diff --git a/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/3jt1Rdr_34w.srt b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/3jt1Rdr_34w.srt
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@@ -0,0 +1,2079 @@
+1
+00:00:21,580 --> 00:00:23,780
+بسم الله الرحمن الرحيم الصلاة والسلام على أشرف
+
+2
+00:00:23,780 --> 00:00:29,060
+المرسلين اليوم إن شاء الله بدنا نكمل إلى آخر
+
+3
+00:00:29,060 --> 00:00:32,560
+الموضوع اللي بدأنا فيه موضوع ال architectural
+
+4
+00:00:32,560 --> 00:00:39,110
+design وكنا شفنا يعني مثل ال design decisions
+
+5
+00:00:39,110 --> 00:00:42,210
+decisions وشوفنا ال views وشوفنا ال patterns
+
+6
+00:00:42,210 --> 00:00:44,650
+واليوم اللي هنبدأ فيه اللي هو ال application
+
+7
+00:00:44,650 --> 00:00:49,310
+architectures اللي نقصد فيها اللي هم الـ .. بعض الـ
+
+8
+00:00:49,310 --> 00:00:52,650
+applications الشائعة وإيش ال architectures تبعتها
+
+9
+00:00:52,650 --> 00:01:02,950
+باشي خلينا نروح للـ slides هذا
+
+10
+00:01:02,950 --> 00:01:06,390
+.. هذا كله كان عن الـ patterns اللي حكينا عنه هنا
+
+11
+00:01:12,220 --> 00:01:14,840
+بدأنا نحكي عن اللي هو ال application architectures
+
+12
+00:01:14,840 --> 00:01:21,850
+كان فيه مجموعة من ال application types الـ data 
+
+13
+00:01:21,850 --> 00:01:25,050
+processing applications والـ transaction processing
+
+14
+00:01:25,050 --> 00:01:28,070
+applications والـ event processing systems والـ
+
+15
+00:01:28,070 --> 00:01:32,210
+language processing systems حكينا يعني وضحنا إيش
+
+16
+00:01:32,210 --> 00:01:36,190
+هذه الأربع أنواع هذه أربع أنواع الشائعة يعني لا
+
+17
+00:01:36,190 --> 00:01:41,150
+تضم كافة أنواع الـ software systems إنما أكثر أنواع
+
+18
+00:01:41,150 --> 00:01:48,620
+شائعة وبعد ذلك قلنا إننا نأخذ اثنين منهم اللي هم الـ
+
+19
+00:01:48,620 --> 00:01:50,820
+transaction processing systems والـ language
+
+20
+00:01:50,820 --> 00:01:53,540
+processing systems ونطلع على ال architecture
+
+21
+00:01:53,540 --> 00:01:58,330
+تبعتهم، صحيح؟ Okay بالنسبة لـ Transaction
+
+22
+00:01:58,330 --> 00:02:01,630
+Processing Systems أول شيء شو المقصود يعني بالـ
+
+23
+00:02:01,630 --> 00:02:04,190
+Transaction احنا كنا حكينا إيش يعني Transaction
+
+24
+00:02:04,190 --> 00:02:08,250
+Processing System بس للمراجعة يعني يقصد بها اللي 
+
+25
+00:02:08,250 --> 00:02:12,230
+هي أي applications الـ user بيعمل request
+
+26
+00:02:12,230 --> 00:02:16,460
+للـ information وبتجيله .. بينعمل processing لهذا الـ
+
+27
+00:02:16,460 --> 00:02:20,220
+request وبيجيله response يعني مثلا على سبيل المثال
+
+28
+00:02:20,220 --> 00:02:26,840
+هنا طارح مثال اللي هو لو أنت بدك تبحث عن تذاكر ..
+
+29
+00:02:26,840 --> 00:02:30,860
+أسعار تذاكر طيارات أو رحلات من مكان إلى مكان، من
+
+30
+00:02:30,860 --> 00:02:35,710
+مطار كذا إلى مطار كذا Okay فالـ request تبعك الـ user
+
+31
+00:02:35,710 --> 00:02:38,810
+اللي بيحط .. الـ request اللي بيحطه الـ user بيجتمل
+
+32
+00:02:38,810 --> 00:02:43,850
+على المكان المغادرة .. المطار المغادرة والـ .. والـ
+
+33
+00:02:43,850 --> 00:02:47,690
+الوجهة وإذا كان هو راكب واحد ولا أكثر وإذا كان
+
+34
+00:02:47,690 --> 00:02:53,330
+trip بوجهة واحدة ولا round trip وإيش الفئة first
+
+35
+00:02:53,330 --> 00:02:56,960
+class ولا second class ولا economy ولا المهم هذا الـ
+
+36
+00:02:56,960 --> 00:03:00,120
+request يشتغل على البيانات اللي هو المواصفات اللي
+
+37
+00:03:00,120 --> 00:03:05,080
+عنده والـ system بيعمل processing هذا هو الآن ليش
+
+38
+00:03:05,080 --> 00:03:08,320
+اتر transaction بيعمله processing معالجة علشان
+
+39
+00:03:08,320 --> 00:03:12,120
+يجيب له مجموعة
+
+40
+00:03:12,120 --> 00:03:17,320
+الرحلات اللي بي .. مناسبة أو بتطابق هذه الشروط أو
+
+41
+00:03:17,320 --> 00:03:21,760
+بتطابق هذه المطلبات فهذا عبارة عن مثال لـ
+
+42
+00:03:21,760 --> 00:03:27,350
+transaction processing system Okay فالآن الأمر هذا
+
+43
+00:03:27,350 --> 00:03:30,110
+عادة بيكون في users والـ users شغالين
+
+44
+00:03:30,110 --> 00:03:34,030
+asynchronously يعني في أوقات متباينة في بعض منهم
+
+45
+00:03:34,030 --> 00:03:41,470
+بيشتغلون في نفس الوجهة وفي بعضهم في جبل فالـ
+
+46
+00:03:41,470 --> 00:03:45,650
+system بيتعامل مع هذا العدد من الـ users ومع
+
+47
+00:03:45,650 --> 00:03:51,840
+اختلاف اللي هو الـ request تبعتهم ماشي الحال فاتفقنا
+
+48
+00:03:51,840 --> 00:03:56,500
+على أن وين ما بنحكي عن transaction بنحكي عن بيانات
+
+49
+00:03:56,500 --> 00:04:01,300
+بيعطيها الـ user والـ system بيعمل بحثًا وبيعمل
+
+50
+00:04:01,300 --> 00:04:05,760
+processing لهذه البيانات وبرجع output عليها Okay
+
+51
+00:04:05,760 --> 00:04:09,380
+ففي الآخر الـ transaction processing system is an
+
+52
+00:04:09,380 --> 00:04:14,740
+information system information system صح؟ Okay والـ
+
+53
+00:04:14,740 --> 00:04:18,160
+معظم الـ systems اللي احنا عادة نحكم فيها بتبقى
+
+54
+00:04:18,160 --> 00:04:20,960
+information systems وأي information system بيبقى
+
+55
+00:04:20,960 --> 00:04:25,160
+غالبا أو لازم لازم مش غالبا لازم يكون فيه database
+
+56
+00:04:25,160 --> 00:04:33,440
+لتخزين الـ information Okay فالآن الهيكلية تبع الـ
+
+57
+00:04:33,440 --> 00:04:36,300
+transaction processing system أو خليني أقول الـ
+
+58
+00:04:36,300 --> 00:04:42,920
+structure هيكليته أنه بيبقى فيه عندنا وجزء من الـ
+
+59
+00:04:42,920 --> 00:04:46,160
+system بيتعامل مع الـ input والـ output اللي هو
+
+60
+00:04:46,160 --> 00:04:50,540
+الواجهة تبع الـ user الـ user بيتعامل معاهد جزئية من
+
+61
+00:04:50,540 --> 00:04:54,540
+الـ system هي اللي من خلالها الـ user بيعطي input للـ
+
+62
+00:04:54,540 --> 00:04:58,320
+system وهي الواجهة من خلالها الـ user بيستلم أو
+
+63
+00:04:58,320 --> 00:05:01,440
+بيشوف وبتلقى الـ output تبع الـ system الـ output
+
+64
+00:05:01,440 --> 00:05:07,900
+اللي هي إما صفحة أو كشف اه الآن الـ user لما بيعمل
+
+65
+00:05:07,900 --> 00:05:13,170
+input والسهم هذا بيكون في هذا الاتجاه سهم طبعا في
+
+66
+00:05:13,170 --> 00:05:15,910
+الاتجاهين لو أنت لاحظت في الاتجاهين وهذا شيء
+
+67
+00:05:15,910 --> 00:05:20,730
+طبيعي إذا كان هذا input output بيعطي وبيأخذ صح؟
+
+68
+00:05:20,730 --> 00:05:23,810
+وهذه الـ database بيبقى هي بتأخذ وبتعطي في نفس
+
+69
+00:05:23,810 --> 00:05:27,550
+الوقت فلما يكون في هذا الاتجاه الـ user بيعطي الـ
+
+70
+00:05:27,550 --> 00:05:31,990
+input تبعه بس الـ input هذا بيروحش مباشرة إلى الـ
+
+71
+00:05:31,990 --> 00:05:37,890
+database بيبقى فيه في النص اللي هو جهة المكونات
+
+72
+00:05:37,890 --> 00:05:41,480
+هذول المكون الأولاني الـ Application Logic يُقصد
+
+73
+00:05:41,480 --> 00:05:45,420
+فيه الجزء من الـ system اللي بيقوم بعمليات على يعني
+
+74
+00:05:45,420 --> 00:05:48,920
+هذه الـ input غالبا ما بيخشش على الـ database زي ما
+
+75
+00:05:48,920 --> 00:05:53,220
+هو بنعمل هنا processing بالظبط هنا الـ application
+
+76
+00:05:53,220 --> 00:05:57,740
+logic هو باختصار بيبقى عن إما mathematical أو
+
+77
+00:05:57,740 --> 00:06:00,180
+logical operations
+
+78
+00:06:04,770 --> 00:06:10,030
+تمام؟ إما عملية حسابية أو عملية منطقية ومقارنات
+
+79
+00:06:10,030 --> 00:06:16,370
+وكذا على أساس الـ data يتدخل على الـ database بعد ما
+
+80
+00:06:16,370 --> 00:06:21,030
+يكون عملت عليها الـ .. العمليات هذه أحيانا برضه
+
+81
+00:06:21,030 --> 00:06:25,250
+العمليات هذه بتكون كيف عشان نتحقق من أن الـ data
+
+82
+00:06:25,250 --> 00:06:28,510
+اللي دخلها الـ user سليمة اه يعني ممكن تبقى
+
+83
+00:06:28,510 --> 00:06:31,630
+mathematical أو logical operations للـ validation
+
+84
+00:06:31,630 --> 00:06:34,510
+لغرض الـ validation أو الـ verification أن الـ user
+
+85
+00:06:34,510 --> 00:06:38,090
+ما دخلش garbage عشان ما يودي garbage على الـ
+
+86
+00:06:38,090 --> 00:06:45,450
+database صح؟ الآن بعد ذلك إذا الـ input اللي بيودي الـ
+
+87
+00:06:45,450 --> 00:06:49,710
+user أو الـ request ماهو الـ request في النهاية ماهو
+
+88
+00:06:49,710 --> 00:06:53,050
+احنا قلنا هي عبارة عن معطيات إذا الـ request اللي
+
+89
+00:06:53,050 --> 00:06:57,110
+طلع الـ user سليم يبقى الآن في حاجة اسمها transaction
+
+90
+00:06:57,110 --> 00:07:00,890
+manager الـ transaction manager هو زي أحيانا ما
+
+91
+00:07:00,890 --> 00:07:04,790
+نسميه query processor الـ Query Processor ده جزء من
+
+92
+00:07:04,790 --> 00:07:07,690
+الـ database management system يعني أنا ممكن أتخيل
+
+93
+00:07:07,690 --> 00:07:10,790
+هدول الواحدتين هيك يعني إيش الواحدتين هذول الـ
+
+94
+00:07:10,790 --> 00:07:15,670
+database database نفسها اللي هي المستودع اللي
+
+95
+00:07:15,670 --> 00:07:19,650
+بتخزن فيه البيانات ونظام الـ management تبع الـ
+
+96
+00:07:19,650 --> 00:07:24,090
+database database management system اه هذول
+
+97
+00:07:24,090 --> 00:07:26,430
+الواحدتين بيشكلا الـ database management system مع
+
+98
+00:07:26,430 --> 00:07:30,890
+بعض الـ transaction manager هو اللي بده يجم بعملية
+
+99
+00:07:30,890 --> 00:07:36,730
+تنفيذ الـ query تنفيذ الـ query يعني هنا الـ input
+
+100
+00:07:36,730 --> 00:07:40,730
+تبع الـ user دخل كاستعلام الاستعلام هذا بيجي فيه
+
+101
+00:07:40,730 --> 00:07:43,870
+جزء من الـ database management system اللي بيعمل
+
+102
+00:07:43,870 --> 00:07:47,710
+processing عشان يروح يجيب الـ data ويجيبها مظبوطة
+
+103
+00:07:47,710 --> 00:07:52,230
+من الـ tables السليمة تبعها ويجمع الـ data وبعدين
+
+104
+00:07:52,230 --> 00:07:56,000
+يطلع الـ output والـ output هذا ربما برضه ينعمل
+
+105
+00:07:56,000 --> 00:08:00,800
+عليه نوع من الـ processing قبل ما يصل أو ينعرض على
+
+106
+00:08:00,800 --> 00:08:05,060
+.. وغالبًا لازم ينعمل عليه processing قبل ما ينعرض
+
+107
+00:08:05,060 --> 00:08:16,610
+على الـ user Okay فهذه سلسلة العملية اتعملت وكل مرحلة
+
+108
+00:08:16,610 --> 00:08:20,970
+في السلسلة هذه بتقدر تعتبرها عبارة عن مكون من
+
+109
+00:08:20,970 --> 00:08:24,230
+مكونات الـ information الـ transaction processing
+
+110
+00:08:24,230 --> 00:08:31,770
+system تمام على سبيل المثال الـ ATM الـ ATM إيش الـ
+
+111
+00:08:31,770 --> 00:08:36,800
+ATM اللي صدّعفنا بالعملية الـ Automated Teller Machine
+
+112
+00:08:36,800 --> 00:08:42,560
+هي مثال آخر للـ Transaction Processing System الـ
+
+113
+00:08:42,560 --> 00:08:46,660
+user وهو جالس على هنا الـ user جالس على الماكينة الـ
+
+114
+00:08:46,660 --> 00:08:51,040
+machine نفسها تمام أمام الـ user الشاشة اللي أمام
+
+115
+00:08:51,040 --> 00:08:55,420
+الـ user من خلالها هو أو الماكينة نفسها ومن خلالها
+
+116
+00:08:55,420 --> 00:08:59,420
+أو الشاشة يعني الـ console من خلاله بيعطي input و
+
+117
+00:08:59,420 --> 00:09:04,520
+بيأخذ output فبدأ من أنه يعطي الـ account ID تبعته
+
+118
+00:09:04,520 --> 00:09:08,920
+الـ machine بتروح بتعمل validation الـ validation
+
+119
+00:09:08,920 --> 00:09:15,380
+هذا جزء من الـ business logic وبعد هيك هو بيختار
+
+120
+00:09:15,380 --> 00:09:18,860
+إيش الـ .. إيش الـ .. هنا validation الـ card يعني
+
+121
+00:09:18,860 --> 00:09:22,580
+التحقق من صحة الـ card بعد ما يكون هذا سليم وهذا سليم
+
+122
+00:09:22,580 --> 00:09:27,140
+بيقدر هو يطلب واحدة من الـ services الخدمات هل صاحب
+
+123
+00:09:27,140 --> 00:09:31,480
+هل إيداع هل مجرد استعلام شيء اللي بدي أسويه حسب الـ
+
+124
+00:09:31,480 --> 00:09:37,510
+bank تبعه شيء بيسمح يعني Okay الآن لما هو بيختار الـ
+
+125
+00:09:37,510 --> 00:09:41,250
+service الـ service هذه تترجم إلى query إلى استخدام
+
+126
+00:09:41,250 --> 00:09:48,370
+طلب يعني على الـ .. على الـ .. على الـ data والـ .. والـ
+
+127
+00:09:48,370 --> 00:09:51,570
+أحيانا ممكن تبقى الـ query هذه أبراعا لو كانت عملية
+
+128
+00:09:51,570 --> 00:09:56,250
+سحب الـ query هذه بتتحول إلى عملية خصم من حساب وإضافة
+
+129
+00:09:56,250 --> 00:10:01,760
+على حساب آخر الـ Query هنا تشمل كافة الـ
+
+130
+00:10:01,760 --> 00:10:04,940
+Services في الآخر تترجم إلى Query سواء كانت الـ
+
+131
+00:10:04,940 --> 00:10:09,320
+Service هي استعلام فقط أو سحب أو إيداع في الآخر هي
+
+132
+00:10:09,320 --> 00:10:13,320
+تعبر عنها بـ Query الـ Query هذه بتنفذ وطبعا
+
+133
+00:10:13,320 --> 00:10:18,040
+نتيجة تنفيذها بيحصل update للـ account تبع الـ user
+
+134
+00:10:18,040 --> 00:10:24,740
+لأنه إما تضاف أو تخصم من حسابه هذا الكلام الآن هذا
+
+135
+00:10:24,740 --> 00:10:29,790
+الكلام الآن يتمش في الماكينة نفسها بيتم في الـ
+
+136
+00:10:29,790 --> 00:10:33,530
+server تبع البنك تنفيذ الـ query و updating الـ
+
+137
+00:10:33,530 --> 00:10:37,090
+account بتتم على الـ database العملية هذه بتتم على
+
+138
+00:10:37,090 --> 00:10:42,890
+الـ database بتتم على الـ database تبع الـ system فهنا
+
+139
+00:10:42,890 --> 00:10:46,410
+عملية الـ input هنا الـ processing هناك الـ output
+
+140
+00:10:46,410 --> 00:10:50,310
+وين ما كانوا الـ input بيتم على الـ ATM نفسه الـ 
+
+141
+00:10:50,310 --> 00:10:52,970
+processing بتم في الـ database management system
+
+142
+00:10:52,970 --> 00:10:58,150
+والآن الـ output، الـ output طبعًا من ناحية ثانية
+
+143
+00:10:58,150 --> 00:11:02,550
+يعني بعد ما هو نفذ العملية بيجيله خيار إنه بصراحة
+
+144
+00:11:02,550 --> 00:11:06,900
+بدي أطبع، يطلع له وصل إذا .. وبعد هيك بـ .. برجع له 
+
+145
+00:11:06,900 --> 00:11:10,800
+الکارتة، وبعد هيك إذا هو ساحب الفلوس من الماكينة
+
+146
+00:11:10,800 --> 00:11:14,500
+بتطلع له الفلوس، بتطلع .. بتعد له إياهم وبتطلعلهم 
+
+147
+00:11:14,500 --> 00:11:18,380
+برا، okay فهذا مثال آخر على transaction processing
+
+148
+00:11:18,380 --> 00:11:21,560
+system وإن الـ transaction .. الـ transaction هو الـ
+
+149
+00:11:21,560 --> 00:11:25,910
+service اللي طلبها الـ user، والـ service هذه بيعبر
+
+150
+00:11:25,910 --> 00:11:29,610
+عنها بـ query، الـ query هذه بتنفذ من قبل الـ
+
+151
+00:11:29,610 --> 00:11:32,950
+database management system على الـ database وبتترك
+
+152
+00:11:32,950 --> 00:11:37,430
+أثر على الـ account تبع الـ user، والـ output اللي
+
+153
+00:11:37,430 --> 00:11:43,470
+بيشوفه الـ user هو الـ details، شاشة الـ details أو
+
+154
+00:11:43,470 --> 00:11:48,730
+الورقة اللي فيها الـ details والفلوس الـ cash تمام
+
+155
+00:11:48,730 --> 00:11:55,150
+فهذا اللي هو الـ .. الـ Transaction الـ Transaction 
+
+156
+00:11:55,150 --> 00:12:00,730
+Processing System بصفة عامة، قلنا احنا إن الـ
+
+157
+00:12:00,730 --> 00:12:05,430
+Transaction Processing System هو نوع من أنواع الـ
+
+158
+00:12:05,430 --> 00:12:09,450
+Information System، الـ Information System صح؟ يعني
+
+159
+00:12:09,450 --> 00:12:12,910
+أنا بقدر قاعد أقول إن الـ Information System الـ
+
+160
+00:12:12,910 --> 00:12:16,870
+Information Systems عمومًا بتفرع منها عدة أنواع
+
+161
+00:12:16,870 --> 00:12:20,610
+واحد منها اللي هو Transaction Processing System، الـ
+
+162
+00:12:20,610 --> 00:12:22,950
+Information Systems بصفة عامة، هذا الـ Generic
+
+163
+00:12:22,950 --> 00:12:26,070
+Architecture يمكن أن يكون مجتمعًا في Layered
+
+164
+00:12:26,070 --> 00:12:27,410
+Architecture
+
+165
+00:12:29,180 --> 00:12:32,380
+هدول اللي هنا الـ components أنا ممكن أنظر إليهم 
+
+166
+00:12:32,380 --> 00:12:36,700
+على إنهم أيضًا layers، صح ولا لأ؟ هذه layer وهذه
+
+167
+00:12:36,700 --> 00:12:40,100
+بتعتمد عليها وهذه بتعتمد عليها وهذه بتعتمد على كل
+
+168
+00:12:40,100 --> 00:12:43,240
+واحدة منهم، يعني أنا ممكن أحول الشكل هذا إلى  إلى
+
+169
+00:12:43,240 --> 00:12:47,260
+شكل عمودي، وتبقى الـ database هي الـ layer الأخيرة، و
+
+170
+00:12:47,260 --> 00:12:52,440
+الأخريات فوقها تمام، فالـ information systems عمومًا
+
+171
+00:12:53,570 --> 00:12:58,230
+Okay، عادة ما تبقى برضه كمان فيها transaction based 
+
+172
+00:12:58,230 --> 00:13:03,710
+systems، فبيكون فيه database وإيش؟ و transactions
+
+173
+00:13:03,710 --> 00:13:09,370
+بتتم عليها، okay وعادة ما بتكون الـ layers تبعت الـ
+
+174
+00:13:09,370 --> 00:13:14,310
+information systems تحت على طول، تحت بالغالب بيبقى
+
+175
+00:13:14,310 --> 00:13:20,210
+اللي هو database system، بعد ذلك يكون هناك عملية
+
+176
+00:13:20,210 --> 00:13:24,690
+retrieval، وهي query processing، لما كنا نتكلم في الـ
+
+177
+00:13:24,690 --> 00:13:28,490
+transaction processing، آخر شيء اللي هو query
+
+178
+00:13:28,490 --> 00:13:32,570
+processing، هو transaction manager يعمل query
+
+179
+00:13:32,570 --> 00:13:39,070
+processing، الـ information retrieval هي الـ layer
+
+180
+00:13:39,070 --> 00:13:42,810
+اللي بتعبر عن هذا الأمر، بتعبر عن عملية اللي هو 
+
+181
+00:13:42,810 --> 00:13:49,950
+إحضار وأيضًا تخزين data في التسليم data للـ للـ
+
+182
+00:13:49,950 --> 00:13:53,630
+database، الـ user communications اللي مقصود به هنا
+
+183
+00:13:53,630 --> 00:13:56,710
+مش الـ business logic، يعني أنت ممكن تتخيل الـ
+
+184
+00:13:56,710 --> 00:13:58,930
+business logic هنا في هذا لكن الـ user
+
+185
+00:13:58,930 --> 00:14:02,130
+communications إن عادة الـ systems اللي عنها بتبقى
+
+186
+00:14:02,130 --> 00:14:05,930
+distributed ما بين الـ database وما بين الـ user
+
+187
+00:14:05,930 --> 00:14:08,790
+ما بين الجهاز اللي موجود على الـ database وما بين
+
+188
+00:14:08,790 --> 00:14:12,880
+الجهاز اللي موجود على الـ user، لأن فيه شبكة، فالـ user
+
+189
+00:14:12,880 --> 00:14:17,760
+communications هذه عبارة عن الشبكة اللي بتوصل الـ
+
+190
+00:14:17,760 --> 00:14:22,320
+user بمين؟ بالـ database server، okay وعلى الـ layer
+
+191
+00:14:22,320 --> 00:14:26,640
+الأخيرة اللي هي الـ user interface، الـ user
+
+192
+00:14:26,640 --> 00:14:30,060
+interface، الواجهة اللي من خلالها الـ user بيحط
+
+193
+00:14:30,060 --> 00:14:36,340
+input أو بياخد output من الـ system، okay
+
+194
+00:14:40,490 --> 00:14:50,270
+واضحة الـ four layers هذه، Transaction
+
+195
+00:14:50,270 --> 00:14:52,950
+Management، Database Transaction Management، و
+
+196
+00:14:52,950 --> 00:14:56,450
+Database Information Retrieval and Modification، كل
+
+197
+00:14:56,450 --> 00:14:59,370
+العمليات اللي يعني هنا في هذا الـ layer بيصير
+
+198
+00:14:59,370 --> 00:15:02,790
+العملية، وهنا في هذا الـ layer بيصير تنفيذ العملية
+
+199
+00:15:02,790 --> 00:15:07,820
+على الـ database، في هذا الـ layer الـ user بيبيتم
+
+200
+00:15:07,820 --> 00:15:10,620
+الربط ما بين الـ user interface وما بين الباقي
+
+201
+00:15:10,620 --> 00:15:13,180
+يعني هنا إيش في عندي؟ communication، و
+
+202
+00:15:13,180 --> 00:15:16,260
+authentication، طبعًا الـ authentication ده جزء من
+
+203
+00:15:16,260 --> 00:15:21,680
+عملية الربط، لأنه مش احنا ربطنا معناته خلاص أي 
+
+204
+00:15:21,680 --> 00:15:24,700
+user بيقدر يخش ويسوي أي حاجة، لازم تبقى الربط
+
+205
+00:15:24,700 --> 00:15:28,700
+محكومة بإيش؟ بالـ authorization وبـ الـ authentication
+
+206
+00:15:28,700 --> 00:15:35,520
+تمام
+
+207
+00:15:36,850 --> 00:15:42,570
+هذا مثال آخر برضه على الـ information systems من 
+
+208
+00:15:42,570 --> 00:15:46,870
+الموضوع اللي هو الـ health care، الـ health care
+
+209
+00:15:46,870 --> 00:15:51,630
+system اللي حكينا فيه قبل هيك، تمام، الـ .. الـ
+
+210
+00:15:51,630 --> 00:15:55,490
+system هذا شغال web .. web based، فالـ interface
+
+211
+00:15:55,490 --> 00:15:59,250
+كلها تبعت اللي بتعامل معاها الـ user web based هي
+
+212
+00:15:59,250 --> 00:16:03,490
+من خلال الـ web browser، العمليات اللي بتتم على هذه
+
+213
+00:16:03,490 --> 00:16:06,410
+الـ layer اللي هي الـ user communication اللي هي
+
+214
+00:16:06,410 --> 00:16:11,070
+عملية الـ login، عملية التأكد من إنه هو الـ role هنا
+
+215
+00:16:11,070 --> 00:16:18,950
+يعني إيش الدور؟ اه إنه هو معطى معطى له الدور هو يعني
+
+216
+00:16:18,950 --> 00:16:22,710
+معطى له دور محدد، وبناءً على هذا الدور هو صلاحياته
+
+217
+00:16:22,710 --> 00:16:26,490
+بتتحدد، ما بياخدش صلاحيات خارج الدور تبعه، إذا هو 
+
+218
+00:16:26,490 --> 00:16:31,910
+موظف استقبال، فمحدود صلاحياته، إذا هو مدير، إذا هو
+
+219
+00:16:31,910 --> 00:16:37,860
+طبيب، كل دور له مجموعة الصلاحيات تبعته، الـ form والـ
+
+220
+00:16:37,860 --> 00:16:41,060
+menu manager، هذا اللي هو بيحدد إيش الـ forms اللي
+
+221
+00:16:41,060 --> 00:16:44,080
+تطلع له وإيش الـ menus اللي يشوفها، والعناصر اللي
+
+222
+00:16:44,080 --> 00:16:48,220
+فيها data validation، لما هو بيدخل أي data .. أي
+
+223
+00:16:48,220 --> 00:16:52,980
+data على الـ interface بيتم تحقق منها من خلال
+
+224
+00:16:52,980 --> 00:16:57,860
+البرمجيات، الـ .. برمجيات الـ validation، على الـ layer
+
+225
+00:16:57,860 --> 00:17:01,500
+اللي بتاعت اللي هي مسألة الـ security ومسألة اللي
+
+226
+00:17:01,500 --> 00:17:07,820
+هو الـ .. الـ patient بصفة عامة شو .. كيف ينجيب
+
+227
+00:17:07,820 --> 00:17:10,700
+البيانات تبعتهم، يعني عملية الـ retrieval .. 
+
+228
+00:17:10,700 --> 00:17:14,240
+retrieval و update للـ patients، عملية الـ data
+
+229
+00:17:14,240 --> 00:17:17,460
+import و export اللي هي إذا كان الـ system بدي أطلع
+
+230
+00:17:17,460 --> 00:17:22,460
+data output لـ other systems، بدي أطلع reports ولا
+
+231
+00:17:22,460 --> 00:17:28,480
+بدي أطلع xml files ولا بدي أطلع excel files، بـ format
+
+232
+00:17:28,480 --> 00:17:33,920
+آخر، تمام، هذا الآن عبارة عن input output، صح؟ ولكن مع
+
+233
+00:17:33,920 --> 00:17:38,360
+إيش؟ مع الأطراف الخارجية، مع الـ systems الخارجية، والـ
+
+234
+00:17:38,360 --> 00:17:41,040
+report generation، طب ليش الـ report generation ما
+
+235
+00:17:41,040 --> 00:17:44,470
+هو جاي هنا؟ report generation، ليش ما هو جاي هنا أو
+
+236
+00:17:44,470 --> 00:17:49,950
+جاي مع الـ web browser، مش هذا جزء من الـ .. جزء من
+
+237
+00:17:49,950 --> 00:17:52,690
+الـ output اللي بدي أشوفه، مش الـ user اللي بدي أشوف
+
+238
+00:17:52,690 --> 00:17:58,030
+output، بالضبط، لأن الـ report generation بيحتوي على
+
+239
+00:17:58,030 --> 00:18:01,290
+عشان تـ generate الـ report لازم يصير query
+
+240
+00:18:01,290 --> 00:18:05,330
+processing، لازم أول شيء تصاغ الـ query، ثاني شيء تنفذ
+
+241
+00:18:05,330 --> 00:18:08,790
+ثاني شيء نجيب الـ data، ثاني شيء نعيد صياغة الـ data
+
+242
+00:18:08,790 --> 00:18:12,490
+إذا فيها aggregation، يعني بدنا نعمل summation أو
+
+243
+00:18:12,490 --> 00:18:15,610
+بدنا نعمل تجميع أو بدنا نعمل counting، كل هذا
+
+244
+00:18:15,610 --> 00:18:20,890
+الكلام لازم يتنفذ على الـ data قبل لسه ما الـ data
+
+245
+00:18:20,890 --> 00:18:25,290
+تظهر على الـ user، فهنا الـ report generation أقصد
+
+246
+00:18:25,290 --> 00:18:32,210
+ليه؟ عمليات الـ retrieval، وهذه عملية متصلة مباشرة
+
+247
+00:18:32,210 --> 00:18:39,070
+بالـ database، تمام، الآن الـ .. بما إنه احنا حكينا عن
+
+248
+00:18:39,070 --> 00:18:42,430
+الـ .. في الـ system هذا، حكينا إن الـ interface هنا
+
+249
+00:18:42,430 --> 00:18:46,130
+web based، فهذا بيدخلنا على الـ web based information
+
+250
+00:18:46,130 --> 00:18:50,530
+systems، يعني احنا بتسلسل معانا الحكي من إنه بدينا
+
+251
+00:18:50,530 --> 00:18:52,510
+بالـ transaction systems، وبعدين قلنا إن الـ
+
+252
+00:18:52,510 --> 00:18:55,910
+transaction systems هذي هي information systems، والـ
+
+253
+00:18:55,910 --> 00:18:58,610
+architecture بتاع الـ information systems بصفة عامة هو
+
+254
+00:18:58,610 --> 00:19:04,250
+.. هو layered، Okay، ثم بعدين في مثال الـ .. الـ health 
+
+255
+00:19:04,250 --> 00:19:08,550
+care system، هذا الـ .. الـ data .. الـ interface كانت 
+
+256
+00:19:08,550 --> 00:19:11,850
+web based، فهذا دخلنا في موضوع الـ web based
+
+257
+00:19:11,850 --> 00:19:15,670
+information systems، احنا الآن عادة كثير من الـ
+
+258
+00:19:15,670 --> 00:19:21,100
+information systems بتبقى web based، وهذا لسبب وجيه
+
+259
+00:19:21,100 --> 00:19:27,820
+جدا، وهو إن احنا في الـ interface بتكون لما تبقى
+
+260
+00:19:27,820 --> 00:19:33,280
+web based بيكون إيش؟ بيكون الـ user متاح يستخدم الـ
+
+261
+00:19:33,280 --> 00:19:37,400
+system من أي جهاز من أي مكان، صح؟ يعني ممكن web
+
+262
+00:19:37,400 --> 00:19:42,820
+based يبقى جهازك Macintosh أو جهازك PC أو جهازك
+
+263
+00:19:42,820 --> 00:19:47,610
+Linux أو أحيانًا الـ mobile أو tablet بتدعم الـ web، فالـ
+
+264
+00:19:47,610 --> 00:19:53,270
+web interface بتعطي انتشار أوسع أو flexibility
+
+265
+00:19:53,270 --> 00:19:58,350
+أكثر من ناحية اللي هو الـ platform، إن الـ user بغض
+
+266
+00:19:58,350 --> 00:20:01,910
+النظر عن الـ platform تبعه بيقدر يستخدم الـ system
+
+267
+00:20:01,910 --> 00:20:06,190
+إنما هي بتضلها طبعًا إيش؟ Information system، فاحنا
+
+268
+00:20:06,190 --> 00:20:11,390
+بيقول إن الـ information الـ information systems وفي
+
+269
+00:20:11,390 --> 00:20:14,810
+حد اسمه الـ resource management systems are now
+
+270
+00:20:14,810 --> 00:20:18,970
+usually web based، عادة ما بتكون web based systems
+
+271
+00:20:18,970 --> 00:20:23,490
+where بيكون الـ interface are implemented as a web
+
+272
+00:20:23,490 --> 00:20:28,040
+.. using a web browser، تمام؟ ومثال على ذلك اللي هو
+
+273
+00:20:28,040 --> 00:20:31,840
+اللي شفناه قبل شوية الـ health care system، ومعظم
+
+274
+00:20:31,840 --> 00:20:35,200
+الـ e-commerce بقى، ربما كل الـ e-commerce systems
+
+275
+00:20:35,200 --> 00:20:40,220
+الآن، أنت لو بدك تشتري أي سلعة على الفكرة عملية الـ
+
+276
+00:20:40,220 --> 00:20:42,740
+e-commerce systems هذه برضه transaction systems
+
+277
+00:20:42,740 --> 00:20:46,580
+transaction based information systems، الـ E
+
+278
+00:20:46,580 --> 00:20:49,260
+-commerce system are internet based resource
+
+279
+00:20:49,260 --> 00:20:53,240
+management systems that accept electronic orders
+
+280
+00:20:53,240 --> 00:20:59,240
+أنت بتقدم طلب، طلبية، مش طلب، طلبية لسلعة أو لخدمة 
+
+281
+00:20:59,240 --> 00:21:03,240
+good or service والـ system بيعمل processing 
+
+282
+00:21:03,240 --> 00:21:07,330
+لطلبية تبعتك في الأول أنت بتبقى بتستعلم فبيعطيك 
+
+283
+00:21:07,330 --> 00:21:10,890
+خيارات بعد ما تختار بإيه هو بيعمل processing للـ ايش 
+
+284
+00:21:10,890 --> 00:21:14,690
+للعملية المالية للـ financial transaction أو الـ
+
+285
+00:21:14,690 --> 00:21:19,310
+accounting تبع الـ .. و بـ .. وبعد هيك بتحول إلى الـ
+
+286
+00:21:19,310 --> 00:21:23,450
+.. الارسال أو البريد عشان يبعته لك ليه في an e
+
+287
+00:21:23,450 --> 00:21:27,640
+-commerce system في الـ e-commerce system الـ
+
+288
+00:21:27,640 --> 00:21:31,800
+application specific layer اللي هي أبقى من الـ
+
+289
+00:21:31,800 --> 00:21:42,020
+layer اللي .. اللي .. اللي هي وين؟ بصولي .. okay
+
+290
+00:21:42,020 --> 00:21:46,540
+اللي هي هنا الـ layer هذه الثانية احنا عندنا هنا الـ
+
+291
+00:21:46,540 --> 00:21:51,520
+web الـ interface layer و عندنا هنا هدولة هذه الـ
+
+292
+00:21:51,520 --> 00:21:55,950
+layer هذا الـ layer الـ database وهذا الـ layer بغض
+
+293
+00:21:55,950 --> 00:21:58,070
+النظر عن ايش الـ application احنا فيها أنها
+
+294
+00:21:58,070 --> 00:22:01,790
+database بتخدم مختلف الـ applications اللي هيستخدم
+
+295
+00:22:01,790 --> 00:22:07,270
+عليها وهنا كذلك الحالة ممكن الآن على فوق فوق هدول
+
+296
+00:22:07,270 --> 00:22:09,950
+الـ layers ينعمل application الف application بقى
+
+297
+00:22:09,950 --> 00:22:12,730
+application gene فالـ application specific layer
+
+298
+00:22:13,410 --> 00:22:18,890
+Okay في الـ web-based systems بتشمل خدمات إضافية
+
+299
+00:22:18,890 --> 00:22:24,270
+إضافة إلى التشكيل الـ forms و إظهار الـ data أيضا 
+
+300
+00:22:24,270 --> 00:22:29,670
+تشمل و إضافة إلى الـ security صح تشمل أيضا اللي هي
+
+301
+00:22:29,670 --> 00:22:35,210
+آلية الـ shopping آلية إجراء العملية المالية okay
+
+302
+00:22:35,210 --> 00:22:36,850
+الـ shopping cart والعملية المالية
+
+303
+00:22:40,970 --> 00:22:45,670
+السيرفر على الناحية الأخرى في الـ .. في الـ e
+
+304
+00:22:45,670 --> 00:22:53,190
+-commerce systems السيرفر عادة ما بيبقى ايش one
+
+305
+00:22:53,190 --> 00:22:57,010
+system أو أكتر one server أو أكتر وفي معظم
+
+306
+00:22:57,010 --> 00:23:02,370
+الحالات بيكون multi-tier multi-tier client server
+
+307
+00:23:02,370 --> 00:23:06,550
+احنا فاهمين الـ client server بأن في عندي server و
+
+308
+00:23:06,550 --> 00:23:08,730
+في عندي one or more ايش
+
+309
+00:23:12,900 --> 00:23:18,460
+كل الـ clients هدولة بيستفيدوا من خدمات الـ server و
+
+310
+00:23:18,460 --> 00:23:22,560
+أحيانا الـ server هذا بيبقوا server farm أدت server
+
+311
+00:23:22,560 --> 00:23:28,410
+صح؟ و الـ clients كل client محتاجة service تجيله من 
+
+312
+00:23:28,410 --> 00:23:34,010
+الـ server المناسب هدول هكذا two tiers يعني طويتين
+
+313
+00:23:34,010 --> 00:23:38,250
+هذه طوية وهذه طوية وهذه طبقة وهذه طبقة أحيانا
+
+314
+00:23:38,250 --> 00:23:42,190
+بيبقى عندي multi tier يعني واحد اثنين أو أكتر ربما
+
+315
+00:23:42,190 --> 00:23:46,790
+في طبقة ثالثة وسيطة ما بين الـ .. أو مش بضرورة
+
+316
+00:23:46,790 --> 00:23:51,990
+وسيطة ممكن تبقى معاها ايش اللي بيبقى عندنا هنا في
+
+317
+00:23:51,990 --> 00:23:55,970
+الـ .. في الـ web .. في الـ web based information
+
+318
+00:23:55,970 --> 00:24:03,930
+systems وجهين دي الـ web server هذا .. هذا
+
+319
+00:24:03,930 --> 00:24:11,810
+one tier و
+
+320
+00:24:11,810 --> 00:24:20,990
+فيه هنا الـ database الـ application server و ايش
+
+321
+00:24:20,990 --> 00:24:28,320
+الثالثة؟ database server أو
+
+322
+00:24:28,320 --> 00:24:37,080
+where الـ client الـ client لسه برة المجموعة هذه الـ
+
+323
+00:24:37,080 --> 00:24:42,440
+client الـ client machine أو الـ client process اللي
+
+324
+00:24:42,440 --> 00:24:46,180
+بيستخدمها الـ user برة ايش طيب الثلاث هدول هم
+
+325
+00:24:46,180 --> 00:24:51,780
+بالعادة في الـ client server بيكونوا الـ client و
+
+326
+00:24:51,780 --> 00:24:55,840
+قدامه الـ server في 
+
+327
+00:24:55,840 --> 00:24:59,300
+الـ web-based بيبقى الـ client و قدامه المجموعة هذه
+
+328
+00:24:59,300 --> 00:25:03,500
+شو المجموعة هذه الـ database server اللي هو عليه الـ
+
+329
+00:25:03,500 --> 00:25:09,360
+database وعليه الـ query processing ماشي طيب هدول
+
+330
+00:25:09,360 --> 00:25:15,580
+ليش وظيفتهم الـ client عادة بتخاطبش مع هذا مباشرة 
+
+331
+00:25:15,580 --> 00:25:21,940
+بتخاطب مع الـ web-server مصبوط؟ صح؟ بشوف الصفحات و
+
+332
+00:25:21,940 --> 00:25:25,540
+بشوف الـ forms وبشوف الـ output من خلال الـ web
+
+333
+00:25:25,540 --> 00:25:31,100
+server كل الـ communication بتتم http و على و بتجي
+
+334
+00:25:31,100 --> 00:25:36,360
+و بتروح و بتيجي بـ html format مظبوط صح بالـ http
+
+335
+00:25:36,360 --> 00:25:41,540
+protocol الـ web server عنده الصفحات بس الصفحات
+
+336
+00:25:41,540 --> 00:25:46,230
+غالبا تبقى dynamic يعني مافيش فيها data اه الـ
+
+337
+00:25:46,230 --> 00:25:50,390
+static بتكون صفحات ثابتة عليها فيها الكلام وفيها
+
+338
+00:25:50,390 --> 00:25:54,150
+الصور وفيها لايه ده وثابتة لكن لما في الـ
+
+339
+00:25:54,150 --> 00:25:57,370
+information system الـ web server بيبقاش على الـ
+
+340
+00:25:57,370 --> 00:26:01,900
+static data بيبدوا الـ data من ليش؟ من الـ database
+
+341
+00:26:01,900 --> 00:26:05,220
+فالصفحات اللي فيها بتبقى dynamic لازم يكون في
+
+342
+00:26:05,220 --> 00:26:10,620
+connection مع الـ database علشان هذا علشان تاخد الـ
+
+343
+00:26:10,620 --> 00:26:14,660
+data من الـ database فالـ web server ما عنده آلية الـ
+
+344
+00:26:14,660 --> 00:26:18,960
+communication مع الـ بل على عكس كثير من صفحات الـ
+
+345
+00:26:18,960 --> 00:26:22,440
+dynamic هذه are generated by الـ application server
+
+346
+00:26:23,060 --> 00:26:26,380
+يعني أنت في الآخر كمبرمج أو كـ software engineer
+
+347
+00:26:26,380 --> 00:26:29,880
+بتعمل الـ application server أو بتعمل الـ
+
+348
+00:26:29,880 --> 00:26:33,180
+application تبعك على الـ application server على شكل
+
+349
+00:26:33,180 --> 00:26:39,480
+صفحات dynamic pages هذه الصفحات الـ web server عنده
+
+350
+00:26:39,480 --> 00:26:43,460
+access عليها بطلبها الـ user بطلب request الـ
+
+351
+00:26:43,460 --> 00:26:45,620
+request بتحولها الـ application server الـ
+
+352
+00:26:45,620 --> 00:26:50,400
+application server بيعمل generate لـ الـ page الـ
+
+353
+00:26:50,400 --> 00:26:55,460
+page هذه الآن إذا في data جزء من .. جزء من الصفحة
+
+354
+00:26:55,460 --> 00:26:59,780
+بدي يجي من الـ database بي .. بيجي من الـ بي ..
+
+355
+00:26:59,780 --> 00:27:05,900
+بينطلب من الـ database تمام؟ 
+
+356
+00:27:05,900 --> 00:27:09,000
+و بتكتمل الصفحة بسلم الـ application server الصفحة
+
+357
+00:27:09,000 --> 00:27:12,600
+للـ web server والـ web server بيعرضها لـ الـ .. 
+
+358
+00:27:15,180 --> 00:27:20,100
+الويب سيرفر هو المسؤول عن كل التعامل مع الهواتف
+
+359
+00:27:20,100 --> 00:27:22,320
+والهواتف التي تتعامل مع الهواتف التي تتعامل مع
+
+360
+00:27:22,320 --> 00:27:23,440
+الهواتف التي تتعامل مع الهواتف التي تتعامل مع
+
+361
+00:27:23,440 --> 00:27:24,580
+الهواتف التي تتعامل مع الهواتف التي تتعامل مع
+
+362
+00:27:24,580 --> 00:27:27,360
+الهواتف التي تتعامل مع الهواتف التي تتعامل مع
+
+363
+00:27:27,360 --> 00:27:27,740
+الهواتف التي تتعامل مع الهواتف التي تتعامل مع
+
+364
+00:27:27,740 --> 00:27:28,500
+الهواتف التي تتعامل مع الهواتف التي تتعامل مع
+
+365
+00:27:28,500 --> 00:27:29,320
+الهواتف التي تتعامل مع الهواتف التي تتعامل مع
+
+366
+00:27:29,320 --> 00:27:32,880
+الهواتف التي تتعامل مع الهواتف التي تتعامل مع
+
+367
+00:27:32,880 --> 00:27:37,970
+الهواتف التي تو الـ database server هو اللي بيلبي 
+
+368
+00:27:37,970 --> 00:27:42,770
+هذه العمليات بيجيب data أو بيحط data بناء على
+
+369
+00:27:42,770 --> 00:27:45,850
+العمليات اللي انطلبت منه من قبل الـ application
+
+370
+00:27:45,850 --> 00:27:51,230
+server تمام؟ هذا اسمه multi-tier architecture صح؟
+
+371
+00:27:51,230 --> 00:27:51,610
+اسف
+
+372
+00:27:55,960 --> 00:27:59,160
+مالتي تير اركتكتوري اللي أمامنا هنا ثلاثة تير
+
+373
+00:27:59,160 --> 00:28:02,580
+ثلاثة تير هذا لسه على الـ server side والـ client 
+
+374
+00:28:02,580 --> 00:28:11,280
+هو بتقدر تقول عنه الـ tier الرابع طيب
+
+375
+00:28:11,280 --> 00:28:16,660
+لأن في الشكل الثاني أو النوع الثاني من الـ
+
+376
+00:28:16,660 --> 00:28:21,340
+applications اللي هو الـ language processing 
+
+377
+00:28:21,340 --> 00:28:26,540
+systems إذا بتذكروا الـ language processing كان
+
+378
+00:28:26,540 --> 00:28:30,200
+مثال عليه لما احنا استعرضناهم أي نعم لما
+
+379
+00:28:30,200 --> 00:28:32,400
+استعرضناهم أول ما استعرضناه كان الـ compiler .. أنا
+
+380
+00:28:32,400 --> 00:28:35,740
+برجعش جوه جايد كان عندي الـ compiler والـ ايش والـ 
+
+381
+00:28:35,740 --> 00:28:40,780
+command interpreter عنهم بس على السريع الآن طلع على 
+
+382
+00:28:40,780 --> 00:28:44,200
+الـ compiler كمثال لايش الـ language processing 
+
+383
+00:28:44,200 --> 00:28:48,940
+systems بصفة عامة language processing systems زي
+
+384
+00:28:48,940 --> 00:28:53,160
+ما حكينا قبل هيك اللي هي الـ الـ systems اللي الـ
+
+385
+00:28:53,160 --> 00:28:57,280
+input تبعها عبارة عن natural language كلام محكي
+
+386
+00:28:57,280 --> 00:29:06,120
+صوت أو مكتوب شفوي أو مكتوب كلام natural okay أو
+
+387
+00:29:06,120 --> 00:29:08,960
+أحيانا تبقى برضه Artificial Language Artificial
+
+388
+00:29:08,960 --> 00:29:12,580
+Language مش اللي قصد بيها Artificial Intelligence
+
+389
+00:29:12,580 --> 00:29:16,160
+لأ Artificial يعني اللغة احنا عاملينها البشر
+
+390
+00:29:16,160 --> 00:29:18,760
+عاملينها اللغات البرمج اللغات البرمج كلها دي
+
+391
+00:29:18,760 --> 00:29:21,620
+Artificial Languages الـ natural هي اللغات اللي
+
+392
+00:29:21,620 --> 00:29:26,780
+بيحكوها البشر okay فالـ الـ natural الـ language
+
+393
+00:29:26,780 --> 00:29:31,920
+processing system بياخد language بياخد كلام نص
+
+394
+00:29:31,920 --> 00:29:40,200
+text أو بياخد verbal كلام شفوي بلغة من هذه اللغات
+
+395
+00:29:40,200 --> 00:29:46,400
+إما natural أو artificial وايه بيطلع .. بيطلع
+
+396
+00:29:46,400 --> 00:29:52,760
+التعبير عنه بلغة أخرى أو بيستخلص منه معلومات الـ
+
+397
+00:29:52,760 --> 00:29:56,380
+compiler الـ compiler بياخد الـ text المكتوب بـ
+
+398
+00:29:56,380 --> 00:30:01,660
+artificial language الكمبايلر فالكمبايلر كمثال على
+
+399
+00:30:01,660 --> 00:30:06,560
+الـ language processing system الكمبايلر الـ input
+
+400
+00:30:06,560 --> 00:30:11,080
+تبعه طبعا مش ما هواش verbal ما بياخدش شفرة و بياخد 
+
+401
+00:30:11,080 --> 00:30:15,180
+text الـ text هذا هل هو artificial language ولا
+
+402
+00:30:15,180 --> 00:30:16,340
+natural language؟
+
+403
+00:30:18,650 --> 00:30:23,290
+هو artificial language المهم بياخد الـ program اللي
+
+404
+00:30:23,290 --> 00:30:27,670
+كتبه بهذه اللغة اللغة البرمجة وايه بيعطيلك output
+
+405
+00:30:27,670 --> 00:30:33,210
+بيعطيك program آخر مكتوب برضه بلغة برمجة آخر اللي
+
+406
+00:30:33,210 --> 00:30:36,650
+هي الـ assembly أو اللي هو الـ machine code صح؟
+
+407
+00:30:37,340 --> 00:30:40,720
+أحيانا الـ Language Processing Systems ما بيطلعش
+
+408
+00:30:40,720 --> 00:30:44,360
+.. يعني شغلانته مش عملي ترجمة من لغة إلى لغة، زي
+
+409
+00:30:44,360 --> 00:30:47,340
+ما قلت قبل هي كان شغلانته أنه بياخد Text و
+
+410
+00:30:47,340 --> 00:30:50,440
+بيستنبط منه Information بيعطيلك في الـ بيعطيلك
+
+411
+00:30:50,440 --> 00:30:53,900
+في الـ output Information خلّيني أطلع على الـ 
+
+412
+00:30:53,900 --> 00:30:57,320
+Architecture تبع الـ Architecture of Language
+
+413
+00:30:57,320 --> 00:31:01,660
+Processing Systems وبعدين بديك تقوللي هو أي واحد
+
+414
+00:31:01,660 --> 00:31:06,040
+من الـ Architecture اللي شوفناهم قبل ما نحكي عن الـ 
+
+415
+00:31:06,040 --> 00:31:10,380
+Application Tribes شوفنا الـ Architecture صح؟ فهو
+
+416
+00:31:10,380 --> 00:31:15,060
+أنهي واحد منهم أطلع عليه أولا بصفة عامة كيف كيف
+
+417
+00:31:15,060 --> 00:31:18,080
+التركيبة تبعته أنه هي الـ source language
+
+418
+00:31:18,080 --> 00:31:25,260
+instructions اللي هم مين هدول هذا الـ source بخش على
+
+419
+00:31:25,260 --> 00:31:29,340
+الـ compiler بس أول شيء بيجي اللي هو الـ translator 
+
+420
+00:31:29,340 --> 00:31:34,180
+أضيفته يفحص الـ syntax ويفحص الـ semantics ويعمل 
+
+421
+00:31:34,180 --> 00:31:39,440
+generate .. generate لإيش؟ generate مش للfinal
+
+422
+00:31:39,440 --> 00:31:44,460
+output بيعمل generate لـ instructions
+
+423
+00:31:44,460 --> 00:31:50,160
+بتقدر تقول إنها intermediate representation يعني
+
+424
+00:31:50,160 --> 00:31:54,660
+بصيغة وسيطة ماهي الصيغة اللي بيفهمها المعالج
+
+425
+00:31:54,660 --> 00:31:59,120
+احنا المفروض الـ compiler بيطلع الـ machine code
+
+426
+00:31:59,120 --> 00:32:04,790
+اللي بيفهمها المعالج لكن عادة الـ translator شغله 
+
+427
+00:32:04,790 --> 00:32:10,450
+بيكون لسه وسيط يعني بيطلع الـ instructions وسيطة
+
+428
+00:32:10,450 --> 00:32:15,350
+لأن بيجي الـ interpreter اللي هو بده ينفذ الأوامر
+
+429
+00:32:15,350 --> 00:32:19,990
+هذه بيحولها من الوسيط إلى النهائي وبنفذها fetch
+
+430
+00:32:19,990 --> 00:32:25,440
+and execute okay لأن executing الـ instructions هذا
+
+431
+00:32:25,440 --> 00:32:28,780
+امتى بيحصل؟ أثناء تشغيل البرنامج، خلاص احنا حولنا
+
+432
+00:32:28,780 --> 00:32:34,040
+وطلع الـ output فعند تشغيل البرنامج بيش؟ بتتنفذ الـ
+
+433
+00:32:34,040 --> 00:32:37,520
+instructions أثناء تنفيذ البرنامج، البرنامج بحتاج
+
+434
+00:32:37,520 --> 00:32:42,840
+input فبتيجيله الـ data من مين هنا؟ من الـ user
+
+435
+00:32:42,840 --> 00:32:45,360
+الـ user بيعطي الـ data و الـ user بيستخدم الـ results
+
+436
+00:32:45,360 --> 00:32:49,120
+تبع البرنامج فهذا الكلام على مستوى التنفيذ هذا
+
+437
+00:32:49,120 --> 00:32:54,100
+المستوى الكلام على مستوى الترجمة ترجمة شغل الـ
+
+438
+00:32:54,100 --> 00:32:58,780
+compiler okay طيب الآن الـ components تبع الـ
+
+439
+00:32:58,780 --> 00:33:04,880
+compiler بدي أنا انتقل على يعني هذه الرسمة بتلخص
+
+440
+00:33:04,880 --> 00:33:06,640
+كل الـ slides اللي قبل
+
+441
+00:33:11,750 --> 00:33:19,770
+ما بين ما بين الـ input ما يدخل هذا يشق الـ input
+
+442
+00:33:19,770 --> 00:33:26,350
+اللي هو الـ file اللي كتبه المبرمج وما بين ما يطلع
+
+443
+00:33:26,350 --> 00:33:36,910
+الـ output اللي هو الـ file الـ
+
+444
+00:33:36,910 --> 00:33:42,780
+الـ binary code اللي هو الـ machine code okay إيش
+
+445
+00:33:42,780 --> 00:33:46,800
+العملية اللي بتتم؟ Lexical Analysis, Syntactic
+
+446
+00:33:46,800 --> 00:33:50,380
+Analysis, Semantic Analysis, Code Generation هذه
+
+447
+00:33:50,380 --> 00:33:58,220
+اللي هي .. هذه وظيفة الـ compiler في
+
+448
+00:33:58,220 --> 00:34:02,940
+الأربع خطوات هدولة هذا الـ M كـ Architecture حياته
+
+449
+00:34:02,940 --> 00:34:07,400
+بسيط جدا، very simple بيقدر نصنفه أنه Layered ولا
+
+450
+00:34:07,400 --> 00:34:18,770
+.. ولا إيش؟ و الـ mvc و الـ pipeline box and pipe
+
+451
+00:34:18,770 --> 00:34:21,890
+pipeline
+
+452
+00:34:21,890 --> 00:34:29,070
+لأن و أنا في عندي الـ input خش على مرحلة ان عمل
+
+453
+00:34:29,070 --> 00:34:35,970
+عليه شغل طلع دخل على process تانية عملت عليه شغلها
+
+454
+00:34:35,970 --> 00:34:39,430
+لاحظ انه مافيش يعني هاد الأسهم في اتجاه واحد مافيش
+
+455
+00:34:39,430 --> 00:34:43,870
+إنك تتفكر انه layered ان هو هاد بعد ما بياخد بيعطي
+
+456
+00:34:43,870 --> 00:34:47,450
+وبياخد إن هدولة layers وبياخد .. لأ هاد قالية
+
+457
+00:34:47,450 --> 00:34:52,350
+عمل جاي في اتجاه واحد في اتجاه واحد الآن هنا عبارة
+
+458
+00:34:52,350 --> 00:34:57,400
+عن مكون مساعد اللي هو الـ symbol table و الـ syntax
+
+459
+00:34:57,400 --> 00:35:01,540
+الـ Tree هذه عبارة عن .. خلي بالك إن هي الشكل الـ
+
+460
+00:35:01,540 --> 00:35:06,920
+box هذا مضلع ماهو oval إيش يعني؟ هو عملية ولا
+
+461
+00:35:06,920 --> 00:35:13,190
+هو ..؟ بيانات بيانات اه فهو فعلا هو مش عملية هو
+
+462
+00:35:13,190 --> 00:35:17,110
+عبارة عن بيانات اثناء عملية الترجمة الـ compiler
+
+463
+00:35:17,110 --> 00:35:20,210
+بيحتفظ بحاجة اسمه الـ symbol table و الـ syntax tree
+
+464
+00:35:20,210 --> 00:35:25,050
+يشتغل عليها طول الوقت وحتى الاربع مكونات تبعوته
+
+465
+00:35:25,050 --> 00:35:30,310
+ياخدوا ويعطوا منها ياخدوا ويعطوا منها لحد ما تكتمل
+
+466
+00:35:30,310 --> 00:35:35,070
+العملية Okay فهذا الـ .. الـ .. الـ pipe and filter
+
+467
+00:35:35,070 --> 00:35:39,110
+compiler architecture هو الـ .. الـ .. الـ
+
+468
+00:35:39,110 --> 00:35:42,550
+architecture اللي مناسب لـ او اللي بيشتغل على
+
+469
+00:35:42,550 --> 00:35:49,850
+أساسه الـ compiler تمام؟ أحيانا ممكن الـ language
+
+470
+00:35:49,850 --> 00:35:54,650
+processing system يستخدم architecture تاني اللي هو
+
+471
+00:35:54,650 --> 00:35:59,870
+repository architecture تذكروا لما احنا كنا طرحنا
+
+472
+00:35:59,870 --> 00:36:04,490
+هذا الـ architecture إيش كان المثال عليه لما طرحنا
+
+473
+00:36:04,490 --> 00:36:08,540
+repository architecture؟ تتذكروا الـ repository
+
+474
+00:36:08,540 --> 00:36:12,260
+architecture والمثال اللي انطرح عليه اللي هو الـ
+
+475
+00:36:12,260 --> 00:36:16,020
+IDE الـ integrated development environment قلنا انه
+
+476
+00:36:16,020 --> 00:36:18,580
+البرنامج اللي انت مستخدمه في كتابة الـ code او
+
+477
+00:36:18,580 --> 00:36:24,540
+تصميم البرامج بيشتغل على هيكلية او نظام الـ
+
+478
+00:36:24,540 --> 00:36:27,540
+repository لأنه البرنامج تبعك و الـ code اللي انت
+
+479
+00:36:27,540 --> 00:36:34,940
+بتكتبه بيتخزن في الـ folder تبع الـ project و مختلف
+
+480
+00:36:34,940 --> 00:36:39,860
+مكونات الـ IDE بتاخد .. بتجرى منه وبتشتغل عليه
+
+481
+00:36:39,860 --> 00:36:43,680
+فبرضه الـ compiler ممكن يشتغل بهذه الطريقة بمعنى
+
+482
+00:36:43,680 --> 00:36:47,220
+إيش أنت كاتب .. أنت بتكتب برنامج قاعد .. أنت كاتب
+
+483
+00:36:47,220 --> 00:36:50,240
+برنامج و البرنامج اللي بدأك تترجمه و أنت كتبت و
+
+484
+00:36:50,240 --> 00:36:53,680
+خلصت يعني استخدمت الـ .. إيش الـ IDE في كتابة
+
+485
+00:36:53,680 --> 00:36:55,260
+البرنامج و البرنامج تبعك تمام
+
+486
+00:37:00,300 --> 00:37:07,100
+ممكن تتخيل ان الـ repository بتحتوي على الـ code
+
+487
+00:37:07,100 --> 00:37:19,980
+تبعك و الـ grammar تبع الـ language و
+
+488
+00:37:19,980 --> 00:37:20,960
+الـ code تبعك
+
+489
+00:37:23,410 --> 00:37:28,090
+المختلف المكونات التانية زي مثلا انت عندك هنا الـ
+
+490
+00:37:28,090 --> 00:37:31,370
+editor عشان تكتب البرنامج كتبت البرنامج الآن الـ
+
+491
+00:37:31,370 --> 00:37:36,930
+lexical analyzer بده يتحقق من الـ lexical صحة الـ
+
+492
+00:37:36,930 --> 00:37:41,860
+code تبعك من ناحية الـ Lexical الـ syntax برضه من
+
+493
+00:37:41,860 --> 00:37:45,200
+ناحية الـ syntax كلهم بدهم ياخدوا الـ code و .. و بـ
+
+494
+00:37:45,200 --> 00:37:48,300
+.. استنادا إلى الـ grammar definition و يتحققوا من
+
+495
+00:37:48,300 --> 00:37:51,660
+الـ .. و .. و يشتغلوا على الـ code تبعك أثناء شغلهم
+
+496
+00:37:51,660 --> 00:37:56,300
+بي .. بيبقى تتكون الـ abstract syntax tree و بيبقى
+
+497
+00:37:56,300 --> 00:37:59,500
+تتكون الـ symbol table و ايه ما بيبقى تتكون الـ ..
