هنا ايه عن ايش بدأ اتكلم فوق عاد رجعت بدأ اقول
+
+877
+01:20:56,450 --> 01:21:02,070
+انه في عامل تاني في الطفل بيخلي المشكلة أكبر كيف
+
+878
+01:21:02,070 --> 01:21:05,190
+يعني؟ يعني احنا okay قولنا ال surfactant عدم وجوده
+
+879
+01:21:05,190 --> 01:21:08,070
+مشكلة للطفل و وجوده
+
+880
+01:21:11,570 --> 01:21:15,530
+لذن عندى انا عدم وجود ال certificate المشكلة لكن
+
+881
+01:21:15,530 --> 01:21:19,390
+عدم وجوده كمان فى الطفل المشكلة بيصير مضعفة ليش؟
+
+882
+01:21:19,390 --> 01:21:22,470
+طيب نشوف احنا ال surface tension هذا كيف بنحسب
+
+883
+01:21:22,470 --> 01:21:27,450
+وكيف بتكون تمام؟
+
+884
+01:21:27,450 --> 01:21:31,790
+لجنا انه عشان اعرف ال pressure اللى بتكون من ال
+
+885
+01:21:31,790 --> 01:21:36,400
+surface tensionبيعتمد على الـ diameter تبع ال ال
+
+886
+01:21:36,400 --> 01:21:38,580
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+887
+01:21:38,580 --> 01:21:40,680
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+888
+01:21:40,680 --> 01:21:41,940
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+889
+01:21:41,940 --> 01:21:44,340
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+890
+01:21:44,340 --> 01:21:46,500
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+891
+01:21:46,500 --> 01:21:51,700
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+892
+01:21:51,700 --> 01:21:51,800
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+893
+01:21:51,800 --> 01:21:52,060
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+894
+01:21:52,060 --> 01:21:52,140
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+895
+01:21:52,140 --> 01:21:52,280
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+896
+01:21:52,280 --> 01:21:54,220
+ال ال ال ال ال ال ال ال ال ال
+
+897
+01:22:00,930 --> 01:22:04,010
+في ال .. في .. احنا الكبار ال radius of our
+
+898
+01:22:04,010 --> 01:22:09,410
+alveoli حوالي ميت مايكرون الصغار حوالي خمسين تمام؟
+
+899
+01:22:09,410 --> 01:22:14,430
+فلذلك انا هان لما بقسم على ميهيه بذكر ال self
+
+900
+01:22:14,430 --> 01:22:19,030
+-extension هذا الموجود لكن لما اقسم على خمسين بصير
+
+901
+01:22:19,030 --> 01:22:22,950
+عندي اضعف الكمية ال self-extension اضعف ال
+
+902
+01:22:22,950 --> 01:22:27,700
+pressure لذلك الطفل الصغير عنده radius صغيرهو عدم
+
+903
+01:22:27,700 --> 01:22:30,540
+وجود surfactant فبيقدر إلى ان ال pressure اللي
+
+904
+01:22:30,540 --> 01:22:33,380
+موجود هيكون عالي جدا لان ال surface tension
+
+905
+01:22:33,380 --> 01:22:37,420
+ماتغيرش فقدر منه ال surfactant زاد وعندي diameter
+
+906
+01:22:37,420 --> 01:22:42,860
+صغير زاد لضعف اكتر و اكتر مش كده؟ طيب اذا هنا
+
+907
+01:22:42,860 --> 01:22:47,200
+الخطورة في الأطفال ان ال pressure اللي بتكون هذا
+
+908
+01:22:47,200 --> 01:22:53,060
+بتكون في الفيولاي small smaller half the size half
+
+909
+01:22:53,060 --> 01:22:59,460
+the radius of the ايه؟ of theof the adult فبيقدّي
+
+910
+01:22:59,460 --> 01:23:02,880
+إلى أنه بيديني more pressure بحسب الحسبة اللي
+
+911
+01:23:02,880 --> 01:23:07,180
+متكونها for the average size alveolus with the
+
+912
+01:23:07,180 --> 01:23:12,000
+radius of about micrometer and the line with
+
+913
+01:23:12,000 --> 01:23:15,360
+normal surfactant this calculates to be about four
+
+914
+01:23:15,360 --> 01:23:18,660
+centimeters of water pressure حوال تلاتة ميلي متر
+
+915
+01:23:18,660 --> 01:23:23,300
+micro ليه؟ لكن في الطفل هنلاقي بيوصل لطبع منطعش
+
+916
+01:23:23,300 --> 01:23:26,840
+أنا في وجه ال surfactantإذا كانت الـ alveoli
+
+917
+01:23:26,840 --> 01:23:31,360
+مرتبطة بماء صحيح بدون أي سيرفاكتانت، فالضغط كان
+
+918
+01:23:31,360 --> 01:23:36,300
+يتخيل إلى حوالي 18 سنتيمتر من ضغط الماء، يعني من
+
+919
+01:23:36,300 --> 01:23:39,580
+18 ل 3، تلاحظوا الفرق؟ فهذا الطفل مافيش عنده
+
+920
+01:23:39,580 --> 01:23:45,140
+سيرفاكتانت و عنده alveoli دايما تبقى صغير، فبقدر
+
+921
+01:23:45,140 --> 01:23:50,860
+إلى أن وجود ضغط عامله عامله ال surface tension تبع
+
+922
+01:23:50,860 --> 01:23:56,380
+ال water هذي، 18 ضعف الطبيعي، تمام؟أذن من هنا
+
+923
+01:23:56,380 --> 01:23:58,540
+بيصير عنده مشكلة كبيرة في كيف أني أقدر أفتح ال
+
+924
+01:23:58,540 --> 01:24:02,140
+alveoli هادي و أني أقدر أني أشد ال .. ال .. ال ..
+
+925
+01:24:02,140 --> 01:24:05,520
+ال lungs تفتح عشان تفتح ال alveoli مع pressure
+
+926
+01:24:05,520 --> 01:24:08,260
+البسيط اللي أنا بعمله محتاج لبشر كبير .. pressure
+
+927
+01:24:08,260 --> 01:24:12,680
+كبير contraction كتير muscle power كتيرة work كتير
+
+928
+01:24:12,680 --> 01:24:17,460
+يؤدي بعد شوية لطفل صغير لسه مولود إلى fatigue و
+
+929
+01:24:17,460 --> 01:24:20,460
+failure و suffocation حين خرج ويموت
+
+930
+01:24:28,470 --> 01:24:31,590
+respiratory stress syndrome اتكلمنا عنه effect of
+
+931
+01:24:31,590 --> 01:24:36,630
+the thoracic cage on lung expansibility طيب الان
+
+932
+01:24:36,630 --> 01:24:39,570
+احنا اتكلمنا عن .. مهم دقيقة ان شاء الله مش هانطول
+
+933
+01:24:39,570 --> 01:24:44,550
+اتكلمنا عن ال lung ك lung لحالها تمام؟ لكن تنسوش
+
+934
+01:24:44,550 --> 01:24:49,050
+ان ال lung هذه موجودة و انا بدي انفخ اعمل force
+
+935
+01:24:49,050 --> 01:24:54,730
+انفخ مش بانفخ بس ال ال lung و كمان بفتح ال cage
+
+936
+01:24:54,730 --> 01:24:59,880
+يعني انا ال recoil تبع ال lungو بزوج ال what ال
+
+937
+01:24:59,880 --> 01:25:04,160
+wall التراثيكي كمان لبرا فإذا عندي انا حقيقية
+
+938
+01:25:04,160 --> 01:25:08,980
+هشتغل عشان أخلي ال alveoli تفتح بدي ال tissues هذي
+
+939
+01:25:08,980 --> 01:25:13,880
+أقوم ال recoil تبعها و بدي أحمل ال chest wall
+
+940
+01:25:13,880 --> 01:25:18,940
+أحملها لبرا بدي أقوم برضه what ال weight تبعها
+
+941
+01:25:18,940 --> 01:25:21,700
+اللي نازل ضايق أطلع على ال lungs بدي أفتحها لبرا
+
+942
+01:25:21,700 --> 01:25:25,520
+العضلات بتشتغل لبرا مش كده فإذا عندي انا لو
+
+943
+01:25:25,520 --> 01:25:30,170
+استخدمتالـ compliance factor هذا وقلنا تعالى نشوف
+
+944
+01:25:30,170 --> 01:25:34,130
+ال compliance لأن ال lung في ال chest واحد خدرناه
+
+945
+01:25:34,890 --> 01:25:39,210
+نائم , paralyzed و نفخنا , أدينا ضغط للريقتين نشوف
+
+946
+01:25:39,210 --> 01:25:43,470
+ال compliance لجينا في وجود الريقتين بتديني كل
+
+947
+01:25:43,470 --> 01:25:48,410
+واحد centimeter water الى مية و عشرة milliliter
+
+948
+01:25:48,410 --> 01:25:51,730
+expansion في حين انه لو استخدمنا ال lung لحاله
+
+949
+01:25:51,730 --> 01:25:55,570
+بنفس ال force بتديني ايه؟ خمسمية بتديني متين لصنتى
+
+950
+01:25:55,570 --> 01:26:00,410
+واحد الصنتى الواحد بتديني ايه؟ متين اذا ال lung
+
+951
+01:26:00,410 --> 01:26:07,120
+thoracic cage preparation تمامبيديني محتاج ضعف
+
+952
+01:26:07,120 --> 01:26:12,020
+القوة عشان دي نفس الهدف يعني ال one millimeter
+
+953
+01:26:12,020 --> 01:26:15,680
+centimeter water بيديني فقط نص ال expansion
+
+954
+01:26:15,680 --> 01:26:19,440
+المتوقع من ال lung لحالها تمام؟ اذا انا صار في
+
+955
+01:26:19,440 --> 01:26:22,520
+عندى هنا الان في ال normal عندى two factors اذا
+
+956
+01:26:22,520 --> 01:26:24,300
+هنا بتكلم عن بعد كده
+
+957
+01:26:29,800 --> 01:26:33,600
+لإنفلاح هذا النظام البلموني تقريبًا مرتفعة كم
+
+958
+01:26:33,600 --> 01:26:39,300
+مضايا محتاجة لإنفلاح نفس الانفلاح لوحدنا تمام؟ إذا
+
+959
+01:26:39,300 --> 01:26:43,960
+بدنا نعمل الانفلاح لحالهم من غير ما أستخدم ال
+
+960
+01:26:43,960 --> 01:26:49,340
+preparation كله، الانفلاح والجسد نفسه، بدي ضعف
+
+961
+01:26:49,340 --> 01:26:53,920
+القوة أستخدمها عشان أصل لنفس الانفلاش. لذلك، إتباع
+
+962
+01:26:53,920 --> 01:26:59,300
+نظام الانفلاح التعامل مع الانفلاح تقريبًاone half
+
+963
+01:26:59,300 --> 01:27:05,020
+that of the lungs alone يعني 110 إلى 200 تقريبا نص
+
+964
+01:27:05,020 --> 01:27:10,520
+الكمية furthermore when the lungs are expanded to
+
+965
+01:27:10,520 --> 01:27:14,280
+high volumes or compressed to low volumes هذا في
+
+966
+01:27:14,280 --> 01:27:19,820
+آخر ال expansion أو في آخر ال recoil بتدخل عندى
+
+967
+01:27:19,820 --> 01:27:24,460
+عوامل أخرى إضافية يعني ال resistance بزيد لإن ال
+
+968
+01:27:24,460 --> 01:27:27,990
+chest لديه limit معينأخر جزء بيصير ال compliance
+
+969
+01:27:27,990 --> 01:27:32,130
+أقل كتير وفي أخر مرحلة من الinflation من ال recoil
+
+970
+01:27:32,130 --> 01:27:35,590
+برضه بيصير ال resistance كتيرة مش مهم كتير هذا
+
+971
+01:27:35,590 --> 01:27:40,770
+الكلام لكن احنا فهمنا الآن انه عندي انا جهود بدي
+
+972
+01:27:40,770 --> 01:27:45,910
+ابدله علشان اقاوم ال recoil هذا الان الجهود مش بس
+
+973
+01:27:45,910 --> 01:27:50,570
+long لحالها اللي هيتمثل tissue و surface tension
+
+974
+01:27:50,570 --> 01:27:56,000
+وكمان عندي ال recoil elastic forces تمعت منتبعت لـ
+
+975
+01:27:56,000 --> 01:27:59,760
+chest wall، thorax wall، تمام؟ إذا صار عندى فيه
+
+976
+01:27:59,760 --> 01:28:04,540
+تلت أنواع من ال resistance عندهان، the work of
+
+977
+01:28:04,540 --> 01:28:07,120
+inspiration can be divided into three fractions.
+
+978
+01:28:07,640 --> 01:28:11,220
+الآن أنا عشان أبدو الجهد، عشان أتنفس، بستخدم ..
+
+979
+01:28:11,220 --> 01:28:16,080
+بشغل تلت حاجات. الهوى اللي هو داخل، داخل فيه أنا
+
+980
+01:28:16,080 --> 01:28:20,370
+بيرفي عقيلها مقاومة، مش كده؟الـ tissues اللي أنا
+
+981
+01:28:20,370 --> 01:28:24,490
+بزيحها انسوا انها elastic الـ tissues بحت بدأ
+
+982
+01:28:24,490 --> 01:28:27,790
+أزيحها هيك و اضال محلها مش مشكلة يعني انا حاجة
+
+983
+01:28:27,790 --> 01:28:31,210
+ازيح تاني كده مارجعتش مافيش إيه أنا قايل بس أنا
+
+984
+01:28:31,210 --> 01:28:35,710
+زيحتي إلها هذا بده جهود مش كده و كمان و أنا بزيحها
+
+985
+01:28:35,710 --> 01:28:39,650
+بتقومني صار فيه جهود تالت تمام؟ إذا أنا بزيحها
+
+986
+01:28:39,650 --> 01:28:44,560
+كتيشو إلها و إلها و إلها work جهود بتاخدههي
+
+987
+01:28:44,560 --> 01:28:47,680
+اتفاجأنا انها مش راضية فيه كمان elasticity الها
+
+988
+01:28:47,680 --> 01:28:52,480
+وزن ويلها elasticity لذلك ال work هنا بيتوزع على
+
+989
+01:28:52,480 --> 01:28:56,200
+ال resistance التلاتة اللي هو resistance of the
+
+990
+01:28:56,200 --> 01:29:00,520
+airways ال tissue resistance work ال tissue لحاله
+
+991
+01:29:00,520 --> 01:29:05,180
+لان انا بزيحه ابعده تمام التلاتة اللي هو recoil
+
+992
+01:29:05,180 --> 01:29:08,740
+اللي هو ال elasticity ال الastic ال compliance
+
+993
+01:29:08,740 --> 01:29:12,600
+work او ال elastic work تمام اذا عندي انا ال work
+
+994
+01:29:12,600 --> 01:29:18,640
+اللي بستخدمهباستخدمه لتلت مناطق تلت حاجات اللي هو
+
+995
+01:29:18,640 --> 01:29:22,040
+نخول الهواء بيتدفع في ال air passages و هذا أقل ..
+
+996
+01:29:22,040 --> 01:29:27,080
+أقل resistance ال tissues اللي أنا بزيحها هذي برضه
+
+997
+01:29:27,080 --> 01:29:30,220
+أقل tissues و resistance ال elastic forces اللي هي
+
+998
+01:29:30,220 --> 01:29:34,220
+ال compliance work هذا أكبر بنلاحظ احنا انه during
+
+999
+01:29:34,220 --> 01:29:37,240
+normal هذا أخرش بده أقوله during normal quiet
+
+1000
+01:29:37,240 --> 01:29:42,920
+respiration3%-5% من الطاقة المستخدمة مستخدمة
+
+1001
+01:29:42,920 --> 01:29:43,220
+للتراث
+
+1002
+01:29:52,200 --> 01:29:56,180
+أنا بعمل مجهود، بدي تنفس أكتر، أنا كمية الطاقة
+
+1003
+01:29:56,180 --> 01:29:58,120
+اللي صارت بستخدمها أكتر، لإن أنا جاعة بعمل مجهود
+
+1004
+01:29:58,120 --> 01:30:01,400
+كبير، بطلع بلاقي صارت أنا محتاج إلى خمسين، قد يكون
+
+1005
+01:30:01,400 --> 01:30:05,440
+خمسين ضعف الطاقة اللي بستخدمها في ال إيه؟ في وضع
+
+1006
+01:30:05,440 --> 01:30:09,940
+الراحة، يعني التنفس في وضع مجهود بيده يستخدم إيه
+
+1007
+01:30:09,940 --> 01:30:12,980
+طاقة أكبر، والتنفس في وضع مرتاح بيستخدم طاقة
+
+1008
+01:30:12,980 --> 01:30:18,370
+بسيطة، مش كده؟المرة اللى جاى ماتكلم عن ال
+
+1009
+01:30:18,370 --> 01:30:21,290
+balmonary volumes and capacities اللى أعتقد أن
+
+1010
+01:30:21,290 --> 01:30:25,310
+انتوا أخدته في المعمل أشياء كتير عنها هتسهل علينا
+
+1011
+01:30:25,310 --> 01:30:29,110
+المهمة ان شاء الله نقدر نخلص الفصل اللى جاى في
+
+1012
+01:30:29,110 --> 01:30:31,010
+المحاضرة اللى جاية الله يعطيكوا العافية وبركة الله
+
+1013
+01:30:31,010 --> 01:30:31,970
+فيكم، من اللي هو السؤال؟
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/Ua1FY6qeg4Q_raw.json b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/Ua1FY6qeg4Q_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..09c06e2c3501de2dc5f7b223f1bd5af6602d04b0
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/Ua1FY6qeg4Q_raw.json
@@ -0,0 +1 @@
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"end": 2162.37, "text": "و بعدين بدى انا بدى اعمله في الحالة هذه و يكون عندى ال inspiration active و بدى أبطال انا اما ال inspiration كمان active تمام؟ لكن انا بال ال elasticity هذه بيخلي انه ايه ال ال ال inspiration ايه", "tokens": [2407, 39182, 9957, 47525, 7578, 1975, 8315, 47525, 7578, 1975, 25957, 43761, 8978, 21542, 6027, 3660, 29538, 4032, 7251, 30544, 43242, 7578, 2423, 10249, 4967, 4032, 47525, 7578, 5551, 3555, 9566, 6027, 1975, 8315, 1975, 15042, 2423, 10249, 9122, 2304, 7649, 4967, 46811, 10943, 22807, 44381, 1975, 8315, 20666, 2423, 46260, 29538, 4724, 1829, 9778, 20292, 16472, 3224, 1975, 1829, 3224, 2423, 2423, 2423, 10249, 1975, 1829, 3224], "avg_logprob": -0.3136322481044825, "compression_ratio": 1.736842105263158, "no_speech_prob": 0.0, "words": [{"start": 2143.97, "end": 2144.31, "word": "و", "probability": 0.53955078125}, {"start": 2144.31, "end": 2144.71, "word": " بعدين", "probability": 0.884521484375}, {"start": 2144.71, "end": 2145.01, "word": " بدى", 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" effect", "probability": 0.349365234375}, {"start": 4487.29, "end": 4487.81, "word": " surfactant", "probability": 0.8981119791666666}, {"start": 4487.81, "end": 4487.99, "word": " is", "probability": 0.89599609375}, {"start": 4487.99, "end": 4488.23, "word": " a", "probability": 0.9326171875}, {"start": 4488.23, "end": 4488.59, "word": " surface", "probability": 0.79638671875}, {"start": 4488.59, "end": 4489.21, "word": " active", "probability": 0.8759765625}, {"start": 4489.21, "end": 4489.99, "word": " agent", "probability": 0.9375}], "temperature": 1.0}, {"id": 143, "seek": 451317, "start": 4491.85, "end": 4513.17, "text": "وهو يعني أنه يقلل كثيرًا حرارة المياه من الماء وهو مخلص من المخلصات الخاصة اللي اتكلمنا عنها هذه المخلصات هم مخلصات جرانولارية جرانولارية يعني تحتوي على سيارات يعني فيه فيه production فيه اشي يصنع جوا تمام؟", "tokens": [2407, 3224, 2407, 37495, 22653, 14739, 3224, 7251, 4587, 1211, 1211, 9122, 12984, 13546, 14111, 995, 11331, 2288, 9640, 3660, 9673, 25528, 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"word": " يعني", "probability": 0.7939453125}, {"start": 4509.09, "end": 4509.57, "word": " فيه", "probability": 0.789306640625}, {"start": 4509.57, "end": 4510.19, "word": " فيه", "probability": 0.7117919921875}, {"start": 4510.19, "end": 4510.45, "word": " production", "probability": 0.68603515625}, {"start": 4510.45, "end": 4510.83, "word": " فيه", "probability": 0.785888671875}, {"start": 4510.83, "end": 4511.03, "word": " اشي", "probability": 0.7603352864583334}, {"start": 4511.03, "end": 4511.39, "word": " يصنع", "probability": 0.8544921875}, {"start": 4511.39, "end": 4512.13, "word": " جوا", "probability": 0.665771484375}, {"start": 4512.13, "end": 4513.17, "word": " تمام؟", "probability": 0.8694661458333334}], "temperature": 1.0}, {"id": 144, "seek": 453691, "start": 4513.81, "end": 4536.91, "text": "أنا قلت عشر المية؟ أنا غلطان، عشرة المية يمثل عشرة المية من الايه؟ من ال ال alveolar cells these cells are granular containing lipid inclusions that are secreted in the surfactant into the alveoli اذا احنا افهمنا ان ال surfactant الان secreted by", "tokens": [10721, 8315, 12174, 1211, 2655, 6225, 46309, 9673, 10632, 22807, 41850, 32771, 1211, 9566, 7649, 12399, 6225, 8592, 25720, 9673, 10632, 7251, 2304, 12984, 1211, 6225, 8592, 25720, 9673, 10632, 9154, 42963, 1829, 3224, 22807, 9154, 2423, 2423, 419, 303, 15276, 5438, 613, 5438, 366, 39962, 19273, 8280, 327, 17204, 626, 300, 366, 4054, 292, 294, 264, 9684, 578, 394, 666, 264, 419, 303, 9384, 1975, 15730, 1975, 5016, 8315, 1975, 5172, 16095, 8315, 16472, 2423, 9684, 578, 394, 2423, 7649, 4054, 292, 538], "avg_logprob": -0.34687498737783995, "compression_ratio": 1.6683673469387754, "no_speech_prob": 0.0, "words": [{"start": 4513.81, "end": 4514.39, "word": "أنا", "probability": 0.272705078125}, {"start": 4514.39, "end": 4514.55, "word": " قلت", "probability": 0.85400390625}, {"start": 4514.55, "end": 4514.71, "word": " عشر", "probability": 0.696044921875}, {"start": 4514.71, "end": 4515.03, "word": " المية؟", 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ال", "probability": 0.3310546875}, {"start": 4519.87, "end": 4520.25, "word": " alveolar", "probability": 0.7162272135416666}, {"start": 4520.25, "end": 4520.73, "word": " cells", "probability": 0.78173828125}, {"start": 4520.73, "end": 4522.13, "word": " these", "probability": 0.106201171875}, {"start": 4522.13, "end": 4522.39, "word": " cells", "probability": 0.64208984375}, {"start": 4522.39, "end": 4522.61, "word": " are", "probability": 0.943359375}, {"start": 4522.61, "end": 4523.07, "word": " granular", "probability": 0.93798828125}, {"start": 4523.07, "end": 4523.65, "word": " containing", "probability": 0.79931640625}, {"start": 4523.65, "end": 4524.15, "word": " lipid", "probability": 0.9345703125}, {"start": 4524.15, "end": 4525.03, "word": " inclusions", "probability": 0.912841796875}, {"start": 4525.03, "end": 4526.25, "word": " that", "probability": 0.8828125}, {"start": 4526.25, "end": 4526.57, "word": " are", "probability": 0.95703125}, {"start": 4526.57, "end": 4527.17, "word": " secreted", "probability": 0.947021484375}, {"start": 4527.17, "end": 4527.41, "word": " in", "probability": 0.94091796875}, {"start": 4527.41, "end": 4527.59, "word": " the", "probability": 0.90966796875}, {"start": 4527.59, "end": 4528.43, "word": " surfactant", "probability": 0.9348958333333334}, {"start": 4528.43, "end": 4529.11, "word": " into", "probability": 0.73974609375}, {"start": 4529.11, "end": 4529.31, "word": " the", "probability": 0.92919921875}, {"start": 4529.31, "end": 4530.01, "word": " alveoli", "probability": 0.9401041666666666}, {"start": 4530.01, "end": 4532.33, "word": " اذا", "probability": 0.5291748046875}, {"start": 4532.33, "end": 4534.01, "word": " احنا", "probability": 0.9607747395833334}, {"start": 4534.01, "end": 4534.47, "word": " افهمنا", "probability": 0.8717041015625}, {"start": 4534.47, "end": 4534.63, "word": " ان", "probability": 0.86865234375}, {"start": 4534.63, "end": 4534.75, "word": " ال", "probability": 0.7734375}, {"start": 4534.75, "end": 4535.29, "word": " surfactant", "probability": 0.8644205729166666}, {"start": 4535.29, "end": 4535.69, "word": " الان", "probability": 0.58782958984375}, {"start": 4535.69, "end": 4536.59, "word": " secreted", "probability": 0.92529296875}, {"start": 4536.59, "end": 4536.91, "word": " by", "probability": 0.9482421875}], "temperature": 1.0}, {"id": 145, "seek": 456414, "start": 4537.31, "end": 4564.15, "text": "الـ type two alveolar cells اللي تمات الـ 10% من ال alveolar cells هذا عبارة عن مادة دهنية مادة دهنية لذلك اتكلمنا عن احنا granular vesicles containing lipid inclusions في داخلها يعني هذه lipid إلى حد ما طب من ايش متكون المادة هذه تطلع؟ تتكون من several phospholipids", "tokens": [6027, 39184, 2010, 732, 419, 303, 15276, 5438, 13672, 1829, 46811, 9307, 2423, 39184, 1266, 4, 9154, 2423, 419, 303, 15276, 5438, 23758, 6225, 3555, 9640, 3660, 18871, 3714, 18513, 3660, 11778, 3224, 1863, 10632, 3714, 18513, 3660, 11778, 3224, 1863, 10632, 5296, 8848, 23275, 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4546.49, "word": " دهنية", "probability": 0.9739990234375}, {"start": 4546.49, "end": 4547.39, "word": " مادة", "probability": 0.779541015625}, {"start": 4547.39, "end": 4547.81, "word": " دهنية", "probability": 0.99169921875}, {"start": 4547.81, "end": 4548.17, "word": " لذلك", "probability": 0.9148763020833334}, {"start": 4548.17, "end": 4549.31, "word": " اتكلمنا", "probability": 0.92265625}, {"start": 4549.31, "end": 4549.45, "word": " عن", "probability": 0.9052734375}, {"start": 4549.45, "end": 4549.73, "word": " احنا", "probability": 0.96875}, {"start": 4549.73, "end": 4550.95, "word": " granular", "probability": 0.37158203125}, {"start": 4550.95, "end": 4554.03, "word": " vesicles", "probability": 0.931640625}, {"start": 4554.03, "end": 4554.85, "word": " containing", "probability": 0.86083984375}, {"start": 4554.85, "end": 4555.41, "word": " lipid", "probability": 0.933349609375}, {"start": 4555.41, "end": 4556.15, "word": " inclusions", "probability": 0.93359375}, {"start": 4556.15, "end": 4556.37, "word": " في", "probability": 0.60791015625}, {"start": 4556.37, "end": 4556.85, "word": " داخلها", "probability": 0.9927978515625}, {"start": 4556.85, "end": 4557.55, "word": " يعني", "probability": 0.920166015625}, {"start": 4557.55, "end": 4557.85, "word": " هذه", "probability": 0.69091796875}, {"start": 4557.85, "end": 4558.53, "word": " lipid", "probability": 0.7138671875}, {"start": 4558.53, "end": 4558.67, "word": " إلى", "probability": 0.81298828125}, {"start": 4558.67, "end": 4558.91, "word": " حد", "probability": 0.95556640625}, {"start": 4558.91, "end": 4559.11, "word": " ما", "probability": 0.84033203125}, {"start": 4559.11, "end": 4559.33, "word": " طب", "probability": 0.794677734375}, {"start": 4559.33, "end": 4559.41, "word": " من", "probability": 0.94970703125}, {"start": 4559.41, "end": 4559.53, "word": " ايش", "probability": 0.8053385416666666}, {"start": 4559.53, "end": 4559.93, "word": " متكون", "probability": 0.7255859375}, {"start": 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"end": 5393.92, "word": " تنفس", "probability": 0.9166666666666666}, {"start": 5393.92, "end": 5395.02, "word": " أكتر،", "probability": 0.9361328125}, {"start": 5395.02, "end": 5395.22, "word": " أنا", "probability": 0.884765625}, {"start": 5395.22, "end": 5395.68, "word": " كمية", "probability": 0.9718424479166666}, {"start": 5395.68, "end": 5396.18, "word": " الطاقة", "probability": 0.9860026041666666}, {"start": 5396.18, "end": 5396.3, "word": " اللي", "probability": 0.87890625}, {"start": 5396.3, "end": 5396.46, "word": " صارت", "probability": 0.7801106770833334}, {"start": 5396.46, "end": 5396.94, "word": " بستخدمها", "probability": 0.9546875}, {"start": 5396.94, "end": 5397.26, "word": " أكتر،", "probability": 0.892529296875}, {"start": 5397.26, "end": 5397.38, "word": " لإن", "probability": 0.88427734375}, {"start": 5397.38, "end": 5397.5, "word": " أنا", "probability": 0.95556640625}, {"start": 5397.5, "end": 5397.66, "word": " جاعة", "probability": 0.6783854166666666}, {"start": 5397.66, "end": 5397.88, "word": " بعمل", "probability": 0.9903971354166666}, {"start": 5397.88, "end": 5398.12, "word": " مجهود", "probability": 0.9951171875}, {"start": 5398.12, "end": 5398.94, "word": " كبير،", "probability": 0.958740234375}, {"start": 5398.94, "end": 5399.32, "word": " بطلع", "probability": 0.885009765625}, {"start": 5399.32, "end": 5399.62, "word": " بلاقي", "probability": 0.876953125}, {"start": 5399.62, "end": 5399.88, "word": " صارت", "probability": 0.7705078125}, {"start": 5399.88, "end": 5400.0, "word": " أنا", "probability": 0.65771484375}, {"start": 5400.0, "end": 5400.34, "word": " محتاج", "probability": 0.9889322916666666}, {"start": 5400.34, "end": 5400.48, "word": " إلى", "probability": 0.71728515625}, {"start": 5400.48, "end": 5401.02, "word": " خمسين،", "probability": 0.95166015625}, {"start": 5401.02, "end": 5401.16, "word": " قد", "probability": 0.97998046875}, {"start": 5401.16, "end": 5401.4, "word": " يكون", "probability": 0.9853515625}, {"start": 5401.4, "end": 5401.82, "word": " خمسين", "probability": 0.99365234375}, {"start": 5401.82, "end": 5402.16, "word": " ضعف", "probability": 0.9861653645833334}, {"start": 5402.16, "end": 5403.3, "word": " الطاقة", "probability": 0.9541015625}, {"start": 5403.3, "end": 5403.82, "word": " اللي", "probability": 0.9658203125}, {"start": 5403.82, "end": 5404.3, "word": " بستخدمها", "probability": 0.987890625}, {"start": 5404.3, "end": 5404.44, "word": " في", "probability": 0.9814453125}, {"start": 5404.44, "end": 5404.5, "word": " ال", "probability": 0.62451171875}, {"start": 5404.5, "end": 5405.02, "word": " إيه؟", "probability": 0.8028564453125}, {"start": 5405.02, "end": 5405.16, "word": " في", "probability": 0.9287109375}, {"start": 5405.16, "end": 5405.44, "word": " وضع", "probability": 0.9869791666666666}, {"start": 5405.44, "end": 5406.28, "word": " الراحة،", "probability": 0.827099609375}, {"start": 5406.28, "end": 5406.56, "word": " يعني", "probability": 0.970947265625}, {"start": 5406.56, "end": 5407.16, "word": " التنفس", "probability": 0.9757486979166666}, {"start": 5407.16, "end": 5407.36, "word": " في", "probability": 0.994140625}, {"start": 5407.36, "end": 5407.72, "word": " وضع", "probability": 0.9930013020833334}, {"start": 5407.72, "end": 5408.48, "word": " مجهود", "probability": 0.9931640625}, {"start": 5408.48, "end": 5409.36, "word": " بيده", "probability": 0.4551595052083333}, {"start": 5409.36, "end": 5409.8, "word": " يستخدم", "probability": 0.9903564453125}, {"start": 5409.8, "end": 5409.94, "word": " إيه", "probability": 0.8190104166666666}, {"start": 5409.94, "end": 5410.16, "word": " طاقة", "probability": 0.8741861979166666}, {"start": 5410.16, "end": 5410.9, "word": " أكبر،", "probability": 0.866455078125}, {"start": 5410.9, "end": 5411.38, "word": " والتنفس", "probability": 0.8587646484375}, {"start": 5411.38, "end": 5411.54, "word": " في", "probability": 0.98193359375}, {"start": 5411.54, "end": 5411.74, "word": " وضع", "probability": 0.9930013020833334}, {"start": 5411.74, "end": 5412.26, "word": " مرتاح", "probability": 0.9334309895833334}, {"start": 5412.26, "end": 5412.72, "word": " بيستخدم", "probability": 0.96083984375}, {"start": 5412.72, "end": 5412.98, "word": " طاقة", "probability": 0.9964192708333334}, {"start": 5412.98, "end": 5414.06, "word": " بسيطة،", "probability": 0.9778645833333334}, {"start": 5414.06, "end": 5414.2, "word": " مش", "probability": 0.94287109375}, {"start": 5414.2, "end": 5414.58, "word": " كده؟", "probability": 0.9437255859375}], "temperature": 1.0}, {"id": 179, "seek": 543197, "start": 5416.87, "end": 5431.97, "text": "المرة اللى جاى ماتكلم عن ال balmonary volumes and capacities اللى أعتقد أن انتوا أخدته في المعمل أشياء كتير عنها هتسهل علينا المهمة ان شاء الله نقدر نخلص الفصل اللى جاى في المحاضرة اللى جاية الله يعطيكوا العافية وبركة الله فيكم، من اللي هو السؤال؟", "tokens": [45340, 25720, 13672, 7578, 10874, 995, 7578, 3714, 9307, 4117, 19528, 18871, 2423, 3119, 46386, 22219, 293, 39396, 13672, 7578, 5551, 34268, 28543, 14739, 16472, 2655, 14407, 5551, 9778, 3215, 47395, 8978, 9673, 25957, 1211, 5551, 8592, 1829, 16606, 9122, 2655, 13546, 18871, 11296, 8032, 2655, 3794, 3224, 1211, 25894, 8315, 9673, 16095, 3660, 16472, 13412, 16606, 21984, 8717, 28543, 2288, 8717, 9778, 1211, 9381, 27188, 36520, 13672, 7578, 10874, 995, 7578, 8978, 9673, 5016, 46958, 25720, 13672, 7578, 10874, 995, 10632, 21984, 37495, 9566, 1829, 4117, 14407, 18863, 31845, 10632, 4032, 26890, 4117, 3660, 21984, 8978, 24793, 12399, 9154, 13672, 1829, 31439, 21136, 33604, 6027, 22807], "avg_logprob": -0.21773726217172765, "compression_ratio": 1.7615062761506277, "no_speech_prob": 0.0, "words": [{"start": 5416.87, "end": 5417.37, "word": "المرة", "probability": 0.7666015625}, {"start": 5417.37, "end": 5417.51, "word": " اللى", "probability": 0.4898681640625}, {"start": 5417.51, "end": 5417.61, "word": " جاى", "probability": 0.7027994791666666}, {"start": 5417.61, "end": 5417.97, "word": " ماتكلم", "probability": 0.701416015625}, {"start": 5417.97, "end": 5418.17, "word": " عن", "probability": 0.95458984375}, {"start": 5418.17, "end": 5418.37, "word": " ال", "probability": 0.67626953125}, {"start": 5418.37, "end": 5418.85, "word": " balmonary", "probability": 0.376434326171875}, {"start": 5418.85, "end": 5419.43, "word": " volumes", "probability": 0.85107421875}, {"start": 5419.43, "end": 5419.69, "word": " and", "probability": 0.9140625}, {"start": 5419.69, "end": 5420.13, "word": " capacities", "probability": 0.92822265625}, {"start": 5420.13, "end": 5420.79, "word": " اللى", "probability": 0.974609375}, {"start": 5420.79, "end": 5421.13, "word": " أعتقد", "probability": 0.8512369791666666}, {"start": 5421.13, "end": 5421.29, "word": " أن", "probability": 0.60009765625}, {"start": 5421.29, "end": 5421.55, "word": " انتوا", "probability": 0.7298177083333334}, {"start": 5421.55, "end": 5422.03, "word": " أخدته", "probability": 0.8743896484375}, {"start": 5422.03, "end": 5422.49, "word": " في", "probability": 0.8916015625}, {"start": 5422.49, "end": 5423.43, "word": " المعمل", "probability": 0.96826171875}, {"start": 5423.43, "end": 5424.15, "word": " أشياء", "probability": 0.9266357421875}, {"start": 5424.15, "end": 5424.41, "word": " كتير", "probability": 0.9254557291666666}, {"start": 5424.41, "end": 5424.61, "word": " عنها", "probability": 0.83935546875}, {"start": 5424.61, "end": 5425.01, "word": " هتسهل", "probability": 0.883154296875}, {"start": 5425.01, "end": 5425.31, "word": " علينا", "probability": 0.968017578125}, {"start": 5425.31, "end": 5425.93, "word": " المهمة", "probability": 0.84375}, {"start": 5425.93, "end": 5426.25, "word": " ان", "probability": 0.87109375}, {"start": 5426.25, "end": 5426.45, "word": " شاء", "probability": 0.97705078125}, {"start": 5426.45, "end": 5426.49, "word": " الله", "probability": 0.9384765625}, {"start": 5426.49, "end": 5426.75, "word": " نقدر", "probability": 0.9734700520833334}, {"start": 5426.75, "end": 5427.27, "word": " نخلص", "probability": 0.9840087890625}, {"start": 5427.27, "end": 5427.71, "word": " الفصل", "probability": 0.93798828125}, {"start": 5427.71, "end": 5427.95, "word": " اللى", "probability": 0.940673828125}, {"start": 5427.95, "end": 5428.43, "word": " جاى", "probability": 0.92236328125}, {"start": 5428.43, "end": 5429.11, "word": " في", "probability": 0.6708984375}, {"start": 5429.11, "end": 5429.55, "word": " المحاضرة", "probability": 0.9610595703125}, {"start": 5429.55, "end": 5429.67, "word": " اللى", "probability": 0.9619140625}, {"start": 5429.67, "end": 5429.81, "word": " جاية", "probability": 0.8624674479166666}, {"start": 5429.81, "end": 5429.97, "word": " الله", "probability": 0.7939453125}, {"start": 5429.97, "end": 5430.29, "word": " يعطيكوا", "probability": 0.90654296875}, {"start": 5430.29, "end": 5430.59, "word": " العافية", "probability": 0.7060546875}, {"start": 5430.59, "end": 5430.91, "word": " وبركة", "probability": 0.81591796875}, {"start": 5430.91, "end": 5431.01, "word": " الله", "probability": 0.85107421875}, {"start": 5431.01, "end": 5431.31, "word": " فيكم،", "probability": 0.7135416666666666}, {"start": 5431.31, "end": 5431.39, "word": " من", "probability": 0.7236328125}, {"start": 5431.39, "end": 5431.47, "word": " اللي", "probability": 0.6241455078125}, {"start": 5431.47, "end": 5431.55, "word": " هو", "probability": 0.5751953125}, {"start": 5431.55, "end": 5431.97, "word": " السؤال؟", "probability": 0.978271484375}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 5439.9015, "duration_after_vad": 4478.4618750000245}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/WVvcKoQB710_postprocess.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/WVvcKoQB710_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..3ccaabaf9295a19dfa6dfc9475bbf7aee22acf00
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/WVvcKoQB710_postprocess.srt
@@ -0,0 +1,3540 @@
+1
+00:00:06,290 --> 00:00:10,990
+اليوم بنتكلم عن الجزئية
+
+2
+00:00:10,990 --> 00:00:14,350
+التانية من عملية ال respiration أو عملية ال
+
+3
+00:00:14,350 --> 00:00:17,770
+ventilation عملية ال ventilation عملية ميكانيكية
+
+4
+00:00:17,770 --> 00:00:22,930
+بتوصل الهواء إلى ال alveoli عشان يدخلوا على الدم
+
+5
+00:00:22,930 --> 00:00:26,650
+مش هيك عشان يدخل ال oxygen إلى الدم اليوم بندرس
+
+6
+00:00:26,650 --> 00:00:30,570
+الدم هذا اللي بيحيط بال إيه؟ بال alveoli و بدخل
+
+7
+00:00:30,570 --> 00:00:34,590
+الرئتينإيش مواصفاته؟ إيش صفاته؟ لإنه احنا العملية
+
+8
+00:00:34,590 --> 00:00:40,570
+بين هوا في جانب و دم في جانب الهوا بيحرقوا الرقتين
+
+9
+00:00:40,570 --> 00:00:44,450
+و ال chest و ال muscles و الدنيا كلها درسنا ال
+
+10
+00:00:44,450 --> 00:00:47,670
+mechanics سبعتها و اليوم هدوس الدم هذا اللي بدخل
+
+11
+00:00:47,670 --> 00:00:53,650
+عندنا على الحيط بال alveoli عشان يحمل ال oxygen و
+
+12
+00:00:53,650 --> 00:00:58,590
+يطالع بنطمن عليه قبل ما يحمل لحظة يكون إيه مقصر
+
+13
+00:00:58,590 --> 00:01:02,190
+ولا ماعندوش القدرة كاملة على حمل هذه ال إيهالأمانة
+
+14
+00:01:02,190 --> 00:01:08,330
+وهي أمانة حملة ال oxygen إلى ال
+
+15
+00:01:08,330 --> 00:01:21,930
+different tissues of the body مش هيك؟ طيب، الآن ال
+
+16
+00:01:21,930 --> 00:01:27,050
+blood vessels of the lung
+
+17
+00:01:28,120 --> 00:01:33,080
+are two types او two sources we have two sources
+
+18
+00:01:33,080 --> 00:01:38,420
+for blood supply of the lung ال source الأساسي
+
+19
+00:01:38,420 --> 00:01:40,960
+اللي بنتكلم عنه احنا هان بنتكلم عن ال palmonary
+
+20
+00:01:40,960 --> 00:01:48,400
+artery اللي طالع من ال right ventricle طالع بنقسم
+
+21
+00:01:48,400 --> 00:01:52,140
+إلى right and left palmonary arteriesو اول ما يدخل
+
+22
+00:01:52,140 --> 00:01:58,260
+ال lung بنقسم الى branches بسرعة من branch ل
+
+23
+00:01:58,260 --> 00:02:01,660
+branch لحد مثلا ال capillary network ال capillary
+
+24
+00:02:01,660 --> 00:02:10,080
+network هذه اللي موجودة في ال two lungs لو فرضناها
+
+25
+00:02:10,080 --> 00:02:15,400
+كده مساحة ال surface area تبعها بنلاقيها يمكن
+
+26
+00:02:15,400 --> 00:02:19,880
+بتعمل بتغطي الصلة اللي احنا فيها سبعين متر مربعة
+
+27
+00:02:20,700 --> 00:02:28,480
+سبعين متر مربع يعني ال surface of gas exchange بتم
+
+28
+00:02:28,480 --> 00:02:34,560
+على exchange على سبعين متر مربع مساحة مش ضخم طبعا
+
+29
+00:02:34,560 --> 00:02:37,720
+لو
+
+30
+00:02:37,720 --> 00:02:43,300
+نعرف أن السبعين متر مربع هدول بيكون فيهم سبعين ملي
+
+31
+00:02:43,300 --> 00:02:47,800
+لتر ومدن بس يعني ال capillaries الحجم السبعين متر
+
+32
+00:02:47,800 --> 00:02:57,090
+مربعبيكون فيها في الوقت الواحد اللي هو سبعين ملي
+
+33
+00:02:57,090 --> 00:03:02,470
+لتر دم اتصوروا جداش هيكون الدم مفروض و جداش ال
+
+34
+00:03:02,470 --> 00:03:08,650
+exchange بيكون سهل، تمام؟ اذا عندنا احنا ال
+
+35
+00:03:08,650 --> 00:03:13,010
+balmonary are فيه و بنقسم و بيديني capillaries و
+
+36
+00:03:13,010 --> 00:03:18,790
+برجع على شكل ايش؟ على شكل balmonary فيهveins لإنه
+
+37
+00:03:18,790 --> 00:03:24,210
+أربعة veins بتخش اللي ايه ال lift atrium مش كده
+
+38
+00:03:24,210 --> 00:03:31,590
+اذا طب ال source التاني ال source هذا واضح ان ال
+
+39
+00:03:31,590 --> 00:03:34,810
+source بتدخل الدم عشان to be oxygenated و يطلع لكن
+
+40
+00:03:34,810 --> 00:03:38,470
+ال lung as a tissue as an organ it should has its
+
+41
+00:03:38,470 --> 00:03:44,110
+own blood supply for nutrition مش كدهالـ tissues
+
+42
+00:03:44,110 --> 00:03:47,150
+المختلفة هذه الـ functions المختلفة اللي بتنعملها
+
+43
+00:03:47,150 --> 00:03:54,750
+دي بدها energy بدها supplements مختلفة ففي عندنا
+
+44
+00:03:54,750 --> 00:03:58,130
+another system of blood which is called the
+
+45
+00:03:58,130 --> 00:04:03,030
+bronchial arteries, bronchial vessels هذي
+
+46
+00:04:03,030 --> 00:04:09,110
+supplying the tissues of the lung إذا هذي جاية من
+
+47
+00:04:09,110 --> 00:04:12,930
+الأورطة من ال system circulation يعني حملة أكسجينة
+
+48
+00:04:12,930 --> 00:04:17,500
+للبلدو بتروح لل lung as any organ تمام؟ بتروح
+
+49
+00:04:17,500 --> 00:04:21,220
+تعمله supply و بترجع بس بنفس ال .. ال venous
+
+50
+00:04:21,220 --> 00:04:24,920
+drainage بترجع بال .. بال pulmonary veins يعني في
+
+51
+00:04:24,920 --> 00:04:28,320
+عندي pulmonary .. bronchial vessels .. arteries بس
+
+52
+00:04:28,320 --> 00:04:33,580
+مافيش عندي bronchial إيش؟ veins لذلك عندي إيه؟
+
+53
+00:04:33,580 --> 00:04:37,490
+bronchialArtist مافيش bronchial veins لإن ال veins
+
+54
+00:04:37,490 --> 00:04:43,190
+تبعتنا هنا بتشبك مع مين يعني بترجع مع ال .. مع ال
+
+55
+00:04:43,190 --> 00:04:46,950
+pulmonary veins مافي bronchial veins بتخش في
+
+56
+00:04:46,950 --> 00:04:51,630
+pulmonary veins ع طول يعني مابترجعش ال .. ال .. ال
+
+57
+00:04:51,630 --> 00:04:54,590
+venous system لحاله لأ بترجع مع ال pulmonary veins
+
+58
+00:04:54,590 --> 00:04:59,670
+معناها احنا اذا واضح من الكلام هذا ان ال blood
+
+59
+00:04:59,670 --> 00:05:05,040
+supply ال pulmonary blood supplyيعني الـ pulmonary
+
+60
+00:05:05,040 --> 00:05:10,360
+arteries الدم تبعهم بيرجع في ال pulmonary veins و
+
+61
+00:05:10,360 --> 00:05:15,240
+ال pulmonary veins فيه كمان مع attributors أخرى
+
+62
+00:05:15,240 --> 00:05:19,800
+يعني ال pulmonary veins حاملين دم أكتر من مين؟ من
+
+63
+00:05:19,800 --> 00:05:22,300
+ال pulmonary arteries مش كده؟ يعني ال pulmonary
+
+64
+00:05:22,300 --> 00:05:25,960
+veins حاملين نفس ال pulmonary artery blood supply
+
+65
+00:05:25,960 --> 00:05:30,640
+زائد ال إيه؟ ال ال bronchial vessels اللي هي
+
+66
+00:05:30,640 --> 00:05:35,440
+جايبها لإيه؟which is about two percent of the a of
+
+67
+00:05:35,440 --> 00:05:41,020
+the pulmonary of
+
+68
+00:05:41,020 --> 00:05:46,640
+the cardiac output تمام يعني
+
+69
+00:05:46,640 --> 00:05:48,980
+ال one to two percent of the of the cardiac output
+
+70
+00:05:48,980 --> 00:05:52,740
+بيوصل حوالي خمسة المية يعني خمسة تسعين يعني خمسة
+
+71
+00:05:52,740 --> 00:05:56,320
+في المية من ال ال Venus return جاي من bronchial
+
+72
+00:05:56,320 --> 00:05:56,860
+origin
+
+73
+00:06:05,380 --> 00:06:11,900
+هذا بالنسبة لل blood supply ال lymphatics ال
+
+74
+00:06:11,900 --> 00:06:18,920
+lymphatics تبعت ال lungs تدخل إلى ال lungs من ال
+
+75
+00:06:18,920 --> 00:06:24,480
+hilum of the lung بتتفرع زي ال ايه ال bronchiality
+
+76
+00:06:24,480 --> 00:06:31,740
+و بتعمل بتنتهي بال interstitialSpaces,
+
+77
+00:06:31,740 --> 00:06:37,080
+interstitial fluid اللي هو in between the A and
+
+78
+00:06:37,080 --> 00:06:41,100
+the alveoli تمام؟ و بتعمل absorption و بتعمل
+
+79
+00:06:41,100 --> 00:06:43,720
+negative pressure في داخل ال A في داخل ال
+
+80
+00:06:43,720 --> 00:06:47,500
+interstitium هان لإن بتعمل عملية shaft لل A و هاد
+
+81
+00:06:47,500 --> 00:06:52,060
+كتير كتير مهمة بس هنتكلم عنها في آخر المحاضرةإذا
+
+82
+00:06:52,060 --> 00:06:57,780
+عندنا ال lungs both right and left mainly برجعوا
+
+83
+00:06:57,780 --> 00:07:01,740
+في ال thoracic duct ال right side في حين أن ال
+
+84
+00:07:01,740 --> 00:07:06,000
+other parts of the body in the a left thoracic
+
+85
+00:07:06,000 --> 00:07:14,120
+duct عملهم
+
+86
+00:07:14,120 --> 00:07:18,920
+زي أي إيه lymphatics أخرى بياخدوا ال extra fluid و
+
+87
+00:07:18,920 --> 00:07:22,220
+بياخدوا ال extra proteinsو creating negative
+
+88
+00:07:22,220 --> 00:07:25,740
+pressure pressure
+
+89
+00:07:25,740 --> 00:07:32,480
+in the pulmonary system احنا خليني نطلع الحين ال
+
+90
+00:07:32,480 --> 00:07:35,460
+normal systemic circulation عندنا ال aortic
+
+91
+00:07:35,460 --> 00:07:42,860
+pressure تمام عندنا ال systole و عندنا ال diastole
+
+92
+00:07:42,860 --> 00:07:48,260
+عندنا ال systole و عندنا ايه ال diastole و عندنا
+
+93
+00:07:48,260 --> 00:07:54,500
+النطوق هذاان فوق هذا سببه انه أثناء ال system اللي
+
+94
+00:07:54,500 --> 00:08:00,200
+ما ينتهي الضغط بيعلق تمام بيضال فاتح ال ال aortic
+
+95
+00:08:00,200 --> 00:08:04,600
+valves و لما الضغط يوتى ال contraction ينتهي و
+
+96
+00:08:04,600 --> 00:08:08,980
+الضغط يوتى فابوه بتضغط بسرعة و بيرجع ال valves ورا
+
+97
+00:08:08,980 --> 00:08:14,280
+فابوه بتهبط سريع لإنه مش بس صار يمشي الدمالمدافع
+
+98
+00:08:14,280 --> 00:08:17,500
+للأمام كمان في لحظة و لحظة برجع على ورا شوية
+
+99
+00:08:17,500 --> 00:08:23,340
+فبيعمل انخفاض واضح بعدين برجع A يعني هذه تمثل ال
+
+100
+00:08:23,340 --> 00:08:27,440
+closure of the ايه of the aortic valve ساعة ما
+
+101
+00:08:27,440 --> 00:08:31,460
+يسكر برجع الدم معاها شوية فبيلاقي مسكر بتضل الضغط
+
+102
+00:08:31,460 --> 00:08:36,480
+يتنقص بعد ذلك شوية شوية نفس الكلام هنا لو طلعنا
+
+103
+00:08:36,480 --> 00:08:41,960
+الأسود هذا الخط الأسود هذا يمثل ال right
+
+104
+00:08:41,960 --> 00:08:48,490
+ventricular pressureالتانى هنا يمثل هذه الجهة تمثل
+
+105
+00:08:48,490 --> 00:08:53,890
+ال lift ventricular pressure مش كده ثم هنا بيغلق
+
+106
+00:08:53,890 --> 00:08:58,810
+ال valve و هنا بيكمل as aorta لإن هو فاتح ال
+
+107
+00:08:58,810 --> 00:09:02,950
+pressure هنا و هنا واحد لما ال aortic valve يفتح
+
+108
+00:09:02,950 --> 00:09:07,230
+معناها ال pressure في داخل ال ventricle و داخل ال
+
+109
+00:09:07,230 --> 00:09:13,070
+aorta the same لإنه فتحه صار ضخ واحدفهنا تشوف الخط
+
+110
+00:09:13,070 --> 00:09:17,090
+الأسود هنا ال right ventricular pressure بيعلى
+
+111
+00:09:17,090 --> 00:09:22,670
+تمام و بعدين بنزل للصفر بيعلى للآخر و بنزل للصفر
+
+112
+00:09:22,670 --> 00:09:27,770
+تمام بيعلى لخمسة و عشرين اذا ال systolic pressure
+
+113
+00:09:27,770 --> 00:09:31,070
+في ال ventricular side بيعلى لخمس و عشرين
+
+114
+00:09:31,070 --> 00:09:36,450
+millimeter mercury و بعدين بيصير relaxation تمام و
+
+115
+00:09:36,450 --> 00:09:43,020
+بسكر ال بالمونري valvesهو بيظل يهبط لانه relax ال
+
+116
+00:09:43,020 --> 00:09:46,940
+right ventricle بيظل يهبط للصفر، اذا الخط هذا اللي
+
+117
+00:09:46,940 --> 00:09:50,920
+ماشي هنا اللي هو عادي اللي هو ال ال ال ال
+
+118
+00:09:50,920 --> 00:09:53,860
+intraventricular pressures in the in the in the
+
+119
+00:09:53,860 --> 00:09:58,040
+right side of the heart لكن هنا عندنا ال pressure
+
+120
+00:09:58,040 --> 00:10:01,300
+هو بيقعد في ال right ventricle بيفتح في المنطقه
+
+121
+00:10:01,300 --> 00:10:06,570
+هذه الالتقاه الأحمر هنا بيفتح الال .. ال ..
+
+122
+00:10:06,570 --> 00:10:12,230
+البلمونارى valves بفتحها و بضخ الدم طبعا مقتش
+
+123
+00:10:12,230 --> 00:10:14,530
+بفتحها لما الضغط في الداخل يصير يساوي الضغط اللى
+
+124
+00:10:14,530 --> 00:10:19,170
+في ايه اللى في ال .. في الارتز و يزيد عليه فبفتح
+
+125
+00:10:19,170 --> 00:10:22,690
+ال valves و بصير اتجاه الدم الى ايه ال بالمونارى
+
+126
+00:10:22,690 --> 00:10:25,870
+ارتز و بيضل يعلى يعلى ال بالمونارى ارتز ال
+
+127
+00:10:25,870 --> 00:10:33,440
+pressure in equal to theto the right ventricular
+
+128
+00:10:33,440 --> 00:10:36,160
+pressure التانين بيصيروا ايه pressure واحد تمام
+
+129
+00:10:36,160 --> 00:10:39,220
+لكن لما يتخفض ال pressure في داخل ال ventricle
+
+130
+00:10:39,220 --> 00:10:42,600
+توقف السيستول توقف ال contraction و بيعمل
+
+131
+00:10:42,600 --> 00:10:46,140
+relaxation بروح الدنبل و يرجع على ال ventricle
+
+132
+00:10:46,140 --> 00:10:50,660
+تمام فبروح بيسكر ال ايه ال valve فبيظل الضغط جم
+
+133
+00:10:50,660 --> 00:10:54,800
+مرتفع و بيعود ينزل شوي شوي او هكذا اذا برضه هذا ال
+
+134
+00:10:54,800 --> 00:11:00,600
+network هذا اللي هنا هذا اغلاق ال بالمونري valve
+
+135
+00:11:01,140 --> 00:11:04,040
+إذا في الحالة هذه ال .. ال .. ال pressure بنزل
+
+136
+00:11:04,040 --> 00:11:08,000
+بهبط .. ب .. لإنه سكر ال valve بنزل ببطء شوية شوية
+
+137
+00:11:08,000 --> 00:11:11,800
+اتضغط في الايه؟ في البلمونary artery في حين إنه
+
+138
+00:11:11,800 --> 00:11:14,680
+بهبط في داخل الفندق اللي كانت فاصلة مع بعضها هذا
+
+139
+00:11:14,680 --> 00:11:18,780
+هبط للآخر و هذا سكر دال ضغطه ايه؟ بنسبوت شوية شوية
+
+140
+00:11:18,780 --> 00:11:24,600
+هنلاحظ يعني إنه ال .. ال systolic blood pressure
+
+141
+00:11:24,600 --> 00:11:27,240
+في البلمونary artery يسوى خمسة عشرين مليمتر
+
+142
+00:11:27,240 --> 00:11:31,650
+mercury و ال diastolic بنزل لإيه؟ لسبعةمليميتر
+
+143
+00:11:31,650 --> 00:11:35,030
+ميركورين لكن في ال .. في داخل ال ventricل نفسه
+
+144
+00:11:35,030 --> 00:11:41,450
+طبعا منزل ال صفر مش هيك لإنه خلاص relaxation و
+
+145
+00:11:41,450 --> 00:11:45,290
+هكذا بتبقى الدائرة هتتمشي بالشكل هذا الأرقام هذه
+
+146
+00:11:45,290 --> 00:11:51,150
+كتير مهمة لإنه بعد كده هنفهم مسائل
+
+147
+00:11:51,150 --> 00:11:55,150
+كتير متعلقة بالرقامين هدول اللي هو إيه من خمسة
+
+148
+00:11:55,150 --> 00:12:00,410
+عشرين ل تمانية ال main arterial blood pressure
+
+149
+00:12:02,210 --> 00:12:09,170
+المتوسط نعتبره خمسة عشر مليمتر mercury نعتبره
+
+150
+00:12:09,170 --> 00:12:16,730
+خمسة عشر مليمتر mercury okay طيب اذا هنا مشكلة انه
+
+151
+00:12:16,730 --> 00:12:21,670
+بهمنا نعرف طيب ال .. ال capillary pressure ال
+
+152
+00:12:21,670 --> 00:12:27,230
+pressure في ال capillaries جديش جالك
+
+153
+00:12:27,230 --> 00:12:35,820
+انه بما انهالـ pulmonary artery ممكن نصله ممكن
+
+154
+00:12:35,820 --> 00:12:40,580
+ندخل catheter تصل ل ايه ال right atrium right
+
+155
+00:12:40,580 --> 00:12:46,840
+ventricle right pulmonary artery و بتخش علي
+
+156
+00:12:46,840 --> 00:12:52,160
+branches و بتظل ماشية لما تصل any smaller and
+
+157
+00:12:52,160 --> 00:12:55,760
+smaller and smaller than a sludge than stuck in a
+
+158
+00:12:55,760 --> 00:13:00,930
+capillary it will occludewedging in a capillary
+
+159
+00:13:00,930 --> 00:13:07,610
+ومن جيس ساعت الضغط هناك سموه ايه؟ سموها the wedge
+
+160
+00:13:07,610 --> 00:13:15,490
+brusher بلمونة لوجه ايه؟ برشر تمام؟ البلمونة لوجه
+
+161
+00:13:15,490 --> 00:13:21,090
+برشر هذا لجو حوالي
+
+162
+00:13:21,090 --> 00:13:28,010
+خمسة مليمتر ميركوليد
+
+163
+00:13:28,010 --> 00:13:28,970
+تمام؟
+
+164
+00:13:31,240 --> 00:13:35,740
+طيب و الدم بينتقل من ال capillaries بيظل ماشي الى
+
+165
+00:13:35,740 --> 00:13:40,380
+ال left atrium مش هيك؟ اذا مدام الدم انتقل من ال
+
+166
+00:13:40,380 --> 00:13:44,000
+capillaries ل left atrium مستحيل ان ال left atrium
+
+167
+00:13:44,000 --> 00:13:46,740
+يكون ضغطه اعلى من ال capillaries لازم يكون ايه؟
+
+168
+00:13:46,740 --> 00:13:51,300
+اوطة لإن لو منه اعلى كان انعكست الدائرة مش هيك؟
+
+169
+00:13:51,300 --> 00:13:55,960
+اذا دائما القواعد ال physical laws بتقول ان الاشي
+
+170
+00:13:55,960 --> 00:14:00,320
+بنتقل من الأعلىالى ال .. في كل شيء من ضمنها الضغط
+
+171
+00:14:00,320 --> 00:14:06,000
+فإذا معناها هنا ال atrium لو قصنا احنا ال .. ال ..
+
+172
+00:14:06,000 --> 00:14:09,460
+البلمونة الكابيلاريسية اللي وجيناها الوجه حوالي
+
+173
+00:14:09,460 --> 00:14:15,280
+خمسة و ال left atrium معناها لازم يكون منخفض عن
+
+174
+00:14:15,280 --> 00:14:21,600
+ايه عن هيك لازم يكون ايش منخفض عن كده إذا هنا ال
+
+175
+00:14:21,600 --> 00:14:25,380
+left atrium أول ما بيعمل relaxation يبقى تقريبا
+
+176
+00:14:25,380 --> 00:14:29,640
+صفربيندفع الدم بيبني .. بيبني واحد اتنين تلاتة
+
+177
+00:14:29,640 --> 00:14:33,020
+اربعة في الآخر لازم يكون اقل من خمسة قبل ما يعمل
+
+178
+00:14:33,020 --> 00:14:36,340
+ال .. ال contraction ال final contraction to push
+
+179
+00:14:36,340 --> 00:14:40,280
+the rim .. the remaining blood in the atrium هو
+
+180
+00:14:40,280 --> 00:14:45,320
+لما بيفتح ال atrium بيجمع دم بيفتح ال .. ال .. ال
+
+181
+00:14:45,320 --> 00:14:50,080
+bicuspid ال mitral valve فبيبقى الدم بيخش مباشرة
+
+182
+00:14:50,080 --> 00:14:53,740
+من ال atrium لل ايه بتجمعش اخر جزئية لما انت ال
+
+183
+00:14:53,740 --> 00:14:59,320
+ventricleأخر جزئية بتتحوش في ال atrium فبروح ال
+
+184
+00:14:59,320 --> 00:15:03,880
+atrium بتغطها إضافي ولا هو الدم بتحوش بتحوشش في ال
+
+185
+00:15:03,880 --> 00:15:07,740
+atrium بيضل داخل ع مين؟ ع ال ventricle لكن إذا
+
+186
+00:15:07,740 --> 00:15:11,660
+انتلا ال ventricle و إذا طف فاللي بيطف بيصير في ال
+
+187
+00:15:11,660 --> 00:15:14,380
+atrium في ال atrium بيروح بدخهم لل إيه؟ لل ..
+
+188
+00:15:14,380 --> 00:15:17,080
+فلذلك الضغط دايما فيه منخفض منخفض جدا
+
+189
+00:15:20,160 --> 00:15:22,980
+the mean pulmonary capillary pressure is about
+
+190
+00:15:22,980 --> 00:15:27,200
+seven millimeter mercury احنا قلنا هنا من خمستاشر
+
+191
+00:15:27,200 --> 00:15:31,720
+من خمس عشر إلى تمانية مش كده طيب اذا هنا احنا قلنا
+
+192
+00:15:31,720 --> 00:15:38,380
+متوسط ال pulmonary capillary pressure about seven
+
+193
+00:15:38,380 --> 00:15:42,400
+millimeter mercury ال lift atrial and pulmonary
+
+194
+00:15:42,400 --> 00:15:47,220
+venous pressure لاجينا دائما قلنا من واحد إلى
+
+195
+00:15:47,220 --> 00:15:50,780
+اتنين ممكن يصل الى خمسةإذا أوصل لخمسة معناها اللي
+
+196
+00:15:50,780 --> 00:15:54,040
+فوق لازم يكون دائما أعلى من انه ممكن يصل لسبعة ال
+
+197
+00:15:54,040 --> 00:15:59,480
+capillary pressure مش
+
+198
+00:15:59,480 --> 00:16:02,260
+وهم احنا كيف وصلنا للمسألة هذه المهم احنا بهمنا
+
+199
+00:16:02,260 --> 00:16:06,440
+الأرقام في الآخر عشان هي اللي هتساعدنا في ال ايه
+
+200
+00:16:06,440 --> 00:16:14,980
+في الحساب طيب blood
+
+201
+00:16:14,980 --> 00:16:22,750
+volume of the lungsالان احنا ال blood بيطلع من ال
+
+202
+00:16:22,750 --> 00:16:29,030
+right artery من ال pulmonary artery الى ال blood
+
+203
+00:16:29,030 --> 00:16:34,310
+الى ال lungs و بعدين بيطلع فى ال pulmonary veins
+
+204
+00:16:34,310 --> 00:16:40,570
+طيب بين ال artery و ال vein لما دخلنا ال lung
+
+205
+00:16:40,570 --> 00:16:46,630
+نفسها قداش في عندي أنا موجود دم فى اللحظة الواحدة
+
+206
+00:16:47,690 --> 00:16:50,510
+تمام؟ في اللحظة الواحدة موجودة حوالي اربعمائة
+
+207
+00:16:50,510 --> 00:16:56,170
+وخمسين ملي لتر دم في ال two lungs منهم سبعين ملي
+
+208
+00:16:56,170 --> 00:17:01,630
+لتر موجودة في ال capillaries والباقي مناصفة جزء في
+
+209
+00:17:01,630 --> 00:17:05,170
+ال arterial side وجزء في ال venous side ال
+
+210
+00:17:05,170 --> 00:17:09,990
+branches الأكبر تمام؟ مثلا ال lungs فيهم حوالي
+
+211
+00:17:09,990 --> 00:17:13,890
+اربعمائة وخمسين ملي لتر لكن هدول قابلين انهم
+
+212
+00:17:13,890 --> 00:17:20,840
+يزيدوامقابلين انهم ينجسوا يعني في في ال lung
+
+213
+00:17:20,840 --> 00:17:26,340
+القدرة على انها تستوعب اكتر شوية او تعطي الجسم
+
+214
+00:17:26,340 --> 00:17:29,200
+اكتر شوية حسب حاجته يعني في حالة ما يكون فيه
+
+215
+00:17:29,200 --> 00:17:32,420
+hemorrhage بيصير انه عندنا vasospasm لحد الماء و
+
+216
+00:17:32,420 --> 00:17:35,480
+بزوج more blood to the ايه؟ to the systemic
+
+217
+00:17:35,480 --> 00:17:38,800
+circulation to save the body و لو صار عندى انا
+
+218
+00:17:38,800 --> 00:17:42,550
+mitral stenosis او كان some sort ofdelay in
+
+219
+00:17:42,550 --> 00:17:47,210
+evacuation هنلاقي انه عندي انا ال .. ال .. ال ..
+
+220
+00:17:47,210 --> 00:17:51,630
+ال .. ايه ال lung مستعدة تستوعب دم اكتر لحدود
+
+221
+00:17:51,630 --> 00:17:56,270
+معينة بعدين بيصير عندنا مشكلة لكن عندنا في
+
+222
+00:17:56,270 --> 00:18:00,570
+compliance معين انه يستوعب زيادة يستوعب اقل بدون
+
+223
+00:18:00,570 --> 00:18:04,170
+اي مشاكل بدون اي تغييرلكن عند level معين هنلاقي
+
+224
+00:18:04,170 --> 00:18:08,090
+انه الضغط اللي زاد او الكمية اللي زادت زولت الضغط
+
+225
+00:18:08,090 --> 00:18:12,050
+وعملتلي مشاكل هنتكلم عنها بالتفصيل بعد شوية لكنه
+
+226
+00:18:12,050 --> 00:18:14,590
+in general في physiological changes كبيرة هان
+
+227
+00:18:14,590 --> 00:18:24,750
+بإمكانها انها تستوعب more اذا هنا the lungs as
+
+228
+00:18:24,750 --> 00:18:29,490
+blood reservoir اذا ان هي ال lungs مش بس بتعملي
+
+229
+00:18:29,490 --> 00:18:34,190
+عمليةاللي هو تبدو الغازات وبتعمل نوع من التخزين
+
+230
+00:18:34,190 --> 00:18:40,330
+بالزيادة والنقصة مش هيك لذلك احنا لما مثلا ننفخ
+
+231
+00:18:40,330 --> 00:18:47,330
+بلون بالجوي طبعا الضغط اللي في داخلنا في داخل
+
+232
+00:18:47,330 --> 00:18:50,990
+الرئتين بيقل كتير مش كده الدم اللي بيصير في
+
+233
+00:18:50,990 --> 00:18:56,780
+الرئتين بهرب منها بيصير دم أقل طبعالكن في حالات
+
+234
+00:18:56,780 --> 00:19:00,100
+قلتلكم ما يكون في عندي تطلع هنا إيش الرقم المكتوب
+
+235
+00:19:00,100 --> 00:19:04,620
+can be express يعني ممكن يصير عندي بس بدل 450 بس
+
+236
+00:19:04,620 --> 00:19:10,720
+200 يعني 250 ممكن إيش ينضغطه لخارج الرقتين و لو
+
+237
+00:19:10,720 --> 00:19:13,980
+صار عندي hemorrhage نفس الكلام بيصير عندي إمكانية
+
+238
+00:19:13,980 --> 00:19:18,520
+أنه يندفع بعض الدم من ال lungs إلى ال system of
+
+239
+00:19:18,520 --> 00:19:24,480
+circulation حتى يعمل عمل التعويضوالعكس صحيح في
+
+240
+00:19:24,480 --> 00:19:28,240
+حالة ما أصبح عندى اي congestion بسبب ما قولنا ال
+
+241
+00:19:28,240 --> 00:19:32,880
+valvular disease في ال left side ممكن يستوعب شوية
+
+242
+00:19:32,880 --> 00:19:39,680
+دم زيادة بدون اي مشاكل shift of blood between the
+
+243
+00:19:39,680 --> 00:19:43,960
+pulmonary and systemic circulation as a result of
+
+244
+00:19:43,960 --> 00:19:47,640
+cardiac pathology هذا الكلام اللى احنا بكلمه فيه
+
+245
+00:19:47,640 --> 00:19:51,420
+انه failure of left side of the heartor increase
+
+246
+00:19:51,420 --> 00:19:55,240
+resistance of to blood flow يعني الضغط زاد
+
+247
+00:19:55,240 --> 00:19:58,700
+resistance ل blood flow زاد فالضغط بزيد او صار
+
+248
+00:19:58,700 --> 00:20:03,400
+عندى المشكلة مش فى البلمونة مش فى ال .. ال aorta
+
+249
+00:20:03,400 --> 00:20:07,360
+المشكلة في .. بين ال .. ال atria و ال ventricle
+
+250
+00:20:07,360 --> 00:20:12,280
+يعني اقرب لمين لل lung يعني وين ما يكون فى مقاومة
+
+251
+00:20:12,280 --> 00:20:16,860
+لدخول الدم اين ما كان هينعكس هذا على مين؟ على ال
+
+252
+00:20:16,860 --> 00:20:21,510
+lungs تمام؟فبيبدأ ال brusher في ال lungs يعلى يعلى
+
+253
+00:20:21,510 --> 00:20:28,490
+يعلى مش هيك لمرحلة ممكن يزيد الضغط كتير ويبدأ
+
+254
+00:20:28,490 --> 00:20:33,930
+يعملي كمان بلمونري قديمة يعني ال venous blood ال
+
+255
+00:20:33,930 --> 00:20:38,290
+venous brusher صار كتير صار ال filtration أكتر من
+
+256
+00:20:38,290 --> 00:20:43,790
+قدرة اللي ايه ال absorption أو ال lymphatic system
+
+257
+00:20:44,560 --> 00:20:49,440
+فبصير عندي fluids متخلفة فبتعمللي ايه بالمنا دي ما
+
+258
+00:20:49,440 --> 00:20:51,800
+هو المشكلة لإن بالمنا دي ما مش بس هتخش في ال
+
+259
+00:20:51,800 --> 00:20:55,380
+interstitium هتلاقي عندي فراغات مساحات هوائية
+
+260
+00:20:55,380 --> 00:20:59,600
+موجودة هتعبيها هصير عندي انا مشكلة في ال ايه؟ في
+
+261
+00:20:59,600 --> 00:21:03,420
+التنفس هو السؤال الكبير اللي احنا بنظل بنسأل حالنا
+
+262
+00:21:03,420 --> 00:21:07,620
+كيف انه هالفراغات الهوائية دي موجودة و حواليها
+
+263
+00:21:07,620 --> 00:21:13,060
+interstitial fluid و مابغرجش كيف ال fluid اللي في
+
+264
+00:21:13,060 --> 00:21:16,480
+ال interstitiumبيظل في الـ interstitium و اللي
+
+265
+00:21:16,480 --> 00:21:20,940
+بيفاصل بينه وبين الفرقات الهوائية ال alveolar wall
+
+266
+00:21:20,940 --> 00:21:26,000
+very thin very delicate، مظبوط؟ طب ليش مابنتخلش ال
+
+267
+00:21:26,000 --> 00:21:31,040
+fluids من ال interstitium لل alveolar spaces؟
+
+268
+00:21:31,040 --> 00:21:36,220
+تمام؟ علشان كلام هنقولكوه في الآخر، لسه موصلنهاش،
+
+269
+00:21:36,220 --> 00:21:37,220
+لكن هذه المسألة
+
+270
+00:21:40,100 --> 00:21:43,460
+اللي لو صار عندى انا انه صار mitral stenosis ال ..
+
+271
+00:21:43,460 --> 00:21:46,560
+ال mitral valve اللى هو بين ال .. ال .. ال atrium
+
+272
+00:21:46,560 --> 00:21:51,600
+ال lift و ال .. و ال left ventricle ضيق لسبب ما
+
+273
+00:21:51,600 --> 00:21:58,400
+اسباب فبيقدر إلى أنه ينهي نحجز الدم إلى ايه؟ إلى
+
+274
+00:21:58,400 --> 00:22:03,220
+.. إلى .. إلى انه يبقى مدة أطول و كمية أكبر منين
+
+275
+00:22:03,220 --> 00:22:06,860
+في ال .. في ال pulmonary circulationSometimes
+
+276
+00:22:06,860 --> 00:22:09,460
+increasing the pulmonary blood volume as much as
+
+277
+00:22:09,460 --> 00:22:12,760
+one hundred percent، يعني بيصير ضعيف، يعني بدل ما
+
+278
+00:22:12,760 --> 00:22:16,400
+هو أربعمائة و خمسين مليلتر ممكن يصل لإيه؟ لتسعمائة
+
+279
+00:22:16,400 --> 00:22:21,520
+مليلتر، واضح؟And
+
+280
+00:22:21,520 --> 00:22:24,020
+causing large increases in pulmonary vascular
+
+281
+00:22:24,020 --> 00:22:26,520
+pressures، إذا ال blood pressure في داخل الـA
+
+282
+00:22:26,520 --> 00:22:27,060
+حيزيد
+
+283
+00:22:31,180 --> 00:22:36,240
+بالعكس أن عدد عدد عدد عدد عدد عدد عدد عدد عدد عدد
+
+284
+00:22:36,240 --> 00:22:37,520
+عدد عدد عدد عدد عدد عدد عدد عدد عدد عدد عدد عدد
+
+285
+00:22:37,520 --> 00:22:37,580
+عدد عدد عدد عدد عدد عدد عدد عدد عدد عدد عدد عدد
+
+286
+00:22:37,580 --> 00:22:38,620
+عدد عدد عدد عدد عدد عدد عدد عدد عدد عدد عدد عدد
+
+287
+00:22:38,620 --> 00:22:42,680
+عدد عدد عدد عدد عدد عدد عدد عدد عدد
+
+288
+00:22:42,680 --> 00:22:49,920
+عدد عدد عدد عدد
+
+289
+00:22:49,920 --> 00:22:54,720
+عدد
+
+290
+00:22:54,720 --> 00:23:00,080
+عد
+
+291
+00:23:00,290 --> 00:23:05,510
+يصيب تماما أضعاف يعني مش هتفرق كتير لكنه العكس
+
+292
+00:23:05,510 --> 00:23:11,570
+صحيح يعني أي تغيير في ال system circulation بيأثر
+
+293
+00:23:11,570 --> 00:23:15,990
+في ال ايه؟ بيأثر في ال بالمونة ال circulation لأنه
+
+294
+00:23:15,990 --> 00:23:22,170
+البالمونة ال circulation محدودة blood flow through
+
+295
+00:23:22,170 --> 00:23:27,710
+the lungs and its distribution blood
+
+296
+00:23:27,710 --> 00:23:32,600
+flow through the lungsUnder most conditions, the
+
+297
+00:23:32,600 --> 00:23:38,900
+pulmonary vessels act as passive distensible tubes
+
+298
+00:23:38,900 --> 00:23:42,620
+that enlarge with increasing pressure and narrow
+
+299
+00:23:42,620 --> 00:23:46,660
+with decreasing pressure حلو؟ يعني عندها القدرة ال
+
+300
+00:23:46,660 --> 00:23:51,040
+blood vessels انها زي اي blood vessels انت تتسع
+
+301
+00:23:51,040 --> 00:23:55,360
+اذا زاد الحجم و تندق اذا جال الحجم بحيث انه تحافظ
+
+302
+00:23:55,360 --> 00:24:00,950
+على ضغط معين يظل دافع الالدم إلى ال .. إلى الـ
+
+303
+00:24:00,950 --> 00:24:07,350
+heart for adequate aeration of the blood to occur
+
+304
+00:24:07,350 --> 00:24:11,530
+it is important for the blood to distribute to
+
+305
+00:24:11,530 --> 00:24:14,830
+those segments of the lungs that has good aeration
+
+306
+00:24:14,830 --> 00:24:20,370
+يعني الدم هو رايح لذئتين المفروض يروح للمناطق اللي
+
+307
+00:24:20,370 --> 00:24:24,850
+التهوية فيها جيدة و المناطق اللي متهوية فيها مش
+
+308
+00:24:24,850 --> 00:24:29,840
+جيدة مفترض ماروحلهاش لإنههيضيع بس جهد وقال فاضي
+
+309
+00:24:29,840 --> 00:24:34,260
+هيروح ياخد هوا بلا جيش و بيضل ايه؟ بيضل ماشي طب و
+
+310
+00:24:34,260 --> 00:24:38,960
+في مناطق ممكن يكون فيها تهوية مش جايدة؟ اه under
+
+311
+00:24:38,960 --> 00:24:44,380
+certain diseases ممكن يكون عندي مناطق فيها تهوية
+
+312
+00:24:44,380 --> 00:24:49,600
+مش جايدة و under physiological conditions بعض
+
+313
+00:24:49,600 --> 00:24:53,300
+المناطق التهوية فيها جايدة أحيانا و مش جايدة
+
+314
+00:24:53,300 --> 00:24:59,520
+أحيانا طب أنا هتكلم عنهاالنقطة الأولى في المحافظة
+
+315
+00:24:59,520 --> 00:25:03,500
+على أن ال .. الهوى .. أن الدم يتوجه للمناطق اللي م
+
+316
+00:25:03,500 --> 00:25:08,340
+.. اللي لها تهوية جيدة أنه فيها عندنا ملاحظة غريبة
+
+317
+00:25:08,340 --> 00:25:12,180
+أنه إحنا مانلاحظ أن المنطقة اللي مافيش فيها تهوية
+
+318
+00:25:12,180 --> 00:25:15,200
+جيدة بيصير vase-base من الكابيلة اللي زي اللي
+
+319
+00:25:15,200 --> 00:25:19,680
+حوالها مافيش فيها دم بيصير shift لل blood إلى
+
+320
+00:25:19,680 --> 00:25:25,300
+المناطق اللي ايه with good reaction تمام؟عندي
+
+321
+00:25:25,300 --> 00:25:31,580
+automatic control of pulmonary blood flow حسب ال
+
+322
+00:25:31,580 --> 00:25:35,800
+ايه؟ ال oxygen concentration in the alveoli لما ال
+
+323
+00:25:35,800 --> 00:25:38,200
+oxygen concentration in the alveoli ينزل يعني
+
+324
+00:25:38,200 --> 00:25:41,880
+مافيش عندنا good aeration للمنطقة هذه مالاجي صار
+
+325
+00:25:41,880 --> 00:25:48,520
+عندي vazospasm when
+
+326
+00:25:48,520 --> 00:25:50,840
+the concentration of oxygen in the air of the
+
+327
+00:25:50,840 --> 00:25:54,820
+alveoli decreases below normalespecially when it
+
+328
+00:25:54,820 --> 00:25:59,980
+is it falls below 70%
+
+329
+00:25:59,980 --> 00:26:05,100
+of the normal يعني below 73 millimeter mercury the
+
+330
+00:26:05,100 --> 00:26:09,720
+adjacent blood vessels constrict with the vascular
+
+331
+00:26:09,720 --> 00:26:13,200
+resistance increasing more than 5 folds at
+
+332
+00:26:13,200 --> 00:26:17,940
+extremely low oxygen levels إذا الأكسجين هبط احنا
+
+333
+00:26:17,940 --> 00:26:21,780
+في العادة الأكسجين partial pressure تبعه في داخل
+
+334
+00:26:21,780 --> 00:26:27,550
+الalveoli 104مية وأربعة لما ينزل سبعين في المية
+
+335
+00:26:27,550 --> 00:26:31,810
+يعني يصير تلاتة وسبعين millimeter mercury ينزل
+
+336
+00:26:31,810 --> 00:26:35,190
+السبعين في المية من قيمته الأساسية تمام؟ تلاتة
+
+337
+00:26:35,190 --> 00:26:39,890
+وسبعين millimeter mercury بيبدأ ال .. ال .. ال ..
+
+338
+00:26:39,890 --> 00:26:43,750
+صار ال .. ال .. الصار ال oxygen اللي اللي موجودة
+
+339
+00:26:43,750 --> 00:26:46,850
+في ال .. في ال .. في ال alveoli تقريبا شبيه بال
+
+340
+00:26:46,850 --> 00:26:51,210
+oxygen اللي راجع مع ال إيه؟ مع ال blood تمام؟ يعني
+
+341
+00:26:51,210 --> 00:26:55,620
+بيحس أنه مقدرش ياخد منهيعني صار عنده ال oxygen
+
+342
+00:26:55,620 --> 00:26:58,100
+الموجود في ال alveoli هذا مش اكتر من ال oxygen
+
+343
+00:26:58,100 --> 00:27:01,880
+اللي ايه اللي موجود في ال blood ال blood هو راجع
+
+344
+00:27:01,880 --> 00:27:06,660
+في ال venous side برجعش ال oxygen في صفر ال
+
+345
+00:27:06,660 --> 00:27:10,940
+partial pressure of oxygen مابترجع لصفر تمام بيكون
+
+346
+00:27:10,940 --> 00:27:19,440
+ايه تقريبا 70% لازال موجود تمام اذا هنا اذا نقص ال
+
+347
+00:27:19,440 --> 00:27:23,800
+oxygen في ال alveoliبشكل substantial بالنسبة للدم
+
+348
+00:27:23,800 --> 00:27:27,360
+اللي راجع يعني مش هيفيده كتير فمن اللي جيه حول
+
+349
+00:27:27,360 --> 00:27:30,820
+اتجاهه من المناطق هذه اللي فيها bad aeration الى
+
+350
+00:27:30,820 --> 00:27:34,660
+مناطق هي فيها good aeration تمام؟ the adjacent
+
+351
+00:27:34,660 --> 00:27:37,520
+blood vessels constrict with the vascular
+
+352
+00:27:37,520 --> 00:27:44,060
+resistance increases the opposite observed
+
+353
+00:27:44,060 --> 00:27:47,600
+in systemic vessels عكس هيك بنشوفه في ال systemic
+
+354
+00:27:47,600 --> 00:27:52,120
+vesselsلما يزيد عندي .. يجيلي ال oxygen في ال
+
+355
+00:27:52,120 --> 00:27:56,940
+blood vessels بيصير vasodilatation عشان يدخل دم
+
+356
+00:27:56,940 --> 00:28:01,900
+جديد يغسل و .. لكن سبحانه لا إله إلا هو هنا ال
+
+357
+00:28:01,900 --> 00:28:04,960
+function اختلف عن هناك هناك function أخر ال oxygen
+
+358
+00:28:04,960 --> 00:28:08,580
+فأنا ال oxygen الجليل بديش يعني لكن هنا ال
+
+359
+00:28:08,580 --> 00:28:10,460
+function بدي أدي ال oxygen لما ألاقي ال oxygen
+
+360
+00:28:10,460 --> 00:28:13,500
+جليل أربع مفتاح عشان أديله ايه؟ أديله دم أكتر و
+
+361
+00:28:13,500 --> 00:28:18,580
+oxygen أكتر مش كده؟ وهذا بيخلي أنه الدم اللي واصل
+
+362
+00:28:18,580 --> 00:28:22,200
+ال tissuesزي ما قلنا مش متواصل مش continuous،
+
+363
+00:28:22,200 --> 00:28:26,760
+intermittent الأكسجين جال، بفتح، بعبّى، أصبح كويس،
+
+364
+00:28:26,760 --> 00:28:29,940
+بعمل، بعمل فزش، فبقى زمن جديد، كذلك قلت لكم كبلاري
+
+365
+00:28:29,940 --> 00:28:34,720
+بيتز، مش كلها فاتحة، in one time، اه، ten percent
+
+366
+00:28:34,720 --> 00:28:40,440
+only opens at a time، بتبادلوا، بحيث أنه، ففي ال
+
+367
+00:28:40,440 --> 00:28:44,100
+system of circulation وجود ال ischemia، وجود ال
+
+368
+00:28:44,100 --> 00:28:50,130
+high boxy-oxid، بيقدّي إلى أنه يصيرهنا وجود
+
+369
+00:28:50,130 --> 00:28:53,310
+الهيبوكسيا في المنطقة بتقدي إلى إيه؟ إن الأكسجين
+
+370
+00:28:53,310 --> 00:28:55,950
+تأثيره عكسي بيعمل vazospasm مش ايه؟ مش
+
+371
+00:28:55,950 --> 00:28:58,470
+vazodilatation تفسيرها إنه في عندنا
+
+372
+00:28:58,470 --> 00:29:02,110
+vazoconstrictor substances might be secreted by
+
+373
+00:29:02,110 --> 00:29:05,690
+the alveolar epithelial cells when it is hypoxic
+
+374
+00:29:05,690 --> 00:29:10,250
+تمام؟ بتقدي إلى إنه هو لو أنتوا تلاحظوا جدش
+
+375
+00:29:10,250 --> 00:29:17,750
+العلاقة ما بين ال ال alveolar wall و ال capillary
+
+376
+00:29:19,250 --> 00:29:22,330
+الـ capillaries أنا بدي أقول جاعي مش capillaries
+
+377
+00:29:22,330 --> 00:29:25,450
+حقيقي أنا بقول capillary sheet لإن ال capillaries
+
+378
+00:29:25,450 --> 00:29:30,590
+اللي بتغلف ال ال alveoli ملتسقة مع بعضها البعض
+
+379
+00:29:30,590 --> 00:29:34,950
+لدرجة انه ماتشوفش فرق بينهم و كأنهم sheet لذلك هي
+
+380
+00:29:34,950 --> 00:29:37,750
+عاملة capillary sheet و ده بدخل في ال sheet هات هو
+
+381
+00:29:37,750 --> 00:29:42,110
+the scanning the scanner بدخل و المنطقة هو بيخش
+
+382
+00:29:42,110 --> 00:29:47,410
+عليه على ال venous side عطول تمام فالعلاقة بينهم
+
+383
+00:29:47,410 --> 00:29:51,210
+علاقة بخمة و كبيرةومافيش فراغات بينهم ملتصقين مع
+
+384
+00:29:51,210 --> 00:29:55,250
+بعضهم البعض و ال capillary ديق جدا لدرجة انه ال
+
+385
+00:29:55,250 --> 00:29:58,270
+capillary اللي ماشي هذا الدم اللي ماشي في ال
+
+386
+00:29:58,270 --> 00:30:00,930
+capillary يدوب ال diameter تبع ال capillary ال
+
+387
+00:30:00,930 --> 00:30:04,830
+diameter of A أجال من ال diameter of RBCs بذلك
+
+388
+00:30:04,830 --> 00:30:07,230
+بتبقى ال RBCs محشورة في داخلها في ال capillary
+
+389
+00:30:07,230 --> 00:30:13,210
+بمعنى انه هي مش انه بدو ينتقل ال oxygen لل plasma
+
+390
+00:30:13,210 --> 00:30:18,190
+و من ال plasma لل ايه لل RBCsيعني بينهم واسع، لأ،
+
+391
+00:30:18,190 --> 00:30:22,990
+ملتصقة، لل .. لل .. للـ hemoglobin مباشرة، لل ..
+
+392
+00:30:22,990 --> 00:30:26,410
+لل blood cells مباشرة، و هذا ندرسه ساعة و نتكلم عن
+
+393
+00:30:26,410 --> 00:30:31,710
+انتقال اللي .. لذلك هنا بنلاقي العلاقة بينهم على
+
+394
+00:30:31,710 --> 00:30:35,730
+طول بينتبه للhypoxia أو بيصير vasoplasm بمنع هذا
+
+395
+00:30:35,730 --> 00:30:37,850
+ال blood اللي انه عدي في المنطقة هذه لإنه مش
+
+396
+00:30:37,850 --> 00:30:38,610
+هيستفيد منها
+
+397
+00:30:41,400 --> 00:30:43,440
+هذا الانفعال من الهواء القليل على مقاومة البلمونار
+
+398
+00:30:43,440 --> 00:30:48,020
+الفاسكالية لديه فعالة مهمة مهمة مهمة مهمة مهمة
+
+399
+00:30:48,020 --> 00:30:49,040
+مهمة مهمة مهمة مهمة مهمة مهمة مهمة مهمة مهمة مهمة
+
+400
+00:30:49,040 --> 00:30:49,560
+مهمة مهمة مهمة مهمة مهمة مهمة مهمة مهمة مهمة مهمة
+
+401
+00:30:49,560 --> 00:30:53,780
+مهمة مهمة مهمة مهمة
+
+402
+00:31:11,920 --> 00:31:18,720
+تأثير ال effect of hydrostatic pressure gradients
+
+403
+00:31:18,720 --> 00:31:23,820
+in the lungs on regional pulmonary blood flow
+
+404
+00:31:23,820 --> 00:31:29,660
+blood
+
+405
+00:31:29,660 --> 00:31:33,940
+pressure in الفقه طيب اذا الان ال lung هذه اللى
+
+406
+00:31:33,940 --> 00:31:39,420
+متكلم عنها احنا من شوية صغيرة انا قلتلكم ال blood
+
+407
+00:31:41,540 --> 00:31:46,240
+flow فيها مش كله the same بعض المناطق ممكن يكون
+
+408
+00:31:46,240 --> 00:31:54,100
+فيها without لسبب الأسباب blood supply وبعض
+
+409
+00:31:54,100 --> 00:31:58,440
+المناطق ممكن يكون فيها blood supply أحيانا في
+
+410
+00:31:58,440 --> 00:32:01,460
+physiological conditions أحيانا ال blood موجود و
+
+411
+00:32:01,460 --> 00:32:06,020
+أحيانا مش موجود تمام؟ الآن احنا اتكلم عن نقطة مهمة
+
+412
+00:32:06,020 --> 00:32:11,200
+في المسألةال .. ال .. ال blood vessels و ال blood
+
+413
+00:32:11,200 --> 00:32:16,720
+supply لل lungs تمام؟ احنا الضغط تبع الجلب تبع
+
+414
+00:32:16,720 --> 00:32:21,120
+الأور تجدش ع مستوى الجلب مية و عشرين على تمانين
+
+415
+00:32:21,120 --> 00:32:25,560
+يعني ال systol مية و عشرين و لما ينزل ينزل ينزل
+
+416
+00:32:25,560 --> 00:32:27,540
+الجبل ما يصل ال تمانين بيكون إيه جالس ال systol
+
+417
+00:32:27,540 --> 00:32:31,340
+الجديد بيبدأ يعلق يعني ال diastol تمانين أخر إيه؟
+
+418
+00:32:31,690 --> 00:32:37,630
+أخر انقفاض من خفضه طيب
+
+419
+00:32:37,630 --> 00:32:43,850
+لو طلعنا فوق في اتجاه الرأس و احنا واقفين صار عندى
+
+420
+00:32:43,850 --> 00:32:49,310
+انه الدم بدى ماشي anti gravity طبعا معناها و انا
+
+421
+00:32:49,310 --> 00:32:54,890
+بعلى فوق الضغط بخفف لإنه بدى يسند فالقوة اللى عندى
+
+422
+00:32:54,890 --> 00:32:59,450
+فهي عبدغل في حين انه انا نازل معايا ال gravity مش
+
+423
+00:32:59,450 --> 00:33:06,530
+كده يعني في ال footمن اللاجئ انه الضغط can be as
+
+424
+00:33:06,530 --> 00:33:09,850
+much as ninety millimeter greater than the cardiac
+
+425
+00:33:09,850 --> 00:33:13,890
+pressure than the heart تمام اذا انا هيدوستك
+
+426
+00:33:13,890 --> 00:33:19,050
+pressure في المناطق اللي تحت ال heart حقيقة اعلى
+
+427
+00:33:19,050 --> 00:33:23,570
+من ال heart نفسه من المستوى على ال heart و المناطق
+
+428
+00:33:23,570 --> 00:33:29,790
+اللي فوق اقل تمام ال lung بيخشها
+
+429
+00:33:30,270 --> 00:33:35,230
+الـ Balmonary Artery من الـ Highland في الوسط بين
+
+430
+00:33:35,230 --> 00:33:43,550
+ال base .. بين ال base و ال .. و ال .. و ال apex و
+
+431
+00:33:43,550 --> 00:33:50,890
+ال .. اه في عندي تلاتين centimeter تلاتين
+
+432
+00:33:50,890 --> 00:33:55,470
+centimeter ارتفاع ال a ارتفاع ال long تلاتين
+
+433
+00:33:55,470 --> 00:33:58,350
+centimeter فبين ال base و ال .. عندنا ال vertical
+
+434
+00:33:58,350 --> 00:34:03,040
+diameter هناتلاتين centimeter التلاتين centimeter
+
+435
+00:34:03,040 --> 00:34:09,200
+هذا بلغة الضغط مفترض يكون فيه فارق بينهم تلاتة و
+
+436
+00:34:09,200 --> 00:34:14,360
+عشرين millimeter mercury كفروقات
+
+437
+00:34:14,360 --> 00:34:21,220
+ارتفاع بمعنى اخر ان ال highland داخلها مفترض ال
+
+438
+00:34:21,220 --> 00:34:25,020
+zero يعني اللي هو المية و عشرين ال cardiac يعني
+
+439
+00:34:25,020 --> 00:34:32,680
+مفترض فوق ال apex عندي انابينقص خمس عشر ملي متر
+
+440
+00:34:32,680 --> 00:34:38,520
+mercury يعني بلاقي ال blood blood فوق مية و ..
+
+441
+00:34:38,520 --> 00:34:41,740
+عندنا خمسة و عشرين قلنا خمسة و عشرين ملي متر
+
+442
+00:34:41,740 --> 00:34:47,520
+mercury ناقص خمس عشر بيصير عشرة ع ال apex of the
+
+443
+00:34:47,520 --> 00:34:51,080
+lung عند ال blood pressure ال .. ال .. ال .. ال
+
+444
+00:34:51,080 --> 00:34:54,200
+main blood pressure مش هيك؟ لأ مش ال main هاد، هاد
+
+445
+00:34:54,200 --> 00:34:56,780
+خمسة و عشرين خسر .. خسرنا من خمسة و عشرين من ال
+
+446
+00:34:56,780 --> 00:35:01,620
+systolic إذا ال systolic جدش هيكون؟خمس .. خمس و
+
+447
+00:35:01,620 --> 00:35:07,320
+عشر ناجس .. ناجس خمس تاشر عشرة احنا قولنا ال .. ال
+
+448
+00:35:07,320 --> 00:35:12,060
+.. بلمونة بلاتبشر خمس و عشر علي تمانية معناها في
+
+449
+00:35:12,060 --> 00:35:17,460
+ال diastole جدش هيكون البلاتبشر فوق مين مسحسح
+
+450
+00:35:17,460 --> 00:35:23,660
+معايا؟ اه؟ سالب اتنين سالب اتنين مش كده؟ لإن عندي
+
+451
+00:35:23,660 --> 00:35:29,880
+انا تمانية و هي بصير عندي .. بنزل ..بدي انزل ..
+
+452
+00:35:29,880 --> 00:35:32,060
+انا ساعدت بسبع عامة انت you are right you are
+
+453
+00:35:32,060 --> 00:35:36,440
+right تمام اذا من خمسة و عشرين احنا قولنا سيستول
+
+454
+00:35:36,440 --> 00:35:41,140
+بنزل لتمانية في ال diastole الفرق عندنا في خمستاشر
+
+455
+00:35:41,140 --> 00:35:45,400
+اذا لما ينزل ل تمانية عندى minus seven هيكون اذا
+
+456
+00:35:45,400 --> 00:35:50,220
+في ال .. في ال .. لاحظ ال abical area هيكون فيه
+
+457
+00:35:50,220 --> 00:35:55,180
+عندنا سيستول عشرة و diastole minus seven واضح؟
+
+458
+00:35:55,180 --> 00:36:01,540
+ننزل تحت على الآخر على ال baseهيكون عندى ال .. ال
+
+459
+00:36:01,540 --> 00:36:04,640
+.. ال sister خمسة و عشرين جداش احنا جولنا الفرق
+
+460
+00:36:04,640 --> 00:36:07,400
+بين فوق و تحت تلاتة و عشرين يعني هيظل عندى جداش
+
+461
+00:36:07,400 --> 00:36:14,540
+تمانية مش كده ال apex نجسط لل apex خمستاشر و لل
+
+462
+00:36:14,540 --> 00:36:18,720
+base هنزيد من ال heart level ل ال base هنزيد
+
+463
+00:36:18,720 --> 00:36:22,680
+تمانية عشان يصيروا تلاتة و عشرين اذا خمسة و عشرين
+
+464
+00:36:22,680 --> 00:36:29,160
+و تمانية خمسة و عشرين و تمانية جداشتلاتة و تلاتين
+
+465
+00:36:29,160 --> 00:36:33,520
+و تمانية و تمانية ستة عشرة يعني في الستول و
+
+466
+00:36:33,520 --> 00:36:37,140
+الدياستول عند blood pressure هنا ايه؟ عالي في هناك
+
+467
+00:36:37,140 --> 00:36:43,600
+في الستول خمسة عشرة في الدياستول minus seven هذا
+
+468
+00:36:43,600 --> 00:36:51,140
+بيقدر إلى ان ال blood supply مقارنة مقارنة بالblur
+
+469
+00:36:51,140 --> 00:36:55,980
+pressure ال tissue pressure ال tissues هذه لها لها
+
+470
+00:36:55,980 --> 00:37:00,470
+ايه؟collapsing pressure مش كده؟ ال collapsing
+
+471
+00:37:00,470 --> 00:37:08,690
+pressure بتبقى حق plus ten plus ten
+
+472
+00:37:08,690 --> 00:37:15,650
+ولا أجلي شوية الرسمة مش ذاكرها القليل فهذا بيقدر
+
+473
+00:37:15,650 --> 00:37:19,550
+إلى أنه لما يكون عندى انا ten و
+
+474
+00:37:26,010 --> 00:37:30,530
+و ال tissues ال
+
+475
+00:37:30,530 --> 00:37:36,070
+tissues pressure which is positive pressure هي ده
+
+476
+00:37:36,070 --> 00:37:42,850
+ضغط بيقدّي إلى انه for example اه when a person is
+
+477
+00:37:42,850 --> 00:37:45,170
+in the upright position the pulmonary arterial
+
+478
+00:37:45,170 --> 00:37:48,490
+pressure at the lung apex is about fifteen
+
+479
+00:37:48,490 --> 00:37:51,290
+millimeter mercury less than the pressure at the
+
+480
+00:37:51,290 --> 00:37:54,440
+level of the heartبالتالي، مركز الابيكال سيستوليكي
+
+481
+00:37:54,440 --> 00:37:59,300
+هو 10 مليمتر ميركوري فقط في مستوى الهارد ماينوس
+
+482
+00:37:59,300 --> 00:38:04,020
+فيفتين بيساوي ايه؟ هذا المركز الابيكالي 10 مليمتر
+
+483
+00:38:04,020 --> 00:38:10,400
+ميركوري هو أكتر من مستوى الفيولر
+
+484
+00:38:10,400 --> 00:38:15,080
+ايه؟ اه، اذا الفيولر ايه؟ بين ال .. بين ال
+
+485
+00:38:15,080 --> 00:38:19,320
+inspiration و ال expiration بيصل لإيش؟لزيرو مش هيك
+
+486
+00:38:19,320 --> 00:38:24,460
+اذا انا بكون عندى عشرة فوق الزيرو بعمل انا ال
+
+487
+00:38:24,460 --> 00:38:28,280
+blood ال blood flow بكون كويس ال capillary
+
+488
+00:38:28,280 --> 00:38:31,680
+pressure ال ال perfusion ال arti .. ال systolic
+
+489
+00:38:31,680 --> 00:38:36,240
+pressure بصل لعشرة معناه بيعمل good perfusion تمام
+
+490
+00:38:36,240 --> 00:38:40,440
+لكن لو كان انا عندى ال ال ال pressure minus seven
+
+491
+00:38:40,440 --> 00:38:46,460
+وعندي ال tissues pressure zeroيعني zero يعني plus
+
+492
+00:38:46,460 --> 00:38:49,120
+بالنسباله plus seven بالنسبالى ال minus seven مش
+
+493
+00:38:49,120 --> 00:38:52,360
+كده الفرق سبعة هذه هقدر ان ال tissues هتضغط على ال
+
+494
+00:38:52,360 --> 00:38:56,620
+capillaries و تمنع ال perfusion بمعنى انه عندى بعض
+
+495
+00:38:56,620 --> 00:39:00,700
+المناطق هذه ال apical area و احنا واقفين أثناء ال
+
+496
+00:39:00,700 --> 00:39:03,500
+systole بيعدى فيها الدم في ال capillaries و أثناء
+
+497
+00:39:03,500 --> 00:39:09,920
+ال diastole بيتوقف مش كده واضح طيب نرجع عشان نطة
+
+498
+00:39:09,920 --> 00:39:13,950
+عشان نطة هذه المرة واحدة نرجع نتكلم حد حدإذا ال
+
+499
+00:39:13,950 --> 00:39:18,490
+hydrostatic pressure يعني عندنا
+
+500
+00:39:18,490 --> 00:39:22,170
+بيختلف
+
+501
+00:39:22,170 --> 00:39:29,690
+حسب ال level تبع ال lung و حسب احنا و كيف وضعنا
+
+502
+00:39:29,690 --> 00:39:33,610
+احنا و احنا واقفين بتكلم ال apex عن ال base تلاتين
+
+503
+00:39:33,610 --> 00:39:36,550
+سانتي بفرق تلاتين و عشرين millimeter mercury فوق
+
+504
+00:39:36,550 --> 00:39:42,970
+ال heart level عندي فرقخمس عشر millimeter mercury
+
+505
+00:39:42,970 --> 00:39:48,650
+وتحتها بالنقصان وتحتها تمانية بالزيادة تمام؟ يعني
+
+506
+00:39:48,650 --> 00:39:53,610
+نعتبر ال tissues pressure zero فلما أكون عندي عشرة
+
+507
+00:39:53,610 --> 00:39:56,630
+مقابل يعني ال capillary blood بدي يدخل ال
+
+508
+00:39:56,630 --> 00:40:00,050
+perfusion بيعدّي في ال capillaries الضغط اللي جاي
+
+509
+00:40:00,050 --> 00:40:05,930
+عندي عشرة مقابل صفر بعدّي لكن لما أكون عندي ناجس
+
+510
+00:40:05,930 --> 00:40:11,300
+سبعة مقابل صفر بقى توقففتجينا هنا ايه؟ مشكلة في ال
+
+511
+00:40:11,300 --> 00:40:15,500
+perfusion في حين انه ال basal side دايما ايه؟ has
+
+512
+00:40:15,500 --> 00:40:19,040
+good perfusion لإنه بيتنقل بين تلاتة و تلاتين و
+
+513
+00:40:19,040 --> 00:40:22,200
+ايش و ستة عشر يعني دايما احنا ايه؟ بخير في ال base
+
+514
+00:40:22,200 --> 00:40:27,960
+لكن لو غيرنا وضعنا احنا و نمنا مش واقفين و جوف،
+
+515
+00:40:27,960 --> 00:40:32,420
+اذا نمنا الفرق بين ال ال ال two levels مش تلاتين
+
+516
+00:40:32,420 --> 00:40:35,820
+سانتي، اشي بسيط، بنلاقي ال perfusion صار على ال
+
+517
+00:40:35,820 --> 00:40:39,220
+apical side كويسلأن قبل كده صار .. صار في مستوى
+
+518
+00:40:39,220 --> 00:40:43,200
+الـ ايه؟ ال heart فبيصير عندنا perfusion كويسة
+
+519
+00:40:43,200 --> 00:40:48,580
+واضح؟ طيب إذا في الحالة هذه إحنا بنقدر نتكلم عن
+
+520
+00:40:48,580 --> 00:40:53,720
+تلاتة models تلاتة models سميناها zone one, zone
+
+521
+00:40:53,720 --> 00:40:58,740
+two, zone three احنا حقيقة أهم .. أصح من .. من
+
+522
+00:40:58,740 --> 00:41:03,440
+zone model لإن ال zone معناها في منطقة معينةفيها
+
+523
+00:41:03,440 --> 00:41:06,340
+اللي بدنا نقوله ومنطقة تانية فيها اش تانية ومنطقة
+
+524
+00:41:06,340 --> 00:41:09,580
+تالتة فيها اش تالت في الطبيعة التلاتة مش موجودين
+
+525
+00:41:09,580 --> 00:41:14,580
+موجود جزء منهم ومجزء لأ بس هي ك model نتكلم وبعدين
+
+526
+00:41:14,580 --> 00:41:18,340
+بنطبقه ع مين بنطبق ال model هذا على ال lung نشوف
+
+527
+00:41:18,340 --> 00:41:22,700
+ال lung إيش بنطبق عليها تمام؟ عندنا model واحد أو
+
+528
+00:41:22,700 --> 00:41:28,680
+بنسميه zone واحد فيه القرطيرة البشر أعلى من ال
+
+529
+00:41:28,680 --> 00:41:36,060
+إيه؟من ال .. فيها ال arterial pressure بيقدر يعمل
+
+530
+00:41:36,060 --> 00:41:40,480
+perfusion لل capillaries during systole ومستطيعش
+
+531
+00:41:40,480 --> 00:41:46,500
+يعمل during الايه؟ during .. ده .. هذا اللي هو
+
+532
+00:41:46,500 --> 00:41:50,880
+نمرة اتنين نمرة .. نمرة الأولى انه ال .. الviolar
+
+533
+00:41:50,880 --> 00:41:54,440
+pressure أعلى من ال capillary pressure فدائما عندي
+
+534
+00:41:54,440 --> 00:42:00,010
+no flow zoneتمام؟ إذا كان ال pressure عندي في ال
+
+535
+00:42:00,010 --> 00:42:03,350
+systole و في ال diastole أعلى من ال capillary
+
+536
+00:42:03,350 --> 00:42:06,490
+pressure أعلى من ال .. من ال .. من ال blood
+
+537
+00:42:06,490 --> 00:42:09,970
+pressure blood perfusion pressure في المنطقة هذه
+
+538
+00:42:09,970 --> 00:42:13,890
+معناها دائما ال capillary is إيه؟ included يعني
+
+539
+00:42:13,890 --> 00:42:19,170
+هذه no flow .. no flow zone تمام؟ لكن الموديل
+
+540
+00:42:19,170 --> 00:42:23,910
+التاني أنه يكون لأ يعني هو أعلى شوية ال pressure
+
+541
+00:42:23,910 --> 00:42:26,230
+بحيث أنه في ال systole بيصير أعلى من ال
+
+542
+00:42:26,230 --> 00:42:31,010
+interstitialpressure of the alveolar tissue وفي ال
+
+543
+00:42:31,010 --> 00:42:33,950
+diastole لما بهبط بصير أجالة هذه سمينها zone two
+
+544
+00:42:33,950 --> 00:42:37,770
+بمعنى أنه في ال systole فاتح و كويس و في ال
+
+545
+00:42:37,770 --> 00:42:40,590
+diastole يعود إيش ال young إذا هذه ال zone
+
+546
+00:42:40,590 --> 00:42:43,650
+الأولانية ال pressure عندي الخارجي أعلى من ال
+
+547
+00:42:43,650 --> 00:42:46,670
+pressure اللي داك ال capillaries فمسكرة كل الأوجات
+
+548
+00:42:46,670 --> 00:42:50,850
+هنا لأ وجد مفتوح وجد مسكر حسب في ال system اللي
+
+549
+00:42:50,850 --> 00:42:54,390
+بيعلق بدخل في ال diastole اللي بهبط النوع التالت
+
+550
+00:42:56,110 --> 00:42:59,190
+السيستول و ده solid ضغط أعلى من ال alveolar
+
+551
+00:42:59,190 --> 00:43:03,670
+pressure فبيقدي إلى انه ايه انه ال ال ال ال
+
+552
+00:43:03,670 --> 00:43:09,650
+continuous blood flow تمام واضح انه هذه المنطقة زي
+
+553
+00:43:09,650 --> 00:43:14,530
+ال basal zone three موجودة زي zone three موجودة
+
+554
+00:43:14,530 --> 00:43:22,110
+كأنها basal و هذه واضح انهاالأبكال لإن السيستوليك
+
+555
+00:43:22,110 --> 00:43:26,050
+بيخلّي ال perfusion اتم intermittent perfusion او
+
+556
+00:43:26,050 --> 00:43:29,990
+في ال diastole ايه بيروح هذه مش موجودة عندنا في
+
+557
+00:43:29,990 --> 00:43:32,950
+physiological conditions مش موجودة لكن under
+
+558
+00:43:32,950 --> 00:43:36,930
+certain pathological conditions ممكن تكون موجودة
+
+559
+00:43:36,930 --> 00:43:40,750
+ممكن under ايه certain pathological conditions
+
+560
+00:43:40,750 --> 00:43:45,550
+تصير ايش هذه تصير موجودة تمام لما سيدي heart
+
+561
+00:43:45,550 --> 00:43:50,870
+failure pressure ينزل اكترفبيقدّي لوهار السيستول
+
+562
+00:43:50,870 --> 00:43:55,510
+حتى بطل يكفي لفتح ال .. ال apical area عندي
+
+563
+00:43:55,510 --> 00:44:00,550
+hemorrhage blood pressure وطي تمام؟ فبيقدّي إلى
+
+564
+00:44:00,550 --> 00:44:03,830
+هذه المسألة يعني في عندي حالات pathological
+
+565
+00:44:03,830 --> 00:44:12,470
+بتوصللي zone two إلى zone one تمام؟ لكنها في
+
+566
+00:44:12,470 --> 00:44:16,490
+الطبيعي zone one هذه مش موجودة لأ يعنيهيعدى على
+
+567
+00:44:16,490 --> 00:44:20,330
+الأقل أثناء ال stall اللى هي في الأعلى منطقة طبعا
+
+568
+00:44:20,330 --> 00:44:24,310
+انا لما انام ال area ال zone two بتتحول ل zone
+
+569
+00:44:24,310 --> 00:44:30,610
+three لإن ال perfusion بيصير أحسن مش زود طيب من
+
+570
+00:44:30,610 --> 00:44:37,730
+وين بنبدأ zone three هذه من وين بنبدأ بدنا level
+
+571
+00:44:37,730 --> 00:44:43,230
+معين يكون ال pressure فيه صار في ال diastole أكتر
+
+572
+00:44:43,230 --> 00:44:47,750
+من zeroفي الدياستول صار ايه؟ اكتر من zero بحيث انه
+
+573
+00:44:47,750 --> 00:44:52,490
+احنا عندنا ال zero اللي هو اللي بيمنع الضغط فانا
+
+574
+00:44:52,490 --> 00:44:56,090
+اذا minus من ال zero هيكون ال capillaries
+
+575
+00:44:56,090 --> 00:45:01,330
+compressed كمان في الدياستول، تمام؟ لكن اذا كان
+
+576
+00:45:01,330 --> 00:45:06,170
+انا وصلت لمنطقة ان ال diastolic pressure يصير اعلى
+
+577
+00:45:06,170 --> 00:45:09,610
+نتره صغيرة من ال zero معناها بيفتح ال blood
+
+578
+00:45:09,610 --> 00:45:13,850
+vessels و بعدي، واضح؟ومنها دي بلاجيها، احنا قولنا
+
+579
+00:45:13,850 --> 00:45:18,310
+في عندنا تلاتين سانتي فوق ال .. بين التنين، مش
+
+580
+00:45:18,310 --> 00:45:27,810
+كده؟ قولنا عندنا خمستاشر سانتي تقريبا فوق ال ..
+
+581
+00:45:27,810 --> 00:45:29,910
+التلاتين سانتي، ومن هما دول؟
+
+582
+00:45:39,300 --> 00:45:44,980
+الـ hydrostatic pressure عندنا هان تسعين .. اه
+
+583
+00:45:44,980 --> 00:45:51,580
+تلاتين سانتي الفرق بينهم خمس عشر تقريبا
+
+584
+00:45:51,580 --> 00:45:57,300
+احنا عندنا التلاتين هذه كلها في عندنا حوالي اكتر
+
+585
+00:45:57,300 --> 00:46:02,140
+من خمس عشر سانتي اكتر من النص من التلاتين اكتر من
+
+586
+00:46:02,140 --> 00:46:07,550
+النص فوق ال .. ال .. ال blood level of the heartو
+
+587
+00:46:07,550 --> 00:46:11,510
+أقل من النص تحت ال level of the heart لإن
+
+588
+00:46:11,510 --> 00:46:16,130
+الخمستعشر تلاتين يمثل تلاتة و عشرين إذا عند
+
+589
+00:46:16,130 --> 00:46:21,490
+الخمستعشر تاخد تقريبا تمانتاشر سانتي تمانتاشر و
+
+590
+00:46:21,490 --> 00:46:26,070
+تمانتاشر و جديش لما تصير تلاتين و اتناشر مش كده
+
+591
+00:46:26,070 --> 00:46:34,420
+حوالي هيك الآن إيش اللي بيصير اللي بيصير أنهكل ما
+
+592
+00:46:34,420 --> 00:46:38,260
+نزلنا شوية كل ما ال diastolic pressure اتحسن وضعه
+
+593
+00:46:38,260 --> 00:46:41,940
+مش هيك ال systolic احنا عارفينه من فوق بنفع يعني
+
+594
+00:46:41,940 --> 00:46:45,440
+اعلى منطقة ال systole بيعدى ال .. ال capillary
+
+595
+00:46:45,440 --> 00:46:49,220
+pressure بيعدى فيها ال perfusion will even during
+
+596
+00:46:49,220 --> 00:46:53,160
+a .. in the highest area لكن كل ما نزلنا كل ما ال
+
+597
+00:46:53,160 --> 00:46:56,100
+diastolic بيبدأ يتحسن بيبدأ عندى يصير good
+
+598
+00:46:56,100 --> 00:47:00,800
+perfusion above ال heart level بعشرة سانتي
+
+599
+00:47:03,470 --> 00:47:07,430
+heart level في ال lungs 10 centimeter above the
+
+600
+00:47:07,430 --> 00:47:13,990
+heart level it will be zone 3 it will be a zone 3
+
+601
+00:47:13,990 --> 00:47:19,750
+لإن هنا حيصير عندي perfusion continuous systolic
+
+602
+00:47:19,750 --> 00:47:27,310
+and diastolic واضح طيب إذا هنا عندي ايه ال
+
+603
+00:47:33,550 --> 00:47:41,430
+زون عاما الانسان لديه فقط زون 2 و3 زون 2 يعني
+
+604
+00:47:41,430 --> 00:47:51,070
+انترمت فلو في الـ apex وزون 3 فلو مستمر في جميع
+
+605
+00:47:51,070 --> 00:47:57,550
+المناطق الأسفل او بالظبط تن سنتمتر اعلى مستوى
+
+606
+00:47:57,550 --> 00:48:07,640
+القلوب مثلا هذا المثلهنا ايش قولنا طيب
+
+607
+00:48:07,640 --> 00:48:12,260
+اذا zone two blood flow begins in the normal lungs
+
+608
+00:48:12,260 --> 00:48:16,560
+about ten centimeters above the mid level of the
+
+609
+00:48:16,560 --> 00:48:21,360
+heart and extends from there to the top of the
+
+610
+00:48:21,360 --> 00:48:26,920
+lung يعني تحت العشرة سانتي تمام بيكون عندى zone
+
+611
+00:48:26,920 --> 00:48:31,720
+three zone two بتبدأ من above the heart levelبعشرة
+
+612
+00:48:31,720 --> 00:48:36,300
+سنتين تمام؟
+
+613
+00:48:36,300 --> 00:48:38,940
+in the lower regions of the lung from about ten
+
+614
+00:48:38,940 --> 00:48:41,620
+centimeters above the level of the heart all the
+
+615
+00:48:41,620 --> 00:48:43,680
+way down to the bottom of the lungs the pulmonary
+
+616
+00:48:43,680 --> 00:48:46,260
+arterial pressure during both systole and diastole
+
+617
+00:48:46,260 --> 00:48:52,360
+remains greater than zero تمام؟ في الحالة هذي
+
+618
+00:48:52,360 --> 00:48:55,100
+بيصير عندى continuous perfusion يعني zone three
+
+619
+00:48:55,100 --> 00:49:02,950
+واضحة ال zones؟ واضحة الفكرة فيها؟ اه؟ طيب تمامطيب
+
+620
+00:49:02,950 --> 00:49:05,450
+وقت إيش بيصير zone one عندى؟ احنا إيش درسناها؟
+
+621
+00:49:05,450 --> 00:49:09,370
+عشانها بتصير under pathological conditions إذا إيش
+
+622
+00:49:09,370 --> 00:49:14,570
+بيتطلب عشان يصير عندى zone one؟ يا إما الضغط ..
+
+623
+00:49:14,570 --> 00:49:21,050
+الضغط تبع ال blood pressure يقل أكتر بحيث ال
+
+624
+00:49:21,050 --> 00:49:27,150
+system يبطل يكفي يا إما ال alveolar pressure بحيث
+
+625
+00:49:27,150 --> 00:49:32,410
+يصير يقاوم ال إيه؟ طيبزن وان بلد فلو وهو بلد فلو
+
+626
+00:49:32,410 --> 00:49:38,350
+في لا وقت لا بلد فلو في اي وقت خلال عمل كاريكسايكل
+
+627
+00:49:38,350 --> 00:49:41,670
+يحدث عندما ايضا البلمونيوسيستوليكي ارتيار براشر
+
+628
+00:49:41,670 --> 00:49:47,810
+مرتفع أو الفيرور براشر مرتفع تمام؟ على سبيل المثال
+
+629
+00:49:47,810 --> 00:49:53,430
+إذا كان شخص مبارك يتخلص من بوزر براشر احنا بنعمله
+
+630
+00:49:53,430 --> 00:49:57,150
+تخلص من ايه؟ في عنده مشكلة في الرئتين عنده
+
+631
+00:49:57,150 --> 00:50:02,220
+انفيزيمةأو bronchial asthma و مدينه مدينه positive
+
+632
+00:50:02,220 --> 00:50:06,460
+pressure ventilation يعني احنا مدينه ضغط فالضغط
+
+633
+00:50:06,460 --> 00:50:10,460
+هذا بيقدر إلى ان ال alveolar pressure بطل zero
+
+634
+00:50:10,460 --> 00:50:16,940
+تمام احنا عندنا مشكلة في ال membranes الاكسجين مش
+
+635
+00:50:16,940 --> 00:50:22,100
+قادر يصل بكمية كافية لمين للدم فمديله positive
+
+636
+00:50:22,100 --> 00:50:25,740
+pressure ventilation positive pressure فبيقدر ال
+
+637
+00:50:25,740 --> 00:50:29,100
+pressure جوا ايه زادالزيادة في ال brusher هذا
+
+638
+00:50:29,100 --> 00:50:32,520
+بتخليلي بعض مناطق ال apical part اذا كان قاعد ا
+
+639
+00:50:32,520 --> 00:50:37,140
+bright انه توصل لإيش لزيادة ال physical يعني هذه
+
+640
+00:50:37,140 --> 00:50:40,420
+during therapy انه انا بزود ال brusher في ال
+
+641
+00:50:40,420 --> 00:50:45,180
+alveoli عشان اوصل oxygen اكتر لمين عشان يزود ال
+
+642
+00:50:45,180 --> 00:50:48,180
+brusher انا انتوا هتشوفوا انه ال brusher brusher
+
+643
+00:50:48,180 --> 00:50:51,220
+تبع ال oxygen و تبع ال carbon dioxide و تبع ال
+
+644
+00:50:51,220 --> 00:50:55,000
+nitrogen بياخد نصيبه من ال brusher حسب ال brusher
+
+645
+00:50:55,000 --> 00:50:58,410
+الكل اللي هو ال atmospheric brusherلما ازود انا ال
+
+646
+00:50:58,410 --> 00:51:00,470
+positive pressure ازود ال atmospheric pressure
+
+647
+00:51:00,470 --> 00:51:05,410
+اللي هو الصناعي اللي انا عامله صار مش ستمية و
+
+648
+00:51:05,410 --> 00:51:09,290
+سبعين مليمتر mercury صار عندى ايه positive
+
+649
+00:51:09,290 --> 00:51:11,970
+pressure انا عامله اكتر من هيك كتير صار partial
+
+650
+00:51:11,970 --> 00:51:16,650
+pressure بتاع الكسجين اعلى فبيقدر الانتقاله الى ال
+
+651
+00:51:16,650 --> 00:51:20,630
+blood اسرع فزي زود ال pressure انا بزود ال في
+
+652
+00:51:20,630 --> 00:51:27,130
+الحالة هذه مشكلة انه صار عندى بعض المنطقةtwo هذه
+
+653
+00:51:27,130 --> 00:51:32,010
+الابيكال تحول إلى zone one أو العكس إذا صار عندك
+
+654
+00:51:32,010 --> 00:51:35,890
+مشكلة في ال blood flow زي ما يحصل في حالات ال
+
+655
+00:51:35,890 --> 00:51:42,690
+hemorrhage وحالات blood pressure أنه يحبط effect
+
+656
+00:51:42,690 --> 00:51:45,710
+of x اه لأ انا اتكمل او حاجة another instance
+
+657
+00:51:45,710 --> 00:51:49,490
+another instance in which zone one blood flow
+
+658
+00:51:49,490 --> 00:51:53,030
+occurs is in an upright person whose blood
+
+659
+00:51:53,030 --> 00:51:57,600
+pressure is exceedingly lowas might occur in
+
+660
+00:51:57,600 --> 00:52:00,840
+severe blood loss اذا .. اذا يا pressure بزيد تبع
+
+661
+00:52:00,840 --> 00:52:05,340
+ال alveoli يا اما ال pressure تبع ال blood بيجل في
+
+662
+00:52:05,340 --> 00:52:08,660
+الحالة هذه ممكن كمان في ال systole مايصيرش فيه
+
+663
+00:52:08,660 --> 00:52:13,740
+flow نتحول ل zone one الان لو صار عندي exercise
+
+664
+00:52:13,740 --> 00:52:20,140
+انا لو صار عندي exercise في ال exercise انا محتاج
+
+665
+00:52:20,140 --> 00:52:25,060
+اكسجين اكتر مش هاي؟ محتاج عشان يصير اكسجين اكتر
+
+666
+00:52:25,600 --> 00:52:31,960
+الدم يخش ال lungs أكتر والهواء يخش ال lungs أكتر
+
+667
+00:52:31,960 --> 00:52:37,960
+مش كده؟ طيب the increase in flow in the top of the
+
+668
+00:52:37,960 --> 00:52:43,520
+lung may be .. اه هذا في عندنا curve هان لأ مش هذا
+
+669
+00:52:43,520 --> 00:52:49,240
+ال curve ال curve اللي هنا هيك وين
+
+670
+00:52:49,240 --> 00:52:54,220
+هو؟ هدول two curves مش عارف إيش أنا أحطه هناطيب
+
+671
+00:52:54,220 --> 00:52:59,780
+إذا هنا عندنا ال under exercise بنطلع بنلاقي أنه
+
+672
+00:52:59,780 --> 00:53:07,860
+ال blood ال perfusion of blood بزيد بزيد ل level
+
+673
+00:53:07,860 --> 00:53:15,180
+عالي كتير تمام؟ هاي ال exercise وهي ال normal at
+
+674
+00:53:15,180 --> 00:53:19,040
+rest هنا ال apical و هنا ال base
+
+675
+00:53:22,280 --> 00:53:29,360
+بنلاحظ في ال apex بتزيد حوالي سبعة تمان أضعف لإنه
+
+676
+00:53:29,360 --> 00:53:35,040
+كمية جليدة وزادة تقول هنا
+
+677
+00:53:35,040 --> 00:53:41,300
+بتزيد من هنا
+
+678
+00:53:41,300 --> 00:53:45,120
+لإنه عالية الكمية كبيرة أساسا في ال base الزيادة
+
+679
+00:53:45,120 --> 00:53:50,900
+هي هي حقيقة زيادة بينال .. ال perfusion قبل و بعد
+
+680
+00:53:50,900 --> 00:53:54,720
+هو هو لكن هنا لأن البداية صغيرة فهنا قولنا سبعمائة
+
+681
+00:53:54,720 --> 00:53:59,000
+لتمانين ضعف في حين أنه هانميجول زرت ضعف فقط يعني
+
+682
+00:53:59,000 --> 00:54:03,400
+ال .. under exercise ال basal perfusion بزيد الضعف
+
+683
+00:54:03,400 --> 00:54:06,420
+لكن .. لأنه أساسا ال blood .. ال perfusion تبعه
+
+684
+00:54:06,420 --> 00:54:09,880
+كويس فلما زاد زاد كمان شوية صارت ضعف لكن ال apical
+
+685
+00:54:09,880 --> 00:54:12,580
+اللي هو كان ال .. ال .. ال perfusion تبعه واطي
+
+686
+00:54:12,580 --> 00:54:18,050
+فلما بزيد بزيدبكمية ايه؟ واضحة لذلك نقول ايه؟
+
+687
+00:54:18,050 --> 00:54:21,710
+سبعمية الى تمانمية في المية يعني سبعة تمان اضعاف
+
+688
+00:54:21,710 --> 00:54:27,810
+زيادة صارت عندى في حالة الايه؟ اذا the increase in
+
+689
+00:54:27,810 --> 00:54:30,470
+flow in the top of the lung may be سبعمية الى
+
+690
+00:54:30,470 --> 00:54:34,590
+تمانمية percent whereas the increase in the lower
+
+691
+00:54:34,590 --> 00:54:39,010
+part من متين الى تلاتمية او اكتر شوية the reason
+
+692
+00:54:39,010 --> 00:54:41,990
+for these differences is that the pulmonary
+
+693
+00:54:41,990 --> 00:54:47,370
+vascular pressureraise enough during exercise to
+
+694
+00:54:47,370 --> 00:54:51,850
+convert the lung apices from zone two to zone
+
+695
+00:54:51,850 --> 00:54:56,890
+three اذا في اندر exercise ال perfusion الزيادة
+
+696
+00:54:56,890 --> 00:55:01,330
+هذا قد إلى ان بجد blood pressure قد إلى ان ال
+
+697
+00:55:01,330 --> 00:55:08,390
+apical area صارت مشاركة دائمة في عملية ال gas
+
+698
+00:55:08,390 --> 00:55:13,620
+transport مش بس أثناء الستول و نص الوقتهو مش نص
+
+699
+00:55:13,620 --> 00:55:16,760
+الوجد ده ال soul أطوى من ال ايه اس ال soul يعني
+
+700
+00:55:16,760 --> 00:55:20,960
+أكتر من نص الوجد نايمة و أجل من نص الوجد بتعمل ايه
+
+701
+00:55:20,960 --> 00:55:26,620
+بتساعد لكن بدون ال exercise ال blood فى داخل
+
+702
+00:55:26,620 --> 00:55:32,900
+الرئتين بزيد عشر أضعاف و ال oxygenation فى داخل
+
+703
+00:55:32,900 --> 00:55:38,920
+الرئتين بزيد عشر أضعاف لاحظوا فى عندي أنا زيادة فى
+
+704
+00:55:38,920 --> 00:55:45,550
+الدم اللى داخل كان كبيروزيادة في ايه؟ في الهوى
+
+705
+00:55:45,550 --> 00:55:49,990
+اللي داخل تمام؟ هنعرف التفاصيل تبعها و احنا ماشيين
+
+706
+00:55:49,990 --> 00:55:54,510
+في الطريق اذا عندي انا في الحالة هالي في ال
+
+707
+00:55:54,510 --> 00:55:59,070
+exercise بيزيد عندي ال efficiency تمامتي ال apical
+
+708
+00:55:59,070 --> 00:56:02,810
+area اتحول من zone two ل ايه؟ ل zone three ليه؟ طب
+
+709
+00:56:02,810 --> 00:56:07,090
+هو ايش بيصير بالظبط أثناء ال exercise أثناء ال
+
+710
+00:56:07,090 --> 00:56:11,090
+exercise ملاحظ انه بعض ال capillaries اللي كانت مش
+
+711
+00:56:11,090 --> 00:56:39,940
+شغالة بتشتغلit will
+
+712
+00:56:39,940 --> 00:56:44,270
+dilate moreزي ان صار عندى زيادة في عدد الكابيلاريز
+
+713
+00:56:44,270 --> 00:56:49,070
+توسع في كل الكابيلاريز تلاتة مع ال exercise كمان
+
+714
+00:56:49,070 --> 00:56:53,970
+ال brochure اللى جاي بزيد اذا فين تلت عوامل بتخلى
+
+715
+00:56:53,970 --> 00:56:59,150
+انه ال perfusion of blood during exercise انه يزيد
+
+716
+00:56:59,150 --> 00:57:06,150
+تلت اضعاف يزيد قداش increasesمن تلاتة من أربعة إلى
+
+717
+00:57:06,150 --> 00:57:09,890
+سبعة أبعاث في مجال مجال مجال مجال مجال مجال مجال
+
+718
+00:57:09,890 --> 00:57:10,930
+مجال مجال مجال مجال مجال مجال مجال مجال مجال مجال
+
+719
+00:57:10,930 --> 00:57:12,210
+مجال مجال مجال مجال مجال مجال مجال مجال مجال مجال
+
+720
+00:57:24,730 --> 00:57:28,930
+sometimes increases تلت أضعاف انه يزيد عدد ال
+
+721
+00:57:28,930 --> 00:57:32,710
+capillaries اللي يفتح بيزيدلي الحجم تبع ال
+
+722
+00:57:32,710 --> 00:57:38,330
+capillaries تلت أضعاف ويزيد عندي مش عدد ال
+
+723
+00:57:38,330 --> 00:57:41,770
+capillaries اللي فتحت حجم كل ال capillaries كمان
+
+724
+00:57:41,770 --> 00:57:46,950
+ضعفين و اللي بيظل عندي خمس أضعاف زيادة و الفرق في
+
+725
+00:57:46,950 --> 00:57:50,050
+ال blood pressure اللي بيزيد بيخليلي سبع أضعاف
+
+726
+00:57:50,050 --> 00:57:56,230
+تقريبا سبع أضعاف زيادة في الفي الـ perfusion in
+
+727
+00:57:56,230 --> 00:57:59,910
+the normal person the first two changes decrease
+
+728
+00:57:59,910 --> 00:58:02,610
+pulmonary vascular resistance لما يزيد عدد ال
+
+729
+00:58:02,610 --> 00:58:06,830
+capillaries ويزيد the lotation of the capillaries
+
+730
+00:58:06,830 --> 00:58:09,910
+the diameter of the capillaries في وضع طبيعي هيقبط
+
+731
+00:58:09,910 --> 00:58:14,950
+الضغط عندى لكن في وضع exercise الضغط بيعلى فاللي
+
+732
+00:58:14,950 --> 00:58:20,030
+نقص الضغط مع زيادة الضغط بيرجع إلى إيه إلى إلى حد
+
+733
+00:58:20,030 --> 00:58:23,940
+ما ضغط طبيعىيعني الـ vasodilatation للـ
+
+734
+00:58:23,940 --> 00:58:26,600
+capillaries و ال increase of number of dilated
+
+735
+00:58:26,600 --> 00:58:29,800
+capillaries يعني بيهدى الضغط لإنه صار عندى المساحة
+
+736
+00:58:29,800 --> 00:58:33,280
+اللى لدى الدم اكتر من ايه اكتر من اول فمعناها
+
+737
+00:58:33,280 --> 00:58:37,980
+الضغط ايه يعني ال resistance جل لإنه صار ال ال ال
+
+738
+00:58:37,980 --> 00:58:43,560
+ال ال ال ال ال ال space لل blood هذا اللى موجود
+
+739
+00:58:43,560 --> 00:58:47,840
+فيه واسع ف resistance جلت فبهبط الضغط لكن وقتش هذا
+
+740
+00:58:47,840 --> 00:58:51,400
+بيجل في الوقت اللى عندى زاد الضغط alreadyالـ
+
+741
+00:58:51,400 --> 00:58:54,700
+cardiac output بيزيد في ال exercise ال heart rate
+
+742
+00:58:54,700 --> 00:58:57,500
+بيزيد و ال stroke volume بيزيد ال cardiac output
+
+743
+00:58:57,500 --> 00:59:03,200
+بيزيد تمام فبيقدر إلى أنه يرجع الضغط إلى حد ما زي
+
+744
+00:59:03,200 --> 00:59:08,760
+أول و أعلى شوية الأعلى شوية بتخلي عندي انا ايه انه
+
+745
+00:59:08,760 --> 00:59:15,300
+مش بس رجعت الضغط لوضعه كمان بيديني more perfusion
+
+746
+00:59:15,300 --> 00:59:21,270
+أسرع من أول كمان طيب اذا عندها زادعملت exercise
+
+747
+00:59:21,270 --> 00:59:28,130
+زودتلي blood flow
+
+748
+00:59:28,130 --> 00:59:36,210
+الى سبع أضعاف نظرنا
+
+749
+00:59:36,210 --> 00:59:40,490
+الى ال curve المرحلة هادة هلاحظ انه و لو انه صار
+
+750
+00:59:40,490 --> 00:59:44,760
+عندى زيادة في ال curve outputduring exercise
+
+751
+00:59:44,760 --> 00:59:47,940
+كبيرة، اربعة، تمانية، اتنين، اتنين، اتنين، اتنين،
+
+752
+00:59:47,940 --> 00:59:48,920
+اتنين، اتنين، اتنين، اتنين، اتنين، اتنين، اتنين،
+
+753
+00:59:48,920 --> 00:59:50,340
+اتنين، اتنين، اتنين، اتنين، اتنين، اتنين، اتنين،
+
+754
+00:59:50,340 --> 00:59:52,100
+اتنين، اتنين، اتنين، اتنين، اتنين، اتنين، اتنين،
+
+755
+00:59:52,100 --> 00:59:55,260
+اتنين،
+
+756
+00:59:55,260 --> 01:00:01,640
+اتنين، اتنين، اتنين، اتنين، اتنين، اتنين، اتنين،
+
+757
+01:00:01,640 --> 01:00:03,140
+اتنين، اتنين، اتنين، اتنين، اتنين، اتنين، اتنين،
+
+758
+01:00:03,140 --> 01:00:10,780
+اتنين، اتنينالـ A الـ capillary number of open
+
+759
+01:00:10,780 --> 01:00:13,100
+capillaries وبيزيد عند ال diameter of the A the
+
+760
+01:00:13,100 --> 01:00:17,800
+whole capillaries طيب هنا بيقدّي .. بيقدّي إلى
+
+761
+01:00:17,800 --> 01:00:20,980
+إيش؟
+
+762
+01:00:20,980 --> 01:00:27,000
+بيقدّي إلى إنه the ability of the lungs to
+
+763
+01:00:27,000 --> 01:00:31,000
+accommodate greatly increased blood flow during
+
+764
+01:00:31,000 --> 01:00:34,140
+exercise without increasing pulmonary arterial
+
+765
+01:00:34,140 --> 01:00:39,920
+pressureconserve هذا بيقدر إلى انه الضغط ماعليش
+
+766
+01:00:39,920 --> 01:00:44,260
+فانا ب .. اريح الجلب ال right side ده اللي بضخ
+
+767
+01:00:44,260 --> 01:00:49,720
+against pressure و لو انه زاد ال blood flow اللي
+
+768
+01:00:49,720 --> 01:00:54,700
+انه ال heart إلى حد ما اللي جا ال pressure اللي
+
+769
+01:00:54,700 --> 01:00:59,680
+أمامه ماتغيرش فبصير بشتغل ايه with less energy
+
+770
+01:00:59,680 --> 01:01:06,500
+than expected تمام؟ اتنينهذا بيقدّي .. also
+
+771
+01:01:06,500 --> 01:01:08,820
+prevents a significant rise in pulmonary capillary
+
+772
+01:01:08,820 --> 01:01:13,640
+pressure يعني ال capillary pressure لما وطي بسبب
+
+773
+01:01:13,640 --> 01:01:17,420
+ال vasodilation was increased number قد انه ريح ال
+
+774
+01:01:17,420 --> 01:01:21,340
+right side of the heart لإنه beating against
+
+775
+01:01:21,340 --> 01:01:25,520
+normal pressure اتنين ماحللش ال pressure في ال
+
+776
+01:01:25,520 --> 01:01:30,040
+lungs بشكل يعملي مشكلة ارتفاع الضغط انه ممكن يعملي
+
+777
+01:01:30,040 --> 01:01:36,300
+edema of the lungs تمام؟ممكن اعمل edema of the
+
+778
+01:01:36,300 --> 01:01:40,540
+lungs طبعا اذا عالي الضغط كتير ممكن نكمل نعمل
+
+779
+01:01:40,540 --> 01:01:44,600
+right side heart failure يعني مشكلة ذلك الضغط إلى
+
+780
+01:01:44,600 --> 01:01:49,650
+حد ما شغلت الال .. ال .. ال .. ال .. ال .. ال ..
+
+781
+01:01:49,650 --> 01:01:49,670
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+782
+01:01:49,670 --> 01:01:49,790
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+783
+01:01:49,790 --> 01:01:50,450
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+784
+01:01:50,450 --> 01:01:50,910
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+785
+01:01:50,910 --> 01:01:51,550
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+786
+01:01:51,550 --> 01:01:54,530
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+787
+01:01:54,530 --> 01:02:00,710
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+788
+01:02:00,710 --> 01:02:00,990
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+789
+01:02:00,990 --> 01:02:01,050
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+790
+01:02:01,050 --> 01:02:02,950
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+791
+01:02:02,950 --> 01:02:07,550
+ال .. ال ..
+
+792
+01:02:07,550 --> 01:02:14,570
+ال .. ال ..
+
+793
+01:02:14,810 --> 01:02:18,430
+level معين قدرة ال reabsorption باللمفاتيكس بتكون
+
+794
+01:02:18,430 --> 01:02:24,090
+ايه اجل مش متخطاها مانا بنعمل ايش بالمونري اديمة
+
+795
+01:02:24,090 --> 01:02:26,710
+بالاضافة للضغط العالي مش بس بيعمل ال بالمونري
+
+796
+01:02:26,710 --> 01:02:30,010
+اديمة و لو طول ممكن تدخلني في ايه في right side
+
+797
+01:02:30,010 --> 01:02:34,750
+هال failure إذا الرجال مرتاح بخشش في failure لإنه
+
+798
+01:02:34,750 --> 01:02:38,150
+الضغط ماعليش هو ده شغال كويس و الاديمة مش موجودة
+
+799
+01:02:38,150 --> 01:02:40,510
+function of the
+
+800
+01:02:44,950 --> 01:02:49,270
+circulation when the left atrial pressure rises as
+
+801
+01:02:49,270 --> 01:02:51,030
+a result of left sided heart failure دخلنا في left
+
+802
+01:02:51,030 --> 01:02:54,790
+sided heart failure الان ايش كيف هيعكس هذا على مين
+
+803
+01:02:54,790 --> 01:03:02,430
+على ال lungs تمام ايش كيف هيعكس على ال lungs و هان
+
+804
+01:03:02,430 --> 01:03:07,430
+حقيقة منشوف احنا العظمة اللي من خلالها هذه ال
+
+805
+01:03:07,430 --> 01:03:12,600
+lungs كيف مبنية واضح هنشوفال .. ال .. ال lift
+
+806
+01:03:12,600 --> 01:03:16,580
+atrium في العهد اقولنا اضطغط تبعه و احد اتنين من
+
+807
+01:03:16,580 --> 01:03:21,280
+عيلي في اخر مرة احنا بيصل ايه لخمسة تمام؟ بيزرش عن
+
+808
+01:03:21,280 --> 01:03:28,580
+ستة يعني مش كده even during the most strenuous
+
+809
+01:03:28,580 --> 01:03:30,980
+exercise بيزرش .. بيزرش ال lift .. ايه ال atrium
+
+810
+01:03:30,980 --> 01:03:39,440
+البراشر عن مين؟ عن ستة ال changes هذهفي العادة
+
+811
+01:03:39,440 --> 01:03:42,220
+بتنعكس على ال .. على ال capillaries و بتعملش اي
+
+812
+01:03:42,220 --> 01:03:46,660
+مشاكل يعني لما الستة لستة عندها under exercise
+
+813
+01:03:46,660 --> 01:03:50,260
+الجهة التانية بتصل ل تمانية، تسعة، عشر، في فرج
+
+814
+01:03:50,260 --> 01:03:54,480
+اتنين بينهم تقريبا بين ال atrial و ال capillary في
+
+815
+01:03:54,480 --> 01:03:57,460
+فرج اتنين millimeter مركز عشان الدم يظل منخفض هذه
+
+816
+01:03:57,460 --> 01:04:00,140
+الستة بتصل ل تمانية مش هيعمللي إشكالي كبير
+
+817
+01:04:03,210 --> 01:04:06,230
+ولش؟ these small changes in left atrial pressure
+
+818
+01:04:06,230 --> 01:04:09,150
+have virtually no effect on pulmonary circulation
+
+819
+01:04:09,150 --> 01:04:13,110
+because this merely expands pulmonary venules بس
+
+820
+01:04:13,110 --> 01:04:16,690
+فتح لإيه؟ اللي كانوا مساكرين فماعلش الضغط بشكل
+
+821
+01:04:16,690 --> 01:04:20,910
+إيه؟ واضح فتح more venules و dilated ال venules زي
+
+822
+01:04:20,910 --> 01:04:24,290
+ما الكلام بتاوي so that the blood continues to
+
+823
+01:04:24,290 --> 01:04:28,670
+flow with almost equal easefrom the pulmonary
+
+824
+01:04:28,670 --> 01:04:33,010
+arteries بيبقى مدفع when the left side of the
+
+825
+01:04:33,010 --> 01:04:37,070
+heart fails هان الإشكال اللي بنتكلم عنه however
+
+826
+01:04:37,070 --> 01:04:42,570
+blood begins to dam up كأنه عامل سد اتجمع وراها
+
+827
+01:04:42,570 --> 01:04:47,290
+السد هذا as a result is a failure عندنا في ال left
+
+828
+01:04:47,290 --> 01:04:51,270
+atrium اذا بطل ال left atrium يدفع الجزء الأخير من
+
+829
+01:04:51,270 --> 01:04:55,240
+الدماللي بيساعد على انه يتخلص وبيظل الجزء الأخر
+
+830
+01:04:55,240 --> 01:04:59,580
+موجود في ال .. في ال atrium يعني معيق لإن تجمع
+
+831
+01:04:59,580 --> 01:05:02,820
+الدم الزيادة من ال .. ما هو during ال systole
+
+832
+01:05:02,820 --> 01:05:08,240
+تمام؟ ال atrium بيفتح وبيظل يتجمع الدم لحد ما ال
+
+833
+01:05:08,240 --> 01:05:11,020
+.. ال .. ال .. ال .. نخش في ال ventricle systole
+
+834
+01:05:11,020 --> 01:05:16,770
+فبندفع المتجمع، الآن صار failure عندىبطل الـ
+
+835
+01:05:16,770 --> 01:05:21,670
+atrium يدفع كما يجب صار يتحوش الدم ورا ال lift
+
+836
+01:05:21,670 --> 01:05:25,550
+atrium as a result of the lift atrium pressure can
+
+837
+01:05:25,550 --> 01:05:30,270
+rise on occasion from its normal value واحد إلى
+
+838
+01:05:30,270 --> 01:05:35,130
+خمسة all the way up to forty to fifty millimeter
+
+839
+01:05:35,130 --> 01:05:40,670
+mercury ممكن يظل يعلى يعلى يعلى مراحل لإيه؟ طبعا
+
+840
+01:05:40,670 --> 01:05:46,170
+مراحل ل fifty هذه هتخش في مشاكل كبيرة لكنهنلاحظ
+
+841
+01:05:46,170 --> 01:05:55,030
+كيف ان الجسم بيتخطاها بيتخطاها مع الوقت اذا احنا
+
+842
+01:05:55,030 --> 01:05:59,070
+دخلنا مشكلة زي كده ارتفعت ضغط تبع الathium ل 40 ل
+
+843
+01:05:59,070 --> 01:06:05,710
+50 as acute sudden event هيعملنا مشاكل كبيرة لكن
+
+844
+01:06:05,710 --> 01:06:11,030
+لو اقدرنا نتعدى ال acute event هذاتمام؟ وإن دلنا
+
+845
+01:06:11,030 --> 01:06:13,370
+نعمل support للبني آدم هذا وضل الضغط عالي من
+
+846
+01:06:13,370 --> 01:06:16,430
+أربعين لخمسين هنلاقي صار يعدي من غير أي مشاكل
+
+847
+01:06:16,430 --> 01:06:22,050
+كبيرة هنتكلم عنها بالتفصيل إذا المرحلة الأولى لو
+
+848
+01:06:22,050 --> 01:06:28,070
+زاد ال .. ال .. ال arterial pressure لسبعة ونلاقي
+
+849
+01:06:28,070 --> 01:06:33,610
+مالوش أي effect تمام؟ طيب when the lift atrial
+
+850
+01:06:33,610 --> 01:06:37,920
+pressure rises greater than sevenهنلاحظ انه صار
+
+851
+01:06:37,920 --> 01:06:41,960
+عندي انا ايه above the levels cause almost equally
+
+852
+01:06:41,960 --> 01:06:46,600
+great increases in the pulmonary arterial pressure
+
+853
+01:06:46,600 --> 01:06:50,420
+زاد سبعة فوق السبعة تمانية زاد تلتة اربعة مالنا
+
+854
+01:06:50,420 --> 01:06:55,360
+محتاجين ضغط اعلى شوية تلتة اربعة زاد خمسة عايزين
+
+855
+01:06:55,360 --> 01:07:00,060
+اعلى تلتة خمسة لكن لو .. اذا في زيادة مساحبة
+
+856
+01:07:00,060 --> 01:07:04,720
+مساوية في الايه في ال .. اذا صار ان عندي انا الضغط
+
+857
+01:07:04,720 --> 01:07:08,820
+ينتقلمن الـ left atrium إلى الـ capillaries و
+
+858
+01:07:08,820 --> 01:07:12,500
+الcirculation و يصير عبق جديد عمين على ال right
+
+859
+01:07:12,500 --> 01:07:16,220
+side لأنه الضغط عليه ال right side بيشغل against
+
+860
+01:07:16,220 --> 01:07:21,480
+higher pressure محتاج أنه يضغط ضد الضغط بيصير عنده
+
+861
+01:07:21,480 --> 01:07:27,680
+جهود أكبر thus causing a concomitant increased
+
+862
+01:07:27,680 --> 01:07:30,940
+load on the right heart تمام؟ إذا العبق على ال
+
+863
+01:07:30,940 --> 01:07:35,330
+right heartلكن when the left atrial pressure has
+
+864
+01:07:35,330 --> 01:07:41,310
+risen above thirty بلي متر مركوري causing similar
+
+865
+01:07:41,310 --> 01:07:42,810
+increases in capillary pressure
+
+866
+01:07:52,170 --> 01:07:57,630
+إذا زاد الـ arterial pressure فوق التلاتين هو في
+
+867
+01:07:57,630 --> 01:08:01,370
+العادة بزيش فوق الخمسة إذا زاد للسبعة في أي مشاكل
+
+868
+01:08:01,370 --> 01:08:06,570
+إذا من التمانية للتلاتين هنلاقي إن صار عندي blood
+
+869
+01:08:06,570 --> 01:08:10,570
+pressure بالفعل زاد ال right-sided البلمونري
+
+870
+01:08:10,570 --> 01:08:14,810
+arterial pressure زاد وهنا هنعكس على إن ال heart
+
+871
+01:08:14,810 --> 01:08:18,490
+بدأ يصير عليه load أكتر ال right-side لإنه صار يضخ
+
+872
+01:08:18,490 --> 01:08:22,460
+against higher pressureانزلت عن التلاتين حلق بلمون
+
+873
+01:08:22,460 --> 01:08:28,340
+القديمة صارت تتكون لإنه صار عندى ال brochure عليه
+
+874
+01:08:28,340 --> 01:08:31,640
+لدرجة ان ال filtration اللى بتتم جلبت المعادلة
+
+875
+01:08:31,640 --> 01:08:35,360
+تبعت ال equilibrium تبع ال ال interstitial fluid
+
+876
+01:08:35,360 --> 01:08:39,220
+كنا في equilibrium اللى بطلع بنشفط لكن لعبارة
+
+877
+01:08:39,220 --> 01:08:43,460
+التلاتين لازم يظل بقايا fluid اللى بيظل فى ال
+
+878
+01:08:43,460 --> 01:08:48,440
+interstitial space هيصبح لمين للalveoli للalveolar
+
+879
+01:08:48,440 --> 01:08:52,610
+spaceو هتبتعملي بالمونري قديمة بحيث أنه ال alveoli
+
+880
+01:08:52,610 --> 01:08:58,450
+تبدأ إيه؟ الطف فيها ال .. خليني نجف لحد هنا عشان
+
+881
+01:08:58,450 --> 01:09:01,850
+إيه؟ ال بالمونري capillary dynamics إنه نحسب
+
+882
+01:09:01,850 --> 01:09:06,670
+بالظبط ال brushes هذه الموجودة في الطبيعي كيف مش
+
+883
+01:09:06,670 --> 01:09:10,790
+عاملة قديمة و كوكتيش بتعمل قديمة ان شاء الله المرة
+
+884
+01:09:10,790 --> 01:09:14,590
+اللي جاية بإذن الله تعالى يعطيكوا العافية بنات،
+
+885
+01:09:14,590 --> 01:09:15,390
+مين هي السؤال؟
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/_DMqOBCh86I_raw.json b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/_DMqOBCh86I_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..0f25c35e7470b52627ccce26637dc9f6e82f34e7
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/_DMqOBCh86I_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 3282, "start": 5.38, "end": 32.82, "text": "بنرجع تاني انه الكلية هذه اللي اتكلمنا عنها عملت ball اتكون ال ball و اتركز ال ball و اتخفف ال ball و بنعرف بالظبط ايش عملت هي الان ال ball الان هذا اللي طالع من ال collecting duct نزل ال renal pelvis ال kidney pelvis إلى ال ureter إلى ال bladder الرحلة هذه كلها متغيرش في تركيبها", "tokens": [3555, 1863, 47341, 3615, 6055, 7649, 1829, 16472, 3224, 2423, 28820, 10632, 29538, 13672, 1829, 1975, 2655, 4117, 19528, 8315, 18871, 11296, 6225, 42213, 2655, 2594, 1975, 2655, 30544, 2423, 2594, 4032, 1975, 2655, 31747, 11622, 2423, 2594, 4032, 1975, 2655, 9778, 5172, 5172, 2423, 2594, 4032, 44945, 3615, 28480, 20666, 19913, 3555, 9566, 1975, 1829, 8592, 6225, 42213, 2655, 39896, 2423, 7649, 2423, 2594, 2423, 7649, 23758, 13672, 1829, 23032, 6027, 3615, 9154, 2423, 12510, 25954, 8717, 11622, 1211, 2423, 319, 4660, 34617, 2423, 19000, 34617, 30731, 2423, 344, 265, 391, 30731, 2423, 37032, 34892, 5016, 37977, 29538, 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أوامرك، تمام؟ قولتلكم عن الراجل اللي كان في ال bus أيام اليهود، زلم عنده سكر يعني", "tokens": [3555, 9381, 13546, 2068, 23802, 24976, 11933, 1829, 3224, 22807, 24976, 13344, 12399, 8717, 36178, 2423, 28820, 10943, 12399, 11933, 15730, 8032, 8848, 1829, 833, 1969, 12399, 11933, 15730, 47525, 10721, 2423, 33599, 1829, 7251, 36520, 37495, 22653, 14739, 2655, 8608, 10943, 5016, 43761, 7251, 36520, 20449, 8315, 11296, 34051, 32771, 9381, 3555, 18871, 4117, 12399, 35186, 8608, 10943, 5016, 43761, 5551, 15042, 32771, 9381, 3555, 18871, 4117, 12399, 5296, 33456, 3224, 6156, 46958, 18871, 21542, 3215, 9673, 38251, 2407, 5016, 12399, 6156, 3224, 1829, 8592, 2655, 17082, 1211, 47525, 11536, 34051, 10943, 31747, 12399, 46811, 10943, 22807, 12174, 12610, 2655, 23275, 2304, 18871, 34892, 26108, 1211, 13672, 1829, 25961, 8978, 2423, 1255, 36632, 10943, 45595, 3224, 23328, 12399, 30767, 19528, 43242, 3224, 8608, 37983, 37495, 22653], "avg_logprob": -0.1829833925003186, "compression_ratio": 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parasympathetic زي السابع الخامس يعني الخامس فيه إيش بسيط السابع وتاسع والعاشر والأحداشر تمام هدول فيهم ايه parasympathetic", "tokens": [28814, 8848, 1863, 18871, 16254, 41850, 2423, 40959, 23078, 2423, 39184, 318, 17, 318, 18, 2423, 39184, 316, 12174, 12610, 8315, 39685, 831, 3714, 7435, 2304, 2407, 27884, 9154, 16247, 3615, 9381, 16758, 13672, 1829, 8032, 2304, 39685, 831, 23078, 8978, 16095, 36032, 1975, 2407, 8978, 16095, 18203, 299, 6296, 1185, 8978, 16095, 971, 5871, 2455, 998, 3532, 23032, 3555, 3615, 995, 18203, 299, 39685, 831, 37495, 22653, 971, 5871, 2455, 998, 3532, 30767, 1829, 21136, 16758, 3615, 33962, 10943, 3794, 37495, 22653, 33962, 10943, 3794, 8978, 3224, 11933, 1829, 8592, 4724, 3794, 1829, 9566, 21136, 16758, 3615, 34683, 32277, 3615, 16070, 3615, 33599, 2288, 16070, 10721, 24401, 33599, 2288, 46811, 10943, 8032, 3215, 12610, 8978, 16095, 1975, 1829, 3224, 971, 5871, 2455, 998, 3532], "avg_logprob": -0.27504959513270666, "compression_ratio": 1.86, 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{"start": 2596.64, "end": 2596.9, "word": " هدول", "probability": 0.8411458333333334}, {"start": 2596.9, "end": 2597.26, "word": " فيهم", "probability": 0.986572265625}, {"start": 2597.26, "end": 2597.5, "word": " ايه", "probability": 0.7508951822916666}, {"start": 2597.5, "end": 2598.32, "word": " parasympathetic", "probability": 0.846533203125}], "temperature": 1.0}, {"id": 107, "seek": 261226, "start": 2599.92, "end": 2612.26, "text": "الساكرال ايه؟ الساكرال ايه؟ الساكرال بريكساس اللي بتديني ال building nerves اللي هم فيه مباراة sympathetic activity", "tokens": [6027, 3794, 995, 37983, 6027, 1975, 1829, 3224, 22807, 21136, 995, 37983, 6027, 1975, 1829, 3224, 22807, 21136, 995, 37983, 6027, 4724, 16572, 4117, 3794, 32277, 13672, 1829, 39894, 3215, 9957, 1829, 2423, 2390, 23078, 13672, 1829, 8032, 2304, 8978, 3224, 3714, 3555, 9640, 995, 3660, 36032, 5191], "avg_logprob": -0.4652423566701461, "compression_ratio": 1.5083333333333333, "no_speech_prob": 0.0, "words": [{"start": 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"word": " اللي", "probability": 0.919921875}, {"start": 2610.02, "end": 2610.14, "word": " هم", "probability": 0.526123046875}, {"start": 2610.14, "end": 2610.26, "word": " فيه", "probability": 0.6146240234375}, {"start": 2610.26, "end": 2610.48, "word": " مباراة", "probability": 0.86015625}, {"start": 2610.48, "end": 2610.8, "word": " sympathetic", "probability": 0.65673828125}, {"start": 2610.8, "end": 2612.26, "word": " activity", "probability": 0.9248046875}], "temperature": 1.0}, {"id": 108, "seek": 263303, "start": 2613.41, "end": 2633.03, "text": "هنا عندنا ال nerves اللي رايحة على ال blood رجعه بس من S2 S3 من ال sacral segment S1 S2 S3 مش جاي من ال four ال four بتروح ل ال a two three four و روح لمين ل other parts of the pelvis بالذات ال a ال rectum", "tokens": [3224, 8315, 43242, 8315, 2423, 23078, 13672, 1829, 12602, 47302, 5016, 3660, 15844, 2423, 3390, 12602, 7435, 3615, 3224, 4724, 3794, 9154, 318, 17, 318, 18, 9154, 2423, 4899, 2155, 9469, 318, 16, 318, 17, 318, 18, 37893, 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0.6580403645833334}, {"start": 3644.1, "end": 3645.56, "word": " وبينتهي", "probability": 0.81826171875}, {"start": 3645.56, "end": 3646.7, "word": " renal", "probability": 0.6348876953125}, {"start": 3646.7, "end": 3647.34, "word": " بال", "probability": 0.8779296875}, {"start": 3647.34, "end": 3647.88, "word": " bladder", "probability": 0.2203369140625}, {"start": 3647.88, "end": 3648.46, "word": " بال", "probability": 0.6943359375}, {"start": 3648.46, "end": 3648.62, "word": " ..", "probability": 0.24658203125}, {"start": 3648.62, "end": 3648.86, "word": " بال", "probability": 0.89697265625}, {"start": 3648.86, "end": 3649.2, "word": " kidney", "probability": 0.705078125}], "temperature": 1.0}, {"id": 151, "seek": 365193, "start": 3649.67, "end": 3651.93, "text": "و ايه في الكدنى؟ في blood vessels of the kidney", "tokens": [2407, 1975, 1829, 3224, 8978, 33251, 3215, 1863, 7578, 22807, 8978, 3390, 20117, 295, 264, 19000], "avg_logprob": -0.6112132352941176, "compression_ratio": 0.9538461538461539, "no_speech_prob": 0.021484375, "words": [{"start": 3649.67, "end": 3649.89, "word": "و", "probability": 0.08856201171875}, {"start": 3649.89, "end": 3650.01, "word": " ايه", "probability": 0.4896036783854167}, {"start": 3650.01, "end": 3650.13, "word": " في", "probability": 0.8212890625}, {"start": 3650.13, "end": 3650.63, "word": " الكدنى؟", "probability": 0.705517578125}, {"start": 3650.63, "end": 3650.73, "word": " في", "probability": 0.712890625}, {"start": 3650.73, "end": 3650.97, "word": " blood", "probability": 0.5673828125}, {"start": 3650.97, "end": 3651.31, "word": " vessels", "probability": 0.85693359375}, {"start": 3651.31, "end": 3651.49, "word": " of", "probability": 0.697265625}, {"start": 3651.49, "end": 3651.61, "word": " the", "probability": 0.74462890625}, {"start": 3651.61, "end": 3651.93, "word": " kidney", "probability": 0.9443359375}], "temperature": 1.0}, {"id": 152, "seek": 370143, "start": 3680.17, "end": 3701.43, "text": "للـ Renal Arteries بيقدّي إلى إن الـ Spasm هذا إيجابي لبولير التكون اللي هو عام عامل الـ pressure الزايد some sort of protection بيقول الكيلية إذا لما بيصير هذا الكلام الكيلية اللي في جهتها الحصوة تصير فيها Spasm لل blood vessels و إذا زاد ممكن تصير ischemia للكيلية كلها و ممكن تضرب", "tokens": [1211, 1211, 39184, 12883, 304, 1587, 391, 530, 4724, 1829, 28543, 11703, 1829, 30731, 36145, 2423, 39184, 1738, 14774, 8032, 8848, 995, 11933, 1829, 7435, 16758, 1829, 5296, 3555, 12610, 13546, 16712, 30544, 13672, 1829, 31439, 6225, 10943, 6225, 10943, 1211, 2423, 39184, 3321, 6024, 110, 995, 25708, 512, 1333, 295, 6334, 4724, 1829, 39648, 33251, 26895, 10632, 11933, 15730, 5296, 15042, 4724, 1829, 9381, 13546, 23758, 2423, 28820, 10943, 33251, 26895, 10632, 13672, 1829, 8978, 10874, 3224, 2655, 11296, 21542, 9381, 2407, 3660, 6055, 9381, 13546, 8978, 11296, 1738, 14774, 24976, 3390, 20117, 4032, 11933, 15730, 30767, 18513, 3714, 43020, 6055, 9381, 13546, 307, 339, 14058, 5296, 23275, 26895, 10632, 28242, 11296, 4032, 3714, 43020, 6055, 11242, 25513], "avg_logprob": -0.3437499942878882, "compression_ratio": 1.7480314960629921, "no_speech_prob": 0.0, "words": [{"start": 3680.1700000000005, "end": 3680.8700000000003, "word": "للـ", "probability": 0.3326822916666667}, {"start": 3680.8700000000003, "end": 3681.57, "word": " Renal", "probability": 0.563720703125}, {"start": 3681.57, "end": 3682.57, "word": " Arteries", "probability": 0.6858723958333334}, {"start": 3682.57, "end": 3683.25, "word": " بيقدّي", "probability": 0.661279296875}, {"start": 3683.25, "end": 3683.39, "word": " إلى", "probability": 0.485107421875}, {"start": 3683.39, "end": 3683.55, "word": " إن", "probability": 0.421142578125}, {"start": 3683.55, "end": 3683.75, "word": " الـ", "probability": 0.56982421875}, {"start": 3683.75, "end": 3684.11, "word": " Spasm", "probability": 0.677001953125}, {"start": 3684.11, "end": 3684.39, "word": " هذا", "probability": 0.5101725260416666}, {"start": 3684.39, "end": 3684.77, "word": " إيجابي", "probability": 0.619091796875}, {"start": 3684.77, "end": 3685.23, "word": " لبولير", "probability": 0.489990234375}, {"start": 3685.23, "end": 3685.59, "word": " التكون", "probability": 0.5784912109375}, {"start": 3685.59, "end": 3686.55, "word": " اللي", "probability": 0.8466796875}, {"start": 3686.55, "end": 3686.89, "word": " هو", "probability": 0.98583984375}, {"start": 3686.89, "end": 3687.61, "word": " عام", "probability": 0.952392578125}, {"start": 3687.61, "end": 3688.09, "word": " عامل", "probability": 0.92138671875}, {"start": 3688.09, "end": 3688.43, "word": " الـ", "probability": 0.6124267578125}, {"start": 3688.43, "end": 3688.69, "word": " pressure", "probability": 0.482421875}, {"start": 3688.69, "end": 3689.31, "word": " الزايد", "probability": 0.77496337890625}, {"start": 3689.31, "end": 3689.73, "word": " some", "probability": 0.2122802734375}, {"start": 3689.73, "end": 3690.01, "word": " sort", "probability": 0.9189453125}, {"start": 3690.01, "end": 3690.13, "word": " of", "probability": 0.97021484375}, {"start": 3690.13, "end": 3690.65, "word": " protection", "probability": 0.86181640625}, {"start": 3690.65, "end": 3691.57, "word": " بيقول", "probability": 0.8224283854166666}, {"start": 3691.57, "end": 3691.91, "word": " الكيلية", "probability": 0.72119140625}, {"start": 3691.91, "end": 3692.19, "word": " إذا", "probability": 0.79248046875}, {"start": 3692.19, "end": 3692.41, "word": " لما", "probability": 0.843505859375}, {"start": 3692.41, "end": 3692.67, "word": " بيصير", "probability": 0.8980712890625}, {"start": 3692.67, "end": 3692.83, "word": " هذا", "probability": 0.578125}, {"start": 3692.83, "end": 3693.23, "word": " الكلام", "probability": 0.9650065104166666}, {"start": 3693.23, "end": 3693.93, "word": " الكيلية", "probability": 0.828125}, {"start": 3693.93, "end": 3694.05, "word": " اللي", "probability": 0.933349609375}, {"start": 3694.05, "end": 3694.13, "word": " في", "probability": 0.9619140625}, {"start": 3694.13, "end": 3694.47, "word": " جهتها", "probability": 0.942626953125}, {"start": 3694.47, "end": 3694.97, "word": " الحصوة", "probability": 0.88916015625}, {"start": 3694.97, "end": 3695.97, "word": " تصير", "probability": 0.89794921875}, {"start": 3695.97, "end": 3696.21, "word": " فيها", "probability": 0.947265625}, {"start": 3696.21, "end": 3696.71, "word": " Spasm", "probability": 0.884521484375}, {"start": 3696.71, "end": 3697.05, "word": " لل", "probability": 0.61279296875}, {"start": 3697.05, "end": 3697.37, "word": " blood", "probability": 0.60986328125}, {"start": 3697.37, "end": 3697.71, "word": " vessels", "probability": 0.89404296875}, {"start": 3697.71, "end": 3698.27, "word": " و", "probability": 0.94677734375}, {"start": 3698.27, "end": 3698.41, "word": " إذا", "probability": 0.558837890625}, {"start": 3698.41, "end": 3698.67, "word": " زاد", "probability": 0.978515625}, {"start": 3698.67, "end": 3699.03, "word": " ممكن", "probability": 0.971923828125}, {"start": 3699.03, "end": 3699.35, "word": " تصير", "probability": 0.8570963541666666}, {"start": 3699.35, "end": 3699.75, "word": " ischemia", "probability": 0.6891276041666666}, {"start": 3699.75, "end": 3700.17, "word": " للكيلية", "probability": 0.87890625}, {"start": 3700.17, "end": 3700.63, "word": " كلها", "probability": 0.987060546875}, {"start": 3700.63, "end": 3700.93, "word": " و", "probability": 0.59375}, {"start": 3700.93, "end": 3701.03, "word": " ممكن", "probability": 0.8525390625}, {"start": 3701.03, "end": 3701.43, "word": " تضرب", "probability": 0.931640625}], "temperature": 1.0}, {"id": 153, "seek": 372602, "start": 3701.8, "end": 3726.02, "text": "هو أساسه معمول عشان يجلل ال urine formation عشان يجلل ال pressure اللي هو عامل ال plan اسمه Uretero Renal Reflex ناتج عن انه Stimulation في ال ureter تؤدي إلى ال drop في ال urine formation بسبب ال spasm of the arterial system of the kidney", "tokens": [3224, 2407, 5551, 3794, 32277, 3224, 20449, 2304, 12610, 6225, 8592, 7649, 7251, 7435, 1211, 1211, 2423, 27638, 11723, 6225, 8592, 7649, 7251, 7435, 1211, 1211, 2423, 3321, 13672, 1829, 31439, 6225, 10943, 1211, 2423, 1393, 24525, 2304, 3224, 624, 265, 391, 78, 12883, 304, 16957, 2021, 8717, 9307, 7435, 18871, 16472, 3224, 745, 332, 2776, 8978, 2423, 344, 265, 391, 6055, 33604, 16254, 30731, 2423, 3270, 8978, 2423, 27638, 11723, 4724, 35457, 3555, 2423, 637, 14774, 295, 264, 30455, 831, 1185, 295, 264, 19000], "avg_logprob": -0.39607557619726935, "compression_ratio": 1.5870646766169154, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 3701.8, "end": 3703.08, "word": "هو", "probability": 0.52459716796875}, {"start": 3703.08, "end": 3703.6, "word": " أساسه", "probability": 0.78900146484375}, {"start": 3703.6, "end": 3703.96, "word": " معمول", "probability": 0.7320149739583334}, {"start": 3703.96, "end": 3704.22, "word": " عشان", "probability": 0.8291015625}, {"start": 3704.22, "end": 3704.6, "word": " يجلل", "probability": 0.8533935546875}, {"start": 3704.6, "end": 3705.04, "word": " ال", "probability": 0.85498046875}, {"start": 3705.04, "end": 3705.26, "word": " urine", "probability": 0.1484375}, {"start": 3705.26, "end": 3705.78, "word": " formation", "probability": 0.919921875}, {"start": 3705.78, "end": 3706.56, "word": " عشان", "probability": 0.7930501302083334}, {"start": 3706.56, "end": 3707.02, "word": " يجلل", "probability": 0.9716796875}, {"start": 3707.02, "end": 3707.22, "word": " ال", "probability": 0.78662109375}, {"start": 3707.22, "end": 3707.58, "word": " pressure", "probability": 0.98828125}, {"start": 3707.58, "end": 3707.84, "word": " اللي", "probability": 0.8359375}, {"start": 3707.84, "end": 3707.98, "word": " هو", "probability": 0.86865234375}, {"start": 3707.98, "end": 3708.26, "word": " عامل", "probability": 0.9280598958333334}, {"start": 3708.26, "end": 3708.36, "word": " ال", "probability": 0.7734375}, {"start": 3708.36, "end": 3708.6, "word": " plan", "probability": 0.515625}, {"start": 3708.6, "end": 3709.44, "word": " اسمه", "probability": 0.9560546875}, {"start": 3709.44, "end": 3710.34, "word": " Uretero", "probability": 0.64129638671875}, {"start": 3710.34, "end": 3712.36, "word": " Renal", "probability": 0.7200927734375}, {"start": 3712.36, "end": 3712.96, "word": " Reflex", "probability": 0.773193359375}, {"start": 3712.96, "end": 3713.84, "word": " ناتج", "probability": 0.8307291666666666}, {"start": 3713.84, "end": 3714.08, "word": " عن", "probability": 0.908203125}, {"start": 3714.08, "end": 3714.46, "word": " انه", "probability": 0.633544921875}, {"start": 3714.46, "end": 3714.96, "word": " Stimulation", "probability": 0.3777567545572917}, {"start": 3714.96, "end": 3715.6, "word": " في", "probability": 0.2353515625}, {"start": 3715.6, "end": 3715.7, "word": " ال", "probability": 0.85595703125}, {"start": 3715.7, "end": 3716.06, "word": " ureter", "probability": 0.4853515625}, {"start": 3716.06, "end": 3716.76, "word": " تؤدي", "probability": 0.9111328125}, {"start": 3716.76, "end": 3717.46, "word": " إلى", "probability": 0.52490234375}, {"start": 3717.46, "end": 3718.02, "word": " ال", "probability": 0.285888671875}, {"start": 3718.02, "end": 3718.7, "word": " drop", "probability": 0.9462890625}, {"start": 3718.7, "end": 3719.2, "word": " في", "probability": 0.939453125}, {"start": 3719.2, "end": 3719.32, "word": " ال", "probability": 0.78662109375}, {"start": 3719.32, "end": 3719.52, "word": " urine", "probability": 0.974609375}, {"start": 3719.52, "end": 3720.08, "word": " formation", "probability": 0.97216796875}, {"start": 3720.08, "end": 3720.66, "word": " بسبب", "probability": 0.978515625}, {"start": 3720.66, "end": 3721.44, "word": " ال", "probability": 0.65234375}, {"start": 3721.44, "end": 3722.72, "word": " spasm", "probability": 0.58685302734375}, {"start": 3722.72, "end": 3722.92, "word": " of", "probability": 0.90234375}, {"start": 3722.92, "end": 3723.86, "word": " the", "probability": 0.91650390625}, {"start": 3723.86, "end": 3724.42, "word": " arterial", "probability": 0.5355224609375}, {"start": 3724.42, "end": 3725.44, "word": " system", "probability": 0.8994140625}, {"start": 3725.44, "end": 3725.64, "word": " of", "probability": 0.921875}, {"start": 3725.64, "end": 3725.78, "word": " the", "probability": 0.79541015625}, {"start": 3725.78, "end": 3726.02, "word": " kidney", "probability": 0.869140625}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 3727.8475, "duration_after_vad": 3632.9381249999815}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/d1cBi0ZBVBM.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/d1cBi0ZBVBM.srt
new file mode 100644
index 0000000000000000000000000000000000000000..9d2bbf0e29a200a562a38b0b97fdb3228e13cd97
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/d1cBi0ZBVBM.srt
@@ -0,0 +1,1075 @@
+
+1
+00:00:05,580 --> 00:00:15,760
+إذا .. إذا عندنا الـ .. الـ .. الـ pyramid هذا، تمام؟
+
+2
+00:00:15,760 --> 00:00:21,420
+نازل فيه loop of Henle، وبعد الـ loop of Henle بيجي عندنا
+
+3
+00:00:21,420 --> 00:00:25,960
+الـ distal  الـ tributary الـ loop of Henle هي straight نازلة
+
+4
+00:00:25,960 --> 00:00:31,340
+deep in جواها و بتطلع، تعني vertical، وبيجي جنبها الـ
+
+5
+00:00:31,340 --> 00:00:33,700
+collecting tubules فعندي أنا الـ structure كله
+
+6
+00:00:33,700 --> 00:00:37,020
+أيه؟ tubules متوازية، عشان كده في الـ societal
+
+7
+00:00:37,020 --> 00:00:40,820
+section اللي طلعنا بنلاقيها مخططة لأنها الـ
+
+8
+00:00:40,820 --> 00:00:43,920
+collecting ducts مخططة، والـ loop of Henle اللي
+
+9
+00:00:43,920 --> 00:00:47,680
+نازلة في البرعم مخططة طويلة، فبيبين الشكل الـ
+
+10
+00:00:47,680 --> 00:00:52,680
+striations اللي موجودة في الـ collecting duct هذه
+
+11
+00:00:52,680 --> 00:00:57,960
+أو الـ collection system، ببدأ صغير، كل ما تجمع عليه
+
+12
+00:00:57,960 --> 00:01:02,570
+أكثر، كل ما بيكبر، مش كده؟ يعني أول فوق خالص جنب الـ
+
+13
+00:01:02,570 --> 00:01:07,230
+cortex الـ .. الـ nephrons الطرفية بتتجمع مع بعض
+
+14
+00:01:07,230 --> 00:01:11,130
+بتعمل collecting duct، الجزء الصغير اللي جنب الـ
+
+15
+00:01:11,130 --> 00:01:13,550
+collecting duct بيسموها connecting tubule
+
+16
+00:01:13,550 --> 00:01:16,990
+connecting اللي بيصل الـ .. الـ .. الـ .. الـ distal
+
+17
+00:01:16,990 --> 00:01:20,110
+tubule اللي بيصل الـ nephron بالـ الجزء الأخير من
+
+18
+00:01:20,110 --> 00:01:23,330
+الـ .. من الـ nephron اللي شابك في الـ في الـ
+
+19
+00:01:23,330 --> 00:01:28,430
+collecting system، مثلاً connecting tubule الـ
+
+20
+00:01:28,430 --> 00:01:31,710
+connecting tubule هذا، مش مكمل هنا وهنا مع أخوه
+
+21
+00:01:31,710 --> 00:01:37,130
+وأخوه يعملوا مع بعض cortical collecting tubule
+
+22
+00:01:37,130 --> 00:01:40,490
+cortical collecting tubule، ليه سمّيه tubule لأنه
+
+23
+00:01:40,490 --> 00:01:45,290
+لسه رفيعة، لما يكبر بصير اسمه duct، تمام؟ في الـ
+
+24
+00:01:45,290 --> 00:01:49,170
+cortex، مسمّيهاش duct حقيقة، بيظل اسمه إيه؟ cortical
+
+25
+00:01:49,170 --> 00:01:53,330
+collecting tubule، في المضلة بيبدأ يكبر، أولها برضه
+
+26
+00:01:53,330 --> 00:01:58,550
+cortical collecting مضلري مضلري collecting tubule
+
+27
+00:01:58,550 --> 00:02:02,550
+بنزل لجوه شوية بيصير كمية ضخمة من الـ collecting
+
+28
+00:02:02,550 --> 00:02:08,270
+tubules بتجمع مع بعض، بتعمل الـ collecting duct، بتعمل
+
+29
+00:02:08,270 --> 00:02:12,170
+الـ إيه؟ الـ collecting duct اللي هو hand hand
+
+30
+00:02:12,170 --> 00:02:16,310
+collecting duct، تمام؟ الـ collecting duct جاي عبارة
+
+31
+00:02:16,310 --> 00:02:19,630
+عن هي مجموعة، هنا عندنا الخط بين الـ cortex والـ إيه؟
+
+32
+00:02:20,080 --> 00:02:25,420
+والمضلة، طبعاً هنا الـ collecting tubules بتنشبك مع
+
+33
+00:02:25,420 --> 00:02:29,920
+بعض في الـ cortex بتعمل إيه؟ collecting tubule
+
+34
+00:02:29,920 --> 00:02:35,280
+connection، لأنه أنا الـ الـ الـ الـ distal convoluted
+
+35
+00:02:35,280 --> 00:02:38,840
+tubule موجودة في الـ cortex أو نهايتها بتشبك في الـ
+
+36
+00:02:38,840 --> 00:02:43,700
+إيه؟ في الـ cortex، ف عندي أنا collecting collecting
+
+37
+00:02:43,700 --> 00:02:48,200
+tubules مع بعضها، الكبيرة بتشبك مع بعض
+
+38
+00:02:51,950 --> 00:02:54,430
+تعمل مجرى تجمع، مجرى تجمع، مجرى تجمع، مجرى تجمع
+
+39
+00:02:54,430 --> 00:02:57,490
+مجرى تجمع، مجرى تجمع، مجرى تجمع، مجرى تجمع، مجرى
+
+40
+00:02:57,490 --> 00:03:00,410
+تجمع، مجرى تجمع، مجرى تجمع، مجرى تجمع، مجرى تجمع
+
+41
+00:03:00,410 --> 00:03:04,530
+مجرى تجمع، مجرى تجمع، مجرى تجمع، مجرى تجمع، مجرى
+
+42
+00:03:04,530 --> 00:03:07,630
+تجمع، مجرى تجمع، مجرى تجمع، مجرى تجمع، مجرى تجمع
+
+43
+00:03:07,630 --> 00:03:16,570
+مجرى تجمع، مجرى تجمع، مجرى تجمع، مجرى تجمع، مجرى
+
+44
+00:03:16,570 --> 00:03:21,660
+تجمع، مجرى تجمع، وتهيئ شبكة مع medullary collecting tubule
+
+45
+00:03:21,660 --> 00:03:25,480
+تمام؟ هدول cortical collecting tubules، هدول
+
+46
+00:03:25,480 --> 00:03:27,300
+cortical collecting tubules، هدول connecting
+
+47
+00:03:27,300 --> 00:03:29,140
+tubules، هدول connecting tubules، هدول connecting
+
+48
+00:03:29,140 --> 00:03:29,200
+tubules، هدول connecting tubules، هدول connecting
+
+49
+00:03:29,200 --> 00:03:30,380
+tubules، هدول connecting tubules، هدول connecting
+
+50
+00:03:30,380 --> 00:03:30,860
+tubules، هدول connecting tubules، هدول connecting
+
+51
+00:03:30,860 --> 00:03:32,300
+tubules، هدول connecting tubules، هدول connecting
+
+52
+00:03:32,300 --> 00:03:33,700
+tubules، هدول connecting tubules، هدول connecting
+
+53
+00:03:33,700 --> 00:03:34,320
+tubules، هدول connecting tubules، هدول connecting
+
+54
+00:03:34,320 --> 00:03:35,820
+tubules، هدول connecting tubules، هدول connecting
+
+55
+00:03:35,820 --> 00:03:37,120
+tubules، هدول connecting tubules، هدول connecting
+
+56
+00:03:37,120 --> 00:03:37,160
+tubules، هدول connecting tubules، هدول connecting
+
+57
+00:03:37,160 --> 00:03:39,840
+tubules، هدول connecting tubules، هدول connecting
+
+58
+00:03:39,840 --> 00:03:45,180
+tubules، هدول
+
+59
+00:03:45,180 --> 00:03:51,880
+connecting tubules، لذلك الـ .. الـ collecting .. مجرى
+
+60
+00:03:51,880 --> 00:03:55,880
+.. مجرى، medullary collecting، دكتور، خلاص وصلنا للأخر
+
+61
+00:03:55,880 --> 00:03:58,840
+هنا الـ papilla، redacted، لأن هذه الفتحة، هذه الصغيرة
+
+62
+00:03:58,840 --> 00:04:04,680
+هذه بتكون فتحة، خرم في الـ papilla، في زيها .. في زيها
+
+63
+00:04:04,680 --> 00:04:08,320
+مترو وخمسين خرم في التوقع اللي اتجمعوا، عشان كل واحد
+
+64
+00:04:08,320 --> 00:04:14,160
+يجيب لي من إيه؟ من أربعة آلاف nephron، طيب إذا عندي أنا
+
+65
+00:04:14,160 --> 00:04:19,690
+هنرجع تاني نقول .. نطلع  أهلّش في رسمتين، هنرسم واحدة فوق
+
+66
+00:04:19,690 --> 00:04:24,810
+ورسمة تحت، وبعدين اللي اللي اللي بيختلفوا
+
+67
+00:04:24,810 --> 00:04:26,250
+بيختلفوا بيختلفوا بيختلفوا بيختلفوا بيختلفوا
+
+68
+00:04:26,250 --> 00:04:26,930
+بيختلفوا بيختلفوا بيختلفوا بيختلفوا بيختلفوا
+
+69
+00:04:26,930 --> 00:04:27,010
+بيختلفوا بيختلفوا بيختلفوا بيختلفوا بيختلفوا
+
+70
+00:04:27,010 --> 00:04:27,330
+بيختلفوا بيختلفوا بيختلفوا بيختلفوا بيختلفوا
+
+71
+00:04:27,330 --> 00:04:28,450
+بيختلفوا بيختلفوا بيختلفوا بيختلفوا بيختلفوا
+
+72
+00:04:28,450 --> 00:04:28,870
+بيختلفوا بيختلفوا بيختلفوا بيختلفوا بيختلفوا
+
+73
+00:04:28,870 --> 00:04:28,990
+بيختلفوا بيختلفوا بيختلفوا بيختلفوا بيختلفوا
+
+74
+00:04:28,990 --> 00:04:36,530
+بيختلفوا بيختلفوا بيختلفوا
+
+75
+00:04:36,530 --> 00:04:48,390
+بيختلفوا بيختلف
+
+76
+00:04:48,460 --> 00:04:52,320
+بس بينزل في الـ outer مضلة، بيخش في الـ inner مضلة
+
+77
+00:04:52,320 --> 00:04:55,400
+يعني بينزل بـ dipping في الـ outer مضلة وبرجع بيعمل
+
+78
+00:04:55,400 --> 00:05:00,340
+الـ algorithm من جديد، بيعمل الـ إيه؟ الـ distal tubule
+
+79
+00:05:00,340 --> 00:05:05,320
+تمام، هادئة
+
+80
+00:05:05,320 --> 00:05:11,960
+منها cortical nephrons تمثل حوالي 70% إلى 45% من
+
+81
+00:05:11,960 --> 00:05:16,020
+الـ nephrons، cortical nephrons، وهم حقيقة الـ
+
+82
+00:05:16,020 --> 00:05:20,860
+functioning nephrons، طيب النوع الثاني من nephrons
+
+83
+00:05:20,860 --> 00:05:26,360
+موجودين جايين من إيه؟ من الـ medulla، juxtamedullary
+
+84
+00:05:26,360 --> 00:05:33,980
+nephrons، juxta يعني قرب، juxtamedullary nephrons، في عندي
+
+85
+00:05:33,980 --> 00:05:37,470
+أنا هاري الـ tubule، هذا الجزء من التيوبيول ده
+
+86
+00:05:37,470 --> 00:05:41,630
+نسميه juxta glomerular، juxta glomerular system
+
+87
+00:05:41,630 --> 00:05:45,710
+يعني عندي tubule هنا ملاصق للجلوميرولا، juxta
+
+88
+00:05:45,710 --> 00:05:50,310
+يعني ملاصق هنا عندنا نسميها juxtamedullary nephrons
+
+89
+00:05:50,310 --> 00:05:53,270
+من 25% إلى 30% من nephrons
+
+90
+00:05:53,270 --> 00:05:56,650
+اللي تحت، هدول juxtamedullary، إحنا مش هنجسمهم لأن
+
+91
+00:05:56,650 --> 00:05:59,490
+هم تحت وإحنا فوق، لأ، كمال الـ structure تبعهم تختلف
+
+92
+00:05:59,490 --> 00:06:03,350
+يعني هدول اللي .. ولو كان واطي، لكن لو الـ loop of Henle
+
+93
+00:06:03,350 --> 00:06:07,510
+تبعه قصير نسميه cortical، لكن هدول اللي متكلم عنهم
+
+94
+00:06:07,510 --> 00:06:11,410
+الملاصقين للمضلة، يعني بين الـ cortex والمضلة تحت
+
+95
+00:06:11,410 --> 00:06:16,390
+بين الاتنين، هدول ميزتهم إن الـ loop of Henle تبعهم
+
+96
+00:06:16,390 --> 00:06:22,650
+dipping down ممكن للـ tip of the pyramid، طبعاً إذا
+
+97
+00:06:22,650 --> 00:06:27,930
+إن لاحظنا، اللهم long loop of Henle، بنزل dipping
+
+98
+00:06:27,930 --> 00:06:35,220
+down في المضلة، ممكن يكون لأخر مرحلة عند الـ tip الـ
+
+99
+00:06:35,220 --> 00:06:43,740
+top of the pyramid، الـ papilla، الـ papilla، الـ papilla
+
+100
+00:06:43,740 --> 00:06:44,540
+الـ papilla، الـ papilla، الـ papilla، الـ papilla، الـ papilla، الـ
+
+101
+00:06:44,540 --> 00:06:44,900
+papilla، الـ papilla، الـ papilla، الـ papilla، الـ papilla، الـ
+
+102
+00:06:44,900 --> 00:06:45,200
+papilla، الـ papilla، الـ papilla، الـ papilla، الـ papilla، الـ papilla
+
+103
+00:06:45,200 --> 00:06:49,280
+الـ papilla، الـ papilla، الـ papilla، الـ papilla، الـ papilla، الـ
+
+104
+00:06:49,280 --> 00:06:50,720
+papilla، الـ papilla، الـ papilla، الـ papilla، الـ papilla، الـ papilla
+
+105
+00:06:50,720 --> 00:06:57,860
+papilla، الـ papilla، الـ، بدي الـ inner medulla، الثاني الـ
+
+106
+00:06:57,860 --> 00:07:01,300
+cortical اللوب فيه اللي تبعه، بس في الـ outer
+
+107
+00:07:01,300 --> 00:07:05,220
+medulla، عشان كده في الصغيرة الـ section، الألوان
+
+108
+00:07:05,220 --> 00:07:09,340
+بتختلف لأن الـ structure بيختلف، لأن الـ structure
+
+109
+00:07:09,340 --> 00:07:14,240
+بيختلف، هذه البرة الـ outer medulla فيها نفرق فيها
+
+110
+00:07:14,240 --> 00:07:18,340
+فيها loops، فيه اللي أكثر لأن كل الـ cortical فيها
+
+111
+00:07:18,340 --> 00:07:21,920
+اللي جوا، أنفقت جزء كبير من الـ .. من الـ .. الـ
+
+112
+00:07:21,920 --> 00:07:25,140
+nephrons اللي، وبقوا فين؟ اللي زي .. مش داخلها، إذا
+
+113
+00:07:25,140 --> 00:07:28,840
+انتبهنا، تبقى جزء واحد بس إيه؟ فهنا كثافة اللون اختلفت
+
+114
+00:07:28,840 --> 00:07:31,700
+لأن عند اللي وبقوا فين؟ اللي زي كتير هنا، صار بس
+
+115
+00:07:31,700 --> 00:07:34,580
+70% منهم نزلوا لتحت، 70%، إذا الـ
+
+116
+00:07:34,580 --> 00:07:38,820
+structure تبقى قدامي، فرق نظري بصري بشوف إنه اختلف
+
+117
+00:07:38,820 --> 00:07:43,320
+لو أطلعته شوية صغيرة، هان، لو أطلعته شوية صغيرة، هان
+
+118
+00:07:43,320 --> 00:07:49,670
+بنلاقي إحنا عندنا هنا thin loop of Henle وهنا thick loop of Henle
+
+119
+00:07:49,670 --> 00:07:56,530
+تمام؟ إذا بلاحظ أنا إن عندي في الـ outer stripe في
+
+120
+00:07:56,530 --> 00:08:00,570
+الـ loop of Henle thick، في الـ inner .. قولت لكم أنا الـ outer
+
+121
+00:08:00,570 --> 00:08:04,570
+medulla بتنقسم إسمين مش كده؟ قولت لكم inner stripe و
+
+122
+00:08:04,570 --> 00:08:08,710
+outer stripe، بيفرقهم الـ thickness of the loop of Henle
+
+123
+00:08:08,710 --> 00:08:13,000
+في الـ outer stripe في عندي كلها thick loop of Henle، لكن في
+
+124
+00:08:13,000 --> 00:08:19,440
+الـ inner stripe عندي جزء thick وجزء thin، تمام؟ جزء
+
+125
+00:08:19,440 --> 00:08:23,900
+thick وجزء thin، فلذلك الـ structure اختلفت، كثافة
+
+126
+00:08:23,900 --> 00:08:29,780
+أخرى، لما نقول section كده، وstriations، ولون، و
+
+127
+00:08:29,780 --> 00:08:34,380
+inner medulla .. medulla وcortex، والـ medulla ..
+
+128
+00:08:34,380 --> 00:08:37,240
+outer medulla وinner medulla، والـ inner .. والـ
+
+129
+00:08:37,240 --> 00:08:40,380
+outer سمّيناها inner stripe وouter stripe، كله بيدل
+
+130
+00:08:40,380 --> 00:08:45,500
+على إيه؟ على إن الـ different مراحل المختلفة، بكيف
+
+131
+00:08:45,500 --> 00:08:49,460
+بيتغير، بيدي إلى إن الـ stripe كله هذا موجود فيه
+
+132
+00:08:49,460 --> 00:08:54,920
+thick loop of Henle، الـ stripe هذا لنصفه أو أقل من
+
+133
+00:08:54,920 --> 00:08:59,440
+نصفه فيه thick، والباقي الجزء إيه؟ thin، جوا الـ
+
+134
+00:08:59,440 --> 00:09:04,280
+inner كله إيه؟ thin loop of Henle، تمام؟ في الـ cortex
+
+135
+00:09:04,280 --> 00:09:12,020
+أهو في عندك glomeruli، tubules، تمام؟ إذا عندي أنا
+
+136
+00:09:12,020 --> 00:09:15,910
+لما أمشي مع الطبقات، الـ function أنا مش هلاقيها، الـ
+
+137
+00:09:15,910 --> 00:09:19,250
+function، طب ليه هالاختلاف؟ ليه الدكتور قاعد بيقول لأ
+
+138
+00:09:19,250 --> 00:09:22,670
+هذا وهذا وهذا وهذا، وnephrons زي بعض؟ لأ، مش زي بعض
+
+139
+00:09:22,670 --> 00:09:26,170
+مش زي بعض، هذا له function، هذا له function، الـ
+
+140
+00:09:26,170 --> 00:09:32,190
+cortical function، الـ cortical nephrons شغلتها إنها
+
+141
+00:09:32,190 --> 00:09:41,790
+تطلع بول، تمام؟ والـ juxamedullary شغلتها إنها تطلع بول بطريقة
+
+142
+00:09:41,790 --> 00:09:48,230
+ما، بس هدفها الرئيسي من الـ بول هذا إنه يغيّر الـ
+
+143
+00:09:48,230 --> 00:09:52,750
+osmolality تبع المدلة، الـ osmolality تبع المدلة، الـ
+
+144
+00:09:52,750 --> 00:09:58,050
+interstitial fluid osmolality تبع المدلة هذه، تمام؟
+
+145
+00:09:58,050 --> 00:10:04,630
+بتزيد وبتقلّ، يعني أنا لما بدي أطلع بول مركز، لما
+
+146
+00:10:04,630 --> 00:10:08,850
+أطلع من لأجل المدلة هذه hyper osmotic، لما الـ بول
+
+147
+00:10:08,850 --> 00:10:16,870
+يطلع مخفف، بقت عادية، المضلة مش hyper osmotic
+
+148
+00:10:16,870 --> 00:10:23,490
+normal osmotic، تمام؟ إذا بلاغة، أنا في علاقة ما بين
+
+149
+00:10:23,490 --> 00:10:28,430
+الـ بول المركز والمضلة، لما تزيد تركيز المضلة
+
+150
+00:10:28,430 --> 00:10:33,470
+بيزيد تركيز الـ بول، إذا المضلة هذه، الـ inner
+
+151
+00:10:33,470 --> 00:10:38,170
+medulla، المدلة لها علاقة كبيرة في الـ concentrating
+
+152
+00:10:38,170 --> 00:10:42,050
+mechanism of the urine، الـ بول كيف بيطلع
+
+153
+00:10:42,050 --> 00:10:47,170
+concentrated؟ تمام؟ فيه إيه؟ ميكانيزم المدلة مسئولة
+
+154
+00:10:47,170 --> 00:10:50,970
+عنه، لذلك الـ 30% هدول الموجودين juxtamedullary
+
+155
+00:10:50,970 --> 00:10:55,370
+بيشتغلوا إنهم يغيروا الـ osmolality تبع المدلة
+
+156
+00:10:55,370 --> 00:10:59,870
+عشان نغيّر الـ osmolality تبع الـ بول اللي طالع، لكن
+
+157
+00:10:59,870 --> 00:11:01,830
+الـ بول الرئيسي طالع من مين؟ من الـ cortical
+
+158
+00:11:01,830 --> 00:11:06,600
+nephrons، وهو معدن إن المدلة بيتغيّر، آه، بيصير more
+
+159
+00:11:06,600 --> 00:11:10,500
+concentrated أو less concentrated حسب حاجات الجسم
+
+160
+00:11:10,500 --> 00:11:14,580
+واضح؟ إذا juxtamedullary nephrons ليهم function
+
+161
+00:11:14,580 --> 00:11:19,280
+إضافي، إذا ماقلناش function إضافي، رئيسي، حقيقة اللي
+
+162
+00:11:19,280 --> 00:11:24,400
+هو اللي هو controlling the urine concentration عبر
+
+163
+00:11:24,400 --> 00:11:28,960
+الميكانيزم، دلوقتي إن أنا أعمل interstitial مركز
+
+164
+00:11:29,560 --> 00:11:32,460
+والبول اللي جاي غالباً من فوق من الـ cortex ما يعدي على
+
+165
+00:11:32,460 --> 00:11:38,180
+interstitium مركز، فالأسماز إيه بيعمل؟ بشفط المياه منه،
+
+166
+00:11:38,180 --> 00:11:41,380
+تمام؟ فبيدي إلى إنه يصير equilibrium ما بين
+
+167
+00:11:41,380 --> 00:11:43,340
+الأسماز والـ interstitium
+
+168
+00:11:52,660 --> 00:11:55,580
+عشان أقول لكم، هنا في الـ collecting duct بيصير
+
+169
+00:11:55,580 --> 00:11:58,460
+التركيز، لأن الـ collecting duct بيمشي في المدلة
+
+170
+00:12:00,070 --> 00:12:05,010
+المضلة، حواليها مركز interstitium، مش كده؟ فبيقدر
+
+171
+00:12:05,010 --> 00:12:09,210
+إنه إيه؟ مين عامل مركز الـ interstitium؟ juxtamedullary
+
+172
+00:12:09,210 --> 00:12:12,710
+إيه؟ nephrons هذا، بيقدر إنه البول اللي طالع في الآخر
+
+173
+00:12:12,710 --> 00:12:15,910
+بينحكم الـ concentration تبعه، الأزمولية تبعته بالـ
+
+174
+00:12:15,910 --> 00
+
+223
+00:15:34,790 --> 00:15:38,970
+لإنها عشرة في المئة أو بتشرب مية دائماً كثيراً، urine
+
+224
+00:15:38,970 --> 00:15:42,110
+فبتطلع dilute urine تمام؟ إذا لما أتحدث عن ال
+
+225
+00:15:42,110 --> 00:15:44,950
+cortical nephrons وjuxtamedullary nephrons أنا
+
+226
+00:15:44,950 --> 00:15:50,690
+أتحدث عن تقسيم ليس فقط anatomical أو histological
+
+227
+00:15:50,690 --> 00:15:53,630
+بل أتحدث عن functional،  ده functional physiological
+
+228
+00:15:58,140 --> 00:16:00,800
+differentiation بين هذا وهذا، هذا في الآخر سيُشغل
+
+229
+00:16:00,800 --> 00:16:05,720
+شغلاً وهذا يشغل شغلاً، هذا ممكن إيه؟ إذا نحن عندنا في
+
+230
+00:16:05,720 --> 00:16:09,640
+concentrating mechanism، طيب في diluting mechanism
+
+231
+00:16:09,640 --> 00:16:12,460
+آه، في diluting mechanism سأدرسها إن شاء الله
+
+232
+00:16:12,460 --> 00:16:19,500
+بالتفصيل، لسة عصارة كده؟ باقٍ لنا شوية،  نحن نمشي نحن
+
+233
+00:16:19,500 --> 00:16:23,360
+ونصف الlecture الثاني، ونُنهي إن شاء الله، إذا في
+
+234
+00:16:23,360 --> 00:16:29,440
+عندنا  موقع النفرون مهم جداً، مكان النفرون يُعطيني
+
+235
+00:16:29,440 --> 00:16:32,020
+على ال function تبعه أيضاً، ليس فقط أنه جاكستر
+
+236
+00:16:32,020 --> 00:16:37,040
+ميدولاري يمثل 25-30%، طيب، إذا تكلمنا عن ال
+
+237
+00:16:37,040 --> 00:16:41,600
+structure of nephron هنا، وقلنا بعض الفروقات فيه، و
+
+238
+00:16:41,600 --> 00:16:44,940
+قلنا
+
+239
+00:16:44,940 --> 00:16:48,600
+أن عندنا cortical nephrons وعندنا، آه يعني هذا
+
+240
+00:16:48,600 --> 00:16:53,080
+cortical nephron وهذا إيه؟ جاكستاميدولاري نفرون
+
+241
+00:16:53,080 --> 00:16:58,570
+جاكستاميدولاري نفرون، الفروقات في التركيب ليست فقط
+
+242
+00:16:58,570 --> 00:17:04,130
+مرتبطة بالكلام الذي ذكرناه، أيضاً نحن في جزئياتنا
+
+243
+00:17:04,130 --> 00:17:07,530
+مُتقدمنا، قلنا peritubular capillaries ومُتقدمنا
+
+244
+00:17:07,530 --> 00:17:12,790
+كمان؟ آه لا، الperitubular capillaries التي في ال
+
+245
+00:17:12,790 --> 00:17:16,610
+cortical nephrons عبارة عن شبكة من الcapillaries
+
+246
+00:17:16,610 --> 00:17:20,310
+تُحيط بالـ بالـ بالـ بالـ بالـ tubules ال
+
+247
+00:17:20,310 --> 00:17:25,480
+proximal و ال distal وكلها تُحيطها، تمام؟ لماذا؟ لأنه
+
+248
+00:17:25,480 --> 00:17:28,420
+يحدث عنها هنا بعد الfiltration، يحدث عامل tree
+
+249
+00:17:28,420 --> 00:17:31,560
+absorption، فالcapillaries التي وجدت في ال في ال
+
+250
+00:17:31,560 --> 00:17:35,040
+في الglomerulus، فوجدت الfluids تعود تحيط ال
+
+251
+00:17:35,040 --> 00:17:37,720
+ال ال tubules من أول وجديد لكي تُشفط الذي
+
+252
+00:17:37,720 --> 00:17:43,260
+إيه؟ الذي أُخِرَ، بس تُخرج الurine، يعني نحن نفقد
+
+253
+00:17:43,260 --> 00:17:47,440
+أو الfiltered filtration مية وخمسة وعشرون مليليتر
+
+254
+00:17:47,440 --> 00:17:53,820
+في الدقيقة، 125 مللتر، منها 124 يعودون reabsorbed، و
+
+255
+00:17:53,820 --> 00:17:58,620
+بس one milliliter، إيه؟ آه يخرج طبعاً، إذا one
+
+256
+00:17:58,620 --> 00:18:04,880
+milliliter فقط يخرج، إيه؟ في ال 124 صوروا لو نحن
+
+257
+00:18:04,880 --> 00:18:10,960
+خمسة دم الذي نزل، خمسة دم دخل الكلية، بعدين خمسة
+
+258
+00:18:10,960 --> 00:18:14,960
+blood، مُقارنة filtration، طبعاً لو نحن هذه نفقد
+
+259
+00:18:14,960 --> 00:18:19,040
+الخارج من مرة واحدة، خلال كده، نحن نختفي،  بدناش
+
+260
+00:18:19,040 --> 00:18:23,300
+دقائق كثيرة، خلال فترة بسيطة، يكون نحن مُؤاخذة
+
+261
+00:18:23,300 --> 00:18:28,380
+urinated ourselves، آه، كلّه يخرج لكن كلّه يُعيد
+
+262
+00:18:28,380 --> 00:18:35,820
+يُمتص من ال 125، يصير له إيه؟ executed؟ طيب هذا
+
+263
+00:18:35,820 --> 00:18:39,840
+يُقدّر إلى أن peritubular capillaries لسة مهمة، عاملة
+
+264
+00:18:39,840 --> 00:18:44,390
+work مُحترم حول الcortical، طيب والـ جاكستاميدولاري؟
+
+265
+00:18:44,390 --> 00:18:48,210
+آه، بس لها structure مختلف، لماذا؟ لأن قلنا
+
+266
+00:18:48,210 --> 00:18:52,150
+الfunction هنا مختلف، زي ما قلنا نحن عندنا long
+
+267
+00:18:52,150 --> 00:18:56,270
+loop of Henle، قلنا  ال peritubular capillaries هنا تتحول إلى
+
+268
+00:18:56,270 --> 00:19:01,880
+vasa recta،  straight recta، rectus يعني
+
+269
+00:19:01,880 --> 00:19:06,960
+straight vasa recta، إذن عندك descending vasa
+
+270
+00:19:06,960 --> 00:19:09,780
+recta و ascending vasa recta، زي ال loop of Henle
+
+271
+00:19:09,780 --> 00:19:16,260
+لكن blood loops، تنزل مُوازية ومُحيطة بالـ loop of
+
+272
+00:19:16,260 --> 00:19:20,640
+Henle، مُحيطة، زي حوالين الـ، طفتوا حوالين الloop
+
+273
+00:19:20,640 --> 00:19:24,380
+of Henle، من الطالع والنازل، تمام، مُحيطة وهنا وهنا
+
+274
+00:19:24,380 --> 00:19:30,650
+لِكي كل السوائل الإضافية التي دخلت ال tubule،  تقول هان
+
+275
+00:19:30,650 --> 00:19:35,290
+على طول تُخرج في الدم، بطريقة مُعينة، تُحافظ فيها على
+
+276
+00:19:35,290 --> 00:19:37,970
+الconcentrating mechanism، إذا من ضمن الstructure
+
+277
+00:19:37,970 --> 00:19:41,150
+الذي يُحافظ على الfunction تبع الjuxtamedullary
+
+278
+00:19:41,150 --> 00:19:44,370
+نستنتج أن  ال peritubular capillaries الكبيرة التي سبقناها
+
+279
+00:19:46,340 --> 00:19:50,960
+آه، على شكل vasa recta، موجودة على شكل vasa recta، تنزل
+
+280
+00:19:50,960 --> 00:19:54,600
+هيك branches من ال efferent، تنزل dipping في داخل ال
+
+281
+00:19:54,600 --> 00:19:59,820
+إيه؟ المُدلة،  معتدلة للآخر، و ويعود يطلع للآخر، و
+
+282
+00:19:59,820 --> 00:20:03,740
+بينهم جثة كبيرة تصير، سأتكلم عنها في الوقت المُناسب
+
+283
+00:20:03,740 --> 00:20:11,780
+تمام، urine formation from the glomerulus، طيب
+
+284
+00:20:11,780 --> 00:20:16,080
+in general، سأتحدث عن أن ال urine تكوينه عبارة عن
+
+285
+00:20:16,080 --> 00:20:24,920
+ثلاث أشياء، filtration و reabsorption و أحياناً كمية
+
+286
+00:20:24,920 --> 00:20:28,420
+أقل، function  الذي هو الsecretion، يعني في
+
+287
+00:20:28,420 --> 00:20:33,280
+أشياء نريدها كلها أن تخرج، فليس فقط الfiltered الذي
+
+288
+00:20:33,280 --> 00:20:37,320
+يريد أن يخرج في الbowl  منها، ولا يصير reabsorption، لا
+
+289
+00:20:37,320 --> 00:20:40,760
+نريد أيضاً الذي باقٍ في الدم منها أن نخرجه، نريد أن نفعله
+
+290
+00:20:40,760 --> 00:20:44,450
+secretion، إذا عندنا ثلاث processes، filtration،
+
+291
+00:20:44,550 --> 00:20:48,710
+reabsorption، secretion،  التثليث هذا أكبر وأهم من
+
+292
+00:20:48,710 --> 00:20:52,770
+كمية  أهم من العملية هي إيه؟ الsecretion هو ال
+
+293
+00:20:52,770 --> 00:20:58,170
+secretion عملية مهمة جداً، تُحَسّن البول الذي يخرج
+
+294
+00:20:58,170 --> 00:21:02,350
+إذا، مُحصلة الثلاث عمليات، الfiltration زائد الـ زائد الـ
+
+295
+00:21:02,350 --> 00:21:06,070
+secretion ناقص reabsorption يساوي الإيه؟ ال
+
+296
+00:21:06,070 --> 00:21:11,270
+excreted volume، إن كان fluids، إن كانت electrolytes
+
+297
+00:21:11,270 --> 00:21:17,320
+وهكذا، okay، إذا ممكن يصير لبعض المواد أن يصير لها
+
+298
+00:21:17,320 --> 00:21:21,440
+filtration ولا يصير لها absorption،  تخرج برا على
+
+299
+00:21:21,440 --> 00:21:25,800
+طول، التي هي الend product لعملية ال metabolisme، أنا
+
+300
+00:21:25,800 --> 00:21:29,220
+لا أريد أن أجعلها reabsorption، في بعض المواد يصير لها
+
+301
+00:21:29,220 --> 00:21:33,540
+reabsorption جزئياً، جزء منها reabsorbed وجزء
+
+302
+00:21:33,540 --> 00:21:38,100
+excreted، وفي بعض المواد يصير عندي لها complete
+
+303
+00:21:38,100 --> 00:21:42,440
+reabsorption، زي السكر والأحماض الأمينية، لا تخرج في
+
+304
+00:21:42,440 --> 00:21:45,740
+البول، وإنما تبقى في البلازما، تمام؟ على فكرة، ال
+
+305
+00:21:45,740 --> 00:21:49,380
+filtration، خمس البلازما التي داخل الglomerulus لازم
+
+306
+00:21:49,380 --> 00:21:52,020
+يُفلتر في الfiltration، يعني خمس الكميات
+
+307
+00:22:02,590 --> 00:22:05,510
+مشكلة، إذا خرجت طبعاً من برا، قلت لكم هم 125 ملي
+
+308
+00:22:05,510 --> 00:22:09,650
+ليتر per minute، فيصير عندي أنا جزء، إذا في
+
+309
+00:22:09,650 --> 00:22:14,430
+filtration، وفي عندي reabsorption، وفي secretion، هذه
+
+310
+00:22:14,430 --> 00:22:17,570
+المسائل تختلط، بعض المواد يصير لها filtration فقط
+
+311
+00:22:17,570 --> 00:22:20,690
+بعض المواد filtration وبعدين reabsorbed كلياً، في
+
+312
+00:22:20,690 --> 00:22:22,810
+بعض المواد لا، filtration وجزئياً يصير لها
+
+313
+00:22:22,810 --> 00:22:26,750
+reabsorption، بعض المواد filtration ويضاف عليها ال
+
+314
+00:22:26,750 --> 00:22:29,270
+secretion، وبهذا الكلام إن شاء الله المرة القادمة
+
+315
+00:22:29,270 --> 00:22:33,550
+سأتحدث عن أول عملية من عمليات الكلية، الذي هو ال
+
+316
+00:22:33,550 --> 00:22:38,290
+filtration، نتكلم على الrules التي تتحكم في
+
+317
+00:22:38,290 --> 00:22:40,250
+filtration، يعطيكم العافية، السلام عليكم
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/d1cBi0ZBVBM_postprocess.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/d1cBi0ZBVBM_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..08c9b8b739747136a5a8de7d857f3aa2ad7b6262
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/d1cBi0ZBVBM_postprocess.srt
@@ -0,0 +1,1268 @@
+1
+00:00:05,580 --> 00:00:15,760
+إذا .. إذا عندنا ال .. ال .. ال pyramid هذا تمام؟
+
+2
+00:00:15,760 --> 00:00:21,420
+نازل فيه logofinley و بعد ال logofinley بيجي عندنا
+
+3
+00:00:21,420 --> 00:00:25,960
+distal ال tribute ال logofinley هي straight نازلة
+
+4
+00:00:25,960 --> 00:00:31,340
+ديب ان جيج و بتطلع تعني verticalوبيجي جنبها ال
+
+5
+00:00:31,340 --> 00:00:33,700
+collecting tribules فعندي انا ال structure كله
+
+6
+00:00:33,700 --> 00:00:37,020
+ايه؟ tribules متوازية عشان كده في ال societal
+
+7
+00:00:37,020 --> 00:00:40,820
+section اللي طلعنا بنلاقيها مخططة لإنها ال
+
+8
+00:00:40,820 --> 00:00:43,920
+collecting ducts مخططة و ال log of illness اللي
+
+9
+00:00:43,920 --> 00:00:47,680
+نازده في البرامج مخططة طويلة فببين الشكل ال
+
+10
+00:00:47,680 --> 00:00:52,680
+striations اللي موجودة الآن ال collecting duct هذه
+
+11
+00:00:52,680 --> 00:00:57,960
+او ال collection system ببدأ بصغير كل ما تجمع عليه
+
+12
+00:00:57,960 --> 00:01:02,570
+اكتركل ما بيخمن مش كده؟ يعني أول فوق خالص جنب ال
+
+13
+00:01:02,570 --> 00:01:07,230
+cortex ال .. ال nephrons الطرفية بتتجمع مع بعض
+
+14
+00:01:07,230 --> 00:01:11,130
+بتعملي collecting duct الجزء الصغير اللي جنب ال
+
+15
+00:01:11,130 --> 00:01:13,550
+collecting duct بيسميها connecting tubule
+
+16
+00:01:13,550 --> 00:01:16,990
+connecting اللي بيصل ال .. ال .. ال .. ال distal
+
+17
+00:01:16,990 --> 00:01:20,110
+tubule اللي بيصل ال nephron بال a الجزء الأخير من
+
+18
+00:01:20,110 --> 00:01:23,330
+ال .. من ال nephron اللي شابك في ال a في ال
+
+19
+00:01:23,330 --> 00:01:28,430
+collectingsystem مثلا connecting duct tubule ال
+
+20
+00:01:28,430 --> 00:01:31,710
+connecting tubule هذا مش مكمل هنا و هنا مع أخوه
+
+21
+00:01:31,710 --> 00:01:37,130
+وأخوه يعملوا مع بعض cortical collecting tubule
+
+22
+00:01:37,130 --> 00:01:40,490
+cortical collecting tubule ليه سميه tubule لأنه
+
+23
+00:01:40,490 --> 00:01:45,290
+لسه رفيعة لما يخمل بصير مسميه duct تمام في ال
+
+24
+00:01:45,290 --> 00:01:49,170
+cortex مسموهش duct حقيقتي بيظل اسمه ايه cortical
+
+25
+00:01:49,170 --> 00:01:53,330
+collecting tubule في المضلة بيبدأ يخمل اولها برضه
+
+26
+00:01:53,330 --> 00:01:58,550
+cortical collectingمضلري مضلري collecting tubule
+
+27
+00:01:58,550 --> 00:02:02,550
+بنزل لجوه شوية بيصير كمية ضخمة من ال collecting
+
+28
+00:02:02,550 --> 00:02:08,270
+tubule تجتمع مع بعض بتعمل ال collecting duct بتعمل
+
+29
+00:02:08,270 --> 00:02:12,170
+ال ايه ال collecting duct اللي هو hand hand
+
+30
+00:02:12,170 --> 00:02:16,310
+collecting duct تمام ال collecting duct جاى عبارة
+
+31
+00:02:16,310 --> 00:02:19,630
+عن هى مجموعة هنا عندنا الخط بين ال cortex و الايه
+
+32
+00:02:20,080 --> 00:02:25,420
+والمضالة طبعا هنا ال collecting tubules بتنشبك مع
+
+33
+00:02:25,420 --> 00:02:29,920
+بعض في ال cortex بتعمل ليه collecting tubule
+
+34
+00:02:29,920 --> 00:02:35,280
+connection لأنه انا ال ال ال ال distal convoluted
+
+35
+00:02:35,280 --> 00:02:38,840
+tubule موجودة في ال cortex او نهايتها بتشبك في ال
+
+36
+00:02:38,840 --> 00:02:43,700
+ايه في ال cortex ف فعندي انا collecting collecting
+
+37
+00:02:43,700 --> 00:02:48,200
+tubules مع بعضها الكبيرة بتشبك مع بعض
+
+38
+00:02:51,950 --> 00:02:54,430
+تعمل مدالة تجمع مدالة تجمع مدالة تجمع مدالة تجمع
+
+39
+00:02:54,430 --> 00:02:57,490
+مدالة تجمع مدالة تجمع مدالة تجمع مدالة تجمع مدالة
+
+40
+00:02:57,490 --> 00:03:00,410
+تجمع مدالة تجمع مدالة تجمع مدالة تجمع مدالة تجمع
+
+41
+00:03:00,410 --> 00:03:04,530
+مدالة تجمع مدالة تجمع مدالة تجمع مدالة تجمع مدالة
+
+42
+00:03:04,530 --> 00:03:07,630
+تجمع مدالة تجمع مدالة تجمع مدالة تجمع مدالة تجمع
+
+43
+00:03:07,630 --> 00:03:16,570
+مدالة تجمع مدالة تجمع مدالة تجمع مدالة تجمع مدالة
+
+44
+00:03:16,570 --> 00:03:21,660
+تجمع مدالة تهي شبكة مع medullary collecting tubule
+
+45
+00:03:21,660 --> 00:03:25,480
+تمام؟ هدول cortical collecting tubules هدول
+
+46
+00:03:25,480 --> 00:03:27,300
+cortical collecting tubules هدول connecting
+
+47
+00:03:27,300 --> 00:03:29,140
+tubules هدول connecting tubules هدول connecting
+
+48
+00:03:29,140 --> 00:03:29,200
+tubules هدول connecting tubules هدول connecting
+
+49
+00:03:29,200 --> 00:03:30,380
+tubules هدول connecting tubules هدول connecting
+
+50
+00:03:30,380 --> 00:03:30,860
+tubules هدول connecting tubules هدول connecting
+
+51
+00:03:30,860 --> 00:03:32,300
+tubules هدول connecting tubules هدول connecting
+
+52
+00:03:32,300 --> 00:03:33,700
+tubules هدول connecting tubules هدول connecting
+
+53
+00:03:33,700 --> 00:03:34,320
+tubules هدول connecting tubules هدول connecting
+
+54
+00:03:34,320 --> 00:03:35,820
+tubules هدول connecting tubules هدول connecting
+
+55
+00:03:35,820 --> 00:03:37,120
+tubules هدول connecting tubules هدول connecting
+
+56
+00:03:37,120 --> 00:03:37,160
+tubules هدول connecting tubules هدول connecting
+
+57
+00:03:37,160 --> 00:03:39,840
+tubules هدول connecting tubules هدول connecting
+
+58
+00:03:39,840 --> 00:03:45,180
+tubules هدول
+
+59
+00:03:45,180 --> 00:03:51,880
+connecting tubulesلذلك ال .. ال collecting .. هدق
+
+60
+00:03:51,880 --> 00:03:55,880
+.. دقينا ميدالري collecting دكتور خلاص وصلنا للاخر
+
+61
+00:03:55,880 --> 00:03:58,840
+هنا البابيلا redacted لإن هدى الفتحة هدى الصغيرة
+
+62
+00:03:58,840 --> 00:04:04,680
+هدى بتكون فتح خرم فى البابيلا فى زيها .. فى زيها
+
+63
+00:04:04,680 --> 00:04:08,320
+متر و خمسين خرم فى التوقع اللى اتجلمز عشان كل واحد
+
+64
+00:04:08,320 --> 00:04:14,160
+اجيبلى من ايه؟ من أربع آلاف نفران طيب إذا عندي أنا
+
+65
+00:04:14,160 --> 00:04:19,690
+هنرجع تانى ونقول .. نطلع أهلش فى رسمتين هنرسمة فوق
+
+66
+00:04:19,690 --> 00:04:24,810
+و رسمة تحت و بعدين اللي اللي اللي بيختلفوا
+
+67
+00:04:24,810 --> 00:04:26,250
+بيختلفوا بيختلفوا بيختلفوا بيختلفوا بيختلفوا
+
+68
+00:04:26,250 --> 00:04:26,930
+بيختلفوا بيختلفوا بيختلفوا بيختلفوا بيختلفوا
+
+69
+00:04:26,930 --> 00:04:27,010
+بيختلفوا بيختلفوا بيختلفوا بيختلفوا بيختلفوا
+
+70
+00:04:27,010 --> 00:04:27,330
+بيختلفوا بيختلفوا بيختلفوا بيختلفوا بيختلفوا
+
+71
+00:04:27,330 --> 00:04:28,450
+بيختلفوا بيختلفوا بيختلفوا بيختلفوا بيختلفوا
+
+72
+00:04:28,450 --> 00:04:28,870
+بيختلفوا بيختلفوا بيختلفوا بيختلفوا بيختلفوا
+
+73
+00:04:28,870 --> 00:04:28,990
+بيختلفوا بيختلفوا بيختلفوا بيختلفوا بيختلفوا
+
+74
+00:04:28,990 --> 00:04:36,530
+بيختلفوا بيختلفوا بيختلفوا
+
+75
+00:04:36,530 --> 00:04:48,390
+بيختلفوا بيختلف
+
+76
+00:04:48,460 --> 00:04:52,320
+بس بينزل في ال outer مضلة بيخشش في ال inner مضلة
+
+77
+00:04:52,320 --> 00:04:55,400
+يعني بينزل ب dipping في ال outer مضلة و برجع بيعمل
+
+78
+00:04:55,400 --> 00:05:00,340
+ال algorithm من جديد بيعمل ال ايه ال distal tubule
+
+79
+00:05:00,340 --> 00:05:05,320
+تمام هادسة
+
+80
+00:05:05,320 --> 00:05:11,960
+منها cortical nephrons تمثل حوالي 70% إلى 45% من
+
+81
+00:05:11,960 --> 00:05:16,020
+ال nephrons cortical nephrons و هم حقيقة ال
+
+82
+00:05:16,020 --> 00:05:20,860
+functioning nephronsطيب النوع التاني من النفرز
+
+83
+00:05:20,860 --> 00:05:26,360
+موجودين جاربين من ايه؟ من الميدالة جاكستا ميدالري
+
+84
+00:05:26,360 --> 00:05:33,980
+نفرز جاكستا يعني قرب جاكستا ميدالري نفرز في عندي
+
+85
+00:05:33,980 --> 00:05:37,470
+انا هاري ال tribuneهذا الجزء من التيوبيول الدسة
+
+86
+00:05:37,470 --> 00:05:41,630
+نسميه جاكستا جلوميرولا جاكستا جلوميرولا system
+
+87
+00:05:41,630 --> 00:05:45,710
+يعني عندي تيوبيول هان ملاصق للجلوميرولا جاكستا
+
+88
+00:05:45,710 --> 00:05:50,310
+يعني ملاصق هنا عندنا نسميها جاكستا ميدالري نفرونز
+
+89
+00:05:50,310 --> 00:05:53,270
+من خمسة و عشرين إلى تلاتين في المية من النفرونز
+
+90
+00:05:53,270 --> 00:05:56,650
+اللي تحت هدول جاكستا ميدالري احنا مش جسمناهم لإن
+
+91
+00:05:56,650 --> 00:05:59,490
+هم تحت و انه فوق لأ كمال ال structure تبعهم تختلف
+
+92
+00:05:59,490 --> 00:06:03,350
+يعني هدول اللي .. و لو كان واطي لكن لو اللوبوفينلي
+
+93
+00:06:03,350 --> 00:06:07,510
+تبعه قصير نسميه corticalلكن هدول اللي متكلم عنهم
+
+94
+00:06:07,510 --> 00:06:11,410
+الملاصقين للمضلة يعني بين ال cortex و المضلة تحت
+
+95
+00:06:11,410 --> 00:06:16,390
+بين الاتنين هدول ميزتهم انه ال loop of Henle تبعهم
+
+96
+00:06:16,390 --> 00:06:22,650
+dipping down ممكن لل tip of the pyramid طبعا اذا
+
+97
+00:06:22,650 --> 00:06:27,930
+انلاحظوا اللهم long loop of Henle بنزل dipping
+
+98
+00:06:27,930 --> 00:06:35,220
+down في المضلة ممكن يكون لأخر مرحلة عند ال tipالـ
+
+99
+00:06:35,220 --> 00:06:43,740
+top of the pyramid ال بابلة ال بابلة ال بابلة
+
+100
+00:06:43,740 --> 00:06:44,540
+ال بابلة ال بابلة ال بابلة ال بابلة ال بابلة ال
+
+101
+00:06:44,540 --> 00:06:44,900
+ال بابلة ال بابلة ال بابلة ال بابلة ال بابلة ال
+
+102
+00:06:44,900 --> 00:06:45,200
+بابلة ال بابلة ال بابلة ال بابلة ال بابلة ال بابلة
+
+103
+00:06:45,200 --> 00:06:49,280
+ال بابلة ال بابلة ال بابلة ال بابلة ال بابلة ال
+
+104
+00:06:49,280 --> 00:06:50,720
+بابلة ال بابلة ال بابلة ال بابلة ال بابلة ال بابلة
+
+105
+00:06:50,720 --> 00:06:57,860
+بابلة ال بابلة ال بدى ال inner medulla التانى ال
+
+106
+00:06:57,860 --> 00:07:01,300
+cortical اللوبه فيه اللي تبعه بس في ال outer
+
+107
+00:07:01,300 --> 00:07:05,220
+medulla عشان كده في الصغيرة ال section الألوان
+
+108
+00:07:05,220 --> 00:07:09,340
+بتخلف لإن ال structure بيخلف لإن ال structure
+
+109
+00:07:09,340 --> 00:07:14,240
+بيخلف هذه البرة ال outer medulla فيها نفرق فيها
+
+110
+00:07:14,240 --> 00:07:18,340
+فيها loops فيه اللي أكترلأن كل ال cortical فيها
+
+111
+00:07:18,340 --> 00:07:21,920
+اللى جوا انفقت جزء كبير من ال .. من ال .. ال
+
+112
+00:07:21,920 --> 00:07:25,140
+nephrons اللي و بقوا فين اللي زي .. مش داخلها إذا
+
+113
+00:07:25,140 --> 00:07:28,840
+انتحار تبقى جزء واحد بس إيه فهنا كثافة اللون اختلف
+
+114
+00:07:28,840 --> 00:07:31,700
+لإنه عند اللي و بقوا فين اللي زي كتير هنا صار بس
+
+115
+00:07:31,700 --> 00:07:34,580
+سبعين المية منهم نزلوا لتحت سبعين المية إذا ال
+
+116
+00:07:34,580 --> 00:07:38,820
+structure تبقى قداني فرق نظري بصري بشوف إنه اختلف
+
+117
+00:07:38,820 --> 00:07:43,320
+لو اطلعته شوية صغيرة هان لو اطلعته شوية صغيرة هان
+
+118
+00:07:43,320 --> 00:07:49,670
+بنلاقي احنا عندناهن ثن لوبوفينلي و هن ثك لوبوفينلي
+
+119
+00:07:49,670 --> 00:07:56,530
+تمام؟ اذا بلاحظ انا انه عندى فى ال outer stripe فى
+
+120
+00:07:56,530 --> 00:08:00,570
+اللوبوفينلي ثك فى ال inner .. قولتلكم انا ال outer
+
+121
+00:08:00,570 --> 00:08:04,570
+مدلة بتنقسم اسمين مش كده؟ قولتلكم inner stripe و
+
+122
+00:08:04,570 --> 00:08:08,710
+outer stripe بيفرقهم ال thickness of the lobofenli
+
+123
+00:08:08,710 --> 00:08:13,000
+فى ال outer stripe فى عندى كلها ثك لوبوفينليلكن في
+
+124
+00:08:13,000 --> 00:08:19,440
+ال inner stripe عندى جزء thick وجزء thin تمام؟ جزء
+
+125
+00:08:19,440 --> 00:08:23,900
+thick وجزء thin فلذلك ال structure اختلفت كثافة
+
+126
+00:08:23,900 --> 00:08:29,780
+اخرىلما تقولنا section كده و striations و لون و
+
+127
+00:08:29,780 --> 00:08:34,380
+inner medulla .. medulla و cortex و ال medulla ..
+
+128
+00:08:34,380 --> 00:08:37,240
+outer medulla و inner medulla و ال inner .. و ال
+
+129
+00:08:37,240 --> 00:08:40,380
+outer سمناها inner stripe و outer stripe كله بيدل
+
+130
+00:08:40,380 --> 00:08:45,500
+على ايه؟ على ان ال different مراحله المختلفةبكيف
+
+131
+00:08:45,500 --> 00:08:49,460
+بيتغير بيقدّي الى انه ال stripe كله هذا موجود فيه
+
+132
+00:08:49,460 --> 00:08:54,920
+thick lobophilic ال stripe هذا لأ نصه او اقل من
+
+133
+00:08:54,920 --> 00:08:59,440
+نصه فيه thick والباقي الجزئية ايه؟ thin جوا ال
+
+134
+00:08:59,440 --> 00:09:04,280
+inner كله ايه؟ thin lobophilic تمام؟ فى ال cortex
+
+135
+00:09:04,280 --> 00:09:12,020
+اهو فى عندك glomeruli، tubules تمام؟ اذا عندى انا
+
+136
+00:09:12,020 --> 00:09:15,910
+لما امشي معطب ال function انا مش هتشتغل ال
+
+137
+00:09:15,910 --> 00:09:19,250
+function طب ليش هاللخمة؟ ليش الدكتور قاعد بتقول لأ
+
+138
+00:09:19,250 --> 00:09:22,670
+هذا و هذا و هذا و هذا و نفرنز زي بعض؟ لأ مش زي بعض
+
+139
+00:09:22,670 --> 00:09:26,170
+مش زي بعض هذا له function هذا له function ال
+
+140
+00:09:26,170 --> 00:09:32,190
+cortical function ال cortical نفرنز شغلتها انها
+
+141
+00:09:32,190 --> 00:09:41,790
+تطلع ball تمام؟ و ال اله شغلتها انهاطلع بول بطريقة
+
+142
+00:09:41,790 --> 00:09:48,230
+ما بس هدفها الرئيسي من ال ball هذا انه تغير ال
+
+143
+00:09:48,230 --> 00:09:52,750
+osmolality تبع المدلة ال osmolality تبع المدلة ال
+
+144
+00:09:52,750 --> 00:09:58,050
+interstitial fluid osmolality تبع المدلة هذه تمام
+
+145
+00:09:58,050 --> 00:10:04,630
+بتزيد و بتوطى يعني انا لما بدي اطلع ball مركز لما
+
+146
+00:10:04,630 --> 00:10:08,850
+اطلع من لاج المدلة هذه hyper osmotic لما ال ball
+
+147
+00:10:08,850 --> 00:10:16,870
+يطلعمخفف بقتلع بلاجة المضالة مش hyper osmotic
+
+148
+00:10:16,870 --> 00:10:23,490
+normal osmotic تمام؟ اذا بلاجة انا في علاقة ما بين
+
+149
+00:10:23,490 --> 00:10:28,430
+ال ball المركز والمضالة لما تزيد تركيز المضالة
+
+150
+00:10:28,430 --> 00:10:33,470
+بيزيد تركيز ال ball اذا المضالة هذه ال inner
+
+151
+00:10:33,470 --> 00:10:38,170
+mudalaالمدلة لها علاقة كبيرة في الـ Concentrating
+
+152
+00:10:38,170 --> 00:10:42,050
+mechanism of the urine الورين كيف بيطلع
+
+153
+00:10:42,050 --> 00:10:47,170
+Concentrated؟ تمام؟ فيه إيه ميكانيزم المدلة مسئولة
+
+154
+00:10:47,170 --> 00:10:50,970
+عنه لذلك ال 30% هدول الموجودين جاكستا ميدالري
+
+155
+00:10:50,970 --> 00:10:55,370
+بيشتغلوا إنهم يغيروا ال cosmolality تبع المدلة
+
+156
+00:10:55,370 --> 00:10:59,870
+عشان نغير ال cosmolality تبع الورين اللي طالع لكن
+
+157
+00:10:59,870 --> 00:11:01,830
+الورين الرئيسه طالع من مين؟ من ال cortical
+
+158
+00:11:01,830 --> 00:11:06,600
+nephronsوهو معدن ان الميدالا بيتغير اه بيصير more
+
+159
+00:11:06,600 --> 00:11:10,500
+concentrated او less concentrated حسب حاجات الجسم
+
+160
+00:11:10,500 --> 00:11:14,580
+واضح؟ اذا جاكسا ميدالا الريفرونز يلهم function
+
+161
+00:11:14,580 --> 00:11:19,280
+اضافي اذا ماقلناش function اضافي رئيسي حقيقة اللي
+
+162
+00:11:19,280 --> 00:11:24,400
+هو اللي هو controlling the urine concentration عبر
+
+163
+00:11:24,400 --> 00:11:28,960
+الميكانيزة دلوقت ان انا اعمل interstitial مركز
+
+164
+00:11:29,560 --> 00:11:32,460
+والبول اللى جاى غالبا من فوق من الكورتكس ماعدي على
+
+165
+00:11:32,460 --> 00:11:38,180
+انتساشة مركز فالأزموز ايش بيعمل؟ بشفط المياه منه،
+
+166
+00:11:38,180 --> 00:11:41,380
+تمام؟ فبيقدى الى انه يصير equilibrium ما بين
+
+167
+00:11:41,380 --> 00:11:43,340
+الأزموز وانتساشة
+
+168
+00:11:52,660 --> 00:11:55,580
+عشان اقولكوا هنا في ال collecting duck بصير
+
+169
+00:11:55,580 --> 00:11:58,460
+التركيز لإن ال collecting duck بيمشي في الميدالة
+
+170
+00:12:00,070 --> 00:12:05,010
+الميضالة حواليها مركز الانترستيشال مش كده فبيقدر
+
+171
+00:12:05,010 --> 00:12:09,210
+انه ايه؟ مين عامل مركز الانترستيشال؟ جكس الميضالة
+
+172
+00:12:09,210 --> 00:12:12,710
+ايه؟ نفرز هذا بيقدر انه البولي اللي طالع في الآخر
+
+173
+00:12:12,710 --> 00:12:15,910
+بينحكم ال concentration تبع الوزمولية تبعته بال
+
+174
+00:12:15,910 --> 00:12:20,410
+انترستيشال ازموزيز ازمولاريته تبعة مين؟ الميضالة
+
+175
+00:12:20,410 --> 00:12:24,690
+اللي هي بتسحب الميه الزايدة بحيث انه لو اكتش
+
+176
+00:12:24,690 --> 00:12:28,300
+ميضالة ميضالة ميتتحركلحد مصير ال equilibrium بظبط
+
+177
+00:12:28,300 --> 00:12:32,840
+اذا بيضل ال .. ال .. المية تتحرك من داخل ال tubule
+
+178
+00:12:32,840 --> 00:12:35,700
+هذا ال collecting إذا ال collecting هذا مش زي
+
+179
+00:12:35,700 --> 00:12:39,120
+المجاري تبعتنا بس عبارة عن توصيل لأ جزء أساسي في
+
+180
+00:12:39,120 --> 00:12:42,840
+الشغل إذا ال collecting duct هذه مش بس collecting
+
+181
+00:12:42,840 --> 00:12:47,220
+duct إلها جزء أساسي في الآخر بتجمع و في الآخر هي
+
+182
+00:12:47,220 --> 00:12:50,520
+بتسلم المية اللي بدنا نشيها إلى ال interstation
+
+183
+00:12:50,520 --> 00:12:56,010
+دورالنفرونز هذا اللي اتكلمنا عنها اللي هي الجكسة
+
+184
+00:12:56,010 --> 00:12:59,910
+ميدالري انها تحافظ على hyper osmolarity تعمل hyper
+
+185
+00:12:59,910 --> 00:13:03,350
+osmolarity في الميدالة اذا احنا محتاجين و تحافظ
+
+186
+00:13:03,350 --> 00:13:07,150
+عليها انها ما تروحش لإن احنا اذا ع جد عملنا
+
+187
+00:13:07,150 --> 00:13:10,710
+osmolarity في الميدالة و البول اللي نازل أخدنا منه
+
+188
+00:13:10,710 --> 00:13:14,830
+ميه راح التركيز مظبوط يعني انت بتجي كتير مش كله
+
+189
+00:13:14,830 --> 00:13:20,310
+راح بيجي دور الجكسة ميدالري انهم كل اللي اللي اللي
+
+190
+00:13:20,310 --> 00:13:21,990
+اللي اللي اللي اللي اللي اللي اللي اللي اللي اللي
+
+191
+00:13:22,770 --> 00:13:26,410
+الـ fluids ال water اللى دخلت ال .. ال .. ال .. ال
+
+192
+00:13:26,410 --> 00:13:30,390
+inner medulla under the osmosis بتعود تتاخد
+
+193
+00:13:30,390 --> 00:13:33,830
+بالinfluenza تترحل من أول و جديد للإيلة الدم تمام؟
+
+194
+00:13:33,830 --> 00:13:37,750
+because ان حافظ ع مين؟ اذا في عندى عاملة ..التكوين
+
+195
+00:13:37,750 --> 00:13:42,170
+الانترستيشيا الفلوود محافظ عليه و محافظة عليه هل
+
+196
+00:13:42,170 --> 00:13:45,630
+شغلت مين؟ لذلك بنتكلم انه جاكستر ميدالري و
+
+197
+00:13:45,630 --> 00:13:49,310
+cortical نفرز لانهم مهمين هذا له فانكشن وهذا له
+
+198
+00:13:49,310 --> 00:13:52,870
+فانكشن وللعلم لو احنا بداش نطلع concentrated urine
+
+199
+00:13:52,870 --> 00:13:58,510
+تمام بنطلع نور في ال urine أزوز بوتك او شربين ميه
+
+200
+00:13:58,510 --> 00:14:02,710
+كتير و بنطلع diluted urineتمام؟ مينلاحظ أنه المدلة
+
+201
+00:14:02,710 --> 00:14:07,370
+ولا مهاجرة مش شغالين ان الجكسة مدلة نفرز مش هي دم
+
+202
+00:14:07,370 --> 00:14:11,030
+و بتعملش filtration و مرتاحة يعني هي بتشتغل وقت ما
+
+203
+00:14:11,030 --> 00:14:13,990
+احنا عايزين ال concentration لأ مافيش مش محتاجين
+
+204
+00:14:13,990 --> 00:14:16,790
+ال concentration بترتاح يعني مش دايما هي شغالة
+
+205
+00:14:16,790 --> 00:14:21,870
+تمام؟ هي بتشتغل بزيد شغلها بجل شغلها جزء منها
+
+206
+00:14:21,870 --> 00:14:25,470
+بيشتغل وجزء منها بيشتغلش حسب جداش بده osmolality
+
+207
+00:14:25,470 --> 00:14:30,540
+تتكون في البنسميهم concentration gradients في
+
+208
+00:14:30,540 --> 00:14:34,660
+الانترستيشن المضلة لإنه بنلاقي فوق في ال inner
+
+209
+00:14:34,660 --> 00:14:40,960
+مضلة لل tip فوق بزيد ال osmolarity تحت أزود أزود
+
+210
+00:14:40,960 --> 00:14:45,680
+أزود أزود the most concentrated بيبقى ال tipتمام؟
+
+211
+00:14:45,680 --> 00:14:48,740
+عشان احنا ال urine اللى نازل نفقد ميته شوية شوية
+
+212
+00:14:48,740 --> 00:14:51,680
+فالمفقد ميته هو اللى بياخد شوية من الميه طبعا بعمل
+
+213
+00:14:51,680 --> 00:14:54,920
+شوية تخفيفة لحد ما نتخلص منه وكميته كتيرة لإنه لسه
+
+214
+00:14:54,920 --> 00:14:58,940
+أوله بعدين كمية أقل بتبتص ال ball بتركز وهذا ال
+
+215
+00:14:58,940 --> 00:15:03,410
+transition fluid بيبقى أخف تركيزهمن اللي تحت لكن
+
+216
+00:15:03,410 --> 00:15:06,630
+اكتر من ال a من اللي فوقه فبنلاقي concentration
+
+217
+00:15:06,630 --> 00:15:10,850
+gradient موجود بنلاقي فوق جنب ال cortex isosmotic
+
+218
+00:15:10,850 --> 00:15:15,310
+وبيزيد اربعمية خمسمية ستمية سبعمية الف واربعمية
+
+219
+00:15:15,310 --> 00:15:19,950
+البني آدم بيطلع التركيز بول لحد الف واربعمية فكان
+
+220
+00:15:19,950 --> 00:15:24,830
+انه ممكن نلاقي بعض الحيوانات الصحراوية بتطلع بول
+
+221
+00:15:24,830 --> 00:15:29,010
+concentrated الفين وخمسمية اكتر من ضعف التركيز عن
+
+222
+00:15:29,010 --> 00:15:34,790
+البني آدم تمامومنلاقي حيوانات مائية بتطلع dilute
+
+223
+00:15:34,790 --> 00:15:38,970
+urine لإن هى عشرة في الميه او بتشرب ميه دايما كتير
+
+224
+00:15:38,970 --> 00:15:42,110
+فبتطلع dilute urine تمام؟ اذا لما اتكلم عن ال
+
+225
+00:15:42,110 --> 00:15:44,950
+cortical nephrons و jackson medullary nephrons انا
+
+226
+00:15:44,950 --> 00:15:50,690
+بتكلم عن تقسيم مش بس anatomical او histological
+
+227
+00:15:50,690 --> 00:15:53,630
+بتكلم عن functional ده بتكلم عن physiological
+
+228
+00:15:58,140 --> 00:16:00,800
+differentiation بين هذا و هذا هذا في الأخر هيشغل
+
+229
+00:16:00,800 --> 00:16:05,720
+شغل و هذا يشغل شغل هذا ممكن ايه اذا احنا عندنا في
+
+230
+00:16:05,720 --> 00:16:09,640
+concentrating mechanism طب في diluting mechanism
+
+231
+00:16:09,640 --> 00:16:12,460
+اه في diluting mechanism هدرسها ان شاء الله
+
+232
+00:16:12,460 --> 00:16:19,500
+بالتفصيل لسه عصارة كده؟ ضايلنا شوية احنا نمشي احنا
+
+233
+00:16:19,500 --> 00:16:23,360
+و نص ال lecture تاني و نخلص ان شاء الله اذا في
+
+234
+00:16:23,360 --> 00:16:29,440
+عندنا استراك شهر كتير مهمأه مكان النفرون بيديني
+
+235
+00:16:29,440 --> 00:16:32,020
+على ال function تبعه كمان مش بس ايه انه جاكستر
+
+236
+00:16:32,020 --> 00:16:37,040
+ميدلالري يمثل 25-30% لأ طيب اذا اتكلمنا عن ال
+
+237
+00:16:37,040 --> 00:16:41,600
+structure of nephron هنا و قولنا بعض الفرقات فيه و
+
+238
+00:16:41,600 --> 00:16:44,940
+قولنا
+
+239
+00:16:44,940 --> 00:16:48,600
+انه عندنا cortical nephrons و عندنا اه يعني هذا
+
+240
+00:16:48,600 --> 00:16:53,080
+cortical nephron و هذا ايه جاكستر ميدلالري نفرون
+
+241
+00:16:53,080 --> 00:16:58,570
+جاكستر ميدلالري نفرونالفروقات في التركيب مش بس
+
+242
+00:16:58,570 --> 00:17:04,130
+مرتبطة بالكلام اللي توجلناه كمان احنا في جزرنا
+
+243
+00:17:04,130 --> 00:17:07,530
+مبطلناها قولنا peritubular capillaries ومعدينا
+
+244
+00:17:07,530 --> 00:17:12,790
+كمان؟ اه لأ ال peritubular capillaries اللي في ال
+
+245
+00:17:12,790 --> 00:17:16,610
+cortical nephrons عبارة عن شبكة من ال capillaries
+
+246
+00:17:16,610 --> 00:17:20,310
+تحيط بال .. بال .. بال .. بال .. بال tubules ال
+
+247
+00:17:20,310 --> 00:17:25,480
+proximal و ال distal و كله بتحيطهاتمام؟ ليش؟ لأنه
+
+248
+00:17:25,480 --> 00:17:28,420
+بتصير عنها هنا بعد ال filtration بتصير عامل tree
+
+249
+00:17:28,420 --> 00:17:31,560
+absorption فال cabellas اللي فجدت في ال .. في ال
+
+250
+00:17:31,560 --> 00:17:35,040
+.. في ال glomerulus فجدت ال fluids بتعود تحوط ال
+
+251
+00:17:35,040 --> 00:17:37,720
+.. ال .. ال tubules من أول و جديد عشان تشفط اللي
+
+252
+00:17:37,720 --> 00:17:43,260
+إيه اللي أخرته بس بتطلع ال urine يعني احنا بنفقد
+
+253
+00:17:43,260 --> 00:17:47,440
+أو ال filter filtration مية و خمسة و عشرين مليلتر
+
+254
+00:17:47,440 --> 00:17:53,820
+في دقيقة125 ملي لتر منها 124 بيرجعوا reabsorbed و
+
+255
+00:17:53,820 --> 00:17:58,620
+بس one milliliter ايه اه بيطلع طبعا اذا one
+
+256
+00:17:58,620 --> 00:18:04,880
+milliliter فقط بيطلع ايه في ال 124 صوروا لو احنا
+
+257
+00:18:04,880 --> 00:18:10,960
+خمسة دم اللي نزل خمسة دم دخل الكلية بعدين خمسة
+
+258
+00:18:10,960 --> 00:18:14,960
+blood مصارنة filtration طبعا لو احنا هذه تفقد
+
+259
+00:18:14,960 --> 00:18:19,040
+الخارج من مرة واحدة خلال كده احنا بنختفيبدناش
+
+260
+00:18:19,040 --> 00:18:23,300
+دقائق كتيرة خلال فترة بسيطة بيكون احنا لمؤاخذة
+
+261
+00:18:23,300 --> 00:18:28,380
+urinated ourselves اه كله بيطلع لكن كله بيعدر ي
+
+262
+00:18:28,380 --> 00:18:35,820
+absorb من ال 125 بيصيرله ايه? executed؟ طيب هذا
+
+263
+00:18:35,820 --> 00:18:39,840
+بيقدر الى انه peritubular capilla لسه مهمة عاملة
+
+264
+00:18:39,840 --> 00:18:44,390
+work محترم حوالين ال corticalطيب و ال .. جاكستر
+
+265
+00:18:44,390 --> 00:18:48,210
+ميدالري؟ أه بس إلها structure مختلف ليش؟ لإن قلنا
+
+266
+00:18:48,210 --> 00:18:52,150
+ال function هال مختلف زي ما قلنا إحنا عندنا long
+
+267
+00:18:52,150 --> 00:18:56,270
+loop of Henle قلنا البرتيوكا بيلاري هال بتتحول إلى
+
+268
+00:18:56,270 --> 00:19:01,880
+بازاركتاblood vessels straight recta rectus يعني
+
+269
+00:19:01,880 --> 00:19:06,960
+straight vasa recta فى إذن عندك descending vasa
+
+270
+00:19:06,960 --> 00:19:09,780
+recta وascending vasa recta زى ال loop of hinley
+
+271
+00:19:09,780 --> 00:19:16,260
+لكن blood loops بنزلوا موازين ومحيطين بال loop of
+
+272
+00:19:16,260 --> 00:19:20,640
+hinley محيطين زى حوالين ال .. طفتوا حوالين ال loop
+
+273
+00:19:20,640 --> 00:19:24,380
+of hinley من الطالع وتنازل تمام محيطين وها وها
+
+274
+00:19:24,380 --> 00:19:30,650
+عشان كل السوائل الإضافيةاللي دخلت ال tube يقول هان
+
+275
+00:19:30,650 --> 00:19:35,290
+على طول تطلع في الدم بطريقة معينة تحافظ فيها على
+
+276
+00:19:35,290 --> 00:19:37,970
+ال concentration mechanism إذا من ضمن ال structure
+
+277
+00:19:37,970 --> 00:19:41,150
+اللي بيحافظ على ال function تبع ال Jack's terminal
+
+278
+00:19:41,150 --> 00:19:44,370
+inference أن ال period tube الكبيرة اللي استباعها
+
+279
+00:19:46,340 --> 00:19:50,960
+أه على شكل vasa ركتا موجود على شكل vasa ركتا بنزل
+
+280
+00:19:50,960 --> 00:19:54,600
+هيك branches من ال إفرانت بنزله dipping في داخل ال
+
+281
+00:19:54,600 --> 00:19:59,820
+إيه المضلة معت يوز للآخر و بيعود يطلع للآخر و
+
+282
+00:19:59,820 --> 00:20:03,740
+بينهم جثة كبيرة بتصير هتكلم عنها في الوقت المناسب
+
+283
+00:20:03,740 --> 00:20:11,780
+تمام urine formation from the glomerin طيب
+
+284
+00:20:11,780 --> 00:20:16,080
+in general هتكلم على أنه ال urineتكوينه عبارة عن
+
+285
+00:20:16,080 --> 00:20:24,920
+تلات أشياء filtration و reabsorption و أحيانا أقل
+
+286
+00:20:24,920 --> 00:20:28,420
+كمية أقل function اللي هو ال secretion يعني في
+
+287
+00:20:28,420 --> 00:20:33,280
+أشياء بدنا إياها كلها تطلع فمش بس ال filtered اللي
+
+288
+00:20:33,280 --> 00:20:37,320
+بده يطلع في ال bowl منها ومايصيروش reabsorption لأ
+
+289
+00:20:37,320 --> 00:20:40,760
+بدنا كمان اللي ضايل في الدم منها نطلعه بدنا نعمله
+
+290
+00:20:40,760 --> 00:20:44,450
+secretion إذا عندنا تلاتة processesfilteration,
+
+291
+00:20:44,550 --> 00:20:48,710
+reabsorption, secretion التنتير هدور كبار وأجال
+
+292
+00:20:48,710 --> 00:20:52,770
+كمية .. أجال العملية هي إيه؟ ال secretion هو ال
+
+293
+00:20:52,770 --> 00:20:58,170
+secretion عملية كتير مهمة محصرة البول اللي بطلع
+
+294
+00:20:58,170 --> 00:21:02,350
+اذا محصرة التلات عملية ال filtration زاد .. زاد
+
+295
+00:21:02,350 --> 00:21:06,070
+secretion ناقص reabsorption يساوي ال إيه؟ ال
+
+296
+00:21:06,070 --> 00:21:11,270
+executed volume إن كان fluids إن كانت electrolytes
+
+297
+00:21:11,270 --> 00:21:17,320
+و هكذا okayإذا ممكن يصير عنه بعض المواد يصيرها
+
+298
+00:21:17,320 --> 00:21:21,440
+filtration وما يصيراش ال absorption تطلع برا على
+
+299
+00:21:21,440 --> 00:21:25,800
+طولاللي هي ال end product سبع الميتابوليزم انا
+
+300
+00:21:25,800 --> 00:21:29,220
+مابديش اعملها reabsorption في بعض المواد بيصير لها
+
+301
+00:21:29,220 --> 00:21:33,540
+reabsorption جزئيا جزء منه reabsorbed و جزء
+
+302
+00:21:33,540 --> 00:21:38,100
+executed و في بعض المواد بيصير عندى لها complete
+
+303
+00:21:38,100 --> 00:21:42,440
+reabsorption زي السكر و الأميناتيات مابتطلعش في
+
+304
+00:21:42,440 --> 00:21:45,740
+البول ماينزل في البلازمه تمام؟ ع فكرة ال
+
+305
+00:21:45,740 --> 00:21:49,380
+filtration خمس البلازمه اللي داخل الجلوميله لازم
+
+306
+00:21:49,380 --> 00:21:52,020
+يتفرج في ال filtration يعني خمس القمص
+
+307
+00:22:02,590 --> 00:22:05,510
+مشكلة إذا طلعت طبعا من برا، قلتلكوا هم 125 ميلي
+
+308
+00:22:05,510 --> 00:22:09,650
+ليتر per minute، فبيصير عندي أنا جزء، إذا في
+
+309
+00:22:09,650 --> 00:22:14,430
+filtrationوفي عند reabsorption وفي insecretion هذه
+
+310
+00:22:14,430 --> 00:22:17,570
+المسائل تختلط بعض المواد بيصيرلها filtration و بس
+
+311
+00:22:17,570 --> 00:22:20,690
+بعض المواد filtration و بعدين reabsorbed كليا في
+
+312
+00:22:20,690 --> 00:22:22,810
+بعض المواد لأ filtration و جزئيا بيصيرلها
+
+313
+00:22:22,810 --> 00:22:26,750
+reabsorption بعض المواد filtration و يضاف عليها ال
+
+314
+00:22:26,750 --> 00:22:29,270
+secretion وبهذا الكلام ان شاء الله المرة الجاية
+
+315
+00:22:29,270 --> 00:22:33,550
+هتكلم عن الأول عملية من عمليات الكيليا اللي هو ال
+
+316
+00:22:33,550 --> 00:22:38,290
+filtration نتكلم على ال rules of that controls
+
+317
+00:22:38,290 --> 00:22:40,250
+filtration يعطيكوا العافية السلام عليكم
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/iqHo0a3El6c_raw.json b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/iqHo0a3El6c_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..c80a7af6cd273437366ef9f318646fb874f4a312
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/iqHo0a3El6c_raw.json
@@ -0,0 +1 @@
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"text": "إذا في عندي central regulation وفي عندي peripheral regulation في عندي chemoreceptors موجودة في ال carotid bodies وفي ال aortic arch bodies موجود عندى إذا في عندي بالإضافة ل other arteries major arteries موجود فيها برضه chemoreceptor bodies موجودة to", "tokens": [28814, 15730, 8978, 18871, 16254, 5777, 15062, 4032, 41185, 18871, 16254, 40235, 15062, 8978, 18871, 16254, 4771, 418, 1336, 830, 3714, 29245, 23328, 3660, 8978, 2423, 1032, 310, 327, 7510, 4032, 41185, 2423, 257, 48816, 3912, 7510, 3714, 29245, 23328, 43242, 7578, 11933, 15730, 8978, 18871, 16254, 20666, 28814, 11242, 31845, 3660, 5296, 661, 44801, 2563, 44801, 3714, 29245, 23328, 8978, 11296, 4724, 43042, 3224, 4771, 418, 1336, 284, 7510, 3714, 29245, 23328, 3660, 281], "avg_logprob": -0.17619242793635317, "compression_ratio": 1.8971428571428572, "no_speech_prob": 0.0, "words": [{"start": 113.62, "end": 113.94, "word": "إذا", "probability": 0.6748046875}, {"start": 113.94, "end": 114.14, "word": " في", "probability": 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إشارات", "probability": 0.8729248046875}, {"start": 275.52, "end": 275.76, "word": " لل", "probability": 0.7373046875}, {"start": 275.76, "end": 277.34, "word": " inspiration،", "probability": 0.552734375}, {"start": 277.34, "end": 278.28, "word": " وين", "probability": 0.946533203125}, {"start": 278.28, "end": 279.24, "word": " بتنتهي", "probability": 0.98291015625}, {"start": 279.24, "end": 279.98, "word": " ال", "probability": 0.98681640625}, {"start": 279.98, "end": 281.98, "word": " inspiration؟", "probability": 0.92431640625}], "temperature": 1.0}, {"id": 13, "seek": 31094, "start": 283.6, "end": 310.94, "text": "و يعني بينتهي ال inspiration هي اللي بيكون بتدخله ال pneumotoxic ف ال pneumotoxic لما يكون انا عندي فيه inspiration موجود و موقفه بدري تمام؟ معناه عندي خلال ايه؟ shallow breathing و مدامه قصير معناه بيخلي ال rate عالي تمام؟ اذا في عندي مدى ان انا اتنفس كتير ال respiratory rate اذا لما يزيد نشاط ال pneumotoxic center pneumotoxic", "tokens": [2407, 37495, 22653, 4724, 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"probability": 0.97314453125}, {"start": 300.58, "end": 301.7, "word": " عالي", "probability": 0.9534505208333334}, {"start": 301.7, "end": 302.18, "word": " تمام؟", "probability": 0.9378255208333334}, {"start": 302.18, "end": 302.34, "word": " اذا", "probability": 0.79248046875}, {"start": 302.34, "end": 302.5, "word": " في", "probability": 0.76025390625}, {"start": 302.5, "end": 302.78, "word": " عندي", "probability": 0.878173828125}, {"start": 302.78, "end": 303.0, "word": " مدى", "probability": 0.97119140625}, {"start": 303.0, "end": 303.14, "word": " ان", "probability": 0.84765625}, {"start": 303.14, "end": 303.36, "word": " انا", "probability": 0.771728515625}, {"start": 303.36, "end": 303.84, "word": " اتنفس", "probability": 0.92626953125}, {"start": 303.84, "end": 304.32, "word": " كتير", "probability": 0.9762369791666666}, {"start": 304.32, "end": 304.88, "word": " ال", "probability": 0.6904296875}, {"start": 304.88, "end": 305.22, "word": " respiratory", "probability": 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shallow breathing و rapid لو كان ال pneumotactic center او pneumotactic center", "tokens": [384, 77, 391, 3714, 43020, 7251, 25957, 1211, 32239, 3224, 36807, 8608, 16572, 3615, 5296, 1597, 7611, 4032, 7251, 9778, 20292, 16472, 28242, 8717, 36178, 7251, 1863, 4117, 2655, 3615, 4724, 3794, 2288, 27884, 4032, 7251, 28543, 2288, 2423, 7578, 1975, 1829, 3224, 8608, 2288, 27884, 16712, 1863, 36178, 8978, 21542, 6027, 3660, 29538, 4724, 43042, 3224, 4724, 1829, 30544, 1975, 1829, 3224, 20488, 9570, 4032, 7558, 45164, 25961, 2423, 30039, 310, 19892, 3056, 1975, 2407, 30039, 310, 19892, 3056], "avg_logprob": -0.28819443267068745, "compression_ratio": 1.5743589743589743, "no_speech_prob": 0.0, "words": [{"start": 312.65999999999997, "end": 313.58, "word": "center", "probability": 0.5876057942708334}, {"start": 313.58, "end": 314.5, "word": " ممكن", "probability": 0.972412109375}, {"start": 314.5, "end": 314.98, "word": " يعمل", "probability": 0.8859049479166666}, {"start": 314.98, "end": 315.52, 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359.44, "text": "بطيق معناه ال inspiration بياخد و اضعه لحد ما يصير له inhibition يعني هو بيوقف ال inspiration عند level معين تمام فلما أقف بدري بدي فرصة ان انا اكرره كتير لما أقف متأخر باخد more دي inspiration معناه بيكون ال rate اياش بطيق التنين هدول هم الأساس في ال normal respiration لكن فوجد ما يكون انا عندي exercise", "tokens": [3555, 9566, 1829, 4587, 20449, 8315, 3224, 2423, 10249, 4724, 1829, 47283, 3215, 4032, 1975, 11242, 3615, 3224, 5296, 24401, 19446, 7251, 9381, 13546, 46740, 20406, 849, 37495, 22653, 31439, 4724, 1829, 30543, 5172, 2423, 10249, 43242, 1496, 20449, 9957, 46811, 10943, 6156, 1211, 15042, 5551, 4587, 5172, 47525, 16572, 4724, 16254, 6156, 2288, 9381, 3660, 16472, 1975, 8315, 1975, 37983, 2288, 3224, 9122, 2655, 13546, 5296, 15042, 5551, 4587, 5172, 44650, 10721, 34740, 4724, 47283, 3215, 544, 11778, 1829, 10249, 20449, 8315, 3224, 4724, 1829, 30544, 2423, 3314, 1975, 1829, 33599, 4724, 9566, 1829, 4587, 16712, 1863, 9957, 8032, 3215, 12610, 8032, 2304, 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85, "seek": 206009, "start": 2054.07, "end": 2060.09, "text": "بقدرش انا اخلي ال oxygen هو اللي اتحكم فيه، اذا اتحكم فيه هلاقي حالي متأخر كتير", "tokens": [3555, 28543, 2288, 8592, 1975, 8315, 1975, 9778, 20292, 2423, 9169, 31439, 13672, 1829, 1975, 2655, 5016, 24793, 8978, 3224, 12399, 1975, 15730, 1975, 2655, 5016, 24793, 8978, 3224, 8032, 15040, 38436, 11331, 6027, 1829, 44650, 10721, 34740, 9122, 2655, 13546], "avg_logprob": -0.20442708475249155, "compression_ratio": 1.3431372549019607, "no_speech_prob": 0.0, "words": [{"start": 2054.07, "end": 2054.63, "word": "بقدرش", "probability": 0.9638671875}, {"start": 2054.63, "end": 2054.83, "word": " انا", "probability": 0.620361328125}, {"start": 2054.83, "end": 2055.01, "word": " اخلي", "probability": 0.606201171875}, {"start": 2055.01, "end": 2055.09, "word": " ال", "probability": 0.96533203125}, {"start": 2055.09, "end": 2055.39, "word": " oxygen", "probability": 0.79736328125}, {"start": 2055.39, "end": 2055.57, "word": " هو", 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من 60% من ال pressure pressure tension لما يبدأ على عيندي أن أصحى على حالي لما أفقد oxygen في ال tissues أكتر من أن أنزل لأقل من 15% pressure pressure pressure لما أبدأ أصحى على حالي أن oxygen نقص بحسش أنه نقص لو نقص في ال ventilation ولا نقص في ال tissues أخدت more oxygen بحسش فيها كتير بطبيعة الصفات الهيموجلومية اتكلمنا عنها", "tokens": [1211, 15042, 7251, 9381, 13546, 8032, 3555, 2407, 9566, 43242, 7578, 5551, 4587, 1211, 9154, 4060, 4, 9154, 2423, 3321, 3321, 8980, 5296, 15042, 7251, 44510, 10721, 15844, 6225, 9957, 16254, 14739, 5551, 9381, 5016, 7578, 15844, 11331, 6027, 1829, 5296, 15042, 5551, 5172, 28543, 9169, 8978, 2423, 27353, 5551, 4117, 2655, 2288, 9154, 14739, 14739, 11622, 1211, 5296, 10721, 4587, 1211, 9154, 2119, 4, 3321, 3321, 3321, 5296, 15042, 5551, 44510, 10721, 5551, 9381, 5016, 7578, 15844, 11331, 6027, 1829, 14739, 9169, 8717, 4587, 9381, 4724, 5016, 3794, 8592, 14739, 3224, 8717, 4587, 9381, 45164, 8717, 4587, 9381, 8978, 2423, 29553, 49429, 8717, 4587, 9381, 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"word": " و", "probability": 0.73193359375}, {"start": 3705.59, "end": 3705.79, "word": " ال", "probability": 0.94189453125}, {"start": 3705.79, "end": 3706.09, "word": " oxygen", "probability": 0.9580078125}, {"start": 3706.09, "end": 3706.49, "word": " 70", "probability": 0.76513671875}, {"start": 3706.49, "end": 3706.77, "word": "%", "probability": 0.984375}, {"start": 3706.77, "end": 3707.23, "word": " فقط", "probability": 0.981201171875}, {"start": 3707.23, "end": 3708.61, "word": " بعد", "probability": 0.90966796875}, {"start": 3708.61, "end": 3708.97, "word": " يومين", "probability": 0.9892578125}, {"start": 3708.97, "end": 3709.31, "word": " تلاتة", "probability": 0.9307861328125}, {"start": 3709.31, "end": 3709.71, "word": " of", "probability": 0.9345703125}, {"start": 3709.71, "end": 3710.23, "word": " exposure", "probability": 0.9765625}, {"start": 3710.23, "end": 3710.53, "word": " to", "probability": 0.951171875}, {"start": 3710.53, "end": 3710.93, "word": " such", "probability": 0.9462890625}, {"start": 3710.93, "end": 3712.21, "word": " environment", "probability": 0.9150390625}, {"start": 3712.21, "end": 3712.81, "word": " the", "probability": 0.38916015625}, {"start": 3712.81, "end": 3713.11, "word": " alveolar", "probability": 0.8517252604166666}, {"start": 3713.11, "end": 3713.53, "word": " ventilation", "probability": 0.94921875}, {"start": 3713.53, "end": 3713.83, "word": " often", "probability": 0.7138671875}, {"start": 3713.83, "end": 3714.41, "word": " increases", "probability": 0.90380859375}, {"start": 3714.41, "end": 3715.35, "word": " 400", "probability": 0.810546875}, {"start": 3715.35, "end": 3715.65, "word": " to", "probability": 0.492919921875}, {"start": 3715.65, "end": 3716.25, "word": " 500", "probability": 0.9677734375}, {"start": 3716.25, "end": 3717.13, "word": " percent", "probability": 0.476318359375}, {"start": 3717.13, "end": 3718.05, "word": " after", "probability": 0.876953125}, {"start": 3718.05, "end": 3718.27, "word": " two", "probability": 0.666015625}, {"start": 3718.27, "end": 3718.41, "word": " to", "probability": 0.9638671875}, {"start": 3718.41, "end": 3718.61, "word": " three", "probability": 0.943359375}, {"start": 3718.61, "end": 3718.91, "word": " days", "probability": 0.93505859375}, {"start": 3718.91, "end": 3719.13, "word": " of", "probability": 0.9794921875}, {"start": 3719.13, "end": 3720.11, "word": " low", "probability": 0.8603515625}, {"start": 3720.11, "end": 3720.53, "word": " oxygen", "probability": 0.96337890625}], "temperature": 1.0}, {"id": 154, "seek": 374885, "start": 3721.61, "end": 3748.85, "text": "هذا يساعد كثيرًا في إعطاء أكسجين إضافي إذا في الوضع الطبيعي زيادة الأكسجين تأثيره سبعين المية زيادة تمام ال carbon dioxide تأثيره أعلى كتير لكن بعد يومين تلاتة ال carbon dioxide بفقد تأثيره وال oxygen effect بيصير ايه مش سبعين المية بيصير اربعمية المية خمسمية المية تأثير فبيعود ياخد ال upper hand وهذا منطق انه انا انا المشكلة", "tokens": [3224, 15730, 7251, 3794, 995, 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"end": 3734.71, "word": " أعلى", "probability": 0.8859049479166666}, {"start": 3734.71, "end": 3735.11, "word": " كتير", "probability": 0.8434244791666666}, {"start": 3735.11, "end": 3735.67, "word": " لكن", "probability": 0.86572265625}, {"start": 3735.67, "end": 3735.95, "word": " بعد", "probability": 0.95654296875}, {"start": 3735.95, "end": 3736.21, "word": " يومين", "probability": 0.9837239583333334}, {"start": 3736.21, "end": 3736.53, "word": " تلاتة", "probability": 0.957275390625}, {"start": 3736.53, "end": 3736.65, "word": " ال", "probability": 0.78662109375}, {"start": 3736.65, "end": 3736.79, "word": " carbon", "probability": 0.9267578125}, {"start": 3736.79, "end": 3737.03, "word": " dioxide", "probability": 0.93701171875}, {"start": 3737.03, "end": 3737.39, "word": " بفقد", "probability": 0.77783203125}, {"start": 3737.39, "end": 3738.01, "word": " تأثيره", "probability": 0.9912109375}, {"start": 3738.01, "end": 3738.57, "word": " وال", "probability": 0.49365234375}, {"start": 3738.57, "end": 3739.07, "word": " oxygen", "probability": 0.74560546875}, {"start": 3739.07, "end": 3739.41, "word": " effect", "probability": 0.92822265625}, {"start": 3739.41, "end": 3739.85, "word": " بيصير", "probability": 0.7972412109375}, {"start": 3739.85, "end": 3740.55, "word": " ايه", "probability": 0.7574869791666666}, {"start": 3740.55, "end": 3740.83, "word": " مش", "probability": 0.60400390625}, {"start": 3740.83, "end": 3741.13, "word": " سبعين", "probability": 0.9676513671875}, {"start": 3741.13, "end": 3741.45, "word": " المية", "probability": 0.970947265625}, {"start": 3741.45, "end": 3741.73, "word": " بيصير", "probability": 0.79931640625}, {"start": 3741.73, "end": 3742.13, "word": " اربعمية", "probability": 0.75738525390625}, {"start": 3742.13, "end": 3742.47, "word": " المية", "probability": 0.6787109375}, {"start": 3742.47, "end": 3742.91, "word": " خمسمية", "probability": 0.8297119140625}, {"start": 3742.91, "end": 3743.31, "word": " المية", 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\ No newline at end of file
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/iqHo0a3El6c_raw.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/iqHo0a3El6c_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..2b7e3eef75a8b2a852bd84d3caaf69f351ddc060
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/iqHo0a3El6c_raw.srt
@@ -0,0 +1,3288 @@
+1
+00:00:08,980 --> 00:00:15,340
+بسم الله الرحمن الرحيم السلام عليكم اليوم هنتكلم
+
+2
+00:00:15,340 --> 00:00:19,380
+عن how
+
+3
+00:00:19,380 --> 00:00:27,410
+the respiratory process is controlledعنا بنحتاج
+
+4
+00:00:27,410 --> 00:00:33,670
+احنا الى بعض الأحيان الى مجهود كبير بدنا oxygen
+
+5
+00:00:33,670 --> 00:00:40,670
+أكتر مطلوب أحيان متوسط مطلوب نرجع طبيعي هذه
+
+6
+00:00:40,670 --> 00:00:45,550
+المسألة بتتم بشكل تلقائي بدون ما يكون لإحنا دور
+
+7
+00:00:45,550 --> 00:00:51,650
+يعني voluntary فيها يعني بيصير عندنا automatic
+
+8
+00:00:51,650 --> 00:00:56,240
+regulationمن غير ما احنا ناخد نقصد ان نزود التنفس
+
+9
+00:00:56,240 --> 00:00:59,800
+او نجلد التنفس زي اي شيء بيتحكم فيه ال autonomic
+
+10
+00:00:59,800 --> 00:01:03,140
+nervous system فبيصير عندنا autonomic regulation
+
+11
+00:01:03,140 --> 00:01:10,460
+of the respiratory system to keep going with the
+
+12
+00:01:10,460 --> 00:01:16,560
+needs of the body تمام؟ ال regulation هذا بتتم من
+
+13
+00:01:16,560 --> 00:01:21,480
+خلالعندي انا central regulation وفي عندي
+
+14
+00:01:21,480 --> 00:01:26,660
+peripheral regulation تمام؟ اذا في عندي central
+
+15
+00:01:26,660 --> 00:01:30,900
+nervous system موجود موجود في داخله respiratory
+
+16
+00:01:30,900 --> 00:01:38,100
+center ال respiratory center هذا موجود في مناطق
+
+17
+00:01:38,100 --> 00:01:43,660
+حساسة جنبه لتغيرات
+
+18
+00:01:43,660 --> 00:01:49,600
+في الcarbon dioxide و ال oxygen و ال pH و ال
+
+19
+00:01:49,600 --> 00:01:50,740
+hydrogen concentration
+
+20
+00:01:53,620 --> 00:01:56,720
+إذا في عندي central regulation وفي عندي peripheral
+
+21
+00:01:56,720 --> 00:02:02,060
+regulation في عندي chemoreceptors موجودة في ال
+
+22
+00:02:02,060 --> 00:02:06,880
+carotid bodies وفي ال aortic arch bodies موجود
+
+23
+00:02:06,880 --> 00:02:12,440
+عندى إذا في عندي بالإضافة ل other arteries major
+
+24
+00:02:12,440 --> 00:02:17,660
+arteries موجود فيها برضه chemoreceptor bodies
+
+25
+00:02:17,660 --> 00:02:24,970
+موجودة toto sense the concentration of oxygen
+
+26
+00:02:24,970 --> 00:02:28,530
+partial pressure of oxygen يعني partial pressure
+
+27
+00:02:28,530 --> 00:02:32,050
+of carbon dioxide and the pH and hydrogen ion
+
+28
+00:02:32,050 --> 00:02:35,490
+concentration تمام؟ اذا بداية عشان نتعرف على
+
+29
+00:02:35,490 --> 00:02:39,010
+المسألة هذه بدنا نشوف المركز هذا اللي بتحكم في
+
+30
+00:02:39,010 --> 00:02:43,550
+التنفس اللي احنا نبعتله اشارات نزوده او نجلله او
+
+31
+00:02:43,550 --> 00:02:48,610
+كده شو هذا المركز ال respiratory center عبارة عن
+
+32
+00:02:48,610 --> 00:02:57,870
+مجموعةمن التجمعات العصبية، a group composed of
+
+33
+00:02:57,870 --> 00:03:02,230
+several groups of neurons located bilaterally in
+
+34
+00:03:02,230 --> 00:03:05,530
+the medulla and the pons، تمام؟ في الميدالة أو
+
+35
+00:03:05,530 --> 00:03:11,570
+بلونجاتا والبونز، يعني في ال brainstem موجود عندى
+
+36
+00:03:11,570 --> 00:03:13,050
+ال respiratory center
+
+37
+00:03:16,950 --> 00:03:20,990
+ال respiratory center بتكون من على الأقل من تلت
+
+38
+00:03:20,990 --> 00:03:24,010
+تجمعات
+
+39
+00:03:24,010 --> 00:03:24,990
+من ال nuclei
+
+40
+00:03:29,010 --> 00:03:35,950
+ال .. تجمع ال nerve bodies برا ال central nervous
+
+41
+00:03:35,950 --> 00:03:41,370
+system نسميها ganglion مش كده تجمع ال cell bodies
+
+42
+00:03:41,370 --> 00:03:45,750
+في ال central nervous system نسميه nucleus فعندي
+
+43
+00:03:45,750 --> 00:03:50,230
+مجموعة من ال nuclei اللي موجودة تمثل ال
+
+44
+00:03:50,230 --> 00:03:56,050
+respiratory center بيهمنا فيها تلت مجموعات اللي هو
+
+45
+00:03:56,050 --> 00:03:59,850
+ال dorsal respiratory groupو ال ventral
+
+46
+00:03:59,850 --> 00:04:07,750
+respiratory group و ال pneumotoxic center كمان هو
+
+47
+00:04:07,750 --> 00:04:12,650
+ال normal respiration بتمن خلال ال dorsal
+
+48
+00:04:12,650 --> 00:04:18,030
+respiratory group هذه بتطبط ال respiration بتدخل
+
+49
+00:04:18,030 --> 00:04:19,350
+ال pneumotoxic center
+
+50
+00:04:25,640 --> 00:04:31,420
+Yunamo toxic center بتدخل لضبط ال respiratory
+
+51
+00:04:31,420 --> 00:04:34,920
+rate، يعني هو ال respiratory center هذا المبعد
+
+52
+00:04:34,920 --> 00:04:41,980
+إشارات لل inspiration، وين بتنتهي ال inspiration؟
+
+53
+00:04:43,600 --> 00:04:46,260
+و يعني بينتهي ال inspiration هي اللي بيكون بتدخله
+
+54
+00:04:46,260 --> 00:04:49,260
+ال pneumotoxic ف ال pneumotoxic لما يكون انا عندي
+
+55
+00:04:49,260 --> 00:04:53,140
+فيه inspiration موجود و موقفه بدري تمام؟ معناه
+
+56
+00:04:53,140 --> 00:04:57,840
+عندي خلال ايه؟ shallow breathing و مدامه قصير
+
+57
+00:04:57,840 --> 00:05:03,140
+معناه بيخلي ال rate عالي تمام؟ اذا في عندي مدى ان
+
+58
+00:05:03,140 --> 00:05:07,040
+انا اتنفس كتير ال respiratory rate اذا لما يزيد
+
+59
+00:05:07,040 --> 00:05:14,500
+نشاط ال pneumotoxic center pneumotoxiccenter ممكن
+
+60
+00:05:14,500 --> 00:05:18,680
+يعمل ليه suppression سريع ل respiration و يخلي ان
+
+61
+00:05:18,680 --> 00:05:24,380
+كل نفس ينكتع بسرعة و يقدر الى ايه سرعة التنفس في
+
+62
+00:05:24,380 --> 00:05:27,120
+الحالة هذه برضه بيكون ايه shallow breathing و
+
+63
+00:05:27,120 --> 00:05:31,020
+rapid لو كان ال pneumotactic center او
+
+64
+00:05:31,020 --> 00:05:35,820
+pneumotactic centerبطيق معناه ال inspiration بياخد
+
+65
+00:05:35,820 --> 00:05:38,980
+و اضعه لحد ما يصير له inhibition يعني هو بيوقف ال
+
+66
+00:05:38,980 --> 00:05:43,240
+inspiration عند level معين تمام فلما أقف بدري بدي
+
+67
+00:05:43,240 --> 00:05:47,600
+فرصة ان انا اكرره كتير لما أقف متأخر باخد more دي
+
+68
+00:05:47,600 --> 00:05:52,500
+inspiration معناه بيكون ال rate اياش بطيق التنين
+
+69
+00:05:52,500 --> 00:05:57,300
+هدول هم الأساس في ال normal respiration لكن فوجد
+
+70
+00:05:57,300 --> 00:06:04,630
+ما يكون انا عندي exerciseبدي دعم لل deep
+
+71
+00:06:04,630 --> 00:06:08,790
+expiration, deep inspiration, forced expiration اه
+
+72
+00:06:08,790 --> 00:06:11,930
+معناها بده يدخل مجموعة تالتة ال ventral
+
+73
+00:06:11,930 --> 00:06:15,210
+respiratory group ال ventral respiratory group
+
+74
+00:06:15,210 --> 00:06:21,130
+تمام بالاضافة اذا هدول عندى تلت حاجات موجودة تلتة
+
+75
+00:06:21,130 --> 00:06:27,080
+groups of nucleiبيضيف لهم لو طلعنا بعد شوية هنلاقي
+
+76
+00:06:27,080 --> 00:06:31,380
+hand في المنطقة هذه موجود في عنا chemo sensitive
+
+77
+00:06:31,380 --> 00:06:39,560
+area اللي بتعمل regulation centrally
+
+78
+00:06:41,870 --> 00:06:44,490
+حساسة للتغيرات لكنها هذه موجودة في الـ central
+
+79
+00:06:44,490 --> 00:06:47,830
+nervous system لأنه من ميزها عن ال peripheral
+
+80
+00:06:47,830 --> 00:06:51,070
+regulation اللي موجود في ال ايه؟ ال aortic .. اه
+
+81
+00:06:51,070 --> 00:06:55,570
+في ال carotid bodies و ال aortic arch، تمام؟ اذا
+
+82
+00:06:55,570 --> 00:07:00,890
+في عندي انا center و في عندي sensors بيخلوا اتحكم
+
+83
+00:07:00,890 --> 00:07:06,850
+في هذا ال center ال respiratory center هذا اللي هو
+
+84
+00:07:06,850 --> 00:07:11,870
+ال dorsal respiratory groupof a nuclei بيصلوا ال
+
+85
+00:07:11,870 --> 00:07:15,610
+innovations اللي جاية بتديني خبر عن ال carbon
+
+86
+00:07:15,610 --> 00:07:17,890
+dioxide و ال oxygen و ال .. و ال .. و ال hydrogen
+
+87
+00:07:17,890 --> 00:07:21,210
+ion concentration عبر ال Vegas nerve و ال
+
+88
+00:07:21,210 --> 00:07:24,590
+glossopharyngeal nerve تمام؟ اذا هم هنا عندنا
+
+89
+00:07:24,590 --> 00:07:28,470
+termination ل ال Vegas و ال glossopharyngeal في
+
+90
+00:07:28,470 --> 00:07:33,530
+مينفي ال respiratory center هذا بيوصلوا إشارات من
+
+91
+00:07:33,530 --> 00:07:37,870
+مين من ال peripheral regulation هم ال grosses
+
+92
+00:07:37,870 --> 00:07:40,890
+pharyngeae اللي بيجيب من ال carotid bodiesو ال
+
+93
+00:07:40,890 --> 00:07:44,510
+aortic arch و إذا كان أبضومينا كمان blood vessels
+
+94
+00:07:44,510 --> 00:07:49,050
+بتشيين عبر مين؟ عبر ال Vegas مش كده؟ طيب إذا في
+
+95
+00:07:49,050 --> 00:07:53,070
+عندي hand center بتحكم .. بتشارك معاه a
+
+96
+00:07:53,070 --> 00:07:57,430
+pneumotoxic center اتنين مع بعض بيتحكمولي في ال
+
+97
+00:07:57,430 --> 00:08:01,530
+normal breath و في عندي ال .. ال .. ال .. ال .. ال
+
+98
+00:08:01,530 --> 00:08:06,590
+ventral group هذه بتتحكملي أو بتساعد ال normal
+
+99
+00:08:06,590 --> 00:08:10,610
+breath إذا كان محتاجين potentiationفي exercise أو
+
+100
+00:08:10,610 --> 00:08:17,430
+في غيره واضح؟ طيب ال .. الآن بنتكلم عن ال dorsal
+
+101
+00:08:17,430 --> 00:08:22,190
+group هذه كيف بترسل إشارتها إلى ال inspiratory
+
+102
+00:08:22,190 --> 00:08:26,310
+muscles يعني هي احنا عندنا ال inspiration active
+
+103
+00:08:26,310 --> 00:08:30,930
+لكن ال expiration passive في ال normal بيكون
+
+104
+00:08:30,930 --> 00:08:35,550
+passive يعني احنا اذا عملنا inspiration تمام و
+
+105
+00:08:35,550 --> 00:08:40,850
+بعدين توقف ال expiration لحاله بيصيرطب إذا كان ال
+
+106
+00:08:40,850 --> 00:08:43,410
+inspiration بيكون short، ال expiration بيكون
+
+107
+00:08:43,410 --> 00:08:48,710
+short، إذا كان ال inspiration بيكون دي long، تاني
+
+108
+00:08:48,710 --> 00:08:51,810
+بيكون زيه، فالتانية .. يعني هنا في علاقة ما بين ال
+
+109
+00:08:51,810 --> 00:08:55,330
+.. ال inspiration و في الآخر و ال rate of air
+
+110
+00:08:55,330 --> 00:08:58,950
+expiration حسب المدة اللي جاعدها، بقدر إلى إنه في
+
+111
+00:08:58,950 --> 00:09:03,310
+عندي repeated more than normal ولا normal ولا ..
+
+112
+00:09:06,190 --> 00:09:11,990
+بنلاحظ احنا هنا عندنا ال inspiratory او act هان
+
+113
+00:09:11,990 --> 00:09:14,910
+اللي بتتم under the control of the dorsal
+
+114
+00:09:14,910 --> 00:09:22,450
+respiratory group بتكون لها مواصفات العجلة
+
+115
+00:09:22,450 --> 00:09:26,470
+التسارعية يعني بتنزل اشارة من ال respiratory group
+
+116
+00:09:26,470 --> 00:09:33,480
+لل muscles مش كلهالأ مش هيك تجي نعم بهدوء مانحسش
+
+117
+00:09:33,480 --> 00:09:38,480
+فيها بزيد بزيد بزيد بزيد و بعدين بتروح ترجع تاني
+
+118
+00:09:38,480 --> 00:09:41,920
+بهدوء بزيد بزيد بزيد بزيد من غير ما نحس فيها،
+
+119
+00:09:41,920 --> 00:09:47,620
+تمام؟ يعني في عجلة في التسارع زي ما واحد نازل من
+
+120
+00:09:47,620 --> 00:09:52,720
+منحدر، بيضل يتسارع في الايه، مش كده؟ يعني مش سرعة
+
+121
+00:09:52,720 --> 00:09:53,540
+ثابتة
+
+122
+00:09:56,030 --> 00:10:00,850
+الاشارة الى ال
+
+123
+00:10:00,850 --> 00:10:03,390
+respiratory center الاشارة الى ال respiratory
+
+124
+00:10:03,390 --> 00:10:07,290
+center الاشارة الى ال respiratory center الاشارة
+
+125
+00:10:07,290 --> 00:10:11,710
+الى ال respiratory center الاشارة الى ال
+
+126
+00:10:11,710 --> 00:10:15,190
+respiratory center الاشارة الى ال respiratory
+
+127
+00:10:15,190 --> 00:10:16,550
+center الاشارة الى ال respiratory center الاشارة
+
+128
+00:10:16,550 --> 00:10:18,710
+الى ال respiratory center الاشارة الى ال
+
+129
+00:10:18,710 --> 00:10:20,210
+respiratory center الاشارة الى ال respiratory
+
+130
+00:10:20,210 --> 00:10:21,650
+center الاشارة الى ال respiratory center الاشارة
+
+131
+00:10:21,650 --> 00:10:22,230
+الى ال respiratory center الاشارة الى ال
+
+132
+00:10:22,230 --> 00:10:23,170
+respiratory center الاشارة الى ال respiratory
+
+133
+00:10:23,170 --> 00:10:23,170
+center الاشارة الى ال respiratory center الاشارة
+
+134
+00:10:23,170 --> 00:10:23,190
+الى ال respiratory center الاشارة الى ال
+
+135
+00:10:23,190 --> 00:10:23,210
+respiratory center الاشارة الى ال respiratory
+
+136
+00:10:23,210 --> 00:10:23,230
+center الاشارة الى ال respiratory center الاشارة
+
+137
+00:10:23,230 --> 00:10:23,230
+الى ال respiratory center الاشارة الى ال
+
+138
+00:10:23,230 --> 00:10:23,230
+respiratory center الاشارة الى ال respiratory
+
+139
+00:10:23,230 --> 00:10:23,230
+center الاشارة الى ال respiratory center الاشارة
+
+140
+00:10:23,230 --> 00:10:23,350
+الى ال respiratory center الاشارة الى ال
+
+141
+00:10:23,350 --> 00:10:28,510
+respiratoryعن أماكنهم في ال central nervous system
+
+142
+00:10:28,510 --> 00:10:32,870
+بدقة يعني مسجلة بس يعني ماظنش انا هسألكوا فيهم ولا
+
+143
+00:10:32,870 --> 00:10:35,730
+انا هأديكوا الوصف الدقيق لهم لإن ال
+
+144
+00:10:35,730 --> 00:10:37,610
+neurophysiology أنا مابحبش ال neurophysiology
+
+145
+00:10:37,610 --> 00:10:46,210
+بتكلموا عن ال dorsal group هنا موجودة mainly في ال
+
+146
+00:10:46,210 --> 00:10:51,750
+tractus solitarius nucleusتمام؟ وإنه ال ventral
+
+147
+00:10:51,750 --> 00:10:58,230
+group موجودة في ال .. في ال .. إيش المجموع عم
+
+148
+00:10:58,230 --> 00:11:06,110
+يسميها؟ نيوكلياس بارا بارا براكياليز group تمام؟
+
+149
+00:11:06,110 --> 00:11:10,250
+يعني في تفاصيل و أسماء و كده بتخص ال central
+
+150
+00:11:10,250 --> 00:11:14,870
+nervous system لكن إحنا خليني أتكلم عن إيه؟ عن how
+
+151
+00:11:14,870 --> 00:11:23,240
+the function .. إذا هناعنا مجموعات مسامة أماكنها
+
+152
+00:11:23,240 --> 00:11:24,700
+طيب .. الآن
+
+153
+00:11:31,740 --> 00:11:35,240
+العمل تبع ال respiratory center هذا احنا بيقول ال
+
+154
+00:11:35,240 --> 00:11:39,080
+respiratory center نقصد في التلاتة بس a quiet
+
+155
+00:11:39,080 --> 00:11:41,820
+respiration اللي بيشتغل في ال respiratory center
+
+156
+00:11:41,820 --> 00:11:46,660
+ال dorsal group وبيحكمها ال pneumotoxic center
+
+157
+00:11:46,660 --> 00:11:52,060
+يعني ال .. ال .. ال .. ال .. ال respiratory signal
+
+158
+00:11:52,060 --> 00:11:54,620
+بتيجي من ال respiratory .. من ال dorsal group
+
+159
+00:11:54,620 --> 00:11:59,500
+بتيجي as a ramp زي ما قلنا كأنه نزل و نحضر بتسارع
+
+160
+00:11:59,500 --> 00:12:02,990
+بعجلةبتزيد .. بتزيد .. بتزيد .. بتزيد .. بتزيد ..
+
+161
+00:12:02,990 --> 00:12:12,030
+بتزيد .. بتزيد .. بتزيد .. بتزيد .. بتزيد .. بتزيد
+
+162
+00:12:12,030 --> 00:12:13,270
+.. بتزيد .. بتزيد .. بتزيد .. بتزيد .. بتزيد ..
+
+163
+00:12:13,270 --> 00:12:13,470
+بتزيد .. بتزيد .. بتزيد .. بتزيد .. بتزيد .. بتزيد
+
+164
+00:12:13,470 --> 00:12:13,470
+.. بتزيد .. بتزيد .. بتزيد .. بتزيد .. بتزيد ..
+
+165
+00:12:13,470 --> 00:12:13,490
+بتزيد .. بتزيد .. بتزيد .. بتزيد .. بتزيد .. بتزيد
+
+166
+00:12:13,490 --> 00:12:14,550
+.. بتزيد .. بتزيد .. بتزيد .. بتزيد .. بتزيد ..
+
+167
+00:12:14,550 --> 00:12:20,890
+بتزيد .. بتزيد .. بتزيد .. بتزيد
+
+168
+00:12:20,890 --> 00:12:23,770
+.. بتزيد .. بتزيد .. بتزيد .. بتزيد .. بتزيد ..
+
+169
+00:12:23,770 --> 00:12:24,610
+بتزيد .. بتزيد .. بتزيد .. بتزيد .. بتزيد .. بتزيد
+
+170
+00:12:24,610 --> 00:12:28,870
+.. بتزيد .. بتزيد .. بتزيد
+
+171
+00:12:31,160 --> 00:12:35,180
+وقلنا انه بالطريقة هادى بيصير عندنا احنا كل ما
+
+172
+00:12:35,180 --> 00:12:39,120
+زادت الإشارة من ال nemotoxic center كل ما زادت ..
+
+173
+00:12:39,120 --> 00:12:42,100
+كل ما صار عندى سرعة في ال ايه؟ في التنفس و
+
+174
+00:12:42,100 --> 00:12:45,420
+shortness في ال inspiration كل ما جلت ال activity
+
+175
+00:12:45,420 --> 00:12:48,300
+بتاعت ال nemotoxic center بيدي فرصة لها ال ramp
+
+176
+00:12:48,300 --> 00:12:54,320
+يمشي يصلى more دي يبقى ال inspiration و بعدين يبقى
+
+177
+00:12:54,320 --> 00:12:58,270
+متأخر فتصير ال rate of inspiration عندى ايش؟إذا
+
+178
+00:12:58,270 --> 00:13:02,650
+عندي ال activity هذه بتشتغل بطريقة عكسية لإيه؟ لما
+
+179
+00:13:02,650 --> 00:13:05,230
+أقول active .. hyperactive pneumotactic center
+
+180
+00:13:05,230 --> 00:13:10,530
+معناها عندي very slow .. hyperactive يعني إيه؟
+
+181
+00:13:10,530 --> 00:13:17,600
+عندي .. عندي rapid rate، slow rate عندي إيه؟slow
+
+182
+00:13:17,600 --> 00:13:21,100
+activity of the pneumotoxin skinter بيكون عندي ايه
+
+183
+00:13:21,100 --> 00:13:25,140
+ال rate of inspiration ايه بنزل بس بيكون عندي دي
+
+184
+00:13:25,140 --> 00:13:26,340
+inspiration
+
+185
+00:13:34,820 --> 00:13:38,040
+the obvious advantage of the ramp is that it
+
+186
+00:13:38,040 --> 00:13:41,320
+causes a steady increase in the volume of the
+
+187
+00:13:41,320 --> 00:13:46,040
+lungs during inspiration rather than inspiratory
+
+188
+00:13:46,040 --> 00:13:53,780
+gasps يعني مش إيه إشي بسرعة أو روح بيعمل steady
+
+189
+00:13:53,780 --> 00:13:58,580
+increase زيادة متواصلة زيادة ورا زيادة ورا زيادة
+
+190
+00:14:04,740 --> 00:14:08,460
+إذا .. إذا بيعملي ال nemotoxic center بيعملي
+
+191
+00:14:08,460 --> 00:14:12,900
+limiting point بيعملي إيش؟ limiting point بينهي ال
+
+192
+00:14:12,900 --> 00:14:16,020
+inspiration فيها control of the limiting point at
+
+193
+00:14:16,020 --> 00:14:21,180
+which the ramp suddenly seizes it is .. this is
+
+194
+00:14:21,180 --> 00:14:23,540
+the usual method for controlling the rate of
+
+195
+00:14:23,540 --> 00:14:28,260
+respiration that is the earlier the ramp seizes
+
+196
+00:14:28,260 --> 00:14:32,360
+the shorter the duration of inspiration this also
+
+197
+00:14:32,360 --> 00:14:35,390
+shortens the duration of expirationهذا ما يزيد عدد
+
+198
+00:14:35,390 --> 00:14:43,890
+الهواء نيومو تاكسيك نيومو
+
+199
+00:14:43,890 --> 00:14:45,250
+تاكسيك نيومو تاكسيك نيومو تاكسيك نيومو تاكسيك
+
+200
+00:14:45,250 --> 00:14:49,130
+نيومو تاكسيك نيومو تاكسيك نيومو تاكسيك نيومو
+
+201
+00:14:49,130 --> 00:14:54,250
+تاكسيك نيومو تاكسيك نيومو تاكسيك نيومو تاكسيك
+
+202
+00:14:54,250 --> 00:14:56,910
+نيومو تاكسيك نيومو تاكسيك نيومو تاكسيك نيومو
+
+203
+00:14:56,910 --> 00:15:02,810
+تاكسيك نيومو تاكسيك نيومو تاكسيك نيومو تاكسيك
+
+204
+00:15:02,810 --> 00:15:05,900
+نيومو تاكسيك نيومو تاكسيك نinspiration might last
+
+205
+00:15:05,900 --> 00:15:10,120
+for as little as 0.5 seconds إذا strong، ال
+
+206
+00:15:10,120 --> 00:15:14,640
+inspiration بتصير short، مش كده؟ أما ال frequency
+
+207
+00:15:14,640 --> 00:15:21,720
+بتصير عالي، و العكس صح يعني إذا ال function، the
+
+208
+00:15:21,720 --> 00:15:24,820
+main function of the pneumotoxic center is
+
+209
+00:15:24,820 --> 00:15:29,040
+primarily to limit inspiration، توقف ال
+
+210
+00:15:29,040 --> 00:15:33,170
+inspiration لحد معينهذا لديه إفاقة ثانوية لإزالة
+
+211
+00:15:33,170 --> 00:15:37,830
+حرارة الهواء لأن حرارة الهواء أيضًا يقلل الاستجابة
+
+212
+00:15:37,830 --> 00:15:45,190
+ومدة طول كل حرارة حرارة حرارة ميوتاكسيكية
+
+213
+00:15:45,190 --> 00:15:51,670
+قوية يمكن أن تزيد حرارة الحرارة يمكن أن نقل حرارة
+
+214
+00:15:51,670 --> 00:15:56,900
+الحرارةالـ Ventral respiratory group اتكلمنا عنها
+
+215
+00:15:56,900 --> 00:16:03,800
+موجودة مش في ال .. ال .. ال .. المجموعة HAN في ال
+
+216
+00:16:03,800 --> 00:16:06,700
+nucleus parapracalis اللي هو نيوموتاكسيسينتر في
+
+217
+00:16:06,700 --> 00:16:11,580
+البنز أما ال voluntary .. ال .. ال Ventral group
+
+218
+00:16:11,580 --> 00:16:16,800
+of nuclei of neurons موجودة في ال nucleus
+
+219
+00:16:16,800 --> 00:16:19,680
+ambiguous و ال nucleus paraambiguous
+
+220
+00:16:19,680 --> 00:16:24,880
+retroambiguous is an ambiguous nucleus ambiguousهو
+
+221
+00:16:24,880 --> 00:16:30,260
+ال retro ambiguous عارفين إيش يعني ambiguous
+
+222
+00:16:30,260 --> 00:16:36,060
+معناها؟ ambiguous يعني محير، حائرة، ambiguous يعني
+
+223
+00:16:36,060 --> 00:16:39,180
+محتر، مش محدد بالظبط، مش واضح
+
+224
+00:16:43,050 --> 00:16:48,970
+يعرفني ايه شغلتها بتساعدني انا في ال extra work
+
+225
+00:16:48,970 --> 00:16:52,550
+لما يكون عندي extra .. اه needs for more
+
+226
+00:16:52,550 --> 00:16:55,850
+inspiration and expiration هذه ال .. ال .. ال ..
+
+227
+00:16:55,850 --> 00:16:58,710
+ال ventral group لاحظنا انه لو عملنا فيه لبعض هال
+
+228
+00:16:58,710 --> 00:17:03,170
+simulation بتعمل inspiration .. simulation for
+
+229
+00:17:03,170 --> 00:17:06,310
+inspiration وجزء تاني لو عملنا ال simulation بيعمل
+
+230
+00:17:06,310 --> 00:17:08,900
+ال simulation لل ايه؟لل expiration بمعنى
+
+231
+00:17:08,900 --> 00:17:12,120
+potentiating ال inspiration أو ال expiration أو
+
+232
+00:17:12,120 --> 00:17:17,540
+potentiating ال expiration لذلك فيها مناطق بتعمل
+
+233
+00:17:17,540 --> 00:17:21,680
+شيء و مناطق تانية بتعمل عكسها لذلك يقولون هي
+
+234
+00:17:21,680 --> 00:17:27,920
+بتلزمني في ال .. في ال .. ال exercise for deeper
+
+235
+00:17:27,920 --> 00:17:32,480
+inspiration and .. and forced .. more forced
+
+236
+00:17:32,480 --> 00:17:36,520
+expiration في الحالة اللي أنا محتاج أعمل مثلك
+
+237
+00:17:36,520 --> 00:17:36,940
+أشياء
+
+238
+00:17:43,000 --> 00:17:48,620
+هذه اللي هو الـ Center الـ Spiratory Center وقولنا
+
+239
+00:17:48,620 --> 00:17:54,420
+انه بتحكم فيه بيعمل ال limiting point بتحكم فيها
+
+240
+00:17:54,420 --> 00:17:58,420
+ال Nemotoxic Center هذا الـ Centrally عندنا
+
+241
+00:17:58,420 --> 00:18:03,430
+Peripheral Reflex ممكن برضه يتحكمفي ال limiting
+
+242
+00:18:03,430 --> 00:18:07,130
+point بس انا مش في ال normal conditions تمام ال
+
+243
+00:18:07,130 --> 00:18:11,030
+normal conditions pneumotoxic center هو اللي ايه
+
+244
+00:18:11,030 --> 00:18:18,590
+بتحكم لكن برضه في يعني في قوة اخرى ممكن تتحكم يعني
+
+245
+00:18:18,590 --> 00:18:25,050
+انا اخدت inspiration inspiration أو deep
+
+246
+00:18:25,050 --> 00:18:31,320
+inspirationand more deep inspiration لدرجة ان انا
+
+247
+00:18:31,320 --> 00:18:35,480
+عندى ايه اعمل stretch كبير للريقتين مابتخلينيش
+
+248
+00:18:35,480 --> 00:18:39,100
+الريقتين اعمل stretch لكيف مابدي تمام فى limits
+
+249
+00:18:39,100 --> 00:18:42,800
+لها تمام ففى عندى اشارة من ال stretch receptors
+
+250
+00:18:42,800 --> 00:18:48,500
+اللى موجودينفي ال muscles of the bronchioles و ال
+
+251
+00:18:48,500 --> 00:18:52,680
+.. اه ال main bronchioles و ال .. ال .. ال large
+
+252
+00:18:52,680 --> 00:18:55,600
+bronchioles يعني ال stretch اللي بيصير عليهم على
+
+253
+00:18:55,600 --> 00:18:59,640
+ال muscles تبعتهم بيقدي إلى يبعتوا إشارة إلى ال
+
+254
+00:18:59,640 --> 00:19:03,060
+respiratory center يعملواlimiting point to
+
+255
+00:19:03,060 --> 00:19:05,280
+simulate the limiting point to stop inspiration
+
+256
+00:19:05,280 --> 00:19:08,120
+يعني زي ما يبقى on the pneumotactic center لكنه
+
+257
+00:19:08,120 --> 00:19:11,620
+هدول بتشتغلوا في abnormal conditions لما يصير عند
+
+258
+00:19:11,620 --> 00:19:14,960
+ال inspiration ان ال tidal volume تلت أضعف الطبيعي
+
+259
+00:19:14,960 --> 00:19:20,020
+يعني الطبيعي انا يكون عندي خمسمية ملي لتر مش كده
+
+260
+00:19:20,020 --> 00:19:23,520
+لكن لو انا أخدت الف و خمسمية بلاقي ان ال tidal
+
+261
+00:19:23,520 --> 00:19:29,750
+volume صار عندي ايه؟صار له reflex inhibition
+
+262
+00:19:29,750 --> 00:19:34,210
+reflex suppression للإيه لال inspiration نأتي
+
+263
+00:19:34,210 --> 00:19:38,490
+شهادة من الايه ال stress receptors that transmit
+
+264
+00:19:38,490 --> 00:19:42,710
+signals through the vagina هنا .. هنا اتكلم عن ال
+
+265
+00:19:42,710 --> 00:19:48,670
+lungs في العالم الفيجاس مش كده located in the
+
+266
+00:19:48,670 --> 00:19:52,420
+muscularportions of the walls of the bronchi and
+
+267
+00:19:52,420 --> 00:19:55,800
+bronchioles اذا ال muscles اللي موجودة في ال
+
+268
+00:19:55,800 --> 00:19:59,440
+bronchi و ال bronchioles لما يصيرها stretch بتعمل
+
+269
+00:19:59,440 --> 00:20:03,760
+ال .. بيسمي hearing brower reflex مش بيسمي hearing
+
+270
+00:20:03,760 --> 00:20:10,020
+brower reflex اللي هو بيجيني من ال lung to stop
+
+271
+00:20:10,660 --> 00:20:13,840
+more inflation of the lung ال lung وصلت في ال
+
+272
+00:20:13,840 --> 00:20:17,720
+inflation إلى it's maximum فبقدرش انا اضالي اخد
+
+273
+00:20:17,720 --> 00:20:21,880
+اكتر فالجلي حاله مقطع النفس بسبب إشارة بتصل من مين
+
+274
+00:20:21,880 --> 00:20:27,100
+من ال stress receptors بتصل عبر ال Vegas واضح؟ اذا
+
+275
+00:20:27,100 --> 00:20:30,040
+هنا ال hearing brewer عبر ال Vegas لكن ال
+
+276
+00:20:30,040 --> 00:20:33,440
+peripheral control in general جزء منه عبر ال
+
+277
+00:20:33,440 --> 00:20:36,340
+glossopharyngeal وجزء منه عبر ال ايه؟ ال Vegas
+
+278
+00:20:46,660 --> 00:20:51,280
+إذن هذا الـ Reflex يبدو كمصطلح محمي
+
+279
+00:20:54,600 --> 00:20:58,660
+for preventing excess lung inflation rather than
+
+280
+00:20:58,660 --> 00:21:01,620
+an important ingredient in normal control of the
+
+281
+00:21:01,620 --> 00:21:05,920
+ventilation إذا هو مش reflex طبيعي عشان يعمله
+
+282
+00:21:05,920 --> 00:21:09,360
+control and inspiration لأ هو بده يمنع ال over
+
+283
+00:21:09,360 --> 00:21:16,680
+distention the control of overall respiratory
+
+284
+00:21:16,680 --> 00:21:20,300
+center activity إذا respiratory center activity
+
+285
+00:21:20,300 --> 00:21:23,140
+اتكلمنا عنه عند الدورزل
+
+286
+00:21:27,860 --> 00:21:32,300
+الان ال control تبع هدول بيجينا عبر حاجتين عبر ال
+
+287
+00:21:32,300 --> 00:21:35,860
+central control اللي هو ال chemical sensitive area
+
+288
+00:21:35,860 --> 00:21:40,860
+اللي موجودة بجوار ال respirator center
+
+289
+00:21:43,450 --> 00:21:50,390
+beneath the ventral .. the anterior aspect of the
+
+290
+00:21:50,390 --> 00:21:54,790
+.. of the medulla oblongata تمام؟ يعني موجود جنب
+
+291
+00:21:54,790 --> 00:22:00,430
+ال respiratory center اذا
+
+292
+00:22:00,430 --> 00:22:04,810
+بنسميها chemosensitive area chemosensitive area
+
+293
+00:22:04,810 --> 00:22:09,170
+وعنا اللي هو ال peripheral control على ايه؟ قولنا
+
+294
+00:22:09,170 --> 00:22:14,110
+ال chemoreceptors اللي موجودة وين؟ طيب، خيصةالان
+
+295
+00:22:14,110 --> 00:22:22,150
+ال .. ال .. ال .. ال sensitivity of these areas ال
+
+296
+00:22:22,150 --> 00:22:29,750
+chemo sensitive او chemo .. ال chemoreceptors what
+
+297
+00:22:29,750 --> 00:22:38,100
+is the .. what is the changes that occur hereto
+
+298
+00:22:38,100 --> 00:22:42,180
+affect these centers تمام؟ اننا الان بتكلم عن ال
+
+299
+00:22:42,180 --> 00:22:45,880
+central control
+
+300
+00:22:45,880 --> 00:22:49,360
+ال central control و ال peripheral control ليش
+
+301
+00:22:49,360 --> 00:22:53,500
+احنا جسمناهم بشكل هذا؟ لأنه لاحظنا انه centrally
+
+302
+00:22:53,500 --> 00:23:00,380
+the carbon dioxide is the most effective و
+
+303
+00:23:00,380 --> 00:23:04,500
+peripherally the oxygen pressure is the most
+
+304
+00:23:04,500 --> 00:23:10,720
+effectiveو حقيقة هو ممكن يتبادلوا الأدوار أحيانا و
+
+305
+00:23:10,720 --> 00:23:16,200
+يتبادلوا الأدوار بطريقة صحية جدا و بطريقة لمصلحة
+
+306
+00:23:16,200 --> 00:23:21,580
+الجسم جدا و هنتكلم عليها بعد شوية لما يتحول ال
+
+307
+00:23:21,580 --> 00:23:26,820
+control من ال oxygen من ال carbon dioxide upper
+
+308
+00:23:26,820 --> 00:23:32,050
+hand إلى ال oxygen upper hand واضح؟ تمامالان اذا
+
+309
+00:23:32,050 --> 00:23:38,050
+عندي انا تلت عناصر بتصير أثناء ال inspiration في
+
+310
+00:23:38,050 --> 00:23:44,710
+ال inspiration بنزود ال oxygen مش كده و بنطرد
+
+311
+00:23:44,710 --> 00:23:49,030
+carbon dioxide و في نفس الوقت عندي hydrogen ions
+
+312
+00:23:49,030 --> 00:23:58,270
+بتتكون بنتخلص منها ايضا اذا ال
+
+313
+00:23:58,270 --> 00:24:03,870
+carbon dioxide عليهمعناها ال ventilation process
+
+314
+00:24:03,870 --> 00:24:06,650
+صار فيها مشكلة محتاجين إيه؟ لإن ال ventilation
+
+315
+00:24:06,650 --> 00:24:10,670
+تزيد عشان نرجع ال carbon dioxide إلى الوضع الطبيعي
+
+316
+00:24:10,670 --> 00:24:17,570
+إذا ال oxygen tension وطي معناها أنا عندي مشكلة في
+
+317
+00:24:17,570 --> 00:24:20,550
+ال ventilation إذا ال hydrogen ions concentration
+
+318
+00:24:20,550 --> 00:24:24,310
+عليه أنا عندي مشكلة إذا دول تلت أشياء بيزودوا
+
+319
+00:24:24,310 --> 00:24:31,350
+لإيه؟ال .. ال respiratory center to increase the
+
+320
+00:24:31,350 --> 00:24:36,050
+ventilation process to get the concentrations of
+
+321
+00:24:36,050 --> 00:24:39,410
+these things back to the .. to the normal رجعهم
+
+322
+00:24:39,410 --> 00:24:43,990
+للوضع الطبيعي واضح؟ طيب بنقول احنا هنا .. عنا ..
+
+323
+00:24:43,990 --> 00:24:49,990
+عنا two areas خلينا ايه؟ ان انا chemo sensitive
+
+324
+00:24:49,990 --> 00:24:54,730
+area وعنا peripheral control
+
+325
+00:24:57,230 --> 00:25:04,070
+من خلال ال .. ال carotid arch carotid bodies
+
+326
+00:25:04,070 --> 00:25:10,010
+موجودة فيها carotid ايه؟ او
+
+327
+00:25:10,010 --> 00:25:13,030
+ال aortic arch اذا ال aortic arch في aortic bodies
+
+328
+00:25:13,030 --> 00:25:17,070
+و ال carotid common carotid او ال bifurcation هنا
+
+329
+00:25:17,070 --> 00:25:20,790
+موجود carotid bodies اذا في bodies موجودة في ال
+
+330
+00:25:20,790 --> 00:25:25,940
+carotid و في ال aorta اسمهمالشركات الكاروتية أو
+
+331
+00:25:25,940 --> 00:25:29,340
+الشركات الأوروثية لهم ميكانيزم في مسألة الـ
+
+332
+00:25:29,340 --> 00:25:34,900
+sensation هنتكلم عنها ال
+
+333
+00:25:34,900 --> 00:25:40,200
+sensitivity of each of those is different تمام؟
+
+334
+00:25:40,200 --> 00:25:45,260
+الكيمو ريسبتور هان are more sensitive to carbon
+
+335
+00:25:45,260 --> 00:25:50,840
+dioxide it changes الغريب انه لو احنا اجينا عملنا
+
+336
+00:25:50,840 --> 00:25:55,190
+test على ال centers هذهالـ Chemosensitive Area
+
+337
+00:25:55,190 --> 00:26:00,250
+وحطينا Carbon Dioxide Concentration و Hydrogen Ion
+
+338
+00:26:00,250 --> 00:26:04,170
+Concentration و Oxygen Concentration غيرنا التلاتة
+
+339
+00:26:04,170 --> 00:26:08,610
+هلاقي الـ Hydrogen Ion Concentration is the most
+
+340
+00:26:08,610 --> 00:26:13,770
+direct stimulant تمام؟ إذا كل ما زاد الـ Hydrogen
+
+341
+00:26:13,770 --> 00:26:17,590
+كل ما صار عندى more stimulation لمين؟ لـ
+
+342
+00:26:17,590 --> 00:26:24,040
+Respiration طيب تعالي نيجي للدمنطلع نعلي في الدم
+
+343
+00:26:24,040 --> 00:26:28,380
+مش direct stimulation نعلي ال hydrogen ions و نعلي
+
+344
+00:26:28,380 --> 00:26:32,360
+ال carbon dioxide و نوطي ال oxygen هنلاقي the most
+
+345
+00:26:32,360 --> 00:26:37,740
+active ال carbon dioxide تمام؟ إذا ال carbon
+
+346
+00:26:37,740 --> 00:26:42,140
+dioxide concentration لما بيرفع هو the main
+
+347
+00:26:42,140 --> 00:26:46,120
+stimulant for the air طب إيش الفكرة؟ الفكرة إنه ال
+
+348
+00:26:46,120 --> 00:26:50,840
+carbon dioxideالكربون دايكسايد يمكن أن يتفوز
+
+349
+00:26:50,840 --> 00:26:54,640
+بسهولة إلى المنطقة الكيموسنسيفة وهناك زي ما
+
+350
+00:26:54,640 --> 00:26:59,180
+اتكلمنا في أماكن أخرى الكربون دايكسايد مع الميه
+
+351
+00:26:59,180 --> 00:27:02,260
+بتحول لكربونك أسد وكربونك وايكربونات وهيدروجين
+
+352
+00:27:02,260 --> 00:27:05,600
+الهيدروجين اللي بتكونها بيبقى متناسب مع قدش فيه
+
+353
+00:27:05,600 --> 00:27:10,140
+عند أنا أيش كربون دايكسايد تمام؟ اذا okay هو
+
+354
+00:27:10,140 --> 00:27:13,380
+الكربون دايكسايد ارتفاعه اللي عمل ال simulation
+
+355
+00:27:13,380 --> 00:27:16,780
+لكن ال direct simulation by أيش؟ by hydrogen ions
+
+356
+00:27:18,220 --> 00:27:24,060
+لما اتكلم الفصل الجاى عن ال .. ال .. بـ twitter
+
+357
+00:27:24,060 --> 00:27:29,930
+gland هلاجى انه الـ Testosteroneفى الدم اللى هو
+
+358
+00:27:29,930 --> 00:27:34,570
+الهرمون الذكري لما بيعمل ال simulation اللى بتوتري
+
+359
+00:27:34,570 --> 00:27:39,270
+gland بيعملها ال simulation عبر ال estrogen لإن هو
+
+360
+00:27:39,270 --> 00:27:41,950
+لما يدخل ال cells عشان يعمل ال simulation بنروح
+
+361
+00:27:41,950 --> 00:27:45,850
+متحول ل estrogen فهنا صحيح ال direct simulator هو
+
+362
+00:27:45,850 --> 00:27:50,590
+ال estrogen لكده نعكسهبحجب ال testosterone، جداش
+
+363
+00:27:50,590 --> 00:27:53,470
+فيه عمل testosterone، جداش صار تحويل ل أستروجين،
+
+364
+00:27:53,470 --> 00:27:56,830
+جداش عمل simulation أو separation، حسب، مش كده؟
+
+365
+00:27:56,830 --> 00:28:01,610
+هنا ال direct hydrogen، لكنه ال .. ال hydrogen
+
+366
+00:28:01,610 --> 00:28:05,950
+اللي متوفر direct locally depends .. depends on
+
+367
+00:28:05,950 --> 00:28:08,390
+the concentration of carbon dioxide، لأن ال
+
+368
+00:28:08,390 --> 00:28:10,770
+perfusion and distribution of carbon dioxide
+
+369
+00:28:11,430 --> 00:28:14,250
+through the tissues is easier than the hydrogen
+
+370
+00:28:14,250 --> 00:28:19,230
+ions اذا ان وصول ال carbon dioxide اسهل من الدم من
+
+371
+00:28:19,230 --> 00:28:24,230
+ال plasma الى ال cells اسهل كتير من ايه من وصول ال
+
+372
+00:28:24,230 --> 00:28:26,450
+hydrogen ions فهذا بدي advantage على carbon
+
+373
+00:28:26,450 --> 00:28:30,680
+dioxide لكن locally بيصير عن طريق الايه؟الـ
+
+374
+00:28:30,680 --> 00:28:32,640
+hydrogen ion concentration لذلك اللي عملنا تجربة
+
+375
+00:28:32,640 --> 00:28:35,820
+local simulation هنلاقي ال hydrogen ions مش ال
+
+376
+00:28:35,820 --> 00:28:39,940
+carbon dioxide لكن لو اتكلم على ال blood levels
+
+377
+00:28:39,940 --> 00:28:43,540
+هنلاقي ال carbon dioxide هو الايه؟ ال carbon
+
+378
+00:28:43,540 --> 00:28:50,620
+dioxide في أحيان بيفقد سيطرته يعني لو ال carbon
+
+379
+00:28:50,620 --> 00:28:58,230
+dioxide زاد يوم يومين بيظل ال main stimulantلكن لو
+
+380
+00:28:58,230 --> 00:29:02,850
+زاد عن هيك بيلاقي ان ال oxygen هو ال ايه بدا يفقد
+
+381
+00:29:02,850 --> 00:29:07,750
+قدرته ال carbon dioxide بيفقد اربع احماص قدرته و
+
+382
+00:29:07,750 --> 00:29:11,410
+بيهبط الى بتصير ال air not sensitive to the carbon
+
+383
+00:29:11,410 --> 00:29:16,210
+dioxide زي ما هي sensitive لل ايه لل oxygen فيبدأ
+
+384
+00:29:16,210 --> 00:29:20,310
+ال oxygen عندى ال oxygen low potential of oxygen
+
+385
+00:29:20,310 --> 00:29:26,300
+is more stimulant than ال aإذا ال carbon dioxide
+
+386
+00:29:26,300 --> 00:29:30,940
+وهادي إلها إلها يعني it's significance هنتكلم عنها
+
+387
+00:29:30,940 --> 00:29:37,800
+بعد شوية إذا عندي أنا centrally هلاجي ال upper
+
+388
+00:29:37,800 --> 00:29:41,940
+hand لمين ال carbon dioxide peripherally هلاجي
+
+389
+00:29:41,940 --> 00:29:45,780
+عندي لأ ال oxygen هو ال most stimulant ال oxygen
+
+390
+00:29:45,780 --> 00:29:49,820
+low oxygen tension is more stimulant to the
+
+391
+00:29:49,820 --> 00:29:53,720
+peripheral chemoreceptors اللي هم الموين الموجودين
+
+392
+00:29:55,620 --> 00:29:59,120
+في ال .. اورتا و ال ايه؟ و ال carotid و other
+
+393
+00:29:59,120 --> 00:30:05,320
+major artists ما هم دول الأساسين هلاجى انه ال ..
+
+394
+00:30:05,320 --> 00:30:09,980
+ال oxygen هو اللي هو الدور الأول و يليه ال carbon
+
+395
+00:30:09,980 --> 00:30:13,840
+dioxide و يليه ال ايه؟ ال hydrogen و يليه ال
+
+396
+00:30:13,840 --> 00:30:18,420
+hydrogen هل هدقلها؟ الآن اذا صار عندى انا ال
+
+397
+00:30:18,420 --> 00:30:21,630
+carbon dioxideالـ central effect very .. very
+
+398
+00:30:21,630 --> 00:30:25,310
+strong الـ peripheral effect lesser than the ..
+
+399
+00:30:25,310 --> 00:30:30,470
+the .. the central لكن الفرق بين هذي و هذي ان ال
+
+400
+00:30:30,470 --> 00:30:34,890
+peripheral ال peripheral simulation of the
+
+401
+00:30:34,890 --> 00:30:38,610
+chemoreceptors is more rapid than the central
+
+402
+00:30:38,610 --> 00:30:43,490
+simulation تمام؟ إذا ان الhypoxia تعملي very rapid
+
+403
+00:30:43,490 --> 00:30:49,080
+simulation لمين؟ لل .. للchemoreceptorsوالـ higher
+
+404
+00:30:49,080 --> 00:30:55,060
+carbon dioxide بيعمللي good simulation ماهواش very
+
+405
+00:30:55,060 --> 00:30:59,440
+strong لكنه very rapid تمام؟ لكنه ايه؟ very rapid
+
+406
+00:30:59,440 --> 00:31:04,560
+فإذا ال peripheral chemoreceptor sending its
+
+407
+00:31:06,290 --> 00:31:08,890
+Sensitivity directly through the vagus and the
+
+408
+00:31:08,890 --> 00:31:12,230
+glossopharyngeal to the respiratory center more
+
+409
+00:31:12,230 --> 00:31:18,250
+rapid than the central chemosensitive area في
+
+410
+00:31:18,250 --> 00:31:25,430
+السرعة البريفرال system is more rapid than ده ايه
+
+411
+00:31:25,430 --> 00:31:29,410
+لإن هو متصل اتصل مباشرة عبر ال vagus طبعا لكن
+
+412
+00:31:29,410 --> 00:31:34,150
+التاني بدهto diffuse and to build up concentration
+
+413
+00:31:34,150 --> 00:31:38,870
+and to .. لما يصل، لكن كويس، إذا الفرق بين ال
+
+414
+00:31:38,870 --> 00:31:41,930
+carbon dioxide effect hand و hand، التانية مهمين،
+
+415
+00:31:41,930 --> 00:31:49,400
+بس واحد أكتر more stronger، واحد أسرع، مش كده؟طيب
+
+416
+00:31:49,400 --> 00:31:53,220
+على فكرة احنا هتكون مواضيعنا اللي جاية كلها
+
+417
+00:31:53,220 --> 00:31:56,640
+العلاقة بين التلاتة هدول يعني لما يتدخلوا مع بعض
+
+418
+00:31:56,640 --> 00:32:00,340
+ال oxygen tension مع ال carbon dioxide tension مع
+
+419
+00:32:00,340 --> 00:32:04,580
+ال hydrogen concentration كيف التلاتة هنلاقيهم
+
+420
+00:32:04,580 --> 00:32:10,520
+ماشيين مع بعض هنلاقيهم ماشيين مع بعض التلات عناصر
+
+421
+00:32:10,520 --> 00:32:14,910
+زيادة ال carbon dioxide و ال hydrogen ionsمع زيادة
+
+422
+00:32:14,910 --> 00:32:19,830
+ايه؟ ال oxygen .. مع .. مع حبوط ال oxygen pressure
+
+423
+00:32:19,830 --> 00:32:23,610
+pressure هيقدر إلى ال stimulation التلاتة بتعادلوا
+
+424
+00:32:23,610 --> 00:32:28,270
+مع بعض في وجود التلاتة بيزيدوا في وجود واحد من
+
+425
+00:32:28,270 --> 00:32:31,830
+التلاتة وحكاية كذا العلاقات هبقى الماشية في هذا
+
+426
+00:32:31,830 --> 00:32:32,490
+اتجاه هذا
+
+427
+00:32:39,460 --> 00:32:43,420
+إذا نقولنا احنا ال carbon dioxide بقعد عندي انا
+
+428
+00:32:43,420 --> 00:32:47,160
+ايه يومين هو ماخد ال upper hand لو صار عندي carbon
+
+429
+00:32:47,160 --> 00:32:50,520
+يعني صار عندي hypo ventilation و ال carbon dioxide
+
+430
+00:32:50,520 --> 00:32:56,740
+عليه تمام؟ معناها بعد يومين بيبدأ عندي يفكر ال
+
+431
+00:32:56,740 --> 00:33:02,200
+ايه؟ ال carbon dioxide its sensitivity هو بتتحول
+
+432
+00:33:02,200 --> 00:33:06,000
+ال oxygen طب ليش ال carbon dioxide هو ال ايه ال
+
+433
+00:33:06,000 --> 00:33:10,700
+most sensitive؟ ليش مش ال oxygen؟تمام؟ ليش مش ال
+
+434
+00:33:10,700 --> 00:33:13,220
+oxygen؟ لأنه ربنا خلّاشي نجلنا Hemoglobin
+
+435
+00:33:13,220 --> 00:33:17,700
+مايخلّاشي نحس كتير بفرق ال oxygen مش كده؟ ال
+
+436
+00:33:17,700 --> 00:33:22,680
+hemoglobin عند ال lungs بياخد البضياء ولو كانت ال
+
+437
+00:33:22,680 --> 00:33:27,000
+pressure ماشية ستين وعند ال tissues بيعطي ال بضياء
+
+438
+00:33:27,000 --> 00:33:29,980
+ولو كان ال pressure إيه واطي فدايما عندي ال
+
+439
+00:33:29,980 --> 00:33:33,410
+availability of oxygenمن خلال أنه موجود عندى
+
+440
+00:33:33,410 --> 00:33:37,110
+هموجلبيين ال availability أني أخد more oxygen و
+
+441
+00:33:37,110 --> 00:33:39,930
+أني أعطي more oxygen لل tissues بيخلص sensitivity
+
+442
+00:33:39,930 --> 00:33:46,240
+لل tissues لل oxygenأه مش كتيرة ليش لإن أنا بدك
+
+443
+00:33:46,240 --> 00:33:51,660
+اعمل مع hemoglobin كريم بيعطي كتير و بياخد من ال
+
+444
+00:33:51,660 --> 00:33:56,580
+lungs كتير فبقدرش أحس بالظبط انا انه انا في وضع
+
+445
+00:33:56,580 --> 00:34:00,220
+ventilation low ventilation ولا high ventilation
+
+446
+00:34:00,220 --> 00:34:06,480
+تمام بالرغم من انه ايه ال oxygen هو الأساس اه أبو
+
+447
+00:34:06,480 --> 00:34:11,260
+حميد احنا في الموضوع اذا
+
+448
+00:34:11,260 --> 00:34:15,650
+ال ventilationبقدرش انا اخلي ال oxygen هو اللي
+
+449
+00:34:15,650 --> 00:34:21,160
+اتحكم فيه، اذا اتحكم فيه هلاقي حالي متأخر كتيرلما
+
+450
+00:34:21,160 --> 00:34:25,300
+يصير هبوط عندى أقل من 60% من ال pressure pressure
+
+451
+00:34:25,300 --> 00:34:29,540
+tension لما يبدأ على عيندي أن أصحى على حالي لما
+
+452
+00:34:29,540 --> 00:34:35,520
+أفقد oxygen في ال tissues أكتر من أن أنزل لأقل من
+
+453
+00:34:35,520 --> 00:34:38,400
+15% pressure pressure pressure لما أبدأ أصحى على
+
+454
+00:34:38,400 --> 00:34:42,020
+حالي أن oxygen نقص بحسش أنه نقص لو نقص في ال
+
+455
+00:34:42,020 --> 00:34:45,520
+ventilation ولا نقص في ال tissues أخدت more oxygen
+
+456
+00:34:45,520 --> 00:34:49,220
+بحسش فيها كتير بطبيعة الصفات الهيموجلومية اتكلمنا
+
+457
+00:34:49,220 --> 00:34:54,450
+عنهالكن الـ carbon dioxide بيعلق بسرعة لو ايه؟ لو
+
+458
+00:34:54,450 --> 00:34:58,690
+زاد ال oxygen used اه و ال ventilation ماكانش كافي
+
+459
+00:34:58,690 --> 00:35:01,910
+ع طول build up و بديني concentration عالي ف more
+
+460
+00:35:01,910 --> 00:35:04,170
+sensitive .. اذا ال carbon dioxide في الحالة هذه
+
+461
+00:35:04,170 --> 00:35:11,880
+بيكون عندى مقياس ادق تمام؟ هو لإن هو ناتجو بده
+
+462
+00:35:11,880 --> 00:35:16,000
+نصرفه لبرا لكن ال oxygen احنا محتاجينه الجسم بنقصش
+
+463
+00:35:16,000 --> 00:35:20,200
+عليه ال oxygen بسهولة لكن بيحس انه أخدنا كتير ولا
+
+464
+00:35:20,200 --> 00:35:22,820
+جليل ولا ال ventilation صح ولا غلط من خلال ال
+
+465
+00:35:22,820 --> 00:35:26,060
+carbon dioxide واضح؟ لذلك احنا لما ال carbon
+
+466
+00:35:26,060 --> 00:35:29,560
+dioxide يعملّي ال simulation ويعملّي
+
+467
+00:35:29,560 --> 00:35:32,520
+hyperventilation لأنه عندي عيلة ال carbon dioxide
+
+468
+00:35:32,520 --> 00:35:37,880
+ال hyperventilation هات ايش بتعمل؟ it will wash
+
+469
+00:35:37,880 --> 00:35:41,770
+the carbon dioxide outلذن راح ال carbon dioxide
+
+470
+00:35:41,770 --> 00:35:44,150
+يعني ال hybrid stimulation اللي صارت لل
+
+471
+00:35:44,150 --> 00:35:48,530
+ventilation أدت إلى أنها تتخلص من ال carbon
+
+472
+00:35:48,530 --> 00:35:52,830
+dioxide اللي زايد واضح؟ طب هبط نزل ال carbon
+
+473
+00:35:52,830 --> 00:35:58,090
+dioxide و بعدين .. و بعدين أنا محتاج .. أنا محتاج
+
+474
+00:35:58,090 --> 00:36:03,330
+oxygen أنا طالع على ارتفاع الف متر فوق سطح الماء
+
+475
+00:36:03,330 --> 00:36:07,810
+أو الفين تمام؟ و ال oxygen tension واطيو احنا
+
+476
+00:36:07,810 --> 00:36:11,970
+قولنا ال carbon dioxide كان هو اللي شغال ال carbon
+
+477
+00:36:11,970 --> 00:36:16,030
+dioxide يومين متواصلين اشتغل فعمل wash out ل
+
+478
+00:36:16,030 --> 00:36:19,450
+carbon dioxide ورجع ال carbon dioxide طبيعي لكن ال
+
+479
+00:36:19,450 --> 00:36:25,210
+oxygen tension هو اللي واطه بيبدأ بعد ما يومين من
+
+480
+00:36:25,210 --> 00:36:31,380
+المن الهيبو .. هيبو
+
+481
+00:36:31,380 --> 00:36:35,320
+.. هيبوكسيا .. هيبوكسيميا تمام؟ و ال carbon
+
+482
+00:36:35,320 --> 00:36:37,920
+dioxide to be washed بيبدأ ال .. ال .. ال
+
+483
+00:36:37,920 --> 00:36:40,760
+respiratory drive يرجع لل oxygen برجع ال
+
+484
+00:36:40,760 --> 00:36:44,100
+respiratory drive لمين؟ لل oxygen لإن أنا الآن
+
+485
+00:36:44,100 --> 00:36:49,000
+بتعامل مع حالة هيبوكسيا low oxygen tension في
+
+486
+00:36:49,000 --> 00:36:52,340
+الحالة هذه بيصير ال oxygen هو اللي اتحكم يعني مش
+
+487
+00:36:52,340 --> 00:36:56,410
+transient controlزي ما بيعمل الـ carbon dioxide
+
+488
+00:36:56,410 --> 00:37:00,070
+for the minute to minute regulation، لأ أنا بتكلم
+
+489
+00:37:00,070 --> 00:37:06,330
+سنة على إيه؟ prolonged regulation، control على
+
+490
+00:37:06,330 --> 00:37:08,810
+prolonged time، بيرش على الأكسجين هو اللي إيه؟
+
+491
+00:37:08,810 --> 00:37:13,590
+ياخد ال upper hand، زي ما هنتكلم بعد شويةفي مسألة
+
+492
+00:37:13,590 --> 00:37:15,990
+ال acclimatization اللي بتصير لما احنا نطلع على
+
+493
+00:37:15,990 --> 00:37:22,570
+ايه؟ على جبل و نقعد هناك فترة طويلة او متسلقين
+
+494
+00:37:22,570 --> 00:37:26,690
+شبال كل يوم بيعالو لهم اربعمية، خمسمية متر إضافي
+
+495
+00:37:26,690 --> 00:37:31,650
+او كده، تمام؟ فكل يوم بيخشوا في مناطق oxygen
+
+496
+00:37:31,650 --> 00:37:35,250
+tension اقل من ال ايه؟ من اليوم اللي جابله، تمام؟
+
+497
+00:37:37,670 --> 00:37:42,230
+إذا قلنا هذا التحكم ممكن يستمر يومين بس بعد كده
+
+498
+00:37:42,230 --> 00:37:48,190
+بيصير عندي إيه ال oxygen بيصير ماخد ال upper hand
+
+499
+00:37:48,190 --> 00:37:51,890
+و ال carbon dioxide بيفقد أربع أخماس ال
+
+500
+00:37:51,890 --> 00:37:59,250
+sensitivity تبعته تمام؟ طيب a
+
+501
+00:37:59,250 --> 00:38:01,970
+change in blood carbon dioxide concentration
+
+502
+00:38:01,970 --> 00:38:07,230
+therefore has a potent acute effect تمام؟ إشي سريع
+
+503
+00:38:07,470 --> 00:38:10,470
+من الـ two minutes زي ما قلت لكم on controlling on
+
+504
+00:38:10,470 --> 00:38:14,470
+controlling respiratory drive but only a weak
+
+505
+00:38:14,470 --> 00:38:18,250
+chronic effect after a few days adaptation بعد
+
+506
+00:38:18,250 --> 00:38:26,110
+يومين تلاتة بيبدأ كرمان ديكسودي افقد صلاحيته طيب
+
+507
+00:38:26,110 --> 00:38:31,410
+بالارقام
+
+508
+00:38:31,410 --> 00:38:36,830
+هنا اتكلم عن علاقة بين ال alveolar ventilation وال
+
+509
+00:38:41,980 --> 00:38:50,380
+البراشر والهيدروجين ايه؟ البراشر
+
+510
+00:38:50,380 --> 00:38:50,880
+والهيدروجين ايه؟ البراشر والهيدروجين ايه؟ البراشر
+
+511
+00:38:50,880 --> 00:38:50,880
+والهيدروجين ايه؟ البراشر والهيدروجين ايه؟ البراشر
+
+512
+00:38:50,880 --> 00:38:50,880
+والهيدروجين ايه؟ البراشر والهيدروجين ايه؟ البراشر
+
+513
+00:38:50,880 --> 00:38:50,880
+والهيدروجين ايه؟ البراشر والهيدروجين ايه؟ البراشر
+
+514
+00:38:50,880 --> 00:38:50,880
+والهيدروجين ايه؟ البراشر والهيدروجين ايه؟ البراشر
+
+515
+00:38:50,880 --> 00:38:50,900
+والهيدروجين ايه؟ البراشر والهيدروجين ايه؟ البراشر
+
+516
+00:38:50,900 --> 00:38:59,320
+والهيدروجين ايه؟ البراشر والهيدروجين ايه؟ البراشر
+
+517
+00:38:59,320 --> 00:39:03,300
+والهيدروجين ايه؟و ال Venus side خمسة عاملين احنا
+
+518
+00:39:03,300 --> 00:39:06,540
+اللي بيهمنا فيها ال arterial ليش لإنه رايح لل
+
+519
+00:39:06,540 --> 00:39:10,080
+tissues هو مين ال arterial ال sensation هنا و
+
+520
+00:39:10,080 --> 00:39:13,720
+الحاجة محتاجة انه جداش جيبنا arterial مش جداش احنا
+
+521
+00:39:13,720 --> 00:39:17,400
+أخدنا و أسيبنا اخدنا اللي بدنا ايه و تركناه لكن هل
+
+522
+00:39:17,400 --> 00:39:19,460
+اللي جينا كافي ولا لأ لذلك ال arterial هو اللي
+
+523
+00:39:19,460 --> 00:39:24,230
+ايه؟ في ال arterialفي الـ 40 ميلي متر ميركوري
+
+524
+00:39:24,230 --> 00:39:27,810
+كاربون دايوكسايد بروشر بيللاحظ ان عندي normal
+
+525
+00:39:27,810 --> 00:39:30,790
+ventilation واحد يعني normal ventilation اتنين
+
+526
+00:39:30,790 --> 00:39:36,750
+اتضاعف تلاتة يعني واحد يساوي normal rate بإذا ال
+
+527
+00:39:36,750 --> 00:39:42,710
+rate يساوي one تمام؟إذا مجسمة بشكل معين لحظه بعد
+
+528
+00:39:42,710 --> 00:39:48,530
+ما يزيد عندي ال carbon dioxide pressure مش linear
+
+529
+00:39:48,530 --> 00:39:53,610
+بس لأكتر من linear لإنه مش ماخد 45 درجة ماخد حوالي
+
+530
+00:39:53,610 --> 00:39:58,570
+60 درجة ارتفاع يعني كل زيادة في ال carbon dioxide
+
+531
+00:39:58,570 --> 00:40:01,710
+pressure بيقبلها زيادة أكتر في ال ventilation
+
+532
+00:40:01,710 --> 00:40:08,330
+تمام؟هنلاحظ هنا ال BH مختلف ال BH بيصيرش تتغير
+
+533
+00:40:08,330 --> 00:40:10,170
+بسرعة بالسرعة اللي بيصير فيها ال carbon dioxide
+
+534
+00:40:10,170 --> 00:40:12,290
+عشان كده اقول ال carbon dioxide هو ال most
+
+535
+00:40:12,290 --> 00:40:18,810
+sensitive تمام ال BH عشان تتغير هي ال BH ال normal
+
+536
+00:40:18,810 --> 00:40:22,530
+BH هي سبعة و أربعة من عشرة seven point four one مش
+
+537
+00:40:22,530 --> 00:40:29,850
+كده لو ال hydrogen ions concentration زاد يعني ال
+
+538
+00:40:29,850 --> 00:40:36,690
+BH جلتجلّت جلّت جلّت وزيادة خفيفة تأثيره جليل لكن
+
+539
+00:40:36,690 --> 00:40:41,250
+وين في الآخر يعني بعد ما ال BH تهبط تهبط شديد يعني
+
+540
+00:40:41,250 --> 00:40:44,450
+high concentration يعني نعلى كتير بياخد ال upper
+
+541
+00:40:44,450 --> 00:40:47,370
+hand و بيصير عندي rapid stimulation ال ventilation
+
+542
+00:40:47,370 --> 00:40:53,790
+لكن في مراحل طبيعية و زيادة عن الطبيعية و زيادة
+
+543
+00:40:53,790 --> 00:40:58,680
+زيادة عن الطبيعية بيظل ال BH مالاش دور كبيربطيق
+
+544
+00:40:58,680 --> 00:41:02,100
+لكن عند level معين بتصير very strong استيمولات من
+
+545
+00:41:02,100 --> 00:41:06,780
+أول و جديد زي ما احنا شايفين هنا عندما ال bh وصلت
+
+546
+00:41:06,780 --> 00:41:11,760
+الى سبعة من سبعة اربعة من عشرة الى ايه سبعة ووصلت
+
+547
+00:41:11,760 --> 00:41:20,240
+ال maximum تبع ال simulation تبعها اذا
+
+548
+00:41:20,240 --> 00:41:26,810
+هنا خلينا هذا الملخص هنابتديني عاد the approximate
+
+549
+00:41:26,810 --> 00:41:30,670
+effects of blood carbon dioxide pressure and blood
+
+550
+00:41:30,670 --> 00:41:35,070
+pitch on the alveolar ventilation Note especially
+
+551
+00:41:35,070 --> 00:41:41,070
+the very marked increase in ventilation caused by
+
+552
+00:41:41,070 --> 00:41:44,090
+the increase in carbon dioxide tension in the
+
+553
+00:41:44,090 --> 00:41:52,300
+normal range between 35 to 75 mmHg تمام؟هذا يظهر
+
+554
+00:41:52,300 --> 00:42:00,520
+تأثير كبير لتغيير كربون دو أكسيد من هنا لـ 75 و
+
+555
+00:42:00,520 --> 00:42:11,730
+الزيادة مضطرة طب لو صارت 80 و 90 و بتظهر زيادةأه
+
+556
+00:42:11,730 --> 00:42:15,710
+اذا احنا ال curve بدأ ينحنيه وقفنا هيك اخر
+
+557
+00:42:15,710 --> 00:42:20,850
+المحاضرة او اخر الفصل هذا هنتكلم عن طب لو زاد ال
+
+558
+00:42:20,850 --> 00:42:23,890
+carbon dioxide بعد كده لأ بدخلنا في مشاكل بيبدأ
+
+559
+00:42:23,890 --> 00:42:28,430
+يعمل suppression لل respiratory center تمام بيبدأ
+
+560
+00:42:28,430 --> 00:42:32,510
+يعملي loss of .. of .. of awareness بيبدأ يدخلني
+
+561
+00:42:32,510 --> 00:42:35,650
+في coma و level معين بيعملي suppression ال
+
+562
+00:42:35,650 --> 00:42:40,350
+respiratory center تماملذلك هو sensitive لأنه لو
+
+563
+00:42:40,350 --> 00:42:44,350
+زاد خطير لازم الجسم يتخلص اول باول من ايه؟ من ال
+
+564
+00:42:44,350 --> 00:42:47,590
+carbon dioxide لأنه كل ما زاد ال carbon dioxide كل
+
+565
+00:42:47,590 --> 00:42:49,730
+ما انا بدأ ازود ال respiration ل level معين انا
+
+566
+00:42:49,730 --> 00:42:52,970
+خلاص بيصير toxic ل level معين بيصير عندي ايه؟
+
+567
+00:42:52,970 --> 00:42:58,910
+بيصير toxic واضح؟ و انا اتكلم عنها ال different
+
+568
+00:42:58,910 --> 00:43:02,690
+terminology و effect of increased carbon dioxide و
+
+569
+00:43:02,690 --> 00:43:05,770
+effect of hypoxia على البني ادم
+
+570
+00:43:09,080 --> 00:43:14,940
+إذا بين الخمسة و تلاتين يعني قبل الطبيعي بشوية
+
+571
+00:43:14,940 --> 00:43:21,990
+تمام و بين الخمسة و سبعين بصير عندى directعلاقات
+
+572
+00:43:21,990 --> 00:43:24,750
+قوية علاقات قوية علاقات قوية علاقات قوية علاقات
+
+573
+00:43:24,750 --> 00:43:24,910
+قوية علاقات قوية علاقات قوية علاقات قوية علاقات
+
+574
+00:43:24,910 --> 00:43:25,190
+قوية علاقات قوية علاقات قوية علاقات قوية علاقات
+
+575
+00:43:25,190 --> 00:43:25,350
+قوية علاقات قوية علاقات قوية علاقات قوية علاقات
+
+576
+00:43:25,350 --> 00:43:26,550
+قوية علاقات قوية علاقات قوية علاقات قوية علاقات
+
+577
+00:43:26,550 --> 00:43:27,870
+قوية علاقات قوية علاقات قوية علاقات قوية علاقات
+
+578
+00:43:27,870 --> 00:43:28,550
+قوية علاقات قوية علاقات قوية علاقات قوية علاقات
+
+579
+00:43:28,550 --> 00:43:43,210
+قوية علاقات قوية علاقات قوية علاقات قوية
+
+580
+00:43:47,960 --> 00:43:54,160
+وخمسة لسبعة و تلاتة من عشرة ما بيصيرش هداك التغيير
+
+581
+00:43:54,160 --> 00:43:59,680
+يعني التغيير يساوي عشر الطبيعي يعني اشي بسيط بزيد
+
+582
+00:43:59,680 --> 00:44:05,660
+بس بعد كده قلتلكم بعد ما يصل الى سبعة او اتنين
+
+583
+00:44:05,660 --> 00:44:12,020
+مثلا بيبدأ عند الزيادةواضحة كل ما زاد ال hydrogen
+
+584
+00:44:12,020 --> 00:44:18,300
+ion concentration كل ما جلت ال pH كل ما زاد ال
+
+585
+00:44:18,300 --> 00:44:22,120
+hydrogen ion concentration في بعد level معين بيصير
+
+586
+00:44:22,120 --> 00:44:30,800
+strong effect unimportance
+
+587
+00:44:30,800 --> 00:44:32,780
+of the oxygen for control of the respiration
+
+588
+00:44:32,780 --> 00:44:36,260
+center اتكلمنا عنه من شوية وقلنا ليه مش هو الأساس
+
+589
+00:44:36,900 --> 00:44:40,520
+تمام؟ لطبيعتي ال hemoglobin اللي بيحمل ال oxygen
+
+590
+00:44:40,520 --> 00:44:47,380
+بشكل مريح للجسم فانا باتعاملش مع قياس كيف الناس
+
+591
+00:44:47,380 --> 00:44:54,380
+بيعانوا من واحد مدير عام ولا واحد دكتور زيكو مع
+
+592
+00:44:54,380 --> 00:44:59,880
+مصار كتير بروح للعامل الفجير بقوله كيف الأمور،
+
+593
+00:44:59,880 --> 00:45:02,720
+بقول البندورة غالية، ده بالنسبالي مش غالي لشنا
+
+594
+00:45:02,720 --> 00:45:07,010
+يعني لما صارت أربعة شكل ال kilo، ده مش يعنيلكن
+
+595
+00:45:07,010 --> 00:45:11,690
+بالنسبة للفجير بيشتري هوية 6%، 7%، لكن لما تصل إلى
+
+596
+00:45:11,690 --> 00:45:15,370
+الـ 24 كيلوغрам، بالنسباله إيه له؟ مش كده؟ فلذلك
+
+597
+00:45:15,370 --> 00:45:19,110
+هنا، بيجيش الجسم بيسأل اللي عنده وفرة، ال oxygen
+
+598
+00:45:19,110 --> 00:45:23,910
+بيسأل اللي ماعندهوش وفرة، اللي حساس أكتر ال carbon
+
+599
+00:45:23,910 --> 00:45:26,690
+dioxide بيعلق بسرعة، أبوه بطل بسرعة، بيعمل تأثير،
+
+600
+00:45:26,690 --> 00:45:31,050
+لكن ال oxygen تمام؟ ال hemoglobin حامل كتير تمام؟
+
+601
+00:45:31,050 --> 00:45:37,480
+بياخد جد ما هو عايز، و بصرف كم هو عايز، تمام؟إن
+
+602
+00:45:37,480 --> 00:45:40,140
+شاء الله كلكم يعني بكرا تصيروا زي الهموغلوبين هيك
+
+603
+00:45:40,140 --> 00:45:48,900
+تاخدوا جد ما أنتوا عايزين و بتصرفوا .. طيب إذا ..
+
+604
+00:45:50,810 --> 00:45:55,330
+لذلك الـ central factor سار مين ال carbon dioxide
+
+605
+00:45:55,330 --> 00:46:00,450
+بس ل level ل .. ل .. ل .. ل time إلى أجل بعد كده
+
+606
+00:46:00,450 --> 00:46:03,870
+بصير في عندي انا ال hyperventilation اللي صارت
+
+607
+00:46:03,870 --> 00:46:07,170
+بتعمل أوش ل carbon dioxide معناه في عندى مشكلة ال
+
+608
+00:46:07,170 --> 00:46:11,030
+oxygen حقيقية برجع ال oxygen هو اللي ايه يسيطر على
+
+609
+00:46:11,030 --> 00:46:11,650
+الموضوع
+
+610
+00:46:15,400 --> 00:46:20,380
+الـ Preference Chemoreceptors جيبنا سلطة وتكلمنا
+
+611
+00:46:20,380 --> 00:46:27,440
+عنها وقلنا إنه موجودة أسرع في التبليغ .. أسرع في
+
+612
+00:46:27,440 --> 00:46:31,960
+التبليغ لإنه من Ares على طول بالجوال بلغت إنه فيه
+
+613
+00:46:31,960 --> 00:46:36,580
+ماعرفش إيه صار مش وصل لسه لأ على طول في إشارة أدت
+
+614
+00:46:36,580 --> 00:46:40,400
+إلى إنه من أول ما طلع من الجلب الأكسجين هذا لسه
+
+615
+00:46:40,400 --> 00:46:44,330
+طلع من الرقتين وطلع من الجلبحاسه ان في مشكلة ابعته
+
+616
+00:46:44,330 --> 00:46:47,210
+ال respirator center مش محتاجين لسه ال .. ال
+
+617
+00:46:47,210 --> 00:46:53,090
+normal diffusion و المعرفه ايش اه طيب ففي اتصال
+
+618
+00:46:53,090 --> 00:46:57,610
+مباشر ما بين هدول ال centers و ال .. و ال
+
+619
+00:46:57,610 --> 00:47:06,050
+respirator center الان عندي what is the orthic
+
+620
+00:47:06,050 --> 00:47:08,030
+bodies هدول و ال carotid bodies
+
+621
+00:47:13,180 --> 00:47:18,020
+عبارة عن bodies متصلين ب nerves اسمهم herring ..
+
+622
+00:47:18,020 --> 00:47:21,880
+herrings nerves احنا تقولنا herring brower مش كده؟
+
+623
+00:47:21,880 --> 00:47:25,520
+فherring هذا كان عالم اللي له كتير دراسات حول ال
+
+624
+00:47:25,520 --> 00:47:29,600
+ventilation و ال respiration لذلك هو اللي اكتشف ال
+
+625
+00:47:29,600 --> 00:47:34,500
+nerves هذه اللي بتديني ال ايه؟ ال .. ال signals of
+
+626
+00:47:34,500 --> 00:47:38,000
+the concentration of oxygen, carbon dioxide,
+
+627
+00:47:38,220 --> 00:47:41,760
+hydrogen ions في الدم، تمام؟فلذلك كان في hearings
+
+628
+00:47:41,760 --> 00:47:44,500
+نار اتصل ما بين ال carotid bodies و ال
+
+629
+00:47:44,500 --> 00:47:50,740
+glossopharyngeal اللي هو التاسعة مش كده لجينا انه
+
+630
+00:47:50,740 --> 00:47:56,740
+ال aortic body هذا او ال carotid bodies لو عملناهم
+
+631
+00:47:56,740 --> 00:48:00,120
+تشريح بنلاقي فيهم special type of cells of cells
+
+632
+00:48:00,120 --> 00:48:07,640
+سميناهم ال aglomas cells يسموهم ايه؟ aglomas cells
+
+633
+00:48:07,640 --> 00:48:08,960
+هدول
+
+634
+00:48:11,290 --> 00:48:17,310
+الـ cells هي إيه؟ في الغالب اللي بتديني ال
+
+635
+00:48:17,310 --> 00:48:24,710
+sensation .. sensitive لمين؟ لال ..sensitive لـ
+
+636
+00:48:24,710 --> 00:48:27,170
+carbon dioxide و ال oxygen و ال hydrogen أيضا
+
+637
+00:48:27,170 --> 00:48:30,930
+تمام؟ وبعضهم قال لأ مش ل ال grow muscles هي ل ال
+
+638
+00:48:30,930 --> 00:48:34,350
+bodies sensitive فيها nerve endings ال herring
+
+639
+00:48:34,350 --> 00:48:38,230
+nerves هذه فيها nerve endings هوي ال nerve endings
+
+640
+00:48:38,230 --> 00:48:42,770
+sensitive مباشرة لمين لل concentrations different
+
+641
+00:48:42,770 --> 00:48:46,830
+concentrations طيب ال .. ال .. ال .. الاشي المميز
+
+642
+00:48:46,830 --> 00:48:51,650
+لل bodies هذه احنا في الطبيعه ايه؟في الطبيعي blood
+
+643
+00:48:51,650 --> 00:48:57,270
+supply for an organ كدهش بيكون، بيكون دايما خمس
+
+644
+00:48:57,270 --> 00:49:03,850
+أضعاف وزنه، مش كده؟ يعني كل organ الطبيعي أنه
+
+645
+00:49:03,850 --> 00:49:08,870
+يصلوا خمس أضعاف وزنه دم في دقيقةلما ألاقي أنا
+
+646
+00:49:08,870 --> 00:49:16,530
+organ بيصله عشرين ضعف وزنه اذا هو الدم اللي جايله
+
+647
+00:49:16,530 --> 00:49:21,430
+مش جايله علشان for its for the oxygen usage جايله
+
+648
+00:49:21,430 --> 00:49:26,310
+لسبب تاني تمام؟ اذا هنا بنطلع بنلاقي ان ال carotid
+
+649
+00:49:26,310 --> 00:49:30,930
+blood اللي بيجيها عشرين ضعف وزنها blood اذا كمية
+
+650
+00:49:30,930 --> 00:49:35,190
+ال oxygen اللي هي هتاخده من الدم مهما تاخد هيضل
+
+651
+00:49:36,190 --> 00:49:41,270
+هيظل عندى وفرة من ال oxygen موجودة يعنى الدم اللى
+
+652
+00:49:41,270 --> 00:49:45,630
+داخل محتاج تقربه اكسجينه لمن؟ لل body اذا كان هذا
+
+653
+00:49:45,630 --> 00:49:49,270
+active وماخد ال maximum تبعه اذا في عندى انا
+
+654
+00:49:49,270 --> 00:49:52,670
+تقريبا الدم اللى داخل ك routed bodies وطالع منه
+
+655
+00:49:52,670 --> 00:49:57,070
+اذا هو عبارة عن arterial blood مافقدش كمية ايه
+
+656
+00:49:57,070 --> 00:50:02,850
+كافية لان هو دم كتير بيدخل فالفقدان اللى بيصير مش
+
+657
+00:50:02,850 --> 00:50:08,290
+ايه مش كماهو متوقع لإن كمية الدم لدخل كتيرة إذا
+
+658
+00:50:08,290 --> 00:50:13,290
+هذا بتديني إن هذا عبارة عن ممر to sense to detect
+
+659
+00:50:13,290 --> 00:50:15,870
+what is the percentage what is the concentration
+
+660
+00:50:15,870 --> 00:50:20,310
+of oxygen carbon dioxideاكتر من انها for its use
+
+661
+00:50:20,310 --> 00:50:26,470
+مش معقول انه جاي لل usage of شكفة لحمة صغيرة مش
+
+662
+00:50:26,470 --> 00:50:32,470
+عضلة ولا اشي ولا حاجة مابتفقدش طاقة كبيرة و بيجيها
+
+663
+00:50:32,470 --> 00:50:37,270
+عشرين ضعف وزنها دم اذا واضح هنا عشان تكون very
+
+664
+00:50:37,270 --> 00:50:41,130
+sensitive to the changes in the A و بيجيها مباشرة
+
+665
+00:50:41,130 --> 00:50:47,540
+من ال carotidبشيها مباشرة من الـ arterial من
+
+666
+00:50:47,540 --> 00:50:53,340
+الأورطة تمام بشيها دم يديها فكرة عن إيش اللي بصير
+
+667
+00:50:53,340 --> 00:51:08,220
+واضح تقارير دقيقة طيب
+
+668
+00:51:15,450 --> 00:51:18,870
+Simulation of chemoreceptors by decreased arterial
+
+669
+00:51:18,870 --> 00:51:23,130
+oxygen Simulation of chemoreceptors by decreased
+
+670
+00:51:23,130 --> 00:51:26,590
+.. اذا هنا في ال chemoreceptors هذي كنا كنا كنا
+
+671
+00:51:26,590 --> 00:51:27,830
+كنا كنا كنا كنا كنا كنا كنا كنا كنا كنا كنا كنا
+
+672
+00:51:27,830 --> 00:51:28,350
+كنا كنا كنا كنا كنا كنا كنا كنا كنا كنا كنا كنا
+
+673
+00:51:28,350 --> 00:51:30,510
+كنا كنا كنا كنا كنا كنا كنا كنا كنا كنا كنا كنا
+
+674
+00:51:30,510 --> 00:51:30,770
+كنا كنا كنا كنا كنا كنا كنا كنا كنا كنا كنا كنا
+
+675
+00:51:30,770 --> 00:51:30,770
+كنا كنا كنا كنا كنا كنا كنا كنا كنا كنا كنا كنا
+
+676
+00:51:30,770 --> 00:51:33,890
+كنا كنا كنا كنا كنا كنا كنا كنا
+
+677
+00:51:33,890 --> 00:51:36,570
+كنا كنا كنا كنا كنا كنا كنا كنا كنا كنا كنا كنا
+
+678
+00:51:36,570 --> 00:51:41,410
+كنا كنا كنا كنا كنا كنا كنا كنا كنا كنا كنا
+
+679
+00:51:41,410 --> 00:51:47,370
+كناهنا طلعنا على ال nerves هذه ال hearing nerve
+
+680
+00:51:47,370 --> 00:51:52,750
+طلعنا على ال activity تبعته جداش بيبعت signals اه
+
+681
+00:51:52,750 --> 00:51:55,850
+و احنا منعديله carbon dioxide concentrations
+
+682
+00:51:55,850 --> 00:51:59,270
+ومنعديله oxygen ومنعديله عشان نعرف الجثة طلعنا
+
+683
+00:51:59,270 --> 00:52:06,330
+لجينا انه لما اعطينا pressure of oxygenأه مية أو
+
+684
+00:52:06,330 --> 00:52:10,950
+فوق المية تمام إلى حد ما التغيير في ال .. في ال ..
+
+685
+00:52:10,950 --> 00:52:16,800
+في ال signalsالـ nerve signals جليل جدا لكن لما ال
+
+686
+00:52:16,800 --> 00:52:22,200
+pressure of oxygen جال العنمية لجينا عندى a very
+
+687
+00:52:22,200 --> 00:52:27,400
+rapid change in the intensity of the signals واضح؟
+
+688
+00:52:27,400 --> 00:52:31,620
+لذا لما يكون عندى انا pressure pressure واطى بطلع
+
+689
+00:52:31,620 --> 00:52:38,360
+بلاقي عندى highly stimulated nerve لما ايه لما كل
+
+690
+00:52:38,360 --> 00:52:43,110
+ما زاد ال oxygen concentrationكل signal rate ب إيه
+
+691
+00:52:43,110 --> 00:52:47,610
+بيقل واضح إذا هنا إيه إذا ال oxygen pressure is
+
+692
+00:52:47,610 --> 00:52:53,470
+very important Note
+
+693
+00:52:53,470 --> 00:52:56,710
+that the impulse rate is particularly sensitive to
+
+694
+00:52:56,710 --> 00:53:00,090
+changes in arterial pressure of oxygen in the
+
+695
+00:53:00,090 --> 00:53:06,210
+range between 60 and 30millimeter mercury a range
+
+696
+00:53:06,210 --> 00:53:08,390
+at which hemoglobin saturation with oxygen
+
+697
+00:53:08,390 --> 00:53:12,350
+decreases rapidly احنا لحد ال 60 قلنا ال
+
+698
+00:53:12,350 --> 00:53:15,790
+saturation بيكون طبيعي لكن لو نزل عن ال 60 صار ال
+
+699
+00:53:15,790 --> 00:53:20,070
+arterial pressure تبعنا اقل من 60 معناها ال
+
+700
+00:53:20,070 --> 00:53:25,450
+saturation بيكون مش مكتمل بيصير احنا قلنا لحد ال
+
+701
+00:53:25,450 --> 00:53:33,770
+60 89 percent saturated مش كده من من من 60الى ال
+
+702
+00:53:33,770 --> 00:53:39,630
+.. ال .. ال 104 الفرق بسيط تسعة تمانية في المية
+
+703
+00:53:39,630 --> 00:53:43,450
+ولا تسعة في المية الفرق مش كده لكن بعد الستين
+
+704
+00:53:43,450 --> 00:53:46,790
+مالاج الكيروس تبعنا ال S شابه هو بيبدأ ايه هبوط
+
+705
+00:53:46,790 --> 00:53:51,620
+شديد فبين الستين والتلاتينتمام؟ بلاقي انا عندى
+
+706
+00:53:51,620 --> 00:53:54,120
+بيصير فرق كبير في ال saturation of oxygen .. of ال
+
+707
+00:53:54,120 --> 00:53:57,100
+hemoglobin في ال lungs فمحتاج انا ال ventilation
+
+708
+00:53:57,100 --> 00:54:01,220
+ايه لازم يعلن صار انا عندى ال hemoglobin buffering
+
+709
+00:54:01,220 --> 00:54:04,640
+system تبعنا مش قادر يغطي هذه الجزية لإن هو هنا ..
+
+710
+00:54:04,640 --> 00:54:09,000
+صار هو مصمم لما نزل عن ال 60 .. عن ال 60 صار ان
+
+711
+00:54:09,000 --> 00:54:12,180
+انا بتعامل مع ال tissues مش بتعامل مع ال lungs ف
+
+712
+00:54:12,180 --> 00:54:15,760
+.. ف .. فبحملش oxygen كتير تمام؟ فالحالة هي لازم
+
+713
+00:54:15,760 --> 00:54:20,810
+يصير انا بال ventilationعشان نحاول نعوض فلذلك هنا
+
+714
+00:54:20,810 --> 00:54:25,090
+ملاحظ الفرق من هان هنا هيك و انا هنا حوالي ستين
+
+715
+00:54:25,090 --> 00:54:31,670
+تمام ال steaming up اه high stimulation of the
+
+716
+00:54:31,670 --> 00:54:35,390
+nerves that tells the respiratory center that
+
+717
+00:54:35,390 --> 00:54:39,070
+there is a problem مش كده for hyper activity
+
+718
+00:54:39,070 --> 00:54:42,390
+effect
+
+719
+00:54:42,390 --> 00:54:44,830
+of carbon dioxide and hydrogen concentration on
+
+720
+00:54:44,830 --> 00:54:46,110
+chemoreceptors activity
+
+721
+00:54:48,680 --> 00:54:54,520
+هتقولنا ايه؟ تأثيرها اقل من ال .. من ال oxygen
+
+722
+00:54:54,520 --> 00:55:01,200
+وتأثيرها اقل من ال central لكنها more .. more
+
+723
+00:55:01,200 --> 00:55:02,760
+rapid more rapid
+
+724
+00:55:06,050 --> 00:55:10,170
+طيب نرجع تاني و نقول the effect of low arterial
+
+725
+00:55:10,170 --> 00:55:13,890
+partial pressure of oxygen to stimulate alveolar
+
+726
+00:55:13,890 --> 00:55:17,490
+ventilation when arterial carbon dioxide and
+
+727
+00:55:17,490 --> 00:55:21,170
+hydrogen ions concentration remain normal تمام؟
+
+728
+00:55:21,170 --> 00:55:26,350
+هنا بتيجي عندي أنا العلاقة
+
+729
+00:55:26,350 --> 00:55:30,390
+هذا ال figure هذا لو أنا ثبتي تانب الأخضر ال
+
+730
+00:55:30,390 --> 00:55:32,810
+carbon dioxide concentration و ال hydrogen ions
+
+731
+00:55:32,810 --> 00:55:39,810
+معاهابطلع بلاقي انا عندى ال oxygen ك one factor ما
+
+732
+00:55:39,810 --> 00:55:43,940
+احنا دائما في الأبحاث بنعمل حسابنامن ثبت كل ال
+
+733
+00:55:43,940 --> 00:55:47,520
+factors ومن خلّيه بس واحد ايش متغير عشان التغيير
+
+734
+00:55:47,520 --> 00:55:51,900
+يبقى مرتبط بهذا الشسمة فمن طالع احنا هان منلاقي
+
+735
+00:55:51,900 --> 00:55:55,480
+انه عندنا كل ما هبط ال pressure أو ال oxygen كل ما
+
+736
+00:55:55,480 --> 00:56:00,020
+كان في عندي more stimulation لإيه؟ ل ال alveolar
+
+737
+00:56:00,020 --> 00:56:04,940
+ventilation مش كده؟ و بيصير عندي more wash
+
+738
+00:56:12,320 --> 00:56:16,960
+more wash يعني more carbon dioxide هنا ايش ال
+
+739
+00:56:16,960 --> 00:56:20,560
+oxygen هان ال ventilation هان بيزيد مع ال carbon
+
+740
+00:56:20,560 --> 00:56:25,080
+dioxide مع ال oxygen pressure drop oxygen pressure
+
+741
+00:56:25,080 --> 00:56:29,700
+drop بلاقي انا انه ايه بيزيد ال ال ventilation
+
+742
+00:56:29,700 --> 00:56:34,700
+واضح اكتر pressure of oxygen of carbon dioxide هان
+
+743
+00:56:34,700 --> 00:56:41,960
+كل ما زاد ال ventilation كل ما
+
+744
+00:56:45,200 --> 00:56:50,640
+أحنا هنا مثبتينه ل 40 احنا عاملينه factor ثابت فى
+
+745
+00:56:50,640 --> 00:56:55,560
+عدم وجود المتغيرات الأخرى بلاحظ انه فى عندى direct
+
+746
+00:56:55,560 --> 00:56:58,800
+relationship بين و كل ما هبط اكتر ال carbon
+
+747
+00:56:58,800 --> 00:57:01,200
+dioxide زى ما انتوا شايفين ال oxygen tension هنا
+
+748
+00:57:01,200 --> 00:57:05,840
+إلى حد ما linear لكن بعد كده steeping upلما نزل عن
+
+749
+00:57:05,840 --> 00:57:11,180
+ال 60 لما نزل عن ال 60 صار very rapid effect لل
+
+750
+00:57:11,180 --> 00:57:16,520
+ايه؟ لل oxygen tension على ال ventilation almost
+
+751
+00:57:16,520 --> 00:57:19,240
+no effect on ventilation as long as the arterial
+
+752
+00:57:19,240 --> 00:57:21,300
+pressure of oxygen remains greater than one
+
+753
+00:57:21,300 --> 00:57:26,400
+hundred تمام؟ لكن بعدين بيصير يتزايد على مرحلتين
+
+754
+00:57:26,400 --> 00:57:32,420
+لحد ال 60 تغير بطيء لكن لحد تحت ال 60 تغير شديد
+
+755
+00:57:34,040 --> 00:57:38,820
+chronic breathing of low oxygen simulates
+
+756
+00:57:38,820 --> 00:57:42,200
+respiration even more than the phenomenon of
+
+757
+00:57:42,200 --> 00:57:46,260
+acclimatization وهذه ال phenomenon هنلاقيها في
+
+758
+00:57:46,260 --> 00:57:54,300
+الجسم كتير الجسم كيف انه بيتأقلم مع التغير تمام؟
+
+759
+00:57:56,100 --> 00:58:01,900
+يعني عندي أنا مضطر أعيش في جو أكسجين واطي تمام،
+
+760
+00:58:01,900 --> 00:58:06,720
+أولها بلاقي صار عندي أنا تأثير
+
+761
+00:58:06,720 --> 00:58:11,420
+سلبي، بعد شوية بلاقي اختفىتمام؟ لإن بدي أتأقلم
+
+762
+00:58:11,420 --> 00:58:15,420
+معاه هنلاقيها في أشياء كتيرة في الجسم هذه الظاهرة
+
+763
+00:58:15,420 --> 00:58:21,400
+هذه الظاهرة احنا بنحسها وين في الناس اللي بيصعدوا
+
+764
+00:58:21,400 --> 00:58:25,700
+الجبال تمام؟ إيش بيلاحظوا فيها؟ بيلاحظوا إن الأيام
+
+765
+00:58:25,700 --> 00:58:31,540
+الأولى النفس عندهم بيزيد سرعته وبيزيد ال rate و ال
+
+766
+00:58:31,540 --> 00:58:36,130
+depth of respiration بس بعد شويةتمام بعد يومين
+
+767
+00:58:36,130 --> 00:58:40,650
+تلاتة برجع الأوامر الطبيعية mountain climbers have
+
+768
+00:58:40,650 --> 00:58:45,250
+found that when they ascend a mountain slowly over
+
+769
+00:58:45,250 --> 00:58:48,010
+a period of days rather than a period of hours
+
+770
+00:58:48,010 --> 00:58:53,370
+they breathe much more deeply and therefore can
+
+771
+00:58:53,370 --> 00:58:55,930
+withstand far lower atmospheric oxygen
+
+772
+00:58:55,930 --> 00:59:02,230
+concentrations than when they ascend rapidlyتمام؟
+
+773
+00:59:02,230 --> 00:59:06,510
+اذا لو طلعوا بشواش هيلاجوا حالهم انهم مافيش .. مش
+
+774
+00:59:06,510 --> 00:59:11,070
+حاسين مشكلة في التنفس لكن لو طلع سريع هيحس ب
+
+775
+00:59:11,070 --> 00:59:16,810
+hypoxia هيحس انه متضايق هيحس انه في وضع مش طبيعي
+
+776
+00:59:16,810 --> 00:59:22,570
+لكن لو طلع شوية شوية اه هيحس انه لأ انه نفسه طبيعي
+
+777
+00:59:22,570 --> 00:59:29,010
+و بيزيد العمق النفس و بيزيد ال .. ال .. عمق النفس
+
+778
+00:59:29,010 --> 00:59:34,670
+بالذات بيحس انهما بيحسش بال .. بال .. بالhypoxia
+
+779
+00:59:34,670 --> 00:59:38,110
+بيحسش انه هو موجود في .. في جوا مافيش فيه oxygen
+
+780
+00:59:38,110 --> 00:59:43,490
+تمام؟ طيب هذه قلتلكم انا ايه سببها سببها انه ال
+
+781
+00:59:43,490 --> 00:59:46,390
+carbon dioxide effect اللي كان ماخد ال upper hand
+
+782
+00:59:46,390 --> 00:59:51,070
+اول يومين بعد كده بنزل تأثيره الى ال .. الربع
+
+783
+00:59:51,070 --> 00:59:56,670
+الخمس اربع اخمس بتروح و بيضل عندى ايه بس خمس ال
+
+784
+00:59:56,670 --> 00:59:59,890
+sensitivity تبعته و ال oxygen بياخد ال upper hand
+
+785
+00:59:59,890 --> 01:00:04,690
+تمام؟و هذه حكينا من اول ليش ان ال oxygen في الاول
+
+786
+01:00:04,690 --> 01:00:07,610
+هو ال carbon dioxide هو more sensitive لكن انا لما
+
+787
+01:00:07,610 --> 01:00:11,910
+يكون عندى انا اذا بدى اقعد من هنا في ال high
+
+788
+01:00:11,910 --> 01:00:15,450
+altitudes بدى اقعد من على ال carbon dioxide ما انا
+
+789
+01:00:15,450 --> 01:00:19,490
+ال hyperventilation اللى صارت washed out washed
+
+790
+01:00:19,490 --> 01:00:23,610
+out ال carbon dioxide فال stimulant راح فهخش في
+
+791
+01:00:23,610 --> 01:00:27,730
+ايه في hyperventilation من جديد لكن حقيقة ال
+
+792
+01:00:27,730 --> 01:00:31,320
+oxygen concentration ماتغيرش واطيالـ Oxygen
+
+793
+01:00:31,320 --> 01:00:34,520
+الواطي، دل واطي، تمام؟ في الحالة هذه الـ Carbon
+
+794
+01:00:34,520 --> 01:00:37,300
+Dioxide بطل هو الايه؟ الـ Main Stimulant بيصير ال
+
+795
+01:00:37,300 --> 01:00:42,080
+.. واضح؟ يعني التأثير الـ Carbon Dioxide السريع
+
+796
+01:00:42,080 --> 01:00:46,180
+اختفى لإن أنا صار Hyperventilation بسبب Carbon
+
+797
+01:00:46,180 --> 01:00:50,440
+Dioxide بس راح الـ Carbon Dioxide و بعدين، مدى ما
+
+798
+01:00:50,440 --> 01:00:53,040
+راح الـ Hyperventilation، اضل انا خاشش في Low
+
+799
+01:00:53,040 --> 01:00:57,220
+Ventilation Rate و في Hypoxiaلأ بيصير عندى ال
+
+800
+01:00:57,220 --> 01:01:00,680
+hypoxia الموجودة هي ال main stimulant مظبوط او مش
+
+801
+01:01:00,680 --> 01:01:04,020
+مظبوط انا شايف ناس نعسانين يبدو ان ال emulators في
+
+802
+01:01:04,020 --> 01:01:08,020
+الكلمات من بيه عصامه او من بيه صاممه تمام؟ واضح ال
+
+803
+01:01:08,020 --> 01:01:12,260
+acclimatization كده بتصير؟ اذا بعد يومين بيصير انا
+
+804
+01:01:12,260 --> 01:01:16,640
+مش بحتاج ال carbon dioxide هو اللى يتحكم لأن ال
+
+805
+01:01:16,640 --> 01:01:20,480
+hyperventilation صلحه لكن ال hypoxia هي الموجودة
+
+806
+01:01:20,480 --> 01:01:24,100
+فبيصير هي ال ايه؟ ال main stimulant واضح؟
+
+807
+01:01:27,320 --> 01:01:31,300
+بالإضافة لـ 70% المزيد من الانفجار اللي يمكن أن
+
+808
+01:01:31,300 --> 01:01:36,290
+يحدث بعد اكتشاف عالي لقليل من الانفجاراللي هو يعني
+
+809
+01:01:36,290 --> 01:01:38,870
+انا تأثير ال carbon dioxide اللي بسيط ال oxygen
+
+810
+01:01:38,870 --> 01:01:42,710
+اللي بسيط بيزودي ال oxygen بالنسبة ليش ال 70%؟ بدل
+
+811
+01:01:42,710 --> 01:01:46,490
+ما كان carbon dioxide هو ال main اه و ال oxygen 70
+
+812
+01:01:46,490 --> 01:01:50,930
+% فقط بعد يومين تلاتة of exposure to such
+
+813
+01:01:50,930 --> 01:01:53,830
+environment the alveolar ventilation often
+
+814
+01:01:53,830 --> 01:01:58,610
+increases 400 to 500 percent after two to three
+
+815
+01:01:58,610 --> 01:02:05,870
+days of low oxygenهذا يساعد كثيرًا في إعطاء أكسجين
+
+816
+01:02:05,870 --> 01:02:10,170
+إضافي إذا في الوضع الطبيعي زيادة الأكسجين تأثيره
+
+817
+01:02:10,170 --> 01:02:14,450
+سبعين المية زيادة تمام ال carbon dioxide تأثيره
+
+818
+01:02:14,450 --> 01:02:17,030
+أعلى كتير لكن بعد يومين تلاتة ال carbon dioxide
+
+819
+01:02:17,030 --> 01:02:21,130
+بفقد تأثيره وال oxygen effect بيصير ايه مش سبعين
+
+820
+01:02:21,130 --> 01:02:24,350
+المية بيصير اربعمية المية خمسمية المية تأثير
+
+821
+01:02:24,350 --> 01:02:28,490
+فبيعود ياخد ال upper hand وهذا منطق انه انا انا
+
+822
+01:02:28,490 --> 01:02:28,850
+المشكلة
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/j-85EcGyBhY_raw.json b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/j-85EcGyBhY_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..175010ccbef4168fc3455d9dc441bd2e751395dc
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/j-85EcGyBhY_raw.json
@@ -0,0 +1 @@
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"temperature": 1.0}, {"id": 90, "seek": 226885, "start": 2244.51, "end": 2268.85, "text": "بنستخدم ال carbon dioxide و نحوله ل carbon monoxide تمام؟ لإن صار ال oxygen الموجود جليل و الاحتراق بده oxygen فبروح بيحول اتنين carbon dioxide إلى carbon monoxide و بياخد منهم oxygen ايه؟ يولعها، يحرق فيها more gas يعني more carbon مش كده؟ فبتحول شوية شوية إلى carbon", "tokens": [3555, 1863, 14851, 9778, 40448, 2423, 5954, 19590, 4032, 8717, 5016, 12610, 3224, 5296, 5954, 1108, 46053, 46811, 10943, 22807, 5296, 28814, 1863, 20328, 9640, 2423, 9169, 9673, 29245, 23328, 10874, 20292, 1211, 4032, 42963, 33753, 23557, 4587, 47525, 3224, 9169, 6156, 26890, 2407, 5016, 4724, 1829, 5016, 12610, 1975, 2655, 1863, 9957, 5954, 19590, 30731, 5954, 1108, 46053, 4032, 4724, 1829, 47283, 3215, 9154, 16095, 9169, 1975, 1829, 3224, 22807, 7251, 12610, 3615, 11296, 12399, 7251, 5016, 2288, 4587, 8978, 11296, 544, 4211, 37495, 22653, 544, 5954, 37893, 9122, 3215, 3224, 22807, 6156, 3555, 2655, 5016, 12610, 13412, 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{"start": 2250.33, "end": 2250.63, "word": " لإن", "probability": 0.8250325520833334}, {"start": 2250.63, "end": 2250.81, "word": " صار", "probability": 0.5701904296875}, {"start": 2250.81, "end": 2250.87, "word": " ال", "probability": 0.71923828125}, {"start": 2250.87, "end": 2251.21, "word": " oxygen", "probability": 0.8359375}, {"start": 2251.21, "end": 2252.01, "word": " الموجود", "probability": 0.8719075520833334}, {"start": 2252.01, "end": 2252.63, "word": " جليل", "probability": 0.90380859375}, {"start": 2252.63, "end": 2253.01, "word": " و", "probability": 0.74951171875}, {"start": 2253.01, "end": 2253.45, "word": " الاحتراق", "probability": 0.83251953125}, {"start": 2253.45, "end": 2253.67, "word": " بده", "probability": 0.81640625}, {"start": 2253.67, "end": 2254.05, "word": " oxygen", "probability": 0.8505859375}, {"start": 2254.05, "end": 2254.63, "word": " فبروح", "probability": 0.8990478515625}, {"start": 2254.63, "end": 2255.01, "word": " بيحول", "probability": 0.8983154296875}, {"start": 2255.01, "end": 2255.35, "word": " اتنين", "probability": 0.9296875}, {"start": 2255.35, "end": 2255.69, "word": " carbon", "probability": 0.9697265625}, {"start": 2255.69, "end": 2256.53, "word": " dioxide", "probability": 0.9638671875}, {"start": 2256.53, "end": 2257.41, "word": " إلى", "probability": 0.484375}, {"start": 2257.41, "end": 2257.97, "word": " carbon", "probability": 0.974609375}, {"start": 2257.97, "end": 2258.39, "word": " monoxide", "probability": 0.919921875}, {"start": 2258.39, "end": 2258.53, "word": " و", "probability": 0.962890625}, {"start": 2258.53, "end": 2258.73, "word": " بياخد", "probability": 0.8941650390625}, {"start": 2258.73, "end": 2258.97, "word": " منهم", "probability": 0.85791015625}, {"start": 2258.97, "end": 2259.31, "word": " oxygen", "probability": 0.373046875}, {"start": 2259.31, "end": 2260.29, "word": " ايه؟", "probability": 0.817626953125}, {"start": 2260.29, "end": 2261.15, "word": " يولعها،", "probability": 0.778369140625}, {"start": 2261.15, "end": 2261.43, "word": " يحرق", "probability": 0.7965087890625}, {"start": 2261.43, "end": 2262.19, "word": " فيها", "probability": 0.9853515625}, {"start": 2262.19, "end": 2262.95, "word": " more", "probability": 0.92919921875}, {"start": 2262.95, "end": 2263.79, "word": " gas", "probability": 0.76318359375}, {"start": 2263.79, "end": 2263.99, "word": " يعني", "probability": 0.822998046875}, {"start": 2263.99, "end": 2264.19, "word": " more", "probability": 0.94873046875}, {"start": 2264.19, "end": 2264.65, "word": " carbon", "probability": 0.9775390625}, {"start": 2264.65, "end": 2265.07, "word": " مش", "probability": 0.63818359375}, {"start": 2265.07, "end": 2266.27, "word": " كده؟", "probability": 0.90478515625}, {"start": 2266.27, "end": 2267.17, "word": " فبتحول", "probability": 0.90087890625}, {"start": 2267.17, "end": 2267.53, "word": " شوية", "probability": 0.9104817708333334}, {"start": 2267.53, "end": 2267.91, "word": " شوية", "probability": 0.9807942708333334}, {"start": 2267.91, "end": 2268.17, "word": " إلى", "probability": 0.958984375}, {"start": 2268.17, "end": 2268.85, "word": " carbon", "probability": 0.97314453125}], "temperature": 1.0}, {"id": 91, "seek": 228630, "start": 2269.52, "end": 2286.3, "text": "الجو بنتلي carbon monoxide حقيقة احنا مش محتاجين ان الجو ينتلي carbon monoxide وكل ال oxygen يختفي عشان يموت انتوا عارفين لو كان عندى انا نسبة carbon monoxide في الجو واحد في الألف", "tokens": [6027, 7435, 2407, 4724, 29399, 20292, 5954, 1108, 46053, 11331, 38436, 28671, 1975, 5016, 8315, 37893, 3714, 33753, 26108, 9957, 16472, 25724, 2407, 7251, 29399, 20292, 5954, 1108, 46053, 4032, 28820, 2423, 9169, 7251, 46456, 41185, 6225, 8592, 7649, 7251, 2304, 35473, 16472, 2655, 14407, 6225, 9640, 5172, 9957, 45164, 25961, 43242, 7578, 1975, 8315, 8717, 35457, 3660, 5954, 1108, 46053, 8978, 25724, 2407, 36764, 24401, 8978, 16247, 46538], "avg_logprob": -0.18604910501411984, "compression_ratio": 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2274.42, "end": 2274.72, "word": " carbon", "probability": 0.95263671875}, {"start": 2274.72, "end": 2275.42, "word": " monoxide", "probability": 0.934326171875}, {"start": 2275.42, "end": 2276.34, "word": " وكل", "probability": 0.695068359375}, {"start": 2276.34, "end": 2276.46, "word": " ال", "probability": 0.6044921875}, {"start": 2276.46, "end": 2276.74, "word": " oxygen", "probability": 0.5859375}, {"start": 2276.74, "end": 2277.28, "word": " يختفي", "probability": 0.986328125}, {"start": 2277.28, "end": 2278.02, "word": " عشان", "probability": 0.9597981770833334}, {"start": 2278.02, "end": 2278.88, "word": " يموت", "probability": 0.9775390625}, {"start": 2278.88, "end": 2279.74, "word": " انتوا", "probability": 0.8961588541666666}, {"start": 2279.74, "end": 2280.12, "word": " عارفين", "probability": 0.991455078125}, {"start": 2280.12, "end": 2280.32, "word": " لو", "probability": 0.95703125}, {"start": 2280.32, "end": 2280.62, "word": " كان", "probability": 0.98095703125}, {"start": 2280.62, "end": 2280.98, "word": " عندى", "probability": 0.749755859375}, {"start": 2280.98, "end": 2281.72, "word": " انا", "probability": 0.911376953125}, {"start": 2281.72, "end": 2282.46, "word": " نسبة", "probability": 0.90380859375}, {"start": 2282.46, "end": 2283.36, "word": " carbon", "probability": 0.78466796875}, {"start": 2283.36, "end": 2284.2, "word": " monoxide", "probability": 0.94482421875}, {"start": 2284.2, "end": 2284.4, "word": " في", "probability": 0.8623046875}, {"start": 2284.4, "end": 2285.12, "word": " الجو", "probability": 0.981201171875}, {"start": 2285.12, "end": 2285.7, "word": " واحد", "probability": 0.835693359375}, {"start": 2285.7, "end": 2285.84, "word": " في", "probability": 0.79443359375}, {"start": 2285.84, "end": 2286.3, "word": " الألف", "probability": 0.818603515625}], "temperature": 1.0}, {"id": 92, "seek": 231244, "start": 2287.56, "end": 2312.44, "text": "لو كان تركيزه point six millimeter mercury point six جداش ال atmospheric air هو سبعمية و ستين مش واحد point six يعني مش واحد في السبعمية و ستين ولا واحد في الخمسمية لو واحد في الألف point six it is lethal قاتل شوفوا لو كان تركيزه واحد في الألف pressure pressure", "tokens": [1211, 2407, 25961, 6055, 31747, 1829, 11622, 3224, 935, 2309, 17942, 33307, 935, 2309, 10874, 3215, 33599, 2423, 28854, 1988, 31439, 8608, 3555, 25957, 10632, 4032, 8608, 2655, 9957, 37893, 36764, 24401, 935, 2309, 37495, 22653, 37893, 36764, 24401, 8978, 21136, 3555, 25957, 10632, 4032, 8608, 2655, 9957, 49429, 36764, 24401, 8978, 33962, 2304, 38251, 10632, 45164, 36764, 24401, 8978, 16247, 46538, 935, 2309, 309, 307, 34562, 12174, 9307, 1211, 13412, 38688, 14407, 45164, 25961, 6055, 31747, 1829, 11622, 3224, 36764, 24401, 8978, 16247, 46538, 3321, 3321], "avg_logprob": -0.11922940552573312, "compression_ratio": 1.9844559585492227, "no_speech_prob": 0.0, "words": [{"start": 2287.56, "end": 2287.92, "word": "لو", "probability": 0.87255859375}, {"start": 2287.92, "end": 2288.24, "word": " كان", 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{"start": 2304.92, "end": 2305.82, "word": " it", "probability": 0.93701171875}, {"start": 2305.82, "end": 2306.12, "word": " is", "probability": 0.93505859375}, {"start": 2306.12, "end": 2306.62, "word": " lethal", "probability": 0.94482421875}, {"start": 2306.62, "end": 2307.24, "word": " قاتل", "probability": 0.9581705729166666}, {"start": 2307.24, "end": 2308.26, "word": " شوفوا", "probability": 0.912109375}, {"start": 2308.26, "end": 2308.62, "word": " لو", "probability": 0.966796875}, {"start": 2308.62, "end": 2308.84, "word": " كان", "probability": 0.99365234375}, {"start": 2308.84, "end": 2309.48, "word": " تركيزه", "probability": 0.981640625}, {"start": 2309.48, "end": 2310.16, "word": " واحد", "probability": 0.99267578125}, {"start": 2310.16, "end": 2310.32, "word": " في", "probability": 0.9873046875}, {"start": 2310.32, "end": 2310.78, "word": " الألف", "probability": 0.947509765625}, {"start": 2310.78, "end": 2312.12, "word": " pressure", "probability": 0.6669921875}, 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100, "seek": 248840, "start": 2480.32, "end": 2488.4, "text": "منطلوب شوية لإن الجسم affinity و partial pressures إذا لما واحد يخش في carbon monoxide poisoning", "tokens": [27842, 9566, 1211, 37746, 13412, 2407, 10632, 5296, 28814, 1863, 25724, 38251, 39703, 4032, 14641, 23573, 11933, 15730, 5296, 15042, 36764, 24401, 7251, 9778, 8592, 8978, 5954, 1108, 46053, 36778], "avg_logprob": -0.3208165399489864, "compression_ratio": 1.0833333333333333, "no_speech_prob": 0.0, "words": [{"start": 2480.32, "end": 2480.84, "word": "منطلوب", "probability": 0.449798583984375}, {"start": 2480.84, "end": 2481.28, "word": " شوية", "probability": 0.8570963541666666}, {"start": 2481.28, "end": 2481.58, "word": " لإن", "probability": 0.7745768229166666}, {"start": 2481.58, "end": 2481.92, "word": " الجسم", "probability": 0.77978515625}, {"start": 2481.92, "end": 2483.5, "word": " affinity", "probability": 0.90771484375}, {"start": 2483.5, "end": 2484.06, "word": " و", "probability": 0.91748046875}, 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"start": 2516.24, "end": 2535.32, "text": "أنا عليت البرشا برشا اكتر من ال 250 الضعف الموجود فصار عندي قدرة ان يكون more oxygen عن القياش في نفس الوقت الخطورة تبعه ان هو هذا ال carbon monoxide ال affinity للهيمoglobin البرشا برشا تبعه تقريبا zero كله بيمسك في مين؟", "tokens": [10721, 8315, 6225, 20292, 2655, 2423, 26890, 8592, 995, 4724, 2288, 8592, 995, 1975, 4117, 2655, 2288, 9154, 2423, 11650, 6024, 114, 3615, 5172, 9673, 29245, 23328, 6156, 9381, 9640, 18871, 16254, 12174, 3215, 25720, 16472, 7251, 30544, 544, 9169, 18871, 25062, 1829, 33599, 8978, 8717, 36178, 2423, 30543, 2655, 33962, 9566, 13063, 3660, 6055, 3555, 3615, 3224, 16472, 31439, 23758, 2423, 5954, 1108, 46053, 2423, 39703, 24976, 3224, 32640, 45841, 13496, 2423, 26890, 8592, 995, 4724, 2288, 8592, 995, 6055, 3555, 3615, 3224, 6055, 4587, 16572, 3555, 995, 4018, 28242, 3224, 4724, 32640, 3794, 4117, 8978, 3714, 9957, 22807], "avg_logprob": -0.24783416549758155, "compression_ratio": 1.5434782608695652, "no_speech_prob": 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عندي", "probability": 0.7431640625}, {"start": 2521.04, "end": 2521.6, "word": " قدرة", "probability": 0.8173828125}, {"start": 2521.6, "end": 2521.78, "word": " ان", "probability": 0.57275390625}, {"start": 2521.78, "end": 2522.44, "word": " يكون", "probability": 0.90625}, {"start": 2522.44, "end": 2522.64, "word": " more", "probability": 0.6826171875}, {"start": 2522.64, "end": 2522.98, "word": " oxygen", "probability": 0.8427734375}, {"start": 2522.98, "end": 2523.18, "word": " عن", "probability": 0.3173828125}, {"start": 2523.18, "end": 2523.6, "word": " القياش", "probability": 0.6019694010416666}, {"start": 2523.6, "end": 2524.34, "word": " في", "probability": 0.783203125}, {"start": 2524.34, "end": 2524.58, "word": " نفس", "probability": 0.992431640625}, {"start": 2524.58, "end": 2524.86, "word": " الوقت", "probability": 0.9803059895833334}, {"start": 2524.86, "end": 2525.28, "word": " الخطورة", "probability": 0.94873046875}, {"start": 2525.28, "end": 2525.8, "word": " تبعه", 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داويكسايد مش كده؟ ايش بيمثل هذا؟ بيمثل 2.7 ملي لتر كربون داويكسايد per hundred milliliter يمثل ايش؟ 2.7 ملي لتر", "tokens": [6027, 7649, 1975, 15730, 5296, 15042, 8717, 39648, 43242, 7578, 1975, 8315, 23032, 1211, 3615, 8315, 9154, 2423, 7649, 3794, 7435, 9640, 4032, 3615, 8315, 6905, 3714, 20292, 44650, 2288, 3714, 13546, 4117, 13063, 1829, 4724, 2288, 33599, 2288, 5296, 23275, 25513, 11536, 11778, 995, 45865, 4117, 3794, 995, 25708, 37893, 9122, 3215, 3224, 22807, 1975, 1829, 8592, 4724, 32640, 12984, 1211, 23758, 22807, 4724, 32640, 12984, 1211, 568, 13, 22, 3714, 20292, 5296, 2655, 2288, 9122, 25513, 11536, 11778, 995, 45865, 4117, 3794, 995, 25708, 680, 3262, 1728, 388, 1681, 7251, 2304, 12984, 1211, 1975, 1829, 8592, 22807, 568, 13, 22, 3714, 20292, 5296, 2655, 2288], "avg_logprob": -0.25260416114771805, "compression_ratio": 1.7287234042553192, "no_speech_prob": 0.0, "words": [{"start": 3398.83, "end": 3399.15, "word": "الان", "probability": 0.4188232421875}, {"start": 3399.15, 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"end": 3406.59, "word": " ميركوري", "probability": 0.657958984375}, {"start": 3406.59, "end": 3408.95, "word": " براشر", "probability": 0.56195068359375}, {"start": 3408.95, "end": 3410.03, "word": " للكربون", "probability": 0.68988037109375}, {"start": 3410.03, "end": 3410.59, "word": " داويكسايد", "probability": 0.7831333705357143}, {"start": 3410.59, "end": 3411.11, "word": " مش", "probability": 0.82275390625}, {"start": 3411.11, "end": 3411.75, "word": " كده؟", "probability": 0.7962646484375}, {"start": 3411.75, "end": 3411.99, "word": " ايش", "probability": 0.6873372395833334}, {"start": 3411.99, "end": 3412.53, "word": " بيمثل", "probability": 0.9295654296875}, {"start": 3412.53, "end": 3413.53, "word": " هذا؟", "probability": 0.837890625}, {"start": 3413.53, "end": 3414.17, "word": " بيمثل", "probability": 0.96337890625}, {"start": 3414.17, "end": 3415.05, "word": " 2", "probability": 0.8330078125}, {"start": 3415.05, "end": 3415.67, "word": ".7", "probability": 0.986083984375}, 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"end": 3427.52, "word": " amount", "probability": 0.92822265625}, {"start": 3427.52, "end": 3427.88, "word": " of", "probability": 0.96435546875}, {"start": 3427.88, "end": 3428.26, "word": " carbon", "probability": 0.8232421875}, {"start": 3428.26, "end": 3428.58, "word": " dioxide", "probability": 0.9462890625}, {"start": 3428.58, "end": 3429.2, "word": " dissolved", "probability": 0.7900390625}, {"start": 3429.2, "end": 3429.42, "word": " in", "probability": 0.958984375}, {"start": 3429.42, "end": 3429.56, "word": " the", "probability": 0.90771484375}, {"start": 3429.56, "end": 3430.0, "word": " fluid", "probability": 0.65478515625}, {"start": 3430.0, "end": 3430.8, "word": " of", "probability": 0.958984375}, {"start": 3430.8, "end": 3430.98, "word": " the", "probability": 0.80712890625}, {"start": 3430.98, "end": 3431.5, "word": " blood", "probability": 0.92822265625}, {"start": 3431.5, "end": 3433.68, "word": " تمام؟", "probability": 0.7046712239583334}, {"start": 3433.68, "end": 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"word": " المية", "probability": 0.981201171875}], "temperature": 1.0}, {"id": 141, "seek": 346318, "start": 3453.48, "end": 3463.18, "text": "مقاومة الكربون ديوكسيد المفرومة في مياه الدم في 45 ملي متر مركوز هي 2.7 ملي لتر بديسليتر", "tokens": [2304, 4587, 995, 20498, 3660, 33251, 25513, 11536, 11778, 1829, 2407, 4117, 3794, 25708, 9673, 5172, 2288, 20498, 3660, 8978, 3714, 25528, 3224, 32748, 2304, 8978, 6905, 3714, 20292, 44650, 2288, 3714, 2288, 4117, 2407, 11622, 39896, 568, 13, 22, 3714, 20292, 5296, 2655, 2288, 4724, 16254, 3794, 20292, 2655, 2288], "avg_logprob": -0.6856971165308585, "compression_ratio": 1.4903846153846154, "no_speech_prob": 0.0, "words": [{"start": 3453.48, "end": 3454.4, "word": "مقاومة", "probability": 0.500439453125}, {"start": 3454.4, "end": 3454.76, "word": " الكربون", "probability": 0.6770833333333334}, {"start": 3454.76, "end": 3455.24, "word": " ديوكسيد", "probability": 0.5122884114583334}, {"start": 3455.24, "end": 3455.88, "word": " المفرومة", "probability": 0.40220947265625}, {"start": 3455.88, "end": 3456.08, "word": " في", "probability": 0.802734375}, {"start": 3456.08, "end": 3456.92, "word": " مياه", "probability": 0.422271728515625}, {"start": 3456.92, "end": 3457.68, "word": " الدم", "probability": 0.6771240234375}, {"start": 3457.68, "end": 3458.04, "word": " في", "probability": 0.343994140625}, {"start": 3458.04, "end": 3458.44, "word": " 45", "probability": 0.496337890625}, {"start": 3458.44, "end": 3458.76, "word": " ملي", "probability": 0.6029052734375}, {"start": 3458.76, "end": 3459.02, "word": " متر", "probability": 0.760009765625}, {"start": 3459.02, "end": 3459.5, "word": " مركوز", "probability": 0.55869140625}, {"start": 3459.5, "end": 3460.16, "word": " هي", "probability": 0.28125}, {"start": 3460.16, "end": 3461.26, "word": " 2", "probability": 0.572265625}, {"start": 3461.26, "end": 3461.84, "word": ".7", "probability": 0.967529296875}, {"start": 3461.84, "end": 3462.1, "word": " ملي", "probability": 0.905029296875}, {"start": 3462.1, "end": 3462.38, "word": " لتر", "probability": 0.8942057291666666}, {"start": 3462.38, "end": 3463.18, "word": " بديسليتر", "probability": 0.6839803059895834}], "temperature": 1.0}, {"id": 142, "seek": 349123, "start": 3463.57, "end": 3491.23, "text": "المقارنة الى 40 مليمتر ميركوري هي 2.4 مليلتر او فرق من 0.3 مليلتر فالمقارنة الى 4 مليلتر او فرق من 0.3 مليلتر من 4 مليلتر", "tokens": [45340, 4587, 9640, 1863, 3660, 2423, 7578, 3356, 3714, 20292, 2304, 2655, 2288, 3714, 13546, 4117, 13063, 1829, 39896, 568, 13, 19, 3714, 20292, 1211, 2655, 2288, 1975, 2407, 6156, 2288, 4587, 9154, 1958, 13, 18, 3714, 20292, 1211, 2655, 2288, 6156, 45340, 4587, 9640, 1863, 3660, 2423, 7578, 1017, 3714, 20292, 1211, 2655, 2288, 1975, 2407, 6156, 2288, 4587, 9154, 1958, 13, 18, 3714, 20292, 1211, 2655, 2288, 9154, 1017, 3714, 20292, 1211, 2655, 2288], "avg_logprob": -0.42086040199577035, "compression_ratio": 2.1354166666666665, "no_speech_prob": 0.0, "words": [{"start": 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"probability": 0.98876953125}, {"start": 4520.91, "end": 4520.91, "word": " المزيد", "probability": 0.98681640625}, {"start": 4520.91, "end": 4520.91, "word": " من", "probability": 0.98828125}, {"start": 4520.91, "end": 4520.91, "word": " المزيد", "probability": 0.9869791666666666}, {"start": 4520.91, "end": 4520.91, "word": " من", "probability": 0.986328125}, {"start": 4520.91, "end": 4520.91, "word": " المزيد", "probability": 0.9866536458333334}, {"start": 4520.91, "end": 4521.33, "word": " من", "probability": 0.984375}, {"start": 4521.33, "end": 4521.33, "word": " المزيد", "probability": 0.986328125}, {"start": 4521.33, "end": 4521.33, "word": " من", "probability": 0.982421875}, {"start": 4521.33, "end": 4521.33, "word": " المزيد", "probability": 0.9861653645833334}, {"start": 4521.33, "end": 4522.05, "word": " من", "probability": 0.97998046875}, {"start": 4522.05, "end": 4522.05, "word": " المزيد", "probability": 0.98583984375}, {"start": 4522.05, "end": 4522.05, "word": " من", "probability": 0.9765625}, {"start": 4522.05, "end": 4522.05, "word": " المزيد", "probability": 0.9850260416666666}, {"start": 4522.05, "end": 4522.05, "word": " من", "probability": 0.97216796875}, {"start": 4522.05, "end": 4522.05, "word": " المزيد", "probability": 0.9840494791666666}, {"start": 4522.05, "end": 4522.05, "word": " من", "probability": 0.96728515625}, {"start": 4522.05, "end": 4522.05, "word": " المزيد", "probability": 0.9832356770833334}, {"start": 4522.05, "end": 4522.05, "word": " من", "probability": 0.96240234375}, {"start": 4522.05, "end": 4522.05, "word": " المزيد", "probability": 0.9822591145833334}, {"start": 4522.05, "end": 4522.05, "word": " من", "probability": 0.95556640625}, {"start": 4522.05, "end": 4522.05, "word": " المزيد", "probability": 0.9816080729166666}, {"start": 4522.05, "end": 4522.07, "word": " من", "probability": 0.9501953125}, {"start": 4522.07, "end": 4522.07, "word": " المزيد", "probability": 0.98095703125}, {"start": 4522.07, "end": 4522.25, "word": " من", "probability": 0.94140625}, {"start": 4522.25, "end": 4522.41, "word": " المزيد", "probability": 0.97998046875}, {"start": 4522.41, "end": 4522.41, "word": " من", "probability": 0.9326171875}, {"start": 4522.41, "end": 4522.87, "word": " المزيد", "probability": 0.9775390625}, {"start": 4522.87, "end": 4522.89, "word": " من", "probability": 0.9248046875}, {"start": 4522.89, "end": 4522.89, "word": " المزيد", "probability": 0.9754231770833334}, {"start": 4522.89, "end": 4522.89, "word": " من", "probability": 0.919921875}, {"start": 4522.89, "end": 4522.89, "word": " المزيد", "probability": 0.9752604166666666}, {"start": 4522.89, "end": 4523.43, "word": " من", "probability": 0.90576171875}, {"start": 4523.43, "end": 4523.43, "word": " المزيد", "probability": 0.9749348958333334}, {"start": 4523.43, "end": 4523.43, "word": " من", "probability": 0.884765625}], "temperature": 1.0}, {"id": 184, "seek": 454701, "start": 4523.81, "end": 4547.01, "text": "تمام اذا انا لما اعمل less acidic مع ال hemoglobin بيمسك carbon dioxide اقل بيعمل wash لل carbon dioxide اقل اكتر the increased acidity of the hemoglobin also causes it to release an excess of the hydrogen ions الهيدروجين اللي مسكها أساسا هو تمام بتركها لما ييجي أكسجين اللي هو صار more ايش", "tokens": [39237, 10943, 1975, 15730, 1975, 8315, 5296, 15042, 1975, 25957, 1211, 1570, 39514, 20449, 2423, 8636, 45841, 13496, 4724, 1829, 2304, 3794, 4117, 5954, 19590, 1975, 4587, 1211, 4724, 1829, 25957, 1211, 5675, 24976, 5954, 19590, 1975, 4587, 1211, 1975, 4117, 2655, 2288, 264, 6505, 8258, 507, 295, 264, 8636, 45841, 13496, 611, 7700, 309, 281, 4374, 364, 9310, 295, 264, 12697, 27362, 2423, 3224, 25708, 2288, 29245, 9957, 13672, 1829, 47524, 4117, 11296, 5551, 3794, 32277, 995, 31439, 46811, 10943, 39894, 31747, 11296, 5296, 15042, 7251, 1829, 7435, 1829, 5551, 4117, 3794, 7435, 9957, 13672, 1829, 31439, 20328, 9640, 544, 1975, 1829, 8592], "avg_logprob": -0.24955357142857143, "compression_ratio": 1.6485355648535565, 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" carbon", "probability": 0.66162109375}, {"start": 4530.41, "end": 4530.67, "word": " dioxide", "probability": 0.87548828125}, {"start": 4530.67, "end": 4531.11, "word": " اقل", "probability": 0.7978515625}, {"start": 4531.11, "end": 4531.53, "word": " بيعمل", "probability": 0.921630859375}, {"start": 4531.53, "end": 4531.87, "word": " wash", "probability": 0.9296875}, {"start": 4531.87, "end": 4532.13, "word": " لل", "probability": 0.2257080078125}, {"start": 4532.13, "end": 4532.35, "word": " carbon", "probability": 0.86474609375}, {"start": 4532.35, "end": 4532.59, "word": " dioxide", "probability": 0.912109375}, {"start": 4532.59, "end": 4532.97, "word": " اقل", "probability": 0.9381510416666666}, {"start": 4532.97, "end": 4533.55, "word": " اكتر", "probability": 0.9822998046875}, {"start": 4533.55, "end": 4534.23, "word": " the", "probability": 0.5029296875}, {"start": 4534.23, "end": 4534.55, "word": " increased", "probability": 0.77099609375}, {"start": 4534.55, "end": 4534.95, "word": " acidity", "probability": 0.907470703125}, {"start": 4534.95, "end": 4535.05, "word": " of", "probability": 0.97509765625}, {"start": 4535.05, "end": 4535.19, "word": " the", "probability": 0.5546875}, {"start": 4535.19, "end": 4535.81, "word": " hemoglobin", "probability": 0.95556640625}, {"start": 4535.81, "end": 4536.57, "word": " also", "probability": 0.83203125}, {"start": 4536.57, "end": 4537.05, "word": " causes", "probability": 0.84619140625}, {"start": 4537.05, "end": 4537.29, "word": " it", "probability": 0.9677734375}, {"start": 4537.29, "end": 4537.47, "word": " to", "probability": 0.97607421875}, {"start": 4537.47, "end": 4537.91, "word": " release", "probability": 0.86669921875}, {"start": 4537.91, "end": 4538.19, "word": " an", "probability": 0.572265625}, {"start": 4538.19, "end": 4538.55, "word": " excess", "probability": 0.9267578125}, {"start": 4538.55, "end": 4538.73, "word": " of", "probability": 0.97802734375}, {"start": 4538.73, "end": 4538.83, "word": " 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4545.47, "word": " أكسجين", "probability": 0.79140625}, {"start": 4545.47, "end": 4545.91, "word": " اللي", "probability": 0.62451171875}, {"start": 4545.91, "end": 4546.07, "word": " هو", "probability": 0.98583984375}, {"start": 4546.07, "end": 4546.35, "word": " صار", "probability": 0.57452392578125}, {"start": 4546.35, "end": 4546.63, "word": " more", "probability": 0.88134765625}, {"start": 4546.63, "end": 4547.01, "word": " ايش", "probability": 0.6946614583333334}], "temperature": 1.0}, {"id": 185, "seek": 455868, "start": 4549.97, "end": 4558.69, "text": "more acidic النقطتين هدول انتجروها بالتفصيل اشرحهم براحتكم عشان انا صار مكفى في انهاء الدارس", "tokens": [3138, 39514, 2423, 1863, 47432, 2655, 9957, 8032, 3215, 12610, 16472, 2655, 7435, 32887, 11296, 20666, 2655, 5172, 9381, 26895, 1975, 46309, 5016, 16095, 4724, 23557, 33753, 24793, 6225, 8592, 7649, 1975, 8315, 20328, 9640, 3714, 4117, 5172, 7578, 8978, 16472, 3224, 16606, 32748, 9640, 3794], "avg_logprob": -0.4085771378050459, "compression_ratio": 1.28, "no_speech_prob": 0.08502197265625, "words": [{"start": 4549.97, "end": 4550.23, "word": "more", "probability": 0.357177734375}, {"start": 4550.23, "end": 4550.75, "word": " acidic", "probability": 0.9521484375}, {"start": 4550.75, "end": 4554.27, "word": " النقطتين", "probability": 0.64854736328125}, {"start": 4554.27, "end": 4554.47, "word": " هدول", "probability": 0.61474609375}, {"start": 4554.47, "end": 4554.89, "word": " انتجروها", "probability": 0.767041015625}, {"start": 4554.89, "end": 4555.49, "word": " بالتفصيل", "probability": 0.96259765625}, {"start": 4555.49, "end": 4556.03, "word": " اشرحهم", "probability": 0.7073974609375}, {"start": 4556.03, "end": 4556.39, "word": " براحتكم", "probability": 0.8841552734375}, {"start": 4556.39, "end": 4556.63, "word": " عشان", "probability": 0.8995768229166666}, {"start": 4556.63, "end": 4556.77, "word": " انا", "probability": 0.857421875}, {"start": 4556.77, "end": 4556.93, "word": " 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0.91455078125}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 4583.8745, "duration_after_vad": 4461.435968749988}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/jCLl_n416-Y.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/jCLl_n416-Y.srt
new file mode 100644
index 0000000000000000000000000000000000000000..0e8886613544c9dde60764a7c0de5d0fde2b479c
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/jCLl_n416-Y.srt
@@ -0,0 +1,2078 @@
+1
+00:00:00,000 --> 00:00:02,700
+موسيقى
+
+2
+00:00:09,250 --> 00:00:13,230
+اليوم إن شاء الله بتكون آخر محاضرة في physiology
+
+3
+00:00:13,230 --> 00:00:18,010
+of the respiratory system وفيها اليوم نتكلم عن
+
+4
+00:00:18,010 --> 00:00:22,330
+بعض الحالات، الـ abnormalities، الحالات المرضية
+
+5
+00:00:22,330 --> 00:00:28,570
+الحالات الغير عادية في موضوع هذا الجهاز، جهاز
+
+6
+00:00:28,570 --> 00:00:33,250
+التنفس. النقطة
+
+7
+00:00:33,250 --> 00:00:36,410
+الأولى هأتكلم عنها موضوع الـ hypoxia. فعندنا حاجة
+
+8
+00:00:36,410 --> 00:00:42,000
+اسمها hypoxia، في حاجة اسمها anoxia. طبعًا anoxia يعني
+
+9
+00:00:42,000 --> 00:00:46,260
+مافيش oxygen نهائيًا. hypoxia يعني فيه بس inadequate
+
+10
+00:00:46,260 --> 00:00:52,100
+إذا كنت عارف كلمة hypoxia، is a pathological
+
+11
+00:00:52,100 --> 00:00:57,120
+condition in which the body tissues as a whole or
+
+12
+00:00:57,120 --> 00:01:05,070
+regional are deprived of adequate oxygen supply. الـ
+
+13
+00:01:05,070 --> 00:01:10,130
+adequate oxygen supply is not present. لذلك يسميها
+
+14
+00:01:10,130 --> 00:01:11,190
+hypoxia.