+
+498
+00:37:59,500 --> 00:38:03,420
+اللي هي الـ output definitions فكل الأطراف المختلفة
+
+499
+00:38:05,180 --> 00:38:09,480
+اللي بيطول عليها عمل الـ compiler بدل ما إن واحد
+
+500
+00:38:09,480 --> 00:38:15,220
+بيستلم من التاني أصبحوا كلهم بيشتغلوا في آخر واحد
+
+501
+00:38:15,220 --> 00:38:21,780
+أثناء ما انت بتشتغل على البرنامج يعني بدل ما انت
+
+502
+00:38:21,780 --> 00:38:26,040
+تفكر ان البرنامج انت مخلصه و بدك تدخله على الـ
+
+503
+00:38:26,040 --> 00:38:31,100
+compiler لأ انت و انت بتشتغل في اي لحظة اكملت
+
+504
+00:38:31,100 --> 00:38:35,680
+جزئية من الـ system من البرنامج تبعك و قررت انك انت
+
+505
+00:38:35,680 --> 00:38:39,930
+تفحصه إذا كان من ناحية الـ compiler بيعمل
+
+506
+00:38:39,930 --> 00:38:46,710
+compilation ولا لأ فلما تقرر تفحصه المجموعة ده
+
+507
+00:38:46,710 --> 00:38:51,430
+كلها بتشتغل على الـ code اللي انت كتبته علشان تعمله
+
+508
+00:38:51,430 --> 00:38:55,510
+compilation إن عمل compilation بقول ان انت تمام
+
+509
+00:38:55,510 --> 00:38:59,250
+وبتروح بتزيد عليه كمان و بتحط كمان more functions
+
+510
+00:38:59,250 --> 00:39:03,840
+وبتضيف وبتروح في المرة التانية انك انت تعمل
+
+511
+00:39:03,840 --> 00:39:07,700
+compilation فبيشتغلوا كلهم عليه مرة أخرى ففي هذا
+
+512
+00:39:07,700 --> 00:39:10,660
+الأسلوب من العمل بيكون الأنسب اللي هو الـ
+
+513
+00:39:10,660 --> 00:39:11,760
+repository
+
+514
+00:39:13,810 --> 00:39:17,650
+تمام احنا هيك بنكون طلعنا على النوعين اللي هو الـ
+
+515
+00:39:17,650 --> 00:39:20,210
+information systems و الـ .. و الـ language
+
+516
+00:39:20,210 --> 00:39:22,770
+processing systems وشوفنا الـ architecture تبعه
+
+517
+00:39:22,770 --> 00:39:26,170
+انهم الـ information systems الـ architecture تبعه
+
+518
+00:39:26,170 --> 00:39:29,230
+layered و الـ language processing system الـ
+
+519
+00:39:29,230 --> 00:39:36,550
+architecture تبعه ممكن يكون pipe او يكون برضه
+
+520
+00:39:36,550 --> 00:39:39,730
+repository ماشي اعطيكم العافية
diff --git a/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/3jt1Rdr_34w_raw.srt b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/3jt1Rdr_34w_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..8039c2a84f6e25036f5e3954b6ce75346f59d0af
--- /dev/null
+++ b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/3jt1Rdr_34w_raw.srt
@@ -0,0 +1,2080 @@
+1
+00:00:21,580 --> 00:00:23,780
+بسم الله الرحمن الرحيم الصلاة والسلام على أشرف
+
+2
+00:00:23,780 --> 00:00:29,060
+المرسلين اليوم ان شاء الله بدنا نكمل إلى آخر
+
+3
+00:00:29,060 --> 00:00:32,560
+الموضوع اللي بدأنا فيه موضوع ال architectural
+
+4
+00:00:32,560 --> 00:00:39,110
+design وكنا شفنا يعنيمثلة ال decisions design
+
+5
+00:00:39,110 --> 00:00:42,210
+decisions وشوفنا ال views وشوفنا ال patterns
+
+6
+00:00:42,210 --> 00:00:44,650
+واليوم اللي هنبدأ فيه اللي هو ال application
+
+7
+00:00:44,650 --> 00:00:49,310
+architectures اللي نقصد فيها اللي هم ال .. بعض ال
+
+8
+00:00:49,310 --> 00:00:52,650
+applications الشائعة وإيش ال architectures تبعتها
+
+9
+00:00:52,650 --> 00:01:02,950
+باشي خلينا نروح لل slides هذا
+
+10
+00:01:02,950 --> 00:01:06,390
+.. هذا كله كان عن ال patterns اللي حاكي و هنا
+
+11
+00:01:12,220 --> 00:01:14,840
+بدأنا نحكي عن اللي هو ال application architectures
+
+12
+00:01:14,840 --> 00:01:21,850
+كان فيه مجموعة من ال application typesال data
+
+13
+00:01:21,850 --> 00:01:25,050
+processing applications وال transaction processing
+
+14
+00:01:25,050 --> 00:01:28,070
+applications وال event processing systems وال
+
+15
+00:01:28,070 --> 00:01:32,210
+language processing systems حكينا يعني وضحنا إيش
+
+16
+00:01:32,210 --> 00:01:36,190
+هذه الأربع أنواع هذه أربع أنواع الشائعة يعني لا
+
+17
+00:01:36,190 --> 00:01:41,150
+تضم كافة أنواع ال software systems إنما أكتر أنواع
+
+18
+00:01:41,150 --> 00:01:48,620
+شائعةوبعد ذلك قلنا اننا ناخد اتنين منهم اللي هم ال
+
+19
+00:01:48,620 --> 00:01:50,820
+transaction processing systems و ال language
+
+20
+00:01:50,820 --> 00:01:53,540
+processing systems و نطلع على ال architecture
+
+21
+00:01:53,540 --> 00:01:58,330
+سبعتهم، صحيح؟Okay بالنسبة لـ Transaction
+
+22
+00:01:58,330 --> 00:02:01,630
+Processing Systems أول إشي شو المقصود يعني بال
+
+23
+00:02:01,630 --> 00:02:04,190
+Transaction احنا كنا حكينا إيش يعني Transaction
+
+24
+00:02:04,190 --> 00:02:08,250
+Processing System بس للمراجعة يعني يقصد بيها اللي
+
+25
+00:02:08,250 --> 00:02:12,230
+هي أي applications ال user بيعمل request
+
+26
+00:02:12,230 --> 00:02:16,460
+لinformationوبتجيله .. بينعمل processing لهذا ال
+
+27
+00:02:16,460 --> 00:02:20,220
+request وبيجيله response يعني مثلا على سبيل المثال
+
+28
+00:02:20,220 --> 00:02:26,840
+هنا طارح مثال اللي هو لو أنت بدك تبحث عن تذاكر ..
+
+29
+00:02:26,840 --> 00:02:30,860
+أسعار تذاكر طيرات أو رحلات من مكان إلى مكان، من
+
+30
+00:02:30,860 --> 00:02:35,710
+مطار كذا إلى مطار كذاOkay فال request تبعك ال user
+
+31
+00:02:35,710 --> 00:02:38,810
+اللي بيحط .. ال request اللي بيحطه ال user بيجتمل
+
+32
+00:02:38,810 --> 00:02:43,850
+على المكان المغارة .. المطار المغادرة و ال .. و
+
+33
+00:02:43,850 --> 00:02:47,690
+الوجهة و إذا كان هو راكب واحد ولا أكتر و إذا كان
+
+34
+00:02:47,690 --> 00:02:53,330
+trip بوجهة واحدة ولا round trip و إيش الفئة first
+
+35
+00:02:53,330 --> 00:02:56,960
+class ولا second class ولا economy ولاالمهم هذا ال
+
+36
+00:02:56,960 --> 00:03:00,120
+request يشتغل على البيانات اللي هو المواطيات اللي
+
+37
+00:03:00,120 --> 00:03:05,080
+عنده و ال system بيعمل processing هذا هو الآن ليش
+
+38
+00:03:05,080 --> 00:03:08,320
+اتر transaction بيعمله processing معالجة علشان
+
+39
+00:03:08,320 --> 00:03:12,120
+يجيبله مجموعة
+
+40
+00:03:12,120 --> 00:03:17,320
+الرحلات اللي بي .. مناسبة او بتطابق هذه الشروط او
+
+41
+00:03:17,320 --> 00:03:21,760
+بتطابق هذه المطلبات فهذا عبارة عن مثال ل
+
+42
+00:03:21,760 --> 00:03:27,350
+transaction processing systemOkay فالان الامر هذا
+
+43
+00:03:27,350 --> 00:03:30,110
+عادة بيكون في users و ال users شغالين
+
+44
+00:03:30,110 --> 00:03:34,030
+asynchronously يعني في أوقات متباينة في بعض منهم
+
+45
+00:03:34,030 --> 00:03:41,470
+بيشغالين في نفس الوجهة و في بعدين في جبل فال
+
+46
+00:03:41,470 --> 00:03:45,650
+system بيتعامل مع هذا العدد من ال users و مع
+
+47
+00:03:45,650 --> 00:03:51,840
+اختلاف اللي هو ال request تبعتهمماشي الحال فاتفجنا
+
+48
+00:03:51,840 --> 00:03:56,500
+على ان وين ما بنحكي عن transaction بنحكي عن بيانات
+
+49
+00:03:56,500 --> 00:04:01,300
+بيعطيها ال user و ال system بيعمل بحثة و بيعمل
+
+50
+00:04:01,300 --> 00:04:05,760
+processing لهذه البيانات و بيرجع output عليها okay
+
+51
+00:04:05,760 --> 00:04:09,380
+ففي الآخر ال transaction processing system is an
+
+52
+00:04:09,380 --> 00:04:14,740
+information system information system صح؟Okay و
+
+53
+00:04:14,740 --> 00:04:18,160
+معظم ال systems اللي احنا عادة نحكم فيها بتبقى
+
+54
+00:04:18,160 --> 00:04:20,960
+information systems و اي information system بيبقى
+
+55
+00:04:20,960 --> 00:04:25,160
+غالبا او لازم لازم مش غالبا لازم يكون في database
+
+56
+00:04:25,160 --> 00:04:33,440
+لتخزين ال information okay فالان الهيكالية عمل ال
+
+57
+00:04:33,440 --> 00:04:36,300
+transaction processing system او خليني اقول ال
+
+58
+00:04:36,300 --> 00:04:42,920
+structure هيكاليته انه بيبقى فيه عندناو جزء من الـ
+
+59
+00:04:42,920 --> 00:04:46,160
+system بيتعامل مع ال input و ال output اللي هو
+
+60
+00:04:46,160 --> 00:04:50,540
+الواجهة تبع ال user ال user بتعامل معاهد جزئية من
+
+61
+00:04:50,540 --> 00:04:54,540
+ال system هي اللي من خلالها ال user بيعطي input لل
+
+62
+00:04:54,540 --> 00:04:58,320
+system و هي الواجهة من خلالها ال user بيستلم او
+
+63
+00:04:58,320 --> 00:05:01,440
+بيشوف و بتلقى ال output تبع ال system ال output
+
+64
+00:05:01,440 --> 00:05:07,900
+اللي هي اما صفحة او كشف اه الآن ال user لما بيعمل
+
+65
+00:05:07,900 --> 00:05:13,170
+inputوالسهم هذا بيكون في هذا الاتجاه سهم طبعا في
+
+66
+00:05:13,170 --> 00:05:15,910
+الاتجاهين لو أنت لاحظت في الاتجاهين وهذا أشياء
+
+67
+00:05:15,910 --> 00:05:20,730
+طبيعية إذا كان هذه input output بيبتعطي وبتاخد صح؟
+
+68
+00:05:20,730 --> 00:05:23,810
+وهذه ال database بيبقى هي بتاخد وبتعطي في نفس
+
+69
+00:05:23,810 --> 00:05:27,550
+الوقت فلما يكون في هذا الاتجاه ال user بيعطي ال
+
+70
+00:05:27,550 --> 00:05:31,990
+input تبعه بس ال input هذا بيروحش مباشرة إلى ال
+
+71
+00:05:31,990 --> 00:05:37,890
+database بيبقى فيه في النص اللي هو جهة المكونات
+
+72
+00:05:37,890 --> 00:05:41,480
+هذولة المكون الأولانيالـ Application Logic يُقصد
+
+73
+00:05:41,480 --> 00:05:45,420
+في الجزء من الـ system اللي بيقوم عمليات على يعني
+
+74
+00:05:45,420 --> 00:05:48,920
+هذه ال input غالبا ما بيخشش على ال database زي ما
+
+75
+00:05:48,920 --> 00:05:53,220
+هو بنعمل هنا processing بالظبط هنا ال application
+
+76
+00:05:53,220 --> 00:05:57,740
+logic هو باختصار ابقى عن اما mathematical أو
+
+77
+00:05:57,740 --> 00:06:00,180
+logical operations
+
+78
+00:06:04,770 --> 00:06:10,030
+تمام؟ إما عملية حسابية أو عملية منطقية F ومقارنات
+
+79
+00:06:10,030 --> 00:06:16,370
+وكذا على أساس ال data يتدخل على ال database بعد ما
+
+80
+00:06:16,370 --> 00:06:21,030
+يكون عملت عليها ال ..العمليات هذه أحياناً برضه
+
+81
+00:06:21,030 --> 00:06:25,250
+العمليات هذه بتكون كيف عشان نتحقق من ان ال data
+
+82
+00:06:25,250 --> 00:06:28,510
+اللي دخلها ال user سليمة اه يعني ممكن تبقى
+
+83
+00:06:28,510 --> 00:06:31,630
+mathematical او logical operations لل validation
+
+84
+00:06:31,630 --> 00:06:34,510
+لغرض ال validation او ال verification ان ال user
+
+85
+00:06:34,510 --> 00:06:38,090
+مادخلش garbage عشان مانه يودي garbage على ال
+
+86
+00:06:38,090 --> 00:06:45,450
+database صح؟الان بعد ذلك اذا ال input اللى يودى ال
+
+87
+00:06:45,450 --> 00:06:49,710
+user او ال request ماهو ال request في النهاية ماهو
+
+88
+00:06:49,710 --> 00:06:53,050
+احنا قلنا هي عبارة عن معطيات اذا ال request اللى
+
+89
+00:06:53,050 --> 00:06:57,110
+طلع user سليم يبقى الان في حاجة اسمها transaction
+
+90
+00:06:57,110 --> 00:07:00,890
+manager ال transaction manager هو زي احيانا ما
+
+91
+00:07:00,890 --> 00:07:04,790
+نسميه query processorالـ Query Processor ده جزء من
+
+92
+00:07:04,790 --> 00:07:07,690
+ال database management system يعني انا ممكن اتخيل
+
+93
+00:07:07,690 --> 00:07:10,790
+هدول الواحدتين هيك يعني ايش الواحدتين هدول ال
+
+94
+00:07:10,790 --> 00:07:15,670
+database database نفسها اللي هي المستودع اللي
+
+95
+00:07:15,670 --> 00:07:19,650
+بتخزن فيه البيانات ونظام ال management تبع ال
+
+96
+00:07:19,650 --> 00:07:24,090
+database database management systemأه هدول
+
+97
+00:07:24,090 --> 00:07:26,430
+الوحدتين بيشكلوا ال database management system مع
+
+98
+00:07:26,430 --> 00:07:30,890
+بعض ال transaction manager هو اللي بده يجم بعملية
+
+99
+00:07:30,890 --> 00:07:36,730
+تنفيذ ال query تنفيذ ال query يعني هنا ال input
+
+100
+00:07:36,730 --> 00:07:40,730
+تبع ال user دخل كاستهلام الاستهلام هذا بيجي فيه
+
+101
+00:07:40,730 --> 00:07:43,870
+جزء من ال database management system اللي يعمل
+
+102
+00:07:43,870 --> 00:07:47,710
+processing عشان يروح يجيب ال data ويجيبها مظبوطة
+
+103
+00:07:47,710 --> 00:07:52,230
+من ال tables السليمة تبعتها ويجمع ال data و بعدين
+
+104
+00:07:52,230 --> 00:07:56,000
+يطلعالـ output و ال output هذا ربما برضه ينعمل
+
+105
+00:07:56,000 --> 00:08:00,800
+عليه نوع من ال processing قبل ما يصل أو ينعرض على
+
+106
+00:08:00,800 --> 00:08:05,060
+.. و غالبا لازم ينعمل عليه processing قبل ما ينعرض
+
+107
+00:08:05,060 --> 00:08:16,610
+على ال userOkay فهذه سلسلة القالي اتعمل وكل مرحلة
+
+108
+00:08:16,610 --> 00:08:20,970
+في السلسلة هذه بتقدر تعتبرها عبارة عن مكون من
+
+109
+00:08:20,970 --> 00:08:24,230
+مكونات ال information ال transaction processing
+
+110
+00:08:24,230 --> 00:08:31,770
+system تمام على سبيل المثال ال ATM ال ATM ايش ال
+
+111
+00:08:31,770 --> 00:08:36,800
+ATM اللي صداعف القاليالـ Automated Teller Machine
+
+112
+00:08:36,800 --> 00:08:42,560
+هي مثال آخر للـ Transaction Processing System الـ
+
+113
+00:08:42,560 --> 00:08:46,660
+user وهو جاعد على هنا ال user جاعد على الماكينة ال
+
+114
+00:08:46,660 --> 00:08:51,040
+machine نفسها تمام أمام ال user الشاشة اللي أمام
+
+115
+00:08:51,040 --> 00:08:55,420
+ال user من خلالها هو أو الماكينة نفسها ومن خلالها
+
+116
+00:08:55,420 --> 00:08:59,420
+أو الشاشة يعني ال consoleمن خلاله بيعطي input و
+
+117
+00:08:59,420 --> 00:09:04,520
+بياخد output فبدأ من انه يعطي ال account ID تبعته
+
+118
+00:09:04,520 --> 00:09:08,920
+ال machine بتروح بتعمل validation ال validation
+
+119
+00:09:08,920 --> 00:09:15,380
+هذا جزء من ال business logic وبعد هيك هو بيختار
+
+120
+00:09:15,380 --> 00:09:18,860
+ايش ال .. ايش ال ..هنا validation ال card يعني
+
+121
+00:09:18,860 --> 00:09:22,580
+تحقق من صحة ال card بعد ما يكون هذا سليم وهذا سليم
+
+122
+00:09:22,580 --> 00:09:27,140
+بيقدر هو يطلب واحدة من ال services الخدمات هل صاحب
+
+123
+00:09:27,140 --> 00:09:31,480
+هل إيداع هل مجرد استعلام اشي اللي بدي أسويه حسب ال
+
+124
+00:09:31,480 --> 00:09:37,510
+bank تبعه اشيبيسمح يعنى okay الان لما هو بيختار ال
+
+125
+00:09:37,510 --> 00:09:41,250
+service ال service هذه تترجم الى query الى استخدام
+
+126
+00:09:41,250 --> 00:09:48,370
+طلب يعني على ال .. على ال .. على ال data و ال .. و
+
+127
+00:09:48,370 --> 00:09:51,570
+أحيانا ممكن تبقى ال query هذه أبراعا لو كانت عملية
+
+128
+00:09:51,570 --> 00:09:56,250
+سحب ال query هذه بتتحول إلى عملية خصم من حساب و
+
+129
+00:09:56,250 --> 00:10:01,760
+إضافة على حساب آخرالـ Query هنا تشمل كافة الـ
+
+130
+00:10:01,760 --> 00:10:04,940
+Services في الآخر تترجم إلى Query سواء كانت الـ
+
+131
+00:10:04,940 --> 00:10:09,320
+Service هي استعلام فقط أو سحب أو إيداع في الآخر هي
+
+132
+00:10:09,320 --> 00:10:13,320
+تعبر عنها باقى Query الـ Query هذه بتنفذ و طبعا
+
+133
+00:10:13,320 --> 00:10:18,040
+نتيجة تنفيذها بيحصل update لل account تبع ال user
+
+134
+00:10:18,040 --> 00:10:24,740
+لأنه إما تضاف أو تخصم من حسابه هذا الكلام الآن هذا
+
+135
+00:10:24,740 --> 00:10:29,790
+الكلام الآن بتموينمش في الماكينة نفسها بتم في ال
+
+136
+00:10:29,790 --> 00:10:33,530
+server تبع البنك تنفيذ ال query و updating ال
+
+137
+00:10:33,530 --> 00:10:37,090
+account بتتم على ال database العملية هذه بتتم على
+
+138
+00:10:37,090 --> 00:10:42,890
+ال databaseبتم على ال database تبع ال system فهنا
+
+139
+00:10:42,890 --> 00:10:46,410
+عملية ال input هنا ال processing هناك ال output
+
+140
+00:10:46,410 --> 00:10:50,310
+وين ما كانوا ال input بتم على ال ATM نفسه ال
+
+141
+00:10:50,310 --> 00:10:52,970
+processing بتم في ال database management system
+
+142
+00:10:52,970 --> 00:10:58,150
+والان ال output ال output طبعا من ناحية التانية
+
+143
+00:10:58,150 --> 00:11:02,550
+يعني بعد ما هو نفذ العملية بيجيله خيار انه بصرا
+
+144
+00:11:02,550 --> 00:11:06,900
+بدي اطبعيطلعله وصل إذا .. و بعد هيك ب .. برجعله
+
+145
+00:11:06,900 --> 00:11:10,800
+الكارتة و بعد هيك إذا هو ساحب الفلوس الماكينة
+
+146
+00:11:10,800 --> 00:11:14,500
+بتطلعله الفلوس بتطلع .. بتعدله ياهم و بتطلعليهم
+
+147
+00:11:14,500 --> 00:11:18,380
+برا okay فهذا مثال أخر على transaction processing
+
+148
+00:11:18,380 --> 00:11:21,560
+system و إن ال transaction .. ال transaction هو ال
+
+149
+00:11:21,560 --> 00:11:25,910
+service اللي طلبهاالـ user و ال service هذه بيعبر
+
+150
+00:11:25,910 --> 00:11:29,610
+عنها بـ query الـ query هذه بتنفذ من قبل ال
+
+151
+00:11:29,610 --> 00:11:32,950
+database management system على ال database و بتترك
+
+152
+00:11:32,950 --> 00:11:37,430
+أثر على ال account تبع ال user و ال output اللي
+
+153
+00:11:37,430 --> 00:11:43,470
+بيشوفه ال user هو ال details شاشة ال details أو
+
+154
+00:11:43,470 --> 00:11:48,730
+الورقة اللي فيها ال details و الفلوس ال cash تمام
+
+155
+00:11:48,730 --> 00:11:55,150
+فهذا اللي هو ال ..الـ Transaction الـ Transaction
+
+156
+00:11:55,150 --> 00:12:00,730
+Processing System بصفة عامة قلنا احنا ان ال
+
+157
+00:12:00,730 --> 00:12:05,430
+Transaction Processing System هو نوع من أنواع ال
+
+158
+00:12:05,430 --> 00:12:09,450
+Information System ال Information System صح؟ يعني
+
+159
+00:12:09,450 --> 00:12:12,910
+انا بقدر قاعد اقول ان ال Information System ال
+
+160
+00:12:12,910 --> 00:12:16,870
+Information Systems عموما بتفرع منها عدة أنواع
+
+161
+00:12:16,870 --> 00:12:20,610
+واحد منها اللي هو Transaction Processing Systemالـ
+
+162
+00:12:20,610 --> 00:12:22,950
+Information Systems الصفة عامة هذا الـ Generic
+
+163
+00:12:22,950 --> 00:12:26,070
+Architecture يمكن أن يكون مجتمعا في Layered
+
+164
+00:12:26,070 --> 00:12:27,410
+Architecture
+
+165
+00:12:29,180 --> 00:12:32,380
+هدول اللي هنا ال components أنا ممكن أنظر إليهم
+
+166
+00:12:32,380 --> 00:12:36,700
+على إن هم أيضا layers صح ولا لأ هذه layer وهذه
+
+167
+00:12:36,700 --> 00:12:40,100
+بتعتمد عليها وهذه بتعتمد عليها وهذه بتعتمد علي كل
+
+168
+00:12:40,100 --> 00:12:43,240
+واحدة منهم يعني أنا ممكن أحول الشكل هذا إليش إلى
+
+169
+00:12:43,240 --> 00:12:47,260
+شكل عمودي وتبقى ال database هي ال layer الأخيرة و
+
+170
+00:12:47,260 --> 00:12:52,440
+الأخريات فجهة تمام فال information systems عموما
+
+171
+00:12:53,570 --> 00:12:58,230
+Okay عادة ما تبقى برضه كمان فيها transaction based
+
+172
+00:12:58,230 --> 00:13:03,710
+systems فبيكون فيه database و إيش و transactions
+
+173
+00:13:03,710 --> 00:13:09,370
+بتتم عليها okay و عادة ما بتكون ال layers تبعت ال
+
+174
+00:13:09,370 --> 00:13:14,310
+information systems تحت على طول تحت بالغالب بيبقى
+
+175
+00:13:14,310 --> 00:13:20,210
+اللي هو system databaseبعد ذلك يكون هناك عملية
+
+176
+00:13:20,210 --> 00:13:24,690
+رتريفال وهي query processing لما كنا نتوكل في ال
+
+177
+00:13:24,690 --> 00:13:28,490
+transaction processing أخر شيء اللي هو query
+
+178
+00:13:28,490 --> 00:13:32,570
+processing هو transaction manager يعمل query
+
+179
+00:13:32,570 --> 00:13:39,070
+processingالـ information retrieval هي الـ layer
+
+180
+00:13:39,070 --> 00:13:42,810
+اللي بتعبر عن هذا الأمر بتعبر عن عملية اللي هو
+
+181
+00:13:42,810 --> 00:13:49,950
+إحضار وأيضا تخزين data في التسليم data للـللـ
+
+182
+00:13:49,950 --> 00:13:53,630
+database ال user communications اللي مقصود بيه هنا
+
+183
+00:13:53,630 --> 00:13:56,710
+مش ال business logic يعني انت ممكن تتخيل ال
+
+184
+00:13:56,710 --> 00:13:58,930
+business logic هنا في هذا لكن ال user
+
+185
+00:13:58,930 --> 00:14:02,130
+communications ان عادة ال systems اللي عنها بتبقى
+
+186
+00:14:02,130 --> 00:14:05,930
+distributed مابين ال database و مابين ال user
+
+187
+00:14:05,930 --> 00:14:08,790
+مابين الجهاز اللي موجود علي ال database و مابين
+
+188
+00:14:08,790 --> 00:14:12,880
+الجهاز اللي موجود علي ال user لأن فيه شبكةفال user
+
+189
+00:14:12,880 --> 00:14:17,760
+communications هذه عبارة عن الشبكة اللى بتوصل ال
+
+190
+00:14:17,760 --> 00:14:22,320
+user بمين بال database server okay وعلى ال layer
+
+191
+00:14:22,320 --> 00:14:26,640
+الأخيرة اللى هى ال user interface ال user
+
+192
+00:14:26,640 --> 00:14:30,060
+interface الواجهة اللى من خلالها ال user بيحط
+
+193
+00:14:30,060 --> 00:14:36,340
+input أو بياخد output من ال system okay
+
+194
+00:14:40,490 --> 00:14:50,270
+واضحة الاربع layers هذه Transaction
+
+195
+00:14:50,270 --> 00:14:52,950
+Management Database Transaction Management و
+
+196
+00:14:52,950 --> 00:14:56,450
+Database Information Retrieval and Modification كل
+
+197
+00:14:56,450 --> 00:14:59,370
+العمليات اللي يعني هنا في هذا ال layer بيصير
+
+198
+00:14:59,370 --> 00:15:02,790
+العملية وهنا في هذا ال layer بيصير تنفيذ العملية
+
+199
+00:15:02,790 --> 00:15:07,820
+على ال database في هذا ال layer ال user بيبيتم
+
+200
+00:15:07,820 --> 00:15:10,620
+الربط ما بين ال user interface و ما بين الباقي
+
+201
+00:15:10,620 --> 00:15:13,180
+يعني هنا ايش في عندي communication و
+
+202
+00:15:13,180 --> 00:15:16,260
+authentication طبعا ال authentication ده جزء من
+
+203
+00:15:16,260 --> 00:15:21,680
+عملية الربط لأنه مش احنا ربطنا معناته خلاص ال اي
+
+204
+00:15:21,680 --> 00:15:24,700
+user بيقدر يخش و يسوي اي حاجة لازم تبقى الربط
+
+205
+00:15:24,700 --> 00:15:28,700
+محكومة بإيش بال authorization و بال authentication
+
+206
+00:15:28,700 --> 00:15:35,520
+تمام
+
+207
+00:15:36,850 --> 00:15:42,570
+هذا مثال آخر برضه على ال information systems من
+
+208
+00:15:42,570 --> 00:15:46,870
+الموضوع اللي هو ال health care ال health care
+
+209
+00:15:46,870 --> 00:15:51,630
+system اللي حكينا فيه قبل هيكا تمام ال .. ال
+
+210
+00:15:51,630 --> 00:15:55,490
+system هذا شغال web .. web based فال interface
+
+211
+00:15:55,490 --> 00:15:59,250
+كلها تبعت اللي بتعامل معاها ال user web based هي
+
+212
+00:15:59,250 --> 00:16:03,490
+من خلال ال web browser العمليات اللي بتتم على هذه
+
+213
+00:16:03,490 --> 00:16:06,410
+ال layerاللي هي ال user communication اللي هي
+
+214
+00:16:06,410 --> 00:16:11,070
+عملية ال login عملية التأكد من ان هو ال role هنا
+
+215
+00:16:11,070 --> 00:16:18,950
+يعني ايش الدور اه ان هو معطق معطقله الدور هو يعني
+
+216
+00:16:18,950 --> 00:16:22,710
+معطقله دور محدد وبناء على هذا الدور هو صلاحياته
+
+217
+00:16:22,710 --> 00:16:26,490
+بتتحدد مابياخدش صلاحيات خارج الدور تبعه اذا هو
+
+218
+00:16:26,490 --> 00:16:31,910
+موظف استجبال فمحدود صلاحياته اذا هو مدير اذا هو
+
+219
+00:16:31,910 --> 00:16:37,860
+طبيبكل دور له مجموعة الصلاحيات تبعته ال form و ال
+
+220
+00:16:37,860 --> 00:16:41,060
+menu manager هذا اللي هو بيحدد ايش ال forms اللي
+
+221
+00:16:41,060 --> 00:16:44,080
+تطلعله و ايش ال menus اللي شوفها و العناصر اللي
+
+222
+00:16:44,080 --> 00:16:48,220
+فيها data validation لما هو بيدخل اي data .. اي
+
+223
+00:16:48,220 --> 00:16:52,980
+data على ال interface بيتبت تحقق منها من خلال
+
+224
+00:16:52,980 --> 00:16:57,860
+البرمجيات ال .. برمجيات ال validationعلى الـ layer
+
+225
+00:16:57,860 --> 00:17:01,500
+اللي بتاعت اللي هي مسألة ال security ومسألة اللي
+
+226
+00:17:01,500 --> 00:17:07,820
+هو ال .. ال patient بصفة عامة شو .. كيف ينجيب
+
+227
+00:17:07,820 --> 00:17:10,700
+البيانات تبعتهم يعني عملية ال retrieval ..
+
+228
+00:17:10,700 --> 00:17:14,240
+retrieval و update ل ال patientsعملية ال data
+
+229
+00:17:14,240 --> 00:17:17,460
+import و export اللي هي إذا كان ال system بدي طلع
+
+230
+00:17:17,460 --> 00:17:22,460
+data output ل other systems بدي طلع reports ولا
+
+231
+00:17:22,460 --> 00:17:28,480
+بدي طلع xml files ولا بدي طلع excel files ب format
+
+232
+00:17:28,480 --> 00:17:33,920
+آخر تمام هذا الآن عبارة عن input output صح ولكن مع
+
+233
+00:17:33,920 --> 00:17:38,360
+إيش مع الأطراف الخارجية مع ال systems خارجية وال
+
+234
+00:17:38,360 --> 00:17:41,040
+report generation طب ليش ال report generation ما
+
+235
+00:17:41,040 --> 00:17:44,470
+هو جاي هنا؟report generation ليش ما هو جاي هنا أو
+
+236
+00:17:44,470 --> 00:17:49,950
+جاي مع ال web browser مش هذا جزء من ال .. جزء من
+
+237
+00:17:49,950 --> 00:17:52,690
+ال output اللي بدي شوفه مش ال user اللي بدي شوف
+
+238
+00:17:52,690 --> 00:17:58,030
+output بالظبط لإن ال report generationبيحتوي على
+
+239
+00:17:58,030 --> 00:18:01,290
+عشان ت generate ال report لازم يصير query
+
+240
+00:18:01,290 --> 00:18:05,330
+processing لازم أول شي تصاغل ال query تاني شي تنفذ
+
+241
+00:18:05,330 --> 00:18:08,790
+تاني شي نجيب ال data تاني شي نعيد صياغة ال data
+
+242
+00:18:08,790 --> 00:18:12,490
+إذا فيها aggregation يعني بدنا نعمل summation أو
+
+243
+00:18:12,490 --> 00:18:15,610
+بدنا نعمل تجميع أو بدنا نعمل counting كل هذا
+
+244
+00:18:15,610 --> 00:18:20,890
+الكلاملازم يتنفذ على ال data جبل لسه ما ال data
+
+245
+00:18:20,890 --> 00:18:25,290
+تظهر على ال user فهنا ال report generation اقصد
+
+246
+00:18:25,290 --> 00:18:32,210
+ليه عمليات ال retrieval وهذه عملية متصلة مباشرة
+
+247
+00:18:32,210 --> 00:18:39,070
+بال databaseتمام الان ال .. بما انه احنا حكينا عن
+
+248
+00:18:39,070 --> 00:18:42,430
+ال .. في ال system هذا حكينا ان ال interface هنا
+
+249
+00:18:42,430 --> 00:18:46,130
+web based فهذا بدخلنا على ال web based information
+
+250
+00:18:46,130 --> 00:18:50,530
+systems يعني احنا بتسلسل معانا الحكي من انه بدينا
+
+251
+00:18:50,530 --> 00:18:52,510
+بال transaction systems و بعدين قلنا ان ال
+
+252
+00:18:52,510 --> 00:18:55,910
+transaction systems هذي هي information systems و
+
+253
+00:18:55,910 --> 00:18:58,610
+ال Arctic شرط بال information systems بصفة عامة هو
+
+254
+00:18:58,610 --> 00:19:04,250
+.. هو layeredOkay ثم بعدين في مثال ال .. ال health
+
+255
+00:19:04,250 --> 00:19:08,550
+care system هذا ال .. ال data .. ال interface كانت
+
+256
+00:19:08,550 --> 00:19:11,850
+web based فهذا دخلنا في موضوع ال web based
+
+257
+00:19:11,850 --> 00:19:15,670
+information systems احنا الآن عادة كثير من ال
+
+258
+00:19:15,670 --> 00:19:21,100
+information systems بتبقى web basedو هذا لسبب وجيه
+
+259
+00:19:21,100 --> 00:19:27,820
+جدا و هو ان احنا في ال interface بتكون لما تبقى
+
+260
+00:19:27,820 --> 00:19:33,280
+web based بيكون ايش؟ بيكون ال user متاح يستخدم ال
+
+261
+00:19:33,280 --> 00:19:37,400
+system من اي جهاز من اي مكان صح؟ يعني ممكن web
+
+262
+00:19:37,400 --> 00:19:42,820
+based يبقى جهازك Macintosh او جهازك PC او جهازك
+
+263
+00:19:42,820 --> 00:19:47,610
+Linux او احيان ال mobile او tablet بتدعم ال webفال
+
+264
+00:19:47,610 --> 00:19:53,270
+web interface بتعطي انتشار أوسع او flexibility
+
+265
+00:19:53,270 --> 00:19:58,350
+اكتر من ناحية اللي هو ال platform ان ال user بغض
+
+266
+00:19:58,350 --> 00:20:01,910
+النظر عن ال platform تبعه بيقدر يستخدم ال system
+
+267
+00:20:01,910 --> 00:20:06,190
+انما هي بتضلها طبعا ايش information system فاحنا
+
+268
+00:20:06,190 --> 00:20:11,390
+بيقول ان ال informationالـ information systems وفي
+
+269
+00:20:11,390 --> 00:20:14,810
+حد اسمه ال resource management systems are now
+
+270
+00:20:14,810 --> 00:20:18,970
+usually web based عادة ما بتكون web based systems
+
+271
+00:20:18,970 --> 00:20:23,490
+where بيكون ال interface are implemented as a web
+
+272
+00:20:23,490 --> 00:20:28,040
+.. using a web browserتمام؟ ومثال على ذلك اللي هو
+
+273
+00:20:28,040 --> 00:20:31,840
+اللي شوفناها قبل شوية ال health care system ومعظم
+
+274
+00:20:31,840 --> 00:20:35,200
+ال e-commerce بقى ربما كل ال e-commerce systems
+
+275
+00:20:35,200 --> 00:20:40,220
+الآن انت لو بدك تشتري اي سلعة على الفكرة عملية ال
+
+276
+00:20:40,220 --> 00:20:42,740
+e-commerce systems هذه برضه transaction systems
+
+277
+00:20:42,740 --> 00:20:46,580
+transaction based information systemsالـ E
+
+278
+00:20:46,580 --> 00:20:49,260
+-commerce system are internet based resource
+
+279
+00:20:49,260 --> 00:20:53,240
+management systems that accept electronic orders
+
+280
+00:20:53,240 --> 00:20:59,240
+انت بتقدم طلب طلبية مش طلب طلبية لسلعة او لخدمة
+
+281
+00:20:59,240 --> 00:21:03,240
+good or service و ال system بيعمل processing
+
+282
+00:21:03,240 --> 00:21:07,330
+لطلبية تبعتكفي الأول انت بتبقى بتستعلم فبيعطيك
+
+283
+00:21:07,330 --> 00:21:10,890
+خيارات بعد ما تختار بإيه هو بيعمل processing للإيش
+
+284
+00:21:10,890 --> 00:21:14,690
+للعملية المالية لل financial transaction او ال
+
+285
+00:21:14,690 --> 00:21:19,310
+accounting تبع ال .. و ب .. و بعد هيك بتحول الى ال
+
+286
+00:21:19,310 --> 00:21:23,450
+.. الارسال او البريد عشان يبعته لك ليه ف an e
+
+287
+00:21:23,450 --> 00:21:27,640
+-commerce systemفي الـ e-commerce system الـ
+
+288
+00:21:27,640 --> 00:21:31,800
+application specific layer اللي هي أبقى من ال
+
+289
+00:21:31,800 --> 00:21:42,020
+layer اللي .. اللي .. اللي هي وين؟ بصولي .. okay
+
+290
+00:21:42,020 --> 00:21:46,540
+اللي هي هنا ال layer هذه التانية احنا عندنا هنا ال
+
+291
+00:21:46,540 --> 00:21:51,520
+web ال interface layer و عندنا هنا هدولة هذه ال
+
+292
+00:21:51,520 --> 00:21:55,950
+layerهذا ال layer ال database وهذا ال layer بغض
+
+293
+00:21:55,950 --> 00:21:58,070
+النظر عن ايش ال application احنا فيها انها
+
+294
+00:21:58,070 --> 00:22:01,790
+database بتخدم مختلف ال applications اللي هيستخدم
+
+295
+00:22:01,790 --> 00:22:07,270
+عليها وهنا كذلك الحالة ممكن الآن على فوق فوق هدول
+
+296
+00:22:07,270 --> 00:22:09,950
+ال layers ينعمل application الف application بقى
+
+297
+00:22:09,950 --> 00:22:12,730
+application gene فال application specific layer
+
+298
+00:22:13,410 --> 00:22:18,890
+Okay في ال web-based systems بتشمل خدمات إضافية
+
+299
+00:22:18,890 --> 00:22:24,270
+إضافة إلى التشكيل ال forms و إظهار ال data أيضا
+
+300
+00:22:24,270 --> 00:22:29,670
+تشمل و إضافة إلى ال security صح تشمل أيضا اللي هي
+
+301
+00:22:29,670 --> 00:22:35,210
+آلية ال shopping آلية إجراء العملية المالية okay
+
+302
+00:22:35,210 --> 00:22:36,850
+ال shopping cart و العملية المالية
+
+303
+00:22:40,970 --> 00:22:45,670
+السيرفر على الناحية الأخرى في ال .. في ال e
+
+304
+00:22:45,670 --> 00:22:53,190
+-commerce systems السيرفر عادة ما بيبقى ايش one
+
+305
+00:22:53,190 --> 00:22:57,010
+system او اكتر one server او اكتر و في معظم
+
+306
+00:22:57,010 --> 00:23:02,370
+الحالات بيكون multi-tier multi-tier client server
+
+307
+00:23:02,370 --> 00:23:06,550
+احنا فاهمين ال client server بأن في عندي server و
+
+308
+00:23:06,550 --> 00:23:08,730
+في عندي one or more ايش
+
+309
+00:23:12,900 --> 00:23:18,460
+كل ال clients هدولة بيستفيدوا من خدمات ال server و
+
+310
+00:23:18,460 --> 00:23:22,560
+أحيانا ال server هذا بيبقوا server farm أدت server
+
+311
+00:23:22,560 --> 00:23:28,410
+صح؟ و ال clientsكل client محتاجة service تجيله من
+
+312
+00:23:28,410 --> 00:23:34,010
+الـ server المناسب هدول هكذا two tiers يعني طويتين
+
+313
+00:23:34,010 --> 00:23:38,250
+هذه طوية وهذه طوية وهذه طبقة وهذه طبقة أحيانا
+
+314
+00:23:38,250 --> 00:23:42,190
+بيبقى عندي multi tier يعني واحد اتنين او اكتر ربما
+
+315
+00:23:42,190 --> 00:23:46,790
+في طبقة تالتة وسيطة ما بين ال .. او مش بضرورة
+
+316
+00:23:46,790 --> 00:23:51,990
+وسيطة ممكن تبقى معاها اش اللي بيبقى عندنا هنا في
+
+317
+00:23:51,990 --> 00:23:55,970
+ال ..في ال web .. في ال web based information
+
+318
+00:23:55,970 --> 00:24:03,930
+systems وجهين دي ال web server هذا .. هذا
+
+319
+00:24:03,930 --> 00:24:11,810
+one tier و
+
+320
+00:24:11,810 --> 00:24:20,990
+فيه هنا ال database ال application server وش
+
+321
+00:24:20,990 --> 00:24:28,320
+التالتة؟database server او
+
+322
+00:24:28,320 --> 00:24:37,080
+where ال client ال client لسه برا المجموعة هذه ال
+
+323
+00:24:37,080 --> 00:24:42,440
+client ال client machine او ال client process اللي
+
+324
+00:24:42,440 --> 00:24:46,180
+بيستخدمها ال user برا ايش طيب التلاتة هدولة هم
+
+325
+00:24:46,180 --> 00:24:51,780
+بالعادة في ال client server بيكونواالـ client و
+
+326
+00:24:51,780 --> 00:24:55,840
+قدامه الـ server في
+
+327
+00:24:55,840 --> 00:24:59,300
+الـ web-based بيبقى ال client و قدامه المجموعة هذه
+
+328
+00:24:59,300 --> 00:25:03,500
+شو المجموعة هذه ال database server اللي هو عليه ال
+
+329
+00:25:03,500 --> 00:25:09,360
+database و عليه ال query processing ماشي طيب هدول
+
+330
+00:25:09,360 --> 00:25:15,580
+ليش وظيفتهم ال client عادة بتخاطبش مع هذا مباشرة
+
+331
+00:25:15,580 --> 00:25:21,940
+بتخاطب مع ال web-server مصبوط؟ صح؟بشوف الصفحات و
+
+332
+00:25:21,940 --> 00:25:25,540
+بشوف ال forms و بشوف ال output من خلال ال web
+
+333
+00:25:25,540 --> 00:25:31,100
+server كل ال communication بتتم http و على و بتجي
+
+334
+00:25:31,100 --> 00:25:36,360
+و بتروح و بتيجي ب html format مظبوط صح بال http
+
+335
+00:25:36,360 --> 00:25:41,540
+protocol ال web server عنده الصفحات بس الصفحات
+
+336
+00:25:41,540 --> 00:25:46,230
+غالبا تبقى dynamic يعني مافيش فيها dataأه ال
+
+337
+00:25:46,230 --> 00:25:50,390
+static بتكون صفحات ثابتة عليها فيها الكلام و فيها
+
+338
+00:25:50,390 --> 00:25:54,150
+الصور و فيها لايه ده و ثابتة لكن لما في ال
+
+339
+00:25:54,150 --> 00:25:57,370
+information system ال web server بيبقاش على ال
+
+340
+00:25:57,370 --> 00:26:01,900
+static data بيبدوا ال data من ليش؟من ال database
+
+341
+00:26:01,900 --> 00:26:05,220
+فالصفحات اللي فيها بتبقى dynamic لازم يكون في
+
+342
+00:26:05,220 --> 00:26:10,620
+connection مع ال database علشان هذا علشان تاخد ال
+
+343
+00:26:10,620 --> 00:26:14,660
+data من ال database فال web server ماعندوش آلية ال
+
+344
+00:26:14,660 --> 00:26:18,960
+communication مع ال بل على عكس كثير من صفحات ال
+
+345
+00:26:18,960 --> 00:26:22,440
+dynamic هذه are generated by ال application server
+
+346
+00:26:23,060 --> 00:26:26,380
+يعني انت في الآخر كمبرمج او ك software engineer
+
+347
+00:26:26,380 --> 00:26:29,880
+بتعمل ال application server او بتعمل ال
+
+348
+00:26:29,880 --> 00:26:33,180
+application تبعك على ال application server ع شكل
+
+349
+00:26:33,180 --> 00:26:39,480
+صفحات dynamic pages هذه الصفحات ال web server عنده
+
+350
+00:26:39,480 --> 00:26:43,460
+access عليها بطلبها ال user بطلب request ال
+
+351
+00:26:43,460 --> 00:26:45,620
+request بتحولها ال application server ال
+
+352
+00:26:45,620 --> 00:26:50,400
+application server بيعمل generate لا ال page ال
+
+353
+00:26:50,400 --> 00:26:55,460
+page هذه الآن اذا في dataجزء من .. جزء من الصفحة
+
+354
+00:26:55,460 --> 00:26:59,780
+بدي ييجي من ال database بي .. بييجي من ال .. بي ..
+
+355
+00:26:59,780 --> 00:27:05,900
+بينطلب من ال database تمام؟
+
+356
+00:27:05,900 --> 00:27:09,000
+و بتكتمل الصفحة بسلم ال application server الصفحة
+
+357
+00:27:09,000 --> 00:27:12,600
+لل web server و ال web server بيعرضها ل .. ال ..
+
+358
+00:27:15,180 --> 00:27:20,100
+الويب سيرفر هو المسؤول عن كل التعامل مع الهواتف
+
+359
+00:27:20,100 --> 00:27:22,320
+والهواتف التي تتعامل مع الهواتف التي تتعامل مع
+
+360
+00:27:22,320 --> 00:27:23,440
+الهواتف التي تتعامل مع الهواتف التي تتعامل مع
+
+361
+00:27:23,440 --> 00:27:24,580
+الهواتف التي تتعامل مع الهواتف التي تتعامل مع
+
+362
+00:27:24,580 --> 00:27:27,360
+الهواتف التي تتعامل مع الهواتف التي تتعامل مع
+
+363
+00:27:27,360 --> 00:27:27,740
+الهواتف التي تتعامل مع الهواتف التي تتعامل مع
+
+364
+00:27:27,740 --> 00:27:28,500
+الهواتف التي تتعامل مع الهواتف التي تتعامل مع
+
+365
+00:27:28,500 --> 00:27:29,320
+الهواتف التي تتعامل مع الهواتف التي تتعامل مع
+
+366
+00:27:29,320 --> 00:27:32,880
+الهواتف التي تتعامل مع الهواتف التي تتعامل مع
+
+367
+00:27:32,880 --> 00:27:37,970
+الهواتف التي تو ال database server هو اللي بيلبي
+
+368
+00:27:37,970 --> 00:27:42,770
+هذه العمليات بيجيب data أو بيحط data بناء على
+
+369
+00:27:42,770 --> 00:27:45,850
+العمليات اللي انطلبت منه من قبل ال application
+
+370
+00:27:45,850 --> 00:27:51,230
+server تمام؟ هذا اسمه multi-tier architecture صح؟
+
+371
+00:27:51,230 --> 00:27:51,610
+اسف
+
+372
+00:27:55,960 --> 00:27:59,160
+مالتي تير اركتكتوري اللي امامنا هنا تلاتة تير
+
+373
+00:27:59,160 --> 00:28:02,580
+تلاتة تير هذا لسه على ال server side و ال client
+
+374
+00:28:02,580 --> 00:28:11,280
+هو بتقدر تقول عنه ال tier الرابع طيب
+
+375
+00:28:11,280 --> 00:28:16,660
+لان ان الشكل التانيأو النوع التاني من ال
+
+376
+00:28:16,660 --> 00:28:21,340
+applications اللي هو ال language processing
+
+377
+00:28:21,340 --> 00:28:26,540
+systems اذا بتذكروا ال language processing كان
+
+378
+00:28:26,540 --> 00:28:30,200
+مثال عليه لما احنا استعرضناهم اي نعم لما
+
+379
+00:28:30,200 --> 00:28:32,400
+استعرضناهم اول ما استعرضناه كان ال compiler .. انا
+
+380
+00:28:32,400 --> 00:28:35,740
+برجعش جوه جايد كان عندي ال compiler و ال ايش و ال
+
+381
+00:28:35,740 --> 00:28:40,780
+command interpreterعنهم بس على السريع الان طلع على
+
+382
+00:28:40,780 --> 00:28:44,200
+ال compiler كمثال لاقش ال language processing
+
+383
+00:28:44,200 --> 00:28:48,940
+systems بصفة عامة language processing systems زي
+
+384
+00:28:48,940 --> 00:28:53,160
+ما حكينا قبل هيكا اللي هي ال ال systems اللي ال
+
+385
+00:28:53,160 --> 00:28:57,280
+input تبعها عبارة عن natural language كلام محكي
+
+386
+00:28:57,280 --> 00:29:06,120
+صوت أو مكتوب شفوي أو مكتوب كلام natural okayأو
+
+387
+00:29:06,120 --> 00:29:08,960
+أحيانا تبقى برضه Artificial Language Artificial
+
+388
+00:29:08,960 --> 00:29:12,580
+Language مش اللي قصد بيها Artificial Intelligence
+
+389
+00:29:12,580 --> 00:29:16,160
+لأ Artificial يعني اللغة احنا عاملينها البشر
+
+390
+00:29:16,160 --> 00:29:18,760
+عاملينها اللغات البرمج اللغات البرمج كلها دي
+
+391
+00:29:18,760 --> 00:29:21,620
+Artificial Languages ال natural هي اللغات اللي
+
+392
+00:29:21,620 --> 00:29:26,780
+بيحكوها البشر okay ف ال ال natural ال language
+
+393
+00:29:26,780 --> 00:29:31,920
+processing system بياخد language بياخد كلام نص
+
+394
+00:29:31,920 --> 00:29:40,200
+textأو بياخد verbal كلام شفوي بلغة من هذه اللغات
+
+395
+00:29:40,200 --> 00:29:46,400
+اما natural او artificial واش بيطلع .. بيطلع
+
+396
+00:29:46,400 --> 00:29:52,760
+التعبير عنه بلغة أخرى او بيستخلص منه معلومات ال
+
+397
+00:29:52,760 --> 00:29:56,380
+compiler ال compiler بياخد ال text المكتوب ب
+
+398
+00:29:56,380 --> 00:30:01,660
+artificial languageالكمبايلر فالكمبايلر كمثال على
+
+399
+00:30:01,660 --> 00:30:06,560
+ال language processing system الكمبايلر ال input
+
+400
+00:30:06,560 --> 00:30:11,080
+تبعه طبعا مش ما هواش verbal ما بياخدش شفرة و بياخد
+
+401
+00:30:11,080 --> 00:30:15,180
+text ال text هذا هل هو artificial language ولا
+
+402
+00:30:15,180 --> 00:30:16,340
+natural language؟
+
+403
+00:30:18,650 --> 00:30:23,290
+هو artificial language المهم بياخد ال program اللي
+
+404
+00:30:23,290 --> 00:30:27,670
+كتبته بهذه اللغة اللغة البرمجة واش بيعطيلك output
+
+405
+00:30:27,670 --> 00:30:33,210
+بيعطيك program اخر مكتوب برضه بلغة برمجة اخر اللي
+
+406
+00:30:33,210 --> 00:30:36,650
+هي ال assembly او اللي هو ال machine code صح؟
+
+407
+00:30:37,340 --> 00:30:40,720
+أحياناً الـ Language Processing Systems ما بيطلعش
+
+408
+00:30:40,720 --> 00:30:44,360
+.. يعني شغلانته مش عملي ترجمة من لغة إلى لغة، زي
+
+409
+00:30:44,360 --> 00:30:47,340
+ما قولت قبل هي كان شغلانته أنه بياخد Text و
+
+410
+00:30:47,340 --> 00:30:50,440
+بيستنبط منه Information، بيعطيلك في ال .. بيعطيلك
+
+411
+00:30:50,440 --> 00:30:53,900
+في ال output Informationخلّيني أطلع على الـ
+
+412
+00:30:53,900 --> 00:30:57,320
+Architecture تبع الـ Architecture of Language
+
+413
+00:30:57,320 --> 00:31:01,660
+Processing Systems و بعدين بديك تقوللي هو أي واحد
+
+414
+00:31:01,660 --> 00:31:06,040
+من ال Architecture اللي شوفناهم قبل ما نحكي عن ال
+
+415
+00:31:06,040 --> 00:31:10,380
+Application Tribes شوفنا ال Architecture صح؟ فهو
+
+416
+00:31:10,380 --> 00:31:15,060
+أنهي واحد منهم أطلع عليه أولا بصفة عامة كيف كيف
+
+417
+00:31:15,060 --> 00:31:18,080
+التركيبة تبعته أنه هي ال source language
+
+418
+00:31:18,080 --> 00:31:25,260
+instructions اللي هم مين هدول هذا ال sourceبخش على
+
+419
+00:31:25,260 --> 00:31:29,340
+ال compiler بس اول اشي بيجي اللي هو ال translator
+
+420
+00:31:29,340 --> 00:31:34,180
+اضيفته يفحص ال syntax ويفحص ال semantics ويعمل
+
+421
+00:31:34,180 --> 00:31:39,440
+generate .. generate لإيش؟generate مش لل final
+
+422
+00:31:39,440 --> 00:31:44,460
+output بيعمل generate لinstructions
+
+423
+00:31:44,460 --> 00:31:50,160
+بتقدر تقول انهاش intermediate representation يعني
+
+424
+00:31:50,160 --> 00:31:54,660
+بصيغة وسيطة ماهياش الصيغة اللى بيفهمها المعالج
+
+425
+00:31:54,660 --> 00:31:59,120
+احنا المفروض ال compiler بيطلع ال machine code
+
+426
+00:31:59,120 --> 00:32:04,790
+اللى بيفهمها المعالجلكن عادة ال translator شغله
+
+427
+00:32:04,790 --> 00:32:10,450
+بيكون لسه وسيط يعني بيطلع ال instructions وسيطة
+
+428
+00:32:10,450 --> 00:32:15,350
+لان بيجي ال interpreter اللي هو بده ينفذ الأوامر
+
+429
+00:32:15,350 --> 00:32:19,990
+هذه بيحولها من الوسيط إلى النهائي و بنفذها fetch
+
+430
+00:32:19,990 --> 00:32:25,440
+and execute okay لان executing ال instructionsهذا
+
+431
+00:32:25,440 --> 00:32:28,780
+امتى بيحصل؟ أثناء تشغيل البرنامج، خلاص احنا حولنا
+
+432
+00:32:28,780 --> 00:32:34,040
+و طلع ال output فعند تشغيل البرنامج بيش؟ بتتنفذ ال
+
+433
+00:32:34,040 --> 00:32:37,520
+instructions أثناء تنفيذ البرنامج، البرنامج بحتاج
+
+434
+00:32:37,520 --> 00:32:42,840
+input فبتيجيله ال data من مين هنا؟ من ال userالـ
+
+435
+00:32:42,840 --> 00:32:45,360
+user بيعطي ال data و ال user بيستخدم ال results
+
+436
+00:32:45,360 --> 00:32:49,120
+تبع البرنامج فهذا الكلام على مستوى التنفيذ هذا
+
+437
+00:32:49,120 --> 00:32:54,100
+المستوى الكلام على مستوى الترجمة ترجمة شغل ال
+
+438
+00:32:54,100 --> 00:32:58,780
+compiler okay طيب الآن ال components تبع ال
+
+439
+00:32:58,780 --> 00:33:04,880
+compiler بدي انا انتقل على يعني هذه الرسمة بتلخص
+
+440
+00:33:04,880 --> 00:33:06,640
+كل ال slides اللي قبل
+
+441
+00:33:11,750 --> 00:33:19,770
+ما بين ما بين ال input ما يدخل هذا يشق ال input
+
+442
+00:33:19,770 --> 00:33:26,350
+اللي هو ال file اللي كتبه المبرمج وما بين ما يطلع
+
+443
+00:33:26,350 --> 00:33:36,910
+ال output اللي هو ال file ال
+
+444
+00:33:36,910 --> 00:33:42,780
+ال ال binary code اللي هو ال machine code okayإيش
+
+445
+00:33:42,780 --> 00:33:46,800
+العملية اللي بتتم؟ Lexical Analysis, Syntactic
+
+446
+00:33:46,800 --> 00:33:50,380
+Analysis, Semantic Analysis, Code Generation هذه
+
+447
+00:33:50,380 --> 00:33:58,220
+اللي هي .. هذه وظيفة ال compiler في
+
+448
+00:33:58,220 --> 00:34:02,940
+الأربع خطوات هدولة هذا ال M ك Architecture حياته
+
+449
+00:34:02,940 --> 00:34:07,400
+بسيط جدا، very simple بيقدر نصنفه أنه Layered ولا
+
+450
+00:34:07,400 --> 00:34:18,770
+.. ولا إيش؟و ال mvc و ال pipeline box and pipe
+
+451
+00:34:18,770 --> 00:34:21,890
+pipeline
+
+452
+00:34:21,890 --> 00:34:29,070
+لإن و أنا في عندي ال input خش على مرحلة ان عمل
+
+453
+00:34:29,070 --> 00:34:35,970
+عليه شغل طلع دخل على process تانية عملت عليه شغلو
+
+454
+00:34:35,970 --> 00:34:39,430
+لاحظ انه مافيش يعني هاد الأسهم في اتجاه واحد مافيش
+
+455
+00:34:39,430 --> 00:34:43,870
+انك تتفكر انه layered ان هو هاد بعد ما بياخد بيعطي
+
+456
+00:34:43,870 --> 00:34:47,450
+و بياخد ان هدولة layers و بياخد .. لأ هاد قالية
+
+457
+00:34:47,450 --> 00:34:52,350
+عمل جاي في اتجاه واحد في اتجاه واحد الان هنا عبارة
+
+458
+00:34:52,350 --> 00:34:57,400
+عن مكون مساعد اللي هو ال symbol tableوالـ syntax
+
+459
+00:34:57,400 --> 00:35:01,540
+الـ Tree هذه عبارة عن .. خلّي بالك إن هي الشكل ال
+
+460
+00:35:01,540 --> 00:35:06,920
+box هذا مضلّع ما هوش oval إيش يعني؟ هو عملية ولا
+
+461
+00:35:06,920 --> 00:35:13,190
+هو ..؟بيانات بيانات اه فهو فعلا هو مش عملية هو
+
+462
+00:35:13,190 --> 00:35:17,110
+عبارة عن بيانات اثناء عملية الترجمة ال compiler
+
+463
+00:35:17,110 --> 00:35:20,210
+بيحتفظ بحاجة اسمه ال symbol table و ال syntax tree
+
+464
+00:35:20,210 --> 00:35:25,050
+يشتغل عليها طول الوقت وحتى الاربع مكونات تبعوته
+
+465
+00:35:25,050 --> 00:35:30,310
+ياخدوا ويعطوا منها ياخدوا ويعطوا منها لحد ما تكتمل
+
+466
+00:35:30,310 --> 00:35:35,070
+العمليةOkay فهذا ال .. ال .. ال pipe and filter
+
+467
+00:35:35,070 --> 00:35:39,110
+compiler architecture هو ال .. ال .. ال
+
+468
+00:35:39,110 --> 00:35:42,550
+architecture اللي مناسب ل .. او اللي بيشتغل على
+
+469
+00:35:42,550 --> 00:35:49,850
+أساسه ال compiler تمام؟احيانا ممكن ال language
+
+470
+00:35:49,850 --> 00:35:54,650
+processing system يستخدم architecture تاني اللي هو
+
+471
+00:35:54,650 --> 00:35:59,870
+repository architecture تذكروا لما احنا كنا طرحنا
+
+472
+00:35:59,870 --> 00:36:04,490
+هذا ال architecture ايش كان المثال عليه لما طرحنا
+
+473
+00:36:04,490 --> 00:36:08,540
+repository architecture؟تتذكروا ال repository
+
+474
+00:36:08,540 --> 00:36:12,260
+architecture والمثال اللي انطرح عليه اللي هو ال
+
+475
+00:36:12,260 --> 00:36:16,020
+IDE ال integrated development environment قلنا انه
+
+476
+00:36:16,020 --> 00:36:18,580
+البرنامج اللي انت مستخدمه في كتابة ال code او
+
+477
+00:36:18,580 --> 00:36:24,540
+تصميم البرامج بيشتغل على هيكلية او نظام ال
+
+478
+00:36:24,540 --> 00:36:27,540
+repository لأنه البرنامج تبعك و ال code اللي انت
+
+479
+00:36:27,540 --> 00:36:34,940
+بتكتبهبتخزن في ال folder تبع ال project و مختلف
+
+480
+00:36:34,940 --> 00:36:39,860
+مكونات ال IDE بتاخد .. بتجرى منه و بتشتغل عليه
+
+481
+00:36:39,860 --> 00:36:43,680
+فبرضه ال compiler ممكن يشتغل بهذه القالية بمعنى
+
+482
+00:36:43,680 --> 00:36:47,220
+إيش أنت كاتب .. أنت بتكتب برنامج قاعد .. أنت كاتب
+
+483
+00:36:47,220 --> 00:36:50,240
+برنامج و البرنامج اللي بدأك تترجم و أنت كتبت و
+
+484
+00:36:50,240 --> 00:36:53,680
+خلصت يعني استخدمت ال .. إيش ال IDE في كتابة
+
+485
+00:36:53,680 --> 00:36:55,260
+البرنامج و البرنامج تبعك تمام
+
+486
+00:37:00,300 --> 00:37:07,100
+ممكن تتخيل ان ال repository بتحتوي على ال code
+
+487
+00:37:07,100 --> 00:37:19,980
+تبعك و ال grammar تبع ال language و
+
+488
+00:37:19,980 --> 00:37:20,960
+ال code تبعك
+
+489
+00:37:23,410 --> 00:37:28,090
+المختلف المكونات التانية زي مثلا انت عندك هنا ال
+
+490
+00:37:28,090 --> 00:37:31,370
+editor عشان تكتب البرنامج كتبت البرنامج الان ال
+
+491
+00:37:31,370 --> 00:37:36,930
+lexical analyzer بده يتحقق من ال lexical صحة ال
+
+492
+00:37:36,930 --> 00:37:41,860
+code تبعكمن ناحية الـ Lexical الـ syntax برضه من
+
+493
+00:37:41,860 --> 00:37:45,200
+ناحية الـ syntax كلهم بدهم ياخدوا ال code و .. و ب
+
+494
+00:37:45,200 --> 00:37:48,300
+.. استنادا إلى ال grammar definition و يتحققوا من
+
+495
+00:37:48,300 --> 00:37:51,660
+ال .. و .. و يشتغلوا على ال code تبعك أثناء شغلهم
+
+496
+00:37:51,660 --> 00:37:56,300
+بي .. بيبقى تتكون ال abstract syntax tree و بيبقى
+
+497
+00:37:56,300 --> 00:37:59,500
+تتكون ال symbol table و ايه ما بيبقى تتكون ال ..
+
+498
+00:37:59,500 --> 00:38:03,420
+اللي هي ال output definitions فكل الأطلاف المختلفة
+
+499
+00:38:05,180 --> 00:38:09,480
+اللي بيطول عليها عمل ال compiler بدل ما إن واحد
+
+500
+00:38:09,480 --> 00:38:15,220
+بيستلم من التاني أصبحوا كلهم بيشتغلوا في آخر واحد
+
+501
+00:38:15,220 --> 00:38:21,780
+أثناء ما أنتبتشتغل على البرنامج يعني بدل ما انت
+
+502
+00:38:21,780 --> 00:38:26,040
+تفكر ان البرنامج انت مخلصه و بدك تدخله على ال
+
+503
+00:38:26,040 --> 00:38:31,100
+compiler لأ انت و انت بتشتغل في اي لحظة اكملت
+
+504
+00:38:31,100 --> 00:38:35,680
+جزئية من ال system من البرنامج تبعك و قررت انك انت
+
+505
+00:38:35,680 --> 00:38:39,930
+تفحصه اذا كانمن ناحية ال compiler بيعمل
+
+506
+00:38:39,930 --> 00:38:46,710
+compilation ولا لأ فلما تقرر تفحصه المجموعة ده
+
+507
+00:38:46,710 --> 00:38:51,430
+كلها بتشتغل على ال code اللي انت كتبته علشان تعمله
+
+508
+00:38:51,430 --> 00:38:55,510
+compilation ان عمل compilation بقول ان انت تمام
+
+509
+00:38:55,510 --> 00:38:59,250
+وبتروح بتزيد عليه كمان و بتحط كمان more functions
+
+510
+00:38:59,250 --> 00:39:03,840
+و بتضيفوبتروح في القرن مرة تانية انك انت تعمل
+
+511
+00:39:03,840 --> 00:39:07,700
+compilation فبيشتغلوا كلهم عليه مرة أخرى ففي هذا
+
+512
+00:39:07,700 --> 00:39:10,660
+الأسلوب من العمل بيكون الأنسب اللي هو ال
+
+513
+00:39:10,660 --> 00:39:11,760
+repository
+
+514
+00:39:13,810 --> 00:39:17,650
+تمام احنا هيك بنكون طلعنا على النوعين اللي هو ال
+
+515
+00:39:17,650 --> 00:39:20,210
+information systems و ال .. و ال language
+
+516
+00:39:20,210 --> 00:39:22,770
+processing systems و شوفنا ال architecture تبعه
+
+517
+00:39:22,770 --> 00:39:26,170
+انهم ال information systems ال architecture تبعه
+
+518
+00:39:26,170 --> 00:39:29,230
+layered و ال language processing system ال
+
+519
+00:39:29,230 --> 00:39:36,550
+architecture تبعه ممكن يكون pipe او يكون برضه
+
+520
+00:39:36,550 --> 00:39:39,730
+repository ماشي اعطيكم العافية
+
diff --git a/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/8tBzR73Ysg0.srt b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/8tBzR73Ysg0.srt
new file mode 100644
index 0000000000000000000000000000000000000000..a99a8644da59d9f559307c569a6756f80ef28a29
--- /dev/null
+++ b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/8tBzR73Ysg0.srt
@@ -0,0 +1,2710 @@
+1
+00:00:21,090 --> 00:00:23,050
+بسم الله الرحمن الرحيم والصلاة والسلام على أشرف
+
+2
+00:00:23,050 --> 00:00:26,230
+المرسلين اليوم إن شاء الله بنكمل في الـ chapter أو 
+
+3
+00:00:26,230 --> 00:00:28,570
+في الموضوع اللي بدأنا فيه المحاضرة الماضية وهو الـ
+
+4
+00:00:28,570 --> 00:00:31,550
+architectural design الـ architectural design يقصد
+
+5
+00:00:31,550 --> 00:00:34,770
+بيه اللي هو الأنشطة اللي بيقوم بها الـ software
+
+6
+00:00:34,770 --> 00:00:39,850
+engineer فيما يتعلق بتحديد أو وضع الهيكلية تبع الـ
+
+7
+00:00:39,850 --> 00:00:45,370
+system بصفة عامة يعني الهيكلية العامة للـ system
+
+8
+00:00:45,370 --> 00:00:48,990
+يعني مكوناته وعلاقة هذه المكونات مكوناته الأساسية
+
+9
+00:00:48,990 --> 00:00:52,400
+وعلاقة هذه المكونات ببعضها وهذه المكونات طبعا 
+
+10
+00:00:52,400 --> 00:00:57,240
+بتكون هي في حد ذاتها sub systems كل واحد منها عبر
+
+11
+00:00:57,240 --> 00:01:00,940
+عن system صغير بيكملوا بعض وبيكونوا الـ system
+
+12
+00:01:00,940 --> 00:01:03,540
+المتكامل وهذا طبعا الأمر الـ architectural design
+
+13
+00:01:03,540 --> 00:01:09,260
+بتكون هو الخطوة المترتبة بشكل طبيعي على الـ
+
+14
+00:01:09,260 --> 00:01:11,800
+requirements analysis على الـ requirements 
+
+15
+00:01:11,800 --> 00:01:17,310
+specification ولكن لا.. لا.. لا تشترط أنه يكون 
+
+16
+00:01:17,310 --> 00:01:20,590
+إيش الـ requirements انتهى عشان نبدأ في الـ.. إيش؟
+
+17
+00:01:20,590 --> 00:01:23,290
+في الـ architectural design لأن قولنا أن عملية الـ
+
+18
+00:01:23,290 --> 00:01:26,190
+architectural design ممكن تبقى متداخلة مع عملية الـ
+
+19
+00:01:26,190 --> 00:01:30,930
+requirements engineering صح ولا لأ؟ أن أثناء ما
+
+20
+00:01:30,930 --> 00:01:35,830
+أنا بعمل requirements ببدأ أكون أو أبلور أو أشكل 
+
+21
+00:01:35,830 --> 00:01:41,840
+الـ architectural design تبع الـ system وبعدل حسب ما
+
+22
+00:01:41,840 --> 00:01:45,820
+تتضح الأمور، okay فاحنا الآن المرحلة اللي وصلنا
+
+23
+00:01:45,820 --> 00:01:47,820
+إليها في هذا الموضوع، الموضوع الـ architectural
+
+24
+00:01:47,820 --> 00:01:54,210
+design كانت موضوع الـ architectural views كنا ده
+
+25
+00:01:54,210 --> 00:01:58,570
+أرجع بس على البداية كنا الموضوع أندي مقسم إلى أربع
+
+26
+00:01:58,570 --> 00:02:02,130
+نقاط اللي هي الـ architectural design decisions و
+
+27
+00:02:02,130 --> 00:02:04,250
+بعدين الـ views وبعدين الـ patterns والـ
+
+28
+00:02:04,250 --> 00:02:08,590
+architectures فاحنا كنا وصلنا تقريبا لنهاية الـ 
+29
+00:02:08,590 --> 00:02:12,370
+الأول وبدأنا على بداية اللي هو الـ architectural
+
+30
+00:02:12,370 --> 00:02:18,470
+views لكن هي الـ architectural views لكن أعتقد أن الـ
+
+31
+00:02:18,470 --> 00:02:20,590
+slide اللي جاب الـ architecture and system
+
+32
+00:02:20,590 --> 00:02:27,530
+characteristics كانت ضلت من المحاضرة الماضية فاحنا
+
+33
+00:02:27,530 --> 00:02:31,390
+الـ architectural and system characteristics اللي
+
+34
+00:02:31,390 --> 00:02:34,290
+هي علاقة بيه اللي هو الموضوع هذا يعني له علاقة أن
+
+35
+00:02:34,290 --> 00:02:38,370
+الـ architectural design تبع الـ system لازم ياخد
+
+36
+00:02:38,370 --> 00:02:45,350
+بعين الاعتبار هذه الخصائص للـ system يبرزها تبقى
+
+37
+00:02:45,350 --> 00:02:48,390
+واضحة في الـ architectural design أو تأخذ بالعين
+
+38
+00:02:48,390 --> 00:02:52,750
+الاعتبار في الـ architectural design يعني بناء على
+
+39
+00:02:52,750 --> 00:02:56,610
+الـ performance وبناء على محددات الـ security و
+
+40
+00:02:56,610 --> 00:02:59,730
+بناء على محددات الـ safety والـ availability هذه 
+
+41
+00:02:59,730 --> 00:03:04,210
+أيضا إيش؟ هذه characteristics صح؟ خصائص تقدر 
+
+42
+00:03:04,210 --> 00:03:07,990
+تعتبرها أيضا مواصفات ماشي يعني احنا بدنا الـ
+
+43
+00:03:07,990 --> 00:03:10,970
+performance تبع الـ system كده يكون بحدود كده و
+
+44
+00:03:10,970 --> 00:03:13,890
+بدنا الـ security تكون بحدود كده والـ safety كذلك و
+
+45
+00:03:13,890 --> 00:03:18,870
+الـ availability كده لأن لازم تاخد بالانتباه هذه 
+
+46
+00:03:18,870 --> 00:03:22,550
+الأمور في مرحلة الـ architectural design ليش؟ لأنها
+
+47
+00:03:22,550 --> 00:03:26,670
+ممكن تأثر على اختياري ما بين أعمل هذا الـ
+
+48
+00:03:26,670 --> 00:03:29,880
+architecture أو هذا الـ architecture ممكن تأثر على
+
+49
+00:03:29,880 --> 00:03:34,440
+اختيارنا ما بين الـ architecture المناسب 
+
+50
+00:03:34,440 --> 00:03:40,720
+على الـ.. على الـ.. الـ system ثم أن يعني أولا 
+
+51
+00:03:40,720 --> 00:03:43,420
+السبب لازم أنا آخدها بأن اعتبر أن.. أن أنا 
+
+52
+00:03:43,420 --> 00:03:46,000
+لازم.. لأنها بت.. بتأثر على اختيار الـ
+
+53
+00:03:46,000 --> 00:03:49,500
+architecture المناسب ثانيا أنا لازم أبرزها أيضا في 
+
+54
+00:03:49,500 --> 00:03:52,160
+الـ architecture يعني الـ performance I have to
+
+55
+00:03:52,160 --> 00:03:54,460
+localize critical operations and minimize
+
+56
+00:03:54,460 --> 00:03:59,110
+communications يعني وإن في sub systems أو مكونات في
+
+57
+00:03:59,110 --> 00:04:02,990
+الـ architecture تبع الـ system ككل المكونات هذه
+
+58
+00:04:02,990 --> 00:04:08,790
+مطلوب أو بيعتمد عليها الـ performance تبع الـ system
+
+59
+00:04:08,790 --> 00:04:12,090
+أو بتأثر على الـ performance تبع الـ system لازم
+
+60
+00:04:12,090 --> 00:04:14,770
+يبقى واضح في الـ architecture تبعي إن هذا الـ system
+
+61
+00:04:14,770 --> 00:04:20,020
+is a very performance critical component يعني مثلا 
+
+62
+00:04:20,020 --> 00:04:23,740
+نقول الـ server أو الـ database management system أو 
+
+63
+00:04:23,740 --> 00:04:29,120
+إذا في جزئية أو module أو عملية على أساسها بتعتمد
+
+64
+00:04:29,120 --> 00:04:33,200
+كل باقية العمليات في الـ system فهذه الجزئية عبارة 
+
+65
+00:04:33,200 --> 00:04:37,780
+عن جزئية critical أو هامة أو محورية في مسألة الـ
+
+66
+00:04:37,780 --> 00:04:40,700
+performance فلازم تبرزها فيهاش في الـ architecture
+
+67
+00:04:40,700 --> 00:04:45,250
+كذلك على الـ security الـ Security إذا كان الـ 
+
+68
+00:04:45,250 --> 00:04:48,870
+system ما فيه متطلبات عالية للـ Security مطلوبة من
+
+69
+00:04:48,870 --> 00:04:51,810
+الـ system فلازم أيوة نتأخر بها الانتباه وأيضا 
+
+70
+00:04:51,810 --> 00:04:57,510
+كذلك الحالة تبرز في الـ Architecture أحيانا احنا
+
+71
+00:04:57,510 --> 00:05:03,030
+بنحط مكونات إضافية على مكونات الـ System وظيفتها
+
+72
+00:05:03,030 --> 00:05:06,410
+الـ Security يعني بالأصل الـ Architecture تبعي 
+
+73
+00:05:06,410 --> 00:05:12,430
+ممكن يكون بتكون من خمس، ست مكونات لكن لأنه في متطلب
+
+74
+00:05:12,430 --> 00:05:17,250
+متطلب اللي علاقة بالـ security فانا بضيف مكوّن سادس
+
+75
+00:05:17,250 --> 00:05:21,910
+أو سابع عشان ي.. عشان يلبّي هذا المتطلب زي مثلا الـ 
+
+76
+00:05:21,910 --> 00:05:25,290
+firewall الـ.. الـ.. الـ.. الـ system تبعي في حد 
+
+77
+00:05:25,290 --> 00:05:29,150
+ذاته لا.. اه يمكن.. بي.. ممكن يشتغل ويقوم بكل 
+
+78
+00:05:29,150 --> 00:05:33,650
+مظاقفه بدون firewall ولكن لأنه في متطلب الـ 
+
+79
+00:05:33,650 --> 00:05:37,350
+security فانا بحط الـ firewall كواحد من المكونات 
+
+80
+00:05:37,350 --> 00:05:41,510
+أضيف الـ firewall على الـ architecture وبحطه كأنه 
+
+81
+00:05:41,510 --> 00:05:44,110
+واحد من الإشعار.. أساس أنه واحد من مكونات الـ
+
+82
+00:05:44,110 --> 00:05:45,570
+system تمام؟
+
+83
+00:05:47,690 --> 00:05:50,390
+كذلك الحالة أن الـ security هذا ممكن يفرض علي أن
+
+84
+00:05:50,390 --> 00:05:53,530
+أنا أستخدم هذا النوع من الـ architecture يعني كما 
+
+85
+00:05:53,530 --> 00:05:56,070
+شوية قدام لما نطلع على الـ architectural patterns
+
+86
+00:05:56,070 --> 00:05:58,270
+في واحد من الـ patterns اسمه الـ layered
+
+87
+00:05:58,270 --> 00:06:04,770
+architecture الـ layered architecture أسلوب تركيبه
+
+88
+00:06:04,770 --> 00:06:09,590
+بشكل معين إذا كانت الـ security عندي متطلب رئيسي
+
+89
+00:06:09,590 --> 00:06:12,330
+فهذا بيفرض علي أن أنا أستخدم الـ layered
+
+90
+00:06:12,330 --> 00:06:16,900
+architecture واضح؟ فاحنا بيقول إن الخصائص هذه ممكن 
+
+91
+00:06:16,900 --> 00:06:20,920
+تأثر على اختيار الـ architecture ثم لازم أنا أكون 
+
+92
+00:06:20,920 --> 00:06:26,400
+مبرزها أو مبرز الجوانب هذه في الـ diagram اتبعتي الـ
+
+93
+00:06:26,400 --> 00:06:29,800
+safety برضه إذا كان في أي.. الـ safety بتفرق عن الـ 
+
+94
+00:06:29,800 --> 00:06:34,120
+security في إيش؟ الـ safety إذا في أي مخاطر من 
+
+95
+00:06:34,120 --> 00:06:37,640
+استخدام الـ system أي مضار من استخدام الـ system 
+
+96
+00:06:37,640 --> 00:06:38,620
+تمام؟
+
+97
+00:06:40,750 --> 00:06:44,450
+الـ availability اللي هي قضية إن قد إيش الـ system
+
+98
+00:06:44,450 --> 00:06:48,890
+لازم يكون متاح أو يعني متوفر للاستخدام إذا والله 
+
+99
+00:06:48,890 --> 00:06:53,370
+لازم يكون available 24 hours فهذا المتطلب ربما 
+
+100
+00:06:53,370 --> 00:06:58,090
+يجبرني إن أنا أستخدم architecture معين أو يجبرني
+
+101
+00:06:58,090 --> 00:07:02,230
+إن أنا أضيف على الـ architecture تبعي مكونات اللي
+
+102
+00:07:02,230 --> 00:07:07,890
+إيش اللي تضمن الـ availability زي إيش مثلا مكونات
+
+103
+00:07:07,890 --> 00:07:12,370
+بتضمن الـ availability بعد أن أعمل مثلا backup أو
+
+104
+00:07:12,370 --> 00:07:15,770
+أعمل backup communication أو أعمل backup server
+
+105
+00:07:15,770 --> 00:07:20,330
+أن لو الـ server الرئيسي اتعطل أو صار فيه أي خلل
+
+106
+00:07:20,330 --> 00:07:28,270
+يبقى فيه server ثاني replica يعني نسخة مطابقة و
+
+107
+00:07:28,270 --> 00:07:33,410
+real-time يعني لحظة بلحظة بيعمل synchronization
+
+108
+00:07:33,410 --> 00:07:38,310
+صح؟ فإذا كان هذا الـ availability شرط عندي أساسي
+
+109
+00:07:38,310 --> 00:07:46,710
+فربما أختار architecture محدد يتلائم مع هذا أو أحط 
+
+110
+00:07:46,710 --> 00:07:51,110
+الـ architecture تبعي وأضيف عليه مكونات اللي تضمن 
+
+111
+00:07:51,110 --> 00:07:56,470
+الـ availability واضح؟ مفهوم availability واضح؟ اه؟
+
+112
+00:07:56,470 --> 00:07:59,290
+مفهوم availability يعني دائما الـ availability لما
+
+113
+00:07:59,290 --> 00:08:04,050
+.. لما بتنطرح أذاكر حاجة زي مثلا الشبكة اللاسلكية
+
+114
+00:08:04,050 --> 00:08:07,690
+أنا هنا في الجامعة الشبكة اللاسلكية مش مضمونة الـ
+
+115
+00:08:07,690 --> 00:08:11,430
+availability تبعتها صح؟ أنا ممكن الآن وأنا هنا الـ
+
+116
+00:08:11,430 --> 00:08:17,800
+signal قوية وفي connection لكن أطلع من هذا المبنى 
+
+117
+00:08:17,800 --> 00:08:23,960
+أنزل تحت بضمنش ممكن تبقى الـ signal ضعيفة ممكن تبقى 
+
+118
+00:08:23,960 --> 00:08:28,560
+جوية ولكن في عدد كبير من الناس جاعدين وحاجزين IP 
+
+119
+00:08:28,560 --> 00:08:32,680
+addresses فانا شايف الـ signal لكن مش قادر آخد IP 
+
+120
+00:08:32,680 --> 00:08:37,540
+address وبالتالي الـ availability أصبح تعيش مش ميه
+
+121
+00:08:37,540 --> 00:08:40,660
+مش مضمونة تلبسش تقول مادة ومابس تقول مش مضمونة
+
+122
+00:08:40,660 --> 00:08:44,980
+فأنا ممكن الآن شقابك ممكن أنتجل بعد شوية على مكان 
+
+123
+00:08:44,980 --> 00:08:48,500
+ثاني تلاقي راحة الـ connection الـ availability أنك
+
+124
+00:08:48,500 --> 00:08:52,720
+أنت تبقى الـ connection موجودة ومتوفرة بغض النظر
+
+125
+00:08:52,720 --> 00:08:56,820
+عن أنت وين وبغض النظر عن الوقت الزمن والمكان صح؟
+
+126
+00:08:56,820 --> 00:08:59,900
+طبعا الـ availability هذه هذه لما تحكي عن 100% 
+
+127
+00:08:59,900 --> 00:09:03,640
+availability أنت تبقى شغالة أو system available 24 
+
+128
+00:09:03,640 --> 00:09:06,980
+by 7 زي ما بقوله طب الـ maintainability هنا إيش 
+
+129
+00:09:06,980 --> 00:09:10,920
+مقصود بالـ maintainability؟ أن الـ system اه سهولة 
+
+130
+00:09:10,920 --> 00:09:15,980
+الصيانة أو سهولة إصلاح الأعطال اللي إن حدثت 
+
+131
+00:09:15,980 --> 00:09:19,240
+أو سهولة التعديل أيضا لأن الـ maintenance أحيانا
+
+132
+00:09:19,240 --> 00:09:23,780
+المفهوم هذا بيدخل فيه مش بس التصليح اللي أيضا كمان 
+
+133
+00:09:23,780 --> 00:09:27,020
+الـ.. الإضافة تمام؟
+
+134
+00:09:29,390 --> 00:09:32,430
+Okay فهنا برضه كده حالة الـ maintainability ممكن 
+
+135
+00:09:32,430 --> 00:09:35,970
+أحيانا تطلب مني أن أنا أستخدم replicable
+
+136
+00:09:35,970 --> 00:09:40,850
+components يعني إذا الـ component أطلعت ممكن إيش 
+
+137
+00:09:40,850 --> 00:09:45,690
+replaceable أن أنا أقدر أشيلها وأحط واحدة بدالها
+
+138
+00:09:45,690 --> 00:09:50,780
+صح؟ maintainability يعني أنا لو عندي هذا الجهاز
+
+139
+00:09:50,780 --> 00:09:54,980
+الكمبيوتر هذا black box زي ما بقوله black box اغطل 
+
+140
+00:09:54,980 --> 00:09:59,180
+اغطل وحددنا أن العطل جاي مثلا في الشاشة فقط أو 
+
+141
+00:09:59,180 --> 00:10:03,440
+العطل في ال keyboard لكن هو black box مغلق بدك 
+
+142
+00:10:03,440 --> 00:10:07,660
+ترميه كله و تجيب واحد جديد صح؟ لكن لما يكون هو
+
+143
+00:10:07,660 --> 00:10:12,420
+مكون من replaceable components يعني من مكونات يمكن
+
+144
+00:10:12,420 --> 00:10:16,450
+فكها وتركيبو تركيبها، بمعنى ذلك لما أنا بتحدد ..
+
+145
+00:10:16,450 --> 00:10:21,890
+بحدد العطل في مكان ما ف .. فبقدر أشيل هذا العطل ..
+
+146
+00:10:21,890 --> 00:10:24,890
+هذا ال component و أحط بداله component تاني، صح؟
+
+147
+00:10:24,890 --> 00:10:28,430
+فهذا الآن إذا ال .. maintainability is an 
+
+148
+00:10:28,430 --> 00:10:33,130
+important requirement فبفرض علي أنا لما أصمم ال
+
+149
+00:10:33,130 --> 00:10:36,350
+system أصممه على مبدأ اللي هو replaceable
+
+150
+00:10:36,350 --> 00:10:41,930
+components، صح؟ تمام فخلاصة هذا الأمر اللي هو أنه
+
+151
+00:10:41,930 --> 00:10:44,010
+.. العنوان هذا Architecture and System
+
+152
+00:10:44,010 --> 00:10:47,390
+Architecture and System Characteristics أنه كيف ال
+
+153
+00:10:47,390 --> 00:10:51,930
+architecture بيتأثر بال characteristics الخصائص
+
+154
+00:10:51,930 --> 00:10:56,370
+اللي هي هذه يعني احنا سمناها مواصفات أو سمناها
+
+155
+00:10:56,370 --> 00:11:01,310
+متطلبات ولكن بن .. بنحطهاش مع الاش مع ال .. مع ال
+
+156
+00:11:01,310 --> 00:11:04,950
+requirements الأساسية لأن هذه خصائص ربما مطلوبة
+
+157
+00:11:04,950 --> 00:11:08,370
+بصفة عامة في ال system هذا و في أي system خصائص
+
+158
+00:11:08,370 --> 00:11:15,170
+عامة فإذا كانت الأمور هذه مطلوبة و مركز عليها فيجب
+
+159
+00:11:15,170 --> 00:11:20,030
+أن .. فهتأثر على ال architecture على التصميم
+
+160
+00:11:20,030 --> 00:11:25,730
+الهيكلي و تحكمني في في التصميم و ربما في اختيار ال
+
+161
+00:11:25,730 --> 00:11:32,000
+architecture الأنسب طيب خلاص فاحنا هيك بنكون نقدر
+
+162
+00:11:32,000 --> 00:11:36,380
+نبدأ نحكي في ال views ال views هي ما هي إلا القصد
+
+163
+00:11:36,380 --> 00:11:42,580
+فيها أن احنا من أي منظور بدنا ننظر لما .. لما
+
+164
+00:11:42,580 --> 00:11:46,600
+بنحكي عن ال architecture هل من منظور المكونات و
+
+165
+00:11:46,600 --> 00:11:51,240
+علاقتها ببعض و لا من منظور الوظائف يعني مثلا على
+
+166
+00:11:51,240 --> 00:11:52,120
+سبيل المثال
+
+167
+00:11:58,500 --> 00:12:01,700
+هذا إذا بتذكروا طبعا احنا بنحكي ذكرنا حاجة اسمها
+
+168
+00:12:01,700 --> 00:12:07,460
+layered Architecture صح؟ و أَجَاءَ في .. في الموضوع في
+
+169
+00:12:07,460 --> 00:12:09,980
+.. في بندق ال security تمام؟ ال layer of
+
+170
+00:12:09,980 --> 00:12:13,880
+architecture طلع كيف أنت الآن هذا ال system كله
+
+171
+00:12:13,880 --> 00:12:18,320
+معبر عنه على أساس مجموعة من ال layers الطبقات فين
+
+172
+00:12:18,320 --> 00:12:21,540
+دي طبقة ال system support و ال OS ال OS و ال
+
+173
+00:12:21,540 --> 00:12:25,620
+database نظام التشغيل و قاعدة البيانات بعدين في
+
+174
+00:12:25,620 --> 00:12:29,940
+طبقة فوقها ال core business logic of application
+
+175
+00:12:29,940 --> 00:12:34,950
+or application functionality و System Utilities
+
+176
+00:12:34,950 --> 00:12:38,530
+بعدين ال user interface user interface يعني self
+
+177
+00:12:38,530 --> 00:12:41,430
+management بعدين ال user interface نفسها okay
+
+178
+00:12:41,430 --> 00:12:46,370
+فعندك أنت هنا ال user interface بتعتمد على هذه
+
+179
+00:12:46,370 --> 00:12:50,530
+المجموعة من المكونات هذه المجموعة بتعتمد على هذه
+
+180
+00:12:50,530 --> 00:12:53,810
+المجموعة وهذه المجموعة بتعتمد على هذه المجموعة
+
+181
+00:12:53,810 --> 00:12:58,870
+okay فهنا منظورنا لل architecture جاي من ناحية
+
+182
+00:12:58,870 --> 00:13:04,610
+الشو مجموعات اللي بتعتمد على إيش، ماشي كل طبقة،
+
+183
+00:13:04,610 --> 00:13:07,810
+يعني احنا إذا ما بنفكر في ال layers و إذا أنتم
+
+184
+00:13:07,810 --> 00:13:13,510
+أخذتوا مادة الشبكات مش فيها ال OSI و ال TCP model،
+
+185
+00:13:13,510 --> 00:13:14,770
+TCP ما أخدتوهاش
+
+186
+00:13:18,020 --> 00:13:20,440
+اللي هو ال physical layer و بعدين ال transport
+
+187
+00:13:20,440 --> 00:13:24,160
+layer و ال network layer و ال application layer
+
+188
+00:13:24,160 --> 00:13:27,640
+مرات عليكم هذه الأمور المهم أن في .. لما احنا
+
+189
+00:13:27,640 --> 00:13:31,580
+بنحكي عن layers في تصميم الهيكل لل system عادة
+
+190
+00:13:31,580 --> 00:13:36,600
+بتكون كل layer معتمدة على خدمات ال layer اللي
+
+191
+00:13:36,600 --> 00:13:40,380
+تحتها صح؟ و هنا نفس الشيء احنا منظورنا الآن لل
+
+192
+00:13:40,380 --> 00:13:45,020
+system منظورنا إلى إيه؟ مجموعات و مجموعات مش محددة
+
+193
+00:13:45,020 --> 00:13:48,220
+يعني مش محطوط هنا ال user interface شو ال
+
+194
+00:13:48,220 --> 00:13:51,340
+components اللي فيها ال هذا شو ال components اللي
+
+195
+00:13:51,340 --> 00:13:54,920
+فيها كل طبقة مش محددة المهم أن فينا مجموعة من
+
+196
+00:13:54,920 --> 00:13:59,460
+الطبقات و كل طبقة لها اسم و لها اعتماد على اللي
+
+197
+00:13:59,460 --> 00:14:04,750
+جابلها بينما هنا هذا الـ Layered Architecture
+
+198
+00:14:04,750 --> 00:14:09,970
+خليني أذكره لأننا سنعود له ثانية تمام؟ هاي برضه
+
+199
+00:14:09,970 --> 00:14:15,210
+كمان layered architecture بس ليهاش لـ system محدد
+
+200
+00:14:15,210 --> 00:14:18,210
+لل library system library system okay فهي نفس
+
+201
+00:14:18,210 --> 00:14:22,610
+الشيء web browser interface مجموعة من ال ال
+
+202
+00:14:22,610 --> 00:14:26,730
+functions بعدين كمان مجموعة أخرى من ال functions
+
+203
+00:14:26,730 --> 00:14:30,390
+هذه بتعتمد على هذه بعدين في عندي حاجة اسم ال
+
+204
+00:14:30,390 --> 00:14:34,970
+library index ال library index هذا الاتصال بمجموعة
+
+205
+00:14:34,970 --> 00:14:39,700
+متعددة من ال database management systems متنوعة أو
+
+206
+00:14:39,700 --> 00:14:44,880
+من ال databases هو ال index بيبحث فيهم و بيعطي ال
+
+207
+00:14:44,880 --> 00:14:48,960
+result لهذا الطبقة و هذا الطبقة بتعطي لهذا و هذا
+
+208
+00:14:48,960 --> 00:14:51,780
+الطبقة بتعطي في الآخر لل interface اللي بيشوفها ال
+
+209
+00:14:51,780 --> 00:14:58,280
+user مرة أخرى هذا layered architecture بينما هنا
+
+210
+00:14:58,280 --> 00:15:01,300
+بتدرج رجوع أنا في أن جبل هيكلة في أن هذا ال
+
+211
+00:15:01,300 --> 00:15:05,860
+architecture اللي هو خلينا نشوف هذه الصورة
+
+212
+00:15:08,400 --> 00:15:12,400
+هذا مش Layered صح؟ مش شايفين طبقاته مش شايفين ..
+
+213
+00:15:12,400 --> 00:15:18,440
+شايفين ثلاث .. ثلاث إيه اش؟ مكونات أساسية؟ ما أقدرش
+
+214
+00:15:18,440 --> 00:15:23,240
+أقول مكونات ثلاث وظائف أساسية في الـ Controller وفيه
+
+215
+00:15:23,240 --> 00:15:28,580
+ال view وفيه ال model كل واحد من هدول أو الناس
+
+216
+00:15:28,580 --> 00:15:35,500
+المكونات اللي واقعة في هذا الإطار لها وظائف متعلقة
+
+217
+00:15:35,500 --> 00:15:39,040
+بال model هذا وظائف متعلقة بال control وهذا وظائف 
+
+218
+00:15:39,040 --> 00:15:42,700
+متعلقة بال view شوفوا مرة عليكم هذا ال model
+
+219
+00:15:42,700 --> 00:15:48,920
+ال MVC ال model viewcontroller كثير من البرمجيات
+
+220
+00:15:48,920 --> 00:15:53,660
+خاصة ال web خاصة ال web application بتعتمد على هذه
+
+221
+00:15:53,660 --> 00:15:58,500
+الهيكلية أن بيبقى في عندك إيش صفحة في الأول
+
+222
+00:15:58,500 --> 00:16:02,020
+الصفحة أو الواجهة اللي بتفاعل معاها ال user اللي
+
+223
+00:16:02,020 --> 00:16:08,480
+هي web based أو web pages هذه و المكونات البصرية
+
+224
+00:16:08,480 --> 00:16:14,000
+اللي احنا بنشوفها بنصنفهم على أنهم ال view Okay ال
+
+225
+00:16:14,000 --> 00:16:20,680
+view اللي هو بظهر لي أنا ال data و ال content يعني
+
+226
+00:16:20,680 --> 00:16:24,600
+و بعدين في عندك وراء السطر وراء السطر اللي أنا يا ال
+
+227
+00:16:24,600 --> 00:16:30,560
+user ما بشوفوش بيكون فيه مكونات أساسية اللي هو و ال
+
+228
+00:16:30,560 --> 00:16:37,090
+model إيش ال model المكونات اللي إيه علاقة بإيش بال
+
+229
+00:16:37,090 --> 00:16:41,510
+data ال model اللي هي علاقة بال data وين مخزنة
+
+230
+00:16:41,510 --> 00:16:46,050
+وكيف نجيبها صح ال controller المكونة اللي هي
+
+231
+00:16:46,050 --> 00:16:49,690
+علاقة بأن ال data هذه بعد ما تجيني من ال model
+
+232
+00:16:49,690 --> 00:16:57,430
+بنعمل عليها أي معالجة أو أي processing قبل ما تروح
+
+233
+00:16:57,430 --> 00:17:00,970
+لل view عشان تعرض يعني مثلا أنا الآن عندي صفحة و
+
+234
+00:17:00,970 --> 00:17:04,690
+الصفحة هذه بدأ أشوف فيها علاماتي أنا كطالب بدأ
+
+235
+00:17:04,690 --> 00:17:07,240
+أشوف علاماتي علاماتي وين مخزنة في database
+
+236
+00:17:07,240 --> 00:17:12,280
+management system صح؟ صح؟ الآن الصفحة اللي أنا
+
+237
+00:17:12,280 --> 00:17:15,240
+بشوف فيها هي وظيفتها بس أن لما أنتصل البيانات
+
+238
+00:17:15,240 --> 00:17:19,580
+هذه تقرأ العلامات هذه كل واحد في .. تقرأها في جدول
+
+239
+00:17:19,580 --> 00:17:24,960
+كل عمود و .. و اتفرمت ال .. البيانات و بتعطينيها
+
+240
+00:17:24,960 --> 00:17:29,360
+باللون .. بالألوان المطلوبة فالصفحة وظيفتها أو
+
+241
+00:17:29,360 --> 00:17:34,700
+اختصاصها اللي هي إظهار اظهار ال data ال data وين
+
+242
+00:17:34,700 --> 00:17:37,360
+قلناها؟ موجودة في ال database management system ال
+
+243
+00:17:37,360 --> 00:17:40,460
+database management system وظيفته أن لما اضغط أنا
+
+244
+00:17:40,460 --> 00:17:45,300
+زر الاستعلام يروح و يعمل ال .. يعمل ال query ينفذ
+
+245
+00:17:45,300 --> 00:17:49,600
+ال query و يطلع لي ال data اللي بتخصني أنا يا طالب
+
+246
+00:17:49,600 --> 00:17:54,680
+رقم كذا كذا صح؟ فالموديل هو المكونات اللي لها علاقة
+
+247
+00:17:54,680 --> 00:18:01,820
+بال data و .. آه .. و تخزينها و .. طيب بين الاتنين
+
+248
+00:18:01,820 --> 00:18:04,720
+هدول بين ال model و بين ال view أنا ممكن أكون
+
+249
+00:18:04,720 --> 00:18:10,460
+العلامات تبعتي ال average مثلا معدلي معدل هذا مش
+
+250
+00:18:10,460 --> 00:18:14,120
+محسوب حسب مين بيحسبه هل هذا بيحسبه ولا هذا بيحسبه
+
+251
+00:18:14,120 --> 00:18:18,200
+غالبا بيكون فيه function صغيرة اللي بتحسب المعدلات
+
+252
+00:18:18,200 --> 00:18:23,160
+أو الإجماليات أو المجموع يعني وما إلى ذلك وهذه ال
+
+253
+00:18:23,160 --> 00:18:28,960
+function بتنفذها بعدين ما بتعطيش ال output بتبعثها لل
+
+254
+00:18:28,960 --> 00:18:31,840
+view عشان يعرض النتائج مع الهدف ف ال view ممكن
+
+255
+00:18:31,840 --> 00:18:36,580
+يأخذ مباشر و ممكن ياخذ بعض الأمور من ال controller
+
+256
+00:18:37,210 --> 00:18:40,530
+واضح؟ كل هالقصة الطبيعية اللي قابلناها دي عبارة عن
+
+257
+00:18:40,530 --> 00:18:46,570
+architectural pattern، نمط في التصميم أو في هيكلية
+
+258
+00:18:46,570 --> 00:18:52,510
+البرنامج، خلصتها أن مكونات تبع البرنامج بتقسم إلى
+
+259
+00:18:52,510 --> 00:18:58,410
+ثلاث أقسام، أقسام تختص أو مكونات تختص بال data،
+
+260
+00:18:58,410 --> 00:19:04,150
+مكونات تختص بمعالجة ال data ومكونات اقتصادية
+
+261
+00:19:04,150 --> 00:19:08,370
+إظهار وعرض ال data صح؟ لأن هذا الكلام قصة طويلة
+
+262
+00:19:08,370 --> 00:19:12,050
+وعريضة أنا المبرمج أو ال designer أو ال engineer
+
+263
+00:19:12,050 --> 00:19:16,910
+لما بدي أجسم ال system بتاعي بهذه الهيكلية
+
+264
+00:19:19,270 --> 00:19:23,710
+و أنا أصمم المكونات اللي هنا و المكونات اللي هنا و
+
+265
+00:19:23,710 --> 00:19:27,930
+أجعلها اسمها لحظة نلاحظ أن في برمجيات جاهزة already
+
+266
+00:19:27,930 --> 00:19:30,550
+يعني مثلا ال database من ال system already موجود
+
+267
+00:19:30,550 --> 00:19:34,470
+ال connection عليه موجودة اللغة البرمجية اللي
+
+268
+00:19:34,470 --> 00:19:42,830
+هأستخدمها إذا كانت مثلا JavaScript و ال HTML و ال
+
+269
+00:19:42,830 --> 00:19:47,170
+PHP و اللي غيره كلها بتدعم هذا ال .. وبتلاقي ..
+
+270
+00:19:47,170 --> 00:19:53,310
+وبتلاقي فيها classes و برمجيات جاهزة اللي بعض منها
+
+271
+00:19:53,310 --> 00:19:56,630
+بتعامل مع ال data و بعض منها بتعامل مع ال .. مع ال
+
+272
+00:19:56,630 --> 00:19:59,650
+control و بعض منها بتعامل مع ال view ال platform
+
+273
+00:19:59,650 --> 00:20:05,810
+بتكون جاهزة و جاهزة لك كل الثلاثة؟ بالضبط فعلاً نعم
+
+274
+00:20:05,810 --> 00:20:09,230
+أنت بتيجي بتعمل function هنا أو هنا و بتعمل هنا
+
+275
+00:20:09,230 --> 00:20:13,450
+الصفحة و ال CSS و اللي هو ال cascade ال style
+
+276
+00:20:13,450 --> 00:20:16,350
+sheet و ال database ما أنت عارف ال database من ال
+
+277
+00:20:16,350 --> 00:20:20,230
+system عليه كل القليل أنت تبني ال tables تبني ال
+
+278
+00:20:20,230 --> 00:20:26,320
+.. تمام؟ يبقى أنت الآن .. يبقى أنت الآن المفهوم الـ
+
+279
+00:20:26,320 --> 00:20:30,180
+architecture يفترض أصبح واضح أن .. واختلاف ..
+
+280
+00:20:30,180 --> 00:20:35,020
+واختلاف اللي هو ال architectures عن بعضها في كيفية 
+
+281
+00:20:35,020 --> 00:20:39,920
+.. في كيفية التعبير عن هيكلية الـ system هنا احنا
+
+282
+00:20:39,920 --> 00:20:43,640
+بنعبر عن هيكلية الـ system من ناحية وظيفية صح؟ وظائف
+
+283
+00:20:43,640 --> 00:20:48,200
+الـ view وظائف المعالجة ووظائف البيانات هناك
+
+284
+00:20:48,200 --> 00:20:52,520
+عبّرنا عن الـ system من ناحية طبقية باعتماد مين على 
+
+285
+00:20:52,520 --> 00:20:55,960
+مين مصبوط؟ هذه مقصودة بالـ view الـ view كيف أنا
+
+286
+00:20:55,960 --> 00:21:00,040
+أنظر إلى تركيبة الـ system أنظر لها من ناحية وظيفية
+
+287
+00:21:00,040 --> 00:21:05,620
+مثلاً ولا من ناحية ارتباطية واعتمادية okay فال ..
+
+288
+00:21:07,110 --> 00:21:10,770
+نرجع ثاني على اللي هو الـ architecture views okay
+
+289
+00:21:10,770 --> 00:21:14,410
+السؤال هو what views؟ شو المنظور أو الـ
+
+290
+00:21:14,410 --> 00:21:17,350
+perspective؟ المنظور اللي أنا من .. اللي أنا ب ..
+
+291
+00:21:17,350 --> 00:21:21,410
+ا..ا..ا.. أعرض الـ system على أساسه okay؟ وإيش
+
+292
+00:21:21,410 --> 00:21:24,330
+برضه كذلك؟ الحالة الـ notations يعني إيش الأشكال؟
+
+293
+00:21:24,330 --> 00:21:28,390
+يعني هنا مثلاً أستخدم الشكل هذا عبارة عن صندوق إله
+
+294
+00:21:28,390 --> 00:21:33,020
+label وإله إيش تفصيل هنا هذه اسمها notation وكذلك
+
+295
+00:21:33,020 --> 00:21:36,400
+الحالة الأسهم والـ labels هذه notation اللي هي
+
+296
+00:21:36,400 --> 00:21:41,660
+طريقة تعبير طريقة تعبير وطريقة كتابة لـ الـ
+
+297
+00:21:41,660 --> 00:21:49,400
+okay فعموماً احنا فينا بالأساس أربعة plus one views
+
+298
+00:21:49,400 --> 00:21:54,820
+في الـ logical view وفي الـ process view وفي الـ
+
+299
+00:21:54,820 --> 00:21:57,540
+development view وفي الـ physical view نأخذ من
+
+300
+00:21:57,540 --> 00:22:01,680
+الأخير هدول الأربعة الأربعة وهي الـ plus one هذا
+
+301
+00:22:01,680 --> 00:22:05,480
+الخامس خليني نجي له في الآخر بس الـ views الأربعة
+
+302
+00:22:05,480 --> 00:22:07,800
+هدول الـ physical إيش يعني الـ physical؟ يعني 
+
+303
+00:22:07,800 --> 00:22:12,400
+المكونات من الناحية المادية إن والله في عندي
+
+304
+00:22:12,400 --> 00:22:16,680
+machine شغلها تكون server machine شغلها تكون 
+
+305
+00:22:16,680 --> 00:22:21,030
+switch أو router machine شغلها تكون طابعة ماشيين
+
+306
+00:22:21,030 --> 00:22:24,130
+إنها تكون مثلاً scalar أو barcode reader هذا الـ
+
+307
+00:22:24,130 --> 00:22:28,130
+physical view ماشي ف أنا بأوصم الهيكلية تبع الـ
+
+308
+00:22:28,130 --> 00:22:33,610
+system من منطلق مين هي المكونات المادية اللي بتشكل
+
+309
+00:22:33,610 --> 00:22:37,270
+من هذا الـ system الـ physical view which shows the
+
+310
+00:22:37,270 --> 00:22:43,650
+system Hardware and how software components are
+
+311
+00:22:43,650 --> 00:22:47,310
+distributed across هذا الـ hardware تمام؟ بمعنى إنه
+
+312
+00:22:47,310 --> 00:22:53,530
+ممكن يجي يقول لك هاي machine اسمها server وعليها
+
+313
+00:22:53,530 --> 00:23:02,490
+الـ database server وعليها الـ web server تمام؟ هنا
+
+314
+00:23:02,490 --> 00:23:07,090
+أنا في الرسم هذه عبرت عن physical hardware اسمه
+
+315
+00:23:07,090 --> 00:23:10,510
+server لكن جواه two processes two software
+
+316
+00:23:10,510 --> 00:23:13,990
+processes اللي هم الـ database server والـ what والـ
+
+317
+00:23:13,990 --> 00:23:17,570
+web server okay بعد هيك بقى أنا بقول ربما هذا
+
+318
+00:23:17,570 --> 00:23:22,010
+الـ server بعد هيك مشبوك على مين؟ على الـ switch الـ
+
+319
+00:23:22,010 --> 00:23:25,030
+main switch والـ main switch مشبوك عليه اللي هو
+
+320
+00:23:25,030 --> 00:23:28,150
+مجموعة من الـ what؟ من الـ
+
+321
+00:23:32,440 --> 00:23:35,980
+الـ Terminals أو الـ Workstations الـ Workstations
+
+322
+00:23:35,980 --> 00:23:41,260
+هذه عليهم الـ Client Application اللي هو اللي
+
+323
+00:23:41,260 --> 00:23:44,620
+بتستخدمه الـ user هذا الـ client application في
+
+324
+00:23:44,620 --> 00:23:49,500
+الآخر طبعاً بده يتخاطب مع الـ مع الـ server وربما
+
+325
+00:23:49,500 --> 00:23:55,100
+احنا نحط هنا رسمة لـ إيش؟ لـ printer واضح؟ هيك
+
+326
+00:23:55,100 --> 00:23:59,040
+أنا بأدر على الـ system من منظور إيش الـ physical
+
+327
+00:23:59,040 --> 00:24:03,400
+perspective أو الـ physical viewواضح حاجة دي؟ فالـ
+
+328
+00:24:03,400 --> 00:24:06,660
+physical view بيعبر على أو بيعرض الـ system
+
+329
+00:24:06,660 --> 00:24:12,800
+hardware and how الـ software components موزعة على
+
+330
+00:24:12,800 --> 00:24:17,200
+our distributed across الـ processors in the system
+
+331
+00:24:17,200 --> 00:24:24,120
+تمام؟ المنظور الـ process view، أنا هأجرّهم بس مش
+
+332
+00:24:24,120 --> 00:24:28,000
+بالترتيب، مش بنفس الترتيب الـ process view بيركز
+
+333
+00:24:28,000 --> 00:24:32,630
+علي هدول بيقول إن أنا في عندي server process
+
+334
+00:24:33,950 --> 00:24:37,790
+Database Server Process وظيفتها إنها تأخذ request
+
+335
+00:24:37,790 --> 00:24:43,570
+من الـ clients وترجع لهم data وفي عندي web server
+
+336
+00:24:43,570 --> 00:24:48,830
+process يعني بأهتم مش في الـ physical بأهتم بس بيها
+
+337
+00:24:48,830 --> 00:24:54,450
+هدول server process web server آسف database server
+
+338
+00:24:54,450 --> 00:24:58,910
+web server هي هذا الـ database بدي أتعامل مع الـ web
+
+339
+00:24:58,910 --> 00:25:01,610
+server الـ web server بدي يطلب من الـ database
+
+340
+00:25:01,610 --> 00:25:07,360
+server الـ client الـ client process بدا تأخذ من ..
+
+341
+00:25:07,360 --> 00:25:11,140
+بدا ت .. بدا توجه الطلب تباعاً للـ web server والـ
+
+342
+00:25:11,140 --> 00:25:13,520
+web server بديواجه الطلب للـ database server الـ
+
+343
+00:25:13,520 --> 00:25:16,960
+database server بدي يرد عليه الـ web بياخد الرد و
+
+344
+00:25:16,960 --> 00:25:22,060
+بيطيه لل .. للـ client ماشي؟ ربما الـ web نفسه أجسمه
+
+345
+00:25:22,060 --> 00:25:25,700
+إلى two components واحد control واحد view يعني بعد
+
+346
+00:25:25,700 --> 00:25:28,320
+ما تيجي الـ data من الـ database يعمل عليها شوية
+
+347
+00:25:28,320 --> 00:25:31,200
+عمليات بعدين يسلمها للـ view والـ view هو اللي ..
+
+348
+00:25:31,740 --> 00:25:38,400
+الـ Process View يظهر كيف في وقت الـ runtime عند
+
+349
+00:25:38,400 --> 00:25:40,900
+استخدام الـ system، الـ system مجموعة من الـ
+
+350
+00:25:40,900 --> 00:25:45,860
+Processes، 
+
+351
+00:25:45,860 --> 00:25:49,800
+عمليات أساسية، الآن العمليات هنا، ما نحكي عن عملية
+
+352
+00:25:49,800 --> 00:25:53,340
+التفصيلية، إن في عندي فانكشن، بتأخذ رقمين و
+
+353
+00:25:53,340 --> 00:25:56,320
+بتجمعهم وبتطلع الـ output، لأ، هنحكي عن إيش؟
+
+354
+00:25:57,970 --> 00:26:02,570
+كمبونات رئيسية في process اسمها web server أو
+
+355
+00:26:02,570 --> 00:26:07,690
+database server أو client أو كده بيقوموا بمجموعة
+
+356
+00:26:07,690 --> 00:26:12,750
+واسعة من العمليات المختصة في الـ web أو مختصة في الـ
+
+357
+00:26:12,750 --> 00:26:20,210
+database أو كده تمام؟ الـ logical view يظهر اكتشافات
+
+358
+00:26:20,210 --> 00:26:25,690
+أساسية في النظام كأجهزة أو أجهزة طبية بأرض لي إن والله في عندي a class اسمه student في class اسمه
+
+359
+00:26:25,690 --> 00:26:29,890
+مدرس instructor في class اسمه course الـ class والـ
+
+360
+00:26:29,890 --> 00:26:34,770
+course هذا بيحتوي على بيانات الـ course class الـ
+
+361
+00:26:34,770 --> 00:26:38,170
+student يحتوي على بيانات الـ student وعلى عمليات الـ
+
+362
+00:26:38,170 --> 00:26:40,970
+student الـ functions اللي بت .. فهذا الـ logical
+
+363
+00:26:40,970 --> 00:26:45,450
+view بيأرض اللي هو الـ logical concepts اللي بتعامل
+
+364
+00:26:45,450 --> 00:26:50,590
+.. اللي داخلة في الـ system .. الداخلة في الـ system
+
+365
+00:26:50,590 --> 00:26:52,770
+كل concept معبر عنها بـ class وعلاقة الـ classes
+
+366
+00:26:52,770 --> 00:26:56,410
+هذه ببعض okay إيش اللي فلقتناه للغاية اللي هو الـ
+
+367
+00:26:56,410 --> 00:26:59,410
+development view؟ Okay هذا الـ view التركيز فيه على
+
+368
+00:26:59,410 --> 00:27:04,150
+how الـ system was decomposed or developed يعني على
+
+369
+00:27:04,150 --> 00:27:10,670
+طول بتفكر في الـ modules إيش قلنا الـ modules؟ في 
+
+370
+00:27:10,670 --> 00:27:14,470
+فرق ما بين الـ model والـ module مظبوط؟ إذا
+
+371
+00:27:14,470 --> 00:27:17,830
+بتذكروا الـ module هو عبارة عن مجموعة من المكونات
+
+372
+00:27:17,830 --> 00:27:21,970
+جايين مع بعض ليش حاطينهم مع بعض؟ ربما لأنهم داخلين
+
+373
+00:27:21,970 --> 00:27:28,050
+في نفس الوظيفية متشابهين في الوظيفة أو ربما لأنه
+
+374
+00:27:28,050 --> 00:27:34,390
+احنا لما نفذناهم أو برمجناهم مع بعض في مرحلة واحدة
+
+375
+00:27:34,390 --> 00:27:42,290
+يعني جسمنا 
+
+376
+00:27:42,290 --> 00:27:43,050
+يعني جسمنا
+
+377
+00:27:48,790 --> 00:27:57,350
+سنقوم بعمل مجموعة من المكونات بس علاقة بقراءة
+
+378
+00:27:57,350 --> 00:28:03,740
+الملفات نفترض الملفات هذه مش text files، images،
+
+379
+00:28:03,740 --> 00:28:06,940
+وظيفة الـ الـ الـ الـ components هذه إنها 
+
+380
+00:28:06,940 --> 00:28:12,000
+تقرأ الـ image files وتعمل عليها شوية شغل أساسي
+
+381
+00:28:12,000 --> 00:28:17,880
+pre processing وتحوّل الصورة من وضعها الأساسي إلى
+
+382
+00:28:17,880 --> 00:28:23,130
+.. إلى نوع ثاني تمام؟ علشان يجي المقاومات الأخرى
+
+383
+00:28:23,130 --> 00:28:27,850
+بعدها تأخذ من الـ output هذا وتشتغل شغلها تمام؟
+
+384
+00:28:27,850 --> 00:28:31,110
+فعندنا احنا الآن الشغل الأولاني أو مجموعة الـ
+
+385
+00:28:31,110 --> 00:28:34,330
+components الأولانية غلفناهم في module واحد اللي
+
+386
+00:28:34,330 --> 00:28:38,350
+هو module سمّينا preprocessing module اللي هو
+
+387
+00:28:38,350 --> 00:28:42,290
+مجموعة المقاومات اللي لها علاقة بالـ preprocessing
+
+388
+00:28:42,750 --> 00:28:47,090
+تمام؟ فالآن هنا الأمر هذا الـ modules هذه والـ
+
+389
+00:28:47,090 --> 00:28:52,810
+modules هذه أجت تبين لي قاعدية كيف أو منهجية التطوير
+
+390
+00:28:52,810 --> 00:28:57,030
+كيف احنا بنينا الـ system تدريجياً بنّيناها على أساس
+
+391
+00:28:57,030 --> 00:29:01,950
+module وراء module ف الـ development view بيظهر الـ
+
+392
+00:29:01,950 --> 00:29:05,190
+modules وبيظهر كيف إن الـ modules
+
+393
+00:29:07,910 --> 00:29:17,630
+بنيت على .. على أساس بعضها حسب التطور .. حسب
+
+394
+00:29:17,630 --> 00:29:24,290
+التقدم في المنهجية يعني في .. في الـ project تمام؟
+
+395
+00:29:24,290 --> 00:29:29,050
+إيه؟ لأن هدول هم الأربعة views الأساسية هل أنا 
+
+396
+00:29:29,050 --> 00:29:34,820
+بستخدم .. هل أنا بتبنى واحد منهم؟ لأ أنا عادة بأعبر
+
+397
+00:29:34,820 --> 00:29:38,500
+عن الـ architecture تبعي .. تبع الـ system تبعي بما
+
+398
+00:29:38,500 --> 00:29:43,770
+يكفي بالقدر الكافي من هدول الأربعة يعني ممكن أعمل
+
+399
+00:29:43,770 --> 00:29:47,470
+physical view وأعمل أيضاً كمان process view و
+
+400
+00:29:47,470 --> 00:29:52,270
+development view وlogical view المهم عندي إن أنا
+
+401
+00:29:52,270 --> 00:29:57,290
+أعبر عن هيكلية تبع الـ system بشكل متكامل وواضح
+
+402
+00:29:57,290 --> 00:30:02,690
+physical يكفي كما بها لا يكفي بدا أدعمه بـ another
+
+403
+00:30:02,690 --> 00:30:08,630
+view process view أو development view أو logical أو
+
+404
+00:30:08,630 --> 00:30:13,730
+بالأربعة أنواع كله الـ plus one الخامس اللي هو إضافي
+
+405
+00:30:13,730 --> 00:30:16,870
+وجاي هنا plus one بمعنى إنه أحياناً بلزّ وأحياناً 
+
+406
+00:30:16,870 --> 00:30:21,870
+لا اللي هو إنه أنا هستخدم use cases or scenarios
+
+407
+00:30:21,870 --> 00:30:26,070
+use cases or scenarios هذه قبل عن models بتيجي
+
+408
+00:30:26,070 --> 00:30:30,590
+لاتكمل الـ architecture تبع الـ system نطرح فيها مين
+
+409
+00:30:30,590 --> 00:30:35,550
+هم المستخدمين وإيش كل مستخدم بلزّ من خدمات أو
+
+410
+00:30:35,550 --> 00:30:40,140
+وظائف من الوظائف اللي بيؤديها الـ system صح؟ فمن هنا
+
+411
+00:30:40,140 --> 00:30:44,540
+أجت التسمية هذه four plus one four basic views
+
+412
+00:30:44,540 --> 00:30:51,040
+plus one view اللي بيربط تقريباً بيربط الصورة بشكل
+
+413
+00:30:51,040 --> 00:30:56,400
+كامل تمام، الآن موضوع الـ architectural patterns
+
+414
+00:30:59,890 --> 00:31:04,790
+الـ patterns هي دي ملط علينا كلمة style في الأول في
+
+415
+00:31:04,790 --> 00:31:09,170
+الـ decisions إذا بتذكروا كان في سؤال ب .. ب .. ب
+
+416
+00:31:09,170 --> 00:31:14,350
+.. كنت إيه الـ software engineer تسأل نفسك ما هو في
+
+417
+00:31:14,350 --> 00:31:17,330
+الـ questions هنا what architecture styles are 
+
+418
+00:31:17,330 --> 00:31:22,370
+appropriate؟ إيش هو الـ هيكل .. style الـ هيكلية
+
+419
+00:31:22,370 --> 00:31:26,950
+المناسبة؟ هنا style يقصد فيها إيش؟ pattern فهنطلع
+
+420
+00:31:26,950 --> 00:31:27,950
+على patterns
+
+421
+00:31:32,640 --> 00:31:36,560
+متداولة أو شائعة شفنا احنا حتى الآن شفنا اثنين
+
+422
+00:31:36,560 --> 00:31:41,320
+منهم قبل شوية اللي هو الـ MVC و الـ layered تمام
+
+423
+00:31:41,320 --> 00:31:46,040
+فخلاصة الـ patterns الـ architectural patterns هي
+
+424
+00:31:46,040 --> 00:31:52,260
+عبارة عن مع التجربة مع التجربة اللي أصبح شائع أكثر
+
+425
+00:31:52,950 --> 00:31:58,710
+أن الـ systems بتبنى بهذه الهيكليات يا إما بتبنى
+
+426
+00:31:58,710 --> 00:32:04,270
+MVC يا إما بتبنى Layered يا إما بتبنى كذا يا إما كذا
+
+427
+00:32:04,270 --> 00:32:10,570
+ماشي فغالبا الـ system تبعك لما أنت تدرسه وتفهم 
+
+428
+00:32:10,570 --> 00:32:14,130
+المتطلبات اللي عوزها الـ user على طول مخك هيروح في
+
+429
+00:32:14,130 --> 00:32:20,670
+اتجاه واحد من هذه الأنماط يعني مثلا إذا هو web system و base system و بتعامل مع dynamic data و ال
+
+430
+00:32:20,670 --> 00:32:24,790
+data هذه جاية من database على طول مخك هيروح على ال
+
+431
+00:32:24,790 --> 00:32:28,490
+MVC و هيكون هو ده الـ most appropriate آه الأنسب
+
+432
+00:32:28,490 --> 00:32:33,190
+style أو pattern لـ ال .. okay فهي عبارة عن أنماط
+
+433
+00:32:33,190 --> 00:32:40,890
+من الهيكلية فالأنماط هذه بنعبر عنها بشكل رسومي
+
+434
+00:32:40,890 --> 00:32:47,070
+graphical تمام؟ وإلا هو .. و أيضا كمان بنعبر عنها
+
+435
+00:32:47,070 --> 00:32:55,090
+بشكل textual أنه بنعمل جدول زي هيكلة لكل pattern
+
+436
+00:32:55,090 --> 00:32:59,590
+بنكتب الـ description و بنكتب example و بنكتب when
+
+437
+00:32:59,590 --> 00:33:03,530
+و advantages و disadvantages
+
+438
+00:33:03,530 --> 00:33:05,370
+و advantages و disadvantages
+
+439
+00:33:08,170 --> 00:33:10,790
+عشان نفهم أننا بنحكي عن الـ advantages و الـ
+
+440
+00:33:10,790 --> 00:33:14,850
+disadvantages لكن إذا أنا ارسم الـ model للـ system
+
+441
+00:33:14,850 --> 00:33:20,130
+تبعي هارسم الرسمة هذه و اقول أن في عندي تلت مكونات
+
+442
+00:33:20,130 --> 00:33:23,050
+أساسية المكون هذا بعمل كده و هذا بعمل كده و هذا
+
+443
+00:33:23,050 --> 00:33:27,770
+بعمل كده و أيضا أوضح القمر هذا أكثر في جدول هذا بحط
+
+444
+00:33:27,770 --> 00:33:33,610
+description للـ system تبعي و بحط اللي هو ليش أنا
+
+445
+00:33:33,610 --> 00:33:38,110
+استخدمته هذا الـ .. هذا الـ architecture عن غيره
+
+446
+00:33:38,110 --> 00:33:42,950
+عموما الـ .. الـ MVC كويس أن احنا صرنا .. يعني كنا
+
+447
+00:33:42,950 --> 00:33:46,850
+حاكينا قبل هيكلة عشان الآن صارت واضحة هذه الأمور
+
+448
+00:33:46,850 --> 00:33:51,810
+أن الـ .. الـ .. الـ .. الـ MVC description تبعه أن
+
+449
+00:33:51,810 --> 00:33:56,060
+هو بيفصل الـ Presentation الـ Presentation اللي هي
+
+450
+00:33:56,060 --> 00:33:59,400
+إيش؟ إيش من التلاتة هو الـ presentation؟ الـ model
+
+451
+00:33:59,400 --> 00:34:04,460
+ولا الـ controller ولا الـ view؟ الـ presentation الـ
+
+452
+00:34:04,460 --> 00:34:08,740
+view لأن الـ presentation يقصد بها كيفية عرض
+
+453
+00:34:08,740 --> 00:34:15,040
+المحتوى لـ user فهو بيفصل الـ presentation و الـ
+
+454
+00:34:15,040 --> 00:34:18,640
+interaction و الـ interaction إيش الـ interaction؟
+
+455
+00:34:18,640 --> 00:34:21,980
+اللي هو التفاعل تبع الـ user فهدول الاتنين مع بعض
+
+456
+00:34:21,980 --> 00:34:26,560
+الـ presentation و الـ interaction هم اللي ناحية الـ
+
+457
+00:34:26,560 --> 00:34:31,050
+view الـ interaction هنا مقصود بها إيه إيش؟ أيوة
+
+458
+00:34:31,050 --> 00:34:34,730
+تفاعل الـ user مع الـ interface يعني الـ user يدخل
+
+459
+00:34:34,730 --> 00:34:37,990
+بيانات الـ user يفتح menus الـ user يضغط زرائر الـ
+
+460
+00:34:37,990 --> 00:34:43,990
+user يبقى نعطيله error message تمام هذا هو المقصود
+
+461
+00:34:43,990 --> 00:34:47,210
+بالـ interaction يفصل الـ interaction في مجموعة
+
+462
+00:34:47,210 --> 00:34:51,190
+components منفصلة عن الـ system data الـ system data
+
+463
+00:34:51,190 --> 00:34:55,130
+فيها component لا تخزين أو استرجاع وفي component
+
+464
+00:34:55,130 --> 00:34:59,070
+آخر لا إجراء أي عمليات اللي هو الـ controller على
+
+465
+00:34:59,070 --> 00:35:04,720
+الـ data تمام؟ 3 Logical components that interact
+
+466
+00:35:04,720 --> 00:35:07,620
+with each other اللي هو الـ model component manages
+
+467
+00:35:07,620 --> 00:35:11,320
+the system data and associated operations إيش
+
+468
+00:35:11,320 --> 00:35:15,300
+operations؟ operations على الـ data أي عمليات بتجرى
+
+469
+00:35:15,300 --> 00:35:20,700
+على الـ data operations على الـ data yeah الـ view
+
+470
+00:35:20,700 --> 00:35:24,980
+هذا شغل مين هذا؟ شغل الـ model الـ view component
+
+471
+00:35:24,980 --> 00:35:28,860
+defines and manages how the data is presented الـ
+
+472
+00:35:28,860 --> 00:35:32,750
+controller إيش شغله؟ Manages the user interaction
+
+473
+00:35:32,750 --> 00:35:37,090
+and passes these interactions to the view and the
+
+474
+00:35:37,090 --> 00:35:40,590
+model، okay؟ هاي هنا في مثال على ذلك اللي هو
+
+475
+00:35:40,590 --> 00:35:43,950
+هنشوفه كمان شوية في الـ .. أو شوفنا احنا في الـ
+
+476
+00:35:43,950 --> 00:35:48,050
+slide اللي بعد، okay؟ امتى بنستخدم هذا؟ السؤال
+
+477
+00:35:48,050 --> 00:35:53,410
+الأساسي، when؟ امتى بنستخدم هذا الـ style أو هذا
+
+478
+00:35:53,410 --> 00:35:56,050
+الأسلوب أو هذا الهيكلية؟
+
+479
+00:36:00,760 --> 00:36:07,200
+أكثر من طريقة للتعامل مع المشاهدة و التفاعل وأنها
+
+480
+00:36:07,200 --> 00:36:10,600
+بطريقة .. مظبوط الكلام .. يعني يكون في عندك أكثر
+
+481
+00:36:10,600 --> 00:36:14,360
+من طريقة لعرض الـ .. يعني مثلا في عندي أنا data و
+
+482
+00:36:14,360 --> 00:36:19,040
+بعض الـ users بدهم يشوفوها ب .. بهيئة معينة و البعض
+
+483
+00:36:19,040 --> 00:36:23,760
+بدهم يشوفوه نفس الـ data بهيئة أخرى ربما مجمعة ربما
+
+484
+00:36:23,760 --> 00:36:28,600
+مفصلة ربما كده .. ماشي فأنا عندي الـ data موجودة في
+
+485
+00:36:28,600 --> 00:36:34,360
+مكانها و في عندي عدة presentations لها .. okay تمام؟
+
+486
+00:36:34,360 --> 00:36:38,760
+و هذا هو الأنسب إشي على الـ .. الـ .. الـ web أو
+
+487
+00:36:38,760 --> 00:36:42,000
+الشائع على الـ web also used when the future
+
+488
+00:36:42,000 --> 00:36:44,880
+requirements for interaction and presentation of
+
+489
+00:36:44,880 --> 00:36:48,480
+data are unknown لما نكون برضه كذلك الحال أنا
+
+490
+00:36:48,480 --> 00:36:52,760
+متوقع أن يكون في إضافة إلى اللي أنا فاهمها الآن
+
+491
+00:36:52,760 --> 00:36:58,000
+ربما تنطلب أشياء أخرى مستقبلية لعلاقتها بكيفية
+
+492
+00:36:58,000 --> 00:37:01,440
+عرض الـ data يعني احنا لدينا بيانات الطلاب الآن و
+
+493
+00:37:01,440 --> 00:37:05,380
+الآن نعرف أن الطالب بس بده يشوف كشف درجات يطبعه
+
+494
+00:37:05,380 --> 00:37:09,220
+لكن ربما في المستقبل هذه الـ .. البيانات أو
+
+495
+00:37:09,220 --> 00:37:13,680
+البيانات المتعلقة بكشف العلامات يعني البيانات
+
+496
+00:37:13,680 --> 00:37:17,260
+المتعلقة بالعلامات ربما بدنا نروح نعمل عليها
+
+497
+00:37:17,260 --> 00:37:22,100
+إجماليات بدنا نروح نعمل إحصائيات بدنا نعمل أي شيء
+
+498
+00:37:23,090 --> 00:37:29,030
+فعشان احنا متوقعين views مستقبلية لكن لسه مش محددة
+
+499
+00:37:29,030 --> 00:37:33,150
+فبنستخدم الموضوع هذا لأن الموضوع هذا فاصل، أنا لأن
+
+500
+00:37:33,150 --> 00:37:36,530
+أنا عامل views بسمح لي أن أنا اعمل views أخرى في
+
+501
+00:37:36,530 --> 00:37:40,940
+المستقبل okay؟ و الـ advantages تبعته أنه allows الـ
+
+502
+00:37:40,940 --> 00:37:44,140
+data to change independently يعني أنا ممكن أجري أي
+
+503
+00:37:44,140 --> 00:37:47,780
+عمليات على الهيكلية تبع الـ data و على الـ database
+
+504
+00:37:47,780 --> 00:37:50,780
+و على الـ system administration تبع الـ database
+
+505
+00:37:50,780 --> 00:37:54,820
+management system منفصل بدون ما يتأثر تخيل لو أنت
+
+506
+00:37:54,820 --> 00:37:57,680
+الـ data نفسها كلها contained في نفس الـ system
+
+507
+00:37:57,680 --> 00:38:03,910
+مافيش فصل ما بين الـ database و ما بين الـ View
+
+508
+00:38:03,910 --> 00:38:08,030
+أو ما بين الـ Controller لكل ما دولة مبنيين بنفس الـ
+
+509
+00:38:08,030 --> 00:38:16,410
+.. لإيش؟ بنفس الـ .. يعني كـ component .. كـ system
+
+510
+00:38:16,410 --> 00:38:20,070
+واحد بيصير صعب لو أنت عملت أي تغيير هنا بدي أترتب
+
+511
+00:38:20,070 --> 00:38:22,470
+عليه تغييرات في المكونات الأخرى
+
+512
+00:38:26,400 --> 00:38:30,860
+الـ disadvantage له الوحيدة وهي أنه can involve ..