+
+15
+00:01:14,870 --> 00:01:19,670
+الأسباب المختلفة لإنه يكون عندي أنا hypoxia، ممكن
+
+16
+00:01:19,670 --> 00:01:23,910
+نسترجعها مع بعض.  ممكن يكون الجو الخارجي
+
+17
+00:01:23,910 --> 00:01:30,570
+عندنا أوضة مسكرة ومافيش فيها تجديد هواء، فيها موقد
+
+18
+00:01:30,570 --> 00:01:37,930
+بيستهلك هواء، فيها غازات غير عادية، ستجد نسبة واطئة
+
+19
+00:01:37,930 --> 00:01:41,610
+بتؤدي في النهاية إلى إيه؟ لإنه يدخلني في hypoxia، يعني
+
+20
+00:01:41,610 --> 00:01:46,050
+عندي الـ atmospheric oxygen is low. مش كده؟ هذه أول
+
+21
+00:01:46,050 --> 00:01:50,930
+حاجة. اثنين، ممكن يكون عندي أنا جهاز التنفس عندي مش
+
+22
+00:01:50,930 --> 00:01:55,170
+سليم، يعني العضلات، الدماغ، الكذا اللي بيشكل اللي
+
+23
+00:01:55,170 --> 00:01:58,370
+إيه، عندي trauma في الـ head، عندي مشكلة،
+
+24
+00:01:58,370 --> 00:02:01,610
+neuromuscular control of the respiratory tract is
+
+25
+00:02:01,610 --> 00:02:05,750
+not  الـ ventilation، بس مش بسبب الـ lungs نفسها، بسبب
+
+26
+00:02:05,750 --> 00:02:09,990
+إيه؟ الـ control system تبعهم، الـ neuromuscular
+
+27
+00:02:09,990 --> 00:02:15,210
+disorders، تمام؟ إذا عندي inadequate oxygenation
+
+28
+00:02:15,210 --> 00:02:18,650
+of the blood in the lungs because of extrinsic
+
+29
+00:02:18,650 --> 00:02:24,610
+reasons، خارج عن الـ lungs نفسها، تمام، الـ atmosphere أو
+
+30
+00:02:24,610 --> 00:02:27,170
+الـ central nervous system أو neuromuscular
+
+31
+00:02:27,170 --> 00:02:34,710
+junctions، أو سبب ثاني، inadequate oxygenation of
+
+32
+00:02:34,710 --> 00:02:37,330
+the blood in the lungs because of the disease of a
+
+33
+00:02:37,330 --> 00:02:41,550
+disease in the lungs نفسها، تمام، pulmonary causes
+
+34
+00:02:41,550 --> 00:02:43,390
+وهذه
+
+35
+00:02:45,640 --> 00:02:50,020
+ممكن تكون عندي hypoventilation caused by increased
+
+36
+00:02:50,020 --> 00:02:52,580
+airway resistance، عندي some sort of obstruction
+
+37
+00:02:52,580 --> 00:02:57,680
+تمام؟ الـ bronchial asthma، الـ emphysema، فيها sort
+
+38
+00:02:57,680 --> 00:03:00,880
+of obstruction، بيقدر إن الهواء اللي بدخل وبيطلع مش
+
+39
+00:03:00,880 --> 00:03:04,790
+طبيعي، أو abnormal زي ما قلنا في الانفيزيما.
+
+40
+00:03:04,790 --> 00:03:07,750
+abnormal relation between the ventilation and air
+
+41
+00:03:07,750 --> 00:03:11,670
+and perfusion. يعني في ventilation بس مافيش
+
+42
+00:03:11,670 --> 00:03:14,010
+perfusion كويس، أو في perfusion مافيش ventilation
+
+43
+00:03:14,010 --> 00:03:18,730
+كويس، أو الـ physiological dead space abnormal، أو الـ
+
+44
+00:03:18,730 --> 00:03:24,210
+physiological shunt abnormal، تمام؟ أو عندي أنا
+
+45
+00:03:24,210 --> 00:03:27,930
+arteriovenous shunt، أو venous arterial shunt، يعني الدم
+
+46
+00:03:27,930 --> 00:03:33,600
+الوريدي بيدخل على الدم الـ ... الشرياني بغير ما يدخل
+
+47
+00:03:33,600 --> 00:03:38,040
+الـ ... الرئتين، فهذا بيؤدي إلى إنه ما بيوصلش عندي
+
+48
+00:03:38,040 --> 00:03:41,060
+good oxygenation of the blood، لإن نفس الـ venous
+
+49
+00:03:41,060 --> 00:03:44,400
+blood بيرجع ثاني للـ arterial side. وهذه بنلاقيها؟ بنلاقيها في الـ patent ductus arteriosus.
+
+50
+00:03:44,400 --> 00:03:50,500
+إحنا عندنا ductus arteriosus موجودة بتشتغل أثناء
+
+51
+00:03:51,300 --> 00:03:56,140
+إما نكون إحنا في بطن أمنا، فـ ductus arteriosus
+
+52
+00:03:56,140 --> 00:03:59,420
+عشان الدم ما يروحش الرئتين، لإن الرئتين مش شغالين،
+
+53
+00:03:59,420 --> 00:04:02,780
+الرئتين لسه معطلين، فالدم بيطلع من pulmonary
+
+54
+00:04:02,780 --> 00:04:05,580
+artery على طول لإيه؟ للأورتا، تمام؟ لإن عملية الـ
+
+55
+00:04:05,580 --> 00:04:09,300
+oxygenation بتتم عبر الـ placenta، عبر طريق آخر.
+
+56
+00:04:09,300 --> 00:04:13,280
+لكن هذه إذا بقت هيك بتعمل لي مشكلة. مفترض إن الـ ...
+
+57
+00:04:13,820 --> 00:04:18,180
+الـ ... الـ ductus arteriosus هذه بعد الميلاد على طول
+
+58
+00:04:18,180 --> 00:04:21,780
+بيبدأ الضغوط تختلف، ويجي الضغط فيها، وتبدأ إيه
+
+59
+00:04:21,780 --> 00:04:24,920
+prostaglandins تقل، ويبدأ استينوزس لها، و fibrosis.
+
+60
+00:04:24,920 --> 00:04:29,140
+لكن بعض الناس بتبقى هذه الـ ... الـ duct فاتحة، فبتقدر
+
+61
+00:04:29,140 --> 00:04:35,480
+إلى إن جزء من الدم بيطلع من pulmonary artery على الـ
+
+62
+00:04:35,480 --> 00:04:38,020
+lungs، بيعمل oxygenation، وجزء بيرجع مباشرة
+
+63
+00:04:38,020 --> 00:04:42,100
+للأورتا، فبيبقى عندي mixed blood، لكنه مش good
+
+64
+00:04:42,100 --> 00:04:46,080
+oxygenated، partially oxygenated، أو inadequate
+
+65
+00:04:46,080 --> 00:04:50,980
+oxygen transport. إذا وصلنا إحنا طلعنا من الـ lungs
+
+66
+00:04:50,980 --> 00:04:55,540
+الآن الـ transport system نفسه، اللي مجلوب ودم مش
+
+67
+00:04:55,540 --> 00:04:59,340
+كده، ممكن يكون فيه مشكلة، مش قادر ياخد oxygen كافي،
+
+68
+00:04:59,340 --> 00:05:03,660
+هيموجلوبين واطي، أنيميا، ممكن تعمل مشكلة، أو
+
+69
+00:05:04,420 --> 00:05:08,460
+abnormal hemoglobin، مافيش أنيميا، لكن abnormal
+
+70
+00:05:08,460 --> 00:05:10,940
+hemoglobin، مش قادر يمسك أكسجين، أو عندي some sort
+
+71
+00:05:10,940 --> 00:05:15,440
+of circulatory shock، الـ flow rate تبع الـ blood،
+
+72
+00:05:15,440 --> 00:05:19,780
+عندي cardiac failure، heart failure، الـ flow of
+
+73
+00:05:19,780 --> 00:05:23,020
+the blood in the tissues واطي، فبيؤدي إلى إن كمية
+
+74
+00:05:23,020 --> 00:05:26,740
+الأكسجين بتنقل للأنسجة واطية، بتستهلك كلها،
+
+75
+00:05:26,740 --> 00:05:30,440
+محتاجين غيرها، مينلاقيهش، فبتخش في حالة إيه؟ hypoxia.
+
+76
+00:05:37,260 --> 00:05:41,140
+إذا في عندي generalized circulatory deficiency، أو
+
+77
+00:05:41,140 --> 00:05:45,060
+إحنا لما عرفنا هيبوكسيا، قلنا ممكن يكون in general
+
+78
+00:05:45,060 --> 00:05:49,280
+أو total body هيبوكسيا، أو regional. طب ما ممكن
+
+79
+00:05:49,280 --> 00:05:53,280
+يكون عندي general circulatory deficiency، heart
+
+80
+00:05:53,280 --> 00:05:57,940
+rate، أو في regional part، منطقة فيها ischemia، فيها
+
+81
+00:05:57,940 --> 00:06:01,700
+pressure، فيها stenosis، فيها disease، فيها وذمة
+
+82
+00:06:01,700 --> 00:06:04,520
+فيها كذا، بتخلي الـ blood اللي رايح للمنطقة هذه
+
+83
+00:06:04,520 --> 00:06:08,930
+إيه؟ يعني الـ general كويس، لكن هذه المنطقة بالذات الـ
+
+84
+00:06:08,930 --> 00:06:12,890
+blood supply فيها واطي، تمام، برضه بتدخلني في
+
+85
+00:06:12,890 --> 00:06:16,910
+regional ischemia، أو tissue ischemia for specific
+
+86
+00:06:16,910 --> 00:06:21,530
+organ. الـ edema in general، أي مكان بيصير فيه edema
+
+87
+00:06:21,530 --> 00:06:26,590
+تمام، بيصير عندي disturbance في الـ ... في الـ blood
+
+88
+00:06:26,590 --> 00:06:33,250
+supply تبعها، وبتؤدي لي إلى hypoxia ممكن جدًا. ونقطة
+
+89
+00:06:33,250 --> 00:06:38,670
+الأخيرة في الـ hypoxia إنّه
+
+90
+00:06:38,670 --> 00:06:42,830
+الـ lungs كويسة، الـ atmosphere كويس، و الـ lungs كويسة
+
+91
+00:06:42,830 --> 00:06:47,550
+و الـ transport system كويس، و الـ circulatory system
+
+92
+00:06:47,550 --> 00:06:52,410
+كويس، لكن عندي أنا الـ cells نفسها مش قادرة تاخد الـ
+
+93
+00:06:52,410 --> 00:06:56,890
+oxygen من الـ ... من الـ interstitial fluid، اللي هو
+
+94
+00:06:56,890 --> 00:07:00,290
+ولا الـ blood اللي جايها، تمام؟ ليه؟ ممكن يكون عندي
+
+95
+00:07:00,290 --> 00:07:04,880
+some sort of poisoning، زي الـ cyanide poisoning. في
+
+96
+00:07:04,880 --> 00:07:07,220
+الـ cyanide poisoning، الـ cytochrome system، الـ
+
+97
+00:07:07,220 --> 00:07:11,800
+enzymes الموجودة لاستخلاص الأكسجين في الـ
+
+98
+00:07:11,800 --> 00:07:16,440
+mitochondria من الـ tissues عشان استخدامه، بيتعطل الـ
+
+99
+00:07:16,440 --> 00:07:20,340
+cyanide poisoning، تمام. فبيبقى عندي hemoglobin
+
+100
+00:07:20,340 --> 00:07:24,280
+مليان oxygen، بيدخل على الـ tissues، وبيطلع من غير ما
+
+101
+00:07:24,280 --> 00:07:28,360
+يستخدم، تمام. لكن الـ tissues نفسها في حالة إيه؟
+
+102
+00:07:28,360 --> 00:07:33,340
+hypoxia، لإنه مش قادر يوصل الـ oxygen هذا للـ tissues.
+
+103
+00:07:33,340 --> 00:07:37,460
+مش قادر يوصل لـ الـ mitochondria to be used. تمام؟ إذا
+
+104
+00:07:37,460 --> 00:07:41,240
+هو الـ hypoxia في الآخر، نرجع لتعريفها من أول جديد،
+
+105
+00:07:41,240 --> 00:07:45,530
+إنّه بيقل قدرة الأنسجة لاستخدام الـ oxygen. هذه تعريف
+
+106
+00:07:45,530 --> 00:07:49,190
+من التعريف هذا. لذلك الـ hypoxia هذه المسألة بتبدأ
+
+107
+00:07:49,190 --> 00:07:53,410
+لما يقل قدرة الأنسجة على استخدام الأكسجين، بتبدأ من
+
+108
+00:07:53,410 --> 00:07:57,190
+الـ atmospheric oxygen الـ واطي، أو إنّه في عندي
+
+109
+00:07:57,190 --> 00:08:01,490
+paralysis للـ cytochrome system بسبب الـ poisoning
+
+110
+00:08:01,490 --> 00:08:07,110
+أو بسبب some sort of vitamin deficiency، أو يؤدي إلى
+
+111
+00:08:07,110 --> 00:08:11,660
+إنّه الـ mitochondrial system of using the... ما هو الـ
+
+112
+00:08:11,660 --> 00:08:15,360
+... الـ respiration في آخر التنفس إيش يعني؟ يعني
+
+113
+00:08:15,360 --> 00:08:19,160
+إننا نوصل لها الـ ... لها الـ mitochondria oxygen
+
+114
+00:08:19,160 --> 00:08:24,700
+كافي للـ ... للـ cellular respiration، cellular. اه،
+
+115
+00:08:24,700 --> 00:08:28,060
+إنّه يوصل الـ oxygen كافي للخلايا، وتقدر الخلايا
+
+116
+00:08:28,060 --> 00:08:28,520
+تستخدمه.
+
+117
+00:08:32,140 --> 00:08:37,680
+Effects of hypoxia. هذه مهمة، ممكن تسأل طبعًا سؤال الـ
+
+118
+00:08:37,680 --> 00:08:41,640
+hypoxia هذه إيش ممكن تعمل، تمام؟ الـ hypoxia ممكن
+
+119
+00:08:41,640 --> 00:08:50,960
+تكون severe hypoxia، و تؤدي إلى تسارع في عدم
+
+120
+00:08:50,960 --> 00:08:55,140
+قدرة الخلايا على إنتاج طاقة، وتبدأ الخلايا تموت
+
+121
+00:08:55,140 --> 00:08:58,600
+واحدة وراء الثانية، تمام؟ إذا عندك severe hypoxia،
+
+122
+00:08:58,600 --> 00:09:02,760
+which can cause death of cells throughout the body.
+
+123
+00:09:02,760 --> 00:09:05,760
+ممكن كل الـ body، أو جزء، أو كده. إذا صار في عندك
+
+124
+00:09:05,760 --> 00:09:10,920
+hypoxia لدرجة شديدة، قريبة من anoxia مثلًا في ...
+
+125
+00:09:10,920 --> 00:09:15,800
+بتبدأ الـ cells تموت، مش هيك؟ لو كانت أقل من هيك
+
+126
+00:09:15,800 --> 00:09:20,380
+شوية، hypoxia درجة متوسطة، not severe، less than
+
+127
+00:09:20,380 --> 00:09:23,800
+severe،
+
+128
+00:09:23,800 --> 00:09:28,120
+بنلاحظ إحنا إنّه صار الـ oxygen اللي بيصل للـ brain
+
+129
+00:09:28,120 --> 00:09:32,280
+مش طبيعي، فبيؤدي لـ depressed mental activity،
+
+130
+00:09:32,280 --> 00:09:38,380
+بيؤدي some time, so culminating، إذا كان زاد وطال
+
+131
+00:09:38,380 --> 00:09:42,600
+إلى بيخش في غيبوبة، وممكن يخش في مشاكل أكثر من
+
+132
+00:09:42,600 --> 00:09:49,280
+الغيبوبة، كويس؟ إذا على مستوى الـ brain، الـ hypoxia ممكن
+
+133
+00:09:49,280 --> 00:09:55,220
+تدخل واحد في إيه؟ mental disturbance، ممكن يخش في
+
+134
+00:09:55,220 --> 00:09:58,460
+mental ... depressed mental activity، وممكن يخش في
+
+135
+00:09:58,460 --> 00:10:04,340
+غيبوبة، أو ممكن يلاحظ غير هيه كمان إنّ الـ physical
+
+136
+00:10:04,340 --> 00:10:08,780
+activities تبعته مش طبيعية، لإن الـ oxygen supply
+
+137
+00:10:08,780 --> 00:10:13,110
+يعني energy supply، مش كده؟ to the muscles. لما
+
+138
+00:10:13,110 --> 00:10:16,970
+نحتاج إلى energy أكتر، بنلاقي مش قادرين نحصل
+
+139
+00:10:16,970 --> 00:10:20,150
+عليها، فبنؤدي إلى a reduced work capacity of the
+
+140
+00:10:20,150 --> 00:10:25,710
+muscles، تمام؟ بيمشي، بيتعب، مش قادر، تمام؟ وهذه
+
+141
+00:10:25,710 --> 00:10:31,790
+بنشوفها في حاجة اسمها claudication of the إيه؟ of
+
+142
+00:10:31,790 --> 00:10:35,530
+the lower limbs، intermittent claudications، بيمشي
+
+143
+00:10:35,530 --> 00:10:40,530
+شوية، بنلاقي عضلات ساقيه بتبقى بتشد، لإن الـ blood
+
+144
+00:10:40,530 --> 00:10:43,150
+supply للـ muscles قليل، فعندي في الـ muscles فيه
+
+145
+00:10:43,150 --> 00:10:47,070
+some sort of hypoxia، بيستهلك الـ oxygen الموجود بده
+
+146
+00:10:47,070 --> 00:10:50,130
+أكتر، بيلاقي، فالعضلات بتصير فيه contracture، وألم
+
+147
+00:10:50,130 --> 00:10:54,610
+شديد، فبيوقف، بيلاقي الألم راح، بيمشي كمان شوية، بيوقف.
+
+148
+00:10:54,750 --> 00:10:58,870
+تمام؟ طبعًا دي عملية progressive، يعني ممكن أول إيش
+
+149
+00:10:58,870 --> 00:11:02,090
+يصير الكلام هذا معاه بعد ما يمشي اثنين كيلو، بعد فترة
+
+150
+00:11:02,090 --> 00:11:06,290
+يلاقي نفسه نفس الكلام صار، بس يمشي كيلو، بعد فترة صار
+
+151
+00:11:06,290 --> 00:11:09,710
+يمشي مترين، مش قادر يعمل أكتر من هيك، معناها في
+
+152
+00:11:09,710 --> 00:11:15,770
+عنده أنا إيه؟ حالة، حالة بتتزايد يوم عن يوم في عدم
+
+153
+00:11:15,770 --> 00:11:20,530
+وصول، قدرة وصول oxygen كافي لإيه؟ للأنسجة، بسبب إنّه
+
+154
+00:11:20,530 --> 00:11:24,010
+بأنّ الـ arteries نفسها بيصير فيها ضيق، في الحالة
+
+155
+00:11:24,010 --> 00:11:28,170
+اللي بيتكلم عنها، تمام؟ إذا الحالات الـ hypoxia دي
+
+156
+00:11:28,170 --> 00:11:35,630
+لها طبعًا مخاطر كبيرة زي ما قلنا، و hypoxia
+
+157
+00:11:35,630 --> 00:11:40,790
+بنعالجها بإن نديله أكسجين، مش هيك؟ نحلّ ... نشوف كيف ممكن
+
+158
+00:11:40,790 --> 00:11:43,990
+نعالجها. هل ممكن نعالج حالات الـ hypoxia كلها بإنّ
+
+159
+00:11:43,990 --> 00:11:50,570
+نعطي أكسجين؟ معظمها اه، معظمها اه، لكن هل أنا ممكن
+
+160
+00:11:50,570 --> 00:11:55,530
+أصلح الـ cytochrome poisoning، الـ cyanide poisoning
+
+161
+00:11:55,530 --> 00:11:58,710
+عن طريق أني أعطي oxygen؟ ما هو الـ oxygen كتير، بس
+
+162
+00:11:58,710 --> 00:12:04,390
+هو مش إيه؟ اه، كويس. إذا من خلال فهمنا إحنا للـ ...
+
+163
+00:12:04,390 --> 00:12:09,110
+الـ cause of hypoxia، ممكن نعرف إنّ الـ oxygen
+
+164
+00:12:09,110 --> 00:12:14,890
+therapy مفيد ولا مش مفيد، تمام؟ طيب، مفيد في ... في
+
+165
+00:12:14,890 --> 00:12:21,680
+إنّه يرفع الحالة هذه ولا لأ؟ الـ ... أشكال اللي ممكن
+
+166
+00:12:21,680 --> 00:12:24,280
+نعطي فيها الـ oxygen، الـ أشكال اللي ممكن نعطي فيها
+
+167
+00:12:24,280 --> 00:12:28,060
+oxygen. ممكن نعطي oxygen زي اللي بنعمل في الأطفال، و
+
+168
+00:12:28,060 --> 00:12:32,420
+بنحطهم في خيمة صغيرة، في الـ ... على الـ city تبعه، و
+
+169
+00:12:32,420 --> 00:12:36,240
+بنحط فيها أنبوب، وبنفتح الـ oxygen بحيث إنّ الـ
+
+170
+00:12:36,240 --> 00:12:39,440
+atmosphere اللي هو بيتنفس منه بيصير الـ partial
+
+171
+00:12:39,440 --> 00:12:44,140
+pressure of oxygen فيه عالي، تمام؟ فبيقدر إلا إنّه
+
+172
+00:12:44,140 --> 00:12:47,580
+لما الـ partial pressure يزيد، معناه الـ oxygenation
+
+173
+00:12:47,580 --> 00:12:55,360
+للـ hemoglobin بيزيد. أو أنا ممكن أحط mask زي ما
+
+174
+00:12:55,360 --> 00:13:01,720
+وريتكم في المرة اللي فاتت، في الـ CPAP mask، ممسوك
+
+175
+00:13:01,720 --> 00:13:05,600
+على الأنف، أو على الأنف والفم، وأنا أقدر أدي oxygen
+
+176
+00:13:05,600 --> 00:13:10,620
+منها مباشرة. يعني كل اللي أنا بديله إياه للمريض تحت
+
+177
+00:13:10,620 --> 00:13:13,600
+تحكمي
+
+223
+00:16:37,510 --> 00:16:41,710
+إيش كويس لكن لأنه بيمشي بطيء في الأنسجة فبيصرف في
+
+224
+00:16:41,710 --> 00:16:45,850
+الطريق أكثر من حمله مش كده؟ فلذلك من هنا بيصير ..
+
+225
+00:16:45,850 --> 00:16:48,290
+فلما يكون عندي shock أو كده مش .. مالهاش فايدة
+
+226
+00:16:48,290 --> 00:16:53,420
+كبيرة، الـ physiologic shunt مافيش مشكلة يعني مابقدرش
+
+227
+00:16:53,420 --> 00:16:55,820
+أساعده بالـ .. لأن الـ oxygen اللي طالع من الـ lungs
+
+228
+00:16:55,820 --> 00:16:59,600
+كويس بس اللي بيجيله في الطريق من الـ venous side هو
+
+229
+00:16:59,600 --> 00:17:03,460
+اللي بيتغير تمام؟ إذاً هدول في حالات، بعض الحالات
+
+230
+00:17:03,460 --> 00:17:06,560
+أنا فايدة الـ oxygen therapy قليلة لكن في بعض
+
+231
+00:17:06,560 --> 00:17:13,720
+الحالات الـ oxygen therapy فيها مفيد، مهم كثير، طيب.
+
+232
+00:17:13,720 --> 00:17:14,560
+إذاً ..
+
+233
+00:17:20,410 --> 00:17:24,950
+في أشخاص مختلفة، من الهيبوكسيا اللي تسبب في استخدام
+
+234
+00:17:24,950 --> 00:17:28,810
+لاستخدام الهيبوكسيا، لاستخدام الهيبوكسيا، لاستخدام
+
+235
+00:17:28,810 --> 00:17:30,810
+الهيبوكسيا، لاستخدام الهيبوكسيا، لاستخدام الهيبوكسيا
+
+236
+00:17:30,810 --> 00:17:33,930
+لاستخدام الهيبوكسيا، لاستخدام الهيبوكسيا، لاستخدام
+
+237
+00:17:33,930 --> 00:17:39,210
+الهيبوكسيا، لاستخدام الهيبوكسيا، لاستخدام الهيبوكسيا
+
+238
+00:17:39,210 --> 00:17:45,090
+لاستخدام الهيبوكسيا، لاستخدام
+
+239
+00:17:45,870 --> 00:17:48,930
+والدم بيكون كويس، إذا ما فهمنا أنه وين المشكلة
+
+240
+00:17:48,930 --> 00:17:53,490
+بنقدر نقرر هل هنستفيد من الـ oxygen therapy ولا لأ.
+
+241
+00:17:53,490 --> 00:17:58,030
+نقطة ثانية، نتكلم عنها، cyanosis، إيش معناه؟
+
+242
+00:17:58,030 --> 00:18:05,530
+cyanosis بالعربي: ازرقاق.
+
+243
+00:18:08,030 --> 00:18:10,870
+طيب cyanosis، طيب أنا صارت ديون، بعرفها بالإنجليزي
+
+244
+00:18:10,870 --> 00:18:14,130
+مابعرفها بالعربي، يعني واحد بيصير وشه أزرق لكن
+
+245
+00:18:14,130 --> 00:18:18,830
+ازرقاق، جديدة عليا، cyanosis means blueness،
+
+246
+00:18:18,830 --> 00:18:24,390
+ازرقاق of the skin، خاصة في الـ mucous membrane،
+
+247
+00:18:24,390 --> 00:18:27,930
+بيبين أكثر في الـ skin، بيبين، بس اللي هتطلع على الـ
+
+248
+00:18:27,930 --> 00:18:31,110
+mucous membrane، عشان كده إحنا لما بدنا نشوف و
+
+249
+00:18:31,110 --> 00:18:36,090
+نتأكد منه، نجلب شفرة المريض عشان الـ mucous membrane
+
+250
+00:18:36,920 --> 00:18:42,480
+الـ thickness أرق من الجلد، فماقدر أشوف أوضح الـ
+
+251
+00:18:42,480 --> 00:18:46,640
+blood vessels اللي تحت، اللي تحت الـ mucous membrane
+
+252
+00:18:46,640 --> 00:18:50,460
+بوضوح أكثر، وأشوف إن في بالفعل ساينوزس ولا إن
+
+253
+00:18:50,460 --> 00:18:55,580
+أشوف الـ sclera، أنزل الجفن وأشوف الـ sclera، و
+
+254
+00:18:55,580 --> 00:18:58,600
+أشوف الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ
+
+255
+00:18:58,600 --> 00:18:58,660
+.. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ
+
+256
+00:18:58,660 --> 00:18:58,720
+الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ
+
+257
+00:18:58,720 --> 00:18:59,920
+.. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ ..
+
+258
+00:18:59,920 --> 00:19:00,600
+الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ
+
+259
+00:19:00,600 --> 00:19:01,120
+.. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ ..
+
+260
+00:19:01,120 --> 00:19:01,200
+الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ
+
+261
+00:19:01,200 --> 00:19:03,520
+.. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ ..
+
+262
+00:19:03,670 --> 00:19:09,490
+cyanosis is a blueness of the skin color and its
+
+263
+00:19:09,490 --> 00:19:14,210
+cause is excessive amount، سببها إذا أن في عندي
+
+264
+00:19:14,210 --> 00:19:20,390
+deoxygenated hemoglobin أكثر من اللازم، فأنا بأقصد
+
+265
+00:19:20,390 --> 00:19:26,890
+إلى الازرقاق هنا، طيب وقتش sharp figure، وقتش بيبين
+
+266
+00:19:26,890 --> 00:19:29,810
+عندي الـ cyanosis، ووقتش أقدر أقول إن هنا في حالة
+
+267
+00:19:29,810 --> 00:19:34,350
+cyanosis ولا لأ، إذا وصل الـ hemoglobin اللي هو
+
+268
+00:19:34,350 --> 00:19:39,910
+unoxygenated إلى خمسة جرام، فما فوق، percent per
+
+269
+00:19:39,910 --> 00:19:43,550
+hundred milliliter، بيبدأ الـ cyanosis يبين قبل ما يكون
+
+270
+00:19:43,550 --> 00:19:48,550
+خمسة، ما بيبينش تمام؟ إذاً أن محتاج أن أكون عند نصف
+
+271
+00:19:48,550 --> 00:19:53,170
+الـ hemoglobin، unoxygenated hemoglobin بيفوق الخمسة
+
+272
+00:19:53,170 --> 00:19:57,050
+جرام، إحنا كده عندنا في الدم hemoglobin في العادة
+
+273
+00:19:57,050 --> 00:20:03,520
+خمسة عشر في الرجال والنساء، بنقص شوية، مش هيكثر، فلذلك
+
+274
+00:20:03,520 --> 00:20:13,100
+لو لو عندنا وصل الـ 15 دول جزء منهم خمسة، خمسة gram
+
+275
+00:20:13,100 --> 00:20:19,300
+per hundred milliliter of blood، وصل إلى إنه حاملين
+
+276
+00:20:19,300 --> 00:20:22,660
+unoxygenated hemoglobin، هذا بيؤدي إلى إيه؟ الـ
+
+277
+00:20:22,660 --> 00:20:28,380
+cyanosis بيبين، الازرقاق في الوجه، طيب واحد عنده
+
+278
+00:20:28,380 --> 00:20:31,530
+أنيميا، واحد عنده أنيميا، يعني أن الـ hemoglobin اللي
+
+279
+00:20:31,530 --> 00:20:37,670
+عنده إيه؟ قليل، صعب جدا يبين عنده إيه؟ cyanosis طبعا
+
+280
+00:20:37,670 --> 00:20:41,990
+حتى لو كان عنده blood unoxygenated جدا ما يكون، مش
+
+281
+00:20:41,990 --> 00:20:44,930
+هيوصل يكون عنده .. مافيش عنده hemoglobin عشان يصل
+
+282
+00:20:44,930 --> 00:20:49,930
+الـ unoxygenated لحد خمسة إيه؟ خمسة gram، طبعا إذا
+
+283
+00:20:49,930 --> 00:20:52,350
+في حالات الانيميا، صعب أن يكون في عندي حالات
+
+284
+00:20:52,350 --> 00:20:57,760
+cyanosis، وفي حالات الـ polycythemia بيصير عندي
+
+285
+00:20:57,760 --> 00:21:02,580
+cyanosis وأنا في وضع كويس، يعني مش أن أنا مش عندي
+
+286
+00:21:02,580 --> 00:21:07,660
+حالات خطر، بشكل، عندي أن في oxygen ناقص، وصار عندي
+
+287
+00:21:07,660 --> 00:21:12,560
+cyanosis، لأن الـ oxygen مش قادر الـ hemoglobin يحمل
+
+288
+00:21:12,560 --> 00:21:16,740
+oxygen كافي، لأن في مش oxygen، لأ، في hemoglobin كثير
+
+289
+00:21:16,740 --> 00:21:22,500
+ولأن في hemoglobin كثير، مش محتاجين نحمل oxygen على
+
+290
+00:21:22,500 --> 00:21:26,120
+كل الـ hemoglobin، لأن الـ hemoglobin كثير، فبيبقى بشكل
+
+291
+00:21:26,120 --> 00:21:30,900
+طبيعي، بيتنفس طبيعي، ومش حاسس بأي إشكال، تمام، إلا
+
+292
+00:21:30,900 --> 00:21:34,580
+أنه عنده حالة الـ cyanosis موجودة، لأنه لما يكون دمه
+
+293
+00:21:34,580 --> 00:21:41,120
+18-19-20 gram percent، تمام، فبنلاحظ أنه بدون أي
+
+294
+00:21:41,120 --> 00:21:46,670
+مشاكل، عنده أكثر من 5 gram of deoxygenated blood
+
+295
+00:21:46,670 --> 00:21:50,270
+في الـ hundred milliliter، تمام؟
+
+296
+00:21:52,750 --> 00:21:57,410
+أي جهد، أي مشكلة، فورا بيبين عندنا إيه؟ أن في عنده
+
+297
+00:21:57,410 --> 00:22:03,110
+cyanosis، إذا الـ cyanosis مش مربوط بالـ oxygen أو
+
+298
+00:22:03,110 --> 00:22:06,510
+بالـ carbon dioxide، هو مربوط بأنه، جودة الـ
+
+299
+00:22:06,510 --> 00:22:11,070
+unoxygenated hemoglobin موجود عندي، لما يكثر في
+
+300
+00:22:11,070 --> 00:22:13,830
+الطبيعي، طبعا كل ما زاد الـ unoxygenated hemoglobin
+
+301
+00:22:13,830 --> 00:22:18,130
+معناه أن الـ oxygen قليل، معناها أنا في خطر، أن أنا
+
+302
+00:22:18,130 --> 00:22:21,890
+داخل في hypoxia، مش كده؟ لكن هذه لا تعني أن من
+
+303
+00:22:21,890 --> 00:22:25,790
+hypoxia الـ .. الـ cyanosis، hypoxia، لأن بعض الحالات
+
+304
+00:22:25,790 --> 00:22:28,370
+زي ما قلنا لكم، ممكن يكون عندها hypoxia في
+
+305
+00:22:28,370 --> 00:22:31,930
+الأنيميا لكن ماوصلش cyanosis، لأنه مافيش
+
+306
+00:22:31,930 --> 00:22:38,400
+unoxygenated hemoglobin مايكفي لأن يظهر الازرقاق أو
+
+307
+00:22:38,400 --> 00:22:43,080
+العكس، ممكن واحد يكون عنده polycythemia، تمام، ومحتاج
+
+308
+00:22:43,080 --> 00:22:45,780
+أي .. مافيش عنده hypoxia إلا إنه عنده cyanosis
+
+309
+00:22:45,780 --> 00:22:48,500
+لأنه عنده hemoglobin كثير، والـ hemoglobin اللي
+
+310
+00:22:48,500 --> 00:22:51,800
+عنده مش كله حامل أكسجين، فعنده أكثر من خمسة جرام
+
+311
+00:22:51,800 --> 00:22:59,820
+فبيبين شكله إيه؟ cyanosis، طيب
+
+312
+00:22:59,820 --> 00:23:04,980
+hypercapnia، hypercapnia،
+
+313
+00:23:04,980 --> 00:23:11,320
+يعني عندي أنا carbon dioxide زيادة في الدم، أحيانا
+
+314
+00:23:11,320 --> 00:23:16,420
+بيكون عندي الـ hypercapnia مع الـ hypoxia، لما يكون
+
+315
+00:23:16,420 --> 00:23:19,920
+عندي المشكلة في الـ ventilation، أنا مش قادر أتنفس
+
+316
+00:23:19,920 --> 00:23:26,000
+كويس، فنفس الـ .. الـ .. الوسيلة اللي بتدينى oxygen
+
+317
+00:23:26,000 --> 00:23:29,720
+للدم بتاخد carbon dioxide، فإذا أنا اتعطلت
+
+318
+00:23:39,970 --> 00:23:44,650
+هيبركابينيا وهيبوكسيا مع بعض، لكن هل دائما هناك
+
+319
+00:23:44,650 --> 00:23:48,710
+ازدواجية أو ربط ازدواج ما بين الهيبوكسيا
+
+320
+00:23:48,710 --> 00:23:54,470
+وهيبركابينيا؟ لأ، مش دائما، تمام؟ تنسوا أن الـ
+
+321
+00:23:54,470 --> 00:23:59,170
+diffusion capacity of the carbon dioxide is
+
+322
+00:24:01,040 --> 00:24:04,320
+it's twenty times that of oxygen، لذلك ممكن الـ
+
+323
+00:24:04,320 --> 00:24:08,060
+oxygen يكون عنده إشكالية في الانتقال، لكن لسه الـ
+
+324
+00:24:08,060 --> 00:24:12,040
+carbon dioxide يستطيع، تمام؟ فممكن أخش في hypoxia
+
+325
+00:24:12,040 --> 00:24:18,840
+وما عنديش hypercapnia، تمام؟ وممكن شيء ثاني، أنه الـ
+
+326
+00:24:18,840 --> 00:24:22,320
+respiratory center is driven mainly by carbon
+
+327
+00:24:22,320 --> 00:24:27,810
+dioxide، هلو؟ فطول ما أن الـ ventilation rate موجود
+
+328
+00:24:27,810 --> 00:24:31,810
+ويظبط الـ carbon dioxide level كويس، تمام؟ ممكن
+
+329
+00:24:31,810 --> 00:24:35,250
+الجسم يضال على هيك، ومش واخد باله من الـ oxygen أنه
+
+330
+00:24:35,250 --> 00:24:38,690
+إيه؟ مش كويس، لأنه بيبنتبه لمين؟ للـ carbon dioxide
+
+331
+00:24:38,690 --> 00:24:42,510
+أكثر، فممكن يكون عندي carbon dioxide كويس، لكن عندي
+
+332
+00:24:42,510 --> 00:24:47,110
+hypoxia، تمام؟ وممكن يكون عندي hypercapnia
+
+333
+00:24:47,110 --> 00:24:52,680
+لكن مافيش عندي hypoxia في نفس الوقت، الهيبركابينيا
+
+334
+00:24:52,680 --> 00:24:55,980
+يعني زيادة كربون دايأوكسايد في المواد الجسمية،
+
+335
+00:24:55,980 --> 00:25:01,380
+الهيبركابينيا،
+
+336
+00:25:01,380 --> 00:25:06,960
+تحدث في اتصال مع الهيبوكسيا فقط عندما يتسبب
+
+337
+00:25:06,960 --> 00:25:10,480
+الهيبوكسيا بالهيبوفينتيليشن أو باضطراب سيركولاتوري.
+
+338
+00:25:17,430 --> 00:25:22,270
+والـ circulatory deficiency بعطل الاتنين، لأنه صار
+
+339
+00:25:22,270 --> 00:25:30,090
+.. صار يـ .. يودي oxygen أقل للـ tissues، لأنه عندي
+
+340
+00:25:30,090 --> 00:25:33,790
+circulatory deficiency، فبيؤدي إلى إنه hypoxia، وصار
+
+341
+00:25:33,790 --> 00:25:38,770
+بياخد carbon dioxide أكثر
+
+342
+00:25:38,770 --> 00:25:41,550
+من الـ tissues، لأنها صار عندي كمية كبيرة من carbon
+
+343
+00:25:41,550 --> 00:25:46,210
+dioxide، بنحمل، لأنه في عندي بطء، مش كده؟ فبيبقى عندي
+
+344
+00:25:46,210 --> 00:25:49,430
+hypercapnia وhypoxia في نفس الوقت، إذاً
+
+345
+00:25:49,430 --> 00:25:53,150
+circulatory deficiency بتعمل نفس الإشكالية، بتعمل
+
+346
+00:25:53,150 --> 00:25:56,690
+hyperventilation، hyperventilation بتـ .. بتدخل
+
+347
+00:25:56,690 --> 00:25:59,470
+أكسجين جيد، فبيصير hypoxia، وبتطلع carbon dioxide
+
+348
+00:25:59,470 --> 00:26:04,750
+جيد، فبيضل hypercapnia في الأنسجة، أنا الـ metabolism
+
+349
+00:26:04,750 --> 00:26:09,230
+تبع الأنسجة بياخد أكسجين أكثر، مظبوط؟ وبيطلع carbon
+
+350
+00:26:09,230 --> 00:26:13,030
+dioxide، فأنا الـ .. الـ .. الـ blood اللي معدي، الـ blood
+
+351
+00:26:13,030 --> 00:26:16,970
+اللي معدي عليه جاي بقاله أكسجين جيد، تمام؟ و
+
+352
+00:26:16,970 --> 00:26:19,810
+بتلاقي هنا كمية كبيرة من إيه؟ من carbon dioxide،
+
+353
+00:26:19,810 --> 00:26:24,370
+ليش كمية كبيرة؟ لأن الـ .. لأن الـ flow rate تبع الـ
+
+354
+00:26:24,370 --> 00:26:27,970
+blood مش سريع، فمش سريع ياخد كل الـ carbon dioxide
+
+355
+00:26:27,970 --> 00:26:31,910
+أول بأول، فالـ carbon dioxide بتجمع، فبتطلع عندي
+
+356
+00:26:31,910 --> 00:26:37,610
+hypercapnia في الأنسجة وفي الدم وفي الـ .. إذا الـ
+
+357
+00:26:37,610 --> 00:26:41,910
+hypercapnia بيزيد carbon dioxide concentration في
+
+358
+00:26:41,910 --> 00:26:47,110
+الـ tissues وفي الـ plasma، مرات مع وجود الهيبوكسيا،
+
+359
+00:26:47,110 --> 00:26:51,430
+ومرات لا، أن هيبوكسيا resulting from poor diffusion
+
+360
+00:26:51,430 --> 00:26:55,050
+through the pulmonary membrane، هذه الحالة لما يكون
+
+361
+00:26:55,050 --> 00:26:59,270
+عندي diffusion ضعيف، فعملت لي هيبوكسيا، فالأغلب
+
+362
+00:26:59,270 --> 00:27:01,810
+تعملش hypercapnia، لأن carbon dioxide diffusion
+
+363
+00:27:01,810 --> 00:27:08,050
+capacity إيش؟ أعلى، فبيقدر يصير عندي hyper، normal
+
+364
+00:27:08,050 --> 00:27:13,390
+carbon dioxide، لكن الـ oxygen إيه؟ واطي، طبعا إذا نكون
+
+365
+00:27:13,390 --> 00:27:16,310
+عندي في الـ diffusion capacity of the lungs فيها
+
+366
+00:27:16,310 --> 00:27:22,270
+مشكلة، يعني ممكن يصير الـ carbon dioxide تتأثر بس
+
+367
+00:27:22,270 --> 00:27:26,570
+بعد مرحلة متقدمة، بس في أولها بيكون عندي normal
+
+368
+00:27:26,570 --> 00:27:29,710
+partial pressure of carbon dioxide، لكن low partial
+
+369
+00:27:29,710 --> 00:27:32,470
+pressure of oxygen، نخش في hypoxia لكن مايكونش عندي
+
+370
+00:27:32,470 --> 00:27:38,790
+إيش؟ hypercapnia، if
+
+371
+00:27:38,790 --> 00:27:46,780
+hypercapnia begins to occur، هذا يعمل فورا في مركز
+
+372
+00:27:46,780 --> 00:27:50,280
+التنفسي، يصلح حالة الهيبركابينيا، ولا يهتم
+
+373
+00:27:50,280 --> 00:27:54,800
+كثيرا في حالة، حالة الهيبركابينيا، وهذا يحسن حالة
+
+374
+00:27:54,800 --> 00:27:58,400
+الهيبركابينيا، لكن ليس بالطبع حسنة حالة
+
+375
+00:27:58,400 --> 00:28:00,000
+الهيبركابينيا
+
+376
+00:28:05,960 --> 00:28:10,400
+هيبوكسيا تسبب في تغيير الهيبوكسيا، تغيير الهيبوكسيا
+
+377
+00:28:10,400 --> 00:28:12,340
+تغيير الهيبوكسيا، تغيير الهيبوكسيا، تغيير الهيبوكسيا
+
+378
+00:28:12,340 --> 00:28:13,420
+تغيير الهيبوكسيا، تغيير الهيبوكسيا، تغيير الهيبوكسيا
+
+379
+00:28:13,420 --> 00:28:15,460
+تغيير الهيبوكسيا، تغيير الهيبوكسيا، تغيير الهيبوكسيا
+
+380
+00:28:15,460 --> 00:28:17,340
+تغيير الهيبوكسيا، تغيير الهيبوكسيا، تغيير الهيبوكسيا
+
+381
+00:28:17,340 --> 00:28:21,040
+تغيير الهيبوكسيا، تغيير الهيبوكسيا، تغيير الهيبوكسيا
+
+382
+00:28:24,070 --> 00:28:27,790
+in the circulatory deficiency, diminished flow of
+
+383
+00:28:27,790 --> 00:28:30,850
+blood decreases carbon dioxide removal from the
+
+384
+00:28:30,850 --> 00:28:34,790
+tissues، فبيزيد الـ carbon dioxide وبيقلل oxygen
+
+385
+00:28:34,790 --> 00:28:37,970
+supply، فبيكون عندي hypoxia، يعني كل الحاجتين
+
+386
+00:28:37,970 --> 00:28:39,470
+الموجودين مع بعض.
+
+387
+00:28:42,140 --> 00:28:47,720
+are the effects of hypercapnia على الجسم؟ اتكلمنا
+
+388
+00:28:47,720 --> 00:28:52,600
+على الـ oxygen deficiency، الـ hypoxia، وقلنا عندنا درجتين،
+
+389
+00:28:52,600 --> 00:28:55,800
+يا إما severe يا غير severe، الـ severe إيش بيعملوا؟
+
+390
+00:28:55,800 --> 00:29:01,940
+الـ severe هنا الـ hypercapnia خطيرة، لحد إحنا في
+
+391
+00:29:01,940 --> 00:29:05,860
+الطبيعي، الـ carbon dioxide برشا، برشا بيصل في
+
+392
+00:29:05,860 --> 00:29:11,720
+الطبيعي لـ 45، مش كده؟ مليمتر زئبق، مظبوط؟
+
+445
+00:33:15,120 --> 00:33:20,340
+مصاحبةً لإحساسه بعدم القدرة على أنه يحصل على أكسجين
+
+446
+00:33:20,340 --> 00:33:24,960
+أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء
+
+447
+00:33:24,960 --> 00:33:25,680
+أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء
+
+448
+00:33:25,680 --> 00:33:27,180
+أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء
+
+449
+00:33:27,180 --> 00:33:27,380
+أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء
+
+450
+00:33:27,380 --> 00:33:32,080
+أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء
+
+451
+00:33:32,080 --> 00:33:36,540
+أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء
+
+452
+00:33:36,540 --> 00:33:39,660
+أعضاء
+
+453
+00:33:42,520 --> 00:33:45,600
+abnormality of respiratory gases in the body
+
+454
+00:33:45,600 --> 00:33:49,980
+fluids, especially hypercapnia and to a much less
+
+455
+00:33:49,980 --> 00:33:54,140
+extent hypoxia. إذا لم يصبح عندي hypercapnia
+
+456
+00:33:54,140 --> 00:33:58,580
+يصبح عندي hyperventilation. وقلنا لو طالت هذه المدة
+
+457
+00:33:58,580 --> 00:34:03,540
+طويلةً، يصبح hypoxia لها الـ upper hand، فـ to a less
+
+458
+00:34:03,540 --> 00:34:06,840
+degree، الـ hypoxia لو كانت موجودة تحسسني بـ
+
+459
+00:34:06,840 --> 00:34:11,320
+hyperventilation والإحساس بأنه أنا محتاج إلى أيه؟
+
+460
+00:34:11,320 --> 00:34:15,420
+more oxygen، ومحتاج أنْ يحس أن الأكسجين الذي في
+
+461
+00:34:15,420 --> 00:34:19,700
+داخله غير طبيعي، فأنا أحتاجُ إلى المزيد، لستُ شبعانًا من الأكسجين، لستُ قادرًا
+
+462
+00:34:19,700 --> 00:34:26,360
+على المزيد من الأكسجين. هذه واحدة، اثنان: the work of
+
+463
+00:34:26,360 --> 00:34:31,180
+the muscles، أنتَ الـ the amount of work that must be
+
+464
+00:34:31,180 --> 00:34:34,960
+performed by the respiratory muscles to provide
+
+465
+00:34:34,960 --> 00:34:40,200
+the hyperventilation. عندي إحساس من خلال الـ carbon
+
+466
+00:34:40,200 --> 00:34:45,560
+dioxide والـ oxygen levels، بالاثنين. أنا لستُ
+
+467
+00:34:45,560 --> 00:34:48,680
+راضياً عن عمل عضلاتي هذه، إذا كانت عندها القدرة
+
+468
+00:34:48,680 --> 00:34:53,020
+الكافية أن تعمل hyperventilation، أكون أنا أيه؟
+
+469
+00:34:53,020 --> 00:34:58,120
+ مرتاحاً ولستُ متضايقاً كثيراً، لكن عندما تطول المدة قليلاً، أجدُ أن
+
+470
+00:34:58,120 --> 00:35:01,460
+المدة طالت، وأصبحت عضلاتي تعبانة، ليس كما في
+
+471
+00:35:01,460 --> 00:35:05,200
+الأطفال الصغار، يخشون في distress hyperventilation،
+
+472
+00:35:05,200 --> 00:35:10,720
+بعد قليل يصابون بالتعب، ويتوقفون عن عمل الـ
+
+473
+00:35:10,720 --> 00:35:14,890
+... الـ ... الـ muscular work اللازمة للـ ventilation،
+
+474
+00:35:14,890 --> 00:35:19,330
+الـ hyperventilation تؤدي إلى الـ death، تمام؟ إذا the amount of
+
+475
+00:35:19,330 --> 00:35:23,050
+work that must be performed by the respiratory
+
+476
+00:35:23,050 --> 00:35:28,770
+muscles to provide adequate ventilation، إذا
+
+477
+00:35:28,770 --> 00:35:36,160
+إذا كان عندك كمية جهد كافية أو جهد كبير، تبدأ
+
+478
+00:35:36,160 --> 00:35:42,260
+تحس أنك متضايق، أنك في ... في
+
+479
+00:35:42,260 --> 00:35:51,520
+وضع غير مُريح، State of mind، اه يعني لستَ
+
+480
+00:35:51,520 --> 00:35:56,680
+مطمئناً، يعطيني إحساساً بأنني لستُ في حالة مُريحة.
+
+481
+00:35:56,680 --> 00:36:02,910
+الشخص يصبح غاضباً جداً، خصوصاً من إكساس تراكم
+
+482
+00:36:02,910 --> 00:36:07,390
+ثاني أكسيد الكربون في أنسجة الجسم، تمام؟ لأن ثاني أكسيد
+
+483
+00:36:07,390 --> 00:36:10,790
+الكربون هو الأساس الذي يعمل على:
+
+484
+00:36:10,790 --> 00:36:13,950
+stimulation و ventilation، ويحسسني بأنني محتاج
+
+485
+00:36:13,950 --> 00:36:21,450
+إلى أكسجين أكثر at times
+
+486
+00:36:23,110 --> 00:36:28,430
+لدينا كلّ مستوى من ثاني أكسيد الكربون والأكسجين عادي
+
+487
+00:36:28,430 --> 00:36:31,150
+عادي عادي عادي عادي عادي عادي عادي عادي عادي عادي
+
+488
+00:36:31,150 --> 00:36:31,310
+عادي عادي عادي عادي عادي عادي عادي عادي عادي عادي
+
+489
+00:36:31,310 --> 00:36:33,090
+عادي عادي عادي عادي عادي عادي عادي عادي عادي عادي
+
+490
+00:36:33,090 --> 00:36:36,770
+عادي عادي عادي عادي عادي عادي عادي عادي عادي عادي
+
+491
+00:36:36,770 --> 00:36:37,090
+عادي عادي عادي عادي عادي عادي عادي عادي عادي عادي
+
+492
+00:36:37,090 --> 00:36:51,510
+عادي عادي عادي عادي عادي
+
+493
+00:36:51,770 --> 00:36:55,650
+يُعطي الشخص إحساساً بعدم الراحة، يعني بمجهود
+
+494
+00:36:55,650 --> 00:36:59,950
+كبير، فيعمل فيحس أنه غير مرتاح، لأنه لكي يصبح
+
+495
+00:36:59,950 --> 00:37:05,590
+طبيعياً،  يحتاج إلى أخذ نفس كبير. finally, the person's
+
+496
+00:37:05,590 --> 00:37:09,470
+respiratory functions may be normal and still
+
+497
+00:37:09,470 --> 00:37:13,910
+dyspnea may be experienced because of an
+
+498
+00:37:13,910 --> 00:37:16,590
+abnormal state of the mind.  لدينا أمور
+
+499
+00:37:16,590 --> 00:37:21,830
+يُسمّيها neurogenic أو psychic أو psychogenic،
+
+500
+00:37:21,830 --> 00:37:26,670
+dyspnea، وهذه تجدونها كثيراً، وخاصةً عند الفتيات طبعاً
+
+501
+00:37:26,670 --> 00:37:31,530
+عند أي توتر مُعيّن، تشعر الفتاة بأنها ... أو حتى الشاب
+
+502
+00:37:31,530 --> 00:37:37,350
+يعني، لكنها تكون أكثر عند الإناث، لأنها
+
+503
+00:37:37,350 --> 00:37:42,490
+بطبيعتها غير مُريحة، غير مُقتنعة، اه فتُشْكي وتأتي إليكم كثيراً
+
+504
+00:37:42,490 --> 00:37:46,510
+إليكم عينات، تأتي إليكم العيادة بأنها
+
+505
+00:37:46,510 --> 00:37:50,230
+ليست قادرة على التنفس، طبعاً ليس هناك أي علامة أو سبب علمي
+
+506
+00:37:50,230 --> 00:37:57,160
+للتنفس، لكن عند هذا الإحساس بأنك لستَ قادراً على التنفس، أحياناً
+
+507
+00:37:57,160 --> 00:38:01,850
+تفقد القدرة على deep ventilation، لا تستطيع
+
+508
+00:38:01,850 --> 00:38:04,870
+الوصول إلى  psychic أو psychological conditions،
+
+509
+00:38:04,870 --> 00:38:07,190
+فتشعر بحالة طويلة من أنها غير قادرة على أخذ deep
+
+510
+00:38:07,190 --> 00:38:11,770
+ventilation، يتعب صدرها من ذلك، تمام؟ فتَشعر أنها ستختنق، لأنها غير قادرة على أخذ نفس عميق، فتظل هذه
+
+511
+00:38:11,770 --> 00:38:16,090
+مشكلة كبيرة سترونها أنتم،  يعني يوجد لدينا نوع من
+
+512
+00:38:16,090 --> 00:38:18,690
+dyspnea يُسمى ماذا؟
+
+513
+00:38:18,690 --> 00:38:21,650
+Psychogenic أو Neurogenic أو
+
+514
+00:38:21,650 --> 00:38:25,130
+Psychic dyspnea أو Emotional dyspnea. يحدث في
+
+515
+00:38:25,130 --> 00:38:31,050
+الامتحانات، تمام؟ أو عندما يحدث أيّ مشكلة
+
+516
+00:38:31,050 --> 00:38:39,410
+psychological pressure، يؤدي إلى ماذا؟
+
+517
+00:38:39,410 --> 00:38:42,610
+إلى هذه المسألة، وسترونها كثيراً. Artificial
+
+518
+00:38:42,610 --> 00:38:48,190
+Respiration.  لقد انتهينا من التعريفات الثلاثة
+
+519
+00:38:48,190 --> 00:38:51,870
+التي تحدثنا عنها، أو الأربعة، ثلاثة أو أربعة.
+
+520
+00:38:51,870 --> 00:38:57,130
+Hypoxia و Hypercapnia و Dyspnea، ثلاثة، تمام؟ الآن
+
+521
+00:38:57,130 --> 00:39:00,370
+عندما نحتاج إلى عمل artificial respiration
+
+522
+00:39:00,370 --> 00:39:04,370
+ونقول أن لدينا ثلاثة أو أربعة أنواع of oxygen therapy
+
+523
+00:39:04,370 --> 00:39:08,830
+ليس كذلك، أحياناً نحتاج إلى القيام بـ respiration
+
+524
+00:39:08,830 --> 00:39:13,850
+بأنفسنا، وليس الـ oxygen therapy، تمام؟ المريض لديه
+
+525
+00:39:13,850 --> 00:39:19,090
+غيبوبة، أو under anesthesia، وأنا أريد أن أفعل ماذا؟
+
+526
+00:39:19,090 --> 00:39:23,030
+أن أعوّض التنفس، ليس كذلك؟ يوجد لدينا ما يُسمّى
+
+527
+00:39:23,030 --> 00:39:28,000
+ventilator، اليوم يُسمّى ventilator،  الذي
+
+528
+00:39:28,000 --> 00:39:31,200
+نستخدمه في  anesthesia أو في الـ intensive care
+
+529
+00:39:31,200 --> 00:39:36,820
+units، تمام؟ حيث نضع endotracheal tube، وهذا يأخذ
+
+530
+00:39:36,820 --> 00:39:41,320
+oxygen supply ولديه القدرة على عمل positive
+
+531
+00:39:41,320 --> 00:39:46,740
+pressure، يعمل inflation للرئتين، هو يعمل...
+
+532
+00:39:46,740 --> 00:39:51,240
+يُولّد positive pressure في الـ chest، ممكن أن يعمل ماذا؟
+
+533
+00:39:51,240 --> 00:39:54,260
+لكننا لا نفعل ذلك، فنذهب ونعمل أيضاً negative
+
+534
+00:39:54,260 --> 00:39:56,960
+pressure،  يعني يوجد مستوى  positive pressure مُعيّن
+
+535
+00:39:56,960 --> 00:40:00,940
+نصل إليه، ندخل الـ air ونعمل شفط، negative pressure،
+
+536
+00:40:00,940 --> 00:40:05,300
+يدخل الهواء، مُحسوبة بحيث أن الـ positive
+
+537
+00:40:05,300 --> 00:40:08,260
+pressure لا تُفجر الرئتين، و الـ negative pressure
+
+538
+00:40:08,260 --> 00:40:13,570
+لا يشفطها بشدة، تمام؟ محسوب بطريقة مُعينة، نقوم بعمل
+
+539
+00:40:13,570 --> 00:40:19,010
+positive pressure plus five
+
+540
+00:40:19,010 --> 00:40:22,490
+plus five positive pressure، ونعمل negative
+
+541
+00:40:22,490 --> 00:40:26,750
+pressure plus minus ten to twelve، فيصبح الـ
+
+542
+00:40:26,750 --> 00:40:33,350
+ventilator يُخرج ويدخل،  يعمل pulse pressure five و
+
+543
+00:40:33,350 --> 00:40:37,030
+negative pressure عشرة أو اثني عشر، وبعدين طبعاً مدة
+
+544
+00:40:37,030 --> 00:40:42,380
+كافية تشبه الـ normal breathing، بحيث تعطي
+
+545
+00:40:42,380 --> 00:40:46,600
+في النهاية هذا الحساب،  يعطي ماذا؟ oxygen
+
+546
+00:40:46,600 --> 00:40:50,360
+supply وإزالة ثاني أكسيد الكربون بطريقة عادية
+
+547
+00:40:50,360 --> 00:40:56,300
+طبعاً، بالإضافة إلى ذلك،  يوجد لديه oximeter، طبيب
+
+548
+00:40:56,300 --> 00:41:01,370
+التخدير، لديه monitor يوضح مستوى الأكسجين و
+
+549
+00:41:01,370 --> 00:41:03,450
+مستوى ثاني أكسيد الكربون، ومعدل ضربات القلب.
+
+550
+00:41:03,450 --> 00:41:07,490
+ليشعر بالاطمئنان أن ventilator يعمل بشكل صحيح، أم لا، لو
+
+551
+00:41:07,490 --> 00:41:10,830
+حدث أي خلل أو زيادة أو نقصان، يلاحظه على الفور،
+
+552
+00:41:10,830 --> 00:41:15,010
+ويُظبِط ventilator كما يريد، واضح؟ الـ
+
+553
+00:41:15,010 --> 00:41:18,590
+ventilator اليوم عملية مُتطورة جداً، لكن أساسها
+
+554
+00:41:18,590 --> 00:41:23,960
+هذا الجهاز، لكي أسأل: هذا الجهاز عندي فيه مصدر أكسجين،
+
+555
+00:41:23,960 --> 00:41:28,720
+وعندي آلة تقوم بعمل positive و negative
+
+556
+00:41:28,720 --> 00:41:32,740
+pressure، تمام؟ وعندي هذا القناع أو endotracheal tube
+
+557
+00:41:32,740 --> 00:41:42,400
+أو... أو... أو، تمام؟ طبعاً لو نظرنا إلى، يعني هذا خلق
+
+558
+00:41:42,400 --> 00:41:46,360
+الله، لننظر ماذا خلق من دونه، نتطلع على كيف
+
+559
+00:41:46,360 --> 00:41:51,960
+نَتنفس. الصدر، لدينا الرئتان، الصدر يتوسع،
+
+560
+00:41:51,960 --> 00:41:55,500
+فترتخي الرئتان،  نقوم بعمل negative pressure من
+
+561
+00:41:55,500 --> 00:41:59,860
+الخارج، في الـ pleural، ليس كذلك؟ inter pleural pressure،
+
+562
+00:41:59,860 --> 00:42:02,560
+يعني خارج الرئتين، يزيد الـ negative pressure،
+
+563
+00:42:02,560 --> 00:42:06,940
+فتتمدد الرئتان، ويدخل الهواء، ليس كذلك؟ عندما يدخل الهواء
+
+564
+00:42:06,940 --> 00:42:12,100
+أيضاً، يدخل الدم إلى الصدر،  يعني واحد من العوامل الرئيسية
+
+565
+00:42:12,100 --> 00:42:15,800
+لـ venous return للقلب، عملية الـ negative pressure
+
+566
+00:42:15,800 --> 00:42:18,120
+التي تحدث في الصدر، لذلك القلب موجود بين
+
+567
+00:42:18,120 --> 00:42:21,200
+الرئتين في الصدر، من أجل الـ negative pressure الذي
+
+568
+00:42:21,200 --> 00:42:24,500
+يحدث في البلورة، تمام؟ في الـ chest cage،  هذا يحدث فيه
+
+569
+00:42:24,500 --> 00:42:28,160
+negative pressure، ليس فقط يسحب هواء،  بل أيضاً
+
+570
+00:42:28,160 --> 00:42:31,800
+يسحب دم، تمام؟  يحدث عندك negative
+
+571
+00:42:31,800 --> 00:42:37,960
+pressure، في الداخل، الدم يندفع من الـ upper half of the
+
+572
+00:42:37,960 --> 00:42:44,350
+body، من الرأس والرقبة، يندفع إلى ماذا؟ اه، طب هو
+
+573
+00:42:44,350 --> 00:42:47,990
+يندفع بفعل الجاذبية،  طب لو كنا نائمين، يندفع إلى الـ
+
+574
+00:42:48,420 --> 00:42:51,140
+ويندفع من الـ lower half. واحد أهم لأنه عندما
+
+575
+00:42:51,140 --> 00:42:54,400
+نكون واقفين،  الـ upper half سهل، لكن الـ lower half الـ
+
+576
+00:42:54,400 --> 00:42:56,840
+venous، الاثنين، هذا عندما يحدث عندي negative pressure،
+
+577
+00:42:56,840 --> 00:43:02,840
+الدم يندفع، وهذا السبب الرئيسي في أن الدم يعود
+
+578
+00:43:02,840 --> 00:43:06,900
+إلى القلب، أن عندي negative pressure حول ماذا؟
+
+579
+00:43:06,900 --> 00:43:09,900
+حول القلب،  يؤدي إلى أن الـ venous كيف؟ يحدث عليها
+
+580
+00:43:09,900 --> 00:43:14,080
+negative pressure، فتتمدد،  فيندفع الدم
+
+581
+00:43:14,080 --> 00:43:20,970
+إليها، ليس كذلك؟ في الصدر، متصل بطريقة، تمام؟ عندما أُعطي
+
+582
+00:43:20,970 --> 00:43:23,390
+positive pressure، عندي الـ positive pressure في
+
+583
+00:43:23,390 --> 00:43:27,350
+داخل الرئتين، لكي يدخل الهواء، في حين أنه بالطبيعي
+
+584
+00:43:27,350 --> 00:43:30,150
+أقوم بعمل negative pressure من الخارج لكي يدخل الهواء،
+
+585
+00:43:30,150 --> 00:43:33,930
+لكننا نقوم بعمل positive pressure في الداخل، فالـ positive
+
+586
+00:43:33,930 --> 00:43:36,550
+pressure الذي في داخل الرئتين يؤدي إلى زيادة
+
+587
+00:43:36,550 --> 00:43:40,070
+الضغط، ويمنع دخول الهواء، بينما  الـ
+
+588
+00:43:40,070 --> 00:43:44,260
+الطبيعي، يساعد الـ venous return على الدخول، ليس كذلك؟
+
+589
+00:43:44,260 --> 00:43:47,620
+ولذلك هنا حساب الـ positive pressure مهم جداً، لأن
+
+590
+00:43:47,620 --> 00:43:52,380
+لو زاد الـ positive pressure، وفي أجهزة التنفس
+
+591
+00:43:52,380 --> 00:43:57,120
+أمنع الـ venous return، لدرجة أن الدم لا
+
+592
+00:43:57,120 --> 00:44:01,660
+يكفي للعودة إلى القلب، تمام؟ نقوم بذلك بطريقة لا يموت فيها المريض
+
+593
+00:44:01,660 --> 00:44:04,580
+ولا يموت، نُعطي positive pressure
+
+594
+00:44:04,580 --> 00:44:08,770
+بسيطاً لفترة قصيرة، تمام؟ لكي نعطي فرصة للـ
+
+595
+00:44:08,770 --> 00:44:15,490
+negative pressure  أن يعود، هنا في
+
+596
+00:44:15,490 --> 00:44:22,190
+resuscitator هذا، أو respirator هذا، resuscitator
+
+597
+00:44:22,190 --> 00:44:25,390
+الذي نُسمّيه الآن ventilator،  أو الـ
+
+598
+00:44:25,390 --> 00:44:28,850
+anesthesia machine  تكون معه، يعني ليس فقط يدخل
+
+599
+00:44:28,850 --> 00:44:33,090
+أكسجين، بل يدخل أكسجين وغاز التخدير أيضاً، تمام؟
+
+600
+00:44:33,090 --> 00:44:36,410
+لكي ندخل ماذا؟  ندخله في ... في ... في ... في جهاز التخدير.
+
+601
+00:44:36,410 --> 00:44:41,410
+anesthesia machine  يكون مع ventilator، اه؟ يعني
+
+602
+00:44:41,410 --> 00:44:45,570
+ventilator و anesthesia machine، لكن في الـ ICU
+
+603
+00:44:45,570 --> 00:44:49,950
+فقط ventilator، لا نضع عليه مواد التخدير،
+
+604
+00:44:49,950 --> 00:44:54,350
+أو ربما نعطي المريض حقناً لكي يبقى نائماً، لأنه
+
+605
+00:44:54,350 --> 00:44:58,390
+لا أستطيع أن أضع الـ tube وهو مستيقظ،  إذا استيقظ
+
+606
+00:44:58,390 --> 00:45:02,860
+يحدث ... في صدره، يبدأ بالعطاس، يرفعها. إلا
+
+607
+00:45:02,860 --> 00:45:06,220
+أن الـ tube المزعج داخل القصبة الهوائية ليس عملية
+
+608
+00:45:06,220 --> 00:45:09,940
+سهلة، لا أستطيع أن أضعه إلا إذا كان المريض نائماً.
+
+609
+00:45:10,520 --> 00:45:13,680
+مثلاً، كما نبنج المريض، أول شيء نعطيه إما
+
+610
+00:45:13,680 --> 00:45:19,500
+استنشاقاً، نعطيه استنشاقاً، استنشاق غاز التخدير، ينام من الاستنشاق،  على
+
+611
+00:45:19,500 --> 00:45:23,720
+الفور أدخل الـ tube وأربط الجهاز، يظل تحت تأثير التخدير، إما
+
+612
+00:45:23,720 --> 00:45:28,420
+أعطيه عن طريق الوريد، حقنة مخدّرة، ينام، أركّب الـ
+
+613
+00:45:28,420 --> 00:45:32,670
+endotracheal tube، لا يستطيع الإنسان أن يتحمّل
+
+614
+00:45:32,670 --> 00:45:36,370
+endotracheal tube وهو مستيقظ، تمام؟  لذلك دائماً الـ
+
+615
+00:45:36,370 --> 00:45:39,490
+ventilator، إذا أردنا أن نضع endotracheal tube، يجب
+
+616
+00:45:39,490 --> 00:45:45,750
+أن يكون معه تخدير،  إذا وضعنا قناع، تمام؟ لا يحتاج
+
+617
+00:45:45
\ No newline at end of file
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/jCLl_n416-Y_raw.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/jCLl_n416-Y_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..588baab3bba864bffee1502ff33c0e62eb135658
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/jCLl_n416-Y_raw.srt
@@ -0,0 +1,2636 @@
+1
+00:00:00,000 --> 00:00:02,700
+موسيقى
+
+2
+00:00:09,250 --> 00:00:13,230
+اليوم ان شاء الله بتكون اخر محاضرة في physiology
+
+3
+00:00:13,230 --> 00:00:18,010
+of the respiratory system وفيها اليوم بنتكلم عن
+
+4
+00:00:18,010 --> 00:00:22,330
+بعض الحالات ال abnormalities الحالات المرضية
+
+5
+00:00:22,330 --> 00:00:28,570
+الحالات الغير عادية في موضوع ال هذا الجهاز جهاز
+
+6
+00:00:28,570 --> 00:00:33,250
+التنفس النقطة
+
+7
+00:00:33,250 --> 00:00:36,410
+الأولى هتكلم عنها موضوع ال hypoxia فعندنا حاجة
+
+8
+00:00:36,410 --> 00:00:42,000
+اسمها hypoxiaفي حاجة اسمها anoxia طبعا anoxia يعني
+
+9
+00:00:42,000 --> 00:00:46,260
+مافيش oxygen نهائي hypoxia يعني في بس inadequate
+
+10
+00:00:46,260 --> 00:00:52,100
+إذا كنت عارف كلمة hypoxia is a pathological
+
+11
+00:00:52,100 --> 00:00:57,120
+condition in which the body tissues as a whole or
+
+12
+00:00:57,120 --> 00:01:05,070
+regional are deprived of adequate oxygen supplyالـ
+
+13
+00:01:05,070 --> 00:01:10,130
+adequate oxygen supply is not present لذلك بيسميها
+
+14
+00:01:10,130 --> 00:01:11,190
+hypoxia
+
+15
+00:01:14,870 --> 00:01:19,670
+الأسباب المختلفة لإنه يكون عندي أنا hypoxia ممكن
+
+16
+00:01:19,670 --> 00:01:23,910
+نسترجعها مع بعض نالبعض ممكن يكون الجو الخارجي
+
+17
+00:01:23,910 --> 00:01:30,570
+عندنا أوضة مسكرة ومافيش فيها تشديد هوا فيها موقد
+
+18
+00:01:30,570 --> 00:01:37,930
+بيستهلك هوا فيها غازات غير عادية وستجيه نسبة واطية
+
+19
+00:01:37,930 --> 00:01:41,610
+بتأدي في النهاية إيه لإنه يدخلني في hypoxiaيعني
+
+20
+00:01:41,610 --> 00:01:46,050
+عندى ال atmospheric oxygen is low مش كده، هدى أول
+
+21
+00:01:46,050 --> 00:01:50,930
+حاجة، اتنين ممكن يكون عندى انا جهاز التنفس عندى مش
+
+22
+00:01:50,930 --> 00:01:55,170
+سليميعني العضلات، الدماغ، الكذا اللي بيشكل اللي
+
+23
+00:01:55,170 --> 00:01:58,370
+إيه، عندي trauma في ال head، عندي مشكلة،
+
+24
+00:01:58,370 --> 00:02:01,610
+neuromuscular control of the respiratory tract is
+
+25
+00:02:01,610 --> 00:02:05,750
+not ال ventilation بس مش بسبب ال lungs نفسها، بسبب
+
+26
+00:02:05,750 --> 00:02:09,990
+إيه؟ ال control system تبعهم، ال neuromuscular
+
+27
+00:02:09,990 --> 00:02:15,210
+disorders، تمام؟ إذا عندي inadequate oxygenation
+
+28
+00:02:15,210 --> 00:02:18,650
+of the blood in the lungsbecause of extrinsic
+
+29
+00:02:18,650 --> 00:02:24,610
+reasons خارج عن ال lungs نفسها تمام ال атмосفير او
+
+30
+00:02:24,610 --> 00:02:27,170
+ال central nervous system او neuromuscular
+
+31
+00:02:27,170 --> 00:02:34,710
+junctions او سبب تاني inadequate oxygenation of
+
+32
+00:02:34,710 --> 00:02:37,330
+the blood in the lungs because of the disease of a
+
+33
+00:02:37,330 --> 00:02:41,550
+disease in the lungs نفسها تمام بلمونري causes
+
+34
+00:02:41,550 --> 00:02:43,390
+وهذه
+
+35
+00:02:45,640 --> 00:02:50,020
+ممكن تكون عندى hypoventilation caused by increased
+
+36
+00:02:50,020 --> 00:02:52,580
+airway resistance عنده some sort of obstruction
+
+37
+00:02:52,580 --> 00:02:57,680
+تمام؟ ال bronchial asthma ال emphysema فيها sort
+
+38
+00:02:57,680 --> 00:03:00,880
+of obstruction بيقدر ان الهواء اللي بدخل و بطلع مش
+
+39
+00:03:00,880 --> 00:03:04,790
+طبيعىأو abnormal زي ما قولنا في الانفيزيام
+
+40
+00:03:04,790 --> 00:03:07,750
+abnormal relation between the ventilation and air
+
+41
+00:03:07,750 --> 00:03:11,670
+and perfusion يعني في ventilation بس مافيش
+
+42
+00:03:11,670 --> 00:03:14,010
+perfusion كويس أو في perfusion مافيش ventilation
+
+43
+00:03:14,010 --> 00:03:18,730
+كويس أو ال physiological dead space abnormal أو ال
+
+44
+00:03:18,730 --> 00:03:24,210
+physiological شنط abnormal تمام؟ او عندي انا
+
+45
+00:03:24,210 --> 00:03:27,930
+arteriovenous شنط او venous arterial شنط يعني الدم
+
+46
+00:03:27,930 --> 00:03:33,600
+الوريدي بدخل على الدم ال ..الشرياني بغير ما يدخل
+
+47
+00:03:33,600 --> 00:03:38,040
+ال ايه الريقتين فهذا بيقدر الى انه مابيوصلش عنده
+
+48
+00:03:38,040 --> 00:03:41,060
+good oxygenation of the blood لإن نفس ال venous
+
+49
+00:03:41,060 --> 00:03:44,400
+blood بيرجع تاني لل arterial side وهذه أين
+
+50
+00:03:44,400 --> 00:03:50,500
+منلاقيها؟ منلاقيها في ال patent ductus arteriosus
+
+51
+00:03:51,300 --> 00:03:56,140
+احنا عندنا adductors arteriosus موجودة تشتغل أثناء
+
+52
+00:03:56,140 --> 00:03:59,420
+إما نكون إحنا في بطن أمنا، فadductors arteriosus
+
+53
+00:03:59,420 --> 00:04:02,780
+عشان الدم مايروحش الرقاتين، لإن الرقاتين مشتغلوش،
+
+54
+00:04:02,780 --> 00:04:05,580
+الرقاتين لسه معطلين، فالدم بيطلع من palmonary
+
+55
+00:04:05,580 --> 00:04:09,300
+artery على طول للإيه؟ للأورتا، تمام؟ لإن عملية ال
+
+56
+00:04:09,300 --> 00:04:13,280
+oxygenation بتتم عبر ال placenta، عبر الطريق آخر
+
+57
+00:04:13,820 --> 00:04:18,180
+لكن هذه اذا بقت هيك بتعمللي مشكلة مفترض ان ال ..
+
+58
+00:04:18,180 --> 00:04:21,780
+ال .. ال ductus arteriosus هذه بعد الميلاد على طول
+
+59
+00:04:21,780 --> 00:04:24,920
+بيبدأ الضغوط تختلف و يجيل الضغط فيها و تبدأ ايه
+
+60
+00:04:24,920 --> 00:04:29,140
+prostaglandins تجل و يبدأ استينوزس لها و fibrosis
+
+61
+00:04:29,140 --> 00:04:35,480
+لكن بعض الناس بتبقى هذه ال .. ال duct فاتحة فبتقدر
+
+62
+00:04:35,480 --> 00:04:38,020
+إلى ان جزء من الدم بيطلع البلمونري artery على ال
+
+63
+00:04:38,020 --> 00:04:42,100
+lungsأه بيعملون oxygenation وجزء بيرجع مباشرة
+
+64
+00:04:42,100 --> 00:04:46,080
+بالأورطة فبيبقى عندى mixed blood لكنه مش good
+
+65
+00:04:46,080 --> 00:04:50,980
+oxygenated partially oxygenated او inadequate
+
+66
+00:04:50,980 --> 00:04:55,540
+oxygen transport اذا وصلنا احنا طلعنا من ال lungs
+
+67
+00:04:55,540 --> 00:04:59,340
+الان ال transport system نفسه اللى مجلبين ودم مش
+
+68
+00:04:59,340 --> 00:05:03,660
+كده ممكن يكون علا فيه مش قادر ياخد oxygen كافي
+
+69
+00:05:04,420 --> 00:05:08,460
+هيموجلوبين واطي، أنيميا، ممكن تعملي مشكلة أو
+
+70
+00:05:08,460 --> 00:05:10,940
+abnormal hemoglobin، مافيش أنيميا، لكن abnormal
+
+71
+00:05:10,940 --> 00:05:15,440
+hemoglobin مش قادر يمسك أكسجين أو عندي some sort
+
+72
+00:05:15,440 --> 00:05:19,780
+of circulatory shock ال flow rate تبع ال blood،
+
+73
+00:05:19,780 --> 00:05:23,020
+عندي cardiac failure، heart failure، ال flow of
+
+74
+00:05:23,020 --> 00:05:26,740
+the blood in the tissues واطي، فبيقدر إلى أن كمية
+
+75
+00:05:26,740 --> 00:05:30,440
+الأكسجين بتنقل إلى الأنسجا واطية، تستهلك كلها،
+
+76
+00:05:30,440 --> 00:05:34,140
+محتاجين غيرها مينلاقيش، فمتخش في حالة أيش؟ Hypoxia
+
+77
+00:05:37,260 --> 00:05:41,140
+إذا في عندى generalized circulatory deficiency او
+
+78
+00:05:41,140 --> 00:05:45,060
+احنا لما عرفنا هيبوكسيا قولنا ممكن يكون in general
+
+79
+00:05:45,060 --> 00:05:49,280
+اه total body هيبوكسيا او regional طب ما فممكن
+
+80
+00:05:49,280 --> 00:05:53,280
+يكون عندى general circulatory deficiency heart
+
+81
+00:05:53,280 --> 00:05:57,940
+rate او في regional part منطقة فيها ischemia فيها
+
+82
+00:05:57,940 --> 00:06:01,700
+pressure فيها stenosis فيها disease فيها اديمة
+
+83
+00:06:01,700 --> 00:06:04,520
+فيها كذا بتخلي ال blood اللى رايح من المنطقة هذه
+
+84
+00:06:04,520 --> 00:06:08,930
+ايهيعني ال general كويس لكن هذه المنطقة بالذات ال
+
+85
+00:06:08,930 --> 00:06:12,890
+blood supply فيها واطي تمام برضه بتدخلني في
+
+86
+00:06:12,890 --> 00:06:16,910
+regional ischemia اه tissue ischemia for specific
+
+87
+00:06:16,910 --> 00:06:21,530
+organ ال edema in general اي مكان بيصير فيه edema
+
+88
+00:06:21,530 --> 00:06:26,590
+تمام بيصير عندي disturbance في ال ايه في ال blood
+
+89
+00:06:26,590 --> 00:06:33,250
+supply تبعها و بتأديلي الى hypoxia ممكن جدا و نقطة
+
+90
+00:06:33,250 --> 00:06:38,670
+الأخيرةفي الhypoxia انه
+
+91
+00:06:38,670 --> 00:06:42,830
+ال lungs كويسة ال atmosphere كويس و ال lungs كويسة
+
+92
+00:06:42,830 --> 00:06:47,550
+و ال transport system كويس و ال circulatory system
+
+93
+00:06:47,550 --> 00:06:52,410
+كويس لكن عندي انا ال cells نفسها مش قادرة تاخد ال
+
+94
+00:06:52,410 --> 00:06:56,890
+oxygen من ال a من ال interstitial fluid اللي هو و
+
+95
+00:06:56,890 --> 00:07:00,290
+لا ال blood اللي جيها تمام؟ ليش؟ ممكن يكون عندي
+
+96
+00:07:00,290 --> 00:07:04,880
+some sort of poisoningزي ال cyanide poisoning في
+
+97
+00:07:04,880 --> 00:07:07,220
+ال cyanide poisoning ال cytochrome system ال
+
+98
+00:07:07,220 --> 00:07:11,800
+enzymes الموجود لاستخلاص الأكسجين في ال
+
+99
+00:07:11,800 --> 00:07:16,440
+mitochondria من ال tissues عشان استخدامهبيتعطل ال
+
+100
+00:07:16,440 --> 00:07:20,340
+cyanide poisoning تمام فبيبقى عندى hemoglobin
+
+101
+00:07:20,340 --> 00:07:24,280
+مليان oxygen بيخش على ال tissues و بيطلع من غير ما
+
+102
+00:07:24,280 --> 00:07:28,360
+يستهلك تمام لكن ال tissues نفسها في حالة إيش
+
+103
+00:07:28,360 --> 00:07:33,340
+hypoxia لإنه مش جادر تصل ال oxygen هذا لل tissues
+
+104
+00:07:33,340 --> 00:07:37,460
+مش جادر يصل ل ال mitochondria to be used تمام إذا
+
+105
+00:07:37,460 --> 00:07:41,240
+هو ال hypoxia في الآخر نرجع لتعريفها من أول جديد
+
+106
+00:07:41,240 --> 00:07:45,530
+إنه بيقل قدرة الأنسجية لاستخدام ال oxygenهذه تعريف
+
+107
+00:07:45,530 --> 00:07:49,190
+من التعريف هذا لذلك الهيبوكسيا هذه المسألة بتبدأ
+
+108
+00:07:49,190 --> 00:07:53,410
+لما يجيل قدرة الأنسج على استخدام الأكسجين بتبدأ من
+
+109
+00:07:53,410 --> 00:07:57,190
+ال atmospheric oxygen النواطي او انه في عندي
+
+110
+00:07:57,190 --> 00:08:01,490
+paralysis لل cytochrome system بسبب ال poisoning
+
+111
+00:08:01,490 --> 00:08:07,110
+او بسبب some sort of vitamin deficiency او مقد إلى
+
+112
+00:08:07,110 --> 00:08:11,660
+انه ال mitochondrial system of using theما هو ال
+
+113
+00:08:11,660 --> 00:08:15,360
+.. ال respiration في آخر التنفس ايش يعني؟ يعني
+
+114
+00:08:15,360 --> 00:08:19,160
+اننا نوصل لها ال .. لها ال mitochondria oxygen
+
+115
+00:08:19,160 --> 00:08:24,700
+كافي ل ال .. ال cellular respiration cellular اه
+
+116
+00:08:24,700 --> 00:08:28,060
+انه يصل ال oxygen كافي للسلسل و تقدر السلسل
+
+117
+00:08:28,060 --> 00:08:28,520
+تستخدمها
+
+118
+00:08:32,140 --> 00:08:37,680
+Effects of hypoxia هذي مهمة ممكن تسأل طبعا سؤال ال
+
+119
+00:08:37,680 --> 00:08:41,640
+hypoxia هذي إيش ممكن تعمل تمام؟ ال hypoxia ممكن
+
+120
+00:08:41,640 --> 00:08:50,960
+تكون severe hypoxia و تقدر إلىتسارع في عدم
+
+121
+00:08:50,960 --> 00:08:55,140
+قدرة الخلايا على إنتاج طاقة وتبدأ الخلايا تموت
+
+122
+00:08:55,140 --> 00:08:58,600
+واحدة ورا التانية تمام؟ إذا عندك severe hypoxia
+
+123
+00:08:58,600 --> 00:09:02,760
+which can cause death of cells throughout the body
+
+124
+00:09:02,760 --> 00:09:05,760
+ممكن كل ال body أو جزء أو كده إذا صار في عندك
+
+125
+00:09:05,760 --> 00:09:10,920
+hypoxia لدرجة شديدة جريبة من أنوكسيا مثلا في ..
+
+126
+00:09:10,920 --> 00:09:15,800
+بتبدأ ال cells تموت مش هيك؟لو كانت أقل من هيك
+
+127
+00:09:15,800 --> 00:09:20,380
+شوية، hypoxia درجة متوسطة، not severe، less than
+
+128
+00:09:20,380 --> 00:09:23,800
+severe،
+
+129
+00:09:23,800 --> 00:09:28,120
+بنلاحظ احنا انه صار ال oxygen اللي بيصل لل brain
+
+130
+00:09:28,120 --> 00:09:32,280
+مش طبيعي، فبيقدي ال depressed mental activity،
+
+131
+00:09:32,280 --> 00:09:38,380
+بيقدي some time, so culminating إذا كان زاد و طول
+
+132
+00:09:38,380 --> 00:09:42,600
+إلى بيخش في كومة و ممكن يخش في مشاكل أكتر من
+
+133
+00:09:42,600 --> 00:09:49,280
+الكومةكويس؟ اذا على مستوى ال brain ال hypoxia ممكن
+
+134
+00:09:49,280 --> 00:09:55,220
+تدخل واحد في ايه؟ mental disturbance ممكن يخش في
+
+135
+00:09:55,220 --> 00:09:58,460
+mental .. depressed mental activity و ممكن يخش في
+
+136
+00:09:58,460 --> 00:10:04,340
+coma او ممكن يلاحظ غير هيه كمان ان ال physical
+
+137
+00:10:04,340 --> 00:10:08,780
+activities تبعته مش طبيعية لان ال oxygen supply
+
+138
+00:10:08,780 --> 00:10:13,110
+means energy supply مش كده؟ to the musclesلما
+
+139
+00:10:13,110 --> 00:10:16,970
+نحتاج إلى energy أكتر، بنلاقي مش قادرين نحصل
+
+140
+00:10:16,970 --> 00:10:20,150
+عليها، فبنقدر إلى a reduced work capacity of the
+
+141
+00:10:20,150 --> 00:10:25,710
+muscles، تمام؟ بيمشي، بيتعب، مش قادر، تمام؟ و هذه
+
+142
+00:10:25,710 --> 00:10:31,790
+بنشوفها في حاجة اسمها cludication of the ايه؟ of
+
+143
+00:10:31,790 --> 00:10:35,530
+the lower limbs، intermittent cludications، بيمشي
+
+144
+00:10:35,530 --> 00:10:40,530
+شوية، بنلاقي عضلات شداتأبقى بتشدد لإن ال blood
+
+145
+00:10:40,530 --> 00:10:43,150
+supply ل ال muscles جليل فعندي في ال muscles فيه
+
+146
+00:10:43,150 --> 00:10:47,070
+some sort of hypoxia بيستهلك ال oxygen الموجود بده
+
+147
+00:10:47,070 --> 00:10:50,130
+أكتر بيلاقي فالعضلات بتصير في contracture و ألم
+
+148
+00:10:50,130 --> 00:10:54,610
+شديد فبتوقف بيلاقي الألم راح بيمشي كمان شوية بتوقف
+
+149
+00:10:54,750 --> 00:10:58,870
+تمام؟ طبعا دي عملية progressive يعني ممكن أول إيش
+
+150
+00:10:58,870 --> 00:11:02,090
+يصير كلام هذا معاه بعد ما يمشي اتنين كيلو بعد فترة
+
+151
+00:11:02,090 --> 00:11:06,290
+يلاقي حاله نفس القلم صار بس يمشي كيلو بعد فترة صار
+
+152
+00:11:06,290 --> 00:11:09,710
+يمشي متين متر مش قادر يعمل أكتر من هي معناها في
+
+153
+00:11:09,710 --> 00:11:15,770
+عنده انا ايه حالة حالة بتتزايد يوم عن يوم في عدم
+
+154
+00:11:15,770 --> 00:11:20,530
+وصول قدرة وصول oxygen كافي للإيه للأنسجة بسبب انه
+
+155
+00:11:20,530 --> 00:11:24,010
+بأن ال arteries نفسها بيصير فيها ضيق في الحالة
+
+156
+00:11:24,010 --> 00:11:28,170
+اللي بيتكلم عنهاتمام؟ إذا الحالات الهايبوكسيا دي
+
+157
+00:11:28,170 --> 00:11:35,630
+إلها طبعا مخاطر كبيرة زي ما قلنا و هيبوكسيا
+
+158
+00:11:35,630 --> 00:11:40,790
+نعالجها بإن ند اكسجين مش هيك؟ نحل .. نشوف كيف ممكن
+
+159
+00:11:40,790 --> 00:11:43,990
+نعالجها هل ممكن نعالج حالات الهايبوكسيا كلها بإن
+
+160
+00:11:43,990 --> 00:11:50,570
+نعطي اكسجين؟ و معظمها أه معظمها أه لكن هل أنا ممكن
+
+161
+00:11:50,570 --> 00:11:55,530
+أصلح ال cytochrome poisoningالـ cyanide poisoning
+
+162
+00:11:55,530 --> 00:11:58,710
+عن طريق أن يؤدي ال oxygen ما هو ال oxygen كتير، بس
+
+163
+00:11:58,710 --> 00:12:04,390
+هو مش ايه؟ اه، اكويس، اذا من خلال فهمنا احنا لل ..
+
+164
+00:12:04,390 --> 00:12:09,110
+ال cause of hypoxia ممكن نعرف انه ال oxygen
+
+165
+00:12:09,110 --> 00:12:14,890
+therapy مفيد ولا مش مفيد، تمام؟ طيب، مفيد في .. في
+
+166
+00:12:14,890 --> 00:12:21,680
+انه يرفع الحالة هادي ولا لأ؟ ال ..أشكال اللي ممكن
+
+167
+00:12:21,680 --> 00:12:24,280
+نعطي فيها ال oxygen ال أشكال اللي ممكن نعطي فيها
+
+168
+00:12:24,280 --> 00:12:28,060
+oxygen ممكن نعطي oxygen زي اللي بنعمل في الأطفال و
+
+169
+00:12:28,060 --> 00:12:32,420
+بنحطهم في خيمة صغيرة في ال .. على ال city تبعه و
+
+170
+00:12:32,420 --> 00:12:36,240
+بنحط فيها أنبوب و بنفتح ال oxygen بحيث أن ال
+
+171
+00:12:36,240 --> 00:12:39,440
+atmosphere اللي هو بتنفس منه بيصير ال partial
+
+172
+00:12:39,440 --> 00:12:44,140
+pressure of oxygen فيه عالي، تمام؟ فبيقدر إلا أنه
+
+173
+00:12:44,140 --> 00:12:47,580
+لما ال partial pressure يزيد معناه ال oxygenation
+
+174
+00:12:47,580 --> 00:12:55,360
+لل hemoglobin بيزيدأو انا ممكن احط mask زي ما
+
+175
+00:12:55,360 --> 00:13:01,720
+وريتكوا في المرة اللي فاتت في ال CPAP mask ممسوك
+
+176
+00:13:01,720 --> 00:13:05,600
+على الأنف او على الأنف والفم و انا مقدر ادي oxygen
+
+177
+00:13:05,600 --> 00:13:10,620
+منها مباشرة يعني كل اللي انا بديلهيا للعيان تحت
+
+178
+00:13:10,620 --> 00:13:13,600
+تحكمي ممكن اديلهيا under positive pressure و
+
+179
+00:13:13,600 --> 00:13:19,300
+negative pressure اديلهيا بدون pressuresزي عندما
+
+180
+00:13:19,300 --> 00:13:22,080
+يحدث حالة ال anesthesia يكون العيان كله معتمد على
+
+181
+00:13:22,080 --> 00:13:25,560
+إيه؟ على اللي أنا بديله إياه فأنا بتحكم فيه لما هو
+
+182
+00:13:25,560 --> 00:13:30,200
+نائم في غابوبة مش كده؟ under anesthesia هو تحت ال
+
+183
+00:13:30,200 --> 00:13:34,360
+bench أنا بتحكم في ال إيه؟ حتى بحطله اندوتراكيل ال
+
+184
+00:13:34,360 --> 00:13:38,660
+tube جوا خالص مش بس mask على تمه بحط tube في داخل
+
+185
+00:13:38,660 --> 00:13:44,620
+التراكية عشان أنا إيه؟ أتحكم في دخول ال oxygen و
+
+186
+00:13:44,620 --> 00:13:49,820
+نسبة ال oxygen و كدهش أحطأو ممكن انا احط بس nasal
+
+187
+00:13:49,820 --> 00:13:55,740
+tube بعض الناس بحطلهم nasal tube بيبقى جالي من ال
+
+188
+00:13:55,740 --> 00:13:59,660
+noise هنا اللي هو يعني ال tube الى two knobs
+
+189
+00:13:59,660 --> 00:14:05,000
+طالعين كده ملففين على الرأس بحيث التنفس يطلع مباشر
+
+190
+00:14:05,000 --> 00:14:08,780
+يعني مش في tent بس بديله قدام الأنف انا كام ضخم من
+
+191
+00:14:08,780 --> 00:14:11,880
+ال oxygen بحيث لما يصحب oxygen بيبقى التركيز ال
+
+192
+00:14:11,880 --> 00:14:15,600
+oxygen اللي ايه اللي جاي لما اخد نفس التركيز ال
+
+193
+00:14:15,600 --> 00:14:17,540
+oxygen كويس عالي تمام؟
+
+194
+00:14:20,380 --> 00:14:24,060
+طيب، في حالات الـ atmospheric hypoxia، بالقطع إذا
+
+195
+00:14:24,060 --> 00:14:27,820
+ادينا أكسجين، بنصلح الأمر، لو مايكون الأطمسفير مش
+
+196
+00:14:27,820 --> 00:14:34,100
+فيه أكسجين، نحط أكسجين، بتصلح إن hypoventilation،
+
+197
+00:14:34,100 --> 00:14:38,260
+التنفس ضعيف في سبب مشكلة عامة الـhypoventilation،
+
+198
+00:14:38,260 --> 00:14:43,630
+لو أنا زوّدت الأكسجين، البارشة البشر بزيدبنعوض اه
+
+199
+00:14:43,630 --> 00:14:47,250
+مش كده لما اكون عندى hypoventilation انا بقى اعطي
+
+200
+00:14:47,250 --> 00:14:51,370
+برشا pressure اعلى بيصير عندى ال pressure gradient
+
+201
+00:14:51,370 --> 00:14:59,590
+احسن و ال transport of gases افضل مش كده hypoxia
+
+202
+00:14:59,590 --> 00:15:03,030
+caused by impaired alveolar membrane diffusion في
+
+203
+00:15:03,030 --> 00:15:07,770
+بلمونة القديمة في لو قديت انا برشا pressure of
+
+204
+00:15:07,770 --> 00:15:13,240
+oxygen اعلى تمام بيصيرالنسبة ال pressure gradient
+
+205
+00:15:13,240 --> 00:15:17,220
+بين ال alveolar air و ال blood أعلى فتمام فال ..
+
+206
+00:15:17,220 --> 00:15:21,200
+فال .. فال oxygen اللي هيقدر يصل للدم هيكون ايه؟
+
+207
+00:15:21,200 --> 00:15:27,100
+أكبر لإنه أنا ممكن أ .. أدي pure oxygen في الحالة
+
+208
+00:15:27,100 --> 00:15:30,960
+هذه و يصير الفرق عندي alveolar air ستمائة و سبعين
+
+209
+00:15:30,960 --> 00:15:37,850
+لاربعين ال ..الـ Venus مش كده الـ Venus برشا برشا
+
+210
+00:15:37,850 --> 00:15:42,290
+من ال oxygen هكون فيه فرق كبير من ستمية لكذا مش
+
+211
+00:15:42,290 --> 00:15:47,370
+هيك غير ما هو كان مية وأربعة ف .. فممكن انا اذا
+
+212
+00:15:47,370 --> 00:15:54,470
+زوّت البرشا برشا أساعد في ال transport in
+
+213
+00:15:54,470 --> 00:15:58,790
+hypoxia caused by anemia الانيميا .. لو يكون في
+
+214
+00:15:58,790 --> 00:16:05,360
+عندي انيميا ودي انا ..أو abnormal hemoglobin و ادي
+
+215
+00:16:05,360 --> 00:16:09,660
+oxygen therapy مش هديك الفائدة مش هديك الفائدة
+
+216
+00:16:09,660 --> 00:16:14,900
+هزيد انا نطفة عن طريق ال dissolved مش كده لما دي
+
+217
+00:16:14,900 --> 00:16:18,560
+Marshall pressure عالي ال dissolved part بزيد بس
+
+218
+00:16:18,560 --> 00:16:22,020
+كل ال dissolved part كانت ايه شوه؟ جليل مش هيكون
+
+219
+00:16:22,020 --> 00:16:25,920
+كبير فبساعد اشي بسيط بس مش بمساعدة واضحة
+
+220
+00:16:28,310 --> 00:16:32,110
+لما يكون عندي circulatory deficiency ما هي المشكلة
+
+221
+00:16:32,110 --> 00:16:35,010
+عندي أنا مش في ال ventilation كان مشكلتي .. يعني
+
+222
+00:16:35,010 --> 00:16:37,510
+ال hemoglobin حامل .. هو طالع من ال lungs حامل كل
+
+223
+00:16:37,510 --> 00:16:41,710
+إيش كويس لكن لإنه بيمشي بطيء في الأنسجة فبصرف في
+
+224
+00:16:41,710 --> 00:16:45,850
+الطريق أكتر من حمله مش كده؟ فلذلك من هنا بيصير ..
+
+225
+00:16:45,850 --> 00:16:48,290
+فلما يكون عندي shock أو كده مش .. مالهاش فايدة
+
+226
+00:16:48,290 --> 00:16:53,420
+كبيرة ال physiologic shuntمافي مشكلة يعني مابقدرش
+
+227
+00:16:53,420 --> 00:16:55,820
+أساعده بال .. لإن ال oxygen اللي طالع من ال lungs
+
+228
+00:16:55,820 --> 00:16:59,600
+كويس بس اللي بيجيله في الطريق من ال venous side هو
+
+229
+00:16:59,600 --> 00:17:03,460
+اللي بيتغير تمام؟ إذا هدول في حالات بعض الحالات
+
+230
+00:17:03,460 --> 00:17:06,560
+أنا فايدة ال oxygen therapy جليل لكن في بعض
+
+231
+00:17:06,560 --> 00:17:13,720
+الحالات ال oxygen therapy فيهم مفيد مهم كتير طيب
+
+232
+00:17:13,720 --> 00:17:14,560
+إذا ..
+
+233
+00:17:20,410 --> 00:17:24,950
+في أشخاص مختلفة من الهيبوكسيا اللي تسبب في استخدام
+
+234
+00:17:24,950 --> 00:17:24,950
+الهيبوكسيا لإستخدام الهيبوكسيا لإستخدام الهيبوكسيا
+
+235
+00:17:24,950 --> 00:17:28,810
+لإستخدام الهيبوكسيا لإستخدام الهيبوكسيا لإستخدام
+
+236
+00:17:28,810 --> 00:17:30,810
+الهيبوكسيا لإستخدام الهيبوكسيا لإستخدام الهيبوكسيا
+
+237
+00:17:30,810 --> 00:17:33,930
+لإستخدام الهيبوكسيا لإستخدام الهيبوكسيا لإستخدام
+
+238
+00:17:33,930 --> 00:17:39,210
+الهيبوكسيا لإستخدام الهيبوكسيا لإستخدام الهيبوكسيا
+
+239
+00:17:39,210 --> 00:17:45,090
+لإستخدام الهيبوكسيا لإستخدام
+
+240
+00:17:45,870 --> 00:17:48,930
+و الدم بيكون كويس إذا ما فهمنا أنه وين المشكلة
+
+241
+00:17:48,930 --> 00:17:53,490
+بنقدر نقرر هل هنستفيد من ال oxygen therapy و لا لأ
+
+242
+00:17:53,490 --> 00:17:58,030
+cyanosis نقطة تانية اتكلم عنها cyanosis إيش معناه
+
+243
+00:17:58,030 --> 00:18:05,530
+cyanosis بالعربي إذرقاق
+
+244
+00:18:08,030 --> 00:18:10,870
+طيب cyanosis طيب أنا صارت ديون بعرفها بالإنجليزي
+
+245
+00:18:10,870 --> 00:18:14,130
+مابعرفها بالعربي يعني واحد بيصير وشه أزرق لكن
+
+246
+00:18:14,130 --> 00:18:18,830
+إزرقاق خالي جديدة عليها cyanosis means blueness
+
+247
+00:18:18,830 --> 00:18:24,390
+إزرقاق of the skin خاصة في ال mucous membrane
+
+248
+00:18:24,390 --> 00:18:27,930
+بيبين أكتر في ال skin بيبين بس اللي هتطلع على ال
+
+249
+00:18:27,930 --> 00:18:31,110
+mucous membrane عشان كده احنا لما بدنا نشوف و
+
+250
+00:18:31,110 --> 00:18:36,090
+نتأكد منه نجلب شفرة المريض عشان ال mucous membrane
+
+251
+00:18:36,920 --> 00:18:42,480
+ال thickness أرق من الجلد فماقدر أشوف أوضح ال
+
+252
+00:18:42,480 --> 00:18:46,640
+blood vessels اللي تحت اللي تحت ال mucous membrane
+
+253
+00:18:46,640 --> 00:18:50,460
+بوضوح أكتر و أشوف ان في بالفعل ساينوزز ولا او ان
+
+254
+00:18:50,460 --> 00:18:55,580
+اشوف ال sclera ان انازل الجفن و اشوف ال sclera و
+
+255
+00:18:55,580 --> 00:18:58,600
+اشوف ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+256
+00:18:58,600 --> 00:18:58,660
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+257
+00:18:58,660 --> 00:18:58,720
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+258
+00:18:58,720 --> 00:18:59,920
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+259
+00:18:59,920 --> 00:19:00,600
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+260
+00:19:00,600 --> 00:19:01,120
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+261
+00:19:01,120 --> 00:19:01,200
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+262
+00:19:01,200 --> 00:19:03,520
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+263
+00:19:03,670 --> 00:19:09,490
+cyanosis is a blueness of the skin color and its
+
+264
+00:19:09,490 --> 00:19:14,210
+cause is excessive amount سببها اذا ان في عندي
+
+265
+00:19:14,210 --> 00:19:20,390
+deoxygenated hemoglobin اكتر من اللازم فانا باقدي
+
+266
+00:19:20,390 --> 00:19:26,890
+الى الازرقاق هنا طيب وقتش sharp figure وقتش بيبين
+
+267
+00:19:26,890 --> 00:19:29,810
+عندي الcyanosis ووقتش مقدر اقول ان هنا في حالة
+
+268
+00:19:29,810 --> 00:19:34,350
+cyanosis ولا لأ اذا وصل ال hemoglobinاللي هو
+
+269
+00:19:34,350 --> 00:19:39,910
+unoxygenated إلى خمسة جرام فما فوق percent per
+
+270
+00:19:39,910 --> 00:19:43,550
+hundred milliliter بيبدأ ال sinus يبين قبل ما يكون
+
+271
+00:19:43,550 --> 00:19:48,550
+خمسة ما بيبينش تمام؟ إذا ان محتاج أن أكون عند نصف
+
+272
+00:19:48,550 --> 00:19:53,170
+ال hemoglobin unoxygenated hemoglobin بيفوق الخمسة
+
+273
+00:19:53,170 --> 00:19:57,050
+جرام احنا كدهش عندنا في الدم hemoglobin في العادة
+
+274
+00:19:57,050 --> 00:20:03,520
+خمس عشر في الرجال والستات بنقصشوية مش هيكأه فلذلك
+
+275
+00:20:03,520 --> 00:20:13,100
+لو لو عندنا وصل ال 15 دول جزء منهم خمسة خمسة gram
+
+276
+00:20:13,100 --> 00:20:19,300
+per hundred milliliter of blood وصل إلى انه حاملين
+
+277
+00:20:19,300 --> 00:20:22,660
+unoxygenated hemoglobin هذا بيقدر إلى ايه ال
+
+278
+00:20:22,660 --> 00:20:28,380
+cyanosis بيبين الزراعي في الوجهة طيب واحد عنده
+
+279
+00:20:28,380 --> 00:20:31,530
+أنيمياواحد عنده أنيميا يعني ان ال homoglobin اللي
+
+280
+00:20:31,530 --> 00:20:37,670
+عنده ايه جليل صعب جدا يبين عنده ايه cyanosis طبعا
+
+281
+00:20:37,670 --> 00:20:41,990
+حتى لو كان عنده blood unoxygenated جد ما يكون مش
+
+282
+00:20:41,990 --> 00:20:44,930
+هيوصل يكون عنده .. مافيش عنده homoglobin عشان يصل
+
+283
+00:20:44,930 --> 00:20:49,930
+ال unoxygenated لحقله خمسة ايه خمسة gram طبعا اذا
+
+284
+00:20:49,930 --> 00:20:52,350
+في حالات الانيميا صعب ان يكون في عندي حالات
+
+285
+00:20:52,350 --> 00:20:57,760
+cyanosis و في حالات ال polycythemiaبيصير عندى
+
+286
+00:20:57,760 --> 00:21:02,580
+cyanosis وانا فى وضع كويس يعنى مش ان انا مش عندى
+
+287
+00:21:02,580 --> 00:21:07,660
+حالات خطر بشكل عندى ان فى oxygen ناجس وصار عندى
+
+288
+00:21:07,660 --> 00:21:12,560
+cyanosis لإن ال oxygen مش جادر ال homoglobin يحمل
+
+289
+00:21:12,560 --> 00:21:16,740
+oxygen كافي لإن فى مش oxygen لأ فى homoglobin كتير
+
+290
+00:21:16,740 --> 00:21:22,500
+ولإن فى homoglobin كتيرمش محتاجين نحمل Oxygen على
+
+291
+00:21:22,500 --> 00:21:26,120
+كل ال homoglobin لأن ال homoglobin كتير فببقى بشكل
+
+292
+00:21:26,120 --> 00:21:30,900
+طبيعي بيتنفس طبيعي و مش حاسس بأي إشكال تمام إلا
+
+293
+00:21:30,900 --> 00:21:34,580
+إنه عنده حالة ال cyanosis موجودة لإنه لما يكون دمه
+
+294
+00:21:34,580 --> 00:21:41,120
+18-19-20 gram percent تمام فبنلاحظ أنه بدون أي
+
+295
+00:21:41,120 --> 00:21:46,670
+مشاكل في عنده أكتر من 5 gramof deoxygenated blood
+
+296
+00:21:46,670 --> 00:21:50,270
+في ال hundred milliliter تمام؟
+
+297
+00:21:52,750 --> 00:21:57,410
+أى جهد اى مشكلة فورا بيبين عندنا ايه ان في عنده
+
+298
+00:21:57,410 --> 00:22:03,110
+cyanosis اذا ال cyanosis مش مربوط بال oxygen او
+
+299
+00:22:03,110 --> 00:22:06,510
+بال carbon dioxide هو مربوط بانه جداش ال
+
+300
+00:22:06,510 --> 00:22:11,070
+unoxygenated هموجلبيين موجود عندى لما يكتر في
+
+301
+00:22:11,070 --> 00:22:13,830
+الطبيعى طبعا كل ما زاد ال unoxygenated hemoglobin
+
+302
+00:22:13,830 --> 00:22:18,130
+معناه ان ال oxygenجال معناها انا في خطر انه انا
+
+303
+00:22:18,130 --> 00:22:21,890
+داخل في hypoxia مش كده؟ لكن هذه لا تعني ده من
+
+304
+00:22:21,890 --> 00:22:25,790
+hypoxia ال .. ال cyanosis hypoxia لإن بعض الحالات
+
+305
+00:22:25,790 --> 00:22:28,370
+زي ما قلنا لكوا ممكن يكون عندها hypoxia في
+
+306
+00:22:28,370 --> 00:22:31,930
+الانيميا لكن ماصلش cyanosis لإنه مافيش
+
+307
+00:22:31,930 --> 00:22:38,400
+unoxygenated homoglobin مايكفي لإن تظهر الزرقاقأو
+
+308
+00:22:38,400 --> 00:22:43,080
+العكس ممكن واحد يكون عنده polycythemia تمام ومحتاج
+
+309
+00:22:43,080 --> 00:22:45,780
+أي .. مافيش عنده hypoxia إلا إنه عنده cyanosis
+
+310
+00:22:45,780 --> 00:22:48,500
+لأنه عنده homoglobin كتير و ال homoglobin اللي
+
+311
+00:22:48,500 --> 00:22:51,800
+عنده مش كله حامل إكسيجين فعنده أكتر من خمسة جرام
+
+312
+00:22:51,800 --> 00:22:59,820
+فبيبين شكله إيه cyanosis طيب
+
+313
+00:22:59,820 --> 00:23:04,980
+hypercapnia hypercapnia
+
+314
+00:23:04,980 --> 00:23:11,320
+يعنيعندي انا carbon dioxide زيادة فى الدم احيانا
+
+315
+00:23:11,320 --> 00:23:16,420
+بيكون عندى ال hypercapnia مع الhypoxia لما يكون
+
+316
+00:23:16,420 --> 00:23:19,920
+عندى المشكلة فى ال ventilation انا مش جادر اتنفس
+
+317
+00:23:19,920 --> 00:23:26,000
+كويس فنفس ال .. ال .. الوسيلة اللى بتدينى oxygen
+
+318
+00:23:26,000 --> 00:23:29,720
+للدم بتاخد carbon dioxide فإذا أنا اتعطلت
+
+319
+00:23:39,970 --> 00:23:44,650
+هيبركابنيا وهايبوكسيا مع بعض لكن هل دايما هناك
+
+320
+00:23:44,650 --> 00:23:48,710
+ازدواجية او ربط ازدواج ما بين الهايبوكسيا
+
+321
+00:23:48,710 --> 00:23:54,470
+وهايبركابنيا لأ مش دايما تمام تنسوش انه ال
+
+322
+00:23:54,470 --> 00:23:59,170
+diffusion capacity of the carbon dioxide is
+
+323
+00:24:01,040 --> 00:24:04,320
+it's twenty times that of oxygen لذلك ممكن ال
+
+324
+00:24:04,320 --> 00:24:08,060
+oxygen يكون عنده إشكالية في الانتقال لكن لسه ال
+
+325
+00:24:08,060 --> 00:24:12,040
+carbon dioxide يستطيع تمام فممكن أخش في high boxية
+
+326
+00:24:12,040 --> 00:24:18,840
+وماعنديش high مركبنية تمام وممكن إشي تاني إنه ال
+
+327
+00:24:18,840 --> 00:24:22,320
+respiratory center is drive by main by carbon
+
+328
+00:24:22,320 --> 00:24:27,810
+dioxideهلو؟ فطول ما انه ال ventilation rate موجود
+
+329
+00:24:27,810 --> 00:24:31,810
+و يظبط ال carbon dioxide level كويس تمام ممكن
+
+330
+00:24:31,810 --> 00:24:35,250
+الجسم يضال على هيك و مش ماخد باله من ال oxygen انه
+
+331
+00:24:35,250 --> 00:24:38,690
+ايه مش كويس لإن هو بينتبانا مين لل carbon dioxide
+
+332
+00:24:38,690 --> 00:24:42,510
+أكتر فممكن يكون عندي carbon dioxide كويس لكن عندي
+
+333
+00:24:42,510 --> 00:24:47,110
+hypoxia تمام و ممكن يكون عندي carbon hypercapnia
+
+334
+00:24:47,110 --> 00:24:52,680
+لكن مافيش عندي hypoxia في نفس الوجدالهيبركابنية
+
+335
+00:24:52,680 --> 00:24:55,980
+يعني إكساس كربون ديكسيد في المواد الجسمية
+
+336
+00:24:55,980 --> 00:25:01,380
+الهيبركابنية
+
+337
+00:25:01,380 --> 00:25:06,960
+تحدث في الاتصال مع الهيبوكسيا فقط عندما يتسبب
+
+338
+00:25:06,960 --> 00:25:10,480
+الهيبوكسيا بالهيبوفنتلاش أو مفاوضة سيركولاتية
+
+339
+00:25:17,430 --> 00:25:22,270
+و ال circulatory deficiency بعطل الاتنين لإنه صار
+
+340
+00:25:22,270 --> 00:25:30,090
+.. صار ي .. يودي oxygenagain للـ tissues لإنه عندي
+
+341
+00:25:30,090 --> 00:25:33,790
+circulatory deficiency فبيقدي إلى إنه hypoxia وصار
+
+342
+00:25:33,790 --> 00:25:38,770
+بياخد carbon dioxide أكبر
+
+343
+00:25:38,770 --> 00:25:41,550
+من ال tissues لإنها صار عندي كمية كبيرة من carbon
+
+344
+00:25:41,550 --> 00:25:46,210
+dioxide بنحمل لإنه في عندي بطء مش كده فبيبقى عندي
+
+345
+00:25:46,210 --> 00:25:49,430
+hypercapnia وhypoxia في نفس الوجهة، إذاً
+
+346
+00:25:49,430 --> 00:25:53,150
+circulatory deficiencyبتعملى نفس الإشكالي بتعملى
+
+347
+00:25:53,150 --> 00:25:56,690
+hyperventilation hyperventilation بت .. بتدخل
+
+348
+00:25:56,690 --> 00:25:59,470
+أكسجين جليل فبصير hypoxia و بتطلع carbon dioxide
+
+349
+00:25:59,470 --> 00:26:04,750
+جليل فبضل hypercapnia في الأنسجة أنا ال metabolism
+
+350
+00:26:04,750 --> 00:26:09,230
+تبع الأنسجة بنت أكسجين أكتر، مظبوط؟ و بيطلع carbon
+
+351
+00:26:09,230 --> 00:26:13,030
+dioxide فأنا ال .. ال .. البص اللي معدى، البوصة
+
+352
+00:26:13,030 --> 00:26:16,970
+اللي معدى عليهم جاي بقالهم أكسجين جليل، تمام؟ و
+
+353
+00:26:16,970 --> 00:26:19,810
+بتلاقي هنا كمية كبيرة من إيه؟ من carbon dioxide،
+
+354
+00:26:19,810 --> 00:26:24,370
+ليش كمية كبيرة؟لأن ال .. لأن ال flow rate تبع ال
+
+355
+00:26:24,370 --> 00:26:27,970
+blood مش سريع فمش سريع ياخد كل ال carbon dioxide
+
+356
+00:26:27,970 --> 00:26:31,910
+أول بأول فال carbon dioxide بتجمع فبتطلع عندي
+
+357
+00:26:31,910 --> 00:26:37,610
+hypercapnia في الأنسجة و في الدم و في ال .. إذا ال
+
+358
+00:26:37,610 --> 00:26:41,910
+hypercapnia بزيد carbon dioxide concentration في
+
+359
+00:26:41,910 --> 00:26:47,110
+ال tissues و في ال plasmaمرات مع وجود الهيبوكسيا
+
+360
+00:26:47,110 --> 00:26:51,430
+ومرات لا ان هيبوكسيا resulting from poor diffusion
+
+361
+00:26:51,430 --> 00:26:55,050
+through the pulmonary membrane هذه الحالة لما يكون
+
+362
+00:26:55,050 --> 00:26:59,270
+عندى diffusion poor فعملالى هيبوكسيا فالغالب
+
+363
+00:26:59,270 --> 00:27:01,810
+تعملاش hyper carbonية لأن carbon dioxide diffusion
+
+364
+00:27:01,810 --> 00:27:08,050
+capacity ايش اعلى فبيقدر يصير عندى hyper normal
+
+365
+00:27:08,050 --> 00:27:13,390
+carbon dioxide لكن ال oxygen ايه واطيطبعا إذا نكون
+
+366
+00:27:13,390 --> 00:27:16,310
+عندى في ال diffusion capacity of the lungs فيها
+
+367
+00:27:16,310 --> 00:27:22,270
+مشكلة يعني ممكن يصير ال carbon dioxide تتأثر بس
+
+368
+00:27:22,270 --> 00:27:26,570
+بعد مرحلة متقدمة بس في أولها بيكون عندى normal
+
+369
+00:27:26,570 --> 00:27:29,710
+partial pressure of carbon dioxide لكن low partial
+
+370
+00:27:29,710 --> 00:27:32,470
+pressure of oxygen نخش في hypoxia لكن مايكونش عندى
+
+371
+00:27:32,470 --> 00:27:38,790
+إيش hypercapnia if
+
+372
+00:27:38,790 --> 00:27:46,780
+hypercapnia begins to occurهذا يعمل فورًا في مركز
+
+373
+00:27:46,780 --> 00:27:50,280
+الهيبركابنية، يصلح حالة الهيبركابنية، و لا يهتم
+
+374
+00:27:50,280 --> 00:27:54,800
+كثيرًا في حالة حالة الهيبركابنية، و هذا يحسن حالة
+
+375
+00:27:54,800 --> 00:27:58,400
+الهيبركابنية، لكن ليس بالطبع حسنة حالة
+
+376
+00:27:58,400 --> 00:28:00,000
+الهيبركابنية
+
+377
+00:28:05,960 --> 00:28:10,400
+هيبوكسيا تسبب في تغيير الهيبوكسيا تغيير الهيبوكسيا
+
+378
+00:28:10,400 --> 00:28:12,340
+تغيير الهيبوكسيا تغيير الهيبوكسيا تغيير الهيبوكسيا
+
+379
+00:28:12,340 --> 00:28:13,420
+تغيير الهيبوكسيا تغيير الهيبوكسيا تغيير الهيبوكسيا
+
+380
+00:28:13,420 --> 00:28:15,460
+تغيير الهيبوكسيا تغيير الهيبوكسيا تغيير الهيبوكسيا
+
+381
+00:28:15,460 --> 00:28:17,340
+تغيير الهيبوكسيا تغيير الهيبوكسيا تغيير الهيبوكسيا
+
+382
+00:28:17,340 --> 00:28:21,040
+تغيير الهيبوكسيا تغيير الهيبوكسيا تغيير الهيبوكسيا
+
+383
+00:28:21,040 --> 00:28:21,040
+تغيير الهيبو
+
+384
+00:28:24,070 --> 00:28:27,790
+in the circulatory deficiency diminished flow of
+
+385
+00:28:27,790 --> 00:28:30,850
+blood decreases carbon dioxide removal from the
+
+386
+00:28:30,850 --> 00:28:34,790
+tissues فبيزيد ال carbon dioxide و بيقلل oxygen
+
+387
+00:28:34,790 --> 00:28:37,970
+supply فبيكون عندي high box يعني كل الحاجتين
+
+388
+00:28:37,970 --> 00:28:39,470
+الموجودين مع بعض
+
+389
+00:28:42,140 --> 00:28:47,720
+are the effects of hypercapnia على الجسم اتكلمنا
+
+390
+00:28:47,720 --> 00:28:52,600
+على ال oxygen دفيشنس الhypoxia وقلنا عندنا درجتين
+
+391
+00:28:52,600 --> 00:28:55,800
+يا اما severe يا لل severe ال severe ايش بيعملوا
+
+392
+00:28:55,800 --> 00:29:01,940
+لل severe هنا ال hypercapnia خطيرة لحد احنا في
+
+393
+00:29:01,940 --> 00:29:05,860
+الطبيعي ال carbon dioxide برشا برشا بيصل في
+
+394
+00:29:05,860 --> 00:29:11,720
+الطبيعي ل 45 مش كده مليمتر ميركوري مظبوط؟لو وصل
+
+395
+00:29:11,720 --> 00:29:19,540
+لستين لسبعين لخمس وسبعين بنلاقي بس ال effect تبعه
+
+396
+00:29:19,540 --> 00:29:23,680
+انه عامل simulation للاش ل respirator center و
+
+397
+00:29:23,680 --> 00:29:29,980
+بدخل الواحد في عملية ايش؟ dyspnea deep rapid
+
+398
+00:29:29,980 --> 00:29:34,400
+respiration هذه حالة ايه؟ ال dyspneastimulation of
+
+399
+00:29:34,400 --> 00:29:37,700
+the respiratory center عشان يحاول ينزل ال carbon
+
+400
+00:29:37,700 --> 00:29:42,320
+dioxide by extra ventilation مش كده؟ طيب إذا لو
+
+401
+00:29:42,320 --> 00:29:44,580
+منقل الفيولر partial pressure of carbon dioxide
+
+402
+00:29:44,580 --> 00:29:49,220
+rises above sixty to seventy five millimeter
+
+403
+00:29:49,220 --> 00:29:55,000
+mercury بيعمللي حالة ديسنيا breathing rapidly and
+
+404
+00:29:55,000 --> 00:30:04,150
+deeply ديسني او air hunger the same حس انهلو زادت
+
+405
+00:30:04,150 --> 00:30:08,830
+ال carbon dioxide عن ال 80 millimeter mercury ل
+
+406
+00:30:08,830 --> 00:30:12,610
+100 millimeter mercury بيبدأ بدي الميسير يعمل
+
+407
+00:30:12,610 --> 00:30:15,250
+stimulation ل ال respiratory center يعمل
+
+408
+00:30:15,250 --> 00:30:18,770
+suppression ل ال respiratory center تمام؟ هو لما
+
+409
+00:30:18,770 --> 00:30:21,530
+عمل stimulation ل ال respiratory center عمل
+
+410
+00:30:21,530 --> 00:30:24,930
+hyperventilation وعمل wash لمين؟ للكربون دايكسايد
+
+411
+00:30:24,930 --> 00:30:29,530
+لكن لما يبدأ يعمل suppression ل ال respiratory
+
+412
+00:30:29,530 --> 00:30:34,710
+center فانا بيدخلني في vicious circleال .. ال
+
+413
+00:30:34,710 --> 00:30:37,210
+sublation لل .. لل .. لل center لإنه carbon
+
+414
+00:30:37,210 --> 00:30:40,910
+dioxide زاد بسبب ان ال center بده depressed فانا
+
+415
+00:30:40,910 --> 00:30:45,210
+بقدّي less ventilation و more carbon dioxide
+
+416
+00:30:45,210 --> 00:30:48,670
+accumulation اه و more depression و more
+
+417
+00:30:48,670 --> 00:30:50,590
+accumulation و more depression و more accumulation
+
+418
+00:30:50,590 --> 00:30:54,150
+مافيش ال circle تنتهي بالإيه؟ بإنه يرتفع ارتفاع
+
+419
+00:30:54,150 --> 00:30:58,290
+شديد تمام؟لذن في الحالة هاذا person becomes
+
+420
+00:30:58,290 --> 00:31:03,070
+lethargic and sometimes even semi-comatosed لما
+
+421
+00:31:03,070 --> 00:31:07,030
+يعلى عن ل 100 millimeter mercury بيبدأ ايه؟ يخش في
+
+422
+00:31:07,030 --> 00:31:11,390
+ايه؟ نفس ال toxicity تبع ال carbon dioxide مش مركز
+
+423
+00:31:11,390 --> 00:31:14,130
+lethargic مش قادر يجوم ولا يتحرك وانا اه و semi
+
+424
+00:31:14,130 --> 00:31:18,890
+-comatosed when the carbon dioxide rises ل 120 ل
+
+425
+00:31:18,890 --> 00:31:23,830
+150 coma and death can result تمام؟ coma and death
+
+426
+00:31:23,830 --> 00:31:31,490
+can resultهذه التسلسل قلت لكم انا عندي as the at
+
+427
+00:31:31,490 --> 00:31:34,310
+these higher levels of carbon dioxide برشا
+
+428
+00:31:34,310 --> 00:31:37,790
+pressure more than eighty يعني من تمانين فما فوق
+
+429
+00:31:37,790 --> 00:31:41,390
+بيبدو يعمل suppression و ال suppression هذا بيزود
+
+430
+00:31:41,390 --> 00:31:44,130
+ال carbon dioxide و ال carbon dioxide بيزود ال
+
+431
+00:31:44,130 --> 00:31:45,630
+suppression و ال suppression بيزود ال carbon
+
+432
+00:31:45,630 --> 00:31:48,510
+dioxide بيبقى اعلى اعلى اعلى اعلى اعلى مافقش في ال
+
+433
+00:31:48,510 --> 00:31:51,270
+ايه التسلسل اللي قلنا عليه اولها lethargic
+
+434
+00:32:01,850 --> 00:32:08,270
+وهي تنتهي بالتحرير تماما من مركز التحرير والموت
+
+435
+00:32:08,270 --> 00:32:15,350
+.هذه أعلى مستوى الكربون ديوكسيد، الكربون ديوكسيد
+
+436
+00:32:15,350 --> 00:32:19,710
+المتوفر الآن يبدأ في تحريك التحرير بدلا من تحريكه.
+
+437
+00:32:20,860 --> 00:32:24,440
+thus causing the vicious circle more carbon
+
+438
+00:32:24,440 --> 00:32:27,720
+dioxide بديني further decrease in respiration
+
+439
+00:32:27,720 --> 00:32:31,080
+which giving more carbon dioxide and more
+
+440
+00:32:31,080 --> 00:32:38,400
+suppression of respiration او more carbon ديسنيا
+
+441
+00:32:38,400 --> 00:32:47,080
+ديسنيا طبعا بيه silent ديسنيا means mental status
+
+442
+00:32:49,130 --> 00:32:54,770
+distress mental awareness associated with
+
+443
+00:32:54,770 --> 00:32:58,330
+inability to ventilate enough to satisfy the
+
+444
+00:32:58,330 --> 00:33:04,890
+demand for air عنده إحساس بإنه النفس سبعه مش مكفيه
+
+445
+00:33:04,890 --> 00:33:08,130
+له air
+
+446
+00:33:08,130 --> 00:33:12,230
+hunger أو دسنية حالة من الفزع عند الإنسان
+
+447
+00:33:15,120 --> 00:33:20,340
+مصاحبة لإحساسه بعدم القدرة على إنه يحصل على إكسجين
+
+448
+00:33:20,340 --> 00:33:24,960
+كافي أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء
+
+449
+00:33:24,960 --> 00:33:25,680
+أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء
+
+450
+00:33:25,680 --> 00:33:27,180
+أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء
+
+451
+00:33:27,180 --> 00:33:27,380
+أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء
+
+452
+00:33:27,380 --> 00:33:32,080
+أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء
+
+453
+00:33:32,080 --> 00:33:36,540
+أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء أعضاء
+
+454
+00:33:36,540 --> 00:33:39,660
+أعضاء أ
+
+455
+00:33:42,520 --> 00:33:45,600
+abnormality of respiratory gases in the body
+
+456
+00:33:45,600 --> 00:33:49,980
+fluids especially hypercapnia and to a much less
+
+457
+00:33:49,980 --> 00:33:54,140
+extent hypoxia إذا مجدش بيصير عندي أنا hypercapnia
+
+458
+00:33:54,140 --> 00:33:58,580
+بيصير عندي hyperventilation وقولنا لو طولت هذه مدة
+
+459
+00:33:58,580 --> 00:34:03,540
+طويلة بيصير hypoxia إلها ال upper hand ف to less
+
+460
+00:34:03,540 --> 00:34:06,840
+degree الhypoxia لو كانت موجودة بتحسسني بال
+
+461
+00:34:06,840 --> 00:34:11,320
+hyperventilationوالإحساس بأنه أنا محتاج إلى ايه
+
+462
+00:34:11,320 --> 00:34:15,420
+more oxygen ومحتاج انه حاسس انه ال oxygen اللي في
+
+463
+00:34:15,420 --> 00:34:19,700
+داخلي مش طبيعي فانا بده مش شابعان oxygen مش قادر
+
+464
+00:34:19,700 --> 00:34:26,360
+ايه اشمع oxygen هذه ايه واحدة اتنين the work of
+
+465
+00:34:26,360 --> 00:34:31,180
+the muscles انت ال the amount of work that must be
+
+466
+00:34:31,180 --> 00:34:34,960
+performed by the respiratory muscles to provide
+
+467
+00:34:34,960 --> 00:34:40,200
+the hyperventilationعندي إحساس من خلال الـ carbon
+
+468
+00:34:40,200 --> 00:34:45,560
+dioxide و ال oxygen levels بالدسنياالاتنين انا مش
+
+469
+00:34:45,560 --> 00:34:48,680
+شغل العضلات العضلات تبعتي هذه اذا عندها القدرة
+
+470
+00:34:48,680 --> 00:34:53,020
+الكافية انها تعمل hyperventilation بكون انا ايه
+
+471
+00:34:53,020 --> 00:34:58,120
+مرتاح ومش جالجان كتير لكن لما بعد شوية الاجي ان
+
+472
+00:34:58,120 --> 00:35:01,460
+المدة طولت وصار عضلاتي تعبانة مش زي ما يقولنا في
+
+473
+00:35:01,460 --> 00:35:05,200
+الأطفال الصغار بيخش في distress hyperventilation
+
+474
+00:35:05,200 --> 00:35:10,720
+بعد شوية بيصير اندوماطس الفتيج ويبطل يعمل ال .. ال
+
+475
+00:35:10,720 --> 00:35:14,890
+.. ال .. ال muscular work اللازمللفنتلايشن
+
+476
+00:35:14,890 --> 00:35:19,330
+الهيبرفنتلايشن تقدي للديث تمام؟ اذا the amount of
+
+477
+00:35:19,330 --> 00:35:23,050
+work that must be performed by the respiratory
+
+478
+00:35:23,050 --> 00:35:28,770
+muscles to provide adequate ventilation اذا
+
+479
+00:35:28,770 --> 00:35:36,160
+اذا كان في عندك كمية جهود كافي اوجهد كبير بدياه
+
+480
+00:35:36,160 --> 00:35:42,260
+بحس انه بحس انه جدش انا متضايق جدش انا في .. في
+
+481
+00:35:42,260 --> 00:35:51,520
+وضع Disney State of the mind اه يعني مطمئن مش
+
+482
+00:35:51,520 --> 00:35:56,680
+مطمئن بتديني الاحساس انه جدش انا عندي ال Disney
+
+483
+00:35:56,680 --> 00:36:02,910
+هذهالشخص يصبح مغضبًا جدًا خصوصًا من إكساس تبني
+
+484
+00:36:02,910 --> 00:36:07,390
+الكربون ديكسيد في مواد الجسم تمام؟ لأن الكربون
+
+485
+00:36:07,390 --> 00:36:10,790
+ديكسيد هو الأيش؟ هو الأساسي اللي بيعمل ليه؟
+
+486
+00:36:10,790 --> 00:36:13,950
+Simulation و Ventilation و بحسسني بأن أنا محتاج
+
+487
+00:36:13,950 --> 00:36:21,450
+إكسيجن أكتر at times
+
+488
+00:36:23,110 --> 00:36:28,430
+لدينا كلا مستوى من الكربونيوكسيد و اكسجون عادي
+
+489
+00:36:28,430 --> 00:36:31,150
+عادي عادي عادي عادي عادي عادي عادي عادي عادي عادي
+
+490
+00:36:31,150 --> 00:36:31,310
+عادي عادي عادي عادي عادي عادي عادي عادي عادي عادي
+
+491
+00:36:31,310 --> 00:36:33,090
+عادي عادي عادي عادي عادي عادي عادي عادي عادي عادي
+
+492
+00:36:33,090 --> 00:36:36,770
+عادي عادي عادي عادي عادي عادي عادي عادي عادي عادي
+
+493
+00:36:36,770 --> 00:36:37,090
+عادي عادي عادي عادي عادي عادي عادي عادي عادي عادي
+
+494
+00:36:37,090 --> 00:36:37,090
+عادي عادي عادي عادي عادي عادي عادي عادي عادي عادي
+
+495
+00:36:37,090 --> 00:36:51,510
+عادي عادي عادي عادي عادي عا
+
+496
+00:36:51,770 --> 00:36:55,650
+gives the person a sensation of Disney يعني بمجهود
+
+497
+00:36:55,650 --> 00:36:59,950
+كبير بيعمل فبيحس ان هو Disney لأنه ايه عشان يصير
+
+498
+00:36:59,950 --> 00:37:05,590
+طبيعي لازم ياخد نفس كبيرfinally the person's
+
+499
+00:37:05,590 --> 00:37:09,470
+respiratory functions may be normal and still
+
+500
+00:37:09,470 --> 00:37:13,910
+dyspnea may be expired, experienced because of an
+
+501
+00:37:13,910 --> 00:37:16,590
+abnormal state of the mind احنا في عندنا حاجات
+
+502
+00:37:16,590 --> 00:37:21,830
+بيسميها neurogenic او psychic او psychogenic،
+
+503
+00:37:21,830 --> 00:37:26,670
+dyspnea و هذه بيلاقيها كتير و خاصة في البناتطبعا
+
+504
+00:37:26,670 --> 00:37:31,530
+عند اي توتر معين بتحس البنت انه ايه او حتى الشاب
+
+505
+00:37:31,530 --> 00:37:37,350
+يعني بس بتكون اكتر في ال female انه النافس سابعه
+
+506
+00:37:37,350 --> 00:37:42,490
+طبعها مش مرتاحة مش مكفيها اه فبتشكي و هتروحوا كتير
+
+507
+00:37:42,490 --> 00:37:46,510
+انتوا تشوفوا عينات او يجوكوا على العيادة انه مش
+
+508
+00:37:46,510 --> 00:37:50,230
+جاهز تنفس طبعا مافيش اي علامة او داعي لان علم
+
+509
+00:37:50,230 --> 00:37:57,160
+التنفسلكن عند هذا الإحساس مش جالس تتنفس هي أحيانا
+
+510
+00:37:57,160 --> 00:38:01,850
+بتفقد القدرة على ال deep ventilationللآخر بتقدرش
+
+511
+00:38:01,850 --> 00:38:04,870
+تصلوا تحت psychic أو psychological conditions
+
+512
+00:38:04,870 --> 00:38:07,190
+فبتحس حالة طول من أنها مش قادرة تاخد ال deep
+
+513
+00:38:07,190 --> 00:38:11,770
+ventilation تتعبي صدرها منه تمام فتحس أنها راح
+
+514
+00:38:11,770 --> 00:38:16,090
+تنخنك لأنه مش قادر تاخد ال deep breath فبتظل هذه
+
+515
+00:38:16,090 --> 00:38:18,690
+مشكلة كبيرة هتشوفوها انتوا يعني في عندي نوع من ال
+
+516
+00:38:18,690 --> 00:38:21,650
+dyspnea اسمها ايه؟ Psychogenic او Neurogenic او
+
+517
+00:38:21,650 --> 00:38:25,130
+Psychic dyspnea او Emotional dyspnea بيصير أي
+
+518
+00:38:25,130 --> 00:38:31,050
+مبتحانات تمام او لما يصير اي إشكاليعني في
+
+519
+00:38:31,050 --> 00:38:39,410
+psychological pressure ليؤدي إلى ايه؟
+
+520
+00:38:39,410 --> 00:38:42,610
+إلى المسألة هذه و هتشوفوها كتير Artificial
+
+521
+00:38:42,610 --> 00:38:48,190
+Respiration يعني احنا الآن خلصنا من التلات تعريفات
+
+522
+00:38:48,190 --> 00:38:51,870
+اللي اتكلمنا عنها او الأربعة، تلات او الأربعة
+
+523
+00:38:51,870 --> 00:38:57,130
+Hypoxia و Hypercapnia و Dyspnea، تلاتة، تمام؟الان
+
+524
+00:38:57,130 --> 00:39:00,370
+لما احنا بنحتاج الى ان نعمل artificial respiration
+
+525
+00:39:00,370 --> 00:39:04,370
+و نقول لنا عندنا تلت اربع أنواع of oxygen therapy
+
+526
+00:39:04,370 --> 00:39:08,830
+مش هيك احيانا احنا بدنا نقوم بعمل ال respiration
+
+527
+00:39:08,830 --> 00:39:13,850
+نفسنا مش ال oxygen therapy تمام العيان عنده
+
+528
+00:39:13,850 --> 00:39:19,090
+كوماتوز او under anesthesia و انا بدنا اعمل ايه
+
+529
+00:39:19,090 --> 00:39:23,030
+انا اعوض التنفس هذا مش كده في عندنا what is called
+
+530
+00:39:23,030 --> 00:39:28,000
+ventilatorاليوم بنسميه ventilator احنا تمام اللي
+
+531
+00:39:28,000 --> 00:39:31,200
+بنستخدمه في الانسيزيا او في ال intensive care
+
+532
+00:39:31,200 --> 00:39:36,820
+units تمام بحيث بنحط اندو تركيا tube وهذا بياخد
+
+533
+00:39:36,820 --> 00:39:41,320
+oxygen supply و عنده القدرة على انه يعمل positive
+
+534
+00:39:41,320 --> 00:39:46,740
+pressure بيعمل inflation of the lungsهو بيعمل ..
+
+535
+00:39:46,740 --> 00:39:51,240
+بيضيع ال positive pressure فال chest ممكن يعمل ايه
+
+536
+00:39:51,240 --> 00:39:54,260
+بس مانعتملش عليها فبنروح و بنعمل كمان negative
+
+537
+00:39:54,260 --> 00:39:56,960
+pressure يعني في positive pressure level معين
+
+538
+00:39:56,960 --> 00:40:00,940
+بنوصله بدخل ال air و بنعمل شفط negative pressure
+
+539
+00:40:00,940 --> 00:40:05,300
+بيصحى بالهوى فمحسوبة بحيث انه يعني ال positive
+
+540
+00:40:05,300 --> 00:40:08,260
+pressure ماتفجرش الرقتين و ال negative pressure
+
+541
+00:40:08,260 --> 00:40:13,570
+مايشفطهمش ايهبرا تمام محسوب بقى بطريقة معينة بنعمل
+
+542
+00:40:13,570 --> 00:40:19,010
+positive pressure plus five
+
+543
+00:40:19,010 --> 00:40:22,490
+plus five positive pressure و بنعمل negative
+
+544
+00:40:22,490 --> 00:40:26,750
+pressure plus minus ten to twelve فبيبقى ايه ال
+
+545
+00:40:26,750 --> 00:40:33,350
+ventilatorبطلع و بنزل بيعمل pulse pressure five و
+
+546
+00:40:33,350 --> 00:40:37,030
+negative pressure عشر او اتناشر و بعدين طبعا مدة
+
+547
+00:40:37,030 --> 00:40:42,380
+كافية بيحس انه يشبه ال normal breathingبحيث تديني
+
+548
+00:40:42,380 --> 00:40:46,600
+في الآخر هذا الحساب المعمولة تديني ايه؟ oxygen
+
+549
+00:40:46,600 --> 00:40:50,360
+supply و removal of carbon dioxide بطريقة عادية
+
+550
+00:40:50,360 --> 00:40:56,300
+طبعا الدكتور بالاضافة لهيك عنده oximeter دكتور ال
+
+551
+00:40:56,300 --> 00:41:01,370
+بنج و عنده ال monitorبوضح ال oxygen level جديش و
+
+552
+00:41:01,370 --> 00:41:03,450
+ال carbon dioxide level جديش و ال heart rate جديش
+
+553
+00:41:03,450 --> 00:41:07,490
+بيحس الطمأن انه ال ventilator شغال صح ولا لأ لو
+
+554
+00:41:07,490 --> 00:41:10,830
+صار اي لحبطة او زيادة او نقصة بيلاحظ على طول و
+
+555
+00:41:10,830 --> 00:41:15,010
+بيظبط ال ventilator زي ما هو عايز واضح؟ ال
+
+556
+00:41:15,010 --> 00:41:18,590
+ventilator اليوم عملية متطورة جدا لكن اساسها
+
+557
+00:41:18,590 --> 00:41:23,960
+الجهاز هذاعشان اسأل الجهاز هذا انه عندي انا oxygen
+
+558
+00:41:23,960 --> 00:41:28,720
+source وعندي machine تعملي positive و negative
+
+559
+00:41:28,720 --> 00:41:32,740
+pressure تمام وعندي هذه mask او وندو تراكرة تيوب
+
+560
+00:41:32,740 --> 00:41:42,400
+او او او تمام طبعا احنا لو نتطلع على يعني هذا خلق
+
+561
+00:41:42,400 --> 00:41:46,360
+الله فاروني ماذا خلق الذين من دونه نتطلع على احنا
+
+562
+00:41:46,360 --> 00:41:51,960
+كيف نتنفسالصدر عندنا الريقتين الصدر بيزيد
+
+563
+00:41:51,960 --> 00:41:55,500
+فالريقتين بتتوسع احنا عاملين negative pressure من
+
+564
+00:41:55,500 --> 00:41:59,860
+الخارج في ال plural مش كده inter plural pressure
+
+565
+00:41:59,860 --> 00:42:02,560
+يعني برا الريقتين هو بيزيد ال negative pressure
+
+566
+00:42:02,560 --> 00:42:06,940
+فبفرد الريقتين بدخل الهواء مش هيك لما بيدخل الهواء
+
+567
+00:42:06,940 --> 00:42:12,100
+كمان بدخل الدم للصدر يعني واحد من العوامل الرئيسية
+
+568
+00:42:12,100 --> 00:42:15,800
+لل Venus return للجلبعملية ال negative pressure
+
+569
+00:42:15,800 --> 00:42:18,120
+اللي بيصير في الصدر عشان كده الجلب موجود بين
+
+570
+00:42:18,120 --> 00:42:21,200
+الرياتين في الصدر عشان ال negative pressure اللي
+
+571
+00:42:21,200 --> 00:42:24,500
+بتكون في البلورة تمام في ال chest cage هذا بيصير
+
+572
+00:42:24,500 --> 00:42:28,160
+فيه negative pressure مش بس بيسحب هوا من هان كمان
+
+573
+00:42:28,160 --> 00:42:31,800
+بيسحب دم من هان و من هان تمام؟ بيصير عندك negative
+
+574
+00:42:31,800 --> 00:42:37,960
+pressure جوة فالدم بيندفع من ال upper half of the
+
+575
+00:42:37,960 --> 00:42:44,350
+body من ال head and neck بيندفع إلى ايه؟اه طب هو
+
+576
+00:42:44,350 --> 00:42:47,990
+بندفع by gravity، طب لو كنا نايمين، بيندفع إلى الـ
+
+577
+00:42:48,420 --> 00:42:51,140
+وبيندافع من ال lower half واحد الأهم لإنه و احنا
+
+578
+00:42:51,140 --> 00:42:54,400
+واقفين ال upper half سهل لكن ال lower half ال
+
+579
+00:42:54,400 --> 00:42:56,840
+Venus الاتنين هذا لما يصير عندى negative pressure
+
+580
+00:42:56,840 --> 00:43:02,840
+الدم بيندافع وهي السبب الرئيسي فإن الدم بيرجع
+
+581
+00:43:02,840 --> 00:43:06,900
+للجلب انه عندى negative pressure حوالين مين؟
+
+582
+00:43:06,900 --> 00:43:09,900
+حوالين الجلب بيأدى إلى ان ال Venus كيفة هادى بيصير
+
+583
+00:43:09,900 --> 00:43:14,080
+عليها negative pressure فبتتوسع كده فبيندافع الدم
+
+584
+00:43:14,080 --> 00:43:20,970
+إلها مش كده فالصدرمتفصل بطريقة تمام فانا لما ادى
+
+585
+00:43:20,970 --> 00:43:23,390
+positive pressure عندى ال positive pressure فى
+
+586
+00:43:23,390 --> 00:43:27,350
+داخل الرئتين عشان يدخل الهواء فى حين انه بالطبيعى
+
+587
+00:43:27,350 --> 00:43:30,150
+انا بعمل negative pressure برا عشان يدخل الهواء
+
+588
+00:43:30,150 --> 00:43:33,930
+لكن احنا بنعمل positive pressure جوا فال positive
+
+589
+00:43:33,930 --> 00:43:36,550
+pressure اللى فى داخل الرئتين بيقدى انه يزيد ال
+
+590
+00:43:36,550 --> 00:43:40,070
+pressure ويمنع الفيروس لتان فى حين ان التنافس
+
+591
+00:43:40,070 --> 00:43:44,260
+الطبيعى تبعىبساعد ال Venus Retain يدخل، مش هيك؟
+
+592
+00:43:44,260 --> 00:43:47,620
+فلذلك هنا حسبة ال positive pressure كتير مهمة لإن
+
+593
+00:43:47,620 --> 00:43:52,380
+أنا لو زادت ال positive pressure و في أسلحة التنفس
+
+594
+00:43:52,380 --> 00:43:57,120
+بأمنع ال Venus Retain لدرجة بيصير عندي الدم مش
+
+595
+00:43:57,120 --> 00:44:01,660
+كافي يرجع للجلب، تمام؟ فبعملها بطريقة لا يموت الدي
+
+596
+00:44:01,660 --> 00:44:04,580
+ولا ايه ولا تفنى الغنم، ان أدي positive pressure
+
+597
+00:44:04,580 --> 00:44:08,770
+بسيط لمدة قصيرة، تمام؟ عشان ندي فرصة للإيهللـ
+
+598
+00:44:08,770 --> 00:44:15,490
+negative pressure انه يرجع القلعتين هنا في ال
+
+599
+00:44:15,490 --> 00:44:22,190
+resuscitator هذا او respirator هذا resuscitator
+
+600
+00:44:22,190 --> 00:44:25,390
+اللي هم نقوله الآن ventilator احنا او ال
+
+601
+00:44:25,390 --> 00:44:28,850
+anesthesia machine تبقى معاها يعني مش بس بتدخل
+
+602
+00:44:28,850 --> 00:44:33,090
+أكسجين، بتدخل أكسجين و كمان anesthesia gasتمام
+
+603
+00:44:33,090 --> 00:44:36,410
+عشان ندخل ايه؟ ندخله في .. في .. في .. في تبنيج
+
+604
+00:44:36,410 --> 00:44:41,410
+anesthesia machine تبقى مع ventilator اه؟ يعني
+
+605
+00:44:41,410 --> 00:44:45,570
+ventilator و anesthesia machine لكن اللي في ال ICU
+
+606
+00:44:45,570 --> 00:44:49,950
+بس ventilator مانحط ركبش عليها ايه؟ مواد تنايم
+
+607
+00:44:49,950 --> 00:44:54,350
+العيال أو ممكن نديله injections عشان نظل نايم لإنه
+
+608
+00:44:54,350 --> 00:44:58,390
+ماقدرش أنا أحط ال tube و يظل صاحي إذا بدى يصحى
+
+609
+00:44:58,390 --> 00:45:02,860
+بيصير .. في إيش في صدره بيصير خابط بده يرفعهاإلا
+
+610
+00:45:02,860 --> 00:45:06,220
+إن الـ Irritating التيوب في داخل التراكية مش عملية
+
+611
+00:45:06,220 --> 00:45:09,940
+سهلة، ماقدرش أحطها أنا إلا يكون العيان إيش، نام.
+
+612
+00:45:10,520 --> 00:45:13,680
+مثلًا كأما إحنا بتبنج العيان، أول شي بنديله يا إما
+
+613
+00:45:13,680 --> 00:45:19,500
+شم، بنديله شم، شم ال .. ال بنج، بنام من الشم، على
+
+614
+00:45:19,500 --> 00:45:23,720
+طول بدخل التيوب و بشبك الجهاز يظل واصل للبنج، يا
+
+615
+00:45:23,720 --> 00:45:28,420
+إما بعطيله بالوريد، حجم البنج، بنام بركّب ال إيه؟
+
+616
+00:45:28,420 --> 00:45:32,670
+ال endotracheal التيوبماقدرش البني آدم يتحمل
+
+617
+00:45:32,670 --> 00:45:36,370
+endotracheal tube و هو صاحي، تمام؟ إذا دائما ال
+
+618
+00:45:36,370 --> 00:45:39,490
+ventilator هذا إذا بدنا نحط endotracheal tube لازم
+
+619
+00:45:39,490 --> 00:45:45,750
+يكون معاه anesthesia إذا حطينا mask تمام؟ محتاجش
+
+620
+00:45:45,750 --> 00:45:53,250
+إلى anesthesia لكن ال mask ال mask بدها واحد بتنفس
+
+621
+00:45:53,250 --> 00:45:57,030
+طبيعيتمام؟ لكن انا اذا حاططه بنجو و متنفس صبيعي
+
+622
+00:45:57,030 --> 00:46:00,290
+خبد انا ايه؟ ا .. ا .. ا .. ا .. ادخل هوا و اطلع
+
+623
+00:46:00,290 --> 00:46:03,330
+هوا لأنه هيصير subversion لمين؟ ل ال respirator
+
+624
+00:46:03,330 --> 00:46:06,050
+center ال anesthesia بتعمل subversion ل ال
+
+625
+00:46:06,050 --> 00:46:09,110
+respirator center فلذلك احنا بنتكلم عن positive
+
+626
+00:46:09,110 --> 00:46:13,590
+pressure و negative pressure عشان نعوض مين؟ عشان
+
+627
+00:46:13,590 --> 00:46:16,810
+ال rhythm تبع ال inspiration و ال expiration احنا
+
+628
+00:46:16,810 --> 00:46:19,190
+نشتغله بإيدنا لأن ال anesthesia بتعمل subversion
+
+629
+00:46:19,190 --> 00:46:26,470
+لمين؟هو باسم Retrocenter، فلذلك عندنا يعني .. يعني
+
+630
+00:46:26,470 --> 00:46:31,650
+اليوم في ال ventilator زي المسائل المتطورة و ..
+
+631
+00:46:33,140 --> 00:46:36,100
+بنستخدمها في ال ICU في حالات ال brain trauma و
+
+632
+00:46:36,100 --> 00:46:39,960
+حالات ال separation of respiration حالات العيان
+
+633
+00:46:39,960 --> 00:46:46,460
+اللي هو ايه comatose بقى انا بركبله ايه ال IGZ
+
+634
+00:46:46,460 --> 00:46:50,460
+هادي عشان نحافظ على ال respiration طبيعي ماشي؟
+
+635
+00:46:51,600 --> 00:46:57,340
+التانك ال respirator هذا بيعتمد على أنه بيلبس
+
+636
+00:46:57,340 --> 00:47:01,960
+الواحد في صدره، في رجبته أو تحت أبعته أو المهم
+
+637
+00:47:01,960 --> 00:47:07,460
+بشكل ما ال diaphragm جلد بيبقى ملزق عالي مظموط
+
+638
+00:47:07,460 --> 00:47:11,540
+تمام؟ وهذا الجهة التانية من ال tank فيها diaphragm
+
+639
+00:47:13,020 --> 00:47:16,280
+الـ diaphragm أنا بتحرك هيك و بتحرك هيك، اللي
+
+640
+00:47:16,280 --> 00:47:19,120
+بتحرك لبرة بيعمل negative pressure تمام؟ لما يعمل
+
+641
+00:47:19,120 --> 00:47:21,120
+negative pressure، ال negative pressure بيصير
+
+642
+00:47:21,120 --> 00:47:26,920
+للكل، لكل الجسم و من ضمنهم الصدر فبيدخل الهواء
+
+643
+00:47:27,770 --> 00:47:32,010
+تمام؟ بيرجع positive pressure بترد الهواء يعني إلى
+
+644
+00:47:32,010 --> 00:47:35,430
+حد ما أشبه بمين يعني عاملين negative pressure من
+
+645
+00:47:35,430 --> 00:47:38,210
+برا مش عاملين positive pressure عشان نخل الهواء
+
+646
+00:47:38,210 --> 00:47:41,090
+يدخل ال positive pressure هل منعود فيه مثل تلاقاش
+
+647
+00:47:41,090 --> 00:47:44,810
+أن ال positive pressure و ال virus تاني تقاسلهم؟
+
+648
+00:47:44,810 --> 00:47:47,920
+أه بس قصة كبيرة يمكن نستخدمها اليوماندخله في تانك
+
+649
+00:47:47,920 --> 00:47:51,300
+و ن .. و نربط و نعمل و نسوي مسألة اليوم ماحدش
+
+650
+00:47:51,300 --> 00:47:54,660
+مستخدمها، مستخدم اللي هو ال modified هذا النوع ال
+
+651
+00:47:54,660 --> 00:47:57,920
+resuscitator modified اللي هو على اسم ventilator
+
+652
+00:47:57,920 --> 00:48:04,120
+اللي يوم يستخدمه في ال .. في ال operating theaters
+
+653
+00:48:04,120 --> 00:48:08,460
+ورا في العمليات و في ال intensive care units علشان
+
+654
+00:48:08,460 --> 00:48:13,760
+ايه؟نضبط وضع الإنسان هذا اللي فاقد وعيه نضبط وضعه
+
+655
+00:48:13,760 --> 00:48:19,380
+أثناء هذه الفترة من نضبط التنفس و ال oxygen supply
+
+656
+00:48:19,380 --> 00:48:22,160
+و ال carbon dioxide removal عشان ما يخشش في
+
+657
+00:48:22,160 --> 00:48:25,700
+hypoxia ولا يخش في hypercapnia ولا إيه يدخل في
+
+658
+00:48:25,700 --> 00:48:31,920
+كومة ويموت بهكما نكون خلصنا احنا ال chapter الأخير
+
+659
+00:48:31,920 --> 00:48:36,000
+من ال respiration و أتمنى لكوا كل نجاح ان شاء الله
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/k0oD_O8I77Y_postprocess.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/k0oD_O8I77Y_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..5e8608332dc1e5a06657cf3007abf71f824b130e
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/k0oD_O8I77Y_postprocess.srt
@@ -0,0 +1,3148 @@
+1
+00:00:05,960 --> 00:00:10,800
+هنبدأ في المحاضرات
+
+2
+00:00:10,800 --> 00:00:15,800
+الحقيقية حول ال renal physiology كان المحاضرات ..
+
+3
+00:00:15,800 --> 00:00:19,540
+المحاضراتين الفاتوا كانوا حول ال body fluids اللي
+
+4
+00:00:19,540 --> 00:00:25,360
+هي المادة اللي ال .. الكلية هتشتغل عليهالكن اليوم
+
+5
+00:00:25,360 --> 00:00:29,340
+هنتكلم عن الكيلية كيف تشغل عليها المواد المختلفة
+
+6
+00:00:29,340 --> 00:00:33,180
+اللي موجودة في ال different compartments كيف إلها
+
+7
+00:00:33,180 --> 00:00:41,420
+تأثير في التحكم في ال homeostasis عبر الكيلية يتم
+
+8
+00:00:41,420 --> 00:00:48,160
+ضبط ال different concentrations ال body fluids
+
+9
+00:00:48,160 --> 00:00:55,170
+volume ال hypertensionأو بمعنى أخر what are the
+
+10
+00:00:55,170 --> 00:00:58,410
+functions of the kidney اللي هنتكلم عنهم أول شيء
+
+11
+00:00:58,410 --> 00:01:05,550
+the kidney can do different functions execution
+
+12
+00:01:05,550 --> 00:01:09,030
+of metabolic waste products and foreign chemicals
+
+13
+00:01:09,030 --> 00:01:14,950
+احنا كنا متوقعين ان ال .. ال .. ال metabolic waste
+
+14
+00:01:14,950 --> 00:01:17,370
+products هي الأساس ان الكلب طلع اليوريا و
+
+15
+00:01:17,370 --> 00:01:23,110
+الكرياتينين وشدهطيب okay متفاقين عليها اتنين
+
+16
+00:01:23,110 --> 00:01:28,650
+regulation of water and electrolyte balances تلاتة
+
+17
+00:01:28,650 --> 00:01:32,610
+regulation of the osmolality مش هي ال
+
+18
+00:01:32,610 --> 00:01:35,770
+concentration of the electrolytes and water
+
+19
+00:01:35,770 --> 00:01:39,550
+contents the osmolality and electrolyte
+
+20
+00:01:39,550 --> 00:01:44,590
+concentration regulation
+
+21
+00:01:44,590 --> 00:01:49,350
+of arterial blood pressure اللي لها علاقة في blood
+
+22
+00:01:49,350 --> 00:01:54,210
+pressureاللي هي علاقة كبيرة هتكلم عنها regulation
+
+23
+00:01:54,210 --> 00:02:01,610
+of acid-base balance ال pH لإن ممكن أحيانا الكلية
+
+24
+00:02:01,610 --> 00:02:06,490
+تطلع hydrogen ions بكمية كبيرة أو كمية جليلة ممكن
+
+25
+00:02:06,490 --> 00:02:10,730
+تطلعليه bicarbonates كتيرةأو قليلة طبعا احنا
+
+26
+00:02:10,730 --> 00:02:14,370
+بالنسبة لنا في ال plasma ال main buffer system ال
+
+27
+00:02:14,370 --> 00:02:18,230
+bicarbonate system فتمام فال bicarbonate system
+
+28
+00:02:18,230 --> 00:02:24,180
+هذا ممكن احنا نزود ال execution of bicarbonateبنقل
+
+29
+00:02:24,180 --> 00:02:27,600
+ال acidity ال alkalinity بنزود ال execution of
+
+30
+00:02:27,600 --> 00:02:31,620
+hydrogen ions بنقل ال acidity يعني بين أنه نطلع
+
+31
+00:02:31,620 --> 00:02:36,340
+بيكربونات أكتر أو نعمل execution ل hydrogen ion
+
+32
+00:02:36,340 --> 00:02:42,960
+أكتر من ميل بين ال acidity و ال alkalinity من ميل
+
+33
+00:02:42,960 --> 00:02:46,960
+بين ال BH درجتها المختلفة حسب أنا بعمل execution
+
+34
+00:02:46,960 --> 00:02:51,020
+أكتر لإيش بيكربونات أكتر ولا hydrogen ions أكتر
+
+35
+00:02:53,690 --> 00:02:59,390
+secretion of metabolism
+
+36
+00:02:59,390 --> 00:03:04,250
+and
+
+37
+00:03:04,250 --> 00:03:12,110
+excretion of hormones غريب
+
+38
+00:03:12,110 --> 00:03:16,350
+هنا ايه؟ انا كنت ضايف عليها ال hormones ال
+
+39
+00:03:16,350 --> 00:03:20,350
+excretion of hormones عبر الكيليا الكيليا هنا
+
+40
+00:03:21,200 --> 00:03:24,980
+هتدرسوا بعد شوية ال endocrine الفصل الجاى هلاجى
+
+41
+00:03:24,980 --> 00:03:28,780
+انه بعد ما ال liver تعمل conjugation لل steroid
+
+42
+00:03:28,780 --> 00:03:34,320
+hormones 75% of excretion بعدى عبر الكيلية طبعا
+
+43
+00:03:34,320 --> 00:03:38,830
+إذا لل liver اللي لها دورو الكلية بعد ما تجهز
+
+44
+00:03:38,830 --> 00:03:41,610
+الاشي في ال liver بيعملها execution twenty-five
+
+45
+00:03:41,610 --> 00:03:45,490
+percent تقريبا execution of steroids اللي هو نوع
+
+46
+00:03:45,490 --> 00:03:47,770
+من أنوع ال hormones يعني استيرويد ال hormones
+
+47
+00:03:47,770 --> 00:03:52,430
+executed by the bile، ال liver للبيل عن طريق ال ..
+
+48
+00:03:52,430 --> 00:03:57,630
+ال bile الصفراء، المرارة، مادة الصفراء، لكن
+
+49
+00:03:57,630 --> 00:03:59,590
+seventy-five عبر ايه؟ الكلية
+
+50
+00:04:03,740 --> 00:04:08,080
+هنسألكم عن ال testosterone في أعظم اللحظات كيف can
+
+51
+00:04:08,080 --> 00:04:12,760
+be detected من خلال ال execution في ال urine 17
+
+52
+00:04:12,760 --> 00:04:19,920
+keto testosterone او steroid خروجه في ال urine
+
+53
+00:04:19,920 --> 00:04:23,220
+كميات كبيرة بتدليل ان فيه testosterone مصنع كتير
+
+54
+00:04:23,220 --> 00:04:26,820
+جليل او قليل يعني مراد ال urine analysis بتديني
+
+55
+00:04:26,820 --> 00:04:32,360
+فكرة عن ايش المواد في داخل الجسموكانت بكميات مصنعة
+
+56
+00:04:32,360 --> 00:04:38,900
+كبيرة او صغيرة او كده ال gluconeogenesis وهذه
+
+57
+00:04:38,900 --> 00:04:42,980
+هتكون
+
+58
+00:04:42,980 --> 00:04:49,680
+بالنسبة لكم تريبة شوية ان الكيليا تستطيع انها تصنع
+
+59
+00:04:49,680 --> 00:04:53,520
+في حالات الطوارق مايكونش في عندي blood sugar كافي
+
+60
+00:04:53,520 --> 00:05:00,980
+بتصنع سكر عبرother than carbohydrates resources
+
+61
+00:05:00,980 --> 00:05:05,160
+يعني عبر البروتين mainly و ال libids what is
+
+62
+00:05:05,160 --> 00:05:10,680
+called gluconeogenesis يعني تصنيع سكر من مصادر غير
+
+63
+00:05:10,680 --> 00:05:16,200
+كربوهيدراتية تمام تستطيع تعمل كلام هذا بالظبط تجار
+
+64
+00:05:16,200 --> 00:05:20,120
+ال liver تجار الكبد في المسألة هذه تمام اذا ممكن
+
+65
+00:05:20,120 --> 00:05:24,780
+ال liver الكلية تعمل gluconeogenesis as much as
+
+66
+00:05:24,780 --> 00:05:30,490
+the liver itselfطيب ندرس كل واحدة على حده ندرس كل
+
+67
+00:05:30,490 --> 00:05:36,590
+واحدة على حده execution of metabolic waste
+
+68
+00:05:36,590 --> 00:05:40,430
+products foreign chemicals drugs and hormone
+
+69
+00:05:40,430 --> 00:05:44,030
+metabolites ال execution تبع ال metabolites هذه
+
+70
+00:05:44,030 --> 00:05:51,170
+اليورية عبارة عن ال metabolite تبع ال ايه ال amino
+
+71
+00:05:51,170 --> 00:05:54,790
+acids مش كده الكرياتينين
+
+72
+00:05:56,470 --> 00:06:00,810
+الكرياتينين عبارة عن ال metabolite تبع الكرياتين
+
+73
+00:06:00,810 --> 00:06:09,690
+which is a muscle compound كرياتين ال uric acid
+
+74
+00:06:09,690 --> 00:06:12,950
+يمثل
+
+75
+00:06:12,950 --> 00:06:18,490
+in the product of nucleic acids nucleic acids يعني
+
+76
+00:06:18,490 --> 00:06:23,730
+أنا بتكلم عن أشياء فيها خلايا فيها nuclei فيها
+
+77
+00:06:23,730 --> 00:06:27,690
+nucleic acidsإذا لما نتكلم إن ال uric acid زاد،
+
+78
+00:06:27,690 --> 00:06:32,910
+معناه نتكلم عن في الغالب إنه أحنا الأكل عندنا أكل
+
+79
+00:06:32,910 --> 00:06:38,810
+فيه مواد فيها خلايا، لحمة أو غيرها أو بنقول إنه
+
+80
+00:06:38,810 --> 00:06:42,410
+التكسير عندنا في الخلايا زاد، تمام؟ فلذلك ال uric
+
+81
+00:06:42,410 --> 00:06:47,070
+acid products زادتتمام؟ اذا ال uric acid لازم يكون
+
+82
+00:06:47,070 --> 00:06:51,330
+مصدره خلايا ال nucleus في حين ان ال proteins
+
+83
+00:06:51,330 --> 00:06:56,210
+مبطلعش كلامها يعني مادة زي الحليب proteinات عالية
+
+84
+00:06:56,210 --> 00:07:00,850
+جدا فيها لكن مافيش فيها uric acid لكن شكسة لحمة
+
+85
+00:07:00,850 --> 00:07:05,230
+صغيرة بليانة خلايا فيها nuclei فيها nucleic acids
+
+86
+00:07:05,230 --> 00:07:10,370
+فيها اذا ال uric acid products معناها ان هاد اجت
+
+87
+00:07:10,370 --> 00:07:14,110
+من مصادر ايه؟تكسير خلوي ان كان extrinsic احنا
+
+88
+00:07:14,110 --> 00:07:18,690
+ماقلينه او كان داخلي حالات ال cancer او حالات ال
+
+89
+00:07:18,690 --> 00:07:22,450
+leukemia من اللي هيجي تكسير كتير ف ال perglyric
+
+90
+00:07:22,450 --> 00:07:28,830
+acid يعني in the products of hemoglobin breakdown
+
+91
+00:07:28,830 --> 00:07:37,850
+ال hemoglobin اللي هو بتكسر و بتديني حديد و globin
+
+92
+00:07:39,130 --> 00:07:42,710
+أو ال .. ال .. ال hemoglobin اللي هي بتكسر إلى
+
+93
+00:07:42,710 --> 00:07:48,630
+حديد و biliverdin و ال biliverdin بتحول في الأخر ل
+
+94
+00:07:48,630 --> 00:07:52,490
+bilirubin و ال bilirubin بيتغيق بي .. بي .. بي ..
+
+95
+00:07:52,490 --> 00:07:55,810
+بيصيرله conjugation في ال liver برضه جزء منه بيطلع
+
+96
+00:07:55,810 --> 00:07:58,850
+في البعل وجزء منه بيطلع في الكيليا في ال urine
+
+97
+00:07:58,850 --> 00:08:01,850
+الجزء اللي بيطلع في ال urine بنسميه urobilirubin
+
+98
+00:08:02,570 --> 00:08:06,110
+Euro باليرابين الجزء اللي بيطلع في الستول نسميه
+
+99
+00:08:06,110 --> 00:08:10,570
+استيركو باليرابين استيركو يعني استول يورو يعني
+
+100
+00:08:10,570 --> 00:08:15,230
+يورين اه فلذلك فيه جزء هان وجزء اخر متابولات of
+
+101
+00:08:15,230 --> 00:08:19,570
+various hormones جوجات
+
+102
+00:08:19,570 --> 00:08:24,580
+ال formsإن كان الاستيرويد العادية او مرات ال 17
+
+103
+00:08:24,580 --> 00:08:29,160
+-ketosteroids هذي بتتشخص لإنه في عندي انا ايه
+
+104
+00:08:29,160 --> 00:08:33,620
+تستوستيرون بتصنع بكمية كبيرة بدليل اللي هو يهير ال
+
+105
+00:08:33,620 --> 00:08:37,680
+17-ketosteroids secreted in urine in big amounts
+
+106
+00:08:54,990 --> 00:08:57,990
+بالإضافة لأن كمية كبيرة من المواد اللي هي إلى حد
+
+107
+00:08:57,990 --> 00:09:03,760
+ما سامةأو مواد تعتبر غريبة الجسم مش عايزها لكن
+
+108
+00:09:03,760 --> 00:09:08,380
+اتدخلت، اتدخلت مع الطعام بشكل من الأشكال أو اتكونت
+
+109
+00:09:08,380 --> 00:09:12,820
+في داخل الجسم على ال .. الكلية برضه فطبعا انتوا
+
+110
+00:09:12,820 --> 00:09:16,840
+واضح من كلام هذا، احنا بنتكلم عن organ كتير محترم،
+
+111
+00:09:16,840 --> 00:09:25,670
+كتير مهم، كتير خطيرفشلوا يعني انه احنا لا نستطيع
+
+112
+00:09:25,670 --> 00:09:30,870
+الحياة without a kidney life is incompatible
+
+113
+00:09:30,870 --> 00:09:36,070
+without kidney لا يمكن انا اتم حياة فتصوروا ان
+
+114
+00:09:36,070 --> 00:09:40,670
+الجسم الإنسان هذا صنع لحاله هيك هيك هيك و قال لأ
+
+115
+00:09:40,670 --> 00:09:45,950
+لازم بدي كيلية عشان ماقدرش اشتغل كيلية لا يدرك ذلك
+
+116
+00:09:46,510 --> 00:09:49,970
+بعدين بتطلع على الكلمة كده معقدة كده تركيب و بعدين
+
+117
+00:09:49,970 --> 00:09:54,190
+تشوفوا كيف ذلك
+
+118
+00:09:54,190 --> 00:10:00,510
+يعني إنما اخلّها من عباده علماء وجمال هذا المادة
+
+119
+00:10:00,510 --> 00:10:04,850
+أنا بضل قاعد وزيد إنها تجوال في ملكوت الله عز وجل
+
+120
+00:10:04,850 --> 00:10:12,760
+في أنفسكم تجولوا و تشوفوا كده الجسم هذايعني جميل
+
+121
+00:10:12,760 --> 00:10:18,880
+ومرتب ومنظم جدش هنتكلف احنا لو اجال شيء فيه نجس و
+
+122
+00:10:18,880 --> 00:10:23,040
+احنا بنا ندفع تمانه جدش هنتكلف اجالش هنتكلف لو نجس
+
+123
+00:10:23,040 --> 00:10:28,150
+hormone ال growth hormone جدش هنتكلف لو نجسأي
+
+124
+00:10:28,150 --> 00:10:33,090
+أنزين معين صغير مش مذكور لكن ما يترتب عليه من
+
+125
+00:10:33,090 --> 00:10:36,570
+فقدان هي very big يعني ال consequences of its
+
+126
+00:10:36,570 --> 00:10:39,910
+deficiency هتلاقيها إش كبير و في الآخرية الجثة جثة
+
+127
+00:10:39,910 --> 00:10:46,690
+بسيطة لكنها كيف إجت كيف اتركبت كيف طلعت إذا النقطة
+
+128
+00:10:46,690 --> 00:10:51,550
+الأولى بتكلم عن execution of waste products هذه
+
+129
+00:10:51,550 --> 00:10:56,470
+أول function تمام؟الـ function التاني اتكلمنا عنه
+
+130
+00:10:56,470 --> 00:10:58,950
+من شوية regulation of water and electrolyte
+
+131
+00:10:58,950 --> 00:11:03,250
+balance ال
+
+132
+00:11:03,250 --> 00:11:06,350
+water and electrolyte balance اتكلمنا كتير عن ال
+
+133
+00:11:06,350 --> 00:11:09,770
+water حجمها في ال compartments المختلفة و ال
+
+134
+00:11:09,770 --> 00:11:13,230
+osmolality و ال electrolytes و هذه تضبطها الكلية
+
+135
+00:11:13,230 --> 00:11:19,270
+انا باكل بديا و باشرب البديا و باعرج اللي بدوين
+
+136
+00:11:19,270 --> 00:11:20,870
+عليه و ب ..
+
+137
+00:11:23,540 --> 00:11:27,000
+استخدم يعني different resources of .. of .. of
+
+138
+00:11:27,000 --> 00:11:30,780
+water under the ground مش مشكلة عندى الكلية هي
+
+139
+00:11:30,780 --> 00:11:34,840
+لحالها ايش فيه فرقات تظبطها فيه تجربة لطيفة عندنا
+
+140
+00:11:34,840 --> 00:11:40,420
+هنا انه و احد غير ال intake عملنا تجربة غيرنا ال
+
+141
+00:11:40,420 --> 00:11:50,840
+intake of sodium من درجة واطية تلاتين ملي جرام الى
+
+142
+00:11:51,380 --> 00:11:54,720
+فجأة درجة عالية تلاتميت ميلي جرام تمام؟ يعني واحد
+
+143
+00:11:54,720 --> 00:11:58,300
+اتخطل أحمر هان كان بياكل كل يوم تلاتين ميلي جرام
+
+144
+00:11:58,300 --> 00:12:02,520
+Sodium تم تلاتين .. ندخله تلاتين ميلي equivalent
+
+145
+00:12:02,520 --> 00:12:06,420
+مش ميلي جرام تلاتين ميلي equivalent Sodium بعدين
+
+146
+00:12:06,420 --> 00:12:10,440
+عند نقطة معينة زودناها ال intake صار عند هذه ال
+
+147
+00:12:10,440 --> 00:12:14,080
+intake صار فجأة في هذه النقطة إلى ايه؟ إلى تلاتميت
+
+148
+00:12:14,080 --> 00:12:18,860
+ميلي equivalent بعدين بعد كذا يوم قررنا نزلها عادة
+
+149
+00:12:18,860 --> 00:12:21,940
+تاني إلى ايه؟ تلاتين ميلي equivalentلقينا انه
+
+150
+00:12:21,940 --> 00:12:28,660
+الكلية بعد يومين تلاتة من زيادة ال intake تمام،
+
+151
+00:12:28,660 --> 00:12:32,860
+بعد يومين تلاتة فجأة ال urine excretion عالي عالي
+
+152
+00:12:32,860 --> 00:12:36,880
+عالي لمّا وصل لإيه؟ لما يساوي ال intake، في جزء
+
+153
+00:12:36,880 --> 00:12:40,980
+ضال مخزون في الجسميومين تلاتة ماببينش بس بعد تلت
+
+154
+00:12:40,980 --> 00:12:46,060
+يوم صار جدش مادخل ال sodium جدش بيطلع، اذا بعد
+
+155
+00:12:46,060 --> 00:12:50,140
+يومين تلاتة بعد lag أكمن يوم صار عندى ال intake و
+
+156
+00:12:50,140 --> 00:12:55,690
+ال output يساوي بعض، وقفنا الالإنتاج العالي هذا و
+
+157
+00:12:55,690 --> 00:12:59,410
+نزلنا تاني ل 30 ملي اكوبلاند اتفاجأنا انه لازال
+
+158
+00:12:59,410 --> 00:13:05,270
+الفرج اللي كان في الأول lagging اتأخر لازال بيطلع
+
+159
+00:13:05,270 --> 00:13:08,990
+في يومين تلاتة لما نزل في الآخر لأ يسوي ال intake
+
+160
+00:13:08,990 --> 00:13:13,430
+لذا اتأخر يومين تلاتة بعدين لما وقفنا دل يومين
+
+161
+00:13:13,430 --> 00:13:17,230
+تلاتة execution اكتر من الايه من اللي احنا بناخده
+
+162
+00:13:17,230 --> 00:13:20,730
+لحد ما يتساوي من أول و جديد لذا في الآخر كمية اللي
+
+163
+00:13:20,730 --> 00:13:27,160
+اتدخلت controlledطبعا احنا هتوقع في اليومين تلاتة
+
+164
+00:13:27,160 --> 00:13:30,700
+هدول اللي زاد اللي صار فيها lagging لل execution
+
+165
+00:13:30,700 --> 00:13:34,740
+انه كمية الصوديوم هذه عملت expansion شوية
+
+166
+00:13:34,740 --> 00:13:38,280
+expansion لمين؟ للاكسسوريا، fluid، compartment
+
+167
+00:13:38,280 --> 00:13:43,060
+وعلت الضغط والبلازم اتقى كام اليوم، بعدين زبطت،
+
+168
+00:13:43,060 --> 00:13:46,300
+بعدين عاودت ايه؟ بعد ما وقفنا رجعت من جدي دي اللي
+
+169
+00:13:46,300 --> 00:13:51,470
+هوضحها الطبيعيالاستثمار الفلويد يتطلع في اليوم
+
+170
+00:13:51,470 --> 00:13:55,550
+اللي ايه اللي بدأ يزيد يزيد يزيد لما زاد شوية
+
+171
+00:13:55,550 --> 00:13:58,390
+الاستثمار الفلويد موجود موقفناه وبعدين و جلسين و
+
+172
+00:13:58,390 --> 00:14:03,850
+جلسين رجع للوضع الطبيعي طيب اذا عندها بدنا نقول ان
+
+173
+00:14:03,850 --> 00:14:09,070
+ال الكلية
+
+174
+00:14:09,070 --> 00:14:14,600
+هذه the capacity of the kidneysلتغيير التجارب
+
+175
+00:14:14,600 --> 00:14:17,240
+السودانية في تجارب التغييرات في تجارب التجارب
+
+176
+00:14:17,240 --> 00:14:21,060
+السودانية هو كبير جدًا فحصات تجارب تجارب التجارب
+
+177
+00:14:21,060 --> 00:14:25,140
+السودانية شهدت أن في الكثير من الناس تجارب
+
+178
+00:14:25,140 --> 00:14:26,740
+السودانية يمكن أن تزداد
+
+179
+00:14:30,450 --> 00:14:34,010
+الانتقال اليومي من مية الى مية وخمسين ميلي
+
+180
+00:14:34,010 --> 00:14:36,790
+اكوبلانت يعني حوالي المية يعني اكتر من عشر اضعاف
+
+181
+00:14:36,790 --> 00:14:41,590
+الانتقال الطبيعي تمام وتستطيع بالرقم من هنا الكلية
+
+182
+00:14:41,590 --> 00:14:45,350
+to control the concentration exactly
+
+183
+00:14:47,720 --> 00:14:51,140
+ممكن نزودها الى الف و خمس مليون equivalent او
+
+184
+00:14:51,140 --> 00:14:54,140
+نجللها الى عشرة مليون equivalent يعني عشر أجالي من
+
+185
+00:14:54,140 --> 00:14:58,520
+عشر ال a ال daily intake with relatively small
+
+186
+00:14:58,520 --> 00:15:02,580
+changes in excess fluid volume or plasma sodium
+
+187
+00:15:02,580 --> 00:15:06,140
+concentration this is also true for water and most
+
+188
+00:15:06,140 --> 00:15:07,240
+of the electrolytes
+
+189
+00:15:13,700 --> 00:15:18,120
+regulation of water and electrolyte balances
+
+190
+00:15:18,120 --> 00:15:22,480
+النقطة التالتة المهمة اللي بتعملها regulation of
+
+191
+00:15:22,480 --> 00:15:28,400
+arterial blood pressure هتلاحظوا انت توقعش يا اتي
+
+192
+00:15:28,400 --> 00:15:33,340
+لأ تسأليش ولي طول اللي بحس انت تسألي اه لأنك
+
+193
+00:15:33,340 --> 00:15:37,200
+اتأخرتي regulation of arterial pressure
+
+194
+00:15:39,560 --> 00:15:43,260
+الارتيريا البشر هتلاحظوا أنه اللي بيعالجه الضغط
+
+195
+00:15:43,260 --> 00:15:46,720
+بكرا في المستقبل يا إما دكاتة الكلة يا إما دكاتة
+
+196
+00:15:46,720 --> 00:15:51,660
+الجلب، هدول التانية المخوولين لإن معظم الضغط يا
+
+197
+00:15:51,660 --> 00:15:55,060
+إله تأثير سلبي على القلب لذلك تبع القلب بيعالجه يا
+
+198
+00:15:55,060 --> 00:16:00,200
+إما هو ناتج من الكلة ومشاكل الكلة أو تبع نكتور
+
+199
+00:16:00,200 --> 00:16:06,400
+الكلة هو اللي بيعالجهالضغط ممكن يزيد عندى اذا كان
+
+200
+00:16:06,400 --> 00:16:09,880
+انا ال execution of electrolytes كانت جليلة يعني
+
+201
+00:16:09,880 --> 00:16:14,220
+عندى مشكلة فى الكيلية ومش جادة تطلع ال sodium الى
+
+202
+00:16:14,220 --> 00:16:18,920
+يعني بكميات تساوى اللى احنا ايه بناخده فده بيعمل
+
+203
+00:16:18,920 --> 00:16:21,680
+expansion of external fluid ومن ضمنها ال expansion
+
+204
+00:16:21,680 --> 00:16:26,380
+اللى لبلازمام اذا بيعلّى الضغط تمام هذه بطريقة
+
+205
+00:16:26,380 --> 00:16:31,520
+طريقة اخرى انه كمان الكيلية عندها حساسية جدا للضغط
+
+206
+00:16:32,250 --> 00:16:36,190
+يعني لو هبطت ضغط بتطلع مادة اسمها ال renin المادة
+
+207
+00:16:36,190 --> 00:16:41,450
+هتتأدي في الآخر إلى تطلع لإنه هي أجواء مادة
+
+208
+00:16:41,450 --> 00:16:44,610
+vasoactive substance في الجسم اللي هو angiotensin
+
+209
+00:16:44,610 --> 00:16:48,930
+2 هتكون the most active vasoactive substance in
+
+210
+00:16:48,930 --> 00:16:53,670
+the body ناتجة عن إشارة من مين؟ من الكلية ال renin
+
+211
+00:16:53,670 --> 00:16:58,300
+بيطلع من الكلية إذا ضغط وطيو إذا الضغط عود ارتفع
+
+212
+00:16:58,300 --> 00:17:01,500
+بيعود الذنن يهبط إذا ارتفع عن الزيادة عن اللزوم
+
+213
+00:17:01,500 --> 00:17:08,280
+الذنن بهبط فالكلية حساسة جدا ل ال blood pressure
+
+214
+00:17:08,280 --> 00:17:15,100
+يعني طبيعي جدا أن رب العالمين هنا وضعلنا حساسية
+
+215
+00:17:15,100 --> 00:17:20,880
+الضغط عند الكليةعشان تظبط الضغط بالجسم كله لإن هي
+
+216
+00:17:20,880 --> 00:17:26,220
+أساسا عضو حساسة للضغط لإنه هي بتشغل على الضغط يعني
+
+217
+00:17:26,220 --> 00:17:29,460
+عندنا بنتكلم عن شغل الكيليا أساس شغلها أنه عنده
+
+218
+00:17:29,460 --> 00:17:33,180
+فيه ضغط بيعمل filtration تمام؟ إذا نقطة الضغط
+
+219
+00:17:33,180 --> 00:17:37,380
+مشتغلش ال filtration بيجيلوكل ال kidney function
+
+220
+00:17:37,380 --> 00:17:42,340
+بينخفض مش كده لذلك حاساسة لازم الدغط اللي جايها
+
+221
+00:17:42,340 --> 00:17:46,720
+يكون كويس عشان الكيلية تشتغل اذا هي هنا بتظبط كل
+
+222
+00:17:46,720 --> 00:17:52,670
+ايه الجسم بيحس انه اتحافظ على الضغط مظبوطإذا في
+
+223
+00:17:52,670 --> 00:17:58,130
+عندي في الكيلية عندي long term control على إنه
+
+224
+00:17:58,130 --> 00:18:00,610
+نضبط ال Sodium و ال Potassium و ال Electrolytes
+
+225
+00:18:00,610 --> 00:18:06,170
+بحيث إنه اتضال ال volume صح و الضغط صح أو إشي صار
+
+226
+00:18:06,170 --> 00:18:09,890
+مفاجئ أو الأسباب غير عادية إنه قد إنه ال blood
+
+227
+00:18:09,890 --> 00:18:12,650
+supply أو blood pressure اللي جاي للكيلية أو ال
+
+228
+00:18:12,650 --> 00:18:15,630
+blood pressure in general في ال body وطي و اللي
+
+229
+00:18:15,630 --> 00:18:18,730
+صار جاي للكيلية على هو الكيلية أخدت بالهافبيطلع
+
+230
+00:18:18,730 --> 00:18:22,750
+اللي هو ال renin و هنتكلم عنه في المستقبل بتفصيله
+
+231
+00:18:22,750 --> 00:18:29,010
+الشديد اذا blood pressure control عنده two ways of
+
+232
+00:18:29,010 --> 00:18:32,610
+control long term و short term regulation of acid
+
+233
+00:18:32,610 --> 00:18:36,490
+base balance هتكلمتلكوا عنها انا بشوية انه ال
+
+234
+00:18:36,490 --> 00:18:39,750
+bicarbonate system هو ال hydrogen تمام الكلية
+
+235
+00:18:39,750 --> 00:18:44,190
+بتتحكم فيهم كويس لو زي ال bicarbonate طلعوا يعني
+
+236
+00:18:44,190 --> 00:18:47,900
+ال calendar اللي صار عندى زي دهلو جال ال .. لو زاد
+
+237
+00:18:47,900 --> 00:18:51,680
+ال hydrogen بتطلعوا و هندرسها دي بالتفصيل كيف ال
+
+238
+00:18:51,680 --> 00:18:54,020
+hydrogen و كيف ال bicarbonates can be controlled
+
+239
+00:18:54,020 --> 00:18:57,540
+by ده ايه؟ ده kidney regulation of erythrocyte
+
+240
+00:18:57,540 --> 00:19:04,960
+production و هذه من ضمن إذا الكيليا إلها .. إلها
+
+241
+00:19:04,960 --> 00:19:08,140
+function
+
+242
+00:19:08,140 --> 00:19:12,400
+متعلق بال regulation of
+
+243
+00:19:15,830 --> 00:19:22,450
+and excretion of waste products pure non hormonal
+
+244
+00:19:22,450 --> 00:19:25,630
+function بعدين ايه بقى بعض ال hormonal function
+
+245
+00:19:25,630 --> 00:19:28,510
+لذلك في بعض الشؤان يقول ال hormonal .. endocrine
+
+246
+00:19:28,510 --> 00:19:31,770
+function of the kidney the endocrine function of
+
+247
+00:19:31,770 --> 00:19:35,670
+the kidney تمام؟ توا و جيبنا سيرة الرنن ده hormone
+
+248
+00:19:35,670 --> 00:19:39,310
+بطلع و بعمل و بسوي وهنا بنتكلم عن الارتروبيوتين
+
+249
+00:19:39,310 --> 00:19:41,210
+الارتروبيوتين
+
+250
+00:19:43,440 --> 00:19:50,360
+عبارة عن مادة بتطلع من الكيلية وهي stimulating the
+
+251
+00:19:50,360 --> 00:19:56,000
+bone marrow for formation of RBCs for formation of
+
+252
+00:19:56,000 --> 00:20:00,360
+erythrocytes اللي هو red blood cells ايرتروبيوتين
+
+253
+00:20:00,360 --> 00:20:03,700
+وهذه مشكلة كبيرة عندما واحد يخش في chronic renal
+
+254
+00:20:03,700 --> 00:20:08,530
+failureتمام؟ chronic renal failure معناها ان مافيش
+
+255
+00:20:08,530 --> 00:20:13,410
+erythropoietin معناها دم ايه نزل لذلك لما اكتشفوا
+
+256
+00:20:13,410 --> 00:20:18,410
+ال hemopoietin كان هذه خطوة مفصلية في تاريخ الطب
+
+257
+00:20:18,410 --> 00:20:23,750
+ان هدول الناس خلصنا مشاكلهم سرنا جثة ال anemia في
+
+258
+00:20:23,750 --> 00:20:27,730
+ال chronic renal failure تمام؟ حلها نديله
+
+259
+00:20:27,730 --> 00:20:33,120
+hemopoietin تمام؟ فبرجع ال ايه؟ال .. ال bon marrow
+
+260
+00:20:33,120 --> 00:20:37,520
+يصنع بشكل طبيعي لكن احنا كل يوم بناخد
+
+261
+00:20:37,520 --> 00:20:40,800
+الارتروبيوتين بالبلاش من جسمنا و بناخد
+
+262
+00:20:40,800 --> 00:20:43,240
+الارتروبيوتين جد ما احنا عايزين الجرعة اللي احنا
+
+263
+00:20:43,240 --> 00:20:48,240
+بديها خارجيا ممكن تزيد او تجل لكن الطبيعي بنلاحظ
+
+264
+00:20:48,240 --> 00:20:52,480
+ان خلاص ال .. ال .. ال .. ال hemoglobin ثابت لا
+
+265
+00:20:52,480 --> 00:20:56,040
+بيزيد ولا بينجس على مستوى معين ان ايش السبب نجسه
+
+266
+00:20:56,040 --> 00:21:00,150
+على طول بيزيد الارتروبيوتين و بيزيد الالهيموجلوين
+
+267
+00:21:00,150 --> 00:21:04,050
+من الجديد وها كذا controlled بمعنى ال homeostasis
+
+268
+00:21:04,050 --> 00:21:09,890
+اللي احنا دايما نتكلم عنه اذا لو صار عندى hypoxia
+
+269
+00:21:09,890 --> 00:21:15,010
+للكيلية اه بتنتبه الكيلية او بتطلع more or less هي
+
+270
+00:21:15,010 --> 00:21:21,570
+مش قصة hypoxiaالكدن يسيطر على الهيموجلوب متكلاسيا
+
+271
+00:21:21,570 --> 00:21:25,270
+يعني بدقة شديدة متناهية مش محتاجين ان نكون هي high
+
+272
+00:21:25,270 --> 00:21:29,310
+boxy high boxy شديدة اي change في ال oxygen level
+
+273
+00:21:29,310 --> 00:21:33,630
+تنتبه الايه الكلب بتطلع الاتروبيتين اكتر او اقل
+
+274
+00:21:33,630 --> 00:21:37,630
+اذا
+
+275
+00:21:37,630 --> 00:21:47,100
+regulation of the vitamin D3 productionregulation
+
+276
+00:21:47,100 --> 00:21:51,300
+of 125-dihydroxy vitamin D production D3
+
+277
+00:21:51,300 --> 00:21:57,220
+production ال vitamin D هذا كتير مهم for bone
+
+278
+00:21:57,220 --> 00:22:02,300
+structure and bone calcification جدا لأن ال
+
+279
+00:22:02,300 --> 00:22:11,600
+vitamin D بيتحكم في ال absorption of calcium in
+
+280
+00:22:11,600 --> 00:22:15,990
+the gutو ايه البرتقال الى absorption of calcium in
+
+281
+00:22:15,990 --> 00:22:21,150
+the kidney تمام فلما يكون عندى انا vitamin D بكمية
+
+282
+00:22:21,150 --> 00:22:24,850
+كافية بيدخل كمية و اي سمن ال calcium absorbed عبر
+
+283
+00:22:24,850 --> 00:22:30,410
+ال GIT to the blood إذا نقص ال vitamin D3 ال
+
+284
+00:22:30,410 --> 00:22:35,970
+absorption تتبعال gut بيجلق و ال excretion بيزيد
+
+285
+00:22:35,970 --> 00:22:39,690
+معناه انا بتكلم عن هيبوكالسيميا معناه بتكلم ان
+
+286
+00:22:39,690 --> 00:22:45,050
+الجسم بيتطر ان يكسر العظم عشان يحافظلي على ايه
+
+287
+00:22:45,050 --> 00:22:49,770
+فبصير مصادره للكالسيوم من ايه؟ من العظم تمام؟
+
+288
+00:22:49,770 --> 00:22:54,110
+هتكلم عنه الفصل الجاى في اخر endocrine هتكلم عن
+
+289
+00:22:54,110 --> 00:22:54,990
+الكالسيتونين
+
+290
+00:22:57,240 --> 00:23:01,900
+والبرا تيرويد هرمون مع عضايتها من ال D3 المجموعة
+
+291
+00:23:01,900 --> 00:23:05,060
+هذه المسؤولة عن الكالسيوم و بناء العضلة ان شاء
+
+292
+00:23:05,060 --> 00:23:10,380
+الله اذا ال vitamin دي احنا عارفينه طبعا انه بتكون
+
+293
+00:23:10,380 --> 00:23:15,160
+تحت الجلد من الكليستيرول 7-dehydroxycholesterol
+
+294
+00:23:15,160 --> 00:23:21,700
+وهذا exposed to the from the exposure to
+
+295
+00:23:21,700 --> 00:23:27,170
+ultraviolet rays بتكون تحت الجلدالـ Vitamin D1 وفي
+
+296
+00:23:27,170 --> 00:23:34,430
+الكيلية بيعاود كوّن ال ال ال ال ال 125 كالسيترول
+
+297
+00:23:34,430 --> 00:23:41,830
+او Vitamin D او D2 بعدين بالديني D3 لما بيدخل
+
+298
+00:23:41,830 --> 00:23:45,850
+الكيلية بتحول ال 125 ديهيدروكسي
+
+299
+00:23:50,610 --> 00:24:00,850
+D3 كالسي تريول تريول ترا تريول D3 طيب هتكلم عنه
+
+300
+00:24:00,850 --> 00:24:04,210
+بتفاصيل شديدة في وقته المناسب لجلوكوس سينتيسيز
+
+301
+00:24:04,210 --> 00:24:08,850
+قلتلكم انه غريب جدا انه الكلية هذه اللي هي مانعاش
+
+302
+00:24:08,850 --> 00:24:13,620
+علاقة بالتصنيع كتيرهييلها علاقة بال execution كتير
+
+303
+00:24:13,620 --> 00:24:17,700
+بس إيه هتكون organ زي ال liver يصنع سكر فوق
+
+304
+00:24:17,700 --> 00:24:22,940
+التوارق هذا issue كتير يعني إيه إنسان بيقف أمامه
+
+305
+00:24:22,940 --> 00:24:32,100
+متعجب لإنه الكلية عضوه كتير مهم إذا لو صار عندي
+
+306
+00:24:32,100 --> 00:24:40,850
+kidney failure هصير عندي homeostatic failureلأن ال
+
+307
+00:24:40,850 --> 00:24:43,450
+kidney بتعمل homeostasis على مستوى ال electrolytes
+
+308
+00:24:43,450 --> 00:24:48,490
+والكلام السابع نقطة كلامنا عنه فلو صار فيها مشكلة
+
+309
+00:24:48,490 --> 00:24:53,750
+ال pressure هيروح و ال fluids هتزيد و كل الدنيا
+
+310
+00:24:53,750 --> 00:24:54,510
+هتلخبط
+
+311
+00:24:59,220 --> 00:25:02,740
+مع الحصول على مرض عضوية أو اخطار عضوية أو اخطار
+
+312
+00:25:02,740 --> 00:25:02,940
+عضوية أو اخطار عضوية أو اخطار عضوية أو اخطار عضوية
+
+313
+00:25:02,940 --> 00:25:03,520
+أو اخطار عضوية أو اخطار عضوية أو اخطار عضوية او
+
+314
+00:25:03,520 --> 00:25:04,660
+اخطار عضوية او اخطار عضوية او اخطار عضوية او اخطار
+
+315
+00:25:04,660 --> 00:25:09,660
+عضوية او اخطار عضوية او اخطار عضوية او اخطار عضوية
+
+316
+00:25:09,660 --> 00:25:15,880
+او اخطار عضوية او اخطار عضوية او اخطار عضوية او
+
+317
+00:25:15,880 --> 00:25:25,580
+اخطار عضوية او اخطار عضوية او اخطار عضوية او
+
+318
+00:25:25,580 --> 00:25:33,630
+اخطار عضويةإن أحنا أكلنا طبيعته مليان بوتاسيوم فرب
+
+319
+00:25:33,630 --> 00:25:37,530
+العالمين اللي أخلج الأكل خلانا الكيلية مصممة إنها
+
+320
+00:25:37,530 --> 00:25:42,570
+تطرد بوتاسيوم وعملها جزء خاص في الـ distal mephron
+
+321
+00:25:42,570 --> 00:25:46,390
+هتكلم عنه شغلته كل يوم يطلع بوتاسيوم خلايا خاصة
+
+322
+00:25:46,390 --> 00:25:51,830
+لإن طبيعة الأكل احنا أكلنا cellular كل اللي بنأكله
+
+323
+00:25:51,830 --> 00:25:56,790
+أكشر فيها cells و البوتاسيوم جوا ال cells عالي مش
+
+324
+00:25:56,790 --> 00:26:01,280
+هيكتمام البوتاسيوم جوه ال sales عالي فده ما اتطلب
+
+325
+00:26:01,280 --> 00:26:04,900
+منه انا كل يوم طول ما احنا بناكل لازم نطلع .. نطلع
+
+326
+00:26:04,900 --> 00:26:11,680
+بوتاسيوم فلو البوتاسيوم هاد عالي اه hyperkalemia
+
+327
+00:26:11,680 --> 00:26:16,180
+بطل يطلع في الجسم و احنا قولنا ال system تبع الجسم
+
+328
+00:26:16,180 --> 00:26:19,600
+بناء الجسم مبني على صدوم بوتاسيوم البوتاسيوم فجأة
+
+329
+00:26:19,600 --> 00:26:28,200
+عالي هيلخبط الدنيا ال .. ال nerveال nerve fibers
+
+330
+00:26:28,200 --> 00:26:32,400
+ال nerves هتكون ايه ال اه ال excitation تبقى
+
+331
+00:26:32,400 --> 00:26:35,560
+هيتغير حسب ال potassium عليه او عليه و ال cardiac
+
+332
+00:26:35,560 --> 00:26:39,960
+contractility برضه هتتغير حسب ال potassium عليه او
+
+333
+00:26:39,960 --> 00:26:46,160
+عليه و هيعمللي مشاكل ضخمة جدا طيب physiology انا
+
+334
+00:26:46,160 --> 00:26:49,620
+الان نخش على الكيليا نبدأ ندرس فيها اذا عن ال
+
+335
+00:26:49,620 --> 00:26:52,160
+functions of the kidney are very important
+
+336
+00:26:52,160 --> 00:26:57,120
+different functions مش كدهعلى مستويات كتير مهمة
+
+337
+00:26:57,120 --> 00:27:01,060
+ومحترمة طب الكيلية هذه كيف بتشتغل what is the
+
+338
+00:27:01,060 --> 00:27:04,740
+structure what is the function how the kidney can
+
+339
+00:27:04,740 --> 00:27:09,000
+get to its function طبعا لو طلعنا في الكيلية
+
+340
+00:27:09,000 --> 00:27:15,180
+واخدنا قطع هيك sagittal section فيها خدنا قطع فيها
+
+341
+00:27:15,180 --> 00:27:19,840
+كده بالعرض واطلعنا في الكيلية واتمتعنا فيها كده
+
+342
+00:27:19,840 --> 00:27:25,400
+هلاجي انه في في النص what is called pelvisهذا هوض
+
+343
+00:27:25,400 --> 00:27:31,420
+الكيلية تمام؟ هوض الكيلية بي .. هذا هو عبارة عن
+
+344
+00:27:31,420 --> 00:27:37,300
+اتساع ل ال upper ureter الحالب هذا نهايته بيتسح في
+
+345
+00:27:37,300 --> 00:27:41,580
+داخل الكيلية و بيعمللي هوض الكيلية و من هوض
+
+346
+00:27:41,580 --> 00:27:46,160
+الكيلية بيطلعلي تلاتة branches أكبر تلاتة branches
+
+347
+00:27:46,160 --> 00:27:50,040
+بيطلع outward في داخل ال substance على الكدن تمام؟
+
+348
+00:27:50,040 --> 00:27:55,050
+ال upper calyxو middle calyx و lower calyx هدول ال
+
+349
+00:27:55,050 --> 00:27:58,690
+calyces بنسميهم major calyces upper و middle و
+
+350
+00:27:58,690 --> 00:28:05,110
+lower major calyces ال upper بتوزع لتلتة صغار تلتة
+
+351
+00:28:05,110 --> 00:28:08,910
+minor calyces هيعبارها أنبوب يعني أنبوب أنبوب
+
+352
+00:28:08,910 --> 00:28:15,610
+أنبوب هم حوض و طالع منه أنبوب هيك ال upper ال
+
+353
+00:28:15,610 --> 00:28:22,780
+upper calyx و بفتح منه تلتة صغار تمامكل واحد بياخد
+
+354
+00:28:22,780 --> 00:28:28,040
+جزء ب .. ب .. بيلومبول بيحوش بول من منطقة معينة
+
+355
+00:28:28,040 --> 00:28:32,220
+إذا هذا الأبار بيعمللي تلاتة minor calluses ال
+
+356
+00:28:32,220 --> 00:28:36,540
+middle ال middle major بتديني two minor calluses و
+
+357
+00:28:36,540 --> 00:28:39,600
+ال lower بتديني two minor calluses و هنا الصورة
+
+358
+00:28:39,600 --> 00:28:42,600
+حطالكوا حصوة في ال minor callux هذا ال lower
+
+359
+00:28:42,600 --> 00:28:45,820
+callux lower major callux هذا واحد من ال minor
+
+360
+00:28:45,820 --> 00:28:51,980
+calluses باعها فيها حصوة and renal stone stuck في
+
+361
+00:28:51,980 --> 00:28:57,040
+المنطقة هذه مثلاالقطع هذا اللي طلعنا فيه احنا تبع
+
+362
+00:28:57,040 --> 00:29:02,740
+الكيلية اذا في في النص بالوزل و برا مادة مش فراغة
+
+363
+00:29:02,740 --> 00:29:08,400
+في تشو تبع الكيلية هنلاحظ انه اللون بختلف برا في
+
+364
+00:29:08,400 --> 00:29:14,780
+لون و جوا في لون تاني تمام؟ و اللون اللي جوا هان
+
+365
+00:29:14,780 --> 00:29:21,020
+عامل شكل pyramids احرامات تمام؟ ال tip تبع ال
+
+366
+00:29:21,020 --> 00:29:25,710
+pyramid هذا بنسميه papillaوال papilla اللى تبتب
+
+367
+00:29:25,710 --> 00:29:29,110
+على ال pyramid دايما بتنتهي في minor calyx يعني ال
+
+368
+00:29:29,110 --> 00:29:32,410
+minor calyx دي في جنايته على ال papilla هذه كأنه
+
+369
+00:29:32,410 --> 00:29:39,090
+كأنه بيشفط منها ال urine بيسحبهال .. ال .. ال wall
+
+370
+00:29:39,090 --> 00:29:41,730
+تبع ال calcium system ال بالفى ال calcium system
+
+371
+00:29:41,730 --> 00:29:48,070
+هذا ال wall هذه فيها فيها smooth muscles فيها
+
+372
+00:29:48,070 --> 00:29:52,630
+smooth muscles smooth muscles هان بتعمل ال
+
+373
+00:29:52,630 --> 00:29:59,010
+peristalsis يعنى عن طريق حركتها بتعمل حركة الحركة
+
+374
+00:29:59,010 --> 00:30:03,270
+الدودية اللى بتسحب فيها اللى لما تجمع ball تنتقل
+
+375
+00:30:03,270 --> 00:30:05,850
+ال ball إلى ال .. إلى ال .. إلى ال ..
+
+376
+00:30:11,380 --> 00:30:19,300
+البول مابنتقلش من الكيلية للمثانى بوزنه ولا الأكل
+
+377
+00:30:19,300 --> 00:30:23,740
+بنبلع من البلعوم إلى المعدة بوزنه ولا بتحرك من
+
+378
+00:30:23,740 --> 00:30:27,900
+المعدة لإن احنا بنبلع أو بتحرك اذا كنا نايمين ولا
+
+379
+00:30:27,900 --> 00:30:32,680
+صاحين ولا عبلين ولا مجلوبين تفرقش إذا ان هو بينتقل
+
+380
+00:30:32,680 --> 00:30:37,300
+من مكان إلى مكان عبرإرادة في قمر انه انجله
+
+381
+00:30:37,300 --> 00:30:40,760
+والإرادة هذه بتاخدها ال peristaltic movement بتاخد
+
+382
+00:30:40,760 --> 00:30:46,680
+معاها ال drop of urine بتوصلها للمثانة البولية
+
+383
+00:30:46,680 --> 00:30:50,120
+تمام؟ يعني مش ان احنا محتاجين نظل واقفين عشان الكل
+
+384
+00:30:50,120 --> 00:30:55,340
+ي نزل البول ويتوصلوا ل .. لأ مالوش علاقة واقفين
+
+385
+00:30:55,340 --> 00:31:00,040
+ولا مش واقفين؟ اذا في عنديهان اللونين هيك مختلفين
+
+386
+00:31:00,040 --> 00:31:05,600
+وفي احنا لاحظين ال striations خطوط طولية كدهوإن
+
+387
+00:31:05,600 --> 00:31:10,660
+هذا المنطقة اللي برا اللي سميناها cortex هي حقيقة
+
+388
+00:31:10,660 --> 00:31:13,440
+اللي برا أغمق من اللي جوه اللي جوه مفترض أن أفتح
+
+389
+00:31:13,440 --> 00:31:23,880
+الصورة هذه غريبة أنه جايبة ال ال cortex جايبة ال
+
+390
+00:31:23,880 --> 00:31:29,940
+cortex أفتح من ال تمام؟
+
+391
+00:31:29,940 --> 00:31:32,680
+إذا عندي أنا بميز بسهولة وأنا بتطلع
+
+392
+00:31:38,070 --> 00:31:48,970
+بميز cortex و مضلة بميز cortex و مضلة المضلة هي
+
+393
+00:31:48,970 --> 00:31:53,290
+مخدة البراميد كلها والمضلة بلاحظ ان ال base of the
+
+394
+00:31:53,290 --> 00:31:58,110
+مضلة هذا مختلف عن جوا فقولنا في عندنا مضلة في
+
+395
+00:31:58,110 --> 00:32:03,210
+عندنا outer مضلة و inner مضلة تمام؟ ففي عندها
+
+396
+00:32:03,210 --> 00:32:07,910
+cortex و مضلةوالمدلة نفسها بتنقسم الى ان ال base
+
+397
+00:32:07,910 --> 00:32:12,390
+تبعها هذا بيسمي outer مدلة و الجوا هذا باجيت
+
+398
+00:32:12,390 --> 00:32:17,930
+البرامج جوا بيسمي inner مدلة وللعلم ال outer مدلة
+
+399
+00:32:17,930 --> 00:32:22,870
+بتنقسم لجسمين outer stripe و inner stripe outer
+
+400
+00:32:22,870 --> 00:32:27,790
+stripe و inner stripe مش مهم كتير خلاص بنعرف ان
+
+401
+00:32:27,790 --> 00:32:32,210
+احنا بس هنا في عندي ايه outer مدلة و الألوان
+
+402
+00:32:32,210 --> 00:32:35,450
+المختلفة في ال structure هذاالألوان المختلفة اللي
+
+403
+00:32:35,450 --> 00:32:38,790
+بيشوفها في ال section ناتجة عن انه في عندي
+
+404
+00:32:38,790 --> 00:32:43,430
+structures مختلفة تمام؟ في المنطقة هذه في كده، في
+
+405
+00:32:43,430 --> 00:32:45,410
+المنطقة هذه بيزيد كده، في المنطقة هذه بيزيد كده
+
+406
+00:32:45,410 --> 00:32:49,050
+فلذلك ال structure كله هي تمائز من خلال انه ال ..
+
+407
+00:32:49,050 --> 00:32:52,650
+ال .. ال .. النفرن نفسه في المنطقة هذه إيش بيصير،
+
+408
+00:32:52,650 --> 00:32:54,410
+في المنطقة هذه إيش بيصير، في المنطقة هذه بيصير
+
+409
+00:32:54,410 --> 00:32:58,630
+فهذا بيقدر إلى انه انا بكل بساطة ألاجي انه في
+
+410
+00:32:58,630 --> 00:33:04,200
+اختلافات في ال إيه؟ في الشكل تبعالـ cross-section
+
+411
+00:33:04,200 --> 00:33:09,700
+أو الـ transverse section تبع الكيليا طبعا عندي
+
+412
+00:33:09,700 --> 00:33:13,260
+انا الكيليا وفي عندي ال bilvis هذا امتداد ال
+
+413
+00:33:13,260 --> 00:33:17,200
+bilvis هذا ال highland بنسميها السرة تبعت الكيليا
+
+414
+00:33:17,200 --> 00:33:21,540
+ال highland من اليوريتارز و اليوريتارز بتنزل ال
+
+415
+00:33:21,540 --> 00:33:26,400
+ايه ل ال urinal brother احنا الآن هندرس في ال
+
+416
+00:33:26,400 --> 00:33:30,540
+chapter هذاالكلية نفسها لحالها و ال function تبعها
+
+417
+00:33:30,540 --> 00:33:34,720
+بس نخلصها و نروح ندرس ال bladder و كيف ال bladder
+
+418
+00:33:34,720 --> 00:33:38,980
+بتشتغل تمام فلذلك انكم انتوا في الفصل هذا موجودين
+
+419
+00:33:38,980 --> 00:33:42,740
+الحاجتين مع بعض لكن انا هشرح ال ايه الكلية و its
+
+420
+00:33:42,740 --> 00:33:46,900
+function بعدين هنشرح كتابة من الفصل يعني فاصلة
+
+421
+00:33:46,900 --> 00:33:51,320
+mecturation تبول عام شايله كده حاطه فى فصل لحاله
+
+422
+00:33:51,320 --> 00:33:55,080
+لما نخلص الفصل هذا نخش على فصل ايه ال mecturation
+
+423
+00:33:55,080 --> 00:34:01,820
+لما نخلص ال kidney functionطيب اذا اننا لو طلعنا
+
+424
+00:34:01,820 --> 00:34:06,800
+هيك برضه واضح ال cortex الكلية هذه واضحة صحيحة
+
+425
+00:34:06,800 --> 00:34:12,220
+يعني هذا مالاش لزوم نحطها ولا ايش رايكوا مش موجودة
+
+426
+00:34:12,220 --> 00:34:18,100
+عندكم ماشي صورة عادي يعني
+
+427
+00:34:18,100 --> 00:34:26,250
+ماتجلجوش عليها طيب الكلية الواحدة الكلية موجودةفي
+
+428
+00:34:26,250 --> 00:34:30,950
+ال retroperitoneal space يعني مش زي ال abdominal
+
+429
+00:34:30,950 --> 00:34:34,910
+contents كل organ في ال .. في ال peritoneum في ال
+
+430
+00:34:34,910 --> 00:34:37,970
+.. في ال .. في ال abdomen covered by .. by
+
+431
+00:34:37,970 --> 00:34:42,010
+peritoneum اللي هو ال visceral layer لأ هذا ال
+
+432
+00:34:42,010 --> 00:34:45,990
+parietal layer اللي في الخلف هو جاعل وراها ماهواش
+
+433
+00:34:45,990 --> 00:34:50,470
+الكلية محوطة من كل الجهات بإيه، visceralليش؟ لإن
+
+434
+00:34:50,470 --> 00:34:53,990
+هي منزجة على ال ايه؟ على ال abdomen ال .. بستيرو
+
+435
+00:34:53,990 --> 00:34:57,210
+abdomen ال wall و ال .. ال .. ال bariette اللي هي
+
+436
+00:34:57,210 --> 00:35:01,550
+يرتب على ال .. ال baritone على ال baritone بيجي
+
+437
+00:35:01,550 --> 00:35:04,650
+بغطيها كده و بضل ماشية فهي في retro baritoneal
+
+438
+00:35:04,650 --> 00:35:09,490
+structure لذلك احنا لو فتخنا البطنأو نعود و نفتح
+
+439
+00:35:09,490 --> 00:35:13,330
+مرة أخرى البريوتينيا لذلك لا نفضل أن ندخل الكيلية
+
+440
+00:35:13,330 --> 00:35:17,430
+من قدام لما نفتح البريوتون و لا اللي بحالنا إذا
+
+441
+00:35:17,430 --> 00:35:21,850
+كنا نأتي من ورا نفتح من ورا أو نزج البريوتون لفوق
+
+442
+00:35:21,850 --> 00:35:27,890
+للبراية تالير يعني نجد الكيلية ورا جانا تمام؟ زي
+
+443
+00:35:27,890 --> 00:35:32,150
+البنكرياس برضه retroperitoneal structure إذا كان
+
+444
+00:35:32,150 --> 00:35:35,010
+عندى عدة أشياء في ال Anatomy نسأله فيها
+
+445
+00:35:35,380 --> 00:35:38,640
+retroperitoneal structure عندي أنا البنك الياسي
+
+446
+00:35:38,640 --> 00:35:44,600
+وعندي ال إيه؟ الكلية إذا في عندي هان في ال
+
+447
+00:35:44,600 --> 00:35:49,300
+retroperitoneal space موجودة ال kidney وزن الكلية
+
+448
+00:35:49,300 --> 00:35:56,460
+الواحدة حوالي مية و خمسين gram يعني لو حجمها
+
+449
+00:35:56,460 --> 00:36:00,560
+بتعرفوا إزاي حجمة قبضت يعنيقبضة يد مش ايدي انا لأ
+
+450
+00:36:00,560 --> 00:36:04,080
+ممكن يعني اعتمد من اللحظة الكيلية مش حجمها ثابت
+
+451
+00:36:04,080 --> 00:36:09,520
+عند الناس يعني ضخم حجم الكيلية ضخمة و الصغيرة
+
+452
+00:36:09,520 --> 00:36:13,280
+صغيرة و كده و ع فكرة الكيلية تانية اليمين و الشمال
+
+453
+00:36:13,280 --> 00:36:19,040
+برضه فيبقى .. يعني دايما اليمين اكبر وزنه اضخم
+
+454
+00:36:19,040 --> 00:36:23,040
+شوية من الشمال تمام حتى يدنا اليمين اللي مشغل فيها
+
+455
+00:36:23,040 --> 00:36:28,600
+اطول شوية و صغير عن الشمال لكن اشملي بالعكس طيب
+
+456
+00:36:31,420 --> 00:36:35,120
+إذا في عندي الكيلية الريتروبرتونية ال structure
+
+457
+00:36:35,120 --> 00:36:39,840
+اللي هي كابسول بيغطيها والكابسول هذا كتير مهم ليش
+
+458
+00:36:39,840 --> 00:36:43,100
+مهم؟ ليش مهم؟ لإن الكيلية بتشغل على نظام الضغط
+
+459
+00:36:43,100 --> 00:36:46,260
+pressure إذا في ال pressure بتعمل filtration أنا
+
+460
+00:36:46,260 --> 00:36:49,520
+هتكلم عنه بعد شوية لو ال pressure هذا موجود هيك
+
+461
+00:36:49,520 --> 00:36:53,700
+باستمرار موجود الكيلية بصي قابلة هي تبقى تتوسع
+
+462
+00:36:54,850 --> 00:36:59,030
+البراشر بيبطل يجيب نتيجة مباشرة على مكانه جزء منه
+
+463
+00:36:59,030 --> 00:37:02,950
+هيضيع في التوسع مش هيكون عامل ضغط يعني غير انت
+
+464
+00:37:02,950 --> 00:37:05,290
+بتحط البراشر في مكان و المكان بتوسع على أحلى
+
+465
+00:37:05,290 --> 00:37:09,470
+البراشر لكن البراشر مكان مسكر و البراشر بتحطي و
+
+466
+00:37:09,470 --> 00:37:12,930
+تظلي علىه مش هى و الكابسول هت بتعمل هي بتحافظ على
+
+467
+00:37:12,930 --> 00:37:17,280
+ان البراشر اللى جوا اللى جاية يظليعمل ال function
+
+468
+00:37:17,280 --> 00:37:21,760
+المطلوب منه which is filtration مثلا في كابسول
+
+469
+00:37:21,760 --> 00:37:27,320
+حواليها موجودة تمنع انه ال expansion of the kidney
+
+470
+00:37:27,320 --> 00:37:33,980
+انها جزء مهم في تركيبة الكلية لانها تعتمد الكلية
+
+471
+00:37:33,980 --> 00:37:40,610
+اللي في شغلها على ال brushإذا في عندنا ال pyramids
+
+472
+00:37:40,610 --> 00:37:43,130
+قلنا في عندنا ال papilla اللي هو طرف ال pyramid
+
+473
+00:37:43,130 --> 00:37:46,650
+الطرف ال pyramid يعني في ال pelvis بشوف بس الطرف
+
+474
+00:37:46,650 --> 00:37:50,950
+هو اللي طالع كل طرف pyramid ال papilla إليها بتكون
+
+475
+00:37:50,950 --> 00:37:54,330
+إيه calyx لإنه في ال pyramid هم نلاقي إيه ال
+
+476
+00:37:54,330 --> 00:37:59,570
+fenestrations ال pores موجودة الخروم كل خروم هذا
+
+477
+00:37:59,570 --> 00:38:03,870
+جاي من medulla reduct major medulla reduct دكتر
+
+478
+00:38:03,870 --> 00:38:09,330
+رئيسية الدكتر الرئيسية هذهتمام بتطلع هيك لفوق في
+
+479
+00:38:09,330 --> 00:38:11,910
+الحد الكورتكسي بتطلع طول ما هي في الطريق من
+
+480
+00:38:11,910 --> 00:38:14,770
+الكورتكس لحد ما تصل المكان هذا بيضل يخش عليها مين
+
+481
+00:38:14,770 --> 00:38:22,090
+نفرانز يخش عليها نفرانز يفضوا فيها كل فتحة صغيرة
+
+482
+00:38:22,090 --> 00:38:27,850
+هذه كل فتحة صغيرة هذه بتسحب من أربع تلاف نفرانز
+
+483
+00:38:27,850 --> 00:38:33,300
+عندي أنا اتين وخمسين كرمالبابيلة المختلفة هذه
+
+484
+00:38:33,300 --> 00:38:38,380
+بتموزع فيها 250 major medullary duct اللي هم
+
+485
+00:38:38,380 --> 00:38:42,240
+بيفتحوا في البابيلة كل مجموعة من البابيلة كل
+
+486
+00:38:42,240 --> 00:38:44,840
+بابيلة بتفتح فيها مجموعة من ال a من ال pores
+
+487
+00:38:44,840 --> 00:38:48,840
+fenestrations كل واحدة جاية من major duct ال major
+
+488
+00:38:48,840 --> 00:38:54,960
+duct الواحدة بتسحب بتصوب من 4000 نفرون عندي 250
+
+489
+00:38:54,960 --> 00:39:01,450
+يعني عندي مليون نفرون في ال aفي الكليتين في
+
+490
+00:39:01,450 --> 00:39:09,790
+الكليتين عندي ايه مليون نفر تمام اذا
+
+491
+00:39:09,790 --> 00:39:12,870
+قولنا
+
+492
+00:39:12,870 --> 00:39:16,790
+اذا ان انا ايه ال major دكت هذي بتفتح في التب و
+
+493
+00:39:16,790 --> 00:39:19,790
+بتصوب في ال minor calyx بال peristaltic movement
+
+494
+00:39:19,790 --> 00:39:24,390
+اليورين هال بتاخد طبعا هال بتجمع اولها في ال بالفس
+
+495
+00:39:24,390 --> 00:39:28,680
+و بعد ال بالفس كل ما تتجمع نقطة كافيةبتنزل بالسلم
+
+496
+00:39:28,680 --> 00:39:39,340
+النقطة لل إيه؟ لأ اليوريتر، ماشيها لنهاية ال ..
+
+497
+00:39:39,340 --> 00:39:48,040
+حسنا رينال blood flow رينال
+
+498
+00:39:48,040 --> 00:39:52,560
+blood flow ال
+
+499
+00:39:52,560 --> 00:40:00,340
+..خمس الدم اللى بتطلع من الجلب يعدي الكيلية مش كله
+
+500
+00:40:00,340 --> 00:40:05,360
+يعني إذا إحنا الكلية بتشتغل على dilution theory
+
+501
+00:40:05,360 --> 00:40:10,020
+بتشتغل على أي نظام ال dilution theory يعني أنا مش
+
+502
+00:40:10,020 --> 00:40:15,420
+باخد كل الدم و بدخله على الكيلية بصفيه و بطلعه
+
+503
+00:40:15,420 --> 00:40:19,920
+أنظيف مياه المياه لأ أنا بضل أخد خمس الدم أنظفه
+
+504
+00:40:20,750 --> 00:40:24,730
+تمام و برجع النظيف للدم اللى مش نظيف بيصير mixture
+
+505
+00:40:24,730 --> 00:40:31,850
+بخف ال ايه ال waste products تمام بضل اخد و انظف و
+
+506
+00:40:31,850 --> 00:40:35,430
+ارجع نظيف اخد و انظف و ارجع نظيف فانا محافظ زيما
+
+507
+00:40:35,430 --> 00:40:38,510
+على انه يكون نسبة ال waste products اللى موجودة
+
+508
+00:40:38,510 --> 00:40:42,890
+علي في الدم مخفضة مش صفرلأن أنا مش باخدها يعني مش
+
+509
+00:40:42,890 --> 00:40:46,490
+كل الدم زي الجلب لازم أعدي على الجلب و بعدين يطلع
+
+510
+00:40:46,490 --> 00:40:50,430
+منه زي الرقاتين الدم كله لازم أعدي على الرقاتين و
+
+511
+00:40:50,430 --> 00:40:55,670
+يطلع منه لأ الدم بيعدي خمسة او اكتر من خمسة و شوية
+
+512
+00:40:55,670 --> 00:40:58,730
+عشان اتنين او اتنين في المية من ال cardiac output
+
+513
+00:40:58,730 --> 00:41:03,810
+بيعدي على ايه على الكلية و بيروح بيعملها غسيل و
+
+514
+00:41:03,810 --> 00:41:08,470
+تنظيف برجع اللي هو ال .. ال .. الدم اللي هو
+
+515
+00:41:08,470 --> 00:41:15,750
+باعتباره انه منظف إلىالخليط اللي هو اقل يعني جودة
+
+516
+00:41:15,750 --> 00:41:19,590
+فبيحسن جودته درجة و هكذا فعندى عملية dilution
+
+517
+00:41:19,590 --> 00:41:24,630
+عملية ايه dilution انا باخد جزء بنظفه و برجعه
+
+518
+00:41:24,630 --> 00:41:29,350
+بحافظ على انه ال level اللي تبع النظافة يظل هو هو
+
+519
+00:41:29,350 --> 00:41:34,650
+ال blood supply للكيليا مهم الكيليا is a vascular
+
+520
+00:41:34,650 --> 00:41:40,870
+organ a kidney is a vascular organ لذلك
+
+521
+00:41:42,300 --> 00:41:47,740
+ما يتعلق بال blood pressure وال blood vessels إذا
+
+522
+00:41:47,740 --> 00:41:51,080
+أصلا تغير في ال .. يعني أثر ال sclerosis زاد بدرب
+
+523
+00:41:51,080 --> 00:41:54,440
+الكيلية لإن الكيلية مبنية على إيه؟ على ال blood
+
+524
+00:41:54,440 --> 00:41:59,400
+vessels organ vascular في نزل الضغط خربت الكيلية
+
+525
+00:41:59,400 --> 00:42:02,800
+عالي الضغط خربت الكيلية صلبت الشرقين .. الشرقين
+
+526
+00:42:02,800 --> 00:42:08,740
+خربت الكيلية تمام؟ ليش؟ it is a vascular organ طيب
+
+527
+00:42:11,130 --> 00:42:15,990
+عندى انا الرينا الارتي بدخل اجيب الصورة الصورة
+
+528
+00:42:15,990 --> 00:42:20,270
+الصورة انها هنا okay عندنا الرينا الارتي هو ورينا
+
+529
+00:42:20,270 --> 00:42:23,970
+الوينز وجنبها بدخلوا ال highland طبعا الارتي داخل
+
+530
+00:42:23,970 --> 00:42:30,150
+و الوينز ايه طالع مش كده طيب الارتي بدخل الرينا
+
+531
+00:42:30,150 --> 00:42:35,150
+الارتي فى داخل ال بالفزهان بتجسم الارتي ل branches
+
+532
+00:42:35,150 --> 00:42:39,640
+مختلفةتمام؟ segmental arteries و بعدين بيجي ال
+
+533
+00:42:39,640 --> 00:42:41,920
+segmental arteries هذا بتخش على المناطق مختلفة من
+
+534
+00:42:41,920 --> 00:42:45,380
+الكلية هذا في ال .. في ال pelvis حوالين ال ..
+
+535
+00:42:45,380 --> 00:42:49,560
+حوالين ال pelvis يعني ال pelvis جوا ال fluid او ال
+
+536
+00:42:49,560 --> 00:42:52,900
+urine اه في .. في ال structure ما بين الفراغ هذا
+
+537
+00:42:52,900 --> 00:42:56,440
+وبين ال ايه؟ بتشوف بيصير عند ال segmental ال
+
+538
+00:42:56,440 --> 00:43:00,220
+segmental هدول في الآخر بتفرعوا إلى interlubar
+
+539
+00:43:00,220 --> 00:43:04,640
+interlubar branches بتخش بين ال loops هذا احنا
+
+540
+00:43:04,640 --> 00:43:12,380
+عندنا ايه؟هذا هذا loop loop loop loop انتر looper
+
+541
+00:43:12,380 --> 00:43:19,500
+بعدين في عندنا ايه ال inter looper artists هذه
+
+542
+00:43:19,500 --> 00:43:24,720
+بتحول بتعمل branches تتحول إلى inter lobular بين
+
+543
+00:43:24,720 --> 00:43:31,400
+ال lobules هذه
+
+544
+00:43:31,400 --> 00:43:35,120
+ال inter هنا ال inter lobular هذا inter lobularو
+
+545
+00:43:35,120 --> 00:43:41,520
+هذا interlobular هذا interlober أساسي دخل و بعدين
+
+546
+00:43:41,520 --> 00:43:47,120
+بيخش بين ال pyramids بيخش بين ال interlobular بين
+
+547
+00:43:47,120 --> 00:43:51,540
+ال pyramids و ال interlobular هذا من الجهة هذه و
+
+548
+00:43:51,540 --> 00:43:54,560
+الجهة هذه بيعملوا ال branches كده بتشبك في بعض
+
+549
+00:43:54,560 --> 00:44:01,260
+فتبقى فاصلة ما بين ال cortexوالمدلة وحوالي ال
+
+550
+00:44:01,260 --> 00:44:05,360
+pyramid تمام متصلة بينها وانها زى ما تشايفين هي
+
+551
+00:44:05,360 --> 00:44:13,340
+متصلة فهذه سمناها arcuate arteries اه اذا ال
+
+552
+00:44:13,340 --> 00:44:18,160
+interloper هذى تديني arcuate هذى هذى ال interloper
+
+553
+00:44:18,160 --> 00:44:20,260
+هذى البني هذا اللي بيقول هذا اللي بيقول هذا ال
+
+554
+00:44:20,260 --> 00:44:23,680
+interloper ال interloper arteries تديني arcuate
+
+555
+00:44:23,680 --> 00:44:28,520
+arteries بعدين ال arcuate arteries هذىالاركويت
+
+556
+00:44:28,520 --> 00:44:33,100
+artists هذه بتطلع منها شبكة هيك طويلة شكلها كده
+
+557
+00:44:33,100 --> 00:44:36,380
+radiating هيك فبنسميها radiating artists او
+
+558
+00:44:36,380 --> 00:44:40,300
+interlobular artists او ايش؟ interlobular artists
+
+559
+00:44:40,300 --> 00:44:43,280
+و ال interlobular artists هنا خليني اتكلم عنها
+
+560
+00:44:43,280 --> 00:44:49,340
+هذه، هذا اركويت هذا جاء من ايش؟ من interlober هذا
+
+561
+00:44:49,340 --> 00:44:53,200
+interlober اه ال interlober هذا الدني برانشيز عملت
+
+562
+00:44:53,200 --> 00:44:57,190
+ال ايه؟ الاركويت هذه المضلة هذه البرامداعتبروها
+
+563
+00:44:57,190 --> 00:45:00,010
+pyramid لان هي ماشية دول بدي ماشية ال pyramid تحته
+
+564
+00:45:00,010 --> 00:45:04,110
+و ال cortex فوقه مش هيك ال R cubed arteries هذي
+
+565
+00:45:04,110 --> 00:45:08,570
+بتطلعليه street interlobular arteries متجه في
+
+566
+00:45:08,570 --> 00:45:11,970
+اتجاه الكابسول متجاه ال cortex لفوق في اتجاه
+
+567
+00:45:11,970 --> 00:45:17,070
+الكابسول نسميها interlobular او نسميها radiating
+
+568
+00:45:17,070 --> 00:45:22,690
+arteriesوكل واحد من هدول هو ماشي يطلع افرد افرد
+
+569
+00:45:22,690 --> 00:45:29,250
+افرد افرد افرد افرد افرد افرد افرد افرد افرد افرد
+
+570
+00:45:29,250 --> 00:45:30,570
+افرد افرد افرد افرد افرد افرد افرد افرد افرد افرد
+
+571
+00:45:30,570 --> 00:45:31,370
+افرد افرد افرد افرد افرد افرد افرد افرد افرد افرد
+
+572
+00:45:31,370 --> 00:45:31,870
+افرد افرد افرد افرد افرد افرد افرد افرد افرد افرد
+
+573
+00:45:31,870 --> 00:45:41,810
+افرد افرد افرد افرد افرد افرد افرد افرد افرد افرد
+
+574
+00:45:42,680 --> 00:45:46,000
+البرانشيز هذا انطلع افرانت آرتي الافرانت آرتي هذا
+
+575
+00:45:46,000 --> 00:45:53,640
+هذا هو الصغير هذا هيخش النفرون ويعمل طفط of
+
+576
+00:45:53,640 --> 00:45:58,140
+capillaries نسميها glomerulus ويطلع منها على شكل
+
+577
+00:45:58,140 --> 00:46:03,600
+افرانت آرتي طبعا؟ اذا عندي ايه؟ ال .. ال .. كل ال
+
+578
+00:46:03,600 --> 00:46:10,900
+glomerulus من هدول محيط بيها ال .. ال renal tubule
+
+579
+00:46:11,380 --> 00:46:16,020
+إن النفرون عبارة عن إيش؟ عبارة عن glomerulus
+
+580
+00:46:16,020 --> 00:46:21,220
+وrenal tubule، ال glomerulus طفطوف كابيلاريز
+
+581
+00:46:21,220 --> 00:46:23,940
+وrenal tubule فاكرين السير الساك اللي اتكلمنا عنه
+
+582
+00:46:23,940 --> 00:46:30,680
+زمان؟ السير الساك عبارة عن بوب مسكرهذا ال .. هو ال
+
+583
+00:46:30,680 --> 00:46:34,880
+tubule صير الساك زي الصير الساك، أنبوب مسكر أو
+
+584
+00:46:34,880 --> 00:46:39,860
+يعني مفتوح في طرفه التحتاني، تبتبع هذا المسكر بيجي
+
+585
+00:46:39,860 --> 00:46:44,100
+تدخل ال tuft فيه، تمام؟ فبصير كبال ال .. ال
+
+586
+00:46:44,100 --> 00:46:47,500
+glomerulus هذه اللي جاي من ال blood vessels داخلة
+
+587
+00:46:47,500 --> 00:46:51,900
+محوطة بالإيه؟ بlayer من ال .. ال layer الداخلية لل
+
+588
+00:46:51,900 --> 00:46:58,060
+إيش؟ لل .. لل .. لل .. لل tubuleهذه اللي هي
+
+589
+00:46:58,060 --> 00:47:01,240
+الداخلية من ال tubule ان هذه المنطقة عاملة زي ال
+
+590
+00:47:01,240 --> 00:47:05,900
+capsule محوطة ال capillary tuft اللي هي ال
+
+591
+00:47:05,900 --> 00:47:09,200
+glomerulus إذا في طبقة داخلية حواليها و طبقة
+
+592
+00:47:09,200 --> 00:47:12,560
+خارجية الفلتريات بنزل فيها و بنزل بكمل في ال
+
+593
+00:47:12,560 --> 00:47:17,880
+tubule تمام هتتضح الصورة بعد شوية إذا عند
+
+594
+00:47:17,880 --> 00:47:18,660
+glomerulus
+
+595
+00:47:20,970 --> 00:47:25,250
+ده دم دخل ال glomerulus و blood vessels طلعت من ال
+
+596
+00:47:25,250 --> 00:47:28,230
+glomerulus هدى اسم ال aphrin دخلت و ال aphrin
+
+597
+00:47:28,230 --> 00:47:32,810
+بتطلع طبعا إذا هدى التركيبة تبعتش اسمه كل
+
+598
+00:47:32,810 --> 00:47:36,710
+glomerulus هنا في الآخر مشبوك فيه فيه ال tribune و
+
+599
+00:47:36,710 --> 00:47:40,030
+عامل التن مع بعض عاملين نفرون التن عاملين نفرون و
+
+600
+00:47:40,030 --> 00:47:43,350
+النفرونز ما هنتكلم عن تركيبتها بعد شوية لكن هدى
+
+601
+00:47:43,350 --> 00:47:46,790
+التركيبة إذا هى structure blood vessel vascular
+
+602
+00:47:46,790 --> 00:47:53,190
+structure و مبني عليهباجيت الشغل يعني اول توزيع ل
+
+603
+00:47:53,190 --> 00:47:57,830
+blood vessels و ال nephrons بتيجي بتركب على الكل
+
+604
+00:47:57,830 --> 00:48:03,010
+تيوبيول بيركب على glomerulus اه و بيعمل ل باجيت ال
+
+605
+00:48:03,010 --> 00:48:05,710
+structure تبع النفرون فلذلك قلتلك هو vascular
+
+606
+00:48:05,710 --> 00:48:09,490
+structure أساسا ال efferent اللي طالع هذا بيروح
+
+607
+00:48:09,490 --> 00:48:14,930
+بيعمل أشياء أخرى بيجي بيكمل شغله بيعمل network
+
+608
+00:48:20,030 --> 00:48:23,970
+هي الاركيوتارتي هى ال interlobular او ال radiating
+
+609
+00:48:23,970 --> 00:48:28,090
+artery هى ال afferent عاملة هان ل glomerulus و هى
+
+610
+00:48:28,090 --> 00:48:32,690
+ال Bowmans capsule هاد الفرق تبعها طبقة بتحيط بال
+
+611
+00:48:32,690 --> 00:48:37,090
+glomerulus و طبقة تانية موجودة بتكمل مع ال tubule
+
+612
+00:48:37,090 --> 00:48:40,810
+لذا كان بيصيح filtration هان بيخش على glomerulus
+
+613
+00:48:40,810 --> 00:48:44,130
+هان ال filtration على الكابسول و بيكمل ال tubule
+
+614
+00:48:45,010 --> 00:48:50,030
+هنا نرجع لل arts هنا ال a front arts بعد ما يطلع
+
+615
+00:48:50,030 --> 00:48:53,990
+من ال glomerulus برجع بيلف حوالين ال tubule اللى
+
+616
+00:48:53,990 --> 00:48:56,310
+هى رينا ال tubule اللى بتكلم عنها بعد شوية بيلف
+
+617
+00:48:56,310 --> 00:49:01,130
+حواليها بيعمل peritubular capillar network طب ماذا
+
+618
+00:49:01,130 --> 00:49:07,730
+هذا غريب عمللي two networks كأنه ال a front هذا
+
+619
+00:49:07,730 --> 00:49:13,770
+عبارة عن ايه كأنه ال a front اللى موجود between
+
+620
+00:49:13,770 --> 00:49:31,650
+twoكابيلا نتواركز كابيلا
+
+621
+00:49:31,650 --> 00:49:36,350
+نتواركز كابيلا
+
+622
+00:49:36,350 --> 00:49:41,930
+نتواركز كابيلا نتواركز كابيلا نتواركز كابيلا
+
+623
+00:49:41,930 --> 00:49:44,570
+نتواركز كابيلا نتواركز كابيلا نتواركزلكن انه يعمل
+
+624
+00:49:44,570 --> 00:49:47,630
+capillary system بعدين يبتحد يعملي one blood
+
+625
+00:49:47,630 --> 00:49:49,910
+vessel كبير بعدين يجي يعملي capillary system من
+
+626
+00:49:49,910 --> 00:49:53,890
+أول و جديد هذه بيسميها الدورة البوابية a portal
+
+627
+00:49:53,890 --> 00:50:00,510
+system a portal system هنلاقيها وين؟ في ال .. وين
+
+628
+00:50:00,510 --> 00:50:07,720
+هنلاقيها؟ في ال abdomen ال GITبطلع من ال cabernet
+
+629
+00:50:07,720 --> 00:50:12,420
+-7 g.i.t بتدوري ال portal فين؟ بعدين بيعود بفتح في
+
+630
+00:50:12,420 --> 00:50:14,720
+ال lever بعمل cabernet-1 بيسمي زمينا ال portal
+
+631
+00:50:14,720 --> 00:50:18,400
+portal فين؟ مش كده؟ اذا ال portal .. و هنا كانها
+
+632
+00:50:18,400 --> 00:50:21,040
+portal system لإن في cabernet-1 بعدين ترجح كده
+
+633
+00:50:21,040 --> 00:50:24,700
+بتعمل كمان cabernet-1 بينهم اللي هو ال a front مش
+
+634
+00:50:24,700 --> 00:50:28,420
+كده؟ و عندها نلاحظها احنا بعد كده لما ندرس الغد
+
+635
+00:50:28,420 --> 00:50:32,540
+النخاميةإنه من الهيبوثالامس لغضب النخامية
+
+636
+00:50:32,540 --> 00:50:36,400
+capillary system بتديني blood vessels بعدين بتوصل
+
+637
+00:50:36,400 --> 00:50:39,360
+ال .. ال .. ال .. بتوطر جنان بتتعود تتفرع من أول
+
+638
+00:50:39,360 --> 00:50:43,820
+جديد برضه portal system موجود المهدد كأنها portal
+
+639
+00:50:43,820 --> 00:50:47,020
+system بين النفرون أو بين البرتيوبر capillaries
+
+640
+00:50:47,020 --> 00:50:50,120
+بين البرتيوبر capillaries هتتجمع من أول جديد تعمل
+
+641
+00:50:50,120 --> 00:50:54,510
+ال veins و بترجع ال veins تمشي جانب إخواتهاتمام؟ و
+
+642
+00:50:54,510 --> 00:50:56,810
+هنا ال earth هي هذا ال interlooper تمشي جنبه فين؟
+
+643
+00:50:56,810 --> 00:50:58,970
+و ال interlooper فين؟ و ال interlooper اركض فين؟
+
+644
+00:50:58,970 --> 00:51:01,570
+اركض فين؟ تمشي إلينا ال earth و تجيبها فين؟ و برجع
+
+645
+00:51:01,570 --> 00:51:07,770
+تاني لذا ال system بيخش و .. مش شاكل هذا طيب احنا
+
+646
+00:51:07,770 --> 00:51:11,150
+بقينا مثلا على ال bud vessels ال structure المرتب
+
+647
+00:51:11,150 --> 00:51:14,850
+هذا ال radiating earth طالع و ال branches هيك حلوة
+
+648
+00:51:14,850 --> 00:51:19,290
+طلع كل واحد طلع ال tuft of glomeruli اللي هو عملنا
+
+649
+00:51:19,290 --> 00:51:24,160
+ال ايه؟ ال ..الجلومير .. ال .. ال .. ال .. طفتوف
+
+650
+00:51:24,160 --> 00:51:31,000
+كابيلاريز بيسموها glomerulus، اذا ان انا
+
+651
+00:51:31,000 --> 00:51:34,680
+.. طيب، هذا ال .. كابيلاريز .. بعد بيرتويب على
+
+652
+00:51:34,680 --> 00:51:38,440
+الكابيلاريز تمام، بنرجع .. بنصير .. بنرجع Venus
+
+653
+00:51:38,440 --> 00:51:44,420
+صحيح، بصير عملية عكسية، لكنها Venus، طيب، الآن
+
+654
+00:52:16,270 --> 00:52:17,670
+الالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالال
+
+655
+00:52:22,340 --> 00:52:25,020
+طبعا شغلته لإنه شغلته الرئيس يعمل filtration مش
+
+656
+00:52:25,020 --> 00:52:29,580
+هاد ويعمل ايه؟ filtration و هذا بيقدر إلى انه ال
+
+657
+00:52:29,580 --> 00:52:33,740
+blood vessels هاد اللي بتعمل ال .. بتكلم انا قاعد
+
+658
+00:52:33,740 --> 00:52:37,300
+على glomerulus بتكلم عن capillaries ال capillary
+
+659
+00:52:37,300 --> 00:52:42,560
+.. glomerul capillary في ضغط ستين عالي بس ال
+
+660
+00:52:42,560 --> 00:52:46,660
+capillary في الجسم العادي اتنين وتلاتين او تمانين
+
+661
+00:52:46,660 --> 00:52:50,660
+او عشرين يعني بالمنطقى هادىو بعدين في الجسم بيفتح
+
+662
+00:52:50,660 --> 00:52:54,780
+شوية و بيستكري شوية مش هيك؟ بيفتح شوية و بيستكري
+
+663
+00:52:54,780 --> 00:53:00,140
+شوية بالتبادل عشر المية فاتحين باستمرار و تسعين في
+
+664
+00:53:00,140 --> 00:53:06,000
+المية بيبقوا ايه؟ خلاص بينا راتحين لكن هنا متواصل،
+
+665
+00:53:06,000 --> 00:53:10,640
+إذا في عندك ضغط عالي و ضغط ايه؟ متواصل، حاجتين،
+
+666
+00:53:10,640 --> 00:53:15,700
+متميزين لذلك رب العالمين ادى لـ Cabela Network هذه
+
+667
+00:53:15,700 --> 00:53:21,100
+system دعم إضافيتمام؟ اذا هنتطلع لما ندرس ال
+
+668
+00:53:21,100 --> 00:53:25,880
+glomerular ال glomerular structure هنتفاجأ انها مش
+
+669
+00:53:25,880 --> 00:53:30,700
+بس ال capillary wall هي اللي نهاية المطاف هنا لأ
+
+670
+00:53:30,700 --> 00:53:32,680
+لو على ال capillary wall الدق العالي هراه مش
+
+671
+00:53:32,680 --> 00:53:36,800
+هتخربها همزعها لأ فيها support هنلاقي support
+
+672
+00:53:36,800 --> 00:53:43,180
+خارجي لها ماسكها هيك حتى انها ايه لا تنفجر وال
+
+673
+00:53:43,180 --> 00:53:46,380
+support هذا مش مؤثر على ان ال poresبيطلع منها
+
+674
+00:53:46,380 --> 00:53:49,540
+الفرسليت عادي زي اي مكان تاني بس يعملها support
+
+675
+00:53:49,540 --> 00:53:53,040
+هنا و هنا و هنا خارج ال pores حتى يمنعها من الضغط
+
+676
+00:53:53,040 --> 00:53:57,840
+العالي هذا على سنوات طويلة انه ما يتأثرش تمام؟
+
+677
+00:53:57,840 --> 00:54:02,720
+لذلك بنلاحظ احنا انه ال structure بتمشي مع ان احنا
+
+678
+00:54:02,720 --> 00:54:07,540
+شغلتنا متميزة غير عن الكابيريت تاني لذلك ضغطه عالي
+
+679
+00:54:07,540 --> 00:54:10,700
+okay فال structure كمان غيرت ال structure أخد دعم
+
+680
+00:54:10,700 --> 00:54:18,580
+إضافي عشان يمنع الالكيلية مع العمر مع العمر
+
+681
+00:54:18,580 --> 00:54:22,400
+الكيلية بيصلها degeneration النفرونز هذه بعد سن
+
+682
+00:54:22,400 --> 00:54:29,480
+اربعين بيللاحظ انه من سن اربعين لسن تمانين من سن
+
+683
+00:54:29,480 --> 00:54:33,500
+اربعين لسن تمانين اربعين سنة يعني اربعين فرمية من
+
+684
+00:54:33,500 --> 00:54:38,290
+النفرونز بيصلها degeneration and atrophy تمام؟لذن
+
+685
+00:54:38,290 --> 00:54:42,070
+احنا مع العمر الكلية ال functioning units بتبعتها
+
+686
+00:54:42,070 --> 00:54:46,390
+اللي هي ال nephrons بتجل بتجل بتجل مع العمر يعني ع
+
+687
+00:54:46,390 --> 00:54:49,310
+سن التمانين بنلاقي موجود عندنا فقدنا اربعين في
+
+688
+00:54:49,310 --> 00:54:51,810
+المية من الكابيلاريس اللي احنا ال nephrons اللي
+
+689
+00:54:51,810 --> 00:54:56,150
+بدناها و احنا في سن الاربعين يعني لحد سن اربعين
+
+690
+00:54:56,150 --> 00:55:01,830
+بتظل كما هي اه و بعدين بعدين اربعين حتى اذا بلغ
+
+691
+00:55:01,830 --> 00:55:10,180
+أشده وبلغ اربعين سنة اهالاشد للاربعين بعد الاربعين
+
+692
+00:55:10,180 --> 00:55:18,380
+بيبدأ الكيلية تهبط شوية شوية ال testosterone بيظل
+
+693
+00:55:18,380 --> 00:55:22,480
+ممتاز للاربعين بعد الاربعين كل سنة بخفض .. بنخفض
+
+694
+00:55:22,480 --> 00:55:26,040
+واحد في المية يظل يوميا فالقرآن جلنا انه اشد
+
+695
+00:55:26,040 --> 00:55:32,220
+الإنسان على اربعينتمام؟ بيضل يقوى و يبدع و عنده
+
+696
+00:55:32,220 --> 00:55:36,920
+نشاط اكتر و كده و قوة اكتر و structure كمان اكتر
+
+697
+00:55:36,920 --> 00:55:40,400
+الرقم هذا رقم علم مش من القرآن احنا جيبناها بس
+
+698
+00:55:40,400 --> 00:55:45,440
+القرآن ذكروا اربعين سنة تمام؟ فبعدها بيبدأ يهبط ال
+
+699
+00:55:45,440 --> 00:55:49,220
+testosterone في الجسم و بيبدأ يهبط ال .. ال .. ال
+
+700
+00:55:49,220 --> 00:55:54,100
+nephrons مش كده عددها بيبدأ يجل و كمان بالمرة
+
+701
+00:55:55,240 --> 00:55:59,340
+الكلسيتونيين اللى بيبني فى العظم بيبدأ ينخفض
+
+702
+00:55:59,340 --> 00:56:02,560
+التانى، اذا فى عندنا اشياء بعد سنة واربعين تبدأ
+
+703
+00:56:02,560 --> 00:56:08,900
+ايه؟ تنخفض وما نعمره وننكسه فى الخلق، فبصير جسمنا
+
+704
+00:56:08,900 --> 00:56:15,520
+يضعف، نتفان، نتفان، نتفان، طيب اذا
+
+705
+00:56:15,520 --> 00:56:22,400
+عندنا aglomerulus فى ضغط فى الأفرند تمام؟ والضغط
+
+706
+00:56:22,400 --> 00:56:26,490
+هذا هو اللى بيعمل filtrationالضغط هذا مضبوط بشكل
+
+707
+00:56:26,490 --> 00:56:33,310
+معين بإمكاننا انه نزوده او نجلله اللي بيحكمه تمام
+
+708
+00:56:33,310 --> 00:56:39,010
+النفرن نفسه جديش بيصله في ال trade الأشياء
+
+709
+00:56:39,010 --> 00:56:44,790
+في داخل النفرن حساسة مناطقمثلا إن الماكولا دي نسى
+
+710
+00:56:44,790 --> 00:56:50,470
+منطقى حساسة حسب كده بيصلها بتقولها الضغط زود لضغط
+
+711
+00:56:50,470 --> 00:56:53,610
+شوية أو جلل لضغط شوية إذا في عندي afferent و
+
+712
+00:56:53,610 --> 00:56:58,450
+efferent arteriole لو ال afferent فتح زيادة الضغط
+
+713
+00:56:58,450 --> 00:57:01,970
+اللى بيخش على ال a على glomerulus بيزيد لو ال
+
+714
+00:57:01,970 --> 00:57:07,160
+efferent فتح شوية اه الضغط اللى في ال aبجل مش كده
+
+715
+00:57:07,160 --> 00:57:10,940
+فإذا عندي control هان بين ال resistance و ال
+
+716
+00:57:10,940 --> 00:57:13,920
+dilatation تبع ال afferent و ال efferent فظبطلي
+
+717
+00:57:13,920 --> 00:57:17,720
+الضغط اللي لازم لل filtration مش كده و عندي كمان
+
+718
+00:57:17,720 --> 00:57:22,450
+انا تو شوية و شوية صغيرة جولنا فيها انا reninالرنن
+
+719
+00:57:22,450 --> 00:57:26,050
+لو الضغط واطئ كمان بيبقى تقولوا لأ عالي شوية إذا
+
+720
+00:57:26,050 --> 00:57:28,290
+أنا الضغط في الكيليا بينما أقدر أتحكم فيه في
+
+721
+00:57:28,290 --> 00:57:32,530
+النفران في عدة .. عدة أماكن الرنن اللي بيطلع
+
+722
+00:57:32,530 --> 00:57:37,590
+بتحكملي في الانجوتنسين 2 والضغط العام وفي locally
+
+723
+00:57:37,590 --> 00:57:42,370
+بظبط ال إيه لأزود شوية، الضغط العام كويس لكن انه
+
+724
+00:57:42,370 --> 00:57:45,490
+إيه ال .. ال .. ال load اللي وصل ال load تبع ال
+
+725
+00:57:45,490 --> 00:57:49,770
+filtration اللي وصل ال distillate will be العاليمش
+
+726
+00:57:49,770 --> 00:57:53,550
+جادرله انا اخفف ال filtration مابي اخفف الضغط عشان
+
+727
+00:57:53,550 --> 00:57:56,890
+يجال ال filtration عشان اللي ماشي في ال tubule
+
+728
+00:57:56,890 --> 00:58:01,910
+مايطلع هي كمهلة لأ لازم يكون under control فبيبقى
+
+729
+00:58:01,910 --> 00:58:05,490
+ال load تبع النفرون حسب قدرة النفرون لو ال load
+
+730
+00:58:05,490 --> 00:58:09,670
+زاد ع طول في إشارة ان ال tubular glomeral reflex
+
+731
+00:58:09,670 --> 00:58:13,670
+tubular glomeral balance لحيث انه ال filtration
+
+732
+00:58:13,670 --> 00:58:20,120
+يتناسب مع قدرة ال aالـ tubule علشان مايتكونش فيه
+
+733
+00:58:20,120 --> 00:58:24,700
+عندى electrolytes او water مش جادر اتحكم فيها لإن
+
+734
+00:58:24,700 --> 00:58:27,880
+لو انا زاد عند الضغط و ال filtration زاد فجأة
+
+735
+00:58:27,880 --> 00:58:32,480
+بنلاقي احنا صار عندنا diuresis صار عندنا ball كتير
+
+736
+00:58:32,480 --> 00:58:37,460
+بيطلع اه hypertension بتاع بيعمللي ايه؟ diuresis
+
+737
+00:58:37,460 --> 00:58:43,220
+الجسم بعد شوية بيحاول اضبطه تمام؟ ف .. ف .. ففي ..
+
+738
+00:58:43,220 --> 00:58:48,070
+الضغط لو زادلكن عندى ال نفرون مركب اذا الأمور
+
+739
+00:58:48,070 --> 00:58:53,130
+كويسة مظبوطة اي زيادة في اخر النفرون بيقول انا هذا
+
+740
+00:58:53,130 --> 00:58:57,170
+متوجع انا يجيني اقل من هيك ليه جاين كتير؟ جلل ال
+
+741
+00:58:57,170 --> 00:59:01,290
+filtration و احسن طريقة لتجلي ال filtration يا اما
+
+742
+00:59:01,290 --> 00:59:07,220
+نوسع ال efferent ارتريال بجلة الضغط يا اماانضيق
+
+743
+00:59:07,220 --> 00:59:10,780
+الافرانت او نفتح الكلية هي ال control ففي عندي انا
+
+744
+00:59:10,780 --> 00:59:15,740
+هنا في المنطقة هذه by adjusting the resistance of
+
+745
+00:59:15,740 --> 00:59:18,640
+the afferant and efferant arteriole the kidneys
+
+746
+00:59:18,640 --> 00:59:22,280
+can regulate the hydrostatic pressure in both the
+
+747
+00:59:22,280 --> 00:59:24,780
+glomerular and peritubular capillaries وهذه اللي
+
+748
+00:59:24,780 --> 00:59:31,420
+هي مبنية عليها كل ال function تبع الكليةطيب ال
+
+749
+00:59:31,420 --> 00:59:35,600
+نفرون is the functional unit of the kidney نفرون
+
+750
+00:59:35,600 --> 00:59:38,860
+اتكلم عن نفرون اذا الان ال نفرون اتكلمنا عن ال
+
+751
+00:59:38,860 --> 00:59:43,560
+blood blood vessels تبعت ال .. لإن هي vascular اه
+
+752
+00:59:43,560 --> 00:59:47,760
+جد وعلى هوا ال blood تركيبة التوزيح عن جمال تبع ال
+
+753
+00:59:47,760 --> 00:59:51,420
+blood vessels التوزيح فيها مركب نفرون تمام؟ طيب
+
+754
+00:59:51,420 --> 00:59:54,440
+النفرون هذا الآن عبارة عن ايش؟ عبارة عن glomerulus
+
+755
+00:59:54,440 --> 00:59:58,760
+و عن tubule مش كده؟ glomerulus و tubule
+
+756
+01:00:01,880 --> 01:00:06,600
+glomerulus هى glomerulus نرجع عن ان ال a front
+
+757
+01:00:06,600 --> 01:00:10,900
+اللى جاى توزع عملى tuft هن وطلع a front اقوى
+
+758
+01:00:10,900 --> 01:00:14,760
+tubule ال tubule هن عندنا اول اشي ال bowmans
+
+759
+01:00:14,760 --> 01:00:18,440
+capsule اول tubule فى لها layer محيطة بالايه
+
+760
+01:00:18,440 --> 01:00:22,280
+بالglomerulus و layer خارجية تمام اذا ال
+
+761
+01:00:22,280 --> 01:00:25,620
+filtration اللى بيحصل هن يخش فى داخل ال tubule هن
+
+762
+01:00:25,620 --> 01:00:30,250
+هنال .. ال .. ال .. احنا مجشرين ال bombas capsule
+
+763
+01:00:30,250 --> 01:00:34,030
+عشان نطلع في داخلها وهي ال tubule .. ال tubule اه
+
+764
+01:00:34,030 --> 01:00:40,330
+عوض زحرة ال tubule هان هذه .. هذه .. اه ال tubule
+
+765
+01:00:40,330 --> 01:00:48,150
+هذه طويلة long tubule طبعا ال structure تبعها اول
+
+766
+01:00:48,150 --> 01:00:50,370
+.. قولنا اول اش في ال tubule عندي انا ال bombas
+
+767
+01:00:50,370 --> 01:00:57,220
+capsule اللي تحيط بال ايه؟ بال .. اهع فكرة في اسم
+
+768
+01:00:57,220 --> 01:01:01,560
+كان زمان نستخدمه احنا لان التغه بطل في الكتب تبعكم
+
+769
+01:01:01,560 --> 01:01:05,940
+اسمه ال مالبيجيان كورباصل لو مرة عليكوا تفهموه ال
+
+770
+01:01:05,940 --> 01:01:11,540
+مالبيجيان كورباصل هذا عبارة عن ال glomerulus اللي
+
+771
+01:01:11,540 --> 01:01:14,700
+هو ال glomerulus ال arterial .. ال vascular side و
+
+772
+01:01:14,700 --> 01:01:18,100
+ال Bowman's capsule ال tubular side مش هيك؟ يعني
+
+773
+01:01:18,100 --> 01:01:21,660
+هذا tubular part و هذا .. اتنين مع بعضاسمها
+
+774
+01:01:21,660 --> 01:01:25,740
+مالبيجان كوربسل اسمها مالبيجان كوربسل اذا هذه
+
+775
+01:01:25,740 --> 01:01:29,560
+مالبيجان كوربسل اللي هي ال glomerulus مع ال tubule
+
+776
+01:01:29,560 --> 01:01:33,760
+اللي فيها اه اذا عندي glomerulus و بومانس كابسول
+
+777
+01:01:33,760 --> 01:01:37,740
+تحيطها مالبيجان كوربسل وبعدين بيش عندي انا هنا
+
+778
+01:01:37,740 --> 01:01:43,600
+proximal tubule بس بما انها ملتوية كتير سميناها
+
+779
+01:01:43,600 --> 01:01:47,280
+convoluted اذا عندي proximal convoluted tubule مش
+
+780
+01:01:47,280 --> 01:01:54,170
+كده وكل ما أخرها بيصيرش convoluted بيصير straight
+
+781
+01:01:54,170 --> 01:01:58,170
+أخرها بيصير straight لكن اسمها proximal
+
+782
+01:01:58,170 --> 01:02:03,110
+convolutable تنتهي ب loop of Henle ال loop of
+
+783
+01:02:03,110 --> 01:02:06,870
+Henle هذا عنده descending part أو ascending part
+
+784
+01:02:06,870 --> 01:02:13,110
+بيرجع ال loop of Henle بيعمللي كمان مرة distal
+
+785
+01:02:13,110 --> 01:02:15,910
+convolutable إذا في عندى proximal convolutable
+
+786
+01:02:15,910 --> 01:02:21,550
+وعندي distal convolutable تمام؟والدوسر الكمبيوتر
+
+787
+01:02:21,550 --> 01:02:22,290
+بتبنيه لهذه
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/k0oD_O8I77Y_raw.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/k0oD_O8I77Y_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..5e8608332dc1e5a06657cf3007abf71f824b130e
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/k0oD_O8I77Y_raw.srt
@@ -0,0 +1,3148 @@
+1
+00:00:05,960 --> 00:00:10,800
+هنبدأ في المحاضرات
+
+2
+00:00:10,800 --> 00:00:15,800
+الحقيقية حول ال renal physiology كان المحاضرات ..
+
+3
+00:00:15,800 --> 00:00:19,540
+المحاضراتين الفاتوا كانوا حول ال body fluids اللي
+
+4
+00:00:19,540 --> 00:00:25,360
+هي المادة اللي ال .. الكلية هتشتغل عليهالكن اليوم
+
+5
+00:00:25,360 --> 00:00:29,340
+هنتكلم عن الكيلية كيف تشغل عليها المواد المختلفة
+
+6
+00:00:29,340 --> 00:00:33,180
+اللي موجودة في ال different compartments كيف إلها
+
+7
+00:00:33,180 --> 00:00:41,420
+تأثير في التحكم في ال homeostasis عبر الكيلية يتم
+
+8
+00:00:41,420 --> 00:00:48,160
+ضبط ال different concentrations ال body fluids
+
+9
+00:00:48,160 --> 00:00:55,170
+volume ال hypertensionأو بمعنى أخر what are the
+
+10
+00:00:55,170 --> 00:00:58,410
+functions of the kidney اللي هنتكلم عنهم أول شيء
+
+11
+00:00:58,410 --> 00:01:05,550
+the kidney can do different functions execution
+
+12
+00:01:05,550 --> 00:01:09,030
+of metabolic waste products and foreign chemicals
+
+13
+00:01:09,030 --> 00:01:14,950
+احنا كنا متوقعين ان ال .. ال .. ال metabolic waste
+
+14
+00:01:14,950 --> 00:01:17,370
+products هي الأساس ان الكلب طلع اليوريا و
+
+15
+00:01:17,370 --> 00:01:23,110
+الكرياتينين وشدهطيب okay متفاقين عليها اتنين
+
+16
+00:01:23,110 --> 00:01:28,650
+regulation of water and electrolyte balances تلاتة
+
+17
+00:01:28,650 --> 00:01:32,610
+regulation of the osmolality مش هي ال
+
+18
+00:01:32,610 --> 00:01:35,770
+concentration of the electrolytes and water
+
+19
+00:01:35,770 --> 00:01:39,550
+contents the osmolality and electrolyte
+
+20
+00:01:39,550 --> 00:01:44,590
+concentration regulation
+
+21
+00:01:44,590 --> 00:01:49,350
+of arterial blood pressure اللي لها علاقة في blood
+
+22
+00:01:49,350 --> 00:01:54,210
+pressureاللي هي علاقة كبيرة هتكلم عنها regulation
+
+23
+00:01:54,210 --> 00:02:01,610
+of acid-base balance ال pH لإن ممكن أحيانا الكلية
+
+24
+00:02:01,610 --> 00:02:06,490
+تطلع hydrogen ions بكمية كبيرة أو كمية جليلة ممكن
+
+25
+00:02:06,490 --> 00:02:10,730
+تطلعليه bicarbonates كتيرةأو قليلة طبعا احنا
+
+26
+00:02:10,730 --> 00:02:14,370
+بالنسبة لنا في ال plasma ال main buffer system ال
+
+27
+00:02:14,370 --> 00:02:18,230
+bicarbonate system فتمام فال bicarbonate system
+
+28
+00:02:18,230 --> 00:02:24,180
+هذا ممكن احنا نزود ال execution of bicarbonateبنقل
+
+29
+00:02:24,180 --> 00:02:27,600
+ال acidity ال alkalinity بنزود ال execution of
+
+30
+00:02:27,600 --> 00:02:31,620
+hydrogen ions بنقل ال acidity يعني بين أنه نطلع
+
+31
+00:02:31,620 --> 00:02:36,340
+بيكربونات أكتر أو نعمل execution ل hydrogen ion
+
+32
+00:02:36,340 --> 00:02:42,960
+أكتر من ميل بين ال acidity و ال alkalinity من ميل
+
+33
+00:02:42,960 --> 00:02:46,960
+بين ال BH درجتها المختلفة حسب أنا بعمل execution
+
+34
+00:02:46,960 --> 00:02:51,020
+أكتر لإيش بيكربونات أكتر ولا hydrogen ions أكتر
+
+35
+00:02:53,690 --> 00:02:59,390
+secretion of metabolism
+
+36
+00:02:59,390 --> 00:03:04,250
+and
+
+37
+00:03:04,250 --> 00:03:12,110
+excretion of hormones غريب
+
+38
+00:03:12,110 --> 00:03:16,350
+هنا ايه؟ انا كنت ضايف عليها ال hormones ال
+
+39
+00:03:16,350 --> 00:03:20,350
+excretion of hormones عبر الكيليا الكيليا هنا
+
+40
+00:03:21,200 --> 00:03:24,980
+هتدرسوا بعد شوية ال endocrine الفصل الجاى هلاجى
+
+41
+00:03:24,980 --> 00:03:28,780
+انه بعد ما ال liver تعمل conjugation لل steroid
+
+42
+00:03:28,780 --> 00:03:34,320
+hormones 75% of excretion بعدى عبر الكيلية طبعا
+
+43
+00:03:34,320 --> 00:03:38,830
+إذا لل liver اللي لها دورو الكلية بعد ما تجهز
+
+44
+00:03:38,830 --> 00:03:41,610
+الاشي في ال liver بيعملها execution twenty-five
+
+45
+00:03:41,610 --> 00:03:45,490
+percent تقريبا execution of steroids اللي هو نوع
+
+46
+00:03:45,490 --> 00:03:47,770
+من أنوع ال hormones يعني استيرويد ال hormones
+
+47
+00:03:47,770 --> 00:03:52,430
+executed by the bile، ال liver للبيل عن طريق ال ..
+
+48
+00:03:52,430 --> 00:03:57,630
+ال bile الصفراء، المرارة، مادة الصفراء، لكن
+
+49
+00:03:57,630 --> 00:03:59,590
+seventy-five عبر ايه؟ الكلية
+
+50
+00:04:03,740 --> 00:04:08,080
+هنسألكم عن ال testosterone في أعظم اللحظات كيف can
+
+51
+00:04:08,080 --> 00:04:12,760
+be detected من خلال ال execution في ال urine 17
+
+52
+00:04:12,760 --> 00:04:19,920
+keto testosterone او steroid خروجه في ال urine
+
+53
+00:04:19,920 --> 00:04:23,220
+كميات كبيرة بتدليل ان فيه testosterone مصنع كتير
+
+54
+00:04:23,220 --> 00:04:26,820
+جليل او قليل يعني مراد ال urine analysis بتديني
+
+55
+00:04:26,820 --> 00:04:32,360
+فكرة عن ايش المواد في داخل الجسموكانت بكميات مصنعة
+
+56
+00:04:32,360 --> 00:04:38,900
+كبيرة او صغيرة او كده ال gluconeogenesis وهذه
+
+57
+00:04:38,900 --> 00:04:42,980
+هتكون
+
+58
+00:04:42,980 --> 00:04:49,680
+بالنسبة لكم تريبة شوية ان الكيليا تستطيع انها تصنع
+
+59
+00:04:49,680 --> 00:04:53,520
+في حالات الطوارق مايكونش في عندي blood sugar كافي
+
+60
+00:04:53,520 --> 00:05:00,980
+بتصنع سكر عبرother than carbohydrates resources
+
+61
+00:05:00,980 --> 00:05:05,160
+يعني عبر البروتين mainly و ال libids what is
+
+62
+00:05:05,160 --> 00:05:10,680
+called gluconeogenesis يعني تصنيع سكر من مصادر غير
+
+63
+00:05:10,680 --> 00:05:16,200
+كربوهيدراتية تمام تستطيع تعمل كلام هذا بالظبط تجار
+
+64
+00:05:16,200 --> 00:05:20,120
+ال liver تجار الكبد في المسألة هذه تمام اذا ممكن
+
+65
+00:05:20,120 --> 00:05:24,780
+ال liver الكلية تعمل gluconeogenesis as much as
+
+66
+00:05:24,780 --> 00:05:30,490
+the liver itselfطيب ندرس كل واحدة على حده ندرس كل
+
+67
+00:05:30,490 --> 00:05:36,590
+واحدة على حده execution of metabolic waste
+
+68
+00:05:36,590 --> 00:05:40,430
+products foreign chemicals drugs and hormone
+
+69
+00:05:40,430 --> 00:05:44,030
+metabolites ال execution تبع ال metabolites هذه
+
+70
+00:05:44,030 --> 00:05:51,170
+اليورية عبارة عن ال metabolite تبع ال ايه ال amino
+
+71
+00:05:51,170 --> 00:05:54,790
+acids مش كده الكرياتينين
+
+72
+00:05:56,470 --> 00:06:00,810
+الكرياتينين عبارة عن ال metabolite تبع الكرياتين
+
+73
+00:06:00,810 --> 00:06:09,690
+which is a muscle compound كرياتين ال uric acid
+
+74
+00:06:09,690 --> 00:06:12,950
+يمثل
+
+75
+00:06:12,950 --> 00:06:18,490
+in the product of nucleic acids nucleic acids يعني
+
+76
+00:06:18,490 --> 00:06:23,730
+أنا بتكلم عن أشياء فيها خلايا فيها nuclei فيها
+
+77
+00:06:23,730 --> 00:06:27,690
+nucleic acidsإذا لما نتكلم إن ال uric acid زاد،
+
+78
+00:06:27,690 --> 00:06:32,910
+معناه نتكلم عن في الغالب إنه أحنا الأكل عندنا أكل
+
+79
+00:06:32,910 --> 00:06:38,810
+فيه مواد فيها خلايا، لحمة أو غيرها أو بنقول إنه
+
+80
+00:06:38,810 --> 00:06:42,410
+التكسير عندنا في الخلايا زاد، تمام؟ فلذلك ال uric
+
+81
+00:06:42,410 --> 00:06:47,070
+acid products زادتتمام؟ اذا ال uric acid لازم يكون
+
+82
+00:06:47,070 --> 00:06:51,330
+مصدره خلايا ال nucleus في حين ان ال proteins
+
+83
+00:06:51,330 --> 00:06:56,210
+مبطلعش كلامها يعني مادة زي الحليب proteinات عالية
+
+84
+00:06:56,210 --> 00:07:00,850
+جدا فيها لكن مافيش فيها uric acid لكن شكسة لحمة
+
+85
+00:07:00,850 --> 00:07:05,230
+صغيرة بليانة خلايا فيها nuclei فيها nucleic acids
+
+86
+00:07:05,230 --> 00:07:10,370
+فيها اذا ال uric acid products معناها ان هاد اجت
+
+87
+00:07:10,370 --> 00:07:14,110
+من مصادر ايه؟تكسير خلوي ان كان extrinsic احنا
+
+88
+00:07:14,110 --> 00:07:18,690
+ماقلينه او كان داخلي حالات ال cancer او حالات ال
+
+89
+00:07:18,690 --> 00:07:22,450
+leukemia من اللي هيجي تكسير كتير ف ال perglyric
+
+90
+00:07:22,450 --> 00:07:28,830
+acid يعني in the products of hemoglobin breakdown
+
+91
+00:07:28,830 --> 00:07:37,850
+ال hemoglobin اللي هو بتكسر و بتديني حديد و globin
+
+92
+00:07:39,130 --> 00:07:42,710
+أو ال .. ال .. ال hemoglobin اللي هي بتكسر إلى
+
+93
+00:07:42,710 --> 00:07:48,630
+حديد و biliverdin و ال biliverdin بتحول في الأخر ل
+
+94
+00:07:48,630 --> 00:07:52,490
+bilirubin و ال bilirubin بيتغيق بي .. بي .. بي ..
+
+95
+00:07:52,490 --> 00:07:55,810
+بيصيرله conjugation في ال liver برضه جزء منه بيطلع
+
+96
+00:07:55,810 --> 00:07:58,850
+في البعل وجزء منه بيطلع في الكيليا في ال urine
+
+97
+00:07:58,850 --> 00:08:01,850
+الجزء اللي بيطلع في ال urine بنسميه urobilirubin
+
+98
+00:08:02,570 --> 00:08:06,110
+Euro باليرابين الجزء اللي بيطلع في الستول نسميه
+
+99
+00:08:06,110 --> 00:08:10,570
+استيركو باليرابين استيركو يعني استول يورو يعني
+
+100
+00:08:10,570 --> 00:08:15,230
+يورين اه فلذلك فيه جزء هان وجزء اخر متابولات of
+
+101
+00:08:15,230 --> 00:08:19,570
+various hormones جوجات
+
+102
+00:08:19,570 --> 00:08:24,580
+ال formsإن كان الاستيرويد العادية او مرات ال 17
+
+103
+00:08:24,580 --> 00:08:29,160
+-ketosteroids هذي بتتشخص لإنه في عندي انا ايه
+
+104
+00:08:29,160 --> 00:08:33,620
+تستوستيرون بتصنع بكمية كبيرة بدليل اللي هو يهير ال
+
+105
+00:08:33,620 --> 00:08:37,680
+17-ketosteroids secreted in urine in big amounts
+
+106
+00:08:54,990 --> 00:08:57,990
+بالإضافة لأن كمية كبيرة من المواد اللي هي إلى حد
+
+107
+00:08:57,990 --> 00:09:03,760
+ما سامةأو مواد تعتبر غريبة الجسم مش عايزها لكن
+
+108
+00:09:03,760 --> 00:09:08,380
+اتدخلت، اتدخلت مع الطعام بشكل من الأشكال أو اتكونت
+
+109
+00:09:08,380 --> 00:09:12,820
+في داخل الجسم على ال .. الكلية برضه فطبعا انتوا
+
+110
+00:09:12,820 --> 00:09:16,840
+واضح من كلام هذا، احنا بنتكلم عن organ كتير محترم،
+
+111
+00:09:16,840 --> 00:09:25,670
+كتير مهم، كتير خطيرفشلوا يعني انه احنا لا نستطيع
+
+112
+00:09:25,670 --> 00:09:30,870
+الحياة without a kidney life is incompatible
+
+113
+00:09:30,870 --> 00:09:36,070
+without kidney لا يمكن انا اتم حياة فتصوروا ان
+
+114
+00:09:36,070 --> 00:09:40,670
+الجسم الإنسان هذا صنع لحاله هيك هيك هيك و قال لأ
+
+115
+00:09:40,670 --> 00:09:45,950
+لازم بدي كيلية عشان ماقدرش اشتغل كيلية لا يدرك ذلك
+
+116
+00:09:46,510 --> 00:09:49,970
+بعدين بتطلع على الكلمة كده معقدة كده تركيب و بعدين
+
+117
+00:09:49,970 --> 00:09:54,190
+تشوفوا كيف ذلك
+
+118
+00:09:54,190 --> 00:10:00,510
+يعني إنما اخلّها من عباده علماء وجمال هذا المادة
+
+119
+00:10:00,510 --> 00:10:04,850
+أنا بضل قاعد وزيد إنها تجوال في ملكوت الله عز وجل
+
+120
+00:10:04,850 --> 00:10:12,760
+في أنفسكم تجولوا و تشوفوا كده الجسم هذايعني جميل
+
+121
+00:10:12,760 --> 00:10:18,880
+ومرتب ومنظم جدش هنتكلف احنا لو اجال شيء فيه نجس و
+
+122
+00:10:18,880 --> 00:10:23,040
+احنا بنا ندفع تمانه جدش هنتكلف اجالش هنتكلف لو نجس
+
+123
+00:10:23,040 --> 00:10:28,150
+hormone ال growth hormone جدش هنتكلف لو نجسأي
+
+124
+00:10:28,150 --> 00:10:33,090
+أنزين معين صغير مش مذكور لكن ما يترتب عليه من
+
+125
+00:10:33,090 --> 00:10:36,570
+فقدان هي very big يعني ال consequences of its
+
+126
+00:10:36,570 --> 00:10:39,910
+deficiency هتلاقيها إش كبير و في الآخرية الجثة جثة
+
+127
+00:10:39,910 --> 00:10:46,690
+بسيطة لكنها كيف إجت كيف اتركبت كيف طلعت إذا النقطة
+
+128
+00:10:46,690 --> 00:10:51,550
+الأولى بتكلم عن execution of waste products هذه
+
+129
+00:10:51,550 --> 00:10:56,470
+أول function تمام؟الـ function التاني اتكلمنا عنه
+
+130
+00:10:56,470 --> 00:10:58,950
+من شوية regulation of water and electrolyte
+
+131
+00:10:58,950 --> 00:11:03,250
+balance ال
+
+132
+00:11:03,250 --> 00:11:06,350
+water and electrolyte balance اتكلمنا كتير عن ال
+
+133
+00:11:06,350 --> 00:11:09,770
+water حجمها في ال compartments المختلفة و ال
+
+134
+00:11:09,770 --> 00:11:13,230
+osmolality و ال electrolytes و هذه تضبطها الكلية
+
+135
+00:11:13,230 --> 00:11:19,270
+انا باكل بديا و باشرب البديا و باعرج اللي بدوين
+
+136
+00:11:19,270 --> 00:11:20,870
+عليه و ب ..
+
+137
+00:11:23,540 --> 00:11:27,000
+استخدم يعني different resources of .. of .. of
+
+138
+00:11:27,000 --> 00:11:30,780
+water under the ground مش مشكلة عندى الكلية هي
+
+139
+00:11:30,780 --> 00:11:34,840
+لحالها ايش فيه فرقات تظبطها فيه تجربة لطيفة عندنا
+
+140
+00:11:34,840 --> 00:11:40,420
+هنا انه و احد غير ال intake عملنا تجربة غيرنا ال
+
+141
+00:11:40,420 --> 00:11:50,840
+intake of sodium من درجة واطية تلاتين ملي جرام الى
+
+142
+00:11:51,380 --> 00:11:54,720
+فجأة درجة عالية تلاتميت ميلي جرام تمام؟ يعني واحد
+
+143
+00:11:54,720 --> 00:11:58,300
+اتخطل أحمر هان كان بياكل كل يوم تلاتين ميلي جرام
+
+144
+00:11:58,300 --> 00:12:02,520
+Sodium تم تلاتين .. ندخله تلاتين ميلي equivalent
+
+145
+00:12:02,520 --> 00:12:06,420
+مش ميلي جرام تلاتين ميلي equivalent Sodium بعدين
+
+146
+00:12:06,420 --> 00:12:10,440
+عند نقطة معينة زودناها ال intake صار عند هذه ال
+
+147
+00:12:10,440 --> 00:12:14,080
+intake صار فجأة في هذه النقطة إلى ايه؟ إلى تلاتميت
+
+148
+00:12:14,080 --> 00:12:18,860
+ميلي equivalent بعدين بعد كذا يوم قررنا نزلها عادة
+
+149
+00:12:18,860 --> 00:12:21,940
+تاني إلى ايه؟ تلاتين ميلي equivalentلقينا انه
+
+150
+00:12:21,940 --> 00:12:28,660
+الكلية بعد يومين تلاتة من زيادة ال intake تمام،
+
+151
+00:12:28,660 --> 00:12:32,860
+بعد يومين تلاتة فجأة ال urine excretion عالي عالي
+
+152
+00:12:32,860 --> 00:12:36,880
+عالي لمّا وصل لإيه؟ لما يساوي ال intake، في جزء
+
+153
+00:12:36,880 --> 00:12:40,980
+ضال مخزون في الجسميومين تلاتة ماببينش بس بعد تلت
+
+154
+00:12:40,980 --> 00:12:46,060
+يوم صار جدش مادخل ال sodium جدش بيطلع، اذا بعد
+
+155
+00:12:46,060 --> 00:12:50,140
+يومين تلاتة بعد lag أكمن يوم صار عندى ال intake و
+
+156
+00:12:50,140 --> 00:12:55,690
+ال output يساوي بعض، وقفنا الالإنتاج العالي هذا و
+
+157
+00:12:55,690 --> 00:12:59,410
+نزلنا تاني ل 30 ملي اكوبلاند اتفاجأنا انه لازال
+
+158
+00:12:59,410 --> 00:13:05,270
+الفرج اللي كان في الأول lagging اتأخر لازال بيطلع
+
+159
+00:13:05,270 --> 00:13:08,990
+في يومين تلاتة لما نزل في الآخر لأ يسوي ال intake
+
+160
+00:13:08,990 --> 00:13:13,430
+لذا اتأخر يومين تلاتة بعدين لما وقفنا دل يومين
+
+161
+00:13:13,430 --> 00:13:17,230
+تلاتة execution اكتر من الايه من اللي احنا بناخده
+
+162
+00:13:17,230 --> 00:13:20,730
+لحد ما يتساوي من أول و جديد لذا في الآخر كمية اللي
+
+163
+00:13:20,730 --> 00:13:27,160
+اتدخلت controlledطبعا احنا هتوقع في اليومين تلاتة
+
+164
+00:13:27,160 --> 00:13:30,700
+هدول اللي زاد اللي صار فيها lagging لل execution
+
+165
+00:13:30,700 --> 00:13:34,740
+انه كمية الصوديوم هذه عملت expansion شوية
+
+166
+00:13:34,740 --> 00:13:38,280
+expansion لمين؟ للاكسسوريا، fluid، compartment
+
+167
+00:13:38,280 --> 00:13:43,060
+وعلت الضغط والبلازم اتقى كام اليوم، بعدين زبطت،
+
+168
+00:13:43,060 --> 00:13:46,300
+بعدين عاودت ايه؟ بعد ما وقفنا رجعت من جدي دي اللي
+
+169
+00:13:46,300 --> 00:13:51,470
+هوضحها الطبيعيالاستثمار الفلويد يتطلع في اليوم
+
+170
+00:13:51,470 --> 00:13:55,550
+اللي ايه اللي بدأ يزيد يزيد يزيد لما زاد شوية
+
+171
+00:13:55,550 --> 00:13:58,390
+الاستثمار الفلويد موجود موقفناه وبعدين و جلسين و
+
+172
+00:13:58,390 --> 00:14:03,850
+جلسين رجع للوضع الطبيعي طيب اذا عندها بدنا نقول ان
+
+173
+00:14:03,850 --> 00:14:09,070
+ال الكلية
+
+174
+00:14:09,070 --> 00:14:14,600
+هذه the capacity of the kidneysلتغيير التجارب
+
+175
+00:14:14,600 --> 00:14:17,240
+السودانية في تجارب التغييرات في تجارب التجارب
+
+176
+00:14:17,240 --> 00:14:21,060
+السودانية هو كبير جدًا فحصات تجارب تجارب التجارب
+
+177
+00:14:21,060 --> 00:14:25,140
+السودانية شهدت أن في الكثير من الناس تجارب
+
+178
+00:14:25,140 --> 00:14:26,740
+السودانية يمكن أن تزداد
+
+179
+00:14:30,450 --> 00:14:34,010
+الانتقال اليومي من مية الى مية وخمسين ميلي
+
+180
+00:14:34,010 --> 00:14:36,790
+اكوبلانت يعني حوالي المية يعني اكتر من عشر اضعاف
+
+181
+00:14:36,790 --> 00:14:41,590
+الانتقال الطبيعي تمام وتستطيع بالرقم من هنا الكلية
+
+182
+00:14:41,590 --> 00:14:45,350
+to control the concentration exactly
+
+183
+00:14:47,720 --> 00:14:51,140
+ممكن نزودها الى الف و خمس مليون equivalent او
+
+184
+00:14:51,140 --> 00:14:54,140
+نجللها الى عشرة مليون equivalent يعني عشر أجالي من
+
+185
+00:14:54,140 --> 00:14:58,520
+عشر ال a ال daily intake with relatively small
+
+186
+00:14:58,520 --> 00:15:02,580
+changes in excess fluid volume or plasma sodium
+
+187
+00:15:02,580 --> 00:15:06,140
+concentration this is also true for water and most
+
+188
+00:15:06,140 --> 00:15:07,240
+of the electrolytes
+
+189
+00:15:13,700 --> 00:15:18,120
+regulation of water and electrolyte balances
+
+190
+00:15:18,120 --> 00:15:22,480
+النقطة التالتة المهمة اللي بتعملها regulation of
+
+191
+00:15:22,480 --> 00:15:28,400
+arterial blood pressure هتلاحظوا انت توقعش يا اتي
+
+192
+00:15:28,400 --> 00:15:33,340
+لأ تسأليش ولي طول اللي بحس انت تسألي اه لأنك
+
+193
+00:15:33,340 --> 00:15:37,200
+اتأخرتي regulation of arterial pressure
+
+194
+00:15:39,560 --> 00:15:43,260
+الارتيريا البشر هتلاحظوا أنه اللي بيعالجه الضغط
+
+195
+00:15:43,260 --> 00:15:46,720
+بكرا في المستقبل يا إما دكاتة الكلة يا إما دكاتة
+
+196
+00:15:46,720 --> 00:15:51,660
+الجلب، هدول التانية المخوولين لإن معظم الضغط يا
+
+197
+00:15:51,660 --> 00:15:55,060
+إله تأثير سلبي على القلب لذلك تبع القلب بيعالجه يا
+
+198
+00:15:55,060 --> 00:16:00,200
+إما هو ناتج من الكلة ومشاكل الكلة أو تبع نكتور
+
+199
+00:16:00,200 --> 00:16:06,400
+الكلة هو اللي بيعالجهالضغط ممكن يزيد عندى اذا كان
+
+200
+00:16:06,400 --> 00:16:09,880
+انا ال execution of electrolytes كانت جليلة يعني
+
+201
+00:16:09,880 --> 00:16:14,220
+عندى مشكلة فى الكيلية ومش جادة تطلع ال sodium الى
+
+202
+00:16:14,220 --> 00:16:18,920
+يعني بكميات تساوى اللى احنا ايه بناخده فده بيعمل
+
+203
+00:16:18,920 --> 00:16:21,680
+expansion of external fluid ومن ضمنها ال expansion
+
+204
+00:16:21,680 --> 00:16:26,380
+اللى لبلازمام اذا بيعلّى الضغط تمام هذه بطريقة
+
+205
+00:16:26,380 --> 00:16:31,520
+طريقة اخرى انه كمان الكيلية عندها حساسية جدا للضغط
+
+206
+00:16:32,250 --> 00:16:36,190
+يعني لو هبطت ضغط بتطلع مادة اسمها ال renin المادة
+
+207
+00:16:36,190 --> 00:16:41,450
+هتتأدي في الآخر إلى تطلع لإنه هي أجواء مادة
+
+208
+00:16:41,450 --> 00:16:44,610
+vasoactive substance في الجسم اللي هو angiotensin
+
+209
+00:16:44,610 --> 00:16:48,930
+2 هتكون the most active vasoactive substance in
+
+210
+00:16:48,930 --> 00:16:53,670
+the body ناتجة عن إشارة من مين؟ من الكلية ال renin
+
+211
+00:16:53,670 --> 00:16:58,300
+بيطلع من الكلية إذا ضغط وطيو إذا الضغط عود ارتفع
+
+212
+00:16:58,300 --> 00:17:01,500
+بيعود الذنن يهبط إذا ارتفع عن الزيادة عن اللزوم
+
+213
+00:17:01,500 --> 00:17:08,280
+الذنن بهبط فالكلية حساسة جدا ل ال blood pressure
+
+214
+00:17:08,280 --> 00:17:15,100
+يعني طبيعي جدا أن رب العالمين هنا وضعلنا حساسية
+
+215
+00:17:15,100 --> 00:17:20,880
+الضغط عند الكليةعشان تظبط الضغط بالجسم كله لإن هي
+
+216
+00:17:20,880 --> 00:17:26,220
+أساسا عضو حساسة للضغط لإنه هي بتشغل على الضغط يعني
+
+217
+00:17:26,220 --> 00:17:29,460
+عندنا بنتكلم عن شغل الكيليا أساس شغلها أنه عنده
+
+218
+00:17:29,460 --> 00:17:33,180
+فيه ضغط بيعمل filtration تمام؟ إذا نقطة الضغط
+
+219
+00:17:33,180 --> 00:17:37,380
+مشتغلش ال filtration بيجيلوكل ال kidney function
+
+220
+00:17:37,380 --> 00:17:42,340
+بينخفض مش كده لذلك حاساسة لازم الدغط اللي جايها
+
+221
+00:17:42,340 --> 00:17:46,720
+يكون كويس عشان الكيلية تشتغل اذا هي هنا بتظبط كل
+
+222
+00:17:46,720 --> 00:17:52,670
+ايه الجسم بيحس انه اتحافظ على الضغط مظبوطإذا في
+
+223
+00:17:52,670 --> 00:17:58,130
+عندي في الكيلية عندي long term control على إنه
+
+224
+00:17:58,130 --> 00:18:00,610
+نضبط ال Sodium و ال Potassium و ال Electrolytes
+
+225
+00:18:00,610 --> 00:18:06,170
+بحيث إنه اتضال ال volume صح و الضغط صح أو إشي صار
+
+226
+00:18:06,170 --> 00:18:09,890
+مفاجئ أو الأسباب غير عادية إنه قد إنه ال blood
+
+227
+00:18:09,890 --> 00:18:12,650
+supply أو blood pressure اللي جاي للكيلية أو ال
+
+228
+00:18:12,650 --> 00:18:15,630
+blood pressure in general في ال body وطي و اللي
+
+229
+00:18:15,630 --> 00:18:18,730
+صار جاي للكيلية على هو الكيلية أخدت بالهافبيطلع
+
+230
+00:18:18,730 --> 00:18:22,750
+اللي هو ال renin و هنتكلم عنه في المستقبل بتفصيله
+
+231
+00:18:22,750 --> 00:18:29,010
+الشديد اذا blood pressure control عنده two ways of
+
+232
+00:18:29,010 --> 00:18:32,610
+control long term و short term regulation of acid
+
+233
+00:18:32,610 --> 00:18:36,490
+base balance هتكلمتلكوا عنها انا بشوية انه ال
+
+234
+00:18:36,490 --> 00:18:39,750
+bicarbonate system هو ال hydrogen تمام الكلية
+
+235
+00:18:39,750 --> 00:18:44,190
+بتتحكم فيهم كويس لو زي ال bicarbonate طلعوا يعني
+
+236
+00:18:44,190 --> 00:18:47,900
+ال calendar اللي صار عندى زي دهلو جال ال .. لو زاد
+
+237
+00:18:47,900 --> 00:18:51,680
+ال hydrogen بتطلعوا و هندرسها دي بالتفصيل كيف ال
+
+238
+00:18:51,680 --> 00:18:54,020
+hydrogen و كيف ال bicarbonates can be controlled
+
+239
+00:18:54,020 --> 00:18:57,540
+by ده ايه؟ ده kidney regulation of erythrocyte
+
+240
+00:18:57,540 --> 00:19:04,960
+production و هذه من ضمن إذا الكيليا إلها .. إلها
+
+241
+00:19:04,960 --> 00:19:08,140
+function
+
+242
+00:19:08,140 --> 00:19:12,400
+متعلق بال regulation of
+
+243
+00:19:15,830 --> 00:19:22,450
+and excretion of waste products pure non hormonal
+
+244
+00:19:22,450 --> 00:19:25,630
+function بعدين ايه بقى بعض ال hormonal function
+
+245
+00:19:25,630 --> 00:19:28,510
+لذلك في بعض الشؤان يقول ال hormonal .. endocrine
+
+246
+00:19:28,510 --> 00:19:31,770
+function of the kidney the endocrine function of
+
+247
+00:19:31,770 --> 00:19:35,670
+the kidney تمام؟ توا و جيبنا سيرة الرنن ده hormone
+
+248
+00:19:35,670 --> 00:19:39,310
+بطلع و بعمل و بسوي وهنا بنتكلم عن الارتروبيوتين
+
+249
+00:19:39,310 --> 00:19:41,210
+الارتروبيوتين
+
+250
+00:19:43,440 --> 00:19:50,360
+عبارة عن مادة بتطلع من الكيلية وهي stimulating the
+
+251
+00:19:50,360 --> 00:19:56,000
+bone marrow for formation of RBCs for formation of
+
+252
+00:19:56,000 --> 00:20:00,360
+erythrocytes اللي هو red blood cells ايرتروبيوتين
+
+253
+00:20:00,360 --> 00:20:03,700
+وهذه مشكلة كبيرة عندما واحد يخش في chronic renal
+
+254
+00:20:03,700 --> 00:20:08,530
+failureتمام؟ chronic renal failure معناها ان مافيش
+
+255
+00:20:08,530 --> 00:20:13,410
+erythropoietin معناها دم ايه نزل لذلك لما اكتشفوا
+
+256
+00:20:13,410 --> 00:20:18,410
+ال hemopoietin كان هذه خطوة مفصلية في تاريخ الطب
+
+257
+00:20:18,410 --> 00:20:23,750
+ان هدول الناس خلصنا مشاكلهم سرنا جثة ال anemia في
+
+258
+00:20:23,750 --> 00:20:27,730
+ال chronic renal failure تمام؟ حلها نديله
+
+259
+00:20:27,730 --> 00:20:33,120
+hemopoietin تمام؟ فبرجع ال ايه؟ال .. ال bon marrow
+
+260
+00:20:33,120 --> 00:20:37,520
+يصنع بشكل طبيعي لكن احنا كل يوم بناخد
+
+261
+00:20:37,520 --> 00:20:40,800
+الارتروبيوتين بالبلاش من جسمنا و بناخد
+
+262
+00:20:40,800 --> 00:20:43,240
+الارتروبيوتين جد ما احنا عايزين الجرعة اللي احنا
+
+263
+00:20:43,240 --> 00:20:48,240
+بديها خارجيا ممكن تزيد او تجل لكن الطبيعي بنلاحظ
+
+264
+00:20:48,240 --> 00:20:52,480
+ان خلاص ال .. ال .. ال .. ال hemoglobin ثابت لا
+
+265
+00:20:52,480 --> 00:20:56,040
+بيزيد ولا بينجس على مستوى معين ان ايش السبب نجسه
+
+266
+00:20:56,040 --> 00:21:00,150
+على طول بيزيد الارتروبيوتين و بيزيد الالهيموجلوين
+
+267
+00:21:00,150 --> 00:21:04,050
+من الجديد وها كذا controlled بمعنى ال homeostasis
+
+268
+00:21:04,050 --> 00:21:09,890
+اللي احنا دايما نتكلم عنه اذا لو صار عندى hypoxia
+
+269
+00:21:09,890 --> 00:21:15,010
+للكيلية اه بتنتبه الكيلية او بتطلع more or less هي
+
+270
+00:21:15,010 --> 00:21:21,570
+مش قصة hypoxiaالكدن يسيطر على الهيموجلوب متكلاسيا
+
+271
+00:21:21,570 --> 00:21:25,270
+يعني بدقة شديدة متناهية مش محتاجين ان نكون هي high
+
+272
+00:21:25,270 --> 00:21:29,310
+boxy high boxy شديدة اي change في ال oxygen level
+
+273
+00:21:29,310 --> 00:21:33,630
+تنتبه الايه الكلب بتطلع الاتروبيتين اكتر او اقل
+
+274
+00:21:33,630 --> 00:21:37,630
+اذا
+
+275
+00:21:37,630 --> 00:21:47,100
+regulation of the vitamin D3 productionregulation
+
+276
+00:21:47,100 --> 00:21:51,300
+of 125-dihydroxy vitamin D production D3
+
+277
+00:21:51,300 --> 00:21:57,220
+production ال vitamin D هذا كتير مهم for bone
+
+278
+00:21:57,220 --> 00:22:02,300
+structure and bone calcification جدا لأن ال
+
+279
+00:22:02,300 --> 00:22:11,600
+vitamin D بيتحكم في ال absorption of calcium in
+
+280
+00:22:11,600 --> 00:22:15,990
+the gutو ايه البرتقال الى absorption of calcium in
+
+281
+00:22:15,990 --> 00:22:21,150
+the kidney تمام فلما يكون عندى انا vitamin D بكمية
+
+282
+00:22:21,150 --> 00:22:24,850
+كافية بيدخل كمية و اي سمن ال calcium absorbed عبر
+
+283
+00:22:24,850 --> 00:22:30,410
+ال GIT to the blood إذا نقص ال vitamin D3 ال
+
+284
+00:22:30,410 --> 00:22:35,970
+absorption تتبعال gut بيجلق و ال excretion بيزيد
+
+285
+00:22:35,970 --> 00:22:39,690
+معناه انا بتكلم عن هيبوكالسيميا معناه بتكلم ان
+
+286
+00:22:39,690 --> 00:22:45,050
+الجسم بيتطر ان يكسر العظم عشان يحافظلي على ايه
+
+287
+00:22:45,050 --> 00:22:49,770
+فبصير مصادره للكالسيوم من ايه؟ من العظم تمام؟
+
+288
+00:22:49,770 --> 00:22:54,110
+هتكلم عنه الفصل الجاى في اخر endocrine هتكلم عن
+
+289
+00:22:54,110 --> 00:22:54,990
+الكالسيتونين
+
+290
+00:22:57,240 --> 00:23:01,900
+والبرا تيرويد هرمون مع عضايتها من ال D3 المجموعة
+
+291
+00:23:01,900 --> 00:23:05,060
+هذه المسؤولة عن الكالسيوم و بناء العضلة ان شاء
+
+292
+00:23:05,060 --> 00:23:10,380
+الله اذا ال vitamin دي احنا عارفينه طبعا انه بتكون
+
+293
+00:23:10,380 --> 00:23:15,160
+تحت الجلد من الكليستيرول 7-dehydroxycholesterol
+
+294
+00:23:15,160 --> 00:23:21,700
+وهذا exposed to the from the exposure to
+
+295
+00:23:21,700 --> 00:23:27,170
+ultraviolet rays بتكون تحت الجلدالـ Vitamin D1 وفي
+
+296
+00:23:27,170 --> 00:23:34,430
+الكيلية بيعاود كوّن ال ال ال ال ال 125 كالسيترول
+
+297
+00:23:34,430 --> 00:23:41,830
+او Vitamin D او D2 بعدين بالديني D3 لما بيدخل
+
+298
+00:23:41,830 --> 00:23:45,850
+الكيلية بتحول ال 125 ديهيدروكسي
+
+299
+00:23:50,610 --> 00:24:00,850
+D3 كالسي تريول تريول ترا تريول D3 طيب هتكلم عنه
+
+300
+00:24:00,850 --> 00:24:04,210
+بتفاصيل شديدة في وقته المناسب لجلوكوس سينتيسيز
+
+301
+00:24:04,210 --> 00:24:08,850
+قلتلكم انه غريب جدا انه الكلية هذه اللي هي مانعاش
+
+302
+00:24:08,850 --> 00:24:13,620
+علاقة بالتصنيع كتيرهييلها علاقة بال execution كتير
+
+303
+00:24:13,620 --> 00:24:17,700
+بس إيه هتكون organ زي ال liver يصنع سكر فوق
+
+304
+00:24:17,700 --> 00:24:22,940
+التوارق هذا issue كتير يعني إيه إنسان بيقف أمامه
+
+305
+00:24:22,940 --> 00:24:32,100
+متعجب لإنه الكلية عضوه كتير مهم إذا لو صار عندي
+
+306
+00:24:32,100 --> 00:24:40,850
+kidney failure هصير عندي homeostatic failureلأن ال
+
+307
+00:24:40,850 --> 00:24:43,450
+kidney بتعمل homeostasis على مستوى ال electrolytes
+
+308
+00:24:43,450 --> 00:24:48,490
+والكلام السابع نقطة كلامنا عنه فلو صار فيها مشكلة
+
+309
+00:24:48,490 --> 00:24:53,750
+ال pressure هيروح و ال fluids هتزيد و كل الدنيا
+
+310
+00:24:53,750 --> 00:24:54,510
+هتلخبط
+
+311
+00:24:59,220 --> 00:25:02,740
+مع الحصول على مرض عضوية أو اخطار عضوية أو اخطار
+
+312
+00:25:02,740 --> 00:25:02,940
+عضوية أو اخطار عضوية أو اخطار عضوية أو اخطار عضوية
+
+313
+00:25:02,940 --> 00:25:03,520
+أو اخطار عضوية أو اخطار عضوية أو اخطار عضوية او
+
+314
+00:25:03,520 --> 00:25:04,660
+اخطار عضوية او اخطار عضوية او اخطار عضوية او اخطار
+
+315
+00:25:04,660 --> 00:25:09,660
+عضوية او اخطار عضوية او اخطار عضوية او اخطار عضوية
+
+316
+00:25:09,660 --> 00:25:15,880
+او اخطار عضوية او اخطار عضوية او اخطار عضوية او
+
+317
+00:25:15,880 --> 00:25:25,580
+اخطار عضوية او اخطار عضوية او اخطار عضوية او
+
+318
+00:25:25,580 --> 00:25:33,630
+اخطار عضويةإن أحنا أكلنا طبيعته مليان بوتاسيوم فرب
+
+319
+00:25:33,630 --> 00:25:37,530
+العالمين اللي أخلج الأكل خلانا الكيلية مصممة إنها
+
+320
+00:25:37,530 --> 00:25:42,570
+تطرد بوتاسيوم وعملها جزء خاص في الـ distal mephron
+
+321
+00:25:42,570 --> 00:25:46,390
+هتكلم عنه شغلته كل يوم يطلع بوتاسيوم خلايا خاصة
+
+322
+00:25:46,390 --> 00:25:51,830
+لإن طبيعة الأكل احنا أكلنا cellular كل اللي بنأكله
+
+323
+00:25:51,830 --> 00:25:56,790
+أكشر فيها cells و البوتاسيوم جوا ال cells عالي مش
+
+324
+00:25:56,790 --> 00:26:01,280
+هيكتمام البوتاسيوم جوه ال sales عالي فده ما اتطلب
+
+325
+00:26:01,280 --> 00:26:04,900
+منه انا كل يوم طول ما احنا بناكل لازم نطلع .. نطلع
+
+326
+00:26:04,900 --> 00:26:11,680
+بوتاسيوم فلو البوتاسيوم هاد عالي اه hyperkalemia
+
+327
+00:26:11,680 --> 00:26:16,180
+بطل يطلع في الجسم و احنا قولنا ال system تبع الجسم
+
+328
+00:26:16,180 --> 00:26:19,600
+بناء الجسم مبني على صدوم بوتاسيوم البوتاسيوم فجأة
+
+329
+00:26:19,600 --> 00:26:28,200
+عالي هيلخبط الدنيا ال .. ال nerveال nerve fibers
+
+330
+00:26:28,200 --> 00:26:32,400
+ال nerves هتكون ايه ال اه ال excitation تبقى
+
+331
+00:26:32,400 --> 00:26:35,560
+هيتغير حسب ال potassium عليه او عليه و ال cardiac
+
+332
+00:26:35,560 --> 00:26:39,960
+contractility برضه هتتغير حسب ال potassium عليه او
+
+333
+00:26:39,960 --> 00:26:46,160
+عليه و هيعمللي مشاكل ضخمة جدا طيب physiology انا
+
+334
+00:26:46,160 --> 00:26:49,620
+الان نخش على الكيليا نبدأ ندرس فيها اذا عن ال
+
+335
+00:26:49,620 --> 00:26:52,160
+functions of the kidney are very important
+
+336
+00:26:52,160 --> 00:26:57,120
+different functions مش كدهعلى مستويات كتير مهمة
+
+337
+00:26:57,120 --> 00:27:01,060
+ومحترمة طب الكيلية هذه كيف بتشتغل what is the
+
+338
+00:27:01,060 --> 00:27:04,740
+structure what is the function how the kidney can
+
+339
+00:27:04,740 --> 00:27:09,000
+get to its function طبعا لو طلعنا في الكيلية
+
+340
+00:27:09,000 --> 00:27:15,180
+واخدنا قطع هيك sagittal section فيها خدنا قطع فيها
+
+341
+00:27:15,180 --> 00:27:19,840
+كده بالعرض واطلعنا في الكيلية واتمتعنا فيها كده
+
+342
+00:27:19,840 --> 00:27:25,400
+هلاجي انه في في النص what is called pelvisهذا هوض
+
+343
+00:27:25,400 --> 00:27:31,420
+الكيلية تمام؟ هوض الكيلية بي .. هذا هو عبارة عن
+
+344
+00:27:31,420 --> 00:27:37,300
+اتساع ل ال upper ureter الحالب هذا نهايته بيتسح في
+
+345
+00:27:37,300 --> 00:27:41,580
+داخل الكيلية و بيعمللي هوض الكيلية و من هوض
+
+346
+00:27:41,580 --> 00:27:46,160
+الكيلية بيطلعلي تلاتة branches أكبر تلاتة branches
+
+347
+00:27:46,160 --> 00:27:50,040
+بيطلع outward في داخل ال substance على الكدن تمام؟
+
+348
+00:27:50,040 --> 00:27:55,050
+ال upper calyxو middle calyx و lower calyx هدول ال
+
+349
+00:27:55,050 --> 00:27:58,690
+calyces بنسميهم major calyces upper و middle و
+
+350
+00:27:58,690 --> 00:28:05,110
+lower major calyces ال upper بتوزع لتلتة صغار تلتة
+
+351
+00:28:05,110 --> 00:28:08,910
+minor calyces هيعبارها أنبوب يعني أنبوب أنبوب
+
+352
+00:28:08,910 --> 00:28:15,610
+أنبوب هم حوض و طالع منه أنبوب هيك ال upper ال
+
+353
+00:28:15,610 --> 00:28:22,780
+upper calyx و بفتح منه تلتة صغار تمامكل واحد بياخد
+
+354
+00:28:22,780 --> 00:28:28,040
+جزء ب .. ب .. بيلومبول بيحوش بول من منطقة معينة
+
+355
+00:28:28,040 --> 00:28:32,220
+إذا هذا الأبار بيعمللي تلاتة minor calluses ال
+
+356
+00:28:32,220 --> 00:28:36,540
+middle ال middle major بتديني two minor calluses و
+
+357
+00:28:36,540 --> 00:28:39,600
+ال lower بتديني two minor calluses و هنا الصورة
+
+358
+00:28:39,600 --> 00:28:42,600
+حطالكوا حصوة في ال minor callux هذا ال lower
+
+359
+00:28:42,600 --> 00:28:45,820
+callux lower major callux هذا واحد من ال minor
+
+360
+00:28:45,820 --> 00:28:51,980
+calluses باعها فيها حصوة and renal stone stuck في
+
+361
+00:28:51,980 --> 00:28:57,040
+المنطقة هذه مثلاالقطع هذا اللي طلعنا فيه احنا تبع
+
+362
+00:28:57,040 --> 00:29:02,740
+الكيلية اذا في في النص بالوزل و برا مادة مش فراغة
+
+363
+00:29:02,740 --> 00:29:08,400
+في تشو تبع الكيلية هنلاحظ انه اللون بختلف برا في
+
+364
+00:29:08,400 --> 00:29:14,780
+لون و جوا في لون تاني تمام؟ و اللون اللي جوا هان
+
+365
+00:29:14,780 --> 00:29:21,020
+عامل شكل pyramids احرامات تمام؟ ال tip تبع ال
+
+366
+00:29:21,020 --> 00:29:25,710
+pyramid هذا بنسميه papillaوال papilla اللى تبتب
+
+367
+00:29:25,710 --> 00:29:29,110
+على ال pyramid دايما بتنتهي في minor calyx يعني ال
+
+368
+00:29:29,110 --> 00:29:32,410
+minor calyx دي في جنايته على ال papilla هذه كأنه
+
+369
+00:29:32,410 --> 00:29:39,090
+كأنه بيشفط منها ال urine بيسحبهال .. ال .. ال wall
+
+370
+00:29:39,090 --> 00:29:41,730
+تبع ال calcium system ال بالفى ال calcium system
+
+371
+00:29:41,730 --> 00:29:48,070
+هذا ال wall هذه فيها فيها smooth muscles فيها
+
+372
+00:29:48,070 --> 00:29:52,630
+smooth muscles smooth muscles هان بتعمل ال
+
+373
+00:29:52,630 --> 00:29:59,010
+peristalsis يعنى عن طريق حركتها بتعمل حركة الحركة
+
+374
+00:29:59,010 --> 00:30:03,270
+الدودية اللى بتسحب فيها اللى لما تجمع ball تنتقل
+
+375
+00:30:03,270 --> 00:30:05,850
+ال ball إلى ال .. إلى ال .. إلى ال ..
+
+376
+00:30:11,380 --> 00:30:19,300
+البول مابنتقلش من الكيلية للمثانى بوزنه ولا الأكل
+
+377
+00:30:19,300 --> 00:30:23,740
+بنبلع من البلعوم إلى المعدة بوزنه ولا بتحرك من
+
+378
+00:30:23,740 --> 00:30:27,900
+المعدة لإن احنا بنبلع أو بتحرك اذا كنا نايمين ولا
+
+379
+00:30:27,900 --> 00:30:32,680
+صاحين ولا عبلين ولا مجلوبين تفرقش إذا ان هو بينتقل
+
+380
+00:30:32,680 --> 00:30:37,300
+من مكان إلى مكان عبرإرادة في قمر انه انجله
+
+381
+00:30:37,300 --> 00:30:40,760
+والإرادة هذه بتاخدها ال peristaltic movement بتاخد
+
+382
+00:30:40,760 --> 00:30:46,680
+معاها ال drop of urine بتوصلها للمثانة البولية
+
+383
+00:30:46,680 --> 00:30:50,120
+تمام؟ يعني مش ان احنا محتاجين نظل واقفين عشان الكل
+
+384
+00:30:50,120 --> 00:30:55,340
+ي نزل البول ويتوصلوا ل .. لأ مالوش علاقة واقفين
+
+385
+00:30:55,340 --> 00:31:00,040
+ولا مش واقفين؟ اذا في عنديهان اللونين هيك مختلفين
+
+386
+00:31:00,040 --> 00:31:05,600
+وفي احنا لاحظين ال striations خطوط طولية كدهوإن
+
+387
+00:31:05,600 --> 00:31:10,660
+هذا المنطقة اللي برا اللي سميناها cortex هي حقيقة
+
+388
+00:31:10,660 --> 00:31:13,440
+اللي برا أغمق من اللي جوه اللي جوه مفترض أن أفتح
+
+389
+00:31:13,440 --> 00:31:23,880
+الصورة هذه غريبة أنه جايبة ال ال cortex جايبة ال
+
+390
+00:31:23,880 --> 00:31:29,940
+cortex أفتح من ال تمام؟
+
+391
+00:31:29,940 --> 00:31:32,680
+إذا عندي أنا بميز بسهولة وأنا بتطلع
+
+392
+00:31:38,070 --> 00:31:48,970
+بميز cortex و مضلة بميز cortex و مضلة المضلة هي
+
+393
+00:31:48,970 --> 00:31:53,290
+مخدة البراميد كلها والمضلة بلاحظ ان ال base of the
+
+394
+00:31:53,290 --> 00:31:58,110
+مضلة هذا مختلف عن جوا فقولنا في عندنا مضلة في
+
+395
+00:31:58,110 --> 00:32:03,210
+عندنا outer مضلة و inner مضلة تمام؟ ففي عندها
+
+396
+00:32:03,210 --> 00:32:07,910
+cortex و مضلةوالمدلة نفسها بتنقسم الى ان ال base
+
+397
+00:32:07,910 --> 00:32:12,390
+تبعها هذا بيسمي outer مدلة و الجوا هذا باجيت
+
+398
+00:32:12,390 --> 00:32:17,930
+البرامج جوا بيسمي inner مدلة وللعلم ال outer مدلة
+
+399
+00:32:17,930 --> 00:32:22,870
+بتنقسم لجسمين outer stripe و inner stripe outer
+
+400
+00:32:22,870 --> 00:32:27,790
+stripe و inner stripe مش مهم كتير خلاص بنعرف ان
+
+401
+00:32:27,790 --> 00:32:32,210
+احنا بس هنا في عندي ايه outer مدلة و الألوان
+
+402
+00:32:32,210 --> 00:32:35,450
+المختلفة في ال structure هذاالألوان المختلفة اللي
+
+403
+00:32:35,450 --> 00:32:38,790
+بيشوفها في ال section ناتجة عن انه في عندي
+
+404
+00:32:38,790 --> 00:32:43,430
+structures مختلفة تمام؟ في المنطقة هذه في كده، في
+
+405
+00:32:43,430 --> 00:32:45,410
+المنطقة هذه بيزيد كده، في المنطقة هذه بيزيد كده
+
+406
+00:32:45,410 --> 00:32:49,050
+فلذلك ال structure كله هي تمائز من خلال انه ال ..
+
+407
+00:32:49,050 --> 00:32:52,650
+ال .. ال .. النفرن نفسه في المنطقة هذه إيش بيصير،
+
+408
+00:32:52,650 --> 00:32:54,410
+في المنطقة هذه إيش بيصير، في المنطقة هذه بيصير
+
+409
+00:32:54,410 --> 00:32:58,630
+فهذا بيقدر إلى انه انا بكل بساطة ألاجي انه في
+
+410
+00:32:58,630 --> 00:33:04,200
+اختلافات في ال إيه؟ في الشكل تبعالـ cross-section
+
+411
+00:33:04,200 --> 00:33:09,700
+أو الـ transverse section تبع الكيليا طبعا عندي
+
+412
+00:33:09,700 --> 00:33:13,260
+انا الكيليا وفي عندي ال bilvis هذا امتداد ال
+
+413
+00:33:13,260 --> 00:33:17,200
+bilvis هذا ال highland بنسميها السرة تبعت الكيليا
+
+414
+00:33:17,200 --> 00:33:21,540
+ال highland من اليوريتارز و اليوريتارز بتنزل ال
+
+415
+00:33:21,540 --> 00:33:26,400
+ايه ل ال urinal brother احنا الآن هندرس في ال
+
+416
+00:33:26,400 --> 00:33:30,540
+chapter هذاالكلية نفسها لحالها و ال function تبعها
+
+417
+00:33:30,540 --> 00:33:34,720
+بس نخلصها و نروح ندرس ال bladder و كيف ال bladder
+
+418
+00:33:34,720 --> 00:33:38,980
+بتشتغل تمام فلذلك انكم انتوا في الفصل هذا موجودين
+
+419
+00:33:38,980 --> 00:33:42,740
+الحاجتين مع بعض لكن انا هشرح ال ايه الكلية و its
+
+420
+00:33:42,740 --> 00:33:46,900
+function بعدين هنشرح كتابة من الفصل يعني فاصلة
+
+421
+00:33:46,900 --> 00:33:51,320
+mecturation تبول عام شايله كده حاطه فى فصل لحاله
+
+422
+00:33:51,320 --> 00:33:55,080
+لما نخلص الفصل هذا نخش على فصل ايه ال mecturation
+
+423
+00:33:55,080 --> 00:34:01,820
+لما نخلص ال kidney functionطيب اذا اننا لو طلعنا
+
+424
+00:34:01,820 --> 00:34:06,800
+هيك برضه واضح ال cortex الكلية هذه واضحة صحيحة
+
+425
+00:34:06,800 --> 00:34:12,220
+يعني هذا مالاش لزوم نحطها ولا ايش رايكوا مش موجودة
+
+426
+00:34:12,220 --> 00:34:18,100
+عندكم ماشي صورة عادي يعني
+
+427
+00:34:18,100 --> 00:34:26,250
+ماتجلجوش عليها طيب الكلية الواحدة الكلية موجودةفي
+
+428
+00:34:26,250 --> 00:34:30,950
+ال retroperitoneal space يعني مش زي ال abdominal
+
+429
+00:34:30,950 --> 00:34:34,910
+contents كل organ في ال .. في ال peritoneum في ال
+
+430
+00:34:34,910 --> 00:34:37,970
+.. في ال .. في ال abdomen covered by .. by
+
+431
+00:34:37,970 --> 00:34:42,010
+peritoneum اللي هو ال visceral layer لأ هذا ال
+
+432
+00:34:42,010 --> 00:34:45,990
+parietal layer اللي في الخلف هو جاعل وراها ماهواش
+
+433
+00:34:45,990 --> 00:34:50,470
+الكلية محوطة من كل الجهات بإيه، visceralليش؟ لإن
+
+434
+00:34:50,470 --> 00:34:53,990
+هي منزجة على ال ايه؟ على ال abdomen ال .. بستيرو
+
+435
+00:34:53,990 --> 00:34:57,210
+abdomen ال wall و ال .. ال .. ال bariette اللي هي
+
+436
+00:34:57,210 --> 00:35:01,550
+يرتب على ال .. ال baritone على ال baritone بيجي
+
+437
+00:35:01,550 --> 00:35:04,650
+بغطيها كده و بضل ماشية فهي في retro baritoneal
+
+438
+00:35:04,650 --> 00:35:09,490
+structure لذلك احنا لو فتخنا البطنأو نعود و نفتح
+
+439
+00:35:09,490 --> 00:35:13,330
+مرة أخرى البريوتينيا لذلك لا نفضل أن ندخل الكيلية
+
+440
+00:35:13,330 --> 00:35:17,430
+من قدام لما نفتح البريوتون و لا اللي بحالنا إذا
+
+441
+00:35:17,430 --> 00:35:21,850
+كنا نأتي من ورا نفتح من ورا أو نزج البريوتون لفوق
+
+442
+00:35:21,850 --> 00:35:27,890
+للبراية تالير يعني نجد الكيلية ورا جانا تمام؟ زي
+
+443
+00:35:27,890 --> 00:35:32,150
+البنكرياس برضه retroperitoneal structure إذا كان
+
+444
+00:35:32,150 --> 00:35:35,010
+عندى عدة أشياء في ال Anatomy نسأله فيها
+
+445
+00:35:35,380 --> 00:35:38,640
+retroperitoneal structure عندي أنا البنك الياسي
+
+446
+00:35:38,640 --> 00:35:44,600
+وعندي ال إيه؟ الكلية إذا في عندي هان في ال
+
+447
+00:35:44,600 --> 00:35:49,300
+retroperitoneal space موجودة ال kidney وزن الكلية
+
+448
+00:35:49,300 --> 00:35:56,460
+الواحدة حوالي مية و خمسين gram يعني لو حجمها
+
+449
+00:35:56,460 --> 00:36:00,560
+بتعرفوا إزاي حجمة قبضت يعنيقبضة يد مش ايدي انا لأ
+
+450
+00:36:00,560 --> 00:36:04,080
+ممكن يعني اعتمد من اللحظة الكيلية مش حجمها ثابت
+
+451
+00:36:04,080 --> 00:36:09,520
+عند الناس يعني ضخم حجم الكيلية ضخمة و الصغيرة
+
+452
+00:36:09,520 --> 00:36:13,280
+صغيرة و كده و ع فكرة الكيلية تانية اليمين و الشمال
+
+453
+00:36:13,280 --> 00:36:19,040
+برضه فيبقى .. يعني دايما اليمين اكبر وزنه اضخم
+
+454
+00:36:19,040 --> 00:36:23,040
+شوية من الشمال تمام حتى يدنا اليمين اللي مشغل فيها
+
+455
+00:36:23,040 --> 00:36:28,600
+اطول شوية و صغير عن الشمال لكن اشملي بالعكس طيب
+
+456
+00:36:31,420 --> 00:36:35,120
+إذا في عندي الكيلية الريتروبرتونية ال structure
+
+457
+00:36:35,120 --> 00:36:39,840
+اللي هي كابسول بيغطيها والكابسول هذا كتير مهم ليش
+
+458
+00:36:39,840 --> 00:36:43,100
+مهم؟ ليش مهم؟ لإن الكيلية بتشغل على نظام الضغط
+
+459
+00:36:43,100 --> 00:36:46,260
+pressure إذا في ال pressure بتعمل filtration أنا
+
+460
+00:36:46,260 --> 00:36:49,520
+هتكلم عنه بعد شوية لو ال pressure هذا موجود هيك
+
+461
+00:36:49,520 --> 00:36:53,700
+باستمرار موجود الكيلية بصي قابلة هي تبقى تتوسع
+
+462
+00:36:54,850 --> 00:36:59,030
+البراشر بيبطل يجيب نتيجة مباشرة على مكانه جزء منه
+
+463
+00:36:59,030 --> 00:37:02,950
+هيضيع في التوسع مش هيكون عامل ضغط يعني غير انت
+
+464
+00:37:02,950 --> 00:37:05,290
+بتحط البراشر في مكان و المكان بتوسع على أحلى
+
+465
+00:37:05,290 --> 00:37:09,470
+البراشر لكن البراشر مكان مسكر و البراشر بتحطي و
+
+466
+00:37:09,470 --> 00:37:12,930
+تظلي علىه مش هى و الكابسول هت بتعمل هي بتحافظ على
+
+467
+00:37:12,930 --> 00:37:17,280
+ان البراشر اللى جوا اللى جاية يظليعمل ال function
+
+468
+00:37:17,280 --> 00:37:21,760
+المطلوب منه which is filtration مثلا في كابسول
+
+469
+00:37:21,760 --> 00:37:27,320
+حواليها موجودة تمنع انه ال expansion of the kidney
+
+470
+00:37:27,320 --> 00:37:33,980
+انها جزء مهم في تركيبة الكلية لانها تعتمد الكلية
+
+471
+00:37:33,980 --> 00:37:40,610
+اللي في شغلها على ال brushإذا في عندنا ال pyramids
+
+472
+00:37:40,610 --> 00:37:43,130
+قلنا في عندنا ال papilla اللي هو طرف ال pyramid
+
+473
+00:37:43,130 --> 00:37:46,650
+الطرف ال pyramid يعني في ال pelvis بشوف بس الطرف
+
+474
+00:37:46,650 --> 00:37:50,950
+هو اللي طالع كل طرف pyramid ال papilla إليها بتكون
+
+475
+00:37:50,950 --> 00:37:54,330
+إيه calyx لإنه في ال pyramid هم نلاقي إيه ال
+
+476
+00:37:54,330 --> 00:37:59,570
+fenestrations ال pores موجودة الخروم كل خروم هذا
+
+477
+00:37:59,570 --> 00:38:03,870
+جاي من medulla reduct major medulla reduct دكتر
+
+478
+00:38:03,870 --> 00:38:09,330
+رئيسية الدكتر الرئيسية هذهتمام بتطلع هيك لفوق في
+
+479
+00:38:09,330 --> 00:38:11,910
+الحد الكورتكسي بتطلع طول ما هي في الطريق من
+
+480
+00:38:11,910 --> 00:38:14,770
+الكورتكس لحد ما تصل المكان هذا بيضل يخش عليها مين
+
+481
+00:38:14,770 --> 00:38:22,090
+نفرانز يخش عليها نفرانز يفضوا فيها كل فتحة صغيرة
+
+482
+00:38:22,090 --> 00:38:27,850
+هذه كل فتحة صغيرة هذه بتسحب من أربع تلاف نفرانز
+
+483
+00:38:27,850 --> 00:38:33,300
+عندي أنا اتين وخمسين كرمالبابيلة المختلفة هذه
+
+484
+00:38:33,300 --> 00:38:38,380
+بتموزع فيها 250 major medullary duct اللي هم
+
+485
+00:38:38,380 --> 00:38:42,240
+بيفتحوا في البابيلة كل مجموعة من البابيلة كل
+
+486
+00:38:42,240 --> 00:38:44,840
+بابيلة بتفتح فيها مجموعة من ال a من ال pores
+
+487
+00:38:44,840 --> 00:38:48,840
+fenestrations كل واحدة جاية من major duct ال major
+
+488
+00:38:48,840 --> 00:38:54,960
+duct الواحدة بتسحب بتصوب من 4000 نفرون عندي 250
+
+489
+00:38:54,960 --> 00:39:01,450
+يعني عندي مليون نفرون في ال aفي الكليتين في
+
+490
+00:39:01,450 --> 00:39:09,790
+الكليتين عندي ايه مليون نفر تمام اذا
+
+491
+00:39:09,790 --> 00:39:12,870
+قولنا
+
+492
+00:39:12,870 --> 00:39:16,790
+اذا ان انا ايه ال major دكت هذي بتفتح في التب و
+
+493
+00:39:16,790 --> 00:39:19,790
+بتصوب في ال minor calyx بال peristaltic movement
+
+494
+00:39:19,790 --> 00:39:24,390
+اليورين هال بتاخد طبعا هال بتجمع اولها في ال بالفس
+
+495
+00:39:24,390 --> 00:39:28,680
+و بعد ال بالفس كل ما تتجمع نقطة كافيةبتنزل بالسلم
+
+496
+00:39:28,680 --> 00:39:39,340
+النقطة لل إيه؟ لأ اليوريتر، ماشيها لنهاية ال ..
+
+497
+00:39:39,340 --> 00:39:48,040
+حسنا رينال blood flow رينال
+
+498
+00:39:48,040 --> 00:39:52,560
+blood flow ال
+
+499
+00:39:52,560 --> 00:40:00,340
+..خمس الدم اللى بتطلع من الجلب يعدي الكيلية مش كله
+
+500
+00:40:00,340 --> 00:40:05,360
+يعني إذا إحنا الكلية بتشتغل على dilution theory
+
+501
+00:40:05,360 --> 00:40:10,020
+بتشتغل على أي نظام ال dilution theory يعني أنا مش
+
+502
+00:40:10,020 --> 00:40:15,420
+باخد كل الدم و بدخله على الكيلية بصفيه و بطلعه
+
+503
+00:40:15,420 --> 00:40:19,920
+أنظيف مياه المياه لأ أنا بضل أخد خمس الدم أنظفه
+
+504
+00:40:20,750 --> 00:40:24,730
+تمام و برجع النظيف للدم اللى مش نظيف بيصير mixture
+
+505
+00:40:24,730 --> 00:40:31,850
+بخف ال ايه ال waste products تمام بضل اخد و انظف و
+
+506
+00:40:31,850 --> 00:40:35,430
+ارجع نظيف اخد و انظف و ارجع نظيف فانا محافظ زيما
+
+507
+00:40:35,430 --> 00:40:38,510
+على انه يكون نسبة ال waste products اللى موجودة
+
+508
+00:40:38,510 --> 00:40:42,890
+علي في الدم مخفضة مش صفرلأن أنا مش باخدها يعني مش
+
+509
+00:40:42,890 --> 00:40:46,490
+كل الدم زي الجلب لازم أعدي على الجلب و بعدين يطلع
+
+510
+00:40:46,490 --> 00:40:50,430
+منه زي الرقاتين الدم كله لازم أعدي على الرقاتين و
+
+511
+00:40:50,430 --> 00:40:55,670
+يطلع منه لأ الدم بيعدي خمسة او اكتر من خمسة و شوية
+
+512
+00:40:55,670 --> 00:40:58,730
+عشان اتنين او اتنين في المية من ال cardiac output
+
+513
+00:40:58,730 --> 00:41:03,810
+بيعدي على ايه على الكلية و بيروح بيعملها غسيل و
+
+514
+00:41:03,810 --> 00:41:08,470
+تنظيف برجع اللي هو ال .. ال .. الدم اللي هو
+
+515
+00:41:08,470 --> 00:41:15,750
+باعتباره انه منظف إلىالخليط اللي هو اقل يعني جودة
+
+516
+00:41:15,750 --> 00:41:19,590
+فبيحسن جودته درجة و هكذا فعندى عملية dilution
+
+517
+00:41:19,590 --> 00:41:24,630
+عملية ايه dilution انا باخد جزء بنظفه و برجعه
+
+518
+00:41:24,630 --> 00:41:29,350
+بحافظ على انه ال level اللي تبع النظافة يظل هو هو
+
+519
+00:41:29,350 --> 00:41:34,650
+ال blood supply للكيليا مهم الكيليا is a vascular
+
+520
+00:41:34,650 --> 00:41:40,870
+organ a kidney is a vascular organ لذلك
+
+521
+00:41:42,300 --> 00:41:47,740
+ما يتعلق بال blood pressure وال blood vessels إذا
+
+522
+00:41:47,740 --> 00:41:51,080
+أصلا تغير في ال .. يعني أثر ال sclerosis زاد بدرب
+
+523
+00:41:51,080 --> 00:41:54,440
+الكيلية لإن الكيلية مبنية على إيه؟ على ال blood
+
+524
+00:41:54,440 --> 00:41:59,400
+vessels organ vascular في نزل الضغط خربت الكيلية
+
+525
+00:41:59,400 --> 00:42:02,800
+عالي الضغط خربت الكيلية صلبت الشرقين .. الشرقين
+
+526
+00:42:02,800 --> 00:42:08,740
+خربت الكيلية تمام؟ ليش؟ it is a vascular organ طيب
+
+527
+00:42:11,130 --> 00:42:15,990
+عندى انا الرينا الارتي بدخل اجيب الصورة الصورة
+
+528
+00:42:15,990 --> 00:42:20,270
+الصورة انها هنا okay عندنا الرينا الارتي هو ورينا
+
+529
+00:42:20,270 --> 00:42:23,970
+الوينز وجنبها بدخلوا ال highland طبعا الارتي داخل
+
+530
+00:42:23,970 --> 00:42:30,150
+و الوينز ايه طالع مش كده طيب الارتي بدخل الرينا
+
+531
+00:42:30,150 --> 00:42:35,150
+الارتي فى داخل ال بالفزهان بتجسم الارتي ل branches
+
+532
+00:42:35,150 --> 00:42:39,640
+مختلفةتمام؟ segmental arteries و بعدين بيجي ال
+
+533
+00:42:39,640 --> 00:42:41,920
+segmental arteries هذا بتخش على المناطق مختلفة من
+
+534
+00:42:41,920 --> 00:42:45,380
+الكلية هذا في ال .. في ال pelvis حوالين ال ..
+
+535
+00:42:45,380 --> 00:42:49,560
+حوالين ال pelvis يعني ال pelvis جوا ال fluid او ال
+
+536
+00:42:49,560 --> 00:42:52,900
+urine اه في .. في ال structure ما بين الفراغ هذا
+
+537
+00:42:52,900 --> 00:42:56,440
+وبين ال ايه؟ بتشوف بيصير عند ال segmental ال
+
+538
+00:42:56,440 --> 00:43:00,220
+segmental هدول في الآخر بتفرعوا إلى interlubar
+
+539
+00:43:00,220 --> 00:43:04,640
+interlubar branches بتخش بين ال loops هذا احنا
+
+540
+00:43:04,640 --> 00:43:12,380
+عندنا ايه؟هذا هذا loop loop loop loop انتر looper
+
+541
+00:43:12,380 --> 00:43:19,500
+بعدين في عندنا ايه ال inter looper artists هذه
+
+542
+00:43:19,500 --> 00:43:24,720
+بتحول بتعمل branches تتحول إلى inter lobular بين
+
+543
+00:43:24,720 --> 00:43:31,400
+ال lobules هذه
+
+544
+00:43:31,400 --> 00:43:35,120
+ال inter هنا ال inter lobular هذا inter lobularو
+
+545
+00:43:35,120 --> 00:43:41,520
+هذا interlobular هذا interlober أساسي دخل و بعدين
+
+546
+00:43:41,520 --> 00:43:47,120
+بيخش بين ال pyramids بيخش بين ال interlobular بين
+
+547
+00:43:47,120 --> 00:43:51,540
+ال pyramids و ال interlobular هذا من الجهة هذه و
+
+548
+00:43:51,540 --> 00:43:54,560
+الجهة هذه بيعملوا ال branches كده بتشبك في بعض
+
+549
+00:43:54,560 --> 00:44:01,260
+فتبقى فاصلة ما بين ال cortexوالمدلة وحوالي ال
+
+550
+00:44:01,260 --> 00:44:05,360
+pyramid تمام متصلة بينها وانها زى ما تشايفين هي
+
+551
+00:44:05,360 --> 00:44:13,340
+متصلة فهذه سمناها arcuate arteries اه اذا ال
+
+552
+00:44:13,340 --> 00:44:18,160
+interloper هذى تديني arcuate هذى هذى ال interloper
+
+553
+00:44:18,160 --> 00:44:20,260
+هذى البني هذا اللي بيقول هذا اللي بيقول هذا ال
+
+554
+00:44:20,260 --> 00:44:23,680
+interloper ال interloper arteries تديني arcuate
+
+555
+00:44:23,680 --> 00:44:28,520
+arteries بعدين ال arcuate arteries هذىالاركويت
+
+556
+00:44:28,520 --> 00:44:33,100
+artists هذه بتطلع منها شبكة هيك طويلة شكلها كده
+
+557
+00:44:33,100 --> 00:44:36,380
+radiating هيك فبنسميها radiating artists او
+
+558
+00:44:36,380 --> 00:44:40,300
+interlobular artists او ايش؟ interlobular artists
+
+559
+00:44:40,300 --> 00:44:43,280
+و ال interlobular artists هنا خليني اتكلم عنها
+
+560
+00:44:43,280 --> 00:44:49,340
+هذه، هذا اركويت هذا جاء من ايش؟ من interlober هذا
+
+561
+00:44:49,340 --> 00:44:53,200
+interlober اه ال interlober هذا الدني برانشيز عملت
+
+562
+00:44:53,200 --> 00:44:57,190
+ال ايه؟ الاركويت هذه المضلة هذه البرامداعتبروها
+
+563
+00:44:57,190 --> 00:45:00,010
+pyramid لان هي ماشية دول بدي ماشية ال pyramid تحته
+
+564
+00:45:00,010 --> 00:45:04,110
+و ال cortex فوقه مش هيك ال R cubed arteries هذي
+
+565
+00:45:04,110 --> 00:45:08,570
+بتطلعليه street interlobular arteries متجه في
+
+566
+00:45:08,570 --> 00:45:11,970
+اتجاه الكابسول متجاه ال cortex لفوق في اتجاه
+
+567
+00:45:11,970 --> 00:45:17,070
+الكابسول نسميها interlobular او نسميها radiating
+
+568
+00:45:17,070 --> 00:45:22,690
+arteriesوكل واحد من هدول هو ماشي يطلع افرد افرد
+
+569
+00:45:22,690 --> 00:45:29,250
+افرد افرد افرد افرد افرد افرد افرد افرد افرد افرد
+
+570
+00:45:29,250 --> 00:45:30,570
+افرد افرد افرد افرد افرد افرد افرد افرد افرد افرد
+
+571
+00:45:30,570 --> 00:45:31,370
+افرد افرد افرد افرد افرد افرد افرد افرد افرد افرد
+
+572
+00:45:31,370 --> 00:45:31,870
+افرد افرد افرد افرد افرد افرد افرد افرد افرد افرد
+
+573
+00:45:31,870 --> 00:45:41,810
+افرد افرد افرد افرد افرد افرد افرد افرد افرد افرد
+
+574
+00:45:42,680 --> 00:45:46,000
+البرانشيز هذا انطلع افرانت آرتي الافرانت آرتي هذا
+
+575
+00:45:46,000 --> 00:45:53,640
+هذا هو الصغير هذا هيخش النفرون ويعمل طفط of
+
+576
+00:45:53,640 --> 00:45:58,140
+capillaries نسميها glomerulus ويطلع منها على شكل
+
+577
+00:45:58,140 --> 00:46:03,600
+افرانت آرتي طبعا؟ اذا عندي ايه؟ ال .. ال .. كل ال
+
+578
+00:46:03,600 --> 00:46:10,900
+glomerulus من هدول محيط بيها ال .. ال renal tubule
+
+579
+00:46:11,380 --> 00:46:16,020
+إن النفرون عبارة عن إيش؟ عبارة عن glomerulus
+
+580
+00:46:16,020 --> 00:46:21,220
+وrenal tubule، ال glomerulus طفطوف كابيلاريز
+
+581
+00:46:21,220 --> 00:46:23,940
+وrenal tubule فاكرين السير الساك اللي اتكلمنا عنه
+
+582
+00:46:23,940 --> 00:46:30,680
+زمان؟ السير الساك عبارة عن بوب مسكرهذا ال .. هو ال
+
+583
+00:46:30,680 --> 00:46:34,880
+tubule صير الساك زي الصير الساك، أنبوب مسكر أو
+
+584
+00:46:34,880 --> 00:46:39,860
+يعني مفتوح في طرفه التحتاني، تبتبع هذا المسكر بيجي
+
+585
+00:46:39,860 --> 00:46:44,100
+تدخل ال tuft فيه، تمام؟ فبصير كبال ال .. ال
+
+586
+00:46:44,100 --> 00:46:47,500
+glomerulus هذه اللي جاي من ال blood vessels داخلة
+
+587
+00:46:47,500 --> 00:46:51,900
+محوطة بالإيه؟ بlayer من ال .. ال layer الداخلية لل
+
+588
+00:46:51,900 --> 00:46:58,060
+إيش؟ لل .. لل .. لل .. لل tubuleهذه اللي هي
+
+589
+00:46:58,060 --> 00:47:01,240
+الداخلية من ال tubule ان هذه المنطقة عاملة زي ال
+
+590
+00:47:01,240 --> 00:47:05,900
+capsule محوطة ال capillary tuft اللي هي ال
+
+591
+00:47:05,900 --> 00:47:09,200
+glomerulus إذا في طبقة داخلية حواليها و طبقة
+
+592
+00:47:09,200 --> 00:47:12,560
+خارجية الفلتريات بنزل فيها و بنزل بكمل في ال
+
+593
+00:47:12,560 --> 00:47:17,880
+tubule تمام هتتضح الصورة بعد شوية إذا عند
+
+594
+00:47:17,880 --> 00:47:18,660
+glomerulus
+
+595
+00:47:20,970 --> 00:47:25,250
+ده دم دخل ال glomerulus و blood vessels طلعت من ال
+
+596
+00:47:25,250 --> 00:47:28,230
+glomerulus هدى اسم ال aphrin دخلت و ال aphrin
+
+597
+00:47:28,230 --> 00:47:32,810
+بتطلع طبعا إذا هدى التركيبة تبعتش اسمه كل
+
+598
+00:47:32,810 --> 00:47:36,710
+glomerulus هنا في الآخر مشبوك فيه فيه ال tribune و
+
+599
+00:47:36,710 --> 00:47:40,030
+عامل التن مع بعض عاملين نفرون التن عاملين نفرون و
+
+600
+00:47:40,030 --> 00:47:43,350
+النفرونز ما هنتكلم عن تركيبتها بعد شوية لكن هدى
+
+601
+00:47:43,350 --> 00:47:46,790
+التركيبة إذا هى structure blood vessel vascular
+
+602
+00:47:46,790 --> 00:47:53,190
+structure و مبني عليهباجيت الشغل يعني اول توزيع ل
+
+603
+00:47:53,190 --> 00:47:57,830
+blood vessels و ال nephrons بتيجي بتركب على الكل
+
+604
+00:47:57,830 --> 00:48:03,010
+تيوبيول بيركب على glomerulus اه و بيعمل ل باجيت ال
+
+605
+00:48:03,010 --> 00:48:05,710
+structure تبع النفرون فلذلك قلتلك هو vascular
+
+606
+00:48:05,710 --> 00:48:09,490
+structure أساسا ال efferent اللي طالع هذا بيروح
+
+607
+00:48:09,490 --> 00:48:14,930
+بيعمل أشياء أخرى بيجي بيكمل شغله بيعمل network
+
+608
+00:48:20,030 --> 00:48:23,970
+هي الاركيوتارتي هى ال interlobular او ال radiating
+
+609
+00:48:23,970 --> 00:48:28,090
+artery هى ال afferent عاملة هان ل glomerulus و هى
+
+610
+00:48:28,090 --> 00:48:32,690
+ال Bowmans capsule هاد الفرق تبعها طبقة بتحيط بال
+
+611
+00:48:32,690 --> 00:48:37,090
+glomerulus و طبقة تانية موجودة بتكمل مع ال tubule
+
+612
+00:48:37,090 --> 00:48:40,810
+لذا كان بيصيح filtration هان بيخش على glomerulus
+
+613
+00:48:40,810 --> 00:48:44,130
+هان ال filtration على الكابسول و بيكمل ال tubule
+
+614
+00:48:45,010 --> 00:48:50,030
+هنا نرجع لل arts هنا ال a front arts بعد ما يطلع
+
+615
+00:48:50,030 --> 00:48:53,990
+من ال glomerulus برجع بيلف حوالين ال tubule اللى
+
+616
+00:48:53,990 --> 00:48:56,310
+هى رينا ال tubule اللى بتكلم عنها بعد شوية بيلف
+
+617
+00:48:56,310 --> 00:49:01,130
+حواليها بيعمل peritubular capillar network طب ماذا
+
+618
+00:49:01,130 --> 00:49:07,730
+هذا غريب عمللي two networks كأنه ال a front هذا
+
+619
+00:49:07,730 --> 00:49:13,770
+عبارة عن ايه كأنه ال a front اللى موجود between
+
+620
+00:49:13,770 --> 00:49:31,650
+twoكابيلا نتواركز كابيلا
+
+621
+00:49:31,650 --> 00:49:36,350
+نتواركز كابيلا
+
+622
+00:49:36,350 --> 00:49:41,930
+نتواركز كابيلا نتواركز كابيلا نتواركز كابيلا
+
+623
+00:49:41,930 --> 00:49:44,570
+نتواركز كابيلا نتواركز كابيلا نتواركزلكن انه يعمل
+
+624
+00:49:44,570 --> 00:49:47,630
+capillary system بعدين يبتحد يعملي one blood
+
+625
+00:49:47,630 --> 00:49:49,910
+vessel كبير بعدين يجي يعملي capillary system من
+
+626
+00:49:49,910 --> 00:49:53,890
+أول و جديد هذه بيسميها الدورة البوابية a portal
+
+627
+00:49:53,890 --> 00:50:00,510
+system a portal system هنلاقيها وين؟ في ال .. وين
+
+628
+00:50:00,510 --> 00:50:07,720
+هنلاقيها؟ في ال abdomen ال GITبطلع من ال cabernet
+
+629
+00:50:07,720 --> 00:50:12,420
+-7 g.i.t بتدوري ال portal فين؟ بعدين بيعود بفتح في
+
+630
+00:50:12,420 --> 00:50:14,720
+ال lever بعمل cabernet-1 بيسمي زمينا ال portal
+
+631
+00:50:14,720 --> 00:50:18,400
+portal فين؟ مش كده؟ اذا ال portal .. و هنا كانها
+
+632
+00:50:18,400 --> 00:50:21,040
+portal system لإن في cabernet-1 بعدين ترجح كده
+
+633
+00:50:21,040 --> 00:50:24,700
+بتعمل كمان cabernet-1 بينهم اللي هو ال a front مش
+
+634
+00:50:24,700 --> 00:50:28,420
+كده؟ و عندها نلاحظها احنا بعد كده لما ندرس الغد
+
+635
+00:50:28,420 --> 00:50:32,540
+النخاميةإنه من الهيبوثالامس لغضب النخامية
+
+636
+00:50:32,540 --> 00:50:36,400
+capillary system بتديني blood vessels بعدين بتوصل
+
+637
+00:50:36,400 --> 00:50:39,360
+ال .. ال .. ال .. بتوطر جنان بتتعود تتفرع من أول
+
+638
+00:50:39,360 --> 00:50:43,820
+جديد برضه portal system موجود المهدد كأنها portal
+
+639
+00:50:43,820 --> 00:50:47,020
+system بين النفرون أو بين البرتيوبر capillaries
+
+640
+00:50:47,020 --> 00:50:50,120
+بين البرتيوبر capillaries هتتجمع من أول جديد تعمل
+
+641
+00:50:50,120 --> 00:50:54,510
+ال veins و بترجع ال veins تمشي جانب إخواتهاتمام؟ و
+
+642
+00:50:54,510 --> 00:50:56,810
+هنا ال earth هي هذا ال interlooper تمشي جنبه فين؟
+
+643
+00:50:56,810 --> 00:50:58,970
+و ال interlooper فين؟ و ال interlooper اركض فين؟
+
+644
+00:50:58,970 --> 00:51:01,570
+اركض فين؟ تمشي إلينا ال earth و تجيبها فين؟ و برجع
+
+645
+00:51:01,570 --> 00:51:07,770
+تاني لذا ال system بيخش و .. مش شاكل هذا طيب احنا
+
+646
+00:51:07,770 --> 00:51:11,150
+بقينا مثلا على ال bud vessels ال structure المرتب
+
+647
+00:51:11,150 --> 00:51:14,850
+هذا ال radiating earth طالع و ال branches هيك حلوة
+
+648
+00:51:14,850 --> 00:51:19,290
+طلع كل واحد طلع ال tuft of glomeruli اللي هو عملنا
+
+649
+00:51:19,290 --> 00:51:24,160
+ال ايه؟ ال ..الجلومير .. ال .. ال .. ال .. طفتوف
+
+650
+00:51:24,160 --> 00:51:31,000
+كابيلاريز بيسموها glomerulus، اذا ان انا
+
+651
+00:51:31,000 --> 00:51:34,680
+.. طيب، هذا ال .. كابيلاريز .. بعد بيرتويب على
+
+652
+00:51:34,680 --> 00:51:38,440
+الكابيلاريز تمام، بنرجع .. بنصير .. بنرجع Venus
+
+653
+00:51:38,440 --> 00:51:44,420
+صحيح، بصير عملية عكسية، لكنها Venus، طيب، الآن
+
+654
+00:52:16,270 --> 00:52:17,670
+الالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالالال
+
+655
+00:52:22,340 --> 00:52:25,020
+طبعا شغلته لإنه شغلته الرئيس يعمل filtration مش
+
+656
+00:52:25,020 --> 00:52:29,580
+هاد ويعمل ايه؟ filtration و هذا بيقدر إلى انه ال
+
+657
+00:52:29,580 --> 00:52:33,740
+blood vessels هاد اللي بتعمل ال .. بتكلم انا قاعد
+
+658
+00:52:33,740 --> 00:52:37,300
+على glomerulus بتكلم عن capillaries ال capillary
+
+659
+00:52:37,300 --> 00:52:42,560
+.. glomerul capillary في ضغط ستين عالي بس ال
+
+660
+00:52:42,560 --> 00:52:46,660
+capillary في الجسم العادي اتنين وتلاتين او تمانين
+
+661
+00:52:46,660 --> 00:52:50,660
+او عشرين يعني بالمنطقى هادىو بعدين في الجسم بيفتح
+
+662
+00:52:50,660 --> 00:52:54,780
+شوية و بيستكري شوية مش هيك؟ بيفتح شوية و بيستكري
+
+663
+00:52:54,780 --> 00:53:00,140
+شوية بالتبادل عشر المية فاتحين باستمرار و تسعين في
+
+664
+00:53:00,140 --> 00:53:06,000
+المية بيبقوا ايه؟ خلاص بينا راتحين لكن هنا متواصل،
+
+665
+00:53:06,000 --> 00:53:10,640
+إذا في عندك ضغط عالي و ضغط ايه؟ متواصل، حاجتين،
+
+666
+00:53:10,640 --> 00:53:15,700
+متميزين لذلك رب العالمين ادى لـ Cabela Network هذه
+
+667
+00:53:15,700 --> 00:53:21,100
+system دعم إضافيتمام؟ اذا هنتطلع لما ندرس ال
+
+668
+00:53:21,100 --> 00:53:25,880
+glomerular ال glomerular structure هنتفاجأ انها مش
+
+669
+00:53:25,880 --> 00:53:30,700
+بس ال capillary wall هي اللي نهاية المطاف هنا لأ
+
+670
+00:53:30,700 --> 00:53:32,680
+لو على ال capillary wall الدق العالي هراه مش
+
+671
+00:53:32,680 --> 00:53:36,800
+هتخربها همزعها لأ فيها support هنلاقي support
+
+672
+00:53:36,800 --> 00:53:43,180
+خارجي لها ماسكها هيك حتى انها ايه لا تنفجر وال
+
+673
+00:53:43,180 --> 00:53:46,380
+support هذا مش مؤثر على ان ال poresبيطلع منها
+
+674
+00:53:46,380 --> 00:53:49,540
+الفرسليت عادي زي اي مكان تاني بس يعملها support
+
+675
+00:53:49,540 --> 00:53:53,040
+هنا و هنا و هنا خارج ال pores حتى يمنعها من الضغط
+
+676
+00:53:53,040 --> 00:53:57,840
+العالي هذا على سنوات طويلة انه ما يتأثرش تمام؟
+
+677
+00:53:57,840 --> 00:54:02,720
+لذلك بنلاحظ احنا انه ال structure بتمشي مع ان احنا
+
+678
+00:54:02,720 --> 00:54:07,540
+شغلتنا متميزة غير عن الكابيريت تاني لذلك ضغطه عالي
+
+679
+00:54:07,540 --> 00:54:10,700
+okay فال structure كمان غيرت ال structure أخد دعم
+
+680
+00:54:10,700 --> 00:54:18,580
+إضافي عشان يمنع الالكيلية مع العمر مع العمر
+
+681
+00:54:18,580 --> 00:54:22,400
+الكيلية بيصلها degeneration النفرونز هذه بعد سن
+
+682
+00:54:22,400 --> 00:54:29,480
+اربعين بيللاحظ انه من سن اربعين لسن تمانين من سن
+
+683
+00:54:29,480 --> 00:54:33,500
+اربعين لسن تمانين اربعين سنة يعني اربعين فرمية من
+
+684
+00:54:33,500 --> 00:54:38,290
+النفرونز بيصلها degeneration and atrophy تمام؟لذن
+
+685
+00:54:38,290 --> 00:54:42,070
+احنا مع العمر الكلية ال functioning units بتبعتها
+
+686
+00:54:42,070 --> 00:54:46,390
+اللي هي ال nephrons بتجل بتجل بتجل مع العمر يعني ع
+
+687
+00:54:46,390 --> 00:54:49,310
+سن التمانين بنلاقي موجود عندنا فقدنا اربعين في
+
+688
+00:54:49,310 --> 00:54:51,810
+المية من الكابيلاريس اللي احنا ال nephrons اللي
+
+689
+00:54:51,810 --> 00:54:56,150
+بدناها و احنا في سن الاربعين يعني لحد سن اربعين
+
+690
+00:54:56,150 --> 00:55:01,830
+بتظل كما هي اه و بعدين بعدين اربعين حتى اذا بلغ
+
+691
+00:55:01,830 --> 00:55:10,180
+أشده وبلغ اربعين سنة اهالاشد للاربعين بعد الاربعين
+
+692
+00:55:10,180 --> 00:55:18,380
+بيبدأ الكيلية تهبط شوية شوية ال testosterone بيظل
+
+693
+00:55:18,380 --> 00:55:22,480
+ممتاز للاربعين بعد الاربعين كل سنة بخفض .. بنخفض
+
+694
+00:55:22,480 --> 00:55:26,040
+واحد في المية يظل يوميا فالقرآن جلنا انه اشد
+
+695
+00:55:26,040 --> 00:55:32,220
+الإنسان على اربعينتمام؟ بيضل يقوى و يبدع و عنده
+
+696
+00:55:32,220 --> 00:55:36,920
+نشاط اكتر و كده و قوة اكتر و structure كمان اكتر
+
+697
+00:55:36,920 --> 00:55:40,400
+الرقم هذا رقم علم مش من القرآن احنا جيبناها بس
+
+698
+00:55:40,400 --> 00:55:45,440
+القرآن ذكروا اربعين سنة تمام؟ فبعدها بيبدأ يهبط ال
+
+699
+00:55:45,440 --> 00:55:49,220
+testosterone في الجسم و بيبدأ يهبط ال .. ال .. ال
+
+700
+00:55:49,220 --> 00:55:54,100
+nephrons مش كده عددها بيبدأ يجل و كمان بالمرة
+
+701
+00:55:55,240 --> 00:55:59,340
+الكلسيتونيين اللى بيبني فى العظم بيبدأ ينخفض
+
+702
+00:55:59,340 --> 00:56:02,560
+التانى، اذا فى عندنا اشياء بعد سنة واربعين تبدأ
+
+703
+00:56:02,560 --> 00:56:08,900
+ايه؟ تنخفض وما نعمره وننكسه فى الخلق، فبصير جسمنا
+
+704
+00:56:08,900 --> 00:56:15,520
+يضعف، نتفان، نتفان، نتفان، طيب اذا
+
+705
+00:56:15,520 --> 00:56:22,400
+عندنا aglomerulus فى ضغط فى الأفرند تمام؟ والضغط
+
+706
+00:56:22,400 --> 00:56:26,490
+هذا هو اللى بيعمل filtrationالضغط هذا مضبوط بشكل
+
+707
+00:56:26,490 --> 00:56:33,310
+معين بإمكاننا انه نزوده او نجلله اللي بيحكمه تمام
+
+708
+00:56:33,310 --> 00:56:39,010
+النفرن نفسه جديش بيصله في ال trade الأشياء
+
+709
+00:56:39,010 --> 00:56:44,790
+في داخل النفرن حساسة مناطقمثلا إن الماكولا دي نسى
+
+710
+00:56:44,790 --> 00:56:50,470
+منطقى حساسة حسب كده بيصلها بتقولها الضغط زود لضغط
+
+711
+00:56:50,470 --> 00:56:53,610
+شوية أو جلل لضغط شوية إذا في عندي afferent و
+
+712
+00:56:53,610 --> 00:56:58,450
+efferent arteriole لو ال afferent فتح زيادة الضغط
+
+713
+00:56:58,450 --> 00:57:01,970
+اللى بيخش على ال a على glomerulus بيزيد لو ال
+
+714
+00:57:01,970 --> 00:57:07,160
+efferent فتح شوية اه الضغط اللى في ال aبجل مش كده
+
+715
+00:57:07,160 --> 00:57:10,940
+فإذا عندي control هان بين ال resistance و ال
+
+716
+00:57:10,940 --> 00:57:13,920
+dilatation تبع ال afferent و ال efferent فظبطلي
+
+717
+00:57:13,920 --> 00:57:17,720
+الضغط اللي لازم لل filtration مش كده و عندي كمان
+
+718
+00:57:17,720 --> 00:57:22,450
+انا تو شوية و شوية صغيرة جولنا فيها انا reninالرنن
+
+719
+00:57:22,450 --> 00:57:26,050
+لو الضغط واطئ كمان بيبقى تقولوا لأ عالي شوية إذا
+
+720
+00:57:26,050 --> 00:57:28,290
+أنا الضغط في الكيليا بينما أقدر أتحكم فيه في
+
+721
+00:57:28,290 --> 00:57:32,530
+النفران في عدة .. عدة أماكن الرنن اللي بيطلع
+
+722
+00:57:32,530 --> 00:57:37,590
+بتحكملي في الانجوتنسين 2 والضغط العام وفي locally
+
+723
+00:57:37,590 --> 00:57:42,370
+بظبط ال إيه لأزود شوية، الضغط العام كويس لكن انه
+
+724
+00:57:42,370 --> 00:57:45,490
+إيه ال .. ال .. ال load اللي وصل ال load تبع ال
+
+725
+00:57:45,490 --> 00:57:49,770
+filtration اللي وصل ال distillate will be العاليمش
+
+726
+00:57:49,770 --> 00:57:53,550
+جادرله انا اخفف ال filtration مابي اخفف الضغط عشان
+
+727
+00:57:53,550 --> 00:57:56,890
+يجال ال filtration عشان اللي ماشي في ال tubule
+
+728
+00:57:56,890 --> 00:58:01,910
+مايطلع هي كمهلة لأ لازم يكون under control فبيبقى
+
+729
+00:58:01,910 --> 00:58:05,490
+ال load تبع النفرون حسب قدرة النفرون لو ال load
+
+730
+00:58:05,490 --> 00:58:09,670
+زاد ع طول في إشارة ان ال tubular glomeral reflex
+
+731
+00:58:09,670 --> 00:58:13,670
+tubular glomeral balance لحيث انه ال filtration
+
+732
+00:58:13,670 --> 00:58:20,120
+يتناسب مع قدرة ال aالـ tubule علشان مايتكونش فيه
+
+733
+00:58:20,120 --> 00:58:24,700
+عندى electrolytes او water مش جادر اتحكم فيها لإن
+
+734
+00:58:24,700 --> 00:58:27,880
+لو انا زاد عند الضغط و ال filtration زاد فجأة
+
+735
+00:58:27,880 --> 00:58:32,480
+بنلاقي احنا صار عندنا diuresis صار عندنا ball كتير
+
+736
+00:58:32,480 --> 00:58:37,460
+بيطلع اه hypertension بتاع بيعمللي ايه؟ diuresis
+
+737
+00:58:37,460 --> 00:58:43,220
+الجسم بعد شوية بيحاول اضبطه تمام؟ ف .. ف .. ففي ..
+
+738
+00:58:43,220 --> 00:58:48,070
+الضغط لو زادلكن عندى ال نفرون مركب اذا الأمور
+
+739
+00:58:48,070 --> 00:58:53,130
+كويسة مظبوطة اي زيادة في اخر النفرون بيقول انا هذا
+
+740
+00:58:53,130 --> 00:58:57,170
+متوجع انا يجيني اقل من هيك ليه جاين كتير؟ جلل ال
+
+741
+00:58:57,170 --> 00:59:01,290
+filtration و احسن طريقة لتجلي ال filtration يا اما
+
+742
+00:59:01,290 --> 00:59:07,220
+نوسع ال efferent ارتريال بجلة الضغط يا اماانضيق
+
+743
+00:59:07,220 --> 00:59:10,780
+الافرانت او نفتح الكلية هي ال control ففي عندي انا
+
+744
+00:59:10,780 --> 00:59:15,740
+هنا في المنطقة هذه by adjusting the resistance of
+
+745
+00:59:15,740 --> 00:59:18,640
+the afferant and efferant arteriole the kidneys
+
+746
+00:59:18,640 --> 00:59:22,280
+can regulate the hydrostatic pressure in both the
+
+747
+00:59:22,280 --> 00:59:24,780
+glomerular and peritubular capillaries وهذه اللي
+
+748
+00:59:24,780 --> 00:59:31,420
+هي مبنية عليها كل ال function تبع الكليةطيب ال
+
+749
+00:59:31,420 --> 00:59:35,600
+نفرون is the functional unit of the kidney نفرون
+
+750
+00:59:35,600 --> 00:59:38,860
+اتكلم عن نفرون اذا الان ال نفرون اتكلمنا عن ال
+
+751
+00:59:38,860 --> 00:59:43,560
+blood blood vessels تبعت ال .. لإن هي vascular اه
+
+752
+00:59:43,560 --> 00:59:47,760
+جد وعلى هوا ال blood تركيبة التوزيح عن جمال تبع ال
+
+753
+00:59:47,760 --> 00:59:51,420
+blood vessels التوزيح فيها مركب نفرون تمام؟ طيب
+
+754
+00:59:51,420 --> 00:59:54,440
+النفرون هذا الآن عبارة عن ايش؟ عبارة عن glomerulus
+
+755
+00:59:54,440 --> 00:59:58,760
+و عن tubule مش كده؟ glomerulus و tubule
+
+756
+01:00:01,880 --> 01:00:06,600
+glomerulus هى glomerulus نرجع عن ان ال a front
+
+757
+01:00:06,600 --> 01:00:10,900
+اللى جاى توزع عملى tuft هن وطلع a front اقوى
+
+758
+01:00:10,900 --> 01:00:14,760
+tubule ال tubule هن عندنا اول اشي ال bowmans
+
+759
+01:00:14,760 --> 01:00:18,440
+capsule اول tubule فى لها layer محيطة بالايه
+
+760
+01:00:18,440 --> 01:00:22,280
+بالglomerulus و layer خارجية تمام اذا ال
+
+761
+01:00:22,280 --> 01:00:25,620
+filtration اللى بيحصل هن يخش فى داخل ال tubule هن
+
+762
+01:00:25,620 --> 01:00:30,250
+هنال .. ال .. ال .. احنا مجشرين ال bombas capsule
+
+763
+01:00:30,250 --> 01:00:34,030
+عشان نطلع في داخلها وهي ال tubule .. ال tubule اه
+
+764
+01:00:34,030 --> 01:00:40,330
+عوض زحرة ال tubule هان هذه .. هذه .. اه ال tubule
+
+765
+01:00:40,330 --> 01:00:48,150
+هذه طويلة long tubule طبعا ال structure تبعها اول
+
+766
+01:00:48,150 --> 01:00:50,370
+.. قولنا اول اش في ال tubule عندي انا ال bombas
+
+767
+01:00:50,370 --> 01:00:57,220
+capsule اللي تحيط بال ايه؟ بال .. اهع فكرة في اسم
+
+768
+01:00:57,220 --> 01:01:01,560
+كان زمان نستخدمه احنا لان التغه بطل في الكتب تبعكم
+
+769
+01:01:01,560 --> 01:01:05,940
+اسمه ال مالبيجيان كورباصل لو مرة عليكوا تفهموه ال
+
+770
+01:01:05,940 --> 01:01:11,540
+مالبيجيان كورباصل هذا عبارة عن ال glomerulus اللي
+
+771
+01:01:11,540 --> 01:01:14,700
+هو ال glomerulus ال arterial .. ال vascular side و
+
+772
+01:01:14,700 --> 01:01:18,100
+ال Bowman's capsule ال tubular side مش هيك؟ يعني
+
+773
+01:01:18,100 --> 01:01:21,660
+هذا tubular part و هذا .. اتنين مع بعضاسمها
+
+774
+01:01:21,660 --> 01:01:25,740
+مالبيجان كوربسل اسمها مالبيجان كوربسل اذا هذه
+
+775
+01:01:25,740 --> 01:01:29,560
+مالبيجان كوربسل اللي هي ال glomerulus مع ال tubule
+
+776
+01:01:29,560 --> 01:01:33,760
+اللي فيها اه اذا عندي glomerulus و بومانس كابسول
+
+777
+01:01:33,760 --> 01:01:37,740
+تحيطها مالبيجان كوربسل وبعدين بيش عندي انا هنا
+
+778
+01:01:37,740 --> 01:01:43,600
+proximal tubule بس بما انها ملتوية كتير سميناها
+
+779
+01:01:43,600 --> 01:01:47,280
+convoluted اذا عندي proximal convoluted tubule مش
+
+780
+01:01:47,280 --> 01:01:54,170
+كده وكل ما أخرها بيصيرش convoluted بيصير straight
+
+781
+01:01:54,170 --> 01:01:58,170
+أخرها بيصير straight لكن اسمها proximal
+
+782
+01:01:58,170 --> 01:02:03,110
+convolutable تنتهي ب loop of Henle ال loop of
+
+783
+01:02:03,110 --> 01:02:06,870
+Henle هذا عنده descending part أو ascending part
+
+784
+01:02:06,870 --> 01:02:13,110
+بيرجع ال loop of Henle بيعمللي كمان مرة distal
+
+785
+01:02:13,110 --> 01:02:15,910
+convolutable إذا في عندى proximal convolutable
+
+786
+01:02:15,910 --> 01:02:21,550
+وعندي distal convolutable تمام؟والدوسر الكمبيوتر
+
+787
+01:02:21,550 --> 01:02:22,290
+بتبنيه لهذه
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/kNeSNUFp40Q.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/kNeSNUFp40Q.srt
new file mode 100644
index 0000000000000000000000000000000000000000..b0bdd71fbbb1b54fae7f11f5ff65faf2039b1875
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/kNeSNUFp40Q.srt
@@ -0,0 +1,2622 @@
+1
+00:00:07,440 --> 00:00:11,260
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:11,260 --> 00:00:17,980
+اتكلمنا في المحاضرة الماضية عن العوامل التي تعمل على
+
+3
+00:00:17,980 --> 00:00:24,520
+regulation of the ventilation. فقلنا عندنا الـ carbon
+
+4
+00:00:24,520 --> 00:00:28,000
+dioxide blood level. of carbon dioxide is the most
+
+5
+00:00:28,000 --> 00:00:32,620
+important, followed by hydrogen ions, then the
+
+6
+00:00:32,620 --> 00:00:35,720
+partial pressure of oxygen. هذا in terms of the
+
+7
+00:00:35,720 --> 00:00:39,560
+central control. وقلنا الـ peripheral control بيكون
+
+8
+00:00:39,560 --> 00:00:44,700
+فيه الـ oxygen هو الـ upper hand، ثم الـ carbon
+
+9
+00:00:44,700 --> 00:00:48,560
+dioxide و الـ hydrogen ions. الـ curve الأمامي لها
+
+10
+00:00:48,560 --> 00:00:52,120
+يرسم العلاقة بين هذه الأشياء الثلاثة، بين الـ alveolar
+
+11
+00:00:52,120 --> 00:00:58,250
+ventilation، مع الـ carbon dioxide pressure، مع الـ pH
+
+12
+00:00:58,250 --> 00:01:04,690
+و مع الـ oxygen tension. من هنا نلاحظ مثلاً أنه لما
+
+13
+00:01:04,690 --> 00:01:10,050
+يكون عندي الـ pH، يعني الـ hydrogen ion concentration
+
+14
+00:01:10,050 --> 00:01:18,890
+أعلى، يكون عندي lower carbon dioxide level
+
+15
+00:01:18,890 --> 00:01:23,820
+مُعطيني more ventilation. فإحنا هنا على عشرين
+
+16
+00:01:23,820 --> 00:01:29,060
+أعطتنا نفس الـ levels اللي a اللي على خمسة و ثلاثين
+
+17
+00:01:29,060 --> 00:01:33,540
+إذا الأخضر واضح أنه more similar to a than
+
+18
+00:01:33,540 --> 00:01:38,780
+الأحمر. الـ pH اللي هي 7.37 أفضل من الـ
+
+19
+00:01:38,780 --> 00:01:46,290
+pH اللي هي 7.4. يعني كلما
+
+20
+00:01:46,290 --> 00:01:49,350
+زادت hydrogen ion concentration، كلما كان عندي
+
+21
+00:01:49,350 --> 00:01:53,590
+more stimulation for respiration. إذا هذه نقطة
+
+22
+00:01:53,590 --> 00:01:58,970
+نقطة ثانية، أن pressure of oxygen على نفس level
+
+23
+00:01:58,970 --> 00:02:06,510
+of carbon dioxide pressure. هنلاقي أنه لما يكون
+
+24
+00:02:06,510 --> 00:02:10,690
+lower oxygen tension، زي هنا على أربعين، الـ
+
+25
+00:02:10,690 --> 00:02:15,470
+stimulation very rapid، الـsteeping up الـ... أي
+
+26
+00:02:15,470 --> 00:02:20,330
+change في الـ carbon dioxide pressure بتعطيني very
+
+27
+00:02:20,330 --> 00:02:23,350
+high stimulation of ventilation. لما يكون عندي
+
+28
+00:02:23,350 --> 00:02:26,930
+الـ partial pressure تبع الـ oxygen واطي، هذا بنشوفه
+
+29
+00:02:26,930 --> 00:02:30,610
+هنا و بنشوفه هنا. يعني بغض النظر عن الـ pH، نلاقي
+
+30
+00:02:30,610 --> 00:02:34,490
+لما يكون عندي... عندي الـ... لما نقارن بين الأربعين
+
+31
+00:02:34,490 --> 00:02:38,630
+و الخمسين و الستين و المئة millimeter mercury pressure و الـ
+
+32
+00:02:38,630 --> 00:02:42,930
+oxygen، هلاحظ أنه على نفس level تبع الـ carbon
+
+33
+00:02:42,930 --> 00:02:48,480
+dioxide،  الـ curve very rapid stepping curve في
+
+34
+00:02:48,480 --> 00:02:52,860
+حالة الـ... كلما زاد الـ partial pressure of oxygen، كلما
+
+35
+00:02:52,860 --> 00:02:55,980
+أعطاني better stimulation. إذا لما يتجمع عندي الـ
+
+36
+00:02:55,980 --> 00:02:59,220
+carbon dioxide مع اللي هو الـ oxygen، يعطيني better
+
+37
+00:02:59,220 --> 00:03:04,060
+than الـ oxygen  لوحده.  إذن
+
+38
+00:03:04,060 --> 00:03:07,500
+المئة أعطتني عامل، في الحالة هذه الـ carbon
+
+39
+00:03:07,500 --> 00:03:12,340
+dioxide كان له تأثير أكبر من الـ hypoxia اللي هو
+
+40
+00:03:12,340 --> 00:03:17,000
+تأثيره كبير...  آه كبير، لكن لما كان أربعين كان واضح
+
+41
+00:03:17,000 --> 00:03:20,060
+عندي يتجمع عاملان، عندي الـ carbon dioxide مع عاملين
+
+42
+00:03:20,060 --> 00:03:25,420
+مع الـ hypoxia وهكذا. لو طلعنا في الـ curve، نجد
+
+43
+00:03:25,420 --> 00:03:28,300
+ثلاثة عوامل مع بعض تعطيني stronger stimulation للـ
+
+44
+00:03:28,300 --> 00:03:37,160
+ventilation. طيب
+
+45
+00:03:37,160 --> 00:03:43,450
+هذه إذا during exercise. during exercise لو طلعنا
+
+46
+00:03:43,450 --> 00:03:49,730
+على الـ curve هذا، نلاحظ أنه كلما زاد الـ oxygen
+
+47
+00:03:49,730 --> 00:03:54,430
+consumption، بمعنى أنه صار عنده more exercise، كلما
+
+48
+00:03:54,430 --> 00:03:59,310
+صار عنده الـ total ventilation زاد، تمام؟ normally
+
+49
+00:03:59,310 --> 00:04:03,370
+إحنا عندنا we are ventilating 6 liters  بـ... per
+
+50
+00:04:03,370 --> 00:04:05,630
+minute، مش كده؟ لكن
+
+51
+00:04:08,260 --> 00:04:13,500
+during exercise، يزيد عندنا الـ ventilation بحيث
+
+52
+00:04:13,500 --> 00:04:17,060
+نلاحظ إحنا دائماً عندنا ثابت الـ carbon dioxide
+
+53
+00:04:17,060 --> 00:04:20,460
+concentration أو partial pressure، و الـ oxygen
+
+54
+00:04:20,460 --> 00:04:24,320
+partial pressure، و الـ hydrogen ions. يعني الـ
+
+55
+00:04:24,320 --> 00:04:28,660
+changes التي تحدث في الـ ventilation during
+
+56
+00:04:28,660 --> 00:04:33,600
+exercise، المحصلة تبعها أنه ألاقي الـ levels of
+
+57
+00:04:33,600 --> 00:04:38,540
+these three gases are الـ levels تبعهم في الدم the
+
+58
+00:04:38,540 --> 00:04:42,380
+same as before exercise. ممكن يصير عندي
+
+59
+00:04:42,380 --> 00:04:46,940
+temporary change gradual، و هنشوفه عندنا في curve
+
+60
+00:04:46,940 --> 00:04:52,180
+معين، لكن شوية صغيرة، برجع إلى الـ level
+
+61
+00:04:52,180 --> 00:04:58,360
+before exercise، تمام؟ لذلك كان في سؤال. طيب، Madame،
+
+62
+00:04:58,360 --> 00:05:01,340
+during exercise، عندي أنا الـ level of oxygen، الـ
+
+63
+00:05:01,340 --> 00:05:03,380
+level of carbon dioxide، الـ level of hydrogen ions
+
+64
+00:05:03,380 --> 00:05:08,120
+تمام، في الدم the same as before exercise. يعني عنده
+
+65
+00:05:08,120 --> 00:05:10,900
+transient،  يَتَشَايَش بعدين بنعدّله، برجع لوضعه الطبيعي.
+
+66
+00:05:10,900 --> 00:05:15,000
+طيب، what... what makes ventilation higher? what
+
+67
+00:05:15,000 --> 00:05:20,460
+makes ventilation is twenty times normal، تمام؟
+
+68
+00:05:20,460 --> 00:05:24,400
+twenty times at rest. ممكن يصل، إيش اللي بيخليها تصل
+
+69
+00:05:24,400 --> 00:05:28,340
+هيك؟ هذا السؤال اللي إحنا بدنا نجاوبه عليه. ولما
+
+70
+00:05:28,340 --> 00:05:35,860
+حاولوا يجاوبوا عليه مراراً، ما قدروش يجدوا سبب مادي.
+
+71
+00:05:35,860 --> 00:05:39,800
+بمعنى أن الـ carbon dioxide مثلاً عالي، عشان صار
+
+72
+00:05:39,800 --> 00:05:43,140
+more stimulation، الـ oxygen واطي، صار more
+
+73
+00:05:43,140 --> 00:05:46,500
+stimulation، الـ hydrogen ions، okay، صار transient
+
+74
+00:05:46,500 --> 00:05:51,420
+بعدين رجع. كل الـ exercise ثبتت، زاد الـ ventilation
+
+75
+00:05:51,420 --> 00:05:56,580
+زاد، زاد، زاد، لمواصلة الـ homeostasis من أول وجديد. ده
+
+76
+00:05:56,580 --> 00:06:00,300
+carbon dioxide و الـ oxygen، تمام؟ فبدأت الناس تفكر
+
+77
+00:06:00,300 --> 00:06:05,660
+في الموضوع، و تفسرها بنفس التفسير اللي مع الـ
+
+78
+00:06:05,660 --> 00:06:09,200
+exercise. عندنا الضغط بيعلى شوية، و قالوا أنه بيصير
+
+79
+00:06:09,200 --> 00:06:16,700
+عندنا حاجتين. الحاجة الأولى، أن في نفس الوقت اللي الـ
+
+80
+00:06:16,700 --> 00:06:22,260
+brain بيبعت إشارة للعضلات اللي بدها تشتغل، عشان
+
+81
+00:06:22,260 --> 00:06:27,940
+تشتغل بشكل أقوى، في نفس الوقت بيبعت خط موازٍ إلى
+
+82
+00:06:27,940 --> 00:06:31,880
+respiratory center، أنه يزيد بنفس الـ... الـ... الـ...
+
+83
+00:06:31,880 --> 00:06:36,260
+الكفاءة. يعني جداش عندي هيكون exercise، بعتد برضه للـ
+
+84
+00:06:36,260 --> 00:06:41,360
+إيه؟ للـ respiratory center، أنه يزيد بنفس النسبة.
+
+85
+00:06:41,360 --> 00:06:47,700
+لذلك ما نلاحظش الفرق كبير ما بين بداية الـ exercise و
+
+86
+00:06:47,700 --> 00:06:51,880
+ارتفاع الـ ventilation لسه. يعني ما احتجناش إلا الـ...
+
+87
+00:06:51,880 --> 00:06:55,420
+الـ... التغيير الكبير في... آه. يعني أول ما نبدأ الـ
+
+88
+00:06:55,420 --> 00:06:58,280
+exercise، بنبدأ الـ ventilation. لسه لا عيل أُكسجين
+
+89
+00:06:58,280 --> 00:07:00,860
+ولا عيل أُكسجين، ولا عيل carbon dioxide، ولا عيل أيضاً.
+
+90
+00:07:00,860 --> 00:07:05,160
+تمام؟ إذا هذا التفسير الأولاني، و قالوا أنه...
+
+91
+00:07:05,160 --> 00:07:11,660
+قالوا أنه بيساعد، هذا اللي هو الـ levels المختلفة للـ
+
+92
+00:07:11,660 --> 00:07:16,540
+إيه؟ للـ... للـ gases اتكلمنا عنها. يعني بتعمل
+
+93
+00:07:16,540 --> 00:07:21,100
+console أن الـ... الـ... الـ order  الجاية للـ
+
+94
+00:07:21,100 --> 00:07:27,500
+respiratory center اللي هو neural signal. يعني بتعمل
+
+95
+00:07:27,500 --> 00:07:31,300
+hyperventilation مثلاً بشكل معين، لكن قداش بالضبط
+
+96
+00:07:31,300 --> 00:07:34,740
+الـ carbon dioxide و الـ oxygen ions آه و الـ... و الـ
+
+97
+00:07:34,740 --> 00:07:38,620
+hydrogen ions، بتضبط الـ final أو الـ fine
+
+98
+00:07:38,620 --> 00:07:42,400
+regulation بتعملها هي، لكن الـ main changes بتبقى
+
+99
+00:07:42,400 --> 00:07:47,580
+إيه؟ neural جايه من إيه؟ من الدماغ. هذا نقطة، نقطة
+
+100
+00:07:47,580 --> 00:07:51,880
+ثانية. قالوا أن التدريب في المسألة هذه بيساعد. لذلك
+
+101
+00:07:51,880 --> 00:07:55,440
+الكفاءة تبع الناس اللي هم athletes و متدربين على
+
+102
+00:07:55,440 --> 00:07:58,380
+الرياضة وكذا، تكون أكبر من الكفاءة لـ... للي غير
+
+103
+00:07:58,380 --> 00:08:05,520
+athletes. إذا فيها برضه جانب training factor.
+
+104
+00:08:05,520 --> 00:08:09,280
+بيشير إلى أنه مع بداية الرياضة، مع بداية الـ
+
+105
+00:08:09,280 --> 00:08:12,020
+exercise، مع بداية المجهود، أنه يكون عنده
+
+106
+00:08:12,020 --> 00:08:18,040
+ventilation أكبر، بحيث يغطي احتياجات الجسم، اللي هي تعني
+
+107
+00:08:18,040 --> 00:08:21,480
+أنه يرجع الـ carbon dioxide إلى الـ level الطبيعي، ما يزيدش
+
+108
+00:08:21,480 --> 00:08:29,580
+و الـ oxygen إلى الـ level الطبيعي، ولا إيه؟ تمام؟ لذا
+
+109
+00:08:29,580 --> 00:08:32,840
+ما أقدرش أقول during exercise أنه عنده hypercapnia
+
+110
+00:08:32,840 --> 00:08:35,340
+هي اللي زادت الـ ventilation، ولا hypoxia هي اللي
+
+111
+00:08:35,340 --> 00:08:42,660
+زادت الـ ventilation، ولا أنا؟ تمام؟ عندنا
+
+112
+00:08:42,660 --> 00:08:48,230
+هنا curve بيدل على ذلك. خليني أدرسه أيضاً، و الـ curve
+
+113
+00:08:48,230 --> 00:08:56,270
+هذا، لو طلعنا فيه، هنا عندي عامل الـ time، وهنا عندي
+
+114
+00:08:56,270 --> 00:09:03,430
+عامل الـ... الـ ventilation. بدنا نقارن بين، أو نقارن
+
+115
+00:09:03,430 --> 00:09:08,110
+زمانياً ما بين الـ ventilation و level تبع الـ carbon
+
+116
+00:09:08,110 --> 00:09:11,130
+dioxide. ليش اخترنا carbon dioxide؟ لأنه the most
+
+117
+00:09:11,130 --> 00:09:16,210
+stimulant، مش كده؟ طيب، طلعنا هنا، جينا أنه مباشرة
+
+118
+00:09:16,210 --> 00:09:21,410
+لما بدأ عندي أنا الـ exercise على السهم هذا من الـ
+
+119
+00:09:21,410 --> 00:09:25,210
+zero، يعني تمام. لاحظنا أن الـ ventilation ارتفع
+
+120
+00:09:25,210 --> 00:09:31,840
+فوراً. طيب، إحنا لسه ما صار شغل... بعد... بعد الـ
+
+121
+00:09:31,840 --> 00:09:37,200
+ventilation ما ارتفع مع بداية الـ exercise، تمام؟
+
+122
+00:09:37,200 --> 00:09:41,080
+لاحظنا أن الـ carbon dioxide ما زادش. الـ carbon
+
+123
+00:09:41,080 --> 00:09:44,780
+dioxide مع الـ hyperventilation washed out، ولسه
+
+124
+00:09:44,780 --> 00:09:47,360
+إحنا ما فيش carbon dioxide اللي تكون أساساً في الـ
+
+125
+00:09:47,360 --> 00:09:50,400
+tissues اللي يتجمع في الدم و يعلق. يعني صار عندي
+
+126
+00:09:50,400 --> 00:09:56,220
+hyperventilation أو decrease
+
+127
+00:09:56,220 --> 00:10:00,140
+in the level of carbon dioxide، تمام؟ hypocapnia، مش
+
+128
+00:10:00,140 --> 00:10:05,080
+hypercapnia. نزل الـ إيه؟ الـ carbon dioxide بسبب الـ
+
+129
+00:10:05,080 --> 00:10:08,520
+hyperventilation. فالـ carbon dioxide washed out
+
+130
+00:10:08,520 --> 00:10:14,250
+تمام؟ إذا لاحظنا أن الـ carbon dioxide مع وجود الـ
+
+131
+00:10:14,250 --> 00:10:16,570
+exercise، صار hyperventilation، و الـ carbon dioxide
+
+132
+00:10:16,570 --> 00:10:22,130
+بالعكس، و نزل. واضح؟ ليش نزل؟ لأن عندي صار
+
+133
+00:10:22,130 --> 00:10:25,210
+hyperventilation لسه بدون تكوين carbon dioxide
+
+134
+00:10:25,210 --> 00:10:29,200
+كافي. فالـ hyperventilation اللي هي تلزم الـ tissues
+
+135
+00:10:29,200 --> 00:10:33,900
+للاستعدادات للـ exercise، لـ level معين. بعد شوية
+
+136
+00:10:33,900 --> 00:10:37,420
+لاحظنا أنه بدأ الـ carbon dioxide تـ build up من
+
+137
+00:10:37,420 --> 00:10:40,640
+جديد، لأنه بدأت الـ tissues و الـ muscles تطلع carbon
+
+138
+00:10:40,640 --> 00:10:45,800
+dioxide أكثر من الـ normal، تمام؟ لحد ما لاحظنا إحنا
+
+139
+00:10:45,800 --> 00:10:53,330
+صار يزيد الـ carbon dioxide في نفس الوقت مع زيادة الـ
+
+140
+00:10:53,330 --> 00:10:56,050
+ventilation. هنا بعد الـ ventilation الأساسية
+
+141
+00:10:56,050 --> 00:10:59,750
+الأولانية، صار عندي drop شوية في الـ ventilation لأن
+
+142
+00:10:59,750 --> 00:11:02,790
+بسبب الـ wash out of carbon dioxide، فالـ stimulatory
+
+143
+00:11:02,790 --> 00:11:06,930
+factor راح. آه فعاود الـ ventilation هبط شوية مع
+
+144
+00:11:06,930 --> 00:11:10,610
+بداية الـ carbon dioxide، بدأ يبنى، بدأ من أول وجديد.