+
+513
+00:38:30,860 --> 00:38:36,060
+can يعني ربما قد ممكن مش .. مش دائما can involve
+
+514
+00:38:36,060 --> 00:38:40,080
+إيش additional code and code complexity when the
+
+515
+00:38:40,080 --> 00:38:43,240
+data model and interactions are .. are simple يعني
+
+516
+00:38:43,240 --> 00:38:48,020
+أحيانا بتطلب من المبرمج مجهود إضافي في إيش في
+
+517
+00:38:48,020 --> 00:38:52,320
+التعامل مع الـ data غير اللي هو .. غير الـ libraries
+
+518
+00:38:52,320 --> 00:38:55,340
+اللي already موجودة في الـ model أو في الـ
+
+519
+00:38:55,340 --> 00:39:03,130
+controller تمام؟ وهذا الشكل مثال على .. على الـ
+
+520
+00:39:03,130 --> 00:39:07,550
+model view style
+
+521
+00:39:07,550 --> 00:39:14,430
+تمام؟
+
+522
+00:39:14,430 --> 00:39:18,610
+زي ما أنت ملاحظ هنا الـ .. الـ browser اللي بدي
+
+523
+00:39:18,610 --> 00:39:22,090
+أتعامل معه الـ user الـ browser هي ده بياخد الـ
+
+524
+00:39:22,090 --> 00:39:27,490
+views من مين؟ من .. الـ من الـ view components بياخد
+
+525
+00:39:27,490 --> 00:39:32,030
+الصفحات تبع الـ user بياخد .. بيشوف الصفحات جاية من
+
+526
+00:39:32,030 --> 00:39:36,210
+و لين من الـ view control .. من الـ view model آسف
+
+527
+00:39:36,210 --> 00:39:40,970
+من الـ view component يعني الصفحات هذه عادة هي
+
+528
+00:39:40,970 --> 00:39:45,010
+عبارة عن dynamic pages يعني صفحات بيولدها أو
+
+529
+00:39:45,010 --> 00:39:52,320
+بتتشكل بشكل فوق تلقائي مش ثابت يعني Dynamic page
+
+530
+00:39:52,320 --> 00:39:57,620
+generation و forms management الشاشة اللي بتشوفها
+
+531
+00:39:57,620 --> 00:40:02,760
+عبارة عن form نموذج فأي شيء اللي علاقة بالـ layout
+
+532
+00:40:02,760 --> 00:40:08,160
+يعني توزيع العناصر على الشاشة إذا أنت صغرت إذا أنت
+
+533
+00:40:08,160 --> 00:40:14,100
+كبرت كلها مسؤولية من؟ مسؤولية الـ view component وزي
+
+534
+00:40:14,100 --> 00:40:17,700
+ما أقول أن هذا الكلام أنت ما بتسويه بنفسك مبرمج هذا
+
+535
+00:40:17,700 --> 00:40:24,420
+جزء من التركيبة تبع الـ view .. الـ view classes
+
+536
+00:40:24,420 --> 00:40:28,360
+اللي في الـ language أو الـ IDE اللي أنت بتستخدمه
+
+537
+00:40:28,360 --> 00:40:32,790
+okay؟ الآن هذه الـ pages مش بتحتوي على data الـ data
+
+538
+00:40:32,790 --> 00:40:39,150
+هذه احنا بنا نبعث أو بنا نأخذ تمام فالممكن تجي الـ
+
+539
+00:40:39,150 --> 00:40:45,090
+data عن طريق الـ إيش الـ model مباشرة بمعنى أنه لما
+
+540
+00:40:45,090 --> 00:40:49,190
+يتغير أي شيء على الـ data و بما user ثاني خش و غير
+
+541
+00:40:49,190 --> 00:40:53,370
+أو أضاف فهذا الكلام بدي يروح على الـ view علشان
+
+542
+00:40:53,370 --> 00:41:01,330
+يظهر على الشاشة okay الآن هذه الصفحات لما بتطلب
+
+543
+00:41:01,330 --> 00:41:05,790
+data لما بتطلب data بتطلبها برضه عن طريق الـ
+
+544
+00:41:05,790 --> 00:41:09,230
+control الـ control اللي هو مسئول عن .. مسئول عن
+
+545
+00:41:09,230 --> 00:41:11,610
+العمليات اللي بتتم .. احنا مش قولنا الـ control ..
+
+546
+00:41:11,610 --> 00:41:14,450
+مسئول عن العمليات اللي بتتم على الـ data فعمليات
+
+547
+00:41:14,450 --> 00:41:18,210
+التخزين و الاحضار و ال retrieval يعني و أي عملية
+
+548
+00:41:18,210 --> 00:41:21,670
+processing على الـ data بتتم من خلاله عن طريق طبعا
+
+549
+00:41:21,670 --> 00:41:25,930
+http request okay الـ application specific logic
+
+550
+00:41:25,930 --> 00:41:30,250
+اللي هو .. و الـ data validation اللي هي processing
+
+551
+00:41:30,250 --> 00:41:33,490
+operations إيش يعني application specific logic؟
+
+552
+00:41:33,490 --> 00:41:35,990
+هذا application، application اللي علاقة بالعلامات أو
+
+553
+00:41:35,990 --> 00:41:39,210
+application اللي علاقة بأمور مالية أو محاسبة،
+
+554
+00:41:39,210 --> 00:41:44,030
+تمام؟ فالـ data هذه اللي رايحة، اللي داخلة أو اللي
+
+555
+00:41:44,030 --> 00:41:48,530
+جاية إذا بيحتاج الـ validation أو محتاجة عمليات
+
+556
+00:41:48,530 --> 00:41:54,030
+حسابية تجرى عليها قبل تخزين أو إذا وهي جاية بدنا
+
+557
+00:41:54,030 --> 00:41:56,690
+نعمل زي مثلا averaging ولا بدنا نعمل summation
+
+558
+00:41:56,690 --> 00:42:04,270
+هذا هو المقصود بالـ application specific logic تمام
+
+559
+00:42:04,270 --> 00:42:08,270
+الآن النوع أو الـ style الثاني اللي بنطلع عليه الآن
+
+560
+00:42:08,270 --> 00:42:10,410
+اللي هو الـ layer و الـ layer برضه اللي احنا شفنا
+
+561
+00:42:10,410 --> 00:42:13,070
+منه مثال قبل شوية الـ layer
+
+562
+00:42:18,420 --> 00:42:22,360
+اللي بركز على اللي هو الارتباط ما بين الـ system ما
+
+563
+00:42:22,360 --> 00:42:26,840
+بين المكونات المختلفة واعتمادها على بعضها
+
+564
+00:42:31,650 --> 00:42:35,850
+الـ components organizes the system، الـ system
+
+565
+00:42:35,850 --> 00:42:39,790
+الآن والـ components كلها اللي فيه بيصنفها أو
+
+566
+00:42:39,790 --> 00:42:43,270
+بيفرزها إلى layers، هذه المجموعة هي عبارة عن
+
+567
+00:42:43,270 --> 00:42:45,650
+الطبقة النهائية اللي بده يشوفها الـ user، هذه
+
+568
+00:42:45,650 --> 00:42:48,890
+المجموعة الثانية هي الطبقة اللي بدها تدعمها 
+
+569
+00:42:48,890 --> 00:42:52,190
+الطبقة، يعني مجموعة العمليات اللي بدها
+
+570
+00:42:54,750 --> 00:42:58,230
+هنا مجموعة العمليات اللي لازمة تتم علشان تقدر الـ
+
+571
+00:42:58,230 --> 00:43:01,670
+user interface تقرض لها الـ .. هنا مجموعة العمليات
+
+572
+00:43:01,670 --> 00:43:03,410
+اللي لازمة تتم علشان هذه تقدر
+
+573
+00:43:06,620 --> 00:43:10,180
+الأساس اللي بيتمد عليه كل الـ layers وبالتالي
+
+574
+00:43:10,180 --> 00:43:14,880
+التصنيف أو الـ organization أو الهيكلية جاي into a
+
+575
+00:43:14,880 --> 00:43:18,440
+set of layers or abstract مشيز each of which
+
+576
+00:43:18,440 --> 00:43:22,700
+provide a set of services مجموعة من الخدمات لمين
+
+577
+00:43:22,700 --> 00:43:28,000
+كل layer provide ايش a set of services لمين للـ
+
+578
+00:43:28,000 --> 00:43:30,600
+layer اللي فوقها صح؟
+
+579
+00:43:37,060 --> 00:43:52,020
+تمام نطلع على when used أول
+
+580
+00:43:52,020 --> 00:43:56,560
+استخدام لها لما نكون أنا عندي existing system والـ
+
+581
+00:43:56,560 --> 00:44:01,890
+system هذا أنا بدي أبقى عارف من ايش أو أصمم مجموعة
+
+582
+00:44:01,890 --> 00:44:06,250
+من العمليات الجديدة المبنية على هذا الـ system يعني
+
+583
+00:44:06,250 --> 00:44:12,150
+أنا عندي مثلًا الـ system تبع الجامعة أنا الـ
+
+584
+00:44:12,150 --> 00:44:15,830
+database الـ system وفيه اللي هو البيانات
+
+585
+00:44:15,830 --> 00:44:21,250
+الأكاديمية والعلامات دي جيه جهة بتقول احنا بدنا
+
+586
+00:44:21,250 --> 00:44:26,510
+الآن مجموعة من الإحصائيات الإحصائيات هذه مختلفة
+
+587
+00:44:26,510 --> 00:44:29,750
+ممكن من تصنيف الطلاب على الـ .. على الـ .. على
+
+588
+00:44:29,750 --> 00:44:35,170
+الكليات، معدلات القبول في كل سنة، فقول مثلًا أن
+
+589
+00:44:35,170 --> 00:44:41,030
+خمسين كشفًا أو خمسين إحصائية مختلفة بدها تنعمل، هدول
+
+590
+00:44:41,030 --> 00:44:44,470
+الخمسين عبارة عن ايش؟ عبارة عن system لحالهم يعني
+
+591
+00:44:44,470 --> 00:44:49,790
+أنا بدي آجي الموظف بدي يدخل على system الإحصائيات
+
+592
+00:44:49,790 --> 00:44:53,910
+ويبدأ يطلب إحصائي عن كذا إحصائي عن كذا هذه
+
+593
+00:44:53,910 --> 00:44:56,910
+الإحصائيات ممكن تيجي من الـ database فلأن احنا ممكن
+
+594
+00:44:56,910 --> 00:45:04,970
+نيجي نفكر في أن الإحصائيات هذه هي طبقة من كل واحد
+
+595
+00:45:04,970 --> 00:45:08,970
+منهم كاشف الـ user بتتعامل معاه الكشفات هذه
+
+596
+00:45:08,970 --> 00:45:14,350
+المختلفة بدي يكون في عندي طبقة معينة هي اللي احنا
+
+597
+00:45:14,350 --> 00:45:17,950
+لما الـ user يكون بده الكشف هذا تروح تتنفذ العملية
+
+598
+00:45:17,950 --> 00:45:21,850
+الفلانية والعملية الفلانية هي وظيفتها أن تمطلب
+
+599
+00:45:21,850 --> 00:45:25,470
+الـ data المتعلقة بهذا الكشف من مين؟ من الـ database
+
+600
+00:45:25,470 --> 00:45:30,970
+system الـ database system already موجود existing
+
+601
+00:45:32,430 --> 00:45:36,590
+بقى علينا ايش نعمل؟ الطبقتين هدول، طبقة الكشفات
+
+602
+00:45:36,590 --> 00:45:41,770
+اللي هي user interface وطبقة اللي هي .. خلّيني
+
+603
+00:45:41,770 --> 00:45:45,670
+أقول .. نسميها الـ control نسميها مجموعة العمليات
+
+604
+00:45:45,670 --> 00:45:49,810
+اللي متعلقة
+
+605
+00:45:49,810 --> 00:45:56,290
+بطلب البيانات وإرجاعها للـ user، صح؟ يعني إلى
+
+606
+00:45:56,290 --> 00:46:00,090
+الآن، لما يكون في عندي existing system وبدأ أضيف
+
+607
+00:46:00,090 --> 00:46:00,470
+عليه
+
+608
+00:46:03,850 --> 00:46:10,430
+جزئية جديدة متعلقة بمطلب أو مجال مجال جديد فلازم
+
+609
+00:46:10,430 --> 00:46:14,090
+أكون أنا مرتب الـ system تبعي على شكل layer علشان
+
+610
+00:46:14,090 --> 00:46:18,190
+أنه يوم أنا آجي أعمل على شكل لعب علشان يوم آجي
+
+611
+00:46:18,190 --> 00:46:24,570
+أعمل هذه الجزئية الجديدة أستفيد من اللي موجود تخيل
+
+612
+00:46:24,570 --> 00:46:31,380
+لو أنه عندي أنا already في طبقة طبقة من العمليات
+
+613
+00:46:31,380 --> 00:46:35,480
+اللي متعلقة بايش أخذ البيانات من الـ .. من الـ
+
+614
+00:46:35,480 --> 00:46:40,200
+server فأنا الآن بصير عليا ربما آخذ من هذه الطبقة
+
+615
+00:46:40,200 --> 00:46:46,700
+وبس بأضيف طبقة هذه وربما بس بأعمل .. أعمل إضافة
+
+616
+00:46:46,700 --> 00:46:50,320
+أو تعديل جديد على هذه الطبقة لو أنا محضر الـ
+
+617
+00:46:50,320 --> 00:46:53,840
+architecture تبع الـ system على شكل layered فأنا
+
+618
+00:46:53,840 --> 00:46:56,580
+ممكن ايش أستفيد من الـ layers اللي موجودة وأبني
+
+619
+00:46:56,580 --> 00:46:57,440
+عليها أساسًا
+
+620
+00:47:00,320 --> 00:47:06,180
+خذ عندك مثلًا على سبيل المثال هذا الـ library
+
+621
+00:47:06,180 --> 00:47:09,560
+system ايش الـ library system هذا احنا مرينا عليه
+
+622
+00:47:09,560 --> 00:47:13,860
+قبل شوية قلنا أنه في عندي layer اسمه library
+
+623
+00:47:13,860 --> 00:47:16,900
+index الـ library index ايش عن الـ index اللي هو
+
+624
+00:47:16,900 --> 00:47:21,920
+الفهرس فهنا عبارة عن system أو subsystem وضيفته
+
+625
+00:47:21,920 --> 00:47:26,890
+أنه يشبك مع ألوان متعددة من الـ databases أو مصادر
+
+626
+00:47:26,890 --> 00:47:30,730
+الـ databases متعددة علشان أنا الـ user اللي هنا
+
+627
+00:47:30,730 --> 00:47:34,850
+اللي جالس هنا في الآخر لما أبحث عن بحث علمي أو
+
+628
+00:47:34,850 --> 00:47:39,690
+أبحث عن كتاب أو أبحث عن رسالة أو مشروع تخرج سابق
+
+629
+00:47:39,690 --> 00:47:45,090
+أنا بس بكتب البحث وبضغط الزر ولا يقنني ايش بيصير
+
+630
+00:47:45,090 --> 00:47:48,710
+بعد هيك؟ الـ request تبعي هذا في الآخر بدي ييجي للـ
+
+631
+00:47:48,710 --> 00:47:53,750
+index والـ index بيبحث أو قد يكون هو already مجمع
+
+632
+00:47:53,750 --> 00:47:58,210
+الـ index تبعت هدول الـ databases ومجمع عنده
+
+633
+00:47:58,210 --> 00:48:03,170
+وبالتالي في عنده global index
+
+634
+00:48:05,340 --> 00:48:10,620
+أو integrated index بيبحث فيه مش هيروح يعمل اتصال
+
+635
+00:48:10,620 --> 00:48:14,520
+لحظة الـ .. لحظة ما أنا اضغط الزر ويروح يجرب لأ
+
+636
+00:48:14,520 --> 00:48:20,740
+يبحث بشكل centralized عنده okay فهذا وظيفته بس
+
+637
+00:48:20,740 --> 00:48:26,860
+يبقى التعلق بالربط مع هدول والبحث الآن هنا بيبقى
+
+638
+00:48:26,860 --> 00:48:32,340
+باعتمد على هذا القمر بيعتمد عندي هل أنا والله ببحث
+
+639
+00:48:32,340 --> 00:48:38,660
+على بعمل distributed search ولا بعمل local search
+
+640
+00:48:39,240 --> 00:48:42,680
+بعد كده الـ rights والـ accounting ايش عن الـ rights
+
+641
+00:48:42,680 --> 00:48:45,300
+والـ accounting الـ rights يعني هل أنا ايه اللي حق
+
+642
+00:48:45,300 --> 00:48:48,600
+الوصول إلى هدول الـ databases لأن بعض منهم ممكن
+
+643
+00:48:48,600 --> 00:48:52,660
+يكون بفلوس وبعض منهم يكون مجاني أنا ايه اللي حق بس
+
+644
+00:48:52,660 --> 00:48:55,240
+للمجاني الفلوس أنا مش عايز اشتراك وبالتالي ما ليش
+
+645
+00:48:55,240 --> 00:49:00,960
+حق فهنا لازم يكون في component علاقة بالـ rights
+
+646
+00:49:00,960 --> 00:49:05,700
+وظيفتها أنه قبل ما الطلب يصل الـ library index
+
+647
+00:49:05,700 --> 00:49:11,020
+يتحقق من أن اللي طلب هذا الطلب ممكن تقرأ عليه إله
+
+648
+00:49:11,020 --> 00:49:14,140
+الصلاحية ولا لأ، طبعًا الـ accounting اللي هي إنه لو
+
+649
+00:49:14,140 --> 00:49:17,700
+الله أنا بقعد بستخدم بعمل عملية search وفي عندي
+
+650
+00:49:17,700 --> 00:49:22,080
+قاعدة بتقول إنه كل خمسين search بدك تدفع عليهم كده
+
+651
+00:49:22,080 --> 00:49:26,500
+فهذا الـ accounting الموضوع اللي لازم يكون بيحسب
+
+652
+00:49:26,500 --> 00:49:30,140
+عملية الـ search عشان .. الآن كل هدول العمليات
+
+653
+00:49:30,600 --> 00:49:32,520
+عملية الـ accounting و rights management و
+
+654
+00:49:32,520 --> 00:49:35,160
+document retrieval و distribution of search كلها
+
+655
+00:49:35,160 --> 00:49:40,020
+في الآخر لازم الطلب يمر قبها قبل ما نصل إلى مين
+
+656
+00:49:40,020 --> 00:49:43,460
+قبل ما نصل إلى عملية الـ library index عشان ننفذ
+
+657
+00:49:43,460 --> 00:49:49,060
+عملية البحث okay لأن قبل هذا الكلام كله لازم أيضًا
+
+658
+00:49:49,060 --> 00:49:55,950
+يكون أن أنا عملت login تمام وطالع عندي الـ form اه
+
+659
+00:49:55,950 --> 00:49:59,210
+الـ form اللي أنا بدي أخش عليه عشان أعمل عملية
+
+660
+00:49:59,210 --> 00:50:02,750
+البحث وإذا كان والله أنا في الراجعة حصلت على
+
+661
+00:50:02,750 --> 00:50:07,570
+بيانات وبدي أطبع لازم يجيه فيها اندي جزئية مسؤولة
+
+662
+00:50:07,570 --> 00:50:11,110
+عن عملية الطبع أو كيف أنه يطلع الـ output على
+
+663
+00:50:11,110 --> 00:50:15,790
+الورقة فهدول والله إذا الـ print manager والـ forms
+
+664
+00:50:15,790 --> 00:50:19,270
+and query manager والـ login أو الـ security
+
+665
+00:50:19,270 --> 00:50:23,930
+manager هدول بيجوا قبل هذه أو الوظائف هذه بتيجي
+
+666
+00:50:23,930 --> 00:50:27,690
+قبل هذه الوظائف وبتعتمد عليها مظبوط؟ وفي الآخر
+
+667
+00:50:27,690 --> 00:50:30,770
+اللي هو الـ browser اللي بيظهر اللي أنا بتفاعل معاه
+
+668
+00:50:30,770 --> 00:50:37,310
+okay طيب احنا الآن بنوقف لأن هذا هو الجزء الأول من
+
+669
+00:50:37,310 --> 00:50:41,170
+الـ ..بنكمل الجزء الثاني إن شاء الله في المحاضرة
+
+670
+00:50:41,170 --> 00:50:44,590
+اللي جاي، بنكمل، في عندنا كمان نوعين آخرين، نوعين
+
+671
+00:50:44,590 --> 00:50:49,170
+آخرين اللي هو الـ repository pattern والـ client
+
+672
+00:50:49,170 --> 00:50:53,630
+server pattern، بنطلع عليهم، وبعدين بنشوف بعض الـ
+
+673
+00:50:53,630 --> 00:50:57,350
+applications الشائعة، أنواع من الـ applications، و
+
+674
+00:50:57,350 --> 00:51:01,710
+كيف هذه الـ applications عادة ما تبنى على أساس
+
+675
+00:51:01,710 --> 00:51:06,590
+patterns محددة يعني الـ application اللي نوعها كده
+
+676
+00:51:06,590 --> 00:51:11,550
+عادة ما بستخدم الـ pattern اللي نوعها كده نربط ما
+
+677
+00:51:11,550 --> 00:51:14,490
+بين نوع الـ application وما بين الـ pattern يعطيكم
+
+678
+00:51:14,490 --> 00:51:14,910
+العافية
diff --git a/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/HMquQIxwSNI_postprocess.srt b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/HMquQIxwSNI_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..fcb498f5d53383aaa8cb36a7cee349ddc8d18fb9
--- /dev/null
+++ b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/HMquQIxwSNI_postprocess.srt
@@ -0,0 +1,1972 @@
+1
+00:00:21,510 --> 00:00:23,670
+بسم الله الرحمن الرحيم الصلاة والسلام علي أشرف
+
+2
+00:00:23,670 --> 00:00:27,690
+المصريين اليوم ان شاء الله بدنا نواصل في الحديث عن
+
+3
+00:00:27,690 --> 00:00:33,030
+ال agile software development methods وكنا وقفنا
+
+4
+00:00:33,030 --> 00:00:37,770
+المحاضرة الماضية عند ال issues بعض منها technical
+
+5
+00:00:37,770 --> 00:00:41,290
+بعض منها human بعض منها organizational issues اللي
+
+6
+00:00:41,290 --> 00:00:48,960
+على أساسها ب .. ب ..بن قرر اذا كان الانسب نعمل
+
+7
+00:00:48,960 --> 00:00:54,840
+agile نستخدم method agile ولا نتجه في اتجاه الاخر
+
+8
+00:00:54,840 --> 00:00:57,840
+اللي هو ايش الاتجاه الاخر اللي هو غالبا بكون plan
+
+9
+00:00:57,840 --> 00:01:03,800
+drivenأه ال plan driven أو ال incremental ال agile
+
+10
+00:01:03,800 --> 00:01:07,860
+فإيش ال issues هذه القضايا أو المسائل اللي على
+
+11
+00:01:07,860 --> 00:01:12,100
+أساسها بتحدد مين اللي في هذا الاتجاه و اللي في هذا
+
+12
+00:01:12,100 --> 00:01:14,900
+الاتجاه؟ بعض منها جولنا technical بعضها human
+
+13
+00:01:14,900 --> 00:01:19,920
+بعضها organizational issues فيها حوالي تقريبا تسعة
+
+14
+00:01:19,920 --> 00:01:23,880
+نقاط النقطة الأولى المذكورة عنها هنا أنه
+
+15
+00:01:26,890 --> 00:01:31,250
+كل واحد من النقاط جاي على secret سؤال يعني مثلا
+
+16
+00:01:31,250 --> 00:01:36,390
+النقطة الأولى هل المشروع يتطلب detailed
+
+17
+00:01:36,390 --> 00:01:42,530
+specifications and design before جبل ما نبدأ في ال
+
+18
+00:01:42,530 --> 00:01:49,470
+developmentبدّوا specification و design مفصل قبل
+
+19
+00:01:49,470 --> 00:01:54,290
+معناته نتجه في أي اتجاه في اتجاه ال incremental
+
+20
+00:01:54,290 --> 00:01:58,190
+development يعني ال agile و ما شابه ولا في اتجاه
+
+21
+00:01:58,190 --> 00:02:05,330
+ال plan driven ايش شايفين؟ غالبا لما يكون اندي هنا
+
+22
+00:02:05,330 --> 00:02:10,270
+لازم اعملdesign و specification before يبقى من
+
+23
+00:02:10,270 --> 00:02:14,110
+اسمة plan driven يعني لازم انا احط الخطة و احط
+
+24
+00:02:14,110 --> 00:02:19,950
+المنهجية جابل الجدول الزمني و الأمور هذه كلها جابل
+
+25
+00:02:19,950 --> 00:02:25,790
+ما ابدأ في ال implementation فإذا كانت هيكyou
+
+26
+00:02:25,790 --> 00:02:29,170
+probably need to use a plan driven approach اذا
+
+27
+00:02:29,170 --> 00:02:34,650
+كان هذا الوضع اللي عندك انه متطلب مطلوب ان يكون
+
+28
+00:02:34,650 --> 00:02:38,490
+فيه detail كلمة detail يعني لو مجالش detail بقول
+
+29
+00:02:38,490 --> 00:02:41,390
+اه ما هو في ال agile و في ال incremental انا
+
+30
+00:02:41,390 --> 00:02:44,890
+بالزمن يكون فيه specification و بالزمن يكون فيه
+
+31
+00:02:44,890 --> 00:02:50,070
+design بس مش بس مش detailed يعني ممكن امشي بدون ما
+
+32
+00:02:50,070 --> 00:02:56,180
+يكون بس هنا بيحدد بالظبط انهإن الـ system يتطلب
+
+33
+00:02:56,180 --> 00:02:59,380
+detailed specification of design، وبالتالي الـ
+
+34
+00:02:59,380 --> 00:03:02,700
+system يتطلب plan-driven approach، هذا النقطة
+
+35
+00:03:02,700 --> 00:03:05,120
+الأولى، النقطة التانية إنه
+
+36
+00:03:08,310 --> 00:03:15,110
+هل المحتاجين ان نسلم ال system لل user مرة واحدة
+
+37
+00:03:15,110 --> 00:03:20,570
+دفعة واحدة ولا ال user مستعجل او عنده اسباب معينة
+
+38
+00:03:20,570 --> 00:03:26,010
+تخليه يرغب بانه ياخد ال system على أجزاء؟
+
+39
+00:03:34,990 --> 00:03:41,090
+هذا الأمر واقعي ومطلوب إذا هي كان يبقى وين انتجه؟
+
+40
+00:03:41,770 --> 00:03:44,850
+نتجه نحو الـ plan driven ولا نحو ال incremental و
+
+41
+00:03:44,850 --> 00:03:49,210
+ال agile؟ ال agile طبعا، if so consider using ال
+
+42
+00:03:49,210 --> 00:03:53,810
+agile method واضحة هذه النقطة ان المستخدم اما
+
+43
+00:03:53,810 --> 00:03:59,090
+محتاج او بيطلب او انه بناسبه هو ما طلبش ال
+
+44
+00:03:59,090 --> 00:04:02,430
+incremental delivery ما طلبش بس انت شايف انه
+
+45
+00:04:02,430 --> 00:04:06,770
+بناسبه يعني هيستفيد لو انت سلمته ال system على
+
+46
+00:04:06,770 --> 00:04:11,860
+أجزاء فبيكون ال agile method أنسبالان الشيء التالت
+
+47
+00:04:11,860 --> 00:04:15,880
+هو علاقة بحجم ال system النقطة التالتة how large
+
+48
+00:04:15,880 --> 00:04:21,210
+is the systemالـ Agile Methods قلنا بتناسب الـ
+
+49
+00:04:21,210 --> 00:04:27,990
+System حجمها كم؟ من Small ل Medium صح؟ تمام؟ انت
+
+50
+00:04:27,990 --> 00:04:33,130
+ممكن تطبقها على Large بس هيبقى فيه عندك مجهود أكبر
+
+51
+00:04:33,130 --> 00:04:36,770
+في إدارة العملية إنما هي أنسب و أريح لمن؟ لـ Small
+
+52
+00:04:36,770 --> 00:04:39,830
+to Medium فHow Large is the system that is being
+
+53
+00:04:39,830 --> 00:04:42,830
+developed؟ الـ Agile Methods are most effective
+
+54
+00:04:42,830 --> 00:04:49,730
+when ال system smallو موجودين ال team مع بعض مش
+
+55
+00:04:49,730 --> 00:04:52,670
+انه كل واحد في مكان تمام؟ ال communicating
+
+56
+00:04:52,670 --> 00:04:58,630
+formally فبالتالي بيكون إيش؟ و إلا بيكون الأجهة
+
+57
+00:04:58,630 --> 00:05:02,350
+الأنسب و إلا إذا كانوا مش شركة فبيكون ال plan
+
+58
+00:05:02,350 --> 00:05:04,310
+driven أفضل
+
+59
+00:05:06,230 --> 00:05:10,270
+النقطة التالتة الـ type of system يعني نوع ال
+
+60
+00:05:10,270 --> 00:05:13,190
+system إيش يعني نوع ال system؟ هل هو information
+
+61
+00:05:13,190 --> 00:05:17,970
+system؟ هل هو game؟ هل هو إيه system فيه hardware
+
+62
+00:05:17,970 --> 00:05:21,190
+مع software؟ هل مبسوط بنوع ال system؟ ال plan
+
+63
+00:05:21,190 --> 00:05:23,430
+driven approaches may be required في ال systems
+
+64
+00:05:23,430 --> 00:05:26,250
+that require a lot of analysis before ال
+
+65
+00:05:26,250 --> 00:05:30,570
+implementation ال systems اللي نوعها بيتطلبزي
+
+66
+00:05:30,570 --> 00:05:34,050
+النقطة الأولى a lot of analysis هناك كان بيحكي
+
+67
+00:05:34,050 --> 00:05:37,830
+detail design specification هنا بيحكي عن systems
+
+68
+00:05:37,830 --> 00:05:42,110
+محتاجة لسه analysis و تحليل عشان نتعرف على إيش ال
+
+69
+00:05:42,110 --> 00:05:47,010
+requirements و إيش ال .. فهذا اللي بيحتاج a lot of
+
+70
+00:05:47,010 --> 00:05:49,870
+analysis before implementation من الطبيعي أنه يكون
+
+71
+00:05:49,870 --> 00:05:54,250
+بده plan driven approach ما بيناسموش ال agile okay
+
+72
+00:05:54,980 --> 00:05:58,800
+كذلك الحالة النقطة الرابعة اللى هى ال lifetime تبع
+
+73
+00:05:58,800 --> 00:06:02,080
+ال system شو يعنى ال lifetime تبع ال system يعنى
+
+74
+00:06:02,080 --> 00:06:07,160
+المدة الزمنية اللى هى يستخدم فيها ال system هل انت
+
+75
+00:06:07,160 --> 00:06:09,980
+هتعمل ال system و ال user يستخدمه سنة سنتين تلاتة
+
+76
+00:06:09,980 --> 00:06:14,720
+وبعدين ربما ينتقل الى شيء اخر ولا ال system هيدله
+
+77
+00:06:14,720 --> 00:06:21,750
+مع ال user او الشركة فترة طويلةماذا يفرق هذا
+
+78
+00:06:21,750 --> 00:06:25,610
+القمر؟ ماذا يفرق المدة الزمنية الـ lifetime تبع ال
+
+79
+00:06:25,610 --> 00:06:29,110
+system على ال approach كيف بيأثر على ال approach
+
+80
+00:06:29,110 --> 00:06:34,970
+اللي انت بيده صيانة او لا و الصيانة ها دي دايما
+
+81
+00:06:34,970 --> 00:06:40,070
+فاكر الصيانة بيستثلزم شغل مهم كتير و هي ايش ال
+
+82
+00:06:40,070 --> 00:06:44,410
+documentation لان او اي حد بيجي يعمل صيانة يمكن
+
+83
+00:06:44,410 --> 00:06:50,390
+يدخل في تفاصيل تصميم هذا ال systemففريق اللي صمم
+
+84
+00:06:50,390 --> 00:06:53,690
+ال system أو أنتجه و مش موجود فبده يرجع ليش لل
+
+85
+00:06:53,690 --> 00:06:57,170
+documentation فكلمة documentation على طول من حد ما
+
+86
+00:06:57,170 --> 00:07:01,750
+تدخل في الموضوع معناته plan driven لأن احنا قلنا
+
+87
+00:07:01,750 --> 00:07:06,250
+ال agile focuses on اللي هو ال programming
+
+88
+00:07:06,250 --> 00:07:11,760
+والإنجاز أكتر من ال process و ال documentationفالـ
+
+89
+00:07:11,760 --> 00:07:14,960
+long lifetime long lifetime systems هنا بنحكي
+
+90
+00:07:14,960 --> 00:07:18,340
+lifetime مش ال lifetime تبع المشروع مشروع اللي
+
+91
+00:07:18,340 --> 00:07:23,460
+انتجه لا استخدامه ال lifetime تبع استخدامه may
+
+92
+00:07:23,460 --> 00:07:26,020
+require long lifetime systems may require more
+
+93
+00:07:26,020 --> 00:07:31,860
+design ايش design documentationتوثيق لأف تصميم to
+
+94
+00:07:31,860 --> 00:07:34,680
+communicate ال original intentions لمين؟ لناس اللي
+
+95
+00:07:34,680 --> 00:07:37,780
+بدهم يعملوا support ويعملوا maintenance عشان
+
+96
+00:07:37,780 --> 00:07:45,080
+يشوفوا يجب ان يعملوا maintenance تمام فبالتالي هذه
+
+97
+00:07:45,080 --> 00:07:49,120
+بترتب عليها ان بدك plan driven او بدك method من ال
+
+98
+00:07:49,120 --> 00:07:52,040
+methods اللي فيها اللي بتركز على ال documentation
+
+99
+00:07:52,040 --> 00:07:57,340
+تمام الآن برضه ال technologiesاللي available to
+
+100
+00:07:57,340 --> 00:08:00,200
+supported development يعني إيش التكنولوجيا هنا؟
+
+101
+00:08:00,200 --> 00:08:04,240
+غالبا بنحكي عن ال IDE ال IDE اللي هو إيش قلنا قبل
+
+102
+00:08:04,240 --> 00:08:09,340
+هيكةالـ Integrated Development Environment اللي
+
+103
+00:08:09,340 --> 00:08:13,460
+بتستخدمه فريق العمل في تصميم الـ system فإذا في
+
+104
+00:08:13,460 --> 00:08:18,740
+متوفر فريق IDE كويس و بيساعد في عمليات مختلفة في
+
+105
+00:08:18,740 --> 00:08:22,700
+ال activities المختلفة من analysis و ل design ل
+
+106
+00:08:22,700 --> 00:08:26,020
+programming ل testing ل refactoring كلام هذا كله
+
+107
+00:08:26,020 --> 00:08:30,660
+فما زال متوفر هذه التقنيات يبقى ال agile methods
+
+108
+00:08:30,660 --> 00:08:35,340
+لأنها تستند إلى أو تحتاج إلى good tools
+
+109
+00:08:37,960 --> 00:08:41,300
+بعدين في شغل مهمة أخرى اللي هي ال versioning انت
+
+110
+00:08:41,300 --> 00:08:44,620
+لما تطلع software و تطلع منه version تاني و تالتا
+
+111
+00:08:44,620 --> 00:08:50,500
+برضه كمان بدك تحافظ على ال version الجديدة تبقى مش
+
+112
+00:08:50,500 --> 00:08:54,790
+متعارضة مع ال versions الجديدةهذا الأمر يعتمد على
+
+113
+00:08:54,790 --> 00:09:00,170
+توفر تقنيات
+
+114
+00:09:00,170 --> 00:09:03,610
+يستخدمها المبرمجين والdesigners فإذا موجود هذا
+
+115
+00:09:03,610 --> 00:09:10,630
+الكلام تستطيع تتجه إلى ال agile خلّي بالك أن توفر
+
+116
+00:09:10,630 --> 00:09:14,470
+أي واحد من النقاط هذا لا يحسم الأمر لحاله يعني إذا
+
+117
+00:09:14,470 --> 00:09:17,850
+والله التكنولوجيا متوفرة على طول أنا مغمض أروح على
+
+118
+00:09:17,850 --> 00:09:21,330
+ال agile لأ لازم أنظر إلى العوامل الأخرى ولا لأ
+
+119
+00:09:21,530 --> 00:09:25,750
+العوامل الأخرى مشتمعة مع بعض هي اللي بترجع كفة هذا
+
+120
+00:09:25,750 --> 00:09:30,550
+الاتجاه أو هذا الاتجاه صحيح؟ تمام؟ كذلك الحال هنا
+
+121
+00:09:30,550 --> 00:09:34,610
+النقطة التالتة النقطة ياسف السادسة إيه العلاقة
+
+122
+00:09:34,610 --> 00:09:41,820
+بيه؟هل فريق العمل جاي كله جاي distributed يعني
+
+123
+00:09:41,820 --> 00:09:46,360
+موزع عليه أناك جغرافية متعددة ولا موجود كله في
+
+124
+00:09:46,360 --> 00:09:50,080
+مكان واحد؟ كذلك الحال هل في جزء من ال system
+
+125
+00:09:50,080 --> 00:09:56,270
+هينعمله outsourcing؟و كله بيعمله نفس ال team يعني
+
+126
+00:09:56,270 --> 00:10:00,210
+أحيانا ال team بيشتغل الأمور و أمور تانية ممكن
+
+127
+00:10:00,210 --> 00:10:03,670
+يكلف يعني مثلا نقول ال testing ممكن هو بعد ما
+
+128
+00:10:03,670 --> 00:10:06,830
+يبرمج ممكن يقول انا مش فاضي لل testing بدنا نجيب
+
+129
+00:10:06,830 --> 00:10:11,590
+حد وظيفته يعمل testing او وظيفته يعمل acceptance
+
+130
+00:10:11,590 --> 00:10:14,610
+testing مثلا صح؟ فهنا outsourcing ايش يعني
+
+131
+00:10:14,610 --> 00:10:15,590
+outsourcing؟
+
+132
+00:10:18,100 --> 00:10:24,260
+أه بالظبط هذه الفكرة أن جزء من الشغل يوكل إلى طرف
+
+133
+00:10:24,260 --> 00:10:29,360
+تالت ماشي طرف تالت ولا تاني؟ تالت الطرفين
+
+134
+00:10:29,360 --> 00:10:32,920
+الأساسيات هم مين؟ ال developer و ال customer طرف
+
+135
+00:10:32,920 --> 00:10:39,140
+التالت هو شخص زي مساعد أو جهة مساعدة لإتقال هذه
+
+136
+00:10:39,140 --> 00:10:45,330
+الوظيفة المحددة هذا المقصود outsourcingفإذا كان
+
+137
+00:10:45,330 --> 00:10:48,710
+فيه outsourcing أو كان فيه عندك distributed فريق
+
+138
+00:10:48,710 --> 00:10:52,550
+العمل يعني مافيش outsourcing وفريق واحد ولكنه موزع
+
+139
+00:10:52,550 --> 00:10:57,710
+جغرافيا طيب شو هبقى لقطب الامر يعني عملية اختيار
+
+140
+00:10:57,710 --> 00:10:59,910
+المنهجية؟
+
+141
+00:11:01,820 --> 00:11:05,680
+برضه حكاية ال documentation لأنه انا بدأ أسلم شغل
+
+142
+00:11:05,680 --> 00:11:12,120
+لطرف تالت بدأ أوصفله اللي مطلوب و اوصفله مثلا شو
+
+143
+00:11:12,120 --> 00:11:15,420
+ال design تبع ال system وشو ال architecture وشو
+
+144
+00:11:15,420 --> 00:11:18,720
+المتطلبات وشو كمان الاختبارات اللي لازم تتعمل على
+
+145
+00:11:18,720 --> 00:11:21,700
+أساس نتأكد كل هذا الكلام documentation معناه ذلك
+
+146
+00:11:21,700 --> 00:11:25,020
+ربما بتكونش ال agile و ال incremental development
+
+147
+00:11:25,020 --> 00:11:29,680
+مناسب تمام؟ كذلك الحالة لو كان distributedبدهم
+
+148
+00:11:29,680 --> 00:11:34,480
+يتخاطبوا كتير، بدهم يكتبوا لبعض، بدهم يوصفوا لبعض،
+
+149
+00:11:34,480 --> 00:11:37,740
+بدهم يروحوا لدجرامات، بدهم يعملوا توثيق كتير عشان
+
+150
+00:11:37,740 --> 00:11:40,700
+يوصلوا الأفكار لبعض، فهذا ربما ما بيكونش مناسب
+
+151
+00:11:40,700 --> 00:11:46,660
+للأجاهلالثلاث نقاط الأخيرة اللي هي أشياء علاقة
+
+152
+00:11:46,660 --> 00:11:50,860
+بالمؤسسة نقطة رقم سبعة are their cultural
+
+153
+00:11:50,860 --> 00:11:55,280
+organizational issues هنا القضايا المؤسساتية
+
+154
+00:11:55,280 --> 00:11:57,440
+organizational يعني أشياء اللي علاقة بال
+
+155
+00:11:57,440 --> 00:12:01,000
+organization يعني المؤسسة في بعض المؤسسات هي
+
+156
+00:12:01,000 --> 00:12:03,860
+بطبيعتها زي مثلا بقولك اللي هو ال engineering
+
+157
+00:12:03,860 --> 00:12:07,420
+organizations شو يعني engineering organizations
+
+158
+00:12:07,420 --> 00:12:13,230
+يعني شركة مختصة فيالعمال الهندسية سواء هندسة
+
+159
+00:12:13,230 --> 00:12:17,790
+معمارية و لا مبانية و لا حتى هندسة إلكترونية و هم
+
+160
+00:12:17,790 --> 00:12:22,110
+بنفسهم بنتج و IT و بنتج و hardware تمام هدولة
+
+161
+00:12:22,110 --> 00:12:25,630
+الفلسفة تبعتهم أو الثقافة تبعتهم لأنهم مهندسين و
+
+162
+00:12:25,630 --> 00:12:29,950
+كده فهم عندهم أسلوب في العمل و أسلوب هذا عادة
+
+163
+00:12:29,950 --> 00:12:34,670
+بيستند إلى شغل ال documentation أنه قضية التوثيق و
+
+164
+00:12:34,670 --> 00:12:39,280
+قضية ال design يبجي على ورق و هذافإيش فيه ثقافته؟
+
+165
+00:12:39,280 --> 00:12:42,760
+وبالتالي إنت بدك تيجي تعملهم software هيتلاقي هو
+
+166
+00:12:42,760 --> 00:12:46,580
+بطلب منك حكايات التوثيق هذه إزاي ب .. بيعطيها
+
+167
+00:12:46,580 --> 00:12:50,300
+أهمية زي ما بيعطيها أهمية للمنتج النهائي، صح؟
+
+168
+00:12:50,300 --> 00:12:56,460
+وبالتالي هذا جاي متطق .. يعني فرض عليك بسبب مين؟
+
+169
+00:12:56,460 --> 00:13:01,090
+بسبب ال organizationمش بسبب طبيعة ال system ولا
+
+170
+00:13:01,090 --> 00:13:05,870
+طبيعة الأمور فبعض ال engineering organizations
+
+171
+00:13:05,870 --> 00:13:09,870
+have a culture of plan based هم نفسهم في مشاريع
+
+172
+00:13:09,870 --> 00:13:13,670
+تبعتهم اللي بيسويها بيعملوها plan based بيخططوا
+
+173
+00:13:13,670 --> 00:13:19,070
+مسبقا قبل ما ينفذوا فهو بتلاقي بتوقع منك أنت برضه
+
+174
+00:13:19,070 --> 00:13:22,690
+يا مثلا ال software تعطيه plans قبل ما تبدأ تشتغل
+
+175
+00:13:24,560 --> 00:13:28,460
+الان برضه كذلك الحال اللي هي كفاءة ال designers و
+
+176
+00:13:28,460 --> 00:13:34,480
+كفاءة ال programmers أحياناهي بتحكم okay لأن ال
+
+177
+00:13:34,480 --> 00:13:40,700
+agile methods معروف عنها انها require higher skill
+
+178
+00:13:40,700 --> 00:13:45,580
+levels than ال plan based اللي بيشغلين في ال agile
+
+179
+00:13:45,580 --> 00:13:51,340
+بيكون بيعرف بهارات متخصصة و متعددة كمان يعني يعني
+
+180
+00:13:51,340 --> 00:13:53,840
+بيعرف في البرمجة و بيعرف في ال testing و بيعرف
+
+181
+00:13:53,840 --> 00:13:58,440
+أيضا كمان في إدارة المشروع كمان فإذا كان ال system
+
+182
+00:13:58,440 --> 00:14:05,560
+بيتطلبمهارات عالية فالأنسب agile أو إذا كان فريق
+
+183
+00:14:05,560 --> 00:14:09,500
+العمل عنده مهارات عالية فممكن يتجه في تجاه ال
+
+184
+00:14:09,500 --> 00:14:16,380
+agile development okay النقطة الأخيرة اللي هي هل
+
+185
+00:14:16,380 --> 00:14:19,520
+هناك external regulations برضه هذه النقطة لها
+
+186
+00:14:19,520 --> 00:14:22,900
+علاقة بال documentation external regulations إيش
+
+187
+00:14:22,900 --> 00:14:28,490
+يعني regulations يعنيقوانين أو لوائح أو ضوابط
+
+188
+00:14:28,490 --> 00:14:33,390
+خارجية بقول مثلا لمؤسسة اللي .. اللي انت بدك
+
+189
+00:14:33,390 --> 00:14:39,590
+تسلميلها ال software بتطلب .. في إدارة جهة عليها
+
+190
+00:14:39,590 --> 00:14:49,090
+بتطلب توثيق للشغل تبعها فلازم انت بحكم الجهة
+
+191
+00:14:49,090 --> 00:14:53,090
+الخارجية هذه لازم هم هيطلبوا منك تقارير فانت لازم
+
+192
+00:14:53,090 --> 00:15:00,250
+تعطيهم تقارير تقارير و توثيق للشغلتمام ف .. if a
+
+193
+00:15:00,250 --> 00:15:03,010
+system has to be approved by external regulator
+
+194
+00:15:03,010 --> 00:15:06,350
+قبل ما .. قبل ما نبدأ في تصميمه اذا لازم ياخد
+
+195
+00:15:06,350 --> 00:15:11,410
+موافقة جهات خارجية فانت محكوم اصبحت مجبر على انك
+
+196
+00:15:11,410 --> 00:15:16,970
+انت تعمل documentation طيب
+
+197
+00:15:16,970 --> 00:15:19,890
+ماشي الحل هيك احنا بنكون اتعرفنا على هذه النقاط
+
+198
+00:15:19,890 --> 00:15:24,970
+مهمة جدا التسعة النقاط او العوامل اللي بيلها دور
+
+199
+00:15:24,970 --> 00:15:30,520
+فيفي التوجه نحو الـ plan driven أو incremental
+
+200
+00:15:30,520 --> 00:15:36,120
+approach لل development اللي بنطلع عليه الآن اللي
+
+201
+00:15:36,120 --> 00:15:40,600
+هو ال extreme programming كواحدة من ال agile
+
+202
+00:15:40,600 --> 00:15:52,040
+methods و بتغطي من اسمهابتغطي جزء من عملية الإنتاج
+
+203
+00:15:52,040 --> 00:15:59,460
+اللى بيتعلق بالـ programming و ال coding و أيضا ال
+
+204
+00:15:59,460 --> 00:16:03,540
+testing معاهاماشي فال extreme programming ما هوش
+
+205
+00:16:03,540 --> 00:16:09,280
+مكافئ لل agile هو واحد من أنواع ال agile methods
+
+206
+00:16:09,280 --> 00:16:12,600
+وزي ما قلنا ال agile methods بترجحكوا على ال slide
+
+207
+00:16:12,600 --> 00:16:18,440
+هذه اللي بتوضح نطاقة تغطية مشي هنا هاي ال agile
+
+208
+00:16:18,440 --> 00:16:24,080
+methods المختلفة هنا نفسها و الشكل هذا بيوضح نطاقة
+
+209
+00:16:24,080 --> 00:16:28,460
+تغطية ال extreme programming جاي هناو هتلاقيه
+
+210
+00:16:28,460 --> 00:16:32,480
+بيغطي من ال requirement specification لكن التركيز
+
+211
+00:16:32,480 --> 00:16:35,760
+تبعه على ال coding و ال testing و ال integration
+
+212
+00:16:35,760 --> 00:16:41,740
+testing و ال system testing اكتر من يعني معاهم ال
+
+213
+00:16:41,740 --> 00:16:47,810
+design و ال requirementsماشي فال .. ال .. ال
+
+214
+00:16:47,810 --> 00:16:51,090
+methods هذه بتختلف أو تتبان بينها و بين بعض في
+
+215
+00:16:51,090 --> 00:16:54,830
+نطاق التغطية و التركيز فال extreme programming
+
+216
+00:16:54,830 --> 00:16:57,550
+بيغطي هذا الكلام كله من عند ال requirement
+
+217
+00:16:57,550 --> 00:17:00,570
+specification و ال design و ال coding و الكله و
+
+218
+00:17:00,570 --> 00:17:07,530
+بيركز .. بيغطي صح كلهم بس بيركز أكتر على ال
+
+219
+00:17:07,530 --> 00:17:10,450
+.. الأمور الأربعة هذه أو بالتحديد خلينا نقول
+
+220
+00:17:10,450 --> 00:17:16,010
+الأمور التلاتة هدولة أكتراللي ال coding و ال unit
+
+221
+00:17:16,010 --> 00:17:20,890
+testing و ال integration testing okay بعد هيك بعد
+
+222
+00:17:20,890 --> 00:17:25,510
+ال extreme programming هنتعرف على ال scrum اللي هو
+
+223
+00:17:25,510 --> 00:17:31,350
+بيغطي نفس الأمور تقريبا لكن ال scrum بيركز أكتر
+
+224
+00:17:31,350 --> 00:17:36,540
+على ال management على إدارة العملية تمام؟خلّيني
+
+225
+00:17:36,540 --> 00:17:40,520
+أطلع على الـ Extreme Programming وانطلع .. هو بعض
+
+226
+00:17:40,520 --> 00:17:43,740
+الـ slides على فكرة احنا كنا شوفناها قبل هيك لما
+
+227
+00:17:43,740 --> 00:17:47,300
+كنا بدأنا الحديث عن الـ Agile Programming فال
+
+228
+00:17:47,300 --> 00:17:50,040
+Extreme Programming دلوقتي .. دايما تتذكر ان
+
+229
+00:17:50,040 --> 00:17:52,520
+Extreme Programming هي Agile .. هي واحدة من الـ
+
+230
+00:17:52,520 --> 00:17:56,980
+Agile Methods ومن اسمها بتركز على الانشطة المتعلقة
+
+231
+00:17:56,980 --> 00:18:01,400
+بالبرمجة و ال .. و ال .. و Testing ال code تمام؟
+
+232
+00:18:01,670 --> 00:18:05,790
+best known and most widely used agile method واحدة
+
+233
+00:18:05,790 --> 00:18:10,750
+من أكتر ال agile methods المشهورة تمام؟ takes an
+
+234
+00:18:10,750 --> 00:18:13,770
+extreme approach to iterative development يعني
+
+235
+00:18:13,770 --> 00:18:19,110
+الصفة الأساسية إلى إنها تطوير ال iterative بشكل
+
+236
+00:18:19,110 --> 00:18:24,490
+مكثف الملامح الأساسية اللي هي إنه لل extreme
+
+237
+00:18:24,490 --> 00:18:30,570
+programming اللي هي إنه ال virginsتمام؟ ممكن تنعمل
+
+238
+00:18:30,570 --> 00:18:33,430
+several times per day يعني ممكن نطلع أكتر من
+
+239
+00:18:33,430 --> 00:18:36,950
+version في اليوم بس طبعا في الآخر بنطلع release
+
+240
+00:18:36,950 --> 00:18:40,450
+واحدة مش version يعني كل يوم بدنا نزل ال user
+
+241
+00:18:40,450 --> 00:18:45,810
+version لأ ال versions هذه أثناء عملية أثناء ال
+
+242
+00:18:45,810 --> 00:18:50,800
+iterationsفي آخر الـ release بنطلع للـ user الـ
+
+243
+00:18:50,800 --> 00:18:54,540
+release نهائي بعد هيك مفهوم الـ increments بتذكروا
+
+244
+00:18:54,540 --> 00:18:58,220
+حكينا فيه مفهوم الـ increments are delivered to
+
+245
+00:18:58,220 --> 00:19:03,620
+customers every two weeks تمام بعد هيك انه مسألة
+
+246
+00:19:03,620 --> 00:19:07,960
+ال testing all tests must be run for every build
+
+247
+00:19:07,960 --> 00:19:12,260
+يعني كل build بتنعمل لازم تم اختبارها او قجلت
+
+248
+00:19:12,260 --> 00:19:17,890
+عليها tests طيب ايش فيه كمان؟بنطلع على ال
+
+249
+00:19:17,890 --> 00:19:25,270
+principles الأساسية لل Xp ال principles هذه اعتقد
+
+250
+00:19:25,270 --> 00:19:31,310
+فيه هنا لأ okay هذه practices ال principles زي ما
+
+251
+00:19:31,310 --> 00:19:39,530
+تقولنا frequent يعنياش frequent متكررة
+
+252
+00:19:39,530 --> 00:19:44,650
+كتيرfrequent releases small frequent releases يعني
+
+253
+00:19:44,650 --> 00:19:49,530
+كل زي ما قلنا كل two weeks كل two weeks هذا very
+
+254
+00:19:49,530 --> 00:19:53,290
+frequent إنك انت تطلع كل أسبوعين release هذا very
+
+255
+00:19:53,290 --> 00:19:59,330
+frequent صح و small طبعا مابتقدر تعمل releases
+
+256
+00:19:59,330 --> 00:20:05,690
+ضخمة كل أسبوعين كذلك الحال المبدأ التاني ان يكون
+
+257
+00:20:05,690 --> 00:20:11,150
+في customer ايشinvolvement يعني ال customer داخل
+
+258
+00:20:11,150 --> 00:20:16,870
+مع الفريق في عملية التصميم okay بعد هيك اللي هو
+
+259
+00:20:16,870 --> 00:20:20,030
+التركيز على ال people not processes يعني إذا
+
+260
+00:20:20,030 --> 00:20:26,910
+العملية بتنص على كده و القمر بيستلزم أنه الناس ت
+
+261
+00:20:26,910 --> 00:20:31,810
+.. الأفراد يعني اللي هم أفراد طاقم أو الأفراد
+
+262
+00:20:31,810 --> 00:20:35,430
+الطاقم هو ال customerمحتاجين انهم يتخاطبوا و
+
+263
+00:20:35,430 --> 00:20:40,610
+ياخدوا قرار لان مش ملزمين احنا نمشي بالاجراءات
+
+264
+00:20:40,610 --> 00:20:43,930
+المحددة اذا كانت هذه الاجراءات بدأت تاخد و تضيع
+
+265
+00:20:43,930 --> 00:20:47,970
+وجهة او تضيع مجهود لأ نستطيع ان احنا او يمكن
+
+266
+00:20:47,970 --> 00:20:54,490
+للاشخاص انهم يتواصلوا بدون المرور بالاجراءات ال ..
+
+267
+00:20:54,490 --> 00:21:03,180
+okayالـ pair programming اللي هي العمل في أزواج
+
+268
+00:21:03,180 --> 00:21:07,520
+يعني كل two programmers يشتغلوا على نفس ال task
+
+269
+00:21:07,520 --> 00:21:16,860
+المسألة التغيير الـ change التغييرات اللي هي ال
+
+270
+00:21:16,860 --> 00:21:21,950
+systemبتم من خلال اللي هو ال releases اللي هو ال
+
+271
+00:21:21,950 --> 00:21:25,310
+regular يعني كل فترة والتانية بنعمل release، ال
+
+272
+00:21:25,310 --> 00:21:28,850
+release هذه بيكون أخدت في عينها تبارع أي changes
+
+273
+00:21:28,850 --> 00:21:35,250
+محتاجها ال system تمام النقطة ال principle الأخير
+
+274
+00:21:35,250 --> 00:21:39,030
+اللي هو ال simplicityفي ال code و ال simplicity في
+
+275
+00:21:39,030 --> 00:21:44,190
+ال design علشان خاطر انه كل ما كان ال code simpler
+
+276
+00:21:44,190 --> 00:21:48,910
+و ال design simpler بيكون ال maintenance و التعديل
+
+277
+00:21:48,910 --> 00:21:56,370
+مدام أسهل و أقل تكلفة okay برضه كذلك هنشوف نجا
+
+278
+00:21:56,370 --> 00:22:03,010
+بالهيكا ال cycle ال release cycle ال release cycle
+
+279
+00:22:05,190 --> 00:22:07,610
+إيش ال release cycle يعني؟ ال cycle .. ال release
+
+280
+00:22:07,610 --> 00:22:12,290
+الواحدة كيف بيتم الشغل عليها؟ أول إشي في عندنا
+
+281
+00:22:12,290 --> 00:22:15,030
+مجموعة ال stories ال stories قلنا قبلها كده اللي
+
+282
+00:22:15,030 --> 00:22:23,340
+هي إيش؟ إيش قلنا عن ال stories؟المتطلبات كل متطلب
+
+283
+00:22:23,340 --> 00:22:27,800
+لل user من متطلبة ال user نسميه story وحيانا برضه
+
+284
+00:22:27,800 --> 00:22:31,160
+بنجوى عنه سيناريو او ال story مرتبط ايه بها
+
+285
+00:22:31,160 --> 00:22:34,660
+سيناريو احنا نطلع على الكلام هذا المهم انه فينا
+
+286
+00:22:34,660 --> 00:22:38,400
+stories يعني فينا متطلبات بيتم اختيار واحدة منهم
+
+287
+00:22:38,400 --> 00:22:41,560
+اللي بدها تنفذ في ال release القادمة ال release
+
+288
+00:22:41,560 --> 00:22:46,070
+القادمة يعني في الأسبوعين اللي جايةلأن كل واحد من
+
+289
+00:22:46,070 --> 00:22:51,630
+ال stories هذه أو المتطلبات هذه عبارة عن متطلب
+
+290
+00:22:51,630 --> 00:22:59,810
+تنفيذه يترتب عليه مجموعة من المهام البرمجيةهذه ال
+
+291
+00:22:59,810 --> 00:23:04,870
+tasks هي المهام البرمجية تحلل كل story إلى إيش
+
+292
+00:23:04,870 --> 00:23:11,310
+مهام برمجية تنطوي عليها و بعد ذلك بي plan ال
+
+293
+00:23:11,310 --> 00:23:15,890
+release بمعنى و بي plan الزمن و الأشخاص و كل واحد
+
+294
+00:23:15,890 --> 00:23:19,970
+من إيش بياخد ال task و بيشتغلوا عليها و بيعملوا
+
+295
+00:23:19,970 --> 00:23:24,620
+development و testingثم بعد ذلك ينزل الـ software
+
+296
+00:23:24,620 --> 00:23:29,420
+.. الـ release ينزل هذه الـ version يرجع تاني يعمل
+
+297
+00:23:29,420 --> 00:23:33,720
+evaluation للي تم evaluation للي ضايل و يضع ..
+
+298
+00:23:33,720 --> 00:23:40,320
+ايش؟ يضع ال stories للـ release القادم هذه cycle
+
+299
+00:23:40,320 --> 00:23:45,840
+أو دورة الـ release يعني كل release بتطلع بالقالية
+
+300
+00:23:45,840 --> 00:23:48,140
+هذه بتم إنتاجها بالقالية هذه
+
+301
+00:23:51,710 --> 00:23:55,590
+الان في ال extreme programming لو انت طلعت عليها
+
+302
+00:23:55,590 --> 00:24:00,550
+هذه ايش؟ هذه عبارة عن ال practices أو الانشطة اللي
+
+303
+00:24:00,550 --> 00:24:04,250
+بتتم في ال extreme programming لو طلعت عليها
+
+304
+00:24:04,250 --> 00:24:07,150
+هتلاقيها كلها متركزة على ال coding و ال testing
+
+305
+00:24:07,150 --> 00:24:11,950
+okay incremental planning small releases simple
+
+306
+00:24:11,950 --> 00:24:16,710
+design test first development هذه الشغل مهم جدا
+
+307
+00:24:16,710 --> 00:24:20,530
+test first refactoring حكينا في ال refactoring قبل
+
+308
+00:24:20,530 --> 00:24:25,830
+هيكاأنا هرجع كمان شوية على ال test first
+
+309
+00:24:25,830 --> 00:24:28,970
+development ال pair programming حكينا فيها ال
+
+310
+00:24:28,970 --> 00:24:31,810
+collective ownership حكينا فيها ال continuous
+
+311
+00:24:31,810 --> 00:24:35,370
+integration ان و احنا كل مرة بنعمل جزئية جديدة
+
+312
+00:24:35,370 --> 00:24:41,070
+نتدمج بالما تم عمله في السابقالـ Sustainable pace
+
+313
+00:24:41,070 --> 00:24:46,450
+اللي هي كل مجموعة من ال .. كل فترة معينة بالشغل
+
+314
+00:24:46,450 --> 00:24:50,490
+والـ on-site customer اللي هو إن ال customer موجود
+
+315
+00:24:50,490 --> 00:24:53,730
+معانا في عملية ال development إيش اللي بدنا
+
+316
+00:24:53,730 --> 00:24:57,790
+نرجعله؟ بدنا نرجع لل test first development إيش
+
+317
+00:24:57,790 --> 00:25:00,990
+هال test first؟ first يعني أولاً طب أولاً يعني قبل
+
+318
+00:25:00,990 --> 00:25:06,410
+إيش؟ مين ثانياً و تالثاً؟ قبل ان تجلى مشروع تاني
+
+319
+00:25:06,410 --> 00:25:11,870
+لازم تجلىمش على مستوى المشروع اللي حاكيه على مستوى
+
+320
+00:25:11,870 --> 00:25:17,370
+ال code بنكتب ال test قبل ما نكتب ال code تخيل هذا
+
+321
+00:25:17,370 --> 00:25:22,410
+الكلام okay and automated unit test framework is
+
+322
+00:25:22,410 --> 00:25:27,130
+used to write a test for a new piece of
+
+323
+00:25:27,130 --> 00:25:31,670
+functionality before ال functionality هذه نفسها is
+
+324
+00:25:31,670 --> 00:25:36,560
+implemented يعني تخيل أنت بدك تعملcode صغير
+
+325
+00:25:36,560 --> 00:25:40,420
+function صغيرة تاخد معطيات و تطلع output و
+
+326
+00:25:40,420 --> 00:25:44,540
+المعطيات رقمية و ال output رقمي ماشي الحال فانت
+
+327
+00:25:44,540 --> 00:25:48,240
+قبل ما تبدأ تكتب في ال function هذه بدك تكتب
+
+328
+00:25:48,240 --> 00:25:55,060
+برنامج صغير لاكتبارها طبعا يعني مثلا هاي F هذه ال
+
+329
+00:25:55,060 --> 00:25:59,040
+function تبعتك بدأ تاخد parameter one و parameter
+
+330
+00:25:59,040 --> 00:26:06,210
+two two parameters و بدأ تطلع output okay الانتخيل
+
+331
+00:26:06,210 --> 00:26:09,470
+نفسك جاي ما تكتب الـ function هذه روحت و انت عامل
+
+332
+00:26:09,470 --> 00:26:16,210
+برنامج صغير البرنامج الصغير هذا اسمه testf testf
+
+333
+00:26:16,210 --> 00:26:21,870
+هذا ايش بيسوي بيروح بيحمل بيانات من ملف البيانات
+
+334
+00:26:21,870 --> 00:26:29,170
+هذه فيها قائمة طويلة من المعطيات P1 و P2 و مع كل
+
+335
+00:26:29,170 --> 00:26:33,630
+اتنين من المعطيات هتقوله ال result الصحيحة okay
+
+336
+00:26:35,410 --> 00:26:39,630
+فهو البرنامج هذا الصغير testf بدي يقرأ الملف و
+
+337
+00:26:39,630 --> 00:26:46,610
+ياخد P1 و P2 يسلمهم ل ال function ان انت هتكتبها و
+
+338
+00:26:46,610 --> 00:26:51,310
+ياخد ال output منها و يقارن هذا ال output بال
+
+339
+00:26:51,310 --> 00:26:58,130
+result اللي المفروض تطلع ماشي؟ اذا كل مرة ال
+
+340
+00:26:58,130 --> 00:27:02,090
+function هذه بتاخد ال inputs و ال result اللي
+
+341
+00:27:02,090 --> 00:27:06,490
+بتطلعها مطابقة لل result اللي المفروض تطلعواختبر
+
+342
+00:27:06,490 --> 00:27:09,290
+هذا الكلام على كل الملف يبقى ال function تبعتك
+
+343
+00:27:09,290 --> 00:27:15,410
+صحيحة ماشي فهو قبل ما يكتب ال function قبل ما يكتب
+
+344
+00:27:15,410 --> 00:27:18,490
+ال function او ال method بروح بكتب ال function
+
+345
+00:27:18,490 --> 00:27:22,490
+الصغيرة هذه اللي بدها تتولى عملية قراءة البيانات
+
+346
+00:27:22,490 --> 00:27:30,190
+قراءة ال test data ال test input من الملف واستدعاء
+
+347
+00:27:30,190 --> 00:27:36,190
+ال function ومطابقة ومقارنة ال outputوال test
+
+348
+00:27:36,190 --> 00:27:40,850
+function هذه بتضطر لها تقرير صغير بتقول انه الدقة
+
+349
+00:27:40,850 --> 00:27:47,890
+تبعت هذه ال function 100% و لا 90% و لا 80% بتخيل
+
+350
+00:27:47,890 --> 00:27:53,230
+انت الآن هتكتب هذه ال function بعدين هتبدا تفكر ال
+
+351
+00:27:53,230 --> 00:27:56,750
+F دي ايش الخوارزمية تبعتها او ايش الخطوات تبعتها
+
+352
+00:27:56,750 --> 00:28:00,310
+بس قبل ما تكتب ال code عليك تكتب ال test تبع ال
+
+353
+00:28:00,310 --> 00:28:05,490
+code هذا المقصود بال test first development طيبالـ
+
+354
+00:28:05,490 --> 00:28:07,550
+Refactor اللي حكينا عنه قبل هيكة و ال pair
+
+355
+00:28:07,550 --> 00:28:09,790
+programming و ال collective ownership و ال
+
+356
+00:28:09,790 --> 00:28:13,950
+continuous integration و ال sustainable pace اه
+
+357
+00:28:13,950 --> 00:28:18,590
+ايش بتذكروا حكينا في ال sustainable pace؟ لما
+
+358
+00:28:18,590 --> 00:28:23,300
+حكينا حكاية الأربعين ساعة في اليومال pace اللي هي
+
+359
+00:28:23,300 --> 00:28:28,780
+يعني سرعة .. سرعة الشغل تكون sustainable يعني يمكن
+
+360
+00:28:28,780 --> 00:28:34,160
+.. يمكن يعني تبقى واقعية أكتر من أربعين ساعة في
+
+361
+00:28:34,160 --> 00:28:38,200
+الأسبوع صح أنت بتاخد .. بتقدر تشتغل و بتاخد عليها
+
+362
+00:28:38,200 --> 00:28:43,850
+overtimeلكن بيأثر على المدى الطويل على إنت جيتك
+
+363
+00:28:43,850 --> 00:28:47,270
+يعني إذا أنت مثلا تيجي بتتأخر اليوم بكرا الصبح
+
+364
+00:28:47,270 --> 00:28:51,310
+ممكن تيجي مش مركز ع حاجزك لأ فبقولك هو اشتغل بس
+
+365
+00:28:51,310 --> 00:28:55,510
+على جدر الأربعين هذا المقصود بال sustainable pace
+
+366
+00:28:55,510 --> 00:28:59,410
+يعني سرعة مستدامة مستدامة يعني ممكن السرعة هذه
+
+367
+00:28:59,410 --> 00:29:04,980
+نستمر فيها فترة طويلة سرعة أكتر من هيكةأه بتأثر
+
+368
+00:29:04,980 --> 00:29:08,600
+على المدى الطويل و بتخلي كفاءتك تبدأ تنخفض تدريجيا
+
+369
+00:29:08,600 --> 00:29:15,040
+مع الزمن بيصير مش sustainable إذا انت اخدت او
+
+370
+00:29:15,040 --> 00:29:20,540
+اشتغلت اوقات أطول طيب باشر حالي فاحنا الآن عمليا
+
+371
+00:29:20,540 --> 00:29:24,620
+اللي طلعنا عليه من ال XP اللي هو شفنا ال
+
+372
+00:29:24,620 --> 00:29:25,160
+principles
+
+373
+00:29:35,960 --> 00:29:39,660
+واطلعنا على اللي هو الـ Release Cycle اللي هو
+
+374
+00:29:39,660 --> 00:29:45,060
+الشكل التوضيحي هذا واطلعنا
+
+375
+00:29:45,060 --> 00:29:55,140
+على أيضا الـ Practices والآن
+
+376
+00:29:55,140 --> 00:30:01,700
+بنتطلع على ال requirement scenarios ماشي؟
+
+377
+00:30:05,010 --> 00:30:09,730
+الـ Scenarios اللي هي شيء مرتبط بالـ user stories
+
+378
+00:30:09,730 --> 00:30:11,950
+قلنا ال user stories هي المتطلبات ال user بيقول
+
+379
+00:30:11,950 --> 00:30:18,850
+انا بدي اقدر اطلع كشف بكذا كذا تمام؟ هذا متطلب
+
+380
+00:30:18,850 --> 00:30:24,610
+الآن بنروح بنتخيل scenario لهذا المتطلب ان والله
+
+381
+00:30:24,610 --> 00:30:28,470
+ال user الان مين اللي طلب منه هذا الكشف؟ ليش هو
+
+382
+00:30:28,470 --> 00:30:33,370
+جاي يطلع هذا الكشف؟ بده يسوي الكشف هذا علشان يسلمه
+
+383
+00:30:33,370 --> 00:30:39,230
+لكذا؟تمام؟ يعني الجصد انه احنا بتتخيل الصورة ال ..
+
+384
+00:30:39,230 --> 00:30:43,750
+ال .. ال .. ال .. المناخ الأعام ل .. مش بس مجرد ان
+
+385
+00:30:43,750 --> 00:30:46,790
+ال user بديجي جوجل على الجهاز و ي .. و يضغط زر و
+
+386
+00:30:46,790 --> 00:30:52,370
+ياخد كشف لأ بدينا نتخيل ال .. ال .. ال process او
+
+387
+00:30:52,370 --> 00:30:57,750
+العملية الأشمل ف ..في الـ XP ال customer أو ال
+
+388
+00:30:57,750 --> 00:31:01,070
+user is part of the team and is responsible for
+
+389
+00:31:01,070 --> 00:31:03,570
+making decisions يعني هو اللي بيقعد مع ال team
+
+390
+00:31:03,570 --> 00:31:07,770
+يقرر معاهم إيش ينعمل و إيش ماينعملش إذا ال
+
+391
+00:31:07,770 --> 00:31:11,410
+requirements تبع ال users اللي لما هو بيجي مع ال
+
+392
+00:31:11,410 --> 00:31:14,390
+team و بيقول أنا بدي كده و بدي كده تمام هذه
+
+393
+00:31:14,390 --> 00:31:18,470
+المتطلبات بتبعته بيعبر عنها على شكلscenarios أو
+
+394
+00:31:18,470 --> 00:31:24,530
+user stories هذه بتنكتب لازم توثق يعني اعطيكوا
+
+395
+00:31:24,530 --> 00:31:27,770
+مثال عسرية لا هذا مش عارف اذا كان الصورة واضحة
+
+396
+00:31:27,770 --> 00:31:31,510
+بتقدر تجربها من عندكوا للاقل هذه عبارة عن scenario
+
+397
+00:31:31,510 --> 00:31:36,850
+او story user story احنا حاليا هنستخدم كلمة
+
+398
+00:31:36,850 --> 00:31:41,920
+scenario و story على انهم مرادفات نفس المعنىهذا
+
+399
+00:31:41,920 --> 00:31:46,500
+عبارة عن story أو scenario لuser في medical
+
+400
+00:31:46,500 --> 00:31:51,960
+information system ال user هو عبارة عن طبيب
+
+401
+00:31:51,960 --> 00:31:57,100
+والطبيب هذا بدي يكتب بدي يسجل ال prescription
+
+402
+00:31:57,100 --> 00:32:02,340
+يعنيش ال prescription يعني العلاج اللي وصفه للحالة
+
+403
+00:32:02,340 --> 00:32:05,060
+اللي أمامه بدي يسجلها على ال system عشان تدخل في
+
+404
+00:32:05,060 --> 00:32:09,450
+الملف تبع المريضملف تبع الحالة إنه هو المريض أجى
+
+405
+00:32:09,450 --> 00:32:15,310
+في اليوم لفلاني وكان كتابله الدواء لفلاني فلو طبعت
+
+406
+00:32:15,310 --> 00:32:18,790
+على ال .. ال .. كأنها story فعلا كأنها قصة أو
+
+407
+00:32:18,790 --> 00:32:24,890
+كأنها مروية يعني فإيش بيقولك Kate is a doctor لاحظ
+
+408
+00:32:24,890 --> 00:32:27,770
+أنه في الأول أن ال story لها عنوان ال title تبعها
+
+409
+00:32:27,770 --> 00:32:32,630
+prescribing medication يعني إيش prescribing يعني
+
+410
+00:32:32,630 --> 00:32:41,440
+وصف العلاج أو تسجيلووصف العلاج اللي انت دلوقت
+
+411
+00:32:41,440 --> 00:32:48,200
+تتخيل ان الطبيب شخص المريض والمريض قد يكون جديد او
+
+412
+00:32:48,200 --> 00:32:54,340
+قد يكون متابع جلس جديد او متابع انهم شخصه ووصف له
+
+413
+00:32:54,340 --> 00:32:59,120
+الدواء ويسجل هذا الكلام على ال system ف Kate خد
+
+414
+00:32:59,120 --> 00:33:06,260
+اسمها شوف حتى ال user شخصه يتخيل انه اسمKate is a
+
+415
+00:33:06,260 --> 00:33:10,120
+doctor هذا كات تخيلي مش فعلا هو اسم ال user
+
+416
+00:33:10,120 --> 00:33:14,080
+الحقيقي is a doctor who wishes to prescribe
+
+417
+00:33:14,080 --> 00:33:19,320
+prescribe اللي يعني إيش يحط اللي هو ال الهجة
+
+418
+00:33:19,320 --> 00:33:22,820
+medication for a patient attending a clinic يعني
+
+419
+00:33:22,820 --> 00:33:26,340
+هو الآن في clinic the patient record is already
+
+420
+00:33:26,340 --> 00:33:30,160
+displayed يعني الطبيب طالع على ال record السجل
+
+421
+00:33:30,160 --> 00:33:34,150
+التابع للمريض والسجل أمامه على الشاشةالشاشة موجودة
+
+422
+00:33:34,150 --> 00:33:39,130
+على الكمبيوتر الخاص بها فانت تضغط على مجلد التجارب
+
+423
+00:33:39,130 --> 00:33:43,010
+التجاربية يعني عندك تتخيل شاشة و الشاشة فيها
+
+424
+00:33:43,010 --> 00:33:46,990
+بيانات المريض وجزئية فيه هنا ال medication يعني
+
+425
+00:33:46,990 --> 00:33:50,030
+ايش ال medication يعني بدي اقترر الدواء اللي هو
+
+426
+00:33:50,030 --> 00:33:54,330
+وصفه إله بيسجل الدواء مجلد التجاربية و بدي اختار
+
+427
+00:33:54,330 --> 00:33:59,590
+مجلد التجاربية الحالية او مجلد التجاربية الجديدة
+
+428
+00:33:59,590 --> 00:34:04,510
+او مجلد التجاربيةOkay current medication يعني بديه
+
+429
+00:34:04,510 --> 00:34:07,950
+يسجل ان المريض هذا بده نكتبله نفس الدواء اللي كان
+
+430
+00:34:07,950 --> 00:34:12,430
+هو ماشي عليه الان current medication new
+
+431
+00:34:12,430 --> 00:34:16,330
+medication يعني بديه يكتبله دواء اخر جديد غير اللي
+
+432
+00:34:16,330 --> 00:34:21,910
+هو ماشي عليه formulary يعني زي ما بتقدر تقول شيء
+
+433
+00:34:21,910 --> 00:34:29,180
+وصفة وصفة او يعني شيء خليط من عدة أدويةتمام؟ الان
+
+434
+00:34:29,180 --> 00:34:33,440
+if she .. if she اللي he mean kid selects current
+
+435
+00:34:33,440 --> 00:34:37,680
+medication ال system ask her to check ال dose ال
+
+436
+00:34:37,680 --> 00:34:42,220
+dose يعني الجرعة يعني إيش الكمية قداش ملي جرام أو
+
+437
+00:34:42,220 --> 00:34:45,840
+كده صح؟ if she wants to change the dose طبعا
+
+438
+00:34:45,840 --> 00:34:49,180
+هيختارت current medication يعني نفس العلاج اللي
+
+439
+00:34:49,180 --> 00:34:52,540
+ماشي عليه المريض فتلقائيا المفروض ال system يعطيها
+
+440
+00:34:52,540 --> 00:34:57,640
+نفس الجرعة اللي ماشي عليها المريضلكن إذا بدها تغير
+
+441
+00:34:57,640 --> 00:35:05,310
+هذا الأمر فبتروح بتخش على حقل الدوز و إيشو بتكتب و
+
+442
+00:35:05,310 --> 00:35:11,370
+بتغير if she chooses new medication فكده كده بيحصل
+
+443
+00:35:11,370 --> 00:35:16,170
+if she chooses formulary كده كده بيحصل واضح الان
+
+444
+00:35:16,170 --> 00:35:19,470
+بدلاش نخش في التفاصيل بس برضه في الآخر هنا ال
+
+445
+00:35:19,470 --> 00:35:25,210
+system always checks بيفحص ان ال dose is within ..
+
+446
+00:35:25,210 --> 00:35:30,830
+within يعني في نطاقاللي مسموح ابقوا لإنه فيه دوز
+
+447
+00:35:30,830 --> 00:35:34,730
+تبقى خطيرة خطيرة إذا كانت كبيرة أكتر من اللازم
+
+448
+00:35:34,730 --> 00:35:38,270
+وممكن تبقى برضه خطيرة إذا كانت أقل أوي يعني ماعرفش
+
+449
+00:35:38,270 --> 00:35:42,570
+أنا في الطب بس المهم لكل دوة فيه range للجرعة
+
+450
+00:35:42,570 --> 00:35:46,050
+تبعته مايزيدش عن كده وماتجلش عن كده فال system
+
+451
+00:35:46,050 --> 00:35:50,830
+لازم إذا هي دخلت أو ال user دخل مقدار الدوز لازم
+
+452
+00:35:50,830 --> 00:35:55,330
+ال system مسجل عنده في ال system مسجل لكل دوة شو
+
+453
+00:35:55,330 --> 00:35:59,050
+ال minimum و ال maximum doseفلازم ال system يفحص
+
+454
+00:35:59,050 --> 00:36:03,210
+هذا القمر و يتأكد منه after kit confirmed the
+
+455
+00:36:03,210 --> 00:36:06,610
+prescription it will be displayed for checking
+
+456
+00:36:06,610 --> 00:36:11,530
+ويعني بتطلع لها ملخص عشان تتأكد منه و بعدين ايش يا
+
+457
+00:36:11,530 --> 00:36:15,170
+ما بتقول okay يا ما بترجع اذا رجعت حاجة بدها تعديل
+
+458
+00:36:15,170 --> 00:36:20,960
+بترجع بتعدلها فهذا الآن عبارة عنصح انت قلت ان ال
+
+459
+00:36:20,960 --> 00:36:25,440
+system should allow ال doctor to enter ال
+
+460
+00:36:25,440 --> 00:36:32,680
+medication هذا اسم المتطلب اسم المتطلب لكن وصفه
+
+461
+00:36:32,680 --> 00:36:38,500
+بالتفصيل بيتم من خلال ال scenario ال scenario اللي
+
+462
+00:36:38,500 --> 00:36:45,660
+بيوصف المتطلب هذا بجوانبه المختلفةOkay الان هذه ال
+
+463
+00:36:45,660 --> 00:36:52,940
+story قلنا قبلك ان ال story في ال cycle ال user ال
+
+464
+00:36:52,940 --> 00:36:58,580
+stories are broken to tasks تتحلل الى tasks فهذه
+
+465
+00:36:58,580 --> 00:37:05,360
+ال story برمجيا بدى تنفذ ربما task واحدة بتخلصها
+
+466
+00:37:05,360 --> 00:37:10,980
+او لازم تتجسم الى عدة tasks ف ال story هذه مجسمة
+
+467
+00:37:10,980 --> 00:37:12,180
+الى تلات اقسام
+
+468
+00:37:15,510 --> 00:37:21,010
+كل قسم task لحاله ففيه task للدوز checking ماذا
+
+469
+00:37:21,010 --> 00:37:27,410
+يتعلق بعملية فحص الدوز هل هي في النطاق ولا لأفيه
+
+470
+00:37:27,410 --> 00:37:32,530
+tasks تتعلق بإذا هو اختار formulary إيش بدي ترتب
+
+471
+00:37:32,530 --> 00:37:39,350
+على ذلك الخطوات وإذا هو أجى عمل change لل dose لل
+
+472
+00:37:39,350 --> 00:37:44,810
+drug أو للدواء اللي يستخدم فدولة أبقى عن تلات
+
+473
+00:37:44,810 --> 00:37:52,100
+tasks تلات tasksمتفرعة أو لازم تنعمل برمجيا عشان
+
+474
+00:37:52,100 --> 00:37:56,600
+في الآخر نلبي هذا المتطلب لل user وكل task الان
+
+475
+00:37:56,600 --> 00:38:01,060
+بدها ايش؟ بدها description ال description هذا
+
+476
+00:38:01,060 --> 00:38:07,880
+بينعمل في بطاقة بيسموها task cards كل description
+
+477
+00:38:07,880 --> 00:38:14,110
+تبع ال task الواحدة بيبقى card بطاقة يعنيبينعمل ال
+
+478
+00:38:14,110 --> 00:38:17,410
+scenario الواحدة أو ال story الواحدة مجموعة من ال
+
+479
+00:38:17,410 --> 00:38:22,490
+task cards لأن هذه ال taskات اللي بتروح لمين؟
+
+480
+00:38:22,490 --> 00:38:29,170
+للمبرمجين عشان كل واحد منهم يختار هو عمليا في ال
+
+481
+00:38:29,170 --> 00:38:34,750
+extreme programming باتفقوا على كيف توزيع ال
+
+482
+00:38:34,750 --> 00:38:41,040
+taskات على بعض تمام؟فاحنا الآن هي ك .. بيكون خلصنا
+
+483
+00:38:41,040 --> 00:38:44,680
+النقطة اللي هي الرابعة هذه ال requirement
+
+484
+00:38:44,680 --> 00:38:50,420
+scenarios و ما يتفرع منهامن الحديث عن ال tasks
+
+485
+00:38:50,420 --> 00:38:54,340
+خلّي بالكوا ان انا لما بقول tasks بتميزهم بين
+
+486
+00:38:54,340 --> 00:38:57,360
+أحيانا بنحكي عن user task و أحيانا بنحكي عن
+
+487
+00:38:57,360 --> 00:39:01,500
+programming task هدى .. هدى إيش؟ programming task
+
+488
+00:39:01,500 --> 00:39:05,160
+لما بتروح المبرمج يسويها ال user task اللي هي
+
+489
+00:39:05,160 --> 00:39:10,300
+غالبا ال story أو ال scenarioتمام المحاضرة الجاية
+
+490
+00:39:10,300 --> 00:39:14,440
+ان شاء الله بنكمل في ال XP و بندخل في اللي هو ال
+
+491
+00:39:14,440 --> 00:39:19,420
+scrum اللي هي بتتعلق او ال methodology اللي بتتعلق
+
+492
+00:39:19,420 --> 00:39:24,020
+بإدارة عملية ال development ان شاء الله اعطيكم
+
+493
+00:39:24,020 --> 00:39:24,440
+العرفة
+
diff --git a/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/M1zkXVGc8kM_postprocess.srt b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/M1zkXVGc8kM_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..47e77469b5806889c0591f7a70580939a5e9ed5d
--- /dev/null
+++ b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/M1zkXVGc8kM_postprocess.srt
@@ -0,0 +1,2776 @@
+1
+00:00:20,690 --> 00:00:23,470
+ماشي الحاجة أعوذ بالله من الشياطين اللي جيه بسم
+
+2
+00:00:23,470 --> 00:00:27,390
+الله الرحمن الرحيم اليوم
+
+3
+00:00:27,390 --> 00:00:32,770
+ان شاء الله بنكمل المحاضرة التانية من الفصل التاني
+
+4
+00:00:32,770 --> 00:00:37,420
+اللي هو موضوع ال software process بنكمل كنا ..كنا
+
+5
+00:00:37,420 --> 00:00:41,500
+وقفنا عند اللى هو موضوع ال change و التعامل مع
+
+6
+00:00:41,500 --> 00:00:47,560
+التغيرات اللى بتتم علي ال requirements التغيرات
+
+7
+00:00:47,560 --> 00:00:51,780
+اللى بتتم علي ال requirements فكنا حكينا في شوية
+
+8
+00:00:51,780 --> 00:01:00,280
+ووصلنا لعند اللى هو ال prototyping software
+
+9
+00:01:00,280 --> 00:01:05,530
+prototyping ف ..مفهوم ال prototyping هذا اشي اساسي
+
+10
+00:01:05,530 --> 00:01:08,890
+في اي منهجي من منهجيات ال software development
+
+11
+00:01:08,890 --> 00:01:16,850
+لازم يكون فيه هناك نسخ مبدئية من ال software اللي
+
+12
+00:01:16,850 --> 00:01:24,550
+انت تستخدمها توريها لل user وتاخد منه feedback على
+
+13
+00:01:24,550 --> 00:01:30,700
+اللي هو المتطلبات وال design والشكل وما إلى ذلكف
+
+14
+00:01:30,700 --> 00:01:33,880
+ال prototype a prototype is an initial version of
+
+15
+00:01:33,880 --> 00:01:38,400
+ال system صح نسخة مبدئية من ال system used to
+
+16
+00:01:38,400 --> 00:01:41,300
+demonstrate يعني أنت من خلال هذا ال prototype
+
+17
+00:01:41,300 --> 00:01:47,520
+بتعرض و بتوضح إيش concepts وأيضا كمان بتجرب
+
+18
+00:01:47,520 --> 00:01:51,180
+options لما احنا في ال design بالتحديد في ال
+
+19
+00:01:51,180 --> 00:01:58,320
+design بالتحديدلازم انت المتطلب تبع ال user تلبيه
+
+20
+00:01:58,320 --> 00:02:02,940
+في مرحلة ال design يبقى فيه عندك اكثر من فكرة او
+
+21
+00:02:02,940 --> 00:02:07,110
+اكتر من خيار لتلبية هذه المتطلباتOkay فلازم انت
+
+22
+00:02:07,110 --> 00:02:11,210
+تطرح هذه الخيارات تطرحها من خلال النسخة الأولانية
+
+23
+00:02:11,210 --> 00:02:15,530
+يعني بمعنى اخر ان ال user يشوف ال prototype يشوف
+
+24
+00:02:15,530 --> 00:02:20,590
+اكتر من ال prototype ممكن يجرب ان يعمل العملية
+
+25
+00:02:20,590 --> 00:02:23,770
+اللي بدى يسويها من خلال بطريقة هذه او بطريقة هذه
+
+26
+00:02:23,770 --> 00:02:27,930
+او بطريقة هذه يعني ال prototype بيوريله اكتر من
+
+27
+00:02:27,930 --> 00:02:33,270
+خيار وهو بيختار اللي بنسبه اكتر فهنا design
+
+28
+00:02:33,270 --> 00:02:34,630
+options هذه الخيارات
+
+29
+00:02:37,290 --> 00:02:41,970
+سميها design options ف ال prototypes الوظيفة
+
+30
+00:02:41,970 --> 00:02:45,190
+الأساسية تبعتها انه انا اعبر لل user عن فهمي كيف
+
+31
+00:02:45,190 --> 00:02:49,290
+انا فاهم اللي هو بده ياه و اقوله كيف ممكن اعمله
+
+32
+00:02:49,290 --> 00:02:55,110
+ياه و ايضا اعطيله خيارات مختلفة ليختار ما بينها و
+
+33
+00:02:55,110 --> 00:02:57,470
+هذا اشي أساسي في ال design تبع ال software ولا في
+
+34
+00:02:57,470 --> 00:03:00,690
+اي نوع من نوع ال design لازم ال customer يشوف
+
+35
+00:03:00,690 --> 00:03:05,110
+بدائل و يختار ما بينها تمام؟ الآن ال prototyping
+
+36
+00:03:05,510 --> 00:03:10,770
+إنتاج ال prototypes ممكن تم في مراحل ال
+
+37
+00:03:10,770 --> 00:03:12,510
+requirements analysis أو ال requirements
+
+38
+00:03:12,510 --> 00:03:15,950
+engineering أو ال requirements specification لغرض
+
+39
+00:03:15,950 --> 00:03:19,630
+اللي هو لغرض
+
+40
+00:03:19,630 --> 00:03:25,310
+ليش ممكن نعمل prototyping في هذه المرحلة، مرحلة ال
+
+41
+00:03:25,310 --> 00:03:29,590
+requirements إنه نتعرف على أو نجمع اللي هو
+
+42
+00:03:29,590 --> 00:03:34,570
+المتطلباتو ايضا نتحقق validation نتحقق انه احنا
+
+43
+00:03:34,570 --> 00:03:37,390
+فاهمين صح و ان هذه ال requirements هي اللي
+
+44
+00:03:37,390 --> 00:03:40,570
+بدواياها ال user كذلك الحال في ال design process
+
+45
+00:03:40,570 --> 00:03:44,530
+لإيش؟ عشان خاطر ال options زي ما حكينا قطوي و انا
+
+46
+00:03:44,530 --> 00:03:48,010
+في ال design ماشي انا لسه هنا ماخشتش على ال design
+
+47
+00:03:48,010 --> 00:03:52,280
+هنا انا بعمل prototyping بس علشانأعرض لل user أنا
+
+48
+00:03:52,280 --> 00:03:56,180
+إيش فاهم و يتحقق إن أنا فاهم بعمل ال prototype
+
+49
+00:03:56,180 --> 00:03:58,900
+عشان أتحقق إن أنا إيش فاهم الان أنا فهمت منه إيش
+
+50
+00:03:58,900 --> 00:04:02,300
+الفيديو بالظبط، الآن بطرحله أدت بدائل و أنا .. و
+
+51
+00:04:02,300 --> 00:04:05,460
+دخلت الآن في عملية ال design فبطرح لل user أدت
+
+52
+00:04:05,460 --> 00:04:08,380
+بدائل إنه ممكن يعملك اللي إنت بدك يعمل بهذه
+
+53
+00:04:08,380 --> 00:04:12,970
+الطريقة أو بهذه الشكل أو بهذه الشكلأيضا كذلك الحال
+
+54
+00:04:12,970 --> 00:04:17,790
+في حد في ال testing فهنا هنا requirements design و
+
+55
+00:04:17,790 --> 00:04:20,870
+testing ممكن ينعمل فيهم prototyping ال prototyping
+
+56
+00:04:20,870 --> 00:04:23,730
+اللي بنعمل في ال testing الغرض منه هو ال testing
+
+57
+00:04:23,730 --> 00:04:28,590
+انه انا زي ما انا هنا عملت options يعني بدائلطبعا
+
+58
+00:04:28,590 --> 00:04:31,750
+أنا هنا بدأ اختبر هذه البدائل هنا بدأ اختبر
+
+59
+00:04:31,750 --> 00:04:34,590
+البدائل افترض ان ال user قال لي انا مش عارف الله
+
+60
+00:04:34,590 --> 00:04:38,530
+هذا احسن ولا هذا احسن فانا ممكن نجيب data و نختبر
+
+61
+00:04:38,530 --> 00:04:43,230
+البدائل و نطلع تقرير للاختبار و نقول الله هذا
+
+62
+00:04:43,230 --> 00:04:46,630
+الأسلوب او انه نعملك ال software بالطريقة هذه
+
+63
+00:04:46,630 --> 00:04:51,490
+هيكون أسرع و هيكون كده و لكن له يعني مساوء و عيوب
+
+64
+00:04:51,490 --> 00:04:54,810
+و هذا له مساوء و عيوب و من خلال هذه المساوء العيوب
+
+65
+00:04:54,890 --> 00:04:58,250
+نقرر ايش اللي بديها بالظبط فاحنا ممكن نعمل
+
+66
+00:04:58,250 --> 00:05:02,410
+prototyping و نستخدم ال prototypes في مرحلة ال
+
+67
+00:05:02,410 --> 00:05:08,890
+testing لغرض التحقق من انه من .. من البدائل مين
+
+68
+00:05:08,890 --> 00:05:12,610
+البديل الأفضل هذا نوع من ال testing اللي هو اختبار
+
+69
+00:05:12,610 --> 00:05:21,830
+بدائل هذا اسمه back to back test okay تمام
+
+70
+00:05:23,150 --> 00:05:29,210
+ربما الآن بيوضحط ايش المنافع تبع الاستخدام
+
+71
+00:05:29,210 --> 00:05:33,930
+ال prototype احنا قلنا انت لازم تعمل prototype
+
+72
+00:05:33,930 --> 00:05:38,750
+المنافع تبع ال prototype اللي هي اول شي انك انت
+
+73
+00:05:38,750 --> 00:05:42,890
+تتحقق خليني اسيب هذا الأولان و بعدين برجعله تتحقق
+
+74
+00:05:42,890 --> 00:05:47,720
+من انه ايه ليش؟ال system اللي انت بتعمله بيلبي
+
+75
+00:05:47,720 --> 00:05:52,240
+متطلبات ال user فبيجربك ال prototype بيجربك اكثر
+
+76
+00:05:52,240 --> 00:05:59,760
+to match يعني ايش تطابق اللي هو احتياجات ال user
+
+77
+00:06:00,250 --> 00:06:02,970
+كيف هذا الكلام بتتم؟ إن أنت ال prototype اللي
+
+78
+00:06:02,970 --> 00:06:07,070
+بتعرضله إياه إذا بعيد عن متطلباته هو بيعطيلك
+
+79
+00:06:07,070 --> 00:06:10,030
+feedback فبيقولك وين بالظبط الفرق وين اللي
+
+80
+00:06:10,030 --> 00:06:13,830
+مابيبدوش إياه وين اللي هذا فتقترب شويه شويه من
+
+81
+00:06:13,830 --> 00:06:17,350
+prototype ورا prototype تقترب أكثر من إيش تلبية
+
+82
+00:06:17,350 --> 00:06:23,080
+احتاجاتهمن خلال ال feedback اللي هو بيقولك إياه،
+
+83
+00:06:23,080 --> 00:06:26,020
+تمام؟ الآن برضه كذاك الحال في انت من خلال ال
+
+84
+00:06:26,020 --> 00:06:30,700
+prototyping بتحسن كل prototype عن اللي بعده، بتحسن
+
+85
+00:06:30,700 --> 00:06:33,860
+في إيش؟ في ال quality تبع التصميم تبع ال system
+
+86
+00:06:33,860 --> 00:06:37,780
+تبعك، التصميم هنا في التصميم الخارجي وفي التصميم
+
+87
+00:06:37,780 --> 00:06:41,200
+الداخلي، التصميم الخارجي اللي هو ال interface و ال
+
+88
+00:06:41,200 --> 00:06:46,380
+interactivityالداخلين اللي هو تصميم البرمجيات اللي
+
+89
+00:06:46,380 --> 00:06:49,240
+بتكتبها يعني ال functions و ال classes و ال
+
+90
+00:06:49,240 --> 00:06:53,400
+objects و الكلام هذه .. هذه برضه لازم تكون ايش؟
+
+91
+00:06:53,400 --> 00:06:56,200
+لازم تكون ال quality تبعتها عاليةimprove
+
+92
+00:06:56,200 --> 00:07:01,260
+maintainability لأنه انت كل ما بت .. بتعمل
+
+93
+00:07:01,260 --> 00:07:06,580
+prototype بيبقى أحسن من اللي جابله و ال user أيضا
+
+94
+00:07:06,580 --> 00:07:09,520
+بيبقى ماشي معاك من البداية و عارف ال system
+
+95
+00:07:09,520 --> 00:07:12,640
+وبالتالي لما تسلمه انت ال system .. ال system هذا
+
+96
+00:07:12,640 --> 00:07:16,020
+بيبقى مش غريب عليه فبيبقى عارف يتعامل معاه كويس
+
+97
+00:07:16,020 --> 00:07:21,200
+فبتبقى الأخطاء أقل و عارفين ال system من .. من ..
+
+98
+00:07:21,200 --> 00:07:25,650
+من .. من .. من بدايته لآخرهOkay الآن ال
+
+99
+00:07:25,650 --> 00:07:30,910
+development effort هذا كيف ال prototype بيساهم في
+
+100
+00:07:30,910 --> 00:07:36,010
+ايش في تقليل ال development effort ايش ال
+
+101
+00:07:36,010 --> 00:07:39,750
+development effort هنا يقصد بيها ال implementation
+
+102
+00:07:39,750 --> 00:07:47,910
+صح بالاساس طبعا عها ال design كيف ال prototyping
+
+103
+00:07:47,910 --> 00:07:53,410
+بيقلل مجهود ال implementation كيف بيساهمفي تقليل
+
+104
+00:07:53,410 --> 00:07:59,410
+المجهود اللي بنبذله في ال implementation احنا
+
+105
+00:07:59,410 --> 00:08:02,090
+لما بنعمل prototype و ال prototype هذا ال
+
+106
+00:08:02,090 --> 00:08:05,690
+prototype هو عبارة عن يعني ال system مافيش فيه
+
+107
+00:08:05,690 --> 00:08:10,150
+code كتير بس واجهة او يعني ال functionality تبعته
+
+108
+00:08:10,150 --> 00:08:16,510
+محدودة جدا جدا فلما prototype بعد ال prototype
+
+109
+00:08:17,920 --> 00:08:22,400
+بنستقر على ان هذا هو الشكل اللى بده ال user او
+
+110
+00:08:22,400 --> 00:08:25,480
+التفعيل اللى بده ال user او ال functionality اللى
+
+111
+00:08:25,480 --> 00:08:28,920
+بده ال user و اجتها بعد هيك بنبدأ في ايش؟ بنبدأ في
+
+112
+00:08:28,920 --> 00:08:32,480
+عملية ال implementation عملية ال coding و ما إلى
+
+113
+00:08:32,480 --> 00:08:37,000
+ذلك صح؟ هذا ال coding لو احنا بدين فيه من الأول و
+
+114
+00:08:37,000 --> 00:08:40,040
+عملينه و شغاله و بعدين عضمه على ال user و ال user
+
+115
+00:08:40,040 --> 00:08:43,640
+جاله لا يا عم مش هيك بده فمعناه ده كان ايش بتسوي
+
+116
+00:08:44,510 --> 00:08:50,010
+بدي اغير او ارمي الشكل اللي انا عملها او اعمل من
+
+117
+00:08:50,010 --> 00:08:53,970
+جديد او اغير فهي ده تكلفته عالية عملية اللي هو
+
+118
+00:08:53,970 --> 00:08:59,330
+اعادة البرمجة و ابدأ من جديد او اغير فهي المقصود
+
+119
+00:08:59,330 --> 00:09:04,490
+ال prototype بيساهم في انه يوفر عليه مجهود في
+
+120
+00:09:04,490 --> 00:09:08,490
+البرمجة
+
+121
+00:09:10,900 --> 00:09:15,400
+Okay ف ال prototyping في حد ذاته ال prototyping في
+
+122
+00:09:15,400 --> 00:09:18,480
+حد ذاته بقدر انا افكر فيه على انه هو في حد ذاته
+
+123
+00:09:18,480 --> 00:09:22,240
+process مع عملية العملية هذه بتبدأ بان انا اقول
+
+124
+00:09:22,240 --> 00:09:24,760
+okay انا الآن بدي اعمل prototype او بدي اعمل بدي
+
+125
+00:09:24,760 --> 00:09:29,060
+اسمي انا version one ال version one ده بده تجتمل
+
+126
+00:09:29,060 --> 00:09:32,160
+على ايش؟ شو اللي بدي اعرضه على ال user؟ غالبا ما
+
+127
+00:09:32,160 --> 00:09:36,460
+بتكونش بتجتمل على كل اشي في ال system صح فبتتحدد
+
+128
+00:09:36,460 --> 00:09:40,930
+لل prototypeاللي بدنا نعملها الآن الـ Objectives
+
+129
+00:09:40,930 --> 00:09:46,690
+تبعتها يعني هذا الـ Prototype الغلب منها أنه احنا
+
+130
+00:09:46,690 --> 00:09:50,530
+نقرد على ال user مجموعة الوظائف الأساسية اللي احنا
+
+131
+00:09:50,530 --> 00:09:56,190
+فهمناها من عملية المسح أو عملية الدراسة الأولى
+
+132
+00:09:56,190 --> 00:09:59,890
+فاللي احنا فاهمينه انه بده يعمل ال system واحد
+
+133
+00:09:59,890 --> 00:10:03,830
+اتنين تلاتة فبدنا نحط هذه الخصائص في ال prototype
+
+134
+00:10:03,830 --> 00:10:05,830
+و نقردها على ال user و نشوف اللي احنا فاهمينه صح
+
+135
+00:10:09,040 --> 00:10:13,100
+Establishing objectives بيولد prototype plan يعني
+
+136
+00:10:13,100 --> 00:10:20,740
+أنه بدنا نعمل 1 2 3 4 في prototypeبعد ذلك استبليش
+
+137
+00:10:20,740 --> 00:10:26,600
+و define فهدول اتنين مع بعض ال prototype plan و ال
+
+138
+00:10:26,600 --> 00:10:30,700
+outline تبع ال prototype بتحددوا في الخطوطين هدولة
+
+139
+00:10:30,700 --> 00:10:34,520
+بعد ذلك بنبدأ نعمل هنا develop ال prototype بنبدأ
+
+140
+00:10:34,520 --> 00:10:37,380
+نعمل ال prototype و بطلع معانا executable
+
+141
+00:10:37,380 --> 00:10:40,630
+prototypeاسمه executable prototype يعني يمكن
+
+142
+00:10:40,630 --> 00:10:44,310
+تنفيذه وتشغيله ولكن هذا لا يعني انه يشتمل على كل
+
+143
+00:10:44,310 --> 00:10:47,910
+ال functionality ولا يعني انه functionality موجودة
+
+144
+00:10:47,910 --> 00:10:51,510
+بمعنى انه ممكن يكون فيه menus وفيه خيارات وفيه
+
+145
+00:10:51,510 --> 00:10:54,190
+icons وفيه buttons لكن انا بضغط ال button
+
+146
+00:10:54,190 --> 00:10:59,390
+مابطلعليش اشي أو بطلعلي وجهة هي ك static مافيش
+
+147
+00:10:59,390 --> 00:11:05,210
+فيها تفاعلية واضح ف executable لا يعني انه كل ال
+
+148
+00:11:05,210 --> 00:11:10,510
+functions شغالة و تمام تمامفبعد كده بعد ما عملته
+
+149
+00:11:10,510 --> 00:11:14,310
+الان بينعرض و بعد بينعرض بينعمله evaluation و بنتج
+
+150
+00:11:14,310 --> 00:11:16,290
+عن ال evaluation اللي هو evaluation report ال
+
+151
+00:11:16,290 --> 00:11:19,810
+evaluation report هذا برجع تاني على أساس ان انا
+
+152
+00:11:19,810 --> 00:11:24,110
+ابدأ احدد شو بدي اكون في ال prototype اللحق اللي
+
+153
+00:11:24,110 --> 00:11:28,290
+بعده فهذه ال process بدك تخيلها انها غالبا
+
+154
+00:11:28,290 --> 00:11:32,890
+مابتنعمل مكرر بتتكرر على جداش في عندي prototypes
+
+155
+00:11:32,890 --> 00:11:38,090
+بتتكرر لكل واحد منهمفهي بتبدأ في establishing ال
+
+156
+00:11:38,090 --> 00:11:40,850
+objectives و defining ال functionality ايش ال
+
+157
+00:11:40,850 --> 00:11:42,610
+functionality اللي بدي احتوي على هذا ال prototype
+
+158
+00:11:42,610 --> 00:11:46,990
+و بنحط outline outline يعني ايش خطوط عريضة ل
+
+159
+00:11:46,990 --> 00:11:50,730
+design تبع هذا ال prototype بعد كده بتتنفذ و
+
+160
+00:11:50,730 --> 00:11:55,430
+بتختبر تمام
+
+161
+00:11:55,430 --> 00:12:00,450
+الان ال احيانا
+
+162
+00:12:00,450 --> 00:12:04,730
+بيبقى في عنا حاجة اسمها languagesprototyping
+
+163
+00:12:04,730 --> 00:12:09,870
+languages or tools بتعطيني
+
+164
+00:12:09,870 --> 00:12:14,710
+prototypes بتولد prototypes بشكل سريع بمعنى ايش ان
+
+165
+00:12:14,710 --> 00:12:19,510
+انا ممكن اجي ارسم interface ارسمها على برنامج زي
+
+166
+00:12:19,510 --> 00:12:24,880
+برنامج ال word وهو ايش يحولي ال tool ها ديالـ
+
+167
+00:12:24,880 --> 00:12:28,780
+prototyping tool يتحول الرسم اللي انا رسمته الى
+
+168
+00:12:28,780 --> 00:12:33,440
+interface حقيقية executable يعني اللي انا ارضها
+
+169
+00:12:33,440 --> 00:12:37,760
+ارسم عدة interfaces اسمها رسم وهو يحوليها الى فهذا
+
+170
+00:12:37,760 --> 00:12:42,290
+بيساعد اكتر في عملية اللي هوانشاء ال prototype بدل
+
+171
+00:12:42,290 --> 00:12:46,190
+ما انا اقعد ابرمجها يعني او ارسم بيها ارسمها على
+
+172
+00:12:46,190 --> 00:12:53,570
+ال HTML او على اللغة ال Java او ال C اللي انا بدأ
+
+173
+00:12:53,570 --> 00:13:00,060
+اعمل ال system فيهاهذه اسمها rapid prototyping
+
+174
+00:13:00,060 --> 00:13:03,160
+languages يعني ايش languages يعني انا ممكن اوصف
+
+175
+00:13:03,160 --> 00:13:09,400
+واصف اكتب code يوصف ال form او ال report الشاشة
+
+176
+00:13:09,400 --> 00:13:13,360
+يعني او ال report وهو يعملها generation تلقائيOkay
+
+177
+00:13:13,360 --> 00:13:18,340
+كثير من ذكرنا احنا المصطلح هذا ال computer-aided
+
+178
+00:13:18,340 --> 00:13:21,960
+software engineering tools بتسوي هذا الكلام okay
+
+179
+00:13:21,960 --> 00:13:25,500
+يعني مثلا على سبيل المثال في ال Oracle designer ال
+
+180
+00:13:25,500 --> 00:13:28,260
+Oracle designer هو وظيف هو tool بيستخدمه ال
+
+181
+00:13:28,260 --> 00:13:32,340
+designer عشان يرسم ال models تبع ال software يرسم
+
+182
+00:13:32,340 --> 00:13:38,060
+أرسم بعض من ال models هذه ممكن يتولد منها ال
+
+183
+00:13:38,060 --> 00:13:43,630
+software ممكن ال designer يولد منها ال prototypeمر
+
+184
+00:13:43,630 --> 00:13:48,290
+عليكم اشي زي هيك قبل؟ في مثلا ابسط حاجة اذا انت
+
+185
+00:13:48,290 --> 00:13:54,370
+اخدت database قبل هيك مااخدتوش database؟ في في ال
+
+186
+00:13:54,370 --> 00:13:59,910
+database حاجة اسمها ال ER diagram ال ER diagram
+
+187
+00:13:59,910 --> 00:14:03,790
+اللي هو الجداول تبعتك انت بتنثل كل واحد منها على
+
+188
+00:14:03,790 --> 00:14:09,910
+شكل box و بتحدد فيه ايش ال fields الحقولو دعوني
+
+189
+00:14:09,910 --> 00:14:15,830
+أقول إن هذا الجدول لديه عاملات عاملة مع هذا الجدول
+
+190
+00:14:15,830 --> 00:14:20,910
+انت هذا كله بتورصه مراسم بعدين ممكن تقوله generate
+
+191
+00:14:20,910 --> 00:14:25,950
+في الروح بيعمل الجدول كله بيبنيها و بيعمل ال
+
+192
+00:14:25,950 --> 00:14:29,450
+relationships ما بينها و بيحدد في كل جدول ما هي ال
+
+193
+00:14:29,450 --> 00:14:32,850
+fields اللي فيه و أنواعها و ما إلى ذلك فهذا هو
+
+194
+00:14:32,850 --> 00:14:39,790
+عامل جدول لجزئية ال database قص على ذلكبرضه في
+
+195
+00:14:39,790 --> 00:14:44,810
+Oracle designer موجود ايضا generation tools لان
+
+196
+00:14:44,810 --> 00:14:48,810
+انت لو رسمت interface بروح ببنيلك اياها لو رسمت
+
+197
+00:14:48,810 --> 00:14:54,530
+class اه حددت اللي هو ال fields و ال attributes و
+
+198
+00:14:54,530 --> 00:14:59,250
+ال methods بروح ببنيلك اياهم بكتبلك اياهم فبيوفر
+
+199
+00:14:59,250 --> 00:15:02,070
+عليك كتير من المجهود وبالتالي بتقدر تعمل ال
+
+200
+00:15:02,070 --> 00:15:05,410
+prototype تبعك بشكل أسرع okay
+
+201
+00:15:08,530 --> 00:15:16,170
+طبعا بالمجمل ال prototypes كلها انت بتغطيش كل ال
+
+202
+00:15:16,170 --> 00:15:19,450
+functionality و you leave out بتترك الكثير من ال
+
+203
+00:15:19,450 --> 00:15:25,490
+functionality تمام؟ بتركز علي إيش؟ بتركز يعني شو
+
+204
+00:15:25,490 --> 00:15:30,310
+ال functionality اللي بتبقى يشتمل عليها ال
+
+205
+00:15:30,310 --> 00:15:35,050
+prototype حاجات اللي انت فاهمها كويس صح؟ بتقول ال
+
+206
+00:15:35,050 --> 00:15:38,170
+user انا هيك اللي فاهم منكواتحطها في ال prototype
+
+207
+00:15:38,170 --> 00:15:42,550
+okay مش بالظبط غالبا بنحط الحاجات اللي احنا مش
+
+208
+00:15:42,550 --> 00:15:46,650
+فاهمينها كويس ماشي بنحطها في ال prototype انا مش
+
+209
+00:15:46,650 --> 00:15:49,810
+فاهم هو بده ال interface تكون هيك ولا تكون هيك
+
+210
+00:15:49,810 --> 00:15:54,470
+فانا بحطه في ال prototype عشان اسأله هل انت بده
+
+211
+00:15:54,470 --> 00:15:58,430
+كده هيك ولا شغل انا فاهمه كويس و هو عبر عنها و
+
+212
+00:15:58,430 --> 00:16:03,210
+واضح اليه مابغلبش حالي فيها و بتبقى حالي و بضيع
+
+213
+00:16:03,210 --> 00:16:05,910
+وقتي ان انا عملها في ال prototype عادة ال
+
+214
+00:16:05,910 --> 00:16:10,660
+prototypeبنركز في prototype should focus on ال
+
+215
+00:16:10,660 --> 00:16:13,800
+areas of the product الجوانب من المونتاج من ال
+
+216
+00:16:13,800 --> 00:16:17,440
+software تبعك that are not well understood بتعملها
+
+217
+00:16:17,440 --> 00:16:20,020
+و أنت مش متأكد هو بديها هيك و لا هيك عشان لما
+
+218
+00:16:20,020 --> 00:16:24,320
+تطرحله هو يقولك إذا بديها هيكبرضه كذلك الحالي ال
+
+219
+00:16:24,320 --> 00:16:26,780
+error checking و ال recovery و الأمور هذه يعني
+
+220
+00:16:26,780 --> 00:16:31,100
+مثلا إذا .. إذا دخلت بيانات و البيانات هذه غير
+
+221
+00:16:31,100 --> 00:16:36,500
+سليمة يعني ما .. غير مطابقة للمفروض فال system
+
+222
+00:16:36,500 --> 00:16:38,580
+المفروض يعمل error checking يعني مثلا بدك تدخل
+
+223
+00:16:38,580 --> 00:16:42,700
+تاريخ ميلاد و تاريخ الميلادفي المستقبل تمام
+
+224
+00:16:42,700 --> 00:16:45,320
+المفروض ال system يعمل error checking هذا الأمر
+
+225
+00:16:45,320 --> 00:16:49,360
+مانحطوش في ال prototype و لا لأ بنتخليه في الآخر
+
+226
+00:16:49,360 --> 00:16:52,560
+في ال system ان انا في ال prototype انا بس بدي
+
+227
+00:16:52,560 --> 00:16:57,840
+احطله ال box تبع تاريخ الميلادو اتأكد ان هو بدوها
+
+228
+00:16:57,840 --> 00:17:02,280
+زي هيكا ولا لا بدو تاريخ الميلاد بالتاريخ ولا بس
+
+229
+00:17:02,280 --> 00:17:07,100
+العمر مجرد العمر يعني واضح فما بقى غالبش حالي في
+
+230
+00:17:07,100 --> 00:17:09,660
+ال error checking و ال recovery ان لو ال system
+
+231
+00:17:09,660 --> 00:17:14,580
+مثلا crash كيف يعمل او ال data لو راحت كيف يعملها
+
+232
+00:17:14,580 --> 00:17:18,960
+recover بقى بنعملش هذا الكلام في ال prototype
+
+233
+00:17:18,960 --> 00:17:23,260
+تمام؟ و بعدين في احنا ال requirements
+
+234
+00:17:25,780 --> 00:17:29,640
+الـ Requirements غالبا ما بنميز ما بين حاجة اسمها
+
+235
+00:17:29,640 --> 00:17:32,100
+functional requirements و non-functional
+
+236
+00:17:32,100 --> 00:17:35,140
+requirements سمعين في المصطلح هنا دول قبل هيك؟ لأ
+
+237
+00:17:35,140 --> 00:17:37,940
+ماظننيش ال functional requirements اللي هي
+
+238
+00:17:37,940 --> 00:17:41,880
+المتطلبات اللي بدوا يها user محدد انا بد ال system
+
+239
+00:17:41,880 --> 00:17:48,410
+يقرأ بيانات من ملفوخزينها في ال database بد ال
+
+240
+00:17:48,410 --> 00:17:53,350
+system يعمل لي تلخيص او تجميع لكل المبيعات تبع
+
+241
+00:17:53,350 --> 00:17:57,310
+المحل شهر بشهر او اسبوع باسبوع عادي اسمها
+
+242
+00:17:57,310 --> 00:18:01,690
+functional requirements مطلبات وظيفية عمليات tasks
+
+243
+00:18:01,690 --> 00:18:06,240
+مطلوب من ال system يسويهاوهي معظم ال require
+
+244
+00:18:06,240 --> 00:18:10,380
+مستبقى ال user هي هيك هو شو ال user بده؟ بده ال
+
+245
+00:18:10,380 --> 00:18:13,480
+system سويله مجموعة من الوظائف أو مجموعة من ال
+
+246
+00:18:13,480 --> 00:18:16,600
+functions إلى جانب هذا الكلام في حاجات نسميها غير
+
+247
+00:18:16,600 --> 00:18:21,480
+وظيفية ال غير وظيفية اللي هي مثلا ييجي يقولي انا
+
+248
+00:18:21,480 --> 00:18:29,080
+اللي بدي .. بدي تاريخ الميلاد يبقى calendar اضغط
+
+249
+00:18:29,080 --> 00:18:35,670
+زر اه و يطلع لي calendar اختارهذه ماتطلب انه علاقة
+
+250
+00:18:35,670 --> 00:18:38,910
+بال interface و بال interaction مالوش علاقة
+
+251
+00:18:38,910 --> 00:18:42,390
+بالحسابات و العمليات اللي بيسويها ال system صح؟
+
+252
+00:18:42,390 --> 00:18:46,850
+فهذه بيسميها ايش؟ non-functional requirementsفي
+
+253
+00:18:46,850 --> 00:18:50,490
+جارب أخرى كثيرة بتيجي برضه non-functional زي مثلا
+
+254
+00:18:50,490 --> 00:18:57,230
+ال security أن ال system يبقى آمن يعني مايبقاش
+
+255
+00:18:57,230 --> 00:19:01,390
+قابل للاختراق ال system يبقى سريع ال system يبقى
+
+256
+00:19:01,390 --> 00:19:06,210
+easy to use سهل استخدام هذه متطلبات وضرورية و
+
+257
+00:19:06,210 --> 00:19:13,510
+أساسية ولكنها مش وظيفية دائما بذكر في الموضوع هذا
+
+258
+00:19:13,510 --> 00:19:19,090
+في الهندسة المعماريةالمباني اه العناصر تبع المبنى
+
+259
+00:19:19,090 --> 00:19:22,730
+فيه برضه بيصنفوها الى عناصر وظيفية وعناصر غير
+
+260
+00:19:22,730 --> 00:19:24,750
+وظيفية functional و non-functional يعني مثلا
+
+261
+00:19:24,750 --> 00:19:31,150
+أسابيع المثال في المسجد في المسجد الميدنة هذي إيش
+
+262
+00:19:31,150 --> 00:19:34,970
+وظيفية و لا مش وظيفية يعني إلها إلها دور في عمل
+
+263
+00:19:34,970 --> 00:19:39,210
+المسجد يعني بيسموهم جمالية اللي مش وظيفية بيسموها
+
+264
+00:19:39,210 --> 00:19:45,840
+جماليةهل الميدنة بس إشي للشكل و ال .. و ال .. إيه
+
+265
+00:19:45,840 --> 00:19:49,800
+الوظيفة في عمل المسجد؟ مكبرات صوت؟ مكبرات صوت، لأ
+
+266
+00:19:49,800 --> 00:19:53,000
+لأ ده، بس هالكلام كان زمان، يعني زمان كان لازم
+
+267
+00:19:53,000 --> 00:19:56,120
+المؤدن، مافيش مكبرات صوت، لازم المؤدن يطلع على
+
+268
+00:19:56,120 --> 00:20:00,120
+مستوى عالي عشان يقدن عشان يسمع، الآن أنت ممكن تحط
+
+269
+00:20:00,120 --> 00:20:03,800
+مكبر صوت على .. على الجب مثلا أو على إشي مرتفع، مش
+
+270
+00:20:03,800 --> 00:20:08,000
+محتاج .. مش محتاج الميدن كله، صح؟فالجاسد قال انه
+
+271
+00:20:08,000 --> 00:20:11,560
+برضه كمان في الهندس المعمري انه في كثير من الأعناص
+
+272
+00:20:11,560 --> 00:20:16,700
+البناء بيبقى إلها وظيفة يعني مثلا الحمامات و الغرف
+
+273
+00:20:16,700 --> 00:20:22,200
+و المطبخ هذه إلها وظيفة في البيتلكن في أشياء بيبقى
+
+274
+00:20:22,200 --> 00:20:25,700
+جمالية اللي هي بس ال Varanda مثلا ممكن ال Varanda
+
+275
+00:20:25,700 --> 00:20:29,960
+محطوطة مش لغرض إلا بس لمنظر عشان البيت من برا
+
+276
+00:20:29,960 --> 00:20:34,860
+مايبينش زي كأنه مدرسة و لا كأنه كأنه مكعب كبير بس
+
+277
+00:20:34,860 --> 00:20:39,460
+محطوطة ال Varanda أو ال Balcona بس عشان تعطي منظر
+
+278
+00:20:39,460 --> 00:20:42,780
+المهم فالجصد إنه احنا برضه في ال software فيه ان
+
+279
+00:20:42,780 --> 00:20:46,200
+بس احنا ببنقولش إنها المتطلبات ال non functional
+
+280
+00:20:46,200 --> 00:20:52,030
+بنقولش إنها إيش جماليةلأ، هي أساسية غالبا، بس مش
+
+281
+00:20:52,030 --> 00:20:55,370
+مرتبطة بوظيفة ال software بالأساس، بالوظائف اللي
+
+282
+00:20:55,370 --> 00:20:59,410
+بيقوم بيها ال software بالأساس، مكملة، إلها، مكملة
+
+283
+00:20:59,410 --> 00:21:03,130
+إلها طيب، ماشي، فإحنا هنا ال .. إيش بقوللي؟ بقوللي
+
+284
+00:21:03,130 --> 00:21:06,910
+إنه ال .. إنه ال .. ال prototyping، بنركز على ال
+
+285
+00:21:06,910 --> 00:21:11,650
+functional، و بنخلي ال non-functional لبعدين،
+
+286
+00:21:11,650 --> 00:21:12,190
+ماشي؟
+
+287
+00:21:14,840 --> 00:21:19,100
+بالظبط أنا ما أيدك بس أحنا أساس نجاح ال .. ال ..