+
+145
+00:11:10,610 --> 00:11:13,410
+يتوازن الـ curve من أول وجديد. وبعدين الـ carbon
+
+146
+00:11:13,410 --> 00:11:16,670
+dioxide بتصل لـ level معين، تمام؟ و الـ ventilation
+
+147
+00:11:16,670 --> 00:11:19,470
+بيصل لـ level معين، بحيث أن الـ ventilation بيصل لـ
+
+148
+00:11:19,470 --> 00:11:23,250
+level يحافظ على نسبة من الـ carbon dioxide، من الـ
+
+149
+00:11:23,250 --> 00:11:26,170
+oxygen، تساوي الـ level اللي بدأنا فيه الـ
+
+150
+00:11:26,170 --> 00:11:29,830
+exercise، اللي ما قبل الـ exercise، واضح؟ إذا هذه
+
+151
+00:11:29,830 --> 00:11:33,870
+الجزء... هذه الدقيقة، الدقيقة الأولى بس. بعد الدقيقة
+
+152
+00:11:33,870 --> 00:11:39,870
+الأولى، بنلاحظ إحنا لو استمر الـ exercise، بيضل ماشي
+
+153
+00:11:39,870 --> 00:11:44,160
+على نفس النمط. الـ ventilation ثابت، و الـ carbon
+
+154
+00:11:44,160 --> 00:11:48,500
+dioxide level ثابت، تمام؟ إذا ما لقيناش أثناء الـ
+
+155
+00:11:48,500 --> 00:11:54,000
+exercise، بعد بدايته بشوية صغيرة، أنه في changes في
+
+156
+00:11:54,000 --> 00:11:58,400
+الـ levels of gases الثلاثة المهمة، اللي بتعمل، ليه
+
+157
+00:11:58,400 --> 00:12:05,640
+ما تلاقي changes في الـ regulation of ventilation، و
+
+158
+00:12:05,640 --> 00:12:12,120
+من هنا، تفسيرنا كان أكثر أنه هي مش عملية كيميائية
+
+159
+00:12:12,120 --> 00:12:16,100
+أكثر من هي neural، لكنها  الثلاثة factors ممكن تعمل
+
+160
+00:12:16,100 --> 00:12:21,160
+modification لقداش بدي بالضبط، أقل أو أكثر أو كده.
+
+161
+00:12:21,160 --> 00:12:25,680
+طيب، الـ... هنا الـ... الجملة interrelation between
+
+162
+00:12:25,680 --> 00:12:28,280
+chemical factors and nervous factors، تمام؟ قلنا
+
+163
+00:12:28,280 --> 00:12:31,990
+أنه أساساً الـ neural بس... لكنها ممكن تـ control
+
+164
+00:12:31,990 --> 00:12:36,950
+finally، fine... fine regulation by إيه؟ by carbon
+
+165
+00:12:36,950 --> 00:12:42,010
+dioxide and oxygen and... and hydrogen ion
+
+166
+00:12:42,010 --> 00:12:47,430
+concentration. طيب
+
+167
+00:12:47,430 --> 00:12:55,510
+الآن، هنا هنلاحظ أنه during exercise، during
+
+168
+00:12:57,120 --> 00:13:01,700
+exercise، هنلاحظ لو طلعنا على الـ pressure of carbon
+
+169
+00:13:01,700 --> 00:13:06,980
+dioxide، أربعين at rest، هنلاقيه بيستهلك حوالي ستة
+
+170
+00:13:06,980 --> 00:13:12,160
+liters per minute الـ ventilation، لكن at exercise
+
+171
+00:13:12,160 --> 00:13:16,100
+نفس الـ level هذا، هنلاقيه بيستهلك مائة وعشرين
+
+172
+00:13:16,100 --> 00:13:22,320
+liters per minute، تمام؟ oxygen. بمعنى أنه واضح أن الـ
+
+173
+00:13:22,320 --> 00:13:26,200
+ventilation زاد عشرين ضعفاً، عشرين ضعفاً.
+
+174
+00:13:38,520 --> 00:13:42,160
+possibility that the neurogenic factor for control
+
+175
+00:13:42,160 --> 00:13:48,840
+of ventilation is a learned response. طيب
+
+176
+00:13:48,840 --> 00:13:54,140
+واضح أنه من خلال أن الـ athletes response تبعهم للـ
+
+177
+00:13:54,140 --> 00:13:57,220
+ventilation أفضل من الـ ventilation للـ non
+
+178
+00:13:57,220 --> 00:14:02,540
+-athletes. إذا أن هناك trend، learned part عن طريق
+
+179
+00:14:02,540 --> 00:14:07,440
+التكرار. مرات مرات مرات مرات مرات مرات مرات مرات مرات مرات
+
+223
+00:17:02,940 --> 00:17:06,770
+الـ coughing reflex بناخد deep breath، هم نكتب الـ...
+
+224
+00:17:06,770 --> 00:17:10,270
+اه، بـ glottis، وبعدين بنعمل... مش كده؟ يعني احنا
+
+225
+00:17:10,270 --> 00:17:15,010
+وقفنا الـ ventilation الطبيعي، وعملنا reflex معين، في
+
+226
+00:17:15,010 --> 00:17:18,690
+الـ... في الجهتين برضه، هذا نوع من التدخل في الـ ايه؟
+
+227
+00:17:18,690 --> 00:17:22,330
+في الـ... الـ ventilation، مش كده؟ يقول لنا احنا أثناء
+
+228
+00:17:22,330 --> 00:17:26,890
+البلع قبل كده، إذا فاكرين، أنه يتوقف التنفس at any
+
+229
+00:17:26,890 --> 00:17:31,510
+level of the cycle، يعني واحنا بنتكلم، واحنا بنبلع
+
+230
+00:17:31,510 --> 00:17:35,610
+ممكن أي level، يعني احنا ماشيين في الـ inspiration لـ
+
+231
+00:17:35,610 --> 00:17:38,130
+level معين، ممكن ييجي في النص، يكمل بلع، وبعدين
+
+232
+00:17:38,130 --> 00:17:42,110
+يكمل، واحنا في الـ inspiration لـ level معين، اه.
+
+233
+00:17:42,110 --> 00:17:48,170
+بيوقف، وبنكملهش كده؟ فهذا الـ a برضه تحكم في الـ a
+
+234
+00:17:48,170 --> 00:17:51,690
+في الـ... هنا عندنا what is called pulmonary
+
+235
+00:17:51,690 --> 00:17:55,570
+irritant receptors، pulmonary irritant receptors.
+
+236
+00:17:55,570 --> 00:18:03,550
+هذه موجودة في الـ muscles اللي موجودة في التريكيا، الـ
+
+237
+00:18:03,550 --> 00:18:06,780
+bronchi and bronchioles، في عندي nerve endings
+
+238
+00:18:06,780 --> 00:18:10,800
+موجودة في هذه المنطقة، إن كان في الـ epithelium، أو كان
+
+239
+00:18:10,800 --> 00:18:13,960
+في الـ muscles أو غيرها، بتعمل some sort of
+
+240
+00:18:13,960 --> 00:18:17,420
+sensation، اللى أنا irritant بيصل للمنطقة بالظبط.
+
+241
+00:18:17,420 --> 00:18:21,720
+الـ epithelium، الـ mucosa، اه، الـ muscles، قولنا الـ
+
+242
+00:18:21,720 --> 00:18:26,040
+Hering-Breuer reflex، لما يصير over stretched للـ
+
+243
+00:18:26,040 --> 00:18:31,900
+ايه؟ للـ muscles، لذا هنا عندي أنا بالمناورة، الـ
+
+244
+00:18:31,900 --> 00:18:36,030
+irritant receptors، هي هي دي الـ stimulated، موجودة في
+
+245
+00:18:36,030 --> 00:18:39,870
+الـ bronchi، و الـ bronchiole، والتريكيا، مش كده؟ هي اللي
+
+246
+00:18:39,870 --> 00:18:44,070
+بتعمل الـ coughing reflex، و الـ sneezing reflex.
+
+247
+00:18:44,070 --> 00:18:49,890
+طيب، عندي نوع تاني من الـ receptors، موجودة برضه في
+
+248
+00:18:49,890 --> 00:18:54,070
+الـ a في الـ lungs، بس مش في التريكيا، والـ... مش في
+
+249
+00:18:54,070 --> 00:18:57,950
+الـ passages، في الـ alveoli نفسهم، تمام؟ في الـ
+
+250
+00:18:57,950 --> 00:19:01,130
+passages، قولنا موجود الـ irritant receptors، أقصى ما
+
+251
+00:19:01,130 --> 00:19:03,070
+نعمله coughing أو sneezing.
+
+252
+00:19:09,510 --> 00:19:15,350
+الـ receptors الثانية اللي بيسموها J-receptors، J-
+
+253
+00:19:15,350 --> 00:19:19,710
+receptors، موجودة على الـ... الـ... الـ... الـ
+
+254
+00:19:19,710 --> 00:19:24,990
+epithelium of the alveoli in juxtaposition to the
+
+255
+00:19:24,990 --> 00:19:29,700
+pulmonary capillaries، ومن هنا إيجي اسمهم J، يعني
+
+256
+00:19:29,700 --> 00:19:34,280
+juxtaposition، تمام؟ يعني هدول عبارة عن receptors
+
+257
+00:19:34,280 --> 00:19:41,060
+موجودين في الـ alveoli، ملاصقين للـ ايه؟ للـ capillary
+
+258
+00:19:41,060 --> 00:19:46,260
+pulmonary capillaries، بمعنى آخر، إنه هدول لما
+
+259
+00:19:46,260 --> 00:19:49,460
+الـ pulmonary capillaries يصير فيها congestion،
+
+260
+00:19:49,460 --> 00:19:56,030
+dilatation، engorgement، منحس احنا بـ ايه؟ بإنّه
+
+261
+00:19:56,030 --> 00:19:59,870
+بيصير ضغط عليهم، ضغط على الـ alveoli، صار عندي أنا
+
+262
+00:19:59,870 --> 00:20:05,510
+الدم متوقف، زاد، عمال يديالتيشر، كبير، تمام؟ فبيحس بـ
+
+263
+00:20:05,510 --> 00:20:08,730
+some sort of dyspnea، some sort of heaviness of the
+
+264
+00:20:08,730 --> 00:20:12,470
+in the... in the chest، إن كان صار engagement، إيه لهم؟
+
+265
+00:20:12,470 --> 00:20:17,390
+إن كان صار بلمونة قديمة في المنطقة هذه، تمام؟ هدول
+
+266
+00:20:17,390 --> 00:20:20,930
+اللي هم ايه؟ juxtaposition receptors.
+
+267
+00:20:22,490 --> 00:20:32,150
+الـ J receptors، اه، brain edema، brain edema، واحد
+
+268
+00:20:32,150 --> 00:20:40,670
+دخل في trauma، تمام؟ أخد concussion، رجع في الدماغ، اه.
+
+269
+00:20:40,870 --> 00:20:46,330
+أدت إلى يصير عنده brain edema، الـ brain edema هذا
+
+270
+00:20:46,330 --> 00:20:50,370
+بيأثر على مين؟ على الـ respiratory center نفسه، تمام؟ هو
+
+271
+00:20:50,370 --> 00:20:53,390
+ممكن يعمل ايه؟ a disturbance في الـ ventilation،
+
+272
+00:20:53,390 --> 00:20:56,650
+وممكن يعمل cessation of ventilation، ممكن يعمل
+
+273
+00:20:56,650 --> 00:21:03,450
+suppression لإيه؟ للـ brain center، للـ respiratory
+
+274
+00:21:03,450 --> 00:21:05,810
+center، the activity of the respiratory center may
+
+275
+00:21:05,810 --> 00:21:09,890
+be depressed or even inactivated by acute brain
+
+276
+00:21:09,890 --> 00:21:12,670
+edema resulting from brain concussion، concussion،
+
+277
+00:21:12,670 --> 00:21:17,330
+يعني ارتجاج الدماغ، إذا
+
+278
+00:21:17,330 --> 00:21:21,790
+في الحالة هذه، الـ brain edema، واحد دخل في trauma،
+
+279
+00:21:21,790 --> 00:21:26,810
+head trauma، وبعدين دخل في لجنة، عنده نفس مش طبيعي،
+
+280
+00:21:26,810 --> 00:21:30,850
+متوقع احنا لإن عملنا له concussion، عملنا له edema، ممكن
+
+281
+00:21:30,850 --> 00:21:39,290
+نديله بعض المواد اللي تسحب المية من الـ brain
+
+282
+00:21:39,290 --> 00:21:48,710
+tissues، إن أنا أدخل... أدخل مواد تزود الـ plasma
+
+283
+00:21:48,710 --> 00:21:54,890
+concentration، تزود لي الـ interstitial fluid
+
+284
+00:21:54,890 --> 00:21:58,070
+concentration، أو مش الـ interstitial، ممنوع تطلع للـ
+
+285
+00:21:58,070 --> 00:22:01,510
+interstitial fluid، تظل في الـ plasma، تمام؟ بدي أنا
+
+286
+00:22:01,510 --> 00:22:04,870
+أسحب... بدي أزود الـ osmolality، عشان الـ capillary
+
+287
+00:22:04,870 --> 00:22:10,830
+circulation، أسحب فيها reabsorption بزيادة، فممكن
+
+288
+00:22:10,830 --> 00:22:14,990
+أحط proteins، أنا مش هي... ممكن أحط human albumin مركز،
+
+289
+00:22:14,990 --> 00:22:18,630
+بزيادة، واحنا بنستخدمها عمليا، حقيقة، تان في بعض
+
+290
+00:22:18,630 --> 00:22:22,350
+الحالات، أو نحط، إذا أرخص من الـ human albumin، الـ
+
+291
+00:22:22,350 --> 00:22:26,490
+human albumin مكلف، الـ human albumin يعني بيطول في
+
+292
+00:22:26,490 --> 00:22:30,290
+الجسم، أنا بديها لفترة مؤقتة، تمام؟ ممكن أحط حاجة
+
+293
+00:22:30,290 --> 00:22:35,820
+تروح بس ساعته، بتروح، ممكن أحط ايه؟ اللي هو some sort
+
+294
+00:22:35,820 --> 00:22:40,860
+of dextran مثلا، أو manitol، أو كده، بحيث يظل في الدم،
+
+295
+00:22:40,860 --> 00:22:45,720
+بيعمل زي الـ osmotic diuresis، بيسحب المية لإنه صار
+
+296
+00:22:45,720 --> 00:22:48,440
+عندي more concentrated بلازما، و الـ interstitial
+
+297
+00:22:48,440 --> 00:22:52,160
+fluid less concentrated، فبيسحب المية منها، خلال
+
+298
+00:22:52,160 --> 00:22:55,980
+دقائق، ممكن تلاقي الـ brain edema بدأت تتصلح، و بدأت
+
+299
+00:22:55,980 --> 00:23:00,510
+تتسفرش، ترجع ايه؟ لو وضع نفس، فكرة الـ osmosis تبعت
+
+300
+00:23:00,510 --> 00:23:04,350
+الـ ايه؟ تبعت الـ diuresis، إذا فاكرين، لإن هنا عندي
+
+301
+00:23:04,350 --> 00:23:06,550
+أنا لازم يصير equilibrium، عبر الـ capillary
+
+302
+00:23:06,550 --> 00:23:10,830
+membrane، بين، تمام؟ فهي hypertonic، فع طول بيسحب من
+
+303
+00:23:10,830 --> 00:23:13,730
+مين؟ من الـ interstitial، و الـ interstitial لما يصير
+
+304
+00:23:13,730 --> 00:23:18,790
+hypertonic، تمام؟ لما يصير hypertonic، لإنه سحب منه
+
+305
+00:23:18,790 --> 00:23:23,580
+مياه، بيسحب مياه من مين؟ من الـ cells، مش كده؟ إذا أنا
+
+306
+00:23:23,580 --> 00:23:26,580
+لما أسحب من الـ interstitial fluid، ممكن أسحب من الـ
+
+307
+00:23:26,580 --> 00:23:30,180
+cells، ممكن أنا أنزل الـ cellular edema، وأنزل الـ
+
+308
+00:23:30,180 --> 00:23:34,540
+general edema، يعني إذا كانت extracellular edema، أو
+
+309
+00:23:34,540 --> 00:23:38,540
+كانت intracellular edema، الاثنين هدول ضغطين على الـ
+
+310
+00:23:38,540 --> 00:23:42,800
+respiratory center، ممكن أنا ايه؟ ضغطين على الـ
+
+311
+00:23:42,800 --> 00:23:49,160
+brain in general، فممكن أنا بالمواد هذه، تمام؟ أن
+
+312
+00:23:49,160 --> 00:23:55,800
+أعمل عملية absorption to the extra edema fluid، to
+
+313
+00:23:55,800 --> 00:24:01,020
+minimize the edema، using a hypertonic solution of
+
+314
+00:24:01,020 --> 00:24:06,940
+مثلا، concentrated mannitol solution، إذا
+
+315
+00:24:06,940 --> 00:24:10,880
+هنا اتكلمنا عن ايش؟ احنا اتكلمنا عن الـ voluntary، و
+
+316
+00:24:10,880 --> 00:24:14,440
+اتكلمنا عن أن في two types of receptors، الـ
+
+317
+00:24:14,440 --> 00:24:18,330
+irritant ones، و الـ J ones، وقولنا أن الـ brain دي
+
+318
+00:24:18,330 --> 00:24:21,730
+ديما مع الـ trauma ممكن تأثر، و الـ anesthesia اللي
+
+319
+00:24:21,730 --> 00:24:25,970
+اللي ندخله فيه احنا فيه ايه؟ من benzo بيخش فيه
+
+320
+00:24:25,970 --> 00:24:30,150
+anesthesia، هذا ايه؟ بيفقد... بيفقد الـ control of
+
+321
+00:24:30,150 --> 00:24:32,550
+respiration، عشان كده بنحطه على ايه؟ ventilator،
+
+322
+00:24:32,550 --> 00:24:37,250
+بنسميه جهاز الـ anesthesia، هذا منه يعني جهاز
+
+323
+00:24:37,250 --> 00:24:40,630
+ventilator، بالإضافة لإنه بيعطي الـ... الـ... الـ
+
+324
+00:24:40,630 --> 00:24:43,130
+anesthesia، الـ gas اللي يتحافظ على الـ level of ايه؟
+
+325
+00:24:43,500 --> 00:24:47,820
+of anesthesia، تبعت الانسان اللي بدو يعمل عملية، فالـ
+
+326
+00:24:47,820 --> 00:24:51,400
+anesthesia بتعمل suppression of ايه؟ of... of...
+
+327
+00:24:51,400 --> 00:24:58,380
+اه، of ventilation، لذلك لازم نعوضها for
+
+328
+00:24:58,380 --> 00:25:04,940
+instance، طبعا كل الـ anesthetic بتعمل الكلام هذا، بس
+
+329
+00:25:04,940 --> 00:25:09,160
+الـ level of suppression لبعض الـ anesthetic أكتر من
+
+330
+00:25:09,160 --> 00:25:12,800
+غيرها، بحيث إن احنا اول ما نخفف، ومفترض إنه ايه؟ إنه
+
+331
+00:25:12,800 --> 00:25:15,640
+يبدأ الـ respiration يرجع، دكتور الـ anesthesia
+
+332
+00:25:15,640 --> 00:25:19,460
+ما بيسيبش المريض تبعه إلا لما يبدأ يصحى، ويتنفس
+
+333
+00:25:19,460 --> 00:25:30,220
+طبيعي، ويعود يستعيد وعيه من جديد، وإلا ايه؟ ممكن
+
+334
+00:25:30,220 --> 00:25:35,000
+طبعا، يعني يختنق، لإنه لسه مش صاحي، تمام؟ يعني بيضل
+
+335
+00:25:35,000 --> 00:25:39,440
+الدكتور فوق رأس المريض، لما يطمئن إنه ايه؟ بدأ
+
+336
+00:25:39,440 --> 00:25:43,740
+يكلمه، بدأ يرد عليه، بدأ الـ reflexes ترجع طبيعي، بحيث
+
+337
+00:25:43,740 --> 00:25:49,240
+بدأ يتنفس طبيعي، طيب، إذا عندي أنا هذه الأشياء اللي
+
+338
+00:25:49,240 --> 00:25:54,420
+ذكرناها، إذا بتأثر على الـ ventilatory، عن
+
+339
+00:25:54,420 --> 00:25:59,420
+respiratory centers، بالإضافة للـ automatic، أو
+
+340
+00:25:59,420 --> 00:26:03,790
+autonomic regulation by the three gases، الآن هتكلم
+
+341
+00:26:03,790 --> 00:26:08,610
+عن some type of breathing، اسمه periodic breathing،
+
+342
+00:26:08,610 --> 00:26:11,670
+periodic breathing، ايش يعني periodic breathing؟
+
+343
+00:26:11,670 --> 00:26:18,210
+يعني الـ breathing بيزيد، وبيقل، بشكل ايه؟ حسب period،
+
+344
+00:26:18,210 --> 00:26:23,410
+تمام؟ عندنا two types of periodic breathing، هتكلم
+
+345
+00:26:23,410 --> 00:26:28,770
+عن الـ Cheyne-Stokes breathing، كان الـ Stokes
+
+346
+00:26:28,770 --> 00:26:34,630
+breathing، يعني breathing بيبقى ضعيف، بيزيد، بيزيد،
+
+347
+00:26:34,630 --> 00:26:37,930
+بيزيد، بيزيد، بيزيد، بيزيد، بعدين ببدأ يضعف، يضعف،
+
+348
+00:26:37,930 --> 00:26:41,190
+يضعف، يضعف، بعدين بيزيد، بيزيد، بيزيد، بيزيد، بيزيد،
+
+349
+00:26:41,190 --> 00:26:44,330
+بعدين ببدأ يضعف، يضعف، يضعف، أحيانا بيبقى في عندي
+
+350
+00:26:44,330 --> 00:26:48,890
+فترة من التوقف الكامل بينهم، وأحيانا بيجيش توقف
+
+351
+00:26:48,890 --> 00:26:54,660
+كامل، يعني الـ ventilation rate بيحبر للآخر، وبعدين
+
+352
+00:26:54,660 --> 00:26:58,300
+بيبدأ من جديد، وأحيانا بيكون في period of apnea،
+
+353
+00:26:58,300 --> 00:27:05,640
+يعني خلاص، وقف النفس تماما لثواني، وبعدين رجع، زيد
+
+354
+00:27:05,640 --> 00:27:11,700
+النفس، زيد النفس، زيد، أعلى، أعلى، أعلى، أعلى، للآخر، إذا
+
+355
+00:27:11,700 --> 00:27:16,120
+هذا kind of Cheyne-Stokes breathing، هذا نوع من أنواع
+
+356
+00:27:16,120 --> 00:27:22,740
+التنفس، بنشوفه أحيانا في أمراض معينة، وأحيانا بيكون
+
+357
+00:27:22,740 --> 00:27:26,560
+in this stage، قبل الوفاة، بيصير الكلام هذا، تمام؟
+
+358
+00:27:26,560 --> 00:27:33,380
+بتلاقي، إذا حد منكم شاف، يعني حد من أهله، هو في
+
+359
+00:27:33,380 --> 00:27:37,900
+النزع الأخير، هتلاقي إنه ايه؟ النفس بيعلى، بيعلى، بيعلى،
+
+360
+00:27:37,900 --> 00:27:40,860
+بيعلى، بيعلى، بيعلى، منخفض، منخفض، منخفض، منخفض، منخفض،
+
+361
+00:27:40,860 --> 00:27:45,730
+شيء بيتوقف، وبعدين بيرجع شوية، شوية، شوية، على بيه، على
+
+362
+00:27:45,730 --> 00:27:48,830
+بيه، على بيه، لأ، اه، Cheyne-Stokes breathing، Cheyne-Stokes
+
+363
+00:27:48,830 --> 00:27:53,610
+respiration، أو breathing، تمام؟ أحيانا بيكونش هو
+
+364
+00:27:53,610 --> 00:28:01,910
+سببه نزع أخير، أو وفاة، ممكن يكون مرض معين أدى إلى
+
+365
+00:28:01,910 --> 00:28:06,190
+هيك، طب، ايش الفكرة تبعته؟ الفكرة إن احنا في العادة،
+
+366
+00:28:06,190 --> 00:28:08,970
+الـ Cheyne-Stokes respiration هذا مفترض
+
+367
+00:28:11,160 --> 00:28:17,440
+إنّه احنا يعني، نصير عندنا الكل، لكن واقع الأمر مانبصرش،
+
+368
+00:28:17,440 --> 00:28:21,500
+عندنا نظرية، ممكن يكون كيف؟ يعني، هل جيت احنا نتكلم
+
+369
+00:28:21,500 --> 00:28:25,280
+عن... لسه ما تكلمناش معاكم عن negative feedback، و
+
+370
+00:28:25,280 --> 00:28:30,220
+الـ control تبع الهرمونات، يعني شبيه بها، يعني أنا
+
+371
+00:28:30,220 --> 00:28:36,260
+لما أنت خلصت فلوسك مثلا، خلصت فلوسك، تبعت لي إنّه
+
+372
+00:28:36,260 --> 00:28:40,500
+خلصت فلوسك، بروح ببعث لك فلوس أنا، تمام؟ في الفترة
+
+373
+00:28:40,500 --> 00:28:44,440
+اللي بتصلك فلوس من عندي، لما تصلك، بتكون عندك صرفتي
+
+374
+00:28:44,440 --> 00:28:48,980
+أكتر، وأكثر، وأكثر، وأكثر، تمام؟ لما  اللي أنا
+
+375
+00:28:48,980 --> 00:28:53,640
+ببعث لك يوصلك، وصل متأخر عن الـ... يعني في مسافة ما
+
+376
+00:28:53,640 --> 00:28:57,660
+بين ايه؟ كويس، فأنت في الحالة هذه، أنا ببعث لك الفلوس،
+
+377
+00:28:57,660 --> 00:29:01,940
+وضلت أبعث الفلوس، وصلوا لكِ
+
+378
+00:29:01,940 --> 00:29:07,760
+بدأت أنت، الفلوس اللي عندك اتحسن وضعك، تحسنت كتير، مش
+
+379
+00:29:07,760 --> 00:29:12,380
+هيك، أكتر من اللازم، بتبعث ليه؟ بتقول لي إن أنا
+
+380
+00:29:12,380 --> 00:29:18,620
+عندي فلوس كتير، ف بروح أبطل أنا ايه؟ أبعث، ففي ممكن
+
+381
+00:29:18,620 --> 00:29:24,400
+بين الـ... بين الطلب، والتلبية، مسافة، يعني مش... لا
+
+382
+00:29:24,400 --> 00:29:28,660
+يعبر الوضع اللي عندك عن الوضع اللي عندي، أنا قاعد
+
+383
+00:29:28,660 --> 00:29:32,860
+ببعث، لكن أنت واقع الأمر انفلسة، لما أنا قلت خلاص،
+
+384
+00:29:32,860 --> 00:29:36,800
+بعت، وخلصت، تمام؟ بطلت أبعث، أنا كان عندك كتير، مش
+
+385
+00:29:36,800 --> 00:29:42,000
+كده، يعني التغير ما بين الـ ventilation، والدم اللي
+
+386
+00:29:42,000 --> 00:29:46,620
+موجود في الـ lungs، والـ respiratory center، فيه مسافة،
+
+387
+00:29:46,620 --> 00:29:50,680
+مش كده؟ ممكن أنا الـ respiratory center في الـ brain،
+
+388
+00:29:50,680 --> 00:29:54,840
+يقول لي والله أنا عندي hypoxia، أو عندي hypercapnia،
+
+389
+00:29:54,840 --> 00:30:00,900
+و ينفس اتحسن، تمام؟ فبيزيد الـ ventilation، بس هذا
+
+390
+00:30:00,900 --> 00:30:04,180
+بقدر ما الـ ventilation اللي زاد، إن الدم اللي داخلة
+
+391
+00:30:04,180 --> 00:30:12,2
+
+445
+00:33:57,160 --> 00:34:01,780
+أي هرمون نفحصه في الدم، من الـ GA طالع ونازل؟ ليش
+
+446
+00:34:01,780 --> 00:34:04,740
+طالع ونازل؟ لأن هو فيه له negative feedback
+
+447
+00:34:04,740 --> 00:34:08,260
+mechanism. لما يجِي، بتبعد له إشارة أعلى، فبيروح بلا
+
+448
+00:34:08,260 --> 00:34:10,840
+يزيد عن اللزوم، فبيروح حد بيعرف أنه عالي، زيد عن
+
+449
+00:34:10,840 --> 00:34:13,540
+اللزوم، بيروح بطل إيه، شديله، فبيروح بطل شوية إيه، صغير
+
+450
+00:34:13,540 --> 00:34:19,220
+أبداً. فلذلك الـ levels هذه، من اللي جاية اه
+
+451
+00:34:19,220 --> 00:34:23,140
+vibrating، طالعة نازلة، و respiration، ventilation
+
+452
+00:34:23,140 --> 00:34:28,200
+برضه لو لاحظناه عندنا مظبوط مظبوط، هنلاقي إيه؟ إنه
+
+453
+00:34:28,200 --> 00:34:31,580
+بيعلى شوية، بيوطى شوية، بقى بس مش عامل زي الـ stocks
+
+454
+00:34:31,580 --> 00:34:38,280
+زي كده، ارتفاع شديد وانخفاض شديد، تمام. طيب إذا كانوا
+
+455
+00:34:38,280 --> 00:34:40,780
+stock respiration، وهذا إيه؟ الحالات اللي بيكون
+
+456
+00:34:40,780 --> 00:34:45,280
+فيها، اه
+
+457
+00:34:48,520 --> 00:34:51,560
+الحالات اللي… اللي بيكون فيها عندنا حالتين، when a
+
+458
+00:34:51,560 --> 00:34:54,900
+long delay occurs for a transport of blood from
+
+459
+00:34:54,900 --> 00:34:57,580
+the lungs to the brain، تمام. عندي heart failure،
+
+460
+00:34:57,580 --> 00:35:02,280
+عندي stenosis، عندي some sort of إيه problem، under
+
+461
+00:35:02,280 --> 00:35:05,180
+these conditions، the storage capacities of the
+
+462
+00:35:05,180 --> 00:35:09,320
+alveoli and pulmonary. من الأسباب برضه المهمة، إنه
+
+463
+00:35:09,320 --> 00:35:11,700
+بيصيرش تغيير كبير، إنه عندنا الـ alveolar
+
+464
+00:35:11,700 --> 00:35:15,840
+respiration. يعني إحنا… يعني عندنا الـ stability
+
+465
+00:35:15,840 --> 00:35:21,570
+تبع الـ alveoli اللي بنَتَنَفس منها، ثابتة إلى حد ما، يعني
+
+466
+00:35:21,570 --> 00:35:23,270
+لو زاد الـ ventilation شوية، أو طال الـ ventilation
+
+467
+00:35:23,270 --> 00:35:27,990
+و إيه؟ شوية التغيير اللي بيصير عن الـ إيه؟ الـ الـ الـ
+
+468
+00:35:27,990 --> 00:35:32,830
+respiratory volume اللي اتكلمنا عنه، تمام، بيظل
+
+469
+00:35:32,830 --> 00:35:36,210
+يديني إلى حد ما the same. فاكرين لما اتكلمنا في
+
+470
+00:35:36,210 --> 00:35:40,950
+الأول، إيه ميزة الـ إيه؟ الـ الـ alveolar respiration؟
+
+471
+00:35:40,950 --> 00:35:44,350
+هذا الـ alveolar، الـ functional residual volume
+
+472
+00:35:44,350 --> 00:35:48,410
+الموجود، مش كده؟ اتكلمنا عنه، فاكرين؟ قولنا إنه بيظل
+
+473
+00:35:48,410 --> 00:35:51,250
+عندي أنا… بيعملش تغيير كبير في ال… في الـ
+
+474
+00:35:51,250 --> 00:35:54,470
+concentration of… of oxygen and carbon dioxide
+
+475
+00:35:54,470 --> 00:35:57,230
+that supplies to the blood. وإلا لو فيه تغيير كبير،
+
+476
+00:35:57,230 --> 00:35:59,590
+هنلاقي بنعكس هذا على الـ respiratory center، مرة بيعلق
+
+477
+00:35:59,590 --> 00:36:03,530
+و مرة بيوطى. فإحنا بيصير تغيير وتحسين، لكن عندي
+
+478
+00:36:03,530 --> 00:36:06,610
+كمية كبيرة بتظل إلى حد ما تتغير، بتبقى وقت طويل
+
+479
+00:36:06,610 --> 00:36:10,090
+لما تتغير، لكن لو أجي علينا فترة إنها بتتغير بسرعة،
+
+480
+00:36:11,250 --> 00:36:13,670
+هنلاقي أثرها على الـ what؟ على الـ respiratory center
+
+481
+00:36:13,670 --> 00:36:16,150
+الـ respiratory center. السادسة، ومرة إيه؟ الـ
+
+482
+00:36:16,150 --> 00:36:18,130
+concentration. كويس. والمرة الثانية، ومتعاكسة، وقاطعة،
+
+483
+00:36:18,130 --> 00:36:21,450
+بتروح بِتعلِّي شوية، وبتوطِّي شوية، وهكذا، مش كده؟ طيب
+
+484
+00:36:21,450 --> 00:36:27,090
+إذا عندي أنا إيه؟
+
+485
+00:36:27,090 --> 00:36:30,730
+under these conditions، اللي هو يصير عندك delay of
+
+486
+00:36:30,730 --> 00:36:34,210
+transport، the storage capacities of the alveoli
+
+487
+00:36:34,210 --> 00:36:37,750
+and pulmonary blood for these gases are exceeded،
+
+488
+00:36:39,770 --> 00:36:42,610
+then after a few more seconds، the periodic
+
+489
+00:36:42,610 --> 00:36:46,230
+respiratory drive becomes extreme and can't stop
+
+490
+00:36:46,230 --> 00:36:49,350
+respiration. إذا لو فيه فرق ما بينها نوعاً ما،
+
+491
+00:36:49,350 --> 00:36:53,190
+مالاقيناه استهلك بسبب مدة طويلة، respirator
+
+492
+00:36:53,190 --> 00:36:59,120
+center. استهلك كمية كبيرة من الـ gases في
+
+493
+00:36:59,120 --> 00:37:02,640
+المنطقة هذه، وهبط الأكسجين، وعليه الـ carbon
+
+494
+00:37:02,640 --> 00:37:05,620
+dioxide أعلى من اللازم، لإنه delay في الـ supply،
+
+495
+00:37:05,620 --> 00:37:09,840
+تمام. فبيقدر الـ innocence بيحس إنه عنده في بالفعل
+
+496
+00:37:09,840 --> 00:37:13,500
+نقص شديد، لحد ما يصير عندي أنا إيه؟ hyper
+
+497
+00:37:13,500 --> 00:37:18,400
+ventilation. بحسّنها، فبيروح بِهبوط هذا النوع من الهواء،
+
+498
+00:37:18,400 --> 00:37:25,100
+يحدث عادة في المستخدم مع أخطاء قلبية عالية، لأن
+
+499
+00:37:25,100 --> 00:37:31,460
+مدّ الدم بطيئة، وبالتالي تدلّ تنقل الدم من العقل
+
+500
+00:37:31,460 --> 00:37:32,020
+إلى العقل،
+
+501
+00:37:37,130 --> 00:37:41,350
+إذا هنا نقطة ثانية بنقول إنه sometimes الناس هدول
+
+502
+00:37:41,350 --> 00:37:44,410
+عندهم cardiac problem، أحياناً بيخشوا في الـ kidney
+
+503
+00:37:44,410 --> 00:37:47,410
+stock restoration، أحياناً بيصلحوا، وبنجي أحياناً دخلوا
+
+504
+00:37:47,410 --> 00:37:51,550
+فيها، يعني بتجيهم transient، أحياناً هيك لأشهر، و
+
+505
+00:37:51,550 --> 00:37:55,610
+بتروح أشهر ثانية. السبب الثاني اللي هو اللي حكيت لكم
+
+506
+00:37:55,610 --> 00:37:59,430
+عليه أنا من شوية، الـ terminal before death، a second
+
+507
+00:37:59,430 --> 00:38:02,570
+cause of kidney stocks bleeding is increased
+
+508
+00:38:02,570 --> 00:38:06,420
+negative feedback gain in the respiratory control
+
+509
+00:38:06,420 --> 00:38:10,200
+areas. يعني صار حساس أكتر من اللازم، الـ respiratory
+
+510
+00:38:10,200 --> 00:38:14,420
+center. إحنا في الوضع الطبيعي عندنا مش حساس كتير، بحيث
+
+511
+00:38:14,420 --> 00:38:19,080
+التغيرات البسيطة بيحسبهاش، فبيظل الـ ventilation إلى
+
+512
+00:38:19,080 --> 00:38:23,060
+حد ما ثابت، لكن لو صار حساس زِيد عن اللزوم، أي تغيير
+
+513
+00:38:23,060 --> 00:38:25,680
+بيعمل الـ respiratory ventilation عالي، وأي هبوط
+
+514
+00:38:25,680 --> 00:38:28,700
+بيعمل الـ ventilation إيه؟ واطي، وهكذا بيصير عند
+
+515
+00:38:28,700 --> 00:38:33,170
+الفروقات واحدة. إذا الـ… الـ… increased negative
+
+516
+00:38:33,170 --> 00:38:37,490
+feedback gain، زي ما حكيناه على هرمونات الـ negative
+
+517
+00:38:37,490 --> 00:38:40,210
+feedback، أنا هتكلم عنه لما بيه على الـ… الـ هرمون
+
+518
+00:38:40,210 --> 00:38:43,590
+الأساسي، الهرمون بتحكم فيه، بيوطى لما هذا بيوطى، هذا
+
+519
+00:38:43,590 --> 00:38:46,670
+بيعلق. فبنلاقيهم إيه؟ التانين balancing each other،
+
+520
+00:38:46,670 --> 00:38:49,030
+طالعين ونازلين، واحد بيعلق، واحد بيوطى، وبيروح تاني
+
+521
+00:38:49,030 --> 00:38:53,010
+بيعلق، وتاني بيوطى. ف… فلو زادت الحساسية هذه،
+
+522
+00:38:53,010 --> 00:38:56,630
+بيصير العالي كتير، والوطي كتير، وهنا اللي بيصير في
+
+523
+00:38:56,630 --> 00:39:02,300
+الناس هدول. هذا يعني أن تغيير في دماء كربون دايأوكسايد،
+
+524
+00:39:02,300 --> 00:39:06,560
+أو أكسجين، يسبب فيه تغيير أكتر في الهواء، أكتر من
+
+525
+00:39:06,560 --> 00:39:11,000
+عادة، هذا
+
+526
+00:39:11,000 --> 00:39:15,920
+النوع من الهواء يحدث أكتر في مريضين مع إدارة
+
+527
+00:39:15,920 --> 00:39:20,980
+الدماء الدماء الدماء الدماء الدماء الدماء الدماء الدماء
+
+528
+00:39:20,980 --> 00:39:25,440
+دماء دماء دماء دماء دماء دماء دماء دماء دماء دماء
+
+529
+00:39:25,440 --> 00:39:25,520
+دماء دماء دماء دماء دماء دماء دماء دماء دماء دماء
+
+530
+00:39:25,520 --> 00:39:25,560
+دماء دماء دماء دماء دماء دماء دماء دماء دماء دماء
+
+531
+00:39:25,560 --> 00:39:26,320
+دماء دماء دماء دماء دماء دماء دماء دماء دماء دمثم
+
+532
+00:39:26,320 --> 00:39:30,280
+إضافة  في دماغ كربون دايأوكسايد تقوم
+
+533
+00:39:30,280 --> 00:39:34,540
+بتشغيلها، تمام؟ يعني عندنا الـ brain damage بيؤدي
+
+534
+00:39:34,540 --> 00:39:37,420
+إلى suppression للـ respiration، بيبقى على كربون
+
+535
+00:39:37,420 --> 00:39:41,520
+دايأوكسايد بيروح بشغله، تمام؟ بتحسّن، فبرجع لـ
+
+536
+00:39:41,520 --> 00:39:46,200
+suppression من جديد، بعودي على كربون دايأوكسايد، this
+
+537
+00:39:46,200 --> 00:39:53,490
+type of breathing frequently a prelude to death
+
+538
+00:39:53,490 --> 00:39:58,790
+from brain malfunction. بيكون فيه دائماً المرحلة
+
+539
+00:39:58,790 --> 00:40:05,170
+الأخيرة، واحد كبير وخطير، ووصل لمرحلة ضعف على الآخر،
+
+540
+00:40:05,170 --> 00:40:10,050
+بعدين دخل في هذا الـ time، معناه يعني بنزع الحالة،
+
+541
+00:40:10,050 --> 00:40:13,710
+اللي إيه؟ بنشوفها إن النفس طالع نازل كده كده، هذا
+
+542
+00:40:13,710 --> 00:40:21,270
+إيه؟ يعني في نزع الأخير، ممكن في نص هذه، تمام؟ في
+
+543
+00:40:21,270 --> 00:40:25,610
+العادة بيكون هو في غيبوبة، لما يصل لمرحلة هذه، بس ممكن
+
+544
+00:40:25,610 --> 00:40:31,650
+بساطة في نص الغيبوبة هذه، يصحى ويسلم على الأولاد، و
+
+545
+00:40:31,650 --> 00:40:35,670
+يبوّسهم، ويقول لهم الحمد لله بالسلامة، ويعود ينام،
+
+546
+00:40:35,670 --> 00:40:41,510
+بعد ساعة يموت. هذه إيه؟ يعني البداية الأخيرة دائماً
+
+547
+00:40:41,510 --> 00:40:46,550
+بيكون، بيبقى في وسط النزع هذا، كلمة اعمل… اعمل إيش؟
+
+548
+00:40:46,550 --> 00:40:50,980
+ما بتنفعش، خلاص. بعدين فجأة بيصحى، وبيودّع الحَمْلة طبعاً،
+
+549
+00:40:50,980 --> 00:40:55,460
+الكل بيعرف إنه… إنه فيه مشكلة، فَالكل بتِجْتَمَع، فبيصحى
+
+550
+00:40:55,460 --> 00:41:00,860
+و بيودّعهم كلهم، تمام، وبيروحوا. وبعد ساعتين، تلاتة،
+
+551
+00:41:00,860 --> 00:41:05,520
+أربع، بيكونوا بإيه… اللي الله يرحمه، الدكتور
+
+552
+00:41:05,520 --> 00:41:09,760
+عبدالعزيز الأنصاري كان بيحكي لي عن والده قبل ما
+
+553
+00:41:09,760 --> 00:41:15,160
+يتوفى، بَعَتْ لأولاده كلهم، تمام، ووصاهم، ووصّيتكم يا ولادي،
+
+554
+00:41:15,160 --> 00:41:18,040
+ووصّيتكم يا ولادي، ووصّيتكم يا ولادي… يعني زي الأفلام
+
+555
+00:41:18,040 --> 00:41:25,320
+الغريبة جداً. بصير المهم في هذه المرحلة، الـ respiratory
+
+556
+00:41:25,320 --> 00:41:30,360
+center هذا حساس جداً، طبعاً أي sedation ممكن يعمله
+
+557
+00:41:30,360 --> 00:41:37,120
+يعني continuous separation، خلاص، طبعاً هذه الفترة
+
+558
+00:41:37,120 --> 00:41:40,640
+أخذوا مالهم منها جداً. typical records of changes in
+
+559
+00:41:40,640 --> 00:41:43,320
+the pulmonary and respiratory center during
+
+560
+00:41:43,320 --> 00:41:46,480
+chemical breathing are shown in time. مش okay، note
+
+561
+00:41:46,480 --> 00:41:47,640
+that the carbon dioxide
+
+562
+00:41:52,330 --> 00:41:55,310
+طيب ماشي، مش عارف الجملة اللي كنت أقول لكم إياها أنا
+
+563
+00:41:55,310 --> 00:42:00,130
+كانت إيه؟ وين موجودة الفترة هذه في الـ kidney stroke
+
+564
+00:42:00,130 --> 00:42:04,630
+respiration؟ ممنوع ندّي sedation، ممنوع ندّي إيه؟ ممكن
+
+565
+00:42:04,630 --> 00:42:09,450
+نعمل suppression كامل للموضوع،
+
+566
+00:42:09,450 --> 00:42:12,930
+الثاني الأهم، حقيقة اللي بنتكلم عنه في الـ periodic
+
+567
+00:42:12,930 --> 00:42:18,540
+respiration، اللي هو sleep apnea، sleep ابنيا، هذا
+
+568
+00:42:18,540 --> 00:42:24,240
+موضوع مهم وخطير، وفيه
+
+569
+00:42:24,240 --> 00:42:30,420
+بنلاحظ إحنا إنه في أثناء النوم، واحد بيصل لـ complete
+
+570
+00:42:30,420 --> 00:42:36,220
+separation للإيه؟ للـ respiration، وبعدين يعود الـ
+
+571
+00:42:36,220 --> 00:42:38,180
+respiration من جديد، وبعدين يصير complete
+
+572
+00:42:38,180 --> 00:42:41,820
+separation للـ respiration، وبعدين يستيقظ، ابنية توقف
+
+573
+00:42:41,820 --> 00:42:46,240
+كامل عن الـ إيه؟ عن التنفس، تمام؟ وسموها sleep apnea،
+
+574
+00:42:46,240 --> 00:42:51,160
+لإنها بيصيروا الواحد إيه؟ هو نايم. الـ sleep apnea
+
+575
+00:42:51,160 --> 00:42:56,440
+دي نوعين: نوع obstructive، بيسميها obstructive sleep
+
+576
+00:42:56,440 --> 00:43:03,540
+apnea، وفي نوع ثاني central sleep apnea، تمام؟
+
+577
+00:43:03,540 --> 00:43:08,800
+الأكثر والأكثر، والإشكالات أكتر هي الـ… الـ
+
+578
+00:43:08,800 --> 00:43:12,140
+obstructive sleep apnea، obstructive sleep apnea،
+
+579
+00:43:12,140 --> 00:43:16,800
+واحد إحنا في الطبيعي، في الطبيعي بنتنفس طبيعي من
+
+580
+00:43:16,800 --> 00:43:20,200
+غير ما ناخد بالنا، بننام برضه بنتنفس، ومن غير ما
+
+581
+00:43:20,200 --> 00:43:26,860
+ناخد بالنا، لكن إحنا بعض الناس أول ما بينام، تمام،
+
+582
+00:43:26,860 --> 00:43:32,660
+بيلاقي إنه الحلق عنده، منطقة الـ pharynx هذه اتطبّجت،
+
+583
+00:43:32,660 --> 00:43:39,330
+واتضاقت، صار عنده some sort of obstruction لل… للـ
+
+584
+00:43:39,330 --> 00:43:44,530
+… للـ respirator، والـ airways، تمام؟ المجاري
+
+585
+00:43:44,530 --> 00:43:50,770
+الهوائية أغلقت، كيف هذا؟ إحنا في الطبيعي الـ pharynx،
+
+586
+00:43:50,770 --> 00:43:54,430
+pharyngeal muscles relax أثناء النوم، الـ relaxation
+
+587
+00:43:54,430 --> 00:43:57,750
+هذا بيضيق شوية ال… الـ pharynx، لكن ما بيعملش
+
+588
+00:43:57,750 --> 00:44:01,990
+obstruction، ما بيعملش obstruction، لكن بعض الناس،
+
+589
+00:44:01,990 --> 00:44:06,660
+بالذات الـ obesity، بالذات مع الـ obesity الزايدة،
+
+590
+00:44:06,660 --> 00:44:10,060
+بيقدر إلى إنه صار عندنا ضعف شديد في العضلات هذه،
+
+591
+00:44:10,060 --> 00:44:14,640
+وصار عندنا أساساً narrowing، من سبب الـ obesity اللي
+
+592
+00:44:14,640 --> 00:44:17,620
+موجودة، narrowing of the pharynx. فلما يصير
+
+593
+00:44:17,620 --> 00:44:21,700
+relaxation، بيصير complete إيه؟ obstruction، تمام؟ و
+
+594
+00:44:21,700 --> 00:44:25,520
+هدول ما نلاحظ عليهم إنه أول ما بينام بيبدأ snoring،
+
+595
+00:44:26,810 --> 00:44:31,990
+بيبدأ الشخير، اه يظهر، أول ما بيغفو، بيبدأ الشخير
+
+596
+00:44:31,990 --> 00:44:36,030
+يظهر، ليش الشخير بدأ يظهر؟ لإنه بيضغط إيه؟ الـ
+
+597
+00:44:36,030 --> 00:44:40,170
+respiratory passage كتير، فَالضغط الكتير هانا صار
+
+598
+00:44:40,170 --> 00:44:44,880
+يصفر، مش هيك؟ صار يصفر، تحتّز العضلات تبع الـ pharynx،
+
+599
+00:44:44,880 --> 00:44:50,520
+تحتّز الـ uvula، تحتّز المنطقة هذه كلها، مع الضيق، زي
+
+600
+00:44:50,520 --> 00:44:54,420
+الصفارة، صارت لما كان ضيق، صارت صفر، فبيصير شخير،
+
+601
+00:44:54,420 --> 00:45:00,720
+الشخير هذا بيلاقي بيزيد،
+
+602
+00:45:00,720 --> 00:45:07,900
+بيزيد، بيزيد، تمام، ثم بيتوقف نهائي، صار complete
+
+603
+00:45:07,900 --> 00:45:11,770
+obstruction، وبعدين لما يصير complete obstruction،
+
+604
+00:45:11,770 --> 00:45:15,750
+ممكن يصل complete obstruction لعشر ثواني مثلاً، مدة
+
+605
+00:45:15,750 --> 00:45:21,070
+طويلة. الـ carbon dioxide level بيكون إيه؟ بيكون
+
+606
+00:45:21,070 --> 00:45:26,390
+ارتفع، ارتفع، ارتفع، ارتفع، فبيروح بيصحى، وبرجع الـ
+
+607
+00:45:26,390 --> 00:45:30,450
+respiration من أول وجديد، تمام؟ إذا عندنا إحنا الـ
+
+608
+00:45:30,450 --> 00:45:34,770
+carbon dioxide لما بيعلى في الجسم، تمام، بيعمل strong
+
+609
+00:45:34,770 --> 00:45:39,210
+stimulation in the respiratory center، وحتى البني
+
+610
+00:45:39,210 --> 00:45:43,610
+آدم اللي هو إيه؟ في عملية الـ snoring هذا، بيعود يصحى
+
+611
+00:45:43,610 --> 00:45:48,750
+من جديد، تمام، وبياخد نفس من جديد، وبيقعد يغيّر وضعه،
+
+612
+00:45:48,750 --> 00:45:53,370
+ويرجع إيه؟ لِينام من جديد، تمام. أول ما بينام، بيخش
+
+613
+00:45:53,370 --> 00:45:56,870
+في إيه؟ برضه في كمان دورة من جديد. إذا periodic
+
+614
+00:45:56,870 --> 00:46:04,670
+inspiration، تمام؟
+
+667
+00:50:10,280 --> 00:50:15,860
+episodes of apnea (متوقف عن النفس كاملاً) lasting from
+
+668
+00:50:15,860 --> 00:50:19,380
+ten seconds or longer for ten seconds or longer
+
+669
+00:50:19,380 --> 00:50:23,500
+يعني ممكن إيه؟ شخير زي ما هو عالي عالي عالي، وبعدين
+
+670
+00:50:23,500 --> 00:50:28,840
+توقف (أهو) obstruction كامل، وينما الـ carbon dioxide
+
+671
+00:50:28,840 --> 00:50:33,240
+عنده عالي على الآخر، وانفجر الـ respiratory center
+
+672
+00:50:33,240 --> 00:50:38,660
+تمام بالـ .. بالـ .. بالـ strong ventilation، وصحاه
+
+673
+00:50:38,660 --> 00:50:43,450
+وخلى يغير وضعه، ويحاول إيه إنه من جديد بشكل تاني، and
+
+674
+00:50:43,450 --> 00:50:46,350
+occurring من تلاتمية إلى خمسمية times each night
+
+675
+00:50:46,350 --> 00:50:50,370
+ممكن يكون أقل بكثير، يعني الرقم أنا مش .. مش بُكَثّره
+
+676
+00:50:50,370 --> 00:50:54,670
+كثير، يعني لأن إذا نقول كل تلاتمية إلى خمسمية دقيقة
+
+677
+00:50:54,670 --> 00:50:57,170
+مرة في اليوم، يعني كل ربع دقيقة بده يصحى وينام
+
+678
+00:50:57,170 --> 00:51:01,750
+ما يحقّش يصحى وينام، تمام؟ احنا قلنا إنه intermittent
+
+679
+00:51:01,750 --> 00:51:07,170
+sleep هو اللي كل ربع دقيقة ما نامش، sleep apnea can
+
+680
+00:51:07,170 --> 00:51:11,570
+be caused by obstruction، قلنا أو إيه؟ أو central، إذن
+
+681
+00:51:11,570 --> 00:51:14,530
+في عندنا obstructive sleep apnea أو central sleep
+
+682
+00:51:14,530 --> 00:51:18,090
+apnea، الـ obstructive type: the muscles of the
+
+683
+00:51:18,090 --> 00:51:21,890
+pharynx normally keep this passage open to allow
+
+684
+00:51:21,890 --> 00:51:24,870
+air to flow into the lungs during inspiration.
+
+685
+00:51:24,870 --> 00:51:28,290
+During sleep these muscles usually relax, but the
+
+686
+00:51:28,290 --> 00:51:31,970
+airway passage remains open enough to permit
+
+687
+00:51:31,970 --> 00:51:36,150
+adequate air flow. تمام، هذا الفرض الطبيعي، some
+
+688
+00:51:36,150 --> 00:51:39,730
+individuals have an especially narrow passage.
+
+689
+00:51:40,710 --> 00:51:44,770
+Narrowing بسبب في الغالب بسبب obesity، في obesity
+
+690
+00:51:44,770 --> 00:51:48,710
+خلت الـ passages narrow، and the relaxation of these
+
+691
+00:51:48,710 --> 00:51:51,330
+muscles during sleep causes the pharynx to
+
+692
+00:51:51,330 --> 00:51:55,290
+completely close so that air cannot flow into the
+
+693
+00:51:55,290 --> 00:51:55,630
+lungs.
+
+694
+00:52:06,010 --> 00:52:10,330
+In persons with sleep apnea, loud snoring and
+
+695
+00:52:10,330 --> 00:52:15,730
+labored breathing, labored breathing (تنفس بجهد شديد)
+
+696
+00:52:15,730 --> 00:52:21,490
+labored breathing. Okay, soon after falling asleep
+
+697
+00:52:21,490 --> 00:52:26,350
+أول ما بينام بيخش فيه snoring، the snoring proceeds
+
+698
+00:52:26,350 --> 00:52:31,610
+often becoming louder and is then interrupted by a
+
+699
+00:52:31,610 --> 00:52:34,510
+long silent period during which the breathing
+
+700
+00:52:44,630 --> 00:52:49,430
+الذي يحدث في هذه الفترة من الأبناء ينتهي في
+
+701
+00:52:49,430 --> 00:52:53,650
+تقلبات كبيرة في حرارة الأكسجين، وتقلبات حرارة
+
+702
+00:52:53,650 --> 00:52:57,970
+الكربون دايوكسيد التي تشبه بشكل كبير الاختناق هذا
+
+703
+00:52:57,970 --> 00:53:03,550
+في حالة تشبه هذا، في حالة تشبه هذا، في حالة تشبه هذا
+
+704
+00:53:03,550 --> 00:53:07,560
+في حالة بقوة، بيخلي بيحاول بيلاقي حالة مش عارف يتنفس
+
+705
+00:53:07,560 --> 00:53:14,280
+فبيصحى، which results in loud snores and gasping
+
+706
+00:53:14,280 --> 00:53:20,880
+فجأة بعد توقف توقف، بيصحى بياخد gasp كبيرة، and
+
+707
+00:53:20,880 --> 00:53:25,280
+followed by snoring and repeated episodes of apnea.
+
+708
+00:53:25,280 --> 00:53:31,380
+و هكذا، تمام؟ إذا هذه المسألة خطيرة، لم يصاحبها من
+
+709
+00:53:31,380 --> 00:53:31,900
+مشاكل
+
+710
+00:53:34,530 --> 00:53:41,230
+إذا في عندي fragmented restless sleep، نوم مقطع مش
+
+711
+00:53:41,230 --> 00:53:45,370
+مريح، therefore patients with sleep apnea usually
+
+712
+00:53:45,370 --> 00:53:51,290
+have excessive daytime drowsiness (أثناء الصحيان)
+
+713
+00:53:51,290 --> 00:53:56,780
+أثناء الـ as well as other disorders including
+
+714
+00:53:56,780 --> 00:54:00,960
+increased sympathetic activity, high heart rate,
+
+715
+00:54:01,540 --> 00:54:04,780
+pulmonary and systemic hypertension، كمان الـ
+
+716
+00:54:04,780 --> 00:54:07,340
+sympathetic stimulation بيعمل لي إيه؟ hypertension
+
+717
+00:54:07,340 --> 00:54:12,500
+as well، and greatly، و هذه الأخطر، and greatly
+
+718
+00:54:12,500 --> 00:54:16,220
+elevated risk of cardiovascular accidents أو
+
+719
+00:54:16,220 --> 00:54:20,340
+diseases، تمام؟ إذا هدول الناس بتعرضوا بعد كده
+
+720
+00:54:20,340 --> 00:54:28,400
+لمخاطر الـ cardiovascular problems. إذا الأسباب
+
+721
+00:54:28,400 --> 00:54:34,100
+الرئيسية occurs in older obese persons in whom
+
+722
+00:54:34,100 --> 00:54:37,660
+there is increased fat deposition in the soft
+
+723
+00:54:37,660 --> 00:54:41,280
+tissues of the pharynx، or compression of the
+
+724
+00:54:41,280 --> 00:54:46,660
+pharynx from the neck obesity، تمام؟ إذا هنا صنعنا
+
+725
+00:54:46,660 --> 00:54:52,160
+صورة أحنا كاملة لهذه الحالة، حالة خطيرة. خدوا
+
+726
+00:54:52,160 --> 00:54:58,160
+بالكم اللي قابلين للسمنة منها، واحترسوا منها من
+
+727
+00:54:58,160 --> 00:55:05,920
+بِدري، مش كده؟ طيب، الآن الحالة هذه إلها حالات
+
+728
+00:55:05,920 --> 00:55:09,840
+surgery، بيسميها
+
+729
+00:55:09,840 --> 00:55:16,620
+uvulopalatopharyngoplasty، uvula
+
+730
+00:55:16,620 --> 00:55:22,530
+الـ uvula، soft palate، palato yuvilo palato بين الـ
+
+731
+00:55:22,530 --> 00:55:24,950
+uvula و الـ .. و الـ .. و الـ palate، الـ hard palate
+
+732
+00:55:24,950 --> 00:55:29,750
+و الـ soft palate، farangio الـ pharyngoplasty اللي
+
+733
+00:55:29,750 --> 00:55:35,830
+هو repair، يعني الـ plastic repair، ممكن
+
+734
+00:55:35,830 --> 00:55:39,890
+تكون خطيرة جداً، ويضطر يعملوا tracheotomy used to be، لأن
+
+735
+00:55:39,890 --> 00:55:43,390
+الـ obstruction فوق كثير .. العملية هذه طبعاً خطيرة
+
+736
+00:55:43,390 --> 00:55:47,730
+جداً، وفرصة النجاح فيها مش عالية، لذا أنا ما أفضّلهاش
+
+737
+00:55:47,730 --> 00:55:49,010
+أبداً لأي حد يعملها.
+
+738
+00:55:52,280 --> 00:55:57,000
+Tracheostomy، في حالة ما يكون مُحَرّض، إنه يعني .. يعني
+
+739
+00:55:57,000 --> 00:56:00,200
+في وضع خطير، يعني بنعمل tracheostomy، الـ opening في
+
+740
+00:56:00,200 --> 00:56:07,400
+الـ trachea، مش كده؟ طيب، أو أو إذا ما قدرناش نعمل
+
+741
+00:56:07,400 --> 00:56:14,720
+surgery، بنعمل اللي هو الـ CPAP، اللي هو بنديله جهاز
+
+742
+00:56:14,720 --> 00:56:21,000
+بيركب على أنفه، خرطوم مُشبك في إيه؟ في جهاز، الجهاز
+
+743
+00:56:21,000 --> 00:56:27,280
+هذا بيدي عليه، بنديله CPAP، continuous positive
+
+744
+00:56:27,280 --> 00:56:31,520
+airway pressure، continuous positive airway
+
+745
+00:56:31,520 --> 00:56:36,220
+pressure، زي هذا الشاب اللي هان، هذا عنده، هعطي الـ
+
+746
+00:56:36,220 --> 00:56:39,280
+CPAP، واشوف إيه اللي هيكون هناك؟
+
+747
+00:56:48,160 --> 00:56:53,420
+هذا الـ CPAP، تمام؟ إذا كنت بتشوف فين؟ حاطط على
+
+748
+00:56:53,420 --> 00:56:58,280
+الأنف .. حاطط على الأنف mask.
+
+749
+00:57:00,120 --> 00:57:03,040
+حقيقة هي مربوطة زي ما أنتم شايفينها، التفاصيل
+
+750
+00:57:03,040 --> 00:57:07,780
+مربوطة بحيث إنها تبقى التنفس اللي نزل من الأنف
+
+751
+00:57:07,780 --> 00:57:14,080
+مباشرة sealed مع الأنبوبة، بحيث عندي أنا الجهاز
+
+752
+00:57:14,080 --> 00:57:17,500
+اللي هو هاي جنبه هذا، بتديني positive pressure
+
+753
+00:57:17,500 --> 00:57:21,980
+ventilation، positive pressure، فالهواء بيدخل under
+
+754
+00:57:21,980 --> 00:57:25,320
+positive pressure، إيش بيدي؟ إنه يفتح الـ
+
+755
+00:57:25,320 --> 00:57:28,920
+obstruction، بيقدر لأنه إيه؟ يفتح الـ obstruction
+
+756
+00:57:28,920 --> 00:57:35,340
+تمام؟ هذا CPAP ماشي، و هذه التكنيك اللي إحنا إيه
+
+757
+00:57:35,340 --> 00:57:43,860
+قلنا إنه ممكن يدي نتائج شيء أفضل من الـ surgery.
+
+758
+00:57:43,860 --> 00:57:47,680
+الـ surgery لا يُفضّل، وأفضل منهم كلهم إنه ينتبه
+
+759
+00:57:47,680 --> 00:57:50,800
+لحاله، و لصحته، ولأهمية الكلام هذا، وينزل وزنه،
+
+760
+00:57:50,800 --> 00:57:56,610
+بيتحسّن إن شاء الله. الـ central apnea مش مسألة متعلقة
+
+761
+00:57:56,610 --> 00:58:02,090
+بـ obstruction، مسألة متعلقة بـ damage في الـ brain،
+
+762
+00:58:02,090 --> 00:58:06,230
+بتقدر إلى أنه عنده أبنية، إحنا بنلاحظها مش بس بالليل،
+
+763
+00:58:06,860 --> 00:58:10,600
+كمان في النهار، بنلاحظ إنه الـ rate of respiration
+
+764
+00:58:10,600 --> 00:58:14,720
+دائماً واطي، الـ ventilation واطي، مش طبيعي، طب بس كله
+
+765
+00:58:14,720 --> 00:58:19,180
+تنفس جوه، بتنفس، بتحكم في نفسك، بتحكم، بس الـ
+
+766
+00:58:19,180 --> 00:58:22,800
+automatic respiration، ventilation اللي مسؤول عنه
+
+767
+00:58:22,800 --> 00:58:27,960
+respiration center بيبقى إيه؟ low، وبيخش في إيه؟ في
+
+768
+00:58:27,960 --> 00:58:31,520
+الأبناء هذه during sleep، لكن في النهار برضه موجود
+
+769
+00:58:31,520 --> 00:58:36,000
+عنده إيه؟ abnormal ventilation rate، تمام؟ مش طبيعي.
+
+770
+00:58:38,770 --> 00:58:40,710
+ممكن سببها damage to the central respiratory
+
+771
+00:58:40,710 --> 00:58:42,990
+center، or abnormalities of the respiratory
+
+772
+00:58:42,990 --> 00:58:46,130
+neuromuscular apparatus. يعني يا إما الـ center نفسه
+
+773
+00:58:46,130 --> 00:58:49,450
+يا إما الـ neuromuscular apparatus تبع الـ
+
+774
+00:58:49,450 --> 00:58:52,370
+respiration، في إشكال في الـ chemical transmitters
+
+775
+00:58:52,370 --> 00:58:55,890
+أو ما أعرفش إشكال، يعني مسائل نادرة، تمام؟ الأخطر، و
+
+776
+00:58:55,890 --> 00:58:59,270
+الأكثر، والأهم عندنا الـ obstructive، الـ obstructive
+
+777
+00:58:59,270 --> 00:59:03,370
+apnea، فيه central، ما نقدرش نعمل إيش؟ الـ central، تمام؟
+
+778
+00:59:03,370 --> 00:59:08,220
+إذا patients الذين يتأثرون من أبناء النوم المركزية
+
+779
+00:59:08,220 --> 00:59:11,900
+يمكن أن يكون لديهم تقلب من الهواء عندما يكونوا
+
+780
+00:59:11,900 --> 00:59:16,520
+مستيقظين، صحين، أه طيب، خلال النوم، عادة تتحرك
+
+781
+00:59:16,520 --> 00:59:20,980
+مخلوقات الهواء، ينتهي في أشياء أكثر عادية من
+
+782
+00:59:20,980 --> 00:59:24,460
+الأبناء التي تتقل الضغط الكبير على الكربون دايوكسيد
+
+783
+00:59:24,460 --> 00:59:30,240
+والكربون دايوكسيد، حتى يصل إلى مستوى مهم of carbon
+
+784
+00:59:30,240 --> 00:59:32,740
+dioxide reached، بعدين بيعمل الـ stimulation من أول و
+
+785
+00:59:32,740 --> 00:59:36,200
+جديد، يعني بيبدء الـ picture من أول وجديد، إنه تنفس
+
+786
+00:59:36,200 --> 00:59:41,380
+وانقطع تنفس، وانقطع، these transient instabilities
+
+787
+00:59:41,380 --> 00:59:45,600
+of the respiration causes restless sleep، و الـ
+
+788
+00:59:45,600 --> 00:59:48,960
+picture اللي كلمنا عنها من أول، تمام؟ بيبدء نفس
+
+789
+00:59:48,960 --> 00:59:52,450
+الإشكالات تبع الـ obstructive قبل، يعني in most
+
+790
+00:59:52,450 --> 00:59:58,250
+patients the cause of central apnea is unknown.
+
+791
+00:59:58,250 --> 01:00:02,470
+Although instability of respiratory drive can
+
+792
+01:00:02,470 --> 01:00:05,970
+result from strokes، يعني أشكال في الدماغ صارت
+
+793
+01:00:05,970 --> 01:00:11,100
+إصابات، كذا، تمام؟ وهدول الناس خطير، نديلهم أي
+
+794
+01:00:11,100 --> 01:00:14,680
+sedation أو narcotics، لأنه ممكن يخشّهم already الـ
+
+795
+01:00:14,680 --> 01:00:17,180
+ventilation عندهم واطي، لو أديناهم إيش من هالنوع
+
+796
+01:00:17,180 --> 01:00:19,180
+حده بيعمل complete suppression لـ respiratory
+
+797
+01:00:19,180 --> 01:00:23,120
+center، الله أعلم ما يطلع منه ولا ما يطلعوش منه برضه
+
+798
+01:00:23,120 --> 01:00:26,720
+هدول الـ risk .. الـ .. الـ .. الحل تبعهم الأفضل إن
+
+799
+01:00:26,720 --> 01:00:36,850
+يستخدم الـ ASV CPAP، continuous positive air airway
+
+800
+01:00:36,850 --> 01:00:43,950
+pressure. أه، تمام، CPAP هذا اليوم، هيك بنكون خلّصنا
+
+801
+01:00:43,950 --> 01:00:50,030
+الفصل هذا، اللي هو بيظل عندنا فصل واحد نتكلم فيه إن
+
+802
+01:00:50,030 --> 01:00:54,050
+شاء الله، بده محاضرتين تقريباً، يعني الثلاثة اللي جايين
+
+803
+01:00:54,050 --> 01:00:56,830
+والأحد اللي جاي بنكون إن شاء الله خلّصنا الـ إيه؟ الـ
+
+804
+01:00:56,830 --> 01:01:00,860
+respiratory system، واللي عندها سؤال، أحلى وسهلة.
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/kNeSNUFp40Q_postprocess.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/kNeSNUFp40Q_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..f1f9d06fc3f3de2df1f13b4df092a588bb00806e
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/kNeSNUFp40Q_postprocess.srt
@@ -0,0 +1,3216 @@
+1
+00:00:07,440 --> 00:00:11,260
+بسم الله الرحمن الرحيم السلام عليكم و رحمة الله
+
+2
+00:00:11,260 --> 00:00:17,980
+اتكلمنا المخادرة الماضية عن العوامل اللي بتعمل ال
+
+3
+00:00:17,980 --> 00:00:24,520
+regulation ل ال ventilation فقولنا عندنا ال carbon
+
+4
+00:00:24,520 --> 00:00:28,000
+dioxide blood level of carbon dioxide is the most
+
+5
+00:00:28,000 --> 00:00:32,620
+importantfollowed by hydrogen I use then the
+
+6
+00:00:32,620 --> 00:00:35,720
+partial pressure of oxygen هذا in terms of the
+
+7
+00:00:35,720 --> 00:00:39,560
+central control وقولنا ال peripheral control بيكون
+
+8
+00:00:39,560 --> 00:00:44,700
+فيه ال oxygen هو ال ال upper hand ثم ال carbon
+
+9
+00:00:44,700 --> 00:00:48,560
+dioxide و ال ايه و ال hydrogen ال curve الأمام لها
+
+10
+00:00:48,560 --> 00:00:52,120
+بيرسم العلاقة بين التلت أشياء بين ال alveolar
+
+11
+00:00:52,120 --> 00:00:58,250
+ventilation معالـ carbon dioxide pressure مع ال pH
+
+12
+00:00:58,250 --> 00:01:04,690
+و مع ال oxygen tension من هنا بنلاحظ مثلا أنه لما
+
+13
+00:01:04,690 --> 00:01:10,050
+يكون عندي ال pH يعني ال hydrogen ion concentration
+
+14
+00:01:10,050 --> 00:01:18,890
+أعلى بيكون عندي على lower carbon dioxide level
+
+15
+00:01:18,890 --> 00:01:23,820
+بديني moremore ventilation فاحنا هنا على عشرين
+
+16
+00:01:23,820 --> 00:01:29,060
+ادتنا نفس ال levels اللي a اللي على خمسة و تلاتين
+
+17
+00:01:29,060 --> 00:01:33,540
+اذا الأخضر واضح انه more similar than ال a than
+
+18
+00:01:33,540 --> 00:01:38,780
+الأحمر ال bh اللي هي three point seven افضل من ال
+
+19
+00:01:38,780 --> 00:01:46,290
+bh اللي هي seven point four7.3 عن 7.4 يعني كل ما
+
+20
+00:01:46,290 --> 00:01:49,350
+زاد ال hydrogen ion concentration كل ما كان عندي
+
+21
+00:01:49,350 --> 00:01:53,590
+more stimulation for respiration اذا هذا النقطة
+
+22
+00:01:53,590 --> 00:01:58,970
+نقطة ثانية انه ال pressure of oxygen على نفس level
+
+23
+00:01:58,970 --> 00:02:06,510
+of carbon dioxide pressure هنلاقي انه لما يكون
+
+24
+00:02:06,510 --> 00:02:10,690
+lower oxygen tension زي هنا على 40 اه ال
+
+25
+00:02:10,690 --> 00:02:15,470
+stimulation very rapidال steeping up ال .. أي
+
+26
+00:02:15,470 --> 00:02:20,330
+change في ال carbon dioxide pressure بتديني very
+
+27
+00:02:20,330 --> 00:02:23,350
+high stimulation of ventilation لما يكون عندى ايه
+
+28
+00:02:23,350 --> 00:02:26,930
+ال partial pressure تبع ال oxygen واطي، هذا بنشوفه
+
+29
+00:02:26,930 --> 00:02:30,610
+هنا و بنشوفه هنا، يعني بغض نظر الشي ال pHبنلاقي
+
+30
+00:02:30,610 --> 00:02:34,490
+لما يكون عندى .. عندى ال .. لما اقارن بين الاربعين
+
+31
+00:02:34,490 --> 00:02:38,630
+وخمسين وستين ومية millimeter mercury pressure و ال
+
+32
+00:02:38,630 --> 00:02:42,930
+oxygen هلاحظ انه على نفس ال level تبع ال carbon
+
+33
+00:02:42,930 --> 00:02:48,480
+dioxide لقب ال DNAvery rapid stepping curve في
+
+34
+00:02:48,480 --> 00:02:52,860
+حالة ال .. كل ما جال ال partial partial oxygen كل
+
+35
+00:02:52,860 --> 00:02:55,980
+ما اداني better stimulation اذا لما اتجمع عند ال
+
+36
+00:02:55,980 --> 00:02:59,220
+carbon dioxide مع اللي هو ال oxygen بديني better
+
+37
+00:02:59,220 --> 00:03:04,060
+than اللي ال oxygen اتحسن او اتحسن او اتحسن اذا
+
+38
+00:03:04,060 --> 00:03:07,500
+المية ادتني بس عامل في الحالة هذه ال carbon
+
+39
+00:03:07,500 --> 00:03:12,340
+dioxide كان له تأثير اكبر مالوش ال hypoxia اللي هو
+
+40
+00:03:12,340 --> 00:03:17,000
+تأثيركبير .. اه كبير لكن لما كان اربعين كان واضح
+
+41
+00:03:17,000 --> 00:03:20,060
+عندى يجتمع عاملين عندى ال carbon dioxide مع عاملين
+
+42
+00:03:20,060 --> 00:03:25,420
+مع ال hypoxia و هكذا لو طلعنا في الكيروفيدا مين
+
+43
+00:03:25,420 --> 00:03:28,300
+نجد تلات عوامل مع بعض بتدوني stronger ال
+
+44
+00:03:28,300 --> 00:03:37,160
+simulation لل ventilation طيب
+
+45
+00:03:37,160 --> 00:03:43,450
+هذه اذا during exerciseduring exercise لو طلعنا
+
+46
+00:03:43,450 --> 00:03:49,730
+على ال curve هدا بنلاحظ انه كل ما زاد ال oxygen
+
+47
+00:03:49,730 --> 00:03:54,430
+consumption بمعنى انه صار عنده more exercise كل ما
+
+48
+00:03:54,430 --> 00:03:59,310
+صار عنده ال total ventilation زاد تمام؟ normally
+
+49
+00:03:59,310 --> 00:04:03,370
+احنا عندنا we are ventilating 6 liters بإيه؟ per
+
+50
+00:04:03,370 --> 00:04:05,630
+minute مش كده؟ لكن
+
+51
+00:04:08,260 --> 00:04:13,500
+during exercise بيزيد عندنا ال ventilation بحيث
+
+52
+00:04:13,500 --> 00:04:17,060
+نلاحظ احنا دايما عندنا ثبت ال carbon dioxide
+
+53
+00:04:17,060 --> 00:04:20,460
+concentration او partial pressure و ال oxygen
+
+54
+00:04:20,460 --> 00:04:24,320
+partial pressure و ال hydrogen ions يعني ال
+
+55
+00:04:24,320 --> 00:04:28,660
+changes اللي بتصيرفي ال ventilation during
+
+56
+00:04:28,660 --> 00:04:33,600
+exercise المحصلة تبعتها أنه ألاقي ال levels of
+
+57
+00:04:33,600 --> 00:04:38,540
+these three gases are ال levels تبعتهم في الدم the
+
+58
+00:04:38,540 --> 00:04:42,380
+same the same as before exercise ممكن يصير عندي
+
+59
+00:04:42,380 --> 00:04:46,940
+temporary change gradual و هنشوفه عندنا في curve
+
+60
+00:04:46,940 --> 00:04:52,180
+معين لكن شوية صغيرة برجع إلى ايه إلى ال level
+
+61
+00:04:52,180 --> 00:04:58,360
+before exercise تمام لذلك كان في سؤال طيبmadame
+
+62
+00:04:58,360 --> 00:05:01,340
+during exercise عندي انا ال level of oxygen ال
+
+63
+00:05:01,340 --> 00:05:03,380
+level of carbon dioxide ال level of hydrogen ايه
+
+64
+00:05:03,380 --> 00:05:08,120
+تمام في الدم the same as before exercise يعني عنده
+
+65
+00:05:08,120 --> 00:05:10,900
+transient يتشيش بعدين بنعدله برجع لوضعه الطبيعي
+
+66
+00:05:10,900 --> 00:05:15,000
+طيب what .. what makes ventilation higher what
+
+67
+00:05:15,000 --> 00:05:20,460
+makes ventilation is twenty times normal تمام
+
+68
+00:05:20,460 --> 00:05:24,400
+twenty times at rest ممكن يصل ايش اللي بيخليها تصل
+
+69
+00:05:24,400 --> 00:05:28,340
+هيك هذا السؤال اللي احنا بدنا نجاوب عليهولما
+
+70
+00:05:28,340 --> 00:05:35,860
+حاولوا يجاوبوا عليك مرارا ماجدروش يوجدوا سبب مادى
+
+71
+00:05:35,860 --> 00:05:39,800
+بمعنى انه ال carbon dioxide مثلا عالى عشان صار
+
+72
+00:05:39,800 --> 00:05:43,140
+more simulation ال oxygen water صار more
+
+73
+00:05:43,140 --> 00:05:46,500
+simulation ال hydrogen ions okay صار transient
+
+74
+00:05:46,500 --> 00:05:51,420
+بعدين رجع كل ال exercise ثبتين زاد ال ventilation
+
+75
+00:05:51,420 --> 00:05:56,580
+زاد زاد زاد لمواصلال homeostasis من أول و جديد ده
+
+76
+00:05:56,580 --> 00:06:00,300
+carbon dioxide و ال oxygen تمام فبدأت الناس تفكر
+
+77
+00:06:00,300 --> 00:06:05,660
+في الموضوع و تفسروها بنفس التفسير اللي مع ال
+
+78
+00:06:05,660 --> 00:06:09,200
+exercise عندنا الضغط بيعلق شوية و جالوا انه بيصير
+
+79
+00:06:09,200 --> 00:06:16,700
+عندنا حاجتين الحاجة الأولى ان في نفس الوقت اللي ال
+
+80
+00:06:16,700 --> 00:06:22,260
+brain بيبعت إشارة للعضلات اللي بدها تشتغل عشان
+
+81
+00:06:22,260 --> 00:06:27,940
+تشتغل بشكل أقوىفي نفس الوقت بيبعت خط موازي الى
+
+82
+00:06:27,940 --> 00:06:31,880
+respirator center انه يزيد بنفس ال .. ال .. ال ..
+
+83
+00:06:31,880 --> 00:06:36,260
+الكفاءة يعني جداش عندى هيكون exercise بعتد برضه لل
+
+84
+00:06:36,260 --> 00:06:41,360
+ايه؟ لل respirator center انه يزيد بنفس النسبة
+
+85
+00:06:41,360 --> 00:06:47,700
+لذلك مانلاحظش الفرق كبير ما بينبداية ال exercise و
+
+86
+00:06:47,700 --> 00:06:51,880
+ارتفاع ال ventilation لسه يعني ماحتجناش الا ال ..
+
+87
+00:06:51,880 --> 00:06:55,420
+ال .. التغيير الكبير في .. اه يعني اول ما نبدأ ال
+
+88
+00:06:55,420 --> 00:06:58,280
+exercise بنبدأ ال ventilation لسه لا عيل اكسجين و
+
+89
+00:06:58,280 --> 00:07:00,860
+مطر اكسجين ولا عيل carbon dioxide ولا عيد ايضا
+
+90
+00:07:00,860 --> 00:07:05,160
+تمام؟ اذا هذه التفسير الأولاني و قالوا انه ..
+
+91
+00:07:05,160 --> 00:07:11,660
+قالوا انه بيساعد هذااللي هو ال levels المختلفة لل
+
+92
+00:07:11,660 --> 00:07:16,540
+إيه؟ لل .. لل gases اتكلمنا عنها، يعني بتعمل
+
+93
+00:07:16,540 --> 00:07:21,100
+console انه ال .. ال .. ال order اللي جاية لل
+
+94
+00:07:21,100 --> 00:07:27,500
+respiratory centerاللي هو neural signal يعني بتعمل
+
+95
+00:07:27,500 --> 00:07:31,300
+hyperventilation مثلا بشكل معين، لكن كداش بالظبط
+
+96
+00:07:31,300 --> 00:07:34,740
+ال carbon dioxide و ال oxygen ions اه و ال .. و ال
+
+97
+00:07:34,740 --> 00:07:38,620
+hydrogen ions بتضبطوا ال final او ال fine
+
+98
+00:07:38,620 --> 00:07:42,400
+regulation بتعملها هي، لكن ال main changes بتبقى
+
+99
+00:07:42,400 --> 00:07:47,580
+ايه؟ neural جاية من ايه؟ من الدماغهدا نقطة نقطة
+
+100
+00:07:47,580 --> 00:07:51,880
+تانية قالوا انه التدريب في المسألة هذه بيساعد لذلك
+
+101
+00:07:51,880 --> 00:07:55,440
+الكفاءة تبع الناس اللي هم athletes ومتدربين على
+
+102
+00:07:55,440 --> 00:07:58,380
+الرياضة وكذا تكون أكبر من الكفاءة لإيه للي غير
+
+103
+00:07:58,380 --> 00:08:05,520
+athletes إذا فيها برضه جانب training factor
+
+104
+00:08:05,520 --> 00:08:09,280
+بيقدر إلى أنه مع بداية الرياضة مع بداية ال
+
+105
+00:08:09,280 --> 00:08:12,020
+exercise مع بداية المجهود أنه يكون عنده
+
+106
+00:08:12,020 --> 00:08:18,040
+ventilation أكبر بحيث يغطيحاجات الجسم اللي هي تعني
+
+107
+00:08:18,040 --> 00:08:21,480
+انه يرجع ال carbon dioxide لل level الطبيعي مايزلش
+
+108
+00:08:21,480 --> 00:08:29,580
+و ال oxygen لل level الطبيعي ولا ايه تمام لذا
+
+109
+00:08:29,580 --> 00:08:32,840
+ماقدرش اقول during exercise انه عنده hypercapnia
+
+110
+00:08:32,840 --> 00:08:35,340
+هي اللي زالت ال ventilation ولا hypoxia هي اللي
+
+111
+00:08:35,340 --> 00:08:42,660
+زالت ال ventilation ولا انا تمام عندنا
+
+112
+00:08:42,660 --> 00:08:48,230
+هنا curve بيدل على ذلكخليني أدرسه أيضا، و ال curve
+
+113
+00:08:48,230 --> 00:08:56,270
+هذا لو طلعنا فيه، هنا عندي عامل الوجد، و هنا عندي
+
+114
+00:08:56,270 --> 00:09:03,430
+عامل ال .. ال ventilationبدنا نقارن بين او نقارن
+
+115
+00:09:03,430 --> 00:09:08,110
+زمانيا ما بين ال ventilation و level تبع ال carbon
+
+116
+00:09:08,110 --> 00:09:11,130
+dioxide ليش اخترنا carbon dioxide لأنه the most
+
+117
+00:09:11,130 --> 00:09:16,210
+stimulant مش كده طيب طلعنا هنا لجينا انه مباشرة
+
+118
+00:09:16,210 --> 00:09:21,410
+لما بدأ عندي انا ال exercise على السهم هذا من ال
+
+119
+00:09:21,410 --> 00:09:25,210
+zero يعني تمام لاحظنا انه ال ventilation ارتفع
+
+120
+00:09:25,210 --> 00:09:31,840
+فورا طب احنا لسه ماصارشبال .. بعد .. بعد ال
+
+121
+00:09:31,840 --> 00:09:37,200
+ventilation ما ارتفع مع بداية ال exercise تمام؟
+
+122
+00:09:37,200 --> 00:09:41,080
+لاحظنا انه ال carbon dioxide مش زاد ال carbon
+
+123
+00:09:41,080 --> 00:09:44,780
+dioxide مع ال hyperventilationwashed out و لسه
+
+124
+00:09:44,780 --> 00:09:47,360
+احنا مافيش carbon dioxide اللي اتكون أساسا في ال
+
+125
+00:09:47,360 --> 00:09:50,400
+tissues اللي يتجمع في الدم و يعلق يعني صار عندي
+
+126
+00:09:50,400 --> 00:09:56,220
+hyperventilation أو hypo decrease
+
+127
+00:09:56,220 --> 00:10:00,140
+in the level of carbon dioxide تمام؟ hypocapnia مش
+
+128
+00:10:00,140 --> 00:10:05,080
+hypercapnia نزل ال ايه؟ ال carbon dioxide بسبب ال
+
+129
+00:10:05,080 --> 00:10:08,520
+hyperventilation فال carbon dioxide washed out
+
+130
+00:10:08,520 --> 00:10:14,250
+تمام؟أذا لاحظنا ان ال carbon dioxide مع وجود ال
+
+131
+00:10:14,250 --> 00:10:16,570
+exercise صار hyperventilation و ال carbon dioxide
+
+132
+00:10:16,570 --> 00:10:22,130
+بالعكس و نزل، واضح؟ ليش نزل؟ لأن عندي صار
+
+133
+00:10:22,130 --> 00:10:25,210
+hyperventilation لسه بدون تكوين carbon dioxide
+
+134
+00:10:25,210 --> 00:10:29,200
+كافي، فال hyperventilation اللي هي تلزمالتيشوز
+
+135
+00:10:29,200 --> 00:10:33,900
+للاستعدادات لل exercise ل level معين بعد شوية
+
+136
+00:10:33,900 --> 00:10:37,420
+لاحظنا انه بدأ ال carbon dioxide ت build up من
+
+137
+00:10:37,420 --> 00:10:40,640
+جديد لإنه بدت ال tissues و ال muscles تطلع carbon
+
+138
+00:10:40,640 --> 00:10:45,800
+dioxide more than normal تمام لحد ما لاحظنا احنا
+
+139
+00:10:45,800 --> 00:10:53,330
+صار يزيد ال carbon dioxideفي نفس الوقت مع زيادة ال
+
+140
+00:10:53,330 --> 00:10:56,050
+carbon dioxide هنا بعد ال ventilation أساسية
+
+141
+00:10:56,050 --> 00:10:59,750
+الأولانية صار عندى drop شوية في ال ventilation لإن
+
+142
+00:10:59,750 --> 00:11:02,790
+بسبب ال wash of carbon dioxide فال stimulatory
+
+143
+00:11:02,790 --> 00:11:06,930
+factor راح اه فعاود ال ventilation هبط شوية مع
+
+144
+00:11:06,930 --> 00:11:10,610
+بداية ال carbon dioxide بدأ يبني بدأ من أول و جديد
+
+145
+00:11:10,610 --> 00:11:13,410
+يتوازق الكيروين من أول و جديد و بعدين ال carbon
+
+146
+00:11:13,410 --> 00:11:16,670
+dioxide بتصل ل level معينتمام؟ و ال ventilation
+
+147
+00:11:16,670 --> 00:11:19,470
+بيصل ل level معين بحيث ان ال ventilation بيصل ل
+
+148
+00:11:19,470 --> 00:11:23,250
+level يحافظ على نسبة من ال carbon dioxide من ال
+
+149
+00:11:23,250 --> 00:11:26,170
+oxygen one تساوي ال level اللي بدأنا في ال
+
+150
+00:11:26,170 --> 00:11:29,830
+exercise اللي ما قبل ال exercise واضح؟ اذا هذه
+
+151
+00:11:29,830 --> 00:11:33,870
+الجزء .. هذه الدقيقة الدقيقة الأولى بس بعد الدقيقة
+
+152
+00:11:33,870 --> 00:11:39,870
+الأولى بنلاحظ احنا لو استمر ال exercise بيضل ماشي
+
+153
+00:11:39,870 --> 00:11:44,160
+على نفس النمط ال ventilation ثابتو ال carbon
+
+154
+00:11:44,160 --> 00:11:48,500
+dioxide level ثابت تمام؟ إذا مالاقيناش أثناء ال
+
+155
+00:11:48,500 --> 00:11:54,000
+exercise بعد بدايته بشوية صغيرة أنه في changes في
+
+156
+00:11:54,000 --> 00:11:58,400
+ال levels of gases التلاتة المهمين اللي يعملوه ليه
+
+157
+00:11:58,400 --> 00:12:05,640
+ماتلهيك changes في ال regulation of ventilation و
+
+158
+00:12:05,640 --> 00:12:12,120
+من هنا تفسيرنا كاناكثر انه هي مش عملية كيميائية
+
+159
+00:12:12,120 --> 00:12:16,100
+اكتر من هي neural لكنه ال تلاتة factors ممكن تعمل
+
+160
+00:12:16,100 --> 00:12:21,160
+modification لقدش بدي بالظبط اقل او اكتر او كده
+
+161
+00:12:21,160 --> 00:12:25,680
+طيب ال .. هنا ال .. الجملة interrelation between
+
+162
+00:12:25,680 --> 00:12:28,280
+chemical factors and nervous factors تمام؟ قولنا
+
+163
+00:12:28,280 --> 00:12:31,990
+انهأساسا ال neural بس .. لكنها ممكن ت control
+
+164
+00:12:31,990 --> 00:12:36,950
+finally fine .. fine regulation by ايه؟ by carbon
+
+165
+00:12:36,950 --> 00:12:42,010
+dioxide and oxygen and .. and hydrogen ion
+
+166
+00:12:42,010 --> 00:12:47,430
+concentration طيب
+
+167
+00:12:47,430 --> 00:12:55,510
+الان هنا هنلاحظ انه during exercise during
+
+168
+00:12:57,120 --> 00:13:01,700
+exercise هنلاحظ لو طلعنا ع ال pressure of carbon
+
+169
+00:13:01,700 --> 00:13:06,980
+dioxide اربعين at rest هنلاقيه بيستهلك حوالي ستة
+
+170
+00:13:06,980 --> 00:13:12,160
+liter per minute ال ventilation لكن at exercise
+
+171
+00:13:12,160 --> 00:13:16,100
+نفس ال level هذا هنلاقيه بيستهلك مائة و عشرين
+
+172
+00:13:16,100 --> 00:13:22,320
+liter per minute تمام oxygen بمعنى انه واضح ان ال
+
+173
+00:13:22,320 --> 00:13:26,200
+ventilation زاد عشرين ضعف عشرين ضعف
+
+174
+00:13:38,520 --> 00:13:42,160
+possibility that the neurogenic factor for control
+
+175
+00:13:42,160 --> 00:13:48,840
+of ventilation is learned response طيب
+
+176
+00:13:48,840 --> 00:13:54,140
+واضح انه من خلال انه ال athletes response تبعهم لل
+
+177
+00:13:54,140 --> 00:13:57,220
+ventilation افضل من ال ventilation ل ال non
+
+178
+00:13:57,220 --> 00:14:02,540
+-athletes اذا ان هناك trend learned partعن طريق
+
+179
+00:14:02,540 --> 00:14:07,440
+مرات مرات مرات مرات مرات مرات مرات مرات مرات مرات
+
+180
+00:14:07,440 --> 00:14:07,860
+مرات مرات مرات مرات مرات مرات مرات مرات مرات مرات
+
+181
+00:14:07,860 --> 00:14:09,320
+مرات مرات مرات مرات مرات مرات مرات مرات مرات مرات
+
+182
+00:14:09,320 --> 00:14:10,220
+مرات مرات مرات مرات مرات مرات مرات مرات مرات مرات
+
+183
+00:14:10,220 --> 00:14:10,460
+مرات مرات مرات مرات مرات مرات مرات مرات مرات مرات
+
+184
+00:14:10,460 --> 00:14:12,200
+مرات مرات مرات مرات مرات مرات مرات مرات مرات مرات
+
+185
+00:14:12,200 --> 00:14:19,800
+مرات مرات مرات مرات مرات مرات مرات مرات مرات مرات
+
+186
+00:14:19,800 --> 00:14:26,220
+مرات مرات مرات
+
+187
+00:14:26,660 --> 00:14:29,680
+he's involved in this learning because experiments
+
+188
+00:14:29,680 --> 00:14:34,360
+that block only the cortex also block the learned
+
+189
+00:14:34,360 --> 00:14:39,240
+response تمام يعني في عندهم دلائل على أنه المسألة
+
+190
+00:14:39,240 --> 00:14:44,900
+ال training إيه له دور في المسألة هذه كمان other
+
+191
+00:14:44,900 --> 00:14:47,420
+factors that affect inspiration إذا نتكلمنا احنا
+
+192
+00:14:47,420 --> 00:14:53,510
+in general الآن على أنه المسألة الطبيعيةإنه ال
+
+193
+00:14:53,510 --> 00:14:56,690
+regulation ال autonomic regulation ال autonomic
+
+194
+00:14:56,690 --> 00:14:59,210
+regulation بيصير لحاله قلنا فيه ال factors
+
+195
+00:14:59,210 --> 00:15:03,430
+المختلفة اللي اتكلمنا عنها لكن هل هدوله بس اللي
+
+196
+00:15:03,430 --> 00:15:08,030
+ايه اللي بتحكمه في ال ventilation؟
+
+197
+00:15:08,460 --> 00:15:11,300
+لأ هالجيت لأقولك اتنفسي بالزيادة، بتتنفسي
+
+198
+00:15:11,300 --> 00:15:15,560
+بالزيادة، اذا في voluntary factor، اذا في عندي انا
+
+199
+00:15:15,560 --> 00:15:18,940
+ايه؟ voluntary contract، لو أقولك اكتب نفسك، تكتب
+
+200
+00:15:18,940 --> 00:15:22,480
+نفسك، مش هيك؟ اذا في عندي voluntary factor، هذا
+
+201
+00:15:22,480 --> 00:15:28,550
+موجودبيتحكم في ال ventilation إضافة لل إيه؟ اللي
+
+202
+00:15:28,550 --> 00:15:35,030
+هو ال ال non voluntary part لكن احنا اللي بهمنا ال
+
+203
+00:15:35,030 --> 00:15:38,050
+non voluntary part لإن احنا مش عاطين النفس قدامنا
+
+204
+00:15:38,050 --> 00:15:41,730
+و قاعدين نتحكم في إعلى و أوطى لأ هو لحاله بيشتغل
+
+205
+00:15:41,730 --> 00:15:45,790
+بفضل الله ان احنا مشغولين في الكلام و حتى الكلام و
+
+206
+00:15:45,790 --> 00:15:49,870
+احنا متكلم و ما بنفكرش فيهيعني هو لحاله بيطلع و
+
+207
+00:15:49,870 --> 00:15:52,550
+للنفس لحاله بيطلع او بيجف او بيزيد او بيعلق او
+
+208
+00:15:52,550 --> 00:15:55,810
+بيوطق مش كده يعني هذه مسائل روتينية بتشغل لحالها
+
+209
+00:15:55,810 --> 00:15:59,430
+مهما مكلفة كتير على الجسم و دقيقة كتير و معقدة
+
+210
+00:15:59,430 --> 00:16:06,110
+كتير تمام لكن في قدرات ربنا اعطانا إياها بحيث انه
+
+211
+00:16:06,110 --> 00:16:13,690
+ما نعملاش هم إلنا و احنا بفكر إيش بدي أقول تكون
+
+212
+00:16:13,690 --> 00:16:18,160
+الكلام طلع يعني الفكرة و الكلاممابحسش انا و انا
+
+213
+00:16:18,160 --> 00:16:21,700
+بكلمكم انه فيه فرق كتير ما بين الفكرة اللي بدي
+
+214
+00:16:21,700 --> 00:16:24,960
+اقولها و الكلام اللي اتعبرت عن الفكرة بكلام مش
+
+215
+00:16:24,960 --> 00:16:30,280
+كده؟ طيب، اذا عندنا التنفس مضبطله لوحده، ما انهم
+
+216
+00:16:30,280 --> 00:16:35,380
+نقدر احنا ايش نتحكم فيه زي ما ال factors الأخرى من
+
+217
+00:16:35,380 --> 00:16:38,000
+ال involuntary الكلام اللي قلناه و كده ممكن برضه
+
+218
+00:16:38,000 --> 00:16:41,280
+نتحكم فيه برنامج انه ممكن يطلع الفكرة و الكلام مع
+
+219
+00:16:41,280 --> 00:16:46,860
+بعضهم البعضطيب إذا في حاجتين تانين في ال lung
+
+220
+00:16:46,860 --> 00:16:51,940
+بيدوني
+
+221
+00:16:51,940 --> 00:16:59,280
+إلى برضه تحكم في ال ventilation بمعنى احنا اتكلمنا
+
+222
+00:16:59,280 --> 00:17:02,940
+عن sneezing reflex و عن coughing reflex مش كده؟ في
+
+223
+00:17:02,940 --> 00:17:06,770
+ال coughing reflex بناخد deep breathهم نكتب ال ..
+
+224
+00:17:06,770 --> 00:17:10,270
+اه ب glottis و بعدين بنعمل .. مش كده؟ يعني احنا
+
+225
+00:17:10,270 --> 00:17:15,010
+وقفنا ال ventilation الطبيعي و عملنا reflex معينفي
+
+226
+00:17:15,010 --> 00:17:18,690
+ال .. في الجهتين برضه هذا نوع من التدخل في ال ايه؟
+
+227
+00:17:18,690 --> 00:17:22,330
+في ال .. ال ventilation مش كده؟ يقولنا احنا أثناء
+
+228
+00:17:22,330 --> 00:17:26,890
+البلع قبل كده إذا فاكرين انه يتوقف التنفس at any
+
+229
+00:17:26,890 --> 00:17:31,510
+level of the cycle يعني و احنا بنتكلم و احنا بنبلع
+
+230
+00:17:31,510 --> 00:17:35,610
+ممكن أي level يعني احنا ماشيين في ال inspiration ل
+
+231
+00:17:35,610 --> 00:17:38,130
+level معين ممكن ييجي في الهان يكمل بلع و بعدين
+
+232
+00:17:38,130 --> 00:17:42,110
+يكمل و احنا في ال inspiration ل level معين اه
+
+233
+00:17:42,110 --> 00:17:48,170
+بيتوقف و بنكملمش كده؟ فهذا ال a برضه تحكم في ال a
+
+234
+00:17:48,170 --> 00:17:51,690
+في ال .. هنا عندنا what is called pulmonary
+
+235
+00:17:51,690 --> 00:17:55,570
+irritant receptors pulmonary irritant receptors
+
+236
+00:17:55,570 --> 00:18:03,550
+هذه موجودة في ال muscles اللي موجودة في التركيا ال
+
+237
+00:18:03,550 --> 00:18:06,780
+bronchi and bronchiolesفي عندى nerve endings
+
+238
+00:18:06,780 --> 00:18:10,800
+موجودة في هذه المنطقة ان كان في الابيثيليام او كان
+
+239
+00:18:10,800 --> 00:18:13,960
+في ال muscles او غيرها بتعمل some sort of
+
+240
+00:18:13,960 --> 00:18:17,420
+sensation اللى انا irritant بيصل للمنطقة بالظبط
+
+241
+00:18:17,420 --> 00:18:21,720
+الابيثيليام الميكوزا اه ال muscles قولنا ال
+
+242
+00:18:21,720 --> 00:18:26,040
+hearing brower reflex لما يصير over stretched لل
+
+243
+00:18:26,040 --> 00:18:31,900
+ايه؟ للمuscles لذا هنا عندي انا بالمناورة ال
+
+244
+00:18:31,900 --> 00:18:36,030
+irritant receptors هي هى دى ال simulatedموجودة في
+
+245
+00:18:36,030 --> 00:18:39,870
+ال bronchi و ال bronchiole و التراكية مش كده هاللي
+
+246
+00:18:39,870 --> 00:18:44,070
+بتعمل ال coughing reflex و ال a sneezing reflex
+
+247
+00:18:44,070 --> 00:18:49,890
+طيب عندي نوع تاني من ال receptors موجودة برضه في
+
+248
+00:18:49,890 --> 00:18:54,070
+ال a في ال lungs بس مش في التراكية و ال .. مش في
+
+249
+00:18:54,070 --> 00:18:57,950
+ال passages في ال alveoli نفسهم تمام؟ في ال
+
+250
+00:18:57,950 --> 00:19:01,130
+passages قولنا موجود ال returned receptors أقصى ما
+
+251
+00:19:01,130 --> 00:19:03,070
+نعمله coughing أو sneezing
+
+252
+00:19:09,510 --> 00:19:15,350
+الرسيبتورز التانية اللي بيسموها J-receptors J
+
+253
+00:19:15,350 --> 00:19:19,710
+-receptors موجودة على ال .. ال .. ال .. ال
+
+254
+00:19:19,710 --> 00:19:24,990
+epithelium of the alveoli in juxtaposition to the
+
+255
+00:19:24,990 --> 00:19:29,700
+pulmonarycapillaries ومن هنا إيجي اسمهم J يعني
+
+256
+00:19:29,700 --> 00:19:34,280
+juxtaposition تمام؟ يعني هدول عبارة عن receptors
+
+257
+00:19:34,280 --> 00:19:41,060
+موجودين في الalveoli ملاصقين لل إيه؟ لل capillary
+
+258
+00:19:41,060 --> 00:19:46,260
+بلمونري capillaries بمعنى آخر إنه هدول لما
+
+259
+00:19:46,260 --> 00:19:49,460
+البلمونري capillaries يصير فيها congestion
+
+260
+00:19:49,460 --> 00:19:56,030
+dilatation engorgementمنحس احنا ابتقال ابتقل لإنه
+
+261
+00:19:56,030 --> 00:19:59,870
+بيصير ضغط عليهم ضغط على ال alveoli صار عندى أنا
+
+262
+00:19:59,870 --> 00:20:05,510
+الدم متوقف زاد عمال ديالتيشر كبيرز تمام فبيحس ب
+
+263
+00:20:05,510 --> 00:20:08,730
+some sort of dyspnea some sort of heaviness of the
+
+264
+00:20:08,730 --> 00:20:12,470
+in the in the chest إن كان صار engagement إيه لهم
+
+265
+00:20:12,470 --> 00:20:17,390
+إن كان صار بلمونة قديمة في المنطقة هذه تمام هدول
+
+266
+00:20:17,390 --> 00:20:20,930
+اللي هم ايه juxtaposition receptors
+
+267
+00:20:22,490 --> 00:20:32,150
+ال جاي ريسبتورز اه brain edema brain edema واحد
+
+268
+00:20:32,150 --> 00:20:40,670
+دخل في trauma تمام اخد concussion رجع في الدماغ اه
+
+269
+00:20:40,870 --> 00:20:46,330
+أدت إلى يصير عنده brain edema ال brain edema هذا
+
+270
+00:20:46,330 --> 00:20:50,370
+بيأثر ع مين؟ ع ال respiratory center نفسه تمام؟ هو
+
+271
+00:20:50,370 --> 00:20:53,390
+ممكن يعمل ليه؟ a disturbance في ال ventilation
+
+272
+00:20:53,390 --> 00:20:56,650
+وممكن يعمل cessation of ventilation ممكن يعمل
+
+273
+00:20:56,650 --> 00:21:03,450
+suppression للإيه؟ لل brain center لل respiratory
+
+274
+00:21:03,450 --> 00:21:05,810
+center the activity of the respiratory center may
+
+275
+00:21:05,810 --> 00:21:09,890
+be depressed or eveninactivated by acute brain
+
+276
+00:21:09,890 --> 00:21:12,670
+edema resulting from brain concussion concussion
+
+277
+00:21:12,670 --> 00:21:17,330
+يعني ارتجاج الدماغ اذا
+
+278
+00:21:17,330 --> 00:21:21,790
+في الحالة هذه ال brain edema واحد دخل في trauma
+
+279
+00:21:21,790 --> 00:21:26,810
+head trauma و بعدين دخل في لجنة عنده نفس مش طبيعي
+
+280
+00:21:26,810 --> 00:21:30,850
+متوقع احنا لإن عملاله concussion عملاله edema ممكن
+
+281
+00:21:30,850 --> 00:21:39,290
+نديله بعض المواد اللي تسحب الميه منمن ال brain
+
+282
+00:21:39,290 --> 00:21:48,710
+tissues ان انا ادخل ادخل مواد تزود ال plasma
+
+283
+00:21:48,710 --> 00:21:54,890
+concentration تزودلي ال interstitial fluid
+
+284
+00:21:54,890 --> 00:21:58,070
+concentration او مش ال interstitial ممنوع تطلع لل
+
+285
+00:21:58,070 --> 00:22:01,510
+interstitial fluid تظل في ال plasma تمام؟ بدى انا
+
+286
+00:22:01,510 --> 00:22:04,870
+اسحببدي ازود ال osmolality عشان ال capillary
+
+287
+00:22:04,870 --> 00:22:10,830
+circulation اسحب فيها reabsorption بزيادة فممكن
+
+288
+00:22:10,830 --> 00:22:14,990
+احط proteins انا مش هى ممكن احط human albumin مركز
+
+289
+00:22:14,990 --> 00:22:18,630
+بزيادة و احنا بنستخدمها عمليا حقيقة تان في بعض
+
+290
+00:22:18,630 --> 00:22:22,350
+الحالات او نحط اذا ارخص من ال human albumin ال
+
+291
+00:22:22,350 --> 00:22:26,490
+human albumin مكلف ال human albumin يعني بيطول في
+
+292
+00:22:26,490 --> 00:22:30,290
+الجسم انا بديها لفترة مؤقتة تمام؟ ممكن احط حاجة
+
+293
+00:22:30,290 --> 00:22:35,820
+تقول بس ساعته بتروحممكن احط ايه اللي هو some sort
+
+294
+00:22:35,820 --> 00:22:40,860
+of dextran مثلا او manitol او كده بحيث يظل في الدم
+
+295
+00:22:40,860 --> 00:22:45,720
+بيعمل زي ال osmotic diuresis بيسحب الميه لإنه صار
+
+296
+00:22:45,720 --> 00:22:48,440
+عندى more concentrated بلازمة و ال interstitial
+
+297
+00:22:48,440 --> 00:22:52,160
+fluid less concentrated فبيسحب الميه منها خلال
+
+298
+00:22:52,160 --> 00:22:55,980
+دقايق ممكن تلاقي ال brain قديمة بدت تتصلح و بدت
+
+299
+00:22:55,980 --> 00:23:00,510
+بيسفرش يرجع ايه؟لو أضعه نفس فكرة ال osmosis تبعت
+
+300
+00:23:00,510 --> 00:23:04,350
+ال ايه؟ تبعت ال diuresis اذا فاكرين لإن هنا عندى
+
+301
+00:23:04,350 --> 00:23:06,550
+انا لازم يصير equilibrium عبر ال capillary
+
+302
+00:23:06,550 --> 00:23:10,830
+membrane بين تمام فهي hypertonic فع طول بيسحب من
+
+303
+00:23:10,830 --> 00:23:13,730
+مين؟ من ال interstitial و ال interstitial لما يصير
+
+304
+00:23:13,730 --> 00:23:18,790
+hypertonic تمام لما يصير hypertonic لإنه سحب منه
+
+305
+00:23:18,790 --> 00:23:23,580
+مياه بيسحب مياه من مين؟ من ال cells مش كده؟إذا أنا
+
+306
+00:23:23,580 --> 00:23:26,580
+لما أسحب من ال interstitial fluid ممكن أسحب من ال
+
+307
+00:23:26,580 --> 00:23:30,180
+cells ممكن أنا أنزل ال cellular أديمة و أنزل ال
+
+308
+00:23:30,180 --> 00:23:34,540
+general أديمة يعني إذا كانت extracellular أديمة أو
+
+309
+00:23:34,540 --> 00:23:38,540
+كانت intracellular أديمة التنين هدول ضغطين على ال
+
+310
+00:23:38,540 --> 00:23:42,800
+respiratory center ممكن أنا إيه ضغطيني على ال
+
+311
+00:23:42,800 --> 00:23:49,160
+brain in general فممكن أنا بالمواد هذه تمام؟ان
+
+312
+00:23:49,160 --> 00:23:55,800
+اعمل عملية absorption to the extra edema fluid to
+
+313
+00:23:55,800 --> 00:24:01,020
+minimize the edema using a hypertonic solution of
+
+314
+00:24:01,020 --> 00:24:06,940
+مثلا concentrated monotone solution اذا
+
+315
+00:24:06,940 --> 00:24:10,880
+هنا اتكلمنا عن ايش احنا اتكلمنا عن ال voluntary و
+
+316
+00:24:10,880 --> 00:24:14,440
+اتكلمنا عن ان في two types of receptors ال
+
+317
+00:24:14,440 --> 00:24:18,330
+irritant ones و ال J onesوقولنا ان ال brain دي
+
+318
+00:24:18,330 --> 00:24:21,730
+ديما مع ال trauma ممكن تأثر و ال anesthesia اللي
+
+319
+00:24:21,730 --> 00:24:25,970
+اللي ندخله فيه احنا فيه ايه من banjo بيخش فيه
+
+320
+00:24:25,970 --> 00:24:30,150
+anesthesia هذا ايه بيفقد بيفقد ال control of
+
+321
+00:24:30,150 --> 00:24:32,550
+respiration عشان كده بنحطه على ايه ventilator
+
+322
+00:24:32,550 --> 00:24:37,250
+بنسميه جهاز ال anesthesia هذا منه يعني جهاز
+
+323
+00:24:37,250 --> 00:24:40,630
+ventilator بالاضافة لإنه بيعطي ال .. ال .. ال
+
+324
+00:24:40,630 --> 00:24:43,130
+anesthesia ال gas اللي يتحافظ على ال level of ايه
+
+325
+00:24:43,500 --> 00:24:47,820
+of anesthesia تبعت الانسان اللي بدو يعمل عملية فال
+
+326
+00:24:47,820 --> 00:24:51,400
+anesthesia بتعمل suppression of ايه؟ of .. of ..
+
+327
+00:24:51,400 --> 00:24:58,380
+اه of ventilation لذلك لازم نعوضها for
+
+328
+00:24:58,380 --> 00:25:04,940
+instance طبعا كل ال anesthetic بتعمل الكلام هذا بس
+
+329
+00:25:04,940 --> 00:25:09,160
+ال level of suppressionلبعض ال anesthetic اكتر من
+
+330
+00:25:09,160 --> 00:25:12,800
+غيرها بحيث ان احنا اول ما نخفف و مفترض انه ايه انه
+
+331
+00:25:12,800 --> 00:25:15,640
+يبدأ ال respiration يرجع دكتور ال anesthesia
+
+332
+00:25:15,640 --> 00:25:19,460
+مابيسيبش المريض تبعه الا لما يبدأ يصحى و يتنفس
+
+333
+00:25:19,460 --> 00:25:30,220
+طبيعي و يعود يستعيد وعيه من جديد و الا ايه ممكن
+
+334
+00:25:30,220 --> 00:25:35,000
+طبعا يعني يختنق لانه لسه مش صاحي تمام يعني بيضل
+
+335
+00:25:35,000 --> 00:25:39,440
+الدكتور الفوق رأس المريض لما يطمئن انه ايه بدأ
+
+336
+00:25:39,440 --> 00:25:43,740
+يكلمه بدأ يرد عليه بدأ ال reflex يسترجع طبيعي بحيث
+
+337
+00:25:43,740 --> 00:25:49,240
+بدأ يتنفس طبيعي طيب اذا عندي انا هذه الأشياء اللي
+
+338
+00:25:49,240 --> 00:25:54,420
+ذكرناها اذا بتأثر على ال ventilatory عن
+
+339
+00:25:54,420 --> 00:25:59,420
+respiratory centers بالاضافة لال automatic او
+
+340
+00:25:59,420 --> 00:26:03,790
+autonomic regulation by the three gasesالان هتكلم
+
+341
+00:26:03,790 --> 00:26:08,610
+عن some type of breathing اسمه periodic breathing
+
+342
+00:26:08,610 --> 00:26:11,670
+periodic breathing ايش يعني periodic breathing
+
+343
+00:26:11,670 --> 00:26:18,210
+يعني ال breathing بيزيد و بيقل بشكل ايه حسب period
+
+344
+00:26:18,210 --> 00:26:23,410
+تمام؟ عندنا two types of periodic breathing هتكلم
+
+345
+00:26:23,410 --> 00:26:28,770
+عن ال kidney stocks breathingكان ال stock
+
+346
+00:26:28,770 --> 00:26:34,630
+breathing يعني breathing بيبقى ضعيف، بزيد، بزيد،
+
+347
+00:26:34,630 --> 00:26:37,930
+بزيد، بزيد، بزيد، بزيد، بعدين ببدأ يضعف، يضعف،
+
+348
+00:26:37,930 --> 00:26:41,190
+يضعف، يضعف، بعدين بزيد، بزيد، بزيد، بزيد، بزيد،
+
+349
+00:26:41,190 --> 00:26:44,330
+بعدين ببدأ يضعف، يضعف، يضعف، أحيانا بيبقى في عندي
+
+350
+00:26:44,330 --> 00:26:48,890
+فترة من التوقف الكامل بينهم وأحيانا بيجيش توقف
+
+351
+00:26:48,890 --> 00:26:54,660
+كامل يعني ال ventilation rate بحبر للآخرو بعدين
+
+352
+00:26:54,660 --> 00:26:58,300
+بيبدأ من جديد و أحيانا بيكون في period of apnea
+
+353
+00:26:58,300 --> 00:27:05,640
+يعني خلاص وقف النفس تماما لثوانى و بعدين رجع زيد
+
+354
+00:27:05,640 --> 00:27:11,700
+النفس زيد النفس زيد اعلى اعلى اعلى اعلى الاخر اذا
+
+355
+00:27:11,700 --> 00:27:16,120
+هذا kind of stocks breathing هذا نوع من أنواع
+
+356
+00:27:16,120 --> 00:27:22,740
+التنفس بنشوفه أحيانافي أمراض معينة و أحيانا بيكون
+
+357
+00:27:22,740 --> 00:27:26,560
+in this stage قبل الوفاة بيصير الكلام هذا تمام؟
+
+358
+00:27:26,560 --> 00:27:33,380
+بتلاقي إذا حد منكم شافت يعني حد من عزاقها هو في
+
+359
+00:27:33,380 --> 00:27:37,900
+النزع الأخير هلاقي أنه إيه النفس بيعلى بيعلى بيعلى
+
+360
+00:27:37,900 --> 00:27:40,860
+بيعلى بيعلى بيعلى منخفض منخفض منخفض منخفض منخفض
+
+361
+00:27:40,860 --> 00:27:45,730
+شيء بيتوقفو بعدين برجع شويه شويه شويه على بيه على
+
+362
+00:27:45,730 --> 00:27:48,830
+بيه على بيه لأ اه kindestox breathing kindestox
+
+363
+00:27:48,830 --> 00:27:53,610
+respiration او breathing تمام احيانا بيكونش هو
+
+364
+00:27:53,610 --> 00:28:01,910
+سببه نزع اخير او وفاة ممكن يكون مرض معين ادى الى
+
+365
+00:28:01,910 --> 00:28:06,190
+هيك طب ايش الفكرة تبعته الفكرة ان احنا في العادة
+
+366
+00:28:06,190 --> 00:28:08,970
+ال kindestox respiration هذا مفترض
+
+367
+00:28:11,160 --> 00:28:17,440
+انه احنا يعني نصير عند الكل لكن واقع الأمر مانبصرش
+
+368
+00:28:17,440 --> 00:28:21,500
+عندنا نظرية ممكن يكون كيف يعني هل جيت احنا نتكلم
+
+369
+00:28:21,500 --> 00:28:25,280
+عن .. لسه ماتكلمناش معاكم عن negative feedback و
+
+370
+00:28:25,280 --> 00:28:30,220
+ال control تبع الهرمونات يعني شبيه بها يعني انا
+
+371
+00:28:30,220 --> 00:28:36,260
+لما انت خلصوا فلوسك مثلا خلصوا فلوسك تبعتيلي انه
+
+372
+00:28:36,260 --> 00:28:40,500
+خلصوا فلوسك بروح مابعتلكي فلوس انا تمام؟في الفترة
+
+373
+00:28:40,500 --> 00:28:44,440
+اللي بتصلك فلوس من عندي لما تصلك بتكون عندك صرفتي
+
+374
+00:28:44,440 --> 00:28:48,980
+اكتر و اكتر و اكتر و اكتر تمام؟ لما قاللي انا اللي
+
+375
+00:28:48,980 --> 00:28:53,640
+بعتلك يوصلك وصل متأخر عن ال .. يعني في مسافة ما
+
+376
+00:28:53,640 --> 00:28:57,660
+بين ايه كويس فانت في الحالة هذه انا بعتلك الفلوس
+
+377
+00:28:57,660 --> 00:29:01,940
+وضلت ابعت الفلوس وصلوكي
+
+378
+00:29:01,940 --> 00:29:07,760
+بديت انت الفلوس اللي عندك اتحسن وضعكتحسني كتير، مش
+
+379
+00:29:07,760 --> 00:29:12,380
+هيك، أكتر من اللازم، بتبعت ليه؟ بتقوليلي أن أنا
+
+380
+00:29:12,380 --> 00:29:18,620
+عندي فلوس كتير، فبروح أبطل أنا أيه أبعت، ففي ممكن
+
+381
+00:29:18,620 --> 00:29:24,400
+بين ال .. بين الطلب و التلبية مسافة، يعني مش .. لا
+
+382
+00:29:24,400 --> 00:29:28,660
+يعبرالوضع اللى عندك عن الوضع اللى عندى انا قاعد
+
+383
+00:29:28,660 --> 00:29:32,860
+ببعت لكن انت واقع القمر انفلسا لما انا قولت خلاص
+
+384
+00:29:32,860 --> 00:29:36,800
+بعت و بتخلصت تمام بطلت ابعت انا كان عندك كتير مش
+
+385
+00:29:36,800 --> 00:29:42,000
+كده يعنى التغير ما بين ال ventilation و الدم اللى
+
+386
+00:29:42,000 --> 00:29:46,620
+موجود فى ال lungsو ال respirator center فيه مسافة
+
+387
+00:29:46,620 --> 00:29:50,680
+مش كده ممكن انا ال respirator center في ال brain
+
+388
+00:29:50,680 --> 00:29:54,840
+يقوللي والله انا عندى hypoxia او عندى hypercapnia
+
+389
+00:29:54,840 --> 00:30:00,900
+و ينفس اتحسن تمام فبيزيد ال ventilation بس هذا
+
+390
+00:30:00,900 --> 00:30:04,180
+بقدر ال ventilation اللي زاد ان الدم اللي داخلها
+
+391
+00:30:04,180 --> 00:30:12,200
+في منطقة ال lungs تمام صار عندنا good levels
+
+392
+00:30:12,760 --> 00:30:16,360
+الاكسيجن اتحسن والكربون ده اتسهى اتهبط وصار ممتاز
+
+393
+00:30:16,360 --> 00:30:20,000
+تمام؟ اذا في ال ventilation هان اتحسن ال
+
+394
+00:30:20,000 --> 00:30:23,040
+ventilation في الواقع .. في الواقع لكن ال .. ال ..
+
+395
+00:30:23,040 --> 00:30:26,840
+ال ايه ال respiratory center استميليت مش كده؟ الان
+
+396
+00:30:26,840 --> 00:30:34,380
+الدم هذا اخد وجه وصل مين؟ وصل ال .. ال .. ال
+
+397
+00:30:34,380 --> 00:30:37,060
+respiratory centerتمام؟ ال respiratory center
+
+398
+00:30:37,060 --> 00:30:40,000
+هيلاقي ال carbon dioxide هابط و ال oxygen ايه؟
+
+399
+00:30:40,000 --> 00:30:45,280
+متحسن فهيصير فيه ايش؟ suppression تمام؟ لما يصير
+
+400
+00:30:45,280 --> 00:30:48,040
+فيه suppression هينزل ال ventilation ال
+
+401
+00:30:48,040 --> 00:30:51,330
+ventilation لما ينزل يعودى على ال carbon dioxideو
+
+402
+00:30:51,330 --> 00:30:57,750
+بيعود يهبط ال oxygen تمام ف .. لما بيهبطوا بيصيروا
+
+403
+00:30:57,750 --> 00:31:02,310
+في وضع سيء الدم الجديد اللي جاله ال ايه ل ال brain
+
+404
+00:31:02,310 --> 00:31:06,710
+center بعد فترة ل ال respiratory center هيقولها ان
+
+405
+00:31:06,710 --> 00:31:11,850
+لأ انا عندي ايه وضع مش كويس فعمل ال simulation
+
+406
+00:31:11,850 --> 00:31:15,970
+فتطلع ملاك ال ventilation مرة بيعلق و مرة بيوتع
+
+407
+00:31:15,970 --> 00:31:20,310
+مرة بيعلق و مرة بيوتع مش هيكيعني الطبيعي انه انا
+
+408
+00:31:20,310 --> 00:31:24,950
+اجاني بنروح بنهبطه طيب هبط فبروح بنزل carbon
+
+409
+00:31:24,950 --> 00:31:29,110
+dioxide و ال oxygen و جسمه بيصلوا بيروح بيعلي من
+
+410
+00:31:29,110 --> 00:31:34,150
+جديد بيهبط من جديد يعلي من جديد. في مسافة جاب ما
+
+411
+00:31:34,150 --> 00:31:37,770
+بين التغيير
+
+412
+00:31:37,770 --> 00:31:41,870
+الدماللي هو تحسينه في ال .. في ال lungs و
+
+413
+00:31:41,870 --> 00:31:45,310
+الاستشعار اللي هيتحكم في ال ventilation اللي هو في
+
+414
+00:31:45,310 --> 00:31:48,230
+ال ايه في نسبة ال retrocenter هذا المثال فهو ممكن
+
+415
+00:31:48,230 --> 00:31:51,790
+يتخلى انه أحيانا يحبط ال ventilation و أحيانا ليه
+
+416
+00:31:51,790 --> 00:31:54,650
+على ال ventilation مش كده؟ لكن في الطبيعي احنا هذا
+
+417
+00:31:54,650 --> 00:32:02,290
+الكلام مانحسرش فيه، مانحسرش فيه ليش؟لأنه ال blood
+
+418
+00:32:02,290 --> 00:32:06,770
+supply تبعنا كويس، مافيش تأخير كبير ما بين وصول
+
+419
+00:32:06,770 --> 00:32:11,170
+الدم من ال lungs إلى erythema reticenta، اذا لو
+
+420
+00:32:11,170 --> 00:32:13,410
+كان عندى انا في heart failure او ماعرفش ايش او
+
+421
+00:32:13,410 --> 00:32:18,880
+كده، بيقدر ال مسافة تبعد كتير، فبصير فرق واضحفيصير
+
+422
+00:32:18,880 --> 00:32:24,640
+فارق واضح ما بين ال respiratory center و ال
+
+423
+00:32:24,640 --> 00:32:28,600
+ventilation status، تمام؟ صار في مسافة واضحة،
+
+424
+00:32:28,600 --> 00:32:35,260
+تمام؟ مسافة طولت، في delayed supply لل .. لل blood
+
+425
+00:32:35,260 --> 00:32:38,940
+لل respiratory center، فبيقدر إلى أنه تصير المسألة
+
+426
+00:32:38,940 --> 00:32:43,780
+هذه موجودةواضح؟ يعني ممكن نلاقي سارة الدم يصل كويس
+
+427
+00:32:43,780 --> 00:32:46,640
+ال oxygen و ال carbon dioxide لل center يعمل
+
+428
+00:32:46,640 --> 00:32:50,280
+separation ال ventilation السبريشن هذا بيقدر الى
+
+429
+00:32:50,280 --> 00:32:53,640
+ساقة الوضع في الدم اللي بيصل دفعة جديدة بالدم تصل
+
+430
+00:32:53,640 --> 00:32:57,520
+فمرة بيعمل ال simulation فبتدين ال kind of stock
+
+431
+00:32:57,520 --> 00:33:02,820
+respiration بالشكل هذا إذا
+
+432
+00:33:02,820 --> 00:33:07,340
+في الطبيعي يعني مايصيرش ليش لإن المسافة جسيرة ال
+
+433
+00:33:07,340 --> 00:33:11,550
+blood supply كويسإتنين الأكسجين اللي موجود في ال
+
+434
+00:33:11,550 --> 00:33:15,330
+fluid في ال soft part بيعمل concentration أه
+
+435
+00:33:15,330 --> 00:33:19,900
+الفروقات اللي بتصير فيه بسيطةفبيبقى عندى انا ال
+
+436
+00:33:19,900 --> 00:33:23,380
+respiratory center ال sensitivity بتبعته مش
+
+437
+00:33:23,380 --> 00:33:28,020
+hypersensitive في وضع معين بحيث انه الفروقات اللى
+
+438
+00:33:28,020 --> 00:33:31,480
+بتصير بين الاربعين الى الخمسة واربعين carbon
+
+439
+00:33:31,480 --> 00:33:37,040
+dioxide ومن .. اه مش .. مش كتير حساس إلها فبيقدر
+
+440
+00:33:37,040 --> 00:33:41,560
+أن الرhythm يظل تابت إذا نزل عن هيك بزيادة أو علي
+
+441
+00:33:41,560 --> 00:33:45,420
+عن هيك بزيادة بيصير فروقات إذا في الطبيعي ممكن هذا
+
+442
+00:33:45,420 --> 00:33:48,600
+الكلام يصير عندناو للعيلة هو بسيط عندنا شوية يعني
+
+443
+00:33:48,600 --> 00:33:53,080
+بس فروقات بسيطة ماتتلاحظش تمام؟ يعني ال rate of
+
+444
+00:33:53,080 --> 00:33:57,160
+ventilation عندنا بيه على شوية أو بوته شوية زي ما
+
+445
+00:33:57,160 --> 00:34:01,780
+أي هرمون نفحصه في الدم من ال GA طالع و نازل ليش
+
+446
+00:34:01,780 --> 00:34:04,740
+طالع و نازل؟ لإن هو فيه له negative feedback
+
+447
+00:34:04,740 --> 00:34:08,260
+mechanism لما يجيل بتبعدله إشارة أعلى فبروح بلا
+
+448
+00:34:08,260 --> 00:34:10,840
+زيد عن اللزوم فبروح حد بيعرف أنه عالي زيد عن
+
+449
+00:34:10,840 --> 00:34:13,540
+اللزوم بروح بطل إيه شديله فبروح بطل شوية إيه صغير
+
+450
+00:34:13,540 --> 00:34:19,220
+أبدا فلذلك ال levels هذهأه من اللي جيها اه
+
+451
+00:34:19,220 --> 00:34:23,140
+vibrating طالعة نازلة وrespiration ventilation
+
+452
+00:34:23,140 --> 00:34:28,200
+برضه لو لاحظناه عندنا مظبوط مظبوط هنلاجي ايه انه
+
+453
+00:34:28,200 --> 00:34:31,580
+بيعلى شوية قبوطة شوية بقى بس مش عامل يكانوا stocks
+
+454
+00:34:31,580 --> 00:34:38,280
+زي كده ارتفاع شديد وانخفاض شديد تمام طيب اذا كانوا
+
+455
+00:34:38,280 --> 00:34:40,780
+stock respiration و هذا ايه الحالات اللي بيكون
+
+456
+00:34:40,780 --> 00:34:45,280
+فيها اه
+
+457
+00:34:48,520 --> 00:34:51,560
+الحالات اللى .. اللى بكون فيها عندنا حالتين when a
+
+458
+00:34:51,560 --> 00:34:54,900
+long delay occurs for a transport of blood from
+
+459
+00:34:54,900 --> 00:34:57,580
+the lungs to the brain تمام عندى heart failure
+
+460
+00:34:57,580 --> 00:35:02,280
+عندى stenosis عندى some sort of ايه problem under
+
+461
+00:35:02,280 --> 00:35:05,180
+these conditions the storage capacities of the
+
+462
+00:35:05,180 --> 00:35:09,320
+alveoli and pulmonary من الأسباب برضه المهمة انه
+
+463
+00:35:09,320 --> 00:35:11,700
+بيصيرش تغيير كبير انه عندنا ال alveolar
+
+464
+00:35:11,700 --> 00:35:15,840
+respiration يعني احنا .. يعني عندنا ال stability
+
+465
+00:35:15,840 --> 00:35:21,570
+تبع ال alveoliاللي متنفس منها ثابتة إلى حد ما يعني
+
+466
+00:35:21,570 --> 00:35:23,270
+لو زاد ال ventilation شوية او جال ال ventilation
+
+467
+00:35:23,270 --> 00:35:27,990
+وايه شوية التغيير اللي بيصير عن ال ايه ال ال ال ال
+
+468
+00:35:27,990 --> 00:35:32,830
+respiratory volume اللي اتكلمنا عنه تمام بيظل
+
+469
+00:35:32,830 --> 00:35:36,210
+يديني إلى حد ما the same فاكرين لما اتكلمنا في
+
+470
+00:35:36,210 --> 00:35:40,950
+الأول ايه ميزة ال ايه ال ال alveolar respiration
+
+471
+00:35:40,950 --> 00:35:44,350
+هذا ال ال alveolar ال functional residual volume
+
+472
+00:35:44,350 --> 00:35:48,410
+الموجود مش كدهاتكلمنا عنه فاكرين، قولنا إنه بيظل
+
+473
+00:35:48,410 --> 00:35:51,250
+عندي أنا .. بيعملش تغيير كبير في ال .. في ال
+
+474
+00:35:51,250 --> 00:35:54,470
+concentration of .. of oxygen and carbon dioxide
+
+475
+00:35:54,470 --> 00:35:57,230
+that supplies to the blood وإلا لو فيه تغيير كبير،
+
+476
+00:35:57,230 --> 00:35:59,590
+هنلاقي نعكس هذا ع ال respiratory center، مرة بيعلق
+
+477
+00:35:59,590 --> 00:36:03,530
+و مرة بيوتعك فإحنا بيصير تغيير و تحسين، لكن عندي
+
+478
+00:36:03,530 --> 00:36:06,610
+كمية كبيرة بتظل إلى حد ما تتغير، بتبقى وقت طويل
+
+479
+00:36:06,610 --> 00:36:10,090
+لما تتغير، لكن لو أجي علينا فترة إنها بتتغير بسرعة
+
+480
+00:36:11,250 --> 00:36:13,670
+هنلاقي أثرك على ال what؟ على ال respiratory center
+
+481
+00:36:13,670 --> 00:36:16,150
+ال respiratory center السادسة و مرة ايه؟ ال
+
+482
+00:36:16,150 --> 00:36:18,130
+concentration كويس و المرة ثانوية و متاشرة و قاطع
+
+483
+00:36:18,130 --> 00:36:21,450
+تروحي بعليه شويه و بوته شويه و هكذا مش كده؟ طيب
+
+484
+00:36:21,450 --> 00:36:27,090
+اذا عندي انا ايه؟
+
+485
+00:36:27,090 --> 00:36:30,730
+under these conditions اللي هو يصير عندك delay of
+
+486
+00:36:30,730 --> 00:36:34,210
+transport the storage capacities of the alveoli
+
+487
+00:36:34,210 --> 00:36:37,750
+and pulmonary blood for these gases are exceeded
+
+488
+00:36:39,770 --> 00:36:42,610
+then after a few more seconds the periodic
+
+489
+00:36:42,610 --> 00:36:46,230
+respiratory drive becomes extreme and can't stop
+
+490
+00:36:46,230 --> 00:36:49,350
+respiration. إذا لو في فرق ما بينها نوعا ما،
+
+491
+00:36:49,350 --> 00:36:53,190
+ماللاقي إنه استهلك بسبب مدة طويلة، respirator
+
+492
+00:36:53,190 --> 00:36:59,120
+center استهلك كمية كبيرة من المن ال gases في
+
+493
+00:36:59,120 --> 00:37:02,640
+المنطقة هذه و هبط الأكسجين و عليه ال carbon
+
+494
+00:37:02,640 --> 00:37:05,620
+dioxide أعلى من اللازم لإنه delay في ال supply
+
+495
+00:37:05,620 --> 00:37:09,840
+تمام فبيقدر ال innocence بيحس انه عنده في بالفعل
+
+496
+00:37:09,840 --> 00:37:13,500
+نقص شديد لحد ما يصير عندي انا ايه hyper
+
+497
+00:37:13,500 --> 00:37:18,400
+ventilation بحسنها فبروح بهبطهذا النوع من الهواء
+
+498
+00:37:18,400 --> 00:37:25,100
+يحدث عادة في المستخدم مع اخطاء كارديكية عالية لأن
+
+499
+00:37:25,100 --> 00:37:31,460
+مدرسة الدم بطيئة وبالتالي تدل تنطق الدم من العقل
+
+500
+00:37:31,460 --> 00:37:32,020
+إلى العقل
+
+501
+00:37:37,130 --> 00:37:41,350
+إذا هنا نقطة تانية بنقول أنه sometimes الناس هدول
+
+502
+00:37:41,350 --> 00:37:44,410
+عندهم cardiac problem أحيانا بيخشوا في ال kidney
+
+503
+00:37:44,410 --> 00:37:47,410
+stock restoration أحيانا بيصلحوا بنجي أحيانا دخلوا
+
+504
+00:37:47,410 --> 00:37:51,550
+فيها يعني بتجيهم transient أحيانا هيك لأشهر و
+
+505
+00:37:51,550 --> 00:37:55,610
+بتروح أشهر تانية السبب التاني اللي هو اللي حكيتكوا
+
+506
+00:37:55,610 --> 00:37:59,430
+عليه أنا من شوية ال terminal before death a second
+
+507
+00:37:59,430 --> 00:38:02,570
+cause of kidney stocks bleeding is increased
+
+508
+00:38:02,570 --> 00:38:06,420
+negative feedbackgain in the respiratory control
+
+509
+00:38:06,420 --> 00:38:10,200
+areas يعني صار حساس أكتر من اللازم ال respiratory
+
+510
+00:38:10,200 --> 00:38:14,420
+center احنا في الوضع الطبيعي عنا مش حساس كتير بحيث
+
+511
+00:38:14,420 --> 00:38:19,080
+التغيرات البسيطة بيحسبهاش فبيظل ال ventilation إلى
+
+512
+00:38:19,080 --> 00:38:23,060
+حد ما ثابت لكن لو صار حساس زين عن اللزوم أي تغير
+
+513
+00:38:23,060 --> 00:38:25,680
+بيعمل ال respiratory ventilation عالي و أي هبوت
+
+514
+00:38:25,680 --> 00:38:28,700
+بيعمل ال ventilation ايه واطي و هكذا بيصير عند
+
+515
+00:38:28,700 --> 00:38:33,170
+الفروقات واحدةإذا ال .. ال .. increased negative
+
+516
+00:38:33,170 --> 00:38:37,490
+feedback gain زي ما حدناه على هرمونات ال negative
+
+517
+00:38:37,490 --> 00:38:40,210
+feedback أنا هتكلم عنه لما بيه على ال .. ال هرمون
+
+518
+00:38:40,210 --> 00:38:43,590
+الأساسي ال هرمون بتحكم فيه بيوتة لما هدا بيوته هدا
+
+519
+00:38:43,590 --> 00:38:46,670
+بيعلق فبنلاقيهم إيه؟ التانين balancing each other
+
+520
+00:38:46,670 --> 00:38:49,030
+طالعين و نازلين واحد بيعلق واحد بيوته و بروح تاني
+
+521
+00:38:49,030 --> 00:38:53,010
+بيعلق و تاني بيعلق ف .. فلو زادت الحساسية هذه
+
+522
+00:38:53,010 --> 00:38:56,630
+بيصير العلي كتير و لوط كتير و هنا اللي بيصير في
+
+523
+00:38:56,630 --> 00:39:02,300
+الناس هدولهذا يعني أن تغيير في دماء كربون ديكسيد
+
+524
+00:39:02,300 --> 00:39:06,560
+أو أكسجون يسبب فيه تغيير أكتر في الهواء أكتر من
+
+525
+00:39:06,560 --> 00:39:11,000
+عادة هذا
+
+526
+00:39:11,000 --> 00:39:15,920
+النوع من الهواء يحدث أكتر في مريضين مع إدارة
+
+527
+00:39:15,920 --> 00:39:20,980
+الدماء الدماء دماء دماء دماء دماء دماء دماء دماء
+
+528
+00:39:20,980 --> 00:39:25,440
+دماء دماء دماء دماء دماء دماء دماء دماء دماء دماء
+
+529
+00:39:25,440 --> 00:39:25,520
+دماء دماء دماء دماء دماء دماء دماء دماء دماء دماء
+
+530
+00:39:25,520 --> 00:39:25,560
+دماء دماء دماء دماء دماء دماء دماء دماء دماء دماء
+
+531
+00:39:25,560 --> 00:39:26,320
+دماء دماء دماء دماء دماء دماء دماء دماء دماء دمثم
+
+532
+00:39:26,320 --> 00:39:30,280
+اضافة اضافية اضافية في دماغ كربون ديكسايد تقوم
+
+533
+00:39:30,280 --> 00:39:34,540
+بتشغيلها تمام؟ يعني عندنا ال brain damage بيقدي
+
+534
+00:39:34,540 --> 00:39:37,420
+إلى suppression لل respiration بيبقى على كربون
+
+535
+00:39:37,420 --> 00:39:41,520
+ديكسايد بيروح بشغله تمام؟ بتحسن فبرجع ل
+
+536
+00:39:41,520 --> 00:39:46,200
+suppression من جديد بعودي على كربون ديكسايد this
+
+537
+00:39:46,200 --> 00:39:53,490
+type of breathingfrequently a prelude to death
+
+538
+00:39:53,490 --> 00:39:58,790
+from brain malfunction بيكون فيه دايما المرحلة
+
+539
+00:39:58,790 --> 00:40:05,170
+الأخيرة واحد كبر وخطير ووصل لمرحلة ضعف على الآخر
+
+540
+00:40:05,170 --> 00:40:10,050
+بعدين دخل في هذا ال time معناه يعني بنزع الحالة
+
+541
+00:40:10,050 --> 00:40:13,710
+اللي ايه بنشوفها ان النفس طالع نازل كده كده هذا
+
+542
+00:40:13,710 --> 00:40:21,270
+ايه يعني في نزع الأخير ممكن في نص هذهتمام؟ في
+
+543
+00:40:21,270 --> 00:40:25,610
+العادة بيكون هو في coma لما يصل لمرحلة هذه بس ممكن
+
+544
+00:40:25,610 --> 00:40:31,650
+بساطة في نص الكومة هذه يصحى و يسلم على الأولاد و
+
+545
+00:40:31,650 --> 00:40:35,670
+يبوسهم و يقولوله الحمد لله بالسلامة و يعود ينام
+
+546
+00:40:35,670 --> 00:40:41,510
+بعد ساعة يموت هذه ايه؟ يعني البداية الأخيرة دايما
+
+547
+00:40:41,510 --> 00:40:46,550
+بيكون بيبقى في وسط النزع هذا كلمه اعمل .. اعمل ايش
+
+548
+00:40:46,550 --> 00:40:50,980
+مابتبصحش خلاص بعدين فجأة بيصحىوبودع الحملة طبعا
+
+549
+00:40:50,980 --> 00:40:55,460
+الكل بيعرف انه .. انه سفي مشكلة فالكل بتجمع فبيصحى
+
+550
+00:40:55,460 --> 00:41:00,860
+و بودعهم كلهم تمام و بيروحوا و بعد ساعتين تلاتة
+
+551
+00:41:00,860 --> 00:41:05,520
+اربع بيكونوا بإيه .. اللي الله يرحمه الدكتور
+
+552
+00:41:05,520 --> 00:41:09,760
+عبدالعزيز الانتيسي كان بيحكيلي عن والده قبل ما
+
+553
+00:41:09,760 --> 00:41:15,160
+يتوفى بعت لولاده كلهم تمام و وصاهم و بوصيكي ولادي
+
+554
+00:41:15,160 --> 00:41:18,040
+و وصيكي ولادي و وصيكي ولادي .. يعني زي الأفلام
+
+555
+00:41:18,040 --> 00:41:25,320
+غريبة جدابصير المهم في هذه المرحلة ال respiratory
+
+556
+00:41:25,320 --> 00:41:30,360
+center هذا حساس جدا طبعا اي sedation ممكن يعمله
+
+557
+00:41:30,360 --> 00:41:37,120
+يعني continuous separation خلاص طبعا هذه الفترة
+
+558
+00:41:37,120 --> 00:41:40,640
+اخدوا مالكم منها جدا typical records of changes in
+
+559
+00:41:40,640 --> 00:41:43,320
+the pulmonary and respiratory center during
+
+560
+00:41:43,320 --> 00:41:46,480
+chemical breathing are shown in time مش okay note
+
+561
+00:41:46,480 --> 00:41:47,640
+that the carbon dioxide
+
+562
+00:41:52,330 --> 00:41:55,310
+طيب ماشي مش عارف الجملة اللى كنت أقولكوا إيها أنا
+
+563
+00:41:55,310 --> 00:42:00,130
+كانت إيه وين موجودة الفترة هذه في ال kidney stroke
+
+564
+00:42:00,130 --> 00:42:04,630
+respiration ممنوع ندى sedation ممنوع ندى إيه ممكن
+
+565
+00:42:04,630 --> 00:42:09,450
+نعمل suppression كامل الموضوع
+
+566
+00:42:09,450 --> 00:42:12,930
+التاني الأهم حقيقة اللى بنتكلم عنه في ال periodic
+
+567
+00:42:12,930 --> 00:42:18,540
+respiration اللى هو sleep apneasleep ابنيا هذا
+
+568
+00:42:18,540 --> 00:42:24,240
+موضوع مهم وخطير وفيه
+
+569
+00:42:24,240 --> 00:42:30,420
+بنلاحظ احنا انه في أثناء النوم واحد يصل complete
+
+570
+00:42:30,420 --> 00:42:36,220
+separation للإيه؟ لل respiration و بعدين يعود ال
+
+571
+00:42:36,220 --> 00:42:38,180
+respiration من جديد و بعدين يصير complete
+
+572
+00:42:38,180 --> 00:42:41,820
+separation لل respiration و بعدين مستيقظابنية توقف
+
+573
+00:42:41,820 --> 00:42:46,240
+كامل عن ال ايه؟ عن التنفس تمام؟ وسموها sleep apnea
+
+574
+00:42:46,240 --> 00:42:51,160
+لإنها بيصيروا الواحد ايه؟ هو نايم ال sleep apnea
+
+575
+00:42:51,160 --> 00:42:56,440
+دي نوعين نوع obstructive بيسميها obstructive sleep
+
+576
+00:42:56,440 --> 00:43:03,540
+apnea وفي نوع تاني central sleep apnea تمام؟
+
+577
+00:43:03,540 --> 00:43:08,800
+الأكتر و الأكتر و الإشكالات أكتر هي ال .. ال
+
+578
+00:43:08,800 --> 00:43:12,140
+obstructive sleep apneaobstructive sleep apnea
+
+579
+00:43:12,140 --> 00:43:16,800
+واحد احنا في الطبيعي في الطبيعي بنتنفس طبيعي من
+
+580
+00:43:16,800 --> 00:43:20,200
+غير ما ناخد بالنا بننام برضه بنتنفس و من غير ما
+
+581
+00:43:20,200 --> 00:43:26,860
+ناخد بالنا لكن احنا بعض الناس اول ما بينام تمام
+
+582
+00:43:26,860 --> 00:43:32,660
+بيلاقي انه الحلق عنده منطقة ال farings هذه اتطبجت
+
+583
+00:43:32,660 --> 00:43:39,330
+و اتجتوصار عنده some sort of obstruction لل .. لل
+
+584
+00:43:39,330 --> 00:43:44,530
+.. لل respirator وال airways تمام؟ المجاري
+
+585
+00:43:44,530 --> 00:43:50,770
+الهوائية أغلقت كيف هذا؟ احنا في الطبيعي ال pharynx
+
+586
+00:43:50,770 --> 00:43:54,430
+pharyngeal muscles relax أثناء النوم ال relaxation
+
+587
+00:43:54,430 --> 00:43:57,750
+هذا بضيق شوية ال .. ال pharynx لكن ما بيعمله
+
+588
+00:43:57,750 --> 00:44:01,990
+obstruction ما بيعمله obstruction لكن بعض الناس
+
+589
+00:44:01,990 --> 00:44:06,660
+بالذات ال obesityبالذات مع ال obesity الزايدة
+
+590
+00:44:06,660 --> 00:44:10,060
+بيقدر إلى أنه صار عندنا ضعف شديد في العضلات هذه
+
+591
+00:44:10,060 --> 00:44:14,640
+وصار عندنا أساسا narrowing من سبب ال obesity اللي
+
+592
+00:44:14,640 --> 00:44:17,620
+موجودة narrowing of the pharynx فلما يصير
+
+593
+00:44:17,620 --> 00:44:21,700
+relaxation بيصير complete أيه obstruction تمام؟ و
+
+594
+00:44:21,700 --> 00:44:25,520
+هدول ما نلاحظ عليهم أنه أول ما بينام بيبدأ snoring
+
+595
+00:44:26,810 --> 00:44:31,990
+بيبدأ الشخير اه يظهر، اول ما بيغفر بيبدأ الشخير
+
+596
+00:44:31,990 --> 00:44:36,030
+يظهر، ليش الشخير بدأ يظهر؟ لإنه دياجل ايه ال
+
+597
+00:44:36,030 --> 00:44:40,170
+respiratory passage كتير، فالدياجل الكتير هانا صار
+
+598
+00:44:40,170 --> 00:44:44,880
+يصفرمش هيك؟ صار يصفر تحتز العضلات تبع ال pharynx
+
+599
+00:44:44,880 --> 00:44:50,520
+تحتز ال jovula تحتز المنطقة هذه كلها مع الضيق زي
+
+600
+00:44:50,520 --> 00:44:54,420
+الصفارة صارت لما كان ضيق صارت صفر فبيصير شخير
+
+601
+00:44:54,420 --> 00:45:00,720
+الشخير هذا بيلاقي بيزيد
+
+602
+00:45:00,720 --> 00:45:07,900
+بيزيد بيزيد تمام ثم بيتوقف نهائي صار complete
+
+603
+00:45:07,900 --> 00:45:11,770
+obstructionو بعدين لما يصير complete obstruction
+
+604
+00:45:11,770 --> 00:45:15,750
+ممكن يصل complete obstruction لعشر ثواني مثلا مدة
+
+605
+00:45:15,750 --> 00:45:21,070
+طويلة ال carbon dioxide level بيكون ايه؟ بيكون
+
+606
+00:45:21,070 --> 00:45:26,390
+ارتفع ارتفع ارتفع ارتفع فبروح بصحي و برجع ال
+
+607
+00:45:26,390 --> 00:45:30,450
+respiration من أول و جديد تمام؟إذا عندنا احنا ال
+
+608
+00:45:30,450 --> 00:45:34,770
+carbon dioxide لما بيعلف الجسم تمام بيعمل strong
+
+609
+00:45:34,770 --> 00:45:39,210
+stimulation in the respiratory center وحتى البني
+
+610
+00:45:39,210 --> 00:45:43,610
+آدم اللي هو إيه في عملية ال snoring هذا بيعود أصحى
+
+611
+00:45:43,610 --> 00:45:48,750
+من جديد تمام و بياخد نفس من جديد و بيقعد يغير وضعه
+
+612
+00:45:48,750 --> 00:45:53,370
+و بيرجع إيه؟ لنام من جديد تمام أول ما بينام بيخش
+
+613
+00:45:53,370 --> 00:45:56,870
+في إيه؟ برضه في كمان دورة من جديد إذا periodic
+
+614
+00:45:56,870 --> 00:46:04,670
+inspirationتمام؟ ال obstruction بيخلي ي .. ي ..
+
+615
+00:46:04,670 --> 00:46:07,770
+يضيق ال .. ال .. ال .. النفس اللي عنده، مش هيك؟
+
+616
+00:46:07,770 --> 00:46:12,690
+ضيق النفس هذا بيقدر ال carbon dioxide عنده يعلى،
+
+617
+00:46:12,690 --> 00:46:17,300
+لما بيعلى carbon dioxide بيزيد نفسهسرعة ال
+
+618
+00:46:17,300 --> 00:46:23,380
+ventilation فبيزيد صوت الشخير مش كده بيضال ضيق في
+
+619
+00:46:23,380 --> 00:46:27,080
+النفس مش عارف يعمل تنفس كويس ال oxygen بيجل لإن ال
+
+620
+00:46:27,080 --> 00:46:30,500
+ventilation جل بسبب الضيق هذا و ال carbon ده oxide
+
+621
+00:46:30,500 --> 00:46:34,660
+عليه فال ventilation بيزيد بيزيد مش كده فهذا بيزيد
+
+622
+00:46:34,660 --> 00:46:38,220
+بيضال يزيد و الصوت الشخير يعلق يعلق يعلق يعلق
+
+623
+00:46:38,220 --> 00:46:41,740
+بعدين بيتوقف فجأة ليش يتوقف فجأة لإن صار complete
+
+624
+00:46:41,740 --> 00:46:45,990
+obstructionتمام؟ ال complete obstruction هذا بيظل
+
+625
+00:46:45,990 --> 00:46:50,810
+موجود لما carbon dioxide يعاود يعلق ل level يخليه
+
+626
+00:46:50,810 --> 00:46:56,570
+يصحى من أول و جديد اه و يبدأ نفسه مرتاح و بعدين
+
+627
+00:46:56,570 --> 00:47:00,130
+بزيد و بزيد و بزيد و snoring اللي هو الشخير اذا
+
+628
+00:47:00,130 --> 00:47:03,130
+مرتبط هذه في هذه هذا بيقدر إلى انه صار عنده
+
+629
+00:47:03,130 --> 00:47:09,940
+intermittent sleep النوم عنده مش مرتاحبينام دجاج و
+
+630
+00:47:09,940 --> 00:47:13,160
+بصحى دجاج طول الليل بينام و بيصحى بينام و بيصحى
+
+631
+00:47:13,160 --> 00:47:18,220
+بينام و بيصحى بييجى الصبح بدروح شغله مش شابعانه
+
+632
+00:47:18,220 --> 00:47:26,060
+لأنه طول الليل تمام دراوزي نعسان طول النهار واضح
+
+633
+00:47:26,060 --> 00:47:33,100
+عنده النعس
+
+634
+00:47:33,100 --> 00:47:36,520
+والتوتر هذا بيقدر له sympathetic over stimulation
+
+635
+00:47:37,440 --> 00:47:41,380
+systematic system عنده عالي لإنه مانامش مارتاحش
+
+636
+00:47:41,380 --> 00:47:47,620
+متوتر بيقدر ال heart
+
+637
+00:47:47,620 --> 00:47:52,220
+rate بيزيد دايما دجاجات الجالب عنده زيادة عن
+
+638
+00:47:52,220 --> 00:47:55,630
+اللزوم بسبب إيش؟بسبب ال sympathetic over
+
+639
+00:47:55,630 --> 00:47:58,390
+stimulation ال sympathetic system لما بيعلى
+
+640
+00:47:58,390 --> 00:48:02,030
+بتعرفوا ال sympathetic system؟ بيزود ال heart rate
+
+641
+00:48:02,030 --> 00:48:06,450
+فالملاك عنده ال heart rate عالي ونأسان ودوخان
+
+642
+00:48:06,450 --> 00:48:11,930
+ورأسه بجعو ومش عارف ينام بالليل ومش عارف ينام وضع
+
+643
+00:48:11,930 --> 00:48:18,650
+وضع رهيب وضع ايه؟ وضع كتير مسجن sleep apnea سببها
+
+644
+00:48:18,650 --> 00:48:23,000
+الرئيسي ال over obesityال obesity ازاي ده؟ بتقدي
+
+645
+00:48:23,000 --> 00:48:27,180
+الى ايه؟ الى هذه المشاكل مش تنعكس على انه بس
+
+646
+00:48:27,180 --> 00:48:32,160
+obesity ومغلباه بالليل، لأ تنعكس علي بالنهار، لإنه
+
+647
+00:48:32,160 --> 00:48:36,920
+في النهار ماقدرش يعيش حياته بشكل طبيعي، هدول الناس
+
+648
+00:48:37,520 --> 00:48:43,120
+معرضين جدا لـ cardiovascular accidents تمام؟ يخش
+
+649
+00:48:43,120 --> 00:48:49,800
+في MI يخش في coronary problems
+
+650
+00:48:49,800 --> 00:48:56,330
+تمام؟ يخش في مشاكلفي متعلقة بالقلب جلطة ذبحة
+
+651
+00:48:56,330 --> 00:49:03,010
+دماغية قلبية ماعرفش إيش CVAs كتيرة بكتير
+
+652
+00:49:03,010 --> 00:49:07,650
+cardiovascular accidents
+
+653
+00:49:07,650 --> 00:49:12,590
+بتصير عنده إيه معرض إلها بشكل غير عادي تمام هذه
+
+654
+00:49:12,590 --> 00:49:17,950
+الخطورة للموضوع طيب خلينا نمشي فيها شوية شوية إذا
+
+655
+00:49:17,950 --> 00:49:20,610
+the term Apnea means absence of spontaneous
+
+656
+00:49:20,610 --> 00:49:26,550
+respirationoccasional apneas occur during normal
+
+657
+00:49:26,550 --> 00:49:29,350
+sleep في ال normal sleep واحد في الطبيعي ممكن يخش
+
+658
+00:49:29,350 --> 00:49:33,010
+في مرة او مرتين في الليلة ليش ان رأسه انطعجت
+
+659
+00:49:33,010 --> 00:49:37,630
+ماعرفش ايش كده المخدة اه لكن بيصحى اليها بيغير
+
+660
+00:49:37,630 --> 00:49:43,210
+وضعه و بيظل نايم يعني ممكن الواحد يعدي فيها أحيانا
+
+661
+00:49:43,210 --> 00:49:48,390
+في الوضع الطبيعي the
+
+662
+00:49:48,390 --> 00:49:53,940
+frequency and duration are greatly increasedهذا في
+
+663
+00:49:53,940 --> 00:49:56,700
+حالة وجود اي but in the persons with sleep apnea
+
+664
+00:49:56,700 --> 00:49:59,340
+اللي بتكلم عنهم احنا مش مرة او مرتين في الليلة
+
+665
+00:49:59,340 --> 00:50:04,660
+بتصير لأ بتصير مرات كثيرة ممكن تصل متين تلتمية مرة
+
+666
+00:50:04,660 --> 00:50:10,280
+بالليلة خمسمية مرة بالليلة الواحدة تمام؟ with
+
+667
+00:50:10,280 --> 00:50:15,860
+episodes of apnea متوقف عن نفس كاملاlasting from
+
+668
+00:50:15,860 --> 00:50:19,380
+ten seconds or longer for ten seconds or longer
+
+669
+00:50:19,380 --> 00:50:23,500
+يعني ممكن إيه شخير زي ما هو عالي عالي عالي و بعدين
+
+670
+00:50:23,500 --> 00:50:28,840
+توقف أه obstruction كامل وينما ال carbon dioxide
+
+671
+00:50:28,840 --> 00:50:33,240
+عنده عالي على الآخر وانفجر ال respiratory center
+
+672
+00:50:33,240 --> 00:50:38,660
+تمام بال .. بال .. بال strong ventilation وصحاه
+
+673
+00:50:38,660 --> 00:50:43,450
+وخلى يغير وضعه ويحاول إيه إنه من جديد بشكل تانيand
+
+674
+00:50:43,450 --> 00:50:46,350
+occurring من تلاتمية إلى خمسمية times each night
+
+675
+00:50:46,350 --> 00:50:50,370
+ممكن يكون أقل بكتير يعني الرقم أنا مش .. مش تكتره
+
+676
+00:50:50,370 --> 00:50:54,670
+كتير يعني لإن اذا نقول كل تلاتمية إلى خمسمية دقيقة
+
+677
+00:50:54,670 --> 00:50:57,170
+مرة في اليوم يعني كل ربع دقيقة بده يصح و ينام
+
+678
+00:50:57,170 --> 00:51:01,750
+مالحقش يصح و ينام تمام احنا قلنا انه intermittent
+
+679
+00:51:01,750 --> 00:51:07,170
+sleep هو اللي كل ربع دقيقة مانامش sleep apnea can
+
+680
+00:51:07,170 --> 00:51:11,570
+be caused by obstruction قلنا او ايه او centralلذن
+
+681
+00:51:11,570 --> 00:51:14,530
+في عنا obstructive sleep apnea أو central sleep
+
+682
+00:51:14,530 --> 00:51:18,090
+apnea ال abstractive type the muscles of the
+
+683
+00:51:18,090 --> 00:51:21,890
+pharynx normally keep this passage open to allow
+
+684
+00:51:21,890 --> 00:51:24,870
+air to flow into the lungs during inspiration
+
+685
+00:51:24,870 --> 00:51:28,290
+during sleep these muscles usually relax but the
+
+686
+00:51:28,290 --> 00:51:31,970
+airway passage remains open enough to permit
+
+687
+00:51:31,970 --> 00:51:36,150
+adequate air flow تمام هذا الفرض الطبيعي some
+
+688
+00:51:36,150 --> 00:51:39,730
+individuals have an especially narrow passage
+
+689
+00:51:40,710 --> 00:51:44,770
+narrowing بسبب في الغالي بسبب obesity في obesity
+
+690
+00:51:44,770 --> 00:51:48,710
+خلت ال passages narrow and the relaxation of these
+
+691
+00:51:48,710 --> 00:51:51,330
+muscles during sleep causes the pharynx to
+
+692
+00:51:51,330 --> 00:51:55,290
+completely close so that air cannot flow into the
+
+693
+00:51:55,290 --> 00:51:55,630
+lungs
+
+694
+00:52:06,010 --> 00:52:10,330
+in persons with sleep apnea loud snoring and
+
+695
+00:52:10,330 --> 00:52:15,730
+labored and labored breathing تنفس بجهود شديد
+
+696
+00:52:15,730 --> 00:52:21,490
+labored breathing okay soon after falling asleep
+
+697
+00:52:21,490 --> 00:52:26,350
+اول ما بينام بيخش فيه snoring the snoring proceeds
+
+698
+00:52:26,350 --> 00:52:31,610
+often becoming louder and is then interrupted by a
+
+699
+00:52:31,610 --> 00:52:34,510
+long silent period during which the breathing
+
+700
+00:52:44,630 --> 00:52:49,430
+الذي يحدث في هذه الفترة من الأبناء ينتهي في
+
+701
+00:52:49,430 --> 00:52:53,650
+تقليعات كبيرة في حرارة الأكسجون و تقليعات حرارة
+
+702
+00:52:53,650 --> 00:52:57,970
+الكربون ديوكسيد التي تشبه بشكل كبير الاسباريشن هذا
+
+703
+00:52:57,970 --> 00:53:03,550
+في حالة تشبه هذا في حالة تشبه هذا في حالة تشبه هذا
+
+704
+00:53:03,550 --> 00:53:07,560
+في حالةبقوة بيخلي بيحاول بيلاقي حالة مش عارف يتنفس
+
+705
+00:53:07,560 --> 00:53:14,280
+فبيصحى which result in loud snores and gasping
+
+706
+00:53:14,280 --> 00:53:20,880
+فجأة بعد توقف توقف بيصحى بياخد gasp كبيرة and
+
+707
+00:53:20,880 --> 00:53:25,280
+followed by snoring and repeated episodes of apnea
+
+708
+00:53:25,280 --> 00:53:31,380
+وها كذا تمام؟ اذا هذه المسألة خطيرة لم يصاحبها من
+
+709
+00:53:31,380 --> 00:53:31,900
+مشاكل
+
+710
+00:53:34,530 --> 00:53:41,230
+إذا في عندي fragmented restless sleep، نوم مقطع مش
+
+711
+00:53:41,230 --> 00:53:45,370
+مريح، therefore patients with sleep apnea usually
+
+712
+00:53:45,370 --> 00:53:51,290
+have excessive daytime drowsiness أثناء الصحيان
+
+713
+00:53:51,290 --> 00:53:56,780
+أثناء الas well as other disorders including
+
+714
+00:53:56,780 --> 00:54:00,960
+increased sympathetic activity, high heart rate,
+
+715
+00:54:01,540 --> 00:54:04,780
+pulmonary and systemic hypertension كمان الـ
+
+716
+00:54:04,780 --> 00:54:07,340
+sympathetic stimulation بيعمللي إيه؟ hypertension
+
+717
+00:54:07,340 --> 00:54:12,500
+as well and greatly و هذه الأخطر and greatly
+
+718
+00:54:12,500 --> 00:54:16,220
+elevated risk of cardiovascular accidents أو
+
+719
+00:54:16,220 --> 00:54:20,340
+diseases تمام؟ إذا هدول الناس بتعرضوا بعد كده
+
+720
+00:54:20,340 --> 00:54:28,400
+لمخاطرالـ cardiovascular problems إذا الأسباب
+
+721
+00:54:28,400 --> 00:54:34,100
+الرئيسية occurs in older obese persons in whom
+
+722
+00:54:34,100 --> 00:54:37,660
+there is increased fat deposition in the soft
+
+723
+00:54:37,660 --> 00:54:41,280
+tissues of the pharynx or compression of the
+
+724
+00:54:41,280 --> 00:54:46,660
+pharynx from the neck obesity تمام؟ إذا هنا صنعنا
+
+725
+00:54:46,660 --> 00:54:52,160
+صورة أحنا كاملة إلىهذه الحالة، حالة خطيرة خدوا
+
+726
+00:54:52,160 --> 00:54:58,160
+بالكوا اللي قابلين للسمنة منها واحترسوا منها من
+
+727
+00:54:58,160 --> 00:55:05,920
+بدري مش كده؟ طيب الان الحالة هذه إلها حالات
+
+728
+00:55:05,920 --> 00:55:09,840
+surgery بيسميها
+
+729
+00:55:09,840 --> 00:55:16,620
+uvula palatopharyngoplasty uvula
+
+730
+00:55:16,620 --> 00:55:22,530
+ال uvula soft palatepalato yuvilo palato بين ال
+
+731
+00:55:22,530 --> 00:55:24,950
+yuvila و ال .. و ال .. و ال palate ال hard palate
+
+732
+00:55:24,950 --> 00:55:29,750
+و ال soft palate farangio ال farings plasty اللي
+
+733
+00:55:29,750 --> 00:55:35,830
+هو ribaire يعني ال plastic ribaire ممكن
+
+734
+00:55:35,830 --> 00:55:39,890
+تكون خطيرة جدا و يضطر يعملوا track used to me لإن
+
+735
+00:55:39,890 --> 00:55:43,390
+ال obstruction فوق كتير .. العملية هذه طبعا خطيرة
+
+736
+00:55:43,390 --> 00:55:47,730
+جدا و فرصة النجاح فيها مش عالية لذا أنا مانفضلش
+
+737
+00:55:47,730 --> 00:55:49,010
+أبدا أي حد يعملها
+
+738
+00:55:52,280 --> 00:55:57,000
+Tracostomy في حالة ما يكون محرض انه يعني .. يعني
+
+739
+00:55:57,000 --> 00:56:00,200
+في وضع خطير يعني بنعمله Tracostomy ال opening في
+
+740
+00:56:00,200 --> 00:56:07,400
+ال a في التراكية مش كده؟ طيب او او اذا مادنش اعمل
+
+741
+00:56:07,400 --> 00:56:14,720
+surgery بنعمله اللي هو ال CPAPاللي هو نديله جهاز
+
+742
+00:56:14,720 --> 00:56:21,000
+بيركب على انفو خرطوم مشبوك في إيه؟ في جهاز الجهاز
+
+743
+00:56:21,000 --> 00:56:27,280
+هذا بيقدي عليه نديله CPAP continuous positive
+
+744
+00:56:27,280 --> 00:56:31,520
+airway pressure continuous positive airway
+
+745
+00:56:31,520 --> 00:56:36,220
+pressure زي هذا الشاب اللي هان هذا عنده هعطي ال
+
+746
+00:56:36,220 --> 00:56:39,280
+CPAP واش ودنا هناك؟
+
+747
+00:56:48,160 --> 00:56:53,420
+هذا السي باب تمام؟ إذا كنت تشوف فين؟ حاطط على
+
+748
+00:56:53,420 --> 00:56:58,280
+الأنف .. حاطط على الأنف mask
+
+749
+00:57:00,120 --> 00:57:03,040
+حقيقة هي مربوطة زي ما انتوا شايفينها التفاصيل
+
+750
+00:57:03,040 --> 00:57:07,780
+مربوطة بحيث انها تبقى التنفس اللي نزل من القنف
+
+751
+00:57:07,780 --> 00:57:14,080
+مباشرة sealed مع الأنبوبة بحيث عندي انا الجهاز
+
+752
+00:57:14,080 --> 00:57:17,500
+اللي هو هاي جنبه هذا بتديني positive pressure
+
+753
+00:57:17,500 --> 00:57:21,980
+ventilation positive pressure فالهواء بدخل under
+
+754
+00:57:21,980 --> 00:57:25,320
+positive pressure ايش بيقدي؟انه يفتح ال
+
+755
+00:57:25,320 --> 00:57:28,920
+abstraction بيقدر لانه ايه؟ يفتح ال abstraction
+
+756
+00:57:28,920 --> 00:57:35,340
+تمام؟ هذا سي باب ماشين و هذه التكنيك اللي احنا ايه
+
+757
+00:57:35,340 --> 00:57:43,860
+قلنا انه ممكن يديني نتائج لشيء افضل من ال surgery
+
+758
+00:57:43,860 --> 00:57:47,680
+ال surgery لا يفضل و افضل منهم كلهم انه ينتبه
+
+759
+00:57:47,680 --> 00:57:50,800
+لحاله و لصحته و لأهمية الكلام هذا و ينزل وزنه
+
+760
+00:57:50,800 --> 00:57:56,610
+بيتحسن ان شاء اللهال central apnea مش مسألة متعلقة
+
+761
+00:57:56,610 --> 00:58:02,090
+ب obstruction، مسألة متعلقة ب damage في ال brain،
+
+762
+00:58:02,090 --> 00:58:06,230
+بتقدر إلى أنه عنده ابنية، هما نلاحظها مش بس بالليل
+
+763
+00:58:06,860 --> 00:58:10,600
+كمان في النهار بنلاحظ أنه ال rate of respiration
+
+764
+00:58:10,600 --> 00:58:14,720
+دبعه واطي ال ventilation واطي مش طبيعي طب بس كله
+
+765
+00:58:14,720 --> 00:58:19,180
+تنفس في جوة بتنفس بتحكم في نفس بتحكم بس ال
+
+766
+00:58:19,180 --> 00:58:22,800
+automatic respiration ventilation اللي مسئول عنه
+
+767
+00:58:22,800 --> 00:58:27,960
+respiration center بيبقى ايه low و بيخش في ايه في
+
+768
+00:58:27,960 --> 00:58:31,520
+الأبناء هذه during sleep لكن في النهار برضه موجود
+
+769
+00:58:31,520 --> 00:58:36,000
+عنده ايه abnormal ventilation rate تمام مش طبيعي
+
+770
+00:58:38,770 --> 00:58:40,710
+ممكن سببها damage to the central respiratory
+
+771
+00:58:40,710 --> 00:58:42,990
+center or abnormalities of the respiratory
+
+772
+00:58:42,990 --> 00:58:46,130
+neuromuscular apparatus يعني يا إما ال center نفسه
+
+773
+00:58:46,130 --> 00:58:49,450
+يا إما ال neuromuscular apparatus تبع ال
+
+774
+00:58:49,450 --> 00:58:52,370
+respiration في إشكال في ال chemical transmitters
+
+775
+00:58:52,370 --> 00:58:55,890
+أو ماعرفش إشكال يعني مسائل نادرة تمام الأخطر و
+
+776
+00:58:55,890 --> 00:58:59,270
+الأكتر و الأهم عندنا ال obstructive ال obstructive
+
+777
+00:58:59,270 --> 00:59:03,370
+أبناء فيه central ماقدرش نعمل أيش ال central تمام
+
+778
+00:59:03,370 --> 00:59:08,220
+إذا patientsالذين يتأثرون من أبناء النوم المركزية
+
+779
+00:59:08,220 --> 00:59:11,900
+يمكن أن يكون لديهم تقليد من الهواء عندما يكونوا
+
+780
+00:59:11,900 --> 00:59:16,520
+مستيقظين، صحين، أه طيب، خلال النوم، عادة تتحرك
+
+781
+00:59:16,520 --> 00:59:20,980
+مخلوقات الهواء، ينتهي في أشياء أكتر عادية من
+
+782
+00:59:20,980 --> 00:59:24,460
+الأبناء التي تتقل الضغط كبير على الكربوندوكسين
+
+783
+00:59:24,460 --> 00:59:30,240
+والكربوندوكسين، حتى يصل إلى مستوى مهمof carbon
+
+784
+00:59:30,240 --> 00:59:32,740
+dioxide reached بعدين بيعمل ال simulation من أول و
+
+785
+00:59:32,740 --> 00:59:36,200
+جديد يعني بيبدين ال picture من أول و جديد انه تنفس
+
+786
+00:59:36,200 --> 00:59:41,380
+و انقطع تنفس و انقطع these transient instabilities
+
+787
+00:59:41,380 --> 00:59:45,600
+of the respiration causes restless sleep و ال
+
+788
+00:59:45,600 --> 00:59:48,960
+picture اللي كلمنا عنها من أول تمام بيبدين نفس
+
+789
+00:59:48,960 --> 00:59:52,450
+الإشكالات تبعت ال abstractive قبل يعنيin most
+
+790
+00:59:52,450 --> 00:59:58,250
+patients the cause of central apnea is unknown
+
+791
+00:59:58,250 --> 01:00:02,470
+although instability of respiratory drive can
+
+792
+01:00:02,470 --> 01:00:05,970
+result from strokes يعني أشاكل في الدماغ صارت
+
+793
+01:00:05,970 --> 01:00:11,100
+إصابات كذاتمام؟ و هدول الناس خطير يديهم اي
+
+794
+01:00:11,100 --> 01:00:14,680
+sedation او narcotics لإنه ممكن يخشهم already ال
+
+795
+01:00:14,680 --> 01:00:17,180
+ventilation عندهم مواطيه لو اديناهم ايش من هالنوع
+
+796
+01:00:17,180 --> 01:00:19,180
+حده بيعمل complete suppression ل respiratory
+
+797
+01:00:19,180 --> 01:00:23,120
+center الله على ما يطلع منه ولا مايطلعوش منه برضه
+
+798
+01:00:23,120 --> 01:00:26,720
+هدول ال risk .. ال .. ال .. الحل تبعهم الأفضل ان
+
+799
+01:00:26,720 --> 01:00:36,850
+يستخدم ال ashcpap continuous positive air airway
+
+800
+01:00:36,850 --> 01:00:43,950
+pressure اه فتمام cpap هذا اليوم هيك بنكون خلصنا
+
+801
+01:00:43,950 --> 01:00:50,030
+الفصل هذا اللي هو بيظل عندنا فصل واحد نتكلم فيه ان
+
+802
+01:00:50,030 --> 01:00:54,050
+شاء الله بده محاضرتين تقريبا يعني التلاتة اللي جاي
+
+803
+01:00:54,050 --> 01:00:56,830
+والأحد اللي جاي بنكون ان شاء الله خلصنا ال ايه ال
+
+804
+01:00:56,830 --> 01:01:00,860
+respiratory systemواللي عندها السؤال أحلى وسهلة
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/kNeSNUFp40Q_raw.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/kNeSNUFp40Q_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..f1f9d06fc3f3de2df1f13b4df092a588bb00806e
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/kNeSNUFp40Q_raw.srt
@@ -0,0 +1,3216 @@
+1
+00:00:07,440 --> 00:00:11,260
+بسم الله الرحمن الرحيم السلام عليكم و رحمة الله
+
+2
+00:00:11,260 --> 00:00:17,980
+اتكلمنا المخادرة الماضية عن العوامل اللي بتعمل ال
+
+3
+00:00:17,980 --> 00:00:24,520
+regulation ل ال ventilation فقولنا عندنا ال carbon
+
+4
+00:00:24,520 --> 00:00:28,000
+dioxide blood level of carbon dioxide is the most
+
+5
+00:00:28,000 --> 00:00:32,620
+importantfollowed by hydrogen I use then the
+
+6
+00:00:32,620 --> 00:00:35,720
+partial pressure of oxygen هذا in terms of the
+
+7
+00:00:35,720 --> 00:00:39,560
+central control وقولنا ال peripheral control بيكون
+
+8
+00:00:39,560 --> 00:00:44,700
+فيه ال oxygen هو ال ال upper hand ثم ال carbon
+
+9
+00:00:44,700 --> 00:00:48,560
+dioxide و ال ايه و ال hydrogen ال curve الأمام لها
+
+10
+00:00:48,560 --> 00:00:52,120
+بيرسم العلاقة بين التلت أشياء بين ال alveolar
+
+11
+00:00:52,120 --> 00:00:58,250
+ventilation معالـ carbon dioxide pressure مع ال pH
+
+12
+00:00:58,250 --> 00:01:04,690
+و مع ال oxygen tension من هنا بنلاحظ مثلا أنه لما
+
+13
+00:01:04,690 --> 00:01:10,050
+يكون عندي ال pH يعني ال hydrogen ion concentration
+
+14
+00:01:10,050 --> 00:01:18,890
+أعلى بيكون عندي على lower carbon dioxide level
+
+15
+00:01:18,890 --> 00:01:23,820
+بديني moremore ventilation فاحنا هنا على عشرين
+
+16
+00:01:23,820 --> 00:01:29,060
+ادتنا نفس ال levels اللي a اللي على خمسة و تلاتين
+
+17
+00:01:29,060 --> 00:01:33,540
+اذا الأخضر واضح انه more similar than ال a than
+
+18
+00:01:33,540 --> 00:01:38,780
+الأحمر ال bh اللي هي three point seven افضل من ال
+
+19
+00:01:38,780 --> 00:01:46,290
+bh اللي هي seven point four7.3 عن 7.4 يعني كل ما
+
+20
+00:01:46,290 --> 00:01:49,350
+زاد ال hydrogen ion concentration كل ما كان عندي
+
+21
+00:01:49,350 --> 00:01:53,590
+more stimulation for respiration اذا هذا النقطة
+
+22
+00:01:53,590 --> 00:01:58,970
+نقطة ثانية انه ال pressure of oxygen على نفس level
+
+23
+00:01:58,970 --> 00:02:06,510
+of carbon dioxide pressure هنلاقي انه لما يكون
+
+24
+00:02:06,510 --> 00:02:10,690
+lower oxygen tension زي هنا على 40 اه ال
+
+25
+00:02:10,690 --> 00:02:15,470
+stimulation very rapidال steeping up ال .. أي
+
+26
+00:02:15,470 --> 00:02:20,330
+change في ال carbon dioxide pressure بتديني very
+
+27
+00:02:20,330 --> 00:02:23,350
+high stimulation of ventilation لما يكون عندى ايه
+
+28
+00:02:23,350 --> 00:02:26,930
+ال partial pressure تبع ال oxygen واطي، هذا بنشوفه
+
+29
+00:02:26,930 --> 00:02:30,610
+هنا و بنشوفه هنا، يعني بغض نظر الشي ال pHبنلاقي
+
+30
+00:02:30,610 --> 00:02:34,490
+لما يكون عندى .. عندى ال .. لما اقارن بين الاربعين
+
+31
+00:02:34,490 --> 00:02:38,630
+وخمسين وستين ومية millimeter mercury pressure و ال
+
+32
+00:02:38,630 --> 00:02:42,930
+oxygen هلاحظ انه على نفس ال level تبع ال carbon
+
+33
+00:02:42,930 --> 00:02:48,480
+dioxide لقب ال DNAvery rapid stepping curve في
+
+34
+00:02:48,480 --> 00:02:52,860
+حالة ال .. كل ما جال ال partial partial oxygen كل
+
+35
+00:02:52,860 --> 00:02:55,980
+ما اداني better stimulation اذا لما اتجمع عند ال
+
+36
+00:02:55,980 --> 00:02:59,220
+carbon dioxide مع اللي هو ال oxygen بديني better
+
+37
+00:02:59,220 --> 00:03:04,060
+than اللي ال oxygen اتحسن او اتحسن او اتحسن اذا
+
+38
+00:03:04,060 --> 00:03:07,500
+المية ادتني بس عامل في الحالة هذه ال carbon
+
+39
+00:03:07,500 --> 00:03:12,340
+dioxide كان له تأثير اكبر مالوش ال hypoxia اللي هو
+
+40
+00:03:12,340 --> 00:03:17,000
+تأثيركبير .. اه كبير لكن لما كان اربعين كان واضح
+
+41
+00:03:17,000 --> 00:03:20,060
+عندى يجتمع عاملين عندى ال carbon dioxide مع عاملين
+
+42
+00:03:20,060 --> 00:03:25,420
+مع ال hypoxia و هكذا لو طلعنا في الكيروفيدا مين
+
+43
+00:03:25,420 --> 00:03:28,300
+نجد تلات عوامل مع بعض بتدوني stronger ال
+
+44
+00:03:28,300 --> 00:03:37,160
+simulation لل ventilation طيب
+
+45
+00:03:37,160 --> 00:03:43,450
+هذه اذا during exerciseduring exercise لو طلعنا
+
+46
+00:03:43,450 --> 00:03:49,730
+على ال curve هدا بنلاحظ انه كل ما زاد ال oxygen
+
+47
+00:03:49,730 --> 00:03:54,430
+consumption بمعنى انه صار عنده more exercise كل ما
+
+48
+00:03:54,430 --> 00:03:59,310
+صار عنده ال total ventilation زاد تمام؟ normally
+
+49
+00:03:59,310 --> 00:04:03,370
+احنا عندنا we are ventilating 6 liters بإيه؟ per
+
+50
+00:04:03,370 --> 00:04:05,630
+minute مش كده؟ لكن
+
+51
+00:04:08,260 --> 00:04:13,500
+during exercise بيزيد عندنا ال ventilation بحيث
+
+52
+00:04:13,500 --> 00:04:17,060
+نلاحظ احنا دايما عندنا ثبت ال carbon dioxide
+
+53
+00:04:17,060 --> 00:04:20,460
+concentration او partial pressure و ال oxygen
+
+54
+00:04:20,460 --> 00:04:24,320
+partial pressure و ال hydrogen ions يعني ال
+
+55
+00:04:24,320 --> 00:04:28,660
+changes اللي بتصيرفي ال ventilation during
+
+56
+00:04:28,660 --> 00:04:33,600
+exercise المحصلة تبعتها أنه ألاقي ال levels of
+
+57
+00:04:33,600 --> 00:04:38,540
+these three gases are ال levels تبعتهم في الدم the
+
+58
+00:04:38,540 --> 00:04:42,380
+same the same as before exercise ممكن يصير عندي
+
+59
+00:04:42,380 --> 00:04:46,940
+temporary change gradual و هنشوفه عندنا في curve
+
+60
+00:04:46,940 --> 00:04:52,180
+معين لكن شوية صغيرة برجع إلى ايه إلى ال level
+
+61
+00:04:52,180 --> 00:04:58,360
+before exercise تمام لذلك كان في سؤال طيبmadame
+
+62
+00:04:58,360 --> 00:05:01,340
+during exercise عندي انا ال level of oxygen ال
+
+63
+00:05:01,340 --> 00:05:03,380
+level of carbon dioxide ال level of hydrogen ايه
+
+64
+00:05:03,380 --> 00:05:08,120
+تمام في الدم the same as before exercise يعني عنده
+
+65
+00:05:08,120 --> 00:05:10,900
+transient يتشيش بعدين بنعدله برجع لوضعه الطبيعي
+
+66
+00:05:10,900 --> 00:05:15,000
+طيب what .. what makes ventilation higher what
+
+67
+00:05:15,000 --> 00:05:20,460
+makes ventilation is twenty times normal تمام
+
+68
+00:05:20,460 --> 00:05:24,400
+twenty times at rest ممكن يصل ايش اللي بيخليها تصل
+
+69
+00:05:24,400 --> 00:05:28,340
+هيك هذا السؤال اللي احنا بدنا نجاوب عليهولما
+
+70
+00:05:28,340 --> 00:05:35,860
+حاولوا يجاوبوا عليك مرارا ماجدروش يوجدوا سبب مادى
+
+71
+00:05:35,860 --> 00:05:39,800
+بمعنى انه ال carbon dioxide مثلا عالى عشان صار
+
+72
+00:05:39,800 --> 00:05:43,140
+more simulation ال oxygen water صار more
+
+73
+00:05:43,140 --> 00:05:46,500
+simulation ال hydrogen ions okay صار transient
+
+74
+00:05:46,500 --> 00:05:51,420
+بعدين رجع كل ال exercise ثبتين زاد ال ventilation
+
+75
+00:05:51,420 --> 00:05:56,580
+زاد زاد زاد لمواصلال homeostasis من أول و جديد ده
+
+76
+00:05:56,580 --> 00:06:00,300
+carbon dioxide و ال oxygen تمام فبدأت الناس تفكر
+
+77
+00:06:00,300 --> 00:06:05,660
+في الموضوع و تفسروها بنفس التفسير اللي مع ال
+
+78
+00:06:05,660 --> 00:06:09,200
+exercise عندنا الضغط بيعلق شوية و جالوا انه بيصير
+
+79
+00:06:09,200 --> 00:06:16,700
+عندنا حاجتين الحاجة الأولى ان في نفس الوقت اللي ال
+
+80
+00:06:16,700 --> 00:06:22,260
+brain بيبعت إشارة للعضلات اللي بدها تشتغل عشان
+
+81
+00:06:22,260 --> 00:06:27,940
+تشتغل بشكل أقوىفي نفس الوقت بيبعت خط موازي الى
+
+82
+00:06:27,940 --> 00:06:31,880
+respirator center انه يزيد بنفس ال .. ال .. ال ..
+
+83
+00:06:31,880 --> 00:06:36,260
+الكفاءة يعني جداش عندى هيكون exercise بعتد برضه لل
+
+84
+00:06:36,260 --> 00:06:41,360
+ايه؟ لل respirator center انه يزيد بنفس النسبة
+
+85
+00:06:41,360 --> 00:06:47,700
+لذلك مانلاحظش الفرق كبير ما بينبداية ال exercise و
+
+86
+00:06:47,700 --> 00:06:51,880
+ارتفاع ال ventilation لسه يعني ماحتجناش الا ال ..
+
+87
+00:06:51,880 --> 00:06:55,420
+ال .. التغيير الكبير في .. اه يعني اول ما نبدأ ال
+
+88
+00:06:55,420 --> 00:06:58,280
+exercise بنبدأ ال ventilation لسه لا عيل اكسجين و
+
+89
+00:06:58,280 --> 00:07:00,860
+مطر اكسجين ولا عيل carbon dioxide ولا عيد ايضا
+
+90
+00:07:00,860 --> 00:07:05,160
+تمام؟ اذا هذه التفسير الأولاني و قالوا انه ..
+
+91
+00:07:05,160 --> 00:07:11,660
+قالوا انه بيساعد هذااللي هو ال levels المختلفة لل
+
+92
+00:07:11,660 --> 00:07:16,540
+إيه؟ لل .. لل gases اتكلمنا عنها، يعني بتعمل
+
+93
+00:07:16,540 --> 00:07:21,100
+console انه ال .. ال .. ال order اللي جاية لل
+
+94
+00:07:21,100 --> 00:07:27,500
+respiratory centerاللي هو neural signal يعني بتعمل
+
+95
+00:07:27,500 --> 00:07:31,300
+hyperventilation مثلا بشكل معين، لكن كداش بالظبط
+
+96
+00:07:31,300 --> 00:07:34,740
+ال carbon dioxide و ال oxygen ions اه و ال .. و ال
+
+97
+00:07:34,740 --> 00:07:38,620
+hydrogen ions بتضبطوا ال final او ال fine
+
+98
+00:07:38,620 --> 00:07:42,400
+regulation بتعملها هي، لكن ال main changes بتبقى
+
+99
+00:07:42,400 --> 00:07:47,580
+ايه؟ neural جاية من ايه؟ من الدماغهدا نقطة نقطة
+
+100
+00:07:47,580 --> 00:07:51,880
+تانية قالوا انه التدريب في المسألة هذه بيساعد لذلك
+
+101
+00:07:51,880 --> 00:07:55,440
+الكفاءة تبع الناس اللي هم athletes ومتدربين على
+
+102
+00:07:55,440 --> 00:07:58,380
+الرياضة وكذا تكون أكبر من الكفاءة لإيه للي غير
+
+103
+00:07:58,380 --> 00:08:05,520
+athletes إذا فيها برضه جانب training factor
+
+104
+00:08:05,520 --> 00:08:09,280
+بيقدر إلى أنه مع بداية الرياضة مع بداية ال
+
+105
+00:08:09,280 --> 00:08:12,020
+exercise مع بداية المجهود أنه يكون عنده
+
+106
+00:08:12,020 --> 00:08:18,040
+ventilation أكبر بحيث يغطيحاجات الجسم اللي هي تعني
+
+107
+00:08:18,040 --> 00:08:21,480
+انه يرجع ال carbon dioxide لل level الطبيعي مايزلش
+
+108
+00:08:21,480 --> 00:08:29,580
+و ال oxygen لل level الطبيعي ولا ايه تمام لذا
+
+109
+00:08:29,580 --> 00:08:32,840
+ماقدرش اقول during exercise انه عنده hypercapnia
+
+110
+00:08:32,840 --> 00:08:35,340
+هي اللي زالت ال ventilation ولا hypoxia هي اللي
+
+111
+00:08:35,340 --> 00:08:42,660
+زالت ال ventilation ولا انا تمام عندنا
+
+112
+00:08:42,660 --> 00:08:48,230
+هنا curve بيدل على ذلكخليني أدرسه أيضا، و ال curve
+
+113
+00:08:48,230 --> 00:08:56,270
+هذا لو طلعنا فيه، هنا عندي عامل الوجد، و هنا عندي
+
+114
+00:08:56,270 --> 00:09:03,430
+عامل ال .. ال ventilationبدنا نقارن بين او نقارن
+
+115
+00:09:03,430 --> 00:09:08,110
+زمانيا ما بين ال ventilation و level تبع ال carbon
+
+116
+00:09:08,110 --> 00:09:11,130
+dioxide ليش اخترنا carbon dioxide لأنه the most
+
+117
+00:09:11,130 --> 00:09:16,210
+stimulant مش كده طيب طلعنا هنا لجينا انه مباشرة
+
+118
+00:09:16,210 --> 00:09:21,410
+لما بدأ عندي انا ال exercise على السهم هذا من ال
+
+119
+00:09:21,410 --> 00:09:25,210
+zero يعني تمام لاحظنا انه ال ventilation ارتفع
+
+120
+00:09:25,210 --> 00:09:31,840
+فورا طب احنا لسه ماصارشبال .. بعد .. بعد ال
+
+121
+00:09:31,840 --> 00:09:37,200
+ventilation ما ارتفع مع بداية ال exercise تمام؟
+
+122
+00:09:37,200 --> 00:09:41,080
+لاحظنا انه ال carbon dioxide مش زاد ال carbon
+
+123
+00:09:41,080 --> 00:09:44,780
+dioxide مع ال hyperventilationwashed out و لسه
+
+124
+00:09:44,780 --> 00:09:47,360
+احنا مافيش carbon dioxide اللي اتكون أساسا في ال
+
+125
+00:09:47,360 --> 00:09:50,400
+tissues اللي يتجمع في الدم و يعلق يعني صار عندي
+
+126
+00:09:50,400 --> 00:09:56,220
+hyperventilation أو hypo decrease
+
+127
+00:09:56,220 --> 00:10:00,140
+in the level of carbon dioxide تمام؟ hypocapnia مش
+
+128
+00:10:00,140 --> 00:10:05,080
+hypercapnia نزل ال ايه؟ ال carbon dioxide بسبب ال
+
+129
+00:10:05,080 --> 00:10:08,520
+hyperventilation فال carbon dioxide washed out
+
+130
+00:10:08,520 --> 00:10:14,250
+تمام؟أذا لاحظنا ان ال carbon dioxide مع وجود ال
+
+131
+00:10:14,250 --> 00:10:16,570
+exercise صار hyperventilation و ال carbon dioxide
+
+132
+00:10:16,570 --> 00:10:22,130
+بالعكس و نزل، واضح؟ ليش نزل؟ لأن عندي صار
+
+133
+00:10:22,130 --> 00:10:25,210
+hyperventilation لسه بدون تكوين carbon dioxide
+
+134
+00:10:25,210 --> 00:10:29,200
+كافي، فال hyperventilation اللي هي تلزمالتيشوز
+
+135
+00:10:29,200 --> 00:10:33,900
+للاستعدادات لل exercise ل level معين بعد شوية
+
+136
+00:10:33,900 --> 00:10:37,420
+لاحظنا انه بدأ ال carbon dioxide ت build up من
+
+137
+00:10:37,420 --> 00:10:40,640
+جديد لإنه بدت ال tissues و ال muscles تطلع carbon
+
+138
+00:10:40,640 --> 00:10:45,800
+dioxide more than normal تمام لحد ما لاحظنا احنا
+
+139
+00:10:45,800 --> 00:10:53,330
+صار يزيد ال carbon dioxideفي نفس الوقت مع زيادة ال
+
+140
+00:10:53,330 --> 00:10:56,050
+carbon dioxide هنا بعد ال ventilation أساسية
+
+141
+00:10:56,050 --> 00:10:59,750
+الأولانية صار عندى drop شوية في ال ventilation لإن
+
+142
+00:10:59,750 --> 00:11:02,790
+بسبب ال wash of carbon dioxide فال stimulatory
+
+143
+00:11:02,790 --> 00:11:06,930
+factor راح اه فعاود ال ventilation هبط شوية مع
+
+144
+00:11:06,930 --> 00:11:10,610
+بداية ال carbon dioxide بدأ يبني بدأ من أول و جديد
+
+145
+00:11:10,610 --> 00:11:13,410
+يتوازق الكيروين من أول و جديد و بعدين ال carbon
+
+146
+00:11:13,410 --> 00:11:16,670
+dioxide بتصل ل level معينتمام؟ و ال ventilation
+
+147
+00:11:16,670 --> 00:11:19,470
+بيصل ل level معين بحيث ان ال ventilation بيصل ل
+
+148
+00:11:19,470 --> 00:11:23,250
+level يحافظ على نسبة من ال carbon dioxide من ال
+
+149
+00:11:23,250 --> 00:11:26,170
+oxygen one تساوي ال level اللي بدأنا في ال
+
+150
+00:11:26,170 --> 00:11:29,830
+exercise اللي ما قبل ال exercise واضح؟ اذا هذه
+
+151
+00:11:29,830 --> 00:11:33,870
+الجزء .. هذه الدقيقة الدقيقة الأولى بس بعد الدقيقة
+
+152
+00:11:33,870 --> 00:11:39,870
+الأولى بنلاحظ احنا لو استمر ال exercise بيضل ماشي
+
+153
+00:11:39,870 --> 00:11:44,160
+على نفس النمط ال ventilation ثابتو ال carbon
+
+154
+00:11:44,160 --> 00:11:48,500
+dioxide level ثابت تمام؟ إذا مالاقيناش أثناء ال
+
+155
+00:11:48,500 --> 00:11:54,000
+exercise بعد بدايته بشوية صغيرة أنه في changes في
+
+156
+00:11:54,000 --> 00:11:58,400
+ال levels of gases التلاتة المهمين اللي يعملوه ليه
+
+157
+00:11:58,400 --> 00:12:05,640
+ماتلهيك changes في ال regulation of ventilation و
+
+158
+00:12:05,640 --> 00:12:12,120
+من هنا تفسيرنا كاناكثر انه هي مش عملية كيميائية
+
+159
+00:12:12,120 --> 00:12:16,100
+اكتر من هي neural لكنه ال تلاتة factors ممكن تعمل
+
+160
+00:12:16,100 --> 00:12:21,160
+modification لقدش بدي بالظبط اقل او اكتر او كده
+
+161
+00:12:21,160 --> 00:12:25,680
+طيب ال .. هنا ال .. الجملة interrelation between
+
+162
+00:12:25,680 --> 00:12:28,280
+chemical factors and nervous factors تمام؟ قولنا
+
+163
+00:12:28,280 --> 00:12:31,990
+انهأساسا ال neural بس .. لكنها ممكن ت control
+
+164
+00:12:31,990 --> 00:12:36,950
+finally fine .. fine regulation by ايه؟ by carbon
+
+165
+00:12:36,950 --> 00:12:42,010
+dioxide and oxygen and .. and hydrogen ion
+
+166
+00:12:42,010 --> 00:12:47,430
+concentration طيب
+
+167
+00:12:47,430 --> 00:12:55,510
+الان هنا هنلاحظ انه during exercise during
+
+168
+00:12:57,120 --> 00:13:01,700
+exercise هنلاحظ لو طلعنا ع ال pressure of carbon
+
+169
+00:13:01,700 --> 00:13:06,980
+dioxide اربعين at rest هنلاقيه بيستهلك حوالي ستة
+
+170
+00:13:06,980 --> 00:13:12,160
+liter per minute ال ventilation لكن at exercise
+
+171
+00:13:12,160 --> 00:13:16,100
+نفس ال level هذا هنلاقيه بيستهلك مائة و عشرين
+
+172
+00:13:16,100 --> 00:13:22,320
+liter per minute تمام oxygen بمعنى انه واضح ان ال
+
+173
+00:13:22,320 --> 00:13:26,200
+ventilation زاد عشرين ضعف عشرين ضعف
+
+174
+00:13:38,520 --> 00:13:42,160
+possibility that the neurogenic factor for control
+
+175
+00:13:42,160 --> 00:13:48,840
+of ventilation is learned response طيب
+
+176
+00:13:48,840 --> 00:13:54,140
+واضح انه من خلال انه ال athletes response تبعهم لل
+
+177
+00:13:54,140 --> 00:13:57,220
+ventilation افضل من ال ventilation ل ال non
+
+178
+00:13:57,220 --> 00:14:02,540
+-athletes اذا ان هناك trend learned partعن طريق
+
+179
+00:14:02,540 --> 00:14:07,440
+مرات مرات مرات مرات مرات مرات مرات مرات مرات مرات
+
+180
+00:14:07,440 --> 00:14:07,860
+مرات مرات مرات مرات مرات مرات مرات مرات مرات مرات
+
+181
+00:14:07,860 --> 00:14:09,320
+مرات مرات مرات مرات مرات مرات مرات مرات مرات مرات
+
+182
+00:14:09,320 --> 00:14:10,220
+مرات مرات مرات مرات مرات مرات مرات مرات مرات مرات
+
+183
+00:14:10,220 --> 00:14:10,460
+مرات مرات مرات مرات مرات مرات مرات مرات مرات مرات
+
+184
+00:14:10,460 --> 00:14:12,200
+مرات مرات مرات مرات مرات مرات مرات مرات مرات مرات
+
+185
+00:14:12,200 --> 00:14:19,800
+مرات مرات مرات مرات مرات مرات مرات مرات مرات مرات
+
+186
+00:14:19,800 --> 00:14:26,220
+مرات مرات مرات
+
+187
+00:14:26,660 --> 00:14:29,680
+he's involved in this learning because experiments
+
+188
+00:14:29,680 --> 00:14:34,360
+that block only the cortex also block the learned
+
+189
+00:14:34,360 --> 00:14:39,240
+response تمام يعني في عندهم دلائل على أنه المسألة
+
+190
+00:14:39,240 --> 00:14:44,900
+ال training إيه له دور في المسألة هذه كمان other
+
+191
+00:14:44,900 --> 00:14:47,420
+factors that affect inspiration إذا نتكلمنا احنا
+
+192
+00:14:47,420 --> 00:14:53,510
+in general الآن على أنه المسألة الطبيعيةإنه ال
+
+193
+00:14:53,510 --> 00:14:56,690
+regulation ال autonomic regulation ال autonomic
+
+194
+00:14:56,690 --> 00:14:59,210
+regulation بيصير لحاله قلنا فيه ال factors
+
+195
+00:14:59,210 --> 00:15:03,430
+المختلفة اللي اتكلمنا عنها لكن هل هدوله بس اللي
+
+196
+00:15:03,430 --> 00:15:08,030
+ايه اللي بتحكمه في ال ventilation؟
+
+197
+00:15:08,460 --> 00:15:11,300
+لأ هالجيت لأقولك اتنفسي بالزيادة، بتتنفسي
+
+198
+00:15:11,300 --> 00:15:15,560
+بالزيادة، اذا في voluntary factor، اذا في عندي انا
+
+199
+00:15:15,560 --> 00:15:18,940
+ايه؟ voluntary contract، لو أقولك اكتب نفسك، تكتب
+
+200
+00:15:18,940 --> 00:15:22,480
+نفسك، مش هيك؟ اذا في عندي voluntary factor، هذا
+
+201
+00:15:22,480 --> 00:15:28,550
+موجودبيتحكم في ال ventilation إضافة لل إيه؟ اللي
+
+202
+00:15:28,550 --> 00:15:35,030
+هو ال ال non voluntary part لكن احنا اللي بهمنا ال
+
+203
+00:15:35,030 --> 00:15:38,050
+non voluntary part لإن احنا مش عاطين النفس قدامنا
+
+204
+00:15:38,050 --> 00:15:41,730
+و قاعدين نتحكم في إعلى و أوطى لأ هو لحاله بيشتغل
+
+205
+00:15:41,730 --> 00:15:45,790
+بفضل الله ان احنا مشغولين في الكلام و حتى الكلام و
+
+206
+00:15:45,790 --> 00:15:49,870
+احنا متكلم و ما بنفكرش فيهيعني هو لحاله بيطلع و
+
+207
+00:15:49,870 --> 00:15:52,550
+للنفس لحاله بيطلع او بيجف او بيزيد او بيعلق او
+
+208
+00:15:52,550 --> 00:15:55,810
+بيوطق مش كده يعني هذه مسائل روتينية بتشغل لحالها
+
+209
+00:15:55,810 --> 00:15:59,430
+مهما مكلفة كتير على الجسم و دقيقة كتير و معقدة
+
+210
+00:15:59,430 --> 00:16:06,110
+كتير تمام لكن في قدرات ربنا اعطانا إياها بحيث انه
+
+211
+00:16:06,110 --> 00:16:13,690
+ما نعملاش هم إلنا و احنا بفكر إيش بدي أقول تكون
+
+212
+00:16:13,690 --> 00:16:18,160
+الكلام طلع يعني الفكرة و الكلاممابحسش انا و انا
+
+213
+00:16:18,160 --> 00:16:21,700
+بكلمكم انه فيه فرق كتير ما بين الفكرة اللي بدي
+
+214
+00:16:21,700 --> 00:16:24,960
+اقولها و الكلام اللي اتعبرت عن الفكرة بكلام مش
+
+215
+00:16:24,960 --> 00:16:30,280
+كده؟ طيب، اذا عندنا التنفس مضبطله لوحده، ما انهم
+
+216
+00:16:30,280 --> 00:16:35,380
+نقدر احنا ايش نتحكم فيه زي ما ال factors الأخرى من
+
+217
+00:16:35,380 --> 00:16:38,000
+ال involuntary الكلام اللي قلناه و كده ممكن برضه
+
+218
+00:16:38,000 --> 00:16:41,280
+نتحكم فيه برنامج انه ممكن يطلع الفكرة و الكلام مع
+
+219
+00:16:41,280 --> 00:16:46,860
+بعضهم البعضطيب إذا في حاجتين تانين في ال lung
+
+220
+00:16:46,860 --> 00:16:51,940
+بيدوني
+
+221
+00:16:51,940 --> 00:16:59,280
+إلى برضه تحكم في ال ventilation بمعنى احنا اتكلمنا
+
+222
+00:16:59,280 --> 00:17:02,940
+عن sneezing reflex و عن coughing reflex مش كده؟ في
+
+223
+00:17:02,940 --> 00:17:06,770
+ال coughing reflex بناخد deep breathهم نكتب ال ..
+
+224
+00:17:06,770 --> 00:17:10,270
+اه ب glottis و بعدين بنعمل .. مش كده؟ يعني احنا
+
+225
+00:17:10,270 --> 00:17:15,010
+وقفنا ال ventilation الطبيعي و عملنا reflex معينفي
+
+226
+00:17:15,010 --> 00:17:18,690
+ال .. في الجهتين برضه هذا نوع من التدخل في ال ايه؟
+
+227
+00:17:18,690 --> 00:17:22,330
+في ال .. ال ventilation مش كده؟ يقولنا احنا أثناء
+
+228
+00:17:22,330 --> 00:17:26,890
+البلع قبل كده إذا فاكرين انه يتوقف التنفس at any
+
+229
+00:17:26,890 --> 00:17:31,510
+level of the cycle يعني و احنا بنتكلم و احنا بنبلع
+
+230
+00:17:31,510 --> 00:17:35,610
+ممكن أي level يعني احنا ماشيين في ال inspiration ل
+
+231
+00:17:35,610 --> 00:17:38,130
+level معين ممكن ييجي في الهان يكمل بلع و بعدين
+
+232
+00:17:38,130 --> 00:17:42,110
+يكمل و احنا في ال inspiration ل level معين اه
+
+233
+00:17:42,110 --> 00:17:48,170
+بيتوقف و بنكملمش كده؟ فهذا ال a برضه تحكم في ال a
+
+234
+00:17:48,170 --> 00:17:51,690
+في ال .. هنا عندنا what is called pulmonary
+
+235
+00:17:51,690 --> 00:17:55,570
+irritant receptors pulmonary irritant receptors
+
+236
+00:17:55,570 --> 00:18:03,550
+هذه موجودة في ال muscles اللي موجودة في التركيا ال
+
+237
+00:18:03,550 --> 00:18:06,780
+bronchi and bronchiolesفي عندى nerve endings
+
+238
+00:18:06,780 --> 00:18:10,800
+موجودة في هذه المنطقة ان كان في الابيثيليام او كان
+
+239
+00:18:10,800 --> 00:18:13,960
+في ال muscles او غيرها بتعمل some sort of
+
+240
+00:18:13,960 --> 00:18:17,420
+sensation اللى انا irritant بيصل للمنطقة بالظبط
+
+241
+00:18:17,420 --> 00:18:21,720
+الابيثيليام الميكوزا اه ال muscles قولنا ال
+
+242
+00:18:21,720 --> 00:18:26,040
+hearing brower reflex لما يصير over stretched لل
+
+243
+00:18:26,040 --> 00:18:31,900
+ايه؟ للمuscles لذا هنا عندي انا بالمناورة ال
+
+244
+00:18:31,900 --> 00:18:36,030
+irritant receptors هي هى دى ال simulatedموجودة في
+
+245
+00:18:36,030 --> 00:18:39,870
+ال bronchi و ال bronchiole و التراكية مش كده هاللي
+
+246
+00:18:39,870 --> 00:18:44,070
+بتعمل ال coughing reflex و ال a sneezing reflex
+
+247
+00:18:44,070 --> 00:18:49,890
+طيب عندي نوع تاني من ال receptors موجودة برضه في
+
+248
+00:18:49,890 --> 00:18:54,070
+ال a في ال lungs بس مش في التراكية و ال .. مش في
+
+249
+00:18:54,070 --> 00:18:57,950
+ال passages في ال alveoli نفسهم تمام؟ في ال
+
+250
+00:18:57,950 --> 00:19:01,130
+passages قولنا موجود ال returned receptors أقصى ما
+
+251
+00:19:01,130 --> 00:19:03,070
+نعمله coughing أو sneezing
+
+252
+00:19:09,510 --> 00:19:15,350
+الرسيبتورز التانية اللي بيسموها J-receptors J
+
+253
+00:19:15,350 --> 00:19:19,710
+-receptors موجودة على ال .. ال .. ال .. ال
+
+254
+00:19:19,710 --> 00:19:24,990
+epithelium of the alveoli in juxtaposition to the
+
+255
+00:19:24,990 --> 00:19:29,700
+pulmonarycapillaries ومن هنا إيجي اسمهم J يعني
+
+256
+00:19:29,700 --> 00:19:34,280
+juxtaposition تمام؟ يعني هدول عبارة عن receptors
+
+257
+00:19:34,280 --> 00:19:41,060
+موجودين في الalveoli ملاصقين لل إيه؟ لل capillary
+
+258
+00:19:41,060 --> 00:19:46,260
+بلمونري capillaries بمعنى آخر إنه هدول لما
+
+259
+00:19:46,260 --> 00:19:49,460
+البلمونري capillaries يصير فيها congestion
+
+260
+00:19:49,460 --> 00:19:56,030
+dilatation engorgementمنحس احنا ابتقال ابتقل لإنه
+
+261
+00:19:56,030 --> 00:19:59,870
+بيصير ضغط عليهم ضغط على ال alveoli صار عندى أنا
+
+262
+00:19:59,870 --> 00:20:05,510
+الدم متوقف زاد عمال ديالتيشر كبيرز تمام فبيحس ب
+
+263
+00:20:05,510 --> 00:20:08,730
+some sort of dyspnea some sort of heaviness of the
+
+264
+00:20:08,730 --> 00:20:12,470
+in the in the chest إن كان صار engagement إيه لهم
+
+265
+00:20:12,470 --> 00:20:17,390
+إن كان صار بلمونة قديمة في المنطقة هذه تمام هدول
+
+266
+00:20:17,390 --> 00:20:20,930
+اللي هم ايه juxtaposition receptors
+
+267
+00:20:22,490 --> 00:20:32,150
+ال جاي ريسبتورز اه brain edema brain edema واحد
+
+268
+00:20:32,150 --> 00:20:40,670
+دخل في trauma تمام اخد concussion رجع في الدماغ اه
+
+269
+00:20:40,870 --> 00:20:46,330
+أدت إلى يصير عنده brain edema ال brain edema هذا
+
+270
+00:20:46,330 --> 00:20:50,370
+بيأثر ع مين؟ ع ال respiratory center نفسه تمام؟ هو
+
+271
+00:20:50,370 --> 00:20:53,390
+ممكن يعمل ليه؟ a disturbance في ال ventilation
+
+272
+00:20:53,390 --> 00:20:56,650
+وممكن يعمل cessation of ventilation ممكن يعمل
+
+273
+00:20:56,650 --> 00:21:03,450
+suppression للإيه؟ لل brain center لل respiratory
+
+274
+00:21:03,450 --> 00:21:05,810
+center the activity of the respiratory center may
+
+275
+00:21:05,810 --> 00:21:09,890
+be depressed or eveninactivated by acute brain
+
+276
+00:21:09,890 --> 00:21:12,670
+edema resulting from brain concussion concussion
+
+277
+00:21:12,670 --> 00:21:17,330
+يعني ارتجاج الدماغ اذا
+
+278
+00:21:17,330 --> 00:21:21,790
+في الحالة هذه ال brain edema واحد دخل في trauma
+
+279
+00:21:21,790 --> 00:21:26,810
+head trauma و بعدين دخل في لجنة عنده نفس مش طبيعي
+
+280
+00:21:26,810 --> 00:21:30,850
+متوقع احنا لإن عملاله concussion عملاله edema ممكن
+
+281
+00:21:30,850 --> 00:21:39,290
+نديله بعض المواد اللي تسحب الميه منمن ال brain
+
+282
+00:21:39,290 --> 00:21:48,710
+tissues ان انا ادخل ادخل مواد تزود ال plasma
+
+283
+00:21:48,710 --> 00:21:54,890
+concentration تزودلي ال interstitial fluid
+
+284
+00:21:54,890 --> 00:21:58,070
+concentration او مش ال interstitial ممنوع تطلع لل
+
+285
+00:21:58,070 --> 00:22:01,510
+interstitial fluid تظل في ال plasma تمام؟ بدى انا
+
+286
+00:22:01,510 --> 00:22:04,870
+اسحببدي ازود ال osmolality عشان ال capillary
+
+287
+00:22:04,870 --> 00:22:10,830
+circulation اسحب فيها reabsorption بزيادة فممكن
+
+288
+00:22:10,830 --> 00:22:14,990
+احط proteins انا مش هى ممكن احط human albumin مركز
+
+289
+00:22:14,990 --> 00:22:18,630
+بزيادة و احنا بنستخدمها عمليا حقيقة تان في بعض
+
+290
+00:22:18,630 --> 00:22:22,350
+الحالات او نحط اذا ارخص من ال human albumin ال
+
+291
+00:22:22,350 --> 00:22:26,490
+human albumin مكلف ال human albumin يعني بيطول في
+
+292
+00:22:26,490 --> 00:22:30,290
+الجسم انا بديها لفترة مؤقتة تمام؟ ممكن احط حاجة
+
+293
+00:22:30,290 --> 00:22:35,820
+تقول بس ساعته بتروحممكن احط ايه اللي هو some sort
+
+294
+00:22:35,820 --> 00:22:40,860
+of dextran مثلا او manitol او كده بحيث يظل في الدم
+
+295
+00:22:40,860 --> 00:22:45,720
+بيعمل زي ال osmotic diuresis بيسحب الميه لإنه صار
+
+296
+00:22:45,720 --> 00:22:48,440
+عندى more concentrated بلازمة و ال interstitial
+
+297
+00:22:48,440 --> 00:22:52,160
+fluid less concentrated فبيسحب الميه منها خلال
+
+298
+00:22:52,160 --> 00:22:55,980
+دقايق ممكن تلاقي ال brain قديمة بدت تتصلح و بدت
+
+299
+00:22:55,980 --> 00:23:00,510
+بيسفرش يرجع ايه؟لو أضعه نفس فكرة ال osmosis تبعت
+
+300
+00:23:00,510 --> 00:23:04,350
+ال ايه؟ تبعت ال diuresis اذا فاكرين لإن هنا عندى
+
+301
+00:23:04,350 --> 00:23:06,550
+انا لازم يصير equilibrium عبر ال capillary
+
+302
+00:23:06,550 --> 00:23:10,830
+membrane بين تمام فهي hypertonic فع طول بيسحب من
+
+303
+00:23:10,830 --> 00:23:13,730
+مين؟ من ال interstitial و ال interstitial لما يصير
+
+304
+00:23:13,730 --> 00:23:18,790
+hypertonic تمام لما يصير hypertonic لإنه سحب منه
+
+305
+00:23:18,790 --> 00:23:23,580
+مياه بيسحب مياه من مين؟ من ال cells مش كده؟إذا أنا
+
+306
+00:23:23,580 --> 00:23:26,580
+لما أسحب من ال interstitial fluid ممكن أسحب من ال
+
+307
+00:23:26,580 --> 00:23:30,180
+cells ممكن أنا أنزل ال cellular أديمة و أنزل ال
+
+308
+00:23:30,180 --> 00:23:34,540
+general أديمة يعني إذا كانت extracellular أديمة أو
+
+309
+00:23:34,540 --> 00:23:38,540
+كانت intracellular أديمة التنين هدول ضغطين على ال
+
+310
+00:23:38,540 --> 00:23:42,800
+respiratory center ممكن أنا إيه ضغطيني على ال
+
+311
+00:23:42,800 --> 00:23:49,160
+brain in general فممكن أنا بالمواد هذه تمام؟ان
+
+312
+00:23:49,160 --> 00:23:55,800
+اعمل عملية absorption to the extra edema fluid to
+
+313
+00:23:55,800 --> 00:24:01,020
+minimize the edema using a hypertonic solution of
+
+314
+00:24:01,020 --> 00:24:06,940
+مثلا concentrated monotone solution اذا
+
+315
+00:24:06,940 --> 00:24:10,880
+هنا اتكلمنا عن ايش احنا اتكلمنا عن ال voluntary و
+
+316
+00:24:10,880 --> 00:24:14,440
+اتكلمنا عن ان في two types of receptors ال
+
+317
+00:24:14,440 --> 00:24:18,330
+irritant ones و ال J onesوقولنا ان ال brain دي
+
+318
+00:24:18,330 --> 00:24:21,730
+ديما مع ال trauma ممكن تأثر و ال anesthesia اللي
+
+319
+00:24:21,730 --> 00:24:25,970
+اللي ندخله فيه احنا فيه ايه من banjo بيخش فيه
+
+320
+00:24:25,970 --> 00:24:30,150
+anesthesia هذا ايه بيفقد بيفقد ال control of
+
+321
+00:24:30,150 --> 00:24:32,550
+respiration عشان كده بنحطه على ايه ventilator
+
+322
+00:24:32,550 --> 00:24:37,250
+بنسميه جهاز ال anesthesia هذا منه يعني جهاز
+
+323
+00:24:37,250 --> 00:24:40,630
+ventilator بالاضافة لإنه بيعطي ال .. ال .. ال
+
+324
+00:24:40,630 --> 00:24:43,130
+anesthesia ال gas اللي يتحافظ على ال level of ايه
+
+325
+00:24:43,500 --> 00:24:47,820
+of anesthesia تبعت الانسان اللي بدو يعمل عملية فال
+
+326
+00:24:47,820 --> 00:24:51,400
+anesthesia بتعمل suppression of ايه؟ of .. of ..
+
+327
+00:24:51,400 --> 00:24:58,380
+اه of ventilation لذلك لازم نعوضها for
+
+328
+00:24:58,380 --> 00:25:04,940
+instance طبعا كل ال anesthetic بتعمل الكلام هذا بس
+
+329
+00:25:04,940 --> 00:25:09,160
+ال level of suppressionلبعض ال anesthetic اكتر من
+
+330
+00:25:09,160 --> 00:25:12,800
+غيرها بحيث ان احنا اول ما نخفف و مفترض انه ايه انه
+
+331
+00:25:12,800 --> 00:25:15,640
+يبدأ ال respiration يرجع دكتور ال anesthesia
+
+332
+00:25:15,640 --> 00:25:19,460
+مابيسيبش المريض تبعه الا لما يبدأ يصحى و يتنفس
+
+333
+00:25:19,460 --> 00:25:30,220
+طبيعي و يعود يستعيد وعيه من جديد و الا ايه ممكن
+
+334
+00:25:30,220 --> 00:25:35,000
+طبعا يعني يختنق لانه لسه مش صاحي تمام يعني بيضل
+
+335
+00:25:35,000 --> 00:25:39,440
+الدكتور الفوق رأس المريض لما يطمئن انه ايه بدأ
+
+336
+00:25:39,440 --> 00:25:43,740
+يكلمه بدأ يرد عليه بدأ ال reflex يسترجع طبيعي بحيث
+
+337
+00:25:43,740 --> 00:25:49,240
+بدأ يتنفس طبيعي طيب اذا عندي انا هذه الأشياء اللي
+
+338
+00:25:49,240 --> 00:25:54,420
+ذكرناها اذا بتأثر على ال ventilatory عن
+
+339
+00:25:54,420 --> 00:25:59,420
+respiratory centers بالاضافة لال automatic او
+
+340
+00:25:59,420 --> 00:26:03,790
+autonomic regulation by the three gasesالان هتكلم
+
+341
+00:26:03,790 --> 00:26:08,610
+عن some type of breathing اسمه periodic breathing
+
+342
+00:26:08,610 --> 00:26:11,670
+periodic breathing ايش يعني periodic breathing
+
+343
+00:26:11,670 --> 00:26:18,210
+يعني ال breathing بيزيد و بيقل بشكل ايه حسب period
+
+344
+00:26:18,210 --> 00:26:23,410
+تمام؟ عندنا two types of periodic breathing هتكلم
+
+345
+00:26:23,410 --> 00:26:28,770
+عن ال kidney stocks breathingكان ال stock
+
+346
+00:26:28,770 --> 00:26:34,630
+breathing يعني breathing بيبقى ضعيف، بزيد، بزيد،
+
+347
+00:26:34,630 --> 00:26:37,930
+بزيد، بزيد، بزيد، بزيد، بعدين ببدأ يضعف، يضعف،
+
+348
+00:26:37,930 --> 00:26:41,190
+يضعف، يضعف، بعدين بزيد، بزيد، بزيد، بزيد، بزيد،
+
+349
+00:26:41,190 --> 00:26:44,330
+بعدين ببدأ يضعف، يضعف، يضعف، أحيانا بيبقى في عندي
+
+350
+00:26:44,330 --> 00:26:48,890
+فترة من التوقف الكامل بينهم وأحيانا بيجيش توقف
+
+351
+00:26:48,890 --> 00:26:54,660
+كامل يعني ال ventilation rate بحبر للآخرو بعدين
+
+352
+00:26:54,660 --> 00:26:58,300
+بيبدأ من جديد و أحيانا بيكون في period of apnea
+
+353
+00:26:58,300 --> 00:27:05,640
+يعني خلاص وقف النفس تماما لثوانى و بعدين رجع زيد
+
+354
+00:27:05,640 --> 00:27:11,700
+النفس زيد النفس زيد اعلى اعلى اعلى اعلى الاخر اذا
+
+355
+00:27:11,700 --> 00:27:16,120
+هذا kind of stocks breathing هذا نوع من أنواع
+
+356
+00:27:16,120 --> 00:27:22,740
+التنفس بنشوفه أحيانافي أمراض معينة و أحيانا بيكون
+
+357
+00:27:22,740 --> 00:27:26,560
+in this stage قبل الوفاة بيصير الكلام هذا تمام؟
+
+358
+00:27:26,560 --> 00:27:33,380
+بتلاقي إذا حد منكم شافت يعني حد من عزاقها هو في
+
+359
+00:27:33,380 --> 00:27:37,900
+النزع الأخير هلاقي أنه إيه النفس بيعلى بيعلى بيعلى
+
+360
+00:27:37,900 --> 00:27:40,860
+بيعلى بيعلى بيعلى منخفض منخفض منخفض منخفض منخفض
+
+361
+00:27:40,860 --> 00:27:45,730
+شيء بيتوقفو بعدين برجع شويه شويه شويه على بيه على
+
+362
+00:27:45,730 --> 00:27:48,830
+بيه على بيه لأ اه kindestox breathing kindestox
+
+363
+00:27:48,830 --> 00:27:53,610
+respiration او breathing تمام احيانا بيكونش هو
+
+364
+00:27:53,610 --> 00:28:01,910
+سببه نزع اخير او وفاة ممكن يكون مرض معين ادى الى
+
+365
+00:28:01,910 --> 00:28:06,190
+هيك طب ايش الفكرة تبعته الفكرة ان احنا في العادة
+
+366
+00:28:06,190 --> 00:28:08,970
+ال kindestox respiration هذا مفترض
+
+367
+00:28:11,160 --> 00:28:17,440
+انه احنا يعني نصير عند الكل لكن واقع الأمر مانبصرش
+
+368
+00:28:17,440 --> 00:28:21,500
+عندنا نظرية ممكن يكون كيف يعني هل جيت احنا نتكلم
+
+369
+00:28:21,500 --> 00:28:25,280
+عن .. لسه ماتكلمناش معاكم عن negative feedback و
+
+370
+00:28:25,280 --> 00:28:30,220
+ال control تبع الهرمونات يعني شبيه بها يعني انا
+
+371
+00:28:30,220 --> 00:28:36,260
+لما انت خلصوا فلوسك مثلا خلصوا فلوسك تبعتيلي انه
+
+372
+00:28:36,260 --> 00:28:40,500
+خلصوا فلوسك بروح مابعتلكي فلوس انا تمام؟في الفترة
+
+373
+00:28:40,500 --> 00:28:44,440
+اللي بتصلك فلوس من عندي لما تصلك بتكون عندك صرفتي
+
+374
+00:28:44,440 --> 00:28:48,980
+اكتر و اكتر و اكتر و اكتر تمام؟ لما قاللي انا اللي
+
+375
+00:28:48,980 --> 00:28:53,640
+بعتلك يوصلك وصل متأخر عن ال .. يعني في مسافة ما
+
+376
+00:28:53,640 --> 00:28:57,660
+بين ايه كويس فانت في الحالة هذه انا بعتلك الفلوس
+
+377
+00:28:57,660 --> 00:29:01,940
+وضلت ابعت الفلوس وصلوكي
+
+378
+00:29:01,940 --> 00:29:07,760
+بديت انت الفلوس اللي عندك اتحسن وضعكتحسني كتير، مش
+
+379
+00:29:07,760 --> 00:29:12,380
+هيك، أكتر من اللازم، بتبعت ليه؟ بتقوليلي أن أنا
+
+380
+00:29:12,380 --> 00:29:18,620
+عندي فلوس كتير، فبروح أبطل أنا أيه أبعت، ففي ممكن
+
+381
+00:29:18,620 --> 00:29:24,400
+بين ال .. بين الطلب و التلبية مسافة، يعني مش .. لا
+
+382
+00:29:24,400 --> 00:29:28,660
+يعبرالوضع اللى عندك عن الوضع اللى عندى انا قاعد
+
+383
+00:29:28,660 --> 00:29:32,860
+ببعت لكن انت واقع القمر انفلسا لما انا قولت خلاص
+
+384
+00:29:32,860 --> 00:29:36,800
+بعت و بتخلصت تمام بطلت ابعت انا كان عندك كتير مش
+
+385
+00:29:36,800 --> 00:29:42,000
+كده يعنى التغير ما بين ال ventilation و الدم اللى
+
+386
+00:29:42,000 --> 00:29:46,620
+موجود فى ال lungsو ال respirator center فيه مسافة
+
+387
+00:29:46,620 --> 00:29:50,680
+مش كده ممكن انا ال respirator center في ال brain
+
+388
+00:29:50,680 --> 00:29:54,840
+يقوللي والله انا عندى hypoxia او عندى hypercapnia
+
+389
+00:29:54,840 --> 00:30:00,900
+و ينفس اتحسن تمام فبيزيد ال ventilation بس هذا
+
+390
+00:30:00,900 --> 00:30:04,180
+بقدر ال ventilation اللي زاد ان الدم اللي داخلها
+
+391
+00:30:04,180 --> 00:30:12,200
+في منطقة ال lungs تمام صار عندنا good levels
+
+392
+00:30:12,760 --> 00:30:16,360
+الاكسيجن اتحسن والكربون ده اتسهى اتهبط وصار ممتاز
+
+393
+00:30:16,360 --> 00:30:20,000
+تمام؟ اذا في ال ventilation هان اتحسن ال
+
+394
+00:30:20,000 --> 00:30:23,040
+ventilation في الواقع .. في الواقع لكن ال .. ال ..
+
+395
+00:30:23,040 --> 00:30:26,840
+ال ايه ال respiratory center استميليت مش كده؟ الان
+
+396
+00:30:26,840 --> 00:30:34,380
+الدم هذا اخد وجه وصل مين؟ وصل ال .. ال .. ال
+
+397
+00:30:34,380 --> 00:30:37,060
+respiratory centerتمام؟ ال respiratory center
+
+398
+00:30:37,060 --> 00:30:40,000
+هيلاقي ال carbon dioxide هابط و ال oxygen ايه؟
+
+399
+00:30:40,000 --> 00:30:45,280
+متحسن فهيصير فيه ايش؟ suppression تمام؟ لما يصير
+
+400
+00:30:45,280 --> 00:30:48,040
+فيه suppression هينزل ال ventilation ال
+
+401
+00:30:48,040 --> 00:30:51,330
+ventilation لما ينزل يعودى على ال carbon dioxideو
+
+402
+00:30:51,330 --> 00:30:57,750
+بيعود يهبط ال oxygen تمام ف .. لما بيهبطوا بيصيروا
+
+403
+00:30:57,750 --> 00:31:02,310
+في وضع سيء الدم الجديد اللي جاله ال ايه ل ال brain
+
+404
+00:31:02,310 --> 00:31:06,710
+center بعد فترة ل ال respiratory center هيقولها ان
+
+405
+00:31:06,710 --> 00:31:11,850
+لأ انا عندي ايه وضع مش كويس فعمل ال simulation
+
+406
+00:31:11,850 --> 00:31:15,970
+فتطلع ملاك ال ventilation مرة بيعلق و مرة بيوتع
+
+407
+00:31:15,970 --> 00:31:20,310
+مرة بيعلق و مرة بيوتع مش هيكيعني الطبيعي انه انا
+
+408
+00:31:20,310 --> 00:31:24,950
+اجاني بنروح بنهبطه طيب هبط فبروح بنزل carbon
+
+409
+00:31:24,950 --> 00:31:29,110
+dioxide و ال oxygen و جسمه بيصلوا بيروح بيعلي من
+
+410
+00:31:29,110 --> 00:31:34,150
+جديد بيهبط من جديد يعلي من جديد. في مسافة جاب ما
+
+411
+00:31:34,150 --> 00:31:37,770
+بين التغيير
+
+412
+00:31:37,770 --> 00:31:41,870
+الدماللي هو تحسينه في ال .. في ال lungs و
+
+413
+00:31:41,870 --> 00:31:45,310
+الاستشعار اللي هيتحكم في ال ventilation اللي هو في
+
+414
+00:31:45,310 --> 00:31:48,230
+ال ايه في نسبة ال retrocenter هذا المثال فهو ممكن
+
+415
+00:31:48,230 --> 00:31:51,790
+يتخلى انه أحيانا يحبط ال ventilation و أحيانا ليه
+
+416
+00:31:51,790 --> 00:31:54,650
+على ال ventilation مش كده؟ لكن في الطبيعي احنا هذا
+
+417
+00:31:54,650 --> 00:32:02,290
+الكلام مانحسرش فيه، مانحسرش فيه ليش؟لأنه ال blood
+
+418
+00:32:02,290 --> 00:32:06,770
+supply تبعنا كويس، مافيش تأخير كبير ما بين وصول
+
+419
+00:32:06,770 --> 00:32:11,170
+الدم من ال lungs إلى erythema reticenta، اذا لو
+
+420
+00:32:11,170 --> 00:32:13,410
+كان عندى انا في heart failure او ماعرفش ايش او
+
+421
+00:32:13,410 --> 00:32:18,880
+كده، بيقدر ال مسافة تبعد كتير، فبصير فرق واضحفيصير
+
+422
+00:32:18,880 --> 00:32:24,640
+فارق واضح ما بين ال respiratory center و ال
+
+423
+00:32:24,640 --> 00:32:28,600
+ventilation status، تمام؟ صار في مسافة واضحة،
+
+424
+00:32:28,600 --> 00:32:35,260
+تمام؟ مسافة طولت، في delayed supply لل .. لل blood
+
+425
+00:32:35,260 --> 00:32:38,940
+لل respiratory center، فبيقدر إلى أنه تصير المسألة
+
+426
+00:32:38,940 --> 00:32:43,780
+هذه موجودةواضح؟ يعني ممكن نلاقي سارة الدم يصل كويس
+
+427
+00:32:43,780 --> 00:32:46,640
+ال oxygen و ال carbon dioxide لل center يعمل
+
+428
+00:32:46,640 --> 00:32:50,280
+separation ال ventilation السبريشن هذا بيقدر الى
+
+429
+00:32:50,280 --> 00:32:53,640
+ساقة الوضع في الدم اللي بيصل دفعة جديدة بالدم تصل
+
+430
+00:32:53,640 --> 00:32:57,520
+فمرة بيعمل ال simulation فبتدين ال kind of stock
+
+431
+00:32:57,520 --> 00:33:02,820
+respiration بالشكل هذا إذا
+
+432
+00:33:02,820 --> 00:33:07,340
+في الطبيعي يعني مايصيرش ليش لإن المسافة جسيرة ال
+
+433
+00:33:07,340 --> 00:33:11,550
+blood supply كويسإتنين الأكسجين اللي موجود في ال
+
+434
+00:33:11,550 --> 00:33:15,330
+fluid في ال soft part بيعمل concentration أه
+
+435
+00:33:15,330 --> 00:33:19,900
+الفروقات اللي بتصير فيه بسيطةفبيبقى عندى انا ال
+
+436
+00:33:19,900 --> 00:33:23,380
+respiratory center ال sensitivity بتبعته مش
+
+437
+00:33:23,380 --> 00:33:28,020
+hypersensitive في وضع معين بحيث انه الفروقات اللى
+
+438
+00:33:28,020 --> 00:33:31,480
+بتصير بين الاربعين الى الخمسة واربعين carbon
+
+439
+00:33:31,480 --> 00:33:37,040
+dioxide ومن .. اه مش .. مش كتير حساس إلها فبيقدر
+
+440
+00:33:37,040 --> 00:33:41,560
+أن الرhythm يظل تابت إذا نزل عن هيك بزيادة أو علي
+
+441
+00:33:41,560 --> 00:33:45,420
+عن هيك بزيادة بيصير فروقات إذا في الطبيعي ممكن هذا
+
+442
+00:33:45,420 --> 00:33:48,600
+الكلام يصير عندناو للعيلة هو بسيط عندنا شوية يعني
+
+443
+00:33:48,600 --> 00:33:53,080
+بس فروقات بسيطة ماتتلاحظش تمام؟ يعني ال rate of
+
+444
+00:33:53,080 --> 00:33:57,160
+ventilation عندنا بيه على شوية أو بوته شوية زي ما
+
+445
+00:33:57,160 --> 00:34:01,780
+أي هرمون نفحصه في الدم من ال GA طالع و نازل ليش
+
+446
+00:34:01,780 --> 00:34:04,740
+طالع و نازل؟ لإن هو فيه له negative feedback
+
+447
+00:34:04,740 --> 00:34:08,260
+mechanism لما يجيل بتبعدله إشارة أعلى فبروح بلا
+
+448
+00:34:08,260 --> 00:34:10,840
+زيد عن اللزوم فبروح حد بيعرف أنه عالي زيد عن
+
+449
+00:34:10,840 --> 00:34:13,540
+اللزوم بروح بطل إيه شديله فبروح بطل شوية إيه صغير
+
+450
+00:34:13,540 --> 00:34:19,220
+أبدا فلذلك ال levels هذهأه من اللي جيها اه
+
+451
+00:34:19,220 --> 00:34:23,140
+vibrating طالعة نازلة وrespiration ventilation
+
+452
+00:34:23,140 --> 00:34:28,200
+برضه لو لاحظناه عندنا مظبوط مظبوط هنلاجي ايه انه
+
+453
+00:34:28,200 --> 00:34:31,580
+بيعلى شوية قبوطة شوية بقى بس مش عامل يكانوا stocks
+
+454
+00:34:31,580 --> 00:34:38,280
+زي كده ارتفاع شديد وانخفاض شديد تمام طيب اذا كانوا
+
+455
+00:34:38,280 --> 00:34:40,780
+stock respiration و هذا ايه الحالات اللي بيكون
+
+456
+00:34:40,780 --> 00:34:45,280
+فيها اه
+
+457
+00:34:48,520 --> 00:34:51,560
+الحالات اللى .. اللى بكون فيها عندنا حالتين when a
+
+458
+00:34:51,560 --> 00:34:54,900
+long delay occurs for a transport of blood from
+
+459
+00:34:54,900 --> 00:34:57,580
+the lungs to the brain تمام عندى heart failure
+
+460
+00:34:57,580 --> 00:35:02,280
+عندى stenosis عندى some sort of ايه problem under
+
+461
+00:35:02,280 --> 00:35:05,180
+these conditions the storage capacities of the
+
+462
+00:35:05,180 --> 00:35:09,320
+alveoli and pulmonary من الأسباب برضه المهمة انه
+
+463
+00:35:09,320 --> 00:35:11,700
+بيصيرش تغيير كبير انه عندنا ال alveolar
+
+464
+00:35:11,700 --> 00:35:15,840
+respiration يعني احنا .. يعني عندنا ال stability
+
+465
+00:35:15,840 --> 00:35:21,570
+تبع ال alveoliاللي متنفس منها ثابتة إلى حد ما يعني
+
+466
+00:35:21,570 --> 00:35:23,270
+لو زاد ال ventilation شوية او جال ال ventilation
+
+467
+00:35:23,270 --> 00:35:27,990
+وايه شوية التغيير اللي بيصير عن ال ايه ال ال ال ال
+
+468
+00:35:27,990 --> 00:35:32,830
+respiratory volume اللي اتكلمنا عنه تمام بيظل
+
+469
+00:35:32,830 --> 00:35:36,210
+يديني إلى حد ما the same فاكرين لما اتكلمنا في
+
+470
+00:35:36,210 --> 00:35:40,950
+الأول ايه ميزة ال ايه ال ال alveolar respiration
+
+471
+00:35:40,950 --> 00:35:44,350
+هذا ال ال alveolar ال functional residual volume
+
+472
+00:35:44,350 --> 00:35:48,410
+الموجود مش كدهاتكلمنا عنه فاكرين، قولنا إنه بيظل
+
+473
+00:35:48,410 --> 00:35:51,250
+عندي أنا .. بيعملش تغيير كبير في ال .. في ال
+
+474
+00:35:51,250 --> 00:35:54,470
+concentration of .. of oxygen and carbon dioxide
+
+475
+00:35:54,470 --> 00:35:57,230
+that supplies to the blood وإلا لو فيه تغيير كبير،
+
+476
+00:35:57,230 --> 00:35:59,590
+هنلاقي نعكس هذا ع ال respiratory center، مرة بيعلق
+
+477
+00:35:59,590 --> 00:36:03,530
+و مرة بيوتعك فإحنا بيصير تغيير و تحسين، لكن عندي
+
+478
+00:36:03,530 --> 00:36:06,610
+كمية كبيرة بتظل إلى حد ما تتغير، بتبقى وقت طويل
+
+479
+00:36:06,610 --> 00:36:10,090
+لما تتغير، لكن لو أجي علينا فترة إنها بتتغير بسرعة
+
+480
+00:36:11,250 --> 00:36:13,670
+هنلاقي أثرك على ال what؟ على ال respiratory center
+
+481
+00:36:13,670 --> 00:36:16,150
+ال respiratory center السادسة و مرة ايه؟ ال
+
+482
+00:36:16,150 --> 00:36:18,130
+concentration كويس و المرة ثانوية و متاشرة و قاطع
+
+483
+00:36:18,130 --> 00:36:21,450
+تروحي بعليه شويه و بوته شويه و هكذا مش كده؟ طيب
+
+484
+00:36:21,450 --> 00:36:27,090
+اذا عندي انا ايه؟
+
+485
+00:36:27,090 --> 00:36:30,730
+under these conditions اللي هو يصير عندك delay of
+
+486
+00:36:30,730 --> 00:36:34,210
+transport the storage capacities of the alveoli
+
+487
+00:36:34,210 --> 00:36:37,750
+and pulmonary blood for these gases are exceeded
+
+488
+00:36:39,770 --> 00:36:42,610
+then after a few more seconds the periodic
+
+489
+00:36:42,610 --> 00:36:46,230
+respiratory drive becomes extreme and can't stop
+
+490
+00:36:46,230 --> 00:36:49,350
+respiration. إذا لو في فرق ما بينها نوعا ما،
+
+491
+00:36:49,350 --> 00:36:53,190
+ماللاقي إنه استهلك بسبب مدة طويلة، respirator
+
+492
+00:36:53,190 --> 00:36:59,120
+center استهلك كمية كبيرة من المن ال gases في
+
+493
+00:36:59,120 --> 00:37:02,640
+المنطقة هذه و هبط الأكسجين و عليه ال carbon
+
+494
+00:37:02,640 --> 00:37:05,620
+dioxide أعلى من اللازم لإنه delay في ال supply
+
+495
+00:37:05,620 --> 00:37:09,840
+تمام فبيقدر ال innocence بيحس انه عنده في بالفعل
+
+496
+00:37:09,840 --> 00:37:13,500
+نقص شديد لحد ما يصير عندي انا ايه hyper
+
+497
+00:37:13,500 --> 00:37:18,400
+ventilation بحسنها فبروح بهبطهذا النوع من الهواء
+
+498
+00:37:18,400 --> 00:37:25,100
+يحدث عادة في المستخدم مع اخطاء كارديكية عالية لأن
+
+499
+00:37:25,100 --> 00:37:31,460
+مدرسة الدم بطيئة وبالتالي تدل تنطق الدم من العقل
+
+500
+00:37:31,460 --> 00:37:32,020
+إلى العقل
+
+501
+00:37:37,130 --> 00:37:41,350
+إذا هنا نقطة تانية بنقول أنه sometimes الناس هدول
+
+502
+00:37:41,350 --> 00:37:44,410
+عندهم cardiac problem أحيانا بيخشوا في ال kidney
+
+503
+00:37:44,410 --> 00:37:47,410
+stock restoration أحيانا بيصلحوا بنجي أحيانا دخلوا
+
+504
+00:37:47,410 --> 00:37:51,550
+فيها يعني بتجيهم transient أحيانا هيك لأشهر و
+
+505
+00:37:51,550 --> 00:37:55,610
+بتروح أشهر تانية السبب التاني اللي هو اللي حكيتكوا
+
+506
+00:37:55,610 --> 00:37:59,430
+عليه أنا من شوية ال terminal before death a second
+
+507
+00:37:59,430 --> 00:38:02,570
+cause of kidney stocks bleeding is increased
+
+508
+00:38:02,570 --> 00:38:06,420
+negative feedbackgain in the respiratory control
+
+509
+00:38:06,420 --> 00:38:10,200
+areas يعني صار حساس أكتر من اللازم ال respiratory
+
+510
+00:38:10,200 --> 00:38:14,420
+center احنا في الوضع الطبيعي عنا مش حساس كتير بحيث
+
+511
+00:38:14,420 --> 00:38:19,080
+التغيرات البسيطة بيحسبهاش فبيظل ال ventilation إلى
+
+512
+00:38:19,080 --> 00:38:23,060
+حد ما ثابت لكن لو صار حساس زين عن اللزوم أي تغير
+
+513
+00:38:23,060 --> 00:38:25,680
+بيعمل ال respiratory ventilation عالي و أي هبوت
+
+514
+00:38:25,680 --> 00:38:28,700
+بيعمل ال ventilation ايه واطي و هكذا بيصير عند
+
+515
+00:38:28,700 --> 00:38:33,170
+الفروقات واحدةإذا ال .. ال .. increased negative
+
+516
+00:38:33,170 --> 00:38:37,490
+feedback gain زي ما حدناه على هرمونات ال negative
+
+517
+00:38:37,490 --> 00:38:40,210
+feedback أنا هتكلم عنه لما بيه على ال .. ال هرمون
+
+518
+00:38:40,210 --> 00:38:43,590
+الأساسي ال هرمون بتحكم فيه بيوتة لما هدا بيوته هدا
+
+519
+00:38:43,590 --> 00:38:46,670
+بيعلق فبنلاقيهم إيه؟ التانين balancing each other
+
+520
+00:38:46,670 --> 00:38:49,030
+طالعين و نازلين واحد بيعلق واحد بيوته و بروح تاني
+
+521
+00:38:49,030 --> 00:38:53,010
+بيعلق و تاني بيعلق ف .. فلو زادت الحساسية هذه
+
+522
+00:38:53,010 --> 00:38:56,630
+بيصير العلي كتير و لوط كتير و هنا اللي بيصير في
+
+523
+00:38:56,630 --> 00:39:02,300
+الناس هدولهذا يعني أن تغيير في دماء كربون ديكسيد
+
+524
+00:39:02,300 --> 00:39:06,560
+أو أكسجون يسبب فيه تغيير أكتر في الهواء أكتر من
+
+525
+00:39:06,560 --> 00:39:11,000
+عادة هذا
+
+526
+00:39:11,000 --> 00:39:15,920
+النوع من الهواء يحدث أكتر في مريضين مع إدارة
+
+527
+00:39:15,920 --> 00:39:20,980
+الدماء الدماء دماء دماء دماء دماء دماء دماء دماء
+
+528
+00:39:20,980 --> 00:39:25,440
+دماء دماء دماء دماء دماء دماء دماء دماء دماء دماء
+
+529
+00:39:25,440 --> 00:39:25,520
+دماء دماء دماء دماء دماء دماء دماء دماء دماء دماء
+
+530
+00:39:25,520 --> 00:39:25,560
+دماء دماء دماء دماء دماء دماء دماء دماء دماء دماء
+
+531
+00:39:25,560 --> 00:39:26,320
+دماء دماء دماء دماء دماء دماء دماء دماء دماء دمثم
+
+532
+00:39:26,320 --> 00:39:30,280
+اضافة اضافية اضافية في دماغ كربون ديكسايد تقوم
+
+533
+00:39:30,280 --> 00:39:34,540
+بتشغيلها تمام؟ يعني عندنا ال brain damage بيقدي
+
+534
+00:39:34,540 --> 00:39:37,420
+إلى suppression لل respiration بيبقى على كربون
+
+535
+00:39:37,420 --> 00:39:41,520
+ديكسايد بيروح بشغله تمام؟ بتحسن فبرجع ل
+
+536
+00:39:41,520 --> 00:39:46,200
+suppression من جديد بعودي على كربون ديكسايد this
+
+537
+00:39:46,200 --> 00:39:53,490
+type of breathingfrequently a prelude to death
+
+538
+00:39:53,490 --> 00:39:58,790
+from brain malfunction بيكون فيه دايما المرحلة
+
+539
+00:39:58,790 --> 00:40:05,170
+الأخيرة واحد كبر وخطير ووصل لمرحلة ضعف على الآخر
+
+540
+00:40:05,170 --> 00:40:10,050
+بعدين دخل في هذا ال time معناه يعني بنزع الحالة
+
+541
+00:40:10,050 --> 00:40:13,710
+اللي ايه بنشوفها ان النفس طالع نازل كده كده هذا
+
+542
+00:40:13,710 --> 00:40:21,270
+ايه يعني في نزع الأخير ممكن في نص هذهتمام؟ في
+
+543
+00:40:21,270 --> 00:40:25,610
+العادة بيكون هو في coma لما يصل لمرحلة هذه بس ممكن
+
+544
+00:40:25,610 --> 00:40:31,650
+بساطة في نص الكومة هذه يصحى و يسلم على الأولاد و
+
+545
+00:40:31,650 --> 00:40:35,670
+يبوسهم و يقولوله الحمد لله بالسلامة و يعود ينام
+
+546
+00:40:35,670 --> 00:40:41,510
+بعد ساعة يموت هذه ايه؟ يعني البداية الأخيرة دايما
+
+547
+00:40:41,510 --> 00:40:46,550
+بيكون بيبقى في وسط النزع هذا كلمه اعمل .. اعمل ايش
+
+548
+00:40:46,550 --> 00:40:50,980
+مابتبصحش خلاص بعدين فجأة بيصحىوبودع الحملة طبعا
+
+549
+00:40:50,980 --> 00:40:55,460
+الكل بيعرف انه .. انه سفي مشكلة فالكل بتجمع فبيصحى
+
+550
+00:40:55,460 --> 00:41:00,860
+و بودعهم كلهم تمام و بيروحوا و بعد ساعتين تلاتة
+
+551
+00:41:00,860 --> 00:41:05,520
+اربع بيكونوا بإيه .. اللي الله يرحمه الدكتور
+
+552
+00:41:05,520 --> 00:41:09,760
+عبدالعزيز الانتيسي كان بيحكيلي عن والده قبل ما
+
+553
+00:41:09,760 --> 00:41:15,160
+يتوفى بعت لولاده كلهم تمام و وصاهم و بوصيكي ولادي
+
+554
+00:41:15,160 --> 00:41:18,040
+و وصيكي ولادي و وصيكي ولادي .. يعني زي الأفلام
+
+555
+00:41:18,040 --> 00:41:25,320
+غريبة جدابصير المهم في هذه المرحلة ال respiratory
+
+556
+00:41:25,320 --> 00:41:30,360
+center هذا حساس جدا طبعا اي sedation ممكن يعمله
+
+557
+00:41:30,360 --> 00:41:37,120
+يعني continuous separation خلاص طبعا هذه الفترة
+
+558
+00:41:37,120 --> 00:41:40,640
+اخدوا مالكم منها جدا typical records of changes in
+
+559
+00:41:40,640 --> 00:41:43,320
+the pulmonary and respiratory center during
+
+560
+00:41:43,320 --> 00:41:46,480
+chemical breathing are shown in time مش okay note
+
+561
+00:41:46,480 --> 00:41:47,640
+that the carbon dioxide
+
+562
+00:41:52,330 --> 00:41:55,310
+طيب ماشي مش عارف الجملة اللى كنت أقولكوا إيها أنا
+
+563
+00:41:55,310 --> 00:42:00,130
+كانت إيه وين موجودة الفترة هذه في ال kidney stroke
+
+564
+00:42:00,130 --> 00:42:04,630
+respiration ممنوع ندى sedation ممنوع ندى إيه ممكن
+
+565
+00:42:04,630 --> 00:42:09,450
+نعمل suppression كامل الموضوع
+
+566
+00:42:09,450 --> 00:42:12,930
+التاني الأهم حقيقة اللى بنتكلم عنه في ال periodic
+
+567
+00:42:12,930 --> 00:42:18,540
+respiration اللى هو sleep apneasleep ابنيا هذا
+
+568
+00:42:18,540 --> 00:42:24,240
+موضوع مهم وخطير وفيه
+
+569
+00:42:24,240 --> 00:42:30,420
+بنلاحظ احنا انه في أثناء النوم واحد يصل complete
+
+570
+00:42:30,420 --> 00:42:36,220
+separation للإيه؟ لل respiration و بعدين يعود ال
+
+571
+00:42:36,220 --> 00:42:38,180
+respiration من جديد و بعدين يصير complete
+
+572
+00:42:38,180 --> 00:42:41,820
+separation لل respiration و بعدين مستيقظابنية توقف
+
+573
+00:42:41,820 --> 00:42:46,240
+كامل عن ال ايه؟ عن التنفس تمام؟ وسموها sleep apnea
+
+574
+00:42:46,240 --> 00:42:51,160
+لإنها بيصيروا الواحد ايه؟ هو نايم ال sleep apnea
+
+575
+00:42:51,160 --> 00:42:56,440
+دي نوعين نوع obstructive بيسميها obstructive sleep
+
+576
+00:42:56,440 --> 00:43:03,540
+apnea وفي نوع تاني central sleep apnea تمام؟
+
+577
+00:43:03,540 --> 00:43:08,800
+الأكتر و الأكتر و الإشكالات أكتر هي ال .. ال
+
+578
+00:43:08,800 --> 00:43:12,140
+obstructive sleep apneaobstructive sleep apnea
+
+579
+00:43:12,140 --> 00:43:16,800
+واحد احنا في الطبيعي في الطبيعي بنتنفس طبيعي من
+
+580
+00:43:16,800 --> 00:43:20,200
+غير ما ناخد بالنا بننام برضه بنتنفس و من غير ما
+
+581
+00:43:20,200 --> 00:43:26,860
+ناخد بالنا لكن احنا بعض الناس اول ما بينام تمام
+
+582
+00:43:26,860 --> 00:43:32,660
+بيلاقي انه الحلق عنده منطقة ال farings هذه اتطبجت
+
+583
+00:43:32,660 --> 00:43:39,330
+و اتجتوصار عنده some sort of obstruction لل .. لل
+
+584
+00:43:39,330 --> 00:43:44,530
+.. لل respirator وال airways تمام؟ المجاري
+
+585
+00:43:44,530 --> 00:43:50,770
+الهوائية أغلقت كيف هذا؟ احنا في الطبيعي ال pharynx
+
+586
+00:43:50,770 --> 00:43:54,430
+pharyngeal muscles relax أثناء النوم ال relaxation
+
+587
+00:43:54,430 --> 00:43:57,750
+هذا بضيق شوية ال .. ال pharynx لكن ما بيعمله
+
+588
+00:43:57,750 --> 00:44:01,990
+obstruction ما بيعمله obstruction لكن بعض الناس
+
+589
+00:44:01,990 --> 00:44:06,660
+بالذات ال obesityبالذات مع ال obesity الزايدة
+
+590
+00:44:06,660 --> 00:44:10,060
+بيقدر إلى أنه صار عندنا ضعف شديد في العضلات هذه
+
+591
+00:44:10,060 --> 00:44:14,640
+وصار عندنا أساسا narrowing من سبب ال obesity اللي
+
+592
+00:44:14,640 --> 00:44:17,620
+موجودة narrowing of the pharynx فلما يصير
+
+593
+00:44:17,620 --> 00:44:21,700
+relaxation بيصير complete أيه obstruction تمام؟ و
+
+594
+00:44:21,700 --> 00:44:25,520
+هدول ما نلاحظ عليهم أنه أول ما بينام بيبدأ snoring
+
+595
+00:44:26,810 --> 00:44:31,990
+بيبدأ الشخير اه يظهر، اول ما بيغفر بيبدأ الشخير
+
+596
+00:44:31,990 --> 00:44:36,030
+يظهر، ليش الشخير بدأ يظهر؟ لإنه دياجل ايه ال
+
+597
+00:44:36,030 --> 00:44:40,170
+respiratory passage كتير، فالدياجل الكتير هانا صار
+
+598
+00:44:40,170 --> 00:44:44,880
+يصفرمش هيك؟ صار يصفر تحتز العضلات تبع ال pharynx
+
+599
+00:44:44,880 --> 00:44:50,520
+تحتز ال jovula تحتز المنطقة هذه كلها مع الضيق زي
+
+600
+00:44:50,520 --> 00:44:54,420
+الصفارة صارت لما كان ضيق صارت صفر فبيصير شخير
+
+601
+00:44:54,420 --> 00:45:00,720
+الشخير هذا بيلاقي بيزيد
+
+602
+00:45:00,720 --> 00:45:07,900
+بيزيد بيزيد تمام ثم بيتوقف نهائي صار complete
+
+603
+00:45:07,900 --> 00:45:11,770
+obstructionو بعدين لما يصير complete obstruction
+
+604
+00:45:11,770 --> 00:45:15,750
+ممكن يصل complete obstruction لعشر ثواني مثلا مدة
+
+605
+00:45:15,750 --> 00:45:21,070
+طويلة ال carbon dioxide level بيكون ايه؟ بيكون
+
+606
+00:45:21,070 --> 00:45:26,390
+ارتفع ارتفع ارتفع ارتفع فبروح بصحي و برجع ال
+
+607
+00:45:26,390 --> 00:45:30,450
+respiration من أول و جديد تمام؟إذا عندنا احنا ال
+
+608
+00:45:30,450 --> 00:45:34,770
+carbon dioxide لما بيعلف الجسم تمام بيعمل strong
+
+609
+00:45:34,770 --> 00:45:39,210
+stimulation in the respiratory center وحتى البني
+
+610
+00:45:39,210 --> 00:45:43,610
+آدم اللي هو إيه في عملية ال snoring هذا بيعود أصحى
+
+611
+00:45:43,610 --> 00:45:48,750
+من جديد تمام و بياخد نفس من جديد و بيقعد يغير وضعه
+
+612
+00:45:48,750 --> 00:45:53,370
+و بيرجع إيه؟ لنام من جديد تمام أول ما بينام بيخش
+
+613
+00:45:53,370 --> 00:45:56,870
+في إيه؟ برضه في كمان دورة من جديد إذا periodic
+
+614
+00:45:56,870 --> 00:46:04,670
+inspirationتمام؟ ال obstruction بيخلي ي .. ي ..
+
+615
+00:46:04,670 --> 00:46:07,770
+يضيق ال .. ال .. ال .. النفس اللي عنده، مش هيك؟
+
+616
+00:46:07,770 --> 00:46:12,690
+ضيق النفس هذا بيقدر ال carbon dioxide عنده يعلى،
+
+617
+00:46:12,690 --> 00:46:17,300
+لما بيعلى carbon dioxide بيزيد نفسهسرعة ال
+
+618
+00:46:17,300 --> 00:46:23,380
+ventilation فبيزيد صوت الشخير مش كده بيضال ضيق في
+
+619
+00:46:23,380 --> 00:46:27,080
+النفس مش عارف يعمل تنفس كويس ال oxygen بيجل لإن ال
+
+620
+00:46:27,080 --> 00:46:30,500
+ventilation جل بسبب الضيق هذا و ال carbon ده oxide
+
+621
+00:46:30,500 --> 00:46:34,660
+عليه فال ventilation بيزيد بيزيد مش كده فهذا بيزيد
+
+622
+00:46:34,660 --> 00:46:38,220
+بيضال يزيد و الصوت الشخير يعلق يعلق يعلق يعلق
+
+623
+00:46:38,220 --> 00:46:41,740
+بعدين بيتوقف فجأة ليش يتوقف فجأة لإن صار complete
+
+624
+00:46:41,740 --> 00:46:45,990
+obstructionتمام؟ ال complete obstruction هذا بيظل
+
+625
+00:46:45,990 --> 00:46:50,810
+موجود لما carbon dioxide يعاود يعلق ل level يخليه
+
+626
+00:46:50,810 --> 00:46:56,570
+يصحى من أول و جديد اه و يبدأ نفسه مرتاح و بعدين
+
+627
+00:46:56,570 --> 00:47:00,130
+بزيد و بزيد و بزيد و snoring اللي هو الشخير اذا
+
+628
+00:47:00,130 --> 00:47:03,130
+مرتبط هذه في هذه هذا بيقدر إلى انه صار عنده
+
+629
+00:47:03,130 --> 00:47:09,940
+intermittent sleep النوم عنده مش مرتاحبينام دجاج و
+
+630
+00:47:09,940 --> 00:47:13,160
+بصحى دجاج طول الليل بينام و بيصحى بينام و بيصحى
+
+631
+00:47:13,160 --> 00:47:18,220
+بينام و بيصحى بييجى الصبح بدروح شغله مش شابعانه
+
+632
+00:47:18,220 --> 00:47:26,060
+لأنه طول الليل تمام دراوزي نعسان طول النهار واضح
+
+633
+00:47:26,060 --> 00:47:33,100
+عنده النعس
+
+634
+00:47:33,100 --> 00:47:36,520
+والتوتر هذا بيقدر له sympathetic over stimulation
+
+635
+00:47:37,440 --> 00:47:41,380
+systematic system عنده عالي لإنه مانامش مارتاحش
+
+636
+00:47:41,380 --> 00:47:47,620
+متوتر بيقدر ال heart
+
+637
+00:47:47,620 --> 00:47:52,220
+rate بيزيد دايما دجاجات الجالب عنده زيادة عن
+
+638
+00:47:52,220 --> 00:47:55,630
+اللزوم بسبب إيش؟بسبب ال sympathetic over
+
+639
+00:47:55,630 --> 00:47:58,390
+stimulation ال sympathetic system لما بيعلى
+
+640
+00:47:58,390 --> 00:48:02,030
+بتعرفوا ال sympathetic system؟ بيزود ال heart rate
+
+641
+00:48:02,030 --> 00:48:06,450
+فالملاك عنده ال heart rate عالي ونأسان ودوخان
+
+642
+00:48:06,450 --> 00:48:11,930
+ورأسه بجعو ومش عارف ينام بالليل ومش عارف ينام وضع
+
+643
+00:48:11,930 --> 00:48:18,650
+وضع رهيب وضع ايه؟ وضع كتير مسجن sleep apnea سببها
+
+644
+00:48:18,650 --> 00:48:23,000
+الرئيسي ال over obesityال obesity ازاي ده؟ بتقدي
+
+645
+00:48:23,000 --> 00:48:27,180
+الى ايه؟ الى هذه المشاكل مش تنعكس على انه بس
+
+646
+00:48:27,180 --> 00:48:32,160
+obesity ومغلباه بالليل، لأ تنعكس علي بالنهار، لإنه
+
+647
+00:48:32,160 --> 00:48:36,920
+في النهار ماقدرش يعيش حياته بشكل طبيعي، هدول الناس
+
+648
+00:48:37,520 --> 00:48:43,120
+معرضين جدا لـ cardiovascular accidents تمام؟ يخش
+
+649
+00:48:43,120 --> 00:48:49,800
+في MI يخش في coronary problems
+
+650
+00:48:49,800 --> 00:48:56,330
+تمام؟ يخش في مشاكلفي متعلقة بالقلب جلطة ذبحة
+
+651
+00:48:56,330 --> 00:49:03,010
+دماغية قلبية ماعرفش إيش CVAs كتيرة بكتير
+
+652
+00:49:03,010 --> 00:49:07,650
+cardiovascular accidents
+
+653
+00:49:07,650 --> 00:49:12,590
+بتصير عنده إيه معرض إلها بشكل غير عادي تمام هذه
+
+654
+00:49:12,590 --> 00:49:17,950
+الخطورة للموضوع طيب خلينا نمشي فيها شوية شوية إذا
+
+655
+00:49:17,950 --> 00:49:20,610
+the term Apnea means absence of spontaneous
+
+656
+00:49:20,610 --> 00:49:26,550
+respirationoccasional apneas occur during normal
+
+657
+00:49:26,550 --> 00:49:29,350
+sleep في ال normal sleep واحد في الطبيعي ممكن يخش
+
+658
+00:49:29,350 --> 00:49:33,010
+في مرة او مرتين في الليلة ليش ان رأسه انطعجت
+
+659
+00:49:33,010 --> 00:49:37,630
+ماعرفش ايش كده المخدة اه لكن بيصحى اليها بيغير
+
+660
+00:49:37,630 --> 00:49:43,210
+وضعه و بيظل نايم يعني ممكن الواحد يعدي فيها أحيانا
+
+661
+00:49:43,210 --> 00:49:48,390
+في الوضع الطبيعي the
+
+662
+00:49:48,390 --> 00:49:53,940
+frequency and duration are greatly increasedهذا في
+
+663
+00:49:53,940 --> 00:49:56,700
+حالة وجود اي but in the persons with sleep apnea
+
+664
+00:49:56,700 --> 00:49:59,340
+اللي بتكلم عنهم احنا مش مرة او مرتين في الليلة
+
+665
+00:49:59,340 --> 00:50:04,660
+بتصير لأ بتصير مرات كثيرة ممكن تصل متين تلتمية مرة
+
+666
+00:50:04,660 --> 00:50:10,280
+بالليلة خمسمية مرة بالليلة الواحدة تمام؟ with
+
+667
+00:50:10,280 --> 00:50:15,860
+episodes of apnea متوقف عن نفس كاملاlasting from
+
+668
+00:50:15,860 --> 00:50:19,380
+ten seconds or longer for ten seconds or longer
+
+669
+00:50:19,380 --> 00:50:23,500
+يعني ممكن إيه شخير زي ما هو عالي عالي عالي و بعدين
+
+670
+00:50:23,500 --> 00:50:28,840
+توقف أه obstruction كامل وينما ال carbon dioxide
+
+671
+00:50:28,840 --> 00:50:33,240
+عنده عالي على الآخر وانفجر ال respiratory center
+
+672
+00:50:33,240 --> 00:50:38,660
+تمام بال .. بال .. بال strong ventilation وصحاه
+
+673
+00:50:38,660 --> 00:50:43,450
+وخلى يغير وضعه ويحاول إيه إنه من جديد بشكل تانيand
+
+674
+00:50:43,450 --> 00:50:46,350
+occurring من تلاتمية إلى خمسمية times each night
+
+675
+00:50:46,350 --> 00:50:50,370
+ممكن يكون أقل بكتير يعني الرقم أنا مش .. مش تكتره
+
+676
+00:50:50,370 --> 00:50:54,670
+كتير يعني لإن اذا نقول كل تلاتمية إلى خمسمية دقيقة
+
+677
+00:50:54,670 --> 00:50:57,170
+مرة في اليوم يعني كل ربع دقيقة بده يصح و ينام
+
+678
+00:50:57,170 --> 00:51:01,750
+مالحقش يصح و ينام تمام احنا قلنا انه intermittent
+
+679
+00:51:01,750 --> 00:51:07,170
+sleep هو اللي كل ربع دقيقة مانامش sleep apnea can
+
+680
+00:51:07,170 --> 00:51:11,570
+be caused by obstruction قلنا او ايه او centralلذن
+
+681
+00:51:11,570 --> 00:51:14,530
+في عنا obstructive sleep apnea أو central sleep
+
+682
+00:51:14,530 --> 00:51:18,090
+apnea ال abstractive type the muscles of the
+
+683
+00:51:18,090 --> 00:51:21,890
+pharynx normally keep this passage open to allow
+
+684
+00:51:21,890 --> 00:51:24,870
+air to flow into the lungs during inspiration
+
+685
+00:51:24,870 --> 00:51:28,290
+during sleep these muscles usually relax but the
+
+686
+00:51:28,290 --> 00:51:31,970
+airway passage remains open enough to permit
+
+687
+00:51:31,970 --> 00:51:36,150
+adequate air flow تمام هذا الفرض الطبيعي some
+
+688
+00:51:36,150 --> 00:51:39,730
+individuals have an especially narrow passage
+
+689
+00:51:40,710 --> 00:51:44,770
+narrowing بسبب في الغالي بسبب obesity في obesity
+
+690
+00:51:44,770 --> 00:51:48,710
+خلت ال passages narrow and the relaxation of these
+
+691
+00:51:48,710 --> 00:51:51,330
+muscles during sleep causes the pharynx to
+
+692
+00:51:51,330 --> 00:51:55,290
+completely close so that air cannot flow into the
+
+693
+00:51:55,290 --> 00:51:55,630
+lungs
+
+694
+00:52:06,010 --> 00:52:10,330
+in persons with sleep apnea loud snoring and
+
+695
+00:52:10,330 --> 00:52:15,730
+labored and labored breathing تنفس بجهود شديد
+
+696
+00:52:15,730 --> 00:52:21,490
+labored breathing okay soon after falling asleep
+
+697
+00:52:21,490 --> 00:52:26,350
+اول ما بينام بيخش فيه snoring the snoring proceeds
+
+698
+00:52:26,350 --> 00:52:31,610
+often becoming louder and is then interrupted by a
+
+699
+00:52:31,610 --> 00:52:34,510
+long silent period during which the breathing
+
+700
+00:52:44,630 --> 00:52:49,430
+الذي يحدث في هذه الفترة من الأبناء ينتهي في
+
+701
+00:52:49,430 --> 00:52:53,650
+تقليعات كبيرة في حرارة الأكسجون و تقليعات حرارة
+
+702
+00:52:53,650 --> 00:52:57,970
+الكربون ديوكسيد التي تشبه بشكل كبير الاسباريشن هذا
+
+703
+00:52:57,970 --> 00:53:03,550
+في حالة تشبه هذا في حالة تشبه هذا في حالة تشبه هذا
+
+704
+00:53:03,550 --> 00:53:07,560
+في حالةبقوة بيخلي بيحاول بيلاقي حالة مش عارف يتنفس
+
+705
+00:53:07,560 --> 00:53:14,280
+فبيصحى which result in loud snores and gasping
+
+706
+00:53:14,280 --> 00:53:20,880
+فجأة بعد توقف توقف بيصحى بياخد gasp كبيرة and
+
+707
+00:53:20,880 --> 00:53:25,280
+followed by snoring and repeated episodes of apnea
+
+708
+00:53:25,280 --> 00:53:31,380
+وها كذا تمام؟ اذا هذه المسألة خطيرة لم يصاحبها من
+
+709
+00:53:31,380 --> 00:53:31,900
+مشاكل
+
+710
+00:53:34,530 --> 00:53:41,230
+إذا في عندي fragmented restless sleep، نوم مقطع مش
+
+711
+00:53:41,230 --> 00:53:45,370
+مريح، therefore patients with sleep apnea usually
+
+712
+00:53:45,370 --> 00:53:51,290
+have excessive daytime drowsiness أثناء الصحيان
+
+713
+00:53:51,290 --> 00:53:56,780
+أثناء الas well as other disorders including
+
+714
+00:53:56,780 --> 00:54:00,960
+increased sympathetic activity, high heart rate,
+
+715
+00:54:01,540 --> 00:54:04,780
+pulmonary and systemic hypertension كمان الـ
+
+716
+00:54:04,780 --> 00:54:07,340
+sympathetic stimulation بيعمللي إيه؟ hypertension
+
+717
+00:54:07,340 --> 00:54:12,500
+as well and greatly و هذه الأخطر and greatly
+
+718
+00:54:12,500 --> 00:54:16,220
+elevated risk of cardiovascular accidents أو
+
+719
+00:54:16,220 --> 00:54:20,340
+diseases تمام؟ إذا هدول الناس بتعرضوا بعد كده
+
+720
+00:54:20,340 --> 00:54:28,400
+لمخاطرالـ cardiovascular problems إذا الأسباب
+
+721
+00:54:28,400 --> 00:54:34,100
+الرئيسية occurs in older obese persons in whom
+
+722
+00:54:34,100 --> 00:54:37,660
+there is increased fat deposition in the soft
+
+723
+00:54:37,660 --> 00:54:41,280
+tissues of the pharynx or compression of the
+
+724
+00:54:41,280 --> 00:54:46,660
+pharynx from the neck obesity تمام؟ إذا هنا صنعنا
+
+725
+00:54:46,660 --> 00:54:52,160
+صورة أحنا كاملة إلىهذه الحالة، حالة خطيرة خدوا
+
+726
+00:54:52,160 --> 00:54:58,160
+بالكوا اللي قابلين للسمنة منها واحترسوا منها من
+
+727
+00:54:58,160 --> 00:55:05,920
+بدري مش كده؟ طيب الان الحالة هذه إلها حالات
+
+728
+00:55:05,920 --> 00:55:09,840
+surgery بيسميها
+
+729
+00:55:09,840 --> 00:55:16,620
+uvula palatopharyngoplasty uvula
+
+730
+00:55:16,620 --> 00:55:22,530
+ال uvula soft palatepalato yuvilo palato بين ال
+
+731
+00:55:22,530 --> 00:55:24,950
+yuvila و ال .. و ال .. و ال palate ال hard palate
+
+732
+00:55:24,950 --> 00:55:29,750
+و ال soft palate farangio ال farings plasty اللي
+
+733
+00:55:29,750 --> 00:55:35,830
+هو ribaire يعني ال plastic ribaire ممكن
+
+734
+00:55:35,830 --> 00:55:39,890
+تكون خطيرة جدا و يضطر يعملوا track used to me لإن
+
+735
+00:55:39,890 --> 00:55:43,390
+ال obstruction فوق كتير .. العملية هذه طبعا خطيرة
+
+736
+00:55:43,390 --> 00:55:47,730
+جدا و فرصة النجاح فيها مش عالية لذا أنا مانفضلش
+
+737
+00:55:47,730 --> 00:55:49,010
+أبدا أي حد يعملها
+
+738
+00:55:52,280 --> 00:55:57,000
+Tracostomy في حالة ما يكون محرض انه يعني .. يعني
+
+739
+00:55:57,000 --> 00:56:00,200
+في وضع خطير يعني بنعمله Tracostomy ال opening في
+
+740
+00:56:00,200 --> 00:56:07,400
+ال a في التراكية مش كده؟ طيب او او اذا مادنش اعمل
+
+741
+00:56:07,400 --> 00:56:14,720
+surgery بنعمله اللي هو ال CPAPاللي هو نديله جهاز
+
+742
+00:56:14,720 --> 00:56:21,000
+بيركب على انفو خرطوم مشبوك في إيه؟ في جهاز الجهاز
+
+743
+00:56:21,000 --> 00:56:27,280
+هذا بيقدي عليه نديله CPAP continuous positive
+
+744
+00:56:27,280 --> 00:56:31,520
+airway pressure continuous positive airway
+
+745
+00:56:31,520 --> 00:56:36,220
+pressure زي هذا الشاب اللي هان هذا عنده هعطي ال
+
+746
+00:56:36,220 --> 00:56:39,280
+CPAP واش ودنا هناك؟
+
+747
+00:56:48,160 --> 00:56:53,420
+هذا السي باب تمام؟ إذا كنت تشوف فين؟ حاطط على
+
+748
+00:56:53,420 --> 00:56:58,280
+الأنف .. حاطط على الأنف mask
+
+749
+00:57:00,120 --> 00:57:03,040
+حقيقة هي مربوطة زي ما انتوا شايفينها التفاصيل
+
+750
+00:57:03,040 --> 00:57:07,780
+مربوطة بحيث انها تبقى التنفس اللي نزل من القنف
+
+751
+00:57:07,780 --> 00:57:14,080
+مباشرة sealed مع الأنبوبة بحيث عندي انا الجهاز
+
+752
+00:57:14,080 --> 00:57:17,500
+اللي هو هاي جنبه هذا بتديني positive pressure
+
+753
+00:57:17,500 --> 00:57:21,980
+ventilation positive pressure فالهواء بدخل under
+
+754
+00:57:21,980 --> 00:57:25,320
+positive pressure ايش بيقدي؟انه يفتح ال
+
+755
+00:57:25,320 --> 00:57:28,920
+abstraction بيقدر لانه ايه؟ يفتح ال abstraction
+
+756
+00:57:28,920 --> 00:57:35,340
+تمام؟ هذا سي باب ماشين و هذه التكنيك اللي احنا ايه
+
+757
+00:57:35,340 --> 00:57:43,860
+قلنا انه ممكن يديني نتائج لشيء افضل من ال surgery
+
+758
+00:57:43,860 --> 00:57:47,680
+ال surgery لا يفضل و افضل منهم كلهم انه ينتبه
+
+759
+00:57:47,680 --> 00:57:50,800
+لحاله و لصحته و لأهمية الكلام هذا و ينزل وزنه
+
+760
+00:57:50,800 --> 00:57:56,610
+بيتحسن ان شاء اللهال central apnea مش مسألة متعلقة
+
+761
+00:57:56,610 --> 00:58:02,090
+ب obstruction، مسألة متعلقة ب damage في ال brain،
+
+762
+00:58:02,090 --> 00:58:06,230
+بتقدر إلى أنه عنده ابنية، هما نلاحظها مش بس بالليل
+
+763
+00:58:06,860 --> 00:58:10,600
+كمان في النهار بنلاحظ أنه ال rate of respiration
+
+764
+00:58:10,600 --> 00:58:14,720
+دبعه واطي ال ventilation واطي مش طبيعي طب بس كله
+
+765
+00:58:14,720 --> 00:58:19,180
+تنفس في جوة بتنفس بتحكم في نفس بتحكم بس ال
+
+766
+00:58:19,180 --> 00:58:22,800
+automatic respiration ventilation اللي مسئول عنه
+
+767
+00:58:22,800 --> 00:58:27,960
+respiration center بيبقى ايه low و بيخش في ايه في
+
+768
+00:58:27,960 --> 00:58:31,520
+الأبناء هذه during sleep لكن في النهار برضه موجود
+
+769
+00:58:31,520 --> 00:58:36,000
+عنده ايه abnormal ventilation rate تمام مش طبيعي
+
+770
+00:58:38,770 --> 00:58:40,710
+ممكن سببها damage to the central respiratory
+
+771
+00:58:40,710 --> 00:58:42,990
+center or abnormalities of the respiratory
+
+772
+00:58:42,990 --> 00:58:46,130
+neuromuscular apparatus يعني يا إما ال center نفسه
+
+773
+00:58:46,130 --> 00:58:49,450
+يا إما ال neuromuscular apparatus تبع ال
+
+774
+00:58:49,450 --> 00:58:52,370
+respiration في إشكال في ال chemical transmitters
+
+775
+00:58:52,370 --> 00:58:55,890
+أو ماعرفش إشكال يعني مسائل نادرة تمام الأخطر و
+
+776
+00:58:55,890 --> 00:58:59,270
+الأكتر و الأهم عندنا ال obstructive ال obstructive
+
+777
+00:58:59,270 --> 00:59:03,370
+أبناء فيه central ماقدرش نعمل أيش ال central تمام
+
+778
+00:59:03,370 --> 00:59:08,220
+إذا patientsالذين يتأثرون من أبناء النوم المركزية
+
+779
+00:59:08,220 --> 00:59:11,900
+يمكن أن يكون لديهم تقليد من الهواء عندما يكونوا
+
+780
+00:59:11,900 --> 00:59:16,520
+مستيقظين، صحين، أه طيب، خلال النوم، عادة تتحرك
+
+781
+00:59:16,520 --> 00:59:20,980
+مخلوقات الهواء، ينتهي في أشياء أكتر عادية من
+
+782
+00:59:20,980 --> 00:59:24,460
+الأبناء التي تتقل الضغط كبير على الكربوندوكسين
+
+783
+00:59:24,460 --> 00:59:30,240
+والكربوندوكسين، حتى يصل إلى مستوى مهمof carbon
+
+784
+00:59:30,240 --> 00:59:32,740
+dioxide reached بعدين بيعمل ال simulation من أول و
+
+785
+00:59:32,740 --> 00:59:36,200
+جديد يعني بيبدين ال picture من أول و جديد انه تنفس
+
+786
+00:59:36,200 --> 00:59:41,380
+و انقطع تنفس و انقطع these transient instabilities
+
+787
+00:59:41,380 --> 00:59:45,600
+of the respiration causes restless sleep و ال
+
+788
+00:59:45,600 --> 00:59:48,960
+picture اللي كلمنا عنها من أول تمام بيبدين نفس
+
+789
+00:59:48,960 --> 00:59:52,450
+الإشكالات تبعت ال abstractive قبل يعنيin most
+
+790
+00:59:52,450 --> 00:59:58,250
+patients the cause of central apnea is unknown
+
+791
+00:59:58,250 --> 01:00:02,470
+although instability of respiratory drive can
+
+792
+01:00:02,470 --> 01:00:05,970
+result from strokes يعني أشاكل في الدماغ صارت
+
+793
+01:00:05,970 --> 01:00:11,100
+إصابات كذاتمام؟ و هدول الناس خطير يديهم اي
+
+794
+01:00:11,100 --> 01:00:14,680
+sedation او narcotics لإنه ممكن يخشهم already ال
+
+795
+01:00:14,680 --> 01:00:17,180
+ventilation عندهم مواطيه لو اديناهم ايش من هالنوع
+
+796
+01:00:17,180 --> 01:00:19,180
+حده بيعمل complete suppression ل respiratory
+
+797
+01:00:19,180 --> 01:00:23,120
+center الله على ما يطلع منه ولا مايطلعوش منه برضه
+
+798
+01:00:23,120 --> 01:00:26,720
+هدول ال risk .. ال .. ال .. الحل تبعهم الأفضل ان
+
+799
+01:00:26,720 --> 01:00:36,850
+يستخدم ال ashcpap continuous positive air airway
+
+800
+01:00:36,850 --> 01:00:43,950
+pressure اه فتمام cpap هذا اليوم هيك بنكون خلصنا
+
+801
+01:00:43,950 --> 01:00:50,030
+الفصل هذا اللي هو بيظل عندنا فصل واحد نتكلم فيه ان
+
+802
+01:00:50,030 --> 01:00:54,050
+شاء الله بده محاضرتين تقريبا يعني التلاتة اللي جاي
+
+803
+01:00:54,050 --> 01:00:56,830
+والأحد اللي جاي بنكون ان شاء الله خلصنا ال ايه ال
+
+804
+01:00:56,830 --> 01:01:00,860
+respiratory systemواللي عندها السؤال أحلى وسهلة
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/lZxsHIknvb0_raw.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/lZxsHIknvb0_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..111a5c5f701f085664a54004b8516e3d5d76c0d8
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/lZxsHIknvb0_raw.srt
@@ -0,0 +1,4016 @@
+1
+00:00:06,140 --> 00:00:11,440
+نواصل الحديث عن ال ventilation و هنتكلم عن
+
+2
+00:00:11,440 --> 00:00:17,040
+alveolar air و قولنا ال alveolar air هذا المنطقة
+
+3
+00:00:17,040 --> 00:00:19,980
+اللي بتمن خلالها تبدل الغازات فهي منطقة مهمة
+
+4
+00:00:19,980 --> 00:00:24,520
+بالنسبالنا و التعرف عليها مهم لإن هي فيها air
+
+5
+00:00:24,520 --> 00:00:30,480
+مختلف عن ال atmospheric air و مختلف عن ال blood
+
+6
+00:00:30,480 --> 00:00:34,840
+gases هي مرحلة ما بين اتنين atmospheric air
+
+7
+00:00:38,020 --> 00:00:44,140
+بيدخل الرئتين بتركيز
+
+8
+00:00:44,140 --> 00:00:50,500
+أكسجين مثلا 160 ميلي متر ميركوري بصله
+
+9
+00:00:50,500 --> 00:00:59,260
+humidification هو نازل بيصل ال alveolar area على
+
+10
+00:00:59,260 --> 00:01:05,480
+149 ميلي متر ميركوريلكن هذه المنطقة فيها باستمرار
+
+11
+00:01:05,480 --> 00:01:12,320
+diffusion of oxygen to the blood وعنا في more
+
+12
+00:01:12,320 --> 00:01:16,340
+carbon dioxide is executed in this area لذلك
+
+13
+00:01:16,340 --> 00:01:21,780
+التركيب تبعها لا هو مشابه ال humidified air ولا هو
+
+14
+00:01:21,780 --> 00:01:24,120
+مشابه ال blood gases
+
+15
+00:01:26,500 --> 00:01:28,900
+لو طلعنا في ال blood gases ها نحن نلاقي ان ال
+
+16
+00:01:28,900 --> 00:01:33,340
+oxygen مثلا اربعين ملي متر مركوري تركيزه و ال
+
+17
+00:01:33,340 --> 00:01:38,560
+carbon dioxide خمسة و أربعين ملي متر مركوري تركيزه
+
+18
+00:01:38,560 --> 00:01:43,420
+برشا pressure تبعه في حين ان ال humidified air
+
+19
+00:01:43,420 --> 00:01:49,320
+اللي دخل مية تسعة و أربعين اللي
+
+20
+00:01:49,320 --> 00:01:54,880
+هو ال oxygen و ال carbon dioxide إلى حد ما zeroفي
+
+21
+00:01:54,880 --> 00:01:59,840
+المنطقة هذه اللي بتاخد منها oxygen وبنحط لها تاني
+
+22
+00:01:59,840 --> 00:02:03,640
+سيكربون وبدخل لها oxygen بالتركيز اللي اتكلمنا عنه
+
+23
+00:02:03,640 --> 00:02:08,620
+من دي شوية، بيبتدى ان هاد المنطقة نلاقي ان التركيز
+
+24
+00:02:08,620 --> 00:02:12,760
+فيها مختلف عن ايهعن لهن و لهن لإن هي منطقة واسكتة
+
+25
+00:02:12,760 --> 00:02:17,200
+بين الاتنين ملاجة البرشر برشر او أكسجين 104 ميلي
+
+26
+00:02:17,200 --> 00:02:22,180
+متر ميركوري ملاجة البرشر برشر او كاربون ديوكسايد
+
+27
+00:02:22,180 --> 00:02:28,140
+40 ميلي متر ميركوري لإن الخلط ما بين ال 45 و ال 0
+
+28
+00:02:28,140 --> 00:02:32,400
+تصل ل 40 و الخلط ما بين ال 40 ميلي متر ميركوري
+
+29
+00:02:32,400 --> 00:02:41,890
+اكسجين و ال 147 تصل لل 104 لذلك ملاجة الفي الأوضاع
+
+30
+00:02:41,890 --> 00:02:46,470
+النموذجية ميلاج الأكسجين برشا برشا تبعه إيه مية و
+
+31
+00:02:46,470 --> 00:02:50,330
+أربعة ميلي متر ميركوري لذلك هذه لو نقصت بيزيد ال
+
+32
+00:02:50,330 --> 00:02:54,870
+ventilation لو زادت بتعاود تحدي ال ventilation فهي
+
+33
+00:02:54,870 --> 00:02:58,450
+من نوع من الرواعي ال ايه ال stability ان يكون عندي
+
+34
+00:02:58,450 --> 00:03:03,190
+ال alveolar air ثابت التركيبة تبعته تمام؟ اذا احنا
+
+35
+00:03:03,190 --> 00:03:06,850
+بيدخل عندنا على ال alveolar air ال alveolar
+
+36
+00:03:06,850 --> 00:03:10,170
+respirationهيقولنا alveolar respiration اللي هو
+
+37
+00:03:10,170 --> 00:03:15,750
+يمثل الهواء اللي مش بس بيدخل الرئة تانه بس لأ اللي
+
+38
+00:03:15,750 --> 00:03:19,250
+بيوصل ال alveolar areaتمام؟ اللي بيصير فيها تبدو
+
+39
+00:03:19,250 --> 00:03:23,930
+ال gases معناه انه مش ال 500 كلها ملي لتر اللي
+
+40
+00:03:23,930 --> 00:03:27,470
+بنعملها في ال inspiration تدخل فقط 350 ملي لتر مش
+
+41
+00:03:27,470 --> 00:03:33,510
+هيك؟ فال 350 ملي لتر مضروبه في اتناشر مرة اللي هو
+
+42
+00:03:33,510 --> 00:03:37,930
+respiration rate ملاجئ عندنا في عندنا ال geolar
+
+43
+00:03:37,930 --> 00:03:44,130
+respiration 4200 ملي لتر 4200 ملي لتر ال new gas
+
+44
+00:03:44,130 --> 00:03:49,620
+reaches thethe alveoli .. the alveolar area
+
+45
+00:03:49,620 --> 00:03:54,680
+permanent تمام؟ اذا اندي اربعة liter و شوية بيصلوا
+
+46
+00:03:54,680 --> 00:03:57,940
+قريقتين .. اذا هدول موجودين بدخلوا لهم تلت مية و
+
+47
+00:03:57,940 --> 00:03:59,800
+خمسين و بطلع منهم تلت مية و خمسين بدخلوا تلت مية و
+
+48
+00:03:59,800 --> 00:04:07,180
+خمسين حاملين oxygen برشا برشا مية وتسعة واربعين و
+
+49
+00:04:07,180 --> 00:04:10,120
+بطلع منهم تلت مية و خمسين حاملين برشا .. oxygen
+
+50
+00:04:10,120 --> 00:04:14,360
+برشا برشا قداشمية وأربعة تمام؟ اذا احنا دايما
+
+51
+00:04:14,360 --> 00:04:16,540
+بنضيف من تسعة واربعين بناخد مية وأربعين من تسعة
+
+52
+00:04:16,540 --> 00:04:18,520
+واربعين من تسعة واربعين هذه العملية بتحافظ على
+
+53
+00:04:18,520 --> 00:04:23,180
+ايه؟ ولو حسبناها بنلاقي احنا جداش بنستخدمه هنحسبها
+
+54
+00:04:23,180 --> 00:04:27,740
+خلال المحاضرة هذه هنلاقي جداش الجسم بيستهلك Oxygen
+
+55
+00:04:27,740 --> 00:04:32,180
+بالظبط ال ventilation مضبوط على انه يدخل Oxygen
+
+56
+00:04:32,180 --> 00:04:35,900
+بنفس القدر اللي ايه اللي الجسم بياخده بحيث نحافظ
+
+57
+00:04:35,900 --> 00:04:43,010
+عمين على ال Avial Air Concentration ثالث واضح؟نفس
+
+58
+00:04:43,010 --> 00:04:48,290
+الكلام ان جرع ال carbon dioxide هنا
+
+59
+00:04:48,290 --> 00:04:52,550
+المسألة عشان تعرفوا ان احنا مش بنعمل عملية ابدال
+
+60
+00:04:52,550 --> 00:04:59,690
+لأ بنعمل عملية احنا dilution theory يعني بنرفع جزء
+
+61
+00:04:59,690 --> 00:05:04,440
+و بنحط جزء بتخفف بس بتخففش لان نصتمام؟ نضل .. يعني
+
+62
+00:05:04,440 --> 00:05:08,600
+لو بدنا نطلع هنا ال .. احتاجنا هنا الى ال
+
+63
+00:05:08,600 --> 00:05:12,540
+alveolus، الانموذج ال alveolus، ستة عشر مرة الهوى
+
+64
+00:05:12,540 --> 00:05:16,160
+يخش و يطلع فيها اللي هو بنفس النسب اللي قلنا عليه
+
+65
+00:05:16,160 --> 00:05:22,820
+سبع ال تلت مية و خمسين لأربع مية و .. لأربع تلاف و
+
+66
+00:05:22,820 --> 00:05:23,780
+.. و متين
+
+67
+00:05:28,050 --> 00:05:31,490
+جداش بيطلع سبعة ولا واحد على اتناش بيطلع مسترد
+
+68
+00:05:31,490 --> 00:05:33,650
+واحد على اتناش لإن هو تلاتمية وخمسية في اتناش مش
+
+69
+00:05:33,650 --> 00:05:37,350
+كده يعني كل مرة بيدخل واحد على اتناش اللي هو يمثل
+
+70
+00:05:37,350 --> 00:05:40,290
+تلاتمية وخمسية من أربعة ألف ومئة جداش احنا عندنا
+
+71
+00:05:40,290 --> 00:05:43,830
+ال ال viewer space جداش اللي هو قولنا ال
+
+72
+00:05:43,830 --> 00:05:46,810
+functional residual volume مش هيك ال functional
+
+73
+00:05:46,810 --> 00:05:50,530
+residual volume جداش الفين و تلاتمية مصبوط مش
+
+74
+00:05:50,530 --> 00:05:54,990
+قولنا الفين الفميتين و الفمية الفمية functional
+
+75
+00:05:55,830 --> 00:05:58,870
+اللي هو exploratory reserve وعنا ال residual
+
+76
+00:05:58,870 --> 00:06:03,070
+volume نفسه الف و متين اذا على بعض الفين و تلت مية
+
+77
+00:06:03,070 --> 00:06:07,980
+اللي هو ال functional residual volumeيعني ال 350
+
+78
+00:06:07,980 --> 00:06:11,140
+من ال function residual هو بتطلع حوالي السبع يعني
+
+79
+00:06:11,140 --> 00:06:15,540
+كل مرة بدخل هوا السبع بيبدل السبع فاحنا نطلع جديش
+
+80
+00:06:15,540 --> 00:06:18,920
+احنا محتاجين ندخل السبع و نطلع السبع ندخل السبع و
+
+81
+00:06:18,920 --> 00:06:24,380
+نطلع السبع يعني ندخل السبع اللي
+
+82
+00:06:24,380 --> 00:06:28,320
+هو ال humidified air و نطلع سبع alveolar air عشان
+
+83
+00:06:28,320 --> 00:06:32,820
+نعدي للنسبة جديش بياخد هذا عشان ايه تتعدى بتاخد
+
+84
+00:06:32,820 --> 00:06:37,520
+فترة طويلة يعني مش يعني مش بناخد احنا ايهكمية
+
+85
+00:06:37,520 --> 00:06:44,700
+كاملة من اللي هي used air و ندله fresh air لأ نده
+
+86
+00:06:44,700 --> 00:06:47,940
+fresh air و بيصير mixed air و بناخد من ال mix جزء
+
+87
+00:06:47,940 --> 00:06:51,600
+منه نده fresh و بيصير mixed air و بناخد جزء منه
+
+88
+00:06:51,600 --> 00:06:59,920
+طيب هذا بيدين نوع من الثبات يعني ال alveolar air
+
+89
+00:06:59,920 --> 00:07:04,940
+إلى حد ما التغيير اللي بيصير فيه قليل يعنيلو أنا
+
+90
+00:07:04,940 --> 00:07:10,480
+توقفت عن التنفس فترة لأي سبب الفيولر air بتغيرش
+
+91
+00:07:10,480 --> 00:07:14,180
+لإن أنا ب .. ب .. بعدل .. بعدلوش كله مرة واحدة نفس
+
+92
+00:07:14,180 --> 00:07:20,260
+الواحد بعدل السبع و السبع هذا مش بعدل يعني أنا
+
+93
+00:07:20,260 --> 00:07:24,660
+بدخله هو سبع لكن مش معناه إنه باخد في المقابل سبع
+
+94
+00:07:24,660 --> 00:07:29,280
+completely إلى حد ما نسميه used air لأ باخد mixed
+
+95
+00:07:29,280 --> 00:07:35,160
+يعني التغيير بيصير بسيط وهذا مهممهم في إيش؟ اللي
+
+96
+00:07:35,160 --> 00:07:37,720
+لو صار interruption لل ventilation لأي لحظة من
+
+97
+00:07:37,720 --> 00:07:41,820
+اللحظات، الدم اللي داخل الرقتين بيضل ياخد ال
+
+98
+00:07:41,820 --> 00:07:47,290
+oxygen تبعه بدون فروقات كبيرةواضح؟ لإن احنا بندي
+
+99
+00:07:47,290 --> 00:07:50,490
+ازاي قلتلكم نظام ال compressor، نديله هوا و نصحب
+
+100
+00:07:50,490 --> 00:07:54,130
+منه هوا، لكن اللي بنصحب، بنصحبش من اللي أنا بديه،
+
+101
+00:07:54,130 --> 00:07:56,730
+بنصحب من اللي في ال tank الرئيسي، و إذا أنا عندي
+
+102
+00:07:56,730 --> 00:07:59,350
+tank رئيسي، بديله ب .. أغيرله ب .. بجدله
+
+103
+00:07:59,350 --> 00:08:02,850
+بالستمرار، لكن التجديد اللي بيصير تبعي، أنا هذا،
+
+104
+00:08:02,850 --> 00:08:06,330
+تجديد بطيء، لذلك ال container الرئيسي، بيضل ال هوا
+
+105
+00:08:06,330 --> 00:08:10,190
+اللي فيه ما تغيرشتمام؟ فهذا بيدين نوع من ال
+
+106
+00:08:10,190 --> 00:08:15,270
+stability في إيه؟ في إنه كيف أنا باعطي الغازات إلى
+
+107
+00:08:15,270 --> 00:08:18,830
+الدم و باخدها منها بنفس النسبة لو توقفت التنفس
+
+108
+00:08:18,830 --> 00:08:21,030
+شوية العمل اللي أنا بعملها ال inspiration and
+
+109
+00:08:21,030 --> 00:08:24,770
+expiration لو توقفت شوية ال air اللي موجود هنا
+
+110
+00:08:24,770 --> 00:08:28,510
+بيبقى يديني نفس ال إيه؟ النسب إلى حد ما اتنين هذا
+
+111
+00:08:28,510 --> 00:08:32,870
+بيساعدني في ال regulation of respiration يعني مش
+
+112
+00:08:32,870 --> 00:08:39,550
+أجل تغييربدي ال respiration يقللتي اعلى اه او او
+
+113
+00:08:39,550 --> 00:08:43,450
+يغطى مالاج ال control of respiration لحد ما stable
+
+114
+00:08:43,450 --> 00:08:47,130
+لان ال oxygen اللي بيضل هنا اتلى الدم ثابت فبصيرش
+
+115
+00:08:47,130 --> 00:08:51,990
+عندى تغيرات شديدة فى نسب ال ال ال ال oxygen فى
+
+116
+00:08:51,990 --> 00:08:55,410
+الدم بيعلش بسرعة بيقطعش بسرعة بيضل لحد ما ثابت
+
+117
+00:08:55,410 --> 00:08:59,240
+وهذا بيسهل عملية الايه؟regulation of respiration
+
+118
+00:08:59,240 --> 00:09:02,680
+لما تتكلم عنها انتوا هتعرفوا إيه معنى الكلام هذا
+
+119
+00:09:02,680 --> 00:09:07,300
+لإن في بعض الحالات بيصير عندنا خلل في الدماغ بيصير
+
+120
+00:09:07,300 --> 00:09:12,280
+عملية التنفس اللي بتعطي للدم كمية Oxygen كتيرة
+
+121
+00:09:12,280 --> 00:09:18,740
+تمام بتأدي إلى إنه نسبة ال ال respiratory center
+
+122
+00:09:18,740 --> 00:09:22,400
+انخفضتمام؟ وفي الفترة اللي بيغيب التنفس في kidney
+
+123
+00:09:22,400 --> 00:09:25,840
+respiration center بيعلق فحاجة نسميها kidney
+
+124
+00:09:25,840 --> 00:09:28,920
+stroke respiration يعني المريض بتنفس نفس شديد شديد
+
+125
+00:09:28,920 --> 00:09:31,600
+شديد و بعدين ببطل ببطل ببطل و بعدين بتنفس شديد
+
+126
+00:09:31,600 --> 00:09:34,140
+شديد شديد و بعدين ببطل ببطل و هذا مصريش أن احنا
+
+127
+00:09:34,140 --> 00:09:39,540
+هيك ليش؟ لأن احنا .. احنا مش مديين التغير اللي
+
+128
+00:09:39,540 --> 00:09:45,820
+بيصير في ال .. في الدم بين ال arterial و ال blood
+
+129
+00:09:45,820 --> 00:09:49,550
+ال arterial و ال venous bloodبيبينش كاملا الى ال
+
+130
+00:09:49,550 --> 00:09:52,610
+.. ال .. ال .. ال .. لو توقف التنفس او كده ال
+
+131
+00:09:52,610 --> 00:09:58,490
+Venus blood بيصلش ال arterial تغيير كبير بيظل ماخد
+
+132
+00:09:58,490 --> 00:10:01,770
+نفس النمط نفس النمط نفس النمط ليش؟ لإن في عندي أنا
+
+133
+00:10:01,770 --> 00:10:06,670
+container كبير إذا ال regulation of respiration
+
+134
+00:10:06,670 --> 00:10:12,810
+بيبقى أسهل ومور منتظم أكتر بالإضافة لإنه انا باعطي
+
+135
+00:10:12,810 --> 00:10:17,520
+ال ..oxygen إلى حد ما بثبات و باخد carbon dioxide
+
+136
+00:10:17,520 --> 00:10:22,460
+بثباته بنفس النسب طيب
+
+137
+00:10:22,460 --> 00:10:25,820
+oxygen concentration and pressure in the alveoli
+
+138
+00:10:25,820 --> 00:10:29,660
+اتكلمنا عنها انها عندنا two factors احنا الآن
+
+139
+00:10:29,660 --> 00:10:34,140
+factor بيضيف و factor بياخد هذا بيقدر انه ال 149
+
+140
+00:10:34,140 --> 00:10:40,120
+تبعتي ماتضلش في ال 49 بس ال 104 طيب لكن هنا في مثل
+
+141
+00:10:40,120 --> 00:10:47,510
+مضروب جميلبديني نموذجين نموذج و انا at rest بتنفس
+
+142
+00:10:47,510 --> 00:10:54,350
+طبيعي مش hyperventilation و انا at exercise طبعا ف
+
+143
+00:10:54,350 --> 00:10:57,370
+at rest احنا نسهلك تقريبا متون و خمسين مليتر
+
+144
+00:10:57,370 --> 00:11:04,430
+أكسجين في الدقيقة طبعا فبنطلع بنلاقي عشان نصل لهذه
+
+145
+00:11:04,430 --> 00:11:07,750
+المسألة بنلاقي عندنا نسبة التنفس عندنا ال rate of
+
+146
+00:11:07,750 --> 00:11:15,070
+respirationالاطنعاش اللي هي ال .. ال .. ال .. ال
+
+147
+00:11:15,070 --> 00:11:20,730
+viola respiration أو ال respiratory volume اللي هو
+
+148
+00:11:20,730 --> 00:11:24,110
+حوالي إيش قلنا إحنا بالنسبة إلينا؟
+
+149
+00:11:25,980 --> 00:11:28,480
+تلت .. تلت .. تلت مية و خمسين في اتناش اربع تلف و
+
+150
+00:11:28,480 --> 00:11:31,320
+متين شايف؟ لاجينا احنا عندنا ال alveolar
+
+151
+00:11:31,320 --> 00:11:34,520
+ventilation هذا ال alveolar ventilation على اربع
+
+152
+00:11:34,520 --> 00:11:41,440
+تلف و متين ههن بيوصلنا الى oxygen بارشا pressure
+
+153
+00:11:41,440 --> 00:11:46,080
+في الدم في ال .. ال alveolar pressure بيصل .. بيصل
+
+154
+00:11:46,080 --> 00:11:49,100
+الى اللي هو ال مية و اربع .. ال مية و اربع مليمتر
+
+155
+00:11:49,100 --> 00:11:53,080
+mercury تمام؟ اذا ال ventilation .. ventilation
+
+156
+00:11:53,780 --> 00:11:59,880
+بريد 12 بال350 يعني اربعة لتر و متين ملي لتر per
+
+157
+00:11:59,880 --> 00:12:04,760
+minute is enough to keep the alveolar air 104
+
+158
+00:12:04,760 --> 00:12:08,210
+millimeter mercury هدف الحالة اللي اناالأكسجين
+
+159
+00:12:08,210 --> 00:12:11,490
+بستهلك في الجسم أكسجين متين وخمسين ملي لتر per
+
+160
+00:12:11,490 --> 00:12:16,330
+minute تمام؟ بلاجأ أنا عندي إيه؟ ال .. لو .. لو
+
+161
+00:12:16,330 --> 00:12:20,730
+صار تنفس فقط ال viral ventilation أربعة لتر و متين
+
+162
+00:12:20,730 --> 00:12:24,750
+ملي لتر four point two liters enough أنه يوصل ل
+
+163
+00:12:24,750 --> 00:12:28,510
+المية وأربعة لكن أنا بستهلك أكسجين أكتر عندي
+
+164
+00:12:28,510 --> 00:12:34,030
+exercise بستهلك ألف ملي لتر per minuteتمام؟ بلاحظ
+
+165
+00:12:34,030 --> 00:12:39,370
+انا محتاج ان ال ventilation يزيد الى اربع او خمس
+
+166
+00:12:39,370 --> 00:12:45,070
+اضعاف اللى انا فيه علشان يعود يوصللى ال ايه ال
+
+167
+00:12:45,070 --> 00:12:48,210
+alveolar air concentration او partial pressure الى
+
+168
+00:12:48,210 --> 00:12:52,490
+الوضع ال ايه الطبيعى، اذا احنا مطلوب ان ال
+
+169
+00:12:52,490 --> 00:12:54,870
+alveolar الى ال compressor الرئيسى اللى بتعطى
+
+170
+00:12:54,870 --> 00:13:00,720
+الهوى للجسممطلوب منها تصل ل level معين ال level
+
+171
+00:13:00,720 --> 00:13:04,180
+معين هذا لو جال بزيد ال ventilation عشان احافظ
+
+172
+00:13:04,180 --> 00:13:08,880
+عليه طبعا لو بدأ يعلق الجسم يعود بريح نفسه من أول
+
+173
+00:13:08,880 --> 00:13:12,800
+و جديد فلاحظوا هنا بنصل حوالي تمانتاش او حاجة زي
+
+174
+00:13:12,800 --> 00:13:16,100
+كده سبتاشر .. بين السبتاشر و تمانتاشر عشان نصل
+
+175
+00:13:16,100 --> 00:13:20,300
+لنفس ال level تبع مين؟ تبع ال normal alveolar air
+
+176
+00:13:20,300 --> 00:13:22,520
+concentration
+
+177
+00:13:24,180 --> 00:13:27,760
+في الحالة هذه محتاج اي ventilation عالى عشان اوصل
+
+178
+00:13:27,760 --> 00:13:32,360
+لان استهلاك ال oxygen عندي كبير بس هنا مواضح من ال
+
+179
+00:13:32,360 --> 00:13:38,580
+care هنا انه انا لما بعمل عملية تبدو الغازات بعمل
+
+180
+00:13:38,580 --> 00:13:41,360
+تبدو الغازات بين oxygen اربعين millimeter mercury
+
+181
+00:13:41,360 --> 00:13:47,620
+و بين oxygen اكسجين
+
+182
+00:13:47,620 --> 00:13:50,940
+مية تسعة واربعين تمام؟ بين مية تسعة واربعين
+
+183
+00:13:50,940 --> 00:13:54,420
+فبيجيني في الوسط ايه؟ مية اربعطب انا لو عملت
+
+184
+00:13:54,420 --> 00:13:59,000
+hyperventilation اغسل بسرعة بسرعة بسرعة بسرعة ال
+
+185
+00:13:59,000 --> 00:14:01,860
+maximum اني اوصل ال alveolar concentration اللي
+
+186
+00:14:01,860 --> 00:14:07,120
+لاقياش 149 لأ يعني لو انا بدنا اعمل اي effort
+
+187
+00:14:07,120 --> 00:14:12,620
+تمام؟ الان ناخد نفس غويت غويت غويت غويت مش كده؟
+
+188
+00:14:12,620 --> 00:14:15,640
+وشديد يعني بدي اغسل ال alveolar air اللي عندى انا
+
+189
+00:14:15,640 --> 00:14:21,000
+مسألة إرادية بحتهابقدر اوصل ال concentration لإيش؟
+
+190
+00:14:21,000 --> 00:14:25,380
+لل humidified air تمام؟ بصر يحسن .. بصل لل 149 مش
+
+191
+00:14:25,380 --> 00:14:28,620
+كده؟ معناه عملية ال ventilation عندى لو زادت هنا
+
+192
+00:14:28,620 --> 00:14:32,200
+طلعوا ان هنا اربعة او اتنين ملي لتر اللي هم اربعة
+
+193
+00:14:32,200 --> 00:14:36,980
+لتر four point two liters per minute طيب لو زادت
+
+194
+00:14:36,980 --> 00:14:40,460
+ال ventilation اكتر صار عندى تنفس اكتر و اكتر عشان
+
+195
+00:14:40,460 --> 00:14:44,260
+يعمل more wash and more refreshing لل .. لل
+
+196
+00:14:44,260 --> 00:14:49,610
+alveolar air maximum هوصلها لمين؟ لل 149نزالى كمية
+
+197
+00:14:49,610 --> 00:14:52,150
+وخمسين انا دى ال upper limit المحطوطة هيك انا هاجل
+
+198
+00:14:52,150 --> 00:14:55,790
+منها بشوية اه لإنه في عندى بيضال مجهود بيضال
+
+199
+00:14:55,790 --> 00:14:58,550
+يجيبلي carbon dioxide و بيضال ياخد oxygen فهذا ال
+
+200
+00:14:58,550 --> 00:15:02,630
+maximum تبعى ان انا لو اقصى حد بدي اعمله و من غير
+
+201
+00:15:02,630 --> 00:15:06,590
+ما استهلك معناه بقجل على اصل تقريبا ال 100 ساعة و
+
+202
+00:15:06,590 --> 00:15:10,880
+40 مش هيك لكن فى الطبيعى انا مش محتاج هادىمش
+
+203
+00:15:10,880 --> 00:15:13,600
+محتاجش أني أزيد ال ventilation بهذا الشكل هذا،
+
+204
+00:15:13,600 --> 00:15:18,340
+يكفيني أن أربعة point two milliliter اللي هي حوالي
+
+205
+00:15:18,340 --> 00:15:21,340
+اتناشر per minute، اتناشر اسمها retro rate per
+
+206
+00:15:21,340 --> 00:15:24,560
+minute أنه تديني المية و أربعة المطلوبة لإنها
+
+207
+00:15:24,560 --> 00:15:27,040
+تديني الميتين و خمسين milliliter ال oxygen،
+
+208
+00:15:27,040 --> 00:15:32,170
+هنحسبها، هلاجي ال rate هذا، بدخلي بالظبطمن حوالي
+
+209
+00:15:32,170 --> 00:15:35,350
+مائة و تلاتين إلى مائة و خمسين مليليتر أكسجين مرة
+
+210
+00:15:35,350 --> 00:15:39,970
+و مرة اللي هو الجسم بيستخدمه فطبعا هو اللي في
+
+211
+00:15:39,970 --> 00:15:44,110
+عندنا نوع من ال equilibrium بين ال in pot و ال out
+
+212
+00:15:44,110 --> 00:15:47,870
+pot من الأكسجين فعند ال respiratory rate ثابت و ال
+
+213
+00:15:47,870 --> 00:15:51,830
+ventilation ال alveolar ventilation ثابت مش محتاج
+
+214
+00:15:51,830 --> 00:15:57,430
+أنه ايه يزيد لكن لو نقص ال level هذالو هنا عندها
+
+215
+00:15:57,430 --> 00:16:01,930
+الاربعة و اتنين من عشرة ال oxygen ال alveolar
+
+216
+00:16:01,930 --> 00:16:07,230
+oxygen هبط ليش لأن انا فجأة صرت أعمل exercise و
+
+217
+00:16:07,230 --> 00:16:11,610
+فقرت الف مش هيه فال oxygen اللي .. الدم اللي جاي
+
+218
+00:16:11,610 --> 00:16:16,030
+أخد oxygen أسرع و أكتر عشر مرات من الطبيعي فأخد
+
+219
+00:16:16,030 --> 00:16:20,390
+بسرعة فهبط ال alveolar air بسرعة مش هيك هذه بيقدر
+
+220
+00:16:20,390 --> 00:16:23,890
+إلى ان ال ventilation زيد عشان بتوصل لها لان بيزيد
+
+221
+00:16:23,890 --> 00:16:26,690
+ال ventilation اندي اللي هو respiratory rateإلى أن
+
+222
+00:16:26,690 --> 00:16:30,750
+يصل إيه؟ لإن عندي خمستاشر أو ستاشر، سبعتاشر،
+
+223
+00:16:30,750 --> 00:16:36,450
+تمانتاشر ليتر per .. per minute بيضموا أربعة أو
+
+224
+00:16:36,450 --> 00:16:38,690
+اتنين ليتر per minute ال alveolar ventilation
+
+225
+00:16:38,690 --> 00:16:45,210
+بيدوصل إيه؟ تمام؟
+
+226
+00:16:45,210 --> 00:16:50,130
+ال
+
+227
+00:16:50,130 --> 00:16:52,370
+carbon ده يساعد ال concentration أنا بدت أتكلم عنه
+
+228
+00:16:52,370 --> 00:16:56,570
+من شوية و قلت ال alveolar airفي carbon dioxide
+
+229
+00:16:56,570 --> 00:17:02,510
+اربعين ملي ميتر ميركوري و ال inspired air زيرو
+
+230
+00:17:02,510 --> 00:17:07,290
+تقريبا إلى حد ما و ال venous blood اللي هو جاي
+
+231
+00:17:07,290 --> 00:17:10,270
+يعمل exchange خمسة و اربعين مش هيك نوصل لاربعين
+
+232
+00:17:10,270 --> 00:17:15,370
+ملي ميتر ميركوري لو طلعنا و قولنا طيب احنا عندنا
+
+233
+00:17:15,370 --> 00:17:19,930
+في الطبيعي لو حسبناها هنلاقي متين ملي لتر of
+
+234
+00:17:19,930 --> 00:17:24,870
+carbon dioxide is executed متين ملي لتر of ايه
+
+235
+00:17:27,810 --> 00:17:33,630
+كيف ممكن هذا يتم؟ بيتم في الوضع الطبيعي تبعنا، انه
+
+236
+00:17:33,630 --> 00:17:35,890
+انا محتاج بس اللي هو ال respiratory rate التباعي
+
+237
+00:17:35,890 --> 00:17:38,750
+الطبيعي، اللي يكون الفيولر ventilation، four point
+
+238
+00:17:38,750 --> 00:17:44,620
+two liters per minute، يكفي لإنه يثبتلي الال .. ال
+
+239
+00:17:44,620 --> 00:17:48,580
+.. ال carbon dioxide pressure في ال alveolar air
+
+240
+00:17:48,580 --> 00:17:51,660
+الى ايه؟ الى الاربعين ميليمتر الاربعين ميليمتر
+
+241
+00:17:51,660 --> 00:17:55,060
+ميليمتر ميليمتر تمام؟ مش محتاج اكتر من هيك فإذا
+
+242
+00:17:55,060 --> 00:17:58,840
+كان انا عندي ال ventilation الطبيعي اربعة و اتنين
+
+243
+00:17:58,840 --> 00:18:02,880
+ال .. ال alveolar اقصد اربعة و اتنين من عشرة لتر
+
+244
+00:18:02,880 --> 00:18:07,140
+معناه بيوصلني هان لإيش؟ ل .. لخمسة و هذا ال Venus
+
+245
+00:18:07,140 --> 00:18:13,510
+هذا ال alveolar pressure الاربعين تمام؟هان أربعين،
+
+246
+00:18:13,510 --> 00:18:17,510
+هان من خمسة وعشرين لخمسين، هان الأربعين، كويس؟ هو
+
+247
+00:18:17,510 --> 00:18:22,310
+ال .. ال .. ال Venus blood خمسة واربعين مليمتر ما
+
+248
+00:18:22,310 --> 00:18:26,970
+يطلع، بس مع ال .. مع الخلط بين ال .. الهواء الجديد
+
+249
+00:18:26,970 --> 00:18:30,730
+والاوسيجين، بيطلع بس الاربعين مليمتر، تمام؟إذا في
+
+250
+00:18:30,730 --> 00:18:34,890
+الطبيعي هذه ال .. ال .. ال 200 ميلي متر carbon
+
+251
+00:18:34,890 --> 00:18:38,690
+dioxide permanent تحتاجش عشان أوصل ال alveolar air
+
+252
+00:18:38,690 --> 00:18:42,730
+ل 40 إلى أكتر من ايه؟ أربعة ليتر و اتنين من عشرة
+
+253
+00:18:42,730 --> 00:18:46,870
+permanent alveolar ventilation لو صار عندي
+
+254
+00:18:46,870 --> 00:18:53,930
+exercise أكتر يعني أنا بطلع 800 ملي لتر CO2 per
+
+255
+00:18:53,930 --> 00:18:57,790
+minuteمعناها انا في الحالة دي هيعلى التركيز في ال
+
+256
+00:18:57,790 --> 00:19:02,290
+alveoli معناها بدي more ventilation to wash ال
+
+257
+00:19:02,290 --> 00:19:05,650
+more carbon dioxide عشان يوصلني الى الاربعين من
+
+258
+00:19:05,650 --> 00:19:09,770
+جديد، بطل ألاقي نفس الكلام محتاج إلى ايه؟ إلى أربع
+
+259
+00:19:09,770 --> 00:19:14,510
+خمس أضعافست عشر او سبعتاشر liter of your
+
+260
+00:19:14,510 --> 00:19:19,130
+ventilation permanent عشان اوصل لمين لارجع ال
+
+261
+00:19:19,130 --> 00:19:22,450
+carbon dioxide لوضعه الطبيعي مش كده بس فيها
+
+262
+00:19:22,450 --> 00:19:27,730
+الملاحظة يعني مين لحظة الملاحظة هذه مين عنده
+
+263
+00:19:27,730 --> 00:19:30,450
+ملاحظة انا بين ال care تبع ال oxygen و ال carbon
+
+264
+00:19:30,450 --> 00:19:33,950
+dioxide مين
+
+265
+00:19:33,950 --> 00:19:39,430
+بيلاحظ الملاحظة في فرق في الحجم يا ديما عندي متين
+
+266
+00:19:39,430 --> 00:19:43,660
+و خمسين milliliter oxygenو 200 milliliter carbon
+
+267
+00:19:43,660 --> 00:19:49,920
+dioxide مين سرق ال 50؟ في ال 50 راحوا، أصبت؟ في
+
+268
+00:19:49,920 --> 00:19:55,080
+عندى 50 milliliter oxygen راحوا احنا عندنا قولنا
+
+269
+00:19:55,080 --> 00:19:58,660
+ال normal انه استخدم 250 milliliter oxygen اعطيها
+
+270
+00:19:58,660 --> 00:20:01,880
+للدم بالسمرار و ال normal اني اخد من الدم 200
+
+271
+00:20:01,880 --> 00:20:06,160
+milliliter oxygen permanent بالسمرار، و اين الفرق؟
+
+272
+00:20:08,160 --> 00:20:10,500
+لأ لأ ماتكلمش عن dead area ال dead area على التنين
+
+273
+00:20:10,500 --> 00:20:13,420
+ال dead area على ال oxygen و on carbon dioxide انا
+
+274
+00:20:13,420 --> 00:20:18,000
+مشكلة عندي انا احتاج الجسم كل دقيقة مائين و خمسين
+
+275
+00:20:18,000 --> 00:20:21,740
+milliliter و سلمني مائتين انا مفترض لما مثلا ان
+
+276
+00:20:21,740 --> 00:20:25,660
+انا بدي اديك شاق و اكون منضبط فيه اقولك هي مليان و
+
+277
+00:20:25,660 --> 00:20:28,740
+ادينا الفاضي مش هيك عشان اضمن ان انت بالظبط
+
+278
+00:20:28,740 --> 00:20:32,220
+استخدمتي اللي انا اديتكيها لكن بديكي مائين و خمسين
+
+279
+00:20:32,220 --> 00:20:34,420
+و مرضى بمائين و متين بديكي مائين و خمسين و مرضى
+
+280
+00:20:34,420 --> 00:20:39,330
+بمائين و متين طب وين فرق ال oxygen راح؟ اه؟إيه؟
+
+281
+00:20:39,330 --> 00:20:43,070
+طيب، خليها لآخر المحاضرة، تفكروا فيها؟ نفكر فيها
+
+282
+00:20:43,070 --> 00:20:50,170
+لآخر المحاضرة، وين ال oxygen راح؟
+
+283
+00:20:50,170 --> 00:20:57,790
+إذا عندنا فيها نتكلم على two factors
+
+284
+00:21:04,530 --> 00:21:08,550
+إذا نقول الـ concentrations and partial pressure
+
+285
+00:21:08,550 --> 00:21:13,410
+of oxygen and carbon dioxide in the alveoli are
+
+286
+00:21:13,410 --> 00:21:17,330
+determined by the rate of absorption and excretion
+
+287
+00:21:17,330 --> 00:21:22,330
+for carbon dioxide and oxygen of these two gases
+
+288
+00:21:22,330 --> 00:21:24,890
+and the amount of alveolar ventilation
+
+289
+00:21:35,500 --> 00:21:40,880
+ال ratio ال
+
+290
+00:21:40,880 --> 00:21:43,780
+concentration of these pressures بتحدد بها two
+
+291
+00:21:43,780 --> 00:21:48,480
+factors جدش انا باخد و جدش انا ايه باعطي بالنسبة
+
+292
+00:21:48,480 --> 00:21:54,080
+لحد معين تمام؟ لذا لو أخدنا أكتر لازم نعطي أكتر
+
+293
+00:21:54,080 --> 00:21:57,570
+لازم ال ventilation يزيد لو عملناexecution of
+
+294
+00:21:57,570 --> 00:22:00,130
+carbon dioxide أكتر لازم ال ventilation يزيد عشان
+
+295
+00:22:00,130 --> 00:22:03,850
+نرجع لل level تبعنا لو أخدنا oxygen أكتر و حبط ال
+
+296
+00:22:03,850 --> 00:22:06,670
+oxygen لازم ال ventilation يزيد عشان يعطينا و هذا
+
+297
+00:22:06,670 --> 00:22:09,450
+ألف بقى احنا فاهمين الكلام ده مش كده إذا ال
+
+298
+00:22:09,450 --> 00:22:13,510
+expired air الآن لو اتكلم على احنا بنطلع expired
+
+299
+00:22:13,510 --> 00:22:18,010
+air تمام احنا صار تحت تحت ال alveoli تبادل شوية
+
+300
+00:22:18,010 --> 00:22:21,870
+غازات الآن بنتكلم فوق طب إيش بيصير ال expired air
+
+301
+00:22:21,870 --> 00:22:27,450
+أول ما احنا ماذا يمثل expired airال expiry دي يمثل
+
+302
+00:22:27,450 --> 00:22:32,230
+تلت مناطق المنطقة الأولى اللي إيه؟ ال dead space و
+
+303
+00:22:32,230 --> 00:22:35,870
+المنطقة الأخيرة ال alveolar air و المنطقة الفي
+
+304
+00:22:35,870 --> 00:22:40,850
+الوسط ال mixed عشان كده إذا إذا انا بدي أخد أعمل
+
+305
+00:22:40,850 --> 00:22:46,090
+دراسة على ال alveolar air يعني ال blood إيش فيه
+
+306
+00:22:46,090 --> 00:22:50,210
+يعني ال exchanges اللي بتصير هناك إذا بدي أخد عينة
+
+307
+00:22:50,210 --> 00:22:54,270
+alveolar air باخدها من وين؟ من آخر جزء في ال
+
+308
+00:22:54,270 --> 00:22:58,690
+forced expirationتمام؟ إذا بعمل expiration شديد
+
+309
+00:22:58,690 --> 00:23:02,070
+آخر جزء منها بمسك و بقول هذه تمثل ال alveolar air
+
+310
+00:23:02,070 --> 00:23:06,010
+أكيد مش كده؟ لإن ال alveolar air احنا ال dead
+
+311
+00:23:06,010 --> 00:23:11,550
+space هنا بروح بسرعة بيجي ال mixed ال mixed بعد
+
+312
+00:23:11,550 --> 00:23:14,350
+فترة ال mixed خلاص بيسبق ال plateau كل اللي جاي في
+
+313
+00:23:14,350 --> 00:23:19,130
+الآخر عبارة عن alveolar air إذا أنا لو خدت الجزء
+
+314
+00:23:19,130 --> 00:23:23,650
+الأخر خالص مضمون إن أحده alveolar بحت مش إيش مش
+
+315
+00:23:23,650 --> 00:23:25,010
+mixed مش كده؟
+
+316
+00:23:28,300 --> 00:23:33,960
+لو طلعنا ال curve هذا على التركيز
+
+317
+00:23:33,960 --> 00:23:41,020
+و نخلي زي ما هو شايفينه هك طيب
+
+318
+00:23:41,020 --> 00:23:46,100
+هنلاحظ احنا .. احنا هيك هذا يعني مراجعة سريعة ال
+
+319
+00:23:46,100 --> 00:23:52,560
+oxygen في الهواء 159 حوالي 160 humidified 149
+
+320
+00:23:52,560 --> 00:23:59,500
+الفيولر 104 مش كدهفي ال expired air .. في ال
+
+321
+00:23:59,500 --> 00:24:04,140
+expired air هيكون ال expired خلط ما بين ال dead
+
+322
+00:24:04,140 --> 00:24:08,480
+space ال atmospheric .. ال atmospheric و ال .. و
+
+323
+00:24:08,480 --> 00:24:12,880
+ال humidified يعني الجميع .. كلهم humidified بس في
+
+324
+00:24:12,880 --> 00:24:16,420
+humidification كاملة في آخر ال ..البرونكولز مثلا
+
+325
+00:24:16,420 --> 00:24:19,660
+بيصير good humidification أولها بيكون لسه برشة ال
+
+326
+00:24:19,660 --> 00:24:23,640
+humidification لإن هو كل ما هو نازل هو بياخد more
+
+327
+00:24:23,640 --> 00:24:30,040
+water vapor فلذلك الجزء الأول اللي في ناحية الأنف
+
+328
+00:24:30,040 --> 00:24:32,680
+والأول التركية فيه humidification بس مش one
+
+329
+00:24:32,680 --> 00:24:36,560
+hundred percent تحت فعندي خلط يعني النسبة كل ما
+
+330
+00:24:36,560 --> 00:24:39,280
+نزلنا humidification أكتر ساعة كل ما البرشة برشة
+
+331
+00:24:39,280 --> 00:24:43,280
+الأكسجين بيجلب carbon dioxide بيجل لإنه بيدخل more
+
+332
+00:24:44,190 --> 00:24:47,710
+water vapor مش هيك اذا احنا في المحصلة ال expired
+
+333
+00:24:47,710 --> 00:24:51,890
+air ال dead space هذا و ال alveolar air و كل اللي
+
+334
+00:24:51,890 --> 00:24:55,690
+طلع اللي هو ال dead space و ال mixed و اللي هو ال
+
+335
+00:24:55,690 --> 00:24:58,390
+alveolar اللي في الآخر هينخلط في بعضه في الآخر كله
+
+336
+00:24:58,390 --> 00:25:01,390
+ما هينخلطه برا كله ما هينخلطه لإن هم لسه بيطلعوا
+
+337
+00:25:01,390 --> 00:25:04,670
+بيطلعوا مراحل stages هذا كذلك لكن انا ماطلعهم في
+
+338
+00:25:04,670 --> 00:25:09,190
+مكان واحد في الآخر هينخلطه من أول نجيت براهنلاقي
+
+339
+00:25:09,190 --> 00:25:12,750
+انه عندى خلطة جديدة تمثل مية وعشرين ملي ميتر
+
+340
+00:25:12,750 --> 00:25:17,170
+ميركوري برشا برشا للإكسجين لإنه خلطة المية واربعة
+
+341
+00:25:17,170 --> 00:25:24,670
+بالمية تسعة واربعين ومية وخمسين ومية وستين لإن في
+
+342
+00:25:24,670 --> 00:25:28,330
+منطقى جاكو لسه مية وستين اللى فى أول ألف اللى
+
+343
+00:25:28,330 --> 00:25:32,530
+دخلنا شوية عالصين مية وخمسة وخمسين انزلنا أكتر دخل
+
+344
+00:25:32,530 --> 00:25:40,300
+more vapor تمام المحصلة ان منطقى من المناطقلما
+
+345
+00:25:40,300 --> 00:25:43,940
+أخلطهم كلهم هيتلع لإن expired air التركيز تبع ال
+
+346
+00:25:43,940 --> 00:25:49,720
+oxygen فيه 120 هلاجي نفس النظرية في ال carbon
+
+347
+00:25:49,720 --> 00:25:54,800
+dioxide هنا مثلا ال atmospheric احنا قولنا zero
+
+348
+00:25:54,800 --> 00:25:59,980
+لحد هو point three مش مستاهل يعني تمام ال
+
+349
+00:25:59,980 --> 00:26:06,400
+humidified air برضه تقريبا point three لإنه تركيز
+
+350
+00:26:06,400 --> 00:26:11,110
+غاطىمبتفردش فيه يعني الفرق اللي بيعملوا ال water
+
+351
+00:26:11,110 --> 00:26:14,750
+vapor بيعملوا فيه قبل ستميت ملي متر mercury برشا
+
+352
+00:26:14,750 --> 00:26:17,290
+برشا بتعملوا فيه قبل مية و ستين بس في ال او ال
+
+353
+00:26:17,290 --> 00:26:21,870
+point three ايش بيعمل بيضلك صور عندما تتعدى تصل
+
+354
+00:26:21,870 --> 00:26:25,270
+ايه لل point three من اول و جديد لكن في ال
+
+355
+00:26:25,270 --> 00:26:28,610
+alveolar air الكربون ده يكسر اربعين ملي متر
+
+356
+00:26:28,610 --> 00:26:33,450
+mercury لذلك لما في ال في ال expired air هيكون
+
+357
+00:26:33,450 --> 00:26:37,670
+الخلط بين الأربعين والصفرمش زي ال Oxygen بين الأقل
+
+358
+00:26:37,670 --> 00:26:42,230
+مع أكتر عشان يعلق 120 من 104 فهنا لما يخلط بين 40
+
+359
+00:26:42,230 --> 00:26:45,290
+و 0.5 هنلاقي انه ال pressure في ال expired ايه ال
+
+360
+00:26:45,290 --> 00:26:50,230
+drop لاقاش ل 27 ملي متر Mercury وكذا بجيت الغازات
+
+361
+00:26:50,230 --> 00:26:54,810
+okay diffusion
+
+362
+00:26:54,810 --> 00:26:57,730
+of gas through the spiratory membrane الآن اذا
+
+363
+00:26:57,730 --> 00:27:03,830
+احنا بدنا نرجع ل ايه ل ال عملية
+
+364
+00:27:03,830 --> 00:27:09,080
+الال respiratory membrane اتكلمنا عنه قبل كده
+
+365
+00:27:09,080 --> 00:27:13,140
+اتكلمنا عنه اتكلمنا عنه لما جبتلكوا الصورة
+
+366
+00:27:13,140 --> 00:27:18,820
+الخارجية من عندى انا وقلتلكم ان ال .. ال .. ال ..
+
+367
+00:27:18,820 --> 00:27:21,820
+في حاجة اسمها ال respiratory membrane ال
+
+368
+00:27:21,820 --> 00:27:24,340
+respiratory membrane يعني المكان اللى بتنفيه تبادل
+
+369
+00:27:24,340 --> 00:27:28,180
+الغازات مش كده وقلنا عنهم ايه اش اربع مناطق
+
+370
+00:27:28,180 --> 00:27:34,200
+respiratory bronchiol الalveolar duck
+
+371
+00:27:36,940 --> 00:27:41,680
+و ساج و اذاك مش هيك مش حاكينا انا قبل كده و قولتوا
+
+372
+00:27:41,680 --> 00:27:45,060
+عدتولي يام انتوا انت ماخديني ال chess كنتوا اه طيب
+
+373
+00:27:45,060 --> 00:27:47,880
+ماشي اذا في عندي انا المناطق اللي بيصير في
+
+374
+00:27:47,880 --> 00:27:51,920
+التابعات والغازات سميناها in general respiratory
+
+375
+00:27:51,920 --> 00:27:55,660
+membrane اذا what is respiratory membrane it is
+
+376
+00:27:55,660 --> 00:28:01,180
+the area where gas exchanges occursإذا ال air اللي
+
+377
+00:28:01,180 --> 00:28:03,660
+بيصير في ال gas exchanges هذا يعتبر عيش ال
+
+378
+00:28:03,660 --> 00:28:06,240
+respiratory air إذا لا تعني ال respiratory
+
+379
+00:28:06,240 --> 00:28:10,260
+membrane ال alveolar membrane فقط الأربع مناطق
+
+380
+00:28:10,260 --> 00:28:18,240
+كلها تمام؟ طيب إذا إذا ال respiratory membrane هو
+
+381
+00:28:18,240 --> 00:28:22,680
+مش في منطقة واحدة هو في أربع مناطق طب هذا ال
+
+382
+00:28:22,680 --> 00:28:28,260
+respiratory membrane ناخد بعض مواصفاته ناخد نعرف
+
+383
+00:28:28,260 --> 00:28:33,930
+حجموعمق ال ventilation اللي بيصير انتوا عارفين انه
+
+384
+00:28:33,930 --> 00:28:39,870
+عندنا في ال lung تلتمية مليون alveolus تلتمية
+
+385
+00:28:39,870 --> 00:28:45,490
+مليون كام خلية جولنا في الجسم؟ خمسة
+
+386
+00:28:45,490 --> 00:28:52,950
+وسبعين تريليون ألف مليار خمسة وسبعين ألف مليار
+
+387
+00:28:52,950 --> 00:29:00,460
+تريليون وعندها هتشوفوا أشياء عجيبة بالفعل يعنيلا
+
+388
+00:29:00,460 --> 00:29:05,060
+تستطيعوا اللي هنقوله سبحان الله لا تستطيعوا كيف
+
+389
+00:29:05,060 --> 00:29:10,200
+يعني؟ عندي تلاتمية مليون ال violas هدول بيعملولي
+
+390
+00:29:10,200 --> 00:29:16,640
+surface area رهيبة تمثل سبعين متر مربع السبعين متر
+
+391
+00:29:16,640 --> 00:29:21,860
+مربع يعني يمكن جد الصلاة هادى السبعين متر مربع
+
+392
+00:29:21,860 --> 00:29:27,340
+هدول بدخلهم دم في اللحظة الواحدة جديش بيكون فيهم
+
+393
+00:29:27,340 --> 00:29:32,180
+دمبيكون فيهم سبعين ملي ليتر يعني تقريبا من ستين
+
+394
+00:29:32,180 --> 00:29:36,820
+الى مية وعشرين ملي ليتر متوسط احنا قولنا سبعين لما
+
+395
+00:29:36,820 --> 00:29:40,260
+جسمنا الاربع مية وخمسين ملي ليتر blood وقلنا لهم
+
+396
+00:29:40,260 --> 00:29:43,620
+سبعين ملي ليتر في ال capillaries و الباقية بتوزع
+
+397
+00:29:43,620 --> 00:29:47,440
+بين ال venous side و ال arterial side فاكرين؟
+
+398
+00:29:47,440 --> 00:29:53,480
+مالكوا انتوا بتجروشوا ولا ايه؟ طيب هنا
+
+399
+00:29:53,480 --> 00:29:58,860
+عندي سبعين متر مربعاتصوروا يعني بيطلع نصيب المتر
+
+400
+00:29:58,860 --> 00:30:05,040
+المربع واحد milliliter دم ال milliliter يعني
+
+401
+00:30:05,040 --> 00:30:09,900
+الستناشر نقطة، مش هيك؟ اتصوروا لو كنتوا بيفرضوا ال
+
+402
+00:30:09,900 --> 00:30:14,780
+milliliter على ال .. على المتر، جداش بيطلع نصيب
+
+403
+00:30:14,780 --> 00:30:22,810
+للإيه؟ للجزئية من ال .. من المتر هي ده RBCsتمام؟
+
+404
+00:30:22,810 --> 00:30:28,590
+عدد قليل جدا لذلك عملية .. عملية .. يعني الاحتكاك
+
+405
+00:30:28,590 --> 00:30:34,390
+ما بين الدم والاكسجين تمام؟ ما بين .. بيكون احتكاك
+
+406
+00:30:34,390 --> 00:30:40,930
+رهيب احنا بندي لكل سبعين ملي لتر دم ينفرد surface
+
+407
+00:30:40,930 --> 00:30:46,750
+area يصير فيها تبادل غازات لكل
+
+408
+00:30:46,750 --> 00:30:51,800
+سبعين ملي لتر متر لكل ملي لتر مترلكل مليليتر
+
+409
+00:30:51,800 --> 00:30:56,480
+ندّيله متر متر مربع تمام فهذا المتر المربع يساطين
+
+410
+00:30:56,480 --> 00:31:00,540
+دول كان مضخم من الغازات في اللحظة اللي بمر فيها
+
+411
+00:31:00,540 --> 00:31:04,440
+لدرجة انه انا حكيتكوا قبل كده و الدم داخل في ال
+
+412
+00:31:04,440 --> 00:31:09,680
+capillaries بتشبع ال hemoglobin فيه و ال plasma و
+
+413
+00:31:09,680 --> 00:31:13,440
+ال concentration برشا برشا بطلع ل 104 بحتاجش إلى
+
+414
+00:31:13,440 --> 00:31:19,780
+انه يمر في كل ال .. في أول طولة الطريقأول طولة
+
+415
+00:31:19,780 --> 00:31:24,440
+الفيولوز بيكون تشبع الدم والطولتين المتركين ايه؟
+
+416
+00:31:24,440 --> 00:31:29,040
+Reserve احتياطي لو احتجنا hyperventilation لو
+
+417
+00:31:29,040 --> 00:31:32,420
+احتجنا نستخدم أكثر أكسجين بيخبط الأكسجين في الدم
+
+418
+00:31:32,420 --> 00:31:35,960
+أكتر بدي انا انا انا انا انا انا انا انا انا انا
+
+419
+00:31:35,960 --> 00:31:36,040
+انا انا انا انا انا انا انا انا انا انا انا انا
+
+420
+00:31:36,040 --> 00:31:36,160
+انا انا انا انا انا انا انا انا انا انا انا انا
+
+421
+00:31:36,160 --> 00:31:37,060
+انا انا انا انا انا انا انا انا انا انا انا انا
+
+422
+00:31:37,060 --> 00:31:38,020
+انا انا انا انا انا انا انا انا انا انا انا انا
+
+423
+00:31:38,020 --> 00:31:48,160
+انا انا انا انا انا انا انا انا انا انا انا انا
+
+424
+00:31:48,160 --> 00:31:53,860
+انابيزيد عشر مرات يعني ال .. ال .. ال .. ال .. ال
+
+425
+00:31:53,860 --> 00:31:58,340
+.. ال air side بيزود قدر الكبس تبعته انه يعطي
+
+426
+00:31:58,340 --> 00:32:02,540
+oxygen و ياخد carbon dioxide عشر مرات و الدم بيجي
+
+427
+00:32:02,540 --> 00:32:07,740
+بسبب ال exercise اللي عندي ممكن يزود الدم اللي جي
+
+428
+00:32:07,740 --> 00:32:12,140
+على اللنز عشر مرات تمام؟ التنين يستطيعوا ..
+
+429
+00:32:12,140 --> 00:32:16,340
+بيشتغلوا وكانهم .. وكانهم على trustلأن هذا زاد
+
+430
+00:32:16,340 --> 00:32:20,720
+قدرته وهذا زاد قدرته تمام؟ فلذلك at rest اتنين
+
+431
+00:32:20,720 --> 00:32:23,820
+شغالين مرتاحين لو زاد اتنين بيزيدوا بنفس النسبة
+
+432
+00:32:23,820 --> 00:32:28,300
+بحيث مايصيرش عندنا ايه؟ deficit لما اقول ال
+
+433
+00:32:28,300 --> 00:32:31,360
+maximum تبع ال ventilation هل جد و ال maximum تبع
+
+434
+00:32:31,360 --> 00:32:34,060
+ال blood اكتر منه معناه يصير عند blood يخش
+
+435
+00:32:34,060 --> 00:32:37,280
+وماياخدش ايش؟ ماياخدش اكسجين ومايتركش كربون ده
+
+436
+00:32:37,280 --> 00:32:42,120
+كافي لكن متساوي يعني ال alveolar
+
+437
+00:32:44,920 --> 00:32:48,180
+الـ alveolus الديامتر تبعها، فاكرين احنا قولنا ال
+
+438
+00:32:48,180 --> 00:32:52,500
+.. ال .. ال .. ال radius تبعها قولنا ميت مايكرون
+
+439
+00:32:52,500 --> 00:32:56,880
+لمين للأضلت و خمسين مايكرون لمين لما حسبنا ال
+
+440
+00:32:56,880 --> 00:33:00,960
+respiratory distress syndrome of the newborn،
+
+441
+00:33:00,960 --> 00:33:05,980
+تمام؟ يعني بمعنى أنه الديامتر ميتين مايكرونالذن ال
+
+442
+00:33:05,980 --> 00:33:08,680
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+443
+00:33:08,680 --> 00:33:10,620
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+444
+00:33:10,620 --> 00:33:16,100
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+445
+00:33:16,100 --> 00:33:20,180
+ال ال ال ال ال
+
+446
+00:33:20,180 --> 00:33:20,480
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+447
+00:33:20,480 --> 00:33:20,480
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+448
+00:33:20,480 --> 00:33:21,120
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+449
+00:33:21,120 --> 00:33:21,120
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+450
+00:33:21,120 --> 00:33:21,120
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+451
+00:33:21,120 --> 00:33:21,120
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+452
+00:33:21,120 --> 00:33:21,180
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+453
+00:33:21,180 --> 00:33:21,180
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+454
+00:33:21,180 --> 00:33:21,200
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+455
+00:33:21,200 --> 00:33:25,790
+ال ال ال ال ال ال ال ال ال ال ال ال ال الbetween
+
+456
+00:33:25,790 --> 00:33:29,810
+the alveoli is an almost solid network of ..
+
+457
+00:33:29,810 --> 00:33:34,130
+almost solid network يعني مش انفرج من بعض زي ما
+
+458
+00:33:34,130 --> 00:33:39,690
+قلتلكم كانها ايه؟ sheet بتعمل scanning كده ازاي
+
+459
+00:33:39,690 --> 00:33:47,130
+تسميناها sheet of flowing blood طبعا هي مش بس
+
+460
+00:33:47,130 --> 00:33:51,630
+كبيرة كده جنب بعض كمان interconnecting كمان ..
+
+461
+00:33:51,630 --> 00:33:54,640
+ازاي الرسم اللي جاية هاديتوضح الـ capillary
+
+462
+00:33:54,640 --> 00:33:57,920
+network اللي حوالي ال إيه لقلبك، مش بس capillary
+
+463
+00:33:57,920 --> 00:34:02,580
+ماشي هيك، لأ متصلة، syncytia مشديد هيك متواصلة في
+
+464
+00:34:02,580 --> 00:34:07,800
+بعض عن بعض، تمام؟ شبكة متجاملة، بتخش في كل
+
+465
+00:34:07,800 --> 00:34:11,540
+اتجاهات، في كل مكان، مش سابق فرحان، كفاءة عالية،
+
+466
+00:34:11,540 --> 00:34:15,000
+بظبط؟ تصوروا لما واحد يقول ها دي، بالصدفة إيش هت
+
+467
+00:34:16,030 --> 00:34:20,770
+بال .. بال .. بالتأكيد هو رم عقله على جنب ورفض إلا
+
+468
+00:34:20,770 --> 00:34:24,270
+أن يتبع أهواءه، مش هيك؟ لذلك رب العالم دايما بيقول
+
+469
+00:34:24,270 --> 00:34:28,270
+إيه؟ وما ظلمهم ولكن نفسهم كانوا يظلمون لإنه مش
+
+470
+00:34:28,270 --> 00:34:30,750
+معجول بالعاجل في الآخر تطلع في العاجل كلها اللي
+
+471
+00:34:30,750 --> 00:34:32,790
+بتشوفها في الدنيا كلها وفي نهاية تقولها دي إيه
+
+472
+00:34:32,790 --> 00:34:36,210
+كلها إيه؟ إنما نموت ونحيا وما يوليكوا نلدها،
+
+473
+00:34:36,210 --> 00:34:37,510
+معجولة؟ مش ممكن
+
+474
+00:34:42,850 --> 00:34:49,330
+بالطبع بسبب كبيرتها الكبيرليري بليكساس الهواء من
+
+475
+00:34:49,330 --> 00:34:54,450
+الدم في محطة البرمونة كان تسمى كشيط دم يتفرق بشكل
+
+476
+00:34:54,450 --> 00:34:58,830
+كبير بشكل كبير بشكل كبير بشكل كبير بشكل كبير بشكل
+
+477
+00:34:58,830 --> 00:34:59,670
+كبير بشكل كبير بشكل كبير بشكل كبير بشكل كبير بشكل
+
+478
+00:34:59,670 --> 00:34:59,670
+كبير بشكل كبير بشكل كبير بشكل كبير بشكل كبير بشكل
+
+479
+00:34:59,670 --> 00:34:59,770
+كبير بشكل كبير بشكل كبير بشكل كبير بشكل كبير بشكل
+
+480
+00:34:59,770 --> 00:35:05,350
+كبير بشكل كبير بشكل كبير بشكل كبير بشكل كبير بشكل
+
+481
+00:35:05,350 --> 00:35:09,630
+كبير بشكل كبير
+
+482
+00:35:09,630 --> 00:35:14,500
+بشكل كبيرلأن ال alveolar membrane جزء من ال ايه؟
+
+483
+00:35:14,500 --> 00:35:16,580
+من ال respiratory membrane ال respiratory membrane
+
+484
+00:35:16,580 --> 00:35:21,720
+يعني ال respiratory ventilation او respiration هو
+
+485
+00:35:21,720 --> 00:35:24,140
+ما بيصير مش بيقولوا احنا ايه ال respiratory
+
+486
+00:35:24,140 --> 00:35:27,620
+membrane اللي المنطقة بيصير فيها ايه؟ respiration
+
+487
+00:35:27,620 --> 00:35:31,560
+بيصير في ده بره ازاى طب هاي الابن ايش بتكون؟ تمام
+
+488
+00:35:31,560 --> 00:35:34,640
+احنا خلّيني اتكلم عن ال alveoli هلاحظ بين ال
+
+489
+00:35:34,640 --> 00:35:37,680
+alveoli موجود بين ال alveoli فيه capillaries
+
+490
+00:35:38,750 --> 00:35:42,170
+الكابيلاريز هي بين ال alveoli موجودة لكن بين كل
+
+491
+00:35:42,170 --> 00:35:45,630
+مجموعة الكابيلاريز فيها مصدر رئيسي في عنده موجود
+
+492
+00:35:45,630 --> 00:35:51,410
+ايه ارتيريال وفنيال عشان يعطيه وياخد و ال emphatic
+
+493
+00:35:51,410 --> 00:35:57,250
+ويقولون احنا ال emphatic كتير مهمة طيب لو اتكلم عن
+
+494
+00:35:57,250 --> 00:36:05,110
+ال composition هنا ال composition الأحمر كابيلاري
+
+495
+00:36:05,110 --> 00:36:09,980
+الأزرقالفيولاس أو لأ مانقدرش نقوله لإن ال بسم
+
+496
+00:36:09,980 --> 00:36:13,340
+مدينه نفس اللون هنا هذه المنطقة اللي هو اللي إيه
+
+497
+00:36:13,340 --> 00:36:16,280
+ال interstitial fluid واضح إنها interstitial fluid
+
+498
+00:36:16,280 --> 00:36:19,280
+بين التلاند هذا ال capillary side و هذا ال
+
+499
+00:36:19,280 --> 00:36:23,480
+alveolar side واضح؟ ال alveolar هتتكون من إيه؟ من
+
+500
+00:36:23,480 --> 00:36:29,620
+اللي هو ال .. ال .. ال epithelium تبعنا اللي هو
+
+501
+00:36:29,620 --> 00:36:32,540
+هذا ال epithelium أه لكن ال epithelium lined by
+
+502
+00:36:32,540 --> 00:36:36,380
+film of water مش هيك؟ إذا كنت عندك film of waterو
+
+503
+00:36:36,380 --> 00:36:40,260
+بعدين بيجي ال epithelial .. alveolar epithelium و
+
+504
+00:36:40,260 --> 00:36:43,760
+بعدين بيجي basement membrane تمام؟ و ال capillary
+
+505
+00:36:43,760 --> 00:36:48,260
+بيجي نفس الكلام عندي هان اللي هو ال blood هان ال
+
+506
+00:36:48,260 --> 00:36:54,380
+plasma هان هيجي لل .. ال endothelial wall مش كده،
+
+507
+00:36:54,380 --> 00:36:59,060
+endothelial cells و basement membrane و بين ال two
+
+508
+00:36:59,060 --> 00:37:01,560
+basement membranes هان connective tissue ال
+
+509
+00:37:01,560 --> 00:37:03,620
+unterstial space
+
+510
+00:37:07,790 --> 00:37:15,190
+إذا هذه مكونات ال إيه؟ ال .. طيب هال space هذا
+
+511
+00:37:15,190 --> 00:37:20,790
+اللي بيصير عليه التبادل الغازات طبعا؟ جديش سماكته؟
+
+512
+00:37:20,790 --> 00:37:25,090
+point two micron في بعض المناطق very thin point
+
+513
+00:37:25,090 --> 00:37:28,490
+two micron في بعض المناطق اللي فيها cells اللي
+
+514
+00:37:28,490 --> 00:37:34,930
+فيها nuclei أكتر شوية نقول متوسط point six micron
+
+515
+00:37:34,930 --> 00:37:39,290
+point six micron اللي هو إيه؟ال .. يعني الغاز ال
+
+516
+00:37:39,290 --> 00:37:42,730
+.. ال .. ال oxygen و carbon dioxide عشان ينتقل من
+
+517
+00:37:42,730 --> 00:37:47,610
+ال alveolar cell لل .. لل capillary اه point six
+
+518
+00:37:47,610 --> 00:37:51,250
+micron point two micron very fragile ازاي كنا
+
+519
+00:37:51,250 --> 00:37:54,670
+بتكلمنا المرة الماضية عن الضغوط و كده اي pressure
+
+520
+00:37:54,670 --> 00:37:58,610
+غير عادي بيخرب الدنيا في ال lung لإن هي مصممة
+
+521
+00:37:58,610 --> 00:38:01,750
+بطريقة ايه very delicate مش هيك
+
+522
+00:38:14,080 --> 00:38:18,580
+هنا النقطة هاد المهمة هاد لما نقول احنا عندنا
+
+523
+00:38:18,580 --> 00:38:23,880
+الكلام اللي اتكلمناه عن الجمال تبع الجدش في عنده
+
+524
+00:38:23,880 --> 00:38:29,420
+surface area وجدش انه ال blood ملتصق بال ال
+
+525
+00:38:29,420 --> 00:38:35,420
+alveolar air تمام؟ اتصوروا ان ال RBC's اللي ماشي
+
+526
+00:38:35,420 --> 00:38:40,540
+في ال capillaryمحشورة و ال wall سبعتها تبقى خبطة
+
+527
+00:38:40,540 --> 00:38:44,300
+في ال capillary wall اللى هى مباشرة ملتصقة بال
+
+528
+00:38:44,300 --> 00:38:46,960
+algalal wall يعني انتقال ال oxygen و ال carbon
+
+529
+00:38:46,960 --> 00:38:50,600
+dioxide اللى بيحصل أساسا محمول على ال hemoglobin
+
+530
+00:38:50,600 --> 00:38:55,510
+أساسي الحمل على ال hemoglobinفالمابين الهيموجلوبين
+
+531
+00:38:55,510 --> 00:38:58,450
+ومابين ال alveolar air مافيش الا point two
+
+532
+00:38:58,450 --> 00:39:03,330
+micrometer لإن ال ال ال ال capillary ملتصقة بالول
+
+533
+00:39:03,330 --> 00:39:06,670
+يعني مش محتاج الاشي يخش بلازمة و بعدين من البلازمة
+
+534
+00:39:06,670 --> 00:39:12,310
+يطلع لل ايه لل RBCs تمام التصاق كامل ال .. يعني
+
+535
+00:39:12,310 --> 00:39:16,870
+لذا القطر تبع ال capillary هان خمسة micrometer في
+
+536
+00:39:16,870 --> 00:39:20,550
+حين ان ال diameter تبع ال RBCs سبعة point eight
+
+537
+00:39:20,550 --> 00:39:26,480
+microns مش كدهفهذا معناها ان ال RPC زيادة و بجادرة
+
+538
+00:39:26,480 --> 00:39:31,840
+لذلك المرونة
+
+539
+00:39:31,840 --> 00:39:37,880
+تبعتالـ RBCs مهمة لما تنحشر في الكبانيس لو مافيش
+
+540
+00:39:37,880 --> 00:39:41,900
+فيها المرونة الكافية وهذا بيصير اه بعض الأمراض و
+
+541
+00:39:41,900 --> 00:39:46,040
+بعض كده بتسكر بتجه بتقدرش تكمل لكن في موجود
+
+542
+00:39:46,040 --> 00:39:49,800
+المرونة تبعتها plasticity بيسميها ال plasticity
+
+543
+00:39:49,800 --> 00:39:56,690
+القدرة على الانبعاج هي elasticity تتمددلكن إنها
+
+544
+00:39:56,690 --> 00:40:01,310
+تغير شكلها تنبعش نسميها plasticity فعندها القدرة
+
+545
+00:40:01,310 --> 00:40:04,930
+علي إنها ال RBCs يصير عندها تغيير في الشكل بحيث
+
+546
+00:40:04,930 --> 00:40:07,950
+تحشر نفسها في المكان تديج من الأكل لحد ما تطلع بس
+
+547
+00:40:07,950 --> 00:40:11,630
+هذه الحشرة مهمة في إيش؟ في تبدو الغزار إن كان على
+
+548
+00:40:11,630 --> 00:40:14,970
+مستوى الرئاتين أو كان على مستوى ال tissues عشان
+
+549
+00:40:14,970 --> 00:40:21,310
+تسلم صح و تسلم و تسلم صحزي ذلك لو تصورنا إنه برضه
+
+550
+00:40:21,310 --> 00:40:25,730
+هالصدفة اللي خلجت الإنسان خلجت RBCs أكبر شوية من
+
+551
+00:40:25,730 --> 00:40:30,910
+هيك سنة مثلا لأ هتاخد تكسجين و لأ هتدوسجين ساموتوا
+
+552
+00:40:30,910 --> 00:40:38,410
+في مهدي مش كده؟ factors that affect the rate of
+
+553
+00:40:38,410 --> 00:40:41,850
+gas diffusion حلو إذا إحنا دلوقتي وصلنا لمرحلة
+
+554
+00:40:41,850 --> 00:40:45,080
+وقفنا على ال membraneعلى ال .. عشان بيسموها
+
+555
+00:40:45,080 --> 00:40:48,320
+الأعراف الآن احنا ايه؟ واقفين بين ال .. الهواء
+
+556
+00:40:48,320 --> 00:40:54,040
+وبين الدم مش هيك؟ هنا الآن عملية المرور بتتمعن هنا
+
+557
+00:40:54,040 --> 00:40:57,560
+على ال .. على ال membrane ايش الشروط اللي بتتم ..
+
+558
+00:40:57,560 --> 00:41:00,800
+بتساعد او بتتحكم او بتأثر في عملية ال gas
+
+559
+00:41:00,800 --> 00:41:03,920
+diffusion؟ بالقطع ان ال membrane هذا لو .. لو تخل
+
+560
+00:41:03,920 --> 00:41:09,120
+شوية هتصير مسافر اكتر ومعويقات اكتر و resistance
+
+561
+00:41:09,120 --> 00:41:12,020
+اكتر مش كده؟ he's in the thickness of the membrane
+
+562
+00:41:13,870 --> 00:41:17,050
+وبالتأكيد ان ال bar pressure اللي هان و ال bar
+
+563
+00:41:17,050 --> 00:41:20,190
+pressure اللي هان بيديني الفرج اللي بيخلي الاندفاع
+
+564
+00:41:20,190 --> 00:41:24,290
+كل ما في فرج في ال bar pressure أعلى كل ما كان ايه
+
+565
+00:41:24,290 --> 00:41:33,390
+بيصير الانتقال أسرع مش كده وبالتأكيد ان ال bar
+
+566
+00:41:33,390 --> 00:41:39,170
+pressure و النوع الغاز اللي بتكلم عنه النوع الغاز
+
+567
+00:41:39,170 --> 00:41:44,240
+اللي بتكلم عنه الانتقال هنا هل ال oxygenانتقاله
+
+568
+00:41:44,240 --> 00:41:47,340
+بيصير بنفس سرعة ال carbon dioxide لما ال
+
+569
+00:41:47,340 --> 00:41:51,000
+solubility ال diffusion ال coefficient اللي كلمنا
+
+570
+00:41:51,000 --> 00:41:57,220
+عنه لل oxygen عشرين ضعف من ال oxygen مش كده فال
+
+571
+00:41:57,220 --> 00:42:01,840
+carbon dioxide أسرع في ال ايه؟ في الانتقال من ال
+
+572
+00:42:01,840 --> 00:42:06,870
+oxygen عشرين ضعفمش كده؟ إذا نوع المادة اللي بتكلم
+
+573
+00:42:06,870 --> 00:42:10,810
+عنها اللي بيحددها ال molecular weight تبعها و ال
+
+574
+00:42:10,810 --> 00:42:13,190
+solubility تبعتها اللي سمينا diffusion coefficient
+
+575
+00:42:13,190 --> 00:42:18,910
+هدول تنعملين طلعولي حاجة اسمها ايه؟ diffusion
+
+576
+00:42:18,910 --> 00:42:23,470
+coefficient solubility على جزر inverse root of the
+
+577
+00:42:23,470 --> 00:42:27,470
+molecular weight مش هيك؟ الداني كل ما ال molecular
+
+578
+00:42:27,470 --> 00:42:31,670
+weight زاد كل ما ال diffusion جالطيب إذا في عندي
+
+579
+00:42:31,670 --> 00:42:35,070
+factors هيك ندرسها مع بعض هيقلنا أربعة factors ال
+
+580
+00:42:35,070 --> 00:42:38,510
+thickness of the membrane ال surface area للعملية
+
+581
+00:42:38,510 --> 00:42:42,570
+هذه ال surface area في الطبيعي مافيش مشكلة لكن أه
+
+582
+00:42:42,570 --> 00:42:46,670
+في أحيان نخش في bronchial أزمة و نخش في emphysema
+
+583
+00:42:46,670 --> 00:42:53,010
+ال surface area راحت تمام ال lung امتلأت مليون
+
+584
+00:42:53,010 --> 00:42:59,380
+alveoli اتحولت ل lung ofمثلا خمسمائة ألف مش
+
+585
+00:42:59,380 --> 00:43:04,620
+alveolus بولص spaces كبيرة هيك ال surface area
+
+586
+00:43:04,620 --> 00:43:07,300
+اختفى بدل ما كان surface area surface area surface
+
+587
+00:43:07,300 --> 00:43:12,550
+area مش تنفرض هيك و راح اتحول الى vacuum كبيرةفي
+
+588
+00:43:12,550 --> 00:43:15,130
+حين ان ال vacuum الكبيرة دي كان لها surface area
+
+589
+00:43:15,130 --> 00:43:18,550
+ضخم لما كانت عبارة عن alveoli لكن لما اتكسرت ال
+
+590
+00:43:18,550 --> 00:43:21,990
+alveoli ال walls بينها وعملت space واحد في ال
+
+591
+00:43:21,990 --> 00:43:25,950
+emphysema جال ال surface area لذلك هدوء تابعون ال
+
+592
+00:43:25,950 --> 00:43:32,550
+emphysema تمام عندهم الهواء بدخل صح والدم بدخل صح
+
+593
+00:43:32,550 --> 00:43:36,730
+لكن ال surface area اللي بتيصل عنه لانتقال الغازات
+
+594
+00:43:36,730 --> 00:43:42,970
+جال تمامبتنفس عكس ال .. ال .. ال .. بتاع ال .. ال
+
+595
+00:43:42,970 --> 00:43:43,170
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+596
+00:43:43,170 --> 00:43:43,430
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+597
+00:43:43,430 --> 00:43:43,510
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+598
+00:43:43,510 --> 00:43:44,670
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+599
+00:43:44,670 --> 00:43:45,290
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+600
+00:43:45,290 --> 00:43:45,890
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+601
+00:43:45,890 --> 00:43:45,890
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+602
+00:43:45,890 --> 00:43:45,890
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+603
+00:43:45,890 --> 00:43:48,990
+.. ال .. ال ..
+
+604
+00:43:48,990 --> 00:43:52,790
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+605
+00:43:52,790 --> 00:43:52,790
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+606
+00:43:52,790 --> 00:43:52,790
+ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال
+
+607
+00:43:52,790 --> 00:44:00,150
+.. ال .. ال .. ال .. ال .. ال .. ال ..
+
+608
+00:44:00,150 --> 00:44:04,190
+ال
+
+609
+00:44:06,710 --> 00:44:10,290
+فعند في surgical dead space كبر هتكلم عنها في آخر
+
+610
+00:44:10,290 --> 00:44:14,970
+المحاضرة إذا ضال وجود إلها إذا عند ال surface area
+
+611
+00:44:14,970 --> 00:44:19,870
+ال diffusion coefficient اللي بمثل عاملين هذا و ال
+
+612
+00:44:19,870 --> 00:44:23,990
+partial pressure بين ال إيه؟ بين ال two sides of
+
+613
+00:44:23,990 --> 00:44:27,750
+the respiratory membrane مش هيك؟ هنا مفترض أن
+
+614
+00:44:27,750 --> 00:44:31,190
+اتكلم على كل واحدة على من ال factors هذه على حده
+
+615
+00:44:31,510 --> 00:44:35,130
+الـ thickness of the .. يعني الإيديمة لو أصبح عندي
+
+616
+00:44:35,130 --> 00:44:39,270
+بالمونة الإيديمة thickness بتزيد مش هيك لو أصبح
+
+617
+00:44:39,270 --> 00:44:43,150
+عندي ال fibrosis ال thickness بتزيد الإيديمة بيصير
+
+618
+00:44:43,150 --> 00:44:49,470
+في العادة في bronchial أزمة allergy حساسية عملت
+
+619
+00:44:49,470 --> 00:44:53,210
+ورم تورم لو أتعالجنا وراها هترجع طبيعي لكن ال
+
+620
+00:44:53,210 --> 00:44:56,570
+fibrosis بيصير في إيه؟ في أمراض تمام؟ أمراض
+
+621
+00:44:56,570 --> 00:45:01,170
+silicosis ماعرفش إيش أمراض بتقدر إلى أنهبيصير تليف
+
+622
+00:45:01,170 --> 00:45:04,950
+في الـ respirator و يخمل يخمل و نوعيته بيصير سيئة
+
+623
+00:45:04,950 --> 00:45:07,690
+ان انت لاستشعار فلوت بيصير fiber session بيصير ال
+
+624
+00:45:07,690 --> 00:45:11,710
+diffusion coefficient صعب كتير بيصير diffusion
+
+625
+00:45:11,710 --> 00:45:19,450
+rate واط كتير تمام ال
+
+626
+00:45:19,450 --> 00:45:21,650
+surface area قولنا في الانفيزيمة بيصير مشكلة كتير
+
+627
+00:45:21,650 --> 00:45:25,450
+راح ندرسها بالتفاصيل الانفيزيمة في آخر فصل او قبل
+
+628
+00:45:25,450 --> 00:45:28,290
+الأخر راح ندرسها بالتفاصيل بس انا دلتكوا فكرة عنها
+
+629
+00:45:28,290 --> 00:45:33,560
+بالعلم هذه الانفيزيمةمشكلة السجاير يعني المشكلة
+
+630
+00:45:33,560 --> 00:45:38,780
+الرئيسية للسجاير ان انها تدخلني في انفيزيمة هي
+
+631
+00:45:38,780 --> 00:45:42,280
+تبدأ تخرب عليها ال surface area تبع ال ايه ال gas
+
+632
+00:45:42,280 --> 00:45:45,960
+transport يصير عندي ايه بيجيل بيجيل بيجيل ال
+
+633
+00:45:45,960 --> 00:45:50,240
+alveoli بتتسعى تنتين بيخشوا في بعض بيعملوا واحدة
+
+634
+00:45:50,240 --> 00:45:54,020
+بدل ما اقولهم surfacesالكبيرة التانية تتوحدوا
+
+635
+00:45:54,020 --> 00:45:58,100
+وعملوا surface واحدة فجل ال surface area والكبيرة
+
+636
+00:45:58,100 --> 00:46:02,280
+بتاخد في أختها كبيرة كمان بجل بجل بجل مع الوجود ال
+
+637
+00:46:02,280 --> 00:46:05,720
+surface area of gas transport بيبدأ ايه؟ يجل
+
+638
+00:46:05,720 --> 00:46:09,940
+وبيقدر ال ventilation
+
+639
+00:46:09,940 --> 00:46:13,560
+صح لكن ال gases اللي بتنجل لأن ال surface area
+
+640
+00:46:13,560 --> 00:46:18,210
+هبطت بتنجل جليل فدائما عنده gas hungerفده أما حاطط
+
+641
+00:46:18,210 --> 00:46:22,890
+جانبه أسواد أكسجين هو بتنفس أكسجين المشكلة أنه بعد
+
+642
+00:46:22,890 --> 00:46:27,610
+بياخدله نفس أكسجين بيعود ياخدله إيه؟ غريبة جدا،
+
+643
+00:46:27,610 --> 00:46:31,550
+بيموت من السجائر و لسه بدخن أو بياخدله نفس شيشة،
+
+644
+00:46:31,550 --> 00:46:33,990
+بيقدرش ياخد شيشة، موت على المطر على سنة ما كده،
+
+645
+00:46:33,990 --> 00:46:39,310
+نفس شيشة لإنه بيقدرش يترك ال إيه؟ الأكسجين المشكلة
+
+646
+00:46:39,310 --> 00:46:44,510
+أنه وين ما ينجل، يلا يا بنت احمله معايا، هي تتحرك،
+
+647
+00:46:44,510 --> 00:46:48,320
+واحد يحرك الأسواد الأكسجينأنا بتتكلم عن واحدة
+
+648
+00:46:48,320 --> 00:46:53,800
+جارتنا كانت يعني فليش عندها انفزيمة تمام فعشان
+
+649
+00:46:53,800 --> 00:46:58,040
+تندقل الشمسات تقعد هيك في الشسمة بدها تروح تقعد
+
+650
+00:46:58,040 --> 00:47:01,960
+هنا بتقدرش تروح إلا حد ييجي يعمل لها إيه بطل سجين
+
+651
+00:47:01,960 --> 00:47:06,820
+محمل على عربات يلّا بيزوجوه مصر يلّا تدخلوني يا
+
+652
+00:47:06,820 --> 00:47:12,180
+ولاد بتقدر تمشي بس بتقدرش تزوج .. إيش؟ بتعيش
+
+653
+00:47:12,180 --> 00:47:16,720
+حياتها هيكأه زي ما بنبدل قنابيب الغاز مستبدل ايه؟
+
+654
+00:47:16,720 --> 00:47:21,040
+قنابيب اكسجين حياتنا، ما احنا الحمد لله بخير، ايش
+
+655
+00:47:21,040 --> 00:47:25,320
+اللي اجبرنا؟ نقتل نفسنا بنفسنا؟ اه والله يا ظلم،
+
+656
+00:47:25,320 --> 00:47:29,800
+مصبوط ولا لأ؟ لذلك انا اعتقد انه الانسان اللي
+
+657
+00:47:29,800 --> 00:47:35,280
+بيعلم ان السجن مضرع، يعلم وبرغم اني بدخن، اه هدقله
+
+658
+00:47:35,280 --> 00:47:40,300
+عقوبة، لكن اللي جاهل؟ ماعرفش، لكن الان حقيقة مافيش
+
+659
+00:47:40,300 --> 00:47:47,380
+وعدة لجاهلالأولى بمكتوبة طيب
+
+660
+00:47:47,380 --> 00:47:50,720
+when the total surface area is decreased to about
+
+661
+00:47:50,720 --> 00:47:56,260
+one third to one fourth of normal surface area بدت
+
+662
+00:47:56,260 --> 00:48:00,340
+تخرب تخرب وصلت لتلت الموجود الطبيعي أو ربع الطبيعي
+
+663
+00:48:00,340 --> 00:48:04,420
+هنا ببدأ المشكلة عندنا حتى أتريست تحس ب air hunger
+
+664
+00:48:04,420 --> 00:48:09,220
+عنده ديسنيا هو قاعد يعني بطل ال oxygen اللي يدخل
+
+665
+00:48:09,220 --> 00:48:18,460
+يكفيعلى الاستراحة وليس على الاستراحة الانتجار
+
+666
+00:48:18,460 --> 00:48:22,160
+من الجازات من خلال الممبرنة يتم تحريرها إلى مستوى
+
+667
+00:48:22,160 --> 00:48:28,020
+كبير حتى في حالات الاستراحة تمام؟ وفي مدار
+
+668
+00:48:28,020 --> 00:48:32,420
+السبورتينية والعديد من الاجتماعات السيرونية حتى
+
+669
+00:48:32,420 --> 00:48:34,640
+الانتجار الأقل في المنطقة العامة
+
+670
+00:48:38,160 --> 00:48:41,420
+تخريب ال surface area بيأثر على الإنسان أولها
+
+671
+00:48:41,420 --> 00:48:44,580
+بيأثر عليه أول ما بيبدأ الإشي بيلاحظ أنه مش قادر
+
+672
+00:48:44,580 --> 00:48:47,640
+يمشي مش قادر يجري مش قادر .. لكن بعد كده بيبقى
+
+673
+00:48:47,640 --> 00:48:52,480
+زيدي زيدي لما يصل إيه؟ انه at rest انه at .. اه ..
+
+674
+00:48:52,480 --> 00:48:58,200
+disnig .. disnig بيحس ب .. ب .. ب air hunger مش
+
+675
+00:48:58,200 --> 00:49:01,900
+قادر .. مش قادر النفس مش مكفية لذلك بنحاول ولا
+
+676
+00:49:01,900 --> 00:49:06,760
+اكسشين بحتلما نحاول الاكسجين بحت معناه احنا البرشر
+
+677
+00:49:06,760 --> 00:49:10,360
+برشر من الاكسجين من وصله لسبعمية و ستين تمام
+
+678
+00:49:10,360 --> 00:49:15,920
+فبيصير الانتقال من سبعمية و ستين للاربعين انتقال
+
+679
+00:49:15,920 --> 00:49:19,980
+السرعة اللي بيصير بسبب فرق البرشر برشر لحد ما
+
+680
+00:49:19,980 --> 00:49:24,560
+نحاول نعوض ال surface area اللي جاله خدتوا بالكم؟
+
+681
+00:49:24,560 --> 00:49:29,320
+نحاول كل اللي بدخل اكسجين طيب ال diffusion
+
+682
+00:49:29,320 --> 00:49:34,150
+coefficient ال diffusion coefficient قلناالها
+
+683
+00:49:34,150 --> 00:49:37,690
+factors وهذه تعتمد على المادة اللي انا بستخدمها
+
+684
+00:49:37,690 --> 00:49:40,670
+depending on the gas solubility and the molecular
+
+685
+00:49:40,670 --> 00:49:42,750
+weight the rate of diffusion of respiratory
+
+686
+00:49:42,750 --> 00:49:46,530
+membrane is almost exactly the same as that in
+
+687
+00:49:46,530 --> 00:49:49,990
+water for .. اه يعني ال coefficient ما بتتغيرش
+
+688
+00:49:49,990 --> 00:49:54,490
+العامل الواحد صفاته فيه يعني ال oxygen ال
+
+689
+00:49:54,490 --> 00:49:58,190
+coefficient ده ماتتغيرش هو oxygen ال carbon
+
+690
+00:49:58,190 --> 00:50:01,360
+dioxide هو carbon ال nitrogen هو nitrogenالفرشر
+
+691
+00:50:01,360 --> 00:50:03,520
+الفرشر الفرشر الفرشر الفرشر الفرشر الفرشر الفرشر
+
+692
+00:50:03,520 --> 00:50:08,640
+الفرشر الفرشر
+
+693
+00:50:08,640 --> 00:50:10,500
+الفرشر الفرشر الفرشر الفرشر الفرشر الفرشر الفرشر
+
+694
+00:50:10,500 --> 00:50:11,220
+الفرشر الفرشر الفرشر الفرشر الفرشر الفرشر الفرشر
+
+695
+00:50:11,220 --> 00:50:14,220
+الفرشر الفرشر الفرشر الفرشر الفرشر الفرشر الفرشر
+
+696
+00:50:14,220 --> 00:50:18,080
+الفرشر الفرشر الفرشر الفرشر الفرشر الفرشر الفرشر
+
+697
+00:50:18,080 --> 00:50:18,080
+الفرشر الفرشر الفرشر الفرشر الفرشر الفرشر الفرشر
+
+698
+00:50:18,080 --> 00:50:18,820
+الفرشر الفرشر الفرشر الفرشر الفرشر الفرشر الفرشر
+
+699
+00:50:18,820 --> 00:50:26,390
+الفرشر الفرشر الفرشر الفرشبمثل ال ال ال ال ال ال
+
+700
+00:50:26,390 --> 00:50:27,130
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+701
+00:50:27,130 --> 00:50:27,890
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+702
+00:50:27,890 --> 00:50:30,210
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+703
+00:50:30,210 --> 00:50:31,670
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+704
+00:50:31,670 --> 00:50:31,710
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+705
+00:50:31,710 --> 00:50:32,450
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+706
+00:50:32,450 --> 00:50:32,450
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+707
+00:50:32,450 --> 00:50:32,530
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+708
+00:50:32,530 --> 00:50:32,550
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+709
+00:50:32,550 --> 00:50:34,970
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+710
+00:50:34,970 --> 00:50:35,190
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+711
+00:50:35,190 --> 00:50:35,210
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+712
+00:50:35,210 --> 00:50:44,210
+ال ال ال ال ال ممثل
+
+713
+00:50:44,210 --> 00:50:47,850
+اليصير اللي هو بيقولنا بال random motion تبع ال
+
+714
+00:50:47,850 --> 00:50:53,270
+molecules إلى أنه يصير ال .. ال net tendency of
+
+715
+00:50:53,270 --> 00:50:59,190
+diffusion هو من الأعلى إلى الأعلى إلى الأقل برشا
+
+716
+00:50:59,190 --> 00:51:03,610
+برشا ال diffusion capacity of the respiratory
+
+717
+00:51:03,610 --> 00:51:08,130
+membrane حلوة، إذا الآن احنا بدنا نخش في مواضيع
+
+718
+00:51:08,130 --> 00:51:12,270
+هذه كلها basis نتكلم عنها، الآن هنقدر نعمل إحسابات
+
+719
+00:51:12,270 --> 00:51:15,590
+و أرقام و حيث كدهthe diffusing capacity of the
+
+720
+00:51:15,590 --> 00:51:18,070
+respirator membrane يعني كدهش ال respirator
+
+721
+00:51:18,070 --> 00:51:23,970
+membrane بيقدر يدخلي oxygen و كدهش ال respirator
+
+722
+00:51:23,970 --> 00:51:29,050
+membrane بيقدر يدخلي carbon dioxide تحت تأثير ال
+
+723
+00:51:29,050 --> 00:51:34,330
+pressure الوحدة الواحدة لل pressure تمام؟ في
+
+724
+00:51:34,330 --> 00:51:40,290
+الدقيقة الواحدة متكلمنا عن إيه؟ إذا متكلم عن اللي
+
+725
+00:51:40,290 --> 00:51:45,590
+هو ال diffusing capacityبنحسبها احنا بال ايه؟ per
+
+726
+00:51:45,590 --> 00:51:54,610
+minute per minute per millimeter mercury unitsيعني
+
+727
+00:51:54,610 --> 00:51:58,030
+الوحدة الواحدة للضغط فرق في البرشا pressure من
+
+728
+00:51:58,030 --> 00:52:02,070
+نقطة او نقطة الفرق الواحد جديش بيعمل diffusion
+
+729
+00:52:02,070 --> 00:52:04,870
+capacity عشان نقارن احنا ال diffusion capacity
+
+730
+00:52:04,870 --> 00:52:11,330
+للريسيمالات من غاز لغاز بنوحد ال ايه الوحدات يعني
+
+731
+00:52:11,330 --> 00:52:15,250
+بنتكلم انه طب البرشا pressure الواحد جديش بدخل
+
+732
+00:52:15,250 --> 00:52:17,590
+عشان يقول والله ال diffusion capacity للأكسجين
+
+733
+00:52:17,590 --> 00:52:22,170
+أحسن و لل carbon dioxide أحسن وهذا جديش ومش جديش
+
+734
+00:52:22,170 --> 00:52:28,500
+تمام؟إذا diffusion capacity لأكسجين لجناها واحد
+
+735
+00:52:28,500 --> 00:52:31,760
+وعشرين مليليتر per minute per millimeter mercury
+
+736
+00:52:31,760 --> 00:52:35,380
+كل millimeter mercury في دقيقة واحدة بدخلي واحد
+
+737
+00:52:35,380 --> 00:52:40,680
+وعشرين مليل ايه؟ مليليتر، مش هيك؟ واحد وعشرين
+
+738
+00:52:40,680 --> 00:52:46,680
+مليليتر في الوضع الطبيعي بيكون فارق احد عشر
+
+739
+00:52:46,680 --> 00:52:51,360
+مليليتر mercury بين الاعسانين
+
+740
+00:52:51,360 --> 00:52:58,620
+والصحين11 ملي متر ميركوري بين الـVenus و الـAir و
+
+741
+00:52:58,620 --> 00:53:05,720
+الـAlveolar Air 11 في 21 ملي لتر معناها عندي بتكلم
+
+742
+00:53:05,720 --> 00:53:11,020
+عن 230 مش كده اللي هو 250 ملي لتر من ال oxygen
+
+743
+00:53:11,020 --> 00:53:14,280
+تقريبا اللي احنا محتاجينه في الـAir اللي احنا في
+
+744
+00:53:14,280 --> 00:53:17,920
+الاترست بنستهلكه مش هيك اذا اقول ان لما يكون عندي
+
+745
+00:53:17,920 --> 00:53:25,410
+اناsurface area كويس و diffusing coefficient كويس
+
+746
+00:53:25,410 --> 00:53:30,810
+برشر برشر الواحد بتديني ال oxygen واحد و عشرين
+
+747
+00:53:30,810 --> 00:53:35,610
+ميلي لتر oxygen per minute تمام for each
+
+748
+00:53:35,610 --> 00:53:39,050
+millimeter mercury لما يكون عندي الفارق انا احداشر
+
+749
+00:53:39,050 --> 00:53:43,690
+ميلي متر mercury معناه اترس بيدخل اترس 250 ميلي
+
+750
+00:53:43,690 --> 00:53:46,590
+لتر per minute اللي هي الجسم بحتاجها عشان كده
+
+751
+00:53:46,590 --> 00:53:50,340
+بيثبتال input زي اتكلمت عن الكريتانين انا قبل كده
+
+752
+00:53:50,340 --> 00:53:53,540
+بقول ان الكريتانين بيثبت ل level لما يصير عندى انا
+
+753
+00:53:53,540 --> 00:53:57,620
+في ال level هذا ال output وال input تساوى فبيثبت
+
+754
+00:53:57,620 --> 00:54:02,860
+ال level مش كده و هنا عندنا level معين بنثبت عليه
+
+755
+00:54:02,860 --> 00:54:07,320
+لما في هذا ال level يصير اللى انا باعطيهو اللي بقى
+
+756
+00:54:07,320 --> 00:54:13,060
+أخده the same فبيثبت ال level مش كده بقى أعطي بقى
+
+757
+00:54:13,060 --> 00:54:18,580
+أجيب 150 milliliter oxygen و بديهم للدم كاملة طبعا
+
+758
+00:54:18,580 --> 00:54:22,020
+لكن باخد 200 milliliter ايهاش كارويند اكسر مين
+
+759
+00:54:22,020 --> 00:54:27,100
+يفكر فيها ممكن تكون ناسمك ال oxygen تحب ال
+
+760
+00:54:27,100 --> 00:54:30,260
+hydrogen عشان و عشان ناسمك؟ ايش اسمك انت ده ليه
+
+761
+00:54:30,260 --> 00:54:34,180
+صنع الله ده ليه صنع الله ده ليه صنع الله ذاكرين
+
+762
+00:54:34,180 --> 00:54:36,850
+ايه لك علامة في الأخر يا عمي؟الفرق مش ال sweat
+
+763
+00:54:36,850 --> 00:54:40,070
+اتقصدها، الفرق في ال metabolism احنا عندنا لما
+
+764
+00:54:40,070 --> 00:54:42,930
+نستخدم أن نحرج ال oxygen مش كله بنخرجه من ال
+
+765
+00:54:42,930 --> 00:54:47,050
+carbon dioxide بتلاقى carbon dioxide ان ايه؟ and
+
+766
+00:54:47,050 --> 00:54:51,390
+water ال water is excreted by the kidney مش هيك؟
+
+767
+00:54:51,390 --> 00:54:54,830
+بظبط؟ ففي عندي جزء من ال oxygen مش هيطلع مع المين
+
+768
+00:54:54,830 --> 00:55:01,560
+مش ال sweat اصحبهم منك مش ال sweatat the
+
+769
+00:55:01,560 --> 00:55:06,720
+mitochondria لما انا بعمل burning لل hydrocarbons
+
+770
+00:55:06,720 --> 00:55:10,680
+hydrocarbons الكربون بتتحول ل carbon dioxide ولا
+
+771
+00:55:10,680 --> 00:55:14,780
+hydrogen بتتحول ل ايه؟ لوتر ال water executed جزء
+
+772
+00:55:14,780 --> 00:55:20,720
+منها جزء منها ممكن يقول انها executed by ايه؟ by
+
+773
+00:55:20,720 --> 00:55:26,300
+the respiration تمام؟ لكن الجزء الأساسي ايه؟ عن
+
+774
+00:55:26,300 --> 00:55:30,590
+طريق الايه الكلية حسب الظروف المهم بتتحول لميهففي
+
+775
+00:55:30,590 --> 00:55:33,410
+جزء من الأكسجين اللي اتاخد صار ميه لذلك ال ..
+
+776
+00:55:33,410 --> 00:55:35,870
+الحساب اللي ضال على ال carbon dioxide .. ال .. ال
+
+777
+00:55:35,870 --> 00:55:39,690
+carbon dioxide مش كل أكسجين لأ يا عم انت ماتتنش كل
+
+778
+00:55:39,690 --> 00:55:42,010
+أكسجين أنا أخد الجزء من الأكسجين و الباقي أخده
+
+779
+00:55:42,010 --> 00:55:45,070
+الهيدروجين عملوا ميه مش هيك لذلك بدخل عندنا 250
+
+780
+00:55:45,070 --> 00:55:48,930
+بتطلع ايه؟ الفرق بينهم هذا مين؟ في ال metabolism
+
+781
+00:55:48,930 --> 00:55:55,850
+في عندى وقت انا نسهش اذا بالحسبة هذه بنقدر نعرف
+
+782
+00:55:55,850 --> 00:56:01,710
+احنا بدخل عندناو نفس الكلام بالنسبة ل ال at .. at
+
+783
+00:56:01,710 --> 00:56:08,170
+.. at exercise قولنا احنا at rest .. at rest محتاج
+
+784
+00:56:08,170 --> 00:56:13,390
+بتقوله خمسين ملي لتر at .. at .. at exercise طلعنا
+
+785
+00:56:13,390 --> 00:56:17,590
+لجينا علي الى تلت أضعاف صار عندى خمسة و ستين ملي
+
+786
+00:56:17,590 --> 00:56:23,510
+لتر oxygen per one hundred .. per one millimeter
+
+787
+00:56:23,510 --> 00:56:28,000
+mercury per minuteلذن في ال exercise بيزيد عشرة
+
+788
+00:56:28,000 --> 00:56:32,260
+أضعاف ال ventilation بيزيد عشرة أضعاف و ال blood
+
+789
+00:56:32,260 --> 00:56:37,380
+supply بيزيد عشرة أضعاف في الحالة هذه بيصير عندي
+
+790
+00:56:37,380 --> 00:56:42,040
+استطيع أن يدخل أكسجين خمسة و ستين ملي لتر per
+
+791
+00:56:42,040 --> 00:56:45,760
+minute for each one millimeter mercury في الحالة
+
+792
+00:56:45,760 --> 00:56:52,480
+هذه لما نقول الخمسة و ستين هذه تلت أضعاف الطبيعي
+
+793
+00:56:57,660 --> 00:57:01,100
+في تجارب التجارب التجارية أو تجارب أخرى التي تزداد
+
+794
+00:57:01,100 --> 00:57:05,020
+كثيرًا تجارب البلوكولية والبلوكولية تزداد تجارب
+
+795
+00:57:05,020 --> 00:57:06,000
+التجارب التجارب التجارب التجارب التجارب التجارب
+
+796
+00:57:06,000 --> 00:57:10,660
+التجارب التجارب التجارب التجارب التجارب التجارب
+
+797
+00:57:10,660 --> 00:57:14,360
+التجارب التجارب التجارب التجارب التجارب التجارب
+
+798
+00:57:14,360 --> 00:57:14,900
+التجارب التجارب التجارب التجارب التجارب التجارب
+
+799
+00:57:14,900 --> 00:57:14,940
+التجارب التجارب التجارب التجارب التجارب التجارب
+
+800
+00:57:14,940 --> 00:57:14,980
+التجارب التجارب التجارب التجارب التجارب التجارب
+
+801
+00:57:14,980 --> 00:57:27,020
+التجارب التجارب التجارب التجارب التجارب التجارب
+
+802
+00:57:27,700 --> 00:57:32,080
+صرت بسبب حاجتين الحاجة الواحدة اللي اتكلمنا عنها
+
+803
+00:57:32,080 --> 00:57:38,160
+المرة اللي فاتت ان هو ال capillaries اللي هي كانت
+
+804
+00:57:38,160 --> 00:57:43,740
+مش مستخدمة تستخدم dilatation of the closed
+
+805
+00:57:43,740 --> 00:57:47,680
+capillaries و dilatation of the already used
+
+806
+00:57:47,680 --> 00:57:51,900
+capillaries مش كده؟ مش كده؟ هدول ال capillary ايه؟
+
+807
+00:57:51,900 --> 00:57:54,560
+وقلنا انه في ال exercise كمان ال blood supply اللي
+
+808
+00:57:54,560 --> 00:57:59,460
+بيصلبكون اكتر و ال pressure باعلى ف ال flow بزيد
+
+809
+00:57:59,460 --> 00:58:04,460
+تمام؟ هذه ما الحاجة الحاجة التانية المهمة لما
+
+810
+00:58:04,460 --> 00:58:09,680
+اتكلمنا لكوا عن ال zone واحد و اتنين و تلاتة واضح
+
+811
+00:58:09,680 --> 00:58:14,460
+ان احنا في عندنا ventilation بيجي في zone two اللي
+
+812
+00:58:14,460 --> 00:58:20,060
+هي ال upper part ال apex بيجي عندى انا ventilation
+
+813
+00:58:20,060 --> 00:58:25,600
+لكنه لا يستخدم في ال transport في كل ال diastole
+
+814
+00:58:26,070 --> 00:58:30,450
+مافيش فيه gas exchange، مش كده؟ إذا .. إذا في
+
+815
+00:58:30,450 --> 00:58:33,550
+الحالة اللي مصير ال exercise عندى، الدغط بعلى
+
+816
+00:58:33,550 --> 00:58:37,150
+شوية، بيصير الدم يقدر يخش على ال alveoli في ال
+
+817
+00:58:37,150 --> 00:58:41,070
+cistole و ال diastole، فبيصير عندى better matching
+
+818
+00:58:41,070 --> 00:58:44,450
+between the ventilation and .. and perfusion،
+
+819
+00:58:44,450 --> 00:58:49,010
+perfusion نقصد فيها ال bloodإذا من أنه طالع كلمة
+
+820
+00:58:49,010 --> 00:58:51,650
+ventilation تعني الهواء و perfusion تعني مين؟
+
+821
+00:58:51,650 --> 00:58:56,050
+البلد إذا better matching between ventilation and
+
+822
+00:58:56,050 --> 00:59:03,930
+what؟ and perfusion تمام؟ إذا صار عندي الدم
+
+823
+00:59:03,930 --> 00:59:07,990
+اللي داخل تمام؟ ال oxygen اللي داخل بيلاقي دم
+
+824
+00:59:07,990 --> 00:59:12,710
+يستخدمه يساعده مش كده؟ هذا بيزود من إيه؟ من قدرات
+
+825
+00:59:12,710 --> 00:59:16,180
+ال إيه؟ال .. ال .. ال .. ال diffusion capacity
+
+826
+00:59:16,180 --> 00:59:20,000
+أثناء ال exercise لإنه بزيد زي ما قلنا زي ما بزيد
+
+827
+00:59:20,000 --> 00:59:22,920
+ال .. ال .. ال .. ال .. ال .. ال perfusion بزيد
+
+828
+00:59:22,920 --> 00:59:32,140
+عشر مرات و ال ventilation بزيد عشر مرات طيب
+
+829
+00:59:32,400 --> 00:59:38,880
+بالتالي، خلال تجربة أكسجينة الدم يزداد، ليس فقط
+
+830
+00:59:38,880 --> 00:59:44,420
+بإزالة الفيولار، بل أيضًا بإزالة قدرة الانفجار،
+
+831
+00:59:44,420 --> 00:59:48,660
+لأنه أفضل ماتش،
+
+832
+00:59:58,060 --> 01:00:00,740
+to cross the membrane, diffusion capacity of the
+
+833
+01:00:00,740 --> 01:00:05,940
+.. of the ايه؟ of the .. of the ions او molecules
+
+834
+01:00:05,940 --> 01:00:12,160
+زادت او الممبرين زادت diffusion capacity of carbon
+
+835
+01:00:12,160 --> 01:00:15,440
+dioxide ده المشكلة carbon dioxide carbon dioxide
+
+836
+01:00:15,440 --> 01:00:19,440
+لإن ال diffusion capacity تبعته ايه؟ عالي جدا مش
+
+837
+01:00:19,440 --> 01:00:23,680
+كده؟ عشان كده مش سهل ان انا اعمله حساباتمش سهل ان
+
+838
+01:00:23,680 --> 01:00:26,600
+انا اعمله حسابات مباشرة، دايما انا اعمله حسابات
+
+839
+01:00:26,600 --> 01:00:29,780
+غير مباشرة، حتى ال oxygen اعمله غير مباشرة، بس ال
+
+840
+01:00:29,780 --> 01:00:33,340
+oxygen carbon dioxide ايش مشكلته؟Diffuses through
+
+841
+01:00:33,340 --> 01:00:36,040
+the respiratory membrane so rapidly that the
+
+842
+01:00:36,040 --> 01:00:39,080
+average carbon dioxide partial pressure in the
+
+843
+01:00:39,080 --> 01:00:41,600
+pulmonary blood is not far different from that of
+
+844
+01:00:41,600 --> 01:00:44,140
+the carbon dioxide in the alveoli السرعة السريعة
+
+845
+01:00:44,140 --> 01:00:47,940
+تبعته مانحسش أنه صار فيه فرج عشان انا أقدر أحسب
+
+846
+01:00:47,940 --> 01:00:51,640
+الفرج عشان أعمل diffusion capacity بدل partial
+
+847
+01:00:51,640 --> 01:00:55,950
+pressure difference مش كده؟هذا سريع جدا لانه يقدرش
+
+848
+01:00:55,950 --> 01:00:58,890
+ينقل الولاي لحد ما التركيز يصبح زي تركيز مين؟
+
+849
+01:00:58,890 --> 01:01:01,970
+لبلاد، البلاد شوية شوية تبعه، فبقى دي إيه الحسبة
+
+850
+01:01:01,970 --> 01:01:05,170
+مابتطلعش صحيحة ماعلينا المهم في الموضوع ان ال
+
+851
+01:01:05,170 --> 01:01:08,770
+carbon dioxide diffusion capacity حالية، مش هيك؟
+
+852
+01:01:08,770 --> 01:01:12,110
+ال oxygen أجل nevertheless, measurements of
+
+853
+01:01:12,110 --> 01:01:15,470
+diffusion of other gases have shown that the
+
+854
+01:01:15,470 --> 01:01:16,370
+diffusion capacity
+
+855
+01:01:20,930 --> 01:01:26,330
+متأكد أن الـ diffusion coefficient دا كل غاز مرتبط
+
+856
+01:01:26,330 --> 01:01:28,630
+بالـ diffusion capacity كلما ال diffusion
+
+857
+01:01:28,630 --> 01:01:33,330
+coefficient عليه كلما ال capacity of the diffusion
+
+858
+01:01:33,330 --> 01:01:35,050
+capacity عليه اكتر او اكتر
+
+859
+01:01:47,920 --> 01:01:54,300
+مقارنة بالـ Diffusion Coefficient بين الـ Oxygen و
+
+860
+01:01:54,300 --> 01:01:57,040
+Carbon Dioxide، نقول بما أن Diffusion Coefficient
+
+861
+01:01:57,040 --> 01:01:59,880
+هذا إيه؟ هو عشرين ضعف هذا، إذن اتوماتيكا اللي
+
+862
+01:01:59,880 --> 01:02:02,520
+هيكون الـ Diffusion Capacity للـ Carbon Dioxide
+
+863
+01:02:03,600 --> 01:02:07,100
+أعلى بعشرين مرة يعني عشرين في واحد وعشرين تقريبا
+
+864
+01:02:07,100 --> 01:02:10,280
+أربعمائة مرة مشكلة أربعمائة millimeter mercury
+
+865
+01:02:10,280 --> 01:02:13,660
+millimeter per minute for each one millimeter
+
+866
+01:02:13,660 --> 01:02:18,280
+mercury تمام؟ at rest و ال exercise عنده بالعشرين
+
+867
+01:02:18,280 --> 01:02:21,580
+في التلاتة و ستين بيطلع فوق الألف و متين من الف و
+
+868
+01:02:21,580 --> 01:02:24,220
+متين لألف واربعمائة او الف و تلاتة متر millimeter
+
+869
+01:02:24,220 --> 01:02:29,620
+of carbon dioxide each minute for each millimeter
+
+870
+01:02:29,620 --> 01:02:30,360
+mercury
+
+871
+01:02:33,180 --> 01:02:41,240
+هذا اخر اشي هنقوله عملية خياس ال .. ال .. ال
+
+872
+01:02:41,240 --> 01:02:46,060
+diffusion capacity لل .. لل oxygen طبعا ال oxygen
+
+873
+01:02:46,060 --> 01:02:48,740
+بنجيه نجيسله ال diffusion capacity و بنلاقيها صعبة
+
+874
+01:02:48,740 --> 01:02:55,100
+صعبة ليش؟ لإنه بدنا نجيس ال partial pressure في ال
+
+875
+01:02:55,100 --> 01:02:59,140
+.. يعني التكنيك بيكون صعب إذا بنستخدمه احنا مباشر
+
+876
+01:02:59,140 --> 01:03:03,810
+لكن احنا مسهلنا التكنيكلأنه لما نعمل تقنية صعبة
+
+877
+01:03:03,810 --> 01:03:08,010
+أسبب أرقام معينة فبعدين أسهل أننا نعمل شيء معين ان
+
+878
+01:03:08,010 --> 01:03:10,870
+ال diffusion capacity لل Oxygen 1.3 diffusion
+
+879
+01:03:10,870 --> 01:03:15,110
+capacity لكربون مونوكسايد لأنه لما قلنا زمان ال
+
+880
+01:03:15,110 --> 01:03:23,210
+solubility point هذا 12.25 فاكرين؟ طيب فال Oxygen
+
+881
+01:03:23,210 --> 01:03:30,270
+أحسن ال Oxygen diffusion capacity أحسن ب 1.3إذا لو
+
+882
+01:03:30,270 --> 01:03:35,190
+ميزة carbon monoxide أنه قيله affinity عالية جدا
+
+883
+01:03:35,190 --> 01:03:39,590
+لمين؟ للهيموجلبيين يعني أنا لو أدي carbon monoxide
+
+884
+01:03:39,590 --> 01:03:42,370
+بسيط كله بيروح ل الهيموجلبيين ال partial pressure
+
+885
+01:03:42,370 --> 01:03:46,890
+في ال plasma مش هيصير almost zero يعني مش هيدي
+
+886
+01:03:46,890 --> 01:03:49,790
+الهيموجلبيين فرصة لcarbon monoxide أنه يكون
+
+887
+01:03:49,790 --> 01:03:53,690
+dissolved in ايه؟in in in in the plasma in the
+
+888
+01:03:53,690 --> 01:03:58,070
+water هياخدوا كله يحملوا كلهم جلبين واضح؟ اذا في
+
+889
+01:03:58,070 --> 01:04:01,650
+الحالة هذه لما انا اجيس pressure pressure لcarbon
+
+890
+01:04:01,650 --> 01:04:06,330
+monoxide عن طريق ال spirometer تمام و اعرف جديش
+
+891
+01:04:06,330 --> 01:04:10,310
+عندي كمية carbon monoxide لما احسب الجهة الأخرى
+
+892
+01:04:10,310 --> 01:04:15,010
+بعد كده ال pressure pressure ايش؟ zero تمام اذا
+
+893
+01:04:15,010 --> 01:04:18,250
+صار عندي ال pressure pressure difference هو ال
+
+894
+01:04:18,250 --> 01:04:21,710
+alveolar pressure pressureتمام؟ إذا لما أخد
+
+895
+01:04:21,710 --> 01:04:25,910
+الفيولر sample و أفحص فيها ال carbon monoxide جداش
+
+896
+01:04:25,910 --> 01:04:30,410
+ال pressure تبعه ناجز zero إذا هو يمثل ال إيه؟ إذا
+
+897
+01:04:30,410 --> 01:04:33,670
+هي كل الفكرة الفكرة إنه أنا ال carbon monoxide
+
+898
+01:04:33,670 --> 01:04:37,050
+ممكن يخش ال homoglobin و يسيب البلازمة فاضية يعني
+
+899
+01:04:37,050 --> 01:04:40,110
+zero pressure pressure إذا مقدر أحسب الحسبة هذه
+
+900
+01:04:40,110 --> 01:04:44,230
+تمام؟ بسهولة جداش بطلع ال carbon monoxide في الآخر
+
+901
+01:04:44,230 --> 01:04:48,170
+diffusion capacity بضربها في one point threeتطلع
+
+902
+01:04:48,170 --> 01:04:53,290
+لنا ايش؟ لل oxygen تمام؟ اذا العملية في حد ذاتها
+
+903
+01:04:53,290 --> 01:04:59,950
+ايه؟ عملية سهلة باحسب ال
+
+904
+01:04:59,950 --> 01:05:04,030
+concentration of carbon بدي monoxide شامتين تلاتة
+
+905
+01:05:04,030 --> 01:05:09,730
+كده تمام؟ و بعدين باخد exploratory sample باخد
+
+906
+01:05:09,730 --> 01:05:13,610
+الاخر جزء منها اللي هي ال alveolar air و بحسب ال
+
+907
+01:05:13,610 --> 01:05:17,830
+pressure pressure تمام؟وبقول جديش انا نجس ال
+
+908
+01:05:17,830 --> 01:05:23,970
+carbon monoxide من بداية ال .. ال .. ال .. ال
+
+909
+01:05:23,970 --> 01:05:27,870
+respiration اللي انا حطيته للي ضايل تمام و بعرف
+
+910
+01:05:27,870 --> 01:05:31,590
+الكمية اللي فقدت هذه في جديش فقدت عشان اعرف
+
+911
+01:05:31,590 --> 01:05:35,730
+diffusion capacity كملي لتر carbon monoxide بيطلع
+
+912
+01:05:35,730 --> 01:05:36,690
+ليها حوالى ستة عشر
+
+913
+01:05:39,990 --> 01:05:48,610
+هيطلع يطلع يطلع يطلع
+
+914
+01:05:48,610 --> 01:05:59,550
+يطلع يطلع
+
+915
+01:05:59,550 --> 01:06:03,430
+يطلع يطلع يطلع يطلع يطلع يطلع يطلع يطلع يطلع يطلع
+
+916
+01:06:03,430 --> 01:06:03,430
+يطلع يطلع يطلع يطلع يطلع يطلع يطلع يطلع يطلع يطلع
+
+917
+01:06:03,430 --> 01:06:03,670
+يطلع يطلع يطلع يطلع يطلع يطلع يطلع يطلع يطلع يطلع
+
+918
+01:06:03,670 --> 01:06:03,670
+يطلع يطلع يطلع يطلع يطلع يطلع يطلع يطلع يطلع يطلع
+
+919
+01:06:03,670 --> 01:06:04,570
+يطلع يطلع يطلع يطلع يطلع يطلع يطلع يطلع يطلع يطلو
+
+920
+01:06:04,570 --> 01:06:07,550
+في الغالب هنبدأ في معناها الفصل الجاي لكن خليني
+
+921
+01:06:07,550 --> 01:06:12,110
+أعملكم مقدمة زي ما قلنا فيه ventilation يعني ..
+
+922
+01:06:12,110 --> 01:06:17,690
+يعني .. يعني ايه؟ long side ال air side
+
+923
+01:06:17,690 --> 01:06:23,070
+ventilation و perfusion يعني ايه؟ ال blood side ال
+
+924
+01:06:23,070 --> 01:06:27,390
+ventilation لما اتكلم على الفيوز معينة تمام؟
+
+925
+01:06:27,760 --> 01:06:32,060
+افترضوا انه احنا سكرنا ال alveolus هذه وعزلناها عن
+
+926
+01:06:32,060 --> 01:06:35,840
+ال ventilation الهواء اللي فيها ضايل كما هو الهواء
+
+927
+01:06:35,840 --> 01:06:39,860
+اللي فيها لا بيجيله جديد ولا بيطلع منه اللي اللي
+
+928
+01:06:39,860 --> 01:06:45,140
+بيخشه تمام؟ صار abstraction لمنطقة معينة ايش بتوقع
+
+929
+01:06:45,140 --> 01:06:49,620
+بعد فترة ال abstracted lobule هذا او ال abstracted
+
+930
+01:06:49,620 --> 01:06:54,780
+alveolus ال ال ال gas ال gas composition اللي فيها
+
+931
+01:06:54,780 --> 01:07:01,620
+كيف هيكون؟أكيد هتقولولي شبيه بقى ال Venus blood و
+
+932
+01:07:01,620 --> 01:07:04,780
+انا هتقول كواه لإنه ال Venus blood دخل عليه عشان
+
+933
+01:07:04,780 --> 01:07:08,560
+يعمل تبادل غازات تمام؟ ضال ياخد منه و يودي عشان
+
+934
+01:07:08,560 --> 01:07:12,620
+يعمل equilibrium لحد ما في الآخر و هو مافيش ملاية
+
+935
+01:07:12,620 --> 01:07:16,640
+تجدد فعندي ال equilibrium في الآخر هيصل لمرحة لإنه
+
+936
+01:07:16,640 --> 01:07:20,640
+ال oxygen اللي فيه يسوى مين؟ ال Venus و ال carbon
+
+937
+01:07:20,640 --> 01:07:23,840
+dioxide فيه؟ هيسوى ال Venus يعني جدش متوجه انا
+
+938
+01:07:23,840 --> 01:07:28,790
+oxygen يكون في برشا بشر في الفيلوس المسكرةبتوقع
+
+939
+01:07:28,790 --> 01:07:31,810
+يكون اربعين millimeter mercury و ال carbon ده
+
+940
+01:07:31,810 --> 01:07:36,050
+اكتشف توقع ايش يصير؟ خمسة و اربعين تمام طيب هذي
+
+941
+01:07:36,050 --> 01:07:40,850
+واحد اتنين بنتوقع احنا ال virus بالعكس ال virus
+
+942
+01:07:40,850 --> 01:07:44,350
+موجودة الهواء طالع نازل عليها لكنها مافيش فيها
+
+943
+01:07:44,350 --> 01:07:48,190
+blood ييجي ياخد منها مافيش مالاش blood supply
+
+944
+01:07:48,190 --> 01:07:53,760
+ففيها ventilation فيها poor perfusionأنا بتوقع إيش
+
+945
+01:07:53,760 --> 01:08:01,480
+يصير إنه هنصل ل 149 ليش لإنه ال 104 كانت نتاجة إنه
+
+946
+01:08:01,480 --> 01:08:06,760
+في عندي أنا تهريب فمش جاي لل 149 to build up لإنه
+
+947
+01:08:06,760 --> 01:08:08,560
+بيضل اه بيضل ال carbon dioxide يدخل و ال oxygen
+
+948
+01:08:08,560 --> 01:08:14,310
+يطلع لكن هنا هيضل ال alveolar ال respiratoryال ..
+
+949
+01:08:14,310 --> 01:08:18,590
+ال .. ال respiration يظل يغسللي في ال ايه؟ في ال
+
+950
+01:08:18,590 --> 01:08:23,910
+alveolus تمام؟ و يستبدل ال 104 لما الدم راح عنا
+
+951
+01:08:23,910 --> 01:08:29,330
+كده 104 يستبدل 104 ب 149 ال 149 ب 149 100 .. لما
+
+952
+01:08:29,330 --> 01:08:33,750
+يصير كلها في الآخر 149 millimeter mercury oxygen و
+
+953
+01:08:33,750 --> 01:08:37,930
+هتكون في المقابل كدهش carbon dioxide؟ point three
+
+954
+01:08:37,930 --> 01:08:42,250
+zero يعني اه مش كده؟ تمام؟ اذا .. اذا في عندي انا
+
+955
+01:08:42,730 --> 01:08:48,670
+هذه الفكرة العامة إنه إذا زاد .. إذا في عندي علاقة
+
+956
+01:08:48,670 --> 01:08:53,690
+ما بين ال ventilation و ال perfusion تمام؟ ممكن ال
+
+957
+01:08:53,690 --> 01:08:58,830
+perfusion يقل ال perfusion يقل ملاقي العلاقة إن ال
+
+958
+01:08:58,830 --> 01:09:01,670
+ratio هذه زادت لإن ال ventilation على ال perfusion
+
+959
+01:09:01,670 --> 01:09:05,410
+ملاقي صارت أكتر من ال normal تمام؟ و ممكن ال
+
+960
+01:09:05,410 --> 01:09:09,070
+ventilation يقل من الحالة هذه ملاقينها إيه؟
+
+961
+01:09:09,070 --> 01:09:13,680
+العلاقة أقل من إيه؟ من ال normalلما يكون عندى
+
+962
+01:09:13,680 --> 01:09:19,380
+ventilation زيادة و .. و .. و perfusion أقل مانعى
+
+963
+01:09:19,380 --> 01:09:24,840
+عندى dead space كتر صار هوا مالوش استخدام تمام؟
+
+964
+01:09:24,840 --> 01:09:27,840
+اذا بزيد ال physiological dead space و لما يكون
+
+965
+01:09:27,840 --> 01:09:32,200
+عندى perfusion زيادة، perfusion احنا قولنا
+
+966
+01:09:32,200 --> 01:09:35,970
+ventilation أقلventilation طبيعي الأول احنا قلنا
+
+967
+01:09:35,970 --> 01:09:39,590
+ventilation طبيعي زيها ده يعني و اللي جل ال ايه ال
+
+968
+01:09:39,590 --> 01:09:42,310
+blood معناها زاد ال ventilation معناها عندي
+
+969
+01:09:42,310 --> 01:09:47,150
+physiological ايه ده ال space لما يكون عندي انا في
+
+970
+01:09:47,150 --> 01:09:53,050
+الحالة هذه لأ عندي ال ventilation أجل من اللازم
+
+971
+01:09:53,050 --> 01:09:57,290
+أجل من اللازمفي obstruction partial obstruction او
+
+972
+01:09:57,290 --> 01:10:00,470
+something like that او انفزيما خربت perfusion اقل
+
+973
+01:10:00,470 --> 01:10:05,170
+من اللازم ودم طبيعي تمام معناه في العالم هذا بيكون
+
+974
+01:10:05,170 --> 01:10:09,730
+النسبة ايش اقل معناه في دم دخل من ال venous side
+
+975
+01:10:09,730 --> 01:10:14,230
+لل arterial side او ال arterial لل venous انا برضه
+
+976
+01:10:14,230 --> 01:10:17,830
+لازم اعتبره venous arterial لل ايه لل venous من
+
+977
+01:10:17,830 --> 01:10:22,880
+غير ما ياخد ايه اكسجين يعني كأنه عمل شنطتمام ايه؟
+
+978
+01:10:22,880 --> 01:10:25,640
+كأنه عامل ايه؟ شنط من غير ما يعدي على أكسجين و من
+
+979
+01:10:25,640 --> 01:10:30,740
+غير ما يعدي على دقيقتين كأن هو bronchial اه؟ كأنه
+
+980
+01:10:30,740 --> 01:10:34,820
+ماشي في الكلة ما .. ما .. ما .. هو داخل من المنطقة
+
+981
+01:10:34,820 --> 01:10:38,420
+لمّا مااخدش أكسجين لإن الأكسجين اعطى لجزء من الدم
+
+982
+01:10:38,420 --> 01:10:41,280
+و الجزء الباقي مااخدش فصار اندي هاد اسمه
+
+983
+01:10:41,280 --> 01:10:45,880
+physiological shunt اذا موضوعنا الحاجة هيكون بين
+
+984
+01:10:45,880 --> 01:10:50,320
+الشنط و ال .. ايه؟ و ال dead spaceتمام؟ لأنه في
+
+985
+01:10:50,320 --> 01:10:55,040
+الانفيزيمة هنلاقي أنه عندنا في مناطق فيها more
+
+986
+01:10:55,040 --> 01:10:59,060
+physiological شنط which is bad دم خش من غير ما
+
+987
+01:10:59,060 --> 01:11:03,240
+يعمل oxygenation و more physiological dead space
+
+988
+01:11:03,240 --> 01:11:07,840
+لأنه هوا و تعب و غلبه و مايستفادش منه مش كده؟ هذا
+
+989
+01:11:07,840 --> 01:11:10,480
+تقريبا هي المحاضرة كلها هيتها يمكن قلت انا في
+
+990
+01:11:10,480 --> 01:11:13,860
+الدقيقتين هدوة في الإختصار تمام؟ و أعتقد أنه مش
+
+991
+01:11:13,860 --> 01:11:18,020
+محتاج أنه نشرح فيها أكتر من هيك لكن الأشياء وقتش
+
+992
+01:11:18,020 --> 01:11:22,730
+بيصيرلما مايكونش دم نهائي لما مايكونش دم نهائي
+
+993
+01:11:22,730 --> 01:11:25,950
+يعني انا بقسم على ال VA ال ventilation على zero
+
+994
+01:11:25,950 --> 01:11:30,050
+بدين infinity تمام؟ في الحدي هذا انا بكون عندي
+
+995
+01:11:30,050 --> 01:11:35,900
+deal space عالي لما يكون الأقلهيكون اكتر من الواحد
+
+996
+01:11:35,900 --> 01:11:39,520
+او يصل ل infinity معناه انا عندي ايه درجات من ال
+
+997
+01:11:39,520 --> 01:11:42,960
+ايه من ال dead space لكن لو العكس صار عندي انا
+
+998
+01:11:42,960 --> 01:11:47,440
+بجسم zero على اشي بيطلع ليه zero لما بيطلع على اشي
+
+999
+01:11:47,440 --> 01:11:49,900
+zero او اقل من واحد معناه ان انا بخش فيه ان في
+
+1000
+01:11:49,900 --> 01:11:53,860
+عندي ايه ده chance مش كده يعني دم كتير مش لاجوا
+
+1001
+01:11:53,860 --> 01:11:57,580
+سجين ماهي الفرق بينهم اعتقد من هنا لنهاية المخادرة
+
+1002
+01:11:57,580 --> 01:12:00,220
+هي نفس الكلام اللي بدي اقوله و كده ممكن خلصنا
+
+1003
+01:12:00,220 --> 01:12:03,640
+الموضوع كله يطول يعطيكوا العافية و انا ماكنش
+
+1004
+01:12:03,640 --> 01:12:04,300
+متواجع اقوله
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/oiH17SV-aiU.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/oiH17SV-aiU.srt
new file mode 100644
index 0000000000000000000000000000000000000000..12201471af27ce618932abbdee6854cb144817f7
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/oiH17SV-aiU.srt
@@ -0,0 +1,1445 @@
+1
+00:00:05,900 --> 00:00:10,300
+عملية التهوية اللي بالرئة أو وصول الهواء إلى الرئة
+
+2
+00:00:10,300 --> 00:00:14,920
+مرحلة من المراحل وصوله إلى الدم هذه عملية
+
+3
+00:00:14,920 --> 00:00:19,960
+ميكانيكية هذه كت بالرئة عملية الـ ventilation اليوم
+
+4
+00:00:19,960 --> 00:00:24,560
+بنواصل الحديث و بنتكلم عن جهاز اسمه spirometer
+
+5
+00:00:24,560 --> 00:00:29,900
+وهذا الجهاز من خلاله بنعمل بعض القياسات اللي ممكن
+
+6
+00:00:29,900 --> 00:00:34,360
+تدينا فكرة كويسة عن الرئتين وشغل الرئتين أعتقد أنه
+
+7
+00:00:34,360 --> 00:00:40,040
+أخذته في العمل، أخذتوها ولا لا؟ آه، طب إذا أنتم هتاخذوه
+
+8
+00:00:40,040 --> 00:00:42,660
+لذلك في بعض الأشياء عمّا عنها بالتفصيل وأنتم هتاخذوها
+
+9
+00:00:42,660 --> 00:00:45,960
+بالتفصيل وهتاخذوا الجهاز، حقيقة أن أنتم بالتفصيل
+
+10
+00:00:45,960 --> 00:00:49,880
+في المساكن العملية والفصل هذا، يعني الفصل هذا
+
+11
+00:00:49,880 --> 00:00:55,780
+أنتم هتاخذوا الـ spirometer عبارة عن جهاز يتكون من
+
+12
+00:00:55,780 --> 00:01:04,390
+هنا drum بالمقلوب موجودة، موجودة في وعاء مليء بالمياه
+
+13
+00:01:04,390 --> 00:01:08,610
+هذه الـ drum ممكن تتحرك تطلع وتنزل، هذا الـ drum هذا
+
+14
+00:01:08,610 --> 00:01:15,890
+container ممكن تطلع وتنزل على مسار مشبوك فيه سهم
+
+15
+00:01:15,890 --> 00:01:21,190
+الـ drum بتلف والسهم هذا بيعلم حسب حركة إيه؟ الـ
+
+16
+00:01:21,190 --> 00:01:25,650
+container هذا اللي هو المقلوب، هذا container فيه هواء
+
+17
+00:01:25,650 --> 00:01:30,410
+إحنا ممكن هذا الهواء نسحبه من الـ container هذا
+
+18
+00:01:30,410 --> 00:01:33,770
+لما بيجي الهواء إيش بيصير في الـ container؟
+
+19
+00:01:33,770 --> 00:01:39,170
+هذا بيهبط لتحت، تمام. الـ oxygen chamber بقى بيصير إزا
+
+20
+00:01:39,170 --> 00:01:43,710
+إذا سحبنا منه هواء بيهبط لتحت، إذا رجعنا له هواء يبقى
+
+21
+00:01:43,710 --> 00:01:48,350
+على اللي فوق، عامل أمور بطريقة balanced بحيث يظل
+
+22
+00:01:48,350 --> 00:01:52,470
+الميزان، يعني أنا في عندي counter balance عشان إيه؟
+
+23
+00:01:52,470 --> 00:01:56,660
+بلاش الهواء هو اللي يحمل الـ chamber وينزلها
+
+24
+00:01:56,660 --> 00:02:01,300
+بوزنها كله، فمعمول الـ balance بحيث أن أقل قوة
+
+25
+00:02:01,300 --> 00:02:07,260
+تزيدها تتحرك، وأقل قوة تسحبها تشفطها تنزل الـ drum
+
+26
+00:02:07,260 --> 00:02:11,480
+هذه بتلف باستمرار، فأي حركة في السهم بما أنها
+
+27
+00:02:11,480 --> 00:02:16,140
+بتلف بتسجل في نقطة جديدة، فبدأنا الـ curve اللي هو
+
+28
+00:02:16,140 --> 00:02:22,740
+إيه؟ موجودة سميناها Spirogram، إيش سميناها؟ Spirogram
+
+29
+00:02:22,740 --> 00:02:27,830
+Spirogram هذا لو طلعنا عليه إحنا هنلاقي، ممكن
+
+30
+00:02:27,830 --> 00:02:31,650
+نلاقي فيه components مختلفة، ممكن نلاقي التنفس
+
+31
+00:02:31,650 --> 00:02:35,630
+الطبيعي، العادي، الـ inspiration والـ expiration
+
+32
+00:02:35,630 --> 00:02:41,490
+الطبيعي هذا، لوجدنا أنه إحنا بناخد مع التنفس الطبيعي
+
+33
+00:02:41,490 --> 00:02:49,240
+تقريبا نص لتر، خمسمئة ملي لتر في النفس، آه، ومن عدها
+
+34
+00:02:49,240 --> 00:02:54,280
+نطلعهم ويدخلوا ويطلعوا، فأشبه بالمد والجزر، الـ
+
+35
+00:02:54,280 --> 00:02:57,480
+inspiration والـ expiration لذلك سموهم الـ tidal
+
+36
+00:02:57,480 --> 00:03:04,540
+volume، tidal volume، الـ tidal volume هذا ممكن أنا
+
+37
+00:03:04,540 --> 00:03:09,420
+بعد ما آخذ آخذ نفس إضافي له سمينا inspiratory
+
+38
+00:03:09,420 --> 00:03:13,980
+reserve volume، في عندي قدرة أن أنا آخذ نفس أكثر لكن
+
+39
+00:03:13,980 --> 00:03:19,840
+أنا مش ماخذه، لكن موجود احتياط لو لزمني more oxygen
+
+40
+00:03:19,840 --> 00:03:26,200
+more air، عندي efforts أكثر ببدلها، ممكن آخذ reserve
+
+41
+00:03:26,200 --> 00:03:29,720
+volume، محطوط احتياط، وممكن آخذ أكثر فسمينا
+
+42
+00:03:29,720 --> 00:03:33,020
+inspiratory reserve volume هذا لحاله ثلاثة liter
+
+43
+00:03:33,020 --> 00:03:36,460
+يعني لما آخذه هذا مع هذا بيصير ثلاثة liter ونص
+
+44
+00:03:36,460 --> 00:03:42,100
+تمام؟ لوجدنا إنه بعد أنا النفس اللي بطلعه بقدر كمان
+
+45
+00:03:42,100 --> 00:03:47,200
+أطلع نفس إضافي سمينا expiratory reserve volume
+
+46
+00:03:47,200 --> 00:03:51,680
+بعد ما أطلع نفسي النهائي هذا أنا expiratory
+
+47
+00:03:51,680 --> 00:03:55,860
+reserve volume، أقصى ما عندي، بنكتشف إنه لازم فيه
+
+48
+00:03:55,860 --> 00:04:00,940
+فرق شوية هواء لا نستطيع أن نخرجه نهائيا سمينا the
+
+49
+00:04:00,940 --> 00:04:06,140
+residual volume، تمام؟ residual volume، إذا في جزء
+
+50
+00:04:06,140 --> 00:04:10,530
+من الهواء اللي بيظل، فرقا مهما أنت تضغط وتعمل
+
+51
+00:04:10,530 --> 00:04:14,950
+وتسوي ما بتقدرش تطلع، إذا صار عندي أربعة volumes
+
+52
+00:04:14,950 --> 00:04:21,210
+هدول لو عملنا الاربعة volumes هدول اللي هم جمع
+
+53
+00:04:21,210 --> 00:04:25,810
+وطرح هنطلع capacities، يعني الـ volume لحالها الأربعة
+
+54
+00:04:25,810 --> 00:04:28,630
+واحدة من الأربعة هدول اللي بنشوفهم بالـ بالـ
+
+55
+00:04:28,630 --> 00:04:33,730
+spirometer لكن لو ضفنا مثلا الـ الـ inspiratory
+
+56
+00:04:33,730 --> 00:04:38,840
+هذه على الـ tidal، على الـ inspiratory reserve
+
+57
+00:04:38,840 --> 00:04:42,700
+بيسموها الـ inspiratory capacity لأن الـ tidal زائد
+
+58
+00:04:42,700 --> 00:04:48,520
+إضافة تبعها، لو أضفنا الـ inspiratory capacity هذه
+
+59
+00:04:48,520 --> 00:04:51,520
+يعني الـ inspiratory reserve volume زائد الـ tidal
+
+60
+00:04:51,520 --> 00:04:56,080
+زائد الـ reserve inspiratory reserve، يعني كل الهواء
+
+61
+00:04:56,080 --> 00:04:59,220
+اللي أنا أقدر أتحكم فيه بيسمّيه الـ vital capacity
+
+62
+00:04:59,830 --> 00:05:03,330
+ليش؟ لأن هذه اللي أنا بلعب فيها من أولها لآخرها
+
+63
+00:05:03,330 --> 00:05:07,550
+بقدر أتحكم فيها ما عدا الـ residual
+
+64
+00:05:07,550 --> 00:05:12,270
+volume، أنا ما بقدرش أتحكم فيه، ما هوّاش vital capacity
+
+65
+00:05:12,270 --> 00:05:15,450
+طب لو بدنا نضيف الـ residual volume للـ vital
+
+66
+00:05:15,450 --> 00:05:19,130
+capacity لها، المجموع هذا سميناها الـ lung capacity
+
+67
+00:05:19,130 --> 00:05:23,110
+الـ total capacity of the lung، تمام؟ سميناها إيه؟ الـ
+
+68
+00:05:23,110 --> 00:05:29,940
+lung، الـ total lung capacity، تمام؟ طيب، لو شوفنا
+
+69
+00:05:29,940 --> 00:05:35,200
+الأرقام نلاقي إحنا عندنا قولنا هنا خمسمئة، ألف هنا
+
+70
+00:05:35,200 --> 00:05:38,600
+ثلاثة، ثلاثة، لوجدنا الـ expiratory reserve volume هذا
+
+71
+00:05:38,600 --> 00:05:43,420
+ألف وميت ملي لتر، الـ residual volume لوجدنا ألف
+
+72
+00:05:43,420 --> 00:05:48,360
+وميتين ملي لتر، طيب إحنا وقع الأمر وإحنا بنتنفس
+
+73
+00:05:48,360 --> 00:05:51,960
+طبيعي وإحنا بنتنفس طبيعي ووقع الأمر إنه عندنا
+
+74
+00:05:51,960 --> 00:05:55,460
+residual volume جزئين، جزء الـ residual volume
+
+75
+00:05:55,460 --> 00:05:59,240
+الحقيقي اللي أنا ما أقدرش أتحكم فيه، وجزء الـ residual
+
+76
+00:05:59,240 --> 00:06:02,440
+volume اللي أنا بقدر أطلعه، بس يساويه residual
+
+77
+00:06:02,440 --> 00:06:08,460
+exploratory reserve volume، تمام، الـ exploratory
+
+78
+00:06:08,460 --> 00:06:11,200
+reserve volume أنا بالعادة ما بلعبش فيه، يساويه فهو
+
+79
+00:06:11,200 --> 00:06:14,640
+موجود أساسا، كمان residual volume، هتسمّيه الـ
+
+80
+00:06:14,640 --> 00:06:18,220
+functional residual volume، إذن الاثنين هدول سميناهم
+
+81
+00:06:18,220 --> 00:06:22,280
+functional residual volume، وهدول مهمين لأن واقع
+
+82
+00:06:22,280 --> 00:06:26,600
+الأمر هدول الاثنين، residual volume الحقيقي والـ
+
+83
+00:06:28,330 --> 00:06:30,690
+وExpiratory Reserve Volume اللي هو الـ Functional
+
+84
+00:06:30,690 --> 00:06:34,710
+Reserve Volume، هدول حقيقة عبارة عن هو وجود داخل الـ
+
+85
+00:06:34,710 --> 00:06:40,930
+إيه؟ داخل الرئتين، أنا بتم تبدل الغازات من خلاله
+
+86
+00:06:40,930 --> 00:06:45,570
+وأنا، وبعدين قيمته جديش، تلاحظوا، 1200 و 1100،
+
+87
+00:06:45,570 --> 00:06:52,970
+2300 ملي لتر، 2300 ملي لتر، النفس تبعي أنا 500 طالع
+
+88
+00:06:52,970 --> 00:06:58,110
+لـ 500 نازل، يعني وقع الأمر إني بأجي بأخلط 500
+
+89
+00:06:58,110 --> 00:07:04,910
+ملي لتر لـ 2300، هدول لـ 2300، قعدتكم هتكتشفوا إنهم مش
+
+90
+00:07:04,910 --> 00:07:08,310
+500 اللي بأخلطهم، أجل شوية، لكن نفترض الآن حتى
+
+91
+00:07:08,310 --> 00:07:13,950
+مفهومنا الآن للموضوع إن في عندي كمية موجودة، أشبه
+
+92
+00:07:13,950 --> 00:07:17,950
+بالبرميل تبع الـ Compressor، بأضيف عليه شوية وبآخذ
+
+93
+00:07:17,950 --> 00:07:22,570
+شوية، بس أنا الكمية اللي بأضيفها مش كل الموجود، ولا
+
+94
+00:07:22,570 --> 00:07:25,490
+الكمية اللي بأخذها كل الموجود، أنا عندي كمية كبيرة
+
+95
+00:07:25,490 --> 00:07:29,990
+بآخذ منه باستمرار وبُعطيه باستمرار، تمام؟ وذلك
+
+96
+00:07:29,990 --> 00:07:34,070
+هذه لها فائدة إنه أنا التغير اللي بيصير في نفسي
+
+97
+00:07:34,070 --> 00:07:38,250
+السريع ما ينعكس على إيه؟ على عملية النفس نفسها
+
+98
+00:07:38,250 --> 00:07:42,770
+تمام؟ يعني لو كتمت نفسي شوية ما دخلتش هواء، مش مشكلة
+
+99
+00:07:42,770 --> 00:07:46,130
+لأن تبادل الغازات بتم من الهواء اللي أنا بأخذه
+
+100
+00:07:46,130 --> 00:07:48,910
+الجديد، بتم من الهواء اللي already موجود فين؟
+
+101
+00:07:48,910 --> 00:07:53,650
+في الـ reserve volume اللي هو الـ residual volume
+
+102
+00:07:53,650 --> 00:07:57,890
+functional residual volume، أنا دائما بأغذيه بـ
+
+103
+00:07:57,890 --> 00:08:01,350
+oxygen من هواء جديد وبسحب منه carbon dioxide من
+
+104
+00:08:01,350 --> 00:08:08,110
+الهواء اللي إيه؟ expired اللي بطلعه باستمرار، تمام؟ طيب
+
+105
+00:08:08,110 --> 00:08:14,540
+أنا قلت لكم إن حقيقة الأمر هو الـ 2300 بأضيف لها 500
+
+106
+00:08:14,540 --> 00:08:20,260
+وبأصحب منها 500، هو أنا بأضيف لها هواء جديد مش 500
+
+107
+00:08:20,260 --> 00:08:28,400
+بأضيف لها هواء جديد 350 milliliter وبأخذ منها واقعا
+
+108
+00:08:28,400 --> 00:08:34,860
+كل مرة 350، ليش؟ لأن في عندي أنا من بداية الأنف
+
+109
+00:08:34,860 --> 00:08:38,160
+لأول ما أصل تقريبا المنطقة اللي بيصير فيها تبادل
+
+110
+00:08:38,160 --> 00:08:42,690
+الغازات، التراكيب والـ larynx والكلام هذا
+
+111
+00:08:42,690 --> 00:08:48,190
+والبرونكولز الرئيسية، ما بيصير فيها تبادل غازات،
+
+112
+00:08:48,190 --> 00:08:53,510
+مظبوط؟ فإذا هذا هو دخل وظل كما هو، ولما طلع، طلع
+
+113
+00:08:53,510 --> 00:08:57,010
+هو زي ما هو، لم يُقف منه أكسجين ولم يُضف عليه ثاني أكسيد
+
+114
+00:08:57,010 --> 00:09:00,830
+الكربون، هذا الجزء الأولاني من النفس سميناه هنا في
+
+115
+00:09:00,830 --> 00:09:06,510
+dead space، في هذا إيش بيسموه؟ dead space، يعني جزء
+
+116
+00:09:07,440 --> 00:09:13,180
+عادي، عدى الهواء فيه لكن أنا لم أستفد منه لأن هو
+
+117
+00:09:13,180 --> 00:09:18,540
+الهواء وصل للرئتين لكن من عند بداية الرئتين للأنف
+
+118
+00:09:18,540 --> 00:09:23,120
+عندها، إنها دي المنطقة كلها دخل فيها الهواء، تمام، وما
+
+119
+00:09:23,120 --> 00:09:28,260
+استفدناش منها فسميناها إيش؟ dead space، okay، فرق
+
+120
+00:09:28,260 --> 00:09:31,260
+موجود لكن لم يتم الاستفادة منه عن طريق تبادل الغازات
+
+121
+00:09:31,990 --> 00:09:35,430
+طيب هذا سمّيناه anatomical dead space، anatomical
+
+122
+00:09:35,430 --> 00:09:40,310
+dead space، ليش؟ لأنه ممكن يكون في عندي functional
+
+123
+00:09:40,310 --> 00:09:44,590
+أو physiological dead space، كيف يعني؟ anatomical
+
+124
+00:09:44,590 --> 00:09:47,670
+هذا dead space لو حسبناه وهنتعلم كيف نحسبه
+
+125
+00:09:47,670 --> 00:09:55,270
+هنلاقيه 150 ملي لتر، وإذا الـ tidal volume 500 لما
+
+126
+00:09:55,270 --> 00:09:59,530
+يروح منه 150 بدون استفادة، dead space معناه أنا
+
+127
+00:09:59,530 --> 00:10:04,190
+بعمل تبادل حقيقي، بوصل للرئتين للـ للـ بأخلط
+
+128
+00:10:04,190 --> 00:10:09,910
+مع الـ functional residual volume فقط 350، مظبوط؟
+
+129
+00:10:09,910 --> 00:10:14,170
+آه، إذا عندي هنا هذا الـ الـ الـ 150 milliliter
+
+130
+00:10:14,170 --> 00:10:18,410
+هدول anatomical، حسب إنه مش ممكن يتم فيهم تبادل
+
+131
+00:10:18,410 --> 00:10:23,180
+أصلا، ربنا خلقهم، لكن ممكن حاجات إضافية تنضاف للـ
+
+132
+00:10:23,180 --> 00:10:28,340
+dead space، مناطق أخرى يدخلها الهواء لكن لا يتم
+
+133
+00:10:28,340 --> 00:10:34,400
+فيها تبدل الغازات، منطقة فيها الـ ischemia، المنطقة
+
+134
+00:10:34,400 --> 00:10:39,100
+من الرئة مش واصلها دم، الهواء بيصلها صحيح وبيطلع
+
+135
+00:10:39,100 --> 00:10:44,340
+منها بس بدون إيه؟ بدون تبدل، هذي بتنضاف لمين؟ للـ
+
+136
+00:10:44,340 --> 00:10:48,550
+dead space، لأنها دخلت وطلعت بدون تبدل، هذه المنطقة
+
+137
+00:10:48,550 --> 00:10:52,470
+إذا سميناها physiological dead space، إذا لما نضيف
+
+138
+00:10:52,470 --> 00:10:56,790
+الـ anatomical على الجزء الإضافي سمينا بعضه الـ الـ
+
+139
+00:10:56,790 --> 00:10:59,590
+الـ الـ dead space الحقيقي، الوظيفي، لكن
+
+140
+00:10:59,590 --> 00:11:03,230
+anatomically هو بس هذا، لكن حقيقة لا في عندي كمان
+
+141
+00:11:03,230 --> 00:11:08,530
+إضافات سميناها physiological dead space، تمام؟ إذا
+
+142
+00:11:08,530 --> 00:11:13,530
+الـ volumes هذه اللي اتكلمنا عنها إحنا ممكن نخلط لها
+
+143
+00:11:13,530 --> 00:11:22,480
+بعض الأشياء وتصير مجموعات أخرى من الـ capacities، الـ
+
+144
+00:11:22,480 --> 00:11:24,760
+vital capacity بدنا نجمع إيش وإيش في الـ vital
+
+145
+00:11:24,760 --> 00:11:30,340
+capacity؟ الـ expiratory والـ tidal والـ inspiratory
+
+146
+00:11:30,340 --> 00:11:33,580
+reserve، يعني ثلاثة آلاف وخمسماية زائد ألف وميتة
+
+147
+00:11:33,580 --> 00:11:38,780
+انتشر وطلعوا أربعة آلاف وستماية، تمام؟ أربعة آلاف
+
+148
+00:11:38,780 --> 00:11:41,800
+وستماية milliliter، الـ Total Lung Capacity بيظهر
+
+149
+00:11:41,800 --> 00:11:44,880
+عليهم الـ 1200 اللي هو الـ Residual Volume
+
+150
+00:11:44,880 --> 00:11:50,740
+1200، بيظهر 5800، مش هيك؟ اللي هو الـ Total Lung
+
+151
+00:11:50,740 --> 00:11:56,460
+Capacity، طيب هذا in general، إحنا قولنا في
+
+152
+00:11:56,460 --> 00:12:02,000
+الفيسيولوجيا إنّا بنتكلم عن adult male وزنه 70
+
+153
+00:12:02,000 --> 00:12:09,280
+كيلو، طيب الـ female أقل شوية لأن طبيعي الجسم أقل
+
+154
+00:12:09,280 --> 00:12:13,700
+وزنا، أقل جسمه شوية فهي مش محتاجة اللي هو نفسه الـ
+
+155
+00:12:13,700 --> 00:12:18,680
+title تبع الراجل، محتاجة إيه؟ أقل شوية منه، فلذلك
+
+156
+00:12:18,680 --> 00:12:23,220
+بيقولوا من عشرين في المئة أقل بتكون أرقام أما تخص
+
+157
+00:12:23,220 --> 00:12:29,460
+البنات للنساء، abbreviations هذه مش مشكلة تتعلموها
+
+158
+00:12:29,460 --> 00:12:38,250
+vital capacity، inspiratory volume، الـ tidal volume،
+
+159
+00:12:38,250 --> 00:12:41,830
+الـ expiratory reserve، يعني مختصرات، ما هيش
+
+160
+00:12:41,830 --> 00:12:45,990
+قيمة كبيرة، لكن النقطة المهمة اللي أنا شايفها في
+
+161
+00:12:45,990 --> 00:12:49,650
+عينيكم، طب كيف إحنا بنجيّس الـ tidal volume من الـ
+
+162
+00:12:49,650 --> 00:12:54,330
+spirometer؟ قولنا، قسنا فيه الأرقام التانية، طب اللي
+
+163
+00:12:54,330 --> 00:12:56,990
+ما قدرناش نقيسه هذا، قولنا على الدكتورة اسمه
+
+164
+00:12:56,990 --> 00:13:02,110
+residual volume وقولنا قيمته، هالجديش اسم ذلك قل
+
+165
+00:13:02,110 --> 00:13:06,570
+هاتو برهانكم برضه، بس بنقيسه عن طريق مين؟ الـ
+
+166
+00:13:06,570 --> 00:13:10,250
+spirometer، بس بطريقة indirect مش بطريقة direct
+
+167
+00:13:10,250 --> 00:13:14,670
+يعني بيبقى شوية calculations وحسابات، كيف يعني؟
+
+168
+00:13:14,670 --> 00:13:19,130
+يعني بده أحط مادة في الـ، هي المعادلة اللي أنا
+
+169
+00:13:19,130 --> 00:13:23,290
+جبت لكم فيها زمان، معادلة حساب الـ GFR، الـ glomerular
+
+170
+00:13:23,290 --> 00:13:26,300
+filtration rate، هنبقى نستخدمها، هنضل نستخدمها
+
+171
+00:13:26,300 --> 00:13:29,580
+evolution theory هذه، حاجة من التركيز معين، بعدين
+
+172
+00:13:29,580 --> 00:13:33,380
+
+223
+00:17:29,570 --> 00:17:31,850
+مش ماخذين بالكم أنكم تنفسوا اثنتي عشرة مرة في الدقيقة
+
+224
+00:17:32,460 --> 00:17:35,700
+أنتم تتكلمون وتأكلون وتشربون وتتحدثون ولا
+
+225
+00:17:35,700 --> 00:17:39,720
+معكم خبر أن النفس إليه أيه؟ إليه دار لأن النفس
+
+226
+00:17:39,720 --> 00:17:44,080
+بيستغل الأيه؟ الوقفات والنزالات من غير ما تحسوا
+
+227
+00:17:44,080 --> 00:17:48,200
+فيه وهذا من فضل ربنا أنه بتحسوش بالنفس هو طالع هو
+
+228
+00:17:48,200 --> 00:17:54,520
+نازل لو لا سمح الله واحدة منكن أصيبت بالربو هتحس
+
+229
+00:17:54,520 --> 00:17:59,030
+المشكلة الكبرى أنه هي بتحس الهواء وهو طالع دا كل هو
+
+230
+00:17:59,030 --> 00:18:04,010
+طالع مش عارف الواحد ينام لأن الهواء محسوس في
+
+231
+00:18:04,010 --> 00:18:08,410
+الداخل والخارج،  الهواء محسوس في الطلعة هذا مزعج لكن احنا
+
+232
+00:18:08,410 --> 00:18:11,790
+دي نكون مش حاسين لا بدخول ولا بطلوع ولا جديش ولا
+
+233
+00:18:11,790 --> 00:18:17,290
+أرقع تمام؟ لو أحد أخذ تجربة الـ bronchial أزمة دي
+
+234
+00:18:17,290 --> 00:18:23,530
+مرة عدت في حياته التهاب رئوي some sort of asthmatic
+
+235
+00:18:23,530 --> 00:18:27,850
+bronchitis وصار يحس بالهواء بيعرف قداش قيمة أن أنا
+
+236
+00:18:27,850 --> 00:18:32,730
+بتنفس الهواء ومش باخد بالي منه لأنه هو بيصير يعد
+
+237
+00:18:32,730 --> 00:18:38,090
+لوحده أين الهواء وصل الهواء دخل الهواء طلع طول
+
+238
+00:18:38,090 --> 00:18:42,830
+الليل هو صاحي مسكين يعد الهواء دخل وطلع نفسه ينسى
+
+239
+00:18:42,830 --> 00:18:48,650
+الموضوع هذا ما يحسوش ما يحسوش به في صدره يعني مش قصة
+
+240
+00:18:48,650 --> 00:18:52,410
+أنه أنا انتبهت للتنفس وصرت أحس أن الهواء بيخش تمي
+
+241
+00:18:52,410 --> 00:18:58,310
+لأ الهواء بيخش صدري فنفس الواحد أنه يقدر يتخلى
+
+242
+00:18:58,310 --> 00:19:02,310
+عنها دي بأي ثمن أنه يحس أن الهواء كيف داخل لأنه
+
+243
+00:19:02,310 --> 00:19:05,830
+بيعمل irritation لمجموعة كبيرة من الأعصاب أنت في
+
+244
+00:19:05,830 --> 00:19:09,830
+الأول مش حاسس فيها بس الآن صرت حاسس فيها مشكلة
+
+245
+00:19:09,830 --> 00:19:15,450
+كبيرة إذا respiratory minute respiratory volume
+
+246
+00:19:15,450 --> 00:19:23,240
+نضرب الـ tidal في إيش في الـ respiratory rate اللي
+
+247
+00:19:23,240 --> 00:19:27,860
+هو في العدد اثنتي عشرة يعني اثنتي عشرة في نصف لتر يعني ستة
+
+248
+00:19:27,860 --> 00:19:35,460
+لتر مش كده أنه هذا أكبر من الستة
+
+249
+00:19:35,460 --> 00:19:42,180
+لتر per minute هذا الكلام قلنا ليه عشان نعرف أنه
+
+250
+00:19:42,180 --> 00:19:48,240
+احنا إذا وصلنا لمرحلة أن الـ minute respiratory
+
+251
+00:19:48,240 --> 00:19:54,760
+volume كان لتر ونصف فما أقل معناه عندي تنفس بطيء
+
+252
+00:19:54,760 --> 00:19:58,800
+من اثنين إلى أربعة breathe per minute معناه
+
+253
+00:19:58,800 --> 00:20:03,160
+أنا ما أقدرش أعيش إلا أيه؟ إلا دقائق معدودة very
+
+254
+00:20:03,160 --> 00:20:08,540
+short period لأن لتر ونصف بطيء فيه إلا أقل حاجات
+
+255
+00:20:08,540 --> 00:20:13,640
+للجسم معناه أني بنزل الـ rate of respiration
+
+256
+00:20:13,640 --> 00:20:17,940
+لإصابة لكده بتنفس شوية شوية شوية بعدين يتوقف النفس
+
+257
+00:20:17,940 --> 00:20:23,820
+ودائما القلب يتوقف بعد توقف النفس بخمس دقائق يعني
+
+258
+00:20:23,820 --> 00:20:29,580
+القلب بيضال beating بعد الـ respiratory عن التنفس
+
+259
+00:20:29,580 --> 00:20:33,300
+ال
+
+260
+00:20:33,300 --> 00:20:37,980
+rate of respiratory occasionally rises to 40 to 50
+
+261
+00:20:37,980 --> 00:20:48,710
+per minute في الحالة دي الـ tidal volume can
+
+262
+00:20:48,710 --> 00:20:57,030
+be as great as vital capacity about
+
+263
+00:20:57,030 --> 00:21:01,750
+4600 milliliter يعني أنا هدول الـ reserve ..
+
+264
+00:21:01,750 --> 00:21:06,710
+reserve أو الـ expiratory reserve والـ inspiratory
+
+265
+00:21:06,710 --> 00:21:12,480
+reserve بعض الأحيان لما أنا بعمل مجهود كبير الـ
+
+266
+00:21:12,480 --> 00:21:17,260
+tidal volume نفسه بيكبر بصير أنا باخد نفس عميق و
+
+267
+00:21:17,260 --> 00:21:24,060
+بطلع هواء ايه عميق تمام هذه أيه ممكن يصل الإنسان
+
+268
+00:21:24,060 --> 00:21:27,140
+أن كل الـ vital .. ليش تسميها vital capacity؟ ممكن
+
+269
+00:21:27,140 --> 00:21:31,220
+كل الـ vital capacity هستخدمها كـ tidal volume ليش؟
+
+270
+00:21:31,220 --> 00:21:34,280
+لأنها اختيارت  للـ expiration واختيارت للـ
+
+271
+00:21:34,280 --> 00:21:40,610
+inspiration فإذا أنا واجهت الأزمة ما أستخدمتها تمام؟
+
+272
+00:21:40,610 --> 00:21:44,770
+عند الحاجة عراي عباس عارفينه عباس؟ طب أحمد مطهر
+
+273
+00:21:44,770 --> 00:21:50,450
+لماذا تشحن سيفك يا عباس؟ قلت له قل الحاجة ولسه
+
+274
+00:21:50,450 --> 00:21:54,170
+الحاجة ما عيشتش لأن الحاجة إحنا نستطيع استخدام
+
+275
+00:21:54,170 --> 00:21:58,470
+الـ inspiratory والـ expiratory بنضل الـ volume يخش
+
+276
+00:21:58,470 --> 00:22:01,030
+شوية على الـ inspiratory و يخش شوية على الـ expiratory على
+
+277
+00:22:01,030 --> 00:22:05,410
+الـ expiratory تمام حسب حاجة الأيه الواحد كان ده
+
+278
+00:22:05,410 --> 00:22:09,330
+وسع وسع وسع وسع كل ما أنت عايز أكتر كل ما دخلنا
+
+279
+00:22:09,330 --> 00:22:13,230
+على الأيه؟ مش بتدخل إراديا لا إراديا بتصير أنت
+
+280
+00:22:13,230 --> 00:22:16,030
+لوحدك الـ tidal volume يكبر يتسع في اتجاه الـ
+
+281
+00:22:16,030 --> 00:22:19,730
+expiration يتسع في اتجاه الـ expiration ممكن تصل
+
+282
+00:22:19,730 --> 00:22:24,150
+لمرحلة من الجهود والحاجة له أن أنت أخذته كله في
+
+283
+00:22:24,150 --> 00:22:27,950
+الـ inspiration والـ expiration صار هو كله الـ vital
+
+284
+00:22:27,950 --> 00:22:35,940
+capacity صار هي الـ tidal volume طيب ماعليش أنا كلام
+
+285
+00:22:35,940 --> 00:22:39,700
+حاسب أقول قدرة أيه؟ الرئتين هدول the alveolar
+
+286
+00:22:39,700 --> 00:22:43,680
+ventilation هه تمام the alveolar ventilation أنا
+
+287
+00:22:43,680 --> 00:22:50,880
+بدأت أتكلم عنه وقلنا إنه أن مش كل الرئتين بيصير
+
+288
+00:22:50,880 --> 00:22:54,280
+فيه تبادل غازات، مظبوط؟ وقلنا فيه جزء ما بيسميه
+
+289
+00:22:54,280 --> 00:22:59,300
+dead space طب وين بيتم تبادل الغازات؟ المنطقة وين؟
+
+290
+00:23:00,000 --> 00:23:02,440
+في الـ alveoli أنا كنت زيكم بظن أنها بس في الـ
+
+291
+00:23:02,440 --> 00:23:06,060
+alveoli ولو بس في الـ alveoli كان ماحطناش موضوع
+
+292
+00:23:06,060 --> 00:23:09,180
+كبير اسمه alveolar ventilation كان قلنا in alveoli
+
+293
+00:23:09,180 --> 00:23:12,620
+وكلنا عارفين أن نمشي عنها بس تبين أنه لأ مش بس الـ
+
+294
+00:23:12,620 --> 00:23:18,440
+alveoli لأ الـ alveoli مجموعة alveoli مع بعض
+
+295
+00:23:18,440 --> 00:23:23,250
+بيعملوا alveolar sac والـ alveolar sac اللي هو
+
+296
+00:23:23,250 --> 00:23:28,690
+alveolar duct والـ alveolar ducts المجموعة
+
+297
+00:23:28,690 --> 00:23:32,890
+المختلفة من الـ alveolar ducts بتشبك في respiratory
+
+298
+00:23:32,890 --> 00:23:37,830
+bronchiole آه respiratory bronchiole الـ
+
+299
+00:23:37,830 --> 00:23:40,750
+respiratory bronchiole المختلفة بتشبك في terminal
+
+300
+00:23:40,750 --> 00:23:44,490
+bronchiole تمام؟ إذا لحد الـ terminal bronchiole
+
+301
+00:23:44,490 --> 00:23:47,670
+ما بصيرش إيش؟ تبادل غازات مابعد الـ terminal
+
+302
+00:23:47,670 --> 00:23:51,110
+bronchiole بصير عندنا إيه؟ تبادل غازات لو بسمع
+
+303
+00:23:51,110 --> 00:23:51,590
+بِشمل
+
+304
+00:23:57,440 --> 00:24:01,940
+اللي موجودة في الكتاب صعبة شوية عشان تفهموها لكن
+
+305
+00:24:01,940 --> 00:24:06,100
+هنا إذا نقدر نميز هي الـ alveoli الصغيرة هذه تمام
+
+306
+00:24:06,100 --> 00:24:09,280
+وفي الوسط بيجمع الـ alveoli مع بعض هذا البعض اسمه
+
+307
+00:24:09,280 --> 00:24:14,260
+alveolar sac وهذا الفيولر بسيط بيفتح على أيه؟
+
+308
+00:24:14,260 --> 00:24:19,400
+الـ alveolar duct والـ alveolar duct هادي وهادي وهادي و
+
+309
+00:24:19,400 --> 00:24:24,520
+أختها من كل اتجاهات بيفتح على respiratory bronchiole
+
+310
+00:24:24,520 --> 00:24:29,600
+مجموعة respiratory bronchiole بيفتحوا bronchiole إضافية
+
+311
+00:24:29,600 --> 00:24:35,480
+بنسميها terminal bronchiole إذا منها تمام وهيك
+
+312
+00:24:35,480 --> 00:24:41,690
+بيصير تبادل غازات لكن إحنا سميناها مجازا
+
+313
+00:24:41,690 --> 00:24:45,410
+الـ alveolar ventilation عشان إحنا الاعتقاد عندنا
+
+314
+00:24:45,410 --> 00:24:48,310
+أن الـ ventilation بيصير في الأيه؟ في الـ alveoli
+
+315
+00:24:48,310 --> 00:24:51,990
+فقلنا الـ alveolar ventilation وين حدوده؟ بالشكل
+
+316
+00:24:51,990 --> 00:24:56,650
+اللي إحنا بتكلم عنه قاعدينه الـ dead space أنا
+
+317
+00:24:56,650 --> 00:24:59,870
+تكلمت عنه قلنا فيه أنه anatomical dead space و
+
+318
+00:24:59,870 --> 00:25:02,210
+physiological dead space لكن السؤال أنا كيف ممكن
+
+319
+00:25:02,210 --> 00:25:07,760
+أعرف الـ dead space هذا؟ كيف ممكن إيش؟ أجيبه يعني
+
+320
+00:25:07,760 --> 00:25:11,560
+أجدّه أنا عندي الـ space الـ anatomical الـ
+
+321
+00:25:11,560 --> 00:25:19,180
+physiological لأ واضح أنه أنا لما بقى أتنفس بعمل
+
+322
+00:25:19,180 --> 00:25:23,220
+expiration الجزء الأول اللي بطلع اللي هو يساوي
+
+323
+00:25:23,220 --> 00:25:26,480
+تركيز وتركيب الهواء الطبيعي يعني هذا الـ
+
+324
+00:25:26,480 --> 00:25:34,480
+space هو التركيز يتغير ويصير عندي
+
+325
+00:25:37,050 --> 00:25:41,010
+التركيبات بتتغير عن الهواء الطبيعية إذا إحنا لو
+
+326
+00:25:41,010 --> 00:25:47,570
+دخلنا في مين؟ في الـ alveolar sac أو الـ alveolar
+
+327
+00:25:47,570 --> 00:25:52,790
+هذه
+
+328
+00:25:52,790 --> 00:25:58,370
+المنطقة اللي .. نقول the area of alveoli يعني اللي
+
+329
+00:25:58,370 --> 00:26:02,570
+هو الـ alveolar أيه؟ space الـ alveolar space أو اسمه
+
+330
+00:26:04,530 --> 00:26:08,630
+respiratory space الـ respiratory space هذا اللي هو
+
+331
+00:26:08,630 --> 00:26:12,310
+يشبه الكلام اللي قلنا عليه كلهيته اللي بتنفيه الـ
+
+332
+00:26:12,310 --> 00:26:18,550
+ventilation أعتقد أن إحنا حاطين عنوان respiratory
+
+333
+00:26:18,550 --> 00:26:25,970
+time أين يتم تبادل الغازات في الـ respiratory space
+
+334
+00:26:25,970 --> 00:26:32,590
+الـ آه
+
+335
+00:26:32,910 --> 00:26:36,390
+كيف إذا بدنا نحسب الآن الـ .. الـ .. المسألة هذه
+
+336
+00:26:36,390 --> 00:26:40,370
+جديش عندي أنا dead space إذا طول ما أنه الهواء
+
+337
+00:26:40,370 --> 00:26:46,350
+انخلط في الـ respiratory في الـ alveolar air نسميه
+
+338
+00:26:46,350 --> 00:26:49,890
+alveolar air تركيبته مش هتبقى تركيبته الهواء
+
+339
+00:26:49,890 --> 00:26:54,670
+هتتغير آه هينخفض الـ oxygen لإنه خشيت على منطقة مسحوب
+
+340
+00:26:54,670 --> 00:26:58,050
+منها الـ oxygen وهيزيد carbon dioxide لإنه أيه؟ دخلت
+
+341
+00:26:58,050 --> 00:27:08,210
+على منطقة آه كلام سليم في الحالة هذه أنا
+
+342
+00:27:08,210 --> 00:27:11,350
+إيش بيصير عندي كمان؟ عندي الـ .. هاد الـ nitrogen
+
+343
+00:27:11,350 --> 00:27:17,990
+concentration nitrogen concentration في الـ ..
+
+344
+00:27:17,990 --> 00:27:27,350
+الـ alveolar air الطبيعي الـ nitrogen هاد
+
+345
+00:27:27,350 --> 00:27:29,590
+الـ .. هاد الـ air هنا الـ nitrogen بيصير بيعلى
+
+346
+00:27:29,590 --> 00:27:35,690
+تركيزه بحيث أنه أنا أيه؟ الـ nitrogen في الـ alveolar
+
+347
+00:27:35,690 --> 00:27:42,290
+air لا يستخدم مش هيك يعني أنا لا باضيف للجسم لا
+
+348
+00:27:42,290 --> 00:27:46,170
+بيضيف oxygen
+
+349
+00:27:46,170 --> 00:27:51,370
+ولا الـ nitrogen ولا باخد nitrogen مش كده فالـ
+
+350
+00:27:51,370 --> 00:27:57,130
+nitrogen تركيزه بالنسبة للغازات الأخرى بالنسبة للـ
+
+351
+00:27:57,130 --> 00:28:00,190
+oxygen الـ oxygen بيضال أقل وcarbon dioxide بيضال
+
+352
+00:28:00,190 --> 00:28:06,660
+أيه؟ Is it طيب إذا أنا بصراحة شوية هيك خلينا ليش
+
+353
+00:28:06,660 --> 00:28:12,380
+بنستخدم الـ oxygen therefore the dead space okay
+
+354
+00:28:12,380 --> 00:28:15,540
+measurement of dead space a simple method for
+
+355
+00:28:15,540 --> 00:28:19,720
+measuring dead space volume is demonstrated by
+
+356
+00:28:19,720 --> 00:28:23,960
+this graph and making this measurement
+
+357
+00:28:23,960 --> 00:28:27,760
+the subject suddenly takes a deep breath of oxygen a
+
+358
+00:28:27,760 --> 00:28:33,310
+okay فأنتم فهمتم أنا أيه؟ الموضوع أنه إحنا بنستخدم
+
+359
+00:28:33,310 --> 00:28:36,630
+الـ nitrogen صحيح في القياس لإنه إحنا بدنا نتنفس
+
+360
+00:28:36,630 --> 00:28:40,570
+oxygen بحت أول ما يبدأ يظهر الـ nitrogen معناه
+
+361
+00:28:40,570 --> 00:28:43,910
+بيظهر من وين؟ بيظهر مش من اللي إحنا أخذناها الـ
+
+362
+00:28:43,910 --> 00:28:49,790
+gas أخذ من اللي انخلط في الـ alveolar space واضح؟
+
+363
+00:28:49,790 --> 00:28:54,450
+يعني عشان أقيسه أنا بدي آخذ oxygen inspiration of
+
+364
+00:28:54,450 --> 00:28:58,790
+pure oxygen المرحلة الأولانية تمام؟ بتنفس oxygen
+
+365
+00:28:58,790 --> 00:29:04,690
+بحت بعدين بـ .. أوقف بطلع الهواء اللي في .. في نفس
+
+366
+00:29:04,690 --> 00:29:09,370
+مثلا وما أبدأش أبدأ آخذ أول نفس أبدأ أبدأ .. أبدأ ..
+
+367
+00:29:09,370 --> 00:29:16,790
+أبدأ التجربة أنا أخذت نفس وسجلت بحت وبدأت أطلع و
+
+368
+00:29:16,790 --> 00:29:20,950
+أثناء الـ .. الهواء اللي طالع عندي بيعدي على
+
+369
+00:29:20,950 --> 00:29:27,230
+nitrogen متر بقرأ فورا تركيز الـ nitrogen والهواء
+
+370
+00:29:27,230 --> 00:29:30,710
+طالع في الـ nitrogen meter هذا هو طالع من عندي أنا
+
+371
+00:29:30,710 --> 00:29:35,690
+بقرأ جديش تركيز الـ nitrogen تمام؟ إذا أنا أخدت
+
+372
+00:29:35,690 --> 00:29:40,070
+oxygen بحت بدون إيش؟ بدون nitrogen وبدأت أطلع
+
+373
+00:29:40,070 --> 00:29:45,610
+النفس بعد التنفس هأتوقع أني أقول أيه؟ بدون
+
+374
+00:29:45,610 --> 00:29:50,110
+nitrogen نهائي بقرأ صفر لأن مافيش شيء إلا oxygen
+
+375
+00:29:50,110 --> 00:29:53,630
+هذا الـ essence التابعي بقرأش أيه؟ oxygen بس بجرى
+
+376
+00:29:53,630 --> 00:29:57,270
+مين؟ nitrogen فبجرى للـ nitrogen .. الـ oxygen .. الـ
+
+377
+00:29:57,270 --> 00:30:02,690
+nitrogen صفر zero zero zero بعدين في الآخر هجرى لـ
+
+378
+00:30:02,690 --> 00:30:06,570
+الـ nitrogen تركيزه وين؟ اللي في الـ alveoli إذا في
+
+379
+00:30:06,570 --> 00:30:09,410
+الآخر عندي تركيز ثابت اللي في الـ alveoli وفي
+
+380
+00:30:09,410 --> 00:30:12,870
+الأول تركيز ثابت صفر اللي في الـ dead space لأنه
+
+381
+00:30:12,870 --> 00:30:18,210
+كله oxygen لكن في المابين منطقة الخلط الـ .. الـ ..
+
+382
+00:30:18,210 --> 00:30:20,070
+المنطقة اللي نهاية الـ dead space
+
+383
+00:30:22,880 --> 00:30:28,680
+وبداية الـ .. الـ alveolar space هذه المنطقة هيكون
+
+384
+00:30:28,680 --> 00:30:31,780
+مخلوط فيها الـ alveolar space by diffusion by
+
+385
+00:30:31,780 --> 00:30:34,420
+simple diffusion هيطلع الهواء اللي في الـ alveoli
+
+386
+00:30:34,420 --> 00:30:38,180
+إلى الهواء الجديد والـ oxygen اللي في الـ .. اللي
+
+387
+00:30:38,180 --> 00:30:42,200
+أنا بتنفسه هينزل معاه ففي منطقة هيصير فيها تدريج
+
+388
+00:30:42,200 --> 00:30:47,600
+في تركيز الـ alveolar air بمعنى آخر أنه أنا هابدأ
+
+389
+00:30:47,600 --> 00:30:53,130
+أحس بالـ nitrogen وجوده قبل ما يتهدد الـ space قبل ما
+
+390
+00:30:53,130 --> 00:30:58,870
+الـ dead space انتهى كله، تمام؟ لكن أنا يوم ما الـ
+
+391
+00:30:58,870 --> 00:31:03,690
+الـ plateau أصله، يعني التركيز صار ثابت، معناه
+
+392
+00:31:03,690 --> 00:31:07,150
+أنا دخلت الأيش؟ الـ dead space، لأنه بطل يتغير الـ
+
+393
+00:31:07,150 --> 00:31:09,870
+oxygen .. الـ nitrogen concentration، معناه أنا
+
+394
+00:31:09,870 --> 00:31:13,750
+بطلع من مصدر مركز واحد، اللي هو alveolar air، في
+
+395
+00:31:13,750 --> 00:31:17,410
+الأول الـ oxygen بيتغيرش ثابت، مافيش nitrogen، كله
+
+396
+00:31:17,410 --> 00:31:21,140
+oxygen والوصل بينهم اللي يبقى زيزي زيزي زيزي زيزي
+
+397
+00:31:21,140 --> 00:31:23,040
+زيزي زيزي زيزي زيزي زيزي زيزي زيزي زيزي زيزي
+
+398
+00:31:23,040 -->
+
+445
+00:35:07,000 --> 00:35:09,300
+مكان اللي ريح أتيه من أهواء الأنف عشان
+
+446
+00:35:09,300 --> 00:35:12,360
+أستفيد الهواء كله طب إيش الـ respiratory passages
+
+447
+00:35:12,360 --> 00:35:18,020
+هذه؟ إيش .. إلها قيمة؟ إلها قيمة كبيرة، هذه قيمة من
+
+448
+00:35:18,020 --> 00:35:23,040
+قيمة التنقية، في إلها قيمة تانية غير التنقية، غير
+
+449
+00:35:23,040 --> 00:35:29,870
+الـfiltration، بتعمل عملية تسخين وتدفئة، مش كده؟
+
+450
+00:35:29,870 --> 00:35:34,290
+Warming، عشان الهواء اللي برضه راح هذا ننتلج حسب
+
+451
+00:35:34,290 --> 00:35:39,920
+الظروف المختلفة، لما بدخل رئتينا ندخل حسب الـ...
+
+452
+00:35:39,920 --> 00:35:44,060
+ليصير الـ alveoli الدقيقة هادية، ما يصيرش تلج وإلا
+
+453
+00:35:44,060 --> 00:35:47,960
+حيصير جوا cracks، وهنخش في إيه؟ احنا بس نبرد
+
+454
+00:35:47,960 --> 00:35:51,920
+ثواني، كان رشحنا وحالتنا حالة، فما بالك لو كان
+
+455
+00:35:51,920 --> 00:35:55,260
+المسألة هادية، دائما إحنا معرضين للهواء الخارجي
+
+456
+00:35:55,260 --> 00:35:59,800
+الـ alveoli في الرئتين مش معرضين للهواء الخارجي أه؟
+
+457
+00:35:59,800 --> 00:36:03,300
+بس أنا عملت تدفئة، إذا هدي .. إذا صار عندي حاجتين
+
+458
+00:36:03,300 --> 00:36:11,350
+filtration وتدفئة warmingوالتالت Humidification
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/oiH17SV-aiU_postprocess.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/oiH17SV-aiU_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..ee33942d11046ef2bfb5b817077f581e1f56a7b0
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/oiH17SV-aiU_postprocess.srt
@@ -0,0 +1,1832 @@
+1
+00:00:05,900 --> 00:00:10,300
+عملية التهوي اللي بالتم أو وصول الهواء إلى آخر
+
+2
+00:00:10,300 --> 00:00:14,920
+مرحلة من المراحل وصوله إلى الدم هذه عملية
+
+3
+00:00:14,920 --> 00:00:19,960
+ميكانيكية هذه كت بالتم عملية ال ventilation فاليوم
+
+4
+00:00:19,960 --> 00:00:24,560
+بنواصل الحديث و بنتكلم عن جهاز اسمه spirometer
+
+5
+00:00:24,560 --> 00:00:29,900
+وهذا الجهاز من خلاله بنعمل بعض القياسات اللي ممكن
+
+6
+00:00:29,900 --> 00:00:34,360
+تدينا فكرة كويسة عن اردئتين وشغل اردئتين اعتقد انه
+
+7
+00:00:34,360 --> 00:00:40,040
+أخدته في العملخدتوه ولا لا؟ اه طب اذا انت هتاخدوه
+
+8
+00:00:40,040 --> 00:00:42,660
+لذلك في بعض الأشياء عمار عنها بصرا عليك و هتاخدوها
+
+9
+00:00:42,660 --> 00:00:45,960
+بالتفصيل و هتاخدو الجهاز حقيقة ان انتوا بالتفصيل
+
+10
+00:00:45,960 --> 00:00:49,880
+في المساكن العملية و الفصل هذا يعني الفصل هذا
+
+11
+00:00:49,880 --> 00:00:55,780
+انتوا هتاخدوه ال spirometer عبارة عن جهاز بتكون من
+
+12
+00:00:55,780 --> 00:01:04,390
+هنا drum بالمجلوب موجودة موجودة في وعاء مليء ميهو
+
+13
+00:01:04,390 --> 00:01:08,610
+هذه ال drum ممكن تتحرك تطلع و تنزل هذا ال drum هذا
+
+14
+00:01:08,610 --> 00:01:15,890
+container ممكن تطلع و تنزل على مسار مشبوك فيه سهم
+
+15
+00:01:15,890 --> 00:01:21,190
+ال drum بتلوف و السهم هذا بيعلم حسب حركة ايه ال
+
+16
+00:01:21,190 --> 00:01:25,650
+container هذا اللي هو مجلوب هذا container فيه هواء
+
+17
+00:01:25,650 --> 00:01:30,410
+احنا ممكن هذا ال هواء نسحبه من ال container هذا
+
+18
+00:01:30,410 --> 00:01:33,770
+لما بيجي ال هواء ايش بيصير في الفي ال container
+
+19
+00:01:33,770 --> 00:01:39,170
+هذا بيهبط لتحت تمام ال oxygen chain بقى بيسمع اذا
+
+20
+00:01:39,170 --> 00:01:43,710
+اذا سحبنا منه هوا بيهبط لتحت اذا رجعناله هوا يبقى
+
+21
+00:01:43,710 --> 00:01:48,350
+على اللي فوق عامل أموري بطريقة balanced بحيث يظل
+
+22
+00:01:48,350 --> 00:01:52,470
+المعلج يعني انا في عندنا counter balance عشان ايه
+
+23
+00:01:52,470 --> 00:01:56,660
+بلاش الهوا هو اللي يحمل الالـ chamber و نزلها
+
+24
+00:01:56,660 --> 00:02:01,300
+بوزنها كله فمعمولة ال balance بحيث أن أقل قوة
+
+25
+00:02:01,300 --> 00:02:07,260
+تزدها تتحرك و أقل قوة تسحبها تشفطها تنزل ال drum
+
+26
+00:02:07,260 --> 00:02:11,480
+هذه بتلوف باستمرار فأي حركة في السهم بما أنها
+
+27
+00:02:11,480 --> 00:02:16,140
+بتلوف بسجل في نقطة جديدة فبدينا ال curve اللي هو
+
+28
+00:02:16,140 --> 00:02:22,740
+ايه موجودة سميناها Spirogram اش سميناها Spirogram
+
+29
+00:02:22,740 --> 00:02:27,830
+Spirogram هذالو طلعنا عليه احنا هنلاقي .. ممكن
+
+30
+00:02:27,830 --> 00:02:31,650
+نلاقي فيه components مختلفة ممكن نلاقي التنفس
+
+31
+00:02:31,650 --> 00:02:35,630
+الطبيعي العادى ال inspiration و ال expiration
+
+32
+00:02:35,630 --> 00:02:41,490
+الطبيعى هذا لجينا انه احنا بناخد مع التنفس الطبيعى
+
+33
+00:02:41,490 --> 00:02:49,240
+تقريبا نص لتر خمسمية ملي لترفي النفس اه و من عدوا
+
+34
+00:02:49,240 --> 00:02:54,280
+نطلعهم و يدخلوا و يطلعوا فأشبه بالماد والجزر ال
+
+35
+00:02:54,280 --> 00:02:57,480
+inspiration و ال expiration لذلك سموهم ال tidal
+
+36
+00:02:57,480 --> 00:03:04,540
+volume tidal volume ال tidal volume هذا ممكن انا
+
+37
+00:03:04,540 --> 00:03:09,420
+بعد ما اخد و اخد نفس اضافي له سمينا inspiratory
+
+38
+00:03:09,420 --> 00:03:13,980
+reserve volumeفي عندى قدرة ان انا اخد نفس اكتر لكن
+
+39
+00:03:13,980 --> 00:03:19,840
+انا مش ماخده لكن موجود احتياط لو لزمني more oxygen
+
+40
+00:03:19,840 --> 00:03:26,200
+more air عندى efforts اكتر ببدلها ممكن اخد reserve
+
+41
+00:03:26,200 --> 00:03:29,720
+volume محطوط احتياط و ممكن اخد اكتر فسمينا
+
+42
+00:03:29,720 --> 00:03:33,020
+inspiratory reserve volume هذا لحاله تلاتة liter
+
+43
+00:03:33,020 --> 00:03:36,460
+يعني لما اخدوا هذا مع هذا بيصير تلاتة liter و نص
+
+44
+00:03:36,460 --> 00:03:42,100
+تمام؟لجينا إنه بعد أنا النفس اللي بطلعه بقدر كمان
+
+45
+00:03:42,100 --> 00:03:47,200
+أطلع نفس إضافي سمّينا expiratory reserve volume
+
+46
+00:03:47,200 --> 00:03:51,680
+بعد ما أطلع نفسي النهائي هذا انا expiratory
+
+47
+00:03:51,680 --> 00:03:55,860
+reserve volume أقصى ما عندي بنكتشف إنه لازم فيه
+
+48
+00:03:55,860 --> 00:04:00,940
+فرقتين شوية هوا لا نستطيع أن نخرجه نهائي سمينا the
+
+49
+00:04:00,940 --> 00:04:06,140
+residual volume تمام؟ residual volume إذا فى جزء
+
+50
+00:04:06,140 --> 00:04:10,530
+فى الهوا اللي بيظل فرقتينمهما انت تضغط و تعمل و
+
+51
+00:04:10,530 --> 00:04:14,950
+تسوي مابتقدرش تطلعه اذا صار عندي اربعة volumes
+
+52
+00:04:14,950 --> 00:04:21,210
+هدول لو اعملنا الاربعة volumes هدول اللي هم جمع و
+
+53
+00:04:21,210 --> 00:04:25,810
+طرح هنطلع capacities يعني ال volume لحالها الأربعة
+
+54
+00:04:25,810 --> 00:04:28,630
+واحدة من الأربعة هدول اللي نشوفهم بال .. بال
+
+55
+00:04:28,630 --> 00:04:33,730
+spirometer لكن لو ضفنا مثلا ال .. ال inspiratory
+
+56
+00:04:33,730 --> 00:04:38,840
+هذه علىالـ tidal على ال inspiratory reserve
+
+57
+00:04:38,840 --> 00:04:42,700
+بيسميها ال inspiratory capacity لإن ال tidal زائد
+
+58
+00:04:42,700 --> 00:04:48,520
+إضافة تبعها لو أضفنا ال inspiratory capacity هذه
+
+59
+00:04:48,520 --> 00:04:51,520
+يعني ال inspiratory reserve volume زائد ال tidal
+
+60
+00:04:51,520 --> 00:04:56,080
+زائد ال reserve inspiratory reserve يعني كل الهواء
+
+61
+00:04:56,080 --> 00:04:59,220
+اللي أنا مقدر أتحكم فيه بيسمينا ال vital capacity
+
+62
+00:04:59,830 --> 00:05:03,330
+ليش؟ لأن هذه اللي أنا بلعب فيها من أولها لآخرها
+
+63
+00:05:03,330 --> 00:05:07,550
+بقدر اتحكم فيها ماعدا اذا مضاي المين residual
+
+64
+00:05:07,550 --> 00:05:12,270
+volume انا ماجداش اتحكم فيه ماهواش vital capacity
+
+65
+00:05:12,270 --> 00:05:15,450
+طب لو بدنا نضيف ال residual volume لل vital
+
+66
+00:05:15,450 --> 00:05:19,130
+capacity لها المجموع هذا سميناها ال lung capacity
+
+67
+00:05:19,130 --> 00:05:23,110
+ال total capacity of the lung تمام سميناها ايه ال
+
+68
+00:05:23,110 --> 00:05:29,940
+lung ال total lung capacity تمام؟ طيبلو شوفنا
+
+69
+00:05:29,940 --> 00:05:35,200
+الأرقام نلاقي احنا عندنا قولنا هنا خمسمية ألف هنا
+
+70
+00:05:35,200 --> 00:05:38,600
+تلات تلات لاجنا ال expiratory reserve volume هذا
+
+71
+00:05:38,600 --> 00:05:43,420
+ألف و ميت ملي لتر ال residual volume لاجنا ألف و
+
+72
+00:05:43,420 --> 00:05:48,360
+متين ملي لتر طيب احنا وقع الأمر و احنا بنتنفس
+
+73
+00:05:48,360 --> 00:05:51,960
+طبيعي و احنا بنتنفس طبيعي و وقع الأمر انه عندنا
+
+74
+00:05:51,960 --> 00:05:55,460
+residual volume جزئين جزء ال residual volume
+
+75
+00:05:55,460 --> 00:05:59,240
+الحقيقي اللي أنا ماقدرش اتحكم فيهو جزء ال residual
+
+76
+00:05:59,240 --> 00:06:02,440
+volume اللي انا بقدر اطلعه بس يساوبه residual
+
+77
+00:06:02,440 --> 00:06:08,460
+exploratory reserve volume تمام ال exploratory
+
+78
+00:06:08,460 --> 00:06:11,200
+reserve volume انا بالعادة بلعبش فيه ساوبه فهو
+
+79
+00:06:11,200 --> 00:06:14,640
+موجود أساسا كمان residual volume هتسمينا ال
+
+80
+00:06:14,640 --> 00:06:18,220
+functional residual volume إذن التينين هدول سمينهم
+
+81
+00:06:18,220 --> 00:06:22,280
+functional residual volume و هدول مهمين لإن واقع
+
+82
+00:06:22,280 --> 00:06:26,600
+الأمر هدول التينين residual volume الحقيقي و ال ..
+
+83
+00:06:28,330 --> 00:06:30,690
+وExpiratory Reserve Volume اللي هو الـ Functional
+
+84
+00:06:30,690 --> 00:06:34,710
+Reserve Volume هدول حقيقة عبارة عن هو وجود داخل ال
+
+85
+00:06:34,710 --> 00:06:40,930
+إيه؟ داخل الرئتين أنا بتم تبدو الغازات من خلاله
+
+86
+00:06:40,930 --> 00:06:45,570
+وانا .. و بعدين قيمته جديش، تلاحظ، 1200 و1100،
+
+87
+00:06:45,570 --> 00:06:52,970
+2300 ملي لتر 2300 ملي لترالنفس تبعي انا 500 طالع ل
+
+88
+00:06:52,970 --> 00:06:58,110
+500 نازل يعني وقع الأمر انه انا باجي باخلط 500
+
+89
+00:06:58,110 --> 00:07:04,910
+مليلتر ل 2500 هدول ل2300 قعدتكوا هتكتشفوا انهم مش
+
+90
+00:07:04,910 --> 00:07:08,310
+500 اللي بخلطهم أجل شوية لكن نفترض الآن حتى
+
+91
+00:07:08,310 --> 00:07:13,950
+مفهومنا الآن للموضوع ان في عندي كام موجودأشبه
+
+92
+00:07:13,950 --> 00:07:17,950
+بالبرميل تبع الـ Compressor بأضيف عليه شوية و باخد
+
+93
+00:07:17,950 --> 00:07:22,570
+شوية بس أنا الكمية اللي باضيفها مش كل الموجود ولا
+
+94
+00:07:22,570 --> 00:07:25,490
+الكمية اللي باخدها كل الموجود أنا عندك كم كبير
+
+95
+00:07:25,490 --> 00:07:29,990
+باخد منه باستمرار و بعطيله باستمرار تمام؟ و ذلك
+
+96
+00:07:29,990 --> 00:07:34,070
+هذه لها فائدة انه انا التغير اللي بيصير في نفسي
+
+97
+00:07:34,070 --> 00:07:38,250
+السريع لأ انعكس على ايه؟ على عملية النفس نفسها
+
+98
+00:07:38,250 --> 00:07:42,770
+تمام؟ يعني لو كتمت نفسي شوية مادخلتش هوامش مشكلة
+
+99
+00:07:42,770 --> 00:07:46,130
+لإن تبادل الغازات بتمش من الهواء اللي انا بتاخده
+
+100
+00:07:46,130 --> 00:07:48,910
+هال gate بتم من الهواء اللي already موجود في وين
+
+101
+00:07:48,910 --> 00:07:53,650
+في ال reserve volume اللي هو ال residual volume
+
+102
+00:07:53,650 --> 00:07:57,890
+functional residual volume انا دايما بغزيه ب
+
+103
+00:07:57,890 --> 00:08:01,350
+oxygen من هواء جديد وبسحب انه carbon dioxide من
+
+104
+00:08:01,350 --> 00:08:08,110
+الهواء اللي ايه expired اللي بطلع بستمرع تمام؟ طيب
+
+105
+00:08:08,110 --> 00:08:14,540
+اناقلتلكم إن حقيقة الأمر هو الـ2300 باضيف لها 500
+
+106
+00:08:14,540 --> 00:08:20,260
+و بصحب منها 500 هو أنا باضف لها هوا جديد مش 500
+
+107
+00:08:20,260 --> 00:08:28,400
+باضف لها هوا جديد 350 milliliter و باخد منها واقعا
+
+108
+00:08:28,400 --> 00:08:34,860
+كل مرة 350 ليش؟ لإن في عندي أنا من بداية الأنف
+
+109
+00:08:34,860 --> 00:08:38,160
+لأول ما أصل تقريبا المنطقة اللي بيصير فيها تبادل
+
+110
+00:08:38,160 --> 00:08:42,690
+الغازاتالتراكية والـ larynx والكملة هذا
+
+111
+00:08:42,690 --> 00:08:48,190
+والبرونكولز الرئيسية ما بيصير فيها تسبب غزات،
+
+112
+00:08:48,190 --> 00:08:53,510
+مظبوط؟ فإذا هذا هو دخل وظل كما هو ولمّا طلع، طلع
+
+113
+00:08:53,510 --> 00:08:57,010
+هو زي ما هو لم يُقف منه أكسجين ولم يُضف عليه تنكسف
+
+114
+00:08:57,010 --> 00:09:00,830
+الكربون هذا الجزء الأولاني من النفس سميناه هنا في
+
+115
+00:09:00,830 --> 00:09:06,510
+dead space في هذا إيش بيسموه؟ dead space يعني جزء
+
+116
+00:09:07,440 --> 00:09:13,180
+صح عدى الهواء فيه لكن أنا لم أستفيد منه لإن هو
+
+117
+00:09:13,180 --> 00:09:18,540
+الهواء وصل للرئتين لكن من عند بداية الرئتين للأنف
+
+118
+00:09:18,540 --> 00:09:23,120
+عندها انها دي المنطقة كلها اتدخلى الهواء تمام وما
+
+119
+00:09:23,120 --> 00:09:28,260
+استفدناش منها فسميناها ايش dead space okay فرق
+
+120
+00:09:28,260 --> 00:09:31,260
+موجود لكن هي تم استفادة منه عن طريق تبادل الغزاة
+
+121
+00:09:31,990 --> 00:09:35,430
+طيب هذا سمينه anatomical dead space anatomical
+
+122
+00:09:35,430 --> 00:09:40,310
+dead space ليش؟ لأنه ممكن يكون في عندي functional
+
+123
+00:09:40,310 --> 00:09:44,590
+أو physiological dead space كيف يعني؟ anatomical
+
+124
+00:09:44,590 --> 00:09:47,670
+هذا dead space لو حسبناه و هنتعلم كيف هنحسبه
+
+125
+00:09:47,670 --> 00:09:55,270
+هنلاقيه 150 ملي لتروإذا الـ tidal volume 500 لما
+
+126
+00:09:55,270 --> 00:09:59,530
+يروح منه 150 بدون استفادة dead space معناه أنا
+
+127
+00:09:59,530 --> 00:10:04,190
+بعمل تبادل حقيقي بوصل للريقتين لل .. لل .. بأخلط
+
+128
+00:10:04,190 --> 00:10:09,910
+مع ال functional residual volume فقط 350، مظبوط؟
+
+129
+00:10:09,910 --> 00:10:14,170
+أه، إذا عندي هان هذا ال .. ال .. ال 150 milliliter
+
+130
+00:10:14,170 --> 00:10:18,410
+هدول anatomical حسب إنه مش ممكن يتم فيهم تبادل
+
+131
+00:10:18,410 --> 00:10:23,180
+أصلا، ريك ربنا خلقهملكن ممكن حاجات إضافية تنضاف لل
+
+132
+00:10:23,180 --> 00:10:28,340
+dead space مناطق أخرى يدخلها الهواء لكن لا يتم
+
+133
+00:10:28,340 --> 00:10:34,400
+فيها تبدل الغازات منطقة فيها الـ ischemia المنطقة
+
+134
+00:10:34,400 --> 00:10:39,100
+من الرئة مش واصلها دم الهواء بيصلها صحيح و بيطلع
+
+135
+00:10:39,100 --> 00:10:44,340
+منها بس بدون ايه؟ بدون تبدل هذي بتنضاف لمين؟ لل
+
+136
+00:10:44,340 --> 00:10:48,550
+dead space لأنها دخلت وطلعت بدون تبدلهذه المنطقة
+
+137
+00:10:48,550 --> 00:10:52,470
+إذا سمناها physiological dead space إذا لما نضيف
+
+138
+00:10:52,470 --> 00:10:56,790
+ال anatomical على الجزء الإضافي سمنا بعضه ال .. ال
+
+139
+00:10:56,790 --> 00:10:59,590
+.. ال .. ال dead space الحقيقي الوظيفي لكن
+
+140
+00:10:59,590 --> 00:11:03,230
+anatomically هو بس هالجد لكن حقيقة لأ في عندي كمان
+
+141
+00:11:03,230 --> 00:11:08,530
+إضافات سمناها physiological dead space تمام؟ إذا
+
+142
+00:11:08,530 --> 00:11:13,530
+ال volumes هذه اللي متكلم عنها احنا ممكن نخلط لها
+
+143
+00:11:13,530 --> 00:11:22,480
+بعض الأشياء و تصير مجموعات أخرىمن ال capacities ال
+
+144
+00:11:22,480 --> 00:11:24,760
+vital capacity بدنا نجمع أيش و أيش في ال vital
+
+145
+00:11:24,760 --> 00:11:30,340
+capacity ال expiratory و ال tidal و ال inspiratory
+
+146
+00:11:30,340 --> 00:11:33,580
+surface يعني تلت تلاف و خمسمية زائد الف و مية
+
+147
+00:11:33,580 --> 00:11:38,780
+انتشر و اطلعوا اربع تلاف و ستمية تمام اربع تلاف و
+
+148
+00:11:38,780 --> 00:11:41,800
+ستمية milliliterالـ Total Lung Capacity بيظهر
+
+149
+00:11:41,800 --> 00:11:44,880
+عليهم الـ 1200 مضيف اللي هو الـ Residual Volume
+
+150
+00:11:44,880 --> 00:11:50,740
+1200 بيظهر 5800 مش هيك اللي هو الـ Total Lung
+
+151
+00:11:50,740 --> 00:11:56,460
+Capacity طيب هذا in general احنا قولنا في
+
+152
+00:11:56,460 --> 00:12:02,000
+الفيسيولوجيا اننا بنتكلم عن adult male وزنه 70
+
+153
+00:12:02,000 --> 00:12:09,280
+كيلو طيب ال female أقل شويةلأن طبيعي الجسم اقل
+
+154
+00:12:09,280 --> 00:12:13,700
+وزنا اقل جسمه شوية فهي مش محتاجه اللي هو نفسه ال
+
+155
+00:12:13,700 --> 00:12:18,680
+title تبع الراجل محتاجه ايه اقله شوية منه فلذلك
+
+156
+00:12:18,680 --> 00:12:23,220
+بيقول من عشرين فالمية اقل بتكون ارقام اما تخص
+
+157
+00:12:23,220 --> 00:12:29,460
+البنات للنساء abbreviations هذه مش مشكلة تتعلموها
+
+158
+00:12:29,460 --> 00:12:38,250
+vital capacity inspiratory volumeالـ tidal volume
+
+159
+00:12:38,250 --> 00:12:41,830
+الـ experimental reservoir يعني مختصرات ما هيش
+
+160
+00:12:41,830 --> 00:12:45,990
+قيمة كبيرة لكن النقطة المهمة اللي أنا شايف في
+
+161
+00:12:45,990 --> 00:12:49,650
+عينيكو طب كيف احنا بنجيس ال tidal volume من ال
+
+162
+00:12:49,650 --> 00:12:54,330
+spirometer قولنا قصنا فيه الألقام التانية طب اللي
+
+163
+00:12:54,330 --> 00:12:56,990
+ماقدرناش نجيسه هذا قولتلنا على الدكتورة اسمه
+
+164
+00:12:56,990 --> 00:13:02,110
+residual volume و قولتلنا قيمته هلجد اسم ذلكقل
+
+165
+00:13:02,110 --> 00:13:06,570
+هاتوا بورهانكم برضه بس بنقيسه عن طريق مين ال
+
+166
+00:13:06,570 --> 00:13:10,250
+spirometer بس بطريقة indirect مش بطريقة direct
+
+167
+00:13:10,250 --> 00:13:14,670
+يعني بيبقى شوية calculations و حسابات كيف يعني؟
+
+168
+00:13:14,670 --> 00:13:19,130
+يعني بده أحط مادة في ال .. هي المعادلة اللي أنا
+
+169
+00:13:19,130 --> 00:13:23,290
+جابتلكوا فيها زمان معادلة حساب ال GFR ال grammar
+
+170
+00:13:23,290 --> 00:13:26,300
+filtration rate هنبقى نستخدمهاهنضل استخدامها
+
+171
+00:13:26,300 --> 00:13:29,580
+evolution theory هذه، حاجة من التركيز معين، بعدين
+
+172
+00:13:29,580 --> 00:13:33,380
+خففتها من خلال التركيز في ال volume، إذا عرفت
+
+173
+00:13:33,380 --> 00:13:37,720
+التركيز التاني، بعرف ال volume، تمام؟ فهذه المسألة
+
+174
+00:13:37,720 --> 00:13:41,620
+إيه؟ بتضل هي تتكررو هنا نفس الكلام استخدمنا مادة و
+
+175
+00:13:41,620 --> 00:13:45,140
+حاطناها في ال oxygen chamber تبع مين؟ تبع ال
+
+176
+00:13:45,140 --> 00:13:50,940
+spirometer و اتنفسنا فيها و بعدين بعد شوية تبين
+
+177
+00:13:50,940 --> 00:13:55,780
+انه التركيز اللي في ال chamber هذا اتغير عن ايش؟
+
+178
+00:13:55,780 --> 00:14:01,780
+عن مكان يعني الفرق في ال volume راح راح وين؟ في
+
+179
+00:14:01,780 --> 00:14:05,800
+الرئتين مش كده؟ انا بطلع كل شيء في الآخر بخلي بس
+
+180
+00:14:05,800 --> 00:14:10,080
+مين؟ ال residual volumeأو أخلّي الـ functional
+
+181
+00:14:10,080 --> 00:14:14,160
+اللي هو residual volume اللي هو يحتوي الـ
+
+182
+00:14:14,160 --> 00:14:17,220
+expiratory اللي بعرفه بصورة الـ expiratory بعد الـ
+
+183
+00:14:17,220 --> 00:14:21,560
+tidal بقى أطلّع جد ما أقدر أطلع ال expiratory
+
+184
+00:14:21,560 --> 00:14:25,520
+reserve إذا ده يعني مشكلتي أنا في ال residual إذا
+
+185
+00:14:25,520 --> 00:14:30,420
+من خلال الحسبة البسيطةاللي هي المادة اللي انا
+
+186
+00:14:30,420 --> 00:14:35,260
+خففتها حطيتها اول initially حطيتها بتركيز معين في
+
+187
+00:14:35,260 --> 00:14:41,360
+volume معين و حسبت جداش كميتها بعدين اخلطها في ال
+
+188
+00:14:41,360 --> 00:14:45,120
+ايه اتنفسها العنازل انا ويا وين فى الرقاتين بعدين
+
+189
+00:14:45,120 --> 00:14:51,040
+اجوله معايا خلاص تعال جداش عندي hand تركيز جديد في
+
+190
+00:14:51,040 --> 00:14:56,480
+ال volume اللي انا بتكلم عنهيساوي النقص اللي صار
+
+191
+00:14:56,480 --> 00:15:01,960
+يساوي نفس التركيز اللي موجود في مين نفس التركيز
+
+192
+00:15:01,960 --> 00:15:06,400
+اللي موجود في ال Oxygen Chamber لإن هو هي الهواء
+
+193
+00:15:06,400 --> 00:15:13,840
+أخش و طلع مرتين تلاتة على ال ال ال ال ال ال ال ال
+
+194
+00:15:13,840 --> 00:15:14,460
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+195
+00:15:14,460 --> 00:15:14,980
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+196
+00:15:14,980 --> 00:15:15,660
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+197
+00:15:15,660 --> 00:15:15,720
+ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال ال
+
+198
+00:15:15,720 --> 00:15:18,060
+ال ال ال ال ال ال ال ال ال ال ال
+
+199
+00:15:21,960 --> 00:15:24,760
+فإذا التركيز اللي في الآخر في ال chamber هذه هو
+
+200
+00:15:24,760 --> 00:15:29,120
+نفس التركيز اللي في الريقتين طيب بنشوف هذا ال
+
+201
+00:15:29,120 --> 00:15:33,520
+chamber كده تحتوى في المادة هذه الغريبة نقصة
+
+202
+00:15:33,520 --> 00:15:37,640
+فالنقص الموجود يساوي التركيز اللي احنا عرفناه في
+
+203
+00:15:37,640 --> 00:15:39,840
+ال volume اللي احنا بدنا ندور عليه يطلع له
+
+204
+00:15:39,840 --> 00:15:44,200
+residual volume المثل اللي يتم عن طريق ال helium
+
+205
+00:15:44,200 --> 00:15:47,740
+ال helium مادة
+
+206
+00:15:52,340 --> 00:15:57,220
+مش سامة بقدر انا اضيفها احطها في ال chamber تمام
+
+207
+00:15:57,220 --> 00:16:00,480
+بقول ان عندي هيليوم مركز بالجد الحجم الفلاني يعني
+
+208
+00:16:00,480 --> 00:16:04,280
+كمية الهيليوم بقدر اعرفها بتنفس اكمل نفس فيها بحس
+
+209
+00:16:04,280 --> 00:16:09,420
+ان اضمن انه صار خلط للهيليوم هذه مع مين مع ال
+
+210
+00:16:09,420 --> 00:16:16,130
+functional residual volume بعدين بوقف تمامبشوف
+
+211
+00:16:16,130 --> 00:16:22,230
+التركيز لجديد و في الأول أنا عارف التركيز و ال
+
+212
+00:16:22,230 --> 00:16:25,490
+volume بقصم هدا من هدا بيديني الكمية اللي فقدت
+
+213
+00:16:25,490 --> 00:16:28,950
+وين؟ فى الرائعتين القمية اللى فقدت فى الرائعتين
+
+214
+00:16:28,950 --> 00:16:32,310
+هدول عبارة عن التركيز نفسه اللى فى ال chamber
+
+215
+00:16:32,310 --> 00:16:39,190
+مضروبة فى ال volume تبع ال aالمهم هو الـ
+
+216
+00:16:39,190 --> 00:16:52,790
+Respiratory
+
+217
+00:16:52,790 --> 00:16:58,910
+Volume
+
+218
+00:17:04,730 --> 00:17:09,730
+يعني ال respiratory volume
+
+219
+00:17:09,730 --> 00:17:15,750
+of air that I'm respiring يعني in one minute يعني
+
+220
+00:17:15,750 --> 00:17:19,810
+بتاعة ال volume مضروبا في ايه؟ في ال respiratory
+
+221
+00:17:19,810 --> 00:17:23,470
+rate ال rate of respiration ال rate of respiration
+
+222
+00:17:23,470 --> 00:17:29,570
+دائما هو حوالين اتناشر مرة في الدقيقة طبعا انتوا
+
+223
+00:17:29,570 --> 00:17:31,850
+مش ماخدين بالك انكوا تنفسوا اتناشر مرة في الدقيقة
+
+224
+00:17:32,460 --> 00:17:35,700
+انتوا بتتكلموا و بتاكلوا و بتشربوا و بتتحدثوا ولا
+
+225
+00:17:35,700 --> 00:17:39,720
+معاكوا خبر ان النفس إله إيه؟ إله دار لإن النفس
+
+226
+00:17:39,720 --> 00:17:44,080
+بيستغل ال إيه؟ الوقفات والنزلات من غير ما تحسوا
+
+227
+00:17:44,080 --> 00:17:48,200
+فيه وهذا من فضل ربنا انه بتحسوش بالنفس هو طالع هو
+
+228
+00:17:48,200 --> 00:17:54,520
+نازل لو لا سمح الله واحدة منكم أصيبت بالربو هتحس
+
+229
+00:17:54,520 --> 00:17:59,030
+المشكلة الكبرىإن هي بتحس الهواء و هو طالع دا كل هو
+
+230
+00:17:59,030 --> 00:18:04,010
+طالع مش عارف الواحد ينام لإن الهواء محسوس في
+
+231
+00:18:04,010 --> 00:18:08,410
+الداخلة و الهواء محسوس في الطلعة هذا مزعج لكن احنا
+
+232
+00:18:08,410 --> 00:18:11,790
+دي نكون مش حاسين لا بدخل ولا بطلع ولا جديش ولا
+
+233
+00:18:11,790 --> 00:18:17,290
+أرقع تمام؟ لو حد أخد تجربة ال bronchial أزمة دي
+
+234
+00:18:17,290 --> 00:18:23,530
+مرة عدت في حياته إتهاب عمله some sort ofasthmatic
+
+235
+00:18:23,530 --> 00:18:27,850
+bronchitis وصار يحس بالهواء بيعرف قداش قيمة ان انا
+
+236
+00:18:27,850 --> 00:18:32,730
+بتنفس الهواء ومش باخد بالي منه لإن هو بيصير يعد
+
+237
+00:18:32,730 --> 00:18:38,090
+لحاله لوين الهواء وصل الهواء دخل الهواء طلع طول
+
+238
+00:18:38,090 --> 00:18:42,830
+الليل هو صاحي مسكين يعد الهواء دخل وطلع نفسه ينسى
+
+239
+00:18:42,830 --> 00:18:48,650
+الموضوع هذا مايحسوش مايحسوش هان في صدرهيعني مش قصة
+
+240
+00:18:48,650 --> 00:18:52,410
+انه انا انتبهت التنفس و صرت احس ان الهواء بيخش تمي
+
+241
+00:18:52,410 --> 00:18:58,310
+لأ الهواء بيخش صدري فنفس الواحد انه يقدر يتخلى
+
+242
+00:18:58,310 --> 00:19:02,310
+عنها دي بأي تمان انه يحس ان الهواء كيف داخل لإنه
+
+243
+00:19:02,310 --> 00:19:05,830
+بيعمل irritation لمجموعة كبيرة من العصاب انت في
+
+244
+00:19:05,830 --> 00:19:09,830
+الأول مش حاسس فيها بس الآن صرت حاسس فيها مشكلة
+
+245
+00:19:09,830 --> 00:19:15,450
+كبيرة اذا respiratory minute respiratory volume
+
+246
+00:19:15,450 --> 00:19:23,240
+نضرب ال tidal في إياشفي ال respiratory rate اللي
+
+247
+00:19:23,240 --> 00:19:27,860
+هو في العدد اتناش يعني اتناش في نص لتر يعني ستة
+
+248
+00:19:27,860 --> 00:19:35,460
+لتر مش كده انه هذا اكبر من ال ستة
+
+249
+00:19:35,460 --> 00:19:42,180
+لتر per minute هذا الكلام قلنا ليه عشان نعرف انه
+
+250
+00:19:42,180 --> 00:19:48,240
+احنا اذا وصلنا لمرحلة انه ال minuteالـ respiratory
+
+251
+00:19:48,240 --> 00:19:54,760
+volume كان لتر و نص فما أقل معناه عندي تنفس راتب
+
+252
+00:19:54,760 --> 00:19:58,800
+بطيء من اتنين الى اربعة breathe per minute معناه
+
+253
+00:19:58,800 --> 00:20:03,160
+انا ماجدرش اعيش الا ايه الا دقايق معدودة very
+
+254
+00:20:03,160 --> 00:20:08,540
+short period لان لتر و نص بطليك فيه الا اقل حاجات
+
+255
+00:20:08,540 --> 00:20:13,640
+للجسم معناهاللي بنزل ال rate عنده of respiration
+
+256
+00:20:13,640 --> 00:20:17,940
+لإصابة لكده بتنفس شوية شوية شوية بعدين يتوقف النفس
+
+257
+00:20:17,940 --> 00:20:23,820
+و دائما القلب يتوقف بعد توقف النفس بخمس دقائق يعني
+
+258
+00:20:23,820 --> 00:20:29,580
+القلب بيضال beating بعد ال respiratory عن التنفس
+
+259
+00:20:29,580 --> 00:20:33,300
+ال
+
+260
+00:20:33,300 --> 00:20:37,980
+rate of respiratory occasionally rises to 40 to 50
+
+261
+00:20:37,980 --> 00:20:48,710
+per minute في الحالة ديالـ tidal volume can
+
+262
+00:20:48,710 --> 00:20:57,030
+be as great as vital capacity about
+
+263
+00:20:57,030 --> 00:21:01,750
+4600 milliliter يعني انا هدول ال reserve ..
+
+264
+00:21:01,750 --> 00:21:06,710
+reserve او ال expiratory reserve و ال inspiratory
+
+265
+00:21:06,710 --> 00:21:12,480
+reserve بعض الأحيان لما انا بعمل مجهود كبيرالـ
+
+266
+00:21:12,480 --> 00:21:17,260
+tidal volume نفسه بكبر بصير انا باخد نفس عميق و
+
+267
+00:21:17,260 --> 00:21:24,060
+بطلع هوا ايه عميق تمام هذه ايه ممكن يصل الانسان
+
+268
+00:21:24,060 --> 00:21:27,140
+انه كل ال vital .. ليش تسميها vital capacity؟ ممكن
+
+269
+00:21:27,140 --> 00:21:31,220
+كل ال vital capacity هستخدمها ك tidal volume ليش؟
+
+270
+00:21:31,220 --> 00:21:34,280
+لأنها اختيعت ل ال expiration و اختيعت ل ال
+
+271
+00:21:34,280 --> 00:21:40,610
+inspiration فإذا انا واجت الأزمة ما استخدمتهاتمام؟
+
+272
+00:21:40,610 --> 00:21:44,770
+عند الحاجة عراي عباس عارفينه عباس؟ طب أحمد مطهر
+
+273
+00:21:44,770 --> 00:21:50,450
+لماذا تشحن سيفك يا عباس؟ قلت له قل الحاجة و لسه
+
+274
+00:21:50,450 --> 00:21:54,170
+الحاجة ما عيشتش لأ أن الحاجة احنا نستطيع استخدام
+
+275
+00:21:54,170 --> 00:21:58,470
+ال inspiratory و expiratory بنضل ال volume يخش
+
+276
+00:21:58,470 --> 00:22:01,030
+شويه ع ال inspiratory و يخش شويه ع ال expiratoryع
+
+277
+00:22:01,030 --> 00:22:05,410
+ال expiratory تمام حسب حجة ال ايه الواحد كان ده
+
+278
+00:22:05,410 --> 00:22:09,330
+وسع وسع وسع وسع كل ما انت عايز اكتر كل ما دخلنا
+
+279
+00:22:09,330 --> 00:22:13,230
+على ال ايه مش بتدخل إراديا لا إراديا بتصير انت
+
+280
+00:22:13,230 --> 00:22:16,030
+لحالك ال tidal volume يكبر يتسع في اتجاه ال
+
+281
+00:22:16,030 --> 00:22:19,730
+expiration يتسع في اتجاه ال expiration ممكن تصل
+
+282
+00:22:19,730 --> 00:22:24,150
+لمرحلة من الجهود و الحاجة له ان انت أخدته كله في
+
+283
+00:22:24,150 --> 00:22:27,950
+ال inspiration و ال expiration صار هو كله ال vital
+
+284
+00:22:27,950 --> 00:22:35,940
+capacity صار هي ال tidalvolume طيب ماعلي أنا كلام
+
+285
+00:22:35,940 --> 00:22:39,700
+حاسب أقول قدرة إيه الرئتين هدول the alveolar
+
+286
+00:22:39,700 --> 00:22:43,680
+ventilation هه تمام the alveolar ventilation أنا
+
+287
+00:22:43,680 --> 00:22:50,880
+بدأت أتكلم عنه وقلنا إنه أن مش كل الرئتين بيصير
+
+288
+00:22:50,880 --> 00:22:54,280
+فيه متبادل غزات، مظبوط؟ وقلنا فيه شزء ما بيسميه
+
+289
+00:22:54,280 --> 00:22:59,300
+dead space طب وين بتت متبادل الغزات؟ المنطقة وين؟
+
+290
+00:23:00,000 --> 00:23:02,440
+في ال alveoli انا كنت زيكم بظن انها بس في ال
+
+291
+00:23:02,440 --> 00:23:06,060
+alveoli و لو بس في ال alveoli كان ماحطناش موضوع
+
+292
+00:23:06,060 --> 00:23:09,180
+كبير اسمه alveolar ventilation كان قلنا in alveoli
+
+293
+00:23:09,180 --> 00:23:12,620
+و كلنا عارفين ان نمشي عنها بس تبين انه لأ مش بس ال
+
+294
+00:23:12,620 --> 00:23:18,440
+alveoli لأ ال alveoli مجموعة alveoli مع بعض
+
+295
+00:23:18,440 --> 00:23:23,250
+بيعملوا alveolar sackو ال alveolar sac اللي هو
+
+296
+00:23:23,250 --> 00:23:28,690
+alveolar؟ duct و ال alveolar ducts المجموعة
+
+297
+00:23:28,690 --> 00:23:32,890
+المختلفة من ال alveolar ducts بتشبك في respiratory
+
+298
+00:23:32,890 --> 00:23:37,830
+duct bronchiole اه respiratory bronchiole ال
+
+299
+00:23:37,830 --> 00:23:40,750
+respiratory bronchiole المختلفة بتشبك في terminal
+
+300
+00:23:40,750 --> 00:23:44,490
+bronchiole تمام؟ اذا لحد ال terminal bronchiole
+
+301
+00:23:44,490 --> 00:23:47,670
+مابصرش ايش؟ تبادل غازات مابعد ال terminal
+
+302
+00:23:47,670 --> 00:23:51,110
+bronchiole بصير عندنا ايه؟ تبادل غازات لو بسمع
+
+303
+00:23:51,110 --> 00:23:51,590
+بشمل
+
+304
+00:23:57,440 --> 00:24:01,940
+اللي موجودة في الكتاب صعبة شوية عشان تفهميها لكن
+
+305
+00:24:01,940 --> 00:24:06,100
+هنا إذا نقدر نتميز هي ال alveoli الصغيرة هذه تمام
+
+306
+00:24:06,100 --> 00:24:09,280
+و في الوسط بيجمع ال alveoli مع بعض هالبعض اسمه
+
+307
+00:24:09,280 --> 00:24:14,260
+alveolar sacو هذا الفيولر بسيط بيفتح على ايه؟
+
+308
+00:24:14,260 --> 00:24:19,400
+الفيولر دكت وال الفيولر دكت هادي و هادي و هادي و
+
+309
+00:24:19,400 --> 00:24:24,520
+اختها من كل اتجاهات بيفتح على رسبيراتوري برونكيول
+
+310
+00:24:24,520 --> 00:24:29,600
+مجموعة رسبيراتوري برونكيول بيفتحوا برونكيول اضافية
+
+311
+00:24:29,600 --> 00:24:35,480
+بنسميها terminal of bronchiol اذا منها تمام و هيك
+
+312
+00:24:35,480 --> 00:24:41,690
+بيصير تبادل غزاتلكن احنا سميناها تجاوزا
+
+313
+00:24:41,690 --> 00:24:45,410
+ال alveolar ventilation عشان احنا الاعتقاد عندنا
+
+314
+00:24:45,410 --> 00:24:48,310
+ان ال ventilation بيصير في ال ايه؟ في ال alveoli
+
+315
+00:24:48,310 --> 00:24:51,990
+فقلنا ال alveolar ventilation وين حدوده؟ بالشكل
+
+316
+00:24:51,990 --> 00:24:56,650
+اللي احنا بتكلم عنه قاعدينه ال dead space انا
+
+317
+00:24:56,650 --> 00:24:59,870
+تكلمت عنه قلنا فيه انه anatomical dead space و
+
+318
+00:24:59,870 --> 00:25:02,210
+physiological dead space لكن السؤال انا كيف ممكن
+
+319
+00:25:02,210 --> 00:25:07,760
+اعرف ال dead space هذا؟ كيف ممكن ايش؟ اجيسهيعني
+
+320
+00:25:07,760 --> 00:25:11,560
+أجدش أنا عندى ال space ال anatomical ال
+
+321
+00:25:11,560 --> 00:25:19,180
+physiological لأ واضح أنه انا لما بقى اتنفس بعمل
+
+322
+00:25:19,180 --> 00:25:23,220
+exploration الجزء الأول اللي بطلع اللي هو يساوي
+
+323
+00:25:23,220 --> 00:25:26,480
+تركيز و تركيب و تركيب الهواء الطبيعى يعني هذا ال
+
+324
+00:25:26,480 --> 00:25:34,480
+space هو التركيز يتغير و يصير عندى
+
+325
+00:25:37,050 --> 00:25:41,010
+المثاب بتتغير عن الهواية الطبيعية اذا احنا لو
+
+326
+00:25:41,010 --> 00:25:47,570
+دخلنا في مين في ال alveolar sack او ال alveolar
+
+327
+00:25:47,570 --> 00:25:52,790
+هذه
+
+328
+00:25:52,790 --> 00:25:58,370
+المنطقة اللي .. نقول the area of alveoli يعني اللي
+
+329
+00:25:58,370 --> 00:26:02,570
+هو ال alveolar ايه space ال alveolar space او اسمه
+
+330
+00:26:04,530 --> 00:26:08,630
+respiratory space ال respiratory space هذا اللي هو
+
+331
+00:26:08,630 --> 00:26:12,310
+يشبه الكلام اللي قلنا عليه كلهيته اللي بتنفيه ال
+
+332
+00:26:12,310 --> 00:26:18,550
+ventilation اعتقد ان احنا حاطين عنوان respiratory
+
+333
+00:26:18,550 --> 00:26:25,970
+time اين يتم تبادل الغازات في ال respiratory space
+
+334
+00:26:25,970 --> 00:26:32,590
+ال اه
+
+335
+00:26:32,910 --> 00:26:36,390
+كيف إذا بدنا نحسب الآن ال .. ال .. المسألة هذه
+
+336
+00:26:36,390 --> 00:26:40,370
+جديش عندي أنا dead space إذا طول ما إنه الهواء
+
+337
+00:26:40,370 --> 00:26:46,350
+انخلط في ال respiratory في ال alveolar air نسميه
+
+338
+00:26:46,350 --> 00:26:49,890
+alveolar air تركيبته مش هتبقى تركيبته الهواء
+
+339
+00:26:49,890 --> 00:26:54,670
+هتتغير أه هينخفض ال oxygen لإنه خشيت ع منطقة مسحوب
+
+340
+00:26:54,670 --> 00:26:58,050
+منها ال oxygen و هزيد carbon dioxide لإنه إيه دخلت
+
+341
+00:26:58,050 --> 00:27:08,210
+ع منطقةأه كلام سليم في الحالة هذه انا
+
+342
+00:27:08,210 --> 00:27:11,350
+ايش بيصير عندى كمان عندى ال .. هاد ال nitrogen
+
+343
+00:27:11,350 --> 00:27:17,990
+concentration nitrogen concentration في ال ..
+
+344
+00:27:17,990 --> 00:27:27,350
+الفيولر air الطبيعى ال nitrogen هاد
+
+345
+00:27:27,350 --> 00:27:29,590
+ال .. هاد ال air هنا ال nitrogen بيصير بيعلى
+
+346
+00:27:29,590 --> 00:27:35,690
+تركيزهبحيث انه انا ايه ال nitrogen في ال alveolar
+
+347
+00:27:35,690 --> 00:27:42,290
+air لا يستخدم مش هيك يعني انا لا باضيف الجسم لا
+
+348
+00:27:42,290 --> 00:27:46,170
+بيضيف oxygen
+
+349
+00:27:46,170 --> 00:27:51,370
+ولا ال nitrogen ولا بياخد nitrogen مش كده فال
+
+350
+00:27:51,370 --> 00:27:57,130
+nitrogen تركيزه بالنسبة للغازات الأخرى بالنسبة لل
+
+351
+00:27:57,130 --> 00:28:00,190
+oxygen ال oxygen بيضال اقل و carbon dioxide بيضال
+
+352
+00:28:00,190 --> 00:28:06,660
+ايهIs it طيب اذا انا صراحت شوية هيك خلينا ليش
+
+353
+00:28:06,660 --> 00:28:12,380
+بنستخدم ال oxygen there for the dead space okay
+
+354
+00:28:12,380 --> 00:28:15,540
+ميجارمنت of dead space a simple method for
+
+355
+00:28:15,540 --> 00:28:19,720
+measuring dead space volume is demonstrating by
+
+356
+00:28:19,720 --> 00:28:23,960
+this graph and make and making this measurement
+
+357
+00:28:23,960 --> 00:28:27,760
+the subject suddenly takes deep breath of oxygen a
+
+358
+00:28:27,760 --> 00:28:33,310
+okay فانجيت فهمت انا ايه؟الموضوع انه احنا بنستخدم
+
+359
+00:28:33,310 --> 00:28:36,630
+ال nitrogen صحيح في القياس لإنه احنا بدنا نتنفس
+
+360
+00:28:36,630 --> 00:28:40,570
+oxygen بحت اول ما يبدأ يظهر ال nitrogen معناه
+
+361
+00:28:40,570 --> 00:28:43,910
+بيظهر من وين؟ بيظهر مش من اللي احنا أخدناها ال
+
+362
+00:28:43,910 --> 00:28:49,790
+gate أخد من اللي انخلط في ال alveolar space واضح؟
+
+363
+00:28:49,790 --> 00:28:54,450
+يعني عشان اقيسه انا بدي اخد oxygen inspiration of
+
+364
+00:28:54,450 --> 00:28:58,790
+pure oxygen المرحلة الأولانية تمام؟ بتنفس oxygen
+
+365
+00:28:58,790 --> 00:29:04,690
+بحتبعدين ب .. اوقف بطلع الهوة اللى فى .. فى نفس
+
+366
+00:29:04,690 --> 00:29:09,370
+مثلا ومابدأياش بدأ اخد اول نفس بدأ ابدأ .. ابدأ ..
+
+367
+00:29:09,370 --> 00:29:16,790
+ابدأ التجربة انا اخدت نفس و سجين بحت و بدت اطلع و
+
+368
+00:29:16,790 --> 00:29:20,950
+أثناء ال .. الهوة اللى طالع عندي بيعدى على
+
+369
+00:29:20,950 --> 00:29:27,230
+نيتروجين متربقرأ فورا تركيز ال nitrogen و الهواء
+
+370
+00:29:27,230 --> 00:29:30,710
+طالع في ال nitrogen meter هذا هو طالع من تمي انا
+
+371
+00:29:30,710 --> 00:29:35,690
+بقرأ جدش تركيز ال nitrogen تمام؟ اذا انا اخدت
+
+372
+00:29:35,690 --> 00:29:40,070
+oxygen بحت بدون ايش؟ بدون nitrogen و بديت اطلع
+
+373
+00:29:40,070 --> 00:29:45,610
+النفس بعد التنفس هتوقع ان البارحة اقول ايه؟ بدون
+
+374
+00:29:45,610 --> 00:29:50,110
+nitrogen نهائي بقرا صفر لان مافيش شيء الا oxygen
+
+375
+00:29:50,110 --> 00:29:53,630
+هذا ال essence التابعي بقراش ايه؟ oxygenبس بجرى
+
+376
+00:29:53,630 --> 00:29:57,270
+مين؟ نيتروجين فبجرى لـ nitrogen .. ال oxygen .. ال
+
+377
+00:29:57,270 --> 00:30:02,690
+nitrogen صفر zero zero zero بعدين في الآخر هجرى ل
+
+378
+00:30:02,690 --> 00:30:06,570
+ال nitrogen تركيزه وين؟ اللي في ال alveoli إذا في
+
+379
+00:30:06,570 --> 00:30:09,410
+الآخر عندي تركيز ثابت اللي في ال alveoli و في
+
+380
+00:30:09,410 --> 00:30:12,870
+الأول تركيز ثابت صفر اللي في ال dead space لأنه
+
+381
+00:30:12,870 --> 00:30:18,210
+كله oxygen لكن في المابين منطقة الخلط ال .. ال ..
+
+382
+00:30:18,210 --> 00:30:20,070
+المنطقة اللي نهاية ال dead space
+
+383
+00:30:22,880 --> 00:30:28,680
+وبداية ال .. ال alveolar space هذه المنطقة هيكون
+
+384
+00:30:28,680 --> 00:30:31,780
+مخلوط فيها ال alveolar space by diffusion by
+
+385
+00:30:31,780 --> 00:30:34,420
+simple diffusion هيطلع الهواء اللي في ال alveoli
+
+386
+00:30:34,420 --> 00:30:38,180
+إلى الهواء الجديد و ال oxygen اللي في ال .. اللي
+
+387
+00:30:38,180 --> 00:30:42,200
+أنا بتنفسه هينزل معاه ففي منطقة هيصير فيها تدريج
+
+388
+00:30:42,200 --> 00:30:47,600
+في تركيز ال alveolar air بمعنى أخر أنه أنا هابدأ
+
+389
+00:30:47,600 --> 00:30:53,130
+أحس بال nitrogen وجوده قبل ما يتهدد ال spaceقبل ما
+
+390
+00:30:53,130 --> 00:30:58,870
+الـ dead space انتهى كله، تمام؟ لكن أنا يوم ما ال
+
+391
+00:30:58,870 --> 00:31:03,690
+.. ال plateau أصله، يعني التركيز صار ثابت، معناه
+
+392
+00:31:03,690 --> 00:31:07,150
+أنا دخلت الاش؟ ال dead space، لأنه بطل يتغير ال
+
+393
+00:31:07,150 --> 00:31:09,870
+oxygen .. ال nitrogen concentration، معناه أنا
+
+394
+00:31:09,870 --> 00:31:13,750
+بطلع من مصدر مركز واحد، اللي هو aviolar air، في
+
+395
+00:31:13,750 --> 00:31:17,410
+الأول ال oxygen بيتغيرش ثابت، مافيش nitrogen، كله
+
+396
+00:31:17,410 --> 00:31:21,140
+oxygenالوصل بينهم اللي يبقى زيزي زيزي زيزي زيزي
+
+397
+00:31:21,140 --> 00:31:23,040
+زيزي زيزي زيزي زيزي زيزي زيزي زيزي زيزي زيزي زيزي
+
+398
+00:31:23,040 --> 00:31:30,820
+زيزي زيزي زيزي زيزي زيزي زيزي زيزي زيزي زيزي
+
+399
+00:31:30,820 --> 00:31:31,720
+زيزي زيزي زيزي زيزي زيزي زيزي زيزي زيزي زيزي زيزي
+
+400
+00:31:31,720 --> 00:31:32,140
+زيزي زيزي زيزي زيزي زيزي زيزي زيزي زيزي زيزي زيزي
+
+401
+00:31:32,140 --> 00:31:44,480
+زيزي زيزي زيزي زيزي زيزي زيزي زيزي زيزي زيزي زيزي
+
+402
+00:31:44,480 --> 00:31:48,900
+زتمام؟ مختلطة لكن واضح انه من هنا .. من هنا ..
+
+403
+00:31:48,900 --> 00:31:52,320
+احنا بدأنا من .. من هذه المنطقة هذه الفيولر اير
+
+404
+00:31:52,320 --> 00:31:58,360
+بيور اذا .. اذا عندي انا من هنا تقريبا لهان هذه
+
+405
+00:31:58,360 --> 00:32:05,280
+منطقة مختلطة شوية بدنا نحسب من خلالها اذا المنطقة
+
+406
+00:32:05,280 --> 00:32:09,480
+هذه اللي هنا في الرسمة brown رمادي تمثل عندي
+
+407
+00:32:09,480 --> 00:32:13,860
+المنطقة اللي .. اللي فيها هيكون ال dead space
+
+408
+00:32:13,860 --> 00:32:17,340
+موجودبمعنى إنه اللي هي منطقة مافيش فيها نيتروجين
+
+409
+00:32:17,340 --> 00:32:21,620
+نهائي ومنطقة بدل نيتروجين فيها يظهر يزيد تركيزه
+
+410
+00:32:21,620 --> 00:32:26,240
+شوية شوية لحد ما أوصلنا لإنه تركيز ثابت من ال
+
+411
+00:32:26,240 --> 00:32:30,040
+نيتروجين عملية حسابية صغيرة إيه بنقدر نحسب هذه
+
+412
+00:32:30,040 --> 00:32:33,920
+تمثل جداش وبكده بنقدر نعرف إحنا إيه ال dead space
+
+413
+00:32:34,430 --> 00:32:40,710
+قداش هو موجود في كل إنسان قولنا إنه تقريبا قيمته
+
+414
+00:32:40,710 --> 00:32:46,150
+حوالي 150 ملي لتر طبعا في ال adult male 70
+
+415
+00:32:46,150 --> 00:32:50,230
+kilogram هذا
+
+416
+00:32:50,230 --> 00:32:53,750
+ال normal dead space اللي هو ال anatomical dead
+
+417
+00:32:53,750 --> 00:32:57,450
+space لكن قولنا فيه ممكن يكون عنده physiological
+
+418
+00:32:57,450 --> 00:33:02,220
+dead space زي ما شرحتلكم في أول الموضوعالـ rate of
+
+419
+00:33:02,220 --> 00:33:06,840
+alveolar ventilation اختلف الان صار ال rate ال
+
+420
+00:33:06,840 --> 00:33:10,880
+minute respiratory volume اختلف عن الان ال rate of
+
+421
+00:33:10,880 --> 00:33:15,140
+alveolar ventilationكمان؟ صار احنا بتكلم معانا عن
+
+422
+00:33:15,140 --> 00:33:19,340
+طايدة ال volume مش خمسمية ملي لتر طايدة ال volume
+
+423
+00:33:19,340 --> 00:33:23,380
+تلت مية و خمسين ملي لتر مش كده طب انا معاناها في
+
+424
+00:33:23,380 --> 00:33:29,120
+الدقيقة يداش باعطي لإرئتين باعطيها تلت مية و خمسين
+
+425
+00:33:29,120 --> 00:33:34,180
+ملي لتر في اتناش مش خمسمية ملي لتر و لو انه دخل من
+
+426
+00:33:34,180 --> 00:33:39,300
+القنف خمسمية ملي لتر في اتناش في الدقيقةلكن في
+
+427
+00:33:39,300 --> 00:33:42,920
+واقع الأمر بيصل الرئتين بيصل الـ alveolar space
+
+428
+00:33:42,920 --> 00:33:50,000
+بيصل لها تلت مائة و خمسين فئة اللي هي تساوي أربعة
+
+429
+00:33:50,000 --> 00:33:55,440
+ألف و متين ملي لتر per minute واضح؟ طيب ال
+
+430
+00:33:55,440 --> 00:33:58,920
+ventilation of alveolar is one of the major
+
+431
+00:33:58,920 --> 00:34:02,400
+factors determining the concentration of oxygen
+
+432
+00:34:02,400 --> 00:34:08,030
+and carbon dioxide in the alveoliليش؟ لأن هو اللي
+
+433
+00:34:08,030 --> 00:34:12,110
+بيصير الـ alveoli لما بيزيد ال .. ال alveolar
+
+434
+00:34:12,110 --> 00:34:17,090
+ventilation بيزيد ال wash out of carbon dioxide و
+
+435
+00:34:17,090 --> 00:34:21,150
+بيزيد اللي هو ال entrance of oxygen بتغير ال
+
+436
+00:34:21,150 --> 00:34:31,290
+alveolar air حسب ال rate of respiration خلصنا هذه
+
+437
+00:34:31,290 --> 00:34:34,340
+.. هذه آخر كلام عن ال mechanics of airو
+
+438
+00:34:34,340 --> 00:34:43,040
+ventilation طبعا الان اتكلم عن موضوع تاني وهو ال
+
+439
+00:34:43,040 --> 00:34:46,000
+.. هاد المنطقة اللي بيصير فيها dead space كلمنا
+
+440
+00:34:46,000 --> 00:34:50,360
+عنها هاد المنطقة اللي فيها dead space من أول القنف
+
+441
+00:34:50,360 --> 00:34:56,020
+ل .. لحد ال alveolarية احنا كل كوهار جيت حزنانين
+
+442
+00:34:56,020 --> 00:35:00,020
+عليهايعني إخسارة في 150 مليل لتر بنتفسهم و نتعب
+
+443
+00:35:00,020 --> 00:35:03,660
+فيهم و أروح على الفاضي مش كده؟ يعني أنا بقى أشعر
+
+444
+00:35:03,660 --> 00:35:07,000
+بحزن إن أنا جهد بعمل و قاعد و بروح ليش في dead
+
+445
+00:35:07,000 --> 00:35:09,300
+space مكان اللي ريح أتيه من أهواء الأنف عشان
+
+446
+00:35:09,300 --> 00:35:12,360
+أستفيد الهواء كله طب إيش ال respiratory passages
+
+447
+00:35:12,360 --> 00:35:18,020
+هذه؟ إيش .. إلها قيمة؟ إلها قيمة كبيرة هذه قيمة من
+
+448
+00:35:18,020 --> 00:35:23,040
+قيمة التنقية، في إلها قيمة تانية غير التنقية، غير
+
+449
+00:35:23,040 --> 00:35:29,870
+ال filtrationبتعمل عملية تسخين وتدفع، مش كده؟
+
+450
+00:35:29,870 --> 00:35:34,290
+Warming عشان الهواء اللي برضه راح هذا ننتلج حسب
+
+451
+00:35:34,290 --> 00:35:39,920
+الظروف المختلفة، لما بدخل عرقتي ندخل حسبعلى ال ..
+
+452
+00:35:39,920 --> 00:35:44,060
+ليصير الـ alveoli الدقيقة هادية مايصارش تلج و إلا
+
+453
+00:35:44,060 --> 00:35:47,960
+حيصير جوا cracks و هنخش في إيه؟ احنا بس نبرد
+
+454
+00:35:47,960 --> 00:35:51,920
+ثواني، كان رشاحنا و حالتنا حالة فمابالك لو كان
+
+455
+00:35:51,920 --> 00:35:55,260
+المسألة هادية، دائما إحنا معرضين للهواء الخارجي
+
+456
+00:35:55,260 --> 00:35:59,800
+الرئاتين ال alveoli مش معرضين للهواء الخارجي أه؟
+
+457
+00:35:59,800 --> 00:36:03,300
+بس أنا عملت تدفع، إذا هدي .. إذا صاراندي حاجتين
+
+458
+00:36:03,300 --> 00:36:11,350
+filtration و تدفع warming و التالتHumidification
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/p46B6aAhKc4_raw.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/p46B6aAhKc4_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..a8c0e27aaae9b41e27f8eff2c441265eb2f328bd
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/p46B6aAhKc4_raw.srt
@@ -0,0 +1,1376 @@
+1
+00:00:05,680 --> 00:00:08,840
+الموضوع الأن .. الموضوع الجديد اللي هو physical
+
+2
+00:00:08,840 --> 00:00:18,480
+principles of gas exchange ال .. ال .. ال gas
+
+3
+00:00:18,480 --> 00:00:26,740
+diffusionهذا اللي بيصير يعني لما الأختي في آخر ال
+
+4
+00:00:26,740 --> 00:00:32,320
+.. ال .. الغرفة هناك مثلا تفتح اجزازة ريحة مافيش
+
+5
+00:00:32,320 --> 00:00:39,320
+حاجة هناك اه احنا .. احنا هانشمها ليه شام منها؟
+
+6
+00:00:39,320 --> 00:00:48,160
+ليش انت شارت؟ عشان الريحة؟ بدي واحدة تقولي كلام
+
+7
+00:00:48,160 --> 00:00:54,020
+علمي في الموضوع هذاانتشرت من مكان إلى مكان عشان هي
+
+8
+00:00:54,020 --> 00:01:00,180
+في ذاك المكان concentrated وفي هذا المكان diluted
+
+9
+00:01:00,180 --> 00:01:04,400
+فصار عندى انا forces of diffusion مش كده فانتقلت
+
+10
+00:01:04,400 --> 00:01:07,740
+من هذه المنطقة لهذه المنطقة عشان تعمل equilibrium
+
+11
+00:01:07,740 --> 00:01:14,880
+مش هيك؟ مظبوط؟ طبعا ايش اللي بيخلي الالذرات تبعت
+
+12
+00:01:14,880 --> 00:01:19,680
+الرائحة اللي اتكلمنا عنها هرمى شوية انها تنتقل by
+
+13
+00:01:19,680 --> 00:01:23,340
+diffusion عن كولنا ال kinetic motion of the ايه؟
+
+14
+00:01:23,340 --> 00:01:27,160
+of the molecules فى عندنا ايه؟ ال ions هالي اليها
+
+15
+00:01:27,160 --> 00:01:31,620
+kinetic motion تتحرك في كل اتجاه بحيث تعمل ايه؟
+
+16
+00:01:31,620 --> 00:01:39,680
+تتوزع في كل مكان بالتساوي اذا عملية انتقال الغازات
+
+17
+00:01:40,070 --> 00:01:44,370
+أيضًا ينطبق عليها نفس ال factors ال principles
+
+18
+00:01:44,370 --> 00:01:49,610
+اللي يحصل في انتقال باقي المواد إن كانت على الشكل
+
+19
+00:01:49,610 --> 00:01:54,110
+السائل أو على غير السائل إذا عندنا electrochemical
+
+20
+00:01:54,110 --> 00:01:58,970
+gradients بتأدي إلى إيه؟ انتقال القوانين الطبيعية
+
+21
+00:01:58,970 --> 00:02:03,370
+هدف الانتقال هنا بالفعل عندنا chemical gradients
+
+22
+00:02:03,370 --> 00:02:07,270
+physical gradients بتأدي إلى إيه؟ إلى انتقال
+
+23
+00:02:07,270 --> 00:02:10,130
+الغزالفي الـ GALIC لما يكون فيه عنده غاز في منطقة
+
+24
+00:02:10,130 --> 00:02:15,290
+مركز اكتر منه في منطقة اخرى الغاز في المنطقة
+
+25
+00:02:15,290 --> 00:02:19,150
+القليل يتحرك في اتجاه الـ kinetic motion في اتجاه
+
+26
+00:02:19,150 --> 00:02:21,990
+المنطقة الكثيرة و اللي في المنطقة الكثيرة يتحرك في
+
+27
+00:02:21,990 --> 00:02:27,430
+اتجاه المنطقة القليلة لكن محصلة نهائية ان ال net
+
+28
+00:02:27,430 --> 00:02:32,650
+diffusion بيكون في اتجاه من الأعلى الى الاوطة لما
+
+29
+00:02:32,650 --> 00:02:35,250
+نقول من اعلى الاوطة لا يعني ان ولا اشي من الجهة
+
+30
+00:02:35,250 --> 00:02:39,000
+التانية راحت على الجهة التانيةلكن في الآخر صار
+
+31
+00:02:39,000 --> 00:02:42,400
+equilibrium بس معدل ال diffusion المختلفة ده في كل
+
+32
+00:02:42,400 --> 00:02:46,500
+اتجاهات انه عندي ال concentration كان له factor
+
+33
+00:02:46,500 --> 00:02:50,040
+كتير في انه يحدد ال net diffusion يصير من وين من
+
+34
+00:02:50,040 --> 00:02:52,540
+المنطقة الأعلى ال concentration الى المنطقة الأقل
+
+35
+00:02:52,540 --> 00:02:58,380
+ال concentration okay اذا
+
+36
+00:02:58,380 --> 00:03:03,280
+net diffusion افهمناها اذا عندي لما اتكلم هذا
+
+37
+00:03:03,280 --> 00:03:07,650
+النموذج المثل هذا عندي هال concentration أعلىو هن
+
+38
+00:03:07,650 --> 00:03:11,610
+ال concentration أقل في عندي حركة من المنطقة ال
+
+39
+00:03:11,610 --> 00:03:16,150
+molecules اللي هان تتحرك في اتجاه اللي ايه الجهة
+
+40
+00:03:16,150 --> 00:03:18,890
+ال concentrated لكن كمية أكبر من الجهة ال
+
+41
+00:03:18,890 --> 00:03:21,290
+concentrated بتتحرك في الجهة التانية فهذا بيقدي ال
+
+42
+00:03:21,290 --> 00:03:23,570
+equilibrium و ال need of fusion بيكون في اتجاه
+
+43
+00:03:23,570 --> 00:03:32,650
+اللي هو من الأعلى إلى ال .. اذا عندي ها
+
+44
+00:03:37,920 --> 00:03:43,820
+الغازات لا تتوقف عن الحركة وبتميل إلى التعادل في
+
+45
+00:03:43,820 --> 00:03:48,740
+ال concentration الان لما اكون عندى .. انا mixture
+
+46
+00:03:48,740 --> 00:03:53,080
+of gases عاملين
+
+47
+00:03:53,080 --> 00:03:58,660
+في مكان ما ضغط معين تمام ال pressure اللي عاملين
+
+48
+00:03:58,660 --> 00:04:06,290
+هو ال gasesكل نوع من الجاز يمتلك مشارك في البراشر
+
+49
+00:04:06,290 --> 00:04:11,610
+بما يتناسب مع كونسنتريشن بما يتناسب مع كونسنتريشن
+
+50
+00:04:11,610 --> 00:04:12,050
+بما يتناسب مع كونسنتريشن بما يتناسب مع كونسنتريشن
+
+51
+00:04:12,050 --> 00:04:13,670
+بما يتناسب مع كونسنتريشن بما يتناسب مع كونسنتريشن
+
+52
+00:04:13,670 --> 00:04:13,670
+بما يتناسب مع كونسنتريشن بما يتناسب مع كونسنتريشن
+
+53
+00:04:13,670 --> 00:04:14,370
+بما يتناسب مع كونسنتريشن بما يتناسب مع كونسنتريشن
+
+54
+00:04:14,370 --> 00:04:17,830
+بما يتناسب مع كونسنتريشن بما يتناسب مع كونسنتريشن
+
+55
+00:04:17,830 --> 00:04:22,830
+بما يتناسب مع كونسنتريشن بما يتناسب مع كونسنتريشن
+
+56
+00:04:22,830 --> 00:04:28,050
+بما
+
+57
+00:04:28,050 --> 00:04:35,000
+يتناسب مع كونسالمكونات تبع هذا الغاز يساوي المجموع
+
+58
+00:04:35,000 --> 00:04:41,780
+الكلي للبراشر لكن كل واحد له جزئية تتناسب مع مين؟
+
+59
+00:04:41,780 --> 00:04:46,840
+مع ال concentration تبعه حلو؟ اذا اندي انا القانون
+
+60
+00:04:46,840 --> 00:04:52,200
+هنا بقول البراشر is directly proportional to the
+
+61
+00:04:52,200 --> 00:04:55,140
+concentration of the gas molecules ال gas
+
+62
+00:04:55,140 --> 00:05:00,490
+molecules في هال mixture هذا تبعنوع معين جداش ال
+
+63
+00:05:00,490 --> 00:05:04,910
+brochure تبعهم يزقو متناسب معاه بمعنى اخر احنا
+
+64
+00:05:04,910 --> 00:05:11,250
+الهواء الجوي مثلا الهواء الجوي عامل ضغط على مستوى
+
+65
+00:05:11,250 --> 00:05:16,510
+أرضها ضغط يساوي جداش واحدات مصفير مش كده اللي
+
+66
+00:05:16,510 --> 00:05:20,550
+يساوي جداش بالمليمتر من الكورية سبعمائة وستين حلو
+
+67
+00:05:20,550 --> 00:05:24,590
+لكن الهواء هذا اللي احنا حوالنا هذا تمانين في
+
+68
+00:05:24,590 --> 00:05:30,050
+المية منه او تسعة وسبعين في المية منه نيترجنو 21%
+
+69
+00:05:30,050 --> 00:05:34,950
+منه Oxygen و نسب جليلة كاربون ديوكسايد و بخار ماء
+
+70
+00:05:34,950 --> 00:05:39,130
+و كده طبعا اذا لو طلعنا هلاجي ال nitrogen تقريبا
+
+71
+00:05:39,130 --> 00:05:43,130
+بيشكل 600 ميلي متر ميركوري باشر باشر خاص بال
+
+72
+00:05:43,130 --> 00:05:54,630
+nitrogen طبعا و ال oxygen هيشكل 160 ميلي
+
+73
+00:05:54,630 --> 00:06:01,050
+متر ميركوريإذا 160 و 600 و 760 يمثلوا الضغط الكلي
+
+74
+00:06:01,050 --> 00:06:05,890
+لو أحنا جيبنا غاز ثالث حشرناه بينهم هيشارك في ال
+
+75
+00:06:05,890 --> 00:06:11,630
+760 هيصير النصيب لكل واحد من هدول مختلف، تمام؟
+
+76
+00:06:11,630 --> 00:06:15,750
+يعني إجينا من منطقة فيها بخار ماء عالي بدل ما هو
+
+77
+00:06:15,750 --> 00:06:17,150
+كان نسمة غير مذكورة
+
+78
+00:06:19,600 --> 00:06:25,380
+بنخسم البخار الماء من الضغط الكلي والباقي نوزعه
+
+79
+00:06:25,380 --> 00:06:29,040
+على الأكسجين والنيتروجين أو بمعنى أخر كل واحد من
+
+80
+00:06:29,040 --> 00:06:33,890
+هدول نسي بتجديش و ندينه نصيبهتمام؟ لو في منطقة في
+
+81
+00:06:33,890 --> 00:06:37,990
+carbon dioxide أعلى لأ صار يشارك صار له مشاركة
+
+82
+00:06:37,990 --> 00:06:44,010
+ايه؟ بمعنى انه انا في هواء الشهيد تقريبا مافيش
+
+83
+00:06:44,010 --> 00:06:47,310
+carbon dioxide لكن هو طالع صار carbon dioxide
+
+84
+00:06:47,310 --> 00:06:53,670
+محترم فيه كتير فصار له بسبب ايه؟ معتبرة البخار
+
+85
+00:06:53,670 --> 00:06:59,430
+الميه و في النفس اللي داخل كذلك لا يعتبر مش مستاهل
+
+86
+00:06:59,430 --> 00:07:07,160
+لكن هو طالعأه؟ صارله إيه؟صار له اعتبار لكن انا
+
+87
+00:07:07,160 --> 00:07:10,760
+شاهد ناس معترضة على الكلام هذا لأنه قالت يا دكتور
+
+88
+00:07:10,760 --> 00:07:13,620
+انت قلتلنا و الهواء اللي داخل صحيح ناشف هو مالهوش
+
+89
+00:07:13,620 --> 00:07:17,760
+اعتبار لكن لما دخل ال air passages قلنا بيصير
+
+90
+00:07:17,760 --> 00:07:22,380
+humidification تمام؟ اه يعني اذا هو جاب الميصر لل
+
+91
+00:07:22,380 --> 00:07:26,120
+alveolar high بيكون البخار و الميه عالي فيه و صار
+
+92
+00:07:26,120 --> 00:07:31,160
+له اعتبار بمعنى اخر هنتكلم عن موضوع اسمه ان ال
+
+93
+00:07:31,160 --> 00:07:35,630
+alveolar airفيه في داخله اختلافات عن الـ
+
+94
+00:07:35,630 --> 00:07:41,410
+atmospheric air أجل ما فيها أن بخار الميه زاد بخار
+
+95
+00:07:41,410 --> 00:07:46,550
+الميه أخد جزء من ال .. من ال pressure pressure صار
+
+96
+00:07:46,550 --> 00:07:51,230
+له نصيب، إذا ال pressure pressure في الهواء مختلف
+
+97
+00:07:51,230 --> 00:07:55,720
+عن ال pressure pressure لنفس ال .. ال .. ال ..ال
+
+98
+00:07:55,720 --> 00:07:59,880
+.. الغاز لكن دا ال alveoli ليش؟ لإن هو دا كل في
+
+99
+00:07:59,880 --> 00:08:03,780
+واحد حشر نفسه جال قدوني معاكو هو اللي ايه؟ اللي هو
+
+100
+00:08:03,780 --> 00:08:07,380
+ال carbon ده يكسر واضح؟ واحد أسف إذا نتكلم الأن
+
+101
+00:08:07,380 --> 00:08:12,480
+احنا عن هذا الموضوع بنرمز للبرشة pressure of gases
+
+102
+00:08:12,480 --> 00:08:19,620
+احنا بال P الكبيرة هذه و بعدين جنبها رمز ال إيه؟
+
+103
+00:08:19,620 --> 00:08:25,930
+رمز الغاز تمام؟فهذا برشر برشر برشر اكسجين carbon
+
+104
+00:08:25,930 --> 00:08:31,710
+dioxide برشر برشر نيتوجين برشر برشر water فيبر جاز
+
+105
+00:08:31,710 --> 00:08:38,390
+برشر برشر helium وكذا طيب
+
+106
+00:08:38,390 --> 00:08:47,630
+okay الهواء سهل جيبنا سيرته وانتهينا
+
+107
+00:08:47,630 --> 00:08:51,670
+الان بنتكلم عن موضوع تاني انت دكتور الغازات هذه
+
+108
+00:08:51,670 --> 00:08:57,850
+اللي بتكلمنا عنهامتما اتخطط ال alveoli اتحولت لها
+
+109
+00:08:57,850 --> 00:09:04,510
+liquid medium fluid اذا الغازات داخلة في fluids طب
+
+110
+00:09:04,510 --> 00:09:11,010
+هل ينطبق قوانين الغازات في الغازات ازاي قوانين
+
+111
+00:09:11,010 --> 00:09:17,070
+الغازات تتحرك في fluids تمام اذا هذه لها قواعد
+
+112
+00:09:17,070 --> 00:09:23,170
+جديدة حقيقة معظم هي نفس الشيء القاعدة هي هي تتحرك
+
+113
+00:09:23,170 --> 00:09:27,450
+من الال .. ال .. ال concentration الأعلى إلى ال
+
+114
+00:09:27,450 --> 00:09:34,950
+concentration الأقل مظبوط بس و قولنا .. و قولنا
+
+115
+00:09:34,950 --> 00:09:39,310
+انه كل partial pressure من شوية صغيرة اتكلمنا ال
+
+116
+00:09:39,310 --> 00:09:43,810
+partial pressure تبع غاز معين حسب التركيز تبعه
+
+117
+00:09:43,810 --> 00:09:47,230
+وجسمها مباشرة تمام فال partial pressure تبعها
+
+118
+00:09:47,230 --> 00:09:52,070
+هتغير و في مواد تانية أبدا الميه بتطردهاrebellion
+
+119
+00:09:52,070 --> 00:09:56,630
+تبعدها عنها فدائما free تتحرك بسرعة أكتر تتتشر في
+
+120
+00:09:56,630 --> 00:10:02,970
+كل مكان فممكن من هذه الأشياء اللي هي ماني أفضل
+
+121
+00:10:02,970 --> 00:10:16,410
+تبني أقل تبني بسرعة أكتر تبني ببشر أكتر تتحركي
+
+122
+00:10:16,410 --> 00:10:21,150
+ببشر مادش أتحركي تبني ببشر
+
+123
+00:10:24,260 --> 00:10:30,660
+لأن كان في شهر بكره في حركة الوحوز و ال
+
+124
+00:10:30,660 --> 00:10:37,000
+concentration مرتبطة في بقى بس أنا إذا أبعدت
+
+125
+00:10:37,000 --> 00:10:48,640
+بمسحها بخلّق وحوزها بتخرج و تهيأل و أهرب و أحضر و
+
+126
+00:10:48,640 --> 00:10:58,320
+أمسكفهو ماشي تأثير اشميه في الاشي في ال .. في ال
+
+127
+00:10:58,320 --> 00:11:08,760
+.. في البشر طبعا فجأتني ازمال ان عارف دي نفسي يكون
+
+128
+00:11:08,760 --> 00:11:17,960
+عشان يتفجر عن البشر البشر تبع البيت وعناه اللي
+
+129
+00:11:17,960 --> 00:11:19,740
+علاقة بخصة
+
+130
+00:11:25,120 --> 00:11:32,480
+السنة الأولى تانية بقوة عشان تانية كانت مزايا 13
+
+131
+00:11:32,480 --> 00:11:45,200
+أكتر ان نقل 16 سنة تاسعة أكتر ان نقل 16 سنة تاسعة
+
+132
+00:11:45,200 --> 00:11:49,700
+أكتر ان نقل 16 ثانية
+
+133
+00:11:54,940 --> 00:11:59,480
+نعيش بحب و .. و .. و .. و .. و .. و .. و .. و .. و
+
+134
+00:11:59,480 --> 00:11:59,560
+.. و .. و .. و .. و .. و .. و .. و .. و .. و .. و
+
+135
+00:11:59,560 --> 00:11:59,940
+.. و .. و .. و .. و .. و .. و .. و .. و .. و .. و
+
+136
+00:11:59,940 --> 00:12:00,880
+.. و .. و .. و .. و .. و .. و .. و .. و .. و .. و
+
+137
+00:12:00,880 --> 00:12:02,280
+.. و .. و .. و .. و .. و .. و .. و .. و .. و .. و
+
+138
+00:12:02,280 --> 00:12:03,340
+.. و .. و .. و .. و .. و .. و .. و .. و .. و .. و
+
+139
+00:12:03,340 --> 00:12:03,680
+.. و .. و .. و .. و .. و .. و .. و .. و .. و .. و
+
+140
+00:12:03,680 --> 00:12:04,440
+.. و .. و .. و .. و .. و .. و .. و .. و .. و .. و
+
+141
+00:12:04,440 --> 00:12:05,580
+.. و .. و .. و .. و .. و .. و .. و .. و .. و .. و
+
+142
+00:12:05,580 --> 00:12:11,400
+.. و .. و .. و .. و .. و .. و .. و .. و .. و .. و
+
+143
+00:12:11,400 --> 00:12:22,460
+.. و .. و .. و .. و .. و .. و .. و .. و .. و .. و
+
+144
+00:12:24,950 --> 00:12:33,970
+بس اه لأ ان انتوا شايفوا اسئلة ال presentation of
+
+145
+00:12:33,970 --> 00:12:43,750
+what the subject has على سنوات متشابهات بناس طبعا
+
+146
+00:12:43,750 --> 00:12:52,970
+جزايا هذي مش عادة وزيادة بالظبط لكن هي تقصر على
+
+147
+00:12:59,180 --> 00:13:20,180
+طبعاً بشوف حاجة زي دي يا راجل اشوف
+
+148
+00:13:20,180 --> 00:13:21,780
+ان انا عايز اشوف
+
+149
+00:13:33,460 --> 00:13:46,920
+الشيء الوحيد اللي أحبه
+
+150
+00:13:46,920 --> 00:13:55,140
+هو الوحيد اللي أحبه هو الوحيد اللي أحبه
+
+151
+00:13:59,020 --> 00:14:15,600
+او سجن اهو بيرت إيه تلاتي فور؟ بيرت إيه تلاتي فور؟
+
+152
+00:14:15,600 --> 00:14:23,180
+يا عزيزي أفادوا من بيرتسان قبل بيرتسان واحد أفادوا
+
+153
+00:14:23,180 --> 00:14:27,680
+من بيرتسان اصلا بعد وفشان
+
+154
+00:14:32,250 --> 00:14:39,410
+.57 لو جسمناها على 24 أكتر من عشرين مرة مش كده لو
+
+155
+00:14:39,410 --> 00:14:44,110
+جسمناها على ال point point oh two four هذه بالاربع
+
+156
+00:14:44,110 --> 00:14:48,450
+عشرين من الف وهذه السبعة وخمسين من مية تمام لو
+
+157
+00:14:48,450 --> 00:14:53,150
+جسمناها بعض أكتر من عشرين تقريبا عشرين مرة تقريبا
+
+158
+00:14:53,150 --> 00:14:58,590
+عشرين مرة أكتر من عشرين مرة لو الخمسين عشرين عشرين
+
+159
+00:14:59,000 --> 00:15:02,480
+فهنا اقل شوية و هنا اكتر شوية اكتر من عشرين مرة
+
+160
+00:15:02,480 --> 00:15:06,120
+اللي هو الفرق في ال ايه في ال solubility
+
+161
+00:15:06,120 --> 00:15:12,600
+coefficient بمعنى اخر انا عشان اوصل لنفس تركيز نفس
+
+162
+00:15:12,600 --> 00:15:17,020
+ال partial pressure تبع الاكسجيل بدي احط عشرين ضعف
+
+163
+00:15:17,020 --> 00:15:21,680
+carbon dioxide تمام؟ بدي احط عشرين ضعف carbon
+
+164
+00:15:21,680 --> 00:15:25,360
+dioxide يعني عندي carbon dioxide كمية كبيرة لكن
+
+165
+00:15:25,360 --> 00:15:30,280
+partial pressure تبعها ايش؟ قليلفي حين أنه انا
+
+166
+00:15:30,280 --> 00:15:33,180
+عندى كمية اقل كتير من الاكسجين لإن ال partial
+
+167
+00:15:33,180 --> 00:15:36,900
+pressures لبعها عالى partial pressures اذا الفرق
+
+168
+00:15:36,900 --> 00:15:40,000
+بين ال partial pressures هو اللى بيحصل دين ايه ال
+
+169
+00:15:40,000 --> 00:15:47,280
+net diffusion مش ال ال concentration لحاله okay
+
+170
+00:15:47,280 --> 00:15:50,240
+اذا من ناحية الغازية إلى ناحية ال
+
+171
+00:15:56,250 --> 00:16:02,630
+وبعد كده في أفراديها لأن بحب بحب بيبقى بيبقى بيبقى
+
+172
+00:16:02,630 --> 00:16:04,950
+بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى
+
+173
+00:16:04,950 --> 00:16:08,930
+بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى
+
+174
+00:16:08,930 --> 00:16:10,290
+بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى
+
+175
+00:16:10,290 --> 00:16:12,550
+بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى بيبقى
+
+176
+00:16:12,550 --> 00:16:20,790
+بيبقى بيبقى بيبقى بيبقى
+
+177
+00:16:20,790 --> 00:16:24,010
+بيبقى
+
+178
+00:16:24,010 --> 00:16:25,150
+بيبق
+
+179
+00:16:34,380 --> 00:16:42,280
+براسوال براسوال احنا كنا وقعنا براسوال فب .. فبسيط
+
+180
+00:16:42,280 --> 00:16:47,820
+بسيط انا انا انا انا انا انا انا انا انا انا انا
+
+181
+00:16:47,820 --> 00:16:47,960
+انا انا انا انا انا انا انا انا انا انا انا انا
+
+182
+00:16:47,960 --> 00:16:48,920
+انا انا انا انا انا انا انا انا انا انا انا انا
+
+183
+00:16:48,920 --> 00:16:49,120
+انا انا انا انا انا انا انا انا انا انا انا انا
+
+184
+00:16:49,120 --> 00:16:49,580
+انا انا انا انا انا انا انا انا انا انا انا انا
+
+185
+00:16:49,580 --> 00:16:51,240
+انا انا انا انا انا انا انا انا انا انا انا انا
+
+186
+00:16:51,240 --> 00:16:51,260
+انا انا انا انا انا انا انا انا انا انا انا انا
+
+187
+00:16:51,260 --> 00:16:56,100
+انا انا انا انا انا انا انا انا انا انا
+
+188
+00:16:56,100 --> 00:16:56,820
+انا
+
+189
+00:17:08,410 --> 00:17:16,630
+والخاصة هي ان دي انا اتبع ال Oxygen في الداخل
+
+190
+00:17:16,630 --> 00:17:24,250
+وخاصة بس اللي فيه مصدق فهو اللي هبقى في اقصى
+
+191
+00:17:24,250 --> 00:17:32,990
+الشياطين اللي بيسيطر في اقصى اللي هبقى ايه بقال ان
+
+192
+00:17:32,990 --> 00:17:53,470
+بيبقى في البقشر بقشر بقشر بقشر بقشر
+
+193
+00:17:53,470 --> 00:17:58,590
+بقشر
+
+194
+00:18:13,090 --> 00:18:23,150
+عشان اشفاش بقى عشان هاي بيبان هذا برهوب
+
+195
+00:18:23,150 --> 00:18:33,430
+يعني شوية هاي بيبان عشان تتكلم في معاشر و تتكلم
+
+196
+00:18:33,430 --> 00:18:46,470
+كده هاي بيبان ياخد فاسطيف و يدرسسيقول هذا زي ما
+
+197
+00:18:46,470 --> 00:18:55,870
+اسمه الرازمه أتعرف زاد فى الرازمه ياخد منه شبه هو
+
+198
+00:18:55,870 --> 00:19:03,470
+اللي بزاد فى الرازمه ببرعاة فى الرازمه وشتغل حتة
+
+199
+00:19:03,470 --> 00:19:12,690
+الدنيا طبعا زده شده شتاه بتواصل اللي ب ..وهز
+
+200
+00:19:12,690 --> 00:19:22,690
+اشتغلت سوريستات طبعا وغالبا وغالبا ومش سيحظى
+
+201
+00:19:22,690 --> 00:19:27,170
+وغالبا وغالبا وغالبا وغالبا وغالبا وغالبا وغالبا
+
+202
+00:19:27,170 --> 00:19:30,150
+وغالبا وغالبا وغالبا وغالبا وغالبا وغالبا وغالبا
+
+203
+00:19:30,150 --> 00:19:32,310
+وغالبا وغالبا وغالبا وغالبا وغالبا وغالبا وغالبا
+
+204
+00:19:32,310 --> 00:19:32,810
+وغالبا وغالبا وغالبا وغالبا وغالبا وغالبا وغالبا
+
+205
+00:19:32,810 --> 00:19:32,850
+وغالبا وغالبا وغالبا وغالبا وغالبا وغالبا وغالبا
+
+206
+00:19:32,850 --> 00:19:39,090
+وغالبا وغالبا وغال
+
+207
+00:19:40,520 --> 00:19:48,540
+خابط مثل أزهر ومكسح من النار بياخد خابط مثل أزهر
+
+208
+00:19:48,540 --> 00:19:49,480
+ومكسح من النار بياخد خابط مثل أزهر ومكسح من النار
+
+209
+00:19:49,480 --> 00:19:50,640
+بياخد خابط مثل أزهر ومكسح من النار بياخد خابط مثل
+
+210
+00:19:50,640 --> 00:19:51,760
+أزهر ومكسح من النار بياخد خابط مثل أزهر ومكسح من
+
+211
+00:19:51,760 --> 00:19:51,860
+النار بياخد خابط مثل أزهر ومكسح من النار بياخد
+
+212
+00:19:51,860 --> 00:19:51,860
+خابط مثل أزهر ومكسح من النار بياخد خابط مثل أزهر
+
+213
+00:19:51,860 --> 00:19:54,680
+ومكسح من النار بياخد خابط مثل أزهر ومكسح من النار
+
+214
+00:19:54,680 --> 00:20:04,980
+بياخد خابط
+
+215
+00:20:04,980 --> 00:20:05,340
+مث
+
+216
+00:20:13,130 --> 00:20:21,250
+داخل عندي سرعة نفسي مش فارقة بتوزيع طباعتنا اللي
+
+217
+00:20:21,250 --> 00:20:29,650
+عليها بسبب درجة الحرارة طبعا
+
+218
+00:20:29,650 --> 00:20:38,150
+كل الحرارة علاقتكوا وكذلك الوثم علاقتكوا وخركة
+
+219
+00:20:38,150 --> 00:20:39,570
+الله ذاتك
+
+220
+00:20:41,910 --> 00:20:52,170
+خزانة كل سنة بتفوزني أسرع زي هالسنة
+
+221
+00:20:52,170 --> 00:21:00,530
+اللي زي هالأولى عشان تتبقى منها عزيز و يفرق من
+
+222
+00:21:00,530 --> 00:21:09,030
+أوليها الناس كبارات
+
+223
+00:21:09,030 --> 00:21:10,450
+كبارات
+
+224
+00:21:13,890 --> 00:21:26,370
+تبحو هذا ما اعتمد على الحلالة، فمان؟ بس أنا و ساعة
+
+225
+00:21:26,370 --> 00:21:34,470
+في الموحلة فانا و ساعة اللي عارفة راحت معانا أوعى
+
+226
+00:21:34,470 --> 00:21:39,430
+بس أنا شارت و شارت اللي عارفة و عارفة هو
+
+227
+00:21:44,402 --> 00:21:56,700
+بخير. قلنا لأ بخير لأ. بمعنى أني أسبوع أنت قد تغني
+
+228
+00:21:56,700 --> 00:22:06,580
+وما أبقى معاك. ما قد تشعلت بخير. ما قد تشعلت لأ ما
+
+229
+00:22:06,580 --> 00:22:16,880
+أبقى معاشر بخير.طبعا هو اشتغل خار اخوانه وانا مش
+
+230
+00:22:16,880 --> 00:22:31,900
+مت بخار انا لكن موفقش مش فرزقه قوة طبعا هو اتلقى
+
+231
+00:22:31,900 --> 00:22:39,020
+الخار وانا مش مت البخار دلات
+
+232
+00:22:40,710 --> 00:22:51,750
+مش بتلعب زادت ما اللي سمّاه اللي درحت السفر اللي
+
+233
+00:22:51,750 --> 00:23:01,470
+بطلت السفر اللي هى مابتش حرارة، مابتش حرارة
+
+234
+00:23:01,470 --> 00:23:06,250
+اكترازة، بقى انها حرارة
+
+235
+00:23:12,240 --> 00:23:19,900
+في السفر يطلق وفي الشهرة تبقى انا انا طبعا يومي في
+
+236
+00:23:19,900 --> 00:23:26,780
+حالة تخوض ويحب ان انا اتفقد انا انا ويحب ان انا
+
+237
+00:23:26,780 --> 00:23:34,320
+اتحيي من حالة ناسي انا طبعا لكن في السفر تبقى انا
+
+238
+00:23:34,320 --> 00:23:43,130
+احنا انا و السفر يطلق السفر تبقى انا اشكالعشان
+
+239
+00:23:43,130 --> 00:23:51,330
+تتابع على ملاحظ وزاد في ال topic الفان الحياة تمثل
+
+240
+00:23:51,330 --> 00:23:59,290
+خمسة مهام متر مرفوع تتابع على عمولة يجبّه يجبه
+
+241
+00:23:59,290 --> 00:24:02,850
+يجبه يجبه يجبه يجبه يجبه يجبه يجبه يجبه يجبه يجبه
+
+242
+00:24:02,850 --> 00:24:02,970
+يجبه يجبه يجبه يجبه يجبه يجبه يجبه يجبه يجبه يجبه
+
+243
+00:24:02,970 --> 00:24:02,970
+يجبه يجبه يجبه يجبه يجبه يجبه يجبه يجبه يجبه يجبه
+
+244
+00:24:02,970 --> 00:24:02,990
+يجبه يجبه يجبه يجبه يجبه يجبه يجبه يجبه يجبه يجبه
+
+245
+00:24:02,990 --> 00:24:06,990
+يجبه يجبه
+
+246
+00:24:12,460 --> 00:24:22,520
+خمسة مليمتر واخر موزة يبقى حرارة وحركة الولايات
+
+247
+00:24:22,520 --> 00:24:33,880
+المتحدة موزة الصيف اصلاحها زيادت وبدأت باشرة
+
+248
+00:24:33,880 --> 00:24:39,240
+شرائز اكتر موزة جامعة
+
+249
+00:24:42,790 --> 00:24:51,690
+ساشة قبل اخوها بقى فشارة انها تشت بيها تابع وجود
+
+250
+00:24:51,690 --> 00:24:54,710
+وشارت
+
+251
+00:24:54,710 --> 00:25:03,430
+ومقزدشت سبع و تلتة اما اول نهار اما ان انا انتشت
+
+252
+00:25:03,430 --> 00:25:08,770
+بشرة من الغاز وانا ستة و سبع اربعة
+
+253
+00:25:12,740 --> 00:25:21,440
+هذه الفرقة اللي معنى برهن إيه عشان بصير سنة ومئات
+
+254
+00:25:21,440 --> 00:25:28,320
+وستة من المدرسات اللي كانوا فيها بمعنى أنه صار
+
+255
+00:25:28,320 --> 00:25:40,980
+تدخل كهذا اللي هو الدخول هذا صار في حركة من العزاج
+
+256
+00:25:41,680 --> 00:25:49,400
+أخبرني مدّيها تلقاها تجيوميها اتخبره بقى بطل
+
+257
+00:25:49,400 --> 00:25:57,420
+سرحانه ومش هالعاش ومش هالبقى بقاهاش قام مدّيها
+
+258
+00:25:57,420 --> 00:26:06,520
+تلقاها ومش هالعاش لأنه كان بيجتمع علاشة بعلاشة كام
+
+259
+00:26:07,620 --> 00:26:15,000
+طبعا مالأعلى بيربان هي سبوع الاربعان اللي .. اللي
+
+260
+00:26:15,000 --> 00:26:19,360
+دخلت ومعها
+
+261
+00:26:19,360 --> 00:26:27,580
+تلتر السبوع الاربعان الشتان ومعه سبوع الاربعان
+
+262
+00:26:27,580 --> 00:26:34,520
+الاتناش بيكسبوا مجموعة السبوع الاربعان وبيعملها
+
+263
+00:26:34,520 --> 00:26:44,290
+السبوعأكثر من بارشة بارشة طباء سجين في الأفريقية
+
+264
+00:26:44,290 --> 00:26:48,410
+مختلفة
+
+265
+00:26:48,410 --> 00:26:55,990
+عن بارشة بارشة طباء سجين في الناس في الأدوات
+
+266
+00:26:55,990 --> 00:26:57,730
+السوريكية
+
+267
+00:27:00,070 --> 00:27:09,310
+إن أنا متخيل أن أبقى بكتابة رزاق وإعفار الأرض أنا
+
+268
+00:27:09,310 --> 00:27:18,150
+الباسبة متخيل أن أبقى بقصة
+
+269
+00:27:18,150 --> 00:27:26,570
+بقصة اتحاد مشهورة في أكتر سنة بجانب أي إسرائيل،
+
+270
+00:27:26,570 --> 00:27:37,790
+بجانب أي إسرائيلفي وصف واحد، طيب، لذا من الآن نبقى
+
+271
+00:27:37,790 --> 00:27:43,590
+بتكلم عن ال
+
+272
+00:27:43,590 --> 00:27:47,910
+.. ال
+
+273
+00:27:47,910 --> 00:27:51,450
+factors اللي بتحكم
+
+274
+00:27:53,600 --> 00:27:59,840
+الانتقال زي اسم ال web تفعل ال web تفعل تتكلم عن
+
+275
+00:27:59,840 --> 00:28:09,280
+ال concentration اشتغل؟ و احنا فيه بصوت استيقظ كده
+
+276
+00:28:09,280 --> 00:28:15,920
+و اصلا بنات ال auto shot شير؟
+
+277
+00:28:15,920 --> 00:28:22,060
+اذا هو انتقالأحنا عايزين نفتح على التكتب اللي
+
+278
+00:28:22,060 --> 00:28:23,840
+عايزين نفتح على التكتب اللي عايزين نفتح على التكتب
+
+279
+00:28:23,840 --> 00:28:25,340
+اللي عايزين نفتح على التكتب اللي عايزين نفتح على
+
+280
+00:28:25,340 --> 00:28:26,240
+التكتب اللي عايزين نفتح على التكتب اللي عايزين
+
+281
+00:28:26,240 --> 00:28:26,420
+نفتح على التكتب اللي عايزين نفتح على التكتب اللي
+
+282
+00:28:26,420 --> 00:28:26,500
+عايزين نفتح على التكتب اللي عايزين نفتح على التكتب
+
+283
+00:28:26,500 --> 00:28:27,460
+اللي عايزين نفتح على التكتب اللي عايزين نفتح على
+
+284
+00:28:27,460 --> 00:28:32,920
+التكتب اللي
+
+285
+00:28:32,920 --> 00:28:36,940
+عايزين نفتح على التكتب اللي عايزين نفتح على التكتب
+
+286
+00:28:36,940 --> 00:28:43,840
+اللي عايزين نفتح على التككانت بقى سرقة الانتخاب ..
+
+287
+00:28:43,840 --> 00:28:51,500
+أنا ببقى يشتغلها .. و سرقة الشهر انتخاب شهر .. شهر
+
+288
+00:28:51,500 --> 00:29:03,400
+عامة .. و قولت أنا .. أنا كويس عامة .. كويس
+
+289
+00:29:03,400 --> 00:29:13,080
+شخصية عامة في وقت ما ..أرائيه مفتوحش ليك انا ..
+
+290
+00:29:13,080 --> 00:29:21,680
+انا بانا الكلام انا بشحن بصيحة تبع ع الألوان اللي
+
+291
+00:29:21,680 --> 00:29:31,440
+هيعرفها بشكل مش عارباني تمام اترشحها أرائيها فرحا
+
+292
+00:29:31,440 --> 00:29:40,260
+انا احب ا .. انا اقولهاأو بنتخل أزرق من فيلم صغير
+
+293
+00:29:40,260 --> 00:29:47,800
+اللي اتقر بناه ومشاهه زي اللي مشتت في شارع في ..
+
+294
+00:29:47,800 --> 00:29:54,520
+في مدت .. في مدعتان مش كده مشتت في شارع واشفت
+
+295
+00:29:54,520 --> 00:30:01,000
+التفرغ الواقعيولا ما أشرفش أنا بس ما أشرفش أنا أنا
+
+296
+00:30:01,000 --> 00:30:08,680
+بنتقلها تقوسك حياتي أنا بدأت فيها عزيزي ما
+
+297
+00:30:08,680 --> 00:30:15,560
+تشوفتوها حسيبها لما انت حاجة لما انت حاجة لما انت
+
+298
+00:30:15,560 --> 00:30:19,420
+حاجة لما انت حاجة لما انت حاجة لما انت حاجة لما
+
+299
+00:30:19,420 --> 00:30:19,420
+انت حاجة لما انت حاجة لما أنت حاجة لما أنت حاجة
+
+300
+00:30:19,420 --> 00:30:23,500
+لما أنت حاجة لما
+
+301
+00:30:23,500 --> 00:30:26,180
+أنت حاجة لما أنت حاجة لما أنت حاجة لما أنت حاجة
+
+302
+00:30:26,180 --> 00:30:26,180
+لما أنت حاجة لما أنت حاجة لما أنت حاجة لما أنت
+
+303
+00:30:26,180 --> 00:30:26,180
+حاجة لما أنت حاجة لما أنت حاجة لما أنت حاجة لما
+
+304
+00:30:26,180 --> 00:30:29,850
+أنت حاجة لما أنت حاجة لما أنجاز هادا كان من
+
+305
+00:30:29,850 --> 00:30:37,250
+المفاوض تبع الجاز هادا الكبير قوة الجسوم في الحركة
+
+306
+00:30:37,250 --> 00:30:47,970
+فالمزجين كان أسرع في الحركة برش الحرارة تبعي
+
+307
+00:30:47,970 --> 00:30:57,290
+تبقتلي الجو اذا كنت في حرارة عالية تقعد سريعهو
+
+308
+00:30:57,290 --> 00:31:06,230
+اوضع تقاليد اقالي باليبافة
+
+309
+00:31:06,230 --> 00:31:15,570
+الى ال ..
+
+310
+00:31:15,570 --> 00:31:19,270
+تمام، هممم، نسيت ما كنت قوله
+
+311
+00:31:28,130 --> 00:31:35,490
+بعد الوحوز على السنة البرتقالية كيف شدت سنة
+
+312
+00:31:35,490 --> 00:31:46,810
+برتقالية؟ و .. و مقررات التنام مربوطة على الفلوس
+
+313
+00:31:46,810 --> 00:31:51,350
+أسميك؟
+
+314
+00:31:51,350 --> 00:31:57,770
+أنا يا عزيزي ممكن تفكر شغل، أصبحت روحك كافيةوما
+
+315
+00:31:57,770 --> 00:32:08,590
+زالت يهيئ الوقت لأن السرابيليكي تبع الجاز بتساعد
+
+316
+00:32:08,590 --> 00:32:13,430
+على الانتشار لأن
+
+317
+00:32:13,430 --> 00:32:23,070
+الجاز الشرعي ممكن يبتقل بسرعة الديش مش مانسيك طبعا
+
+318
+00:32:23,070 --> 00:32:25,790
+السرابيليكي روح بالجاز
+
+319
+00:32:35,060 --> 00:32:41,620
+السنة القادمة كانت أكثر من مقاومات .. السنة
+
+320
+00:32:41,620 --> 00:32:46,620
+القادمة كانت مقاومات
+
+321
+00:32:46,620 --> 00:32:50,060
+.. السنة
+
+322
+00:32:50,060 --> 00:32:53,460
+القادمة كانت أكثر من مقاومات .. السنة القادمة كانت
+
+323
+00:32:53,460 --> 00:32:57,000
+أكثر من مقاومات .. السنة القادمة كانت أكثر من
+
+324
+00:32:57,000 --> 00:32:57,820
+مقاومات .. السنة القادمة كانت أكثر من مقاومات ..
+
+325
+00:32:57,820 --> 00:32:59,860
+السنة القادمة كانت أكثر من مقاومات .. السنة
+
+326
+00:32:59,860 --> 00:33:00,900
+القادمة كانت أكثر من مقاومات .. السنة القادمة كانت
+
+327
+00:33:00,900 --> 00:33:00,900
+أكثر من مقاومات .. السنة القادمة كانت أكثر من
+
+328
+00:33:00,900 --> 00:33:01,220
+مقاومات .. السنة القادمة كانت أكثر من مقاومات ..
+
+329
+00:33:01,220 --> 00:33:02,640
+السنة القادمة كانت أكثر من مقاومات .. السنة
+
+330
+00:33:02,640 --> 00:33:09,740
+القادمة كانت أكثرفيلم عزيزي مهارة الدنيا جميعا إذا
+
+331
+00:33:09,740 --> 00:33:18,760
+المشير يبدل حرارة عزيزي إذا الإنسان بلدها قد ات
+
+332
+00:33:18,760 --> 00:33:25,860
+فيه جفافة شمسانة أفراد
+
+333
+00:33:25,860 --> 00:33:28,900
+فرشد يبقوا حقوا يوصلوا
+
+334
+00:33:34,070 --> 00:33:44,590
+وهي بمقرشة مفروض انهاش من وراها او او او او او او
+
+335
+00:33:44,590 --> 00:33:46,570
+او او او او او او او او او او او او او او او او او
+
+336
+00:33:46,570 --> 00:33:47,770
+او او او او او او او او او او او او او او او او او
+
+337
+00:33:47,770 --> 00:33:48,190
+او او او او او او او او او او او او او او او او او
+
+338
+00:33:48,190 --> 00:33:48,190
+او او او او او او او او او او او او او او او او او
+
+339
+00:33:48,190 --> 00:33:48,190
+او او او او او او او او او او او او او او او او او
+
+340
+00:33:48,190 --> 00:33:51,670
+او او او او او او او او
+
+341
+00:33:51,670 --> 00:33:55,630
+او
+
+342
+00:33:55,630 --> 00:34:01,170
+او
+
+343
+00:34:01,170 --> 00:34:01,170
+او
+
+344
+00:34:07,170 --> 00:34:11,210
+بقى بقى الـ «شياطين» بقى عشان أفهمها
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/q1BVk4KKgaw_raw.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/q1BVk4KKgaw_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..0a7a1ae82f8c0fe2543e5b21e5322e5a27227ace
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/q1BVk4KKgaw_raw.srt
@@ -0,0 +1,2144 @@
+1
+00:00:05,030 --> 00:00:08,150
+كانت النقطة التالتة خليني أخش عليها عيشت نفسي الـ
+
+2
+00:00:08,150 --> 00:00:10,950
+Direct Stimulus Sodium Reabsorption in the
+
+3
+00:00:10,950 --> 00:00:13,770
+proximal tubule, the lobophilic and the distal
+
+4
+00:00:13,770 --> 00:00:15,770
+tubule and the collective tubule يعني في ال
+
+5
+00:00:15,770 --> 00:00:19,670
+different parts of the نفرون Reabsorption of
+
+6
+00:00:19,670 --> 00:00:23,370
+Sodium و Sodium طبعا يليد ال water في الغالب
+
+7
+00:00:23,880 --> 00:00:27,580
+الخطوات المختلفة تدفع لكي تدفع لكي تدفع لكي تدفع
+
+8
+00:00:27,580 --> 00:00:29,380
+لكي تدفع لكي تدفع لكي تدفع لكي تدفع لكي تدفع لكي
+
+9
+00:00:29,380 --> 00:00:33,180
+تدفع لكي تدفع لكي تدفع لكي تدفع لكي تدفع لكي تدفع
+
+10
+00:00:33,180 --> 00:00:39,740
+لكي تدفع لكي تدفع لكي تدفع لكي تدفع لكي تدفع لكي
+
+11
+00:00:39,740 --> 00:00:40,340
+تدفع لكي تدفع لكي تدفع لكي تدفع لكي تدفع لكي تدفع
+
+12
+00:00:40,340 --> 00:00:46,720
+لكي تدفع لكي تدفع لكي تدفع لكي تدفع لكي تدفع
+
+13
+00:00:46,720 --> 00:00:49,320
+ل
+
+14
+00:00:50,340 --> 00:00:54,700
+مباشرة direct effect لذلك قلنا الـ agitation to
+
+15
+00:00:54,700 --> 00:00:58,400
+simulate sodium transport across both the luminal
+
+16
+00:00:58,400 --> 00:01:02,100
+and the basolateral surfaces of the epithelia طب
+
+17
+00:01:02,100 --> 00:01:06,720
+خلّيها درجة جملة للآخر نرجع اتنين الان إذا النقطة
+
+18
+00:01:06,720 --> 00:01:10,160
+الأولى اللي هو عبر الالدرستيرون النقطة الثانية
+
+19
+00:01:10,160 --> 00:01:17,420
+مباشرة اللي هنا قلنا النقطة التانية directly to
+
+20
+00:01:17,420 --> 00:01:22,550
+simulate sodium reabsorptionالنقطة التانية اللى
+
+21
+00:01:22,550 --> 00:01:27,410
+سبنها احنا هان بدها تفاصيل تكون the angiotensin 2
+
+22
+00:01:27,410 --> 00:01:31,510
+constricts the efferent arterioles which has two
+
+23
+00:01:31,510 --> 00:01:37,130
+effects on peritubular capillary dynamics هنا اللى
+
+24
+00:01:37,130 --> 00:01:41,310
+فيها كلام كيف يعني يعني لما ال circumstriction لل
+
+25
+00:01:41,310 --> 00:01:46,710
+efferent ممكن يكون mild ويزود ال GFR اللى كلمنا
+
+26
+00:01:46,710 --> 00:01:51,920
+عنه المرة الفاترةممكن يكون مش mild أكتر شوية هذا
+
+27
+00:01:51,920 --> 00:01:59,920
+ممكن أكتر شوية بيزود ال filtration مش كده؟ معناها
+
+28
+00:01:59,920 --> 00:02:01,980
+.. اللي .. اللي .. اللي .. اللي .. اللي .. اللي ..
+
+29
+00:02:01,980 --> 00:02:02,920
+اللي .. اللي .. اللي .. اللي .. اللي .. اللي ..
+
+30
+00:02:02,920 --> 00:02:02,980
+اللي .. اللي .. اللي .. اللي .. اللي .. اللي ..
+
+31
+00:02:02,980 --> 00:02:03,060
+اللي .. اللي .. اللي .. اللي .. اللي .. اللي ..
+
+32
+00:02:03,060 --> 00:02:03,840
+اللي .. اللي .. اللي .. اللي .. اللي .. اللي ..
+
+33
+00:02:03,840 --> 00:02:03,960
+اللي .. اللي .. اللي .. اللي .. اللي .. اللي ..
+
+34
+00:02:03,960 --> 00:02:03,960
+اللي .. اللي .. اللي .. اللي .. اللي .. اللي ..
+
+35
+00:02:03,960 --> 00:02:03,960
+اللي .. اللي .. اللي .. اللي .. اللي .. اللي ..
+
+36
+00:02:03,960 --> 00:02:03,960
+اللي .. اللي .. اللي .. اللي .. اللي .. اللي ..
+
+37
+00:02:03,960 --> 00:02:04,000
+اللي .. اللي .. اللي .. اللي .. اللي .. اللي ..
+
+38
+00:02:04,000 --> 00:02:07,380
+اللي ..
+
+39
+00:02:07,380 --> 00:02:08,520
+اللي ..
+
+40
+00:02:16,740 --> 00:02:21,920
+طب هذا النقطة الأولى أولا إفرانت الارتريوالار تقوم
+
+41
+00:02:21,920 --> 00:02:25,060
+بتقليم كبيرة البروتيولار طب لأ خلينا نتكلم عن
+
+42
+00:02:25,060 --> 00:02:28,620
+الكولويدال هذا النقطة التانية ليش؟ لأن هو نقطة
+
+43
+00:02:28,620 --> 00:02:33,780
+تانية النقطة التانية هذه متعلقة بالقليمة من
+
+44
+00:02:33,780 --> 00:02:36,140
+الارتريوالار للبلد تقوم بتقليم الارتريوالار للبلد
+
+45
+00:02:36,140 --> 00:02:36,200
+تقوم بتقليم الارتريوالار للبلد تقوم بتقليم
+
+46
+00:02:36,200 --> 00:02:39,080
+الارتريوالار للبلد تقوم بتقليم الارتريوالار للبلد
+
+47
+00:02:39,080 --> 00:02:40,860
+تقليم الارتريوالار للبلد تقليم الارتريوالار للبلد
+
+48
+00:02:40,860 --> 00:02:46,760
+تقليم الارتريوالار للبلد تقليمreabsorption على ال
+
+49
+00:02:46,760 --> 00:02:50,060
+level تبع ال vertebral capillaries ان كل هذا ال
+
+50
+00:02:50,060 --> 00:02:54,680
+factor احنا هنا لما يزيد ال filtration بمعنى انه
+
+51
+00:02:54,680 --> 00:03:01,640
+ال filtration زاد مش لان ال flow rate زاد جال تمام
+
+52
+00:03:01,640 --> 00:03:08,100
+ال flow rate جال احنا عندنا العلاقة
+
+53
+00:03:08,100 --> 00:03:13,320
+ما بين ال filtration fraction يساوي ال GFR على ال
+
+54
+00:03:13,320 --> 00:03:18,370
+Aعالى renal flow فلما عندنا renal blood flow،
+
+55
+00:03:18,370 --> 00:03:21,730
+renal plasma flow يجل تمام، معناه ال filtration
+
+56
+00:03:21,730 --> 00:03:28,330
+ايش؟ بزيد، معناه ال colloidal، ال colloidal بيعلق،
+
+57
+00:03:28,330 --> 00:03:32,990
+زاد ال filtration، مش كده؟ زاد ال filtration،
+
+58
+00:03:32,990 --> 00:03:38,020
+بمعنى أخر، أبسط من العلاقة اللي هي معقدة هذهإنه
+
+59
+00:03:38,020 --> 00:03:42,260
+لما الأشي يمشي باشي بطيق ال time for filtration
+
+60
+00:03:42,260 --> 00:03:47,300
+increases فكمية الماء اللي هتروح لإنه صار exposed
+
+61
+00:03:47,300 --> 00:03:51,020
+لل surface of filtration أطول هيصير more
+
+62
+00:03:51,020 --> 00:03:54,620
+concentrated، هيصير عندى more colloidal، هيصير
+
+63
+00:03:54,620 --> 00:03:57,560
+more reabsorption عبر ال colloidal، تمام؟ إذا في
+
+64
+00:03:57,560 --> 00:04:02,070
+الحالة هذه أنا عندى بشتغل ال android instant 2على
+
+65
+00:04:02,070 --> 00:04:05,230
+الحشتين بيشتغل انه بيزود الكولويدال في
+
+66
+00:04:05,230 --> 00:04:08,110
+البريتيوبيلر و بيجري الهيدروستيك في البريتيوبيلر
+
+67
+00:04:08,110 --> 00:04:11,310
+فال two factors هدول بيساعدوني على ال reabsorption
+
+68
+00:04:11,310 --> 00:04:13,530
+لما يجري الهيدروستيك برشر لإن صار عندي
+
+69
+00:04:13,530 --> 00:04:16,450
+constriction تمام جري الهيدروستيك برشر بيزيد ال
+
+70
+00:04:16,450 --> 00:04:20,310
+reabsorption لما يزيد الكولويدال برشر بيزيد ال ايه
+
+71
+00:04:20,310 --> 00:04:23,210
+ال reabsorption اصلا انتوا اتكلمنا عن ايش عكس ذلك
+
+72
+00:04:23,210 --> 00:04:27,160
+لما ال blood pressure بيزيد قولناالمشكلة بيزيد ال
+
+73
+00:04:27,160 --> 00:04:30,000
+peritubular capillary pressure بيجيل ال ايه؟ ال
+
+74
+00:04:30,000 --> 00:04:35,500
+reabsorption طيب اذا ال angiotensin two simulates
+
+75
+00:04:35,500 --> 00:04:39,240
+aldosterone ال angiotensin two constricts
+
+76
+00:04:39,240 --> 00:04:42,660
+different arterioles which has two effects on the
+
+77
+00:04:42,660 --> 00:04:46,560
+peritubular capillary dynamics الميكانيزم لكن
+
+78
+00:04:46,560 --> 00:04:49,980
+المحصلة ان هذه العملية بتقدر ال more reabsorption
+
+79
+00:04:49,980 --> 00:04:54,580
+عبر الهيدروسيناتيكوميشتر و عبر ال كولويد البشر
+
+80
+00:04:56,480 --> 00:05:00,780
+والتالتة قولنا لأ له direct properties على ال all
+
+81
+00:05:00,780 --> 00:05:04,480
+parts of the nephron to increase reabsorption إذا
+
+82
+00:05:04,480 --> 00:05:07,640
+الانجيوتينسين تسيموليز ال sodium transport across
+
+83
+00:05:07,640 --> 00:05:11,500
+both the luminal and the bisolateral
+
+84
+00:05:14,890 --> 00:05:19,330
+فهمناها الـ Reabsorptive forces بس ال basolateral
+
+85
+00:05:19,330 --> 00:05:26,470
+عنوان القلدستيرون مش كده؟ ماشي، القلدستيرون هو اول
+
+86
+00:05:26,470 --> 00:05:30,310
+شي بتنسي انتوا، قولنا اول effect تبقى هو انه زود
+
+87
+00:05:30,310 --> 00:05:33,710
+القلدستيرون فالقلدستيرون هيزود ال ايه؟ ال bombing
+
+88
+00:05:33,710 --> 00:05:38,610
+system و هيزود برضه ال luminal transport mechanism
+
+89
+00:05:38,610 --> 00:05:47,000
+مش كده؟واحد من إفعالات الانجوتينسين 2 هو .. واحد
+
+90
+00:05:47,000 --> 00:05:50,680
+من إفعالات الانجوتينسين 2 هو تسيمولات صوديوم
+
+91
+00:05:50,680 --> 00:05:55,100
+بوتاسيوم في محطة البيزولاتر الممبرانية والثاني
+
+92
+00:05:55,100 --> 00:06:01,140
+إفعالة تسيمولات صوديوم هيدروجين تتعامل في محطة
+
+93
+00:06:01,140 --> 00:06:05,240
+البيزولاتر الممبرانية، خاصة في محطة البيزولاتر
+
+94
+00:06:05,240 --> 00:06:05,240
+المقاومة
+
+95
+00:06:10,580 --> 00:06:16,920
+الانجدنسين تكون الاندوسترون
+
+96
+00:06:16,920 --> 00:06:22,120
+من ضمن الميكانيزمات اللي بشتغل عليها
+
+97
+00:06:42,010 --> 00:06:48,540
+هذا بالنسبة للهرمون التاني انجليتنسين 2أذا اتكلمنا
+
+98
+00:06:48,540 --> 00:06:52,440
+عن ال دوستيلون و انتجدنسل 2 الانتيديرويتك هرمون
+
+99
+00:06:52,440 --> 00:06:56,160
+هنا محتاجين ان احنا نعمل شوية تفاصيل عنه لانه
+
+100
+00:06:56,160 --> 00:06:59,420
+جيبنا سيرته كتير و مااتكلمناش عن التفاصيل تمام
+
+101
+00:06:59,420 --> 00:07:06,740
+الانتيديرويتك هرمون increase water absorption كيف؟
+
+102
+00:07:06,740 --> 00:07:12,470
+وين؟يزيد ال water reabsorption في ال distal
+
+103
+00:07:12,470 --> 00:07:15,910
+nephron و ال collecting ده يعني من بعد الجكستاجروم
+
+104
+00:07:15,910 --> 00:07:19,990
+الأبراطس بشوية صغيرة ال early و ال late من سيبها
+
+105
+00:07:19,990 --> 00:07:25,250
+لإنهم بقى مابيبتوا water لكن ال late distal ال
+
+106
+00:07:25,250 --> 00:07:29,810
+connecting و ال collecting و المدلة لداخل هدول
+
+107
+00:07:29,810 --> 00:07:35,100
+كلهم under the effect ofإذا الـ Distal Tribule,
+
+108
+00:07:35,220 --> 00:07:37,640
+Collecting Tribule وCollecting Duct هدول كلهم
+
+109
+00:07:37,640 --> 00:07:43,240
+affected by the antihormone وزيادة ال antihormone
+
+110
+00:07:43,240 --> 00:07:47,320
+هان بيزيد ال reabsorption كيف بيزيد ال
+
+111
+00:07:47,320 --> 00:07:51,580
+reabsorption هان؟ طيب لما اتكلم احنا ال
+
+112
+00:07:51,580 --> 00:07:54,940
+reabsorption بتكلم تحت .. خلينا نتكلم تحت على ال
+
+113
+00:07:54,940 --> 00:07:58,340
+collecting duct على ال collecting duct في ال
+
+114
+00:07:58,340 --> 00:08:03,320
+collecting duct الميكانيزم ان احنا بنفتحالـ water
+
+115
+00:08:03,320 --> 00:08:07,400
+channels سوف نتكلم عنها بعد قليل لما نفتح ال water
+
+116
+00:08:07,400 --> 00:08:12,140
+channels الماء تدخل للـ collecting duct epithelia
+
+117
+00:08:12,140 --> 00:08:17,580
+وبعدين لما نبقى متص ميه في الحالة هذه ونعمل
+
+118
+00:08:17,580 --> 00:08:21,700
+concentration ل ال urine بيكون hyperosmotic مين؟
+
+119
+00:08:21,700 --> 00:08:27,680
+هي hyperosmotic مضلة مش كده؟ في عندي concentration
+
+120
+00:08:27,680 --> 00:08:32,850
+gradient مدام في عندنا reabsorptionof water by
+
+121
+00:08:32,850 --> 00:08:35,550
+antiretic hormone معناها في عندي osmotic gradient
+
+122
+00:08:35,550 --> 00:08:39,110
+اتكون نتكلم عن الجزء الأخر ال collecting duct ال
+
+123
+00:08:39,110 --> 00:08:42,610
+collecting duct طبعا وين موجودة هي في المضلة مش
+
+124
+00:08:42,610 --> 00:08:46,490
+كده في المضلة ال collecting duct في المضلة إذا
+
+125
+00:08:46,490 --> 00:08:49,110
+فتحت ال water channels
+
+126
+00:08:51,300 --> 00:08:54,540
+واللي بيلاجينا انه الـ hyper osmotic medulla
+
+127
+00:08:54,540 --> 00:08:58,840
+ابتشفت ال water من وين من الابيثيليا هتتدفع ال
+
+128
+00:08:58,840 --> 00:09:03,320
+water من ال filtrate من ال tubular fluid إلى داخل
+
+129
+00:09:03,320 --> 00:09:08,400
+ال cells هتتدخل واضح الميكانيزم إذا عبر ال osmosis
+
+130
+00:09:08,400 --> 00:09:12,660
+اللي موجود في ال interstitial تمام؟ طيب لفوج شوية
+
+131
+00:09:12,660 --> 00:09:18,420
+في ال collecting tubule cortical في ال distal
+
+132
+00:09:18,420 --> 00:09:25,670
+tubule corticalتمام؟ الميكانيزم هذا بتنفع؟ طب احنا
+
+133
+00:09:25,670 --> 00:09:31,070
+هنا ماتقولوش تتسرعوش انا بتغلطكوا طب احنا انها
+
+134
+00:09:31,070 --> 00:09:35,050
+اعتمد ال reabsorption of water على وجود
+
+135
+00:09:35,050 --> 00:09:39,490
+interstitium concentrated مش كده؟ طيب في ال .. في
+
+136
+00:09:39,490 --> 00:09:42,150
+ال .. في ال cortex ال interstitium ماهواش
+
+137
+00:09:42,150 --> 00:09:46,230
+concentrated بصبوط؟ طب okay فتحنا ال channels
+
+138
+00:09:46,230 --> 00:09:50,550
+الميه كيف هتعدل ال ايه؟عندنا تشغل الميكانيزم اننا
+
+139
+00:09:50,550 --> 00:09:53,770
+الانتردوك هرمون بس بفتح ال channels جالك ال water
+
+140
+00:09:53,770 --> 00:09:56,770
+يقبل permeability هتعتمد على الانتردوك هرمون في ال
+
+141
+00:09:56,770 --> 00:09:59,890
+distal tubule و في ال collecting cortical
+
+142
+00:09:59,890 --> 00:10:03,550
+collecting هتعتمد على مين؟ على الانتردوك هرمون و
+
+143
+00:10:03,550 --> 00:10:06,790
+ال collecting duct هتعمل على الانتردوك هرمون في ال
+
+144
+00:10:06,790 --> 00:10:10,110
+collecting duct الانتردوك هرمون فتحت channels و
+
+145
+00:10:10,110 --> 00:10:13,890
+لجينا إيه؟ اندفاع رهيب لإيه؟ لل interstitium لإن
+
+146
+00:10:13,890 --> 00:10:16,510
+ان ال interstitium في الحالة هذه بيكون ايه؟ اه في
+
+147
+00:10:16,510 --> 00:10:20,200
+concentrated interstitiumبس في ال cortex مافيش
+
+148
+00:10:20,200 --> 00:10:26,220
+concentration كداش ال osmolality في ال cortex
+
+149
+00:10:26,220 --> 00:10:31,780
+بيكون بيكون isosmotic كداش يعني تلت مية حوالي تلت
+
+150
+00:10:31,780 --> 00:10:34,320
+مية تلت مية حوالي تلت مية تلت مية تلت مية تلت مية
+
+151
+00:10:34,320 --> 00:10:35,380
+تلت مية تلت مية تلت مية تلت مية تلت مية تلت مية
+
+152
+00:10:35,380 --> 00:10:35,700
+تلت مية تلت مية تلت مية تلت مية تلت مية تلت مية
+
+153
+00:10:35,700 --> 00:10:37,400
+تلت مية تلت مية تلت مية تلت مية تلت مية تلت مية
+
+154
+00:10:37,400 --> 00:10:37,400
+تلت مية تلت مية تلت مية تلت مية تلت مية تلت مية
+
+155
+00:10:37,400 --> 00:10:44,960
+تلت مية تلت مية تلت مية تلت مية تلت مية ت
+
+156
+00:10:47,120 --> 00:10:50,180
+الـ Early Distal Tribule في الـ Thick Ascending
+
+157
+00:10:50,180 --> 00:10:55,240
+Limb نهايته الفلترات كم يكون لديه أزمالته لما سق
+
+158
+00:10:55,240 --> 00:11:00,400
+مية لذا لازال في فرق كبير في أزمالته بين الفلترات
+
+159
+00:11:00,400 --> 00:11:05,360
+و الكورتكس لأننا جئنا في الـ Thick Ascending Limb
+
+160
+00:11:05,360 --> 00:11:11,380
+سحبنا الصليتز ووصلنا للديستالالـ early part برضه
+
+161
+00:11:11,380 --> 00:11:14,340
+غير ممكن تفتح بالماء لكن احنا قاعدين مسحب solutes
+
+162
+00:11:14,340 --> 00:11:19,200
+فتفلترت جو معادي صار ايش؟ diluted في الحالة هذه
+
+163
+00:11:19,200 --> 00:11:21,700
+اذا سمحت لل water ال channels انها تفتح
+
+164
+00:11:21,700 --> 00:11:25,880
+اوتوماتيكالي هتقدر الميه تطلع و تصل ال ال
+
+165
+00:11:25,880 --> 00:11:30,560
+interstitium لان ال interstitium هي 300 طبعا؟ اذا
+
+166
+00:11:30,560 --> 00:11:36,420
+نقولنا احنا لو الفلترات هذا في عندي concentrated
+
+167
+00:11:36,420 --> 00:11:37,060
+mechanisms
+
+168
+00:11:39,430 --> 00:11:43,510
+والفيلتريت يؤثر على الانترنت الهرموني الماكسيما
+
+169
+00:11:43,510 --> 00:11:47,710
+يخرج من الكورتيكس للمضالة تلت مية الكورتيكس
+
+170
+00:11:47,710 --> 00:11:50,910
+ماعندوش قدر يعمل تأثير اكتر من ايه يزود الاسم على
+
+171
+00:11:50,910 --> 00:11:55,510
+تلت مية لأن ال interest rate تبعه على تلت مية مش
+
+172
+00:11:55,510 --> 00:12:01,890
+كده فلذلك هو بيقدر يتحول من مية انه يديني تلتين
+
+173
+00:12:01,890 --> 00:12:06,290
+الميه يتروح فبتجيل الميه للتلت بيرجع لتلت مية
+
+174
+00:12:06,290 --> 00:12:09,710
+تمام؟إذا في الحالة هذه الـ Antidote hormone
+
+175
+00:12:09,710 --> 00:12:12,610
+ميكانيزم of action effective في ال cortex لإن أنا
+
+176
+00:12:12,610 --> 00:12:15,530
+بتكلم عن infiltrate مش .. مش .. مش isosmotic بتكلم
+
+177
+00:12:15,530 --> 00:12:19,330
+عن infiltrate إذا maximum بيصلّي ال filtrate هذا
+
+178
+00:12:19,330 --> 00:12:23,830
+بنزل للمضلة مش ممكن ينزل .. يطلع أكتر من 300 ليش؟
+
+179
+00:12:23,830 --> 00:12:27,190
+لإن قدرة ال cortex هناك 300 ومعناها إن أنا بقدر
+
+180
+00:12:27,190 --> 00:12:31,190
+أسلمه في حالات شديدة اللي محتاج فيها ميّه كتير
+
+181
+00:12:31,190 --> 00:12:36,580
+بقدر أسلمه بس لل Interestation للمضلة Reductبقدر
+
+182
+00:12:36,580 --> 00:12:41,600
+اسلمه فيلتريت او tubular fluid تركيزه جداش تلاتمية
+
+183
+00:12:41,600 --> 00:12:44,140
+من الاغزمون ال maximum بعدين هنا عندنا بيجي ال
+
+184
+00:12:44,140 --> 00:12:47,640
+hyper concentration بيصير هان لإن المضالة بتبقى مش
+
+185
+00:12:47,640 --> 00:12:52,040
+على ال ازموتك بتبقى hyper ايه ازموتك بتقدر تاخد جد
+
+186
+00:12:52,040 --> 00:12:58,420
+ما بدها حسب ال maximum تبقى على جداش لأ في المضالة
+
+187
+00:12:58,420 --> 00:13:02,500
+ال maximum تبقى تركيزها اللي بتقدر تعمله لل ball
+
+188
+00:13:02,500 --> 00:13:07,680
+يعني انت راسيه جداشلأ لأ لأ لأ لأ لأ لأ لأ لأ لأ
+
+189
+00:13:07,680 --> 00:13:07,720
+لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ
+
+190
+00:13:07,720 --> 00:13:08,160
+لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ
+
+191
+00:13:08,160 --> 00:13:16,380
+لأ لأ لأ
+
+192
+00:13:16,380 --> 00:13:21,480
+لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ
+
+193
+00:13:21,480 --> 00:13:23,880
+لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ
+
+194
+00:13:23,880 --> 00:13:23,880
+لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ
+
+195
+00:13:23,880 --> 00:13:28,380
+لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ
+
+196
+00:13:28,380 --> 00:13:34,000
+لأ لأ
+
+197
+00:13:34,250 --> 00:13:38,830
+الـ water channels فاتحة والـ interstitium جاهز كل
+
+198
+00:13:38,830 --> 00:13:42,890
+ما بنزل بشفط منه شوية فبيزيد ال concentration فال
+
+199
+00:13:42,890 --> 00:13:45,690
+tubular filtrate في الأخر ال drop اللي هتنزل في ال
+
+200
+00:13:45,690 --> 00:13:49,870
+pelvis of the kidney هتكون تركيزها زي تركيز الايه
+
+201
+00:13:49,870 --> 00:13:54,370
+ال interstitium واضح الكلام؟ واضح؟ مين اللي كان
+
+202
+00:13:54,370 --> 00:14:00,270
+أحسن؟ واضح؟ تمام؟ واضحين كله؟ تمام يلا طيب إذا
+
+203
+00:14:00,270 --> 00:14:05,880
+الميكانزم واحدة في ال proximalفي ال .. في ال
+
+204
+00:14:05,880 --> 00:14:09,300
+cortical و في ال ايه؟ ليش ال cortical اشتغلت فيه
+
+205
+00:14:09,300 --> 00:14:14,120
+بس افتح البواب؟ لأنه كي عندي hypo osmotic tubular
+
+206
+00:14:14,120 --> 00:14:19,080
+fluid فإذا لو فتحنا له ال .. المجال انه يطلع ال
+
+207
+00:14:19,080 --> 00:14:24,100
+cortex صار عندي انا في فرق بينهم ايه؟ كبير طيب كيف
+
+208
+00:14:24,100 --> 00:14:26,660
+الميكانيزم هذي بتصير؟ قولتلكم ميكانيزم انه تفتح
+
+209
+00:14:26,660 --> 00:14:30,100
+الوطن ال channels ولا ما تفتحش بعدين ال osmolality
+
+210
+00:14:30,100 --> 00:14:33,110
+اللي في ال interstitial هو اللي بيكمل المشواريعني
+
+211
+00:14:33,110 --> 00:14:38,410
+عندنا ما يسمى V2 ريسيبتورز موجودين من الـ late
+
+212
+00:14:38,410 --> 00:14:45,270
+distal لنهاية ال collecting factor V2 يعني هدول هم
+
+213
+00:14:45,270 --> 00:14:48,690
+اللي simulating ال water pools أو water channels
+
+214
+00:14:48,690 --> 00:14:56,640
+الأكوا بورينأكوا بورز V2 ريسبتورز هذي الانتجار
+
+215
+00:14:56,640 --> 00:15:01,060
+الحرموني تسيمولية V ريسبتورز فبتقدر إلى سلسلة من
+
+216
+00:15:01,060 --> 00:15:05,760
+التفاعلات ممكن تكون على مستوى ال نيوكلياس والجين
+
+217
+00:15:05,760 --> 00:15:14,750
+لتصميم أكتر رسالة RNA لتصميم أكتر أكوا بوريناللي
+
+218
+00:15:14,750 --> 00:15:18,650
+هم certain type of proteins موجودة في ال .. في الـ
+
+219
+00:15:18,650 --> 00:15:23,570
+cytoplasm وممكن يكون إذا ال simulation بسيط نستخدم
+
+220
+00:15:23,570 --> 00:15:26,510
+الأكوبريل الموجود في الـ cytoplasm يعني تحت ال
+
+221
+00:15:26,510 --> 00:15:28,850
+membrane تحت ال apical membrane موجود عندنا
+
+222
+00:15:28,850 --> 00:15:33,980
+vesiclesتحتوي على proteins خاصة إذا الانترنت هرمون
+
+223
+00:15:33,980 --> 00:15:37,420
+هذا عمل simulation فال proteins بتروح بتتلتصق بال
+
+224
+00:15:37,420 --> 00:15:40,500
+إيه بال membrane تمام ثم بيصيبلها extra ..
+
+225
+00:15:40,500 --> 00:15:46,440
+extravasation أو exocytosis فبتطلع على ال membrane
+
+226
+00:15:46,440 --> 00:15:50,240
+border و بتعمل water channels إذا الانترنت هرمون
+
+227
+00:15:50,240 --> 00:15:53,920
+جال جزء منهم هينضب جال جزء منهم .. جال على الآخر
+
+228
+00:15:53,920 --> 00:15:59,710
+هيروح تفوق بيصير الميه كلها تمام بتطلع براإذا هو
+
+229
+00:15:59,710 --> 00:16:04,670
+بفتح ال channels أو بجللها أو بكترها تمام؟ وشافت
+
+230
+00:16:04,670 --> 00:16:09,170
+هو هو بس أنا بزود فتحات التسريب أو بجللها حسب ما
+
+231
+00:16:09,170 --> 00:16:14,430
+أنا إيش بده تركيزه فعند ال V2 ريسبتورز increasing
+
+232
+00:16:14,430 --> 00:16:16,970
+ال mechanism هذا ال cellular mechanism بتقدر إلى
+
+233
+00:16:16,970 --> 00:16:19,430
+إن seamless movement of intracellular protein
+
+234
+00:16:19,430 --> 00:16:24,790
+called aquaporin أكوا إيش يعني أكوا؟ لذلك أكوا
+
+235
+00:16:24,790 --> 00:16:26,030
+التوعن ميه هدول
+
+236
+00:16:29,570 --> 00:16:41,010
+اكوا بورين او اكوا بورين او اكوا بورين او اكوا
+
+237
+00:16:41,010 --> 00:16:47,630
+بورين او اكوا بورين او اكوا3 و 4 موجودين على
+
+238
+00:16:47,630 --> 00:16:50,850
+البريزو لاترال مالهمش علاقة بال ايه بالانتردوك
+
+239
+00:16:50,850 --> 00:16:53,790
+هرمون بس هم مفتاحين اتشنز بحيث انه يساعد على ال
+
+240
+00:16:53,790 --> 00:16:56,970
+ايه تدخل ال انترستيشن انترستيشن لكن هو مش under
+
+241
+00:16:56,970 --> 00:16:59,710
+control of the ايه of the انتردوك هرمون اللي under
+
+242
+00:16:59,710 --> 00:17:02,870
+control of the انتردوك هرمون اللي هم على ال ايه ال
+
+243
+00:17:02,870 --> 00:17:07,810
+apical membrane بيفتح بتطلع الميه بيروحه الميه
+
+244
+00:17:07,810 --> 00:17:11,270
+بتضالها ايه لتحصي الدخول الكلية من جديد
+
+245
+00:17:11,270 --> 00:17:14,030
+الانترستيشن بتضالها to the out
+
+246
+00:17:17,300 --> 00:17:22,100
+الملكولات تجمع مع بعضها و تتفجر مع ممبرا للسلب
+
+247
+00:17:22,100 --> 00:17:25,940
+بشكل اكسوسيتوزيس لتصميم قطارات مياه مياه مياه مياه
+
+248
+00:17:25,940 --> 00:17:29,360
+مياه مياه مياه مياه مياه مياه مياه مياه مياه مياه
+
+249
+00:17:29,360 --> 00:17:29,360
+مياه مياه مياه مياه مياه مياه مياه مياه مياه مياه
+
+250
+00:17:29,360 --> 00:17:29,640
+مياه مياه مياه مياه مياه مياه مياه مياه مياه مياه
+
+251
+00:17:29,640 --> 00:17:30,140
+مياه مياه مياه مياه مياه مياه مياه مياه مياه مياه
+
+252
+00:17:30,140 --> 00:17:34,400
+مياه مياه مياه مياه مياه مياه مياه مياه مياه مياه
+
+253
+00:17:34,400 --> 00:17:44,280
+مياه مياه مياه مياه
+
+254
+00:17:44,280 --> 00:17:47,400
+مو عندما يتخلص الجزء من الهرمون الانتردوتك
+
+255
+00:17:47,400 --> 00:17:51,080
+الهرمونيكي الانتردوتك
+
+256
+00:17:51,080 --> 00:17:53,220
+الهرمونيكي الانتردوتك الهرمونيكي الانتردوتك
+
+257
+00:17:53,220 --> 00:17:59,420
+الهرمونيكي الانتردوتك الهرمونيكي الانتردوتك
+
+258
+00:17:59,420 --> 00:18:03,240
+الهرمونيكيال antidepressant hormone هيعود ندرسه
+
+259
+00:18:03,240 --> 00:18:07,620
+تاني في ال endocrine و نتكلم لو .. مش على مستوى
+
+260
+00:18:07,620 --> 00:18:11,580
+الكل يعني نتكلم عنه نتكلم عنه على مستوى ال .. ب
+
+261
+00:18:11,580 --> 00:18:15,060
+twitter gland تمام؟ لإنه ممكن يزيد و ممكن يجلو،
+
+262
+00:18:15,060 --> 00:18:18,640
+إيش أسباب اللي بيخلي يزيد؟ ك diseases مش ك
+
+263
+00:18:18,640 --> 00:18:27,020
+physiological controlling system، أه؟ لأ التالت
+
+264
+00:18:27,020 --> 00:18:31,350
+هذا أو الرابعكلمنا عن الانتريد الخرمون التالت،
+
+265
+00:18:31,350 --> 00:18:33,110
+هنتكلم عن الرابع الانتريد الخرمون الالدوسترون
+
+266
+00:18:33,110 --> 00:18:38,890
+الانتريد الخرمون الانتريد الناترويورتيكوم اعتقد ان
+
+267
+00:18:38,890 --> 00:18:41,530
+انا حكيت عنه الانتريد الناترويورتيكوم بتاعت انا
+
+268
+00:18:41,530 --> 00:18:45,090
+حكيت عنه هذا بيطلع من ال atrial epithelium او
+
+269
+00:18:45,090 --> 00:18:48,570
+endothelium ال atrial endothelium لما يصير
+
+270
+00:18:48,570 --> 00:18:52,690
+expansion الو dilatation الو stretch receptors
+
+271
+00:18:52,690 --> 00:18:58,910
+بتضغط عليه بيقدر اله انه secreted more تمام؟أقل ال
+
+272
+00:18:58,910 --> 00:19:03,250
+volume البصل بيقل لكن بيشغل الكيليا بطريقة عكسية
+
+273
+00:19:03,250 --> 00:19:06,990
+لإن هو لما يزيد ال volume بده يقلله طيب ال
+
+274
+00:19:06,990 --> 00:19:14,170
+mechanism of action تبعه وين وين شغله هو increase
+
+275
+00:19:14,170 --> 00:19:17,690
+levels of this peptide in turn inhibit the
+
+276
+00:19:17,690 --> 00:19:20,350
+reabsorption of sodium and water by the renal
+
+277
+00:19:20,350 --> 00:19:23,850
+tubules especially in the collecting duct لذا
+
+278
+00:19:23,850 --> 00:19:27,610
+بيشغل الجزء الأخيرتمام؟ mainly على الجزر الأخير
+
+279
+00:19:27,610 --> 00:19:30,430
+لكن هو على ال tubule كله بيجلل ال reabsorption
+
+280
+00:19:30,430 --> 00:19:33,310
+اللي هو ذاتي و بيزود ال reabsorption اللي هو ايه
+
+281
+00:19:33,310 --> 00:19:36,990
+جالب بس ال main action تبقى على مين؟ ال collecting
+
+282
+00:19:36,990 --> 00:19:42,770
+factor Parathyroid هرمون هذا إيه علاقة بالمين؟ بال
+
+283
+00:19:42,770 --> 00:19:49,130
+.. بال calcium و الفوسفات و القليل من ال إيه؟ ال
+
+284
+00:19:49,130 --> 00:19:53,430
+magnesium ال calcium بيشتغل في ال calcium عدسة ال
+
+285
+00:19:53,430 --> 00:19:57,250
+tubuleبزود ال reabsorption في كالسيوم وين؟ في ال
+
+286
+00:19:57,250 --> 00:20:00,270
+distal tubule لما يزيد بره تهيرويد البره تهيرويد
+
+287
+00:20:00,270 --> 00:20:03,490
+هاره هرمون شغلته الرئيسي هم اللي بيحفظوها شغلته
+
+288
+00:20:03,490 --> 00:20:07,530
+الرئيسي المحافظة على مستوى الكالسيو في الدم ماليش
+
+289
+00:20:07,530 --> 00:20:11,610
+بيفهمش اللي هي و هو قوي تمام؟ هو هو ايه؟ هرمون قوي
+
+290
+00:20:11,610 --> 00:20:15,470
+إن جلل كالسيو في الدم بنجان بده يعليه من أول جهزة
+
+291
+00:20:15,470 --> 00:20:18,310
+كما كان فبياخد من العظم وبياخد من ال intestine
+
+292
+00:20:18,310 --> 00:20:22,650
+اللي بياخد منه ممنعه بده يعليهفهو هرمون قوي شغلته
+
+293
+00:20:22,650 --> 00:20:26,350
+يحافظ ع مين؟ مش شغلته يبني عظيمة، لأ لأ مالوش
+
+294
+00:20:26,350 --> 00:20:30,130
+علاقة بينها العظيم هو، هو بيكسر العظيم، شغلته
+
+295
+00:20:30,130 --> 00:20:33,840
+يحافظ على ال إيه؟ الكائنثة و كدهلكن إذا دوتولو
+
+296
+00:20:33,840 --> 00:20:36,780
+كالسيوم كافي باهدا باهدا و باسكت و الكالسيوم يزيد
+
+297
+00:20:36,780 --> 00:20:40,400
+انا بروح للعظيمة لكن النقص يا أقولكوا النقص
+
+298
+00:20:40,400 --> 00:20:44,520
+براتيرويد بنهش في العظيم بيكسه تمام إلا يسحب ال ..
+
+299
+00:20:44,520 --> 00:20:48,040
+ال إيه؟ الكالسيوم المطلوب بيحس بلازمة level of
+
+300
+00:20:48,040 --> 00:20:51,700
+كالسيوم الدبال إيه؟ طبيعية ليش؟ لإن الكالسيوم
+
+301
+00:20:51,700 --> 00:20:56,400
+level زي البوتاسيوم خطير لإيه؟ ل .. ل .. ل .. ل ..
+
+302
+00:20:56,400 --> 00:20:57,580
+ل .. ل .. ل .. ل .. ل .. ل .. ل .. ل .. ل .. ل ..
+
+303
+00:20:57,580 --> 00:20:57,940
+ل .. ل .. ل .. ل .. ل .. ل .. ل .. ل .. ل .. ل ..
+
+304
+00:20:57,940 --> 00:20:58,460
+ل .. ل .. ل .. ل .. ل .. ل .. ل .. ل .. ل .. ل ..
+
+305
+00:20:58,460 --> 00:20:58,580
+ل .. ل
+
+306
+00:21:03,200 --> 00:21:06,820
+لل heart بتزيد اذا نبدي نحافظ على level هذا لإنه
+
+307
+00:21:06,820 --> 00:21:11,000
+هذا مش بس احنا محتاجينه الدم البلازم لا لأ انا في
+
+308
+00:21:11,000 --> 00:21:14,260
+ناس اخرين متعقدين معاهم انه نضبط الأمور و الا ايه
+
+309
+00:21:14,260 --> 00:21:18,400
+تختل البلد كلها ضرب المفاعل شسمه هيخرب الدنيا كلها
+
+310
+00:21:18,400 --> 00:21:22,160
+مش بس هيخرب الكهربا هيموت الناس الإشعاع اللي طلع
+
+311
+00:21:22,160 --> 00:21:24,560
+مش انه مافيش كهربا طبعا ان شاء الله مافي كهربا من
+
+312
+00:21:24,560 --> 00:21:27,760
+انا مع الشمعةلكن لأ الآن الإشعاع اللي طلع مال
+
+313
+00:21:27,760 --> 00:21:30,600
+الدنيا هذا مش الخطر على اليابان لحالها، الخطر على
+
+314
+00:21:30,600 --> 00:21:34,700
+كل مكان، ال calcium ازاد .. الجسم لا يسمح بالإيه
+
+315
+00:21:34,700 --> 00:21:38,720
+بإنه إشي يطلع out of control، ع طول في ميكانيزمات
+
+316
+00:21:38,720 --> 00:21:41,620
+دائما الإشي .. مش ميكانيزم واحد، بيكون كذا
+
+317
+00:21:41,620 --> 00:21:44,280
+ميكانيزم زي ما أنتوا شايفين ال regulation كام تم،
+
+318
+00:21:44,280 --> 00:21:50,570
+مش كده؟ إشي بضع بيأكد إشيالـ sympathetic بيطلع ال
+
+319
+00:21:50,570 --> 00:21:52,190
+renin و ال renin بيطلع ال angiotensin too و ال
+
+320
+00:21:52,190 --> 00:21:55,930
+angiotensin بيطلع ال .. ال .. ال aldosterone و ال
+
+321
+00:21:55,930 --> 00:21:58,070
+.. ال .. و ال aldosterone بيطلع ال .. ال .. ال
+
+322
+00:21:58,070 --> 00:22:04,210
+hormone system كامل لو واحد منه فشل الباقي بيكمل ف
+
+323
+00:22:04,210 --> 00:22:07,310
+multiple control systems ازاي نتكلم ال control
+
+324
+00:22:07,310 --> 00:22:10,350
+قلنا ال .. ال autogenic one اللي هو ال .. ال
+
+325
+00:22:10,350 --> 00:22:14,790
+glomerotubular balance بعدين ال hormones بعدين ال
+
+326
+00:22:14,790 --> 00:22:18,140
+.. فمتداخلةو هاد ال physiology ال homeostasis
+
+327
+00:22:18,140 --> 00:22:21,920
+مانظبطش .. احنا مش عايشين سباق له لأ لو ان .. يعني
+
+328
+00:22:21,920 --> 00:22:25,500
+عشان تشوفوا كدهش انه الحياة .. ال .. ال
+
+329
+00:22:25,500 --> 00:22:28,460
+aldosterone و ال .. ال .. و ال aldosterone بتطلع
+
+330
+00:22:28,460 --> 00:22:35,440
+ال hormone لو واحد منه فشل الباقي بيكمل ف multiple
+
+331
+00:22:35,440 --> 00:22:38,920
+control systems ازاي نتكلم ال control قلنا ال ..
+
+332
+00:22:38,920 --> 00:22:41,800
+ال autogenic one اللي هو ال .. ال glomerotubular
+
+333
+00:22:41,800 --> 00:22:47,780
+balance بعدين ال hormones بعدين الفمتداخلة و هذا
+
+334
+00:22:47,780 --> 00:22:50,300
+ال physiology ال homeostasis مانظبطش احنا مش
+
+335
+00:22:50,300 --> 00:22:54,080
+عايشين سباق له لأ لو يعني عشان تشوفوا كدهش انه
+
+336
+00:22:54,080 --> 00:22:58,060
+الحياة هي ال aldosterone و ال aldosterone بتطلع ال
+
+337
+00:22:58,060 --> 00:23:04,500
+hormone system كامل لو واحد منه فشل الباقي بيكمل ف
+
+338
+00:23:04,500 --> 00:23:07,600
+multiple control systems ازاي نتكلم ال control
+
+339
+00:23:07,600 --> 00:23:11,260
+قلنا ال autogenic one اللي هو ال glomerotubular
+
+340
+00:23:11,260 --> 00:23:17,240
+balance بعدين ال hormones بعدين الفمتداخلة و هاد
+
+341
+00:23:17,240 --> 00:23:19,760
+ال physiology اللي هو homeostasis مانظبطش احنا مش
+
+342
+00:23:19,760 --> 00:23:23,540
+عايشين سباحة لا لا لو ان يعني عشان تشوفوا كدهش انه
+
+343
+00:23:23,540 --> 00:23:27,640
+على الحياة ال aldosterone و ال .. و ال aldosterone
+
+344
+00:23:27,640 --> 00:23:33,200
+بتطلع نتك هرمون system كامل لو واحد منه فشل الباقي
+
+345
+00:23:33,200 --> 00:23:37,240
+بيكمل ف multiple control systems اذا انا بتتكلم ال
+
+346
+00:23:37,240 --> 00:23:40,560
+control قلنا ال autogenic one اللي هو ال
+
+347
+00:23:40,560 --> 00:23:45,080
+glomerotubular balance بعدين ال hormones بعدين ال
+
+348
+00:23:46,100 --> 00:23:48,460
+فمتداخلك و هذا ال physiology ال homeostasis
+
+349
+00:23:48,460 --> 00:23:52,620
+مانظبطش احنا مش عايشين سباحة لأ لأ لو ان يعني عشان
+
+350
+00:23:52,620 --> 00:23:54,060
+تشوفوا كدهش انه الحياة
+
+351
+00:23:54,060 --> 00:24:12,880
+هالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهالهال
+
+352
+00:24:15,400 --> 00:24:18,120
+و هذا ال physiology ال homeostasis مانظبطش .. احنا
+
+353
+00:24:18,120 --> 00:24:21,440
+مش عايشين سباحة لأ لأ لو ان .. يعني عشان تشوفوا
+
+354
+00:24:21,440 --> 00:24:24,500
+كدهش انه الحياة .. و ال .. و ال .. و ال .. و ال ..
+
+355
+00:24:24,500 --> 00:24:24,700
+و ال .. و ال .. و ال .. و ال .. و ال .. و ال .. و
+
+356
+00:24:24,700 --> 00:24:24,960
+ال .. و ال .. و ال .. و ال .. و ال .. و ال .. و ال
+
+357
+00:24:24,960 --> 00:24:25,280
+.. و ال .. و ال .. و ال .. و ال .. و ال .. و ال ..
+
+358
+00:24:25,280 --> 00:24:25,280
+و ال .. و ال .. و ال .. و ال .. و ال .. و ال .. و
+
+359
+00:24:25,280 --> 00:24:25,560
+ال .. و ال .. و ال .. و ال .. و ال .. و ال .. و ال
+
+360
+00:24:25,560 --> 00:24:26,860
+.. و ال .. و ال .. و ال .. و ال .. و ال .. و ال ..
+
+361
+00:24:26,860 --> 00:24:27,060
+و ال .. و ال .. و ال .. و ال .. و ال .. و ال .. و
+
+362
+00:24:27,060 --> 00:24:29,520
+ال .. و ال .. و ال .. و ال .. و ال .. و ال .. و ال
+
+363
+00:24:29,520 --> 00:24:34,840
+.. و ال ..
+
+364
+00:24:34,840 --> 00:24:36,240
+و ال ..
+
+365
+00:24:44,120 --> 00:24:47,000
+و هذا ال physiology ال homeostasis مانزبطش احنا مش
+
+366
+00:24:47,000 --> 00:24:50,780
+عايشين سباق لأ لأ لو ان يعني عشان تشوفوا كدهش انه
+
+367
+00:24:50,780 --> 00:24:56,400
+الحياة ها system كامل لو واحد منه فشل الباقي بيكمل
+
+368
+00:24:56,400 --> 00:25:00,280
+ف multiple control systems اذا نتكلم ال control
+
+369
+00:25:00,280 --> 00:25:03,940
+قلنا ال autogenic one اللي هو ال glomerotubular
+
+370
+00:25:03,940 --> 00:25:09,760
+balance بعدين ال hormones بعدين ال .. فمتداخلة و
+
+371
+00:25:09,760 --> 00:25:12,420
+هذا ال physiology ال homeostasis مانزبطش احنا مش
+
+372
+00:25:12,420 --> 00:25:16,220
+عايشين سباق لأ لألو ان .. يعني عشان تشوف كده انه
+
+373
+00:25:16,220 --> 00:25:21,540
+الحياة هيحل ال hormones فمتداخلة و هذا ال
+
+374
+00:25:21,540 --> 00:25:23,900
+physiology ال homeostasis مانظبطش .. احنا مش
+
+375
+00:25:23,900 --> 00:25:27,680
+عايشين سباحة لا لا لو ان .. يعني عشان تشوف كده انه
+
+376
+00:25:27,680 --> 00:25:32,420
+الحياة هيحل ال hormones ال factor التالت اللي هو
+
+377
+00:25:32,420 --> 00:25:38,940
+ال ..البراتيرويد التالت ولا كده؟ خمس الخمس
+
+378
+00:25:38,940 --> 00:25:46,620
+البراتيرويد هان بتشغل على تلاتة solutes تمام بتزود
+
+379
+00:25:46,620 --> 00:25:49,940
+ال reabsorption of كالسيوم في دسالكم في التيبول
+
+380
+00:25:49,940 --> 00:25:58,620
+بتزود ال execution of وصفات عبر ال proximal tubule
+
+381
+00:25:58,620 --> 00:26:03,760
+و بتزود ال reabsorption of مجنيزيوم عبر الايه؟
+
+382
+00:26:04,360 --> 00:26:07,960
+اللبوف هنلي و احنا اتكلمنا في اللوبوف هنلي انه 25%
+
+383
+00:26:07,960 --> 00:26:13,140
+من ال magnesium is reabsorbed في اللوبوف هنلي و
+
+384
+00:26:13,140 --> 00:26:17,500
+الbarathyroid هرمون له تأثيرها تمام؟ اذا the
+
+385
+00:26:17,500 --> 00:26:20,520
+principle action in the kidney is to increase
+
+386
+00:26:20,520 --> 00:26:24,020
+tubular reabsorption وكالسيوم هذا الأساس لكن الشغل
+
+387
+00:26:24,020 --> 00:26:28,120
+إضافي barathyroid has also other actions
+
+388
+00:26:28,120 --> 00:26:30,740
+inhibition of phosphate reabsorption by the
+
+389
+00:26:30,740 --> 00:26:34,180
+proximal tubuleSimulation of Magnesium
+
+390
+00:26:34,180 --> 00:26:37,480
+Reabsorption by the Loop of Henle Simpathetic
+
+391
+00:26:37,480 --> 00:26:42,980
+Simulation Control بتاعة يعيطي عبر مين؟
+
+392
+00:26:42,980 --> 00:26:46,400
+Simpathetic System Simpathetic System اتكلمت انا
+
+393
+00:26:46,400 --> 00:26:53,900
+عنه تقوم بتقليم الـ GFR Simpathetic Activation
+
+394
+00:26:53,900 --> 00:26:56,940
+Increase Sodium Reabsorption in the Proximal برضه
+
+395
+00:26:56,940 --> 00:27:01,970
+غير الميكانيزمات المختلفةالو direct effect
+
+396
+00:27:01,970 --> 00:27:04,910
+sympathetic over stimulation الو direct effect على
+
+397
+00:27:04,910 --> 00:27:08,770
+انه يعمل increase ال reabsorption لإن هو محتاج
+
+398
+00:27:08,770 --> 00:27:11,490
+عالي بمنع ال filtration لكن اللي بيستخدمه ال
+
+399
+00:27:11,490 --> 00:27:14,490
+filtration بدو يسحبه كله يعنى، increases ال ايه؟
+
+400
+00:27:14,490 --> 00:27:17,490
+ال reabsorption في ال proximal tube و في ال ..
+
+401
+00:27:17,490 --> 00:27:21,430
+everywhere تمام؟ everywhere لإن هذا ايه؟ بدو يسحب
+
+402
+00:27:21,430 --> 00:27:26,060
+ميه ممنوع ايش يطلعالنقطة التالتة الـ sympathetic
+
+403
+00:27:26,060 --> 00:27:29,800
+nervous system simulation بيدخل على الرنين وعلى
+
+404
+00:27:29,800 --> 00:27:34,000
+الألدوستيرون عبر الانجتانسند وها كذا الـ
+
+405
+00:27:34,000 --> 00:27:35,500
+sympathetic nervous system simulation مهمة كتير
+
+406
+00:27:39,940 --> 00:27:43,600
+خلصنا احنا من ال control اه الان احنا applications
+
+407
+00:27:43,600 --> 00:27:49,080
+على المسائل هذه نفهم منها فى عندنا تطبيق اسمه the
+
+408
+00:27:49,080 --> 00:27:52,500
+clearance clearance of كذا clearance of inulin,
+
+409
+00:27:52,660 --> 00:27:55,960
+clearance of كرياتينين, clearance of any substance
+
+410
+00:27:55,960 --> 00:28:00,360
+اذا ال clearance of substance معينة تساوي جديش
+
+411
+00:28:00,360 --> 00:28:06,280
+الكيليا لما دخلت الدم اللى داخل تمام الدم اللى
+
+412
+00:28:06,280 --> 00:28:13,910
+داخلو طالع من الكيلية جديش انا قدرت انظف جديش اعمل
+
+413
+00:28:13,910 --> 00:28:19,510
+execution منه ال execution اللي طلع هذا يساوي جديش
+
+414
+00:28:19,510 --> 00:28:25,810
+في أكم سانتي دم هو تمام؟ ال clearance هان احنا مش
+
+415
+00:28:25,810 --> 00:28:29,270
+كلمة حقيقية لإن احنا تقريبا مافيش إش اللي نقدر
+
+416
+00:28:29,270 --> 00:28:34,700
+نعمله ب run واحدة complete ال clearance من الدمحتى
+
+417
+00:28:34,700 --> 00:28:38,800
+الأشياء اللي بيبقى minimal اللي إلها executed اللي
+
+418
+00:28:38,800 --> 00:28:41,640
+إلها تعبير clearance بمعنى إنه الكمية اللي طلعت
+
+419
+00:28:41,640 --> 00:28:46,360
+هذه في الكيليا في ال ball تمثل أكم سانتي من الدم
+
+420
+00:28:46,360 --> 00:28:51,480
+تمام؟ وقلتلكم أن ال clearance هو حيلة للتعامل
+
+421
+00:28:51,480 --> 00:28:56,840
+النسبي في عمل الكيليا بمعنى آخر إنه المواد اللي هي
+
+422
+00:28:56,840 --> 00:29:00,880
+تركيزها واط جليل في الدمال execution هبقى هيبقى
+
+423
+00:29:00,880 --> 00:29:04,980
+جليل فأرقامها تبقى جليلة هنحس أنها مش مهمة لكن لما
+
+424
+00:29:04,980 --> 00:29:08,780
+نقول هي أساسا ال executed الكمية الجليلة هذه من
+
+425
+00:29:08,780 --> 00:29:13,120
+تركيز جداش أساسي هو هنلاقي ما شاء الله أنه ولو أنه
+
+426
+00:29:13,120 --> 00:29:16,780
+كمية جليلة طلعت إلا أنها ضفت عشرة mil في الجيجا
+
+427
+00:29:16,780 --> 00:29:21,440
+تمام؟لكن أشياء بتطلع كتير وبتطلع ملاكة من نظفة
+
+428
+00:29:21,440 --> 00:29:25,440
+إيه؟ واحد منه، إذا عملية نسمية عشان نكون .. نشوف
+
+429
+00:29:25,440 --> 00:29:28,880
+تأثير الكلب الحقيقي على المادة هذه والتأثير
+
+430
+00:29:28,880 --> 00:29:31,760
+الحقيقي بتناسب من .. أنا بتقولليش أنا جديش صرفت،
+
+431
+00:29:31,760 --> 00:29:35,240
+بتقوللي جديش أخدت، مش كده؟ بدي أشوف الصرف بالنسبة
+
+432
+00:29:35,240 --> 00:29:39,870
+للإيه؟ جديش إجاني، جديش طلعت منهفالعلاقة بتصير
+
+433
+00:29:39,870 --> 00:29:47,910
+نسبية اما لذلك ايه تصدق و لو بشكة تمرة اللي ..
+
+434
+00:29:47,910 --> 00:29:51,630
+اللي صدق بشكة تمرة يعني هتصدق بنصف ماله لكن اللي
+
+435
+00:29:51,630 --> 00:29:54,510
+صدق بمليون هتصدق بواحد في المية من ماله اللي عنده
+
+436
+00:29:54,510 --> 00:29:58,270
+مليون، تمام؟ فلذلك احنا بنعمل عملية نسبية عشان
+
+437
+00:29:58,270 --> 00:30:02,950
+نفهم كده قدرة الكيليا في انه .. طيب هذه نقطة، نقطة
+
+438
+00:30:02,950 --> 00:30:06,970
+تانية بنقدر نعرف من خلال ال clearance هذابنعمل
+
+439
+00:30:06,970 --> 00:30:09,890
+علاقة بين ال clearance of any substance مع ال
+
+440
+00:30:09,890 --> 00:30:14,830
+clearance of inulin ال clearance of inulin يمثل
+
+441
+00:30:14,830 --> 00:30:20,810
+مادة just filtered اشتت في ال .. في ال .. في ال ..
+
+442
+00:30:20,810 --> 00:30:24,610
+في ال glomerul صار لها filtration هو executed not
+
+443
+00:30:24,610 --> 00:30:29,150
+secreted or reabsorbed تمام؟ اذا في الحالة هذه لما
+
+444
+00:30:29,150 --> 00:30:31,830
+ألاقي انا ال clearance لأي مادة
+
+445
+00:30:35,490 --> 00:30:39,170
+أكتر من clearance of inulin هذا عملي أني أقارن
+
+446
+00:30:39,170 --> 00:30:42,410
+الأشياء بال inulin تمام؟ لذا لما أقول أنا
+
+447
+00:30:42,410 --> 00:30:48,550
+clearance of inulin بمعنى أنه كل اللي filtered ..
+
+448
+00:30:48,550 --> 00:30:53,680
+يعني اللي اتنظف ال filtrationالـ glomer filtration
+
+449
+00:30:53,680 --> 00:30:56,800
+كله اتنظف او اللي هو النسبة اللي اتنظفت من ال
+
+450
+00:30:56,800 --> 00:31:01,140
+filtration مش غيرها اللي تمثل 20% من الدم صالها
+
+451
+00:31:01,140 --> 00:31:04,980
+filtration تمام الجزء اللي نزل في ال filter الجزء
+
+452
+00:31:04,980 --> 00:31:08,620
+ال filter هذا كله طلع للاخر تمام not reabsorbed or
+
+453
+00:31:08,620 --> 00:31:13,080
+secreted اذا ال filtered amount هذه تمام اللي
+
+454
+00:31:13,080 --> 00:31:20,220
+هتمثل مية و خمس عشر ملي في الايه في الدقيقة اتنظفت
+
+455
+00:31:20,220 --> 00:31:25,830
+كليا من ايهمن الانيولين مش كده؟ اذا في الحالة هذه
+
+456
+00:31:25,830 --> 00:31:32,590
+انا بقدر اعرف اكم سانتي من الدم اتنضف من الانيولين
+
+457
+00:31:32,590 --> 00:31:39,230
+تمام؟ بشوف الانيولين جديش تركيزه في الدم تمام؟
+
+458
+00:31:39,230 --> 00:31:43,130
+جديش الكمية اللي طلعت؟الكميلتي اللى طلعت هذه تساوي
+
+459
+00:31:43,130 --> 00:31:48,930
+بنجسمها على التركيز في الدم تنظف حيكون خمس ال
+
+460
+00:31:48,930 --> 00:31:56,730
+blood flow تمام 125 ملي لتر اتنظفت بلازمة 125 ملي
+
+461
+00:31:56,730 --> 00:32:03,190
+لتر دم هتكون نفس ال .. لإن كلهم كانوا في الدم 125
+
+462
+00:32:03,190 --> 00:32:06,410
+سنة من الدم اتنظف او اكتر او جالس لما نضرف ال
+
+463
+00:32:06,410 --> 00:32:09,770
+factor 125 سنة من البلازمةمن النام بيديها factor
+
+464
+00:32:09,770 --> 00:32:14,170
+لإيه؟ الـ hematocrit مش كده؟ طيب إذا الأشياء ال
+
+465
+00:32:14,170 --> 00:32:19,290
+clearance بتاعها تساوي نفس ال volume تبع ال inulin
+
+466
+00:32:19,290 --> 00:32:23,990
+اللي بتنظف معناها دي المادة بس filtered تمام؟ لإن
+
+467
+00:32:23,990 --> 00:32:27,530
+الكمية اللي filtered هي تساوي كمية ال inulin ال
+
+468
+00:32:27,530 --> 00:32:31,270
+clearance of inulin تمام؟ إذا زي ال inulin معناها
+
+469
+00:32:31,270 --> 00:32:35,160
+filtered not reabsorbed ولا secretedإذا والله ال
+
+470
+00:32:35,160 --> 00:32:37,360
+clearance بقى أعلى من الانيولين، معناها دي
+
+471
+00:32:37,360 --> 00:32:42,000
+filtered وsecreted وإيه؟ إذا ال clearance بقى أقل
+
+472
+00:32:42,000 --> 00:32:45,420
+من الانيولين، معناه دي filtered ودي absorbed،
+
+473
+00:32:45,420 --> 00:32:49,180
+واضح؟ هذه علاقتنا بين الجسمين النقطة الثانية بدي
+
+474
+00:32:49,180 --> 00:32:53,920
+أقولها ال clearance of كرياتينين ال clearance of
+
+475
+00:32:53,920 --> 00:32:56,780
+كرياتينين، قلنا عيب الكرياتينين
+
+476
+00:32:58,950 --> 00:33:02,230
+هو ميزته انه natural ميزته انه ايه؟ natural
+
+477
+00:33:02,230 --> 00:33:06,450
+substance عيب الانيولين انه مادة ماهياش natural
+
+478
+00:33:06,450 --> 00:33:10,130
+بدي اعطيها بإيدي و اجيسها بإيدي و اعمل سوى لكن
+
+479
+00:33:10,130 --> 00:33:14,910
+الكرياتينين مش هغلب لا في .. لا هقد مادة ولا إيش
+
+480
+00:33:14,910 --> 00:33:18,670
+هجيسه مباشرة طب في ميزة تانية للكرياتينين قالت أنا
+
+481
+00:33:18,670 --> 00:33:23,130
+مش محتاج اني اجيسه مباشرة و اروح اجيس ال ball كمان
+
+482
+00:33:23,130 --> 00:33:26,430
+و أشوف ايش طلع و أجس مادة على هذا لإنه لجينا علاقة
+
+483
+00:33:26,430 --> 00:33:32,300
+مباشرة ما بينأصلا قلت قبل كده بين كرياتينين blood
+
+484
+00:33:32,300 --> 00:33:41,640
+level و GFR طبعا قلت قبل كده قلنا كل ما ال GFR وطي
+
+485
+00:33:41,640 --> 00:33:46,900
+يعني كمية الكرياتينين اللي بتطلع في جلك لما ال GFR
+
+486
+00:33:46,900 --> 00:33:50,000
+بتجل معناه لكريران سبع المادة اللي بتطلع بس بال
+
+487
+00:33:50,000 --> 00:33:53,920
+filtration بتجل لأن كمية ال filtration جلكإذا
+
+488
+00:33:53,920 --> 00:33:57,720
+الفيلتريشن تبع ال .. ال NULE لما جيل ال GFR
+
+489
+00:33:57,720 --> 00:33:59,920
+الفيلتريشن .. ال .. ال .. ال clearة سبب ال NULE
+
+490
+00:33:59,920 --> 00:34:04,560
+إيش هصير فيه؟ هجيل لما جال ال GFR الفيلتريشن تبع
+
+491
+00:34:04,560 --> 00:34:06,700
+الكرياتينين ال .. ال clearة سبب الكرياتينين إيش
+
+492
+00:34:06,700 --> 00:34:11,960
+هصير فيه؟ هجيل لما .. طب أنا الجسم بيطلع كرياتينين
+
+493
+00:34:11,960 --> 00:34:16,480
+بمعدل ثابت ال execution تبعه جال إيش هصير في ال
+
+494
+00:34:16,480 --> 00:34:21,900
+blood level الكرياتينين؟ هيعلى هيعلى لو أجتشنفترض
+
+495
+00:34:21,900 --> 00:34:28,980
+إن الـ GFR نزل للنص علشان أنا أقدر أطلع نفس الكمية
+
+496
+00:34:28,980 --> 00:34:32,860
+اللي أطلعتها و الـ GFR طبيعي لازم ال creatinine
+
+497
+00:34:32,860 --> 00:34:37,120
+level يتضاعف فبيظل ال creatinine يعلى .. يعلى ..
+
+498
+00:34:37,120 --> 00:34:40,000
+يعلى .. يعلى .. لما يصير الضعف الأولاني لما يصير
+
+499
+00:34:40,000 --> 00:34:43,900
+الضعف الأولاني بيصير ال execution the same يعني
+
+500
+00:34:43,900 --> 00:34:48,840
+بيصير اللي produced من الجسم يساوي ال .. إيه؟ ال
+
+501
+00:34:48,840 --> 00:34:53,550
+executedتمام؟ ليش؟ لأن ال filtration في الآخر ال
+
+502
+00:34:53,550 --> 00:34:57,270
+clearance في الآخر يساوي إيه؟ اللي هو قدش في عندي
+
+503
+00:34:57,270 --> 00:35:04,930
+.. قدش في عندي تركيز كرياتينين في ال GFR مش كده؟
+
+504
+00:35:04,930 --> 00:35:09,490
+هدفي هذا يساوي ال X created لأن نفس التركيز اللي
+
+505
+00:35:09,490 --> 00:35:13,370
+في ال filtration هو اللي في البلازمة لما ال
+
+506
+00:35:13,370 --> 00:35:18,070
+filtration جالر نص البلازمة عالي تركيزها الأضعف
+
+507
+00:35:18,070 --> 00:35:23,550
+صار ال filtrationof creatinine هذا يساوي التركيز
+
+508
+00:35:23,550 --> 00:35:27,410
+الجديد اللي هو الضعف في ال GFR الجديد اللي هو النص
+
+509
+00:35:27,410 --> 00:35:31,770
+رجعه لإيه؟ اه اذا لجينا حالنا احنا بنقدر نعرف ال
+
+510
+00:35:31,770 --> 00:35:36,570
+GFR من خلال ال creatinine clearance من خلال مش ال
+
+511
+00:35:36,570 --> 00:35:39,290
+creatinine clearance محتاجين بس ال blood level
+
+512
+00:35:40,440 --> 00:35:43,880
+تمام؟ إذا لجأت إذا كل ال clearance و ال GFR و
+
+513
+00:35:43,880 --> 00:35:47,840
+الجثة هذه اختزلها من ال creatinine blood level إذا
+
+514
+00:35:47,840 --> 00:35:51,480
+ال creatinine blood level زاد لضعف إذا ال GFR جلّى
+
+515
+00:35:51,480 --> 00:35:56,100
+النصف إذا ده زاد ده درع أضعف جلّى التلت تمام؟ إذا
+
+516
+00:35:56,100 --> 00:36:00,560
+أنا بقدر clinical test بسيط اللي هو ال creatinine
+
+517
+00:36:00,560 --> 00:36:04,800
+أعرف من خلاله ال kidney function و تعبرلي عن
+
+518
+00:36:04,800 --> 00:36:09,140
+kidney function من خلال ال GFR levelGFR وطت زادت
+
+519
+00:36:09,140 --> 00:36:13,900
+علي الطبيعية من خلال الكرياتينين واضح؟ هذا اعتقد
+
+520
+00:36:13,900 --> 00:36:17,840
+اللي انا اليوم حاببت اقوله اللي هو ايه بيمثل كل
+
+521
+00:36:17,840 --> 00:36:20,660
+العلاقات كلها أشياء بسيطة كلها هتفهموه اللي اذا
+
+522
+00:36:20,660 --> 00:36:23,880
+احنا مجنونهاش هتكون ببساطة بتقدروا تفهموه لإنه ايه
+
+523
+00:36:23,880 --> 00:36:26,520
+انشرحت فيه مباني الستور الله يعطيك الله حلو من هنا
+
+524
+00:36:26,520 --> 00:36:32,920
+سؤال؟ لأ ماضليش ولا دي قالنا طيب مافيش مانع إذا حد
+
+525
+00:36:32,920 --> 00:36:41,730
+عنده سؤالواضح يا بنات؟ اتفضلي ال clearance
+
+526
+00:36:41,730 --> 00:36:45,990
+بنقول جديش طلع في ال bowl جديش تركيزه في البلازما
+
+527
+00:36:45,990 --> 00:36:49,230
+اللي طلع في ال bowl هذا يمثل أكم سنة من البلازما
+
+528
+00:36:49,230 --> 00:36:51,970
+بنجسم الطلع على تركيزه في البلازما معناه عندي
+
+529
+00:36:51,970 --> 00:36:55,410
+تلاتة مل اتنطفت بس حقيقة مافيش تلاتة مل بتنطف مرة
+
+530
+00:36:55,410 --> 00:36:59,750
+واحدة بس احنا رقم بيدنايا عشان نعرفال clearance
+
+531
+00:36:59,750 --> 00:37:03,890
+اللي هو يمثل لرقم صار مهم رقم نسبي مش رقم absolute
+
+532
+00:37:03,890 --> 00:37:07,890
+نسبة ما بين الطلع والموجود مش اه عشان ابعد عن ال
+
+533
+00:37:07,890 --> 00:37:11,010
+absolute figures comparison ال comparison of
+
+534
+00:37:11,010 --> 00:37:14,930
+figures بتطلعش دقيق لإنه انا ممكن اتكلم عن مادة
+
+535
+00:37:14,930 --> 00:37:18,570
+بسيط طلعتها إلا إنها مهمة جدا و اتكلم عن مادة
+
+536
+00:37:18,570 --> 00:37:21,830
+طلعتها كتير لإن الكل هو على الماشي مش هتا
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/sPaOA8LhP90_raw.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/sPaOA8LhP90_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..135573cdd1cddefa72dd5bb7ab0100e292e17f92
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/sPaOA8LhP90_raw.srt
@@ -0,0 +1,1616 @@
+1
+00:00:18,140 --> 00:00:23,520
+بداية محاضرات حول ال renal physiology how the
+
+2
+00:00:23,520 --> 00:00:29,560
+kidney works how it can control the body fluids
+
+3
+00:00:29,560 --> 00:00:32,300
+what are the functions of the kidney in general
+
+4
+00:00:32,300 --> 00:00:37,840
+عشان نتكلم عن هذه المسائل لابد ان نشوف ال field
+
+5
+00:00:37,840 --> 00:00:40,700
+اللي بتشغل فيه ال kidney الكلية بتشغل على ال body
+
+6
+00:00:40,700 --> 00:00:45,140
+fluids mainly فشم ال body fluids هو إيش بتكون و هو
+
+7
+00:00:45,140 --> 00:00:48,710
+الموجودين من هذا المنطلق هم نبدأ بال إيه؟بال
+
+8
+00:00:48,710 --> 00:00:51,850
+chapter خمسة و عشرين اللي هو بتكلم عن ال body
+
+9
+00:00:51,850 --> 00:00:55,390
+fluids and compartments and composition and how
+
+10
+00:00:55,390 --> 00:01:06,770
+they are controlled لما
+
+11
+00:01:06,770 --> 00:01:11,130
+نتكلم عن ال body fluids بنلاحظ أنه في عندي أنا في
+
+12
+00:01:11,130 --> 00:01:17,940
+الجسمbody intake أو fluid intake و fluid output مش
+
+13
+00:01:17,940 --> 00:01:25,820
+هيك مفترض علشان ال .. ال homeostasis verbosis انه
+
+14
+00:01:25,820 --> 00:01:30,560
+يكون عندى ال .. ال intake و ال output متساوي مش
+
+15
+00:01:30,560 --> 00:01:41,630
+كده واقع الأمر انه ال input و ال outputمش متساوي
+
+16
+00:01:41,630 --> 00:01:46,530
+يعني بمعنى اخر انه في variations بين الناس يعني
+
+17
+00:01:46,530 --> 00:01:54,830
+ممكن واحد يفقد كمية كبيرة من السوائل رياضي جو حار
+
+18
+00:01:54,830 --> 00:02:02,490
+high metabolism عنده و ممكن واحد يفقد اقل ممكن
+
+19
+00:02:02,490 --> 00:02:07,610
+واحد ياخد سوائل كمية كبيرة و ممكن واحد ياخد كمية
+
+20
+00:02:07,610 --> 00:02:12,690
+جليلةفال balance هذا في الآخر بين الناس اللي أخدت
+
+21
+00:02:12,690 --> 00:02:16,610
+جليل و أخدت كتير و فقدت جليل و فجلت قليل في الآخر
+
+22
+00:02:16,610 --> 00:02:19,970
+ال balance الرئيسي مسئولية مين مسئولية الكلية
+
+23
+00:02:19,970 --> 00:02:25,130
+حقيقة فلو طلعنا احنا على الأشياء اللي بتصير في
+
+24
+00:02:25,130 --> 00:02:31,550
+الحياة البسيطة الحياة اليومية اللي مافيش فيها نشاط
+
+25
+00:02:31,550 --> 00:02:34,990
+عالي او حرارة عالية ال standard يعني واحد عايش
+
+26
+00:02:34,990 --> 00:02:41,750
+حياة هادئةفي جو حرارة مناسب في هو يكون طبعا وزنه
+
+27
+00:02:41,750 --> 00:02:44,990
+ال standard بتتكلم عنه دايما احنا بنتكلم عن راجل
+
+28
+00:02:44,990 --> 00:02:51,310
+adult زلمة وزنه سبعين كيلو اجرام فالالقان تبقى
+
+29
+00:02:51,310 --> 00:02:55,110
+اتنا بتتكلم عن هذا ال ايه ال standard بتطلع بنلاقي
+
+30
+00:02:55,110 --> 00:03:01,990
+انه في عندنا fluid intake يومي تتمثل في المناكل من
+
+31
+00:03:01,990 --> 00:03:09,180
+اكل شربسواء الموجودة في الخضار في الأكل أو سواء
+
+32
+00:03:09,180 --> 00:03:16,080
+الموجودة في نفس ال drinks اللى بناخدها او جزء بيجي
+
+33
+00:03:16,080 --> 00:03:22,900
+من ال metabolism لإنه العملية حرق السكر نهائي اللى
+
+34
+00:03:22,900 --> 00:03:29,570
+في الجسم بيحول ال hydrogenفي وجود حرقه بالأكسجين
+
+35
+00:03:29,570 --> 00:03:33,570
+إلى مياه وهذه مياه إضافية بتدخل الجسم نطلع منها
+
+36
+00:03:33,570 --> 00:03:39,710
+يوميا حوالي two liters of water ومن الميتابرزم يجي
+
+37
+00:03:39,710 --> 00:03:46,570
+حوالي 200 مليليتر في المقابل معناها في عندي intake
+
+38
+00:03:46,570 --> 00:03:50,750
+يومي حوالي اتنين لتر و تلتمية مليلتر اتنين مليلتر
+
+39
+00:03:50,750 --> 00:03:56,750
+و نص حاجزة كده نطلع فيه مصادر لل output يوميعندي
+
+40
+00:03:56,750 --> 00:04:04,630
+output في عندنا أشياء ثابتة
+
+41
+00:04:04,630 --> 00:04:08,650
+لاتتغير و أشياء متغيرة تمام فعندنا عندنا ال
+
+42
+00:04:08,650 --> 00:04:13,330
+insensible losses اللي احنا مانحسش فيها جاية من
+
+43
+00:04:13,330 --> 00:04:20,470
+التبخر عبر الجلد او من الفقدان بخار الماء عبر ال
+
+44
+00:04:20,470 --> 00:04:25,720
+respirationوهذا نتج على ان طبيعة الميه بتظل تتبخر
+
+45
+00:04:25,720 --> 00:04:29,740
+من الجلد لكن وجود الجلد الطبيعي هنا اللي هو
+
+46
+00:04:29,740 --> 00:04:36,420
+cornified بيقدر الى انه كمية الفقدان قليلة، تمام؟
+
+47
+00:04:36,420 --> 00:04:41,500
+لكن تصوروا هذا الجلد راح فقدناه في حروق وكذا،
+
+48
+00:04:41,500 --> 00:04:46,590
+معناه في عندنا كمية كبيرة من السوائل هتفقدفهذه ال
+
+49
+00:04:46,590 --> 00:04:50,070
+losses ممكن تكون كمية ضخمة جدا لو كان الجلد هذا
+
+50
+00:04:50,070 --> 00:04:54,550
+صار عليه إيه إشكال منعه من أداء واجبه في حفظ
+
+51
+00:04:54,550 --> 00:04:58,910
+السوائل داخل الجسم و ال losses في ال lungs زي ما
+
+52
+00:04:58,910 --> 00:05:06,310
+قلنا انه ال ال vapor pressure في داخل في عموما في
+
+53
+00:05:06,310 --> 00:05:11,330
+الجو الهوائي ال atmospheric air بيكون واطي في حين
+
+54
+00:05:11,330 --> 00:05:16,240
+انه في داخل الالـ expiratory tract بيكون حوالي 47
+
+55
+00:05:16,240 --> 00:05:23,200
+ملي متر ميركوري فانا بيقدر إلى انه جزء يتشبع جزء
+
+56
+00:05:23,200 --> 00:05:26,620
+من تشبع تبع الهواء الـ expired air بيقدر إلى جزء
+
+57
+00:05:26,620 --> 00:05:32,220
+يطلع من ال .. من ال fluids داخل الجسم عن طريق هذا
+
+58
+00:05:32,220 --> 00:05:38,160
+ال expiratory air طبعا قلنا احنا في وجود حالات
+
+59
+00:05:38,160 --> 00:05:44,110
+برودة شديدةهذا يؤدي إلى أننا نفقد سوائل في داخل
+
+60
+00:05:44,110 --> 00:05:49,470
+الاستجابة والهواء اكتر افضل اكتر من اللي بنفقده في
+
+61
+00:05:49,470 --> 00:05:56,910
+وجود درجة حرارة اعلى شوية لان تشبع الهواء الجوي في
+
+62
+00:05:56,910 --> 00:06:02,990
+وجود حرارة منخفضة بيكون اقل فلذلك كمية ال water
+
+63
+00:06:02,990 --> 00:06:07,930
+vapor اللي كان بي carried by air increased مع الكل
+
+64
+00:06:07,930 --> 00:06:12,370
+مجال التشبع بيحمل كمية أكبر إذا ال losses هذه ممكن
+
+65
+00:06:12,370 --> 00:06:17,450
+بعض الظروف تخليها تزيد أو تجل إن كانت على skin
+
+66
+00:06:17,450 --> 00:06:21,910
+losses أو ال lungs losses بيجي عندنا ال variables
+
+67
+00:06:21,910 --> 00:06:25,330
+الأخرى اللي في العادة بتكون كمية جليلة زي ال sweat
+
+68
+00:06:25,330 --> 00:06:29,430
+مثلا في ظروف مناسبة مايفقدش أكتر من ملي لتر في
+
+69
+00:06:29,430 --> 00:06:33,370
+اليوم في وضع احنا مانا عرقش كتير يعني مانحسش فيه
+
+70
+00:06:33,370 --> 00:06:38,500
+عرق خفيفلكن في وجود حر و ان شاء الله هنتكلم عن ال
+
+71
+00:06:38,500 --> 00:06:42,340
+control of body temperature و نشوف دور ال .. ال
+
+72
+00:06:42,340 --> 00:06:47,200
+sweat في .. في ال .. السنة الجاية في مثل هيك فاصل،
+
+73
+00:06:47,200 --> 00:06:50,280
+فاصل .. الفاصل الجاي ان شاء الله .. ال .. ال ..
+
+74
+00:06:50,280 --> 00:06:55,060
+السنة الجاية الفاصل التانيفممكن اللي سوتها ده يزيد
+
+75
+00:06:55,060 --> 00:06:59,000
+ويصير كمية ضخمة جدا وممكن يكون very minimal كمان
+
+76
+00:06:59,000 --> 00:07:04,060
+ال losses عبر ال feces ممكن تكون very minimal او
+
+77
+00:07:04,060 --> 00:07:07,120
+تكون كمية ضخمة جدا لو اتعرضنا احنا لا ايه لا
+
+78
+00:07:07,120 --> 00:07:12,740
+الاتهابات الدائرية ال urine مهمته في الآخر انه
+
+79
+00:07:12,740 --> 00:07:16,940
+يعدل كل الأمورإن زادت الفقدان في أماكن أخرى هو
+
+80
+00:07:16,940 --> 00:07:21,720
+بيجل وإن جل الفقدان في أماكن أخرى هو بيزيد إذا دي
+
+81
+00:07:21,720 --> 00:07:26,240
+ال intake بيزيد إن جل ال intake بيجل يعني شغلته في
+
+82
+00:07:26,240 --> 00:07:32,180
+الآخر يعمل إيه؟ ضبط ل ال body fluids بحيث أنهbody
+
+83
+00:07:32,180 --> 00:07:37,400
+fluids water and electrolytes to be managed in
+
+84
+00:07:37,400 --> 00:07:40,860
+standard levels عشان يحافظ على ال homeostasis اللي
+
+85
+00:07:40,860 --> 00:07:44,480
+قولنا عليه بحيث انه ال composition of different
+
+86
+00:07:44,480 --> 00:07:48,580
+body compartments fluid compartments تبقى ثابتة
+
+87
+00:07:48,580 --> 00:07:53,430
+ماتتغيرشfor normal function of the different cells
+
+88
+00:07:53,430 --> 00:07:58,770
+يعني اذا اتغيرت ال environment تبع ال cells اتغيرت
+
+89
+00:07:58,770 --> 00:08:03,410
+على شكل chemical changes او pH changes او
+
+90
+00:08:03,410 --> 00:08:08,510
+electrical changes او pressure changes ,
+
+91
+00:08:08,510 --> 00:08:11,050
+hydrostatic pressure changes that will affect the
+
+92
+00:08:11,050 --> 00:08:15,370
+whole function of the cells and body طيب اذا
+
+93
+00:08:19,940 --> 00:08:40,060
+دور الكلية دور رئيسي في ضبط هذه البسائل fluid
+
+94
+00:08:40,060 --> 00:08:44,610
+loss in sweat كلمنا عنهاو انها ممكن تصل الى كميات
+
+95
+00:08:44,610 --> 00:08:49,530
+كبيرة water losses in feces و water losses بعد
+
+96
+00:08:49,530 --> 00:08:56,350
+الكدنى الكلية هنا اذا ممكن تنزل لنا او تعمل
+
+97
+00:08:56,350 --> 00:09:00,510
+execution ل minimal urine ممكن مايزيدش عن نص لتر
+
+98
+00:09:00,510 --> 00:09:07,050
+في اليوم او ممكن تقدر ان يزيد عندي ال urine الى
+
+99
+00:09:07,050 --> 00:09:10,580
+عشرين لتر في اليوميعني في عندها القدرة عليها تعمل
+
+100
+00:09:10,580 --> 00:09:15,300
+variations كبيرة بحيث انها تضبط في الآخر ال ال
+
+101
+00:09:15,300 --> 00:09:18,980
+concentration of the different body fluids ال
+
+102
+00:09:18,980 --> 00:09:20,740
+composition يظل ثابت
+
+103
+00:09:23,320 --> 00:09:27,500
+و من هنا مش بس ال water contents برضه ال electrode
+
+104
+00:09:27,500 --> 00:09:33,160
+contents مثلا هنا عندنا ممكن احنا نفقد ال sodium
+
+105
+00:09:33,160 --> 00:09:36,000
+as low as twenty milliequivalent per day في
+
+106
+00:09:36,000 --> 00:09:41,320
+اليورين و ممكن نفقد as high as three hundred to
+
+107
+00:09:41,320 --> 00:09:44,740
+five hundred milliequivalent per day هذا كله
+
+108
+00:09:44,740 --> 00:09:47,760
+بيعتمد على ال different exchanges اللي قلنا عليها
+
+109
+00:09:47,760 --> 00:09:51,100
+ال input و ال output و هذه مهمتها انها تظبط الأمور
+
+110
+00:09:51,650 --> 00:09:54,370
+إن أكلنا فسيخ بيبطلع كمان ضخم من ال sodium
+
+111
+00:09:54,370 --> 00:09:59,150
+chloride وإن أكلنا أنصومنا وماكناش إشي بتتجلل
+
+112
+00:09:59,150 --> 00:10:05,050
+الفقدان هذا لذلك هنا متكلم عن الآية الآن هذا كلام
+
+113
+00:10:05,050 --> 00:10:10,390
+general بداية هنتكلم عن ال body fluids هذه
+
+114
+00:10:10,390 --> 00:10:13,230
+الموجودة ال body fluids موجودة في تلاتة
+
+115
+00:10:13,230 --> 00:10:17,610
+compartments تنين منهم رئيسيات intracellularfluid
+
+116
+00:10:17,610 --> 00:10:21,930
+body compartment وaccessory fluid compartment وفى
+
+117
+00:10:21,930 --> 00:10:26,010
+عندنا small compartment اللى هى transcellular فى
+
+118
+00:10:26,010 --> 00:10:28,050
+حين ان ال transcellular هذه علي انها small
+
+119
+00:10:28,050 --> 00:10:31,650
+compartment اللى انها ممكن فى لحظة من اللحظات يكون
+
+120
+00:10:31,650 --> 00:10:35,950
+very large compartment و very dangerous
+
+121
+00:10:35,950 --> 00:10:39,750
+compartment يعني هذا ال contents تبعت ال
+
+122
+00:10:39,750 --> 00:10:42,070
+transcellular compartments اللى لازجين عن اتنين
+
+123
+00:10:42,070 --> 00:10:47,680
+لتر لتر الا اتنين لترفي كل الجسم يتمثل فيه ال
+
+124
+00:10:47,680 --> 00:10:52,040
+sirus sex اللي قلنا عليها ال plura ال pericardium
+
+125
+00:10:52,040 --> 00:10:56,700
+ال peritoneum ال synovial fluids ال intraocular
+
+126
+00:10:56,700 --> 00:11:00,020
+fluids ال different fluids هاي ال transcellular
+
+127
+00:11:00,020 --> 00:11:04,240
+compartments اللي انها ممكن فجأة ل disease معينة
+
+128
+00:11:04,650 --> 00:11:10,630
+تستوعب كمية ضخمة وانا حكيتلكم عن liver failure او
+
+129
+00:11:10,630 --> 00:11:14,810
+liver cirrhosis اللى بيصير ناتج عن البلهرزيزيز
+
+130
+00:11:14,810 --> 00:11:20,510
+وكيف انه بيقدر انه يصير transludation لل .. لل
+
+131
+00:11:20,510 --> 00:11:24,590
+fluids في داخل البروتنيا ال cavity ويقدر البروتنيا
+
+132
+00:11:24,590 --> 00:11:32,160
+ال cavity يحتوي على عشرين لتر او اكتريعني أكتر من
+
+133
+00:11:32,160 --> 00:11:35,920
+المرأة الحامل بيكون بطنه قدامه من كتر ما هو مليانة
+
+134
+00:11:35,920 --> 00:11:40,280
+fluids نسحب منه عشرين تلاتين liter fluid في بعض
+
+135
+00:11:40,280 --> 00:11:44,640
+الحالات نضطر إلى نسحب بيبقى كاتب نفسه ضغط كده ف
+
+136
+00:11:44,640 --> 00:11:48,820
+transfer your body compartment على بساطتها وعلى
+
+137
+00:11:48,820 --> 00:11:54,560
+جلتها اللي هنا فجأة ممكن تنقلب إلى خطر شديد
+
+138
+00:11:54,560 --> 00:11:58,610
+البلورةاللي هو عندما يصير عندى انا التهاب فى الرقى
+
+139
+00:11:58,610 --> 00:12:03,570
+تمام ويصير بلوريزى التهاب وصل طرف البلورا بيصير
+
+140
+00:12:03,570 --> 00:12:06,830
+الكوب اللى ايه ال fluids فى داخل البلورا بتعمل
+
+141
+00:12:06,830 --> 00:12:10,430
+البلورا ال effusion كمية ضخمة وطبعا فى حالات يعنى
+
+142
+00:12:10,430 --> 00:12:13,830
+ال heart failure او ال generalized edema ممكن تقدى
+
+143
+00:12:13,830 --> 00:12:18,030
+ال transcellular هدوة ال compartments يتحولوا ال
+
+144
+00:12:18,030 --> 00:12:22,230
+compartment ضخمة عشان كده بيسموهم potential spaces
+
+145
+00:12:23,090 --> 00:12:28,150
+ليش؟ لأن هم قابلين على انهم يدوا الى يستوعبوا
+
+146
+00:12:28,150 --> 00:12:32,230
+كميات كبيرة في العادة مابيجوش big spaces و small
+
+147
+00:12:32,230 --> 00:12:36,410
+spaces لكن فجأة ممكن يتحولوا الى big spaces large
+
+148
+00:12:36,410 --> 00:12:42,450
+اذا ال intracellular مفهومة بتفصلها عن ال
+
+149
+00:12:42,450 --> 00:12:45,290
+extracellular cell membrane ال extracellular
+
+150
+00:12:45,290 --> 00:12:50,500
+بيبتنقسم جسمينوإبلازمة بيفصلهم الـ capillary
+
+151
+00:12:50,500 --> 00:12:53,660
+membrane و ال transcellular بيفصلها عن ال
+
+152
+00:12:53,660 --> 00:12:57,500
+extracellular complete serous sac, serous membrane
+
+153
+00:12:57,500 --> 00:13:03,400
+اللي هو إيه؟ ممكن يكون هذا ال serous membrane ال
+
+154
+00:13:03,400 --> 00:13:06,910
+pluralالمنبرين اللي هو زى ما قلنا احنا ال sirus
+
+155
+00:13:06,910 --> 00:13:10,830
+sex in general اللي ها two layers واحد بيكون
+
+156
+00:13:10,830 --> 00:13:15,490
+visceral واحد بيكون parietal مش كده عشان ال fluids
+
+157
+00:13:15,490 --> 00:13:20,410
+تدخل داخل ال .. ال membrane ال .. ال compartment
+
+158
+00:13:20,410 --> 00:13:24,110
+هذه لازم تعدى ال sirus membrane ان كان ال parietal
+
+159
+00:13:24,110 --> 00:13:28,390
+one او كان ال visceral one يعتمد على انه وين صار
+
+160
+00:13:28,390 --> 00:13:31,350
+الخطر في العادة بيجي من ال visceral ساعاتفي العادة
+
+161
+00:13:31,350 --> 00:13:34,450
+بيجي من ايه؟ من ال visceral side لإنه بيجي من ال
+
+162
+00:13:34,450 --> 00:13:43,110
+viscous ال .. ال oozing أو ال transudation ال
+
+163
+00:13:43,110 --> 00:13:49,850
+body fluids قولنا جسمنا هذا عبارة عن fluids ولو
+
+164
+00:13:49,850 --> 00:13:54,010
+انه احنا شايفينه ايه يعني solid الا انه ال solid
+
+165
+00:13:54,010 --> 00:13:59,720
+فيه اربعين المية و ال fluid فيه ستين في الميةلأ مش
+
+166
+00:13:59,720 --> 00:14:04,800
+كده و بس في الأطفال ال fluids تمانية في المية لو
+
+167
+00:14:04,800 --> 00:14:07,400
+فصلنا هذا عنها نجد تمانية في المية fluids في
+
+168
+00:14:07,400 --> 00:14:10,620
+الأطفال و من هنا خطورة ال fluids و التعامل معها في
+
+169
+00:14:10,620 --> 00:14:13,680
+الأطفال لإن الطفل تمانية في المية منه fluids لإن
+
+170
+00:14:13,680 --> 00:14:21,730
+خش فيه ديارية شديدة بسهولة بيخش فيهانخفاض في ال
+
+171
+00:14:21,730 --> 00:14:26,250
+fluids حاجة مثلا ال dehydration وهذا بيأثر على مش
+
+172
+00:14:26,250 --> 00:14:30,710
+بس ال blood pressure تبعه بيأثر على كل شيء في جسمه
+
+173
+00:14:30,710 --> 00:14:34,370
+طبعا بيفقد السواق ده بسرعة بيخش في shock و ممكن
+
+174
+00:14:34,370 --> 00:14:38,430
+يموت في ثواني و ال cholera اللي احنا بنخاف منها ال
+
+175
+00:14:38,430 --> 00:14:42,690
+cholera اللي هي بعبع كنزة cholera رهيبة لإنه هتموت
+
+176
+00:14:42,690 --> 00:14:48,530
+ألاف الناسلا تفعل ما تفعله إلا عبر ال dehydration
+
+177
+00:14:48,530 --> 00:14:53,550
+تخلي أنه في فرصة لفقدان كمية كبيرة من السوائل عبر
+
+178
+00:14:53,550 --> 00:14:59,570
+ال intestinal عبر ال intestinal membrane الميكوزا
+
+179
+00:14:59,570 --> 00:15:03,610
+ال membrane و اللي تستفل حدها دي بيصير بيصير
+
+180
+00:15:03,610 --> 00:15:07,650
+الميكوزا تبعتها secreting fluids بسبب ال toxins
+
+181
+00:15:07,650 --> 00:15:12,460
+تبعت ال ايه ال cholera اللي بتخليال .. الـ mucosal
+
+182
+00:15:12,460 --> 00:15:16,340
+membrane of the intestine is secreting more fluids
+
+183
+00:15:16,340 --> 00:15:20,240
+than reabsorbing بتقدي إلى فقدان كمية ضخمة which
+
+184
+00:15:20,240 --> 00:15:24,420
+is dangerous can be .. can be killing and it is
+
+185
+00:15:24,420 --> 00:15:28,380
+killing really if you are not يعني ايه replacing
+
+186
+00:15:28,380 --> 00:15:33,620
+the losses لذلك احنا فهمنا لل body fluids كتير مهم
+
+187
+00:15:33,620 --> 00:15:40,390
+في امراض في جراحةفي تعامل مع أطفال بالذات بكرا جزء
+
+188
+00:15:40,390 --> 00:15:45,150
+منكوا هيكون طبيبات أطفال و الطفل فورا من حد ما
+
+189
+00:15:45,150 --> 00:15:49,790
+يبدأ يفقد سوائل لازم نستبدلها ان كان orally او كان
+
+190
+00:15:49,790 --> 00:15:54,770
+parent related ليش؟ لأنه لايحتمل الطفل فقدان سوائل
+
+191
+00:15:54,770 --> 00:16:03,410
+كثير لأنها خطيرة عليه جدا قلنا 60% عندنا سوائل 60%
+
+192
+00:16:03,410 --> 00:16:10,190
+سوائل طب و الأطفال؟تمانين اذا ال age مهم في مسألة
+
+193
+00:16:10,190 --> 00:16:15,290
+السوائل ففي الطفل عندي سوائل اكتر في ال adult اقل
+
+194
+00:16:15,290 --> 00:16:23,950
+في ال old age اقل اه اه لان ال fat في ال old age
+
+195
+00:16:23,950 --> 00:16:28,930
+زادت فنسبة السوائل في الفاتد ايش هو اقل لذلك من
+
+196
+00:16:28,930 --> 00:16:33,650
+هنا مع ال obesity اذا بتغير لان ال obesity بتقدر
+
+197
+00:16:33,650 --> 00:16:38,800
+ال moreadipose tissue which has less water
+
+198
+00:16:38,800 --> 00:16:43,000
+contents طبعا مع ال .. ال .. ال .. ال gender ما
+
+199
+00:16:43,000 --> 00:16:48,200
+نقول الفيميل أيضا دايما more .. more obese عن
+
+200
+00:16:48,200 --> 00:16:53,980
+الفيميل فلذلك بيكون يعني مش obese أقصد فيها انه ال
+
+201
+00:16:53,980 --> 00:16:57,380
+adipose tissue نسبته أعلى من نسبة ال adipose
+
+202
+00:16:57,380 --> 00:17:01,420
+tissue في ال a في المية من هذا المنطلق بيصير عندي
+
+203
+00:17:01,420 --> 00:17:09,530
+فروقات ال 60% هذهتتوزع الى 40% من وزن الجسم 40 من
+
+204
+00:17:09,530 --> 00:17:13,470
+الستين موجودين انترال سيلولار وعشرين موجودين
+
+205
+00:17:13,470 --> 00:17:17,850
+انترال سيلولار إذا الكم الأكبر من ال fluid موجود
+
+206
+00:17:17,850 --> 00:17:21,970
+انترال سيلولار اه ال extra cellular برضه مجسم
+
+207
+00:17:21,970 --> 00:17:29,640
+لجسمين interstitial part و plasmaهن بيفرج عن هن
+
+208
+00:17:29,640 --> 00:17:33,640
+cell membrane أما التفتيش عن بلزمة بيفرج ال
+
+209
+00:17:33,640 --> 00:17:35,160
+capillary membrane
+
+210
+00:17:42,310 --> 00:17:49,070
+إذا الكم لما نقول 40% يعني من راجل وزده 70 كيلو
+
+211
+00:17:49,070 --> 00:17:55,630
+تساوي 28 لتر و ال interest ratio بتطلع اللي هي تلت
+
+212
+00:17:55,630 --> 00:18:00,450
+ارباع ال 20 15% تساوي حوالي 11 لتر و ال plasma
+
+213
+00:18:00,450 --> 00:18:04,670
+تساوي خمسة .. تساوي تلاتة لتر الدم كله خمسة أو
+
+214
+00:18:04,670 --> 00:18:05,310
+خمسة و نص
+
+215
+00:18:15,160 --> 00:18:19,420
+الجملة دي خليتها موجودة عشان اقولكوا انها كم خلية
+
+216
+00:18:19,420 --> 00:18:25,500
+في جسم الإنسان اول اشهر المليون عارفين انه له ست
+
+217
+00:18:25,500 --> 00:18:30,800
+صفار مش كده و ال billion تسعة صفار و التريليون
+
+218
+00:18:30,800 --> 00:18:36,280
+اتناشر الجسم فيه خمس و سبعين تريليون خلية خمس و
+
+219
+00:18:36,280 --> 00:18:42,610
+سبعين ايش تريليون خليةبيحتوى على 40% من سوائل
+
+220
+00:18:42,610 --> 00:18:49,370
+الجسم 40% من سوائل الجسم ال extra cellular جولنا
+
+221
+00:18:49,370 --> 00:18:56,210
+بتنقسم إلى خسمين اهمية انه interstitial و plasma
+
+222
+00:18:56,210 --> 00:19:00,170
+انه ال plasma هي اللي بتاخد من ال out ال inputs
+
+223
+00:19:00,170 --> 00:19:02,890
+اللي بتيجي ال intake اللي بيجي عبر الجسر اللي
+
+224
+00:19:02,890 --> 00:19:07,620
+بتستنى ال tract تمامبييجي عبر ال plasma أو حتى ال
+
+225
+00:19:07,620 --> 00:19:10,660
+parental medications اللي احنا بنعملها برضه عبر ال
+
+226
+00:19:10,660 --> 00:19:16,260
+plasma و ال plasma هذه هي و ال interstitial fluid
+
+227
+00:19:16,260 --> 00:19:20,800
+في عملية mixing مستمر ليش؟ لإن في عندنا ال
+
+228
+00:19:20,800 --> 00:19:24,140
+capillary pores موجودة فاتحة كل اللي هان ممكن
+
+229
+00:19:24,140 --> 00:19:29,480
+ينجلهان مع ده large plasma proteins في عندنا small
+
+230
+00:19:29,480 --> 00:19:33,090
+plasma proteins بتخشوقلنا ان البلازما بروتينز ال
+
+231
+00:19:33,090 --> 00:19:37,650
+small اللى بتدخش بتطلع عبر ايه؟ عبر ال lymphatics
+
+232
+00:19:37,650 --> 00:19:41,350
+مش كده؟ ولو بقيت في داخل ال interstitial fluid
+
+233
+00:19:41,350 --> 00:19:48,170
+مشكلة كبيرة تمام؟ لإنها بتشكل عنصر جديد ليش؟ لإن
+
+234
+00:19:48,170 --> 00:19:51,110
+العناصر اللى بتتحكم في ال fluids تدخل و تطلع هنا
+
+235
+00:19:51,110 --> 00:19:56,330
+عبارة عن عنصرين hydrostatic pressure و osmotic
+
+236
+00:19:56,330 --> 00:20:03,730
+pressureبمعنى انكوتك براشر انكوتك براشر انكوتك
+
+237
+00:20:03,730 --> 00:20:10,850
+براشر انكوتك براشر انكوتك براشر انكوتك براشر
+
+238
+00:20:10,850 --> 00:20:12,030
+انكوتك براشر انكوتك براشر انكوتك براشر انكوتك
+
+239
+00:20:12,030 --> 00:20:13,670
+براشر انكوتك براشر انكوتك براشر انكوتك براشر
+
+240
+00:20:13,670 --> 00:20:14,170
+انكوتك براشر انكوتك براشر انكوتك براشر انكوتك
+
+241
+00:20:14,170 --> 00:20:14,310
+براشر انكوتك براشر انكوتك براشر انكوتك براشر
+
+242
+00:20:14,310 --> 00:20:18,310
+انكوتك براشر انكوتك براشر انكوتك براشر انكوتك
+
+243
+00:20:18,310 --> 00:20:23,990
+براشر انكوتك براشر انكوتك براشر انكوتك براشر انكوت
+
+244
+00:20:24,210 --> 00:20:27,590
+مش هيك؟ وعندي oncotic pressure في البلازما بلازما
+
+245
+00:20:27,590 --> 00:20:30,990
+بروتينز oncotic pressure بتمنع ايه ال filtration
+
+246
+00:20:30,990 --> 00:20:35,410
+لما يكون عندي صار مع ال pressure ال hydrostatic
+
+247
+00:20:35,410 --> 00:20:38,850
+pressure الضغط قده إلى ان small proteins تيجي في
+
+248
+00:20:38,850 --> 00:20:41,830
+ال interstitial fluid هذا بيقده إلى عنده صار عندي
+
+249
+00:20:41,830 --> 00:20:45,530
+اهم two factors مهمين صار ال hydrostatic pressure
+
+250
+00:20:45,530 --> 00:20:48,490
+بيتغط في اتجاه ال filtration و ال oncotic pressure
+
+251
+00:20:48,490 --> 00:20:51,370
+في ال interstitial fluid بيتغط في اتجاه ال
+
+252
+00:20:51,370 --> 00:20:57,430
+filtration تمام؟مفترض انه في مرحلين من المراحل
+
+253
+00:20:57,430 --> 00:21:01,350
+ايها دروسات كبيرة شهرانين خفض احنا انا ماقلتلكمش
+
+254
+00:21:01,350 --> 00:21:06,190
+انه ال ال ال capillary circulation هذه اللي بدنا
+
+255
+00:21:06,190 --> 00:21:12,330
+نتكلم عنها capillary circulation بسميها ال ال
+
+256
+00:21:12,330 --> 00:21:16,710
+capillaries هذه محكومة ب ب sphincters pre
+
+257
+00:21:16,710 --> 00:21:19,930
+capillary في sphincter في عندنا ال capillaries
+
+258
+00:21:19,930 --> 00:21:29,330
+عبارة عن ايه عن مجموعاتيعني عندنا ايه set
+
+259
+00:21:29,330 --> 00:21:33,130
+of capillaries موجودها الها pre capillary
+
+260
+00:21:33,130 --> 00:21:37,670
+sphincter و هاد ال sphincter بيفتح لحظة لحظات و
+
+261
+00:21:37,670 --> 00:21:41,030
+بعدين بيسكر في الوقت اللي بيفتح فيه بيصير
+
+262
+00:21:41,030 --> 00:21:44,630
+perfusion لل capillaries بال blood بال plasma وال
+
+263
+00:21:44,630 --> 00:21:47,250
+blood و بيزيد فيه ال pressure و بيصير ال
+
+264
+00:21:47,250 --> 00:21:52,150
+filtration في الوقت اللي capillary هاد بيسكر ال
+
+265
+00:21:52,150 --> 00:21:57,120
+sphincter اقصد بيسكرالبراشر الهيدروسك بيجلل لكن
+
+266
+00:21:57,120 --> 00:22:03,920
+البراشر الأنكوته موجود بيتغيرش هذا يعني بيتغيرش أن
+
+267
+00:22:03,920 --> 00:22:07,080
+البروتينز موجودة لكن هو طبعا لما يصير filtration
+
+268
+00:22:07,080 --> 00:22:11,580
+انكوته البراشر ايه بيعلق لما نقصح ب fluids يعود
+
+269
+00:22:11,580 --> 00:22:17,440
+يرجع البراشر طيب عندنا ال .. ال .. ال capillaries
+
+270
+00:22:17,440 --> 00:22:22,040
+عشرة في المية فقط في الوقت الواحد فاتحةيعني عشرة
+
+271
+00:22:22,040 --> 00:22:26,320
+في المية من ال capillary beds تبع الجسم فتحة at
+
+272
+00:22:26,320 --> 00:22:29,440
+one time تمام يعني تسعين في المية من ال capillary
+
+273
+00:22:29,440 --> 00:22:33,800
+beds بتكون مسكرة و alternatively ال bed هذا بيفتح
+
+274
+00:22:33,800 --> 00:22:39,940
+هذا بسكر هذا بفتح هذا بسكر تمام واضح؟ اذا في عندي
+
+275
+00:22:39,940 --> 00:22:44,300
+انا او جات ال capillary bed هذا بيصير فيه ال blood
+
+276
+00:22:44,300 --> 00:22:48,440
+دخله على ال pressure خلفي بيصير عامة ال filtration
+
+277
+00:22:49,850 --> 00:22:54,750
+خلص دوره بيسكر طبعا في factors يحكم كده يدخل و كده
+
+278
+00:22:54,750 --> 00:22:58,970
+يفتح و كده تلدرس ان شاء الله في وجهتها بيفتح bed
+
+279
+00:22:58,970 --> 00:23:02,430
+اخر وهذا ال bed اللي سكر عنه قدام ال hydrostatic
+
+280
+00:23:02,430 --> 00:23:06,750
+pressure رجع لل zero تمام فالunquotable pressure
+
+281
+00:23:06,750 --> 00:23:10,530
+بصحر هو ال ايه ال upper hand له فبروح بيسحب كل ال
+
+282
+00:23:10,530 --> 00:23:14,110
+fluids اللي دخلت لكن في عندي انعنصر ان ال
+
+283
+00:23:14,110 --> 00:23:18,390
+hydrostatic pressure بيضغط اشي لبرافهو بيضغط بيضغط
+
+284
+00:23:18,390 --> 00:23:20,750
+معاها كمان small proteins ففي عند small proteins
+
+285
+00:23:20,750 --> 00:23:24,030
+ديش ده ال .. اللي درسيش fluid لكن ال uncooked
+
+286
+00:23:24,030 --> 00:23:28,850
+pressure بيشفط ميه بيقدرش يرجع ال proteins اللي
+
+287
+00:23:28,850 --> 00:23:33,430
+فقدت بال إيه بال mechanical pressure تمام فمن رحمة
+
+288
+00:23:33,430 --> 00:23:38,670
+ربنا علينا إن نعملها إيه طريق موازن آخر تمام okay
+
+289
+00:23:38,670 --> 00:23:45,520
+فبال lymphatics بتشفط ال fluids الزائدة و معهاالـ
+
+290
+00:23:45,520 --> 00:23:49,920
+small proteins اللي تم تهريبها عشان تظهر ال factor
+
+291
+00:23:49,920 --> 00:23:54,680
+هذا عملية ال filtration و ال absorption و ال
+
+292
+00:23:54,680 --> 00:23:58,540
+tissue fluids ما تتغيرش لإنه لو صار obstruction لل
+
+293
+00:23:58,540 --> 00:24:02,100
+lymphatic زي اللي بيصير في بعض الأمراض بتقدي ان ال
+
+294
+00:24:02,100 --> 00:24:05,600
+fluids اللي بتطلع لل small proteins اللي بتطلع عبر
+
+295
+00:24:05,600 --> 00:24:09,620
+ال filtration ال interstitial compartment بتظهر
+
+296
+00:24:09,620 --> 00:24:16,970
+موجودة و مش لاجف اللي هومش لاجئة الليمفاتكس اللى
+
+297
+00:24:16,970 --> 00:24:20,630
+تسحبها لإن الليمفاتكس مسكرة في مرات بكون جينة اللى
+
+298
+00:24:20,630 --> 00:24:24,670
+عندنا أبليزيا للليمفاتكس بتقدي لمنطقة ان
+
+299
+00:24:24,670 --> 00:24:28,090
+الليمفاتكس الرئيسية تبعتها في الأخر مسكرة فاللي
+
+300
+00:24:28,090 --> 00:24:32,750
+مابتقدرش تشتغل فال small proteins يعني بتقعد و
+
+301
+00:24:32,750 --> 00:24:38,590
+بتزيد و بتقدي إلى الإديمة الموجودةأحيانا اللي
+
+302
+00:24:38,590 --> 00:24:42,030
+بيكون عندنا مرض معين ضرب lymph nodes ال lymph
+
+303
+00:24:42,030 --> 00:24:44,610
+nodes طبعا هم المفاصلة تبعت ال ايه الطرق تبعت ال
+
+304
+00:24:44,610 --> 00:24:51,150
+ايه ال road crossings اللي ايه لازم يعديها ال
+
+305
+00:24:51,150 --> 00:24:54,290
+lymphatic الى انها تخرج من مكان الى مكان فإذا ال
+
+306
+00:24:54,290 --> 00:24:58,730
+lymph node مضربت صار فيها filariasis , fibrosis
+
+307
+00:24:58,730 --> 00:25:03,550
+كده بيسكر بيصير lymphatic مش جادرة فال lymphatic
+
+308
+00:25:03,550 --> 00:25:07,030
+fluid بيضل في ايه بيضل في ال interstitial fluid
+
+309
+00:25:08,750 --> 00:25:12,630
+المهم فيه ان ال proteins مش قادرة تطلع هو ال
+
+310
+00:25:12,630 --> 00:25:15,670
+fluids في الآخر بتعود تنسحب لكن ال proteins موجودة
+
+311
+00:25:15,670 --> 00:25:19,530
+اكتر معناه انكوتك براشر زاد اكتر معناه بيدها more
+
+312
+00:25:19,530 --> 00:25:23,350
+fluids عشان ال hydrostatic pressure عشان ال
+
+313
+00:25:23,350 --> 00:25:27,190
+osmolality تبقى متساوي هان و هان فهيحافظ على more
+
+314
+00:25:27,190 --> 00:25:32,340
+ايهmore fluids مع حاجة عملية ال ايه؟ ال edema هذه
+
+315
+00:25:32,340 --> 00:25:35,900
+اللي بنسميها lymphedema لإنها edema بسبب
+
+316
+00:25:35,900 --> 00:25:38,620
+obstruction of the a of lymphatics بنسميها
+
+317
+00:25:38,620 --> 00:25:45,920
+lymphedema هذا بالنسبة لل ايه؟ أهمية ال plasma
+
+318
+00:25:45,920 --> 00:25:51,840
+إنها المعبر
+
+319
+00:25:52,480 --> 00:25:56,380
+لوصول الأشياء الى ال interstitial fluid ومنها الى
+
+320
+00:25:56,380 --> 00:26:03,040
+ال intracellular compartment تمام؟ وإنه في factors
+
+321
+00:26:03,040 --> 00:26:08,500
+بتحكم في ال plasma هذه جداش يطلع منها و جداش
+
+322
+00:26:08,500 --> 00:26:13,420
+يرجعلها طبعا ال hydrostatic pressure بيقدر إلى إنه
+
+323
+00:26:13,420 --> 00:26:17,920
+يصير filtration إلى خارج ال capillary لحد ما يضأ
+
+324
+00:26:17,920 --> 00:26:21,860
+ال pressure بسبب انه انه نفقد ال fluids جاعدين
+
+325
+00:26:22,640 --> 00:26:26,240
+البراشر بيهبط بيهبط بيهبط في الكاميلارية تمام
+
+326
+00:26:26,240 --> 00:26:31,240
+البراشر يعني شيء مليانه فيه ضغط نسحب منه جاني شوية
+
+327
+00:26:31,240 --> 00:26:36,040
+شوية كل ما نسحب منه بيهبط مش كده فال hydrostatic
+
+328
+00:26:36,040 --> 00:26:40,020
+pressure اللي ضخ ودخل ضغط عالي هذا هيعمل
+
+329
+00:26:40,020 --> 00:26:43,720
+filtration وكل ما فيه filtration أكتر كل ما تضغط
+
+330
+00:26:43,720 --> 00:26:46,940
+ال hydrostatic pressure أيش بيجيل بيجيل لحد ما
+
+331
+00:26:46,940 --> 00:26:51,850
+يصير ال hydrostatic pressure يساويالانكوتك براشر
+
+332
+00:26:51,850 --> 00:26:56,090
+فيتوقف ال filtration تمام يتوقف ال filtration في
+
+333
+00:26:56,090 --> 00:26:56,650
+الحالة هذه
+
+334
+00:27:01,500 --> 00:27:05,320
+كل طبعا ان شاء الله ال capillary circulation مش
+
+335
+00:27:05,320 --> 00:27:08,240
+عارف انا هشرحها لكوا بعد كده ولا انتوا هتاخدوها في
+
+336
+00:27:08,240 --> 00:27:11,780
+ال .. في ال cardiovascular و كده في الغالب الدكتور
+
+337
+00:27:11,780 --> 00:27:15,820
+محمد حبيب هشرحها لكوا بالتصيل لكن عملية في ال
+
+338
+00:27:15,820 --> 00:27:19,280
+capillaries بيصير filtration و reabsorption في
+
+339
+00:27:19,280 --> 00:27:21,440
+مرحلة بيصير filtration و في مرحلة بيصير
+
+340
+00:27:21,440 --> 00:27:26,300
+reabsorption و الفرق بينهم بروح في ال lymphatics
+
+341
+00:27:26,300 --> 00:27:28,800
+الفرق بينهم على ال lymphatics تعالى
+
+342
+00:27:33,400 --> 00:27:42,940
+blood volume ال blood له قصة مختلفة شوية انه هو هو
+
+343
+00:27:42,940 --> 00:27:50,100
+هو صدق هذا ال blood volume نقدر احنا طبعا ال blood
+
+344
+00:27:50,100 --> 00:27:53,600
+volume كتير مهم ال blood volume له يعني فقط ال
+
+345
+00:27:53,600 --> 00:27:58,540
+plasma ال blood volume يعني ال plasma زايد ال ايه
+
+346
+00:27:58,540 --> 00:28:05,530
+زايد الالـ cells طبعا ال plasma زائد ال cells ال
+
+347
+00:28:05,530 --> 00:28:09,510
+cells في داخل ال plasma ممكن احنا نفصلهم مع بعض
+
+348
+00:28:09,510 --> 00:28:13,110
+طبعا هو ال cells mainly red blood cells لإن لما
+
+349
+00:28:13,110 --> 00:28:16,590
+نقارن red blood cells ل ال other cells لا يتقارن
+
+350
+00:28:16,590 --> 00:28:21,370
+ال red blood cells هم الملايين احنا لو عملنا
+
+351
+00:28:21,370 --> 00:28:27,030
+centrifugation ل ال blood هذا فيه hematocrit tube
+
+352
+00:28:27,510 --> 00:28:33,710
+هنلاحظ احنا انه الجزء ال fluid انفصل عن الجزء ال
+
+353
+00:28:33,710 --> 00:28:41,270
+solid مش كده؟ اللي هنلاقي انه اربعين في المية من
+
+354
+00:28:41,270 --> 00:28:48,790
+الدم red blood cells وستين في المية طب باقي ال
+
+355
+00:28:48,790 --> 00:28:51,550
+white blood cells و ال platelets و الكذا هنلاقيهم
+
+356
+00:28:51,550 --> 00:28:56,130
+بين اتنينهنلاقي هذا الوضع واضح انها الوضع صافي
+
+357
+00:28:56,130 --> 00:29:01,650
+وهذا بلازما وهذا واضح انها اللون أحمر غامج وهذا
+
+358
+00:29:01,650 --> 00:29:09,130
+الوضع بلازما وهذا الوضع بلازما وهذا الوضع بلازما
+
+359
+00:29:09,130 --> 00:29:13,250
+وهذا الوضع بلازما وهذا الوضع بلازما وهذا الوضع
+
+360
+00:29:13,250 --> 00:29:15,350
+بلازما وهذا الوضع بلازما وهذا الوضع بلازما وهذا
+
+361
+00:29:15,350 --> 00:29:15,590
+الوضع بلازما وهذا الوضع بلازما وهذا الوضع بلازما
+
+362
+00:29:15,590 --> 00:29:15,650
+وهذا الوضع بلازما وهذا الوضع بلازما وهذا الوضع
+
+363
+00:29:15,650 --> 00:29:21,430
+بلازما وهذا الوضع بلازما وهذا الوضع بلازما وهذا
+
+364
+00:29:21,430 --> 00:29:26,230
+الوضع بفي المية طبعا إذا عرفنا احنا حجم البلازمة
+
+365
+00:29:26,230 --> 00:29:33,310
+أو حجم ال red blood cells نقدر نعرف ال total مش
+
+366
+00:29:33,310 --> 00:29:36,950
+كده بسهولة نقدر نحسب ال total هذا ما يسمى ال
+
+367
+00:29:36,950 --> 00:29:40,810
+hematocrite اذا ال solid part solid part of the
+
+368
+00:29:40,810 --> 00:29:44,650
+blood is called the hematocrite تمام اذا ال
+
+369
+00:29:44,650 --> 00:29:47,810
+hematocrite بجيز جانديش عندى solid part مقارنة بال
+
+370
+00:29:47,810 --> 00:29:54,050
+totalهيم مش ال fluid part مش أكوه هيم عشان كده ما
+
+371
+00:29:54,050 --> 00:29:57,030
+تتلخبطوش في الحسمة لان دايما احنا بنتكلم عالجاني
+
+372
+00:29:57,030 --> 00:30:00,950
+عن ال solid part مش عن ال ايه ال plasma part تمام
+
+373
+00:30:00,950 --> 00:30:05,310
+فلما نعرف احنا البلازما جديش نسبتها واحد ناجس ال
+
+374
+00:30:05,310 --> 00:30:09,090
+ايه ال hematocrit تمام اذا من خلال معرفة البلازما
+
+375
+00:30:09,090 --> 00:30:13,810
+بقدر اعرف ال total blood volume من خلال معرفة ال
+
+376
+00:30:13,810 --> 00:30:18,610
+ال hematocrit او red blood cells ممكن اعرف ال
+
+377
+00:30:18,610 --> 00:30:25,790
+totalblood volume طبعا ال blood كتير مهم لإنه غير
+
+378
+00:30:25,790 --> 00:30:32,330
+إنه يحتوي على ال RBCs هو يحتوي على الضغط اللازم مش
+
+379
+00:30:32,330 --> 00:30:35,750
+كده في pressure هذا ال pressure موجود في ال blood
+
+380
+00:30:35,750 --> 00:30:40,590
+vessels تمام وأنصر أساسي من المحافظة على ال
+
+381
+00:30:40,590 --> 00:30:45,070
+pressure في داخل ال blood كدهش في عنده volume إذا
+
+382
+00:30:45,070 --> 00:30:49,920
+volume ال blood راح نزل ال pressure إيه نزلإذا هو
+
+383
+00:30:49,920 --> 00:30:52,460
+ال blood pressure في الآخر علاقة ما بين ال volume
+
+384
+00:30:52,460 --> 00:30:58,900
+ما بين ال volume اللي هو يمثل ال blood ال contents
+
+385
+00:30:58,900 --> 00:31:02,740
+و الوعاء اللي هو فيه و ال blood vessel يعني إذا
+
+386
+00:31:02,740 --> 00:31:08,220
+الدم اللي في داخل الوعاء جل اتضغط إيه؟ بجل طيب
+
+387
+00:31:08,220 --> 00:31:12,160
+الدم ماجلش لكن الوعاء نفسه كبر vasodilation برضه
+
+388
+00:31:12,160 --> 00:31:17,090
+إيه؟ هيجل إذا لازم أحافظ على blood vessels مظبوطةو
+
+389
+00:31:17,090 --> 00:31:20,170
+أحافظ على blood volume مظبوط من هنا ال blood
+
+390
+00:31:20,170 --> 00:31:26,510
+volume بياخد خصوصية خاصة ليش؟ لأنه مرتبط و حجمه
+
+391
+00:31:26,510 --> 00:31:30,870
+بال blood pressure و ال blood pressure معناها يمثل
+
+392
+00:31:30,870 --> 00:31:37,130
+ان اندفاع الدم بما يحمل من oxygen و nutrients إلى
+
+393
+00:31:37,130 --> 00:31:41,170
+الخلايا فإذا الضغط نزل، الاندفاع بيجل، الخلايا
+
+394
+00:31:41,170 --> 00:31:44,310
+بيصلهاش oxygen، بيصلهاش خلايا و بنخش في shock
+
+395
+00:31:44,310 --> 00:31:49,280
+state مش كده؟الشغل خطورته انه توقف وصول ال ايه ال
+
+396
+00:31:49,280 --> 00:31:53,500
+oxygen لل .. والسكر بالذات لل brain ال brain
+
+397
+00:31:53,500 --> 00:31:57,360
+بيعتمد على السكر باستمرار يعني بده دم مستمر لذلك
+
+398
+00:31:57,360 --> 00:32:05,080
+احنا الدم اذا انقطع عن الدمار اكثر من ثلاث دقائق
+
+399
+00:32:05,080 --> 00:32:10,520
+تبدأ بعض الخلايا عندك موت طبعا بعض الخلايا بتبدأ
+
+400
+00:32:10,520 --> 00:32:15,720
+تموت كل ما زاد ال ischemiaع كل ما زاد ال .. طبعا
+
+401
+00:32:15,720 --> 00:32:20,160
+لما الدم يبطل يصل ال .. البناطق ال .. ال .. ال
+
+402
+00:32:20,160 --> 00:32:26,480
+brain بنخش على طول في ايه؟ في collapse بنفتر الوعي
+
+403
+00:32:26,480 --> 00:32:31,620
+تمام؟ و بنبدأ ايه؟ نخش في غيبوبة إذا الدم بطل يصل
+
+404
+00:32:31,620 --> 00:32:32,260
+ال ..
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/wln3XgUvKsg_postprocess.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/wln3XgUvKsg_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..6b62d053332b3a5c9df927d6de2c3b69a38eca73
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/wln3XgUvKsg_postprocess.srt
@@ -0,0 +1,3240 @@
+1
+00:00:09,480 --> 00:00:17,220
+ال oxygen وصل و ال alveolar air جاهز و بدأ
+
+2
+00:00:17,220 --> 00:00:23,240
+الانتخال يتم بين ال oxygen و ال alveolar air و ال
+
+3
+00:00:23,240 --> 00:00:27,060
+و ال capillary blood بين ال oxygen و بين ال carbon
+
+4
+00:00:27,060 --> 00:00:34,510
+dioxideالانتقال هان بتتم حسب ال pressure pressure
+
+5
+00:00:34,510 --> 00:00:39,320
+of each يعني ال pressure differenceال alveolar air
+
+6
+00:00:39,320 --> 00:00:43,760
+و ال capillary blood هو اللى بيحكم الانتقال لذلك
+
+7
+00:00:43,760 --> 00:00:48,300
+لما نلاقي ال oxygen أنه تركيزه في ال alveolar air
+
+8
+00:00:48,300 --> 00:00:53,280
+104 millimeter mercury و ان نلاقي انه ال carbon
+
+9
+00:00:53,280 --> 00:00:57,880
+dioxide او ال oxygen في ال capillary blood تركيزه
+
+10
+00:00:57,880 --> 00:00:59,380
+40 millimeter mercury
+
+11
+00:01:01,860 --> 00:01:06,440
+والعكس صحيح ينلاقي ال carbon dioxide في ال .. في
+
+12
+00:01:06,440 --> 00:01:08,940
+ال venous او في ال .. في ال .. في ال capillary
+
+13
+00:01:08,940 --> 00:01:12,320
+blood خمسة و أربعين مليمتر mercury و في ال
+
+14
+00:01:12,320 --> 00:01:14,680
+alveolar blood اربعين مليمتر mercury هذا بيقدر
+
+15
+00:01:14,680 --> 00:01:18,020
+الانتقال oxygen من ال alveolar air لل capillary
+
+16
+00:01:18,020 --> 00:01:21,120
+blood و من ال carbon dioxide من ال capillary blood
+
+17
+00:01:21,120 --> 00:01:24,040
+لل alveolar air تمام لحد ما يصير ال equilibrium
+
+18
+00:01:24,040 --> 00:01:30,610
+اللي هو المطلوبهنا إذا بدأنا عملية الانتقال هنتكلم
+
+19
+00:01:30,610 --> 00:01:34,770
+أولا عن ال oxygen كيف ينتقل و أيش القواعد بتحكمه
+
+20
+00:01:34,770 --> 00:01:39,790
+ثم بعد ذلك نتكلم عن ال carbon dioxide و هنلاقي أن
+
+21
+00:01:39,790 --> 00:01:44,530
+الأمر دائما هي عملية عكسية هنلاقي الأمر عملية
+
+22
+00:01:44,530 --> 00:01:48,710
+عكسية لل oxygen بس في أرقام مختلفة من واحد لواحد
+
+23
+00:01:49,060 --> 00:01:51,340
+بالاضافة لأن ال carbon dioxide ما بتنسوش ان ال
+
+24
+00:01:51,340 --> 00:01:57,360
+diffusion capacity تبعته twenty times ده ايه ده
+
+25
+00:01:57,360 --> 00:02:03,180
+diffusion capacity of the ايه of the oxygen تمام؟
+
+26
+00:02:03,180 --> 00:02:09,060
+طيب هنا اول curve كده متعامل معاه
+
+27
+00:02:09,060 --> 00:02:12,300
+اتكلمنا
+
+28
+00:02:12,300 --> 00:02:16,280
+in general على ال .. ال .. ال transport of oxygen
+
+29
+00:02:17,240 --> 00:02:23,040
+من ال alveolar 104 millimeter mercury إلى ال
+
+30
+00:02:23,040 --> 00:02:25,080
+capillary blood اللي هو 40 millimeter mercury
+
+31
+00:02:25,080 --> 00:02:31,640
+بينتهي بإنه ال capillary blood at the venous side
+
+32
+00:02:31,640 --> 00:02:36,680
+ال capillary blood at the venous side بيكون ال
+
+33
+00:02:36,680 --> 00:02:41,060
+pressure تبعه 104 زي ال alveolar يعني، مظبوط؟
+
+34
+00:02:41,060 --> 00:02:46,630
+اتفقنا على هذه، طيب ال curve اللي تحته هذابيقول
+
+35
+00:02:46,630 --> 00:02:51,850
+لها معلومتين المعلومة الأولى انه كان عندى اول ال
+
+36
+00:02:51,850 --> 00:02:57,710
+capillary هى عندى ال اظهر شوية عشان كده تتضح
+
+37
+00:02:57,710 --> 00:03:06,610
+الصورة كان عندى ال ال capillary blood pressure of
+
+38
+00:03:06,610 --> 00:03:11,190
+oxygen حوالي او اربعين millimeter mercury تمام و
+
+39
+00:03:11,190 --> 00:03:17,810
+لما دخل ال capillaryهان أخد ال .. ال saturation
+
+40
+00:03:17,810 --> 00:03:21,370
+الكامل اللي بيقدر عليه اللي هو يساوي ال saturation
+
+41
+00:03:21,370 --> 00:03:23,950
+تبع ال oxygen أو البشر تبع ال oxygen في ال أيه؟ في
+
+42
+00:03:23,950 --> 00:03:28,230
+ال blood الحنلاحظ أنه وصل لإيه؟ لمية و أربع
+
+43
+00:03:28,230 --> 00:03:31,130
+millimeter mercury اللي أنا بده ألاحظه حقيقة اللي
+
+44
+00:03:31,130 --> 00:03:35,050
+أنا جاصد فيه أنه لاحظوا هذه الكبيرة اللي بيبدأ من
+
+45
+00:03:35,050 --> 00:03:39,730
+هنا بينتهي هنا وهي ال saturation تمها يعني في طولة
+
+46
+00:03:39,730 --> 00:03:44,930
+المسافة خدتوا بالكم؟ في طولة المسافةكان عندي full
+
+47
+00:03:44,930 --> 00:03:50,110
+saturation واضح؟ اذا في عندي تلتين مسافة standby
+
+48
+00:03:50,110 --> 00:03:55,070
+موجودة لو احتجنا ناخد oxygen أكتر لإنه عندنا more
+
+49
+00:03:55,070 --> 00:03:59,030
+depression in the partial pressure في ال .. في ال
+
+50
+00:03:59,030 --> 00:04:03,350
+.. في ال .. في ال capillary blood عندنا فرصة انه
+
+51
+00:04:03,350 --> 00:04:08,170
+ايه؟ more exposure time للإيه؟ لل transport of ..
+
+52
+00:04:08,170 --> 00:04:12,390
+طيب هذا ال curve الأولاني المهم ال curve التاني
+
+53
+00:04:12,390 --> 00:04:20,740
+المهمانه .. ايه؟ وين راح؟ هنا ال curve التاني
+
+54
+00:04:20,740 --> 00:04:25,020
+المهم انه احنا قلنا at the venous side of the
+
+55
+00:04:25,020 --> 00:04:29,060
+capillary blood of the capillaries كان عند البرشا
+
+56
+00:04:29,060 --> 00:04:34,260
+بشر قداش؟ اه فاكرين حاجة اسمها venous admixture
+
+57
+00:04:34,260 --> 00:04:41,800
+لما قلنا ال bronchial blood supply موجود في ال
+
+58
+00:04:41,800 --> 00:04:49,910
+lungs ال venousbronchial veins اه اذكرته لما بيقول
+
+59
+00:04:49,910 --> 00:04:53,550
+ان ال bronchial veins بتعمل drainage عبر برضه ال
+
+60
+00:04:53,550 --> 00:04:56,550
+palmonary veins فبيصير عندي انا two types of blood
+
+61
+00:04:56,550 --> 00:05:03,270
+واحد جاي من ال bronchial part which is a systemic
+
+62
+00:05:03,270 --> 00:05:08,730
+circulation branches من الأورطة جاية على ال ايه او
+
+63
+00:05:08,730 --> 00:05:12,130
+من ال systemic blood لل lungs لل bronchial tissues
+
+64
+00:05:12,130 --> 00:05:16,930
+مش كده لل lung tissuesو هذا supplying the lung
+
+65
+00:05:16,930 --> 00:05:20,570
+tissues it's not for oxygenation التاني اسمه
+
+66
+00:05:20,570 --> 00:05:23,510
+pulmonary اللي داخل عشان يعمل oxygenation اسمه
+
+67
+00:05:23,510 --> 00:05:27,870
+pulmonary blood هذا اسمه bronchial blood تمام؟
+
+68
+00:05:27,870 --> 00:05:32,310
+هينمسجوا ال venous side تبعهم the same which is ده
+
+69
+00:05:32,310 --> 00:05:36,570
+ايه؟ the pulmonary veins هنا في الحالة هذه اذا
+
+70
+00:05:36,570 --> 00:05:41,050
+هينخلط عندي دم ال pressure pressure ال oxygen تبعه
+
+71
+00:05:41,050 --> 00:05:45,710
+جداش؟اللي جاي من ال bronchial veins اللي هيخش على
+
+72
+00:05:45,710 --> 00:05:48,870
+ال bronchial .. على البلمون اللي هي veins يعملوا
+
+73
+00:05:48,870 --> 00:05:53,550
+admixture ال .. ال venous ال .. ال partial
+
+74
+00:05:53,550 --> 00:05:57,630
+pressure كم؟ اربعين زي اي systemic .. زي اي
+
+75
+00:05:57,630 --> 00:06:00,650
+systemic circulation تمام؟ اذا ال partial pressure
+
+76
+00:06:01,240 --> 00:06:04,440
+للـ oxygen في ال .. في ال venous blood اربعين و
+
+77
+00:06:04,440 --> 00:06:08,180
+هذا دخل عمل supply ل ال tissues with blood with
+
+78
+00:06:08,180 --> 00:06:10,700
+oxygen الراجع ال tension تبقى ما بيكون في العادة
+
+79
+00:06:10,700 --> 00:06:13,960
+زي system of blood قداش اربعين millimeter mercury
+
+80
+00:06:13,960 --> 00:06:20,000
+اذا الحين دمج عندي blood اربعين و blood جاي fresh
+
+81
+00:06:20,000 --> 00:06:23,260
+oxygenated من ال air capillaries من ال alveolar
+
+82
+00:06:23,260 --> 00:06:28,390
+airtransport ميكانيزم صارت و تمت هنا هيديني إيه
+
+83
+00:06:28,390 --> 00:06:32,450
+إذا ال mixture .. ال mixture هذا هيصل ال .. ال ..
+
+84
+00:06:32,450 --> 00:06:36,390
+ال .. ال Venus ال .. ال palmonary veins في الحالة
+
+85
+00:06:36,390 --> 00:06:39,830
+هذه هيكون ال .. ال .. ال .. ال oxygen tension فيها
+
+86
+00:06:39,830 --> 00:06:44,350
+مش 104 ال capillariesالـ Venus side of the
+
+87
+00:06:44,350 --> 00:06:48,770
+capillary هيكون فيه البرشة بشر لل Oxygen كدهش 104
+
+88
+00:06:48,770 --> 00:06:53,570
+لكن بعد ال mixture بعد ال add mixture هيديني خلط
+
+89
+00:06:53,570 --> 00:06:58,870
+خلط جديد ما بين ال 40 و بين ال 100 و 4 هيسديني
+
+90
+00:06:58,870 --> 00:07:03,350
+pressure جديد هنتعامل معاه احنا اللي يسوى 95 ميلي
+
+91
+00:07:03,350 --> 00:07:08,930
+متر متر اذا الأهم ال right atrium تمام اللي هيديني
+
+92
+00:07:08,930 --> 00:07:13,090
+لل right ventricle لل system of circulationإذا ال
+
+93
+00:07:13,090 --> 00:07:15,650
+blood الارتباطي الارتباطي الارتباطي الارتباطي
+
+94
+00:07:15,650 --> 00:07:15,930
+الارتباطي الارتباطي الارتباطي الارتباطي الارتباطي
+
+95
+00:07:15,930 --> 00:07:17,490
+الارتباطي الارتباطي الارتباطي الارتباطي الارتباطي
+
+96
+00:07:17,490 --> 00:07:18,250
+الارتباطي الارتباطي الارتبطي الارتبطي الارتبطي
+
+97
+00:07:18,250 --> 00:07:23,470
+الارتبطي الارتبطي الارتبطي
+
+98
+00:07:23,470 --> 00:07:28,570
+الارتبطي
+
+99
+00:07:28,570 --> 00:07:30,990
+الارتبطي الارتبطي الارتبطي الارتبطي الارتبطي
+
+100
+00:07:30,990 --> 00:07:36,350
+الارتبطي الارتبطي الارتبطي
+
+101
+00:07:36,350 --> 00:07:40,550
+الارتب
+
+102
+00:07:41,530 --> 00:07:46,070
+هتنخلط فورا مع مين؟ مع ال bronchial blood هتنزل
+
+103
+00:07:46,070 --> 00:07:50,210
+لإيه؟ ل 95 و بعدين هتخش ال ايه؟ ال systemic
+
+104
+00:07:50,210 --> 00:07:55,750
+circulation و تخفض شوية لما يصل ل 40 من أول و
+
+105
+00:07:55,750 --> 00:08:03,670
+جديد، واضح؟ طيب، إذا الأن احنا بنتكلم عن blood
+
+106
+00:08:03,670 --> 00:08:13,130
+حامل أكسجينfully .. يعني saturated in the lungs
+
+107
+00:08:13,130 --> 00:08:17,970
+تمام؟ fully saturated in the lungs لكنه لإنه في
+
+108
+00:08:17,970 --> 00:08:21,890
+bronchial blood نزل ال saturation الى 95 إذا من
+
+109
+00:08:21,890 --> 00:08:27,550
+الآن ال oxygen التعامل مع اللي في الدمعمل مع القمة
+
+110
+00:08:27,550 --> 00:08:32,910
+اللي هي 95 واضح؟ ماعملش مع 104 104 دي كانت فوق في
+
+111
+00:08:32,910 --> 00:08:42,050
+ال .. ال oxygen transport واضح؟ طيب ماشي اذا ال
+
+112
+00:08:42,050 --> 00:08:50,850
+.. في جبل اشي اقوله اوكي
+
+113
+00:08:50,850 --> 00:08:54,030
+اتكلمنا عنه هذا باختصار شديد
+
+114
+00:09:02,090 --> 00:09:06,870
+Okay الان diffusion ال oxygen from the peripheral
+
+115
+00:09:06,870 --> 00:09:13,930
+capillaries into the tissues حملنا ال oxygen طول
+
+116
+00:09:13,930 --> 00:09:17,910
+ما احنا في ال main arteries و ال arterioles و ال
+
+117
+00:09:17,910 --> 00:09:21,050
+smaller arteries مانفجرش ال oxygen، مظبوط؟ متى
+
+118
+00:09:21,050 --> 00:09:24,920
+هنفجر ال oxygen؟ لما نصل ال tissuesإذن ال .. ال ..
+
+119
+00:09:24,920 --> 00:09:29,420
+ال .. الcirculation وشغلتها توصل ال oxygenated
+
+120
+00:09:29,420 --> 00:09:32,840
+blood هذا إلى ال tissues إذن في الطريق ما بيفقد
+
+121
+00:09:32,840 --> 00:09:36,940
+شيء في الطريق ما بيفقد شيء إذا إحنا بنوصل ال
+
+122
+00:09:36,940 --> 00:09:40,960
+tissues الآن حاملين نفس النسب ninety-five
+
+123
+00:09:40,960 --> 00:09:46,320
+millimeter mercury oxygen مش هيك و هنبدأ نتعامل مع
+
+124
+00:09:46,320 --> 00:09:50,680
+مجموعة جديدة ال interstitial fluid و ال cells و
+
+125
+00:09:50,680 --> 00:09:54,370
+إيش كيف .. انت تتكلمنا فوق الفيولر airوقلنا ال
+
+126
+00:09:54,370 --> 00:09:59,150
+aviolar air 104 وانزلنا الآن معانا oxygen بارشة
+
+127
+00:09:59,150 --> 00:10:03,130
+بارشة الخمسة وتسعين محمول وراح لل tissues مش كده
+
+128
+00:10:03,130 --> 00:10:07,150
+فهنا في ال tissues هاي ال arterial blood داخل دخل
+
+129
+00:10:07,150 --> 00:10:10,410
+ال capillary circulation بخمسة وتسعين مليمتر
+
+130
+00:10:10,410 --> 00:10:14,910
+mercury هنلاحظ ان احنا عندنا ال interstitial fluid
+
+131
+00:10:14,910 --> 00:10:24,150
+وعندنا ال cells تمام عندنا ال cellsهنلاحظ أنه الـ
+
+132
+00:10:24,150 --> 00:10:26,790
+interstitial fluid البرشر البرشر في ال oxygen
+
+133
+00:10:26,790 --> 00:10:32,750
+اربعين مليمتر mercury تمام؟ اذا هنا حيث انتقال ما
+
+134
+00:10:32,750 --> 00:10:40,910
+بين .. حيث انتقال ما بين ال .. ال .. الدم اه و ال
+
+135
+00:10:40,910 --> 00:10:43,310
+interstitial fluid تحت مصير ال equilibrium زي ما
+
+136
+00:10:43,310 --> 00:10:47,770
+احنا في القلبي اللي كان 104 و الدم وصل ل 104 هنا
+
+137
+00:10:48,690 --> 00:10:53,990
+الـ 95 الـ interstitial fluid 40 هيظل الانتقال يتم
+
+138
+00:10:53,990 --> 00:10:57,590
+لحد من 6 equilibrium يعني ال .. ال .. الزيادة عن
+
+139
+00:10:57,590 --> 00:11:01,470
+ال .. ال .. ال 40 كله هياخدوا ال interstitial
+
+140
+00:11:01,470 --> 00:11:05,730
+fluid عشان يصل ال equilibrium ل 40 تمام؟ اذا بطلع
+
+141
+00:11:05,730 --> 00:11:08,330
+ال Venus ب40 من أول و جديد، اذا عندي ال
+
+142
+00:11:08,330 --> 00:11:13,780
+interstitial fluid هنا 40عشان إذا .. إذا في فرق ما
+
+143
+00:11:13,780 --> 00:11:18,220
+بين ال 95 و ال 40 و ال 55 millimeter mercury هذا
+
+144
+00:11:18,220 --> 00:11:25,060
+برشا برشا خلّى الاندفاع من ال blood إلى ال
+
+145
+00:11:25,060 --> 00:11:30,820
+interstitial fluid سريع تمام؟ الآن هلاجي إنه ال
+
+146
+00:11:30,820 --> 00:11:36,410
+cells في داخلهاهنتكلم عنها ان شاء الله بتفاصيل
+
+147
+00:11:36,410 --> 00:11:41,790
+اكتر بعد كده بس باختصار هنلاقي انه ال .. ال oxygen
+
+148
+00:11:41,790 --> 00:11:46,410
+pressure في داخل ال cells تلاتة و عشرين millimeter
+
+149
+00:11:46,410 --> 00:11:50,010
+mercury يعني في عندي لازقة بين ال interstitial
+
+150
+00:11:50,010 --> 00:11:53,710
+fluid و ال cells في فرق كبير هذا بيقدر إلى ان ال
+
+151
+00:11:53,710 --> 00:11:57,590
+oxygen من ال interstitial fluid يندفع إلى ايه؟ إلى
+
+152
+00:11:57,590 --> 00:12:02,190
+داخل ال cells مش كده؟ طيباحنا هان انتقال ال oxygen
+
+153
+00:12:02,190 --> 00:12:05,410
+من مكان إلى مكان و carbon dioxide من مكان إلى مكان
+
+154
+00:12:05,410 --> 00:12:09,970
+اللي يحكم ايه؟ ايه عالية؟ اللي يحكم ال pressure مش
+
+155
+00:12:09,970 --> 00:12:14,910
+كده؟ قواعد عادية pressure عالي إلى الأعلى زي أي
+
+156
+00:12:14,910 --> 00:12:20,410
+physical rules أو laws، physical منتقل من الأعلى
+
+157
+00:12:20,410 --> 00:12:23,830
+إلى الأدنى اللي بيحكمنا هان إيه؟ أنا ماجيبتش سنة
+
+158
+00:12:23,830 --> 00:12:27,830
+لمجلوبين لسهواضح؟ ماجيبش .. بتتكلم عن ال pressure
+
+159
+00:12:27,830 --> 00:12:32,450
+of difference وهذا يتحكم في الانتقال من مكان إلى
+
+160
+00:12:32,450 --> 00:12:37,110
+مكان هنا
+
+161
+00:12:37,110 --> 00:12:41,230
+هيصير عندي أنا ال oxygen اللي استخدم في داخل
+
+162
+00:12:41,230 --> 00:12:46,210
+الخلية طبعا احنا رجعنا ك oxygen .. رجعنا ك
+
+163
+00:12:46,210 --> 00:12:50,510
+pressure .. pressure 40 هنرجع للدورة هي هي الآن ال
+
+164
+00:12:50,510 --> 00:12:54,230
+oxygen اللي استخدم في داخل الخلية هناهيتحول معظمه
+
+165
+00:12:54,230 --> 00:13:00,910
+تقريبا الى carbon dioxide تمام؟
+
+166
+00:13:00,910 --> 00:13:06,570
+هيتحول
+
+167
+00:13:06,570 --> 00:13:12,330
+الى carbon dioxide و ال carbon dioxide هذا هيكون
+
+168
+00:13:12,330 --> 00:13:15,290
+تركيزه داخل الخلايا عالى
+
+169
+00:13:17,070 --> 00:13:20,030
+هينتقل الى الـ Interstitial Fluid هينتقل الى الـ
+
+170
+00:13:20,030 --> 00:13:23,210
+Interstitial Fluid أقل شوية مش هيك لأنه المصدر
+
+171
+00:13:23,210 --> 00:13:26,190
+داخل الخلية فدائما بيبقى في الداخل الخلية بيزيد
+
+172
+00:13:26,190 --> 00:13:30,050
+تمام فدائما ينتقل من المنطقة العالية في داخل
+
+173
+00:13:30,050 --> 00:13:33,290
+الخلية الى المنطقة الأقل ال Interstitial Fluid في
+
+174
+00:13:33,290 --> 00:13:37,150
+اندفاع و الدم عدي برضه ال carbon dioxide فيه واطي
+
+175
+00:13:37,150 --> 00:13:45,560
+فبينتقل الى ال ايه ال الإلى ال blood وينتقل إلى
+
+176
+00:13:45,560 --> 00:13:50,480
+البلمونة لل blood بعد كده okay طيب هنتكلم عنها بعد
+
+177
+00:13:50,480 --> 00:13:54,000
+شوية بالتفصيل إذا أنا دائرة كلها إيه ده الآن احنا
+
+178
+00:13:54,000 --> 00:14:00,900
+في العادة عندنا ال oxygen إذا بيوصل ال cells ال
+
+179
+00:14:00,900 --> 00:14:03,760
+fluid بيوصل ال capillary network systemic
+
+180
+00:14:03,760 --> 00:14:08,380
+circulation systemic capillaries بيوصلوا بتركيز 95
+
+181
+00:14:10,620 --> 00:14:17,580
+بيلاقي ال .. ال answers اللي عندي انا بيلاقي فيها
+
+182
+00:14:17,580 --> 00:14:24,740
+oxygen partial pressure خمسة و أربعين .. اربعين
+
+183
+00:14:24,740 --> 00:14:29,340
+فبينتخب الانتخاب الان هدف ال normal cases في ال
+
+184
+00:14:29,340 --> 00:14:34,000
+normal يعني at rest هيك بيلاقي انه الاشي اربعينأه
+
+185
+00:14:34,000 --> 00:14:40,320
+و احنا بنفقد جزء من ال .. من ال partial pressure
+
+186
+00:14:40,320 --> 00:14:43,980
+هذا من خمسة وتسعين لاربعين يعني في كمية oxygen و
+
+187
+00:14:43,980 --> 00:14:50,120
+فقدت الى الانسجار جداش هالكمية و أرقامها عدنا
+
+188
+00:14:50,120 --> 00:14:52,300
+نتكلم عنها بالتفصيل بس أنا بتكلم عن ال general
+
+189
+00:14:52,300 --> 00:14:56,260
+rules اللي بتحكم الانتقال و الحركة تبع الغازات هذه
+
+190
+00:14:56,260 --> 00:15:01,830
+الآن انا في وضعهذه النقطة ايه هذه النقطة ايه هذه
+
+191
+00:15:01,830 --> 00:15:06,750
+انا هنا في وضع انا اتكلم انا انا في ناحية ال
+
+192
+00:15:06,750 --> 00:15:10,810
+capillary side انا في ناحية ال tissues مش كده عندي
+
+193
+00:15:10,810 --> 00:15:15,770
+بارشة بشر تبعي اللي بأصله انا هنا اللي بخص الدم
+
+194
+00:15:15,770 --> 00:15:19,370
+الان مثلا بدي انزل لاربعين مش كده بدي انزل لاربعين
+
+195
+00:15:19,370 --> 00:15:25,710
+في اربعين في الحالة هذه انا بكون عندي بدي اعمل
+
+196
+00:15:25,710 --> 00:15:31,830
+ملاحظتينملاحظة على العوامل عاملين العوامل المهمين
+
+197
+00:15:31,830 --> 00:15:38,350
+فيه جداش انه انا بقدر اخد oxygen و جداش انا محتاج
+
+198
+00:15:38,350 --> 00:15:42,170
+علشان اخافظ على ال .. ال pressure pressure هذا
+
+199
+00:15:42,170 --> 00:15:46,910
+تمام؟ لحظة اذا كان عندى blood flow طبيعي يعني مية
+
+200
+00:15:46,910 --> 00:15:52,390
+في المية طبيعي تمام؟ مفترض انه على بصل ال tissues
+
+201
+00:15:52,390 --> 00:15:58,330
+على اربعين millimeter mercury oxygen واضح؟محتاج
+
+202
+00:15:58,330 --> 00:16:09,450
+بلد فلو طبيعي بأصل ال fluid بارشا pressure ل 40 لو
+
+203
+00:16:09,450 --> 00:16:15,830
+زدنا احنا ال blood flow لو زدنا ال blood flow صار
+
+204
+00:16:15,830 --> 00:16:20,790
+انا جاي ب blood flow ب oxygen اكتر تمام هيدي
+
+205
+00:16:20,790 --> 00:16:26,190
+للانسجة اللي عايزاهاو هيضل عندي زيادة في الحالة
+
+206
+00:16:26,190 --> 00:16:29,450
+هذه ال pressure pressure في الأنسجة حتى إيش هيعلن
+
+207
+00:16:29,450 --> 00:16:33,490
+انه انا هيصير equilibrium هنصل لمسافة مناصفة
+
+208
+00:16:33,490 --> 00:16:38,090
+تقريبا بين الوضع الجديد و الوضع الجديد لإن كتر
+
+209
+00:16:38,090 --> 00:16:41,330
+الخير هيزيد على الجهتين هيزيد oxygen في ال
+
+210
+00:16:41,330 --> 00:16:45,830
+capillary circulationال blood و هيزيد فى ال
+
+211
+00:16:45,830 --> 00:16:49,830
+interstitial fluid هيقدى إيه لإنه أنا بلاحظ هنا
+
+212
+00:16:49,830 --> 00:16:54,490
+لما يكون عندى blood flow هذا نقطة بيه blood flow
+
+213
+00:16:54,490 --> 00:16:59,410
+أربع أضعاف الطبيعى لما يكون عندى blood flow أربع
+
+214
+00:16:59,410 --> 00:17:03,290
+أضعاف الطبيعى بطلع بلاقي أنه أنا عندى في الحالة
+
+215
+00:17:03,290 --> 00:17:07,970
+هذه ال brochure تبع ال interstitial fluid بطل
+
+216
+00:17:07,970 --> 00:17:11,730
+أربعينليش؟ لأنه جايب ال oxygen كتير، جزء مستهلك
+
+217
+00:17:11,730 --> 00:17:15,350
+منه و الجزء التاني اللي بيضل، بيعلل إيه؟ ال blood
+
+218
+00:17:15,350 --> 00:17:18,410
+pressure بلاحظ إنه بيصل هنا هيه لستين أو لستة و
+
+219
+00:17:18,410 --> 00:17:22,930
+ستين في حد ما أنا رفعته لأربع أضعاف تمام؟ بلاحظ
+
+220
+00:17:22,930 --> 00:17:26,190
+إنه ممكن يتغير ال blood pressure لو زاد ال blood
+
+221
+00:17:26,190 --> 00:17:29,510
+flow يعني كل ما زاد ال blood flow أنا بدل الأنسجة
+
+222
+00:17:29,510 --> 00:17:34,590
+oxygen أكتر، مش كده؟ طيب لو قلل ال blood flow، صار
+
+223
+00:17:34,590 --> 00:17:39,080
+الدم اللي جايفي اكسيجين جليل او مش مش اكسيجين جليل
+
+224
+00:17:39,080 --> 00:17:42,260
+الاكسيجين هو هو لكن blood flow ال rate تبع ال
+
+225
+00:17:42,260 --> 00:17:46,740
+blood flow جليل هذا بيقدي الى ان ال interstitial
+
+226
+00:17:46,740 --> 00:17:51,100
+fluid ياخد معظم الاكسيجين اللي موجود في ال a في ال
+
+227
+00:17:51,100 --> 00:17:53,780
+blood لإنه ال flow جليل و ال oxygen supply في
+
+228
+00:17:53,780 --> 00:17:58,100
+العادة جليل ف a فبينتقل كله بتطلع بقلاجي انا لو ال
+
+229
+00:17:58,100 --> 00:18:03,000
+blood flow نزل وطي ممكن ينزل ال ال partial
+
+230
+00:18:03,000 --> 00:18:07,340
+pressureفي الـ interstitium وفي ال .. إلى إيه؟ إلى
+
+231
+00:18:07,340 --> 00:18:11,860
+إيه؟ إلى إيه؟ إلى مستويات منخفضة جدا واضح؟ طيب،
+
+232
+00:18:11,860 --> 00:18:15,400
+هذا العمل الأولاني اللي متكلم عنه أنه عمل إيش؟ ال
+
+233
+00:18:15,400 --> 00:18:18,840
+blood flow لو زاد ال partial pressure في الأنسجة
+
+234
+00:18:18,840 --> 00:18:22,940
+هتغير ولو جال ال partial pressure هتغير في الطبيعي
+
+235
+00:18:22,940 --> 00:18:25,540
+اللي قلنا إحنا بنصل ل أربعين millimeter mercury
+
+236
+00:18:25,540 --> 00:18:30,680
+تمام؟ وها كذا طيب، الآن لو زاد ال oxygen
+
+237
+00:18:30,680 --> 00:18:36,060
+consumption الأنسجةعندي مثلا thyroid gland
+
+238
+00:18:36,060 --> 00:18:41,240
+hyperactivity، ثيروكسين كتير أو عندي عضلات قاعدة
+
+239
+00:18:41,240 --> 00:18:46,100
+بتشتغل بزيادة، بدها استهلاك oxygen أكتر، زاد ال
+
+240
+00:18:46,100 --> 00:18:49,440
+oxygen consumption،
+
+241
+00:18:49,440 --> 00:18:55,200
+نفترض أنه زاد أربع مرات، تمام؟في الحالة هذه ال
+
+242
+00:18:55,200 --> 00:18:59,060
+blood flow لما يكون طبيعي 100% هذي ال 100% ال
+
+243
+00:18:59,060 --> 00:19:02,100
+blood flow لما يكون عندى انا ازيادة في الاستهلاك
+
+244
+00:19:02,100 --> 00:19:05,960
+بتطلع بلاجة انه عندى صارت drop في ال partial
+
+245
+00:19:05,960 --> 00:19:09,540
+pressure تبع ال ايه؟ تبع الانسجار، تمام؟ اذا ال
+
+246
+00:19:09,540 --> 00:19:15,240
+100% هذي بتوصل النهارد لأقل من 20%، تمام؟ ل 15%
+
+247
+00:19:15,240 --> 00:19:19,840
+تقريبا، اذا ال partial pressure بنزل ل 15
+
+248
+00:19:19,840 --> 00:19:24,060
+millimeter mercuryلو كان عندى انا consumption اكتر
+
+249
+00:19:24,060 --> 00:19:28,600
+و نفس ال ايه ل blood flow هلاجى انه ال oxygen
+
+250
+00:19:28,600 --> 00:19:32,520
+استهلاك و اخده اكتر من الخلايا ال interstitial
+
+251
+00:19:32,520 --> 00:19:36,160
+fluid هياخد اكتر ال blood هيدي اكتر كل ما هيبطنجط
+
+252
+00:19:36,160 --> 00:19:43,280
+ايش ده طبعا في الحالة هذه و هذا اللى بيحصل حقيقة
+
+253
+00:19:43,280 --> 00:19:47,460
+انه بزيد ال blood flow لما ال oxygen تحتاج الى ايه
+
+254
+00:19:47,460 --> 00:19:52,560
+ال oxygen اكتر في حالة exercise او غيرهافال heart
+
+255
+00:19:52,560 --> 00:19:54,780
+rate بيزيد و ال blood flow بيزيد و ال respiration
+
+256
+00:19:54,780 --> 00:19:59,660
+بيزيد بيزيد عشرين ضعف يعني ال oxygen اللي بيصير
+
+257
+00:19:59,660 --> 00:20:04,740
+يصل للانسجة ممكن يزيد ايش عشرين ضعف ال cardiac
+
+258
+00:20:04,740 --> 00:20:07,720
+output بيزيد ستة الى سبعة ضعف و ال oxygenation
+
+259
+00:20:07,720 --> 00:20:12,580
+بيزيد تلت أضعف تلاتة في ستة في سبعة حوالي عشرين
+
+260
+00:20:12,580 --> 00:20:16,410
+ضعفتمام؟ اذا ممكن احنا عندنا .. لأ في الحالة هذه
+
+261
+00:20:16,410 --> 00:20:20,350
+عشان احنا نعوض ال consumption للزيادة لازم نزود ال
+
+262
+00:20:20,350 --> 00:20:23,450
+ايه؟ ال flow و هذا اللي بيصير مع ال cardiac output
+
+263
+00:20:23,450 --> 00:20:28,050
+انه بيزيد ال flow مش ال flow ع الفاضي لأ و كمان ال
+
+264
+00:20:28,050 --> 00:20:32,070
+.. ال .. ال .. ال lung .. اه ال lung capacity for
+
+265
+00:20:32,070 --> 00:20:36,030
+.. for oxygenation برضه بتزيد فإذا بيجيني blood مع
+
+266
+00:20:36,030 --> 00:20:39,830
+ال flow أحسن و مع oxygen أحسنفي الحالة هذه لما
+
+267
+00:20:39,830 --> 00:20:42,970
+يكون عندى انا ايه consumption اكتر في الحالة هذه
+
+268
+00:20:42,970 --> 00:20:45,370
+اللى نطلع هنا هنلاقي انه في ال duration
+
+269
+00:20:45,370 --> 00:20:49,490
+consumption لما ال flow يزيد عندى لاربع أضعاف خمس
+
+270
+00:20:49,490 --> 00:20:52,590
+أضعاف ست أضعاف في العادة من ستة الى سبعة أضعاف
+
+271
+00:20:52,590 --> 00:20:58,790
+بلاقي برجع انا لإيه برجع لإيه ل level تبعى لخمسمية
+
+272
+00:20:58,790 --> 00:21:02,210
+ستمية الى اربعين مليمتر mercury عادي جدا و لو ان
+
+273
+00:21:02,210 --> 00:21:07,870
+انا جاعد ايه بستهلك اكتر لكن ال flowال blood flow
+
+274
+00:21:07,870 --> 00:21:12,570
+اللي زاد هيعوض الفرق في ال .. في ال .. في ال .. في
+
+275
+00:21:12,570 --> 00:21:17,990
+ال consumption الزايد لو ال consumption جال لو ال
+
+276
+00:21:17,990 --> 00:21:21,490
+consumption of oxygen جال إلى الربع مثلا هنتطلع
+
+277
+00:21:21,490 --> 00:21:26,370
+انه ال 100% blood pressure هذا تمام؟ هيقدر إلى ان
+
+278
+00:21:26,370 --> 00:21:32,970
+ال blood pressure يعلى في الطبيعي اكتر عن اللازم
+
+279
+00:21:32,970 --> 00:21:38,410
+تمام؟ بتلاقي ايه؟ اكتريعني زي ما اتكلمنا من شوية
+
+280
+00:21:38,410 --> 00:21:40,750
+في ال .. في ال blood flow، هنا في ال consumption،
+
+281
+00:21:40,750 --> 00:21:43,310
+جال ال consumption، صار في oxygen جاي، انا مش
+
+282
+00:21:43,310 --> 00:21:46,970
+بحتاجه، فالبشر بشر ايه؟ النقطة المهمة في الموضوع،
+
+283
+00:21:46,970 --> 00:21:51,030
+احنا هنا حقيقة انا هتكلم عنها، ان عملية ال .. لو
+
+284
+00:21:51,030 --> 00:21:55,550
+احتجنا اكترأه عندي انا ال heart rate blood flow لو
+
+285
+00:21:55,550 --> 00:21:59,430
+زاد بيعوض ال ايه العملية هذه و احنا حقيقة cardiac
+
+286
+00:21:59,430 --> 00:22:01,750
+output بيزيد من ستة الى سبع مرات في حالة ال
+
+287
+00:22:01,750 --> 00:22:05,830
+exercise فستة الى سبع مرات معوقة على طول بيديني ال
+
+288
+00:22:05,830 --> 00:22:14,730
+oxygen اللي لازم يعوضني من أول لجديد طيب ال خلينا
+
+289
+00:22:14,730 --> 00:22:20,290
+نتكلم
+
+290
+00:22:20,290 --> 00:22:21,530
+هنا is an effect
+
+291
+00:22:24,130 --> 00:22:28,710
+effect of rate of blood flow on interstitial fluid
+
+292
+00:22:28,710 --> 00:22:38,330
+اذا زدنا الى اربع اضعاف partial pressure from 40
+
+293
+00:22:38,330 --> 00:22:44,030
+الى 66 millimeter mercury بمعنى اخر ان لو كان ال
+
+294
+00:22:44,030 --> 00:22:50,630
+flow rate زاد الى اربع اضعاف هنا هلاجى ان احنا صار
+
+295
+00:22:50,630 --> 00:22:52,890
+عندنا ايه
+
+296
+00:22:54,590 --> 00:23:00,750
+انتقل ال oxygen pressure من اربعين الى ايه النقطة
+
+297
+00:23:00,750 --> 00:23:03,590
+بيه اللي هي ستة و ستين في المية هذا الفرق بس في
+
+298
+00:23:03,590 --> 00:23:10,710
+الاش في ال pressure في ال flow rate و العكس صحيح و
+
+299
+00:23:10,710 --> 00:23:15,810
+العكس صحيح في حالة ما يجل ال flow rate بينخفض ال
+
+300
+00:23:15,810 --> 00:23:18,990
+pressure في الأنزجة إلى ايه إلى مستويات منخفضة جدا
+
+301
+00:23:18,990 --> 00:23:23,980
+ممكن تؤدي الى انه يصير ال pressure zeroيعني كل ما
+
+302
+00:23:23,980 --> 00:23:29,440
+في ال .. كل ما في الدم محمول من أكسجين يسالك
+
+303
+00:23:29,440 --> 00:23:33,400
+بالأنسجة إذا .. إذا انخفض كتير effect of tissue in
+
+304
+00:23:33,400 --> 00:23:35,920
+metabolism واتكلمنا نفس الكلام إنه لو زودنا ال
+
+305
+00:23:35,920 --> 00:23:41,300
+metabolism نحتاج أنسجة .. اه طيب if the cells use
+
+306
+00:23:41,300 --> 00:23:45,340
+more oxygen for metabolism than normally this
+
+307
+00:23:45,340 --> 00:23:47,780
+reduces the intrinsic fluid pressure of oxygen
+
+308
+00:23:50,900 --> 00:23:54,000
+بدينا الى reduce interstitial fluid, partial
+
+309
+00:23:54,000 --> 00:23:55,760
+pressure of oxygen when the cellular oxygen
+
+310
+00:23:55,760 --> 00:23:58,460
+consumption is increased and increase partial
+
+311
+00:23:58,460 --> 00:24:00,720
+pressure of oxygen when consumption is decreased
+
+312
+00:24:00,720 --> 00:24:05,200
+تمام؟ اذا ال consumption لما بيزيد او بيجل بيقدر
+
+313
+00:24:05,200 --> 00:24:10,380
+الى انه ياخد بيخفض ال carbon ال partial pressure
+
+314
+00:24:10,380 --> 00:24:14,420
+اذا كان زاد الاستهلاك و بيعلي اذا كان ايه جل
+
+315
+00:24:14,420 --> 00:24:20,200
+الاستهلاك in summary tissuesالحرارة الأكسجينية
+
+316
+00:24:20,200 --> 00:24:25,900
+مقررة من اتصال بين نطاق الدم والاستخدام اتصال
+
+317
+00:24:25,900 --> 00:24:34,800
+اكسجينيه في الدم ورق الأكسجينيه استخدامه في الدم
+
+318
+00:24:34,800 --> 00:24:39,860
+واستخدامه اكسجينيه اكسجينيه اكسجينيه اكسجينيه
+
+319
+00:24:39,860 --> 00:24:47,460
+اكسجينيهOkay هتكلمنا عنها احنا من شوية و هنلاحظ
+
+320
+00:24:47,460 --> 00:24:54,120
+احنا اشي مهم كتير بعد شوية هناخدها اكتر انه لو كان
+
+321
+00:24:54,120 --> 00:24:57,020
+الفرق هو في الطبيعي الفرق بين ال interstitial
+
+322
+00:24:57,020 --> 00:25:01,000
+fluid و
+
+323
+00:25:01,000 --> 00:25:06,460
+ال capillaries من اربعين الى تلاتة و عشرين قلنا مش
+
+324
+00:25:06,460 --> 00:25:13,360
+هيك ال تلاتة و عشرين داخل ال cellsالـ 23 ملي متر
+
+325
+00:25:13,360 --> 00:25:16,680
+مركوري، Oxygen، داخل الـ cytoplasm of the cells
+
+326
+00:25:16,680 --> 00:25:22,000
+لكن داخل ال mitochondria، إيش ما بيجي يستهلك، مش
+
+327
+00:25:22,000 --> 00:25:24,920
+كده؟ يعني إيه لحد ما ال mitochondria ممكن يوصل
+
+328
+00:25:24,920 --> 00:25:30,500
+التركيز إلى صفر؟ بمعنى آخر، إنه لو انخفض الفرق ما
+
+329
+00:25:30,500 --> 00:25:34,910
+بين ال cytoplasmic oxygenإلى واحد مليمتر ميركوري
+
+330
+00:25:34,910 --> 00:25:38,850
+يكفي لتشغيل الخلية ليش؟ لأنه .. لإن احنا أخر
+
+331
+00:25:38,850 --> 00:25:43,130
+نجوتها، هيكون أعلى من ال mitochondria، تمام؟ فلذلك
+
+332
+00:25:43,130 --> 00:25:47,310
+يعني لو نزل إلى إيه؟ إلى واحد، يعني لو
+
+333
+00:25:47,310 --> 00:25:51,670
+الacytoplasm نزل إلى واحد برضه بيظل الخلية شجالة،
+
+334
+00:25:51,670 --> 00:25:56,070
+لو نزل عن هيك، بده الخلية تموت، إذا عندي أنا من
+
+335
+00:25:56,070 --> 00:26:01,580
+أربعينالى داخل الخلية الى داخل الميتوكندرية Zero
+
+336
+00:26:01,580 --> 00:26:05,160
+او واحد الفروقات اللى ممكن تزيد و تجيل حسب ال ايه
+
+337
+00:26:05,160 --> 00:26:08,740
+جداش انا عندى consumption بنقول in general تقريبا
+
+338
+00:26:08,740 --> 00:26:11,360
+التركيز داخل ال cells السيتوبلازم تقريبا تلات
+
+339
+00:26:11,360 --> 00:26:15,080
+عشرين مليمتر mercury نحفظه كرقم و ال interstitial
+
+340
+00:26:15,080 --> 00:26:19,020
+fluid أربعين و على هواها ال ال capillary blood
+
+341
+00:26:19,020 --> 00:26:21,940
+بيبقى خمسة و تسعين بنزل لإيه؟ لأربعين و برجع Venus
+
+342
+00:26:21,940 --> 00:26:28,380
+as أربعينdiffusion of carbon dioxide ال carbon
+
+343
+00:26:28,380 --> 00:26:32,260
+ديوكسيد ماحنش هنبدأ من عند ال lungs هنبدأ من الأكس
+
+344
+00:26:32,260 --> 00:26:35,100
+من عند ال .. لإن هو بيزيد وين؟ ال oxygen بيزيد عند
+
+345
+00:26:35,100 --> 00:26:37,300
+ال lungs بس ال carbon dioxide بيزيد عند ال إيش؟
+
+346
+00:26:37,300 --> 00:26:41,440
+عند ال tissues انديهان
+
+347
+00:26:41,440 --> 00:26:47,400
+الرسمة بتقول إنه ال blood اللي داخل على ال tissues
+
+348
+00:26:47,400 --> 00:26:49,820
+على ال capillary circulation .. system of
+
+349
+00:26:49,820 --> 00:26:53,900
+capillary circulation هيكون حامل منظفيعني هعمل
+
+350
+00:26:53,900 --> 00:26:56,940
+carbon dioxide بس اربعين ملي ميتر mercury في
+
+351
+00:26:56,940 --> 00:27:00,060
+الحالة هذه هيجي يلاقي ال .. ال intersection في
+
+352
+00:27:00,060 --> 00:27:04,140
+لويت خمسة اربعين ملي ميتر mercury هياخد منه خمسة و
+
+353
+00:27:04,140 --> 00:27:06,940
+يكمل يطلع الى ال lungs بخمسة اربعين ملي ميتر
+
+354
+00:27:06,940 --> 00:27:11,380
+mercury و هناك يترك خمسة و يرجع الدائرة تبعتنافي
+
+355
+00:27:11,380 --> 00:27:14,240
+الحالة هذه احنا هنلاحظ انه داخل السلسلة يجب أن
+
+356
+00:27:14,240 --> 00:27:17,580
+تكون carbon dioxide أعلى، cytoplasm، يعني داخل
+
+357
+00:27:17,580 --> 00:27:20,060
+الميتوكندرا هيكون carbon dioxide أعلى، هتمشي
+
+358
+00:27:20,060 --> 00:27:23,140
+العملية أيه؟ بالعكس، بتعالى في الميتوكندرا، بتنتقل
+
+359
+00:27:23,140 --> 00:27:26,400
+الـcytoplasm، بتنتقل الـcysticium، بتنتقل إلى أيه؟
+
+360
+00:27:26,400 --> 00:27:31,660
+إلى ال blood، تمام؟ طيبو ننساش المعلومة المهمة
+
+361
+00:27:31,660 --> 00:27:36,600
+كتير ان ال carbon dioxide diffusion capacity as
+
+362
+00:27:36,600 --> 00:27:45,540
+twenty times as big as the oxygen تمام؟
+
+363
+00:27:45,540 --> 00:27:49,060
+طيب ال
+
+364
+00:27:49,060 --> 00:27:58,730
+.. ال carbon dioxide pressures areapproximately
+
+365
+00:27:58,730 --> 00:28:03,690
+the following الـA انا اتكلمت عنها من شويه
+
+366
+00:28:03,690 --> 00:28:06,990
+من
+
+367
+00:28:06,990 --> 00:28:12,590
+ستة واربعين لخمسة واربعين لاربعين مش فى ده اذا
+
+368
+00:28:12,590 --> 00:28:16,650
+عندي هان بدى تلاحظوا الملاحظة هادى هاي الـA ال
+
+369
+00:28:16,650 --> 00:28:20,490
+artery blood هدا systemic اللى انا اتكلم عنها
+
+370
+00:28:20,490 --> 00:28:23,270
+ووصلنا لل arvula من جديد خلصتها من الـA من ال
+
+371
+00:28:23,270 --> 00:28:30,250
+tissuesوطلعنا بالدم معانا دم التركيز ال pressure
+
+372
+00:28:30,250 --> 00:28:32,970
+تبعه بلاش نقول تركيز ال pressure pressure تبعه
+
+373
+00:28:32,970 --> 00:28:37,170
+اياش خمسة واربعين millimeter mercury الفيولر air
+
+374
+00:28:37,170 --> 00:28:43,270
+اربعين مش هيك هيصير انتقال هيتحول ال blood إلى
+
+375
+00:28:43,270 --> 00:28:49,060
+اياشالى برشر الى الاربعين مليمتر من جديد مش هيك
+
+376
+00:28:49,060 --> 00:28:53,560
+بتلاحظوا ال curve التحتانى ايضا العملية اللى بتتم
+
+377
+00:28:53,560 --> 00:28:58,460
+في طولة المسافة اذا برضه عملية التخلص الكامل من
+
+378
+00:28:58,460 --> 00:29:01,000
+الكمية اللى بده افقدها من ال carbon dioxide ال
+
+379
+00:29:01,000 --> 00:29:03,340
+equilibrium بين carbon dioxide ال capillary و ال
+
+380
+00:29:03,340 --> 00:29:06,260
+alveolar air برضه بيتم ينتهي في ايه؟ في طولة
+
+381
+00:29:06,260 --> 00:29:09,220
+المسافة يعني بيضل عندى two thirds of the a of the
+
+382
+00:29:09,220 --> 00:29:15,220
+capillary distance is as a safety factorطبعا نفس
+
+383
+00:29:15,220 --> 00:29:25,580
+الكلام نفس
+
+384
+00:29:25,580 --> 00:29:28,660
+الكلام في مسألة ال .. ال .. ال .. ال consumption
+
+385
+00:29:28,660 --> 00:29:36,000
+طبعا لو انا ايه زورت ال blood flow نفس ال curve
+
+386
+00:29:36,000 --> 00:29:40,180
+اللي عملناها لل oxygen هنلاقي ليه ال carbon
+
+387
+00:29:40,180 --> 00:29:43,420
+dioxide لكنه بالعكس يعني لو انا زوّدت ال rate of
+
+388
+00:29:43,420 --> 00:29:48,420
+ايهof blood flow بش هيعلق ال interstitial fluid
+
+389
+00:29:48,420 --> 00:29:52,280
+partial pressure زي الاكسجين بل هنخفض لإنه هناخد
+
+390
+00:29:52,280 --> 00:29:57,200
+ايش هناخد أسرع مش كده إذا لما زيد ال flow rate ال
+
+391
+00:29:57,200 --> 00:29:59,380
+partial pressure تبع الاكسجين في ال .. في ال
+
+392
+00:29:59,380 --> 00:30:04,400
+interstitial fluid ايش هيخبط مش كده و لو جللت ال
+
+393
+00:30:04,400 --> 00:30:07,360
+flow rate هنلاقي يصير اتجمع و ال partial pressure
+
+394
+00:30:07,360 --> 00:30:12,920
+تبع الايه تبع carbon dioxide هيضل ايشيعلى، مش هيك؟
+
+395
+00:30:12,920 --> 00:30:16,120
+و نفس الكلام بالنسبة لل consumption لو زاد ال
+
+396
+00:30:16,120 --> 00:30:20,520
+metabolism تبع ال tissues هنلاقي انه بدل carbon
+
+397
+00:30:20,520 --> 00:30:23,860
+dioxide ال partial pressure يعلى، اه و لا، و العكس
+
+398
+00:30:23,860 --> 00:30:27,800
+صحيح في الحالة هذه احنا لما يصير الزيادة في
+
+399
+00:30:27,800 --> 00:30:31,460
+partial pressure تبع يعني النقطة ايه مثلا هان؟
+
+400
+00:30:31,460 --> 00:30:37,580
+النقطة ايه؟ تمثل ايش؟ تمثل مية في المية flow rate،
+
+401
+00:30:37,580 --> 00:30:40,890
+حلو؟الفلورية هذا في الحالة هذه بيكون عندى خمسة
+
+402
+00:30:40,890 --> 00:30:49,310
+واربعين خمسة واربعين مليمتر
+
+403
+00:30:49,310 --> 00:30:52,450
+ميركوري اللي هو ايه برش برش تبع ال carbon dioxide
+
+404
+00:30:52,450 --> 00:30:56,150
+مش كده لو زاد الفلورية عندي يعني من مية في المية
+
+405
+00:30:56,150 --> 00:31:00,270
+الى اكتر بلاحظ ان البرش برش تبع ال carbon dioxide
+
+406
+00:31:00,270 --> 00:31:07,160
+ايه بيهبط بيهبط شوية بيضل يهبط شوية شويةلو ال flow
+
+407
+00:31:07,160 --> 00:31:11,720
+rate جال اجال من 100% بلاجي carbon dioxide ايه؟ ال
+
+408
+00:31:11,720 --> 00:31:17,180
+pressure ايش؟ اه و كذلك انا في حال يكون في عندى ال
+
+409
+00:31:17,180 --> 00:31:20,620
+higher metabolism هلاجي higher concentration of
+
+410
+00:31:20,620 --> 00:31:24,320
+carbon dioxide بيكون lower metabolism هلاجي ايه؟
+
+411
+00:31:24,320 --> 00:31:27,400
+لأ اذا ال two factors هم هم نفسهم بيشتغلوا على
+
+412
+00:31:27,400 --> 00:31:33,920
+النقطتين هدولrule of homoglobin in oxygen
+
+413
+00:31:33,920 --> 00:31:37,260
+transport احنا حقيقه تاني بدأنا نخش على النقطة
+
+414
+00:31:37,260 --> 00:31:41,840
+الأهم على النقطة الأهم في الموضوع الان اتكلمنا ان
+
+415
+00:31:41,840 --> 00:31:47,920
+البرشر برشر هذا هو بوزعلي ال
+
+416
+00:31:47,920 --> 00:31:52,380
+oxygen و ننتقل و الكربون ده اكساد كيف ينتقل مش هيك
+
+417
+00:31:52,380 --> 00:32:00,970
+لكن البرشر برشر هذا يمثل ال dissolved oxygenوهو
+
+418
+00:32:00,970 --> 00:32:05,930
+يمثل الـ dissolved carbon dioxide، مش كده؟ إذا الـ
+
+419
+00:32:05,930 --> 00:32:10,670
+dissolved oxygen اللي في ال plasma، إيه ال
+
+420
+00:32:10,670 --> 00:32:13,870
+pressure هالجد؟ و ال dissolved carbon dioxide اللي
+
+421
+00:32:13,870 --> 00:32:17,710
+في ال plasma، إيه ال pressure هالجد؟ لكن جديش يمثل
+
+422
+00:32:17,710 --> 00:32:21,730
+هذا ال dissolved part من ال oxygen المحمول مع
+
+423
+00:32:21,730 --> 00:32:26,460
+الدم، وجديش يمثلالـ carbon dioxide الـ dissolved
+
+424
+00:32:26,460 --> 00:32:30,740
+من الـ carbon ديوكسيد المحمول في الدم، فاضح؟ هذا
+
+425
+00:32:30,740 --> 00:32:40,060
+موضوعنا الأهم، بدي تعرفوا أنه 97% من ال oxygen
+
+426
+00:32:40,060 --> 00:32:45,520
+محمول على الهمoglobin و 3% فقط محمولة أيه؟
+
+427
+00:32:45,520 --> 00:32:48,960
+dissolved form يعني هذا ال chemical combination
+
+428
+00:32:48,960 --> 00:32:55,220
+with hemoglobin، تمام؟ لكن 3%فقط محمولة in the
+
+429
+00:32:55,220 --> 00:33:00,200
+dissolved form وين ال dissolved form هذا موجود؟ في
+
+430
+00:33:00,200 --> 00:33:07,420
+البلازما بس، هذه عليها علامة، في البلازما بس، مش
+
+431
+00:33:07,420 --> 00:33:11,660
+سامونة مش سامة، واحدة واحدة، إيش قلت؟ interstitial
+
+432
+00:33:11,660 --> 00:33:16,770
+fluid؟ إيش إيش؟ إيش؟ مين يتكلم؟ اقولي عليهاإذا
+
+433
+00:33:16,770 --> 00:33:21,550
+احنا قلنا الدم حامل تلاتة في المية dissolved form
+
+434
+00:33:21,550 --> 00:33:26,150
+و 97% combination with hemoglobin تلاتة في المية
+
+435
+00:33:26,150 --> 00:33:33,190
+هذه تمثل dissolved form في وين؟ في ال plasma ال
+
+436
+00:33:33,190 --> 00:33:37,150
+dissolved form هذا مفترض موجود dissolved in
+
+437
+00:33:37,150 --> 00:33:41,890
+fluids، in liquid، in water مش هيك؟ ويمثل تلاتة في
+
+438
+00:33:41,890 --> 00:33:43,770
+المية من ال oxygen المحمول
+
+439
+00:33:46,010 --> 00:33:49,190
+و هاد ال dissolve form موجود في البلازما مش كده
+
+440
+00:33:49,190 --> 00:33:57,270
+قديمة و بس اش اسمك انت لبنان قولي لبنان you are
+
+441
+00:33:57,270 --> 00:34:04,250
+right بس انت جارتيها في الكتاب ده ده مكتوب هه
+
+442
+00:34:04,250 --> 00:34:10,670
+جارتيه عن ال .. جارتيه عن ال .. طيب ماشي اذا اني
+
+443
+00:34:10,670 --> 00:34:13,370
+اناك علامة انا ماذا اناك علامة اذا احنا عندنا في
+
+444
+00:34:13,370 --> 00:34:19,280
+fluidفي البلازمة fluid وفي داخل ال RBCs فdissolved
+
+445
+00:34:19,280 --> 00:34:22,640
+hand و hand اي equilibrium اكيد مش كده مش معقول
+
+446
+00:34:22,640 --> 00:34:25,880
+يبقى في البلازمة اكتر من ال fluids اللي في داخل ال
+
+447
+00:34:25,880 --> 00:34:30,340
+ايه اكسجين هذا يتقل freely carbon dioxide يتقل ايه
+
+448
+00:34:30,340 --> 00:34:32,860
+freely بس انا بتتكلم عن ال dissolved form بتتكلم
+
+449
+00:34:32,860 --> 00:34:36,460
+عن انه في البلازمة و في داخل ال ايه ال .. ال .. ال
+
+450
+00:34:36,460 --> 00:34:38,820
+.. ال .. the cytoplasm of the ايه of the RBCs
+
+451
+00:34:38,820 --> 00:34:42,020
+itself مش هيك طيب انا اخدوا بالك و بنسى العلامات
+
+452
+00:34:42,020 --> 00:34:48,810
+بيذكروني عشان اضيفهاالرقم 97% هذا مهم عشان ما
+
+453
+00:34:48,810 --> 00:34:54,890
+تتلخبطوش الآن بنقول 97% من ال oxygen محمول وين؟
+
+454
+00:34:54,890 --> 00:34:57,910
+إذا بنتكلم عن ال total oxygen المحمول في الدم ال
+
+455
+00:34:57,910 --> 00:35:01,890
+total oxygen المحمول في الدم اللي ال total oxygen
+
+456
+00:35:01,890 --> 00:35:06,690
+اللي تحت ال pressure pressure 95 جدرين جيل إلى ال
+
+457
+00:35:06,690 --> 00:35:12,010
+إيه؟ إلى ال plasma إلى ال .. إلى الدم
+
+458
+00:35:14,770 --> 00:35:26,190
+هذا الـ Oxygen 97% منه الـ Hemoglobin و 3% منه
+
+459
+00:35:26,190 --> 00:35:32,050
+محمول Desert Farm تمام؟ okay اذا ال total تبعي انا
+
+460
+00:35:32,050 --> 00:35:35,810
+اللي بتكلم عنه الان عن ال Hemoglobin يمثل 97% من
+
+461
+00:35:35,810 --> 00:35:42,990
+ايش؟ من ال total Oxygen في ال .. طبعا في حاجة
+
+462
+00:35:42,990 --> 00:35:47,380
+اسمهاoxygen hemoglobin oxygen dissociation curve
+
+463
+00:35:47,380 --> 00:35:51,720
+بمعنى اخر ان ال hemoglobin هذا هضل يحل شوية شوية
+
+464
+00:35:51,720 --> 00:35:55,740
+من ال oxygen تبعه عشان كل ما نقص ال pressure
+
+465
+00:35:55,740 --> 00:36:00,340
+البلازمة فجرت اشي بعودة عودة فيه buffering system
+
+466
+00:36:00,340 --> 00:36:03,220
+هتكلم عنه بعد شوية بس انا بتكلم عن نقطة تانية اللي
+
+467
+00:36:03,220 --> 00:36:10,960
+هتلخبط فيها ان هو من ال total oxygen بيحمل 97%الـ
+
+468
+00:36:10,960 --> 00:36:13,680
+97% من الـ Total Oxygen هدول يمثل على الـ
+
+469
+00:36:13,680 --> 00:36:16,880
+Hemoglobin كل ال .. كل ال إيه؟ ال Oxygen المحمول
+
+470
+00:36:16,880 --> 00:36:19,640
+مش هيك؟ يعني كل ال Oxygen المحمول على ال
+
+471
+00:36:19,640 --> 00:36:23,980
+Hemoglobin يمثل 97% من ال Total Blood من ال Total
+
+472
+00:36:23,980 --> 00:36:29,180
+Blood Oxygen مش كده؟ الآن بدنا نعرف كمان أنه ال
+
+473
+00:36:29,180 --> 00:36:33,560
+Oxygen .. أنه ال Hemoglobin ال Hemoglobin هذا مش
+
+474
+00:36:33,560 --> 00:36:38,860
+fully saturated ال Hemoglobin فقط 97% منه
+
+475
+00:36:38,860 --> 00:36:46,380
+saturatedتمام؟ يعني في عند 3% من ال hemoglobin ما
+
+476
+00:36:46,380 --> 00:36:50,260
+هم مش saturated واضح؟
+
+477
+00:36:50,260 --> 00:36:56,700
+okay يعني هذا رقم مختلف عن هذايعني .. يعني أن ..
+
+478
+00:36:56,700 --> 00:36:59,980
+لما .. لما الـ Hemoglobin أخذ 97% ماوصلش لـ 100%
+
+479
+00:36:59,980 --> 00:37:03,520
+من التشبع تبعه هو أخذ 97% من ال .. من اللي في الدم
+
+480
+00:37:03,520 --> 00:37:07,320
+لكن هذا لا يعني كل ما يستطيع أخده تمام؟ هو في
+
+481
+00:37:07,320 --> 00:37:10,500
+حقيقة طلع نفس الرقم يعني ممكن نقول احنا 90% من ال
+
+482
+00:37:10,500 --> 00:37:15,300
+Hemoglobin أخذ حملة أكسجين وضال 10% عشان بيفرق
+
+483
+00:37:15,300 --> 00:37:20,760
+الأرقام تخيلوها يعني لما ال 97% من الأكسجين محمول
+
+484
+00:37:20,760 --> 00:37:24,360
+على ال Hemoglobin يمثل 90% مثلا من ال إيه؟ من قدرة
+
+485
+00:37:24,360 --> 00:37:27,060
+ال Hemoglobinكده بالنسبة بيفرج، لكن انا بدي ..
+
+486
+00:37:27,060 --> 00:37:30,440
+الرقم هو 97% من قدرة الهموجلوبين، نفس الرقم ان هما
+
+487
+00:37:30,440 --> 00:37:35,900
+هما، بس هذا يمثل شئ وهذا يمثل شئ، اذا 97% من
+
+488
+00:37:35,900 --> 00:37:44,160
+الهموجلوبين فقط عنده القدرة على انه يحمل .. اه
+
+489
+00:37:44,160 --> 00:37:48,620
+تلاتة فالمية منه بيقدرش يحمل، ليش؟ لإنه جزء من
+
+490
+00:37:48,620 --> 00:37:53,810
+الهموجلوبين في الحالة هذه انا عندىفيه متهمoglobin
+
+491
+00:37:53,810 --> 00:37:58,230
+و impurities شوائب و أشياء اوكسجين اه لو كان pure
+
+492
+00:37:58,230 --> 00:38:02,970
+oxygen ل pure hemoglobin ممكن يحمل كمية أكبر يحمل
+
+493
+00:38:02,970 --> 00:38:07,810
+مية في المية لكنه ما هوش pureهيموجلوبين في عندى
+
+494
+00:38:07,810 --> 00:38:12,690
+دايما بعض الهيموجلوبين في مشاكل فبيقدى الى انه
+
+495
+00:38:12,690 --> 00:38:17,030
+قدرة الهيموجلوبين الكلية على انه يحمل 97% فقط من
+
+496
+00:38:17,030 --> 00:38:21,510
+ايه؟ من .. من .. من قدرته كهيموجلوبين في 3% من
+
+497
+00:38:21,510 --> 00:38:24,290
+قدرته كهيموجلوبين مش مستخدمة لإنها فيها دايما
+
+498
+00:38:24,290 --> 00:38:32,390
+مشاكل okayطيب إذا عندي أنا جزء كبير من ال .. الجزء
+
+499
+00:38:32,390 --> 00:38:35,130
+الأكبر من ال oxygen محمول على إيه؟ على ال
+
+500
+00:38:35,130 --> 00:38:40,530
+hemoglobin لكن ال hemoglobin مش هو اللي بتحكم وين
+
+501
+00:38:40,530 --> 00:38:45,050
+ينتقل ال oxygen من إلى أو العكس اللي بتحكم الموضوع
+
+502
+00:38:45,050 --> 00:38:48,250
+في الانتقال مين؟ brush brush brush اللي هو يمثلوا
+
+503
+00:38:48,250 --> 00:38:52,980
+إيش؟الـ Dissolved form اللي هو التلاتة المية اذا
+
+504
+00:38:52,980 --> 00:38:56,800
+انا عندي big reservoir يعني انا في جيبي مائة شكل
+
+505
+00:38:56,800 --> 00:39:01,160
+لكن انا في ال bank اتنين مليون تمام؟ اتنين مليون
+
+506
+00:39:01,160 --> 00:39:01,820
+او اتنين شكل
+
+507
+00:39:05,670 --> 00:39:11,030
+صحيح بأصرف مبلغ صغير بس أتعامل معاه لكنه إيه اللي
+
+508
+00:39:11,030 --> 00:39:17,270
+رصيد فيه إيه؟ عالي وهكذا ال .. ال .. ال hemoglobin
+
+509
+00:39:17,270 --> 00:39:21,570
+عامل لمين؟ لل .. ال .. لل oxygen حامل الجزء الأكبر
+
+510
+00:39:21,570 --> 00:39:25,850
+لكن اللي بيتم التعامل مع .. ياخد أو يعطي أو يودّي
+
+511
+00:39:25,850 --> 00:39:28,710
+ال partial pressure differences بينه و بين الأنسجة
+
+512
+00:39:28,710 --> 00:39:31,770
+و ال partial pressure differences هذه تمام هي اللي
+
+513
+00:39:31,770 --> 00:39:36,020
+بتحكم في انتقال ال oxygen إذا ال hemoglobinبيترك
+
+514
+00:39:36,020 --> 00:39:41,240
+أكسجين أحيانا وبياخد أكسجين أحيانا تمام حسب قواعد
+
+515
+00:39:41,240 --> 00:39:44,500
+معينة هذي هندرسها في اللي بيسميها ال gate الآن
+
+516
+00:39:44,500 --> 00:39:48,080
+هندرسها اللي هو ال hemoglobin oxygen dissociation
+
+517
+00:39:48,080 --> 00:39:52,620
+curve وقت إيش ال hemoglobin بيسيب أكسجين وقت إيش
+
+518
+00:39:52,620 --> 00:40:01,060
+بياخد أكسجين تمام بحيث أنه يعطي لل plasma يعطي لل
+
+519
+00:40:01,060 --> 00:40:06,850
+dissolved form المطلوب منهاهذا حقيقة ال curve هذا
+
+520
+00:40:06,850 --> 00:40:12,910
+من أجمل ما ممكن احنا ايه نتخيل و نصور هذا ال curve
+
+521
+00:40:12,910 --> 00:40:17,070
+اللي بسميه oxygen hemoglobin oxygen dissociation
+
+522
+00:40:17,070 --> 00:40:26,730
+curve تمام بمعنى انه لما صار عندى انا ال brusher
+
+523
+00:40:26,730 --> 00:40:35,140
+عندى 95 هنا مثلا تمام بتطلع بلاقي عندىالـ 97% من
+
+524
+00:40:35,140 --> 00:40:41,460
+الهيموجلوبين الـ saturated تمام؟ اذا انا بتكلم بال
+
+525
+00:40:41,460 --> 00:40:47,240
+97% اللي هم ال full saturation لو
+
+526
+00:40:47,240 --> 00:40:51,840
+انا بدى .. اذا في ال 95% بارشار بارشار اكسجين
+
+527
+00:40:51,840 --> 00:40:58,380
+تمام؟ في عندى 97% ايش؟ الـ saturated الهيموجلوبين
+
+528
+00:40:58,380 --> 00:41:04,810
+طيب الهيموجلوبين كل ما نزل ال barchar barcharاللي
+
+529
+00:41:04,810 --> 00:41:08,750
+في ال .. في ال plasma يعني كل ما جزء منه من ال ..
+
+530
+00:41:08,750 --> 00:41:13,090
+من ال hemoglobin ال oxygen راح لل إيه؟ لل plasma،
+
+531
+00:41:13,090 --> 00:41:17,490
+تمام؟ إذا في علاقة ما بين هذه و هذه، العلاقة هذه
+
+532
+00:41:17,490 --> 00:41:25,780
+هنلاقيها .. بنسميها S شيب احنا، إيش بنسميها؟الـ
+
+533
+00:41:25,780 --> 00:41:31,040
+curve هذا S shape بمعنى انه مش مشا linear يعني مش
+
+534
+00:41:31,040 --> 00:41:36,620
+كل ما نقص ال oxygen pressure جزء طلع نفس الجزء من
+
+535
+00:41:36,620 --> 00:41:41,340
+ال hemoglobin مش linear relationship تمام؟ اذا في
+
+536
+00:41:41,340 --> 00:41:45,790
+مناطقبيبقى ال oxygen ال hemoglobin بخيل في الفقدان
+
+537
+00:41:45,790 --> 00:41:50,310
+و في مناطق بيكون كارين في الفقدان بمعنى اخر الفرق
+
+538
+00:41:50,310 --> 00:41:57,870
+ما بين ال 95 ميلي متر ميركوريا و ال 60 ميلي متر
+
+539
+00:41:57,870 --> 00:42:02,370
+ميركوريا فرق بسيط، فرق بسيط يعني من ال 97 ميلي متر
+
+540
+00:42:02,370 --> 00:42:07,130
+ميركوريا ل 88 ميلي متر ميركورياللسبعة وتمانين عشرة
+
+541
+00:42:07,130 --> 00:42:16,290
+مليمتر عشرة عشرة في المية saturation بنفقد تمام من
+
+542
+00:42:16,290 --> 00:42:22,950
+السابعة وتسعين هان هي سبعة وتسعين لهان حوالي سبعة
+
+543
+00:42:22,950 --> 00:42:27,610
+وتمانينلكن بين ايش؟ بين خمسة وتسعين وستين مليمتر
+
+544
+00:42:27,610 --> 00:42:32,150
+ميركوري يعني خمسة وتلاتين مليمتر ميركوري فارق
+
+545
+00:42:32,150 --> 00:42:36,550
+عملولي فقط عشرة المية فقدان للإيه؟ او فرق في
+
+546
+00:42:36,550 --> 00:42:41,170
+القدرة على حملة الأكسجين تمام؟ يعني انا لو أنزل
+
+547
+00:42:41,170 --> 00:42:48,110
+الأكسجين براشر لستين الهيموجلوبين بفقدش الا عشرة
+
+548
+00:42:48,110 --> 00:42:53,120
+المية من شسمة واضح؟ في المنطقة هذهفي المنطقة هذه
+
+549
+00:42:53,120 --> 00:43:01,140
+منطقة ال caballaries لو فقدنا احنا ال ال ال oxygen
+
+550
+00:43:01,140 --> 00:43:09,000
+ال برشا برشا من من اربعين الى الى عشرين من اربعين
+
+551
+00:43:09,000 --> 00:43:13,840
+الى عشرين عشرين لحظوا كده الفارق هنا من حوالي خمسة
+
+552
+00:43:13,840 --> 00:43:21,370
+وسبعين فميةخمس و سبعين في المية ع فكرة الاربعين
+
+553
+00:43:21,370 --> 00:43:27,410
+ميلي متر ميركوري يسويهم
+
+554
+00:43:27,410 --> 00:43:32,610
+خمس و سبعين في المية من قدرة الأكسجين من قدرة
+
+555
+00:43:32,610 --> 00:43:38,510
+المجلوبين طبعا إذن لما الأكسجين يبقى راجع طالع من
+
+556
+00:43:38,510 --> 00:43:42,230
+الكابيلرز من ال lungs يبقى حامل سبعة في الميةكنسب
+
+557
+00:43:42,230 --> 00:43:47,630
+و هو راجع بيبقى حامل 75% صحيح هذه pressure 95 و
+
+558
+00:43:47,630 --> 00:43:52,610
+هذه pressure 40 الفرق في النسب في ال percentages
+
+559
+00:43:52,610 --> 00:43:55,390
+مش نفس الفرق بين ال pressure و pressure بسبب ال
+
+560
+00:43:55,390 --> 00:43:59,690
+curve هذا تمام لما يكون عندي انا 40% millimeter
+
+561
+00:43:59,690 --> 00:44:02,290
+mercury اللي هو مجلوبي النسب يكون حامل 75% من ال
+
+562
+00:44:02,290 --> 00:44:09,340
+oxygen تبعه واضح؟لما يكون 95 المجلومين سأعمل 97%
+
+563
+00:44:09,340 --> 00:44:14,140
+من المجلومين التابعه تمام؟ بيرجع هعمل بس 75 لكن ال
+
+564
+00:44:14,140 --> 00:44:17,680
+brushers بروح 95 millimeter mercury و برجع 40
+
+565
+00:44:17,680 --> 00:44:24,220
+millimeter mercury لإنه بين ال 97 و ال 40 ه فقط
+
+566
+00:44:24,220 --> 00:44:28,980
+الفرج هذا البسيط يعني هيسمى بس 95% ل 97% مجدش
+
+567
+00:44:28,980 --> 00:44:34,310
+بينهم الفرج احسبوها لكن من ال 40لو صار عندى انا
+
+568
+00:44:34,310 --> 00:44:39,470
+consumption اكتر فى الحلاية اه وصار عندى هبوت اكتر
+
+569
+00:44:39,470 --> 00:44:43,590
+لمين ل ال bar pressure فى ال interstitial fluid
+
+570
+00:44:43,590 --> 00:44:47,530
+لأنه صار عندى consumption اكتر واضطرنا انه ينزل ال
+
+571
+00:44:47,530 --> 00:44:52,310
+bar pressure ل 15% مثلا لهان شوفوا قداش الفرق من
+
+572
+00:44:52,310 --> 00:45:01,630
+75% ل .. ل .. لحوالى 15% 60% من حملة ال oxygen ال
+
+573
+00:45:01,630 --> 00:45:07,750
+hemoglobinبيطلع في فرق عشرين او خمس عشر في المية
+
+574
+00:45:07,750 --> 00:45:14,250
+واضح؟عندي أنا قدرة كبيرة على إن ال hemoglobin يدّي
+
+575
+00:45:14,250 --> 00:45:17,470
+الأنسجة لإن في المنطقة هادئة بيكون في الأنسجة هو
+
+576
+00:45:17,470 --> 00:45:22,250
+إذا التغير من ال 40 إلى ال 30 إلى ال 20 تغير
+
+577
+00:45:22,250 --> 00:45:27,430
+البسيط هادئ بيكون في الأنسجة هناك أي تغير بيعطي
+
+578
+00:45:27,430 --> 00:45:32,350
+كمية كبيرة من ال oxygen للأنسجة في حين إن المنطقة
+
+579
+00:45:32,350 --> 00:45:37,350
+العالية بيكون فيها فوق في ال lungمش كده؟ البرشر
+
+580
+00:45:37,350 --> 00:45:41,290
+البرشر الستين والسبعين والتمانين والتسعين هدوين في
+
+581
+00:45:41,290 --> 00:45:46,630
+ال lung بمعنى إنه لو أنا صار عندي في منطقة ساكن
+
+582
+00:45:46,630 --> 00:45:50,910
+على جبل عالي و ال oxygen pressure عندي واطي تمام
+
+583
+00:45:50,910 --> 00:45:54,710
+ال oxygen pressure واطي مش pressure مية و أربع ..
+
+584
+00:45:54,710 --> 00:45:58,090
+مية و ال alveolar ايه في الحالة ده بيكونش مية و
+
+585
+00:45:58,090 --> 00:46:03,290
+أربعة مثلا ال alveolar افترضوا أنه صار تمانين صار
+
+586
+00:46:03,290 --> 00:46:10,900
+سبعين تمام؟هنا مثلا صار سنة تمانين صار سبعين صار
+
+587
+00:46:10,900 --> 00:46:14,040
+ستين مليمتر ميركور ايرفيرر ايرفيرر ايرفيرر ايرفيرر
+
+588
+00:46:14,040 --> 00:46:17,540
+ايرفيرر ايرفيرر ايرفيرر ايرفيرر ايرفيرر ايرفيرر
+
+589
+00:46:17,540 --> 00:46:23,270
+ايرفيرربقى الفيولر ايه ستين ملي متر ميركوري او خمس
+
+590
+00:46:23,270 --> 00:46:26,350
+و تسعين ملي متر ميركوري فارق منهم بسيط يعني بمعنى
+
+591
+00:46:26,350 --> 00:46:29,810
+اخر ان لو انا كنت في ظروف غير طبيعية و ال oxygen
+
+592
+00:46:29,810 --> 00:46:33,490
+عندي باطي برضه يكفي ال homoglobin انه ياخد كل اللي
+
+593
+00:46:33,490 --> 00:46:36,630
+عايزه يعني الفارق ما بين ستين في المية .. ستين ملي
+
+594
+00:46:36,630 --> 00:46:39,770
+متر ميركوري برش هار اكسجين و الخمس و تسعين .. و ال
+
+595
+00:46:39,770 --> 00:46:44,700
+.. و ال .. و ال .. و المية و أربعة الفيولرAir
+
+596
+00:46:44,700 --> 00:46:49,360
+Oxygen Pressure الفرق بينهم الضخم هي ده اربع
+
+597
+00:46:49,360 --> 00:46:53,280
+واربعين من ستين لمية واربع اربع واربعين في المية
+
+598
+00:46:53,280 --> 00:46:55,320
+مش كده اربع واربعين ميلي متر ميكر الفرق بينهم
+
+599
+00:46:55,320 --> 00:47:02,060
+الضخم الا انه ال lungs ال hemoglobin يستطيع انه
+
+600
+00:47:02,060 --> 00:47:06,100
+ياكل تقريبا كل ما يريدالفرق فيهم ضخم في الـ
+
+601
+00:47:06,100 --> 00:47:09,400
+partial pressure بس في ال homogloin saturation فرق
+
+602
+00:47:09,400 --> 00:47:19,640
+بسيط من ال 60 هنا اللي تمثل 87% ل 95 اللي تمثل 97%
+
+603
+00:47:19,640 --> 00:47:25,100
+الفرق بينهم 10% فالفرق في ال partial pressure كان
+
+604
+00:47:25,100 --> 00:47:33,300
+35% إذا ال curve هذا واضح أنه في المناطق اللي فيها
+
+605
+00:47:34,030 --> 00:47:38,270
+أكسيجين قليل أنا بقدر أخد هموجلبين كويس وفي
+
+606
+00:47:38,270 --> 00:47:45,230
+الأنسجة أقل حاجة للأكسيجين بديهم البدهمية يعني إذا
+
+607
+00:47:45,230 --> 00:47:47,750
+متى انخفض عندي الـ partial pressure في ناحية
+
+608
+00:47:47,750 --> 00:47:52,210
+الأنسجة انخفاض بسيط الهموجلبين بفقد كمية كبيرة من
+
+609
+00:47:52,210 --> 00:47:55,870
+الأكسيجين لمين يعني بعطيها؟ بعطيها للأنسجة إذا ال
+
+610
+00:47:55,870 --> 00:48:01,750
+curve هتعمل S shapeمعمول بطريقة ان قدرة ال oxygen
+
+611
+00:48:01,750 --> 00:48:05,350
+قدرة ال homoglobin على حمل ال oxygen في الضغوط
+
+612
+00:48:05,350 --> 00:48:10,050
+المختلفة مختلف مش كده مش linear يعني مش كما زدنا
+
+613
+00:48:10,050 --> 00:48:14,210
+واحد في المية ملي ميتر mercury pressure زدنا مثلا
+
+614
+00:48:14,210 --> 00:48:18,830
+واحد المية ايه مقابلها saturation لأ تمام هذا لو
+
+615
+00:48:18,830 --> 00:48:22,570
+كان linear كان كل زيادة هان تسويها زيادة هان كان
+
+616
+00:48:22,570 --> 00:48:28,170
+كله متساوي لكنه هو S shape بمعنى انه في مناطقبياخد
+
+617
+00:48:28,170 --> 00:48:31,990
+وبيعطي فرق كبير وفي مناطق بياخد وبيعطي فرق مختلف
+
+618
+00:48:31,990 --> 00:48:36,350
+تمام؟ افهمتوها؟ وهذه تمثلي انا ان عند ال lungs لو
+
+619
+00:48:36,350 --> 00:48:38,270
+ناقص عند ال partial pressure برضه باخد كل ما
+
+620
+00:48:38,270 --> 00:48:41,070
+مجلومي بديه وعند الانسجة اذا ناقص ال partial
+
+621
+00:48:41,070 --> 00:48:45,680
+pressure باعطي الانسجة كل ما تحتاجه من ايه؟هذه
+
+622
+00:48:45,680 --> 00:48:50,740
+نقطة، وإليكم زيادة عن ذلك، زيادة عن ذلك إن الكيرف
+
+623
+00:48:50,740 --> 00:48:54,880
+هذا نفسه اللي هو كيرف رائع، مش كده؟ هذا الكيرف
+
+624
+00:48:54,880 --> 00:49:00,220
+رائع، انفسر اللي هم جلمين بطريقة واضح إنها مش جاية
+
+625
+00:49:00,220 --> 00:49:06,380
+صدفة، معقول؟ إيش رأيك اللي بنا؟مستحيل يعني ال
+
+626
+00:49:06,380 --> 00:49:09,360
+oxygen فرق .. فرقات الضغوط ما تأثرش على ال
+
+627
+00:49:09,360 --> 00:49:12,560
+saturation اللي ال hemoglobin اللي بسيط في حين أنه
+
+628
+00:49:12,560 --> 00:49:15,920
+لو الأنسج يحتاجها يديها البضهيه أه؟ مش عاوز
+
+629
+00:49:15,920 --> 00:49:22,100
+أقولكوا أنها صدفة إليكم القاتى ال curve هذا قد
+
+630
+00:49:22,100 --> 00:49:27,540
+يميل إلى اليمين أكتر و قد يميل إلى الشمال أكتر لما
+
+631
+00:49:27,540 --> 00:49:34,510
+بيميل لليمين أكتر بمعنى أنهصرت عندى ضغوط نفس الضغط
+
+632
+00:49:34,510 --> 00:49:39,510
+اللى كان فى الأول بيعطينى مثلا oxygen كمية معينة
+
+633
+00:49:39,510 --> 00:49:43,650
+لما يصير shift to the right بيصير نفس الضغط اللى
+
+634
+00:49:43,650 --> 00:49:49,430
+وصلناله بيعطينى كمية اكبر من اكسجين يعنى مثلا على
+
+635
+00:49:49,430 --> 00:49:53,190
+برشا pressure تلاتين فى ال normal curve خلينى أنزل
+
+636
+00:49:53,190 --> 00:49:55,530
+لل curve التانى
+
+637
+00:50:00,370 --> 00:50:05,150
+وين راح؟ إيش هذا؟ طيب إذا عندي هذا ال curve الطريق
+
+638
+00:50:05,150 --> 00:50:11,770
+الأول يعني الخط الخط المتواصل وهنا الخطوط المنقطة
+
+639
+00:50:11,770 --> 00:50:14,670
+هذا اللي على يمين المنقطة بيسمي shift to the right
+
+640
+00:50:14,670 --> 00:50:20,850
+والتاني بيسمي shift to the left تمام؟ لو طلعنا هنا
+
+641
+00:50:20,850 --> 00:50:24,750
+على تلاتين مثلا في المية تمام؟ تلاتين في المية هذا
+
+642
+00:50:24,750 --> 00:50:30,860
+هي بالنسبة لمين؟ لال .. ال normal curveتمام؟ جاء
+
+643
+00:50:30,860 --> 00:50:34,300
+اقبال مثلا تقريبا تقريبا اقبال سبعين في المية ال
+
+644
+00:50:34,300 --> 00:50:39,360
+saturation تمام؟ لما يصير shift to the right نفس
+
+645
+00:50:39,360 --> 00:50:42,740
+التلاتين في المية صارت عندي خمسة و خمسين في المية
+
+646
+00:50:42,740 --> 00:50:46,480
+ال saturation بمعنى انه صار الفقدان من ال
+
+647
+00:50:46,480 --> 00:50:50,520
+homoglobin اكبر اذا صار قدرة ال homoglobin في ظروف
+
+648
+00:50:50,520 --> 00:50:55,600
+معينة ال curve بيقول انه كل ما نزل برشا برشا كل ما
+
+649
+00:50:55,600 --> 00:51:01,740
+قدرته عليه انه يديني بتزيدفي ظروف إضافية من لاجئ
+
+650
+00:51:01,740 --> 00:51:04,540
+الزيادة اللي بيعطينا إياها أكتر من الزيادة
+
+651
+00:51:04,540 --> 00:51:07,900
+الطبيعية، يعني في الوضع الطبيعي، ال curve الطبيعي،
+
+652
+00:51:07,900 --> 00:51:13,280
+إنه يديني انخفاض homoglobin saturation نسبة معينة،
+
+653
+00:51:13,280 --> 00:51:15,400
+تمام؟ إذا صار له shift to the right، بيصير يديني
+
+654
+00:51:15,400 --> 00:51:20,500
+oxygen أكترإذا حصل shift to the left نجد نفس
+
+655
+00:51:20,500 --> 00:51:27,180
+الفقدان الأولاني يصير أجل، تمام؟ و برضه هذا يحصل
+
+656
+00:51:27,180 --> 00:51:32,430
+في الأنسجة نجد حصل shift to the rightيعني بيصير مش
+
+657
+00:51:32,430 --> 00:51:37,310
+بس ال curve نفسه نزل لتحت و صار يديني oxygen أكتر
+
+658
+00:51:37,310 --> 00:51:40,810
+كمان صار عنده ظروف في الأنسجة carbon dioxide زاد
+
+659
+00:51:40,810 --> 00:51:45,490
+بيتغير ال curve بيدين أكتر ال pH جلت ال hydrogen
+
+660
+00:51:45,490 --> 00:51:49,810
+concentration زاد تمام بي shift to the right أكتر
+
+661
+00:51:49,810 --> 00:51:54,110
+يعني عنده قدرة كمان إذا صارت الظروف اللي بتتحكم
+
+662
+00:51:54,110 --> 00:51:58,470
+فيه زادت عن حدها هو برضه بدي أكتر و أكتر من ما
+
+663
+00:51:58,470 --> 00:52:05,590
+يتوقع تمام؟ إذا ال hemoglobinعنده القدرة على إنه
+
+664
+00:52:05,590 --> 00:52:10,950
+يدّيني كام ضخم في ال low partial pressure تمام؟
+
+665
+00:52:10,950 --> 00:52:14,550
+ولو زاد ال factors التلاتة أو الأربعة اللي بدنا
+
+666
+00:52:14,550 --> 00:52:18,630
+نتكلم عنها لو زادت شوية عن حدها من لاجئ الكارث كله
+
+667
+00:52:18,630 --> 00:52:22,680
+كمانShift to the right صار يديني أكتر من الطبيعي
+
+668
+00:52:22,680 --> 00:52:25,440
+في الشسمة وهذه بتصير دايما shift to the right في
+
+669
+00:52:25,440 --> 00:52:28,000
+الأنسجة لإن في الأنسجة بيزيد carbon dioxide أنا
+
+670
+00:52:28,000 --> 00:52:30,600
+مذكور هنا من أربعة لما يزيدي ال hydrogen ion
+
+671
+00:52:30,600 --> 00:52:33,400
+concentration لما يزيدي عندي ال carbon dioxide
+
+672
+00:52:33,400 --> 00:52:36,640
+concentration لما يزيدي الحرارة في الأنسجة في
+
+673
+00:52:36,640 --> 00:52:42,430
+متابوليزم شغال فالحرارة في الأنسجة أعلىلما صار
+
+674
+00:52:42,430 --> 00:52:45,850
+عندى exercise ومجهود اكبر ال carbon dioxide زاد و
+
+675
+00:52:45,850 --> 00:52:48,470
+ال hydrogen dioxide زاد و الحرارة زادت كل هذه
+
+676
+00:52:48,470 --> 00:52:52,510
+عوامل بتخلى انه احنا ال hemoglobin بدنا يدنا كمان
+
+677
+00:52:52,510 --> 00:52:56,850
+اكتر و اكتر فبصوله shift to the right طبعا في حين
+
+678
+00:52:56,850 --> 00:53:01,570
+انه لما انا الدم يطلع على الرئتين بيفقد ال carbon
+
+679
+00:53:01,570 --> 00:53:07,470
+dioxide و بيفقد ال hydrogenو حرارته بتبرد تمام
+
+680
+00:53:07,470 --> 00:53:11,790
+لإنه صار يحتك بالإيه؟ بالهواء الغذاء فهذا كله
+
+681
+00:53:11,790 --> 00:53:15,910
+بيخليه shift the lift بمعنى آخر إنه بيصير يحمل
+
+682
+00:53:15,910 --> 00:53:19,690
+أكتر مش يفقد أكتر إذا ال curve معمول في منطقة
+
+683
+00:53:19,690 --> 00:53:25,710
+للحمل أكتر أو في منطقة للتنزيل أكتر تمام؟ ولو
+
+684
+00:53:25,710 --> 00:53:31,360
+الظروفزن الآن الطبيعي بيروح هو كمان اه اه يعني
+
+685
+00:53:31,360 --> 00:53:36,260
+okay دخلين كلية الطب والرسوم سبعين دينارعلى الرصد
+
+686
+00:53:36,260 --> 00:53:41,240
+مقدرين لإنه احنا ايه مهيجهزين حالنا لكده كمان في
+
+687
+00:53:41,240 --> 00:53:46,080
+مساقات اختيارية أو فيها سفر لأوروبا فوق السبعين
+
+688
+00:53:46,080 --> 00:53:50,540
+دينار كمان هندفع ايش تكاليف سفر إضافية برضه الابو
+
+689
+00:53:50,540 --> 00:53:54,440
+جاهز يدفع كمان وكمان إذا صار في عندى قدرة عادية
+
+690
+00:53:54,440 --> 00:53:57,940
+وكمان استعداد لقدرة غير عادية فالهموجلومين في
+
+691
+00:53:57,940 --> 00:54:01,820
+القدرة العادية بيدينا كام ضخم من ال oxygenللأنسجة،
+
+692
+00:54:01,820 --> 00:54:04,700
+لكن لو زاد الـ carbon dioxide كمان، يعني بدنا في
+
+693
+00:54:04,700 --> 00:54:07,480
+استهلاك أكتر، بروح كله shift to the right عشان
+
+694
+00:54:07,480 --> 00:54:10,760
+يدّين أكسجين أكتر، طبعا العوامل اللي اتكلمنا عنها
+
+695
+00:54:10,760 --> 00:54:17,360
+هذه تلاتة، بيضل اللي هو الـ biphosphate، glycerol،
+
+696
+00:54:17,360 --> 00:54:20,020
+هتكلم عنه بعد شوية، إذا في عند ال curve هذا ال
+
+697
+00:54:20,020 --> 00:54:26,070
+hemoglobin oxygen dissociation curve، كتير مهمكثير
+
+698
+00:54:26,070 --> 00:54:30,550
+رائع كثير بيعبر عن قدرة الهيموجلبيين هذا الخلق
+
+699
+00:54:30,550 --> 00:54:34,130
+العجيب قلتلكم أنا ليش ربنا خلالنا الهيموجلبيين في
+
+700
+00:54:34,130 --> 00:54:38,750
+داخل ال RBC's مش كده و إلا كان يصير ال filtration
+
+701
+00:54:38,750 --> 00:54:44,270
+بالكلية و بنسكر ال tubules و بنخش في مشاكل ضخمة و
+
+702
+00:54:44,270 --> 00:54:47,130
+هذا اللي بيصير ساعة ما نصير عندنا hemolysis لما
+
+703
+00:54:47,130 --> 00:54:52,210
+الحياة تجرس إنسان و الحياة النوع اللي هم الأجال
+
+704
+00:54:52,210 --> 00:54:56,380
+السمية يعني نسميها hematotoxicفي neurotoxic هذه
+
+705
+00:54:56,380 --> 00:54:59,080
+ثواني بتكون جتلة الإنسان بتعمل شلل لكن ال
+
+706
+00:54:59,080 --> 00:55:04,480
+hemotoxic هذه مثلا بتعمل hemolysis تكسير لل إيه؟
+
+707
+00:55:04,480 --> 00:55:07,860
+لل RBCs red blood cells بيعملها تكسير فال
+
+708
+00:55:07,860 --> 00:55:10,900
+hemoglobin بيصير exposed ماشي لحقله في ال إيه؟ في
+
+709
+00:55:10,900 --> 00:55:15,770
+الدم فبيصيرله filtration وين؟في الكلة، لو أخدنا
+
+710
+00:55:15,770 --> 00:55:20,090
+دوة برضه دوة فاسدة أو كده و عملنا Hemolysis، هيعمل
+
+711
+00:55:20,090 --> 00:55:23,450
+نفس الجثة، يعني أي حاجة بتعمل Hemolysis، بنلاجر ال
+
+712
+00:55:23,450 --> 00:55:25,950
+Hemoglobin اللي طلع من ال RBCs، صار بيوصل له
+
+713
+00:55:25,950 --> 00:55:29,330
+filtration و ينزل في ال Bowmans capsule و في ال
+
+714
+00:55:29,330 --> 00:55:33,470
+tubule و بنحشرهناك و بجف عندما تصير absorption
+
+715
+00:55:33,470 --> 00:55:37,310
+الميه بيصير inspecated و بيبدأ يسكر ال tribules
+
+716
+00:55:37,310 --> 00:55:40,850
+واحدة واحدة واحدة و يدخلنا في acute failure و يعمل
+
+717
+00:55:40,850 --> 00:55:46,630
+ايه مشكلة كبيرة تمام؟ لذلك محطوط في ايه؟ في RBC's
+
+718
+00:55:46,630 --> 00:55:49,630
+هذا في حد ذاته اعجاب و بعدين نفس التركيب اللي هم
+
+719
+00:55:49,630 --> 00:55:55,850
+مجنونين تركيب برضه ايه؟ تركيب عجيب رائع طيب هذا ال
+
+720
+00:55:55,850 --> 00:56:01,660
+..فكرة الـ dissociation curve احنا فهمناها لان
+
+721
+00:56:01,660 --> 00:56:04,800
+فهمناها في الوضع الطبيعي وفهمناها في الوضع الاش
+
+722
+00:56:04,800 --> 00:56:09,440
+الغير طبيعي اذا ندى ال oxygen هموجلوبين oxygen
+
+723
+00:56:09,440 --> 00:56:13,840
+dissociation curveوفهمنا انه ليش S shape لإنه مش
+
+724
+00:56:13,840 --> 00:56:17,440
+linear لإنه في مناطق بده يحمل أكسجين في مناطق بده
+
+725
+00:56:17,440 --> 00:56:21,260
+يعطي أكسجين فمهيأ انه في مناطق لو صار فروقات
+
+726
+00:56:21,260 --> 00:56:25,980
+pressure ماتفرجش معاه هارف الأخد وصار في مناطق أي
+
+727
+00:56:25,980 --> 00:56:30,000
+فروقات pressure بيعطيه في مناطق الأعطاء بيعطي كتير
+
+728
+00:56:33,230 --> 00:56:36,610
+maximum amount of oxygen that can combine okay اذا
+
+729
+00:56:36,610 --> 00:56:40,810
+خلينا ايه نتكلم عن بعض الأرقام الان مايتعلق
+
+730
+00:56:40,810 --> 00:56:44,290
+بالهيموجلوبين كهيموجلوبين مش ال blood ك blood
+
+731
+00:56:44,290 --> 00:56:47,670
+قولنا ال blood بيحمل الدم 3% منه محمول في ال
+
+732
+00:56:47,670 --> 00:56:51,930
+plasma in the cell form و 27% محمول على ال
+
+733
+00:56:51,930 --> 00:56:55,410
+hemoglobin و ال hemoglobin هذا حامل saturated 97%
+
+734
+00:56:55,410 --> 00:56:58,110
+من قدرته فقط تمام
+
+735
+00:57:02,550 --> 00:57:05,530
+oxygen hemoglobin dissociation curve احنا هنا اه
+
+736
+00:57:05,530 --> 00:57:08,550
+الجزء التاني من الموضوع هنا هنا انا اتكلمت عن
+
+737
+00:57:08,550 --> 00:57:12,610
+الجزء الشمال في ال curve اه الجزء اليمين في ال
+
+738
+00:57:12,610 --> 00:57:17,150
+curve ملاحظين انتوا هان volumes volumes اللي لما
+
+739
+00:57:17,150 --> 00:57:19,690
+نقول سبعة وتسعين في المية من ال hemoglobin
+
+740
+00:57:19,690 --> 00:57:23,790
+saturated او نقول سبعين او تسعة وسبعين او او او
+
+741
+00:57:23,790 --> 00:57:29,370
+النسب هذه اللي مقابلها كل نسبة مقابلها brochure
+
+742
+00:57:29,370 --> 00:57:33,420
+brochure معينبس البرشر برشر الان فهمنا في ظروفه
+
+743
+00:57:33,420 --> 00:57:37,280
+ممكن نفس البرشر برشر يديني كم كبير من الهموجلوبين
+
+744
+00:57:37,280 --> 00:57:41,040
+من ال oxygen محمول او اجل اذا ظروفه ال carbon ده
+
+745
+00:57:41,040 --> 00:57:45,160
+هيفسادو اه يعني في shift to the right و shift to
+
+746
+00:57:45,160 --> 00:57:48,640
+the left بس in general نتكلم عن normal ال normal
+
+747
+00:57:48,640 --> 00:57:52,600
+مش .. مش في حالات غير عادية مش exercise غير عادي
+
+748
+00:57:52,600 --> 00:57:56,580
+مش consumption غير عادي اه بنقول انه مقابل ل 95%
+
+749
+00:57:56,580 --> 00:58:00,660
+pressure 95 millimeter mercury بيكون عندى 97%
+
+750
+00:58:00,660 --> 00:58:05,080
+saturation مش كده 97% saturation طب يعني جديش
+
+751
+00:58:05,080 --> 00:58:13,380
+oxygen saturated هل جد لكن جديش oxygen جالك كلكل
+
+752
+00:58:13,380 --> 00:58:18,780
+واحد جرام hemoglobin بيحمل oxygen one point three
+
+753
+00:58:18,780 --> 00:58:25,700
+four one point three four milliliter oxygen
+
+754
+00:58:26,400 --> 00:58:30,980
+إذا كل واحد hemoglobin واحد جرام hemoglobin بيحمل
+
+755
+00:58:30,980 --> 00:58:33,940
+بيقدر يحمل ال maximum تبعه ال 97% تبعته اللي بيقدر
+
+756
+00:58:33,940 --> 00:58:37,420
+يحملها ال maximum تبعه اللي هو ال maximum بيقولنا
+
+757
+00:58:37,420 --> 00:58:42,440
+97% لإن في 3% من ال hemoglobin مش شغال بيحمل ال
+
+758
+00:58:42,440 --> 00:58:45,360
+maximum تبعه one point three five لمن؟ three four
+
+759
+00:58:45,360 --> 00:58:51,180
+لكل جرام في الحد متوسط الإنسان لما بيقولوا متوسط
+
+760
+00:58:51,180 --> 00:58:57,750
+الإنسان إيش تقصد فيها؟نقصد male adult سبعين اه
+
+761
+00:58:57,750 --> 00:59:02,510
+تمام ال female هتكون أجل نسبة معينة تمام اذا لما
+
+762
+00:59:02,510 --> 00:59:08,770
+نقول standard تبعنا هنلاقي انه كل معظم الناس او
+
+763
+00:59:08,770 --> 00:59:13,760
+الرجال اللي بال standard خمس عشر جرامالهموجلوبين
+
+764
+00:59:13,760 --> 00:59:18,640
+تبعهم خمس عشر جرام في كل ميت ملي لتر دم حاملين خمس
+
+765
+00:59:18,640 --> 00:59:23,120
+عشر جرام هموجلوبين الهموجلوبين هذا كل جرام بيحمل
+
+766
+00:59:23,120 --> 00:59:26,580
+one point three five هيطلع لإن الخمس عشر جرام هدول
+
+767
+00:59:26,580 --> 00:59:32,680
+اللي موجودين في ميت ملي لتر حاملين واحد وعشرين او
+
+768
+00:59:32,680 --> 00:59:40,380
+عشرين point one لتر ملي لتر اكسجين لذا كلالجرام
+
+769
+00:59:40,380 --> 00:59:44,160
+حامل one point three ملي لتر اكساجين الخمس عشر
+
+770
+00:59:44,160 --> 00:59:50,700
+جرام هموجلبين اللي هم الدم الطبيعي طبعنا طبعنا اه
+
+771
+00:59:50,700 --> 00:59:57,860
+الستات اقل من جرام الى اتنين جرام عن الراجل ايش
+
+772
+00:59:57,860 --> 01:00:03,300
+السبب ان الستات اقل شوية سمعيني
+
+773
+01:00:03,300 --> 01:00:06,160
+يا عيش من ايه؟
+
+774
+01:00:09,020 --> 01:00:15,260
+فهمتش انا واحد بيسمي يعني ساميني عالية اه ال
+
+775
+01:00:15,260 --> 01:00:22,500
+periods اه واضح اه اللي هو ال menstruation ال
+
+776
+01:00:22,500 --> 01:00:26,560
+menstruation مظبوط بس لو فيش menstruation عند الست
+
+777
+01:00:26,560 --> 01:00:30,140
+هنلاقيها برضه أجل ليش؟
+
+778
+01:00:32,810 --> 01:00:34,690
+بنتكلم عن الهيموجلوبين ال muscle bulk و
+
+779
+01:00:34,690 --> 01:00:37,890
+الهيموجلوبين بيرجعوا نفس السبب يعني ال muscle bulk
+
+780
+01:00:37,890 --> 01:00:41,870
+لإنه احنا عندنا androgens فعنا muscle bulk أكتر و
+
+781
+01:00:41,870 --> 01:00:44,570
+الهيموجلوبين عندنا أكتر لإنه عندنا androgens ال
+
+782
+01:00:44,570 --> 01:00:50,430
+androgens more anabolic than الاستروجين فاضح؟ ال
+
+783
+01:00:50,430 --> 01:00:53,670
+estrogen اللي هو means female استروجين انت عندك
+
+784
+01:00:53,670 --> 01:00:57,960
+انت فاصل جهة دي و انا endocrineمانا قاعد بشاوب انت
+
+785
+01:00:57,960 --> 01:01:01,560
+بتشاوب ايش و انا بشاوب قاعد بقولكوا androgens ال
+
+786
+01:01:01,560 --> 01:01:04,400
+androgen هرمون الذكورة اللي عند الراجل اسمه
+
+787
+01:01:04,400 --> 01:01:08,480
+androgens ال estrogen هرمون القنوثة عند الست اسم
+
+788
+01:01:08,480 --> 01:01:12,660
+ايه؟ estrogens فال estrogen less anabolic than ال
+
+789
+01:01:12,660 --> 01:01:17,460
+androgen فال androgen بيبني أكتر فعمل عضلات أكتر و
+
+790
+01:01:17,460 --> 01:01:22,520
+عضم أكتر و أجوة و .. اه و من إضافة لل homoglobin
+
+791
+01:01:22,520 --> 01:01:27,710
+أكتر لإن في عندي androgens واضح؟طيب إذا عندنا 15
+
+792
+01:01:27,710 --> 01:01:32,190
+gram كل gram حامل one point three five يعني بمعنى
+
+793
+01:01:32,190 --> 01:01:37,550
+آخر هنا لما يصير عندي أنا full saturation بحمل ال
+
+794
+01:01:37,550 --> 01:01:42,590
+ال ال ال مية في المية hemoglobin لما يكون حامل مية
+
+795
+01:01:42,590 --> 01:01:47,530
+في المية oxygen تمثل إيش بالأرقام بال volumes تمثل
+
+796
+01:01:47,530 --> 01:01:51,510
+عشرين milliliter percent في كل percent يعني per
+
+797
+01:01:51,510 --> 01:01:55,120
+hundred milliliter of bloodفهذه سمينها volume per
+
+798
+01:01:55,120 --> 01:02:02,800
+cent يعني volume كذا per hundred per hundred per
+
+799
+01:02:02,800 --> 01:02:03,180
+hundred per hundred per hundred per hundred per
+
+800
+01:02:03,180 --> 01:02:03,520
+hundred per hundred per hundred per hundred per
+
+801
+01:02:03,520 --> 01:02:03,540
+hundred per hundred per hundred per hundred per
+
+802
+01:02:03,540 --> 01:02:06,000
+hundred per hundred per hundred per hundred per
+
+803
+01:02:06,000 --> 01:02:08,680
+hundred per hundred per hundred per hundred per
+
+804
+01:02:08,680 --> 01:02:11,940
+hundred per hundred per hundred per hundred per
+
+805
+01:02:11,940 --> 01:02:12,020
+hundred per hundred per hundred per hundred per
+
+806
+01:02:12,020 --> 01:02:12,080
+hundred per hundred per hundred per hundred per
+
+807
+01:02:12,080 --> 01:02:12,240
+hundred per hundred per hundred per hundred per
+
+808
+01:02:12,240 --> 01:02:12,260
+hundred per hundred per hundred per hundred per
+
+809
+01:02:12,260 --> 01:02:14,580
+hundred per hundred per hundred per hundred per
+
+810
+01:02:14,580 --> 01:02:18,160
+hundred per hundred per
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/wln3XgUvKsg_raw.json b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/wln3XgUvKsg_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..9e358b208cc7783a2bbff6d343a0ad43047ccecc
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/wln3XgUvKsg_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 2740, "start": 9.48, "end": 27.4, "text": "ال oxygen وصل و ال alveolar air جاهز و بدأ الانتخال يتم بين ال oxygen و ال alveolar air و ال و ال capillary blood بين ال oxygen و بين ال carbon dioxide", "tokens": [6027, 9169, 4032, 36520, 4032, 2423, 419, 303, 15276, 1988, 10874, 40294, 11622, 4032, 47525, 10721, 2423, 7649, 2655, 9778, 6027, 7251, 39237, 49374, 2423, 9169, 4032, 2423, 419, 303, 15276, 1988, 4032, 2423, 4032, 2423, 1410, 46367, 3390, 49374, 2423, 9169, 4032, 49374, 2423, 5954, 19590], "avg_logprob": -0.15356445716073117, "compression_ratio": 1.6111111111111112, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 9.47999999999999, "end": 10.239999999999995, "word": "ال", "probability": 0.96728515625}, {"start": 10.239999999999995, "end": 11.0, "word": " oxygen", "probability": 0.16943359375}, {"start": 11.0, "end": 11.96, "word": " وصل", "probability": 0.98876953125}, {"start": 11.96, "end": 14.64, "word": " و", "probability": 0.7548828125}, {"start": 14.64, "end": 14.9, "word": " ال", "probability": 0.94091796875}, {"start": 14.9, "end": 15.4, "word": " alveolar", "probability": 0.9261067708333334}, {"start": 15.4, "end": 15.72, "word": " air", "probability": 0.85595703125}, {"start": 15.72, "end": 16.32, "word": " جاهز", "probability": 0.8938802083333334}, {"start": 16.32, "end": 16.94, "word": " و", "probability": 0.95361328125}, {"start": 16.94, "end": 17.22, "word": " بدأ", "probability": 0.984130859375}, {"start": 17.22, "end": 17.9, "word": " الانتخال", "probability": 0.80625}, {"start": 17.9, "end": 18.22, "word": " يتم", "probability": 0.97998046875}, {"start": 18.22, "end": 18.6, "word": " بين", "probability": 0.994140625}, {"start": 18.6, "end": 18.9, "word": " ال", "probability": 0.97998046875}, {"start": 18.9, "end": 19.5, "word": " oxygen", "probability": 0.96044921875}, {"start": 19.5, "end": 21.12, "word": " و", "probability": 0.9775390625}, {"start": 21.12, "end": 22.1, "word": " ال", 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في ال capillary blood تركيزه 40 millimeter mercury", "tokens": [6027, 419, 303, 15276, 1988, 4032, 2423, 1410, 46367, 3390, 31439, 13672, 7578, 4724, 1829, 5016, 24793, 2423, 7649, 2655, 4587, 6027, 5296, 8848, 23275, 5296, 15042, 8717, 15040, 38436, 2423, 9169, 14739, 3224, 6055, 31747, 1829, 11622, 3224, 8978, 2423, 419, 303, 15276, 1988, 47757, 17942, 33307, 4032, 16472, 8717, 15040, 38436, 16472, 3224, 2423, 5954, 19590, 1975, 2407, 2423, 9169, 8978, 2423, 1410, 46367, 3390, 6055, 31747, 1829, 11622, 3224, 3356, 17942, 33307], "avg_logprob": -0.20435854890628866, "compression_ratio": 1.7430167597765363, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 38.24, "end": 38.5, "word": "ال", "probability": 0.9560546875}, {"start": 38.5, "end": 38.92, "word": " alveolar", "probability": 0.6729634602864584}, {"start": 38.92, "end": 39.32, "word": " air", "probability": 0.92236328125}, {"start": 39.32, "end": 39.76, "word": " و", "probability": 0.83203125}, {"start": 39.76, 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"end": 106.41, "word": " في", "probability": 0.841796875}, {"start": 106.41, "end": 106.81, "word": " أرقام", "probability": 0.9820556640625}, {"start": 106.81, "end": 107.29, "word": " مختلفة", "probability": 0.9923095703125}, {"start": 107.29, "end": 107.39, "word": " من", "probability": 0.986328125}, {"start": 107.39, "end": 107.73, "word": " واحد", "probability": 0.957275390625}, {"start": 107.73, "end": 108.71, "word": " لواحد", "probability": 0.7909342447916666}], "temperature": 1.0}, {"id": 6, "seek": 13628, "start": 109.06, "end": 136.28, "text": "بالاضافة لأن ال carbon dioxide ما بتنسوش ان ال diffusion capacity تبعته twenty times ده ايه ده diffusion capacity of the ايه of the oxygen تمام؟ طيب هنا اول curve كده متعامل معاه اتكلمنا in general على ال .. ال .. ال transport of oxygen", "tokens": [3555, 6027, 46958, 31845, 3660, 5296, 33456, 2423, 5954, 19590, 19446, 39894, 1863, 3794, 2407, 8592, 16472, 2423, 25242, 6042, 6055, 3555, 34268, 3224, 7699, 1413, 11778, 3224, 1975, 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86, "seek": 224496, "start": 2215.48, "end": 2244.96, "text": "يعني .. يعني أن .. لما .. لما الـ Hemoglobin أخذ 97% ماوصلش لـ 100% من التشبع تبعه هو أخذ 97% من ال .. من اللي في الدم لكن هذا لا يعني كل ما يستطيع أخده تمام؟ هو في حقيقة طلع نفس الرقم يعني ممكن نقول احنا 90% من ال Hemoglobin أخذ حملة أكسجين وضال 10% عشان بيفرق الأرقام تخيلوها يعني لما ال 97% من الأكسجين محمول على ال Hemoglobin يمثل 90% مثلا من ال إيه؟ من قدرة ال Hemoglobin", "tokens": [40228, 22653, 4386, 37495, 22653, 14739, 4386, 5296, 15042, 4386, 5296, 15042, 2423, 39184, 18568, 45841, 13496, 5551, 9778, 8848, 23399, 4, 19446, 2407, 36520, 8592, 5296, 39184, 2319, 4, 9154, 16712, 8592, 3555, 3615, 6055, 3555, 3615, 3224, 31439, 5551, 9778, 8848, 23399, 4, 9154, 2423, 4386, 9154, 13672, 1829, 8978, 32748, 2304, 44381, 23758, 20193, 37495, 22653, 28242, 19446, 7251, 14851, 9566, 40228, 5551, 9778, 3215, 3224, 46811, 10943, 22807, 31439, 8978, 11331, 38436, 28671, 23032, 1211, 3615, 8717, 36178, 34892, 4587, 2304, 37495, 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"text": "زن الآن الطبيعي بيروح هو كمان اه اه يعني okay دخلين كلية الطب والرسوم سبعين دينار", "tokens": [11622, 1863, 6024, 48506, 41950, 21292, 3615, 1829, 4724, 13546, 2407, 5016, 31439, 9122, 2304, 7649, 1975, 3224, 1975, 3224, 37495, 22653, 1392, 11778, 9778, 1211, 9957, 28242, 10632, 41950, 3555, 16070, 2288, 3794, 20498, 8608, 3555, 3615, 9957, 11778, 1829, 8315, 2288], "avg_logprob": -0.2849786870858886, "compression_ratio": 1.3883495145631068, "no_speech_prob": 0.0, "words": [{"start": 3207.04, "end": 3207.54, "word": "زن", "probability": 0.317626953125}, {"start": 3207.54, "end": 3207.76, "word": " الآن", "probability": 0.4810791015625}, {"start": 3207.76, "end": 3208.4, "word": " الطبيعي", "probability": 0.97216796875}, {"start": 3208.4, "end": 3208.94, "word": " بيروح", "probability": 0.723876953125}, {"start": 3208.94, "end": 3209.12, "word": " هو", "probability": 0.85498046875}, {"start": 3209.12, "end": 3209.6, "word": " كمان", "probability": 0.9098307291666666}, {"start": 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"language_probability": 1.0, "duration": 3741.8725, "duration_after_vad": 3644.946593749981}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/wln3XgUvKsg_raw.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/wln3XgUvKsg_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..cfa493fd65eb43d3fd4e5ffd89c19535d5e211d3
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/wln3XgUvKsg_raw.srt
@@ -0,0 +1,3300 @@
+1
+00:00:09,480 --> 00:00:17,220
+ال oxygen وصل و ال alveolar air جاهز و بدأ
+
+2
+00:00:17,220 --> 00:00:23,240
+الانتخال يتم بين ال oxygen و ال alveolar air و ال
+
+3
+00:00:23,240 --> 00:00:27,060
+و ال capillary blood بين ال oxygen و بين ال carbon
+
+4
+00:00:27,060 --> 00:00:34,510
+dioxideالانتقال هان بتتم حسب ال pressure pressure
+
+5
+00:00:34,510 --> 00:00:39,320
+of each يعني ال pressure differenceال alveolar air
+
+6
+00:00:39,320 --> 00:00:43,760
+و ال capillary blood هو اللى بيحكم الانتقال لذلك
+
+7
+00:00:43,760 --> 00:00:48,300
+لما نلاقي ال oxygen أنه تركيزه في ال alveolar air
+
+8
+00:00:48,300 --> 00:00:53,280
+104 millimeter mercury و ان نلاقي انه ال carbon
+
+9
+00:00:53,280 --> 00:00:57,880
+dioxide او ال oxygen في ال capillary blood تركيزه
+
+10
+00:00:57,880 --> 00:00:59,380
+40 millimeter mercury
+
+11
+00:01:01,860 --> 00:01:06,440
+والعكس صحيح ينلاقي ال carbon dioxide في ال .. في
+
+12
+00:01:06,440 --> 00:01:08,940
+ال venous او في ال .. في ال .. في ال capillary
+
+13
+00:01:08,940 --> 00:01:12,320
+blood خمسة و أربعين مليمتر mercury و في ال
+
+14
+00:01:12,320 --> 00:01:14,680
+alveolar blood اربعين مليمتر mercury هذا بيقدر
+
+15
+00:01:14,680 --> 00:01:18,020
+الانتقال oxygen من ال alveolar air لل capillary
+
+16
+00:01:18,020 --> 00:01:21,120
+blood و من ال carbon dioxide من ال capillary blood
+
+17
+00:01:21,120 --> 00:01:24,040
+لل alveolar air تمام لحد ما يصير ال equilibrium
+
+18
+00:01:24,040 --> 00:01:30,610
+اللي هو المطلوبهنا إذا بدأنا عملية الانتقال هنتكلم
+
+19
+00:01:30,610 --> 00:01:34,770
+أولا عن ال oxygen كيف ينتقل و أيش القواعد بتحكمه
+
+20
+00:01:34,770 --> 00:01:39,790
+ثم بعد ذلك نتكلم عن ال carbon dioxide و هنلاقي أن
+
+21
+00:01:39,790 --> 00:01:44,530
+الأمر دائما هي عملية عكسية هنلاقي الأمر عملية
+
+22
+00:01:44,530 --> 00:01:48,710
+عكسية لل oxygen بس في أرقام مختلفة من واحد لواحد
+
+23
+00:01:49,060 --> 00:01:51,340
+بالاضافة لأن ال carbon dioxide ما بتنسوش ان ال
+
+24
+00:01:51,340 --> 00:01:57,360
+diffusion capacity تبعته twenty times ده ايه ده
+
+25
+00:01:57,360 --> 00:02:03,180
+diffusion capacity of the ايه of the oxygen تمام؟
+
+26
+00:02:03,180 --> 00:02:09,060
+طيب هنا اول curve كده متعامل معاه
+
+27
+00:02:09,060 --> 00:02:12,300
+اتكلمنا
+
+28
+00:02:12,300 --> 00:02:16,280
+in general على ال .. ال .. ال transport of oxygen
+
+29
+00:02:17,240 --> 00:02:23,040
+من ال alveolar 104 millimeter mercury إلى ال
+
+30
+00:02:23,040 --> 00:02:25,080
+capillary blood اللي هو 40 millimeter mercury
+
+31
+00:02:25,080 --> 00:02:31,640
+بينتهي بإنه ال capillary blood at the venous side
+
+32
+00:02:31,640 --> 00:02:36,680
+ال capillary blood at the venous side بيكون ال
+
+33
+00:02:36,680 --> 00:02:41,060
+pressure تبعه 104 زي ال alveolar يعني، مظبوط؟
+
+34
+00:02:41,060 --> 00:02:46,630
+اتفقنا على هذه، طيب ال curve اللي تحته هذابيقول
+
+35
+00:02:46,630 --> 00:02:51,850
+لها معلومتين المعلومة الأولى انه كان عندى اول ال
+
+36
+00:02:51,850 --> 00:02:57,710
+capillary هى عندى ال اظهر شوية عشان كده تتضح
+
+37
+00:02:57,710 --> 00:03:06,610
+الصورة كان عندى ال ال capillary blood pressure of
+
+38
+00:03:06,610 --> 00:03:11,190
+oxygen حوالي او اربعين millimeter mercury تمام و
+
+39
+00:03:11,190 --> 00:03:17,810
+لما دخل ال capillaryهان أخد ال .. ال saturation
+
+40
+00:03:17,810 --> 00:03:21,370
+الكامل اللي بيقدر عليه اللي هو يساوي ال saturation
+
+41
+00:03:21,370 --> 00:03:23,950
+تبع ال oxygen أو البشر تبع ال oxygen في ال أيه؟ في
+
+42
+00:03:23,950 --> 00:03:28,230
+ال blood الحنلاحظ أنه وصل لإيه؟ لمية و أربع
+
+43
+00:03:28,230 --> 00:03:31,130
+millimeter mercury اللي أنا بده ألاحظه حقيقة اللي
+
+44
+00:03:31,130 --> 00:03:35,050
+أنا جاصد فيه أنه لاحظوا هذه الكبيرة اللي بيبدأ من
+
+45
+00:03:35,050 --> 00:03:39,730
+هنا بينتهي هنا وهي ال saturation تمها يعني في طولة
+
+46
+00:03:39,730 --> 00:03:44,930
+المسافة خدتوا بالكم؟ في طولة المسافةكان عندي full
+
+47
+00:03:44,930 --> 00:03:50,110
+saturation واضح؟ اذا في عندي تلتين مسافة standby
+
+48
+00:03:50,110 --> 00:03:55,070
+موجودة لو احتجنا ناخد oxygen أكتر لإنه عندنا more
+
+49
+00:03:55,070 --> 00:03:59,030
+depression in the partial pressure في ال .. في ال
+
+50
+00:03:59,030 --> 00:04:03,350
+.. في ال .. في ال capillary blood عندنا فرصة انه
+
+51
+00:04:03,350 --> 00:04:08,170
+ايه؟ more exposure time للإيه؟ لل transport of ..