+
+288
+00:21:19,100 --> 00:21:24,180
+التطبيق خلينا نقول إنه هو بيتمد على الإتنين على ال
+
+289
+00:21:24,180 --> 00:21:27,140
+functional و ال non functional بس يعني جزء هو إنه
+
+290
+00:21:27,140 --> 00:21:31,380
+ال non functional ممكن تكسر ال system إذا لم تتوفر
+
+291
+00:21:31,380 --> 00:21:34,420
+في ال system ال non functional يعني زي قضية ال
+
+292
+00:21:34,420 --> 00:21:36,440
+security و قضية ال speed نعم
+
+293
+00:21:38,860 --> 00:21:41,100
+وبرضه كمان ال interaction انت عارف ان ال
+
+294
+00:21:41,100 --> 00:21:45,200
+interaction سبب أساسي من لافشة لل system إذا لم
+
+295
+00:21:45,200 --> 00:21:49,120
+يكن ال interaction يعني سهولة استخدام ال
+
+296
+00:21:49,120 --> 00:21:51,740
+interaction يعني التفاعل ما بين مين المستخدم و ما
+
+297
+00:21:51,740 --> 00:21:55,620
+بين ال system سواء بالفعل اللي بيقوم بيه ال user
+
+298
+00:21:55,620 --> 00:21:58,880
+على ال system أو بردد فعل ال system على ال user
+
+299
+00:21:58,880 --> 00:22:03,900
+إذا ماكانش مناسبة و كذلك حالة جانب الجمال برضه
+
+300
+00:22:03,900 --> 00:22:09,590
+الشكل ال designالـ user experience هي بتشمل ال
+
+301
+00:22:09,590 --> 00:22:12,790
+user experience ميام المصطلحات أحيان بتدوخ شويه ال
+
+302
+00:22:12,790 --> 00:22:15,910
+user experience اللي هو علاقة بالانطباع الانطباع
+
+303
+00:22:15,910 --> 00:22:20,510
+تبع ال user أثناء استخدامه، إشي عاطفي ال
+
+304
+00:22:20,510 --> 00:22:24,070
+interaction اللي هو علاقة بيه بالظبط جدّيش مجهود
+
+305
+00:22:24,070 --> 00:22:28,510
+البدني اللي بيبذله ال user في التفاعل مع ال system
+
+306
+00:22:28,510 --> 00:22:32,410
+أنا مثلا الآن بدي أحرك ال slide هذه وأجلب على ال
+
+307
+00:22:32,410 --> 00:22:35,700
+slide التانيماشي شو اللي بتسوي انا اعمل خيارين يا
+
+308
+00:22:35,700 --> 00:22:38,740
+اما بمسك ال mouse و بانجر يا اما بروح على ال
+
+309
+00:22:38,740 --> 00:22:43,080
+keyboard و أضغط على زر السهم صح؟ حياة أنا مجهود
+
+310
+00:22:43,080 --> 00:22:47,620
+وهنا مجهود فانت في ال interaction في عندك بدائل هي
+
+311
+00:22:47,620 --> 00:22:51,700
+اتنين بدائل يفترض انه دايما اولا تعطي بدائل زائد
+
+312
+00:22:51,700 --> 00:22:57,460
+ان البدائل هذه تبقى سريعة يعني قليل المجهود و في
+
+313
+00:22:57,460 --> 00:23:01,700
+مجهود برضه ذهني انه انا طلعلي ال error message و
+
+314
+00:23:01,700 --> 00:23:05,370
+جريتها و مافهمتشوقعدت أفكر فيها ومافهمتش، في كلمة
+
+315
+00:23:05,370 --> 00:23:09,150
+مثلا محيرانة ومش فاهمها كويس، فيانا في برضه مجهود
+
+316
+00:23:09,150 --> 00:23:13,130
+ذهني في عملية الإدراك وعملية استيعاب لهذا، فبنقول
+
+317
+00:23:13,130 --> 00:23:17,170
+أن ال user .. هذا .. هذا .. كل الحاجات هذه بنسميها
+
+318
+00:23:17,170 --> 00:23:20,630
+usability، ال usability تبع ال system اللي هي مجمل
+
+319
+00:23:20,630 --> 00:23:23,330
+ال user experience عن الإنطباع و ال interaction
+
+320
+00:23:23,330 --> 00:23:26,470
+اللي هي التفاعلوالجانب الجمالي اللي هو تصميمه هذا
+
+321
+00:23:26,470 --> 00:23:30,270
+كل هذا بصوب في ال usability ال usability ممكن
+
+322
+00:23:30,270 --> 00:23:33,870
+system يبقى كل ال functional requirements اللي
+
+323
+00:23:33,870 --> 00:23:38,990
+بدوها ال user موجود و ال security و كل شيء ولكن ال
+
+324
+00:23:38,990 --> 00:23:42,310
+user مش مرتاح في التفاعل معاه ال usability تبعت ال
+
+325
+00:23:42,310 --> 00:23:46,650
+system سيئة وهو أقرب مثال على ذلك برنامج الجامعة
+
+326
+00:23:46,650 --> 00:23:52,220
+اللي احنا بنستخدمه في الاللي بيستخدمه في تخيل
+
+327
+00:23:52,220 --> 00:23:56,860
+علامات أخر الفصل و في .. يعني الأمور اللي بتتعلق
+
+328
+00:23:56,860 --> 00:24:01,760
+.. الأمور الأكاديمية اللي بتتعلق في الطالب يعني
+
+329
+00:24:01,760 --> 00:24:04,900
+مهم كيف؟
+
+330
+00:24:07,330 --> 00:24:10,910
+هم .. هم لأ هم كيف .. عشان حجم الضغط عليهم بيبقى
+
+331
+00:24:10,910 --> 00:24:16,190
+كتير فيدوبك الوجد بيكفل ال functional requirements
+
+332
+00:24:16,190 --> 00:24:20,030
+و .. و ال security و الكلام هذا عند ال interaction
+
+333
+00:24:20,030 --> 00:24:24,610
+و ال user و التفاعل هذا بتلاقي مافيش .. مافيش وجد
+
+334
+00:24:24,610 --> 00:24:25,670
+اه
+
+335
+00:24:30,520 --> 00:24:34,120
+أحياناً بعض المتطلبات بتبقى متعارضة، متضاربة، في
+
+336
+00:24:34,120 --> 00:24:36,820
+بعض المتطلبات، يا عزيزي أنت ذكرت ال security وال
+
+337
+00:24:36,820 --> 00:24:41,080
+usability، عشان أنا أضمن أن ال system يكون secure،
+
+338
+00:24:41,080 --> 00:24:44,460
+في كثير من الأمور هتتعدد، كذلك أحياناً ال
+
+339
+00:24:44,460 --> 00:24:46,600
+functional requirements ممكن تأثر على ال
+
+340
+00:24:46,600 --> 00:24:51,050
+usability، يعني لما يكتر ال systemو تكتر الوظائف
+
+341
+00:24:51,050 --> 00:24:55,230
+بدك تصفطهم في menus بدك تحط أيقونات كتير هذه بتعمل
+
+342
+00:24:55,230 --> 00:24:58,850
+إيش دوشة لل user بيصير مش عارف كيف يشتغل على نفسه
+
+343
+00:24:58,850 --> 00:25:01,690
+كل ما كان ال functional كل ما أسأجل بيصير ال
+
+344
+00:25:01,690 --> 00:25:08,090
+usability أسهل عموما احنا الآن بهمنا نفهم إيش هو
+
+345
+00:25:08,090 --> 00:25:11,190
+في ال prototype الحاجات اللي بتدخل و الحاجات اللي
+
+346
+00:25:11,190 --> 00:25:15,090
+ممكن أنه نتركها و نسيبها أو يجب أنه نتركها و
+
+347
+00:25:15,090 --> 00:25:21,200
+نسيبها عشان ما نضيعش وجهة لأنه مش أوانهاالان احنا
+
+348
+00:25:21,200 --> 00:25:25,860
+احيانا ال prototypes لما بنعملها ب .. ب ..
+
+349
+00:25:25,860 --> 00:25:31,520
+باستخدام tool و ال tool هذه بتعطيني prototype
+
+350
+00:25:31,520 --> 00:25:35,840
+خليني أقول مفرغ يعني مافيش فيه ال functionality و
+
+351
+00:25:35,840 --> 00:25:41,020
+كده لما انا الان بدى خلاص استقريت ال prototype
+
+352
+00:25:41,020 --> 00:25:46,730
+استفادت منه انا استفادت منه في اني فهمتو حددت ..
+
+353
+00:25:46,730 --> 00:25:49,630
+فهمت إيش ال user بده و حددت إيش ال design الأنسب
+
+354
+00:25:49,630 --> 00:25:53,570
+إيه له و كل شيء الان السؤال هل أنا بكمل الآن ال
+
+355
+00:25:53,570 --> 00:25:59,750
+prototype و ب .. ب .. ب .. ب .. بحط في ال .. ال ..
+
+356
+00:25:59,750 --> 00:26:03,350
+ال .. ال baggy و بكمله إلى system و خليه system
+
+357
+00:26:03,350 --> 00:26:08,900
+نهائي و لا ب keep و ببدأ من الصفر أعمل حاجةبنان
+
+358
+00:26:08,900 --> 00:26:15,180
+على اللي انا فهمته بشكل أسس صح أحيانا بنعمل هيك و
+
+359
+00:26:15,180 --> 00:26:18,360
+أحيانا بنعمل هيك أحيانا بنعمل throw away بنرمي ال
+
+360
+00:26:18,360 --> 00:26:22,860
+prototype وهذا بيبقى كويس لعدة أسباب يعني مثلا
+
+361
+00:26:22,860 --> 00:26:27,880
+بيكون it's impossible to tune impossible مستحيل إن
+
+362
+00:26:27,880 --> 00:26:34,080
+أنا هذا ال prototype أروح إيشأضيف عليه و أكمله
+
+363
+00:26:34,080 --> 00:26:37,260
+لأنه يقترب من ال system النهائي، أيش ممكن أسباب
+
+364
+00:26:37,260 --> 00:26:39,320
+لذلك؟ ليش ممكن يكون مستحيل؟
+
+365
+00:26:42,160 --> 00:26:47,160
+بعيد جدا ما هو لأ هو احنا نفترض ان هو ال prototype
+
+366
+00:26:47,160 --> 00:26:52,560
+حد يعني عملنا اكتر من ال prototype وصلنا لشكل من
+
+367
+00:26:52,560 --> 00:26:57,960
+ناحية الشكل يعني الخارجي بيشتمل على كل اللي بدوه
+
+368
+00:26:57,960 --> 00:27:01,320
+يعني الان بس عايزين نبدأ نكتب ال quote يعني مثلا
+
+369
+00:27:01,320 --> 00:27:05,540
+عامل انا الزر بدي احط اكتب ال function اللي تنفذ
+
+370
+00:27:07,300 --> 00:27:10,140
+واحد من الأسباب اللي بيخلّي حكايات الـ Impossible
+
+371
+00:27:10,140 --> 00:27:14,300
+يقعد انه انه عامله بلغة او بتقنية مختلفة تماما عن
+
+372
+00:27:14,300 --> 00:27:17,120
+التقنية اللي بدوها ال user يعني مثلا ال user بده
+
+373
+00:27:17,120 --> 00:27:22,060
+ال system النهائي على ال OracleOkay او على ال web
+
+374
+00:27:22,060 --> 00:27:27,040
+لكن انا عامل ال هذا ال prototype بحاجة سريعة زي ال
+
+375
+00:27:27,040 --> 00:27:30,180
+access مثلا عامل زي ما انا عامل هنا عامل كل عامل
+
+376
+00:27:30,180 --> 00:27:33,420
+program عامل برنامج شبه متكامل لكن عامله بال
+
+377
+00:27:33,420 --> 00:27:37,040
+access كان ال access كويس إلي و أنا بعمل في ال
+
+378
+00:27:37,040 --> 00:27:39,920
+prototype عشانه سريع بقدر اعمل ال forms و ال
+
+379
+00:27:39,920 --> 00:27:43,640
+reports بسرعة طيب انا ماقدر اتحول من ال access إلى
+
+380
+00:27:43,640 --> 00:27:48,340
+ال Oracle لازم انا ايش ارميالـ prototype وبدأ
+
+381
+00:27:48,340 --> 00:27:51,920
+بالأوراكل من الصفر صح ف it may be impossible to
+
+382
+00:27:51,920 --> 00:27:53,520
+tune a system to meet a non-functional
+
+383
+00:27:53,520 --> 00:27:55,660
+requirements ال prototypes are normally
+
+384
+00:27:55,660 --> 00:27:58,640
+undocumented يعني احنا و احنا بنعمل from prototype
+
+385
+00:27:58,640 --> 00:28:04,160
+تركيزنا على انه نعمل بس بمسجلش ال documentation
+
+386
+00:28:04,160 --> 00:28:07,720
+تماما فبالتالي لو نيجي نبدأ من الصفر نبدأ نعمل في
+
+387
+00:28:07,720 --> 00:28:12,100
+ال system لأ اسف لو نيجي نكمل على ال prototype
+
+388
+00:28:12,100 --> 00:28:16,180
+هنيجي على جزء ما احنا مش عارفينكيف انعملت عشان
+
+389
+00:28:16,180 --> 00:28:20,300
+نقدر نكمل عليها يعني ال code اللي جوا أحيانا ممكن
+
+390
+00:28:20,300 --> 00:28:23,580
+نكتبين code في ال prototype لكن مش فاهمين كيف ال
+
+391
+00:28:23,580 --> 00:28:26,520
+prototype انسينا كيف نعمل عشانه undocumented
+
+392
+00:28:26,520 --> 00:28:32,320
+بتلاقي مجهود ان انا اكمل مجهود ان اكمل كبير أحيانا
+
+393
+00:28:32,320 --> 00:28:35,880
+ال prototype سبب تالت أحيانا ال prototype الكتر ما
+
+394
+00:28:35,880 --> 00:28:38,900
+احنا أضفنا أثناء عملية ال prototyping عملنا
+
+395
+00:28:38,900 --> 00:28:41,350
+version ورا version ورا version كل versionبتضيف
+
+396
+00:28:41,350 --> 00:28:46,510
+على إجابتها، صار البنية تبع ال prototype مش سليمة،
+
+397
+00:28:46,510 --> 00:28:50,770
+فماقدرش أبني عليها و أكمل، لأ لازم أكبه كله، من
+
+398
+00:28:50,770 --> 00:28:53,330
+بنية من ناحية ال architectural design تبع ال
+
+399
+00:28:53,330 --> 00:28:58,530
+system، مش .. مش صحيحةتمام؟ و أحيانا كونه
+
+400
+00:28:58,530 --> 00:29:01,710
+prototype بيتعارب مع ال .. ليش؟ مع ال quality
+
+401
+00:29:01,710 --> 00:29:05,250
+standards تبع المؤسسة المؤسسة بتقول اللي لازم يكون
+
+402
+00:29:05,250 --> 00:29:08,650
+مواصفات معينة و هذه المواصفات مش متوفرة في ال
+
+403
+00:29:08,650 --> 00:29:13,010
+prototype اللي بين أيدينا فلازم نرميه و نبدأ من
+
+404
+00:29:13,010 --> 00:29:18,630
+جديد okay طبعا هذا الكلام أحيانا بيبجي يعني تكلفة
+
+405
+00:29:18,630 --> 00:29:22,750
+كبيرة راحت و أحيانا بيبجي مش مستاهلة هذا أيش دورك
+
+406
+00:29:22,750 --> 00:29:25,470
+أنت في ..Software Engineering انك انت تبقى عارف ال
+
+407
+00:29:25,470 --> 00:29:29,310
+prototype تبعك المؤدى تبقى و هيبقى throw away ولا
+
+408
+00:29:29,310 --> 00:29:36,330
+هتكمل عليه غالبا انت بتختار ممكن في عندك بديل اخر
+
+409
+00:29:36,330 --> 00:29:39,430
+اللي هو ال incremental delivery اه ال incremental
+
+410
+00:29:39,430 --> 00:29:43,370
+development and delivery هنحكي في ال development
+
+411
+00:29:43,370 --> 00:29:46,590
+قدامك بس الان نحكي عن incremental delivery و هي ان
+
+412
+00:29:46,590 --> 00:29:50,570
+انت كل prototype بتعمله ممكن
+
+413
+00:29:53,590 --> 00:29:59,670
+تجهزه بحيث انه يستخدم كعينة
+
+414
+00:29:59,670 --> 00:30:05,750
+من ال system ويستخدم فعليا فانت بدل ما انك انت
+
+415
+00:30:05,750 --> 00:30:11,290
+تسلم ال user تسلمه ال system جاهز بعد ما يكتمل as
+
+416
+00:30:11,290 --> 00:30:17,490
+a single delivery تسليم نهائي واحد ال development
+
+417
+00:30:19,160 --> 00:30:26,960
+بيمشي تدريجي و بتسلم ال system على أجزاءانت بتبقى
+
+418
+00:30:26,960 --> 00:30:30,460
+فهمت ال system ايش بده او ايش المفروض يجتمل على
+
+419
+00:30:30,460 --> 00:30:35,480
+ايش وظائف فبتروح انت جزائة الوظائف هذه الى عدة
+
+420
+00:30:35,480 --> 00:30:41,020
+مراحل وكل مرحلة بتشتغل عليها ك prototype و لما
+
+421
+00:30:41,020 --> 00:30:46,320
+تخلص بتكون اكتملت هذه المرحلة اللي حالها بهذه
+
+422
+00:30:46,320 --> 00:30:50,320
+الجزء من الوظائف و بتبقى بتسلمهم لل user يستخدمهم
+
+423
+00:30:50,320 --> 00:30:54,660
+و بعدين تبدأ في الاشفي فعل ال incremental delivery
+
+424
+00:30:54,660 --> 00:30:59,360
+مرتبط بال incremental development انت بتطور بتبني
+
+425
+00:30:59,360 --> 00:31:03,560
+بشكل جزئي و كل جزئية او كل مرحلة بتسلمها بعد ما
+
+426
+00:31:03,560 --> 00:31:09,860
+تكتمل بتسلمها okay لان هذا القمر عشان انت تعمله
+
+427
+00:31:09,860 --> 00:31:13,160
+احنا ايش قلنا breakdown هنا ايش يعني breakdown
+
+428
+00:31:13,160 --> 00:31:20,990
+يعني تجزئة تجزئة لإيشلأر المتطلبات بتجزئها و بتعمل
+
+429
+00:31:20,990 --> 00:31:24,030
+على مراحل المرحلة الواحدة بتسميها increment one
+
+430
+00:31:24,030 --> 00:31:27,470
+increment تمام with each increment delivering part
+
+431
+00:31:27,470 --> 00:31:32,530
+of part of the required functionality واضح لأن هذا
+
+432
+00:31:32,530 --> 00:31:36,010
+كان عشان انت تعمله مهم جدا انه لما انت تجسمتهم
+
+433
+00:31:36,930 --> 00:31:45,010
+جسمتهم على أساس priority يعني الأهم حطته في مرحلة
+
+434
+00:31:45,010 --> 00:31:48,750
+أولى و بعده في مرحلة تانية ماشي ف user
+
+435
+00:31:48,750 --> 00:31:52,090
+requirements are prioritized and the highest
+
+436
+00:31:52,090 --> 00:31:55,270
+priority requirements هي اللي بتبدأ فيها early
+
+437
+00:31:55,270 --> 00:31:55,830
+increment
+
+438
+00:32:00,660 --> 00:32:03,700
+الـ requirements كلها، نفترض هيك، روح تجزّقتها إلى
+
+439
+00:32:03,700 --> 00:32:09,720
+مراحل، هذه الأهم، بعدين هذه، لأن هذه وانت بتشتغل
+
+440
+00:32:09,720 --> 00:32:15,040
+عليها، لازم في الأول تعملها دراسة إضافية، تتأكد
+
+441
+00:32:15,040 --> 00:32:18,760
+منها أن فعلا أنت فاهمها كويس وحططلها
+
+442
+00:32:18,760 --> 00:32:22,370
+specificationsحطيت ال specification و اتاكدت منها
+
+443
+00:32:22,370 --> 00:32:25,670
+تبدأ تعمل development وانت بتعمل development في
+
+444
+00:32:25,670 --> 00:32:30,430
+هدولة هدولة الشغل هنا واقف مافيش ايش يبدو يتم على
+
+445
+00:32:30,430 --> 00:32:34,930
+ايش على الباقي بتعمل هذا الكلام و لما بتخلصه
+
+446
+00:32:34,930 --> 00:32:39,710
+بتستلم المرحلة او الجزئية اللي بعدها الجزئية من
+
+447
+00:32:39,710 --> 00:32:43,550
+المتطلبات صح وانت development مثلا مبادية انت
+
+448
+00:32:43,550 --> 00:32:49,880
+تشتغل على المتطلبات و تنفس فيهاهذا كله بيجف الان
+
+449
+00:32:49,880 --> 00:32:55,240
+وانت لسه بتدرس في المتطلبات هذه ربما هذا يترتب
+
+450
+00:32:55,240 --> 00:32:59,760
+عليه تغيير هنا فعادي مافيش مشكلة انما متى ما خلاص
+
+451
+00:32:59,760 --> 00:33:04,140
+حددت لنفسك ان هذه المتطلبات واضحط واتفجنا عليها
+
+452
+00:33:04,140 --> 00:33:08,960
+وبدنا الان نبدأ ننفذ فيها متى ما دخلت في عملية
+
+453
+00:33:08,960 --> 00:33:14,720
+تنفيذ هذه الجزء فلازم توقف الحكي عن اي متطلبات
+
+454
+00:33:14,720 --> 00:33:15,920
+تانية تمام؟
+
+455
+00:33:20,080 --> 00:33:24,000
+فهذا بيقودنا الى الـ incremental development and
+
+456
+00:33:24,000 --> 00:33:27,660
+delivery اللي هو أصبح الان واضح يعنى incremental
+
+457
+00:33:27,660 --> 00:33:32,200
+development you develop the system in increments و
+
+458
+00:33:32,200 --> 00:33:35,280
+evaluate each increment كل increment اللي هي
+
+459
+00:33:35,280 --> 00:33:38,940
+increment يعني تقولنا أيهاش المرحلة صح؟ بتقييمها
+
+460
+00:33:38,940 --> 00:33:42,720
+لحالها بعد ما تخلص development بتنزلها ال user
+
+461
+00:33:42,720 --> 00:33:47,200
+بتعمل evaluation بتتأكد أنها سليمة تمام تمام و ال
+
+462
+00:33:47,200 --> 00:33:51,840
+user راضي عنها بعدين بتبدأevaluate each increment
+
+463
+00:33:51,840 --> 00:33:56,360
+before proceeding ثم بتكمل على ال increment اللي
+
+464
+00:33:56,360 --> 00:33:59,940
+بعدها أو المرحلة اللي بعدها هذا الآن هذا الأسلوب
+
+465
+00:33:59,940 --> 00:34:07,940
+هو اللي بيقولوا عنه ال agile أو ال agile method او
+
+466
+00:34:07,940 --> 00:34:11,400
+methods او approach اللي هو ال development
+
+467
+00:34:11,400 --> 00:34:17,720
+بالتجزئة ماشي بالتجزئة بمعنى او على مراحل او على
+
+468
+00:34:17,720 --> 00:34:23,530
+incrementsالان ال evaluation هذه اما بتتم من خلال
+
+469
+00:34:23,530 --> 00:34:27,730
+ال user او حد ينوب عن ال user كلمة هنا proxy اقصد
+
+470
+00:34:27,730 --> 00:34:32,750
+بيها نيابة حد ينوب عنه user او ال customer او حد
+
+471
+00:34:32,750 --> 00:34:36,310
+ينوب عنه تمام بما ان احنا بنعمل incremental
+
+472
+00:34:36,310 --> 00:34:40,110
+delivery باسم بما ان احنا بنعمل incremental
+
+473
+00:34:40,110 --> 00:34:45,330
+development فبالتالي ال delivery برضه هتكون ايش ال
+
+474
+00:34:45,330 --> 00:34:46,610
+delivery التسليم incremental
+
+475
+00:35:00,160 --> 00:35:04,460
+هذه الرسمة بتوضح الكلام اللي قلناه okay ال
+
+476
+00:35:04,460 --> 00:35:09,400
+requirements الآن requirements بندرس ال
+
+477
+00:35:09,400 --> 00:35:14,660
+requirements بشكل شامل بعد ذلك بنيجي هنا بنجزقها
+
+478
+00:35:14,660 --> 00:35:18,820
+إلى increments assign requirements to increments
+
+479
+00:35:18,820 --> 00:35:25,580
+يعني انا بدي اعمل خمس او اربع incrementsبدي أجزء
+
+480
+00:35:25,580 --> 00:35:31,060
+الشغل تبعي للمشروع كله على أربع مراحل فباجبكوا
+
+481
+00:35:31,060 --> 00:35:36,200
+المرحلة الأولى ده تجتمل على المطلب كذا وكذا وكذا
+
+482
+00:35:36,200 --> 00:35:41,680
+تمام التانية بده تيجي تاخد كذا وكذا واضح؟ وهدولة
+
+483
+00:35:41,680 --> 00:35:47,060
+قلنا مرتبين هيك على أساس إيش؟ على أساس إيش؟ مين
+
+484
+00:35:47,060 --> 00:35:49,980
+اللي ييجي في الأول ومين ييجي في التاني الأولوية
+
+485
+00:35:49,980 --> 00:35:54,690
+بالظبط الأهمية نعمطبعا بعد ما نجزئهم بنبدأ نعمل
+
+486
+00:35:54,690 --> 00:35:58,410
+ايش هنا .. هنا design لمين لل system architecture
+
+487
+00:35:58,410 --> 00:36:02,590
+لأنه انا صح بدي اعمل هادي جزئية لكن مابديش اجي بعد
+
+488
+00:36:02,590 --> 00:36:08,280
+ما هخلصها و بعدين ابدأ في هادي و ارأي ..ألاقي أن
+
+489
+00:36:08,280 --> 00:36:12,100
+هذه الجزية لا تركب على الجزية في الأول فلازم أعمل
+
+490
+00:36:12,100 --> 00:36:15,180
+ال architecture تبع ال system لازم يبقى من أول ما
+
+491
+00:36:15,180 --> 00:36:18,700
+هو موجود ال architecture هو الخريطة العامة تبع ال
+
+492
+00:36:18,700 --> 00:36:21,760
+system أنا بعمل الخريطة و بعدين بقول أنا بدأ أبدأ
+
+493
+00:36:21,760 --> 00:36:25,060
+في هذا الجزء و بعدين في هذا الجزء و بعدين و أكملهم
+
+494
+00:36:25,060 --> 00:36:28,120
+على بعض واحد ولا تاني فجابل ما أبدأ أعمل
+
+495
+00:36:28,120 --> 00:36:32,940
+developing لل incrementقبل ما ابدأ اعمل increment
+
+496
+00:36:32,940 --> 00:36:39,360
+لازم اكون انا باني الخريطة الشاملة ل ال system ككل
+
+497
+00:36:39,360 --> 00:36:45,270
+هذه ال increment هي جزئية في هذه الخريطةالان
+
+498
+00:36:45,270 --> 00:36:50,210
+developing ال increment يعني المرحلة بده بعد ما
+
+499
+00:36:50,210 --> 00:36:54,450
+اعملها بدهجي اعمل validate يعني test وبعدين ادمجها
+
+500
+00:36:54,450 --> 00:36:59,310
+بمين بيه اللي جابلها باق ال system اللي انعمل
+
+501
+00:36:59,310 --> 00:37:04,190
+جابلها واتحقق ان عملية الدمج ماعملتش اي مشاكل
+
+502
+00:37:04,190 --> 00:37:09,460
+تمام؟و بعد ذلك أقوم بإعطاء الـ system للمستخدم
+
+503
+00:37:09,460 --> 00:37:14,840
+لإستخدام الـ system لأن هل اكتمل الـ system؟ هل
+
+504
+00:37:14,840 --> 00:37:18,000
+اكتمل الـ system؟ خلصنا، ما اكتملش، بروح بيها و
+
+505
+00:37:18,000 --> 00:37:21,720
+نرجع نسوي ال increment اللي بعدها و ده و عليك
+
+506
+00:37:31,530 --> 00:37:35,010
+Okay فوائد ال advantages يعني تبعت هذا الأسلوب في
+
+507
+00:37:35,010 --> 00:37:40,710
+ال .. او هذه المنهجية انه بما انه احنا رتبناهم حسب
+
+508
+00:37:40,710 --> 00:37:45,850
+الأولوية يبقى ال .. ال issue الأهمأه الاشي الأهم
+
+509
+00:37:45,850 --> 00:37:51,730
+ان عمل و ان عمل في الأول و تسلم و أصبح cash متاح
+
+510
+00:37:51,730 --> 00:37:56,350
+لل user يستخدمه ال user مش هيستنى لما كل ال
+
+511
+00:37:56,350 --> 00:38:02,370
+requirements يتم ت .. تنفيذه في ال system و
+
+512
+00:38:02,370 --> 00:38:07,050
+انسلموا ال system جاهز و .. و يبدأ يستفيد من
+
+513
+00:38:07,050 --> 00:38:10,830
+إمكانيات ال system لأ ممكن يبدأ يستفيد من إمكانيات
+
+514
+00:38:10,830 --> 00:38:15,310
+ال systemand اكتمال ال increment الأولى صح ولا
+
+515
+00:38:15,310 --> 00:38:22,190
+فهنا بنقول انه المنفعة تبدأ تتحقق لل user من باكر
+
+516
+00:38:22,190 --> 00:38:29,650
+يعني من اوائل من بدايات المشروع مش مضطر يستنى لما
+
+517
+00:38:29,650 --> 00:38:34,330
+يكتمل المشروع ال software كله عشان يبدأ يستفيد منه
+
+518
+00:38:34,330 --> 00:38:39,300
+value can be delivered with each incrementOkay ف
+
+519
+00:38:39,300 --> 00:38:42,160
+ال functionality is available متوفر على ال user
+
+520
+00:38:42,160 --> 00:38:48,770
+earlier okayالان كل واحد من الـ increments ايضا
+
+521
+00:38:48,770 --> 00:38:52,910
+ممكن ينظر اليها انا خلصت هذه و سلمت ل ال user يمكن
+
+522
+00:38:52,910 --> 00:38:56,310
+ينظر اليها علينا prototype وبالتالي بتفتح علينا ال
+
+523
+00:38:56,310 --> 00:39:02,470
+user علي امور اللي يمكن تدوركها قدام او متطلبة
+
+524
+00:39:02,470 --> 00:39:06,930
+جديدة اللي يمكن ادراجها قدام ف each increment acts
+
+525
+00:39:06,930 --> 00:39:11,580
+as a prototype to ash to helpElicit يعني نجمع أو
+
+526
+00:39:11,580 --> 00:39:15,520
+نحصل على أو نتعرف عليها ال requirements for later
+
+527
+00:39:15,520 --> 00:39:19,800
+للمراحل اللي بعدها تمام هذا النقطة التالتة انه هذا
+
+528
+00:39:19,800 --> 00:39:23,400
+الأسلوب الشغل بيخفف ال risk قولنا ال risk احنا قبل
+
+529
+00:39:23,400 --> 00:39:28,720
+هيكة لو انا اشتغلته كله وبعدين روحي أسلمتهفي خوف
+
+530
+00:39:28,720 --> 00:39:33,240
+كبير انه يطلع كثير من الأمور مش على حسب ما بده ال
+
+531
+00:39:33,240 --> 00:39:38,160
+user وبالتالي ال مخاطر هي ايه اقصد بيها IaaS ان
+
+532
+00:39:38,160 --> 00:39:41,920
+احنا نضطر نرجع و نعدل ربما في ال design ربما في ال
+
+533
+00:39:41,920 --> 00:39:46,400
+programming فالتدرج في بناء ال system بالشكل هذا
+
+534
+00:39:46,400 --> 00:39:53,710
+بيخفف من مخاطرة الإضطرار للتعديلأو انه ال system
+
+535
+00:39:53,710 --> 00:39:57,850
+كله يفشل تماما و ال user لا يريد ان يتعديل اي حاجة
+
+536
+00:39:57,850 --> 00:40:04,150
+بس خد systemك احل عني هذا
+
+537
+00:40:04,150 --> 00:40:09,500
+انه يفشل ال system تماماوقلنا قبل هيك احنا حكيت ان
+
+538
+00:40:09,500 --> 00:40:14,380
+ال priority ال functions اللي إلها أولوية بتتنفس
+
+539
+00:40:14,380 --> 00:40:20,080
+وبيستفيد ال user منها مباشرة من البداية لكن
+
+540
+00:40:20,080 --> 00:40:23,600
+الإشكالية في هذا المنهجية أو في هذا الأسلوب اللي
+
+541
+00:40:23,600 --> 00:40:27,260
+هو ال incremental أنه
+
+542
+00:40:27,260 --> 00:40:31,160
+أحيانا
+
+543
+00:40:31,160 --> 00:40:36,390
+كتيرال .. ال .. ال requirements ال requirements
+
+544
+00:40:36,390 --> 00:40:41,390
+بتقدرش نجملها في الأول بداية و بعدين نجزقها تمام؟
+
+545
+00:40:41,390 --> 00:40:44,050
+most systems require a set of basic facilities
+
+546
+00:40:44,050 --> 00:40:46,630
+that are used by different parts of the system
+
+547
+00:40:46,630 --> 00:40:50,770
+وبالتالي بتقدرش تحدد .. لأ عفوا في نقطة تانية اللي
+
+548
+00:40:50,770 --> 00:40:56,750
+هي انه ممكن يكون في عندي فئات مختلفة من ال users
+
+549
+00:40:56,750 --> 00:41:01,440
+فئات مختلفة من ال usersوبدهم متطلبات مختلفة، الآن
+
+550
+00:41:01,440 --> 00:41:07,000
+أنا لازم أعمل مجموعة من المتطلبات المشتركة ما
+
+551
+00:41:07,000 --> 00:41:14,140
+بينهم في البداية، و بعدين أقدر ألبي متطلبات كل
+
+552
+00:41:14,140 --> 00:41:17,560
+واحد على أحدها، فهذا الأمر أحيان بيبقى صعب ان انت
+
+553
+00:41:17,560 --> 00:41:22,770
+تيجي ..تحصر القسم المشترك ما بين كل ال users و
+
+554
+00:41:22,770 --> 00:41:26,130
+تبدأ فيه في البداية ال requirements are not
+
+555
+00:41:26,130 --> 00:41:30,110
+defined in detail until ال increments لقدام تبدأ
+
+556
+00:41:30,110 --> 00:41:34,790
+ال requirements توضح اكتر انما من البداية ما
+
+557
+00:41:34,790 --> 00:41:38,170
+بتقدرش تتعرف على كل ال users ايش بدهم وبالتالي
+
+558
+00:41:38,170 --> 00:41:45,450
+تحصر القسم المشترك ما بينهمماشي فهذه النقطة الأولى
+
+559
+00:41:45,450 --> 00:41:51,790
+النقطة التانية من الإشكاليات لهذا المنهج أنه لأنها
+
+560
+00:41:51,790 --> 00:42:02,410
+iterative لأنها على دورات بالتالي
+
+561
+00:42:02,410 --> 00:42:06,530
+ممكن إيش يصير المؤسسة
+
+562
+00:42:09,260 --> 00:42:14,740
+غالبا لما بتجيلك بتقولك انا بدي ال system يتسلم كل
+
+563
+00:42:14,740 --> 00:42:20,560
+مرة واحدة أسلوب الشراء و المبيعات نظام المبيعات و
+
+564
+00:42:20,560 --> 00:42:27,920
+الشراء في المؤسسات مش مرن اللي اتناسب مع قضية اللي
+
+565
+00:42:27,920 --> 00:42:31,680
+هو ال incremental delivery انك تسلم ال system على
+
+566
+00:42:31,680 --> 00:42:37,410
+دفعات فكثير من المؤسسات بيقولك انا ما بعطيلكأتعابك
+
+567
+00:42:37,410 --> 00:42:44,710
+إلا بعد ما يصل لل system كله و أعمله فحص فني و بعد
+
+568
+00:42:44,710 --> 00:42:49,150
+هيك ببدأ أدفع الأتعاب حتى لما بدفعها بدفعها على
+
+569
+00:42:49,150 --> 00:42:53,010
+دفعات هذا الكلام لا يتناسب مع حكاية اللي هو ال
+
+570
+00:42:53,010 --> 00:42:58,270
+incremental delivery انت بدك انت بدك تشتغل على
+
+571
+00:42:58,270 --> 00:43:04,310
+أجزاء و تسلم على أجزاء okay فبعض المؤسسات
+
+572
+00:43:04,310 --> 00:43:09,730
+بيناسبهاش هذا الكلامال procurement هنا اللي هي
+
+573
+00:43:09,730 --> 00:43:14,890
+الشراء يعني و التوريد لكتير من ال .. من ال
+
+574
+00:43:14,890 --> 00:43:23,630
+organizations بي .. بيبدأش يعني كيف يدفع او يتعامل
+
+575
+00:43:23,630 --> 00:43:26,610
+مع الأمر الا لما تعطيله ال complete system فانت
+
+576
+00:43:26,610 --> 00:43:31,330
+بدك تشتغل مرحلة ورا مرحلة ورا مرحلةو تتعب و تسلم و
+
+577
+00:43:31,330 --> 00:43:34,070
+هو يقولك okay ده انا بديها هو اللي بديها لكن مش
+
+578
+00:43:34,070 --> 00:43:39,990
+هتفعلك الان لما يكتمل ال system ككل okay تمام الان
+
+579
+00:43:39,990 --> 00:43:43,550
+هيك احنا خلصنا الحكي عن اللي هو ال incremental
+
+580
+00:43:43,550 --> 00:43:53,290
+development خليني
+
+581
+00:43:53,290 --> 00:43:58,090
+أسميه incremental development model في model آخر
+
+582
+00:43:58,090 --> 00:43:58,770
+اللي هو ال spiral
+
+583
+00:44:12,970 --> 00:44:16,930
+طبعا ال spiral لما انت بتشوف في ال .. بتسمع كلمة
+
+584
+00:44:16,930 --> 00:44:20,510
+ال spiral بتتذكر الشكل هذا ال spiral اللي هو عبارة
+
+585
+00:44:20,510 --> 00:44:25,990
+اشي زي دوامة بتش .. بتكبر هاي ال spiral okay فانت
+
+586
+00:44:25,990 --> 00:44:29,430
+لان في ال spiral في عنا خلينا أقلب على ال slide
+
+587
+00:44:29,430 --> 00:44:35,010
+اللي بعدها أكبر شوية ليك أوضحها في عنا أربع مربعات
+
+588
+00:44:35,010 --> 00:44:40,930
+أساسية بتلف فيها العملية تتكرر فيها العملية تبدأ
+
+589
+00:44:40,930 --> 00:44:45,040
+في المربح هذابعدين تخش في المربع هذا و بعدين في
+
+590
+00:44:45,040 --> 00:44:48,200
+المربع التالت و بعدين في المربع الرابع ال spiral
+
+591
+00:44:48,200 --> 00:44:51,940
+بتعكس
+
+592
+00:44:51,940 --> 00:44:57,120
+ان ال system بيكبر و انت بتلف هي في الآخر
+
+593
+00:44:57,120 --> 00:45:03,670
+iterations و انت بتلف ال system بيكبر معاكو بتلف
+
+594
+00:45:03,670 --> 00:45:09,930
+في الاربع مراحل هي هي كل دورة بتمر بنفس الاربع
+
+595
+00:45:09,930 --> 00:45:15,250
+مراحل الاربع مراحل هي عبارة عن المربع تبع ال
+
+596
+00:45:15,250 --> 00:45:19,570
+objectives تحديد ال objectives المربع تبع ال
+
+597
+00:45:19,570 --> 00:45:25,670
+alternatives و ال risks بلاش ال risks هي دي
+
+598
+00:45:25,670 --> 00:45:31,820
+resolve ال risks alternatives يعني إيش؟يعني design
+
+599
+00:45:31,820 --> 00:45:36,760
+هنا مربع ال development و ال verification و هنا
+
+600
+00:45:36,760 --> 00:45:41,420
+مربع ال planning التخطيط لإيش؟ لل next phase okay
+
+601
+00:45:41,420 --> 00:45:45,180
+فانت خلينا نطلع على ال slide هذه ال slide هذه
+
+602
+00:45:45,180 --> 00:45:50,080
+بتلخص الأربع .. الأربع مربعات أو مراحل أو
+
+603
+00:45:50,080 --> 00:45:56,500
+activities في مرحلة ال objective objective
+
+604
+00:45:56,500 --> 00:46:02,490
+إيش؟ objective settingتحديد ال objectives specific
+
+605
+00:46:02,490 --> 00:46:05,850
+objectives for the phase are identified تحديد ال
+
+606
+00:46:05,850 --> 00:46:09,090
+objectives ال objectives تبعون مين تبعون مشروعك كل
+
+607
+00:46:09,090 --> 00:46:12,750
+و اللي تبعون هذا ال phase ال phase يعني المرحلة
+
+608
+00:46:12,750 --> 00:46:17,310
+يعني الدورة بس لهذا ال phase okay لكل phase احنا
+
+609
+00:46:17,310 --> 00:46:21,170
+كل phase بنحدد لل objectives تبعته زي حكاية ال
+
+610
+00:46:21,170 --> 00:46:25,310
+increments okay هنا بنحدد ال phase هذا إيش بنعمل
+
+611
+00:46:25,310 --> 00:46:27,750
+في هذا ال phase إيش ال requirements اللي بنغطيها
+
+612
+00:46:28,610 --> 00:46:34,230
+فهذا هو النشاط الأولاني risk assessment and
+
+613
+00:46:34,230 --> 00:46:38,370
+reduction انه قبل ما أبدأ و أخش على ال development
+
+614
+00:46:38,370 --> 00:46:45,210
+بدعم ال riskassessment هذا المربع التاني risk
+
+615
+00:46:45,210 --> 00:46:48,090
+assessment and reduction يعني هذه ال objectives
+
+616
+00:46:48,090 --> 00:46:52,290
+بعد ما اتحددتها قبل ما ابدأ اعمل عليها هل انا بقدر
+
+617
+00:46:52,290 --> 00:46:57,510
+اعملها؟ ايش في المخاطرات اللي ممكن امر بيها؟ فبحدد
+
+618
+00:46:57,510 --> 00:47:02,310
+ال risk و باسعى لتخفيض حجم ال risk قبل ما ابدأ
+
+619
+00:47:02,310 --> 00:47:05,750
+اشتغل تمام؟ الآن في المربع التالت اللي هو ال
+
+620
+00:47:05,750 --> 00:47:13,350
+development and validation يعني testingهنا بطور و
+
+621
+00:47:13,350 --> 00:47:17,470
+ب validate يعني بعمل حاجة و بشوف إذا كان ال user
+
+622
+00:47:17,470 --> 00:47:21,890
+مناسبة ولا لأ يبقى ال development هنا بتشمل design
+
+623
+00:47:21,890 --> 00:47:26,150
+و تشمل implementation لإنه بدي أطلع إشي و أعرض على
+
+624
+00:47:26,150 --> 00:47:28,530
+ال user و ال user بدي يقول إذا كان مناسبة ولا لأ
+
+625
+00:47:29,020 --> 00:47:32,880
+طبعا إذا خلصنا يبقى الآن بعد هذه المرحلة المفروض
+
+626
+00:47:32,880 --> 00:47:38,260
+طلع لنا مجموعة من الأفكار
+
+627
+00:47:38,260 --> 00:47:42,360
+و من المشاكل و من الكذا فبدنا نأتي هنا و نخطط للفز
+
+628
+00:47:42,360 --> 00:47:49,540
+الجديد هنا planning بدنا نخطط للفز الجديد نأتي هنا
+
+629
+00:47:49,540 --> 00:47:53,920
+و نضع ال objectives و نضع ال risk و نضع .. و نكرر
+
+630
+00:47:53,920 --> 00:48:02,370
+يعني هذانبدأ هنا نمر بالتالت مراحل هذوله و هنا في
+
+631
+00:48:02,370 --> 00:48:08,570
+ال planning بنخطط لدورة
+
+632
+00:48:08,570 --> 00:48:12,670
+التانية كلها اللي هي التلت مراحل اللي جاية فهنا
+
+633
+00:48:12,670 --> 00:48:16,430
+بنخطط للمرحلة هذه انه شو objectives؟ مين اللي هعمل
+
+634
+00:48:16,430 --> 00:48:18,830
+risk؟ مين اللي هعمل development؟ شو بنزمنا في ال
+
+635
+00:48:18,830 --> 00:48:25,520
+development؟ صح؟ و بتتكرر المسألة هذه كل مرةبيكون
+
+636
+00:48:25,520 --> 00:48:29,740
+ال system كبر اكتر و اكتر واضح ؟ هترجع تاني على
+
+637
+00:48:29,740 --> 00:48:35,880
+الرسم على ال spiral هتلاقي
+
+638
+00:48:35,880 --> 00:48:40,520
+نفس الشي بتكرر معايا و في كل مرة بكون انا عامل
+
+639
+00:48:40,520 --> 00:48:46,180
+prototype او خلينا نقول increment و increment اكبر
+
+640
+00:48:46,180 --> 00:48:51,030
+من اللي قبلهاالأن هذا معناته ما اختلفش كتير عن ال
+
+641
+00:48:51,030 --> 00:48:55,170
+incremental development و هو فعلا كذلك مااختلفش
+
+642
+00:48:55,170 --> 00:48:58,150
+كتير عن incremental development بس فيه فارجين
+
+643
+00:48:58,150 --> 00:49:02,630
+أساسيات حد بيقدر يقوللي واحد منهم ها بدرسوبلك رسمة
+
+644
+00:49:02,630 --> 00:49:05,650
+ال incremental development أنا على الجانب هنا عشان
+
+645
+00:49:05,650 --> 00:49:06,110
+ربما
+
+646
+00:49:16,460 --> 00:49:28,860
+كل واحد من هدولة increment لحاله إلى آخرها اه اول
+
+647
+00:49:28,860 --> 00:49:32,360
+شغلة واضحة بارزة بشكل مهم جدا هي حكاية ال risk هذه
+
+648
+00:49:32,360 --> 00:49:36,700
+ال risk هنا ماجبناش سيرة ال risksقلنا priority
+
+649
+00:49:36,700 --> 00:49:41,440
+قلنا تجزئة قلنا كذا انما risk فال spiral ماضي
+
+650
+00:49:41,440 --> 00:49:45,160
+دائما دائما اربط في دماغك بحكاية ال risk يعني
+
+651
+00:49:45,160 --> 00:49:49,040
+بمعنى اخر انه لما نكون ال software system المطلوب
+
+652
+00:49:49,040 --> 00:49:55,240
+في مخاطرة عالية مخاطرة جزء يعني ان عملية تطويره
+
+653
+00:49:55,240 --> 00:50:02,620
+ممكن تتكلف كثير بميزانية عالية او محتاجة مستلزمات
+
+654
+00:50:02,620 --> 00:50:07,710
+وخبرات لسه مش متوفرةأو هو نفس ال system بتعامل مع
+
+655
+00:50:07,710 --> 00:50:12,930
+حاجات very sensitive حاجات سرية أو حاجات اللي لها
+
+656
+00:50:12,930 --> 00:50:17,570
+علاقة بحياة أو موت قضايا مستشفيات قضايا طبية قضايا
+
+657
+00:50:17,570 --> 00:50:22,850
+يعني فيها مخاطر أي نوع من المخاطرة فال system هذا
+
+658
+00:50:22,850 --> 00:50:28,470
+معناه ذلك انه لاجب انه ما نسمحش بالفشل ال system
+
+659
+00:50:28,470 --> 00:50:34,560
+هذا لما نيجي نسلمما يبقى احتمالية انه يفشل تبقى
+
+660
+00:50:34,560 --> 00:50:39,720
+منخفضة جدا فلازم اراجع نفسي كل خطوة ورا خطوة او كل
+
+661
+00:50:39,720 --> 00:50:46,020
+مرحلة مرحلة اراجع و ادرس المخاطر اللي ممكن نتوقعها
+
+662
+00:50:46,020 --> 00:50:51,040
+في المراحل اللاحقة فانا هنا في لعندي مربع مخصص لل
+
+663
+00:50:51,040 --> 00:50:55,500
+risk analysis و risk assessment تقدير المخاطرة
+
+664
+00:50:55,500 --> 00:51:00,340
+وهذا اول شيءالشيء التاني طيب الفرق التاني ما بينه
+
+665
+00:51:00,340 --> 00:51:06,720
+و ما بينه incremental اللي هي انه احنا بنشتغل
+
+666
+00:51:06,720 --> 00:51:09,760
+بيكبر ال system معانا يعني كل prototype في الآخر
+
+667
+00:51:09,760 --> 00:51:14,340
+بيسلمين لل system النهائي هو زي كأنه incremental
+
+668
+00:51:14,340 --> 00:51:19,280
+prototype يعني prototype بس مش throw away صح؟
+
+669
+00:51:19,280 --> 00:51:23,140
+prototype بيكبر انا هنا لأ بعملش ال system بيكبر
+
+670
+00:51:23,140 --> 00:51:26,580
+انا هنا مجزي ال system على عدة أزاى و ال system
+
+671
+00:51:27,740 --> 00:51:32,080
+بيتركب جاهد معايا مع الوجد بتركب من أجزاء معينة من
+
+672
+00:51:32,080 --> 00:51:39,900
+أجزاء من جزء ورا جزء مش جاهد بيش بيكبر بشكل كأنه
+
+673
+00:51:39,900 --> 00:51:47,460
+system صغير و كبر شوي شوي واضح انما هنا ال system
+
+674
+00:51:47,460 --> 00:51:51,420
+اتشجف من الأول اتشجف إلى أجزاء و عملنا كل شجف و
+
+675
+00:51:51,420 --> 00:51:56,080
+روحنا ركبناها على اللي جابلها لأنه هنا إذا بتذكروا
+
+676
+00:51:56,300 --> 00:51:59,380
+بنعمل integration testing بعد ما نعمل increment و
+
+677
+00:51:59,380 --> 00:52:01,980
+نيجي نعمل increment التاني بنشوف إذا كان التاني
+
+678
+00:52:01,980 --> 00:52:06,040
+ركبت على الموجود ولا لأ هنا ال system بينمو
+
+679
+00:52:06,040 --> 00:52:12,180
+تدريجيا في عدة اتجاهات طيب ماشي الحال فاحنا ده
+
+680
+00:52:12,180 --> 00:52:19,880
+اللي أنا شفناه حكيناه قولنا ال usage استخدام
+
+681
+00:52:19,880 --> 00:52:26,920
+هذه المنهجية مرتبط بإيش؟بالأنظمة اللي فيها او بال
+
+682
+00:52:26,920 --> 00:52:32,740
+systems يعني اللي فيها risk عالية okay الان هذا
+
+683
+00:52:32,740 --> 00:52:38,760
+الأمر بديك تبحث فيه بيقولك انه على أرض الواقع ال
+
+684
+00:52:38,760 --> 00:52:43,000
+spiral model هذا نادرا ما بيستخدم نادرا ما بيستخدم
+
+685
+00:52:43,000 --> 00:52:48,560
+the model is rarely used بالشكل اللي هو معبر عنه
+
+686
+00:52:48,560 --> 00:52:53,380
+في الكتب فاحنا بدنا منكك homework to try to find
+
+687
+00:52:53,380 --> 00:52:58,000
+out ليش، إيش الأسباب اللي فعلا بتخلي ال software
+
+688
+00:52:58,000 --> 00:53:02,140
+engineers و الهندسي البرامج ما يرميلوش أو ما
+
+689
+00:53:02,140 --> 00:53:06,160
+يستخدموش هذا، ممكن مش مسألة يعني عاطفية، لأ بيبقى
+
+690
+00:53:06,160 --> 00:53:09,740
+في أسباب موضوعية تخلي أن هذا ال system زي ال
+
+691
+00:53:09,740 --> 00:53:13,780
+waterfall model برضه تخلي هذا ال system جليل
+
+692
+00:53:13,780 --> 00:53:18,630
+الاستخدام أو هذه المنهجية أسف جليلة الاستخدامطيب
+
+693
+00:53:18,630 --> 00:53:21,850
+يبقى الصيدات اللي بقي لما نكملها المحاضرة مش
+
+694
+00:53:21,850 --> 00:53:23,070
+يعطيكم العافية
+
diff --git a/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/M1zkXVGc8kM_raw.json b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/M1zkXVGc8kM_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..d17a89e8e44e249d363866f343ef0eb8966fc8c9
--- /dev/null
+++ b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/M1zkXVGc8kM_raw.json
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يعني مثلا إذا .. إذا دخلت بيانات و البيانات هذه غير سليمة يعني ما .. غير مطابقة للمفروض فال system المفروض يعمل error checking يعني مثلا بدك تدخل تاريخ ميلاد و تاريخ الميلاد", "tokens": [26890, 11242, 3224, 9122, 8848, 23275, 21542, 6027, 1829, 2423, 6713, 8568, 4032, 2423, 8597, 4032, 16247, 2304, 13063, 29538, 37495, 22653, 50113, 15040, 11933, 15730, 4386, 11933, 15730, 11778, 9778, 1211, 2655, 4724, 1829, 7649, 9307, 4032, 2423, 21292, 7649, 9307, 29538, 32771, 13546, 8608, 20292, 46007, 37495, 22653, 19446, 4386, 32771, 13546, 3714, 9566, 16758, 28671, 5296, 19528, 5172, 32887, 11242, 6156, 6027, 1185, 9673, 5172, 32887, 11242, 7251, 25957, 1211, 6713, 8568, 37495, 22653, 50113, 15040, 47525, 4117, 6055, 3215, 9778, 1211, 6055, 9640, 1829, 9778, 3714, 1829, 15040, 3215, 4032, 6055, 9640, 1829, 9778, 9673, 1829, 15040, 3215], "avg_logprob": -0.12628944782377446, "compression_ratio": 1.8454106280193237, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 983.08, "end": 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"word": " مثلا", "probability": 0.994140625}, {"start": 998.0, "end": 998.2, "word": " بدك", "probability": 0.72314453125}, {"start": 998.2, "end": 998.58, "word": " تدخل", "probability": 0.9688720703125}, {"start": 998.58, "end": 998.92, "word": " تاريخ", "probability": 0.9947509765625}, {"start": 998.92, "end": 999.26, "word": " ميلاد", "probability": 0.9713134765625}, {"start": 999.26, "end": 999.32, "word": " و", "probability": 0.82373046875}, {"start": 999.32, "end": 999.6, "word": " تاريخ", "probability": 0.91796875}, {"start": 999.6, "end": 1000.0, "word": " الميلاد", "probability": 0.9136962890625}], "temperature": 1.0}, {"id": 43, "seek": 101486, "start": 1000.84, "end": 1014.86, "text": "في المستقبل تمام المفروض ال system يعمل error checking هذا الأمر مانحطوش في ال prototype و لا لأ بنتخليه في الآخر في ال system ان انا في ال prototype انا بس بدي احطله ال box تبع تاريخ الميلاد", "tokens": [41185, 9673, 14851, 4587, 36150, 46811, 10943, 9673, 5172, 32887, 11242, 2423, 1185, 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يعني test وبعدين ادمجها بمين بيه اللي جابلها باق ال system اللي انعمل جابلها واتحقق ان عملية الدمج ماعملتش اي مشاكل تمام؟", "tokens": [6027, 7649, 6416, 2423, 26200, 37495, 22653, 9673, 2288, 5016, 37977, 47525, 3224, 39182, 19446, 1975, 25957, 1211, 11296, 47525, 3224, 7435, 1829, 1975, 25957, 1211, 29562, 37495, 22653, 1500, 46599, 22488, 9957, 1975, 40448, 7435, 11296, 4724, 2304, 9957, 4724, 1829, 3224, 13672, 1829, 10874, 16758, 1211, 11296, 4724, 995, 4587, 2423, 1185, 13672, 1829, 16472, 25957, 1211, 10874, 16758, 1211, 11296, 4032, 9307, 5016, 4587, 4587, 16472, 6225, 42213, 10632, 32748, 2304, 7435, 19446, 25957, 1211, 2655, 8592, 1975, 1829, 37893, 995, 28820, 46811, 10943, 22807], "avg_logprob": -0.22208567415730338, "compression_ratio": 1.7150259067357514, "no_speech_prob": 0.0, "words": [{"start": 2204.87, "end": 2205.27, "word": "الان", "probability": 0.834716796875}, {"start": 2205.27, "end": 2205.93, "word": " developing", "probability": 0.06829833984375}, {"start": 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بروح بيها و نرجع نسوي ال increment اللي بعدها و ده و عليك", "tokens": [2407, 39182, 29910, 23275, 5551, 4587, 20498, 4724, 28814, 3615, 9566, 16606, 2423, 39184, 1185, 5296, 19528, 14851, 9778, 40448, 5296, 28814, 14851, 9778, 3215, 10943, 2423, 39184, 1185, 5296, 33456, 8032, 1211, 1975, 4117, 39237, 1211, 2423, 39184, 1185, 22807, 8032, 1211, 1975, 4117, 39237, 1211, 2423, 39184, 1185, 22807, 16490, 1211, 9381, 8315, 12399, 19446, 1975, 4117, 39237, 1211, 8592, 12399, 4724, 32887, 5016, 4724, 1829, 11296, 4032, 8717, 47341, 3615, 8717, 3794, 45865, 2423, 26200, 13672, 1829, 39182, 11296, 4032, 11778, 3224, 4032, 25894, 4117], "avg_logprob": -0.5245786302545098, "compression_ratio": 1.7126436781609196, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 2225.64, "end": 2226.22, "word": "و", "probability": 0.68994140625}, {"start": 2226.22, "end": 2226.52, "word": " بعد", "probability": 0.34765625}, {"start": 2226.52, "end": 2226.78, "word": " ذلك", "probability": 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الأولوية يبقى ال .. ال issue الأهم", "tokens": [8297, 6156, 2407, 16373, 3215, 2423, 14906, 37495, 22653, 6055, 3555, 34268, 23758, 16247, 3794, 1211, 37746, 8978, 2423, 4386, 1975, 2407, 29538, 9673, 1863, 3224, 7435, 10632, 16472, 3224, 4724, 15042, 16472, 3224, 1975, 5016, 8315, 12602, 2655, 3555, 8315, 16095, 11331, 35457, 16247, 12610, 2407, 10632, 7251, 3555, 4587, 7578, 2423, 4386, 2423, 2734, 16247, 16095], "avg_logprob": -0.15889830609499397, "compression_ratio": 1.4350649350649352, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2251.53, "end": 2251.81, "word": "Okay", "probability": 0.51123046875}, {"start": 2251.81, "end": 2252.45, "word": " فوائد", "probability": 0.8927001953125}, {"start": 2252.45, "end": 2252.55, "word": " ال", "probability": 0.72607421875}, {"start": 2252.55, "end": 2253.09, "word": " advantages", "probability": 0.9404296875}, {"start": 2253.09, "end": 2253.53, "word": " يعني", "probability": 0.89013671875}, {"start": 2253.53, "end": 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requirements يتم ت .. تنفيذه في ال system و انسلموا ال system جاهز و .. و يبدأ يستفيد من إمكانيات ال system لأ ممكن يبدأ يستفيد من إمكانيات ال system", "tokens": [10721, 3224, 2423, 33599, 1829, 16247, 16095, 16472, 6225, 42213, 4032, 16472, 6225, 42213, 8978, 16247, 12610, 4032, 6055, 3794, 19528, 4032, 5551, 9381, 49628, 6388, 44650, 39319, 24976, 4195, 7251, 14851, 9778, 40448, 3224, 2423, 4195, 37893, 8032, 1829, 14851, 1863, 7578, 5296, 15042, 28242, 2423, 7728, 7251, 39237, 6055, 4386, 6055, 1863, 41185, 24192, 8978, 2423, 1185, 4032, 16472, 3794, 19528, 14407, 2423, 1185, 10874, 40294, 11622, 4032, 4386, 4032, 7251, 44510, 10721, 7251, 14851, 5172, 25708, 9154, 11933, 2304, 41361, 1829, 9307, 2423, 1185, 5296, 10721, 3714, 43020, 7251, 44510, 10721, 7251, 14851, 5172, 25708, 9154, 11933, 2304, 41361, 1829, 9307, 2423, 1185], "avg_logprob": -0.1727511704525101, "compression_ratio": 1.9567307692307692, "no_speech_prob": 0.0, "words": [{"start": 2264.67, "end": 2265.11, "word": 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فيه في البداية ال requirements are not defined in detail until ال increments لقدام تبدأ ال requirements توضح اكتر انما من البداية ما بتقدرش تتعرف على كل ال users ايش بدهم وبالتالي تحصر القسم المشترك ما بينهم", "tokens": [2655, 5016, 9381, 2288, 25062, 38251, 9673, 8592, 2655, 31747, 19446, 49374, 28242, 2423, 5022, 4032, 6055, 44510, 10721, 8978, 3224, 8978, 29739, 28259, 10632, 2423, 7728, 366, 406, 7642, 294, 2607, 1826, 2423, 1946, 1117, 5296, 28543, 10943, 6055, 44510, 10721, 2423, 7728, 33427, 11242, 5016, 1975, 4117, 2655, 2288, 16472, 15042, 9154, 29739, 28259, 10632, 19446, 39894, 28543, 2288, 8592, 6055, 2655, 3615, 28480, 15844, 28242, 2423, 5022, 1975, 1829, 8592, 47525, 16095, 46599, 6027, 2655, 6027, 1829, 6055, 5016, 9381, 2288, 25062, 38251, 9673, 8592, 2655, 31747, 19446, 49374, 16095], "avg_logprob": -0.13272938702968842, "compression_ratio": 1.8926829268292682, "no_speech_prob": 0.0, "words": [{"start": 2479.19, "end": 2479.91, "word": "تحصر", "probability": 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phase okay فانت خلينا نطلع على ال slide هذه ال slide هذه بتلخص الأربع .. الأربع مربعات أو مراحل أو activities في مرحلة ال objective objective إيش؟ objective setting", "tokens": [40228, 22653, 1715, 34105, 3714, 25513, 3615, 2423, 3250, 4032, 2423, 30206, 4032, 34105, 3714, 25513, 3615, 2423, 5038, 16712, 9778, 9566, 1829, 9566, 5296, 28814, 1829, 8592, 22807, 24976, 958, 5574, 1392, 6156, 7649, 2655, 16490, 20292, 8315, 8717, 9566, 1211, 3615, 15844, 2423, 4137, 29538, 2423, 4137, 29538, 39894, 1211, 9778, 9381, 16247, 25513, 3615, 4386, 16247, 25513, 3615, 3714, 25513, 3615, 9307, 34051, 3714, 23557, 5016, 1211, 34051, 5354, 8978, 3714, 2288, 5016, 37977, 2423, 10024, 10024, 11933, 1829, 8592, 22807, 10024, 3287], "avg_logprob": -0.20887211924311758, "compression_ratio": 1.6771300448430493, "no_speech_prob": 0.0, "words": [{"start": 2730.96, "end": 2731.3, "word": "يعني", "probability": 0.720703125}, {"start": 2731.3, "end": 2731.82, "word": " design", "probability": 0.489501953125}, 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@@ -0,0 +1,2797 @@
+1
+00:00:20,840 --> 00:00:23,320
+بسم الله الرحمن الرحيم الصلاة والسلام على أشرف
+
+2
+00:00:23,320 --> 00:00:27,460
+المرسلين اليوم إن شاء الله بنكمل في نفس chapter 
+
+3
+00:00:27,460 --> 00:00:30,960
+اللي هو بنحكي فيه عن ال software process كنا
+
+4
+00:00:30,960 --> 00:00:34,020
+بدينا المحاضرة الماضية في ال software process
+
+5
+00:00:34,020 --> 00:00:37,700
+models حكينا في اثنين من ال models اللي هو
+
+6
+00:00:37,700 --> 00:00:40,600
+waterfall وال incremental اليوم إن شاء الله بنكمل
+
+7
+00:00:40,600 --> 00:00:45,740
+في ال model الثالث اللي هو ال reuse oriented
+
+8
+00:00:45,740 --> 00:00:50,600
+software development مش هنطول فيه كثير وإن شاء
+
+9
+00:00:50,600 --> 00:00:53,440
+الله على طول بنكمل على ال activities اللي هم
+
+10
+00:00:53,440 --> 00:00:57,280
+الأربع أو الخمس activities الأساسيات بنطلع عليهم 
+
+11
+00:00:57,280 --> 00:01:01,780
+بتفصيل أكثر شوية وبعد هيك الباقي هذا coping with
+
+12
+00:01:01,780 --> 00:01:05,580
+change وال RUP بنخليه على المحاضرة القادمة إن شاء
+
+13
+00:01:05,580 --> 00:01:09,450
+الله، احنا كنا غطينا هذا الكلام كله، حكينا عن ال
+
+14
+00:01:09,450 --> 00:01:12,710
+software process وإيش ال process description 
+
+15
+00:01:12,710 --> 00:01:16,570
+بيشتمل على إيش؟ بعدين ميزنا ما بين ال plan driven و
+
+16
+00:01:16,570 --> 00:01:21,290
+ما بين ال agile processes، ما بعدين حكينا ذكرناهم
+
+17
+00:01:21,290 --> 00:01:25,090
+الثلاثة ودخلنا على طول حكينا في ال waterfall و
+
+18
+00:01:25,090 --> 00:01:30,150
+شوفنا ال flow chart تبعتها وطلعنا على اللي هم ال
+
+19
+00:01:30,150 --> 00:01:36,470
+activities اللي فيها وبعدين وكمان طلعنا على ال
+
+20
+00:01:36,470 --> 00:01:43,650
+incremental development وفوائدها والعيوب عليها
+
+21
+00:01:43,650 --> 00:01:47,770
+ولأن نجي فعلًا ال reuse oriented software
+
+22
+00:01:47,770 --> 00:01:54,450
+engineering، ال reuse oriented كلمتين صغيرين مش هنحكي 
+
+23
+00:01:54,450 --> 00:02:01,230
+فيه كثير، تمام بس ال slides هدول أو ثلاثة هنحكي على
+
+24
+00:02:01,230 --> 00:02:06,110
+اللي هو ال .. شو هو بالظبط وإيش ال stages تبعتهم
+
+25
+00:02:06,110 --> 00:02:11,030
+نقول
+
+26
+00:02:11,030 --> 00:02:14,570
+احنا كلمة reuse هنا بتقصد بها عادة استخدام، عادة
+
+27
+00:02:14,570 --> 00:02:23,330
+استخدام لإيش؟ عادة
+
+28
+00:02:23,330 --> 00:02:30,120
+استخدام لإيش؟ حد بيذكر أو حد بيقدر يخمن؟ نعم، آه
+
+29
+00:02:30,120 --> 00:02:33,460
+برمجية سابقة بنسميها احنا components، مكونات، لأنه
+
+30
+00:02:33,460 --> 00:02:36,160
+احنا ال software اللي بده ينبنى، ال software اللي
+
+31
+00:02:36,160 --> 00:02:39,500
+بده ينبنى بده ينبنى من ال software البرمجية
+
+32
+00:02:39,500 --> 00:02:45,600
+السابقة هي عبارة عن مكونات محددة جاهزة معمولة
+
+33
+00:02:45,600 --> 00:02:50,300
+مسبقًا من قبل مبرمجين أو لا من قبل حتى شركات، بدنا
+
+34
+00:02:50,300 --> 00:02:56,220
+نجمعها في software مخصص لل customer أو للمسألة
+
+35
+00:02:56,220 --> 00:03:00,250
+اللي المطلوبة منها، reuse oriented software
+
+36
+00:03:00,250 --> 00:03:08,190
+engineering، software engineering، فـ ال stages طبعًا
+
+37
+00:03:08,190 --> 00:03:12,610
+بالأساس هو التعريف تبعه أنه based on systems
+
+38
+00:03:12,610 --> 00:03:16,130
+systematic reuse where systems are integrated
+
+39
+00:03:16,130 --> 00:03:20,230
+integrated from existing يعني موجود مسبقًا
+
+40
+00:03:20,230 --> 00:03:23,910
+components، ال components هذه أحيانًا بيطلق عليها
+
+41
+00:03:23,910 --> 00:03:29,330
+اسم COTS اللي هو Commercial Off The Shelf Systems
+
+42
+00:03:29,330 --> 00:03:33,730
+Off The Shelf يعني مقصود به إن إيش؟ جاهز، ال shelf
+
+43
+00:03:33,730 --> 00:03:37,640
+اللي هو ال rough، يعني أنت لما بتروح بدك تشتري، تذكر
+
+44
+00:03:37,640 --> 00:03:41,340
+مثلًا الطاولة اللي ذكرناها في المحاضرة الماضية، أنت
+
+45
+00:03:41,340 --> 00:03:44,740
+ممكن تفصل طاولة أو ممكن تشتري طاولة جاهزة موجودة
+
+46
+00:03:44,740 --> 00:03:48,380
+في المعرض وجاهزة، فالشيء الجاهز هو اللي بيطلق عليه
+
+47
+00:03:48,380 --> 00:03:52,620
+مصطلح off the shelf، يعني بتاخده عن الرف جاهز و
+
+48
+00:03:52,620 --> 00:03:58,780
+بتدفع فلوسه و بتمشي، عكس إيش؟ عكس من اللي هو إيش؟
+
+49
+00:03:58,780 --> 00:04:02,640
+التفصيل اللي بتفصله على حسب احتياجاتك، فأنت الآن
+
+50
+00:04:04,420 --> 00:04:08,240
+بتاخد الـ commercial off the shelf components هذه
+
+51
+00:04:08,240 --> 00:04:12,360
+وبتبني منها system، قد يكون ال system مكوّن منها
+
+52
+00:04:12,360 --> 00:04:16,020
+مئة بالمئة، يعني أنت ما تبرمجش ولا شيء أو قد تكون
+
+53
+00:04:16,020 --> 00:04:21,740
+تحتاج إلى برمجة بعض ال components الأخرى أو قد
+
+54
+00:04:21,740 --> 00:04:25,660
+تكون محتاج لبرمجة زائد إيش؟ configuration، شو يعني
+
+55
+00:04:25,660 --> 00:04:28,880
+configuration؟ يعني تخصص، يعني ممكن تبقى ال
+
+56
+00:04:28,880 --> 00:04:33,020
+component هذه جاية وبتقبل أن تبقى بأي لغة
+
+57
+00:04:34,500 --> 00:04:38,680
+interface components، أنت بدك تخصصها للغة العربية
+
+58
+00:04:38,680 --> 00:04:42,840
+أو للغة المحلية اللي عندك، تمام؟ فهنا المقصود 
+
+59
+00:04:42,840 --> 00:04:48,100
+بالتخصيص، فأنت بتاخد ال components هذه إما جاهزة زي
+
+60
+00:04:48,100 --> 00:04:51,000
+ما هي وبس بتجمعها أو بتضيف عليها components أنت
+
+61
+00:04:51,000 --> 00:04:54,340
+عاملها أو بتضيف زائد كمان، إما بتعمل لها configuration
+
+62
+00:04:55,580 --> 00:05:01,360
+الـ stages لعملية بناء أو إنشاء software على أساس 
+
+63
+00:05:01,360 --> 00:05:05,540
+components جاهزة بتشتمل على اللي هو ال .. ال .. ال
+
+64
+00:05:05,540 --> 00:05:08,980
+.. ال .. ال stages أو ال activities التالية، okay
+
+65
+00:05:08,980 --> 00:05:13,400
+هذه
+
+66
+00:05:13,400 --> 00:05:17,580
+ممكن تطلع عليها من خلال ال .. من خلال اللي هو ال
+
+67
+00:05:17,580 --> 00:05:22,160
+flow chart هذا، احنا طبعًا لازم يكون في عندنا ..