+
+52
+00:04:08,170 --> 00:04:12,390
+طيب هذا ال curve الأولاني المهم ال curve التاني
+
+53
+00:04:12,390 --> 00:04:20,740
+المهمانه .. ايه؟ وين راح؟ هنا ال curve التاني
+
+54
+00:04:20,740 --> 00:04:25,020
+المهم انه احنا قلنا at the venous side of the
+
+55
+00:04:25,020 --> 00:04:29,060
+capillary blood of the capillaries كان عند البرشا
+
+56
+00:04:29,060 --> 00:04:34,260
+بشر قداش؟ اه فاكرين حاجة اسمها venous admixture
+
+57
+00:04:34,260 --> 00:04:41,800
+لما قلنا ال bronchial blood supply موجود في ال
+
+58
+00:04:41,800 --> 00:04:49,910
+lungs ال venousbronchial veins اه اذكرته لما بيقول
+
+59
+00:04:49,910 --> 00:04:53,550
+ان ال bronchial veins بتعمل drainage عبر برضه ال
+
+60
+00:04:53,550 --> 00:04:56,550
+palmonary veins فبيصير عندي انا two types of blood
+
+61
+00:04:56,550 --> 00:05:03,270
+واحد جاي من ال bronchial part which is a systemic
+
+62
+00:05:03,270 --> 00:05:08,730
+circulation branches من الأورطة جاية على ال ايه او
+
+63
+00:05:08,730 --> 00:05:12,130
+من ال systemic blood لل lungs لل bronchial tissues
+
+64
+00:05:12,130 --> 00:05:16,930
+مش كده لل lung tissuesو هذا supplying the lung
+
+65
+00:05:16,930 --> 00:05:20,570
+tissues it's not for oxygenation التاني اسمه
+
+66
+00:05:20,570 --> 00:05:23,510
+pulmonary اللي داخل عشان يعمل oxygenation اسمه
+
+67
+00:05:23,510 --> 00:05:27,870
+pulmonary blood هذا اسمه bronchial blood تمام؟
+
+68
+00:05:27,870 --> 00:05:32,310
+هينمسجوا ال venous side تبعهم the same which is ده
+
+69
+00:05:32,310 --> 00:05:36,570
+ايه؟ the pulmonary veins هنا في الحالة هذه اذا
+
+70
+00:05:36,570 --> 00:05:41,050
+هينخلط عندي دم ال pressure pressure ال oxygen تبعه
+
+71
+00:05:41,050 --> 00:05:45,710
+جداش؟اللي جاي من ال bronchial veins اللي هيخش على
+
+72
+00:05:45,710 --> 00:05:48,870
+ال bronchial .. على البلمون اللي هي veins يعملوا
+
+73
+00:05:48,870 --> 00:05:53,550
+admixture ال .. ال venous ال .. ال partial
+
+74
+00:05:53,550 --> 00:05:57,630
+pressure كم؟ اربعين زي اي systemic .. زي اي
+
+75
+00:05:57,630 --> 00:06:00,650
+systemic circulation تمام؟ اذا ال partial pressure
+
+76
+00:06:01,240 --> 00:06:04,440
+للـ oxygen في ال .. في ال venous blood اربعين و
+
+77
+00:06:04,440 --> 00:06:08,180
+هذا دخل عمل supply ل ال tissues with blood with
+
+78
+00:06:08,180 --> 00:06:10,700
+oxygen الراجع ال tension تبقى ما بيكون في العادة
+
+79
+00:06:10,700 --> 00:06:13,960
+زي system of blood قداش اربعين millimeter mercury
+
+80
+00:06:13,960 --> 00:06:20,000
+اذا الحين دمج عندي blood اربعين و blood جاي fresh
+
+81
+00:06:20,000 --> 00:06:23,260
+oxygenated من ال air capillaries من ال alveolar
+
+82
+00:06:23,260 --> 00:06:28,390
+airtransport ميكانيزم صارت و تمت هنا هيديني إيه
+
+83
+00:06:28,390 --> 00:06:32,450
+إذا ال mixture .. ال mixture هذا هيصل ال .. ال ..
+
+84
+00:06:32,450 --> 00:06:36,390
+ال .. ال Venus ال .. ال palmonary veins في الحالة
+
+85
+00:06:36,390 --> 00:06:39,830
+هذه هيكون ال .. ال .. ال .. ال oxygen tension فيها
+
+86
+00:06:39,830 --> 00:06:44,350
+مش 104 ال capillariesالـ Venus side of the
+
+87
+00:06:44,350 --> 00:06:48,770
+capillary هيكون فيه البرشة بشر لل Oxygen كدهش 104
+
+88
+00:06:48,770 --> 00:06:53,570
+لكن بعد ال mixture بعد ال add mixture هيديني خلط
+
+89
+00:06:53,570 --> 00:06:58,870
+خلط جديد ما بين ال 40 و بين ال 100 و 4 هيسديني
+
+90
+00:06:58,870 --> 00:07:03,350
+pressure جديد هنتعامل معاه احنا اللي يسوى 95 ميلي
+
+91
+00:07:03,350 --> 00:07:08,930
+متر متر اذا الأهم ال right atrium تمام اللي هيديني
+
+92
+00:07:08,930 --> 00:07:13,090
+لل right ventricle لل system of circulationإذا ال
+
+93
+00:07:13,090 --> 00:07:15,650
+blood الارتباطي الارتباطي الارتباطي الارتباطي
+
+94
+00:07:15,650 --> 00:07:15,930
+الارتباطي الارتباطي الارتباطي الارتباطي الارتباطي
+
+95
+00:07:15,930 --> 00:07:17,490
+الارتباطي الارتباطي الارتباطي الارتباطي الارتباطي
+
+96
+00:07:17,490 --> 00:07:18,250
+الارتباطي الارتباطي الارتبطي الارتبطي الارتبطي
+
+97
+00:07:18,250 --> 00:07:23,470
+الارتبطي الارتبطي الارتبطي
+
+98
+00:07:23,470 --> 00:07:28,570
+الارتبطي
+
+99
+00:07:28,570 --> 00:07:30,990
+الارتبطي الارتبطي الارتبطي الارتبطي الارتبطي
+
+100
+00:07:30,990 --> 00:07:30,990
+الارتبطي الارتبطي الارتبطي الارتبطي الارتبطي
+
+101
+00:07:30,990 --> 00:07:36,350
+الارتبطي الارتبطي الارتبطي
+
+102
+00:07:36,350 --> 00:07:40,550
+الارتب
+
+103
+00:07:41,530 --> 00:07:46,070
+هتنخلط فورا مع مين؟ مع ال bronchial blood هتنزل
+
+104
+00:07:46,070 --> 00:07:50,210
+لإيه؟ ل 95 و بعدين هتخش ال ايه؟ ال systemic
+
+105
+00:07:50,210 --> 00:07:55,750
+circulation و تخفض شوية لما يصل ل 40 من أول و
+
+106
+00:07:55,750 --> 00:08:03,670
+جديد، واضح؟ طيب، إذا الأن احنا بنتكلم عن blood
+
+107
+00:08:03,670 --> 00:08:13,130
+حامل أكسجينfully .. يعني saturated in the lungs
+
+108
+00:08:13,130 --> 00:08:17,970
+تمام؟ fully saturated in the lungs لكنه لإنه في
+
+109
+00:08:17,970 --> 00:08:21,890
+bronchial blood نزل ال saturation الى 95 إذا من
+
+110
+00:08:21,890 --> 00:08:27,550
+الآن ال oxygen التعامل مع اللي في الدمعمل مع القمة
+
+111
+00:08:27,550 --> 00:08:32,910
+اللي هي 95 واضح؟ ماعملش مع 104 104 دي كانت فوق في
+
+112
+00:08:32,910 --> 00:08:42,050
+ال .. ال oxygen transport واضح؟ طيب ماشي اذا ال
+
+113
+00:08:42,050 --> 00:08:50,850
+.. في جبل اشي اقوله اوكي
+
+114
+00:08:50,850 --> 00:08:54,030
+اتكلمنا عنه هذا باختصار شديد
+
+115
+00:09:02,090 --> 00:09:06,870
+Okay الان diffusion ال oxygen from the peripheral
+
+116
+00:09:06,870 --> 00:09:13,930
+capillaries into the tissues حملنا ال oxygen طول
+
+117
+00:09:13,930 --> 00:09:17,910
+ما احنا في ال main arteries و ال arterioles و ال
+
+118
+00:09:17,910 --> 00:09:21,050
+smaller arteries مانفجرش ال oxygen، مظبوط؟ متى
+
+119
+00:09:21,050 --> 00:09:24,920
+هنفجر ال oxygen؟ لما نصل ال tissuesإذن ال .. ال ..
+
+120
+00:09:24,920 --> 00:09:29,420
+ال .. الcirculation وشغلتها توصل ال oxygenated
+
+121
+00:09:29,420 --> 00:09:32,840
+blood هذا إلى ال tissues إذن في الطريق ما بيفقد
+
+122
+00:09:32,840 --> 00:09:36,940
+شيء في الطريق ما بيفقد شيء إذا إحنا بنوصل ال
+
+123
+00:09:36,940 --> 00:09:40,960
+tissues الآن حاملين نفس النسب ninety-five
+
+124
+00:09:40,960 --> 00:09:46,320
+millimeter mercury oxygen مش هيك و هنبدأ نتعامل مع
+
+125
+00:09:46,320 --> 00:09:50,680
+مجموعة جديدة ال interstitial fluid و ال cells و
+
+126
+00:09:50,680 --> 00:09:54,370
+إيش كيف .. انت تتكلمنا فوق الفيولر airوقلنا ال
+
+127
+00:09:54,370 --> 00:09:59,150
+aviolar air 104 وانزلنا الآن معانا oxygen بارشة
+
+128
+00:09:59,150 --> 00:10:03,130
+بارشة الخمسة وتسعين محمول وراح لل tissues مش كده
+
+129
+00:10:03,130 --> 00:10:07,150
+فهنا في ال tissues هاي ال arterial blood داخل دخل
+
+130
+00:10:07,150 --> 00:10:10,410
+ال capillary circulation بخمسة وتسعين مليمتر
+
+131
+00:10:10,410 --> 00:10:14,910
+mercury هنلاحظ ان احنا عندنا ال interstitial fluid
+
+132
+00:10:14,910 --> 00:10:24,150
+وعندنا ال cells تمام عندنا ال cellsهنلاحظ أنه الـ
+
+133
+00:10:24,150 --> 00:10:26,790
+interstitial fluid البرشر البرشر في ال oxygen
+
+134
+00:10:26,790 --> 00:10:32,750
+اربعين مليمتر mercury تمام؟ اذا هنا حيث انتقال ما
+
+135
+00:10:32,750 --> 00:10:40,910
+بين .. حيث انتقال ما بين ال .. ال .. الدم اه و ال
+
+136
+00:10:40,910 --> 00:10:43,310
+interstitial fluid تحت مصير ال equilibrium زي ما
+
+137
+00:10:43,310 --> 00:10:47,770
+احنا في القلبي اللي كان 104 و الدم وصل ل 104 هنا
+
+138
+00:10:48,690 --> 00:10:53,990
+الـ 95 الـ interstitial fluid 40 هيظل الانتقال يتم
+
+139
+00:10:53,990 --> 00:10:57,590
+لحد من 6 equilibrium يعني ال .. ال .. الزيادة عن
+
+140
+00:10:57,590 --> 00:11:01,470
+ال .. ال .. ال 40 كله هياخدوا ال interstitial
+
+141
+00:11:01,470 --> 00:11:05,730
+fluid عشان يصل ال equilibrium ل 40 تمام؟ اذا بطلع
+
+142
+00:11:05,730 --> 00:11:08,330
+ال Venus ب40 من أول و جديد، اذا عندي ال
+
+143
+00:11:08,330 --> 00:11:13,780
+interstitial fluid هنا 40عشان إذا .. إذا في فرق ما
+
+144
+00:11:13,780 --> 00:11:18,220
+بين ال 95 و ال 40 و ال 55 millimeter mercury هذا
+
+145
+00:11:18,220 --> 00:11:25,060
+برشا برشا خلّى الاندفاع من ال blood إلى ال
+
+146
+00:11:25,060 --> 00:11:30,820
+interstitial fluid سريع تمام؟ الآن هلاجي إنه ال
+
+147
+00:11:30,820 --> 00:11:36,410
+cells في داخلهاهنتكلم عنها ان شاء الله بتفاصيل
+
+148
+00:11:36,410 --> 00:11:41,790
+اكتر بعد كده بس باختصار هنلاقي انه ال .. ال oxygen
+
+149
+00:11:41,790 --> 00:11:46,410
+pressure في داخل ال cells تلاتة و عشرين millimeter
+
+150
+00:11:46,410 --> 00:11:50,010
+mercury يعني في عندي لازقة بين ال interstitial
+
+151
+00:11:50,010 --> 00:11:53,710
+fluid و ال cells في فرق كبير هذا بيقدر إلى ان ال
+
+152
+00:11:53,710 --> 00:11:57,590
+oxygen من ال interstitial fluid يندفع إلى ايه؟ إلى
+
+153
+00:11:57,590 --> 00:12:02,190
+داخل ال cells مش كده؟ طيباحنا هان انتقال ال oxygen
+
+154
+00:12:02,190 --> 00:12:05,410
+من مكان إلى مكان و carbon dioxide من مكان إلى مكان
+
+155
+00:12:05,410 --> 00:12:09,970
+اللي يحكم ايه؟ ايه عالية؟ اللي يحكم ال pressure مش
+
+156
+00:12:09,970 --> 00:12:14,910
+كده؟ قواعد عادية pressure عالي إلى الأعلى زي أي
+
+157
+00:12:14,910 --> 00:12:20,410
+physical rules أو laws، physical منتقل من الأعلى
+
+158
+00:12:20,410 --> 00:12:23,830
+إلى الأدنى اللي بيحكمنا هان إيه؟ أنا ماجيبتش سنة
+
+159
+00:12:23,830 --> 00:12:27,830
+لمجلوبين لسهواضح؟ ماجيبش .. بتتكلم عن ال pressure
+
+160
+00:12:27,830 --> 00:12:32,450
+of difference وهذا يتحكم في الانتقال من مكان إلى
+
+161
+00:12:32,450 --> 00:12:37,110
+مكان هنا
+
+162
+00:12:37,110 --> 00:12:41,230
+هيصير عندي أنا ال oxygen اللي استخدم في داخل
+
+163
+00:12:41,230 --> 00:12:46,210
+الخلية طبعا احنا رجعنا ك oxygen .. رجعنا ك
+
+164
+00:12:46,210 --> 00:12:50,510
+pressure .. pressure 40 هنرجع للدورة هي هي الآن ال
+
+165
+00:12:50,510 --> 00:12:54,230
+oxygen اللي استخدم في داخل الخلية هناهيتحول معظمه
+
+166
+00:12:54,230 --> 00:13:00,910
+تقريبا الى carbon dioxide تمام؟
+
+167
+00:13:00,910 --> 00:13:06,570
+هيتحول
+
+168
+00:13:06,570 --> 00:13:12,330
+الى carbon dioxide و ال carbon dioxide هذا هيكون
+
+169
+00:13:12,330 --> 00:13:15,290
+تركيزه داخل الخلايا عالى
+
+170
+00:13:17,070 --> 00:13:20,030
+هينتقل الى الـ Interstitial Fluid هينتقل الى الـ
+
+171
+00:13:20,030 --> 00:13:23,210
+Interstitial Fluid أقل شوية مش هيك لأنه المصدر
+
+172
+00:13:23,210 --> 00:13:26,190
+داخل الخلية فدائما بيبقى في الداخل الخلية بيزيد
+
+173
+00:13:26,190 --> 00:13:30,050
+تمام فدائما ينتقل من المنطقة العالية في داخل
+
+174
+00:13:30,050 --> 00:13:33,290
+الخلية الى المنطقة الأقل ال Interstitial Fluid في
+
+175
+00:13:33,290 --> 00:13:37,150
+اندفاع و الدم عدي برضه ال carbon dioxide فيه واطي
+
+176
+00:13:37,150 --> 00:13:45,560
+فبينتقل الى ال ايه ال الإلى ال blood وينتقل إلى
+
+177
+00:13:45,560 --> 00:13:50,480
+البلمونة لل blood بعد كده okay طيب هنتكلم عنها بعد
+
+178
+00:13:50,480 --> 00:13:54,000
+شوية بالتفصيل إذا أنا دائرة كلها إيه ده الآن احنا
+
+179
+00:13:54,000 --> 00:14:00,900
+في العادة عندنا ال oxygen إذا بيوصل ال cells ال
+
+180
+00:14:00,900 --> 00:14:03,760
+fluid بيوصل ال capillary network systemic
+
+181
+00:14:03,760 --> 00:14:08,380
+circulation systemic capillaries بيوصلوا بتركيز 95
+
+182
+00:14:10,620 --> 00:14:17,580
+بيلاقي ال .. ال answers اللي عندي انا بيلاقي فيها
+
+183
+00:14:17,580 --> 00:14:24,740
+oxygen partial pressure خمسة و أربعين .. اربعين
+
+184
+00:14:24,740 --> 00:14:29,340
+فبينتخب الانتخاب الان هدف ال normal cases في ال
+
+185
+00:14:29,340 --> 00:14:34,000
+normal يعني at rest هيك بيلاقي انه الاشي اربعينأه
+
+186
+00:14:34,000 --> 00:14:40,320
+و احنا بنفقد جزء من ال .. من ال partial pressure
+
+187
+00:14:40,320 --> 00:14:43,980
+هذا من خمسة وتسعين لاربعين يعني في كمية oxygen و
+
+188
+00:14:43,980 --> 00:14:50,120
+فقدت الى الانسجار جداش هالكمية و أرقامها عدنا
+
+189
+00:14:50,120 --> 00:14:52,300
+نتكلم عنها بالتفصيل بس أنا بتكلم عن ال general
+
+190
+00:14:52,300 --> 00:14:56,260
+rules اللي بتحكم الانتقال و الحركة تبع الغازات هذه
+
+191
+00:14:56,260 --> 00:15:01,830
+الآن انا في وضعهذه النقطة ايه هذه النقطة ايه هذه
+
+192
+00:15:01,830 --> 00:15:06,750
+انا هنا في وضع انا اتكلم انا انا في ناحية ال
+
+193
+00:15:06,750 --> 00:15:10,810
+capillary side انا في ناحية ال tissues مش كده عندي
+
+194
+00:15:10,810 --> 00:15:15,770
+بارشة بشر تبعي اللي بأصله انا هنا اللي بخص الدم
+
+195
+00:15:15,770 --> 00:15:19,370
+الان مثلا بدي انزل لاربعين مش كده بدي انزل لاربعين
+
+196
+00:15:19,370 --> 00:15:25,710
+في اربعين في الحالة هذه انا بكون عندي بدي اعمل
+
+197
+00:15:25,710 --> 00:15:31,830
+ملاحظتينملاحظة على العوامل عاملين العوامل المهمين
+
+198
+00:15:31,830 --> 00:15:38,350
+فيه جداش انه انا بقدر اخد oxygen و جداش انا محتاج
+
+199
+00:15:38,350 --> 00:15:42,170
+علشان اخافظ على ال .. ال pressure pressure هذا
+
+200
+00:15:42,170 --> 00:15:46,910
+تمام؟ لحظة اذا كان عندى blood flow طبيعي يعني مية
+
+201
+00:15:46,910 --> 00:15:52,390
+في المية طبيعي تمام؟ مفترض انه على بصل ال tissues
+
+202
+00:15:52,390 --> 00:15:58,330
+على اربعين millimeter mercury oxygen واضح؟محتاج
+
+203
+00:15:58,330 --> 00:16:09,450
+بلد فلو طبيعي بأصل ال fluid بارشا pressure ل 40 لو
+
+204
+00:16:09,450 --> 00:16:15,830
+زدنا احنا ال blood flow لو زدنا ال blood flow صار
+
+205
+00:16:15,830 --> 00:16:20,790
+انا جاي ب blood flow ب oxygen اكتر تمام هيدي
+
+206
+00:16:20,790 --> 00:16:26,190
+للانسجة اللي عايزاهاو هيضل عندي زيادة في الحالة
+
+207
+00:16:26,190 --> 00:16:29,450
+هذه ال pressure pressure في الأنسجة حتى إيش هيعلن
+
+208
+00:16:29,450 --> 00:16:33,490
+انه انا هيصير equilibrium هنصل لمسافة مناصفة
+
+209
+00:16:33,490 --> 00:16:38,090
+تقريبا بين الوضع الجديد و الوضع الجديد لإن كتر
+
+210
+00:16:38,090 --> 00:16:41,330
+الخير هيزيد على الجهتين هيزيد oxygen في ال
+
+211
+00:16:41,330 --> 00:16:45,830
+capillary circulationال blood و هيزيد فى ال
+
+212
+00:16:45,830 --> 00:16:49,830
+interstitial fluid هيقدى إيه لإنه أنا بلاحظ هنا
+
+213
+00:16:49,830 --> 00:16:54,490
+لما يكون عندى blood flow هذا نقطة بيه blood flow
+
+214
+00:16:54,490 --> 00:16:59,410
+أربع أضعاف الطبيعى لما يكون عندى blood flow أربع
+
+215
+00:16:59,410 --> 00:17:03,290
+أضعاف الطبيعى بطلع بلاقي أنه أنا عندى في الحالة
+
+216
+00:17:03,290 --> 00:17:07,970
+هذه ال brochure تبع ال interstitial fluid بطل
+
+217
+00:17:07,970 --> 00:17:11,730
+أربعينليش؟ لأنه جايب ال oxygen كتير، جزء مستهلك
+
+218
+00:17:11,730 --> 00:17:15,350
+منه و الجزء التاني اللي بيضل، بيعلل إيه؟ ال blood
+
+219
+00:17:15,350 --> 00:17:18,410
+pressure بلاحظ إنه بيصل هنا هيه لستين أو لستة و
+
+220
+00:17:18,410 --> 00:17:22,930
+ستين في حد ما أنا رفعته لأربع أضعاف تمام؟ بلاحظ
+
+221
+00:17:22,930 --> 00:17:26,190
+إنه ممكن يتغير ال blood pressure لو زاد ال blood
+
+222
+00:17:26,190 --> 00:17:29,510
+flow يعني كل ما زاد ال blood flow أنا بدل الأنسجة
+
+223
+00:17:29,510 --> 00:17:34,590
+oxygen أكتر، مش كده؟ طيب لو قلل ال blood flow، صار
+
+224
+00:17:34,590 --> 00:17:39,080
+الدم اللي جايفي اكسيجين جليل او مش مش اكسيجين جليل
+
+225
+00:17:39,080 --> 00:17:42,260
+الاكسيجين هو هو لكن blood flow ال rate تبع ال
+
+226
+00:17:42,260 --> 00:17:46,740
+blood flow جليل هذا بيقدي الى ان ال interstitial
+
+227
+00:17:46,740 --> 00:17:51,100
+fluid ياخد معظم الاكسيجين اللي موجود في ال a في ال
+
+228
+00:17:51,100 --> 00:17:53,780
+blood لإنه ال flow جليل و ال oxygen supply في
+
+229
+00:17:53,780 --> 00:17:58,100
+العادة جليل ف a فبينتقل كله بتطلع بقلاجي انا لو ال
+
+230
+00:17:58,100 --> 00:18:03,000
+blood flow نزل وطي ممكن ينزل ال ال partial
+
+231
+00:18:03,000 --> 00:18:07,340
+pressureفي الـ interstitium وفي ال .. إلى إيه؟ إلى
+
+232
+00:18:07,340 --> 00:18:11,860
+إيه؟ إلى إيه؟ إلى مستويات منخفضة جدا واضح؟ طيب،
+
+233
+00:18:11,860 --> 00:18:15,400
+هذا العمل الأولاني اللي متكلم عنه أنه عمل إيش؟ ال
+
+234
+00:18:15,400 --> 00:18:18,840
+blood flow لو زاد ال partial pressure في الأنسجة
+
+235
+00:18:18,840 --> 00:18:22,940
+هتغير ولو جال ال partial pressure هتغير في الطبيعي
+
+236
+00:18:22,940 --> 00:18:25,540
+اللي قلنا إحنا بنصل ل أربعين millimeter mercury
+
+237
+00:18:25,540 --> 00:18:30,680
+تمام؟ وها كذا طيب، الآن لو زاد ال oxygen
+
+238
+00:18:30,680 --> 00:18:36,060
+consumption الأنسجةعندي مثلا thyroid gland
+
+239
+00:18:36,060 --> 00:18:41,240
+hyperactivity، ثيروكسين كتير أو عندي عضلات قاعدة
+
+240
+00:18:41,240 --> 00:18:46,100
+بتشتغل بزيادة، بدها استهلاك oxygen أكتر، زاد ال
+
+241
+00:18:46,100 --> 00:18:49,440
+oxygen consumption،
+
+242
+00:18:49,440 --> 00:18:55,200
+نفترض أنه زاد أربع مرات، تمام؟في الحالة هذه ال
+
+243
+00:18:55,200 --> 00:18:59,060
+blood flow لما يكون طبيعي 100% هذي ال 100% ال
+
+244
+00:18:59,060 --> 00:19:02,100
+blood flow لما يكون عندى انا ازيادة في الاستهلاك
+
+245
+00:19:02,100 --> 00:19:05,960
+بتطلع بلاجة انه عندى صارت drop في ال partial
+
+246
+00:19:05,960 --> 00:19:09,540
+pressure تبع ال ايه؟ تبع الانسجار، تمام؟ اذا ال
+
+247
+00:19:09,540 --> 00:19:15,240
+100% هذي بتوصل النهارد لأقل من 20%، تمام؟ ل 15%
+
+248
+00:19:15,240 --> 00:19:19,840
+تقريبا، اذا ال partial pressure بنزل ل 15
+
+249
+00:19:19,840 --> 00:19:24,060
+millimeter mercuryلو كان عندى انا consumption اكتر
+
+250
+00:19:24,060 --> 00:19:28,600
+و نفس ال ايه ل blood flow هلاجى انه ال oxygen
+
+251
+00:19:28,600 --> 00:19:32,520
+استهلاك و اخده اكتر من الخلايا ال interstitial
+
+252
+00:19:32,520 --> 00:19:36,160
+fluid هياخد اكتر ال blood هيدي اكتر كل ما هيبطنجط
+
+253
+00:19:36,160 --> 00:19:43,280
+ايش ده طبعا في الحالة هذه و هذا اللى بيحصل حقيقة
+
+254
+00:19:43,280 --> 00:19:47,460
+انه بزيد ال blood flow لما ال oxygen تحتاج الى ايه
+
+255
+00:19:47,460 --> 00:19:52,560
+ال oxygen اكتر في حالة exercise او غيرهافال heart
+
+256
+00:19:52,560 --> 00:19:54,780
+rate بيزيد و ال blood flow بيزيد و ال respiration
+
+257
+00:19:54,780 --> 00:19:59,660
+بيزيد بيزيد عشرين ضعف يعني ال oxygen اللي بيصير
+
+258
+00:19:59,660 --> 00:20:04,740
+يصل للانسجة ممكن يزيد ايش عشرين ضعف ال cardiac
+
+259
+00:20:04,740 --> 00:20:07,720
+output بيزيد ستة الى سبعة ضعف و ال oxygenation
+
+260
+00:20:07,720 --> 00:20:12,580
+بيزيد تلت أضعف تلاتة في ستة في سبعة حوالي عشرين
+
+261
+00:20:12,580 --> 00:20:16,410
+ضعفتمام؟ اذا ممكن احنا عندنا .. لأ في الحالة هذه
+
+262
+00:20:16,410 --> 00:20:20,350
+عشان احنا نعوض ال consumption للزيادة لازم نزود ال
+
+263
+00:20:20,350 --> 00:20:23,450
+ايه؟ ال flow و هذا اللي بيصير مع ال cardiac output
+
+264
+00:20:23,450 --> 00:20:28,050
+انه بيزيد ال flow مش ال flow ع الفاضي لأ و كمان ال
+
+265
+00:20:28,050 --> 00:20:32,070
+.. ال .. ال .. ال lung .. اه ال lung capacity for
+
+266
+00:20:32,070 --> 00:20:36,030
+.. for oxygenation برضه بتزيد فإذا بيجيني blood مع
+
+267
+00:20:36,030 --> 00:20:39,830
+ال flow أحسن و مع oxygen أحسنفي الحالة هذه لما
+
+268
+00:20:39,830 --> 00:20:42,970
+يكون عندى انا ايه consumption اكتر في الحالة هذه
+
+269
+00:20:42,970 --> 00:20:45,370
+اللى نطلع هنا هنلاقي انه في ال duration
+
+270
+00:20:45,370 --> 00:20:49,490
+consumption لما ال flow يزيد عندى لاربع أضعاف خمس
+
+271
+00:20:49,490 --> 00:20:52,590
+أضعاف ست أضعاف في العادة من ستة الى سبعة أضعاف
+
+272
+00:20:52,590 --> 00:20:58,790
+بلاقي برجع انا لإيه برجع لإيه ل level تبعى لخمسمية
+
+273
+00:20:58,790 --> 00:21:02,210
+ستمية الى اربعين مليمتر mercury عادي جدا و لو ان
+
+274
+00:21:02,210 --> 00:21:07,870
+انا جاعد ايه بستهلك اكتر لكن ال flowال blood flow
+
+275
+00:21:07,870 --> 00:21:12,570
+اللي زاد هيعوض الفرق في ال .. في ال .. في ال .. في
+
+276
+00:21:12,570 --> 00:21:17,990
+ال consumption الزايد لو ال consumption جال لو ال
+
+277
+00:21:17,990 --> 00:21:21,490
+consumption of oxygen جال إلى الربع مثلا هنتطلع
+
+278
+00:21:21,490 --> 00:21:26,370
+انه ال 100% blood pressure هذا تمام؟ هيقدر إلى ان
+
+279
+00:21:26,370 --> 00:21:32,970
+ال blood pressure يعلى في الطبيعي اكتر عن اللازم
+
+280
+00:21:32,970 --> 00:21:38,410
+تمام؟ بتلاقي ايه؟ اكتريعني زي ما اتكلمنا من شوية
+
+281
+00:21:38,410 --> 00:21:40,750
+في ال .. في ال blood flow، هنا في ال consumption،
+
+282
+00:21:40,750 --> 00:21:43,310
+جال ال consumption، صار في oxygen جاي، انا مش
+
+283
+00:21:43,310 --> 00:21:46,970
+بحتاجه، فالبشر بشر ايه؟ النقطة المهمة في الموضوع،
+
+284
+00:21:46,970 --> 00:21:51,030
+احنا هنا حقيقة انا هتكلم عنها، ان عملية ال .. لو
+
+285
+00:21:51,030 --> 00:21:55,550
+احتجنا اكترأه عندي انا ال heart rate blood flow لو
+
+286
+00:21:55,550 --> 00:21:59,430
+زاد بيعوض ال ايه العملية هذه و احنا حقيقة cardiac
+
+287
+00:21:59,430 --> 00:22:01,750
+output بيزيد من ستة الى سبع مرات في حالة ال
+
+288
+00:22:01,750 --> 00:22:05,830
+exercise فستة الى سبع مرات معوقة على طول بيديني ال
+
+289
+00:22:05,830 --> 00:22:14,730
+oxygen اللي لازم يعوضني من أول لجديد طيب ال خلينا
+
+290
+00:22:14,730 --> 00:22:20,290
+نتكلم
+
+291
+00:22:20,290 --> 00:22:21,530
+هنا is an effect
+
+292
+00:22:24,130 --> 00:22:28,710
+effect of rate of blood flow on interstitial fluid
+
+293
+00:22:28,710 --> 00:22:38,330
+اذا زدنا الى اربع اضعاف partial pressure from 40
+
+294
+00:22:38,330 --> 00:22:44,030
+الى 66 millimeter mercury بمعنى اخر ان لو كان ال
+
+295
+00:22:44,030 --> 00:22:50,630
+flow rate زاد الى اربع اضعاف هنا هلاجى ان احنا صار
+
+296
+00:22:50,630 --> 00:22:52,890
+عندنا ايه
+
+297
+00:22:54,590 --> 00:23:00,750
+انتقل ال oxygen pressure من اربعين الى ايه النقطة
+
+298
+00:23:00,750 --> 00:23:03,590
+بيه اللي هي ستة و ستين في المية هذا الفرق بس في
+
+299
+00:23:03,590 --> 00:23:10,710
+الاش في ال pressure في ال flow rate و العكس صحيح و
+
+300
+00:23:10,710 --> 00:23:15,810
+العكس صحيح في حالة ما يجل ال flow rate بينخفض ال
+
+301
+00:23:15,810 --> 00:23:18,990
+pressure في الأنزجة إلى ايه إلى مستويات منخفضة جدا
+
+302
+00:23:18,990 --> 00:23:23,980
+ممكن تؤدي الى انه يصير ال pressure zeroيعني كل ما
+
+303
+00:23:23,980 --> 00:23:29,440
+في ال .. كل ما في الدم محمول من أكسجين يسالك
+
+304
+00:23:29,440 --> 00:23:33,400
+بالأنسجة إذا .. إذا انخفض كتير effect of tissue in
+
+305
+00:23:33,400 --> 00:23:35,920
+metabolism واتكلمنا نفس الكلام إنه لو زودنا ال
+
+306
+00:23:35,920 --> 00:23:41,300
+metabolism نحتاج أنسجة .. اه طيب if the cells use
+
+307
+00:23:41,300 --> 00:23:45,340
+more oxygen for metabolism than normally this
+
+308
+00:23:45,340 --> 00:23:47,780
+reduces the intrinsic fluid pressure of oxygen
+
+309
+00:23:50,900 --> 00:23:54,000
+بدينا الى reduce interstitial fluid, partial
+
+310
+00:23:54,000 --> 00:23:55,760
+pressure of oxygen when the cellular oxygen
+
+311
+00:23:55,760 --> 00:23:58,460
+consumption is increased and increase partial
+
+312
+00:23:58,460 --> 00:24:00,720
+pressure of oxygen when consumption is decreased
+
+313
+00:24:00,720 --> 00:24:05,200
+تمام؟ اذا ال consumption لما بيزيد او بيجل بيقدر
+
+314
+00:24:05,200 --> 00:24:10,380
+الى انه ياخد بيخفض ال carbon ال partial pressure
+
+315
+00:24:10,380 --> 00:24:14,420
+اذا كان زاد الاستهلاك و بيعلي اذا كان ايه جل
+
+316
+00:24:14,420 --> 00:24:20,200
+الاستهلاك in summary tissuesالحرارة الأكسجينية
+
+317
+00:24:20,200 --> 00:24:25,900
+مقررة من اتصال بين نطاق الدم والاستخدام اتصال
+
+318
+00:24:25,900 --> 00:24:34,800
+اكسجينيه في الدم ورق الأكسجينيه استخدامه في الدم
+
+319
+00:24:34,800 --> 00:24:39,860
+واستخدامه اكسجينيه اكسجينيه اكسجينيه اكسجينيه
+
+320
+00:24:39,860 --> 00:24:47,460
+اكسجينيهOkay هتكلمنا عنها احنا من شوية و هنلاحظ
+
+321
+00:24:47,460 --> 00:24:54,120
+احنا اشي مهم كتير بعد شوية هناخدها اكتر انه لو كان
+
+322
+00:24:54,120 --> 00:24:57,020
+الفرق هو في الطبيعي الفرق بين ال interstitial
+
+323
+00:24:57,020 --> 00:25:01,000
+fluid و
+
+324
+00:25:01,000 --> 00:25:06,460
+ال capillaries من اربعين الى تلاتة و عشرين قلنا مش
+
+325
+00:25:06,460 --> 00:25:13,360
+هيك ال تلاتة و عشرين داخل ال cellsالـ 23 ملي متر
+
+326
+00:25:13,360 --> 00:25:16,680
+مركوري، Oxygen، داخل الـ cytoplasm of the cells
+
+327
+00:25:16,680 --> 00:25:22,000
+لكن داخل ال mitochondria، إيش ما بيجي يستهلك، مش
+
+328
+00:25:22,000 --> 00:25:24,920
+كده؟ يعني إيه لحد ما ال mitochondria ممكن يوصل
+
+329
+00:25:24,920 --> 00:25:30,500
+التركيز إلى صفر؟ بمعنى آخر، إنه لو انخفض الفرق ما
+
+330
+00:25:30,500 --> 00:25:34,910
+بين ال cytoplasmic oxygenإلى واحد مليمتر ميركوري
+
+331
+00:25:34,910 --> 00:25:38,850
+يكفي لتشغيل الخلية ليش؟ لأنه .. لإن احنا أخر
+
+332
+00:25:38,850 --> 00:25:43,130
+نجوتها، هيكون أعلى من ال mitochondria، تمام؟ فلذلك
+
+333
+00:25:43,130 --> 00:25:47,310
+يعني لو نزل إلى إيه؟ إلى واحد، يعني لو
+
+334
+00:25:47,310 --> 00:25:51,670
+الacytoplasm نزل إلى واحد برضه بيظل الخلية شجالة،
+
+335
+00:25:51,670 --> 00:25:56,070
+لو نزل عن هيك، بده الخلية تموت، إذا عندي أنا من
+
+336
+00:25:56,070 --> 00:26:01,580
+أربعينالى داخل الخلية الى داخل الميتوكندرية Zero
+
+337
+00:26:01,580 --> 00:26:05,160
+او واحد الفروقات اللى ممكن تزيد و تجيل حسب ال ايه
+
+338
+00:26:05,160 --> 00:26:08,740
+جداش انا عندى consumption بنقول in general تقريبا
+
+339
+00:26:08,740 --> 00:26:11,360
+التركيز داخل ال cells السيتوبلازم تقريبا تلات
+
+340
+00:26:11,360 --> 00:26:15,080
+عشرين مليمتر mercury نحفظه كرقم و ال interstitial
+
+341
+00:26:15,080 --> 00:26:19,020
+fluid أربعين و على هواها ال ال capillary blood
+
+342
+00:26:19,020 --> 00:26:21,940
+بيبقى خمسة و تسعين بنزل لإيه؟ لأربعين و برجع Venus
+
+343
+00:26:21,940 --> 00:26:28,380
+as أربعينdiffusion of carbon dioxide ال carbon
+
+344
+00:26:28,380 --> 00:26:32,260
+ديوكسيد ماحنش هنبدأ من عند ال lungs هنبدأ من الأكس
+
+345
+00:26:32,260 --> 00:26:35,100
+من عند ال .. لإن هو بيزيد وين؟ ال oxygen بيزيد عند
+
+346
+00:26:35,100 --> 00:26:37,300
+ال lungs بس ال carbon dioxide بيزيد عند ال إيش؟
+
+347
+00:26:37,300 --> 00:26:41,440
+عند ال tissues انديهان
+
+348
+00:26:41,440 --> 00:26:47,400
+الرسمة بتقول إنه ال blood اللي داخل على ال tissues
+
+349
+00:26:47,400 --> 00:26:49,820
+على ال capillary circulation .. system of
+
+350
+00:26:49,820 --> 00:26:53,900
+capillary circulation هيكون حامل منظفيعني هعمل
+
+351
+00:26:53,900 --> 00:26:56,940
+carbon dioxide بس اربعين ملي ميتر mercury في
+
+352
+00:26:56,940 --> 00:27:00,060
+الحالة هذه هيجي يلاقي ال .. ال intersection في
+
+353
+00:27:00,060 --> 00:27:04,140
+لويت خمسة اربعين ملي ميتر mercury هياخد منه خمسة و
+
+354
+00:27:04,140 --> 00:27:06,940
+يكمل يطلع الى ال lungs بخمسة اربعين ملي ميتر
+
+355
+00:27:06,940 --> 00:27:11,380
+mercury و هناك يترك خمسة و يرجع الدائرة تبعتنافي
+
+356
+00:27:11,380 --> 00:27:14,240
+الحالة هذه احنا هنلاحظ انه داخل السلسلة يجب أن
+
+357
+00:27:14,240 --> 00:27:17,580
+تكون carbon dioxide أعلى، cytoplasm، يعني داخل
+
+358
+00:27:17,580 --> 00:27:20,060
+الميتوكندرا هيكون carbon dioxide أعلى، هتمشي
+
+359
+00:27:20,060 --> 00:27:23,140
+العملية أيه؟ بالعكس، بتعالى في الميتوكندرا، بتنتقل
+
+360
+00:27:23,140 --> 00:27:26,400
+الـcytoplasm، بتنتقل الـcysticium، بتنتقل إلى أيه؟
+
+361
+00:27:26,400 --> 00:27:31,660
+إلى ال blood، تمام؟ طيبو ننساش المعلومة المهمة
+
+362
+00:27:31,660 --> 00:27:36,600
+كتير ان ال carbon dioxide diffusion capacity as
+
+363
+00:27:36,600 --> 00:27:45,540
+twenty times as big as the oxygen تمام؟
+
+364
+00:27:45,540 --> 00:27:49,060
+طيب ال
+
+365
+00:27:49,060 --> 00:27:58,730
+.. ال carbon dioxide pressures areapproximately
+
+366
+00:27:58,730 --> 00:28:03,690
+the following الـA انا اتكلمت عنها من شويه
+
+367
+00:28:03,690 --> 00:28:06,990
+من
+
+368
+00:28:06,990 --> 00:28:12,590
+ستة واربعين لخمسة واربعين لاربعين مش فى ده اذا
+
+369
+00:28:12,590 --> 00:28:16,650
+عندي هان بدى تلاحظوا الملاحظة هادى هاي الـA ال
+
+370
+00:28:16,650 --> 00:28:20,490
+artery blood هدا systemic اللى انا اتكلم عنها
+
+371
+00:28:20,490 --> 00:28:23,270
+ووصلنا لل arvula من جديد خلصتها من الـA من ال
+
+372
+00:28:23,270 --> 00:28:30,250
+tissuesوطلعنا بالدم معانا دم التركيز ال pressure
+
+373
+00:28:30,250 --> 00:28:32,970
+تبعه بلاش نقول تركيز ال pressure pressure تبعه
+
+374
+00:28:32,970 --> 00:28:37,170
+اياش خمسة واربعين millimeter mercury الفيولر air
+
+375
+00:28:37,170 --> 00:28:43,270
+اربعين مش هيك هيصير انتقال هيتحول ال blood إلى
+
+376
+00:28:43,270 --> 00:28:49,060
+اياشالى برشر الى الاربعين مليمتر من جديد مش هيك
+
+377
+00:28:49,060 --> 00:28:53,560
+بتلاحظوا ال curve التحتانى ايضا العملية اللى بتتم
+
+378
+00:28:53,560 --> 00:28:58,460
+في طولة المسافة اذا برضه عملية التخلص الكامل من
+
+379
+00:28:58,460 --> 00:29:01,000
+الكمية اللى بده افقدها من ال carbon dioxide ال
+
+380
+00:29:01,000 --> 00:29:03,340
+equilibrium بين carbon dioxide ال capillary و ال
+
+381
+00:29:03,340 --> 00:29:06,260
+alveolar air برضه بيتم ينتهي في ايه؟ في طولة
+
+382
+00:29:06,260 --> 00:29:09,220
+المسافة يعني بيضل عندى two thirds of the a of the
+
+383
+00:29:09,220 --> 00:29:15,220
+capillary distance is as a safety factorطبعا نفس
+
+384
+00:29:15,220 --> 00:29:25,580
+الكلام نفس
+
+385
+00:29:25,580 --> 00:29:28,660
+الكلام في مسألة ال .. ال .. ال .. ال consumption
+
+386
+00:29:28,660 --> 00:29:36,000
+طبعا لو انا ايه زورت ال blood flow نفس ال curve
+
+387
+00:29:36,000 --> 00:29:40,180
+اللي عملناها لل oxygen هنلاقي ليه ال carbon
+
+388
+00:29:40,180 --> 00:29:43,420
+dioxide لكنه بالعكس يعني لو انا زوّدت ال rate of
+
+389
+00:29:43,420 --> 00:29:48,420
+ايهof blood flow بش هيعلق ال interstitial fluid
+
+390
+00:29:48,420 --> 00:29:52,280
+partial pressure زي الاكسجين بل هنخفض لإنه هناخد
+
+391
+00:29:52,280 --> 00:29:57,200
+ايش هناخد أسرع مش كده إذا لما زيد ال flow rate ال
+
+392
+00:29:57,200 --> 00:29:59,380
+partial pressure تبع الاكسجين في ال .. في ال
+
+393
+00:29:59,380 --> 00:30:04,400
+interstitial fluid ايش هيخبط مش كده و لو جللت ال
+
+394
+00:30:04,400 --> 00:30:07,360
+flow rate هنلاقي يصير اتجمع و ال partial pressure
+
+395
+00:30:07,360 --> 00:30:12,920
+تبع الايه تبع carbon dioxide هيضل ايشيعلى، مش هيك؟
+
+396
+00:30:12,920 --> 00:30:16,120
+و نفس الكلام بالنسبة لل consumption لو زاد ال
+
+397
+00:30:16,120 --> 00:30:20,520
+metabolism تبع ال tissues هنلاقي انه بدل carbon
+
+398
+00:30:20,520 --> 00:30:23,860
+dioxide ال partial pressure يعلى، اه و لا، و العكس
+
+399
+00:30:23,860 --> 00:30:27,800
+صحيح في الحالة هذه احنا لما يصير الزيادة في
+
+400
+00:30:27,800 --> 00:30:31,460
+partial pressure تبع يعني النقطة ايه مثلا هان؟
+
+401
+00:30:31,460 --> 00:30:37,580
+النقطة ايه؟ تمثل ايش؟ تمثل مية في المية flow rate،
+
+402
+00:30:37,580 --> 00:30:40,890
+حلو؟الفلورية هذا في الحالة هذه بيكون عندى خمسة
+
+403
+00:30:40,890 --> 00:30:49,310
+واربعين خمسة واربعين مليمتر
+
+404
+00:30:49,310 --> 00:30:52,450
+ميركوري اللي هو ايه برش برش تبع ال carbon dioxide
+
+405
+00:30:52,450 --> 00:30:56,150
+مش كده لو زاد الفلورية عندي يعني من مية في المية
+
+406
+00:30:56,150 --> 00:31:00,270
+الى اكتر بلاحظ ان البرش برش تبع ال carbon dioxide
+
+407
+00:31:00,270 --> 00:31:07,160
+ايه بيهبط بيهبط شوية بيضل يهبط شوية شويةلو ال flow
+
+408
+00:31:07,160 --> 00:31:11,720
+rate جال اجال من 100% بلاجي carbon dioxide ايه؟ ال
+
+409
+00:31:11,720 --> 00:31:17,180
+pressure ايش؟ اه و كذلك انا في حال يكون في عندى ال
+
+410
+00:31:17,180 --> 00:31:20,620
+higher metabolism هلاجي higher concentration of
+
+411
+00:31:20,620 --> 00:31:24,320
+carbon dioxide بيكون lower metabolism هلاجي ايه؟
+
+412
+00:31:24,320 --> 00:31:27,400
+لأ اذا ال two factors هم هم نفسهم بيشتغلوا على
+
+413
+00:31:27,400 --> 00:31:33,920
+النقطتين هدولrule of homoglobin in oxygen
+
+414
+00:31:33,920 --> 00:31:37,260
+transport احنا حقيقه تاني بدأنا نخش على النقطة
+
+415
+00:31:37,260 --> 00:31:41,840
+الأهم على النقطة الأهم في الموضوع الان اتكلمنا ان
+
+416
+00:31:41,840 --> 00:31:47,920
+البرشر برشر هذا هو بوزعلي ال
+
+417
+00:31:47,920 --> 00:31:52,380
+oxygen و ننتقل و الكربون ده اكساد كيف ينتقل مش هيك
+
+418
+00:31:52,380 --> 00:32:00,970
+لكن البرشر برشر هذا يمثل ال dissolved oxygenوهو
+
+419
+00:32:00,970 --> 00:32:05,930
+يمثل الـ dissolved carbon dioxide، مش كده؟ إذا الـ
+
+420
+00:32:05,930 --> 00:32:10,670
+dissolved oxygen اللي في ال plasma، إيه ال
+
+421
+00:32:10,670 --> 00:32:13,870
+pressure هالجد؟ و ال dissolved carbon dioxide اللي
+
+422
+00:32:13,870 --> 00:32:17,710
+في ال plasma، إيه ال pressure هالجد؟ لكن جديش يمثل
+
+423
+00:32:17,710 --> 00:32:21,730
+هذا ال dissolved part من ال oxygen المحمول مع
+
+424
+00:32:21,730 --> 00:32:26,460
+الدم، وجديش يمثلالـ carbon dioxide الـ dissolved
+
+425
+00:32:26,460 --> 00:32:30,740
+من الـ carbon ديوكسيد المحمول في الدم، فاضح؟ هذا
+
+426
+00:32:30,740 --> 00:32:40,060
+موضوعنا الأهم، بدي تعرفوا أنه 97% من ال oxygen
+
+427
+00:32:40,060 --> 00:32:45,520
+محمول على الهمoglobin و 3% فقط محمولة أيه؟
+
+428
+00:32:45,520 --> 00:32:48,960
+dissolved form يعني هذا ال chemical combination
+
+429
+00:32:48,960 --> 00:32:55,220
+with hemoglobin، تمام؟ لكن 3%فقط محمولة in the
+
+430
+00:32:55,220 --> 00:33:00,200
+dissolved form وين ال dissolved form هذا موجود؟ في
+
+431
+00:33:00,200 --> 00:33:07,420
+البلازما بس، هذه عليها علامة، في البلازما بس، مش
+
+432
+00:33:07,420 --> 00:33:11,660
+سامونة مش سامة، واحدة واحدة، إيش قلت؟ interstitial
+
+433
+00:33:11,660 --> 00:33:16,770
+fluid؟ إيش إيش؟ إيش؟ مين يتكلم؟ اقولي عليهاإذا
+
+434
+00:33:16,770 --> 00:33:21,550
+احنا قلنا الدم حامل تلاتة في المية dissolved form
+
+435
+00:33:21,550 --> 00:33:26,150
+و 97% combination with hemoglobin تلاتة في المية
+
+436
+00:33:26,150 --> 00:33:33,190
+هذه تمثل dissolved form في وين؟ في ال plasma ال
+
+437
+00:33:33,190 --> 00:33:37,150
+dissolved form هذا مفترض موجود dissolved in
+
+438
+00:33:37,150 --> 00:33:41,890
+fluids، in liquid، in water مش هيك؟ ويمثل تلاتة في
+
+439
+00:33:41,890 --> 00:33:43,770
+المية من ال oxygen المحمول
+
+440
+00:33:46,010 --> 00:33:49,190
+و هاد ال dissolve form موجود في البلازما مش كده
+
+441
+00:33:49,190 --> 00:33:57,270
+قديمة و بس اش اسمك انت لبنان قولي لبنان you are
+
+442
+00:33:57,270 --> 00:34:04,250
+right بس انت جارتيها في الكتاب ده ده مكتوب هه
+
+443
+00:34:04,250 --> 00:34:10,670
+جارتيه عن ال .. جارتيه عن ال .. طيب ماشي اذا اني
+
+444
+00:34:10,670 --> 00:34:13,370
+اناك علامة انا ماذا اناك علامة اذا احنا عندنا في
+
+445
+00:34:13,370 --> 00:34:19,280
+fluidفي البلازمة fluid وفي داخل ال RBCs فdissolved
+
+446
+00:34:19,280 --> 00:34:22,640
+hand و hand اي equilibrium اكيد مش كده مش معقول
+
+447
+00:34:22,640 --> 00:34:25,880
+يبقى في البلازمة اكتر من ال fluids اللي في داخل ال
+
+448
+00:34:25,880 --> 00:34:30,340
+ايه اكسجين هذا يتقل freely carbon dioxide يتقل ايه
+
+449
+00:34:30,340 --> 00:34:32,860
+freely بس انا بتتكلم عن ال dissolved form بتتكلم
+
+450
+00:34:32,860 --> 00:34:36,460
+عن انه في البلازمة و في داخل ال ايه ال .. ال .. ال
+
+451
+00:34:36,460 --> 00:34:38,820
+.. ال .. the cytoplasm of the ايه of the RBCs
+
+452
+00:34:38,820 --> 00:34:42,020
+itself مش هيك طيب انا اخدوا بالك و بنسى العلامات
+
+453
+00:34:42,020 --> 00:34:48,810
+بيذكروني عشان اضيفهاالرقم 97% هذا مهم عشان ما
+
+454
+00:34:48,810 --> 00:34:54,890
+تتلخبطوش الآن بنقول 97% من ال oxygen محمول وين؟
+
+455
+00:34:54,890 --> 00:34:57,910
+إذا بنتكلم عن ال total oxygen المحمول في الدم ال
+
+456
+00:34:57,910 --> 00:35:01,890
+total oxygen المحمول في الدم اللي ال total oxygen
+
+457
+00:35:01,890 --> 00:35:06,690
+اللي تحت ال pressure pressure 95 جدرين جيل إلى ال
+
+458
+00:35:06,690 --> 00:35:12,010
+إيه؟ إلى ال plasma إلى ال .. إلى الدم
+
+459
+00:35:14,770 --> 00:35:26,190
+هذا الـ Oxygen 97% منه الـ Hemoglobin و 3% منه
+
+460
+00:35:26,190 --> 00:35:32,050
+محمول Desert Farm تمام؟ okay اذا ال total تبعي انا
+
+461
+00:35:32,050 --> 00:35:35,810
+اللي بتكلم عنه الان عن ال Hemoglobin يمثل 97% من
+
+462
+00:35:35,810 --> 00:35:42,990
+ايش؟ من ال total Oxygen في ال .. طبعا في حاجة
+
+463
+00:35:42,990 --> 00:35:47,380
+اسمهاoxygen hemoglobin oxygen dissociation curve
+
+464
+00:35:47,380 --> 00:35:51,720
+بمعنى اخر ان ال hemoglobin هذا هضل يحل شوية شوية
+
+465
+00:35:51,720 --> 00:35:55,740
+من ال oxygen تبعه عشان كل ما نقص ال pressure
+
+466
+00:35:55,740 --> 00:36:00,340
+البلازمة فجرت اشي بعودة عودة فيه buffering system
+
+467
+00:36:00,340 --> 00:36:03,220
+هتكلم عنه بعد شوية بس انا بتكلم عن نقطة تانية اللي
+
+468
+00:36:03,220 --> 00:36:10,960
+هتلخبط فيها ان هو من ال total oxygen بيحمل 97%الـ
+
+469
+00:36:10,960 --> 00:36:13,680
+97% من الـ Total Oxygen هدول يمثل على الـ
+
+470
+00:36:13,680 --> 00:36:16,880
+Hemoglobin كل ال .. كل ال إيه؟ ال Oxygen المحمول
+
+471
+00:36:16,880 --> 00:36:19,640
+مش هيك؟ يعني كل ال Oxygen المحمول على ال
+
+472
+00:36:19,640 --> 00:36:23,980
+Hemoglobin يمثل 97% من ال Total Blood من ال Total
+
+473
+00:36:23,980 --> 00:36:29,180
+Blood Oxygen مش كده؟ الآن بدنا نعرف كمان أنه ال
+
+474
+00:36:29,180 --> 00:36:33,560
+Oxygen .. أنه ال Hemoglobin ال Hemoglobin هذا مش
+
+475
+00:36:33,560 --> 00:36:38,860
+fully saturated ال Hemoglobin فقط 97% منه
+
+476
+00:36:38,860 --> 00:36:46,380
+saturatedتمام؟ يعني في عند 3% من ال hemoglobin ما
+
+477
+00:36:46,380 --> 00:36:50,260
+هم مش saturated واضح؟
+
+478
+00:36:50,260 --> 00:36:56,700
+okay يعني هذا رقم مختلف عن هذايعني .. يعني أن ..
+
+479
+00:36:56,700 --> 00:36:59,980
+لما .. لما الـ Hemoglobin أخذ 97% ماوصلش لـ 100%
+
+480
+00:36:59,980 --> 00:37:03,520
+من التشبع تبعه هو أخذ 97% من ال .. من اللي في الدم
+
+481
+00:37:03,520 --> 00:37:07,320
+لكن هذا لا يعني كل ما يستطيع أخده تمام؟ هو في
+
+482
+00:37:07,320 --> 00:37:10,500
+حقيقة طلع نفس الرقم يعني ممكن نقول احنا 90% من ال
+
+483
+00:37:10,500 --> 00:37:15,300
+Hemoglobin أخذ حملة أكسجين وضال 10% عشان بيفرق
+
+484
+00:37:15,300 --> 00:37:20,760
+الأرقام تخيلوها يعني لما ال 97% من الأكسجين محمول
+
+485
+00:37:20,760 --> 00:37:24,360
+على ال Hemoglobin يمثل 90% مثلا من ال إيه؟ من قدرة
+
+486
+00:37:24,360 --> 00:37:27,060
+ال Hemoglobinكده بالنسبة بيفرج، لكن انا بدي ..
+
+487
+00:37:27,060 --> 00:37:30,440
+الرقم هو 97% من قدرة الهموجلوبين، نفس الرقم ان هما
+
+488
+00:37:30,440 --> 00:37:35,900
+هما، بس هذا يمثل شئ وهذا يمثل شئ، اذا 97% من
+
+489
+00:37:35,900 --> 00:37:44,160
+الهموجلوبين فقط عنده القدرة على انه يحمل .. اه
+
+490
+00:37:44,160 --> 00:37:48,620
+تلاتة فالمية منه بيقدرش يحمل، ليش؟ لإنه جزء من
+
+491
+00:37:48,620 --> 00:37:53,810
+الهموجلوبين في الحالة هذه انا عندىفيه متهمoglobin
+
+492
+00:37:53,810 --> 00:37:58,230
+و impurities شوائب و أشياء اوكسجين اه لو كان pure
+
+493
+00:37:58,230 --> 00:38:02,970
+oxygen ل pure hemoglobin ممكن يحمل كمية أكبر يحمل
+
+494
+00:38:02,970 --> 00:38:07,810
+مية في المية لكنه ما هوش pureهيموجلوبين في عندى
+
+495
+00:38:07,810 --> 00:38:12,690
+دايما بعض الهيموجلوبين في مشاكل فبيقدى الى انه
+
+496
+00:38:12,690 --> 00:38:17,030
+قدرة الهيموجلوبين الكلية على انه يحمل 97% فقط من
+
+497
+00:38:17,030 --> 00:38:21,510
+ايه؟ من .. من .. من قدرته كهيموجلوبين في 3% من
+
+498
+00:38:21,510 --> 00:38:24,290
+قدرته كهيموجلوبين مش مستخدمة لإنها فيها دايما
+
+499
+00:38:24,290 --> 00:38:32,390
+مشاكل okayطيب إذا عندي أنا جزء كبير من ال .. الجزء
+
+500
+00:38:32,390 --> 00:38:35,130
+الأكبر من ال oxygen محمول على إيه؟ على ال
+
+501
+00:38:35,130 --> 00:38:40,530
+hemoglobin لكن ال hemoglobin مش هو اللي بتحكم وين
+
+502
+00:38:40,530 --> 00:38:45,050
+ينتقل ال oxygen من إلى أو العكس اللي بتحكم الموضوع
+
+503
+00:38:45,050 --> 00:38:48,250
+في الانتقال مين؟ brush brush brush اللي هو يمثلوا
+
+504
+00:38:48,250 --> 00:38:52,980
+إيش؟الـ Dissolved form اللي هو التلاتة المية اذا
+
+505
+00:38:52,980 --> 00:38:56,800
+انا عندي big reservoir يعني انا في جيبي مائة شكل
+
+506
+00:38:56,800 --> 00:39:01,160
+لكن انا في ال bank اتنين مليون تمام؟ اتنين مليون
+
+507
+00:39:01,160 --> 00:39:01,820
+او اتنين شكل
+
+508
+00:39:05,670 --> 00:39:11,030
+صحيح بأصرف مبلغ صغير بس أتعامل معاه لكنه إيه اللي
+
+509
+00:39:11,030 --> 00:39:17,270
+رصيد فيه إيه؟ عالي وهكذا ال .. ال .. ال hemoglobin
+
+510
+00:39:17,270 --> 00:39:21,570
+عامل لمين؟ لل .. ال .. لل oxygen حامل الجزء الأكبر
+
+511
+00:39:21,570 --> 00:39:25,850
+لكن اللي بيتم التعامل مع .. ياخد أو يعطي أو يودّي
+
+512
+00:39:25,850 --> 00:39:28,710
+ال partial pressure differences بينه و بين الأنسجة
+
+513
+00:39:28,710 --> 00:39:31,770
+و ال partial pressure differences هذه تمام هي اللي
+
+514
+00:39:31,770 --> 00:39:36,020
+بتحكم في انتقال ال oxygen إذا ال hemoglobinبيترك
+
+515
+00:39:36,020 --> 00:39:41,240
+أكسجين أحيانا وبياخد أكسجين أحيانا تمام حسب قواعد
+
+516
+00:39:41,240 --> 00:39:44,500
+معينة هذي هندرسها في اللي بيسميها ال gate الآن
+
+517
+00:39:44,500 --> 00:39:48,080
+هندرسها اللي هو ال hemoglobin oxygen dissociation
+
+518
+00:39:48,080 --> 00:39:52,620
+curve وقت إيش ال hemoglobin بيسيب أكسجين وقت إيش
+
+519
+00:39:52,620 --> 00:40:01,060
+بياخد أكسجين تمام بحيث أنه يعطي لل plasma يعطي لل
+
+520
+00:40:01,060 --> 00:40:06,850
+dissolved form المطلوب منهاهذا حقيقة ال curve هذا
+
+521
+00:40:06,850 --> 00:40:12,910
+من أجمل ما ممكن احنا ايه نتخيل و نصور هذا ال curve
+
+522
+00:40:12,910 --> 00:40:17,070
+اللي بسميه oxygen hemoglobin oxygen dissociation
+
+523
+00:40:17,070 --> 00:40:26,730
+curve تمام بمعنى انه لما صار عندى انا ال brusher
+
+524
+00:40:26,730 --> 00:40:35,140
+عندى 95 هنا مثلا تمام بتطلع بلاقي عندىالـ 97% من
+
+525
+00:40:35,140 --> 00:40:41,460
+الهيموجلوبين الـ saturated تمام؟ اذا انا بتكلم بال
+
+526
+00:40:41,460 --> 00:40:47,240
+97% اللي هم ال full saturation لو
+
+527
+00:40:47,240 --> 00:40:51,840
+انا بدى .. اذا في ال 95% بارشار بارشار اكسجين
+
+528
+00:40:51,840 --> 00:40:58,380
+تمام؟ في عندى 97% ايش؟ الـ saturated الهيموجلوبين
+
+529
+00:40:58,380 --> 00:41:04,810
+طيب الهيموجلوبين كل ما نزل ال barchar barcharاللي
+
+530
+00:41:04,810 --> 00:41:08,750
+في ال .. في ال plasma يعني كل ما جزء منه من ال ..
+
+531
+00:41:08,750 --> 00:41:13,090
+من ال hemoglobin ال oxygen راح لل إيه؟ لل plasma،
+
+532
+00:41:13,090 --> 00:41:17,490
+تمام؟ إذا في علاقة ما بين هذه و هذه، العلاقة هذه
+
+533
+00:41:17,490 --> 00:41:25,780
+هنلاقيها .. بنسميها S شيب احنا، إيش بنسميها؟الـ
+
+534
+00:41:25,780 --> 00:41:31,040
+curve هذا S shape بمعنى انه مش مشا linear يعني مش
+
+535
+00:41:31,040 --> 00:41:36,620
+كل ما نقص ال oxygen pressure جزء طلع نفس الجزء من
+
+536
+00:41:36,620 --> 00:41:41,340
+ال hemoglobin مش linear relationship تمام؟ اذا في
+
+537
+00:41:41,340 --> 00:41:45,790
+مناطقبيبقى ال oxygen ال hemoglobin بخيل في الفقدان
+
+538
+00:41:45,790 --> 00:41:50,310
+و في مناطق بيكون كارين في الفقدان بمعنى اخر الفرق
+
+539
+00:41:50,310 --> 00:41:57,870
+ما بين ال 95 ميلي متر ميركوريا و ال 60 ميلي متر
+
+540
+00:41:57,870 --> 00:42:02,370
+ميركوريا فرق بسيط، فرق بسيط يعني من ال 97 ميلي متر
+
+541
+00:42:02,370 --> 00:42:07,130
+ميركوريا ل 88 ميلي متر ميركورياللسبعة وتمانين عشرة
+
+542
+00:42:07,130 --> 00:42:16,290
+مليمتر عشرة عشرة في المية saturation بنفقد تمام من
+
+543
+00:42:16,290 --> 00:42:22,950
+السابعة وتسعين هان هي سبعة وتسعين لهان حوالي سبعة
+
+544
+00:42:22,950 --> 00:42:27,610
+وتمانينلكن بين ايش؟ بين خمسة وتسعين وستين مليمتر
+
+545
+00:42:27,610 --> 00:42:32,150
+ميركوري يعني خمسة وتلاتين مليمتر ميركوري فارق
+
+546
+00:42:32,150 --> 00:42:36,550
+عملولي فقط عشرة المية فقدان للإيه؟ او فرق في
+
+547
+00:42:36,550 --> 00:42:41,170
+القدرة على حملة الأكسجين تمام؟ يعني انا لو أنزل
+
+548
+00:42:41,170 --> 00:42:48,110
+الأكسجين براشر لستين الهيموجلوبين بفقدش الا عشرة
+
+549
+00:42:48,110 --> 00:42:53,120
+المية من شسمة واضح؟ في المنطقة هذهفي المنطقة هذه
+
+550
+00:42:53,120 --> 00:43:01,140
+منطقة ال caballaries لو فقدنا احنا ال ال ال oxygen
+
+551
+00:43:01,140 --> 00:43:09,000
+ال برشا برشا من من اربعين الى الى عشرين من اربعين
+
+552
+00:43:09,000 --> 00:43:13,840
+الى عشرين عشرين لحظوا كده الفارق هنا من حوالي خمسة
+
+553
+00:43:13,840 --> 00:43:21,370
+وسبعين فميةخمس و سبعين في المية ع فكرة الاربعين
+
+554
+00:43:21,370 --> 00:43:27,410
+ميلي متر ميركوري يسويهم
+
+555
+00:43:27,410 --> 00:43:32,610
+خمس و سبعين في المية من قدرة الأكسجين من قدرة
+
+556
+00:43:32,610 --> 00:43:38,510
+المجلوبين طبعا إذن لما الأكسجين يبقى راجع طالع من
+
+557
+00:43:38,510 --> 00:43:42,230
+الكابيلرز من ال lungs يبقى حامل سبعة في الميةكنسب
+
+558
+00:43:42,230 --> 00:43:47,630
+و هو راجع بيبقى حامل 75% صحيح هذه pressure 95 و
+
+559
+00:43:47,630 --> 00:43:52,610
+هذه pressure 40 الفرق في النسب في ال percentages
+
+560
+00:43:52,610 --> 00:43:55,390
+مش نفس الفرق بين ال pressure و pressure بسبب ال
+
+561
+00:43:55,390 --> 00:43:59,690
+curve هذا تمام لما يكون عندي انا 40% millimeter
+
+562
+00:43:59,690 --> 00:44:02,290
+mercury اللي هو مجلوبي النسب يكون حامل 75% من ال
+
+563
+00:44:02,290 --> 00:44:09,340
+oxygen تبعه واضح؟لما يكون 95 المجلومين سأعمل 97%
+
+564
+00:44:09,340 --> 00:44:14,140
+من المجلومين التابعه تمام؟ بيرجع هعمل بس 75 لكن ال
+
+565
+00:44:14,140 --> 00:44:17,680
+brushers بروح 95 millimeter mercury و برجع 40
+
+566
+00:44:17,680 --> 00:44:24,220
+millimeter mercury لإنه بين ال 97 و ال 40 ه فقط
+
+567
+00:44:24,220 --> 00:44:28,980
+الفرج هذا البسيط يعني هيسمى بس 95% ل 97% مجدش
+
+568
+00:44:28,980 --> 00:44:34,310
+بينهم الفرج احسبوها لكن من ال 40لو صار عندى انا
+
+569
+00:44:34,310 --> 00:44:39,470
+consumption اكتر فى الحلاية اه وصار عندى هبوت اكتر
+
+570
+00:44:39,470 --> 00:44:43,590
+لمين ل ال bar pressure فى ال interstitial fluid
+
+571
+00:44:43,590 --> 00:44:47,530
+لأنه صار عندى consumption اكتر واضطرنا انه ينزل ال
+
+572
+00:44:47,530 --> 00:44:52,310
+bar pressure ل 15% مثلا لهان شوفوا قداش الفرق من
+
+573
+00:44:52,310 --> 00:45:01,630
+75% ل .. ل .. لحوالى 15% 60% من حملة ال oxygen ال
+
+574
+00:45:01,630 --> 00:45:07,750
+hemoglobinبيطلع في فرق عشرين او خمس عشر في المية
+
+575
+00:45:07,750 --> 00:45:14,250
+واضح؟عندي أنا قدرة كبيرة على إن ال hemoglobin يدّي
+
+576
+00:45:14,250 --> 00:45:17,470
+الأنسجة لإن في المنطقة هادئة بيكون في الأنسجة هو
+
+577
+00:45:17,470 --> 00:45:22,250
+إذا التغير من ال 40 إلى ال 30 إلى ال 20 تغير
+
+578
+00:45:22,250 --> 00:45:27,430
+البسيط هادئ بيكون في الأنسجة هناك أي تغير بيعطي
+
+579
+00:45:27,430 --> 00:45:32,350
+كمية كبيرة من ال oxygen للأنسجة في حين إن المنطقة
+
+580
+00:45:32,350 --> 00:45:37,350
+العالية بيكون فيها فوق في ال lungمش كده؟ البرشر
+
+581
+00:45:37,350 --> 00:45:41,290
+البرشر الستين والسبعين والتمانين والتسعين هدوين في
+
+582
+00:45:41,290 --> 00:45:46,630
+ال lung بمعنى إنه لو أنا صار عندي في منطقة ساكن
+
+583
+00:45:46,630 --> 00:45:50,910
+على جبل عالي و ال oxygen pressure عندي واطي تمام
+
+584
+00:45:50,910 --> 00:45:54,710
+ال oxygen pressure واطي مش pressure مية و أربع ..
+
+585
+00:45:54,710 --> 00:45:58,090
+مية و ال alveolar ايه في الحالة ده بيكونش مية و
+
+586
+00:45:58,090 --> 00:46:03,290
+أربعة مثلا ال alveolar افترضوا أنه صار تمانين صار
+
+587
+00:46:03,290 --> 00:46:10,900
+سبعين تمام؟هنا مثلا صار سنة تمانين صار سبعين صار
+
+588
+00:46:10,900 --> 00:46:14,040
+ستين مليمتر ميركور ايرفيرر ايرفيرر ايرفيرر ايرفيرر
+
+589
+00:46:14,040 --> 00:46:17,540
+ايرفيرر ايرفيرر ايرفيرر ايرفيرر ايرفيرر ايرفيرر
+
+590
+00:46:17,540 --> 00:46:23,270
+ايرفيرربقى الفيولر ايه ستين ملي متر ميركوري او خمس
+
+591
+00:46:23,270 --> 00:46:26,350
+و تسعين ملي متر ميركوري فارق منهم بسيط يعني بمعنى
+
+592
+00:46:26,350 --> 00:46:29,810
+اخر ان لو انا كنت في ظروف غير طبيعية و ال oxygen
+
+593
+00:46:29,810 --> 00:46:33,490
+عندي باطي برضه يكفي ال homoglobin انه ياخد كل اللي
+
+594
+00:46:33,490 --> 00:46:36,630
+عايزه يعني الفارق ما بين ستين في المية .. ستين ملي
+
+595
+00:46:36,630 --> 00:46:39,770
+متر ميركوري برش هار اكسجين و الخمس و تسعين .. و ال
+
+596
+00:46:39,770 --> 00:46:44,700
+.. و ال .. و ال .. و المية و أربعة الفيولرAir
+
+597
+00:46:44,700 --> 00:46:49,360
+Oxygen Pressure الفرق بينهم الضخم هي ده اربع
+
+598
+00:46:49,360 --> 00:46:53,280
+واربعين من ستين لمية واربع اربع واربعين في المية
+
+599
+00:46:53,280 --> 00:46:55,320
+مش كده اربع واربعين ميلي متر ميكر الفرق بينهم
+
+600
+00:46:55,320 --> 00:47:02,060
+الضخم الا انه ال lungs ال hemoglobin يستطيع انه
+
+601
+00:47:02,060 --> 00:47:06,100
+ياكل تقريبا كل ما يريدالفرق فيهم ضخم في الـ
+
+602
+00:47:06,100 --> 00:47:09,400
+partial pressure بس في ال homogloin saturation فرق
+
+603
+00:47:09,400 --> 00:47:19,640
+بسيط من ال 60 هنا اللي تمثل 87% ل 95 اللي تمثل 97%
+
+604
+00:47:19,640 --> 00:47:25,100
+الفرق بينهم 10% فالفرق في ال partial pressure كان
+
+605
+00:47:25,100 --> 00:47:33,300
+35% إذا ال curve هذا واضح أنه في المناطق اللي فيها
+
+606
+00:47:34,030 --> 00:47:38,270
+أكسيجين قليل أنا بقدر أخد هموجلبين كويس وفي
+
+607
+00:47:38,270 --> 00:47:45,230
+الأنسجة أقل حاجة للأكسيجين بديهم البدهمية يعني إذا
+
+608
+00:47:45,230 --> 00:47:47,750
+متى انخفض عندي الـ partial pressure في ناحية
+
+609
+00:47:47,750 --> 00:47:52,210
+الأنسجة انخفاض بسيط الهموجلبين بفقد كمية كبيرة من
+
+610
+00:47:52,210 --> 00:47:55,870
+الأكسيجين لمين يعني بعطيها؟ بعطيها للأنسجة إذا ال
+
+611
+00:47:55,870 --> 00:48:01,750
+curve هتعمل S shapeمعمول بطريقة ان قدرة ال oxygen
+
+612
+00:48:01,750 --> 00:48:05,350
+قدرة ال homoglobin على حمل ال oxygen في الضغوط
+
+613
+00:48:05,350 --> 00:48:10,050
+المختلفة مختلف مش كده مش linear يعني مش كما زدنا
+
+614
+00:48:10,050 --> 00:48:14,210
+واحد في المية ملي ميتر mercury pressure زدنا مثلا
+
+615
+00:48:14,210 --> 00:48:18,830
+واحد المية ايه مقابلها saturation لأ تمام هذا لو
+
+616
+00:48:18,830 --> 00:48:22,570
+كان linear كان كل زيادة هان تسويها زيادة هان كان
+
+617
+00:48:22,570 --> 00:48:28,170
+كله متساوي لكنه هو S shape بمعنى انه في مناطقبياخد
+
+618
+00:48:28,170 --> 00:48:31,990
+وبيعطي فرق كبير وفي مناطق بياخد وبيعطي فرق مختلف
+
+619
+00:48:31,990 --> 00:48:36,350
+تمام؟ افهمتوها؟ وهذه تمثلي انا ان عند ال lungs لو
+
+620
+00:48:36,350 --> 00:48:38,270
+ناقص عند ال partial pressure برضه باخد كل ما
+
+621
+00:48:38,270 --> 00:48:41,070
+مجلومي بديه وعند الانسجة اذا ناقص ال partial
+
+622
+00:48:41,070 --> 00:48:45,680
+pressure باعطي الانسجة كل ما تحتاجه من ايه؟هذه
+
+623
+00:48:45,680 --> 00:48:50,740
+نقطة، وإليكم زيادة عن ذلك، زيادة عن ذلك إن الكيرف
+
+624
+00:48:50,740 --> 00:48:54,880
+هذا نفسه اللي هو كيرف رائع، مش كده؟ هذا الكيرف
+
+625
+00:48:54,880 --> 00:49:00,220
+رائع، انفسر اللي هم جلمين بطريقة واضح إنها مش جاية
+
+626
+00:49:00,220 --> 00:49:06,380
+صدفة، معقول؟ إيش رأيك اللي بنا؟مستحيل يعني ال
+
+627
+00:49:06,380 --> 00:49:09,360
+oxygen فرق .. فرقات الضغوط ما تأثرش على ال
+
+628
+00:49:09,360 --> 00:49:12,560
+saturation اللي ال hemoglobin اللي بسيط في حين أنه
+
+629
+00:49:12,560 --> 00:49:15,920
+لو الأنسج يحتاجها يديها البضهيه أه؟ مش عاوز
+
+630
+00:49:15,920 --> 00:49:22,100
+أقولكوا أنها صدفة إليكم القاتى ال curve هذا قد
+
+631
+00:49:22,100 --> 00:49:27,540
+يميل إلى اليمين أكتر و قد يميل إلى الشمال أكتر لما
+
+632
+00:49:27,540 --> 00:49:34,510
+بيميل لليمين أكتر بمعنى أنهصرت عندى ضغوط نفس الضغط
+
+633
+00:49:34,510 --> 00:49:39,510
+اللى كان فى الأول بيعطينى مثلا oxygen كمية معينة
+
+634
+00:49:39,510 --> 00:49:43,650
+لما يصير shift to the right بيصير نفس الضغط اللى
+
+635
+00:49:43,650 --> 00:49:49,430
+وصلناله بيعطينى كمية اكبر من اكسجين يعنى مثلا على
+
+636
+00:49:49,430 --> 00:49:53,190
+برشا pressure تلاتين فى ال normal curve خلينى أنزل
+
+637
+00:49:53,190 --> 00:49:55,530
+لل curve التانى
+
+638
+00:50:00,370 --> 00:50:05,150
+وين راح؟ إيش هذا؟ طيب إذا عندي هذا ال curve الطريق
+
+639
+00:50:05,150 --> 00:50:11,770
+الأول يعني الخط الخط المتواصل وهنا الخطوط المنقطة
+
+640
+00:50:11,770 --> 00:50:14,670
+هذا اللي على يمين المنقطة بيسمي shift to the right
+
+641
+00:50:14,670 --> 00:50:20,850
+والتاني بيسمي shift to the left تمام؟ لو طلعنا هنا
+
+642
+00:50:20,850 --> 00:50:24,750
+على تلاتين مثلا في المية تمام؟ تلاتين في المية هذا
+
+643
+00:50:24,750 --> 00:50:30,860
+هي بالنسبة لمين؟ لال .. ال normal curveتمام؟ جاء
+
+644
+00:50:30,860 --> 00:50:34,300
+اقبال مثلا تقريبا تقريبا اقبال سبعين في المية ال
+
+645
+00:50:34,300 --> 00:50:39,360
+saturation تمام؟ لما يصير shift to the right نفس
+
+646
+00:50:39,360 --> 00:50:42,740
+التلاتين في المية صارت عندي خمسة و خمسين في المية
+
+647
+00:50:42,740 --> 00:50:46,480
+ال saturation بمعنى انه صار الفقدان من ال
+
+648
+00:50:46,480 --> 00:50:50,520
+homoglobin اكبر اذا صار قدرة ال homoglobin في ظروف
+
+649
+00:50:50,520 --> 00:50:55,600
+معينة ال curve بيقول انه كل ما نزل برشا برشا كل ما
+
+650
+00:50:55,600 --> 00:51:01,740
+قدرته عليه انه يديني بتزيدفي ظروف إضافية من لاجئ
+
+651
+00:51:01,740 --> 00:51:04,540
+الزيادة اللي بيعطينا إياها أكتر من الزيادة
+
+652
+00:51:04,540 --> 00:51:07,900
+الطبيعية، يعني في الوضع الطبيعي، ال curve الطبيعي،
+
+653
+00:51:07,900 --> 00:51:13,280
+إنه يديني انخفاض homoglobin saturation نسبة معينة،
+
+654
+00:51:13,280 --> 00:51:15,400
+تمام؟ إذا صار له shift to the right، بيصير يديني
+
+655
+00:51:15,400 --> 00:51:20,500
+oxygen أكترإذا حصل shift to the left نجد نفس
+
+656
+00:51:20,500 --> 00:51:27,180
+الفقدان الأولاني يصير أجل، تمام؟ و برضه هذا يحصل
+
+657
+00:51:27,180 --> 00:51:32,430
+في الأنسجة نجد حصل shift to the rightيعني بيصير مش
+
+658
+00:51:32,430 --> 00:51:37,310
+بس ال curve نفسه نزل لتحت و صار يديني oxygen أكتر
+
+659
+00:51:37,310 --> 00:51:40,810
+كمان صار عنده ظروف في الأنسجة carbon dioxide زاد
+
+660
+00:51:40,810 --> 00:51:45,490
+بيتغير ال curve بيدين أكتر ال pH جلت ال hydrogen
+
+661
+00:51:45,490 --> 00:51:49,810
+concentration زاد تمام بي shift to the right أكتر
+
+662
+00:51:49,810 --> 00:51:54,110
+يعني عنده قدرة كمان إذا صارت الظروف اللي بتتحكم
+
+663
+00:51:54,110 --> 00:51:58,470
+فيه زادت عن حدها هو برضه بدي أكتر و أكتر من ما
+
+664
+00:51:58,470 --> 00:52:05,590
+يتوقع تمام؟ إذا ال hemoglobinعنده القدرة على إنه
+
+665
+00:52:05,590 --> 00:52:10,950
+يدّيني كام ضخم في ال low partial pressure تمام؟
+
+666
+00:52:10,950 --> 00:52:14,550
+ولو زاد ال factors التلاتة أو الأربعة اللي بدنا
+
+667
+00:52:14,550 --> 00:52:18,630
+نتكلم عنها لو زادت شوية عن حدها من لاجئ الكارث كله
+
+668
+00:52:18,630 --> 00:52:22,680
+كمانShift to the right صار يديني أكتر من الطبيعي
+
+669
+00:52:22,680 --> 00:52:25,440
+في الشسمة وهذه بتصير دايما shift to the right في
+
+670
+00:52:25,440 --> 00:52:28,000
+الأنسجة لإن في الأنسجة بيزيد carbon dioxide أنا
+
+671
+00:52:28,000 --> 00:52:30,600
+مذكور هنا من أربعة لما يزيدي ال hydrogen ion
+
+672
+00:52:30,600 --> 00:52:33,400
+concentration لما يزيدي عندي ال carbon dioxide
+
+673
+00:52:33,400 --> 00:52:36,640
+concentration لما يزيدي الحرارة في الأنسجة في
+
+674
+00:52:36,640 --> 00:52:42,430
+متابوليزم شغال فالحرارة في الأنسجة أعلىلما صار
+
+675
+00:52:42,430 --> 00:52:45,850
+عندى exercise ومجهود اكبر ال carbon dioxide زاد و
+
+676
+00:52:45,850 --> 00:52:48,470
+ال hydrogen dioxide زاد و الحرارة زادت كل هذه
+
+677
+00:52:48,470 --> 00:52:52,510
+عوامل بتخلى انه احنا ال hemoglobin بدنا يدنا كمان
+
+678
+00:52:52,510 --> 00:52:56,850
+اكتر و اكتر فبصوله shift to the right طبعا في حين
+
+679
+00:52:56,850 --> 00:53:01,570
+انه لما انا الدم يطلع على الرئتين بيفقد ال carbon
+
+680
+00:53:01,570 --> 00:53:07,470
+dioxide و بيفقد ال hydrogenو حرارته بتبرد تمام
+
+681
+00:53:07,470 --> 00:53:11,790
+لإنه صار يحتك بالإيه؟ بالهواء الغذاء فهذا كله
+
+682
+00:53:11,790 --> 00:53:15,910
+بيخليه shift the lift بمعنى آخر إنه بيصير يحمل
+
+683
+00:53:15,910 --> 00:53:19,690
+أكتر مش يفقد أكتر إذا ال curve معمول في منطقة
+
+684
+00:53:19,690 --> 00:53:25,710
+للحمل أكتر أو في منطقة للتنزيل أكتر تمام؟ ولو
+
+685
+00:53:25,710 --> 00:53:31,360
+الظروفزن الآن الطبيعي بيروح هو كمان اه اه يعني
+
+686
+00:53:31,360 --> 00:53:36,260
+okay دخلين كلية الطب والرسوم سبعين دينارعلى الرصد
+
+687
+00:53:36,260 --> 00:53:41,240
+مقدرين لإنه احنا ايه مهيجهزين حالنا لكده كمان في
+
+688
+00:53:41,240 --> 00:53:46,080
+مساقات اختيارية أو فيها سفر لأوروبا فوق السبعين
+
+689
+00:53:46,080 --> 00:53:50,540
+دينار كمان هندفع ايش تكاليف سفر إضافية برضه الابو
+
+690
+00:53:50,540 --> 00:53:54,440
+جاهز يدفع كمان وكمان إذا صار في عندى قدرة عادية
+
+691
+00:53:54,440 --> 00:53:57,940
+وكمان استعداد لقدرة غير عادية فالهموجلومين في
+
+692
+00:53:57,940 --> 00:54:01,820
+القدرة العادية بيدينا كام ضخم من ال oxygenللأنسجة،
+
+693
+00:54:01,820 --> 00:54:04,700
+لكن لو زاد الـ carbon dioxide كمان، يعني بدنا في
+
+694
+00:54:04,700 --> 00:54:07,480
+استهلاك أكتر، بروح كله shift to the right عشان
+
+695
+00:54:07,480 --> 00:54:10,760
+يدّين أكسجين أكتر، طبعا العوامل اللي اتكلمنا عنها
+
+696
+00:54:10,760 --> 00:54:17,360
+هذه تلاتة، بيضل اللي هو الـ biphosphate، glycerol،
+
+697
+00:54:17,360 --> 00:54:20,020
+هتكلم عنه بعد شوية، إذا في عند ال curve هذا ال
+
+698
+00:54:20,020 --> 00:54:26,070
+hemoglobin oxygen dissociation curve، كتير مهمكثير
+
+699
+00:54:26,070 --> 00:54:30,550
+رائع كثير بيعبر عن قدرة الهيموجلبيين هذا الخلق
+
+700
+00:54:30,550 --> 00:54:34,130
+العجيب قلتلكم أنا ليش ربنا خلالنا الهيموجلبيين في
+
+701
+00:54:34,130 --> 00:54:38,750
+داخل ال RBC's مش كده و إلا كان يصير ال filtration
+
+702
+00:54:38,750 --> 00:54:44,270
+بالكلية و بنسكر ال tubules و بنخش في مشاكل ضخمة و
+
+703
+00:54:44,270 --> 00:54:47,130
+هذا اللي بيصير ساعة ما نصير عندنا hemolysis لما
+
+704
+00:54:47,130 --> 00:54:52,210
+الحياة تجرس إنسان و الحياة النوع اللي هم الأجال
+
+705
+00:54:52,210 --> 00:54:56,380
+السمية يعني نسميها hematotoxicفي neurotoxic هذه
+
+706
+00:54:56,380 --> 00:54:59,080
+ثواني بتكون جتلة الإنسان بتعمل شلل لكن ال
+
+707
+00:54:59,080 --> 00:55:04,480
+hemotoxic هذه مثلا بتعمل hemolysis تكسير لل إيه؟
+
+708
+00:55:04,480 --> 00:55:07,860
+لل RBCs red blood cells بيعملها تكسير فال
+
+709
+00:55:07,860 --> 00:55:10,900
+hemoglobin بيصير exposed ماشي لحقله في ال إيه؟ في
+
+710
+00:55:10,900 --> 00:55:15,770
+الدم فبيصيرله filtration وين؟في الكلة، لو أخدنا
+
+711
+00:55:15,770 --> 00:55:20,090
+دوة برضه دوة فاسدة أو كده و عملنا Hemolysis، هيعمل
+
+712
+00:55:20,090 --> 00:55:23,450
+نفس الجثة، يعني أي حاجة بتعمل Hemolysis، بنلاجر ال
+
+713
+00:55:23,450 --> 00:55:25,950
+Hemoglobin اللي طلع من ال RBCs، صار بيوصل له
+
+714
+00:55:25,950 --> 00:55:29,330
+filtration و ينزل في ال Bowmans capsule و في ال
+
+715
+00:55:29,330 --> 00:55:33,470
+tubule و بنحشرهناك و بجف عندما تصير absorption
+
+716
+00:55:33,470 --> 00:55:37,310
+الميه بيصير inspecated و بيبدأ يسكر ال tribules
+
+717
+00:55:37,310 --> 00:55:40,850
+واحدة واحدة واحدة و يدخلنا في acute failure و يعمل
+
+718
+00:55:40,850 --> 00:55:46,630
+ايه مشكلة كبيرة تمام؟ لذلك محطوط في ايه؟ في RBC's
+
+719
+00:55:46,630 --> 00:55:49,630
+هذا في حد ذاته اعجاب و بعدين نفس التركيب اللي هم
+
+720
+00:55:49,630 --> 00:55:55,850
+مجنونين تركيب برضه ايه؟ تركيب عجيب رائع طيب هذا ال
+
+721
+00:55:55,850 --> 00:56:01,660
+..فكرة الـ dissociation curve احنا فهمناها لان
+
+722
+00:56:01,660 --> 00:56:04,800
+فهمناها في الوضع الطبيعي وفهمناها في الوضع الاش
+
+723
+00:56:04,800 --> 00:56:09,440
+الغير طبيعي اذا ندى ال oxygen هموجلوبين oxygen
+
+724
+00:56:09,440 --> 00:56:13,840
+dissociation curveوفهمنا انه ليش S shape لإنه مش
+
+725
+00:56:13,840 --> 00:56:17,440
+linear لإنه في مناطق بده يحمل أكسجين في مناطق بده
+
+726
+00:56:17,440 --> 00:56:21,260
+يعطي أكسجين فمهيأ انه في مناطق لو صار فروقات
+
+727
+00:56:21,260 --> 00:56:25,980
+pressure ماتفرجش معاه هارف الأخد وصار في مناطق أي
+
+728
+00:56:25,980 --> 00:56:30,000
+فروقات pressure بيعطيه في مناطق الأعطاء بيعطي كتير
+
+729
+00:56:33,230 --> 00:56:36,610
+maximum amount of oxygen that can combine okay اذا
+
+730
+00:56:36,610 --> 00:56:40,810
+خلينا ايه نتكلم عن بعض الأرقام الان مايتعلق
+
+731
+00:56:40,810 --> 00:56:44,290
+بالهيموجلوبين كهيموجلوبين مش ال blood ك blood
+
+732
+00:56:44,290 --> 00:56:47,670
+قولنا ال blood بيحمل الدم 3% منه محمول في ال
+
+733
+00:56:47,670 --> 00:56:51,930
+plasma in the cell form و 27% محمول على ال
+
+734
+00:56:51,930 --> 00:56:55,410
+hemoglobin و ال hemoglobin هذا حامل saturated 97%
+
+735
+00:56:55,410 --> 00:56:58,110
+من قدرته فقط تمام
+
+736
+00:57:02,550 --> 00:57:05,530
+oxygen hemoglobin dissociation curve احنا هنا اه
+
+737
+00:57:05,530 --> 00:57:08,550
+الجزء التاني من الموضوع هنا هنا انا اتكلمت عن
+
+738
+00:57:08,550 --> 00:57:12,610
+الجزء الشمال في ال curve اه الجزء اليمين في ال
+
+739
+00:57:12,610 --> 00:57:17,150
+curve ملاحظين انتوا هان volumes volumes اللي لما
+
+740
+00:57:17,150 --> 00:57:19,690
+نقول سبعة وتسعين في المية من ال hemoglobin
+
+741
+00:57:19,690 --> 00:57:23,790
+saturated او نقول سبعين او تسعة وسبعين او او او
+
+742
+00:57:23,790 --> 00:57:29,370
+النسب هذه اللي مقابلها كل نسبة مقابلها brochure
+
+743
+00:57:29,370 --> 00:57:33,420
+brochure معينبس البرشر برشر الان فهمنا في ظروفه
+
+744
+00:57:33,420 --> 00:57:37,280
+ممكن نفس البرشر برشر يديني كم كبير من الهموجلوبين
+
+745
+00:57:37,280 --> 00:57:41,040
+من ال oxygen محمول او اجل اذا ظروفه ال carbon ده
+
+746
+00:57:41,040 --> 00:57:45,160
+هيفسادو اه يعني في shift to the right و shift to
+
+747
+00:57:45,160 --> 00:57:48,640
+the left بس in general نتكلم عن normal ال normal
+
+748
+00:57:48,640 --> 00:57:52,600
+مش .. مش في حالات غير عادية مش exercise غير عادي
+
+749
+00:57:52,600 --> 00:57:56,580
+مش consumption غير عادي اه بنقول انه مقابل ل 95%
+
+750
+00:57:56,580 --> 00:58:00,660
+pressure 95 millimeter mercury بيكون عندى 97%
+
+751
+00:58:00,660 --> 00:58:05,080
+saturation مش كده 97% saturation طب يعني جديش
+
+752
+00:58:05,080 --> 00:58:13,380
+oxygen saturated هل جد لكن جديش oxygen جالك كلكل
+
+753
+00:58:13,380 --> 00:58:18,780
+واحد جرام hemoglobin بيحمل oxygen one point three
+
+754
+00:58:18,780 --> 00:58:25,700
+four one point three four milliliter oxygen
+
+755
+00:58:26,400 --> 00:58:30,980
+إذا كل واحد hemoglobin واحد جرام hemoglobin بيحمل
+
+756
+00:58:30,980 --> 00:58:33,940
+بيقدر يحمل ال maximum تبعه ال 97% تبعته اللي بيقدر
+
+757
+00:58:33,940 --> 00:58:37,420
+يحملها ال maximum تبعه اللي هو ال maximum بيقولنا
+
+758
+00:58:37,420 --> 00:58:42,440
+97% لإن في 3% من ال hemoglobin مش شغال بيحمل ال
+
+759
+00:58:42,440 --> 00:58:45,360
+maximum تبعه one point three five لمن؟ three four
+
+760
+00:58:45,360 --> 00:58:51,180
+لكل جرام في الحد متوسط الإنسان لما بيقولوا متوسط
+
+761
+00:58:51,180 --> 00:58:57,750
+الإنسان إيش تقصد فيها؟نقصد male adult سبعين اه
+
+762
+00:58:57,750 --> 00:59:02,510
+تمام ال female هتكون أجل نسبة معينة تمام اذا لما
+
+763
+00:59:02,510 --> 00:59:08,770
+نقول standard تبعنا هنلاقي انه كل معظم الناس او
+
+764
+00:59:08,770 --> 00:59:13,760
+الرجال اللي بال standard خمس عشر جرامالهموجلوبين
+
+765
+00:59:13,760 --> 00:59:18,640
+تبعهم خمس عشر جرام في كل ميت ملي لتر دم حاملين خمس
+
+766
+00:59:18,640 --> 00:59:23,120
+عشر جرام هموجلوبين الهموجلوبين هذا كل جرام بيحمل
+
+767
+00:59:23,120 --> 00:59:26,580
+one point three five هيطلع لإن الخمس عشر جرام هدول
+
+768
+00:59:26,580 --> 00:59:32,680
+اللي موجودين في ميت ملي لتر حاملين واحد وعشرين او
+
+769
+00:59:32,680 --> 00:59:40,380
+عشرين point one لتر ملي لتر اكسجين لذا كلالجرام
+
+770
+00:59:40,380 --> 00:59:44,160
+حامل one point three ملي لتر اكساجين الخمس عشر
+
+771
+00:59:44,160 --> 00:59:50,700
+جرام هموجلبين اللي هم الدم الطبيعي طبعنا طبعنا اه
+
+772
+00:59:50,700 --> 00:59:57,860
+الستات اقل من جرام الى اتنين جرام عن الراجل ايش
+
+773
+00:59:57,860 --> 01:00:03,300
+السبب ان الستات اقل شوية سمعيني
+
+774
+01:00:03,300 --> 01:00:06,160
+يا عيش من ايه؟
+
+775
+01:00:09,020 --> 01:00:15,260
+فهمتش انا واحد بيسمي يعني ساميني عالية اه ال
+
+776
+01:00:15,260 --> 01:00:22,500
+periods اه واضح اه اللي هو ال menstruation ال
+
+777
+01:00:22,500 --> 01:00:26,560
+menstruation مظبوط بس لو فيش menstruation عند الست
+
+778
+01:00:26,560 --> 01:00:30,140
+هنلاقيها برضه أجل ليش؟
+
+779
+01:00:32,810 --> 01:00:34,690
+بنتكلم عن الهيموجلوبين ال muscle bulk و
+
+780
+01:00:34,690 --> 01:00:37,890
+الهيموجلوبين بيرجعوا نفس السبب يعني ال muscle bulk
+
+781
+01:00:37,890 --> 01:00:41,870
+لإنه احنا عندنا androgens فعنا muscle bulk أكتر و
+
+782
+01:00:41,870 --> 01:00:44,570
+الهيموجلوبين عندنا أكتر لإنه عندنا androgens ال
+
+783
+01:00:44,570 --> 01:00:50,430
+androgens more anabolic than الاستروجين فاضح؟ ال
+
+784
+01:00:50,430 --> 01:00:53,670
+estrogen اللي هو means female استروجين انت عندك
+
+785
+01:00:53,670 --> 01:00:57,960
+انت فاصل جهة دي و انا endocrineمانا قاعد بشاوب انت
+
+786
+01:00:57,960 --> 01:01:01,560
+بتشاوب ايش و انا بشاوب قاعد بقولكوا androgens ال
+
+787
+01:01:01,560 --> 01:01:04,400
+androgen هرمون الذكورة اللي عند الراجل اسمه
+
+788
+01:01:04,400 --> 01:01:08,480
+androgens ال estrogen هرمون القنوثة عند الست اسم
+
+789
+01:01:08,480 --> 01:01:12,660
+ايه؟ estrogens فال estrogen less anabolic than ال
+
+790
+01:01:12,660 --> 01:01:17,460
+androgen فال androgen بيبني أكتر فعمل عضلات أكتر و
+
+791
+01:01:17,460 --> 01:01:22,520
+عضم أكتر و أجوة و .. اه و من إضافة لل homoglobin
+
+792
+01:01:22,520 --> 01:01:27,710
+أكتر لإن في عندي androgens واضح؟طيب إذا عندنا 15
+
+793
+01:01:27,710 --> 01:01:32,190
+gram كل gram حامل one point three five يعني بمعنى
+
+794
+01:01:32,190 --> 01:01:37,550
+آخر هنا لما يصير عندي أنا full saturation بحمل ال
+
+795
+01:01:37,550 --> 01:01:42,590
+ال ال ال مية في المية hemoglobin لما يكون حامل مية
+
+796
+01:01:42,590 --> 01:01:47,530
+في المية oxygen تمثل إيش بالأرقام بال volumes تمثل
+
+797
+01:01:47,530 --> 01:01:51,510
+عشرين milliliter percent في كل percent يعني per
+
+798
+01:01:51,510 --> 01:01:55,120
+hundred milliliter of bloodفهذه سمينها volume per
+
+799
+01:01:55,120 --> 01:02:02,800
+cent يعني volume كذا per hundred per hundred per
+
+800
+01:02:02,800 --> 01:02:03,180
+hundred per hundred per hundred per hundred per
+
+801
+01:02:03,180 --> 01:02:03,520
+hundred per hundred per hundred per hundred per
+
+802
+01:02:03,520 --> 01:02:03,520
+hundred per hundred per hundred per hundred per
+
+803
+01:02:03,520 --> 01:02:03,520
+hundred per hundred per hundred per hundred per
+
+804
+01:02:03,520 --> 01:02:03,520
+hundred per hundred per hundred per hundred per
+
+805
+01:02:03,520 --> 01:02:03,520
+hundred per hundred per hundred per hundred per
+
+806
+01:02:03,520 --> 01:02:03,540
+hundred per hundred per hundred per hundred per
+
+807
+01:02:03,540 --> 01:02:06,000
+hundred per hundred per hundred per hundred per
+
+808
+01:02:06,000 --> 01:02:08,680
+hundred per hundred per hundred per hundred per
+
+809
+01:02:08,680 --> 01:02:11,940
+hundred per hundred per hundred per hundred per
+
+810
+01:02:11,940 --> 01:02:12,020
+hundred per hundred per hundred per hundred per
+
+811
+01:02:12,020 --> 01:02:12,080
+hundred per hundred per hundred per hundred per
+
+812
+01:02:12,080 --> 01:02:12,080
+hundred per hundred per hundred per hundred per
+
+813
+01:02:12,080 --> 01:02:12,240
+hundred per hundred per hundred per hundred per
+
+814
+01:02:12,240 --> 01:02:12,240
+hundred per hundred per hundred per hundred per
+
+815
+01:02:12,240 --> 01:02:12,240
+hundred per hundred per hundred per hundred per
+
+816
+01:02:12,240 --> 01:02:12,240
+hundred per hundred per hundred per hundred per
+
+817
+01:02:12,240 --> 01:02:12,240
+hundred per hundred per hundred per hundred per
+
+818
+01:02:12,240 --> 01:02:12,240
+hundred per hundred per hundred per hundred per
+
+819
+01:02:12,240 --> 01:02:12,260
+hundred per hundred per hundred per hundred per
+
+820
+01:02:12,260 --> 01:02:12,260
+hundred per hundred per hundred per hundred per
+
+821
+01:02:12,260 --> 01:02:12,260
+hundred per hundred per hundred per hundred per
+
+822
+01:02:12,260 --> 01:02:12,260
+hundred per hundred per hundred per hundred per
+
+823
+01:02:12,260 --> 01:02:12,260
+hundred per hundred per hundred per hundred per
+
+824
+01:02:12,260 --> 01:02:14,580
+hundred per hundred per hundred per hundred per
+
+825
+01:02:14,580 --> 01:02:18,160
+hundred per hundred per
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/wsNmlhvh6hM_postprocess.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/wsNmlhvh6hM_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..aac984f297cd7fe449f9c07f3d54b662375fed92
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/wsNmlhvh6hM_postprocess.srt
@@ -0,0 +1,1972 @@
+1
+00:00:06,120 --> 00:00:12,860
+بسم الله الرحمن الرحيم بدأنا الحديث عن ال make
+
+2
+00:00:12,860 --> 00:00:22,200
+duration reflex وقلنا انه
+
+3
+00:00:22,200 --> 00:00:30,880
+بيحتاج الى sensory part و center و الى efferent او
+
+4
+00:00:30,880 --> 00:00:31,460
+motor
+
+5
+00:00:37,020 --> 00:00:43,740
+بهمني تفهموا أنه التلاتة parts هدول are important،
+
+6
+00:00:43,740 --> 00:00:51,560
+يعني لو ال afferent راح، صار إصابة فيه، مش هيصير
+
+7
+00:00:51,560 --> 00:00:54,760
+ال menstruation reflex، وعملية ال menstruation مش
+
+8
+00:00:54,760 --> 00:00:59,300
+هتصير، لإن هد مش voluntary actتحتاج إلى وجود ال
+
+9
+00:00:59,300 --> 00:01:04,540
+motor لأ تحتاج .. هذه reflex تحتاج إلى sensory هو
+
+10
+00:01:04,540 --> 00:01:09,020
+ينبهي ال center و reflex لل center بيبعتله ال
+
+11
+00:01:09,020 --> 00:01:15,160
+motor contraction عشان يقدّي الغرض المطلوب تمام؟
+
+12
+00:01:15,160 --> 00:01:25,040
+طيب اتكلمنا احنا عن تفاصيل ال .. ال
+
+13
+00:01:25,040 --> 00:01:30,800
+.. ال nutritionreflex لكننا بنعرف بعض الحقائق
+
+14
+00:01:30,800 --> 00:01:39,100
+الأخرى عليه تمام؟ بعض الحقائق الأخرى
+
+15
+00:01:39,100 --> 00:01:43,800
+الحقائق what when the bladder is only partially
+
+16
+00:01:43,800 --> 00:01:50,220
+filled these menstruation contractions usually
+
+17
+00:01:50,220 --> 00:01:54,160
+relax اتكلمنا عن ال menstruation waves قولنا كل ما
+
+18
+00:01:54,160 --> 00:01:59,540
+بيزيد ال bladder contentsاعتقد هذه موجودة قبل هنا
+
+19
+00:01:59,540 --> 00:02:04,900
+موجودة اتكلم عنها اتكلم عنها باختصار okay اذا كل
+
+20
+00:02:04,900 --> 00:02:10,620
+ما انه ال bladder waves هذه كل ما بيزيد ال filling
+
+21
+00:02:10,620 --> 00:02:17,520
+تبع ال bladder بيزيد ال intensity و ال frequency
+
+22
+00:02:17,520 --> 00:02:23,180
+تبع ال migration waves تمام لحد level معين ال
+
+23
+00:02:23,180 --> 00:02:27,580
+migration waves هذهبقدّي إلي contraction .. strong
+
+24
+00:02:27,580 --> 00:02:31,660
+contraction في ال .. in the trouser muscle فبيزيد
+
+25
+00:02:31,660 --> 00:02:36,580
+ال introvesical pressure لدرجة إنه ممكن يفتح و ي
+
+26
+00:02:36,580 --> 00:02:40,460
+expose ال bladder neck receptors لل pressure هذا
+
+27
+00:02:40,460 --> 00:02:44,700
+فبديني stronger reflex في الحالة هذه ببدأ أنا أحس
+
+28
+00:02:44,700 --> 00:02:48,720
+ال desire of urination و بديني strong reflex على
+
+29
+00:02:48,720 --> 00:02:54,870
+إنه إيه يصير urinationالان اذا كانت الظروف مناسبة
+
+30
+00:02:54,870 --> 00:02:59,150
+او اذا بتكلم عن ولد صغير هيصير urination طبيعي لكن
+
+31
+00:02:59,150 --> 00:03:02,230
+في ال adult بتبقى ال menstruation center دايما
+
+32
+00:03:02,230 --> 00:03:07,070
+under inhibition under inhibition voluntary من ال
+
+33
+00:03:07,070 --> 00:03:14,050
+cerebral cortex و brain stem signals
+
+34
+00:03:14,050 --> 00:03:21,010
+inhibiting ال menstruation centerبحيث انه هذا
+
+35
+00:03:21,010 --> 00:03:25,450
+مابصيرش الا under voluntary desire انه اه okay
+
+36
+00:03:25,450 --> 00:03:31,430
+تمام فبيبدأ عندي هان ال .. ال inhibition هذا اذا
+
+37
+00:03:31,430 --> 00:03:37,730
+كان ال desire موجودة .. اذا كان ال desire موجودة و
+
+38
+00:03:37,730 --> 00:03:43,100
+ال inhibition بدأ يختفيفممكن يصير عنده ال a front
+
+39
+00:03:43,100 --> 00:03:48,740
+لل internal sphincter و a front لل external
+
+40
+00:03:48,740 --> 00:03:51,380
+sphincter يؤدي الى ال maturation act
+
+41
+00:03:56,520 --> 00:04:04,940
+ال .. ال .. ال .. ال .. فيه inhibitory signals
+
+42
+00:04:04,940 --> 00:04:09,800
+لازمة موجودة حتى لو صار reflex relaxation under
+
+43
+00:04:09,800 --> 00:04:13,870
+strong intravysicalعن طريق البراشر وعن طريق
+
+44
+00:04:13,870 --> 00:04:19,970
+مكتورشين رفليكس يديني رلاكسيشن of the internal
+
+45
+00:04:19,970 --> 00:04:24,430
+sphincter ممكن يضالع في عيني strong contractions
+
+46
+00:04:24,430 --> 00:04:28,390
+of the external sphincter لتسمح بذلك وتمنع
+
+47
+00:04:28,390 --> 00:04:34,010
+المكتورشين يتم okay طيب إذا في عيني براشر بقدي إلى
+
+48
+00:04:34,010 --> 00:04:34,370
+waves
+
+49
+00:04:37,250 --> 00:04:40,550
+خلّيني اتكلم عنها بيقول انه أثناء ما يكون ال
+
+50
+00:04:40,550 --> 00:04:44,150
+pressure ال content of the bladder zero ال
+
+51
+00:04:44,150 --> 00:04:46,950
+pressure بيكون zeroلما يزيد ال content من تلاتين
+
+52
+00:04:46,950 --> 00:04:50,970
+لخمسين ملي لتر بيرتفع ال pressure من خمسة الى عشرة
+
+53
+00:04:50,970 --> 00:04:55,330
+centimeter water لو زيدنا لحد الاربعميت ملي لتر
+
+54
+00:04:55,330 --> 00:04:59,250
+content في ال bladder بيلاقي ال pressure إلى حد ما
+
+55
+00:04:59,250 --> 00:05:02,490
+مابدغيرش ال pressure ده يعني ال tone of the
+
+56
+00:05:02,490 --> 00:05:06,650
+detrous muscle إذا زاد عن هيك بيبدأ عندي إشارات
+
+57
+00:05:06,650 --> 00:05:14,860
+بيبدأ تعملني the bladderمزيد من الوضع يجعل الوضع
+
+58
+00:05:14,860 --> 00:05:21,960
+يرتفع بسرعة وهذا يؤدي الى مكتوشن ويفز اكتر واسرع
+
+59
+00:05:21,960 --> 00:05:26,080
+زي ما اتكلمنا من شوية كويس؟ طيب اذا ناخد بعض
+
+60
+00:05:26,080 --> 00:05:31,800
+المواصفات ل .. طيب as the bladder continues to
+
+61
+00:05:31,800 --> 00:05:36,250
+fillالخطرات المكتورة تصبح أكتر عادية و تسبب في
+
+62
+00:05:36,250 --> 00:05:37,550
+أكتر عادية عادية عادية عادية عادية عادية عادية
+
+63
+00:05:37,550 --> 00:05:38,930
+عادية عادية عادية عادية عادية عادية عادية عادية
+
+64
+00:05:38,930 --> 00:05:46,470
+عادية عادية عادية عادية عادية عادية عادية عادية
+
+65
+00:05:46,470 --> 00:05:46,970
+عادية عادية عادية عادية عادية عادية عادية عادية
+
+66
+00:05:46,970 --> 00:05:49,690
+عادية عادية عادية عادية عادية عادية عادية عادية
+
+67
+00:05:49,690 --> 00:05:51,590
+عادية عادية عادية عادية عادية عادية عادية عادية
+
+68
+00:05:51,590 --> 00:05:51,670
+عادية عادية عادية عادية عادية عادية عادية عادية
+
+69
+00:05:51,670 --> 00:05:52,750
+عادية عادية
+
+70
+00:05:58,760 --> 00:06:01,620
+الانترا فيزايكال بشعر بيقدّي الى reflex
+
+71
+00:06:01,620 --> 00:06:06,260
+contraction مش كده ال reflex contraction اللي
+
+72
+00:06:06,260 --> 00:06:13,260
+بيعملي more stretch ل ال receptors بيدين stronger
+
+73
+00:06:13,260 --> 00:06:18,300
+contraction بيعمل exposure ل الفيزايكال انترا
+
+74
+00:06:18,300 --> 00:06:21,480
+للbladder
+
+75
+00:06:21,480 --> 00:06:25,280
+neck receptors بيقدّي الى more strong and strong
+
+76
+00:06:25,280 --> 00:06:31,740
+contraction reflexعندما يبدأ مكتوعة رفليكس هو نفس
+
+77
+00:06:31,740 --> 00:06:37,080
+الانتجار اللي هو اكتفاء البلدروهو يجعل الهواتف
+
+78
+00:06:37,080 --> 00:06:44,700
+تتحرك أكتر في المحطة من البلدر والبوستيريو يوريترا
+
+79
+00:06:44,700 --> 00:06:50,440
+وهو يجعلها تتحرك أكتر في محطة البلدر وهي تتحرك
+
+80
+00:06:50,440 --> 00:06:51,240
+أكتر في محطة البلدر وهي تتحرك أكتر في محطة البلدر
+
+81
+00:06:51,240 --> 00:06:53,020
+محطة البلدر وهي تتحرك أكتر في محطة البلدر وهي
+
+82
+00:06:53,020 --> 00:06:57,980
+تتحرك أكتر في محطة البلدر وهي تتحرك أكتر في محطة
+
+83
+00:06:57,980 --> 00:07:03,280
+البلدر وهي تتحرك أكتر في محطة البلدر وهي تتحرك أك
+
+84
+00:07:04,620 --> 00:07:18,720
+التفكير الانتقالي يبدأ بالتفكير والتفكير
+
+85
+00:07:18,720 --> 00:07:24,120
+يبدأ بالتفكير ونعود للوضع اللي كنا فيه والتفكير
+
+86
+00:07:24,120 --> 00:07:28,940
+الانتقالي يبدأ بالتفكير والتفكير يبدأ بالتفكير
+
+87
+00:07:28,940 --> 00:07:34,820
+ونعود للوضع اللي كنا فيهالـ Mectoration Reflex هو
+
+88
+00:07:34,820 --> 00:07:40,580
+مجلس واحد مجلس واحد مكمل مرحلة مرحلة مرحلة مستقل
+
+89
+00:07:40,580 --> 00:07:46,100
+مرحلة مستقل مرحلة مستقل مرحلة مستقل مرحلة مستقل
+
+90
+00:07:46,100 --> 00:07:47,220
+مرحلة مستقل مرحلة مستقل مرحلة مستقل مرحلة مستقل
+
+91
+00:07:47,590 --> 00:07:52,110
+بقال تتكرر لحد وقتاش once a micturation reflex has
+
+92
+00:07:52,110 --> 00:07:55,330
+occurred but has not succeeded in emptying the
+
+93
+00:07:55,330 --> 00:07:58,350
+bladder, the nervous elements of this reflex
+
+94
+00:07:58,350 --> 00:08:03,530
+usually remain in inhibited state for some time,
+
+95
+00:08:04,130 --> 00:08:07,960
+for a few minutes to one hour or moreقبل أن يحدث
+
+96
+00:08:07,960 --> 00:08:11,600
+مكتورات مكتورات أخرى تمام؟ إذا لما يحصل عندى
+
+97
+00:08:11,600 --> 00:08:16,320
+strong contraction و اكسبوز ال neck receptors و
+
+98
+00:08:16,320 --> 00:08:19,880
+بداني reflex strong for mecturation و inhibited
+
+99
+00:08:19,880 --> 00:08:25,240
+برتع بيتكررش بسرعة بيديني فترة كافية لإن أشوف
+
+100
+00:08:25,240 --> 00:08:29,640
+suitable conditions for mecturation as the brother
+
+101
+00:08:29,640 --> 00:08:33,160
+becomes more and more filled mecturation reflexes
+
+102
+00:08:33,160 --> 00:08:38,630
+occur more and more oftenو أكتر و أكتر بسرعة و
+
+103
+00:08:38,630 --> 00:08:44,050
+أكتر
+
+104
+00:08:44,050 --> 00:08:49,330
+و أكتر بسرعة و أكتر بسرعة و أكتر بسرعة و أكتر
+
+105
+00:08:49,330 --> 00:08:51,330
+بسرعة و أكتر بسرعة و أكتر بسرعة و أكتر بسرعة و
+
+106
+00:08:51,330 --> 00:08:51,370
+أكتر بسرعة و أكتر بسرعة و أكتر بسرعة و أكتر بسرعة
+
+107
+00:08:51,370 --> 00:08:51,670
+بسرعة و أكتر بسرعة و أكتر بسرعة و أكتر بسرعة و
+
+108
+00:08:51,670 --> 00:08:59,190
+أكتر بسرعة و أكتر بسرعة و أكتر بسرعة و أكتر بسرعة
+
+109
+00:08:59,190 --> 00:09:02,810
+و أكتر بس
+
+110
+00:09:04,010 --> 00:09:17,570
+إذا الانهيبشن أكتر من الانهيبشن
+
+111
+00:09:17,570 --> 00:09:22,830
+اللي بيجيله فبيصير ال urinationيعني هو جايله
+
+112
+00:09:22,830 --> 00:09:25,650
+constriction باستمرار جايله inhibition عبر ال
+
+113
+00:09:25,650 --> 00:09:29,550
+center عبر ال reflex انه to relax إذا ال
+
+114
+00:09:29,550 --> 00:09:31,650
+inhibition اللي جايه عبر ال center أكتر من
+
+115
+00:09:31,650 --> 00:09:35,770
+contraction voluntary contraction فبيصير و إلا
+
+116
+00:09:35,770 --> 00:09:41,910
+بيتوقف و بنتأخر كمان بس بصير انه أسرع أكتر if not
+
+117
+00:09:41,910 --> 00:09:45,450
+enough potent urination will not occur until the
+
+118
+00:09:45,450 --> 00:09:48,890
+bladder fills still further and the mitigation
+
+119
+00:09:48,890 --> 00:09:52,740
+reflex becomes more powerfulإذا بينتظر دورة جديدة
+
+120
+00:09:52,740 --> 00:09:55,660
+دورة جديدة دورة جديدة في الفترة هذه البني آدم في
+
+121
+00:09:55,660 --> 00:09:59,300
+العادة بيكون شايف مكان مناسب وإلا ممكن يصير بعد
+
+122
+00:09:59,300 --> 00:10:02,800
+كده involuntary urination لإن ساعتها يصير ال
+
+123
+00:10:02,800 --> 00:10:08,740
+pressure تبع ال intravicycle pressure عالي و ال
+
+124
+00:10:08,740 --> 00:10:12,340
+reflex very strong و ال inhibition لل internal و
+
+125
+00:10:12,340 --> 00:10:15,900
+ال external أقوى من ال ايه ال voluntary inhibition
+
+126
+00:10:15,900 --> 00:10:19,560
+فهيؤدي إلى ايه من ال voluntary contraction فيؤدي
+
+127
+00:10:19,560 --> 00:10:24,690
+إلى ال urinationطيب الجزئية هذه احنا voluntary و
+
+128
+00:10:24,690 --> 00:10:28,850
+مش voluntary ال external ماشي بنسيتها هنخش طيب كيف
+
+129
+00:10:28,850 --> 00:10:31,450
+انا بتحكم في ال .. يعني وين انا بتدخل في ال ball
+
+130
+00:10:31,450 --> 00:10:34,230
+احنا عندنا center شغال و قولنا عشان يسير ال
+
+131
+00:10:34,230 --> 00:10:38,430
+urination لازم ال internal sphincter ت relax و ال
+
+132
+00:10:38,430 --> 00:10:41,970
+external بياخد وجهة انه يصل ل relaxation و ممكن
+
+133
+00:10:41,970 --> 00:10:48,050
+انا امنع relaxation voluntarily طبعا اذا في عندنا
+
+134
+00:10:48,050 --> 00:10:53,860
+higher centers تتدخل بطريقة ماخلينا نشوف كيف
+
+135
+00:10:53,860 --> 00:10:56,860
+التدخل بالتم، في عندي انا higher centers موجودة في
+
+136
+00:10:56,860 --> 00:11:01,180
+منطقتين، في ال brain stem و في cerebral cortex، في
+
+137
+00:11:01,180 --> 00:11:04,500
+ال brain stem موجود facilitative و inhibitory
+
+138
+00:11:04,500 --> 00:11:09,060
+centers، كيف يعني facilitative؟ يعني انا ممكن
+
+139
+00:11:09,060 --> 00:11:12,840
+تساعدني في انه يصير ال maturation أسرع و أجواء أو
+
+140
+00:11:12,840 --> 00:11:20,430
+واجد مابديبمعنى إنها تساعد الـ sacral center for
+
+141
+00:11:20,430 --> 00:11:25,950
+more potent reflexأو ال inhibitor بتعمل العكس، هذا
+
+142
+00:11:25,950 --> 00:11:31,210
+في الموجود في ال brainstem و موجود أيضا في ال
+
+143
+00:11:31,210 --> 00:11:33,450
+cerebral cortex لكن ال cerebral cortex more
+
+144
+00:11:33,450 --> 00:11:36,570
+inhibitory than ايه؟ يعني موجودة في ال cortex هذا
+
+145
+00:11:36,570 --> 00:11:39,730
+inhibitory center بحيث انه بعد ما الطفل يكبر شوية
+
+146
+00:11:39,730 --> 00:11:45,590
+بيقوى عنده هذا الشعور بحيث انه يبدأ يتحكم بالسمرار
+
+147
+00:11:45,590 --> 00:11:49,390
+انه ال pictorial reflex inhibited إلى أن يصبح له
+
+148
+00:11:50,130 --> 00:11:53,610
+تمام؟ يحتاج كل مرة إلى تصريح خاص مافيش تصريح مفتوح
+
+149
+00:11:53,610 --> 00:11:58,210
+لمدة سنة لأ كل مرة يصير .. يصير .. mectoration
+
+150
+00:11:58,210 --> 00:12:01,850
+لازم نرفع ال inhibition عن مين؟ عن ال center تمام؟
+
+151
+00:12:01,850 --> 00:12:06,550
+لكن في إضافة لذلك ممكن احنا نساعد ال .. ال .. ال
+
+152
+00:12:06,550 --> 00:12:11,850
+.. ال center بإنه نعمل facilitation وهذا بيصير بعد
+
+153
+00:12:11,850 --> 00:12:15,990
+ما احنا يبدأ ال reflex يشتغلفبصير facilitative
+
+154
+00:12:15,990 --> 00:12:19,530
+reflexes تجي او ال signals الى ال center هذا to
+
+155
+00:12:19,530 --> 00:12:22,550
+make stronger urination ا كده بالاضافة لان انا
+
+156
+00:12:22,550 --> 00:12:25,430
+ممكن ابدأ عندي حاجة اسمه voluntary يعني الوقت مش
+
+157
+00:12:25,430 --> 00:12:29,070
+مناسب لكن انا بدي اطلع الآن و بديش في نفس الطريق
+
+158
+00:12:29,070 --> 00:12:32,410
+بقى لأ بدي الآن اعمل urination فال facilitative
+
+159
+00:12:32,410 --> 00:12:38,150
+هذا بساعدني عندنا نتكلم عنه كيف طيب اذا في عندي
+
+160
+00:12:38,150 --> 00:12:41,590
+two centers ال higher center في ال cerebral cortex
+
+161
+00:12:41,590 --> 00:12:49,020
+او اجال منه شوية في الالبرنامج السيم الركزي يبقى
+
+162
+00:12:49,020 --> 00:12:50,380
+رفليكس البرنامج البرنامج البرنامج البرنامج
+
+163
+00:12:50,380 --> 00:12:53,280
+البرنامج البرنامج البرنامج البرنامج البرنامج
+
+164
+00:12:53,280 --> 00:12:58,040
+البرنامج البرنامج البرنامج البرنامج البرنامج
+
+165
+00:12:58,040 --> 00:12:58,520
+البرنامج البرنامج البرنامج البرنامج البرنامج
+
+166
+00:12:58,520 --> 00:12:58,680
+البرنامج البرنامج البرنامج البرنامج البرنامج
+
+167
+00:12:58,680 --> 00:13:00,840
+البرنامج البرنامج البرنامج البرنامج البرنامج
+
+168
+00:13:00,840 --> 00:13:04,910
+البرنامج البرنامالمركزين الأعلى يمكن أن يمنع
+
+169
+00:13:04,910 --> 00:13:09,950
+المكتورة حتى لو
+
+170
+00:13:09,950 --> 00:13:11,830
+حدث مكتورة مكتورة مكتورة مكتورة مكتورة مكتورة
+
+171
+00:13:11,830 --> 00:13:12,390
+مكتورة مكتورة مكتورة مكتورة مكتورة مكتورة مكتورة
+
+172
+00:13:12,390 --> 00:13:13,290
+مكتورة مكتورة مكتورة مكتورة مكتورة مكتورة مكتورة
+
+173
+00:13:13,290 --> 00:13:19,450
+مكتورة مكتورة مكتورة مكتورة مكتورة مكتورة مكتورة
+
+174
+00:13:19,450 --> 00:13:20,670
+مكتورة مكتورة مكتورة مكتورة مكتورة مكتورة مكتورة
+
+175
+00:13:20,670 --> 00:13:28,410
+مكتورة مكتورة مكتورة مكتورة مكتورة مكتورة
+
+176
+00:13:34,720 --> 00:13:39,540
+ثلاثة عندما حان الوقت للهروب، يمكن الكورتكاليكي
+
+177
+00:13:39,540 --> 00:13:44,820
+يساعد المركزين المكتولينيين السكريانيين لإنشاء
+
+178
+00:13:44,820 --> 00:13:49,060
+الهروب المكتولينيين وفي نفس الوقت يستخدم الهروب
+
+179
+00:13:49,060 --> 00:13:56,840
+المكتولينيينSo that urination can occur. تمام؟ إذن
+
+180
+00:13:56,840 --> 00:14:00,620
+inhibiting the constriction في الاسفنطر الاجتماعي.
+
+181
+00:14:00,920 --> 00:14:05,040
+voluntary urination، هذه حالة تانية، احنا ال
+
+182
+00:14:05,040 --> 00:14:09,630
+reflex مش شغالتمام؟ مافيش strong meditation
+
+183
+00:14:09,630 --> 00:14:13,650
+reflexes اللي تقولي انا اروح الحمام لأ مش شغال بس
+
+184
+00:14:13,650 --> 00:14:17,010
+انا بدي اطلع و انا عارف ساعتين في الطريق محتاج اني
+
+185
+00:14:17,010 --> 00:14:22,190
+لأ اكون جاهز او بدي اتوضع عشان اضل اصلي لحد ما
+
+186
+00:14:22,190 --> 00:14:25,410
+اروح من الجامعة اصلي الظهر و العصر ايه ممكن فانا
+
+187
+00:14:25,410 --> 00:14:29,460
+بكون جاهز مش كده؟ هنوضع في صلاة المؤمن مش هيك؟طيب
+
+188
+00:14:29,460 --> 00:14:32,700
+فالواحد بيحضر حاله على الفدرة، كيه بيصير هذا؟ ال
+
+189
+00:14:32,700 --> 00:14:36,300
+voluntary urination، first a person voluntarily
+
+190
+00:14:36,300 --> 00:14:40,300
+contracts أبضمنا ال musclesفبيضغط فبيزيد ال
+
+191
+00:14:40,300 --> 00:14:44,240
+pressure و من ضمن انتروفيزاكا ال pressure بيزيد
+
+192
+00:14:44,240 --> 00:14:50,160
+تمام بحيث انه الضغط هزيد يصل ل ال bladder neck ففي
+
+193
+00:14:50,160 --> 00:14:53,620
+ال bladder neck اذا اصل شوية drops of urine هناك
+
+194
+00:14:53,620 --> 00:14:59,180
+فبتعمل strong reflex, mutation reflex تمام؟ هذا
+
+195
+00:14:59,180 --> 00:15:02,160
+supported by facilitative and stopping of
+
+196
+00:15:02,160 --> 00:15:05,120
+inhibitor effects فبيقدر ال ايه؟ ال urination
+
+197
+00:15:07,870 --> 00:15:12,150
+والذي يتفرق تماماً بإنهياب الـ External Ureter
+
+198
+00:15:12,150 --> 00:15:18,870
+Sphincter بشكل عام، كل الهواء سيتفرق
+
+199
+00:15:18,870 --> 00:15:25,690
+5 إلى 10 مليل لتر يتبقوا في البلدر
+
+200
+00:15:25,690 --> 00:15:31,610
+واضح؟ طيب، الآن ماهي الانتشارات اللي احنا من
+
+201
+00:15:31,610 --> 00:15:35,440
+أجلهم، احنا شرحنالكوا كل هذا الكلامعشان لما ايه ال
+
+202
+00:15:35,440 --> 00:15:37,240
+abnormalities ممكن انتوا تتعرفوا تتعاملوا معاها
+
+203
+00:15:37,240 --> 00:15:41,280
+كده تقدروا تفسروها يعني عندنا abnormality
+
+204
+00:15:41,280 --> 00:15:45,820
+الأولانية اسمها atonic bladder atonic bladder يعني
+
+205
+00:15:45,820 --> 00:15:50,820
+البلادر لما تكون فيها عشرة مل عشرين مل تلاتمية مل
+
+206
+00:15:50,820 --> 00:15:57,060
+بتحسيهاش انها عاملة brusher و عاملة tone و مزودة
+
+207
+00:15:57,060 --> 00:16:01,710
+ال intravisable brusher مافيش tone في البلادرتمام؟
+
+208
+00:16:01,710 --> 00:16:06,950
+و ال pressure دايما يعني حسب جديش بتعب مافيش tone
+
+209
+00:16:06,950 --> 00:16:11,930
+صفر لما تنطلي بتبدأ تنطلي و يزيد الضغط عليها بيبدأ
+
+210
+00:16:11,930 --> 00:16:14,190
+ال pressure يعني على في الآخر يعني مافيش tone ان
+
+211
+00:16:14,190 --> 00:16:17,290
+انا محافظة دايما جايسالي جديش فيه ميديها لإشارة
+
+212
+00:16:17,290 --> 00:16:21,670
+جديش في عندى urine volume في الداخل لأ it has no
+
+213
+00:16:21,670 --> 00:16:28,110
+tone ليش؟ مافيش tone لإن ال afferent انقطعالـ
+
+214
+00:16:28,110 --> 00:16:30,750
+afferent مجفع فالـ reflex هذا اللي بيعمل ال tone و
+
+215
+00:16:30,750 --> 00:16:36,250
+بيعمل إشارة مش موجود طب إيش بيصير؟ بيصير إنه ال ..
+
+216
+00:16:36,250 --> 00:16:39,510
+ال center مشولش إشارة إنه في عيلة الضغط ولا ماعليش
+
+217
+00:16:39,510 --> 00:16:43,150
+مافيش .. مافيش إشارة ال afferent nerves مش حساسة
+
+218
+00:16:43,150 --> 00:16:48,110
+فبيضل ال urine volume يزيد يزيد و بعد فترة بيزيد
+
+219
+00:16:48,110 --> 00:16:52,770
+ال intravascular pressure لدرجة معينة بيعمل ليه؟
+
+220
+00:16:54,510 --> 00:16:58,910
+انترا فيزايا كبراشر عالى كتير لدرجة ان هو ممكن
+
+221
+00:16:58,910 --> 00:17:02,970
+انترا فيزايا كبراشر يصير قوته اكتر من ال internal
+
+222
+00:17:02,970 --> 00:17:07,750
+sphincter تمام و اكتر من ال external sphincter فال
+
+223
+00:17:07,750 --> 00:17:15,980
+pressure الداخل يفتحهم تمام و بعدينالسفنكتر سيخرج
+
+224
+00:17:15,980 --> 00:17:23,400
+حتى يكون الضغط داخل البلدر أقل من ضغط السفنكتر
+
+225
+00:17:23,400 --> 00:17:31,940
+تمام؟ اذا عندنا ضغط زاد فتح السفنكتر طلع الفرق في
+
+226
+00:17:31,940 --> 00:17:35,680
+البول و بعدين هبط الضغط في الداخل لأنه تفرغ شوية
+
+227
+00:17:35,680 --> 00:17:39,680
+لما يهبط الضغط يعود السفنكتر إيه؟ بيصير أقوى منانت
+
+228
+00:17:39,680 --> 00:17:43,780
+رافضايك فتتوقف اذا اللحظة ان عندك كل خمس دقايق في
+
+229
+00:17:43,780 --> 00:17:47,280
+شوية ball كل تلت اربع دقايق خمس دقايق في شوية ball
+
+230
+00:17:47,280 --> 00:17:53,220
+بنزل بتوقف بنزل overflow اللي بيزيد عن المليان
+
+231
+00:17:53,220 --> 00:17:57,220
+بنكب ولكن هي ده بيبقى المليانة اذا overflow
+
+232
+00:17:57,220 --> 00:18:02,060
+incontinence اللي الزيادة بتطلع بتبقى المليانة
+
+233
+00:18:02,060 --> 00:18:06,320
+اللي بيجي اكتر من حجمها وقدرتها بيطلع بيتوقف بيطلع
+
+234
+00:18:06,320 --> 00:18:11,470
+بيتوقف بيطلع overflow incontinenceهذه حالة، الآن
+
+235
+00:18:11,470 --> 00:18:15,750
+مالاجهاش إلا إذا كان في عندي انا إصابة ل .. يا إما
+
+236
+00:18:15,750 --> 00:18:18,690
+لل center يا إما إصابة لل afferent اللي بده يودّي
+
+237
+00:18:18,690 --> 00:18:26,190
+لل center تمام؟ fracture لل .. لل sacral centers
+
+238
+00:18:26,190 --> 00:18:30,590
+تمام؟ spinal cord injury بتقدر إلى fracture أو ال
+
+239
+00:18:30,590 --> 00:18:37,320
+nerve انقطع زمان كان في موجود syphilis كتيرزمان
+
+240
+00:18:37,320 --> 00:18:41,100
+كان موجود سفلس كتير مش لإن الناس صارت محترمة كتير
+
+241
+00:18:41,100 --> 00:18:45,920
+لأ صار في علاج في الأيام بس هي يعني انا اعتقد انه
+
+242
+00:18:45,920 --> 00:18:50,560
+ال .. الاباحية الغربية لازال موجود عندهم سفلس بنفس
+
+243
+00:18:50,560 --> 00:18:54,520
+ال .. الكم لكنه بستطيع انهم يعالجوه بالبنسلة يقدر
+
+244
+00:18:54,520 --> 00:18:58,260
+الى انه يوقفوا عند حده السفلس كان زمان يضرب ال ..
+
+245
+00:18:58,260 --> 00:19:04,160
+ال afferent nerves تمام؟ يضرب ال dorsal rootsوهو
+
+246
+00:19:04,160 --> 00:19:08,420
+ال .. ال .. ال .. ال .. ال somatic nerve هو طالع
+
+247
+00:19:08,420 --> 00:19:11,660
+له دورزال روت و ventral rot مش هدا، الدورزال هذا
+
+248
+00:19:11,660 --> 00:19:16,520
+sensory، ال .. ال .. ال ventral motor فبُضرب
+
+249
+00:19:16,520 --> 00:19:20,600
+الدورزال روت، فكان بيسموه دور .. دورساليز
+
+250
+00:19:23,480 --> 00:19:29,820
+Tibes Dorsalis بيسموه تابتك
+
+251
+00:19:29,820 --> 00:19:34,680
+بلدر تابتك بلدر تابتك بلدر تابتك بلدر تابتك بلدر
+
+252
+00:19:34,680 --> 00:19:35,020
+تابتك بلدر تابتك بلدر تابتك بلدر تابتك بلدر تابتك
+
+253
+00:19:35,020 --> 00:19:35,100
+بلدر تابتك بلدر تابتك بلدر تابتك بلدر تابتك بلدر
+
+254
+00:19:35,100 --> 00:19:35,120
+تابتك بلدر تابتك بلدر تابتك بلدر تابتك بلدر تابتك
+
+255
+00:19:35,120 --> 00:19:42,300
+بلدر تابتك بلدر تابتك بلدر تابتك بلدر تابتك بلدر
+
+256
+00:19:42,300 --> 00:19:50,640
+تابتك بلدر تابتك بلدر تابتك بلدر تابتك
+
+257
+00:19:50,640 --> 00:19:56,070
+باتنين عندى automatic bladder، automatic bladder
+
+258
+00:19:56,070 --> 00:20:00,090
+يعني بتعبي و بتفضي، بتعبي و بتفضي، بتفضي مش
+
+259
+00:20:00,090 --> 00:20:05,520
+overflow يعني كل ما تندلي و بتفضعبعدين بيقعد كل ما
+
+260
+00:20:05,520 --> 00:20:10,260
+ايه تندلي اول reflex بييجي و بتفضح زي في الأطفال
+
+261
+00:20:10,260 --> 00:20:15,900
+مش كده؟ الأطفال ماعندهمش inhibitory centers
+
+262
+00:20:15,900 --> 00:20:19,020
+inhibitionless centers كل إيش أنا بتسهل ال center
+
+263
+00:20:19,020 --> 00:20:23,300
+بيقول الله سهل عليك إيه بتشتغل تمام؟ هذا إذا الطفل
+
+264
+00:20:23,300 --> 00:20:28,160
+قبل ما إيه؟ طب غير الطفل غير الطفل إذا احنا ضربنا
+
+265
+00:20:28,160 --> 00:20:31,920
+above the sacral center يعني جتعنا الإتصال بين ال
+
+266
+00:20:31,920 --> 00:20:35,610
+center هذاوالـ higher centers اللي فيها
+
+267
+00:20:35,610 --> 00:20:38,150
+facilitation وفيها inhibition، يعني أنا ضيعت ال
+
+268
+00:20:38,150 --> 00:20:42,010
+continuous inhibition لل center هذا، تمام؟ فبقدر
+
+269
+00:20:42,010 --> 00:20:45,210
+ال center، برشع تاني زي الطفل، كل ما بيجي إشارة من
+
+270
+00:20:45,210 --> 00:20:48,050
+ال stitch receptors أنه في عندي intravascular
+
+271
+00:20:48,050 --> 00:20:50,910
+pressure عالي، بقوله، حاضر يا مولايا، اتفضل، و
+
+272
+00:20:50,910 --> 00:20:56,560
+بطلع، تمام؟بفرخ كل حياته لإن هيك ال reflex بعدين
+
+273
+00:20:56,560 --> 00:20:59,660
+بيسكر وبعدين بيبدأ يعبّي من جديد لحد ما على الضغط
+
+274
+00:20:59,660 --> 00:21:03,240
+فوق الأربعمائة ملي بيزيد الضغط شوية فبيبدأ أعمللي
+
+275
+00:21:03,240 --> 00:21:07,480
+ال reflex أسرع تمام فبيدينا ايه ال .. ال .. ال
+
+276
+00:21:07,480 --> 00:21:11,000
+reflex إذا هذا ايه بيسميه automatic مش atonic ال
+
+277
+00:21:11,000 --> 00:21:14,120
+atonic لأ فيش tone فيش reflex شغال هذا ال reflex
+
+278
+00:21:14,120 --> 00:21:19,000
+intact لكنه مالوش higher centers إذا هذا بيحصل مع
+
+279
+00:21:19,000 --> 00:21:23,410
+spinal cord injury لل إيه؟above the center above
+
+280
+00:21:23,410 --> 00:21:25,950
+the center مش لأن ال center نفسه above the center
+
+281
+00:21:25,950 --> 00:21:28,770
+يعني مانع ال facility اللي هو ال a ال inhibitory
+
+282
+00:21:28,770 --> 00:21:34,170
+النوع التالت غريب جدا انه بشكل من الأشكال لجينا في
+
+283
+00:21:34,170 --> 00:21:41,790
+عندنا some sort of ال inhibitory signals هي بتنضرب
+
+284
+00:21:41,790 --> 00:21:47,890
+يعني عندي مشكلة في ال in the cerebral cortexمن
+
+285
+00:21:47,890 --> 00:21:55,470
+خلال ال CVA نظيف
+
+286
+00:21:55,470 --> 00:21:59,710
+او جلطة او كده تؤدي الى إصابة بتؤدي الى ال
+
+287
+00:21:59,710 --> 00:22:04,110
+inhibitory signals مش شغالة شغالة ال facilitative
+
+288
+00:22:04,110 --> 00:22:09,590
+في ال brainstem فكل ما بتيجي لسه نقطةمش زي ال
+
+289
+00:22:09,590 --> 00:22:13,730
+automatic مش ثانية انه تدي إشارة محترمة لأ أي نقطة
+
+290
+00:22:13,730 --> 00:22:17,710
+بتعملها facilitation فدايما ال bladder فاضية ال
+
+291
+00:22:17,710 --> 00:22:21,090
+automatic مليانة وبتفضأ وبتعود تنطل الأخر هذه
+
+292
+00:22:21,090 --> 00:22:25,130
+أساسا ما بتعبئ كل خمس نقطة عشرة مل خمس عشرة مل
+
+293
+00:22:25,130 --> 00:22:29,330
+تمام بيعملوا reflex strong ليش؟ لأنه ال center
+
+294
+00:22:29,330 --> 00:22:33,510
+facilitated مش inhibited العكس تمام؟ هذا النوع
+
+295
+00:22:33,510 --> 00:22:38,220
+التالت من أيه؟من ال abnormalities في ال bladder
+
+296
+00:22:38,220 --> 00:22:41,400
+اذا في عندى atomic bladder في عندى automatic
+
+297
+00:22:41,400 --> 00:22:45,740
+bladder في عندى uninhibited neurogenic مرة نقولها
+
+298
+00:22:45,740 --> 00:22:49,320
+neurogenic مرة نقولها uninhibited neurogenic بمعنى
+
+299
+00:22:49,320 --> 00:22:51,260
+ان اللي بيجي فيها بطلع اللي بيجي فيها بطلع لإن ال
+
+300
+00:22:51,260 --> 00:22:55,700
+inhibitor ايه؟ signals ايش؟ راحت الموضوع التاني
+
+301
+00:22:55,700 --> 00:22:58,480
+اللي هنبدأ فيه احنا خلصنا ده كلمة curation اليوم
+
+302
+00:22:58,480 --> 00:23:02,320
+انا اتمنى ان اقدر اخلص الموضوع ده ضايلنا ساعة مش
+
+303
+00:23:02,320 --> 00:23:10,660
+هيكاليوم موضوع جديد و هو خلاصة دراستنا في الكيليا
+
+304
+00:23:10,660 --> 00:23:16,740
+دراستنا في الكيليا و ال physiology of the renal
+
+305
+00:23:16,740 --> 00:23:22,280
+system المحصلة انه هنعرف طيب بعد كده هنتواجه
+
+306
+00:23:22,280 --> 00:23:26,140
+بمشاكل و أمراض الكيليا تمام؟ و قبل ما نتواجه
+
+307
+00:23:26,140 --> 00:23:29,760
+بمشاكل و أمراض الكيليا هنرجع مع بعض ال diuretics
+
+308
+00:23:29,760 --> 00:23:32,400
+احنا اتكلمنا عن تلت اربع أنواع من ال diuretics
+
+309
+00:23:32,400 --> 00:23:41,230
+لكنهفي نوعين احنا لسه ماجيبنا هى search هم تمام
+
+310
+00:23:41,230 --> 00:23:43,570
+ال diuretics اذا احنا متذكرين مع بعض فاكرين ال
+
+311
+00:23:43,570 --> 00:23:46,690
+diuretics وقولنا في عندنا ايش عندنا في loop
+
+312
+00:23:46,690 --> 00:23:52,710
+diuretics مش هيك وقولنا thiazide diuretics وين ال
+
+313
+00:23:52,710 --> 00:23:56,410
+thiazide diuretics كانت بتشتغل على ال early early
+
+314
+00:23:56,410 --> 00:24:03,210
+distal مش هيك وقولنا عندناAnti aldosterone مش كده
+
+315
+00:24:03,210 --> 00:24:06,670
+Aldosterone antagonist بتشتغل وين ال aldosterone
+
+316
+00:24:06,670 --> 00:24:10,070
+antagonist على ال net distal و ال connecting و ال
+
+317
+00:24:10,070 --> 00:24:14,510
+collecting مش هيك تمام هذول تلت أنواع احنا اتكلمنا
+
+318
+00:24:14,510 --> 00:24:18,270
+عنهم فى كمان نوعين اخرين احنا ماتكلمناش عنهم او
+
+319
+00:24:18,270 --> 00:24:21,610
+تلت أنواع فى تلت أنواع اخر احنا ماتكلماش عنها
+
+320
+00:24:21,610 --> 00:24:27,910
+النوع الاول اللى بيسميه osmotic diuresis يعني هذول
+
+321
+00:24:27,910 --> 00:24:33,650
+الموادأنا ممكن أعطيها عن طريق الدم و تخش الدم و
+
+322
+00:24:33,650 --> 00:24:37,890
+تطلع بال filtrate ال glomeral filtrate لكنها
+
+323
+00:24:37,890 --> 00:24:44,510
+unabsorbable و هي طالعة لازم تاخد معاها ايه
+
+324
+00:24:44,510 --> 00:24:47,450
+according to the osmotic effect of these particles
+
+325
+00:24:47,450 --> 00:24:51,430
+ياخدوا معاهم مياه بزيادة فبيعملوا diuresis هذا
+
+326
+00:24:51,430 --> 00:24:56,730
+بنستخدمه احنا كتير ال money tollالمانيتول نستخدمه
+
+327
+00:24:56,730 --> 00:25:00,890
+و لو احنا حطينا في الدم حاجاننا ال sucrose السكر
+
+328
+00:25:00,890 --> 00:25:04,730
+اللي احنا بنشربه السكر مش ال glucose ال glucose ما
+
+329
+00:25:04,730 --> 00:25:07,550
+هو في الدم موجود بس لو انا اديته ال glucose اللي
+
+330
+00:25:07,550 --> 00:25:13,710
+هو ال sucrose لو حطيته هذا في الدم مباشرة طبيعي مش
+
+331
+00:25:13,710 --> 00:25:17,210
+موجود في الدم هو تمام؟ برضه بيصيرله filtration لكن
+
+332
+00:25:17,210 --> 00:25:21,370
+بيصيرلهش ايه؟ reabsorption لأنه أساسا هو اشي غريب
+
+333
+00:25:21,370 --> 00:25:25,600
+كيف دخلهالذن لو انا حاطيت sucrose او حاطيت manitol
+
+334
+00:25:25,600 --> 00:25:29,520
+او اي مادة زي هيك حجمها تستطيع اسمها تلعب ال
+
+335
+00:25:29,520 --> 00:25:33,060
+filtration و مالهاش ال absorption هتطلع او تاخد
+
+336
+00:25:33,060 --> 00:25:38,340
+معاها ايه؟و بتاخد معها .. by .. by osmotic effect
+
+337
+00:25:38,340 --> 00:25:43,000
+هتاخد معها its own water و بما أنها not absorbed ف
+
+338
+00:25:43,000 --> 00:25:46,980
+.. فهيطلع كمية كبيرة من ال water معاها تمام؟ اذا
+
+339
+00:25:46,980 --> 00:25:50,440
+بنسميها osmotic diuresis .. osmotic diuresis
+
+340
+00:25:50,440 --> 00:25:53,680
+نستخدمها احنا دايما في المستشفيات في ال .. ان احنا
+
+341
+00:25:53,680 --> 00:25:58,320
+نستخدم اه IV من ال dimethyl مثلا مش ال sucrose، ال
+
+342
+00:25:58,320 --> 00:26:02,490
+sucrose كلف عليه هل هو nephrotoxic ولا لأتمام؟ بس
+
+343
+00:26:02,490 --> 00:26:06,810
+فى التجارب ممكن يستخدم اللى؟ السكروز كتير لكن فى
+
+344
+00:26:06,810 --> 00:26:10,290
+العملية اللى مستخدمه ال manitol oil و مجموعة من
+
+345
+00:26:10,290 --> 00:26:16,770
+أخواته هذا النوع الرابع تمام؟ النوع الخامس احنا
+
+346
+00:26:16,770 --> 00:26:21,910
+قولنا ال carbonic anhydrase فاكرينه اللى بيساعد
+
+347
+00:26:21,910 --> 00:26:27,610
+عملية الأها اتحاد بين الميه و carbon dioxide يعملي
+
+348
+00:26:27,610 --> 00:26:33,310
+carbonic acid وقلنا هذا بيسرع عملية ايه التفاعل
+
+349
+00:26:33,310 --> 00:26:37,990
+خمس ألف مرة مش كده عن الطبيعي فقصد وقفته انا هذا
+
+350
+00:26:37,990 --> 00:26:41,410
+معناه ال bi carbonate بتكلم عنه انا مش حاسسله لأ
+
+351
+00:26:41,410 --> 00:26:44,290
+ريحه absorption و secretion تمام اذا اذا بتكلم مع
+
+352
+00:26:44,290 --> 00:26:47,970
+ال proximal tubule واستخدمنا inhibitor لهذا ال
+
+353
+00:26:53,920 --> 00:27:03,520
+نستخدمله inhibitor اعتقد نمرة خمسة نمرة أربعة
+
+354
+00:27:03,520 --> 00:27:09,740
+اذا كاربونيك انهيدرز انهيبتر اسيتازولامايد
+
+355
+00:27:10,210 --> 00:27:15,150
+acetazolamide هذا اليوم احنا مانستخدموه حقيقة ك
+
+356
+00:27:15,150 --> 00:27:19,670
+diuretic بس مستخدمه أحيانا في حالة ما يكون فيه
+
+357
+00:27:19,670 --> 00:27:26,530
+اندوجلوكامة في العيون مستخدمه علشان يساعد انه
+
+358
+00:27:26,530 --> 00:27:33,810
+مايتكونش ميه كتير في داخل العين اللي هو عمالة
+
+359
+00:27:33,810 --> 00:27:37,850
+للجلوكامة نسميها ميه زرقه تمام؟ مستخدمها أحيانا
+
+360
+00:27:39,170 --> 00:27:43,230
+لكنه هادى لو وقفنا اذا هو بيشتغل عن طريق انه يمنع
+
+361
+00:27:43,230 --> 00:27:46,730
+reabsorption of بيكربونيت في ال proximal tubule
+
+362
+00:27:46,730 --> 00:27:51,270
+معناه لو تركناه هيطلع البيكربونيت وياخد معاه
+
+363
+00:27:51,270 --> 00:27:57,210
+osmosis بيوزموزس هياخد معاه ميه اكتر مش كده النقطة
+
+364
+00:27:57,210 --> 00:28:01,690
+الأخيرة اللي احنا ماتكلمناش عنها اللي هياحنا في
+
+365
+00:28:01,690 --> 00:28:08,510
+عندنا نوع من ال diuretics بيشتغل على ال .. على ال
+
+366
+00:28:08,510 --> 00:28:11,250
+collecting tubule، على ال collecting duct و ال
+
+367
+00:28:11,250 --> 00:28:13,910
+collecting tube و ال distal، لكن هو مش عن طريق ال
+
+368
+00:28:13,910 --> 00:28:20,070
+.. ال antagonism لل .. لل ال دستيران، تمام؟لأ مش
+
+369
+00:28:20,070 --> 00:28:22,650
+sodium channel اللي متكلم عنه اللي بيشتغل على ال
+
+370
+00:28:22,650 --> 00:28:25,990
+.. زي ال thiazide، thiazide sodium channel، لأ
+
+371
+00:28:25,990 --> 00:28:29,630
+بيشتغل بعد هذه المنطقة، بيشتغل على ال distal و ال
+
+372
+00:28:29,630 --> 00:28:32,110
+collecting، ال aldosterone بيشتغل على ال distal و
+
+373
+00:28:32,110 --> 00:28:34,650
+ال collecting، لكن ال sodium channel بيشتغلش على
+
+374
+00:28:34,650 --> 00:28:38,050
+المنطقة هذه، بيشتغل ايه؟ على ال early، thiazide،
+
+375
+00:28:38,050 --> 00:28:44,970
+لكن ايه؟ بيشتغل على .. بيمنع ال reabsorption of
+
+376
+00:28:44,970 --> 00:28:53,580
+potassiumInhibits sodium and also inhibits sodium
+
+377
+00:28:53,580 --> 00:28:57,100
+reabsorption and potassium secretion، ما هو في هذه
+
+378
+00:28:57,100 --> 00:29:00,760
+المنطقة، احنا في ال principle cellsتمام؟ بنعمل
+
+379
+00:29:00,760 --> 00:29:05,340
+reabsorption of Sodium مقابل secretion of ايه؟ أو
+
+380
+00:29:05,340 --> 00:29:08,340
+بوتاسيم، في عندي other هدا بيعملها .. بيعملها ..
+
+381
+00:29:08,340 --> 00:29:08,380
+بيعملها .. بيعملها .. بيعملها .. بيعملها ..
+
+382
+00:29:08,380 --> 00:29:08,780
+بيعملها .. بيعملها .. بيعملها .. بيعملها ..
+
+383
+00:29:08,780 --> 00:29:09,300
+بيعملها .. بيعملها .. بيعملها .. بيعملها ..
+
+384
+00:29:09,300 --> 00:29:11,900
+بيعملها .. بيعملها .. بيعملها .. بيعملها ..
+
+385
+00:29:11,900 --> 00:29:13,540
+بيعملها .. بيعملها .. بيعملها .. بيعملها ..
+
+386
+00:29:13,540 --> 00:29:13,580
+بيعملها .. بيعملها .. بيعملها .. بيعملها ..
+
+387
+00:29:13,580 --> 00:29:15,180
+بيعملها .. بيعملها .. بيعملها .. بيعملها ..
+
+388
+00:29:15,180 --> 00:29:20,230
+بيعملها .. بيهو بيمنع ال secretion of Potassium
+
+389
+00:29:20,230 --> 00:29:25,270
+وقلنا عنه هذا Potassium Sparing Antidiuretic مش
+
+390
+00:29:25,270 --> 00:29:28,050
+كده؟ في عندنا حاجة زيه لكنه مش بيشتغل عبر
+
+391
+00:29:28,050 --> 00:29:32,650
+الالدوسترون اللي هو زي ال ameliorite و زي ال
+
+392
+00:29:32,650 --> 00:29:37,470
+triametrine triametrine بيشتغلوا هدول انهيبط
+
+393
+00:29:37,470 --> 00:29:41,190
+Sodium Reabsorption and Potassium Secretion in
+
+394
+00:29:41,190 --> 00:29:43,730
+collecting tubules similar to the effect of
+
+395
+00:29:43,730 --> 00:29:48,380
+spironolactone however at the cellular levelهذه
+
+396
+00:29:48,380 --> 00:29:52,520
+الدراجات تعمل مباشرة للدخول للصوديوم على الاتصالات
+
+397
+00:29:52,520 --> 00:29:59,200
+نفسها على مستوى الالدوستيروان هذه الدراجات تعمل
+
+398
+00:29:59,200 --> 00:30:02,080
+مباشرة للدخول الصوديوم إلى اتصالات الصوديوم
+
+399
+00:30:02,080 --> 00:30:06,020
+للمنبرة
+
+400
+00:30:06,020 --> 00:30:09,840
+الليومية للجمعات الافيثيالية
+
+401
+00:30:13,840 --> 00:30:19,340
+بسبب تدخل السوديوم للسلسل المادية تدخل أيضًا تدخل
+
+402
+00:30:19,340 --> 00:30:22,940
+تدخل السوديوم المتواصل على السلسل من بيزوهولاترام
+
+403
+00:30:22,940 --> 00:30:25,020
+ومن هنا تدخل تدخل تدخل تدخل تدخل تدخل تدخل تدخل
+
+404
+00:30:25,020 --> 00:30:30,320
+تدخل تدخل تدخل تدخل تدخل تدخل تدخل تدخل تدخل تدخل
+
+405
+00:30:30,320 --> 00:30:30,960
+تدخل تدخل تدخل تدخل تدخل تدخل تدخل تدخل تدخل تدخل
+
+406
+00:30:30,960 --> 00:30:31,160
+تدخل تدخل تدخل تدخل تدخل تدخل تدخل تدخل تدخل تدخل
+
+407
+00:30:31,160 --> 00:30:41,320
+تدخل تدخل تد
+
+408
+00:30:41,940 --> 00:30:44,560
+اللي اتكلمنا عنه احنا كان بيشتغل على ال ايه؟ على
+
+409
+00:30:44,560 --> 00:30:47,760
+ال early لكن ايه ده بيشتغل على ال ديسترل، على كل
+
+410
+00:30:47,760 --> 00:30:51,820
+دي بتنجرح امليونايد، تراميترين، اذا انها يعني صار
+
+411
+00:30:51,820 --> 00:30:56,120
+عندنا ست انواع من ال antidiuretics في تلاتة
+
+412
+00:30:56,120 --> 00:31:00,140
+اتكلمنا عنهم بالتفصيل زمان وفي نوعين احنا الآن
+
+413
+00:31:00,140 --> 00:31:05,040
+جيبنا سلطف من أول و جديد مهمش انا أشجعهم مع بعض من
+
+414
+00:31:05,040 --> 00:31:11,120
+أول ال .. أول واحد عندي انا ismotic diuresisالثاني
+
+415
+00:31:11,120 --> 00:31:18,560
+اللي هو loop diuretics تمام والتالت اللي هو
+
+416
+00:31:18,560 --> 00:31:22,320
+thiazide diuretics تنهيب ال sodium chloride in
+
+417
+00:31:22,320 --> 00:31:29,480
+early distal tubules تمام وهذا اللي هو اللي
+
+418
+00:31:29,480 --> 00:31:34,000
+بيشتغله على ال sodium chloride على ال channel
+
+419
+00:31:40,280 --> 00:31:44,330
+مافيش عندى ايه اتنين chlorideالتالت هو احنا
+
+420
+00:31:44,330 --> 00:31:47,790
+اتكلمنا عنه صحيح اللي هو ال .. ال .. ال sodium
+
+421
+00:31:47,790 --> 00:31:51,890
+channel blocker الترايمترين وال .. تمام؟ اذا هذا
+
+422
+00:31:51,890 --> 00:31:55,570
+بيشكل early بيشكل ال inhibition على ال pumping
+
+423
+00:31:55,570 --> 00:31:58,750
+system نفسه لكن التالت بيشكل على ال .. ال sodium
+
+424
+00:31:58,750 --> 00:32:02,130
+channel blocker أنا اللي غلطت، okay؟ اذا هو ال
+
+425
+00:32:02,130 --> 00:32:04,810
+sodium channel زي ما قلت يا سالي انت، مظبوط ال
+
+426
+00:32:04,810 --> 00:32:08,310
+sodium channel blocker اللي هو اخو ال ايه؟ ال ..
+
+427
+00:32:08,310 --> 00:32:11,150
+ال aldosterone antagonist بس واحد بيشكل على ال
+
+428
+00:32:11,150 --> 00:32:14,200
+basal membrane واحد بيشكل على ال ايه؟على ال
+
+429
+00:32:14,200 --> 00:32:17,340
+membrane الابيكالية طيب اذا in general احنا كنا
+
+430
+00:32:17,340 --> 00:32:22,540
+ذاكران اربع انواع مش تلاتة بيظل عندنا الحاجتين هم
+
+431
+00:32:22,540 --> 00:32:27,360
+اضافة ال carbonic anhydrase inhibitor و ال ايه و
+
+432
+00:32:27,360 --> 00:32:35,180
+ال ال هو ال osmotic diuresis الان نتكلم على
+
+433
+00:32:35,180 --> 00:32:38,340
+الموضوع الأخير اللي هناخده احنا ال kidney diseases
+
+434
+00:32:38,340 --> 00:32:43,880
+kidney diseasesDiseases of the kidney are among
+
+435
+00:32:43,880 --> 00:32:47,520
+the most important causes of death and disability
+
+436
+00:32:47,520 --> 00:32:51,300
+in many countries throughout the world لذن مهم جدا
+
+437
+00:32:51,300 --> 00:32:56,640
+نعرف أن أمراض الكلقة هذه مشكلة عالمية مشكلة عالمية
+
+438
+00:32:56,640 --> 00:33:02,200
+في حبوط الكلقة و الوفيات و هم تبعها من علاج مكلف
+
+439
+00:33:02,200 --> 00:33:10,750
+العلاج مكلف عبارة عنيا إما بدنا نعمل غسل ال .. غسل
+
+440
+00:33:10,750 --> 00:33:14,230
+الكيلة زي ما بقوله اللي هو hemodialysis أو أرواح
+
+441
+00:33:14,230 --> 00:33:18,330
+ال dialysis in general اللي هتكلم عنها أو إنه في
+
+442
+00:33:18,330 --> 00:33:24,170
+الآخر بدنا نعمل عملية إيه نقل الكيلة، تمام؟ طيب
+
+443
+00:33:24,170 --> 00:33:31,070
+إحنا عندنا الأمراض الكيلة نوعين أمراض acute بتعدى
+
+444
+00:33:31,800 --> 00:33:35,040
+بترجع طبيعي في الغالب ممكن ال acute diseases
+
+445
+00:33:35,040 --> 00:33:39,120
+هتحتاج في النص شوية مساعدة غسل مرة او مرتين او
+
+446
+00:33:39,120 --> 00:33:42,480
+تلاتة و لحد ما ترجع طبيعي لكن عندنا chronic
+
+447
+00:33:42,480 --> 00:33:47,000
+diseases chronic renal failure مدام احنا وصلنا ل
+
+448
+00:33:47,000 --> 00:33:52,040
+chronic renal failure هذا ايش ما اعمل انا بعمل
+
+449
+00:33:52,040 --> 00:33:56,280
+مؤقتا لحين ما اناجي كلية مناسبةيعني الغسل اللي بقى
+
+450
+00:33:56,280 --> 00:34:00,580
+بتتم في ال electronic هو عبارة عن عمل توصيلنا لمين
+
+451
+00:34:00,580 --> 00:34:04,560
+لإن اللاجة كيليا لإنه ده موصلنا للاجة الكيليا
+
+452
+00:34:04,560 --> 00:34:08,460
+المناسب لها ده اللي هي المريض تمام؟ إذا هو الأنسب
+
+453
+00:34:08,460 --> 00:34:12,960
+له أنه يعمل transplantation لكن في هالطريقة عشان
+
+454
+00:34:12,960 --> 00:34:17,920
+مايموتش منها إلى حد من اللاجة كيليا مناسبة تمام؟
+
+455
+00:34:22,710 --> 00:34:33,310
+على سبيل المثال في سنة 2004 اكتشاف اكتشاف
+
+456
+00:34:33,310 --> 00:34:37,630
+اكتشاف اكتشاف اكتشاف اكتشاف اكتشاف اكتشاف اكتشاف
+
+457
+00:34:37,630 --> 00:34:38,990
+اكتشاف اكتشاف اكتشاف اكتشاف اكتشاف اكتشاف اكتشاف
+
+458
+00:34:38,990 --> 00:34:39,230
+اكتشاف اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف
+
+459
+00:34:39,230 --> 00:34:39,550
+اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف
+
+460
+00:34:39,550 --> 00:34:40,810
+اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف
+
+461
+00:34:40,810 --> 00:34:47,190
+اكتشف اكتشف ا
+
+462
+00:34:49,210 --> 00:34:54,310
+لما اتكلم عن kidney diseases ممكن تكون خدوا بالكم
+
+463
+00:34:54,310 --> 00:34:58,750
+صيبة الشرايل اللي داخلة على الكيليا او ال
+
+464
+00:34:58,750 --> 00:35:04,650
+glomeruli او ال tubules او ما بعد الكيليا ما بعد
+
+465
+00:35:04,650 --> 00:35:09,530
+ال tubules تمام ال renal ال urinary tract system
+
+466
+00:35:09,530 --> 00:35:14,090
+اللي هو ال pelvis of the kidney ال ureter ال
+
+467
+00:35:14,090 --> 00:35:19,470
+bladder تمام ممكن هان تعملي انامشكلة واتدخلني في
+
+468
+00:35:19,470 --> 00:35:26,250
+chronic renal disease ال acute renal failure
+
+469
+00:35:26,250 --> 00:35:32,930
+بيسموله تلت أخسان، يا إما أسباب ال acute renal
+
+470
+00:35:32,930 --> 00:35:37,240
+failure بنقسم لتلت أخسان، يا إما أسباب جايةجابل ما
+
+471
+00:35:37,240 --> 00:35:42,420
+نصل الكلية، يعني blood pressure، hypotension، إش
+
+472
+00:35:42,420 --> 00:35:46,260
+إيه؟ جابل الكلية متعلق بال blood vessels، يا إما
+
+473
+00:35:46,260 --> 00:35:50,540
+في الكلية نفسها، يا إما بعد الكلية، إذا عندي pre
+
+474
+00:35:50,540 --> 00:35:54,620
+-renal causes، pre-renal acute failure caused by
+
+475
+00:35:54,620 --> 00:35:57,800
+decreased blood flow to the kidney، أي سبب بيقدّي
+
+476
+00:35:57,800 --> 00:36:03,000
+إلى أن الدغط يمطعقبل الضغط العام يوتى معناه
+
+477
+00:36:03,000 --> 00:36:07,480
+الكيليا بيصلهاش دم كافي معناها بتخش في ايه في
+
+478
+00:36:07,480 --> 00:36:10,560
+acute renal failure بس الميزة في acute renal
+
+479
+00:36:10,560 --> 00:36:14,880
+failure انه reversible يعني mostly reversible الا
+
+480
+00:36:14,880 --> 00:36:19,320
+اذا مدة ال insult اجت مدة طويلة يعني اذا دخلتوا
+
+481
+00:36:19,320 --> 00:36:23,060
+acute renal failure الhypotension مدة طويلة مش
+
+482
+00:36:23,060 --> 00:36:27,820
+هتصحى الكيليا كاملة و لو صح صحت شوية جزئيا حرق
+
+483
+00:36:27,820 --> 00:36:31,300
+ممكن ايهلكن انا لو شورت تايم انتبهت خششنا في high
+
+484
+00:36:31,300 --> 00:36:34,800
+potential شورت تايم والحجنا حالنا بسرعة صلحنا الدم
+
+485
+00:36:34,800 --> 00:36:39,700
+ممكن نرجع ايه؟ طبيعي يعني تخش في failure اسبوع
+
+486
+00:36:39,700 --> 00:36:43,860
+تمان ديام عشر ديام اسبوعين وبعدين ترجع ايه؟ لأنها
+
+487
+00:36:43,860 --> 00:36:46,860
+reversible ال acute renal failure اذا في عندى pre
+
+488
+00:36:46,860 --> 00:36:52,660
+-renal causes mainly decrease blood flow to the
+
+489
+00:36:52,660 --> 00:36:57,260
+kidney عندى intra-renal causes intra-renal acute
+
+490
+00:36:57,260 --> 00:37:01,910
+renal failureتمام؟ عندي أشياء في داخل الكلية هذي
+
+491
+00:37:01,910 --> 00:37:08,970
+في العادة ممكن تكون acute و ممكن هذي تمتد ال
+
+492
+00:37:08,970 --> 00:37:12,930
+siliconic نفس ال acute ال intrarenal causes هدول
+
+493
+00:37:12,930 --> 00:37:18,030
+ممكن يعدوا حسب ال .. يعني عندي glomeruliferitis
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/wsNmlhvh6hM_raw.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/wsNmlhvh6hM_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..c4d64a38cc664cc73c5c557928d9a37b584c211f
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/wsNmlhvh6hM_raw.srt
@@ -0,0 +1,1992 @@
+1
+00:00:06,120 --> 00:00:12,860
+بسم الله الرحمن الرحيم بدأنا الحديث عن ال make
+
+2
+00:00:12,860 --> 00:00:22,200
+duration reflex وقلنا انه
+
+3
+00:00:22,200 --> 00:00:30,880
+بيحتاج الى sensory part و center و الى efferent او
+
+4
+00:00:30,880 --> 00:00:31,460
+motor
+
+5
+00:00:37,020 --> 00:00:43,740
+بهمني تفهموا أنه التلاتة parts هدول are important،
+
+6
+00:00:43,740 --> 00:00:51,560
+يعني لو ال afferent راح، صار إصابة فيه، مش هيصير
+
+7
+00:00:51,560 --> 00:00:54,760
+ال menstruation reflex، وعملية ال menstruation مش
+
+8
+00:00:54,760 --> 00:00:59,300
+هتصير، لإن هد مش voluntary actتحتاج إلى وجود ال
+
+9
+00:00:59,300 --> 00:01:04,540
+motor لأ تحتاج .. هذه reflex تحتاج إلى sensory هو
+
+10
+00:01:04,540 --> 00:01:09,020
+ينبهي ال center و reflex لل center بيبعتله ال
+
+11
+00:01:09,020 --> 00:01:15,160
+motor contraction عشان يقدّي الغرض المطلوب تمام؟
+
+12
+00:01:15,160 --> 00:01:25,040
+طيب اتكلمنا احنا عن تفاصيل ال .. ال
+
+13
+00:01:25,040 --> 00:01:30,800
+.. ال nutritionreflex لكننا بنعرف بعض الحقائق
+
+14
+00:01:30,800 --> 00:01:39,100
+الأخرى عليه تمام؟ بعض الحقائق الأخرى
+
+15
+00:01:39,100 --> 00:01:43,800
+الحقائق what when the bladder is only partially
+
+16
+00:01:43,800 --> 00:01:50,220
+filled these menstruation contractions usually
+
+17
+00:01:50,220 --> 00:01:54,160
+relax اتكلمنا عن ال menstruation waves قولنا كل ما
+
+18
+00:01:54,160 --> 00:01:59,540
+بيزيد ال bladder contentsاعتقد هذه موجودة قبل هنا
+
+19
+00:01:59,540 --> 00:02:04,900
+موجودة اتكلم عنها اتكلم عنها باختصار okay اذا كل
+
+20
+00:02:04,900 --> 00:02:10,620
+ما انه ال bladder waves هذه كل ما بيزيد ال filling
+
+21
+00:02:10,620 --> 00:02:17,520
+تبع ال bladder بيزيد ال intensity و ال frequency
+
+22
+00:02:17,520 --> 00:02:23,180
+تبع ال migration waves تمام لحد level معين ال
+
+23
+00:02:23,180 --> 00:02:27,580
+migration waves هذهبقدّي إلي contraction .. strong
+
+24
+00:02:27,580 --> 00:02:31,660
+contraction في ال .. in the trouser muscle فبيزيد
+
+25
+00:02:31,660 --> 00:02:36,580
+ال introvesical pressure لدرجة إنه ممكن يفتح و ي
+
+26
+00:02:36,580 --> 00:02:40,460
+expose ال bladder neck receptors لل pressure هذا
+
+27
+00:02:40,460 --> 00:02:44,700
+فبديني stronger reflex في الحالة هذه ببدأ أنا أحس
+
+28
+00:02:44,700 --> 00:02:48,720
+ال desire of urination و بديني strong reflex على
+
+29
+00:02:48,720 --> 00:02:54,870
+إنه إيه يصير urinationالان اذا كانت الظروف مناسبة
+
+30
+00:02:54,870 --> 00:02:59,150
+او اذا بتكلم عن ولد صغير هيصير urination طبيعي لكن
+
+31
+00:02:59,150 --> 00:03:02,230
+في ال adult بتبقى ال menstruation center دايما
+
+32
+00:03:02,230 --> 00:03:07,070
+under inhibition under inhibition voluntary من ال
+
+33
+00:03:07,070 --> 00:03:14,050
+cerebral cortex و brain stem signals
+
+34
+00:03:14,050 --> 00:03:21,010
+inhibiting ال menstruation centerبحيث انه هذا
+
+35
+00:03:21,010 --> 00:03:25,450
+مابصيرش الا under voluntary desire انه اه okay
+
+36
+00:03:25,450 --> 00:03:31,430
+تمام فبيبدأ عندي هان ال .. ال inhibition هذا اذا
+
+37
+00:03:31,430 --> 00:03:37,730
+كان ال desire موجودة .. اذا كان ال desire موجودة و
+
+38
+00:03:37,730 --> 00:03:43,100
+ال inhibition بدأ يختفيفممكن يصير عنده ال a front
+
+39
+00:03:43,100 --> 00:03:48,740
+لل internal sphincter و a front لل external
+
+40
+00:03:48,740 --> 00:03:51,380
+sphincter يؤدي الى ال maturation act
+
+41
+00:03:56,520 --> 00:04:04,940
+ال .. ال .. ال .. ال .. فيه inhibitory signals
+
+42
+00:04:04,940 --> 00:04:09,800
+لازمة موجودة حتى لو صار reflex relaxation under
+
+43
+00:04:09,800 --> 00:04:13,870
+strong intravysicalعن طريق البراشر وعن طريق
+
+44
+00:04:13,870 --> 00:04:19,970
+مكتورشين رفليكس يديني رلاكسيشن of the internal
+
+45
+00:04:19,970 --> 00:04:24,430
+sphincter ممكن يضالع في عيني strong contractions
+
+46
+00:04:24,430 --> 00:04:28,390
+of the external sphincter لتسمح بذلك وتمنع
+
+47
+00:04:28,390 --> 00:04:34,010
+المكتورشين يتم okay طيب إذا في عيني براشر بقدي إلى
+
+48
+00:04:34,010 --> 00:04:34,370
+waves
+
+49
+00:04:37,250 --> 00:04:40,550
+خلّيني اتكلم عنها بيقول انه أثناء ما يكون ال
+
+50
+00:04:40,550 --> 00:04:44,150
+pressure ال content of the bladder zero ال
+
+51
+00:04:44,150 --> 00:04:46,950
+pressure بيكون zeroلما يزيد ال content من تلاتين
+
+52
+00:04:46,950 --> 00:04:50,970
+لخمسين ملي لتر بيرتفع ال pressure من خمسة الى عشرة
+
+53
+00:04:50,970 --> 00:04:55,330
+centimeter water لو زيدنا لحد الاربعميت ملي لتر
+
+54
+00:04:55,330 --> 00:04:59,250
+content في ال bladder بيلاقي ال pressure إلى حد ما
+
+55
+00:04:59,250 --> 00:05:02,490
+مابدغيرش ال pressure ده يعني ال tone of the
+
+56
+00:05:02,490 --> 00:05:06,650
+detrous muscle إذا زاد عن هيك بيبدأ عندي إشارات
+
+57
+00:05:06,650 --> 00:05:14,860
+بيبدأ تعملني the bladderمزيد من الوضع يجعل الوضع
+
+58
+00:05:14,860 --> 00:05:21,960
+يرتفع بسرعة وهذا يؤدي الى مكتوشن ويفز اكتر واسرع
+
+59
+00:05:21,960 --> 00:05:26,080
+زي ما اتكلمنا من شوية كويس؟ طيب اذا ناخد بعض
+
+60
+00:05:26,080 --> 00:05:31,800
+المواصفات ل .. طيب as the bladder continues to
+
+61
+00:05:31,800 --> 00:05:36,250
+fillالخطرات المكتورة تصبح أكتر عادية و تسبب في
+
+62
+00:05:36,250 --> 00:05:37,550
+أكتر عادية عادية عادية عادية عادية عادية عادية
+
+63
+00:05:37,550 --> 00:05:38,930
+عادية عادية عادية عادية عادية عادية عادية عادية
+
+64
+00:05:38,930 --> 00:05:46,470
+عادية عادية عادية عادية عادية عادية عادية عادية
+
+65
+00:05:46,470 --> 00:05:46,970
+عادية عادية عادية عادية عادية عادية عادية عادية
+
+66
+00:05:46,970 --> 00:05:49,690
+عادية عادية عادية عادية عادية عادية عادية عادية
+
+67
+00:05:49,690 --> 00:05:51,590
+عادية عادية عادية عادية عادية عادية عادية عادية
+
+68
+00:05:51,590 --> 00:05:51,670
+عادية عادية عادية عادية عادية عادية عادية عادية
+
+69
+00:05:51,670 --> 00:05:51,670
+عادية عادية عادية عادية عادية عادية عادية عادية
+
+70
+00:05:51,670 --> 00:05:52,750
+عادية عادية
+
+71
+00:05:58,760 --> 00:06:01,620
+الانترا فيزايكال بشعر بيقدّي الى reflex
+
+72
+00:06:01,620 --> 00:06:06,260
+contraction مش كده ال reflex contraction اللي
+
+73
+00:06:06,260 --> 00:06:13,260
+بيعملي more stretch ل ال receptors بيدين stronger
+
+74
+00:06:13,260 --> 00:06:18,300
+contraction بيعمل exposure ل الفيزايكال انترا
+
+75
+00:06:18,300 --> 00:06:21,480
+للbladder
+
+76
+00:06:21,480 --> 00:06:25,280
+neck receptors بيقدّي الى more strong and strong
+
+77
+00:06:25,280 --> 00:06:31,740
+contraction reflexعندما يبدأ مكتوعة رفليكس هو نفس
+
+78
+00:06:31,740 --> 00:06:37,080
+الانتجار اللي هو اكتفاء البلدروهو يجعل الهواتف
+
+79
+00:06:37,080 --> 00:06:44,700
+تتحرك أكتر في المحطة من البلدر والبوستيريو يوريترا
+
+80
+00:06:44,700 --> 00:06:50,440
+وهو يجعلها تتحرك أكتر في محطة البلدر وهي تتحرك
+
+81
+00:06:50,440 --> 00:06:51,240
+أكتر في محطة البلدر وهي تتحرك أكتر في محطة البلدر
+
+82
+00:06:51,240 --> 00:06:51,240
+وهي تتحرك أكتر في محطة البلدر وهي تتحرك أكتر في
+
+83
+00:06:51,240 --> 00:06:53,020
+محطة البلدر وهي تتحرك أكتر في محطة البلدر وهي
+
+84
+00:06:53,020 --> 00:06:57,980
+تتحرك أكتر في محطة البلدر وهي تتحرك أكتر في محطة
+
+85
+00:06:57,980 --> 00:07:03,280
+البلدر وهي تتحرك أكتر في محطة البلدر وهي تتحرك أك
+
+86
+00:07:04,620 --> 00:07:18,720
+التفكير الانتقالي يبدأ بالتفكير والتفكير
+
+87
+00:07:18,720 --> 00:07:24,120
+يبدأ بالتفكير ونعود للوضع اللي كنا فيه والتفكير
+
+88
+00:07:24,120 --> 00:07:28,940
+الانتقالي يبدأ بالتفكير والتفكير يبدأ بالتفكير
+
+89
+00:07:28,940 --> 00:07:34,820
+ونعود للوضع اللي كنا فيهالـ Mectoration Reflex هو
+
+90
+00:07:34,820 --> 00:07:40,580
+مجلس واحد مجلس واحد مكمل مرحلة مرحلة مرحلة مستقل
+
+91
+00:07:40,580 --> 00:07:46,100
+مرحلة مستقل مرحلة مستقل مرحلة مستقل مرحلة مستقل
+
+92
+00:07:46,100 --> 00:07:47,220
+مرحلة مستقل مرحلة مستقل مرحلة مستقل مرحلة مستقل
+
+93
+00:07:47,590 --> 00:07:52,110
+بقال تتكرر لحد وقتاش once a micturation reflex has
+
+94
+00:07:52,110 --> 00:07:55,330
+occurred but has not succeeded in emptying the
+
+95
+00:07:55,330 --> 00:07:58,350
+bladder, the nervous elements of this reflex
+
+96
+00:07:58,350 --> 00:08:03,530
+usually remain in inhibited state for some time,
+
+97
+00:08:04,130 --> 00:08:07,960
+for a few minutes to one hour or moreقبل أن يحدث
+
+98
+00:08:07,960 --> 00:08:11,600
+مكتورات مكتورات أخرى تمام؟ إذا لما يحصل عندى
+
+99
+00:08:11,600 --> 00:08:16,320
+strong contraction و اكسبوز ال neck receptors و
+
+100
+00:08:16,320 --> 00:08:19,880
+بداني reflex strong for mecturation و inhibited
+
+101
+00:08:19,880 --> 00:08:25,240
+برتع بيتكررش بسرعة بيديني فترة كافية لإن أشوف
+
+102
+00:08:25,240 --> 00:08:29,640
+suitable conditions for mecturation as the brother
+
+103
+00:08:29,640 --> 00:08:33,160
+becomes more and more filled mecturation reflexes
+
+104
+00:08:33,160 --> 00:08:38,630
+occur more and more oftenو أكتر و أكتر بسرعة و
+
+105
+00:08:38,630 --> 00:08:44,050
+أكتر
+
+106
+00:08:44,050 --> 00:08:49,330
+و أكتر بسرعة و أكتر بسرعة و أكتر بسرعة و أكتر
+
+107
+00:08:49,330 --> 00:08:51,330
+بسرعة و أكتر بسرعة و أكتر بسرعة و أكتر بسرعة و
+
+108
+00:08:51,330 --> 00:08:51,370
+أكتر بسرعة و أكتر بسرعة و أكتر بسرعة و أكتر بسرعة
+
+109
+00:08:51,370 --> 00:08:51,370
+و أكتر بسرعة و أكتر بسرعة و أكتر بسرعة و أكتر
+
+110
+00:08:51,370 --> 00:08:51,670
+بسرعة و أكتر بسرعة و أكتر بسرعة و أكتر بسرعة و
+
+111
+00:08:51,670 --> 00:08:59,190
+أكتر بسرعة و أكتر بسرعة و أكتر بسرعة و أكتر بسرعة
+
+112
+00:08:59,190 --> 00:09:02,810
+و أكتر بس
+
+113
+00:09:04,010 --> 00:09:17,570
+إذا الانهيبشن أكتر من الانهيبشن
+
+114
+00:09:17,570 --> 00:09:22,830
+اللي بيجيله فبيصير ال urinationيعني هو جايله
+
+115
+00:09:22,830 --> 00:09:25,650
+constriction باستمرار جايله inhibition عبر ال
+
+116
+00:09:25,650 --> 00:09:29,550
+center عبر ال reflex انه to relax إذا ال
+
+117
+00:09:29,550 --> 00:09:31,650
+inhibition اللي جايه عبر ال center أكتر من
+
+118
+00:09:31,650 --> 00:09:35,770
+contraction voluntary contraction فبيصير و إلا
+
+119
+00:09:35,770 --> 00:09:41,910
+بيتوقف و بنتأخر كمان بس بصير انه أسرع أكتر if not
+
+120
+00:09:41,910 --> 00:09:45,450
+enough potent urination will not occur until the
+
+121
+00:09:45,450 --> 00:09:48,890
+bladder fills still further and the mitigation
+
+122
+00:09:48,890 --> 00:09:52,740
+reflex becomes more powerfulإذا بينتظر دورة جديدة
+
+123
+00:09:52,740 --> 00:09:55,660
+دورة جديدة دورة جديدة في الفترة هذه البني آدم في
+
+124
+00:09:55,660 --> 00:09:59,300
+العادة بيكون شايف مكان مناسب وإلا ممكن يصير بعد
+
+125
+00:09:59,300 --> 00:10:02,800
+كده involuntary urination لإن ساعتها يصير ال
+
+126
+00:10:02,800 --> 00:10:08,740
+pressure تبع ال intravicycle pressure عالي و ال
+
+127
+00:10:08,740 --> 00:10:12,340
+reflex very strong و ال inhibition لل internal و
+
+128
+00:10:12,340 --> 00:10:15,900
+ال external أقوى من ال ايه ال voluntary inhibition
+
+129
+00:10:15,900 --> 00:10:19,560
+فهيؤدي إلى ايه من ال voluntary contraction فيؤدي
+
+130
+00:10:19,560 --> 00:10:24,690
+إلى ال urinationطيب الجزئية هذه احنا voluntary و
+
+131
+00:10:24,690 --> 00:10:28,850
+مش voluntary ال external ماشي بنسيتها هنخش طيب كيف
+
+132
+00:10:28,850 --> 00:10:31,450
+انا بتحكم في ال .. يعني وين انا بتدخل في ال ball
+
+133
+00:10:31,450 --> 00:10:34,230
+احنا عندنا center شغال و قولنا عشان يسير ال
+
+134
+00:10:34,230 --> 00:10:38,430
+urination لازم ال internal sphincter ت relax و ال
+
+135
+00:10:38,430 --> 00:10:41,970
+external بياخد وجهة انه يصل ل relaxation و ممكن
+
+136
+00:10:41,970 --> 00:10:48,050
+انا امنع relaxation voluntarily طبعا اذا في عندنا
+
+137
+00:10:48,050 --> 00:10:53,860
+higher centers تتدخل بطريقة ماخلينا نشوف كيف
+
+138
+00:10:53,860 --> 00:10:56,860
+التدخل بالتم، في عندي انا higher centers موجودة في
+
+139
+00:10:56,860 --> 00:11:01,180
+منطقتين، في ال brain stem و في cerebral cortex، في
+
+140
+00:11:01,180 --> 00:11:04,500
+ال brain stem موجود facilitative و inhibitory
+
+141
+00:11:04,500 --> 00:11:09,060
+centers، كيف يعني facilitative؟ يعني انا ممكن
+
+142
+00:11:09,060 --> 00:11:12,840
+تساعدني في انه يصير ال maturation أسرع و أجواء أو
+
+143
+00:11:12,840 --> 00:11:20,430
+واجد مابديبمعنى إنها تساعد الـ sacral center for
+
+144
+00:11:20,430 --> 00:11:25,950
+more potent reflexأو ال inhibitor بتعمل العكس، هذا
+
+145
+00:11:25,950 --> 00:11:31,210
+في الموجود في ال brainstem و موجود أيضا في ال
+
+146
+00:11:31,210 --> 00:11:33,450
+cerebral cortex لكن ال cerebral cortex more
+
+147
+00:11:33,450 --> 00:11:36,570
+inhibitory than ايه؟ يعني موجودة في ال cortex هذا
+
+148
+00:11:36,570 --> 00:11:39,730
+inhibitory center بحيث انه بعد ما الطفل يكبر شوية
+
+149
+00:11:39,730 --> 00:11:45,590
+بيقوى عنده هذا الشعور بحيث انه يبدأ يتحكم بالسمرار
+
+150
+00:11:45,590 --> 00:11:49,390
+انه ال pictorial reflex inhibited إلى أن يصبح له
+
+151
+00:11:50,130 --> 00:11:53,610
+تمام؟ يحتاج كل مرة إلى تصريح خاص مافيش تصريح مفتوح
+
+152
+00:11:53,610 --> 00:11:58,210
+لمدة سنة لأ كل مرة يصير .. يصير .. mectoration
+
+153
+00:11:58,210 --> 00:12:01,850
+لازم نرفع ال inhibition عن مين؟ عن ال center تمام؟
+
+154
+00:12:01,850 --> 00:12:06,550
+لكن في إضافة لذلك ممكن احنا نساعد ال .. ال .. ال
+
+155
+00:12:06,550 --> 00:12:11,850
+.. ال center بإنه نعمل facilitation وهذا بيصير بعد
+
+156
+00:12:11,850 --> 00:12:15,990
+ما احنا يبدأ ال reflex يشتغلفبصير facilitative
+
+157
+00:12:15,990 --> 00:12:19,530
+reflexes تجي او ال signals الى ال center هذا to
+
+158
+00:12:19,530 --> 00:12:22,550
+make stronger urination ا كده بالاضافة لان انا
+
+159
+00:12:22,550 --> 00:12:25,430
+ممكن ابدأ عندي حاجة اسمه voluntary يعني الوقت مش
+
+160
+00:12:25,430 --> 00:12:29,070
+مناسب لكن انا بدي اطلع الآن و بديش في نفس الطريق
+
+161
+00:12:29,070 --> 00:12:32,410
+بقى لأ بدي الآن اعمل urination فال facilitative
+
+162
+00:12:32,410 --> 00:12:38,150
+هذا بساعدني عندنا نتكلم عنه كيف طيب اذا في عندي
+
+163
+00:12:38,150 --> 00:12:41,590
+two centers ال higher center في ال cerebral cortex
+
+164
+00:12:41,590 --> 00:12:49,020
+او اجال منه شوية في الالبرنامج السيم الركزي يبقى
+
+165
+00:12:49,020 --> 00:12:50,380
+رفليكس البرنامج البرنامج البرنامج البرنامج
+
+166
+00:12:50,380 --> 00:12:53,280
+البرنامج البرنامج البرنامج البرنامج البرنامج
+
+167
+00:12:53,280 --> 00:12:58,040
+البرنامج البرنامج البرنامج البرنامج البرنامج
+
+168
+00:12:58,040 --> 00:12:58,520
+البرنامج البرنامج البرنامج البرنامج البرنامج
+
+169
+00:12:58,520 --> 00:12:58,680
+البرنامج البرنامج البرنامج البرنامج البرنامج
+
+170
+00:12:58,680 --> 00:12:58,680
+البرنامج البرنامج البرنامج البرنامج البرنامج
+
+171
+00:12:58,680 --> 00:12:58,680
+البرنامج البرنامج البرنامج البرنامج البرنامج
+
+172
+00:12:58,680 --> 00:13:00,840
+البرنامج البرنامج البرنامج البرنامج البرنامج
+
+173
+00:13:00,840 --> 00:13:04,910
+البرنامج البرنامالمركزين الأعلى يمكن أن يمنع
+
+174
+00:13:04,910 --> 00:13:09,950
+المكتورة حتى لو
+
+175
+00:13:09,950 --> 00:13:11,830
+حدث مكتورة مكتورة مكتورة مكتورة مكتورة مكتورة
+
+176
+00:13:11,830 --> 00:13:12,390
+مكتورة مكتورة مكتورة مكتورة مكتورة مكتورة مكتورة
+
+177
+00:13:12,390 --> 00:13:13,290
+مكتورة مكتورة مكتورة مكتورة مكتورة مكتورة مكتورة
+
+178
+00:13:13,290 --> 00:13:19,450
+مكتورة مكتورة مكتورة مكتورة مكتورة مكتورة مكتورة
+
+179
+00:13:19,450 --> 00:13:20,670
+مكتورة مكتورة مكتورة مكتورة مكتورة مكتورة مكتورة
+
+180
+00:13:20,670 --> 00:13:28,410
+مكتورة مكتورة مكتورة مكتورة مكتورة مكتورة
+
+181
+00:13:34,720 --> 00:13:39,540
+ثلاثة عندما حان الوقت للهروب، يمكن الكورتكاليكي
+
+182
+00:13:39,540 --> 00:13:44,820
+يساعد المركزين المكتولينيين السكريانيين لإنشاء
+
+183
+00:13:44,820 --> 00:13:49,060
+الهروب المكتولينيين وفي نفس الوقت يستخدم الهروب
+
+184
+00:13:49,060 --> 00:13:56,840
+المكتولينيينSo that urination can occur. تمام؟ إذن
+
+185
+00:13:56,840 --> 00:14:00,620
+inhibiting the constriction في الاسفنطر الاجتماعي.
+
+186
+00:14:00,920 --> 00:14:05,040
+voluntary urination، هذه حالة تانية، احنا ال
+
+187
+00:14:05,040 --> 00:14:09,630
+reflex مش شغالتمام؟ مافيش strong meditation
+
+188
+00:14:09,630 --> 00:14:13,650
+reflexes اللي تقولي انا اروح الحمام لأ مش شغال بس
+
+189
+00:14:13,650 --> 00:14:17,010
+انا بدي اطلع و انا عارف ساعتين في الطريق محتاج اني
+
+190
+00:14:17,010 --> 00:14:22,190
+لأ اكون جاهز او بدي اتوضع عشان اضل اصلي لحد ما
+
+191
+00:14:22,190 --> 00:14:25,410
+اروح من الجامعة اصلي الظهر و العصر ايه ممكن فانا
+
+192
+00:14:25,410 --> 00:14:29,460
+بكون جاهز مش كده؟ هنوضع في صلاة المؤمن مش هيك؟طيب
+
+193
+00:14:29,460 --> 00:14:32,700
+فالواحد بيحضر حاله على الفدرة، كيه بيصير هذا؟ ال
+
+194
+00:14:32,700 --> 00:14:36,300
+voluntary urination، first a person voluntarily
+
+195
+00:14:36,300 --> 00:14:40,300
+contracts أبضمنا ال musclesفبيضغط فبيزيد ال
+
+196
+00:14:40,300 --> 00:14:44,240
+pressure و من ضمن انتروفيزاكا ال pressure بيزيد
+
+197
+00:14:44,240 --> 00:14:50,160
+تمام بحيث انه الضغط هزيد يصل ل ال bladder neck ففي
+
+198
+00:14:50,160 --> 00:14:53,620
+ال bladder neck اذا اصل شوية drops of urine هناك
+
+199
+00:14:53,620 --> 00:14:59,180
+فبتعمل strong reflex, mutation reflex تمام؟ هذا
+
+200
+00:14:59,180 --> 00:15:02,160
+supported by facilitative and stopping of
+
+201
+00:15:02,160 --> 00:15:05,120
+inhibitor effects فبيقدر ال ايه؟ ال urination
+
+202
+00:15:07,870 --> 00:15:12,150
+والذي يتفرق تماماً بإنهياب الـ External Ureter
+
+203
+00:15:12,150 --> 00:15:18,870
+Sphincter بشكل عام، كل الهواء سيتفرق
+
+204
+00:15:18,870 --> 00:15:25,690
+5 إلى 10 مليل لتر يتبقوا في البلدر
+
+205
+00:15:25,690 --> 00:15:31,610
+واضح؟ طيب، الآن ماهي الانتشارات اللي احنا من
+
+206
+00:15:31,610 --> 00:15:35,440
+أجلهم، احنا شرحنالكوا كل هذا الكلامعشان لما ايه ال
+
+207
+00:15:35,440 --> 00:15:37,240
+abnormalities ممكن انتوا تتعرفوا تتعاملوا معاها
+
+208
+00:15:37,240 --> 00:15:41,280
+كده تقدروا تفسروها يعني عندنا abnormality
+
+209
+00:15:41,280 --> 00:15:45,820
+الأولانية اسمها atonic bladder atonic bladder يعني
+
+210
+00:15:45,820 --> 00:15:50,820
+البلادر لما تكون فيها عشرة مل عشرين مل تلاتمية مل
+
+211
+00:15:50,820 --> 00:15:57,060
+بتحسيهاش انها عاملة brusher و عاملة tone و مزودة
+
+212
+00:15:57,060 --> 00:16:01,710
+ال intravisable brusher مافيش tone في البلادرتمام؟
+
+213
+00:16:01,710 --> 00:16:06,950
+و ال pressure دايما يعني حسب جديش بتعب مافيش tone
+
+214
+00:16:06,950 --> 00:16:11,930
+صفر لما تنطلي بتبدأ تنطلي و يزيد الضغط عليها بيبدأ
+
+215
+00:16:11,930 --> 00:16:14,190
+ال pressure يعني على في الآخر يعني مافيش tone ان
+
+216
+00:16:14,190 --> 00:16:17,290
+انا محافظة دايما جايسالي جديش فيه ميديها لإشارة
+
+217
+00:16:17,290 --> 00:16:21,670
+جديش في عندى urine volume في الداخل لأ it has no
+
+218
+00:16:21,670 --> 00:16:28,110
+tone ليش؟ مافيش tone لإن ال afferent انقطعالـ
+
+219
+00:16:28,110 --> 00:16:30,750
+afferent مجفع فالـ reflex هذا اللي بيعمل ال tone و
+
+220
+00:16:30,750 --> 00:16:36,250
+بيعمل إشارة مش موجود طب إيش بيصير؟ بيصير إنه ال ..
+
+221
+00:16:36,250 --> 00:16:39,510
+ال center مشولش إشارة إنه في عيلة الضغط ولا ماعليش
+
+222
+00:16:39,510 --> 00:16:43,150
+مافيش .. مافيش إشارة ال afferent nerves مش حساسة
+
+223
+00:16:43,150 --> 00:16:48,110
+فبيضل ال urine volume يزيد يزيد و بعد فترة بيزيد
+
+224
+00:16:48,110 --> 00:16:52,770
+ال intravascular pressure لدرجة معينة بيعمل ليه؟
+
+225
+00:16:54,510 --> 00:16:58,910
+انترا فيزايا كبراشر عالى كتير لدرجة ان هو ممكن
+
+226
+00:16:58,910 --> 00:17:02,970
+انترا فيزايا كبراشر يصير قوته اكتر من ال internal
+
+227
+00:17:02,970 --> 00:17:07,750
+sphincter تمام و اكتر من ال external sphincter فال
+
+228
+00:17:07,750 --> 00:17:15,980
+pressure الداخل يفتحهم تمام و بعدينالسفنكتر سيخرج
+
+229
+00:17:15,980 --> 00:17:23,400
+حتى يكون الضغط داخل البلدر أقل من ضغط السفنكتر
+
+230
+00:17:23,400 --> 00:17:31,940
+تمام؟ اذا عندنا ضغط زاد فتح السفنكتر طلع الفرق في
+
+231
+00:17:31,940 --> 00:17:35,680
+البول و بعدين هبط الضغط في الداخل لأنه تفرغ شوية
+
+232
+00:17:35,680 --> 00:17:39,680
+لما يهبط الضغط يعود السفنكتر إيه؟ بيصير أقوى منانت
+
+233
+00:17:39,680 --> 00:17:43,780
+رافضايك فتتوقف اذا اللحظة ان عندك كل خمس دقايق في
+
+234
+00:17:43,780 --> 00:17:47,280
+شوية ball كل تلت اربع دقايق خمس دقايق في شوية ball
+
+235
+00:17:47,280 --> 00:17:53,220
+بنزل بتوقف بنزل overflow اللي بيزيد عن المليان
+
+236
+00:17:53,220 --> 00:17:57,220
+بنكب ولكن هي ده بيبقى المليانة اذا overflow
+
+237
+00:17:57,220 --> 00:18:02,060
+incontinence اللي الزيادة بتطلع بتبقى المليانة
+
+238
+00:18:02,060 --> 00:18:06,320
+اللي بيجي اكتر من حجمها وقدرتها بيطلع بيتوقف بيطلع
+
+239
+00:18:06,320 --> 00:18:11,470
+بيتوقف بيطلع overflow incontinenceهذه حالة، الآن
+
+240
+00:18:11,470 --> 00:18:15,750
+مالاجهاش إلا إذا كان في عندي انا إصابة ل .. يا إما
+
+241
+00:18:15,750 --> 00:18:18,690
+لل center يا إما إصابة لل afferent اللي بده يودّي
+
+242
+00:18:18,690 --> 00:18:26,190
+لل center تمام؟ fracture لل .. لل sacral centers
+
+243
+00:18:26,190 --> 00:18:30,590
+تمام؟ spinal cord injury بتقدر إلى fracture أو ال
+
+244
+00:18:30,590 --> 00:18:37,320
+nerve انقطع زمان كان في موجود syphilis كتيرزمان
+
+245
+00:18:37,320 --> 00:18:41,100
+كان موجود سفلس كتير مش لإن الناس صارت محترمة كتير
+
+246
+00:18:41,100 --> 00:18:45,920
+لأ صار في علاج في الأيام بس هي يعني انا اعتقد انه
+
+247
+00:18:45,920 --> 00:18:50,560
+ال .. الاباحية الغربية لازال موجود عندهم سفلس بنفس
+
+248
+00:18:50,560 --> 00:18:54,520
+ال .. الكم لكنه بستطيع انهم يعالجوه بالبنسلة يقدر
+
+249
+00:18:54,520 --> 00:18:58,260
+الى انه يوقفوا عند حده السفلس كان زمان يضرب ال ..
+
+250
+00:18:58,260 --> 00:19:04,160
+ال afferent nerves تمام؟ يضرب ال dorsal rootsوهو
+
+251
+00:19:04,160 --> 00:19:08,420
+ال .. ال .. ال .. ال .. ال somatic nerve هو طالع
+
+252
+00:19:08,420 --> 00:19:11,660
+له دورزال روت و ventral rot مش هدا، الدورزال هذا
+
+253
+00:19:11,660 --> 00:19:16,520
+sensory، ال .. ال .. ال ventral motor فبُضرب
+
+254
+00:19:16,520 --> 00:19:20,600
+الدورزال روت، فكان بيسموه دور .. دورساليز
+
+255
+00:19:23,480 --> 00:19:29,820
+Tibes Dorsalis بيسموه تابتك
+
+256
+00:19:29,820 --> 00:19:34,680
+بلدر تابتك بلدر تابتك بلدر تابتك بلدر تابتك بلدر
+
+257
+00:19:34,680 --> 00:19:35,020
+تابتك بلدر تابتك بلدر تابتك بلدر تابتك بلدر تابتك
+
+258
+00:19:35,020 --> 00:19:35,100
+بلدر تابتك بلدر تابتك بلدر تابتك بلدر تابتك بلدر
+
+259
+00:19:35,100 --> 00:19:35,120
+تابتك بلدر تابتك بلدر تابتك بلدر تابتك بلدر تابتك
+
+260
+00:19:35,120 --> 00:19:42,300
+بلدر تابتك بلدر تابتك بلدر تابتك بلدر تابتك بلدر
+
+261
+00:19:42,300 --> 00:19:50,640
+تابتك بلدر تابتك بلدر تابتك بلدر تابتك
+
+262
+00:19:50,640 --> 00:19:56,070
+باتنين عندى automatic bladder، automatic bladder
+
+263
+00:19:56,070 --> 00:20:00,090
+يعني بتعبي و بتفضي، بتعبي و بتفضي، بتفضي مش
+
+264
+00:20:00,090 --> 00:20:05,520
+overflow يعني كل ما تندلي و بتفضعبعدين بيقعد كل ما
+
+265
+00:20:05,520 --> 00:20:10,260
+ايه تندلي اول reflex بييجي و بتفضح زي في الأطفال
+
+266
+00:20:10,260 --> 00:20:15,900
+مش كده؟ الأطفال ماعندهمش inhibitory centers
+
+267
+00:20:15,900 --> 00:20:19,020
+inhibitionless centers كل إيش أنا بتسهل ال center
+
+268
+00:20:19,020 --> 00:20:23,300
+بيقول الله سهل عليك إيه بتشتغل تمام؟ هذا إذا الطفل
+
+269
+00:20:23,300 --> 00:20:28,160
+قبل ما إيه؟ طب غير الطفل غير الطفل إذا احنا ضربنا
+
+270
+00:20:28,160 --> 00:20:31,920
+above the sacral center يعني جتعنا الإتصال بين ال
+
+271
+00:20:31,920 --> 00:20:35,610
+center هذاوالـ higher centers اللي فيها
+
+272
+00:20:35,610 --> 00:20:38,150
+facilitation وفيها inhibition، يعني أنا ضيعت ال
+
+273
+00:20:38,150 --> 00:20:42,010
+continuous inhibition لل center هذا، تمام؟ فبقدر
+
+274
+00:20:42,010 --> 00:20:45,210
+ال center، برشع تاني زي الطفل، كل ما بيجي إشارة من
+
+275
+00:20:45,210 --> 00:20:48,050
+ال stitch receptors أنه في عندي intravascular
+
+276
+00:20:48,050 --> 00:20:50,910
+pressure عالي، بقوله، حاضر يا مولايا، اتفضل، و
+
+277
+00:20:50,910 --> 00:20:56,560
+بطلع، تمام؟بفرخ كل حياته لإن هيك ال reflex بعدين
+
+278
+00:20:56,560 --> 00:20:59,660
+بيسكر وبعدين بيبدأ يعبّي من جديد لحد ما على الضغط
+
+279
+00:20:59,660 --> 00:21:03,240
+فوق الأربعمائة ملي بيزيد الضغط شوية فبيبدأ أعمللي
+
+280
+00:21:03,240 --> 00:21:07,480
+ال reflex أسرع تمام فبيدينا ايه ال .. ال .. ال
+
+281
+00:21:07,480 --> 00:21:11,000
+reflex إذا هذا ايه بيسميه automatic مش atonic ال
+
+282
+00:21:11,000 --> 00:21:14,120
+atonic لأ فيش tone فيش reflex شغال هذا ال reflex
+
+283
+00:21:14,120 --> 00:21:19,000
+intact لكنه مالوش higher centers إذا هذا بيحصل مع
+
+284
+00:21:19,000 --> 00:21:23,410
+spinal cord injury لل إيه؟above the center above
+
+285
+00:21:23,410 --> 00:21:25,950
+the center مش لأن ال center نفسه above the center
+
+286
+00:21:25,950 --> 00:21:28,770
+يعني مانع ال facility اللي هو ال a ال inhibitory
+
+287
+00:21:28,770 --> 00:21:34,170
+النوع التالت غريب جدا انه بشكل من الأشكال لجينا في
+
+288
+00:21:34,170 --> 00:21:41,790
+عندنا some sort of ال inhibitory signals هي بتنضرب
+
+289
+00:21:41,790 --> 00:21:47,890
+يعني عندي مشكلة في ال in the cerebral cortexمن
+
+290
+00:21:47,890 --> 00:21:55,470
+خلال ال CVA نظيف
+
+291
+00:21:55,470 --> 00:21:59,710
+او جلطة او كده تؤدي الى إصابة بتؤدي الى ال
+
+292
+00:21:59,710 --> 00:22:04,110
+inhibitory signals مش شغالة شغالة ال facilitative
+
+293
+00:22:04,110 --> 00:22:09,590
+في ال brainstem فكل ما بتيجي لسه نقطةمش زي ال
+
+294
+00:22:09,590 --> 00:22:13,730
+automatic مش ثانية انه تدي إشارة محترمة لأ أي نقطة
+
+295
+00:22:13,730 --> 00:22:17,710
+بتعملها facilitation فدايما ال bladder فاضية ال
+
+296
+00:22:17,710 --> 00:22:21,090
+automatic مليانة وبتفضأ وبتعود تنطل الأخر هذه
+
+297
+00:22:21,090 --> 00:22:25,130
+أساسا ما بتعبئ كل خمس نقطة عشرة مل خمس عشرة مل
+
+298
+00:22:25,130 --> 00:22:29,330
+تمام بيعملوا reflex strong ليش؟ لأنه ال center
+
+299
+00:22:29,330 --> 00:22:33,510
+facilitated مش inhibited العكس تمام؟ هذا النوع
+
+300
+00:22:33,510 --> 00:22:38,220
+التالت من أيه؟من ال abnormalities في ال bladder
+
+301
+00:22:38,220 --> 00:22:41,400
+اذا في عندى atomic bladder في عندى automatic
+
+302
+00:22:41,400 --> 00:22:45,740
+bladder في عندى uninhibited neurogenic مرة نقولها
+
+303
+00:22:45,740 --> 00:22:49,320
+neurogenic مرة نقولها uninhibited neurogenic بمعنى
+
+304
+00:22:49,320 --> 00:22:51,260
+ان اللي بيجي فيها بطلع اللي بيجي فيها بطلع لإن ال
+
+305
+00:22:51,260 --> 00:22:55,700
+inhibitor ايه؟ signals ايش؟ راحت الموضوع التاني
+
+306
+00:22:55,700 --> 00:22:58,480
+اللي هنبدأ فيه احنا خلصنا ده كلمة curation اليوم
+
+307
+00:22:58,480 --> 00:23:02,320
+انا اتمنى ان اقدر اخلص الموضوع ده ضايلنا ساعة مش
+
+308
+00:23:02,320 --> 00:23:10,660
+هيكاليوم موضوع جديد و هو خلاصة دراستنا في الكيليا
+
+309
+00:23:10,660 --> 00:23:16,740
+دراستنا في الكيليا و ال physiology of the renal
+
+310
+00:23:16,740 --> 00:23:22,280
+system المحصلة انه هنعرف طيب بعد كده هنتواجه
+
+311
+00:23:22,280 --> 00:23:26,140
+بمشاكل و أمراض الكيليا تمام؟ و قبل ما نتواجه
+
+312
+00:23:26,140 --> 00:23:29,760
+بمشاكل و أمراض الكيليا هنرجع مع بعض ال diuretics
+
+313
+00:23:29,760 --> 00:23:32,400
+احنا اتكلمنا عن تلت اربع أنواع من ال diuretics
+
+314
+00:23:32,400 --> 00:23:41,230
+لكنهفي نوعين احنا لسه ماجيبنا هى search هم تمام
+
+315
+00:23:41,230 --> 00:23:43,570
+ال diuretics اذا احنا متذكرين مع بعض فاكرين ال
+
+316
+00:23:43,570 --> 00:23:46,690
+diuretics وقولنا في عندنا ايش عندنا في loop
+
+317
+00:23:46,690 --> 00:23:52,710
+diuretics مش هيك وقولنا thiazide diuretics وين ال
+
+318
+00:23:52,710 --> 00:23:56,410
+thiazide diuretics كانت بتشتغل على ال early early
+
+319
+00:23:56,410 --> 00:24:03,210
+distal مش هيك وقولنا عندناAnti aldosterone مش كده
+
+320
+00:24:03,210 --> 00:24:06,670
+Aldosterone antagonist بتشتغل وين ال aldosterone
+
+321
+00:24:06,670 --> 00:24:10,070
+antagonist على ال net distal و ال connecting و ال
+
+322
+00:24:10,070 --> 00:24:14,510
+collecting مش هيك تمام هذول تلت أنواع احنا اتكلمنا
+
+323
+00:24:14,510 --> 00:24:18,270
+عنهم فى كمان نوعين اخرين احنا ماتكلمناش عنهم او
+
+324
+00:24:18,270 --> 00:24:21,610
+تلت أنواع فى تلت أنواع اخر احنا ماتكلماش عنها
+
+325
+00:24:21,610 --> 00:24:27,910
+النوع الاول اللى بيسميه osmotic diuresis يعني هذول
+
+326
+00:24:27,910 --> 00:24:33,650
+الموادأنا ممكن أعطيها عن طريق الدم و تخش الدم و
+
+327
+00:24:33,650 --> 00:24:37,890
+تطلع بال filtrate ال glomeral filtrate لكنها
+
+328
+00:24:37,890 --> 00:24:44,510
+unabsorbable و هي طالعة لازم تاخد معاها ايه
+
+329
+00:24:44,510 --> 00:24:47,450
+according to the osmotic effect of these particles
+
+330
+00:24:47,450 --> 00:24:51,430
+ياخدوا معاهم مياه بزيادة فبيعملوا diuresis هذا
+
+331
+00:24:51,430 --> 00:24:56,730
+بنستخدمه احنا كتير ال money tollالمانيتول نستخدمه
+
+332
+00:24:56,730 --> 00:25:00,890
+و لو احنا حطينا في الدم حاجاننا ال sucrose السكر
+
+333
+00:25:00,890 --> 00:25:04,730
+اللي احنا بنشربه السكر مش ال glucose ال glucose ما
+
+334
+00:25:04,730 --> 00:25:07,550
+هو في الدم موجود بس لو انا اديته ال glucose اللي
+
+335
+00:25:07,550 --> 00:25:13,710
+هو ال sucrose لو حطيته هذا في الدم مباشرة طبيعي مش
+
+336
+00:25:13,710 --> 00:25:17,210
+موجود في الدم هو تمام؟ برضه بيصيرله filtration لكن
+
+337
+00:25:17,210 --> 00:25:21,370
+بيصيرلهش ايه؟ reabsorption لأنه أساسا هو اشي غريب
+
+338
+00:25:21,370 --> 00:25:25,600
+كيف دخلهالذن لو انا حاطيت sucrose او حاطيت manitol
+
+339
+00:25:25,600 --> 00:25:29,520
+او اي مادة زي هيك حجمها تستطيع اسمها تلعب ال
+
+340
+00:25:29,520 --> 00:25:33,060
+filtration و مالهاش ال absorption هتطلع او تاخد
+
+341
+00:25:33,060 --> 00:25:38,340
+معاها ايه؟و بتاخد معها .. by .. by osmotic effect
+
+342
+00:25:38,340 --> 00:25:43,000
+هتاخد معها its own water و بما أنها not absorbed ف
+
+343
+00:25:43,000 --> 00:25:46,980
+.. فهيطلع كمية كبيرة من ال water معاها تمام؟ اذا
+
+344
+00:25:46,980 --> 00:25:50,440
+بنسميها osmotic diuresis .. osmotic diuresis
+
+345
+00:25:50,440 --> 00:25:53,680
+نستخدمها احنا دايما في المستشفيات في ال .. ان احنا
+
+346
+00:25:53,680 --> 00:25:58,320
+نستخدم اه IV من ال dimethyl مثلا مش ال sucrose، ال
+
+347
+00:25:58,320 --> 00:26:02,490
+sucrose كلف عليه هل هو nephrotoxic ولا لأتمام؟ بس
+
+348
+00:26:02,490 --> 00:26:06,810
+فى التجارب ممكن يستخدم اللى؟ السكروز كتير لكن فى
+
+349
+00:26:06,810 --> 00:26:10,290
+العملية اللى مستخدمه ال manitol oil و مجموعة من
+
+350
+00:26:10,290 --> 00:26:16,770
+أخواته هذا النوع الرابع تمام؟ النوع الخامس احنا
+
+351
+00:26:16,770 --> 00:26:21,910
+قولنا ال carbonic anhydrase فاكرينه اللى بيساعد
+
+352
+00:26:21,910 --> 00:26:27,610
+عملية الأها اتحاد بين الميه و carbon dioxide يعملي
+
+353
+00:26:27,610 --> 00:26:33,310
+carbonic acid وقلنا هذا بيسرع عملية ايه التفاعل
+
+354
+00:26:33,310 --> 00:26:37,990
+خمس ألف مرة مش كده عن الطبيعي فقصد وقفته انا هذا
+
+355
+00:26:37,990 --> 00:26:41,410
+معناه ال bi carbonate بتكلم عنه انا مش حاسسله لأ
+
+356
+00:26:41,410 --> 00:26:44,290
+ريحه absorption و secretion تمام اذا اذا بتكلم مع
+
+357
+00:26:44,290 --> 00:26:47,970
+ال proximal tubule واستخدمنا inhibitor لهذا ال
+
+358
+00:26:53,920 --> 00:27:03,520
+نستخدمله inhibitor اعتقد نمرة خمسة نمرة أربعة
+
+359
+00:27:03,520 --> 00:27:09,740
+اذا كاربونيك انهيدرز انهيبتر اسيتازولامايد
+
+360
+00:27:10,210 --> 00:27:15,150
+acetazolamide هذا اليوم احنا مانستخدموه حقيقة ك
+
+361
+00:27:15,150 --> 00:27:19,670
+diuretic بس مستخدمه أحيانا في حالة ما يكون فيه
+
+362
+00:27:19,670 --> 00:27:26,530
+اندوجلوكامة في العيون مستخدمه علشان يساعد انه
+
+363
+00:27:26,530 --> 00:27:33,810
+مايتكونش ميه كتير في داخل العين اللي هو عمالة
+
+364
+00:27:33,810 --> 00:27:37,850
+للجلوكامة نسميها ميه زرقه تمام؟ مستخدمها أحيانا
+
+365
+00:27:39,170 --> 00:27:43,230
+لكنه هادى لو وقفنا اذا هو بيشتغل عن طريق انه يمنع
+
+366
+00:27:43,230 --> 00:27:46,730
+reabsorption of بيكربونيت في ال proximal tubule
+
+367
+00:27:46,730 --> 00:27:51,270
+معناه لو تركناه هيطلع البيكربونيت وياخد معاه
+
+368
+00:27:51,270 --> 00:27:57,210
+osmosis بيوزموزس هياخد معاه ميه اكتر مش كده النقطة
+
+369
+00:27:57,210 --> 00:28:01,690
+الأخيرة اللي احنا ماتكلمناش عنها اللي هياحنا في
+
+370
+00:28:01,690 --> 00:28:08,510
+عندنا نوع من ال diuretics بيشتغل على ال .. على ال
+
+371
+00:28:08,510 --> 00:28:11,250
+collecting tubule، على ال collecting duct و ال
+
+372
+00:28:11,250 --> 00:28:13,910
+collecting tube و ال distal، لكن هو مش عن طريق ال
+
+373
+00:28:13,910 --> 00:28:20,070
+.. ال antagonism لل .. لل ال دستيران، تمام؟لأ مش
+
+374
+00:28:20,070 --> 00:28:22,650
+sodium channel اللي متكلم عنه اللي بيشتغل على ال
+
+375
+00:28:22,650 --> 00:28:25,990
+.. زي ال thiazide، thiazide sodium channel، لأ
+
+376
+00:28:25,990 --> 00:28:29,630
+بيشتغل بعد هذه المنطقة، بيشتغل على ال distal و ال
+
+377
+00:28:29,630 --> 00:28:32,110
+collecting، ال aldosterone بيشتغل على ال distal و
+
+378
+00:28:32,110 --> 00:28:34,650
+ال collecting، لكن ال sodium channel بيشتغلش على
+
+379
+00:28:34,650 --> 00:28:38,050
+المنطقة هذه، بيشتغل ايه؟ على ال early، thiazide،
+
+380
+00:28:38,050 --> 00:28:44,970
+لكن ايه؟ بيشتغل على .. بيمنع ال reabsorption of
+
+381
+00:28:44,970 --> 00:28:53,580
+potassiumInhibits sodium and also inhibits sodium
+
+382
+00:28:53,580 --> 00:28:57,100
+reabsorption and potassium secretion، ما هو في هذه
+
+383
+00:28:57,100 --> 00:29:00,760
+المنطقة، احنا في ال principle cellsتمام؟ بنعمل
+
+384
+00:29:00,760 --> 00:29:05,340
+reabsorption of Sodium مقابل secretion of ايه؟ أو
+
+385
+00:29:05,340 --> 00:29:08,340
+بوتاسيم، في عندي other هدا بيعملها .. بيعملها ..
+
+386
+00:29:08,340 --> 00:29:08,380
+بيعملها .. بيعملها .. بيعملها .. بيعملها ..
+
+387
+00:29:08,380 --> 00:29:08,780
+بيعملها .. بيعملها .. بيعملها .. بيعملها ..
+
+388
+00:29:08,780 --> 00:29:09,300
+بيعملها .. بيعملها .. بيعملها .. بيعملها ..
+
+389
+00:29:09,300 --> 00:29:11,900
+بيعملها .. بيعملها .. بيعملها .. بيعملها ..
+
+390
+00:29:11,900 --> 00:29:13,540
+بيعملها .. بيعملها .. بيعملها .. بيعملها ..
+
+391
+00:29:13,540 --> 00:29:13,580
+بيعملها .. بيعملها .. بيعملها .. بيعملها ..
+
+392
+00:29:13,580 --> 00:29:15,180
+بيعملها .. بيعملها .. بيعملها .. بيعملها ..
+
+393
+00:29:15,180 --> 00:29:20,230
+بيعملها .. بيهو بيمنع ال secretion of Potassium
+
+394
+00:29:20,230 --> 00:29:25,270
+وقلنا عنه هذا Potassium Sparing Antidiuretic مش
+
+395
+00:29:25,270 --> 00:29:28,050
+كده؟ في عندنا حاجة زيه لكنه مش بيشتغل عبر
+
+396
+00:29:28,050 --> 00:29:32,650
+الالدوسترون اللي هو زي ال ameliorite و زي ال
+
+397
+00:29:32,650 --> 00:29:37,470
+triametrine triametrine بيشتغلوا هدول انهيبط
+
+398
+00:29:37,470 --> 00:29:41,190
+Sodium Reabsorption and Potassium Secretion in
+
+399
+00:29:41,190 --> 00:29:43,730
+collecting tubules similar to the effect of
+
+400
+00:29:43,730 --> 00:29:48,380
+spironolactone however at the cellular levelهذه
+
+401
+00:29:48,380 --> 00:29:52,520
+الدراجات تعمل مباشرة للدخول للصوديوم على الاتصالات
+
+402
+00:29:52,520 --> 00:29:59,200
+نفسها على مستوى الالدوستيروان هذه الدراجات تعمل
+
+403
+00:29:59,200 --> 00:30:02,080
+مباشرة للدخول الصوديوم إلى اتصالات الصوديوم
+
+404
+00:30:02,080 --> 00:30:06,020
+للمنبرة
+
+405
+00:30:06,020 --> 00:30:09,840
+الليومية للجمعات الافيثيالية
+
+406
+00:30:13,840 --> 00:30:19,340
+بسبب تدخل السوديوم للسلسل المادية تدخل أيضًا تدخل
+
+407
+00:30:19,340 --> 00:30:22,940
+تدخل السوديوم المتواصل على السلسل من بيزوهولاترام
+
+408
+00:30:22,940 --> 00:30:25,020
+ومن هنا تدخل تدخل تدخل تدخل تدخل تدخل تدخل تدخل
+
+409
+00:30:25,020 --> 00:30:30,320
+تدخل تدخل تدخل تدخل تدخل تدخل تدخل تدخل تدخل تدخل
+
+410
+00:30:30,320 --> 00:30:30,960
+تدخل تدخل تدخل تدخل تدخل تدخل تدخل تدخل تدخل تدخل
+
+411
+00:30:30,960 --> 00:30:31,160
+تدخل تدخل تدخل تدخل تدخل تدخل تدخل تدخل تدخل تدخل
+
+412
+00:30:31,160 --> 00:30:41,320
+تدخل تدخل تد
+
+413
+00:30:41,940 --> 00:30:44,560
+اللي اتكلمنا عنه احنا كان بيشتغل على ال ايه؟ على
+
+414
+00:30:44,560 --> 00:30:47,760
+ال early لكن ايه ده بيشتغل على ال ديسترل، على كل
+
+415
+00:30:47,760 --> 00:30:51,820
+دي بتنجرح امليونايد، تراميترين، اذا انها يعني صار
+
+416
+00:30:51,820 --> 00:30:56,120
+عندنا ست انواع من ال antidiuretics في تلاتة
+
+417
+00:30:56,120 --> 00:31:00,140
+اتكلمنا عنهم بالتفصيل زمان وفي نوعين احنا الآن
+
+418
+00:31:00,140 --> 00:31:05,040
+جيبنا سلطف من أول و جديد مهمش انا أشجعهم مع بعض من
+
+419
+00:31:05,040 --> 00:31:11,120
+أول ال .. أول واحد عندي انا ismotic diuresisالثاني
+
+420
+00:31:11,120 --> 00:31:18,560
+اللي هو loop diuretics تمام والتالت اللي هو
+
+421
+00:31:18,560 --> 00:31:22,320
+thiazide diuretics تنهيب ال sodium chloride in
+
+422
+00:31:22,320 --> 00:31:29,480
+early distal tubules تمام وهذا اللي هو اللي
+
+423
+00:31:29,480 --> 00:31:34,000
+بيشتغله على ال sodium chloride على ال channel
+
+424
+00:31:40,280 --> 00:31:44,330
+مافيش عندى ايه اتنين chlorideالتالت هو احنا
+
+425
+00:31:44,330 --> 00:31:47,790
+اتكلمنا عنه صحيح اللي هو ال .. ال .. ال sodium
+
+426
+00:31:47,790 --> 00:31:51,890
+channel blocker الترايمترين وال .. تمام؟ اذا هذا
+
+427
+00:31:51,890 --> 00:31:55,570
+بيشكل early بيشكل ال inhibition على ال pumping
+
+428
+00:31:55,570 --> 00:31:58,750
+system نفسه لكن التالت بيشكل على ال .. ال sodium
+
+429
+00:31:58,750 --> 00:32:02,130
+channel blocker أنا اللي غلطت، okay؟ اذا هو ال
+
+430
+00:32:02,130 --> 00:32:04,810
+sodium channel زي ما قلت يا سالي انت، مظبوط ال
+
+431
+00:32:04,810 --> 00:32:08,310
+sodium channel blocker اللي هو اخو ال ايه؟ ال ..
+
+432
+00:32:08,310 --> 00:32:11,150
+ال aldosterone antagonist بس واحد بيشكل على ال
+
+433
+00:32:11,150 --> 00:32:14,200
+basal membrane واحد بيشكل على ال ايه؟على ال
+
+434
+00:32:14,200 --> 00:32:17,340
+membrane الابيكالية طيب اذا in general احنا كنا
+
+435
+00:32:17,340 --> 00:32:22,540
+ذاكران اربع انواع مش تلاتة بيظل عندنا الحاجتين هم
+
+436
+00:32:22,540 --> 00:32:27,360
+اضافة ال carbonic anhydrase inhibitor و ال ايه و
+
+437
+00:32:27,360 --> 00:32:35,180
+ال ال هو ال osmotic diuresis الان نتكلم على
+
+438
+00:32:35,180 --> 00:32:38,340
+الموضوع الأخير اللي هناخده احنا ال kidney diseases
+
+439
+00:32:38,340 --> 00:32:43,880
+kidney diseasesDiseases of the kidney are among
+
+440
+00:32:43,880 --> 00:32:47,520
+the most important causes of death and disability
+
+441
+00:32:47,520 --> 00:32:51,300
+in many countries throughout the world لذن مهم جدا
+
+442
+00:32:51,300 --> 00:32:56,640
+نعرف أن أمراض الكلقة هذه مشكلة عالمية مشكلة عالمية
+
+443
+00:32:56,640 --> 00:33:02,200
+في حبوط الكلقة و الوفيات و هم تبعها من علاج مكلف
+
+444
+00:33:02,200 --> 00:33:10,750
+العلاج مكلف عبارة عنيا إما بدنا نعمل غسل ال .. غسل
+
+445
+00:33:10,750 --> 00:33:14,230
+الكيلة زي ما بقوله اللي هو hemodialysis أو أرواح
+
+446
+00:33:14,230 --> 00:33:18,330
+ال dialysis in general اللي هتكلم عنها أو إنه في
+
+447
+00:33:18,330 --> 00:33:24,170
+الآخر بدنا نعمل عملية إيه نقل الكيلة، تمام؟ طيب
+
+448
+00:33:24,170 --> 00:33:31,070
+إحنا عندنا الأمراض الكيلة نوعين أمراض acute بتعدى
+
+449
+00:33:31,800 --> 00:33:35,040
+بترجع طبيعي في الغالب ممكن ال acute diseases
+
+450
+00:33:35,040 --> 00:33:39,120
+هتحتاج في النص شوية مساعدة غسل مرة او مرتين او
+
+451
+00:33:39,120 --> 00:33:42,480
+تلاتة و لحد ما ترجع طبيعي لكن عندنا chronic
+
+452
+00:33:42,480 --> 00:33:47,000
+diseases chronic renal failure مدام احنا وصلنا ل
+
+453
+00:33:47,000 --> 00:33:52,040
+chronic renal failure هذا ايش ما اعمل انا بعمل
+
+454
+00:33:52,040 --> 00:33:56,280
+مؤقتا لحين ما اناجي كلية مناسبةيعني الغسل اللي بقى
+
+455
+00:33:56,280 --> 00:34:00,580
+بتتم في ال electronic هو عبارة عن عمل توصيلنا لمين
+
+456
+00:34:00,580 --> 00:34:04,560
+لإن اللاجة كيليا لإنه ده موصلنا للاجة الكيليا
+
+457
+00:34:04,560 --> 00:34:08,460
+المناسب لها ده اللي هي المريض تمام؟ إذا هو الأنسب
+
+458
+00:34:08,460 --> 00:34:12,960
+له أنه يعمل transplantation لكن في هالطريقة عشان
+
+459
+00:34:12,960 --> 00:34:17,920
+مايموتش منها إلى حد من اللاجة كيليا مناسبة تمام؟
+
+460
+00:34:22,710 --> 00:34:33,310
+على سبيل المثال في سنة 2004 اكتشاف اكتشاف
+
+461
+00:34:33,310 --> 00:34:37,630
+اكتشاف اكتشاف اكتشاف اكتشاف اكتشاف اكتشاف اكتشاف
+
+462
+00:34:37,630 --> 00:34:38,990
+اكتشاف اكتشاف اكتشاف اكتشاف اكتشاف اكتشاف اكتشاف
+
+463
+00:34:38,990 --> 00:34:39,230
+اكتشاف اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف
+
+464
+00:34:39,230 --> 00:34:39,550
+اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف
+
+465
+00:34:39,550 --> 00:34:40,810
+اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف اكتشف
+
+466
+00:34:40,810 --> 00:34:47,190
+اكتشف اكتشف ا
+
+467
+00:34:49,210 --> 00:34:54,310
+لما اتكلم عن kidney diseases ممكن تكون خدوا بالكم
+
+468
+00:34:54,310 --> 00:34:58,750
+صيبة الشرايل اللي داخلة على الكيليا او ال
+
+469
+00:34:58,750 --> 00:35:04,650
+glomeruli او ال tubules او ما بعد الكيليا ما بعد
+
+470
+00:35:04,650 --> 00:35:09,530
+ال tubules تمام ال renal ال urinary tract system
+
+471
+00:35:09,530 --> 00:35:14,090
+اللي هو ال pelvis of the kidney ال ureter ال
+
+472
+00:35:14,090 --> 00:35:19,470
+bladder تمام ممكن هان تعملي انامشكلة واتدخلني في
+
+473
+00:35:19,470 --> 00:35:26,250
+chronic renal disease ال acute renal failure
+
+474
+00:35:26,250 --> 00:35:32,930
+بيسموله تلت أخسان، يا إما أسباب ال acute renal
+
+475
+00:35:32,930 --> 00:35:37,240
+failure بنقسم لتلت أخسان، يا إما أسباب جايةجابل ما
+
+476
+00:35:37,240 --> 00:35:42,420
+نصل الكلية، يعني blood pressure، hypotension، إش
+
+477
+00:35:42,420 --> 00:35:46,260
+إيه؟ جابل الكلية متعلق بال blood vessels، يا إما
+
+478
+00:35:46,260 --> 00:35:50,540
+في الكلية نفسها، يا إما بعد الكلية، إذا عندي pre
+
+479
+00:35:50,540 --> 00:35:54,620
+-renal causes، pre-renal acute failure caused by
+
+480
+00:35:54,620 --> 00:35:57,800
+decreased blood flow to the kidney، أي سبب بيقدّي
+
+481
+00:35:57,800 --> 00:36:03,000
+إلى أن الدغط يمطعقبل الضغط العام يوتى معناه
+
+482
+00:36:03,000 --> 00:36:07,480
+الكيليا بيصلهاش دم كافي معناها بتخش في ايه في
+
+483
+00:36:07,480 --> 00:36:10,560
+acute renal failure بس الميزة في acute renal
+
+484
+00:36:10,560 --> 00:36:14,880
+failure انه reversible يعني mostly reversible الا
+
+485
+00:36:14,880 --> 00:36:19,320
+اذا مدة ال insult اجت مدة طويلة يعني اذا دخلتوا
+
+486
+00:36:19,320 --> 00:36:23,060
+acute renal failure الhypotension مدة طويلة مش
+
+487
+00:36:23,060 --> 00:36:27,820
+هتصحى الكيليا كاملة و لو صح صحت شوية جزئيا حرق
+
+488
+00:36:27,820 --> 00:36:31,300
+ممكن ايهلكن انا لو شورت تايم انتبهت خششنا في high
+
+489
+00:36:31,300 --> 00:36:34,800
+potential شورت تايم والحجنا حالنا بسرعة صلحنا الدم
+
+490
+00:36:34,800 --> 00:36:39,700
+ممكن نرجع ايه؟ طبيعي يعني تخش في failure اسبوع
+
+491
+00:36:39,700 --> 00:36:43,860
+تمان ديام عشر ديام اسبوعين وبعدين ترجع ايه؟ لأنها
+
+492
+00:36:43,860 --> 00:36:46,860
+reversible ال acute renal failure اذا في عندى pre
+
+493
+00:36:46,860 --> 00:36:52,660
+-renal causes mainly decrease blood flow to the
+
+494
+00:36:52,660 --> 00:36:57,260
+kidney عندى intra-renal causes intra-renal acute
+
+495
+00:36:57,260 --> 00:37:01,910
+renal failureتمام؟ عندي أشياء في داخل الكلية هذي
+
+496
+00:37:01,910 --> 00:37:08,970
+في العادة ممكن تكون acute و ممكن هذي تمتد ال
+
+497
+00:37:08,970 --> 00:37:12,930
+siliconic نفس ال acute ال intrarenal causes هدول
+
+498
+00:37:12,930 --> 00:37:18,030
+ممكن يعدوا حسب ال .. يعني عندي glomeruliferitis
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/yZHQsvDX5Ow_postprocess.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/yZHQsvDX5Ow_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..dcd5a07a2923d0c7c7e43f381052a3815d51555f
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/yZHQsvDX5Ow_postprocess.srt
@@ -0,0 +1,1856 @@
+1
+00:00:07,510 --> 00:00:12,870
+تبعنا إذا ال size وال إيه ال electric charge
+
+2
+00:00:12,870 --> 00:00:20,110
+وضربنا مثلًا في ال argument إنه بيقدر يعدي إذا من
+
+3
+00:00:20,110 --> 00:00:23,650
+ناحية ال holes ك holes بيقدر يعدي بس بيقدرش لإنه
+
+4
+00:00:23,650 --> 00:00:28,410
+في عند نيجاتيب ال charged ions تنعمل إنها إيه to
+
+5
+00:00:28,410 --> 00:00:33,890
+be إيه freely filtrated وقلتلكوا عن minimal change
+
+6
+00:00:33,890 --> 00:00:39,310
+يعني في روبوتيو .. و قلتلكم إيه ال protein والي ..
+
+7
+00:00:39,310 --> 00:00:45,530
+اه طيب determinants of GFR ال GFR هذا أنا تقوى
+
+8
+00:00:45,530 --> 00:00:51,430
+تخطيت الصفحات و حكيتلكوا عن ال GFR إنه في عندنا
+
+9
+00:00:51,430 --> 00:00:56,150
+حاجتين أمام net forces of filtration و عندنا ال
+
+10
+00:00:56,150 --> 00:01:01,150
+ايه ال permeability أو ال capillary filtration
+
+11
+00:01:01,150 --> 00:01:04,010
+coefficient التمثل filtration coefficient two
+
+12
+00:01:04,010 --> 00:01:08,430
+factorsالـ size تبع ال filtration surface جديش
+
+13
+00:01:08,430 --> 00:01:11,970
+حجمه و ال permeability تبع الممبرين نفسه الممبرين
+
+14
+00:01:11,970 --> 00:01:15,610
+موجود كويس فيه filterability عالي أو واقع طب و
+
+15
+00:01:15,610 --> 00:01:18,870
+جديش المساحة اللي مشغول عليها مش كده طيب ال
+
+16
+00:01:18,870 --> 00:01:24,190
+factors اتكلمنا عنها احنا من شوية او جبنا احنا هنا
+
+17
+00:01:24,190 --> 00:01:26,510
+بيقول hydrostatic pressure inside the glomerular
+
+18
+00:01:26,510 --> 00:01:33,150
+capillary pressure P في G في ال glomerulus او ال
+
+19
+00:01:33,150 --> 00:01:36,860
+pressure في ال Bowmans capsuleناجز ال .. ال .. ال
+
+20
+00:01:36,860 --> 00:01:40,660
+by هذه تبعت مين؟ تبعت ال .. اه ال .. ال oncotic
+
+21
+00:01:40,660 --> 00:01:43,260
+pressure اللي بتسميه هكذا او ال colloidal pressure
+
+22
+00:01:43,260 --> 00:01:48,980
+تمام؟ اه اللي في داخل ال glomerulus بيصير عكس ال
+
+23
+00:01:48,980 --> 00:01:52,000
+filtration بيصير بال .. بال minus و اللي في ال
+
+24
+00:01:52,000 --> 00:01:54,320
+Bowmans capsule بال positive بس ده دايما قيمتها
+
+25
+00:01:54,320 --> 00:01:58,020
+ايه؟ صفر في ال normal لذلك بيصير عندنا الأخيرة هذه
+
+26
+00:01:58,020 --> 00:02:01,260
+محدوثة بيصير عندنا فرج ال pressure من هنا إلى هنا
+
+27
+00:02:02,240 --> 00:02:05,020
+أه و بعدين لما نخسر منه جديش في عندى protein
+
+28
+00:02:05,020 --> 00:02:08,040
+بيشتغل برضه تنعمل يلمع عاكسها بيطلع عندى ال net
+
+29
+00:02:08,040 --> 00:02:12,780
+result قولنا جديش ten millimeter mercury ten
+
+30
+00:02:12,780 --> 00:02:15,820
+millimeter mercury لو حسبناها كده تطلع ten
+
+31
+00:02:15,820 --> 00:02:19,880
+millimeter mercury طب حلو ال ten millimeter
+
+32
+00:02:19,880 --> 00:02:25,540
+mercury هذا اللي هو ال filtration ال net
+
+33
+00:02:25,540 --> 00:02:29,760
+filtration pressure السابعتنا طب كيف احنا ممكن
+
+34
+00:02:29,760 --> 00:02:35,620
+نحسب الالفيلترشن كوافيشن ال surface و
+
+35
+00:02:35,620 --> 00:02:42,100
+filterability هو يعبر عنه شيء احنا
+
+36
+00:02:42,100 --> 00:02:51,940
+قلنا ان ال glomeral filtration rate جاي
+
+37
+00:02:51,940 --> 00:02:58,580
+من من؟ من البلازمه جاي من ايه؟ من البلازمه اذا
+
+38
+00:02:58,580 --> 00:03:03,970
+حسبنا كده يحصل الفيلترشنفى الدقيقة وقداش بلازمة
+
+39
+00:03:03,970 --> 00:03:06,610
+بتعد فى الكيليا فى الدقيقة احنا نقول نسبة اتنين في
+
+40
+00:03:06,610 --> 00:03:11,390
+المية مش كده بيصيب فى filtration اذا احنا المعادلة
+
+41
+00:03:11,390 --> 00:03:17,670
+فوق لو نحطها net filtration forces لأ المعادلة هي
+
+42
+00:03:17,670 --> 00:03:25,950
+هذه ال Kf فيها دول هدول انعرفوا ال GFR انعرفت مش
+
+43
+00:03:25,950 --> 00:03:28,350
+كده و ال
+
+44
+00:03:34,240 --> 00:03:38,760
+ال forces هذه مش هذه المعادلة اللي هستخدمها هستخدم
+
+45
+00:03:38,760 --> 00:03:44,860
+ان هنا في ايه في
+
+46
+00:03:44,860 --> 00:03:51,120
+عندي التناسب ال
+
+47
+00:03:51,120 --> 00:03:57,100
+net filtration forces هذه بدي انا احسبها net
+
+48
+00:03:57,100 --> 00:04:01,150
+filtration forces بدي احسبهاوالـ GFR بدي أحسبها
+
+49
+00:04:01,150 --> 00:04:05,950
+هدى على هدى تساوي لإنه .. لإنه ال .. الـ GFR تساوي
+
+50
+00:04:05,950 --> 00:04:09,250
+ال net filtration forces مضروبة في إيه؟ في الـ KF
+
+51
+00:04:09,250 --> 00:04:13,570
+تمام؟ إذا أعمل معادلة هذه إذا عرفنا two factors
+
+52
+00:04:13,570 --> 00:04:17,430
+بعرف التالت فإذا أنا عرفت الـ GFR و net filtration
+
+53
+00:04:17,430 --> 00:04:21,590
+forces بقدر بسهولة أعرف مين؟ الـ KF بس كيف أعرف ال
+
+54
+00:04:21,590 --> 00:04:25,030
+net filtration forces هذه قصة برضه إيه؟ كبيرة فيها
+
+55
+00:04:25,030 --> 00:04:28,600
+خلاف و طريقة القياس و ماعليناالمهم انه قصدنا نقول
+
+56
+00:04:28,600 --> 00:04:34,280
+انه انه ال KF هذه في الطبيعي لها رقم معين مرات
+
+57
+00:04:34,280 --> 00:04:38,600
+بنلاقي ZAD مرات بنلاقي Gel في diseases بتصيب ال
+
+58
+00:04:38,600 --> 00:04:41,720
+membrane هذا بتأدي إلى انه ال filtration
+
+59
+00:04:41,720 --> 00:04:47,000
+coefficient ايش يجل في أمراض بتضرب ال capillaries
+
+60
+00:04:47,000 --> 00:04:52,100
+ال glomeruli بتجل عدد ال glomeruli لما جل عدد ال
+
+61
+00:04:52,100 --> 00:04:57,250
+glomeruli ال surface area بتجلتمام صنعنا ال
+
+62
+00:04:57,250 --> 00:05:01,830
+filtration بتم مش في مليون glomerulus بتم في نص
+
+63
+00:05:01,830 --> 00:05:05,390
+مليون في ربع مليون يعني ال surface area تبعت ال
+
+64
+00:05:05,390 --> 00:05:11,730
+filtration surface تمام بتتحمق و هكذا المهم ما
+
+65
+00:05:11,730 --> 00:05:14,430
+علينا احنا سؤالنا الآن ال filtration coefficient
+
+66
+00:05:14,430 --> 00:05:20,290
+هذا بمعنى
+
+67
+00:05:20,290 --> 00:05:26,270
+انه جديش عندي net forces pressureجداش net forces
+
+68
+00:05:26,270 --> 00:05:34,490
+pressure يبيديني filtration تمام عندنا ال
+
+69
+00:05:34,490 --> 00:05:39,890
+filtration بيصير عندى 125 ملي لتر برقه per minute
+
+70
+00:05:39,890 --> 00:05:47,070
+تمام وعندي ال forces عشرة عشرة ملي متر mercury مش
+
+71
+00:05:47,070 --> 00:05:50,170
+كده ال net forces إذا قلنا كل one millimeter
+
+72
+00:05:50,170 --> 00:05:57,000
+mercury بيدينى اتنان عشر و نصmilliliter filtrate
+
+73
+00:05:57,000 --> 00:06:03,160
+per minute مش هيك اذا انا بقدر احسب انا ال
+
+74
+00:06:03,160 --> 00:06:07,100
+filtration forces هذه جديش ايه
+
+75
+00:06:11,450 --> 00:06:17,510
+جداش بتديني forces اذا because total GFR for both
+
+76
+00:06:17,510 --> 00:06:20,510
+kidneys is about 115 ملي لتر and the net
+
+77
+00:06:20,510 --> 00:06:23,330
+filtration force is 10 millimeter mercury the
+
+78
+00:06:23,330 --> 00:06:26,730
+normal KF is calculated to be من خلال معادلة هذه
+
+79
+00:06:26,730 --> 00:06:31,770
+تمام ال GFR على ال forces ال GFR 125 على ال force
+
+80
+00:06:31,770 --> 00:06:36,190
+اللي هو عشرة ال net forces اذا ال KF بيساوي ايه ال
+
+81
+00:06:36,190 --> 00:06:41,690
+filtration coefficient عندها اتناشر نصهذا for the
+
+82
+00:06:41,690 --> 00:06:48,770
+two kidneys طيب لو احنا قلنا الحسبة بالنسبة للجسم
+
+83
+00:06:48,770 --> 00:06:51,050
+برضه في filtration coefficient في ال general
+
+84
+00:06:51,050 --> 00:06:55,550
+circulation بس هنا كان نحسب بالمائة ملي جرام هنا
+
+85
+00:06:55,550 --> 00:07:00,110
+بنقول الكلية كده وزنها خلينا نعمل حسبة بالمائة ملي
+
+86
+00:07:00,110 --> 00:07:03,770
+جرام هنلاقي بالمائة ملي جرام عندنا ال filtration
+
+87
+00:07:03,770 --> 00:07:07,130
+coefficient سوى اربعة و اتنين من عشرةmilliliter
+
+88
+00:07:07,130 --> 00:07:11,050
+per minute for each millimeter mercury مش كده اذا
+
+89
+00:07:11,050 --> 00:07:15,990
+هذا
+
+90
+00:07:15,990 --> 00:07:19,310
+لما نقارنه بال general circulation نلاقي فى فرق
+
+91
+00:07:19,310 --> 00:07:22,770
+رهيب لإن ال filtration coefficient لل general
+
+92
+00:07:22,770 --> 00:07:27,330
+circulation point oh one هذا اربعة و اتنين من عشرة
+
+93
+00:07:27,330 --> 00:07:32,070
+millimeter mercury per per minute per millimeter
+
+94
+00:07:32,070 --> 00:07:35,670
+mercuryهناك ال millimeter mercury في ال minute
+
+95
+00:07:35,670 --> 00:07:40,390
+بيطلعلي point one milliliter واحد على مية من ال
+
+96
+00:07:40,390 --> 00:07:45,010
+millimeter في الدقيقة يعني كل مائة دقيقة بيطلعولي
+
+97
+00:07:45,010 --> 00:07:52,350
+ايه one milliliter في مائة gram في حسبة بمعنى ان
+
+98
+00:07:52,350 --> 00:07:56,510
+عندي infiltration عالي عالي جدا ال pressure الواحد
+
+99
+00:07:56,510 --> 00:07:59,750
+بتديني كام ضخم من ال filtration لإن ال membrane
+
+100
+00:07:59,750 --> 00:08:05,630
+has high infiltration coefficientلما .. لما نقارن
+
+101
+00:08:05,630 --> 00:08:12,790
+هذا .. كم مرة منك تضاعف وجهاتك كم مرة؟ يعني فرق ..
+
+102
+00:08:12,790 --> 00:08:17,230
+فرق ضخم، مش كده؟ although .. و هذا اللي بيقدي إلي
+
+103
+00:08:17,230 --> 00:08:21,830
+عندي filtration سريع و كتير و عالي the high KF for
+
+104
+00:08:21,830 --> 00:08:24,630
+glomerular capillaries contributes tremendously to
+
+105
+00:08:24,630 --> 00:08:27,510
+their rapid rate of fluid filtration إذا ان ال
+
+106
+00:08:27,510 --> 00:08:29,450
+filtration coefficient اللي هم دول بيخلي عندي
+
+107
+00:08:29,450 --> 00:08:30,210
+filtration عالي
+
+108
+00:08:33,130 --> 00:08:39,750
+أما ان ازمة KF تحفظ GFR و ازمة KF تحفظ GFR،
+
+109
+00:08:39,750 --> 00:08:45,720
+فالتغيير في KFdo not provide a primary mechanism
+
+110
+00:08:45,720 --> 00:08:49,240
+for normal يعني ال KF هو ال filtration coefficient
+
+111
+00:08:49,240 --> 00:08:53,980
+للكيليا مش كل يوم بيتغير او هو محط diseases ادور
+
+112
+00:08:53,980 --> 00:08:58,340
+عليه اشوف ال KF جديش لأ هو مش factor بتغير من
+
+113
+00:08:58,340 --> 00:09:02,000
+دقيقة لدقيقة تابت حجم ال surface عدد ال glomerula
+
+114
+00:09:02,000 --> 00:09:06,280
+يعني موجود هو هو و النوع هو هو مش هذا العامل اللي
+
+115
+00:09:06,280 --> 00:09:09,520
+بيغير ال filtration أو بيجعل ال filtration يعني مش
+
+116
+00:09:09,520 --> 00:09:14,160
+زي الضغطالضغط انعلي بزيدي ال filtration والضغط
+
+117
+00:09:14,160 --> 00:09:21,180
+بيعني بسرعة والضغط بوطة بسرعة بجلد و بزود لكن ال
+
+118
+00:09:21,180 --> 00:09:25,480
+filtration coefficient مش يعني مش day to day مش
+
+119
+00:09:25,480 --> 00:09:29,780
+minute to minute factor that affects filtration
+
+120
+00:09:29,780 --> 00:09:34,020
+تمام؟ لكنه عندنا احنا واضح ان ال KF عالي جدا
+
+121
+00:09:34,020 --> 00:09:40,430
+مقارنة بال A لكن في عندنا some diseasesبتدرم
+
+122
+00:09:40,430 --> 00:09:46,610
+الكبيرة المنبراير وبتغير من نوعيته واضح؟ لكن مش هو
+
+123
+00:09:46,610 --> 00:09:50,450
+انه factor من ال factors اللي عن طريق الجسم بيتحكم
+
+124
+00:09:50,450 --> 00:09:53,790
+بال filtration في كل لحظة لأ التحكم بال filtration
+
+125
+00:09:53,790 --> 00:09:57,290
+بالhydrostatic mainly بالhydrostatic pressure اللي
+
+126
+00:09:57,290 --> 00:10:01,050
+في ال glomerulus ليش؟ اه لإن في عندي ارض جميلة
+
+127
+00:10:01,050 --> 00:10:06,120
+وارض بعيد afferent و efferent و بينهم مين؟بينهم ال
+
+128
+00:10:06,120 --> 00:10:10,460
+glomerulus ان فتحنا ال .. ال afferent أكتر بزيد
+
+129
+00:10:10,460 --> 00:10:13,920
+الضغط أكتر بيصير ال filtration أكتر و يرد أكتر ان
+
+130
+00:10:13,920 --> 00:10:21,130
+ديجنا بجلد ضغطالـ afferent مضيجنا بجل الضغط بجل ال
+
+131
+00:10:21,130 --> 00:10:23,470
+hydrostatic pressure بجل ال إيه؟ لإن ال
+
+132
+00:10:23,470 --> 00:10:26,390
+hydrostatic pressure هو العامل الرئيسي المهم و
+
+133
+00:10:26,390 --> 00:10:29,850
+اللي قابل التغيير ال proteins بتتغيرش من يوم ليوم
+
+134
+00:10:29,850 --> 00:10:33,150
+من لحظة للحظة لكن بزود الضغط بجل الضغط على طول
+
+135
+00:10:33,150 --> 00:10:37,170
+إشارة سكّر الشريان جل الضغط جل ال filtration افتح
+
+136
+00:10:37,170 --> 00:10:40,690
+الشريان فتحناه بس عندي هال afferent و afferent
+
+137
+00:10:40,690 --> 00:10:46,530
+بمعنى إنه لما يفتح ال afferent بزيد الضغط و لو فتح
+
+138
+00:10:46,530 --> 00:10:51,610
+ال afferentبجل الضغط، و لو سكر ال a front بزيد
+
+139
+00:10:51,610 --> 00:10:57,090
+الضغط، اه اذا لو سكر ال a front بجل الضغط، يعني
+
+140
+00:10:57,090 --> 00:11:01,270
+هدول التنين واحد هنا و واحد هنا، عكس بعض بيشتغلوا،
+
+141
+00:11:01,270 --> 00:11:06,620
+مش كده؟إذا ال day to day control أو ال time to
+
+142
+00:11:06,620 --> 00:11:08,900
+time control is mainly عبر ال hydrostatic في
+
+143
+00:11:08,900 --> 00:11:12,160
+factors كتير متغيرة موجودة بتتحكم بس مش كلها
+
+144
+00:11:12,160 --> 00:11:16,040
+متغيرة بالسرعة اللي بتتغير فيها يعني مش هو كلها
+
+145
+00:11:16,040 --> 00:11:20,260
+controlling ال filtration و ال urine formation
+
+146
+00:11:20,260 --> 00:11:23,940
+تمام هي ثابتةاللي بتغير الوحيد اللي بتقدر يتغير
+
+147
+00:11:23,940 --> 00:11:27,100
+ويطلع وينزل يزود ال ball ويجلي ال ball كتر الأشي
+
+148
+00:11:27,100 --> 00:11:31,140
+على ال tubule بيبعت إشارة سكّر إشارة يعني لإنه أنا
+
+149
+00:11:31,140 --> 00:11:35,540
+أصلا واصلني أكتر من جدرتي بيسكر اه يواصل ويجليه
+
+150
+00:11:35,540 --> 00:11:38,700
+افتح انا واصلني اشي جليه افتح فهذا بيصير control
+
+151
+00:11:38,700 --> 00:11:43,260
+بتزوّق الفترة اه vascular hydrostatic changes لكن
+
+152
+00:11:43,260 --> 00:11:46,040
+لا ال coefficient بتتغير من لحظة للحظة ولا ال
+
+153
+00:11:46,040 --> 00:11:50,200
+الوزموتك pressureبتغير من لحظة للحظة ممكن تكون
+
+154
+00:11:50,200 --> 00:11:53,000
+لحظة تتبع علشان اسمها بس في حين ان انا اتكلم
+
+155
+00:11:53,000 --> 00:11:56,840
+general اوكي واحد اليوم عنده مشكلة في ال .. في
+
+156
+00:11:56,840 --> 00:12:00,200
+الكلة ال filtration coefficient وطيه اه لإنه
+
+157
+00:12:00,200 --> 00:12:04,620
+انضربت ال membrane خلاص بيضال مضروب مش انه دقيقة
+
+158
+00:12:04,620 --> 00:12:07,880
+بيفتح و دقيقة بسكر مثلا reducing the number of
+
+159
+00:12:07,880 --> 00:12:11,380
+functioning nephrons هنا قلتلكم انا بعد سن
+
+160
+00:12:11,380 --> 00:12:18,120
+الأربعين بعد سن الأربعينبنبدأ نفقد سنويًا one
+
+161
+00:12:18,120 --> 00:12:22,120
+percent من العدد ال A يعني ع سنة تمانين بيصير احنا
+
+162
+00:12:22,120 --> 00:12:24,560
+عندنا اربعين فمية من ال capillaries من ال
+
+163
+00:12:24,560 --> 00:12:30,280
+glomeruli فاقد فبتنخفض قدرة ال A الكلية لكن هذا
+
+164
+00:12:30,280 --> 00:12:34,090
+هذا بأثر على الجسمبأثرش على الجسم لإن لو احنا
+
+165
+00:12:34,090 --> 00:12:38,610
+اشتغلنا ب 60% من الكيلية احنا بخير لسه عندنا لو
+
+166
+00:12:38,610 --> 00:12:41,850
+ضلينا الكيلية تضرب تضرب تضرب مابضلنا نشتغل طبيعي
+
+167
+00:12:41,850 --> 00:12:45,630
+مابنحسش بأي فرق لحد ما يصير عندى ربع الكيلية شجعة
+
+168
+00:12:45,630 --> 00:12:49,190
+لحد ربع الكيلية انا بقصين طبيعي اجال من ربع
+
+169
+00:12:49,190 --> 00:12:52,230
+الكيلية ببدأ يبين عليا ان ايه ال electrolyte
+
+170
+00:12:52,230 --> 00:12:55,390
+اتلخبطت و الكيلية تنين عالية و اليورية عالية و ال
+
+171
+00:12:59,660 --> 00:13:04,640
+أقل من هيك اكتر من هيك فوق ال .. فوق ال .. ال ..
+
+172
+00:13:04,640 --> 00:13:08,640
+ال .. ال .. الخمس عشر في المية الربع اه بيضل شغالة
+
+173
+00:13:08,640 --> 00:13:12,400
+تمام اذا ايه؟ اذا لكن الكائف بيجيل مع ال .. مع
+
+174
+00:13:12,400 --> 00:13:15,880
+العمر لإن number of .. the number of glomerular
+
+175
+00:13:15,880 --> 00:13:19,820
+بيجيل مع ال ايه؟ مع العمر اتنين لو بعض الأمراض
+
+176
+00:13:19,820 --> 00:13:22,340
+صابت ال .. ال basement membrane ال autoimmune
+
+177
+00:13:22,340 --> 00:13:25,360
+diseases هذه اللي بتتكلم عنها بعض الأمراض اللي
+
+178
+00:13:25,360 --> 00:13:30,300
+الجسم بيطلع فيها أجسام مضادة لانسيجتهمعظم ال
+
+179
+00:13:30,300 --> 00:13:33,100
+nephropathies اللي هتكلم عنها هنلاقيها عبارة عن
+
+180
+00:13:33,100 --> 00:13:34,940
+الأمراض اللي قلنا عليها بتعمل chronic renal
+
+181
+00:13:34,940 --> 00:13:39,140
+failure nephropathy معظمها انتشر عن autoimmune
+
+182
+00:13:39,140 --> 00:13:43,240
+diseases ال antibodies بتهاجم ال basement membrane
+
+183
+00:13:43,240 --> 00:13:46,460
+فبيعمل inflammatory process هان في لحظة بطل الدنيا
+
+184
+00:13:46,460 --> 00:13:50,320
+تضرب الكلية حد حد حد حد حد بزيد تبدو الكلية عيش
+
+185
+00:13:50,320 --> 00:13:53,540
+كمان تضرب روماتويد arthritis
+
+186
+00:13:56,120 --> 00:14:00,220
+بالإضافة لكل اللي قلتلكم نفروباتي زاد اللي بتصيب
+
+187
+00:14:00,220 --> 00:14:04,440
+الكلية معظمها ناتجة عن autoimmune diseases الجسم
+
+188
+00:14:04,440 --> 00:14:10,880
+بدأ يطلع عيسام مضادة ضد أنسجته تمام فبيأثر على مين
+
+189
+00:14:10,880 --> 00:14:14,180
+على ال filterability هنا بيأثر على ال membrane
+
+190
+00:14:14,180 --> 00:14:20,620
+بيأثر على يعني
+
+191
+00:14:20,620 --> 00:14:27,690
+هنا اذا مع مرض السكرينبدأ يصيب الهيبرتنشين للـ
+
+192
+00:14:27,690 --> 00:14:33,630
+glomeruli الهيبرتنشين عندما الضغط عالي عندى انا
+
+193
+00:14:33,630 --> 00:14:37,530
+الضغط العالى بيخرب الكميلوريت ويرد بيخرب
+
+194
+00:14:37,530 --> 00:14:40,910
+الفاسكولار الفاسكولار التبع التتوشس بيخربها للضغط
+
+195
+00:14:40,910 --> 00:14:44,690
+العالى مبدأ ايش؟ الضغط العالى يجرح فيها و تبدأ
+
+196
+00:14:44,690 --> 00:14:49,670
+ترسبات كالسية ضغط عالى و كمان دهون عالية تبدأ اثر
+
+197
+00:14:49,670 --> 00:14:53,800
+اسفلوروز يكون سريعةالـ sclerosis هذا اللي بيصير
+
+198
+00:14:53,800 --> 00:14:59,380
+بيبدأ يدى يضيق الشرايين in general لكى لما يكون
+
+199
+00:14:59,380 --> 00:15:02,500
+عنده organ هو vascular organ كل شغل ع الشرايين
+
+200
+00:15:03,110 --> 00:15:06,390
+الاصابة اللى بتصير من التغير من ال hypertension و
+
+201
+00:15:06,390 --> 00:15:09,910
+ال others sclerosis اصابة كبيرة اذا في factors مع
+
+202
+00:15:09,910 --> 00:15:13,970
+الوجد بتتأثر mainly على ال ايه على نوعية ال
+
+203
+00:15:13,970 --> 00:15:18,250
+membrane اللى عندى نوعية ال filtration membrane
+
+204
+00:15:18,250 --> 00:15:22,730
+اللى عندى ان كان جل العدد glomeruli او خرب نوعية
+
+205
+00:15:22,730 --> 00:15:27,130
+ايه ال membrane تمام اذا عندى ال factor الاول اللى
+
+206
+00:15:27,130 --> 00:15:31,550
+درسته هنا ال KF هو ايه دوره في ال
+
+207
+00:15:34,420 --> 00:15:37,240
+Increase Bowman's Capsule Hydrostatic Pressure
+
+208
+00:15:37,240 --> 00:15:42,700
+احنا بندرس الاول الشي الاقل الاهامية اخر الشي
+
+209
+00:15:42,700 --> 00:15:46,420
+هندرس ال ايه هندرس ال hydrostatic pressure لكن هال
+
+210
+00:15:46,420 --> 00:15:49,740
+factors اللي قولنا عليها تمام عندي factors net
+
+211
+00:15:49,740 --> 00:15:53,820
+filtration forces اللي لها اربعة factors و ال KF
+
+212
+00:15:53,820 --> 00:15:57,660
+له two factors مش كده خلصنا من ال KF ال forces
+
+213
+00:15:57,660 --> 00:16:02,380
+الأخرى بدينا في الاقل الاهامية اللي هو Bowman's
+
+214
+00:16:02,380 --> 00:16:06,900
+Capsule Hydrostatic Pressureتمام؟ في العادة هذا
+
+215
+00:16:06,900 --> 00:16:10,720
+لإنه ال capsule تبعت ال kidney ماسك الكيليا أو
+
+216
+00:16:10,720 --> 00:16:15,160
+الضغط اللي داخل الدم اللي داخل في الكيليا بيحاول
+
+217
+00:16:15,160 --> 00:16:19,620
+يوسع ال ايه؟ الكيليا و الكابسولة بتبنع انه يوسع
+
+218
+00:16:19,620 --> 00:16:23,960
+ففي عندي pressure موجود داخل الكيليا in general و
+
+219
+00:16:23,960 --> 00:16:26,440
+ال pressure هذا ينعكس ال Bowmans capsule pressure
+
+220
+00:16:26,440 --> 00:16:30,760
+في العادة موجود pressure بسيط في مقابل ال 60 عندي
+
+221
+00:16:30,760 --> 00:16:37,480
+18 مش مأثر عليها لكن هل ممكنأزود ال pressure هذا
+
+222
+00:16:37,480 --> 00:16:42,100
+يزيد ويعمللي factor مهم اه لو صار عندى حصوى سكرت
+
+223
+00:16:42,100 --> 00:16:48,740
+تمام ووقفت في ال ureter ووقفت في ال pelvis او اي
+
+224
+00:16:48,740 --> 00:16:52,200
+mechanical يعني physiological problem زي اللي
+
+225
+00:16:52,200 --> 00:16:55,500
+بيصير احيانا في ال junction بين ال ureter و ال
+
+226
+00:16:55,500 --> 00:17:02,260
+pelvis تبع الكدن بيو جي بيو جيبالـ Eurythmic
+
+227
+00:17:02,260 --> 00:17:04,780
+Junction ممكن احنا عند بعض الناس اللي الـ junction
+
+228
+00:17:04,780 --> 00:17:08,300
+فيها مشكلة بتقدرش البريستالزيس انتقل منها لها
+
+229
+00:17:08,300 --> 00:17:12,820
+فبتحوش ال ball فيها فبيعمل back pressure على ايه؟
+
+230
+00:17:12,820 --> 00:17:15,960
+على ال نفرول بيصل ال back pressure لمين؟ لبومانس
+
+231
+00:17:15,960 --> 00:17:19,160
+كابسول فبيعمل عملية عكسية لمين؟ filtration على
+
+232
+00:17:19,160 --> 00:17:24,660
+فكرة في نموذج في دراسة الكلية بنسميها stop flow
+
+233
+00:17:24,660 --> 00:17:31,080
+modelيعني بناخد نيفرون بنضفه و بنحط في الطرف
+
+234
+00:17:31,080 --> 00:17:36,160
+النهائي تبعه fluid و بنضل نعلي الضغط فيه و احنا
+
+235
+00:17:36,160 --> 00:17:40,240
+بندرس ال filtration في ال نيفرون تمام ممكن نعلي
+
+236
+00:17:40,240 --> 00:17:42,860
+الضغط .. نعلي الضغط .. نعلي الضغط لحد ما إيش ال
+
+237
+00:17:42,860 --> 00:17:47,680
+filtration يتوقف تماما لإن انا back pressureعلى ال
+
+238
+00:17:47,680 --> 00:17:50,560
+women's كبسو ال brusher يسووا ال brusher تبع مين؟
+
+239
+00:17:50,560 --> 00:17:54,600
+تبع ال hydrostatic brusher مع ال osmotic .. مع ال
+
+240
+00:17:54,600 --> 00:17:56,240
+oncotic brusher يسووا التانيين يسووا ال
+
+241
+00:17:56,240 --> 00:17:59,220
+hydrostatic brusher فبصير عندي no filtration .. no
+
+242
+00:17:59,220 --> 00:18:03,760
+filtration technique تمام؟ صار عندي model مافيش
+
+243
+00:18:03,760 --> 00:18:06,740
+فيه filtration بجلق ال brusher شوية اللي أنا عامله
+
+244
+00:18:06,740 --> 00:18:10,410
+و ببدأ ال filtration بجلدطبعا فعنا احنا clinically
+
+245
+00:18:10,410 --> 00:18:18,070
+ممكن نخش في حاجة زي كده لذلك واحد عنده حصاوى كيلية
+
+246
+00:18:18,070 --> 00:18:21,590
+مسكرة بطريقة معينة أحيانا بتكون emergency لازم
+
+247
+00:18:21,590 --> 00:18:24,750
+خلال أنا فترة بسيطة ايه اطلعها لإن عشان احمل ايه
+
+248
+00:18:24,750 --> 00:18:27,810
+الكيلية من ال back pressure تبعها اللي ممكن يكون
+
+249
+00:18:27,810 --> 00:18:29,550
+very damaging
+
+250
+00:18:54,390 --> 00:18:57,570
+increased glomerular capillary colloid osmotic
+
+251
+00:18:57,570 --> 00:19:01,980
+pressureإذا احنا بقولنا بناخد ال factors الأقل
+
+252
+00:19:01,980 --> 00:19:06,180
+أهمية عشان في الآخر ناخد الباقي بالتفصيل، بقولنا
+
+253
+00:19:06,180 --> 00:19:10,720
+ال KF بقولنا الهيدروستكبيرتف البومنز كابسول، الآن
+
+254
+00:19:10,720 --> 00:19:14,260
+ال osmotic pressure أو ال oncotic أو ال colloidal
+
+255
+00:19:14,260 --> 00:19:20,200
+pressure في داخل مين؟ ال capillary، تمام؟ هذا مهم،
+
+256
+00:19:20,200 --> 00:19:24,240
+مهم جدا، لكن هذا مش برضه factor بنقدر نلعب فيه
+
+257
+00:19:24,240 --> 00:19:28,850
+بسرعة، لكن في diseases معينة زي ما قولناالـ
+
+258
+00:19:28,850 --> 00:19:34,050
+diseases اللي هي ايه في liver failure مثلا liver
+
+259
+00:19:34,050 --> 00:19:40,550
+failure ال protein formation ال albumin formation
+
+260
+00:19:40,550 --> 00:19:45,950
+صار lagging صار ال protein اللي بتكسر لايسوي ال
+
+261
+00:19:45,950 --> 00:19:49,150
+protein اللي بتصنع فاملاحظ ان يوم عن يوم عن يوم عن
+
+262
+00:19:49,150 --> 00:19:53,550
+يوم بيصير عندنا hypoprotonemia ال protein في الدم
+
+263
+00:19:53,550 --> 00:19:57,690
+بدأ ايش ان خفض مش كده كل من خفض ال protein في الدم
+
+264
+00:19:59,120 --> 00:20:04,340
+معناها في عندى filtration أكتر، مظبوط؟ و طبعا احنا
+
+265
+00:20:04,340 --> 00:20:07,740
+مانساش انه نفس الكلية نفسها إذا في عندى chronic
+
+266
+00:20:07,740 --> 00:20:12,000
+renal failure في بروتينوريا و البروتين بهبط،
+
+267
+00:20:12,000 --> 00:20:15,480
+معناها ال-oncotic pressure صار ايه؟ أجل، معناها
+
+268
+00:20:15,480 --> 00:20:17,680
+صار في عندى filtration أكتر
+
+269
+00:20:29,330 --> 00:20:32,590
+الان الـ osmotic pressure هذا الانكوتك pressure
+
+270
+00:20:32,590 --> 00:20:39,690
+لاحظوا من ناحية الأفرند ارتي و من ناحية الأفرند
+
+271
+00:20:39,690 --> 00:20:46,430
+الأفرند ارتي تمام بينهم ال glomerulus بيصير عندي
+
+272
+00:20:46,430 --> 00:20:50,850
+filtration filtration و احنا ماشي الدم ماشي من
+
+273
+00:20:50,850 --> 00:20:58,010
+الأفرند للإفرند طول ما هو ماشي بيفقد جزء منمنه مش
+
+274
+00:20:58,010 --> 00:21:02,650
+كده يفقد ال fluids بيفقدش ال protein تمام فطول ما
+
+275
+00:21:02,650 --> 00:21:06,710
+الدم ماشي في ال glomerulus هو بيفقد سوائل سوائل
+
+276
+00:21:06,710 --> 00:21:14,270
+سوائل لحد ما يفقد لحد ما يفقد عشرين في المية من
+
+277
+00:21:14,270 --> 00:21:18,110
+السوائل اللي فيه لما يفقد السوائل ليش بيصير في ال
+
+278
+00:21:18,110 --> 00:21:25,840
+كلودة المرشعة يبيعله مش كدهبمعنى اخر انه احنا طول
+
+279
+00:21:25,840 --> 00:21:29,920
+ما انه ال hydrostatic pressure ال net result تبعته
+
+280
+00:21:29,920 --> 00:21:33,720
+عشرة طول ما انه في filtration اذا ال osmotic
+
+281
+00:21:33,720 --> 00:21:37,260
+pressure مع فقدان السوائل بدأ يعلى يعلى يعلى بيصل
+
+282
+00:21:37,260 --> 00:21:41,920
+لمرحلة في نقطة معينة بيصير في balance بين ال
+
+283
+00:21:41,920 --> 00:21:47,610
+filteringوالـ Absorbing Forces فبيتوقف الفلترشان
+
+284
+00:21:47,610 --> 00:21:51,470
+يعني الـ Grommelluras وهي بتعمل filtration مش من
+
+285
+00:21:51,470 --> 00:21:54,930
+أول ال capillary لآخر capillary بتعمل filtration
+
+286
+00:21:54,930 --> 00:21:59,250
+عند مرحلة معينة بيصير الفلترشان بتتوقف ليش؟ لإن ال
+
+287
+00:21:59,250 --> 00:22:02,290
+oncotic pressure لإنه فقرة سوائل ال oncotic
+
+288
+00:22:02,290 --> 00:22:05,810
+pressure بيصير يساوي ال hydrostatic pressure تمام؟
+
+289
+00:22:05,810 --> 00:22:09,950
+فبيمنعه من إنه يصير more filtration واضح؟ لذلك ال
+
+290
+00:22:09,950 --> 00:22:12,940
+..الـ Osmotic pressure أو الـ Kotic pressure في
+
+291
+00:22:12,940 --> 00:22:16,320
+الـ A front بيبقى عند الـ A front بيكون واطي، عند
+
+292
+00:22:16,320 --> 00:22:19,940
+ال E front بيكون ايه؟ عالي، فاحنا لما بنجيز دايما،
+
+293
+00:22:19,940 --> 00:22:23,480
+بنجيز ناخد midway بين الاتنين، بنلاحظ احنا عندنا
+
+294
+00:22:23,480 --> 00:22:27,460
+انه في ال .. في ال .. ال .. ال .. osmolality تبعت
+
+295
+00:22:27,460 --> 00:22:30,360
+او ال .. ال .. كل ده ال pressure تبع ال plasma، 28
+
+296
+00:22:30,360 --> 00:22:35,220
+مليمتر ميركوري، تمام؟لكن هذا اللي داخل مع الأفراد
+
+297
+00:22:35,220 --> 00:22:37,800
+لكن مع ال EFRAD دي صار ال EFRAD بنلاقي صار تانية
+
+298
+00:22:37,800 --> 00:22:41,760
+اتنين و تلاتين صار ستة و تلاتين صار ايش صار ستة و
+
+299
+00:22:41,760 --> 00:22:45,560
+تلاتين ليش لإنه فقدنا احنا خمس الميه معناها بيزيد
+
+300
+00:22:45,560 --> 00:22:49,580
+خمس الكمية بيزيد اذا كنت اكبر اشهر هيضاعف مش كده
+
+301
+00:22:49,580 --> 00:22:54,680
+فبنلاقي انه في ناحية ال EFRAD صار ستة و تلاتين لما
+
+302
+00:22:54,680 --> 00:22:57,980
+نعمل حسابات احنا بنعمل حسابات طب midway جد اش كان
+
+303
+00:22:57,980 --> 00:23:00,180
+فبنقول بين التانية و تلاتين و ستة و تلاتين بنقول
+
+304
+00:23:00,180 --> 00:23:06,790
+هو اتنين و تلاتينمليمتر ميركوري اللي هو ال midway
+
+305
+00:23:06,790 --> 00:23:10,550
+مش midway في ال capillary، midway بين ال .. ال
+
+306
+00:23:10,550 --> 00:23:14,220
+afferent و نهاية ال filtrationلأن بعد كده خلاص
+
+307
+00:23:14,220 --> 00:23:17,720
+بيصير مافيش ايه more filtration يعني من نقطة ما في
+
+308
+00:23:17,720 --> 00:23:20,800
+ال capillary لحد ال A front بيصيرش تغير لحد ال E
+
+309
+00:23:20,800 --> 00:23:25,420
+front بيصيرش تغير تمام؟ ليش؟ لأنه هنوصل ارتفع
+
+310
+00:23:25,420 --> 00:23:29,280
+ارتفع ارتفع وخلاص صار يساوي ال filtration forces
+
+311
+00:23:29,280 --> 00:23:32,440
+توقف لكن بيظل كما هو لحد ما يصل ال E front إذا
+
+312
+00:23:32,440 --> 00:23:36,340
+نقول احنا ناخد هنا جدش كان في ال plasma و هنا جدش
+
+313
+00:23:36,340 --> 00:23:42,920
+كان في ال .. في ال .. في ال renal veinsلأن في
+
+314
+00:23:42,920 --> 00:23:48,900
+الرينالفين هيكون عندي osmosis مش كده لأ الرينالفين
+
+315
+00:23:48,900 --> 00:23:51,540
+بياخد بعوض معظم جسمه اقصد انا في ال efferent
+
+316
+00:23:51,540 --> 00:23:55,320
+arteriole في ال efferent arteriole هنلاقي انه
+
+317
+00:23:55,320 --> 00:23:59,740
+الفرق بينهم كبير فاحنا بناخد .. لو بنعمل حسابات
+
+318
+00:23:59,740 --> 00:24:03,520
+ناخد ال midpoint بين ال 28 و 36
+
+319
+00:24:07,910 --> 00:24:12,010
+هؤلاء الاسماء الاسماء الاسماء الاسماء الاسماء
+
+320
+00:24:12,010 --> 00:24:12,530
+الاسماء الاسماء الاسماء الاسماء الاسماء الاسماء
+
+321
+00:24:12,530 --> 00:24:13,930
+الاسماء الاسماء الاسماء الاسماء الاسماء الاسماء
+
+322
+00:24:13,930 --> 00:24:16,490
+الاسماء الاسماء الاسماء الاسماء الاسماء الاسماء
+
+323
+00:24:16,490 --> 00:24:21,830
+الاسماء الاسماء الاسماء الاسماء الاسماء الاسماء
+
+324
+00:24:21,830 --> 00:24:21,870
+الاسماء الاسماء الاسماء الاسماء الاسماء الاسماء
+
+325
+00:24:21,870 --> 00:24:26,490
+الاسماء الاسماء
+
+326
+00:24:28,260 --> 00:24:31,980
+بعدين filtration fraction جداش فيه صار filtration
+
+327
+00:24:31,980 --> 00:24:35,460
+fraction كل ما زاد ال filtration fraction كل ما
+
+328
+00:24:35,460 --> 00:24:39,820
+صار more colloidal pressure عندى و هذا بيوقف ال
+
+329
+00:24:39,820 --> 00:24:44,380
+ايه ال filtration عند منطقة معينة ال filtration
+
+330
+00:24:44,380 --> 00:24:47,680
+fraction ايش يعني يعني جداش صار فيه filtration من
+
+331
+00:24:47,680 --> 00:24:50,620
+ال total بلازم اللى قولنا عليه احنا جداش توي خمس
+
+332
+00:24:50,620 --> 00:24:53,620
+اشترى فالمية جداش بيصير عندنا filtration fraction
+
+333
+00:24:53,620 --> 00:24:59,210
+جداش بيصير filtration من الكل الخمستمام؟ إذا ال
+
+334
+00:24:59,210 --> 00:25:03,590
+glomerular filtration rate على البلازما يساوي
+
+335
+00:25:03,590 --> 00:25:07,730
+filtration fraction مش كده؟ جديش من البلازما صار
+
+336
+00:25:07,730 --> 00:25:11,490
+لها filtration على هذا مضين ال إيه النسبة عشرين في
+
+337
+00:25:11,490 --> 00:25:17,170
+المية أو point two كل ما ال filtration fraction
+
+338
+00:25:17,170 --> 00:25:26,720
+زاد كل ما كله ده ال pressure بزيد تمام؟طبعا هاي
+
+339
+00:25:26,720 --> 00:25:31,620
+ايه الكلام لسه هنتكلم عليه بعد كده ال increase in
+
+340
+00:25:31,620 --> 00:25:33,480
+glomerular capilla ل head oestatic pressure أهلا و
+
+341
+00:25:33,480 --> 00:25:38,920
+سهلا وصلنا للإيه؟ للأهم وهذا زي ما قلتلكم بيعتمد
+
+342
+00:25:38,920 --> 00:25:44,470
+على أنه الضغط اللي جاي يجدش إذا عالي الضغطبيزيد
+
+343
+00:25:44,470 --> 00:25:48,070
+الضغط الواصلني، الضغط الجسمي عموما يعني ال
+
+344
+00:25:48,070 --> 00:25:50,630
+hydrostatic بقى، الضغط اللي أنا بجيسه بال إيه،
+
+345
+00:25:50,630 --> 00:25:53,910
+جاهز أتضغط إذا عليه، automatically اللي هيصل
+
+346
+00:25:53,910 --> 00:25:57,970
+الرينا الأرضي و الأفراد أرتريوية هيعلى، وهذا ال
+
+347
+00:25:57,970 --> 00:26:03,590
+factor الرئيسي في إيش لذلك بعض الناس بيعرف أنه
+
+348
+00:26:03,590 --> 00:26:09,270
+ضغطه عليه فورا من خلال أنه التبول زاد، أقل حاجة،
+
+349
+00:26:09,270 --> 00:26:12,570
+بعتقد الدكتور اتضغط عليه، تمام؟ من الملاجئ يعني
+
+350
+00:26:12,570 --> 00:26:16,640
+بالفعلتمام؟ نديله علاج للضغط، ضغط، ضغط، ضغط، ضغط،
+
+351
+00:26:16,640 --> 00:26:19,560
+ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط،
+
+352
+00:26:19,560 --> 00:26:22,160
+ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط،
+
+353
+00:26:22,160 --> 00:26:30,100
+ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط،
+
+354
+00:26:30,100 --> 00:26:31,440
+ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط،
+
+355
+00:26:31,440 --> 00:26:37,070
+ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغطوصار
+
+356
+00:26:37,070 --> 00:26:42,050
+ischemia فى الكلية ممكن الكلية طبعا زى ما قولنا فى
+
+357
+00:26:42,050 --> 00:26:46,810
+ال .. اه تعمل اسباز و تخش فيها kidney failure لكن
+
+358
+00:26:46,810 --> 00:26:50,350
+احنا ممكن نقول ماوصلناش لمرحلة kidney failure صار
+
+359
+00:26:50,350 --> 00:26:54,630
+نزيف لأى سبب من الأسباب هبط الضغط ال hydrostatic
+
+360
+00:26:54,630 --> 00:27:00,930
+pressure هيهبط اه ال urine volume هيجل مش كدهإذا
+
+361
+00:27:00,930 --> 00:27:04,430
+انخفاض الضغط بيأثر عليهم ال volume و ارتفاع الضغط
+
+362
+00:27:04,430 --> 00:27:08,390
+لإن الضغط هذا هو الأساس في عملية ايه ال filtration
+
+363
+00:27:08,390 --> 00:27:13,450
+اللي هو منه بعد كده انا factors أخرى بتتدخل علشان
+
+364
+00:27:13,450 --> 00:27:17,530
+اعمله complete reabsorption او أسيبه كله يطلع او
+
+365
+00:27:17,530 --> 00:27:22,050
+او اخر المهم في الموضوع إذا الضغط عندي العام له
+
+366
+00:27:22,050 --> 00:27:27,090
+تأثير عميل على ال filtration طيب هذا الضغط العام
+
+367
+00:27:27,090 --> 00:27:30,270
+طيب البلاش الضغط العام يقول
+
+368
+00:27:33,800 --> 00:27:39,840
+الـ afferent الضغط العام طبيعي تمام؟ الضغط العام
+
+369
+00:27:39,840 --> 00:27:43,400
+طبيعي إن إجت أشياء خلت الـ afferent يفتح
+
+370
+00:27:43,400 --> 00:27:48,260
+الهتوسكبلشار بيزيد هو مش مهم لل afferent كتير
+
+371
+00:27:48,260 --> 00:27:52,220
+مفهومة إذا فتح بيزد الضغط و إذا جل بيجل الضغط و
+
+372
+00:27:52,220 --> 00:27:55,540
+معناه بيأثر ع مين؟ ع ال GFR الـ Glomeric
+
+373
+00:27:55,540 --> 00:27:59,380
+Depression Rate لكن المشكلة في مين؟ في ال afferent
+
+374
+00:27:59,380 --> 00:28:04,140
+الafferent هذا إيه؟ بيه phasic changesالـ efferent
+
+375
+00:28:04,140 --> 00:28:07,880
+له ايه؟
+
+376
+00:28:07,880 --> 00:28:11,920
+by physical changes بمعنى انه لو كان عامل mild
+
+377
+00:28:11,920 --> 00:28:15,960
+constriction بيزود ال hydrostatic pressure شوية
+
+378
+00:28:15,960 --> 00:28:21,420
+لكن لو عامل severe constriction يعني المقاومة
+
+379
+00:28:21,420 --> 00:28:24,480
+تبعته جلت شوية بيقدر انه ال pressure ال
+
+380
+00:28:24,480 --> 00:28:26,740
+hydrostatic pressure بيزيد و ال filtration بيزيد
+
+381
+00:28:26,740 --> 00:28:32,080
+مش هيك ال GFR بيزيد لكن لو عامل spasm كتير ال
+
+382
+00:28:32,080 --> 00:28:37,880
+efferentمعناه ال blood flow نفسه ايش؟ جل يعني ال
+
+383
+00:28:37,880 --> 00:28:42,900
+plasma flow نفسها جلت كل الدم اللي دخل على ال ..
+
+384
+00:28:42,900 --> 00:28:49,680
+ايه؟ على ال glomerulus جل البلازما جلت هو ال ال
+
+385
+00:28:49,680 --> 00:28:55,680
+filtration fraction يسوى ايش؟ يسوى ال GFR على مين؟
+
+386
+00:28:55,680 --> 00:29:03,550
+على البلازما مش كده؟ لما انا يصير عندى lowلو
+
+387
+00:29:03,550 --> 00:29:11,950
+plasma volume تمام نفسها بيصير عندى ال ال
+
+388
+00:29:11,950 --> 00:29:16,510
+filtration نفسه بيتوقف لأن كل الدم اللى داخل جال
+
+389
+00:29:16,510 --> 00:29:20,010
+اذا عندى a moderate level of constriction there is
+
+390
+00:29:20,010 --> 00:29:23,430
+a slight increase in GFR but with severe
+
+391
+00:29:23,430 --> 00:29:27,470
+constriction there is a decrease in GFR لما يصير
+
+392
+00:29:27,470 --> 00:29:33,900
+عندى انا ايهconstriction للـ efferent arteriole
+
+393
+00:29:33,900 --> 00:29:40,980
+تمام ال flow rate نفسه للجلب معناه ال GFR هيجلب من
+
+394
+00:29:40,980 --> 00:29:45,980
+الباب الأولى لإن ال GFR يمثل 20% من مين؟ من ال
+
+395
+00:29:45,980 --> 00:29:50,120
+plasma flow ال plasma flow كله وطي فما بالكم في
+
+396
+00:29:50,120 --> 00:29:56,400
+إيش ال 20% منه برضه هتكون واطي إذا عندي biophysic
+
+397
+00:29:57,250 --> 00:30:01,010
+it changes لو كان بس يعمل mile constriction وعلى
+
+398
+00:30:01,010 --> 00:30:05,150
+الضغط شوية بزيد ال filtration لكن لو زاد لدرجة انه
+
+399
+00:30:05,150 --> 00:30:10,990
+ي .. يديني ال flow rate اتأثر زاد كذا ضعيف الطبيعي
+
+400
+00:30:10,990 --> 00:30:14,970
+معناها ال plasma flow rate أساسا هو ايه؟ صار يمشي
+
+401
+00:30:14,970 --> 00:30:18,470
+بطيء كويس البطيء هذا اللي ماشي اللي مااخد منه
+
+402
+00:30:18,470 --> 00:30:21,630
+عشرين في المية عايز تكون كمية إيه؟ جليلة لو كمية
+
+403
+00:30:21,630 --> 00:30:28,310
+دوساوة كمية البزمة بتعدى مش ال flow في الوجدتمام؟
+
+404
+00:30:28,310 --> 00:30:34,990
+الصح .. صار هو بطيء في نفس الوجد اللي لو كان أسرع
+
+405
+00:30:34,990 --> 00:30:39,070
+بيدين كمية أكبر من ال filtration فإذا هنا طلعنا
+
+406
+00:30:39,070 --> 00:30:42,930
+بنحصر ال factors المختلفة اللي بتأثر ع مين على ..
+
+407
+00:30:42,930 --> 00:30:47,430
+لو نرجحها كده مع بعض بنقول لو ال KF جل ال GFR بتجل
+
+408
+00:30:48,180 --> 00:30:53,940
+لو ال hydrostatic pressure في بومانز كابسول زاد ال
+
+409
+00:30:53,940 --> 00:30:57,240
+filtration بيجل، مش كده؟ في ال بومانز ال هاد بيه،
+
+410
+00:30:57,240 --> 00:31:02,120
+لو ال ال oncotic pressure في ال glomerulus زاد، ال
+
+411
+00:31:02,120 --> 00:31:08,320
+filtration بيجل، لو ال hydrostatic pressure في
+
+412
+00:31:08,320 --> 00:31:12,400
+glomerulus جل، ال filtration بيجل
+
+413
+00:31:14,440 --> 00:31:20,300
+هنا عندنا afferent arteriole لما يزيد ال .. ال ..
+
+414
+00:31:20,300 --> 00:31:25,180
+ال .. ال gel resistance زبعته ايش هذه ال .. ايه؟
+
+415
+00:31:25,180 --> 00:31:27,120
+ال .. اه pressure ال pressure في ال afferent يعني
+
+416
+00:31:27,120 --> 00:31:29,560
+ال general circulation ال pressure ال hydrostatic
+
+417
+00:31:29,560 --> 00:31:31,160
+pressure في ال afferent arteriole يعني general
+
+418
+00:31:31,160 --> 00:31:34,800
+circulation pressure وطي معناه ال GFR نفسه ب gel
+
+419
+00:31:34,800 --> 00:31:38,720
+لإن هذا ال afferent .. لما ال afferent arteriole
+
+420
+00:31:38,720 --> 00:31:44,650
+pressure ي gel معناه ال hydrostatic pressureنفسه
+
+421
+00:31:44,650 --> 00:31:51,290
+ايه؟ جال لإن هو هاد زمنها لما عندي ال ال efferent
+
+422
+00:31:51,290 --> 00:31:58,210
+arterial resistance اتجل ال efferent arterial احنا
+
+423
+00:31:58,210 --> 00:32:02,450
+بتكلم عن العوامل اللي هو بتأثر على ال ال ال
+
+424
+00:32:02,450 --> 00:32:08,090
+hydrostatic pressure لما ال ال resistance سبع ال
+
+425
+00:32:08,090 --> 00:32:12,010
+efferent arterial اتجل
+
+426
+00:32:12,810 --> 00:32:18,330
+فعندي ال hydrostatic pressure بيجيل، إيش ال RE
+
+427
+00:32:18,330 --> 00:32:19,190
+هذه؟
+
+428
+00:32:22,770 --> 00:32:26,370
+resistance إفران؟ طيب إذا إيه لما increase
+
+429
+00:32:26,370 --> 00:32:29,770
+resistance في ال .. هنا لما increase resistance في
+
+430
+00:32:29,770 --> 00:32:32,650
+ال .. في ال afferent هت increase resistance في ال
+
+431
+00:32:32,650 --> 00:32:36,270
+afferent بيقلل إيه؟ ال GFR لإن الحادثوستان الكبرى
+
+432
+00:32:36,270 --> 00:32:39,110
+الشر نفسه إيه؟ نفسه هت .. الحادثوستان الكبرى الشر
+
+433
+00:32:39,110 --> 00:32:43,590
+بيقلل لإن resistance كانت هنا severe إذن إذن
+
+434
+00:32:43,590 --> 00:32:49,630
+severe afferent resistance decreased اللي
+
+435
+00:32:49,630 --> 00:32:55,350
+حادثوستان الكبرى الشرdecreased لأ مش صحيحة هذه ايه
+
+436
+00:32:55,350 --> 00:33:02,230
+هذه فيها كلام اتفضل و هكذا اذا في عندي اسباب اخرى
+
+437
+00:33:02,230 --> 00:33:06,830
+او تفسير الأشياء هذه ما علينا المهم انتوا فهمتوا
+
+438
+00:33:06,830 --> 00:33:11,780
+ال ايه ال general renal blood flowالمرة الجاية
+
+439
+00:33:11,780 --> 00:33:17,100
+هتكلم عن ايه؟ ع ال arena blood flow و ال control
+
+440
+00:33:17,100 --> 00:33:20,660
+of arena blood flow اه بس هذه بهمني انا ايه؟ اشوف
+
+441
+00:33:20,660 --> 00:33:27,020
+ايش هي ال RE؟ ال RE انتوا شايفين هل جيت؟ اجلولي
+
+442
+00:33:27,020 --> 00:33:31,240
+ايه؟ efferent arterial resistance لما ال efferent
+
+443
+00:33:31,240 --> 00:33:33,400
+arterial resistance بتجل
+
+444
+00:34:04,390 --> 00:34:08,730
+الدكتورات ده اللي زي السليمdextrose زي السلين
+
+445
+00:34:08,730 --> 00:34:23,450
+درسناها
+
+446
+00:34:23,450 --> 00:34:31,330
+في ال fluids درسناها في ال fluids قولنا تأثير ال
+
+447
+00:34:31,330 --> 00:34:37,880
+normal salineع الجسم بتأثير five percent glucose ع
+
+448
+00:34:37,880 --> 00:34:41,280
+الجسم ال five percent glucose ع الجسم ال five
+
+449
+00:34:41,280 --> 00:34:45,840
+percent glucose isotonic و ال nine point nine
+
+450
+00:34:45,840 --> 00:34:48,240
+percent saline اللي هو ال normal saline isotonic
+
+451
+00:34:48,240 --> 00:34:54,700
+مش هده؟ قولنا هذا اذا حطينا احنا ال glucose يستحدى
+
+452
+00:34:54,700 --> 00:34:58,930
+و ال fluid بطلع في ال ايه؟ في الكليةفي حين لو
+
+453
+00:34:58,930 --> 00:35:03,850
+حطينا saline لا يستهلك زي الجلوكوز فاوتوماتيكالي
+
+454
+00:35:03,850 --> 00:35:08,470
+بينتقل الى ايه الى يتوزع ما بين ال plasma و بين ال
+
+455
+00:35:08,470 --> 00:35:12,290
+interstitial fluid ال interstitial fluid دخل عليه
+
+456
+00:35:12,290 --> 00:35:16,030
+كمية ازيادة لكنه بنفس الأزمولية تبعت ال
+
+457
+00:35:16,030 --> 00:35:19,510
+intracellular fluid اذا ما بيصيرش shift بين ال
+
+458
+00:35:19,510 --> 00:35:22,310
+extracellular و ال intracellular لكن بيصير
+
+459
+00:35:22,310 --> 00:35:26,210
+expansion لل extracellular مظبوط اذا اضطغط بيعلها
+
+460
+00:35:26,210 --> 00:35:29,670
+بيصير expansion لهاللبلازمة بيصير expansion و
+
+461
+00:35:29,670 --> 00:35:32,210
+للinterstitial بيصير expansion كل الاكسسول اللي ده
+
+462
+00:35:32,210 --> 00:35:36,370
+بيزيد لكن الinterstitial مابيزدش ليش؟ لإن ال
+
+463
+00:35:36,370 --> 00:35:39,970
+factor اللي في الانتقال هان ال osmolality ماتغيرتش
+
+464
+00:35:39,970 --> 00:35:40,650
+فاضح
+
diff --git a/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/yZHQsvDX5Ow_raw.srt b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/yZHQsvDX5Ow_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..01613548d7475faa880be6c9acffb84213727115
--- /dev/null
+++ b/PL9fwy3NUQKwYwa5hY1iueXkYogtH76yN8/yZHQsvDX5Ow_raw.srt
@@ -0,0 +1,1868 @@
+1
+00:00:07,510 --> 00:00:12,870
+تبعنا إذا ال size وال إيه ال electric charge
+
+2
+00:00:12,870 --> 00:00:20,110
+وضربنا مثلًا في ال argument إنه بيقدر يعدي إذا من
+
+3
+00:00:20,110 --> 00:00:23,650
+ناحية ال holes ك holes بيقدر يعدي بس بيقدرش لإنه
+
+4
+00:00:23,650 --> 00:00:28,410
+في عند نيجاتيب ال charged ions تنعمل إنها إيه to
+
+5
+00:00:28,410 --> 00:00:33,890
+be إيه freely filtrated وقلتلكوا عن minimal change
+
+6
+00:00:33,890 --> 00:00:39,310
+يعني في روبوتيو .. و قلتلكم إيه ال protein والي ..
+
+7
+00:00:39,310 --> 00:00:45,530
+اه طيب determinants of GFR ال GFR هذا أنا تقوى
+
+8
+00:00:45,530 --> 00:00:51,430
+تخطيت الصفحات و حكيتلكوا عن ال GFR إنه في عندنا
+
+9
+00:00:51,430 --> 00:00:56,150
+حاجتين أمام net forces of filtration و عندنا ال
+
+10
+00:00:56,150 --> 00:01:01,150
+ايه ال permeability أو ال capillary filtration
+
+11
+00:01:01,150 --> 00:01:04,010
+coefficient التمثل filtration coefficient two
+
+12
+00:01:04,010 --> 00:01:08,430
+factorsالـ size تبع ال filtration surface جديش
+
+13
+00:01:08,430 --> 00:01:11,970
+حجمه و ال permeability تبع الممبرين نفسه الممبرين
+
+14
+00:01:11,970 --> 00:01:15,610
+موجود كويس فيه filterability عالي أو واقع طب و
+
+15
+00:01:15,610 --> 00:01:18,870
+جديش المساحة اللي مشغول عليها مش كده طيب ال
+
+16
+00:01:18,870 --> 00:01:24,190
+factors اتكلمنا عنها احنا من شوية او جبنا احنا هنا
+
+17
+00:01:24,190 --> 00:01:26,510
+بيقول hydrostatic pressure inside the glomerular
+
+18
+00:01:26,510 --> 00:01:33,150
+capillary pressure P في G في ال glomerulus او ال
+
+19
+00:01:33,150 --> 00:01:36,860
+pressure في ال Bowmans capsuleناجز ال .. ال .. ال
+
+20
+00:01:36,860 --> 00:01:40,660
+by هذه تبعت مين؟ تبعت ال .. اه ال .. ال oncotic
+
+21
+00:01:40,660 --> 00:01:43,260
+pressure اللي بتسميه هكذا او ال colloidal pressure
+
+22
+00:01:43,260 --> 00:01:48,980
+تمام؟ اه اللي في داخل ال glomerulus بيصير عكس ال
+
+23
+00:01:48,980 --> 00:01:52,000
+filtration بيصير بال .. بال minus و اللي في ال
+
+24
+00:01:52,000 --> 00:01:54,320
+Bowmans capsule بال positive بس ده دايما قيمتها
+
+25
+00:01:54,320 --> 00:01:58,020
+ايه؟ صفر في ال normal لذلك بيصير عندنا الأخيرة هذه
+
+26
+00:01:58,020 --> 00:02:01,260
+محدوثة بيصير عندنا فرج ال pressure من هنا إلى هنا
+
+27
+00:02:02,240 --> 00:02:05,020
+أه و بعدين لما نخسر منه جديش في عندى protein
+
+28
+00:02:05,020 --> 00:02:08,040
+بيشتغل برضه تنعمل يلمع عاكسها بيطلع عندى ال net
+
+29
+00:02:08,040 --> 00:02:12,780
+result قولنا جديش ten millimeter mercury ten
+
+30
+00:02:12,780 --> 00:02:15,820
+millimeter mercury لو حسبناها كده تطلع ten
+
+31
+00:02:15,820 --> 00:02:19,880
+millimeter mercury طب حلو ال ten millimeter
+
+32
+00:02:19,880 --> 00:02:25,540
+mercury هذا اللي هو ال filtration ال net
+
+33
+00:02:25,540 --> 00:02:29,760
+filtration pressure السابعتنا طب كيف احنا ممكن
+
+34
+00:02:29,760 --> 00:02:35,620
+نحسب الالفيلترشن كوافيشن ال surface و
+
+35
+00:02:35,620 --> 00:02:42,100
+filterability هو يعبر عنه شيء احنا
+
+36
+00:02:42,100 --> 00:02:51,940
+قلنا ان ال glomeral filtration rate جاي
+
+37
+00:02:51,940 --> 00:02:58,580
+من من؟ من البلازمه جاي من ايه؟ من البلازمه اذا
+
+38
+00:02:58,580 --> 00:03:03,970
+حسبنا كده يحصل الفيلترشنفى الدقيقة وقداش بلازمة
+
+39
+00:03:03,970 --> 00:03:06,610
+بتعد فى الكيليا فى الدقيقة احنا نقول نسبة اتنين في
+
+40
+00:03:06,610 --> 00:03:11,390
+المية مش كده بيصيب فى filtration اذا احنا المعادلة
+
+41
+00:03:11,390 --> 00:03:17,670
+فوق لو نحطها net filtration forces لأ المعادلة هي
+
+42
+00:03:17,670 --> 00:03:25,950
+هذه ال Kf فيها دول هدول انعرفوا ال GFR انعرفت مش
+
+43
+00:03:25,950 --> 00:03:28,350
+كده و ال
+
+44
+00:03:34,240 --> 00:03:38,760
+ال forces هذه مش هذه المعادلة اللي هستخدمها هستخدم
+
+45
+00:03:38,760 --> 00:03:44,860
+ان هنا في ايه في
+
+46
+00:03:44,860 --> 00:03:51,120
+عندي التناسب ال
+
+47
+00:03:51,120 --> 00:03:57,100
+net filtration forces هذه بدي انا احسبها net
+
+48
+00:03:57,100 --> 00:04:01,150
+filtration forces بدي احسبهاوالـ GFR بدي أحسبها
+
+49
+00:04:01,150 --> 00:04:05,950
+هدى على هدى تساوي لإنه .. لإنه ال .. الـ GFR تساوي
+
+50
+00:04:05,950 --> 00:04:09,250
+ال net filtration forces مضروبة في إيه؟ في الـ KF
+
+51
+00:04:09,250 --> 00:04:13,570
+تمام؟ إذا أعمل معادلة هذه إذا عرفنا two factors
+
+52
+00:04:13,570 --> 00:04:17,430
+بعرف التالت فإذا أنا عرفت الـ GFR و net filtration
+
+53
+00:04:17,430 --> 00:04:21,590
+forces بقدر بسهولة أعرف مين؟ الـ KF بس كيف أعرف ال
+
+54
+00:04:21,590 --> 00:04:25,030
+net filtration forces هذه قصة برضه إيه؟ كبيرة فيها
+
+55
+00:04:25,030 --> 00:04:28,600
+خلاف و طريقة القياس و ماعليناالمهم انه قصدنا نقول
+
+56
+00:04:28,600 --> 00:04:34,280
+انه انه ال KF هذه في الطبيعي لها رقم معين مرات
+
+57
+00:04:34,280 --> 00:04:38,600
+بنلاقي ZAD مرات بنلاقي Gel في diseases بتصيب ال
+
+58
+00:04:38,600 --> 00:04:41,720
+membrane هذا بتأدي إلى انه ال filtration
+
+59
+00:04:41,720 --> 00:04:47,000
+coefficient ايش يجل في أمراض بتضرب ال capillaries
+
+60
+00:04:47,000 --> 00:04:52,100
+ال glomeruli بتجل عدد ال glomeruli لما جل عدد ال
+
+61
+00:04:52,100 --> 00:04:57,250
+glomeruli ال surface area بتجلتمام صنعنا ال
+
+62
+00:04:57,250 --> 00:05:01,830
+filtration بتم مش في مليون glomerulus بتم في نص
+
+63
+00:05:01,830 --> 00:05:05,390
+مليون في ربع مليون يعني ال surface area تبعت ال
+
+64
+00:05:05,390 --> 00:05:11,730
+filtration surface تمام بتتحمق و هكذا المهم ما
+
+65
+00:05:11,730 --> 00:05:14,430
+علينا احنا سؤالنا الآن ال filtration coefficient
+
+66
+00:05:14,430 --> 00:05:20,290
+هذا بمعنى
+
+67
+00:05:20,290 --> 00:05:26,270
+انه جديش عندي net forces pressureجداش net forces
+
+68
+00:05:26,270 --> 00:05:34,490
+pressure يبيديني filtration تمام عندنا ال
+
+69
+00:05:34,490 --> 00:05:39,890
+filtration بيصير عندى 125 ملي لتر برقه per minute
+
+70
+00:05:39,890 --> 00:05:47,070
+تمام وعندي ال forces عشرة عشرة ملي متر mercury مش
+
+71
+00:05:47,070 --> 00:05:50,170
+كده ال net forces إذا قلنا كل one millimeter
+
+72
+00:05:50,170 --> 00:05:57,000
+mercury بيدينى اتنان عشر و نصmilliliter filtrate
+
+73
+00:05:57,000 --> 00:06:03,160
+per minute مش هيك اذا انا بقدر احسب انا ال
+
+74
+00:06:03,160 --> 00:06:07,100
+filtration forces هذه جديش ايه
+
+75
+00:06:11,450 --> 00:06:17,510
+جداش بتديني forces اذا because total GFR for both
+
+76
+00:06:17,510 --> 00:06:20,510
+kidneys is about 115 ملي لتر and the net
+
+77
+00:06:20,510 --> 00:06:23,330
+filtration force is 10 millimeter mercury the
+
+78
+00:06:23,330 --> 00:06:26,730
+normal KF is calculated to be من خلال معادلة هذه
+
+79
+00:06:26,730 --> 00:06:31,770
+تمام ال GFR على ال forces ال GFR 125 على ال force
+
+80
+00:06:31,770 --> 00:06:36,190
+اللي هو عشرة ال net forces اذا ال KF بيساوي ايه ال
+
+81
+00:06:36,190 --> 00:06:41,690
+filtration coefficient عندها اتناشر نصهذا for the
+
+82
+00:06:41,690 --> 00:06:48,770
+two kidneys طيب لو احنا قلنا الحسبة بالنسبة للجسم
+
+83
+00:06:48,770 --> 00:06:51,050
+برضه في filtration coefficient في ال general
+
+84
+00:06:51,050 --> 00:06:55,550
+circulation بس هنا كان نحسب بالمائة ملي جرام هنا
+
+85
+00:06:55,550 --> 00:07:00,110
+بنقول الكلية كده وزنها خلينا نعمل حسبة بالمائة ملي
+
+86
+00:07:00,110 --> 00:07:03,770
+جرام هنلاقي بالمائة ملي جرام عندنا ال filtration
+
+87
+00:07:03,770 --> 00:07:07,130
+coefficient سوى اربعة و اتنين من عشرةmilliliter
+
+88
+00:07:07,130 --> 00:07:11,050
+per minute for each millimeter mercury مش كده اذا
+
+89
+00:07:11,050 --> 00:07:15,990
+هذا
+
+90
+00:07:15,990 --> 00:07:19,310
+لما نقارنه بال general circulation نلاقي فى فرق
+
+91
+00:07:19,310 --> 00:07:22,770
+رهيب لإن ال filtration coefficient لل general
+
+92
+00:07:22,770 --> 00:07:27,330
+circulation point oh one هذا اربعة و اتنين من عشرة
+
+93
+00:07:27,330 --> 00:07:32,070
+millimeter mercury per per minute per millimeter
+
+94
+00:07:32,070 --> 00:07:35,670
+mercuryهناك ال millimeter mercury في ال minute
+
+95
+00:07:35,670 --> 00:07:40,390
+بيطلعلي point one milliliter واحد على مية من ال
+
+96
+00:07:40,390 --> 00:07:45,010
+millimeter في الدقيقة يعني كل مائة دقيقة بيطلعولي
+
+97
+00:07:45,010 --> 00:07:52,350
+ايه one milliliter في مائة gram في حسبة بمعنى ان
+
+98
+00:07:52,350 --> 00:07:56,510
+عندي infiltration عالي عالي جدا ال pressure الواحد
+
+99
+00:07:56,510 --> 00:07:59,750
+بتديني كام ضخم من ال filtration لإن ال membrane
+
+100
+00:07:59,750 --> 00:08:05,630
+has high infiltration coefficientلما .. لما نقارن
+
+101
+00:08:05,630 --> 00:08:12,790
+هذا .. كم مرة منك تضاعف وجهاتك كم مرة؟ يعني فرق ..
+
+102
+00:08:12,790 --> 00:08:17,230
+فرق ضخم، مش كده؟ although .. و هذا اللي بيقدي إلي
+
+103
+00:08:17,230 --> 00:08:21,830
+عندي filtration سريع و كتير و عالي the high KF for
+
+104
+00:08:21,830 --> 00:08:24,630
+glomerular capillaries contributes tremendously to
+
+105
+00:08:24,630 --> 00:08:27,510
+their rapid rate of fluid filtration إذا ان ال
+
+106
+00:08:27,510 --> 00:08:29,450
+filtration coefficient اللي هم دول بيخلي عندي
+
+107
+00:08:29,450 --> 00:08:30,210
+filtration عالي
+
+108
+00:08:33,130 --> 00:08:39,750
+أما ان ازمة KF تحفظ GFR و ازمة KF تحفظ GFR،
+
+109
+00:08:39,750 --> 00:08:45,720
+فالتغيير في KFdo not provide a primary mechanism
+
+110
+00:08:45,720 --> 00:08:49,240
+for normal يعني ال KF هو ال filtration coefficient
+
+111
+00:08:49,240 --> 00:08:53,980
+للكيليا مش كل يوم بيتغير او هو محط diseases ادور
+
+112
+00:08:53,980 --> 00:08:58,340
+عليه اشوف ال KF جديش لأ هو مش factor بتغير من
+
+113
+00:08:58,340 --> 00:09:02,000
+دقيقة لدقيقة تابت حجم ال surface عدد ال glomerula
+
+114
+00:09:02,000 --> 00:09:06,280
+يعني موجود هو هو و النوع هو هو مش هذا العامل اللي
+
+115
+00:09:06,280 --> 00:09:09,520
+بيغير ال filtration أو بيجعل ال filtration يعني مش
+
+116
+00:09:09,520 --> 00:09:14,160
+زي الضغطالضغط انعلي بزيدي ال filtration والضغط
+
+117
+00:09:14,160 --> 00:09:21,180
+بيعني بسرعة والضغط بوطة بسرعة بجلد و بزود لكن ال
+
+118
+00:09:21,180 --> 00:09:25,480
+filtration coefficient مش يعني مش day to day مش
+
+119
+00:09:25,480 --> 00:09:29,780
+minute to minute factor that affects filtration
+
+120
+00:09:29,780 --> 00:09:34,020
+تمام؟ لكنه عندنا احنا واضح ان ال KF عالي جدا
+
+121
+00:09:34,020 --> 00:09:40,430
+مقارنة بال A لكن في عندنا some diseasesبتدرم
+
+122
+00:09:40,430 --> 00:09:46,610
+الكبيرة المنبراير وبتغير من نوعيته واضح؟ لكن مش هو
+
+123
+00:09:46,610 --> 00:09:50,450
+انه factor من ال factors اللي عن طريق الجسم بيتحكم
+
+124
+00:09:50,450 --> 00:09:53,790
+بال filtration في كل لحظة لأ التحكم بال filtration
+
+125
+00:09:53,790 --> 00:09:57,290
+بالhydrostatic mainly بالhydrostatic pressure اللي
+
+126
+00:09:57,290 --> 00:10:01,050
+في ال glomerulus ليش؟ اه لإن في عندي ارض جميلة
+
+127
+00:10:01,050 --> 00:10:06,120
+وارض بعيد afferent و efferent و بينهم مين؟بينهم ال
+
+128
+00:10:06,120 --> 00:10:10,460
+glomerulus ان فتحنا ال .. ال afferent أكتر بزيد
+
+129
+00:10:10,460 --> 00:10:13,920
+الضغط أكتر بيصير ال filtration أكتر و يرد أكتر ان
+
+130
+00:10:13,920 --> 00:10:21,130
+ديجنا بجلد ضغطالـ afferent مضيجنا بجل الضغط بجل ال
+
+131
+00:10:21,130 --> 00:10:23,470
+hydrostatic pressure بجل ال إيه؟ لإن ال
+
+132
+00:10:23,470 --> 00:10:26,390
+hydrostatic pressure هو العامل الرئيسي المهم و
+
+133
+00:10:26,390 --> 00:10:29,850
+اللي قابل التغيير ال proteins بتتغيرش من يوم ليوم
+
+134
+00:10:29,850 --> 00:10:33,150
+من لحظة للحظة لكن بزود الضغط بجل الضغط على طول
+
+135
+00:10:33,150 --> 00:10:37,170
+إشارة سكّر الشريان جل الضغط جل ال filtration افتح
+
+136
+00:10:37,170 --> 00:10:40,690
+الشريان فتحناه بس عندي هال afferent و afferent
+
+137
+00:10:40,690 --> 00:10:46,530
+بمعنى إنه لما يفتح ال afferent بزيد الضغط و لو فتح
+
+138
+00:10:46,530 --> 00:10:51,610
+ال afferentبجل الضغط، و لو سكر ال a front بزيد
+
+139
+00:10:51,610 --> 00:10:57,090
+الضغط، اه اذا لو سكر ال a front بجل الضغط، يعني
+
+140
+00:10:57,090 --> 00:11:01,270
+هدول التنين واحد هنا و واحد هنا، عكس بعض بيشتغلوا،
+
+141
+00:11:01,270 --> 00:11:06,620
+مش كده؟إذا ال day to day control أو ال time to
+
+142
+00:11:06,620 --> 00:11:08,900
+time control is mainly عبر ال hydrostatic في
+
+143
+00:11:08,900 --> 00:11:12,160
+factors كتير متغيرة موجودة بتتحكم بس مش كلها
+
+144
+00:11:12,160 --> 00:11:16,040
+متغيرة بالسرعة اللي بتتغير فيها يعني مش هو كلها
+
+145
+00:11:16,040 --> 00:11:20,260
+controlling ال filtration و ال urine formation
+
+146
+00:11:20,260 --> 00:11:23,940
+تمام هي ثابتةاللي بتغير الوحيد اللي بتقدر يتغير
+
+147
+00:11:23,940 --> 00:11:27,100
+ويطلع وينزل يزود ال ball ويجلي ال ball كتر الأشي
+
+148
+00:11:27,100 --> 00:11:31,140
+على ال tubule بيبعت إشارة سكّر إشارة يعني لإنه أنا
+
+149
+00:11:31,140 --> 00:11:35,540
+أصلا واصلني أكتر من جدرتي بيسكر اه يواصل ويجليه
+
+150
+00:11:35,540 --> 00:11:38,700
+افتح انا واصلني اشي جليه افتح فهذا بيصير control
+
+151
+00:11:38,700 --> 00:11:43,260
+بتزوّق الفترة اه vascular hydrostatic changes لكن
+
+152
+00:11:43,260 --> 00:11:46,040
+لا ال coefficient بتتغير من لحظة للحظة ولا ال
+
+153
+00:11:46,040 --> 00:11:50,200
+الوزموتك pressureبتغير من لحظة للحظة ممكن تكون
+
+154
+00:11:50,200 --> 00:11:53,000
+لحظة تتبع علشان اسمها بس في حين ان انا اتكلم
+
+155
+00:11:53,000 --> 00:11:56,840
+general اوكي واحد اليوم عنده مشكلة في ال .. في
+
+156
+00:11:56,840 --> 00:12:00,200
+الكلة ال filtration coefficient وطيه اه لإنه
+
+157
+00:12:00,200 --> 00:12:04,620
+انضربت ال membrane خلاص بيضال مضروب مش انه دقيقة
+
+158
+00:12:04,620 --> 00:12:07,880
+بيفتح و دقيقة بسكر مثلا reducing the number of
+
+159
+00:12:07,880 --> 00:12:11,380
+functioning nephrons هنا قلتلكم انا بعد سن
+
+160
+00:12:11,380 --> 00:12:18,120
+الأربعين بعد سن الأربعينبنبدأ نفقد سنويًا one
+
+161
+00:12:18,120 --> 00:12:22,120
+percent من العدد ال A يعني ع سنة تمانين بيصير احنا
+
+162
+00:12:22,120 --> 00:12:24,560
+عندنا اربعين فمية من ال capillaries من ال
+
+163
+00:12:24,560 --> 00:12:30,280
+glomeruli فاقد فبتنخفض قدرة ال A الكلية لكن هذا
+
+164
+00:12:30,280 --> 00:12:34,090
+هذا بأثر على الجسمبأثرش على الجسم لإن لو احنا
+
+165
+00:12:34,090 --> 00:12:38,610
+اشتغلنا ب 60% من الكيلية احنا بخير لسه عندنا لو
+
+166
+00:12:38,610 --> 00:12:41,850
+ضلينا الكيلية تضرب تضرب تضرب مابضلنا نشتغل طبيعي
+
+167
+00:12:41,850 --> 00:12:45,630
+مابنحسش بأي فرق لحد ما يصير عندى ربع الكيلية شجعة
+
+168
+00:12:45,630 --> 00:12:49,190
+لحد ربع الكيلية انا بقصين طبيعي اجال من ربع
+
+169
+00:12:49,190 --> 00:12:52,230
+الكيلية ببدأ يبين عليا ان ايه ال electrolyte
+
+170
+00:12:52,230 --> 00:12:55,390
+اتلخبطت و الكيلية تنين عالية و اليورية عالية و ال
+
+171
+00:12:59,660 --> 00:13:04,640
+أقل من هيك اكتر من هيك فوق ال .. فوق ال .. ال ..
+
+172
+00:13:04,640 --> 00:13:08,640
+ال .. ال .. الخمس عشر في المية الربع اه بيضل شغالة
+
+173
+00:13:08,640 --> 00:13:12,400
+تمام اذا ايه؟ اذا لكن الكائف بيجيل مع ال .. مع
+
+174
+00:13:12,400 --> 00:13:15,880
+العمر لإن number of .. the number of glomerular
+
+175
+00:13:15,880 --> 00:13:19,820
+بيجيل مع ال ايه؟ مع العمر اتنين لو بعض الأمراض
+
+176
+00:13:19,820 --> 00:13:22,340
+صابت ال .. ال basement membrane ال autoimmune
+
+177
+00:13:22,340 --> 00:13:25,360
+diseases هذه اللي بتتكلم عنها بعض الأمراض اللي
+
+178
+00:13:25,360 --> 00:13:30,300
+الجسم بيطلع فيها أجسام مضادة لانسيجتهمعظم ال
+
+179
+00:13:30,300 --> 00:13:33,100
+nephropathies اللي هتكلم عنها هنلاقيها عبارة عن
+
+180
+00:13:33,100 --> 00:13:34,940
+الأمراض اللي قلنا عليها بتعمل chronic renal
+
+181
+00:13:34,940 --> 00:13:39,140
+failure nephropathy معظمها انتشر عن autoimmune
+
+182
+00:13:39,140 --> 00:13:43,240
+diseases ال antibodies بتهاجم ال basement membrane
+
+183
+00:13:43,240 --> 00:13:46,460
+فبيعمل inflammatory process هان في لحظة بطل الدنيا
+
+184
+00:13:46,460 --> 00:13:50,320
+تضرب الكلية حد حد حد حد حد بزيد تبدو الكلية عيش
+
+185
+00:13:50,320 --> 00:13:53,540
+كمان تضرب روماتويد arthritis
+
+186
+00:13:56,120 --> 00:14:00,220
+بالإضافة لكل اللي قلتلكم نفروباتي زاد اللي بتصيب
+
+187
+00:14:00,220 --> 00:14:04,440
+الكلية معظمها ناتجة عن autoimmune diseases الجسم
+
+188
+00:14:04,440 --> 00:14:10,880
+بدأ يطلع عيسام مضادة ضد أنسجته تمام فبيأثر على مين
+
+189
+00:14:10,880 --> 00:14:14,180
+على ال filterability هنا بيأثر على ال membrane
+
+190
+00:14:14,180 --> 00:14:20,620
+بيأثر على يعني
+
+191
+00:14:20,620 --> 00:14:27,690
+هنا اذا مع مرض السكرينبدأ يصيب الهيبرتنشين للـ
+
+192
+00:14:27,690 --> 00:14:33,630
+glomeruli الهيبرتنشين عندما الضغط عالي عندى انا
+
+193
+00:14:33,630 --> 00:14:37,530
+الضغط العالى بيخرب الكميلوريت ويرد بيخرب
+
+194
+00:14:37,530 --> 00:14:40,910
+الفاسكولار الفاسكولار التبع التتوشس بيخربها للضغط
+
+195
+00:14:40,910 --> 00:14:44,690
+العالى مبدأ ايش؟ الضغط العالى يجرح فيها و تبدأ
+
+196
+00:14:44,690 --> 00:14:49,670
+ترسبات كالسية ضغط عالى و كمان دهون عالية تبدأ اثر
+
+197
+00:14:49,670 --> 00:14:53,800
+اسفلوروز يكون سريعةالـ sclerosis هذا اللي بيصير
+
+198
+00:14:53,800 --> 00:14:59,380
+بيبدأ يدى يضيق الشرايين in general لكى لما يكون
+
+199
+00:14:59,380 --> 00:15:02,500
+عنده organ هو vascular organ كل شغل ع الشرايين
+
+200
+00:15:03,110 --> 00:15:06,390
+الاصابة اللى بتصير من التغير من ال hypertension و
+
+201
+00:15:06,390 --> 00:15:09,910
+ال others sclerosis اصابة كبيرة اذا في factors مع
+
+202
+00:15:09,910 --> 00:15:13,970
+الوجد بتتأثر mainly على ال ايه على نوعية ال
+
+203
+00:15:13,970 --> 00:15:18,250
+membrane اللى عندى نوعية ال filtration membrane
+
+204
+00:15:18,250 --> 00:15:22,730
+اللى عندى ان كان جل العدد glomeruli او خرب نوعية
+
+205
+00:15:22,730 --> 00:15:27,130
+ايه ال membrane تمام اذا عندى ال factor الاول اللى
+
+206
+00:15:27,130 --> 00:15:31,550
+درسته هنا ال KF هو ايه دوره في ال
+
+207
+00:15:34,420 --> 00:15:37,240
+Increase Bowman's Capsule Hydrostatic Pressure
+
+208
+00:15:37,240 --> 00:15:42,700
+احنا بندرس الاول الشي الاقل الاهامية اخر الشي
+
+209
+00:15:42,700 --> 00:15:46,420
+هندرس ال ايه هندرس ال hydrostatic pressure لكن هال
+
+210
+00:15:46,420 --> 00:15:49,740
+factors اللي قولنا عليها تمام عندي factors net
+
+211
+00:15:49,740 --> 00:15:53,820
+filtration forces اللي لها اربعة factors و ال KF
+
+212
+00:15:53,820 --> 00:15:57,660
+له two factors مش كده خلصنا من ال KF ال forces
+
+213
+00:15:57,660 --> 00:16:02,380
+الأخرى بدينا في الاقل الاهامية اللي هو Bowman's
+
+214
+00:16:02,380 --> 00:16:06,900
+Capsule Hydrostatic Pressureتمام؟ في العادة هذا
+
+215
+00:16:06,900 --> 00:16:10,720
+لإنه ال capsule تبعت ال kidney ماسك الكيليا أو
+
+216
+00:16:10,720 --> 00:16:15,160
+الضغط اللي داخل الدم اللي داخل في الكيليا بيحاول
+
+217
+00:16:15,160 --> 00:16:19,620
+يوسع ال ايه؟ الكيليا و الكابسولة بتبنع انه يوسع
+
+218
+00:16:19,620 --> 00:16:23,960
+ففي عندي pressure موجود داخل الكيليا in general و
+
+219
+00:16:23,960 --> 00:16:26,440
+ال pressure هذا ينعكس ال Bowmans capsule pressure
+
+220
+00:16:26,440 --> 00:16:30,760
+في العادة موجود pressure بسيط في مقابل ال 60 عندي
+
+221
+00:16:30,760 --> 00:16:37,480
+18 مش مأثر عليها لكن هل ممكنأزود ال pressure هذا
+
+222
+00:16:37,480 --> 00:16:42,100
+يزيد ويعمللي factor مهم اه لو صار عندى حصوى سكرت
+
+223
+00:16:42,100 --> 00:16:48,740
+تمام ووقفت في ال ureter ووقفت في ال pelvis او اي
+
+224
+00:16:48,740 --> 00:16:52,200
+mechanical يعني physiological problem زي اللي
+
+225
+00:16:52,200 --> 00:16:55,500
+بيصير احيانا في ال junction بين ال ureter و ال
+
+226
+00:16:55,500 --> 00:17:02,260
+pelvis تبع الكدن بيو جي بيو جيبالـ Eurythmic
+
+227
+00:17:02,260 --> 00:17:04,780
+Junction ممكن احنا عند بعض الناس اللي الـ junction
+
+228
+00:17:04,780 --> 00:17:08,300
+فيها مشكلة بتقدرش البريستالزيس انتقل منها لها
+
+229
+00:17:08,300 --> 00:17:12,820
+فبتحوش ال ball فيها فبيعمل back pressure على ايه؟
+
+230
+00:17:12,820 --> 00:17:15,960
+على ال نفرول بيصل ال back pressure لمين؟ لبومانس
+
+231
+00:17:15,960 --> 00:17:19,160
+كابسول فبيعمل عملية عكسية لمين؟ filtration على
+
+232
+00:17:19,160 --> 00:17:24,660
+فكرة في نموذج في دراسة الكلية بنسميها stop flow
+
+233
+00:17:24,660 --> 00:17:31,080
+modelيعني بناخد نيفرون بنضفه و بنحط في الطرف
+
+234
+00:17:31,080 --> 00:17:36,160
+النهائي تبعه fluid و بنضل نعلي الضغط فيه و احنا
+
+235
+00:17:36,160 --> 00:17:40,240
+بندرس ال filtration في ال نيفرون تمام ممكن نعلي
+
+236
+00:17:40,240 --> 00:17:42,860
+الضغط .. نعلي الضغط .. نعلي الضغط لحد ما إيش ال
+
+237
+00:17:42,860 --> 00:17:47,680
+filtration يتوقف تماما لإن انا back pressureعلى ال
+
+238
+00:17:47,680 --> 00:17:50,560
+women's كبسو ال brusher يسووا ال brusher تبع مين؟
+
+239
+00:17:50,560 --> 00:17:54,600
+تبع ال hydrostatic brusher مع ال osmotic .. مع ال
+
+240
+00:17:54,600 --> 00:17:56,240
+oncotic brusher يسووا التانيين يسووا ال
+
+241
+00:17:56,240 --> 00:17:59,220
+hydrostatic brusher فبصير عندي no filtration .. no
+
+242
+00:17:59,220 --> 00:18:03,760
+filtration technique تمام؟ صار عندي model مافيش
+
+243
+00:18:03,760 --> 00:18:06,740
+فيه filtration بجلق ال brusher شوية اللي أنا عامله
+
+244
+00:18:06,740 --> 00:18:10,410
+و ببدأ ال filtration بجلدطبعا فعنا احنا clinically
+
+245
+00:18:10,410 --> 00:18:18,070
+ممكن نخش في حاجة زي كده لذلك واحد عنده حصاوى كيلية
+
+246
+00:18:18,070 --> 00:18:21,590
+مسكرة بطريقة معينة أحيانا بتكون emergency لازم
+
+247
+00:18:21,590 --> 00:18:24,750
+خلال أنا فترة بسيطة ايه اطلعها لإن عشان احمل ايه
+
+248
+00:18:24,750 --> 00:18:27,810
+الكيلية من ال back pressure تبعها اللي ممكن يكون
+
+249
+00:18:27,810 --> 00:18:29,550
+very damaging
+
+250
+00:18:54,390 --> 00:18:57,570
+increased glomerular capillary colloid osmotic
+
+251
+00:18:57,570 --> 00:19:01,980
+pressureإذا احنا بقولنا بناخد ال factors الأقل
+
+252
+00:19:01,980 --> 00:19:06,180
+أهمية عشان في الآخر ناخد الباقي بالتفصيل، بقولنا
+
+253
+00:19:06,180 --> 00:19:10,720
+ال KF بقولنا الهيدروستكبيرتف البومنز كابسول، الآن
+
+254
+00:19:10,720 --> 00:19:14,260
+ال osmotic pressure أو ال oncotic أو ال colloidal
+
+255
+00:19:14,260 --> 00:19:20,200
+pressure في داخل مين؟ ال capillary، تمام؟ هذا مهم،
+
+256
+00:19:20,200 --> 00:19:24,240
+مهم جدا، لكن هذا مش برضه factor بنقدر نلعب فيه
+
+257
+00:19:24,240 --> 00:19:28,850
+بسرعة، لكن في diseases معينة زي ما قولناالـ
+
+258
+00:19:28,850 --> 00:19:34,050
+diseases اللي هي ايه في liver failure مثلا liver
+
+259
+00:19:34,050 --> 00:19:40,550
+failure ال protein formation ال albumin formation
+
+260
+00:19:40,550 --> 00:19:45,950
+صار lagging صار ال protein اللي بتكسر لايسوي ال
+
+261
+00:19:45,950 --> 00:19:49,150
+protein اللي بتصنع فاملاحظ ان يوم عن يوم عن يوم عن
+
+262
+00:19:49,150 --> 00:19:53,550
+يوم بيصير عندنا hypoprotonemia ال protein في الدم
+
+263
+00:19:53,550 --> 00:19:57,690
+بدأ ايش ان خفض مش كده كل من خفض ال protein في الدم
+
+264
+00:19:59,120 --> 00:20:04,340
+معناها في عندى filtration أكتر، مظبوط؟ و طبعا احنا
+
+265
+00:20:04,340 --> 00:20:07,740
+مانساش انه نفس الكلية نفسها إذا في عندى chronic
+
+266
+00:20:07,740 --> 00:20:12,000
+renal failure في بروتينوريا و البروتين بهبط،
+
+267
+00:20:12,000 --> 00:20:15,480
+معناها ال-oncotic pressure صار ايه؟ أجل، معناها
+
+268
+00:20:15,480 --> 00:20:17,680
+صار في عندى filtration أكتر
+
+269
+00:20:29,330 --> 00:20:32,590
+الان الـ osmotic pressure هذا الانكوتك pressure
+
+270
+00:20:32,590 --> 00:20:39,690
+لاحظوا من ناحية الأفرند ارتي و من ناحية الأفرند
+
+271
+00:20:39,690 --> 00:20:46,430
+الأفرند ارتي تمام بينهم ال glomerulus بيصير عندي
+
+272
+00:20:46,430 --> 00:20:50,850
+filtration filtration و احنا ماشي الدم ماشي من
+
+273
+00:20:50,850 --> 00:20:58,010
+الأفرند للإفرند طول ما هو ماشي بيفقد جزء منمنه مش
+
+274
+00:20:58,010 --> 00:21:02,650
+كده يفقد ال fluids بيفقدش ال protein تمام فطول ما
+
+275
+00:21:02,650 --> 00:21:06,710
+الدم ماشي في ال glomerulus هو بيفقد سوائل سوائل
+
+276
+00:21:06,710 --> 00:21:14,270
+سوائل لحد ما يفقد لحد ما يفقد عشرين في المية من
+
+277
+00:21:14,270 --> 00:21:18,110
+السوائل اللي فيه لما يفقد السوائل ليش بيصير في ال
+
+278
+00:21:18,110 --> 00:21:25,840
+كلودة المرشعة يبيعله مش كدهبمعنى اخر انه احنا طول
+
+279
+00:21:25,840 --> 00:21:29,920
+ما انه ال hydrostatic pressure ال net result تبعته
+
+280
+00:21:29,920 --> 00:21:33,720
+عشرة طول ما انه في filtration اذا ال osmotic
+
+281
+00:21:33,720 --> 00:21:37,260
+pressure مع فقدان السوائل بدأ يعلى يعلى يعلى بيصل
+
+282
+00:21:37,260 --> 00:21:41,920
+لمرحلة في نقطة معينة بيصير في balance بين ال
+
+283
+00:21:41,920 --> 00:21:47,610
+filteringوالـ Absorbing Forces فبيتوقف الفلترشان
+
+284
+00:21:47,610 --> 00:21:51,470
+يعني الـ Grommelluras وهي بتعمل filtration مش من
+
+285
+00:21:51,470 --> 00:21:54,930
+أول ال capillary لآخر capillary بتعمل filtration
+
+286
+00:21:54,930 --> 00:21:59,250
+عند مرحلة معينة بيصير الفلترشان بتتوقف ليش؟ لإن ال
+
+287
+00:21:59,250 --> 00:22:02,290
+oncotic pressure لإنه فقرة سوائل ال oncotic
+
+288
+00:22:02,290 --> 00:22:05,810
+pressure بيصير يساوي ال hydrostatic pressure تمام؟
+
+289
+00:22:05,810 --> 00:22:09,950
+فبيمنعه من إنه يصير more filtration واضح؟ لذلك ال
+
+290
+00:22:09,950 --> 00:22:12,940
+..الـ Osmotic pressure أو الـ Kotic pressure في
+
+291
+00:22:12,940 --> 00:22:16,320
+الـ A front بيبقى عند الـ A front بيكون واطي، عند
+
+292
+00:22:16,320 --> 00:22:19,940
+ال E front بيكون ايه؟ عالي، فاحنا لما بنجيز دايما،
+
+293
+00:22:19,940 --> 00:22:23,480
+بنجيز ناخد midway بين الاتنين، بنلاحظ احنا عندنا
+
+294
+00:22:23,480 --> 00:22:27,460
+انه في ال .. في ال .. ال .. ال .. osmolality تبعت
+
+295
+00:22:27,460 --> 00:22:30,360
+او ال .. ال .. كل ده ال pressure تبع ال plasma، 28
+
+296
+00:22:30,360 --> 00:22:35,220
+مليمتر ميركوري، تمام؟لكن هذا اللي داخل مع الأفراد
+
+297
+00:22:35,220 --> 00:22:37,800
+لكن مع ال EFRAD دي صار ال EFRAD بنلاقي صار تانية
+
+298
+00:22:37,800 --> 00:22:41,760
+اتنين و تلاتين صار ستة و تلاتين صار ايش صار ستة و
+
+299
+00:22:41,760 --> 00:22:45,560
+تلاتين ليش لإنه فقدنا احنا خمس الميه معناها بيزيد
+
+300
+00:22:45,560 --> 00:22:49,580
+خمس الكمية بيزيد اذا كنت اكبر اشهر هيضاعف مش كده
+
+301
+00:22:49,580 --> 00:22:54,680
+فبنلاقي انه في ناحية ال EFRAD صار ستة و تلاتين لما
+
+302
+00:22:54,680 --> 00:22:57,980
+نعمل حسابات احنا بنعمل حسابات طب midway جد اش كان
+
+303
+00:22:57,980 --> 00:23:00,180
+فبنقول بين التانية و تلاتين و ستة و تلاتين بنقول
+
+304
+00:23:00,180 --> 00:23:06,790
+هو اتنين و تلاتينمليمتر ميركوري اللي هو ال midway
+
+305
+00:23:06,790 --> 00:23:10,550
+مش midway في ال capillary، midway بين ال .. ال
+
+306
+00:23:10,550 --> 00:23:14,220
+afferent و نهاية ال filtrationلأن بعد كده خلاص
+
+307
+00:23:14,220 --> 00:23:17,720
+بيصير مافيش ايه more filtration يعني من نقطة ما في
+
+308
+00:23:17,720 --> 00:23:20,800
+ال capillary لحد ال A front بيصيرش تغير لحد ال E
+
+309
+00:23:20,800 --> 00:23:25,420
+front بيصيرش تغير تمام؟ ليش؟ لأنه هنوصل ارتفع
+
+310
+00:23:25,420 --> 00:23:29,280
+ارتفع ارتفع وخلاص صار يساوي ال filtration forces
+
+311
+00:23:29,280 --> 00:23:32,440
+توقف لكن بيظل كما هو لحد ما يصل ال E front إذا
+
+312
+00:23:32,440 --> 00:23:36,340
+نقول احنا ناخد هنا جدش كان في ال plasma و هنا جدش
+
+313
+00:23:36,340 --> 00:23:42,920
+كان في ال .. في ال .. في ال renal veinsلأن في
+
+314
+00:23:42,920 --> 00:23:48,900
+الرينالفين هيكون عندي osmosis مش كده لأ الرينالفين
+
+315
+00:23:48,900 --> 00:23:51,540
+بياخد بعوض معظم جسمه اقصد انا في ال efferent
+
+316
+00:23:51,540 --> 00:23:55,320
+arteriole في ال efferent arteriole هنلاقي انه
+
+317
+00:23:55,320 --> 00:23:59,740
+الفرق بينهم كبير فاحنا بناخد .. لو بنعمل حسابات
+
+318
+00:23:59,740 --> 00:24:03,520
+ناخد ال midpoint بين ال 28 و 36
+
+319
+00:24:07,910 --> 00:24:12,010
+هؤلاء الاسماء الاسماء الاسماء الاسماء الاسماء
+
+320
+00:24:12,010 --> 00:24:12,530
+الاسماء الاسماء الاسماء الاسماء الاسماء الاسماء
+
+321
+00:24:12,530 --> 00:24:13,930
+الاسماء الاسماء الاسماء الاسماء الاسماء الاسماء
+
+322
+00:24:13,930 --> 00:24:16,490
+الاسماء الاسماء الاسماء الاسماء الاسماء الاسماء
+
+323
+00:24:16,490 --> 00:24:21,830
+الاسماء الاسماء الاسماء الاسماء الاسماء الاسماء
+
+324
+00:24:21,830 --> 00:24:21,830
+الاسماء الاسماء الاسماء الاسماء الاسماء الاسماء
+
+325
+00:24:21,830 --> 00:24:21,830
+الاسماء الاسماء الاسماء الاسماء الاسماء الاسماء
+
+326
+00:24:21,830 --> 00:24:21,830
+الاسماء الاسماء الاسماء الاسماء الاسماء الاسماء
+
+327
+00:24:21,830 --> 00:24:21,870
+الاسماء الاسماء الاسماء الاسماء الاسماء الاسماء
+
+328
+00:24:21,870 --> 00:24:26,490
+الاسماء الاسماء
+
+329
+00:24:28,260 --> 00:24:31,980
+بعدين filtration fraction جداش فيه صار filtration
+
+330
+00:24:31,980 --> 00:24:35,460
+fraction كل ما زاد ال filtration fraction كل ما
+
+331
+00:24:35,460 --> 00:24:39,820
+صار more colloidal pressure عندى و هذا بيوقف ال
+
+332
+00:24:39,820 --> 00:24:44,380
+ايه ال filtration عند منطقة معينة ال filtration
+
+333
+00:24:44,380 --> 00:24:47,680
+fraction ايش يعني يعني جداش صار فيه filtration من
+
+334
+00:24:47,680 --> 00:24:50,620
+ال total بلازم اللى قولنا عليه احنا جداش توي خمس
+
+335
+00:24:50,620 --> 00:24:53,620
+اشترى فالمية جداش بيصير عندنا filtration fraction
+
+336
+00:24:53,620 --> 00:24:59,210
+جداش بيصير filtration من الكل الخمستمام؟ إذا ال
+
+337
+00:24:59,210 --> 00:25:03,590
+glomerular filtration rate على البلازما يساوي
+
+338
+00:25:03,590 --> 00:25:07,730
+filtration fraction مش كده؟ جديش من البلازما صار
+
+339
+00:25:07,730 --> 00:25:11,490
+لها filtration على هذا مضين ال إيه النسبة عشرين في
+
+340
+00:25:11,490 --> 00:25:17,170
+المية أو point two كل ما ال filtration fraction
+
+341
+00:25:17,170 --> 00:25:26,720
+زاد كل ما كله ده ال pressure بزيد تمام؟طبعا هاي
+
+342
+00:25:26,720 --> 00:25:31,620
+ايه الكلام لسه هنتكلم عليه بعد كده ال increase in
+
+343
+00:25:31,620 --> 00:25:33,480
+glomerular capilla ل head oestatic pressure أهلا و
+
+344
+00:25:33,480 --> 00:25:38,920
+سهلا وصلنا للإيه؟ للأهم وهذا زي ما قلتلكم بيعتمد
+
+345
+00:25:38,920 --> 00:25:44,470
+على أنه الضغط اللي جاي يجدش إذا عالي الضغطبيزيد
+
+346
+00:25:44,470 --> 00:25:48,070
+الضغط الواصلني، الضغط الجسمي عموما يعني ال
+
+347
+00:25:48,070 --> 00:25:50,630
+hydrostatic بقى، الضغط اللي أنا بجيسه بال إيه،
+
+348
+00:25:50,630 --> 00:25:53,910
+جاهز أتضغط إذا عليه، automatically اللي هيصل
+
+349
+00:25:53,910 --> 00:25:57,970
+الرينا الأرضي و الأفراد أرتريوية هيعلى، وهذا ال
+
+350
+00:25:57,970 --> 00:26:03,590
+factor الرئيسي في إيش لذلك بعض الناس بيعرف أنه
+
+351
+00:26:03,590 --> 00:26:09,270
+ضغطه عليه فورا من خلال أنه التبول زاد، أقل حاجة،
+
+352
+00:26:09,270 --> 00:26:12,570
+بعتقد الدكتور اتضغط عليه، تمام؟ من الملاجئ يعني
+
+353
+00:26:12,570 --> 00:26:16,640
+بالفعلتمام؟ نديله علاج للضغط، ضغط، ضغط، ضغط، ضغط،
+
+354
+00:26:16,640 --> 00:26:19,560
+ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط،
+
+355
+00:26:19,560 --> 00:26:22,160
+ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط،
+
+356
+00:26:22,160 --> 00:26:30,100
+ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط،
+
+357
+00:26:30,100 --> 00:26:31,440
+ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط،
+
+358
+00:26:31,440 --> 00:26:37,070
+ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغط، ضغطوصار
+
+359
+00:26:37,070 --> 00:26:42,050
+ischemia فى الكلية ممكن الكلية طبعا زى ما قولنا فى
+
+360
+00:26:42,050 --> 00:26:46,810
+ال .. اه تعمل اسباز و تخش فيها kidney failure لكن
+
+361
+00:26:46,810 --> 00:26:50,350
+احنا ممكن نقول ماوصلناش لمرحلة kidney failure صار
+
+362
+00:26:50,350 --> 00:26:54,630
+نزيف لأى سبب من الأسباب هبط الضغط ال hydrostatic
+
+363
+00:26:54,630 --> 00:27:00,930
+pressure هيهبط اه ال urine volume هيجل مش كدهإذا
+
+364
+00:27:00,930 --> 00:27:04,430
+انخفاض الضغط بيأثر عليهم ال volume و ارتفاع الضغط
+
+365
+00:27:04,430 --> 00:27:08,390
+لإن الضغط هذا هو الأساس في عملية ايه ال filtration
+
+366
+00:27:08,390 --> 00:27:13,450
+اللي هو منه بعد كده انا factors أخرى بتتدخل علشان
+
+367
+00:27:13,450 --> 00:27:17,530
+اعمله complete reabsorption او أسيبه كله يطلع او
+
+368
+00:27:17,530 --> 00:27:22,050
+او اخر المهم في الموضوع إذا الضغط عندي العام له
+
+369
+00:27:22,050 --> 00:27:27,090
+تأثير عميل على ال filtration طيب هذا الضغط العام
+
+370
+00:27:27,090 --> 00:27:30,270
+طيب البلاش الضغط العام يقول
+
+371
+00:27:33,800 --> 00:27:39,840
+الـ afferent الضغط العام طبيعي تمام؟ الضغط العام
+
+372
+00:27:39,840 --> 00:27:43,400
+طبيعي إن إجت أشياء خلت الـ afferent يفتح
+
+373
+00:27:43,400 --> 00:27:48,260
+الهتوسكبلشار بيزيد هو مش مهم لل afferent كتير
+
+374
+00:27:48,260 --> 00:27:52,220
+مفهومة إذا فتح بيزد الضغط و إذا جل بيجل الضغط و
+
+375
+00:27:52,220 --> 00:27:55,540
+معناه بيأثر ع مين؟ ع ال GFR الـ Glomeric
+
+376
+00:27:55,540 --> 00:27:59,380
+Depression Rate لكن المشكلة في مين؟ في ال afferent
+
+377
+00:27:59,380 --> 00:28:04,140
+الafferent هذا إيه؟ بيه phasic changesالـ efferent
+
+378
+00:28:04,140 --> 00:28:07,880
+له ايه؟
+
+379
+00:28:07,880 --> 00:28:11,920
+by physical changes بمعنى انه لو كان عامل mild
+
+380
+00:28:11,920 --> 00:28:15,960
+constriction بيزود ال hydrostatic pressure شوية
+
+381
+00:28:15,960 --> 00:28:21,420
+لكن لو عامل severe constriction يعني المقاومة
+
+382
+00:28:21,420 --> 00:28:24,480
+تبعته جلت شوية بيقدر انه ال pressure ال
+
+383
+00:28:24,480 --> 00:28:26,740
+hydrostatic pressure بيزيد و ال filtration بيزيد
+
+384
+00:28:26,740 --> 00:28:32,080
+مش هيك ال GFR بيزيد لكن لو عامل spasm كتير ال
+
+385
+00:28:32,080 --> 00:28:37,880
+efferentمعناه ال blood flow نفسه ايش؟ جل يعني ال
+
+386
+00:28:37,880 --> 00:28:42,900
+plasma flow نفسها جلت كل الدم اللي دخل على ال ..
+
+387
+00:28:42,900 --> 00:28:49,680
+ايه؟ على ال glomerulus جل البلازما جلت هو ال ال
+
+388
+00:28:49,680 --> 00:28:55,680
+filtration fraction يسوى ايش؟ يسوى ال GFR على مين؟
+
+389
+00:28:55,680 --> 00:29:03,550
+على البلازما مش كده؟ لما انا يصير عندى lowلو
+
+390
+00:29:03,550 --> 00:29:11,950
+plasma volume تمام نفسها بيصير عندى ال ال
+
+391
+00:29:11,950 --> 00:29:16,510
+filtration نفسه بيتوقف لأن كل الدم اللى داخل جال
+
+392
+00:29:16,510 --> 00:29:20,010
+اذا عندى a moderate level of constriction there is
+
+393
+00:29:20,010 --> 00:29:23,430
+a slight increase in GFR but with severe
+
+394
+00:29:23,430 --> 00:29:27,470
+constriction there is a decrease in GFR لما يصير
+
+395
+00:29:27,470 --> 00:29:33,900
+عندى انا ايهconstriction للـ efferent arteriole
+
+396
+00:29:33,900 --> 00:29:40,980
+تمام ال flow rate نفسه للجلب معناه ال GFR هيجلب من
+
+397
+00:29:40,980 --> 00:29:45,980
+الباب الأولى لإن ال GFR يمثل 20% من مين؟ من ال
+
+398
+00:29:45,980 --> 00:29:50,120
+plasma flow ال plasma flow كله وطي فما بالكم في
+
+399
+00:29:50,120 --> 00:29:56,400
+إيش ال 20% منه برضه هتكون واطي إذا عندي biophysic
+
+400
+00:29:57,250 --> 00:30:01,010
+it changes لو كان بس يعمل mile constriction وعلى
+
+401
+00:30:01,010 --> 00:30:05,150
+الضغط شوية بزيد ال filtration لكن لو زاد لدرجة انه
+
+402
+00:30:05,150 --> 00:30:10,990
+ي .. يديني ال flow rate اتأثر زاد كذا ضعيف الطبيعي
+
+403
+00:30:10,990 --> 00:30:14,970
+معناها ال plasma flow rate أساسا هو ايه؟ صار يمشي
+
+404
+00:30:14,970 --> 00:30:18,470
+بطيء كويس البطيء هذا اللي ماشي اللي مااخد منه
+
+405
+00:30:18,470 --> 00:30:21,630
+عشرين في المية عايز تكون كمية إيه؟ جليلة لو كمية
+
+406
+00:30:21,630 --> 00:30:28,310
+دوساوة كمية البزمة بتعدى مش ال flow في الوجدتمام؟
+
+407
+00:30:28,310 --> 00:30:34,990
+الصح .. صار هو بطيء في نفس الوجد اللي لو كان أسرع
+
+408
+00:30:34,990 --> 00:30:39,070
+بيدين كمية أكبر من ال filtration فإذا هنا طلعنا
+
+409
+00:30:39,070 --> 00:30:42,930
+بنحصر ال factors المختلفة اللي بتأثر ع مين على ..
+
+410
+00:30:42,930 --> 00:30:47,430
+لو نرجحها كده مع بعض بنقول لو ال KF جل ال GFR بتجل
+
+411
+00:30:48,180 --> 00:30:53,940
+لو ال hydrostatic pressure في بومانز كابسول زاد ال
+
+412
+00:30:53,940 --> 00:30:57,240
+filtration بيجل، مش كده؟ في ال بومانز ال هاد بيه،
+
+413
+00:30:57,240 --> 00:31:02,120
+لو ال ال oncotic pressure في ال glomerulus زاد، ال
+
+414
+00:31:02,120 --> 00:31:08,320
+filtration بيجل، لو ال hydrostatic pressure في
+
+415
+00:31:08,320 --> 00:31:12,400
+glomerulus جل، ال filtration بيجل
+
+416
+00:31:14,440 --> 00:31:20,300
+هنا عندنا afferent arteriole لما يزيد ال .. ال ..
+
+417
+00:31:20,300 --> 00:31:25,180
+ال .. ال gel resistance زبعته ايش هذه ال .. ايه؟
+
+418
+00:31:25,180 --> 00:31:27,120
+ال .. اه pressure ال pressure في ال afferent يعني
+
+419
+00:31:27,120 --> 00:31:29,560
+ال general circulation ال pressure ال hydrostatic
+
+420
+00:31:29,560 --> 00:31:31,160
+pressure في ال afferent arteriole يعني general
+
+421
+00:31:31,160 --> 00:31:34,800
+circulation pressure وطي معناه ال GFR نفسه ب gel
+
+422
+00:31:34,800 --> 00:31:38,720
+لإن هذا ال afferent .. لما ال afferent arteriole
+
+423
+00:31:38,720 --> 00:31:44,650
+pressure ي gel معناه ال hydrostatic pressureنفسه
+
+424
+00:31:44,650 --> 00:31:51,290
+ايه؟ جال لإن هو هاد زمنها لما عندي ال ال efferent
+
+425
+00:31:51,290 --> 00:31:58,210
+arterial resistance اتجل ال efferent arterial احنا
+
+426
+00:31:58,210 --> 00:32:02,450
+بتكلم عن العوامل اللي هو بتأثر على ال ال ال
+
+427
+00:32:02,450 --> 00:32:08,090
+hydrostatic pressure لما ال ال resistance سبع ال
+
+428
+00:32:08,090 --> 00:32:12,010
+efferent arterial اتجل
+
+429
+00:32:12,810 --> 00:32:18,330
+فعندي ال hydrostatic pressure بيجيل، إيش ال RE
+
+430
+00:32:18,330 --> 00:32:19,190
+هذه؟
+
+431
+00:32:22,770 --> 00:32:26,370
+resistance إفران؟ طيب إذا إيه لما increase
+
+432
+00:32:26,370 --> 00:32:29,770
+resistance في ال .. هنا لما increase resistance في
+
+433
+00:32:29,770 --> 00:32:32,650
+ال .. في ال afferent هت increase resistance في ال
+
+434
+00:32:32,650 --> 00:32:36,270
+afferent بيقلل إيه؟ ال GFR لإن الحادثوستان الكبرى
+
+435
+00:32:36,270 --> 00:32:39,110
+الشر نفسه إيه؟ نفسه هت .. الحادثوستان الكبرى الشر
+
+436
+00:32:39,110 --> 00:32:43,590
+بيقلل لإن resistance كانت هنا severe إذن إذن
+
+437
+00:32:43,590 --> 00:32:49,630
+severe afferent resistance decreased اللي
+
+438
+00:32:49,630 --> 00:32:55,350
+حادثوستان الكبرى الشرdecreased لأ مش صحيحة هذه ايه
+
+439
+00:32:55,350 --> 00:33:02,230
+هذه فيها كلام اتفضل و هكذا اذا في عندي اسباب اخرى
+
+440
+00:33:02,230 --> 00:33:06,830
+او تفسير الأشياء هذه ما علينا المهم انتوا فهمتوا
+
+441
+00:33:06,830 --> 00:33:11,780
+ال ايه ال general renal blood flowالمرة الجاية
+
+442
+00:33:11,780 --> 00:33:17,100
+هتكلم عن ايه؟ ع ال arena blood flow و ال control
+
+443
+00:33:17,100 --> 00:33:20,660
+of arena blood flow اه بس هذه بهمني انا ايه؟ اشوف
+
+444
+00:33:20,660 --> 00:33:27,020
+ايش هي ال RE؟ ال RE انتوا شايفين هل جيت؟ اجلولي
+
+445
+00:33:27,020 --> 00:33:31,240
+ايه؟ efferent arterial resistance لما ال efferent
+
+446
+00:33:31,240 --> 00:33:33,400
+arterial resistance بتجل
+
+447
+00:34:04,390 --> 00:34:08,730
+الدكتورات ده اللي زي السليمdextrose زي السلين
+
+448
+00:34:08,730 --> 00:34:23,450
+درسناها
+
+449
+00:34:23,450 --> 00:34:31,330
+في ال fluids درسناها في ال fluids قولنا تأثير ال
+
+450
+00:34:31,330 --> 00:34:37,880
+normal salineع الجسم بتأثير five percent glucose ع
+
+451
+00:34:37,880 --> 00:34:41,280
+الجسم ال five percent glucose ع الجسم ال five
+
+452
+00:34:41,280 --> 00:34:45,840
+percent glucose isotonic و ال nine point nine
+
+453
+00:34:45,840 --> 00:34:48,240
+percent saline اللي هو ال normal saline isotonic
+
+454
+00:34:48,240 --> 00:34:54,700
+مش هده؟ قولنا هذا اذا حطينا احنا ال glucose يستحدى
+
+455
+00:34:54,700 --> 00:34:58,930
+و ال fluid بطلع في ال ايه؟ في الكليةفي حين لو
+
+456
+00:34:58,930 --> 00:35:03,850
+حطينا saline لا يستهلك زي الجلوكوز فاوتوماتيكالي
+
+457
+00:35:03,850 --> 00:35:08,470
+بينتقل الى ايه الى يتوزع ما بين ال plasma و بين ال
+
+458
+00:35:08,470 --> 00:35:12,290
+interstitial fluid ال interstitial fluid دخل عليه
+
+459
+00:35:12,290 --> 00:35:16,030
+كمية ازيادة لكنه بنفس الأزمولية تبعت ال
+
+460
+00:35:16,030 --> 00:35:19,510
+intracellular fluid اذا ما بيصيرش shift بين ال
+
+461
+00:35:19,510 --> 00:35:22,310
+extracellular و ال intracellular لكن بيصير
+
+462
+00:35:22,310 --> 00:35:26,210
+expansion لل extracellular مظبوط اذا اضطغط بيعلها
+
+463
+00:35:26,210 --> 00:35:29,670
+بيصير expansion لهاللبلازمة بيصير expansion و
+
+464
+00:35:29,670 --> 00:35:32,210
+للinterstitial بيصير expansion كل الاكسسول اللي ده
+
+465
+00:35:32,210 --> 00:35:36,370
+بيزيد لكن الinterstitial مابيزدش ليش؟ لإن ال
+
+466
+00:35:36,370 --> 00:35:39,970
+factor اللي في الانتقال هان ال osmolality ماتغيرتش
+
+467
+00:35:39,970 --> 00:35:40,650
+فاضح
+
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/131bqSe1MtI.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/131bqSe1MtI.srt
new file mode 100644
index 0000000000000000000000000000000000000000..0b58ef83c44b06019cad823a4a074dfb772045db
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/131bqSe1MtI.srt
@@ -0,0 +1,1681 @@
+1
+00:00:20,860 --> 00:00:27,440
+أعزاء الطلبة، موضوعنا الاستغناء عن الأصول الثابتة
+
+2
+00:00:27,440 --> 00:00:34,760
+إذا، موضوعنا الاستغناء عن
+
+3
+00:00:34,760 --> 00:00:39,660
+الأصول
+
+4
+00:00:39,660 --> 00:00:46,840
+الثابتة. هناك ثلاث
+
+5
+00:00:46,840 --> 00:00:55,560
+طرق للاستغناء عن الأصول الثابتة. الطريقة الأولى:
+
+6
+00:00:55,560 --> 00:01:01,380
+الاستغناء عن
+
+7
+00:01:01,380 --> 00:01:12,360
+الأصل الثابت بالبيع. الاستغناء عن
+
+8
+00:01:12,360 --> 00:01:15,540
+الأصل الثابت بالمبادلة.
+
+9
+00:01:19,020 --> 00:01:28,300
+الاستغناء عن الأصل الثابت بالتخريد. بالتخريد؟ ماذا
+
+10
+00:01:28,300 --> 00:01:35,040
+نقصد بالتخريد؟ نقصد بالتخريد أن الأصل في نهاية عمره
+
+11
+00:01:35,040 --> 00:01:42,960
+يكون قيمته خردة، كم حديد، كم خشب، إلى آخره. فهذا أي
+
+12
+00:01:42,960 --> 00:01:50,820
+بالتخريد. وسنأتي الآن بشرح كل واحدة منهن على حدة
+
+13
+00:01:50,820 --> 00:02:00,400
+وبالتفصيل. إذا رقم واحد، نبدأ برقم واحد وهو
+
+14
+00:02:00,400 --> 00:02:10,340
+الاستغناء عن الأصل الثابت بالبيع. وماذا نحصل
+
+15
+00:02:10,340 --> 00:02:19,610
+بالبيع؟ أي بيعه إلى جهة أخرى. بيعه إلى جهة أخرى،
+
+16
+00:02:19,610 --> 00:02:27,810
+التخلص منه بعملية البيع، أي ينتقل ملكيته منك إلى
+
+17
+00:02:27,810 --> 00:02:39,710
+شخص آخر. طيب، وعند التخلص من الأصل الثابت بالبيع،
+
+18
+00:02:39,710 --> 00:02:48,230
+يكون أمامنا أحد الاحتمالات الثلاثة التالية. أحد
+
+19
+00:02:48,230 --> 00:02:55,770
+الاحتمالات الثلاثة التالية. إذا، عند التخلص من، بيع من
+
+20
+00:02:55,770 --> 00:02:59,570
+الاستغناء عن هذا الأصل بعملية بيعه، يكون أمامي أحد
+
+21
+00:02:59,570 --> 00:03:07,470
+الاحتمالات الثلاثة. رقم واحد: قيمة أو صافي
+
+22
+00:03:07,470 --> 00:03:14,810
+القيمة الدفترية للأصل تساوي
+
+23
+00:03:16,360 --> 00:03:20,680
+القيمة البيعية.
+
+24
+00:03:20,680 --> 00:03:28,680
+تساوي القيمة البيعية. ماذا نقصد بذلك؟ نقصد بذلك لو
+
+25
+00:03:28,680 --> 00:03:36,260
+كان صافي القيمة الدفترية للأصل الثابت 4000 دينار، و
+
+26
+00:03:36,260 --> 00:03:43,720
+تم بيعه بـ 4000 دينار، إذا هنا لا يكون
+
+27
+00:03:55,270 --> 00:04:03,590
+هنا لا ربح ولا خسارة. الاحتمال الثاني: أن صافي
+
+28
+00:04:03,590 --> 00:04:11,430
+القيمة الدفترية للأصل أكبر من القيمة
+
+29
+00:04:11,430 --> 00:04:18,530
+البيعية. من القيمة البيعية. هنا تحدثت برموز: صافي
+
+30
+00:04:18,530 --> 00:04:26,970
+القيمة الدفترية أكبر من القيمة البيعية. بمعنى هذا
+
+31
+00:04:26,970 --> 00:04:32,690
+الأربعة آلاف أكبر من أيش؟ من ثلاثة آلاف وثمانمائة.
+
+32
+00:04:32,690 --> 00:04:43,870
+يعني اللي أنا مكلفني، مكلفني اللي هو أربعة آلاف
+
+33
+00:04:43,870 --> 00:04:48,290
+دينار، بيعته بكم؟
+
+34
+00:04:54,840 --> 00:05:03,440
+إذا هنا يكون 200 دينار خسائر بيع. خسائر أيش؟ بيع.
+
+35
+00:05:03,440 --> 00:05:08,020
+بيع، بيع، بيع، بيع، بيع، بيع، بيع،
+
+36
+00:05:08,020 --> 00:05:09,120
+بيع، بيع، بيع، بيع، بيع، بيع، بيع،
+
+37
+00:05:09,120 --> 00:05:09,380
+بيع، بيع، بيع، بيع، بيع، بيع، بيع،
+
+38
+00:05:09,380 --> 00:05:09,600
+بيع، بيع، بيع، بيع، بيع، بيع، بيع،
+
+39
+00:05:09,600 --> 00:05:13,360
+بيع، بيع، بيع، بيع، بيع، بيع، بيع،
+
+40
+00:05:13,360 --> 00:05:14,540
+بيع، بيع، بيع، بيع، بيع، بيع، بيع،
+
+41
+00:05:14,540 --> 00:05:17,960
+بيع، بيع،
+
+42
+00:05:17,960 --> 00:05:23,020
+بيع.
+
+43
+00:05:23,020 --> 00:05:30,040
+أربعة آلاف، وهنا أربعة آلاف وخمسمائة دولار. إذا
+
+44
+00:05:30,040 --> 00:05:37,340
+الفرق الرقمي خمسمائة. خمسمائة دولار. الفرق الرقمي
+
+45
+00:05:37,340 --> 00:05:43,180
+خمسمائة دولار. اللي أنا عليّ أربعة آلاف، بكتب أربعة
+
+46
+00:05:43,180 --> 00:05:43,340
+آلاف.
+
+47
+00:05:58,250 --> 00:06:07,990
+طيب، الآن دعونا نأخذ السؤال التالي لكي نوضح هذه
+
+48
+00:06:07,990 --> 00:06:14,830
+الأمور. مثال: تمتلك
+
+49
+00:06:14,830 --> 00:06:21,610
+منشأة، تمتلك منشأة
+
+50
+00:06:21,610 --> 00:06:26,430
+الوسام التجارية، تمتلك منشأة
+
+51
+00:06:28,190 --> 00:06:39,030
+الوسام التجارية آلة بمبلغ 7500
+
+52
+00:06:39,030 --> 00:06:43,210
+دولار. 7500
+
+53
+00:06:43,210 --> 00:06:54,050
+دولار. تكلفتها التاريخية 7500 دولار، ومجموع استهلاكها
+
+54
+00:06:54,050 --> 00:06:57,890
+6000 دولار.
+
+55
+00:07:00,410 --> 00:07:05,410
+و تم بيعها
+
+56
+00:07:05,410 --> 00:07:14,170
+بمبلغ 1500 دولار
+
+57
+00:07:14,170 --> 00:07:20,110
+نقداً. المطلوب:
+
+58
+00:07:20,110 --> 00:07:23,930
+إثبات
+
+59
+00:07:23,930 --> 00:07:25,810
+قيد البيع.
+
+60
+00:07:30,790 --> 00:07:37,170
+البيع. طيب، الآن قبل ما أنا أعمل قيد البيع، أريد أن
+
+61
+00:07:37,170 --> 00:07:43,510
+أوضح شغلة بسيطة هنا. قلنا هنا خسائر بيع، وربح بيع.
+
+62
+00:07:43,510 --> 00:07:51,990
+خسائر البيع، وربح البيع، أين يقفلان؟ في قائمات في
+
+63
+00:07:51,990 --> 00:07:55,370
+حساب الأرباح والخسائر، أو
+
+64
+00:08:02,670 --> 00:08:10,250
+هنا، هنا الخسائر، بالنسبة للخسائر طبعاً، الخسائر عند
+
+65
+00:08:10,250 --> 00:08:14,630
+وجودها أو عند إثباتها تكون مدينة، وعند إقفالها
+
+66
+00:08:14,630 --> 00:08:19,790
+تكون دائنة. الربح عند إثباته دائن، وعند إقفاله
+
+67
+00:08:19,790 --> 00:08:26,010
+مدينة. نترك الأمر لنشوف هنا، لأن يا شباب لما أنا
+
+68
+00:08:26,010 --> 00:08:30,650
+أبدع القيد، البايع، قيد البايع
+
+69
+00:08:31,480 --> 00:08:36,000
+يعني إيه؟ بتخلص من الأصل، بتشيله من الدفاتر. طيب،
+
+70
+00:08:36,000 --> 00:08:40,820
+الآن هنا، أنا، مش بتعمل قيد البايع، قيد
+
+71
+00:08:40,820 --> 00:08:45,920
+البايع إيش؟ مدين وإيش؟ دائن. أنا، أنا بعرضه بشكل
+
+72
+00:08:45,920 --> 00:08:52,540
+يسهل عليك فهمه. مدين، دائن، دائن، جعل،
+
+73
+00:08:52,540 --> 00:08:55,780
+طبعاً الكتب باللغة الإنجليزية،  أنا بكتبها
+
+74
+00:08:55,780 --> 00:09:00,920
+إثنين في بعض، مافي مشكلة. طيب، الآن الشباب،
+
+75
+00:09:02,090 --> 00:09:09,750
+الأصل عند اقتنائه، الأصل، الأصل عند اقتنائه،
+
+76
+00:09:09,750 --> 00:09:13,270
+تمام؟ يوم ما بشتري أنا سيارة أو أي شيء، مش بقول
+
+77
+00:09:13,270 --> 00:09:19,190
+من حساب السيارة،  عند اقتناء الأصل يصبح مدين.
+
+78
+00:09:19,190 --> 00:09:23,270
+عند بيع الأصل واقتنائه يكون مدين. طب
+
+79
+00:09:23,270 --> 00:09:27,650
+اليوم أنا بتخلص منه، بتجعله إيش؟ دائن، بتجعله
+
+80
+00:09:27,650 --> 00:09:35,360
+إيش؟ دائن. طيب، إذا أنت سجل هنا الآلة، كم
+
+81
+00:09:35,360 --> 00:09:41,520
+تكلفتها؟ 7500
+
+82
+00:09:41,520 --> 00:09:55,220
+دولار. الآن كم مجموع استهلاكها؟ مجموع استهلاك
+
+83
+00:09:55,220 --> 00:10:06,510
+الآلة كم؟ 6000 دولار. طيب نرجع ثاني، الآن حكينا عند
+
+84
+00:10:06,510 --> 00:10:10,930
+شراء الأصل يكون مدين، لكن عند التخلص منه إيش؟
+
+85
+00:10:10,930 --> 00:10:14,450
+دائن، وهيحطه في الطرف الدائن. طبعاً مش شرط تقول
+
+86
+00:10:14,450 --> 00:10:17,350
+من المدينين والدائنين، بيمشي الحاجة. الآن عندي
+
+87
+00:10:17,350 --> 00:10:21,250
+مثال، المجمع الذكر في المحاضرة الماضية، مش كنا
+
+88
+00:10:21,250 --> 00:10:25,910
+نقول من حساب المصروف إلى حساب المجمع، عند الإثبات
+
+89
+00:10:25,910 --> 00:10:30,900
+يكون دائن. طيب، الآن عندما تخلصت من الأصل تبعه،
+
+90
+00:10:30,900 --> 00:10:35,840
+بتجعله إيش؟ مدين. ها هي جعلته إيش؟ مدين، مدين،
+
+91
+00:10:35,840 --> 00:10:37,500
+مدين، مدين، مدين، مدين، مدين، مدين، مدين،
+
+92
+00:10:37,500 --> 00:10:38,940
+مدين، مدين، مدين، مدين، مدين، مدين، مدين،
+
+93
+00:10:38,940 --> 00:10:39,320
+مدين، مدين، مدين، مدين، مدين، مدين، مدين،
+
+94
+00:10:39,320 --> 00:10:50,680
+مدين، مدين، مدين، مدين، مدين،
+
+95
+00:10:50,680 --> 00:10:56,520
+مدين.
+
+96
+00:11:01,120 --> 00:11:06,940
+أه، مين بده يشاور؟ تفضل يا جيار. من حساب الصندوق إلى
+
+97
+00:11:06,940 --> 00:11:10,020
+حساب. الآن لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ
+
+98
+00:11:10,020 --> 00:11:11,900
+لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ
+
+99
+00:11:11,900 --> 00:11:13,100
+لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ
+
+100
+00:11:13,100 --> 00:11:14,360
+لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ
+
+101
+00:11:14,360 --> 00:11:14,560
+لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ
+
+102
+00:11:14,560 --> 00:11:23,280
+لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ.
+
+103
+00:11:33,360 --> 00:11:39,280
+طيب تمام. الآن أنا كيف بدي أعرف، كيف بدي أعرف يا
+
+104
+00:11:39,280 --> 00:11:46,300
+عصام، هل عملية البيع حققت لي ربحاً أم أيش؟ أم خسارة؟
+
+105
+00:11:46,300 --> 00:11:52,200
+محمد سعيد، محمد سامر. تمام. الآن آه، كيف بدي أعرف أن
+
+106
+00:11:52,200 --> 00:11:57,500
+النتيجة في البيع ربحاً أم خسارة أم غير ذلك يا عصام؟
+
+107
+00:11:57,500 --> 00:11:59,140
+آه، تفضل.
+
+108
+00:12:01,940 --> 00:12:11,180
+بتفضل يا عصام. تفضل.
+
+109
+00:12:11,180 --> 00:12:14,460
+ماشي.
+
+110
+00:12:14,460 --> 00:12:17,200
+خذ القاعدة، خذ القاعدة اللي إحنا بناها. القاعدة بنتع-
+
+111
+00:12:17,200 --> 00:12:23,820
+نجمعها ونطلع الفرق. الآن الآلة عليها بـ 7500، تمام؟
+
+112
+00:12:23,820 --> 00:12:29,620
+استخدمت منها 6000. قد ايش دلت عليّ دفترياً؟ سبعة آلاف و
+
+113
+00:12:29,620 --> 00:12:32,980
+خمسمائة. مش أنا سجّلت في الدفاتر سبعة آلاف وخمسمائة؟
+
+114
+00:12:32,980 --> 00:12:39,840
+استخدمت يا محمد إيش؟ ستة آلاف. استخدمت إيش؟ ستة
+
+115
+00:12:39,840 --> 00:12:43,560
+آلاف منها. دلت عليّ بكم؟ ألف وخمسمائة. بيعها بألف
+
+116
+00:12:43,560 --> 00:12:50,440
+وخمسمائة. حققت ربحاً؟ حققت خسارة؟ لا ربح ولا خسارة.
+
+117
+00:12:50,440 --> 00:12:55,280
+إذا الآن بجمع المدين والدائن، متساويتان؟ خلص.
+
+118
+00:12:56,500 --> 00:13:00,540
+والتكرار الآن
+
+119
+00:13:00,540 --> 00:13:07,200
+هذا أيش؟ في حالة قيد البيع، في حالة إيش؟ أنه إيش؟ بيع
+
+120
+00:13:07,200 --> 00:13:19,540
+السيارة بمبلغ إيش؟ 1500 دولار. طب الآن فرضاً تم بيع
+
+121
+00:13:19,540 --> 00:13:25,440
+السيارة بمبلغ 2000 دولار.
+
+122
+00:13:32,610 --> 00:13:38,970
+بيع اللي هو إيه؟ الآلة بكم؟
+
+123
+00:13:38,970 --> 00:13:44,390
+تفضل. ماشي. إذا في عندنا إيش؟ ربح، ربح. لكن الآن
+
+124
+00:13:44,390 --> 00:13:46,810
+أنا بدي إيش؟ فرضا أنك ببيع السيارة عمرها 2000
+
+125
+00:13:46,810 --> 00:13:51,030
+دولار، بدي أحمل قيد المبادلة بالكامل، يعني هذه
+
+126
+00:13:51,030 --> 00:13:57,110
+الحالة اللي موجودة، هقول ها مدين دائن، ها الآلة
+
+127
+00:13:57,110 --> 00:13:58,850
+سبعت آلاف
+
+128
+00:14:04,940 --> 00:14:13,900
+استهلاك الآلة ستة آلاف دينار. ستة آلاف دينار. طيب أنا
+
+129
+00:14:13,900 --> 00:14:19,800
+بعتها، باعتها وقبضت بشيك ألفين دينار. يلا آه يا أبو
+
+130
+00:14:19,800 --> 00:14:23,320
+عربي، هاي
+
+131
+00:14:23,320 --> 00:14:29,100
+الـ bank، هاي الـ bank اللي هو إيش؟ ألفين، ألفين
+
+132
+00:14:29,100 --> 00:14:32,820
+دينار. هاي ألفين دينار.
+
+133
+00:14:37,010 --> 00:14:42,310
+الآن بدي أشوف نتيجة عملية البيع، هل هي صافي ربح أو
+
+134
+00:14:42,310 --> 00:14:49,510
+صافي خسارة؟ كيف الآن؟ الآن بـ 7500 واستخدمت منها
+
+135
+00:14:49,510 --> 00:14:58,710
+6000، دلت قد إيش؟ إذا صافي القيمة الدفترية 1500. 1500
+
+136
+00:14:58,710 --> 00:15:02,470
+اللي هي اجت من وين؟ من 7500 ناقص 6000.
+
+137
+00:15:06,490 --> 00:15:18,930
+إذا في 500 دينار إيش؟ ربح. 500 دينار ربح. طيب الآن
+
+138
+00:15:18,930 --> 00:15:25,770
+الربح إيراد، والإيراد عند إثباته دائن. الإيراد عند
+
+139
+00:15:25,770 --> 00:15:31,950
+إثباته إيش؟ دائن. أين يأتي ويسجل؟ إذا، هنسجل إيش؟
+
+140
+00:15:31,950 --> 00:15:38,840
+هنا أرباح إيش؟ بيع. أرباح بإيش؟ 500. أرباح دائن 500.
+
+141
+00:15:38,840 --> 00:15:44,360
+طيب اجمع الآن بعد ما حددت النتيجة علمياً ومحاسبياً.
+
+142
+00:15:44,360 --> 00:15:51,280
+اجمع. هل يتساوي المدين والدائن؟ نعم، متساويان. ثمانية
+
+143
+00:15:51,280 --> 00:15:59,980
+آلاف. هل من سؤال؟ أي سؤال يا شباب؟ طيب الآن
+
+144
+00:15:59,980 --> 00:16:11,770
+فرضاً ها، فرضاً ها، فرضاً. تم بيع السيارة بمبلغ 1300
+
+145
+00:16:11,770 --> 00:16:21,270
+دينار نقداً. فرضاً تم بيع السيارة بمبلغ 1300 دينار
+
+146
+00:16:21,270 --> 00:16:28,650
+نقداً. طيب الآن قيد المبادلة هيكون على النحو التالي:
+
+147
+00:16:28,650 --> 00:16:30,450
+مدين.
+
+148
+00:16:34,070 --> 00:16:38,690
+الآن أنا بتخلص من مين؟ بتخلص من مين؟ من السيارة،
+
+149
+00:16:38,690 --> 00:16:40,070
+من السيارة، من السيارة، من السيارة، من
+
+150
+00:16:40,070 --> 00:16:40,130
+السيارة، من السيارة، من السيارة، من السيارة
+
+151
+00:16:40,130 --> 00:16:41,610
+من السيارة، من السيارة، من السيارة، من
+
+152
+00:16:41,610 --> 00:16:43,410
+السيارة، من السيارة، من السيارة، من السيارة
+
+153
+00:16:43,410 --> 00:16:47,870
+من السيارة، من السيارة، من السيارة، من
+
+154
+00:16:47,870 --> 00:16:48,810
+السيارة، من السيارة، من السيارة، من السيارة
+
+155
+00:16:48,810 --> 00:16:50,230
+من السيارة، من السيارة، من السيارة، من
+
+156
+00:16:50,230 --> 00:16:52,230
+السيارة، من السيارة، من السيارة، من السيارة
+
+157
+00:16:52,230 --> 00:16:55,610
+من السيارة، من السيارة، من السيارة، من
+
+158
+00:16:55,610 --> 00:17:01,090
+السيارة، من السيارة.