+
+68
+00:05:22,160 --> 00:05:26,340
+لازم يكون في عندنا مرحلة لإيش؟ لازم يكون في عندنا
+
+69
+00:05:26,340 --> 00:05:30,360
+مرحلة لتعامل مع ال requirements، شو احنا ال system
+
+70
+00:05:30,360 --> 00:05:34,920
+هذا سواء يعني بدنا نجمعه من ال components جاهزة بس
+
+71
+00:05:34,920 --> 00:05:38,480
+في الآخر هو بده يقدّم متطلبات معينة فبدنا يعني زي
+
+72
+00:05:38,480 --> 00:05:41,900
+و زي أي system وبالتالي المنهجية هنا زيها زي أي
+
+73
+00:05:41,900 --> 00:05:47,060
+منهجية أخرى لازم تشتمل على مرحلة إيش؟ تحديد
+
+74
+00:05:48,660 --> 00:05:53,660
+المتطلبات، تمام؟ الآن المتطلبات هذه بدنا نشوف إيش
+
+75
+00:05:53,660 --> 00:05:58,320
+في components available موجودة متاحة في السوق اللي
+
+76
+00:05:58,320 --> 00:06:03,020
+قد تكون مناسبة لتلبية هذه المتطلبات، فهذا المقصود
+
+77
+00:06:03,020 --> 00:06:06,800
+بال component analysis، ماشي، component analysis
+
+78
+00:06:06,800 --> 00:06:09,880
+اللي هو أن أنا بدرس إيش ال components اللي موجودة
+
+79
+00:06:09,880 --> 00:06:15,760
+عشان أشوف إيش منها ممكن أستفيد منه، بعد ذلك بيحصل
+
+80
+00:06:15,760 --> 00:06:18,800
+فيه إذا كان حاجة لـ Modification، يعني زي ما قلت
+
+81
+00:06:18,800 --> 00:06:22,600
+أنا قبل شوية، قد تكون ال components بتقدّم المطلوب
+
+82
+00:06:22,600 --> 00:06:26,640
+100% وكل اللي عليّ بس أن أنا أعملها integration
+
+83
+00:06:26,640 --> 00:06:31,560
+ولكن قد تكون لا بتقدّم المطلوب 100%، ضايل مثلًا 10
+
+84
+00:06:31,560 --> 00:06:36,420
+أو 20% لازم أنا أوفيهم أعملهم أنا بنفسي، فأي
+
+85
+00:06:36,420 --> 00:06:40,240
+تغييرات بتلزّم، هذا اللي بتتم في هذه المرحلة ال
+
+86
+00:06:40,240 --> 00:06:46,610
+requirements modification، تمام؟ بعد ذلك خلاص بيصير
+
+87
+00:06:46,610 --> 00:06:51,690
+مرحلة ال design، هنا مرحلة ال design أنه احنا بنعمل
+
+88
+00:06:51,690 --> 00:06:55,790
+design لها ال system بشكل متكامل من ال components
+
+89
+00:06:55,790 --> 00:07:00,350
+هذه اللي هو تم تحديدها وتم تحديد إيش modification
+
+90
+00:07:00,350 --> 00:07:04,810
+بدنا نعمل عليها، okay، فـ system design وما سكتش جال
+
+91
+00:07:04,810 --> 00:07:07,570
+system design جال with reuse، لو system design قد
+
+92
+00:07:07,570 --> 00:07:12,740
+تكون تفهم على أنه إيش؟ من الصفر، تصميم الـ system من
+
+93
+00:07:12,740 --> 00:07:16,120
+الصفر لا، هنا system design with reuse بمعنى أنه
+
+94
+00:07:16,120 --> 00:07:22,450
+بناء على أو على أساس المكونات اللي الموجودة، ال
+
+95
+00:07:22,450 --> 00:07:25,630
+development and integration، إيش يقصد بها ال
+
+96
+00:07:25,630 --> 00:07:30,710
+integration؟ واضحة، اللي هي دمج المكونات هذه و
+
+97
+00:07:30,710 --> 00:07:34,250
+ربطها مع بعض في ال system، وال development اللي هي يقصد بها إذا كان احنا بدنا نعمل أي
+
+98
+00:07:34,250 --> 00:07:37,510
+أي components إضافية من عندنا وفي الآخر طبعًا لازم
+
+99
+00:07:40,710 --> 00:07:43,750
+يكون في مرحلة ال validation، ال validation اللي هي
+
+100
+00:07:43,750 --> 00:07:51,290
+التحقق، okay، فأنا برجع ال slide مرة أخرى، component
+
+101
+00:07:51,290 --> 00:07:55,150
+analysis واضحة، ال requirements modification، ال
+
+102
+00:07:55,150 --> 00:07:57,530
+system design with reuse with development and
+
+103
+00:07:57,530 --> 00:08:04,130
+integration، الآن هذا ال approach، هذا ال approach
+
+104
+00:08:04,130 --> 00:08:09,970
+بيناسب كثير من الأحوال في المؤسسات، المؤسسات اللي
+
+105
+00:08:09,970 --> 00:08:14,890
+بتحتاج information systems في كثير من جوانب الشغل
+
+106
+00:08:14,890 --> 00:08:18,460
+يعني مثلًا في جانب ال accounting المحاسبة هتلاقي فيه
+
+107
+00:08:18,460 --> 00:08:21,880
+components already جاهزة للمحاسبة، أنت بتاخدها زي
+
+108
+00:08:21,880 --> 00:08:26,540
+ما هي بتتولى العمليات الأساسية لتسجيل القيد وتحريك 
+
+109
+00:08:26,540 --> 00:08:29,840
+الحسابات وما إلى ذلك، هذا المكون اللي بيتعلق به
+
+110
+00:08:29,840 --> 00:08:35,580
+المحاسبة بيكون هو مكون أساسي بيرتبط مع مكونات أخرى
+
+111
+00:08:35,580 --> 00:08:40,100
+زي مثلًا لما المؤسسة بتبيع أو بتشتري، عملية البيع أو
+
+112
+00:08:40,100 --> 00:08:43,360
+عملية الشراء لها component، ال component هذا بتسجل
+
+113
+00:08:43,360 --> 00:08:48,880
+فيه عملية البيع، بعد كده عملية البيع دي بتدخل على ال
+
+114
+00:08:48,880 --> 00:08:53,780
+component تبعت المحاسبة عشان تسجل في الحسابات
+
+115
+00:08:53,780 --> 00:08:57,440
+الرئيسية تبعت المؤسسة، وعلى هذا كذلك عندنا
+
+116
+00:08:57,440 --> 00:09:01,040
+مثلًا في الجامعة احنا فيها عندنا العمليات القبول
+
+117
+00:09:01,040 --> 00:09:05,950
+وتسجيل المساقات، هذه عملية أنت لما تسجل المادة يترتب
+
+118
+00:09:05,950 --> 00:09:09,890
+عليها قيد محاسبي، فأنت ممكن تفكر في أن عملية تسجيل
+
+119
+00:09:09,890 --> 00:09:14,730
+المادة منفصلة عن عملية إيش؟ العملية المحاسبية
+
+120
+00:09:14,730 --> 00:09:19,930
+المالية المترتبة عليها، فإذا والله في software جاهز
+
+121
+00:09:19,930 --> 00:09:23,390
+لتسجيل العمليات المحاسبية أنا كل اللي ضايل عليه أن
+
+122
+00:09:23,390 --> 00:09:28,290
+أنا أعمل الجزئية الخاصة بتسجيل المادة، تسجيل المادة
+
+123
+00:09:28,290 --> 00:09:32,290
+بتتسجل المواد وتتخزن فيها ملف، والملف هذا بعد كده
+
+124
+00:09:32,290 --> 00:09:36,250
+ممكن نقول batch processing مرة واحدة بترحل على ال
+
+125
+00:09:36,250 --> 00:09:41,430
+component تبع المحاسبة عشان تتحرك الحسابات وتتغير
+
+126
+00:09:41,430 --> 00:09:45,390
+الأرصدة، رصيدك أنت، رصيد الجامعة، رصيد الأطراف
+
+127
+00:09:45,390 --> 00:09:48,970
+الثانية المعنية بالمعاملات المالية، واضح؟ فكثير من
+
+128
+00:09:48,970 --> 00:09:49,710
+المؤسسات
+
+129
+00:09:53,230 --> 00:09:58,850
+المؤسسات في عمليات الإدارية بيفيدها هذا النوع من
+
+130
+00:09:58,850 --> 00:10:03,490
+اللي هو بيفيدها أنه إن عمل ال systems تبعتها من
+
+131
+00:10:03,490 --> 00:10:08,830
+مكونات متعددة من مكونات جاهزة، الموضوع هذا ربما من
+
+132
+00:10:08,830 --> 00:10:12,430
+المواضيع المتقدمة في ال software engineering، في
+
+133
+00:10:12,430 --> 00:10:18,630
+بداية من chapter 16 .. 16 .. 14 .. 18 .. نعم أعتقد
+
+134
+00:10:18,630 --> 00:10:22,310
+كمان 19 اللي هي ال unit الثالثة بتناول
+
+135
+00:10:22,310 --> 00:10:25,650
+الموضوع اللي هو ال reuse oriented software
+
+136
+00:10:25,650 --> 00:10:29,810
+engineering بشكل مفصل، فأنا إن شاء الله قدام هاطلب
+
+137
+00:10:29,810 --> 00:10:35,730
+منكم مواضيع محددة من هذا ال chapter تعملوا فيها زي
+
+138
+00:10:35,730 --> 00:10:40,150
+report، يعني تكتب فيها صفحتين أو ثلاثة، بأعطيكم
+
+139
+00:10:40,150 --> 00:10:43,570
+مواضيع محددة، عناوين محددة من الكتاب اللي أنتم 
+
+141
+00:10:43,570 --> 00:10:52,950
+تلخصوها و تسلموها ماشي تمام الـ .. الآن الـ software
+
+142
+00:10:52,950 --> 00:10:56,270
+components هذه الـ software components في أنواع
+
+143
+00:10:56,270 --> 00:10:59,110
+متعددة من الـ software components أشهر الـ software
+
+144
+00:10:59,110 --> 00:11:02,370
+components اللي هي الـ web services إذا بتتذكر أحد
+
+145
+00:11:02,370 --> 00:11:05,790
+مرة ذكرت الـ web service الـ web service أظن حتى
+
+146
+00:11:05,790 --> 00:11:09,340
+كمان مرت معاكم في الترجمة في الـ ..في الـ homework
+
+147
+00:11:09,340 --> 00:11:14,920
+اللي طلبناه منكوا قبل هيك كان في بند من البنود
+
+148
+00:11:14,920 --> 00:11:19,300
+اللي هو الـ web service حد بيذكر كيف ترجمتوها
+
+149
+00:11:19,300 --> 00:11:26,470
+ببساطة خدمات الـ web بس إيش يعني خدمات الـ web؟ اللي
+
+150
+00:11:26,470 --> 00:11:29,990
+هي أنك ممكن تكون في عندك server جهاز كمبيوتر
+
+151
+00:11:29,990 --> 00:11:33,770
+على النت في المؤسسة أو في أي مكان الـ server هذا
+
+152
+00:11:33,770 --> 00:11:38,070
+بيقوم بعمليات معينة يعني مثلًا عملية المحاسبة هذه
+
+153
+00:11:38,070 --> 00:11:42,830
+اللي احنا حكينا فيها جزء صغيرة وهي أن يكون في
+
+154
+00:11:42,830 --> 00:11:47,510
+هندي حسابات والحسابات هذه نُدخل عليها قيود و
+
+155
+00:11:47,510 --> 00:11:50,690
+القيود هذا بيخسم من الحساب الفلاني وبيضيف على 
+
+156
+00:11:50,690 --> 00:11:55,290
+الحساب الفلاني نفس المبلغ يقول مثلًا ميد شركة ميد
+
+157
+00:11:55,290 --> 00:11:58,290
+دولار بيديه ينخسم من هذا الحساب وينضاف على الحساب
+
+158
+00:11:58,290 --> 00:12:04,050
+الآخر الآن أنا ممكن آجي أعمل القالية هذه أصممها 
+
+159
+00:12:04,050 --> 00:12:08,080
+على server الـ server كل اللي بيعرف يسويه أنه إن 
+
+160
+00:12:08,080 --> 00:12:13,140
+الحسابات اللي عنده يستلم قيود محاسبية ويحرك
+
+161
+00:12:13,140 --> 00:12:17,560
+الحسابات فأنت الآن بدك تعمل system الـ system هذا
+
+162
+00:12:17,560 --> 00:12:21,720
+بيعتمد على هذه القالية مش محتاج أنك أنت إيش تروح 
+
+163
+00:12:21,720 --> 00:12:24,680
+تبرمج هذه القالية من الصفر أنك ممكن تعتمد على
+
+164
+00:12:24,680 --> 00:12:28,180
+الـ server هذا في هذه القالية الـ server هذا بيقدم 
+
+165
+00:12:28,180 --> 00:12:33,160
+الخدمة تبعته عن طريق الـ web يعني أنت الـ system تبعك
+
+166
+00:12:33,160 --> 00:12:37,180
+أو الجزئية اللي أنت هتعملها هتعمل القيد و تبعتله و
+
+167
+00:12:37,180 --> 00:12:44,880
+تبعتله عن طريق الـ web على شكل http message أنه
+
+168
+00:12:44,880 --> 00:12:48,520
+والله إن حساب الفلاني عاوزين إن نغير فيه عاوزين
+
+169
+00:12:48,520 --> 00:12:53,320
+إن نحركوا بالقيد بالمبلغ الفلاني تمام فالآن أنت الـ
+
+170
+00:12:53,320 --> 00:12:56,500
+server تبعك أو الـ system تبعك قد يكون شغال على
+
+171
+00:12:56,500 --> 00:13:01,520
+server والـ server قاعدة في جزئية القيود وتحريك
+
+172
+00:13:01,520 --> 00:13:05,540
+الحسابات هذه بس يطلبها من الـ .. من الـ ليش؟ من الـ
+
+173
+00:13:05,540 --> 00:13:09,760
+server الثاني عبر الـ web فالقيس على ذلك كثير من
+
+174
+00:13:09,760 --> 00:13:15,740
+الأمور الأخرى في تطبيقات مختلفة ثانية بيكون الشغل
+
+175
+00:13:15,740 --> 00:13:20,680
+الـ system تبعك بيستعين بـ systems أخرى موجودة على
+
+176
+00:13:20,680 --> 00:13:25,160
+الـ web وكل system بيقدم خدمة أو أكثر خدمة واحدة
+
+177
+00:13:25,160 --> 00:13:28,960
+أو أكثر الـ system تبعك بيستعين بهذه الخدمات من
+
+178
+00:13:28,960 --> 00:13:32,620
+الأطراف الأخرى فهذه مفهوم الـ web service web
+
+179
+00:13:32,620 --> 00:13:35,460
+services are developed according to service
+
+180
+00:13:35,460 --> 00:13:40,590
+standards لازم تكون شغالة على أساس standard معين
+
+181
+00:13:40,590 --> 00:13:44,290
+عشان يقدر .. أي حد يقدر يتخاطب مع أي حد ثاني، إذا
+
+182
+00:13:44,290 --> 00:13:47,930
+كل system بده يعمل web service ولكن بتخاطب بقالية
+
+183
+00:13:47,930 --> 00:13:51,490
+خاصة أبوه، معناته الأمر بيصير محقق، فلازم يبقى
+
+184
+00:13:51,490 --> 00:13:58,190
+يكون بينهم standard، تمام؟ هذا نوع من أنواع الـ ..
+
+185
+00:13:58,190 --> 00:14:02,390
+الـ components اللي هو الـ web services النوع آخر
+
+186
+00:14:02,390 --> 00:14:06,510
+احنا بنعرفه أو مر علينا اللي هي الـ
+
+187
+00:14:06,510 --> 00:14:10,450
+frameworks الـ dot net framework والـ J2EE اللي هو
+
+188
+00:14:10,450 --> 00:14:14,110
+الـ enterprise edition التابعة الـ Java هدول الـ
+
+189
+00:14:14,110 --> 00:14:18,670
+frameworks إيش هم بالضبط مر عليكم هو كلمة
+
+190
+00:14:18,670 --> 00:14:27,890
+libraries software libraries الـ libraries
+
+191
+00:14:27,890 --> 00:14:32,670
+هذه هي ببساطة مجموعة من الـ objects بالأصل هي معرفة كـ
+
+192
+00:14:32,670 --> 00:14:38,230
+classes وأنت بتبني منها objects فأنت عمليًا لما 
+
+193
+00:14:38,230 --> 00:14:42,350
+بتبرمج الـ system وبتستعين بهذول أنت بتستعين بـ
+
+194
+00:14:42,350 --> 00:14:46,750
+components جاهزة معمولة في هذه الـ libraries تمام
+
+195
+00:14:46,750 --> 00:14:50,010
+أو هذه الـ collections libraries collections نفس
+
+196
+00:14:50,010 --> 00:14:55,740
+الأشياء هدول الـ dot net و J2EE are collections of
+
+197
+00:14:55,740 --> 00:14:59,660
+objects developed ومعمول لها packaging مسبقًا أنت
+
+198
+00:14:59,660 --> 00:15:01,960
+الآن بدك تعمل application والـ application ده
+
+199
+00:15:01,960 --> 00:15:06,160
+نفترض مش في الـ information systems نفترض في الـ
+
+200
+00:15:06,160 --> 00:15:08,980
+graphics ولا في معالجة الصور ولا في الذكاء
+
+201
+00:15:08,980 --> 00:15:12,100
+الاصطناعي ولا في كذا مش هتيجي تعمل أنت
+
+202
+00:15:12,100 --> 00:15:16,180
+implementation للخوارزميات تقول مثلًا بدك تعمل ..
+
+203
+00:15:16,180 --> 00:15:20,640
+بدك تعمل تحريك لـ .. لـ .. لـ object في الصورة أو
+
+204
+00:15:20,640 --> 00:15:24,300
+تحريك لـ .. أو تحسين لـ .. لـ .. لـ .. لصورة معينة و
+
+205
+00:15:24,300 --> 00:15:28,940
+تحسين الإضاءة تبعها فهتلاقي أنت objects جاهزة و
+
+206
+00:15:28,940 --> 00:15:33,070
+functions جاهزة مع موالي اللي بتقدر هذا الغرض فمش 
+
+207
+00:15:33,070 --> 00:15:36,470
+هتيجي تعمل العمليات هذه من الصفر، هتلاقي
+
+208
+00:15:36,470 --> 00:15:40,910
+collection مخصوص للـ image processing، collection
+
+209
+00:15:40,910 --> 00:15:45,050
+مخصوص للذكاء الاصطناعي، collection مخصوص لكل مجال من
+
+210
+00:15:45,050 --> 00:15:49,690
+المجالات، فأنت هتعمل إعادة استخدام لهذه الـ
+
+211
+00:15:49,690 --> 00:15:52,610
+components أو الـ objects الموجودة في هذه الـ
+
+212
+00:15:52,610 --> 00:15:53,010
+collections
+
+213
+00:15:57,280 --> 00:16:02,000
+وتدمجها في الـ system تبعك النوع ثالث من الـ
+
+214
+00:16:02,000 --> 00:16:06,060
+components اللي هو standalone software يعني ممكن
+
+215
+00:16:06,060 --> 00:16:11,080
+أنت software متكامل قائم بحد ذاته okay
+
+216
+00:16:13,790 --> 00:16:16,530
+تعتبروا أن هذا عبارة عن component هو كله عبارة عن
+
+217
+00:16:16,530 --> 00:16:21,510
+component وأنت اتوفر عندك في المؤسسة أو لالـ .. الـ
+
+218
+00:16:21,510 --> 00:16:25,990
+.. الـ .. الـ .. الزبون تبعك؟ طب وين .. وين الـ ..
+
+219
+00:16:25,990 --> 00:16:28,450
+وين الـ software development في الموضوع؟ إذا كان 
+
+220
+00:16:28,450 --> 00:16:33,820
+أنا بدي أجيب .. سوفتوير جاهز وبدي استخدمه على طول
+
+221
+00:16:33,820 --> 00:16:36,800
+وين الـ development؟ الـ development أن احنا عادة الـ
+
+222
+00:16:36,800 --> 00:16:41,480
+standalone software هذا ما بيجيش مطابق لاحتياجات
+
+223
+00:16:41,480 --> 00:16:45,560
+الـ user مائة بالمائة فبنحتاج إيش نعمل؟ بنحتاج نعمل
+
+224
+00:16:45,560 --> 00:16:49,440
+تخصيص لهذا الـ application كثير من الـ applications
+
+225
+00:16:50,330 --> 00:16:54,450
+بيعملوها الشركات بهذا الكيفية، يعني أنت ممكن يبقى 
+
+226
+00:16:54,450 --> 00:16:59,690
+برنامج محاسبة، لكن معمول بـ General Requirements، كل
+
+227
+00:16:59,690 --> 00:17:05,350
+ما يتخيلوا أي مؤسسة موضوع فيه، أنت الآن بدك عندك
+
+228
+00:17:05,350 --> 00:17:08,250
+مؤسسة، والمؤسسة هذه تعليمية أو قد تكون حكومية أو 
+
+229
+00:17:08,250 --> 00:17:12,130
+قد تكون مالية أو مصرفية أو تجارية فبنسبك أمور
+
+230
+00:17:12,130 --> 00:17:16,190
+وبنسبك إيش أمور ثانية فهنا الـ .. الـ .. الـ .. الـ
+
+231
+00:17:16,190 --> 00:17:18,970
+stand alone software هذا لما أنت بتجيبه هتعمل عليه
+
+232
+00:17:18,970 --> 00:17:22,870
+عملية تخصيص يحدث في بعض الأمور تعديل بعض الأمور
+
+233
+00:17:22,870 --> 00:17:25,650
+اللي فيه بحيث أنّه تتناسب بحيث أن الـ software
+
+234
+00:17:25,650 --> 00:17:31,850
+يتناسب مع احتياجات المؤسسة تبعتك بـ .. على تموج يعني
+
+235
+00:17:31,850 --> 00:17:37,260
+okay فالـ stand alone software ممكن يعتبر على أنه 
+
+236
+00:17:37,260 --> 00:17:45,940
+commercial off the shelf software ويطبق
+
+237
+00:17:45,940 --> 00:17:50,600
+في المؤسسة بعد طبعًا configuration بحيث ملائم بيئة
+
+238
+00:17:50,600 --> 00:17:58,030
+العمل تبعتك أو احتياجات المؤسسة تمام الآن خلصنا من
+
+239
+00:17:58,030 --> 00:18:01,410
+الـ .. اللي هو الـ reuse oriented software engineering
+
+240
+00:18:01,410 --> 00:18:05,330
+وطلعنا على الـ stage .. الـ stages تبعته وطلعنا
+
+241
+00:18:05,330 --> 00:18:13,350
+على الـ types of components بإمكاننا
+
+242
+00:18:13,350 --> 00:18:20,870
+نطلع الآن على الـ process activities اللي
+
+243
+00:18:20,870 --> 00:18:24,270
+هي الـ activities اللي قلنا مشتركة في
+
+244
+00:18:28,350 --> 00:18:36,490
+معظم النماذج النماذج الـ software development four
+
+245
+00:18:36,490 --> 00:18:47,170
+basic process activities اللي هم development مش 
+
+246
+00:18:47,170 --> 00:18:54,230
+كمان مش 
+
+247
+00:18:54,230 --> 00:18:54,550
+كمان
+
+248
+00:18:59,330 --> 00:19:05,770
+حد معايا؟  تابع high development إيش كمان؟ validation
+
+249
+00:19:05,770 --> 00:19:10,230
+evolution
+
+250
+00:19:10,230 --> 00:19:16,030
+هدول ثلاثة خلصنا في specification لأنه راح يتبني
+
+251
+00:19:16,030 --> 00:19:26,070
+اكتبها فوق فبيحط هنا specification تمام
+
+252
+00:19:26,070 --> 00:19:31,250
+نطلع عليهم بتفصيل شوية أن احنا الآن ناخذ الـ
+
+253
+00:19:31,250 --> 00:19:36,530
+specification specification stage أو activity هي
+
+254
+00:19:36,530 --> 00:19:41,330
+الـ process of establishing what .. what إيش .. إيش 
+
+255
+00:19:41,330 --> 00:19:52,010
+الخدمات أو الـ functions أو الـ requirements أو 
+
+256
+00:19:52,010 --> 00:19:57,120
+أحيانًا نسميها features تمام؟ يعني دي كلها مرادفات 
+
+257
+00:19:57,120 --> 00:20:00,820
+تقريبًا لنفس الفكرة الفكرة أنه احنا بدنا نعرف شو الـ
+
+258
+00:20:00,820 --> 00:20:04,600
+software هذا بده يقدم لالـ .. وأحيانًا .. وأحيانًا
+
+259
+00:20:04,600 --> 00:20:10,420
+value value بمعنى منافع okay the process of 
+
+260
+00:20:10,420 --> 00:20:13,740
+establishing establishing هنا كلمة تجيلة شوية بس
+
+261
+00:20:13,740 --> 00:20:18,480
+هي فعلاً تتناسب مع طبيعة هذه الـ activity أنه في
+
+262
+00:20:18,480 --> 00:20:24,700
+دراسة وتحليل وتنقيح بدنا نتأكد إنه فعلاً لازم ومش
+
+263
+00:20:24,700 --> 00:20:29,980
+لازم وصياغة بشكل دقيق فعشان هيك الكلمة هذه 
+
+264
+00:20:29,980 --> 00:20:34,660
+establishing تأسيس what services are required and
+
+265
+00:20:34,660 --> 00:20:38,900
+the constraints on the systems operation يعني إيش
+
+266
+00:20:38,900 --> 00:20:43,260
+المحددات العمل، إيش الأمور اللي هتبقى متوفرة له،
+
+267
+00:20:43,260 --> 00:20:46,680
+إيش اللي مش هيبقى متوفر للـ system، وإيش البيئة
+
+268
+00:20:46,680 --> 00:20:50,280
+العامة، إيش الـ other systems اللي هتفاعل معاهم، ما
+
+269
+00:20:50,280 --> 00:20:53,620
+إلى ذلك on the systems operation and development
+
+270
+00:20:53,620 --> 00:20:58,320
+okay لأن الـ .. الـ .. الـ .. الـ .. الـ activity هذه
+
+271
+00:20:58,320 --> 00:21:01,160
+اللي هي requirements الـ .. الـ .. الـ .. as per
+
+272
+00:21:01,160 --> 00:21:04,900
+specification أحيانًا .. أحيانًا هي في حد ذاتها
+
+273
+00:21:04,900 --> 00:21:09,360
+بيطلق عليها اسم requirements engineering ماشي؟
+
+274
+00:21:09,360 --> 00:21:12,900
+يعني مش بس مجرد requirements specification أو
+
+275
+00:21:12,900 --> 00:21:15,340
+requirements analysis أحيانًا بيقول عنها 
+
+276
+00:21:15,340 --> 00:21:18,700
+requirements engineering process وبتشتمل على
+
+277
+00:21:18,700 --> 00:21:23,370
+الأربع أنشطة التالية اللي هي في حاجة اسمها
+
+278
+00:21:23,370 --> 00:21:25,990
+feasibility study مش عارف إذا مر عليكم مصطلح حد
+
+279
+00:21:25,990 --> 00:21:29,150
+قبليكم ولا لأ في حاجة اسمها requirements
+
+280
+00:21:29,150 --> 00:21:34,950
+elicitation elicitation هذا one و analysis هذا two 
+
+281
+00:21:34,950 --> 00:21:42,450
+requirements specification و requirements
+
+282
+00:21:42,450 --> 00:21:47,710
+validation ال feasibility study هي دراسة الجدوى
+
+283
+00:21:47,710 --> 00:21:56,580
+صح؟ feasibility study دراسة الجدوى من اسمها إذا إذا
+
+284
+00:21:56,580 --> 00:22:00,000
+مصطلحها أول مرة بيمر عليكم بالعربي من اسمه شو
+
+285
+00:22:00,000 --> 00:22:05,130
+بتفهم منه دراسة الجدوى ماهي مش دي هال system؟ إيش 
+
+286
+00:22:05,130 --> 00:22:08,790
+المنفعة اللي هنحصل عليها؟ ماهي شو هيوفر علينا
+
+287
+00:22:08,790 --> 00:22:13,390
+فلوس؟ هوافر علينا جهد؟ تمام؟ إيش بالظبط الجدوى
+
+288
+00:22:13,390 --> 00:22:17,290
+تبعته؟ مش دي في إيش؟ is it technically and
+
+289
+00:22:17,290 --> 00:22:22,220
+financially feasible؟ هذا المنفعة اللي ذكرناها هي
+
+290
+00:22:22,220 --> 00:22:26,000
+جانب من جانب الجدوى أنه financially feasible to
+
+291
+00:22:26,000 --> 00:22:29,580
+build the system يقصد بيه أنه إيش المنفعة المالية
+
+292
+00:22:29,580 --> 00:22:32,860
+من هذا ال system كذلك الحالة technically هل احنا
+
+293
+00:22:32,860 --> 00:22:36,800
+نستطيع أن نبني هل لدينا القدرات التقنية وال
+
+294
+00:22:36,800 --> 00:22:42,160
+equipment والمبرمجين والطاقم اللي قادر على مثل هذا
+
+295
+00:22:42,160 --> 00:22:45,140
+النوع من ال systems فهذا السؤال لازم ينسأل من
+
+296
+00:22:45,140 --> 00:22:49,420
+البداية من قبل ما أنا اخش في مشروع بدأ اعمل دراسة
+
+297
+00:22:49,420 --> 00:22:52,860
+الجدوى تبعته وأجاوب على أسئلة ال feasibility هذه
+
+298
+00:22:52,860 --> 00:22:58,680
+أسئلة الجدوى هل هو مشدي ماليا هل نستطيع أن نقوم
+
+299
+00:22:58,680 --> 00:23:04,480
+بعمل من هذا الحجم ولا لأ okay إذا والله أخدنا ضوء
+
+300
+00:23:04,480 --> 00:23:09,880
+أخضر إذا لاجينا أن الأمور فعلا مشدية الأمر مشدي
+
+301
+00:23:09,880 --> 00:23:14,240
+فبنبدأ في عملية اللي هو العملية الأساسية اللي هي
+
+302
+00:23:14,240 --> 00:23:18,340
+ال requirements عملية دراسة ال requirements أول
+
+303
+00:23:18,340 --> 00:23:22,130
+حاجة elicitationبالنسبة لـ elicitation اللي يُقصد
+
+304
+00:23:22,130 --> 00:23:26,130
+بيها to elicit يعني أنك أنت تطلب من المستفيد أو من
+
+305
+00:23:26,130 --> 00:23:29,530
+المؤسسة أو من الزبون قل لي أيش بالظبط اللي أنت
+
+306
+00:23:29,530 --> 00:23:32,410
+عاوزه من ال system هذا أيش بالظبط عاوز ال system
+
+307
+00:23:32,410 --> 00:23:37,730
+يسويلك تمام elicitation يعني بنطلب وبنجمع اللي
+
+308
+00:23:37,730 --> 00:23:41,310
+هو المتطلبات وبعدين بنجهد نعملها دراسة و analysis
+
+309
+00:23:41,310 --> 00:23:46,210
+و زي ما قلت أنا تنقيح وربما احنا نضيف من عنا أو
+
+310
+00:23:46,210 --> 00:23:50,550
+نحرف what do the system stakeholders كلمة
+
+311
+00:23:50,550 --> 00:23:55,890
+stakeholders هذه عادة احنا ما بنحصرها بمين
+
+312
+00:23:55,890 --> 00:23:59,790
+بالمستفيد stakeholder stakeholder نظر عليكم
+
+313
+00:23:59,790 --> 00:24:05,330
+المصطلح هذا منتفعين
+
+314
+00:24:05,330 --> 00:24:08,550
+المساهمين
+
+315
+00:24:08,550 --> 00:24:12,590
+stockholders stock stock اللي هي الأسهم
+
+316
+00:24:15,620 --> 00:24:20,100
+الـ Stockholders اللي هم اللي بيشتروا أسهم من أسهم
+
+317
+00:24:20,100 --> 00:24:23,980
+الشركة إذا عندنا شركة مفتوحة أو مساهمة عامة أو
+
+318
+00:24:23,980 --> 00:24:27,000
+مساهمة محدودة وأصحاب اللي شارين أسهم في الشركة
+
+319
+00:24:27,000 --> 00:24:30,640
+دول م Stockholders بس Stakeholders هنا يقصد بيها
+
+320
+00:24:30,640 --> 00:24:34,920
+أي شخص منتفع أو حياة انتفاع من هذا ال system
+
+321
+00:24:34,920 --> 00:24:38,200
+المنتفع الأساسي هم المؤسسة اللي
+
+322
+00:24:41,200 --> 00:24:46,360
+اللي طلبته أو الزبون إذا كان شخص واحد طلبه فهذا
+
+323
+00:24:46,360 --> 00:24:49,820
+ولكن في ال stakeholders في طبقات أخرى من ال
+
+324
+00:24:49,820 --> 00:24:54,480
+stakeholders نفسر فيه الأمر هذا الآن بس المهم احنا
+
+325
+00:24:54,480 --> 00:24:58,940
+عادة ال stakeholder بنقصد فيه اللي هو الزبون أو
+
+326
+00:24:58,940 --> 00:25:03,560
+مالك المشروع الشخص اللي هنسلمه المشروع في الآخر
+
+327
+00:25:03,560 --> 00:25:06,120
+أو الجهة اللي هنسلمها المشروع أو ال system في
+
+328
+00:25:06,120 --> 00:25:09,580
+الآخر تمام what do the system stakeholders require
+
+329
+00:25:09,580 --> 00:25:14,000
+or expect from the system هذا الكلام بينحصر أو
+
+330
+00:25:14,000 --> 00:25:19,680
+بيتحدد وبيدرس في هذا ال .. في هذا النشاط بعد هيكة
+
+331
+00:25:19,680 --> 00:25:24,360
+لما احنا نسأل وناخد feedback يعني لما احنا نسأل
+
+332
+00:25:24,360 --> 00:25:29,740
+المنتفعين أو الشركة وندرس كل هذا الكلام بيظل ربما
+
+333
+00:25:29,740 --> 00:25:35,120
+في ذهننا سؤالنا وحصلنا على إجابات واتكونت عندنا
+
+334
+00:25:35,120 --> 00:25:40,000
+فكرة عن ال system عن إيش الاحتياجات وعيش ال
+
+335
+00:25:40,000 --> 00:25:43,560
+functions وعيش ال services والكلام هذا لكن هذا
+
+336
+00:25:43,560 --> 00:25:50,200
+الأمر لازم يدون بشكل إيش بشكل واضح وبشكلمحدد فهنا
+
+337
+00:25:50,200 --> 00:25:53,540
+ال specification يقصد بها defining specification
+
+338
+00:25:53,540 --> 00:25:56,000
+requirement specification defining the
+
+339
+00:25:56,000 --> 00:26:00,640
+requirements in detail وخلي بالك أنه ال
+
+340
+00:26:00,640 --> 00:26:04,600
+specification هذه هتكون هي الأساس اللي على أساسه
+
+341
+00:26:04,600 --> 00:26:09,400
+اللي عليه بدي تم التحقق لاحقا من هل لما نعمل
+
+342
+00:26:09,400 --> 00:26:16,670
+validation هل أنه system عمل بي .. بي .. بيلبي
+
+343
+00:26:16,670 --> 00:26:22,550
+المتطلبات ولا لأ؟ مش حاجي أتحقق من هذا الأمر في ال
+
+344
+00:26:22,550 --> 00:26:28,090
+validation بناء على الكلام اللي سمعته أو الكلام
+
+345
+00:26:28,090 --> 00:26:33,330
+اللي أنا أظنته لأ بدي نتحقق على أساس الكلام اللي
+
+346
+00:26:33,330 --> 00:26:38,310
+انكتب واتحدد بشكل مفصل ال requirements validation
+
+347
+00:26:38,310 --> 00:26:41,230
+اللي هي checking the validity of the requirements
+
+348
+00:26:41,230 --> 00:26:45,450
+بمعنى أنه بعد ما احنا مروينا بعد الأمر بنشوف هل
+
+349
+00:26:45,450 --> 00:26:49,190
+فعلا هذا ال requirements بعد ما أصيغته كل شيء هل
+
+350
+00:26:49,190 --> 00:26:53,410
+فعلا هذا ال requirements valid هل هي فعلا تلبي
+
+351
+00:26:53,410 --> 00:26:57,010
+احتياجاته يعني هو إذا قال أنا احتياجي أن أنا أخفف
+
+352
+00:26:57,010 --> 00:27:01,950
+النفقات بالنسبة 10% وأجينا وحصرنا الحاجات اللي
+
+353
+00:27:01,950 --> 00:27:05,790
+بده ال system يسويها فبدنا نتحقق أن فعلا هذا ال
+
+354
+00:27:05,790 --> 00:27:13,770
+system بهذه القدرات فعلا هيحقق هذا التوفير ولا لأ
+
+355
+00:27:13,770 --> 00:27:18,910
+آسف
+
+356
+00:27:18,910 --> 00:27:24,130
+ال slide دي مش واضح فيها الكلام بس هي بتلخص بشكل
+
+357
+00:27:24,130 --> 00:27:31,290
+flow chart من وين بنبدأ؟ من وين بنبدأ في ال
+
+358
+00:27:31,290 --> 00:27:35,750
+process؟ هذا كله ما يتعلق بس بيه اللي هو ال
+
+359
+00:27:35,750 --> 00:27:39,830
+specification يعني هذا flow chart لجزء من ال
+
+360
+00:27:39,830 --> 00:27:43,370
+process جزء واحد من ال process اللي هو ال
+
+361
+00:27:43,370 --> 00:27:48,990
+specifications وين نبدأ هنا؟ وين؟ هناك ولا هنا؟
+
+362
+00:27:48,990 --> 00:27:53,320
+لأن الأسهم خش على بعض هو ..هي هتوا ال feasibility
+
+363
+00:27:53,320 --> 00:27:58,640
+study صح؟ إذا كرروا مرة ثانية أن الأشكال هذه تمثل
+
+364
+00:27:58,640 --> 00:28:02,360
+أفعال عمليات احنا بنقوم بها فريق اللي عمل ال
+
+365
+00:28:02,360 --> 00:28:06,620
+software engineers والمربعات هذه هي عبارة عن منتج
+
+366
+00:28:06,620 --> 00:28:10,410
+document عادة ال Feasibility Study بينتج عنها الـ
+
+367
+00:28:10,410 --> 00:28:14,210
+Feasibility Report التقرير والتقرير هذا خلاصة كلمة
+
+368
+00:28:14,210 --> 00:28:18,550
+واحدة أو كلمتين أنه نعم مش دي الشرورة في هذا القبر
+
+369
+00:28:18,550 --> 00:28:23,390
+ولا لأ مش مش دي ولا ينصح بي القيام بيه ماشي بس
+
+370
+00:28:23,390 --> 00:28:27,290
+طبعا الكلمتين دول لازم يوجه مفصل التبرير تبعهم ولا
+
+371
+00:28:27,290 --> 00:28:31,860
+لا Okay المهم هي عملية قد تأخذ أسابيع أو قد تأخذ
+
+372
+00:28:31,860 --> 00:28:37,140
+أكثر حسب حجم ال .. حجم ال system خلاصتها في هذا
+
+373
+00:28:37,140 --> 00:28:40,080
+التقرير okay ال requirements specification and
+
+374
+00:28:40,080 --> 00:28:43,260
+analysis برضه كمان بناء على ال requirements
+
+375
+00:28:43,260 --> 00:28:46,260
+specification and analysis بيطلع أن حاجة اسم ال
+
+376
+00:28:46,260 --> 00:28:48,900
+system models احنا جزء من عملية ال software
+
+377
+00:28:48,900 --> 00:28:53,680
+engineering اللي هي إصدار هذه ال models هذه ال
+
+378
+00:28:53,680 --> 00:28:57,460
+models زيها زي في ال .. في الهندسة المعمارية وهيك
+
+379
+00:28:57,460 --> 00:29:00,480
+لما بيعملوا اللي هو ال blue prints أو المخططات
+
+380
+00:29:00,480 --> 00:29:05,900
+المباني فاحنا بتاع برضه كمان لازم في مراحل متقدمة
+
+381
+00:29:05,900 --> 00:29:10,660
+مبكرة من عملية ال software engineering تعمل models
+
+382
+00:29:10,660 --> 00:29:15,140
+تعمل أشكال توضيحية اللي تعبر عن بنية ال system وعن
+
+383
+00:29:15,140 --> 00:29:19,780
+مكوناته وعن أوظافه وما إلى ذلك في موديلز خاصة
+
+384
+00:29:19,780 --> 00:29:23,640
+بالـ requirements في رسمات زي حاجة اسمها ال use
+
+385
+00:29:23,640 --> 00:29:28,120
+case ال use case رسمات بنعملها احنا وهنشوف في
+
+386
+00:29:28,120 --> 00:29:33,740
+المادة هذه إن شاء الله كيف بترتسم ومستخدم مخصوص
+
+387
+00:29:33,740 --> 00:29:37,060
+للتعبير عن اللي هو ال requirements تبع ال system
+
+388
+00:29:37,950 --> 00:29:41,310
+الـ Requirements Specification بيطلع عنها اللي هو
+
+389
+00:29:41,310 --> 00:29:44,430
+الـ User and System Requirements، هذا أشي مفصل
+
+390
+00:29:44,430 --> 00:29:47,390
+أكثر، يعني أنواع أخرى من الـ Models مفصلة أكثر،
+
+391
+00:29:47,390 --> 00:29:50,470
+بتعبر عن الـ Requirements، الـ Requirement
+
+392
+00:29:50,470 --> 00:29:54,760
+Validation بعد ذلك بيطلع الـ Requirements Document
+
+393
+00:29:54,760 --> 00:29:57,860
+اللي هي بعد ما تكون تحددت ال Requirements وعمل
+
+394
+00:29:57,860 --> 00:30:01,520
+عليها validation تطلع ال Requirements Document
+
+395
+00:30:01,520 --> 00:30:04,440
+النهائية ال Requirements Document النهائية هذه
+
+396
+00:30:04,440 --> 00:30:08,900
+أحيانا بيطلق عليها اسم SRS Software Requirements
+
+397
+00:30:08,900 --> 00:30:10,980
+Specification Document
+
+398
+00:30:13,990 --> 00:30:18,330
+طبعا في خطة
+
+399
+00:30:18,330 --> 00:30:23,330
+طبعتكم فيها مادة اسمها إيش؟ هندسة المتطلبات مرت
+
+400
+00:30:23,330 --> 00:30:26,970
+عليكم المادة هذه؟ مش هي اللي أخدتوها، بس شوفتوها
+
+401
+00:30:26,970 --> 00:30:33,810
+في الخطة اسمها هندسة المتطلبات طبعا فكل .. كل
+
+402
+00:30:33,810 --> 00:30:38,370
+المادة علشان نشوف كيف عملية إنتاج هذا ال document
+
+403
+00:30:38,370 --> 00:30:44,480
+من بداية من feasibility study للآن هذا الأمر ..