+
+159
+00:17:01,090 --> 00:17:07,030
+1300، الصندوق 1300
+
+160
+00:17:07,030 --> 00:17:15,890
+دينار. تمام. طيب الآن أنا بعت السيارة بـ 1300 دينار نقداً،
+
+161
+00:17:15,890 --> 00:17:20,450
+وحطيتها في الصندوق. الآن بتحدد أنا هنا صافي القيمة
+
+162
+00:17:20,450 --> 00:17:27,490
+الدفترية كذا؟ 1500. 1500. 1500. والقيمة البيعية كانت
+
+163
+00:17:27,490 --> 00:17:31,030
+كم؟ 1300. إذا الفرق الرقمي كم؟
+
+164
+00:17:36,200 --> 00:17:45,000
+الخسارة، والخسائر عند إثباتها مدينة. إذا هنا خسائر
+
+165
+00:17:45,000 --> 00:17:57,120
+بيع كم؟ 200. طيب اجمع 6000 و1300 و200، والجانب
+
+166
+00:17:57,120 --> 00:18:08,070
+الدائن. إذا هذا مؤشر على صحة الحل. هل سؤال؟ هل من
+
+167
+00:18:08,070 --> 00:18:13,610
+سؤال؟ 200 دينار خسائر بيع، 200 دينار خسائر بيع، هل
+
+168
+00:18:13,610 --> 00:18:25,390
+من سؤال يا شباب؟ خسائر
+
+169
+00:18:25,390 --> 00:18:32,480
+البيع يا جيار، الخسائر تشبه المصروف، والمصروف عند
+
+170
+00:18:32,480 --> 00:18:37,520
+إثباته مدينة، وبالتالي الخسائر إذا وجدت جعلناها في
+
+171
+00:18:37,520 --> 00:18:42,260
+جانب المدين. هي مين؟ هي الدائن. انظر هنا الأرباح
+
+172
+00:18:42,260 --> 00:18:47,600
+إيراد، والإيراد عند إثباته إيش؟ لأ، هذا قلنا حاجة
+
+173
+00:18:47,600 --> 00:1
+
+223
+00:24:39,900 --> 00:24:43,760
+ضايل عليه قيمة  تُشتَل المية يكون المساوي لمين؟ للأصل
+
+224
+00:24:43,760 --> 00:24:51,440
+الجديد اللي أنا عايش  لـ الأصل الجديد، إذا هنا هي .. هي
+
+225
+00:24:51,440 --> 00:24:58,460
+عندنا مثلاً خمسة تلاتة تساوي خمسة تلاتة، إذا هنا لا قيود
+
+226
+00:24:58,460 --> 00:25:06,220
+لا ربح ولا خسارة، يعني إذا تساوت صافي القيمة الدفترية
+
+227
+00:25:06,220 --> 00:25:10,220
+زي ما كنا نحكي قبل شوية، أنا عندي سيارة واليوم
+
+228
+00:25:10,220 --> 00:25:15,420
+استخدمتها، مسجلة دفترية، ضايل عليّ منها خمسة تلاتة، و
+
+229
+00:25:15,420 --> 00:25:21,360
+اليوم أتخلت عنها لـ محمد سمير، وأخذت بدلها أثاث خمسة تلاتة
+
+230
+00:25:21,360 --> 00:25:26,930
+بكون فيه ربح أو خسارة مبادلة؟ لا، صافي القيمة اتساوى
+
+231
+00:25:26,930 --> 00:25:34,670
+تمام، طيب هذا الاحتمال الأول، الاحتمال الثاني، صافي
+
+232
+00:25:34,670 --> 00:25:44,850
+القيمة الدفترية للأصل القديم أكبر من قيمة
+
+233
+00:25:44,850 --> 00:25:53,010
+الأصل الجديد، من قيمة الأصل اللي هو الجديد
+
+234
+00:25:53,330 --> 00:25:59,190
+يعني خمسة تلاتة وهنا أكبر من أربعة تلاتة وسبعمية
+
+235
+00:25:59,190 --> 00:26:05,510
+دولار، إذا الفرق الرقمي كم؟ تلاتمية، تلاتمية، طيب
+
+236
+00:26:05,510 --> 00:26:10,670
+الفرق الرقمي تلاتمية، تمام؟ الآن هذه التلاتمية
+
+237
+00:26:10,670 --> 00:26:19,030
+خسارة، لا ربح، خسارة، خسارة، خسارة، ليش؟ لأن خسارة، ليش
+
+238
+00:26:19,030 --> 00:26:21,690
+يا شباب؟ هذه خسارة
+
+239
+00:26:23,680 --> 00:26:31,220
+مبادلة، لماذا؟ لأنه أنا صافي الأصل تبعي خمسة تلاتة
+
+240
+00:26:31,220 --> 00:26:40,360
+أعطوني  شيء بـ 4700، أعطوني شيء
+
+241
+00:26:40,360 --> 00:26:46,700
+بـ 4700، وكل خسارة من الأرباح، هذه خسارة، والخسارة عند
+
+242
+00:26:46,700 --> 00:26:47,880
+إثباتها إيش؟
+
+243
+00:26:53,400 --> 00:26:57,720
+مبادلة، بنقول إن ضمن القيد، تكون عند الإثبات
+
+244
+00:26:57,720 --> 00:27:05,740
+مدينة، طيب الآن عندنا النقطة الأخيرة، الاحتمال
+
+245
+00:27:05,740 --> 00:27:13,640
+الثالث، إن صافي القيمة الدفترية تكون أقل من قيمة
+
+246
+00:27:13,640 --> 00:27:20,160
+الأصل، يعني خمسة آلاف وهنا ستة آلاف فرضاً، إذا هنا
+
+247
+00:27:20,160 --> 00:27:22,520
+ربح
+
+248
+00:27:24,440 --> 00:27:32,620
+مبادلة، ربح مبادلة، والربح المبادلة عند إثباته يكون
+
+249
+00:27:32,620 --> 00:27:45,420
+دائماً ربح مبادلة، عند إثباته يكون دائماً ربح
+
+250
+00:27:45,420 --> 00:27:46,380
+المبادلة عند إثباته يكون دائماً ربح، المبادلة عند
+
+251
+00:27:46,380 --> 00:27:46,500
+دائماً ربح، المبادلة عند إثباته يكون دائماً ربح
+
+252
+00:27:46,500 --> 00:27:46,580
+دائماً ربح، المبادلة عند إثباته يكون دائماً ربح
+
+253
+00:27:46,580 --> 00:27:51,020
+المبادلة عند إثباته يكون دائماً ربح، المبادلة عند
+
+254
+00:27:51,020 --> 00:28:00,620
+إثباته يكون، أعطيتهم لـ عصام عبو شمالة وأخذت منه راتب
+
+255
+00:28:00,620 --> 00:28:07,200
+ستة آلاف، بكتر ربح إيش؟ ألف، بكتر ربح ألف، هذا ربح
+
+256
+00:28:07,200 --> 00:28:13,560
+إيش؟ مبادلة، ربح إيش؟ مبادلة، طيب، الآن عشان نترجم
+
+257
+00:28:13,560 --> 00:28:20,800
+هذا الكلام، عشان نوضح هذا الكلام، بدنا ناخذ مثال
+
+258
+00:28:28,240 --> 00:28:41,800
+في 1/4 .. في 1/4 .. 2010 .. في 1/4 .. 2010 اشترت
+
+259
+00:28:41,800 --> 00:28:55,360
+شركة، في 1 .. في 1/4 .. 2010 اشترت شركة تسليم
+
+260
+00:28:59,340 --> 00:29:10,100
+التجارية، تمام؟ اللي هو آلة بمبلغ واحد
+
+261
+00:29:10,100 --> 00:29:21,920
+وعشرين ألف دينار ورسوم جمركية أربعة آلاف دينار، دفعات
+
+262
+00:29:21,920 --> 00:29:27,180
+جميعاً بشيك
+
+263
+00:29:30,680 --> 00:29:42,880
+وقدرت الخردة بألف دينار، والعمر عشر سنوات
+
+264
+00:29:42,880 --> 00:29:47,580
+إذا في 1/4/2010 اشترت شركة تسليم
+
+265
+00:29:47,580 --> 00:29:52,560
+تجارية آلة بمبلغ واحد وعشرين ألف دينار ورسوم
+
+266
+00:29:52,560 --> 00:29:57,460
+جمركية أربعة آلاف دينار، دفعت جميعاً بشيك، دفعت جميعاً
+
+267
+00:29:57,460 --> 00:30:05,590
+بشيك، والعمر عشرة، والخردة ألف، وفي 1/7...وفي 1/
+
+268
+00:30:05,590 --> 00:30:15,750
+.. آه وفي 1/7/2015 وفي 1/7
+
+269
+00:30:15,750 --> 00:30:26,070
+الفين وخمستاشر، تم مبادلة، تم مبادلة الآلة بسيارة، تم
+
+270
+00:30:26,070 --> 00:30:29,610
+مبادلة الآلة بسيارة
+
+271
+00:30:33,010 --> 00:30:44,250
+سيارة تكلفتها 13000 دولار، والشركة
+
+272
+00:30:44,250 --> 00:30:50,170
+تتبع طريقة
+
+273
+00:30:50,170 --> 00:30:57,070
+الاستهلاك الثابت، والفرق يتم بشيكات
+
+274
+00:31:02,490 --> 00:31:09,370
+مع العلم أن عمر الآلة ست سنوات، مع العلم أن عمر
+
+275
+00:31:09,370 --> 00:31:22,670
+الآلة ست سنوات والخردة ألف، والخردة ألف، المطلوب
+
+276
+00:31:22,670 --> 00:31:38,330
+المطلوب: واحد، قيد الشراء، اثنان، قيد
+
+277
+00:31:38,330 --> 00:31:49,230
+المبادلة، قيد المبادلة، في 1/7/2015
+
+278
+00:31:49,230 --> 00:32:06,010
+مع العلم أن الآلة قدرت بمبلغ تسعة آلاف، تسعة آلاف دينار
+
+279
+00:32:06,010 --> 00:32:11,970
+تسعة آلاف دينار، تسعة آلاف دينار، تسعة آلاف دينار، تسعة
+
+280
+00:32:11,970 --> 00:32:14,030
+آلاف دينار، تسعة آلاف دينار، تسعة آلاف دينار، تسعة
+
+281
+00:32:14,030 --> 00:32:15,830
+آلاف دينار، تسعة آلاف دينار، تسعة آلاف دينار، تسعة
+
+282
+00:32:15,830 --> 00:32:18,050
+آلاف دينار، تسعة آلاف دينار، تسعة آلاف دينار، تسعة
+
+283
+00:32:18,050 --> 00:32:18,830
+آلاف دينار، تسعة آلاف دينار، تسعة آلاف دينار، تسعة
+
+284
+00:32:18,830 --> 00:32:20,990
+آلاف دينار، تسعة آلاف دينار، تسعة آلاف دينار، تسعة
+
+285
+00:32:20,990 --> 00:32:31,530
+آلاف دينار، تسعة آلاف دينار، تسعة
+
+286
+00:32:31,530 --> 00:32:45,960
+آلاف دينار، نقول:  الجرد من حساب الآلة إلى حساب البنك 25
+
+287
+00:32:45,960 --> 00:32:52,380
+ألف، ممتاز، لأن
+
+288
+00:32:52,380 --> 00:32:59,000
+التكلفة التاريخية للأصل هي ليست ثمن الشراء، لأن
+
+289
+00:32:59,000 --> 00:33:04,250
+التكلفة التاريخية للأصل ليست ثمن الشراء، بل هي ثمن
+
+290
+00:33:04,250 --> 00:33:09,890
+الشراء زائد جميع المصاريف حتى يصبح الأصل جاهز
+
+291
+00:33:09,890 --> 00:33:15,010
+للاستخدام، حتى يصبح الأصل جاهز، وبالتالي نسجل دفترياً
+
+292
+00:33:15,010 --> 00:33:19,050
+25000 من حساب الآلة إلى حساب البنك، هذا رقم واحد
+
+293
+00:33:19,050 --> 00:33:25,490
+المطلوب رقم واحد، المطلوب رقم اثنين، بدو إيش؟ أي
+
+294
+00:33:25,490 --> 00:33:32,220
+المبادلة، اللي هو متى ما ناخذ المبادلات اللي بده يكون؟
+
+295
+00:33:32,220 --> 00:33:41,000
+واحد سبعة ألفين وخمستاشر، واحد سبعة ألفين وخمستاشر
+
+296
+00:33:41,000 --> 00:33:46,600
+طيب، الآن إتعلمنا في قيد البيع، لازم الإهلاك السنوي
+
+297
+00:33:46,600 --> 00:33:51,700
+يكون عندنا إيش؟ مُجمّع، لازم يكون عندنا إيش؟ مُجمّع، طب
+
+298
+00:33:51,700 --> 00:33:57,020
+الآن هنا لازم أعمل مُجمّع، إيش بده أعمل أول شيء؟ إيش
+
+299
+00:33:57,020 --> 00:33:58,300
+بده أعمل أول شيء؟
+
+300
+00:34:02,720 --> 00:34:06,880
+الثابت، لأن الشركة تتبع القسط الثابت، فبالتالي آه
+
+301
+00:34:06,880 --> 00:34:12,220
+مين بدي أجاب؟ مين بدي أجاب؟ فضل، طاء ناقص خاء على نون
+
+302
+00:34:12,220 --> 00:34:22,000
+طيب إذا آه، الثابت السنوي يساوي طاء ناقص خاء على نون
+
+303
+00:34:22,000 --> 00:34:25,280
+التكلفة التاريخية ناقص الخردة على نون، فضل، يعني
+
+304
+00:34:25,280 --> 00:34:30,400
+خمسة وعشرين ألف ناقص الخردة ألف على عشر، خمسة و
+
+305
+00:34:30,400 --> 00:34:31,380
+عشرين ألف
+
+306
+00:34:34,190 --> 00:34:44,250
+على عشرة يساوي 2400 دينار، يساوي 2400 دينار، إذا
+
+307
+00:34:44,250 --> 00:34:50,630
+بهذه الخطوة الأولى نحسب قسط الإهلاك السنوي، نحسب
+
+308
+00:34:50,630 --> 00:34:57,410
+قسط الإهلاك السنوي اللي هو عندنا 2400، قلنا لأن
+
+309
+00:34:57,410 --> 00:35:04,930
+الشركة تتبع القسط الثابت، ألف ناقص ألف على عشرة
+
+310
+00:35:04,930 --> 00:35:10,830
+تمام؟ ألفين وأربعين، طيب .. الآن وقت إيش اشتريت
+
+311
+00:35:10,830 --> 00:35:16,070
+الأصل أنا؟ من 1/4، إذا من 1/4 حتى
+
+312
+00:35:16,070 --> 00:35:22,090
+1/31/12 بدي أحسبه لحاله، إذا الآن ها ..
+
+313
+00:35:22,090 --> 00:35:28,050
+الآن هذه المُجمّع، أول شيء من 1/4 حتى 1/
+
+314
+00:35:28,050 --> 00:35:33,570
+31/12، ألفين وعشرة، يساوي كم شهر؟ تسعة أشهر
+
+315
+00:35:33,570 --> 00:35:37,430
+1/4 حتى 1/31/2010
+
+316
+00:35:37,430 --> 00:35:43,310
+أربعة، خمسة، ستة، سبعة، ثمانية، تسعة، عشرة،
+
+317
+00:35:43,310 --> 00:35:47,270
+إحدى عشر، اثنا عشر، اثنا عشر،
+
+318
+00:35:47,270 --> 00:35:47,590
+اثنا عشر، اثنا عشر، اثنا عشر، اثنا عشر، اثنا عشر، اثنا عشر،
+
+319
+00:35:47,590 --> 00:35:57,330
+اثنا عشر، اثنا عشر، اثنا عشر،
+
+320
+00:35:58,330 --> 00:36:06,270
+ألف وثمانمية درهم، هذا نصيب إيش؟ نصيب عام 2010 في
+
+321
+00:36:06,270 --> 00:36:09,870
+المحاضرات السابقة حكيناها، يعني لو بدك تثبت مصروف
+
+322
+00:36:09,870 --> 00:36:16,930
+إهلاك، نصيب عام 2010، مين يقول القيد؟ الآن لو جالك
+
+323
+00:36:16,930 --> 00:36:19,350
+بده إثبات، تثبت مصروف إهلاك 2010
+
+324
+00:36:34,780 --> 00:36:39,260
+كانت عندي هذه، الآن كيف بتحسب عليها؟ تمام؟ طيب ..
+
+325
+00:36:39,260 --> 00:36:44,660
+الآن .. ها .. الآن هي 2010 خلصنا نصيبها، طيب ..
+
+326
+00:36:44,660 --> 00:36:52,600
+الآن تاريخ المبادلة، ليش؟ متى؟ ها .. 11 .. 12 .. 13
+
+327
+00:36:52,600 --> 00:36:58,320
+.. 14 .. 15 .. لأ .. كم سنة كاملة؟ أربعة .. أربعة
+
+328
+00:36:58,320 --> 00:36:59,900
+.. أربعة .. أربعة .. أربعة .. أربعة .. أربعة ..
+
+329
+00:36:59,900 --> 00:37:00,000
+أربعة .. أربعة .. أربعة .. أربعة .. أربعة .. أربعة
+
+330
+00:37:00,000 --> 00:37:00,280
+أربعة .. أربعة .. أربعة .. أربعة .. أربعة .. أربعة
+
+331
+00:37:00,280 --> 00:37:01,840
+.. أربعة .. أربعة .. أربعة .. أربعة .. أربعة ..
+
+332
+00:37:01,840 --> 00:37:04,770
+أربعة .. أربعة .. أربعة .. أربعة .. أربعة .. أربع
+
+333
+00:37:04,770 --> 00:37:12,330
+2013 و2014، و إيش؟ كم سنة؟ أربع سنوات، ضرب إيش؟
+
+334
+00:37:12,330 --> 00:37:20,130
+يساوي .. لأ، أربع سنوات كاملة، هذه أربع سنوات كاملة
+
+335
+00:37:20,130 --> 00:37:24,750
+ليش؟ لأن هي العشرة خلصنا من الهجزة، بعدين الـ 11
+
+336
+00:37:24,750 --> 00:37:29,750
+كاملة، الـ 12 كاملة، الـ 13 كاملة، الـ 14 كاملة، الـ 15
+
+337
+00:37:29,750 --> 00:37:35,160
+انسوا الهجزة، إذا أربع سنوات كاملة، في كل سنة 2400
+
+338
+00:37:35,160 --> 00:37:44,660
+يساوي تسعة آلاف وستمائة، تسعة آلاف وستمائة، طيب الآن .. الآن
+
+339
+00:37:44,660 --> 00:37:53,020
+إيش ضايل علينا؟  الـ 2015، الـ 2015 هي إيش بيقول؟ هي
+
+340
+00:37:53,020 --> 00:38:00,000
+من 1/1/2015 حتى 1/7/2015
+
+341
+00:38:08,820 --> 00:38:17,640
+على 12 ضرب إيش؟ ضرب 2400، يساوي كم؟ 1200 درهم، يساوي
+
+342
+00:38:17,640 --> 00:38:25,280
+1200 درهم، الآن لو جمعناهم هدول هيطلع كم؟ 12600
+
+343
+00:38:25,280 --> 00:38:31,520
+درهم، إيش هو هذا المُجمّع؟ المُجمّع هذا عبارة عن إيش؟
+
+344
+00:38:31,520 --> 00:38:41,750
+من 1/4/2010 حتى 1/7/2015، اللي هو إيش؟ تاريخ إيش؟ تاريخ
+
+345
+00:38:41,750 --> 00:38:48,710
+المبادلة، تاريخ التخلص من الآلة، هل من سؤال .. أي
+
+346
+00:38:48,710 --> 00:38:52,150
+سؤال يا شباب؟ تفضل، الـ .. الـ 1200 أو الـ 600، قيمة دفترية
+
+347
+00:38:52,150 --> 00:38:58,430
+لأ .. لأ، مُجمّع الإهلاك هذا مُجمّع .. أيوة، فيه كتابة
+
+348
+00:38:58,430 --> 00:39:05,390
+فيه، مُجمّع الإهلاك اللي هو من إيش؟ من 1/4
+
+349
+00:39:05,390 --> 00:39:10,030
+2010 حتى تاريخ المبادلة، يعني من تاريخ اقتناء الأصل
+
+350
+00:39:10,030 --> 00:39:17,590
+حتى تاريخ التخلص منه بالمبادلة، أي سؤال آخر يا شباب؟
+
+351
+00:39:17,590 --> 00:39:23,290
+أي سؤال يا شباب؟ طيب، خلصنا المُجمّع، الآن نيجي لقيد
+
+352
+00:39:23,290 --> 00:39:28,330
+المبادلة، الآن نيجي لقيد المبادلة، وتذكروا معي قبل
+
+353
+00:39:28,330 --> 00:39:35,050
+قليل، نفس قيد البيع، نفس قيد عملية البيع، نقول هنا
+
+354
+00:39:35,050 --> 00:39:46,870
+إذا هنا قيد المبادلة، قيد المبادلة في 1/7/2015، إذا
+
+355
+00:39:46,870 --> 00:39:54,810
+مدينة دائمة، مدينة دائمة، مدينة دائمة، الآن يا شباب
+
+356
+00:39:54,810 --> 00:40:02,230
+أنا عندي آلة، يوم ما اشتريتها خمسة، مين يجيب ويبقى
+
+357
+00:40:02,230 --> 00:40:05,570
+تتخلص منها، ده ده ده ده ده ده ده ده ده ده ده ده
+
+358
+00:40:05,570 --> 00:40:08,490
+ده ده ده ده ده ده ده ده ده ده ده ده ده ده ده ده
+
+359
+00:40:08,490 --> 00:40:09,850
+ده ده ده ده ده ده ده ده ده ده ده ده ده ده ده ده
+
+360
+00:40:09,850 --> 00:40:18,570
+ده ده ده ده ده ده ده ده ده ده ده ده ده
+
+361
+00:40:18,570 --> 00:40:18,870
+ده ده ده ده ده ده ده ده ده ده ده ده ده ده ده ده
+
+362
+00:40:18,870 --> 00:40:28,050
+ده ده ده ده ده ده ده
+
+363
+00:40:28,050 --> 00:40:28,570
+ده
+
+364
+00:40:37,540 --> 00:40:44,160
+عشرة آلاف، اثنا عشر ألف وستمائة دولار، اثنا عشر ألف وستمائة
+
+365
+00:40:44,160 --> 00:40:47,660
+دولار، طيب، فوراً من خمسة وعشرين ألف وأنا بتره خمسين
+
+366
+00:40:47,660 --> 00:40:53,820
+ألف، لأ، خمسة وعشرين ألف، لا سلسة، لاحظ، بحط الأصل اللي
+
+367
+00:40:53,820 --> 00:40:58,520
+أنا استغنيّت عنه، ومُجمّعه، الأصل يوم اشتريته كان إيش؟
+
+368
+00:40:58,520 --> 00:41:04,420
+مدين، يوم أتخلص منه بدي أجعله إيش؟ دائم، طيب الآن
+
+369
+00:41:04,420 --> 00:41:09,070
+المُجمّع عند الإثبات دائم، وعند التخلص إيش؟ مدينة ..
+
+370
+00:41:09,070 --> 00:41:13,950
+مدينة .. هي الوطنة المدينة .. طيب .. أي سؤال؟ طيب
+
+371
+00:41:13,950 --> 00:41:18,650
+.. الآن .. الآن نيجي أنا .. طب لما هنا السيارة هذه
+
+372
+00:41:18,650 --> 00:41:23,670
+الآلة، أعطيتها لـ سين أو صاد من الناس .. الآن هاي ..
+
+373
+00:41:23,670 --> 00:41:26,990
+إيش أخذت بدلها؟ سيارة .. سيارة .. سيارة .. سيارة ..
+
+374
+00:41:26,990 --> 00:41:27,330
+سيارة .. سيارة .. سيارة .. سيارة .. سيارة .. سيارة
+
+375
+00:41:27,330 --> 00:41:29,310
+.. سيارة .. سيارة .. سيارة .. سيارة .. سيارة ..
+
+376
+00:41:29,310 --> 00:41:30,110
+سيارة .. سيارة .. سيارة .. سيارة .. سيارة .. سيارة
+
+377
+00:41:30,110 --> 00:41:39,540
+.. سيارة .. سيارة .. سيارة .. سيارة، تلاتاشر ألف
+
+378
+00:41:39,540 --> 00:41:48,660
+تلاتاشر ألف، تمام؟ طيب، حكينا الفروقات تتم بإيش؟
+
+379
+00:41:48,660 --> 00:41:54,640
+شيكات، تتم بشيكات، ممكن أنا آخذ وممكن أعطي، بتشوفوا
+
+380
+00:41:54,640 --> 00:41:58,080
+إيش الوضع، انتبهوا معايا، الآن
+
+381
+00:42:01,390 --> 00:42:04,250
+إيش قال؟ لما قولتك رقم اثنين، تبقى قيد المبادلة مع
+
+382
+00:42:04,250 --> 00:42:10,190
+العلم أن الآلة قدرت بمبلغ كم؟ تسعة آلاف، تسعة آلاف
+
+383
+00:42:10,190 --> 00:42:13,090
+دينار .. تسعة آلاف دينار .. تسعة آلاف دينار .. تسعة
+
+384
+00:42:13,090 --> 00:42:13,510
+آلاف دينار .. تسعة آلاف دينار .. تسعة آلاف دينار .. تسعة
+
+385
+00:4
+
+445
+00:47:31,090 --> 00:47:40,790
+شباب هنا فرضا يعني إيش؟ على معلومات السؤال نفترض
+
+446
+00:47:40,790 --> 00:47:51,710
+شيء نغيره في شغل صغير فرضا قدرة الآلة عند المبادلة
+
+447
+00:47:51,710 --> 00:48:01,730
+بمبلغ 12500 دينار فرضا، قدرة الآلة عند المبادلة مبلغ
+
+448
+00:48:01,730 --> 00:48:10,270
+12500 درهم فرضا، يعني مش الآن، قلنا قبل شوية اتبعت قد
+
+449
+00:48:10,270 --> 00:48:15,030
+المبادلة، مع العلم أن الآلة قدرت بـ 9 دراهم، طيب الآلة
+
+450
+00:48:15,030 --> 00:48:23,270
+قدرت الآلة بـ 14500 درهم، بدنا نشوف النتيجة طبعا
+
+451
+00:48:23,270 --> 00:48:24,710
+العلم لو قدرت
+
+452
+00:48:31,210 --> 00:48:38,710
+لا ربح ولا خسارة، لا يوجد، القيد المبادلة يظهر بس
+
+453
+00:48:38,710 --> 00:48:45,130
+بتظهرش لربح ولا خسارة، لربح ولا خسارة، لربح ولا
+
+454
+00:48:45,130 --> 00:48:46,950
+خسارة، لربح ولا خسارة، لربح ولا خسارة، لربح ولا خسارة
+
+455
+00:48:46,950 --> 00:48:47,890
+لربح ولا خسارة، لربح ولا خسارة، لربح ولا خسارة، لربح
+
+456
+00:48:47,890 --> 00:48:52,970
+ولا خسارة، لربح ولا خسارة، لربح ولا خسارة، لربح ولا
+
+457
+00:48:52,970 --> 00:48:56,630
+خسارة، لربح ولا خسارة، لربح
+
+458
+00:49:00,660 --> 00:49:10,300
+هو للجرار الآن، ها هنا هي الآلة خمسة وعشرون ألف و
+
+459
+00:49:10,300 --> 00:49:19,260
+هنا مجموع احتساب هالآلة اثنا عشر ألف وإيش؟ اثنا عشر ألف
+
+460
+00:49:19,260 --> 00:49:24,020
+و ستمائة، تمام
+
+461
+00:49:24,020 --> 00:49:28,640
+هذا هو النقطة، بنشوف غير الجرار تمام
+
+462
+00:49:30,660 --> 00:49:35,160
+الآن هي الآلة وهي مجموعها، مش بتستخدم عني الآلة؟
+
+463
+00:49:35,160 --> 00:49:40,460
+طيب الآن أنا إيش أعطيتهم الآلة وإيش أخذتهم
+
+464
+00:49:40,460 --> 00:49:45,840
+السيارة؟ طيب، مين بده يشارك؟ يلا مين بده يشارك؟
+
+465
+00:49:45,840 --> 00:49:53,580
+السيارة وأنا أسجلها، فضل في المدينة؟ ماشي، إذا
+
+466
+00:49:53,580 --> 00:50:05,440
+هنا هي السيارة ثلاثة عشر ألف درهم، 13000 دينار، ماشي؟
+
+467
+00:50:05,440 --> 00:50:15,300
+طيب، الآن.. الآن عندنا الـ bank، الـ bank عندنا
+
+468
+00:50:15,300 --> 00:50:21,560
+هنا، الآن هم أخذوا.. ها، أخذوا مني اللي هو الآلة
+
+469
+00:50:21,560 --> 00:50:27,690
+تبعي، ها، هنا مالي جاهز، يعني الآن عندي في عملية
+
+470
+00:50:27,690 --> 00:50:32,210
+المبادلة حسبولي، هيبقى اثنا عشر ألف وإيش؟ وخمسمئة
+
+471
+00:50:32,210 --> 00:50:36,650
+تمام؟ تمام؟ الآلة في المبادلة حسبالي باثنا عشر ألف
+
+472
+00:50:36,650 --> 00:50:42,430
+وإيش؟ خمسمئة، وأعطوني ثلاثة عشر ألف، يعني أنا أعطيتك
+
+473
+00:50:42,430 --> 00:50:47,630
+آلتي، وانحسب اثنا عشر ألف وخمسمئة، وأخذت منك بثلاثة عشر
+
+474
+00:50:47,630 --> 00:50:49,630
+ألف، إذا الآن مين بده يدفع؟
+
+475
+00:50:54,490 --> 00:51:01,630
+الـ bank إيش؟ دائم، دائم، هاي الـ bank بإيش؟ خمسمئة اللي هو
+
+476
+00:51:01,630 --> 00:51:10,270
+عبارة عن ثلاثة عشر ناقص اثنا عشر ونصف، تمام، أعطيتك اللي هو
+
+477
+00:51:10,270 --> 00:51:14,970
+الآلة، وانحسبت من اثنا عشر ألف وخمسمئة، وأخذت
+
+478
+00:51:14,970 --> 00:51:22,110
+وأخذت إيش؟ وأخذت اللي هو سيارة ثلاثة عشر ألف، إذا أنا
+
+479
+00:51:22,110 --> 00:51:31,420
+كملت لك على الـ 13000، طيب الآن.. الآن عندنا..
+
+480
+00:51:31,420 --> 00:51:36,080
+بدنا نشوف صافي أو يعني عملية المبادلة هذه، هل حققت
+
+481
+00:51:36,080 --> 00:51:42,220
+ربحا أم خسارة، الآن.. انظر.. إن عندنا صافي القيمة
+
+482
+00:51:42,220 --> 00:51:43,400
+الدفترية كام؟
+
+483
+00:51:53,390 --> 00:52:02,450
+ربع الشيء اللي عليك بـ 12400، حسبوه إياه بـ 12500، تقول
+
+484
+00:52:02,450 --> 00:52:06,830
+ربحته ولا لا؟ ربحته 100، طب الـ 100 دي، إيش تسجل؟
+
+485
+00:52:06,830 --> 00:52:19,050
+هاي 100، هاي 100، أربعة مبادلة إيش؟ مبادلة الآلة
+
+486
+00:52:19,050 --> 00:52:24,500
+تمام؟ الآن البساطة لو جيت جماعة الجانب المدين
+
+487
+00:52:24,500 --> 00:52:29,500
+والجانب الدائن، بغض النظر على الرقم، يتساويان ولا لا؟
+
+488
+00:52:29,500 --> 00:52:37,300
+يتساويان، وهذا أصل القيد المزدوج، القيد المحاسبي
+
+489
+00:52:37,300 --> 00:52:43,820
+لابد أن يكون مجموع المدين يساوي مجموع الدائن، الآن
+
+490
+00:52:43,820 --> 00:52:50,960
+هل من سؤال أي سؤال للشباب؟ الآن عملية الإغفال..
+
+491
+00:52:50,960 --> 00:52:59,540
+إغفال.. إيش؟ أرباح المبادلة.. إغفال أرباح
+
+492
+00:52:59,540 --> 00:53:04,260
+المبادلة اللي
+
+493
+00:53:04,260 --> 00:53:10,940
+بره هناك.. اه، تفضل.. الآن
+
+494
+00:53:10,940 --> 00:53:14,320
+الأرباح المبادلة عند إثباتها دائما.. تفضل
+
+495
+00:53:32,690 --> 00:53:44,870
+الدخل مين؟ طيب الآن، الآن، الآن
+
+496
+00:53:44,870 --> 00:53:52,970
+أمامنا شغل صغير واحد فقط، عشان المحاضرة تكتمل، الآن
+
+497
+00:53:52,970 --> 00:53:58,830
+بده الميزانية في واحد وثلاثين، اثنا عشر ألف وخمس
+
+498
+00:53:58,830 --> 00:54:07,040
+عشرة، ثلاثة، الميزانية في واحد وثلاثين، اثنا عشر
+
+499
+00:54:07,040 --> 00:54:12,880
+ألفين و خمسة عشر، الميزانية
+
+500
+00:54:12,880 --> 00:54:19,140
+في واحد وثلاثين، اثنا عشر ألفين وخمسة عشر، الآن في
+
+501
+00:54:19,140 --> 00:54:23,140
+عندي أول شيء الآلة، تدرك واحد وثلاثين، اثنا عشر
+
+502
+00:54:23,140 --> 00:54:25,620
+ألفين وخمسة عشر، اللي هي السنة اللي حدثت فيها
+
+503
+00:54:25,620 --> 00:54:29,900
+المبادلة، تمام؟ إذا الآلة عندنا هنا، إيش بنقول تحت
+
+504
+00:54:29,900 --> 00:54:30,880
+الرسول التابعة؟
+
+505
+00:54:37,480 --> 00:54:44,920
+الآن 25000 ناقص كم؟ ما بدي أجهز، أفضل آخر واحد
+
+506
+00:54:44,920 --> 00:54:57,200
+12600، نعم ممتاز، 12600 بيكون، إذا هاي 12600 طبعا
+
+507
+00:54:57,200 --> 00:55:03,880
+بيظل عندنا 12400، طيب أيضا مش في عندنا السيارة
+
+508
+00:55:15,280 --> 00:55:20,740
+السيارة، طبعا أنا حكيت بالنسبة للسيارة، عمرها ست
+
+509
+00:55:20,740 --> 00:55:27,240
+سنوات، أظبط؟ والآخر ده إيش؟ ألف، طيب الآن هنا مش بده
+
+510
+00:55:27,240 --> 00:55:31,180
+أحسب لها قصة الاهتلاك السنوي، طيب قصة الاهتلاك
+
+511
+00:55:31,180 --> 00:55:37,360
+السنوي للسيارة يساوي، إيش بنقول؟
+
+512
+00:55:49,230 --> 00:55:53,070
+ألفين دولار، طب الألفين، السيارة.. السيارة..
+
+513
+00:55:53,070 --> 00:55:58,190
+السيارة اهتلكت متى؟ واحد سبعة.. واحد سبعة يعني
+
+514
+00:55:58,190 --> 00:56:03,290
+الـ 2015 لما نحسبها.. كده بيكون نصيبها؟ ألف..
+
+515
+00:56:03,290 --> 00:56:09,010
+ألف.. ألف.. ألف.. ألف
+
+516
+00:56:09,010 --> 00:56:10,730
+.. ألف.. ألف.. ألف.. ألف.. ألف.. ألف.. ألف
+
+517
+00:56:10,730 --> 00:56:12,130
+.. ألف.. ألف.. ألف.. ألف.. ألف.. ألف.. ألف
+
+518
+00:56:12,130 --> 00:56:12,170
+.. ألف.. ألف.. ألف.. ألف.. ألف.. ألف.. ألف
+
+519
+00:56:12,170 --> 00:56:12,370
+.. ألف.. ألف.. ألف.. ألف.. ألف.. ألف.. ألف
+
+520
+00:56:12,370 --> 00:56:16,790
+.. ألف.. ألف.. ألف.. ألف.. ألف..
+
+521
+00:56:18,810 --> 00:56:24,010
+أي سنة؟ أي
+
+522
+00:56:24,010 --> 00:56:27,050
+سنة؟
+
+523
+00:56:27,050 --> 00:56:28,130
+أي سنة؟ أي سنة؟ أي سنة؟ أي سنة؟ أي سنة؟ أي سنة؟ أي
+
+524
+00:56:28,130 --> 00:56:29,250
+سنة؟ أي سنة؟ أي سنة؟ أي سنة؟ أي سنة؟ أي سنة؟ أي
+
+525
+00:56:29,250 --> 00:56:29,710
+سنة؟ أي سنة؟ أي سنة؟ أي سنة؟ أي سنة؟ أي سنة؟ أي
+
+526
+00:56:29,710 --> 00:56:29,850
+سنة؟ أي سنة؟ أي سنة؟ أي سنة؟ أي سنة؟ أي سنة؟ أي
+
+527
+00:56:29,850 --> 00:56:33,890
+سنة؟ أي سنة؟ أي سنة؟ أي سنة؟ أي سنة؟ أي سنة؟ أي
+
+528
+00:56:33,890 --> 00:56:44,970
+سنة؟ أي سنة؟ أي سنة؟ أي سنة؟ أي سنة؟ أي
+
+529
+00:56:55,650 --> 00:57:01,330
+بهذا أيها الإخوة، عزيزي الطلبة، نأتي لنهاية المحاضرة
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/6gUNbNp2tQk.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/6gUNbNp2tQk.srt
new file mode 100644
index 0000000000000000000000000000000000000000..6ecb95c3247be39e79d4d7a681dc55cacd2c233d
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/6gUNbNp2tQk.srt
@@ -0,0 +1,1334 @@
+1
+00:00:21,090 --> 00:00:25,970
+في المحاضرة الماضية بدأنا بالحديث عن جرد المخزون
+
+2
+00:00:25,970 --> 00:00:31,530
+ومن ثم قمنا بالمعالجة المحاسبية حسب طريقة الأول في
+
+3
+00:00:31,530 --> 00:00:37,030
+الأول وطريقة المتوسط المرجح، وكلا الطريقتين، كما
+
+4
+00:00:37,030 --> 00:00:41,710
+قلنا، نص عليهما المعيار رقم 2 من المعايير
+
+5
+00:00:41,710 --> 00:00:48,570
+الدولية لإعداد التقارير، وهي ما تسمى بالإفراس
+
+6
+00:00:49,430 --> 00:00:57,290
+استكمالا للموضوع، نقوم بأخذ مثال آخر تستخدم شركة
+
+7
+00:00:57,290 --> 00:01:05,710
+الرائد التجارية. تستخدم شركة الرائد التجارية نظام
+
+8
+00:01:05,710 --> 00:01:11,650
+الجرد الدوري. تستخدم شركة الرائد التجارية نظام
+
+9
+00:01:11,650 --> 00:01:18,570
+الجرد الدوري، وفيما يلي نظام الجرد الدوري للمخزون.
+
+10
+00:01:19,010 --> 00:01:23,050
+النظام الدوري للمخزون، وقلنا كلمة مخزون معناها
+
+11
+00:01:23,050 --> 00:01:29,930
+بضاعة آخر المدة، وفيما يلي بيانات إجمالية، وفيما
+
+12
+00:01:29,930 --> 00:01:37,370
+يلي بيانات إجمالية عن حركة الصنف، عن اللي هو خليني
+
+13
+00:01:37,370 --> 00:01:43,930
+أقول، بضائع ملابس أطفال، عن اللي هو بضائع
+
+14
+00:01:43,930 --> 00:01:46,590
+ملابس أطفال خلال عام 2015.
+
+15
+00:01:49,350 --> 00:01:56,350
+خلال عام 2015، رقم
+
+16
+00:01:56,350 --> 00:02:07,630
+1/1/2015، رصيد
+
+17
+00:02:07,630 --> 00:02:19,620
+المخزون 300 وحدة بسعر 4 دينار
+
+18
+00:02:19,620 --> 00:02:27,700
+للوحدة. رقم 2، 20/2... 20/2
+
+19
+00:02:27,700 --> 00:02:34,120
+مشتريات، مشتريات
+
+20
+00:02:34,120 --> 00:02:43,620
+150 وحدة بسعر 5 دينار للوحدة. رقم 3،
+
+21
+00:02:54,540 --> 00:03:04,760
+200 وحدة بسعر 10 دينار للوحدة. رقم 4، 26/5
+
+22
+00:03:04,760 --> 00:03:10,220
+مشتريات،
+
+23
+00:03:10,220 --> 00:03:13,980
+200
+
+24
+00:03:13,980 --> 00:03:20,020
+وحدة بسعر 7 دينار للوحدة. رقم 5،
+
+25
+00:03:22,650 --> 00:03:28,470
+20/8، مبيعات
+
+26
+00:03:28,470 --> 00:03:40,210
+250 وحدة بسعر 10 دينار للوحدة. رقم 6،
+
+27
+00:03:40,210 --> 00:03:53,100
+وأخيرا، 5/9، مردودات المبيعات 50 وحدة من
+
+28
+00:03:53,100 --> 00:04:14,960
+المباع في 20/8. المطلوب
+
+29
+00:04:14,960 --> 00:04:21,200
+المطلوب،
+
+30
+00:04:21,900 --> 00:04:36,400
+حساب تكلفة المبيعات وتكلفة المخزون حسب طريقة الأول
+
+31
+00:04:36,400 --> 00:04:42,260
+في الأول وطريقة المتوسط المرجّح.
+
+32
+00:04:50,010 --> 00:04:55,090
+إذا كما قلنا، في ما يلي حركة الصنف، وهو ملابس
+
+33
+00:04:55,090 --> 00:05:04,750
+الأطفال فيه خلال عام 2015، اللي هو لدى شركة الرائد
+
+34
+00:05:04,750 --> 00:05:10,950
+التجارية، والمعلومات كما هي موجودة أمامنا تختلف
+
+35
+00:05:10,950 --> 00:05:16,330
+قليلاً عن عرضها في المحاضرة السابقة. لدينا رصيد أول
+
+36
+00:05:16,330 --> 00:05:18,430
+المدة، ويكون هذا جاء من
+
+37
+00:05:28,180 --> 00:05:34,280
+وفي 26/5 اشترينا، وبِيعناه في مدد أيضاً.
+
+38
+00:05:34,280 --> 00:05:42,420
+أريد أن أضيف إلى المطلوب بعض الكلمات. حكينا المطلوب،
+
+39
+00:05:42,420 --> 00:05:47,760
+حساب تكلفة المبيعات وتكلفة المخزون حسب طريقتين:
+
+40
+00:05:47,760 --> 00:05:54,700
+الأول في الأول والمتوسط المرجّح، مع العلم، مع العلم،
+
+41
+00:05:54,700 --> 00:06:04,790
+أن الشركة تتبع نظام الجرد الدوري. مع العلم أن
+
+42
+00:06:04,790 --> 00:06:07,490
+الشركة تتبع نظام الجرد
+
+43
+00:06:24,090 --> 00:06:29,610
+الآن، أول شيء، أول شيء، تُحسب عدد الوحدات المتاحة
+
+44
+00:06:29,610 --> 00:06:33,390
+للبيع، زي ما حسبنا في المحاضرة الماضية، حتى تتوفّر
+
+45
+00:06:33,390 --> 00:06:37,890
+بعض الرؤية قبل ما أعمل وأشتغل في تكلفة المتاح في
+
+46
+00:06:37,890 --> 00:06:41,090
+تكلفة المتاح، وتكلفة المبيعات، وتكلفة المقلومة، إذاً
+
+47
+00:06:41,090 --> 00:06:51,590
+هنا عدد الوحدات المتاحة للبيع تساوي... تساوي نظرياً
+
+48
+00:06:51,590 --> 00:06:57,230
+تساوي نظرياً، تساوي
+
+49
+00:06:57,230 --> 00:07:03,670
+نظرياً، تساوي نظرياً، تساوي نظرياً، تساوي نظرياً، تساوي
+
+50
+00:07:03,670 --> 00:07:05,250
+نظرياً، تساوي نظرياً، تساوي نظرياً، تساوي نظرياً، تساوي
+
+51
+00:07:05,250 --> 00:07:05,430
+نظرياً، تساوي نظرياً، تساوي نظرياً، تساوي نظرياً، تساوي
+
+52
+00:07:05,430 --> 00:07:05,530
+نظرياً، تساوي نظرياً، تساوي نظرياً، تساوي نظرياً، تساوي
+
+53
+00:07:05,530 --> 00:07:07,610
+نظرياً، تساوي نظرياً، تساوي نظرياً، تساوي نظرياً، تساوي
+
+54
+00:07:07,610 --> 00:07:16,530
+نظرياً، تساوي نظرياً، تساوي نظرياً، تساوي نظرياً، تساوي
+
+55
+00:07:16,530 --> 00:07:25,830
+نظرياً، تساوي نظرياً، ورجعنا 100. كان عندي 50 إجارة
+
+56
+00:07:25,830 --> 00:07:29,010
+من الفترة السابقة، واشتريت 1000، وصاروا 1050.
+
+57
+00:07:29,010 --> 00:07:33,510
+وأنا من اللي اشتريته ورجعت 100، صار قديش المتاح؟
+
+58
+00:07:33,510 --> 00:07:38,410
+950. هذه المعلومات افتراضية، لكن هنا هي
+
+59
+00:07:38,410 --> 00:07:45,590
+رصيد أول المدة زائد المشتريات ناقص مردودات ومسموحات
+
+60
+00:07:45,590 --> 00:07:51,500
+المشتريات اللي هي تساوي... ها... الآن حسب المعلومات
+
+61
+00:07:51,500 --> 00:07:54,920
+الموجودة أمامنا، انتبهوا معايا عشان الواحد برضه إيه
+
+62
+00:07:54,920 --> 00:07:57,820
+الشغلات اللي هي مش من ضمن المشتريات، نُعلم عليها
+
+63
+00:07:57,820 --> 00:08:02,200
+وبتريحنا. يعني الآن رصيد 100، مشتريات 100، مبيعات
+
+64
+00:08:02,200 --> 00:08:06,420
+هي، حطيت عليها دائرة بأي قلم بمشي الحل، وهنا
+
+65
+00:08:06,420 --> 00:08:13,580
+المبيعات، ومرّدودات. تمام؟ إذن، بضل عندي إيه؟ بضل
+
+66
+00:08:13,580 --> 00:08:15,880
+عندي اللي هو رصيد أول المدة.
+
+67
+00:08:19,790 --> 00:08:23,110
+والمشتريات. هل يوجد لدي مردودات مشتريات في هذا
+
+68
+00:08:23,110 --> 00:08:28,490
+السؤال؟ لا، ولكن في سؤال آخر سوف تكون موجودة بمشيئة
+
+69
+00:08:28,490 --> 00:08:38,770
+الله. إذا الآن، يساوي 300 + 150 = 450 + 200 = 650، إذن
+
+70
+00:08:38,770 --> 00:08:45,930
+هاي 650 إيش؟ وحدة. أنا بقول عدد الوحدات المتاحة
+
+71
+00:08:45,930 --> 00:08:51,640
+للبيع، وهي المعادلة تبعتهم، وهي المعادلة الخاصة بهما.
+
+72
+00:08:51,640 --> 00:08:58,200
+قلت في المحاضرة القادمة سوف أقوم بترجمة واقعية
+
+73
+00:08:58,200 --> 00:09:01,860
+مستحيل أفترض أن لا أحد ما يستقبلها، لكن كلها موجودة.
+
+74
+00:09:01,860 --> 00:09:10,940
+هتشوف فيها، تمام؟ الآن، يا سميّة شَمر، الآن عدد الوحدات
+
+75
+00:09:10,940 --> 00:09:14,380
+المباعة.
+
+76
+00:09:14,380 --> 00:09:20,940
+وعدد الوحدات المباعة = إجمالي المبيعات ناقص
+
+77
+00:09:20,940 --> 00:09:26,660
+مردودات ومسموحات المبيعات. لدينا، بيعنا 250 وحدة،
+
+78
+00:09:26,660 --> 00:09:32,800
+250 وحدة، علمت عليهم المبيعات، وهنا 200، صار كم؟
+
+79
+00:09:32,800 --> 00:09:39,600
+450، رجعنا إيش؟ إذن 450 - 50 =
+
+80
+00:10:01,830 --> 00:10:06,290
+لأن هي 450 - 50. إذن، صاف المبيعات كم وحدة؟ 400
+
+81
+00:10:06,290 --> 00:10:12,030
+وحدة. يعني زي ما نبيع 100 ثلاجة ورجعوا 20، و كل إيش
+
+82
+00:10:12,030 --> 00:10:16,130
+اللي بيعته حقيقته 80، مش صافك. اتعلمت من حاسوب واحد.
+
+83
+00:10:16,130 --> 00:10:22,470
+صاف المبيعات، وصاف المشتريات. طيب الآن، الآن هنا
+
+84
+00:10:22,470 --> 00:10:29,190
+عندنا متاح، بيعنا منه 400، الباقي بده يكون فين؟ وحدات
+
+85
+00:10:29,190 --> 00:10:40,230
+المخزون. إذن، هنا هي 250، عدد وحدات المخزون ببساطة
+
+86
+00:10:40,230 --> 00:10:44,930
+شديدة جداً. قلنا عندنا 100 ثلاجة من الشهر... من
+
+87
+00:10:44,930 --> 00:10:51,970
+السنة الماضية، واشترينا 900، صاروا كده؟ صاروا كده؟
+
+88
+00:10:51,970 --> 00:10:57,060
+عندنا 100 من الفترة السابقة، واشترينا 900 اسمياً،
+
+89
+00:10:57,060 --> 00:11:02,920
+صاروا 1000، يا سمية، تمام؟ ببيع منها 700، قديش بده يضل في
+
+90
+00:11:02,920 --> 00:11:10,100
+المخازن؟ بده يضل 300. المتاع عنده 650 وحدة، تمام؟
+
+91
+00:11:10,100 --> 00:11:14,660
+بيبيع منها 400، بده يضل في المخازن، yeah، 250، البساطة
+
+92
+00:11:14,660 --> 00:11:18,820
+شديدة جداً. في جيبك من المدارس 20 شكل، وأخذت اليوم
+
+93
+00:11:18,820 --> 00:11:20,100
+100، صار جديد.
+
+94
+00:11:26,490 --> 00:11:31,530
+30، 30، 30،
+
+95
+00:11:31,530 --> 00:11:36,610
+30، 30، 30، 30، 30، 30، 30،
+
+96
+00:11:36,610 --> 00:11:37,010
+30، 30، 30، 30، 30، 30، 30،
+
+97
+00:11:37,010 --> 00:11:38,890
+30، 30، 30، 30، 30، 30، 30،
+
+98
+00:11:38,890 --> 00:11:40,010
+30، 30، 30، 30، 30، 30، 30،
+
+99
+00:11:40,010 --> 00:11:51,810
+30، 30، 30، 30، 30، 30، 3
+
+100
+00:11:56,070 --> 00:12:02,130
+للبيع. معلومة بتهمني عشان أتأكّد من حلي، عشان أتأكّد
+
+101
+00:12:02,130 --> 00:12:07,350
+لما أحسب تكلفة المبيعات وتكلفة المخزون. الاثنين لو
+
+102
+00:12:07,350 --> 00:12:11,030
+جمعتُهم مع بعض، هيساووا تكلفة المتاح، زي ما قلنا. طول
+
+103
+00:12:11,030 --> 00:12:16,100
+120 شكل. الآن، لو جمعت المصروف مع اللي هو البيت في
+
+104
+00:12:16,100 --> 00:12:20,920
+الجيب، في المحفظة، لازم يساوي اللي كان الصبح في
+
+105
+00:12:20,920 --> 00:12:25,280
+الجيب، في المحفظة، تمام؟ إذن، الآن تكلفة الوحدات
+
+106
+00:12:25,280 --> 00:12:29,600
+المتاحة عبارة عن إيش؟ عبارة عنها رصيد أول المدة، كم
+
+107
+00:12:29,600 --> 00:12:38,120
+وحدة؟ 300 × 4، 300 × 4 + 150
+
+108
+00:12:38,120 --> 00:12:41,780
+× 5 =
+
+109
+00:12:48,820 --> 00:12:52,280
+المبيعات. إذا أنا بتوحّش فيهم الآن، بتكون دقيقة،
+
+110
+00:12:52,280 --> 00:12:55,200
+أعلم، بتوحّش، إذا أنا هي خدت 300، أخدت 150، باقي باخذ إيه؟ 200، 200 × إيش؟ ×
+
+111
+00:12:55,200 --> 00:12:58,820
+7، × 7. ممتاز، كله أجمع، أضرب، وأعمل، وأبعاد،
+
+112
+00:12:58,820 --> 00:13:03,480
+يطلع 300... 3050، صح؟
+
+113
+00:13:11,870 --> 00:13:18,290
+لأن أنا بحسب تكلفة، الآن، كلمة
+
+114
+00:13:18,290 --> 00:13:24,550
+عدد بتكون بالوحدة، التكلفة بتكون دائماً بالدينار. كم
+
+115
+00:13:24,550 --> 00:13:28,670
+ساعة مسجّلة، هتقولي 5، و10 ساعة، قديش دفعتي؟
+
+116
+00:13:28,670 --> 00:13:32,950
+هتقولي والله 250 دينار، شركة تكلفة.
+
+117
+00:13:37,250 --> 00:13:42,630
+هنا نبدأ في أول شيء حسب طريقة الأول في الأول، وهو
+
+118
+00:13:42,630 --> 00:13:47,370
+الـ FIFO، وقلنا
+
+119
+00:13:47,370 --> 00:13:52,210
+مفتاح الحل حسب الإطار النظري، حسب إطار مجموعة
+
+120
+00:13:52,210 --> 00:13:53,090
+الجواب.
+
+122
+00:14:13,370 --> 00:14:17,350
+هو المقصود بالأول، والمخزون يكون إيش؟ المخزون
+
+123
+00:14:17,350 --> 00:14:24,430
+أحدث. ممتاز، المخزون أحدث. إذا هنا يكون أمامنا مفتاح
+
+124
+00:14:24,430 --> 00:14:35,830
+الحل. حتى هنا، الآن، الآن بنقول تكلفة الوحدات المباعة.
+
+125
+00:14:35,830 --> 00:14:37,950
+تكلفة الوحدات
+
+126
+00:14:53,120 --> 00:15:00,240
+الآن، المبيع من مين؟ من الأقدم. من الأقدم. مملي، جاهر.
+
+127
+00:15:00,240 --> 00:15:11,080
+اتفضلي. 300 × 4. 300 × 4. ممتاز.
+
+128
+00:15:11,080 --> 00:15:19,160
+إذا الآن، أنا بأتبع طريقة الأول في الأول، طبعاً، طريقة
+
+129
+00:15:19,160 --> 00:15:24,360
+الأول في الأول. الآن، المبيع من مين؟ من الأقدم. طيب،
+
+130
+00:15:24,360 --> 00:15:28,460
+أنا كم وحدة ببيع؟ 400. إذا باجي وبقول 300
+
+131
+00:15:28,460 --> 00:15:35,180
+× إيش؟ × 4. هاي 300... 300 × 4
+
+132
+00:15:35,180 --> 00:15:43,640
+= 1200 دينار. 1200 دينار. تمام؟ الآن،
+
+133
+00:15:43,640 --> 00:15:48,140
+أنا بدي 400، إذا بضلّ هي، أخدتها، بدي آخذ من
+
+134
+00:15:48,140 --> 00:15:49,840
+الـ 150، هي، زي ما حكت
+
+135
+00:16:01,280 --> 00:16:09,420
+× 5 = 500 درهم. يساوي 500 درهم. إذا
+
+136
+00:16:09,420 --> 00:16:14,140
+الآن... الآن، هاي 300، وهي 100. هاي 300، وهي
+
+137
+00:16:14,140 --> 00:16:19,840
+100. جميل. تمام؟ 300 + 100 = هاي الـ 400 وحدة.
+
+138
+00:16:19,840 --> 00:16:28,100
+تكلفتهم كم؟ 1700 درهم. إذا تكلفة الـ 400
+
+139
+00:16:28,100 --> 00:16:34,090
+وحدة في ظل هذه الطريقة كم؟ 1700 دينار، تكلفة
+
+140
+00:16:34,090 --> 00:16:43,910
+الوحدات إيه؟ المباعة. طيب، هل نسأل؟ طيب، الآن تكلفة
+
+141
+00:16:43,910 --> 00:16:52,950
+وحدات المخزون. المخزون عندنا، يقول، الوحدات المتبقية
+
+142
+00:16:52,950 --> 00:16:54,210
+في المخازن كم؟
+
+143
+00:16:57,950 --> 00:17:02,650
+المخزون من إيش حسب هذه الطريقة؟ يعني هناخذ إيش؟
+
+144
+00:17:02,650 --> 00:17:06,430
+انتبهوا، انتبهوا. العالم عن الدوائر، ما بنعرفش
+
+145
+00:17:06,430 --> 00:17:10,970
+نعمل بيها. إذا الآن، الآن يا جماعة، بدي إيش؟ هاي 200،
+
+146
+00:17:10,970 --> 00:17:15,370
+هاي أحدث، مش طريقة تشهد، هاي أحدث، هاي 200، 200 ×
+
+147
+00:17:15,370 --> 00:17:23,430
+إيش؟ 200 × 7 = 1400 دولار.
+
+148
+00:17:31,940 --> 00:17:35,860
+بآخذ من الـ 150، 50، بآخذ من الـ 150، 50، إذن 50 ×، 50 ×، 5
+
+149
+00:17:35,860 --> 00:17:42,420
+ويساوي 250 دولار. 250 دولار، 250
+
+150
+00:17:42,420 --> 00:17:45,980
+دولار، 250 دولار، 250
+
+151
+00:17:45,980 --> 00:17:46,660
+دولار، 250 دولار، 250 دولار،
+
+152
+00:17:46,660 --> 00:17:48,160
+250 دولار، 250 دولار، 250
+
+153
+00:17:48,160 --> 00:17:49,140
+دولار، 250 دولار، 250 دولار، 250
+
+154
+00:17:49,140 --> 00:17:52,960
+دولار، 250 دولار، 250 دولار،
+
+155
+00:17:52,960 --> 00:17:56,460
+250
+
+156
+00:18:05,120 --> 00:18:11,260
+Stop، يا سمية. الآن، المبيعات، هذه وحدات أنا بعتها،
+
+157
+00:18:11,260 --> 00:18:15,020
+لما أنا ببدأ ببيع، ببدأ ببيع، مش ببدأ مني في الإنتاج
+
+158
+00:18:15,020 --> 00:18:20,240
+أو في المخازن، ببدأ من المشتريات، ببدأ من
+
+159
+00:18:20,240 --> 00:18:21,720
+المشتريات.
+
+160
+00:18:24,880 --> 00:18:28,720
+حسب نظام الجرد الدوري، بحطّ فيه خطين. الآن، الجرد
+
+161
+00:18:28,720 --> 00:18:32,100
+الدوري، الحل اللي فيه يختلف عن الجرد المستمر، يعني
+
+162
+00:18:32,100 --> 00:18:37,720
+لعبة. احنا في الجرد الدوري، جمعت أنا كل المتاح، وجمعت
+
+163
+00:18:37,720 --> 00:18:42,980
+كل المباع، وطلّعت المخزون، وبعدين اشتغل على حسب
+
+164
+00:18:42,980 --> 00:18:48,100
+الطريقة. فقلت، أنا وحدات المخزون 250. الآن، إذا أنا
+
+165
+00:18:48,100 --> 00:18:53,120
+بدي أبيع هذول الـ 250، بدي أبيع من مين؟ من مين؟ المخزون
+
+166
+00:18:53,120 --> 00:18:53
+
+223
+00:24:48,150 --> 00:24:48,850
+التقريب
+
+224
+00:25:08,480 --> 00:25:12,660
+المخزون المخزون المخزون المخزون المخزون المخزون
+
+225
+00:25:12,660 --> 00:25:15,560
+المخزون المخزون المخزون المخزون المخزون المخزون
+
+226
+00:25:15,560 --> 00:25:16,640
+المخزون المخزون المخزون المخزون المخزون المخزون
+
+227
+00:25:16,640 --> 00:25:16,660
+المخزون المخزون المخزون المخزون المخزون المخزون
+
+228
+00:25:16,660 --> 00:25:19,100
+المخزون المخزون المخزون المخزون المخزون المخزون
+
+229
+00:25:19,100 --> 00:25:28,640
+المخزون المخزون
+
+230
+00:25:29,670 --> 00:25:32,890
+دولار تطلع هذه ألف و مائتين و ثمانين و ثمانين و نص
+
+231
+00:25:32,890 --> 00:25:40,170
+بنقربها من النص و ساعد يقرب و إذا كان أربعة و نازل
+
+232
+00:25:40,170 --> 00:25:45,250
+خلاص نحدفه لأغراض التبصير للأرقام الإجمالية و لأغراض
+
+233
+00:25:45,250 --> 00:25:48,770
+التبصير في المحاضرات لكن على أرض الواقع لا نفعله
+
+234
+00:25:48,770 --> 00:25:55,150
+نتعامل مع أي رقم بعد الفاصلة في كل شيء طبعا الآن لو
+
+235
+00:25:55,150 --> 00:25:58,950
+جمعنا هنا الألفين
+
+236
+00:26:07,010 --> 00:26:13,830
+تمام؟ ولكن كما قلت.. ولكن كما قلت.. لا يجوز
+
+237
+00:26:13,830 --> 00:26:17,090
+هنا
+
+238
+00:26:17,090 --> 00:26:20,930
+الأفضل أن نحسب كل واحدة على حدة لأن ممكن السؤال زي ما
+
+239
+00:26:20,930 --> 00:26:26,090
+حكينا يحكي حسب طريقة المتوسط المرجح يحسب تكلفة
+
+240
+00:26:26,090 --> 00:26:27,030
+المبيعات
+
+241
+00:26:31,110 --> 00:26:34,970
+تكلفات المخزون فنريد أن نعرف كيف نتعامل مع المعلومات
+
+242
+00:26:34,970 --> 00:26:38,810
+كل منها على حدة ونضع في الطريقة الأولى في الأول نضع
+
+243
+00:26:38,810 --> 00:26:42,850
+مفتاح الحل أمامنا أمامنا حتى نعرف كيف  بن... هل من
+
+244
+00:26:42,850 --> 00:26:48,710
+سؤال؟ لا، طيب الأخرى... هذا بالنسبة للجرد الدوري
+
+245
+00:26:48,710 --> 00:26:54,570
+طيب كيف نثبت عملية البيع و الشراء؟ كيف نثبت
+
+246
+00:26:54,570 --> 00:26:58,850
+عملية البيع و الشراء في دفتر اليومية؟ في دفتر
+
+247
+00:26:58,850 --> 00:26:59,830
+اليومية
+
+248
+00:27:03,240 --> 00:27:10,020
+من معلومات السؤال السابق من معلومات السؤال السابق
+
+249
+00:27:10,020 --> 00:27:17,300
+تمام؟ من معلومات السؤال السابق المطلوب إثبات
+
+250
+00:27:17,300 --> 00:27:24,020
+القيود اليومية اللازمة إثبات القيود اليومية اللازمة
+
+251
+00:27:24,020 --> 00:27:30,160
+بافتراض أن الشركة تتبع
+
+252
+00:27:32,010 --> 00:27:36,710
+نظام الجرد الدوري والمستمر نظام الجرد الدوري
+
+253
+00:27:36,710 --> 00:27:43,870
+والمستمر الآن
+
+254
+00:27:43,870 --> 00:27:53,530
+خارج هذا الحل القيود تمام، نكسب الصفحة هنا ونكتب
+
+255
+00:27:53,530 --> 00:28:04,710
+هنا جرد دوري وهنا جرد مستمر تمام؟  لأننا نجرب
+
+256
+00:28:04,710 --> 00:28:10,790
+الصورة الجرد الدوري، للعلم الجرد الدوري أخذناه في
+
+257
+00:28:10,790 --> 00:28:14,930
+محاسبة واحد، القيود التي كنا نأخذها في محاسبة واحد هي
+
+258
+00:28:14,930 --> 00:28:19,290
+قيود الجرد الدوري، لكن المستمر يطرأ عليه بعض التغيير
+
+259
+00:28:19,290 --> 00:28:23,070
+نحن في النهاية نعرف ما يفعله الدوري  لنذكركم
+
+260
+00:28:23,070 --> 00:28:27,010
+تكون معلومة، أيش نربطها مع ملف سابق؟ لنرى على
+
+261
+00:28:27,010 --> 00:28:30,200
+المستمر مباشرة، لكن في النهاية، في الامتحان، مطلوب
+
+262
+00:28:30,200 --> 00:28:35,080
+منكم ماذا؟ المستمر وليس الدوري، المستمر وليس الدوري
+
+263
+00:28:35,080 --> 00:28:40,980
+طيب، الآن عندنا الجرد الدوري، نجيء، هي العمليات
+
+264
+00:28:40,980 --> 00:28:46,840
+موجودة هنا، تمام؟ الآن الرصيد عايز قيد؟
+
+265
+00:28:46,840 --> 00:28:51,240
+الرصيد عايز قيد؟ لا، الرصيد لا يثبت،  لم يُعجبنا
+
+266
+00:28:51,240 --> 00:28:54,000
+الفترة السابقة؟ إذا ثُبت فيها، انتهينا منها
+
+267
+00:29:11,100 --> 00:29:20,280
+نقول من حساب المشتريات من حساب المشتريات إلى حساب
+
+268
+00:29:20,280 --> 00:29:26,940
+الموردين، مائة و خمسين ضرب خمسة، يصبح سبعمائة و خمسين
+
+269
+00:29:26,940 --> 00:29:34,060
+سبعمائة و خمسين، الآن بعيد ثانية في محاسبة واحدة
+
+270
+00:29:34,060 --> 00:29:38,100
+ما كنا نضعها من حساب المشتريات إلى الصندوق أو البنك
+
+271
+00:29:38,100 --> 00:29:41,370
+الموردين، الآن في هذه المسألة، طبعاً نضيف معلومة
+
+272
+00:29:41,370 --> 00:29:46,330
+نقول أن المشتريات والمبيعات على الحساب، آه، تكون
+
+273
+00:29:46,330 --> 00:29:50,210
+معلومة موجودة، أن المشتريات والمبيعات على الحساب
+
+274
+00:29:50,210 --> 00:29:53,890
+لأنها كانت مكتوبة إلى الموردين، لم يكتب الصندوق،  زي
+
+275
+00:29:53,890 --> 00:29:57,090
+ما البعض قال، تكون لدينا معلومة أن المشتريات
+
+276
+00:29:57,090 --> 00:30:01,250
+والمبيعات على الحساب، تمام هذا نعرفه، الآن في
+
+277
+00:30:01,250 --> 00:30:05,730
+الجرد، في الجرد المستمر، الكلام واحد، يعني شغل قصير
+
+278
+00:30:05,730 --> 00:30:08,990
+و أنت تتغير، الآن بدلاً من أن نقول المشتريات
+
+279
+00:30:12,140 --> 00:30:16,820
+مراقبة البضائع، وكلمة بضائع معناها بضائع آخر المدة
+
+280
+00:30:16,820 --> 00:30:25,360
+إذن هنا نقول في الجرد المستمر من حساب مراقبة المخزون
+
+281
+00:30:25,360 --> 00:30:34,100
+إلى حساب الموردين، خمسة وخمسين ضرب خمسة، سبعمائة
+
+282
+00:30:34,100 --> 00:30:38,640
+وخمسين، سبعمائة، إذن كما نلاحظ
+
+283
+00:30:42,530 --> 00:30:47,550
+أقول بدل المشتريات من حساب مراقبة المخزون أو من
+
+284
+00:30:47,550 --> 00:30:51,870
+حساب مراقبة البضائع، نوحد المصطلح، يا هكذا يا هكذا
+
+285
+00:30:51,870 --> 00:30:55,910
+طيب و اتكرر علم الشطار، والمرة القادمة سنأخذ كل
+
+286
+00:30:55,910 --> 00:30:59,750
+هذا في المحاضرة القادمة، أيضاً اليوم  سننهي في دقيقة
+
+287
+00:30:59,750 --> 00:31:00,830
+التوقيت
+
+288
+00:31:12,840 --> 00:31:16,980
+الحساب المدينين، الحساب المدينين إلى المبيعات، إذاً
+
+289
+00:31:16,980 --> 00:31:24,860
+نقول هنا من حساب المدينين إلى حساب المبيعات، وهنا
+
+290
+00:31:24,860 --> 00:31:32,980
+كم وحدة بعنا؟ مائتان في عشرة؟ أحسنتم، هي ألفان، ألفان
+
+291
+00:31:32,980 --> 00:31:37,000
+دولار، قيد المطلوب، حصل واحد، لما نبيع لا خالد ولا
+
+292
+00:31:37,000 --> 00:31:40,380
+حسن ولا أمل ولا وفاء ولا نسرين ولا ياسمين ولا
+
+293
+00:31:40,380 --> 00:31:46,240
+جمال ولا غادة ولا كلهم، سنقول من حساب المدينين
+
+294
+00:31:46,240 --> 00:31:54,520
+إلى حساب المبيعات، لأن المبيعات بطبيعتها دائنة،
+
+295
+00:31:54,520 --> 00:32:00,120
+مثلما أن المشتريات بطبيعتها مدينة، طيب، نأتي الآن
+
+296
+00:32:00,120 --> 00:32:05,930
+هنا في الجرد المستمر، تسريع النقدية في الجرد المستمر
+
+297
+00:32:05,930 --> 00:32:11,850
+يصبح لدينا قيد بسعر البيع وقيد بسعر التكلفة
+
+298
+00:32:11,850 --> 00:32:15,710
+لأنك تعرف ما بعت مثلاً بألفين، ما هي
+
+299
+00:32:15,710 --> 00:32:20,230
+تكلفته أول بأول، تعرف ما هو الوضع، تصبح ماذا؟ تمام؟ إذن
+
+300
+00:32:20,230 --> 00:32:24,590
+أول قيد يا إخوان، أول قيد سيكون نفس القيد الذي هنا
+
+301
+00:32:24,590 --> 00:32:30,770
+من حساب المدينين من حساب المدينين إلى حساب
+
+302
+00:32:33,650 --> 00:32:41,010
+إذن هنا مائتان ضرب عشرة، إذن هنا بالنسبة لرقم ثلاثة
+
+303
+00:32:41,010 --> 00:32:48,710
+عملية البيع تكون مرة هنا بسعر البيع، والقيد التالي
+
+304
+00:32:48,710 --> 00:32:55,390
+بسعر ماذا؟ التكلفة، التكلفة ممتاز، بسعر البيع وبسعر
+
+305
+00:32:55,390 --> 00:33:00,150
+التكلفة، يعني بمعنى آخر، عملية البيع في الجرد
+
+306
+00:33:00,150 --> 00:33:02,290
+المستمر لها قيدان
+
+307
+00:33:13,190 --> 00:33:18,570
+بسعر التكلفة، يعني آه، يوم ما جئت بالبضاعة ودخلت
+
+308
+00:33:18,570 --> 00:33:22,530
+المخزن، قلت مراقبة المخزون، اليوم أنا أطلع منها
+
+309
+00:33:22,530 --> 00:33:24,990
+يصبح مراقبة المخزون، وبعدين المدينة يصبح ماذا؟
+
+310
+00:33:24,990 --> 00:33:30,610
+دائنة، طيب أنا أحكي عالمياً عن تكلفة المبيعات، إذن
+
+311
+00:33:30,610 --> 00:33:37,130
+تكلفة المبيعات تأخذ الطرف الدائن من حساب
+
+312
+00:33:37,130 --> 00:33:41,950
+تكلفة المبيعات إلى حساب ماذا؟
+
+313
+00:33:47,020 --> 00:33:51,800
+المخزون، إلى حساب مراقبة، هذا القيد النظري، هذا
+
+314
+00:33:51,800 --> 00:33:56,420
+القيد النظري، إخواني، أنا سمعت مصطلح إلى حساب مراقبة
+
+315
+00:33:56,420 --> 00:33:59,800
+البضائع، إذا كتبت أنا هنا مراقبة البضائع، أقول
+
+316
+00:33:59,800 --> 00:34:04,460
+مراقبة البضائع، مراقبة، خلاص، يعني ماذا؟ أو ماذا؟ كلاهما
+
+317
+00:34:04,460 --> 00:34:10,340
+بشرط أن الواحدة المرادفة ماشية، طيب الآن أول شيء
+
+318
+00:34:10,340 --> 00:34:14,060
+أنا قلت هنا المبيعات تُثبت بسعر البيع، وهنا تُثبت
+
+319
+00:34:14,060 --> 00:34:19,360
+بسعر التكلفة، لأننا نريد أن نقارن... نريد أن نقارن التكلفة
+
+320
+00:34:19,360 --> 00:34:25,240
+مع ماذا؟ مع سعر البيع... مع سعر البيع، تمام؟ طيب...
+
+321
+00:34:25,240 --> 00:34:27,880
+الآن قلت، هنا تُثبت بسعر التكلفة، أقول
+
+322
+00:34:27,880 --> 00:34:31,460
+بحساب تكلفة المبيعات، أجعلها مدينة، والمخزون كان
+
+323
+00:34:31,460 --> 00:34:35,320
+يخرج منه... يعني لما أدخل مدينة، ولما
+
+324
+00:34:35,320 --> 00:34:40,000
+أخرج يخرج منه كان ماذا؟ دائن... دائن، طيب، stop، و
+
+325
+00:34:40,000 --> 00:34:44,370
+أيضاً في معلومة أخرى، أن هنا الشغل يكون حسب طريقة
+
+326
+00:34:44,370 --> 00:34:49,570
+الأول، حسب طريقة الأول، ماذا؟ تكون معلومة مضافة
+
+327
+00:34:49,570 --> 00:34:56,110
+لإثبات القيود، القيود، القيود، مع العلم أن الشركة تتبع
+
+328
+00:34:56,110 --> 00:35:00,950
+الذي هو الجرد المستمر، وحسب طريقة الأول في الأول
+
+329
+00:35:00,950 --> 00:35:05,630
+لأن حتى الأول في الأول أو المتوسط المرجح تؤثر على
+
+330
+00:35:05,630 --> 00:35:06,350
+الأرقام النهائية
+
+331
+00:35:25,120 --> 00:35:35,020
+اليوم 24-3، يعني
+
+332
+00:35:35,020 --> 00:35:40,380
+تحت القلم في عالم الغيب، في عالم ماذا؟ الغيب،
+
+333
+00:35:40,380 --> 00:35:43,300
+لا أعرف عنه شيء، اليوم 24-3، يعني تحت القلم
+
+334
+00:35:43,300 --> 00:35:44,540
+شيء، اليوم 24-3، يعني تحت القلم في عالم الغيب،
+
+335
+00:35:44,540 --> 00:35:45,720
+في عالم ماذا؟ الغيب، لا أعرف عنه شيء، اليوم 24
+
+336
+00:35:45,720 --> 00:35:48,880
+-3، يعني تحت القلم في عالم الغيب، في عالم ماذا؟
+
+337
+00:35:48,880 --> 00:35:48,960
+الغيب، لا أعرف عنه شيء، اليوم 24-3، يعني
+
+338
+00:35:48,960 --> 00:35:51,260
+تحت القلم في عالم الغيب، في عالم الغيب، لا أعرف عنه
+
+339
+00:35:51,260 --> 00:35:52,400
+شيء، اليوم 24-3
+
+340
+00:36:11,050 --> 00:36:17,450
+العام، كل لحظة أضع جرداً مستمراً، طيب الآن لدينا زي ما
+
+341
+00:36:17,450 --> 00:36:20,810
+حكيت، الآن أنا عندي في المخزن، تحت القلم في عالم
+
+342
+00:36:20,810 --> 00:36:25,930
+الغيب، لا أعرف عنه شيء، الآن عندي ثلاثمائة وعندي مائة وخمسين
+
+343
+00:36:25,930 --> 00:36:34,830
+وجاءت مبيعات مائتان وواحد، طيب أنا أتبع أي طريقة؟ المبيعات من مين؟
+
+344
+00:36:34,830 --> 00:36:39,910
+تمام؟ إذن الآن المائتان وواحد، هذه المبيعات من من أُخَذَتْ
+
+345
+00:36:41,060 --> 00:36:45,400
+آخذها من من؟ من الثلاثمائة، أنا أعود ثانيةً وأحكي
+
+346
+00:36:45,400 --> 00:36:49,760
+قبل قليل، عندي ثلاثمائة وعندي مائة وخمسين، جاءت مبيعات
+
+347
+00:36:49,760 --> 00:36:53,620
+مائتان وواحدة، اليوم أربعة وعشرون ثلاثة، تاجر هناك الذي
+
+348
+00:36:53,620 --> 00:36:58,160
+تحت القلم في عالم الغيب، لا أعرف عنه شيء، هل
+
+349
+00:36:58,160 --> 00:37:01,920
+أعرف أنا؟ ما اشترى؟ ما باع؟ ماهو عشان
+
+350
+00:37:01,920 --> 00:37:05,680
+يكون وعد، هذه المرة، طيب إذن المهم أني آخذ هنا مائتان
+
+351
+00:37:05,680 --> 00:37:06,540
+ودال القيد
+
+352
+00:37:29,130 --> 00:37:37,350
+رقم أربعة، عندنا مشتريات، المشتريات زي هذا القيد أي
+
+353
+00:37:37,350 --> 00:37:44,650
+مشتريات، نقول من حساب، من حساب المشتريات إلى حساب
+
+354
+00:37:44,650 --> 00:37:52,250
+الموردين، أيوا، كم اشتريت؟ مائتان، مائتان في كم؟
+
+355
+00:37:52,250 --> 00:38:00,110
+مائتان ضرب سبعة آلاف وأربعمائة، سبعة آلاف وأربعمائة دولار، طيب
+
+356
+00:38:00,110 --> 00:38:07,950
+لو بدأنا نثبت في الجرد المستمر، يلا، ماذا نقول؟ ممتاز
+
+357
+00:38:08,940 --> 00:38:11,580
+نفس الشيء... نفس الشيء،  بس نغير فقط اسم الحساب
+
+358
+00:38:11,580 --> 00:38:19,340
+مراقبة المخزون إلى حساب الموردين إلى حساب الموردين
+
+359
+00:38:19,340 --> 00:38:27,600
+مائتان ضرب سبعة آلاف وأربعمائة دولار، لحظة؟ بس كل
+
+360
+00:38:27,600 --> 00:38:31,880
+تتغير الأرقام في المشتريات، لا تختلف، ولا نقول  الأول في الأول، لأنني ماذا؟ اشتريت الدفعة فعلاً، تمام؟
+
+361
+00:38:31,880 --> 00:38:35,400
+بس المبيعات هي التي بيختلف فيها، ماشي، نروح لرقم خمسة،
+
+362
+00:38:35,400 --> 00:38:42,590
+رقم
+
+363
+00:38:42,590 --> 00:38:46,450
+خمسة، رقم
+
+364
+00:38:46,450 --> 00:38:49,070
+خمسة، رقم خمسة، رقم خمسة، رقم خمسة، رقم خمسة، رقم
+
+365
+00:38:49,070 --> 00:38:49,230
+خمسة، رقم خمسة، رقم خمسة، رقم خمسة، رقم خمسة، رقم
+
+366
+00:38:49,230 --> 00:38:49,570
+خمسة، رقم خمسة، رقم خمسة، رقم خمسة، رقم خمسة، رقم
+
+367
+00:38:49,570 --> 00:38:53,950
+خمسة، رقم خمسة، رقم خمسة، رقم خمسة، رقم خمسة، رقم
+
+368
+00:38:53,950 --> 00:39:00,490
+خمسة، رقم خمسة، رقم خمسة، رقم خمسة، رقم خمسة، رقم
+
+369
+00:39:00,490 --> 00:39:03,250
+خمسة، ر
+
+370
+00:39:07,290 --> 00:39:14,210
+دينار، ألفين وخمسمائة دينار، الآن نجيء هنا إثبات
+
+371
+00:39:14,210 --> 00:39:19,470
+المبيعات بسعر البيع، البيع ونضع القيد إثبات
+
+372
+00:39:19,470 --> 00:39:25,790
+المبيعات بسعر البيع، ونقول أن عملية البيع
+
+373
+00:39:25,790 --> 00:39:34,610
+عملية البيع، نقول هنا من حساب المدينين إلى حساب
+
+374
+00:39:35,290 --> 00:39:42,230
+المبيعات، ألفين وخمسمائة دولار، الآن نثبت المبيعات بسعر
+
+375
+00:39:42,230 --> 00:39:48,850
+التكلفة، بسعر التكلفة، نثبت المبيعات بسعر التكلفة
+
+376
+00:39:48,850 --> 00:39:51,670
+من حساب تكلفة المبيعات، مراقبة
+
+377
+00:40:11,060 --> 00:40:14,360
+إذن الآن نحن  بعنا مائتين، دلوقتِ و أنا خلصت كده؟
+
+378
+00:40:14,360 --> 00:40:19,500
+طيب، الآن توقف، ضع القلم في عالم الغيب، أنا بعدها
+
+379
+00:40:19,500 --> 00:40:22,320
+أقدر أرجع منها وأشتريها؟ لا، الآن لما جاءتني
+
+380
+00:40:22,320 --> 00:40:25,680
+أبيعها مائتان وخمسين، ماذا يوجد عندي؟ يوجد مائة، ومائة وخمسين، ومائتان
+
+381
+00:40:25,680 --> 00:40:30,100
+الآن المبيعات حسب الأول في الأول من من؟ أقل، أقل،
+
+382
+00:40:30,100 --> 00:40:33,000
+أقل، أقل، أقل، أقل، أقل، أقل، أقل، أقل، أقل، أقل،
+
+383
+00:40:33,000 --> 00:40:33,220
+أقل، أقل، أقل، أقل، أقل، أقل، أقل، أقل، أقل، أقل،
+
+384
+00:40:33,220 --> 00:40:38,520
+أقل، أقل، أقل، أقل، أقل،
+
+385
+00:40:38,520 --> 00:40:45,360
+مائة ضرب ماذا؟ ضرب خمسين، ضرب ماذا؟ مائة وخمسين
+
+386
+00:40:45,360 --> 00:40:51,440
+طبعاً أربعمائة وسبعمائة وخمسين، سيصبح ألف ومائة وخمسين
+
+387
+00:40:51,440 --> 00:40:59,100
+ألف ومائة وخمسين، تمام؟ الآن عندنا آخر شيء
+
+388
+00:40:59,100 --> 00:41:08,220
+رقم ستة، الآن رقم ستة في عملية المردود، خمسين وحدة،
+
+389
+00:41:08,220 --> 00:41:12,640
+ماذا تعلمتم عن المردودات في محاسبة واحد؟ من حساب
+
+390
+00:41:12,640 --> 00:41:19,020
+مردودات المبيعات، من حساب مردودات المبيعات، إلى
+
+391
+00:41:19,020 --> 00:41:24,060
+حساب ماذا؟ المدينين، رجع
\ No newline at end of file
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/6gUNbNp2tQk_postprocess.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/6gUNbNp2tQk_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..16e8079144a515e10d339bd9dbc2bfb36494cdcf
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/6gUNbNp2tQk_postprocess.srt
@@ -0,0 +1,1648 @@
+1
+00:00:21,090 --> 00:00:25,970
+في المحاضرة الماضية بدأنا بالحديث عن جرد المخزون
+
+2
+00:00:25,970 --> 00:00:31,530
+ومن ثم قمنا بالمعالجة المحاسبية حسب طريقة الأول في
+
+3
+00:00:31,530 --> 00:00:37,030
+الأول وطريقة المتوسط المرجح وكلا الطريقتين كما
+
+4
+00:00:37,030 --> 00:00:41,710
+قلنا نص عليهم المعيار رقم اتنين من المعايير
+
+5
+00:00:41,710 --> 00:00:48,570
+الدولية لإعداد التقارير وهي ما تسمى بالإفارس
+
+6
+00:00:49,430 --> 00:00:57,290
+استكمالا لموضوع نقوم باخد مثال اخر تستخدم شركة
+
+7
+00:00:57,290 --> 00:01:05,710
+الرائد التجارية تستخدم شركة الرائد التجارية نظام
+
+8
+00:01:05,710 --> 00:01:11,650
+الجرد الدوري تستخدم شركة الرائد التجارية نظام
+
+9
+00:01:11,650 --> 00:01:18,570
+الجرد الدوري وفيما يلي نظام الجرد الدوري المخزون
+
+10
+00:01:19,010 --> 00:01:23,050
+النظام الجد الدوري للمخزون وقلنا كلمة مخزون معناها
+
+11
+00:01:23,050 --> 00:01:29,930
+بضاعة آخر المدة وفي ما يلي بيانات إجمالية وفي ما
+
+12
+00:01:29,930 --> 00:01:37,370
+يلي بيانات إجمالية عن حركة الصنف عن اللي هو خليني
+
+13
+00:01:37,370 --> 00:01:43,930
+أقول بين جثين ملابس أطفال عن اللي هو بين جثين
+
+14
+00:01:43,930 --> 00:01:46,590
+ملابس أطفال خلال عام 2015
+
+15
+00:01:49,350 --> 00:01:56,350
+خلال عام 2015 رقم
+
+16
+00:01:56,350 --> 00:02:07,630
+واحد رقم واحد في خمسة واحد الفين وخمستاش رصيد
+
+17
+00:02:07,630 --> 00:02:19,620
+المخزون تلاتمية واحدة تلاتمية واحدة بسعرأربعة دنار
+
+18
+00:02:19,620 --> 00:02:27,700
+للوحدة رقم اتنين في عشرين .. في عشرين اتنين
+
+19
+00:02:27,700 --> 00:02:34,120
+مشتريات مشتريات
+
+20
+00:02:34,120 --> 00:02:43,620
+مية وخمسين وحدة بسعر خمسة دنار للوحدة رقم تلاتة
+
+21
+00:02:54,540 --> 00:03:04,760
+200 وحدة بسعر 10 دنار للوحدة رقم 4 في 26 خمسة
+
+22
+00:03:04,760 --> 00:03:10,220
+مشتريات
+
+23
+00:03:10,220 --> 00:03:13,980
+200
+
+24
+00:03:13,980 --> 00:03:20,020
+وحدة بسعر 7 دنار للوحدة رقم 5
+
+25
+00:03:22,650 --> 00:03:28,470
+في عشرين تمانية مبيعات
+
+26
+00:03:28,470 --> 00:03:40,210
+متين وخمسين وحدة بسعر عشرة دنار للوحدة رقم ستة
+
+27
+00:03:40,210 --> 00:03:53,100
+وأخيرا في خمسة تسعة مردودات المبيعات خمسين وحدةمن
+
+28
+00:03:53,100 --> 00:04:14,960
+المباع في عشرين تمانية المطلوب
+
+29
+00:04:14,960 --> 00:04:21,200
+المطلوب
+
+30
+00:04:21,900 --> 00:04:36,400
+حساب تكلفة المبيعات وتكلفة المخزون حسب طريقة الأول
+
+31
+00:04:36,400 --> 00:04:42,260
+في الأول وطريقة المتوسط المرجع
+
+32
+00:04:50,010 --> 00:04:55,090
+إذا كما قلنا في ميلي حركة الصنعية وهو ملابس
+
+33
+00:04:55,090 --> 00:05:04,750
+الأطفال فيه خلال عام 2015 اللي هو لدى شركات الرائد
+
+34
+00:05:04,750 --> 00:05:10,950
+التجارية والمعلوات كما هي موجودة أمامنا تختلف
+
+35
+00:05:10,950 --> 00:05:16,330
+قليلا عن عرضها للمحاضرة السابقة لدينا رسيل أول
+
+36
+00:05:16,330 --> 00:05:18,430
+المدة ويكون هذا جاء من
+
+37
+00:05:28,180 --> 00:05:34,280
+وفي ستة وعشرين خمس اشترينا وبيعناه في مددات ايضا
+
+38
+00:05:34,280 --> 00:05:42,420
+اريد ان اضف الى المطلوب بعض الكلمات حكينا المطلوب
+
+39
+00:05:42,420 --> 00:05:47,760
+حساب تكلفة المبيعات وتكلفة المخزون حسب طريقتين
+
+40
+00:05:47,760 --> 00:05:54,700
+الاول في الاول والمتوسط المرجح مع العلم مع العلم
+
+41
+00:05:54,700 --> 00:06:04,790
+ان الشركةتتبع نظام الجارد الدوري مع العلم أن
+
+42
+00:06:04,790 --> 00:06:07,490
+الشركة تتبع نظام الجارد
+
+43
+00:06:24,090 --> 00:06:29,610
+الان اول شيء اول شيء بتحسب عدد الوحدات المتاحة
+
+44
+00:06:29,610 --> 00:06:33,390
+للبيع زي ما حسبنا في المحاضرة الماضية حتى تتوفر
+
+45
+00:06:33,390 --> 00:06:37,890
+بعض الرؤية قبل ما اعمل و اشتغل في تكلفة المتاح في
+
+46
+00:06:37,890 --> 00:06:41,090
+تكلفة المتاح و تكلفة المبيعات و تكلفة المقلومة اذا
+
+47
+00:06:41,090 --> 00:06:51,590
+هنا عدد الوحدات المتاحة للبيع تساويتساوي نظريا
+
+48
+00:06:51,590 --> 00:06:57,230
+تساوي نظريا تساوي
+
+49
+00:06:57,230 --> 00:07:03,670
+نظريا تساوي نظريا تساوي نظريا تساوي نظريا تساوي
+
+50
+00:07:03,670 --> 00:07:05,250
+نظريا تساوي نظريا تساوي نظريا تساوي نظريا تساوي
+
+51
+00:07:05,250 --> 00:07:05,430
+نظريا تساوي نظريا تساوي نظريا تساوي نظريا تساوي
+
+52
+00:07:05,430 --> 00:07:05,530
+نظريا تساوي نظريا تساوي نظريا تساوي نظريا تساوي
+
+53
+00:07:05,530 --> 00:07:07,610
+نظريا تساوي نظريا تساوي نظريا تساوي نظريا تساوي
+
+54
+00:07:07,610 --> 00:07:16,530
+نظريا تساوي نظريا تساوي نظريا تساوي نظريا تساوي
+
+55
+00:07:16,530 --> 00:07:25,830
+نظريا تساوي نظرياورجعنا مية كان عندي خمسين إجارة
+
+56
+00:07:25,830 --> 00:07:29,010
+من الفترة السابقة واشتريت ألف وصاروا ألف وخمسين
+
+57
+00:07:29,010 --> 00:07:33,510
+وانا من اللي اشتريت ورجعت مية صار جديش المتاح
+
+58
+00:07:33,510 --> 00:07:38,410
+تسعمية وخمسين هذه المعلومات الافتراضية لكن هنا هي
+
+59
+00:07:38,410 --> 00:07:45,590
+رصيدة مدد زائد المشتريات ناقص مردودات ومسمحات
+
+60
+00:07:45,590 --> 00:07:51,500
+المشترياتاللي هي تساوي .. ها .. الآن حسب المعلومات
+
+61
+00:07:51,500 --> 00:07:54,920
+الموجودة أمامنا انتبهوا معايا عشان الواحد برضه ايه
+
+62
+00:07:54,920 --> 00:07:57,820
+الشغلات اللي هي مش من ضمن المشتريات نعلم عليها
+
+63
+00:07:57,820 --> 00:08:02,200
+وبتريحنا يعني الآن رصيد مية مية مشتريات مية مية
+
+64
+00:08:02,200 --> 00:08:06,420
+مبيعات هي حطيت عليها دهر بأي قلم بمشي الحل وهنا
+
+65
+00:08:06,420 --> 00:08:13,580
+المبيعات ومرضو دهر تمام؟ إذا نضل عندي إيه؟ نضل
+
+66
+00:08:13,580 --> 00:08:15,880
+عندي اللي هو رصيد أو الودة
+
+67
+00:08:19,790 --> 00:08:23,110
+والمشتريات هل يوجد لدي مردودات مشتريات في هذا
+
+68
+00:08:23,110 --> 00:08:28,490
+السؤال؟ لأ ولكن في سؤال آخر سوف تكون موجودة بمشيئة
+
+69
+00:08:28,490 --> 00:08:38,770
+الله إذا الآن يساوي 300 و 150 450 و مكين؟ 350 إذا
+
+70
+00:08:38,770 --> 00:08:45,930
+هاي 650 إيش؟ وحدة أنا بقول عدد الوحدات المتاحة
+
+71
+00:08:45,930 --> 00:08:51,640
+للبيع وهي المعادلة تبعتهموهي المعادلة الخاصة بهما
+
+72
+00:08:51,640 --> 00:08:58,200
+قلت في المحاضرة القادمة سوف اقوم بترجمة واقعية
+
+73
+00:08:58,200 --> 00:09:01,860
+مستحيل افترض ان لا احد ما يستقبلها لكن كل موجودة
+
+74
+00:09:01,860 --> 00:09:10,940
+هتشوف فيها تمام؟ الان ياسميل شمير الان عدد الوحدات
+
+75
+00:09:10,940 --> 00:09:14,380
+المباعة
+
+76
+00:09:14,380 --> 00:09:20,940
+وعدد الوحدات المباعة اخواتإجمال المبيعات ناقص
+
+77
+00:09:20,940 --> 00:09:26,660
+مردودات ومصمحات المبيعات لدينا بيعنا 200 واحدة،
+
+78
+00:09:26,660 --> 00:09:32,800
+200 واحدة، علمت عليهم المبيعات، وهنا 250، صار كام؟
+
+79
+00:09:32,800 --> 00:09:39,600
+450، رجعنا إيش؟ إذا 450-50 يساوي
+
+80
+00:10:01,830 --> 00:10:06,290
+لأن هى 54 نادس 50 إذا صاف المبيعات كم واحدة 400
+
+81
+00:10:06,290 --> 00:10:12,030
+واحدة يعني زى ما نبيع 100 تلاجة ورجعونا 20 وكل إيش
+
+82
+00:10:12,030 --> 00:10:16,130
+اللى بيعته حقيقته 80 مش صافك اتعلمت من حاسوب واحد
+
+83
+00:10:16,130 --> 00:10:22,470
+صاف المبيعات وصاف المشتريات طيب الان الان هنا
+
+84
+00:10:22,470 --> 00:10:29,190
+عندنا متاح بيعنا منه 400 الباقي بديكون فين وحدات
+
+85
+00:10:29,190 --> 00:10:40,230
+المخزونإذا هنا هي 250 عدد وحدات المخزون ببساطة
+
+86
+00:10:40,230 --> 00:10:44,930
+شديدة جدا قلنا عندنا 100 ثلاجة من الشهر .. من
+
+87
+00:10:44,930 --> 00:10:51,970
+السنة الماضية واشتغلنا 900 صاروا كده؟ صاروا كده؟
+
+88
+00:10:51,970 --> 00:10:57,060
+عندنا 100 من الفترة السابقةواشتريها 900 اسميا
+
+89
+00:10:57,060 --> 00:11:02,920
+صاروا ألف يا سماح تمام؟ بيعلها منه 700 قدش هيضل في
+
+90
+00:11:02,920 --> 00:11:10,100
+المخازن؟ هيدل 300 المتاع عنده 650 واحدة تمام؟
+
+91
+00:11:10,100 --> 00:11:14,660
+بيعلها منه 400 هيضل في المخازن yeah 250 البساطة
+
+92
+00:11:14,660 --> 00:11:18,820
+شديدة جدا فيجيبتك من المدارس عشرين شكل واخدت اليوم
+
+93
+00:11:18,820 --> 00:11:20,100
+مية صار جديد
+
+94
+00:11:26,490 --> 00:11:31,530
+ثلاثين ثلاثين ثلاثين
+
+95
+00:11:31,530 --> 00:11:36,610
+ثلاثين ثلاثين ثلاثين ثلاثين ثلاثين ثلاثين ثلاثين
+
+96
+00:11:36,610 --> 00:11:37,010
+ثلاثين ثلاثين ثلاثين ثلاثين ثلاثين ثلاثين ثلاثين
+
+97
+00:11:37,010 --> 00:11:38,890
+ثلاثين ثلاثين ثلاثين ثلاثين ثلاثين ثلاثين ثلاثين
+
+98
+00:11:38,890 --> 00:11:40,010
+ثلاثين ثلاثين ثلاثين ثلاثين ثلاثين ثلاثين ثلاثين
+
+99
+00:11:40,010 --> 00:11:51,810
+ثلاثين ثلاثين ثلاثين ثلاثين ثلاثين ثلاثين ثلاث
+
+100
+00:11:56,070 --> 00:12:02,130
+للبيع معلومة بتهمني عشان أتأكد من حللي عشان أتأكد
+
+101
+00:12:02,130 --> 00:12:07,350
+لما أحسب تكلفة المبيعات وتكلفة المخزون اتنين لو
+
+102
+00:12:07,350 --> 00:12:11,030
+جمعتوا مع بعض هيسووا تكلفة المتاب زي ما قلنا تول
+
+103
+00:12:11,030 --> 00:12:16,100
+120 شكلالان لو جمعت المصروف مع اللي هو البيت في
+
+104
+00:12:16,100 --> 00:12:20,920
+الجيلة في المحفظة لازم يساوي اللي كان الصبح في
+
+105
+00:12:20,920 --> 00:12:25,280
+الجيلة في المحفظة تمام؟ اذا الان تكلفة الوحدات
+
+106
+00:12:25,280 --> 00:12:29,600
+المتاحة عبارة عن ايش؟ عبارة عنها رصيد اول مدلة كم
+
+107
+00:12:29,600 --> 00:12:38,120
+وحدة؟ تلاتمية دره اربعة تلاتمية دره اربعة زائد مية
+
+108
+00:12:38,120 --> 00:12:41,780
+وخمسي في ايش؟ في خمسة
+
+109
+00:12:48,820 --> 00:12:52,280
+النبيعات إذا أنا بتوحش فيهم الآن، بتكون دقيقة،
+
+110
+00:12:52,280 --> 00:12:55,200
+أعلم، بتوحش، إذا أنا هي خدت تلت مية، أخدت مية و
+
+111
+00:12:55,200 --> 00:12:58,820
+خمسين، باجي باخد إيه؟ ميتين، ميتين في إيش؟ في
+
+112
+00:12:58,820 --> 00:13:03,480
+سبعة، في سبعة ممتاز، كله أجمع أضرب و أعمل و أبعاد،
+
+113
+00:13:03,480 --> 00:13:05,840
+يطلع تلت تلاو، تلت مية و خمسين، صح؟
+
+114
+00:13:11,870 --> 00:13:18,290
+لأن أنا بحسب تكلفة الآن كلمة
+
+115
+00:13:18,290 --> 00:13:24,550
+عدد بتكون بالوحدة التكلفة بتكون دائما بالدرار كم
+
+116
+00:13:24,550 --> 00:13:28,670
+ساعة مسجلة هتقولي خمسة و عشر ساعة قداش دفعتي
+
+117
+00:13:28,670 --> 00:13:32,950
+هتقولي والله مائتين و خمسين درار شركة تكلفة
+
+118
+00:13:37,250 --> 00:13:42,630
+هنا نبدأ في أول شيء حسب طريقة الأول في الأول وهو
+
+119
+00:13:42,630 --> 00:13:47,370
+الـ FIFO وقلنا
+
+120
+00:13:47,370 --> 00:13:52,210
+مفتاح الحل حسب الإطار النظري حسب إطار مجموعة
+
+121
+00:13:52,210 --> 00:13:53,090
+الجواب
+
+122
+00:14:13,370 --> 00:14:17,350
+هو المقصود بالأقدام والمخزون يكون ايش؟ المخزون
+
+123
+00:14:17,350 --> 00:14:24,430
+أحدث ممتاز المخزون أحدث إذا هنا يكون أمامنا مفتاح
+
+124
+00:14:24,430 --> 00:14:35,830
+الحل حتى هنا الان الان بنقول تكلفة الوحدات المباعة
+
+125
+00:14:35,830 --> 00:14:37,950
+تكلفة الوحدات
+
+126
+00:14:53,120 --> 00:15:00,240
+الان المبيع من مين؟ من الأقدم من الأقدم ميملي جاهر
+
+127
+00:15:00,240 --> 00:15:11,080
+اتفضلي 300 ضارب 4 300 ضارب 4 ممتاز
+
+128
+00:15:11,080 --> 00:15:19,160
+اذا الان انا اتبع طريقة الأول في الأول طبعا طريقة
+
+129
+00:15:19,160 --> 00:15:24,360
+الأول في الأولالان المبيع من مين؟ من الأقدم طيب
+
+130
+00:15:24,360 --> 00:15:28,460
+انا كم واحدة بعيد؟ اربعمية اذا باجي و اقول تلاتمية
+
+131
+00:15:28,460 --> 00:15:35,180
+في ايش؟ في اربعة هاي تلاتمية تلاتمية ضرب اربعة
+
+132
+00:15:35,180 --> 00:15:43,640
+يساوي الف و متين دينار الف و متين دينار تمام؟ الان
+
+133
+00:15:43,640 --> 00:15:48,140
+انا بدي اربعمية اذا بضليها هذي أخدتها بدي اخد من
+
+134
+00:15:48,140 --> 00:15:49,840
+المية و خمسين هذي زي ما حكت
+
+135
+00:16:01,280 --> 00:16:09,420
+درع خمسة ويساوي خمسمية دراع ويساوي خمسمية دراع إذا
+
+136
+00:16:09,420 --> 00:16:14,140
+الأن .. الأن هاي تلت مية وهاي مية هاي تلت مية وهاي
+
+137
+00:16:14,140 --> 00:16:19,840
+مية جمال تمام؟ تلت مية ومية هاي الأربعمية واحدة
+
+138
+00:16:19,840 --> 00:16:28,100
+تكلفتهم كام؟ ألف وسبعمية دراع إذا تكلفت الأربعمية
+
+139
+00:16:28,100 --> 00:16:34,090
+واحدة في ظل هذه الطريقةكام؟ 1700 دنار تكلفة
+
+140
+00:16:34,090 --> 00:16:43,910
+الوحدات ايه؟ المباعة طيب هل نسأل؟ طيب الآن تكلفات
+
+141
+00:16:43,910 --> 00:16:52,950
+وحدات المخزون المخزون عندنا يقول الوحدات المتبقية
+
+142
+00:16:52,950 --> 00:16:54,210
+في المخازن كام؟
+
+143
+00:16:57,950 --> 00:17:02,650
+المخزون من ايش حسب هذه القرية؟ يعني هناخد ايش؟
+
+144
+00:17:02,650 --> 00:17:06,430
+انتباهوا، انتباهوا العالم عن الدوائر، مابيعرفنش
+
+145
+00:17:06,430 --> 00:17:10,970
+نعمل بيها، إذا الآن، الآن يا غدا بدي إيش؟ هاي 200،
+
+146
+00:17:10,970 --> 00:17:15,370
+هاي أحدث مش طريقة تشهد، هاي أحدث، هاي 200، 200 في
+
+147
+00:17:15,370 --> 00:17:23,430
+إيش؟ 200 بار سبعة يساوي ألف وأربعمية دولار
+
+148
+00:17:31,940 --> 00:17:35,860
+باخد من المية و خمسين، خمسين، باخد من المية و
+
+149
+00:17:35,860 --> 00:17:42,420
+خمسين، خمسين، اذا خمسين ضرب، خمسين ضرب، خمسة و
+
+150
+00:17:42,420 --> 00:17:45,980
+يسابر، اتين، خمسين دولار، اتين، خمسين دولار، اتين،
+
+151
+00:17:45,980 --> 00:17:46,660
+خمسين دولار، اتين، خمسين دولار، اتين، خمسين دولار،
+
+152
+00:17:46,660 --> 00:17:48,160
+اتين، خمسين دولار، اتين، خمسين دولار، اتين، خمسين
+
+153
+00:17:48,160 --> 00:17:49,140
+دولار، اتين، خمسين دولار، اتين، خمسين دولار، اتين،
+
+154
+00:17:49,140 --> 00:17:52,960
+خمسين دولار، اتين، خمسين دولار، اتين، خمسين دولار،
+
+155
+00:17:52,960 --> 00:17:56,460
+اتين، خمسين
+
+156
+00:18:05,120 --> 00:18:11,260
+Stop يا سمين، الان النبيعات هذه وحدات أنا بيعتها،
+
+157
+00:18:11,260 --> 00:18:15,020
+لما أنا بدأ بيع، بدأ بيع مش بداخل مني في الإبداع
+
+158
+00:18:15,020 --> 00:18:20,240
+أو في المخازن، بداخل من المشتريات، بداخل من
+
+159
+00:18:20,240 --> 00:18:21,720
+المشتريات
+
+160
+00:18:24,880 --> 00:18:28,720
+حسب نظام الجرد الدوري بحطه فيه خطين الان الجرد
+
+161
+00:18:28,720 --> 00:18:32,100
+الدوري الحل اللي فيه يختلف عن الجرد المستمر يعني
+
+162
+00:18:32,100 --> 00:18:37,720
+لعبه احنا في الجرد الدوري جمعت انا كل المتاح وجمعت
+
+163
+00:18:37,720 --> 00:18:42,980
+كل المباع وطلعت المخزون و بعدين اشتغل على حسب
+
+164
+00:18:42,980 --> 00:18:48,100
+الطريقة فقولت انا وحدات المخزون 251 الان اذا انا
+
+165
+00:18:48,100 --> 00:18:53,120
+بدبيع هذول ال 251 بدبيع من مين؟ من مين المخزون
+
+166
+00:18:53,120 --> 00:18:53,960
+بديكون من مين؟
+
+167
+00:18:58,390 --> 00:19:02,610
+لهذه الطريقة فإن البضاعة المشتراة أولا تباع أولا
+
+168
+00:19:02,610 --> 00:19:06,970
+وبالتالي المخزون ها اسمعش بده أحكي وبالتالي
+
+169
+00:19:06,970 --> 00:19:12,270
+المخزون يكون من أحدث المشتريات ماذكرتش ببيعات
+
+170
+00:19:12,270 --> 00:19:16,350
+ماذكرتش من أحدث المشتريات من البضاعة الموجودة
+
+171
+00:19:16,350 --> 00:19:21,190
+حديثا عندى في المخد ببيع منها واضح أي سؤال تاني
+
+172
+00:19:21,190 --> 00:19:25,890
+طيب الآن قبل ما أبدأ بالحل قل التكلفة المتاحة لل
+
+173
+00:19:25,890 --> 00:19:29,540
+تلاف و تلات مائة و خمسين تمامو الوحدات المتاحة
+
+174
+00:19:29,540 --> 00:19:35,840
+كلها كام؟ الان لو جمعنا .. لو جمعنا الاربعمية و ال
+
+175
+00:19:35,840 --> 00:19:39,360
+متين و خمسين هيقع كام؟ ستمية و خمسين .. ستمية و
+
+176
+00:19:39,360 --> 00:19:43,740
+خمسين ايش؟ واحدة مش احنا قولنا جزء من الوحدة
+
+177
+00:19:43,740 --> 00:19:48,620
+المتاحة عننا جزء بنبيعه و جزء بيضل في المخازن و زي
+
+178
+00:19:48,620 --> 00:19:52,500
+ما حكينا في جيبنا فيه متين شكل أصرفنا مية و خمسين
+
+179
+00:19:52,500 --> 00:19:56,020
+و كل واحد يقول خمسين مافيش كلام تاني غير هيك يعني
+
+180
+00:19:56,470 --> 00:20:01,670
+وهذا الموضوع أمره بسيط يعنى الآن لو جمعنا التكلفة
+
+181
+00:20:01,670 --> 00:20:08,810
+تكلفة المباعة وتكلفة المخزون هيطلع ايش نفس التكلفة
+
+182
+00:20:08,810 --> 00:20:15,350
+نفس التكلفة تمام؟ بس قول ده يعني أحيانا أحيانا
+
+183
+00:20:15,350 --> 00:20:19,730
+بيشيبش النزايات بيقول من المعلومات السابقة ان
+
+184
+00:20:19,730 --> 00:20:26,410
+تكلفة الوحدات المباعة حسبطريقة الأول في الأول هي
+
+185
+00:20:26,410 --> 00:20:32,830
+ألف بأو جيم ده تمام؟ و إيش؟ بعدين عبارة تانية من
+
+186
+00:20:32,830 --> 00:20:37,230
+المعلومات السابقة تكلفة المخزون حسب طريقة المتوسط
+
+187
+00:20:37,230 --> 00:20:44,870
+المراجح هي يا سجل تمام؟ هي إذا المعلومات .. احنا
+
+188
+00:20:44,870 --> 00:20:48,450
+عندنا تكلفة المبيعات و تكلفة المخزون جاب طلب مننا
+
+189
+00:20:48,450 --> 00:20:51,750
+تكلفة المبيعات حسب طريقة الأول في الأول مثلاو
+
+190
+00:20:51,750 --> 00:20:55,950
+تكلفة المخزون حسب طاقة المتوسط أو العكس أو المخزون
+
+191
+00:20:55,950 --> 00:21:00,830
+حسب الأول في الأول و المبيعات حسب المتوسط يعني
+
+192
+00:21:00,830 --> 00:21:03,870
+ممكن مايجيبش التثنين مع بعض تقول زي المرة الماضية
+
+193
+00:21:03,870 --> 00:21:16,530
+او تكلفة المخزون تساوي 3500 او تكلفة المخزون تساوي
+
+194
+00:21:16,530 --> 00:21:25,260
+تكلفة المتاح ماهيسميا تكلفةالمبيعات تمام؟ اه و
+
+195
+00:21:25,260 --> 00:21:29,880
+يساوي و يساوي تلت تلات و تلت مية و خمسين مش دايما
+
+196
+00:21:29,880 --> 00:21:33,000
+بتكون متوفرة هذه المعلومات يطلب منك تنتين فاحنا
+
+197
+00:21:33,000 --> 00:21:38,480
+بنتعلم كيف نتعامل مع كل واحد ان هو على حده هاي الف
+
+198
+00:21:38,480 --> 00:21:47,820
+و سبعمين إذا يساوي الف و ست مية و خمسين دولار مين
+
+199
+00:21:47,820 --> 00:21:48,760
+عنده أي سؤال؟
+
+200
+00:21:51,660 --> 00:21:57,520
+مين عنده أي سؤال؟ نعم طبعا
+
+201
+00:21:57,520 --> 00:22:06,120
+كما قلت .. كما قلت هذه إيش؟ هذه طريقة .. طريقة
+
+202
+00:22:06,120 --> 00:22:12,780
+الأول .. طريقة الأول في الأول .. طريقة الأول في
+
+203
+00:22:12,780 --> 00:22:18,690
+الأولالان بدنا ننتقل الى طريقة المتوسط المرجح
+
+204
+00:22:18,690 --> 00:22:29,550
+طريقة المتوسط المرجح اذا اول شئ بفضله اذا
+
+205
+00:22:29,550 --> 00:22:37,590
+هنا طريقة المتوسط المرجح لابد من حساب متوسط مرجح
+
+206
+00:22:37,590 --> 00:22:46,640
+لابد من حسابمتوسط المرجع والمتوسط والمتوسط يساوي
+
+207
+00:22:46,640 --> 00:22:56,740
+تكلفة الوحدات المتاحة للبيع على عدد الوحدات
+
+208
+00:22:56,740 --> 00:23:03,100
+المتاحة للبيع تمام؟ ويساوي كده شهية الدنيا؟
+
+209
+00:23:08,290 --> 00:23:14,130
+أه تلات .. تلاتمية و خمسين على ستمية و خمسين وحدة
+
+210
+00:23:14,130 --> 00:23:21,510
+و يسال خمسة فاصل خمس واحد خمس أربعة دنار للوحدة
+
+211
+00:23:21,510 --> 00:23:30,870
+دنار للوحدة إذا .. إذا في ضمن المتوسط المرجح لابد
+
+212
+00:23:30,870 --> 00:23:36,790
+من حساب أول شي المتوسطوهذا الكلام يكون لهذا الشكل
+
+213
+00:23:36,790 --> 00:23:42,970
+زي ما تشايفين في ضل طريقة الجاد الدوري طيب
+
+214
+00:23:42,970 --> 00:23:47,550
+بعد ما حصبنا المتوسط نقول ايه؟ تكلفة
+
+215
+00:24:00,180 --> 00:24:04,440
+تكلفة المبيعات عبارة عن ايش؟ كم عدد وحدات للمبيعة؟
+
+216
+00:24:04,440 --> 00:24:13,340
+هاي تساوي اربعمية وحدة درب خمسة فاصل واحد خمسة
+
+217
+00:24:13,340 --> 00:24:22,940
+اربعة يساوي الفين واحد وستين يساوي الفين واحد
+
+218
+00:24:22,940 --> 00:24:24,340
+وستين دراب
+
+219
+00:24:28,310 --> 00:24:34,710
+في الفين و ستين و نص هنا بنقرب هذا الرقم بعد
+
+220
+00:24:34,710 --> 00:24:40,090
+الفاصلة خاصة في إيش؟ في الأرقام الإجمالية خاصة
+
+221
+00:24:40,090 --> 00:24:44,470
+إيش؟ في الأرقام الإجمالية يعني زي هذا لكن ع مستوى
+
+222
+00:24:44,470 --> 00:24:48,150
+الوحدة الواحدة ع المستوى الوحدة الواحدة لا يجوز
+
+223
+00:24:48,150 --> 00:24:48,850
+التقريب
+
+224
+00:25:08,480 --> 00:25:12,660
+المخزون المخزون المخزون المخزون المخزون المخزون
+
+225
+00:25:12,660 --> 00:25:15,560
+المخزون المخزون المخزون المخزون المخزون المخزون
+
+226
+00:25:15,560 --> 00:25:16,640
+المخزون المخزون المخزون المخزون المخزون المخزون
+
+227
+00:25:16,640 --> 00:25:16,660
+المخزون المخزون المخزون المخزون المخزون المخزون
+
+228
+00:25:16,660 --> 00:25:19,100
+المخزون المخزون المخزون المخزون المخزون المخزون
+
+229
+00:25:19,100 --> 00:25:28,640
+المخزون المخزون
+
+230
+00:25:29,670 --> 00:25:32,890
+دولار تطلع هذه ألف و متين و تمانين و تمانين و نص
+
+231
+00:25:32,890 --> 00:25:40,170
+بنقربها من النص و ساعد يقرب و إذا كان أربعة و نازل
+
+232
+00:25:40,170 --> 00:25:45,250
+خلاص نحدفه لأغراض التبصير لرقام إجماليه و لأغراض
+
+233
+00:25:45,250 --> 00:25:48,770
+التبصير في المحاضرات لكن على الأرض الواقع لاجودنا
+
+234
+00:25:48,770 --> 00:25:55,150
+نتعامل بأي رقم بعد الفاصل في كل شيء طبعا الأن لو
+
+235
+00:25:55,150 --> 00:25:58,950
+جمعنا هنا الألفين
+
+236
+00:26:07,010 --> 00:26:13,830
+تمام؟ و لكن كما قلت .. و لكن كما قلت .. لا يجوز
+
+237
+00:26:13,830 --> 00:26:17,090
+هنا
+
+238
+00:26:17,090 --> 00:26:20,930
+الأفضل نحسب كل واحدة على حدة لأن ممكن السؤال زي ما
+
+239
+00:26:20,930 --> 00:26:26,090
+حكينا يحكي حسب طريقة المتوسط المرجح يحسب تكلفة
+
+240
+00:26:26,090 --> 00:26:27,030
+المبيعات
+
+241
+00:26:31,110 --> 00:26:34,970
+تكلفات المخزون فبدنا نعرف كيف نتعامل مع المعلومات
+
+242
+00:26:34,970 --> 00:26:38,810
+كل من هما على حذر ونحط في طريقة الأول في الأول نحط
+
+243
+00:26:38,810 --> 00:26:42,850
+مفتاح الحلق أمامنا أمامنا حتى نعرف كيف بن .. هل من
+
+244
+00:26:42,850 --> 00:26:48,710
+سؤال؟ لأ طيب الأخرى .. هذا بالنسبة للجرد الدوري
+
+245
+00:26:48,710 --> 00:26:54,570
+طيب كيف بدنا نثبت عملية البيع و الشراء كيف بدنا
+
+246
+00:26:54,570 --> 00:26:58,850
+نثبت عملية البيع و الشراء في دفتر اليومية في دفتر
+
+247
+00:26:58,850 --> 00:26:59,830
+اليومية
+
+248
+00:27:03,240 --> 00:27:10,020
+من معلومات السؤال السابق من معلومات السؤال السابق
+
+249
+00:27:10,020 --> 00:27:17,300
+تمام؟ من معلومات السؤال السابق المطلوب اثبات
+
+250
+00:27:17,300 --> 00:27:24,020
+القيول اليومية اللازمة اثبات قيول اليومية اللازمة
+
+251
+00:27:24,020 --> 00:27:30,160
+بافتراض ان الشركة تتبع
+
+252
+00:27:32,010 --> 00:27:36,710
+نظام الجرد الدوري والمستمر نظام الجرد الدوري
+
+253
+00:27:36,710 --> 00:27:43,870
+والمستمر الان
+
+254
+00:27:43,870 --> 00:27:53,530
+خارج هذه الحل القيود تمام بنكسب الصفحه هنا وبنكتب
+
+255
+00:27:53,530 --> 00:28:04,710
+هنا جرد جرد دوري وهنا جردمستمر تمام؟ عشان نجرب
+
+256
+00:28:04,710 --> 00:28:10,790
+الصورة الجرد الدوري للعلم الجرد الدوري أخدته في
+
+257
+00:28:10,790 --> 00:28:14,930
+محاسب واحد القيود اللي كنت أخدها في محاسب واحد هي
+
+258
+00:28:14,930 --> 00:28:19,290
+قيود الجرد الدوري لكن مستمر يطلع عليه بعض التغيير
+
+259
+00:28:19,290 --> 00:28:23,070
+احنا في النهاية ندري ايش بتعمل الدوري عشان نذكركوا
+
+260
+00:28:23,070 --> 00:28:27,010
+تكون معلومة ايه ايش تربطوها مع ملف صابر نشوف على
+
+261
+00:28:27,010 --> 00:28:30,200
+مستمرها مباشرةلكن في النهاية، في الامتحان، مطلوب
+
+262
+00:28:30,200 --> 00:28:35,080
+منكوا إيش؟ المستمر وليس الدوري، الكاس وليس الدوري
+
+263
+00:28:35,080 --> 00:28:40,980
+طيب، الآن عندنا الجد الدوري، نيجي، هي العمليات
+
+264
+00:28:40,980 --> 00:28:46,840
+موجودة أنا هنا، تمام؟ الآن الرصيد عايز قيادة؟
+
+265
+00:28:46,840 --> 00:28:51,240
+الرصيد عايز قيادة؟ لأ، الرصيد ما أُثبت، مش عجبنا
+
+266
+00:28:51,240 --> 00:28:54,000
+الفترة السابقة؟ إذا أُثبت فيها، خلصنا منها
+
+267
+00:29:11,100 --> 00:29:20,280
+بنقول من حساب المشتريات من حساب المشتريات إلى حساب
+
+268
+00:29:20,280 --> 00:29:26,940
+الموردين مية و خمسين ضرب خمسة يبقى سبعمية و خمسين
+
+269
+00:29:26,940 --> 00:29:34,060
+سبعمية و خمسين الآن بعيد تاني في محاسبة واحدة
+
+270
+00:29:34,060 --> 00:29:38,100
+ماكنتش ترضعها من حساب المشتريات إلى الصندوق البنك
+
+271
+00:29:38,100 --> 00:29:41,370
+الموردينالان في هذه السؤالة طبعا بنضيف معلومة
+
+272
+00:29:41,370 --> 00:29:46,330
+بنقول ان المشتريات والمبيعات على الحساب اه بتكون
+
+273
+00:29:46,330 --> 00:29:50,210
+معلومة موجودة ان المشتريات والمبيعات على الحساب
+
+274
+00:29:50,210 --> 00:29:53,890
+عشان هي كانت كتبت الى الموردين ماكتبش الصندوق زي
+
+275
+00:29:53,890 --> 00:29:57,090
+ما البعض حكى بتكون في عندنا معلومة ان المشتريات
+
+276
+00:29:57,090 --> 00:30:01,250
+والمبيعات على الحساب تمام هذا عارفينه الان في
+
+277
+00:30:01,250 --> 00:30:05,730
+الجرد في الجرد المستمر الكلم واحد يعني شغل قصير
+
+278
+00:30:05,730 --> 00:30:08,990
+وانت بتتغير الان بدل من نقول المشتريات
+
+279
+00:30:12,140 --> 00:30:16,820
+مراقبة البضاعة وكلمة بضاعة معناها بضاعة آخر المدة
+
+280
+00:30:16,820 --> 00:30:25,360
+إذا هنا نقول في الجد مستمر من حساب مراقبة المخزون
+
+281
+00:30:25,360 --> 00:30:34,100
+إلى حساب الموردين خمسية وخمسين ضرب خمسة سبعمية
+
+282
+00:30:34,100 --> 00:30:38,640
+وخمسين سبعمية إذا كما نلاحظ
+
+283
+00:30:42,530 --> 00:30:47,550
+أقول بدل المشتريات من حساب مراقبة المخزون أو من
+
+284
+00:30:47,550 --> 00:30:51,870
+حساب مراقبة البضاعة بنوحد المصطلح يا هيك يا هيك
+
+285
+00:30:51,870 --> 00:30:55,910
+طيب و اتكرروا علم الشطار و المرة الجاية هناخدوا كل
+
+286
+00:30:55,910 --> 00:30:59,750
+هذا المحاضر القادم أيضا اليوم بنهدلوا في الدقاء
+
+287
+00:30:59,750 --> 00:31:00,830
+التوقية
+
+288
+00:31:12,840 --> 00:31:16,980
+الحساب المدينين، الحساب المدينين إلى المبيعات، إذا
+
+289
+00:31:16,980 --> 00:31:24,860
+نقول هنا من حساب المدينين إلى حساب المبيعات، وهنا
+
+290
+00:31:24,860 --> 00:31:32,980
+كم وحدة بيعنا؟ 200 في إيه؟ أحسنتم، هي ألفين، ألفين
+
+291
+00:31:32,980 --> 00:31:37,000
+دراجة، قيدل الخطوم حصل واحدلما نبيع لا خالد ولا
+
+292
+00:31:37,000 --> 00:31:40,380
+حسن ولا أمل ولا وفاق ولا نصرين ولا ياسمين ولا
+
+293
+00:31:40,380 --> 00:31:46,240
+جمانا ولا غادا ولا كلهم، هنقول من حساب المدينين
+
+294
+00:31:46,240 --> 00:31:54,520
+إلى حساب المبيعات، لأن المبيعات بطبيعتها دائمة،
+
+295
+00:31:54,520 --> 00:32:00,120
+مثل ما إن المشتريات بطبيعتها مدينة طيب، نأتي الآن
+
+296
+00:32:00,120 --> 00:32:05,930
+هنا في الجرد المستمر تسريع النقضيةفي الجرد المستمر
+
+297
+00:32:05,930 --> 00:32:11,850
+بيصير عندنا قدير قيد بسعر البيع و قيد بسعر التكلفة
+
+298
+00:32:11,850 --> 00:32:15,710
+عشان بتعرف اللي أنا بيعته مثلا بألفين دي شو جدش
+
+299
+00:32:15,710 --> 00:32:20,230
+تكلفته أول بأول بتعرف إيش الوضع تبقى إيه تمام؟ إذا
+
+300
+00:32:20,230 --> 00:32:24,590
+أول قيد يا أخوان أول قيد هيكون نفس القيد اللي هنا
+
+301
+00:32:24,590 --> 00:32:30,770
+من حساب المدينين من حساب المدينين إلى حساب
+
+302
+00:32:33,650 --> 00:32:41,010
+إذا هنا 200 ضرب 10 إذا هنا بالنسبة لرقم تلاتة
+
+303
+00:32:41,010 --> 00:32:48,710
+عملية البيع تكون مرة هنا بسعر البيع والقيد التالي
+
+304
+00:32:48,710 --> 00:32:55,390
+بسعر إيه التكلفة التكلفة ممتاز بسعر البيع وبسعر
+
+305
+00:32:55,390 --> 00:33:00,150
+التكلفة يعني بمعنى آخر عملية البيع في الجرد
+
+306
+00:33:00,150 --> 00:33:02,290
+المستمر لها قيدين
+
+307
+00:33:13,190 --> 00:33:18,570
+بسعر التكلفة يعني اه يوم ما جيبت مطاعة ودخلت
+
+308
+00:33:18,570 --> 00:33:22,530
+المخزن قلت مراقبة المخزن اليوم انا متطلع منها
+
+309
+00:33:22,530 --> 00:33:24,990
+بيصير مراقبة المخزن وبعدين المدينة بيصير ايش؟
+
+310
+00:33:24,990 --> 00:33:30,610
+دائنة طب انا بحكي عالميا عن تكلفة المبيعات اذا
+
+311
+00:33:30,610 --> 00:33:37,130
+تكلفة المبيعات بتاخد الطرف المدينة من حساب
+
+312
+00:33:37,130 --> 00:33:41,950
+تكلفة المبيعات إلى حساب ايش؟
+
+313
+00:33:47,020 --> 00:33:51,800
+المخزون الى حساب مراقبة هذا القايد النظري هذا
+
+314
+00:33:51,800 --> 00:33:56,420
+القايد النظري اخوتي انا سمعت مصطلح الى حساب مراقبة
+
+315
+00:33:56,420 --> 00:33:59,800
+البضاعة اذا كتبت انا هنا مراقبة البضاعة بقول
+
+316
+00:33:59,800 --> 00:34:04,460
+مراقبة البضاعة مراقبة خلاص يعني ايه او ايه كلهما
+
+317
+00:34:04,460 --> 00:34:10,340
+بس اللي الواحدة المرادة ماشيين طيب الان اول شيء
+
+318
+00:34:10,340 --> 00:34:14,060
+انا قلت هنا النبيعات هتبتد بسعر البيعو هنا اثبتت
+
+319
+00:34:14,060 --> 00:34:19,360
+بسعر التكلفة عشان بده اقارن .. بده اقارن التكلفة
+
+320
+00:34:19,360 --> 00:34:25,240
+مع ايش؟ مع سعر البيع .. مع سعر البيع تمام؟ طيب ..
+
+321
+00:34:25,240 --> 00:34:27,880
+الان قلت لها .. هنا اثبتت بسعر التكلفة بقولها
+
+322
+00:34:27,880 --> 00:34:31,460
+بحساب تكلفة المبيعات بجعلها مدينة و المخزون كان
+
+323
+00:34:31,460 --> 00:34:35,320
+متطلع منه .. يعني لما اندخل في مكان مدينة و لما
+
+324
+00:34:35,320 --> 00:34:40,000
+انطلع متطلع منه كان ايش؟ دهن .. دهن طيب stop و
+
+325
+00:34:40,000 --> 00:34:44,370
+أيضا في معلومة تانيةإن هنا الشغل بيكون حسب طريقة
+
+326
+00:34:44,370 --> 00:34:49,570
+الأول حسب طريقة الأول ايش؟ بتكون معلومة مضافة
+
+327
+00:34:49,570 --> 00:34:56,110
+لإثبات قيود القيود القيود مع العلم إن الشركة تتبع
+
+328
+00:34:56,110 --> 00:35:00,950
+اللي هو الدول المستمر وحسب طريقة الأول في الأول
+
+329
+00:35:00,950 --> 00:35:05,630
+لإن حتى الأول في الأول أو المتوسط المرجح بتأثر على
+
+330
+00:35:05,630 --> 00:35:06,350
+الأرقام المراجعة
+
+331
+00:35:25,120 --> 00:35:35,020
+اليوم 24 تلاتة يعني
+
+332
+00:35:35,020 --> 00:35:40,380
+تحت القلم في عالم الغيب، في عالم إيش؟ الغيب،
+
+333
+00:35:40,380 --> 00:35:43,300
+ماعرفش عنه ولا حاجة، اليوم 24 تلاتة يعني تحت القلم
+
+334
+00:35:43,300 --> 00:35:44,540
+حاجة، اليوم 24 تلاتة يعني تحت القلم في عالم الغيب،
+
+335
+00:35:44,540 --> 00:35:45,720
+في عالم إيش؟ الغيب، ماعرفش عنه ولا حاجة، اليوم 24
+
+336
+00:35:45,720 --> 00:35:48,880
+تلاتة يعني تحت القلم في عالم الغيب، في عالم إيش؟
+
+337
+00:35:48,880 --> 00:35:48,960
+الغيب، ماعرفش عنه ولا حاجة، اليوم 24 تلاتة يعني
+
+338
+00:35:48,960 --> 00:35:51,260
+تحت القلم في عالم الغيب، في عالم الغيب، ماعرفش عنه
+
+339
+00:35:51,260 --> 00:35:52,400
+ولا حاجة، اليوم 24 تلاتة
+
+340
+00:36:11,050 --> 00:36:17,450
+العام كل لحظة بعمل جرب مستمر طيب الان عندنا زى ما
+
+341
+00:36:17,450 --> 00:36:20,810
+حكيت الان أنا عندى في المخلط تحت الجلم فى عالم
+
+342
+00:36:20,810 --> 00:36:25,930
+الغيب ماعرفش عنه ولا حاجة الان عندى 300 و عندى 150
+
+343
+00:36:25,930 --> 00:36:34,830
+وجت نبيعة 201 طيب انا باتبع اى طريقة المبيع من مين
+
+344
+00:36:34,830 --> 00:36:39,910
+تمام اذا الان ال 201 هدول المبيعة من مين هخدهم
+
+345
+00:36:41,060 --> 00:36:45,400
+هاخدهم من مين؟ من التلاتمية انا برجع تاني و بحكي
+
+346
+00:36:45,400 --> 00:36:49,760
+قبل مكتب عندي تلاتمية و عندي مية و خمسين اجت دبيعة
+
+347
+00:36:49,760 --> 00:36:53,620
+متين واحدة اليوم اربع عشرين تلاتة تاجر هناك اللي
+
+348
+00:36:53,620 --> 00:36:58,160
+تحت الجلب في عالم الغايب ماعرفش عنه ولا حاجة هل
+
+349
+00:36:58,160 --> 00:37:01,920
+بعرف انا مكتش ماتساوي؟ ماتشتري؟ ماتبيع؟ ماهو عشان
+
+350
+00:37:01,920 --> 00:37:05,680
+يكون وعد هالمورة طيب إذا الأهم ان انا اخد هنا متين
+
+351
+00:37:05,680 --> 00:37:06,540
+و دال قدير
+
+352
+00:37:29,130 --> 00:37:37,350
+رقم اربعة عنا مشتريات المشتريات زي هذا القيام اي
+
+353
+00:37:37,350 --> 00:37:44,650
+مشتريات هنقول من حسابمن حساب المشتريات الى حساب
+
+354
+00:37:44,650 --> 00:37:52,250
+الموردين ايوة جداش انا اشتريت؟ متان متان في كام؟
+
+355
+00:37:52,250 --> 00:38:00,110
+متان ضرب سبعة ألف وارمائية ألف وارمائية دولار طيب
+
+356
+00:38:00,110 --> 00:38:07,950
+لو بدأ نثبت في الجيرد المستمر يلا ايش هنقول؟ ممتاز
+
+357
+00:38:08,940 --> 00:38:11,580
+نفس الاشي .. نفس الاشي بس بتغير قدر النظر الحساب
+
+358
+00:38:11,580 --> 00:38:19,340
+مراقبة المخزون إلى حساب الموردين إلى حساب الموردين
+
+359
+00:38:19,340 --> 00:38:27,600
+200 ضعف سبعة ألف و أربعمية درار لحظة؟ بس كله
+
+360
+00:38:27,600 --> 00:38:31,880
+بتتغير الأرقام في المشتريات تختلفش ولا بنقول طلبت
+
+361
+00:38:31,880 --> 00:38:35,400
+أول في الأول لإن أنا إيش اشتريت الدفعة فعلا تمام؟
+
+362
+00:38:35,400 --> 00:38:42,590
+بس المبيعات هي اللي بيخوف فيهاماشي نروح لرقم خمسة،
+
+363
+00:38:42,590 --> 00:38:46,450
+رقم
+
+364
+00:38:46,450 --> 00:38:49,070
+خمسة، رقم خمسة، رقم خمسة، رقم خمسة، رقم خمسة، رقم
+
+365
+00:38:49,070 --> 00:38:49,230
+خمسة، رقم خمسة، رقم خمسة، رقم خمسة، رقم خمسة، رقم
+
+366
+00:38:49,230 --> 00:38:49,570
+خمسة، رقم خمسة، رقم خمسة، رقم خمسة، رقم خمسة، رقم
+
+367
+00:38:49,570 --> 00:38:53,950
+خمسة، رقم خمسة، رقم خمسة، رقم خمسة، رقم خمسة، رقم
+
+368
+00:38:53,950 --> 00:39:00,490
+خمسة، رقم خمسة، رقم خمسة، رقم خمسة، رقم خمسة، رقم
+
+369
+00:39:00,490 --> 00:39:03,250
+خمسة، ر
+
+370
+00:39:07,290 --> 00:39:14,210
+دنار الفين و خمسمية دينار الان بنيجي هنا اثبات
+
+371
+00:39:14,210 --> 00:39:19,470
+المبيعات بسعر البيع البيع و تحطه القيد اثبات
+
+372
+00:39:19,470 --> 00:39:25,790
+المبيعات بسعر البيع و بنقول ان ان عملية البيع
+
+373
+00:39:25,790 --> 00:39:34,610
+عملية البيع هنقول هنا من حساب المدينين الى حساب
+
+374
+00:39:35,290 --> 00:39:42,230
+المبيعات 2500 دولار الان ننطبط المبيعات بسعر
+
+375
+00:39:42,230 --> 00:39:48,850
+التكلفة بسعر التكلفة اتبعت المبيعات بسعر التكلفة
+
+376
+00:39:48,850 --> 00:39:51,670
+من حساب تكلفة المبيعات مراقبة
+
+377
+00:40:11,060 --> 00:40:14,360
+إذا الان احنا بقعد بيعنا 200 دلوقتي وانا خالص كده؟
+
+378
+00:40:14,360 --> 00:40:19,500
+طيب، الان توقف تحط الجلم في عالم الغير أنا بعدها
+
+379
+00:40:19,500 --> 00:40:22,320
+بقدر أرجع منهم واشتريتهم؟ لأ، الان لما جاتني
+
+380
+00:40:22,320 --> 00:40:25,680
+أبيعها 250، إيش في عندي؟ في 100، في 150 وفي 200
+
+381
+00:40:25,680 --> 00:40:30,100
+الان المباعي حسب الأول في الأول من مين؟ أقل، أقل،
+
+382
+00:40:30,100 --> 00:40:33,000
+أقل، أقل، أقل، أقل، أقل، أقل، أقل، أقل، أقل، أقل،
+
+383
+00:40:33,000 --> 00:40:33,220
+أقل، أقل، أقل، أقل، أقل، أقل، أقل، أقل، أقل، أقل،
+
+384
+00:40:33,220 --> 00:40:38,520
+أقل، أقل، أقل، أقل، أقل،
+
+385
+00:40:38,520 --> 00:40:45,360
+أقمية ضارب ايش؟ زائر خمسين ضارب ايش؟ مية و خمسين
+
+386
+00:40:45,360 --> 00:40:51,440
+طبعا اربعمية و سبعمية و خمسين هيطلع الف و مية و
+
+387
+00:40:51,440 --> 00:40:59,100
+خمسين الف و مية و خمسين تمام؟ الان عندنا اخر شيء
+
+388
+00:40:59,100 --> 00:41:08,220
+رقم ستة الان رقم ستة في عملية ال ررد خمسين واحدة،
+
+389
+00:41:08,220 --> 00:41:12,640
+ايش اتعلمتوا المردودات في محاصر الواحد؟ من حساب
+
+390
+00:41:12,640 --> 00:41:19,020
+مردودات المبيعات، من حساب مردودات المبيعات، إلى
+
+391
+00:41:19,020 --> 00:41:24,060
+حساب ايش؟ المديرين، رجعنا خمسين واحدة
+
+392
+00:41:30,440 --> 00:41:34,640
+الان القيد هذا نفسه بيكون هنا من حساب مردودات
+
+393
+00:41:34,640 --> 00:41:42,140
+المبيعات الى حساب المدينين 500 تمام؟ الان
+
+394
+00:41:42,140 --> 00:41:48,320
+المردودات أيضا فيها قيد الرقب بسعر البيع وفيه بسعر
+
+395
+00:41:48,320 --> 00:41:55,700
+ايه؟ يعني هنا المردودات بسعر التكلفة و هنا بسعر
+
+396
+00:41:55,700 --> 00:42:00,750
+ايه؟ البيعالان المرقبات في سعر التكلفة يا اخوان
+
+397
+00:42:00,750 --> 00:42:04,950
+الان تطلع على القيادة لما احنا بيعنا ايش كان
+
+398
+00:42:04,950 --> 00:42:09,410
+القيادة من التكلفة اليه؟ مخزون الان بدى ينقلب، بدى
+
+399
+00:42:09,410 --> 00:42:17,590
+يعكس يعني من حساب .. اه من حساب مراقبة المخزون إلى
+
+400
+00:42:17,590 --> 00:42:21,170
+حساب تكلفة المبيعات مش الان الوحدات لما ترجع تدخل
+
+401
+00:42:21,170 --> 00:42:27,650
+مخازن تزيد طيب الان اكم وحدة هي خمسين تمام؟طيب،
+
+402
+00:42:27,650 --> 00:42:31,590
+بأي سعر .. بأي سعر بدا؟ الوحدات كانت المرجعة من
+
+403
+00:42:31,590 --> 00:42:35,490
+إيش؟ من المباع في يوم إيش؟ في عشرين، الآن عشرين
+
+404
+00:42:35,490 --> 00:42:41,110
+هيهم .. هي .. هي مكوناته .. هي مكوناته، الآن للعلم
+
+405
+00:42:41,110 --> 00:42:46,610
+المرجع .. المرجع من إيش؟ من الأحدث كمان، القاعدة
+
+406
+00:42:46,610 --> 00:42:50,430
+بنوضحها مرة جاية، هتكون إذا لخمسين في إيش؟ خمسين
+
+407
+00:42:50,430 --> 00:42:55,030
+في خمسة، خمسين في خمسة، خمسين
+
+408
+00:43:01,370 --> 00:43:04,370
+المدودات في سعر .. المدودات في سعر التكلفة
+
+409
+00:43:04,370 --> 00:43:10,530
+المدودات في سعر البيع تمام؟ المدودات هنا في سعر
+
+410
+00:43:10,530 --> 00:43:14,630
+البيع هذه خمسين خمسين ضبع عشرة لكن هنا المدودات في
+
+411
+00:43:14,630 --> 00:43:20,290
+سعر التكلفة فبناخد أي مكونات بهذا نصل إلى نهاية
+
+412
+00:43:20,290 --> 00:43:21,270
+محاضرة اليوم
+
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/9s9y9AJNGeQ_postprocess.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/9s9y9AJNGeQ_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..b72bf99e3b15da6737ef9de132f392829a153b62
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/9s9y9AJNGeQ_postprocess.srt
@@ -0,0 +1,1140 @@
+1
+00:00:21,210 --> 00:00:25,590
+أخوات الطالبات استكمالا لما قمنا بالحديث عنه في
+
+2
+00:00:25,590 --> 00:00:30,610
+جرم الإيرادات والمصروفات وشرح كل منهما على حدة
+
+3
+00:00:30,610 --> 00:00:37,150
+وضرب أكتر من مثال لكل من هذه البنود سواء إيرادات
+
+4
+00:00:37,150 --> 00:00:42,570
+أو مصروفات نأتي اليوم إلى الحديث عن سؤال شامل
+
+5
+00:00:42,570 --> 00:00:48,050
+للإيرادات والمصروفات إذا موضوع محاضرتنا اليوم
+
+6
+00:00:48,050 --> 00:00:56,200
+الإيرادات والمصروفاتالإيرادات والمصروفات
+
+7
+00:00:56,200 --> 00:01:06,320
+سؤال شامل فيما
+
+8
+00:01:06,320 --> 00:01:18,060
+يلي فيما يلي بعض الأرصده المستخرجه فيما يلي بعض
+
+9
+00:01:18,060 --> 00:01:27,990
+الأرصده المستخرجهمن دفاتر شركة ربا التجارية من
+
+10
+00:01:27,990 --> 00:01:33,330
+دفاتر شركة ربا التجارية في واحد و تلاتين و اتناش
+
+11
+00:01:33,330 --> 00:01:41,670
+في واحد و تلاتين و اتناش الفين و خمستاش مدينة دائن
+
+12
+00:01:41,670 --> 00:01:47,010
+اسم الحساب اول
+
+13
+00:01:47,010 --> 00:01:59,010
+شيء مصاريف اعلان2000 دينار مصاريف الروايات المقدمة
+
+14
+00:01:59,010 --> 00:02:03,990
+6700
+
+15
+00:02:03,990 --> 00:02:18,490
+دينار مصاريف نقل مشتريات 900 دينار إيراد أوراق
+
+16
+00:02:18,490 --> 00:02:30,670
+مالية5000 دينار إيراد عقارات 3800
+
+17
+00:02:30,670 --> 00:02:42,230
+دينار عمولة بنكية دائمة 200
+
+18
+00:02:42,230 --> 00:02:57,980
+دينار وأخيرا رسوم جمركية مبلغ 500 ديناردينار إذا
+
+19
+00:02:57,980 --> 00:03:08,620
+هذه الأرصدة توفرت لدينا من ميزان المراجعة الخاص
+
+20
+00:03:08,620 --> 00:03:19,800
+بشركة روبا التجارية في 31 اتناشر 2015 وعند
+
+21
+00:03:19,800 --> 00:03:30,090
+اجارةوعند الجرب تبين
+
+22
+00:03:30,090 --> 00:03:38,270
+ما يليه رقم واحد مصاريف الإعلان
+
+23
+00:03:38,270 --> 00:03:46,130
+دفعت في واحد أربعة مصاريف الإعلان دفعت في واحد
+
+24
+00:03:46,130 --> 00:03:55,900
+أربعة ألفين وخمستاشرعن سنة كاملة رقم
+
+25
+00:03:55,900 --> 00:04:04,540
+اتنين الرواتب الشهرية خمسمائة دينار الرواتب
+
+26
+00:04:04,540 --> 00:04:16,180
+الشهرية خمسمائة دينار رقم تلاتة هناك مصاريف هناك
+
+27
+00:04:16,180 --> 00:04:31,100
+مصاريفنقل مشتريات قيمتها 100 دينار لم تدفع بعد رقم
+
+28
+00:04:31,100 --> 00:04:45,720
+أربعة ألف دينار إيراد أوراق مالية يخص عام 2016
+
+29
+00:04:47,090 --> 00:04:58,470
+يخص عام 2016 خمسة إيراد العقارات الذي يخص العام
+
+30
+00:04:58,470 --> 00:05:03,810
+3500
+
+31
+00:05:03,810 --> 00:05:15,010
+دينار 3500 دينار رقم ستة هناك عمولة دائمة
+
+32
+00:05:17,160 --> 00:05:29,980
+لم تحصل بعد مقدارها 80 دنار رقم
+
+33
+00:05:29,980 --> 00:05:42,060
+سبعة وأخيرا الرسوم الجمهورية التي تخص العام 500
+
+34
+00:05:42,060 --> 00:05:44,100
+دنار
+
+35
+00:05:47,320 --> 00:05:54,400
+المطلوب رقم واحد اثبات
+
+36
+00:05:54,400 --> 00:06:00,940
+قيود التسوية اللازمة اثبات قيود التسوية اللازمة في
+
+37
+00:06:00,940 --> 00:06:10,120
+واحد و تلاتين اتناش الفين و خمساش رقم
+
+38
+00:06:10,120 --> 00:06:16,520
+اتنين بيان الأثر على الحسابات الختامية
+
+39
+00:06:21,080 --> 00:06:30,120
+والميزانية إذا كما نلاحظ بين أيدينا سؤال يتناول
+
+40
+00:06:30,120 --> 00:06:35,900
+جميع ناصر الإيرادات والمصرفات ولكن المطلوب هنا فقط
+
+41
+00:06:35,900 --> 00:06:41,360
+هو قيود التسوية وبيان
+
+42
+00:06:41,360 --> 00:06:48,320
+الأثر على الحسابات الختمية والميزانية نبدأ فيعمل
+
+43
+00:06:48,320 --> 00:06:57,040
+قيود التسوية وهو المطلوب الأول اذا المطلوب الأول
+
+44
+00:06:57,040 --> 00:07:08,160
+قيود التسوية رقم واحد رقم واحد مصاريف الإعلام هاي
+
+45
+00:07:08,160 --> 00:07:16,770
+رصيد وهنا ما يخص الرصيد الفينولكن ما يخص هذا
+
+46
+00:07:16,770 --> 00:07:20,930
+المصروف دفع في واحد أربعة إذا من واحد أربعة حتى
+
+47
+00:07:20,930 --> 00:07:26,190
+واحد وتلاتين اتناش تسع شهور وقال لنا في السؤال عن
+
+48
+00:07:26,190 --> 00:07:31,330
+سنة كاملة إذا تسع شهور يعني عبارة عن المدة الزمنية
+
+49
+00:07:31,330 --> 00:07:35,390
+من تاريخ الدفع واحد أربعة حتى واحد تلاتين اتناش
+
+50
+00:07:35,390 --> 00:07:42,290
+واطنعشر شهر هنا المقام أنه عن سنة كاملة ضرب ألف
+
+51
+00:07:42,290 --> 00:07:52,820
+الفينهيكون عندنا 1500 الفرق الرقمي هو 500 دنار
+
+52
+00:07:52,820 --> 00:07:57,600
+مصروف إعلان
+
+53
+00:07:57,600 --> 00:08:05,020
+مقدم والمصروف المقدم مدين والمصروف المقدم مدين
+
+54
+00:08:05,020 --> 00:08:10,900
+الآن بعد عمل هذا الإضاح نقوم بإثبات
+
+55
+00:08:23,430 --> 00:08:28,530
+أخوات الأخوات الكل يتابع معانا الان هذا ميزان
+
+56
+00:08:28,530 --> 00:08:32,750
+المراجعة بلغة كما هو موجود أمامي الان ان احنا هنا
+
+57
+00:08:32,750 --> 00:08:37,690
+مصروف توصلنا لمصروف اعلان مقدم و مدين مااختلفناش
+
+58
+00:08:37,690 --> 00:08:44,410
+تعلمنا ان المصروف المقدم له معالجتينله معالجتين
+
+59
+00:08:44,410 --> 00:08:55,390
+كمصروف و كاصل تمام؟ الان كيف نعرف ان هذا المصروف
+
+60
+00:08:55,390 --> 00:09:03,450
+عولج كمصروف او كاصل نحتكم الى نزال المراجعة نزال
+
+61
+00:09:03,450 --> 00:09:07,530
+المراجعة مصروف الإعلان مواضح انه مكتوب مصروف
+
+62
+00:09:07,530 --> 00:09:08,290
+الإعلان فقط
+
+63
+00:09:20,550 --> 00:09:26,930
+إذا إذا عولج المصروف المقدم كمصروف من البداية، إذا
+
+64
+00:09:26,930 --> 00:09:33,630
+يأخذ الطرف المدين من القيط وبالفرق الرقمي، إذا من
+
+65
+00:09:33,630 --> 00:09:43,290
+حساب مصروف إعلان مقدم إلى حساب مصروف إعلان، والفرق
+
+66
+00:09:43,290 --> 00:09:46,870
+الرقمي يظهر على هذا الشكل
+
+67
+00:09:49,800 --> 00:09:54,440
+هذا المعالجة لهذا البدء إذا احتكمنا إلى ميزان
+
+68
+00:09:54,440 --> 00:09:58,240
+المراجعة هو الذي يبين ليه إذا كان علجة في الأصل
+
+69
+00:09:58,240 --> 00:10:07,160
+كمصروف أو كأصل نأتي نأتي إلى مصروف الرواتب رصيد
+
+70
+00:10:07,160 --> 00:10:12,760
+وما يخص الرواتب 6700 رصيدة اللي ورد في ميزان
+
+71
+00:10:12,760 --> 00:10:20,750
+المراجعة الأولى ما يخص العام 500 في 12الرواتب
+
+72
+00:10:20,750 --> 00:10:27,830
+الشهرية خمسمائة دينار، إذا هذه ست ألاف، الفرق
+
+73
+00:10:27,830 --> 00:10:38,530
+الرقمي سبعمائة، و هنا أيضا مصروف رواتب مقدمة، أي
+
+74
+00:10:38,530 --> 00:10:42,330
+مصروف في العالم المقدم؟ المصروف المقدم
+
+75
+00:10:52,170 --> 00:10:57,090
+الى ميزان المراجعة ميزان المراجعة هو الحكم في هذه
+
+76
+00:10:57,090 --> 00:11:02,630
+الأمور كيف .. كيف ظاهرة من الرواتب جنبها كلمة مقدم
+
+77
+00:11:02,630 --> 00:11:07,590
+معناها علجت كإيش؟ فاصلة فضلوا من حساب مصروف رواتب
+
+78
+00:11:07,590 --> 00:11:16,050
+مقدم إلى حساب .. من حساب مصروف جهواتك إلى حساب
+
+79
+00:11:16,050 --> 00:11:22,620
+مصروف رواتبنعم إذا كان عواجة المصروف المقدم كأصل
+
+80
+00:11:22,620 --> 00:11:29,800
+فإن المصروف المقدم يأخذ الطرف الدائل من قيد
+
+81
+00:11:29,800 --> 00:11:37,920
+التسوية وبإيش؟ وبما يخص العالم إذا القيد يكون من
+
+82
+00:11:37,920 --> 00:11:49,600
+حساب مصروف الرواتب إلى حساب مصروف الرواتبالمقدمة و
+
+83
+00:11:49,600 --> 00:11:58,480
+هي ست آلاف .. ست آلاف دنار اذا
+
+84
+00:11:58,480 --> 00:12:05,840
+رقم واحد و اتنين الفرق كان قراءة مصروف مقدم الفرق
+
+85
+00:12:05,840 --> 00:12:15,100
+هو مصروف مقدم ولكن في مصريف الإعلان هنا المقدم
+
+86
+00:12:15,100 --> 00:12:17,460
+عولج في الأساس كمصروف
+
+87
+00:12:22,620 --> 00:12:31,900
+لأن كلمة المقدم وظهورها مع الحساب تعني أننا عندما
+
+88
+00:12:31,900 --> 00:12:39,340
+أثبتنا المصروف عند دفعه خلال العام قلنا من حساب
+
+89
+00:12:39,340 --> 00:12:46,360
+المصروف المقدم إلى حساب البنك أو الصندوقالمقدم
+
+90
+00:12:46,360 --> 00:12:52,020
+يظهر عند المعالجة كأصل مدين أو الظهور له ولكن عند
+
+91
+00:12:52,020 --> 00:12:57,980
+التسوية يظهر داء ننتقل
+
+92
+00:12:57,980 --> 00:13:01,940
+إلى
+
+93
+00:13:01,940 --> 00:13:09,500
+رقم تلاتة تلاتة هي رسيل الرسيل مصاريف نقل مشترات
+
+94
+00:13:09,500 --> 00:13:13,520
+900 ما يخص ألف لنادة
+
+95
+00:13:17,340 --> 00:13:27,400
+لأن هناك مئة دينار مصاريف نقل لم تدفع، مصاريف نقل
+
+96
+00:13:27,400 --> 00:13:34,580
+لم تدفع، إذا الآن دفعت أو لم تدفع، إذا نحمل العام
+
+97
+00:13:34,580 --> 00:13:42,500
+بجميع المصاريف دفعت أو لم تدفع، إذا هنا مصروف نقل
+
+98
+00:13:42,500 --> 00:13:43,540
+مشتريات
+
+99
+00:14:09,110 --> 00:14:17,600
+ممتاز المستحق بالفرق الرقميإذا من حساب
+
+100
+00:14:17,600 --> 00:14:26,960
+مصاريف نقل مشتريات إلى حساب مصاريف نقل مشتريات
+
+101
+00:14:26,960 --> 00:14:33,360
+مستحقة وبالفرق الرقمي مع الدولار وبالفرق الرقمي
+
+102
+00:14:33,360 --> 00:14:37,500
+المصروف
+
+103
+00:14:37,500 --> 00:14:42,020
+المقدم له معالجة واحدة المصروف المقدم
+
+104
+00:14:47,490 --> 00:14:51,670
+مستحق على المشروع يأخذ الطرف الدائن من قيد التسويق
+
+105
+00:14:51,670 --> 00:14:59,170
+ببساطة شديدة إذا بهذا برقم تلاتي نكون أوجزنا
+
+106
+00:14:59,170 --> 00:15:05,830
+الحديث عن المصروف المقدم بشققين والمصروف المستحق
+
+107
+00:15:05,830 --> 00:15:11,370
+والآن دعونا ننتقل إلى نكمل السؤال وهو يتحدث عن
+
+108
+00:15:11,370 --> 00:15:11,910
+الإراد
+
+109
+00:15:17,630 --> 00:15:22,230
+رقم اتنين الرصيد من مواقع ميزاى المراجعة ست الاف و
+
+110
+00:15:22,230 --> 00:15:28,310
+سبعمية ست الاف و سبعمية هذه الرصيد ما يخص العام
+
+111
+00:15:28,310 --> 00:15:33,330
+خمسمائة دينار شهريا خمسة في اتناشت ست الاف دينار
+
+112
+00:15:33,330 --> 00:15:37,070
+اذا انا دافع ست الاف و سبعمية اللي ظهر في ميزاى
+
+113
+00:15:37,070 --> 00:15:41,170
+المراجعة ده مدفوع فعلا حسبنا اللي خص العام ستة اذا
+
+114
+00:15:41,170 --> 00:15:45,270
+انا دافع السبعمية اخر مصروف مواتب مقدمة والمصروف
+
+115
+00:15:45,270 --> 00:15:51,790
+المقدم دين تمام؟الان مجرد يطلعلي مصروف مقدم بده
+
+116
+00:15:51,790 --> 00:15:58,230
+اتذكر هل عولج كاصل ولا كمصروف مين بده يفصللي
+
+117
+00:15:58,230 --> 00:16:04,370
+المحكمة الدولية المحاسبية محكمة ميزان المراجعة
+
+118
+00:16:04,370 --> 00:16:10,190
+نحتكم هنا الراتب هنا ايش ماكنتوا يجلبها مقدم اذا
+
+119
+00:16:10,190 --> 00:16:16,040
+على طول معناه عولجة أساسا كاصلإذا كونها عوجزة
+
+120
+00:16:16,040 --> 00:16:19,520
+أساسا كأصل، إذا المصرف المقدم الآن بدي يبطل، بدي
+
+121
+00:16:19,520 --> 00:16:22,520
+يجي في الطرف الدائم، بدي يجي في الطرف الدائم، و
+
+122
+00:16:22,520 --> 00:16:28,220
+إيش بدي يظهر معاه؟ ما يخص العام، إذا هنا هاي مصرف
+
+123
+00:16:28,220 --> 00:16:31,820
+الطراوات المقدمة إجت إيش؟ ده، و إيش بدي يظهر معاه؟
+
+124
+00:16:31,820 --> 00:16:38,720
+ما يخص العام، هل من سؤال؟ نكمل الحديث هنا على
+
+125
+00:16:38,720 --> 00:16:43,910
+الإراداتنتحدث الآن عن حساب إيراد الأوراق المالية
+
+126
+00:16:43,910 --> 00:16:48,870
+الرصيد 5000 ما
+
+127
+00:16:48,870 --> 00:16:58,650
+يخص 4000 الفرق الرقمي 1000 لماذا؟ نعود إلى رقم 4
+
+128
+00:16:58,650 --> 00:17:05,630
+في السؤال حكيلنا 1000 بينار إيراد أوراق مالية فخص
+
+129
+00:17:05,630 --> 00:17:06,490
+عن إيش؟
+
+130
+00:17:13,960 --> 00:17:21,940
+الشركات ربط التجارية في ايش؟ ع ال 31.12.2015 إذا
+
+131
+00:17:21,940 --> 00:17:27,320
+هذا هو ميزان المراجعة لشركة ربط التجارية في 31.12
+
+132
+00:17:27,320 --> 00:17:31,320
+و بعمل قيود الكثرية في 31.12 كما هو في المطلوب إذا
+
+133
+00:17:31,320 --> 00:17:38,160
+نظرته إذا الآن لما حكلنا هنا ألف دنار تخص رقم تخص
+
+134
+00:17:38,160 --> 00:17:38,960
+عام
+
+135
+00:17:44,120 --> 00:17:48,500
+أنا محصر مقدمة، أتخذ فترة قادمة، إذا هنا هذا اسم
+
+136
+00:17:48,500 --> 00:17:55,560
+إيه؟ إيراد أبرار مالية مقدمة، والإيراد المقدم إيه؟
+
+137
+00:17:55,560 --> 00:18:01,740
+دائم، والإيراد المقدم دائم، طيب، هذا هو النقطة،
+
+138
+00:18:01,740 --> 00:18:06,440
+والنقطة التانية، وين ما في مقدم، إلي معالجتين،
+
+139
+00:18:06,440 --> 00:18:07,500
+الإيراد المقدم
+
+140
+00:18:21,550 --> 00:18:30,710
+هل يوجد كلمة مقدّم جنب إيراد الأوراق المالية؟ لا
+
+141
+00:18:30,710 --> 00:18:37,550
+إذا مانعوا الى ال cash كإيراد وهنا قيد التسويق
+
+142
+00:18:37,550 --> 00:18:38,070
+يكون
+
+143
+00:18:55,040 --> 00:19:04,120
+وبالفرق الرقمي، وبالفرق الرقمي، إذا كما نلاحظ إذا
+
+144
+00:19:04,120 --> 00:19:08,660
+كان الإيراد المقدم، إذا كان الإيراد المقدم يعالج
+
+145
+00:19:08,660 --> 00:19:14,860
+كإيراد، وكيف نعرف؟ نحتكم إلى ميزان المراجعة، هل
+
+146
+00:19:14,860 --> 00:19:18,800
+ذكرت كلمة مقدم مع الإيراد؟ لا، إذا علجت كإيراد،
+
+147
+00:19:18,800 --> 00:19:21,420
+إذا هنا الإيراد المقدم يكون الطرف الدائم
+
+148
+00:19:27,900 --> 00:19:38,760
+من الوجه الآخر وبعدين بنعلّق رصيد ما يخص
+
+149
+00:19:38,760 --> 00:19:47,140
+رصيد رصيد رصيد إيراد العقارات كان تلات ألاف
+
+150
+00:19:47,140 --> 00:19:52,660
+وتمنمية دولار ما يخص تلات ألاف وخمسمية الفرق
+
+151
+00:19:52,660 --> 00:19:55,140
+الرقمي كان تلاتمية
+
+152
+00:20:04,870 --> 00:20:10,590
+أحسنتم دائما لكن .. لكن الإيراد المقدم هنا بينا
+
+153
+00:20:10,590 --> 00:20:16,430
+نحتكم بينا نحتكم الان ها إيراد عقرار بيضيفوا
+
+154
+00:20:16,430 --> 00:20:24,070
+الفيلم هذه دفورة ضرورية هذه إيراد عقرار مقدم إذا
+
+155
+00:20:24,070 --> 00:20:27,110
+هنا كان دور كل اللي فيه مقدم و جهره في ميزانه و
+
+156
+00:20:27,110 --> 00:20:33,770
+راجعه مقدم إذا كان هنا إيش؟ كان اتزانهنكون من حساب
+
+157
+00:20:33,770 --> 00:20:38,030
+إيراد عقارات مقدمة إلى حساب إيراد عقارات مقدمة إذا
+
+158
+00:20:38,030 --> 00:20:43,430
+في هذه الحالة هنكون من حساب إيراد عقارات مقدمة إلى
+
+159
+00:20:43,430 --> 00:20:50,810
+حساب إيراد عقارات مقدمة و بما يخص العام و بما يخص
+
+160
+00:20:50,810 --> 00:20:55,550
+العام لأننا
+
+161
+00:20:55,550 --> 00:21:01,230
+.. لأننا إذا وجدنا الإيراد المقدم
+
+162
+00:21:10,480 --> 00:21:14,900
+معناه فعليك تلاقي سنة إذا بهذا يكون الإيراد المقدم
+
+163
+00:21:14,900 --> 00:21:21,900
+يأخذ الطرف المالي من قيد التسويق و يظهر معه ما يخص
+
+164
+00:21:21,900 --> 00:21:28,620
+ما يخص في العالم إذا بنظرة فاحسة عن الإيراد المقدم
+
+165
+00:21:28,620 --> 00:21:34,680
+في كل القيدين رقم أربعة و رقم خمسة نلاحظ أن
+
+166
+00:21:34,680 --> 00:21:39,520
+الإيراد المقدم هنا في إيراد الأوراق المالية إيراد
+
+167
+00:21:39,520 --> 00:21:45,580
+الأوراق الماليةمقدّم إذا احتكفنا إلى ميزان
+
+168
+00:21:45,580 --> 00:21:50,780
+المراجعة فهذا يدل أنه عولج كإيراد إذا الإيراد
+
+169
+00:21:50,780 --> 00:21:56,180
+المقدّم أخذ الطرف إيش؟ وبالفرق بينما إيراد
+
+170
+00:21:56,180 --> 00:22:02,780
+العقارات المقدّم هو إيراد المقدّم هنا موجود كلمة
+
+171
+00:22:02,780 --> 00:22:06,420
+مقدّم في ميزان المراجعة إذا إيش إيه؟ هيكون كالتزام
+
+172
+00:22:06,420 --> 00:22:10,980
+إذا المقدّم هيكون إيش؟ مدين و الرقم إيش هيظهر
+
+173
+00:22:10,980 --> 00:22:11,540
+معاه؟
+
+174
+00:22:15,860 --> 00:22:22,860
+الأهم أننا نذهب إلى رقم
+
+175
+00:22:22,860 --> 00:22:29,880
+6، رقم 6 يتحدث عن عمولة بالكية، رصيد ما يخص، كان
+
+176
+00:22:29,880 --> 00:22:38,340
+رصيد 200 دولار، وحكى أن هناك 80 دولار عمولة دائمة
+
+177
+00:22:39,300 --> 00:22:45,740
+لم تحصل عمولة دائنة لم تحصل اذا هنا الفرق الرقمي
+
+178
+00:22:45,740 --> 00:22:55,060
+80 اذا هنا عمولة دائنة مستحقة مستحقة لمين؟ للمشروع
+
+179
+00:22:55,060 --> 00:23:01,420
+يعني مدينة مستحقة للمشروع يعني ايه؟ يعني مدينة طيب
+
+180
+00:23:01,420 --> 00:23:07,940
+المستحقات لها معالجة واحدة المستحقات لها معالجة
+
+181
+00:23:07,940 --> 00:23:08,980
+واحدة
+
+182
+00:23:15,210 --> 00:23:23,090
+من حساب عمولة
+
+183
+00:23:23,090 --> 00:23:33,010
+دائمة مستحقة نعم إلى حساب عمولة دائمة و بالفرق
+
+184
+00:23:33,010 --> 00:23:33,590
+الرقمي
+
+185
+00:23:40,960 --> 00:23:44,640
+عمولة دائمة مستحقة للمشروع إيراد العمولة دائمة
+
+186
+00:23:44,640 --> 00:23:49,320
+إيراد والعمولة المدينة مصروفة هنا عمولة دائمة
+
+187
+00:23:49,320 --> 00:23:52,160
+مستحقة مدينة إذا هي إجت في الطرف المديني من قيد
+
+188
+00:23:52,160 --> 00:23:57,540
+التسوية والمستحقار في الفرق الرقمي هل بيسأل؟ نذهب
+
+189
+00:23:57,540 --> 00:24:00,960
+إلى آخر نقطة رقم سبعة في المطلوب الأول وهو اتباعت
+
+190
+00:24:00,960 --> 00:24:05,600
+القيود يتحدث عن الرسوم الجيولوجية هي رصيد وهنا ما
+
+191
+00:24:05,600 --> 00:24:10,930
+يخص خمسمية دنار وما يخص العام خمسميةالفرق الرقمي
+
+192
+00:24:10,930 --> 00:24:17,650
+إيش؟ سفر إذا هل يوجد تسوية لهذا القيادة؟ لا يوجد
+
+193
+00:24:17,650 --> 00:24:23,730
+تسوية يوجد إغفال؟ نعم إذا بهذا نكون انتهينا من
+
+194
+00:24:23,730 --> 00:24:31,090
+المطلوب الأول وهو إثبات قيود التسوية اللازمة في 31
+
+195
+00:24:31,090 --> 00:24:39,690
+أتناش 2015 في دفاتر شركة روبا التجاريةفي دفاقة
+
+196
+00:24:39,690 --> 00:24:45,070
+الشركة Drupad التجارية طيب ننتقل إلى المطلوب
+
+197
+00:24:45,070 --> 00:24:50,130
+الثاني المطلوب الثاني المطلوب الثاني وهو بيان
+
+198
+00:24:50,130 --> 00:24:56,170
+الأقل على الحسابات الختامية والهزارية والحساب
+
+199
+00:24:56,170 --> 00:25:01,850
+الختام الأول كما قلنا هو حساب المتاجرة والحساب
+
+200
+00:25:01,850 --> 00:25:07,910
+الختام الثاني هو حسابالأرباح والخسار ومن ثم
+
+201
+00:25:07,910 --> 00:25:14,770
+الميزانية إذا هذه الحسابات الخيطانية والميزانية
+
+202
+00:25:14,770 --> 00:25:21,770
+موجودة أمامنا الآن بتبين الأثر عليها لبيان الأثر
+
+203
+00:25:21,770 --> 00:25:28,830
+عليها نعود إلى المطلوب الأول ومن خلال الإباح
+
+204
+00:25:28,830 --> 00:25:35,880
+المحاسب نستطيع نقل أرقام فقط وبصحة عاليةالان نأتي
+
+205
+00:25:35,880 --> 00:25:42,200
+الى رقم واحد يتحدث عن من؟ مصروف الإعلان المصروف
+
+206
+00:25:42,200 --> 00:25:47,280
+الإعلان من عناصر مين؟ متاجر المربع الخسائر مين بدي
+
+207
+00:25:47,280 --> 00:25:54,960
+يجاوب؟ تفضلي إلى حساب
+
+208
+00:25:54,960 --> 00:26:03,480
+مصاريف إعلان مصاريف إعلان 1500 نعم هذه أول نقطة
+
+209
+00:26:10,200 --> 00:26:14,880
+طيب الآن مصروف إعلان مقدم مدين و درو على وين؟
+
+210
+00:26:14,880 --> 00:26:20,220
+ميزانية الان حكينا يا صغارة ان إيش الإيرادات زاد
+
+211
+00:26:20,220 --> 00:26:27,460
+المصرفات الفرق برو على وين؟ على الميزانية و ما يخص
+
+212
+00:26:27,460 --> 00:26:34,800
+برو عالميا؟ متاجرة أرباح و خسار و لا إيش دخل طيب
+
+213
+00:26:34,800 --> 00:26:39,820
+الان مصروف إعلان مقدم مدينيعني في الميزانية بنقول
+
+214
+00:26:39,820 --> 00:26:49,120
+هنا الأصول المتداولة و هنا الالتزامات و بنبدأ نعمل
+
+215
+00:26:49,120 --> 00:26:54,180
+فضلي لورا كم ده تجاوب نفضل في الأصول بنقول مصروف
+
+216
+00:26:54,180 --> 00:27:03,700
+إعلان مقدم خمسمية مصروف إعلان مقدم خمسمية طيب
+
+217
+00:27:03,700 --> 00:27:05,940
+و أنا سير على ذلك
+
+218
+00:27:10,950 --> 00:27:16,190
+يا الله، مين جاوب؟ تفضلي. ست آلاف إلى حساب مصروف
+
+219
+00:27:16,190 --> 00:27:23,990
+راتب. ست آلاف إلى حساب مصروف راتب. طيب، مصروف
+
+220
+00:27:23,990 --> 00:27:28,970
+الراتب المقدم، مصروف
+
+221
+00:27:28,970 --> 00:27:40,520
+راتب مقدم، اللي هو كام؟ سبعمية دولار. طيباحنا بدنا
+
+222
+00:27:40,520 --> 00:27:48,100
+الكل يشارك الارقم تلاتي مصاريف نقل مشتريات احنا
+
+223
+00:27:48,100 --> 00:27:50,640
+بدنا الكل يشارك واحد اتنين تلاتة اربعة بس اللي
+
+224
+00:27:50,640 --> 00:27:58,220
+بيشارك بطل العراي بلايها، تفضلي إلى حساب .. إلى
+
+225
+00:27:58,220 --> 00:28:07,420
+حساب اللي هو إيش مصارية نقل مشتريات كم قلنا ألف ما
+
+226
+00:28:07,420 --> 00:28:13,410
+يخص العامة اللي يقفلطيب، مصروف نقل مشتريات، مصروف
+
+227
+00:28:13,410 --> 00:28:20,490
+نقل مشتريات مستحقة دائمة، مصروف مشتريات مستحقة
+
+228
+00:28:20,490 --> 00:28:25,870
+دائمة، تفضلي، التزاماش، إذا هنا، مصروف نقل
+
+229
+00:28:25,870 --> 00:28:29,510
+مشتريات،
+
+230
+00:28:29,510 --> 00:28:37,210
+كام؟ مية دنار، مية دنار، بنكمل لكل انت اللي معاه،
+
+231
+00:28:37,210 --> 00:28:38,230
+رقم أربعة
+
+232
+00:29:00,150 --> 00:29:05,870
+طيب إيراد الأوراق المالية المقدمة دائما يلا مين
+
+233
+00:29:05,870 --> 00:29:12,010
+واج جديد؟ فضلك ألف إيراد أوراق مالية مقدمة ألف
+
+234
+00:29:12,010 --> 00:29:18,590
+إيراد أوراق مالية مقدمة لحظة إيراد الأوراق المالية
+
+235
+00:29:18,590 --> 00:29:28,030
+المقدمة دائما إذا هنا ظهرت مع الاتزامات طيب
+
+236
+00:29:28,030 --> 00:29:32,650
+نكملالآن نأتي إلى إيراد العقارات، إيراد العقارات
+
+237
+00:29:32,650 --> 00:29:42,270
+من عناصر حساب الأرباح والخسارة تلات
+
+238
+00:29:42,270 --> 00:29:49,250
+تالاف و خمسمية من حساب إيراد عقارات،
+
+239
+00:29:49,250 --> 00:29:54,510
+بينما إيراد العقارات المقدم إيش؟ دائم، دائم شايفين
+
+240
+00:29:54,510 --> 00:29:56,210
+أهمية الإباحي المحاسبي؟
+
+241
+00:30:24,830 --> 00:30:33,950
+هذه 280 من حساب عمولة بنكية دائنة، هذه العمولة
+
+242
+00:30:33,950 --> 00:30:39,170
+بنكية دائنة إيراد، عمولة بنكية دائنة مستحقة إيش؟
+
+243
+00:30:39,170 --> 00:30:44,710
+فطريق، إذا هنا 80 دولار عمولة
+
+244
+00:31:00,970 --> 00:31:07,690
+يظهر في الميزانية؟ لا، هل يوجد شيء يُقفل؟ نعم،
+
+245
+00:31:07,690 --> 00:31:13,710
+نعمان، تسوية لا، اقفال نعم، إذا عندنا الرسوم
+
+246
+00:31:13,710 --> 00:31:19,030
+الجمهورية 500 تُقفل في مين طيب؟ أنا بدور عواجز دي
+
+247
+00:31:34,340 --> 00:31:42,300
+مصاريف نقل تقفل في حساب المتاجرة اذا هنا 500 دولار
+
+248
+00:31:42,300 --> 00:31:52,580
+الى حساب مصاريف رسوم جمركية الى حساب مصاريف رسوم
+
+249
+00:31:52,580 --> 00:32:00,060
+جمركية اذا كما تلاحظون نلاحظ اننا قمنا ببيان الأثر
+
+250
+00:32:00,060 --> 00:32:10,240
+على جميع الحسابات هل من السؤالطيب الآن قلنا في
+
+251
+00:32:10,240 --> 00:32:15,780
+المطلوب التاني بيان الأخر على الحسابات الختمية
+
+252
+00:32:15,780 --> 00:32:24,300
+لشركة روبا التجارية في واحد و تلاتين اتناش ألفين و
+
+253
+00:32:24,300 --> 00:32:31,660
+خمس عشر إذا انتما نلاحظ حساب هذه حساب المتاجرة
+
+254
+00:32:31,660 --> 00:32:35,800
+قلنا بيان الأخر هل قمنا بجمع المدين والدائن؟
+
+255
+00:32:40,220 --> 00:32:47,160
+لأنه لا يوجد على أرض الواقع حساب متاجرة وشركة
+
+256
+00:32:47,160 --> 00:32:52,580
+حسابات فقط تتمثل في الرسوم والنقل وأين باقي
+
+257
+00:32:52,580 --> 00:32:55,800
+العناصر التي تحدثنا فيها في المحاضرة الأولى
+
+258
+00:32:55,800 --> 00:33:04,740
+المصورة عناصر حساب المتاجرة مبيعات ومشتهيات وما
+
+259
+00:33:04,740 --> 00:33:06,160
+يتعلق بهم
+
+260
+00:33:09,610 --> 00:33:13,530
+لأنه لا يجوز .. لا يجوز الرصد من طلع الرصيد و هو
+
+261
+00:33:13,530 --> 00:33:18,110
+كذلك في ميزان كذلك في الأرباح والخسار أو الميزانية
+
+262
+00:33:18,110 --> 00:33:22,230
+لا يجوز لأن هل في ميزانية بس هل عناصر .. طب وين
+
+263
+00:33:22,230 --> 00:33:26,170
+صندوقها؟ وين الفن؟ وين الدقنون؟ وين المدنون؟ وين
+
+264
+00:33:26,170 --> 00:33:32,690
+الأصول التابعة؟ أين؟ وأين؟ وأين؟ وأين؟ وأين؟ تمام؟
+
+265
+00:33:32,690 --> 00:33:37,130
+هل مني سؤال؟ أي
+
+266
+00:33:37,130 --> 00:33:38,530
+سؤال يا صباحي أعظم؟
+
+267
+00:33:45,590 --> 00:33:48,950
+أربعة تلاف وما ياخد خمس في ألف كيف بنجيب المهدد؟
+
+268
+00:33:48,950 --> 00:33:55,050
+يعني بننقص، بنجمع؟ ايه ايه؟ اي رقم؟ اي رقم؟ خمسة؟
+
+269
+00:33:55,050 --> 00:33:58,410
+هي رقم خمسة؟ لا، اربعة رقم اربعة رقم اربعة، ماشي
+
+270
+00:33:58,410 --> 00:34:02,490
+رقم اربعة لو عدتي ونظرتي إلى المعلومات اللي تحت
+
+271
+00:34:02,490 --> 00:34:09,370
+الجدول مكتوب طبعا هي في خمس تلاف هيا، شايفين؟خمس
+
+272
+00:34:09,370 --> 00:34:13,450
+تلاف نقول هنا كلمة رصيد معناها رصيد من واقع ميزان
+
+273
+00:34:13,450 --> 00:34:16,870
+المراجعة الأولى المبلغ اللى ظهر هدول خمس تلاف
+
+274
+00:34:16,870 --> 00:34:21,350
+معناهم ايش حصنا و أتبتا في اليومية و نقل إلى
+
+275
+00:34:21,350 --> 00:34:24,850
+الأستاذ و من ثم خدنا رصيدهم و ظهروا في ميزان
+
+276
+00:34:24,850 --> 00:34:28,250
+المراجعة الأولى الآن في نهاية العام حكالنا في
+
+277
+00:34:28,250 --> 00:34:32,870
+المعلومة رقم أربعة ألف دينار إيراد أوراق مالية تخص
+
+278
+00:34:32,870 --> 00:34:39,970
+عام2016 اذا انا بكون محصلة في ال 15 مقدم فالخبر
+
+279
+00:34:39,970 --> 00:34:44,650
+مقدم اذا عشان هيك انا هنا حكيت 4000 خص لها و ال
+
+280
+00:34:44,650 --> 00:34:50,150
+1000 مقدم و هنا عليها احتكبنا هنا نجنا عولش كإراد
+
+281
+00:34:50,150 --> 00:34:54,190
+فعشان هيك إراد الأوراق المالية المقدمة اجت ايش
+
+282
+00:34:54,190 --> 00:35:01,290
+دائمة هل من السؤال اخر اخران اذا بهذا نكون انتهينا
+
+283
+00:35:03,050 --> 00:35:09,850
+انتهينا من موضوع جرد الإيرادات والمصرفات وفي
+
+284
+00:35:09,850 --> 00:35:17,670
+المحاضرة القادمة سوف نبدأ بالحديث عن جرد الأصول
+
+285
+00:35:17,670 --> 00:35:19,210
+الثابتة
+
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/9s9y9AJNGeQ_raw.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/9s9y9AJNGeQ_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..b72bf99e3b15da6737ef9de132f392829a153b62
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/9s9y9AJNGeQ_raw.srt
@@ -0,0 +1,1140 @@
+1
+00:00:21,210 --> 00:00:25,590
+أخوات الطالبات استكمالا لما قمنا بالحديث عنه في
+
+2
+00:00:25,590 --> 00:00:30,610
+جرم الإيرادات والمصروفات وشرح كل منهما على حدة
+
+3
+00:00:30,610 --> 00:00:37,150
+وضرب أكتر من مثال لكل من هذه البنود سواء إيرادات
+
+4
+00:00:37,150 --> 00:00:42,570
+أو مصروفات نأتي اليوم إلى الحديث عن سؤال شامل
+
+5
+00:00:42,570 --> 00:00:48,050
+للإيرادات والمصروفات إذا موضوع محاضرتنا اليوم
+
+6
+00:00:48,050 --> 00:00:56,200
+الإيرادات والمصروفاتالإيرادات والمصروفات
+
+7
+00:00:56,200 --> 00:01:06,320
+سؤال شامل فيما
+
+8
+00:01:06,320 --> 00:01:18,060
+يلي فيما يلي بعض الأرصده المستخرجه فيما يلي بعض
+
+9
+00:01:18,060 --> 00:01:27,990
+الأرصده المستخرجهمن دفاتر شركة ربا التجارية من
+
+10
+00:01:27,990 --> 00:01:33,330
+دفاتر شركة ربا التجارية في واحد و تلاتين و اتناش
+
+11
+00:01:33,330 --> 00:01:41,670
+في واحد و تلاتين و اتناش الفين و خمستاش مدينة دائن
+
+12
+00:01:41,670 --> 00:01:47,010
+اسم الحساب اول
+
+13
+00:01:47,010 --> 00:01:59,010
+شيء مصاريف اعلان2000 دينار مصاريف الروايات المقدمة
+
+14
+00:01:59,010 --> 00:02:03,990
+6700
+
+15
+00:02:03,990 --> 00:02:18,490
+دينار مصاريف نقل مشتريات 900 دينار إيراد أوراق
+
+16
+00:02:18,490 --> 00:02:30,670
+مالية5000 دينار إيراد عقارات 3800
+
+17
+00:02:30,670 --> 00:02:42,230
+دينار عمولة بنكية دائمة 200
+
+18
+00:02:42,230 --> 00:02:57,980
+دينار وأخيرا رسوم جمركية مبلغ 500 ديناردينار إذا
+
+19
+00:02:57,980 --> 00:03:08,620
+هذه الأرصدة توفرت لدينا من ميزان المراجعة الخاص
+
+20
+00:03:08,620 --> 00:03:19,800
+بشركة روبا التجارية في 31 اتناشر 2015 وعند
+
+21
+00:03:19,800 --> 00:03:30,090
+اجارةوعند الجرب تبين
+
+22
+00:03:30,090 --> 00:03:38,270
+ما يليه رقم واحد مصاريف الإعلان
+
+23
+00:03:38,270 --> 00:03:46,130
+دفعت في واحد أربعة مصاريف الإعلان دفعت في واحد
+
+24
+00:03:46,130 --> 00:03:55,900
+أربعة ألفين وخمستاشرعن سنة كاملة رقم
+
+25
+00:03:55,900 --> 00:04:04,540
+اتنين الرواتب الشهرية خمسمائة دينار الرواتب
+
+26
+00:04:04,540 --> 00:04:16,180
+الشهرية خمسمائة دينار رقم تلاتة هناك مصاريف هناك
+
+27
+00:04:16,180 --> 00:04:31,100
+مصاريفنقل مشتريات قيمتها 100 دينار لم تدفع بعد رقم
+
+28
+00:04:31,100 --> 00:04:45,720
+أربعة ألف دينار إيراد أوراق مالية يخص عام 2016
+
+29
+00:04:47,090 --> 00:04:58,470
+يخص عام 2016 خمسة إيراد العقارات الذي يخص العام
+
+30
+00:04:58,470 --> 00:05:03,810
+3500
+
+31
+00:05:03,810 --> 00:05:15,010
+دينار 3500 دينار رقم ستة هناك عمولة دائمة
+
+32
+00:05:17,160 --> 00:05:29,980
+لم تحصل بعد مقدارها 80 دنار رقم
+
+33
+00:05:29,980 --> 00:05:42,060
+سبعة وأخيرا الرسوم الجمهورية التي تخص العام 500
+
+34
+00:05:42,060 --> 00:05:44,100
+دنار
+
+35
+00:05:47,320 --> 00:05:54,400
+المطلوب رقم واحد اثبات
+
+36
+00:05:54,400 --> 00:06:00,940
+قيود التسوية اللازمة اثبات قيود التسوية اللازمة في
+
+37
+00:06:00,940 --> 00:06:10,120
+واحد و تلاتين اتناش الفين و خمساش رقم
+
+38
+00:06:10,120 --> 00:06:16,520
+اتنين بيان الأثر على الحسابات الختامية
+
+39
+00:06:21,080 --> 00:06:30,120
+والميزانية إذا كما نلاحظ بين أيدينا سؤال يتناول
+
+40
+00:06:30,120 --> 00:06:35,900
+جميع ناصر الإيرادات والمصرفات ولكن المطلوب هنا فقط
+
+41
+00:06:35,900 --> 00:06:41,360
+هو قيود التسوية وبيان
+
+42
+00:06:41,360 --> 00:06:48,320
+الأثر على الحسابات الختمية والميزانية نبدأ فيعمل
+
+43
+00:06:48,320 --> 00:06:57,040
+قيود التسوية وهو المطلوب الأول اذا المطلوب الأول
+
+44
+00:06:57,040 --> 00:07:08,160
+قيود التسوية رقم واحد رقم واحد مصاريف الإعلام هاي
+
+45
+00:07:08,160 --> 00:07:16,770
+رصيد وهنا ما يخص الرصيد الفينولكن ما يخص هذا
+
+46
+00:07:16,770 --> 00:07:20,930
+المصروف دفع في واحد أربعة إذا من واحد أربعة حتى
+
+47
+00:07:20,930 --> 00:07:26,190
+واحد وتلاتين اتناش تسع شهور وقال لنا في السؤال عن
+
+48
+00:07:26,190 --> 00:07:31,330
+سنة كاملة إذا تسع شهور يعني عبارة عن المدة الزمنية
+
+49
+00:07:31,330 --> 00:07:35,390
+من تاريخ الدفع واحد أربعة حتى واحد تلاتين اتناش
+
+50
+00:07:35,390 --> 00:07:42,290
+واطنعشر شهر هنا المقام أنه عن سنة كاملة ضرب ألف
+
+51
+00:07:42,290 --> 00:07:52,820
+الفينهيكون عندنا 1500 الفرق الرقمي هو 500 دنار
+
+52
+00:07:52,820 --> 00:07:57,600
+مصروف إعلان
+
+53
+00:07:57,600 --> 00:08:05,020
+مقدم والمصروف المقدم مدين والمصروف المقدم مدين
+
+54
+00:08:05,020 --> 00:08:10,900
+الآن بعد عمل هذا الإضاح نقوم بإثبات
+
+55
+00:08:23,430 --> 00:08:28,530
+أخوات الأخوات الكل يتابع معانا الان هذا ميزان
+
+56
+00:08:28,530 --> 00:08:32,750
+المراجعة بلغة كما هو موجود أمامي الان ان احنا هنا
+
+57
+00:08:32,750 --> 00:08:37,690
+مصروف توصلنا لمصروف اعلان مقدم و مدين مااختلفناش
+
+58
+00:08:37,690 --> 00:08:44,410
+تعلمنا ان المصروف المقدم له معالجتينله معالجتين
+
+59
+00:08:44,410 --> 00:08:55,390
+كمصروف و كاصل تمام؟ الان كيف نعرف ان هذا المصروف
+
+60
+00:08:55,390 --> 00:09:03,450
+عولج كمصروف او كاصل نحتكم الى نزال المراجعة نزال
+
+61
+00:09:03,450 --> 00:09:07,530
+المراجعة مصروف الإعلان مواضح انه مكتوب مصروف
+
+62
+00:09:07,530 --> 00:09:08,290
+الإعلان فقط
+
+63
+00:09:20,550 --> 00:09:26,930
+إذا إذا عولج المصروف المقدم كمصروف من البداية، إذا
+
+64
+00:09:26,930 --> 00:09:33,630
+يأخذ الطرف المدين من القيط وبالفرق الرقمي، إذا من
+
+65
+00:09:33,630 --> 00:09:43,290
+حساب مصروف إعلان مقدم إلى حساب مصروف إعلان، والفرق
+
+66
+00:09:43,290 --> 00:09:46,870
+الرقمي يظهر على هذا الشكل
+
+67
+00:09:49,800 --> 00:09:54,440
+هذا المعالجة لهذا البدء إذا احتكمنا إلى ميزان
+
+68
+00:09:54,440 --> 00:09:58,240
+المراجعة هو الذي يبين ليه إذا كان علجة في الأصل
+
+69
+00:09:58,240 --> 00:10:07,160
+كمصروف أو كأصل نأتي نأتي إلى مصروف الرواتب رصيد
+
+70
+00:10:07,160 --> 00:10:12,760
+وما يخص الرواتب 6700 رصيدة اللي ورد في ميزان
+
+71
+00:10:12,760 --> 00:10:20,750
+المراجعة الأولى ما يخص العام 500 في 12الرواتب
+
+72
+00:10:20,750 --> 00:10:27,830
+الشهرية خمسمائة دينار، إذا هذه ست ألاف، الفرق
+
+73
+00:10:27,830 --> 00:10:38,530
+الرقمي سبعمائة، و هنا أيضا مصروف رواتب مقدمة، أي
+
+74
+00:10:38,530 --> 00:10:42,330
+مصروف في العالم المقدم؟ المصروف المقدم
+
+75
+00:10:52,170 --> 00:10:57,090
+الى ميزان المراجعة ميزان المراجعة هو الحكم في هذه
+
+76
+00:10:57,090 --> 00:11:02,630
+الأمور كيف .. كيف ظاهرة من الرواتب جنبها كلمة مقدم
+
+77
+00:11:02,630 --> 00:11:07,590
+معناها علجت كإيش؟ فاصلة فضلوا من حساب مصروف رواتب
+
+78
+00:11:07,590 --> 00:11:16,050
+مقدم إلى حساب .. من حساب مصروف جهواتك إلى حساب
+
+79
+00:11:16,050 --> 00:11:22,620
+مصروف رواتبنعم إذا كان عواجة المصروف المقدم كأصل
+
+80
+00:11:22,620 --> 00:11:29,800
+فإن المصروف المقدم يأخذ الطرف الدائل من قيد
+
+81
+00:11:29,800 --> 00:11:37,920
+التسوية وبإيش؟ وبما يخص العالم إذا القيد يكون من
+
+82
+00:11:37,920 --> 00:11:49,600
+حساب مصروف الرواتب إلى حساب مصروف الرواتبالمقدمة و
+
+83
+00:11:49,600 --> 00:11:58,480
+هي ست آلاف .. ست آلاف دنار اذا
+
+84
+00:11:58,480 --> 00:12:05,840
+رقم واحد و اتنين الفرق كان قراءة مصروف مقدم الفرق
+
+85
+00:12:05,840 --> 00:12:15,100
+هو مصروف مقدم ولكن في مصريف الإعلان هنا المقدم
+
+86
+00:12:15,100 --> 00:12:17,460
+عولج في الأساس كمصروف
+
+87
+00:12:22,620 --> 00:12:31,900
+لأن كلمة المقدم وظهورها مع الحساب تعني أننا عندما
+
+88
+00:12:31,900 --> 00:12:39,340
+أثبتنا المصروف عند دفعه خلال العام قلنا من حساب
+
+89
+00:12:39,340 --> 00:12:46,360
+المصروف المقدم إلى حساب البنك أو الصندوقالمقدم
+
+90
+00:12:46,360 --> 00:12:52,020
+يظهر عند المعالجة كأصل مدين أو الظهور له ولكن عند
+
+91
+00:12:52,020 --> 00:12:57,980
+التسوية يظهر داء ننتقل
+
+92
+00:12:57,980 --> 00:13:01,940
+إلى
+
+93
+00:13:01,940 --> 00:13:09,500
+رقم تلاتة تلاتة هي رسيل الرسيل مصاريف نقل مشترات
+
+94
+00:13:09,500 --> 00:13:13,520
+900 ما يخص ألف لنادة
+
+95
+00:13:17,340 --> 00:13:27,400
+لأن هناك مئة دينار مصاريف نقل لم تدفع، مصاريف نقل
+
+96
+00:13:27,400 --> 00:13:34,580
+لم تدفع، إذا الآن دفعت أو لم تدفع، إذا نحمل العام
+
+97
+00:13:34,580 --> 00:13:42,500
+بجميع المصاريف دفعت أو لم تدفع، إذا هنا مصروف نقل
+
+98
+00:13:42,500 --> 00:13:43,540
+مشتريات
+
+99
+00:14:09,110 --> 00:14:17,600
+ممتاز المستحق بالفرق الرقميإذا من حساب
+
+100
+00:14:17,600 --> 00:14:26,960
+مصاريف نقل مشتريات إلى حساب مصاريف نقل مشتريات
+
+101
+00:14:26,960 --> 00:14:33,360
+مستحقة وبالفرق الرقمي مع الدولار وبالفرق الرقمي
+
+102
+00:14:33,360 --> 00:14:37,500
+المصروف
+
+103
+00:14:37,500 --> 00:14:42,020
+المقدم له معالجة واحدة المصروف المقدم
+
+104
+00:14:47,490 --> 00:14:51,670
+مستحق على المشروع يأخذ الطرف الدائن من قيد التسويق
+
+105
+00:14:51,670 --> 00:14:59,170
+ببساطة شديدة إذا بهذا برقم تلاتي نكون أوجزنا
+
+106
+00:14:59,170 --> 00:15:05,830
+الحديث عن المصروف المقدم بشققين والمصروف المستحق
+
+107
+00:15:05,830 --> 00:15:11,370
+والآن دعونا ننتقل إلى نكمل السؤال وهو يتحدث عن
+
+108
+00:15:11,370 --> 00:15:11,910
+الإراد
+
+109
+00:15:17,630 --> 00:15:22,230
+رقم اتنين الرصيد من مواقع ميزاى المراجعة ست الاف و
+
+110
+00:15:22,230 --> 00:15:28,310
+سبعمية ست الاف و سبعمية هذه الرصيد ما يخص العام
+
+111
+00:15:28,310 --> 00:15:33,330
+خمسمائة دينار شهريا خمسة في اتناشت ست الاف دينار
+
+112
+00:15:33,330 --> 00:15:37,070
+اذا انا دافع ست الاف و سبعمية اللي ظهر في ميزاى
+
+113
+00:15:37,070 --> 00:15:41,170
+المراجعة ده مدفوع فعلا حسبنا اللي خص العام ستة اذا
+
+114
+00:15:41,170 --> 00:15:45,270
+انا دافع السبعمية اخر مصروف مواتب مقدمة والمصروف
+
+115
+00:15:45,270 --> 00:15:51,790
+المقدم دين تمام؟الان مجرد يطلعلي مصروف مقدم بده
+
+116
+00:15:51,790 --> 00:15:58,230
+اتذكر هل عولج كاصل ولا كمصروف مين بده يفصللي
+
+117
+00:15:58,230 --> 00:16:04,370
+المحكمة الدولية المحاسبية محكمة ميزان المراجعة
+
+118
+00:16:04,370 --> 00:16:10,190
+نحتكم هنا الراتب هنا ايش ماكنتوا يجلبها مقدم اذا
+
+119
+00:16:10,190 --> 00:16:16,040
+على طول معناه عولجة أساسا كاصلإذا كونها عوجزة
+
+120
+00:16:16,040 --> 00:16:19,520
+أساسا كأصل، إذا المصرف المقدم الآن بدي يبطل، بدي
+
+121
+00:16:19,520 --> 00:16:22,520
+يجي في الطرف الدائم، بدي يجي في الطرف الدائم، و
+
+122
+00:16:22,520 --> 00:16:28,220
+إيش بدي يظهر معاه؟ ما يخص العام، إذا هنا هاي مصرف
+
+123
+00:16:28,220 --> 00:16:31,820
+الطراوات المقدمة إجت إيش؟ ده، و إيش بدي يظهر معاه؟
+
+124
+00:16:31,820 --> 00:16:38,720
+ما يخص العام، هل من سؤال؟ نكمل الحديث هنا على
+
+125
+00:16:38,720 --> 00:16:43,910
+الإراداتنتحدث الآن عن حساب إيراد الأوراق المالية
+
+126
+00:16:43,910 --> 00:16:48,870
+الرصيد 5000 ما
+
+127
+00:16:48,870 --> 00:16:58,650
+يخص 4000 الفرق الرقمي 1000 لماذا؟ نعود إلى رقم 4
+
+128
+00:16:58,650 --> 00:17:05,630
+في السؤال حكيلنا 1000 بينار إيراد أوراق مالية فخص
+
+129
+00:17:05,630 --> 00:17:06,490
+عن إيش؟
+
+130
+00:17:13,960 --> 00:17:21,940
+الشركات ربط التجارية في ايش؟ ع ال 31.12.2015 إذا
+
+131
+00:17:21,940 --> 00:17:27,320
+هذا هو ميزان المراجعة لشركة ربط التجارية في 31.12
+
+132
+00:17:27,320 --> 00:17:31,320
+و بعمل قيود الكثرية في 31.12 كما هو في المطلوب إذا
+
+133
+00:17:31,320 --> 00:17:38,160
+نظرته إذا الآن لما حكلنا هنا ألف دنار تخص رقم تخص
+
+134
+00:17:38,160 --> 00:17:38,960
+عام
+
+135
+00:17:44,120 --> 00:17:48,500
+أنا محصر مقدمة، أتخذ فترة قادمة، إذا هنا هذا اسم
+
+136
+00:17:48,500 --> 00:17:55,560
+إيه؟ إيراد أبرار مالية مقدمة، والإيراد المقدم إيه؟
+
+137
+00:17:55,560 --> 00:18:01,740
+دائم، والإيراد المقدم دائم، طيب، هذا هو النقطة،
+
+138
+00:18:01,740 --> 00:18:06,440
+والنقطة التانية، وين ما في مقدم، إلي معالجتين،
+
+139
+00:18:06,440 --> 00:18:07,500
+الإيراد المقدم
+
+140
+00:18:21,550 --> 00:18:30,710
+هل يوجد كلمة مقدّم جنب إيراد الأوراق المالية؟ لا
+
+141
+00:18:30,710 --> 00:18:37,550
+إذا مانعوا الى ال cash كإيراد وهنا قيد التسويق
+
+142
+00:18:37,550 --> 00:18:38,070
+يكون
+
+143
+00:18:55,040 --> 00:19:04,120
+وبالفرق الرقمي، وبالفرق الرقمي، إذا كما نلاحظ إذا
+
+144
+00:19:04,120 --> 00:19:08,660
+كان الإيراد المقدم، إذا كان الإيراد المقدم يعالج
+
+145
+00:19:08,660 --> 00:19:14,860
+كإيراد، وكيف نعرف؟ نحتكم إلى ميزان المراجعة، هل
+
+146
+00:19:14,860 --> 00:19:18,800
+ذكرت كلمة مقدم مع الإيراد؟ لا، إذا علجت كإيراد،
+
+147
+00:19:18,800 --> 00:19:21,420
+إذا هنا الإيراد المقدم يكون الطرف الدائم
+
+148
+00:19:27,900 --> 00:19:38,760
+من الوجه الآخر وبعدين بنعلّق رصيد ما يخص
+
+149
+00:19:38,760 --> 00:19:47,140
+رصيد رصيد رصيد إيراد العقارات كان تلات ألاف
+
+150
+00:19:47,140 --> 00:19:52,660
+وتمنمية دولار ما يخص تلات ألاف وخمسمية الفرق
+
+151
+00:19:52,660 --> 00:19:55,140
+الرقمي كان تلاتمية
+
+152
+00:20:04,870 --> 00:20:10,590
+أحسنتم دائما لكن .. لكن الإيراد المقدم هنا بينا
+
+153
+00:20:10,590 --> 00:20:16,430
+نحتكم بينا نحتكم الان ها إيراد عقرار بيضيفوا
+
+154
+00:20:16,430 --> 00:20:24,070
+الفيلم هذه دفورة ضرورية هذه إيراد عقرار مقدم إذا
+
+155
+00:20:24,070 --> 00:20:27,110
+هنا كان دور كل اللي فيه مقدم و جهره في ميزانه و
+
+156
+00:20:27,110 --> 00:20:33,770
+راجعه مقدم إذا كان هنا إيش؟ كان اتزانهنكون من حساب
+
+157
+00:20:33,770 --> 00:20:38,030
+إيراد عقارات مقدمة إلى حساب إيراد عقارات مقدمة إذا
+
+158
+00:20:38,030 --> 00:20:43,430
+في هذه الحالة هنكون من حساب إيراد عقارات مقدمة إلى
+
+159
+00:20:43,430 --> 00:20:50,810
+حساب إيراد عقارات مقدمة و بما يخص العام و بما يخص
+
+160
+00:20:50,810 --> 00:20:55,550
+العام لأننا
+
+161
+00:20:55,550 --> 00:21:01,230
+.. لأننا إذا وجدنا الإيراد المقدم
+
+162
+00:21:10,480 --> 00:21:14,900
+معناه فعليك تلاقي سنة إذا بهذا يكون الإيراد المقدم
+
+163
+00:21:14,900 --> 00:21:21,900
+يأخذ الطرف المالي من قيد التسويق و يظهر معه ما يخص
+
+164
+00:21:21,900 --> 00:21:28,620
+ما يخص في العالم إذا بنظرة فاحسة عن الإيراد المقدم
+
+165
+00:21:28,620 --> 00:21:34,680
+في كل القيدين رقم أربعة و رقم خمسة نلاحظ أن
+
+166
+00:21:34,680 --> 00:21:39,520
+الإيراد المقدم هنا في إيراد الأوراق المالية إيراد
+
+167
+00:21:39,520 --> 00:21:45,580
+الأوراق الماليةمقدّم إذا احتكفنا إلى ميزان
+
+168
+00:21:45,580 --> 00:21:50,780
+المراجعة فهذا يدل أنه عولج كإيراد إذا الإيراد
+
+169
+00:21:50,780 --> 00:21:56,180
+المقدّم أخذ الطرف إيش؟ وبالفرق بينما إيراد
+
+170
+00:21:56,180 --> 00:22:02,780
+العقارات المقدّم هو إيراد المقدّم هنا موجود كلمة
+
+171
+00:22:02,780 --> 00:22:06,420
+مقدّم في ميزان المراجعة إذا إيش إيه؟ هيكون كالتزام
+
+172
+00:22:06,420 --> 00:22:10,980
+إذا المقدّم هيكون إيش؟ مدين و الرقم إيش هيظهر
+
+173
+00:22:10,980 --> 00:22:11,540
+معاه؟
+
+174
+00:22:15,860 --> 00:22:22,860
+الأهم أننا نذهب إلى رقم
+
+175
+00:22:22,860 --> 00:22:29,880
+6، رقم 6 يتحدث عن عمولة بالكية، رصيد ما يخص، كان
+
+176
+00:22:29,880 --> 00:22:38,340
+رصيد 200 دولار، وحكى أن هناك 80 دولار عمولة دائمة
+
+177
+00:22:39,300 --> 00:22:45,740
+لم تحصل عمولة دائنة لم تحصل اذا هنا الفرق الرقمي
+
+178
+00:22:45,740 --> 00:22:55,060
+80 اذا هنا عمولة دائنة مستحقة مستحقة لمين؟ للمشروع
+
+179
+00:22:55,060 --> 00:23:01,420
+يعني مدينة مستحقة للمشروع يعني ايه؟ يعني مدينة طيب
+
+180
+00:23:01,420 --> 00:23:07,940
+المستحقات لها معالجة واحدة المستحقات لها معالجة
+
+181
+00:23:07,940 --> 00:23:08,980
+واحدة
+
+182
+00:23:15,210 --> 00:23:23,090
+من حساب عمولة
+
+183
+00:23:23,090 --> 00:23:33,010
+دائمة مستحقة نعم إلى حساب عمولة دائمة و بالفرق
+
+184
+00:23:33,010 --> 00:23:33,590
+الرقمي
+
+185
+00:23:40,960 --> 00:23:44,640
+عمولة دائمة مستحقة للمشروع إيراد العمولة دائمة
+
+186
+00:23:44,640 --> 00:23:49,320
+إيراد والعمولة المدينة مصروفة هنا عمولة دائمة
+
+187
+00:23:49,320 --> 00:23:52,160
+مستحقة مدينة إذا هي إجت في الطرف المديني من قيد
+
+188
+00:23:52,160 --> 00:23:57,540
+التسوية والمستحقار في الفرق الرقمي هل بيسأل؟ نذهب
+
+189
+00:23:57,540 --> 00:24:00,960
+إلى آخر نقطة رقم سبعة في المطلوب الأول وهو اتباعت
+
+190
+00:24:00,960 --> 00:24:05,600
+القيود يتحدث عن الرسوم الجيولوجية هي رصيد وهنا ما
+
+191
+00:24:05,600 --> 00:24:10,930
+يخص خمسمية دنار وما يخص العام خمسميةالفرق الرقمي
+
+192
+00:24:10,930 --> 00:24:17,650
+إيش؟ سفر إذا هل يوجد تسوية لهذا القيادة؟ لا يوجد
+
+193
+00:24:17,650 --> 00:24:23,730
+تسوية يوجد إغفال؟ نعم إذا بهذا نكون انتهينا من
+
+194
+00:24:23,730 --> 00:24:31,090
+المطلوب الأول وهو إثبات قيود التسوية اللازمة في 31
+
+195
+00:24:31,090 --> 00:24:39,690
+أتناش 2015 في دفاتر شركة روبا التجاريةفي دفاقة
+
+196
+00:24:39,690 --> 00:24:45,070
+الشركة Drupad التجارية طيب ننتقل إلى المطلوب
+
+197
+00:24:45,070 --> 00:24:50,130
+الثاني المطلوب الثاني المطلوب الثاني وهو بيان
+
+198
+00:24:50,130 --> 00:24:56,170
+الأقل على الحسابات الختامية والهزارية والحساب
+
+199
+00:24:56,170 --> 00:25:01,850
+الختام الأول كما قلنا هو حساب المتاجرة والحساب
+
+200
+00:25:01,850 --> 00:25:07,910
+الختام الثاني هو حسابالأرباح والخسار ومن ثم
+
+201
+00:25:07,910 --> 00:25:14,770
+الميزانية إذا هذه الحسابات الخيطانية والميزانية
+
+202
+00:25:14,770 --> 00:25:21,770
+موجودة أمامنا الآن بتبين الأثر عليها لبيان الأثر
+
+203
+00:25:21,770 --> 00:25:28,830
+عليها نعود إلى المطلوب الأول ومن خلال الإباح
+
+204
+00:25:28,830 --> 00:25:35,880
+المحاسب نستطيع نقل أرقام فقط وبصحة عاليةالان نأتي
+
+205
+00:25:35,880 --> 00:25:42,200
+الى رقم واحد يتحدث عن من؟ مصروف الإعلان المصروف
+
+206
+00:25:42,200 --> 00:25:47,280
+الإعلان من عناصر مين؟ متاجر المربع الخسائر مين بدي
+
+207
+00:25:47,280 --> 00:25:54,960
+يجاوب؟ تفضلي إلى حساب
+
+208
+00:25:54,960 --> 00:26:03,480
+مصاريف إعلان مصاريف إعلان 1500 نعم هذه أول نقطة
+
+209
+00:26:10,200 --> 00:26:14,880
+طيب الآن مصروف إعلان مقدم مدين و درو على وين؟
+
+210
+00:26:14,880 --> 00:26:20,220
+ميزانية الان حكينا يا صغارة ان إيش الإيرادات زاد
+
+211
+00:26:20,220 --> 00:26:27,460
+المصرفات الفرق برو على وين؟ على الميزانية و ما يخص
+
+212
+00:26:27,460 --> 00:26:34,800
+برو عالميا؟ متاجرة أرباح و خسار و لا إيش دخل طيب
+
+213
+00:26:34,800 --> 00:26:39,820
+الان مصروف إعلان مقدم مدينيعني في الميزانية بنقول
+
+214
+00:26:39,820 --> 00:26:49,120
+هنا الأصول المتداولة و هنا الالتزامات و بنبدأ نعمل
+
+215
+00:26:49,120 --> 00:26:54,180
+فضلي لورا كم ده تجاوب نفضل في الأصول بنقول مصروف
+
+216
+00:26:54,180 --> 00:27:03,700
+إعلان مقدم خمسمية مصروف إعلان مقدم خمسمية طيب
+
+217
+00:27:03,700 --> 00:27:05,940
+و أنا سير على ذلك
+
+218
+00:27:10,950 --> 00:27:16,190
+يا الله، مين جاوب؟ تفضلي. ست آلاف إلى حساب مصروف
+
+219
+00:27:16,190 --> 00:27:23,990
+راتب. ست آلاف إلى حساب مصروف راتب. طيب، مصروف
+
+220
+00:27:23,990 --> 00:27:28,970
+الراتب المقدم، مصروف
+
+221
+00:27:28,970 --> 00:27:40,520
+راتب مقدم، اللي هو كام؟ سبعمية دولار. طيباحنا بدنا
+
+222
+00:27:40,520 --> 00:27:48,100
+الكل يشارك الارقم تلاتي مصاريف نقل مشتريات احنا
+
+223
+00:27:48,100 --> 00:27:50,640
+بدنا الكل يشارك واحد اتنين تلاتة اربعة بس اللي
+
+224
+00:27:50,640 --> 00:27:58,220
+بيشارك بطل العراي بلايها، تفضلي إلى حساب .. إلى
+
+225
+00:27:58,220 --> 00:28:07,420
+حساب اللي هو إيش مصارية نقل مشتريات كم قلنا ألف ما
+
+226
+00:28:07,420 --> 00:28:13,410
+يخص العامة اللي يقفلطيب، مصروف نقل مشتريات، مصروف
+
+227
+00:28:13,410 --> 00:28:20,490
+نقل مشتريات مستحقة دائمة، مصروف مشتريات مستحقة
+
+228
+00:28:20,490 --> 00:28:25,870
+دائمة، تفضلي، التزاماش، إذا هنا، مصروف نقل
+
+229
+00:28:25,870 --> 00:28:29,510
+مشتريات،
+
+230
+00:28:29,510 --> 00:28:37,210
+كام؟ مية دنار، مية دنار، بنكمل لكل انت اللي معاه،
+
+231
+00:28:37,210 --> 00:28:38,230
+رقم أربعة
+
+232
+00:29:00,150 --> 00:29:05,870
+طيب إيراد الأوراق المالية المقدمة دائما يلا مين
+
+233
+00:29:05,870 --> 00:29:12,010
+واج جديد؟ فضلك ألف إيراد أوراق مالية مقدمة ألف
+
+234
+00:29:12,010 --> 00:29:18,590
+إيراد أوراق مالية مقدمة لحظة إيراد الأوراق المالية
+
+235
+00:29:18,590 --> 00:29:28,030
+المقدمة دائما إذا هنا ظهرت مع الاتزامات طيب
+
+236
+00:29:28,030 --> 00:29:32,650
+نكملالآن نأتي إلى إيراد العقارات، إيراد العقارات
+
+237
+00:29:32,650 --> 00:29:42,270
+من عناصر حساب الأرباح والخسارة تلات
+
+238
+00:29:42,270 --> 00:29:49,250
+تالاف و خمسمية من حساب إيراد عقارات،
+
+239
+00:29:49,250 --> 00:29:54,510
+بينما إيراد العقارات المقدم إيش؟ دائم، دائم شايفين
+
+240
+00:29:54,510 --> 00:29:56,210
+أهمية الإباحي المحاسبي؟
+
+241
+00:30:24,830 --> 00:30:33,950
+هذه 280 من حساب عمولة بنكية دائنة، هذه العمولة
+
+242
+00:30:33,950 --> 00:30:39,170
+بنكية دائنة إيراد، عمولة بنكية دائنة مستحقة إيش؟
+
+243
+00:30:39,170 --> 00:30:44,710
+فطريق، إذا هنا 80 دولار عمولة
+
+244
+00:31:00,970 --> 00:31:07,690
+يظهر في الميزانية؟ لا، هل يوجد شيء يُقفل؟ نعم،
+
+245
+00:31:07,690 --> 00:31:13,710
+نعمان، تسوية لا، اقفال نعم، إذا عندنا الرسوم
+
+246
+00:31:13,710 --> 00:31:19,030
+الجمهورية 500 تُقفل في مين طيب؟ أنا بدور عواجز دي
+
+247
+00:31:34,340 --> 00:31:42,300
+مصاريف نقل تقفل في حساب المتاجرة اذا هنا 500 دولار
+
+248
+00:31:42,300 --> 00:31:52,580
+الى حساب مصاريف رسوم جمركية الى حساب مصاريف رسوم
+
+249
+00:31:52,580 --> 00:32:00,060
+جمركية اذا كما تلاحظون نلاحظ اننا قمنا ببيان الأثر
+
+250
+00:32:00,060 --> 00:32:10,240
+على جميع الحسابات هل من السؤالطيب الآن قلنا في
+
+251
+00:32:10,240 --> 00:32:15,780
+المطلوب التاني بيان الأخر على الحسابات الختمية
+
+252
+00:32:15,780 --> 00:32:24,300
+لشركة روبا التجارية في واحد و تلاتين اتناش ألفين و
+
+253
+00:32:24,300 --> 00:32:31,660
+خمس عشر إذا انتما نلاحظ حساب هذه حساب المتاجرة
+
+254
+00:32:31,660 --> 00:32:35,800
+قلنا بيان الأخر هل قمنا بجمع المدين والدائن؟
+
+255
+00:32:40,220 --> 00:32:47,160
+لأنه لا يوجد على أرض الواقع حساب متاجرة وشركة
+
+256
+00:32:47,160 --> 00:32:52,580
+حسابات فقط تتمثل في الرسوم والنقل وأين باقي
+
+257
+00:32:52,580 --> 00:32:55,800
+العناصر التي تحدثنا فيها في المحاضرة الأولى
+
+258
+00:32:55,800 --> 00:33:04,740
+المصورة عناصر حساب المتاجرة مبيعات ومشتهيات وما
+
+259
+00:33:04,740 --> 00:33:06,160
+يتعلق بهم
+
+260
+00:33:09,610 --> 00:33:13,530
+لأنه لا يجوز .. لا يجوز الرصد من طلع الرصيد و هو
+
+261
+00:33:13,530 --> 00:33:18,110
+كذلك في ميزان كذلك في الأرباح والخسار أو الميزانية
+
+262
+00:33:18,110 --> 00:33:22,230
+لا يجوز لأن هل في ميزانية بس هل عناصر .. طب وين
+
+263
+00:33:22,230 --> 00:33:26,170
+صندوقها؟ وين الفن؟ وين الدقنون؟ وين المدنون؟ وين
+
+264
+00:33:26,170 --> 00:33:32,690
+الأصول التابعة؟ أين؟ وأين؟ وأين؟ وأين؟ وأين؟ تمام؟
+
+265
+00:33:32,690 --> 00:33:37,130
+هل مني سؤال؟ أي
+
+266
+00:33:37,130 --> 00:33:38,530
+سؤال يا صباحي أعظم؟
+
+267
+00:33:45,590 --> 00:33:48,950
+أربعة تلاف وما ياخد خمس في ألف كيف بنجيب المهدد؟
+
+268
+00:33:48,950 --> 00:33:55,050
+يعني بننقص، بنجمع؟ ايه ايه؟ اي رقم؟ اي رقم؟ خمسة؟
+
+269
+00:33:55,050 --> 00:33:58,410
+هي رقم خمسة؟ لا، اربعة رقم اربعة رقم اربعة، ماشي
+
+270
+00:33:58,410 --> 00:34:02,490
+رقم اربعة لو عدتي ونظرتي إلى المعلومات اللي تحت
+
+271
+00:34:02,490 --> 00:34:09,370
+الجدول مكتوب طبعا هي في خمس تلاف هيا، شايفين؟خمس
+
+272
+00:34:09,370 --> 00:34:13,450
+تلاف نقول هنا كلمة رصيد معناها رصيد من واقع ميزان
+
+273
+00:34:13,450 --> 00:34:16,870
+المراجعة الأولى المبلغ اللى ظهر هدول خمس تلاف
+
+274
+00:34:16,870 --> 00:34:21,350
+معناهم ايش حصنا و أتبتا في اليومية و نقل إلى
+
+275
+00:34:21,350 --> 00:34:24,850
+الأستاذ و من ثم خدنا رصيدهم و ظهروا في ميزان
+
+276
+00:34:24,850 --> 00:34:28,250
+المراجعة الأولى الآن في نهاية العام حكالنا في
+
+277
+00:34:28,250 --> 00:34:32,870
+المعلومة رقم أربعة ألف دينار إيراد أوراق مالية تخص
+
+278
+00:34:32,870 --> 00:34:39,970
+عام2016 اذا انا بكون محصلة في ال 15 مقدم فالخبر
+
+279
+00:34:39,970 --> 00:34:44,650
+مقدم اذا عشان هيك انا هنا حكيت 4000 خص لها و ال
+
+280
+00:34:44,650 --> 00:34:50,150
+1000 مقدم و هنا عليها احتكبنا هنا نجنا عولش كإراد
+
+281
+00:34:50,150 --> 00:34:54,190
+فعشان هيك إراد الأوراق المالية المقدمة اجت ايش
+
+282
+00:34:54,190 --> 00:35:01,290
+دائمة هل من السؤال اخر اخران اذا بهذا نكون انتهينا
+
+283
+00:35:03,050 --> 00:35:09,850
+انتهينا من موضوع جرد الإيرادات والمصرفات وفي
+
+284
+00:35:09,850 --> 00:35:17,670
+المحاضرة القادمة سوف نبدأ بالحديث عن جرد الأصول
+
+285
+00:35:17,670 --> 00:35:19,210
+الثابتة
+
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/BCUqzpJHD1k_postprocess.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/BCUqzpJHD1k_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..052be8c56d60aaa8124c78530d59cda14781ad78
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/BCUqzpJHD1k_postprocess.srt
@@ -0,0 +1,1340 @@
+1
+00:00:20,910 --> 00:00:26,730
+أخواتي استكمالا لما صبق بالحديث عن طرق اهتلاك
+
+2
+00:00:26,730 --> 00:00:31,550
+الأصول الثابت الأربعة وهي طريقة القصد الثابت
+
+3
+00:00:31,550 --> 00:00:37,010
+والمتناقص ومجموع السنوات وطريقة وحدات الإنتاج
+
+4
+00:00:37,010 --> 00:00:42,310
+عرضنا هذا الموضوع وفق كل طريقة على حدة ورئالية
+
+5
+00:00:42,310 --> 00:00:48,180
+معينة اليوم سيكون هناك سؤال شاملوالسؤال الشامل
+
+6
+00:00:48,180 --> 00:00:54,300
+سيكون ممثلا بميزان المراجعة الأولى بميزان المراجعة
+
+7
+00:00:54,300 --> 00:01:06,600
+الأولى وبالتالي نقول ظهرت الأرصد التالية في
+
+8
+00:01:06,600 --> 00:01:16,640
+ميزان المراجعة الأولى لشركة الرائد
+
+9
+00:01:17,640 --> 00:01:25,520
+التجارية لشركة الرائد التجارية في واحد و تلاتين
+
+10
+00:01:25,520 --> 00:01:36,440
+اتناش في واحد و تلاتين اتناش الفين و خمستاشر إذا
+
+11
+00:01:36,440 --> 00:01:42,060
+هنا في مالي الأرصداء
+
+12
+00:01:42,060 --> 00:01:54,170
+المستخرجة من ميزانالمراجعة الأولى لشركات الرائد
+
+13
+00:01:54,170 --> 00:02:02,250
+التجارية في 31 اتناش 2015 إذا هذا هو ميزان
+
+14
+00:02:02,250 --> 00:02:10,210
+المراجعة مدينة دائمة اسم الحساب الأراضي 12000
+
+15
+00:02:10,210 --> 00:02:18,140
+دينار ونعلم أن الأصول الثابتة مدينةأيضا المباني
+
+16
+00:02:18,140 --> 00:02:22,460
+مجمع
+
+17
+00:02:22,460 --> 00:02:33,760
+احتلال المباني هنا هي 18000 المجمع 1060 والمجمع
+
+18
+00:02:33,760 --> 00:02:43,580
+دائم المجمع دائم بينما الآلات ومجمع
+
+19
+00:02:43,580 --> 00:02:46,180
+احتلال الآلات
+
+20
+00:02:48,240 --> 00:03:08,580
+3600 دينار و 1600 دينار و أخيرا الأثات 2400
+
+21
+00:03:08,580 --> 00:03:14,860
+الأثات و هذه مجمعة 2400
+
+22
+00:03:15,660 --> 00:03:22,800
+وهي تمانمية بينما السيارات وهي مجمع احتلاق
+
+23
+00:03:22,800 --> 00:03:26,780
+السيارات
+
+24
+00:03:26,780 --> 00:03:30,480
+ستاشر
+
+25
+00:03:30,480 --> 00:03:37,060
+الف و خمسمية السيارات ستاشر الف و خمسمية ولكن ليس
+
+26
+00:03:37,060 --> 00:03:46,660
+لها مجمعإذا هذا هو ميزان المراجعة الأولى لشركة
+
+27
+00:03:46,660 --> 00:03:53,160
+الرائد التجارية فإذا
+
+28
+00:03:53,160 --> 00:03:59,440
+علمتي أن
+
+29
+00:03:59,440 --> 00:04:02,680
+واحد
+
+30
+00:04:02,680 --> 00:04:06,000
+يتم احتلاق الآلات
+
+31
+00:04:09,700 --> 00:04:23,940
+بمعدل 10% قسط متناقص 10% قسط متناقص رقم 2 يتم
+
+32
+00:04:23,940 --> 00:04:27,740
+احتلال السيارة
+
+33
+00:04:27,740 --> 00:04:39,170
+بطريقة القسط الثابت بطريقة القسط الثابت مع العلمان
+
+34
+00:04:39,170 --> 00:04:54,690
+قيمة الخردة مع العلم 2500 دولار و العمر 10 سنوات
+
+35
+00:04:54,690 --> 00:05:05,870
+رقم تلاتة يتم احتلاك الأثاث بطريقة
+
+36
+00:05:05,870 --> 00:05:18,170
+مجموعةسنوات الاستخدام مع العلم ان عمر الأثاث خمس
+
+37
+00:05:18,170 --> 00:05:24,730
+سنوات رقم
+
+38
+00:05:24,730 --> 00:05:29,510
+أربعة يتم
+
+39
+00:05:29,510 --> 00:05:36,430
+احتلاك المباني حسب طريقة القصة الثابت يتم احتلاك
+
+40
+00:05:36,430 --> 00:05:43,960
+المبانيحسب طريقة القصد الثابت بمعدل
+
+41
+00:05:43,960 --> 00:05:56,040
+6% سنويا بمعدل 6% سنويا علما بأن
+
+42
+00:05:56,040 --> 00:06:05,060
+علما بأن هناك جزء قيمته
+
+43
+00:06:07,080 --> 00:06:16,580
+أربع آلاف دينار أربع آلاف دينار وضيف وضيف في واحد
+
+44
+00:06:16,580 --> 00:06:23,460
+تمانية الفين وخمستاشر في واحد تمانية الفين
+
+45
+00:06:23,460 --> 00:06:30,000
+وخمستاشر إذا الرقم أربع يتم ارتلاك المباني بمعدل
+
+46
+00:06:30,000 --> 00:06:34,080
+ستة في المية سنويًا ستة في المية سنويًا قصة ثابت
+
+47
+00:06:34,080 --> 00:06:36,840
+وهناك
+
+48
+00:06:37,540 --> 00:06:44,800
+الجزء قيمته 4000 دنار وضيف للاصل اللي هو المباني
+
+49
+00:06:44,800 --> 00:06:54,860
+متى؟ في 1.8.2015 إذا هنا هذا الجزء هل نحسب له
+
+50
+00:07:06,940 --> 00:07:10,840
+رقم واحد اثبات
+
+51
+00:07:10,840 --> 00:07:14,720
+قيود
+
+52
+00:07:14,720 --> 00:07:24,320
+التسوية في 31 اتناش 2015 اتنين
+
+53
+00:07:24,320 --> 00:07:29,720
+تصوير حساب مجمع الاحتلال
+
+54
+00:07:37,950 --> 00:07:47,610
+لجميع الأسور لجميع الأسور رقم تلاتة إعداد ميزان
+
+55
+00:07:47,610 --> 00:07:53,970
+المراجعة بعد التسويات إعداد ميزان المراجعة بعد
+
+56
+00:07:53,970 --> 00:08:04,050
+إيه؟ بالتسويات رقم أربعة وأخيرا بيان الأثر على
+
+57
+00:08:04,050 --> 00:08:13,600
+حساب الأرباح والخسائروالميزانية الان نبدأ في عملية
+
+58
+00:08:13,600 --> 00:08:21,920
+الحل الان نبدأ في عملية الحل اذا الان عملية الاول
+
+59
+00:08:21,920 --> 00:08:25,800
+الشيء المطلوب الاول اللى هو رقم واحد قيود ايش
+
+60
+00:08:25,800 --> 00:08:29,920
+التسوية وقيود التسوية بتكون
+
+61
+00:08:34,400 --> 00:08:40,660
+هو إيش معناه التسوية إثبات مصروف الاحتلال الذي يخص
+
+62
+00:08:40,660 --> 00:08:50,800
+ال 2015 الذي يخص ال 2015 تمام نأتي نأتي إلى يا
+
+63
+00:08:50,800 --> 00:08:56,540
+رولا إلى رقم واحد ودعوني أقرأه والكل يتمعن معي فيه
+
+64
+00:08:56,540 --> 00:09:04,540
+وإن كان لا يوجد فيه أي مشكلة رقم واحديتم احتلاك
+
+65
+00:09:04,540 --> 00:09:08,760
+الآلات بمعدل عشرة في المقيمية قصد متناقص الان
+
+66
+00:09:08,760 --> 00:09:17,120
+اخوان هنا هاي اولا قاف المتناقص يساوي تا ماجس ايش؟
+
+67
+00:09:17,120 --> 00:09:25,200
+ضرب ايش؟ المعدل ضرب ايه؟ المعدل اه ميبدي اشاوب
+
+68
+00:09:25,200 --> 00:09:26,640
+اتفضلي في الأخير
+
+69
+00:09:31,000 --> 00:09:36,960
+يساوي تلت آلاف و ستمية ناقص الف و ستمية ضد عشرة
+
+70
+00:09:36,960 --> 00:09:44,540
+ملايين هاي هى بتحكي يساوي ايه؟ متين دنار، اذا بهذا
+
+71
+00:09:44,540 --> 00:09:51,500
+و ليس بجديد حسبنا يا هدى قصد ايش؟ الاحتلاف
+
+72
+00:09:51,500 --> 00:09:59,600
+المتناقص حسب ما هو معطى يا اسمه، تمام؟كملي القيد
+
+73
+00:09:59,600 --> 00:10:06,560
+من حساب
+
+74
+00:10:06,560 --> 00:10:15,460
+مصروف احتلال الاله الى حساب مجمع احتلال الاله
+
+75
+00:10:15,460 --> 00:10:21,780
+ممتاز 200 دنار
+
+76
+00:10:26,080 --> 00:10:32,060
+وأذكر هنا قيد التسوية .. قيد التسوية هو عبارة عن
+
+77
+00:10:32,060 --> 00:10:36,780
+إيه؟ قيد التسوية أو إثبات المصروف عبارة عن إيه؟
+
+78
+00:10:36,780 --> 00:10:42,800
+عبارة عن .. نقول من حساب مصروف الأصل اهتلاك الأصل
+
+79
+00:10:42,800 --> 00:10:48,200
+إلى حساب إيه؟ مجمع اهتلاك الأصل القيد .. قيد
+
+80
+00:10:48,200 --> 00:10:48,760
+التسوية
+
+81
+00:10:58,030 --> 00:11:02,270
+القيد التسوية لا يختلف من اصل الى اخر القيد ايه
+
+82
+00:11:02,270 --> 00:11:06,470
+النظري لا
+
+83
+00:11:06,470 --> 00:11:15,830
+يختلف الان نأتي لرقم اتنين نأتي الى قلبك نعم تفضلي
+
+84
+00:11:15,830 --> 00:11:20,370
+مين بيحكي؟ مين السؤال؟
+
+85
+00:11:31,700 --> 00:11:40,220
+اللي بعده رقم اتنين يتم احتلال السيارة بطريقة
+
+86
+00:11:40,220 --> 00:11:49,980
+القصد الثابت مع العلم بأن قيمة الخردة والعمر القصد
+
+87
+00:11:49,980 --> 00:11:54,020
+الثابت F تساوي T ناجس خيار
+
+88
+00:12:07,750 --> 00:12:13,550
+عطانا الموارد عالانون اذا عالانون اذا يساوي كام
+
+89
+00:12:13,550 --> 00:12:17,590
+فضلك ايوة
+
+90
+00:12:17,590 --> 00:12:25,550
+ستاشر الف ناقص الفين و خمسمية على عشرة عشر سنوات
+
+91
+00:12:25,550 --> 00:12:34,190
+هنا يساوي الف و اربعمية دولار اذا قيد التسوي يكون
+
+92
+00:12:39,520 --> 00:12:48,880
+من حساب مصاريف اهتلاف السيارات الى حساب مجمع
+
+93
+00:12:48,880 --> 00:12:55,580
+اهتلاف السيارات وهي 1400 للناس اللي سأل عن ال 200
+
+94
+00:12:55,580 --> 00:13:02,600
+هاي 1400 اللي هي حسبنا نصيب .. حسبنا نصيب .. نصيب
+
+95
+00:13:02,600 --> 00:13:05,940
+السنة 1400 إذا هي بسجلها ملقيت فضلوا
+
+96
+00:13:15,320 --> 00:13:25,300
+Okay ماشي هل من سؤال اخر هل من سؤال اخر الان الكل
+
+97
+00:13:25,300 --> 00:13:32,100
+يركز معايا الان الكل يركز معايا ماشي ماشي صار؟ طيب
+
+98
+00:13:32,100 --> 00:13:39,380
+الان تلاتة الان عند تلاتة بقول ايه؟يتم احتلاك
+
+99
+00:13:39,380 --> 00:13:44,460
+الأثاث بما .. إيه؟ حسب طريقة مجموعة السنوات مع
+
+100
+00:13:44,460 --> 00:13:52,580
+العلم بأن العمر كام؟ خمسة الآن .. الآن خمسة زائد
+
+101
+00:13:52,580 --> 00:13:56,920
+أربعة زائد اتنين تلاتة زائد اتنين زائد .. يساوي
+
+102
+00:13:56,920 --> 00:14:02,720
+إيش؟ خمستاشر الكل ينتبه معايا الكل ينتبه معايا
+
+103
+00:14:02,720 --> 00:14:08,140
+الآن مازال في مجموعة أسمين؟ إذا إيه؟اشنا نعمل ..
+
+104
+00:14:08,140 --> 00:14:12,440
+نعمل الحدود طيب، الآن قاف حسب مجموع السنوات تساوي
+
+105
+00:14:12,440 --> 00:14:21,860
+إيه؟ قاف تساوي T ناقص K ضرب إيش؟ يساوي، الآن هل في
+
+106
+00:14:21,860 --> 00:14:29,320
+خردة هنا للأثاث؟ لأ، إذا نقول وكم الأثاث؟ الفين
+
+107
+00:14:29,320 --> 00:14:35,420
+واربعمية، الفين واربعمية، إذا الفين واربعمية
+
+108
+00:14:40,000 --> 00:14:44,820
+الأثار فيها هي تكلفتها وهي مجمّع إلها لما نقول
+
+109
+00:14:44,820 --> 00:14:49,220
+إليها مجمّع معناها إن أنا اشتريتها في 2015 لأ لأ
+
+110
+00:14:49,220 --> 00:14:51,780
+لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ
+
+111
+00:14:51,780 --> 00:14:52,420
+لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ
+
+112
+00:14:52,420 --> 00:14:53,160
+لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ
+
+113
+00:14:53,160 --> 00:14:56,720
+لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ
+
+114
+00:14:56,720 --> 00:14:57,960
+لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ لأ
+
+115
+00:14:57,960 --> 00:15:01,060
+لأ
+
+116
+00:15:01,060 --> 00:15:01,560
+ل
+
+117
+00:15:10,420 --> 00:15:18,980
+خمس عشر هتساوي كام؟ هتساوي تمانمية دنار هتساوي
+
+118
+00:15:18,980 --> 00:15:24,660
+تمانمية دنار هتساوي
+
+119
+00:15:24,660 --> 00:15:29,760
+تمانمية دنار هتساوي تمانمية دنار هتساوي تمانمية
+
+120
+00:15:29,760 --> 00:15:32,460
+دنار هتساوي تمانمية دنار هتساوي تمانمية دنار
+
+121
+00:15:32,460 --> 00:15:34,980
+هتساوي تمانمية دنار هتساوي تمانمية دنار هتساوي
+
+122
+00:15:34,980 --> 00:15:36,620
+تمانمية دنار هتساوي تمانمية دنار هتساوي تمانمية
+
+123
+00:15:36,620 --> 00:15:38,820
+دنار هتساوي تمانمية دنار هتساوي تمانمية دنار
+
+124
+00:15:38,820 --> 00:15:38,840
+هتساوي تمانمية دنار هتساوي تمانمية دنار هتساوي
+
+125
+00:15:38,840 --> 00:15:43,170
+تمانمية دنار هتساوي تمانبقارن اللى طلع عندى هنا مع
+
+126
+00:15:43,170 --> 00:15:48,270
+اللى موجود ايه هنا هل تساوى قصة اهتيالات السنة
+
+127
+00:15:48,270 --> 00:15:51,610
+الأولى مع مع المجمع اللى ضاع في ميزان المراجعة
+
+128
+00:15:51,610 --> 00:15:56,070
+اللى هنا تساوى؟
+
+129
+00:15:56,070 --> 00:16:01,290
+تمام اذا بيكون انا الاصل عندى انا ممتلكله اكم سنة
+
+130
+00:16:01,290 --> 00:16:09,590
+قبل ال 15 سنة واحدة one year سنة ايه؟ واحدة
+
+131
+00:16:15,640 --> 00:16:21,120
+هو المجمة إذا هل هذا هو يخص ال 2015؟ لأ بضطر أحسب
+
+132
+00:16:21,120 --> 00:16:31,820
+إيش السنة التالية اللي هى A2 تساوي 2400 ضرب ممتاز
+
+133
+00:16:31,820 --> 00:16:45,430
+هتساوي 640 تساوي 640 إذا الآن ال 640 هيالتي تخص
+
+134
+00:16:45,430 --> 00:16:57,250
+يدانيا هي التي تخص عام 2015 هي التي تخص عام 2015
+
+135
+00:16:57,250 --> 00:17:05,250
+طيب برجع تاني بعيد مرة أخرى برجع تاني عيد مرة أخرى
+
+136
+00:17:05,250 --> 00:17:09,650
+الان انا لما بحسب جيت أحسب الأثار اطلعت ودلان
+
+137
+00:17:09,650 --> 00:17:14,890
+مجموعة السنوات الان قلتقفت ساعتها ناجس خضر من
+
+138
+00:17:14,890 --> 00:17:20,930
+المعدل 2400 الخردة في خردة مافيش ضرب المعدل السنة
+
+139
+00:17:20,930 --> 00:17:24,670
+الأولى إيش حصتها؟ خمس عليها؟ خمس على خمس ضربها طلع
+
+140
+00:17:24,670 --> 00:17:31,490
+معايا كدية؟ التمنمية بقارة التمنمية يا سجة بقارة
+
+141
+00:17:31,490 --> 00:17:38,630
+التمنمية مع مين؟ مع المجمع الموجود لكن احتلت السنة
+
+142
+00:17:38,630 --> 00:17:44,560
+الأولى يساوي المجمع اللي ظاهر في الميزانيةفى ميزان
+
+143
+00:17:44,560 --> 00:17:48,100
+المراجعة الأولى، إذا معناه إيش؟ معناه الأصل اللى
+
+144
+00:17:48,100 --> 00:17:54,040
+عندى إيش سنة واحدة، بالتالي .. بالتالي بدأ أنا
+
+145
+00:17:54,040 --> 00:18:00,000
+أحسب إيش السنة التانية اللى هى تمثل فعلًا الفين و
+
+146
+00:18:00,000 --> 00:18:07,600
+إيش؟ الفين و إيش يا لها ده؟ الفين و خمستاشر
+
+147
+00:18:14,810 --> 00:18:18,870
+هو الآن فيه مجمع هنا معناها إيش؟ معناها الأصل له
+
+148
+00:18:18,870 --> 00:18:22,970
+كام سنة؟ معناها التمنمية هذه لمن؟ معناها لمن؟ لو
+
+149
+00:18:22,970 --> 00:18:27,570
+الآن هذه بتبثش الأثات، معناها لمن؟ لمن يبدأ تكون؟
+
+150
+00:18:27,570 --> 00:18:32,250
+هل بيبدأ تكون لغير الأثات؟ طبعا لا، للاثات، معناها
+
+151
+00:18:32,250 --> 00:18:36,450
+أن الأصل عندي .. شوية، الأصل عندي أنه له سنة،
+
+152
+00:18:36,450 --> 00:18:40,370
+فبضطر أحصل هذا و بسجل في القيد و هرجع تناعي، إذا
+
+153
+00:18:40,370 --> 00:18:47,470
+هنا بقول من حساب، مصروف، اهتلاكالأثار إلى حساب
+
+154
+00:18:47,470 --> 00:18:56,150
+مجمع اهتلاك ايش و بحط ايش 640 إذا اللذي يخص عام
+
+155
+00:18:56,150 --> 00:19:06,170
+2015 هو 640 هو 600 و 40 طيب ارجع عيد تاني ارجع
+
+156
+00:19:21,940 --> 00:19:30,480
+السنة الواحدة طيب الآن يا ولا بنروح لإيش فرضا فرضا
+
+157
+00:19:30,480 --> 00:19:34,540
+كان هذا الرقم هذا هذا الرقم فرضا هذا كان الرقم ألف
+
+158
+00:19:34,540 --> 00:19:40,300
+و أربعمية و أربعين الآن حسب حسب السنة الأولى طلع
+
+159
+00:19:40,300 --> 00:19:43,000
+التمنمية التمنمية تساوي ألف و أربعمية و أربعين
+
+160
+00:20:15,200 --> 00:20:23,800
+ننتقل الى رقم اربعة و ايضا لنا وقف معاهرقم اربعة
+
+161
+00:20:23,800 --> 00:20:35,160
+رقم اربعة اعيروني سمعكم اعيروني سمعكم الان رقم
+
+162
+00:20:35,160 --> 00:20:42,700
+اربعة رقم اربعة هذا بدي اقرأها و الكل يسمع معايا
+
+163
+00:20:42,700 --> 00:20:49,700
+ايش بدي اقول رقم اربعة رقم اربعة تقول يتم اهتلاك
+
+164
+00:20:49,700 --> 00:20:51,420
+يتم
+
+165
+00:20:53,320 --> 00:21:01,760
+يتم احتلاك المباني بمعدل 6% قصد ثابت يعني المباني
+
+166
+00:21:01,760 --> 00:21:07,720
+يتم احتلاكها سنويا .. سنويا يعني إيش؟ كل 12 شهر
+
+167
+00:21:07,720 --> 00:21:15,560
+يعني المعدل السنة كل 12 شهر جدين 6% ولكن هناك 4000
+
+168
+00:21:15,560 --> 00:21:22,180
+دنار من مين؟ من مين؟ من الـ 18 مات هدول أضيف إلا
+
+169
+00:21:22,180 --> 00:21:31,000
+الأصل؟واحد تمانية اذا اهو هاي التمنتاشر الف هاي
+
+170
+00:21:31,000 --> 00:21:35,820
+ايش مباني شركة الرائد التجارية مباني شركة الرائد
+
+171
+00:21:35,820 --> 00:21:40,740
+التجارية لان اخوات حكالي في صياق العبارة في اربع
+
+172
+00:21:40,740 --> 00:21:47,260
+تلاف ايش ها اربع تلاف وضيفة متى في واحد خمسة في
+
+173
+00:21:47,260 --> 00:21:50,980
+واحد ايه تمانية تمانية نعم يعني قصدي خمس شهور في
+
+174
+00:21:50,980 --> 00:21:57,780
+واحد ايهالباقي و الباقي على ايش هذا ايش هذا اتناشر
+
+175
+00:21:57,780 --> 00:22:01,480
+شهر لكن الان هذا من واحد تمانية حتى واحد و تلاتين
+
+176
+00:22:01,480 --> 00:22:08,460
+اتناشر كام شهر خمسة على ايش اتناشر تمام لكن هذا
+
+177
+00:22:08,460 --> 00:22:14,140
+اتناشر على ايش اتناشر تمام باشي احتاج ان اعيدها
+
+178
+00:22:14,140 --> 00:22:19,440
+قبل ما اكمل الان عندنا هنا زي ما حكيت الأصول
+
+179
+00:22:19,440 --> 00:22:22,960
+الثابتة المباني تمانتاشر الف دولار
+
+180
+00:22:25,970 --> 00:22:31,610
+العبارة قالتلي إيه؟ في جزء أضيف .. جزء أضيف متى؟
+
+181
+00:22:31,610 --> 00:22:35,670
+في واحد تمانية هل هذا الجزء كما قلت سابقا عندما
+
+182
+00:22:35,670 --> 00:22:39,850
+اتحدثت عن السؤال هل الجزء اللي أضيف في واحد تمانية
+
+183
+00:22:39,850 --> 00:22:43,190
+أحسبله عن سنة كامة اهتلاق؟
+
+184
+00:22:52,580 --> 00:22:56,840
+يعني خمسة على اتناش درهم ستة في المية يساوي مية
+
+185
+00:22:56,840 --> 00:23:03,560
+درار مية درار وهذه الاربعتاش اللي هتطلبها ستة في
+
+186
+00:23:03,560 --> 00:23:08,800
+المية هتطلع تمانمية و ايه تمانمية و اربعين تمانمية
+
+187
+00:23:08,800 --> 00:23:16,920
+و اربعين اذا .. اذا مصروف الاحتلال اللي بخص عام
+
+188
+00:23:16,920 --> 00:23:24,830
+الفين و خمستاش كامالواجهة كام؟ تسعمائة و أربعين ..
+
+189
+00:23:24,830 --> 00:23:29,730
+نسجع تاني نعيدها قبل أن نثبت القيادة ..الأن الأصول
+
+190
+00:23:29,730 --> 00:23:33,930
+الثابتة تمنتاشر ألف ..الأصول الثابتة اللي هي
+
+191
+00:23:33,930 --> 00:23:37,670
+المؤثرة في المبالي في شركة الرائد التجارية تمنتاشر
+
+192
+00:23:37,670 --> 00:23:45,210
+ألف .. التمنتاشر ألف في .. ها .. التمنتاشر ألف في
+
+193
+00:23:45,210 --> 00:23:50,170
+مجمع ولا ..إيش معناه؟ معناه إنه هذه المباني مملوكة
+
+194
+00:23:50,170 --> 00:23:55,990
+إلي من قبل، مش من 2015، من قبل 2015، لكن ها قال لي
+
+195
+00:23:55,990 --> 00:24:01,250
+إيه؟ في 4000 وضيفة، يعني زي ما نعمل طول للسيارة،
+
+196
+00:24:01,250 --> 00:24:06,570
+نعمل طابق، طابق في المبنى، زورناه طابق، مش إضافة،
+
+197
+00:24:06,570 --> 00:24:10,070
+إضافة، لكن هذه الإضافة كانت إيش؟ في واحد تمانية،
+
+198
+00:24:10,070 --> 00:24:13,090
+إذا من واحد تمانية حتى واحد تلاتين واتناشر كام شهر
+
+199
+00:24:13,610 --> 00:24:19,350
+5 ع 12، ليش ع 12؟ لأن ال 6% سنويًا، ال 6% سنوية
+
+200
+00:24:19,350 --> 00:24:24,690
+عشان قلت إيش، عشان قلت إيش، هنا إيش، إتناشر، بينما
+
+201
+00:24:24,690 --> 00:24:30,150
+ال 14000 هي لسنة كامة، بقى بال 6% مباشرة أو 12 على
+
+202
+00:24:30,150 --> 00:24:36,870
+إيش، إتناشر، هل من السؤال؟ إذا هذا مصروف المباني،
+
+203
+00:24:36,870 --> 00:24:43,310
+القيد كما قلت، لا يختلف نظريًاعشان نحكي من حساب
+
+204
+00:24:43,310 --> 00:24:49,470
+مصروف احتلال المباني
+
+205
+00:24:49,470 --> 00:24:53,190
+الى حساب مجموع احتلال مجمع احتلال المباني بقيمة
+
+206
+00:24:53,190 --> 00:25:03,490
+940 احتلال المباني 940 940 اذا بهذا نكون انتهينا
+
+207
+00:25:03,490 --> 00:25:07,410
+من
+
+208
+00:25:07,410 --> 00:25:14,250
+غيوض التسويقمن قيود التسويق وطبعا اخوات لو بدوا
+
+209
+00:25:14,250 --> 00:25:19,090
+قيود اغفال مالذي يُقفل في حساب الأرباح والخسائق؟
+
+210
+00:25:19,090 --> 00:25:24,570
+مالذي يُقفل في ملخص الدخل؟ هو مصروف الاحتلال الذي
+
+211
+00:25:24,570 --> 00:25:32,130
+يخص ايش؟ يخص عم ايش؟ يخص عم ايش غدا؟ 2015 يخص عم
+
+212
+00:25:32,130 --> 00:25:38,410
+ايش؟ 2015 اذا هذا المقلوب انتهينا منهننتقل إلى
+
+213
+00:25:38,410 --> 00:25:44,830
+المطلوب التاني وهو تصوير الان المطلوب رقم اتنين
+
+214
+00:25:44,830 --> 00:25:54,830
+تصوير التصوير تمام الان اول شئ منها حساب حساب مثلا
+
+215
+00:25:54,830 --> 00:26:04,450
+حساب اللي هو مجمع احتلال الالات الالات تمام الان
+
+216
+00:26:04,450 --> 00:26:11,650
+اخرج وادي النقطةليس بجديدة بل الفكرة واضحة من
+
+217
+00:26:11,650 --> 00:26:15,790
+محاسبة واحد عندما كنا نصور أي حساب في محاسبة واحد
+
+218
+00:26:15,790 --> 00:26:19,010
+البنك الصندوق المشتريات المبيعات وغير ذلك من هذه
+
+219
+00:26:19,010 --> 00:26:26,610
+الأمور أول شيء هل له رصيد سابق ننظر إلى ميزان
+
+220
+00:26:26,610 --> 00:26:32,670
+المراجعة هل له رصيد سابق الآلاء نعم المجمع دائم
+
+221
+00:26:32,670 --> 00:26:40,660
+ولا مدين دائم إذا هنا الف و ستميةرصيد سابق من وين
+
+222
+00:26:40,660 --> 00:26:45,100
+جبته؟ من ميزان المراجعة الأولى لها رصيد ومن ثم
+
+223
+00:26:45,100 --> 00:26:55,240
+نأتي إلى الألات من قيد التسوية من حساب مصروف إذا
+
+224
+00:26:55,240 --> 00:27:04,280
+ها هاي 200 من حساب مصروف اتلاق الألات بعد ذلك كما
+
+225
+00:27:04,280 --> 00:27:06,280
+كنا نعمل في محاسبة واحدة
+
+226
+00:27:12,350 --> 00:27:18,250
+و ايهم اكبر ايه؟ 1800 1800
+
+227
+00:27:18,250 --> 00:27:26,190
+1800 1800 رصيد دائم ممتاز 1800 رصيد دائم كما قلنا
+
+228
+00:27:26,190 --> 00:27:33,150
+سابقا المجمع رصيده دائم المصروف الاحتلال رصيده
+
+229
+00:27:33,150 --> 00:27:39,870
+مدينة الاصل رصيده مدينة هذا حساب مجمع احتلال
+
+230
+00:27:39,870 --> 00:27:48,690
+القلادننتقل إلى حسار مجمع احتلاق ايش؟ السيارات
+
+231
+00:27:48,690 --> 00:27:53,910
+يالا مين يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي
+
+232
+00:27:53,910 --> 00:27:54,350
+يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي
+
+233
+00:27:54,350 --> 00:27:57,570
+يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي
+
+234
+00:27:57,570 --> 00:27:59,890
+يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي يجي
+
+235
+00:27:59,890 --> 00:28:07,550
+يجي يجي يجي يجي يجي يجي يجي
+
+236
+00:28:12,210 --> 00:28:21,170
+فنقول 1400 من حساب مصروف احتلال السيارة إلى حساب
+
+237
+00:28:21,170 --> 00:28:27,170
+المجمع .. إلى حساب المجمع وبعد ذلك نقوم بعملية
+
+238
+00:28:27,170 --> 00:28:32,510
+إيش؟ نرصد .. زي ما حكينا .. زي ما كنا نعمل في
+
+239
+00:28:32,510 --> 00:28:37,130
+البنك وفي الصندوق وفي المشتركات وفي المبيعات 1400
+
+240
+00:28:37,130 --> 00:28:40,870
+رصيد دائم
+
+241
+00:28:42,140 --> 00:28:46,640
+أه رصيد دائم يروحها للعام القادم و يجلي وراه و
+
+242
+00:28:46,640 --> 00:28:53,840
+نجمع معاها طيب الآن يوصل حساب مين؟ حساب مجمع
+
+243
+00:28:53,840 --> 00:29:02,240
+احتلال الأثاث حساب مجمع احتلال الأثاث طيب الآن
+
+244
+00:29:02,240 --> 00:29:08,600
+الأثاث هل لها؟ نعم و من خلال حساب قصد الاحتلال
+
+245
+00:29:08,600 --> 00:29:16,850
+تبين أن الأثاثتم اقتناعها قبل عام تمام؟ قبل عام
+
+246
+00:29:16,850 --> 00:29:21,590
+لها رصيد وطلع الرصيد يساوي القصة التي لها في السنة
+
+247
+00:29:21,590 --> 00:29:26,030
+الأولى يعني لها ايه؟ سنة واحدة طيب هاي 800 ميصر
+
+248
+00:29:26,030 --> 00:29:26,790
+رصيد
+
+249
+00:29:54,810 --> 00:30:03,690
+حساب مجمع احتلاق المباني حساب مجمع احتلاق المباني
+
+250
+00:30:13,350 --> 00:30:16,150
+تسعمية واربعين من حساب مصروف احتلال المباني تسعمية
+
+251
+00:30:16,150 --> 00:30:22,610
+واربعين من حساب مصروف احتلال المباني تسعمية
+
+252
+00:30:22,610 --> 00:30:24,450
+واربعين من حساب مصروف احتلال المباني تسعمية
+
+253
+00:30:24,450 --> 00:30:26,510
+واربعين من حساب مصروف احتلال المباني تسعمية
+
+254
+00:30:26,510 --> 00:30:29,170
+واربعين من حساب مصروف احتلال المباني تسعمية
+
+255
+00:30:29,170 --> 00:30:32,410
+واربعين من حساب مصروف احتلال المباني تسعمية
+
+256
+00:30:32,410 --> 00:30:35,730
+واربعين من حساب مصروف احتلال المباني تسعمية
+
+257
+00:30:35,730 --> 00:30:39,590
+واربعين من حساب مصروف احتلال المباني تسعمية
+
+258
+00:30:39,590 --> 00:30:44,410
+واربعين من حساب مصروف احتلال المبانالى المطلوب
+
+259
+00:30:44,410 --> 00:30:51,070
+نأتي الان الى المطلوب الرابع و نؤجل التالت المطلوب
+
+260
+00:30:51,070 --> 00:30:59,430
+ايه؟ بيان الأسر اذا هي حساب الأرباح و الخسائر
+
+261
+00:30:59,430 --> 00:31:06,250
+و قلنا ان حساب الأرباح و الخسائر الطرف المدين و هو
+
+262
+00:31:06,250 --> 00:31:13,210
+عبارة عن ايش؟ و الطرف الدين عبارة عن ايش؟ إرادةإذا
+
+263
+00:31:13,210 --> 00:31:19,710
+هنا هل الأراضي لها مصروف احتلاق؟ لأ لأن الأراضي لا
+
+264
+00:31:19,710 --> 00:31:24,690
+يتم احتلاقها على الإطلاق بينما الآن نأتي ها يالا
+
+265
+00:31:24,690 --> 00:31:32,630
+مين بدي اجابت؟ مين بدي اجابت؟ اقولي تفضلي حساب
+
+266
+00:31:32,630 --> 00:31:41,290
+مصروف احتلاق الآلات قداش؟ 200 طيب السيارات
+
+267
+00:31:47,030 --> 00:31:54,270
+الف اربعمية الى حساب مصروف اهتلاك السيارات لبعده
+
+268
+00:31:54,270 --> 00:32:00,450
+تفضلي 640
+
+269
+00:32:00,450 --> 00:32:06,710
+الى حساب مصروف اهتلاك الأثاث
+
+270
+00:32:06,710 --> 00:32:09,990
+الهناك أخر شيء
+
+271
+00:32:15,050 --> 00:32:21,130
+الى حساب مصروف احتلاق المباني كام؟ 940 مصروف
+
+272
+00:32:21,130 --> 00:32:29,750
+احتلاق المباني اذا كما نلاحظ ان نصيب العام من
+
+273
+00:32:29,750 --> 00:32:35,130
+مصروف الاحتلاق هو الذي يظهر او يقفل في حساب
+
+274
+00:32:35,130 --> 00:32:43,370
+الأرباح والخسائر او ملخص الدخل هل من سؤالننتقل
+
+275
+00:32:43,370 --> 00:32:51,790
+الان إلى الميزانية الميزانية الميزانية هنا في 31
+
+276
+00:32:51,790 --> 00:33:01,070
+اتناش 2015 و كذلك هنا في 31 اتناش 2015 الان كما
+
+277
+00:33:01,070 --> 00:33:05,990
+نعلم نحن نتحدث عن الأصول الثابتة إذا لابد أن تندرج
+
+278
+00:33:05,990 --> 00:33:15,190
+تحت ايش الأصول الأصول الثابتةالان ننظر اول شيء
+
+279
+00:33:15,190 --> 00:33:22,030
+الاراضي الاراضي هل الاراضي اتناشر الف الاراضي هي
+
+280
+00:33:22,030 --> 00:33:28,690
+اتناشر الف ليس لها مجمة وكما قلنا سابقا ان الاصل
+
+281
+00:33:28,690 --> 00:33:34,390
+الثابت يظهر في الميزانية بتكلفته التاريخية
+
+282
+00:33:34,390 --> 00:33:42,930
+طوارحياته مطروحا منه مجمع الاحتلال طرحا شكلياإذا
+
+283
+00:33:42,930 --> 00:33:52,070
+أول شيء مثلا المباني المباني مطروح منها إيش؟ مطروح
+
+284
+00:33:52,070 --> 00:33:58,430
+منها مجمع الاحتلال، الآن المباني بتكلفتها
+
+285
+00:33:58,430 --> 00:33:59,710
+التاريخية كام؟
+
+286
+00:34:12,350 --> 00:34:18,630
+وينك يا مباني؟ وينك يا مباني؟
+
+287
+00:34:18,630 --> 00:34:23,310
+المجمعها السابق المجمع حتى هذا اللحظة كده؟ 2000
+
+288
+00:34:23,310 --> 00:34:32,430
+إذا هاي 2000 إذا هاي 16000 ناقص طبعا الأصل يظهر
+
+289
+00:34:32,430 --> 00:34:38,610
+بتكلفته التاريخية مطروحا منه المجمع طرحا إيش؟ طرحا
+
+290
+00:34:38,610 --> 00:34:41,690
+شكليا اللي بعده مثلا
+
+291
+00:34:49,220 --> 00:34:55,860
+الآلات كم؟ تلت آلاف وستمية، واحدة واحدة، تلت آلاف
+
+292
+00:34:55,860 --> 00:35:02,020
+وستمية، مجمع .. مجمع الآلات .. مجمع الآلات كام؟
+
+293
+00:35:02,020 --> 00:35:09,080
+مجمع الآلات الف و تمانمية، هذه الف و تمانمية، إذا
+
+294
+00:35:09,080 --> 00:35:11,700
+الصاف يكون الف و تمانمية
+
+295
+00:35:20,710 --> 00:35:25,770
+الأثات كام؟ هي التكلفة التاريخية، التكلفة
+
+296
+00:35:25,770 --> 00:35:32,630
+التاريخية، الفين واربعمية، الأثات، الأثات اللي هي
+
+297
+00:35:32,630 --> 00:35:40,710
+مجمعها كام؟ ألف واربعمية واربعين، إذا هيبقى عندنا
+
+298
+00:35:40,710 --> 00:35:47,390
+كام؟ تسعمية وستين، وها كذا الأخيرة
+
+299
+00:35:50,280 --> 00:35:55,020
+السيارات كانت موجودة السيارات كانت
+
+300
+00:36:39,360 --> 00:36:47,880
+العامل هو ميزان المراجعة النهائي
+
+301
+00:36:50,820 --> 00:36:56,880
+الرائد التجارية التجارية اللي هي في واحد و تلاتين
+
+302
+00:36:56,880 --> 00:37:02,520
+اتناش ألفين و خمسة ألف الان اخد طبعا هي ميزان
+
+303
+00:37:02,520 --> 00:37:09,080
+ابراجع مدينه دائن وهي اسم اسم الحساب الان هي مدين
+
+304
+00:37:09,080 --> 00:37:15,340
+دائن اسم الحساب الأراضي هل لها اهتلاك مجمع لا هي
+
+305
+00:37:15,340 --> 00:37:23,120
+تمنتاشر اتناشر ألف اتناشر ألفالان مباني .. مباني
+
+306
+00:37:23,120 --> 00:37:31,040
+ها وهي مجمع تبعها وهي مصروف احتلاق المباني الان
+
+307
+00:37:31,040 --> 00:37:34,480
+المباني بتكلفتها التاريخية كام؟ تمانتاشر الف ..
+
+308
+00:37:34,480 --> 00:37:40,340
+تمانتاشر الف هاي تمانتاشر الف الان مجمع احتلاق
+
+309
+00:37:40,340 --> 00:37:45,720
+المباني .. مجمع احتلاق .. مجمع احتلاق المباني كام؟
+
+310
+00:37:45,720 --> 00:37:49,460
+الفين .. الفين طب مصروف المباني؟ تسع مية و أربعين
+
+311
+00:37:49,650 --> 00:37:57,730
+هذه الـ 2018 و هذه الـ 940 ليش .. ليش مصروف .. اه
+
+312
+00:37:57,730 --> 00:38:01,630
+المصروف مدين .. بينما المجمع إيش؟ ده .. ده .. ده
+
+313
+00:38:01,630 --> 00:38:02,710
+.. ده .. ده .. ده .. ده .. ده .. ده .. ده .. ده ..
+
+314
+00:38:02,710 --> 00:38:03,050
+ده .. ده .. ده .. ده .. ده .. ده .. ده .. ده .. ده
+
+315
+00:38:03,050 --> 00:38:04,630
+.. ده .. ده .. ده .. ده .. ده .. ده .. ده .. ده ..
+
+316
+00:38:04,630 --> 00:38:06,190
+ده .. ده .. ده .. ده .. ده .. ده .. ده .. ده .. ده
+
+317
+00:38:06,190 --> 00:38:18,450
+.. ده .. ده .. ده .. ده .. ده .. ده .. ده ..هي
+
+318
+00:38:18,450 --> 00:38:26,410
+تلات تلاف و ست مية الان مجمع احتلال الالات كان الف
+
+319
+00:38:26,410 --> 00:38:31,570
+و تمانية هاي مجمع الف و تمانية لكن مصروفها كان
+
+320
+00:38:31,570 --> 00:38:38,250
+السنوي تاع السنة الف و خمستاشر متين اه سريع هاي
+
+321
+00:38:38,250 --> 00:38:46,570
+متين طيب الان نأتي الى الاثات وهي مجمع وهي مصروف
+
+322
+00:38:46,570 --> 00:38:54,500
+احتلالاتالأثاث الأثاث كام؟ الأثاث كام؟ ألفين
+
+323
+00:38:54,500 --> 00:39:02,880
+واربعمية تمام المجمع تبع الأثاث وين؟ ألف واربعمية
+
+324
+00:39:02,880 --> 00:39:13,180
+و أربعين طيب مصروف الأثاث مصروف الأثاث السنوي اللي
+
+325
+00:39:13,180 --> 00:39:18,760
+أثبتناه في القيل ستمية ستمية واربعية مدينةو أخيرا
+
+326
+00:39:18,760 --> 00:39:25,680
+السيارات و هاي مجمع و هاي مصروف التلات السيارات
+
+327
+00:39:25,680 --> 00:39:33,760
+السيارات كام؟ ست عشر ألف و خمسمية طيب المجمع ..
+
+328
+00:39:33,760 --> 00:39:38,900
+وين .. وين السيارات؟ هاي السيارات المجمع ألف و
+
+329
+00:39:38,900 --> 00:39:42,840
+أربعمية و المصروف إيش؟ و المصروف إيش؟
+
+330
+00:39:45,350 --> 00:39:49,930
+ألف و أربعمية .. ألف و أربعمية .. هيا .. هيا ..
+
+331
+00:39:49,930 --> 00:39:55,630
+قولنا الآية .. هيا .. المجمع كم؟ و المصروف ألف و
+
+332
+00:39:55,630 --> 00:39:59,870
+أربعمية .. ليش؟ لأن مافيش عندي مجمع صابر في السنة
+
+333
+00:39:59,870 --> 00:40:08,990
+الأولى يكون المجمع مساون للمصروف بهذا نكون وصلنا
+
+334
+00:40:08,990 --> 00:40:15,610
+إلى نهاية هذه المحاضرةوما زال الحديث مستمرا عن
+
+335
+00:40:15,610 --> 00:40:18,130
+الأصول الثابتة إلى اللقاء
+
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/HM3eUgFSAqY_postprocess.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/HM3eUgFSAqY_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..f3572f8e8a6843c81ff24e42c9aeaef9dc07d4c6
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/HM3eUgFSAqY_postprocess.srt
@@ -0,0 +1,940 @@
+1
+00:00:20,500 --> 00:00:28,560
+أخوات اليوم هنبدأ موضوع جديد وهو جام المدينية جام
+
+2
+00:00:29,230 --> 00:00:38,030
+المدينين بالنسبة للمدينين هو أحد عناصر الأصول
+
+3
+00:00:38,030 --> 00:00:46,250
+المتداولة وتنشأ
+
+4
+00:00:46,250 --> 00:00:51,510
+المدينين عادة من
+
+5
+00:00:51,510 --> 00:00:54,670
+عملية البيع الآجل
+
+6
+00:01:00,920 --> 00:01:03,960
+إذا عندما نبيع بضاعة على الحساب نقل من حساب
+
+7
+00:01:03,960 --> 00:01:08,160
+المدينين إلى حساب المبيعات إذا المدينين تزيد
+
+8
+00:01:08,160 --> 00:01:18,260
+بالمبيعات الآجلة و تنقص .. و تنقص بعملية التحصيل
+
+9
+00:01:18,260 --> 00:01:25,740
+عندما نحصل جزء من الدين على المدينين ينقص هذا
+
+10
+00:01:25,740 --> 00:01:36,260
+المبلغ و كذلك أيضا المردودةوالمسموحات والخصومات و
+
+11
+00:01:36,260 --> 00:01:44,500
+أيضا كذلك الديون المعدومة اختصارا نقول ده ال ميم
+
+12
+00:01:44,500 --> 00:01:49,520
+وتعبر عن ديون المعدومة
+
+13
+00:01:49,520 --> 00:01:58,820
+الان نبدأ بتصنيف الديون تصنيف ديون المشروعتصنيف
+
+14
+00:01:58,820 --> 00:02:06,400
+ديون المشروع رقم واحد الديون
+
+15
+00:02:06,400 --> 00:02:13,480
+الجيدة وهي تلك الديون التي يكون احتمال تحصيلها
+
+16
+00:02:13,480 --> 00:02:16,760
+مؤكد 100%
+
+17
+00:02:24,850 --> 00:02:29,950
+وهذا مثل الأشخاص
+
+18
+00:02:29,950 --> 00:02:37,850
+ذات السمعة الطيبة في السوق و
+
+19
+00:02:37,850 --> 00:02:47,270
+المركز المالي و الالتزام بالسداد في الموعد المحدد
+
+20
+00:02:47,270 --> 00:02:52,330
+إذا المحاسب عندما يقوم بتصليح ديون المشروع و يجد
+
+21
+00:02:52,330 --> 00:02:54,410
+مجموعة من الأشخاص أو المدينين
+
+22
+00:03:01,840 --> 00:03:08,600
+جيدة ومركزهم المالي قوي أي لديهم مركز المالي
+
+23
+00:03:08,600 --> 00:03:14,360
+بالملايين مثلا او بمبالغ كبيرة اكتر او اقل قليلا
+
+24
+00:03:14,360 --> 00:03:19,000
+في هذا الموضوع فطبعا هذه تكون مؤشرات على ان هذا
+
+25
+00:03:19,000 --> 00:03:24,220
+المدين يقوم بالسداد بالكامل دون انتقاص اي شيء اذا
+
+26
+00:03:24,220 --> 00:03:28,160
+هذا النوع الاول النوع الاول اللي هو الديون الجيدة
+
+27
+00:03:28,160 --> 00:03:34,850
+مية في المية تحصيلهانأتي إلى النوع التاني الديون
+
+28
+00:03:34,850 --> 00:03:41,530
+المشكوك في تحصيلها رقم اتنين الديون المشكوك في
+
+29
+00:03:41,530 --> 00:03:48,050
+تحصيلها وهي تلك الديون التي
+
+30
+00:03:48,050 --> 00:03:56,710
+يحيط بعملية تحصيلها شكوك
+
+31
+00:03:56,710 --> 00:04:10,700
+يعني قد تحصلتحصل أو لا تحصل وبالتالي هنا لابد من
+
+32
+00:04:10,700 --> 00:04:19,980
+تكوين لابد من تكوين مخصص ديون مشكوك فيها وبالتالي
+
+33
+00:04:19,980 --> 00:04:29,660
+لابد من تكوين مخصص ديون مشكوك فيها وفق المبدأ
+
+34
+00:04:37,810 --> 00:04:42,490
+الذي يأخذ الخسائر المتوقع في الحسبان تمام؟ هنا
+
+35
+00:04:42,490 --> 00:04:48,510
+لابد إذا كنا منتوقع أن بعض الديون على العملاء لا
+
+36
+00:04:48,510 --> 00:04:54,410
+يمكن تحصيلها لابد أن نعمل أو نكون مخصص ديون مشكوك
+
+37
+00:04:54,410 --> 00:05:02,770
+فيها نسبة المخصص نسبة المخصص وأقصد مخصص ديون مشكوك
+
+38
+00:05:02,770 --> 00:05:05,230
+فيها نسبة المخصص
+
+39
+00:05:07,610 --> 00:05:17,270
+وتزيد نسبة المخصص تقل وتزيد بناء على عمر الدين
+
+40
+00:05:17,270 --> 00:05:26,650
+بناء على عمر الدين بمعنى كلما زاد عمر الدين كلما
+
+41
+00:05:26,650 --> 00:05:32,090
+زاد عمر الدين زادت نسبة المخصص
+
+42
+00:05:36,600 --> 00:05:48,620
+وكل ما قل عمر الدين قلت نسبة المخصص بمعنى
+
+43
+00:05:48,620 --> 00:05:56,400
+مثلا الان هناك ديون اشخاص خلال سنة او سنتين يمكن
+
+44
+00:05:56,400 --> 00:06:05,410
+تحصيلها فبالتالي اعمل مثلا 2% او 3% ولكن الديونعلى
+
+45
+00:06:05,410 --> 00:06:11,990
+شركة hashem خمس سنوات تمام تمام الان ها الان ايش
+
+46
+00:06:11,990 --> 00:06:15,910
+بتعمل احتياطي ممكن سبعة و ممكن عشرة شايفين كيف
+
+47
+00:06:15,910 --> 00:06:20,150
+النسبة النسبة تزيد و طبعا طب هذه النسبة بناء على
+
+48
+00:06:20,150 --> 00:06:25,050
+ايش يتم تقديرها بناء على الخبرة الشخصية بناء على
+
+49
+00:06:25,050 --> 00:06:28,730
+الخبرة الشخصية يعني انا مثلا ادينا بسنتين ليش قول
+
+50
+00:06:28,730 --> 00:06:33,790
+خمسة في المية مثلابنان على خبرتي هذا المتوقع أن
+
+51
+00:06:33,790 --> 00:06:37,750
+يكون فيه مشاكل في حدول 5% بينما الخمس سنين ممكن
+
+52
+00:06:37,750 --> 00:06:42,270
+يصل إلى 15% لأن هذا مدّي زمني ماعرفش ايش المتغيرات
+
+53
+00:06:42,270 --> 00:06:48,090
+والاسير في البيئة تمام؟ هل من سؤال؟ ننتقل إلى
+
+54
+00:06:48,090 --> 00:06:53,070
+النوع التالت ننتقل إلى النوع التالت إذا بعد ما
+
+55
+00:06:53,070 --> 00:06:54,630
+اتحدثنا إلى الديون الجيدة
+
+56
+00:07:01,730 --> 00:07:10,250
+لنتحدث الآن عن الديون المعدومة الديون المعدومة هي
+
+57
+00:07:10,250 --> 00:07:19,550
+تلك الديون التي يكون احتمال تحصيلها
+
+58
+00:07:19,550 --> 00:07:26,570
+صفر احتمال تحصيلها صفر يعني انا يا محاسب بصنف ديون
+
+59
+00:07:26,570 --> 00:07:29,710
+المشروع صنفت هذه الديون صفر
+
+60
+00:07:49,660 --> 00:07:58,000
+أو السفر وانقطاع الأخبار أو
+
+61
+00:07:58,000 --> 00:08:06,270
+الموت أو الوفاءيعني الآن ليش انا محاسب بناء على
+
+62
+00:08:06,270 --> 00:08:09,030
+إيش صنفت هذه الديون ديون معدومة و مافيش أمل فيه
+
+63
+00:08:09,030 --> 00:08:13,630
+تحصيلها و الأمل في وجه الله كبير أن الشخص توفى و
+
+64
+00:08:13,630 --> 00:08:20,030
+لا يوجد له غلطة أو في شيء يقدر يسدده ديون هذا
+
+65
+00:08:20,030 --> 00:08:26,410
+الشخص و كذلك سافر و انقطعت أخباره سنوات إذا قررنا
+
+66
+00:08:26,410 --> 00:08:31,430
+أعدامه و أيضا إذا قلنا الوفاة قلنا السفر
+
+67
+00:08:35,750 --> 00:08:41,470
+هو يبقى يمتلك أي شيء حتى أصبح مستأجر، حتى أصبح
+
+68
+00:08:41,470 --> 00:08:46,950
+مستأجر، إيش نعمل؟ بدنا نعدمه، تمام؟ إذا هذا الدين
+
+69
+00:08:46,950 --> 00:08:51,110
+المعدوم، الدين الجيد مية في المية، الدين المعدوم
+
+70
+00:08:51,110 --> 00:08:57,630
+Zero، الدين المشكوك فيه حسب تقديرنا والخبرة
+
+71
+00:08:57,630 --> 00:09:05,210
+الشخصية، تمام؟الان اخوات كما نلاحظ قلنا ديون جيدة
+
+72
+00:09:05,210 --> 00:09:10,710
+لا قيود لها لا معالجة محاسبية لان مافيش شيء مافيش
+
+73
+00:09:10,710 --> 00:09:13,610
+شيء الامور ماشية في الاتجاه السليم لكن الان في
+
+74
+00:09:13,610 --> 00:09:17,230
+الديون المعدومة و المشكوك فيها يا خديجة ايش
+
+75
+00:09:17,230 --> 00:09:22,430
+نعملها؟ بدنا معالجة محاسبية اذا بقول رقم واحد رقم
+
+76
+00:09:22,430 --> 00:09:27,050
+واحد المعالجة المحاسبية رقم واحد
+
+77
+00:09:31,580 --> 00:09:40,600
+المحاسمية للديون المعدومة للديون ايه ايش؟ المعدومة
+
+78
+00:09:40,600 --> 00:09:48,460
+هيا وعادة نقول نختصارا ده المين؟ ديون معدومة طيب
+
+79
+00:09:48,460 --> 00:09:53,800
+الان اخوان كما قلنا سابقا او في بداية المحاضرة
+
+80
+00:09:53,800 --> 00:09:55,560
+نشأة الدين
+
+81
+00:10:00,950 --> 00:10:08,330
+بيعنا بضاعة إلى محلات شبير على الحساب إذا نقول من
+
+82
+00:10:08,330 --> 00:10:18,590
+حساب محلات شبير إلى حساب المبيعات 2000 دينار مثلا
+
+83
+00:10:18,590 --> 00:10:24,410
+وعملية وعندما يقوم الشبير بسداة جزء من المبلغ أو
+
+84
+00:10:24,410 --> 00:10:24,930
+الكل
+
+85
+00:10:35,930 --> 00:10:44,310
+الف و خمسمية دينار إذا هنا نذكر حتى نبني هذا هو ما
+
+86
+00:10:44,310 --> 00:10:47,510
+درسته بمحاسة واحدة لأن هذا نشأت الدين و عندنا
+
+87
+00:10:47,510 --> 00:10:51,090
+عملية التحصيل لحظين محلات شبيرة نقص تنقص المدنيين
+
+88
+00:10:51,090 --> 00:10:54,910
+بسداد جزء من المبلغ اللي عليهم إيه ينقص يا رولاد
+
+89
+00:10:54,910 --> 00:11:01,410
+تمام؟ طيب الآن نأتي إلى المعالجة المحاسبية للديون
+
+90
+00:11:01,410 --> 00:11:11,600
+المعدومة الديون المعدومةالديون المعدومة تشبه
+
+91
+00:11:11,600 --> 00:11:22,300
+في المعالجة المحاسبية المصرفات وبالتالي
+
+92
+00:11:22,300 --> 00:11:31,240
+المصروف عند إثباته مدينة وعند أطفاله تائم أحسنتم
+
+93
+00:11:33,490 --> 00:11:37,630
+الديون المعدومة مرتوطة بمين؟ المدنين مدنين إذا
+
+94
+00:11:37,630 --> 00:11:44,630
+نقول نحنا المدنين تزيد بإيش بالبيع الآجل وتنقص
+
+95
+00:11:44,630 --> 00:11:54,530
+بإيش بالتحصيل أو أو تمام إذا الأن هنا إثبات الديون
+
+96
+00:11:54,530 --> 00:12:03,230
+المعدومة وهذا بنسميه قيد تسوية يسمى قيد تسوية
+
+97
+00:12:05,640 --> 00:12:14,720
+من حساب ديون معدومة إلى حساب المدينين، إذا الديون
+
+98
+00:12:14,720 --> 00:12:19,040
+المعدومة كما نلاحظ أخذت الطرف المدين، الديون
+
+99
+00:12:19,040 --> 00:12:19,760
+المعدومة
+
+100
+00:12:41,570 --> 00:12:47,230
+الاخفال الديون المعدومة من عناصر أرباح والخسائر أو
+
+101
+00:12:47,230 --> 00:12:50,890
+ملخص الدخل من حساب الأرباح والخسائر إلى حساب
+
+102
+00:12:50,890 --> 00:12:58,390
+الديون المعدومة من حساب الأرباح والخسائر أو ملخص
+
+103
+00:12:58,390 --> 00:13:05,050
+الدخل إلى حساب الديون المعدومة
+
+104
+00:13:12,070 --> 00:13:16,470
+هذه الطريقة، طريقة المعاجمة حسابية للديون المعدومة
+
+105
+00:13:16,470 --> 00:13:22,070
+تسمى بالطريقة المباشرة، تسمى بالطريقة المباشرة،
+
+106
+00:13:22,070 --> 00:13:27,090
+وإيش مضمونها؟ أن الديون المعدومة تؤثر، تؤثر على
+
+107
+00:13:27,090 --> 00:13:32,730
+رصيد المدينين بالتخفيف، مظبوط ولا لا؟ مش هيها؟ مش
+
+108
+00:13:32,730 --> 00:13:37,090
+المدينين، فمن ألم بيها تكون هيها، مدينة، لكن اليوم
+
+109
+00:13:37,090 --> 00:13:38,610
+تنقص جزء من الديون المعدومة
+
+110
+00:13:42,890 --> 00:13:57,790
+نبدأ الآن بالترجمة الرقمية توفرت
+
+111
+00:13:57,790 --> 00:13:59,610
+لديك المعلومات التالية
+
+112
+00:14:10,010 --> 00:14:19,530
+توفر لديك المعلومات التالية من دفاتر شركة
+
+113
+00:14:19,530 --> 00:14:23,670
+الصلاح
+
+114
+00:14:23,670 --> 00:14:36,270
+دفاتر الشركة الصلاح الان اسم الحساب هي المدينين
+
+115
+00:14:37,620 --> 00:14:42,360
+الان يا أخوات الكاميرا جابتنا المقطع هذا بس جابتنا
+
+116
+00:14:42,360 --> 00:14:51,800
+ايش؟ المقطع هذا فقط 7400 دولار ولكن و عند الجرد و
+
+117
+00:14:51,800 --> 00:15:02,420
+عند الجرد تمام؟ تبين عند الجرد تقرر عند الجرد تقرر
+
+118
+00:15:02,420 --> 00:15:17,120
+اعدام دين تقرراعدام دايم جديد مقداره 400 درار 400
+
+119
+00:15:17,120 --> 00:15:25,980
+دينار تمام طيب الان المطلوب رقم واحد رقم واحد قيد
+
+120
+00:15:25,980 --> 00:15:35,840
+التسوير رقم اتنين تسوير الحسابات داخل العلاقة رقم
+
+121
+00:15:35,840 --> 00:15:44,300
+تلاتةبيان الأثر، تمام؟ تمام، okay الآن قيد التسوية
+
+122
+00:15:44,300 --> 00:15:48,460
+وكما قلنا سابقا التسوية اللي اقفلت في عام 2011،
+
+123
+00:15:48,460 --> 00:15:54,020
+2012، فضل يا اسمين من حساب الديون المعجوبة إلى
+
+124
+00:15:54,020 --> 00:15:59,600
+حساب المدينين للشركات السرعة إلى حساب المدينين إلى
+
+125
+00:15:59,600 --> 00:16:06,280
+حساب المدينينطبعا ايه؟ اربعمائق دينار وكما قلنا
+
+126
+00:16:06,280 --> 00:16:10,220
+هذا قائد تسوي اي واحد و تلاتين ايش؟ اتناش اتناش و
+
+127
+00:16:10,220 --> 00:16:15,280
+واحد و تلاتين عندما
+
+128
+00:16:15,280 --> 00:16:21,160
+نعدم اي داين عندما نعدم اي داين لنا بنقول حساب
+
+129
+00:16:21,160 --> 00:16:24,840
+الديون المعدومة لان الديون المعدومة عند اثبات
+
+130
+00:16:24,840 --> 00:16:32,070
+مدينة عند اثبات ايش؟المطلوب الأول قيد التسوية
+
+131
+00:16:32,070 --> 00:16:37,090
+المطلوب رقم اتنين التصوير تصوير حسابات ذات العلاقة
+
+132
+00:16:37,090 --> 00:16:40,890
+تصوير حسابات ذات العلاقة يعني احنا نصور ديون
+
+133
+00:16:40,890 --> 00:16:49,830
+معدومة نصور ايش؟ المدنيين حساب ديون معدومة حساب
+
+134
+00:16:49,830 --> 00:16:58,950
+ديون معدومة الآن عند تصوير أي حساب هل هو رصيد؟من
+
+135
+00:16:58,950 --> 00:17:02,610
+قال لك؟ هل الديون المعدومة لها رصيد في ميزة
+
+136
+00:17:02,610 --> 00:17:13,590
+المراجعة؟ لأ إذا كان هناك رصيد، فرصيد إيه؟ مدينة؟
+
+137
+00:17:13,590 --> 00:17:22,230
+ليس له رصيد، ليس له رصيد يا جماعة، ماشية داليا؟
+
+138
+00:17:22,230 --> 00:17:26,230
+الآن بعد ما عملنا حساب، الديون المعدومة مابتنا
+
+139
+00:17:26,230 --> 00:17:26,370
+إيه؟
+
+140
+00:17:35,970 --> 00:17:43,410
+اللي هو ايش؟ هاي اربعمية الان خلصنا الترحيل نقوم
+
+141
+00:17:43,410 --> 00:17:48,290
+بجامعة المدين و جامعة الدائمة تمام؟ اذا هاي
+
+142
+00:17:48,290 --> 00:18:01,770
+اربعمية هاي اربعمية رصيد مدين رصيد مدين
+
+143
+00:18:01,770 --> 00:18:03,630
+اذا الان
+
+144
+00:18:08,250 --> 00:18:13,990
+في حساب الأرباح والخسائر او ملخص الداخل المبلغ
+
+145
+00:18:13,990 --> 00:18:17,930
+اللى يُقفل في حساب الأرباح والخسائر هو ايش؟ هو
+
+146
+00:18:17,930 --> 00:18:22,890
+ايش؟ 400 بس أنا حكيت المطلوب بدي الأول قيود تسوية
+
+147
+00:18:22,890 --> 00:18:27,950
+ماجيبش سفر تقفال بديش؟ ماجيب سفر تقفال لكن اللى
+
+148
+00:18:27,950 --> 00:18:31,290
+بدي اظهر الان هنشوف الان نأتي الى تسوير حساب
+
+149
+00:18:31,290 --> 00:18:36,690
+المدينين حساب المدينين حساب المدينين
+
+150
+00:18:42,080 --> 00:18:46,760
+المدينين له رصيد سابق؟ نعم، إذا ننظر إلى ميزان
+
+151
+00:18:46,760 --> 00:18:52,800
+المراجعة الأولى، له رصيد، إذا هنا، هاي رصيد سابق
+
+152
+00:18:52,800 --> 00:19:00,300
+سبعتلاف واربعمية، ثم برحل من واقع هذا القيزة، لما
+
+153
+00:19:00,300 --> 00:19:01,600
+كنتوا ترحلوا محاسبة واحد
+
+154
+00:19:10,990 --> 00:19:15,230
+إذن الآن بعد ما رحلنا نقوم بجمع المدين والدان نقوم
+
+155
+00:19:15,230 --> 00:19:21,130
+بجمع المدين والدان سبعة ألاف و أربعمية سبعة ألاف و
+
+156
+00:19:21,130 --> 00:19:31,730
+أربعمية رصيد مدين كام؟ سبعة ألاف دينار سبعة ألاف
+
+157
+00:19:31,730 --> 00:19:38,110
+دينار طيب، الآن أخر إشي في هذا السؤال بيان الأثر،
+
+158
+00:19:38,110 --> 00:19:42,010
+هي حساب الأرباح الخسارية يسمياً؟هذه حساب لأربعة
+
+159
+00:19:42,010 --> 00:19:47,370
+حساب وقلنا أن الجانب هذا مصرفات إذا الآن الديون
+
+160
+00:19:47,370 --> 00:19:55,210
+المعدومة الديون المعدومة A هتكون ايه حساب الديون
+
+161
+00:19:55,210 --> 00:20:02,790
+المعدومة ايش؟ اربعمائة بينما الميزانية بينما
+
+162
+00:20:02,790 --> 00:20:09,610
+الميزانية المدينين أصل متداول المدينين أصل متداول
+
+163
+00:20:13,310 --> 00:20:22,930
+مين ايه ايه ايه ايه ايه ايه ايه ايه ايه ايه ايه
+
+164
+00:20:22,930 --> 00:20:28,210
+ايه ايه ايه ايه ايه ايه ايه ايه ايه ايه ايه
+
+165
+00:20:28,210 --> 00:20:31,230
+ايه
+
+166
+00:20:31,230 --> 00:20:35,850
+ايه
+
+167
+00:20:46,850 --> 00:20:55,310
+ماشي جزئية أخرى جزئية أخرى هنا مدينة دا الاسم
+
+168
+00:20:55,310 --> 00:21:03,570
+الحساب توفرت لدينا توفرت لدينا
+
+169
+00:21:03,570 --> 00:21:10,630
+الأرصد المستخرجة من دفاتر شركة غادا مثلا
+
+170
+00:21:14,130 --> 00:21:23,170
+مدينين المدينين المدينين
+
+171
+00:21:23,170 --> 00:21:32,890
+هنا تمنت ألف و متين دولار ديون معدومة تلتمية دولار
+
+172
+00:21:32,890 --> 00:21:40,170
+اخرى رأسية المدينين والديون المعدومة في ميزان
+
+173
+00:21:40,170 --> 00:21:51,600
+المراجعة بهذا الشكلالامور تتسرع تدريجيا تقرر
+
+174
+00:21:51,600 --> 00:22:05,840
+اعدام دين جديد مقداره 200 دولار المطلوب واحد تسوي
+
+175
+00:22:05,840 --> 00:22:08,900
+اخفال اتنين
+
+176
+00:22:10,690 --> 00:22:18,830
+تصوير حسابات ذات العلاقة رقم ثلاثة بيان الأثر رقم
+
+177
+00:22:18,830 --> 00:22:27,410
+ثلاثة بيان الأثر على الحسابات الختمية والميزانية
+
+178
+00:22:27,410 --> 00:22:37,610
+طيب إذا أول شيء أول شيء سجون إذا
+
+179
+00:22:37,610 --> 00:22:44,050
+هذا تسويةمن حساب ديور معدومة إلى حساب مدينين
+
+180
+00:22:44,050 --> 00:22:50,090
+والتسوية والإخفال دائما في نهاية العام لأن نعم
+
+181
+00:22:50,090 --> 00:22:59,190
+صحيح مجرد يعني الآن أي دين أنا بعد ما أي دين أنا
+
+182
+00:22:59,190 --> 00:23:01,650
+بعد ما هيقيدوا النظرية من ديور معدومة إلى حساب
+
+183
+00:23:01,650 --> 00:23:02,550
+مدينين
+
+184
+00:23:08,440 --> 00:23:13,400
+الان لابد ان افكر قبل ان اجاب الان انا بتدعم قيد
+
+185
+00:23:13,400 --> 00:23:21,600
+الاقفال قيد الاقفال قيد الاقفال اه مين بدي اجاب
+
+186
+00:23:21,600 --> 00:23:30,600
+احكي يا جماعة ممتاز
+
+187
+00:23:30,600 --> 00:23:37,340
+نكتب مع بعض من حساب الأرباح والخسار
+
+188
+00:23:40,350 --> 00:23:48,510
+الدخل الى حساب الديون المعدومة 500 درار مينينا اتت
+
+189
+00:23:48,510 --> 00:24:00,910
+300 زائد 200 300 زائد 200 طيب الان اخوات حكينا من
+
+190
+00:24:00,910 --> 00:24:05,290
+حساب الأرباح و حساب الديون المعدومة اللحظة ان انا
+
+191
+00:24:05,290 --> 00:24:12,300
+اقفل اقفل جميع الديونأخفال الجميع الديون التي
+
+192
+00:24:12,300 --> 00:24:17,980
+أعدمت خلال العام وسجلت في الدفاتر ثم رحلت إلى دفطر
+
+193
+00:24:17,980 --> 00:24:22,600
+البستار ثم ظهرت في ميزان المراجعة الأولى لكن هنا
+
+194
+00:24:22,600 --> 00:24:26,400
+الديون التي أعدمت في نهاية العام لم تظهر، هنا
+
+195
+00:24:26,400 --> 00:24:31,760
+أثبتناها، لكن عند الإخفال بدنا نحمل السنة أو أرباح
+
+196
+00:24:31,760 --> 00:24:38,210
+الخسائر بجميع الديون تمام؟ طيب، الآننأتي إلى
+
+197
+00:24:38,210 --> 00:24:43,150
+المطلوب رقم 2 تصوير حسابات حساب ديون معدومة حساب
+
+198
+00:24:43,150 --> 00:24:50,810
+ديون معدومة رصيد
+
+199
+00:24:50,810 --> 00:24:52,230
+سابق
+
+200
+00:25:03,610 --> 00:25:09,610
+إذا هاي خمسمية وهي خمسمية وهي خمسمية اللي هي رصيد
+
+201
+00:25:09,610 --> 00:25:15,570
+ايش مدين شايفين انا بصور الديون المعدومة بنصل الى
+
+202
+00:25:15,570 --> 00:25:21,030
+الرقم بنصل الى الرقم اللي احنا اللي المفروض يقفل
+
+203
+00:25:21,030 --> 00:25:24,650
+في حساب الأرباح والخسايا اللي هو عبارة عن الديون
+
+204
+00:25:24,650 --> 00:25:30,110
+القديمة الديون اللي قعدمت خلال العام يا ميصا واش
+
+205
+00:25:30,110 --> 00:25:36,300
+واش يا خديجةو ليش في نهاية العام، هل مني سؤال؟
+
+206
+00:25:36,300 --> 00:25:45,700
+طيب، الآن نأتي إلى حساب المدينين، إلى حساب
+
+207
+00:25:45,700 --> 00:25:52,560
+المدينين، الآن حساب المدينين، جاوبتي؟ جاوب، فضل
+
+208
+00:25:52,560 --> 00:25:53,860
+الله، رسيل
+
+209
+00:26:04,550 --> 00:26:12,310
+أي مثل حساب ديون معدون هل بقى شيء يرحل؟ لأ، لأ،
+
+210
+00:26:12,310 --> 00:26:14,470
+لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ،
+
+211
+00:26:14,470 --> 00:26:17,130
+لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ،
+
+212
+00:26:17,130 --> 00:26:19,330
+لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ،
+
+213
+00:26:19,330 --> 00:26:19,750
+لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ،
+
+214
+00:26:19,750 --> 00:26:21,150
+لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ، لأ،
+
+215
+00:26:21,150 --> 00:26:25,170
+لأ، لأ،
+
+216
+00:26:25,170 --> 00:26:31,210
+لأ، لأ، ل
+
+217
+00:26:35,090 --> 00:26:42,350
+ننتقل إلى حساب الأرباح والخسار رقم تلاتة حساب
+
+218
+00:26:42,350 --> 00:26:52,330
+الأرباح والخسار ومن ثم الميزانية ولكن قبل أن نقوم
+
+219
+00:26:52,330 --> 00:26:56,290
+بتصويح حساب الأرباح والخسار أو قبل ما نقوم نبيّن
+
+220
+00:26:56,290 --> 00:26:58,350
+الأثر على أرباح الخسار والميزانية
+
+221
+00:27:08,370 --> 00:27:11,850
+يكون ايش؟ المبلغ هذا يكون تمن تلاف و هذا ايش؟ تمن
+
+222
+00:27:11,850 --> 00:27:13,550
+تلاف و تمن تلاف و تمن تلاف و تمن تلاف و تمن تلاف و
+
+223
+00:27:13,550 --> 00:27:15,130
+تمن تلاف و تمن تلاف و تمن تلاف و تمن تلاف و تمن
+
+224
+00:27:15,130 --> 00:27:20,470
+تلاف و تمن تلاف و تمن تلاف و تمن تلاف و تمن تلاف و
+
+225
+00:27:20,470 --> 00:27:21,370
+تمن تلاف و تمن تلاف و تمن تلاف و تمن تلاف و تمن
+
+226
+00:27:21,370 --> 00:27:21,790
+تمن تلاف و تمن تلاف و تمن تلاف و تمن تلاف و تمن
+
+227
+00:27:21,790 --> 00:27:30,650
+تلاف و تمن تلاف و تمن تلاف و تمن تلاف و تمن تلاف و
+
+228
+00:27:30,650 --> 00:27:37,130
+تمن تلاف و
+
+229
+00:27:37,130 --> 00:27:43,710
+تمن تفي قائمة المديني المديني بس تحكي واحدة الان
+
+230
+00:27:43,710 --> 00:27:48,370
+واحد خسارة الى حساب ديون معدومة الى حساب ديون
+
+231
+00:27:48,370 --> 00:27:54,630
+معدومة كام خمسمية دولار خمسمية دولار مين ماجاوبتش؟
+
+232
+00:27:54,630 --> 00:27:59,790
+جاوبت يعني لا؟ ده مش جاوبي ملقيتش ميزانية راح نخد
+
+233
+00:27:59,790 --> 00:28:07,290
+المدينين تمام دولار ممتاز هاي المديني هاي المديني
+
+234
+00:28:10,590 --> 00:28:20,110
+تمام؟ أي سؤال؟ لهذا نصل إلى نهاية محاضرة اليوم و
+
+235
+00:28:20,110 --> 00:28:23,810
+المحاضر طبعا يعني المحاضر القادمة نكمل
+
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/K6Ew3mXXClk_postprocess.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/K6Ew3mXXClk_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..d6a80692ae3951ee450eeb7262efde64f1f58507
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/K6Ew3mXXClk_postprocess.srt
@@ -0,0 +1,1208 @@
+1
+00:00:19,880 --> 00:00:27,140
+Okay استكملنا موضوعنا جرب البنك ناخد السؤال التالي
+
+2
+00:00:27,140 --> 00:00:29,600
+ناخد السؤال التالي
+
+3
+00:00:34,270 --> 00:00:38,810
+في واحد و تلاتين اتناش الفين و خمستاش كان الرصيد
+
+4
+00:00:38,810 --> 00:00:44,530
+الدفتري كان الرصيد الدفتري الف و تمانمية و اتنين و
+
+5
+00:00:44,530 --> 00:00:50,610
+خمسين دولار الف و تمانمية و اتنين و خمسين دولار
+
+6
+00:00:50,610 --> 00:00:56,370
+بينما الرصيد البنكي بينما الرصيد البنكي الف و
+
+7
+00:00:56,370 --> 00:01:06,910
+ستمية و ستين دولار1660 دولار و عند البحث عن أسباب
+
+8
+00:01:06,910 --> 00:01:13,130
+.. و عند البحث عن أسباب الاختلاف بين الرصيدين تبين
+
+9
+00:01:13,130 --> 00:01:24,750
+.. تبين ما يليه؟ واحد سبعمائة دولار شكات واردة ..
+
+10
+00:01:24,750 --> 00:01:26,870
+شكات واردة
+
+11
+00:01:29,720 --> 00:01:37,440
+لم تظهر بكشف الحساب شكات والدة لم تظهر بكشف الحساب
+
+12
+00:01:37,440 --> 00:01:46,180
+رقم اتنين تلاتمية وخمسين دولار كمبيلة
+
+13
+00:01:46,180 --> 00:01:59,720
+مسددة نيابة عن الشركة ولم يصل إشعار للمشروعولم يصل
+
+14
+00:01:59,720 --> 00:02:10,840
+إشعار للمشروع رقم تلاتة، رقم تلاتة، خمسمية دنار،
+
+15
+00:02:10,840 --> 00:02:19,160
+خمسمية دنار، شكات صادرة لم تقدم للصرف، لم تقدم
+
+16
+00:02:19,160 --> 00:02:24,120
+للصرف رقم
+
+17
+00:02:24,120 --> 00:02:30,990
+أربع، خمسمية و تسعة عشر دنارخمسمية و تسعين دنار،
+
+18
+00:02:30,990 --> 00:02:41,590
+شيك صادم للمورد وسام، شيك صادم للمورد وسام، سج
+
+19
+00:02:41,590 --> 00:02:45,550
+الخطأ بمبلغ
+
+20
+00:02:45,550 --> 00:02:54,190
+خمسمية و واحد سين، خمسمية و واحد و تسعين دنار، رقم
+
+21
+00:02:54,190 --> 00:03:00,590
+خمسينمتين و واحد و خمسين دولار متين و واحد و خمسين
+
+22
+00:03:00,590 --> 00:03:12,310
+دولار شيخ وارد من محلات سالم سجل خطأ في اليومية
+
+23
+00:03:12,310 --> 00:03:15,570
+بمبلغ
+
+24
+00:03:15,570 --> 00:03:23,770
+متين و خمس عشر دولار متين و خمس عشر دولار رقم ستة
+
+25
+00:03:23,770 --> 00:03:34,650
+خمسين دولارمصاريف بنكية لم
+
+26
+00:03:34,650 --> 00:03:44,810
+تثبت في الدفاتر رقم سبعة تلت مية و خمسين دولار
+
+27
+00:03:44,810 --> 00:03:50,930
+أرباح أسهم
+
+28
+00:03:50,930 --> 00:04:04,900
+لم يصل إشعار بهالم يصل إشعار بها رقم تمانية متين
+
+29
+00:04:04,900 --> 00:04:15,640
+دنار شيك وارد من محلات خالد رفض
+
+30
+00:04:15,640 --> 00:04:23,920
+لعدم كفاية الرصيد والإشعار
+
+31
+00:04:23,920 --> 00:04:36,130
+لم يصل للمشروعوالإشعار لم يصل المشروع رقم تسعة شيخ
+
+32
+00:04:36,130 --> 00:04:43,750
+صادر لأحد الموردين بمبلغ
+
+33
+00:04:43,750 --> 00:04:52,170
+تسعمائية وتمانين دولار تسعمائية وتمانين دولار
+
+34
+00:04:55,400 --> 00:05:05,240
+سُجّل خطأ .. سُجّل خطأ في كشف الحساب .. في كشف
+
+35
+00:05:05,240 --> 00:05:17,040
+الحساب ولكن القيمة الصحيحة هي .. ولكن القيمة
+
+36
+00:05:17,040 --> 00:05:19,860
+الصحيحة هي تمانمية وتسعين درار
+
+37
+00:05:23,340 --> 00:05:33,440
+دنار اخيرا رقم 10 250 دنار كمبيلة محصلة من قبل
+
+38
+00:05:33,440 --> 00:05:40,720
+البنك كمبيلة محصلة من قبل البنك ومصاريف
+
+39
+00:05:40,720 --> 00:05:47,580
+التحصيل 10 دنانير ولكن
+
+40
+00:05:47,580 --> 00:05:58,150
+كلاهما لم يثبتفي الدفاتر ولكن كلاهما لم يثبت في
+
+41
+00:05:58,150 --> 00:06:05,970
+الدفاتر المطلوب رقم واحد اعداد مذكرة التسوية بكلا
+
+42
+00:06:05,970 --> 00:06:13,930
+الرصيدين اعداد مذكرة التسوية بكلا الرصيدين رقم
+
+43
+00:06:13,930 --> 00:06:21,750
+اتنين اثبات قيود اليومية اللازمة رقم
+
+44
+00:06:21,750 --> 00:06:32,400
+تلاتةتصوير حساب البنك تصوير حساب البنك اذا اول شي
+
+45
+00:06:32,400 --> 00:06:36,740
+نبدأ باعداد مذكر بالتسوير
+
+46
+00:06:55,660 --> 00:07:01,600
+نبدأها أما بالرصيد الدفتري أو بالرصيد البنكي وطبعا
+
+47
+00:07:01,600 --> 00:07:05,320
+في الحياة اليومية نقوم بعملها يا إما بدنا بالرصيد
+
+48
+00:07:05,320 --> 00:07:09,680
+الدفتري يا بالرصيد البنكي ولكن غالبا بالرصيد
+
+49
+00:07:09,680 --> 00:07:14,180
+الدفتري لأن هناك عمليات كثيرة من خلال المراجعة
+
+50
+00:07:14,180 --> 00:07:17,780
+يارولا من خلال مراجعة الكشف الحساب اللي أرسله
+
+51
+00:07:17,780 --> 00:07:22,100
+البنك في نهاية الشهرتكون عمليات كثيرة فيفضل أن نعد
+
+52
+00:07:22,100 --> 00:07:26,660
+بالرصيد الدفتري ولكن نقوم بإعداده بالرصيد البنكي
+
+53
+00:07:26,660 --> 00:07:31,320
+للتأكد وأيضا هذه العكس وأيضا مذاكرة تسوية تم
+
+54
+00:07:31,320 --> 00:07:36,200
+إعدادها خارج المجموعة الدفترية إذا هنا .. هنا ..
+
+55
+00:07:36,200 --> 00:07:44,440
+هنا .. هذه الرصيد الرصيد البنكي وهو 1660 دولار
+
+56
+00:07:47,930 --> 00:08:01,710
+الدفتري و هو 1852 دينار تمام طيب الان نبدأ عن
+
+57
+00:08:01,710 --> 00:08:08,410
+أسباب الإختلافات و نأتي من البداية
+
+58
+00:08:26,970 --> 00:08:30,550
+وقيمته الـ 700 درار مجرد ما أخدت منها الشيك
+
+59
+00:08:30,550 --> 00:08:35,050
+الوارد، روحت سجلت إيه يا جماعة؟ في الدفاتر، ماشي
+
+60
+00:08:35,050 --> 00:08:40,590
+دنيا؟ سجلنا إيش؟ في الدفاتر، تمام؟ إذا هنا لا
+
+61
+00:08:40,590 --> 00:08:46,210
+تؤثر، تمام؟ ولكن هنا، طيب هذه الشيكات الواردة ولم
+
+62
+00:08:46,210 --> 00:08:50,810
+تحصل أو لم تظهر بكشف البنك، حكينا لم تظهر بكشف
+
+63
+00:08:50,810 --> 00:08:55,900
+البنكإيش معناه؟ معناه أنه ماتقدمتش للبنك حتى
+
+64
+00:08:55,900 --> 00:09:01,180
+يحصلها و يضيفها إلنا طيب لو وصلت البنك لو وصلت
+
+65
+00:09:01,180 --> 00:09:05,340
+البنك يا ميصار هتأدي إيش؟ هتزيد ولا إيش يا شاهد؟
+
+66
+00:09:05,340 --> 00:09:10,040
+هزيد إذن و ليه؟ شكات واردة سبعمية دنار وهي رقم
+
+67
+00:09:10,040 --> 00:09:20,720
+واحد شكات واردة سبعمية دنار والشكات الواردة تضعف
+
+68
+00:09:21,380 --> 00:09:25,540
+الشيك الوارد اللي أخدناه من ياسمين ودناه للبنك
+
+69
+00:09:25,540 --> 00:09:31,260
+هيزيد حسابي، هيزيد إيش؟ هيزيد الحساب، مظموط أخوه
+
+70
+00:09:31,260 --> 00:09:36,880
+لا؟ هيزيد الحساب، تمام؟ طيب، لكن هنا مابنسجرهاش
+
+71
+00:09:36,880 --> 00:09:39,540
+العملية، ليش؟ لأن هنا مجرد أن أخدت
+
+72
+00:09:56,360 --> 00:10:00,540
+تمام؟ براجع في الكشف، والله إيش البنك خاصة من
+
+73
+00:10:00,540 --> 00:10:07,480
+حسابي، تلاتمية وخمسين دنار ومسدد كمبيالة، مسدد دين
+
+74
+00:10:07,480 --> 00:10:12,140
+عني، الآن هي لما مسدد كمبيالة نيابة عني، الآن ..
+
+75
+00:10:12,140 --> 00:10:18,900
+الآن أكتر أتعرفي في الكشف؟ نعم، أكتر أتعرفي في ال
+
+76
+00:10:18,900 --> 00:10:22,660
+banking، مش الآن أنا من واقع الكشف، مالأجار، إذا
+
+77
+00:10:22,660 --> 00:10:25,420
+هنا سمح .. هإيش هتكون يا سمين؟
+
+78
+00:10:40,880 --> 00:10:47,360
+الكمبيوتر المسددة بناقص البنك أخد من فلوسي و سد
+
+79
+00:10:47,360 --> 00:10:51,620
+الدين عليها، بناقص ولا لا؟ بناقص، بناقص، بناقص،
+
+80
+00:10:51,620 --> 00:10:53,640
+بناقص، بناقص، بناقص، بناقص، بناقص، بناقص، بناقص،
+
+81
+00:10:53,640 --> 00:10:53,700
+بناقص، بناقص، بناقص، بناقص، بناقص، بناقص، بناقص،
+
+82
+00:10:53,700 --> 00:10:56,900
+بناقص، بناقص، بناقص، بناقص، بناقص، بناقص، بناقص،
+
+83
+00:10:56,900 --> 00:11:03,000
+بناقص، بناقص، بناقص، بناقص، بناقص،
+
+84
+00:11:03,000 --> 00:11:04,640
+بناقص،
+
+85
+00:11:30,910 --> 00:11:37,190
+500 دولار بين ايش؟ او ساين ها شايفين؟ الان ارجع
+
+86
+00:11:37,190 --> 00:11:42,190
+اشرح هذا النقطة ارجع ايش؟ نشرح هذه النقطة الان
+
+87
+00:11:42,190 --> 00:11:48,730
+الشيكات الصادرة مجرد انا حررت شيك لمحلات جمانة
+
+88
+00:11:48,730 --> 00:11:54,370
+تمام الشيك هذا الصادر تمام مجرد انا حررته سجلته في
+
+89
+00:11:54,370 --> 00:11:59,090
+دفاتري سجلته ايش؟ في دفاتري اذا نكون هنا أثر على
+
+90
+00:11:59,090 --> 00:12:04,720
+المبلغ هذالكن هل ظهر في الكشف؟ لأ طب لو وصل البنك
+
+91
+00:12:04,720 --> 00:12:14,060
+و أثر على الكشف، هيأثر بإيش؟ بالنقصان، بالنقصان،
+
+92
+00:12:14,060 --> 00:12:14,620
+بالنقصان، بالنقصان، بالنقصان، بالنقصان، بالنقصان،
+
+93
+00:12:14,620 --> 00:12:15,220
+بالنقصان، بالنقصان، بالنقصان، بالنقصان، بالنقصان،
+
+94
+00:12:15,220 --> 00:12:17,560
+بالنقصان، بالنقصان، بالنقصان، بالنقصان، بالنقصان،
+
+95
+00:12:17,560 --> 00:12:21,660
+بالنقصان، بالنقصان، بالنقصان، بالنقصان، بالنقصان،
+
+96
+00:12:21,660 --> 00:12:23,600
+بالنقصان، بالنقصان، بالنقصان، بالنقصان، بالنقصان،
+
+97
+00:12:23,600 --> 00:12:28,700
+بالنقصان، بالنقصان، بالنقصان، بالنقص
+
+98
+00:12:29,620 --> 00:12:33,900
+رقم اربعة بده اشرحها و احللها قبل .. و بعدين بتحضر
+
+99
+00:12:33,900 --> 00:12:38,200
+حالك يا عزيزي .. الان رقم اربعة .. طب .. الان
+
+100
+00:12:38,200 --> 00:12:43,860
+اخوات رقم اربعة شيخ صادر للمورد وسام .. شيخ صادر
+
+101
+00:12:43,860 --> 00:12:49,940
+للمورد ايش؟ وسام .. تمام؟ الان مجرد ان احنا نقل
+
+102
+00:12:49,940 --> 00:12:53,020
+محلات وسام الشيخ، اذا هنقول ايه؟
+
+103
+00:13:05,090 --> 00:13:11,070
+القيمة الصحيحة خمسمية وتسعة عشر خمسمية وتسعة عشر
+
+104
+00:13:11,070 --> 00:13:19,230
+ولكن المحاسب سجل كام الفقر الرقمي اتنين وسبعين
+
+105
+00:13:47,840 --> 00:13:53,200
+هل هو موجب ام سالب بدنا نحلل .. بدنا نحلل العملية
+
+106
+00:13:53,200 --> 00:13:57,800
+و نضغط مثال على الشو بينج ناشي مين بدي يتسوق اليوم
+
+107
+00:13:57,800 --> 00:14:01,720
+يحضر حاله الان عندنا القيمة الصحيحة خمسمية و
+
+108
+00:14:01,720 --> 00:14:09,300
+تسعتاش خمسمية و تسعتاش تمام؟ لكن المحاسب سجل خطأ
+
+109
+00:14:09,300 --> 00:14:16,280
+اكتر من اللازم يعني .. يعني سحب من البنك .. سحب من
+
+110
+00:14:16,280 --> 00:14:25,560
+البنكالمفروض يسحب 519 سحب 591 يعني سحب .. عندنا 72
+
+111
+00:14:25,560 --> 00:14:31,900
+زيادة بدنا هذول 72 نرجعهم لمين و لما نرجع البلد
+
+112
+00:14:31,900 --> 00:14:37,780
+إذا هذه الإشارة تبقى إيش؟ تبقى موجبة تمام؟ تبقى
+
+113
+00:14:37,780 --> 00:14:44,220
+موجبة و نضرب مثال ذهبنا لنتصوّب و أشترينا أغراض ب
+
+114
+00:14:44,220 --> 00:14:49,640
+600 شكل تمام؟أنا كل اعتقادي أنه بيقول للراجل
+
+115
+00:14:49,640 --> 00:14:53,500
+سبعمية سحبته سبعمية شيكل و أعطتله و قلت له اتفضل
+
+116
+00:14:53,500 --> 00:14:58,980
+قال لي لا ستمية اعطاني المية و رجعتها عجبتي، إذا
+
+117
+00:14:58,980 --> 00:15:06,380
+زيادة ولا محصار؟ نفس هذا القصة، تمام؟ نذهب إلى رقم
+
+118
+00:15:06,380 --> 00:15:12,980
+خمسة، نذهب إلى رقم خمسة اللي هو شيك مين؟ سلم، شيك
+
+119
+00:15:12,980 --> 00:15:19,400
+سلمالان خلينا على عملية التحليل هنا هذا شيك وارد
+
+120
+00:15:19,400 --> 00:15:24,220
+بس دي بالكم الشيكات الواردة والصادرة اللتي يحدث
+
+121
+00:15:24,220 --> 00:15:29,500
+فيها أخطاء تسجل في الدفترين بينما الشيكة اللي لم
+
+122
+00:15:29,500 --> 00:15:34,360
+يصرف الشيكة الصادرة اللي لم يصرف والشيك الوارد
+
+123
+00:15:34,360 --> 00:15:43,170
+والإيداعات شيك وارد لم يقدم للتحصيلبيختلف عن
+
+124
+00:15:43,170 --> 00:15:48,450
+الشيكات الواردة والصادرة التي حدثت فيها أخطاء عشان
+
+125
+00:15:48,450 --> 00:15:50,690
+من ال message يقولك هذا شيك صادر و هذا شيك صادر لأ
+
+126
+00:15:50,690 --> 00:15:55,870
+الشيك الصادر اللي يقدم للصرف بيختلف عن الشيك
+
+127
+00:15:55,870 --> 00:16:01,810
+الصادر اللي حدث فيه خطأ تمام؟ الآن عملية تحذير
+
+128
+00:16:01,810 --> 00:16:05,770
+الشيك الوارد كنا من محلات سالم إذا من حساب البن
+
+129
+00:16:05,770 --> 00:16:13,830
+إلى حساب مين؟ سالم القيمة الصحيحة251 بينما سجل
+
+130
+00:16:13,830 --> 00:16:21,450
+المحاسب 218
+
+131
+00:16:21,450 --> 00:16:27,650
+إذا المحاسب ببساطة بدل
+
+132
+00:16:27,650 --> 00:16:33,650
+ما يضيف البنك 251 ضاف لكم
+
+133
+00:16:48,970 --> 00:16:55,550
+تفضلي سمعناك، بيسمع رياضك، اه مين بيجاوز؟ ما هي
+
+134
+00:16:55,550 --> 00:17:04,890
+لما تكن تلك فتكون تك؟ ستة شية اه، شية سالم، ستة
+
+135
+00:17:04,890 --> 00:17:08,150
+وتلاتين بالموجة، لماذا؟
+
+136
+00:17:36,760 --> 00:17:40,940
+ماذا يقول؟ ماذا يقول؟
+
+137
+00:17:47,460 --> 00:17:55,920
+مصارية بنكية كام؟ خمسين طبعا بالسالم طبعا ايش؟
+
+138
+00:17:55,920 --> 00:18:04,560
+بالسالم ليش؟ اي مصروف .. اي مصروف لو انخصم مجلد
+
+139
+00:18:04,560 --> 00:18:08,740
+رصيدي طبعا و انا براجع الكشف البنك وجدت ان في
+
+140
+00:18:08,740 --> 00:18:13,640
+خمسين دناراللي هو إيش مصاريف بنكية، طب انا بدأ
+
+141
+00:18:13,640 --> 00:18:17,540
+اتفقدها في دفاتري أو يعني بدأ أسجلها هنا، بدأ
+
+142
+00:18:17,540 --> 00:18:20,800
+أتقلل رصيده ولا بدأ أزوده؟ بدأ أتقلل
+
+143
+00:18:38,420 --> 00:18:42,740
+الارباح اللي ضايفلي وانا براجع في الكاشف ضايفلي
+
+144
+00:18:42,740 --> 00:18:50,960
+350 درار تمام هذي الأرباح بتأثر على سيدي بالزيادة
+
+145
+00:18:50,960 --> 00:18:56,940
+ولا بالنقصان بالزيادة ممتاز الان نأتي لرقم ايش
+
+146
+00:18:56,940 --> 00:19:01,760
+تمانية احكيها
+
+147
+00:19:01,760 --> 00:19:05,570
+سماحالشيك والد من محلة خالد نحكي من حساب البنك إلى
+
+148
+00:19:05,570 --> 00:19:10,170
+حساب خالد الان .. الان لما ناخدت انا الشيك لما
+
+149
+00:19:10,170 --> 00:19:16,470
+ناخدتها ده شيك خالد وهي تلاتمية و تمانية اه متين
+
+150
+00:19:16,470 --> 00:19:22,110
+اه متين افضل اه متين شيك خالد هي متدارع تمام
+
+151
+00:19:32,570 --> 00:19:37,450
+لعدم كفاية؟ هرسين يا سماعة إذا بدى يكونوا إيش؟
+
+152
+00:19:37,450 --> 00:19:43,310
+سالح حيكون حنحطوا إيش؟ بنقصين يعني اللي بدون قصين
+
+153
+00:19:43,310 --> 00:19:48,630
+معناه طرحان معناه إيش يا هودة؟ طرحان واللي بدون
+
+154
+00:19:48,630 --> 00:19:55,450
+قصين معناه إيش؟ جمعا تمام؟ تمام نذهب إلى رقم تسعة
+
+155
+00:19:55,450 --> 00:20:03,270
+نذهب إلى رقم تسعةماذا يقول ماذا يقول طبعا تسعة
+
+156
+00:20:03,270 --> 00:20:07,290
+بيقول انا بدي احكيها انا بدي احكيها انا بدي احكيها
+
+157
+00:20:07,290 --> 00:20:15,010
+تسعة ايش بيحكي بيقول في شير شير قيمته تمانية
+
+158
+00:20:15,010 --> 00:20:26,830
+وتسعين سجل فيه كشف البنك بمبلغ ايش تسعمية وتمانية
+
+159
+00:20:26,830 --> 00:20:29,430
+دولار سجل
+
+160
+00:20:33,480 --> 00:20:40,700
+اه بيب دي جاب يالا يا ياسمين اللي ورا ياسمين شريان
+
+161
+00:20:40,700 --> 00:20:49,060
+شريان قولي شريان شريان شريان
+
+162
+00:20:49,060 --> 00:20:55,920
+شريان شريان شريان شريان شريان شريان شريان شريان
+
+163
+00:20:55,920 --> 00:20:57,080
+شريان شريان شريان شريان شريان شريان شريان شريان
+
+164
+00:20:57,080 --> 00:21:00,200
+شريان شريان شريان شريان
+
+165
+00:21:00,200 --> 00:21:02,160
+شريان شريان شريان شريان شريان شريان شريان شريان
+
+166
+00:21:05,830 --> 00:21:13,730
+الخطأ هنا اين حدث؟ في كاشف البنك حدث في كاشف البنك
+
+167
+00:21:13,730 --> 00:21:18,810
+الرصيد اين حدث؟ الخطأ اين حدث؟ في كاشف البنك انا
+
+168
+00:21:18,810 --> 00:21:30,070
+مسئول عن التصحيف في كاشف البنك؟ لا قيد لا قيد عسرا
+
+169
+00:21:30,070 --> 00:21:36,280
+عسرا انا نقطة جديدة في هذا السؤالو في السؤال
+
+170
+00:21:36,280 --> 00:21:43,260
+القادم هيكون فيه نقطة جديدة حكيت الخطأ هنا في رقم
+
+171
+00:21:43,260 --> 00:21:49,320
+9 ايه؟ هيخت مليء 90 شيكسويف ديلا في كاشف البنك إذا
+
+172
+00:21:49,320 --> 00:21:58,360
+الخطأ وين؟ وين الشهر؟ انت فين؟ ماشي؟ الآن الخطأ
+
+173
+00:21:58,360 --> 00:22:03,540
+إذا حدث في كاشف البنك أنا مش مسئول عنهأنا مسئول عن
+
+174
+00:22:03,540 --> 00:22:08,680
+إيش فقط؟ عن الأخطاء اللي بتمس الدفاتر اللي بتمس
+
+175
+00:22:08,680 --> 00:22:13,520
+دفاتري البنك وحالي وعدد تمام؟ لا قيد لها إيش
+
+176
+00:22:13,520 --> 00:22:19,240
+حكيات؟ لا قيد لها .. حطوا علامتين استفاهام جنبها
+
+177
+00:22:19,240 --> 00:22:25,320
+.. سوف نحتاجها قريبا .. الآن .. الآن يهودة رقم عشر
+
+178
+00:22:25,320 --> 00:22:25,920
+عشان بتقول
+
+179
+00:22:55,460 --> 00:22:59,500
+مش قلتلكوا علامة السنة مثلا احتاجها؟ مانحطتش هنا
+
+180
+00:22:59,500 --> 00:23:07,980
+لكن ده في الحق هنا .. هنا .. ال هنا شيك خطأ .. شيك
+
+181
+00:23:07,980 --> 00:23:12,880
+خطأ .. خلينا نرجع .. نرجعلها .. مالش .. الان هنا
+
+182
+00:23:12,880 --> 00:23:18,180
+تمانية وتسعين دنار شيك قيمته الصحيح تمانية وتسعين
+
+183
+00:23:36,140 --> 00:23:41,180
+الخطأ حدث في كشف البن والتصريح في DJ
+
+184
+00:23:59,180 --> 00:24:05,980
+الان الشيخ قيمته 890 تمام؟ الان الشيخ قيمته
+
+185
+00:24:05,980 --> 00:24:12,920
+الصحيحة، ولكن المحاسب أفندي سحب 890
+
+186
+00:24:36,820 --> 00:24:44,140
+عشرة دنالية لعمولة تحصيل، تمام؟ الان يا أخوات،
+
+187
+00:24:44,140 --> 00:24:52,500
+الان الف و ستمية و ستين زائد سبعمية، يا غدا، ناجس
+
+188
+00:24:52,500 --> 00:25:02,250
+خمسمية، زائد تسعين، بطلع، بطلعاش يا بايا لصينالف
+
+189
+00:25:02,250 --> 00:25:09,130
+وتسعمية و خمسين الرصيد ايش؟ المعدل و هنا .. و هنا
+
+190
+00:25:09,130 --> 00:25:15,990
+الغصين الف وتمنمية و اتنين و خمسين ناقص زائد زائد
+
+191
+00:25:15,990 --> 00:25:24,030
+ناقص زائد ناقص زائد ناقص الف وتسعمية و خمسين
+
+192
+00:25:24,030 --> 00:25:30,890
+الرصيد ايش؟ المعدل الرصيد ايش؟ المعدل
+
+193
+00:25:33,800 --> 00:25:37,300
+عارفين إيش بنجمع؟ البنجمع الموجب المنطلحة السالم
+
+194
+00:25:37,300 --> 00:25:41,980
+الآن يا أخوات الرصيد
+
+195
+00:25:41,980 --> 00:25:48,320
+البنك كام؟ 1660 1660 الرصيد الدفتري كام؟ الرصيد
+
+196
+00:25:48,320 --> 00:25:53,820
+المعدل كام؟ 595 أي من الثلاث يظهر في الميزانية؟
+
+197
+00:25:53,820 --> 00:26:01,360
+المعدل أحسنتم إذا كل هالقصة جرد السجن جرد البنك
+
+198
+00:26:01,360 --> 00:26:06,430
+تمام؟جرب البنك عشان نصل الى رصيد المعدل اللى يجب
+
+199
+00:26:06,430 --> 00:26:12,270
+ان يظهر فى الميزانية فى نهاية الفترة المحاسبية هل
+
+200
+00:26:12,270 --> 00:26:17,270
+مين سؤالى آية فضلى فى 900 أحجت فى الشقيان مانيا لأ
+
+201
+00:26:17,270 --> 00:26:21,970
+لأ هى اه مالهاش قيد فى ايه البنك؟ لأ هنا هنا الخطأ
+
+202
+00:26:21,970 --> 00:26:25,550
+هنا مش فى كشف البنك اذا هنا تصحيحها فى كشف البنك
+
+203
+00:26:25,550 --> 00:26:29,590
+البنك خصم منى .. خصم منى آية
+
+204
+00:26:43,390 --> 00:26:51,770
+أكتر من اللازم، بدي رجعلي الفرق، التصحيح
+
+205
+00:26:51,770 --> 00:26:57,590
+في الدفاتر عن الأخطاء المسؤول عنها الشركة، التصحيح
+
+206
+00:26:57,590 --> 00:27:00,270
+في الدفاتر عن الأخطاء اللي متكون مسؤول عنها
+
+207
+00:27:00,270 --> 00:27:05,810
+الشركة، الشركة، بينما الخطأ هذا اللي حدث في كشف ال
+
+208
+00:27:05,810 --> 00:27:08,910
+banفي cash and bank البنك المسئول هو اللي يصحّهم
+
+209
+00:27:08,910 --> 00:27:14,050
+إذا و أنا بعمل .. إذا بدأت بالرصيد البنكي هتطلب
+
+210
+00:27:14,050 --> 00:27:19,190
+أزود ال 90 ليش؟ اللي خصمهم أكتر من اللازم عشان نصل
+
+211
+00:27:19,190 --> 00:27:25,790
+إلى الرصيد المعدد تمام؟ أكيد،
+
+212
+00:27:25,790 --> 00:27:30,410
+لأ نعم نعم، لما نعمل قيول، بنعملش مقيد هذا، ليش؟
+
+213
+00:27:34,860 --> 00:27:42,160
+هل نسأل اخر نذهب الى القيود المطلوب التانى المطلوب
+
+214
+00:27:42,160 --> 00:27:46,760
+التانى يتحدث
+
+215
+00:27:46,760 --> 00:27:53,860
+عن القيود القيود رقم الدن القيود المحاسبية
+
+216
+00:27:53,860 --> 00:28:00,140
+طيب الان اخوات القيود المحاسبية ايش العمليات اللى
+
+217
+00:28:00,140 --> 00:28:01,480
+انا عايز اعملها قيود
+
+218
+00:28:05,890 --> 00:28:12,290
+التي لم يثبت لها قيط من قبل و إيش كمان؟ اللتي حدث
+
+219
+00:28:12,290 --> 00:28:18,290
+فيها يسمى إيش؟ أخطار، اللتي حدث فيها إيش؟ إشرين،
+
+220
+00:28:18,290 --> 00:28:23,210
+أخطار، تمام؟ إشرين رضوان، حدث فيها إيش؟ أخطار،
+
+221
+00:28:23,210 --> 00:28:29,890
+ماشي هدى؟ تمام، ولكن العمليات المسؤولة عنها البن
+
+222
+00:28:29,890 --> 00:28:34,270
+على إيش؟ مانيش دعوة فيها، نعود مرة أخرى
+
+223
+00:28:48,560 --> 00:28:56,600
+ماليول لا رقم اتنين رقم اتنين كن بيه على مسددة
+
+224
+00:28:56,600 --> 00:28:58,940
+دانيا من حساب
+
+225
+00:29:12,400 --> 00:29:16,940
+البنك ثلاثمية و خمسين دولار
+
+226
+00:29:33,090 --> 00:29:36,650
+شكات طبعا صادر .. شكات هذه صادر اللي بحلها تشيرين
+
+227
+00:29:36,650 --> 00:29:41,850
+رضوان تمام؟ مجرد ما حررت الشيك سجلت تشيرين في
+
+228
+00:29:41,850 --> 00:29:47,090
+الدفاتر أسجلها مرة تانية؟ أسجلها يا شاهد؟ سجلة؟
+
+229
+00:29:47,090 --> 00:29:52,710
+لأ، لاتسجل الرأي رقم أربعة رقم أربعة .. أه رقم
+
+230
+00:29:52,710 --> 00:29:58,830
+أربعة رقم أربعة بدها تحليل .. بدها أيش؟ تحليل رقم
+
+231
+00:29:58,830 --> 00:30:05,130
+أربعة الشيك الصادر صادر لمين؟هي وسام إلى إيش؟
+
+232
+00:30:05,130 --> 00:30:10,470
+البنت القيمة الصحيحة خمسمية و تسعة عشر خمسمية و
+
+233
+00:30:10,470 --> 00:30:18,730
+تسعة عشر ولكن المحاسب سجل إيش؟ سجل المحاسب والفرق
+
+234
+00:30:18,730 --> 00:30:22,210
+الرقمي 72 مافي مشكلة
+
+235
+00:30:40,980 --> 00:30:50,780
+من حساب البن إلى حساب مخلاق و سام و بالفقر الرقم
+
+236
+00:30:50,780 --> 00:30:58,160
+اللى هو ال 72 اللى إجا من 591 ناقص خمسمية و إيش 17
+
+237
+00:30:58,160 --> 00:31:02,560
+تمام هل مني سؤال؟
+
+238
+00:31:08,160 --> 00:31:13,640
+نذهب الان الى رقم خمسة رقم خمسة الشيك الوارد من
+
+239
+00:31:13,640 --> 00:31:22,500
+مين إلى حساب سالم القيمة الصحيحة كام و لكن القيمة
+
+240
+00:31:22,500 --> 00:31:31,360
+الخطأ 215 اللى هو ايش 36 الان المحاسب نضم يضيف لي
+
+241
+00:31:31,360 --> 00:31:42,000
+200و 51 شهر نافلي 215 إذا القيد النبري يبقى كما هو
+
+242
+00:31:42,000 --> 00:31:47,940
+اتفضلي من حساب
+
+243
+00:31:47,940 --> 00:32:00,720
+البنك إلى حساب سالم اللي هو 36 اللي هو من 251 مانس
+
+244
+00:32:00,720 --> 00:32:01,700
+200 و إيش
+
+245
+00:32:07,140 --> 00:32:15,800
+وخمستاشر نذهب الى رقم ستة شهر مصاريف بنكية لم تحدث
+
+246
+00:32:15,800 --> 00:32:18,320
+بالدفاتر احنا نثبتها من حساب مصروف صباحا و احنا
+
+247
+00:32:18,320 --> 00:32:21,700
+بنراجع لجينا في كاشف البنك خمسين درار لم تثبت
+
+248
+00:32:21,700 --> 00:32:24,900
+بالدفاتر من قبل ايش بده اعملها؟ بده اثبتلها من
+
+249
+00:32:24,900 --> 00:32:35,420
+حساب مصاريف بنكية الى حساب البنكخمسين خمسين دولار
+
+250
+00:32:35,420 --> 00:32:46,500
+خمسين دينار تمام طيب الان نروح لمين لأرباح الأسهم
+
+251
+00:32:46,500 --> 00:32:56,540
+لينا من حساب لأن اي ايران عند اتفاقه دائم الى حساب
+
+252
+00:32:56,540 --> 00:32:59,980
+أرباح تلاتمية
+
+253
+00:33:01,040 --> 00:33:09,640
+مخمسين تلات مية وخمسين اي سؤال الصباح طيب نذهب الى
+
+254
+00:33:09,640 --> 00:33:15,800
+رقم رقم تمانية نذهب الى رقم تمانية تمانية عليش
+
+255
+00:33:15,800 --> 00:33:21,640
+بيقول الشيك اللي رفض الشيك اللي رفض يوم ما خدت
+
+256
+00:33:21,640 --> 00:33:27,580
+الشيك من أنا من خالد قلت بالحساب إيش بالحساب إيش
+
+257
+00:33:27,580 --> 00:33:29,620
+خالد
+
+258
+00:33:38,060 --> 00:33:47,860
+خالد الى حساب البنك الى حساب ايش؟ البنك اللى هو
+
+259
+00:33:47,860 --> 00:33:53,420
+الى 200 دينار، ماشي؟
+
+260
+00:33:59,410 --> 00:34:04,490
+ماذا سؤالنا؟ إذا فاتر البن إذا هنا أنا مسئول عن
+
+261
+00:34:04,490 --> 00:34:10,050
+التصحيح؟ لأ نذهب إلى رقم عشرة نذهب إلى رقم عشرة يا
+
+262
+00:34:10,050 --> 00:34:17,330
+هدى رقم عشرة أه مين بدي أجاب من .. أه اللي ورا
+
+263
+00:34:17,330 --> 00:34:22,110
+اللي في النص فضلين نعم
+
+264
+00:34:22,110 --> 00:34:27,290
+هاي رقم عشرة من المذكورين
+
+265
+00:34:29,900 --> 00:34:38,920
+حساب البنك حساب مصاريف تحصيل إلى حساب أوراق طبق
+
+266
+00:34:38,920 --> 00:34:45,940
+رسم التحصيل هاي 240، هاي عشرة، هاي 200، وإيش؟
+
+267
+00:34:45,940 --> 00:34:51,520
+وخمسين من لديه أي سؤال على القيود؟ من لديه أي سؤال
+
+268
+00:34:51,520 --> 00:34:59,220
+على القيود؟ من عنده أي سؤال؟ حساب البنك
+
+269
+00:35:03,060 --> 00:35:07,360
+المطلوب التالت تصوير حساب البنك المطلوب التالت
+
+270
+00:35:07,360 --> 00:35:16,840
+تصوير حساب البنك في أي سؤال هالي قبل تفضلي تفضلي
+
+271
+00:35:16,840 --> 00:35:20,960
+اللي هو في ال .. في البنك الجانب ده قادة ل 357
+
+272
+00:35:20,960 --> 00:35:27,360
+أوراق تفعيل يصار أخوات،
+
+273
+00:35:27,360 --> 00:35:35,240
+الآن عند القيامة تصوير أي حسابلابد هله رصيد صادق؟
+
+274
+00:35:35,240 --> 00:35:45,760
+نعم الرصيد الصادق هي الرصيد ولكن الدفتري و هو الف
+
+275
+00:35:45,760 --> 00:35:53,560
+وتمنمية و اتنين و خمسين تمام؟ الان رسميا
+
+276
+00:36:11,990 --> 00:36:21,090
+الحساب البنك إلى حساب محلات
+
+277
+00:36:21,090 --> 00:36:26,510
+وسام
+
+278
+00:36:26,510 --> 00:36:27,250
+72
+
+279
+00:36:41,490 --> 00:36:49,350
+خمسين من حساب بنكية
+
+280
+00:36:49,350 --> 00:36:54,810
+خمسين من حساب بنكية
+
+281
+00:36:58,440 --> 00:37:06,180
+اللي في النص و بعدها تاني هنا إلى حساب أربعة إلى
+
+282
+00:37:06,180 --> 00:37:16,040
+حساب أربعة أسهم تلاتمية و خمسين تفضلي الان من حساب
+
+283
+00:37:16,040 --> 00:37:27,320
+خالد هاي متين من حساب خالد تمام؟ جاوبلي
+
+284
+00:37:38,870 --> 00:37:46,410
+ناخد الـ 240 إلى حساب أوراق قبض و رسم التحصيل إذا
+
+285
+00:37:46,410 --> 00:37:51,050
+أخوتي بعد أن قمنا بالترحيل من واقع قيود التصحيح
+
+286
+00:37:51,050 --> 00:37:59,290
+وبدءا بالرسيد الدفتري لماذا؟ لأننا .. لأننا نقوم
+
+287
+00:37:59,290 --> 00:38:01,410
+بالتصوير من واقع الدفاتر
+
+288
+00:38:21,990 --> 00:38:29,530
+هو اكبر فبالتالي نجمع المدين و الدهن ايهما اكبر
+
+289
+00:38:29,530 --> 00:38:36,070
+ايش يعمم الان
+
+290
+00:38:36,070 --> 00:38:43,690
+هيطلع عنا رصيد هنا 1950 الرصيد ايش المعددو هذا
+
+291
+00:38:43,690 --> 00:38:47,790
+يذهب الى الميزانية كما قلنا و هذا يذهب الى ايش
+
+292
+00:38:47,790 --> 00:38:54,230
+الميزانية كل فرق بينهم نعم اكيد تصوير اي حساب نجمع
+
+293
+00:38:54,230 --> 00:39:04,350
+المدين و نجمع الدائم بالنسبة
+
+294
+00:39:04,350 --> 00:39:08,050
+لها الميزانية هي الميزانية هذا ايش المطلوب رقم
+
+295
+00:39:08,050 --> 00:39:15,150
+اربعة الاطر الاطر ع الميزانيةالميزانية الأصول
+
+296
+00:39:15,150 --> 00:39:26,050
+المتداولة البنك الف وتسعمائة و خمسين ايه ال .. ايه
+
+297
+00:39:26,050 --> 00:39:30,230
+ال .. ايه الميزانية؟ اه .. اه هي الف تسعمائة و
+
+298
+00:39:30,230 --> 00:39:34,330
+خمسين يعني ماظهرش الرصيد البنكي بلا رصيد ايش ولا
+
+299
+00:39:34,330 --> 00:39:41,250
+الرصيد الدفتري تمام؟ هو اللي يضع الرصيد المعدلما
+
+300
+00:39:41,250 --> 00:39:46,670
+اللي لديها أي سؤال؟ ما اللي لديها أي سؤال؟ أو أي
+
+301
+00:39:46,670 --> 00:39:55,410
+استفسار؟ تمام؟ إذا لهذا نكون وصلنا إلى نهاية
+
+302
+00:39:55,410 --> 00:39:56,590
+محاضرة اليوم
+
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/K6Ew3mXXClk_raw.json b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/K6Ew3mXXClk_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..26c181fcc06e9430c6447e7a57aeb0100f8dc2f1
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/K6Ew3mXXClk_raw.json
@@ -0,0 +1 @@
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"probability": 0.7685546875}, {"start": 2366.19, "end": 2366.43, "word": " ايه", "probability": 0.9012044270833334}, {"start": 2366.43, "end": 2367.73, "word": " الميزانية؟", "probability": 0.846435546875}, {"start": 2367.73, "end": 2369.07, "word": " اه", "probability": 0.71240234375}, {"start": 2369.07, "end": 2369.07, "word": " ..", "probability": 0.25537109375}, {"start": 2369.07, "end": 2369.51, "word": " اه", "probability": 0.941162109375}, {"start": 2369.51, "end": 2369.65, "word": " هي", "probability": 0.42431640625}, {"start": 2369.65, "end": 2369.83, "word": " الف", "probability": 0.3203125}, {"start": 2369.83, "end": 2370.03, "word": " تسعمائة", "probability": 0.86494140625}, {"start": 2370.03, "end": 2370.23, "word": " و", "probability": 0.60546875}, {"start": 2370.23, "end": 2370.23, "word": " خمسين", "probability": 0.96826171875}, {"start": 2370.23, "end": 2370.55, "word": " يعني", "probability": 0.727294921875}, {"start": 2370.55, "end": 2371.11, "word": " ماظهرش", "probability": 0.85830078125}, {"start": 2371.11, "end": 2371.51, "word": " الرصيد", "probability": 0.73974609375}, {"start": 2371.51, "end": 2372.21, "word": " البنكي", "probability": 0.8955078125}, {"start": 2372.21, "end": 2372.53, "word": " بلا", "probability": 0.6029052734375}, {"start": 2372.53, "end": 2372.93, "word": " رصيد", "probability": 0.8231608072916666}, {"start": 2372.93, "end": 2373.47, "word": " ايش", "probability": 0.77880859375}, {"start": 2373.47, "end": 2374.33, "word": " ولا", "probability": 0.439208984375}, {"start": 2374.33, "end": 2375.83, "word": " الرصيد", "probability": 0.9547526041666666}, {"start": 2375.83, "end": 2377.03, "word": " الدفتري", "probability": 0.941650390625}, {"start": 2377.03, "end": 2378.79, "word": " تمام؟", "probability": 0.8479817708333334}, {"start": 2378.79, "end": 2378.99, "word": " هو", "probability": 0.98486328125}, {"start": 2378.99, "end": 2379.17, "word": " اللي", "probability": 0.66357421875}, {"start": 2379.17, "end": 2379.47, "word": " يضع", "probability": 0.7571614583333334}, {"start": 2379.47, "end": 2379.85, "word": " الرصيد", "probability": 0.9754231770833334}, {"start": 2379.85, "end": 2380.45, "word": " المعدل", "probability": 0.9889322916666666}], "temperature": 1.0}, {"id": 78, "seek": 239659, "start": 2381.01, "end": 2396.59, "text": "ما اللي لديها أي سؤال؟ ما اللي لديها أي سؤال؟ أو أي استفسار؟ تمام؟ إذا لهذا نكون وصلنا إلى نهاية محاضرة اليوم", "tokens": [15042, 13672, 1829, 5296, 16254, 11296, 36632, 8608, 33604, 6027, 22807, 19446, 13672, 1829, 5296, 16254, 11296, 36632, 8608, 33604, 6027, 22807, 34051, 36632, 44713, 36178, 9640, 22807, 46811, 10943, 22807, 11933, 15730, 46740, 15730, 8717, 30544, 4032, 36520, 8315, 30731, 8717, 11296, 10632, 3714, 5016, 46958, 25720, 45595, 20498], "avg_logprob": -0.14200368348289938, "compression_ratio": 1.7433628318584071, "no_speech_prob": 0.0, "words": [{"start": 2381.01, "end": 2381.25, "word": "ما", "probability": 0.300048828125}, {"start": 2381.25, "end": 2381.41, "word": " اللي", "probability": 0.869140625}, {"start": 2381.41, "end": 2381.75, "word": " لديها", "probability": 0.9469401041666666}, {"start": 2381.75, "end": 2381.95, "word": " أي", "probability": 0.68896484375}, {"start": 2381.95, "end": 2383.25, "word": " سؤال؟", "probability": 0.9178466796875}, {"start": 2383.25, "end": 2384.19, "word": " ما", "probability": 0.3955078125}, {"start": 2384.19, "end": 2384.33, "word": " اللي", "probability": 0.969482421875}, {"start": 2384.33, "end": 2384.69, "word": " لديها", "probability": 0.97802734375}, {"start": 2384.69, "end": 2384.87, "word": " أي", "probability": 0.890625}, {"start": 2384.87, "end": 2386.29, "word": " سؤال؟", "probability": 0.9237060546875}, {"start": 2386.29, "end": 2386.49, "word": " أو", "probability": 0.6552734375}, {"start": 2386.49, "end": 2386.67, "word": " أي", "probability": 0.8818359375}, {"start": 2386.67, "end": 2387.77, "word": " استفسار؟", "probability": 0.93505859375}, {"start": 2387.77, "end": 2390.17, "word": " تمام؟", "probability": 0.9562174479166666}, {"start": 2390.17, "end": 2390.73, "word": " إذا", "probability": 0.779052734375}, {"start": 2390.73, "end": 2391.17, "word": " لهذا", "probability": 0.6634521484375}, {"start": 2391.17, "end": 2392.07, "word": " نكون", "probability": 0.970947265625}, {"start": 2392.07, "end": 2394.55, "word": " وصلنا", "probability": 0.9510091145833334}, {"start": 2394.55, "end": 2394.79, "word": " إلى", "probability": 0.900390625}, {"start": 2394.79, "end": 2395.41, "word": " نهاية", "probability": 0.9635416666666666}, {"start": 2395.41, "end": 2396.11, "word": " محاضرة", "probability": 0.9537353515625}, {"start": 2396.11, "end": 2396.59, "word": " اليوم", "probability": 0.96630859375}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2402.63825, "duration_after_vad": 1969.9934687499926}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/K6Ew3mXXClk_raw.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/K6Ew3mXXClk_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..48e4f00cfd5d6800d1d6fb33b4387753f8904eab
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/K6Ew3mXXClk_raw.srt
@@ -0,0 +1,1232 @@
+1
+00:00:19,880 --> 00:00:27,140
+Okay استكملنا موضوعنا جرب البنك ناخد السؤال التالي
+
+2
+00:00:27,140 --> 00:00:29,600
+ناخد السؤال التالي
+
+3
+00:00:34,270 --> 00:00:38,810
+في واحد و تلاتين اتناش الفين و خمستاش كان الرصيد
+
+4
+00:00:38,810 --> 00:00:44,530
+الدفتري كان الرصيد الدفتري الف و تمانمية و اتنين و
+
+5
+00:00:44,530 --> 00:00:50,610
+خمسين دولار الف و تمانمية و اتنين و خمسين دولار
+
+6
+00:00:50,610 --> 00:00:56,370
+بينما الرصيد البنكي بينما الرصيد البنكي الف و
+
+7
+00:00:56,370 --> 00:01:06,910
+ستمية و ستين دولار1660 دولار و عند البحث عن أسباب
+
+8
+00:01:06,910 --> 00:01:13,130
+.. و عند البحث عن أسباب الاختلاف بين الرصيدين تبين
+
+9
+00:01:13,130 --> 00:01:24,750
+.. تبين ما يليه؟ واحد سبعمائة دولار شكات واردة ..
+
+10
+00:01:24,750 --> 00:01:26,870
+شكات واردة
+
+11
+00:01:29,720 --> 00:01:37,440
+لم تظهر بكشف الحساب شكات والدة لم تظهر بكشف الحساب
+
+12
+00:01:37,440 --> 00:01:46,180
+رقم اتنين تلاتمية وخمسين دولار كمبيلة
+
+13
+00:01:46,180 --> 00:01:59,720
+مسددة نيابة عن الشركة ولم يصل إشعار للمشروعولم يصل
+
+14
+00:01:59,720 --> 00:02:10,840
+إشعار للمشروع رقم تلاتة، رقم تلاتة، خمسمية دنار،
+
+15
+00:02:10,840 --> 00:02:19,160
+خمسمية دنار، شكات صادرة لم تقدم للصرف، لم تقدم
+
+16
+00:02:19,160 --> 00:02:24,120
+للصرف رقم
+
+17
+00:02:24,120 --> 00:02:30,990
+أربع، خمسمية و تسعة عشر دنارخمسمية و تسعين دنار،
+
+18
+00:02:30,990 --> 00:02:41,590
+شيك صادم للمورد وسام، شيك صادم للمورد وسام، سج
+
+19
+00:02:41,590 --> 00:02:45,550
+الخطأ بمبلغ
+
+20
+00:02:45,550 --> 00:02:54,190
+خمسمية و واحد سين، خمسمية و واحد و تسعين دنار، رقم
+
+21
+00:02:54,190 --> 00:03:00,590
+خمسينمتين و واحد و خمسين دولار متين و واحد و خمسين
+
+22
+00:03:00,590 --> 00:03:12,310
+دولار شيخ وارد من محلات سالم سجل خطأ في اليومية
+
+23
+00:03:12,310 --> 00:03:15,570
+بمبلغ
+
+24
+00:03:15,570 --> 00:03:23,770
+متين و خمس عشر دولار متين و خمس عشر دولار رقم ستة
+
+25
+00:03:23,770 --> 00:03:34,650
+خمسين دولارمصاريف بنكية لم
+
+26
+00:03:34,650 --> 00:03:44,810
+تثبت في الدفاتر رقم سبعة تلت مية و خمسين دولار
+
+27
+00:03:44,810 --> 00:03:50,930
+أرباح أسهم
+
+28
+00:03:50,930 --> 00:04:04,900
+لم يصل إشعار بهالم يصل إشعار بها رقم تمانية متين
+
+29
+00:04:04,900 --> 00:04:15,640
+دنار شيك وارد من محلات خالد رفض
+
+30
+00:04:15,640 --> 00:04:23,920
+لعدم كفاية الرصيد والإشعار
+
+31
+00:04:23,920 --> 00:04:36,130
+لم يصل للمشروعوالإشعار لم يصل المشروع رقم تسعة شيخ
+
+32
+00:04:36,130 --> 00:04:43,750
+صادر لأحد الموردين بمبلغ
+
+33
+00:04:43,750 --> 00:04:52,170
+تسعمائية وتمانين دولار تسعمائية وتمانين دولار
+
+34
+00:04:55,400 --> 00:05:05,240
+سُجّل خطأ .. سُجّل خطأ في كشف الحساب .. في كشف
+
+35
+00:05:05,240 --> 00:05:17,040
+الحساب ولكن القيمة الصحيحة هي .. ولكن القيمة
+
+36
+00:05:17,040 --> 00:05:19,860
+الصحيحة هي تمانمية وتسعين درار
+
+37
+00:05:23,340 --> 00:05:33,440
+دنار اخيرا رقم 10 250 دنار كمبيلة محصلة من قبل
+
+38
+00:05:33,440 --> 00:05:40,720
+البنك كمبيلة محصلة من قبل البنك ومصاريف
+
+39
+00:05:40,720 --> 00:05:47,580
+التحصيل 10 دنانير ولكن
+
+40
+00:05:47,580 --> 00:05:58,150
+كلاهما لم يثبتفي الدفاتر ولكن كلاهما لم يثبت في
+
+41
+00:05:58,150 --> 00:06:05,970
+الدفاتر المطلوب رقم واحد اعداد مذكرة التسوية بكلا
+
+42
+00:06:05,970 --> 00:06:13,930
+الرصيدين اعداد مذكرة التسوية بكلا الرصيدين رقم
+
+43
+00:06:13,930 --> 00:06:21,750
+اتنين اثبات قيود اليومية اللازمة رقم
+
+44
+00:06:21,750 --> 00:06:32,400
+تلاتةتصوير حساب البنك تصوير حساب البنك اذا اول شي
+
+45
+00:06:32,400 --> 00:06:36,740
+نبدأ باعداد مذكر بالتسوير
+
+46
+00:06:55,660 --> 00:07:01,600
+نبدأها أما بالرصيد الدفتري أو بالرصيد البنكي وطبعا
+
+47
+00:07:01,600 --> 00:07:05,320
+في الحياة اليومية نقوم بعملها يا إما بدنا بالرصيد
+
+48
+00:07:05,320 --> 00:07:09,680
+الدفتري يا بالرصيد البنكي ولكن غالبا بالرصيد
+
+49
+00:07:09,680 --> 00:07:14,180
+الدفتري لأن هناك عمليات كثيرة من خلال المراجعة
+
+50
+00:07:14,180 --> 00:07:17,780
+يارولا من خلال مراجعة الكشف الحساب اللي أرسله
+
+51
+00:07:17,780 --> 00:07:22,100
+البنك في نهاية الشهرتكون عمليات كثيرة فيفضل أن نعد
+
+52
+00:07:22,100 --> 00:07:26,660
+بالرصيد الدفتري ولكن نقوم بإعداده بالرصيد البنكي
+
+53
+00:07:26,660 --> 00:07:31,320
+للتأكد وأيضا هذه العكس وأيضا مذاكرة تسوية تم
+
+54
+00:07:31,320 --> 00:07:36,200
+إعدادها خارج المجموعة الدفترية إذا هنا .. هنا ..
+
+55
+00:07:36,200 --> 00:07:44,440
+هنا .. هذه الرصيد الرصيد البنكي وهو 1660 دولار
+
+56
+00:07:47,930 --> 00:08:01,710
+الدفتري و هو 1852 دينار تمام طيب الان نبدأ عن
+
+57
+00:08:01,710 --> 00:08:08,410
+أسباب الإختلافات و نأتي من البداية
+
+58
+00:08:26,970 --> 00:08:30,550
+وقيمته الـ 700 درار مجرد ما أخدت منها الشيك
+
+59
+00:08:30,550 --> 00:08:35,050
+الوارد، روحت سجلت إيه يا جماعة؟ في الدفاتر، ماشي
+
+60
+00:08:35,050 --> 00:08:40,590
+دنيا؟ سجلنا إيش؟ في الدفاتر، تمام؟ إذا هنا لا
+
+61
+00:08:40,590 --> 00:08:46,210
+تؤثر، تمام؟ ولكن هنا، طيب هذه الشيكات الواردة ولم
+
+62
+00:08:46,210 --> 00:08:50,810
+تحصل أو لم تظهر بكشف البنك، حكينا لم تظهر بكشف
+
+63
+00:08:50,810 --> 00:08:55,900
+البنكإيش معناه؟ معناه أنه ماتقدمتش للبنك حتى
+
+64
+00:08:55,900 --> 00:09:01,180
+يحصلها و يضيفها إلنا طيب لو وصلت البنك لو وصلت
+
+65
+00:09:01,180 --> 00:09:05,340
+البنك يا ميصار هتأدي إيش؟ هتزيد ولا إيش يا شاهد؟
+
+66
+00:09:05,340 --> 00:09:10,040
+هزيد إذن و ليه؟ شكات واردة سبعمية دنار وهي رقم
+
+67
+00:09:10,040 --> 00:09:20,720
+واحد شكات واردة سبعمية دنار والشكات الواردة تضعف
+
+68
+00:09:21,380 --> 00:09:25,540
+الشيك الوارد اللي أخدناه من ياسمين ودناه للبنك
+
+69
+00:09:25,540 --> 00:09:31,260
+هيزيد حسابي، هيزيد إيش؟ هيزيد الحساب، مظموط أخوه
+
+70
+00:09:31,260 --> 00:09:36,880
+لا؟ هيزيد الحساب، تمام؟ طيب، لكن هنا مابنسجرهاش
+
+71
+00:09:36,880 --> 00:09:39,540
+العملية، ليش؟ لأن هنا مجرد أن أخدت
+
+72
+00:09:56,360 --> 00:10:00,540
+تمام؟ براجع في الكشف، والله إيش البنك خاصة من
+
+73
+00:10:00,540 --> 00:10:07,480
+حسابي، تلاتمية وخمسين دنار ومسدد كمبيالة، مسدد دين
+
+74
+00:10:07,480 --> 00:10:12,140
+عني، الآن هي لما مسدد كمبيالة نيابة عني، الآن ..
+
+75
+00:10:12,140 --> 00:10:18,900
+الآن أكتر أتعرفي في الكشف؟ نعم، أكتر أتعرفي في ال
+
+76
+00:10:18,900 --> 00:10:22,660
+banking، مش الآن أنا من واقع الكشف، مالأجار، إذا
+
+77
+00:10:22,660 --> 00:10:25,420
+هنا سمح .. هإيش هتكون يا سمين؟
+
+78
+00:10:40,880 --> 00:10:47,360
+الكمبيوتر المسددة بناقص البنك أخد من فلوسي و سد
+
+79
+00:10:47,360 --> 00:10:51,620
+الدين عليها، بناقص ولا لا؟ بناقص، بناقص، بناقص،
+
+80
+00:10:51,620 --> 00:10:53,640
+بناقص، بناقص، بناقص، بناقص، بناقص، بناقص، بناقص،
+
+81
+00:10:53,640 --> 00:10:53,700
+بناقص، بناقص، بناقص، بناقص، بناقص، بناقص، بناقص،
+
+82
+00:10:53,700 --> 00:10:56,900
+بناقص، بناقص، بناقص، بناقص، بناقص، بناقص، بناقص،
+
+83
+00:10:56,900 --> 00:10:56,900
+بناقص، بناقص، بناقص، بناقص، بناقص، بناقص، بناقص،
+
+84
+00:10:56,900 --> 00:11:03,000
+بناقص، بناقص، بناقص، بناقص، بناقص،
+
+85
+00:11:03,000 --> 00:11:04,640
+بناقص،
+
+86
+00:11:30,910 --> 00:11:37,190
+500 دولار بين ايش؟ او ساين ها شايفين؟ الان ارجع
+
+87
+00:11:37,190 --> 00:11:42,190
+اشرح هذا النقطة ارجع ايش؟ نشرح هذه النقطة الان
+
+88
+00:11:42,190 --> 00:11:48,730
+الشيكات الصادرة مجرد انا حررت شيك لمحلات جمانة
+
+89
+00:11:48,730 --> 00:11:54,370
+تمام الشيك هذا الصادر تمام مجرد انا حررته سجلته في
+
+90
+00:11:54,370 --> 00:11:59,090
+دفاتري سجلته ايش؟ في دفاتري اذا نكون هنا أثر على
+
+91
+00:11:59,090 --> 00:12:04,720
+المبلغ هذالكن هل ظهر في الكشف؟ لأ طب لو وصل البنك
+
+92
+00:12:04,720 --> 00:12:14,060
+و أثر على الكشف، هيأثر بإيش؟ بالنقصان، بالنقصان،
+
+93
+00:12:14,060 --> 00:12:14,620
+بالنقصان، بالنقصان، بالنقصان، بالنقصان، بالنقصان،
+
+94
+00:12:14,620 --> 00:12:15,220
+بالنقصان، بالنقصان، بالنقصان، بالنقصان، بالنقصان،
+
+95
+00:12:15,220 --> 00:12:17,560
+بالنقصان، بالنقصان، بالنقصان، بالنقصان، بالنقصان،
+
+96
+00:12:17,560 --> 00:12:21,660
+بالنقصان، بالنقصان، بالنقصان، بالنقصان، بالنقصان،
+
+97
+00:12:21,660 --> 00:12:23,600
+بالنقصان، بالنقصان، بالنقصان، بالنقصان، بالنقصان،
+
+98
+00:12:23,600 --> 00:12:28,700
+بالنقصان، بالنقصان، بالنقصان، بالنقص
+
+99
+00:12:29,620 --> 00:12:33,900
+رقم اربعة بده اشرحها و احللها قبل .. و بعدين بتحضر
+
+100
+00:12:33,900 --> 00:12:38,200
+حالك يا عزيزي .. الان رقم اربعة .. طب .. الان
+
+101
+00:12:38,200 --> 00:12:43,860
+اخوات رقم اربعة شيخ صادر للمورد وسام .. شيخ صادر
+
+102
+00:12:43,860 --> 00:12:49,940
+للمورد ايش؟ وسام .. تمام؟ الان مجرد ان احنا نقل
+
+103
+00:12:49,940 --> 00:12:53,020
+محلات وسام الشيخ، اذا هنقول ايه؟
+
+104
+00:13:05,090 --> 00:13:11,070
+القيمة الصحيحة خمسمية وتسعة عشر خمسمية وتسعة عشر
+
+105
+00:13:11,070 --> 00:13:19,230
+ولكن المحاسب سجل كام الفقر الرقمي اتنين وسبعين
+
+106
+00:13:47,840 --> 00:13:53,200
+هل هو موجب ام سالب بدنا نحلل .. بدنا نحلل العملية
+
+107
+00:13:53,200 --> 00:13:57,800
+و نضغط مثال على الشو بينج ناشي مين بدي يتسوق اليوم
+
+108
+00:13:57,800 --> 00:14:01,720
+يحضر حاله الان عندنا القيمة الصحيحة خمسمية و
+
+109
+00:14:01,720 --> 00:14:09,300
+تسعتاش خمسمية و تسعتاش تمام؟ لكن المحاسب سجل خطأ
+
+110
+00:14:09,300 --> 00:14:16,280
+اكتر من اللازم يعني .. يعني سحب من البنك .. سحب من
+
+111
+00:14:16,280 --> 00:14:25,560
+البنكالمفروض يسحب 519 سحب 591 يعني سحب .. عندنا 72
+
+112
+00:14:25,560 --> 00:14:31,900
+زيادة بدنا هذول 72 نرجعهم لمين و لما نرجع البلد
+
+113
+00:14:31,900 --> 00:14:37,780
+إذا هذه الإشارة تبقى إيش؟ تبقى موجبة تمام؟ تبقى
+
+114
+00:14:37,780 --> 00:14:44,220
+موجبة و نضرب مثال ذهبنا لنتصوّب و أشترينا أغراض ب
+
+115
+00:14:44,220 --> 00:14:49,640
+600 شكل تمام؟أنا كل اعتقادي أنه بيقول للراجل
+
+116
+00:14:49,640 --> 00:14:53,500
+سبعمية سحبته سبعمية شيكل و أعطتله و قلت له اتفضل
+
+117
+00:14:53,500 --> 00:14:58,980
+قال لي لا ستمية اعطاني المية و رجعتها عجبتي، إذا
+
+118
+00:14:58,980 --> 00:15:06,380
+زيادة ولا محصار؟ نفس هذا القصة، تمام؟ نذهب إلى رقم
+
+119
+00:15:06,380 --> 00:15:12,980
+خمسة، نذهب إلى رقم خمسة اللي هو شيك مين؟ سلم، شيك
+
+120
+00:15:12,980 --> 00:15:19,400
+سلمالان خلينا على عملية التحليل هنا هذا شيك وارد
+
+121
+00:15:19,400 --> 00:15:24,220
+بس دي بالكم الشيكات الواردة والصادرة اللتي يحدث
+
+122
+00:15:24,220 --> 00:15:29,500
+فيها أخطاء تسجل في الدفترين بينما الشيكة اللي لم
+
+123
+00:15:29,500 --> 00:15:34,360
+يصرف الشيكة الصادرة اللي لم يصرف والشيك الوارد
+
+124
+00:15:34,360 --> 00:15:43,170
+والإيداعات شيك وارد لم يقدم للتحصيلبيختلف عن
+
+125
+00:15:43,170 --> 00:15:48,450
+الشيكات الواردة والصادرة التي حدثت فيها أخطاء عشان
+
+126
+00:15:48,450 --> 00:15:50,690
+من ال message يقولك هذا شيك صادر و هذا شيك صادر لأ
+
+127
+00:15:50,690 --> 00:15:55,870
+الشيك الصادر اللي يقدم للصرف بيختلف عن الشيك
+
+128
+00:15:55,870 --> 00:16:01,810
+الصادر اللي حدث فيه خطأ تمام؟ الآن عملية تحذير
+
+129
+00:16:01,810 --> 00:16:05,770
+الشيك الوارد كنا من محلات سالم إذا من حساب البن
+
+130
+00:16:05,770 --> 00:16:13,830
+إلى حساب مين؟ سالم القيمة الصحيحة251 بينما سجل
+
+131
+00:16:13,830 --> 00:16:21,450
+المحاسب 218
+
+132
+00:16:21,450 --> 00:16:27,650
+إذا المحاسب ببساطة بدل
+
+133
+00:16:27,650 --> 00:16:33,650
+ما يضيف البنك 251 ضاف لكم
+
+134
+00:16:48,970 --> 00:16:55,550
+تفضلي سمعناك، بيسمع رياضك، اه مين بيجاوز؟ ما هي
+
+135
+00:16:55,550 --> 00:17:04,890
+لما تكن تلك فتكون تك؟ ستة شية اه، شية سالم، ستة
+
+136
+00:17:04,890 --> 00:17:08,150
+وتلاتين بالموجة، لماذا؟
+
+137
+00:17:36,760 --> 00:17:40,940
+ماذا يقول؟ ماذا يقول؟
+
+138
+00:17:47,460 --> 00:17:55,920
+مصارية بنكية كام؟ خمسين طبعا بالسالم طبعا ايش؟
+
+139
+00:17:55,920 --> 00:18:04,560
+بالسالم ليش؟ اي مصروف .. اي مصروف لو انخصم مجلد
+
+140
+00:18:04,560 --> 00:18:08,740
+رصيدي طبعا و انا براجع الكشف البنك وجدت ان في
+
+141
+00:18:08,740 --> 00:18:13,640
+خمسين دناراللي هو إيش مصاريف بنكية، طب انا بدأ
+
+142
+00:18:13,640 --> 00:18:17,540
+اتفقدها في دفاتري أو يعني بدأ أسجلها هنا، بدأ
+
+143
+00:18:17,540 --> 00:18:20,800
+أتقلل رصيده ولا بدأ أزوده؟ بدأ أتقلل
+
+144
+00:18:38,420 --> 00:18:42,740
+الارباح اللي ضايفلي وانا براجع في الكاشف ضايفلي
+
+145
+00:18:42,740 --> 00:18:50,960
+350 درار تمام هذي الأرباح بتأثر على سيدي بالزيادة
+
+146
+00:18:50,960 --> 00:18:56,940
+ولا بالنقصان بالزيادة ممتاز الان نأتي لرقم ايش
+
+147
+00:18:56,940 --> 00:19:01,760
+تمانية احكيها
+
+148
+00:19:01,760 --> 00:19:05,570
+سماحالشيك والد من محلة خالد نحكي من حساب البنك إلى
+
+149
+00:19:05,570 --> 00:19:10,170
+حساب خالد الان .. الان لما ناخدت انا الشيك لما
+
+150
+00:19:10,170 --> 00:19:16,470
+ناخدتها ده شيك خالد وهي تلاتمية و تمانية اه متين
+
+151
+00:19:16,470 --> 00:19:22,110
+اه متين افضل اه متين شيك خالد هي متدارع تمام
+
+152
+00:19:32,570 --> 00:19:37,450
+لعدم كفاية؟ هرسين يا سماعة إذا بدى يكونوا إيش؟
+
+153
+00:19:37,450 --> 00:19:43,310
+سالح حيكون حنحطوا إيش؟ بنقصين يعني اللي بدون قصين
+
+154
+00:19:43,310 --> 00:19:48,630
+معناه طرحان معناه إيش يا هودة؟ طرحان واللي بدون
+
+155
+00:19:48,630 --> 00:19:55,450
+قصين معناه إيش؟ جمعا تمام؟ تمام نذهب إلى رقم تسعة
+
+156
+00:19:55,450 --> 00:20:03,270
+نذهب إلى رقم تسعةماذا يقول ماذا يقول طبعا تسعة
+
+157
+00:20:03,270 --> 00:20:07,290
+بيقول انا بدي احكيها انا بدي احكيها انا بدي احكيها
+
+158
+00:20:07,290 --> 00:20:15,010
+تسعة ايش بيحكي بيقول في شير شير قيمته تمانية
+
+159
+00:20:15,010 --> 00:20:26,830
+وتسعين سجل فيه كشف البنك بمبلغ ايش تسعمية وتمانية
+
+160
+00:20:26,830 --> 00:20:29,430
+دولار سجل
+
+161
+00:20:33,480 --> 00:20:40,700
+اه بيب دي جاب يالا يا ياسمين اللي ورا ياسمين شريان
+
+162
+00:20:40,700 --> 00:20:49,060
+شريان قولي شريان شريان شريان
+
+163
+00:20:49,060 --> 00:20:55,920
+شريان شريان شريان شريان شريان شريان شريان شريان
+
+164
+00:20:55,920 --> 00:20:55,920
+شريان شريان شريان شريان شريان شريان شريان شريان
+
+165
+00:20:55,920 --> 00:20:55,920
+شريان شريان شريان شريان شريان شريان شريان شريان
+
+166
+00:20:55,920 --> 00:20:55,920
+شريان شريان شريان شريان شريان شريان شريان شريان
+
+167
+00:20:55,920 --> 00:20:55,920
+شريان شريان شريان شريان شريان شريان شريان شريان
+
+168
+00:20:55,920 --> 00:20:57,080
+شريان شريان شريان شريان شريان شريان شريان شريان
+
+169
+00:20:57,080 --> 00:21:00,200
+شريان شريان شريان شريان
+
+170
+00:21:00,200 --> 00:21:02,160
+شريان شريان شريان شريان شريان شريان شريان شريان
+
+171
+00:21:02,160 --> 00:21:02,160
+شري
+
+172
+00:21:05,830 --> 00:21:13,730
+الخطأ هنا اين حدث؟ في كاشف البنك حدث في كاشف البنك
+
+173
+00:21:13,730 --> 00:21:18,810
+الرصيد اين حدث؟ الخطأ اين حدث؟ في كاشف البنك انا
+
+174
+00:21:18,810 --> 00:21:30,070
+مسئول عن التصحيف في كاشف البنك؟ لا قيد لا قيد عسرا
+
+175
+00:21:30,070 --> 00:21:36,280
+عسرا انا نقطة جديدة في هذا السؤالو في السؤال
+
+176
+00:21:36,280 --> 00:21:43,260
+القادم هيكون فيه نقطة جديدة حكيت الخطأ هنا في رقم
+
+177
+00:21:43,260 --> 00:21:49,320
+9 ايه؟ هيخت مليء 90 شيكسويف ديلا في كاشف البنك إذا
+
+178
+00:21:49,320 --> 00:21:58,360
+الخطأ وين؟ وين الشهر؟ انت فين؟ ماشي؟ الآن الخطأ
+
+179
+00:21:58,360 --> 00:22:03,540
+إذا حدث في كاشف البنك أنا مش مسئول عنهأنا مسئول عن
+
+180
+00:22:03,540 --> 00:22:08,680
+إيش فقط؟ عن الأخطاء اللي بتمس الدفاتر اللي بتمس
+
+181
+00:22:08,680 --> 00:22:13,520
+دفاتري البنك وحالي وعدد تمام؟ لا قيد لها إيش
+
+182
+00:22:13,520 --> 00:22:19,240
+حكيات؟ لا قيد لها .. حطوا علامتين استفاهام جنبها
+
+183
+00:22:19,240 --> 00:22:25,320
+.. سوف نحتاجها قريبا .. الآن .. الآن يهودة رقم عشر
+
+184
+00:22:25,320 --> 00:22:25,920
+عشان بتقول
+
+185
+00:22:55,460 --> 00:22:59,500
+مش قلتلكوا علامة السنة مثلا احتاجها؟ مانحطتش هنا
+
+186
+00:22:59,500 --> 00:23:07,980
+لكن ده في الحق هنا .. هنا .. ال هنا شيك خطأ .. شيك
+
+187
+00:23:07,980 --> 00:23:12,880
+خطأ .. خلينا نرجع .. نرجعلها .. مالش .. الان هنا
+
+188
+00:23:12,880 --> 00:23:18,180
+تمانية وتسعين دنار شيك قيمته الصحيح تمانية وتسعين
+
+189
+00:23:36,140 --> 00:23:41,180
+الخطأ حدث في كشف البن والتصريح في DJ
+
+190
+00:23:59,180 --> 00:24:05,980
+الان الشيخ قيمته 890 تمام؟ الان الشيخ قيمته
+
+191
+00:24:05,980 --> 00:24:12,920
+الصحيحة، ولكن المحاسب أفندي سحب 890
+
+192
+00:24:36,820 --> 00:24:44,140
+عشرة دنالية لعمولة تحصيل، تمام؟ الان يا أخوات،
+
+193
+00:24:44,140 --> 00:24:52,500
+الان الف و ستمية و ستين زائد سبعمية، يا غدا، ناجس
+
+194
+00:24:52,500 --> 00:25:02,250
+خمسمية، زائد تسعين، بطلع، بطلعاش يا بايا لصينالف
+
+195
+00:25:02,250 --> 00:25:09,130
+وتسعمية و خمسين الرصيد ايش؟ المعدل و هنا .. و هنا
+
+196
+00:25:09,130 --> 00:25:15,990
+الغصين الف وتمنمية و اتنين و خمسين ناقص زائد زائد
+
+197
+00:25:15,990 --> 00:25:24,030
+ناقص زائد ناقص زائد ناقص الف وتسعمية و خمسين
+
+198
+00:25:24,030 --> 00:25:30,890
+الرصيد ايش؟ المعدل الرصيد ايش؟ المعدل
+
+199
+00:25:33,800 --> 00:25:37,300
+عارفين إيش بنجمع؟ البنجمع الموجب المنطلحة السالم
+
+200
+00:25:37,300 --> 00:25:41,980
+الآن يا أخوات الرصيد
+
+201
+00:25:41,980 --> 00:25:48,320
+البنك كام؟ 1660 1660 الرصيد الدفتري كام؟ الرصيد
+
+202
+00:25:48,320 --> 00:25:53,820
+المعدل كام؟ 595 أي من الثلاث يظهر في الميزانية؟
+
+203
+00:25:53,820 --> 00:26:01,360
+المعدل أحسنتم إذا كل هالقصة جرد السجن جرد البنك
+
+204
+00:26:01,360 --> 00:26:06,430
+تمام؟جرب البنك عشان نصل الى رصيد المعدل اللى يجب
+
+205
+00:26:06,430 --> 00:26:12,270
+ان يظهر فى الميزانية فى نهاية الفترة المحاسبية هل
+
+206
+00:26:12,270 --> 00:26:17,270
+مين سؤالى آية فضلى فى 900 أحجت فى الشقيان مانيا لأ
+
+207
+00:26:17,270 --> 00:26:21,970
+لأ هى اه مالهاش قيد فى ايه البنك؟ لأ هنا هنا الخطأ
+
+208
+00:26:21,970 --> 00:26:25,550
+هنا مش فى كشف البنك اذا هنا تصحيحها فى كشف البنك
+
+209
+00:26:25,550 --> 00:26:29,590
+البنك خصم منى .. خصم منى آية
+
+210
+00:26:43,390 --> 00:26:51,770
+أكتر من اللازم، بدي رجعلي الفرق، التصحيح
+
+211
+00:26:51,770 --> 00:26:57,590
+في الدفاتر عن الأخطاء المسؤول عنها الشركة، التصحيح
+
+212
+00:26:57,590 --> 00:27:00,270
+في الدفاتر عن الأخطاء اللي متكون مسؤول عنها
+
+213
+00:27:00,270 --> 00:27:05,810
+الشركة، الشركة، بينما الخطأ هذا اللي حدث في كشف ال
+
+214
+00:27:05,810 --> 00:27:08,910
+banفي cash and bank البنك المسئول هو اللي يصحّهم
+
+215
+00:27:08,910 --> 00:27:14,050
+إذا و أنا بعمل .. إذا بدأت بالرصيد البنكي هتطلب
+
+216
+00:27:14,050 --> 00:27:19,190
+أزود ال 90 ليش؟ اللي خصمهم أكتر من اللازم عشان نصل
+
+217
+00:27:19,190 --> 00:27:25,790
+إلى الرصيد المعدد تمام؟ أكيد،
+
+218
+00:27:25,790 --> 00:27:30,410
+لأ نعم نعم، لما نعمل قيول، بنعملش مقيد هذا، ليش؟
+
+219
+00:27:34,860 --> 00:27:42,160
+هل نسأل اخر نذهب الى القيود المطلوب التانى المطلوب
+
+220
+00:27:42,160 --> 00:27:46,760
+التانى يتحدث
+
+221
+00:27:46,760 --> 00:27:53,860
+عن القيود القيود رقم الدن القيود المحاسبية
+
+222
+00:27:53,860 --> 00:28:00,140
+طيب الان اخوات القيود المحاسبية ايش العمليات اللى
+
+223
+00:28:00,140 --> 00:28:01,480
+انا عايز اعملها قيود
+
+224
+00:28:05,890 --> 00:28:12,290
+التي لم يثبت لها قيط من قبل و إيش كمان؟ اللتي حدث
+
+225
+00:28:12,290 --> 00:28:18,290
+فيها يسمى إيش؟ أخطار، اللتي حدث فيها إيش؟ إشرين،
+
+226
+00:28:18,290 --> 00:28:23,210
+أخطار، تمام؟ إشرين رضوان، حدث فيها إيش؟ أخطار،
+
+227
+00:28:23,210 --> 00:28:29,890
+ماشي هدى؟ تمام، ولكن العمليات المسؤولة عنها البن
+
+228
+00:28:29,890 --> 00:28:34,270
+على إيش؟ مانيش دعوة فيها، نعود مرة أخرى
+
+229
+00:28:48,560 --> 00:28:56,600
+ماليول لا رقم اتنين رقم اتنين كن بيه على مسددة
+
+230
+00:28:56,600 --> 00:28:58,940
+دانيا من حساب
+
+231
+00:29:12,400 --> 00:29:16,940
+البنك ثلاثمية و خمسين دولار
+
+232
+00:29:33,090 --> 00:29:36,650
+شكات طبعا صادر .. شكات هذه صادر اللي بحلها تشيرين
+
+233
+00:29:36,650 --> 00:29:41,850
+رضوان تمام؟ مجرد ما حررت الشيك سجلت تشيرين في
+
+234
+00:29:41,850 --> 00:29:47,090
+الدفاتر أسجلها مرة تانية؟ أسجلها يا شاهد؟ سجلة؟
+
+235
+00:29:47,090 --> 00:29:52,710
+لأ، لاتسجل الرأي رقم أربعة رقم أربعة .. أه رقم
+
+236
+00:29:52,710 --> 00:29:58,830
+أربعة رقم أربعة بدها تحليل .. بدها أيش؟ تحليل رقم
+
+237
+00:29:58,830 --> 00:30:05,130
+أربعة الشيك الصادر صادر لمين؟هي وسام إلى إيش؟
+
+238
+00:30:05,130 --> 00:30:10,470
+البنت القيمة الصحيحة خمسمية و تسعة عشر خمسمية و
+
+239
+00:30:10,470 --> 00:30:18,730
+تسعة عشر ولكن المحاسب سجل إيش؟ سجل المحاسب والفرق
+
+240
+00:30:18,730 --> 00:30:22,210
+الرقمي 72 مافي مشكلة
+
+241
+00:30:40,980 --> 00:30:50,780
+من حساب البن إلى حساب مخلاق و سام و بالفقر الرقم
+
+242
+00:30:50,780 --> 00:30:58,160
+اللى هو ال 72 اللى إجا من 591 ناقص خمسمية و إيش 17
+
+243
+00:30:58,160 --> 00:31:02,560
+تمام هل مني سؤال؟
+
+244
+00:31:08,160 --> 00:31:13,640
+نذهب الان الى رقم خمسة رقم خمسة الشيك الوارد من
+
+245
+00:31:13,640 --> 00:31:22,500
+مين إلى حساب سالم القيمة الصحيحة كام و لكن القيمة
+
+246
+00:31:22,500 --> 00:31:31,360
+الخطأ 215 اللى هو ايش 36 الان المحاسب نضم يضيف لي
+
+247
+00:31:31,360 --> 00:31:42,000
+200و 51 شهر نافلي 215 إذا القيد النبري يبقى كما هو
+
+248
+00:31:42,000 --> 00:31:47,940
+اتفضلي من حساب
+
+249
+00:31:47,940 --> 00:32:00,720
+البنك إلى حساب سالم اللي هو 36 اللي هو من 251 مانس
+
+250
+00:32:00,720 --> 00:32:01,700
+200 و إيش
+
+251
+00:32:07,140 --> 00:32:15,800
+وخمستاشر نذهب الى رقم ستة شهر مصاريف بنكية لم تحدث
+
+252
+00:32:15,800 --> 00:32:18,320
+بالدفاتر احنا نثبتها من حساب مصروف صباحا و احنا
+
+253
+00:32:18,320 --> 00:32:21,700
+بنراجع لجينا في كاشف البنك خمسين درار لم تثبت
+
+254
+00:32:21,700 --> 00:32:24,900
+بالدفاتر من قبل ايش بده اعملها؟ بده اثبتلها من
+
+255
+00:32:24,900 --> 00:32:35,420
+حساب مصاريف بنكية الى حساب البنكخمسين خمسين دولار
+
+256
+00:32:35,420 --> 00:32:46,500
+خمسين دينار تمام طيب الان نروح لمين لأرباح الأسهم
+
+257
+00:32:46,500 --> 00:32:56,540
+لينا من حساب لأن اي ايران عند اتفاقه دائم الى حساب
+
+258
+00:32:56,540 --> 00:32:59,980
+أرباح تلاتمية
+
+259
+00:33:01,040 --> 00:33:09,640
+مخمسين تلات مية وخمسين اي سؤال الصباح طيب نذهب الى
+
+260
+00:33:09,640 --> 00:33:15,800
+رقم رقم تمانية نذهب الى رقم تمانية تمانية عليش
+
+261
+00:33:15,800 --> 00:33:21,640
+بيقول الشيك اللي رفض الشيك اللي رفض يوم ما خدت
+
+262
+00:33:21,640 --> 00:33:27,580
+الشيك من أنا من خالد قلت بالحساب إيش بالحساب إيش
+
+263
+00:33:27,580 --> 00:33:29,620
+خالد
+
+264
+00:33:38,060 --> 00:33:47,860
+خالد الى حساب البنك الى حساب ايش؟ البنك اللى هو
+
+265
+00:33:47,860 --> 00:33:53,420
+الى 200 دينار، ماشي؟
+
+266
+00:33:59,410 --> 00:34:04,490
+ماذا سؤالنا؟ إذا فاتر البن إذا هنا أنا مسئول عن
+
+267
+00:34:04,490 --> 00:34:10,050
+التصحيح؟ لأ نذهب إلى رقم عشرة نذهب إلى رقم عشرة يا
+
+268
+00:34:10,050 --> 00:34:17,330
+هدى رقم عشرة أه مين بدي أجاب من .. أه اللي ورا
+
+269
+00:34:17,330 --> 00:34:22,110
+اللي في النص فضلين نعم
+
+270
+00:34:22,110 --> 00:34:27,290
+هاي رقم عشرة من المذكورين
+
+271
+00:34:29,900 --> 00:34:38,920
+حساب البنك حساب مصاريف تحصيل إلى حساب أوراق طبق
+
+272
+00:34:38,920 --> 00:34:45,940
+رسم التحصيل هاي 240، هاي عشرة، هاي 200، وإيش؟
+
+273
+00:34:45,940 --> 00:34:51,520
+وخمسين من لديه أي سؤال على القيود؟ من لديه أي سؤال
+
+274
+00:34:51,520 --> 00:34:59,220
+على القيود؟ من عنده أي سؤال؟ حساب البنك
+
+275
+00:35:03,060 --> 00:35:07,360
+المطلوب التالت تصوير حساب البنك المطلوب التالت
+
+276
+00:35:07,360 --> 00:35:16,840
+تصوير حساب البنك في أي سؤال هالي قبل تفضلي تفضلي
+
+277
+00:35:16,840 --> 00:35:20,960
+اللي هو في ال .. في البنك الجانب ده قادة ل 357
+
+278
+00:35:20,960 --> 00:35:27,360
+أوراق تفعيل يصار أخوات،
+
+279
+00:35:27,360 --> 00:35:35,240
+الآن عند القيامة تصوير أي حسابلابد هله رصيد صادق؟
+
+280
+00:35:35,240 --> 00:35:45,760
+نعم الرصيد الصادق هي الرصيد ولكن الدفتري و هو الف
+
+281
+00:35:45,760 --> 00:35:53,560
+وتمنمية و اتنين و خمسين تمام؟ الان رسميا
+
+282
+00:36:11,990 --> 00:36:21,090
+الحساب البنك إلى حساب محلات
+
+283
+00:36:21,090 --> 00:36:26,510
+وسام
+
+284
+00:36:26,510 --> 00:36:27,250
+72
+
+285
+00:36:41,490 --> 00:36:49,350
+خمسين من حساب بنكية
+
+286
+00:36:49,350 --> 00:36:54,810
+خمسين من حساب بنكية
+
+287
+00:36:58,440 --> 00:37:06,180
+اللي في النص و بعدها تاني هنا إلى حساب أربعة إلى
+
+288
+00:37:06,180 --> 00:37:16,040
+حساب أربعة أسهم تلاتمية و خمسين تفضلي الان من حساب
+
+289
+00:37:16,040 --> 00:37:27,320
+خالد هاي متين من حساب خالد تمام؟ جاوبلي
+
+290
+00:37:38,870 --> 00:37:46,410
+ناخد الـ 240 إلى حساب أوراق قبض و رسم التحصيل إذا
+
+291
+00:37:46,410 --> 00:37:51,050
+أخوتي بعد أن قمنا بالترحيل من واقع قيود التصحيح
+
+292
+00:37:51,050 --> 00:37:59,290
+وبدءا بالرسيد الدفتري لماذا؟ لأننا .. لأننا نقوم
+
+293
+00:37:59,290 --> 00:38:01,410
+بالتصوير من واقع الدفاتر
+
+294
+00:38:21,990 --> 00:38:29,530
+هو اكبر فبالتالي نجمع المدين و الدهن ايهما اكبر
+
+295
+00:38:29,530 --> 00:38:36,070
+ايش يعمم الان
+
+296
+00:38:36,070 --> 00:38:43,690
+هيطلع عنا رصيد هنا 1950 الرصيد ايش المعددو هذا
+
+297
+00:38:43,690 --> 00:38:47,790
+يذهب الى الميزانية كما قلنا و هذا يذهب الى ايش
+
+298
+00:38:47,790 --> 00:38:54,230
+الميزانية كل فرق بينهم نعم اكيد تصوير اي حساب نجمع
+
+299
+00:38:54,230 --> 00:39:04,350
+المدين و نجمع الدائم بالنسبة
+
+300
+00:39:04,350 --> 00:39:08,050
+لها الميزانية هي الميزانية هذا ايش المطلوب رقم
+
+301
+00:39:08,050 --> 00:39:15,150
+اربعة الاطر الاطر ع الميزانيةالميزانية الأصول
+
+302
+00:39:15,150 --> 00:39:26,050
+المتداولة البنك الف وتسعمائة و خمسين ايه ال .. ايه
+
+303
+00:39:26,050 --> 00:39:30,230
+ال .. ايه الميزانية؟ اه .. اه هي الف تسعمائة و
+
+304
+00:39:30,230 --> 00:39:34,330
+خمسين يعني ماظهرش الرصيد البنكي بلا رصيد ايش ولا
+
+305
+00:39:34,330 --> 00:39:41,250
+الرصيد الدفتري تمام؟ هو اللي يضع الرصيد المعدلما
+
+306
+00:39:41,250 --> 00:39:46,670
+اللي لديها أي سؤال؟ ما اللي لديها أي سؤال؟ أو أي
+
+307
+00:39:46,670 --> 00:39:55,410
+استفسار؟ تمام؟ إذا لهذا نكون وصلنا إلى نهاية
+
+308
+00:39:55,410 --> 00:39:56,590
+محاضرة اليوم
+
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/KGEPohgA2tk.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/KGEPohgA2tk.srt
new file mode 100644
index 0000000000000000000000000000000000000000..6cc772c5e8ff19fd045ee31c88290e172273682b
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/KGEPohgA2tk.srt
@@ -0,0 +1,1053 @@
+1
+00:00:19,780 --> 00:00:27,700
+ماشي أخوات، اليوم موضوعنا جرد الأصول المتداولة، جرد
+
+2
+00:00:29,730 --> 00:00:35,370
+موضوعنا اليوم جرد الأصول المتداولة، جرد الأصول
+
+3
+00:00:35,370 --> 00:00:43,270
+المتداولة، جرد الأصول المتداولة، وأول شيء هنبدأ فيه
+
+4
+00:00:43,270 --> 00:00:51,770
+هو جرد الأوراق المالية، إذا
+
+5
+00:00:51,770 --> 00:01:01,330
+موضوع محاضرة اليوم هو جرد الأصول المتداولة، وأول شيء
+
+6
+00:01:01,330 --> 00:01:09,390
+في هذا الموضوع هو جرد الأوراق المالية، جرد الأوراق
+
+7
+00:01:09,390 --> 00:01:18,270
+المالية، والأوراق المالية هي عبارة عن أسهم وسندات،
+
+8
+00:01:18,270 --> 00:01:31,380
+أسهم وسندات، السهم أداة ملكية، السهم أداة ملكية،
+
+9
+00:01:31,380 --> 00:01:43,740
+والسند أداة دين، بمعنى أن السهم هو أداة ملكية، هو
+
+10
+00:01:43,740 --> 00:01:51,060
+يمثل جزء من رأس مال الشركة، ومثال على ذلك عندما
+
+11
+00:01:51,060 --> 00:01:58,520
+يملك الشخص ألفين سهم من شركة البنك الوطني الإسلامي،
+
+12
+00:02:00,100 --> 00:02:07,820
+أو ألفين سهم، وألفين سهم من شركة جوال، هكذا، إذا هو
+
+13
+00:02:07,820 --> 00:02:12,320
+يمثل جزء، هذه الأسهم تمثل جزء من رأس المال، تمثل جزء
+
+14
+00:02:12,320 --> 00:02:22,160
+من رأس المال، بينما السند أداة دين، وهو يكون يمثل
+
+15
+00:02:22,160 --> 00:02:30,370
+اللي هو دين على الشركة المصدرة للسند، وهناك فروقات
+
+16
+00:02:30,370 --> 00:02:37,110
+بين السهم والسند، لاحقاً سوف نتحدث عنها، السهم هو
+
+17
+00:02:37,110 --> 00:02:48,130
+حلال، بينما السند حرام، لماذا؟ لأن السهم يشارك في
+
+18
+00:02:48,130 --> 00:02:53,010
+الشركة، وعندما... يشارك في الربح والخسارة، وعندما
+
+19
+00:02:53,010 --> 00:03:01,250
+تربح الشركة 5%، توزع على قدر ما يكون لديها ربح، بينما
+
+20
+00:03:01,250 --> 00:03:08,650
+... بينما السند، ربح الشركة أو خسرت، فالربح إيش؟
+
+21
+00:03:08,650 --> 00:03:16,370
+مؤكد، وعشان هيك قالوا إيه عنه؟ قرار ومبدأ الغُرم،
+
+22
+00:03:16,370 --> 00:03:23,830
+بالغُرم في الشريعة الإسلامية، أن الشخص يحصل على
+
+23
+00:03:23,830 --> 00:03:36,170
+العائد مقابل المشاركة في تحمل الخسائر، الآن
+
+24
+00:03:36,170 --> 00:03:45,410
+الاستثمار في الأوراق المالية ينقسم إلى قسمين،
+
+25
+00:03:45,410 --> 00:03:53,690
+الاستثمار في الأوراق المالية ينقسم إلى قسمين،
+
+26
+00:03:53,690 --> 00:03:56,150
+استثمارات،
+
+27
+00:03:58,900 --> 00:04:08,940
+استثمارات قصيرة الأجل، استثمارات طويلة الأجل،
+
+28
+00:04:08,940 --> 00:04:20,180
+الاستثمارات قصيرة الأجل، مدتها عام أو
+
+29
+00:04:20,180 --> 00:04:27,740
+أقل، وقابلة للتحويل إلى نقدية، وقابلة للتحويل إلى
+
+30
+00:04:28,460 --> 00:04:35,660
+نقدية، والهدف من الاستثمار في الاستثمار قصيرة
+
+31
+00:04:35,660 --> 00:04:40,580
+الأجل هو يكون
+
+32
+00:04:40,580 --> 00:04:45,100
+لدى أحد
+
+33
+00:04:45,100 --> 00:04:53,720
+الشركات، أو أحد الأشخاص، فائض، أو أحد الأشخاص فائض في
+
+34
+00:04:53,720 --> 00:04:55,260
+أمواله،
+
+35
+00:04:59,140 --> 00:05:04,760
+في الاستثمارات قصيرة الأجل، أو الأوراق المالية
+
+36
+00:05:04,760 --> 00:05:11,860
+قصيرة الأجل، ويكون هذا الاستثمار، يا سماح، يكون هذا
+
+37
+00:05:11,860 --> 00:05:16,620
+الاستثمار إيه؟ يعني يكون
+
+38
+00:05:16,620 --> 00:05:23,080
+تكون هذه الاستثمارات ممثلة في الشراء، في الشراء
+
+39
+00:05:23,080 --> 00:05:31,590
+وبيع الأسهم والسندات، شراء وبيع السندات، يعني كمثال
+
+40
+00:05:31,590 --> 00:05:38,650
+آخر، ولكن ليس على الأوراق المالية، التاجر الذي يشتري
+
+41
+00:05:38,650 --> 00:05:42,730
+السيارات ويبيع السيارات، يشتري بهدف إيش؟ تحقيق
+
+42
+00:05:42,730 --> 00:05:46,850
+الأرباح، ولديه الفائض الذي يشتري أراضي ويبيع
+
+43
+00:05:46,850 --> 00:05:55,250
+أراضي، وهكذا، إذا هنا، ولديه يكون هنا، مكاتب هذه
+
+44
+00:05:55,250 --> 00:05:59,780
+الشركة تشتريها بهدف إيش؟ متى تحتاجها تبيعها، ومتى
+
+45
+00:05:59,780 --> 00:06:06,200
+تحتاجها تحصل من وراء ذلك الأرباح، بينما
+
+46
+00:06:06,200 --> 00:06:15,300
+الاستثمارات طويلة الأجل، مدتها أكثر من عام، و
+
+47
+00:06:15,300 --> 00:06:21,980
+يكون الهدف منها، يكون
+
+48
+00:06:21,980 --> 00:06:22,480
+الهدف،
+
+49
+00:06:27,000 --> 00:06:37,240
+الحصول على عوائد التي تقوم بتوزيعها الشركات
+
+50
+00:06:37,240 --> 00:06:44,820
+المستثمر فيها،
+
+51
+00:06:44,820 --> 00:06:53,300
+هذا من جانب، والجانب الآخر، التأثير
+
+52
+00:06:54,210 --> 00:07:03,870
+في قرارات الشركات المستثمر فيها، التأثير في قرارات
+
+53
+00:07:03,870 --> 00:07:13,010
+الشركات المستثمر فيها، مثال على ذلك، كما قلنا في
+
+54
+00:07:13,010 --> 00:07:16,450
+الأسباب طويلة الأجل، لدى أحد الأشخاص أو إحدى
+
+55
+00:07:16,450 --> 00:07:23,710
+الشركات أموال فائضة، أموال فائضة، تقوم بشراء أسهم
+
+56
+00:07:25,250 --> 00:07:30,050
+أسهم في أحد المؤسسات، أو أحد البنوك، أو أحد شركات
+
+57
+00:07:30,050 --> 00:07:37,050
+الاتصالات، بهدف الحصول على العوائد، أو الحصول على
+
+58
+00:07:37,050 --> 00:07:43,310
+الأرباح الموزعة سنوياً، وعلى سبيل المثال أن الشركة
+
+59
+00:07:43,310 --> 00:07:47,970
+الجوال، أو البنك الوطني، أو البنك الأردني، أو البنك
+
+60
+00:07:47,970 --> 00:07:52,270
+الفلسطيني، في نهاية العام توزع أرباح على الأسهم،
+
+61
+00:07:53,270 --> 00:07:59,950
+الشخص الذي يمتلك ألفين سهم، يحصل من الربح مقابل
+
+62
+00:07:59,950 --> 00:08:06,250
+الألفين، شخص آخر لديه خمسمائة، يحصل على حسب الخمسمائة،
+
+63
+00:08:06,250 --> 00:08:11,710
+وهكذا، فبالتالي، واستثمار هنا، الاستثمار دائم،
+
+64
+00:08:11,710 --> 00:08:18,870
+والعائد يتكرر إيش؟ سنوياً، والعائد يتكرر سنوياً، بينما
+
+65
+00:08:18,870 --> 00:08:20,690
+الجانب الآخر، اللي يقول
+
+66
+00:08:27,500 --> 00:08:34,340
+تأثير في قراراتها، بمعنى كلما زادت، زادت أو زادت عدد
+
+67
+00:08:34,340 --> 00:08:41,300
+الأسهم التي تمتلكها شركة معينة، فهي تملك القدرة على
+
+68
+00:08:41,300 --> 00:08:46,400
+التأثير في القرار، يعني الشركة عندما يصبح لديها
+
+69
+00:08:46,400 --> 00:08:52,940
+عشرين ألف سهم من إحدى الشركات المساهمة، عشرين ألف أو
+
+70
+00:08:52,940 --> 00:08:59,300
+ثلاثين ألف، أو مجموعة أشخاص، مجموعة أشخاص يمتلكوا 200
+
+71
+00:08:59,300 --> 00:09:03,000
+ألف سهم، ثلاث أشخاص، أربع أشخاص، في علاقات طيبة
+
+72
+00:09:03,000 --> 00:09:08,560
+بينها، يستطيعوا... يستطيعوا التأثير على قرارات
+
+73
+00:09:08,560 --> 00:09:12,700
+هذه الشركة، لأن بيكون إيه؟ لما يتجمعوا، يملكوا
+
+74
+00:09:12,700 --> 00:09:15,880
+20% مثلاً من رأس المال، يؤثروا على أي
+
+75
+00:09:15,880 --> 00:09:20,720
+قرار في هذا الأمر، هذا هو بالنسبة للاستثمارات طويلة
+
+76
+00:09:20,720 --> 00:09:23,380
+الأجل، لها بعدان، البعد الأول، حصولها على العوائد
+
+77
+00:09:23,380 --> 00:09:26,680
+السنوية المتكررة، والبعد الثاني، تأثير في القرارات،
+
+78
+00:09:26,680 --> 00:09:31,040
+بينما الاستثمارات قصيرة الأجل، ومدتها قصيرة، تستطيع
+
+79
+00:09:31,040 --> 00:09:38,700
+تحويلها إلى سيولة مهما كان الأمر، وبعدين هذه قصيرة
+
+80
+00:09:38,700 --> 00:09:44,500
+الأجل قابلة للبيع في أي وقت، زي الدينار والدولار، لأن
+
+81
+00:09:44,500 --> 00:09:48,300
+عندما يملك الشخص ديناراً أو دولاراً أو أو يورو أو غير
+
+82
+00:09:48,300 --> 00:09:51,300
+ذلك من العملات، يستطيع تبديلها في أي وقت، ولا؟
+
+83
+00:09:51,300 --> 00:09:56,380
+وهكذا الأسهم، يستطيع تبديلها في أي وقت؟ لها سعر
+
+84
+00:09:56,380 --> 00:10:01,400
+حسب سعرها السوقي؟ طيب، هنا عملية، هنا الأوراق
+
+85
+00:10:01,400 --> 00:10:07,320
+المالية لها مكاتب خاصة، ويسمى الوسطاء الماليون،
+
+86
+00:10:07,320 --> 00:10:13,800
+وسطاء، والوسيط المالي يكون لديه درجة علمية تصل إلى
+
+87
+00:10:13,800 --> 00:10:18,420
+الدكتوراه، ويكون لديه مكتب وساطة مالية، خلافاً عن
+
+88
+00:10:18,420 --> 00:10:24,440
+الصرافة، قد يكون معه شهادة جامعية أو مش معاه، لكن
+
+89
+00:10:24,440 --> 00:10:27,760
+الوسيط قد يكون معه درجة علمية عالية ويعمل في هذا
+
+90
+00:10:27,760 --> 00:10:35,900
+المجال، ماشي؟ طيب، الآن ملاحظة مهمة ومعلومة مهمة،
+
+91
+00:10:35,900 --> 00:10:42,020
+فضلاً، لأ
+
+92
+00:10:43,730 --> 00:10:47,110
+هذه الآن هي، نقصد قصيرة الأجل، هذه المملوكة في
+
+93
+00:10:47,110 --> 00:10:49,350
+جيرتك، زي في الدنيا الموجودة في جيرتك، أي واجهة
+
+94
+00:10:49,350 --> 00:10:53,630
+تستطيعين تحويلها، لكن هذيك موجودة ما بتقدري
+
+95
+00:10:53,630 --> 00:10:57,450
+تسحبينها، ما بتقدري مثلاً... ممكن تحويلها... اسمعي
+
+96
+00:10:57,450 --> 00:11:01,030
+يعني ممكن لو احتجتيها، لو احتجتيها، ممكن تبعيها،
+
+97
+00:11:01,030 --> 00:11:07,500
+ممكن تبعيها هذه، لأن هذه تبقى مملوكة، قلت لكم، في حين
+
+98
+00:11:07,500 --> 00:11:11,240
+ممكن يصير فقدان في العائد لو بيأتيها قبل واحد...
+
+99
+00:11:11,240 --> 00:11:15,960
+واحد سبعة، إذا الشركة توزع... إذا الشركة توزع مرتين
+
+100
+00:11:15,960 --> 00:11:20,160
+في السنة مثلاً، تفقدين أنتِ العائد، أو يصير اتفاقية
+
+101
+00:11:20,160 --> 00:11:25,780
+حول هذا الموضوع، ماشي؟ طيب، الآن في نقطة مهمة أو
+
+102
+00:11:25,780 --> 00:11:31,320
+ملاحظة، وفقاً لمعيار المحاسبة الدولي، وفقاً لمعيار
+
+103
+00:11:31,320 --> 00:11:36,980
+المحاسبة الدولي رقم تسعة وتلاثين، رقم تسعة وتلاثين،
+
+104
+00:11:36,980 --> 00:11:45,820
+يتم تصنيف الأوراق المالية قصيرة الأجل، الأوراق
+
+105
+00:11:45,820 --> 00:11:57,360
+المالية قصيرة الأجل، إلى أسهم للمتاجرة، وأسهم للبيع،
+
+106
+00:12:02,740 --> 00:12:06,940
+هنا حسب المعيار 39، يتم تصنيف الأوراق المالية
+
+107
+00:12:06,940 --> 00:12:11,440
+قصيرة الأجل، أسهم للمتاجرة، واسم إيه؟ للبايع، ننتقل الآن
+
+108
+00:12:11,440 --> 00:12:18,340
+إلى وجه المقارنة بين السهم والسند، نستعرضه سريعاً،
+
+109
+00:12:18,340 --> 00:12:24,480
+المقارنة بين السهم والسند، النقطة الأولى، صفة
+
+110
+00:12:24,480 --> 00:12:31,380
+الملكية، الصفات الملكية، السهم كما قلنا أداة إيه؟
+
+111
+00:12:31,380 --> 00:12:37,580
+ملكية، وهو جزء من رأس المال، بينما السند أداة دين،
+
+112
+00:12:37,580 --> 00:12:44,900
+التزام على الشركة، وليس جزء من رأس المال، الآن
+
+113
+00:12:44,900 --> 00:12:50,260
+المشاركة في الإدارة، حامل
+
+114
+00:12:50,260 --> 00:12:54,420
+السهم يشارك
+
+115
+00:12:54,420 --> 00:13:02,600
+في الإدارة، بينما حامل السند لا يشارك، درجة المخاطر،
+
+116
+00:13:27,560 --> 00:13:35,440
+النقطة الأخيرة، تاريخ الاستحقاق أو السداد، السهم ليس
+
+117
+00:13:35,440 --> 00:13:39,270
+له تاريخ استحقاق، لأنه جزء من... ليس له تاريخ
+
+118
+00:13:39,270 --> 00:13:47,710
+استحقاق، لأنه إيش؟ جزء من رأس المال، بينما السند له
+
+119
+00:13:47,710 --> 00:13:51,570
+تاريخ استحقاق، هذا أنا مدين أنا للشركة، وأخذ السند
+
+120
+00:13:51,570 --> 00:13:56,630
+مقابل سنتين، ثلاثة، في النهاية إيش؟ هاخد هذا المبلغ،
+
+121
+00:13:56,630 --> 00:14:06,680
+نأتي الآن، بعد الحديث عن هذه العجالة السريعة عن
+
+122
+00:14:06,680 --> 00:14:10,460
+الأوراق المالية، الأوراق المالية، وموافقة الأسهم،
+
+123
+00:14:10,460 --> 00:14:14,960
+والسندات، نأتي إلى المعالجة المحاسبية، نأتي إلى
+
+124
+00:14:14,960 --> 00:14:23,920
+المعالجة المحاسبية، الآن المعالجة المحاسبية،
+
+125
+00:14:23,920 --> 00:14:33,280
+للأوراق المالية، أسهم لل
+
+126
+00:14:37,610 --> 00:14:46,350
+للمتاجرة، تمام؟ الآن أول شيء، ونذكر هنا، ونحن نتحدث
+
+127
+00:14:46,350 --> 00:14:55,110
+عن امتلاك الأسهم للمتاجرة، كنا عندما نشتري بضاعة و
+
+128
+00:14:55,110 --> 00:15:00,310
+نتاجر بها، كنا نقول من حساب المشتريات، ولكن عندما
+
+129
+00:15:00,310 --> 00:15:04,150
+كنا نقول شراء أثاث،
+
+130
+00:15:08,800 --> 00:15:14,320
+تُكتب باسمها، وأيضاً هنا الأوراق المالية تُكتب
+
+131
+00:15:14,320 --> 00:15:27,060
+باسمها، إذا رقم واحد، رقم واحد، قيد شراء الأوراق
+
+132
+00:15:27,060 --> 00:15:36,520
+المالية، قيد شراء الأوراق المالية، نفترض اشترت
+
+133
+00:15:40,610 --> 00:15:52,210
+شركة الوفاء، اشترت شركة الوفاء 3000 سهم، بسعر 4
+
+134
+00:15:52,210 --> 00:16:00,810
+دينار للسهم، كما دفعت عمولة
+
+135
+00:16:00,810 --> 00:16:07,710
+الوسيط المالي 300 دينار،
+
+136
+00:16:12,930 --> 00:16:22,350
+الآن بدنا قيد الشراء... قيد الشراء... أول شيء...
+
+137
+00:16:22,350 --> 00:16:26,730
+أول شيء... طبعاً كما... وطبعاً تمت هنا، جميعها،
+
+138
+00:16:26,730 --> 00:16:35,050
+جميعها ودفعت جميعاً، نقطة مثلاً... إذا الآن... وأيضاً
+
+139
+00:16:35,050 --> 00:16:41,890
+أُنوي إلى شيء مهمة... وأمر مهم، أن هنا الأوراق
+
+140
+00:16:41,890 --> 00:16:52,490
+المالية، ثمنها زائد جميع المصاريف التي دفعت من أجل
+
+141
+00:16:52,490 --> 00:16:57,750
+شراء هذه المجموعة من الأوراق المالية، تحمل عليها
+
+142
+00:16:57,750 --> 00:17:01,410
+مثل
+
+143
+00:17:01,410 --> 00:17:07,290
+عندما كنا نتحدث عن الأصل الثابت بالأمس القريب، كنا
+
+144
+00:17:07,290 --> 00:17:08,390
+السيارة،
+
+145
+00:17:11,380 --> 00:17:17,220
+إذا كنا نقول هي بتكلفة دفترية، إذا الآن أيضاً...
+
+146
+00:17:17,220 --> 00:17:20,640
+الآن، أنا زي ما حكيت، عند شراء أوراق مالية، هقول من
+
+147
+00:17:20,640 --> 00:17:27,260
+حساب أوراق مالية للمتاجرة، من حساب أوراق مالية
+
+148
+00:17:27,260 --> 00:17:32,020
+للمتاجرة، طيب... الآن عشان ما يكونش فيه اختلاف في
+
+149
+00:17:32,020 --> 00:17:38,660
+الكتاب، كاتب استثمارات قصيرة الأجل، أسهم للمتاجرة،
+
+150
+00:17:38,660 --> 00:17:43,910
+والعنوان بيقول لنا الأوراق المالية، إذا عندما حتى
+
+151
+00:17:43,910 --> 00:17:49,190
+عندما نقول من حساب الأوراق المالية للمتاجرة، نقصد
+
+152
+00:17:49,190 --> 00:17:54,490
+بها الاستثمارات قصيرة الأجل، لكن بدنا نختزل لبعض
+
+153
+00:17:54,490 --> 00:18:06,930
+الأمور، إذا هنا زي ما حكت ياسمين لنا، من حساب أوراق
+
+154
+00:18:06,930 --> 00:18:10,470
+مالية للمتاجرة،
+
+155
+00:18:11,810 --> 00:18:15,790
+وإذا قلت من حساب استثمارات قصيرة الأجل، أسهم
+
+156
+00:18:15,790 --> 00:18:23,150
+للمتاجرة، الجملة تقول نفس الشيء، ننقل إلى حساب من
+
+157
+00:18:23,150 --> 00:18:32,850
+الصندوق، قلت اشترينا كم؟ ثلاثة آلاف سهم، ثلاثة آلاف سهم،
+
+158
+00:18:32,850 --> 00:18:41,450
+ضرب أربعة يساوي كم؟ اثنا عشر ألف، زائد ثلاثمائة،
+
+159
+00:18:42,520 --> 00:18:51,940
+هذا التكلفة
+
+160
+00:18:51,940 --> 00:18:57,260
+التاريخية أو التكلفة الدفترية لتلك الأصول، وكما قلنا
+
+161
+00:18:57,260 --> 00:19:03,380
+سابقاً، ما ينفع أشتري قطعة أرض بخمسين ألف دولار و
+
+162
+00:19:03,380 --> 00:19:09,000
+السمسار يأخذ ألف ويقول إيه؟ لفتني خمسين، والالف
+
+163
+00:19:09,000 --> 00:19:12,880
+يأخذه السمسار، مش دفعتها من جيبي، لأ، إذا أصبح
+
+164
+00:19:12,880 --> 00:19:19,260
+تكلفتها اللي هو إيش؟ 51 ألف، وبالتالي الآن تكلفة
+
+165
+00:19:19,260 --> 00:19:23,840
+الأوراق المالية اللي اشتريتها أنا بهدف المتاجرة، كلمة
+
+166
+00:19:23,840 --> 00:19:28,240
+متاجرة، أشتري وأبيع، أشتري وأبيع، هذه المتاجرة، و
+
+167
+00:19:28,240 --> 00:19:35,140
+هذا أصل قصير الأجل، أصل قصير الأجل، ويظهر، ونحن
+
+168
+00:19:35,140 --> 00:19:39,060
+العنوان تبعنا، هو جرد الأصول المتداولة، جرد الأصول
+
+169
+00:19:39,060 --> 00:19:42,160
+المتداولة، جرد الأصول المتداولة، جرد الأصول المتداولة، جرد
+
+170
+00:19:42,160 --> 00:19:45,320
+الأصول المتداولة، جرد الأصول المتداولة، جرد الأصول
+
+171
+00:19:45,320 --> 00:19:46,880
+المتداولة، جرد الأصول المتداولة، جرد الأصول المتداولة، جرد
+
+172
+00:19:46,880 --> 00:19:49,940
+الأصول المتداولة، جرد الأصول المتداولة، جرد الأصول
+
+173
+00:19:49,940 --> 00:19:53,960
+المتداولة، جرد الأصول المتداولة، جرد الأصول المتداولة، جرد
+
+17
+
+223
+00:26:34,220 --> 00:26:35,380
+طيب
+
+224
+00:26:40,000 --> 00:26:44,300
+الآن كده التكلفة التاريخية الدفترية؟ بحطها هنا
+
+225
+00:26:44,300 --> 00:26:49,880
+إثنا عشر ألف وثلاثمئة هذه الدفترية، الفرق الرقمي الآن
+
+226
+00:26:49,880 --> 00:26:59,140
+بيناتهم كم؟ ستمئة دينار ربح بيع، وانتبهوا أنا جالس
+
+227
+00:26:59,140 --> 00:27:04,080
+إيش؟ ببيع إيش؟
+
+228
+00:27:04,080 --> 00:27:09,810
+معنى البيع؟ التخلص من الشيء نهائيًا، التخلص من الشيء
+
+229
+00:27:09,810 --> 00:27:16,690
+نهائيًا بمعنى ليس له وجود.. ليس له وجود في إيش؟ في
+
+230
+00:27:16,690 --> 00:27:22,230
+الدفاتر، ليس له وجود.. تمام؟ طيب..
+
+231
+00:27:22,230 --> 00:27:28,870
+الآن.. الآن كيف القيد المحاسبي يجب أن نتبنّاه؟ أول
+
+232
+00:27:28,870 --> 00:27:35,010
+شيء ببساطة شديدة أنا بعت.. تمام؟ ولما بعت..
+
+233
+00:27:35,010 --> 00:27:35,710
+لما بعت
+
+234
+00:27:53,670 --> 00:27:59,650
+النقطة الأخيرة قبل القيد: عند امتلاك الأوراق
+
+235
+00:27:59,650 --> 00:28:06,620
+المالية جعلناها مدينة، أيوة كيف كنا نعمل في الأصول
+
+236
+00:28:06,620 --> 00:28:12,220
+التابعة؟ نفس الفكرة، نفس الفكرة، إذا القيد إيش بيكون؟
+
+237
+00:28:12,220 --> 00:28:21,060
+ميصر تفضلي، هي بتحكي، ميصر تفضلي، والأرباح
+
+238
+00:28:21,060 --> 00:28:27,160
+والأرباح ممتاز، إذا من وإلى مذكورين، إذا هنا القيد
+
+239
+00:28:27,160 --> 00:28:38,020
+المحاسبي يكون من حساب الصندوق، إيه ده؟ مذكورين، حساب
+
+240
+00:28:38,020 --> 00:28:50,140
+أوراق مالية للمتاجرة، وحساب إيش؟ ربح بيع أوراق
+
+241
+00:28:50,140 --> 00:28:51,180
+مالية
+
+242
+00:29:06,290 --> 00:29:12,430
+القيمة الدفترية 12300
+
+243
+00:29:12,430 --> 00:29:22,690
+الربح 600، طبعًا القيد المحاسبي لابد أن يتساوى الطرف
+
+244
+00:29:22,690 --> 00:29:29,390
+المدين والطرف الدائن
+
+245
+00:29:29,390 --> 00:29:36,690
+حُلّ السؤال، نفترض الآن الحالة الجديدة أنه فرضا..
+
+246
+00:29:36,690 --> 00:29:48,410
+فرضا كانت صافي القيمة البيعية، صافي القيمة البيعية
+
+247
+00:29:48,410 --> 00:29:55,250
+إثنا عشر ألف ومائة دينار، إثنا عشر ألف ومائة
+
+248
+00:29:55,250 --> 00:30:05,180
+دينار، فرضا أن صافي القيمة البيعية، الدفترية كام؟ و
+
+249
+00:30:05,180 --> 00:30:12,860
+هنا البيعية كام؟ إذا هنا الفرق الرقمي كده؟ 200
+
+250
+00:30:12,860 --> 00:30:21,080
+دولار، إذا.. إذا.. هذه إيش؟ خسائر.. خسائر بيع..
+
+251
+00:30:21,080 --> 00:30:25,960
+خسائر بيع.. تفضل أنت، هل أنت، بدنا نقول من مجلس
+
+252
+00:30:25,960 --> 00:30:31,080
+إدارة؟ ممتاز، الصندوق وإحنا اللي هي خسائر.. خسائر
+
+253
+00:30:31,080 --> 00:30:31,720
+بيع؟
+
+254
+00:30:34,600 --> 00:30:38,920
+أوراق مالية، إذا القيد في هذه الحالة يكون لدينا
+
+255
+00:30:38,920 --> 00:30:49,660
+منهما مذكورين: حساب الصندوق، حساب خسائر بيع أوراق
+
+256
+00:30:49,660 --> 00:31:00,220
+مالية، إلى حساب أوراق مالية للمتاجرة، إذا هنا هي
+
+257
+00:31:00,220 --> 00:31:09,090
+اللي هو إثنا عشر ألف ومائة، هي  إثنا عشر ألف وثلاثمئة، هل من
+
+258
+00:31:09,090 --> 00:31:17,910
+السؤال؟ لأ، الآن بالنسبة للخسائر هنا عند إثباتها
+
+259
+00:31:17,910 --> 00:31:24,030
+مدينة، عند إخوانها ستكون دائنة، والأرباح عند
+
+260
+00:31:24,030 --> 00:31:29,110
+إثباتها دائنة
+
+261
+00:31:29,110 --> 00:31:34,520
+وعند إخوانها ستكون مدينة، نفس فكرة ما سبق في الأصول
+
+262
+00:31:34,520 --> 00:31:39,280
+اللي هو إيش؟ الثابتة، تمام؟ بس المسميات اللي هي
+
+263
+00:31:39,280 --> 00:31:47,020
+إيش؟ تختلف، طيب، الآن جزئية مرتبطة بهذا الموضوع هي
+
+264
+00:31:47,020 --> 00:31:54,300
+جرد، جرد، هاتف، جرد الأوراق المالية، جرد الأوراق
+
+265
+00:31:54,300 --> 00:31:57,720
+المالية، وعندما نقول جرد الأوراق المالية
+
+266
+00:32:07,760 --> 00:32:14,840
+الأوراق المالية في واحد وثلاثين واثنا عشر السنة، في
+
+267
+00:32:14,840 --> 00:32:19,600
+واحد وثلاثين واثنا عشر، نقوم بعملية جرد، عادة
+
+268
+00:32:19,600 --> 00:32:29,420
+لماذا؟ لمعرفة القيمة التي يجب أن تظهر، تظهر في
+
+269
+00:32:29,420 --> 00:32:34,860
+الميزانية، يجب أن تظهر في الميزانية وفقًا لمعايير
+
+270
+00:32:34,860 --> 00:32:41,040
+المحاسبة الدولية، وفق المعايير المحاسبية الدولية، يتم
+
+271
+00:32:41,040 --> 00:32:49,480
+يتم تقييم الأوراق المالية حسب القيمة العادلة
+
+272
+00:32:49,480 --> 00:32:56,940
+بأسعار السوقية، حسب القيمة العادلة، يا سجن، حسب
+
+273
+00:32:56,940 --> 00:33:01,560
+القيمة إيش؟ العادلة، ونقصد بالقيمة العادلة إيه؟
+
+274
+00:33:01,560 --> 00:33:05,680
+القيمة السوقية، يعني كم قيمتها
+
+275
+00:33:08,600 --> 00:33:12,820
+بدون تحيز، هذا معناه القيمة العادلة، طيب إذا الآن
+
+276
+00:33:12,820 --> 00:33:17,860
+عند التقييم يكون أمامنا أحد الاحتمالات الثلاثة الآن
+
+277
+00:33:17,860 --> 00:33:26,340
+القيمة الدفترية تساوي القيمة العادلة، يعني 4500
+
+278
+00:33:26,340 --> 00:33:35,360
+دينار، 4500 دينار، إذا هنا لا ربح ولا خسارة، لا ربح ولا
+
+279
+00:33:35,360 --> 00:33:38,140
+خسارة
+
+280
+00:33:38,600 --> 00:33:43,700
+ولكن نقطة مهمة جدًا، الآن أنا بقول التقييم، قبل
+
+281
+00:33:43,700 --> 00:33:48,000
+شوية يقول لنا البيع إيش معناه؟ البيع انتقال الملكية
+
+282
+00:33:48,000 --> 00:33:55,360
+إلى شخص آخر، شطب من الدفاتر، شطب من الدفاتر، تمام؟
+
+283
+00:33:55,360 --> 00:34:05,080
+لكن التقييم، الشيء موجود، التقييم.. التقييم إيش؟
+
+284
+00:34:05,720 --> 00:34:10,300
+موجود، الشيء ماشي، لكن أنا بقيّمه، يعني الآن أنا بملك
+
+285
+00:34:10,300 --> 00:34:14,940
+السيارة، بملك البلد، الآن هو مملوك عندي لكن بقيّمه
+
+286
+00:34:14,940 --> 00:34:16,900
+في واحد وثلاثين واثنا عشر، عشان أعرف إيش قيمته داخل
+
+287
+00:34:16,900 --> 00:34:20,640
+الميزانية، هذا معناه التقييم، الاحتفاظ بالشيء مع..
+
+288
+00:34:20,640 --> 00:34:24,380
+مع هذا، طيب، إذا هنا التقييم، هنا اللي فيه ربح وخسارة
+
+289
+00:34:24,380 --> 00:34:28,820
+للحالة الأولى، رقم واحد، تشهد القيمة العادلة؟ نعم، تشهد
+
+290
+00:34:28,820 --> 00:34:32,860
+القيمة الدفترية تساوي إيش؟ تساوي القيمة العادلة
+
+291
+00:34:33,430 --> 00:34:37,530
+مساوية للقيمة العادلة، الآن هذا أول احتمال، الثاني
+
+292
+00:34:37,530 --> 00:34:43,730
+أن القيمة الدفترية تكون أكبر من القيمة العادلة
+
+293
+00:34:43,730 --> 00:34:51,670
+أكبر من القيمة العادلة، إذا هنا هي 4500 القيمة
+
+294
+00:34:51,670 --> 00:35:02,150
+العادلة 4000 فرضا، 4000 ماشي
+
+295
+00:35:02,150 --> 00:35:09,050
+يا دانية، إذا الآن هنا هيكون عندنا إيش؟ يعني أنا اللي
+
+296
+00:35:09,050 --> 00:35:14,610
+اللي عليّ مسجل في الدفاتر 4500، فقط بيجيب في تاريخ
+
+297
+00:35:14,610 --> 00:35:21,570
+التقييم القيمة.. بيجيب إيش؟ بيجيب
+
+298
+00:35:37,000 --> 00:35:45,160
+إذا هنا هذه بنسميها الخمسمائة دينار خسائر غير
+
+299
+00:35:45,160 --> 00:35:51,760
+محققة، خسائر غير محققة، طيب الآن الاحتمال الثالث
+
+300
+00:35:51,760 --> 00:35:56,660
+الاحتمال الثالث اللي هو القيمة الدفترية أقل من
+
+301
+00:35:56,660 --> 00:36:02,560
+قيمة إيش؟ يعني أربعة آلاف وخمسمائة، وهذه أربعة آلاف
+
+302
+00:36:02,560 --> 00:36:06,540
+وإيش؟ وسبعمئة، إذا في عندي هنا إيش؟
+
+303
+00:36:16,930 --> 00:36:21,730
+الآن النقطة اللي بتحكيها مهمة جدًا، وانتبهوا لها الآن
+
+304
+00:36:21,730 --> 00:36:29,790
+هنا أي قيمة تظهر في الميزانية، هنا مش فارق أي واحدة
+
+305
+00:36:29,790 --> 00:36:33,890
+من هما تظهر في الميزانية، ولكن هنا من اللي يظهر؟
+
+306
+00:36:33,890 --> 00:36:38,470
+القيمة العادلة، اللي يظهر القيمة العادلة، نعم، ممتاز
+
+307
+00:36:38,470 --> 00:36:44,190
+وهنا من اللي يظهر؟ القيمة… لأ لأ، هي حكت وأنا
+
+308
+00:36:44,190 --> 00:36:48,060
+فكرت فيها، القيمة العادلة، إذا هنا مناقشة، ملاحظة
+
+309
+00:36:48,060 --> 00:36:59,500
+ملاحظة، القيمة العادلة هي التي تظهر في الميزانية، هي
+
+310
+00:36:59,500 --> 00:37:04,380
+التي تظهر في الميزانية، إذا أخوتي، بهذا نأتي إلى
+
+311
+00:37:04,380 --> 00:37:07,980
+نهاية محاضرة اليوم، وفي المحاضرة القادمة سنقوم بحل
+
+312
+00:37:07,980 --> 00:37:10,920
+أسئلة على هذا الموضوع
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/KGEPohgA2tk_raw.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/KGEPohgA2tk_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..16e8cbf808fbfbfe9a2a08b274716b1822aad09c
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/KGEPohgA2tk_raw.srt
@@ -0,0 +1,1248 @@
+1
+00:00:19,780 --> 00:00:27,700
+ماشي أخوات اليوم موضوعنا جرد الأصول المتداولة جرد
+
+2
+00:00:29,730 --> 00:00:35,370
+موضوعنا اليوم جرد الأصول المتداولة جرد الأصول
+
+3
+00:00:35,370 --> 00:00:43,270
+المتداولة جرد الأصول المتداولة وأول شي هنبدأ فيها
+
+4
+00:00:43,270 --> 00:00:51,770
+هو جرد الأوراق المالية إذا
+
+5
+00:00:51,770 --> 00:01:01,330
+موضوع محاضرة اليوم هو جرد الأصول المتداولةوأول شيء
+
+6
+00:01:01,330 --> 00:01:09,390
+في هذا الموضوع هو جرب الأوراق المالية جرب الأوراق
+
+7
+00:01:09,390 --> 00:01:18,270
+المالية والأوراق المالية هي عبارة عن أسهم وسندات
+
+8
+00:01:18,270 --> 00:01:31,380
+أسهم وسندات السهم أداة ملكية السهمأداة ملكية
+
+9
+00:01:31,380 --> 00:01:43,740
+والسند أداة دايم بمعنى أن السهم هو أداة ملكية هو
+
+10
+00:01:43,740 --> 00:01:51,060
+يمثل جزء من رأس مال الشركة ومثال على ذلك عندما
+
+11
+00:01:51,060 --> 00:01:58,520
+يملك الشخصين ألف سهم من شركة البنك الوطني الإسلامي
+
+12
+00:02:00,100 --> 00:02:07,820
+أو ألفين سهم و ألفين سهم من شركة جوال هكذا إذا هو
+
+13
+00:02:07,820 --> 00:02:12,320
+يمثل جزء هذه الأسهم تمثل جزء من رأس المال تمثل جزء
+
+14
+00:02:12,320 --> 00:02:22,160
+من رأس المال بينما السند أداه الدين وهو يكون يمثل
+
+15
+00:02:22,160 --> 00:02:30,370
+اللي هو دين على الشركة المصدرة للسندو هناك في رقات
+
+16
+00:02:30,370 --> 00:02:37,110
+بين السهم والسند لاحقا سوف نتحدث عنها السهم هو
+
+17
+00:02:37,110 --> 00:02:48,130
+حلال بينما السند حرام لماذا؟ لأن السهم يشارك في
+
+18
+00:02:48,130 --> 00:02:53,010
+الشركة و عندما .. يشارك في الربح و الخسارة و عندما
+
+19
+00:02:53,010 --> 00:03:01,250
+تربح الشركة 5% توزع على قدر مايكون لديها ربح بينما
+
+20
+00:03:01,250 --> 00:03:08,650
+.. بينما السند رابحت الشركة او خسرت فالربح ايش؟
+
+21
+00:03:08,650 --> 00:03:16,370
+مؤكد وعشان هيك قالوا ايه عنه قرار ومبدأ الغُلم
+
+22
+00:03:16,370 --> 00:03:23,830
+بالغُرم في الشريعة الإسلامية ان الشخص يحصل على
+
+23
+00:03:23,830 --> 00:03:36,170
+العائد مقابلالمشاركة في تحمل الخسائر الآن
+
+24
+00:03:36,170 --> 00:03:45,410
+الاستثمار في الأوراق المالية ينقسم إلى قسمين
+
+25
+00:03:45,410 --> 00:03:53,690
+الاستثمار في الأوراق المالية ينقسم إلى قسمين
+
+26
+00:03:53,690 --> 00:03:56,150
+استثمارات
+
+27
+00:03:58,900 --> 00:04:08,940
+استثمارات قصيرة الأجل استثمارات طويلة الأجل
+
+28
+00:04:08,940 --> 00:04:20,180
+الاستثمارات قصيرة الأجل المدتها عام أو
+
+29
+00:04:20,180 --> 00:04:27,740
+أقل وقابلة للتحويل إلى نقدية وقابلة للتحويل إلى
+
+30
+00:04:28,460 --> 00:04:35,660
+نخدية و الهدف من الاستثمار في الاستثمار قصيرة
+
+31
+00:04:35,660 --> 00:04:40,580
+الأجل هو يكون
+
+32
+00:04:40,580 --> 00:04:45,100
+لدى احد
+
+33
+00:04:45,100 --> 00:04:53,720
+الشركات او احد الأشخاص فائض او احد الأشخاص فائض في
+
+34
+00:04:53,720 --> 00:04:55,260
+امواله
+
+35
+00:04:59,140 --> 00:05:04,760
+في الاستثمارات قصيرة الأجل أو الأوراق المالية
+
+36
+00:05:04,760 --> 00:05:11,860
+قصيرة الأجل ويكون هذا الاستثمار يا سماح يكون هذا
+
+37
+00:05:11,860 --> 00:05:16,620
+الاستثمار ايه يعني يكون
+
+38
+00:05:16,620 --> 00:05:23,080
+تكون هذه الاستثمارات ممثلة في الشراء في الشراء
+
+39
+00:05:23,080 --> 00:05:31,590
+وبيع الأسهم والسنداتشراء و بايع السندات يعني كمثال
+
+40
+00:05:31,590 --> 00:05:38,650
+آخر ولكن ليس على الأوراق المالية التاجر الذي يشتري
+
+41
+00:05:38,650 --> 00:05:42,730
+السيارات و يبيع السيارات يشتري بهدف إيش تحقيق
+
+42
+00:05:42,730 --> 00:05:46,850
+الأرباح و لديه الفاضل الذي يشتري أراضي و يبيع
+
+43
+00:05:46,850 --> 00:05:55,250
+أراضي و هكذا إذا هنا و لديها يكون هنا مكاتب هذه
+
+44
+00:05:55,250 --> 00:05:59,780
+الشركة تشتريهابهدف انهيش متى تحتاجها تبيعها و متى
+
+45
+00:05:59,780 --> 00:06:06,200
+تحتاجها تحقي من وراها ذلك الأرباح بينما
+
+46
+00:06:06,200 --> 00:06:15,300
+الاستثمارات طويلة في الأجل مدتها اكثر من عام و
+
+47
+00:06:15,300 --> 00:06:21,980
+يكون الهدف منها يكون
+
+48
+00:06:21,980 --> 00:06:22,480
+الهدف
+
+49
+00:06:27,000 --> 00:06:37,240
+الحصول على عوائد التي تقوم بتوزيعها الشركات
+
+50
+00:06:37,240 --> 00:06:44,820
+المستثمر فيها
+
+51
+00:06:44,820 --> 00:06:53,300
+هذا من جانب والجانب الآخر التأثير
+
+52
+00:06:54,210 --> 00:07:03,870
+في قرارات الشركات المستثمر فيها التأثير في قرارات
+
+53
+00:07:03,870 --> 00:07:13,010
+الشركات المستثمر فيها مثال على ذلك كما قلنا في
+
+54
+00:07:13,010 --> 00:07:16,450
+الأسباب طويلة الأجل لدى أحد الأشخاص أو إحدى
+
+55
+00:07:16,450 --> 00:07:23,710
+الشركات أموال فائضة أموال فائضة تقوم بشراء أسهم
+
+56
+00:07:25,250 --> 00:07:30,050
+أسهم في أحد المؤسسات أو أحد البنوك أو أحد شركات
+
+57
+00:07:30,050 --> 00:07:37,050
+الاتصالات بهدف الحصول على العوائد أو الحصول على
+
+58
+00:07:37,050 --> 00:07:43,310
+الأرباح الموزعة سنويًا وعلى سبيل مثال أن الشركة
+
+59
+00:07:43,310 --> 00:07:47,970
+الجوال أو البنك الوطني أو البنك الأردني أو البنك
+
+60
+00:07:47,970 --> 00:07:52,270
+الفلسطيني في نهاية العام توزع أرباح على الأسهم
+
+61
+00:07:53,270 --> 00:07:59,950
+الشخص الصين يمتلك ألفين سهم يحصل من الربح مقابل
+
+62
+00:07:59,950 --> 00:08:06,250
+الألفين شخص آخر لديه خمسمية يحصل على حسب الخمسمية
+
+63
+00:08:06,250 --> 00:08:11,710
+و هكذا فبالتالي واستثمار هنا الاستثمار دائم
+
+64
+00:08:11,710 --> 00:08:18,870
+والعائد يتكرر ايش سنويا والعائد يتكرر سنويا بينما
+
+65
+00:08:18,870 --> 00:08:20,690
+الجانب الآخر اللي يقول
+
+66
+00:08:27,500 --> 00:08:34,340
+تأثير في قراراتها بمعنى كلما زادت زادت أو زادت عدد
+
+67
+00:08:34,340 --> 00:08:41,300
+الأسهم التي تمتلكها شركة معينة فهي كلها القدرة على
+
+68
+00:08:41,300 --> 00:08:46,400
+التأثير في القرار يعني الشركة عندما يصبح لديها
+
+69
+00:08:46,400 --> 00:08:52,940
+عشرين سهم من إحدى الشركات المساهمة عشرين ألف أو
+
+70
+00:08:52,940 --> 00:08:59,300
+تلاتين ألف أو مجموعة أشخاصمجموعة أشخاص يمتلكوا 200
+
+71
+00:08:59,300 --> 00:09:03,000
+ألف سهم، تلت أشخاص، أربع أشخاص، في علاقات طيبة
+
+72
+00:09:03,000 --> 00:09:08,560
+بينها، يستطيعوا فيه .. يستطيعوا التأثير على قرارات
+
+73
+00:09:08,560 --> 00:09:12,700
+هذه الشركة لأن بيكون إيه؟ لما يتجمعوا، يملكوا
+
+74
+00:09:12,700 --> 00:09:15,880
+عشرين في المية مثلا من رأس المال، يؤثروا على أي
+
+75
+00:09:15,880 --> 00:09:20,720
+قرار في هذا الأمرهذا هو بالنسبة للاستثمارات طويلة
+
+76
+00:09:20,720 --> 00:09:23,380
+الأجل لها بعدين البعد الأول حصولها على العوائد
+
+77
+00:09:23,380 --> 00:09:26,680
+السنوية المتكررة والبعد التاني تأثير في القرارات
+
+78
+00:09:26,680 --> 00:09:31,040
+بينما الاستثمارات قصيرة الأجل ومدتها قصيرة تستطيع
+
+79
+00:09:31,040 --> 00:09:38,700
+تحويلها إلى سيولة مهما كان الأمر وبعدين هذه قصيرة
+
+80
+00:09:38,700 --> 00:09:44,500
+الأجل قابلة للبيع في أي وجه زي الدنار والدولار لأن
+
+81
+00:09:44,500 --> 00:09:48,300
+عندما يملك الشخص دينار أو دولار أوأو يورو أو غير
+
+82
+00:09:48,300 --> 00:09:51,300
+ذلك من العملات يستطيع تبديلها في أي وقت ولا لا؟
+
+83
+00:09:51,300 --> 00:09:56,380
+وهكذا الأسهم يستطيع تبديلها في أي وقت؟ في إلها سعر
+
+84
+00:09:56,380 --> 00:10:01,400
+حسب سعرها السوقي؟ طيب هنا عملية هنا الأوراق
+
+85
+00:10:01,400 --> 00:10:07,320
+المالية لها مكاتب خاصة و يسمى الوسطاء الماليين
+
+86
+00:10:07,320 --> 00:10:13,800
+وسطاء والوسيط المالي يكون لديه درجة علمية تصل إلى
+
+87
+00:10:13,800 --> 00:10:18,420
+الدكتوراهويكون لديه مكتب وساطة مالية خلافاً عن
+
+88
+00:10:18,420 --> 00:10:24,440
+الصرافة قد يكون معه شهادة جامعية أو مش معاه لكن
+
+89
+00:10:24,440 --> 00:10:27,760
+وسطها قد يكون معه درجة علمية عالية ويعمل في هذا
+
+90
+00:10:27,760 --> 00:10:35,900
+المجال ماشي؟ طيب، الآن ملاحظة مهمة ومعلومة مهمة،
+
+91
+00:10:35,900 --> 00:10:42,020
+فضلين، لأ
+
+92
+00:10:43,730 --> 00:10:47,110
+هذه الآن هي لنقصود قصيرة في الأجل هذه المملوكة في
+
+93
+00:10:47,110 --> 00:10:49,350
+جيرتك زي في الدنيا الموجودة في جيرتك، أي واجه
+
+94
+00:10:49,350 --> 00:10:53,630
+تستطيع عيش تحويلها، لكن هذيك موجودة ما بتقدر
+
+95
+00:10:53,630 --> 00:10:57,450
+تسحريها، ما بتقدر مثلا .. ممكن تحويلها .. اسمع
+
+96
+00:10:57,450 --> 00:11:01,030
+يعني ممكن لو احتيجتيها، لو تحتيجتيها ممكن تبعيها،
+
+97
+00:11:01,030 --> 00:11:07,500
+ممكن تبعيها هذه، لأن هذه تبقى مملوكة قلتلكن في حين
+
+98
+00:11:07,500 --> 00:11:11,240
+ممكن يصير فقدان في العائد لو بيأتيها قبل واحد ..
+
+99
+00:11:11,240 --> 00:11:15,960
+واحد سبعة إذا الشركة توزع .. إذا الشركة توزع مرتين
+
+100
+00:11:15,960 --> 00:11:20,160
+في السنة مثلا تبتفقد انت العائد أو يصير اتفاقية
+
+101
+00:11:20,160 --> 00:11:25,780
+حول هذا الموضوع ماشي؟ طيب الآن في نقطة مهمة أو
+
+102
+00:11:25,780 --> 00:11:31,320
+ملاحظة وفقًا لمعيار المحاسبة الدولي وفقًا لمعيار
+
+103
+00:11:31,320 --> 00:11:36,980
+المحاسبة الدولي رقم تسعة وتلاتين رقمتسعة وتلاتين
+
+104
+00:11:36,980 --> 00:11:45,820
+يتم تصنيف الأوراق المالية قصيرة الأجل الأوراق
+
+105
+00:11:45,820 --> 00:11:57,360
+المالية قصيرة الأجل إلى أسهم للمتاجرة وأسهم للبيع
+
+106
+00:12:02,740 --> 00:12:06,940
+هنا حسب المعيار الـ 39 يتم تصنيف الأوراق المالية
+
+107
+00:12:06,940 --> 00:12:11,440
+قصيرة الأيداس المطاير واسم إيه للباير ننتقل الآن
+
+108
+00:12:11,440 --> 00:12:18,340
+إلى وجه المقارنة بين السهم والسند نستعرضه سريعا
+
+109
+00:12:18,340 --> 00:12:24,480
+المقارنة بين السهم والسند النقطة الأولى صفة
+
+110
+00:12:24,480 --> 00:12:31,380
+الملكية الصفات الملكية السهم كما قلنا أدات إيه؟
+
+111
+00:12:31,380 --> 00:12:37,580
+ملكيةوهو جزء من رأس المال بينما السند أداة دين
+
+112
+00:12:37,580 --> 00:12:44,900
+التزام على الشركة وليس جزء من رأس المال الان
+
+113
+00:12:44,900 --> 00:12:50,260
+المشاركة في الإدارة حامل
+
+114
+00:12:50,260 --> 00:12:54,420
+السهم يشارك
+
+115
+00:12:54,420 --> 00:13:02,600
+في الإدارة بينما حامل السند لا يشارك درجة المخاطر
+
+116
+00:13:27,560 --> 00:13:35,440
+النقطة الأخيرة تاريخ الاستحقاق او السداد السهم ليس
+
+117
+00:13:35,440 --> 00:13:39,270
+له تاريخ استحقاقلأنه جزء من .. ليس له تاريخ
+
+118
+00:13:39,270 --> 00:13:47,710
+استحقام لأنه إيش؟ جزء من رأس المال بينما السند له
+
+119
+00:13:47,710 --> 00:13:51,570
+تاريخ الدين هذا أنا مدينه أنا للشركة و أخذ السند
+
+120
+00:13:51,570 --> 00:13:56,630
+مقابله سنتين تلاتة في النهاية إيش؟ هاخد هذا المبلغ
+
+121
+00:13:56,630 --> 00:14:06,680
+نأتي الآن بعد الحديث عن هذهالعجالة السريعة عن
+
+122
+00:14:06,680 --> 00:14:10,460
+الأوراق المالية الأوراق المالية وموافقة الاسهم
+
+123
+00:14:10,460 --> 00:14:14,960
+والسندات نأتي إلى المعالجة المحاسبية نأتي إلى
+
+124
+00:14:14,960 --> 00:14:23,920
+المعالجة المحاسبية الآن المعالجة المحاسبية
+
+125
+00:14:23,920 --> 00:14:33,280
+للأوراق المالية تقطع أسهم لل
+
+126
+00:14:37,610 --> 00:14:46,350
+للمتاجرة تمام؟ الان اول شيء و نذكر هنا و نحن نتحدث
+
+127
+00:14:46,350 --> 00:14:55,110
+عن امتلاك الأسهم للمتاجرة كنا عندما نشتري بضاعة و
+
+128
+00:14:55,110 --> 00:15:00,310
+نتاجر بها كنا نقول من حساب المشتريات ولكن عندما
+
+129
+00:15:00,310 --> 00:15:04,150
+كنا نقول شراء أثات
+
+130
+00:15:08,800 --> 00:15:14,320
+تُكتب باسمها وأيضا هنا الأوراق المالية تُكتب
+
+131
+00:15:14,320 --> 00:15:27,060
+باسمها إذا رقم واحد رقم واحد قيد شراق الأوراق
+
+132
+00:15:27,060 --> 00:15:36,520
+المالية قيد شراق الأوراق المالية نفترض اشترت
+
+133
+00:15:40,610 --> 00:15:52,210
+شركة الوفاء اشترت شركة الوفاء 3000 سهم بسعر 4
+
+134
+00:15:52,210 --> 00:16:00,810
+دينار للسهم كما بللت عمولة
+
+135
+00:16:00,810 --> 00:16:07,710
+الوسيط المالي 300 دينار
+
+136
+00:16:12,930 --> 00:16:22,350
+الان بدنا قيد الشراك .. قيد الشراك .. اول شئ ..
+
+137
+00:16:22,350 --> 00:16:26,730
+اول شئ .. طبعا كما اه .. و طبعا تمت هنا الجميع
+
+138
+00:16:26,730 --> 00:16:35,050
+كلها و دفعت جميعا نقطة مثلا .. اذا الان .. و ايضا
+
+139
+00:16:35,050 --> 00:16:41,890
+انوي الى شغل مهمة .. و أمر مهمأن هنا الأوراق
+
+140
+00:16:41,890 --> 00:16:52,490
+المالية ثمنها زائد جميع المصاريف التي وجدت من أجل
+
+141
+00:16:52,490 --> 00:16:57,750
+شراء هذه المجموعة من الأوراق المالية تحمل عليها
+
+142
+00:16:57,750 --> 00:17:01,410
+مثل
+
+143
+00:17:01,410 --> 00:17:07,290
+عندما كنا نتحدث عن الأصل الثابت بالأمس القريب كنا
+
+144
+00:17:07,290 --> 00:17:08,390
+السيارة
+
+145
+00:17:11,380 --> 00:17:17,220
+إذا كنا نقول هي بتكلفة دفترية إذا الآن أيضا ..
+
+146
+00:17:17,220 --> 00:17:20,640
+الآن أنا زي ما حكيت عند شراء أوراق مالية هقول من
+
+147
+00:17:20,640 --> 00:17:27,260
+حساب أوراق مالية للمتاجرة من حساب أوراق مالية
+
+148
+00:17:27,260 --> 00:17:32,020
+للمتاجرة طيب .. الآن عشان مايكونش فيه اختلاف في
+
+149
+00:17:32,020 --> 00:17:38,660
+الكتاب كاتب استثمارات قصيرة الأجل أسهم للمتاجرة
+
+150
+00:17:38,660 --> 00:17:43,910
+والعنوان بيقولنا الأوراق الماليةإذا عندما حتى
+
+151
+00:17:43,910 --> 00:17:49,190
+عندما نقول من حساب الأوراق المالية للمتاجرة نقصد
+
+152
+00:17:49,190 --> 00:17:54,490
+بها الاستثمارات قصيرة الأجل لكن بدا نختزل لبعض
+
+153
+00:17:54,490 --> 00:18:06,930
+الأمور إذا هنا زي ما حكت ياسمين لينا من حساب أوراق
+
+154
+00:18:06,930 --> 00:18:10,470
+مالية للمتاجرة
+
+155
+00:18:11,810 --> 00:18:15,790
+وإذا قلت من حساب استثمارات قصيرة الأجل أسهم
+
+156
+00:18:15,790 --> 00:18:23,150
+المتاجرة الجملة تقول بعض الشيء نشرناه إلى حساب من
+
+157
+00:18:23,150 --> 00:18:32,850
+الصندوق قلت اشترينا كام تلت تلات سهم تلت تلات سهم
+
+158
+00:18:32,850 --> 00:18:41,450
+ضرب أبعاد يساوي كام اتناشر الف زائد متين تلت مية
+
+159
+00:18:42,520 --> 00:18:51,940
+هذا التكلفة
+
+160
+00:18:51,940 --> 00:18:57,260
+التاريخية أو التكلفة الدفترية لتلك أصول وكما قلنا
+
+161
+00:18:57,260 --> 00:19:03,380
+سابقا ماينفع أشتري قطعة آر بخمسين ألف دولار و
+
+162
+00:19:03,380 --> 00:19:09,000
+السمسار ياخد ألف ويقول إيه لفتني خمسينطب و الألف
+
+163
+00:19:09,000 --> 00:19:12,880
+لاخدوا الصمصار مش دفعتوا من جيبتي لأ إذا أصبح
+
+164
+00:19:12,880 --> 00:19:19,260
+تكلفتها اللي هو إيش 51 ألف وبالتالي الآن تكلفة
+
+165
+00:19:19,260 --> 00:19:23,840
+الأوراق المالية اللي اشتريت أنا بهدف المتاجرة كلمة
+
+166
+00:19:23,840 --> 00:19:28,240
+متاجرة أشتري و ببيع بشتري و ببيع هذه المتاجرة و
+
+167
+00:19:28,240 --> 00:19:35,140
+هذا أصل قصير الأجل أصل قصير الأجل و يظهر و نحن
+
+168
+00:19:35,140 --> 00:19:39,060
+العنوان تبعنا هيجرد الأصول متداولة جرد الأصول
+
+169
+00:19:39,060 --> 00:19:42,160
+متداولة جرد الأصول متداولة جرد الأصول متداولة جرد
+
+170
+00:19:42,160 --> 00:19:45,320
+الأصول متداولة جرد الأصول متداولة جرد الأصول
+
+171
+00:19:45,320 --> 00:19:46,880
+متداولة جرد الأصول متداولة جرد الأصول متداولة جرد
+
+172
+00:19:46,880 --> 00:19:49,940
+الأصول متداولة جرد الأصول متداولة جرد الأصول
+
+173
+00:19:49,940 --> 00:19:53,960
+متداولة جرد الأصول متداولة جرد الأصول متداولة جرد
+
+174
+00:19:53,960 --> 00:19:57,860
+الأصول متداولة جرد الأصول متداولة جرد الأصول
+
+175
+00:19:57,860 --> 00:20:04,040
+متداولة جرد الأصول متداولة جرد الأصول متداولة جرد
+
+176
+00:20:04,040 --> 00:20:04,100
+الأصول متداولة جرد الأصول متداولة جرد الأصول
+
+177
+00:20:04,100 --> 00:20:11,490
+متداولة جرد الأقايد تحصيل إيرادات
+
+178
+00:20:11,490 --> 00:20:19,470
+أسهم للمتاجرة قايد تحصيل إيرادات أسهم للمتاجرة
+
+179
+00:20:19,470 --> 00:20:32,870
+الآن هنا حصلت أو حصلت الشركة مبلغ ألف دينار
+
+180
+00:20:32,870 --> 00:20:44,060
+توزيعات علىعلى .. على أسهم المتاجرة على أسهم إيش؟
+
+181
+00:20:44,060 --> 00:20:54,460
+المتاجرة تمام؟ طبعا حصلت ألف دنار لشيء إذا وقلنا
+
+182
+00:20:54,460 --> 00:20:58,780
+سابقا هذه التوزيعات إيش؟ إيراد و الإيراد عند
+
+183
+00:20:58,780 --> 00:21:03,240
+أتباعته إيش؟ إيراد إيش عند أتباعته؟ دأنا ولا؟ إذا
+
+184
+00:21:03,240 --> 00:21:04,080
+إيش بنقول؟
+
+185
+00:21:06,790 --> 00:21:17,030
+من حساب البن إلى حسابها إيراد توزيعات
+
+186
+00:21:17,030 --> 00:21:31,910
+أسهم للمتاجرة ممتاز هذه ألف ألف دراجة تمام؟ هذه
+
+187
+00:21:31,910 --> 00:21:34,210
+التوزيعات الإيرادات التاجرة
+
+188
+00:21:41,600 --> 00:21:57,780
+أغفل إيراد التوزيعات إيراد التوزيعات من حساب
+
+189
+00:21:57,780 --> 00:22:07,940
+إيراد التوزيعات أسهم للمتاجرة إلى حساب
+
+190
+00:22:09,560 --> 00:22:20,760
+الارباح والخسار او ملخص الدخل الف ديرار هل
+
+191
+00:22:20,760 --> 00:22:29,060
+من السؤال اذا بهذا نكون اثبتنا عملية الشراق وعملية
+
+192
+00:22:29,060 --> 00:22:36,200
+اذا حدث ان هناك توزيعات ارباح ووزعات وتم اثبتها
+
+193
+00:22:36,200 --> 00:22:42,000
+بهذا القائدولو بدنا نقفل في نهاية العام فنقول ان
+
+194
+00:22:42,000 --> 00:22:46,000
+حساب الإيرادات لان الإيرادة عند اتفاقته دائم
+
+195
+00:22:46,000 --> 00:22:56,800
+واندفع ليش مدين تمام طيب الان نأتي نأتي الى نأتي
+
+196
+00:22:56,800 --> 00:23:04,860
+الى عملية انا اشتغلت اليوم احتجت فلوس احتجت فلوس
+
+197
+00:23:04,860 --> 00:23:14,940
+بدي ابيع هنا اذا الان الانهنا بيع الأسهم بيع
+
+198
+00:23:14,940 --> 00:23:28,880
+الأسهم طيب الآن قامت الشركة ببيع الأسهم بمبلار
+
+199
+00:23:28,880 --> 00:23:38,930
+بمبلار أربعة و نص دينار للسهمأربعة و نص دينار
+
+200
+00:23:38,930 --> 00:23:50,550
+للسهم وبلدت عمولة الوسيط المالي خمسمية او ستمية
+
+201
+00:23:50,550 --> 00:24:02,210
+دينار وحصل الصافي نقدا .. وحصل الصافي نقدا .. اذا
+
+202
+00:24:02,210 --> 00:24:12,760
+هنا .. هنا لابدمن عمل الأمور التالية و أذكر أن عند
+
+203
+00:24:12,760 --> 00:24:19,960
+التخلص أو عند بيع الأوراق المالية يكون أمامنا أحد
+
+204
+00:24:19,960 --> 00:24:29,040
+الاحتمالات الثلاث عند البيع الأوراق المالية أول
+
+205
+00:24:29,040 --> 00:24:34,660
+شيء اللي هي القيمة الدفترية تكون متساوي ليش؟
+
+206
+00:24:34,660 --> 00:24:35,620
+للقيمة
+
+207
+00:24:38,910 --> 00:24:44,570
+القيمة الدفترية تكون مساوية القيمة البيعية إذا هنا
+
+208
+00:24:44,570 --> 00:24:50,790
+لا ربح ولا خسارة رقم اتنين القيمة الدفترية تكون
+
+209
+00:24:50,790 --> 00:24:55,870
+أكبر منين؟ في قيمة البيعية يعني الف فرضا ويتسعمية
+
+210
+00:24:55,870 --> 00:25:04,470
+إذا المية إيش؟ خسائر بيع أوراق مالية خسائر
+
+211
+00:25:04,470 --> 00:25:15,060
+والاحتمال التالتالقيمة الدفترية تكون ألف ومتين أقل
+
+212
+00:25:15,060 --> 00:25:20,140
+من القيمة البيعية وهي ألف ومتين بيكون عندنا اتنين
+
+213
+00:25:20,140 --> 00:25:31,040
+ربع تمام طيب الان بالقارن اول شئ نعمل الصفقة تلت
+
+214
+00:25:31,040 --> 00:25:39,310
+آلاف ضرب أربع و نص تساويتلاتة و اتناشر ألف تاخد
+
+215
+00:25:39,310 --> 00:25:45,250
+تلاتتاشر ألف خمسمية تلاتتاشر ألف و خمسمية ايش؟
+
+216
+00:25:45,250 --> 00:25:54,250
+دنار تمام ناقص الان الان انا عندى قطعة أرض قعدت
+
+217
+00:25:54,250 --> 00:25:59,390
+راجل بيعهلى شجة بيعهلى سيارة بيعهلى باعها بمبلغ
+
+218
+00:25:59,390 --> 00:26:06,620
+معين هيجيبلي المبلغ و يقوللي طب قولليله هياخدهولا
+
+219
+00:26:06,620 --> 00:26:11,740
+أسجل الكل و بعدين أطلعله؟ لأ بسجل الصافي بسجل إيش؟
+
+220
+00:26:11,740 --> 00:26:20,540
+الصافي إذا هنا لاقس إيه؟ عمولة الوصير وهي كداش؟
+
+221
+00:26:20,540 --> 00:26:27,380
+ستمية دولار طيب، الآن بطلع عندنا إيش؟ الصافي كام؟
+
+222
+00:26:27,380 --> 00:26:34,220
+الصافي اتناشر ألف و إيه؟ تسعمية دولار اتناشر ألف
+
+223
+00:26:34,220 --> 00:26:35,380
+طيب
+
+224
+00:26:40,000 --> 00:26:44,300
+الان كده تكلفة التاريخية الدفترية؟ بحطها هنا
+
+225
+00:26:44,300 --> 00:26:49,880
+اتناشر الف وتلاتمية هذه الدفترية الفرق الرقمي الآن
+
+226
+00:26:49,880 --> 00:26:59,140
+بيناتهم كم؟ ستمية دنار ربح بيع وانتبهوا انا جاعد
+
+227
+00:26:59,140 --> 00:27:04,080
+ايش؟ ببيع ايش
+
+228
+00:27:04,080 --> 00:27:09,810
+معنى البيع؟ التخلص من الشيء نهائيالتخلص من الشيء
+
+229
+00:27:09,810 --> 00:27:16,690
+نهائي بمعنى ليس له وجود .. ليس له وجود في إيش؟ في
+
+230
+00:27:16,690 --> 00:27:22,230
+الدفاتر اليهودة .. ليس له وجود .. تمام؟ طيب ..
+
+231
+00:27:22,230 --> 00:27:28,870
+الآن .. الان كيف القيد المحاسب يجب أن نتبته؟ أول
+
+232
+00:27:28,870 --> 00:27:35,010
+شيء ببساطة شديدة أنا بعت .. تمام؟ و لما نبعت ..
+
+233
+00:27:35,010 --> 00:27:35,710
+لما نبعت
+
+234
+00:27:53,670 --> 00:27:59,650
+النقطة الأخيرة قبل القيادة عند امتلاك الأوراق
+
+235
+00:27:59,650 --> 00:28:06,620
+المالية جعلناها مدينةأيوة كيف كنا نعمل في الأصول
+
+236
+00:28:06,620 --> 00:28:12,220
+التابعة نفس الفكرة نفس الفكرة إذا القيد إيش بيكون
+
+237
+00:28:12,220 --> 00:28:21,060
+ميصر تفضلي هي بتحكي ميصر تفضلي والأرباح
+
+238
+00:28:21,060 --> 00:28:27,160
+والأرباح ممتاز إذا من إلى مذكورين إذا هنا القيد
+
+239
+00:28:27,160 --> 00:28:38,020
+المحاسب يكون من حساب الصندوقإيه ده؟ مذكورين حساب
+
+240
+00:28:38,020 --> 00:28:50,140
+أوراق مالية للمتاجرة و حساب إيش؟ ربح بيع أوراق
+
+241
+00:28:50,140 --> 00:28:51,180
+مالية
+
+242
+00:29:06,290 --> 00:29:12,430
+القيمة الدفترية 12300
+
+243
+00:29:12,430 --> 00:29:22,690
+الربع 600 طبعا القيد المحاسبي لابد ان يتساوى الطرف
+
+244
+00:29:22,690 --> 00:29:29,390
+المدين والطرف الدالي
+
+245
+00:29:29,390 --> 00:29:36,690
+حلم السؤالنفترض الآن الحالة الجديدة انه فرضا ..
+
+246
+00:29:36,690 --> 00:29:48,410
+فرضا كانت صافي القيمة البيعية صافي القيمة البيعية
+
+247
+00:29:48,410 --> 00:29:55,250
+اتناشر الف اتناشر الف ومئة دينار اتناشر الف ومئة
+
+248
+00:29:55,250 --> 00:30:05,180
+دينار فرضا ان صافي القيمة البيعيةالدفترية كام؟ و
+
+249
+00:30:05,180 --> 00:30:12,860
+هنا البيعية كام؟ إذا هنا الفرق الرقمي كده؟ 200
+
+250
+00:30:12,860 --> 00:30:21,080
+دولار إذا .. إذا .. هذه إيش؟ خسائر .. خسائر بيع ..
+
+251
+00:30:21,080 --> 00:30:25,960
+خسائر بيع .. تفضل إنت هل إنت بدنا نقول من مجلس
+
+252
+00:30:25,960 --> 00:30:31,080
+كورية؟ ممتاز الصندوق و إحنا اللي هي خسائر .. خسائر
+
+253
+00:30:31,080 --> 00:30:31,720
+بيع؟
+
+254
+00:30:34,600 --> 00:30:38,920
+أوراق مالية اذا القيد في هذه الحالة يكون لدينا
+
+255
+00:30:38,920 --> 00:30:49,660
+منهم مذكوريا حساب الصندوق حساب خسائر بيع أوراق
+
+256
+00:30:49,660 --> 00:31:00,220
+مالية إلى حساب أوراق مالية للمتاجرة إذا هنا هي
+
+257
+00:31:00,220 --> 00:31:09,090
+اللي هو اتماشى ألف ومية هي متينهذه 12300 هل من
+
+258
+00:31:09,090 --> 00:31:17,910
+السؤال؟ لأ الآن بالنسبة للخسائر هنا عند إثباتها
+
+259
+00:31:17,910 --> 00:31:24,030
+مدينة عند أخوانها ستكون دائنة و الأرباح عند
+
+260
+00:31:24,030 --> 00:31:29,110
+إثباتها دائنة
+
+261
+00:31:29,110 --> 00:31:34,520
+و عند أخوانها ستكون مدينة نفس فكرةما صبق في الأصول
+
+262
+00:31:34,520 --> 00:31:39,280
+اللي هو إيش؟ الثابتة تمام؟ بس المسميات اللي هي
+
+263
+00:31:39,280 --> 00:31:47,020
+إيش؟ تختلف طيب، الآن جزئية مرتبطة بهذا الموضوع هي
+
+264
+00:31:47,020 --> 00:31:54,300
+جرد جرد هاتف جرد الأوراق المالية جرد الأوراق
+
+265
+00:31:54,300 --> 00:31:57,720
+المالية وعندما نقول جرد الأوراق المالية
+
+266
+00:32:07,760 --> 00:32:14,840
+الأوراق المالية في واحد و تلاتين و اتناش السنة في
+
+267
+00:32:14,840 --> 00:32:19,600
+واحد و تلاتين و اتناش نقوم بعملية تجارب عادة
+
+268
+00:32:19,600 --> 00:32:29,420
+لماذا؟ لمعرفة القيمة التي يجب أن تظهر تظهر في
+
+269
+00:32:29,420 --> 00:32:34,860
+الميزانية يجب أن تظهر في الميزانية وفقًا لمعيير
+
+270
+00:32:34,860 --> 00:32:41,040
+المحاسبةالدولية وفق المعايير المحاسبة الدولية يتم
+
+271
+00:32:41,040 --> 00:32:49,480
+يتم تقييم الأوراق المالية حسب القيمة العادلة
+
+272
+00:32:49,480 --> 00:32:56,940
+بنجوسين السوقية حسب القيمة العادلة يا سجن حسب
+
+273
+00:32:56,940 --> 00:33:01,560
+القيمة إيش؟ العادلة ونقصد بالقيمة العادلة إيه؟
+
+274
+00:33:01,560 --> 00:33:05,680
+القيمة السوقية يعني كم قيمتها
+
+275
+00:33:08,600 --> 00:33:12,820
+بدون تحيز هذه معناه القيمة العادلة طيب إذا الأن
+
+276
+00:33:12,820 --> 00:33:17,860
+عند التقييم يكون أمامنا أحد احتمالات الثلاث الأن
+
+277
+00:33:17,860 --> 00:33:26,340
+القيمة الدفترية تساوي القيمة العادلة يعني 4500
+
+278
+00:33:26,340 --> 00:33:35,360
+دنار 4500 دنار إذا هنا لا ربح ولا خسارة لا ربح ولا
+
+279
+00:33:35,360 --> 00:33:38,140
+خسارة
+
+280
+00:33:38,600 --> 00:33:43,700
+ولكن نقطة مهمة جدا، الآن أنا بقول التقييم، قبل
+
+281
+00:33:43,700 --> 00:33:48,000
+شويه يقولنا البيع إيش معناه؟ البيع انتقال البلكية
+
+282
+00:33:48,000 --> 00:33:55,360
+إلى شخص آخر، شطب من الدفاتر، شطب من الدفاتر، تمام؟
+
+283
+00:33:55,360 --> 00:34:05,080
+لكن التقييم الشيء موجود، التقييم .. التقييم إيش؟
+
+284
+00:34:05,720 --> 00:34:10,300
+موجود الاشي ماشي لكن أنا بقيّمه يعني الآن أنا بملك
+
+285
+00:34:10,300 --> 00:34:14,940
+السيارة بملك البلد الآن هو مملوك عندي لكن بقيّمه
+
+286
+00:34:14,940 --> 00:34:16,900
+في واحد تلاتين اتناش عشان اعرف اي كيب دي داخل
+
+287
+00:34:16,900 --> 00:34:20,640
+الميزانية هاي معناه التقييم الاحتفاظ بالشيء مع ..
+
+288
+00:34:20,640 --> 00:34:24,380
+مع هذا طيب إذا هنا التقييم هنا اللي ربح وخسارة
+
+289
+00:34:24,380 --> 00:34:28,820
+للحالة الأولى رقم او تشهد القيمة العادلة نعم تشهد
+
+290
+00:34:28,820 --> 00:34:32,860
+القيمة الأكترية تساوي ايش تساوي القيمة العادلة
+
+291
+00:34:33,430 --> 00:34:37,530
+مساوية القيمة العادلة الان هذا الاول احتمال التاني
+
+292
+00:34:37,530 --> 00:34:43,730
+ان القيمة الدفترية تكون اكبر من القيمة العادلة
+
+293
+00:34:43,730 --> 00:34:51,670
+اكبر من القيمة العادلة اذا هنا هاي 4500 القيمة
+
+294
+00:34:51,670 --> 00:35:02,150
+العادلة 4000 فرضا 4000 ماشي
+
+295
+00:35:02,150 --> 00:35:09,050
+يا دانياإذا الأن هنا هيكون عنا إيش؟ يعني أنا الإش
+
+296
+00:35:09,050 --> 00:35:14,610
+اللي عليا مسجل في الدفاتر 4500 فقط بيجيب في تاريخ
+
+297
+00:35:14,610 --> 00:35:21,570
+التقييم الرادة .. بيجيب إيش؟ بيجيب
+
+298
+00:35:37,000 --> 00:35:45,160
+إذا هنا هذه بنسميها الخمسمية الدنار خسائر غير
+
+299
+00:35:45,160 --> 00:35:51,760
+محققة خسائر غير محققة طيب الآن الاحتمال التالت
+
+300
+00:35:51,760 --> 00:35:56,660
+الاحتمال التالت اللي هو القيمة الدفترية أقل من
+
+301
+00:35:56,660 --> 00:36:02,560
+قيمة إيش يعني أربعة آلاف وخمسمية وهذه أربعة آلاف
+
+302
+00:36:02,560 --> 00:36:06,540
+وإيش وسبعمية إذا في عندني متين إيش
+
+303
+00:36:16,930 --> 00:36:21,730
+الان النقطة اللى بتحكيها مهم جدا وبينتبهلها الان
+
+304
+00:36:21,730 --> 00:36:29,790
+هنا أي قيمة تظهر في الميزانية هنا مش فارق اي واحدة
+
+305
+00:36:29,790 --> 00:36:33,890
+من هما تظهر في الميزانية ولكن هنا من اللى يظهر؟
+
+306
+00:36:33,890 --> 00:36:38,470
+القيمة العادلة اللى يظهر القيمة العادلة نعم ممتاز
+
+307
+00:36:38,470 --> 00:36:44,190
+وهنا من اللى يظهر؟ القيمة الأحمر لأ لأ هي حكت وانا
+
+308
+00:36:44,190 --> 00:36:48,060
+فكر فيها القيمة العادلةإذا هنا مناقشة ملاحظة
+
+309
+00:36:48,060 --> 00:36:59,500
+ملاحظة القيمة العادلة هي التي تظهر في الميزانية هي
+
+310
+00:36:59,500 --> 00:37:04,380
+التي تظهر في الميزانية إذا أخوتي بهذا نأتي إلى
+
+311
+00:37:04,380 --> 00:37:07,980
+نهاية محاضرة اليوم وفي المحاضرة القادمة سنقوم بحل
+
+312
+00:37:07,980 --> 00:37:10,920
+سؤال على هذا الموضوع
+
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/PvGBW7Zpg-4_postprocess.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/PvGBW7Zpg-4_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..c84426c1f6633070a656c3a9add6283191fe183c
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/PvGBW7Zpg-4_postprocess.srt
@@ -0,0 +1,1512 @@
+1
+00:00:22,360 --> 00:00:28,840
+استكمالا لما بدأنا به استكمالا لما بدأنا به في
+
+2
+00:00:28,840 --> 00:00:35,640
+المحاضرة الماضية جرد الأصول المتداولة وبدأنا بجرد
+
+3
+00:00:35,640 --> 00:00:42,700
+أوراق الأوراق المالية اليوم نبدأ بجرد أوراق القبض
+
+4
+00:00:42,700 --> 00:00:48,740
+إذا موضوعنا في هذه المحاضرة هو جرد أوراق القبض
+
+5
+00:00:48,740 --> 00:00:56,240
+وأوراق القبض كما نعلمأنها تنشأ هي عبارة عن أحد
+
+6
+00:00:56,240 --> 00:01:01,740
+أوجه الكمبيالة هنا أنها .. اللي هو هنا أن
+
+7
+00:01:01,740 --> 00:01:06,100
+الكمبيالة ممكن تكون ورقة قبض ممكن تكون ورقة إيه؟
+
+8
+00:01:06,100 --> 00:01:13,420
+تجارب إذا كانت مرتبطة بعملية البيع مرتبطة بعملية
+
+9
+00:01:13,420 --> 00:01:17,920
+البيع تسمى ورقة قبض نبيع بضاعة و أنا أخد كمبيالة
+
+10
+00:01:17,920 --> 00:01:19,080
+تسمى ورقة
+
+11
+00:01:24,420 --> 00:01:31,840
+في عملية الشراك تكون ورقة دفع طبعا
+
+12
+00:01:31,840 --> 00:01:37,600
+ونحن نتحدث كما يرى الجميع عن جرد أوراق القبر
+
+13
+00:01:37,600 --> 00:01:45,820
+وعملية الجرد دائما تكون مرتبطة بـ 31.12 أي تاريخ
+
+14
+00:01:45,820 --> 00:01:52,360
+الجرد هو دائما في نهاية الفترة المحاسبية إذا ..
+
+15
+00:01:52,360 --> 00:01:59,490
+إذايتم جرد .. يتم جرد أوراق القبض يتم جرد أوراق
+
+16
+00:01:59,490 --> 00:02:04,990
+القبض في نهاية الفترة المالية يتم جرد أوراق القبض
+
+17
+00:02:04,990 --> 00:02:12,230
+في نهاية الفترة المالية ويتم .. و تتم عملية الجرد
+
+18
+00:02:12,230 --> 00:02:20,010
+.. و تتم عملية الجرد بخطوتين .. بخطوتين هما و تتم
+
+19
+00:02:20,010 --> 00:02:35,580
+عملية الجرد بخطوتينهم رقم واحد حصر أوراق القبض من
+
+20
+00:02:35,580 --> 00:02:44,420
+خلال تحديد عددها وقيمتها
+
+21
+00:02:44,420 --> 00:02:51,300
+التي يمكن يملكها
+
+22
+00:02:51,300 --> 00:02:58,980
+المشروعالتي يملكها المشروع في نهاية الفترة المالية
+
+23
+00:02:58,980 --> 00:03:11,140
+سواء كانت هذه الأوراق موجودة في صندوق المشروع أو
+
+24
+00:03:11,140 --> 00:03:20,620
+موجودة أو موجودة لدى البنك إذا أول نقطة في خطوات
+
+25
+00:03:20,620 --> 00:03:27,920
+جرد أوراق القبلهي حصر أوراق القبض من خلال تحديد
+
+26
+00:03:27,920 --> 00:03:33,880
+عددها وقيمتها وقيمتها التي يمتلكها المشروع في
+
+27
+00:03:33,880 --> 00:03:39,480
+نهاية الفترة سواء كانت هذه الأوراق موجودة في خزينة
+
+28
+00:03:39,480 --> 00:03:45,960
+المشروع أو موجودة لدى البن الموجودة لدى البن مثل
+
+29
+00:03:45,960 --> 00:03:50,840
+ايش كمبيلة بالاسم التحصيل كمبيلة بالاسم الخصم
+
+30
+00:03:50,840 --> 00:03:56,830
+كمبيلة كضمانةوهذه الأمور أُخذت في محاسبة واحد
+
+31
+00:03:56,830 --> 00:04:00,130
+احتفاظ
+
+32
+00:04:00,130 --> 00:04:04,630
+بالكمبيالة إما في خزينة المشروع أو لدى البنك بهدف
+
+33
+00:04:04,630 --> 00:04:09,810
+الخصم أو لدى البنك بهدف التحصيل أو التأمين أو
+
+34
+00:04:09,810 --> 00:04:19,690
+الضمانات وغير ذلك هذه الخطوة الأولى عدا وحصل
+
+35
+00:04:19,690 --> 00:04:25,380
+ومعرفت قيمة هذه الأوراقالتي يمتلكها المشروع أينما
+
+36
+00:04:25,380 --> 00:04:32,300
+وجدت بينما الخطوة الثانية تقييم رقم اتنين تقييم
+
+37
+00:04:32,300 --> 00:04:39,580
+أوراق القبض تقييم أوراق القبض أي إيجاد القيمة
+
+38
+00:04:39,580 --> 00:04:50,480
+الحالية القيمة الحالية لهذه الأوراق على أساس على
+
+39
+00:04:50,480 --> 00:04:59,570
+أساسافتراض خاصمها على أساس افتراض خاصمها في تاريخ
+
+40
+00:04:59,570 --> 00:05:09,790
+إعداد الميزانية في تاريخ إعداد الميزانية إذا عملية
+
+41
+00:05:09,790 --> 00:05:17,110
+التقييم تكون في 31.12 نقيمها مع أننا لم نمتلكها
+
+42
+00:05:17,110 --> 00:05:22,020
+وقلنا في المحاضرة السابقةالتقييم عند الامتلاك ..
+
+43
+00:05:22,020 --> 00:05:29,960
+التقييم معناه امتلاك الشيء و معرفة كم قيمته في هذا
+
+44
+00:05:29,960 --> 00:05:34,160
+التاريخ و
+
+45
+00:05:34,160 --> 00:05:40,080
+عند جرس أوراق القبض يكون
+
+46
+00:05:40,080 --> 00:05:47,840
+أمامنا أحد الاحتمالين التاليين أحد الاحتمالين
+
+47
+00:05:47,840 --> 00:05:58,410
+التاليينالف القيمة الإسمية تتساوى مع القيمة
+
+48
+00:05:58,410 --> 00:06:05,510
+الحالية القيمة الإسمية تتساوى مع القيمة الحالية
+
+49
+00:06:05,510 --> 00:06:16,050
+إذا كما قلنا الف القيمة الإسمية تتساوى مع القيمة
+
+50
+00:06:16,050 --> 00:06:23,400
+الحاليةبمعنى لو كانت هذه ثلاث آلاف إذا تساوي ثلاث
+
+51
+00:06:23,400 --> 00:06:31,640
+آلاف طيب متى .. متى تتساور القيمة الحالية مع
+
+52
+00:06:31,640 --> 00:06:37,440
+القيمة الإسمية القيمة الإسمية هي القيمة .. هي
+
+53
+00:06:37,440 --> 00:06:44,060
+القيمة المثبتة على الكنبيالة القيمة الإسمية هي
+
+54
+00:06:44,060 --> 00:06:46,600
+القيمة المثبتة على الكنبيالة
+
+55
+00:06:49,300 --> 00:06:58,440
+ونطلب مثل على ذلك عندما نقول هذه مائة شكل وهذه
+
+56
+00:06:58,440 --> 00:07:05,360
+مائة دولار وتلقى خمسين دولار أو عشرين أو غير ذلك
+
+57
+00:07:05,360 --> 00:07:09,400
+بناء على ماذا قلت هذه الأمور بناء على القيمة
+
+58
+00:07:09,400 --> 00:07:13,800
+المدونة وكذلك هنا القيمة الإسمية هي عبارة عن
+
+59
+00:07:13,800 --> 00:07:21,740
+القيمة المدونة على الكمبيالةطيب طب القيمة الحالية
+
+60
+00:07:21,740 --> 00:07:29,920
+المقصودة يعني في تاريخ الخصم في تاريخ الخصم وهنا
+
+61
+00:07:29,920 --> 00:07:37,920
+تاريخ الخصم يكون في واحد و تلاتين ماعش تاريخ الجرد
+
+62
+00:07:37,920 --> 00:07:42,960
+تاريخ اعداد القوائم المالية طيب نلاحظ هنا قلنا
+
+63
+00:07:42,960 --> 00:07:48,080
+الاحتمال الأول عند جرد وتقييم أوراق القبضأن القيمة
+
+64
+00:07:48,080 --> 00:07:53,240
+الإسمية تتساوي مع القيمة الدفترية التساوي يكون
+
+65
+00:07:53,240 --> 00:08:01,060
+متى؟ متى؟ إذا كان تاريخ التساوي يكون في حالة يعني
+
+66
+00:08:01,060 --> 00:08:06,140
+بمعنى القيمة الإسمية تساوي القيمة الحالية إذا كان
+
+67
+00:08:06,140 --> 00:08:15,280
+تاريخ استحقاء الكمبيالة هو تاريخ الجد هو تاريخ
+
+68
+00:08:15,280 --> 00:08:22,270
+الجدفي هذه الحالة تكون القيمتين متساويتين إذا لا
+
+69
+00:08:22,270 --> 00:08:30,530
+تسوية لا قيود لا نحتاج ولكن إذا كان تاريخ
+
+70
+00:08:30,530 --> 00:08:38,210
+الاستحقاق يمتد أي مثلا 31 12 2015 وراح دخل تاريخ
+
+71
+00:08:38,210 --> 00:08:44,590
+تاريخ استحقاق الكميالة قالنا 5 مثلا 3 2016
+
+72
+00:08:46,450 --> 00:08:51,850
+هنا .. هنا في هذه الحالة تختلف القيمتين تختلف
+
+73
+00:08:51,850 --> 00:08:57,910
+القيمتين أنا أقيم كما قلت 31 و 12 الشهرين هذول ..
+
+74
+00:08:57,910 --> 00:09:01,730
+الشهرين هذول يدخلوا في العام القادم والأيام هذي
+
+75
+00:09:01,730 --> 00:09:06,650
+إيه؟ يكون إلى حاجة اسمها مخصص خصم وبالتالي إذا دخل
+
+76
+00:09:06,650 --> 00:09:10,130
+تاريخ الإصداقات في السنة التالية تكون القيمة
+
+77
+00:09:10,130 --> 00:09:18,110
+الحالية إيش؟ أقل إذا الاحتمال التانيالثاني ان
+
+78
+00:09:18,110 --> 00:09:23,090
+القيمة الاسمية
+
+79
+00:09:23,090 --> 00:09:31,210
+تكون اقل من القيمة
+
+80
+00:09:31,210 --> 00:09:39,970
+الحالية
+
+81
+00:09:39,970 --> 00:09:48,430
+بمعنى هاي 3000 و هاي 2700 فرنإذا هنا يكون لدينا
+
+82
+00:09:48,430 --> 00:09:54,310
+فرق لماذا .. لماذا .. لماذا القيمة الإسمية هنا
+
+83
+00:09:54,310 --> 00:09:58,810
+أكبر لأن تاريخ الاستحقاق دخل على العام التالي ..
+
+84
+00:09:58,810 --> 00:10:04,270
+دخل على العام التالي أي بعد تاريخ الجرد فهنا الفرق
+
+85
+00:10:04,270 --> 00:10:13,370
+هذا يسمى مخصص .. مخصص خصم أوراق قبض .. مخصص خصم
+
+86
+00:10:13,370 --> 00:10:22,390
+أوراق قبضطيب المخصص هذا مخصص هذا يحمل عالميا
+
+87
+00:10:22,390 --> 00:10:28,790
+الأرباح والخسائر بهذا القيد نقول من حساب الأرباح
+
+88
+00:10:28,790 --> 00:10:39,890
+والخسائر أو ملخص الدخل إلى حساب من مخصص خصم أوراق
+
+89
+00:10:39,890 --> 00:10:46,440
+قبل هذا يسمى قيد قسم الأوراق فال في آن واحدقيد
+
+90
+00:10:46,440 --> 00:10:53,120
+تسوية و إغفال في آن واحد وسوف تكون المحاضرة كلها
+
+91
+00:10:53,120 --> 00:10:58,960
+على هذا الموضوع طيب .. الآن المخصص هذا .. فرق
+
+92
+00:10:58,960 --> 00:11:02,780
+الرقم هذا .. إيه معادلة؟ الفرق الرقم هذا المخصص
+
+93
+00:11:11,890 --> 00:11:17,150
+القيمة الإسمية القيمة المدونة على الكمبيالة ضرب
+
+94
+00:11:17,150 --> 00:11:26,530
+ايش ضرب المدى ضرب ايش المعدل ضرب ايه المعدل اذا
+
+95
+00:11:26,530 --> 00:11:31,030
+مخصص خصم أوراق القبض يساوي القيمة الإسمية يعني على
+
+96
+00:11:31,030 --> 00:11:36,930
+سبيل المثال احنا موجودين 3000 اذا يساوي 3000 دولار
+
+97
+00:11:36,930 --> 00:11:43,540
+ضرب ضربدرب المدة الزمنية أكم شهر دخل في العامل و
+
+98
+00:11:43,540 --> 00:11:46,980
+الإيصال؟ فرضًا شهرين إذا اتنين على إيش؟ أكتر،
+
+99
+00:11:46,980 --> 00:11:50,260
+أكتر، أكتر، أكتر، أكتر، أكتر، أكتر، أكتر، أكتر،
+
+100
+00:11:50,260 --> 00:11:51,780
+أكتر، أكتر، أكتر، أكتر، أكتر، أكتر، أكتر، أكتر،
+
+101
+00:11:51,780 --> 00:11:53,300
+أكتر، أكتر، أكتر، أكتر، أكتر، أكتر، أكتر، أكتر،
+
+102
+00:11:53,300 --> 00:11:53,840
+أكتر، أكتر، أكتر، أكتر، أكتر، أكتر، أكتر، أكتر،
+
+103
+00:11:53,840 --> 00:11:59,680
+أكتر،
+
+104
+00:11:59,680 --> 00:12:07,420
+أكتر،
+
+105
+00:12:07,420 --> 00:12:15,830
+أكترمية على اتنين اذا تساوي خمسين
+
+106
+00:12:15,830 --> 00:12:24,590
+تساوي خمسين المدة
+
+107
+00:12:24,590 --> 00:12:28,770
+افتراض انه هنا اما قلت انا حكيت شهرين انه هنا
+
+108
+00:12:28,770 --> 00:12:30,990
+المدة دخلت في العام التالي
+
+109
+00:12:36,790 --> 00:12:41,230
+كانت تاريخ استحقاقها دخل في 2016 شهرين كل اتنين
+
+110
+00:12:41,230 --> 00:12:44,670
+على اتناش لو دخلت في العام اللاحق اربع شهور هنقول
+
+111
+00:12:44,670 --> 00:12:48,670
+اربع على اتناش خمسة على اتناش المدة الزمنية ضرب
+
+112
+00:12:48,670 --> 00:12:55,330
+عشرة في المية الان هنحكي الكلمة طيب الان نبدأ طبعا
+
+113
+00:12:55,330 --> 00:13:03,170
+يا أخوات في ملاحظة في ملاحظة لدينا الان بالنسبة ل
+
+114
+00:13:07,250 --> 00:13:12,590
+أوراق القبض تظهر
+
+115
+00:13:12,590 --> 00:13:25,070
+في الميزانية بقيمتها
+
+116
+00:13:25,070 --> 00:13:36,350
+الإسمية مطروحا منها طرحا شكليا للمخصص
+
+117
+00:13:38,200 --> 00:13:45,640
+مطروحا منها طبعا شكليا المخصص طيب إذا الآن طبعا
+
+118
+00:13:45,640 --> 00:13:51,360
+أوراق القبض من ضمن الأصول المتداولة الآن يكون بهذا
+
+119
+00:13:51,360 --> 00:13:59,740
+الشكل مخصص خسم أوراق القبض مخصص خسم أوراق القبض هي
+
+120
+00:13:59,740 --> 00:14:05,300
+القيمة الإسمية ومطروح منها إيه مخصص خسم أوراق
+
+121
+00:14:05,300 --> 00:14:06,080
+القبض
+
+122
+00:14:08,900 --> 00:14:16,040
+الان نبدأ ان ترجم هذه البيانات من خلال أرقام نبدأ
+
+123
+00:14:16,040 --> 00:14:22,560
+ان ترجم الان و سنوضح كل شيء و سنوضح كل شيء الان
+
+124
+00:14:22,560 --> 00:14:30,920
+نبدأ بطرح أمثلة على هذا الموضوع و دعنا افترض ان
+
+125
+00:14:30,920 --> 00:14:41,080
+توفر توفر لديك البيانات التاليةمن دفاتر من دفاتر
+
+126
+00:14:41,080 --> 00:14:45,140
+شركة شركة
+
+127
+00:14:45,140 --> 00:14:52,920
+النجاح في واحد و تلاتين اتناش اتين و خمستاش مدينة
+
+128
+00:14:52,920 --> 00:15:01,660
+دائن اسم الحساب الان لدينا هذه أوراق القبض لدينا
+
+129
+00:15:01,660 --> 00:15:04,600
+أوراق القبض رصيدها
+
+130
+00:15:08,450 --> 00:15:14,170
+القيمة الإسمية لها 4000 دنار ومن ثم هذا المقطع
+
+131
+00:15:14,170 --> 00:15:18,650
+اللذي ظهر لدينا من ميزان المراجعة الأولى لشركة
+
+132
+00:15:18,650 --> 00:15:24,690
+النجاة كان المعلومات الجردية حكالنا إيه في 31.12
+
+133
+00:15:24,690 --> 00:15:29,910
+.2015 تمام؟
+
+134
+00:15:29,910 --> 00:15:41,960
+كان معدل الخصم السائدهو تمانية في المية معدل
+
+135
+00:15:41,960 --> 00:15:49,240
+الخاسم السائد يهودا تمانية في المية تمانية في
+
+136
+00:15:49,240 --> 00:15:56,560
+المية ومتوسط تاريخ الاستحقاق الاستحقاق ومتوسط
+
+137
+00:15:56,560 --> 00:16:01,240
+تاريخ استحقاق اللي هي الكمبيولات اللي هي أوراق
+
+138
+00:16:01,240 --> 00:16:12,400
+القبض هو أربع شهور ومتوسط تاريخالاستحقاق أربع شهور
+
+139
+00:16:12,400 --> 00:16:19,680
+المطلوب واحد قلول
+
+140
+00:16:19,680 --> 00:16:29,860
+التسويق اتنين تسوير حساب المخصص تسوير حساب مخصص
+
+141
+00:16:29,860 --> 00:16:38,670
+خصم أوراق القبض ورقم تلاتة بيان الأثرعلى الحسابات
+
+142
+00:16:38,670 --> 00:16:46,210
+الختمية والميزانية بيان الأثر على الحسابات الختمية
+
+143
+00:16:46,210 --> 00:16:55,530
+والميزانية إذا أول شيء نقوم بحساب مخصص
+
+144
+00:16:55,530 --> 00:17:02,430
+خصم أوراق القبل وكل يساوي القيمة الإسمية ضرب
+
+145
+00:17:02,430 --> 00:17:10,530
+المعدل ضرب المدةهذا هو قانون حساب المخصص اذا يا
+
+146
+00:17:10,530 --> 00:17:19,770
+رولا 4000 القيمة الإسمية 4000 القيمة الإسمية ضد
+
+147
+00:17:19,770 --> 00:17:35,530
+المعدل 4 شهور 4 على 12 ضد المدة الزمنية ضد
+
+148
+00:17:39,500 --> 00:17:46,540
+بالمية إذا لو ضربنا هنا على هنا على تلاتة فيها
+
+149
+00:17:46,540 --> 00:17:50,180
+الواحد هنا فيها التلاتة طبعا هي ستنين بروحان عندنا
+
+150
+00:17:50,180 --> 00:17:55,900
+فبيصير عندنا تلاتمية وعشرين تلاتمية وعشرين عليش
+
+151
+00:17:55,900 --> 00:18:00,360
+تلاتمية وعشرين على تلاتة
+
+152
+00:18:05,250 --> 00:18:11,470
+مية أو سبعة تقريباً دولار إذا طلع عندنا المخصص مية
+
+153
+00:18:11,470 --> 00:18:17,130
+أو سبعة دلانية تمام
+
+154
+00:18:17,130 --> 00:18:25,030
+طيب إذا أول خطوة نقوم بحساب المخصص طيب الآن نأتي
+
+155
+00:18:25,030 --> 00:18:30,670
+إلى قيد التسوية قيد التسوية القيد التسوية هنا
+
+156
+00:18:30,670 --> 00:18:36,420
+المخصص يحمل على حساب الأرباح والخسار أوملخص الدخل
+
+157
+00:18:36,420 --> 00:18:42,260
+من حساب
+
+158
+00:18:42,260 --> 00:18:50,920
+الأرباح الخسار أو ملخص الدخل إلى حساب مخصص خصم
+
+159
+00:18:50,920 --> 00:18:52,620
+أوراق القبض
+
+160
+00:19:05,100 --> 00:19:10,520
+وبتكرار كثير بتوضيح هذه الأمور الآن نأتي إلى
+
+161
+00:19:10,520 --> 00:19:20,960
+المطلوب التاني وهو تصوير حساب مخصص خسم أوراق القبض
+
+162
+00:19:20,960 --> 00:19:30,540
+وقلنا سابقا عند تصوير أي حساب عند تصوير أي حساب هل
+
+163
+00:19:30,540 --> 00:19:34,460
+له رصيد في ميزان المراجعة؟ لا يوجد
+
+164
+00:19:37,160 --> 00:19:43,700
+المخصصات المخصصات رصيدها دائن المخصصات رصيدها دائن
+
+165
+00:19:43,700 --> 00:19:51,180
+بمعنى إذا كان لدينا رصيدهم سابق للمخصص رصيد سابق
+
+166
+00:19:51,180 --> 00:19:56,780
+يكون دائن أي أين يظهر يظهر في الجانب الدائن وبعد
+
+167
+00:19:56,780 --> 00:20:01,780
+ذلك نقوم بالترحيل تفضلي الان
+
+168
+00:20:01,780 --> 00:20:04,400
+نروح إلى حساب المخصص من واقع إيه
+
+169
+00:20:08,770 --> 00:20:15,430
+وهذا القيد هو تسوية وإقفال في آن واحد تسوية وإقفال
+
+170
+00:20:15,430 --> 00:20:22,770
+في آن واحد إذا هنا نقول من حساب الأرباح والخسار
+
+171
+00:20:22,770 --> 00:20:30,670
+إلى المخصص مية وسبعة مية وسبعة وبعد عملية الترحيل
+
+172
+00:20:30,670 --> 00:20:39,580
+نقوم بجمع الطرف المدين والدائن يا جمالة نقومبجمع
+
+173
+00:20:39,580 --> 00:20:46,640
+الطرف المدين والطرف الدالي اذا هنا هي 107 وهي 107
+
+174
+00:20:46,640 --> 00:20:53,520
+اذا نواحد رصيد ايه؟ دائما بمعنى زي ما حكينا في
+
+175
+00:20:53,520 --> 00:20:57,440
+الأصول الثابتة زي ما حكينا في الأصول ايه؟ الثابتة
+
+176
+00:20:57,440 --> 00:21:02,320
+المجمعات دائما ايش؟ دائما و عند تصويرها رصيدها
+
+177
+00:21:02,320 --> 00:21:04,160
+ايه؟ دائما
+
+178
+00:21:06,840 --> 00:21:13,340
+وكذلك المخصصات وكذلك المخصصات عند تصويرها رصيدها
+
+179
+00:21:13,340 --> 00:21:16,820
+لابد يكون في النهاية ده زي ما كنا نتصور مثلا بيعات
+
+180
+00:21:16,820 --> 00:21:20,700
+رصيدها لازم يطلع ده الشمكانية وغيرها طيب هذا
+
+181
+00:21:20,700 --> 00:21:24,780
+بالنسبالي للتصوير الآن نأتي إلى الأثر مضطوب التالت
+
+182
+00:21:24,780 --> 00:21:31,300
+هي حساب الأرباح والخسار أيضا نرحل على حساب الأرباح
+
+183
+00:21:31,300 --> 00:21:32,420
+والخسار تفضلي
+
+184
+00:21:37,520 --> 00:21:40,120
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+
+185
+00:21:40,120 --> 00:21:51,160
+طبعا؟ طبعا يا دانيا؟ ماذا؟ الآن 107 إلى حساب مخصص
+
+186
+00:21:51,160 --> 00:21:59,520
+خصم أو رقّب طبعا هنا حساب الأرباح والخسائر قلنا
+
+187
+00:21:59,520 --> 00:22:06,620
+بيان الأثر قلنا إيش؟ بيان الأثر وعند .. وكونناقلنا
+
+188
+00:22:06,620 --> 00:22:10,980
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+
+189
+00:22:10,980 --> 00:22:16,820
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+
+190
+00:22:16,820 --> 00:22:22,420
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+
+191
+00:22:22,420 --> 00:22:30,900
+الميزانية كما قلنا قبل قليل
+
+192
+00:22:36,820 --> 00:22:42,380
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+
+193
+00:22:42,380 --> 00:22:46,720
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+
+194
+00:22:46,720 --> 00:22:52,560
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+195
+00:22:52,560 --> 00:22:58,600
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+
+196
+00:22:58,600 --> 00:23:01,980
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+
+197
+00:23:06,200 --> 00:23:14,000
+هذه أربعة تلات هذه أربعة تلات ماشي؟ طيب الآن ناقص
+
+198
+00:23:14,000 --> 00:23:24,780
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+
+199
+00:23:24,780 --> 00:23:29,080
+القيمة التي تظهر هنا وهي تلت آلاف تمانية و تلات و
+
+200
+00:23:29,080 --> 00:23:34,140
+تسعين تمانية و تلات و تسعين هذه عبارة عن القيمة
+
+201
+00:23:34,140 --> 00:23:41,650
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+202
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+مثال من سلسلة أمثلة وسنكرر على نفس هذه الجزية ماشي
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+203
+00:23:49,690 --> 00:24:00,110
+سؤال آخر سؤال آخر يا دانيا سؤال إيش آخر طيب الآن
+
+204
+00:24:00,110 --> 00:24:07,230
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+
+205
+00:24:07,230 --> 00:24:17,770
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+206
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+207
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+
+208
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+
+209
+00:24:37,640 --> 00:24:47,760
+القبر تلت مية دولار إذا هذا مثال آخر يوضح لنا أن
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+210
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+211
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+212
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+213
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+214
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+215
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+216
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+خلال العام وبالتالي يا ليناإيش؟ ظهر في ميزان
+
+217
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+المراجعة ولكن عند الجب في 31.12 في 31.12 اللي هو
+
+218
+00:25:32,950 --> 00:25:40,730
+كان متوسط تواريخ الاستحقاق
+
+219
+00:25:40,730 --> 00:25:56,810
+6 شهور ومعدل الخصم السائد 10%معدل الخصم السائد 10%
+
+220
+00:25:56,810 --> 00:26:06,730
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+
+221
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+222
+00:26:14,270 --> 00:26:23,640
+رقم تلاتة تصوير تصوير حساب المخصصرقم أربعة بيان
+
+223
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+الأثر على الحسابات الختمية والميزانية اذا اول شيء
+
+224
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+بدنا نحسب المخصص فضل الورقة اذا هاي هاي المخصص هي
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+225
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+فضلين سبعة آلاف
+
+226
+00:26:49,110 --> 00:26:58,950
+ضرب 6 شهور على 12 ضرب 10% و يساوي اذا هنا على 6 في
+
+227
+00:26:58,950 --> 00:27:04,310
+الواحدة 6 في اتنين تمام why 0 مع 0 لا اذا صار
+
+228
+00:27:04,310 --> 00:27:13,230
+عندنا 350 350 دولار 350 دولار اذا هنا بهذه الخطوة
+
+229
+00:27:13,230 --> 00:27:21,760
+قمنا بحساب مخصص خصم اوراقالقبض نأتي الان الى قيد
+
+230
+00:27:21,760 --> 00:27:28,300
+التسوية نأتي الان الى قيد التسوية تمام؟ الان اول
+
+231
+00:27:28,300 --> 00:27:36,200
+شئ اول شئ هنا نقول رصيد وهنا ما يخص الرصيد الرصيد
+
+232
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+من واقع ميزان المراجعة هي تلاتمين وما يخص تلاتمية
+
+233
+00:27:40,740 --> 00:27:47,620
+وخمسين الفرق الرقمي خمسين الفرق الرقمي خمسين
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+234
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+ممتاز الان يا اخوات بنضرطنا الى الرصيد السابق 300
+
+235
+00:28:17,590 --> 00:28:21,630
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+236
+00:28:21,630 --> 00:28:26,130
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+237
+00:28:26,130 --> 00:28:31,650
+لكن اتفاجأت في نهاية العام عايز تلاتمية و خمسين
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+238
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+اذا انا بحاجة الى خمسين دينار اخرى ليه؟لكي نصل إلى
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+239
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+المخصص المطلوب إذا في هذه الحالة إذا كان رصيد
+
+240
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+المخصص أقل إذا كان رصيد المخصص أقل إذا يكون المخصص
+
+241
+00:28:55,510 --> 00:29:03,210
+يأخذ الطرف الدائل إذا نقول هنا من حساب الأرباح
+
+242
+00:29:03,210 --> 00:29:08,150
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+
+243
+00:29:12,940 --> 00:29:21,700
+والفرق الرقمي كون كان الرصيد 300
+
+244
+00:29:21,700 --> 00:29:29,140
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+245
+00:29:29,140 --> 00:29:34,080
+والخسار بالفرق
+
+246
+00:29:34,080 --> 00:29:34,680
+الرقمي
+
+247
+00:29:43,550 --> 00:29:53,490
+خلاص كان .. كان عندنا الرصيد .. الرصيد 450 وما يخص
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+248
+00:29:53,490 --> 00:30:03,090
+اللي هو 350 الفرق الرقمي هنا 100 في هذه الحالة ..
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+249
+00:30:03,090 --> 00:30:10,500
+أيوةإذا في هذه الحالة يكون المخصص مدين حساب مخصص
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+250
+00:30:10,500 --> 00:30:16,880
+خصم أوراق قبض إلى حساب أرباح خسائر بالمئة يعني
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+251
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+نخلص من هذا فرضا خارج السؤال بمعنى نخلص من هذا
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+252
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+الكلام إذا كان رصيد المخصص أقل من ما يخص العام
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+253
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+بيكون المخصص دائمبينما إذا كان اللي هو .. اللي هو
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+254
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+أقل فهيكون إيه؟ مدينة تمام؟ هل من سؤال؟ ننتقل إلى
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+255
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+التصوير ننتقل إلى تصوير حساب مخصص خصم أوراق أو قبض
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+256
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+أول شيء
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+257
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+فضلنا رصيد سابق هو اللي مخصص رصيده ايه؟ دائم رصيده
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+258
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+ايه؟ دائم دائم اذا هنا رصيد سابق كم؟ ثلاثمية
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+259
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+ثلاثمية تمام؟ اه الان بنكمل من واقع ايش القيد اذا
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+260
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+بنقول هنا من حساب الأرباح و الخسائرخمسين بعد ذلك
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+261
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+نجمع المدين والدائم اذا
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+262
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+هنا رصيد ثلاثمية وخمسين رصيد ايش دائم رصيد
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+263
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+المخصصات رصيد ايش دائم رصيد ايش ايه ايه دائم
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+264
+00:32:05,440 --> 00:32:11,480
+ماشي يا عيال .. الآن يا أخوات قلنا هنا في السؤال
+
+265
+00:32:11,480 --> 00:32:17,800
+الأساسي الرصيد هو 300 درار و عند حساب ما يخص العام
+
+266
+00:32:17,800 --> 00:32:24,600
+طلع عندنا إيه؟ إذا أنا عام حسابي أقل من اللازمإذا
+
+267
+00:32:24,600 --> 00:32:28,960
+في هذه الحالة إيش؟ بدي أزود رصيد المخصص بدي أزوده
+
+268
+00:32:28,960 --> 00:32:33,080
+بالفرق الرقم اللي بدي أحمله عينه على أربعة حساب أي
+
+269
+00:32:33,080 --> 00:32:38,480
+بمعنى إذا كان رصيد المخصص أقل من ما يخص العام
+
+270
+00:32:38,480 --> 00:32:48,620
+فحساب المخصص يكون دائم في قيد التسوية يكون دائم في
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+271
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+قيد التسوية بينمابينما يا دانيا إذا كان رصيد
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+272
+00:32:55,400 --> 00:33:02,140
+المخصص .. رصيد المخصص إيش؟ أكبر من ما يخص العام
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+273
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+فحساب المخصص .. حساب المخصص يكون إيش؟ مدين، مدين،
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+274
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+مدين، مدين، مدين، مدين، مدين، مدين، مدين، مدين،
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+275
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+مدين، مدين، مدين، مدين، مدين، مدين، مدين، مدين،
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+276
+00:33:11,720 --> 00:33:15,700
+مدين، مدين، مدين، مدين، مدين، مدين، مدين، مدين،
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+277
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+مدين، مدين، مدين، مدين، مدين، مدين، مدينالآن نقول
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+278
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+نحنا بعد المخصص صورناه نجيب بيان الأثر بيان الأثر
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+279
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+إذا هنا حساب الأرباح والخسار حساب الأرباح والخسار
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+280
+00:33:37,170 --> 00:33:44,190
+الوراق من واقع القيد من واقع القيد يتم ترحيل أرباح
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+281
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+وخسار هذا ليس دعو فيه هذه القيادة الأساسي إذا نقول
+
+282
+00:33:49,530 --> 00:33:58,400
+هناخمسين إلى حساب مخصص خصم أوراق قبض إلى حساب مخصص
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+283
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+خصم أوراق قبض طيب الأن بالنسبة للميزانية الميزانية
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+284
+00:34:06,880 --> 00:34:13,380
+الميزانية فضلا أوراق القبض سنشكل كمية سبعتلاف
+
+285
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+أوراق قبض سبعتلاف ناقص مخصص
+
+286
+00:34:47,650 --> 00:34:50,930
+سؤال ممتاز جدا
+
+287
+00:34:55,220 --> 00:35:02,220
+المخصص الذي يظهر مطروحا طرحا شكليا من القيمة
+
+288
+00:35:02,220 --> 00:35:13,920
+الإسمية لأوراق القبض في الميزانية هو هو هو هو بغض
+
+289
+00:35:13,920 --> 00:35:19,720
+النظر كان أقل أو إيه أو أكثر بغض النظر كان الرصيد
+
+290
+00:35:19,720 --> 00:35:25,740
+العام له أقل أو إيه أو أكثر الرصيد تظهرالأوراق
+
+291
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+القبض بقيمتها الإسمية مطروحا منها ما يخص العام
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+292
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+اللي هو إيش وDefault وهذا إيه خلافا عن الإيرادات
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+293
+00:35:37,660 --> 00:35:45,260
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+294
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+هل من السؤال؟ طيب الآن يا أخوات أحيانا .. أحيانا
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+295
+00:35:52,240 --> 00:36:02,990
+يكونيكون لدينا أحيانا لابد من حساب حساب المخصص لكل
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+296
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+عميل على حدة لكل سبون على حدة مثال فيما
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+297
+00:36:18,410 --> 00:36:32,440
+يلي كشف أوراق فيما يليكشف أوراق القبض الموجودة
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+298
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+لدى محلات فيما
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+299
+00:36:39,600 --> 00:36:47,680
+يلي .. فيما
+
+300
+00:36:47,680 --> 00:36:52,400
+يلي .. فيما يلي كشف أوراق القبض الموجودة في مح ..
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+301
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+فيه ..الموجودة في محلات الأمل في محلات الأمل
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+302
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+بتاريخ واحد و تلاتين واحد و تلاتين اتناش ألفين و
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+303
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+خمس تاش واحد و تلاتين اتناش ألفين و خمس تاش الان
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+304
+00:37:12,280 --> 00:37:21,860
+عندنا هي اسم المدين اسم المدين المبلغ
+
+305
+00:37:24,170 --> 00:37:32,970
+تاريخ الاستحقاق تاريخ الاستحقاق الآن عندنا خالد
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+306
+00:37:32,970 --> 00:37:39,350
+الف و تمانمية دنار خالد الف و تمانمية دنار عندنا
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+307
+00:37:39,350 --> 00:37:46,210
+تاريخ استحقاقها واحد تلاتة الفين و ستة عشر عندنا
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+308
+00:37:46,210 --> 00:37:56,350
+وسام الف و متين وسام الف و متين1 5 2016 عنا شاكر
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+309
+00:37:56,350 --> 00:38:06,790
+1500 درار 1 7 2016 الان
+
+310
+00:38:06,790 --> 00:38:14,930
+تحت الكلام هذا بنكتب فإذا علمتي أنه فإذا علمتي أنه
+
+311
+00:38:14,930 --> 00:38:23,420
+معدل الخصم السائد في 31 12الثانية و خمسة عشر ستة
+
+312
+00:38:23,420 --> 00:38:35,540
+في المية ستة في المية و رصيد المخصص و رصيد المخصص
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+313
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+مية و أربعين درار المطلوب رقم واحد حساب حساب
+
+314
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+المخصص رقم اتنين قاعد التسريع رقم واحدحساب المخصص
+
+315
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+رقم اتنين قيد التسوية تلاتة تصوير حساب المخصص
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+316
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+تصوير حساب المخصص تصوير حساب المخصص رقم تلاتة رقم
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+317
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+تلاتة رقم أربعة بيان الأثار رقم أربعة بيان الأثار
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+318
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+الآن نبدأكما نلاحظ ان لدينا اكتر من زبونة او اكتر
+
+319
+00:39:22,850 --> 00:39:27,650
+من دائم اكتر من هدية وبالتالي لابد من حساب المخصص
+
+320
+00:39:27,650 --> 00:39:33,930
+لكل واحد منهما على حده يارولا كل واحد ايه؟ على حده
+
+321
+00:39:33,930 --> 00:39:40,030
+اذا الان اول شي بتقول المخصص المخصص يساوي طبعا
+
+322
+00:39:40,030 --> 00:39:47,880
+القيمة الاسمية اول شي خالد يساوي الف تمانمية ضرب6%
+
+323
+00:39:47,880 --> 00:39:53,560
+معدل الخصم السائد ضرب اكم شهر داخل في السنة؟ شهرين
+
+324
+00:39:53,560 --> 00:39:59,680
+داخل في السنة شهرين واحد تلاتة شهر واحد و شهر
+
+325
+00:39:59,680 --> 00:40:05,620
+اتنين اذا اتنين على اتناشر ويساوي تمانتاشر دينار
+
+326
+00:40:05,620 --> 00:40:14,040
+ويساوي تمانتاشر دينار بينما .. بينما اللي هو وساف
+
+327
+00:40:14,040 --> 00:40:20,730
+يساوي الف و متينطب ستة في المية ضرب اربع على ايش؟
+
+328
+00:40:20,730 --> 00:40:27,310
+اربع على اتناش ويساوي اربع وعشرين دولار ويساوي
+
+329
+00:40:27,310 --> 00:40:33,870
+اربع وعشرين شاكر اربع وعشرين الان نأتي الى شاكر
+
+330
+00:40:33,870 --> 00:40:42,290
+شاكر الف وخمسمية دولار طب ستة في المية ضرب ستة على
+
+331
+00:40:42,290 --> 00:40:49,110
+اتناش ويساويو يساوي خمسة واربعين دنار و يساوي خمسة
+
+332
+00:40:49,110 --> 00:40:55,890
+واربعين دنار اذا الان لو جمعنا المخصص هيطلع عندنا
+
+333
+00:40:55,890 --> 00:41:00,730
+سبعة و تمانين .. سبعة و تمانين دنار لو جمعنا
+
+334
+00:41:00,730 --> 00:41:07,310
+المخصص هيطلع عندنا سبعة و تمانين دنار اذا كما
+
+335
+00:41:07,310 --> 00:41:13,690
+نلاحظ ان انا هنا قمنا بحساب المخصص لكل .. لكل عميل
+
+336
+00:41:13,970 --> 00:41:20,490
+على حدى لأن المدة تتفاوت وقد تكون بهذا الشكل أو
+
+337
+00:41:20,490 --> 00:41:25,210
+يُعطى متوسط تاريخ استحقاق أربع شهور أو خمس شهور
+
+338
+00:41:25,210 --> 00:41:34,070
+إلى آخر الان قيد التسوية قيد التسوية رصيد 140 ما
+
+339
+00:41:34,070 --> 00:41:39,730
+يخص 87 الفرق الرقمي 53
+
+340
+00:41:43,190 --> 00:41:49,450
+مين بيحكي لنا القير؟ انا مين؟ تفضلي من حساب مخصص
+
+341
+00:41:49,450 --> 00:41:53,930
+خاطم أوراق المدرس إلى حساب أرباح وخزائر بالفرق 53
+
+342
+00:41:53,930 --> 00:42:01,830
+ممتاز، الآن .. الآن إذا كان رصيد المخصص أكبر من ما
+
+343
+00:42:01,830 --> 00:42:09,410
+يخص العام فحساب المخصص يأخذ الطرف المدين من إيش؟
+
+344
+00:42:09,410 --> 00:42:16,070
+الطرف المدين من قيد التسويةإذا القيد هنا يكون من
+
+345
+00:42:16,070 --> 00:42:24,250
+حساب مخصص خصم أوراق القبض إلى حساب أرباح وخسار
+
+346
+00:42:24,250 --> 00:42:30,710
+قوية 53 كما
+
+347
+00:42:30,710 --> 00:42:40,430
+نلاحظ الفرق الرقمي هو الذي يظهر في قيد التسوية
+
+348
+00:42:41,030 --> 00:42:45,350
+وهذا قلنا إيش خلافاً عن إيرادات المصرفات خلافاً عن
+
+349
+00:42:45,350 --> 00:42:51,250
+الإيرادات والمصرفات طيب إذا هذا قيد التسوية نأتي
+
+350
+00:42:51,250 --> 00:42:58,570
+إلى عملية التصوير حساب مخصص خصم أوراق القبر الآن
+
+351
+00:42:58,570 --> 00:43:01,770
+كما قلنا عند تصوير أي حساب لابد من البحث عن له
+
+352
+00:43:01,770 --> 00:43:02,670
+رصيد أو لا ولا
+
+353
+00:43:28,600 --> 00:43:35,020
+الحساب المخصص إلى حساب الأرباح والخسائر 53 إلى
+
+354
+00:43:35,020 --> 00:43:35,240
+حساب الأرباح والخسائر 53
+
+355
+00:43:40,110 --> 00:43:45,550
+أيه هو أكبر؟ مية وأربعين، مية وأربعين إذا السبعة
+
+356
+00:43:45,550 --> 00:43:52,410
+وتمانين هي رصيد إيه؟ ده اللي هو إيه؟ ما يخص العام
+
+357
+00:43:52,410 --> 00:43:57,410
+اللي هو إيه؟ اللذي يظهر .. اللذي يظهر إيه؟ في
+
+358
+00:43:57,410 --> 00:44:00,850
+الميزانية يعني شوف احنا .. احنا من تصوير حساب
+
+359
+00:44:00,850 --> 00:44:05,370
+المخصص بدنا نصل إلى رصيد اللذي يجب .. يجب أن يظهر
+
+360
+00:44:05,370 --> 00:44:10,940
+.. وين؟ في الميزانية في إيش؟ في الميزانيةتمام؟ طب
+
+361
+00:44:10,940 --> 00:44:15,920
+و أنا من قلال لما حسبته .. لما حسبته هنا عارف اللي
+
+362
+00:44:15,920 --> 00:44:18,620
+هو المخصص هو اللي لازم يظهر حتى بدون .. لو ما
+
+363
+00:44:18,620 --> 00:44:22,120
+صورناش طبعا في الأسلحة و الأمتحانات و الأسلحة ..
+
+364
+00:44:22,120 --> 00:44:25,840
+ماعملش كل شيء على أرض الواقع أن أخوه بيعمل كل شيء
+
+365
+00:44:25,840 --> 00:44:30,740
+أي سؤال؟ طيب، الآن عندنا الأثر اللي هو المطلوب
+
+366
+00:44:30,740 --> 00:44:35,000
+الأخير في السؤال اللي هو بيان الأثر على حساب
+
+367
+00:44:35,000 --> 00:44:38,320
+الأرباح و الخسار آخر طالب هناك
+
+368
+00:44:51,600 --> 00:44:57,820
+تلاتة أو خمسين ولكن هنا كما قلت كما قلت هنا لا
+
+369
+00:44:57,820 --> 00:45:03,340
+نستطيع لا نستطيع اتجمع او الى اخر هذه الأمور اذا
+
+370
+00:45:03,340 --> 00:45:13,740
+نأتي الى الميزانية الميزانية الميزانية مين بدى
+
+371
+00:45:13,740 --> 00:45:17,920
+يجاوب مين بدى يجاوب
+
+372
+00:45:39,720 --> 00:45:47,780
+4500 دنار ناقص مخصص خصم أوراق القبر 87
+
+373
+00:45:50,560 --> 00:45:57,780
+سبعة و تمانية هل من السؤال بيطلع الصافي عندنا اربع
+
+374
+00:45:57,780 --> 00:46:04,700
+تلاف و اربعمية و ايه تلتاش القيمة الحالية اذا
+
+375
+00:46:04,700 --> 00:46:10,000
+نخواتي بهذا نكون اتينا الى نهاية محاضرة اليوم و
+
+376
+00:46:10,000 --> 00:46:14,500
+نهاية الحديث عن موضوع اوراق القبض و يكون المحاضرة
+
+377
+00:46:14,500 --> 00:46:20,220
+القادمة الحديث عن النقدية ايه النقدية في الصندوق
+
+378
+00:46:20,980 --> 00:46:21,480
+تمام
+
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/QY-gArOZZxw_raw.json b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/QY-gArOZZxw_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..899456d9ec1311b7db241edaa4cd16cc0a5e7353
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/QY-gArOZZxw_raw.json
@@ -0,0 +1 @@
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"text": "ولم نبحثنا ولم نجد لها سبب من الأسباب فلابد من إثباتها لابد من إثباتها شطرين نعم الزيادة مثل الإيراد من حساب الصندوق إلى حساب الزيادة أو فائض الصندوق الصندوق اللي هو كام؟ 500 500 دنار ماشي؟ طيب", "tokens": [12610, 2304, 8717, 49628, 12984, 8315, 4032, 19528, 8717, 7435, 3215, 5296, 11296, 8608, 3555, 3555, 9154, 16247, 35457, 16758, 6156, 1211, 16758, 3215, 9154, 11933, 12984, 3555, 9307, 11296, 5296, 16758, 3215, 9154, 11933, 12984, 3555, 9307, 11296, 13412, 9566, 2288, 9957, 8717, 25957, 6024, 110, 1829, 18513, 3660, 50113, 1211, 33688, 13546, 18513, 9154, 11331, 3794, 16758, 31767, 41260, 30543, 30731, 11331, 3794, 16758, 6024, 110, 1829, 18513, 3660, 34051, 6156, 16373, 11242, 31767, 41260, 30543, 31767, 41260, 30543, 13672, 1829, 31439, 9122, 10943, 22807, 5923, 5923, 11778, 1863, 9640, 3714, 33599, 1829, 22807, 23032, 1829, 3555], "avg_logprob": -0.18531250521540643, "compression_ratio": 1.9657142857142857, "no_speech_prob": 0.0, "words": [{"start": 2262.06, "end": 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{"start": 2350.58, "end": 2351.28, "word": " الصندوق", "probability": 0.994140625}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2351.717, "duration_after_vad": 2224.4609687499933}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/WatjFODdk-M_postprocess.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/WatjFODdk-M_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..6dd9e79035851255f16e78599e7d845fa0c9396a
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/WatjFODdk-M_postprocess.srt
@@ -0,0 +1,1552 @@
+1
+00:00:20,380 --> 00:00:24,860
+بسم الله والحمد لله والصلاة والسلام على سيد الخلق
+
+2
+00:00:24,860 --> 00:00:31,480
+الجماعي أما بعدتحدثنا في نهاية المحاضرة الماضية عن
+
+3
+00:00:31,480 --> 00:00:37,060
+بعض المفاهيم النظرية الخاصة بجرب البنك، جرب
+
+4
+00:00:37,060 --> 00:00:43,200
+النقدية في البنك، إذا موضوع محاضرتنا اليوم جرب
+
+5
+00:00:43,200 --> 00:00:49,600
+النقدية في البنك
+
+6
+00:00:56,280 --> 00:01:01,980
+هذا الأمر في واحد و تلاتين اتناش في واحد و تلاتين
+
+7
+00:01:01,980 --> 00:01:08,060
+اتناش الفين و خمساش في واحد و تلاتين اتناش الفين و
+
+8
+00:01:08,060 --> 00:01:16,660
+خمساش كان الرصيد الدفتري كان الرصيد الدفتري كان
+
+9
+00:01:16,660 --> 00:01:24,100
+الرصيد الدفتري لشركة الهدا الشركة
+
+10
+00:01:27,430 --> 00:01:32,730
+و مية و سبعة و تمانية دولار اربعة آلاف و مية و
+
+11
+00:01:32,730 --> 00:01:43,450
+سبعة و تمانية دولار بينما الرصيد البنكي كان
+
+12
+00:01:43,450 --> 00:01:52,230
+تلت آلاف و سبعمية و تلاتة و اربعين دولار تلت آلاف
+
+13
+00:01:52,230 --> 00:01:54,590
+و سبعمية و تلاتة و اربعين دولار
+
+14
+00:01:57,570 --> 00:02:04,750
+و عند البحث عن أسباب الاختلاف بين الرصيدين و عند
+
+15
+00:02:04,750 --> 00:02:11,430
+البحث عن أسباب الاختلاف بين الرصيدين تبين ما هي
+
+16
+00:02:11,430 --> 00:02:16,030
+ليه رقم
+
+17
+00:02:16,030 --> 00:02:22,390
+واحد 1447
+
+18
+00:02:22,390 --> 00:02:23,250
+درار
+
+19
+00:02:29,400 --> 00:02:39,940
+دينار إيداعات نهاية الشهر إيداعات نهاية الشهر لم
+
+20
+00:02:39,940 --> 00:02:50,060
+تظهر بكشف الحساب لم تظهر بكشف الحساب رقم اتنين
+
+21
+00:02:50,060 --> 00:02:58,240
+اربعمائط دينار كمبيانة محصلة اربعمائط ديناركمبيالة
+
+22
+00:02:58,240 --> 00:03:05,980
+محصلة من قبل البنك وخصم
+
+23
+00:03:05,980 --> 00:03:15,840
+ثمان دلانير وخصم ثمان دلانير مصاريف تحصيل مصاريف
+
+24
+00:03:15,840 --> 00:03:25,280
+تحصيل وأضاف الباقي واضاف الباقي للرصيد ولكن
+
+25
+00:03:26,820 --> 00:03:33,640
+إشعاري الخصم والإضافة ولكن إشعاري الخصم والإضافة
+
+26
+00:03:33,640 --> 00:03:42,980
+لم يصلى لم يصلى المشروع لم يصلى المشروع رقم تلاتة
+
+27
+00:03:42,980 --> 00:03:48,420
+الف و متين و سبعة و عشرين دولار الف و متين و سبعة
+
+28
+00:03:48,420 --> 00:03:54,900
+و عشرين دولار شكات شكات واردة
+
+29
+00:03:56,320 --> 00:04:00,820
+لم تقدم للتحصيل
+
+30
+00:04:00,820 --> 00:04:13,080
+بعد شكات والدة لم تحصل بعد 1227 دنار رقم أربعة 368
+
+31
+00:04:13,080 --> 00:04:17,920
+دنار
+
+32
+00:04:28,480 --> 00:04:37,500
+رفض رفض لعدم كفاية الرصيد رفض لعدم كفاية الرصيد
+
+33
+00:04:37,500 --> 00:04:50,540
+ولكن الإشعار ولكن الإشعار لم يصل للمشروع رقم خمسة
+
+34
+00:04:50,540 --> 00:05:02,380
+خمسة متين وتلاتين دولار فوائد مدينةفوائد مدينة لم
+
+35
+00:05:02,380 --> 00:05:09,700
+تسجل في الدفاتر 230 دولار فوائد مدينة لم تسجل في
+
+36
+00:05:09,700 --> 00:05:16,240
+الدفاتر رقم 6 281
+
+37
+00:05:16,240 --> 00:05:20,080
+دولار 281
+
+38
+00:05:20,080 --> 00:05:27,000
+دولار شيخ صادر لمحلات صالح
+
+39
+00:05:29,850 --> 00:05:41,490
+سُج الخطأ في اليومية بمبلغ 218 دنار إذا الـ 281
+
+40
+00:05:41,490 --> 00:05:48,230
+دنار شيك صادر لمحلات صالح، سُج الخطأ بـ 218 دنار
+
+41
+00:05:48,230 --> 00:05:53,430
+رقم
+
+42
+00:05:53,430 --> 00:06:01,690
+سبعة وأخيرًا، 361 دنارثلاثمية واحد وستين دولار
+
+43
+00:06:01,690 --> 00:06:11,530
+الشيخ وارد من محلات الرائد .. الشيخ وارد من محلات
+
+44
+00:06:11,530 --> 00:06:20,550
+الرائد سجل في اليومية خطأ بمبلغ .. بمبلغ
+
+45
+00:06:35,600 --> 00:06:43,340
+اعداد مذكرة التسوية بكل الرصيدين اعداد مذكرة
+
+46
+00:06:43,340 --> 00:06:51,260
+التسوية بكل الرصيدين رقم اتنين اثبات قيود اليومية
+
+47
+00:06:51,260 --> 00:06:58,560
+اللازمة اثبات قيود اليومية اللازمة رقم
+
+48
+00:06:58,560 --> 00:07:09,950
+تلاتة تصوير حساب البنك تصويرحساب البنك الان كما
+
+49
+00:07:09,950 --> 00:07:14,470
+قلنا وتحدثنا قليلا في المحاضرة الماضية عن ان
+
+50
+00:07:14,470 --> 00:07:21,510
+الرصيد الدفتري هو من واقع دفاتر المشروع من واقع
+
+51
+00:07:21,510 --> 00:07:28,130
+دفاتر المشروع بينما الرصيد البنكي
+
+52
+00:07:34,220 --> 00:07:38,720
+وكشف البنك هو الكشف الذي يقوم بإرساله إيه؟ بإرساله
+
+53
+00:07:38,720 --> 00:07:45,420
+البنك في نهاية كل شهر البنك يرسل كشف حساب والمشروع
+
+54
+00:07:45,420 --> 00:07:49,780
+يقوم بإعداد مذكرة تسوية ويفضل أن يقوم بإعداد مذكرة
+
+55
+00:07:49,780 --> 00:07:56,380
+تسوية محاسب غير أمير الصندوق أو غير المحاسب من أجل
+
+56
+00:07:56,380 --> 00:07:57,400
+الدقة في هذه
+
+57
+00:08:01,410 --> 00:08:05,330
+هو مذكرة التسوية بينما القيود في محاسبة واحد
+
+58
+00:08:05,330 --> 00:08:10,230
+اخدناها وتسوير البن في محاسبة واحد اخدناها ولكن
+
+59
+00:08:10,230 --> 00:08:17,570
+سنبدأ اولا بما هو جديد اذا الان الان نقوم بهذا
+
+60
+00:08:17,570 --> 00:08:24,590
+المطلوب الاول المطلوب الاول مذكرة التسوية مذكرة
+
+61
+00:08:24,590 --> 00:08:29,330
+التسوية ونقوم بقسم الصفحة الى صفحة الى
+
+62
+00:08:32,580 --> 00:08:44,540
+ولكن هنا سنبدأ المذاكرة بالرصيد البنكي وهنا نبدأ
+
+63
+00:08:44,540 --> 00:08:46,920
+بالرصيد الدفتري
+
+64
+00:08:53,990 --> 00:08:57,130
+هذا جانب لماذا؟ مذاكرة التسريع بدءا من الرصيد
+
+65
+00:08:57,130 --> 00:09:02,370
+البنكي وهذا جانب آخر لبدء مذاكرة التسريع من الرصيد
+
+66
+00:09:02,370 --> 00:09:08,790
+الدفتر الآن نعود إلى بداية السؤال قال لنا أن
+
+67
+00:09:23,070 --> 00:09:32,870
+بينما الرصيد البنكي ثلاث آلاف ثلاث آلاف و سبعمية و
+
+68
+00:09:32,870 --> 00:09:40,850
+تلاتة و أربعين دنار إذا بعد أن نبدأ و نضغط كلها من
+
+69
+00:09:40,850 --> 00:09:43,490
+الرصيد البنكي و الرصيد الدفتر الإعداد مذكرة
+
+70
+00:09:43,490 --> 00:09:49,310
+التسوية نعود إلى السؤالنعود إلى السؤال، والكل
+
+71
+00:09:49,310 --> 00:09:53,850
+يستمع حتى آخر لحظة في المحاضرة، لأن هذا الموضوع
+
+72
+00:09:53,850 --> 00:09:58,550
+سيف يكرر له محاضرتين قادمتين على هذا الموضوع،
+
+73
+00:09:58,550 --> 00:10:02,130
+فاليوم كل ما نسمعه سيف يكون جديد، وخاصة في مذكرة
+
+74
+00:10:02,130 --> 00:10:08,110
+التسوية، إذا اعيلوني سمعكم، إذا نبدأ باسم
+
+75
+00:10:16,440 --> 00:10:23,220
+إدعاء إدعاء نهاية الشهر إدعاء نهاية الشهر الآن
+
+76
+00:10:23,220 --> 00:10:29,500
+مجرد وإدعاء نهاية الشهر معناها إيه أن المحاسب ذهب
+
+77
+00:10:29,500 --> 00:10:34,340
+بإيرادات المشروع بعد الساعة الواحدة أو بعد الظهر
+
+78
+00:10:34,340 --> 00:10:40,660
+إلى البنك وقال بإيداعها وعاد معه فيشة إيداع مجرد
+
+79
+00:10:40,660 --> 00:10:49,260
+أن وصل المشروع تم التسجيل في دفاتر منالمشروع وقلنا
+
+80
+00:10:49,260 --> 00:10:57,720
+أن البنك يقوم بإصدار كشف الحساب في نهاية كل شهر
+
+81
+00:10:57,720 --> 00:11:04,060
+ولكن في صباح نهاية كل شهر إذا الكشف طبع صباحا
+
+82
+00:11:04,060 --> 00:11:11,720
+والمحاسب المشروع ذهب إلى البنك بعد الظهر إذا هذه
+
+83
+00:11:11,720 --> 00:11:14,520
+الإداعات التي قدعت في البنك
+
+84
+00:11:18,900 --> 00:11:24,640
+هل تظهر بكشف حساب الشهر الحالي؟ لا تظهر، لا تظهر،
+
+85
+00:11:24,640 --> 00:11:33,140
+إذا هنا مجرد أنعاد المحاسب ومعه فيش إداع قمنا
+
+86
+00:11:33,140 --> 00:11:38,620
+بالتسجيل في الدفاتر المشروع، إذا هذا الرصيد وهو
+
+87
+00:11:38,620 --> 00:11:42,080
+4187 تأثر بالإداعات
+
+88
+00:11:47,770 --> 00:11:53,390
+ولكن هل ظهرت بالكشف الحساب تبع الشهر الحالي؟ لأ،
+
+89
+00:11:53,390 --> 00:11:58,650
+إذا سوف تؤثر على هذا الرسيم، إذا نقول هنا رقم
+
+90
+00:11:58,650 --> 00:12:03,250
+واحد، رقم واحد، يعني المنتج يتبقى أنا الآن هنا، هو
+
+91
+00:12:03,250 --> 00:12:09,050
+يأتي أو أُخِذ من العبارة رقم واحد، إذا هنا إيه
+
+92
+00:12:09,050 --> 00:12:13,830
+داعات نهاية إيش؟
+
+93
+00:12:18,970 --> 00:12:28,190
+وهي ألف و أربعمية و أربعمية و سبعة و أربعين ماشي
+
+94
+00:12:28,190 --> 00:12:31,530
+الان
+
+95
+00:12:31,530 --> 00:12:37,150
+دلوقت الادعاء مجرد المحاسب أن عاد سجلناها في
+
+96
+00:12:37,150 --> 00:12:41,510
+الدفتر سجلناها في الدفتر، إذا تكون ضمنيا أثرت على
+
+97
+00:12:41,510 --> 00:12:43,490
+إيش؟ على هذا الرسيل
+
+98
+00:12:51,260 --> 00:12:56,200
+الفلوس ليه أنا أودعتها في المشروع؟ إذا عندما تصل
+
+99
+00:12:56,200 --> 00:13:02,560
+للبنك تزيد رصيدي أم ينقص؟ يزيد، إيه داعات؟ الفلوس
+
+100
+00:13:02,560 --> 00:13:07,540
+أودعت في البنك، إذا الرصيد يزيد، إذا هنا تبقى كما
+
+101
+00:13:07,540 --> 00:13:13,500
+هي بالموجة، باشي نأتي إلى رقم اتنين
+
+102
+00:13:38,350 --> 00:13:42,590
+ولكن الإشعارات لما تصل للمشروع وانا أتعامل في
+
+103
+00:13:42,590 --> 00:13:47,750
+المشروع و إتباتا دفتريا بمستندات
+
+104
+00:13:47,750 --> 00:13:57,110
+الدفترية، مظبوط يا خديجة؟ طيب، إذا هنا نهلط في كشف
+
+105
+00:13:57,110 --> 00:13:57,430
+البدء
+
+106
+00:14:25,500 --> 00:14:32,860
+عشان 400 طيب الآن ال bank لما يحصللي كمبيلات و
+
+107
+00:14:32,860 --> 00:14:37,920
+يضيفلي حسابي، الحسابي بزيد؟ و الله بينقص يا خولا؟
+
+108
+00:14:37,920 --> 00:14:43,400
+بزيد، إذا هذه المعنية تبقى بالموجة تبقى بإيه؟
+
+109
+00:14:43,400 --> 00:14:51,820
+بالموجة، ماشية هدا؟ ولكن ال bank خصم ثمان دنانير
+
+110
+00:15:00,670 --> 00:15:07,810
+تحصيل وكون وضعت الرقم بين قوسين .. بين قوسين دانية
+
+111
+00:15:07,810 --> 00:15:14,430
+..بعناه إيه؟ بعناه إيه جمانة؟ بعناه إيه هذا؟
+
+112
+00:15:14,430 --> 00:15:19,370
+السالب ..ماشي؟ لإن عشان بعد هيك لما أجمع أنا أخد
+
+113
+00:15:19,370 --> 00:15:24,410
+الأقام ده هنا اللي بين جثين حط رحل والموجة حجمها
+
+114
+00:15:24,410 --> 00:15:31,290
+..ماشي يا رولاه؟ ماشيإذا هنا الكمبيوتر المحصة تم
+
+115
+00:15:31,290 --> 00:15:36,410
+إضافتها تمام؟ والمصاريف الكمبيوتر تم إضافتها
+
+116
+00:15:36,410 --> 00:15:40,090
+بالاربعمية دولار والتمان دولارية عملها إيه؟
+
+117
+00:15:40,090 --> 00:15:46,990
+بالثمانية ولا يجوز أن نسجل هنا تلاتمية واتنين
+
+118
+00:15:46,990 --> 00:15:52,210
+وتسعين، لا يجوز التسجيل بهذا الشكل نذهب إلى رقم
+
+119
+00:15:52,210 --> 00:15:55,970
+تلاتة، رقم تلاتة .. طب والإضافة الإضافة؟
+
+120
+00:16:02,680 --> 00:16:08,100
+تمام؟ تمام يالا ب 400 خصم هو التمانية وضعف لكن
+
+121
+00:16:08,100 --> 00:16:12,620
+الآن وفق لمبدأ لفصاح المحاسب لابد أضيف ال 400 و
+
+122
+00:16:12,620 --> 00:16:20,560
+أخصم التمانية اه المحصلة تعتبر 392 ولكن لابد أن
+
+123
+00:16:20,560 --> 00:16:25,960
+تظهر بهذا الشكل لابد أن تظهر بهذا الشكل نذهب إلى
+
+124
+00:16:25,960 --> 00:16:27,300
+رقم 3 ويقول
+
+125
+00:16:35,560 --> 00:16:41,180
+لأ اللي قول ال 1227 لأ شكات صادرة شكات صادرة لم
+
+126
+00:16:41,180 --> 00:16:49,100
+تقدم للصرف لأ ماشي ماشي خلاص صمتوها شكات صادرة ال
+
+127
+00:16:49,100 --> 00:16:56,480
+1227 شكات صادرة لم تقدم للصرف شكات صادرة لم تقدم
+
+128
+00:16:56,480 --> 00:17:05,790
+للصرف شكات صادرة لم تقدم للصرف يعني إيه؟أنا حررتك
+
+129
+00:17:05,790 --> 00:17:10,950
+شيء يا عزيزي حررتك شيء و جرد أنا ما حررته سجلته في
+
+130
+00:17:10,950 --> 00:17:18,270
+دفاتري سجلته في دفاتري لم يقدم للتحصيل انت لم
+
+131
+00:17:18,270 --> 00:17:22,790
+تذهبي خلال هذا الشهر لتحصيله فطلع الكشف بدون ما
+
+132
+00:17:22,790 --> 00:17:27,010
+يوصل طب لو وصل ايش بيساوي؟ بيسجله و هيبقى عشان
+
+133
+00:17:27,010 --> 00:17:35,470
+يعيطل عشان يعيطلها يعني إذا هنا هذه رقم تلاتةشركات
+
+134
+00:17:35,470 --> 00:17:42,710
+صادرة ألف و متين و كم؟ سبعة و عشرين وهي الشركات
+
+135
+00:17:42,710 --> 00:17:47,970
+الصادرة بين قوسين لإيه؟ لأن عندما تأخذ الشيء اللي
+
+136
+00:17:47,970 --> 00:17:52,250
+اصدرته .. اصدرته .. اصدرته لهذه الشركة .. إيه كده
+
+137
+00:17:52,250 --> 00:17:56,250
+اسمها؟ لو أخدتيه على البنك و أصرفتيه، هينقص حسابه
+
+138
+00:17:56,250 --> 00:18:01,090
+ولا يزيد؟ هيجلل .. هيجلل لأن أنا حررت شيك صادر،
+
+139
+00:18:01,090 --> 00:18:09,880
+حررت شيك صادرتمام؟ تمام الإيدعات .. الإيدعات .. يا
+
+140
+00:18:09,880 --> 00:18:16,860
+جماعة الإيدعات إيش؟ الإيدعات تؤثر بإيش؟ بالزيادة
+
+141
+00:18:16,860 --> 00:18:22,000
+بالزيادة تزيد رصيدة في البنك والصادرة تنقص طب الآن
+
+142
+00:18:22,000 --> 00:18:29,700
+.. الآن يا دانيا يا غادة بعتك إبضاعة واخدت منك شيك
+
+143
+00:18:29,700 --> 00:18:33,480
+الشيك هذا أودحته في البنك لو وصل البنك
+
+144
+00:18:38,470 --> 00:18:43,710
+الادعات والادعات أو الشكات الواردة، إذا هنا
+
+145
+00:18:43,710 --> 00:18:50,250
+العمليات التي تؤثر إذا بدأنا بالرصيد البنكي هي
+
+146
+00:18:50,250 --> 00:18:55,270
+إيش؟ إذا بدأنا بالرصيد البنكي هي عبارة عن شكات
+
+147
+00:18:55,270 --> 00:19:08,300
+صادرة وعنا شكات واردة وادعات نهاية الشهرهذه الأمور
+
+148
+00:19:08,300 --> 00:19:14,220
+الثلاث هي التي .. التي تؤثر على الرصيد البنكي،
+
+149
+00:19:14,220 --> 00:19:21,240
+ليش؟ ليش؟ لأن الشركات الصادرة لو وصلت البنك هتنجس
+
+150
+00:19:21,240 --> 00:19:25,040
+الرصيد، والشركات الأولى لو وصلت البنك هتزاود
+
+151
+00:19:25,040 --> 00:19:29,260
+الرصيد، ويدعاة نهاية الشهر لو وصلت البنك هتزاود
+
+152
+00:19:29,260 --> 00:19:29,760
+الرصيد
+
+153
+00:19:37,450 --> 00:19:40,650
+تلاتمية و تمانية و ستين، بس ديربانكوا انتبهوا، انا
+
+154
+00:19:40,650 --> 00:19:45,710
+اقصد هنا الشيك الوارد الذي لم يحدث فيه خطأ، والشيك
+
+155
+00:19:45,710 --> 00:19:49,910
+الصادر الذي لم يحدث فيه خطأ، انتبهوا الآن للي بدي
+
+156
+00:19:49,910 --> 00:19:53,990
+احكيه، تلاتمية و تمانية و ستين دولار، يهودة،
+
+157
+00:19:53,990 --> 00:19:55,430
+تلاتمية و تمانية و ستين
+
+158
+00:20:07,890 --> 00:20:12,230
+محلات أحمد، محلات كيولينا اسمها محلات أحمد، بيعتك
+
+159
+00:20:12,230 --> 00:20:17,330
+إبضاعة واخدت منك شيك، شيك وارد هذا الشيك .. الشيك
+
+160
+00:20:17,330 --> 00:20:23,410
+يوم ما أخدته منكوا يسميا قلنا من حساب البنك إلى
+
+161
+00:20:23,410 --> 00:20:28,690
+حساب محلات أحمد أفندي، مش شيك؟ إذا ما أخد أي شيك
+
+162
+00:20:28,690 --> 00:20:34,870
+بفترض إنه زود رصيدي البنكي، تمام، تلاتمية و تمانية
+
+163
+00:20:34,870 --> 00:20:41,930
+و ستينهذا الشيء .. هذا الشيء ارتفض .. ها حدث فيه
+
+164
+00:20:41,930 --> 00:20:47,650
+مشكلة، ارتفض، إيش بدنا نعمل؟ بدنا نلغيه، الشيء كان
+
+165
+00:20:47,650 --> 00:20:53,010
+اللي ارتفض، بدنا إيش؟ نلغيه، و لما نلغيه هنقول ..
+
+166
+00:20:53,010 --> 00:20:57,010
+حساب إيش؟ حساب أحمد إلى حساب البنك
+
+167
+00:21:06,840 --> 00:21:11,500
+العساب البنك تمام؟ الان اذا بحط تلاتمية و تمانية و
+
+168
+00:21:11,500 --> 00:21:20,020
+ستين بإيش؟ بنناقص بالسالم ليش؟ لأنه اول ما أخدته
+
+169
+00:21:20,020 --> 00:21:24,540
+انا ضفته و أثر على الرصيد هذا الان لما نرتفع و
+
+170
+00:21:24,540 --> 00:21:32,580
+نعود إيش؟ ننقص تمام؟ طيب يوم أخدنا الشيك الورد هنا
+
+171
+00:21:32,580 --> 00:21:37,130
+من حلالة أحمدزود رصيدة، مش زود فلوسه في البناء،
+
+172
+00:21:37,130 --> 00:21:42,430
+اليوم ارتفد، بنت عيش من الناس، ماشي سماع؟ طيب،
+
+173
+00:21:42,430 --> 00:21:48,490
+نذهب إلى رقم خمسة، رقم خمسة، رقم خمسة يقول ميتين و
+
+174
+00:21:48,490 --> 00:21:55,550
+تلاتين دولار أيش؟ فوائد أيش؟ مدينة، فوائد مدينة،
+
+175
+00:21:55,550 --> 00:22:00,050
+تمام؟ الفوائد مصروف، والمصروف عند ثمانته أيش؟
+
+176
+00:22:03,880 --> 00:22:07,060
+فوائد مدينة انا و انا براجع في كاشف البنك وجد
+
+177
+00:22:07,060 --> 00:22:10,600
+فوائد مدينة و براجع البنك لجد شيخ أحمد هذا اغتفل
+
+178
+00:22:10,600 --> 00:22:15,540
+تمام هل لهم علاقة مش ظهره في كاشف البنك بس لأ اذا
+
+179
+00:22:15,540 --> 00:22:20,560
+انا انت سجن مين اعدل في الدفاتر طب الان هي رقم رقم
+
+180
+00:22:20,560 --> 00:22:31,430
+5 الان فوائد مدينة كام فوائد مدينة 230الفوائد
+
+181
+00:22:31,430 --> 00:22:34,590
+المدينة .. الفوائد المدينة بتنقص حسابي في البنك
+
+182
+00:22:34,590 --> 00:22:40,590
+ولا بتزيده؟ بتنقص .. بتنقص .. تمام .. تمام .. تمام
+
+183
+00:22:40,590 --> 00:22:41,450
+.. تمام .. تمام .. تمام .. تمام .. تمام .. تمام ..
+
+184
+00:22:41,450 --> 00:22:42,810
+تمام .. تمام .. تمام .. تمام .. تمام .. تمام ..
+
+185
+00:22:42,810 --> 00:22:43,130
+تمام .. تمام .. تمام .. تمام .. تمام .. تمام ..
+
+186
+00:22:43,130 --> 00:22:44,290
+تمام .. تمام .. تمام .. تمام .. تمام .. تمام ..
+
+187
+00:22:44,290 --> 00:22:49,610
+تمام .. تمام .. تمام .. تمام .. تمام .. تمام ..
+
+188
+00:22:49,610 --> 00:22:49,650
+تمام .. تمام .. تمام .. تمام .. تمام .. تمام ..
+
+189
+00:22:49,650 --> 00:22:57,210
+تمام .. تمام .. تم
+
+190
+00:22:58,640 --> 00:23:03,740
+تمام؟ سجلت في دفاتري .. سجلت في دفاتري .. تمام؟
+
+191
+00:23:03,740 --> 00:23:09,040
+لكن وصلت ال bank .. لا .. لكن إذا وصلت ال bank ..
+
+192
+00:23:09,040 --> 00:23:14,720
+إيش بتأثر عليها؟ من نصر .. طيب جينا لشيك أحمد ..
+
+193
+00:23:14,720 --> 00:23:18,320
+شيك أحمد و أنا براجع في كشف ال bank .. و أنا براجع
+
+194
+00:23:18,320 --> 00:23:21,920
+في كشف ال bank .. لقيت ال bank الشيك هذا تبع أحمد
+
+195
+00:23:21,920 --> 00:23:28,450
+مرفوضطب ما البنك سجله، هسجله مرة تانية؟ لأ، البنك
+
+196
+00:23:28,450 --> 00:23:31,650
+سجله في كاشفه، كان وظهر في الكاشف اللي احنا مسجله،
+
+197
+00:23:31,650 --> 00:23:35,770
+تمام؟ إذا مادياش أسجله، مش يوم ما أخدته، أثر على
+
+198
+00:23:35,770 --> 00:23:41,670
+المبلغ هذا بالزيادة، بتدفع إيش؟ النقص، الشغل تاني،
+
+199
+00:23:41,670 --> 00:23:46,430
+أنا مراجع يوم يصر، وجدنا إيش؟ وجدنا إيش ولا؟ وجدنا
+
+200
+00:23:46,430 --> 00:23:49,490
+البنك خاص بـ 230 دنار
+
+201
+00:23:54,150 --> 00:23:58,770
+ماخد قرط وخاسم الفوائد تبعه عمولة شكات مقدمة لخدمة
+
+202
+00:23:58,770 --> 00:24:03,190
+إلا إلا أثر خاصة لقيته خاصة مثلا مصاريف مالينا
+
+203
+00:24:03,190 --> 00:24:07,410
+مصروف 230 هنا لما أنا أثبتهم في الدفاتر هذا
+
+204
+00:24:07,410 --> 00:24:09,730
+المصاريف بتأثر على مصيرينا هذا بالنقصان ولا
+
+205
+00:24:09,730 --> 00:24:14,210
+بالزيادة بالنقصان وطبعا لو كان عندي ال bank ضيفلي
+
+206
+00:24:14,210 --> 00:24:20,690
+إيراد أو فوائد دائمة أو أرباح أسهم أو أرباح أسهم
+
+207
+00:24:20,690 --> 00:24:22,310
+بسجلها بإيش؟
+
+208
+00:24:32,700 --> 00:24:36,960
+هل من سؤال؟
+
+209
+00:24:36,960 --> 00:24:42,160
+نعم؟ كما قلت إن هذا المحاضرة الأولى .. المحاضرة
+
+210
+00:24:42,160 --> 00:24:50,920
+الأولى من أكتر من المحاضرة أنا
+
+211
+00:24:50,920 --> 00:24:53,160
+قاعد .. أنا قاعد بشرح يعني الكلام هذا .. بشرح ..
+
+212
+00:24:53,160 --> 00:24:56,660
+بشرح .. شرحت أن أنا متعقب على الكلام هذا على
+
+213
+00:24:56,660 --> 00:24:58,500
+السريع و المحاضرة جايبة نكمل وبعدها
+
+214
+00:25:13,380 --> 00:25:19,840
+الشهر ادعاء نهاية الشهر الان انا حكيت او دعت
+
+215
+00:25:19,840 --> 00:25:25,180
+المحاسب ذهب الى البنك و اوضع و عاد بفيش الادع مجرد
+
+216
+00:25:25,180 --> 00:25:30,380
+عاد الى المشروع سجلنا في الدفاتر تمام؟ سجلنا في
+
+217
+00:25:30,380 --> 00:25:35,620
+الدفاتر سجلت في الدفاتر لكن الان هنا هل الادعاء
+
+218
+00:25:35,620 --> 00:25:40,340
+وصلت البنك؟ لا لكن لو وصلت البنك مش الكاشف يطلع
+
+219
+00:25:40,340 --> 00:25:44,230
+الصبح و انا اوضعت اخر النهاربتتخيل كيف بدي اظهار
+
+220
+00:25:44,230 --> 00:25:50,430
+إذا هنا بتتأثر بتعمل عشان تعدل الأرصدة بتسجلها إيش
+
+221
+00:25:50,430 --> 00:25:54,110
+بالإضافة الآن الشيكات الصادرة الشيك الصادر مجرد ما
+
+222
+00:25:54,110 --> 00:25:57,970
+حررتك الشيك سجلته في الدفاتر تمام؟ سجلته في
+
+223
+00:25:57,970 --> 00:26:03,930
+الدفاتر وليس سجله مرة يعني الان لو وصل ال bank لو
+
+224
+00:26:03,930 --> 00:26:10,550
+وصل ال bank كيف بدي اظهار؟ بدي اظهار بالنقصار الان
+
+225
+00:26:10,550 --> 00:26:15,670
+نيجي لرقم اتنينالان وانا براجع في الكشف البنك محصل
+
+226
+00:26:15,670 --> 00:26:21,270
+ليه كمبيلة و سجلها وضعف ليه لكن انا ماوصلنيش
+
+227
+00:26:21,270 --> 00:26:24,830
+لإشعار انا ماسجلتش في الدفاتر، ايش بدي اعمل؟ هل
+
+228
+00:26:24,830 --> 00:26:27,390
+هذي؟ لأن وانا براجع في الكشف البنك وجدت ان في
+
+229
+00:26:27,390 --> 00:26:33,270
+كمبيلة إيش؟ محصلة، إذا البنك سجلها، لكن الدفاتر
+
+230
+00:26:33,270 --> 00:26:37,710
+ظهرتلأ، بمعنى العمليات هذه الموجودة بين إيدينا،
+
+231
+00:26:37,710 --> 00:26:40,890
+اللذي لم يؤثر على رصيد البنك، بدنا نخليه يؤثر،
+
+232
+00:26:40,890 --> 00:26:43,810
+اللذي لم يؤثر على رصيد الدفتري، بدنا نوضح إيش
+
+233
+00:26:43,810 --> 00:26:47,710
+تأثيره، الموضوع بده تركيز، الأن هنا الكمبيوتر
+
+234
+00:26:47,710 --> 00:26:50,790
+المحصلة دي، أنا ماثبتتش في الدفاتة، لو بده أثبت،
+
+235
+00:26:50,790 --> 00:26:53,710
+أيش بده أثبت؟ أزاي ما أخدته في محاسبة واحد، بده
+
+236
+00:26:53,710 --> 00:26:56,710
+أثبتها، إذا هي الكمبيوتر المحصلة، بده أزيد بالـ400
+
+237
+00:26:56,710 --> 00:26:58,610
+درار، وبده نقص من المصاريف
+
+238
+00:27:05,720 --> 00:27:10,260
+وقعد في الكشف، في كشف بلاجة لقيت ان ال bank في شيك
+
+239
+00:27:10,260 --> 00:27:16,260
+أحمد لم يصرفه لأنه ايش؟ رفض لعدم كفاية الرصيد لأن
+
+240
+00:27:16,260 --> 00:27:19,420
+يوم ما أخدت و سجلت و أنا بالموجة و قطع المصيد هذا،
+
+241
+00:27:19,420 --> 00:27:22,820
+اليوم لما اختفد ياخدوا ليش؟ لما نقطعه، الآن ال
+
+242
+00:27:22,820 --> 00:27:25,720
+bank في وقت المدينة، في وقت المدينة خصم عليه 32
+
+243
+00:27:55,600 --> 00:28:00,740
+لكن إيش؟ حدث فيه خطأ، إذا هذا يحتاج إلى معالجة
+
+244
+00:28:12,600 --> 00:28:18,860
+الحساب صالح إلى حساب البن نكتب
+
+245
+00:28:18,860 --> 00:28:25,580
+هنا بعيد عن الحل الحساب صالح إلى حساب البن
+
+246
+00:28:41,470 --> 00:28:45,530
+معناها إيش؟ كانوا ال bank .. الشيك هذا .. الشيك ..
+
+247
+00:28:45,530 --> 00:28:51,550
+الشيك إيش مكتوب عليها؟ الشيك محرر بقداش؟ 281 دنار
+
+248
+00:28:51,550 --> 00:28:53,390
+.. الشيك مكتوب عليه القيمة زي الشيكل
+
+249
+00:29:13,800 --> 00:29:18,420
+هذه منصة صالح المحاسب سجل بدل ما يسجل 200 واحد
+
+250
+00:29:18,420 --> 00:29:23,740
+تانية، سجله إيه؟ 200 وطولة إذا سجل أقل ولا أكتر؟
+
+251
+00:29:23,740 --> 00:29:29,400
+أقل أقل سجلنا أقل ولا أكتر؟ أقل أقل إذا القيد
+
+252
+00:29:29,400 --> 00:29:34,200
+النظري يبقى كما هو بمعنى .. طب الفرق الرقمي بين
+
+253
+00:29:34,200 --> 00:29:40,440
+الاتنين هذول إيه؟ 63 63 الفرق الرقمي .. الفرق
+
+254
+00:29:40,440 --> 00:29:41,460
+الرقمي هو إيه؟
+
+255
+00:29:59,500 --> 00:30:05,660
+قلنا ان ال ه هي القيادة النظرية هى القيادة النظرية
+
+256
+00:30:05,660 --> 00:30:12,940
+تمام؟ الان المحاسب ه بدل ما يسحب يا بادا من البنك
+
+257
+00:30:12,940 --> 00:30:18,580
+ميتين و واحد و تمانين سحب كام؟ ميتين و تمانتاش سحب
+
+258
+00:30:18,580 --> 00:30:23,720
+أقل إذا بدى يرجع تانى و يسحب ايش؟ و لو بدى يسحب من
+
+259
+00:30:23,720 --> 00:30:27,260
+البنك تلاتة و ستين يرجع إذا ما النقص منه بزيادة
+
+260
+00:30:29,650 --> 00:30:36,170
+بالنقص، يعني بإيش؟ بالنقص، ببساطة شديدة، ذهبتي إلى
+
+261
+00:30:36,170 --> 00:30:41,010
+السوق، ببساطة شديدة، ذهبتي إلى السوق واشتريتي
+
+262
+00:30:41,010 --> 00:30:46,170
+أغراض تمام؟ وقال لكي صاحب المحل هذه الأغراض بستميت
+
+263
+00:30:46,170 --> 00:30:53,250
+شكل، أنتي في ظل الزحمة، يعني تصورتي لأنه بحكيلك
+
+264
+00:30:53,250 --> 00:30:58,920
+خمسميةسحبتي واحد، اتنين، تلاتي، اربعة، خمسة، تمام؟
+
+265
+00:30:58,920 --> 00:31:04,840
+قالك لأ يا غادا، لأ يا مصمزيل، لأ يا ست، لأ ستميت
+
+266
+00:31:04,840 --> 00:31:05,280
+شكل
+
+267
+00:31:42,960 --> 00:31:46,740
+الان الشيك الوارد عندما نسجل الشيك الوارد ماذا
+
+268
+00:31:46,740 --> 00:31:55,360
+نقول؟ من حساب البنك الى حساب الراهد القيمة 361
+
+269
+00:31:55,360 --> 00:31:59,660
+دولار القيمة الصحيحة القيمة الشيك مسجلة ليها 361
+
+270
+00:31:59,660 --> 00:32:03,880
+دولار وذهب الى البنك وعمله لكن الخطأ عندى حدث في
+
+271
+00:32:03,880 --> 00:32:08,340
+الدفاتر لسنة با الخطأ هنا حدث عندى في الدفاتر سواء
+
+272
+00:32:08,340 --> 00:32:12,830
+في الخمس ستة او سبعةالمحاسب بدل ما يسجل كان هنا
+
+273
+00:32:12,830 --> 00:32:21,270
+281 سجل 218 تمام؟ الان هنا نفس القصة المحاسب سجل
+
+274
+00:32:21,270 --> 00:32:24,990
+في دفاتري، اذا عشان هكذا بسجل هنا، ماليش دعوة في
+
+275
+00:32:24,990 --> 00:32:29,750
+ال bank، ال bank كله تمام 100% ماشي؟ طيب، الان هنا
+
+276
+00:32:29,750 --> 00:32:32,590
+سجل المحاسب 300 و 16
+
+277
+00:32:40,620 --> 00:32:46,680
+بدل ما يضيف لي للبن تلاتمية واحد وستين ضاف لي
+
+278
+00:32:46,680 --> 00:32:51,740
+تلاتمية وستة عشر، ضاف لي أقل، بدل ما يضيف لي للبن
+
+279
+00:32:51,740 --> 00:32:53,440
+تلاتمية واحد وستين، ضاف لي أقل، بدل ما يضيف لي
+
+280
+00:32:53,440 --> 00:32:53,640
+لي للبن تلاتمية واحد وستين، ضاف لي أقل، بدل ما
+
+281
+00:32:53,640 --> 00:32:54,260
+يضيف لي للبن تلاتمية واحد وستين، ضاف لي أقل، بدل
+
+282
+00:32:54,260 --> 00:32:56,640
+ما يضيف لي للبن تلاتمية واحد وستين، ضاف لي أقل،
+
+283
+00:32:56,640 --> 00:32:58,880
+بدل ما يضيف لي للبن تلاتمية واحد وستين، ضاف لي
+
+284
+00:32:58,880 --> 00:33:02,280
+أقل،
+
+285
+00:33:02,280 --> 00:33:08,560
+بدل ما يضيف لي للبن
+
+286
+00:33:08,560 --> 00:33:12,140
+تلاتميةولو بسائلة تسأل، لو تحكي إنه العكس على
+
+287
+00:33:12,140 --> 00:33:16,820
+الأمور هذه، صنعناه في سؤال آخر، تمام؟ إذا بهذا،
+
+288
+00:33:16,820 --> 00:33:21,980
+هنا، هيكون عندنا الآن، نأتي إلى جمع، نأتي إلى جمع
+
+289
+00:33:21,980 --> 00:33:27,480
+هذا الجانب، هيطلع عندنا تلت تلات وتسعمية، تلت تلات
+
+290
+00:33:27,480 --> 00:33:32,740
+تسعميةتلت تلاف تسعمية و تلاتة و ستين تلت تلاف
+
+291
+00:33:32,740 --> 00:33:37,380
+تسعمية و تلاتة و ستين تلت تلاف تسعمية و تلاتة و
+
+292
+00:33:37,380 --> 00:33:37,880
+ستين
+
+293
+00:33:50,580 --> 00:33:54,700
+قمنا بإعداد مذكرة التسوية بدءا من الرصيد الدفتري
+
+294
+00:33:54,700 --> 00:33:59,000
+أو بدءا من الرصيد البنكي لابد أن نصل إلى الرصيد
+
+295
+00:33:59,000 --> 00:34:09,900
+المعدل و أيضا إذا قمنا بتصوير حساب البن حساب
+
+296
+00:34:09,900 --> 00:34:16,600
+البن أيضا لابد أن نصل إلى الرصيد المعدل
+
+297
+00:34:29,130 --> 00:34:35,290
+اليومية قيود اليومية الان بناء على السؤال الان
+
+298
+00:34:35,290 --> 00:34:40,350
+نأتي الى إثبات القيود اليومية ونعود إذا هنا عندما
+
+299
+00:34:40,350 --> 00:34:46,050
+أقوم بإعداد أو بإثبات قيود اليومية ما هي العمليات؟
+
+300
+00:34:46,050 --> 00:34:53,150
+ما هي العمليات التي تحتاج إلى قيود؟ ما هي العمليات
+
+301
+00:34:53,150 --> 00:34:59,370
+التي تحتاج إلى قيود؟ هي تلك العملياتالتي لم يثبت
+
+302
+00:34:59,370 --> 00:35:07,510
+لها قيد من قبل هي العمليات التي لم يثبت لها قيد من
+
+303
+00:35:07,510 --> 00:35:12,770
+قبل بمعنى أخر مين نعمله قيود الآن العمليات التي لم
+
+304
+00:35:12,770 --> 00:35:17,670
+تسجل في الدفاتر من قبل نعود مع بعض إلى السؤال رقم
+
+305
+00:35:17,670 --> 00:35:21,930
+واحد الان الإدعاءات في نهاية الشهر الإدعاءات في
+
+306
+00:35:21,930 --> 00:35:27,210
+نهاية الشهرأيوة، الآن مجرد أنه مارجع المحاسب من
+
+307
+00:35:27,210 --> 00:35:32,570
+البنك إلى الشركة وماعرفيش تليداع، سجلت في الدفاتر،
+
+308
+00:35:32,570 --> 00:35:36,970
+هل تحتاج إلى تباط مرة أخرى؟ لا تحتاج رقم اتنين
+
+309
+00:35:36,970 --> 00:35:41,770
+الكمبيالة المحصلة، وانا براجع في الكشف، وجدت البنك
+
+310
+00:35:41,770 --> 00:35:46,070
+ضعيف لإيه؟ كمبيالة وخاصة، اتطلعت؟ أنا مش متفت في
+
+311
+00:35:46,070 --> 00:35:48,150
+دفاتري، بدت تثبت ولا لا؟
+
+312
+00:35:59,730 --> 00:36:09,890
+من مذكورين حساب البنك حساب مصاريف تحصيل إلى حساب
+
+313
+00:36:09,890 --> 00:36:17,390
+أوراق قبل براسم التحصيل إذا اللي سأل قبل شوية عن
+
+314
+00:36:17,390 --> 00:36:22,110
+الصافي اللي سأل عن الصافي في المنطقة هناهذه ال 400
+
+315
+00:36:22,110 --> 00:36:25,370
+كمبيال الموجودة وزي ما أخطط في محاسب واحد هذا مش
+
+316
+00:36:25,370 --> 00:36:29,650
+اخطط زي محاسب واحد الآن ال bank خسر تمانية هذه
+
+317
+00:36:29,650 --> 00:36:35,690
+المقصود بالصافي هذه المقصود بالصافي هي الصافي
+
+318
+00:36:35,690 --> 00:36:40,470
+البنك خسر والباقي أضافوا يظهر بهذا القيامة إذا
+
+319
+00:36:40,470 --> 00:36:43,550
+لماذا سجلنا هذه العملية؟ لأن أنا و أنا براجع في
+
+320
+00:36:43,550 --> 00:36:47,570
+الكشف وجدت أن البنك ضيف الكمبيالة محصلها لنيابة
+
+321
+00:36:47,570 --> 00:36:51,760
+عنه أسجلها في دفعتي و أنا ماسجلهاشكما .. ك .. زي
+
+322
+00:36:51,760 --> 00:36:56,820
+ما بدكم نذهب الى رقم تلاتة الشركات الواردة ..
+
+323
+00:36:56,820 --> 00:37:02,740
+الشركات الصادرة .. ها .. الان الشركات ايش؟ الشركات
+
+324
+00:37:02,740 --> 00:37:07,560
+الصادرة .. الان مجرد انا محرمتك شيء سجته الدفاتر
+
+325
+00:37:07,560 --> 00:37:11,240
+.. مجرد محرمتك شيء سجته الدفاتر أسجله مرة تانية؟
+
+326
+00:37:11,240 --> 00:37:16,040
+لأ، لا يسجل، اذا ها، ايه بنعرف واضح الأمور، و
+
+327
+00:37:16,040 --> 00:37:17,360
+التكرار يعلمش الطالب
+
+328
+00:37:37,330 --> 00:37:41,690
+اللي هو إيه؟ شيخ .. فيه شيخ وارد، بس حد اللي فيه
+
+329
+00:37:41,690 --> 00:37:45,070
+خطأ، احنا حاولنا نقول لما ناخد من أحمد بنقول من
+
+330
+00:37:45,070 --> 00:37:48,190
+حساب البنك إلى حساب إيه؟ أحمد، أحمد حلقة أحمد
+
+331
+00:37:48,190 --> 00:37:51,770
+أحمد، تلاتمية و تمانية و ستين، تمام؟
+
+332
+00:38:18,580 --> 00:38:27,900
+هي رقم 4 من حساب محلات أحمد إلى حساب البنك وهي
+
+333
+00:38:27,900 --> 00:38:32,800
+تلاتمية و تمانية و ستين، تلاتمية و تمانية و ستين،
+
+334
+00:38:32,800 --> 00:38:37,320
+تمام؟ نلغي، هذا قيود من حسب واحد
+
+335
+00:38:43,960 --> 00:38:53,700
+مدينة الفوائد المدينة عند ثلاثة رصوف تفضلي فوائد
+
+336
+00:38:53,700 --> 00:39:02,480
+مدينة إلى حساب البنك 230 إذا لماذا قمت أنا بتسجيل
+
+337
+00:39:02,480 --> 00:39:07,580
+الفوائد المدينة لأنني بمراجعة الكشف وجدت أن البنك
+
+338
+00:39:07,580 --> 00:39:13,590
+خصم علي 230 ولكن أنا لم أسجلها في الدفاترعايزة
+
+339
+00:39:13,590 --> 00:39:19,570
+تسجيل؟ لابد أن تسجل، مصبوط يا ميسار، سجلناها،
+
+340
+00:39:19,570 --> 00:39:20,250
+تمام؟
+
+341
+00:39:36,100 --> 00:39:40,080
+لما نقضي نصبر احنا شيك لأي شخص هيقولنا من حساب
+
+342
+00:39:40,080 --> 00:39:48,820
+صالح إلى حسابين البنك 281 القيمة الصحيحة 218
+
+343
+00:39:48,820 --> 00:39:54,900
+القيمة الغلط اللي سجلت الشيك المحاسب لم يسجل تمام
+
+344
+00:40:01,800 --> 00:40:05,880
+وزي ما ضربنا مثال الشوبنج والتصوّق وقلنا الـ 500،
+
+345
+00:40:05,880 --> 00:40:09,780
+الـ 600، الـ 800 هاي بدل ما المحاسب يسحب الـ 281
+
+346
+00:40:09,780 --> 00:40:14,780
+بالبنك سحب 200، سحب أقل إذا القيد النظر يبقى إيه؟
+
+347
+00:40:14,780 --> 00:40:22,240
+ده ما هو إذا نقول هنا من حساب صالح إلى حساب البنك
+
+348
+00:40:22,240 --> 00:40:30,120
+63 نعم بالفرق الرقم اللي هو جاي من 300 من 281 نقل
+
+349
+00:40:36,970 --> 00:40:39,430
+أنا محاسبية، اتعلمتها في محاسب واحد، أنا أختار
+
+350
+00:40:39,430 --> 00:40:44,650
+محاسبية، في الأرقام، في المسميات، إلى أخرى من هذا
+
+351
+00:40:44,650 --> 00:40:45,050
+الأمر
+
+352
+00:40:55,830 --> 00:41:00,130
+هو طلب منك الراجل سحب في المحل 600 شيك وانت سحبته
+
+353
+00:41:00,130 --> 00:41:06,050
+500؟ قالك لا رجعت تاني و سحبت كمان 100 تمام؟ اوكي
+
+354
+00:41:06,050 --> 00:41:12,550
+الان عندنا رقم سبعة رقم سبعة الشيك الوادهة وارد
+
+355
+00:41:12,550 --> 00:41:18,050
+وحدد فيه خطأ وليس ذلك اذا هنا البنك الى ايش؟
+
+356
+00:41:18,050 --> 00:41:22,470
+الرائد القيمة 361
+
+357
+00:41:26,320 --> 00:41:34,160
+تمام؟ ثلاثمية و ستاشر تمام؟ المحاسب محاسب ها إذا
+
+358
+00:41:34,160 --> 00:41:37,440
+القيد النظر يبقى كما هو ولا لا؟ يبقى كما هو لا
+
+359
+00:41:37,440 --> 00:41:41,680
+ولا؟ يبقى لأنه بدل ما يضيف لي ثلاثمية و ستاشر ضاف
+
+360
+00:41:41,680 --> 00:41:47,040
+لي إيش؟ ثلاثمية واحد ثلاثمية و ستاشر ضاف لي أقل
+
+361
+00:41:47,040 --> 00:41:54,600
+إذا نقول هنا من حساب البن إلى حساب محلات الرائد
+
+362
+00:41:55,640 --> 00:41:59,900
+خمسة و أربعين بالفرق الرقمي اللي هو تلاتمية واحد و
+
+363
+00:41:59,900 --> 00:42:07,180
+ستين ناجس تلاتمية إيش أو ستة عشر طيب
+
+364
+00:42:07,180 --> 00:42:14,620
+إذا هذه القيود انتهينا منها يبقى أن يكمل السؤال في
+
+365
+00:42:14,620 --> 00:42:19,100
+صورته العامة تصوير حساب البني حساب
+
+366
+00:42:29,930 --> 00:42:33,310
+فأريد أن أنوح إلى شيء الرصيد الدفتري هنا الرصيد
+
+367
+00:42:33,310 --> 00:42:38,830
+البنكي كام؟ الرصيد الدفتري كام؟ الرصيد المعدد كام؟
+
+368
+00:42:38,830 --> 00:42:41,350
+مين من التلاتة هدول بتيظهر في الميزانية في نهاية
+
+369
+00:42:41,350 --> 00:42:46,970
+العام؟ المعدد أحسنتهم، ممتاز طيب، الآن عندما أقوم
+
+370
+00:42:46,970 --> 00:42:52,830
+بإعداد حساب البنك أو تصوير حساب البنك النقطة ..
+
+371
+00:42:52,830 --> 00:42:55,890
+النقطة بس اللي بدنا نعرفها من أي من الرصيد؟ هل
+
+372
+00:42:55,890 --> 00:42:57,570
+الرصيد الدفتري ولا البنكي؟
+
+373
+00:43:00,840 --> 00:43:04,840
+الحساب البنك من واقع دفاتر المشروع، من واقع دفاتر
+
+374
+00:43:04,840 --> 00:43:12,280
+المشروع، إذا هنا وبهذا اللون الرصيد الدفتري، وهو
+
+375
+00:43:12,280 --> 00:43:17,900
+اربعة آلاف ومية وسبعة وتمانين درار، اربعة آلاف
+
+376
+00:43:17,900 --> 00:43:22,780
+ومية وسبعة مليون درار، إذا أمامنا الآن نروح لحساب
+
+377
+00:43:22,780 --> 00:43:25,700
+البنك من واقع القيود
+
+378
+00:43:37,550 --> 00:43:45,210
+الحساب أوراق قبل رسم التحسين لماذا؟ لأننا تذكروا
+
+379
+00:43:45,210 --> 00:43:49,410
+تصوير البنك أو الصندوق المشارك لرأس المال
+
+380
+00:44:14,700 --> 00:44:21,420
+368 أحمد من حساب فوائد
+
+381
+00:44:50,350 --> 00:44:57,270
+أو أربعين؟ طيب هل الآن بقى أي شيء يراد أن يرحل إلى
+
+382
+00:44:57,270 --> 00:45:03,090
+هذا الحساب؟ لأ نقوم بجمع المدين و جمع الدائر أيهم
+
+383
+00:45:03,090 --> 00:45:07,410
+أكبر يعمم وقولنا البنك أصل و الأصل لابد أن يكون
+
+384
+00:45:07,410 --> 00:45:14,060
+رصيده إيش؟طبعا هنا اعطان النرسين مدينة و هناك سوف
+
+385
+00:45:14,060 --> 00:45:23,960
+نتحدث عن هذه الجزيرة طيب الان نشبه حيطلع 4624 4624
+
+386
+00:45:23,960 --> 00:45:29,940
+و هنا 4624 طبعا الجانب المديني هو الأكبر
+
+387
+00:45:39,880 --> 00:45:45,460
+الرصيد المعدل، إذاً بهذا نكون أتينا إلى نهاية
+
+388
+00:45:45,460 --> 00:45:46,540
+محاضرة اليوم
+
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/XR2RcjwLacs_raw.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/XR2RcjwLacs_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..e6d5e4c6ed4fe9026fc393032d2073c4f6955e09
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/XR2RcjwLacs_raw.srt
@@ -0,0 +1,1340 @@
+1
+00:00:21,040 --> 00:00:26,920
+استكمالا لما صبت سنأخد مثال آخر لعملية الاستغناء
+
+2
+00:00:26,920 --> 00:00:35,420
+عن الأصول التابعة وهو في 1-7-2009 اشترت شركة
+
+3
+00:00:35,420 --> 00:00:43,300
+الرحمة آلة بمبلغ 15500 دولار وبلغت الرسوم
+
+4
+00:00:43,300 --> 00:00:50,120
+الجمهورية 1500 دولار دفعت جميعا بشيك
+
+5
+00:00:51,330 --> 00:01:00,710
+والخردة قدرت للآلة بمبلغ ألف دينار وعمر الآلة ثمان
+
+6
+00:01:00,710 --> 00:01:08,070
+سنوات وفي واحدة أربعة الفين وخمستاش تم مبادلة
+
+7
+00:01:08,070 --> 00:01:17,770
+الآلة بسيارة تكلفتها ثمان آلاف دينار والشركة اتبع
+
+8
+00:01:17,770 --> 00:01:27,980
+طريقة القصدالثابت والفروقات تتم من خلال الصندوق
+
+9
+00:01:27,980 --> 00:01:39,020
+والآلة قدرت في تاريخ المبادلة بمبلغ
+
+10
+00:01:39,020 --> 00:01:47,500
+خمس آلاف ومئة دينار كما أن عمر السيارة
+
+11
+00:01:49,160 --> 00:01:56,760
+كما ان عمر السيارة قدر بعشر سنوات والشركة تتبع
+
+12
+00:01:56,760 --> 00:02:06,760
+طريقة القصر المتناقص لاهتلاك السيارة والان نبدأ في
+
+13
+00:02:06,760 --> 00:02:12,920
+عملية الحل الان قبل ما نبدأ في المطلوب اريد تلخيص
+
+14
+00:02:12,920 --> 00:02:22,770
+البيانات لتكون امامناهنا تاريخ شراء اللي هو الالة
+
+15
+00:02:22,770 --> 00:02:33,390
+الواحد سبعة تاريخ المبادلة واحد ايش؟ الفين و خمسة
+
+16
+00:02:33,390 --> 00:02:38,690
+عشرة الان الالة تكلفتها كام؟ سبعتاشر
+
+17
+00:02:43,840 --> 00:02:49,020
+الثمن زي ليش؟ رسوم الجمهورية حتى يصبح جاهز الاصل
+
+18
+00:02:49,020 --> 00:02:57,100
+للاستخدام تمام؟ طيب في نقطة تقول دفعت جميعا بشيك
+
+19
+00:02:57,100 --> 00:03:00,880
+لا الشراء .. الشراء .. الشراء و رسوم الجمهورية
+
+20
+00:03:00,880 --> 00:03:07,280
+دفعت بشيك كملوها ماشي؟ الان عندنا إيش كمان تاني؟
+
+21
+00:03:07,280 --> 00:03:13,610
+في الخردة و العمر ده الألة هنا تمان سنواتهنا
+
+22
+00:03:13,610 --> 00:03:20,810
+الخردة ألف دولار تمام؟ هذا بالنسبالي مين؟ طيب
+
+23
+00:03:20,810 --> 00:03:27,610
+السيارة وها دي إيش قصد ثابت السيارة قصد إيش؟
+
+24
+00:03:27,610 --> 00:03:34,630
+متراقص تمام، جداش قيمتها؟ تمان تلال تمان تلال،
+
+25
+00:03:34,630 --> 00:03:47,190
+الآن قدرت .. قدرت الآلةفي تاريخ المبادرة كام؟ خمس
+
+26
+00:03:47,190 --> 00:03:51,630
+تلاث ومية
+
+27
+00:03:51,630 --> 00:04:01,250
+دولار تمام؟ الان اخوات نبدأ كل مطلوب حكي تبوح نكتب
+
+28
+00:04:01,250 --> 00:04:04,990
+حلو تحتيه مبتدأش نعمل مطاليب بعدين مش هنحلو ومش
+
+29
+00:04:04,990 --> 00:04:08,770
+هنحلوش ماشي؟ الان الان رقم واحد
+
+30
+00:04:16,310 --> 00:04:24,770
+قايد شراء ايش؟ الالة تمام؟ تفضلي باسمين من حساب
+
+31
+00:04:24,770 --> 00:04:34,710
+الالة الى حساب البن 17000 من حساب الالة الى حساب
+
+32
+00:04:34,710 --> 00:04:43,430
+البن 17000 قداش القيمة؟ 17000
+
+33
+00:04:48,090 --> 00:04:57,790
+هي رقم واحد رقم واحد تمام قيد شراء الأصل رقم اتنين
+
+34
+00:04:57,790 --> 00:05:05,670
+رقم اتنين قيد
+
+35
+00:05:05,670 --> 00:05:10,930
+التسوية للآلة
+
+36
+00:05:10,930 --> 00:05:22,520
+في واحد في واحد تلاتينأتناش ألفين وتسعة واحد
+
+37
+00:05:22,520 --> 00:05:33,040
+تلاتين اتناش ألفين وتسعة تفضلي هنا قاس
+
+38
+00:05:33,040 --> 00:05:42,000
+تساوي سبعتاشر ألف ناقص ألف يساوي ألفين دولار
+
+39
+00:05:47,130 --> 00:05:55,710
+الان نصيب عام الفين و تسعة اللي هو من واحد سبعة
+
+40
+00:05:55,710 --> 00:06:01,730
+حتى واحد و تلاتين و اتناش الفين و ايش؟ الفين و
+
+41
+00:06:01,730 --> 00:06:09,370
+تسعة نعم الفين و تسعة تمام؟ اكتر شهر؟ ستة على
+
+42
+00:06:09,370 --> 00:06:19,050
+اتناش ضرب الفين و يسوي ايش؟ الفالان قيد التسوية
+
+43
+00:06:19,050 --> 00:06:27,910
+ايش هيكون؟ من حساب
+
+44
+00:06:27,910 --> 00:06:38,750
+مصروف احتلال الالة الى حساب مجمع احتلال الالة الف
+
+45
+00:06:38,750 --> 00:06:43,630
+دنار الف دنار
+
+46
+00:06:46,550 --> 00:06:49,730
+و هذه القيود حكينا فيها كثير قيد المبادرة هو
+
+47
+00:06:49,730 --> 00:06:53,730
+الجديد في موضوعنا وبالتالي هنمشي الان رقم تلاتة
+
+48
+00:06:53,730 --> 00:07:04,710
+رقم تلاتة رقم تلاتة قيد التسوية لل .. للسيارة في
+
+49
+00:07:04,710 --> 00:07:10,410
+واحد و تلاتين اتناش الفين و خمسة اش خمسة اش ممتاز
+
+50
+00:07:10,410 --> 00:07:13,430
+الفين و خمسة اش
+
+51
+00:07:28,020 --> 00:07:38,940
+الان قاط المتناقص يساوي كناجس مجمع ضد المعدل إذا
+
+52
+00:07:38,940 --> 00:07:45,950
+في هذه الحالة لابد حساب القصر الثالثو من ثم غدا
+
+53
+00:07:45,950 --> 00:07:53,270
+إيش؟ حساب المعدل تمام؟ إذا كم لازمة؟ أول إشه من
+
+54
+00:07:53,270 --> 00:07:58,570
+هنا نحسب القصة التابت تساولها التابت تمام أسخة
+
+55
+00:07:58,570 --> 00:08:10,170
+تمام تالاب ناجسها هنا سفر على عشر ساوي تمانية دنار
+
+56
+00:08:10,170 --> 00:08:13,170
+هنا القصة
+
+57
+00:08:14,620 --> 00:08:26,680
+هنا المعدل يساوي تمانمية ضد مية في المية ويساوي
+
+58
+00:08:26,680 --> 00:08:36,660
+عشرة في المية ويساوي عشرة في المية اذا المتناقص
+
+59
+00:08:43,430 --> 00:08:48,090
+المتناقص يساوي عشر في المية ضارب اتنين ويساوي
+
+60
+00:08:48,090 --> 00:08:57,070
+عشرين في المية ويساوي عشرين في المية تمام؟ طيب
+
+61
+00:08:57,070 --> 00:09:06,610
+الان القس المتناقص هنا معدق هنا هو معدل القس
+
+62
+00:09:06,610 --> 00:09:12,790
+المتناقص القس المتناقص يساوي يساوي ايش؟
+
+63
+00:09:17,840 --> 00:09:31,780
+تمان تلاف ناقص سفر لماذا؟ المجمع يشهد ضرر
+
+64
+00:09:31,780 --> 00:09:40,440
+عشرين في المية يساوي كم؟ الف وستمية درار تمان تلاف
+
+65
+00:09:40,440 --> 00:09:45,350
+ناقص سفر للمجمعدرب عشرين في المية إذا يساوي ألف و
+
+66
+00:09:45,350 --> 00:09:50,090
+ستمية و بنشغل الأهل و بنحسب في البيت و راحتنا طيب
+
+67
+00:09:50,090 --> 00:09:57,150
+الأهل المبادلة متى تمت؟ واحد أربعة المبادلة تمت في
+
+68
+00:09:57,150 --> 00:10:03,930
+واحد أربعة يعني اقتنعت السياف واحد أربعة يعني من
+
+69
+00:10:03,930 --> 00:10:11,610
+واقع نصيب عام 2015 نصيب عام 2015
+
+70
+00:10:34,680 --> 00:10:40,660
+تسعة شهور واحد اربعة امتلكت السيارة من واحد اربعة
+
+71
+00:10:40,660 --> 00:10:46,880
+يعني اربع شهر اربع خمسة ستة سبعة تمانيةتسعة عشرة
+
+72
+00:10:46,880 --> 00:10:51,540
+داشت اتناش تسعة عشرة داشت اتناش تسعة عشرة داشت
+
+73
+00:10:51,540 --> 00:10:53,240
+اتناش تسعة عشرة داشت اتناش تسعة عشرة داشت اتناش
+
+74
+00:10:53,240 --> 00:10:55,540
+تسعة عشرة داشت تسعة عشرة داشت تسعة عشرة داشت تسعة
+
+75
+00:10:55,540 --> 00:10:57,200
+عشرة داشت تسعة عشرة داشت تسعة عشرة داشت تسعة عشرة
+
+76
+00:10:57,200 --> 00:10:58,100
+داشت تسعة عشرة داشت تسعة عشرة داشت تسعة عشرة داشت
+
+77
+00:10:58,100 --> 00:11:00,700
+تسعة عشرة داشت تسعة عشرة داشت تسعة عشرة داشت تسعة
+
+78
+00:11:00,700 --> 00:11:07,640
+عشرة داشت تسعة عشرة داشت تسعة عشرة داشت تسعة عشرة
+
+79
+00:11:07,640 --> 00:11:11,600
+داشت تسعة
+
+80
+00:11:11,600 --> 00:11:13,120
+عشرة
+
+81
+00:11:18,470 --> 00:11:23,450
+احتلاك السيارة طبعا قلنا تاريخها تاريخها في واحد و
+
+82
+00:11:23,450 --> 00:11:30,210
+تلاتين و اتناشر 2015 واضح الامر إذا حساب مجمع
+
+83
+00:11:30,210 --> 00:11:43,410
+احتلاك السيارة الف و متين دينار الف و متين دينار
+
+84
+00:11:43,410 --> 00:11:52,080
+الف و متين دينارتمام؟ طيب
+
+85
+00:11:52,080 --> 00:11:57,600
+ننتقل
+
+86
+00:11:57,600 --> 00:12:06,140
+الى مطلوب الرابع قائد
+
+87
+00:12:06,140 --> 00:12:12,220
+المبادلة في واحد اربعة
+
+88
+00:12:18,000 --> 00:12:26,540
+المبادلة وعند قيد المبادلة لابد من حساب مجمع
+
+89
+00:12:26,540 --> 00:12:32,380
+الاحتلاق
+
+90
+00:12:40,300 --> 00:12:46,580
+طيب، الان مجمع الاحتلاق لمين؟ للاصل .. بمعنى للاصل
+
+91
+00:12:46,580 --> 00:12:51,360
+اللي انا استغنت عنه و مين هنا الاصل اللي استغنت
+
+92
+00:12:51,360 --> 00:12:58,340
+عنه؟ القالة طيب، يعني الان انا بتحسب المجمع لمي من
+
+93
+00:12:58,340 --> 00:13:07,640
+واحد سبعة الفين وتسعة حتى واحد اربع الفين وإيش؟
+
+94
+00:13:07,640 --> 00:13:14,230
+تمامالان لاحظوا انا المجتمع بدحسه من واحد سبعة من
+
+95
+00:13:14,230 --> 00:13:22,250
+تاريخ الاقتناء حتى تاريخ
+
+96
+00:13:22,250 --> 00:13:27,630
+المبادلة من
+
+97
+00:13:27,630 --> 00:13:33,630
+تاريخ الاقتناء حتى تاريخ التخلص من هذا الأصل
+
+98
+00:13:39,770 --> 00:13:48,670
+صح؟ ألفين وتسعة جزر، والألفين وخمس طاعت جزر، تمام؟
+
+99
+00:13:48,670 --> 00:13:51,590
+وفيه لنا سنوات كامة، مش مشكلة، التكارب يعلم
+
+100
+00:13:51,590 --> 00:13:55,610
+الشطار، بيدنعيله، لذلك الآن أنا هنا، الألفين
+
+101
+00:13:55,610 --> 00:14:01,710
+وتسعة، هذا المجمع، ألفين وتسعة قداش حصته، الألفين
+
+102
+00:14:01,710 --> 00:14:05,010
+وتسعة حسبناه كام؟ حسبناه ألف
+
+103
+00:14:09,570 --> 00:14:15,610
+تنهيت العام اللي هو ست شهور، ماشي يا لينا؟ طيب،
+
+104
+00:14:15,610 --> 00:14:23,850
+هاي .. هاي الألف، تمام، الآن .. بقى .. بعد التسع
+
+105
+00:14:23,850 --> 00:14:33,370
+إيش؟ سجنة؟ عشرة؟ عشرة أحداشر، اتناشر، تلتاشر،
+
+106
+00:14:33,370 --> 00:14:35,390
+اربعتاشر، كم سنة؟
+
+107
+00:14:45,270 --> 00:14:53,970
+خمس سنوات، خمس سنوات، خمس سنوات، خمس سنوات، خمس
+
+108
+00:14:53,970 --> 00:14:59,570
+سنوات، خمس سنوات، خمس سنوات، خمس سنوات، خمس سنوات،
+
+109
+00:14:59,570 --> 00:15:02,770
+خمس سنوات، خمس سنوات، خمس سنوات، خمس سنوات، خمس
+
+110
+00:15:02,770 --> 00:15:03,450
+سنوات، خمس سنوات، خمس سنوات، خمس سنوات، خمس سنوات،
+
+111
+00:15:03,450 --> 00:15:03,530
+خمس سنوات، خمس سنوات، خمس سنوات، خمس سنوات، خمس
+
+112
+00:15:03,530 --> 00:15:09,150
+سنوات، خمس سنوات، خمس سنوات، خمس سنوات،
+
+113
+00:15:15,210 --> 00:15:19,890
+أيه؟ شكرا جيبنا ال 2015 المجمعة لحظة لحظة لحظة
+
+114
+00:15:19,890 --> 00:15:24,350
+شويه لحظة شويه بس في شغل هنا لعم جيبنا مجمعة 2015
+
+115
+00:15:24,350 --> 00:15:29,310
+لا ماجيبتش ماجيبتش اصلا اصلا شويه اصلا شويه طالت
+
+116
+00:15:29,310 --> 00:15:37,950
+تسوي هنا ل 100 8000 8000 هنا الجديش عمره قولنا عشر
+
+117
+00:15:37,950 --> 00:15:39,230
+سنوات تمانمية
+
+118
+00:15:41,670 --> 00:15:49,170
+ماشي اوكى تمان تلاف على عشرة تمان مية عشرين فرمية
+
+119
+00:15:49,170 --> 00:15:56,730
+بتطلع ياش الف وست مية الف ومتان اوكى الان بالنسبة
+
+120
+00:15:56,730 --> 00:16:04,910
+لعام الفين وخمس عشر ايه ايه مش حسبناها الف ومتان
+
+121
+00:16:04,910 --> 00:16:07,890
+حسبناها الف ومتان
+
+122
+00:16:16,330 --> 00:16:22,370
+الان اخوات هي الفين وتسعة الفين وتسعة كده نصيبها
+
+123
+00:16:22,370 --> 00:16:25,690
+طلع؟ الف .. الف .. الف .. الف .. الف .. الف .. الف
+
+124
+00:16:25,690 --> 00:16:26,610
+.. الف .. الف .. الف .. الف .. الف .. الف .. الف
+
+125
+00:16:26,610 --> 00:16:26,670
+.. الف .. الف .. الف .. الف .. الف .. الف .. الف
+
+126
+00:16:26,670 --> 00:16:26,670
+.. الف .. الف .. الف .. الف .. الف .. الف .. الف
+
+127
+00:16:26,670 --> 00:16:26,730
+.. الف .. الف .. الف .. الف .. الف .. الف .. الف
+
+128
+00:16:26,730 --> 00:16:28,370
+.. الف .. الف .. الف .. الف .. الف .. الف .. الف
+
+129
+00:16:28,370 --> 00:16:29,510
+.. الف .. الف .. الف .. الف .. الف .. الف .. الف
+
+130
+00:16:29,510 --> 00:16:30,030
+.. الف .. الف .. الف .. الف .. الف .. الف .. الف
+
+131
+00:16:30,030 --> 00:16:30,550
+.. الف .. الف .. الف .. الف .. الف .. الف .. الف
+
+132
+00:16:30,550 --> 00:16:30,550
+.. الف .. الف .. الف .. الف .. الف .. الف .. الف
+
+133
+00:16:30,550 --> 00:16:30,550
+.. الف .. الف .. الف .. الف .. الف .. الف .. الف
+
+134
+00:16:30,550 --> 00:16:30,550
+.. الف .. الف .. الف .. الف .. الف .. الف .. الف
+
+135
+00:16:30,550 --> 00:16:30,570
+.. الف .. الف .. الف .. الف .. الف .. الف .. الف
+
+136
+00:16:30,570 --> 00:16:32,250
+.. الف .. الف .. الف .. الف .. الف .. الف .. الف
+
+137
+00:16:44,390 --> 00:16:52,290
+خمسة .. خمسة
+
+138
+00:16:52,290 --> 00:16:57,230
+في الفين يساوي إيش؟ عشر تلاف .. عشر تلاف، الآن عام
+
+139
+00:16:57,230 --> 00:17:01,850
+الفين و خمسة عشر، السيارة دلت عندي أكم شهر، الآن
+
+140
+00:17:01,850 --> 00:17:08,870
+لا، تلت شهور، مش دلت عندي لواحد تلت لواحد أربعة،
+
+141
+00:17:08,870 --> 00:17:14,060
+إذا واحد و اتنين و تلت شهور من السنةإذا الآن بنقول
+
+142
+00:17:14,060 --> 00:17:19,660
+هنا نصيب هاي يساوي ألفين ضرب تلاتة على اتناش عشان
+
+143
+00:17:19,660 --> 00:17:26,000
+هيك أنا وقفت وجدت أنه في شغل الان هذيك للسيارة ..
+
+144
+00:17:26,000 --> 00:17:32,420
+هذيك للسيارة للسيارة .. للسيارة مش أنا في واحد ..
+
+145
+00:17:32,420 --> 00:17:37,760
+في واحد أربعة ألف وخمس عشر خلصت من الآلة اتلت شهور
+
+146
+00:17:37,760 --> 00:17:41,930
+هدولة مش قاعدت عندي السيارة .. الآلةتلات شهور في
+
+147
+00:17:41,930 --> 00:17:47,990
+عام 2015 تمام؟ الآن السنة الكاملة 2000 طب التلات
+
+148
+00:17:47,990 --> 00:17:56,370
+شهور قد ياش؟ هل مني سؤال؟ إذا بطلع عندنا 11000
+
+149
+00:17:56,370 --> 00:18:06,570
+ياسمين أو 15 دولار هذا إيش؟ مجمع اهتلاك الألة هل
+
+150
+00:18:06,570 --> 00:18:07,450
+مني سؤال؟
+
+151
+00:18:12,110 --> 00:18:19,410
+فاضح؟ واضح؟ أيه السؤال يا أخوات؟ طيب، إذا أول شيء
+
+152
+00:18:19,410 --> 00:18:24,290
+بنعمل المجمع و بننتبه إذا كان فيه .. بننتبه إذا
+
+153
+00:18:24,290 --> 00:18:29,310
+كان فيه إيش؟ فيه فترات زمنية، يعني جزء من العام
+
+154
+00:18:29,310 --> 00:18:37,450
+طيب، الآن نقول مدين دائم طبعا في المبادلة يا أخوات
+
+155
+00:18:38,840 --> 00:18:44,140
+عايزين وجه جديد اه؟ في المبادلة عادة ايه يا هدا؟
+
+156
+00:18:44,140 --> 00:18:49,400
+الاصلي بده يخلق يوم مقتنع أنا الآلة جعلتها ملينا
+
+157
+00:18:49,400 --> 00:18:56,060
+يوم يتخلصنا نميصر سبعت عشر الف دقيقة في حساب الآلة
+
+158
+00:18:56,060 --> 00:19:05,400
+سبعت عشر الف هنا الآلة وهنا وجمع ايش؟ الآلة اللي
+
+159
+00:19:05,400 --> 00:19:11,740
+هو كام؟ اتناشر الفاميصر ايه بتحكي؟ اميصر ايه
+
+160
+00:19:11,740 --> 00:19:18,400
+بتحكي؟ تمام؟ هو بس بنشوف غيرك يعني، بنشوف غيرك يا
+
+161
+00:19:18,400 --> 00:19:21,460
+اميصر، بنشوف غيرك يا اميصر، بنشوف غيرك يا اميصر،
+
+162
+00:19:21,460 --> 00:19:21,940
+بنشوف غيرك يا اميصر، بنشوف غيرك يا اميصر، بنشوف
+
+163
+00:19:21,940 --> 00:19:23,240
+غيرك يا اميصر، بنشوف غيرك يا اميصر، بنشوف غيرك يا
+
+164
+00:19:23,240 --> 00:19:23,320
+اميصر، بنشوف غيرك يا اميصر، بنشوف غيرك يا اميصر،
+
+165
+00:19:23,320 --> 00:19:26,700
+بنشوف غيرك يا اميصر، بنشوف غيرك يا اميصر، بنشوف
+
+166
+00:19:26,700 --> 00:19:27,780
+غيرك يا اميصر، ب
+
+167
+00:19:44,020 --> 00:19:52,200
+هاي تمان تلاب تمام؟ هاي تمان تلاب تمام؟ stop stop
+
+168
+00:19:52,200 --> 00:20:02,520
+ماشي؟ بنعيد تاني، بنعيد يا دانيا، لينا، خدها، الان
+
+169
+00:20:02,520 --> 00:20:06,020
+الاصل الان يوم أشتريتها جعلتها مدينة يوم أستغلت
+
+170
+00:20:06,020 --> 00:20:11,090
+عنها إيه؟المجمع عند الإثبات دائم عند التحوص من
+
+171
+00:20:11,090 --> 00:20:14,470
+أصله يكون مدينة .. مدينة .. مدينة .. مدينة ..
+
+172
+00:20:14,470 --> 00:20:20,810
+مدينة .. مدينة .. مدينة .. مدينة .. مدينة .. مدينة
+
+173
+00:20:20,810 --> 00:20:22,630
+.. مدينة .. مدينة .. مدينة .. مدينة .. مدينة ..
+
+174
+00:20:22,630 --> 00:20:23,730
+مدينة .. مدينة .. مدينة .. مدينة .. مدينة .. مدينة
+
+175
+00:20:23,730 --> 00:20:25,050
+.. مدينة .. مدينة .. مدينة .. مدينة .. مدينة ..
+
+176
+00:20:25,050 --> 00:20:25,050
+مدينة .. مدينة .. مدينة .. مدينة .. مدينة .. مدينة
+
+177
+00:20:25,050 --> 00:20:25,050
+.. مدينة .. مدينة .. مدينة .. مدينة .. مدينة ..
+
+178
+00:20:25,050 --> 00:20:32,150
+مدينة .. مدينة .. مدينة .. م
+
+179
+00:20:35,610 --> 00:20:40,970
+عطيت شخص السيارة و قضّنه عليه خمس تلاف و مية و
+
+180
+00:20:40,970 --> 00:20:47,530
+إيه؟ وعطوني .. عطيتهم الآلة خمس تلاف و مية واخدتني
+
+181
+00:20:47,530 --> 00:20:52,170
+السيارة كام؟ تمان تلاف مين اللي بده يدفع؟ أنا اللي
+
+182
+00:20:52,170 --> 00:20:55,810
+بده أدفع أنا اللي بده أدفع وكون أنا اللي بده أدفع
+
+183
+00:20:55,810 --> 00:20:59,990
+يا صاحب شركة الرحمة بده يكون بنكي دائم ولا مدين؟
+
+184
+00:20:59,990 --> 00:21:09,850
+دائم دائم لناإذا قلنا نخضر هاي الصندوق اللي هو بين
+
+185
+00:21:09,850 --> 00:21:16,670
+جسيم تمانية ناجس خمس تلاف ومية يعني إيش بدها تدفع
+
+186
+00:21:16,670 --> 00:21:22,790
+لهم؟ ممتاز، بدها تدفع الفرق، وممكن أحيانا يكون
+
+187
+00:21:22,790 --> 00:21:27,530
+العكس، لو أعطيتهم أحسب هالي بخمس تلاف ومية وأخدت
+
+188
+00:21:27,530 --> 00:21:31,690
+منهم الخمس تلاف، بدي يكون هم يدفعوا ليش؟
+
+189
+00:21:46,110 --> 00:21:53,490
+الان بدنا نشوف الفرق هل هو نتيجة المبادئ
+
+190
+00:21:59,400 --> 00:22:08,780
+الان صحف القيمة الدفترية تطلع كم؟ ياسمين 5000 هذا
+
+191
+00:22:08,780 --> 00:22:16,040
+ايش صحف القيمة الدفترية طيب هنا عند المبادلة كده
+
+192
+00:22:16,040 --> 00:22:19,460
+حسبولي؟
+
+193
+00:22:19,460 --> 00:22:26,240
+يعني الفرق الرقم ايش؟ خسائر مبادلة
+
+194
+00:22:32,430 --> 00:22:35,970
+أنا عليا دفتريا مسجلة بالجلم والضفطة خمس تلات و
+
+195
+00:22:35,970 --> 00:22:44,530
+خمس مية لكن أخدوها مني يهودة جديش خمس تلات و مية
+
+196
+00:22:44,530 --> 00:22:49,750
+حسب هال ليه؟ يعني إيه؟ إيه كتابتها؟ خسائر خسائر
+
+197
+00:22:49,750 --> 00:22:58,170
+مبادرة الخسائر أين تأتي؟ المدينة شهر إذا هنا خسائر
+
+198
+00:22:58,170 --> 00:23:07,720
+مبادرة أربعميةدنار اللي عندها هي السؤال تسأل اللي
+
+199
+00:23:07,720 --> 00:23:17,180
+عندها هي السؤال اسأل تفضلي نعم هاي
+
+200
+00:23:17,180 --> 00:23:22,200
+.. هاي من وين إجا؟ إجت من سبعتاشر ألف ناقص أحداشر
+
+201
+00:23:22,200 --> 00:23:26,520
+ألف و خمسمية صاف القيمة الدفترية عبارة عن هاي
+
+202
+00:23:26,520 --> 00:23:29,980
+القالة عليها دفترية و سبعتاشر استخدمت منها اللي هو
+
+203
+00:23:29,980 --> 00:23:33,090
+المجمع دفتر مجمعإذا أصفق كم الدفترية خمس تلات و
+
+204
+00:23:33,090 --> 00:23:39,090
+خمس مية، تمام؟ الآن هي عليّ في الدفاتر .. عليّ في
+
+205
+00:23:39,090 --> 00:23:45,650
+الدفاتر خمس تلات و خمس مية، لكن .. لكن في المبادلة
+
+206
+00:23:45,650 --> 00:23:51,170
+حسبها اللي أقل .. أقل، ماشي أو لا؟ حسبها اللي أقل،
+
+207
+00:23:51,170 --> 00:23:55,290
+إذا أنا بتكون المبادلة هذه خسرت فيها ولا ربحت؟
+
+208
+00:23:55,290 --> 00:24:01,450
+خسرت فيها اللي هو إيش؟ أربعميةالآن حقاً هي خسائر
+
+209
+00:24:01,450 --> 00:24:06,510
+مبادلة، تمام؟ لازم نقول خسائر مبادلة، اجمعوا
+
+210
+00:24:06,510 --> 00:24:13,030
+المدين والدائن هل يتساويان؟ نعم، هذا قيد، ولابد أن
+
+211
+00:24:13,030 --> 00:24:17,210
+يكون مجموع المدين يساوي الدائن، هل من السؤال على
+
+212
+00:24:17,210 --> 00:24:23,590
+هذا القيد، ننتقل إلى بند آخر يعني، حضر حاجة تجاوب
+
+213
+00:24:27,160 --> 00:24:35,480
+الان عنا مثلا عايزين الاثر رقم
+
+214
+00:24:35,480 --> 00:24:45,840
+خمسة الاثر على حساب الأرباح والخسائر في واحد و
+
+215
+00:24:45,840 --> 00:24:53,500
+تلاتين اتناشر الفين وتسعة ديري بالك التاريخ مهم
+
+216
+00:24:53,500 --> 00:24:54,120
+جدا
+
+217
+00:24:56,690 --> 00:25:02,790
+إيش اللي بيظهر في واحد و تلاتين اتناش آية؟ اللي هو
+
+218
+00:25:02,790 --> 00:25:06,790
+هل هذه حساب مصروف اهتلاك الآلة في الجانب المديني؟
+
+219
+00:25:06,790 --> 00:25:12,510
+ايه ممتاز ممتاز صح بقيمة ألف آل نعم هي مش هنا
+
+220
+00:25:12,510 --> 00:25:16,130
+الآلة هي في واحد و تلاتين اتناش ألفين وتسعة كان
+
+221
+00:25:16,130 --> 00:25:23,710
+هذا مصروف بس إذا هنا إلى حساب مصروف اهتلاك الآلة
+
+222
+00:25:23,710 --> 00:25:34,480
+الف دنارطيب ولكن إذا قلنا حساب الأرباح والخسائر في
+
+223
+00:25:34,480 --> 00:25:43,440
+واحد و تلاتين و اتناشر الفين و خمستاشر الفين و
+
+224
+00:25:43,440 --> 00:25:49,140
+خمستاشر ما هي العناصر التي يجب أن تظهر هنا سفيظهر
+
+225
+00:25:49,140 --> 00:25:57,190
+أكتر من عنصر سفيظهر أكتر من عنصر شهدو بعدين لينا و
+
+226
+00:25:57,190 --> 00:26:04,450
+بعدين و لا الى حساب مصروف اهتلاك السيارة الى ماشي
+
+227
+00:26:04,450 --> 00:26:11,070
+خلاص الى حساب مصروف اهتلاك السيارة السيارة كام؟
+
+228
+00:26:11,070 --> 00:26:17,770
+ألف و متين لينا كاملة، ظاهرة
+
+229
+00:26:20,630 --> 00:26:25,850
+أيوة، خسائر المبادلة، لاحظ، واحد، تلاتين، اتناشر،
+
+230
+00:26:25,850 --> 00:26:30,970
+الفين وخمستاشر، واحنا المبادلة تمت بورحة أربعة،
+
+231
+00:26:30,970 --> 00:26:34,650
+الخسائر اللي .. أي إشي يحدث خلال العام، يقفل في
+
+232
+00:26:34,650 --> 00:26:38,490
+نهاية العام، إذا هذه الخسائر عند اثباتها مدينة،
+
+233
+00:26:38,490 --> 00:26:46,950
+وعند اففالها إلى حساب خسائر مبادلة الآلة، كم؟
+
+234
+00:26:46,950 --> 00:26:48,890
+اربعمية دولار
+
+235
+00:26:54,450 --> 00:26:59,810
+و يبقى هناك abandon حساب الأرباح والخسائر في واحد
+
+236
+00:26:59,810 --> 00:27:06,290
+و تلاتين و اتناش الفين و خمس طعش تمام احتلاك
+
+237
+00:27:06,290 --> 00:27:13,830
+السيارة مش فيه في الفين و خمس طعش الخمس مية الخمس
+
+238
+00:27:13,830 --> 00:27:23,510
+مية دانيا ايه هنا تأتي الى حساب خمس مية الى حساب
+
+239
+00:27:24,160 --> 00:27:34,020
+مصروف اهتلال للآلة الترويس بتختلف في 2015 في 2015
+
+240
+00:27:34,020 --> 00:27:39,480
+في الآلة جزء دخلت منها في السنة تمام؟ مظبوط يا
+
+241
+00:27:39,480 --> 00:27:46,600
+سجا؟ سجود أين؟ سجود؟ تمام؟ الآلة مش دخلت في 2015،
+
+242
+00:27:46,600 --> 00:27:52,080
+جزء فيها في السنة؟ طيب، الآن عندنا هنا where؟
+
+243
+00:27:52,530 --> 00:27:57,050
+السيارة مش برضه اشترناها في 2015 إذا السيارة
+
+244
+00:27:57,050 --> 00:28:01,650
+والقالة دخل كل واحد منهم جزء في 2015 إذا هي مصروف
+
+245
+00:28:01,650 --> 00:28:06,690
+هي مصروف وخسائر المبادلة حدثت في 2015 إذا في نهاية
+
+246
+00:28:06,690 --> 00:28:11,050
+العام لابد إيش تقفل في مين في الأرباح والخسار أو
+
+247
+00:28:11,050 --> 00:28:19,530
+ملخص الدخل هل من السؤال طيب الآن يا أخوات الآن
+
+248
+00:28:19,530 --> 00:28:28,440
+الأثربدنا نشوف الميزانية، بدنا نشوف الميزانية طيب،
+
+249
+00:28:28,440 --> 00:28:34,120
+الآن لو قلنا ها الميزانية
+
+250
+00:28:34,120 --> 00:28:41,200
+في واحد و تلاتين اتناش الفين واربعتاش
+
+251
+00:29:00,710 --> 00:29:13,770
+ممتاز السيارة الاله ناقص مجمع احتلاق الاله وهو
+
+252
+00:29:13,770 --> 00:29:23,080
+17000 ناقص 11000 ويساوي 6000طبعا زي ما حكينا الاصل
+
+253
+00:29:23,080 --> 00:29:28,180
+التابت دائما يظهر بتكلفته التاريخية يظهر بتكلفته
+
+254
+00:29:28,180 --> 00:29:34,420
+إيش التاريخية مطروحا منه مجمع الاحتلاق في هذه
+
+255
+00:29:34,420 --> 00:29:41,280
+اللحظة مجمع الاحتلاق هيه لعنده اللي هو 2014 قداش
+
+256
+00:29:41,280 --> 00:29:48,920
+كان 11000 هل في 2014 تظهر السيارة في الميزانية؟
+
+257
+00:29:52,780 --> 00:29:57,420
+هل تشتريه؟ لأ حتى لو كنت متوقع اشتري احنا نتعامل
+
+258
+00:29:57,420 --> 00:30:02,140
+مع مين دايما؟ مع احداث فعلية مع احداث ايش فعلي
+
+259
+00:30:02,140 --> 00:30:11,080
+ولكن الميزانية في واحد وتلاتين اتناش الفين
+
+260
+00:30:11,080 --> 00:30:20,660
+وخمسنااش الفين وخمسنااش من اللذي يجب ان يظهر؟ من
+
+261
+00:30:36,420 --> 00:30:41,860
+شطبناها من الدفاتر؟ هل لها وجود؟ خلصت، خلصت هذه
+
+262
+00:30:41,860 --> 00:30:45,520
+بالنسبة للأصول التابعة إجمالا، خلصت الله يسأل
+
+263
+00:30:45,520 --> 00:30:51,140
+عليها، محب عقل، مين بيظهر فقط؟ السيارة، بيظهر
+
+264
+00:30:51,140 --> 00:30:58,800
+السيارة فقط، هاي السيارة اللي هي 8000 ناقص مجمع
+
+265
+00:30:58,800 --> 00:31:05,780
+أثلاء السيارة كم؟ 1200، يبقى 6000
+
+266
+00:31:18,760 --> 00:31:25,780
+مثلا طلب منك هيك كيف الوضع يظهر او بمعنى في ال
+
+267
+00:31:25,780 --> 00:31:33,040
+2013 و 2014 كيف القالب تظهر في الميزانينمن عشان ..
+
+268
+00:31:33,040 --> 00:31:37,020
+لأ من عشان اعرف طب ممكن يقولك في 2013 او بتقدر
+
+269
+00:31:37,020 --> 00:31:40,400
+بالك تحس بالسنوات و الطلاب المجملة يعني مش شرط
+
+270
+00:31:40,400 --> 00:31:43,400
+يكون عملية تسلسلية بتختبر الطالب كيف يعني انت
+
+271
+00:31:43,400 --> 00:31:46,920
+لاحظوا كل شغلة في بلد تمام؟ لكن على أرض الواقع في
+
+272
+00:31:46,920 --> 00:31:53,040
+عملية تسلسلية بتكون سنويا ماشي؟ اي سؤال؟ في نقطة
+
+273
+00:31:53,040 --> 00:31:58,140
+بضعقب بناء على البعض حكى ان الآلة مابتظهرش في 2015
+
+274
+00:31:58,140 --> 00:32:02,760
+نعم مابتظهرش لان انا اتخلص منها يا رولاوانشطبات
+
+275
+00:32:02,760 --> 00:32:09,340
+اتخلصت منها وانشطبت من الدفاتر تمام؟
+
+276
+00:32:09,340 --> 00:32:15,060
+طيب الان لو كان عندنا مباني المباني تختلف المبنى
+
+277
+00:32:15,060 --> 00:32:21,460
+يظل قائم عندى رغم انه تم احتلاقه بالكامل لكن بقدرش
+
+278
+00:32:21,460 --> 00:32:26,120
+وبيظهر تلاقه مثلا شايف كده المباني بيظهر هاي
+
+279
+00:32:26,120 --> 00:32:29,040
+المباني
+
+280
+00:32:29,430 --> 00:32:33,990
+و هنا هيمجمع احتلاك المباني لو كان المبنى خمسين
+
+281
+00:32:33,990 --> 00:32:42,390
+ألف هيظهر تحته تحتيه خمسين ألف زي هذا اه لازم يظهر
+
+282
+00:32:42,390 --> 00:32:45,790
+ليش؟ لأنه الأصل هو موجود المبنى ما زال يعمل كل
+
+283
+00:32:45,790 --> 00:32:50,650
+مشروع بس يظهر بالشكل هذا انه انه تم احتلاكه لكن ما
+
+284
+00:32:50,650 --> 00:32:54,830
+زال قائم طبعا في قصص متقدمة في المتخصص محاسب
+
+285
+00:32:54,830 --> 00:32:59,720
+المستقبل بيصير إعادة تقدير للمبنى من جديدلأن
+
+286
+00:32:59,720 --> 00:33:02,120
+المبنى الـ 22 يطول عمره 100 سنة بالسيارة، ليس مثل
+
+287
+00:33:02,120 --> 00:33:05,420
+السيارة والأتاء والأمور ده، ماشي أخوات؟ هل مني
+
+288
+00:33:05,420 --> 00:33:11,700
+سؤال؟ لأ طيب، في شغل الآن، نكتب، وإيش الرقم
+
+289
+00:33:11,700 --> 00:33:22,420
+الكوية؟ فرقا، تم تقدير الآلة عند المبادلة
+
+290
+00:33:37,980 --> 00:33:45,240
+الان اخوان بدنا نقيد المبادلة بدنا نقيد المبادلة
+
+291
+00:33:45,240 --> 00:33:55,980
+بدنا نقيد ايش؟ اتفضلي نعم نعم هي بتحكي وحدش يقطعها
+
+292
+00:33:55,980 --> 00:34:00,420
+مجمع الآلة 11000 هنا
+
+293
+00:34:02,330 --> 00:34:11,450
+ممتاز كاملي هنا هيكون ايش السيارة تمان تلات و
+
+294
+00:34:11,450 --> 00:34:16,750
+هيكون هنا الان البساطة الان انا اعطيتهم حسبولي
+
+295
+00:34:16,750 --> 00:34:24,230
+الألة بستة و أخدت التمانية بدي ادفع ايش اذا هنا
+
+296
+00:34:24,230 --> 00:34:33,880
+الصندوق تمانية ناجس ستة ايش الفين تمامطب الآن صف
+
+297
+00:34:33,880 --> 00:34:41,040
+المبادرة خمس تلاف يا آية خمس تلاف و خمس مية خمس
+
+298
+00:34:41,040 --> 00:34:44,220
+تلاف و خمس مية صف القيمة الدفترية هنا خمس تلاف و
+
+299
+00:34:44,220 --> 00:34:49,000
+خمس مية بقارنها مع .. إذا الربح كام؟ خمس مية ..
+
+300
+00:34:49,000 --> 00:34:56,280
+خمس مية الربح أين يأتي؟ ربح .. مبادرة .. ربح ..
+
+301
+00:34:56,280 --> 00:35:01,320
+مبادرة تحت صلوط .. تمام؟ إذا جمعنا المدين والداهم
+
+302
+00:35:02,340 --> 00:35:09,960
+يتساويان؟ يتساويان okay طيب
+
+303
+00:35:09,960 --> 00:35:18,760
+سؤال
+
+304
+00:35:18,760 --> 00:35:28,940
+واجب يا أخوات سؤال واجب سؤال
+
+305
+00:35:28,940 --> 00:35:47,370
+واجباشترت .. اشترت شركة الطارق سيارة بمبلغ عشرين
+
+306
+00:35:47,370 --> 00:35:51,790
+ألف دنار في
+
+307
+00:35:51,790 --> 00:35:56,410
+واحد .. واحد .. ألفين وعشرة في واحد .. واحد ..
+
+308
+00:35:56,410 --> 00:35:58,390
+ألفين وعشرة
+
+309
+00:36:00,180 --> 00:36:04,300
+والرسوم الجبروكية
+
+310
+00:36:04,300 --> 00:36:16,100
+خمس تلات دولار دفعت جميعا
+
+311
+00:36:16,100 --> 00:36:20,500
+بشيك والعمر
+
+312
+00:36:20,500 --> 00:36:24,580
+للسيارة تمام سنوات
+
+313
+00:36:31,100 --> 00:36:39,980
+الف والخردة الف وفي واحد سبعة 2015
+
+314
+00:36:39,980 --> 00:36:49,800
+تم مبادلة السيارة بآلة تكلفتها
+
+315
+00:36:49,800 --> 00:36:52,860
+عشر
+
+316
+00:36:52,860 --> 00:36:58,600
+تلاف دنار والشركة تتبع طريقة القصد الثابت
+
+317
+00:37:03,260 --> 00:37:12,540
+لجميع الأصول لجميع الأصول والفرق يدفع والفرق يتم
+
+318
+00:37:12,540 --> 00:37:23,180
+نقضا والفرق يتم نقضا المطلوب واحد قيد شراء السيارة
+
+319
+00:37:23,180 --> 00:37:29,920
+اتنين قيد
+
+320
+00:37:29,920 --> 00:37:37,680
+التسويةللسيارة في واحد و تلاتين و اتناش الفين و
+
+321
+00:37:37,680 --> 00:37:45,560
+عشرة قيت التسوية للآلة في واحد و تلاتين و اتناش
+
+322
+00:37:45,560 --> 00:37:56,980
+الفين و خمستاش اللي بعده تصوير حساب مجمع الاهتلاك
+
+323
+00:37:56,980 --> 00:38:07,230
+للسيارة في واحد و تلاتين و اتناشالفين و عشرة و
+
+324
+00:38:07,230 --> 00:38:15,830
+حساب مجمع احتلاك الآلة في واحد و تلاتين اتناش
+
+325
+00:38:15,830 --> 00:38:21,030
+الفين و خمسة عشرة النقطة
+
+326
+00:38:21,030 --> 00:38:27,610
+اللي بعدها قيد المبادلة قيد المبادلة في واحد سبعة
+
+327
+00:38:27,610 --> 00:38:37,520
+الفين و خمسة عشرةمع العلم ان السيارة قدرت بمبلغ
+
+328
+00:38:37,520 --> 00:38:46,900
+8000 دينار طيب
+
+329
+00:38:46,900 --> 00:38:54,620
+نقطة الأخيرة بيان الأثر بيان الأثر على حساب
+
+330
+00:38:54,620 --> 00:39:03,580
+الأرباح والخسائر في 31-12الفين و خمسة عشر في واحد
+
+331
+00:39:03,580 --> 00:39:08,200
+و تلاتين و اتناش الفين و خمسة عشر بيان الأخر على
+
+332
+00:39:08,200 --> 00:39:13,960
+البحث والخسائر والميزانية في واحد و تلاتين و اتناش
+
+333
+00:39:13,960 --> 00:39:19,880
+الفين و خمسة عشر لهذا نأتي إلى نهاية محاضرة اليوم
+
+334
+00:39:19,880 --> 00:39:23,900
+والمحاضرة القادمة ستكون بمشيئة الله المحاضرة
+
+335
+00:39:23,900 --> 00:39:26,580
+الأخيرة في موضوع الأصول التابعة
+
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/aLZEYF1cne4_raw.json b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/aLZEYF1cne4_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..6254d2dda01bcf64123c5545d99f81544475f172
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/aLZEYF1cne4_raw.json
@@ -0,0 +1 @@
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التكلفة", "probability": 0.993896484375}], "temperature": 1.0}, {"id": 15, "seek": 53711, "start": 526.07, "end": 537.11, "text": "القائد التسوية يسمى قائد التسوية طب الآن السريع لو بدنا نشوف الأثر الأثر على حساب المتاجرة", "tokens": [6027, 4587, 16373, 3215, 16712, 3794, 2407, 10632, 7251, 38251, 7578, 12174, 16373, 3215, 16712, 3794, 2407, 10632, 23032, 3555, 6024, 48506, 21136, 16572, 3615, 45164, 47525, 8315, 8717, 8592, 38688, 16247, 49115, 16247, 49115, 15844, 11331, 3794, 16758, 9673, 2655, 26108, 25720], "avg_logprob": -0.39772725850343704, "compression_ratio": 1.5714285714285714, "no_speech_prob": 2.086162567138672e-06, "words": [{"start": 526.07, "end": 527.11, "word": "القائد", "probability": 0.4382781982421875}, {"start": 527.11, "end": 527.63, "word": " التسوية", "probability": 0.8521728515625}, {"start": 527.63, "end": 528.35, "word": " يسمى", "probability": 0.6951090494791666}, {"start": 528.35, "end": 529.31, "word": " قائد", "probability": 0.6563720703125}, {"start": 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موجود، نعم، تفضل، هنرحل من حساب إلى حساب مصروف الرواتب كام؟ ستمية، ستمية، ممتاز، الآن هل بقى شيء يحمل اللي هو الرواتب المقدمة؟", "tokens": [1863, 10721, 31371, 4386, 8717, 10721, 31371, 30731, 25062, 1829, 23328, 13672, 1829, 39896, 3714, 12984, 3555, 2655, 3660, 8978, 29910, 23275, 3714, 9381, 32887, 5172, 12399, 8032, 1211, 34105, 3714, 9381, 32887, 5172, 12602, 2407, 9307, 3555, 3714, 28543, 46007, 22807, 34105, 8978, 3224, 22807, 3714, 29245, 23328, 12399, 8717, 25957, 12399, 6055, 5172, 11242, 1211, 12399, 8032, 1863, 2288, 5016, 1211, 9154, 11331, 3794, 16758, 30731, 11331, 3794, 16758, 3714, 9381, 32887, 5172, 2423, 32887, 9307, 3555, 9122, 10943, 22807, 8608, 39237, 10632, 12399, 8608, 39237, 10632, 12399, 3714, 2304, 2655, 31377, 12399, 6024, 48506, 8032, 1211, 4724, 4587, 7578, 44049, 38207, 7251, 35571, 1211, 13672, 1829, 31439, 2423, 32887, 9307, 3555, 9673, 28543, 46007, 22807], "avg_logprob": -0.23227416317002111, "compression_ratio": 1.9692307692307693, "no_speech_prob": 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22653, 8717, 3615, 23328, 11933, 20292, 11296, 3714, 25720, 5551, 34740, 7578], "avg_logprob": -0.18617584341663426, "compression_ratio": 1.4285714285714286, "no_speech_prob": 1.6093254089355469e-06, "words": [{"start": 2713.8, "end": 2714.76, "word": "بالخمسين،", "probability": 0.8554338727678571}, {"start": 2714.76, "end": 2715.3, "word": " نكون", "probability": 0.936767578125}, {"start": 2715.3, "end": 2715.88, "word": " بهذا", "probability": 0.853515625}, {"start": 2715.88, "end": 2716.78, "word": " تحدثنا", "probability": 0.8421630859375}, {"start": 2716.78, "end": 2716.88, "word": " عن", "probability": 0.9580078125}, {"start": 2716.88, "end": 2717.24, "word": " الإرادات", "probability": 0.7529296875}, {"start": 2717.24, "end": 2717.84, "word": " والمصرفات", "probability": 0.87763671875}, {"start": 2717.84, "end": 2718.26, "word": " ووضحنا", "probability": 0.86142578125}, {"start": 2718.26, "end": 2718.54, "word": " بعض", "probability": 0.956787109375}, {"start": 2718.54, "end": 2719.0, "word": " الرؤية", "probability": 0.8909505208333334}, {"start": 2719.0, "end": 2719.32, "word": " اللى", "probability": 0.75634765625}, {"start": 2719.32, "end": 2720.0, "word": " هنلتقي", "probability": 0.811669921875}, {"start": 2720.0, "end": 2720.2, "word": " ..", "probability": 0.29248046875}, {"start": 2720.2, "end": 2720.74, "word": " سوف", "probability": 0.789306640625}, {"start": 2720.74, "end": 2721.22, "word": " يعني", "probability": 0.9609375}, {"start": 2721.22, "end": 2722.7, "word": " نعود", "probability": 0.9314778645833334}, {"start": 2722.7, "end": 2723.02, "word": " إليها", "probability": 0.8076985677083334}, {"start": 2723.02, "end": 2723.44, "word": " مرة", "probability": 0.98828125}, {"start": 2723.44, "end": 2724.34, "word": " أخرى", "probability": 0.9620768229166666}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2724.65275, "duration_after_vad": 2485.90124999999}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/bZmpqLW5GHw_raw.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/bZmpqLW5GHw_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..616ed1ca3fdf7e9620f3410fbb1650120756c36d
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/bZmpqLW5GHw_raw.srt
@@ -0,0 +1,888 @@
+1
+00:00:21,060 --> 00:00:29,180
+أخوات يعني في ختام هذا الفصل سوف نقوم بحل سؤال على
+
+2
+00:00:29,180 --> 00:00:36,800
+مذكرة تسويات البنك السؤال يقول في واحد و تلاتين و
+
+3
+00:00:36,800 --> 00:00:43,080
+اتناش في واحد و تلاتين و اتناش الفين و خمس عشر كان
+
+4
+00:00:43,080 --> 00:00:52,370
+الرصيد البنكي لمشروع النجاح التجاريمبلغ الفين و
+
+5
+00:00:52,370 --> 00:00:59,050
+خمسمية و تلاتة و خمسين الفين و خمسمية و تلاتة و
+
+6
+00:00:59,050 --> 00:01:06,930
+خمسين دنار و الرصيد المعدل و الرصيد المعدل الف
+
+7
+00:01:06,930 --> 00:01:15,610
+وتسعمائة و تلاتة و خمسين دنار و عند الجرد و عند
+
+8
+00:01:15,610 --> 00:01:18,990
+الجرد تبين مالي واحد
+
+9
+00:01:20,410 --> 00:01:32,450
+تمانمية دنار شكات صادرة لم تقدم للصرف رقم
+
+10
+00:01:32,450 --> 00:01:44,610
+اتنين تلاتمية دنار شيخ وارد من محلات مطر رفض لعدم
+
+11
+00:01:44,610 --> 00:01:45,750
+كفاية الرصيد
+
+12
+00:01:50,990 --> 00:02:05,930
+رقم 3 500 دولار شكات والدة لم تحصل بعد رقم
+
+13
+00:02:05,930 --> 00:02:18,030
+4 حصل البنك كمبيع لصالح المشروع بمبلر
+
+14
+00:02:18,030 --> 00:02:25,470
+1000 دولارأضاف للحساب الجارى، أضاف للحساب الجارى،
+
+15
+00:02:25,470 --> 00:02:36,930
+بعد خصم عشرين دنار مصايف تحصيل، ولكن إشعاري الخصم
+
+16
+00:02:36,930 --> 00:02:48,630
+والإضافة لم يصلا المشروع، لم يصلا المشروعخمسة خصم
+
+17
+00:02:48,630 --> 00:02:54,470
+البنك فوائد مدينة على
+
+18
+00:02:54,470 --> 00:03:01,110
+المشروع بمبلغ 100 دينار
+
+19
+00:03:01,110 --> 00:03:05,610
+ولكن الإشعار
+
+20
+00:03:05,610 --> 00:03:14,330
+لم يصل للمشروع رقم ستة أضاف البنك لحساب المشروع
+
+21
+00:03:14,330 --> 00:03:21,930
+بالخطأأضافة البنك لحساب المشروع بالخطأ مبلغ 300
+
+22
+00:03:21,930 --> 00:03:35,050
+درار مبلغ 300 درار رقم 7 وأخيرا 825 دولار 825
+
+23
+00:03:35,050 --> 00:03:41,210
+دولار شيك وارد من محلات الفرة شيك وارد من محلات
+
+24
+00:03:41,210 --> 00:03:55,910
+الفرة لصالح المشروعسجل خطأ بمبلغ 852 دولار المطلوب
+
+25
+00:03:55,910 --> 00:04:04,330
+واحد قيود التسوية اتنين اعداد
+
+26
+00:04:04,330 --> 00:04:11,530
+مذكرة التسوية لمعرفة الرصيد الدفترياعداد مذكرة
+
+27
+00:04:11,530 --> 00:04:18,490
+التسوية لمعرفة الرصيد الدفتري طبعا هذه المطلوبين
+
+28
+00:04:18,490 --> 00:04:24,590
+كانت أحد أسئلة الامتحانات السابقة الآن نأتي إلى
+
+29
+00:04:24,590 --> 00:04:31,490
+المطلوب الأول وهو القيود إذا الرقم 1 القيود
+
+30
+00:04:37,780 --> 00:04:43,980
+الان طبعا كما قلنا سابقا، العمليات التي لم تثبت في
+
+31
+00:04:43,980 --> 00:04:49,480
+السابق في الدفاتر هي التي تحتاج إلى قيود محاسبية،
+
+32
+00:04:49,480 --> 00:04:55,900
+هي التي تحتاج إلى قيود محاسبية، إذا الرقم واحد 800
+
+33
+00:04:55,900 --> 00:05:00,940
+دولار شيك صادر، شكار صادر لم تقدر للصرف، هل نحتاج
+
+34
+00:05:00,940 --> 00:05:07,130
+إلى قيود؟ لارقم اتنين، الشيك وارد من محلات مطر رفض
+
+35
+00:05:07,130 --> 00:05:12,030
+لعدم كفاية الرصيد، إذا هذه العملية لابد أن تسجل،
+
+36
+00:05:12,030 --> 00:05:18,490
+وقولنا عند استلام الشيك من محلات مطر، نقول من حساب
+
+37
+00:05:18,490 --> 00:05:27,850
+البنك إلى حساب مطر، من حساب
+
+38
+00:05:27,850 --> 00:05:30,010
+مطر إلى حساب البنك، نرجع البنك
+
+39
+00:05:33,630 --> 00:05:48,050
+من حساب محلات مطر الى حساب ال bank 300 دولار
+
+40
+00:05:48,050 --> 00:05:51,270
+نحتي
+
+41
+00:05:51,270 --> 00:05:57,450
+الى رقم تلاتة رقم تلاتة 500 دولار شكات واردة لم
+
+42
+00:05:57,450 --> 00:06:03,270
+تحصل بعد اذا الشكات الصادمة اللتي لم تصرف
+
+43
+00:06:06,740 --> 00:06:14,000
+للتحصيل هذه سجلت في السابق وبالتالي لابد ياش ..
+
+44
+00:06:14,000 --> 00:06:17,580
+لابد .. سجلت في السابق وبالتالي لن تسجل مرة أخرى
+
+45
+00:06:17,580 --> 00:06:22,040
+بينما رقم اتنين لما قلنا شيك والد وحدث فيه مشكلة
+
+46
+00:06:22,040 --> 00:06:25,580
+لو الشيك الوالد والصادر حدث فيه مشكلة نحتاج إلى
+
+47
+00:06:25,580 --> 00:06:31,540
+تصحيح نحتاج إلى قيم ننتقل إلى رقم أربع حصل البنكم
+
+48
+00:06:31,540 --> 00:06:35,920
+بأعلى بمبلة ألف دنارحصى البنك مبلغ كمية لألف دنار
+
+49
+00:06:35,920 --> 00:06:42,480
+قيمتها ومصاريف التحصيل عشرين درار وضعف الصفر
+
+50
+00:06:42,480 --> 00:06:46,920
+الحسابي الجاري ولكن الشعري لم يصل المشروع مين بدى
+
+51
+00:06:46,920 --> 00:06:49,960
+يجاوب؟
+
+52
+00:06:49,960 --> 00:06:55,480
+فضليه من مدكورين الـ 900 .. إذا هي رقم أربعة ..
+
+53
+00:06:55,480 --> 00:07:01,640
+رقم أربعة من مدكورين حساب
+
+54
+00:07:01,640 --> 00:07:10,800
+البنكحساب مصاريف تحصيل الى حساب أوراق card برسل
+
+55
+00:07:10,800 --> 00:07:17,160
+التحصيل الى المولى هي 1000 دولار هي 20 دولار هي
+
+56
+00:07:17,160 --> 00:07:25,980
+980 دولار هذا قايد التصحيح او قايد تحصيل كومبيانا
+
+57
+00:07:25,980 --> 00:07:29,740
+لنتقل الى رقم 5 خاصة
+
+58
+00:07:32,840 --> 00:07:42,740
+خاصة من الفوائد المدينة والفوائد المدينة مصروف من
+
+59
+00:07:42,740 --> 00:07:47,360
+حساب
+
+60
+00:07:47,360 --> 00:07:57,640
+هي رقم خمسة من حساب فوائد المدينة إلى حساب البنك
+
+61
+00:07:57,640 --> 00:08:05,120
+هي مية اي ميةطبعا هذه فوائد المدينة مصروفة و
+
+62
+00:08:05,120 --> 00:08:10,220
+المصروفة من دفعات المدينة ولكن إذا كانت فوائد
+
+63
+00:08:10,220 --> 00:08:17,400
+داعنا إيراد، بتكون إيراد، فبنقول إيش؟ إلا، طيب،
+
+64
+00:08:17,400 --> 00:08:27,160
+الآن رقم ستة أضاف البنك لحساب المشروع بالخطأ مبلن
+
+65
+00:08:27,160 --> 00:08:28,640
+تلاتمية دنار
+
+66
+00:08:36,930 --> 00:08:42,270
+في دفاتر البنك أنا بصلح الأخطاء فقط إيه؟ اللي في
+
+67
+00:08:42,270 --> 00:08:46,410
+دفاتري بصلح الخطأ اللي هو إيه؟ في دفاتري إذا رقم
+
+68
+00:08:46,410 --> 00:08:52,590
+ستة لا تحتاج إلا قيم لأن الخطأ في دفاتر البنك و
+
+69
+00:08:52,590 --> 00:08:57,250
+البنك هو المسئول رقم سبعة شيخ والد من المحلات
+
+70
+00:08:57,250 --> 00:08:57,830
+الفررة
+
+71
+00:09:00,930 --> 00:09:04,050
+اللي حدث فيه خطأ، الآن لما نقول احنا لو نستلم من
+
+72
+00:09:04,050 --> 00:09:07,250
+الفرقة، شيك والد من محلات الفرقة، نقول من حساب
+
+73
+00:09:07,250 --> 00:09:13,310
+البنك إلى إيش؟ إلى حساب الفرقة، تمام؟ مش استلمت من
+
+74
+00:09:13,310 --> 00:09:16,610
+الفرقة، بعتضاه على الفرقة السابقة، اليوم اعطاه
+
+75
+00:09:16,610 --> 00:09:20,570
+للشيك، فقولت من حساب البنك إلى حساب الفرقة، الآن
+
+76
+00:09:20,570 --> 00:09:24,470
+المبلغ 825،
+
+77
+00:09:24,470 --> 00:09:29,310
+825 ايه؟ المحاسب أفندي سجل كام؟
+
+78
+00:09:33,980 --> 00:09:42,080
+رقم خطأ سجل اكتر من اللازم الكام سبعة و عشرين اذا
+
+79
+00:09:42,080 --> 00:09:50,960
+هنا هنا الان هذا قيد الورد المحاسب سجل ايه ايش
+
+80
+00:09:50,960 --> 00:09:57,800
+اكتر اذا نقلب تطريق من حساب الفرق الى حساب البعد
+
+81
+00:09:57,800 --> 00:10:02,500
+الى سبعة و عشرين من حساب محلات
+
+82
+00:10:03,450 --> 00:10:20,130
+الفرق إلى حساب البن 852-825 هيكون عندنا 27 طبعا
+
+83
+00:10:20,130 --> 00:10:25,710
+الخطأ الذي يحدث في الشكات الصادرة والشكات الواردة
+
+84
+00:10:25,710 --> 00:10:29,730
+هنا دائما يكون بالفرق الرقمي
+
+85
+00:10:32,710 --> 00:10:37,790
+لكن الأهم من تعرف هي المحاسب سجل أكتر من اللازم،
+
+86
+00:10:37,790 --> 00:10:43,490
+عشان إيش؟ عكسنا، لكن المحاسب لو سجل أقل، القيد
+
+87
+00:10:43,490 --> 00:10:50,370
+النظري يبقى كما هو، هل نسأل؟ هذا المطلوب الأول كان
+
+88
+00:10:50,370 --> 00:10:54,030
+ورد في السؤال، المطلوب الثاني
+
+89
+00:11:04,380 --> 00:11:13,020
+هي المطلوب التاني مذكرة التسوية وهي رصيد ايه؟
+
+90
+00:11:13,020 --> 00:11:21,720
+الدفتري الرصيد الدفتري طيب هنا في ترويزة السؤال و
+
+91
+00:11:21,720 --> 00:11:26,000
+اعتبرها فكرة في
+
+92
+00:11:26,000 --> 00:11:30,900
+ترويزة السؤال حكالي رصيد بنكي و رصيد ايش؟ معدل
+
+93
+00:11:30,900 --> 00:11:35,570
+يعني اعطاني هنا رصيد معدلماعطانيش الرصيد الدفتري
+
+94
+00:11:35,570 --> 00:11:41,450
+كيف يا طرق بدي اشتغل ببساطة شديدة الان هي الرصيد
+
+95
+00:11:41,450 --> 00:11:45,370
+الدفتري بحط مربع بصيفة و بكمل بعتبر انه موجود
+
+96
+00:11:45,370 --> 00:11:50,810
+بعتبره ايه انه موجود الان بنيجي بنشوف العمليات
+
+97
+00:11:50,810 --> 00:11:54,530
+اللتي لم تؤثر من قبل على الرصيد الدفتري و بدي
+
+98
+00:11:54,530 --> 00:12:01,190
+اشتغلها يعني مثلا الان ال 800 دولار شركات صادرة
+
+99
+00:12:01,190 --> 00:12:03,070
+هذا رقم واحد
+
+100
+00:12:12,230 --> 00:12:15,710
+الشيك، سجلته؟ ماكنت بابه، حكالي بدهوا رصيد الدفتري
+
+101
+00:12:15,710 --> 00:12:18,450
+و الدان معدل، كون ان بدأت بالرصيد الدفتري،
+
+102
+00:12:18,450 --> 00:12:22,710
+العمليات اللتي وردت بكاشف البنك و أنا بتسجل في
+
+103
+00:12:22,710 --> 00:12:27,410
+الدفاتر، لكن الشيك الصغير اللي حررته، هتقولك أنت،
+
+104
+00:12:27,410 --> 00:12:30,630
+هذا أنا مجرد ما حررته، سجلته في دفاتري، أروح أسجله
+
+105
+00:12:30,630 --> 00:12:33,110
+مرة تانية؟ أسجله؟
+
+106
+00:12:43,900 --> 00:12:47,240
+الان رجعلي هذا الشيك .. رجع الشيك .. رجعناه ..
+
+107
+00:12:47,240 --> 00:12:54,780
+بترجعيش .. بنقصه .. اذا الان عندنا هنا شيك .. ها
+
+108
+00:12:54,780 --> 00:13:01,100
+.. هاي رقم اتنين .. عشان ايه .. شيك محلة مطر ..
+
+109
+00:13:01,100 --> 00:13:06,380
+هاي تماما تلاتين دولار .. اقرح ولا اضيفه .. بنقصه
+
+110
+00:13:06,380 --> 00:13:14,050
+.. بنقصه .. لان يوم انا مااخدته ضغطت ..تمام؟ الآن
+
+111
+00:13:14,050 --> 00:13:22,190
+هيش؟ بالنقصة، ماشي؟ طيب رقم
+
+112
+00:13:22,190 --> 00:13:25,270
+تلاتة الشركات الوالدة اللي أخدتها من سين وصارت من
+
+113
+00:13:25,270 --> 00:13:28,610
+الناس، يوم أخدتها المجلد اللي أخدتها سجلتها
+
+114
+00:13:28,610 --> 00:13:29,310
+بالدفاتر
+
+115
+00:13:43,010 --> 00:13:51,330
+فضل ايه جاري تحصيل كمبيانة
+
+116
+00:13:51,330 --> 00:13:58,290
+محصلة ألف دولار نقص منها مصاريف التحصيل اللي هي
+
+117
+00:13:58,290 --> 00:14:07,270
+عشرين مصاريف ايه تحصيل شايفين ايه مصارف تحصيل لو
+
+118
+00:14:07,270 --> 00:14:14,920
+كانت كمبيانة مسددة بنحط ايه بنقصبننقص لو كانت
+
+119
+00:14:14,920 --> 00:14:21,160
+كمبيانة مشددة بننقصها و بنضيفها بننقصها مظبوط؟ طيب
+
+120
+00:14:21,160 --> 00:14:26,880
+رقم 5 خصم
+
+121
+00:14:26,880 --> 00:14:36,080
+البنك فوائد مدينة الان هذه خمسة فوائد مدينة مئة
+
+122
+00:14:36,080 --> 00:14:41,180
+دينار الفوائد المدينة تترح على تضاف تترح زي أي
+
+123
+00:14:41,180 --> 00:14:49,130
+مصروفطيب إذا بين إيه؟ بين قصير؟ تمام؟ طب لو كانت
+
+124
+00:14:49,130 --> 00:14:56,270
+إيه؟ إيراد؟ أو مالية؟ رقم
+
+125
+00:14:56,270 --> 00:14:59,810
+6 أضافوا
+
+126
+00:14:59,810 --> 00:15:03,470
+البنك لحساب المشروب الخطأ 300 خطأ أنا مسئول عنه؟
+
+127
+00:15:03,470 --> 00:15:10,330
+لأ مليون لأ رقم 7 رقم 7 شيكمين
+
+128
+00:15:12,110 --> 00:15:16,610
+الشيك الفرع هي السابعة و عشرين، هي السابعة و
+
+129
+00:15:16,610 --> 00:15:21,310
+عشرين، الآن خلّيني أشرحها، خلّيني نشرحها مرة
+
+130
+00:15:21,310 --> 00:15:26,890
+تانية، ماشي هي موجودة، مكتوب بسرعة و نشرحها، الآن
+
+131
+00:15:26,890 --> 00:15:30,510
+يا أخوات، لما الشيك الوارد من محلات الفرع، لما
+
+132
+00:15:30,510 --> 00:15:33,010
+أخدتنا منه، قلت البنك إلى إيش؟
+
+133
+00:15:46,130 --> 00:15:53,410
+852 يعني دقل البنك أكتر من اللازم إذا إيش بتعمل؟
+
+134
+00:15:53,410 --> 00:16:00,950
+بالنقصة، إذا هذا بتكون إيه؟ بين قوسين، بتكون إيه؟
+
+135
+00:16:00,950 --> 00:16:08,850
+بين قوسين، تمام؟ ماشي الآن بعد هيك
+
+136
+00:16:18,110 --> 00:16:23,070
+طيب كيف بتطلع رصيد الدفتري؟ طبعا هذا هيك و رصيد
+
+137
+00:16:23,070 --> 00:16:26,790
+الدفتري يعني علامتين لحاله نجمع أرقام و نترحل نفسي
+
+138
+00:16:26,790 --> 00:16:30,970
+بالبعض ما هو فيه .. فيه أرقام بالسالب و أرقام
+
+139
+00:16:30,970 --> 00:16:36,090
+بالموجة .. استني طيب احسبيلي .. يالا احكي .. يالا
+
+140
+00:16:36,090 --> 00:16:39,790
+احسبي .. كيف عملت .. يعني قوليلي إيش عمل؟ السالب
+
+141
+00:16:39,790 --> 00:16:43,070
+بجمع و الطارح بجمع .. إيش عمل فيهم؟
+
+142
+00:17:01,320 --> 00:17:06,080
+لحظة لحظة لحظة الان هي جماعة أنا السالم
+
+143
+00:17:18,720 --> 00:17:23,160
+هذا البرنامج يستخدم البرنامج الوطنية
+
+144
+00:17:51,480 --> 00:17:56,320
+ألف واربعمية درار الرصيد المعدل يعني بمعنى ..
+
+145
+00:17:56,320 --> 00:18:01,560
+بمعنى أخر بجمع السالب .. أه السالب .. أخوان ..
+
+146
+00:18:01,560 --> 00:18:06,180
+بمعنى أخر بجمع السالب أربعمية و سبعة و أربعين و
+
+147
+00:18:06,180 --> 00:18:11,700
+بضيفهم عليش السالب بضيف عن الرصيد المعدل و الموجد
+
+148
+00:18:11,700 --> 00:18:15,180
+.. و الموجد بطرحه يعني الأن أربعمية و سبعة اللي
+
+149
+00:18:15,180 --> 00:18:20,560
+ضفتم هنا صاروا ألفين و أربعمية أه بطرح منهم الألف
+
+150
+00:18:21,330 --> 00:18:26,530
+يعني اه السالر بضيفه على رصيدة المعدد و الموجب و
+
+151
+00:18:26,530 --> 00:18:33,330
+الموجب ايه اش بنقصه تمام بطلع ايه اش 1400 تمام طيب
+
+152
+00:18:33,330 --> 00:18:38,810
+تتأكد من حلك انه مظبوط ال 1400 بتقولي 1400 بنقص
+
+153
+00:18:38,810 --> 00:18:43,230
+منها 300 بنزود عليها 1000 و بننقص و بننقص و بننقص
+
+154
+00:18:43,230 --> 00:18:47,410
+هيطلع ايه اش ده طيب على الرقم بكون شغلك صح بكون
+
+155
+00:18:47,410 --> 00:18:53,910
+شغلك ايه اشمش طلعت الرصيد المعدن الرصيد الدفتري
+
+156
+00:18:53,910 --> 00:18:58,530
+الآن زي ما كنا ناخد في الأسئلة السابقة ال 1400 بده
+
+157
+00:18:58,530 --> 00:19:01,530
+اطرح منها 300 يعني يطلع الرصيد انا انا انا انا انا
+
+158
+00:19:01,530 --> 00:19:02,750
+انا انا انا انا انا انا انا انا انا انا انا انا
+
+159
+00:19:02,750 --> 00:19:02,750
+انا انا انا انا انا انا انا انا انا انا انا انا
+
+160
+00:19:02,750 --> 00:19:03,330
+انا انا انا انا انا انا انا انا انا انا انا انا
+
+161
+00:19:03,330 --> 00:19:03,470
+انا انا انا انا انا انا انا انا انا انا انا انا
+
+162
+00:19:03,470 --> 00:19:03,730
+انا انا انا انا انا انا انا انا انا انا انا انا
+
+163
+00:19:03,730 --> 00:19:04,390
+انا انا انا انا انا انا انا انا انا انا انا انا
+
+164
+00:19:04,390 --> 00:19:14,730
+انا انا انا انا انا انا
+
+165
+00:19:14,730 --> 00:19:18,570
+انااروح الان فقعد اقول مطيب اللي كان انجيطش سؤال
+
+166
+00:19:18,570 --> 00:19:21,510
+الامتحان الان الاشي اللي بتحكيه الان هذا زيادة
+
+167
+00:19:21,510 --> 00:19:26,910
+بمعنى مش كل اشي بنقدر اجيبه في الامتحان بس يا ايه
+
+168
+00:19:26,910 --> 00:19:34,450
+يا ايه يا ابو صين طيب الان بدنا ايش مذاكرة ال test
+
+169
+00:19:34,450 --> 00:19:40,270
+والرصيد ايش ال banking الرصيد ال banking والرصيد
+
+170
+00:19:40,270 --> 00:19:43,470
+ال banking كده شفعنا ياك السؤال الفين وخمسمية
+
+171
+00:19:43,470 --> 00:19:50,790
+تلاتة الفين وخمسميةتلاتة و خمسين هي الرصيد البنك
+
+172
+00:19:50,790 --> 00:19:56,210
+لو بننتبه و اعتقد ان احنا عقبقوا اسئلة قبل هيك
+
+173
+00:19:56,210 --> 00:19:59,690
+منوعة على هذا الأمر وقعوا كل المتغيرات اللي فيها
+
+174
+00:19:59,690 --> 00:20:04,950
+تلقواها طيب الان هنا لما نبدأ في الرصيد البنكي ايش
+
+175
+00:20:04,950 --> 00:20:06,510
+الحمليات اللي بتتأثر عليه؟
+
+176
+00:20:31,050 --> 00:20:34,630
+صادر وقت نهائي و التحويل اللي خدناه مرة و الخطأ في
+
+177
+00:20:34,630 --> 00:20:40,770
+ده ماعرف ايش البنى طيب احنا رقم واحد و هي رقم واحد
+
+178
+00:20:40,770 --> 00:20:46,870
+هي رقم واحد رقم واحد الشكات الصادرة اللي هي كام
+
+179
+00:20:46,870 --> 00:20:55,190
+800 دولار هي 800 دولار شكات ايش صادرة الشكات
+
+180
+00:20:55,190 --> 00:20:55,890
+الصادرة
+
+181
+00:21:02,940 --> 00:21:08,840
+يا المطرخة طيب الان طبعا من خلال السؤال الممريت
+
+182
+00:21:08,840 --> 00:21:11,660
+عليه عارف العمليات لو وديت مذاكرة تاسيوت البنك
+
+183
+00:21:11,660 --> 00:21:15,700
+بعلّم عليها خطوط وعارفش ايه ابقى على تلاتة شكات
+
+184
+00:21:15,700 --> 00:21:22,740
+واردة بالموجة شكات واردة اللي هي كام؟ 500
+
+185
+00:21:42,020 --> 00:21:49,240
+أقول أضاف البنك لحساب المشهور بالخطأ مبلغ تلاتمية
+
+186
+00:21:49,240 --> 00:21:58,040
+إذا إيش بدي أفعل فيها نقصها نقصها يالا ها يا مطلع
+
+187
+00:21:58,040 --> 00:22:02,080
+طب لو كان البنك لو كان البنك عكس الكلام اللي موجود
+
+188
+00:22:02,080 --> 00:22:08,580
+لو كان البنك خصم هنزور هنزور تمام الاحتمالات كلها
+
+189
+00:22:08,580 --> 00:22:10,800
+الآن أجمع وأطرحه
+
+190
+00:22:17,930 --> 00:22:25,690
+بطلع عدد 953 ع رصيف المعدل ومش في الامتحان اضطر ان
+
+191
+00:22:25,690 --> 00:22:32,270
+احل كل اشي عشان لأ ع جد المطلوب تمام؟ واخيرا تصوير
+
+192
+00:22:32,270 --> 00:22:43,510
+حساب البند واخيرا تصوير حساب البند حساب البند طيب
+
+193
+00:22:43,510 --> 00:22:45,310
+الآن حساب البند
+
+194
+00:22:48,310 --> 00:22:52,230
+حساب البنك حساب البنك الرصيد الدفتري مش موجود
+
+195
+00:22:52,230 --> 00:22:56,190
+الرصيد الدفتري مش موجود مش موجود الان قالك في
+
+196
+00:22:56,190 --> 00:23:01,330
+الامتحان بده القيود و تصوريلي حساب البنك ايش بدنا
+
+197
+00:23:01,330 --> 00:23:08,810
+نعمل الرصيد الدفتري مجهول الرصيد الدفتري مجهول
+
+198
+00:23:08,810 --> 00:23:13,370
+مجهول مجهول مش هبطلك المعادل و غيرك في روسي السؤال
+
+199
+00:23:13,370 --> 00:23:15,650
+مجهول حكالك بده ايه
+
+200
+00:23:23,310 --> 00:23:27,550
+السؤال بده القيود وبده تصويح حساب البن، اللي
+
+201
+00:23:27,550 --> 00:23:32,150
+ماعرفت إيه الرصيد، قد اختاريه، الأن نرحل من واقع
+
+202
+00:23:32,150 --> 00:23:35,830
+القيود، يلا مين بده يرحل معايا؟ انا قد اختاريه،
+
+203
+00:23:35,830 --> 00:23:40,290
+يلا قولي، وبعد انت؟ هناخد من حساب محلات مطر في
+
+204
+00:23:40,290 --> 00:23:47,010
+الجامعة، من حساب محلات مطر، خلاص بالكفة شوف اللي
+
+205
+00:23:47,010 --> 00:23:48,110
+بعدك، قولي
+
+206
+00:23:53,700 --> 00:24:00,040
+الى حساب أوراق قبر براسل تسعمية و تمانين درار
+
+207
+00:24:00,040 --> 00:24:07,440
+تسعمية و تمانين درار ننتقل الى اللى بعده فى النص
+
+208
+00:24:07,440 --> 00:24:10,620
+هاي
+
+209
+00:24:10,620 --> 00:24:20,100
+مية من حساب فرائد مدينة تمام اللى وراه
+
+210
+00:24:22,690 --> 00:24:36,030
+27 من حساب محلات الفورة طبعا الان يا أخوات الان
+
+211
+00:24:36,030 --> 00:24:38,270
+رصيد البنك يطلع هنا
+
+212
+00:24:59,390 --> 00:25:06,010
+ألف و أربعمية ألفين تلت مية و تمانية هذا هتطلع ألف
+
+213
+00:25:06,010 --> 00:25:10,350
+و أربعمية هتطلع أربعمية كيف يبدو أن هناك نخص في
+
+214
+00:25:10,350 --> 00:25:18,330
+السالة هذه هتطلع ألفين تلت مية تمانية
+
+215
+00:25:19,470 --> 00:25:25,590
+أه الرصيد .. الرصيد المعدل بيجي هنا الرصيد المعدل
+
+216
+00:25:25,590 --> 00:25:30,070
+اللي هو الف تسعمائة و تلاتة و خمسين الان أخاصة إذا
+
+217
+00:25:30,070 --> 00:25:37,230
+ما نجمع الكلمة هيطلع الفير تلاتمية و تمانين مظبوط؟
+
+218
+00:25:37,230 --> 00:25:43,030
+اه اه .. الفير تلاتمية و تمانين هنعمل هذا على
+
+219
+00:25:43,030 --> 00:25:46,850
+الجانبين هنقطع تمانية تسعمائة و تمانين منها يطلع
+
+220
+00:25:46,850 --> 00:25:55,570
+الرصيد المعدل مظبوط؟الرصيد المعدل هالمثال
+
+221
+00:25:55,570 --> 00:26:03,810
+اي سالخات نكون بهذا وصلنا الى نهاية مادة محاسبة 2
+
+222
+00:26:03,810 --> 00:26:10,270
+مع التمانيات للجميع التوفيق في الامتحان
+
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/d_pw6W9AVNc.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/d_pw6W9AVNc.srt
new file mode 100644
index 0000000000000000000000000000000000000000..baad3f82d2c572f1ed6c3100c1ee8ccfe7c3cc08
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/d_pw6W9AVNc.srt
@@ -0,0 +1,1274 @@
+1
+00:00:21,300 --> 00:00:26,560
+أخواتي، تحدثنا في المحاضرة الماضية عن جرد النقدية
+
+2
+00:00:26,560 --> 00:00:34,020
+في الصندوق اليوم، نكمل من خلال حل بعض التمارين على
+
+3
+00:00:34,020 --> 00:00:38,020
+جرد النقدية بالصندوق، وعلى العجز، وعلى شركة التأمين
+
+4
+00:00:38,020 --> 00:00:42,580
+نبدأ بالسؤال التالي
+
+5
+00:00:56,620 --> 00:01:03,180
+بصندوق شركات الإيمان
+
+6
+00:01:03,180 --> 00:01:06,340
+كان
+
+7
+00:01:06,340 --> 00:01:14,260
+الرصيد الفعلي 4700
+
+8
+00:01:14,260 --> 00:01:31,400
+دولار، بينما الرصيد الدفتري كان 5000 دولار. المطلوب
+
+9
+00:01:31,400 --> 00:01:37,440
+إثبات القيود اللازمة في دفاتر
+
+10
+00:01:37,440 --> 00:01:47,420
+شركة الإيمان. إثبات القيود اللازمة في الحالات
+
+11
+00:01:47,420 --> 00:01:50,720
+التالية: واحد،
+
+12
+00:01:51,730 --> 00:02:04,050
+العجز مسؤولية الشركة. اثنين، العجز مسؤولية
+
+13
+00:02:04,050 --> 00:02:15,390
+أمين الصندوق وهو صاحب المشروع. ثلاثة، العجز
+
+14
+00:02:15,390 --> 00:02:20,390
+مسؤولية أمين الصندوق، وعليه
+
+15
+00:02:22,100 --> 00:02:27,200
+و راتبه الشهري 700
+
+16
+00:02:27,200 --> 00:02:30,580
+دولار. وراتبه الشهري 700 دولار. وراتبه الشهري 700
+
+17
+00:02:30,580 --> 00:02:32,300
+دولار. وراتبه الشهري 700 دولار. وراتبه الشهري 700
+
+18
+00:02:32,300 --> 00:02:35,460
+دولار. وراتبه الشهري 700 دولار. وراتبه الشهري 700
+
+19
+00:02:35,460 --> 00:02:35,580
+دولار. وراتبه الشهري 700 دولار. وراتبه الشهري 700
+
+20
+00:02:35,580 --> 00:02:39,520
+دولار. وراتبه الشهري 700 دولار. وراتبه الشهري 700
+
+21
+00:02:39,520 --> 00:02:39,920
+دولار، وراتب
+
+22
+00:03:09,050 --> 00:03:18,990
+عجز الصندوق إلى حساب الصندوق. إذاً، هنا أول شيء عند
+
+23
+00:03:18,990 --> 00:03:25,310
+اكتشاف العجز، يثبت بالقيد المحاسبي الموجود
+
+24
+00:03:25,310 --> 00:03:29,930
+أمامنا، وهو من حساب عجز الصندوق إلى حساب الصندوق
+
+25
+00:03:29,930 --> 00:03:36,030
+لأن العجز يشبه المصروف، والمصروف عند إثباته مدين
+
+26
+00:03:36,400 --> 00:03:41,320
+والمصروف عند إثباته مدين، والصندوق عندما ينقص يكون
+
+27
+00:03:41,320 --> 00:03:50,800
+دائن. الآن اللي هو البديل الأول تحدثنا عنه وهو
+
+28
+00:03:50,800 --> 00:03:55,560
+مطلوب أن العجز من مسؤولية الشركة. تفضلي، هنقول من
+
+29
+00:03:55,560 --> 00:03:58,960
+حساب أرباح وخسائر أو ملخص الدخل؟ من حساب
+
+30
+00:04:09,250 --> 00:04:19,830
+300 دينار. إذا العجز إذا تحمله الشركة يُقفل في حساب
+
+31
+00:04:19,830 --> 00:04:25,890
+الأرباح والخسائر أو ملخص الدخل. إذا هذا هو قيد
+
+32
+00:04:25,890 --> 00:04:32,370
+الإقفال. إذا تحملت الشركة العجز، بينما هذا هو قيد، قيد
+
+33
+00:04:32,370 --> 00:04:39,200
+تسوية. نعم، إثبات العجز، ولكنه يُسمى قيد تسوية. يُسمى
+
+34
+00:04:39,200 --> 00:04:47,500
+قيد تسوية. نأتي إلى رقم ثلاثة. في الآخر رقم ثلاثة
+
+35
+00:04:47,500 --> 00:04:51,700
+يتحدث عن العجز من مسؤولية أمين الصندوق وهو صاحب
+
+36
+00:04:51,700 --> 00:04:57,700
+المشروع. من حساب
+
+37
+00:04:57,700 --> 00:05:17,130
+المسحوبات الشخصية إلى حساب عجز الصندوق 300 دينار. إذاً
+
+38
+00:05:17,130 --> 00:05:23,990
+هذا هو القيد المحاسبي في حال أن العجز يكون من
+
+39
+00:05:23,990 --> 00:05:28,090
+مسؤولية اللي هو أمين الصندوق، اللي هو إيه، صاحب
+
+40
+00:05:28,090 --> 00:05:32,290
+المشروع. الآن نأتي لرقم ثلاثة. العجز يتحمله أمين
+
+41
+00:05:32,290 --> 00:05:33,490
+الصندوق وله راتب
+
+42
+00:05:58,140 --> 00:06:02,760
+أول شيء بنحمل العجز لأمين الصندوق. القيد الثاني
+
+43
+00:06:02,760 --> 00:06:09,620
+بنخصم من الـ... تفضلي. تفضلي، إذاً
+
+44
+00:06:09,620 --> 00:06:24,480
+من حساب أمين الصندوق عليه إلى حساب عجز الصندوق. هي
+
+45
+00:06:24,480 --> 00:06:30,840
+ثلاثمائة دولار. ممتازة. هذه ثلاثمائة دينار. الآن نأتي إلى
+
+46
+00:06:30,840 --> 00:06:38,300
+قيد اللي هو العجز. تفضلي، من حساب
+
+47
+00:06:38,300 --> 00:06:46,660
+الرواتب 700 دينار إلى ماذا؟ مذكورين. حساب عجز
+
+48
+00:06:46,660 --> 00:06:54,860
+الصندوق. حساب أمين الصندوق. حساب أمين الصندوق
+
+49
+00:07:01,010 --> 00:07:06,550
+هي اللي هو الثلاثمائة لأمين الصندوق. إذاً بهذا القيد
+
+50
+00:07:06,550 --> 00:07:14,010
+في نهاية الشهر نقوم بدفع للموظف أربعمائة، أربعمائة
+
+51
+00:07:14,010 --> 00:07:19,670
+دينار. أربعمائة دينار، لأنه نقص من الثلاثمائة هو حدث
+
+52
+00:07:19,670 --> 00:07:25,630
+عنده عجز ثلاثمائة وراتبه سبعةمائة، اللي هو إيه يا عزيزي؟
+
+53
+00:07:25,630 --> 00:07:30,370
+سبعمائة، سبعمائة. إذاً أنا بطلع له من الصندوق أربعمائة
+
+54
+00:07:30,750 --> 00:07:38,170
+المتبقي. ماشي؟ هل من سؤال على هذا الكلام؟ لا، لا. okay
+
+55
+00:07:38,170 --> 00:07:42,850
+الآن، هذا بالنسبة للعجز ومعالجته بالأوجه الثلاثة
+
+56
+00:07:42,850 --> 00:07:49,450
+ومن يتحملها. الآن ننتقل إلى الوجه الرابع وهو وجود
+
+57
+00:07:49,450 --> 00:07:56,530
+شركة تأمين. أي هناك تأمين ضد مخاطرة ضد خيانة الأمانة
+
+58
+00:08:04,090 --> 00:08:12,310
+الآن السؤال التالي يقول في 1/5
+
+59
+00:08:12,310 --> 00:08:17,050
+2015، 2015
+
+60
+00:08:17,050 --> 00:08:28,670
+دفعت شركة التعاون التجارية
+
+61
+00:08:28,670 --> 00:08:33,770
+دفعت شركة التعاون التجارية لشركة
+
+62
+00:08:35,670 --> 00:08:43,010
+لشركة غزة للتأمين مبلغ
+
+63
+00:08:43,010 --> 00:08:50,570
+300 دينار بشيك
+
+64
+00:08:50,570 --> 00:08:58,070
+مقابل تأمين سنوي ضد
+
+65
+00:08:58,070 --> 00:09:01,070
+خيانة الأمانة
+
+66
+00:09:08,550 --> 00:09:18,370
+2018، 2015. بلغ العجز في الصندوق 100 دينار، وفي
+
+67
+00:09:18,370 --> 00:09:29,810
+2008، تعهدت الشركة بدفع المبلغ كاملاً، وفي
+
+68
+00:09:29,810 --> 00:09:39,350
+2005، دفعت شركة غزة للتأمين. وفي 25/8
+
+69
+00:09:39,350 --> 00:09:47,210
+دفعت شركة غزة للتأمين قيمة العجز في ذلك التاريخ
+
+70
+00:09:47,210 --> 00:09:54,410
+نقداً في ذلك التاريخ. نقداً. المطلوب إثبات القيود
+
+71
+00:09:54,410 --> 00:10:02,950
+اللازمة. المطلوب إثبات القيود اللازمة. إذاً أول شيء
+
+72
+00:10:02,950 --> 00:10:07,970
+نطبق. أول شيء نطبق مصروف التأمين
+
+73
+00:10:21,490 --> 00:10:32,870
+إلى حساب البنك 300 دينار. إذاً هنا إثبات دفع مصروف
+
+74
+00:10:32,870 --> 00:10:40,110
+التأمين. وطبعاً هنا لما الحكاية تدفع 300 دينار في 1/5
+
+75
+00:10:40,110 --> 00:10:44,410
+بدنا نضيفه عشان تكون الأمور أكثر وضوحاً عن سنة
+
+76
+00:10:44,410 --> 00:10:50,440
+كاملة. يا شاهد، عن سنة كاملة. يا سجون، عن سنة إيش يا
+
+77
+00:10:50,440 --> 00:10:58,820
+عيالة؟ سنة كاملة. تمام؟ الآن رقم اثنين. رقم اثنين يا
+
+78
+00:10:58,820 --> 00:11:03,440
+لينا. من حساب عجز الصندوق إلى حساب الصندوق. من حساب
+
+79
+00:11:03,440 --> 00:11:11,080
+عجز الصندوق إلى حساب الصندوق
+
+80
+00:11:20,330 --> 00:11:28,910
+2008. إذاً عند اكتشاف العجز، لابد أن نثبت ونقول من
+
+81
+00:11:28,910 --> 00:11:34,730
+حساب عجز الصندوق إلى حساب الصندوق. تمام؟ أي سؤال؟ لا
+
+82
+00:11:34,730 --> 00:11:42,930
+طيب، الآن رقم ثلاثة. تعهدت شركة، تعهدت شركة التأمين
+
+83
+00:11:42,930 --> 00:11:48,090
+وهو في خمسة... في عشرين... في 20/8. تفضلي يا
+
+84
+00:11:48,090 --> 00:12:00,440
+عزيزي، من حساب... من حساب شركة غزة للتأمين إلى حساب عجز
+
+85
+00:12:00,440 --> 00:12:09,420
+الصندوق. كم؟ مئة. مئة. إذاً
+
+86
+00:12:09,420 --> 00:12:16,000
+هنا تعهدت شركة التأمين، تعهد بجعلها مدينة
+
+87
+00:12:19,310 --> 00:12:32,230
+في قيمة العجز. ولكن في 25/8 حصلت شركة
+
+88
+00:12:32,230 --> 00:12:42,150
+التعاون قيمة العجز نقداً. من
+
+89
+00:12:42,150 --> 00:12:45,990
+حساب الصندوق إلى حساب شركة غزة للتأمين بالمئة. من
+
+90
+00:12:45,990 --> 00:12:59,490
+حساب الصندوق إلى حساب شركة غزة للتأمين. طيب، هاي مئة
+
+91
+00:12:59,490 --> 00:13:05,950
+مئة، أخواتي. لابد أن نقول هنا، لاحظوا أن إيه؟ تعهدت
+
+92
+00:13:05,950 --> 00:13:10,930
+كأنها الشركة تعهدت بدفع القيمة الكاملة للعجز، ولكن
+
+93
+00:13:10,930 --> 00:13:18,270
+إذا فرضا حصلنا ثمانين، الباقي هيكون إيه؟
+
+94
+00:13:21,680 --> 00:13:28,540
+الآن الشركة تعهدت فقط بالثمانين. حصلنا الثمانين.
+
+95
+00:13:28,540 --> 00:13:35,500
+العشرين خسارة، تُحمّل على أرباح والخسائر. خسارة تُحمّل
+
+96
+00:13:35,500 --> 00:13:39,660
+على أرباح والخسائر. نفس الشيء زي القيد هذا. أرباح
+
+97
+00:13:39,660 --> 00:13:45,100
+الخسارة إلى حساب اللي هو المبلغ الضائع، حساب العجز
+
+98
+00:13:45,100 --> 00:13:47,900
+تمام، إلى حساب العجز العشرين
+
+99
+00:13:51,180 --> 00:13:57,720
+هل بقي قيود؟ نعم. هل
+
+100
+00:13:57,720 --> 00:14:01,480
+بقي قيود؟
+
+101
+00:14:01,480 --> 00:14:09,940
+ممتاز،
+
+102
+00:14:09,940 --> 00:14:17,020
+نظرياً. ممتاز، رقمياً. رقمياً. دفعت شركة قصد التعاون في
+
+103
+00:14:17,020 --> 00:14:17,900
+واحد
+
+104
+00:14:22,340 --> 00:14:27,860
+ماذا يحتاج هنا؟ تسوية. تذكر الإيرادات والمصروفات. إذاً
+
+105
+00:14:27,860 --> 00:14:37,940
+القيد، نقول هنا أول شيء نذكر رصيد ما يخص. رصيد ما
+
+106
+00:14:37,940 --> 00:14:44,860
+يخص. هي بتحكي الآن، الـ رصيد عندنا 300. الآن دفع من 1
+
+107
+00:14:44,860 --> 00:14:49,080
+/5 حتى 31/12 اللي أخذناه في الإيرادات والمصروفات
+
+108
+00:14:54,220 --> 00:15:00,600
+1/5 عن سنة كاملة، هتحمل السنة بالتلاتمائة يا
+
+109
+00:15:00,600 --> 00:15:08,240
+دانيا. طبعاً لا، جملة. هتحمل ثلاثمائة لأ. إذاً الآن يكون
+
+110
+00:15:08,240 --> 00:15:14,500
+ثلاثمائة ضارب إيش؟ ضارب ثمانية على اثني عشر يساوي إيه؟
+
+111
+00:15:14,500 --> 00:15:23,640
+اثنين. يساوي اثنين. تمام. الآن الفرق الرقمي
+
+112
+00:15:28,660 --> 00:15:40,380
+الآن في 1/5/2015 دفعت شركة التعاون 300 دينار، الـ
+
+113
+00:15:40,380 --> 00:15:43,540
+300 دولار عن مقابل تأمين ضد خيانة الأمانة عن سنة
+
+114
+00:15:43,540 --> 00:15:47,880
+كاملة. بتضيفوا سنة إيش؟ أنا حكيت، بنرجع نتذكر
+
+115
+00:15:47,880 --> 00:15:51,860
+الإيرادات والمصروفات، إيش كنا نعمل؟ مش التسوية، و
+
+116
+00:15:51,860 --> 00:15:56,820
+نجرب في 1/12؟ هي حكت من 1/5 حتى 1/12 حكينا عليها
+
+117
+00:15:56,820 --> 00:16:01,920
+كتير سابقاً. مش أول مرة. إذاً بحسب أنا ثمانية شهور على
+
+118
+00:16:01,920 --> 00:16:07,640
+12، طلع نصيب السنة إيش؟ 200، والفرق... وكل هذا
+
+119
+00:16:07,640 --> 00:16:09,980
+بيروح على وين؟
+
+120
+00:16:13,870 --> 00:16:18,070
+أو الدخل، والفرق الرقمي يذهب إلى ميزانية. مش قولنا
+
+121
+00:16:18,070 --> 00:16:22,990
+القاعدة، القاعدة في الإيرادات والمصروفات، الفرق الرقمي
+
+122
+00:16:22,990 --> 00:16:26,630
+يذهب إلى الميزانية، وما يخص اللي عم يذهب إلى
+
+123
+00:16:26,630 --> 00:16:32,670
+الأرباح والخسارة، والدخل، عكس المخصصات. تمام؟ أهل
+
+124
+00:16:32,670 --> 00:16:38,430
+عندنا المبلغ اللي بيقفل، يقفل. هنقول إيه؟ زي ما حكيته
+
+125
+00:16:38,430 --> 00:16:47,410
+من حساب الأرباح والخسارة أو ملخص الدخل إلى حساب إيه؟
+
+126
+00:16:47,410 --> 00:16:58,330
+مصروف تأمين ضد خيانة الأمانة. كم؟ 200، لأن إحنا
+
+127
+00:16:58,330 --> 00:17:04,530
+دفعنا في 1/5، ولم ندفع جمعنا في...في...اللي
+
+128
+00:17:04,530 --> 00:17:10,830
+هو إيه؟ في بداية السنة. تفضلي. لما حكينا هنا إن قيد
+
+129
+00:17:10,830 --> 00:17:17,330
+الإقفال للمصروفات كان يعني... هنا المصروفات، إيش كنت عارف؟
+
+130
+00:17:17,330 --> 00:17:23,750
+المصروفات. نفس القصة. هدور شغلة بس مكملتش. مكملتش. لأ.
+
+131
+00:17:23,750 --> 00:17:27,410
+الآن، اتبعت القيود إيش؟ اللازمة في 31/12، و
+
+132
+00:17:27,410 --> 00:17:32,570
+31/12، و 31/12. طيب. لأن، تمام. لأن زي
+
+133
+00:17:32,570 --> 00:17:35,650
+اللي حكينا عنه. بدأنا، بدأنا هنا بنشوف الإقفال إيش بدنا
+
+134
+00:17:35,650 --> 00:17:40,230
+نقفل. بدنا نقفل هاي اللي هو مصروف التأمين، اللي هو
+
+135
+00:17:40,230 --> 00:17:41,350
+ما يخص العام
+
+136
+00:17:47,880 --> 00:17:53,540
+هيكون كمان مع هذه إيش؟ عشرين. اسمها إيش؟ عجز...عجز
+
+137
+00:17:53,540 --> 00:17:55,180
+...عجز...عجز...عجز...عجز...عجز...عجز...عجز
+
+138
+00:17:55,180 --> 00:17:58,240
+...عجز...عجز...عجز...عجز...عجز...عجز...عجز
+
+139
+00:17:58,240 --> 00:18:01,660
+...عجز...عجز...عجز...عجز...عجز...عجز...عجز
+
+140
+00:18:01,660 --> 00:18:03,180
+...عجز...عجز...عجز...عجز...عجز...عجز...عجز
+
+141
+00:18:03,180 --> 00:18:03,580
+...عجز...عجز...عجز...عجز...عجز...عجز...عجز
+
+142
+00:18:03,580 --> 00:18:03,600
+...عجز...عجز...عجز...عجز...عجز...عجز...عجز
+
+143
+00:18:03,600 --> 00:18:11,400
+...عجز...عجز...عجز...عجز...عجز...عجز...عج
+
+144
+00:18:29,460 --> 00:18:35,380
+الـ... كمصروف؟ كأصل. طبعاً. الآن، هل واضح في السؤال
+
+145
+00:18:35,380 --> 00:18:40,400
+كيف عولج؟ لا، إحنا بنعتبره كمصروف. لكن لو في السؤال
+
+146
+00:18:40,400 --> 00:18:47,240
+حكالنا أنه ثلاثمائة دينار اللي مثلاً دفعت مقدماً، يعني
+
+147
+00:18:47,240 --> 00:18:51,720
+بمعنى، إذا ذكرت كلمة مقدماً في السياق، معناه عولجت
+
+148
+00:18:51,720 --> 00:18:58,240
+كأصل؟ كأصل. أمن، عايز تشارك في الإجابة؟
+
+149
+00:19:07,530 --> 00:19:13,010
+مُقدّم، مُقدّم، بالفقرة
+
+150
+00:19:13,010 --> 00:19:17,130
+الرقمية، تمام؟ لأن كانت عملية كاسة مصروف، ماشي. إذاً
+
+151
+00:19:17,130 --> 00:19:23,330
+هنا...هنا...هذا التسوية من حساب مصروف تأمين ضد
+
+152
+00:19:23,330 --> 00:19:29,590
+خيانة الأمانة المُقدّم
+
+153
+00:19:30,480 --> 00:19:34,820
+المقدم، كما قلت، نفس فكرة إيه يا ميصار؟ نفس فكرة
+
+154
+00:19:34,820 --> 00:19:42,800
+المصروفات. إلى حساب مصروف تأمين ضد خيانة الأمانة ضد
+
+155
+00:19:42,800 --> 00:19:50,980
+خيانة الأمانة. تمام؟ وهي إيه؟ مئة. هيك السؤال بيكون
+
+156
+00:19:50,980 --> 00:19:57,320
+خلص. هل من سؤال؟ لا. إذاً هيك نكون تحدثنا عن العجز
+
+157
+00:19:57,320 --> 00:20:03,170
+و أنهينا منه. الآن ننتقل...وفي نهاية المحاضرة
+
+158
+00:20:03,170 --> 00:20:08,330
+الماضية تحدثنا عن إيش؟ عن الإيراد. الآن الإيراد...
+
+159
+00:20:08,330 --> 00:20:15,150
+الفائض، الصندوق...فائض...إيه؟ فائض الصندوق. السؤال
+
+160
+00:20:15,150 --> 00:20:23,630
+43، صفحة 222. فائض الصندوق، صفحة 222، التمرين الثالث
+
+161
+00:20:23,630 --> 00:20:27,170
+بيحكيلنا إيه؟ الرصيد الدفتري
+
+162
+00:20:30,560 --> 00:20:38,120
+واثنين وعشرين، بينما الفعلي مئة وواحد وعشرين. أعتقد إيه؟
+
+163
+00:20:38,120 --> 00:20:43,740
+تمام. شفتوا الفعلي مئة وثلاثة، الفرق، دول الدفتر
+
+164
+00:20:43,740 --> 00:20:48,640
+سبعة وتسعون، الفعلي مئة وثلاثة. الدفتر جديش؟ الدفتر
+
+165
+00:20:48,640 --> 00:20:51,740
+اللي هي سبعة وتسعون، هنا الفعلي مئة وثلاثة
+
+166
+00:21:23,880 --> 00:21:35,520
+حساب الصندوق إلى حساب فائض الصندوق. ستة، ستة
+
+167
+00:21:35,520 --> 00:21:42,460
+حساب الصندوق إلى حساب فائض الصندوق. تمام؟ تمام
+
+168
+00:21:42,460 --> 00:21:48,400
+طيب، الآن، ياخدها عند إقفال، عند إقفال
+
+169
+00:21:58,440 --> 00:22:08,12
+
+223
+00:28:11,800 --> 00:28:17,000
+هي من ضمن المجموعة الدفترية المحاسبية؟ لا، على بركة الله
+
+224
+00:28:17,000 --> 00:28:23,130
+خارجية، نعمل اللي هو مذكرة التسوية. طب، إيش هدف مذكرة
+
+225
+00:28:23,130 --> 00:28:27,110
+التسوية؟ قلنا مطابقة. طيب، الآن هذه مذكرة التسوية
+
+226
+00:28:27,110 --> 00:28:34,230
+هل يقوم بإعدادها المحاسب الذي يقبض ويصرف ويعطي
+
+227
+00:28:34,230 --> 00:28:40,890
+للتاجر ويحصل؟ لا، يفضل أن يكون الشخص إيش؟ طيب، إذا
+
+228
+00:28:40,890 --> 00:28:48,590
+بنقول يفضل أن يقوم بإعداد، يفضل أن يقوم بإعداد
+
+229
+00:28:49,370 --> 00:28:54,570
+مذكرة التسوية شخص
+
+230
+00:28:54,570 --> 00:29:05,750
+غير المحاسب المسؤول عن النقدية في المشروع. يفضل أن
+
+231
+00:29:05,750 --> 00:29:13,190
+يقوم بإعداد مذكرة التسوية شخص آخر غير المحاسب
+
+232
+00:29:13,190 --> 00:29:17,990
+الذي يتولى حركة النقدية في المشروع.
+
+233
+00:29:23,570 --> 00:29:31,510
+بهدف اكتشاف التلاعب أو
+
+234
+00:29:31,510 --> 00:29:42,170
+الاختلاس إن وجد، لأن
+
+235
+00:29:42,170 --> 00:29:45,750
+الشخص إذا قام هو يقبض ويصرف ويتعامل مع التجار و
+
+236
+00:29:45,750 --> 00:29:49,070
+يذهب إلى البنك ويعمل ويعمل ويعمل، إذا كان هناك أي
+
+237
+00:29:49,070 --> 00:29:54,090
+شيء اختلاسات أو أمور، يغطي عليها. لكن إذا كان هناك
+
+238
+00:29:54,090 --> 00:30:00,510
+شخص آخر، سوف يتم اكتشافها تمامًا؟ طيب، الآن قلنا في
+
+239
+00:30:00,510 --> 00:30:04,010
+السياق هذا، هدف إعداد مذكرة التسوية إيش؟
+
+240
+00:30:04,010 --> 00:30:09,190
+المطابقة بين إيش؟ الرصيد الدفتري والرصيد إيش؟
+
+241
+00:30:09,190 --> 00:30:15,620
+البنكي. أحسنتم، تمام؟ هل على أرض الواقع، هل على أرض
+
+242
+00:30:15,620 --> 00:30:21,920
+الواقع يتطابق الرصيد الدفتري والبنكي؟ لا، البنك أرسل
+
+243
+00:30:21,920 --> 00:30:27,260
+لنا كشف حساب، والرصيد فيه 32 ألف دينار. في دفاتر
+
+244
+00:30:27,260 --> 00:30:36,620
+الشركة 27 ألف دينار. هل يعني أن كلاهما
+
+245
+00:30:36,620 --> 00:30:40,940
+أو إحداهما خطأ؟ ليس بالضرورة، قد يكون كلاهما صحيحًا.
+
+246
+00:30:45,280 --> 00:30:48,960
+إذا، التطابق على أرض الواقع بين الرصيدين، وعندما
+
+247
+00:30:48,960 --> 00:30:54,620
+أقول الرصيدين يعني بنكي ودفتري، تمام. على أرض
+
+248
+00:30:54,620 --> 00:31:00,500
+الواقع، نادر التطابق بين الرصيدين. طيب، طب إيش؟ ما
+
+249
+00:31:00,500 --> 00:31:06,200
+هي الأسباب التي تؤدي إلى هذا الاختلاف؟ ما هي
+
+250
+00:31:06,200 --> 00:31:10,920
+الأسباب التي تؤدي إلى هذا الاختلاف؟ آه، مين حد
+
+251
+00:31:10,920 --> 00:31:15,630
+يحكي لنا؟ ممكن تكون المصاريف البنكية أو الطوابع
+
+252
+00:31:15,630 --> 00:31:18,730
+المالية. المالية كلها تزيد من الرصيد البنكي؟ نعم.
+
+253
+00:31:18,730 --> 00:31:23,490
+بكون البنك أضاف أو خصم، وأنا ما وصلنيش إشعار. آه، مين
+
+254
+00:31:23,490 --> 00:31:26,770
+ثاني بدي إشارة؟ من أسباب الاختلافات بين الرصيدين
+
+255
+00:31:26,770 --> 00:31:35,150
+طيب، الآن أسباب الاختلاف بين الرصيدين. عنوان: أسباب
+
+256
+00:31:35,150 --> 00:31:38,450
+الاختلاف بين الرصيدين.
+
+257
+00:31:54,880 --> 00:32:06,000
+ولم تظهر في كشف البنك. بنقول: تسوية حسابية، تسوية
+
+258
+00:32:06,000 --> 00:32:12,220
+حسابية. يعني إيش تسوية حسابية؟ جمعًا وطرحًا.
+
+259
+00:32:15,190 --> 00:32:21,230
+تسوية إيه؟ حسابية. إذا أنا إيش حاكي؟ إذا من أسباب
+
+260
+00:32:21,230 --> 00:32:25,970
+الاختلاف بين الرصيدين، الدفتري والبنكي، أول شيء
+
+261
+00:32:25,970 --> 00:32:37,130
+عمليات سجلت في دفاتر المشروع ولم تظهر في كشف البنك.
+
+262
+00:32:37,130 --> 00:32:40,650
+عمليات
+
+263
+00:32:40,650 --> 00:32:44,210
+سجلت في دفاتر المشروع، يعني في دفاتري سجلت
+
+264
+00:32:52,910 --> 00:33:02,170
+النقطة الأولى: شيكات صادرة لم تُقدم للصرف.
+
+265
+00:33:15,360 --> 00:33:22,860
+من شركة الغصين، وحررت لهم شيك، وجرى تحرير الشيك،
+
+266
+00:33:22,860 --> 00:33:27,820
+سجله المحاسب في دفاتري، إذًا أثر على رصيدي الدفتري.
+
+267
+00:33:27,820 --> 00:33:34,760
+إذا سجل، تمام؟ لكن لأنه لم يُقدم للصرف، شركة الغصين لم
+
+268
+00:33:34,760 --> 00:33:41,440
+تقوم بتحصيل هذا الشيك. إذًا، هل يتأثر الكشف؟ لا.
+
+269
+00:33:41,440 --> 00:33:46,380
+إذا، حدث اختلاف ولا لا؟ سوف يحدث اختلاف. طيب، رقم
+
+270
+00:33:46,380 --> 00:33:56,660
+اثنين: شيكات واردة لم تُحصل. بعض الشيكات الواردة بيعت
+
+271
+00:33:56,660 --> 00:34:03,140
+إلى شركة الأقصى.
+
+272
+00:34:03,140 --> 00:34:08,280
+تمام، وأخذت منهم شيك. بمجرد ما أخذت الشيك، سجلته في
+
+273
+00:34:08,280 --> 00:34:13,140
+دفاتري، ولكن لم يُرسل إلى البنك للتحصيل.
+
+274
+00:34:17,700 --> 00:34:23,660
+هل وصل إلى البنك؟ لا، إذًا هذا يسبب في الاختلاف. رقم
+
+275
+00:34:23,660 --> 00:34:33,980
+ثلاثة، أو النقطة الثالثة: إيداعات نهاية الشهر. إيداعات
+
+276
+00:34:33,980 --> 00:34:41,080
+نهاية الشهر. إيداعات نهاية الشهر واضحة. إذا شهر… زي
+
+277
+00:34:41,080 --> 00:34:44,660
+شهر فبراير الماضي، يوم تسعة وعشرين. يعني معناه يوم
+
+278
+00:34:44,660 --> 00:34:48,600
+تسعة وعشرين. إذا كان ثلاثين، الشهر في ثلاثين… واحد
+
+279
+00:34:48,600 --> 00:34:55,740
+ثلاثين. طب، الآن… الآن المبيعات المحصلة في يوم…
+
+280
+00:34:55,740 --> 00:34:58,580
+في آخر يوم… آخر يوم في الشهر، متى كان ينتهي
+
+281
+00:34:58,580 --> 00:35:03,400
+ينتهي؟ 28، 29، 30، 31، تمام؟ الآن المحاسب
+
+282
+00:35:03,400 --> 00:35:09,200
+ذهب إلى البنك الساعة الواحدة ظهرًا، ووضع… وبمجرد
+
+283
+00:35:09,200 --> 00:35:14,480
+العودة، عاد المحاسب إلى الشركة بفيشة الإيداع، وسجل
+
+284
+00:35:14,480 --> 00:35:19,790
+في إيش؟ في الدفاتر. إذا سجلت هذه العملية، سجلت هذه
+
+285
+00:35:19,790 --> 00:35:24,910
+العملية. طيب، طب لماذا لم تظهر في كشف البنك؟ لأن
+
+286
+00:35:24,910 --> 00:35:34,050
+البنك يقوم بطباعة كشفاته، الكشفات للعملاء في صبيحة
+
+287
+00:35:34,050 --> 00:35:39,370
+اليوم الأخير من الشهر. الكشفات طُبعت الساعة الثامنة
+
+288
+00:35:39,370 --> 00:35:42,930
+أو التاسعة صباحًا، وذهبت أنا الساعة الحادية عشرة
+
+289
+00:35:42,930 --> 00:35:49,460
+الساعة الواحدة. هل سيظهر في كشف الشهر الحالي؟ لا، لا.
+
+290
+00:35:49,460 --> 00:35:51,160
+لا لا لا لا لا لا لا لا لا لا لا لا لا لا لا لا لا
+
+291
+00:35:51,160 --> 00:35:51,560
+لا لا لا لا لا لا لا لا لا لا لا لا لا لا لا لا لا
+
+292
+00:35:51,560 --> 00:35:52,740
+لا لا لا لا لا لا لا لا لا لا لا لا لا لا لا لا لا
+
+293
+00:35:52,740 --> 00:36:05,540
+لا لا لا لا لا لا لا لا لا لا لا لا لا لا لا لا لا
+
+294
+00:36:16,970 --> 00:36:25,350
+في الدفاتر ولم تظهر إيه؟ في الدفاتر. عمليات ظهرت
+
+295
+00:36:25,350 --> 00:36:31,090
+بكشف البنك. عمليات ظهرت بكشف البنك ولم تظهر في
+
+296
+00:36:31,090 --> 00:36:35,510
+الدفاتر. تمام؟ إيش معناه؟ يعني أنا ما وصلنيش إشعار من
+
+297
+00:36:35,510 --> 00:36:39,690
+البنك، أسجل في دفاتري. بمجرد ما أنا برجع في الكشف، آه
+
+298
+00:36:39,690 --> 00:36:43,010
+البنك خصم لي كمبيالة، خصم عليّ كمبيالة سدّدتُها
+
+299
+00:36:43,010 --> 00:36:47,120
+لشركة الوطن. تمام؟ كمبيالة استحقّت، زي بيختموا حساب
+
+300
+00:36:47,120 --> 00:36:53,940
+واحد، خصم، خصم منح، فلوسي كمبيالة لأخرى من شركة الوطن.
+
+301
+00:36:53,940 --> 00:36:59,700
+فحصلها ضعف حسابي، البنك خصم ثمن دفعات الشيكات، خصم
+
+302
+00:36:59,700 --> 00:37:03,140
+فاتورة الكهرباء، فاتورة الإنترنت، وإلى آخره من هذه الأمور
+
+303
+00:37:03,140 --> 00:37:08,600
+ولم يصل إشعار بها. تمام؟ الآن، كيف يُدعو هنا؟ من وجهة
+
+304
+00:37:08,600 --> 00:37:12,340
+رأيي، أنا هنا، بدك تشوف الأمور هذه، بدك تسجل. طيب، هذه
+
+305
+00:37:12,340 --> 00:37:13,840
+يا أخوات، تحتاج إلى تسوية
+
+306
+00:37:16,950 --> 00:37:21,030
+تسوية إيش؟ محاسبية. والتسوية المحاسبية تحتاج إلى
+
+307
+00:37:21,030 --> 00:37:25,470
+إيش؟ إلى قيود التسوية المحاسبية. يا سيدي، قيود تحتاج إلى
+
+308
+00:37:25,470 --> 00:37:30,910
+إيه؟ إلى قيود، طبعًا؟ طيب، إذا الآن مثلًا… مثلًا
+
+309
+00:37:30,910 --> 00:37:36,670
+تحصيل كمبيالة، البنك حصل لي كمبيالة وخصم عمولته،
+
+310
+00:37:36,670 --> 00:37:41,750
+ولكن الإشعار ما وصلنيش. هل بقدر أثبت إيش أنا؟ إيش
+
+311
+00:37:41,750 --> 00:37:43,890
+قلنا، العمليات في محاسبة واحدة، الإثبات يكون ضمن
+
+312
+00:37:43,890 --> 00:37:48,040
+مستندات رسمية ولا إيه؟ مؤيدة، مسؤولة. لا، اسمع، إذا
+
+313
+00:37:48,040 --> 00:37:54,880
+نقول هنا، من مادة كورية: حساب البنك، حساب مصاريف
+
+314
+00:37:54,880 --> 00:38:01,520
+تحصيل، المصاريف عندما تبت مدينة إلى حساب أوراق قبض
+
+315
+00:38:01,520 --> 00:38:07,360
+برسم، وهنا نذكر بموضوع أوراق القبض في محاسبة واحدة.
+
+316
+00:38:07,360 --> 00:38:11,320
+الموضوع: جرد البنك، ليس فيه جديد. الجديد فقط مذكرة
+
+317
+00:38:11,320 --> 00:38:17,690
+التسوية. إذًا، هذه 300 فرضا، وهذه 15 دينار، وهذه 285 دينار
+
+318
+00:38:17,690 --> 00:38:22,810
+خصم البنك 15 دينار وأضاف لي على حسابي، طبعًا طبعًا
+
+319
+00:38:22,810 --> 00:38:29,670
+طبعًا. الآن مثلًا، دفع كمبيالة، سنقول من حساب أوراق
+
+320
+00:38:29,670 --> 00:38:36,110
+الدفع إلى حساب البنك. البنك في كمبيالة شركة الوطن،
+
+321
+00:38:36,110 --> 00:38:43,670
+دفعها، سحب الفلوس ودفعها. الفلوس بتنقص من الزيادة، تنقص
+
+322
+00:38:43,670 --> 00:38:49,370
+رصيده في البنك، ينقص. أخذ منها ودفع، دفع لفاتورة من
+
+323
+00:38:49,370 --> 00:38:56,650
+حساب مصاريف الجوال، فاتورة الجوال، خصم لي إياها، والـ
+
+324
+00:38:56,650 --> 00:38:59,710
+كهرباء، والأمور هذه. مصاريف تؤثر على رصيده في الـ
+
+325
+00:38:59,710 --> 00:39:03,090
+بنك بالنقصان أو بالزيادة. بالنقصان. إذا أي مصروف من
+
+326
+00:39:03,090 --> 00:39:08,410
+حساب المصروف إلى حساب البنك. تمام. طب، لو أضاف للـ
+
+327
+00:39:08,410 --> 00:39:13,320
+بنك فوائد، فوائد دائمة. أنا حاطط عنده وديعة، وفي نهاية
+
+328
+00:39:13,320 --> 00:39:18,580
+الفترة أضاف لربحي تبعه 500 درهم، بيكون إيش؟ الإيراد
+
+329
+00:39:18,580 --> 00:39:27,880
+إيه؟ دائم. إذا من حساب، هنا إضافة عمولة دائمة.
+
+330
+00:39:27,880 --> 00:39:32,700
+والعمولة الدائمة، إيراد، أو الفوائد الدائمة من حساب
+
+331
+00:39:32,700 --> 00:39:35,600
+البنك إلى حساب
+
+332
+00:39:47,070 --> 00:39:52,870
+الأمور هكذا بالنسبة لتلك الأمور. هذه الأمور التي من
+
+333
+00:39:52,870 --> 00:39:57,450
+مراجعة الكشف. من مراجعة الكشف، وجدتها أن هذه
+
+334
+00:39:57,450 --> 00:40:01,970
+العمليات، هذه العمليات لم تُثبت من قبل في الدفاتر.
+
+335
+00:40:01,970 --> 00:40:07,210
+بمجرد أن اكتشفها، مش متسجل لها قيد، إيش بتعمل؟ بسجلها
+
+336
+00:40:07,210 --> 00:40:13,630
+عشان إيه؟ تؤثر وتؤثر على الرصيدين ولا لا؟ يعني بمعنى
+
+337
+00:40:13,630 --> 00:40:19,060
+أن هناك يكون فرق بين الرصيدين، أو لا. لهذا السبب، النوع
+
+338
+00:40:19,060 --> 00:40:23,460
+الثالث من
+
+339
+00:40:23,460 --> 00:40:28,340
+الأخطاء المحاسبية، أو من الأخطاء، أو من أسباب
+
+340
+00:40:28,340 --> 00:40:31,960
+الفروقات بين الرصيدين، النوع الثالث هو الأخطاء
+
+341
+00:40:31,960 --> 00:40:39,040
+المحاسبية. النوع الثالث: الأخطاء المحاسبية، وأذكر أن
+
+342
+00:40:39,040 --> 00:40:45,830
+الأخطاء المحاسبية مثلًا، مثلًا… هذه ثلاث ثلاثات وخمس مئة و
+
+343
+00:40:45,830 --> 00:40:52,130
+اثنين وخمسين. ثلاث ثلاثات وخمسة وعشرين. المحاسب
+
+344
+00:40:52,130 --> 00:40:58,010
+عشرين، كده سجل كده. تمام؟ تمام يا جماعة؟ الأمور هذه
+
+345
+00:40:58,010 --> 00:41:05,970
+خطأ محاسبي، بده إيش؟ بده تعديل. طيب، الآن، طبعًا، جميل
+
+346
+00:41:05,970 --> 00:41:11,010
+جميل، سالم، سليم. الأمور هذه صح ولا لا؟ آه، تمام.
+
+347
+00:41:12,350 --> 00:41:18,070
+أخذنا من شركة سين سات شيك. بمجرد ما أخذنا الشيك
+
+348
+00:41:18,070 --> 00:41:24,170
+سجلناه مباشرةً في الدفاتر. من يوم أخذنا الشيك من شركة
+
+349
+00:41:24,170 --> 00:41:30,650
+سين سات، قلنا من حساب البنك إلى حساب سين سات، اسم
+
+350
+00:41:30,650 --> 00:41:38,450
+الشركة: سين سات. ماشي؟ اكس واي. تمام؟ سجّلناهم. الآن هذا
+
+351
+00:41:38,450 --> 00:41:44,770
+الشيك اللي سجلناه احنا 450 دولار. الآن
+
+352
+00:41:44,770 --> 00:41:49,770
+البنك بعث لي أن هذا الشيك سينصاب، رفض لعدم كفاية
+
+353
+00:41:49,770 --> 00:41:56,130
+الرصيد. هنرجع ثاني، وإيش نحكي؟ إيش نحكي؟ هنلغيه.
+
+354
+00:41:56,130 --> 00:42:01,400
+هنعكس، آه. نخليه مدينة. آه آه. مش بنلغيه، بنلغي…
+
+355
+00:42:01,400 --> 00:42:09,500
+بنلغي… بنلغي… بنلغي… بنلغي… بنلغي…
+
+356
+00:42:09,500 --> 00:42:16,720
+بنلغي… بنلغي… بنلغي.
+
+357
+00:42:16,720 --> 00:42:20,320
+… بنلغي.
+
+358
+00:42:20,320 --> 00:42:25,160
+… بنلغي… بنلغي… بنلغي… بنلغي… بنلغي.
+
+359
+00:42:25,160 --> 00:42:26,660
+… بنلغي… بنلغي… بنلغي… بنلغي… بنلغي.
+
+360
+00:42:26,660 --> 00:42:26,680
+… بنلغي… بنلغي… بنلغي… بنلغي… بنلغي.
+
+361
+00:42:26,680 --> 00:42:33,550
+… بنلغي… بنلغي.للعلم أن الخطأ في دفاتر البنوك
+
+362
+00:42:33,550 --> 00:42:38,790
+نادر الحدوث، الأخطاء في دفاتر البنوك نادرة
+
+363
+00:42:38,790 --> 00:42:45,410
+الحدوث، لأن لديها نظام محاسبي ممتاز.
+
+364
+00:42:45,410 --> 00:42:49,430
+مثل الجامعة، لديها نظام محاسبي. والطالب يقول إيه؟
+
+365
+00:42:49,430 --> 00:42:53,490
+في مشكلة، أنا عندي دفعة تكرارية. أغلبه بيسحب كشف،
+
+366
+00:42:53,490 --> 00:42:58,450
+بيراجعه، بيسكت، ماشي؟ بينما دفاتر المشروع ممكن،
+
+367
+00:42:58,450 --> 00:43:01,210
+ليش؟ لأن هناك أكثر من شخص بتراجع، لكن في دفاتر
+
+368
+00:43:01,210 --> 00:43:06,330
+المشروع إيش؟ في دفاتر المشروع، احتمالية الخطأ ليه؟
+
+369
+00:43:06,330 --> 00:43:10,910
+لأن المحاسب بيقبض وبيصرف ويعمل وبيعمل، شخص
+
+370
+00:43:10,910 --> 00:43:14,500
+واحد، تمام؟ عشان هيك، الرقابة لابد أن تكون موجودة. بهذا
+
+371
+00:43:14,500 --> 00:43:18,620
+نأتي إلى نهاية محاضرة اليوم، وفي المحاضرة القادمة
+
+372
+00:43:18,620 --> 00:43:21,980
+سوف نطبق أمثلة رقمية.
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/mCk1KDkTM68.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/mCk1KDkTM68.srt
new file mode 100644
index 0000000000000000000000000000000000000000..d48d866724fbe08c433bf074451273e44adaf6f3
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/mCk1KDkTM68.srt
@@ -0,0 +1,1078 @@
+1
+00:00:20,720 --> 00:00:25,960
+بدأنا بالحديث في المحاضرة الماضية عن جرد المدينين
+
+2
+00:00:25,960 --> 00:00:39,200
+جرد المدينين تمام، جرد المدينين، جرد المدينين، تمام
+
+3
+00:00:39,200 --> 00:00:45,060
+وحكينا من ضمن الأشياء التي تحدثنا عنها أن الديون، الديون
+
+4
+00:00:45,060 --> 00:00:49,990
+الشركة، يقوم المحاسب، يقوم المحاسب بتصنيفها إلى ثلاثة
+
+5
+00:00:49,990 --> 00:00:54,470
+أصناف: الديون الجيدة، الديون المشكوك فيها، والديون
+
+6
+00:00:54,470 --> 00:00:58,950
+المعدومة. الديون الجيدة لا قيود لها، الديون الجيدة
+
+7
+00:00:58,950 --> 00:01:06,610
+لا قيود لها إطلاقًا، بينما لدينا ديون معدومة و
+
+8
+00:01:06,610 --> 00:01:14,950
+ديون مشكوك فيها، تمام؟  في ديون معدومة وديون مشكوك
+
+9
+00:01:14,950 --> 00:01:20,590
+فيها.  الديون المعدومة، تحدثنا عن بعض المعالجات
+
+10
+00:01:20,590 --> 00:01:24,730
+المحاسبية عنها في المحاضرة الماضية وسوف نعود إليها
+
+11
+00:01:24,730 --> 00:01:30,830
+مرة أخرى عندما نتحدث عن الديون المشكوك في تحصيلها
+
+12
+00:01:30,830 --> 00:01:36,150
+تمام؟ الآن، الديون المشكوك في تحصيلها قلنا
+
+13
+00:01:36,150 --> 00:01:43,450
+وفقًا لمبدأ الحيطة والحذر، يتم تكوين مخصص ديون مشكوك
+
+14
+00:01:43,450 --> 00:01:48,760
+فيها بنسبة معينة، وبناءً على الخبرة، وكلما طال عمر
+
+15
+00:01:48,760 --> 00:01:53,680
+الدين تزداد هذه النسبة. هنا بالنسبة للديون المشكوك
+
+16
+00:01:53,680 --> 00:02:00,040
+فيها، نقوم بتكوين مخصص، نقوم بتكوين مخصص ديون مشكوك
+
+17
+00:02:00,040 --> 00:02:06,040
+فيها بناءً على الخبرة العملية وبناءً على عمر الدين
+
+18
+00:02:06,040 --> 00:02:11,860
+هذا المخصص يُحمّل على حساب الأرباح والخسائر
+
+19
+00:02:23,120 --> 00:02:34,160
+الدخل، إلى حساب، إلى حساب مخصص ديون مشكوك فيها، إلى
+
+20
+00:02:34,160 --> 00:02:42,140
+حساب مخصص ديون مشكوك فيها بالقيمة التي تقررت، أيضًا
+
+21
+00:02:42,140 --> 00:02:49,070
+أذكر هنا أن هذا القيد هو قيد تسوية وإقفال في آن
+
+22
+00:02:49,070 --> 00:02:55,950
+واحد، قيد تسوية وإقفال في آن واحد. وذكرنا عندما
+
+23
+00:02:55,950 --> 00:03:01,070
+تحدثنا عن جرد أوراق القبض، قلنا من حساب أوراق القبض
+
+24
+00:03:01,070 --> 00:03:08,690
+إلى حساب مخصص خصم أوراق القبض، نفس الشيء، قيد تسوية
+
+25
+00:03:08,690 --> 00:03:14,850
+وإقفال في آن واحد. قلنا في المحاضرة الماضية أن هذه
+
+26
+00:03:14,850 --> 00:03:16,110
+طريقة الديون
+
+27
+00:03:23,980 --> 00:03:29,980
+يكون التخفيض مباشرة على
+
+28
+00:03:29,980 --> 00:03:37,480
+المدينين، بينما المخصص يتم تكوينه وفقًا لمبدأ الحيطة
+
+29
+00:03:37,480 --> 00:03:44,140
+والحذر، خوفًا من المستقبل، أن لا نستطيع تحصيل كل
+
+30
+00:03:44,140 --> 00:03:44,800
+الديون
+
+31
+00:03:58,590 --> 00:04:07,790
+يظهر المخصص في الميزانية مطروحًا طرحًا شكليًا من
+
+32
+00:04:07,790 --> 00:04:15,110
+من؟ من المدينين، من المدينين. هذه الميزانية، هنا
+
+33
+00:04:15,110 --> 00:04:24,490
+المدينون، فرضًا 6000 دولار، ناقص مخصص ديون مشكوك فيها
+
+34
+00:04:24,490 --> 00:04:26,730
+فرضًا 500 دولار
+
+35
+00:04:29,800 --> 00:04:35,680
+لهذه الطريقة، طريقة المخصص، أن المخصص يذهب مطروحًا
+
+36
+00:04:35,680 --> 00:04:42,340
+طرحًا شكليًا من المدينين، من المدينين. إذا نخلص من هذا
+
+37
+00:04:42,340 --> 00:04:47,460
+الكلام، أن الديون المعدومة تؤثر بشكل مباشر على
+
+38
+00:04:47,460 --> 00:04:53,760
+المدينين. الديون المعدومة تُقفل أين؟ في حساب الأرباح
+
+39
+00:04:53,760 --> 00:04:55,480
+والخسائر، المخصص
+
+40
+00:05:01,180 --> 00:05:07,580
+حساب الأرباح والخسائر، أو ملخص الدخل، بينما المخصص
+
+41
+00:05:07,580 --> 00:05:16,180
+موقعه أين؟ في الميزانية. الآن دعونا نبدأ بالترجمة
+
+42
+00:05:16,180 --> 00:05:23,580
+الرقمية. الآن، توفر لدينا هذا المقطع من ميزان
+
+43
+00:05:23,580 --> 00:05:25,980
+المراجعة الأولى
+
+44
+00:05:32,350 --> 00:05:39,130
+الذي هو الحساب لشركة، الحساب مدينة دائمة، اسم الحساب
+
+45
+00:05:39,130 --> 00:05:48,910
+إذا المدينون، المدينون، تسعة آلاف دينار، تسعة آلاف
+
+46
+00:05:48,910 --> 00:05:54,330
+دينار. هذا المقطع الذي توفر لدينا من ميزان المراجعة
+
+47
+00:05:54,330 --> 00:05:55,890
+الأولى لشركة الحساب
+
+48
+00:05:58,690 --> 00:06:10,350
+عند الجل... عند الجل تقرر تكوين مخصص ديون مشكوك
+
+49
+00:06:10,350 --> 00:06:22,450
+فيها... ديون مشكوك فيها بنسبة... بنسبة 10% من رصيد
+
+50
+00:06:22,450 --> 00:06:31,800
+المدينين... 10% من رصيد المدينين. إذا توفر لدينا هذا
+
+51
+00:06:31,800 --> 00:06:36,420
+المقطع من ميزان المراجعة الأولى، ميزان المراجعة
+
+52
+00:06:36,420 --> 00:06:40,540
+الأولى، وتحتها حكى أن الأرباح، المعطيات الجردية في
+
+53
+00:06:40,540 --> 00:06:45,840
+عام 1931 تقرر أن يكون تكوين مخصص ديون مشكوك فيها
+
+54
+00:06:45,840 --> 00:06:51,200
+بنسبة 10% من الرصيد المدينة، الكل ينتبع معنا في هذا
+
+55
+00:06:51,200 --> 00:06:56,320
+المثال حتى أنهيه، وعندما أبدأ بمثال آخر
+
+56
+00:07:04,100 --> 00:07:18,400
+الآن، رقم واحد: المطلوب إثبات قيد التسوية، رقم
+
+57
+00:07:18,400 --> 00:07:26,020
+اثنين: تصوير حساب المخصص، رقم
+
+58
+00:07:26,020 --> 00:07:28,100
+ثلاثة: بيان الأثر
+
+59
+00:07:32,970 --> 00:07:38,410
+على حساب الأرباح والخسائر والميزانية. إذا نأتي إلى
+
+60
+00:07:38,410 --> 00:07:45,210
+المطلوب رقم واحد، وهو قيد التسوية، وهو قيد التسوية
+
+61
+00:07:45,210 --> 00:07:50,750
+وقلنا هنا تسوية وإقفال في آن واحد، تسوية وإقفال في آن
+
+62
+00:07:50,750 --> 00:07:56,190
+واحد، وحتى وإن قال لنا بدون تسوية وإقفال، سنتبه، لغاية
+
+63
+00:07:56,190 --> 00:08:06,420
+إذا، أول شيء سنقول: مخصص ديون مشكوك فيها، مخصص ديون
+
+64
+00:08:06,420 --> 00:08:13,560
+مشكوك فيها، لحظة، أن الميم هنا تعني ديون مشكوك
+
+65
+00:08:13,560 --> 00:08:19,220
+فيها، وهي ليست الديون المعدومة، الميم ديون
+
+66
+00:08:19,220 --> 00:08:25,140
+المعدومة بشكل مطلق. مخصص ديون مشكوك فيها، إذا
+
+67
+00:08:25,140 --> 00:08:30,080
+يساوي، هاه، تقرر تكوين مخصص ديون مشكوك فيها بنسبة 10
+
+68
+00:08:30,080 --> 00:08:37,730
+% من رصيد ماذا؟ المدينين، رصيد المدينين كم؟ 9000
+
+69
+00:08:37,730 --> 00:08:48,750
+دينار، عشرة في المائة يساوي 900 دينار، 900 دينار
+
+70
+00:08:48,750 --> 00:08:55,950
+الآن، بعد ما حسبنا المخصص، هناك إضاءة محاسبية أو
+
+71
+00:08:55,950 --> 00:08:59,330
+كارت محاسبي مثل ما عملنا فيه
+
+72
+00:09:02,650 --> 00:09:07,670
+ما كنا نعمل في الإضاءة، في الإيرادات والمصروفات. إذا
+
+73
+00:09:07,670 --> 00:09:18,210
+نقول هنا رصيد، وهنا ما يخص، هنا رصيد، وهنا ماذا يخص
+
+74
+00:09:18,210 --> 00:09:24,830
+الآن، الرصيد، الرصيد، هل المخصص له رصيد في ميزان
+
+75
+00:09:24,830 --> 00:09:30,730
+المراجعة؟ لا، إذا هنا هي صفر، ما يخص العام هو المبلغ
+
+76
+00:09:30,730 --> 00:09:38,350
+الذي تم حسابه، وهو ماذا؟ 900 دولار، الفرق الرقمي
+
+77
+00:09:38,350 --> 00:09:50,190
+هو 900 دولار. الآن قلت قبل قليل أن المخصص، عند تكوينه، لابد أن يحمل، يا يسرا، أين؟ على الأرباح
+
+78
+00:09:50,190 --> 00:09:57,690
+والخسائر أو ملخص الدخل. طيب، الآن، الفرق الرقمي في
+
+79
+00:09:57,690 --> 00:10:03,730
+المخصصات، الفرق الرقمي في المخصصات يذهب إلى الأرباح
+
+80
+00:10:03,730 --> 00:10:08,610
+الخسارة أو الملخص، وما يخص يذهب إلى الميزانية. إذا
+
+81
+00:10:08,610 --> 00:10:15,170
+عكس قاعدة الإيرادات والمصروفات، عكس قاعدة الإيرادات
+
+82
+00:10:15,170 --> 00:10:22,070
+والمصروفات. إذا هنا في هذه الحالة القيد سوف يكون
+
+83
+00:10:37,080 --> 00:10:45,300
+إلى حساب مخصص ديون مشكوك فيها، وهي التسعمئة دينار، هو
+
+84
+00:10:45,300 --> 00:10:51,360
+الفرق الرقمي، الفرق الرقمي. إذا هذا القيد هو تسوية
+
+85
+00:10:51,360 --> 00:10:58,400
+وإقفال في آن واحد، تسوية وإقفال في آن واحد. نأتي
+
+86
+00:10:58,400 --> 00:11:03,740
+إلى المطلوب الثاني حتى يصبح لدينا قاعدة معرفية عن
+
+87
+00:11:03,740 --> 00:11:10,050
+هذه الجزئية، ولا نكون مُهيئين لمثال ثاني. حساب مخصص
+
+88
+00:11:10,050 --> 00:11:21,410
+ديون مشكوك فيها، وقلنا عند تصوير أي حساب، لابد أن
+
+89
+00:11:21,410 --> 00:11:26,990
+نذهب إلى ميزان المراجعة الأولى ونبحث هل له رصيد؟
+
+90
+00:11:26,990 --> 00:11:31,290
+لا يوجد. هل له رصيد في ميزان المراجعة الأولى؟ لا
+
+91
+00:11:31,290 --> 00:11:38,110
+يوجد. المخصصات رصيدها دائم، إذا كان لدينا رصيد سابق،
+
+92
+00:11:38,110 --> 00:11:45,810
+فسوف يظهر هنا رصيد سابق. المخصصات رصيدها دائم،
+
+93
+00:11:45,810 --> 00:11:50,870
+وأسمع البعض يقول دائم، وبعض يقول دائن، المخصصات
+
+94
+00:11:50,870 --> 00:11:55,910
+رصيدها دائم، الديون المعدومة رصيدها دائن، الديون
+
+95
+00:11:55,910 --> 00:11:56,650
+المعدومة
+
+97
+00:12:16,250 --> 00:12:23,770
+تسعمئة، من حساب الأرباح والخسائر، رحلة. نقوم بجمع كل
+
+98
+00:12:23,770 --> 00:12:30,350
+الطرفين، الجانب المدين صفر، الجانب الدائن تسعمئة
+
+99
+00:12:30,350 --> 00:12:39,230
+إذا الرصيد سوف يكون دائن، رصيد دائن
+
+100
+00:12:53,460 --> 00:13:01,060
+في العرف المحاسبي، المخصصات دائنة
+
+101
+00:13:01,060 --> 00:13:12,820
+في الشركات. نذهب إلى رقم ثلاثة: بيان الأثر على حساب
+
+102
+00:13:12,820 --> 00:13:14,480
+الأرباح والخسائر
+
+103
+00:13:26,220 --> 00:13:34,900
+900، إلى حساب مخصص ديون مشكوك فيها، وقلنا بيان الأثر
+
+104
+00:13:34,900 --> 00:13:40,160
+وقلنا بيان الأثر، إذا بيان الأثر يبقى حساب الأرباح
+
+105
+00:13:40,160 --> 00:13:44,660
+والخسائر بهذا الشكل، لكن هنا المخصص، قلنا يا شاهد
+
+106
+00:13:44,660 --> 00:13:49,680
+تصوير، وكلمة تصوير لابد أن نجمع المدينة والدائنة
+
+107
+00:13:49,680 --> 00:13:57,680
+ونطلع الفرق الرقمي. طيب، الآن، هنا الميزانية، الميزانية
+
+108
+00:13:57,680 --> 00:14:04,720
+بالنسبة للميزانية، حكينا المدينون، المدينون أصل
+
+109
+00:14:04,720 --> 00:14:12,320
+متداول، المدينون أصل متداول، تفضلي، ممتاز
+
+110
+00:14:12,320 --> 00:14:18,940
+إذا هذه 9000، المدينون، والمدينون تظهر مع الأصول
+
+111
+00:14:18,940 --> 00:14:21,060
+المتداولة، تظهر مع الأصول
+
+112
+00:14:28,880 --> 00:14:37,680
+تمام، تمنّى توافيق الأمين. إذا بهذا السؤال نكون وضعنا فكرة
+
+113
+00:14:37,680 --> 00:14:45,020
+عامة لدينا عن جميع الجوانب التي تخص المخصص، التي
+
+114
+00:14:45,020 --> 00:14:52,120
+تخص المخصص، ولكن الآن، وأذكر تحدثنا في المحاضرة
+
+115
+00:14:52,120 --> 00:14:55,900
+الماضية، علميًا عن الديون المعدومة
+
+116
+00:14:58,930 --> 00:15:03,090
+المخصص، الديون المشكوك فيها، الآن الديون المعدومة، هو
+
+117
+00:15:03,090 --> 00:15:11,910
+المخصص، فيه سؤال. الآن، الآن لدينا الآن سؤال، يفرض
+
+118
+00:15:11,910 --> 00:15:19,450
+يُفرض لديك، لديك
+
+119
+00:15:19,450 --> 00:15:22,850
+الأرصدة
+
+120
+00:15:22,850 --> 00:15:28,710
+التالية، والمستخرجة
+
+121
+00:15:34,250 --> 00:15:42,650
+لعادل أفندي في 31/12/2015
+
+122
+00:15:42,650 --> 00:15:46,670
+توفي
+
+123
+00:15:46,670 --> 00:15:51,890
+لديك الأصل، التاريخ والمستخرج من دفاتر عادل أفندي
+
+124
+00:15:51,890 --> 00:15:57,670
+في 31/12/2015، ماشي، مدين،
+
+125
+00:15:57,670 --> 00:16:01,170
+طبعًا ماذا؟ هذا ميزان المراجعة الأولى، ميزان المراجعة
+
+126
+00:16:01,170 --> 00:16:09,020
+ماذا؟ الأولى، مدين دائم، اسم الحساب، المدينون،
+
+127
+00:16:09,020 --> 00:16:15,380
+المدينون، 4400 دينار، 4400
+
+128
+00:16:15,380 --> 00:16:21,340
+دينار، ديون معدومة،
+
+129
+00:16:21,340 --> 00:16:25,740
+100 دينار، 100 دينار
+
+130
+00:16:33,210 --> 00:16:42,950
+ديون مشكوك فيها، الذي هو 350
+
+131
+00:16:42,950 --> 00:16:55,310
+دولار، 350 دولار. وعند الجرد، تقرر
+
+132
+00:16:55,310 --> 00:17:02,270
+واحد: إعدام دين جديد
+
+133
+00:17:03,250 --> 00:17:14,710
+مقداره 200 دولار. وعند الجرد، تقرر إعدام دين جديد
+
+134
+00:17:14,710 --> 00:17:27,050
+مقداره 200 دولار. رقم اثنين: رقم اثنين، تقرر تعديل
+
+135
+00:17:27,050 --> 00:17:40,930
+تعديل مخصص الديون المشكوك فيه، ليصبح 10% من رصيد
+
+136
+00:17:40,930 --> 00:17:49,410
+المدينين. المطلوب
+
+137
+00:17:49,410 --> 00:18:02,270
+واحد: قيود التسوية والإقفال. رقم اثنين: تصوير حساب
+
+138
+00:18:02,270 --> 00:18:13,430
+المدينين، وحساب مخصص، مخصص ديون مشكوك فيها، حساب مخصص
+
+139
+00:18:13,430 --> 00:18:19,790
+ديون مشكوك فيها. رقم ثلاثة: ميزان المراجعة بعد
+
+140
+00:18:19,790 --> 00:18:25,570
+التسويات، ميزان المراجعة بعد التسويات، أو النهائي
+
+141
+00:18:25,570 --> 00:18:34,770
+رقم أربعة: أخيرًا، بيان الأثر على حساب الأرباح والخسائر
+
+142
+00:18:34,770 --> 00:18:41,950
+والميزانية، بيان الأثر على حساب الأرباح والخسائر
+
+143
+00:18:41,950 --> 00:18:47,090
+والميزانية. إذا، الأثر، كما نرى أن هذا السؤال يشمل
+
+144
+00:18:47,090 --> 00:18:51,010
+جوانب كثيرة، ويشمل مقاييس الديون المعدومة، والمخصص وغير
+
+145
+00:18:51,010 --> 00:18:52,830
+ذلك. إذا، أول شيء
+
+146
+00:19:10,080 --> 00:19:16,280
+تسوية أم لا؟ أول شيء، هو الديون المعدومة، تكون، ديون من
+
+147
+00:19:16,280 --> 00:19:23,760
+حساب الديون المعدومة إلى حساب المدينين، ممتاز، إذا
+
+148
+00:19:23,760 --> 00:19:28,960
+إثبات أو قاعدة تسوية، بخصم الديون المعدومة من حساب
+
+149
+00:19:28,960 --> 00:19:39,060
+الديون المعدومة إلى حساب المدينين، هذه مائة دينار
+
+150
+00:19:51,650 --> 00:20:02,450
+ممتاز، إذا من حساب الأرباح والخسائر، أو ملخص الدخل
+
+151
+00:20:02,450 --> 00:20:12,210
+إلى حساب الديون المعدومة، وهي ثلاثمئة دولار، لماذا
+
+152
+00:20:12,210 --> 00:20:13,510
+ثلاثمئة دولار؟
+
+153
+00:20:25,040 --> 00:20:32,520
+في عملية الإقفال، ماذا نفعل؟ نفعل ماذا؟ نقفل كامل
+
+154
+00:20:32,520 --> 00:20:38,740
+القيمة، الذي هو الدين القديم، والديون ماذا؟ الجديدة. إذا
+
+155
+00:20:38,740 --> 00:20:47,440
+هو هذه مائة دينار، هذه مائة دينار، زائد مئتان دولار، إذا
+
+156
+00:20:47,440 --> 00:20:54,690
+هنا أيضًا أثبتنا قيد التسوية. إذا هذا من حساب الدين
+
+157
+00:20:54,690 --> 00:20:58,210
+المعدوم إلى حساب المدينين، هو قيد التسوية وهذا قيد
+
+158
+00:20:58,210 --> 00:21:02,990
+إقفال، التسوية تكون بالدين الجديدة التي حدثت في
+
+159
+00:21:02,990 --> 00:21:07,290
+واحد، أو أُعدمت في 31/12، والإقفال
+
+160
+00:21:07,290 --> 00:21:14,970
+يكون بجميع الديون التي تم إعدامها خلال العام، خلال
+
+161
+00:21:14,970 --> 00:21:21,260
+العام وفي نهاية العام، تمام؟ هذا بالنسبة للمطلوب
+
+162
+00:21:21,260 --> 00:21:24,220
+الذي هو رقم واحد، إعدام الدين، قيود التسوية
+
+163
+00:21:24,220 --> 00:21:24,880
+و الإقفال؟
+
+164
+00:21:47,570 --> 00:21:52,930
+الديون المشكوك فيها ليصبح 10% من الرصيد المدين
+
+165
+00:21:52,930 --> 00:21:58,050
+للفترة، يعني 4400 ضرب عشرة بالمئة، عيد
+
+166
+00:21:58,050 --> 00:22:02,350
+ثانيًا، 4400 ضرب عشرة بالمئة، أحكي لنا
+
+167
+00:22:02,350 --> 00:22:11,610
+يا عزيزي، نفسه، خطأ، أن الآن تقرر تعديل مخصص الديون
+
+168
+00:22:11,610 --> 00:22:14,570
+المشكوك فيها ليصبح 10% من الرصيد المدين
+
+169
+00:22:21,880 --> 00:22:25,940
+الدفاتر، إذا المخصص يساوي، يساوي 4400
+
+170
+00:22:25,940 --> 00:22:31,980
+ناقص مئتان، التي هي الديون ماذا؟ المعدومة
+
+171
+00:22:31,980 --> 00:22:37,620
+مضروب في ماذا؟ عشرة في المائة، ويساوي كم؟ 4200
+
+172
+00:22:37,620 --> 
+
+223
+00:28:41,880 --> 00:28:50,580
+دولار يعني يعني كيف بيكون الرصيد؟ ما يخص الرصيد كام؟
+
+224
+00:28:50,580 --> 00:28:55,720
+ما يخص كام؟ 420 الفرق الرقمي
+
+225
+00:29:08,980 --> 00:29:16,240
+ممتاز، نكتب، وبعدين نعلقه، ونصنعه. إذا هنا هنا في
+
+226
+00:29:16,240 --> 00:29:20,360
+هذه الحالة، في هذه الحالة نكتب، وبعدين نحكي القيد
+
+227
+00:29:20,360 --> 00:29:29,900
+من حساب مخصص ديون مشكوك فيها إلى حساب الأرباح
+
+228
+00:29:29,900 --> 00:29:33,100
+والخسائر أو ملخص الدخل
+
+229
+00:29:35,560 --> 00:29:43,720
+كام؟ ثمانين.. ثمانين درهم طيب.. إذا بدأ  أعقب على
+
+230
+00:29:43,720 --> 00:29:49,260
+كلاهما طبعاً هذه دلوقت.. وفرضاً هي ليست حالة..
+
+231
+00:29:49,260 --> 00:29:52,620
+فرضاً.. وهذه كلمة فرضاً عشان أنتم إحنا في نهاية
+
+232
+00:29:52,620 --> 00:29:56,360
+الأسبوع، مش قادرين تصبروا ليوم السبت، حكيتها بس
+
+233
+00:29:56,360 --> 00:30:00,240
+بوعدكم يوم السبت يكون عليها سؤال، ماشي؟
+
+234
+00:30:06,280 --> 00:30:11,540
+عندما كان رصيد المخصص أقل، تمام؟ المخصص يكون إيش؟
+
+235
+00:30:11,540 --> 00:30:16,740
+مدينة، وعندما يكون رصيد المخصص أكبر؟ مدينة المخصص إيه
+
+236
+00:30:16,740 --> 00:30:24,280
+مدينة؟ إذا الآن خلاصة الكلمتين هذول، إذا كان رصيد
+
+237
+00:30:24,280 --> 00:30:32,260
+المخصص، إذا كان رصيد المخصص في الميزانية الأولى أقل
+
+238
+00:30:32,260 --> 00:30:42,580
+من ما يخص العام، أقل من ما يخص العام، فإن حساب المخصص
+
+239
+00:30:42,580 --> 00:30:51,380
+يكون.. يكون دائن، والعكس
+
+240
+00:30:51,380 --> 00:30:53,640
+صحيح، والعكس
+
+241
+00:31:05,750 --> 00:31:12,130
+هل من سؤال؟ أي سؤال يا صبايا؟ لأ، okay، الآن
+
+242
+00:31:12,130 --> 00:31:18,630
+نأتي للمطلب رقم إيش؟ اثنين، اثنين
+
+243
+00:31:18,630 --> 00:31:23,210
+اثنين، تصوير، تصوير حساب المدينين وحساب المخصص
+
+244
+00:31:23,210 --> 00:31:30,910
+حساب إيش؟ المدينين، حساب المدينين، حساب المدينين
+
+245
+00:31:30,910 --> 00:31:37,680
+تمام؟ تمام، الآن تصوير حساب المدينين، هل له رصيد
+
+246
+00:31:37,680 --> 00:31:47,720
+صابر؟ نعم، من بني جابر، من خديجة، رصيد
+
+247
+00:31:47,720 --> 00:31:50,880
+صابر 4400
+
+248
+00:32:01,960 --> 00:32:04,880
+مدينين؟ قرروا أن يغادروا أرض الوطن؟ يعملوا
+
+249
+00:32:04,880 --> 00:32:09,520
+جواصات؟ لماذا الدين؟ ما عندهم، الحساب إيش؟ مدينيته
+
+250
+00:32:09,520 --> 00:32:17,560
+هاي مدينة، هل بقى شيء إن يرحل؟ لا، نقوم بعملية إيش؟
+
+251
+00:32:17,560 --> 00:32:22,720
+هاي أربعة آلاف وأربعمائة، أربعة آلاف وأربعمائة، أربع
+
+252
+00:32:22,720 --> 00:32:28,280
+آلاف وأربعمائة، رصيد إيه؟ مدينة، لأن في العرف المحاسبي
+
+253
+00:32:28,280 --> 00:32:37,260
+المدينين، رصيدها مدين، رصيدها مدين، تمام؟ نأتي إلى
+
+254
+00:32:37,260 --> 00:32:45,540
+حساب المخصص، حساب مخصص ديون مشكوك فيها، هل لها
+
+255
+00:32:45,540 --> 00:32:47,620
+رصيد؟ يلا، من
+
+256
+00:33:01,190 --> 00:33:08,450
+من حساب الأرباح والخسائر، هي إيش؟ سبعين، من حساب
+
+257
+00:33:08,450 --> 00:33:16,130
+الأرباح والخسائر، إذا أربعمائة وعشرين، أربعمائة
+
+258
+00:33:16,130 --> 00:33:21,650
+وعشرين، أربعمائة وعشرين، أربعمائة وعشرين، رصيد
+
+259
+00:33:29,470 --> 00:33:37,310
+رصيد دائن، تمام؟ لأنه أنا عارف لازم بمخصص دين مشكوك
+
+260
+00:33:37,310 --> 00:33:41,690
+فيها لازم يطلع رصيد إيش؟ لازم يطلع رصيد دائن، دائن
+
+261
+00:33:41,690 --> 00:33:48,050
+تمام؟ أي سؤال؟ طيب، الآن أخوات، نأتي للمطلوب إيه؟
+
+262
+00:33:48,050 --> 00:33:55,810
+الثالث، المطلوب الثالث اللي هو ميزان المراجعة
+
+263
+00:33:55,810 --> 00:33:57,530
+النهائي
+
+264
+00:34:04,100 --> 00:34:09,000
+التسويات، إذا هنا طبعاً ميزان المراجعة بعد التسويات
+
+265
+00:34:09,000 --> 00:34:12,980
+بناخذه من أين أصلاً؟ من حسابات الإقفال، الصورة، إذا
+
+266
+00:34:12,980 --> 00:34:17,440
+مثلاً، تفضلي، هل نحكي المدينين أربعة آلاف وأربعمائة
+
+267
+00:34:17,440 --> 00:34:22,540
+..أربعة آلاف وأربعمائة؟ المدينين، المدينين أربعة آلاف و
+
+268
+00:34:22,540 --> 00:34:27,120
+أربعمائة، لأنه صار إيه؟ فعلاً الديون المسجلة في الدفاتر
+
+269
+00:34:27,120 --> 00:34:31,060
+لأن الديون اللي عدّمناها خلال نهاية العام شطبناها
+
+270
+00:34:31,060 --> 00:34:38,900
+تمام؟ طيب، مين يشارك ثاني؟ ديون المعدومة هي 300
+
+271
+00:34:38,900 --> 00:34:47,960
+ديون المعدومة هي 300، ديون المعدومة هي 300، ديون
+
+272
+00:34:47,960 --> 00:34:52,420
+المعدومة هي 300
+
+273
+00:34:52,420 --> 00:34:57,040
+ديون المعدومة هي 300، ديون المعدومة هي 300، ديون
+
+274
+00:34:57,040 --> 00:34:57,460
+المعدومة هي 300، ديون المعدومة هي 300، ديون المعدومة
+
+275
+00:34:57,460 --> 00:34:57,480
+هي 300، ديون المعدومة هي 300، ديون المعدومة هي 300
+
+276
+00:34:57,480 --> 00:34:57,560
+المعدومة هي 300، ديون المعدومة هي 300، ديون المعدومة
+
+277
+00:34:57,560 --> 00:35:00,520
+المعدومة هي 300، ديون المعدومة هي 700، ديون المعدومة
+
+278
+00:35:00,520 --> 00:35:06,130
+هي 700، ديون المعدومة، الكارتات المحاسبية هنا إيش؟ ما
+
+279
+00:35:06,130 --> 00:35:09,830
+يخص العام بتاعه أين؟ ما يخص العام هنا ال DC
+
+280
+00:35:09,830 --> 00:35:16,290
+المخصص، هاي مخصص لأنه كانت 350، بناخد الرقم الفعلي
+
+281
+00:35:16,290 --> 00:35:24,410
+مخصص ديون مشكوك فيها 420، رصيد إيش؟ دائن، إذا
+
+282
+00:35:24,410 --> 00:35:32,210
+هذا المطلوب الثالث، هل من سؤال؟ ماشي، الآن ميزان
+
+283
+00:35:32,210 --> 00:35:38,730
+المراجعة النهائي بناخذه من واقع إيش؟ من واقع، ناخد
+
+284
+00:35:38,730 --> 00:35:43,750
+هنا طبعاً المتغيرات اللي صارت بالنسبة للمدينين، مش
+
+285
+00:35:43,750 --> 00:35:47,490
+راح منها 200 دولار، لها العام، تمام، المدينين صار
+
+286
+00:35:47,490 --> 00:35:53,010
+قداش عندنا، تمام، المخصص، الأب، الديون معهم راح منها
+
+287
+00:35:53,010 --> 00:35:57,850
+200، المدينين طيب، و 200 زائد 100، صار ديون معهم
+
+288
+00:35:57,850 --> 00:35:58,610
+قداش عندنا؟
+
+289
+00:36:02,070 --> 00:36:05,910
+الديون المعدومة، لو قررت أن تغادر أرض الوطن
+
+290
+00:36:05,910 --> 00:36:10,810
+وصورتها، هتطلع ثلاثمائة، تمام؟ الآن المخصص، مش هو
+
+291
+00:36:10,810 --> 00:36:13,430
+اللي بتعديل، مخصص الديون، وشوية، عشرة في المائة من رصيد
+
+292
+00:36:13,430 --> 00:36:18,950
+المدينين؟ أيوة، إذا هذا الرصيد أو المخصص هو الذي
+
+293
+00:36:18,950 --> 00:36:22,590
+يظهر في ميزان المراجعة النهائي، مش جال تعديل؟ كان
+
+294
+00:36:22,590 --> 00:36:27,950
+ثلاثمائة وخمسين، تعدّى، وصار كده؟ أربعمائة وعشرين، تمام؟
+
+295
+00:36:27,950 --> 00:36:29,290
+أي سؤال؟
+
+296
+00:36:33,820 --> 00:36:41,440
+رقم أربعة، حساب الأرباح والخسائر، حساب الأرباح والخسائر
+
+297
+00:36:41,440 --> 00:36:49,780
+حساب الأرباح والخسائر، الآن عندنا الديون المعدومة
+
+298
+00:36:49,780 --> 00:36:54,820
+الديون المعدومة، قداش بتخص العام كله؟ ثلاثمائة، أين
+
+299
+00:36:54,820 --> 00:37:04,950
+تأتي إلى حساب ديون معدومة، ولكن إشهارياً، المخصص من
+
+300
+00:37:04,950 --> 00:37:09,970
+الذي يذهب إلى المدينة، يا أبو حسين، من واقع القيد، من
+
+301
+00:37:09,970 --> 00:37:17,450
+واقع القيد اللي هو إيش؟ سبعين دينار، إذا هنا هاي
+
+302
+00:37:17,450 --> 00:37:27,890
+سبعين، إلى حساب مخصص ديون مشكوك فيها، أي سؤال؟ أي
+
+303
+00:37:27,890 --> 00:37:33,510
+سؤال يا صبايا؟ بدل على الميزانية، وأذكر كما قلت قبل في
+
+304
+00:37:33,510 --> 00:37:37,930
+بداية المحاضرة، الديون المعدومة بتروح الأرباح
+
+305
+00:37:37,930 --> 00:37:42,430
+والخسائر، السماعات، ويرونها بتروح علوياً، والمخصص بيروح
+
+306
+00:37:42,430 --> 00:37:46,550
+علوياً، أين؟ أذهب إلى الميزانية، الميزانية، الميزانية
+
+307
+00:37:46,550 --> 00:37:47,710
+الميزانية، الميزانية، الميزانية، الميزانية، الميزانية
+
+308
+00:37:47,710 --> 00:37:52,790
+الميزانية، الميزانية، الميزانية، الميزانية، الميزانية
+
+309
+00:37:52,790 --> 00:37:54,870
+الميزانية، الميزانية، الميزانية، الميزانية، الميزانية
+
+310
+00:37:54,870 --> 00:37:55,250
+الميزانية، الميزانية، الميزانية، الميزانية، الميزانية
+
+311
+00:37:55,250 --> 00:37:57,110
+الميزانية، الميزانية، الميزانية، الميزانية، الميزانية
+
+312
+00:37:57,110 --> 00:38:01,500
+الميزانية، الميزانية، الميزانية، بيظهر الشهد وين؟
+
+313
+00:38:01,500 --> 00:38:09,060
+مع الأصول المتداولة، تمام؟ اه، مين بدي أجيب، و ما أنا
+
+314
+00:38:09,060 --> 00:38:12,220
+أجيبش؟
+
+315
+00:38:12,220 --> 00:38:15,240
+المدينين
+
+316
+00:38:15,240 --> 00:38:20,060
+ممتاز، على لحظة، أربعة آلاف وأربعمائة هي الرصيدة
+
+317
+00:38:20,060 --> 00:38:20,980
+الجديدة للمدينين
+
+318
+00:38:34,120 --> 00:38:40,840
+ثلاثة آلاف وسبعمائة وثمانين، ثلاثة آلاف وسبعمائة و
+
+319
+00:38:40,840 --> 00:38:50,700
+ثمانين، مال لديها أي سؤال؟ مال لديها أي سؤال؟ إذا
+
+320
+00:38:50,700 --> 00:38:56,540
+دخلتي، نأتي إلى نهاية محاضرة اليوم، ونلتقي بسؤال
+
+321
+00:38:56,540 --> 00:39:00,540
+مثل هذا في المحاضرة القادمة بمشيئة الله
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/mCk1KDkTM68_postprocess.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/mCk1KDkTM68_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..ff8d8c119e0274d1482f519fb181476a10ddfc18
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/mCk1KDkTM68_postprocess.srt
@@ -0,0 +1,1284 @@
+1
+00:00:20,720 --> 00:00:25,960
+بدأنا بالحديث في المحاضرة الماضية عن جرد المدينين
+
+2
+00:00:25,960 --> 00:00:39,200
+جرد المدينين تمام جرد المدينين جرد المدينين تمام
+
+3
+00:00:39,200 --> 00:00:45,060
+وحكينا من ضمن الشير التحدثناه ان الديون الديون
+
+4
+00:00:45,060 --> 00:00:49,990
+الشركة يقوم المحاسبيقوم المحاسب بتصنيفها إلى ثلاث
+
+5
+00:00:49,990 --> 00:00:54,470
+أصلاح الديون الجيدة، الديون المشكوك فيها، و الديون
+
+6
+00:00:54,470 --> 00:00:58,950
+المعدومة الديون الجيدة لا قيود لها، الديون الجيدة
+
+7
+00:00:58,950 --> 00:01:06,610
+لا قيود لها إطلاقا، بينما في عندنا ديون معدومة و
+
+8
+00:01:06,610 --> 00:01:14,950
+ديون مشكوك فيها، تمام؟ في ديون معدومة و ديون مشكوك
+
+9
+00:01:14,950 --> 00:01:20,590
+فيهاالديون المعلومة تحدثنا لبعض المعالجات
+
+10
+00:01:20,590 --> 00:01:24,730
+المحاسبية عنها في المحاضرة الماضية وسوف نعود إليها
+
+11
+00:01:24,730 --> 00:01:30,830
+مرة أخرى عندما نتحدث عن الديون المشكوك في تحصيلها
+
+12
+00:01:30,830 --> 00:01:36,150
+تمام؟ الآن الديون المشكوكة اللي في تحصيلها قلنا
+
+13
+00:01:36,150 --> 00:01:43,450
+وفق لمبدأ الحيط والحضار يتم تكوين مخصص ديون مشكوك
+
+14
+00:01:43,450 --> 00:01:48,760
+فيهابنسبة معينة وبناء على الخبرة وكل ما طال عمر
+
+15
+00:01:48,760 --> 00:01:53,680
+الدين تزيد داريه النسبة هنا بالنسبة للديون المشكوك
+
+16
+00:01:53,680 --> 00:02:00,040
+فيها نقوم بتكوين مخصص نقوم بتكوين مخصص ديون مشكوك
+
+17
+00:02:00,040 --> 00:02:06,040
+فيها بناء على الخبرة العملية وبناء على عمر الدين
+
+18
+00:02:06,040 --> 00:02:11,860
+هذا المخصص يحمل على حساب الأرباح والخسائر
+
+19
+00:02:23,120 --> 00:02:34,160
+الدخل الى حساب الى حساب مخصص ديون مشكور فيها الى
+
+20
+00:02:34,160 --> 00:02:42,140
+حساب مخصص ديون مشكور فيها بالقيمة التي تقررت ايضا
+
+21
+00:02:42,140 --> 00:02:49,070
+اذكر هنا ان هذا القيد هو قيد تسوي و اقفالفي آن
+
+22
+00:02:49,070 --> 00:02:55,950
+واحد قيد تسوي الأقفال في آن واحد وذكرنا عندما
+
+23
+00:02:55,950 --> 00:03:01,070
+تحدثنا عن جرم أوراق القبر قلنا من حساب أوراق القبر
+
+24
+00:03:01,070 --> 00:03:08,690
+إلى حساب مخصص خسم أوراق القبر نفس الشيء قيد تسوي
+
+25
+00:03:08,690 --> 00:03:14,850
+الأقفال في آن واحد قلنا في المحاضرة الماضية أن هذا
+
+26
+00:03:14,850 --> 00:03:16,110
+طريقة الديون
+
+27
+00:03:23,980 --> 00:03:29,980
+يكون التخفيض مباشرة على
+
+28
+00:03:29,980 --> 00:03:37,480
+المدينين بينما المخصص يتم تكوينه وفق لمبدأ الحيطة
+
+29
+00:03:37,480 --> 00:03:44,140
+والحضار خوفا من المستقبل ان لا نستطيع تحصيل كل
+
+30
+00:03:44,140 --> 00:03:44,800
+الديون
+
+31
+00:03:58,590 --> 00:04:07,790
+بيظهر المخصص في الميزانية مطروحا طرحا شكليا من
+
+32
+00:04:07,790 --> 00:04:15,110
+مين؟ من المدينين من المدينين هذه الميزانية هنا
+
+33
+00:04:15,110 --> 00:04:24,490
+المدينين فضل 6000 دولار ناقص مخصص ديون مشكوك فيها
+
+34
+00:04:24,490 --> 00:04:26,730
+فرضا 500 دولار
+
+35
+00:04:29,800 --> 00:04:35,680
+لهذه الطريقة طريقة المخصص ان المخصص يذهب مطروحا
+
+36
+00:04:35,680 --> 00:04:42,340
+طرحا شكليا من المدنيين من المدنيين اذا نخلص من هذا
+
+37
+00:04:42,340 --> 00:04:47,460
+الكلام ان الديون المعدومة هي تؤثر بشكل مباشر على
+
+38
+00:04:47,460 --> 00:04:53,760
+المدنيين الديون المعدومة تقفل اين؟ في حساب الأرباح
+
+39
+00:04:53,760 --> 00:04:55,480
+والخسائر المنخص
+
+40
+00:05:01,180 --> 00:05:07,580
+حساب الأرباح والخسار أو ملخص الدخل بينما المخصص
+
+41
+00:05:07,580 --> 00:05:16,180
+موقع وين الميزانية الان دعونا نبدأ بالترجمة
+
+42
+00:05:16,180 --> 00:05:23,580
+الرقمية والان توفر لدينا هذا المقطع من ميزان
+
+43
+00:05:23,580 --> 00:05:25,980
+المراجعة الأولى
+
+44
+00:05:32,350 --> 00:05:39,130
+اللي هو الحساب لشركة الحساب مدينة دائمة اسم الحساب
+
+45
+00:05:39,130 --> 00:05:48,910
+اذا المدينين المدينين تسعة آلاف دنار تسعة آلاف
+
+46
+00:05:48,910 --> 00:05:54,330
+دنار هذا المقطع اللذي دهر لدينا من ميزان المراجعة
+
+47
+00:05:54,330 --> 00:05:55,890
+الأول لشركة الحساب
+
+48
+00:05:58,690 --> 00:06:10,350
+عند الجل .. عند الجل تقرر تكوين مخصص ديون مشكوك
+
+49
+00:06:10,350 --> 00:06:22,450
+فيها .. ديون مشكوك فيها بنسبة .. بنسبة 10% من رصيد
+
+50
+00:06:22,450 --> 00:06:31,800
+المدينين .. 10% من رصيد المدينينإذا توفر لدينا هذا
+
+51
+00:06:31,800 --> 00:06:36,420
+المقطع من ميزان المراجعة الأولى ميزان المراجعة
+
+52
+00:06:36,420 --> 00:06:40,540
+الأولى وتحتها حكى أن الارواح المعلوات الجردية في
+
+53
+00:06:40,540 --> 00:06:45,840
+عام 1931 تقرر أن يكون تكوين مخصص ديون مشكوك فيها
+
+54
+00:06:45,840 --> 00:06:51,200
+بنسبة 10% من الرصيد المدنية الكل ينتبع معاه في هذا
+
+55
+00:06:51,200 --> 00:06:56,320
+المثال حتى أنهي منه وعندما أبدأ بمثال آخر
+
+56
+00:07:04,100 --> 00:07:18,400
+الأن رقم واحد المطلوب إثبات قيد التسوية رقم
+
+57
+00:07:18,400 --> 00:07:26,020
+اتنين تصوير حساب المخصص رقم
+
+58
+00:07:26,020 --> 00:07:28,100
+تلاته بيان الأثر
+
+59
+00:07:32,970 --> 00:07:38,410
+حساب الأرباح والخسار والميزانية إذا نأتي إلى
+
+60
+00:07:38,410 --> 00:07:45,210
+المطلوب رقم واحد وهو قيد التسوية وهو قيد التسوية
+
+61
+00:07:45,210 --> 00:07:50,750
+وقلنا هنا تسوية أقفال في آن واحد تسوية أقفال في آن
+
+62
+00:07:50,750 --> 00:07:56,190
+واحد وحتى وإن قال لنا بدون تسوية أقفال هنتبه لغاية
+
+63
+00:07:56,190 --> 00:08:06,420
+إذا أول شيء هنقول مخصص ديون مشكورفيها مخصص ديون
+
+64
+00:08:06,420 --> 00:08:13,560
+مشكوك فيها لحظة ان ده ال ميم هنا تعني ديون مشكوك
+
+65
+00:08:13,560 --> 00:08:19,220
+فيها وهي ليس الديون المعدومة ده الميم ديون
+
+66
+00:08:19,220 --> 00:08:25,140
+المعدومة بشكل المطلق مخصص ديون مشكوك فيها اذا
+
+67
+00:08:25,140 --> 00:08:30,080
+يساوي ها تقرر تكون مخصص ديون مشكوك فيها بالنسبة 10
+
+68
+00:08:30,080 --> 00:08:37,730
+% من الرصيد ايه؟المدنيين رصيد المدنيين كام؟ 9000
+
+69
+00:08:37,730 --> 00:08:48,750
+دره عشرة فرمية يساوي تسعمية دينار تسعمية دينار
+
+70
+00:08:48,750 --> 00:08:55,950
+الآن بعد ما حسبنا المخصص هناك إضاءة محاسبة او
+
+71
+00:08:55,950 --> 00:08:59,330
+كركتير محاسبة مثل ما عملنا فيه
+
+72
+00:09:02,650 --> 00:09:07,670
+ما كنا نعمل في الإيضاء في الإيرادات والمصروفات إذا
+
+73
+00:09:07,670 --> 00:09:18,210
+نقول هنا رصيد وهنا ما يخص هنا رصيد وهنا إيش ما يخص
+
+74
+00:09:18,210 --> 00:09:24,830
+الآن الرصيد الرصيد هل المخصص له رصيد في ميزان
+
+75
+00:09:24,830 --> 00:09:30,730
+المراجعة؟ لأ إذا هنا هي صفر ما يخص العام هو المبلغ
+
+76
+00:09:30,730 --> 00:09:38,350
+الذي تمحسابه وهو ايه؟ تسعمائة دولار الفرق الرقمي
+
+77
+00:09:38,350 --> 00:09:50,190
+هو تسعمائة دولار الان قلت قبل قليل ان المخصص عندك
+
+78
+00:09:50,190 --> 00:09:57,690
+تكوينه لابد ان يحمل يا ياسمين انا اين؟ الاربعة
+
+79
+00:09:57,690 --> 00:10:03,730
+والخسار او الملخص الداخل طيب الانالفرق الرقمي في
+
+80
+00:10:03,730 --> 00:10:08,610
+المخصصات الفرق الرقمي في المخصصات يذهب إلى الأرباح
+
+81
+00:10:08,610 --> 00:10:15,170
+الخسارة أو الملخص وما يخص يده ملوين الميزانية إذا
+
+82
+00:10:15,170 --> 00:10:22,070
+عكس قاعدة الإيرادات والمصرفات عكس قاعدة الإيرادات
+
+83
+00:10:22,070 --> 00:10:27,530
+والمصرفات إذا هنا في هذه الحالة القيد سوف يكون
+
+84
+00:10:37,080 --> 00:10:45,300
+الى حساب مخصص ديون مشكور فيها وهي التسعمية دنار هو
+
+85
+00:10:45,300 --> 00:10:51,360
+الفرق الرقمي الفرق الرقمي اذا هذا القيط هو تسوية
+
+86
+00:10:51,360 --> 00:10:58,400
+الأقفال في ان و احد تسوية الأقفال في ان و احد نأتي
+
+87
+00:10:58,400 --> 00:11:03,740
+الى المطوب الثاني حتى يصبح لدينا قاعدة معرفية عن
+
+88
+00:11:03,740 --> 00:11:10,050
+هذه الجزئيةولا نكون مهيئين لمثال التاني حساب مخصص
+
+89
+00:11:10,050 --> 00:11:21,410
+ديون مشكوك فيها وقلنا عند تصوير أي حساب لابد أن
+
+90
+00:11:21,410 --> 00:11:26,990
+نذهب إلى ميزان المراجعة الأولى ونبحث هل له رصيد؟
+
+91
+00:11:26,990 --> 00:11:31,290
+لا يوجد هل له رصيد في ميزان المراجعة الأولى؟ لا
+
+92
+00:11:31,290 --> 00:11:38,110
+يوجد المخصصاترصيدها دائم، إذا كان لدينا رصيد صابق،
+
+93
+00:11:38,110 --> 00:11:45,810
+فسوف يظهر هنا رصيد صابق، المخصصات رصيدها دائم،
+
+94
+00:11:45,810 --> 00:11:50,870
+وأسمع البعض بقول دائم، وبعض بقول دمدين، المخصصات
+
+95
+00:11:50,870 --> 00:11:55,910
+رصيدها دائم، الدين المعدومة رصيدها دمدين، الدين
+
+96
+00:11:55,910 --> 00:11:56,650
+المعدومة
+
+97
+00:12:16,250 --> 00:12:23,770
+تسعمية من حساب الأرباح والخسار رحلنا نقوم بجمع كل
+
+98
+00:12:23,770 --> 00:12:30,350
+الطرفين الجانب المديني صفر الجانب الدائم تسعمية
+
+99
+00:12:30,350 --> 00:12:39,230
+إذا الرصيد سوف يكون دائم رصيد دائم
+
+100
+00:12:53,460 --> 00:13:01,060
+في العُرف المحاسبي المخصصات دائم
+
+101
+00:13:01,060 --> 00:13:12,820
+في الشيوكانية نذهب إلى رقم تلاتي بيان الأثر حساب
+
+102
+00:13:12,820 --> 00:13:14,480
+الأرباح والخسار
+
+103
+00:13:26,220 --> 00:13:34,900
+900 إلى حساب مخصص ديول مشكور فيها وقلنا بيان الأخر
+
+104
+00:13:34,900 --> 00:13:40,160
+وقلنا بيان الأخر إذا بيان الأخر يبقى حساب الأرواح
+
+105
+00:13:40,160 --> 00:13:44,660
+والخسار بهذا الشكل لكن هنا المخصص قلنا يا شاهد
+
+106
+00:13:44,660 --> 00:13:49,680
+تصوير وكلمة تصوير لابد أن نجمع المدينة ودائنا
+
+107
+00:13:49,680 --> 00:13:57,680
+ونطلع الفرق الرقمي طيب الآن هناالميزانية الميزانية
+
+108
+00:13:57,680 --> 00:14:04,720
+بالنسبة للميزانية حكينا المدينين المدينين أصل
+
+109
+00:14:04,720 --> 00:14:12,320
+متداول المدينين أصل متداول تفضلي ممتاز
+
+110
+00:14:12,320 --> 00:14:18,940
+إذا هاي 9000 المدينين والمدينين تظهر مع الأصول
+
+111
+00:14:18,940 --> 00:14:21,060
+المتداولة تظهر مع الأصول
+
+112
+00:14:28,880 --> 00:14:37,680
+تمن تلاوي الأمين إذا بهذا السؤال نكون وضعنا فكرة
+
+113
+00:14:37,680 --> 00:14:45,020
+عامة لدينا عن جميع الجوانب التي تخص المخصص، التي
+
+114
+00:14:45,020 --> 00:14:52,120
+تخص المخصص، ولكن الآن وأذكر تحدثنا في المحاضرة
+
+115
+00:14:52,120 --> 00:14:55,900
+الماضية علميا عن الديوان المعلومة
+
+116
+00:14:58,930 --> 00:15:03,090
+المخصص الديون المشكوك فيها الان الديون المعدوم هو
+
+117
+00:15:03,090 --> 00:15:11,910
+المخصص فيه سؤال الان الان عندنا الان سؤال تفرض
+
+118
+00:15:11,910 --> 00:15:19,450
+تفرض لديك لديك
+
+119
+00:15:19,450 --> 00:15:22,850
+الأرصدة
+
+120
+00:15:22,850 --> 00:15:28,710
+التالية والمستخرجة
+
+121
+00:15:34,250 --> 00:15:42,650
+عادل أفندي في واحد و تلاتين اتناش الفين و خمستاش
+
+122
+00:15:42,650 --> 00:15:46,670
+اتوفى
+
+123
+00:15:46,670 --> 00:15:51,890
+لديك الاصل التاري و المستخرج من دفاتر عادل أفندي
+
+124
+00:15:51,890 --> 00:15:57,670
+في واحد و تلاتين اتناش الفين و خمستاش ماشي مدين
+
+125
+00:15:57,670 --> 00:16:01,170
+طبعا ايه؟ هذا ميزان المراجعة الأولى ميزان المراجعة
+
+126
+00:16:01,170 --> 00:16:09,020
+ايه؟ الأولىمدين دائم اسم الحساب، المدينين،
+
+127
+00:16:09,020 --> 00:16:15,380
+المدينين، أربع تالاف وأربعمائة دنار، أربع تالاف
+
+128
+00:16:15,380 --> 00:16:21,340
+وأربعمائة دنار، ديون معدومة،
+
+129
+00:16:21,340 --> 00:16:25,740
+مئة دينار، مئة دينار
+
+130
+00:16:33,210 --> 00:16:42,950
+ليون مشكور فيها اللي هو تلت مية تلت مية و خمسين
+
+131
+00:16:42,950 --> 00:16:55,310
+دولار تلت مية و خمسين دولار و عند الجد تقرر
+
+132
+00:16:55,310 --> 00:17:02,270
+واحد اعدام دين جديد
+
+133
+00:17:03,250 --> 00:17:14,710
+مقداره 200 دولار وعند الجرب تقرر اعدام داين جديد
+
+134
+00:17:14,710 --> 00:17:27,050
+مقداره 200 دولار رقم اتنين رقم اتنين تقرر تعديل
+
+135
+00:17:27,050 --> 00:17:40,930
+تعديل مخصص الديون المشكوك فيهاليصبح 10% من رصيف
+
+136
+00:17:40,930 --> 00:17:49,410
+المدينين المطلوب
+
+137
+00:17:49,410 --> 00:18:02,270
+واحد قيود التسوية والاخفال رقم اتنينتصوير حساب
+
+138
+00:18:02,270 --> 00:18:13,430
+المدينين وحساب مخصص مخصص ديون مشكور فيها حساب مخصص
+
+139
+00:18:13,430 --> 00:18:19,790
+ديون مشكور فيها رقم تلاتة ميزان المراجعة بعد
+
+140
+00:18:19,790 --> 00:18:25,570
+التسويات ميزان المراجعة بعد التسويات أو النهائي
+
+141
+00:18:25,570 --> 00:18:34,770
+رقم أربع أخيرا بيان الأثرعلى حساب الأرباح والخسار
+
+142
+00:18:34,770 --> 00:18:41,950
+والميزانية بيان الأثر على حساب الأرباح والخسار
+
+143
+00:18:41,950 --> 00:18:47,090
+والميزانية إذا الأخرار كما نرى أن هذا السؤال يشمل
+
+144
+00:18:47,090 --> 00:18:51,010
+بدول كثيرة ويشمل كمقل الديون المعدودة ومخصصة وغير
+
+145
+00:18:51,010 --> 00:18:52,830
+ذلك إذا أول شيء
+
+146
+00:19:10,080 --> 00:19:16,280
+تسوية او لا؟ اول شي هو ديون المعدومة تكون ديون من
+
+147
+00:19:16,280 --> 00:19:23,760
+حساب ديون المعدومة إلى حساب المدينية ممتاز اذا
+
+148
+00:19:23,760 --> 00:19:28,960
+اثبات او قاعدة تسوية بخص الديون المعدومة من حساب
+
+149
+00:19:28,960 --> 00:19:39,060
+ديون المعدومة إلى حساب المدينية هاي متين دينار
+
+150
+00:19:51,650 --> 00:20:02,450
+ممتاز، إذا من حساب الأرباح والخسائر أو ملخص الدخل
+
+151
+00:20:02,450 --> 00:20:12,210
+إلى حساب الذيون المعدومة، وهي تلاتمية دولار، لماذا
+
+152
+00:20:12,210 --> 00:20:13,510
+تلاتمية دولار؟
+
+153
+00:20:25,040 --> 00:20:32,520
+فديجة في الاخفال إيش بنعمل؟ بنعمل إيش؟ بنقفل كامل
+
+154
+00:20:32,520 --> 00:20:38,740
+القيمة اللي هو الدين القديم و الدي إيش؟ الجديد إذا
+
+155
+00:20:38,740 --> 00:20:47,440
+هو هاي مية دنار، هاي مية دنار زائد ميتين دولار إذا
+
+156
+00:20:47,440 --> 00:20:54,690
+هنا كمانا أثبتنا قيد التسويع إذا هذامن حساب الدين
+
+157
+00:20:54,690 --> 00:20:58,210
+المعدوم على حساب المدينين هو قيد التسوية وهذا قيد
+
+158
+00:20:58,210 --> 00:21:02,990
+اقفال التسوية تكون بالدين الجديدة التي حدثت في
+
+159
+00:21:02,990 --> 00:21:07,290
+واحد أو اعدمت في واحد و تلاتين و اتناشر والاقفال
+
+160
+00:21:07,290 --> 00:21:14,970
+يكون بجميع الديون التي تم اعدامها خلال العام خلال
+
+161
+00:21:14,970 --> 00:21:21,260
+العام و في نهاية العام تمام؟ هذا بالنسبةليه
+
+162
+00:21:21,260 --> 00:21:24,220
+المطلوب اللي هو رقم 1 اعدام الدين قوية تسوي
+
+163
+00:21:24,220 --> 00:21:24,880
+والاخفال؟
+
+164
+00:21:47,570 --> 00:21:52,930
+الديون المشكوك فيها ليصبح 10% من الرصيد المديني
+
+165
+00:21:52,930 --> 00:21:58,050
+الفترة يعني اربعة ألف واربعمية ضرب عشرة بالمية عيد
+
+166
+00:21:58,050 --> 00:22:02,350
+تاني اربعة ألف واربعمية ضرب عشرة بالمية احكي لنا
+
+167
+00:22:02,350 --> 00:22:11,610
+يا عزيزي نفسها خطأ ان الان تقرر تعديل مخاص الديون
+
+168
+00:22:11,610 --> 00:22:14,570
+المشكوك فيها ليصبح 10% من الرصيد المديني
+
+169
+00:22:21,880 --> 00:22:25,940
+الدفاتر، إذا المخصص يساوي يساوي اربعة آلاف
+
+170
+00:22:25,940 --> 00:22:31,980
+واربعمية ناقص متين، اللي هي الديون إيه؟ المعدوم
+
+171
+00:22:31,980 --> 00:22:37,620
+مضارب إيش؟ عشرة في المية ويساوي كام؟ اربعة آلاف
+
+172
+00:22:37,620 --> 00:22:41,160
+ومتين، اربعة أشرف ومتين، اربعة أشرف ومتين، اربعة
+
+173
+00:22:41,160 --> 00:22:44,520
+أشرف ومتين، اربعة أشرف ومتين، اربعة أشرف ومتين،
+
+174
+00:22:44,520 --> 00:22:45,540
+اربعة أشرف ومتين، اربعة أشرف ومتين، اربعة أشرف
+
+175
+00:22:45,540 --> 00:22:46,680
+ومتين، اربعة أشرف ومتين، اربعة أشرف ومتين، اربعة
+
+176
+00:22:46,680 --> 00:22:48,880
+أشرف ومتين، اربعة أشرف ومتين، اربعة أشرف وم
+
+177
+00:22:54,430 --> 00:23:01,470
+مخصص يتم تكوينه من الديون المسجلة فعلا في الدفاتر
+
+178
+00:23:01,470 --> 00:23:07,130
+مش كان عندي 4000 و400 تمام فيه 200 اعتمدتها
+
+179
+00:23:07,130 --> 00:23:11,130
+تشتطبها في الدفاتر و بعدين تقول ايه من رصيد
+
+180
+00:23:11,130 --> 00:23:18,350
+المدينين رصيد المدينين الجيد رصيد المدينين الجيد
+
+181
+00:23:18,350 --> 00:23:23,090
+طب عندما اقول رصيد المدينين او الجيد يعني اذا كان
+
+182
+00:23:23,090 --> 00:23:29,300
+هناك فيه ديونالواحد دي مات في نهاية العام لابد أن
+
+183
+00:23:29,300 --> 00:23:36,280
+تُطرح قبل تكوين المخصص تشيرين قبل تكوين المخصص
+
+184
+00:23:36,280 --> 00:23:44,220
+تمام يا دانيا؟ طيب، الآن أخوات بعد ما حسبنا
+
+185
+00:23:44,220 --> 00:23:49,220
+المخصص، هلاحظوا إيه أي دين الحدثناه؟ أي دين
+
+186
+00:23:49,220 --> 00:23:52,860
+الحدثناه؟ الديون المعدومة التي إيش؟
+
+187
+00:24:00,650 --> 00:24:11,790
+الان هنا نقول رصيد وهنا ما يخص الرصيد أربعمائة
+
+188
+00:24:11,790 --> 00:24:19,330
+وعشرين ولكن ما يخص الرصيد كم؟ الرصيد تلتمية وخمسين
+
+189
+00:24:20,110 --> 00:24:25,610
+تلاتمية وخاصية لكن ما يخص هو الرقم اللي هو الرصيد
+
+190
+00:24:25,610 --> 00:24:27,390
+ايه او المبلغ اللي ايه
+
+191
+00:24:41,960 --> 00:24:48,380
+طرحنا منها اللذي قُعد في نهاية العام صار عندى 4200
+
+192
+00:24:48,380 --> 00:24:55,240
+ضرب 10 طلع 420 الان رصيده المخصص 350 جيبناها من
+
+193
+00:24:55,240 --> 00:24:59,860
+ميزان المراجعة انا مكونته خلال العام والذي يظهر في
+
+194
+00:24:59,860 --> 00:25:06,180
+ميزان المراجعة الأولى هي أحداث حدثت فعلا اثبتت في
+
+195
+00:25:06,180 --> 00:25:12,450
+الدفاتر رحلت إلى دفتر الأستاذ ومن ثميا دانيا إيش؟
+
+196
+00:25:12,450 --> 00:25:17,590
+ومن ثم ما إيش؟ اللي هو إيه؟ ومن ثم ما ظهرت في
+
+197
+00:25:17,590 --> 00:25:21,450
+ميزان المراجعة الأولى، ومن ثم ما ظهرت في ميزان
+
+198
+00:25:21,450 --> 00:25:27,090
+المراجعة الأولى، إذا هاي 350 رصيدة أنا عامله قبل،
+
+199
+00:25:27,090 --> 00:25:30,430
+لكن عندما حسبنا في واحدة ثلاثين اتناش، واحدة
+
+200
+00:25:30,430 --> 00:25:33,390
+ثلاثين اتناش عند التسوية في واحدة ثلاثين اتناش،
+
+201
+00:25:33,390 --> 00:25:35,510
+طلع ما يخص العامة أربعمية وإيش
+
+202
+00:25:53,490 --> 00:26:00,350
+وما يخصه العالمين ممتاز طيب الان انا عامل تلاتمية
+
+203
+00:26:00,350 --> 00:26:04,170
+و خمسين و يوم ما اعمل المخصص ايش دي يكون القيم
+
+204
+00:26:04,170 --> 00:26:10,450
+ارباح و خسارة الى المخصص طب انا الان عامل ايه عامل
+
+205
+00:26:10,450 --> 00:26:15,050
+تلاتمية و خمسين لكن اتفاجأت في نهاية العام المخصص
+
+206
+00:26:15,050 --> 00:26:20,250
+اللذي يخص العام اكبر من اللي انا عامله
+
+207
+00:26:40,890 --> 00:26:51,170
+أو ملخص الدخل إلى حساب مخصص ديون مشفوخ فيها
+
+208
+00:27:07,870 --> 00:27:14,090
+الفرق الرقمي هو اللي دايما بيظهر معقيد التسوية لكن
+
+209
+00:27:14,090 --> 00:27:20,330
+الان بنشوف هل المخصص بيكون دائم ولا مدين هنا بنتبه
+
+210
+00:27:20,330 --> 00:27:27,730
+اذا الان راحظوا انا عام 350 لكن بخص العام 420الان
+
+211
+00:27:27,730 --> 00:27:33,170
+انا بدى كمان سبعين احملهم على أرباحه الخسار عشان
+
+212
+00:27:33,170 --> 00:27:37,950
+ايه قلت ان حساب الأرباح الخسار الى حساب المخصص
+
+213
+00:27:37,950 --> 00:27:42,250
+يعني يوم انا محملة حساب الأرباح الخسار بالتلاتمية
+
+214
+00:27:42,250 --> 00:27:47,750
+و خمسين قلت هى الان محملة بأقل من اللازم محملة
+
+215
+00:27:47,750 --> 00:27:53,170
+بأقل من اللازم اذا الان بنزود تمام الان بتحكي كمان
+
+216
+00:27:53,170 --> 00:27:58,380
+شغلة و بعدين اسمع ما لديها اي سؤالالان يا أخوات
+
+217
+00:27:58,380 --> 00:28:02,880
+الان
+
+218
+00:28:02,880 --> 00:28:09,920
+والله ربط سائلة تسأل وهذا يدور في تفكير الكثير
+
+219
+00:28:09,920 --> 00:28:15,980
+منكم الان اللي انا بده احكيه ليس جزء من السؤال هو
+
+220
+00:28:15,980 --> 00:28:21,500
+ايش؟ ايوه فرضا ها و بدك تقوله على الأحمر فرضا كان
+
+221
+00:28:21,500 --> 00:28:36,340
+رسيل المخصص فيميزان المراجعة الأولى 500 دولار فعلا
+
+222
+00:28:36,340 --> 00:28:41,880
+كان الرصيد المخصص في ميزان المراجعة 500 دولار 500
+
+223
+00:28:41,880 --> 00:28:50,580
+دولار يعني يعني كيف بيكون رصيد ما يخص الرصيد كام
+
+224
+00:28:50,580 --> 00:28:55,720
+ما يخص كام 420 الفرق الرقميش
+
+225
+00:29:08,980 --> 00:29:16,240
+ممتاز نكتب و بعدين نعلقه و نصنعه اذا هنا هنا في
+
+226
+00:29:16,240 --> 00:29:20,360
+هذه الحالة في هذه الحالة نكتب و بعدين نحكي القائلة
+
+227
+00:29:20,360 --> 00:29:29,900
+من حساب مخصص مخصص ديون مشكوك فيها الى حساب الأرباح
+
+228
+00:29:29,900 --> 00:29:33,100
+و الخسار او ملخص الدخل
+
+229
+00:29:35,560 --> 00:29:43,720
+كام؟ تمانين .. تمانين درهم طيب .. إذا بدأ أعقب على
+
+230
+00:29:43,720 --> 00:29:49,260
+كلاهما طبعا هذه دلوقت .. و فرضا هي ليس حالة ..
+
+231
+00:29:49,260 --> 00:29:52,620
+فرضا .. و هذه كلمة فرضا عشان إنتوا إحنا في نهاية
+
+232
+00:29:52,620 --> 00:29:56,360
+الأسبوع مش قادرين تصبروا ليوم السبت حكيتها بس
+
+233
+00:29:56,360 --> 00:30:00,240
+بوعدكوا يوم السبت يكون عليها سؤال ماشي؟
+
+234
+00:30:06,280 --> 00:30:11,540
+عندما كان رصيد المخصص أقل تمام؟ المخصص يكون إيش؟
+
+235
+00:30:11,540 --> 00:30:16,740
+ده وعندما يكون رصيد المخصص أكبر؟ مدينة المخصص إيه
+
+236
+00:30:16,740 --> 00:30:24,280
+مدينة؟ إذا الآن خلاصة الكلمتين هذول إذا كان رصيد
+
+237
+00:30:24,280 --> 00:30:32,260
+المخصص إذا كان رصيد المخصص في الميزان الأولى أقل
+
+238
+00:30:32,260 --> 00:30:42,580
+من ما يخص العامأقل من ما يخص العام فإن حساب المخصص
+
+239
+00:30:42,580 --> 00:30:51,380
+يكون .. يكون دان والعكس
+
+240
+00:30:51,380 --> 00:30:53,640
+صحيح والعكس
+
+241
+00:31:05,750 --> 00:31:12,130
+هل من السؤال .. اي سؤال يا صبايا؟ لأ Okay الان
+
+242
+00:31:12,130 --> 00:31:18,630
+نأتي للمقب رقم ايش؟ اتنين اتنين
+
+243
+00:31:18,630 --> 00:31:23,210
+اتنين تصوير تصوير حساب المدينين وحساب المهاجرين
+
+244
+00:31:23,210 --> 00:31:30,910
+حساب ايش؟ المدينين حساب المدينين حساب المدينين
+
+245
+00:31:30,910 --> 00:31:37,680
+تمام؟ تمامالآن تسوير حساب المدنين، هل له رصيد
+
+246
+00:31:37,680 --> 00:31:47,720
+صابر؟ نعم، من بني جاب، من خديجة، رصيد
+
+247
+00:31:47,720 --> 00:31:50,880
+صابر 4400
+
+248
+00:32:01,960 --> 00:32:04,880
+مدينين؟ قرروا ان يغادروا أرض الوطن؟ يعملوا
+
+249
+00:32:04,880 --> 00:32:09,520
+جواصفات؟ لماذا الدين ماعندهم الحساب ايش؟ مدينيتا
+
+250
+00:32:09,520 --> 00:32:17,560
+هاي مدينة هل بقى شيء ان يرحل؟ لا نقوم بعملية ايش؟
+
+251
+00:32:17,560 --> 00:32:22,720
+هاي اربع تلاف واربعمية اربع تلاف واربعمية اربع
+
+252
+00:32:22,720 --> 00:32:28,280
+تلاف ومتين رصيد ايه؟ مدينةلأن في العُرف المحاسبي
+
+253
+00:32:28,280 --> 00:32:37,260
+المدينين، رصيدها مدين، رصيدها مدين، تمام؟ نأتي إلى
+
+254
+00:32:37,260 --> 00:32:45,540
+حساب المخصص، حساب مخصص، ديون مشكوه فيها، هل لها
+
+255
+00:32:45,540 --> 00:32:47,620
+رصيد؟ يلا من
+
+256
+00:33:01,190 --> 00:33:08,450
+من حساب الأرباح والخسار هي ايش؟ سبعية من حساب
+
+257
+00:33:08,450 --> 00:33:16,130
+الأرباح والخسار اذا أربع مية وعشرين اربع مية
+
+258
+00:33:16,130 --> 00:33:21,650
+وعشرين اربع مية وعشرين اربع مية وعشرين رصيد
+
+259
+00:33:29,470 --> 00:33:37,310
+رصيد ده تمام؟ لأنه انا عارف لازم بمخصص دين مشكوك
+
+260
+00:33:37,310 --> 00:33:41,690
+فيها لازم يطلع رصيد ايش؟ لازم يطلع رصيد ده ده
+
+261
+00:33:41,690 --> 00:33:48,050
+تمام؟ اي سؤال؟ طيب الان اخوات تاتي للمطلوب ايه؟
+
+262
+00:33:48,050 --> 00:33:55,810
+التالت المطلوب التالت اللي هو ميزان المراجعة
+
+263
+00:33:55,810 --> 00:33:57,530
+النهائي
+
+264
+00:34:04,100 --> 00:34:09,000
+التسويات إذا هنا طبعا ميزان مراجع بعد التسويات
+
+265
+00:34:09,000 --> 00:34:12,980
+بناخده من أين أصلا؟ من حسابات الاتصال الصورة إذا
+
+266
+00:34:12,980 --> 00:34:17,440
+مثلا تفضلي هل نحكي المدينين أربع تلاف و أربع مية
+
+267
+00:34:17,440 --> 00:34:22,540
+.. أربع تلاف و متين؟ المدينين المدينين أربع تلاف و
+
+268
+00:34:22,540 --> 00:34:27,120
+متين لأنه صار إيه؟ فعلا الديون المسجلة في الدفاتة
+
+269
+00:34:27,120 --> 00:34:31,060
+لأن الديون اللي عدمناها خلال نهاية العام شطبت
+
+270
+00:34:31,060 --> 00:34:38,900
+تمام؟ طيبميبني شارك تاني؟ ديون المعدومة هي 300
+
+271
+00:34:38,900 --> 00:34:47,960
+ديون المعدومة هي 300 ديون المعدومة هي 300 ديون
+
+272
+00:34:47,960 --> 00:34:52,420
+المعدومة هي 300
+
+273
+00:34:52,420 --> 00:34:57,040
+ديون المعدومة هي 300 ديون المعدومة هي 300 ديون
+
+274
+00:34:57,040 --> 00:34:57,460
+المعدومة هي 300 ديون المعدومة هي 300 ديون المعدومة
+
+275
+00:34:57,460 --> 00:34:57,480
+هي 300 ديون المعدومة هي 300 ديون المعدومة هي 300
+
+276
+00:34:57,480 --> 00:34:57,560
+المعدومة هي 300 ديون المعدومة هي 300 ديون المعدومة
+
+277
+00:34:57,560 --> 00:35:00,520
+المعدومة هي 300 ديون المعدومة هي 700 ديون المعدومة
+
+278
+00:35:00,520 --> 00:35:06,130
+هي 700 ديون المعدومالكرتاتية المحاسبة هنا إيش؟ ما
+
+279
+00:35:06,130 --> 00:35:09,830
+يخص العام بتاعه أين؟ ما يخص العام هنا ال DC
+
+280
+00:35:09,830 --> 00:35:16,290
+المخصص، هاي مخصص لإنه كانت 350، بناخد الرقم الفعلي
+
+281
+00:35:16,290 --> 00:35:24,410
+مخصص ديون مشكوك فيها 420 مراسيد و إيش؟ دائم، إذا
+
+282
+00:35:24,410 --> 00:35:32,210
+هذا المطلوب التالت، هل من السؤال؟ ماشيالان ميزان
+
+283
+00:35:32,210 --> 00:35:38,730
+المراجعة النهائي بناخد من واقع ايش؟ من واقع ناخد
+
+284
+00:35:38,730 --> 00:35:43,750
+هنا طبعا المتغيرات اللي صارت بالنسبة للمدنيين مش
+
+285
+00:35:43,750 --> 00:35:47,490
+راح منها 200 دولار لها العام تمام المدنيين صار
+
+286
+00:35:47,490 --> 00:35:53,010
+قداش عنا تمام المخصص الأب الديون معاهم راح منها
+
+287
+00:35:53,010 --> 00:35:57,850
+200 المدنيين طيب و 200 زائد 100 صار ديون معاهم
+
+288
+00:35:57,850 --> 00:35:58,610
+قداش عنا
+
+289
+00:36:02,070 --> 00:36:05,910
+الديون المعدومة لو قررت ان تغادر ارض الوطن
+
+290
+00:36:05,910 --> 00:36:10,810
+وصورتيها هتطلع تلاتمية تمام؟ الان المخصص مش هو
+
+291
+00:36:10,810 --> 00:36:13,430
+اللي بتعديل مخص الديون وشوية عشرة فالمية من رصيد
+
+292
+00:36:13,430 --> 00:36:18,950
+المدنين؟ ايوة اذا هذا الرصيد او المخصص هو اللذي
+
+293
+00:36:18,950 --> 00:36:22,590
+يظهر في ميزان المراجعة النهائي مش جال تعديل؟ كان
+
+294
+00:36:22,590 --> 00:36:27,950
+تلاتمية وخمسين تعدى وصار كده؟ اربعمية وعشرين تمام؟
+
+295
+00:36:27,950 --> 00:36:29,290
+اي سؤال؟
+
+296
+00:36:33,820 --> 00:36:41,440
+رقم أربع حساب الأرباح والخسار حساب الأرباح والخسار
+
+297
+00:36:41,440 --> 00:36:49,780
+حساب الأرباح والخسار الآن عندنا الديون المعدومة
+
+298
+00:36:49,780 --> 00:36:54,820
+الديون المعدومة جداش بتخص العام كله تلت مية أين
+
+299
+00:36:54,820 --> 00:37:04,950
+تأتي إلى حساب ديون معدومةولكن اشهريا المخصص من
+
+300
+00:37:04,950 --> 00:37:09,970
+الذي يذهب الى الميادة يا أبو حسين من واقع القيد من
+
+301
+00:37:09,970 --> 00:37:17,450
+واقع القيد اللي هو ايش سبعين دينار اذا هنا هاي
+
+302
+00:37:17,450 --> 00:37:27,890
+سبعين الى حساب مخصص ديون مشكوك فيها اي سؤال اي
+
+303
+00:37:27,890 --> 00:37:33,510
+سؤال الصوايا بدل على المزالينوأذكر كما قلت قبل في
+
+304
+00:37:33,510 --> 00:37:37,930
+بداية المحاضرة الديون المعدومة بتروح الأرباح
+
+305
+00:37:37,930 --> 00:37:42,430
+والخسارة السماعات ويرونها بتروح علويا والمخصص بروح
+
+306
+00:37:42,430 --> 00:37:46,550
+علويا أين أذهب الميزانية الميزانية الميزانية
+
+307
+00:37:46,550 --> 00:37:47,710
+الميزانية الميزانية الميزانية الميزانية الميزانية
+
+308
+00:37:47,710 --> 00:37:52,790
+الميزانية الميزانية الميزانية الميزانية الميزانية
+
+309
+00:37:52,790 --> 00:37:54,870
+الميزانية الميزانية الميزانية الميزانية الميزانية
+
+310
+00:37:54,870 --> 00:37:55,250
+الميزانية الميزانية الميزانية الميزانية الميزانية
+
+311
+00:37:55,250 --> 00:37:57,110
+الميزانية الميزانية الميزانية الميزانية الميزانية
+
+312
+00:37:57,110 --> 00:38:01,500
+الميزانية الميزانية الميزانية الميتظهر الشهد وين؟
+
+313
+00:38:01,500 --> 00:38:09,060
+مع الأصول المتدورة تمام؟ اه مين بدي يجيب و مانا
+
+314
+00:38:09,060 --> 00:38:12,220
+أجيبش؟
+
+315
+00:38:12,220 --> 00:38:15,240
+المدنيين
+
+316
+00:38:15,240 --> 00:38:20,060
+ممتاز على لحظة أربعة آلاف و متين هي الرصيدة
+
+317
+00:38:20,060 --> 00:38:20,980
+الجديدة للمدنيين
+
+318
+00:38:34,120 --> 00:38:40,840
+تلات تلاف و سبعمية و تمانين تلات تلاف و سبعمية و
+
+319
+00:38:40,840 --> 00:38:50,700
+تمانين مال لديها أي سؤال؟ مال لديها أي سؤال؟ إذا
+
+320
+00:38:50,700 --> 00:38:56,540
+دخلتي نأتي إلى نهاية محاضرة اليوم و نلتقي بسؤال
+
+321
+00:38:56,540 --> 00:39:00,540
+مثل هذا في المحاضرة القادمة بمشية الله
+
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/ouPNvtal6LI.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/ouPNvtal6LI.srt
new file mode 100644
index 0000000000000000000000000000000000000000..807585ed630564d879aee17bc77c758bd1c0df63
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/ouPNvtal6LI.srt
@@ -0,0 +1,1298 @@
+1
+00:00:20,440 --> 00:00:26,980
+اليوم موضوعنا هيكون الجرد والتسويات الجردية
+
+2
+00:00:28,370 --> 00:00:33,150
+بالنسبة للجرد والتسويات الجردية سوف نبدأ من حيث
+
+3
+00:00:33,150 --> 00:00:38,990
+انتهينا في محاسبة واحد من القوائم المالية وقلنا أن
+
+4
+00:00:38,990 --> 00:00:46,490
+الدورة المحاسبية تبدأ من عملية تسجيل في دفتر
+
+5
+00:00:46,490 --> 00:00:55,150
+اليومية ثم ترحيلها إلى دفتر الأستاذ
+
+6
+00:00:57,090 --> 00:01:05,910
+والترصيد كذلك نصل إلى ميزان المراجعة وهذا ميزان
+
+7
+00:01:05,910 --> 00:01:11,050
+المراجعة الذي تم دراسته في محاسبة واحد هو ميزان
+
+8
+00:01:11,050 --> 00:01:17,210
+المراجعة الأولي أو ميزان المراجعة قبل التسوييات
+
+9
+00:01:17,210 --> 00:01:23,650
+قبل التسوييات الجردية الآن في محاسبة اثنين في
+
+10
+00:01:23,650 --> 00:01:31,670
+محاسبة 2 سيكون لدينا تسويات جردية
+
+11
+00:01:31,670 --> 00:01:43,110
+ومن ثم عمل ميزان مراجعة نهائي أو بعد التسوييات
+
+12
+00:01:43,110 --> 00:01:49,770
+الجردية، هذا ميزان المراجعة بعد التسوييات الجردية هو
+
+13
+00:01:49,770 --> 00:01:59,060
+الأساس الحقيقي للقوائم المالية التي تُنشر وهي
+
+14
+00:01:59,060 --> 00:02:04,860
+الموجودة فعلاً على أرض الواقع والتي يعتمد عليها
+
+15
+00:02:04,860 --> 00:02:15,080
+متخذ القرار، القوائم المالية هي قائمة الدخل وقائمة
+
+16
+00:02:15,080 --> 00:02:21,820
+المركز المالي، قائمة الدخل وقائمة المركز المالي أو
+
+17
+00:02:21,820 --> 00:02:28,390
+الميزانية وقائمة الدخل، نقول عنها بشكل آخر حساب
+
+18
+00:02:28,390 --> 00:02:36,030
+المتاجرة والأرباح والخسائر، حتى يتسنى لنا معرفة أثر
+
+19
+00:02:36,030 --> 00:02:40,590
+عمليات التسوييات الجردية، فطبعاً هنا يكون متاجرة
+
+20
+00:02:40,590 --> 00:02:46,570
+وهنا يكون أرباح، حساب أرباح وخسائر
+
+21
+00:02:48,970 --> 00:02:53,130
+الآن كما هو موجود في العنوان، الجرد والتسويات
+
+22
+00:02:53,130 --> 00:03:00,870
+الجردية، الجرد نقوم بجرد ما هو موجود لدينا ومطابقته
+
+23
+00:03:00,870 --> 00:03:09,890
+مع الرصيد الموجود في ميزان المراجعة الأولي، ومن ثم
+
+24
+00:03:09,890 --> 00:03:18,510
+قد يكون الرصيد نتيجة الجرد مساوياً لما هو موجود في
+
+25
+00:03:18,510 --> 00:03:25,750
+ميزان المراجعة، مثال الرواتب ظهرت 5000 دولار وعند
+
+26
+00:03:25,750 --> 00:03:33,150
+الجرد وجدنا ما يخص العام من الرواتب 5000 دولار، إذا
+
+27
+00:03:33,150 --> 00:03:39,910
+هنا لا زيادة ولا نقصان، في هذه الحالة لا نحتاج إلى
+
+28
+00:03:39,910 --> 00:03:46,210
+أي شيء، لا نحتاج بمعنى لا نحتاج إلى تسويات، إذا كان
+
+29
+00:03:46,210 --> 00:03:51,320
+الأمر أكثر أو أقل، إذا كان الأمر أكثر أو أقل نحتاج
+
+30
+00:03:51,320 --> 00:03:56,940
+إلى تسويات جردية، إذا هنا عملية الجرد نقوم بجرد ما
+
+31
+00:03:56,940 --> 00:04:02,620
+هو موجود ومطابقته مع الميزان، ومن ثم إذا وجدت فروقات
+
+32
+00:04:02,620 --> 00:04:08,420
+يتم عمل لها تسويات، والتسويات تحتاج إلى قيود
+
+33
+00:04:08,420 --> 00:04:18,700
+محاسبية وسنرى ذلك لاحقاً، الآن نأتي، ما معنى أو تعريف
+
+34
+00:04:18,700 --> 00:04:28,340
+التسويات، تعريف التسويات هي عبارة عن إجراء محاسبي
+
+35
+00:04:28,340 --> 00:04:32,620
+يُتم
+
+36
+00:04:32,620 --> 00:04:41,820
+في نهاية الفترة المالية بهدف التحقق من الحسابات
+
+37
+00:04:41,820 --> 00:04:45,100
+الموجودة ومعرفة
+
+38
+00:04:49,510 --> 00:04:59,610
+المشروع، سواء كان ربحاً أو خسارة وبيان مركزه
+
+39
+00:04:59,610 --> 00:05:07,550
+المالي، إذا ما هو الهدف من التسوييات كما هو من خلال
+
+40
+00:05:07,550 --> 00:05:13,470
+التعريف؟ ممتاز
+
+41
+00:05:13,470 --> 00:05:20,370
+الآن نأتي بعد ما عرفنا التسوييات، نأتي لأهداف
+
+42
+00:05:20,370 --> 00:05:27,550
+التسويات، أهداف التسوييات الجردية، ما الهدف؟ هناك
+
+43
+00:05:27,550 --> 00:05:31,430
+عدة أهداف من هذه التسوييات، تفضلي
+
+44
+00:05:40,480 --> 00:05:46,540
+النقطة الأولى والثانية هي معرفة نتيجة عمل المشروع
+
+45
+00:05:46,540 --> 00:05:51,680
+من ربحٍ وخسارة وبيان مركزه المالي، النقطة
+
+46
+00:05:51,680 --> 00:05:57,300
+الثانية... النقطة الثانية... تفضلي، التحقق الفعلي من
+
+47
+00:05:57,300 --> 00:06:01,200
+أرصدة الحسابات في ميزان المراجعة وأخذ منه إيراداته
+
+48
+00:06:01,200 --> 00:06:01,660
+من المستخدم
+
+49
+00:06:06,710 --> 00:06:11,410
+أرصدة الحسابات في ميزان المراجعة، يعني عايز أتحقق
+
+50
+00:06:11,410 --> 00:06:15,950
+من ما هو موجود في ميزان المراجعة، هل هو فعلي أو
+
+51
+00:06:15,950 --> 00:06:22,150
+وهمي، من هذه الحسابات الموجودة، وطبعاً الدليل وما يدعم
+
+52
+00:06:22,150 --> 00:06:25,550
+هذه الأرقام لابد أن تكون هي المستندات الرسمية
+
+53
+00:06:25,550 --> 00:06:34,170
+النقطة الأخرى أيضاً، التعرف... مين بدي أجيب؟ التأكد
+
+54
+00:06:34,170 --> 00:06:35,330
+من أن المصروفات صحيحة؟
+
+55
+00:06:38,640 --> 00:06:45,320
+من الإيرادات والمصروفات، تخص هذه الفترة، مثال على ذلك
+
+56
+00:06:45,320 --> 00:06:50,380
+الرواتب في ميزان المراجعة 2000 دينار أو مصاريف
+
+57
+00:06:50,380 --> 00:06:58,580
+التأمين، وعند البحث نتأكد، قد نجد 1800 دينار هي
+
+58
+00:06:58,580 --> 00:07:02,960
+التي تخص العام، أو التي تخص العام 2400 دينار، إذا
+
+59
+00:07:02,960 --> 00:07:09,880
+هنا ممكن يكون نقص أو زيادة أو قد يكون متساوي، الهدف
+
+60
+00:07:09,880 --> 00:07:13,820
+هنا التأكد من الإيرادات والمصروفات، أنه الإيرادات
+
+61
+00:07:13,820 --> 00:07:21,540
+التي تخص 2015، ومصروفات التي تخص 2015، هذا ما قصدته
+
+62
+00:07:21,540 --> 00:07:25,180
+يعني ممكن في ميزان المراجعة يكون فيه مبلغ مصاريف
+
+63
+00:07:25,180 --> 00:07:30,360
+التأمين مثلاً أو مصاريف الإيجار ألف دينار، تشوف الألف
+
+64
+00:07:30,360 --> 00:07:36,600
+دينار هذه هل هي تخص العام 2015 أو فيها زيادة أو
+
+65
+00:07:36,600 --> 00:07:37,620
+نقص
+
+66
+00:07:40,620 --> 00:07:45,960
+الهدف الأخير من أهداف التسوييات الجردية هو التأكد
+
+67
+00:07:45,960 --> 00:07:57,380
+من ملكية المشروع للأصول وحقيقة الالتزامات، التأكد
+
+68
+00:07:57,380 --> 00:08:03,520
+من ملكية المشروع للأصول وحقيقة الالتزامات، ماذا
+
+69
+00:08:03,520 --> 00:08:13,490
+نقصد بذلك؟ نقصد بذلك هل هذه السيارة الموجودة وتساعد
+
+70
+00:08:13,490 --> 00:08:18,530
+في أعمال المشروع، هل هي ملك المشروع؟ كيف نعرف؟ أو
+
+71
+00:08:18,530 --> 00:08:24,210
+مستأجرة؟ كيف نعرف؟ التحقق من المستندات الرسمية، من
+
+72
+00:08:24,210 --> 00:08:29,050
+رخصة السيارة، هل هنا موجود فيها المالك، هي الشركة؟
+
+73
+00:08:29,050 --> 00:08:34,330
+أم قد يكون هناك عقد إيجار، طبعاً ليس وجود
+
+74
+00:08:34,670 --> 00:08:41,050
+هذه السيارة في الشركة يعني أن الشركة تملكها، الذي
+
+75
+00:08:41,050 --> 00:08:50,270
+يحدد هو ما هو... من هو المالك الحقيقي، ننتقل بعد
+
+76
+00:08:50,270 --> 00:08:56,230
+استعراض التعريف بالجرد وأهداف التعريف التسوييات و
+
+77
+00:08:56,230 --> 00:09:01,870
+أهداف التسوييات، موعد التسوييات
+
+78
+00:09:01,870 --> 00:09:08,380
+التسوييات الجردية، في نهاية هو موعد التسوييات
+
+79
+00:09:08,380 --> 00:09:14,400
+الجردية هو في واحد وثلاثين اثنا عشر، في واحد وثلاثين
+
+80
+00:09:14,400 --> 00:09:22,040
+اثنا عشر، عادة التسوييات الجردية تكون في نهاية الفترة
+
+81
+00:09:22,040 --> 00:09:28,540
+المالية، والفترة المالية حددناها، حددت محاسبياً اثنا
+
+82
+00:09:28,540 --> 00:09:35,070
+عشرة شهراً، وهي هذه الفترة هي أفضل فترة لتقييم أداء
+
+83
+00:09:35,070 --> 00:09:42,270
+المشروع لأنها تعكس جميع... جميع فصول السنة الأربعة
+
+84
+00:09:42,270 --> 00:09:46,450
+من نشاط الشركة، قد يكون أحياناً في رواج أو في كساد
+
+85
+00:09:46,450 --> 00:09:50,130
+أو إلى آخره، في مناسبات، في... في إلى آخره، فتثنا عشر
+
+86
+00:09:50,130 --> 00:09:55,210
+شهراً متكاملة، كلها الصورة الحقيقية، لمعرفة التسوييات
+
+87
+00:09:55,210 --> 00:10:03,380
+الجردية، طبعاً في 31/12 نقوم بالتأكد من كل الأرقام
+
+88
+00:10:03,380 --> 00:10:08,060
+الموجودة في ميزان المراجعة وما هناك زيادة وما هناك
+
+89
+00:10:08,060 --> 00:10:15,380
+نقص، سنرى لاحقاً بالتطبيق العملي، ننتقل الآن إلى
+
+90
+00:10:15,380 --> 00:10:21,380
+الفروض والمبادئ المحاسبية، لقد تم دراستها في محاسبة
+
+91
+00:10:21,380 --> 00:10:28,740
+واحد، ولأهميتها في التسوييات، بالتسويات الجردية هنا
+
+92
+00:10:28,740 --> 00:10:35,180
+لابد أن نذكر بها مرة أخرى، الآن أن هناك مبادئ وهناك
+
+93
+00:10:35,180 --> 00:10:40,080
+هناك فروض، المبادئ
+
+94
+00:10:40,080 --> 00:10:44,920
+تعتمد على الفروض، الآن أول شيء أن الفروض المحاسبية
+
+95
+00:10:44,920 --> 00:10:51,460
+الفروض المحاسبية، أول فرض من الفروض المحاسبية فرض
+
+96
+00:10:51,460 --> 00:10:53,900
+الذي هو الوحدة المحاسبية
+
+97
+00:10:56,220 --> 00:10:59,820
+فرض الوحدة المحاسبية، تفضلي، فرض الوحدة المحاسبية
+
+98
+00:10:59,820 --> 00:11:03,060
+يُعتبر أن المشروع وحدة مستقلة عن ملاك المشروع وعن
+
+99
+00:11:03,060 --> 00:11:07,860
+الآخرين، يعني المشروع مستقل بذاته عن غيره مالياً
+
+100
+00:11:07,860 --> 00:11:14,640
+وقانونياً واجتماعياً وإدارياً، بفصيلة الكلام صحيح،
+
+101
+00:11:14,640 --> 00:11:21,620
+الآن بعبارة أخرى، فرض الوحدة المحاسبية أن للمشروع
+
+102
+00:11:21,620 --> 00:11:32,850
+ذمة مالية مستقلة عن أصحابه، قليلاً أو كثيراً، يعني
+
+103
+00:11:32,850 --> 00:11:35,110
+سواء كانوا خمسة أو كانوا مئة أو كانوا ألف
+
+104
+00:11:35,110 --> 00:11:40,290
+المشروع يكون له ذمة مالية مستقلة استقلالاً تماماً
+
+105
+00:11:40,290 --> 00:11:49,670
+يُعامل صاحبه ويعامل في الغير، له ما له وعليه ما
+
+106
+00:11:49,670 --> 00:11:57,170
+عليه مثل أي شخص آخر، هذا بالنسبة لفرض الذي هو الوحدة
+
+107
+00:11:57,170 --> 00:12:01,490
+المحاسبية، طبعاً في سياق فرض الوحدة المحاسبية طبعاً
+
+108
+00:12:01,490 --> 00:12:05,730
+إذا كان هناك فيه مسحوبات شخصية، مسحوبات شخصية، فتؤثر
+
+109
+00:12:05,730 --> 00:12:11,170
+على رأس المال بنقصان، وإذا كان هناك فيه أرباح صافية
+
+110
+00:12:11,170 --> 00:12:16,550
+ربح، تُضاف على رأس المال، ولكن يحق لصاحب المشروع أن
+
+111
+00:12:16,550 --> 00:12:23,200
+يأخذ هذه الأرباح، يأخذ هذه الأرباح من المشروع، ننتقل
+
+112
+00:12:23,200 --> 00:12:28,880
+إلى فرض الاستمرارية، فرض الاستمرارية، تفضلي، أن
+
+113
+00:12:28,880 --> 00:12:32,300
+المشروع مستمر بدون أن تظهر عليه أدلة تُحكم ذلك، مثلاً
+
+114
+00:12:32,300 --> 00:12:37,280
+تصفية، إفلاس، اندماج، تمام، الآن فرض الاستمرارية
+
+115
+00:12:37,280 --> 00:12:44,760
+أي مشروع وجد من أجل الاستمرار إلى عدد غير محدد من
+
+116
+00:12:44,760 --> 00:12:50,120
+السنوات، غير محدد من السنوات، هو وجد من أجل
+
+117
+00:12:50,120 --> 00:12:55,690
+الاستمرارية، أهدافه والنمو وزيادة حصته السوقية وإلى
+
+118
+00:12:55,690 --> 00:13:01,470
+آخره، وقد ايش مشاريع بدأت من مثلاً خمسين ألف دولار
+
+119
+00:13:01,470 --> 00:13:05,370
+واليوم ايش بالملايين، وقد تصل إلى مبالغ التي هي
+
+120
+00:13:05,370 --> 00:13:13,150
+عالية، ننتقل إلى فرض الدورية أو المدة المحاسبية أو
+
+121
+00:13:13,150 --> 00:13:18,730
+الفترة المحاسبية، فرض الفترة المحاسبية، عموماً ايش
+
+122
+00:13:18,730 --> 00:13:20,910
+تفضلي، أن المشروع الذي ابتدأ
+
+123
+00:13:28,870 --> 00:13:42,950
+الآن عادة المشروع لا ننتظر حتى نهايته، بل لابد
+
+124
+00:13:42,950 --> 00:13:48,790
+نحتاج إلى مراحل معينة أو في فترات زمنية معينة
+
+125
+00:13:48,790 --> 00:13:53,750
+لتقييم أداء هذا المشروع، وبالتالي، جاء العرف
+
+126
+00:13:53,750 --> 00:14:00,150
+المحاسبي أن يتم تقسيم حياة المشروع إلى فترات
+
+127
+00:14:00,150 --> 00:14:08,470
+محاسبية متساوية، وهي غالباً سنة مالية، غالباً إثنا عشر
+
+128
+00:14:08,470 --> 00:14:13,550
+شهراً، لماذا؟ كما قلت قبل قليل لأنها تعكس الوضع
+
+129
+00:14:13,550 --> 00:14:17,590
+الحقيقي لكل المشروع خلال إثنا عشر شهراً، وخلال هذه
+
+130
+00:14:17,590 --> 00:14:22,710
+الفصول، ولكن هذا لا يمنع أن يكون لدينا فترات
+
+131
+00:14:22,710 --> 00:14:29,340
+محاسبية ربعية أو شهرية أو غير ذلك، لمتابعة عمل
+
+132
+00:14:29,340 --> 00:14:34,460
+المشروع والاطلاع عليه، حتى التدخل إن كان في بعض
+
+133
+00:14:34,460 --> 00:14:40,540
+المراحل، لأنه بمعنى آخر ليس منطقياً أن ننتظر حتى
+
+134
+00:14:40,540 --> 00:14:45,460
+نهاية المشروع بعد سنوات طويلة ومن ثم نقيم، قد تكون
+
+135
+00:14:45,460 --> 00:14:50,360
+لا نستطيع العلاج فيه إطلاقاً، لكن أنا كل سنة
+
+136
+00:14:50,360 --> 00:14:56,790
+بعرف كيف اتجاه المشروع، الآن الفرض الأخير فرض ثبات
+
+137
+00:14:56,790 --> 00:15:01,590
+وحدة القياس النقدي، اه بدنا الكل يشارك، فرض وحدة
+
+138
+00:15:01,590 --> 00:15:06,470
+القياس النقدي، تفضلي يا جوري، بدنا نرجع، حكينا احنا أن
+
+139
+00:15:06,470 --> 00:15:09,190
+تغيير المبادئ والمفاهيم من فترة لأخرى، هذا يجعل
+
+140
+00:15:09,190 --> 00:15:12,530
+البيانات أنها تكون مضللة، الأمر فعشان هيك يتم أن
+
+141
+00:15:12,530 --> 00:15:16,830
+هو ثبات هذه البيانات والمبادئ، وفي حالة وجود تغيير،
+
+142
+00:15:16,830 --> 00:15:21,310
+سبب وجود مشكلة لابد أن نكون نبلغ عنها، وبعدين
+
+143
+00:15:21,310 --> 00:15:32,050
+نغيرها في القوائم، الآن بالنسبة لمبدأ
+
+144
+00:15:32,050 --> 00:15:36,990
+إثبات القوة الشرائية، أي مشروع أو شركة أو مؤسسة
+
+145
+00:15:36,990 --> 00:15:43,370
+لابد من تقييم أعمالها النهائية، كما نرى في القوائم
+
+146
+00:15:43,370 --> 00:15:48,930
+المالية، بعملة الدولة، الدينار، الدولار، الشيكل، اليورو،
+
+147
+00:15:48,930 --> 00:15:50,550
+إلخ، من هذه الأمور
+
+148
+00:15:54,250 --> 00:15:57,450
+الأمور... لكن هذا المبدأ الثابت... مبدأ ثابت، قياس
+
+149
+00:15:57,450 --> 00:16:02,730
+الوحدة النقدي، هذا يواجه الذي هو اعتراضات أو
+
+150
+00:16:02,730 --> 00:16:08,850
+... لماذا؟ لأنه قد... هنا ثبات القوة الشرائية
+
+151
+00:16:08,850 --> 00:16:15,650
+هذا مستحيل، مستحيل... درسته في... في الاقتصاد الذي
+
+152
+00:16:15,650 --> 00:16:19,970
+هو ثبات القوة الشرائية، مستحيل، يعني أحياناً ما
+
+153
+00:16:19,970 --> 00:16:25,790
+نشتريه اليوم بخمس دنانير، قد يكون في بعد فترة معينة
+
+154
+00:16:25,790 --> 00:16:28,890
+نحتاج إلى سبع دنانير، بالتالي هذا ما يسمى انخفاض
+
+155
+00:16:28,890 --> 00:16:34,650
+القوة الشرائية، انخفاض القوة الشرائية، فطبعاً هنا
+
+156
+00:16:34,650 --> 00:16:39,510
+يُعاب على هذا الفرض أنه عملية أنه لا يأخذ في
+
+157
+00:16:39,510 --> 00:16:46,630
+الحسبان التغيير في الأسعار أو التضخم، أي لا يأخذ
+
+158
+00:16:46,630 --> 00:16:54,400
+القوة الشرائية للنقود في الحسبان، إذا بهذا... بهذا
+
+159
+00:16:54,400 --> 00:17:01,620
+نكون تحدثنا عن الفروض المحاسبية، وهي من... من
+
+160
+00:17:01,620 --> 00:17:08,320
+الذي خصصتها؟ من أحكيها لي؟ آه... خطر في النص، فرض
+
+161
+00:17:08,320 --> 00:17:13,240
+الوحدة المحاسبية... فرض الوحدة المحاسبية، استمرارية
+
+162
+00:17:13,240 --> 00:17:18,200
+... وحدة المحاسبية... فرض الاستمرارية
+
+163
+00:17:24,600 --> 00:17:30,420
+الفترة المحاسبية، أو الدولية، الأخرى، الرابع، فرض ايش
+
+164
+00:17:30,420 --> 00:17:40,380
+ثبات وحدة القياس النقدي، الآن ننتقل بعد ما انتهينا
+
+165
+00:17:40,380 --> 00:17:46,640
+من الفروض المحاسبية، ننتقل إلى المبادئ المحاسبية
+
+166
+00:17:46,640 --> 00:17:54,520
+المبادئ المحاسبية، أحد ممكن يعرفها؟
+
+167
+00:17:54,520 --> 00:18:01,520
+المبادئ المحاسبية، بيبقى كل إشارة، تفضلي، تمام،
+
+168
+00:18:01,520 --> 00:18:07,140
+الآن يحكي إن المبادئ هي إطار عام، المبادئ هي إطار
+
+169
+00:18:07,140 --> 00:18:13,000
+عام للعمل المحاسبي، يعتمد على من؟ الفروض، إذا
+
+170
+00:18:13,000 --> 00:18:18,440
+المبدأ... المبدأ الذي هو يعتمد على الفرد وليس
+
+171
+00:18:18,440 --> 00:18:27,840
+العكس، الآن عندنا... وطبعاً هذه المبادئ هي ليس... هي
+
+172
+00:18:27,840 --> 00:18:33,160
+ليس يعني... لا تكون ثابتة... لا تكون ثابتة، بل أن
+
+173
+00:18:33,160 -->
+
+223
+00:23:36,330 --> 00:23:39,470
+على ذلك، لماذا موضوعية وعدم التأثر للنتاج بتحيزه
+
+224
+00:23:39,470 --> 00:23:44,990
+الشخصي؟ لأننا عندما نطلب من أي محاسب من مجموعة
+
+225
+00:23:44,990 --> 00:23:49,350
+محاسبين، هذه بيانات الشركة، مؤيدة بمستندات رسمية
+
+226
+00:23:49,350 --> 00:23:55,250
+وكل العمليات موجودة، مؤيدة بمستندات رسمية. الآن نطلب منه
+
+227
+00:23:55,250 --> 00:23:59,650
+إعداد ما هي القوائم المالية: قائمة الدخل والميزانية،
+
+228
+00:23:59,650 --> 00:24:05,980
+هل النتيجة سوف تختلف؟ لا، لا، حتما لا تختلف. فهي معنى
+
+229
+00:24:05,980 --> 00:24:09,280
+مش علشان أنا، ممكن أنا أكون يعني في علاقة بين صاحب
+
+230
+00:24:09,280 --> 00:24:13,240
+الشركة والآخرين، أروح مثلاً أغير في الأرقام الأصلية،
+
+231
+00:24:13,240 --> 00:24:18,320
+أن النتائج لا تتغير ولا تتبدل، وأن تكون النتيجة
+
+232
+00:24:18,320 --> 00:24:24,740
+واحدة عند قيام أكثر من محاسب بهذا العمل.
+
+233
+00:24:24,740 --> 00:24:31,100
+ننتقل الآن إلى مبدأ الإفصاح، مبدأ الإفصاح الكلي.
+
+234
+00:24:31,100 --> 00:24:39,500
+مبدأ الإفصاح الكلي... مبدأ الإفساح... الإفساح
+
+235
+00:24:39,500 --> 00:24:53,320
+الكلي. نعم، مملي شَارك، تفضلي. يعني
+
+236
+00:24:53,320 --> 00:24:58,960
+بمعنى آخر، بمعنى آخر مبدأ
+
+237
+00:24:58,960 --> 00:25:06,710
+الإفصاح الكلي، يجب الإفصاح عن جميع البيانات
+
+238
+00:25:06,710 --> 00:25:12,710
+والمعلومات المحاسبية. يعني يجب الإفصاح عن جميع
+
+239
+00:25:12,710 --> 00:25:20,050
+البيانات والمعلومات المحاسبية التي قد تؤثر على
+
+240
+00:25:20,050 --> 00:25:28,330
+متخذي القرار، على متخذي القرار. إذا
+
+241
+00:25:28,330 --> 00:25:33,300
+أنا لما بحكي الإفصاح الكلي، لابد من إفصاح عن جميع
+
+242
+00:25:33,300 --> 00:25:37,260
+البيانات بدون
+
+243
+00:25:37,260 --> 00:25:48,480
+أي نقص، لأن حجب أي معلومة قد يؤدي إلى اتخاذ قرار خاطئ من
+
+244
+00:25:48,480 --> 00:25:54,140
+المستخدمين لهذه المعلومات، ويبنون عليه قرار خاطئ،
+
+245
+00:25:54,140 --> 00:26:00,180
+وبالتالي هنا قد يعرض المؤسسة والمحاسب إلى
+
+246
+00:26:00,180 --> 00:26:05,160
+المسؤولية، لأنه حجب هذه المعلومات يؤثر على أسعار
+
+247
+00:26:05,160 --> 00:26:10,700
+الأسهم، يؤثر على المستثمرين، يؤثر على المجتمع، وإلى
+
+248
+00:26:10,700 --> 00:26:16,640
+آخره من هذه الأمور. وطبعاً ممكن في معلومات أحياناً
+
+249
+00:26:16,640 --> 00:26:22,860
+لهذه الشركة، كم تؤثر في البيئة، تلوث بيئي، ما تأثيرها
+
+250
+00:26:22,860 --> 00:26:27,280
+البيئي؟ لو حجبنا هذه المعلومات، حجبنا المعلومات، ممكن
+
+251
+00:26:28,090 --> 00:26:30,950
+يؤثر في سعر السهم ويرتفع، لكن هو على أرض الواقع
+
+252
+00:26:30,950 --> 00:26:35,450
+الوضع غير ذلك. هذا معناه، للإفصاح، لابد للإفصاح عن جميع
+
+253
+00:26:35,450 --> 00:26:41,850
+المعلومات التي قد تؤثر على متخذ القرار. طيب،
+
+254
+00:26:41,850 --> 00:26:50,790
+أي سؤال؟ ننتقل إلى مبدأ... طبعاً مبدأ أساس
+
+255
+00:26:50,790 --> 00:26:55,370
+الاستحقاق، بدي أخليه لآخر شيء، لأن هذا هو جوهر
+
+256
+00:26:55,370 --> 00:27:00,690
+عملنا، وجوهر عملنا في المحاسبة. ثانياً، مبدأ الثبات،
+
+257
+00:27:00,690 --> 00:27:07,930
+المبدأ الرابع، مبدأ الثبات، مبدأ الثبات، اتباع نفس
+
+258
+00:27:07,930 --> 00:27:11,830
+الإجراءات، مبدأ الثبات، استمرار استخدام السياسات
+
+259
+00:27:11,830 --> 00:27:15,150
+والإجراءات المتبعة في داخل المشروع لفترة زمنية
+
+260
+00:27:15,150 --> 00:27:22,050
+طويلة، عشان تكون المعلومات متسقة. الآن، مبدأ الثبات معناه
+
+261
+00:27:22,050 --> 00:27:22,850
+اتباع
+
+262
+00:27:27,270 --> 00:27:35,390
+من سنة إلى أخرى، اتباع نفس الإجراءات المحاسبية من
+
+263
+00:27:35,390 --> 00:27:45,590
+سنة إلى أخرى، وهذا يضمن عملية المقارنة الحقيقية.
+
+264
+00:27:45,590 --> 00:27:50,630
+وهذا يضمن عملية المقارنة الحقيقية.
+
+265
+00:27:53,220 --> 00:27:59,700
+وطبعاً هذه الأسس، الأسس فيها مثلاً الأصول الثابتة،
+
+266
+00:27:59,700 --> 00:28:04,800
+هذه السيارة، والمباني، والأراضي، طبعاً هذه لها طرق
+
+267
+00:28:04,800 --> 00:28:10,740
+لحساب أو استهلاكها السنوي. وبالتالي لو اتبعت أنا
+
+268
+00:28:10,740 --> 00:28:15,740
+الطريقة (ج) في هذا العام، لابد من اتباعها في العام
+
+269
+00:28:15,740 --> 00:28:16,320
+القادم
+
+270
+00:28:20,350 --> 00:28:24,210
+باستمرار، لأن هذا ماذا؟ عشان يضمن لي عملية المقارنة
+
+271
+00:28:24,210 --> 00:28:29,390
+الحقيقية، لكن هل هذا ثبات مطلق؟ لا، ثبات
+
+272
+00:28:29,390 --> 00:28:35,950
+نسبي. إذا كان هناك مصلحة ضرورية للشركة، ضرورية
+
+273
+00:28:35,950 --> 00:28:43,770
+للشركة، هنا يجوز التغيير مع الإفصاح ومع بيان هذا
+
+274
+00:28:43,770 --> 00:28:50,910
+الأمر. لماذا؟ لجأنا إلى هذه الآلية. ننتقل إلى المبدأ
+
+275
+00:28:50,910 --> 00:28:57,030
+المقابلة، مبدأ
+
+276
+00:28:57,030 --> 00:29:04,950
+المقابلة، مبدأ المقابلة، وكما هو موجود عندكم، مبدأ
+
+277
+00:29:04,950 --> 00:29:11,510
+مقابلة الإيرادات من المصروفات، ماذا نقصد به؟ مقابلة
+
+278
+00:29:11,510 --> 00:29:14,530
+الإيرادات من المصروفات التي تخص الفترة المالية
+
+279
+00:29:14,530 --> 00:29:15,210
+نفسها.
+
+280
+00:29:18,070 --> 00:29:24,150
+الإيرادات والمصروفات التي تخص الفترة المالية. بمعنى
+
+281
+00:29:24,150 --> 00:29:32,810
+مقابلة إيرادات عام 2015 مع مصروفات عام 2015. واضحة؟
+
+282
+00:29:32,810 --> 00:29:39,550
+مقابلة إيرادات 2015 مع مصروفات 2015. في الشيء، هي
+
+283
+00:29:39,550 --> 00:29:42,930
+أشياء قبل قلنا، مقابلة إيرادات ومصروفات نفس الفترة
+
+284
+00:29:42,930 --> 00:29:47,210
+المالية. ضربنا مثل، قلنا 2015، عشان يكون فيه
+
+285
+00:29:47,210 --> 00:29:53,850
+تقييم حقيقي. نأتي إلى مبدأ الأهمية النسبية، مبدأ
+
+286
+00:29:53,850 --> 00:30:01,910
+الأهمية النسبية. وهنا، مبدأ الأهمية النسبية ما
+
+287
+00:30:01,910 --> 00:30:08,050
+معناه؟ ما معنى مبدأ الأهمية النسبية؟ فضلاله، إذا
+
+288
+00:30:08,050 --> 00:30:11,970
+كانت القرارات بتأثر بشكل كبير على اللي هي الإدارة،
+
+289
+00:30:11,970 --> 00:30:13,650
+هذا بتكون أهميتها كبيرة.
+
+290
+00:30:20,610 --> 00:30:28,250
+ممتاز. الآن، المعلومات التي تؤثر في القرار تكون
+
+291
+00:30:28,250 --> 00:30:33,750
+ذات أهمية نسبية كبيرة، بينما المعلومات التي لا تؤثر
+
+292
+00:30:33,750 --> 00:30:39,050
+في القرار تكون معلومات أهمية نسبية قليلة، حتى لو
+
+293
+00:30:39,050 --> 00:30:43,970
+ما ذكرناهاش، لا تؤثر إطلاقاً. ومثال على ذلك،
+
+294
+00:30:43,970 --> 00:30:48,490
+عندما تقوم الشركة بالتبرع بمبلغ ألف دولار.
+
+295
+00:31:00,280 --> 00:31:04,440
+مين هيأثر على القارئ أكثر؟ الألف، يعني دي لو ما
+
+296
+00:31:04,440 --> 00:31:08,560
+انذكرت، ودخلت المصروفات، بتأثرش. لكن هذا
+
+297
+00:31:08,560 --> 00:31:12,860
+المبلغ لأي مؤسسة ولأي جهة بتكون لها تأثير حتى
+
+298
+00:31:12,860 --> 00:31:16,940
+تأثير. تأثيرة غير، تأثيرة كمان تأثير اجتماعي. أن هذه
+
+299
+00:31:16,940 --> 00:31:21,640
+المؤسسة تقوم بالمسؤولية الاجتماعية، بالمسؤولية
+
+300
+00:31:21,640 --> 00:31:27,260
+الاجتماعية، تكفل الأيتام، تتبرع لطلاب الجامعين، وتكمل
+
+301
+00:31:27,260 --> 00:31:33,090
+دراستهم، المساعدة في فتح اللي هي غرف عمليات في إحدى
+
+302
+00:31:33,090 --> 00:31:36,370
+المستشفيات، أو تزويدهم بأجهزة، و...و...إلى
+
+303
+00:31:36,370 --> 00:31:40,530
+آخره، وشق طرق، وإلى آخره. فهذه كلها مسؤولية
+
+304
+00:31:40,530 --> 00:31:45,590
+اجتماعية للمؤسسات التي تعمل في الدولة، وعليها
+
+305
+00:31:45,590 --> 00:31:50,610
+التزام، لابد أن تقدم هذه الأمور لكل فئات المجتمع.
+
+306
+00:31:50,610 --> 00:31:57,270
+طيب، الآن، أَنْتقل إلى مبدأ الحيطة أو الحذر، مبدأ
+
+307
+00:31:57,270 --> 00:31:58,110
+الحيطة أو الحذر.
+
+308
+00:32:05,480 --> 00:32:11,460
+ممتاز. مبدأ الحيطة والحذر، ماذا
+
+309
+00:32:11,460 --> 00:32:17,740
+نقصد به؟ نقصد به الاعتراف بالخسائر المتوقعة،
+
+310
+00:32:17,740 --> 00:32:26,860
+الاعتراف بالخسائر المتوقعة، بينما يتأجل الأرباح
+
+311
+00:32:26,860 --> 00:32:28,220
+المتوقعة.
+
+312
+00:32:40,560 --> 00:32:47,700
+طيب، وطبعاً مبدأ الاستحقاق فيه شغلات كثيرة جداً، سوف
+
+313
+00:32:47,700 --> 00:32:54,140
+أتطرق إليها خلال سياق المحاضرات القادمة، توضيح هذه
+
+314
+00:32:54,140 --> 00:33:02,380
+الفكرة. الآن، نأتي إلى مبدأ الاستحقاق، آخر مبدأ، مبدأ
+
+315
+00:33:02,380 --> 00:33:10,710
+الاستحقاق. وطبعاً في محاسبة 1، عرفنا الأساس النقدي،
+
+316
+00:33:10,710 --> 00:33:15,070
+وأساس الاستحقاق، أو المبدأ النقدي، أو مبدأ
+
+317
+00:33:15,070 --> 00:33:19,050
+الاستحقاق. البعض يسميه كذا، والبعض يسميه كذا. الآن،
+
+318
+00:33:19,050 --> 00:33:24,210
+مبدأ الاستحقاق، وهو جوهر عملية محاسبة 2، وهو
+
+319
+00:33:24,210 --> 00:33:30,750
+جوهر عملية محاسبة 2. من يحكي لي، ما هو مبدأ
+
+320
+00:33:30,750 --> 00:33:35,800
+الاستحقاق؟ من لم يتكلم ويريد أن يتكلم؟ أنه يعترف
+
+321
+00:33:35,800 --> 00:33:39,060
+بالإيرادات والمكاسب، بغض النظر أنه يحققها أو لا
+
+322
+00:33:39,060 --> 00:33:42,780
+يحققها، يعترف بها كاملة، في خلال الفترة المالية
+
+323
+00:33:42,780 --> 00:33:48,200
+المستخدمة في المنشأة. تحميل، يعترف بالمبالغ
+
+324
+00:33:48,200 --> 00:33:53,660
+المستحقة، سواء دفعت أم لم تدفع، سواء
+
+325
+00:33:53,660 --> 00:33:56,880
+خُطط لها،
+
+326
+00:33:56,880 --> 00:33:59,580
+تحمل الفترة المالية ما يخصها من
+
+327
+00:34:05,500 --> 00:34:13,780
+مبدأ الاستحقاق، تحميل الفترة المالية بما يخصها من
+
+328
+00:34:13,780 --> 00:34:22,860
+إيرادات، حُصلت أو لم تحصل، والمصروفات، دفعت أو لم
+
+329
+00:34:22,860 --> 00:34:29,060
+تدفع. هذا أساس الاستحقاق، هذا أساس الاستحقاق. والدليل
+
+330
+00:34:29,060 --> 00:34:32,320
+على ذلك، الآن، لو كان هنا، وقع أساس الاستحقاق مثلاً،
+
+331
+00:34:32,320 --> 00:34:36,950
+إحنا بنراجع في ميزان المراجعة، لقينا في مصروف...
+
+332
+00:34:36,950 --> 00:34:41,570
+مصروف، مثلاً، ألفين دولار، مصروف، رواتب، إنارة،
+
+333
+00:34:41,570 --> 00:34:45,670
+إيجار، إلى آخره، أي مصروف ألفين دولار، لكن
+
+334
+00:34:45,670 --> 00:34:53,450
+وإحنا بنعمل جرد، وجدنا ما يخص... يعني هنا في ألفين
+
+335
+00:34:53,450 --> 00:35:01,830
+هنا في الميزان، لكن هنا محصل...محصل، طبعاً هنا محصل
+
+336
+00:35:01,830 --> 00:35:09,490
+ألفين وما يخص 2400 دولار. إذاً الآن...الآن أنا
+
+337
+00:35:09,490 --> 00:35:13,230
+سأحمل السنة وفق الأساس الاستحقاق، بالألفين، حصلتهم
+
+338
+00:35:13,230 --> 00:35:20,450
+ولا بالألفين و400؟ وفق الأساس الاستحقاق، ما
+
+339
+00:35:20,450 --> 00:35:27,610
+يخص العام 2400. فمش بقول لك، دفع أو لم...مصروف دفع أو
+
+340
+00:35:27,610 --> 00:35:32,170
+لم يدفع. أنا دفعت ألفين، اللي ظهر في ميزان المراجعة، لكن
+
+341
+00:35:32,170 --> 00:35:35,770
+وأنا بقى أبحث، وجدت، لا لا، السنة بت...السنة
+
+342
+00:35:35,770 --> 00:35:39,430
+بتكلفني ألفين وأربعمائة دولار. إذاً، دفع أو لم
+
+343
+00:35:39,430 --> 00:35:44,190
+يدفع. إذاً، أنا أحمل الفترة المالية بماذا؟ ألفين و
+
+344
+00:35:44,190 --> 00:35:51,290
+أربعمائة دولار. تمام؟ طيب، نفس الشيء الإيراد...
+
+345
+00:35:51,290 --> 00:35:54,650
+الإيراد، طبعاً هنا بيكون فيه فرق، والفرق هنا بده
+
+346
+00:35:54,650 --> 00:36:00,490
+تسوية، سنة ونهاية. في المحاضرة القادمة. الآن بالنسبة
+
+347
+00:36:00,490 --> 00:36:04,410
+للإيراد، فرضا هنا فيه خمسة آلاف دولار، هذا ظهرت في
+
+348
+00:36:04,410 --> 00:36:08,610
+ميزان المراجعة، ظهرت في ميزان المراجعة، الآن
+
+349
+00:36:08,610 --> 00:36:15,970
+وجدنا ما يخص العام أربعة آلاف وخمسمائة من
+
+350
+00:36:15,970 --> 00:36:21,270
+الإيرادات، أرباح أسهم، فوائد سندات، المباني،
+
+351
+00:36:27,660 --> 00:36:32,720
+للعام فقط. يعني أنا أحصر زيادة، مثلاً، بنأجر، و
+
+352
+00:36:32,720 --> 00:36:37,480
+بنقول له إيجار سنة ونصف، أو إيجار سنوي فقط، لكن السنة
+
+353
+00:36:37,480 --> 00:36:42,800
+بدأت في 1/4، مثلاً، لمدة 12 شهراً، لكن دلوقت في
+
+354
+00:36:42,800 --> 00:36:47,100
+الدنيا بنعمل تسوية في 31/12. تسوية. الآن، هنا في 500 دينار
+
+355
+00:36:47,100 --> 00:36:53,600
+زيادة. الآن أنا أحمل الفترة المالية من الإيرادات
+
+356
+00:36:53,600 --> 00:36:54,520
+بـ4500.
+
+357
+00:36:57,880 --> 00:37:03,620
+ما يخص العام فقط، سواء حصل أو لم يحصل، ولو كان ما
+
+358
+00:37:03,620 --> 00:37:10,560
+يخص العام ستة آلاف، أحمل بالستة آلاف. لماذا؟ حصل أو لم
+
+359
+00:37:10,560 --> 00:37:15,180
+يحصل. تمام؟ وهذا خلال...هذا طبعاً هو جوهر
+
+360
+00:37:15,180 --> 00:37:21,000
+المحاسبة 2. حيكون بالنسبة له؟ الأساس النقدي...
+
+361
+00:37:21,000 --> 00:37:24,480
+الأساس النقدي، كان يختلف الوضع، والأساس النقدي
+
+362
+00:37:24,480 --> 00:37:27,980
+...مش أنا أخرجه...الأساس النقدي، يُستخدم في المؤسسات
+
+363
+00:37:27,980 --> 00:37:33,680
+الخدمية، زي المهن الحرة، الطب، الطبيب، قبل ما
+
+364
+00:37:33,680 --> 00:37:37,380
+نفوت عليه، بندفع الكشفية، مظهر؟ طبيب الأسنان، كذا،
+
+365
+00:37:37,380 --> 00:37:41,520
+كذا، كذا، الآخرين، المحاسب، نعمل...ندفع جزء، وجزء بعدين، المهندس، ندفع جزء، وجزء من الخريطة، و
+
+366
+00:37:41,520 --> 00:37:44,300
+ندفع، عشان...قالوا أساس النقدي يصلح إلى أن الفترة
+
+367
+00:37:44,300 --> 00:37:48,080
+الزمنية بين تقديم الخدمة وتحَصيل الأتعاب، الإيراد،
+
+368
+00:37:48,080 --> 00:37:52,300
+فترتها قصيرة جداً، تمام؟ طبعاً إذا هيك بنكون إحنا
+
+369
+00:37:52,300 --> 00:38:00,450
+تحدثنا، حدثنا عن الافتراضات والمبادئ المحاسبية التي
+
+370
+00:38:00,450 --> 00:38:09,350
+مراجعتها هذه تساعدنا على اللي هو في التطبيقات
+
+371
+00:38:09,350 --> 00:38:15,970
+اللاحقة، في المبادئ. من لديه أي سؤال؟ من لديه أي
+
+372
+00:38:15,970 --> 00:38:21,370
+سؤال؟ طبعاً طلبتنا الأعزاء، نكون وصلنا إلى نهاية هذه
+
+373
+00:38:21,370 --> 00:38:29,250
+المحاضرة اليوم، ونلتقي إن شاء الله في المحاضرة
+
+374
+00:38:29,250 --> 00:38:32,950
+القادمة. جرد...جرد الإيرادات والمصروفات.
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/ouPNvtal6LI_raw.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/ouPNvtal6LI_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..40e34c933f1da8539d9756e59fc919a2033d1ca3
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/ouPNvtal6LI_raw.srt
@@ -0,0 +1,1500 @@
+1
+00:00:20,440 --> 00:00:26,980
+اليوم موضوعنا هيكون الجرب والتسوييات الجردية
+
+2
+00:00:28,370 --> 00:00:33,150
+بالنسبة للـ job والتسوييات الجردية سوف نبدأ من حيث
+
+3
+00:00:33,150 --> 00:00:38,990
+انتهينا في محاسبة واحد من القوى المالية وقلنا أن
+
+4
+00:00:38,990 --> 00:00:46,490
+الدورة المحاسبية تبدأ من عملية تسجيل في دفطة
+
+5
+00:00:46,490 --> 00:00:55,150
+اليومية ثم ترحيل ترحيل إلى دفطة الأستاذ
+
+6
+00:00:57,090 --> 00:01:05,910
+والترصيد كذلك نصل إلى ميزان المراجعة وهذا ميزان
+
+7
+00:01:05,910 --> 00:01:11,050
+المراجعة الذي تم دراسته في محاسبة واحد هو ميزان
+
+8
+00:01:11,050 --> 00:01:17,210
+المراجعة الأولى أو ميزان المراجعة قبل التسوييات
+
+9
+00:01:17,210 --> 00:01:23,650
+قبل التسوييات الجردية الآن في محاسبة اتنينفي
+
+10
+00:01:23,650 --> 00:01:31,670
+محاسبة 2 سيكون لدينا تسويات جردية
+
+11
+00:01:31,670 --> 00:01:43,110
+ومن ثم عمل ميزان مراجعة نهائي أو بعد التسويات
+
+12
+00:01:43,110 --> 00:01:49,770
+الجردية هذا ميزان المراجعة بعد التسويات الجردية هو
+
+13
+00:01:49,770 --> 00:01:59,060
+الأساس الحقيقيللقوائم المالية التي تنشر وهي
+
+14
+00:01:59,060 --> 00:02:04,860
+الموجودة فعلا على أرض الواقع والذي يعتمد عليها
+
+15
+00:02:04,860 --> 00:02:15,080
+متخذ القرار القوام المالية هي قائمة الدخل وقائمة
+
+16
+00:02:15,080 --> 00:02:21,820
+المركز المالي قائمة الدخل او المركز المالي او
+
+17
+00:02:21,820 --> 00:02:28,390
+الميزانيةوقائمة الدخل نقول عنها بشكل آخر حساب
+
+18
+00:02:28,390 --> 00:02:36,030
+المتاجرة والأرباح والخسائر حتى يتسنى لنا معرفة أثر
+
+19
+00:02:36,030 --> 00:02:40,590
+عمليات التسوييات الجذبية فطبعا هنا يكون متاجرة
+
+20
+00:02:40,590 --> 00:02:46,570
+وهنا يكون أرباح حساب أرباح وخسائر
+
+21
+00:02:48,970 --> 00:02:53,130
+الان كما هو موجود في العنوان الجرد والتسويات
+
+22
+00:02:53,130 --> 00:03:00,870
+الجردية الجرد نقوم بجرد ما هو موجود لدينا ومطابقته
+
+23
+00:03:00,870 --> 00:03:09,890
+مع الرصيد الموجود في ميزان المراجعة الأولى ومن ثم
+
+24
+00:03:09,890 --> 00:03:18,510
+قد يكون الرصيد نتيجة الجرد مساوى لما هو موجودفي
+
+25
+00:03:18,510 --> 00:03:25,750
+ميزان المراجعة مثال الرواتب ظهرت 5000 دولار وعند
+
+26
+00:03:25,750 --> 00:03:33,150
+الجرد وجدنا ما يخص العام من الرواتب 5000 دولار إذا
+
+27
+00:03:33,150 --> 00:03:39,910
+هنا لا زيادة ولا نقصان في هذه الحالة لا نحتاج إلى
+
+28
+00:03:39,910 --> 00:03:46,210
+أي شيء لا نحتاج بمعنى لا نحتاج إلى تسويات إذا كان
+
+29
+00:03:46,210 --> 00:03:51,320
+الأمر أكتر أو أقلإذا كان الأمر أكثر أو أقل نحتاج
+
+30
+00:03:51,320 --> 00:03:56,940
+إلى تسويات جردية إذا هنا عملية الجرد نقوم بجرد ما
+
+31
+00:03:56,940 --> 00:04:02,620
+هو موجود مقابقته مع الميزان ومن ثم إذا وجدت فروقات
+
+32
+00:04:02,620 --> 00:04:08,420
+يتم عمل لها تسويات والتسويات تحتاج إلى قيود
+
+33
+00:04:08,420 --> 00:04:18,700
+محاسلية وسنرى ذلك لاحقاً الآن نأتي ما معنىأو تعريف
+
+34
+00:04:18,700 --> 00:04:28,340
+التسويات تعريف التسويات هي عبارة عن إجراء محاسب
+
+35
+00:04:28,340 --> 00:04:32,620
+يتم
+
+36
+00:04:32,620 --> 00:04:41,820
+في نهاية الفترة المالية بهدف التحقق من الحسابات
+
+37
+00:04:41,820 --> 00:04:45,100
+الموجودة ومعرفات
+
+38
+00:04:49,510 --> 00:04:59,610
+المشروع سواء كان ربح او خسارة وبيان مركزه
+
+39
+00:04:59,610 --> 00:05:07,550
+المالي اذا ماهو الهدف من التسويات كما هو من خلال
+
+40
+00:05:07,550 --> 00:05:13,470
+التعريف ممتاز
+
+41
+00:05:13,470 --> 00:05:20,370
+الان نأتي بعد ما عرفنا التسوياتنأتي أهداف
+
+42
+00:05:20,370 --> 00:05:27,550
+التسوييات، أهداف التسوييات الجردية، ما الهدف؟ هناك
+
+43
+00:05:27,550 --> 00:05:31,430
+عدة أهداف من هذه التسوييات، تفضلي
+
+44
+00:05:40,480 --> 00:05:46,540
+النقطة الأولى والثانية هي معرفة نتيجة عمل المشروع
+
+45
+00:05:46,540 --> 00:05:51,680
+من ربح وخسارة وبيان ايه مركزه المالي النقطة
+
+46
+00:05:51,680 --> 00:05:57,300
+الثانية .. النقطة الثانية .. تفضلي اتحقق الفعلي من
+
+47
+00:05:57,300 --> 00:06:01,200
+أصدط الحسابات المدنية المراجعة واتأخذ منه إيراداته
+
+48
+00:06:01,200 --> 00:06:01,660
+من المستخدم
+
+49
+00:06:06,710 --> 00:06:11,410
+أرصدت الحسابات في ميزان المراجعة يعني عايز أتحقق
+
+50
+00:06:11,410 --> 00:06:15,950
+من ما هو موجود في ميزان المراجعة هل هو فعلي أو
+
+51
+00:06:15,950 --> 00:06:22,150
+وهمي من هذه الحسابات موجودة وطبعا الدليل وما يدعم
+
+52
+00:06:22,150 --> 00:06:25,550
+هذه الأرقام لابد أن تكون هي المستقبالات الرسمية
+
+53
+00:06:25,550 --> 00:06:34,170
+النقطة الأخرى أيضا التعرف .. مين بدي أجيب؟ تتأكد
+
+54
+00:06:34,170 --> 00:06:35,330
+من أن المصرفات فقيرة؟
+
+55
+00:06:38,640 --> 00:06:45,320
+من الإيرادات والمصرفات تخص هذه الفترة مثال على ذلك
+
+56
+00:06:45,320 --> 00:06:50,380
+الرواتب في ميزان المراجعة 2000 دنار أو مصاريف
+
+57
+00:06:50,380 --> 00:06:58,580
+التأمين وعند البحث نبحث نتأكد قد نجد 1800 دنار هي
+
+58
+00:06:58,580 --> 00:07:02,960
+التي تخص العام أو اللذي يخص العام 2400 دنار إذا
+
+59
+00:07:02,960 --> 00:07:09,880
+هنا ممكن يكون نقص أو زيادة أو قد يكون متساويالهدف
+
+60
+00:07:09,880 --> 00:07:13,820
+هنا التأكد من الإيرادات والمصرفات أنه الإيرادات
+
+61
+00:07:13,820 --> 00:07:21,540
+التي تخص 2015 ومصرفات التي تخص 2015 هذا ماقصدها
+
+62
+00:07:21,540 --> 00:07:25,180
+يعني ممكن في ميزان مراجعة يكون إيه في مبلغ مصاريف
+
+63
+00:07:25,180 --> 00:07:30,360
+التأمين مثلا أو مصاريف الإيجار ألف دنال تشوف الألف
+
+64
+00:07:30,360 --> 00:07:36,600
+دنال هذه هل هي تخص العام 2015 أو فيها زيادة أو
+
+65
+00:07:36,600 --> 00:07:37,620
+نقصة
+
+66
+00:07:40,620 --> 00:07:45,960
+الهدف الأخير من أهداف التسريعات الجردية هو التأكد
+
+67
+00:07:45,960 --> 00:07:57,380
+من ملكية المشروع للأصول وحقيقة الإلتزامات التأكد
+
+68
+00:07:57,380 --> 00:08:03,520
+من ملكية المشروع للأصول وحقيقة الإلتزامات ماذا
+
+69
+00:08:03,520 --> 00:08:13,490
+نقصد بذلك؟نقصد بذلك هل هذه السيارة الموجودة وتساعد
+
+70
+00:08:13,490 --> 00:08:18,530
+في أعمال المشروع، هل هي ملك المشروع؟ كيف نعرف؟ أو
+
+71
+00:08:18,530 --> 00:08:24,210
+مستأجرة؟ كيف نعرف؟ التحقق من المستندات الرسمية، من
+
+72
+00:08:24,210 --> 00:08:29,050
+رخصة السيارة، هل هنا موجود فيها المالك، هي الشركة؟
+
+73
+00:08:29,050 --> 00:08:34,330
+أم قد يكون هناك عقد إيه؟ عقد إيجار، طبعا ليس وجود
+
+74
+00:08:34,670 --> 00:08:41,050
+هذه السيارة في الشركة تعني أن الشركة تملكها الذي
+
+75
+00:08:41,050 --> 00:08:50,270
+يحدد هو ما هو .. من هو المالك الحقيقي ننتقل بعد
+
+76
+00:08:50,270 --> 00:08:56,230
+استعراض التعريف بالجرد و أهداف التعريف التسوييات و
+
+77
+00:08:56,230 --> 00:09:01,870
+أهداف التسوييات موعد التسوييات
+
+78
+00:09:01,870 --> 00:09:08,380
+التسوييات الجرديةفي نهاية هو موقع التسوييات
+
+79
+00:09:08,380 --> 00:09:14,400
+الجردية هو في واحد و تلاتين اتناش في واحد و تلاتين
+
+80
+00:09:14,400 --> 00:09:22,040
+اتناش عادة التسوييات الجردية تكون في نهاية الفترة
+
+81
+00:09:22,040 --> 00:09:28,540
+المالية والفترة المالية حددناها حددت محسبيا اتنى
+
+82
+00:09:28,540 --> 00:09:35,070
+عشرة شهراوهي هذه الفترة هي أفضل فترة لتقييم أداء
+
+83
+00:09:35,070 --> 00:09:42,270
+المشروع لأنها تعكس جميع .. جميع فصول السنة الأربع
+
+84
+00:09:42,270 --> 00:09:46,450
+من نشاط الشركة قد يكون أحيانًا في رواج أو في كساد
+
+85
+00:09:46,450 --> 00:09:50,130
+أو إلى آخرى، في مناسبات، في .. في إلى آخره، فتناشر
+
+86
+00:09:50,130 --> 00:09:55,210
+شهر متكاملة كلها الصورة الحقيقية لمعرفة التسوييات
+
+87
+00:09:55,210 --> 00:10:03,380
+الجرديةطبعاً في 31.12 نقوم بالتأكد من كل الأرقام
+
+88
+00:10:03,380 --> 00:10:08,060
+الموجودة في ميزان المراجعة وما هناك زيادة وما هناك
+
+89
+00:10:08,060 --> 00:10:15,380
+نقص سنرى لاحقاً بالتطبيق العملية ننتقل الآن إلى
+
+90
+00:10:15,380 --> 00:10:21,380
+الفرود والمبادئ المحاسبية لقد تم دراستها في محاسبة
+
+91
+00:10:21,380 --> 00:10:28,740
+واحد ولأهميتها في التسوياتبالتسميات الجردية هنا
+
+92
+00:10:28,740 --> 00:10:35,180
+لابد أن نذكر بها مرة أخرى الان ان هناك مبادئ و
+
+93
+00:10:35,180 --> 00:10:40,080
+هناك فروض المبادئ
+
+94
+00:10:40,080 --> 00:10:44,920
+تعتمد على الفروض الان اول شيء ان الفروض المحاسبية
+
+95
+00:10:44,920 --> 00:10:51,460
+الفروض المحاسبية اول فرض من الفروض المحاسبية فرض
+
+96
+00:10:51,460 --> 00:10:53,900
+اللي هو المحدة المحاسبية
+
+97
+00:10:56,220 --> 00:10:59,820
+فرض الوحدة المحاسبية، فضّالي فرض الوحدة المحاسبية
+
+98
+00:10:59,820 --> 00:11:03,060
+يعتبر أن المشروع وحدة مستقلة عن ملاك المشروع وعن
+
+99
+00:11:03,060 --> 00:11:07,860
+الأتراك، يعني المشروع مستقل حد ذاته عن غيره، ماليا
+
+100
+00:11:07,860 --> 00:11:14,640
+وقانونيا واجتماعيا وإداريا، بفصيلة الكلام صحيح،
+
+101
+00:11:14,640 --> 00:11:21,620
+الآن بعبارة أخرى، فرض الوحدة المحاسبية أن للمشروع
+
+102
+00:11:21,620 --> 00:11:32,850
+ذمة مالية مستقلةعن أصحابه قلّه قلّه أو كثره يعني
+
+103
+00:11:32,850 --> 00:11:35,110
+سواء كانوا خمس ولا كانوا مية ولا كانوا متين
+
+104
+00:11:35,110 --> 00:11:40,290
+المشروع يكون له دمة مالية مستقلة استقلالا تماما
+
+105
+00:11:40,290 --> 00:11:49,670
+يُعامل صاحبه ويعامل في الغير له ما له وعليه ما
+
+106
+00:11:49,670 --> 00:11:57,170
+عليه مثل أي شخص آخرهذا بالنسبة لفرض اللي هو الوحدة
+
+107
+00:11:57,170 --> 00:12:01,490
+المحاسبية طبعا في سياق الفرض الوحدة المحاسبية طبعا
+
+108
+00:12:01,490 --> 00:12:05,730
+إذا كان هناك فيه مسحوبات شخصية مسحوبات شخصية فتؤثر
+
+109
+00:12:05,730 --> 00:12:11,170
+على رأس المال من نقصان وإذا كان هناك في أرباح صافر
+
+110
+00:12:11,170 --> 00:12:16,550
+ربح تضاف على رأس المال ولكن يحق لصاحب المشروع أن
+
+111
+00:12:16,550 --> 00:12:23,200
+يأخذ هذه الأرباح يأخذ هذه الأرباح من المشروعننتقل
+
+112
+00:12:23,200 --> 00:12:28,880
+إلى فرض الاستمرارية فرض الاستمرارية تفضلي ان
+
+113
+00:12:28,880 --> 00:12:32,300
+المشروع مستمر بدون تظهر عليه ادلة تحكز ذلك مثلا
+
+114
+00:12:32,300 --> 00:12:37,280
+تصفية الانتحار الاندماج تمام الان فرض الاستمرارية
+
+115
+00:12:37,280 --> 00:12:44,760
+اي مشروع وجد من اجل الاستمرار الى عدد غير محدد من
+
+116
+00:12:44,760 --> 00:12:50,120
+السنوات غير محدد من السنوات اه وجد من اجل
+
+117
+00:12:50,120 --> 00:12:55,690
+الاستمراريةأهدافه والنمو وزيادة حصته السوقية وإلى
+
+118
+00:12:55,690 --> 00:13:01,470
+آخره وقد إيش مشاريع بدأت من مثلا خمسين ألف دولار
+
+119
+00:13:01,470 --> 00:13:05,370
+واليوم إيه بالملايين وقد تصل إلى مبالغ اللي هي
+
+120
+00:13:05,370 --> 00:13:13,150
+عالية ننتقل إلى فرض الدورية أو المدة المحاسبية أو
+
+121
+00:13:13,150 --> 00:13:18,730
+الفترة المحاسبية فرض الفترة المحاسبية عميم ديش
+
+122
+00:13:18,730 --> 00:13:20,910
+تفضلي اقتنع المشروع اللي ابتدت
+
+123
+00:13:28,870 --> 00:13:42,950
+الأن عنا عادة المشروع لا ننتظر حتى نهايته بل لابد
+
+124
+00:13:42,950 --> 00:13:48,790
+نحتاج إلى مراحل معينة أو في فترات توريخ معينة
+
+125
+00:13:48,790 --> 00:13:53,750
+لتقييم أداء هذا المشروع وبالتالي جامع العرف
+
+126
+00:13:53,750 --> 00:14:00,150
+المحاسبيأن يتم تقسيم حياة المشروع إلى فترات
+
+127
+00:14:00,150 --> 00:14:08,470
+محاسبية متساوية وهي غالبا سنة مالية غالبا إثنى عشر
+
+128
+00:14:08,470 --> 00:14:13,550
+شهرا لماذا كما قلت قبل قليل لأنها تعكس الوضع
+
+129
+00:14:13,550 --> 00:14:17,590
+الحقيقي لكل المشروع خلال إتناشر شهر وخلال هذه
+
+130
+00:14:17,590 --> 00:14:22,710
+الفصول ولكن هذا لا يمنع أن يكون لدينا فترات
+
+131
+00:14:22,710 --> 00:14:29,340
+محاسبية ربعية أو شهريةأو غير ذلك لمتابعة عمل
+
+132
+00:14:29,340 --> 00:14:34,460
+المشروع والاطلاع عليه حتى التدخل إن كان في بعض
+
+133
+00:14:34,460 --> 00:14:40,540
+المراحل لأنه بمعنى آخر ليس منطقيا أن ننتظر حتى
+
+134
+00:14:40,540 --> 00:14:45,460
+نهاية المشروع بعد سنوات طويلة ومن ثم نقيم قد تكون
+
+135
+00:14:45,460 --> 00:14:50,360
+لا نستطيع العلاج فيه إيش أطلاقا لكن أنا كل سنة
+
+136
+00:14:50,360 --> 00:14:56,790
+بعرف كيف اتجاه المشروعالان الفرض الأخير فرض ثبات
+
+137
+00:14:56,790 --> 00:15:01,590
+وحدة القياس النقدى اه بدنا الكل يشارك فرض وحدة
+
+138
+00:15:01,590 --> 00:15:06,470
+القياس النقدى تفضل يا جوري بدنا نرجع حكينا احنا ان
+
+139
+00:15:06,470 --> 00:15:09,190
+تغيير المبادئ و المفاهيم من فترة لأخرى هذا بيجعل
+
+140
+00:15:09,190 --> 00:15:12,530
+البيانات انها تكون مضللة الأمر فعشان هيك بيتم ان
+
+141
+00:15:12,530 --> 00:15:16,830
+هو ثبات هذه البيانات والمبادئ و في حالة وجود تغيير
+
+142
+00:15:16,830 --> 00:15:21,310
+سبب وجود مشكلة لابد ان نكون نبلغ عنها و بعدين
+
+143
+00:15:21,310 --> 00:15:32,050
+نغيرها في القواقمالان بالنسبة لمبدأ
+
+144
+00:15:32,050 --> 00:15:36,990
+اثبات القوة الشرائية اي مشروع او شركة او مؤسسة
+
+145
+00:15:36,990 --> 00:15:43,370
+لابد من تقييم اعمالها النهائية كما نرى في القوائم
+
+146
+00:15:43,370 --> 00:15:48,930
+المالية بعملة الدولة الدنار الدولار الشيكل اليورو
+
+147
+00:15:48,930 --> 00:15:50,550
+الاخر من هذه الأمور
+
+148
+00:15:54,250 --> 00:15:57,450
+الأمور .. لكن هذا المبدأ الثابت .. مبدأ ثابت قياس
+
+149
+00:15:57,450 --> 00:16:02,730
+الوحدة النقل هذا يواجه اللي هو اعتراضات او الاخر
+
+150
+00:16:02,730 --> 00:16:08,850
+.. ليه؟ لماذا؟ لأنه قد .. هنا ثبات القوة الشرائية
+
+151
+00:16:08,850 --> 00:16:15,650
+هذا مستحيل مستحيل .. درسته في .. في الاقتصاد اللي
+
+152
+00:16:15,650 --> 00:16:19,970
+هو ثبات القوة الشرائية مستحيل يعني أحيانا ما
+
+153
+00:16:19,970 --> 00:16:25,790
+نشتريه اليومبخمس دنانير قد يكون في بعد فترة معينة
+
+154
+00:16:25,790 --> 00:16:28,890
+نحتاج إلى سبع دنانير بالتالي هذا ما يسمى انخفاض
+
+155
+00:16:28,890 --> 00:16:34,650
+القوة الشرائية انخفاض القوة الشرائية فطبعا هنا
+
+156
+00:16:34,650 --> 00:16:39,510
+يعاب على هذا الفرض انه عملية انه لا يأخذ في
+
+157
+00:16:39,510 --> 00:16:46,630
+الحسبان التغيير في الأسعار او التضخم اي لا يأخذ
+
+158
+00:16:46,630 --> 00:16:54,400
+القوة الشرائية للنقود في الحسبانإذا بهذا .. بهذا
+
+159
+00:16:54,400 --> 00:17:01,620
+نكون تحدثنا عن الفروض المحاسبية و هي مين .. مين
+
+160
+00:17:01,620 --> 00:17:08,320
+اللي أخصليه؟ مين أحكيليها؟ آه .. خطر في النص فرض
+
+161
+00:17:08,320 --> 00:17:13,240
+الوحدة المحاسبية .. فرض الوحدة المحاسبية استمرارية
+
+162
+00:17:13,240 --> 00:17:18,200
+.. وحدة المحاسبية .. فرض الاستمرارية
+
+163
+00:17:24,600 --> 00:17:30,420
+الفترة المحاسبية او الدولية الاخرى الرابع فرض ايش
+
+164
+00:17:30,420 --> 00:17:40,380
+ثبات وحدة القياس النقدي الآن ننتقل بعد ما انتهينا
+
+165
+00:17:40,380 --> 00:17:46,640
+من الفروض المحاسبية ننتقل الى المبادئ المحاسبية
+
+166
+00:17:46,640 --> 00:17:54,520
+المبادئ المحاسبيةالمبادئ المحاسبية حد ممكن يعرفها؟
+
+167
+00:17:54,520 --> 00:18:01,520
+المبادئ المحاسبية بيبقى كل إشارة تفضلي تمام،
+
+168
+00:18:01,520 --> 00:18:07,140
+الآن بيحكي إن المبادئ هي إطار عام المبادئ هي إطار
+
+169
+00:18:07,140 --> 00:18:13,000
+عام للعمل المحاسبي يعتمد على مين؟ الفروض إذا
+
+170
+00:18:13,000 --> 00:18:18,440
+المبدأ .. المبدأ اللي هو يعتمد على الفرد وليس
+
+171
+00:18:18,440 --> 00:18:27,840
+العكسالان عندنا .. و طبعا هذه المبادئ هي ليس .. هي
+
+172
+00:18:27,840 --> 00:18:33,160
+ليس يعني .. لا تكون ثابتة .. لا تكون ثابتة بل ان
+
+173
+00:18:33,160 --> 00:18:37,940
+تتمتع بالدينامكية و تتغير بين الفينة و الأخرى حسب
+
+174
+00:18:37,940 --> 00:18:42,980
+المتغيرات لأن المحاسب علم اجتماعي يؤثر في البيئة و
+
+175
+00:18:42,980 --> 00:18:46,770
+يتأثر من البيئة طبعا البيئة نقص البيئةمش يعني
+
+176
+00:18:46,770 --> 00:18:51,050
+البيئة العالية، بيئة الشركات المتغيرات، والدليل
+
+177
+00:18:51,050 --> 00:18:54,010
+على ذلك أول ما كان موجود كان محاسب فقط، محاسبة
+
+178
+00:18:54,010 --> 00:18:57,650
+دولية، بعدين صار محاسبة مصارف، صار في تدقيق، صار
+
+179
+00:18:57,650 --> 00:19:02,070
+محاسبة الشركات، ليش وجهة هذه المحاسبة؟ نتيجة هناك
+
+180
+00:19:02,070 --> 00:19:06,490
+ظهور شركات كبيرة جدا وغير ذلك، محاسبة دولية وغير
+
+181
+00:19:06,490 --> 00:19:14,610
+ذلك من هذا .. من هذه الأمورطيب، الآن نبدأ في أول
+
+182
+00:19:14,610 --> 00:19:21,590
+مبدأ، وهو مبدأ التكلفة التاريخية، مبدأ التكلفة
+
+183
+00:19:21,590 --> 00:19:26,310
+التاريخية،
+
+184
+00:19:26,310 --> 00:19:33,010
+آه، مين يحكينا عن التكلفة التاريخية؟ مبدأ التكلفة
+
+185
+00:19:33,010 --> 00:19:35,270
+.. أخدتوا كل الكلام هذا؟
+
+186
+00:19:44,670 --> 00:19:52,770
+أي تحميل الأصل بجميع المصاريف حتى يصبح جاهز
+
+187
+00:19:52,770 --> 00:20:01,950
+للاستخدام على
+
+188
+00:20:01,950 --> 00:20:08,590
+سبيل المثال لو اشترينا سيارة فتكلفة السيارة تساوي
+
+189
+00:20:08,590 --> 00:20:11,610
+ثمن ثمن الشراء
+
+190
+00:20:15,270 --> 00:20:24,390
+15000 زائد رسوم جمهورية زائد مصاريف الشحن زائد
+
+191
+00:20:24,390 --> 00:20:28,730
+عمولة
+
+192
+00:20:28,730 --> 00:20:38,690
+الشراء إلى آخرين فرحان اذا
+
+193
+00:20:38,690 --> 00:20:43,210
+يساوي 16800
+
+194
+00:20:45,220 --> 00:20:51,640
+بقى هى ما نقصد بيه التكلفة التاريخية هذا الرقم
+
+195
+00:20:51,640 --> 00:20:54,900
+اللى مار عليكوا محسب واحد هذا الرقم اللى الآن لما
+
+196
+00:20:54,900 --> 00:21:00,820
+بسجل فيه الدفاتر هسجل التكلفة التاريخية للاصل هسجل
+
+197
+00:21:00,820 --> 00:21:04,320
+التكلفة التاريخية للاصل اللى هى الثمن زي اي مصروحة
+
+198
+00:21:04,320 --> 00:21:08,360
+جاهز للاستخدام والدليل على ذلك ايضا مثال اخر
+
+199
+00:21:12,240 --> 00:21:16,000
+في المصنع فطبعا المهندس اللي يقوم الأجراء اللي
+
+200
+00:21:16,000 --> 00:21:19,440
+بياخدها المهندس رغم بساطتها وقلتها مقارنة بالآلة
+
+201
+00:21:19,440 --> 00:21:25,800
+وما نحتاج إلى قاعدة اسمنتية من مكوناتها كل هذه
+
+202
+00:21:25,800 --> 00:21:32,560
+تضاف على ايش؟ تكلفات الاصل وتكلفة على ثمن الآلة
+
+203
+00:21:32,560 --> 00:21:37,660
+الشراء ويصبح التكلفة العامة ونسجل الاصل بالمبلغ
+
+204
+00:21:37,660 --> 00:21:44,480
+الإجماليهذا بالنسبة لمبدأ التكلفة التاريخية طبعاً
+
+205
+00:21:44,480 --> 00:21:46,940
+للعلم أيضاً هذا مبدأ التكلفة التاريخية يواجه
+
+206
+00:21:46,940 --> 00:21:52,680
+انتقادات يواجه انتقادات وخاصة في ظل الوضع
+
+207
+00:21:52,680 --> 00:21:58,280
+المتغيرات والمناداء بالقيمة العادلة طبعاً هنا
+
+208
+00:21:58,280 --> 00:22:01,640
+التكلفة التاريخية لكنه رغم الانتقادات التي توجه له
+
+209
+00:22:01,640 --> 00:22:07,800
+إلا أنه يُعتبر الأساس الحقيقي الأساس
+
+210
+00:22:10,800 --> 00:22:17,720
+الأصول الثابتة يُعتبر الأداء الحقية لتقييم الأصول
+
+211
+00:22:17,720 --> 00:22:24,680
+الثابتة لأننا نعتمد على بيانات فعلية ومواقع
+
+212
+00:22:24,680 --> 00:22:30,880
+مستندات ومواقع مستندات مؤيدة لهذا الكلام غير قابلة
+
+213
+00:22:30,880 --> 00:22:35,280
+للنقاش لكن القيمة العادلة تحتاج إلى التقدير
+
+214
+00:22:35,280 --> 00:22:40,050
+والتغيير والتبديل وإلى أخرىرغم العيوب، طبقة هي
+
+215
+00:22:40,050 --> 00:22:52,650
+الأساس الحقيقي لهذه الألوان أي سؤال؟ خد رك طيب،
+
+216
+00:22:52,650 --> 00:22:59,190
+الأن ننتقل إلى مبدأ الموضوعية مبدأ الموضوعية، آخر
+
+217
+00:22:59,190 --> 00:23:03,490
+واحدة هو الأخذ بالحقائق والموضوع من حقها والاعتماد
+
+218
+00:23:03,490 --> 00:23:07,250
+على المستندات المؤيدة لها وعدم التهيب لها بالأهوار
+
+219
+00:23:07,250 --> 00:23:12,650
+التقليديةممتاز، إذا عندنا مبدأ الموضوعية، مبدأ
+
+220
+00:23:12,650 --> 00:23:19,530
+الموضوعية هو ممكن أن أحكيه باختصار، عدم .. أي عدم
+
+221
+00:23:19,530 --> 00:23:27,470
+تلون، مبدأ الموضوعية، أي عدم تلون النتائج بالتحيز
+
+222
+00:23:27,470 --> 00:23:36,330
+الشخصي، أي عدم تلون النتائج بالتحيز الشخصيوالدليل
+
+223
+00:23:36,330 --> 00:23:39,470
+على ذلك لماذا موضوعيه وعدم التلوح للنتاج بتحيزه
+
+224
+00:23:39,470 --> 00:23:44,990
+الشخصي لأننا عندما نطلب من أي محاسب من مجموعة
+
+225
+00:23:44,990 --> 00:23:49,350
+محاسبين هذه بيانات الشركة مؤيدة بمستدادات رسمية
+
+226
+00:23:49,350 --> 00:23:55,250
+وكل العمليات موجودة مؤيدة مدات رسمية الآن نطلب منه
+
+227
+00:23:55,250 --> 00:23:59,650
+إعداد اللي هي القوام المالي قامة الدخل والميزانية
+
+228
+00:23:59,650 --> 00:24:05,980
+هل النتيجة سوف تختلف؟ لأ لأ حتما لاتختلففهي معنى
+
+229
+00:24:05,980 --> 00:24:09,280
+مش علشان انا ممكن انا اكون يعني في علاقة بين صاحب
+
+230
+00:24:09,280 --> 00:24:13,240
+الشركة و الاخرين اروح مثلا اغير في الأرقام الأصل
+
+231
+00:24:13,240 --> 00:24:18,320
+أن النتائج لا تتغير ولا تتبدل و أن تكون النتيجة
+
+232
+00:24:18,320 --> 00:24:24,740
+واحدة عند القيام قيام أكتر من محاسب بهذا العمل
+
+233
+00:24:24,740 --> 00:24:31,100
+ننتقل الآن إلى مبدأ الافصاح مبدأ الافصاح الكلي
+
+234
+00:24:31,100 --> 00:24:39,500
+مبدأ الافصاح الكليمبدأ .. مبدأ الإفساح .. الإفساح
+
+235
+00:24:39,500 --> 00:24:53,320
+الكلي نعم .. ميملي شارك .. تفضلي يعني
+
+236
+00:24:53,320 --> 00:24:58,960
+بمعنى آخر .. بمعنى آخر مبدأ
+
+237
+00:24:58,960 --> 00:25:06,710
+الإفساح الكلي يجب الإفساحعن جميع البيانات
+
+238
+00:25:06,710 --> 00:25:12,710
+والمعلومات المحاسبية يعني يجب الإفساح عن جميع
+
+239
+00:25:12,710 --> 00:25:20,050
+البيانات والمعلومات المحاسبية التي قد تؤثر على
+
+240
+00:25:20,050 --> 00:25:28,330
+متخذين القرار على متخذين القرار إذا
+
+241
+00:25:28,330 --> 00:25:33,300
+أنا لما بحكي الإفساح الكليلابد من إفصاح عن جميع
+
+242
+00:25:33,300 --> 00:25:37,260
+البيانات بدون
+
+243
+00:25:37,260 --> 00:25:48,480
+أي نقص لأن حجب أي معلومة قد تؤدي إلى اتخاذ قرار من
+
+244
+00:25:48,480 --> 00:25:54,140
+المستخدمين لهذه المعلومات ويبني عليها قرار خاطر
+
+245
+00:25:54,140 --> 00:26:00,180
+وبالتالي هنا قد يعرض المؤسسة والمحاسب إلى
+
+246
+00:26:00,180 --> 00:26:05,160
+المسئوليةلأنه حجب هذه المعلومات تؤثر على أسعار
+
+247
+00:26:05,160 --> 00:26:10,700
+الأسهم تؤثر على المستثمرين تؤثر على المجتمع و إلى
+
+248
+00:26:10,700 --> 00:26:16,640
+آخرها من هذه الأمور و طبعا ممكن في معلومات أحيانا
+
+249
+00:26:16,640 --> 00:26:22,860
+هذه الشركة كام تؤثر في البيئة تلوث بيئي ما تأثيرها
+
+250
+00:26:22,860 --> 00:26:27,280
+البيئي لو حجبنا هذه المعلومات حجبنا المعلومات ممكن
+
+251
+00:26:28,090 --> 00:26:30,950
+أتأثر في سعر السهم ويرتفع لكن هو على عرض الواقع
+
+252
+00:26:30,950 --> 00:26:35,450
+الوضع غير ايه؟ هذه معناه لفصحى لابد لفصحى جميع
+
+253
+00:26:35,450 --> 00:26:41,850
+المعلومات التي قد تؤثر على متخد القرار بالسلم طيب،
+
+254
+00:26:41,850 --> 00:26:50,790
+أي سؤال؟ ننتقل إلى مبدأ .. طبعا مبدأ أساس
+
+255
+00:26:50,790 --> 00:26:55,370
+الاستحقاف، بدي أخليه لآخر شيء لأن هذا هو جوهر
+
+256
+00:26:55,370 --> 00:27:00,690
+عملناو جوهر عملنا فيه محاسبة اتنين مبدأ الثبات
+
+257
+00:27:00,690 --> 00:27:07,930
+المبدأ الرابع مبدأ الثبات مبدأ الثبات اتباع نفس
+
+258
+00:27:07,930 --> 00:27:11,830
+الإجراءات مبدأ الثبات استمرار استخدام السياسات
+
+259
+00:27:11,830 --> 00:27:15,150
+والإجراءات المتبعة في داخل المشروع لفترة زمنية
+
+260
+00:27:15,150 --> 00:27:22,050
+عشان تكون المعلومات مصطفة الان مبدأ الثبات معناه
+
+261
+00:27:22,050 --> 00:27:22,850
+اتباع
+
+262
+00:27:27,270 --> 00:27:35,390
+من سنة إلى أخرى اتباع نفس الإجراءات المحاسبية من
+
+263
+00:27:35,390 --> 00:27:45,590
+سنة إلى أخرى وهذا يضمن عملية المقارنة الحقيقية
+
+264
+00:27:45,590 --> 00:27:50,630
+وهذا يضمن عملية المقارنة الحقيقية
+
+265
+00:27:53,220 --> 00:27:59,700
+وطبعا هذه الأسس الأسس في منها مثلا الأصول الثابت
+
+266
+00:27:59,700 --> 00:28:04,800
+هذه السيارة والمباني والأراضي طبعا هذه لها طرق
+
+267
+00:28:04,800 --> 00:28:10,740
+لحساب أو استهلاكها السنوي وبالتالي لو اتبعت أنا
+
+268
+00:28:10,740 --> 00:28:15,740
+الطريقة C في هذه العام لابد من اتباعها في العام
+
+269
+00:28:15,740 --> 00:28:16,320
+القادم
+
+270
+00:28:20,350 --> 00:28:24,210
+باستمرار، لأن هذا إيش؟ عشان يضمنلي عملية المقارنة
+
+271
+00:28:24,210 --> 00:28:29,390
+الحقيقية، لكن هل هذا ثبات؟ ثبات مطلق؟ لا، ثبات
+
+272
+00:28:29,390 --> 00:28:35,950
+نسبي إذا كان هناك في مصلحة ضرورية للشركة، ضرورية
+
+273
+00:28:35,950 --> 00:28:43,770
+للشركة، هنا يجوز التغيير مع الإفسار ومع بيان هذا
+
+274
+00:28:43,770 --> 00:28:50,910
+الأمر، لماذا؟ لجأنا إلى هذه الأليةننتقل إلى المبدأ
+
+275
+00:28:50,910 --> 00:28:57,030
+المقابلة مبدأ
+
+276
+00:28:57,030 --> 00:29:04,950
+المقابلة مبدأ المقابلة وكما هو موجود عندكم مبدأ
+
+277
+00:29:04,950 --> 00:29:11,510
+مقابلة الإيرادات من المصرفات ماذا نقصد به مقابلة
+
+278
+00:29:11,510 --> 00:29:14,530
+الإيرادات من المصرفات التي تخص السائق فترة المالية
+
+279
+00:29:14,530 --> 00:29:15,210
+نفسها
+
+280
+00:29:18,070 --> 00:29:24,150
+الإيرادات والمصرفات التي تخص الفترة المالية بمعنى
+
+281
+00:29:24,150 --> 00:29:32,810
+مقابلة إيرادات عام 2015 مع مصرفات عام 2015 واضحة
+
+282
+00:29:32,810 --> 00:29:39,550
+مقابلة إيرادات 2015 مع مصرفات 2015 في الشيء هي
+
+283
+00:29:39,550 --> 00:29:42,930
+أشياء قبل قلنا مقابلة إيرادات ومصرفات نفس الفترة
+
+284
+00:29:42,930 --> 00:29:47,210
+المالية ضربنا مثل قلنا 2015للعبادة عشان يكون فيه
+
+285
+00:29:47,210 --> 00:29:53,850
+تقييم حقيقي نأتي إلى مبدأ الأهمية النسوية مبدأ
+
+286
+00:29:53,850 --> 00:30:01,910
+الأهمية النسوية وهنا مبدأ الأهمية النسوية ما
+
+287
+00:30:01,910 --> 00:30:08,050
+معناه؟ ما معناه مبدأ الأهمية النسوية؟ فضلاله إذا
+
+288
+00:30:08,050 --> 00:30:11,970
+كانت القرارات بتأثر بشكل كبير على اللي هي الإدارة
+
+289
+00:30:11,970 --> 00:30:13,650
+هذا بتكون أهميتها كبيرة
+
+290
+00:30:20,610 --> 00:30:28,250
+ممتاز إلى الآن المعلومات التي تؤثر في القرار تكون
+
+291
+00:30:28,250 --> 00:30:33,750
+ذات أهمية نسبية كبيرة بينما المعلومات التي لا تؤثر
+
+292
+00:30:33,750 --> 00:30:39,050
+في القرار تكون معلومات أهمية نسبية قليلة حتى لو
+
+293
+00:30:39,050 --> 00:30:43,970
+إيش ما ذكرناهاش لات تؤثر إطلاقا ومثال على ذلك
+
+294
+00:30:43,970 --> 00:30:48,490
+عندما تقوم الشركة بالتبرع بمبلغ ألف دولار
+
+295
+00:31:00,280 --> 00:31:04,440
+مين هيأثر على قلعه أكتر؟ الألفيعني دي لو ما
+
+296
+00:31:04,440 --> 00:31:08,560
+انذكرتش ودخلت المصرفات النثرية بتأثرش لكن هذا
+
+297
+00:31:08,560 --> 00:31:12,860
+المبلغ لأي مؤسسة و لأي جهة بتكون لها تأثير حتى
+
+298
+00:31:12,860 --> 00:31:16,940
+تأثير تأثيرة غير تأثيرة كمان تأثير اجتماعي ان هذه
+
+299
+00:31:16,940 --> 00:31:21,640
+المؤسسة تقوم بالمسئولية الاجتماعية بالمسئولية
+
+300
+00:31:21,640 --> 00:31:27,260
+اجتماعية تكفل الأيتام تتبرع لطلب الجامعين وتكميل
+
+301
+00:31:27,260 --> 00:31:33,090
+دراستهم المساعدة في فتحاللي هي غرف عمليات في إحدى
+
+302
+00:31:33,090 --> 00:31:36,370
+المستشفيات أو تزويدهم الأجهزة و .. و .. و إلى
+
+303
+00:31:36,370 --> 00:31:40,530
+آخرين و شقة الطرق و إلى آخرين فهذه كلها نسئولية
+
+304
+00:31:40,530 --> 00:31:45,590
+إجتماعية للمؤسسات التي تعمل في الدولة و عليها
+
+305
+00:31:45,590 --> 00:31:50,610
+التزام لابد أن تقدم هذه الأمور لكل فئات المجتمع
+
+306
+00:31:50,610 --> 00:31:57,270
+طيب، الآن أنتقل إلى مبدأ الحيط أو الحضار مبدأ
+
+307
+00:31:57,270 --> 00:31:58,110
+الحيط أو الحضار
+
+308
+00:32:05,480 --> 00:32:11,460
+ممتاز، مبدأ الحيط والحضر ماذا
+
+309
+00:32:11,460 --> 00:32:17,740
+نقصد به؟ نقصد به الاعتراف بالخسائر المتوقعة
+
+310
+00:32:17,740 --> 00:32:26,860
+الاعتراف بالخسائر المتوقعة بينما يتأجل الأرباح
+
+311
+00:32:26,860 --> 00:32:28,220
+المتوقعة
+
+312
+00:32:40,560 --> 00:32:47,700
+طيب و طبعا مبدأ الاستحقار فيه شغلات كثيرة جدا سوف
+
+313
+00:32:47,700 --> 00:32:54,140
+اتعرض اليها خلال سياق المحاضرات القادمة توضيح هذه
+
+314
+00:32:54,140 --> 00:33:02,380
+الفكرة الان نأتي الى مبدأ الاستحقار اخر مبدأ مبدأ
+
+315
+00:33:02,380 --> 00:33:10,710
+الاستحقار و طبعا في محاسبة واحدعرفته الأساس النقدي
+
+316
+00:33:10,710 --> 00:33:15,070
+و أساس الاستحقاق أو المبدأ النقدي أو مبدأ
+
+317
+00:33:15,070 --> 00:33:19,050
+الاستحقاق البعض يسميه كذا و البعض يسميه كذا الان
+
+318
+00:33:19,050 --> 00:33:24,210
+مبدأ الاستحقاق وهو جوهر عملية محاسبة اتنين وهو
+
+319
+00:33:24,210 --> 00:33:30,750
+جوهر عملية محاسبة اتنين مين يحكي لي ايش مبدأ
+
+320
+00:33:30,750 --> 00:33:35,800
+الاستحقاق؟ مين ماحكاش و بده يحكي؟إنه يعترف
+
+321
+00:33:35,800 --> 00:33:39,060
+بالإيرادات والمكاسب غضب نظر انه يحققها أو لا
+
+322
+00:33:39,060 --> 00:33:42,780
+يحققها، بعترف فيها كاملة، في خلال الفترة المالية
+
+323
+00:33:42,780 --> 00:33:48,200
+المستخدمة في المنشأة، تحميل، يعترف بالمبالغ
+
+324
+00:33:48,200 --> 00:33:53,660
+المدفوعة المستحقة سواء دفعت أمام زنفة أو مخدد أمام
+
+325
+00:33:53,660 --> 00:33:56,880
+خطفة،
+
+326
+00:33:56,880 --> 00:33:59,580
+تحمل استخدام مالية ما يخصها من
+
+327
+00:34:05,500 --> 00:34:13,780
+مبدأ الاستحقاء تحميل الفترة المالية بما يخصها من
+
+328
+00:34:13,780 --> 00:34:22,860
+إيرادات حُصلت أو لم تحصل والمصروفات دفعت أو لم
+
+329
+00:34:22,860 --> 00:34:29,060
+تدفع هذا أساس الاستحقاء هذا أساس الاستحقاء والدليل
+
+330
+00:34:29,060 --> 00:34:32,320
+على ذلك الآن لو كان هنا وقع أساس الاستحقاء مثلا
+
+331
+00:34:32,320 --> 00:34:36,950
+احنا بيراجع في ميزان المراجعةلقينا في مصروف ..
+
+332
+00:34:36,950 --> 00:34:41,570
+مصروف في مثلا ألفين دولار مصروف، رواتب، إنارة،
+
+333
+00:34:41,570 --> 00:34:45,670
+إيجار، إلا إلا أخرى، أي مصروف ألفين دولار لكن
+
+334
+00:34:45,670 --> 00:34:53,450
+وإحنا بنعمل جرد وجدنا ما يخص .. يعني هنا في ألفين
+
+335
+00:34:53,450 --> 00:35:01,830
+هنا في الميزان لكن هنا محصل .. محصل طبعا هنا محصل
+
+336
+00:35:01,830 --> 00:35:09,490
+ألفينفي ما يخص 2400 دولار إذا الأن .. الأن أنا
+
+337
+00:35:09,490 --> 00:35:13,230
+هحمل السنة وفق الأساس الاستحقار بالألفين حصلتهم
+
+338
+00:35:13,230 --> 00:35:20,450
+ولا بالألفين و400 400 .. وفق الأساس الاستحقار ما
+
+339
+00:35:20,450 --> 00:35:27,610
+يخص العام 2400 فمش بقولك دفع أو لم .. مصروف دفع أو
+
+340
+00:35:27,610 --> 00:35:32,170
+لم يدفع أنا دافع ألفين اللي ظهرا في مثال مراجعةلكن
+
+341
+00:35:32,170 --> 00:35:35,770
+و أنا بقى أبحث وجدت لأ لأ السنة بت .. السنة
+
+342
+00:35:35,770 --> 00:35:39,430
+بتكلفني الفين و أربعمية دولار إذا انت دفع أو لم
+
+343
+00:35:39,430 --> 00:35:44,190
+يدفع إذا انت بحمل الفترة المالية بإيه؟ الفين و
+
+344
+00:35:44,190 --> 00:35:51,290
+أربعمية دولار تمام؟ طيب نفس الشيء الإيراد ..
+
+345
+00:35:51,290 --> 00:35:54,650
+الإيراد طبعا هنا بيكون فيه فرق و الفرق هنا بده
+
+346
+00:35:54,650 --> 00:36:00,490
+تسوية سنة و نهات في المحاضرة القادمةالان بالنسبة
+
+347
+00:36:00,490 --> 00:36:04,410
+للإيراد فرضا هنا فيه خمس ألاف دولار هذا ظهرت في
+
+348
+00:36:04,410 --> 00:36:08,610
+ميزان المراجعة ..ظهرت في ميزان المراجعة ..الان
+
+349
+00:36:08,610 --> 00:36:15,970
+وجدنا ما يخص العام أربعة ألاف و خمس منه من
+
+350
+00:36:15,970 --> 00:36:21,270
+الإيرادات أرباح أسهم فوائد سندات المباني
+
+351
+00:36:27,660 --> 00:36:32,720
+لخص العام فقط يعني أنا محصر زيادة مثلا بنأجر و
+
+352
+00:36:32,720 --> 00:36:37,480
+بنقوله إيجار سنة و نص أو إيجار سنوي بس لكن السنة
+
+353
+00:36:37,480 --> 00:36:42,800
+بدأت في 1 أربعة مثلا لمدة 12 شهر لكن دلوقتي في
+
+354
+00:36:42,800 --> 00:36:47,100
+الدنيا بعمل تسوية في 31 تسوية الآن هنا في 500 دنار
+
+355
+00:36:47,100 --> 00:36:53,600
+أد زيادة الآن أنا بحمل الفترة المالية من الإيرادات
+
+356
+00:36:53,600 --> 00:36:54,520
+بال 4500
+
+357
+00:36:57,880 --> 00:37:03,620
+ما يخص العام فقط سواء حصل او لم يحصل، و لو كان ما
+
+358
+00:37:03,620 --> 00:37:10,560
+يخص العام ستة لاف، بحمل بالستة لاف، ليش؟ حصل او لم
+
+359
+00:37:10,560 --> 00:37:15,180
+يحصل، تمام؟ و هذا خلال .. هذا طبعا هو جوهر
+
+360
+00:37:15,180 --> 00:37:21,000
+المحاسبة اتنين حيكون بالنسبة ليه؟ الأساس النقدي ..
+
+361
+00:37:21,000 --> 00:37:24,480
+الأساس النقدي كان يختلف في الوضعوالأساس النقدي
+
+362
+00:37:24,480 --> 00:37:27,980
+..مش أنا أخرجته ..أساس النقدي يستخدم في المؤسسات
+
+363
+00:37:27,980 --> 00:37:33,680
+الخدمية اللي زي المهن الحرة، الطب، الطبيب، قبل ما
+
+364
+00:37:33,680 --> 00:37:37,380
+نفوت عليه بندفع الكشفية، مظهر؟ طبيب الأسنان، كذا،
+
+365
+00:37:37,380 --> 00:37:41,520
+كذا، كذا، الاخرين، المحاسب، نعملنا .. ندفع جزء و
+
+366
+00:37:41,520 --> 00:37:44,300
+جزء بعدين، المهندس، ندفع جزء و جزء من الخريطة و
+
+367
+00:37:44,300 --> 00:37:48,080
+ندفع عشان .. قالوا أساس النقدي بيصلح إلى أن الفترة
+
+368
+00:37:48,080 --> 00:37:52,300
+الزمنية بين تقديم الخدمة وتحصيل الأتعاب، الإراد،
+
+369
+00:37:52,300 --> 00:38:00,450
+فتريشقصيرة قصيرة جدا تمام طبعا إذا هيك بنكون احنا
+
+370
+00:38:00,450 --> 00:38:09,350
+تحدثنا حدثنا عن الفروض و المبادئ المحاسبية التي
+
+371
+00:38:09,350 --> 00:38:15,970
+مراجعتها هذه تساعدنا على اللي هو في التطبيقات
+
+372
+00:38:15,970 --> 00:38:21,370
+اللاحقة في المبادئ مين عنده أي سؤال؟ مين عنده أي
+
+373
+00:38:21,370 --> 00:38:29,250
+سؤال؟طبعا طلبتنا الأعزاء نكون وصلنا إلى نهاية هذه
+
+374
+00:38:29,250 --> 00:38:32,950
+المحاضرة اليوم ونلتقي ان شاء الله في المحاضرة
+
+375
+00:38:32,950 --> 00:38:37,570
+القادمة جرد .. جرد الإرادات والمصرفات
+
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/pGB_uYPlipQ.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/pGB_uYPlipQ.srt
new file mode 100644
index 0000000000000000000000000000000000000000..52ae2d0656af680d62cb6a5db2037c82c680313f
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/pGB_uYPlipQ.srt
@@ -0,0 +1,1013 @@
+1
+00:00:20,740 --> 00:00:27,380
+أخواتي اليوم محاضرتنا سوف تكون عن جرد المخزون، سوف
+
+2
+00:00:27,380 --> 00:00:39,660
+تكون عن جرد المخزون. إذاً موضوعنا جرد المخزون السلعي
+
+3
+00:00:39,660 --> 00:00:41,760
+اللي هو يسمى بضاعة
+
+4
+00:00:54,450 --> 00:00:58,830
+طبعاً أي مشروع.. أي مشروع إن كان.. طبعاً عندما
+
+5
+00:00:58,830 --> 00:01:01,590
+أقول جرد المخزون السلعي يعني إيه؟ واحد وثلاثين
+
+6
+00:01:01,590 --> 00:01:07,670
+اثنا عشر، أي نهاية اثني عشر شهر، هنا المخزون السلعي..
+
+7
+00:01:07,670 --> 00:01:17,210
+المخزون السلعي يتكون في المشروع التجاري من بضاعة
+
+8
+00:01:17,210 --> 00:01:30,350
+تامة الصنع. مثال على ذلك، مثال على ذلك: قميص، تلفزيون،
+
+9
+00:01:30,350 --> 00:01:40,430
+إلى آخره. إذاً المخزون في المشروع التجاري
+
+10
+00:01:40,430 --> 00:01:46,510
+يتكون من بضاعة تامة الصنع فقط: بنطلون، قميص، جلباب،
+
+11
+00:01:46,510 --> 00:01:52,070
+بدلة، تلفزيون، مروحة، مكيف، شغلات جاهزة لأن المشروع
+
+12
+00:01:52,070 --> 00:01:54,510
+التجاري يشتري السلع ويبيعها على حالها.
+
+13
+00:02:03,300 --> 00:02:15,860
+يتكون المخزون من.. من بضاعة تامة، وبضاعة غير تامة
+
+14
+00:02:15,860 --> 00:02:25,220
+ومواد خام. مواد خام. البضاعة التامة مثلاً عندما
+
+15
+00:02:25,220 --> 00:02:28,860
+نتحدث عن مصنع، عندما نتحدث
+
+16
+00:02:32,330 --> 00:02:39,230
+الملابس الجاهزة، يعني البنطلون، القميص، البدلة،
+
+17
+00:02:39,230 --> 00:02:46,570
+الجلباب، جاهزة للاستخدام. بينما بضاعة غير تامة تكون
+
+18
+00:02:46,570 --> 00:02:51,850
+نصف
+
+19
+00:02:51,850 --> 00:03:00,170
+مصنعة، نصف مصنعة، أو بمعنى آخر، مش نصف مصنعة بالضبط،
+
+20
+00:03:01,250 --> 00:03:05,610
+لأ، بيكون هذه البضاعة، مثلاً اللي هو القميص، الـ gas
+
+21
+00:03:05,610 --> 00:03:11,430
+gas  لأزرار مثلاً، هل بنستطيع استخدامه؟ لأ، ممكن يكون
+
+22
+00:03:11,430 --> 00:03:18,230
+القميص شبه جاهز، جاهز ٩٥٪ ومش حاطين له الأزرار.
+
+23
+00:03:28,540 --> 00:03:32,420
+الكمامة لحالها، والباقي لحاله، غير قابل للاستخدام،
+
+24
+00:03:32,420 --> 00:03:39,520
+الآن هنا مواد خام، هنا قماش، المواد
+
+25
+00:03:39,520 --> 00:03:43,880
+الخام، القماش الموجودة في المصنع، اللفات الموجودة،
+
+26
+00:03:43,880 --> 00:03:49,760
+تمام؟ هذا هو نعتبر إيش؟ مواد خام، تمام؟ يعني لم
+
+27
+00:03:49,760 --> 00:03:54,260
+تلمسه بعد، لا ماكينة ولا أيدي العاملة إطلاقاً.
+
+28
+00:03:59,930 --> 00:04:04,790
+أو المخزون السلعي. عندما نقول مخزون، نقص المخزون
+
+29
+00:04:04,790 --> 00:04:12,530
+نهاية الفترة. طيب، هذا المخزون هو عنصر من عناصر
+
+30
+00:04:12,530 --> 00:04:19,370
+الأصول المتداولة. المخزون هو عنصر من عناصر الأصول
+
+31
+00:04:19,370 --> 00:04:23,250
+المتداولة. يعني دلوقتِ عندنا الميزانية، عندنا
+
+32
+00:04:23,250 --> 00:04:28,120
+الميزانية، نقول هنا هذا الجانب إيش؟ الأصول، وهذا
+
+33
+00:04:28,120 --> 00:04:32,660
+الجانب الالتزامات. وحكم الـ key هنا نقول الأصول
+
+34
+00:04:32,660 --> 00:04:40,480
+المتداولة، الأصول المتداولة، الأصول المتداولة، وهنا
+
+35
+00:04:40,480 --> 00:04:44,420
+لماذا نبدأ بالأصول المتداولة في المشروع التجاري؟
+
+36
+00:04:44,420 --> 00:04:50,640
+لأن معظم رأس مالنا هو في البضاعة، والدليل على ذلك
+
+37
+00:04:50,640 --> 00:04:54,100
+عندما نذهب إلى الـ supermarket، محلات الملابس،
+
+38
+00:04:59,770 --> 00:05:03,750
+والباقي رأس المال كله في البضاعة الموجودة في
+
+39
+00:05:03,750 --> 00:05:07,610
+البضاعة اللي بنشتريها وبنبيع فيها. ولكن في المشروع
+
+40
+00:05:07,610 --> 00:05:12,870
+الصناعي، رأس المال بيكون في الآلات والمعدات، عشان
+
+41
+00:05:12,870 --> 00:05:16,730
+هيك بنبدأ في المشروع الصناعي بالأصول الثابتة، وهذا
+
+42
+00:05:16,730 --> 00:05:22,890
+التصنيف الصحيح. إذاً الأصول المتداولة، هيكون هنا صندوق
+
+43
+00:05:22,890 --> 00:05:33,190
+بالأوراق، قبض، اللي هو بضاعة آخر المدة، اللي هي
+
+44
+00:05:33,190 --> 00:05:40,950
+بيسميها إيش؟ المخزون. إذاً، كما قلت، إن اللي هو بضاعة
+
+45
+00:05:40,950 --> 00:05:48,250
+آخر المدة هي عنصر أساسي من عناصر الأصول المتداولة.
+
+46
+00:05:48,250 --> 00:05:52,550
+عنصر أساسي من عناصر أصول إيش؟ المتداولة.
+
+47
+00:05:54,780 --> 00:06:00,760
+وأحد مكونات رأس المال، وأحد مكونات رأس المال
+
+48
+00:06:00,760 --> 00:06:05,580
+العامل، وأحد مكونات رأس المال العامل في المستقبل.
+
+49
+00:06:05,580 --> 00:06:11,700
+لما تأخذوا إدارة مالية، هتتذكروا هذا الكلام. طيب، إذاً
+
+50
+00:06:11,700 --> 00:06:18,980
+كون المخزون هو أحد الأصول المتداولة، إذا أي خطأ في
+
+51
+00:06:18,980 --> 00:06:23,520
+تقييمه، بشكل
+
+52
+00:06:29,780 --> 00:06:33,700
+القوائم المالية، على القوائم المالية اللي هي إيش؟
+
+53
+00:06:33,700 --> 00:06:40,100
+قوائم الدخل، قوائم الدخل، وميزانية، قوائم الدخل
+
+54
+00:06:40,100 --> 00:06:44,140
+وميزانية. يعني الآن لو اخترت أنا في تقديره هنا،
+
+55
+00:06:44,140 --> 00:06:48,660
+اخترت تقدير المخزون وحطيته هنا، أكان يعني عند مثلاً
+
+56
+00:06:48,660 --> 00:06:53,660
+هو ألفين، وحطيته أنا في الخطأ ألف وخمسمائة ألف
+
+57
+00:06:53,660 --> 00:07:00,890
+وخمسمائة، تمام؟ هو المفروض يكون إيش؟ ألفين. إذاً، هيأثر
+
+58
+00:07:00,890 --> 00:07:05,250
+برضه على قائمة الدخل، والأمور هذه. وبالتالي، يعني
+
+59
+00:07:05,250 --> 00:07:09,550
+الآن أنا بقيم المخزون، بدل ما هو ٢٠٠٠، عملته ١٥٠٠
+
+60
+00:07:09,550 --> 00:07:17,810
+وطبعاً أنتم عارفين، لازم تعرفوا تكلفة البضاعة، هي
+
+61
+00:07:17,810 --> 00:07:28,210
+١٥٠٠٠، جزء منها يباع مبيع، وجزء منها مخزون، تمام؟
+
+62
+00:07:29,450 --> 00:07:34,250
+تكاليف البضاعة اللي أنا بشتريها، الـ pedagogy،
+
+63
+00:07:34,250 --> 00:07:38,530
+الأبواب، النوافذ، الأبواب، البلاط، جزء هأبيعه، وجزء هيبقى في
+
+64
+00:07:38,530 --> 00:07:46,810
+المخازن. الجزء المبيع يذهب إلى قائمة الدخل، الجزء
+
+65
+00:07:46,810 --> 00:07:53,350
+المبيع يذهب إلى قائمة الدخل، بينما الجزء المتبقي
+
+66
+00:07:53,350 --> 00:07:59,440
+يعني مثلاً اشترينا ١٠٠٠ ثلاجة، بيبقى عندنا ٨٠٠، الـ ٨٠٠
+
+67
+00:07:59,440 --> 00:08:05,340
+تكلفته تروح على قائمة الدخل، الـ ٢٠٠ ضلوا في المخازن
+
+68
+00:08:05,340 --> 00:08:09,960
+وموجودات، وبيعملوا لهم جرد، هدول يعتبروا إيش؟ أصل،
+
+69
+00:08:09,960 --> 00:08:13,660
+يعتبروا إيش؟ أصل، يظهر وين؟ يظهر وين؟
+
+70
+00:08:30,030 --> 00:08:36,270
+حطينا هنا ٩٥٠٠، هذا هيظهر ك٥٠٠٠ وإيش؟ ٥٠٠. إذاً طبعاً
+
+71
+00:08:36,270 --> 00:08:40,250
+إذا قدرنا بشكل غير صحيح، هيصير فيه خلل، هذا هيأثر
+
+72
+00:08:40,250 --> 00:08:45,830
+على الربح، هيأثر على الربح يا بالزيادة يا بالنقصان، و
+
+73
+00:08:45,830 --> 00:08:50,390
+هنا المخصص، هيظهر، هيعكس صورة غير حقيقية، فبالتالي
+
+74
+00:08:50,390 --> 00:08:59,310
+لا بد أن يكون التقييم دقيق جداً. طيب، الآن
+
+75
+00:09:00,800 --> 00:09:10,220
+تعريف المخزون يُعرف
+
+76
+00:09:10,220 --> 00:09:21,300
+المخزون بأنه السلع التي تشترى بقصد
+
+77
+00:09:21,300 --> 00:09:22,580
+إعادة بيعها.
+
+78
+00:09:30,150 --> 00:09:36,930
+من خلال النشاط الرئيسي، من خلال النشاط الرئيسي
+
+79
+00:09:36,930 --> 00:09:45,850
+للمشروع، أو السلع التي تشترى، أو السلع التي تشترى
+
+80
+00:09:45,850 --> 00:09:52,370
+بقصد استخدامها في إنتاج، بقصد استخدامها في إنتاج
+
+81
+00:09:52,370 --> 00:10:03,390
+السلع الأخرى التي تصنع، بهدف إعادة البيع، بهدف إعادة
+
+82
+00:10:03,390 --> 00:10:09,310
+البيع. إذاً قلنا تعريف المخزون، وعنصر المخزون، لأنها
+
+83
+00:10:09,310 --> 00:10:14,190
+السلع التي تشتريها بهدف أو بقصد إعادة بيعها من خلال
+
+84
+00:10:14,190 --> 00:10:21,130
+النشاط الرئيسي للمشروع، أو التي تشتريها بهدف أو بقصد
+
+85
+00:10:21,130 --> 00:10:25,830
+استخدامها في الإنتاج. ياما بتكون مكونات إنتاج، ياما
+
+86
+00:10:25,830 --> 00:10:28,850
+في مشروع صناعي، ياما في مشروع تجاري، أنا بشتريها
+
+87
+00:10:28,850 --> 00:10:29,130
+بهدف
+
+88
+00:10:31,980 --> 00:10:40,220
+طبعاً هذا بالنسبة لتعريف المخزون، ويمكن التحقق
+
+89
+00:10:40,220 --> 00:10:43,300
+الفعلي
+
+90
+00:10:43,300 --> 00:10:49,280
+من عناصر المخزون، ويمكن التحقق الفعلي من عناصر
+
+91
+00:10:49,280 --> 00:10:58,000
+المخزون من خلال: واحد، التأكد من الوجود المادي
+
+92
+00:10:58,000 --> 00:11:04,260
+لعناصر المخزون، التأكد من الوجود المادي لعناصر
+
+93
+00:11:04,260 --> 00:11:12,240
+المخزون عن طريق الجرد الفعلي، عن طريق الجرد الفعلي.
+
+94
+00:11:12,240 --> 00:11:21,180
+رقم اثنين، التأكد من ملكية المنشأة للمخزون، التأكد
+
+95
+00:11:21,180 --> 00:11:29,120
+من ملكية المنشأة للمخزون. طيب، الآن كيف أنا بدي
+
+96
+00:11:29,120 --> 00:11:36,170
+أتأكد؟  لوعند الجرد، أول شيء لازم قلنا التأكد من
+
+97
+00:11:36,170 --> 00:11:39,830
+الوجود المادي. يعني حسب الورق مكتوب فيه، لازم يكون
+
+98
+00:11:39,830 --> 00:11:45,410
+في المخازن خمسين جلباب وثلاثين بدلة وعشرين
+
+99
+00:11:45,410 --> 00:11:50,110
+بنطلون وخمسين قميص، لازم يكون الموجودات فعلاً
+
+100
+00:11:50,110 --> 00:11:54,190
+عندما نقوم بالجرد، لازم يكون فعلاً هدول موجودات، أو
+
+101
+00:11:54,190 --> 00:11:57,190
+ثلاجات أو غسالات، فعلاً هم موجودات في مخازن المشروع
+
+102
+00:11:57,190 --> 00:12:01,460
+أم لا. إذاً التأكد من الوجود المادي، وقلنا من خلال
+
+103
+00:12:01,460 --> 00:12:06,340
+إيش؟ الجرد الفعلي، الجرد إيش؟ الفعلي، يعني أذهب
+
+104
+00:12:06,340 --> 00:12:10,720
+على المخازن، وأعد ١، ٢، ٣، ٤، ٥، ٦ من الصنف، وأكتب،
+
+105
+00:12:10,720 --> 00:12:15,000
+تمام؟ النقطة الثانية، هل هذا المخزون اللي حكيناه،
+
+106
+00:12:15,000 --> 00:12:20,440
+هل التأكد من ملكية المنشأة على المخزون، هل البضاعة
+
+107
+00:12:20,440 --> 00:12:26,680
+هذه الموجودة في مخازن الشركة، هل مجرد وجودها في
+
+108
+00:12:26,680 --> 00:12:33,070
+المخازن، هل هي ملكيتها للشركة أم لا؟ بتتأكد
+
+109
+00:12:33,070 --> 00:12:42,610
+طبعاً خلال مستندات رسمية. طبعاً ملاحظة، المخزون يولد
+
+110
+00:12:42,610 --> 00:12:48,370
+في ٣١/١٢. المخزون، عندما أقول مخزون، أقول بضاعة آخر
+
+111
+00:12:48,370 --> 00:12:58,410
+المدة. المخزون أو بضاعة آخر المدة تولد في ٣١/١٢ عند
+
+112
+00:12:58,410 --> 00:13:06,350
+الجرد الفعلي للمخازن، للمخازن.
+
+113
+00:13:06,350 --> 00:13:11,150
+للمخازن، للمخازن، للمخازن، للمخازن، للمخازن، للمخازن.
+
+114
+00:13:11,150 --> 00:13:17,590
+للمخازن، للمخازن، للمخازن، للمخازن، للمخازن، للمخازن.
+
+115
+00:13:17,590 --> 00:13:19,470
+للمخازن، للمخازن، للمخازن، للمخازن، للمخازن، للمخازن.
+
+116
+00:13:19,470 --> 00:13:24,290
+للمخازن، للمخازن، للمخازن، للمخازن، للمخازن، للمخازن.
+
+117
+00:13:24,290 --> 00:13:30,110
+للمخازن. شوف إيش اللي ممكن يكون يعتبر من ضمن مكونات
+
+118
+00:13:30,110 --> 00:13:33,030
+المخزون السلعي؟ إيش اللي بتنطبق عليه الشروط التالية؟
+
+119
+00:13:33,030 --> 00:13:39,930
+إذاً نقول مكونات المخزون السلعي: رقم واحد، البضاعة
+
+120
+00:13:39,930 --> 00:13:45,770
+البضاعة المملوكة، البضاعة المملوكة والموجودة
+
+121
+00:13:45,770 --> 00:13:54,510
+البضاعة المملوكة والموجودة بالمخازن الرئيسية
+
+122
+00:13:54,510 --> 00:13:56,390
+والفرعية.
+
+123
+00:13:57,890 --> 00:14:03,990
+البضاعة المملوكة والموجودة بالمخازن الرئيسية
+
+124
+00:14:03,990 --> 00:14:09,070
+والفرعية. إيش معنى هذا الكلام؟ معناه أي بضاعة
+
+125
+00:14:09,070 --> 00:14:13,830
+يملكها المشروع، سواء موجودة.. يملكها المشروع، أكيد
+
+126
+00:14:13,830 --> 00:14:19,510
+في مستندات تؤيد، في فاتورة شراء تؤيد، موجودة في
+
+127
+00:14:19,510 --> 00:14:23,330
+المخازن الرئيسية أو الرئيسية للشركة
+
+128
+00:14:28,760 --> 00:14:36,800
+الفرعية. هذا تعتبر ملك الشركة. رقم اثنين، البضاعة
+
+129
+00:14:36,800 --> 00:14:43,860
+المملوكة للشركة وتكون
+
+130
+00:14:43,860 --> 00:14:53,400
+موجودة بالمستودعات الجمركية، يعني
+
+131
+00:14:53,400 --> 00:14:56,960
+إيش هذا الكلام؟ يعني هذه البضاعة الموجودة في
+
+132
+00:14:56,960 --> 00:15:04,820
+ميناء غزة، أو في ميناء غزة، البحري أو البري أو الجوي
+
+133
+00:15:04,820 --> 00:15:10,280
+موجودة، بهذه في الجمارك، تمام؟ هذه إيش؟ وتكون ملكية
+
+134
+00:15:10,280 --> 00:15:14,460
+الشركة. يعني هذه البضاعة موجودة في أحد الموانئ
+
+135
+00:15:14,460 --> 00:15:21,100
+تنتظر تخليص جمركي، تنتظر تخليص إيش؟ الجمرك، نخلصه و
+
+136
+00:15:21,100 --> 00:15:23,960
+نجمركها ونطلعها من الجمارك، هذه باسمنا تعتبر
+
+137
+00:15:23,960 --> 00:15:26,080
+مضمنة، لو قلت واحد على ثلاثة
+
+138
+00:15:30,500 --> 00:15:40,180
+النقطة الثالثة، البضاعة الواردة، البضاعة الواردة
+
+139
+00:15:40,180 --> 00:15:50,080
+بالطريق، البضاعة الواردة بالطريق للشركة وبين قوسين
+
+140
+00:15:50,080 --> 00:15:59,050
+شرط التسليم، خازن البائع، أحسنتم. البضاعة بالطريق
+
+141
+00:15:59,050 --> 00:16:04,790
+المملوكة للشركة، البضاعة بالطريق
+
+142
+00:16:04,790 --> 00:16:10,250
+للشركة، هي بين قوسين، شرط التسليم، خازن البائع، يعني
+
+143
+00:16:10,250 --> 00:16:16,310
+مثلاً اشتريت بضاعة من ألمانيا، من تركيا، وشرط البيع
+
+144
+00:16:16,310 --> 00:16:20,610
+أن تسلم البضاعة في تركيا، على أرضها، محلات البائع.
+
+145
+00:16:20,610 --> 00:16:24,570
+إذاً، كونها موجودة في الطريق، هذا تعتبر جزء من مخزون
+
+146
+00:16:24,570 --> 00:16:35,440
+بضاعة آخر المدة. الآن نقطة الرابعة، البضاعة
+
+147
+00:16:35,440 --> 00:16:41,560
+المملوكة والموجودة بمخازن الوكلاء.
+
+148
+00:16:56,840 --> 00:17:01,560
+أنا بعطيها لوكالة، يسوقوها ويبيعوها لي على حسابي،
+
+149
+00:17:01,560 --> 00:17:06,800
+لكن موجودة إيش؟ عندهم في مخزنهم، موجودة إيش؟ موجودة
+
+150
+00:17:06,800 --> 00:17:10,140
+إيش شغالة هذه؟ في مخزنهم. إذاً هذه البضاعة جزء من
+
+151
+00:17:10,140 --> 00:17:14,520
+بضاعة آخر مدة ولا لا؟ جزء من بضاعة آخر مدة. طيب،
+
+152
+00:17:14,520 --> 00:17:18,600
+الآن ملاحظة،
+
+153
+00:17:18,600 --> 00:17:25,560
+إن البضاعة الموجودة بالمخازن، إن البضاعة الموجودة
+
+154
+00:17:25,560 --> 00:17:31,850
+بالمخازن، وغير مملوكة للمنشأة، وغير مملوكة
+
+155
+00:17:31,850 --> 00:17:39,010
+للمنشأة، لا تُدرج ضمن
+
+156
+00:17:39,010 --> 00:17:43,970
+المخزون
+
+157
+00:17:43,970 --> 00:17:52,090
+السلعي، مثل بضاعة مباعة ولم
+
+158
+00:17:52,090 --> 00:17:53,330
+تُسلم.
+
+159
+00:17:55,830 --> 00:18:04,490
+أيضاً بضاعة، بضاعة الأمانة، بضاعة الأمانة التي تقوم
+
+160
+00:18:04,490 --> 00:18:15,170
+الشركة بدور وكيل، بدور وكيل في تسويقها، بدور
+
+161
+00:18:15,170 --> 00:18:20,490
+وكيل في تسويقها. إذاً اللحظة أن البضاعة الموجودة
+
+162
+00:18:20,490 --> 00:18:27,460
+البضاعة الموجودة في مخازن الشركة، وتم بيعها ولكن لم
+
+163
+00:18:27,460 --> 00:18:34,320
+تُسلم بعد، لا تُعتبر من إيش؟ لا تُعتبر أيضاً..
+
+164
+00:18:34,320 --> 00:18:39,020
+أيضاً بضاعة إيش؟ الأمانة، يعني في ناس حاطين عندي
+
+165
+00:18:39,020 --> 00:18:43,360
+بضاعة إيش؟ أمانة، موجودة عندي، ببيعها على حسابهم،
+
+166
+00:18:43,360 --> 00:18:47,340
+وإيش عمولتي؟ هذه البضاعة لا تُعتبر جزء من إيش؟
+
+167
+00:18:47,340 --> 00:18:49,920
+من مخزون السلعي.
+
+168
+00:18:53,590 --> 00:19:01,490
+الآن ننتقل إلى عملية تقييم المخزون، تقييم المخزون.
+
+169
+00:19:01,490 --> 00:19:04,670
+يتم
+
+
+223
+00:25:03,750 --> 00:25:08,630
+خارج ميزان المراجعة بتكون خارج ميزان المراجعة لأن
+
+224
+00:25:08,630 --> 00:25:12,290
+ميزان المراجعة يأتي من يومية أستاذ، وبعدين ناخد
+
+225
+00:25:12,290 --> 00:25:15,350
+الأرصد، وبعدين نعمل ميزان البضاعة، لها ماكنش لها
+
+226
+00:25:15,350 --> 00:25:20,550
+وجود، ماشي. طيب، اللي قال عندنا هنا قلنا احنا إيه طرق
+
+227
+00:25:20,550 --> 00:25:21,530
+تقييم المخزون.
+
+228
+00:25:28,280 --> 00:25:35,020
+يعني رقم اثنين من معيار IFRS، تمام؟ عندنا فيه
+
+229
+00:25:35,020 --> 00:25:40,660
+إيش؟ فيه طريقتين فقط لغير نتيجة المتغيرات، أصبح
+
+230
+00:25:40,660 --> 00:25:50,620
+هناك طريقتين لتقييم المخزون السلعي، وهي طريقة الأول
+
+231
+00:25:50,620 --> 00:25:58,830
+في الأول، اللي بيسموها first in and first out، اللي
+
+232
+00:25:58,830 --> 00:26:06,570
+هي FIFO، طريقة الأول في الأول. الآن هنبدأ نشرح كل من
+
+233
+00:26:06,570 --> 00:26:15,650
+هما نظرياً الآن. طريقة المتوسط المرجح.
+
+234
+00:26:39,380 --> 00:26:44,680
+حسب معيار الـ IFRS، مصرح به بقى أستخدم.. أستخدم هذه
+
+235
+00:26:44,680 --> 00:26:52,020
+الطريقة أو أُلْقى في تقييم المخزون السلعي، تمام؟ ولكن
+
+236
+00:26:52,020 --> 00:26:56,780
+..ولكن هذا حسب المعيار الدولي اللي هي الـ IFRS، لكن
+
+237
+00:26:56,780 --> 00:27:03,200
+فلسطينياً.. فلسطينياً طريقة الأول في الأول، ولكن
+
+238
+00:27:03,200 --> 00:27:07,940
+فلسطينياً طريقة الأول في الأول اللي هي الـ FIFO، طيب
+
+239
+00:27:07,940 --> 00:27:15,040
+..ليش؟ لأن تعليمات تأسيس الشركات سواء كانت
+
+240
+00:27:15,040 --> 00:27:19,120
+جامعات أو فنادق أو شركات تأمين أو.. أو.. أو..
+
+241
+00:27:19,120 --> 00:27:20,360
+أو.. أو.. أو.. أو.. أو.. أو.. أو.. أو.. أو
+
+242
+00:27:20,360 --> 00:27:20,480
+أو.. أو.. أو.. أو.. أو.. أو.. أو.. أو.. أو
+
+243
+00:27:20,480 --> 00:27:20,560
+..أو.. أو.. أو.. أو.. أو.. أو.. أو.. أو.. أو
+
+244
+00:27:20,560 --> 00:27:21,320
+..أو.. أو.. أو.. أو.. أو.. أو.. أو.. أو.. أو
+
+245
+00:27:21,320 --> 00:27:22,560
+أو.. أو.. أو.. أو.. أو.. أو.. أو.. أو.. أو
+
+246
+00:27:22,560 --> 00:27:29,500
+أو.. أو.. أو.. أو.. أو..
+
+247
+00:27:29,500 --> 00:27:30,280
+أو..
+
+248
+00:27:38,240 --> 00:27:41,900
+زي ما قلنا، طريقة  الوسط الثابت أيضاً اللي نُص عليها
+
+249
+00:27:41,900 --> 00:27:48,680
+التشريع طبعاً؟ طيب، الآن نتحدث قليلاً عن كل من
+
+250
+00:27:48,680 --> 00:27:57,360
+هما نظرياً فقط. رقم واحد، طريقة الوارد أولاً، صادر أولاً.
+
+251
+00:27:57,360 --> 00:28:04,860
+طريقة الوارد أولاً، صادر أولاً اللي هي إيش؟ اللي هي
+
+252
+00:28:04,860 --> 00:28:11,970
+الـ FIFO، first in first out، يعني معناها إيش؟ من يدخل
+
+253
+00:28:11,970 --> 00:28:16,770
+أولاً، يخرج أولاً. يعني مثال، أنا دخلت الصف أول
+
+254
+00:28:16,770 --> 00:28:22,090
+طالبة، في الإطلاع بتطلع أول طالبة، يعني ماشي وفقاً
+
+255
+00:28:22,090 --> 00:28:31,430
+لهذه الطريقة. وفقاً لهذه الطريقة، إن البضاعة المشترَاة
+
+256
+00:28:31,430 --> 00:28:35,510
+أولاً، إن البضاعة المشترَاة أولاً
+
+257
+00:28:44,520 --> 00:28:51,760
+بضاعة آخر المدة اللي هو المخزون تكون من أحدث إيش؟
+
+258
+00:28:51,760 --> 00:28:57,940
+من أحدث المشتريات، من أحدث المشتريات. إذاً الآن زي ما
+
+259
+00:28:57,940 --> 00:29:01,560
+حكينا، فكرة وضربنا مثال. بصير الآن أنا البضاعة
+
+260
+00:29:01,560 --> 00:29:05,360
+بشتريها أول شيء، ببيعها أول شيء. يعني احنا نحن نتحدث
+
+261
+00:29:05,360 --> 00:29:09,780
+عن مشروع تجاري، الـ supermarket، مشروع تجاري يشتري
+
+262
+00:29:09,780 --> 00:29:13,220
+اللي هو المشتقات للبن، يشتري العصاير، يشتري، يشتري
+
+263
+00:29:13,220 --> 00:29:19,680
+يشتري، كلهم يفترض أن يتبع، البضاعة أولاً، يبيعه أولاً، هذا
+
+264
+00:29:19,680 --> 00:29:23,500
+حسب الطريقة. الشغل الثاني المهم عشان ما يفسدش عنده
+
+265
+00:29:23,500 --> 00:29:28,380
+شيء ويؤثر على ربحه، تمام؟ لكن أنا ما يدخل أولاً، و
+
+266
+00:29:28,380 --> 00:29:33,600
+الطبع المحاضرة جاية هتطبق رقمياً، وهتتضح الأمور. طيب،
+
+267
+00:29:33,600 --> 00:29:39,840
+يفضل استخدام هذه الطريقة، يفضل استخدام هذه الطريقة
+
+268
+00:29:39,840 --> 00:29:46,160
+في حالة الانكماش الاقتصادي، في حالة الانكماش
+
+269
+00:29:46,160 --> 00:29:58,120
+الاقتصادي، حيث تتجه الأسعار نحو الانخفاض، يعني
+
+270
+00:29:58,120 --> 00:30:02,820
+إن احنا نقول يفضل استخدام هذه الطريقة في حال تتجه
+
+271
+00:30:02,820 --> 00:30:06,560
+الأسعار نحو إيش؟ يعني أنا اشتريتها بعشرة
+
+272
+00:30:06,560 --> 00:30:11,120
+واشتريت بعدين ثمانية، واشتريت بعدين سبعة أو ستة
+
+273
+00:30:11,120 --> 00:30:15,700
+شركة، لكن الأسعار اشتغلت بغالي، وبعدين بتنزل.. بتنزل
+
+274
+00:30:15,700 --> 00:30:20,560
+..بتنزل.. يفضل استخدام هذه الطريقة، ولكن قلنا
+
+275
+00:30:20,560 --> 00:30:24,660
+إيش؟ فلسطينياً ما فيش خيارات.. طالع.. نازل.. مش
+
+276
+00:30:24,660 --> 00:30:26,560
+غيرها.. one another.. one another.. one another
+
+277
+00:30:26,560 --> 00:30:28,220
+..one another.. one another.. one another..
+
+278
+00:30:28,220 --> 00:30:28,240
+another.. one another.. one another.. one
+
+279
+00:30:28,240 --> 00:30:28,300
+another.. one another.. one another.. one
+
+280
+00:30:28,300 --> 00:30:30,180
+another.. one another.. one another.. one
+
+281
+00:30:30,180 --> 00:30:31,120
+another.. one another.. one another.. one
+
+282
+00:30:31,120 --> 00:30:31,140
+another.. one another.. one another.. one
+
+283
+00:30:31,140 --> 00:30:35,640
+another.. one another.. one another.. one
+
+284
+00:30:35,640 --> 00:30:39,940
+another.. one
+
+285
+00:30:39,940 --> 00:30:44,090
+الان بيضل في المخازن، بيضل أسعاره
+
+286
+00:30:44,090 --> 00:30:48,630
+قليلة، لو صار فيه تلف، فيه خسائر، فيه ضياع، بتكون
+
+287
+00:30:48,630 --> 00:30:53,010
+تكلفة عليا إيش؟ قليلة، قليلة، لكن زي ما حكينا
+
+288
+00:30:53,010 --> 00:30:58,650
+فلسطينياً مش ممكنة، طالع، نازل، بدنا إيش؟ نتابع
+
+289
+00:30:58,650 --> 00:31:01,790
+الطريقة بغض النظر، بإيش اشترينا، وبإيش بعنا،
+
+290
+00:31:01,790 --> 00:31:08,350
+ماشي؟ طيب، نأتي لطريقة المتوسط المرجح، رقم 2، طريقة
+
+291
+00:31:08,350 --> 00:31:17,380
+المتوسط المرجح. وفقاً لهذه الطريقة يتم
+
+292
+00:31:17,380 --> 00:31:30,720
+حساب متوسط مرجح عند كل عملية بيع، عند كل عملية بيع
+
+293
+00:31:30,720 --> 00:31:40,900
+تمام؟ طيب، الآن المتوسط، المتوسط المرجح
+
+294
+00:31:42,860 --> 00:31:51,500
+يساوي تكلفات الوحدات
+
+295
+00:31:51,500 --> 00:32:07,420
+المتاحة للبيع على عدد الوحدات المتاحة للبيع. إذاً
+
+296
+00:32:07,420 --> 00:32:17,790
+مثلاً تكلفة الوحدات المتاحة فرضاً 5000 و500 دينار أو
+
+297
+00:32:17,790 --> 00:32:23,290
+عدد الوحدات كانت ألف، إذاً تساوي خمسة دينارات وخمسة ونصف
+
+298
+00:32:23,290 --> 00:32:34,350
+دينار، ليش؟ للوحدة خمسة دينار ونصف للوحدة. طيب، يفضل
+
+299
+00:32:34,350 --> 00:32:41,680
+استخدام هذه الطريقة، يفضل استخدام هذه الطريقة، يفضّل
+
+300
+00:32:41,680 --> 00:32:46,800
+استخدام هذه الطريقة في حال تذبذب الأسعار، يفضّل
+
+301
+00:32:46,800 --> 00:32:52,280
+استخدام هذه الطريقة في حال تذبذب الأسعار، إيش تذبذب
+
+302
+00:32:52,280 --> 00:32:58,560
+الأسعار، مرة طالع ومرة إيش نازل.
+
+303
+00:32:58,560 --> 00:33:05,780
+ولكن احنا حكينا فلسطينياً، إجبارياً، إذا بنعدد التقارير
+
+304
+00:33:05,780 --> 00:33:13,160
+عشان الجهات الدولية، بنعدد حسب إحدى هاتين الطريقتين
+
+305
+00:33:13,160 --> 00:33:18,200
+حسب المعيار رقم اثنين اللي هو من معايير الإبلاغ
+
+306
+00:33:18,200 --> 00:33:23,700
+المالي. بهذا نأتي إلى نهاية محاضرة اليوم.
+
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/sfN4t-bjLtc_raw.json b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/sfN4t-bjLtc_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..d79e327ba059a8c0fe1f9a8763dc69ce9df43d17
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/sfN4t-bjLtc_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 2360, "start": 20.3, "end": 23.6, "text": "أخوات استكمال الليمة صبا", "tokens": [10721, 9778, 2407, 9307, 44713, 24793, 6027, 13672, 32640, 3660, 20328, 3555, 995], "avg_logprob": -0.27804129677159445, "compression_ratio": 0.9183673469387755, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 20.3, "end": 21.7, "word": "أخوات", "probability": 0.880126953125}, {"start": 21.7, "end": 22.42, "word": " استكمال", "probability": 0.94873046875}, {"start": 22.42, "end": 23.1, "word": " الليمة", "probability": 0.702392578125}, {"start": 23.1, "end": 23.6, "word": " صبا", "probability": 0.5794270833333334}], "temperature": 1.0}, {"id": 2, "seek": 4308, "start": 25.36, "end": 43.08, "text": "نقوم بتصوير بطاقة الصنف حسب طريقة المتوسط المرجع وبالتالي لابد من استحضار البيانات الصابقة رقم اذا هنا هي الصنف صار", "tokens": [1863, 4587, 20498, 39894, 9381, 2407, 13546, 4724, 9566, 995, 28671, 31767, 1863, 5172, 11331, 35457, 23032, 16572, 28671, 9673, 2655, 41779, 9566, 9673, 47341, 3615, 46599, 6027, 2655, 6027, 1829, 5296, 16758, 3215, 9154, 44713, 5016, 11242, 9640, 2423, 21292, 7649, 9307, 31767, 16758, 28671, 12602, 4587, 2304, 1975, 15730, 34105, 39896, 31767, 1863, 5172, 20328, 9640], "avg_logprob": -0.1843220338983051, "compression_ratio": 1.6746031746031746, "no_speech_prob": 3.516674041748047e-06, "words": [{"start": 25.360000000000003, "end": 26.76, "word": "نقوم", "probability": 0.8912760416666666}, {"start": 26.76, "end": 27.58, "word": " بتصوير", "probability": 0.845947265625}, {"start": 27.58, "end": 28.02, "word": " بطاقة", "probability": 0.9532470703125}, {"start": 28.02, "end": 28.72, "word": " الصنف", "probability": 0.7708333333333334}, {"start": 28.72, "end": 29.78, "word": " حسب", "probability": 0.7374267578125}, {"start": 29.78, "end": 32.24, "word": " طريقة", "probability": 0.85693359375}, {"start": 32.24, "end": 33.64, "word": " المتوسط", "probability": 0.9091796875}, {"start": 33.64, "end": 34.36, "word": " المرجع", "probability": 0.861328125}, {"start": 34.36, "end": 35.52, "word": " وبالتالي", "probability": 0.9119140625}, {"start": 35.52, "end": 35.8, "word": " لابد", "probability": 0.627685546875}, {"start": 35.8, "end": 35.98, "word": " من", "probability": 0.98046875}, {"start": 35.98, "end": 36.66, "word": " استحضار", "probability": 0.951416015625}, {"start": 36.66, "end": 37.5, "word": " البيانات", "probability": 0.939453125}, {"start": 37.5, "end": 38.52, "word": " الصابقة", "probability": 0.8146158854166666}, {"start": 38.52, "end": 39.5, "word": " رقم", "probability": 0.8990885416666666}, {"start": 39.5, "end": 40.46, "word": " اذا", "probability": 0.6075439453125}, {"start": 40.46, "end": 40.84, "word": " هنا", "probability": 0.9716796875}, {"start": 40.84, "end": 41.2, "word": " هي", "probability": 0.4609375}, {"start": 41.2, "end": 42.5, "word": " الصنف", "probability": 0.9685872395833334}, {"start": 42.5, "end": 43.08, "word": " صار", "probability": 0.872314453125}], "temperature": 1.0}, {"id": 3, "seek": 8254, "start": 68.16, "end": 82.54, "text": "مشتريات خمسين وحدة من تلاتة اتنين رقم اربعة كده الشتريات؟ عشان تلاتة", "tokens": [2304, 8592, 2655, 16572, 9307, 16490, 2304, 3794, 9957, 4032, 24401, 3660, 9154, 6055, 1211, 9307, 3660, 1975, 2655, 1863, 9957, 12602, 4587, 2304, 1975, 25513, 27884, 9122, 3215, 3224, 25124, 2655, 16572, 9307, 22807, 6225, 8592, 7649, 6055, 1211, 9307, 3660], "avg_logprob": -0.22202034606490023, "compression_ratio": 1.4204545454545454, "no_speech_prob": 0.0, "words": [{"start": 68.16, "end": 69.12, "word": "مشتريات", "probability": 0.944140625}, {"start": 69.12, "end": 69.8, "word": " خمسين", "probability": 0.95361328125}, {"start": 69.8, "end": 71.58, "word": " وحدة", "probability": 0.67529296875}, {"start": 71.58, "end": 71.94, "word": " من", "probability": 0.97998046875}, {"start": 71.94, "end": 73.06, "word": " تلاتة", "probability": 0.9105224609375}, {"start": 73.06, "end": 75.52, "word": " اتنين", "probability": 0.7830810546875}, {"start": 75.52, "end": 78.52, "word": " رقم", "probability": 0.9208984375}, {"start": 78.52, "end": 79.0, "word": " اربعة", "probability": 0.8346354166666666}, {"start": 79.0, "end": 80.5, "word": " كده", "probability": 0.51513671875}, {"start": 80.5, "end": 81.42, "word": " الشتريات؟", "probability": 0.8728515625}, {"start": 81.42, "end": 81.96, "word": " عشان", "probability": 0.6691080729166666}, {"start": 81.96, "end": 82.54, "word": " تلاتة", "probability": 0.938232421875}], "temperature": 1.0}, {"id": 4, "seek": 16282, "start": 133.28, "end": 162.82, "text": "الصندق صاد حسب طريقة الطريقة المتوسط المرجح طريقة الأول في الأول أخذناها في المحاضرة الماضية على هذا السؤال الآن نعمل طريقة المتوسط المرجح على معلومات هذا السؤال بعدين بنرجح لسؤال آخر على الأول في الأول إذن هنا هي بطاقة الصندق نفس البيانات", "tokens": [6027, 9381, 41260, 4587, 20328, 18513, 11331, 35457, 23032, 16572, 28671, 41950, 16572, 28671, 9673, 2655, 41779, 9566, 9673, 47341, 5016, 23032, 16572, 28671, 16247, 12610, 8978, 16247, 12610, 5551, 9778, 8848, 8315, 11296, 8978, 9673, 5016, 46958, 25720, 9673, 46958, 10632, 15844, 23758, 21136, 33604, 6027, 6024, 48506, 8717, 25957, 1211, 23032, 16572, 28671, 9673, 2655, 41779, 9566, 9673, 47341, 5016, 15844, 20449, 1211, 20498, 9307, 23758, 21136, 33604, 6027, 39182, 9957, 44945, 47341, 5016, 5296, 3794, 33604, 6027, 19753, 34740, 15844, 16247, 12610, 8978, 16247, 12610, 11933, 8848, 1863, 34105, 39896, 4724, 9566, 995, 28671, 31767, 41260, 4587, 8717, 36178, 2423, 21292, 7649, 9307], "avg_logprob": -0.17946845404455594, "compression_ratio": 2.336898395721925, "no_speech_prob": 2.980232238769531e-07, "words": [{"start": 133.28, "end": 134.26, "word": "الصندق", "probability": 0.7890625}, {"start": 134.26, "end": 134.96, "word": " صاد", "probability": 0.82763671875}, {"start": 134.96, "end": 136.06, "word": " حسب", "probability": 0.968994140625}, {"start": 136.06, "end": 136.82, "word": " طريقة", "probability": 0.9842122395833334}, {"start": 136.82, "end": 142.1, "word": " الطريقة", "probability": 0.69659423828125}, {"start": 142.1, "end": 143.06, "word": " المتوسط", "probability": 0.9486083984375}, {"start": 143.06, "end": 144.3, "word": " المرجح", "probability": 0.8448893229166666}, {"start": 144.3, "end": 145.46, "word": " طريقة", "probability": 0.9212239583333334}, {"start": 145.46, "end": 145.78, "word": " الأول", "probability": 0.845947265625}, {"start": 145.78, "end": 145.92, "word": " في", "probability": 0.8759765625}, {"start": 145.92, "end": 146.14, "word": " الأول", "probability": 0.990966796875}, {"start": 146.14, "end": 146.64, "word": " أخذناها", "probability": 0.7846435546875}, {"start": 146.64, "end": 146.68, "word": " في", "probability": 0.9560546875}, {"start": 146.68, "end": 147.16, "word": " المحاضرة", "probability": 0.9788818359375}, {"start": 147.16, "end": 147.54, "word": " الماضية", "probability": 0.9319661458333334}, {"start": 147.54, "end": 147.68, "word": " على", "probability": 0.7431640625}, {"start": 147.68, "end": 147.9, "word": " هذا", "probability": 0.83544921875}, {"start": 147.9, "end": 148.42, "word": " السؤال", "probability": 0.99560546875}, {"start": 148.42, "end": 149.66, "word": " الآن", "probability": 0.638427734375}, {"start": 149.66, "end": 150.02, "word": " نعمل", "probability": 0.8310546875}, {"start": 150.02, "end": 150.32, "word": " طريقة", "probability": 0.9690755208333334}, {"start": 150.32, "end": 151.36, "word": " المتوسط", "probability": 0.8399658203125}, {"start": 151.36, "end": 151.98, "word": " المرجح", "probability": 0.9833984375}, {"start": 151.98, "end": 152.78, "word": " على", "probability": 0.814453125}, {"start": 152.78, "end": 153.2, "word": " معلومات", "probability": 0.8951416015625}, {"start": 153.2, "end": 153.38, "word": " هذا", "probability": 0.88134765625}, {"start": 153.38, "end": 153.84, "word": " السؤال", "probability": 0.9967447916666666}, {"start": 153.84, "end": 154.58, "word": " بعدين", "probability": 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"probability": 0.850341796875}, {"start": 2382.95, "end": 2383.73, "word": " ترصيد", "probability": 0.9893798828125}, {"start": 2383.73, "end": 2385.31, "word": " ترصيد", "probability": 0.88623046875}, {"start": 2385.31, "end": 2387.15, "word": " هالان", "probability": 0.6534830729166666}, {"start": 2387.15, "end": 2389.11, "word": " الان", "probability": 0.842529296875}, {"start": 2389.11, "end": 2390.25, "word": " مية", "probability": 0.935302734375}, {"start": 2390.25, "end": 2390.61, "word": " و", "probability": 0.96630859375}, {"start": 2390.61, "end": 2390.83, "word": " مية", "probability": 0.887451171875}, {"start": 2390.83, "end": 2390.91, "word": " و", "probability": 0.998046875}, {"start": 2390.91, "end": 2391.53, "word": " خمسين", "probability": 0.9737548828125}, {"start": 2391.53, "end": 2393.51, "word": " جديد", "probability": 0.601318359375}, {"start": 2393.51, "end": 2394.13, "word": " صاروا", "probability": 0.5445963541666666}, {"start": 2394.13, "end": 2394.91, "word": 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{"start": 2404.76, "end": 2405.34, "word": " 100", "probability": 0.8154296875}, {"start": 2405.34, "end": 2406.26, "word": " 800", "probability": 0.399169921875}, {"start": 2406.26, "end": 2408.58, "word": " 800", "probability": 0.40234375}, {"start": 2408.58, "end": 2412.34, "word": " نجمع", "probability": 0.8182373046875}, {"start": 2412.34, "end": 2412.68, "word": " عموض", "probability": 0.8154296875}, {"start": 2412.68, "end": 2413.22, "word": " الوصيل", "probability": 0.7442626953125}, {"start": 2413.22, "end": 2414.04, "word": " 300", "probability": 0.677734375}, {"start": 2414.04, "end": 2414.6, "word": " طلع", "probability": 0.5821940104166666}, {"start": 2414.6, "end": 2415.4, "word": " باخد", "probability": 0.598388671875}, {"start": 2415.4, "end": 2416.02, "word": " الأقام", "probability": 0.9348958333333334}, {"start": 2416.02, "end": 2416.9, "word": " الجمالية", "probability": 0.87158203125}, {"start": 2416.9, "end": 2417.42, "word": " 300", "probability": 0.88427734375}, 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1.1547619047619047, "no_speech_prob": 1.9431114196777344e-05, "words": [{"start": 2492.9300000000003, "end": 2494.05, "word": "أي", "probability": 0.4149169921875}, {"start": 2494.05, "end": 2495.17, "word": " سؤال؟", "probability": 0.864013671875}, {"start": 2495.17, "end": 2496.35, "word": " أخراج", "probability": 0.3250732421875}, {"start": 2496.35, "end": 2496.73, "word": " بهذا", "probability": 0.968994140625}, {"start": 2496.73, "end": 2497.11, "word": " نكون", "probability": 0.882080078125}, {"start": 2497.11, "end": 2497.59, "word": " وصلنا", "probability": 0.9791666666666666}, {"start": 2497.59, "end": 2497.77, "word": " إلى", "probability": 0.69140625}, {"start": 2497.77, "end": 2498.35, "word": " نهاية", "probability": 0.9140625}, {"start": 2498.35, "end": 2499.01, "word": " محاضرة", "probability": 0.946533203125}, {"start": 2499.01, "end": 2499.55, "word": " اليوم", "probability": 0.76904296875}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2500.02275, "duration_after_vad": 2000.3153437499957}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/vk7CF-Zl8YY_raw.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/vk7CF-Zl8YY_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..49bd1acd4d8e41e962f80d54f8d108195bdeb68e
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/vk7CF-Zl8YY_raw.srt
@@ -0,0 +1,1144 @@
+1
+00:00:19,980 --> 00:00:26,780
+أخوات في المحاضرة الماضية وصلنا إلى جرم المصروف
+
+2
+00:00:26,780 --> 00:00:35,310
+ومعالجة المصروف المستحقوضربنا مثال أيضا من حيث
+
+3
+00:00:35,310 --> 00:00:40,210
+انتهينا في المحاضرة الماضية بالمصروف المستحق سنبدأ
+
+4
+00:00:40,210 --> 00:00:48,230
+أيضا بالمصروف المستحق فعلا ظهر المصروف التالي في
+
+5
+00:00:48,230 --> 00:00:56,630
+ميزان المراجعة مصاليف
+
+6
+00:00:56,630 --> 00:00:59,290
+الهاتف
+
+7
+00:01:01,140 --> 00:01:18,980
+300 درار و عند الجد تبين ان ما يخص العام هو 400
+
+8
+00:01:18,980 --> 00:01:30,610
+درار اذا مثال اخر على المصروف المستحق ظهرمصروف
+
+9
+00:01:30,610 --> 00:01:35,730
+الهاتف او اي مصروف اخر بمبلغ تلاتمية دولار وعند
+
+10
+00:01:35,730 --> 00:01:40,770
+الجار في واحد و تلاتين و اتناشر تبين ان ما يخص
+
+11
+00:01:40,770 --> 00:01:49,650
+العام هو اربعمية دولار اذا المطلوب رقم واحد القيود
+
+12
+00:01:49,650 --> 00:01:57,230
+اللازمة واحد القيود اللازمة بين قوسين تسوية و
+
+13
+00:01:57,230 --> 00:01:59,330
+اقفال تسوية
+
+14
+00:02:03,020 --> 00:02:08,540
+رقم اتنين تصوير حساب المصروف المستحق رقم اتنين
+
+15
+00:02:08,540 --> 00:02:16,220
+تصوير حساب المصروف المستحق رقم تلاتة بيان الأثر
+
+16
+00:02:16,220 --> 00:02:23,440
+على الحسابات الختامية والميزانية
+
+17
+00:02:23,440 --> 00:02:32,970
+إذا هنا أن البداية بالحل المطلوب الأول قيدالتسوية
+
+18
+00:02:32,970 --> 00:02:41,670
+يكون بالفرق اي التسوية يكون بالفرق وكما قلنا
+
+19
+00:02:41,670 --> 00:02:48,710
+التسوية والاخفال في 31-31-12 اي في نهاية الفترة
+
+20
+00:02:48,710 --> 00:02:55,770
+المالية اذا هنا نقول رصيد وهنا ما يخص الرصيد من
+
+21
+00:02:55,770 --> 00:03:01,100
+واقع ميزان المراجعة الأولى 3000 دنارأي ميزان
+
+22
+00:03:01,100 --> 00:03:09,500
+المراجعة قبل التسويات الجردية 300 دولار ما يخص
+
+23
+00:03:09,500 --> 00:03:21,060
+العام 400 دولار اذا الفرق الرقمي 100 دولار وتسمى
+
+24
+00:03:21,060 --> 00:03:24,820
+مصروف هاتف مستحق
+
+25
+00:03:29,620 --> 00:03:36,640
+والمصروف المستحق كما قلنا دائم لأنه اقزام على
+
+26
+00:03:36,640 --> 00:03:43,840
+الشركة لأنه ايه اقزام على الشركة وكما قلنا ان
+
+27
+00:03:43,840 --> 00:03:49,900
+الفرق الرقمي عند جرد الإيرادات والمصروفات يظهر
+
+28
+00:03:49,900 --> 00:03:57,940
+يظهر اين الى الميزانية بينما ما يخص العاممتاجرة او
+
+29
+00:03:57,940 --> 00:04:05,280
+ارباحه خسائر او ذخل اذا .. اذا معنى مصاريف هذه
+
+30
+00:04:05,280 --> 00:04:11,200
+المستحقه دائنه اذا قمنا بتصوير هذا الحساب لابد ان
+
+31
+00:04:11,200 --> 00:04:17,900
+يكون رصيده ايه؟ دائن مثل عند القيام بتصوير حساب
+
+32
+00:04:17,900 --> 00:04:22,340
+رأس المال او الدائنون او أوراق الدفع او القروض
+
+33
+00:04:22,340 --> 00:04:28,700
+الان قيد التسويةو كما قلنا ان قيد التسوي يتكون من
+
+34
+00:04:28,700 --> 00:04:35,220
+طرفين إحداهما مدين و الآخر دائم و يتناول حساب واحد
+
+35
+00:04:35,220 --> 00:04:45,220
+حساب واحد إذا هنا نقول من حساب مصاريف هاتف إلى
+
+36
+00:04:45,220 --> 00:04:58,020
+حساب مصاريف هاتف مستحقة هاي مية ميةإذا كما نرى هذا
+
+37
+00:04:58,020 --> 00:05:02,360
+قيد التسوية من حساب مصروف الهاتف إلى حساب مصروف
+
+38
+00:05:02,360 --> 00:05:09,600
+الهاتف مستحقة لأن المصاريف المستحقة دائمة وبالتالي
+
+39
+00:05:09,600 --> 00:05:14,160
+تأخذ الطرف الدائم من قيد التسوية وهنا بالفرق
+
+40
+00:05:14,160 --> 00:05:19,860
+الرقمي وكما قلنا المصروف المستحق له معالجة واحدة
+
+41
+00:05:19,860 --> 00:05:29,130
+له معالجة واحدة ننتقل إلىإلى قايد الإخفاء قايد
+
+42
+00:05:29,130 --> 00:05:35,830
+الإخفاء وأيضا نذكر المصروف عند إثباته مدين ولكن
+
+43
+00:05:35,830 --> 00:05:43,690
+عند الإخفاء دائم إذا المصروف الهاتف هو من عناصر
+
+44
+00:05:43,690 --> 00:05:49,610
+حساب الأرباح والخسائر إذا ماذا نقول؟ هيسير من حساب
+
+45
+00:05:49,610 --> 00:05:54,350
+الأرباح والخسائر ملخص الدخل إلى حساب المصاريفمن
+
+46
+00:05:54,350 --> 00:06:00,770
+حساب إربعه وخساره إلى حساب مصاريف الهاتف وهي ما
+
+47
+00:06:00,770 --> 00:06:11,010
+يخص ما يخص العام ما يخص العام إذا القيمة التي تظهر
+
+48
+00:06:11,010 --> 00:06:15,710
+مع قيد الإخفال أو في قيد الإخفال هي ما يخص العام
+
+49
+00:06:15,710 --> 00:06:23,210
+ايوة لأن مصروف الهاتف من عائلة من عائلةالاربع
+
+50
+00:06:23,210 --> 00:06:31,930
+والخسار من عراسر المصاريف الان هل من السؤال ننتقل
+
+51
+00:06:31,930 --> 00:06:35,210
+.. اتفضل يا عزيزي اتمنيت ان اعطيك السؤال اللي هو
+
+52
+00:06:35,210 --> 00:06:40,390
+حلت النيان مال الفرق علينه 400 هل باختلاق العام
+
+53
+00:06:40,390 --> 00:06:46,770
+اللي كان السؤال 2016 وكانت جديد اتحادته 2014 الفرق
+
+54
+00:06:46,770 --> 00:06:50,430
+الرقمي مصاريف هاتف مستحق أو دائما قد النظر
+
+55
+00:06:55,580 --> 00:07:02,640
+الأجل أو المتداولة الآن نبدأ بالحديث عن جرد
+
+56
+00:07:02,640 --> 00:07:10,720
+الإيرادات ثانيا ثانيا جرد الإيرادات ثانيا جرد
+
+57
+00:07:10,720 --> 00:07:18,120
+الإيرادات والإيرادات تشمل على سبيل المثال وليس
+
+58
+00:07:18,120 --> 00:07:23,460
+الحصر على سبيل المثال الإراء
+
+59
+00:07:28,080 --> 00:07:39,720
+أرباح أسهم إيراد عقارات فوائد سندات فوائد دائنة
+
+60
+00:07:39,720 --> 00:07:48,740
+أحسنتم هذا على سبيل المثال وليس الحصر إذا بعد ما
+
+61
+00:07:48,740 --> 00:08:00,240
+قمنا بتحديد عينة من الإيراداتنقول عند القيام بجرد
+
+62
+00:08:00,240 --> 00:08:08,780
+الإيرادات يكون أمامنا أحد الاحتمالات الثلاث
+
+63
+00:08:08,780 --> 00:08:16,020
+التالية عند جرد الإيرادات يكون أمامنا أحد
+
+64
+00:08:16,020 --> 00:08:23,880
+الاحتمالات الثلاث التالية رقم 1 الإيراد رصيد
+
+65
+00:08:24,310 --> 00:08:32,790
+الإيراد في ميزان المراجعة الأولى يكون مساوين يكون
+
+66
+00:08:32,790 --> 00:08:39,450
+مساوين لما يخص السنة الحالية العامة سبيل المثال
+
+67
+00:08:39,450 --> 00:08:46,710
+ايه عشر تلاف هنا عشر تلاف إذا في هذه الحالة
+
+68
+00:08:46,710 --> 00:08:50,510
+متساوين إذا لا تسوية
+
+69
+00:08:56,370 --> 00:09:01,270
+إذن إذا تساوى الرصيد رصيد الحساب أو رصيد الإيراد
+
+70
+00:09:01,270 --> 00:09:07,270
+في ميزان المراجعة الأولى مع ما يخص العام يكون
+
+71
+00:09:07,270 --> 00:09:12,790
+الفرق صفر وبالتالي لا نحتاج إلى قيد تسوية ولكن
+
+72
+00:09:12,790 --> 00:09:22,730
+نحتاج إلى قيد إقفال ما يخص العام رقم اتنين الرصيد
+
+73
+00:09:22,730 --> 00:09:24,310
+أكبر
+
+74
+00:09:30,510 --> 00:09:39,470
+أكبر من تسعة آلاف وخمسمية إذا هنا خمسمية درار
+
+75
+00:09:39,470 --> 00:09:45,670
+وتسمى اذا الرصيد ورد في نيزان المراجعة الأولى عشرة
+
+76
+00:09:45,670 --> 00:09:50,850
+آلاف درار وعند الجنب تبيض أن ما يخص العام تسعة
+
+77
+00:09:50,850 --> 00:09:56,690
+آلاف وخمسمية وجدنا الفرق هنا خمسمية هذا إيراد إيه؟
+
+78
+00:10:00,970 --> 00:10:09,650
+دائن الإيراد المقدم دائن مثال على ذلك قام صاحب
+
+79
+00:10:09,650 --> 00:10:18,190
+الشركة ب .. قام صاحب الشركة بتحصيل
+
+80
+00:10:18,190 --> 00:10:24,970
+عشر تلاف دولار بتحصيل عشر تلاف دولار إيجار عقارات
+
+81
+00:10:24,970 --> 00:10:30,330
+ولكن عند الجرأت .. ولكن عند الجرأت
+
+82
+00:10:33,050 --> 00:10:40,870
+عند الجهد تبين ان ما يخص العام 9500 9500 دولار إذا
+
+83
+00:10:40,870 --> 00:10:47,690
+هو ماخد أكتر من ما يخص العام بمبلغ 500 دولار هذه
+
+84
+00:10:47,690 --> 00:10:56,390
+ال 500 اسمها إيراد مقدم و دائم لماذا؟ لأن الشركة
+
+85
+00:10:56,390 --> 00:11:02,730
+أخدت أكتر من ما يخص العام بمعنى أخدت شيءلا تملكه
+
+86
+00:11:02,730 --> 00:11:07,550
+في هذه الفترة المالية، إذا يُعتبر مقدّم، والإيراد
+
+87
+00:11:07,550 --> 00:11:14,550
+المقدّم دائم، والمراد المقدّم دائم، ماذا نقصد به؟
+
+88
+00:11:14,550 --> 00:11:20,730
+أي عند القيام، بتصوير حساب الإيراد المقدّم،
+
+89
+00:11:20,730 --> 00:11:24,750
+الإيراد المقدّم لابد أن يكون رصيده إيش؟
+
+90
+00:11:31,700 --> 00:11:36,060
+تمام؟ و أيضا هذا الرقم هو اللي بروح علويا على
+
+91
+00:11:36,060 --> 00:11:40,420
+الميزانية بينما ما يخص العالم بروح الأرباح
+
+92
+00:11:40,420 --> 00:11:47,160
+والخسائر أو دخل هنا قلنا عن الأرباح والخسار لأن
+
+93
+00:11:47,160 --> 00:11:53,860
+جميع الإيرادات تقفل في حساب الأرباح والخسائر أو
+
+94
+00:11:53,860 --> 00:11:55,600
+مرخص الدخل
+
+95
+00:12:00,950 --> 00:12:08,590
+الارباح والخساير أو ملخص الدخل بمعنى آخر لا يوجد
+
+96
+00:12:08,590 --> 00:12:15,030
+إيرادات تذهب إلى المتاجرة خلافا او عكس المصرفات
+
+97
+00:12:15,030 --> 00:12:21,610
+المصرفات حكينا جزء منها مرتبط بمشتريات فيقفل في
+
+98
+00:12:21,610 --> 00:12:26,710
+المتاجرة وجزء يتعلق بالمبيعات يقفل في الأرباح
+
+99
+00:12:26,710 --> 00:12:33,130
+والخسارةخلاصة أن الإيرادات تقفل فقط في الأرباح
+
+100
+00:12:33,130 --> 00:12:39,930
+والخسائر أو ملخص الدفع أيضا نريد أن نضيف شيء آخر
+
+101
+00:12:39,930 --> 00:12:47,190
+الإيراد المقدم له معالجتين كإيراد
+
+102
+00:12:47,190 --> 00:12:54,770
+و كالتزام نذهب
+
+103
+00:12:54,770 --> 00:12:59,150
+إلى الاحتمال الثالثثم نعود إلى كل من هما على حذر
+
+104
+00:12:59,150 --> 00:13:08,670
+رقم تلاتة الرصيد ايه؟ اقل احسنتم من ما يخص العام
+
+105
+00:13:08,670 --> 00:13:17,030
+هاي عشر تلاف وهي هنا عشر تلاف هي احد عشر الف الفرق
+
+106
+00:13:17,030 --> 00:13:21,430
+الرقمي الف الفرق الرقمي الف يسمى هذا
+
+107
+00:13:30,890 --> 00:13:36,550
+لدي كم مثال على ذلك لدي استثمارات وهذه الاستثمارات
+
+108
+00:13:36,550 --> 00:13:40,730
+ممثلة في أسهم شركة التواصلات أو جوال أو أحد البنوك
+
+109
+00:13:40,730 --> 00:13:45,410
+أو شركات التأمين إلى آخرين في نهاية العام في نهاية
+
+110
+00:13:45,410 --> 00:13:50,450
+العام أنا حصلت أو قبضت منهم عشر تلاو درار ولكن عند
+
+111
+00:13:50,450 --> 00:13:55,590
+الجرد وجرد عدد الأسهم الموجود وكم يكون نصيبي كانت
+
+112
+00:13:55,590 --> 00:13:57,690
+أحد عشر ألف أنا بأخد منهم عشر ألف
+
+113
+00:14:06,990 --> 00:14:13,210
+للشركة إيراد مستحق للشركة إذا نقول هنا أي شيء
+
+114
+00:14:13,210 --> 00:14:20,450
+مستحق للشركة سواء من الإيرادات والمصرفات أي شيء أي
+
+115
+00:14:20,450 --> 00:14:29,210
+شيء مستحق للشركة مدين و أي شيء على الشركة يكون إيش
+
+116
+00:14:29,210 --> 00:14:35,030
+أي شيء مرتبط بجرد الإيرادات والمصرفات بالإيرادات
+
+117
+00:14:35,030 --> 00:14:43,410
+والمصرفاتأي شيء مستحق للشركة يكون مدين و أي شيء
+
+118
+00:14:43,410 --> 00:14:45,850
+على الشركة يكون داء
+
+119
+00:15:09,760 --> 00:15:15,720
+الإيراد إيش؟ المقدر وبين قوسين نكتب إيش؟ وبعده إيش
+
+120
+00:15:15,720 --> 00:15:22,840
+نقول؟ سهمين كإيراد وكإيش؟ كالتزام طيب ناخد مثال
+
+121
+00:15:22,840 --> 00:15:28,020
+لنترجم هذا الكلام واقعيا وسوف ناخد في بداية
+
+122
+00:15:28,020 --> 00:15:34,660
+المحاضرة القادمة مثال آخر على هذا الموضوع طيب في 1
+
+123
+00:15:34,660 --> 00:15:37,580
+.5.2015
+
+124
+00:15:40,390 --> 00:15:47,810
+استلمت محلات الإخلاص مبلغ
+
+125
+00:15:47,810 --> 00:15:53,130
+3000 دنار نقدا
+
+126
+00:15:53,130 --> 00:15:59,690
+إيراد عقارات عن
+
+127
+00:15:59,690 --> 00:16:05,630
+سنة كاملة تبدأ
+
+128
+00:16:05,630 --> 00:16:11,330
+في نفس التاريخ عن سنة كاملةتبدأ في نفس التاريخ
+
+129
+00:16:11,330 --> 00:16:16,530
+المطلوب واحد
+
+130
+00:16:16,530 --> 00:16:27,230
+القيود اللازمة القيود اللازمة بين قسين اثبات تسوية
+
+131
+00:16:27,230 --> 00:16:28,770
+اقفال
+
+132
+00:16:40,000 --> 00:16:48,060
+كإيراد و كالتزام رقم اتنين تصوير حساب الإيراد
+
+133
+00:16:48,060 --> 00:16:54,340
+المقدم رقم
+
+134
+00:16:54,340 --> 00:17:02,700
+تلاتة بيان الأثر على
+
+135
+00:17:02,700 --> 00:17:06,700
+الحسابات الختمية والميزانية
+
+136
+00:17:09,120 --> 00:17:16,700
+نبدأ في الحل، نبدأ في الحل، إذا هاي أول شيء
+
+137
+00:17:16,700 --> 00:17:25,000
+القيود، أول شيء القيود، هنا كإيراد، هنا كإيش؟
+
+138
+00:17:25,000 --> 00:17:28,400
+كالتزام،
+
+139
+00:17:28,400 --> 00:17:35,020
+الان أول نقطة نأتي إلى إثبات واحد، إثبات إيش؟
+
+140
+00:17:41,490 --> 00:17:46,110
+وهذه واحدة الخامسة طب
+
+141
+00:17:46,110 --> 00:17:52,290
+الإيراد المحصر مقدما ايش تعريفه؟ الإيراد المقدم
+
+142
+00:17:52,290 --> 00:17:57,810
+ايش تعريفه؟ فضلك هو الإيراد اللي تسبق فيه وقاعد
+
+143
+00:17:57,810 --> 00:18:05,550
+القد وقاعد الاستفادة نعم الإيراد المقدم هو الإيراد
+
+144
+00:18:05,550 --> 00:18:10,210
+اللي تسبق فيه هو الإيراد اللي تسبق فيه
+
+145
+00:18:13,940 --> 00:18:25,020
+واقعة التحصيل واقعة الاستفادة او تقديم الخدمة طيب
+
+146
+00:18:25,020 --> 00:18:33,120
+الان هنا اثبات تحصيل الإيراد في واحد خمسة الان هنا
+
+147
+00:18:33,120 --> 00:18:39,160
+القرر هيكون عندنا من حساب طبعا احنا حكينا صندوق
+
+148
+00:18:39,160 --> 00:18:39,760
+الأبناء
+
+149
+00:18:42,830 --> 00:18:52,870
+الصندوق الى حساب ايراد ايه؟ ايراد عقارات ايراد
+
+150
+00:18:52,870 --> 00:19:03,330
+عقارات هذا المبلغ هو 3000 دولار 3000 دولار اذا
+
+151
+00:19:03,330 --> 00:19:09,470
+نراحظ قبل قليل كان هناك سؤال لماذا المصروف عند
+
+152
+00:19:09,470 --> 00:19:13,370
+اثباته مدينه و عند اقفاله دائم؟ايضا هنا الإيراد
+
+153
+00:19:13,370 --> 00:19:18,730
+عند إثباته دائم المصروف عند إثباته مدين والإيراد
+
+154
+00:19:18,730 --> 00:19:23,810
+عند إثباته دائم طيب الان لو أنا بتدعم الإثبات
+
+155
+00:19:23,810 --> 00:19:29,530
+الإيرادي المحصل مقدما كالتزام القيد نفسه مع اختلاف
+
+156
+00:19:29,530 --> 00:19:34,070
+بسيط جدا مع إضافة كلمة مقدم تفضلي من حساب الصندوق
+
+157
+00:19:34,070 --> 00:19:41,190
+إلى حساب أقار مقدم ممتاز إذا هنا من حساب الصندوق
+
+158
+00:19:42,090 --> 00:19:51,010
+إلى حساب إيراد عقارات مقدّم وهي تحت كلمة مقدّم
+
+159
+00:19:51,010 --> 00:20:01,030
+خطّين لأهمية هذا العناطر إذا بنظرة سريعة على كلا
+
+160
+00:20:01,030 --> 00:20:08,070
+القيادين مع اختلاف القريقتين أن الإختلاف بسيط جدا
+
+161
+00:20:08,070 --> 00:20:14,620
+أن الإختلاف بسيط جداوهو هنا أي صندوق إلى رد عقارات
+
+162
+00:20:14,620 --> 00:20:21,000
+صندوق إلى رد عقارات لكن لكن هنا قلنا مقدم لكن هنا
+
+163
+00:20:21,000 --> 00:20:28,840
+قلنا مقدم طيب هل من سؤال ننتقل
+
+164
+00:20:28,840 --> 00:20:36,320
+إلى قيد التسوية وهو جوهر العملية قيد التسوية رقم
+
+165
+00:20:36,320 --> 00:20:40,780
+اتنين التسوية هنا بالفرق
+
+166
+00:20:45,880 --> 00:20:55,080
+التسوية ما يخص طبعا
+
+167
+00:20:55,080 --> 00:21:01,860
+مثل ما كنا نعمل في المصرفات نفس الشيء رسيل ما يخص
+
+168
+00:21:01,860 --> 00:21:08,500
+تلات تلات واحد خمس حتى واحد تلاتين اتناشر ليش قلنا
+
+169
+00:21:08,500 --> 00:21:13,720
+واحد خمس يعني لأن حصلنا احنا في واحد خمس حصلنا
+
+170
+00:21:13,720 --> 00:21:19,050
+اجاه المحلاتدراجة العقارات في 1.5 الان من 1.5 حتى
+
+171
+00:21:19,050 --> 00:21:22,710
+31.12 هي تاريخ الجرد تاريخ محتاج القرار المالي
+
+172
+00:21:22,710 --> 00:21:28,650
+اللي هو تمان .. تمان شهور وقلنا هي تمشهور المدى
+
+173
+00:21:28,650 --> 00:21:34,770
+الزماني من 1.5 طب ع 22 يعني لأنه سنة كاملة حكينا
+
+174
+00:21:34,770 --> 00:21:41,070
+لو قال سنتين انا بقول 24 طيب اذا على 12 ضرب 3000
+
+175
+00:21:41,070 --> 00:21:45,330
+هيطلع ايش هاي
+
+176
+00:21:46,210 --> 00:21:51,430
+الف اذا
+
+177
+00:21:51,430 --> 00:21:55,430
+ما يخص العام طالع الفين الفرق الرقم طالع ايش الف
+
+178
+00:21:55,430 --> 00:22:01,590
+اذا هنا فبقولنا و نذكر دائما و عالميا طب ايش اسم
+
+179
+00:22:01,590 --> 00:22:09,330
+هذا ايراد عقار او ايراد عقارات مقدمة اللي هي ايش
+
+180
+00:22:09,330 --> 00:22:15,370
+دائرة كون ان انا ماخد زيادة محصل هذا التزام عن
+
+181
+00:22:15,370 --> 00:22:20,200
+الشركةلأنها لا تخص الفترة الحالية فهذا اسم إيش؟
+
+182
+00:22:20,200 --> 00:22:27,260
+إيراد عقارات إيه؟ مقدمة، دائمة و لو صورناها، هتطلع
+
+183
+00:22:27,260 --> 00:22:30,980
+رصيدها دائمة و لو راحت على الميزانية، هتروح بالفرق
+
+184
+00:22:30,980 --> 00:22:33,360
+الرقمي، شوف من دون ما نصور، من دون ما نشوف كل أمور
+
+185
+00:22:33,360 --> 00:22:39,440
+إيه؟ واضح، الآن هنا نأتي إلى قيد التسوية، طبعا هذا
+
+186
+00:22:39,440 --> 00:22:42,180
+ما يخص العام، يذهب إلى الأرباح والخسار، لأن كل
+
+187
+00:22:42,180 --> 00:22:46,890
+الإيرادات إيه؟ كل الإيراداتتخص الأرباح وخسار او
+
+188
+00:22:46,890 --> 00:22:53,510
+ايه؟ او ملخص او ملخص اللي هو إيش الداخل أيضا كما
+
+189
+00:22:53,510 --> 00:22:57,470
+قلت سابقا أن قيد التسوية تحدث عن حساب واحد في كيلو
+
+190
+00:22:57,470 --> 00:23:01,150
+طرفين يعني هنا إيراد عقار، إيراد عقار، لكن واحد
+
+191
+00:23:01,150 --> 00:23:06,090
+منهم هيتميز، الآن إيراد العقار هنا، هنا يعالج
+
+192
+00:23:06,090 --> 00:23:10,650
+كإيراد، إذن أول ظهور له هيكون في جانب الدائن،
+
+193
+00:23:10,650 --> 00:23:12,210
+عامين مجاومش بالإجابة اللي ورا
+
+194
+00:23:17,570 --> 00:23:23,310
+ممتاز، أيوة لأنه إيه بالفرق الرقمي؟ من حساب إيراد
+
+195
+00:23:23,310 --> 00:23:33,570
+عقارة إلى حساب إيراد عقارة مقدمة وبإيش؟ بالفرق
+
+196
+00:23:33,570 --> 00:23:34,170
+الرقمي
+
+197
+00:23:44,420 --> 00:23:47,560
+طبعا نفس الموضوع هنا بالنسبة للمصاريفة يقولنا فيه
+
+198
+00:23:47,560 --> 00:23:51,700
+مقدم مستحق الإيرادات نفس القصة هنا في عندهم اللي
+
+199
+00:23:51,700 --> 00:23:57,540
+هو مستحق و بيكون بالفرق و له معالجة واحدة بينما
+
+200
+00:23:57,540 --> 00:24:02,920
+اللي هو الإيراد هنا المقدم بيكون له معالجتين
+
+201
+00:24:02,920 --> 00:24:06,600
+كإيراد و كإتزام
+
+202
+00:24:20,720 --> 00:24:27,100
+إلى الجانب الآخر رصيف ما يخص هاي تلات تلات هاي
+
+203
+00:24:27,100 --> 00:24:34,440
+الفين الفين طبعا الفقر فقر ايه؟ الف درار اللي هو
+
+204
+00:24:34,440 --> 00:24:42,740
+إيراد عقارات مقدم و دائم إيراد عقارات مقدم و دائم
+
+205
+00:24:42,740 --> 00:24:47,780
+خطر أيه؟ اه انت انت انا اتفقد اولا عقارات مقدمة
+
+206
+00:24:57,870 --> 00:25:04,870
+إلى حساب إرادة عقارات اللي هو .. اللي هو إيه؟
+
+207
+00:25:04,870 --> 00:25:13,110
+ألفين دولار التسوية هنا اللي بعالج أنا كالتزام إذا
+
+208
+00:25:13,110 --> 00:25:20,530
+ما يخص ما يخص العام ما يخص العام نلاحظ هنا عند
+
+209
+00:25:20,530 --> 00:25:25,090
+إثبات الإرادة المقدمة في قيد الإثبات هو المعالج
+
+210
+00:25:25,090 --> 00:25:29,730
+كالتزام جعلناه دائمإذا في قيد التسوية لابد أن يكون
+
+211
+00:25:29,730 --> 00:25:33,930
+ايه؟ مدينة لأنه تسوية عشان إيه؟ يحصل فيه تسوية
+
+212
+00:25:33,930 --> 00:25:38,830
+نطلع إيش ما يخص العالم نطلع الفرق الرقمي الآن لكن
+
+213
+00:25:38,830 --> 00:25:44,570
+هنا المعالجة كإراد أن إراد العقلات المقدمة أخدت
+
+214
+00:25:44,570 --> 00:25:49,430
+الطرف الدهن يعني الإراد المقدم هنا ظهر إيش؟ في قيد
+
+215
+00:25:49,430 --> 00:25:54,970
+التسوية بينما الإراد المقدم أول ظهر في إيش؟ في قيد
+
+216
+00:25:54,970 --> 00:26:04,550
+الإثباتهل من السؤال؟ طيب ننتقل الى قايد الإخفال
+
+217
+00:26:04,550 --> 00:26:09,850
+قايد الإخفال في النص و طبعا قايد الإخفال خلافه
+
+218
+00:26:09,850 --> 00:26:16,030
+مخلص قايد الإخفال هنا .. هنا بالنسبالي هنا الفرق
+
+219
+00:26:16,030 --> 00:26:21,780
+الرقمي الفرق الرقمي عالمياعالميزانيا سواء لميا
+
+220
+00:26:21,780 --> 00:26:28,120
+للإيرادات أو إيه ولكن ما يخص بوع المتاجرة يربح
+
+221
+00:26:28,120 --> 00:26:34,900
+الخسائر يمنعش دخل اه تفضل في النص هنا من حساب
+
+222
+00:26:34,900 --> 00:26:44,460
+أرباح وخسائر من حساب
+
+223
+00:26:44,460 --> 00:26:47,060
+إيراد عقار إلحتى المنخص ممتاز
+
+224
+00:26:51,440 --> 00:26:54,940
+قال قليل وفي جزء اللي عنده المصروفات قالوا المصروف
+
+225
+00:26:54,940 --> 00:27:00,800
+عند أثباته مدين وعند أقفاله دائن الآن الإيراد عند
+
+226
+00:27:00,800 --> 00:27:08,300
+أثباته دائن وعند أقفاله مدين طيب إذا هنا نقول من
+
+227
+00:27:08,300 --> 00:27:15,520
+حساب إيراد عقارات إلى حساب الأرباح والخسار أو ملخص
+
+228
+00:27:15,520 --> 00:27:19,580
+الدخل ما يخص العام كام؟ الفين
+
+229
+00:27:23,130 --> 00:27:31,290
+ما يخص العام وهنا نفس الشيء من حساب إيراد عقارات
+
+230
+00:27:31,290 --> 00:27:39,070
+إلى حساب الأرباح والخسار 2000 2000 كما قلنا أن قيد
+
+231
+00:27:39,070 --> 00:27:44,450
+الإختال لا يختلف باختلاف
+
+232
+00:27:44,450 --> 00:27:50,010
+الطريقتين، لا يختلف سواء اتبعنا طريقة المعادلة
+
+233
+00:27:50,010 --> 00:27:57,840
+كإيراد أو كالتزامللمحاسب حرية الاختيار واستخدام
+
+234
+00:27:57,840 --> 00:28:04,300
+إحداهما وليس كلاهما لل band الواحد وليس كلاهما لل
+
+235
+00:28:04,300 --> 00:28:11,000
+band الواحد ولكن يجوز اتباع كلاهما بشرط أن كل
+
+236
+00:28:11,000 --> 00:28:14,960
+واحدة منهم ل band مستقل يعني مثلا إيراد على قرار
+
+237
+00:28:14,960 --> 00:28:19,840
+علشته من البداية كأصل تمام؟ إيراد
+
+238
+00:28:22,010 --> 00:28:28,930
+أوراق مالية علاش و في البداية إيه إيش كمصروف طيب
+
+239
+00:28:28,930 --> 00:28:33,030
+لأن
+
+240
+00:28:33,030 --> 00:28:41,150
+ننتقل إلى تصوير حساب رقم
+
+241
+00:28:41,150 --> 00:28:50,250
+اتنين تصوير حساب إيراد العقارات المقدم و بكاش
+
+242
+00:28:53,130 --> 00:28:57,590
+مقدم كاياش؟ كإيراد، كإيراد، الان هنا إيراد
+
+243
+00:28:57,590 --> 00:29:04,170
+العقارات المقدم كإيراد، إذا نقوم بتلحيل من واقع
+
+244
+00:29:04,170 --> 00:29:12,010
+هذه القيود، من واقع هذه القيود، تفضلي، لأ ال .. ال
+
+245
+00:29:12,010 --> 00:29:13,150
+.. ال .. ال .. ال .. ال .. ال .. ال .. ال .. ال ..
+
+246
+00:29:13,150 --> 00:29:15,070
+ال .. ال .. ال .. ال .. ال ..
+
+247
+00:29:17,750 --> 00:29:20,550
+هي من واقع هذه القيول هنا، أنا بصور حساب إيراد
+
+248
+00:29:20,550 --> 00:29:26,210
+عقار مقدم، إذا هقول إن حساب .. نعم صحيح، من حساب
+
+249
+00:29:26,210 --> 00:29:35,330
+إيراد عقارة، اللي هي مبلغ كام؟ ألف دنار، ألف دنار،
+
+250
+00:29:35,330 --> 00:29:41,650
+هل بقي شيء يرحل؟ لأ، إذا نقوم بجمع كل الطرفين، هاي
+
+251
+00:29:41,650 --> 00:29:43,470
+ألف، هاي ألف
+
+252
+00:29:47,790 --> 00:29:53,670
+دائن وقلنا ان عرفا محاسبيا الإراد المقدم عند
+
+253
+00:29:53,670 --> 00:30:00,410
+تصويره لابد ان يكون دائن وبعدين نقطة تانية ان
+
+254
+00:30:00,410 --> 00:30:07,290
+مجموع الدائن اكبر من المدينة اتفضلي اسألي مين بدي
+
+255
+00:30:07,290 --> 00:30:13,190
+اسأل؟ طيب ننتقل الى
+
+256
+00:30:17,130 --> 00:30:28,470
+العقارات بين بوسين كإيش؟ كإراد بين بوسين كالتزام
+
+257
+00:30:28,470 --> 00:30:38,370
+نعم تصوير حساب إراد العقارات كالتزام كالتزام طيب،
+
+258
+00:30:38,370 --> 00:30:41,910
+الأن نأتي إلى واقع هذه القيود ونقوم بعملية الترحيل
+
+259
+00:30:44,500 --> 00:30:47,780
+بجانب المادية الدائمة نكتب تلات تلات من حساب
+
+260
+00:30:47,780 --> 00:30:55,560
+الصندوق تلات تلات من حساب الصندوق اللي قدامك من
+
+261
+00:30:55,560 --> 00:31:04,580
+حساب اوراق عقارات الى حساب ايراد عقارات الكم؟ تلات
+
+262
+00:31:04,580 --> 00:31:10,140
+تلات تلات اذا الان نقوم بجمع كلا الطرفين هاي تلات
+
+263
+00:31:10,140 --> 00:31:11,900
+تلات هاي الف
+
+264
+00:31:17,880 --> 00:31:28,880
+وصيد دائم اذا نلاحظ سواء اتبعنا هذه الطريقة او
+
+265
+00:31:28,880 --> 00:31:34,780
+اتبعنا طريقة معارف الإيراد المقدم كإيراد او
+
+266
+00:31:34,780 --> 00:31:41,160
+كالتزام فالنتيجة واحدة وهي الفرق الرقمي في الإيضاح
+
+267
+00:31:41,160 --> 00:31:46,760
+المحاسبي ولا بد ان يكون دائم لان الإيراد المقدم
+
+268
+00:31:47,350 --> 00:31:55,350
+بطبيعته رصيده ايش؟ دائم هل من السؤال؟ ننتقل
+
+269
+00:31:55,350 --> 00:32:04,790
+الى تصوير حساب رقم تلاتة حساب الأرباح والخسار حساب
+
+270
+00:32:04,790 --> 00:32:11,630
+الأرباح والخسار فضل الله من حساب او رقم خالد؟
+
+271
+00:32:17,420 --> 00:32:26,400
+بيراد عقرار ما يخص العامل هو ايش الفين الفين
+
+272
+00:32:26,400 --> 00:32:30,440
+دولار ننتقل
+
+273
+00:32:30,440 --> 00:32:34,600
+الى
+
+274
+00:32:34,600 --> 00:32:43,600
+الميزانية الميزانية الميزانية الميزانية الميزانية
+
+275
+00:32:43,600 --> 00:32:45,640
+الميزانية هنا طبعا عندنا الأصول
+
+276
+00:32:48,240 --> 00:32:56,040
+المتداولة، و هنا إيش؟ الالتزامات، الالتزامات، إذا
+
+277
+00:32:56,040 --> 00:33:01,960
+هنا .. هنا بالنسبة للإيراد المقدم، نذهب إلى
+
+278
+00:33:01,960 --> 00:33:06,640
+الإضاحي المحاسب، إيراد عقارات إيش؟ إيراد عقارات
+
+279
+00:33:06,640 --> 00:33:13,080
+مقدم، إيراد العقارات المقدم طبعا دائم، إذا دي شمع
+
+280
+00:33:13,080 --> 00:33:13,660
+مين؟
+
+281
+00:33:21,310 --> 00:33:26,610
+بالألف كونه أنا محدد هنا، إذا كونه أنا محدد هنا
+
+282
+00:33:26,610 --> 00:33:30,070
+إلات عقلات مقدّد وانتزام، إذا يأتي مع الجانب
+
+283
+00:33:30,070 --> 00:33:37,690
+الأيسر جانب الإنتزامات ما اللي لديها أي سؤال؟ ما
+
+284
+00:33:37,690 --> 00:33:43,110
+اللي لديها أي سؤال؟
+
+285
+00:33:43,110 --> 00:33:50,560
+إذا أي سؤال يا عمانات؟إذا بهذا نكون وصلنا إلى
+
+286
+00:33:50,560 --> 00:33:53,020
+نهاية محاضرة اليوم
+
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/wwojdUdxXZE.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/wwojdUdxXZE.srt
new file mode 100644
index 0000000000000000000000000000000000000000..976bc0a9ff6c5194e093fc8c73c755f8c5f68bab
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/wwojdUdxXZE.srt
@@ -0,0 +1,1188 @@
+1
+00:00:21,440 --> 00:00:27,100
+استكمالا للمحاضرة الماضية، هنكمل في حل بعض
+
+2
+00:00:27,100 --> 00:00:33,220
+المطالب. في المحاضرة الماضية أخذنا اللي هو اتباعت
+
+3
+00:00:33,220 --> 00:00:38,920
+القيود، بطريقة نظام الجرد المستمر، وحسب
+
+4
+00:00:38,920 --> 00:00:40,540
+طريقة الأول
+
+5
+00:00:43,540 --> 00:00:49,820
+قمنا بحساب تكلفة المبيعات وتكلفة المخزون حسب
+
+6
+00:00:49,820 --> 00:00:56,240
+طريقة الأول. في الأول، اليوم إن من المعلومات من
+
+7
+00:00:56,240 --> 00:01:04,740
+معلومات السؤال، المطلوب إثبات
+
+8
+00:01:04,740 --> 00:01:12,360
+قيود اليومية حسب الجرد المستمر، ووفق
+
+9
+00:01:12,360 --> 00:01:13,220
+طريقة
+
+10
+00:01:27,580 --> 00:01:34,000
+عندنا الرصيد 600.. 604 ورقم.. رقم 2
+
+11
+00:01:34,000 --> 00:01:37,860
+إيش؟ مشتريات، مشتريات، كده التاريخ؟ 3/2
+
+12
+00:01:37,860 --> 00:01:41,860
+3/2، كم واحدة؟ 352، 3
+
+13
+00:01:41,860 --> 00:01:46,200
+52، إيش؟ رقم 3، كده التاريخ؟ 10
+
+14
+00:01:46,200 --> 00:01:53,660
+2/10، مردودات، مردودات، مشتريات 50
+
+15
+00:01:53,660 --> 00:01:56,060
+واحدة من 3، 3
+
+16
+00:02:05,780 --> 00:02:13,640
+400 في 10 دولار الواحدة، رقم 5، 15
+
+17
+00:02:13,640 --> 00:02:22,740
+6، مشتريات 400 في 7، 6
+
+18
+00:02:55,380 --> 00:03:00,180
+طيب زي ما حكينا.. زي ما حكينا إن عندنا المطلوب..
+
+19
+00:03:00,180 --> 00:03:06,460
+المطلوب إيش؟ عندنا إثبات قيود اليومية حسب نظام
+
+20
+00:03:06,460 --> 00:03:10,480
+الجرد المستمر، إذًا هنا.. هنا
+
+21
+00:03:23,920 --> 00:03:34,640
+المرجع المتوسط، المرجع. طبعًا، أذكر هنا إن في ظل نظام
+
+22
+00:03:34,640 --> 00:03:40,240
+الجرد المستمر، في ظل نظام الجرد المستمر، القيود
+
+23
+00:03:40,240 --> 00:03:46,560
+النظرية لا تختلف سواء اتبعنا طريقة الأول في الأول
+
+24
+00:03:46,560 --> 00:03:47,960
+أو المتوسط
+
+25
+00:03:54,580 --> 00:04:04,460
+على الأرقام، وخاصة عندما نحسب تكلفة الوحدات المباعة
+
+26
+00:04:04,460 --> 00:04:09,020
+في
+
+27
+00:04:09,020 --> 00:04:10,340
+هذا الجزء بالذات
+
+28
+00:04:20,410 --> 00:04:27,130
+مشتريات 350 وحدة بسعر 5، 350 وحدة بسعر 5
+
+29
+00:04:27,130 --> 00:04:39,330
+تفضلي، إذًا هاي رقم 2، من حساب مراقبة المخزون إلى
+
+30
+00:04:39,330 --> 00:04:47,710
+حساب الموردين، لأننا قلنا في السؤال أن المشتريات
+
+31
+00:04:47,710 --> 00:04:49,270
+والمبيعات
+
+32
+00:04:51,700 --> 00:05:00,400
+هنا الشراء 350 × 5 = 1750
+
+33
+00:05:00,400 --> 00:05:06,580
+و750، إذًا عند الشراء، في ضمن نظام الجرد
+
+34
+00:05:06,580 --> 00:05:13,200
+المستمر، نقول من حساب، من حساب مراقبة المخزون إلى
+
+35
+00:05:13,200 --> 00:05:19,820
+حساب الموردين، اشتغلنا 350 × اللي هو 5000
+
+36
+00:05:19,820 --> 00:05:27,020
+و750، ننتقل إلى رقم 3، مردودات المشتريات
+
+37
+00:05:27,020 --> 00:05:38,260
+مردودات المشتريات، نقوم
+
+38
+00:05:38,260 --> 00:05:47,380
+بعكس قيد الشراء، نقوم بعكس قيد الشراء، إذًا من حساب
+
+39
+00:05:47,380 --> 00:05:49,000
+الموردين
+
+40
+00:05:54,800 --> 00:06:03,340
+المخزون، وهنا نقول 50 × 5، إذًا هاي 250
+
+41
+00:06:03,340 --> 00:06:13,620
+وخمسين، هل من سؤال؟ أي سؤال؟ طيب، ننتقل إلى رقم
+
+42
+00:06:13,620 --> 00:06:22,350
+4، رقم 4، مبيعات، رقم 4، مبيعات، المبيعات،
+
+43
+00:06:22,350 --> 00:06:28,890
+قلنا المبيعات والمردودات لها قيدان، لها قيدان، أول
+
+44
+00:06:28,890 --> 00:06:36,490
+شيء، نفس مثل المبيعات بسعر.. إذًا هنا بسعر البيع
+
+45
+00:06:36,490 --> 00:06:41,910
+بسعر البيع، تفضلي، من حساب المدينين إلى حساب
+
+46
+00:06:41,910 --> 00:06:51,900
+المبيعات، من حساب المدينين، من حساب المدينين إلى حساب
+
+47
+00:06:51,900 --> 00:07:01,440
+المبيعات، كم واحدة؟ 400 × 10 = 4000
+
+48
+00:07:01,440 --> 00:07:11,640
+4000 دولار، 4000 دولار، طيب الآن بدنا نثبت
+
+49
+00:07:11,640 --> 00:07:20,780
+البيع بسعر التكلفة، البيع بسعر إيش؟ البيع بسعر
+
+50
+00:07:20,780 --> 00:07:29,020
+التكلفة، أول شيء بنعمل قيد نظري، وبعدين إيش بنعمل؟
+
+51
+00:07:29,020 --> 00:07:35,680
+وبعدين بنعمل القيد، وبنذكر الطريقة، من حساب تكلفة
+
+52
+00:07:35,680 --> 00:07:41,140
+المبيعات إلى حساب مراقبة، هي النظري، من حساب تكلفة
+
+53
+00:07:41,140 --> 00:07:50,750
+المبيعات إلى حساب مراقبة، هي النظري، لابد أن ننتظر
+
+54
+00:07:50,750 --> 00:07:59,110
+قليلًا، لابد أن ننتظر قليلًا، تمام؟ إذًا الآن لاحظوا
+
+55
+00:07:59,110 --> 00:08:05,130
+أن القيد النظري سواء في ظل طريقة الأول في الأول أو
+
+56
+00:08:05,130 --> 00:08:07,310
+المتوسط، لا تختلف
+
+57
+00:08:21,030 --> 00:08:29,910
+الآن عندنا هاي المبيعات، تمام، هاي المبيعات، الآن
+
+58
+00:08:29,910 --> 00:08:34,870
+عندي.. الآن لما أنا بعت 400 وحدة، طبعًا الآن
+
+59
+00:08:34,870 --> 00:08:39,710
+150 رجع منهم 50، إذًا هذه كم؟ 100
+
+60
+00:08:39,710 --> 00:08:49,820
+حكينا عند حساب، عند كل عملية بيع، لابد أن نحسب إيش..
+
+61
+00:08:49,820 --> 00:08:55,380
+إيش نحسب؟ آه.. إيش حكيناه في القسم النظري؟ وفقًا
+
+62
+00:08:55,380 --> 00:09:02,320
+لطريقة المتوسط المرجح، وفقًا لطريقة المتوسط المرجح
+
+63
+00:09:02,320 --> 00:09:08,840
+فإنّه عند كل عملية بيع لابد من حساب متوسط جديد
+
+64
+00:09:08,840 --> 00:09:18,240
+لابد من حساب متوسط جديد، الآن.. الآن هنقول، هنقول
+
+65
+00:09:18,240 --> 00:09:25,940
+المتوسط، المتوسط المرجح يساوي، وقلنا سابقًا المتوسط
+
+66
+00:09:25,940 --> 00:09:29,480
+عبارة عن إيش؟
+
+67
+00:09:29,480 --> 00:09:33,500
+أيوة
+
+68
+00:09:33,500 --> 00:09:39,100
+يساوي تكاليف المتاح على عدد
+
+69
+00:09:50,120 --> 00:09:54,360
+الأهم جدًّا الآن، زي ما حكيت، تحت الجم في عالم
+
+70
+00:09:54,360 --> 00:09:57,660
+الغير، في عالم الغير، طيب إيش موجود عندي؟ موجود
+
+71
+00:09:57,660 --> 00:10:02,540
+600 × 4 و 100 × إيش، إذًا بنقول زي هي
+
+72
+00:10:02,540 --> 00:10:09,380
+يساوي 600 × 4 + 100 ×
+
+73
+00:10:15,990 --> 00:10:26,650
+300، ويساوي 4.33 دولار للوحدة، إذًا كما قلنا، عند كل
+
+74
+00:10:26,650 --> 00:10:31,430
+عملية بيع لابد من حساب متوسط، لابد من حساب متوسط
+
+75
+00:10:31,430 --> 00:10:36,530
+جديد، لابد من حساب متوسط جديد، الآن أنا اليوم 20
+
+76
+00:10:36,530 --> 00:10:40,930
+3/23، لما جيت البيع على هذه الـ 400
+
+77
+00:10:40,930 --> 00:10:42,830
+واحدة، إيش كان عندي في المخازن؟
+
+78
+00:10:48,980 --> 00:10:53,720
+بالنسبة لـ 300 × 5، على هيتكرر أكثر فتظهر 4.33
+
+79
+00:11:08,540 --> 00:11:14,420
+هيا ناخذ وحدات المباعة في المتوسط الذي قمنا بحسابه
+
+80
+00:11:14,420 --> 00:11:19,960
+فطبعًا تكون عندنا هنا التكلفة 1730
+
+81
+00:11:19,960 --> 00:11:26,960
+و730، 1730،
+
+82
+00:11:26,960 --> 00:11:31,880
+1730، 1730،
+
+83
+00:11:31,880 --> 00:11:35,620
+1730، تمام، هل من سؤال؟
+
+84
+00:11:41,260 --> 00:11:46,540
+عند كل عملية بيع لابد من حساب متوسط جديد، لابد من
+
+85
+00:11:46,540 --> 00:11:53,300
+حساب متوسط جديد، إذًا هنا هذه المبيعات إيش في عندنا
+
+86
+00:11:53,300 --> 00:11:57,140
+في المخازن؟ في 600 × 4، في 300 × إيش؟
+
+87
+00:11:57,140 --> 00:12:00,740
+5، 5، اللي هي عبارة عن أول مدة زائد المشتريات
+
+88
+00:12:00,740 --> 00:12:06,760
+أول مدة زائد المشتريات، بنحصل متوسط، إلها تكلفة
+
+89
+00:12:06,760 --> 00:12:09,660
+المتاح على عدد الوحدات المتاحة، يساوي
+
+90
+00:12:14,520 --> 00:12:16,560
+طبعًا، بعد ما قلنا بحساب  ، حساب مراقبة
+
+91
+00:12:16,560 --> 00:12:20,600
+ومنافسون، هي الوحدات المباعة في المتوسط الجديد، طيب،
+
+92
+00:12:20,600 --> 00:12:26,560
+الآن يا أخوات، الآن هذا المتوسط لكم وحدة؟ لـ
+
+93
+00:12:26,560 --> 00:12:32,920
+كم وحدة؟ لـ كم وحدة؟ لـ كم وحدة؟ 900،
+
+94
+00:12:32,920 --> 00:12:34,620
+900، 900، 900، 900، 900، 900،
+
+95
+00:12:34,620 --> 00:12:34,920
+900، 900، 900، 900، 900، 900،
+
+96
+00:12:34,920 --> 00:12:43,740
+900، 900، 900، 900، 900، سعرها
+
+97
+00:12:43,740 --> 00:12:52,000
+ستكون كم؟ 4.333$ لكي نستخدمها بعد ذلك، يعني هذه الـ
+
+98
+00:12:52,000 --> 00:12:57,760
+900$ اللي حصلناها، متوسط 4.333$، الآن إيش؟ راح منها
+
+99
+00:12:57,760 --> 00:13:02,020
+400$ اللي باعناها، إذًا نكون باقي في المخازن 500$
+
+100
+00:13:02,020 --> 00:13:10,460
+بهذا سعرها، بهذا سعرها، تمام؟ أي سؤال؟ أي سؤال؟ طيب
+
+101
+00:13:27,000 --> 00:13:37,540
+الحساب، مراقبة المخزون إلى حساب إيه؟ هل 400 ×؟
+
+102
+00:13:37,540 --> 00:13:41,720
+2800 ×
+
+103
+00:13:58,480 --> 00:14:04,000
+كما قلنا.. كما قلنا.. تفضلي.. سعر البيع من حساب
+
+104
+00:14:04,000 --> 00:14:07,640
+المدينين إلى حساب المبيعات 512، إذًا
+
+105
+00:14:07,640 --> 00:14:14,200
+.. إذًا عندنا هنا من حساب المدينين
+
+106
+00:14:14,200 --> 00:14:21,460
+إلى حساب المبيعات كم؟ 512 ×
+
+107
+00:14:21,460 --> 00:14:29,330
+12 = 6000 دولار، إذًا هذه المبيعات بسعر إيه؟
+
+108
+00:14:29,330 --> 00:14:40,110
+بسعر البيع، وهنا بسعر إيه؟ التكلفة، كما قلنا إن بسعر
+
+109
+00:14:40,110 --> 00:14:45,670
+التكلفة، القيد لا يختلف، قبل
+
+110
+00:14:45,670 --> 00:14:54,250
+نعمل قيد نظري من حساب
+
+111
+00:14:59,280 --> 00:15:03,440
+إلى حساب مراقبة المخزون
+
+112
+00:15:29,840 --> 00:15:34,940
+900، تمام، الـ 900 راح منها 400، تبقى 500
+
+113
+00:15:34,940 --> 00:15:40,800
+تبقى 500.33، تمام، الآن عندنا
+
+114
+00:15:40,800 --> 00:15:45,840
+هاي عندنا، هاي اللي هي الـ 500، تمام، وعندنا هاي
+
+115
+00:15:45,840 --> 00:15:51,640
+الـ 400، إذًا بنقول هنا، بنقول هنا، ده نحصل متوسط
+
+116
+00:15:51,640 --> 00:15:56,020
+هنا المتوسط يساوي
+
+117
+00:15:59,660 --> 00:16:08,060
+4.33 + 500 + 400 =
+
+118
+00:16:08,060 --> 00:16:14,840
+900 على إيش؟ 500 + 400، ويساوي 5.
+
+119
+00:16:14,840 --> 00:16:26,460
+15، 5.195
+
+120
+00:16:26,460 --> 00:16:32,640
+فاصلة 519، تلت أرقام بعد الفاصلة على مستوى
+
+121
+00:16:32,640 --> 00:16:39,660
+الوحدة الواحدة، ناخد تلت أرقام بعد الفاصلة، تمام؟ على
+
+122
+00:16:39,660 --> 00:16:45,040
+مستوى الوحدة تلت أرقام بعد الفاصلة، بالنسبة للأرقام
+
+123
+00:16:45,040 --> 00:16:51,080
+الإجمالية، نحذف بعد الفاصلة إذا كان إيه؟ أقل من
+
+124
+00:16:51,080 --> 00:16:56,220
+5 من 10، وإذا كان 5 فصاعدًا يتم تقريبه
+
+125
+00:17:07,950 --> 00:17:17,290
+بنحسب متوسط، وبنضرب 500 × 5.519، إذًا هتطلع عندنا
+
+126
+00:17:17,290 --> 00:17:20,430
+2760
+
+127
+00:17:20,430 --> 00:17:27,850
+2760
+
+128
+00:17:27,850 --> 00:17:34,630
+تمام، هل من سؤال؟ بتعيدها ثاني، بتعيدها
+
+129
+00:17:37,400 --> 00:17:43,480
+في 16/8، صار عندنا مبيعات 500 واحدة،
+
+130
+00:17:43,480 --> 00:17:48,560
+500 واحدة، 500 واحدة، 500 واحدة،
+
+131
+00:17:48,560 --> 00:17:48,720
+500 واحدة، 500 واحدة، 500 واحدة،
+
+132
+00:17:48,720 --> 00:17:49,960
+500 واحدة، 500 واحدة، 500 واحدة،
+
+133
+00:17:49,960 --> 00:17:56,140
+500 واحدة، 500 واحدة، 500 واحدة،
+
+134
+00:17:56,140 --> 00:17:58,480
+500 واحدة،
+
+135
+00:18:05,850 --> 00:18:10,170
+المتوسط القديم زائد 400 × 7 على
+
+136
+00:18:10,170 --> 00:18:14,270
+الوحدات المتاحة، طلع عندنا 5.5
+
+137
+00:18:14,270 --> 00:18:21,550
+وتسعتاشر، الآن أخذنا الوحدات المباعة، وضربناها في
+
+138
+00:18:21,550 --> 00:18:27,810
+المتوسط الجديد، ضربناها في المتوسط الجديد، تمام، هل
+
+139
+00:18:27,810 --> 00:18:33,890
+من سؤال؟ هل موجود أي سؤال؟ هل موجود؟ طيب، ننتقل إلى
+
+140
+00:18:33,890 --> 00:18:47,640
+رقم 7، ننتقل إلى رقم 7، مردودات
+
+141
+00:18:47,640 --> 00:18:53,580
+مبيعات من 16/8
+
+142
+00:18:53,580 --> 00:18:57,080
+من حساب مردودات مبيعات إلى حساب مدينين
+
+143
+00:19:12,020 --> 00:19:16,620
+إلى حساب المدينين، من حساب مردودات المبيعات إلى
+
+144
+00:19:16,620 --> 00:19:22,580
+حساب المدينين، الآن احنا رجعنا، طبعًا هنا 112، هنا
+
+145
+00:19:22,580 --> 00:19:28,740
+المردودات بسعر البيع، المردودات بإيش؟ بسعر البيع، إذًا
+
+146
+00:19:28,740 --> 00:19:35,760
+الآن هقول أنا 100 × إيش هي؟ 1200 دينار
+
+147
+00:19:35,760 --> 00:19:41,380
+بينما المردودات بسعر التكلفة، الرد بسعر
+
+148
+00:19:54,750 --> 00:19:58,730
+إذًا الآن يا أخوات، بالنسبة للرد بسعر التكلفة، نعود
+
+149
+00:19:58,730 --> 00:20:04,950
+إلى قيد البيع بسعر التكلفة، ويتم عكسه نظريًا، ويتم
+
+150
+00:20:04,950 --> 00:20:15,390
+عكسه نظريًا، إذًا نقول هنا من حساب مراقبة المخزون إلى
+
+151
+00:20:15,390 --> 00:20:21,990
+حساب تكلفة المبيعات، الآن هي القيد النظري، الآن بسأل
+
+152
+00:20:21,990 --> 00:20:27,230
+حاليًا، أي طريقة بنتابع، الأول هو المتوسط، المتوسط، إذًا
+
+153
+00:20:27,230 --> 00:20:32,330
+الأمر سهل، كم واحدة؟ وبنضربها في المتوسط، نضربها في
+
+154
+00:20:32,330 --> 00:20:37,610
+أي متوسط؟ نضربها في المتوسط اللي يحمل التاريخ، إذًا
+
+155
+00:20:37,610 --> 00:20:46,690
+تاريخ 16/8، إيش المتوسط؟ إذًا 100 ×
+
+156
+00:20:46,690 --> 00:20:54,870
+5.57 = 557، 557
+
+157
+00:20:54,870 --> 00:21:01,950
+و57، هيك بنكون أنهينا من هذا المطلوب، و
+
+158
+00:21:01,950 --> 00:21:07,610
+هي القيود في ظل الجرد المستمر، وفي ظل طريقة
+
+159
+00:21:07,610 --> 00:21:13,950
+المتوسط المرجح، مال لديها أي سؤال؟ مال لديها أي
+
+160
+00:21:13,950 --> 00:21:17,610
+سؤال على هذا الكلام؟ ماشي
+
+161
+00:21:23,070 --> 00:21:33,570
+ننتقل إلى حساب تكلفة البضاعة المباعة، تكلفة البضاعة
+
+162
+00:21:33,570 --> 00:21:38,410
+المباعة، وتكلفة المخزون، وتكلفة المخزون حسب طريقة
+
+163
+00:21:38,410 --> 00:21:47,970
+إيه؟ طريقة المتوسط المرجح، المتوسط المرجح، إذًا أنا
+
+164
+00:21:47,970 --> 00:21:55,830
+لما بدي أحسب، طبعًا إيه؟ هنا حساب تكلفة البضاعة، تكلفة
+
+165
+00:21:55,830 --> 00:22:01,490
+المخزون، وتكلفة البضاعة المباعة حسب طريقة المتوسط
+
+166
+00:22:01,490 --> 00:22:09,650
+المرجح، مع العلم أن الشركة تتبع نظام الجرد الدوري
+
+167
+00:22:09,650 --> 00:22:18,090
+نظام الجرد الدوري، ماشي؟
+
+168
+00:22:23,450 --> 00:22:28,670
+يتم في نهاية العام
+
+169
+00:22:28,670 --> 00:22:36,530
+يتم في نهاية العام، إذًا، إذًا بدنا نحسب أول شيء
+
+170
+00:22:36,530 --> 00:22:42,550
+بدنا نحسب تكلفة الوحدات المتاحة للبيع، تكلفة
+
+171
+00:22:42,550 --> 00:22:46,950
+الوحدات المتاحة للبيع
+
+172
+00:22:52,580 --> 00:22:57,520
+الآن عندي أنا الوحدات، رصيد أول مدة 600، وجاني
+
+
+223
+00:30:12,290 --> 00:30:21,270
+ثمانية وتسعة ثمانية وتسعة هذه بطاقة الصنف، بطاقة
+
+224
+00:30:21,270 --> 00:30:27,920
+الصنف على أرض الواقع هي جاهزة ورقياً و Computerize
+
+225
+00:30:27,920 --> 00:30:35,000
+ما علينا غير إيه؟ نشتغل، نعبأ البيانات، إذا رقم، تاريخ
+
+226
+00:30:35,000 --> 00:30:49,600
+بيان الوارد: كمية، سعر، قيمة، كمية، سعر،
+
+227
+00:30:49,600 --> 00:31:03,970
+قيمة، كمية، سعر، قيمة. هنا الصادر، وهنا الرصيد: كمية، سعة،
+
+228
+00:31:03,970 --> 00:31:08,870
+القيمة يعني الكمية، عدد الوحدات، السعة، سعة الوحدة
+
+229
+00:31:08,870 --> 00:31:16,310
+القيمة عبارة عن الكمية في إيه؟ في السعة
+
+230
+00:31:44,660 --> 00:31:54,840
+نبدأ في تفريغ اللي هو في بطاقة الصندوق، إذا رقم
+
+231
+00:31:54,840 --> 00:31:55,420
+واحد
+
+232
+00:32:01,810 --> 00:32:10,130
+600 وحدة في أربعة آلاف وأربعمائة مسجل فيها الوارد
+
+233
+00:32:10,130 --> 00:32:16,890
+ومن ثم يؤثر على الرصيد، هذه 600 في أربعة آلاف
+
+234
+00:32:16,890 --> 00:32:24,010
+وأربعمائة (2400) طيب
+
+235
+00:32:24,010 --> 00:32:30,930
+الكل ينتبه معي، الكل ينتبه معي، رقم اثنين، رقم
+
+236
+00:32:30,930 --> 00:32:40,730
+اثنين في ثلاثة، اثنين، مش طريق، كم واحدة؟ ثلاثمائة و
+
+237
+00:32:40,730 --> 00:32:50,550
+خمسين في خمسة آلاف وسبعمائة وخمسين، خمسة آلاف وسبعمائة و
+
+238
+00:32:50,550 --> 00:32:59,170
+خمسين، أيضاً هنا هي ثلاثمائة وخمسين في خمسة آلاف و
+
+239
+00:32:59,170 --> 00:33:01,350
+سبعمائة وخمسين
+
+240
+00:33:18,360 --> 00:33:28,300
+مردودات المشتريات تعامل معاملة
+
+241
+00:33:28,300 --> 00:33:30,140
+الصادر
+
+242
+00:33:33,130 --> 00:33:38,250
+الآن اللي بيطلع...بيطلع منه معاملة، ومعاملة
+
+243
+00:33:38,250 --> 00:33:43,070
+الصادر، الصادر، الصادر، الصادر، الصادر، الصادر،
+
+244
+00:33:43,070 --> 00:33:43,090
+الصادر، الصادر، الصادر، الصادر، الصادر، الصادر،
+
+245
+00:33:43,090 --> 00:33:44,410
+الصادر، الصادر، الصادر، الصادر، الصادر، الصادر،
+
+246
+00:33:44,410 --> 00:33:44,770
+الصادر، الصادر، الصادر، الصادر، الصادر، الصادر،
+
+247
+00:33:44,770 --> 00:33:46,510
+الصادر، الصادر، الصادر، الصادر، الصادر، الصادر،
+
+248
+00:33:46,510 --> 00:33:49,670
+الصادر، الصادر، الصادر، الصادر، الصادر، الصادر،
+
+249
+00:33:49,670 --> 00:33:50,110
+الصادر، الصادر، الصادر، الصادر، الصادر، الصادر،
+
+250
+00:33:50,110 --> 00:33:50,950
+الصادر، الصادر، الصادر، الصادر، الصادر، الصادر،
+
+251
+00:33:50,950 --> 00:33:59,230
+الصادر، الصادر
+
+252
+00:34:06,170 --> 00:34:16,250
+برجع لرقم ثلاثة، رقم ثلاثة، مردودات المشتريات، مردودات
+
+253
+00:34:16,250 --> 00:34:17,690
+المشتريات
+
+254
+00:34:19,780 --> 00:34:23,780
+الآن مردودات المشتريات، أنا اشتريت، دخلت المخازن، مئة
+
+255
+00:34:23,780 --> 00:34:27,520
+كرسي مثلاً، الآن رجعت عشرة، مش طلعوا من المخازن
+
+256
+00:34:27,520 --> 00:34:32,420
+صادر، الذي يدخل المخازن وارد، الذي يطلع من
+
+257
+00:34:32,420 --> 00:34:33,680
+المخازن إيش؟
+
+258
+00:34:37,950 --> 00:34:41,970
+سجلنا هذه الخمسين وحدة، وهي السعة تبعها خمسين في
+
+259
+00:34:41,970 --> 00:34:46,810
+خمسة، في مئتين وخمسين، تمام، الآن هل المردودات مش
+
+260
+00:34:46,810 --> 00:34:51,410
+هتخصم الموجود في المخازن، هتخصم، التخصيم هيكون هي
+
+261
+00:34:51,410 --> 00:34:57,750
+كمية، إذا الآن هذه عملت خط أنا فاصل، إذا أن أُقلل الرد
+
+262
+00:34:57,750 --> 00:35:02,330
+على الموجود في المخازن، بيصبح عندنا 600 في أربعة
+
+263
+00:35:02,330 --> 00:35:09,080
+و300 في، أيش؟ 300 في خمسة، هذه 2400 وهذه
+
+264
+00:35:09,080 --> 00:35:15,440
+1500 مردودات
+
+265
+00:35:15,440 --> 00:35:18,240
+مشتريات، نحن قاعدين هنا كمحاضرة على القصة دلوقتِ
+
+266
+00:35:18,240 --> 00:35:25,640
+الآن مردودات المشتريات هنا عملناها وسجلناها كأنها
+
+267
+00:35:25,640 --> 00:35:33,390
+صادر، سجلها كأنها صادر، تمام، الآن الصادر الشهير
+
+268
+00:35:33,390 --> 00:35:36,630
+الموجود في المخازن، الرصيد، إيش يعني معناه؟ موجود هذه
+
+269
+00:35:36,630 --> 00:35:39,650
+الموجودات الموجودة في المخازن، فيه 600 في أربعة
+
+270
+00:35:39,650 --> 00:35:43,970
+وفيه 350 في خمسة، الآن المرجّع على
+
+271
+00:35:43,970 --> 00:35:47,250
+المشتريات من الكمّية...من الكمية بتحمل سعر إيش؟
+
+272
+00:35:47,250 --> 00:35:51,870
+خمسة، خمسة، إذا نتيجة التغيير هذا الرد اللي كان عندي
+
+273
+00:35:51,870 --> 00:35:56,450
+هنا 950، لما يرجع راح 50، يضبط إيش؟
+
+274
+00:35:56,450 --> 00:36:00,310
+عندنا 900، 900، لكن هذه ببدأ أخصمها من مين؟ من
+
+275
+00:36:00,310 --> 00:36:04,530
+الرصيد، الـ50، الـ600 نزلت كما هي، والـ305 أخصمها من
+
+276
+00:36:04,530 --> 00:36:10,550
+الـ50، دلوقتِ كم تبقى؟ تبقى 300، تمام؟ زي ما
+
+277
+00:36:10,550 --> 00:36:15,550
+حكى، أنا هكرر هذا كثير، الآن نجي رقم أربعة، الآن
+
+278
+00:36:15,550 --> 00:36:21,650
+عند كل عملية بيع لازم أعمل جمع للموجود في المخازن
+
+279
+00:36:21,650 --> 00:36:27,950
+هذه الـ900، تكلفتهم الإجمالية، كان دلوقتِ الموجودة
+
+280
+00:36:27,950 --> 00:36:32,910
+في المخازن هذا وهذا، بهذه وهذا اللي هو القطر
+
+281
+00:36:32,910 --> 00:36:36,630
+الجديد، خلاص اللي فوق الخط هذا صار عليه تغيير، وهذه
+
+282
+00:36:36,630 --> 00:36:40,730
+النتيجة، لأن عنده 600 في المخازن و300 في المخازن
+
+283
+00:36:40,730 --> 00:36:46,350
+تمام؟ الآن عند
+
+284
+00:36:46,350 --> 00:36:50,390
+كل عملية بيع اللي أنا في بطاقة الصندوق بجمع اللي
+
+285
+00:36:50,390 --> 00:36:56,470
+موجود في المخازن عندي، 600 و305، أي سؤال؟
+
+286
+00:37:04,120 --> 00:37:12,400
+عشرين، ثلاثة، اللي هو مبيعات، تمام، لحظة، شوية، أنا
+
+287
+00:37:12,400 --> 00:37:18,500
+بتبع أي طريقة؟ بتبع أي طريقة؟ الأول في الأول، والـ
+
+288
+00:37:18,500 --> 00:37:26,300
+five، إيش بتقول؟ بتقول المباع من إيه؟ المباع أقدم، و
+
+289
+00:37:26,300 --> 00:37:32,320
+المخزون إيش؟ المخزون أحدث، تمام
+
+290
+00:37:42,420 --> 00:37:45,760
+المباع من الأقدم، يعني مبدأ الأربع على الخمس،
+
+291
+00:37:45,760 --> 00:37:49,700
+الأقدم، الأربع، الأربع، جدع، أنا جا نبيع 400
+
+292
+00:37:49,700 --> 00:37:54,560
+400 بتاخد 400 من مين؟ المباع، مش طلعت من
+
+293
+00:37:54,560 --> 00:37:59,680
+المخزن، وبيعت 400، 400
+
+294
+00:37:59,680 --> 00:38:02,720
+400، 400 في الصادر، 400 في 400
+
+295
+00:38:02,720 --> 00:38:03,620
+400 في الصادر، 400 في 400، 400 في
+
+296
+00:38:03,620 --> 00:38:03,780
+الصادر، 400 في 400 في الصادر، 400 في
+
+297
+00:38:03,780 --> 00:38:04,800
+الصادر، 400 في 400 في 400 في الصادر
+
+298
+00:38:04,800 --> 00:38:07,160
+400 في 400 في 400 في الصادر، 400 في
+
+299
+00:38:07,160 --> 00:38:08,240
+400 في 400 في
+
+300
+00:38:15,100 --> 00:38:22,840
+400 × 4، يظل من هذه كم؟ 200 × 4
+
+301
+00:38:22,840 --> 00:38:27,500
+هي 800، 300 × 5
+
+302
+00:38:27,500 --> 00:38:33,620
+1500، يعني نتيجة البيع إيش؟ أكثر
+
+303
+00:38:45,170 --> 00:38:52,390
+راح منها 1600، ظل قد إيش؟ 1300، مش هي 1900، اطرح منها
+
+304
+00:38:52,390 --> 00:38:57,350
+1600، ظل قد إيش؟ 2300، لو جمعتوا هذول الرقمين بيطلعوا
+
+305
+00:38:57,350 --> 00:39:02,670
+مظبوط ولا لأ؟ هذا مؤشر على صحة الحل، خلوا الأسئلة
+
+306
+00:39:02,670 --> 00:39:10,870
+للمرة الجاية، الآن في رقم خمسة، إيش مشتريات؟ رقم خمسة
+
+307
+00:39:10,870 --> 00:39:17,880
+خمسة عشر، إيش؟ ستة مشتريات، المشتريات وارد، تسجل في عمود
+
+308
+00:39:17,880 --> 00:39:27,620
+الوارد، كم اشترينا؟ 400 في سبعة آلاف وثمانمائة
+
+309
+00:39:27,620 --> 00:39:34,560
+ألفين وثمانمائة، الآن هذا الوارد، تسجل في عمود
+
+310
+00:39:34,560 --> 00:39:44,160
+الرصيد، 400 في سبعة آلاف وثمانمائة، ألفين و
+
+311
+00:39:44,160 --> 00:39:51,450
+ثمانمائة، كلّ ينتبه، هنكرر كثير، الآن رقم ستة، أجانب، إيش؟
+
+312
+00:39:51,450 --> 00:39:57,210
+مبيعات، إيش؟ 500، طيب، بمجرد البيعة الـ500، إيش في
+
+313
+00:39:57,210 --> 00:40:02,170
+عندك في المخازن؟ 200 و300 و400، الآن عند
+
+314
+00:40:02,170 --> 00:40:07,030
+كل عملية بيع إيش بعمل؟ بجمع الموجود، بجمع هذه
+
+315
+00:40:07,030 --> 00:40:10,490
+التسعمية، جمعت مين؟ الـ200 والـ300 والـ400
+
+316
+00:40:10,490 --> 00:40:12,950
+التكلفة الإجمالية كلها، جدع
+
+317
+00:40:15,960 --> 00:40:23,220
+خمسة ثلاثمائة، خمسة ثلاثمائة، تمام؟ طيب
+
+318
+00:40:41,810 --> 00:40:44,830
+هذه المرتبة أربعة، خمسة، سبعة، يعني الأقدم ثم
+
+319
+00:40:44,830 --> 00:40:49,050
+الأحدث، ثم الأحدث، فهي لو نظرت هنا فهي أربعة، خمسة،
+
+320
+00:40:49,050 --> 00:40:51,750
+سبعة، يعني الأقدم ثم الأحدث، إذا أنا على طول مباشرة
+
+321
+00:40:51,750 --> 00:40:56,510
+بروُح أنا عند المبيعات قد إيش؟ 500، هروح لساعة أربعة
+
+322
+00:40:56,510 --> 00:41:05,410
+هذه 200 في أربعة، 800، وهذه 300 في خمسة، في
+
+323
+00:41:05,410 --> 00:41:11,090
+كم ألف؟ 1500، إذا هذه الـ500 اللي بعتها، وهي
+
+324
+00:41:11,090 --> 00:41:17,150
+تكلفتهم 2300، طيب الآن انتبهوا معي، انتبهوا معي
+
+325
+00:41:17,150 --> 00:41:23,230
+الآن لما أنا بعت 200 × 4 أخذتهم، و300 × 5 أخذتهم، دل
+
+326
+00:41:23,230 --> 00:41:29,090
+وقتِ في المخازن؟ دلوقتِ عندي 400 × 7
+
+327
+00:41:29,090 --> 00:41:37,930
+2800، كان عندي 900، راح 500، ظل قد إيش؟ هذا مؤشر على صحة
+
+328
+00:41:37,930 --> 00:41:44,600
+الحل، دابْعا أنا بفحص الحل باستمرار، الآن...الآن أيضاً
+
+329
+00:41:44,600 --> 00:41:48,120
+خمسة آلاف ومائة، راح منها ألفين وثلاثمائة، ظل
+
+330
+00:41:48,120 --> 00:41:52,540
+قد إيش؟ لأن هذا مؤشر على الصحة، مؤشر وليس دنيا
+
+331
+00:41:52,540 --> 00:41:52,800
+الخاطر
+
+332
+00:42:08,410 --> 00:42:13,670
+الآن، إخوتي، بالنسبة لمردودات المبيعات، تعامل معاملة
+
+333
+00:42:13,670 --> 00:42:18,270
+الوارد، يعني
+
+334
+00:42:18,270 --> 00:42:22,210
+أنا لما أبيع، تضاعف واحد، يرجع لي عشرين واحدة، إذا
+
+335
+00:42:22,210 --> 00:42:24,790
+دخلت المخازن ولا لأ؟ دخلت؟
+
+336
+00:42:43,450 --> 00:42:49,330
+المرجّع أيضاً من المياه، من الأحدث، المرجّع أُقل، الآن
+
+337
+00:42:49,330 --> 00:42:52,890
+الكميات موجودة أكثر من المياه، إذا بقدر آخذ من أي
+
+338
+00:42:52,890 --> 00:42:59,250
+واحد منهم، إذا هذه المياه طبعاً، أي سعر؟ الخمسة، لأنه
+
+339
+00:42:59,250 --> 00:43:06,010
+الأحدث، خمسة، هذه 500، الآن الآن، كيف بده يرتب أنا
+
+340
+00:43:06,010 --> 00:43:10,910
+الأمور هذه؟ أرتب المخازن، كان عنده 400، سبعة
+
+341
+00:43:18,070 --> 00:43:23,470
+أخذت من الأقدم إلى الأحدث، وهي 400 في سبعة، إذا
+
+342
+00:43:23,470 --> 00:43:28,190
+هي 500، وهي ألفين وثمانية، إذا في النهاية هي
+
+343
+00:43:28,190 --> 00:43:33,770
+الـ500 في واحدة، وهي ثلاثمائة وثلاثمائة دولار، ثلاث
+
+344
+00:43:33,770 --> 00:43:38,850
+ثلاثمائة زائد أربعمائة، جمعاً، هذا مئة، هذول هذول
+
+345
+00:43:38,850 --> 00:43:44,570
+الجمع، جمع، جمع، اتذكروا لو رجعتوا الآلة، ضرّب
+
+346
+00:43:44,570 --> 00:43:50,570
+الأول في الأول، أو في...نعم، في طريقة القيود، في ظل
+
+347
+00:43:50,570 --> 00:43:53,430
+الأول في الأول، هتلاقي، والـ500 تكاليف، تقدرش
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/wwojdUdxXZE_postprocess.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/wwojdUdxXZE_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..9f46fcc961a8a361c803e4a6e4429a884c0df47e
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/wwojdUdxXZE_postprocess.srt
@@ -0,0 +1,1388 @@
+1
+00:00:21,440 --> 00:00:27,100
+استكمالا للمحاضرة الماضية هنكمل في حل بعض
+
+2
+00:00:27,100 --> 00:00:33,220
+المطالبين في المحاضرة الماضية أخدنا اللي هو اتباعت
+
+3
+00:00:33,220 --> 00:00:38,920
+القيود تضال طريقة تضال نظام الجرد المستمر وحسب
+
+4
+00:00:38,920 --> 00:00:40,540
+طريقة الأول
+
+5
+00:00:43,540 --> 00:00:49,820
+قُمنا بحساب تكلفة المبيعات وتكلفة المخزون حسب
+
+6
+00:00:49,820 --> 00:00:56,240
+طريقة الاول في الاول اليوم ان من المعلومات من
+
+7
+00:00:56,240 --> 00:01:04,740
+معلومات السؤال الصالح المطلوب اثبات
+
+8
+00:01:04,740 --> 00:01:12,360
+قيود اليومية حسب الجرد المستمر ووفق
+
+9
+00:01:12,360 --> 00:01:13,220
+طريقة
+
+10
+00:01:27,580 --> 00:01:34,000
+عنا الرصيد ستمية .. ستمية واربع ورقم .. رقم اتنين
+
+11
+00:01:34,000 --> 00:01:37,860
+ايش؟ مستريات مستريات، كده الشتاريخ؟ تلاتة اتنين
+
+12
+00:01:37,860 --> 00:01:41,860
+تلاتة اتنين، اكم واحدة؟ تلاتة اتنين وخمسين تلاتة
+
+13
+00:01:41,860 --> 00:01:46,200
+اتنين وخمسين، بيش؟ رقم تلاتة، كده الشتاريخ؟ عشرة
+
+14
+00:01:46,200 --> 00:01:53,660
+اتنين عشرة اتنين مردودات مردودات، مستريات خمسين
+
+15
+00:01:53,660 --> 00:01:56,060
+واحدة من تلاتة تلاتة
+
+16
+00:02:05,780 --> 00:02:13,640
+اربعمية في ساعة عشرة دولار واحدة رقم خمسة خمستاشر
+
+17
+00:02:13,640 --> 00:02:22,740
+ستة مشتريات اربعمية في سبعة ستة
+
+18
+00:02:55,380 --> 00:03:00,180
+طيب زي ما حكينا .. زي ما حكينا ان عندنا المطلوب ..
+
+19
+00:03:00,180 --> 00:03:06,460
+المطلوب ليهاش؟ عندنا إثبات قيود اليومية حسب نظام
+
+20
+00:03:06,460 --> 00:03:10,480
+الجرد المستمر، إذا هنا .. هنا
+
+21
+00:03:23,920 --> 00:03:34,640
+المرجع المتوسط المرجع طبعا اذكر هنا ان في ضل نظام
+
+22
+00:03:34,640 --> 00:03:40,240
+الجرد المستمر في ضل نظام الجرد المستمر القيود
+
+23
+00:03:40,240 --> 00:03:46,560
+النظرية لا تختلف سواء اتبعنا طريقة ال اول في الاول
+
+24
+00:03:46,560 --> 00:03:47,960
+او المتوسط
+
+25
+00:03:54,580 --> 00:04:04,460
+على الأرقام وخاصة عندما نحسب تكلفة الوحدات المباعة
+
+26
+00:04:04,460 --> 00:04:09,020
+في
+
+27
+00:04:09,020 --> 00:04:10,340
+هذا الجزء بالذات
+
+28
+00:04:20,410 --> 00:04:27,130
+مشتريات 350 وحدة بسعر خمسة 350 وحدة بسعر خمسة
+
+29
+00:04:27,130 --> 00:04:39,330
+تفضلي إذا هاي رقم اتنين من حساب مراقبة المخزون إلى
+
+30
+00:04:39,330 --> 00:04:47,710
+حساب الموردين لأننا قلنا في السؤال أن المشتريات
+
+31
+00:04:47,710 --> 00:04:49,270
+والمبيعات
+
+32
+00:04:51,700 --> 00:05:00,400
+هنا الشراء 350 350 ضعف خمسة ألف وسبعمية وخمسين ألف
+
+33
+00:05:00,400 --> 00:05:06,580
+وسبعمية وخمسين إذا عند الشراء في ضمن نظام الجذب
+
+34
+00:05:06,580 --> 00:05:13,200
+المستمر نقول من حساب من حساب مراقبة المخزون إلى
+
+35
+00:05:13,200 --> 00:05:19,820
+حساب الموردين اشتغلنا 351 في اللي هو خمسة ألف
+
+36
+00:05:19,820 --> 00:05:27,020
+وسبعميةننتقل الى رقم تلاتة مردودات المشتريات
+
+37
+00:05:27,020 --> 00:05:38,260
+مردودات المشتريات نقوم
+
+38
+00:05:38,260 --> 00:05:47,380
+بعكس قيد الشراء نقوم بعكس قيد الشراء إذا من حساب
+
+39
+00:05:47,380 --> 00:05:49,000
+الموردين
+
+40
+00:05:54,800 --> 00:06:03,340
+المخزون وهنا نقول خمسين ضبط خمسة إذا هاي متين
+
+41
+00:06:03,340 --> 00:06:13,620
+وخمسين هل مني سؤال؟ أي سؤال؟ طيب ننتقل إلى رقم
+
+42
+00:06:13,620 --> 00:06:22,350
+أربعة رقم أربعة نبيعات رقم أربعة نبيعاتالمبيعات،
+
+43
+00:06:22,350 --> 00:06:28,890
+قلنا المبيعات والمردودات لها قيدين لها قيدين أول
+
+44
+00:06:28,890 --> 00:06:36,490
+شيء نفس مثل المبيعات بسعر .. إذا هنا بسعر البيع
+
+45
+00:06:36,490 --> 00:06:41,910
+بسعر البيع تفضلي من حساب المدينين إلى حساب
+
+46
+00:06:41,910 --> 00:06:51,900
+المبيعات من حساب المدينين من حسابالمدينين الى حساب
+
+47
+00:06:51,900 --> 00:07:01,440
+المبيعات كم واحدة؟ اربعمية ضارب عشرة اربع تلاف
+
+48
+00:07:01,440 --> 00:07:11,640
+اربع تلاف دولار اربع تلاف دولار طيب الان بدنا نثبت
+
+49
+00:07:11,640 --> 00:07:20,780
+البيع بسعر التكلفة البيع بسعر ايش؟البيع بسعر
+
+50
+00:07:20,780 --> 00:07:29,020
+التكلفة اول شي بنعمل قيمة نظري وبعدين ايش بنعمل؟
+
+51
+00:07:29,020 --> 00:07:35,680
+وبعدين بنعمل القيمة وبنذكر الطريقة من حساب تكلفة
+
+52
+00:07:35,680 --> 00:07:41,140
+المبيعات الى حساب مراقبة هى النظري من حساب تكلفة
+
+53
+00:07:41,140 --> 00:07:50,750
+المبيعات الى حساب مراقبة هى النظريلابد أن ننتظر
+
+54
+00:07:50,750 --> 00:07:59,110
+قليلا، لابد أن ننتظر قليلا، تمام؟ إذا الأن لاحظوا
+
+55
+00:07:59,110 --> 00:08:05,130
+أن القيد النظري سواء في ضل طريقة الأول في الأول أو
+
+56
+00:08:05,130 --> 00:08:07,310
+المتوسط، لا تختلف
+
+57
+00:08:21,030 --> 00:08:29,910
+الان عندنا هاي المبيعات تمام هاي المبيعات الان
+
+58
+00:08:29,910 --> 00:08:34,870
+عندى .. الان لما انا بعت اربعمائة وحدة طبعا الان
+
+59
+00:08:34,870 --> 00:08:39,710
+تلتمية و خمسين رجع منهم خمسين اذا هذه كام؟ تلتمية
+
+60
+00:08:39,710 --> 00:08:49,820
+حكينا عند حساب عند كل عملية بيعلابد ان نحسب ايش ..
+
+61
+00:08:49,820 --> 00:08:55,380
+ايش نحسب؟ اه .. ايش حاكيناه في القطاع النظري؟ وفق
+
+62
+00:08:55,380 --> 00:09:02,320
+لطريقة المتوسط المرجح وفق لطريقة المتوسط المرجح
+
+63
+00:09:02,320 --> 00:09:08,840
+فإنه عنده كل عملية بيع لابد من حساب متوسط جديد
+
+64
+00:09:08,840 --> 00:09:18,240
+لابد من حساب متوسط جديد الآن .. الآن هنقولهنقول
+
+65
+00:09:18,240 --> 00:09:25,940
+المتوسط المتوسط المراجح يساوي وقلنا سابق المتوسط
+
+66
+00:09:25,940 --> 00:09:29,480
+عبارة عن أيش؟
+
+67
+00:09:29,480 --> 00:09:33,500
+ايوة
+
+68
+00:09:33,500 --> 00:09:39,100
+تساوي تكلفات المتاح على عدد
+
+69
+00:09:50,120 --> 00:09:54,360
+الأهم جدني الآن زى ما حكيت تحت الجلم في عالم
+
+70
+00:09:54,360 --> 00:09:57,660
+الغير، في عالم الغير، طيب إيش موجود عندى؟ موجود
+
+71
+00:09:57,660 --> 00:10:02,540
+ستمية في أربعة و تلتمية في إيش، إذا بنقول زى هى
+
+72
+00:10:02,540 --> 00:10:09,380
+يساوي ستمية ضرب أربعة زايد تلتمية ضرب
+
+73
+00:10:15,990 --> 00:10:26,650
+300 وتساوي 4.33 دولار للوحدة اذا كما قلنا عند كل
+
+74
+00:10:26,650 --> 00:10:31,430
+عملية بيع لابد من حساب متوسط لابد من حساب متوسط
+
+75
+00:10:31,430 --> 00:10:36,530
+جديد لابد من حساب متوسط جديد الان انا اليوم عشرين
+
+76
+00:10:36,530 --> 00:10:40,930
+تلاتة عشرين تلاتة لما جيت البيع على هذه الارمعية
+
+77
+00:10:40,930 --> 00:10:42,830
+واحدة ايش كان عندى في المخازن؟
+
+78
+00:10:48,980 --> 00:10:53,720
+النسبة لـ 300 ضرب خمسة على هيتكرر اكتر فتظهر 4.33
+
+79
+00:11:08,540 --> 00:11:14,420
+هيا ناخد وحدات المباعة في المتوسط الذي قمنا بحسابه
+
+80
+00:11:14,420 --> 00:11:19,960
+فطبعا تكون عندنا هنا التكلفة ألف و سبعمية و تلاتة
+
+81
+00:11:19,960 --> 00:11:26,960
+و تلاتين ألف و سبعمية و تلاتة و تلاتين ألف و
+
+82
+00:11:26,960 --> 00:11:31,880
+سبعمية و تلاتة و تلاتين ألف و سبعمية و تلاتة و
+
+83
+00:11:31,880 --> 00:11:35,620
+تلاتين تمام هل من سؤال
+
+84
+00:11:41,260 --> 00:11:46,540
+عند كل عملية بايع لابد من حساب متوسط جديد لابد من
+
+85
+00:11:46,540 --> 00:11:53,300
+حساب متوسط جديد إذا هنا هذه المبيعات إيش في عندنا
+
+86
+00:11:53,300 --> 00:11:57,140
+في المخازن؟ في ستمية في أربعة في تلاتمية في إيش؟
+
+87
+00:11:57,140 --> 00:12:00,740
+خمسة خمسة اللي هي عبارة عن أول مدة زائد المشتريات
+
+88
+00:12:00,740 --> 00:12:06,760
+أول مدة زائد المشتريات بنحصل متوسط إلها تكلفة
+
+89
+00:12:06,760 --> 00:12:09,660
+المتاح على عدد الوحدات المتاحة يساوي
+
+90
+00:12:14,520 --> 00:12:16,560
+طبعا بعد ما قلنا بحساب تاترين ومعاتر، حساب مراقبة
+
+91
+00:12:16,560 --> 00:12:20,600
+ومنافسون هي الوحدات المباعة في المتوسط الجديد طيب،
+
+92
+00:12:20,600 --> 00:12:26,560
+الآن يا أخوات، الآن هذا المتوسط لأ كام وحدة؟ لأ
+
+93
+00:12:26,560 --> 00:12:32,920
+كام وحدة؟ لأ كام وحدة؟ لأ كام وحدة؟ تسعمية،
+
+94
+00:12:32,920 --> 00:12:34,620
+تسعمية، تسعمية، تسعمية، تسعمية، تسعمية، تسعمية،
+
+95
+00:12:34,620 --> 00:12:34,920
+تسعمية، تسعمية، تسعمية، تسعمية، تسعمية، تسعمية،
+
+96
+00:12:34,920 --> 00:12:43,740
+تسعمية، تسعمية، تسعمية، تسعمية، تسعمية، تسعرها
+
+97
+00:12:43,740 --> 00:12:52,000
+ستكون كم؟ 4.333$ لكي نستخدمها بعد ذلك يعني هذه الـ
+
+98
+00:12:52,000 --> 00:12:57,760
+900$ اللي حصلناها متوسط 4.333$ الان ايش؟ راح منها
+
+99
+00:12:57,760 --> 00:13:02,020
+400$ اللي بيبقناه إذا نكون دالة في المخازن 500$
+
+100
+00:13:02,020 --> 00:13:10,460
+بهذه سعرها بهذه سعرها تمام؟ أي سؤال؟ أي سؤال؟ طيب
+
+101
+00:13:27,000 --> 00:13:37,540
+الحساب مراقبة المخزون إلى حساب إيه؟ هل 400 ضار؟
+
+102
+00:13:37,540 --> 00:13:41,720
+2800 ضار
+
+103
+00:13:58,480 --> 00:14:04,000
+كما قلنا .. كما قلنا .. فضلين .. سعر البيع من حساب
+
+104
+00:14:04,000 --> 00:14:07,640
+المدينين إلى حساب المبيعات خمس مائة و اتناشر إذا
+
+105
+00:14:07,640 --> 00:14:14,200
+.. إذا عندنا هنا من حساب المدينين
+
+106
+00:14:14,200 --> 00:14:21,460
+إلى حساب المبيعات كام؟ خمس مائة و اتناشر ضرب
+
+107
+00:14:21,460 --> 00:14:29,330
+اتناشر ست آلاف دولاراذا هذه المبيعات بسعر ايه؟
+
+108
+00:14:29,330 --> 00:14:40,110
+بسعر البيع وهنا بسعر ايه؟ التكلفة كما قلنا ان بسعر
+
+109
+00:14:40,110 --> 00:14:45,670
+التكلفة القيد لا يختلف قبل
+
+110
+00:14:45,670 --> 00:14:54,250
+نعمل قيد النظري من حساب
+
+111
+00:14:59,280 --> 00:15:03,440
+الى حساب مراقبة المخزون
+
+112
+00:15:29,840 --> 00:15:34,940
+تسعمية تمام التسعمية راح منه أربعمية تلقى التلت
+
+113
+00:15:34,940 --> 00:15:40,800
+تلقى الخمسمية فاصلة تلاتة تلاتة تمام الآن عندنا
+
+114
+00:15:40,800 --> 00:15:45,840
+هاي عندنا هاي اللي هي الخمسمية تمام وعندنا هاي
+
+115
+00:15:45,840 --> 00:15:51,640
+الأربعمية إذا بنقول هنا بنقول هنا ده نحصل متوسط
+
+116
+00:15:51,640 --> 00:15:56,020
+هنا المتوسط يساوي
+
+117
+00:15:59,660 --> 00:16:08,060
+اربع فاصل تلاتة تلاتة زائد خمسمية زائد اربعمية بقى
+
+118
+00:16:08,060 --> 00:16:14,840
+بسبعة على ايش؟ خمسمية زائد اربعمية ويساوي خمسة
+
+119
+00:16:14,840 --> 00:16:26,460
+فاصلة واحد خمسة فاصلة خمس واحد تسعة خمسة
+
+120
+00:16:26,460 --> 00:16:32,640
+فاصلة خمسمية و19تلت أرقام بعد الفاصلة ع مستوى
+
+121
+00:16:32,640 --> 00:16:39,660
+الوحدة الواحدة ناخد تلت أرقام بعد الفاصلة تمام؟ ع
+
+122
+00:16:39,660 --> 00:16:45,040
+مستوى الوحدة تلت أرقام بعد الفاصلة بالنسبة للأرقام
+
+123
+00:16:45,040 --> 00:16:51,080
+الإجمالية نحذف بعد الفاصلة إذا كان إيه؟ أقل من
+
+124
+00:16:51,080 --> 00:16:56,220
+خمسة من عشرة وإذا كان خمسة فصاعد يتم تقريبه
+
+125
+00:17:07,950 --> 00:17:17,290
+بنحسب متوسط وبنضرب 500 في 5.519 إذا هتطلع عندنا
+
+126
+00:17:17,290 --> 00:17:20,430
+2760
+
+127
+00:17:20,430 --> 00:17:27,850
+2760
+
+128
+00:17:27,850 --> 00:17:34,630
+تمام هل من السؤال بتعيدها تاني بتعيدها
+
+129
+00:17:37,400 --> 00:17:43,480
+في ستة عشر تمانية صار عندنا مبيعات خمسمائة واحدة،
+
+130
+00:17:43,480 --> 00:17:48,560
+خمسمائة واحدة، خمسمائة واحدة، خمسمائة واحدة،
+
+131
+00:17:48,560 --> 00:17:48,720
+خمسمائة واحدة، خمسمائة واحدة، خمسمائة واحدة،
+
+132
+00:17:48,720 --> 00:17:49,960
+خمسمائة واحدة، خمسمائة واحدة، خمسمائة واحدة،
+
+133
+00:17:49,960 --> 00:17:56,140
+خمسمائة واحدة، خمسمائة واحدة، خمسمائة واحدة،
+
+134
+00:17:56,140 --> 00:17:58,480
+خمسمائة واحدة،
+
+135
+00:18:05,850 --> 00:18:10,170
+المتوسط القديم زائد اربعمائة واحدة في سبعة على
+
+136
+00:18:10,170 --> 00:18:14,270
+الوحدات المتاحة طلع عندنا خمسة فاصلة خمسمية
+
+137
+00:18:14,270 --> 00:18:21,550
+وتسعتاش الان اخدنا الوحدات المباعة وضربناها في
+
+138
+00:18:21,550 --> 00:18:27,810
+المتوسط الجديد ضربناها في المتوسط الجديد تمام هل
+
+139
+00:18:27,810 --> 00:18:33,890
+من سؤال هل موجود اي سؤال هل موجود طيب ننتقل الى
+
+140
+00:18:33,890 --> 00:18:47,640
+رقم سبعةننتقل الى رقم سبعة ماردودات
+
+141
+00:18:47,640 --> 00:18:53,580
+مبيعات من 16 تمانية
+
+142
+00:18:53,580 --> 00:18:57,080
+من حساب ماردودات مبيعات الى حساب مدينين
+
+143
+00:19:12,020 --> 00:19:16,620
+الى حساب المدينين من حساب مردودات المبيعات الى
+
+144
+00:19:16,620 --> 00:19:22,580
+حساب المدينين الان احنا رجعنا طبعا هنا 112 هنا
+
+145
+00:19:22,580 --> 00:19:28,740
+المردودات بسعر البيع المردودات بإيش بسعر البيع اذا
+
+146
+00:19:28,740 --> 00:19:35,760
+الان هقول انا ايه المية ضارف ايش هى 1200 دنار
+
+147
+00:19:35,760 --> 00:19:41,380
+بينما المردودات بسعر التكلفة الرد بسعر
+
+148
+00:19:54,750 --> 00:19:58,730
+إذا الآن يا أخوات بالنسبة للرب بسعر التكلفة نعود
+
+149
+00:19:58,730 --> 00:20:04,950
+إلى قيد البيع بسعر التكلفة ويتم عكسه نظريا ويتم
+
+150
+00:20:04,950 --> 00:20:15,390
+عكسه نظريا إذا نقول هنا من حساب مراقبة البخزون إلى
+
+151
+00:20:15,390 --> 00:20:21,990
+حساب تكلفة المبيعات الان هي القيد النظري الان بسأل
+
+152
+00:20:21,990 --> 00:20:27,230
+حاليأي طريقة بنتابع الأول هو المتوسط المتوسط إذا
+
+153
+00:20:27,230 --> 00:20:32,330
+الأمر سهل أكم واحدة و بنضربها في المتوسط نضربها في
+
+154
+00:20:32,330 --> 00:20:37,610
+أي متوسط نضربها في المتوسط اللي يحمل التاريخ إذا
+
+155
+00:20:37,610 --> 00:20:46,690
+تاريخ ستة عشر تمانية إيش المتوسط إذا مية مية ضرب
+
+156
+00:20:46,690 --> 00:20:54,870
+خمسة فاصلة خمسة سبعة خمس مية و اتنينو خمسين خمسمية
+
+157
+00:20:54,870 --> 00:21:01,950
+و اتنين و خمسين هيك بنكون انهينا من هذا المطلوب و
+
+158
+00:21:01,950 --> 00:21:07,610
+هي القيود في ضل الجرد المستمر و في ضل طريقة
+
+159
+00:21:07,610 --> 00:21:13,950
+المتوسط المرجح مال لديها اي سؤال؟ مال لديها اي
+
+160
+00:21:13,950 --> 00:21:17,610
+سؤال على هذا الكلام؟ ماشي
+
+161
+00:21:23,070 --> 00:21:33,570
+ننتقل إلى حساب تكلفة البضاعة المباعة تكلفة البضاعة
+
+162
+00:21:33,570 --> 00:21:38,410
+المباعة وتكلفة المخزون وتكلفة المخزون حسب طريقة
+
+163
+00:21:38,410 --> 00:21:47,970
+إيه؟ طريقة المتوسط المرجع المتوسط المرجع إذا أنا
+
+164
+00:21:47,970 --> 00:21:55,830
+لما بدي أحسب طبعا إيه؟هنا حساب تكلفة البضاعة تكلفة
+
+165
+00:21:55,830 --> 00:22:01,490
+المخسور وتكلفة البضاعة المباعة حسب طريقة المتوسط
+
+166
+00:22:01,490 --> 00:22:09,650
+المرجح مع العلم أن الشركة تتبع نظام الجاد الدوري
+
+167
+00:22:09,650 --> 00:22:18,090
+نظام الجاد الدوري ماشي؟
+
+168
+00:22:23,450 --> 00:22:28,670
+يتم في نهاية العام
+
+169
+00:22:28,670 --> 00:22:36,530
+يتم في نهاية العام اذا اذا بدنا نحسب اول share
+
+170
+00:22:36,530 --> 00:22:42,550
+بدنا نحسب تكلفة الوحدات المتاحة للبيع تكلفة
+
+171
+00:22:42,550 --> 00:22:46,950
+الوحدات المتاحة للبيع
+
+172
+00:22:52,580 --> 00:22:57,520
+الان عندى انا الوحدات رصيد اول مدة ستمية وجانى
+
+173
+00:22:57,520 --> 00:23:02,440
+تلاتمية وخمسية وفي مرضات اذا هذه ايش تلاتمية اذا
+
+174
+00:23:02,440 --> 00:23:10,540
+الان الان عندى هذه متاح وهذه متاح وهذه متاح بينما
+
+175
+00:23:10,540 --> 00:23:15,100
+هذه المبيعات وهذه المبيعات وهذه المردودات ما لا
+
+176
+00:23:15,100 --> 00:23:21,300
+اجتمع فيها اذا الان
+
+177
+00:23:21,990 --> 00:23:32,670
+أولش عدد الوحدات المتاحة تساوي 1300 وحدة
+
+178
+00:23:47,450 --> 00:23:53,750
+مباعة كام؟ تمنمية تسعة أربعمية و خمسمية تسعمية و
+
+179
+00:23:53,750 --> 00:24:00,970
+إيش؟ ناقص مية هيكون عندنا كام؟ هيكون عندنا تمنمية
+
+180
+00:24:00,970 --> 00:24:08,070
+تمام؟ إذا العدد وحدة المخزون
+
+181
+00:24:08,070 --> 00:24:10,690
+خمسمية واحدة
+
+182
+00:24:13,410 --> 00:24:17,310
+الان انا في ضمن طريقة المتوسط المرجح بدي احسب
+
+183
+00:24:17,310 --> 00:24:25,030
+المتوسط بدي احسب المتوسط و يساوي قولنا تكلفة
+
+184
+00:24:25,030 --> 00:24:30,710
+المتاح على عدد الوحدات المتاحة طيب تكلفة المتاح
+
+185
+00:24:30,710 --> 00:24:37,830
+عبارة عن ايش؟ ستمية في ايش؟ ستمية حق ستمية ضرب
+
+186
+00:24:37,830 --> 00:24:48,560
+اربعة زائد زائدتلاتمية في ايش؟ خمسة تلاتمية ضرب
+
+187
+00:24:48,560 --> 00:24:58,200
+خمسة زائد اربعمية في ايش؟ سبعة اربعمية في ايش؟
+
+188
+00:24:58,200 --> 00:25:05,780
+اربعمية ضرب سبعة على ستمية زائد تلاتمية زائد
+
+189
+00:25:05,780 --> 00:25:17,040
+اربعمية ويساوي يساوي كام؟يساوي خمسة فاصلة واحد
+
+190
+00:25:17,040 --> 00:25:34,780
+خمسة أربعة دنار للواحدة هتحسب؟ حسبه حسبته
+
+191
+00:25:34,780 --> 00:25:35,480
+ولا لا؟
+
+192
+00:25:43,110 --> 00:25:50,250
+الان طبعا هذه بتطلع ليها سبعة تلاف و كده؟ تلات
+
+193
+00:25:50,250 --> 00:25:54,750
+مية؟ تكلفة
+
+194
+00:25:54,750 --> 00:26:04,250
+المبيعات تساوي أكم واحدة بيعنا تمانية تمانية ضم
+
+195
+00:26:04,250 --> 00:26:09,270
+خمسة فاصلة واحد خمسة أربعة يساوي كم؟
+
+196
+00:26:11,940 --> 00:26:17,320
+يساوي كام؟ حتي
+
+197
+00:26:17,320 --> 00:26:24,060
+.. حتي يحسب و بعدين عندنا تكلفة المخزون تساوي
+
+198
+00:26:24,060 --> 00:26:31,660
+خمسمية ضد خمسة فاصلة واحد خمسة أربعة و يساوي
+
+199
+00:26:47,170 --> 00:26:58,090
+أربعة ألف ومية تلاتة و عشرين و هاي ألفين
+
+200
+00:26:58,090 --> 00:27:07,950
+و خمسين و سبعة و سبعين الان اخوات لو جمعنا لو
+
+201
+00:27:07,950 --> 00:27:09,050
+جمعنا هذول اتنين
+
+202
+00:27:12,810 --> 00:27:19,390
+هيطلع عندنا تكلفة تكلفة المتاح هيطلع
+
+203
+00:27:19,390 --> 00:27:28,910
+عندنا تكلفة المتاح اللي هي ماشي
+
+204
+00:27:28,910 --> 00:27:36,830
+طيب الآن احنا هيك خلصنا المطلوب هذا خلصنا المطلوب
+
+205
+00:27:36,830 --> 00:27:41,230
+هذا هل من سؤال سنمسك له السطورة
+
+206
+00:27:52,510 --> 00:27:56,910
+6700 .. 6700 هو لازم يطلع في الشركانية .. 6700 ..
+
+207
+00:27:56,910 --> 00:28:01,570
+okay ..
+
+208
+00:28:01,570 --> 00:28:06,910
+مدام سحر الصبورة .. في اي سؤال .. اذا الان المطلوب
+
+209
+00:28:06,910 --> 00:28:13,630
+اللي بعده تصوير بطاقة الصنف .. تصوير بطاقة الصنف
+
+210
+00:28:13,630 --> 00:28:18,210
+صارت حسب مطلوب جديد ضمن المطالب اللي
+
+211
+00:28:26,650 --> 00:28:35,090
+الأول في الأول حسب طريقة الأول في الأول ال A5 تمام
+
+212
+00:28:35,090 --> 00:28:42,470
+أخوات بالنسبة لتصوير بطاقة
+
+213
+00:28:42,470 --> 00:28:49,410
+الصنف تصوير بطاقة الصنف بطاقة الصنف يكون حسب نظام
+
+214
+00:28:49,410 --> 00:28:54,650
+الجرد ايش المستمر حسب نظام الجرد المستمر
+
+215
+00:28:56,620 --> 00:29:04,840
+نصمم البطاقة نصمم البطاقة من كل انتظار مادي، إذا
+
+216
+00:29:04,840 --> 00:29:17,560
+الأن هنا عندنا فوق بطاقة الصندوق صار حسب طريقة
+
+217
+00:29:28,430 --> 00:29:34,450
+في الأول في الأول اذا عندنا هنا الكل ينتظر ان نخلص
+
+218
+00:29:34,450 --> 00:29:47,630
+تصديق هنا رقم هنا تاريخ هنا بيان هنا بيان بعد هي
+
+219
+00:29:47,630 --> 00:29:56,970
+هيكون عندنا تسع أعمد واحد اثنين تلاتة
+
+220
+00:29:58,130 --> 00:30:05,910
+أربعة خمسة ستة
+
+221
+00:30:05,910 --> 00:30:08,970
+سبعة
+
+222
+00:30:08,970 --> 00:30:12,290
+وهاي
+
+223
+00:30:12,290 --> 00:30:21,270
+تمانية وتسعة تمانية وتسعة هذه بطاقة الصنف بطاقة
+
+224
+00:30:21,270 --> 00:30:27,920
+الصنف على أرض الواقع هي جاهزة ورقياو Computerize
+
+225
+00:30:27,920 --> 00:30:35,000
+ما علينا غير ايه نشتغل نعب البيانات اذا رقم تاريخ
+
+226
+00:30:35,000 --> 00:30:49,600
+بيان الوارد كمية سعر قيمة كمية سعر
+
+227
+00:30:49,600 --> 00:31:03,970
+قيمة كمية سعر قيمةهنا الصادر وهنا الرصيد كمية سعة
+
+228
+00:31:03,970 --> 00:31:08,870
+القيمة يعني الكمية عدد الوحدات السعة السعة الوحدة
+
+229
+00:31:08,870 --> 00:31:16,310
+القيمة عبارة عن الكمية في ايه؟ في السعة
+
+230
+00:31:44,660 --> 00:31:54,840
+نبدأ في تفريغ اللي هو في بطاقة الصندوق اذا رقم
+
+231
+00:31:54,840 --> 00:31:55,420
+واحد
+
+232
+00:32:01,810 --> 00:32:10,130
+600 وحدة في أربعة ألفين واربعمية مسجل فيها الوالد
+
+233
+00:32:10,130 --> 00:32:16,890
+ومن ثم يؤثر على الرصيد هاي 600 في أربعة ألفين
+
+234
+00:32:16,890 --> 00:32:24,010
+واربعمية 2400 طيب
+
+235
+00:32:24,010 --> 00:32:30,930
+الكل ينتبه معاك الكل ينتبه معاك رقم اتنين رقم
+
+236
+00:32:30,930 --> 00:32:40,730
+اتنينفي تلاتة اتنين مش طريقات اكم واحدة تلاتمية و
+
+237
+00:32:40,730 --> 00:32:50,550
+خمسين في خمسة الف و سبعمية و خمسين الف و سبعمية و
+
+238
+00:32:50,550 --> 00:32:59,170
+خمسين ايضا هنا هي تلاتمية و خمسين في خمسة الف و
+
+239
+00:32:59,170 --> 00:33:01,350
+سبعمية و خمسين
+
+240
+00:33:18,360 --> 00:33:28,300
+ماردودات المشتريات تعمل
+
+241
+00:33:28,300 --> 00:33:30,140
+معاملة الصادر
+
+242
+00:33:33,130 --> 00:33:38,250
+الان اللى بيطلع .. بيطلع منها نوعاملة ومعاملة
+
+243
+00:33:38,250 --> 00:33:43,070
+الصادر، الصادر، الصادر، الصادر، الصادر، الصادر،
+
+244
+00:33:43,070 --> 00:33:43,090
+الصادر، الصادر، الصادر، الصادر، الصادر، الصادر،
+
+245
+00:33:43,090 --> 00:33:44,410
+الصادر، الصادر، الصادر، الصادر، الصادر، الصادر،
+
+246
+00:33:44,410 --> 00:33:44,770
+الصادر، الصادر، الصادر، الصادر، الصادر، الصادر،
+
+247
+00:33:44,770 --> 00:33:46,510
+الصادر، الصادر، الصادر، الصادر، الصادر، الصادر،
+
+248
+00:33:46,510 --> 00:33:49,670
+الصادر، الصادر، الصادر، الصادر، الصادر، الصادر،
+
+249
+00:33:49,670 --> 00:33:50,110
+الصادر، الصادر، الصادر، الصادر، الصادر، الصادر،
+
+250
+00:33:50,110 --> 00:33:50,950
+الصادر، الصادر، الصادر، الصادر، الصادر، الصادر،
+
+251
+00:33:50,950 --> 00:33:59,230
+الصادر، الصاد
+
+252
+00:34:06,170 --> 00:34:16,250
+برجع لرقم تلاتة رقم تلاتة ملدودة المشتريات ملدودة
+
+253
+00:34:16,250 --> 00:34:17,690
+المشتريات
+
+254
+00:34:19,780 --> 00:34:23,780
+الان مردودات المشتريات انا اشتريت دخلت المخازن ميت
+
+255
+00:34:23,780 --> 00:34:27,520
+كرسي مثلا، الان ارجعت عشرة مش طلعوا من المخازن
+
+256
+00:34:27,520 --> 00:34:32,420
+صادر، اللذي يدخل المخازن وارد، اللذي يطلع من
+
+257
+00:34:32,420 --> 00:34:33,680
+المخازن إيش؟
+
+258
+00:34:37,950 --> 00:34:41,970
+سجلنا هذه الخمسين وحدة وهي السعة تبعها خمسين في
+
+259
+00:34:41,970 --> 00:34:46,810
+خمسة في متين وخمسين تمام الان هل المردودات مش
+
+260
+00:34:46,810 --> 00:34:51,410
+هتنجس الموجود في المخازن هتنجس التنجس هيكون هي
+
+261
+00:34:51,410 --> 00:34:57,750
+كمية اذا الان هاي عملت خط أنا فاصل اذا ان اقل الرد
+
+262
+00:34:57,750 --> 00:35:02,330
+على الموجود في المخازن بيصبح عندهاش ستمية في اربعة
+
+263
+00:35:02,330 --> 00:35:09,080
+و تلاتمية في ايهاش تلاتمية في خمسةهذه 2400 و هذه
+
+264
+00:35:09,080 --> 00:35:15,440
+1500 مردودات
+
+265
+00:35:15,440 --> 00:35:18,240
+مشتريات نحن مقعدين هنا كمحاضرة على القصة دلوقتي
+
+266
+00:35:18,240 --> 00:35:25,640
+الان مردودات المشتريات هنا عملناها و سجلناها كأنها
+
+267
+00:35:25,640 --> 00:35:33,390
+صادر سجلها كأنها صادر تمامالان الصادر الشهير
+
+268
+00:35:33,390 --> 00:35:36,630
+الموجود في المخازن الرصيد ايش يعني معناه موجود هذه
+
+269
+00:35:36,630 --> 00:35:39,650
+المحلات الموجودة في المخازن فيه ستمية في أربعة
+
+270
+00:35:39,650 --> 00:35:43,970
+وفيه تلتمية وخمسين في خمسة الان المرجعة على
+
+271
+00:35:43,970 --> 00:35:47,250
+المشتريات من الكيميا .. من الكيميا بتحمل سعرياش؟
+
+272
+00:35:47,250 --> 00:35:51,870
+خمسة خمسة إذا نتيجة التغيير هذا الرد اللي كان عندي
+
+273
+00:35:51,870 --> 00:35:56,450
+هنا تسعمية وخمسين لما يرجع راح خمسين يضبط إيش
+
+274
+00:35:56,450 --> 00:36:00,310
+عندنا تسعمية تسعمية لكن هذي بدأ أخصمها من مين؟ من
+
+275
+00:36:00,310 --> 00:36:04,530
+الرصيد الخامسينالـ 600 نزلت كما هي و الـ 305 ربعها
+
+276
+00:36:04,530 --> 00:36:10,550
+من الـ 50 دلوقتي كم تبقى تبقى تلات مية تمام؟ زي ما
+
+277
+00:36:10,550 --> 00:36:15,550
+حكى انا هتكرر هذا كتير الان نيجي رقم أربعة الان
+
+278
+00:36:15,550 --> 00:36:21,650
+عند كل عملية بيع لازم أعمل جمع للموجود في المخازن
+
+279
+00:36:21,650 --> 00:36:27,950
+هذه الـ 901 تكلفتهم الإجمالية كان دلوقتي الموجودة
+
+280
+00:36:27,950 --> 00:36:32,910
+في المخازن هذا وهذا بسهذا وهذا اللي هو القطر
+
+281
+00:36:32,910 --> 00:36:36,630
+الجديد خلاص اللي فوق الخط هذا صار عليه تغيير وهيه
+
+282
+00:36:36,630 --> 00:36:40,730
+النتيجة لأن عنده 600 في المخازن و 300 في المخازن
+
+283
+00:36:40,730 --> 00:36:46,350
+تمام؟ الان عند
+
+284
+00:36:46,350 --> 00:36:50,390
+كل عملية بيع اللي انا في بطاقة الصندوق بجمع اللي
+
+285
+00:36:50,390 --> 00:36:56,470
+موجود في المخازن عندي 604 و 305 اي سؤال؟
+
+286
+00:37:04,120 --> 00:37:12,400
+عشرين ثلاثة اللي هو مبيعات تمام لحظة شوية انا
+
+287
+00:37:12,400 --> 00:37:18,500
+باتبع اي طريقة باتبع اي طريقة الاول في الاول و ال
+
+288
+00:37:18,500 --> 00:37:26,300
+five ايش بتقول بتقول المباع من ايه المباع اقدم و
+
+289
+00:37:26,300 --> 00:37:32,320
+المخزون ايش المخزون احدث تمام
+
+290
+00:37:42,420 --> 00:37:45,760
+المباع من الأقدم يعني مجلس الأربعة على الخمس
+
+291
+00:37:45,760 --> 00:37:49,700
+الأقدم الاربعة الاربعة جدش أنا جا نبيع اربعمية
+
+292
+00:37:49,700 --> 00:37:54,560
+اربعمية بتاخد اربعمية من مين المباع مش طلعت من
+
+293
+00:37:54,560 --> 00:37:59,680
+مخزن وبيعت اربعمية اربعمية
+
+294
+00:37:59,680 --> 00:38:02,720
+اربعمية اربعمية في الصادر اربعمية في اربعمية
+
+295
+00:38:02,720 --> 00:38:03,620
+اربعمية في الصادر اربعمية في اربعمية اربعمية في
+
+296
+00:38:03,620 --> 00:38:03,780
+الصادر اربعمية في اربعمية في الصادر اربعمية في
+
+297
+00:38:03,780 --> 00:38:04,800
+الصادر اربعمية في اربعمية في اربعمية في الصادر
+
+298
+00:38:04,800 --> 00:38:07,160
+اربعمية في اربعمية في اربعمية في الصادر اربعمية في
+
+299
+00:38:07,160 --> 00:38:08,240
+اربعمية في اربعمية في ا
+
+300
+00:38:15,100 --> 00:38:22,840
+400×4 يظل من هذه كم؟ 200×4
+
+301
+00:38:22,840 --> 00:38:27,500
+هي 800 300×5
+
+302
+00:38:27,500 --> 00:38:33,620
+1500 يعني نتيجة البيع ايش اكتر
+
+303
+00:38:45,170 --> 00:38:52,390
+رح منها 1600 دل قداش 1300 مش هي 1900 اطرح منها
+
+304
+00:38:52,390 --> 00:38:57,350
+1600 بدل قداش 2300 لو جمعتوا هذول الرقمين بيطلعوا
+
+305
+00:38:57,350 --> 00:39:02,670
+مظبوط ولا لأ هذا مؤشر على صحة الحل خلوا الأسئلة
+
+306
+00:39:02,670 --> 00:39:10,870
+للمرة الجاية الان في رقم خمس ايش مستريات رقم خمسة
+
+307
+00:39:10,870 --> 00:39:17,880
+خمستعش ايش ستة مسترياتالمشتريات وارد تسجل في عمود
+
+308
+00:39:17,880 --> 00:39:27,620
+الوارد كم اشترينا؟ أربعمية في سبعة ألفين و تمانمية
+
+309
+00:39:27,620 --> 00:39:34,560
+ألفين و تمانمية الان هذا الوارد تسجل في عمود
+
+310
+00:39:34,560 --> 00:39:44,160
+الرصيد أربعمية في سبعة ألفين و تمانمية ألفين و
+
+311
+00:39:44,160 --> 00:39:51,450
+تمانميةكل انتبه هنكرر كتير الان رقم ستة اجانب ايش
+
+312
+00:39:51,450 --> 00:39:57,210
+مبيعات ايش خمسمية طيب بمجلة للبيعة الخمسمية ايش في
+
+313
+00:39:57,210 --> 00:40:02,170
+عندك في المخازن ميتين و تلتمية و اربعمية الان عند
+
+314
+00:40:02,170 --> 00:40:07,030
+كل عملية بيع ايش بعمل بجمع الموجود بجمع هاي
+
+315
+00:40:07,030 --> 00:40:10,490
+التسعمية جمعت مين ال متين و التلتمية و الاربعمية
+
+316
+00:40:10,490 --> 00:40:12,950
+التكلفة الإجمالية كلها جدات
+
+317
+00:40:15,960 --> 00:40:23,220
+خمس تلاث ومية، خمس تلاث ومية، تمام؟ طيب
+
+318
+00:40:41,810 --> 00:40:44,830
+هذه المرتبة الاربعة خمسة سبعة يعني الأقدر ثم
+
+319
+00:40:44,830 --> 00:40:49,050
+الأحدث ثم الأحدث فهي لو نظرت هنا فهي اربعة خمسة
+
+320
+00:40:49,050 --> 00:40:51,750
+سبعة يعني الأقدر ثم الأحدث اذا انا على طول مباشرة
+
+321
+00:40:51,750 --> 00:40:56,510
+بروح انا عند المبيعات قديش خمسمية هروح لساعة أربعة
+
+322
+00:40:56,510 --> 00:41:05,410
+هاي ميتين في أربعة تمانمية وهاي تلتمية في خمسة في
+
+323
+00:41:05,410 --> 00:41:11,090
+كام ألف خمسمية إذا هاي الخمسمية اللي بعتهاوهي
+
+324
+00:41:11,090 --> 00:41:17,150
+تكلفتهم 2300 طيب الان انتبهوا معايا انتبهوا معايا
+
+325
+00:41:17,150 --> 00:41:23,230
+الان لما انا بيعت 200×4 أخدتهم و 300×5 أخدتهم دل
+
+326
+00:41:23,230 --> 00:41:29,090
+كده في المخازن؟ دل عندي 400×7
+
+327
+00:41:29,090 --> 00:41:37,930
+2800 كان عندي 900 راح 500 دل كده؟ هذا مؤشر على صحة
+
+328
+00:41:37,930 --> 00:41:44,600
+الحلدابعا انا بفحص حل باستمرار، الان .. الان ايضا
+
+329
+00:41:44,600 --> 00:41:48,120
+خمس تلاف و مية، راح منها الفين و تلت مية، مضل
+
+330
+00:41:48,120 --> 00:41:52,540
+قداش، لأن هذا مؤشر على الصحة، مؤشر و ليس دنيا
+
+331
+00:41:52,540 --> 00:41:52,800
+الخاطر
+
+332
+00:42:08,410 --> 00:42:13,670
+الان اخوات بالنسبة لمردودات المبيعات تعامل معاملة
+
+333
+00:42:13,670 --> 00:42:18,270
+الوارد يعني
+
+334
+00:42:18,270 --> 00:42:22,210
+انا لما نبيع اتضاعع واحد يرجعني عشرين واحدة، اذا
+
+335
+00:42:22,210 --> 00:42:24,790
+دخلت المخازن ولا لا؟ دخلت؟
+
+336
+00:42:43,450 --> 00:42:49,330
+المرجة ايضا من المياه من الأحدى المرجة اقل الان
+
+337
+00:42:49,330 --> 00:42:52,890
+الكميات موجودة اكتر من المياه اذا بقدر اخد من اي
+
+338
+00:42:52,890 --> 00:42:59,250
+واحد منهم اذا هاي المياه طبعا اي سعر الخمسة لانه
+
+339
+00:42:59,250 --> 00:43:06,010
+الأحدى خمسة هاي خمسمية الان الان كيف بده ارتب انا
+
+340
+00:43:06,010 --> 00:43:10,910
+الأمور هذه ارتب المخازن كان عنده اربعمية سبعة
+
+341
+00:43:18,070 --> 00:43:23,470
+دردت من الأقدم إلى الأحدى وهي أربعمية في سبعة إذا
+
+342
+00:43:23,470 --> 00:43:28,190
+هي خمسمية وهي الفين و تمانية إذا في النهاية هي
+
+343
+00:43:28,190 --> 00:43:33,770
+الخمسمية في واحدة وهي تلت تلات و تلت مية دولار تلت
+
+344
+00:43:33,770 --> 00:43:38,850
+تلات مية زائد أربعمية جمعا هذا مية هذول هذول
+
+345
+00:43:38,850 --> 00:43:44,570
+الجمعة جمعة جمعة اتذكروا لو رجعتوا الآلة ضرقت
+
+346
+00:43:44,570 --> 00:43:50,570
+الأول في الأولاو في .. نعم في طريقة القيود في ظل
+
+347
+00:43:50,570 --> 00:43:53,430
+الأول في الأول هتلاقي و ال 500 اكلفات تقدرش
+
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/wwojdUdxXZE_raw.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/wwojdUdxXZE_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..7204810af5aa4f6b4b2f501adaa163f936612471
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/wwojdUdxXZE_raw.srt
@@ -0,0 +1,1408 @@
+1
+00:00:21,440 --> 00:00:27,100
+استكمالا للمحاضرة الماضية هنكمل في حل بعض
+
+2
+00:00:27,100 --> 00:00:33,220
+المطالبين في المحاضرة الماضية أخدنا اللي هو اتباعت
+
+3
+00:00:33,220 --> 00:00:38,920
+القيود تضال طريقة تضال نظام الجرد المستمر وحسب
+
+4
+00:00:38,920 --> 00:00:40,540
+طريقة الأول
+
+5
+00:00:43,540 --> 00:00:49,820
+قُمنا بحساب تكلفة المبيعات وتكلفة المخزون حسب
+
+6
+00:00:49,820 --> 00:00:56,240
+طريقة الاول في الاول اليوم ان من المعلومات من
+
+7
+00:00:56,240 --> 00:01:04,740
+معلومات السؤال الصالح المطلوب اثبات
+
+8
+00:01:04,740 --> 00:01:12,360
+قيود اليومية حسب الجرد المستمر ووفق
+
+9
+00:01:12,360 --> 00:01:13,220
+طريقة
+
+10
+00:01:27,580 --> 00:01:34,000
+عنا الرصيد ستمية .. ستمية واربع ورقم .. رقم اتنين
+
+11
+00:01:34,000 --> 00:01:37,860
+ايش؟ مستريات مستريات، كده الشتاريخ؟ تلاتة اتنين
+
+12
+00:01:37,860 --> 00:01:41,860
+تلاتة اتنين، اكم واحدة؟ تلاتة اتنين وخمسين تلاتة
+
+13
+00:01:41,860 --> 00:01:46,200
+اتنين وخمسين، بيش؟ رقم تلاتة، كده الشتاريخ؟ عشرة
+
+14
+00:01:46,200 --> 00:01:53,660
+اتنين عشرة اتنين مردودات مردودات، مستريات خمسين
+
+15
+00:01:53,660 --> 00:01:56,060
+واحدة من تلاتة تلاتة
+
+16
+00:02:05,780 --> 00:02:13,640
+اربعمية في ساعة عشرة دولار واحدة رقم خمسة خمستاشر
+
+17
+00:02:13,640 --> 00:02:22,740
+ستة مشتريات اربعمية في سبعة ستة
+
+18
+00:02:55,380 --> 00:03:00,180
+طيب زي ما حكينا .. زي ما حكينا ان عندنا المطلوب ..
+
+19
+00:03:00,180 --> 00:03:06,460
+المطلوب ليهاش؟ عندنا إثبات قيود اليومية حسب نظام
+
+20
+00:03:06,460 --> 00:03:10,480
+الجرد المستمر، إذا هنا .. هنا
+
+21
+00:03:23,920 --> 00:03:34,640
+المرجع المتوسط المرجع طبعا اذكر هنا ان في ضل نظام
+
+22
+00:03:34,640 --> 00:03:40,240
+الجرد المستمر في ضل نظام الجرد المستمر القيود
+
+23
+00:03:40,240 --> 00:03:46,560
+النظرية لا تختلف سواء اتبعنا طريقة ال اول في الاول
+
+24
+00:03:46,560 --> 00:03:47,960
+او المتوسط
+
+25
+00:03:54,580 --> 00:04:04,460
+على الأرقام وخاصة عندما نحسب تكلفة الوحدات المباعة
+
+26
+00:04:04,460 --> 00:04:09,020
+في
+
+27
+00:04:09,020 --> 00:04:10,340
+هذا الجزء بالذات
+
+28
+00:04:20,410 --> 00:04:27,130
+مشتريات 350 وحدة بسعر خمسة 350 وحدة بسعر خمسة
+
+29
+00:04:27,130 --> 00:04:39,330
+تفضلي إذا هاي رقم اتنين من حساب مراقبة المخزون إلى
+
+30
+00:04:39,330 --> 00:04:47,710
+حساب الموردين لأننا قلنا في السؤال أن المشتريات
+
+31
+00:04:47,710 --> 00:04:49,270
+والمبيعات
+
+32
+00:04:51,700 --> 00:05:00,400
+هنا الشراء 350 350 ضعف خمسة ألف وسبعمية وخمسين ألف
+
+33
+00:05:00,400 --> 00:05:06,580
+وسبعمية وخمسين إذا عند الشراء في ضمن نظام الجذب
+
+34
+00:05:06,580 --> 00:05:13,200
+المستمر نقول من حساب من حساب مراقبة المخزون إلى
+
+35
+00:05:13,200 --> 00:05:19,820
+حساب الموردين اشتغلنا 351 في اللي هو خمسة ألف
+
+36
+00:05:19,820 --> 00:05:27,020
+وسبعميةننتقل الى رقم تلاتة مردودات المشتريات
+
+37
+00:05:27,020 --> 00:05:38,260
+مردودات المشتريات نقوم
+
+38
+00:05:38,260 --> 00:05:47,380
+بعكس قيد الشراء نقوم بعكس قيد الشراء إذا من حساب
+
+39
+00:05:47,380 --> 00:05:49,000
+الموردين
+
+40
+00:05:54,800 --> 00:06:03,340
+المخزون وهنا نقول خمسين ضبط خمسة إذا هاي متين
+
+41
+00:06:03,340 --> 00:06:13,620
+وخمسين هل مني سؤال؟ أي سؤال؟ طيب ننتقل إلى رقم
+
+42
+00:06:13,620 --> 00:06:22,350
+أربعة رقم أربعة نبيعات رقم أربعة نبيعاتالمبيعات،
+
+43
+00:06:22,350 --> 00:06:28,890
+قلنا المبيعات والمردودات لها قيدين لها قيدين أول
+
+44
+00:06:28,890 --> 00:06:36,490
+شيء نفس مثل المبيعات بسعر .. إذا هنا بسعر البيع
+
+45
+00:06:36,490 --> 00:06:41,910
+بسعر البيع تفضلي من حساب المدينين إلى حساب
+
+46
+00:06:41,910 --> 00:06:51,900
+المبيعات من حساب المدينين من حسابالمدينين الى حساب
+
+47
+00:06:51,900 --> 00:07:01,440
+المبيعات كم واحدة؟ اربعمية ضارب عشرة اربع تلاف
+
+48
+00:07:01,440 --> 00:07:11,640
+اربع تلاف دولار اربع تلاف دولار طيب الان بدنا نثبت
+
+49
+00:07:11,640 --> 00:07:20,780
+البيع بسعر التكلفة البيع بسعر ايش؟البيع بسعر
+
+50
+00:07:20,780 --> 00:07:29,020
+التكلفة اول شي بنعمل قيمة نظري وبعدين ايش بنعمل؟
+
+51
+00:07:29,020 --> 00:07:35,680
+وبعدين بنعمل القيمة وبنذكر الطريقة من حساب تكلفة
+
+52
+00:07:35,680 --> 00:07:41,140
+المبيعات الى حساب مراقبة هى النظري من حساب تكلفة
+
+53
+00:07:41,140 --> 00:07:50,750
+المبيعات الى حساب مراقبة هى النظريلابد أن ننتظر
+
+54
+00:07:50,750 --> 00:07:59,110
+قليلا، لابد أن ننتظر قليلا، تمام؟ إذا الأن لاحظوا
+
+55
+00:07:59,110 --> 00:08:05,130
+أن القيد النظري سواء في ضل طريقة الأول في الأول أو
+
+56
+00:08:05,130 --> 00:08:07,310
+المتوسط، لا تختلف
+
+57
+00:08:21,030 --> 00:08:29,910
+الان عندنا هاي المبيعات تمام هاي المبيعات الان
+
+58
+00:08:29,910 --> 00:08:34,870
+عندى .. الان لما انا بعت اربعمائة وحدة طبعا الان
+
+59
+00:08:34,870 --> 00:08:39,710
+تلتمية و خمسين رجع منهم خمسين اذا هذه كام؟ تلتمية
+
+60
+00:08:39,710 --> 00:08:49,820
+حكينا عند حساب عند كل عملية بيعلابد ان نحسب ايش ..
+
+61
+00:08:49,820 --> 00:08:55,380
+ايش نحسب؟ اه .. ايش حاكيناه في القطاع النظري؟ وفق
+
+62
+00:08:55,380 --> 00:09:02,320
+لطريقة المتوسط المرجح وفق لطريقة المتوسط المرجح
+
+63
+00:09:02,320 --> 00:09:08,840
+فإنه عنده كل عملية بيع لابد من حساب متوسط جديد
+
+64
+00:09:08,840 --> 00:09:18,240
+لابد من حساب متوسط جديد الآن .. الآن هنقولهنقول
+
+65
+00:09:18,240 --> 00:09:25,940
+المتوسط المتوسط المراجح يساوي وقلنا سابق المتوسط
+
+66
+00:09:25,940 --> 00:09:29,480
+عبارة عن أيش؟
+
+67
+00:09:29,480 --> 00:09:33,500
+ايوة
+
+68
+00:09:33,500 --> 00:09:39,100
+تساوي تكلفات المتاح على عدد
+
+69
+00:09:50,120 --> 00:09:54,360
+الأهم جدني الآن زى ما حكيت تحت الجلم في عالم
+
+70
+00:09:54,360 --> 00:09:57,660
+الغير، في عالم الغير، طيب إيش موجود عندى؟ موجود
+
+71
+00:09:57,660 --> 00:10:02,540
+ستمية في أربعة و تلتمية في إيش، إذا بنقول زى هى
+
+72
+00:10:02,540 --> 00:10:09,380
+يساوي ستمية ضرب أربعة زايد تلتمية ضرب
+
+73
+00:10:15,990 --> 00:10:26,650
+300 وتساوي 4.33 دولار للوحدة اذا كما قلنا عند كل
+
+74
+00:10:26,650 --> 00:10:31,430
+عملية بيع لابد من حساب متوسط لابد من حساب متوسط
+
+75
+00:10:31,430 --> 00:10:36,530
+جديد لابد من حساب متوسط جديد الان انا اليوم عشرين
+
+76
+00:10:36,530 --> 00:10:40,930
+تلاتة عشرين تلاتة لما جيت البيع على هذه الارمعية
+
+77
+00:10:40,930 --> 00:10:42,830
+واحدة ايش كان عندى في المخازن؟
+
+78
+00:10:48,980 --> 00:10:53,720
+النسبة لـ 300 ضرب خمسة على هيتكرر اكتر فتظهر 4.33
+
+79
+00:11:08,540 --> 00:11:14,420
+هيا ناخد وحدات المباعة في المتوسط الذي قمنا بحسابه
+
+80
+00:11:14,420 --> 00:11:19,960
+فطبعا تكون عندنا هنا التكلفة ألف و سبعمية و تلاتة
+
+81
+00:11:19,960 --> 00:11:26,960
+و تلاتين ألف و سبعمية و تلاتة و تلاتين ألف و
+
+82
+00:11:26,960 --> 00:11:31,880
+سبعمية و تلاتة و تلاتين ألف و سبعمية و تلاتة و
+
+83
+00:11:31,880 --> 00:11:35,620
+تلاتين تمام هل من سؤال
+
+84
+00:11:41,260 --> 00:11:46,540
+عند كل عملية بايع لابد من حساب متوسط جديد لابد من
+
+85
+00:11:46,540 --> 00:11:53,300
+حساب متوسط جديد إذا هنا هذه المبيعات إيش في عندنا
+
+86
+00:11:53,300 --> 00:11:57,140
+في المخازن؟ في ستمية في أربعة في تلاتمية في إيش؟
+
+87
+00:11:57,140 --> 00:12:00,740
+خمسة خمسة اللي هي عبارة عن أول مدة زائد المشتريات
+
+88
+00:12:00,740 --> 00:12:06,760
+أول مدة زائد المشتريات بنحصل متوسط إلها تكلفة
+
+89
+00:12:06,760 --> 00:12:09,660
+المتاح على عدد الوحدات المتاحة يساوي
+
+90
+00:12:14,520 --> 00:12:16,560
+طبعا بعد ما قلنا بحساب تاترين ومعاتر، حساب مراقبة
+
+91
+00:12:16,560 --> 00:12:20,600
+ومنافسون هي الوحدات المباعة في المتوسط الجديد طيب،
+
+92
+00:12:20,600 --> 00:12:26,560
+الآن يا أخوات، الآن هذا المتوسط لأ كام وحدة؟ لأ
+
+93
+00:12:26,560 --> 00:12:32,920
+كام وحدة؟ لأ كام وحدة؟ لأ كام وحدة؟ تسعمية،
+
+94
+00:12:32,920 --> 00:12:34,620
+تسعمية، تسعمية، تسعمية، تسعمية، تسعمية، تسعمية،
+
+95
+00:12:34,620 --> 00:12:34,620
+تسعمية، تسعمية، تسعمية، تسعمية، تسعمية، تسعمية،
+
+96
+00:12:34,620 --> 00:12:34,920
+تسعمية، تسعمية، تسعمية، تسعمية، تسعمية، تسعمية،
+
+97
+00:12:34,920 --> 00:12:43,740
+تسعمية، تسعمية، تسعمية، تسعمية، تسعمية، تسعرها
+
+98
+00:12:43,740 --> 00:12:52,000
+ستكون كم؟ 4.333$ لكي نستخدمها بعد ذلك يعني هذه الـ
+
+99
+00:12:52,000 --> 00:12:57,760
+900$ اللي حصلناها متوسط 4.333$ الان ايش؟ راح منها
+
+100
+00:12:57,760 --> 00:13:02,020
+400$ اللي بيبقناه إذا نكون دالة في المخازن 500$
+
+101
+00:13:02,020 --> 00:13:10,460
+بهذه سعرها بهذه سعرها تمام؟ أي سؤال؟ أي سؤال؟ طيب
+
+102
+00:13:27,000 --> 00:13:37,540
+الحساب مراقبة المخزون إلى حساب إيه؟ هل 400 ضار؟
+
+103
+00:13:37,540 --> 00:13:41,720
+2800 ضار
+
+104
+00:13:58,480 --> 00:14:04,000
+كما قلنا .. كما قلنا .. فضلين .. سعر البيع من حساب
+
+105
+00:14:04,000 --> 00:14:07,640
+المدينين إلى حساب المبيعات خمس مائة و اتناشر إذا
+
+106
+00:14:07,640 --> 00:14:14,200
+.. إذا عندنا هنا من حساب المدينين
+
+107
+00:14:14,200 --> 00:14:21,460
+إلى حساب المبيعات كام؟ خمس مائة و اتناشر ضرب
+
+108
+00:14:21,460 --> 00:14:29,330
+اتناشر ست آلاف دولاراذا هذه المبيعات بسعر ايه؟
+
+109
+00:14:29,330 --> 00:14:40,110
+بسعر البيع وهنا بسعر ايه؟ التكلفة كما قلنا ان بسعر
+
+110
+00:14:40,110 --> 00:14:45,670
+التكلفة القيد لا يختلف قبل
+
+111
+00:14:45,670 --> 00:14:54,250
+نعمل قيد النظري من حساب
+
+112
+00:14:59,280 --> 00:15:03,440
+الى حساب مراقبة المخزون
+
+113
+00:15:29,840 --> 00:15:34,940
+تسعمية تمام التسعمية راح منه أربعمية تلقى التلت
+
+114
+00:15:34,940 --> 00:15:40,800
+تلقى الخمسمية فاصلة تلاتة تلاتة تمام الآن عندنا
+
+115
+00:15:40,800 --> 00:15:45,840
+هاي عندنا هاي اللي هي الخمسمية تمام وعندنا هاي
+
+116
+00:15:45,840 --> 00:15:51,640
+الأربعمية إذا بنقول هنا بنقول هنا ده نحصل متوسط
+
+117
+00:15:51,640 --> 00:15:56,020
+هنا المتوسط يساوي
+
+118
+00:15:59,660 --> 00:16:08,060
+اربع فاصل تلاتة تلاتة زائد خمسمية زائد اربعمية بقى
+
+119
+00:16:08,060 --> 00:16:14,840
+بسبعة على ايش؟ خمسمية زائد اربعمية ويساوي خمسة
+
+120
+00:16:14,840 --> 00:16:26,460
+فاصلة واحد خمسة فاصلة خمس واحد تسعة خمسة
+
+121
+00:16:26,460 --> 00:16:32,640
+فاصلة خمسمية و19تلت أرقام بعد الفاصلة ع مستوى
+
+122
+00:16:32,640 --> 00:16:39,660
+الوحدة الواحدة ناخد تلت أرقام بعد الفاصلة تمام؟ ع
+
+123
+00:16:39,660 --> 00:16:45,040
+مستوى الوحدة تلت أرقام بعد الفاصلة بالنسبة للأرقام
+
+124
+00:16:45,040 --> 00:16:51,080
+الإجمالية نحذف بعد الفاصلة إذا كان إيه؟ أقل من
+
+125
+00:16:51,080 --> 00:16:56,220
+خمسة من عشرة وإذا كان خمسة فصاعد يتم تقريبه
+
+126
+00:17:07,950 --> 00:17:17,290
+بنحسب متوسط وبنضرب 500 في 5.519 إذا هتطلع عندنا
+
+127
+00:17:17,290 --> 00:17:20,430
+2760
+
+128
+00:17:20,430 --> 00:17:27,850
+2760
+
+129
+00:17:27,850 --> 00:17:34,630
+تمام هل من السؤال بتعيدها تاني بتعيدها
+
+130
+00:17:37,400 --> 00:17:43,480
+في ستة عشر تمانية صار عندنا مبيعات خمسمائة واحدة،
+
+131
+00:17:43,480 --> 00:17:48,560
+خمسمائة واحدة، خمسمائة واحدة، خمسمائة واحدة،
+
+132
+00:17:48,560 --> 00:17:48,560
+خمسمائة واحدة، خمسمائة واحدة، خمسمائة واحدة،
+
+133
+00:17:48,560 --> 00:17:48,560
+خمسمائة واحدة، خمسمائة واحدة، خمسمائة واحدة،
+
+134
+00:17:48,560 --> 00:17:48,720
+خمسمائة واحدة، خمسمائة واحدة، خمسمائة واحدة،
+
+135
+00:17:48,720 --> 00:17:48,720
+خمسمائة واحدة، خمسمائة واحدة، خمسمائة واحدة،
+
+136
+00:17:48,720 --> 00:17:49,960
+خمسمائة واحدة، خمسمائة واحدة، خمسمائة واحدة،
+
+137
+00:17:49,960 --> 00:17:56,140
+خمسمائة واحدة، خمسمائة واحدة، خمسمائة واحدة،
+
+138
+00:17:56,140 --> 00:17:58,480
+خمسمائة واحدة،
+
+139
+00:18:05,850 --> 00:18:10,170
+المتوسط القديم زائد اربعمائة واحدة في سبعة على
+
+140
+00:18:10,170 --> 00:18:14,270
+الوحدات المتاحة طلع عندنا خمسة فاصلة خمسمية
+
+141
+00:18:14,270 --> 00:18:21,550
+وتسعتاش الان اخدنا الوحدات المباعة وضربناها في
+
+142
+00:18:21,550 --> 00:18:27,810
+المتوسط الجديد ضربناها في المتوسط الجديد تمام هل
+
+143
+00:18:27,810 --> 00:18:33,890
+من سؤال هل موجود اي سؤال هل موجود طيب ننتقل الى
+
+144
+00:18:33,890 --> 00:18:47,640
+رقم سبعةننتقل الى رقم سبعة ماردودات
+
+145
+00:18:47,640 --> 00:18:53,580
+مبيعات من 16 تمانية
+
+146
+00:18:53,580 --> 00:18:57,080
+من حساب ماردودات مبيعات الى حساب مدينين
+
+147
+00:19:12,020 --> 00:19:16,620
+الى حساب المدينين من حساب مردودات المبيعات الى
+
+148
+00:19:16,620 --> 00:19:22,580
+حساب المدينين الان احنا رجعنا طبعا هنا 112 هنا
+
+149
+00:19:22,580 --> 00:19:28,740
+المردودات بسعر البيع المردودات بإيش بسعر البيع اذا
+
+150
+00:19:28,740 --> 00:19:35,760
+الان هقول انا ايه المية ضارف ايش هى 1200 دنار
+
+151
+00:19:35,760 --> 00:19:41,380
+بينما المردودات بسعر التكلفة الرد بسعر
+
+152
+00:19:54,750 --> 00:19:58,730
+إذا الآن يا أخوات بالنسبة للرب بسعر التكلفة نعود
+
+153
+00:19:58,730 --> 00:20:04,950
+إلى قيد البيع بسعر التكلفة ويتم عكسه نظريا ويتم
+
+154
+00:20:04,950 --> 00:20:15,390
+عكسه نظريا إذا نقول هنا من حساب مراقبة البخزون إلى
+
+155
+00:20:15,390 --> 00:20:21,990
+حساب تكلفة المبيعات الان هي القيد النظري الان بسأل
+
+156
+00:20:21,990 --> 00:20:27,230
+حاليأي طريقة بنتابع الأول هو المتوسط المتوسط إذا
+
+157
+00:20:27,230 --> 00:20:32,330
+الأمر سهل أكم واحدة و بنضربها في المتوسط نضربها في
+
+158
+00:20:32,330 --> 00:20:37,610
+أي متوسط نضربها في المتوسط اللي يحمل التاريخ إذا
+
+159
+00:20:37,610 --> 00:20:46,690
+تاريخ ستة عشر تمانية إيش المتوسط إذا مية مية ضرب
+
+160
+00:20:46,690 --> 00:20:54,870
+خمسة فاصلة خمسة سبعة خمس مية و اتنينو خمسين خمسمية
+
+161
+00:20:54,870 --> 00:21:01,950
+و اتنين و خمسين هيك بنكون انهينا من هذا المطلوب و
+
+162
+00:21:01,950 --> 00:21:07,610
+هي القيود في ضل الجرد المستمر و في ضل طريقة
+
+163
+00:21:07,610 --> 00:21:13,950
+المتوسط المرجح مال لديها اي سؤال؟ مال لديها اي
+
+164
+00:21:13,950 --> 00:21:17,610
+سؤال على هذا الكلام؟ ماشي
+
+165
+00:21:23,070 --> 00:21:33,570
+ننتقل إلى حساب تكلفة البضاعة المباعة تكلفة البضاعة
+
+166
+00:21:33,570 --> 00:21:38,410
+المباعة وتكلفة المخزون وتكلفة المخزون حسب طريقة
+
+167
+00:21:38,410 --> 00:21:47,970
+إيه؟ طريقة المتوسط المرجع المتوسط المرجع إذا أنا
+
+168
+00:21:47,970 --> 00:21:55,830
+لما بدي أحسب طبعا إيه؟هنا حساب تكلفة البضاعة تكلفة
+
+169
+00:21:55,830 --> 00:22:01,490
+المخسور وتكلفة البضاعة المباعة حسب طريقة المتوسط
+
+170
+00:22:01,490 --> 00:22:09,650
+المرجح مع العلم أن الشركة تتبع نظام الجاد الدوري
+
+171
+00:22:09,650 --> 00:22:18,090
+نظام الجاد الدوري ماشي؟
+
+172
+00:22:23,450 --> 00:22:28,670
+يتم في نهاية العام
+
+173
+00:22:28,670 --> 00:22:36,530
+يتم في نهاية العام اذا اذا بدنا نحسب اول share
+
+174
+00:22:36,530 --> 00:22:42,550
+بدنا نحسب تكلفة الوحدات المتاحة للبيع تكلفة
+
+175
+00:22:42,550 --> 00:22:46,950
+الوحدات المتاحة للبيع
+
+176
+00:22:52,580 --> 00:22:57,520
+الان عندى انا الوحدات رصيد اول مدة ستمية وجانى
+
+177
+00:22:57,520 --> 00:23:02,440
+تلاتمية وخمسية وفي مرضات اذا هذه ايش تلاتمية اذا
+
+178
+00:23:02,440 --> 00:23:10,540
+الان الان عندى هذه متاح وهذه متاح وهذه متاح بينما
+
+179
+00:23:10,540 --> 00:23:15,100
+هذه المبيعات وهذه المبيعات وهذه المردودات ما لا
+
+180
+00:23:15,100 --> 00:23:21,300
+اجتمع فيها اذا الان
+
+181
+00:23:21,990 --> 00:23:32,670
+أولش عدد الوحدات المتاحة تساوي 1300 وحدة
+
+182
+00:23:47,450 --> 00:23:53,750
+مباعة كام؟ تمنمية تسعة أربعمية و خمسمية تسعمية و
+
+183
+00:23:53,750 --> 00:24:00,970
+إيش؟ ناقص مية هيكون عندنا كام؟ هيكون عندنا تمنمية
+
+184
+00:24:00,970 --> 00:24:08,070
+تمام؟ إذا العدد وحدة المخزون
+
+185
+00:24:08,070 --> 00:24:10,690
+خمسمية واحدة
+
+186
+00:24:13,410 --> 00:24:17,310
+الان انا في ضمن طريقة المتوسط المرجح بدي احسب
+
+187
+00:24:17,310 --> 00:24:25,030
+المتوسط بدي احسب المتوسط و يساوي قولنا تكلفة
+
+188
+00:24:25,030 --> 00:24:30,710
+المتاح على عدد الوحدات المتاحة طيب تكلفة المتاح
+
+189
+00:24:30,710 --> 00:24:37,830
+عبارة عن ايش؟ ستمية في ايش؟ ستمية حق ستمية ضرب
+
+190
+00:24:37,830 --> 00:24:48,560
+اربعة زائد زائدتلاتمية في ايش؟ خمسة تلاتمية ضرب
+
+191
+00:24:48,560 --> 00:24:58,200
+خمسة زائد اربعمية في ايش؟ سبعة اربعمية في ايش؟
+
+192
+00:24:58,200 --> 00:25:05,780
+اربعمية ضرب سبعة على ستمية زائد تلاتمية زائد
+
+193
+00:25:05,780 --> 00:25:17,040
+اربعمية ويساوي يساوي كام؟يساوي خمسة فاصلة واحد
+
+194
+00:25:17,040 --> 00:25:34,780
+خمسة أربعة دنار للواحدة هتحسب؟ حسبه حسبته
+
+195
+00:25:34,780 --> 00:25:35,480
+ولا لا؟
+
+196
+00:25:43,110 --> 00:25:50,250
+الان طبعا هذه بتطلع ليها سبعة تلاف و كده؟ تلات
+
+197
+00:25:50,250 --> 00:25:54,750
+مية؟ تكلفة
+
+198
+00:25:54,750 --> 00:26:04,250
+المبيعات تساوي أكم واحدة بيعنا تمانية تمانية ضم
+
+199
+00:26:04,250 --> 00:26:09,270
+خمسة فاصلة واحد خمسة أربعة يساوي كم؟
+
+200
+00:26:11,940 --> 00:26:17,320
+يساوي كام؟ حتي
+
+201
+00:26:17,320 --> 00:26:24,060
+.. حتي يحسب و بعدين عندنا تكلفة المخزون تساوي
+
+202
+00:26:24,060 --> 00:26:31,660
+خمسمية ضد خمسة فاصلة واحد خمسة أربعة و يساوي
+
+203
+00:26:47,170 --> 00:26:58,090
+أربعة ألف ومية تلاتة و عشرين و هاي ألفين
+
+204
+00:26:58,090 --> 00:27:07,950
+و خمسين و سبعة و سبعين الان اخوات لو جمعنا لو
+
+205
+00:27:07,950 --> 00:27:09,050
+جمعنا هذول اتنين
+
+206
+00:27:12,810 --> 00:27:19,390
+هيطلع عندنا تكلفة تكلفة المتاح هيطلع
+
+207
+00:27:19,390 --> 00:27:28,910
+عندنا تكلفة المتاح اللي هي ماشي
+
+208
+00:27:28,910 --> 00:27:36,830
+طيب الآن احنا هيك خلصنا المطلوب هذا خلصنا المطلوب
+
+209
+00:27:36,830 --> 00:27:41,230
+هذا هل من سؤال سنمسك له السطورة
+
+210
+00:27:52,510 --> 00:27:56,910
+6700 .. 6700 هو لازم يطلع في الشركانية .. 6700 ..
+
+211
+00:27:56,910 --> 00:28:01,570
+okay ..
+
+212
+00:28:01,570 --> 00:28:06,910
+مدام سحر الصبورة .. في اي سؤال .. اذا الان المطلوب
+
+213
+00:28:06,910 --> 00:28:13,630
+اللي بعده تصوير بطاقة الصنف .. تصوير بطاقة الصنف
+
+214
+00:28:13,630 --> 00:28:18,210
+صارت حسب مطلوب جديد ضمن المطالب اللي
+
+215
+00:28:26,650 --> 00:28:35,090
+الأول في الأول حسب طريقة الأول في الأول ال A5 تمام
+
+216
+00:28:35,090 --> 00:28:42,470
+أخوات بالنسبة لتصوير بطاقة
+
+217
+00:28:42,470 --> 00:28:49,410
+الصنف تصوير بطاقة الصنف بطاقة الصنف يكون حسب نظام
+
+218
+00:28:49,410 --> 00:28:54,650
+الجرد ايش المستمر حسب نظام الجرد المستمر
+
+219
+00:28:56,620 --> 00:29:04,840
+نصمم البطاقة نصمم البطاقة من كل انتظار مادي، إذا
+
+220
+00:29:04,840 --> 00:29:17,560
+الأن هنا عندنا فوق بطاقة الصندوق صار حسب طريقة
+
+221
+00:29:28,430 --> 00:29:34,450
+في الأول في الأول اذا عندنا هنا الكل ينتظر ان نخلص
+
+222
+00:29:34,450 --> 00:29:47,630
+تصديق هنا رقم هنا تاريخ هنا بيان هنا بيان بعد هي
+
+223
+00:29:47,630 --> 00:29:56,970
+هيكون عندنا تسع أعمد واحد اثنين تلاتة
+
+224
+00:29:58,130 --> 00:30:05,910
+أربعة خمسة ستة
+
+225
+00:30:05,910 --> 00:30:08,970
+سبعة
+
+226
+00:30:08,970 --> 00:30:12,290
+وهاي
+
+227
+00:30:12,290 --> 00:30:21,270
+تمانية وتسعة تمانية وتسعة هذه بطاقة الصنف بطاقة
+
+228
+00:30:21,270 --> 00:30:27,920
+الصنف على أرض الواقع هي جاهزة ورقياو Computerize
+
+229
+00:30:27,920 --> 00:30:35,000
+ما علينا غير ايه نشتغل نعب البيانات اذا رقم تاريخ
+
+230
+00:30:35,000 --> 00:30:49,600
+بيان الوارد كمية سعر قيمة كمية سعر
+
+231
+00:30:49,600 --> 00:31:03,970
+قيمة كمية سعر قيمةهنا الصادر وهنا الرصيد كمية سعة
+
+232
+00:31:03,970 --> 00:31:08,870
+القيمة يعني الكمية عدد الوحدات السعة السعة الوحدة
+
+233
+00:31:08,870 --> 00:31:16,310
+القيمة عبارة عن الكمية في ايه؟ في السعة
+
+234
+00:31:44,660 --> 00:31:54,840
+نبدأ في تفريغ اللي هو في بطاقة الصندوق اذا رقم
+
+235
+00:31:54,840 --> 00:31:55,420
+واحد
+
+236
+00:32:01,810 --> 00:32:10,130
+600 وحدة في أربعة ألفين واربعمية مسجل فيها الوالد
+
+237
+00:32:10,130 --> 00:32:16,890
+ومن ثم يؤثر على الرصيد هاي 600 في أربعة ألفين
+
+238
+00:32:16,890 --> 00:32:24,010
+واربعمية 2400 طيب
+
+239
+00:32:24,010 --> 00:32:30,930
+الكل ينتبه معاك الكل ينتبه معاك رقم اتنين رقم
+
+240
+00:32:30,930 --> 00:32:40,730
+اتنينفي تلاتة اتنين مش طريقات اكم واحدة تلاتمية و
+
+241
+00:32:40,730 --> 00:32:50,550
+خمسين في خمسة الف و سبعمية و خمسين الف و سبعمية و
+
+242
+00:32:50,550 --> 00:32:59,170
+خمسين ايضا هنا هي تلاتمية و خمسين في خمسة الف و
+
+243
+00:32:59,170 --> 00:33:01,350
+سبعمية و خمسين
+
+244
+00:33:18,360 --> 00:33:28,300
+ماردودات المشتريات تعمل
+
+245
+00:33:28,300 --> 00:33:30,140
+معاملة الصادر
+
+246
+00:33:33,130 --> 00:33:38,250
+الان اللى بيطلع .. بيطلع منها نوعاملة ومعاملة
+
+247
+00:33:38,250 --> 00:33:43,070
+الصادر، الصادر، الصادر، الصادر، الصادر، الصادر،
+
+248
+00:33:43,070 --> 00:33:43,090
+الصادر، الصادر، الصادر، الصادر، الصادر، الصادر،
+
+249
+00:33:43,090 --> 00:33:44,410
+الصادر، الصادر، الصادر، الصادر، الصادر، الصادر،
+
+250
+00:33:44,410 --> 00:33:44,770
+الصادر، الصادر، الصادر، الصادر، الصادر، الصادر،
+
+251
+00:33:44,770 --> 00:33:46,510
+الصادر، الصادر، الصادر، الصادر، الصادر، الصادر،
+
+252
+00:33:46,510 --> 00:33:49,670
+الصادر، الصادر، الصادر، الصادر، الصادر، الصادر،
+
+253
+00:33:49,670 --> 00:33:50,110
+الصادر، الصادر، الصادر، الصادر، الصادر، الصادر،
+
+254
+00:33:50,110 --> 00:33:50,950
+الصادر، الصادر، الصادر، الصادر، الصادر، الصادر،
+
+255
+00:33:50,950 --> 00:33:59,230
+الصادر، الصاد
+
+256
+00:34:06,170 --> 00:34:16,250
+برجع لرقم تلاتة رقم تلاتة ملدودة المشتريات ملدودة
+
+257
+00:34:16,250 --> 00:34:17,690
+المشتريات
+
+258
+00:34:19,780 --> 00:34:23,780
+الان مردودات المشتريات انا اشتريت دخلت المخازن ميت
+
+259
+00:34:23,780 --> 00:34:27,520
+كرسي مثلا، الان ارجعت عشرة مش طلعوا من المخازن
+
+260
+00:34:27,520 --> 00:34:32,420
+صادر، اللذي يدخل المخازن وارد، اللذي يطلع من
+
+261
+00:34:32,420 --> 00:34:33,680
+المخازن إيش؟
+
+262
+00:34:37,950 --> 00:34:41,970
+سجلنا هذه الخمسين وحدة وهي السعة تبعها خمسين في
+
+263
+00:34:41,970 --> 00:34:46,810
+خمسة في متين وخمسين تمام الان هل المردودات مش
+
+264
+00:34:46,810 --> 00:34:51,410
+هتنجس الموجود في المخازن هتنجس التنجس هيكون هي
+
+265
+00:34:51,410 --> 00:34:57,750
+كمية اذا الان هاي عملت خط أنا فاصل اذا ان اقل الرد
+
+266
+00:34:57,750 --> 00:35:02,330
+على الموجود في المخازن بيصبح عندهاش ستمية في اربعة
+
+267
+00:35:02,330 --> 00:35:09,080
+و تلاتمية في ايهاش تلاتمية في خمسةهذه 2400 و هذه
+
+268
+00:35:09,080 --> 00:35:15,440
+1500 مردودات
+
+269
+00:35:15,440 --> 00:35:18,240
+مشتريات نحن مقعدين هنا كمحاضرة على القصة دلوقتي
+
+270
+00:35:18,240 --> 00:35:25,640
+الان مردودات المشتريات هنا عملناها و سجلناها كأنها
+
+271
+00:35:25,640 --> 00:35:33,390
+صادر سجلها كأنها صادر تمامالان الصادر الشهير
+
+272
+00:35:33,390 --> 00:35:36,630
+الموجود في المخازن الرصيد ايش يعني معناه موجود هذه
+
+273
+00:35:36,630 --> 00:35:39,650
+المحلات الموجودة في المخازن فيه ستمية في أربعة
+
+274
+00:35:39,650 --> 00:35:43,970
+وفيه تلتمية وخمسين في خمسة الان المرجعة على
+
+275
+00:35:43,970 --> 00:35:47,250
+المشتريات من الكيميا .. من الكيميا بتحمل سعرياش؟
+
+276
+00:35:47,250 --> 00:35:51,870
+خمسة خمسة إذا نتيجة التغيير هذا الرد اللي كان عندي
+
+277
+00:35:51,870 --> 00:35:56,450
+هنا تسعمية وخمسين لما يرجع راح خمسين يضبط إيش
+
+278
+00:35:56,450 --> 00:36:00,310
+عندنا تسعمية تسعمية لكن هذي بدأ أخصمها من مين؟ من
+
+279
+00:36:00,310 --> 00:36:04,530
+الرصيد الخامسينالـ 600 نزلت كما هي و الـ 305 ربعها
+
+280
+00:36:04,530 --> 00:36:10,550
+من الـ 50 دلوقتي كم تبقى تبقى تلات مية تمام؟ زي ما
+
+281
+00:36:10,550 --> 00:36:15,550
+حكى انا هتكرر هذا كتير الان نيجي رقم أربعة الان
+
+282
+00:36:15,550 --> 00:36:21,650
+عند كل عملية بيع لازم أعمل جمع للموجود في المخازن
+
+283
+00:36:21,650 --> 00:36:27,950
+هذه الـ 901 تكلفتهم الإجمالية كان دلوقتي الموجودة
+
+284
+00:36:27,950 --> 00:36:32,910
+في المخازن هذا وهذا بسهذا وهذا اللي هو القطر
+
+285
+00:36:32,910 --> 00:36:36,630
+الجديد خلاص اللي فوق الخط هذا صار عليه تغيير وهيه
+
+286
+00:36:36,630 --> 00:36:40,730
+النتيجة لأن عنده 600 في المخازن و 300 في المخازن
+
+287
+00:36:40,730 --> 00:36:46,350
+تمام؟ الان عند
+
+288
+00:36:46,350 --> 00:36:50,390
+كل عملية بيع اللي انا في بطاقة الصندوق بجمع اللي
+
+289
+00:36:50,390 --> 00:36:56,470
+موجود في المخازن عندي 604 و 305 اي سؤال؟
+
+290
+00:37:04,120 --> 00:37:12,400
+عشرين ثلاثة اللي هو مبيعات تمام لحظة شوية انا
+
+291
+00:37:12,400 --> 00:37:18,500
+باتبع اي طريقة باتبع اي طريقة الاول في الاول و ال
+
+292
+00:37:18,500 --> 00:37:26,300
+five ايش بتقول بتقول المباع من ايه المباع اقدم و
+
+293
+00:37:26,300 --> 00:37:32,320
+المخزون ايش المخزون احدث تمام
+
+294
+00:37:42,420 --> 00:37:45,760
+المباع من الأقدم يعني مجلس الأربعة على الخمس
+
+295
+00:37:45,760 --> 00:37:49,700
+الأقدم الاربعة الاربعة جدش أنا جا نبيع اربعمية
+
+296
+00:37:49,700 --> 00:37:54,560
+اربعمية بتاخد اربعمية من مين المباع مش طلعت من
+
+297
+00:37:54,560 --> 00:37:59,680
+مخزن وبيعت اربعمية اربعمية
+
+298
+00:37:59,680 --> 00:38:02,720
+اربعمية اربعمية في الصادر اربعمية في اربعمية
+
+299
+00:38:02,720 --> 00:38:03,620
+اربعمية في الصادر اربعمية في اربعمية اربعمية في
+
+300
+00:38:03,620 --> 00:38:03,780
+الصادر اربعمية في اربعمية في الصادر اربعمية في
+
+301
+00:38:03,780 --> 00:38:03,780
+اربعمية في الصادر اربعمية في اربعمية في اربعمية في
+
+302
+00:38:03,780 --> 00:38:04,800
+الصادر اربعمية في اربعمية في اربعمية في الصادر
+
+303
+00:38:04,800 --> 00:38:07,160
+اربعمية في اربعمية في اربعمية في الصادر اربعمية في
+
+304
+00:38:07,160 --> 00:38:08,240
+اربعمية في اربعمية في ا
+
+305
+00:38:15,100 --> 00:38:22,840
+400×4 يظل من هذه كم؟ 200×4
+
+306
+00:38:22,840 --> 00:38:27,500
+هي 800 300×5
+
+307
+00:38:27,500 --> 00:38:33,620
+1500 يعني نتيجة البيع ايش اكتر
+
+308
+00:38:45,170 --> 00:38:52,390
+رح منها 1600 دل قداش 1300 مش هي 1900 اطرح منها
+
+309
+00:38:52,390 --> 00:38:57,350
+1600 بدل قداش 2300 لو جمعتوا هذول الرقمين بيطلعوا
+
+310
+00:38:57,350 --> 00:39:02,670
+مظبوط ولا لأ هذا مؤشر على صحة الحل خلوا الأسئلة
+
+311
+00:39:02,670 --> 00:39:10,870
+للمرة الجاية الان في رقم خمس ايش مستريات رقم خمسة
+
+312
+00:39:10,870 --> 00:39:17,880
+خمستعش ايش ستة مسترياتالمشتريات وارد تسجل في عمود
+
+313
+00:39:17,880 --> 00:39:27,620
+الوارد كم اشترينا؟ أربعمية في سبعة ألفين و تمانمية
+
+314
+00:39:27,620 --> 00:39:34,560
+ألفين و تمانمية الان هذا الوارد تسجل في عمود
+
+315
+00:39:34,560 --> 00:39:44,160
+الرصيد أربعمية في سبعة ألفين و تمانمية ألفين و
+
+316
+00:39:44,160 --> 00:39:51,450
+تمانميةكل انتبه هنكرر كتير الان رقم ستة اجانب ايش
+
+317
+00:39:51,450 --> 00:39:57,210
+مبيعات ايش خمسمية طيب بمجلة للبيعة الخمسمية ايش في
+
+318
+00:39:57,210 --> 00:40:02,170
+عندك في المخازن ميتين و تلتمية و اربعمية الان عند
+
+319
+00:40:02,170 --> 00:40:07,030
+كل عملية بيع ايش بعمل بجمع الموجود بجمع هاي
+
+320
+00:40:07,030 --> 00:40:10,490
+التسعمية جمعت مين ال متين و التلتمية و الاربعمية
+
+321
+00:40:10,490 --> 00:40:12,950
+التكلفة الإجمالية كلها جدات
+
+322
+00:40:15,960 --> 00:40:23,220
+خمس تلاث ومية، خمس تلاث ومية، تمام؟ طيب
+
+323
+00:40:41,810 --> 00:40:44,830
+هذه المرتبة الاربعة خمسة سبعة يعني الأقدر ثم
+
+324
+00:40:44,830 --> 00:40:49,050
+الأحدث ثم الأحدث فهي لو نظرت هنا فهي اربعة خمسة
+
+325
+00:40:49,050 --> 00:40:51,750
+سبعة يعني الأقدر ثم الأحدث اذا انا على طول مباشرة
+
+326
+00:40:51,750 --> 00:40:56,510
+بروح انا عند المبيعات قديش خمسمية هروح لساعة أربعة
+
+327
+00:40:56,510 --> 00:41:05,410
+هاي ميتين في أربعة تمانمية وهاي تلتمية في خمسة في
+
+328
+00:41:05,410 --> 00:41:11,090
+كام ألف خمسمية إذا هاي الخمسمية اللي بعتهاوهي
+
+329
+00:41:11,090 --> 00:41:17,150
+تكلفتهم 2300 طيب الان انتبهوا معايا انتبهوا معايا
+
+330
+00:41:17,150 --> 00:41:23,230
+الان لما انا بيعت 200×4 أخدتهم و 300×5 أخدتهم دل
+
+331
+00:41:23,230 --> 00:41:29,090
+كده في المخازن؟ دل عندي 400×7
+
+332
+00:41:29,090 --> 00:41:37,930
+2800 كان عندي 900 راح 500 دل كده؟ هذا مؤشر على صحة
+
+333
+00:41:37,930 --> 00:41:44,600
+الحلدابعا انا بفحص حل باستمرار، الان .. الان ايضا
+
+334
+00:41:44,600 --> 00:41:48,120
+خمس تلاف و مية، راح منها الفين و تلت مية، مضل
+
+335
+00:41:48,120 --> 00:41:52,540
+قداش، لأن هذا مؤشر على الصحة، مؤشر و ليس دنيا
+
+336
+00:41:52,540 --> 00:41:52,800
+الخاطر
+
+337
+00:42:08,410 --> 00:42:13,670
+الان اخوات بالنسبة لمردودات المبيعات تعامل معاملة
+
+338
+00:42:13,670 --> 00:42:18,270
+الوارد يعني
+
+339
+00:42:18,270 --> 00:42:22,210
+انا لما نبيع اتضاعع واحد يرجعني عشرين واحدة، اذا
+
+340
+00:42:22,210 --> 00:42:24,790
+دخلت المخازن ولا لا؟ دخلت؟
+
+341
+00:42:43,450 --> 00:42:49,330
+المرجة ايضا من المياه من الأحدى المرجة اقل الان
+
+342
+00:42:49,330 --> 00:42:52,890
+الكميات موجودة اكتر من المياه اذا بقدر اخد من اي
+
+343
+00:42:52,890 --> 00:42:59,250
+واحد منهم اذا هاي المياه طبعا اي سعر الخمسة لانه
+
+344
+00:42:59,250 --> 00:43:06,010
+الأحدى خمسة هاي خمسمية الان الان كيف بده ارتب انا
+
+345
+00:43:06,010 --> 00:43:10,910
+الأمور هذه ارتب المخازن كان عنده اربعمية سبعة
+
+346
+00:43:18,070 --> 00:43:23,470
+دردت من الأقدم إلى الأحدى وهي أربعمية في سبعة إذا
+
+347
+00:43:23,470 --> 00:43:28,190
+هي خمسمية وهي الفين و تمانية إذا في النهاية هي
+
+348
+00:43:28,190 --> 00:43:33,770
+الخمسمية في واحدة وهي تلت تلات و تلت مية دولار تلت
+
+349
+00:43:33,770 --> 00:43:38,850
+تلات مية زائد أربعمية جمعا هذا مية هذول هذول
+
+350
+00:43:38,850 --> 00:43:44,570
+الجمعة جمعة جمعة اتذكروا لو رجعتوا الآلة ضرقت
+
+351
+00:43:44,570 --> 00:43:50,570
+الأول في الأولاو في .. نعم في طريقة القيود في ظل
+
+352
+00:43:50,570 --> 00:43:53,430
+الأول في الأول هتلاقي و ال 500 اكلفات تقدرش
+
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/zzYkAVh2nOc.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/zzYkAVh2nOc.srt
new file mode 100644
index 0000000000000000000000000000000000000000..e395952a328dd1111e9fdd82b3601d775ceb8b45
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/zzYkAVh2nOc.srt
@@ -0,0 +1,1323 @@
+1
+00:00:20,870 --> 00:00:25,910
+أخوتي، تحدثنا في المحاضرة الماضية عن الجرد المستمر
+
+2
+00:00:25,910 --> 00:00:32,710
+وقمنا بإثبات القيود في ظل نظام الجرد الدوري ونظام
+
+3
+00:00:32,710 --> 00:00:37,190
+الجرد المستمر، وقلنا أن القيود في ظل نظام الجرد
+
+4
+00:00:37,190 --> 00:00:46,950
+الدوري كما درستموها في محاسبة واحد. اليوم سوف نستمر
+
+5
+00:00:46,950 --> 00:00:53,800
+في هذه الأمور من خلال سؤال، ويتم اللي هو إثبات
+
+6
+00:00:53,800 --> 00:00:59,360
+القيود في ظل الجرد المستمر، يعني مش هركز بعد هيك
+
+7
+00:00:59,360 --> 00:01:07,340
+على الجرد الدوري، التركيز فقط على الجرد المستمر في
+
+8
+00:01:07,340 --> 00:01:14,900
+مُثالٍ، في مُثالٍ البيانات المستخرجة في مُثالٍ
+
+9
+00:01:14,900 --> 00:01:29,200
+البيانات المستخرجة من دفاتر شركة أحمد التجارية عن
+
+10
+00:01:29,200 --> 00:01:32,820
+السنة المنتهية في 31/12/2015،
+
+11
+00:01:32,820 --> 00:01:43,940
+والتي تخص الصنف صاد، والتي تخص
+
+12
+00:01:43,940 --> 00:01:46,460
+الصنف صاد.
+
+13
+00:01:50,680 --> 00:01:58,940
+كما قلنا، هذه البيانات تتعلق بشركة أحمد
+
+14
+00:01:58,940 --> 00:02:06,500
+التجارية في 31/12/2015،
+
+15
+00:02:06,500 --> 00:02:13,900
+طبعًا بتخص الصنف اللي هو صاد، الصنف صاد. إذا رقم
+
+16
+00:02:13,900 --> 00:02:28,860
+واحد، رقم واحد في 1/1/2015 كان الرصيد 600
+
+17
+00:02:28,860 --> 00:02:39,840
+وحدة بسعر 4 دينار للوحدة. رقم اثنين فيه
+
+18
+00:02:39,840 --> 00:02:47,180
+3/2 مشتريات 350
+
+19
+00:02:49,960 --> 00:02:55,900
+بسعر خمسة دينار للوحدة. رقم ثلاثة في 10/2
+
+20
+00:02:55,900 --> 00:03:15,660
+مردودات مشتريات خمسين وحدة من 3/2. رقم
+
+21
+00:03:15,660 --> 00:03:16,160
+أربعة
+
+22
+00:03:20,790 --> 00:03:31,210
+في 20/3 مشتريات 400 وحدة بسعر عشر
+
+23
+00:03:31,210 --> 00:03:48,090
+دينار للوحدة. رقم خمسة في 15/6. رقم
+
+24
+00:03:48,090 --> 00:03:48,950
+أربعة مبيعات
+
+25
+00:03:56,270 --> 00:04:03,070
+مشتريات 400 وحدة بسعر 10 دينار. رقم 5 في 15/6
+
+26
+00:04:03,070 --> 00:04:16,170
+مشتريات 400 وحدة بسعر 7 دولار للوحدة. رقم 6 في 16/8
+
+27
+00:04:16,170 --> 00:04:32,290
+في 16/8 مبيعات 500 وحدة بسعر 12 دينار للوحدة. رقم 7
+
+28
+00:04:32,290 --> 00:04:48,590
+أخيرًا، فيه 25/10 مردودات مبيعات، مردودات مبيعات،
+
+29
+00:04:48,590 --> 00:04:53,150
+مردودات مبيعات 100 وحدة.
+
+30
+00:04:55,990 --> 00:05:10,250
+مردودات مبيعات 100 من المباع في 16/8. المطلوب
+
+31
+00:05:10,250 --> 00:05:13,690
+المطلوب:
+
+32
+00:05:13,690 --> 00:05:23,970
+رقم واحد: إثبات القيود اليومية اللازمة، إثبات قيود
+
+33
+00:05:24,440 --> 00:05:30,060
+اليومية اللازمة في
+
+34
+00:05:30,060 --> 00:05:39,120
+ظل نظام الجرد المستمر، في ظل نظام الجرد المستمر،
+
+35
+00:05:39,120 --> 00:05:50,360
+وحسب طريقة الأول في الأول (FIFO) وطريقة
+
+36
+00:05:50,360 --> 00:06:03,130
+المتوسط المرجح، وطريقة المتوسط المرجح. رقم اثنين: حساب
+
+37
+00:06:03,130 --> 00:06:10,230
+تكاليف البضاعة المباعة والمخزون
+
+38
+00:06:10,230 --> 00:06:21,750
+في ظل طريقتي الأول في الأول والمتوسط المرجح.
+
+39
+00:06:24,310 --> 00:06:28,810
+رقم ثلاثة: تصوير
+
+40
+00:06:28,810 --> 00:06:40,330
+بطاقة الصنف، تصوير بطاقة الصنف صاد حسب طريقة الأول
+
+41
+00:06:40,330 --> 00:06:49,590
+في الأول وطريقة المتوسط المرجح. الآن
+
+42
+00:06:49,590 --> 00:06:55,160
+نبدأ في المطلوب الأول، نبدأ الآن في المطلوب الأول،
+
+43
+00:06:55,160 --> 00:06:58,440
+وهو
+
+44
+00:06:58,440 --> 00:07:08,160
+المطلوب، المطلوب الذي يقول قيود، أيه؟ قيود اليومية،
+
+45
+00:07:08,160 --> 00:07:13,040
+إذا هنا رقم واحد: قيود اليومية.
+
+46
+00:07:23,610 --> 00:07:34,690
+المستمر. في البداية، لابد أن نتذكر، لابد أن نتذكر أن
+
+47
+00:07:34,690 --> 00:07:40,370
+حسب طريقة الأول في الأول، أن الوحدات المباعة من
+
+48
+00:07:40,370 --> 00:07:47,550
+الأقدم، من أقدم المشتريات، بينما وحدات المخزون من
+
+49
+00:07:47,550 --> 00:07:48,270
+الأحدث.
+
+50
+00:07:51,130 --> 00:07:55,990
+نقول المباع أقدم،
+
+51
+00:07:55,990 --> 00:08:02,890
+وهنا المخزون أحدث.
+
+52
+00:08:02,890 --> 00:08:12,570
+هذا مفتاح الحل. نبدأ الآن، في المحاضرة الماضية ذكرنا
+
+53
+00:08:12,570 --> 00:08:17,570
+القيود خلال نظام الجرد الدوري، حتى نتذكر أن القيود
+
+54
+00:08:17,570 --> 00:08:23,090
+في ظل نظام الجرد المستمر ليست جديدة على الإطلاق، بل
+
+55
+00:08:23,090 --> 00:08:29,210
+هي من مكونات الجرد المستمر مع بعض المتغيرات. الآن
+
+56
+00:08:29,210 --> 00:08:35,890
+كما قلنا، تركيزنا هيكون قيود الجرد المستمر. إذا رقم
+
+57
+00:08:35,890 --> 00:08:41,650
+1/1 في 1/1/15 رصيد 600، و 1/1/4، الآن هذا رصيد
+
+58
+00:08:41,650 --> 00:08:49,850
+أتى من فترة سابقة، وبالتالي لا يحتاج إلى إثبات، لأنه
+
+59
+00:08:49,850 --> 00:08:54,430
+أثبت سابقًا، أثبت سابقًا في الدفاتر، ورحل إلى دفتر
+
+60
+00:08:54,430 --> 00:08:57,710
+اليومية، من اليومية إلى الأستاذ، ومن ثم وصلنا إلى
+
+61
+00:08:57,710 --> 00:09:05,590
+الرصيد. الآن رقم اثنين، رقم اثنين: المشتريات. تفضلي من
+
+62
+00:09:05,590 --> 00:09:10,850
+حساب مراقبة المخزون إلى حساب المورد، من حساب مراقبة
+
+63
+00:09:10,850 --> 00:09:21,570
+المخزون إلى حساب الموردين 350
+
+64
+00:09:21,570 --> 00:09:32,650
+ضرب 5، 1750 دينارًا. إذا الآن
+
+65
+00:09:32,650 --> 00:09:40,490
+اليوم، التاريخ 3/2، اليوم، التاريخ إيش؟ 3
+
+66
+00:09:40,490 --> 00:09:47,250
+/2. لا أعلم، بعد ساعة أو غدًا ماذا أفعل؟ لا أعلم.
+
+67
+00:09:47,250 --> 00:09:54,770
+اليوم 3/2، هل مُقررٌ نتوقع ماذا يحدث؟ لا. إذا
+
+68
+00:09:54,770 --> 00:10:00,690
+الآن قلنا في نظام الجرد المستمر، عند الشراء نقول
+
+69
+00:10:00,690 --> 00:10:07,270
+من حساب مراقبة، من حساب مراقبة المخزون أو
+
+70
+00:10:07,270 --> 00:10:13,110
+مراقبة البضاعة إلى حساب الموردين، إلى حساب الموردين.
+
+71
+00:10:13,490 --> 00:10:19,670
+وهنا، كوني قلت الموردين، تكون هناك ملاحظة أن
+
+72
+00:10:19,670 --> 00:10:31,590
+عمليات البيع والشراء هي على الحساب، هي على الحساب.
+
+73
+00:10:31,590 --> 00:10:37,870
+إذا عند شراء بضاعة في نظام الجرد المستمر، نقول
+
+74
+00:10:37,870 --> 00:10:42,150
+من حساب مراقبة المخزون إلى حساب الموردين. وقلنا احنا
+
+75
+00:10:42,150 --> 00:10:46,470
+اليوم، التاريخ 3/2، إذًا 350 في
+
+76
+00:10:46,470 --> 00:10:51,510
+5، 1750. 350 في 5، 1750.
+
+77
+00:10:51,510 --> 00:10:59,090
+تمام. هذا رقم واحد. الآن نأتي إلى رقم ثلاثة. اليوم
+
+78
+00:10:59,090 --> 00:11:06,010
+10/2، أنا بأتعامل حسب التاريخ، بأتعامل حسب
+
+79
+00:11:06,010 --> 00:11:11,740
+التاريخ. الآن عندي مردودات مشتريات 50 وحدة من
+
+80
+00:11:11,740 --> 00:11:19,320
+إيش؟ من مشتريات 3، إيش؟ 3/2، تمام؟ وليش
+
+81
+00:11:19,320 --> 00:11:22,360
+حدد لي التاريخ هنا؟ حدد لي التاريخ في السؤال، لأنه
+
+82
+00:11:22,360 --> 00:11:27,600
+ممكن يكون عندي جملة ربّما في أكثر من مرة اشتريت
+
+83
+00:11:27,600 --> 00:11:31,160
+فيجب تحديد الكمية، فيجب الانتباه لهذا
+
+84
+00:11:31,160 --> 00:11:34,560
+التاريخ. يعني لو كان هنا كمية مشتريات أخرى، مثلًا
+
+85
+00:11:38,990 --> 00:11:46,190
+من مين؟ من مشتريات إيش؟ تمام. الآن في ظل المردودات،
+
+86
+00:11:46,190 --> 00:11:51,490
+كما قلنا في المحاضرة الماضية، وبساطة شديدة جدًا، قيد
+
+87
+00:11:51,490 --> 00:11:57,230
+الشراء من حساب مراقبة المخزون إلى حساب الموردين.
+
+88
+00:11:57,230 --> 00:12:07,170
+قيد المردود هو عكس، عكس قيد الشراء، عكس قيد الشراء. إذا
+
+89
+00:12:07,170 --> 00:12:16,850
+نقول هنا، رقم ثلاثة: من حساب الموردين، حساب الموردين،
+
+90
+00:12:16,850 --> 00:12:24,590
+إلى حساب مراقبة المخزون، إلى حساب مراقبة المخزون.
+
+91
+00:12:24,590 --> 00:12:30,030
+ليه؟ لأن أنا لما اشتريت 10 ثلاجات، دخلت في المخازن.
+
+92
+00:12:30,030 --> 00:12:36,630
+إذا إيش؟ زاد العدد بالموجود. الآن، لما أنا أطلّع
+
+93
+00:12:36,630 --> 00:12:40,270
+10 ثلاجات وأرجعهم غير مطابقات للمواصفات، بده
+
+94
+00:12:40,270 --> 00:12:46,690
+ينقص المخزون، ولا لا؟ بده ينقص المخزون. عندما نشتري،
+
+95
+00:12:46,690 --> 00:12:53,790
+يزيد ويكون مدين، وعندما ينقص، بالبيع أو بالرجوع،
+
+96
+00:12:53,790 --> 00:12:57,470
+يكون دائن،
+
+97
+00:12:57,470 --> 00:13:02,670
+يكون
+
+98
+00:13:02,670 --> 00:13:03,370
+دائن، يكون دائن، يكون دائن، يكون دائن، يكون دائن،
+
+99
+00:13:03,370 --> 00:13:03,390
+دائن، يكون دائن، يكون دائن، يكون دائن، يكون
+
+100
+00:13:03,390 --> 00:13:03,450
+دائن، يكون دائن، يكون دائن، يكون دائن، يكون
+
+101
+00:13:03,450 --> 00:13:05,970
+دائن، يكون دائن، يكون دائن، يكون دائن. طيب، والآن
+
+102
+00:13:05,970 --> 00:13:11,610
+ببساطة، كم وحدة رجعنا؟ 50. طيب، من .. من إيش؟
+
+103
+00:13:11,610 --> 00:13:16,730
+من 3/2، 3/2. شايفين .. شايفين
+
+104
+00:13:16,730 --> 00:13:20,750
+التاريخ إيش بيوّضحه؟ أيوه. أنا الكمية هذه كانت بكم
+
+105
+00:13:20,750 --> 00:13:23,930
+السعر فيها؟ 5 .. 5. لكن قلت، لو كانت عنده
+
+106
+00:13:23,930 --> 00:13:28,510
+مشتريات أخرى من 10 و 15/1، وكانت بـ7، و
+
+107
+00:13:28,510 --> 00:13:36,610
+قلّ منها،  واضح؟ إذن هنا قيمتها إيش؟ إذًا هذه 250
+
+108
+00:13:36,610 --> 00:13:41,770
+هل
+
+109
+00:13:41,770 --> 00:13:50,730
+من سؤال؟ هل من سؤال؟ لأ. طيب، ننتقل، بمعنى، بمعنى بسيط،
+
+110
+00:13:50,730 --> 00:13:58,510
+جداً، حتى نكمل الشراء، الشراء ومردوداته، الشراء
+
+111
+00:13:58,510 --> 00:14:02,550
+ومردوداته.
+
+112
+00:14:02,550 --> 00:14:13,360
+قيد واحد. البيع ومردوده، قيدان. طبعًا، معلومة مهمة.
+
+113
+00:14:13,360 --> 00:14:21,400
+طيب، شوية .. شوية. الآن رقم أربعة، في 20/3، في
+
+114
+00:14:21,400 --> 00:14:25,580
+20/3، المبيعات. من يوم ما تجي لكلمة مبيعات، يجب
+
+115
+00:14:25,580 --> 00:14:30,280
+أن تكون عندها أختان، إيش؟ قيدان، قيدان. قيد بسعر البيع،
+
+116
+00:14:30,280 --> 00:14:32,060
+وقيد بسعر التكلفة.
+
+117
+00:14:37,450 --> 00:14:45,550
+طبعًا اليوم 20/3، اليوم إيش؟ 20/3. إلى
+
+118
+00:14:45,550 --> 00:14:48,850
+الآن، من الجمَل، وتحت اليوم 20/3، أنا ما أعرف
+
+119
+00:14:48,850 --> 00:14:51,870
+بكرا، ولا أعرف إيش بنعمل. إذا، من الجمَل، وتحت في
+
+120
+00:14:51,870 --> 00:14:56,930
+عالم الغيب، في عالم الغيب. في هذه اللحظة، لا أعلم شيء
+
+121
+00:14:56,930 --> 00:14:59,590
+عنه، عشان أنا ممكن أتعامل في ظل نظام الجرد هذا
+
+122
+00:14:59,590 --> 00:15:06,440
+المستمر بهذه الطريقة. الآن، لما تجيني 400 وحدة، اليوم، أنا
+
+123
+00:15:06,440 --> 00:15:10,160
+تجيني، لو أحد طلب 400 وحدة، وأبيعها، 400 وحدة، إيش كان
+
+124
+00:15:10,160 --> 00:15:15,680
+عندي في المخازن؟ في إيش؟ 600، الآن 350 بروح من هنا،
+
+125
+00:15:15,680 --> 00:15:20,220
+الـ 50، يعني كأنها كم؟ 300. أيه، بشطب عليها، وأعلم
+
+126
+00:15:20,220 --> 00:15:23,940
+عليها، المردودات. عشان إيش ما أتخربطش، عشان ما أتخربطش،
+
+127
+00:15:23,940 --> 00:15:29,140
+مردودات المشتريات. إذا، صار عندي 600، وصار عندي 300.
+
+128
+00:15:30,300 --> 00:15:33,300
+يوم ما أنا جتني البيع 400 وحدة، كان عندي في
+
+129
+00:15:33,300 --> 00:15:38,480
+المخازن، هاطلّع من الخط الأحمر فوق، كان عندي 600،
+
+130
+00:15:38,480 --> 00:15:43,880
+وكان عندي إيش؟ 300. هذا هو النقطة، النقطة الثانية، أنه
+
+131
+00:15:43,880 --> 00:15:47,520
+الآن، هنا في ظل طريقة الأول في الأول، أنا بتتابع
+
+132
+00:15:47,520 --> 00:15:50,140
+الآن، الأول في الأول. المباع من مين؟
+
+133
+00:15:54,870 --> 00:15:58,770
+إذا نظرنا، الـ 600، ولا الـ 300؟ مين أقدم تاريخها؟
+
+134
+00:15:58,770 --> 00:16:05,510
+الـ 600. إذا أنا هاخد من الـ 600. ولكن الآن، هذه
+
+135
+00:16:05,510 --> 00:16:12,610
+العملية تنقسم إلى قيدين. بس، أول شيء البيع، وزي ما
+
+136
+00:16:12,610 --> 00:16:17,870
+أخذنا في محاسبة واحد، تفضلي. نحن من حساب المدينين إلى
+
+137
+00:16:17,870 --> 00:16:24,680
+حساب المبيعات، بس، من الـ 400، ماشي. من حساب المدينين،
+
+138
+00:16:24,680 --> 00:16:30,800
+وكما قُلنا، أن المبيعات والمشتريات على الحساب، معلومة
+
+139
+00:16:30,800 --> 00:16:35,760
+تكون ضمن السؤال. من حساب المدينين إلى حساب المبيعات،
+
+140
+00:16:35,760 --> 00:16:46,400
+إلى حساب المبيعات. طيب، الآن أنا كم وحدة بيعت؟ 400.
+
+141
+00:16:46,400 --> 00:16:55,570
+سعر البيع كام؟ 10. إذا، هذه 400 ضرب 10،
+
+142
+00:16:55,570 --> 00:17:03,490
+4000، 4000 دينارًا. إذا بهذا، نكون أثبتنا
+
+143
+00:17:03,490 --> 00:17:10,190
+المبيعات بسعر البيع، أثبتنا المبيعات بسعر البيع، زي
+
+144
+00:17:10,190 --> 00:17:16,790
+ما كنا نعمل في محاسبة واحد. الآن، المبيعات أثبتنا
+
+145
+00:17:16,790 --> 00:17:24,050
+للمبيعات بسعر التكلفة. تمام. الآن بشرح شوية قبل ما
+
+146
+00:17:24,050 --> 00:17:29,170
+أسمع أحد يجاوب. الآن، عندما نشتري، مراقبة المخزون
+
+147
+00:17:29,170 --> 00:17:35,090
+مدين، وعندما نبيع، بدنا نسحب من المخازن ونبيع، إذا
+
+148
+00:17:35,090 --> 00:17:39,350
+بنقص، إذا بدنا نصير إيش؟ دائنة، دائنة. هذا هو النقطة،
+
+149
+00:17:39,350 --> 00:17:43,450
+النقطة الثانية، أنا إيش؟ أنا أحسب تكلفة المبيعات، إذا
+
+150
+00:17:43,450 --> 00:17:51,430
+من حساب، يلا، ليناك، ممتاز.
+
+151
+00:17:54,090 --> 00:18:06,850
+إذا من حساب تكلفة المبيعات إلى حساب مراقبة المخزون.
+
+152
+00:18:06,850 --> 00:18:13,150
+نظريًا، من حساب تكلفة المبيعات إلى حساب مراقبة
+
+153
+00:18:13,150 --> 00:18:18,270
+المخزون. كما قلنا، المخازن أو البضاعة، عندما يتم
+
+154
+00:18:18,270 --> 00:18:21,750
+إدخالها، المخازن، ونشتري، تكون مدين. طيب، اليوم أنا
+
+155
+00:18:21,750 --> 00:18:26,130
+بطلّع، ببيع، بتصير إيش؟ دائنة. طيب، أنا بحسب في
+
+156
+00:18:26,130 --> 00:18:29,290
+مين تكلفة المبيعات؟ إذا أنا على طول بقول أنا من
+
+157
+00:18:29,290 --> 00:18:34,270
+حساب تكلفة المبيعات إلى حساب مراقبة المخزون. طيب،
+
+158
+00:18:34,270 --> 00:18:38,050
+الآن باجي، بدي أشوف أنا هذه البضاعة اللي أنا
+
+159
+00:18:38,050 --> 00:18:43,430
+بعتها بـ 4000، بدي أشوف أنا كم كلّفتني. طيب، أي طريقة
+
+160
+00:18:43,430 --> 00:18:45,970
+بستخدم؟ الأول في الأول.
+
+161
+00:18:57,220 --> 00:19:01,040
+عندي في المخازن، في 600 وفي 300. في 600 وفي
+
+162
+00:19:01,040 --> 00:19:04,920
+300. ليش قلنا 300؟ خصمنا .. خصمنا ..
+
+163
+00:19:04,920 --> 00:19:06,820
+خصمنا .. خصمنا .. خصمنا .. خصمنا .. خصمنا ..
+
+164
+00:19:06,820 --> 00:19:07,780
+خصمنا .. خصمنا .. خصمنا .. خصمنا .. خصمنا ..
+
+165
+00:19:07,780 --> 00:19:07,820
+خصمنا .. خصمنا .. خصمنا .. خصمنا .. خصمنا ..
+
+166
+00:19:07,820 --> 00:19:07,880
+خصمنا .. خصمنا .. خصمنا .. خصمنا .. خصمنا ..
+
+167
+00:19:07,880 --> 00:19:11,080
+خصمنا .. خصمنا .. خصمنا
+
+168
+00:19:11,080 --> 00:19:16,000
+.. خصمنا .. خصمنا .. خصمنا .. خصمنا .. خصمنا
+
+
+223
+00:24:07,440 --> 00:24:11,020
+نقول أنا إثبات المبيعات بسعر التكلفة يعني قريبة من
+
+224
+00:24:11,020 --> 00:24:19,780
+الإجابة الأصلية، ما أنساها، تفضلي، ممتاز
+
+225
+00:24:19,780 --> 00:24:27,090
+لحظة، شوية، الآن نختم النظري من حساب تكلفة المبيعات
+
+226
+00:24:27,090 --> 00:24:39,710
+إلى حساب مراقبة المخزون. stop stop من حساب تكلفة
+
+227
+00:24:39,710 --> 00:24:46,670
+المبيعات إلى حساب مراقبة المخزون، الآن، الآن، اليوم
+
+228
+00:24:46,670 --> 00:24:49,910
+اليوم، اليوم ستة، عشرة، ثمانية
+
+229
+00:25:13,720 --> 00:25:19,480
+طيب، أنا بتتبع أي طريقة؟ الأول في الأول، إذا هاخد
+
+230
+00:25:19,480 --> 00:25:25,040
+من مين؟ من الأقدم، أنا بدي ٥٠٠، إذا هاخد ٢٠٠ في إيش؟
+
+231
+00:25:25,040 --> 00:25:35,920
+٢٠٠ ضرب ٤، خلصنا من هاي، هاخد من هاي إيش؟ هاخد ٣٠٠
+
+232
+00:25:35,920 --> 00:25:43,950
+هاخد ٣٠٠، ٣٠٠ في إيش؟ في ٥، إذا الكل على بعض ٢٠٠٠
+
+233
+00:25:43,950 --> 00:25:50,290
+وثلاثمئة دولار، تمام؟
+
+234
+00:25:50,290 --> 00:25:56,310
+بعيدها ثاني، بعيدها ثاني، إذا الآن
+
+235
+00:26:09,040 --> 00:26:16,640
+في المخازن كان عندي ٢٠٠ في ٤ و ٣٠٠ في ٥ و ٤٠٠ في ٧
+
+236
+00:26:16,640 --> 00:26:22,120
+طب أنا بتتبع أي طريقة؟ الأول في الأول، الأول في الأول
+
+237
+00:26:22,120 --> 00:26:26,380
+الأول في الأول، طيب الأول في الأول المباع من
+
+238
+00:26:26,380 --> 00:26:30,560
+إيش؟ من الأقدم، من الأقدم، إذا باجي باخد ٢٠٠ في ٤
+
+239
+00:26:30,560 --> 00:26:36,920
+هاي ٢٠٠ في ٤ وبضلني ماشي، بضلني إيش؟ ماشي باستمرار
+
+240
+00:26:37,280 --> 00:26:43,220
+حتى أكمل الكمية اللي أنا عايزها، فهي ٢٠٠×٤، خلصنا
+
+241
+00:26:43,220 --> 00:26:46,080
+منها، وبعدين روحت إيش؟ لعبت بقى، المشتريات، خدت ال
+
+242
+00:26:46,080 --> 00:26:53,580
+٣٠٠ وخلصت من هذا، اليسار طبعا، هنا في سؤال الرابع
+
+243
+00:26:53,580 --> 00:26:58,600
+لما حسبنا مثلا التكلفة قلنا ٤٠٠×٤، يعني أخدنا ال
+
+244
+00:26:58,600 --> 00:27:05,020
+٤٠٠ تاعة المشتريات، وصل السؤال
+
+245
+00:27:06,920 --> 00:27:12,380
+إيش كان عندي أول كمية؟ كم وحدة مكونة؟ ٦٠٠ وأنا
+
+246
+00:27:12,380 --> 00:27:16,960
+… ها … وأنا وين؟ وين؟ وين؟ اه … وهنا … هنا، و
+
+247
+00:27:16,960 --> 00:27:19,960
+بيننا ٤٠٠ والمباع بيننا الأخضر حسب طريقة الأول
+
+248
+00:27:19,960 --> 00:27:24,020
+للأخر، يعني اللي كان في الأقدم، كمية كانت بتكفي، و
+
+249
+00:27:24,020 --> 00:27:29,400
+بتزيد… تكفي، وتزيد، يعني أنا موجود عند ٦٠٠ واللي
+
+250
+00:27:29,400 --> 00:27:31,960
+بعتة ٤٠٠، هي راحت ال ٤٠٠
+
+251
+00:27:38,570 --> 00:27:44,230
+كان عندي ٦٠٠ ثلاجة، البائع الأولى، بعت منهم ٤٠٠، ٤٠٠
+
+252
+00:27:44,230 --> 00:27:48,090
+ضل كده إيش في المخازن؟ ضل ٢٠٠، الآن لما جينا للبائع
+
+253
+00:27:48,090 --> 00:27:53,390
+هذه، الخمسمائة هي في ٢٠٠ عندنا بسعر ٤ وفي عندنا ٣٠٠
+
+254
+00:27:53,390 --> 00:27:59,370
+بسعر ٥ وفي ٤٠٠ بسعر ٧، طيب، ولكن احنا بنحتسب لمين؟
+
+255
+00:27:59,370 --> 00:28:02,330
+الأولى، الأولى، إذا الآن الخمسمائة
+
+256
+00:28:06,670 --> 00:28:12,210
+بتكفي الخمسمائة؟ لأ، بدي آخدها وأمشي على اللي وراها، و
+
+257
+00:28:12,210 --> 00:28:16,170
+أبقى هناك عشان أخلص، عرفتي؟ في الأولى كان في الكمية
+
+258
+00:28:16,170 --> 00:28:25,350
+تزيد، فاضل؟ هل بيسأل أخر؟ طيب، ننتقل الآن إلى رقم ستة
+
+259
+00:28:25,350 --> 00:28:33,290
+سبعة، رقم سبعة، ها الرد بسعر إيه؟
+
+260
+00:28:41,270 --> 00:28:48,650
+بسعر البيع، أخواتي، تذكروا الدرس في ظل نظام الجرد
+
+261
+00:28:48,650 --> 00:28:53,350
+الدوري، لخطوات محاسبة واحد، الآن، إيش كنا نقول؟ من حساب
+
+262
+00:28:53,350 --> 00:28:57,070
+المدينين لحساب المبيعات، الآن المدينين رجعولي
+
+263
+00:28:57,070 --> 00:29:02,250
+والمبيعات دائما مرضوداتها إيش؟ مدينة، مدينة، إذا إيش
+
+264
+00:29:02,250 --> 00:29:07,990
+هنقول إيش؟ هنقول، تفضلي، من حساب مدينيات المبيعات
+
+265
+00:29:07,990 --> 00:29:10,490
+لحساب المدينين عامة، في ١٢ ألف
+
+266
+00:29:14,340 --> 00:29:17,640
+أول شيء، الرد زي ما أخذناه محاسبة واحد، كنا نقول من
+
+267
+00:29:17,640 --> 00:29:20,940
+حساب المدينين إلى حساب المبيعات، الآن المدينين
+
+268
+00:29:20,940 --> 00:29:27,160
+رجعوا ليه، هنقول من حساب مرضودات المبيعات دائما،
+
+269
+00:29:27,160 --> 00:29:34,680
+مرضوداتها إيش؟ مدينة، إذا من حساب
+
+270
+00:29:34,680 --> 00:29:42,700
+مرضودات المبيعات إلى حساب المدينين
+
+271
+00:29:44,430 --> 00:29:48,790
+مدينين، سقط هذا القيد، النظري من حساب مردودات
+
+272
+00:29:48,790 --> 00:29:53,730
+المبيعات إلى حساب المدينين، الآن المردودات من
+
+273
+00:29:53,730 --> 00:29:59,110
+المبيع متى؟ ١٦، أيوة ١٦، طب يوم ١٦ الساعة المبيع كان
+
+274
+00:29:59,110 --> 00:30:06,110
+كم؟ ١٢، وكم وحدة رجعه؟ ١٠٠، مئة ضرب ١٢ ألف، ومتين
+
+275
+00:30:06,110 --> 00:30:12,790
+ألف، ومتين دينار، ألف ومئتين دينار، ولاحظوا أنه حدد
+
+276
+00:30:12,790 --> 00:30:18,940
+حددنا، حددنا ساعة المردودات من يوم ١٦، ما قاليش من يوم
+
+277
+00:30:18,940 --> 00:30:25,700
+٢٣، لو قالي من يوم ٢٣، هضرب إيش؟ عشرة، شوف تحديد
+
+278
+00:30:25,700 --> 00:30:30,440
+التاريخ سواء في رد الشراء أو رد المبيعات مهم جداً
+
+279
+00:30:30,440 --> 00:30:36,240
+بتلتزم فيه، تمام، وبتلتزم فيه لما أحسب اللي هو شغل
+
+280
+00:30:36,240 --> 00:30:39,580
+ثانية، بتلتزم فيه لما أحسب شغل ثانية، هل من سؤال؟
+
+281
+00:30:39,580 --> 00:30:42,120
+طيب، اللي أنا أقوله
+
+282
+00:30:48,640 --> 00:30:57,140
+الرد بسعر إيش؟ الرد بسعر التكلفة، الرد بسعر
+
+283
+00:30:57,140 --> 00:31:09,060
+التكلفة، واحدة واحدة، أول شيء بنقول إيه؟ يلا، اه
+
+284
+00:31:09,060 --> 00:31:15,600
+فضل إيه؟ اه
+
+285
+00:31:15,600 --> 00:31:22,690
+okay، ماشي، نعيد ثاني؟ ماشي
+
+286
+00:31:22,690 --> 00:31:29,490
+ممتاز، الآن يا أخوات، الآن قيد الرد بسعر التكلفة
+
+287
+00:31:29,490 --> 00:31:36,270
+ننظر إلى قيد البيع بسعر التكلفة وبنعكسه، بنعكسه
+
+288
+00:31:36,270 --> 00:31:41,030
+هذا مبدأياً، بنعكسه، بنعكسه، إذا بنقول إيه يا أخ؟ نكتب
+
+289
+00:31:41,030 --> 00:31:53,490
+من حساب مراقبة المخزون إلى حساب تكلفات المبيعات، إلى
+
+290
+00:31:53,490 --> 00:32:02,330
+حساب تكلفات المبيعات، تمام؟ الآن يا أخوات، الآن أنا
+
+291
+00:32:02,330 --> 00:32:07,130
+لما أطلعت من المخازن وبعت، مراقبة المخازن دائماً
+
+292
+00:32:07,130 --> 00:32:12,390
+مدينة، لكن الآن من بعت، أنا رجعني، بعد الوحدات دخلت
+
+293
+00:32:12,390 --> 00:32:17,110
+المخازن، زودت الموجود في المخازن، إذا تأخذ الطرف إيش؟
+
+294
+00:32:17,840 --> 00:32:22,340
+اللي نسيت أنا هي الإجابة، تمام، فأنا الآن أتكلم عن
+
+295
+00:32:22,340 --> 00:32:27,760
+عكس قيد البيع بالتكلفة، إذا مثلاً مراقبة، مصروفة
+
+296
+00:32:27,760 --> 00:32:32,000
+السنة بتكلفة إيش؟ المبيعات، هذا أول نقطة، أول نقطة
+
+297
+00:32:32,000 --> 00:32:37,000
+الآن المردودات المبيعات، مردودات المبيعات من أي
+
+298
+00:32:37,000 --> 00:32:44,320
+تاريخ؟ ستة عشر، ثمانية، ستة عشر، ثمانية، وينك يا ستة
+
+299
+00:32:44,320 --> 00:32:44,980
+عشر، ثمانية
+
+300
+00:33:03,050 --> 00:33:14,330
+ماذا نقصد بالمرجع من الأحدث؟ نقصد بالمرجع أنه من
+
+301
+00:33:14,330 --> 00:33:15,110
+الأحدث
+
+302
+00:33:20,170 --> 00:33:24,770
+البضاعة هو يستخدم نفس الطريقة اللي أقوم
+
+303
+00:33:24,770 --> 00:33:28,370
+باستخدامها، وهي طريقة الأول في الأول، يعني
+
+304
+00:33:28,370 --> 00:33:32,490
+أنا بأفترض إيش؟ أن الشخص اللي قمت ببيع البضاعة
+
+305
+00:33:32,490 --> 00:33:37,010
+يستخدم نفس الطريقة… يستخدم طريقة الأول في الأول،
+
+306
+00:33:37,010 --> 00:33:42,090
+وبالتالي عندما يستخدم، ويبيع، يبيع الوحدات القديمة،
+
+307
+00:33:42,090 --> 00:33:45,990
+وإذا بقي لديه شيء، يكون إيش؟ من الأحدث
+
+308
+00:33:50,870 --> 00:33:58,290
+الآن المرجع هي المئة، هاي المئة، وطبعاً مئة، لأن كلا
+
+309
+00:33:58,290 --> 00:34:02,610
+الكميتين أستطيع آخذ منهما، مش أنا حكيت أن المرجع في
+
+310
+00:34:02,610 --> 00:34:08,890
+١٦/٨، هاي مكونات ١٦/٨، ٢٠٠ في ٤ و٣٠٥ يعني
+
+311
+00:34:08,890 --> 00:34:12,990
+المئتين، بقدر آخذ منها مئة وبزيد، أو ال٣٠٠ آخذ
+
+312
+00:34:12,990 --> 00:34:16,970
+منها، وأزيد، لكن المهم في أي سعر منهما
+
+313
+00:34:20,370 --> 00:34:23,870
+المرجع يكون من الأحدث، ماذا نقصد بالأحدث؟ نقصد
+
+314
+00:34:23,870 --> 00:34:27,690
+بالأحدث؟ أحدث تاريخاً، أنا عندي السعر ٤ والسعر ٥٠٠
+
+315
+00:34:27,690 --> 00:34:32,950
+الأحدث ليش؟ طب قلت الخمسة الأحدث؟ عشان هو الكبير؟ لأ
+
+316
+00:34:32,950 --> 00:34:38,430
+لأن هو اشتغلنا في ثلاثة، اثنين خلاف عن واحد واحد، إذا
+
+317
+00:34:38,430 --> 00:34:45,150
+نقول هنا ضرب، ضرب إيه يا عزيزي؟ ضرب خمسة، هاي خمسمائة
+
+318
+00:34:45,150 --> 00:34:53,780
+هاي خمسمائة، دلوقت عرفتو ليش ضربت خمسة؟ بعيد على
+
+319
+00:34:53,780 --> 00:35:01,840
+السريع، قبل أن نكمل، نعم، انظري
+
+320
+00:35:01,840 --> 00:35:06,900
+إلى تلك الشجرة ذات الغصون المظلة، سبعة، قربت بسعر
+
+321
+00:35:06,900 --> 00:35:10,020
+إيش؟
+
+322
+00:35:10,020 --> 00:35:15,640
+معيش إيش؟ قلت بسعر البيع ضربت، واطمعش بسعر التكلفة
+
+323
+00:35:15,640 --> 00:35:20,790
+بدور على إيش؟ بدور على التكلفة، هنا سعر البيع ضربت في
+
+324
+00:35:20,790 --> 00:35:26,890
+١٢، هنا بسعر إيش؟ التكلفة، دورت على التكلفة، دورت على إيش؟
+
+325
+00:35:26,890 --> 00:35:35,710
+على التكلفة، هل من سؤال آخر؟ طيب ننتقل إلى جزء من
+
+326
+00:35:35,710 --> 00:35:39,590
+المطلوب الثاني، جزء من المطلوب الثاني، وأخذناه في
+
+327
+00:35:39,590 --> 00:35:44,550
+المحاضرات السابقة، بدنا نحسب الآن رقم
+
+328
+00:35:49,210 --> 00:35:57,210
+تكلفة المبيعات، تكلفة
+
+329
+00:35:57,210 --> 00:36:08,670
+المبيعات، تكلفة المبيعات
+
+330
+00:36:08,670 --> 00:36:12,650
+تكلفة المبيعات، تكلفة المبيعات، تكلفة المبيعات، تكلفة
+
+331
+00:36:12,650 --> 00:36:12,690
+المبيعات، تكلفة المبيعات، تكلفة المبيعات، تكلفة
+
+332
+00:36:12,690 --> 00:36:17,870
+المبيعات، تكلفة المبيعات، تكلفة المبيعات، تكلفة
+
+333
+00:36:17,870 --> 00:36:17,890
+المبيعات، تكلفة المبيعات، تكلفة المبيعات، تكلفة
+
+334
+00:36:17,890 --> 00:36:17,930
+المبيعات، تكلفة المبيعات، تكلفة المبيعات، تكلفة
+
+335
+00:36:17,930 --> 00:36:20,710
+المبيعات، في ضل طريقة الأول في الأول
+
+336
+00:36:49,050 --> 00:36:54,930
+طيب، عدد الوحدات المتاحة للبيع، انتبه معايا، ها الآن
+
+337
+00:36:54,930 --> 00:36:59,850
+ستمائة، مش هي رصيد أول مدة، مش المتاح عبارة عن أول
+
+338
+00:36:59,850 --> 00:37:05,210
+مدة زائد المشتريات، ناقص المردودات، طيب الآن هاي
+
+339
+00:37:05,210 --> 00:37:08,330
+ستمائة، وهاد على طول ما بعرف أن هو زائد ثلاثمائة أو
+
+340
+00:37:08,330 --> 00:37:12,530
+خمسين أو اسمها إيش؟ ثلاثمائة، هاي صار إيش؟ تسعمية، تسعمية
+
+341
+00:37:12,530 --> 00:37:14,790
+أو أربعمائة
+
+342
+00:37:29,980 --> 00:37:34,320
+اللي هي ستمائة زائد ثلاثمائة وخمسين، زائد أربعمائة، ناقص
+
+343
+00:37:34,320 --> 00:37:41,300
+خمسين، تطلع ألف وثلاثمئة، ستمائة
+
+344
+00:37:41,300 --> 00:37:49,920
+زائد ثلاثمائة وخمسين ناقص خمسين، زائد أربعمائة، يساوي عدد
+
+345
+00:37:49,920 --> 00:37:56,600
+الوحدات المباعة، عدد الوحدات المباعة، اللي هي
+
+346
+00:38:05,300 --> 00:38:10,480
+عليهم دوارة، هيقول أربعمائة زائد خمسمائة، ناقص يساوي
+
+347
+00:38:10,480 --> 00:38:18,260
+كم؟ أربعمائة، زائد خمسمائة، ناقص مئة، يساوي ثمانمائة
+
+348
+00:38:18,260 --> 00:38:23,820
+ثمانمائة إيش؟ وحدة، طيب الآن أنا عندي متاح ألف و
+
+349
+00:38:23,820 --> 00:38:31,180
+ثلاثمائة، عندي متاح ألف وثلاثمئة، بعت منهم ثمانمائة
+
+350
+00:38:31,180 --> 00:38:37,320
+هيضل عندي في المخازن كام؟ هيضل عندي خمسمائة…
+
+351
+00:38:37,320 --> 00:38:46,520
+خمسمائة وحدة، هذه وحدات المخزون، تمام؟ تمام، إذا بعد
+
+352
+00:38:46,520 --> 00:38:52,820
+ما عملنا هذه الأمور، نبدأ نقول إيه؟ تكلفات المبيعات
+
+353
+00:38:52,820 --> 00:38:58,680
+مش كشكلة، ده أعمل تكلفة، تكلفات المبيعات، تكلفات
+
+354
+00:38:58,680 --> 00:39:04,120
+المبيعات، تكلفة المبيعات، أنا حددت الوحدات المباعة
+
+355
+00:39:04,120 --> 00:39:09,480
+كام؟ هايها بين قوسين عشان تظهر قدامي، عشان تظهر، إيش؟
+
+356
+00:39:09,480 --> 00:39:13,220
+قدامي، طبعاً الجرد الدوري يختلف عن المستمر، الجرد
+
+357
+00:39:13,220 --> 00:39:16,720
+الدوري في نهاية العام، زي ما تشوفين، جماعة الموجود
+
+358
+00:39:16,720 --> 00:39:21,340
+ما شفتش اللي بعته، الجرد الدوري مرة واحدة، طيب الآن
+
+359
+00:39:21,340 --> 00:39:26,080
+بتتبع أي طريقة؟ اللي هو المباع من مين؟
+
+360
+00:39:43,050 --> 00:39:47,050
+عندي الآن، طبعاً بقول عشان تحت الجلم، ومن الجلم، الخط
+
+361
+00:39:47,050 --> 00:39:50,330
+لأ، هلأ، سنعدي جرد دوري، في نهاية العام، في نهاية
+
+362
+00:39:50,330 --> 00:39:55,790
+الفترة، الآن، أقدم كمية، كم وحدة؟ ٦٠٠، ٦٠٠ ضرب إيش؟ ٤٠٠
+
+363
+00:39:55,790 --> 00:40:07,330
+٦٠٠ ضرب ٤ يساوي ٢٤٠٠، ١٤٠٠ دولار، طب أنا بعت كام؟
+
+364
+00:40:10,610 --> 00:40:19,150
+لسه هاخد من هذه إيش؟ ٢٠٠، سعرها كام؟ ٢٠٠ ضرب خمسة
+
+365
+00:40:19,150 --> 00:40:26,010
+يساوي ألف دينار، تمام؟ خلصنا، إذا هاي ثمانمائة وحدة
+
+366
+00:40:26,010 --> 00:40:33,570
+هاي ثمانمائة وحدة، وهي ثلاثة آلاف وأربعمائة، وأربعمائة
+
+367
+00:40:33,570 --> 00:40:39,050
+وحدة، ثلاثة آلاف وأربعمائة دينار، ثلاثة آلاف وأربعمائة
+
+368
+00:40:39,050 --> 00:40:45,590
+دينار، طبعاً، هل مني سؤال؟ طيب، الآن بنيجي من نفسنا
+
+369
+00:40:45,590 --> 00:40:52,050
+بتكلفة إيش؟ تكلفة المخزون، طب المخزون عندنا كم وحدة
+
+370
+00:40:52,050 --> 00:40:59,170
+حسبته أنا؟ خمسمائة… خمسمائة… خمسمائة وحدة، الآن
+
+371
+00:40:59,170 --> 00:41:03,690
+المخزون حسب طريقة… حسب طريقة الأول
+
+372
+00:41:09,010 --> 00:41:14,350
+مخزون من الأحدث، وحدة، قلنا تلعبها وين؟ أحدث
+
+373
+00:41:14,350 --> 00:41:18,850
+مشتريات، المخزون من أحدث مشتريات المخزون هي إيش؟ هي
+
+374
+00:41:18,850 --> 00:41:27,370
+أربعمائة، أربعمائة في إيش؟ في سبعة، أربعمائة، أربعمائة ضرب
+
+375
+00:41:27,370 --> 00:41:34,770
+سبعة يساوي ألفين وثمانية دراهم، ألفين وثمانية دراهم
+
+376
+00:41:40,200 --> 00:41:45,060
+لسه ضايفة، طلع، بمشي، بمشي، بمشي، بمشي، بمشي، بمشي
+
+377
+00:41:45,060 --> 00:41:48,120
+بمشي
+
+378
+00:41:48,120 --> 00:41:50,620
+بمشي، بمشي، بمشي، بمشي، بمشي، بمشي، بمشي، بمشي، بمشي، بمشي
+
+379
+00:41:50,620 --> 00:41:54,860
+بمشي، بمشي، بمشي، بمشي، بمشي، بمشي، بمشي، بمشي، بمشي، بمشي
+
+380
+00:41:54,860 --> 00:41:56,760
+بمشي، بمشي، بمشي، بمشي، بمشي، بمشي، بمشي، بمشي، بمشي، بمشي
+
+381
+00:41:56,760 --> 00:42:02,520
+بمشي، بمشي، بمشي، بمشي
+
+382
+00:42:02,520 --> 00:42:07,120
+بمشي
+
+383
+00:42:07,120 --> 00:42:07,540
+بم
+
+384
+00:42:14,770 --> 00:42:24,990
+٣٣٠٠ دينار، تمام، إذا هنا يكون إحنا حسبنا التكلفة في
+
+385
+0
\ No newline at end of file
diff --git a/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/zzYkAVh2nOc_postprocess.srt b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/zzYkAVh2nOc_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..e26319f1d5d941c52a580e71d91c4231e0dccf1d
--- /dev/null
+++ b/PL9fwy3NUQKwbn7OTKDHSLVfn5KxTv6fqG/zzYkAVh2nOc_postprocess.srt
@@ -0,0 +1,1548 @@
+1
+00:00:20,870 --> 00:00:25,910
+أخوتي تحدثنا في المحاضرة الماضية عن الجرد المستمر
+
+2
+00:00:25,910 --> 00:00:32,710
+وقمنا بإثبات القيود في ظل نظام الجرد الدوري ونظام
+
+3
+00:00:32,710 --> 00:00:37,190
+الجرد المستمر وقلنا أن القيود في ظل نظام الجرد
+
+4
+00:00:37,190 --> 00:00:46,950
+الدوري كما دراستها في محاسبة واحد اليوم سوف نستمر
+
+5
+00:00:46,950 --> 00:00:53,800
+في هذه الأمورمن خلال سؤال ويتم اللي هو اثبات
+
+6
+00:00:53,800 --> 00:00:59,360
+القيود في ضل الجرد المستمر يعني مش هركز بعد هيك
+
+7
+00:00:59,360 --> 00:01:07,340
+على الجرد الدوري التركيز فقط على الجرد المستمر في
+
+8
+00:01:07,340 --> 00:01:14,900
+ميالي في ميالي البيانات المستخرجة في ميالي
+
+9
+00:01:14,900 --> 00:01:29,200
+البيانات المستخرجة من دفاترشركة احمد التجارية عن
+
+10
+00:01:29,200 --> 00:01:32,820
+السنة المنتهية في واحد و تلاتين اتناش الفين و
+
+11
+00:01:32,820 --> 00:01:43,940
+خمستاش والتي تخص والتي تخص الصنف صاد والتي تخص
+
+12
+00:01:43,940 --> 00:01:46,460
+الصنف صاد
+
+13
+00:01:50,680 --> 00:01:58,940
+كما قلنا هذه البيانات تتعلق بشركة احمد
+
+14
+00:01:58,940 --> 00:02:06,500
+التجارية في واحد و تلاتين اتناش الفين و خمستاش
+
+15
+00:02:06,500 --> 00:02:13,900
+طبعا بتخص الصنف اللي هو عياش الصنف صافي اذا رقم
+
+16
+00:02:13,900 --> 00:02:28,860
+واحد رقم واحد في واحد واحد2015 كان الرصيد 600
+
+17
+00:02:28,860 --> 00:02:39,840
+وحدة بسعر 4 دنار للوحدة رقم اتنين فيه
+
+18
+00:02:39,840 --> 00:02:47,180
+تلاتة اتنين مشتريات 350
+
+19
+00:02:49,960 --> 00:02:55,900
+بسعر خمسة دنار الوحدة رقم تلاتة في عشر اتنين
+
+20
+00:02:55,900 --> 00:03:15,660
+مردودات مشتريات خمسين وحدة من تلاتة اتنين رقم
+
+21
+00:03:15,660 --> 00:03:16,160
+أربعة
+
+22
+00:03:20,790 --> 00:03:31,210
+في عشرين تلاتة مشتريات أربعمائية وحدة بسعر عشر
+
+23
+00:03:31,210 --> 00:03:48,090
+دينار للوحدة رقم خمسة في خمستاشر ستة رقم
+
+24
+00:03:48,090 --> 00:03:48,950
+أربع مبيعات
+
+25
+00:03:56,270 --> 00:04:03,070
+مشتريات 400 وحدة بسعر 10 الان رقم 5 في 15 6
+
+26
+00:04:03,070 --> 00:04:16,170
+مشتريات 400 وحدة بسعر 7 دولار للوحدة رقم 6 في 16
+
+27
+00:04:16,170 --> 00:04:32,290
+في 16 8 مبيعات 500 وحدةبسعر 12 دنار للوحدة رقم 7
+
+28
+00:04:32,290 --> 00:04:48,590
+أخيرا فيه 25 تانية مردودات مبيعات مردودات مبيعات
+
+29
+00:04:48,590 --> 00:04:53,150
+مردودات مبيعات 100 وحدة
+
+30
+00:04:55,990 --> 00:05:10,250
+مزارة مبيعات 101 من المباع في 16 تمانية المطلوب
+
+31
+00:05:10,250 --> 00:05:13,690
+المطلوب
+
+32
+00:05:13,690 --> 00:05:23,970
+رقم واحد اثبات قيود اليومية اللازمة اثبات قيود
+
+33
+00:05:24,440 --> 00:05:30,060
+اليومية اللازمة في
+
+34
+00:05:30,060 --> 00:05:39,120
+ضل نظام الجرد المستمر في ضل نظام الجرد المستمر
+
+35
+00:05:39,120 --> 00:05:50,360
+وحسب طريقة الأول في الأول ليه ال FIFO وطريقة
+
+36
+00:05:50,360 --> 00:06:03,130
+المتوسط المرجحوطريقة المتوسط المرجح رقم اتنين حساب
+
+37
+00:06:03,130 --> 00:06:10,230
+تكلفات البضاعة المباعة والمخزون
+
+38
+00:06:10,230 --> 00:06:21,750
+في ضل طريقتين الأول في الأول والمتوسط المرجح
+
+39
+00:06:24,310 --> 00:06:28,810
+رقم تلاتة تصوير
+
+40
+00:06:28,810 --> 00:06:40,330
+بطاقة الصنف تصوير بطاقة الصنف ساط حسب طريقة الأول
+
+41
+00:06:40,330 --> 00:06:49,590
+في الأول وطريقة المتوسط المرجع الأن
+
+42
+00:06:49,590 --> 00:06:55,160
+نبدأ في المطلوب الأولنبدأ الآن في المطلوب الأول
+
+43
+00:06:55,160 --> 00:06:58,440
+وهو
+
+44
+00:06:58,440 --> 00:07:08,160
+المطلوب المطلوب الذي يقول قيود أيه؟ قيود اليومية،
+
+45
+00:07:08,160 --> 00:07:13,040
+إذا هنا رقم واحد قيود اليومية
+
+46
+00:07:23,610 --> 00:07:34,690
+المستمر في البداية لابد ان نتذكر لابد ان نتذكر ان
+
+47
+00:07:34,690 --> 00:07:40,370
+حسب طريقة الأول في الأول ان الوحدات المباعة من
+
+48
+00:07:40,370 --> 00:07:47,550
+الأقدم من أقدم المشتريات بينما وحدات المخصون من
+
+49
+00:07:47,550 --> 00:07:48,270
+الأحدى
+
+50
+00:07:51,130 --> 00:07:55,990
+نقول المباع أقدم
+
+51
+00:07:55,990 --> 00:08:02,890
+وهنا المخزون أحدث
+
+52
+00:08:02,890 --> 00:08:12,570
+هذا مفتاح الحل نبدأ الآن في المحاضرة الماضية ذكرنا
+
+53
+00:08:12,570 --> 00:08:17,570
+القيود خلال نظام الجرد الدوري حتى نتذكرأن القيود
+
+54
+00:08:17,570 --> 00:08:23,090
+في ظل نظام الجرد المستمر ليس جديدة على الإطلاق بل
+
+55
+00:08:23,090 --> 00:08:29,210
+هي من مكونات الجرد المستمر مع بعض المتغيرات الان
+
+56
+00:08:29,210 --> 00:08:35,890
+كما قلنا تركيزنا هيكون قيود الجرد المستمر إذا رقم
+
+57
+00:08:35,890 --> 00:08:41,650
+1 في 1 و 1 في 15 رصيد 600 و 1 في 4 الان هذا رصيد
+
+58
+00:08:41,650 --> 00:08:49,850
+أتى من فترة سابقةوبالتالي لا يحتاج إلى إثبات لأنه
+
+59
+00:08:49,850 --> 00:08:54,430
+أثبت سابقاً أثبت سابقاً في الدفاتر و رحل إلى دفتر
+
+60
+00:08:54,430 --> 00:08:57,710
+اليومية من اليومية إلى الأستاذ و من ثم وصلنا إلى
+
+61
+00:08:57,710 --> 00:09:05,590
+الرصيد الآن رقم اتنين رقم اتنين المشتريات تفضلي من
+
+62
+00:09:05,590 --> 00:09:10,850
+حساب مراقبة المخزون إلى حساب المولد من حساب مراقبة
+
+63
+00:09:10,850 --> 00:09:21,570
+المخزون إلى حسابالموردين 350
+
+64
+00:09:21,570 --> 00:09:32,650
+ضرب ضرب خمسة ألف وسبعمية وخمسين دينار اذا الان
+
+65
+00:09:32,650 --> 00:09:40,490
+اليوم التاريخ تلاتة اتنين اليوم التاريخ ايش؟ تلاتة
+
+66
+00:09:40,490 --> 00:09:47,250
+اتنين لا اعلمبعد ساعة او غدا ماذا اعمل؟ لا اعلم
+
+67
+00:09:47,250 --> 00:09:54,770
+اليوم تلات اتنين هل مقرر نتوقع ماذا يحدث؟ لا إذا
+
+68
+00:09:54,770 --> 00:10:00,690
+الان قولنا في بالنظام الجد المستمر عند الشراء نقول
+
+69
+00:10:00,690 --> 00:10:07,270
+من حساب المشتريات مراقبة من حساب مراقبة المخزون او
+
+70
+00:10:07,270 --> 00:10:13,110
+مراقبة البضاعة إلى حساب الموردين إلى حساب الموردين
+
+71
+00:10:13,490 --> 00:10:19,670
+وهنا كوني قلت الموردين تكون هناك في ملاحظة أن
+
+72
+00:10:19,670 --> 00:10:31,590
+عمليات البيع والشراء هي على الحساب، هي على الحساب
+
+73
+00:10:31,590 --> 00:10:37,870
+إذا عند شراء بضاعة في ذلك نظام الجرد المستمر نقول
+
+74
+00:10:37,870 --> 00:10:42,150
+من حساب مراقبة المخزون إلى حساب الموردينوقلنا احنا
+
+75
+00:10:42,150 --> 00:10:46,470
+اليوم التاريخ تلات اتنين اذا تلاتمية وخمسين في
+
+76
+00:10:46,470 --> 00:10:51,510
+خمسة تلاتمية وخمسين في خمسة الف وسبعمية وخمسين
+
+77
+00:10:51,510 --> 00:10:59,090
+تمام هذا رقم واحد الان نأتي الى رقم تلاتة اليوم
+
+78
+00:10:59,090 --> 00:11:06,010
+اليوم عشر اتنين انا بتعامل حسب توريخ بتعامل حسب
+
+79
+00:11:06,010 --> 00:11:11,740
+توريخ الان عنديمردودات المشتريات خمسين واحدة من
+
+80
+00:11:11,740 --> 00:11:19,320
+ايش؟ من مشتريات تلاتة ايش؟ تلاتة اتنين تمام؟ و ليش
+
+81
+00:11:19,320 --> 00:11:22,360
+حددلي التاريخ فيه؟ حددلي التاريخ في السؤال لأنه
+
+82
+00:11:22,360 --> 00:11:27,600
+ممكن يكون عندي جابل الراب في اكتر من مرة اشتريت
+
+83
+00:11:27,600 --> 00:11:31,160
+فبدي احددلي من اي كمية فبدنا ندير بالنا لهذا
+
+84
+00:11:31,160 --> 00:11:34,560
+التاريخ يعني لو كان في هنا كمية مشتريات اخرى مثلا
+
+85
+00:11:38,990 --> 00:11:46,190
+من مين؟ من مشتريات إيه؟ تمام الآن في ضل المردودات
+
+86
+00:11:46,190 --> 00:11:51,490
+كما قلنا في المحاضرة الماضية إبساطة شديدة جدا قيد
+
+87
+00:11:51,490 --> 00:11:57,230
+الشراء من حساب مراقبة المخزون إلى حساب الموردين
+
+88
+00:11:57,230 --> 00:12:07,170
+قيد الرد هو عكس عكس قيد الشراء عكس قيد الشراء إذا
+
+89
+00:12:07,170 --> 00:12:16,850
+نقول هنارقم تلاتة من حساب المورديين حساب المورديين
+
+90
+00:12:16,850 --> 00:12:24,590
+إلى حساب مراقبة المخزون إلى حساب مراقبة المخزون
+
+91
+00:12:24,590 --> 00:12:30,030
+ليه؟ لأن أنا لما اشتريت ميد تلاجة دخلت في المخازن
+
+92
+00:12:30,030 --> 00:12:36,630
+إذا إيش؟ زاد العدد بهذا الموجود الآن لما أناأطلّع
+
+93
+00:12:36,630 --> 00:12:40,270
+عشر ثلاجات و أرجعهم غير مطابقات للمواصفات، بده
+
+94
+00:12:40,270 --> 00:12:46,690
+ينقص المخزون ولا لا؟ بده ينقص المخزون عندما نشتري،
+
+95
+00:12:46,690 --> 00:12:53,790
+يزين و يكون مدين و عندما ينقص، بالبيع أو بالارجاع،
+
+96
+00:12:53,790 --> 00:12:57,470
+يكون دائم،
+
+97
+00:12:57,470 --> 00:13:02,670
+يكون
+
+98
+00:13:02,670 --> 00:13:03,370
+دائم، يكون دائم، يكون دائم، يكون دائم، يكون دائم،
+
+99
+00:13:03,370 --> 00:13:03,390
+دائم، يكون دائم، يكون دائم، يكون دائم، يكون دائم،
+
+100
+00:13:03,390 --> 00:13:03,450
+يكون دائم، يكون دائم، يكون دائم، يكون دائم، يكون
+
+101
+00:13:03,450 --> 00:13:05,970
+دائم، يكون دائم، يكون دائم، يكون دائم،طيب و الآن
+
+102
+00:13:05,970 --> 00:13:11,610
+ببساطة كم واحدة رجعنا؟ خمسين طيب من .. من ايه؟
+
+103
+00:13:11,610 --> 00:13:16,730
+مليون تلاتة اتنين تلاتة اتنين ألف شايفين .. شايفين
+
+104
+00:13:16,730 --> 00:13:20,750
+التاريخ ايش فيديوته؟ ايوة انا الكمية هذه كانت بقدش
+
+105
+00:13:20,750 --> 00:13:23,930
+السعة فيها؟ خمسة .. خمسة لكن قلت لو كانت عنده
+
+106
+00:13:23,930 --> 00:13:28,510
+مشتريات أخرى من عشرة و خمس عشر واحد و كانت بسبعة و
+
+107
+00:13:28,510 --> 00:13:36,610
+قلي منها بالتزم واضح؟ إذن هنا قرب إيش؟إذا هاي 250
+
+108
+00:13:36,610 --> 00:13:41,770
+هل
+
+109
+00:13:41,770 --> 00:13:50,730
+من سؤال هل من سؤال لأ طيب ننتقل بمعنى بمعنى بسيط
+
+110
+00:13:50,730 --> 00:13:58,510
+جدا حتى نكمل الشراء الشراء ومردوداته الشراء
+
+111
+00:13:58,510 --> 00:14:02,550
+ومردوداته
+
+112
+00:14:02,550 --> 00:14:13,360
+قيدواحد البيع ومرضو داتو قايدين طبعا معلومة مهمة
+
+113
+00:14:13,360 --> 00:14:21,400
+طيب شوية .. شوية الان رقم أربعة في عشرين تلاتة في
+
+114
+00:14:21,400 --> 00:14:25,580
+عشرين تلاتة المبيعات من يوم ما جي لكلمة مبيعات يجب
+
+115
+00:14:25,580 --> 00:14:30,280
+ان تكون عندها أخوات ايش؟ قدان قدان قد بسعر البيع
+
+116
+00:14:30,280 --> 00:14:32,060
+قد بسعر التكلفة
+
+117
+00:14:37,450 --> 00:14:45,550
+طبعا اليوم عشرين تلاتة اليوم ايش؟ عشرين تلاتة الى
+
+118
+00:14:45,550 --> 00:14:48,850
+الآن من الجلم و تحت اليوم عشرين تلاتة انا ماعرف
+
+119
+00:14:48,850 --> 00:14:51,870
+بكرا و لا بعرف ايش بنعمل اذا من الجلم و تحت في
+
+120
+00:14:51,870 --> 00:14:56,930
+عالم الغيب في عالم الغيب في هذه اللحظة لا اعلم شيء
+
+121
+00:14:56,930 --> 00:14:59,590
+عنه عشان انا ممكن اتعامل في ظل نظام الجدر هذا
+
+122
+00:14:59,590 --> 00:15:06,440
+مستمر بهذه القليلالان لما اجالي 400 وحدة اليوم انا
+
+123
+00:15:06,440 --> 00:15:10,160
+اجالي لو حد طلب 400 وحدة و بيعطيه 400 وحدة ايش كان
+
+124
+00:15:10,160 --> 00:15:15,680
+عندى فى المخازن؟ فى ايش؟ 600 الان 350 بروح من هنا
+
+125
+00:15:15,680 --> 00:15:20,220
+ال 50 يعني كأنها قداش 300 ايه بشطب عليها و بعلم
+
+126
+00:15:20,220 --> 00:15:23,940
+عليها المردودات عشان ايش ماتخربطش عشان ماتخربطش
+
+127
+00:15:23,940 --> 00:15:29,140
+مردودات المشتريات اذا صار عندى 600 و صار عندى 300
+
+128
+00:15:30,300 --> 00:15:33,300
+يوم ما انا اجتني البيع 400 واحدة كان عندى في
+
+129
+00:15:33,300 --> 00:15:38,480
+المخازن هاطلعه من الخط الأحمر فوق كان عندى 600
+
+130
+00:15:38,480 --> 00:15:43,880
+وكان عندى ايش 300 هذا هو النقطة النقطة التانية انه
+
+131
+00:15:43,880 --> 00:15:47,520
+الآن هنا في ضلطة لتة الأول في الأول أنا بتتابع
+
+132
+00:15:47,520 --> 00:15:50,140
+الآن الأول في الأول المباع من مين؟
+
+133
+00:15:54,870 --> 00:15:58,770
+إذا نظرنا الـ600 و لا الـ300 مين أخضر تاريخها
+
+134
+00:15:58,770 --> 00:16:05,510
+الـ600 إذا أنا هاخد من الـ600 ولكن الآن هذه
+
+135
+00:16:05,510 --> 00:16:12,610
+العملية تنقسم إلى قيدين بسعة أول شيء البيع و زي ما
+
+136
+00:16:12,610 --> 00:16:17,870
+أخدت في محاسبة واحد فضلين نحن من حساب المدينين إلى
+
+137
+00:16:17,870 --> 00:16:24,680
+حساب المبيعات بسعة من الـ410 ماشي من حسابالمدينين
+
+138
+00:16:24,680 --> 00:16:30,800
+وكما قُل أن المبيعات والمشتريات على الحساب معلومة
+
+139
+00:16:30,800 --> 00:16:35,760
+تكون ضمن السؤال من حساب المدينين إلى حساب المبيعات
+
+140
+00:16:35,760 --> 00:16:46,400
+إلى حساب المبيعات طيب، الآن أنا كم واحدة بيعت؟ 400
+
+141
+00:16:46,400 --> 00:16:55,570
+سعر البيع كام؟ عشرة إذا، هايأربعمية ضرب عشرة
+
+142
+00:16:55,570 --> 00:17:03,490
+أربعتالاف اربعتالاف دنار إذا بهذا نكون أثبتنا
+
+143
+00:17:03,490 --> 00:17:10,190
+المبيعات بسعر البيع أثبتنا المبيعات بسعر البيع زي
+
+144
+00:17:10,190 --> 00:17:16,790
+ما كنا نعمل في محاسبة واحد الآن المبيعات أثبت
+
+145
+00:17:16,790 --> 00:17:24,050
+للمبيعات بسعر التكلفة تمامالان بتشرح شويه قبل ما
+
+146
+00:17:24,050 --> 00:17:29,170
+اسمع حدا يجاوب الان عندما نشتري مراقبة المخزون
+
+147
+00:17:29,170 --> 00:17:35,090
+مدينة وعندما نبيع بدنا نسحب من المخازن ونبيع إذا
+
+148
+00:17:35,090 --> 00:17:39,350
+نبتنقص إذا بدنا نصير إيش دائنة دائنة هذا هو النقطة
+
+149
+00:17:39,350 --> 00:17:43,450
+النقطة التانية أنا إيش أنا أحسب تكلفة المبيعات إذا
+
+150
+00:17:43,450 --> 00:17:51,430
+من حساب يلا ليناك ممتاز
+
+151
+00:17:54,090 --> 00:18:06,850
+إذا من حساب تكلفة المبيعات إلى حساب مراقبة المخزون
+
+152
+00:18:06,850 --> 00:18:13,150
+نظريا من حساب تكلفة المبيعات إلى حساب مراقبة
+
+153
+00:18:13,150 --> 00:18:18,270
+المخزون كما قلنا المخازن أو البضاعة عندما يتم
+
+154
+00:18:18,270 --> 00:18:21,750
+إدخالها المخازن ونشتري تكون مدينةطيب اليوم أنا
+
+155
+00:18:21,750 --> 00:18:26,130
+بتطلع بدبيع، بتشعلها إيش؟ دائنة طيب أنا بحسب في
+
+156
+00:18:26,130 --> 00:18:29,290
+مين تكلفة المبيعات؟ إذا أنا على طول بقول أنا من
+
+157
+00:18:29,290 --> 00:18:34,270
+حساب تكلفة المبيعات إلى حساب مراقبة المخصوص طيب،
+
+158
+00:18:34,270 --> 00:18:38,050
+الآن باجي، بدي أشوف أنا هذه الإبضاعة اللي أنا
+
+159
+00:18:38,050 --> 00:18:43,430
+بعتها ب4000، بدي أشوف أنا كده كلفتني طيب، أي طريقة
+
+160
+00:18:43,430 --> 00:18:45,970
+بستخدم؟ الأول في الأول
+
+161
+00:18:57,220 --> 00:19:01,040
+عندى فى المخازن فى ستمية و فى تلاتمية فى ستمية و
+
+162
+00:19:01,040 --> 00:19:04,920
+فى تلاتمية ليش قولنا تلاتمية؟ خسامنا .. خسامنا ..
+
+163
+00:19:04,920 --> 00:19:06,820
+خسامنا .. خسامنا .. خسامنا .. خسامنا .. خسامنا ..
+
+164
+00:19:06,820 --> 00:19:07,780
+خسامنا .. خسامنا .. خسامنا .. خسامنا .. خسامنا ..
+
+165
+00:19:07,780 --> 00:19:07,820
+خسامنا .. خسامنا .. خسامنا .. خسامنا .. خسامنا ..
+
+166
+00:19:07,820 --> 00:19:07,880
+خسامنا .. خسامنا .. خسامنا .. خسامنا .. خسامنا ..
+
+167
+00:19:07,880 --> 00:19:11,080
+خسامنا .. خسامنا .. خسامنا
+
+168
+00:19:11,080 --> 00:19:16,000
+.. خسامنا .. خسامنا .. خسامنا .. خسامنا .. خسامنا
+
+169
+00:19:16,000 --> 00:19:26,080
+.. خسام
+
+170
+00:19:26,740 --> 00:19:32,360
+فانا هنا المبيعات هيها هيها فوق القلم 400 تمام 400
+
+171
+00:19:32,360 --> 00:19:34,960
+حسب طلبة الأول في الأول من الأقدم من الأقدم ال 600
+
+172
+00:19:34,960 --> 00:19:39,940
+بتكفي بتكفي و لو ماكفتش ناخد من المليارية أخدنا هى
+
+173
+00:19:39,940 --> 00:19:43,040
+ال 400 اللى بدنا ناخدها و شطبنا خط صغير و حطينا
+
+174
+00:19:43,040 --> 00:19:46,600
+بالله 200 عشان بعد هيك ايه يا عشان ماتخربطش اذا
+
+175
+00:19:46,600 --> 00:19:49,100
+هنا هكتب 400
+
+176
+00:19:53,360 --> 00:19:57,780
+بتحسب تكلفتها حسب مين طريقة الأول في الأول أربعة
+
+177
+00:19:57,780 --> 00:20:02,540
+مية لا السعر .. الكمية اللي أخدت منها سعر كام؟
+
+178
+00:20:02,540 --> 00:20:09,680
+أربعة إذا هنا أربعة، هاي ألف وستنين، ألف وستنين،
+
+179
+00:20:09,680 --> 00:20:17,300
+تمام؟ هل من السؤال؟ بدي أعيدها على السريع، فى حد
+
+180
+00:20:17,300 --> 00:20:22,340
+عنده أي سؤال؟ لأ بدي أعيدها على السريعالان اخوات
+
+181
+00:20:22,340 --> 00:20:27,480
+طبعا اثبات المبيعات بسعر التكلفة بسعر التكلفة من
+
+182
+00:20:27,480 --> 00:20:31,320
+التكلفة الى مراقبة المخزون لان مراقبة المخزون عند
+
+183
+00:20:31,320 --> 00:20:36,700
+الشراء مدينة و عندما نبيع بضاعة دائنة دائنة طبعا
+
+184
+00:20:36,700 --> 00:20:40,260
+الان داجي انا هاي زى ما قلنا تحت القلم في عالم
+
+185
+00:20:40,260 --> 00:20:44,560
+الغير هاي اربعمية الاربعمية بتتابع اي طريقة اول فى
+
+186
+00:20:44,560 --> 00:20:48,620
+الاول الاول فى الاول اذا من مين من الاقدم الاقدم
+
+187
+00:20:48,620 --> 00:20:53,900
+يعني ايش بتاخدمن الست مية تاخد اربعمية من الست مية
+
+188
+00:20:53,900 --> 00:20:54,060
+تاخد اربعمية من الست مية تاخد اربعمية من الست مية
+
+189
+00:20:54,060 --> 00:20:55,520
+تاخد اربعمية من الست مية تاخد اربعمية من الست مية
+
+190
+00:20:55,520 --> 00:20:57,160
+تاخد اربعمية من الست مية تاخد اربعمية من الست مية
+
+191
+00:20:57,160 --> 00:20:58,080
+تاخد اربعمية من الست مية تاخد اربعمية من الست مية
+
+192
+00:20:58,080 --> 00:20:59,700
+تاخد اربعمية من الست مية تاخد اربعمية من الست مية
+
+193
+00:20:59,700 --> 00:21:00,520
+تاخد اربعمية من الست مية تاخد اربعمية من الست مية
+
+194
+00:21:00,520 --> 00:21:01,720
+تاخد اربعمية من الست مية تاخد اربعمية من الست مية
+
+195
+00:21:01,720 --> 00:21:04,740
+تاخد اربعمية من الست مية تاخد اربعمية من الست مية
+
+196
+00:21:04,740 --> 00:21:09,700
+تاخد اربعمية
+
+197
+00:21:09,700 --> 00:21:16,880
+من الست مية
+
+198
+00:21:16,880 --> 00:21:20,000
+تاخد
+
+199
+00:21:21,590 --> 00:21:26,510
+خمسة رقم خمسة بيقول في خمسات وستة مشتريات أربعمائة
+
+200
+00:21:26,510 --> 00:21:30,630
+واحدة سبعة تفضلي من حساب مراقبة المخزون إلى حساب
+
+201
+00:21:30,630 --> 00:21:36,370
+المواردين من خيار أربعمائة وسبعة ممتاز الآن أخوات
+
+202
+00:21:36,370 --> 00:21:43,750
+طبعا عندما نسمع كلمة مشتريات بضاعة في ضل نظام
+
+203
+00:21:43,750 --> 00:21:50,710
+الجرد المستمر نقول من حساب مراقبة المخزون إلى حساب
+
+204
+00:21:50,710 --> 00:21:59,480
+المواردينمن حساب مراقبة المخزون الى حساب الموردين
+
+205
+00:21:59,480 --> 00:22:04,760
+الى حساب الموردين اللى هى اربعمائة واحدة ضرب ايش
+
+206
+00:22:04,760 --> 00:22:14,080
+ضرب ضرب سبعة يساوي الفين و تمانمية الفين و تمانمية
+
+207
+00:22:14,080 --> 00:22:21,630
+الفين و تمانمية دولار تمام طبعاأنا في هذا السؤال
+
+208
+00:22:21,630 --> 00:22:26,210
+افترضت أن المشتريات والمبيعات على الحساب فرضا لو
+
+209
+00:22:26,210 --> 00:22:30,210
+اشترينا نقدا هنقول الحساب الصندوق لو اشترينا
+
+210
+00:22:30,210 --> 00:22:35,710
+بالشيء هل بان هل بان يعني آلية الشراء لا تؤثر على
+
+211
+00:22:35,710 --> 00:22:39,350
+كلمة مراقبة نتبع جرد مستمر بقول الحساب مراقبة
+
+212
+00:22:39,350 --> 00:22:44,890
+المخزون هل من السؤال؟ طيب الان ننتقل إلى رقم 6
+
+213
+00:22:50,970 --> 00:22:57,770
+مبيعات المبيعات هنا لها قيدين في سعر البيع و في
+
+214
+00:22:57,770 --> 00:23:01,730
+سعر التخلىبات تفضلي قدر الأول من حساب الماليين إلى
+
+215
+00:23:01,730 --> 00:23:07,510
+حساب المبيعات بسعر البيع الـ 518 ممتاز اذا هنا
+
+216
+00:23:07,510 --> 00:23:14,370
+بسعر البيع ايش بسعر البيع يعني اثبات المبيعات بسعر
+
+217
+00:23:14,370 --> 00:23:16,930
+البيع عملية البيع قولنا ايش
+
+218
+00:23:21,670 --> 00:23:33,750
+إذا نقول هنا من حساب المبيعين إلى حساب المبيعات
+
+219
+00:23:33,750 --> 00:23:40,950
+إلى حساب المبيعات تمام؟ تمام طيب الآن احنا بيعلنا
+
+220
+00:23:40,950 --> 00:23:49,090
+ايه؟ خمسمية في ايه؟ خمسمية خمسمية ضرف اتناش هيكون
+
+221
+00:23:49,090 --> 00:24:00,260
+عندنا ست آلاف6000 دنار 6000 دينار طيب الان نأتي
+
+222
+00:24:00,260 --> 00:24:07,440
+الى اثبات المبيعات بسعر ايش بسعر التكلفة شوفوا لما
+
+223
+00:24:07,440 --> 00:24:11,020
+نقول انا اثبات المبيعات بسعر التكلفة يعني قريبة من
+
+224
+00:24:11,020 --> 00:24:19,780
+الإجابة الأصل ما أنساه اتفضلي ممتاز
+
+225
+00:24:19,780 --> 00:24:27,090
+لحظة شويهالان نختم النظري من حساب تكلفة المبيعات
+
+226
+00:24:27,090 --> 00:24:39,710
+إلى حساب مراقبة المخزون stop stop من حساب تكلفة
+
+227
+00:24:39,710 --> 00:24:46,670
+المبيعات إلى حساب مراقبة المخزون الان الان اليوم
+
+228
+00:24:46,670 --> 00:24:49,910
+اليوم اليوم ست عشت تمانية
+
+229
+00:25:13,720 --> 00:25:19,480
+طيب أنا بتتابع أي طريقة؟ الأول في الأول إذا هاخد
+
+230
+00:25:19,480 --> 00:25:25,040
+من مين؟ من الأقدم أنا بدي 500 إذا هاخد 200 في إيش؟
+
+231
+00:25:25,040 --> 00:25:35,920
+200 ضرب 4 خلصنا من هاي هاخد من هاي إيش؟ هاخد 300
+
+232
+00:25:35,920 --> 00:25:43,950
+هاخد 300 300 في إيش؟ في خمسةإذا الكل على بعض ألفين
+
+233
+00:25:43,950 --> 00:25:50,290
+و تلاتمية دولار، تمام؟
+
+234
+00:25:50,290 --> 00:25:56,310
+بعيدها تاني، بعيدها تاني، إذا الأن
+
+235
+00:26:09,040 --> 00:26:16,640
+في المخازن كان عندي 200 في 4 و 300 في 5 و 400 في 7
+
+236
+00:26:16,640 --> 00:26:22,120
+طب أنا بتتابع أي طريقة؟ في الأول في الأول في الأول
+
+237
+00:26:22,120 --> 00:26:26,380
+في الأول في الأول طيب الأول في الأول المباع من
+
+238
+00:26:26,380 --> 00:26:30,560
+إيش؟ من الأخدم من الأخدم إذا باجي باخد 200 في 4
+
+239
+00:26:30,560 --> 00:26:36,920
+هاي 200 في 4 و بضلني ماشي بضلني إيش؟ ماشي باستمرار
+
+240
+00:26:37,280 --> 00:26:43,220
+حتى أكمل الكمية اللي انا عايزها فهي 200×4 خلصنا
+
+241
+00:26:43,220 --> 00:26:46,080
+منها وبعدين روحت إيها تلعب بقى المشتريات خدت ال
+
+242
+00:26:46,080 --> 00:26:53,580
+300 وخلصت من هذا اليسار طبعا هنا في سؤال الرابع
+
+243
+00:26:53,580 --> 00:26:58,600
+لما حسبنا مثلا التكلفة قلنا 400×4 يعني أخدنا ال
+
+244
+00:26:58,600 --> 00:27:05,020
+400 تاعة المشتريات وصل السؤال
+
+245
+00:27:06,920 --> 00:27:12,380
+إيش كان عندى أول كمية؟ كم واحدة مكونية؟ 600 و أنا
+
+246
+00:27:12,380 --> 00:27:16,960
+.. ها .. و أنا وين؟ وين؟ وين؟ اه .. و هنا .. هنا و
+
+247
+00:27:16,960 --> 00:27:19,960
+بيننا 400 و المباعي بيننا الأخضر حسب طريقة الأول
+
+248
+00:27:19,960 --> 00:27:24,020
+فلأخر يعني اللي كان في الأقدم كمية كانت بتكف و
+
+249
+00:27:24,020 --> 00:27:29,400
+بتزيد .. كف و زيد يعني أنا موجود عند 600 و اللي
+
+250
+00:27:29,400 --> 00:27:31,960
+بعته 400 هي راحنا ال 400
+
+251
+00:27:38,570 --> 00:27:44,230
+كان عندى 600 تلاجة الباعة الأولى بعت منهم 400 400
+
+252
+00:27:44,230 --> 00:27:48,090
+دل كدهش في المخازن؟ دل 200 الان لما نجينا للباعة
+
+253
+00:27:48,090 --> 00:27:53,390
+هذه ال 500 هى فى 200 عندنا بسعر 4 و فى عندنا 300
+
+254
+00:27:53,390 --> 00:27:59,370
+بسعر 5 و فى 400 بسعر 7 طيب ولكن احنا بنحتكب لمين؟
+
+255
+00:27:59,370 --> 00:28:02,330
+الاولى الاولى اذا الان ال 500
+
+256
+00:28:06,670 --> 00:28:12,210
+بتكفل ال 500؟ لأ بدي أخدها و أمشي على اللي وراها و
+
+257
+00:28:12,210 --> 00:28:16,170
+أبقى هناك عشان أخلص عرفتي؟ في الأولى كان في الكمية
+
+258
+00:28:16,170 --> 00:28:25,350
+تزيد فاضح؟ هل بيسأل أخر؟ طيب نحتي الآن إلى رقم ستة
+
+259
+00:28:25,350 --> 00:28:33,290
+سبعة رقم سبعة ها الرد بسعر إيه؟
+
+260
+00:28:41,270 --> 00:28:48,650
+بسعر البيع أخواتي تذكروا الرضط في ظل نظام الجرد
+
+261
+00:28:48,650 --> 00:28:53,350
+الدولي لخطوط محاسبة واحد الان ايش كنا نقول من حساب
+
+262
+00:28:53,350 --> 00:28:57,070
+المدينين لحساب المبيعات الان المدينين رجعولي
+
+263
+00:28:57,070 --> 00:29:02,250
+والمبيعات دائمة مرضوداتها ايش مدينة مدينة اذا ايش
+
+264
+00:29:02,250 --> 00:29:07,990
+هنقول ايش هنقول تفضلي من حساب مدينات المبيعات
+
+265
+00:29:07,990 --> 00:29:10,490
+لحساب المدينين عامة في 12 ألف
+
+266
+00:29:14,340 --> 00:29:17,640
+أول شيء الرد زي ما أخدته محاسبة واحد كنا نقول من
+
+267
+00:29:17,640 --> 00:29:20,940
+حساب المدينين إلى حساب المبيعات، الآن المدينين
+
+268
+00:29:20,940 --> 00:29:27,160
+رجعوا ليه، هنقول من حساب مرضودات المبيعات دائمة،
+
+269
+00:29:27,160 --> 00:29:34,680
+مرضوداتها إيش؟ مدينة، إذا من حساب
+
+270
+00:29:34,680 --> 00:29:42,700
+مرضودات المبيعات إلى حساب المدينين
+
+271
+00:29:44,430 --> 00:29:48,790
+مدينين سقط هذا القيد النظري من حساب مردودات
+
+272
+00:29:48,790 --> 00:29:53,730
+المبيعات الى حساب المدينين الان المردودات من
+
+273
+00:29:53,730 --> 00:29:59,110
+المبيع متى؟ 16 أيوة 16 طب يوم 16 الساعة المبيع كان
+
+274
+00:29:59,110 --> 00:30:06,110
+كم؟ 12 وكم واحدة رجعه؟ 100 مية ضرب 12 ألف و متين
+
+275
+00:30:06,110 --> 00:30:12,790
+ألف و متين دنار ألف و متين دنار ولاحظوا انه حدد
+
+276
+00:30:12,790 --> 00:30:18,940
+حددناحددنا ساعة المردودات من يوم 16 ماقليش من يوم
+
+277
+00:30:18,940 --> 00:30:25,700
+23 لو قلي من يوم 23 هضرب ايش عشرة شوف تحديد
+
+278
+00:30:25,700 --> 00:30:30,440
+التاريخ سواء في رد الشراك او رد المبيعات مهم جدا
+
+279
+00:30:30,440 --> 00:30:36,240
+بتلتزم فيه تمام و بتلتزم فيه لما احسب اللي هو شغل
+
+280
+00:30:36,240 --> 00:30:39,580
+تانية بتلتزم فيه لما احسب شغل تانية هل من السؤال
+
+281
+00:30:39,580 --> 00:30:42,120
+طيب اللي انا اتيه
+
+282
+00:30:48,640 --> 00:30:57,140
+الراب بسعر ايش؟ الرب بسعر التكلفة الرب بسعر
+
+283
+00:30:57,140 --> 00:31:09,060
+التكلفة واحدة واحدة اول شئ بنقول ايه؟ يلا اه
+
+284
+00:31:09,060 --> 00:31:15,600
+فضل ايه؟ اه
+
+285
+00:31:15,600 --> 00:31:22,690
+okay ماشيعيد تاني؟ ماشي
+
+286
+00:31:22,690 --> 00:31:29,490
+ممتاز الان يا أخوات الان قيد الرد بسعر التكلفة
+
+287
+00:31:29,490 --> 00:31:36,270
+ننظر إلى قيد البيع بسعر التكلفة و بنعكسه بنعكسه
+
+288
+00:31:36,270 --> 00:31:41,030
+هذا مبدئيا بنعكسه بنعكسه إذا بنقول إيه يا أخ؟ نكتب
+
+289
+00:31:41,030 --> 00:31:53,490
+من حساب مراقبة المخزونالى حساب تكلفات المبيعات الى
+
+290
+00:31:53,490 --> 00:32:02,330
+حساب تكلفات المبيعات تمام؟ الان يا اخوات الان انا
+
+291
+00:32:02,330 --> 00:32:07,130
+لما اطلعت من المخازن و بعت المراقبة المخازن دائما
+
+292
+00:32:07,130 --> 00:32:12,390
+لكن الان من البعت انا رجعني بعد الوحدات دخلت
+
+293
+00:32:12,390 --> 00:32:17,110
+المخازن زودت الموجود في المخازن اذا تأخذ الطرف ايش
+
+294
+00:32:17,840 --> 00:32:22,340
+اللي نسيت أنا هي الإجابة تمام فانا الأن اتكلم عن
+
+295
+00:32:22,340 --> 00:32:27,760
+عكس قيد البيع بالتكلفة إذا مثلا مراقبة مصروفة
+
+296
+00:32:27,760 --> 00:32:32,000
+السنة بتكلفة إيش المبيعات هذا أول نقطة أول نقطة
+
+297
+00:32:32,000 --> 00:32:37,000
+الآن المردودات المبيعات مردودات المبيعات من أي
+
+298
+00:32:37,000 --> 00:32:44,320
+تاريخ ستة عشر تمانية ستة عشر تمانية وينك يا ستة
+
+299
+00:32:44,320 --> 00:32:44,980
+عشر تمانية
+
+300
+00:33:03,050 --> 00:33:14,330
+ماذا نقصد بالمرجع من الأحدث؟ نقصد بالمرجع أنه من
+
+301
+00:33:14,330 --> 00:33:15,110
+الأحدث
+
+302
+00:33:20,170 --> 00:33:24,770
+البضاعة هو يستخدم نفس الطريقة اللي أقوم
+
+303
+00:33:24,770 --> 00:33:28,370
+باستخدامها، اللي وهي طريقة الأول في الأول، يعني
+
+304
+00:33:28,370 --> 00:33:32,490
+أنا بفترض إيش؟ أن الشخص اللي قمت ببيع البضاعة
+
+305
+00:33:32,490 --> 00:33:37,010
+يستخدم نفس طريقة .. يستخدم طريقة الأول في الأول،
+
+306
+00:33:37,010 --> 00:33:42,090
+وبالتالي عندما يستخدم ويبيع، يبيع الوحدات القديمة،
+
+307
+00:33:42,090 --> 00:33:45,990
+وإذا بقي لديه شيء، يكون إيش؟ من الأحداث
+
+308
+00:33:50,870 --> 00:33:58,290
+الان المرجع هي المية هاي المية وطبعا مية لان كلا
+
+309
+00:33:58,290 --> 00:34:02,610
+الكميتين استطيع اخد منهما مش انا حكيت ان المرجع في
+
+310
+00:34:02,610 --> 00:34:08,890
+16 تمانية هاي مكونات 16 تمانية 200 في 4 و 305 يعني
+
+311
+00:34:08,890 --> 00:34:12,990
+المتين بقدر اخد منها مية و بزيد او ال 300 باخد
+
+312
+00:34:12,990 --> 00:34:16,970
+منها وزيد لكن المهم في اي سعر منهما
+
+313
+00:34:20,370 --> 00:34:23,870
+المرجع يكون من الأحدث ماذا نقصد بالأحدث نقصد
+
+314
+00:34:23,870 --> 00:34:27,690
+بالأحدث أحدث تاريخا انا عند السعر 4 و السعر 500
+
+315
+00:34:27,690 --> 00:34:32,950
+الأحدث ليش طب قلت الخمس الأحدث عشان هو الكبير لأ
+
+316
+00:34:32,950 --> 00:34:38,430
+لأن هو اشتغلنا في ثلاث اتنين خلاف عن واحد واحد إذا
+
+317
+00:34:38,430 --> 00:34:45,150
+نقول هنا ضرب ضرب ايه يا عزيزي ضرب خمسة هاي خمس مية
+
+318
+00:34:45,150 --> 00:34:53,780
+هاي خمس مية دلوقتيعرفتوا ليش ضربت خمسة؟ بعيد على
+
+319
+00:34:53,780 --> 00:35:01,840
+السريع قبل أن نكمل نعم انظري
+
+320
+00:35:01,840 --> 00:35:06,900
+الى تلك الشجرة ذات الغصون المظلة سبعة قربت بسعر
+
+321
+00:35:06,900 --> 00:35:10,020
+إيش؟
+
+322
+00:35:10,020 --> 00:35:15,640
+ماعش إيش قولت بسعر البيع ضربت واطمعش بسعر التكلفة
+
+323
+00:35:15,640 --> 00:35:20,790
+بدور عليش؟بدور على التكلفة هنا سعر البيع ضربت في
+
+324
+00:35:20,790 --> 00:35:26,890
+12 هنا بسعر ايش التكلفة دورت على التكليف دورت عليش
+
+325
+00:35:26,890 --> 00:35:35,710
+على التكليف هل من سؤال اخر طيب ننتقل الى جزء من
+
+326
+00:35:35,710 --> 00:35:39,590
+المطلوب التاني جزء من المطلوب التاني واخدناه في
+
+327
+00:35:39,590 --> 00:35:44,550
+المحاضرات السابقة بدنا نحسب الان رقم
+
+328
+00:35:49,210 --> 00:35:57,210
+تكلفة المبيعات تكلفة
+
+329
+00:35:57,210 --> 00:36:08,670
+المبيعات تكلفة المبيعات
+
+330
+00:36:08,670 --> 00:36:12,650
+تكلفة المبيعات تكلفة المبيعات تكلفة المبيعات تكلفة
+
+331
+00:36:12,650 --> 00:36:12,690
+المبيعات تكلفة المبيعات تكلفة المبيعات تكلفة
+
+332
+00:36:12,690 --> 00:36:17,870
+المبيعات تكلفة المبيعات تكلفة المبيعات تكلفة
+
+333
+00:36:17,870 --> 00:36:17,890
+المبيعات تكلفة المبيعات تكلفة المبيعات تكلفة
+
+334
+00:36:17,890 --> 00:36:17,930
+المبيعات تكلفة المبيعات تكلفة المبيعات تكلفة
+
+335
+00:36:17,930 --> 00:36:20,710
+المبيعاتفي ضل طريقة الأول في الأول
+
+336
+00:36:49,050 --> 00:36:54,930
+طيب عدد الوحدات المتاحة للبيع انتبه معايا ها الان
+
+337
+00:36:54,930 --> 00:36:59,850
+ستمية مش هي رصيد اول مدة مش المتاح عبارة عن اول
+
+338
+00:36:59,850 --> 00:37:05,210
+مدة زائد المشتريات ناقص المردودات طيب الان هاي
+
+339
+00:37:05,210 --> 00:37:08,330
+ستمية و هاد على طول ماعرف ان هو زائد تلاتمية او
+
+340
+00:37:08,330 --> 00:37:12,530
+خمسين او اسماشين تلاتمية هاي صار ايش تسعمية تسعمية
+
+341
+00:37:12,530 --> 00:37:14,790
+او اربعمية
+
+342
+00:37:29,980 --> 00:37:34,320
+اللي هي ستمية زي تلاتمية وخمسين زي أربعمية ناقص
+
+343
+00:37:34,320 --> 00:37:41,300
+خمسين تطلع الف وتلاتمية ستمية
+
+344
+00:37:41,300 --> 00:37:49,920
+زي تلاتمية وخمسين ناقص خمسين زي أربعمية يساوي عدد
+
+345
+00:37:49,920 --> 00:37:56,600
+الوحدات المباعة عدد الوحدات المباعة اللي هي
+
+346
+00:38:05,300 --> 00:38:10,480
+عليهم دوارة هيقول اربعمية زي الخمسمية ناقص يساوي
+
+347
+00:38:10,480 --> 00:38:18,260
+كم؟ اربعمية زي الخمسمية ناقص مية يساوي تمانمية
+
+348
+00:38:18,260 --> 00:38:23,820
+تمانمية ايش؟ واحدة طيب الان انا عندي متاح الف و
+
+349
+00:38:23,820 --> 00:38:31,180
+تلاتمية عندي متاح الف و تلاتمية بعت منهم تمانمية
+
+350
+00:38:31,180 --> 00:38:37,320
+هيظل عندى في المخازن كام؟هيضل عندي خمسمية ..
+
+351
+00:38:37,320 --> 00:38:46,520
+خمسمية وحدة هذه وحدات المخزون تمام؟ تمام إذا بعد
+
+352
+00:38:46,520 --> 00:38:52,820
+ما عملنا هذه الأمور نبدأ نقول إيه؟ تكلفات المبيعات
+
+353
+00:38:52,820 --> 00:38:58,680
+مش كشكلة ده أعمل تكلفة تكلفات المبيعات تكلفات
+
+354
+00:38:58,680 --> 00:39:04,120
+المبيعاتتكلفة المبيعات انا حددت المواحدات المباعة
+
+355
+00:39:04,120 --> 00:39:09,480
+كام هايها بين قوسين عشان تظهر قدامي عشان تظهر هيش
+
+356
+00:39:09,480 --> 00:39:13,220
+قدامي طبعا الجرد الدوري تختلف عن المستمر الجرد
+
+357
+00:39:13,220 --> 00:39:16,720
+الدوري في نهاية العام زي ما تشوفين جماعة الموجود
+
+358
+00:39:16,720 --> 00:39:21,340
+ماشوفتش اللي بعته الجرد الدوري مرة واحدة طيب الان
+
+359
+00:39:21,340 --> 00:39:26,080
+باتبع اي طريقة اللي هو المباع من مين
+
+360
+00:39:43,050 --> 00:39:47,050
+عندي الان طبعا بقول عشان تحت الجلم و من الجلم الخط
+
+361
+00:39:47,050 --> 00:39:50,330
+لأ هلأ سنعدى جرد دوري في نهاية العام في نهاية
+
+362
+00:39:50,330 --> 00:39:55,790
+الفترة الان اقدم كمية كم واحدة 600 600 ضرب ايش 400
+
+363
+00:39:55,790 --> 00:40:07,330
+600 ضرب 4 يساوي 2400 1400 دولار طب انا بعت كام؟
+
+364
+00:40:10,610 --> 00:40:19,150
+لسة هاخد من هذه ايش؟ 200 سعار كام؟ 200 ضرب خمسة
+
+365
+00:40:19,150 --> 00:40:26,010
+يساوي الف دنار تمام؟ خلصنا إذا هاي تمنميت واحدة
+
+366
+00:40:26,010 --> 00:40:33,570
+هاي تمنميت واحدة وهي تلت تلاف واربعمية واربعمية
+
+367
+00:40:33,570 --> 00:40:39,050
+واحدة تلت تلاف واربعمية دنار تلت تلاف واربعمية
+
+368
+00:40:39,050 --> 00:40:45,590
+دنارطبعا هل مني سؤال؟ طيب الآن بنيجي من نفسي
+
+369
+00:40:45,590 --> 00:40:52,050
+بتكلفتياش؟ تكلفة المخزون طب المخزون عندنا كم واحدة
+
+370
+00:40:52,050 --> 00:40:59,170
+حسبته أنا؟ خمسمية .. خمسمية .. خمسمية واحدة الآن
+
+371
+00:40:59,170 --> 00:41:03,690
+المخزون حسب طريقة .. حسب طريقة الأول
+
+372
+00:41:09,010 --> 00:41:14,350
+مخزون من الأحدث و أقم واحدة قلنا تلعبها وين أحدث
+
+373
+00:41:14,350 --> 00:41:18,850
+مشتريات المخزون من أحدث مشتريات المخزون هي ايش هي
+
+374
+00:41:18,850 --> 00:41:27,370
+اربعمية اربعمية في ايش في سبعة اربعمية اربعمية ضرب
+
+375
+00:41:27,370 --> 00:41:34,770
+سبعة يساوي الفين و تمانية درار الفين و تمانية درار
+
+376
+00:41:40,200 --> 00:41:45,060
+لسه ضائفة طلع بمشي بمشي بمشي بمشي بمشي بمشي بمشي
+
+377
+00:41:45,060 --> 00:41:48,120
+بمشي
+
+378
+00:41:48,120 --> 00:41:50,620
+بمشي بمشي بمشي بمشي بمشي بمشي بمشي بمشي بمشي بمشي
+
+379
+00:41:50,620 --> 00:41:54,860
+بمشي بمشي بمشي بمشي بمشي بمشي بمشي بمشي بمشي بمشي
+
+380
+00:41:54,860 --> 00:41:56,760
+بمشي بمشي بمشي بمشي بمشي بمشي بمشي بمشي بمشي بمشي
+
+381
+00:41:56,760 --> 00:42:02,520
+بمشي بمشي بمشي بمشي
+
+382
+00:42:02,520 --> 00:42:07,120
+بمشي
+
+383
+00:42:07,120 --> 00:42:07,540
+بم
+
+384
+00:42:14,770 --> 00:42:24,990
+3300 دينار تمام اذا هنا يكون احنا حسبنا التكر في
+
+385
+00:42:24,990 --> 00:42:29,290
+ضل طريقة الأول في الأول وبهذا نأتي لنهاية المحاضرة
+
+386
+00:42:29,290 --> 00:42:35,890
+ونكمل حل السؤال في المحاضرة القادمة بباقي
+
+387
+00:42:35,890 --> 00:42:39,490
+المطالبين سيبقى معنا بكل المطالبين إلى اللقاء
+