+
+404
+00:30:44,480 --> 00:30:48,620
+هذه الأنشطة ما بتيجيش هيك أب .. أنت بتبقى قاعد على
+
+405
+00:30:48,620 --> 00:30:51,420
+المكتب وبتفكر في ال .. في ال requirements و
+
+406
+00:30:51,420 --> 00:30:56,500
+بتسجلها تيجي من خلال عملية تفاعلية وعملية مكررة
+
+407
+00:30:56,500 --> 00:31:00,760
+ما بينك وما بين ال stakeholders اللي هم المؤسسة و
+
+408
+00:31:00,760 --> 00:31:05,360
+من يمثلها ال end users إذا كنت جواعد معاهم و .. و
+
+409
+00:31:05,360 --> 00:31:08,800
+بعدين هتعمل .. هتعمل ربما تعمل prototyping يعني
+
+410
+00:31:08,800 --> 00:31:13,890
+تعمل مماذج من ال software جابل لسه احنا ندخل حتى في
+
+411
+00:31:13,890 --> 00:31:18,670
+ال design تبعه نعمل نماذج افتراضية اللي من خلالها
+
+412
+00:31:18,670 --> 00:31:24,030
+ال user يعبر يقولي اه تاخد حجها من الزمن ليش لأن
+
+413
+00:31:24,030 --> 00:31:29,290
+جداش أنا بتعب فيها برايح حالي اه وبتجنب الوقوع
+
+414
+00:31:29,290 --> 00:31:35,370
+في إيش أخطاء ومطبات وأشياء يعني زي وجهات فيها
+
+415
+00:31:35,370 --> 00:31:43,460
+تكلفة العودة وتصليحها مكلفة ومجهدة تمام الآن في
+
+416
+00:31:43,460 --> 00:31:48,380
+ال implementation مرحلة ال implementation design
+
+417
+00:31:48,380 --> 00:31:54,360
+and ال development هذه هي بقى عن design وأيضا
+
+418
+00:31:54,360 --> 00:31:59,380
+implementation فاحنا
+
+419
+00:31:59,380 --> 00:32:02,340
+هنا في ال .. في ال stage هذه ال process of
+
+420
+00:32:02,340 --> 00:32:05,500
+converting the system specification into an
+
+421
+00:32:05,500 --> 00:32:10,370
+executable system Okay فالآن احنا بنقول design and
+
+422
+00:32:10,370 --> 00:32:13,990
+implementation يعني بنحط تصميم تابع للـ system
+
+423
+00:32:13,990 --> 00:32:20,030
+بنيته ومكوناته وكل مكون شو بيسوي وكيف بتفاعل مع 
+
+424
+00:32:20,030 --> 00:32:23,610
+المكونات الأخرى، أيش طبيعة البيانات اللي بياخدها، أيش 
+
+425
+00:32:23,610 --> 00:32:27,320
+طبيعة البيانات اللي بيطلعها، مكونات.. مكونات اللي 
+
+426
+00:32:27,320 --> 00:32:30,960
+بتكون منها الـ system ككل، هذا الـ design وبعد هيك
+
+427
+00:32:30,960 --> 00:32:33,900
+بناءً على هذا الـ design بيجي المبرمجين واللي هذا
+
+428
+00:32:33,900 --> 00:32:38,140
+بنفذ هذا الأمر، وفي الآخر أيش بيطلع معايا؟ بيطلع
+
+429
+00:32:38,140 --> 00:32:41,860
+معايا الـ system خلاص، فالمرحلة هذه اللي هي الـ
+
+430
+00:32:41,860 --> 00:32:45,380
+design and
+
+431
+00:32:45,380 --> 00:32:50,600
+implementation، أيش اللي بيسبقها؟ اللي هو أول كنا
+
+432
+00:32:50,600 --> 00:32:55,440
+بنحكي فيه اللي هو مرحلة الـ specification، وأيش اللي
+
+433
+00:32:55,440 --> 00:33:00,640
+بيليها؟ أنا
+
+434
+00:33:00,640 --> 00:33:02,900
+بعد ما أكون عملت الـ design وعملت الـ implementation
+
+435
+00:33:02,900 --> 00:33:06,740
+يعني أيش طلعت الـ output تبع هذه العملية؟ هو بقى الـ
+
+436
+00:33:06,740 --> 00:33:12,480
+executable system، أيش عن executable يعني قابل 
+
+437
+00:33:12,480 --> 00:33:16,240
+التنفيذ، خلاص قابل للاستخدام، جاهز للاستخدام، هذه أيش
+
+438
+00:33:16,240 --> 00:33:20,580
+العملية؟ أيش المخرج تبعها؟ اللي هو الـ SRS اللي كنا
+
+439
+00:33:20,580 --> 00:33:24,280
+بنحكي اللي هو specification document
+
+440
+00:33:28,090 --> 00:33:33,170
+فهذه هي عملية تحويل الـ requirements إلى
+
+441
+00:33:33,170 --> 00:33:42,150
+executable، إلى نظام جاهز للاستخدام، الـ process of 
+
+442
+00:33:42,150 --> 00:33:47,410
+converting الـ specifications، المتطلبات التي تم
+
+443
+00:33:47,410 --> 00:33:50,590
+تحديدها في المرحلة السابقة، إلى executable system 
+
+444
+00:33:50,590 --> 00:33:54,850
+جاهز للاستخدام، الـ Software Design يُقصد به
+
+445
+00:33:54,850 --> 00:34:00,640
+Designing الـ Structure، هيكلية الـ، هيكلية الـ
+
+446
+00:34:00,640 --> 00:34:04,140
+system، والـ implementation اللي هي هذه الهيكلية
+
+447
+00:34:04,140 --> 00:34:06,660
+أيها معناته؟ معناته زي ما أنا قلت اللي هي الـ
+
+448
+00:34:06,660 --> 00:34:10,000
+components وعلاقتهم ببعض، وكل component أيش بالظبط
+
+449
+00:34:10,000 --> 00:34:14,180
+وظيفتها، وأيش الـ input تبعها، والـ output تبعها
+
+450
+00:34:14,180 --> 00:34:17,800
+الـ implementation اللي هو قلنا المبرمج بيجي أو 
+
+451
+00:34:17,800 --> 00:34:22,660
+المبرمجين بييجوا ويترجموا هذا الكلام إلى برنامج
+
+452
+00:34:22,660 --> 00:34:23,620
+على أرض الواقع
+
+453
+00:34:27,690 --> 00:34:31,290
+وهذول طبعًا لأنهم عمليتين ماشيين مع بعض اللي هو الـ
+
+454
+00:34:31,290 --> 00:34:34,790
+implementation والـ design، فغالبًا ما بيتموا
+
+455
+00:34:34,790 --> 00:34:37,990
+interleaved، كلمة interleaved أيش يعني؟ يعني مش إن
+
+456
+00:34:37,990 --> 00:34:43,210
+واحدة بتكتمل والتانية بتبدأ وخلاص لأ، بتلاقي أثناء
+
+457
+00:34:43,210 --> 00:34:47,990
+ما بيصير design أيضًا بيصير implementation، وممكن
+
+458
+00:34:47,990 --> 00:34:51,710
+ما يبقاش كتامة للـ design يعني كتامة جزئية من الـ
+
+459
+00:34:51,710 --> 00:34:55,630
+design، فروحنا عملنا implementation لها، كتامة للـ
+
+460
+00:34:55,630 --> 00:34:57,950
+design أخرى ونعملها implementation، ممكن الـ
+
+461
+00:34:57,950 --> 00:35:02,230
+implementation لما نيجي نتحقق نعمل testing نلاقي 
+
+462
+00:35:02,230 --> 00:35:05,670
+فيه خطأ، والخطأ هذا أصله في الـ design، فنرجع ثاني
+
+463
+00:35:05,670 --> 00:35:08,850
+على الـ design عشان نعدل الـ design، و ثم نرجع ثاني
+
+464
+00:35:08,850 --> 00:35:13,450
+نبرمج، فهي مقصودة بـ Interleaved يعني متداخلتين اللي
+
+465
+00:35:13,450 --> 00:35:19,240
+هو الـ design والـ implementation، Okay، الـ design
+
+466
+00:35:19,240 --> 00:35:24,460
+بيشمل الـ design بيشمل عدة جوانب من الـ system 
+
+467
+00:35:24,460 --> 00:35:29,360
+الجوانب البرمجية وأيضًا اللي هو قاعدة البيانات، okay
+
+468
+00:35:29,360 --> 00:35:38,180
+احنا الآن اتفقنا على أنه الـ design activities أيش 
+
+469
+00:35:38,180 --> 00:35:42,570
+الـ input الأساسي تبعها؟ اللي هو الـ Requirements
+
+470
+00:35:42,570 --> 00:35:45,010
+Specification، صح؟ هذا الـ Requirements
+
+471
+00:35:45,010 --> 00:35:48,710
+Specification فيه إلى جانبه أيضًا فيه كمان حاجة
+
+472
+00:35:48,710 --> 00:35:50,470
+اسمها الـ Data Description والـ Platform
+
+473
+00:35:50,470 --> 00:35:53,050
+Information، الـ Platform حد بيعرف أيش الـ 
+
+474
+00:35:53,050 --> 00:35:58,720
+Platform؟ المنصة، يعني أيش المنصة؟ يعني أنا بدي أعمل
+
+475
+00:35:58,720 --> 00:36:02,620
+الـ system بدي يشتغل على ويندوز، على الـ web، على 
+
+476
+00:36:02,620 --> 00:36:06,680
+يونيكس، على موبايلات، على هذا المقصود بالمنصة اللي 
+
+477
+00:36:06,680 --> 00:36:10,740
+هي الأرضية اللي هييجي يشتغل الـ system على أساسها
+
+478
+00:36:10,740 --> 00:36:14,540
+تمام، الـ data description اللي هو أنه أيضًا برضه هذا
+
+479
+00:36:14,540 --> 00:36:17,560
+الـ system بدي يتعامل مع بيانات، بدي ياخد بيانات ويطلع
+
+480
+00:36:17,560 --> 00:36:21,370
+بيانات، بنا نعرف برضه كمان شو هي صفتها هذه
+
+481
+00:36:21,370 --> 00:36:26,830
+البيانات، أيش الجداول، أيش كل جدول بيحتوي على أيش
+
+482
+00:36:26,830 --> 00:36:29,470
+وما إلى ذلك، تمام؟ وهذه الـ requirements
+
+483
+00:36:29,470 --> 00:36:32,070
+specifications يقصد بها الوظائف اللي بيقوم بها الـ
+
+484
+00:36:32,070 --> 00:36:36,370
+system، فكل هذه المعطيات هي اللي على أساسها بيقدر
+
+485
+00:36:36,370 --> 00:36:41,210
+نبدأ في عملية الـ design، عملية الـ design تبدأ من الـ
+
+486
+00:36:41,210 --> 00:36:46,470
+architectural design اللي هو التصميم الهيكلي العام
+
+487
+00:36:46,660 --> 00:36:51,060
+هو هذا التصميم الهيكل العام بيحدد الـ components لأن
+
+488
+00:36:51,060 --> 00:36:56,280
+في كل component بدي أُحدد وظيفتها، هذا جانب من الـ
+
+489
+00:36:56,280 --> 00:37:00,480
+design، الجانب الآخر هو الـ interface design، كلمة
+
+490
+00:37:00,480 --> 00:37:01,560
+مبينة إنها interface
+
+491
+00:37:04,930 --> 00:37:09,710
+واجهة المستخدم، واجهة التفاعل، كلمة interface أحيانًا
+
+492
+00:37:09,710 --> 00:37:12,850
+نقصد فيها لما احنا هنا في الـ architectural design
+
+493
+00:37:12,850 --> 00:37:16,170
+مش قلنا إن في components، ما بين كل component و
+
+494
+00:37:16,170 --> 00:37:19,450
+component إذا في تفاعل في حاجة اسمها interface، في
+
+495
+00:37:19,450 --> 00:37:23,490
+المصر، في الـ objects وفي الـ classes إذا بتذكروا
+
+496
+00:37:23,490 --> 00:37:27,330
+فاحنا هنا بنحكي عن الـ user interface design، ما
+
+497
+00:37:27,330 --> 00:37:30,830
+بنحكي عن الـ interface ما بين الـ components، صح؟ user
+
+498
+00:37:30,830 --> 00:37:35,310
+بنحط كلمة user interface أو graphical interface
+
+499
+00:37:35,310 --> 00:37:40,770
+design، صحيح، وهذه قضية مهمة جدًا وأنا يعني عجبني جدًا 
+
+500
+00:37:40,770 --> 00:37:43,790
+أنه حاططها في النص يعني، اندي هنا architectural
+
+501
+00:37:43,790 --> 00:37:46,930
+design وهنا حاجة اسمها component design وفي النص
+
+502
+00:37:46,930 --> 00:37:52,410
+interface design لأنه يجب أن هي عادة مش ماخدة
+
+503
+00:37:52,410 --> 00:37:56,270
+حقها، بس يجب أن تأخذ حقها في عملية الـ design، لأن
+
+504
+00:37:56,270 --> 00:38:01,070
+كثير من الـ systems بتفشل أو مستوى الرضا الـ user في 
+
+505
+00:38:01,070 --> 00:38:05,830
+النهاية عنها بيبقى منخفض، مش لأنها والله مابتحسبش 
+
+506
+00:38:05,830 --> 00:38:11,410
+صح ولا لأنها مش سريعة ولا لأ، إنما لأن واجهة
+
+507
+00:38:11,410 --> 00:38:15,410
+الـ system مابحكيش عن الواجهة من حيث الألوان
+
+508
+00:38:15,410 --> 00:38:21,170
+والتشكيل لأ، سهولة التفاعل، المجهود اللي بيبذله الـ
+
+509
+00:38:21,170 --> 00:38:28,140
+user في التعامل مع الـ system، يعني مش يصير فحديثة 
+
+510
+00:38:28,140 --> 00:38:33,220
+بينفر الـ user، من المهم هذا جزء آخر مهم جدًا في 
+
+511
+00:38:33,220 --> 00:38:38,880
+مرحلة الـ design، الـ component design اللي هي أيش
+
+512
+00:38:38,880 --> 00:38:41,480
+قلنا عايزا هذا الـ architecture اللي هو التصميم
+
+513
+00:38:41,480 --> 00:38:45,880
+الهيكلي، هذا التصميم الجزئي لكل واحدة من الـ
+
+514
+00:38:45,880 --> 00:38:50,690
+components، Okay، وفينا برضه كمان الـ database design
+
+515
+00:38:50,690 --> 00:38:54,670
+الـ database اللي هي تشمل الجداول، تشمل الـ queries
+
+516
+00:38:54,670 --> 00:38:59,850
+وما إلى ذلك، okay، الـ design outputs الآن عملية الـ 
+
+517
+00:38:59,850 --> 00:39:03,410
+design إذا كان هذا، إذا كانت هذه الـ activities
+
+518
+00:39:03,410 --> 00:39:08,470
+الأربعة دول هم الـ activities والثلاثة هم مدخلات، صح؟
+
+519
+00:39:08,470 --> 00:39:12,210
+مدخلات عملية الـ design، وعملية الـ design هذه الـ 
+
+520
+00:39:12,210 --> 00:39:16,410
+activities فيها، طب أيش مخرجاتها؟ مخرجات عملية الـ
+
+521
+00:39:16,410 --> 00:39:24,640
+design اللي هي كل حتيب جياش مستندات، صح؟ هيبقى فيه 
+
+522
+00:39:24,640 --> 00:39:28,060
+الـ System Architecture اللي هو هيكلية عامة للـ
+
+523
+00:39:28,060 --> 00:39:30,420
+System، هيبقى الـ Database Specification اللي هي 
+
+524
+00:39:30,420 --> 00:39:34,180
+هيكلية قاعدة البيانات والجداول اللي فيها والحقول
+
+525
+00:39:34,180 --> 00:39:37,560
+ وكل حقل أيش نوعه، والعلاقات ما بين
+
+526
+00:39:37,560 --> 00:39:40,700
+الجداول وما إلى ذلك، الـ Interface Design اللي
+
+527
+00:39:40,700 --> 00:39:45,720
+الشكل، sketchات أو مخططات لشكل الواجهات المختلفة
+
+528
+00:39:45,720 --> 00:39:48,300
+ممكن يبقى أكثر من شاشة، والـ Component
+
+529
+00:39:48,300 --> 00:39:53,050
+Specification، كل واحدة من الـ components أيش أيش 
+
+530
+00:39:53,050 --> 00:39:55,850
+بتسوي؟ أيش الـ input تبعها؟ أيش الـ output تبعها؟
+
+531
+00:39:55,850 --> 00:40:00,130
+كيف بتقوم بعملية معالجة الـ input وإصدار الـ
+
+532
+00:40:00,130 --> 00:40:08,010
+output؟ هذا كله يعني من هذه المرحلة ومن المرحلة
+
+533
+00:40:08,010 --> 00:40:13,890
+السابقة بتبين للواحد جدّيش حجم الشغل اللي بتنطوي 
+
+534
+00:40:13,890 --> 00:40:16,830
+عليه عملية software engineering، software
+
+535
+00:40:16,830 --> 00:40:20,600
+engineering، بس السؤال اللي في الآخر هو أنه هذا 
+
+536
+00:40:20,600 --> 00:40:25,220
+الشغل متى بينعمل؟ متى بيبقى مستاهل إن أنا أقوم بكل 
+
+537
+00:40:25,220 --> 00:40:29,820
+هذا اللخمة ده كله أو هالمجهد ده كله؟ طبعًا هذا الأمر
+
+538
+00:40:29,820 --> 00:40:34,300
+بيتناسب مع أيش حجم الـ.. المشروع اللي أنا شغال عليه،
+
+539
+00:40:34,300 --> 00:40:38,580
+إذا والله مشروع بخمسمائة دولار ما أعتقدش إنه مستاهل
+
+540
+00:40:38,580 --> 00:40:44,010
+كل هالدوشة دي، إنما لما نكون بخمسة آلاف دولار، طبعًا
+
+541
+00:40:44,010 --> 00:40:47,850
+فمعناه ذلك إنه لا مستاهل، وبده أجيب أنا معايا طاقم 
+
+542
+00:40:47,850 --> 00:40:53,600
+عمل اللي يشتغلوا معايا عشان نقوم بكل هذه الأنشطة و
+
+543
+00:40:53,600 --> 00:40:57,020
+بعينيا
+
+544
+00:40:57,020 --> 00:41:00,420
+هذا لسه احنا بنحكي عن اللي هو مين؟ الـ specification 
+
+545
+00:41:00,420 --> 00:41:04,920
+والـ development، لسه الـ validation، قضية الـ testing
+
+546
+00:41:04,920 --> 00:41:09,200
+غالبًا ما بنغفلها لأن احنا في كثير من الحالات بعد
+
+547
+00:41:09,200 --> 00:41:11,980
+ما نسلم الـ software بيجي فيه عقد صغير، لا الـ
+
+548
+00:41:11,980 --> 00:41:15,480
+maintenance بينتهي بعد أكثر من شهر وبعدين ما أحدش
+
+549
+00:41:15,480 --> 00:41:20,530
+بيعرف أحد، لكن الشغل الـ.. الـ.. الـ.. الـ software
+
+550
+00:41:20,530 --> 00:41:24,790
+اللي عليه ميزانية عالية اللي بينعمل عليه testing
+
+551
+00:41:24,790 --> 00:41:30,330
+أثناء الـ development، وtesting قبل التسليم وبشكل
+
+552
+00:41:30,330 --> 00:41:34,070
+يعني مستفيد، بحيث أنه لا يترك أي شيء للصدفة، أنه 
+
+553
+00:41:34,070 --> 00:41:38,510
+يحدث خطأ، لأنه في.. في systems الخطأ الصغير ممكن
+
+554
+00:41:38,510 --> 00:41:46,620
+تبعاته تكون يعني أثرها مخاسر كبيرة، تمام، الـ design
+
+555
+00:41:46,620 --> 00:41:50,300
+activities، خلاص احنا حكيناها، الـ software
+
+556
+00:41:50,300 --> 00:41:53,700
+validation اللي يقصد به في المرحلة الأخيرة هنا الـ
+
+557
+00:41:53,700 --> 00:41:57,020
+software validation اللي هي to validate to verify
+
+558
+00:41:57,020 --> 00:42:03,600
+أن الـ system بيعمل اللي انطلب منه، وvalidate أن 
+
+559
+00:42:03,600 --> 00:42:10,340
+المتطلبات فعلًا تلائم الـ user، هنفرق
+
+560
+00:42:10,340 --> 00:42:16,050
+ما بين الـ V الأولى والـ V الثانية، verify و validate 
+
+561
+00:42:16,050 --> 00:42:19,730
+تمام؟
+
+562
+00:42:19,730 --> 00:42:26,430
+validation من valid okay ماشي و غالبا valid نسمحها
+
+563
+00:42:26,430 --> 00:42:31,970
+نقول مثلا valid for يعني this صالح ليه يعني أحيانا
+
+564
+00:42:31,970 --> 00:42:35,650
+على ال toys بتقولك valid for children above three
+
+565
+00:42:35,650 --> 00:42:41,150
+years صالح للإيش؟ للأطفال من سنة تلاتة فما فوق 
+
+566
+00:42:41,150 --> 00:42:44,930
+valid يعني دائما اذكر معاه valid for valid for
+
+567
+00:42:44,930 --> 00:42:50,080
+يعني أنا بدي أتحقق أن هذا شيء مناسب لهذه الـ
+
+568
+00:42:50,080 --> 00:42:54,560
+validation ملائمة الـ system لفعلا احتياجات
+
+569
+00:42:54,560 --> 00:42:59,060
+المستخدم
+
+570
+00:42:59,060 --> 00:43:02,360
+هذه الـ validation طب ال verification to verify
+
+571
+00:43:02,360 --> 00:43:08,820
+verify يعني نتحقق نتحقق من أنه إيش؟ أن ال system
+
+572
+00:43:08,820 --> 00:43:14,150
+فعلا بيلبي المتطلبات اللي اتحددت له وانت هنا to
+
+573
+00:43:14,150 --> 00:43:18,810
+verify أنه أداء ال system مطابق للوصف أو ال
+
+574
+00:43:18,810 --> 00:43:22,370
+requirements اللي اتحددت في ال ... فهذه ال
+
+575
+00:43:22,370 --> 00:43:25,970
+validation غالبا بتيجي للتحقق من أنه اصلا ال
+
+576
+00:43:25,970 --> 00:43:29,610
+specifications ملائمة أو ال specifications بتعبر
+
+577
+00:43:29,610 --> 00:43:33,960
+عنها أو بتلبي احتياجات اللي هدفه والـ Verification
+
+578
+00:43:33,960 --> 00:43:37,960
+أن الـ system بعد ما اتنفذ فعلا مطابق للمواصفات
+
+579
+00:43:37,960 --> 00:43:41,280
+اللي اتحددت له في ال specification وفي ال design
+
+580
+00:43:41,280 --> 00:43:45,460
+تمام فهذا involves يشتمل على ال checking and
+
+581
+00:43:45,460 --> 00:43:49,680
+reviewing ل processes and system testing بنعمل ...
+
+582
+00:43:49,680 --> 00:43:55,740
+بنعمل testing لل system وال testing هذا له ... له
+
+583
+00:43:55,740 --> 00:44:01,920
+مستويات يعني Executing ال system والـ test cases
+
+584
+00:44:01,920 --> 00:44:04,680
+that are derived from specification يعني بناء على
+
+585
+00:44:04,680 --> 00:44:11,580
+ال specification بينعمل اللي هو الاختبارات okay
+
+586
+00:44:11,580 --> 00:44:16,600
+فينا تلت أنواع أساسية من ال testing اللي هو ال
+
+587
+00:44:16,600 --> 00:44:19,100
+component testing ال system testing و ال
+
+588
+00:44:19,100 --> 00:44:23,120
+acceptance testing الأسامي هذه صارت واضحة الآن ولا
+
+589
+00:44:23,120 --> 00:44:29,520
+... ولا لسه component testing system testing أحد
+
+590
+00:44:29,520 --> 00:44:33,460
+بيقدر يميز الفرق بين هدول الاثنين على الأقل هدول ال
+
+591
+00:44:33,460 --> 00:44:36,320
+component system و ال testing system ال component
+
+592
+00:44:36,320 --> 00:44:39,760
+testing احنا إيش الهدف تبعنا نتأكد من إيه عشان
+
+593
+00:44:39,760 --> 00:44:45,460
+نختبر نتحقق من أنه إن كل واحد من ال components
+
+594
+00:44:45,460 --> 00:44:50,320
+شغالة حسب ما ال design اللي حطينا له لأن في واحد عمل
+
+595
+00:44:50,320 --> 00:44:53,600
+design و في واحد عمل implementation فبعد ما هدف
+
+596
+00:44:53,600 --> 00:44:58,400
+بدنا نشوف أن it was implemented صح according to
+
+597
+00:44:58,400 --> 00:45:02,830
+design يبقى هذا testing جزءي خلينا نقول جزءي وهذا
+
+598
+00:45:02,830 --> 00:45:07,230
+ال testing اللي هو الشامل اللي هو أن ال system كله
+
+599
+00:45:07,230 --> 00:45:10,210
+ال components كلها شغالة بشكل سليم و ال system
+
+600
+00:45:10,210 --> 00:45:13,810
+بيعطي ال response أو بيعطي ال output السليم في كل
+
+601
+00:45:13,810 --> 00:45:18,060
+الأحوال الـ Acceptance Acceptance Testing أن والله
+
+602
+00:45:18,060 --> 00:45:22,600
+في الآخر ال system هذا هيتركب على ال environment
+
+603
+00:45:22,600 --> 00:45:26,800
+تبع المؤسسة على ال platform هيجي ال user هيقعد
+
+604
+00:45:26,800 --> 00:45:31,840
+هيشغل هيشوف ال interface هيدخل حالات و يشوف إيش ال
+
+605
+00:45:31,840 --> 00:45:37,220
+output فبصفة عامة ال system شغال في بيئة العمل
+
+606
+00:45:37,220 --> 00:45:41,720
+المستهدفة و كل شيء تمام هذا هو اللي بنفحص في ال
+
+607
+00:45:41,720 --> 00:45:45,940
+acceptance testing acceptance اللي هو يفترض أنه
+
+608
+00:45:45,940 --> 00:45:52,940
+بناء عليه بده المطور ياخد كام؟ المستحقاته المالية
+
+609
+00:45:52,940 --> 00:45:58,060
+صح؟ لما ال user قال أنا من ال system لأ يعني مش
+
+610
+00:45:58,060 --> 00:46:04,740
+راضي عنه فهتتعطل عمليات السداد و الدفع و الكلام
+
+611
+00:46:04,740 --> 00:46:10,840
+هذا كله okay component testing ال system testing و
+
+612
+00:46:10,840 --> 00:46:12,480
+ال acceptance testing حكينا فيهم
+
+613
+00:46:16,170 --> 00:46:21,350
+الآن احنا فيه عندنا نموذج لعمليات ال testing نموذج
+
+614
+00:46:21,350 --> 00:46:25,930
+لعمليات ال testing اللي بيسموه اللي هو ال V ال V
+
+615
+00:46:25,930 --> 00:46:33,010
+process خلينا على السريع نطلع عليها و بعدين بنخلص
+
+616
+00:46:33,010 --> 00:46:39,330
+okay في عندنا احنا في عندنا خطين هنا خط اللي هو ال
+
+617
+00:46:39,330 --> 00:46:42,980
+documents اللي انعملت أثناء عملية ال specification
+
+618
+00:46:42,980 --> 00:46:45,520
+وعملية ال design فيها ال requirement specification
+
+619
+00:46:45,520 --> 00:46:51,860
+ال SRS وفيها اسم ال system specification وفيه
+
+620
+00:46:51,860 --> 00:46:55,560
+system design وفيه detail design كل واحد منها بيترتب 
+
+621
+00:46:55,560 --> 00:47:00,280
+عليه يعني لما احنا محددناش ال requirements
+
+622
+00:47:00,280 --> 00:47:03,720
+بناء على ال requirements اللي اتحددت هنا بنروح
+
+623
+00:47:03,720 --> 00:47:08,060
+بنفكر okay كيف بدنا نختبر ال system لما نكون اكتمل
+
+624
+00:47:09,130 --> 00:47:11,930
+بدي ... بدي ... بدنا نختبره بناء على ال requirements
+
+625
+00:47:11,930 --> 00:47:18,470
+ففي حاجة اسمها acceptance test plan خطة الاختبار
+
+626
+00:47:18,470 --> 00:47:22,790
+النهائي اللي هو اختبار التسليم خلينا نسميه اختبار
+
+627
+00:47:22,790 --> 00:47:28,510
+التسليم ال acceptance ال plan هذه عبارة عن مجموعة
+
+628
+00:47:28,510 --> 00:47:33,990
+من ال ... ال ... الاختبارات اللي بدنا نعمل أو بدنا
+
+629
+00:47:33,990 --> 00:47:37,930
+نختبر مثل شاشة ادخال الشاشة الفلانية الشاشة
+
+630
+00:47:37,930 --> 00:47:44,790
+الفلانية بدنا نختبر data كذا data كذا واضح فبنحط في
+
+631
+00:47:44,790 --> 00:47:48,550
+هذا ال plan مجموعة من ال experiments أو الاختبارات
+
+632
+00:47:48,550 --> 00:47:53,970
+هذا ال plan بتنعمل background قبل حتى ال system
+
+633
+00:47:53,970 --> 00:47:59,050
+ماشي ما يتصمم بتنعمل استنادا أو على أساس مرجعية
+
+634
+00:47:59,050 --> 00:48:02,270
+إيش؟ ال requirements اللي اتحددت فيه ال
+
+635
+00:48:02,270 --> 00:48:07,890
+requirements specification تمام؟ الآن في خطوة ال
+
+636
+00:48:07,890 --> 00:48:12,930
+system specification و ال system design بتكون
+
+637
+00:48:12,930 --> 00:48:17,670
+اتحددت مكونات ال system الآن هذا نظريا لسه لسه
+
+638
+00:48:17,670 --> 00:48:20,630
+احنا في ال design ما كناش عملنا حاجة بس نظريا
+
+639
+00:48:20,630 --> 00:48:25,750
+اتحددت مكوناته و كيف هتبقى مطارقة أو مترابطة مع
+
+640
+00:48:25,750 --> 00:48:32,030
+بعض بناء على هذا المنظور بنحدد نعمل integration
+
+641
+00:48:32,030 --> 00:48:35,990
+plan integration يعني كيف بنا نفحص بناء على هذا ال
+
+642
+00:48:35,990 --> 00:48:39,250
+design كيف بنا نفحص لما يعمل ال system أن ال
+
+643
+00:48:39,250 --> 00:48:45,510
+system مترابط و شغال فبتنحط ال plan في لحظتها
+
+644
+00:48:50,910 --> 00:48:57,330
+بنحط خطة لفحص ال subsystem كل جزئية من جزئيات اللي
+
+645
+00:48:57,330 --> 00:49:00,910
+ده أو كل اثنين من ال components تفاعلوا مع بعض
+
+646
+00:49:00,910 --> 00:49:09,550
+سليم ولا لأ؟ فهذه ال plans الخطط الاختبار بعد ما
+
+647
+00:49:09,550 --> 00:49:14,570
+يكون اكتمل عملية الانكود والعمل ال testing بنبدأ
+
+648
+00:49:14,570 --> 00:49:18,410
+على أساس هذا ال plan بنجري الاختبارات integration
+
+649
+00:49:18,410 --> 00:49:22,450
+test subsystem integration system integration
+
+650
+00:49:22,450 --> 00:49:28,450
+acceptance test و في الآخر بنعطي اللي هو المنتج لل
+
+651
+00:49:28,450 --> 00:49:33,710
+... فعملية ال testing هذه بتتخطط لها مسبقا من
+
+652
+00:49:33,710 --> 00:49:35,970
+المراحل ال background مراحل ال specification و
+
+653
+00:49:35,970 --> 00:49:40,410
+مراحل ال design آخر شيء اللي هو ال software
+
+654
+00:49:40,410 --> 00:49:45,090
+evolution اللي هو أنه احنا ال evolution إيش قلنا
+
+655
+00:49:45,090 --> 00:49:48,130
+ال
+
+656
+00:49:48,130 --> 00:49:51,910
+maintenance التعديل التطوير التحسين بالضبط okay
+
+657
+00:49:51,910 --> 00:49:53,210
+فاحنا الآن
+
+658
+00:49:56,560 --> 00:50:01,500
+بنفترض خلاص أن ال system انعمل و خلص و شغال واحنا
+
+659
+00:50:01,500 --> 00:50:04,140
+الآن بنحكي عن ال evolution تطوير ال system و
+
+660
+00:50:04,140 --> 00:50:08,440
+تحسينه ففي أنا existing system بدنا ال system هذا
+
+661
+00:50:08,440 --> 00:50:13,180
+نشوف و هل الآن يعني مثلا بعد ما تم تسليمه بسنة
+
+662
+00:50:15,080 --> 00:50:20,460
+استجدت متطلبات جديدة ولا لأ؟ فاحنا عاملين بنبدأ من
+
+663
+00:50:20,460 --> 00:50:24,140
+هنا بنبدأ من defining new system requirements
+
+664
+00:50:24,140 --> 00:50:28,440
+بنشوف إيش الآن احنا عاوزين بعدين بنقارن هذا اللي
+
+665
+00:50:28,440 --> 00:50:32,000
+احنا عاوزينه هذا الكلام بعد سنة بنقارن هو بال
+
+666
+00:50:32,000 --> 00:50:37,310
+existing system جداش بيلبي منه إيه؟ بإيش؟ بتطلع الفرق
+
+667
+00:50:37,310 --> 00:50:41,070
+هو عبارة عن التغييرات اللي لازمة قد يكون أشياء
+
+668
+00:50:41,070 --> 00:50:44,770
+بدأت تنحذف وقد يكون غالبا أشياء بدأت تضاف فهذه
+
+669
+00:50:44,770 --> 00:50:50,310
+الآن الحاجات اللي هتكون اقترحت يبقى عملية اقتراح
+
+670
+00:50:50,310 --> 00:50:54,810
+it changes بيجي بناء على إيش؟ بناء على أن ال
+
+671
+00:50:54,810 --> 00:50:59,430
+system بعد فترة معينة المؤسسة بتعيد تقييم
+
+672
+00:50:59,430 --> 00:51:05,180
+احتياجاتها okay؟ ما بنفعش كل ما يهب على حد ... ع بال
+
+673
+00:51:05,180 --> 00:51:11,340
+حد شيء جديد يروح يقول بدنا نعمل هذا الكلام لأ لازم
+
+674
+00:51:11,340 --> 00:51:15,140
+ناخده على فترات على فترة معينة بعد أن ال system
+
+675
+00:51:15,140 --> 00:51:18,880
+يكون اشتغل ست شهور سنة المؤسسة بتعيد تقييم
+
+676
+00:51:18,880 --> 00:51:22,620
+احتياجاتها بنشوف جداش من الاحتياجات هذه ال system
+
+677
+00:51:22,620 --> 00:51:27,580
+اللي موجود بيلبي جداش؟ حاجات إيش؟ حاجات جديدة اللي
+
+678
+00:51:27,580 --> 00:51:33,840
+محتاجين نضيفها فبينعمل اقتراح عليها هذا اقتراح
+
+679
+00:51:33,840 --> 00:51:38,470
+بالتعديلات على ال system هذا الاقتراح بيروح على ال
+
+680
+00:51:38,470 --> 00:51:42,870
+software engineers علشان يشوفوا كيف بدنا نعمل الآن
+
+681
+00:51:42,870 --> 00:51:46,570
+modification على ال system بحيث يلبيها التغييرات
+
+682
+00:51:46,570 --> 00:51:51,390
+الجديدة هذه اللي مطلوبة okay وبناء على ال
+
+683
+00:51:51,390 --> 00:51:55,330
+modifications هذه لما تتنفذ بيصير في عندي a new
+
+684
+00:51:55,330 --> 00:52:01,530
+system okay ال new system هذا بيصير هو الآن هو ال
+
+685
+00:52:01,530 --> 00:52:09,380
+existing system وتتكرر الدورة دي بشكل دوري ما نضبط
+
+686
+00:52:09,380 --> 00:52:14,140
+مش كل ما أحد بده يغير حاجة بنروح على طول بنطلب
+
+687
+00:52:14,140 --> 00:52:18,390
+تغييرات لأ بشكل دوري بتنعمل عملية ال evolution
+
+688
+00:52:18,390 --> 00:52:23,850
+تمام؟ احنا الآن هيك بيكون عمليا خلصنا الحكي عن
+
+689
+00:52:23,850 --> 00:52:27,530
+اللي هو ال activities ال process activities ال
+
+690
+00:52:27,530 --> 00:52:31,590
+activities المشتركة في مختلف النماذج ال software
+
+691
+00:52:31,590 --> 00:52:35,930
+development processes المحاضرة الجاية إن شاء الله
+
+692
+00:52:35,930 --> 00:52:42,750
+بنشوف اللي هو العملية التغيير هذه و برضه فيها
+
+693
+00:52:42,750 --> 00:52:48,610
+تفاصيل و بعدين بنشوف ال prototyping و بنشوف اللي
+
+694
+00:52:48,610 --> 00:52:55,770
+هو في الآخر ال rational unified process ماشي؟ و
+
+695
+00:52:55,770 --> 00:52:58,770
+احتمال كمان برضه المحاضرة الجاية نبدأ نحكي في
+
+696
+00:52:58,770 --> 00:53:02,770
+المشاريع المشاريع اللي بنعملها خلال الفصل ماشي بن
+
+697
+00:53:02,770 --> 00:53:07,070
+... بنرضه ال ... ال list المشاريع المقترحة و بنبدأ
+
+698
+00:53:07,070 --> 00:53:11,770
+نحكي عن اللي هو النماذج اللي بتكون تعبوها كل فريق
+
+699
+00:53:11,770 --> 00:53:17,330
+بده يعبي نموذج خاص بالمشروع تبعه من ال ... من بداية
+
+700
+00:53:17,330 --> 00:53:21,550
+العملية لآخرها فيها النماذج أعطيكم العافية
+
+Okay, provide the Arabic/English lecture transcript and I will correct any typos or grammatical errors while preserving the original dialect, meaning, and style. I will only output the corrected transcript in the same format. 
diff --git a/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/OGqmCp6ynUo_postprocess.srt b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/OGqmCp6ynUo_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..80a622856ae4f3e96f5f21495614e1c1afa2826a
--- /dev/null
+++ b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/OGqmCp6ynUo_postprocess.srt
@@ -0,0 +1,2800 @@
+1
+00:00:20,840 --> 00:00:23,320
+بسم الله الرحمن الرحيم الصلاة والسلام علي أشرف
+
+2
+00:00:23,320 --> 00:00:27,460
+المرسلين اليوم ان شاء الله بنكمل في نفس chapter
+
+3
+00:00:27,460 --> 00:00:30,960
+اتنين اللي هو بنحكي فيه عن ال software process كنا
+
+4
+00:00:30,960 --> 00:00:34,020
+بدينا المحاضر الماضية في ال software process
+
+5
+00:00:34,020 --> 00:00:37,700
+models حكينا في اتنين من ال models اللي هو
+
+6
+00:00:37,700 --> 00:00:40,600
+waterfall وال incremental اليوم ان شاء الله بنكمل
+
+7
+00:00:40,600 --> 00:00:45,740
+في ال model التالت اللي هو ال reuse oriented
+
+8
+00:00:45,740 --> 00:00:50,600
+software developmentمش هنطول فيه كتير و ان شاء
+
+9
+00:00:50,600 --> 00:00:53,440
+الله على طول بنكمل على ال activities اللي هم
+
+10
+00:00:53,440 --> 00:00:57,280
+الأربع أو الخمس activities الأساسيات بنطلع عليهم
+
+11
+00:00:57,280 --> 00:01:01,780
+بتفصيل أكتر شوية و بعد هيك الباقى هذا coping with
+
+12
+00:01:01,780 --> 00:01:05,580
+change و ال RUP بنخليه على المحاضرة الجاهزة ان شاء
+
+13
+00:01:05,580 --> 00:01:09,450
+اللهفاحنا كنا غطينا هذا الكلام كله حكينا عن ال
+
+14
+00:01:09,450 --> 00:01:12,710
+software process و إيش ال process description
+
+15
+00:01:12,710 --> 00:01:16,570
+بيشتمل على إيش بعدين ميزنا ما بين ال plan driven و
+
+16
+00:01:16,570 --> 00:01:21,290
+ما بين ال agile processes ما بعدين حكينا ذكرناهم
+
+17
+00:01:21,290 --> 00:01:25,090
+التلاتة و دخلنا على طول حكينا في ال waterfall و
+
+18
+00:01:25,090 --> 00:01:30,150
+شوفنا ال flow chart تبعتها و طلعنا على اللي هم ال
+
+19
+00:01:30,150 --> 00:01:36,470
+activities اللي فيهاو بعدين و كمان طلعنا على ال
+
+20
+00:01:36,470 --> 00:01:43,650
+incremental development و فوائدها و المقاخد عليها
+
+21
+00:01:43,650 --> 00:01:47,770
+و لأننا نجي فعلها ال reuse oriented software
+
+22
+00:01:47,770 --> 00:01:54,450
+engineering ال reuse oriented كلمتين أصغر مش هنحكي
+
+23
+00:01:54,450 --> 00:02:01,230
+فيه كتير تمام بس ال slides هدولة أو تلاتةهنحكي على
+
+24
+00:02:01,230 --> 00:02:06,110
+اللي هو ال .. شو هو بالظبط واش ال stages تبعتهم
+
+25
+00:02:06,110 --> 00:02:11,030
+قولنا
+
+26
+00:02:11,030 --> 00:02:14,570
+احنا كلمة reuse هنا بتقصد بيها عادة استخدام عادة
+
+27
+00:02:14,570 --> 00:02:23,330
+استخدام لإيش عادة
+
+28
+00:02:23,330 --> 00:02:30,120
+استخدام لإيش حد بيذكر أو حد بيقدر يخمن نعمأه
+
+29
+00:02:30,120 --> 00:02:33,460
+برمجية سابقة بنسميها احنا components مكونات لأنه
+
+30
+00:02:33,460 --> 00:02:36,160
+احنا ال software اللي بده ينبنى ال software اللي
+
+31
+00:02:36,160 --> 00:02:39,500
+بده ينبنى بده ينبنى من ال software البرمجية
+
+32
+00:02:39,500 --> 00:02:45,600
+السابقة هي عبارة عن مكونات محددة جاهزة معمولة
+
+33
+00:02:45,600 --> 00:02:50,300
+مسبقا من قبل مبرمجين و لا من قبل حتى شركات بدنا
+
+34
+00:02:50,300 --> 00:02:56,220
+نجمحها في software مخصص ل ال customer او للمسألة
+
+35
+00:02:56,220 --> 00:03:00,250
+اللي المطلوبة منهاreuse oriented software
+
+36
+00:03:00,250 --> 00:03:08,190
+engineering software engineering ف ال stages طبعا
+
+37
+00:03:08,190 --> 00:03:12,610
+بالاساس هو التعريف تبعه انه based on systems
+
+38
+00:03:12,610 --> 00:03:16,130
+systematic reuse where systems are integrated
+
+39
+00:03:16,130 --> 00:03:20,230
+integrated fromExisting يعني موجود مسبقا
+
+40
+00:03:20,230 --> 00:03:23,910
+components ال components هذه أحيانا بيطلق عليها
+
+41
+00:03:23,910 --> 00:03:29,330
+اسم COTS اللي هو Commercial Off The Shelf Systems
+
+42
+00:03:29,330 --> 00:03:33,730
+Off The Shelf يعني مقصود بيه إن إيش جاهز ال shelf
+
+43
+00:03:33,730 --> 00:03:37,640
+اللي هو ال rough يعني أنت لما بتروحبدك تشتري تذكر
+
+44
+00:03:37,640 --> 00:03:41,340
+مثلا الطاولة اللي ذكرناها في المحاضرة الماضية انت
+
+45
+00:03:41,340 --> 00:03:44,740
+ممكن تفصل طاولة او ممكن تشتري طاولة جاهزة موجودة
+
+46
+00:03:44,740 --> 00:03:48,380
+في المعرض وجاهزة فالاشي الجاهز هو اللي بيطلق عليه
+
+47
+00:03:48,380 --> 00:03:52,620
+مصطلح off the shelf يعني بتاخده عن الرف جاهز و
+
+48
+00:03:52,620 --> 00:03:58,780
+بتدفع حجة و بتمشي عكس ايش عكس من اللي هو ايش
+
+49
+00:03:58,780 --> 00:04:02,640
+التفصيل اللي بتفصله على حسب احتياجاتك فانت الآن
+
+50
+00:04:04,420 --> 00:04:08,240
+بتاخد الـ commercial off the shelf components هذه
+
+51
+00:04:08,240 --> 00:04:12,360
+وبتبني منها system قد يكون ال system مكوّن منها
+
+52
+00:04:12,360 --> 00:04:16,020
+مائة بالمائة يعني أنت مابتبرمجش ولا إشي أو قد تكون
+
+53
+00:04:16,020 --> 00:04:21,740
+تحتاج إلى برمجة بعض ال components الأخرى أو قد
+
+54
+00:04:21,740 --> 00:04:25,660
+تكون محتاج لبرمج زائد إيش configuration شو يعني
+
+55
+00:04:25,660 --> 00:04:28,880
+configuration يعني اتخصص يعني ممكن تبقى ال
+
+56
+00:04:28,880 --> 00:04:33,020
+component هذه جاية و بتقبل أن تبقى بأي لغة
+
+57
+00:04:34,500 --> 00:04:38,680
+Interface components انت بدك تخصصها للغة العربية
+
+58
+00:04:38,680 --> 00:04:42,840
+او للغة المحلية اللي عندك تمام فهنا المقصود
+
+59
+00:04:42,840 --> 00:04:48,100
+بالتخصيص فانت بتاخد ال components هذه اما جاهز زي
+
+60
+00:04:48,100 --> 00:04:51,000
+ما هي وبس بتجمحها او بتضيف عليها components انت
+
+61
+00:04:51,000 --> 00:04:54,340
+عاملها او بتضيف زاد كمان اما بتعملاش configuration
+
+62
+00:04:55,580 --> 00:05:01,360
+الـ stages لعملية بناء أو إنشاء software على أساس
+
+63
+00:05:01,360 --> 00:05:05,540
+components جاهزة بتشتمل على اللي هو ال .. ال .. ال
+
+64
+00:05:05,540 --> 00:05:08,980
+.. ال .. ال stages أو ال activities التالية okay
+
+65
+00:05:08,980 --> 00:05:13,400
+هذه
+
+66
+00:05:13,400 --> 00:05:17,580
+ممكن تطلع عليها من خلال ال .. من خلال اللي هو ال
+
+67
+00:05:17,580 --> 00:05:22,160
+flow chart هذا احنا طبعا لازم يكون في عندنا ..
+
+68
+00:05:22,160 --> 00:05:26,340
+لازم يكون في عندنا مرحلة لإيشلازم يكون في عندنا
+
+69
+00:05:26,340 --> 00:05:30,360
+مرحلة لتعامل مع ال requirements شو احنا ال system
+
+70
+00:05:30,360 --> 00:05:34,920
+هذا سواء يعني بدنا نجمعه من ال components جهازه بس
+
+71
+00:05:34,920 --> 00:05:38,480
+في الآخر هو بدى يقدّي متطلبات معينة فبدنا يعني زي
+
+72
+00:05:38,480 --> 00:05:41,900
+و زي اي system وبالتالي المنهجية هنا زيها زي اي
+
+73
+00:05:41,900 --> 00:05:47,060
+منهجية اخرى لازم تجتمل على مرحلة ايش تحديد
+
+74
+00:05:48,660 --> 00:05:53,660
+المتطلبات تمام؟ الآن المتطلبات هذه بدنا نشوف ايش
+
+75
+00:05:53,660 --> 00:05:58,320
+في components available موجودة متاحة في السوق اللي
+
+76
+00:05:58,320 --> 00:06:03,020
+قد تكون مناسبة لتلبية هذه المتطلبات فهذا المقصود
+
+77
+00:06:03,020 --> 00:06:06,800
+بال component analysis ماشي component analysis
+
+78
+00:06:06,800 --> 00:06:09,880
+اللي هو ان انا بدرس ايش ال components اللي موجودة
+
+79
+00:06:09,880 --> 00:06:15,760
+علشان اشوف ايش منها ممكن استفيد منهبعد ذلك بيحصل
+
+80
+00:06:15,760 --> 00:06:18,800
+فيه إذا كان حاجة لـ Modification يعني زي ما قلت
+
+81
+00:06:18,800 --> 00:06:22,600
+أنا قبل شوية قد تكون ال components بتقدي المطلوب
+
+82
+00:06:22,600 --> 00:06:26,640
+100% و كل اللي عليا بس ان انا اعملها integration
+
+83
+00:06:26,640 --> 00:06:31,560
+ولكن قد تكون لأ بتقديش المطلوب 100% ضايل مثلا 10
+
+84
+00:06:31,560 --> 00:06:36,420
+او 20% لازم انا اوفيهم اعملهم انا بنفسي فأي
+
+85
+00:06:36,420 --> 00:06:40,240
+تغييرات بتلزم هذا اللي بتتم في هذه المرحلة ال
+
+86
+00:06:40,240 --> 00:06:46,610
+requirements modification تمام؟بعد ذلك خلاص بيصير
+
+87
+00:06:46,610 --> 00:06:51,690
+مرحلة ال design هنا مرحلة ال design انه احنا بنعمل
+
+88
+00:06:51,690 --> 00:06:55,790
+design لها ال system بشكل متكامل من ال components
+
+89
+00:06:55,790 --> 00:07:00,350
+هذه اللي هو تم تحديدها و تم تحديد ايش modification
+
+90
+00:07:00,350 --> 00:07:04,810
+بدي نعمل عليها okay ف system design و ما سكتش جال
+
+91
+00:07:04,810 --> 00:07:07,570
+system design جال with reuse لو system design قد
+
+92
+00:07:07,570 --> 00:07:12,740
+تكون تفهم على انه ايش من الصفرتصميم الـ system من
+
+93
+00:07:12,740 --> 00:07:16,120
+الصفر لأ هنا system design with reuse بمعنى أنه
+
+94
+00:07:16,120 --> 00:07:22,450
+بناء على أو على أساس المكونات اللي الموجودةالـ
+
+95
+00:07:22,450 --> 00:07:25,630
+development and integration ايش يقصد بيها ال
+
+96
+00:07:25,630 --> 00:07:30,710
+integration واضحة اللي هي الدمج المكونات هذه و
+
+97
+00:07:30,710 --> 00:07:34,250
+رابطها مع بعض في ال system و ال development اللي
+
+98
+00:07:34,250 --> 00:07:37,510
+هي يقصد بيها اذا كان احنا بدنا نعمل اي اي
+
+99
+00:07:37,510 --> 00:07:40,710
+components اضافية من عندنا و في الآخر طبعا لازم
+
+100
+00:07:40,710 --> 00:07:43,750
+يكون في مرحلة ال validation ال validation اللي هي
+
+101
+00:07:43,750 --> 00:07:51,290
+التحقق okay فانا برجع ال slide مرة اخرىcomponent
+
+102
+00:07:51,290 --> 00:07:55,150
+analysis واضحة ال requirements modification ال
+
+103
+00:07:55,150 --> 00:07:57,530
+system design with reuse with development and
+
+104
+00:07:57,530 --> 00:08:04,130
+integration الان هذا ال approach هذا ال approach
+
+105
+00:08:04,130 --> 00:08:09,970
+بناسب كثير من الأحوال في المؤسسات المؤسسات اللي
+
+106
+00:08:09,970 --> 00:08:14,890
+بتحتاج information systems في كثير من جوانب الشغل
+
+107
+00:08:14,890 --> 00:08:18,460
+يعني مثلا في جانب ال accounting المحاسبةهتلاقي فيه
+
+108
+00:08:18,460 --> 00:08:21,880
+components already جاهزة للمحاسبة انت بتاخدها زي
+
+109
+00:08:21,880 --> 00:08:26,540
+ما هي بتتولى العمليات الأساسية لتسجيل القيد وتحريك
+
+110
+00:08:26,540 --> 00:08:29,840
+الحسابات وما لذلك هذا المكون اللي بيتعلق بيه
+
+111
+00:08:29,840 --> 00:08:35,580
+المحاسبة بيكون هو مكون أساسي بيرتبط مع مكونات أخرى
+
+112
+00:08:35,580 --> 00:08:40,100
+زي مثلا لما المؤسسة بتبيع أو بتشتري عملية البيع أو
+
+113
+00:08:40,100 --> 00:08:43,360
+عملية الشراء لها component ال component هذا بتسجل
+
+114
+00:08:43,360 --> 00:08:48,880
+فيه عملية البيعبعد كعملية البياح دي بتدخل على ال
+
+115
+00:08:48,880 --> 00:08:53,780
+component تبعت المحاسب عشان تسجل في الحسابات
+
+116
+00:08:53,780 --> 00:08:57,440
+الرئيسية تبعت المؤسسة و على هذا ال .. كذلك عندنا
+
+117
+00:08:57,440 --> 00:09:01,040
+مثلا في الجامعة احنا فيها عندنا العمليات القبول
+
+118
+00:09:01,040 --> 00:09:05,950
+وتسجيل المساقاتهذه عملية انت لما تسجل المادة يترتب
+
+119
+00:09:05,950 --> 00:09:09,890
+عليها قيد محاسبي فانت ممكن تفكر في ان عملية تسجيل
+
+120
+00:09:09,890 --> 00:09:14,730
+المادة منفصلة عن عملية ايش العملية المحاسبية
+
+121
+00:09:14,730 --> 00:09:19,930
+المالية المترتبة عليها فإذا والله في software جاهز
+
+122
+00:09:19,930 --> 00:09:23,390
+لتسجيل العمليات المحاسبية انا كل اللي ضايل عليه ان
+
+123
+00:09:23,390 --> 00:09:28,290
+انا اعمل الجزئية الخاصة بتسجيل المادةتسجيل المادة
+
+124
+00:09:28,290 --> 00:09:32,290
+بتتسجل المواد وتتخزن فيها ملف والملف هذا بعد كده
+
+125
+00:09:32,290 --> 00:09:36,250
+ممكن نقول batch processing مرة واحدة بترحل على ال
+
+126
+00:09:36,250 --> 00:09:41,430
+component تبع المحاسبة عشان تتحرك الحسابات و تتغير
+
+127
+00:09:41,430 --> 00:09:45,390
+الأرصده رصيدك انت رصيد الجامعة رصيد الأطراف
+
+128
+00:09:45,390 --> 00:09:48,970
+التانية المعنية بالمعاملات المالية واضح فكثير من
+
+129
+00:09:48,970 --> 00:09:49,710
+المؤسسات
+
+130
+00:09:53,230 --> 00:09:58,850
+المؤسسات في عمليات الإدارية بيفيدها هذا النوع من
+
+131
+00:09:58,850 --> 00:10:03,490
+اللي هو بيفيدها انه ان عمل ال systems تبعتها من
+
+132
+00:10:03,490 --> 00:10:08,830
+مكونات متعددة من مكونات جاهزة الموضوع هذا ربما من
+
+133
+00:10:08,830 --> 00:10:12,430
+المواضيع المتقدمة في ال software engineeringفي
+
+134
+00:10:12,430 --> 00:10:18,630
+بداية من chapter 16 .. 16 .. 14 .. 18 .. نعم اعتقد
+
+135
+00:10:18,630 --> 00:10:22,310
+كمان تسعة عشر اللي هي ال unit التالتة بتناوأ
+
+136
+00:10:22,310 --> 00:10:25,650
+الموضوع اللي هو ال reuse oriented software
+
+137
+00:10:25,650 --> 00:10:29,810
+engineering بشكل مفصل فانا ان شاء الله جدام هاطلب
+
+138
+00:10:29,810 --> 00:10:35,730
+منكم مواضيع محددة من هذا ال chapter تعملوا فيها زي
+
+139
+00:10:35,730 --> 00:10:40,150
+report يعني تكتب فيها صفحتين او تلاتةبأعطيكم
+
+140
+00:10:40,150 --> 00:10:43,570
+مواضيع محددة عناوين محددة من الكتاب اللي انتوا
+
+141
+00:10:43,570 --> 00:10:52,950
+تلخصوها و تسلموها ماشي تمام ال .. الان ال software
+
+142
+00:10:52,950 --> 00:10:56,270
+components هذه ال software components في أنواع
+
+143
+00:10:56,270 --> 00:10:59,110
+متعددة من ال software components أشهر ال software
+
+144
+00:10:59,110 --> 00:11:02,370
+components اللي هي ال web services اذا بتتذكر أحد
+
+145
+00:11:02,370 --> 00:11:05,790
+مرة ذكرت ال web service ال web service أظن حتى
+
+146
+00:11:05,790 --> 00:11:09,340
+كمان مرت معاكم في الترجمة في ال ..في ال homework
+
+147
+00:11:09,340 --> 00:11:14,920
+اللي طلبناه منكوا قبل هيك كان في بند من البنود
+
+148
+00:11:14,920 --> 00:11:19,300
+اللي هو ال web service حد بيذكر كيف ترجمتوها
+
+149
+00:11:19,300 --> 00:11:26,470
+ببساطة خدمات ال web بس ايش يعني خدمات ال web؟اللي
+
+150
+00:11:26,470 --> 00:11:29,990
+هي أن انت ممكن تكون في عندك server جهاز كمبيوتر
+
+151
+00:11:29,990 --> 00:11:33,770
+على النت في المؤسسة أو في أي مكان ال server هذا
+
+152
+00:11:33,770 --> 00:11:38,070
+بيقوم بعمليات معينة يعني مثلا عملية المحاسبة هذه
+
+153
+00:11:38,070 --> 00:11:42,830
+اللي احنا حكينا فيهاجزئية صغيرة وهي انه يكون في
+
+154
+00:11:42,830 --> 00:11:47,510
+هندي حسابات و الحسابات هذه اندخل عليها قيود و
+
+155
+00:11:47,510 --> 00:11:50,690
+القيود هذا بيخسم من الحساب الفلاني و بيضيف على
+
+156
+00:11:50,690 --> 00:11:55,290
+الحساب الفلاني نفس المبلغ يقول مثلا ميد شركة ميد
+
+157
+00:11:55,290 --> 00:11:58,290
+دولار بيديه ينخسم من هذا الحساب و ينضيف على الحساب
+
+158
+00:11:58,290 --> 00:12:04,050
+الآخر الان انا ممكن اجي اعمل القالية هذه اصممها
+
+159
+00:12:04,050 --> 00:12:08,080
+على server ال server كل اللي بيعرف يسويه انهإن
+
+160
+00:12:08,080 --> 00:12:13,140
+الحسابات اللي عنده يستلم قيود محاسبية ويحرك
+
+161
+00:12:13,140 --> 00:12:17,560
+الحسابات فانت الآن بدك تعمل system ال system هذا
+
+162
+00:12:17,560 --> 00:12:21,720
+بيعتمد على هذه القالية مش محتاج انك انت ايش تروح
+
+163
+00:12:21,720 --> 00:12:24,680
+تبرمج هذه القالية من الصفر ان انت ممكن تعتمد على
+
+164
+00:12:24,680 --> 00:12:28,180
+ال server هذا في هذه القالية ال server هذا بيقدم
+
+165
+00:12:28,180 --> 00:12:33,160
+الخدمة تبعتهعن طريق ال web يعني انت ال system تبعك
+
+166
+00:12:33,160 --> 00:12:37,180
+او الجزية اللى انت هتعملها هتعمل القيد و تبعتله و
+
+167
+00:12:37,180 --> 00:12:44,880
+تبعتله عن طريق ال web على شكل http message انه
+
+168
+00:12:44,880 --> 00:12:48,520
+والله ان حساب الفلاني عاوزين انغير فيه عاوزين
+
+169
+00:12:48,520 --> 00:12:53,320
+انحركوا بالقيد بالمبلغ الفلانيتمام فالان انت ال
+
+170
+00:12:53,320 --> 00:12:56,500
+server تبعك او ال system تبعك قد يكون شغال على
+
+171
+00:12:56,500 --> 00:13:01,520
+server و ال server قاعدة في جزئية القيود و تحريك
+
+172
+00:13:01,520 --> 00:13:05,540
+الحسابات هذه بس يطلبها من ال .. من ال ليش؟ من ال
+
+173
+00:13:05,540 --> 00:13:09,760
+server التاني عبر ال web فالقيس على ذلك كثير من
+
+174
+00:13:09,760 --> 00:13:15,740
+الأمور الأخرى في تطبيقات مختلفة تانيةبيكون الشغل
+
+175
+00:13:15,740 --> 00:13:20,680
+ال system تبعك بيستعين ب systems أخرى موجودة على
+
+176
+00:13:20,680 --> 00:13:25,160
+ال web و كل system بيقدم خدمة او اكتر خدمة واحدة
+
+177
+00:13:25,160 --> 00:13:28,960
+او اكتر ال system تبعك بيستعين بهذه الخدمات من
+
+178
+00:13:28,960 --> 00:13:32,620
+الأطراف الأخرى فهذه مفهوم ال web service web
+
+179
+00:13:32,620 --> 00:13:35,460
+services are developed according to service
+
+180
+00:13:35,460 --> 00:13:40,590
+standards لازم تكونشغالة على أساس standard معين
+
+181
+00:13:40,590 --> 00:13:44,290
+علشان يقدر .. أي حد يقدر يتخاطب مع أي حد تاني، إذا
+
+182
+00:13:44,290 --> 00:13:47,930
+كل system بدي يعمل web service ولكن تخاطب بقالية
+
+183
+00:13:47,930 --> 00:13:51,490
+خاصة ابوه، معناته الأمر بيصير محقق، فلازم يبقى
+
+184
+00:13:51,490 --> 00:13:58,190
+يكون بينهم standard، تمام؟ هذا نوع من أنواع ال ..
+
+185
+00:13:58,190 --> 00:14:02,390
+ال components اللي هو ال web servicesالنوع اخر
+
+186
+00:14:02,390 --> 00:14:06,510
+احنا بنعرفه او ينقل المرة علينا اللي هي ال
+
+187
+00:14:06,510 --> 00:14:10,450
+frameworks ال dot net framework وال J2EE اللي هو
+
+188
+00:14:10,450 --> 00:14:14,110
+ال enterprise edition التابعة ال Java هدول ال
+
+189
+00:14:14,110 --> 00:14:18,670
+frameworks ايش هم بالظبط مارا عليكم هو كلمة
+
+190
+00:14:18,670 --> 00:14:27,890
+libraries software libraries ال libraries
+
+191
+00:14:27,890 --> 00:14:32,670
+هذه هي بقعة مجموعة من ال objectsبالاصل هي معرفة ك
+
+192
+00:14:32,670 --> 00:14:38,230
+classes وانت بتبني منها objects فانت عمليا لما
+
+193
+00:14:38,230 --> 00:14:42,350
+بتبرمج ال system و بتستعين بهدولة انت بتستعين ب
+
+194
+00:14:42,350 --> 00:14:46,750
+components جاهزة معمولة في هذه ال libraries تمام
+
+195
+00:14:46,750 --> 00:14:50,010
+او هذه ال collections libraries collections نفس
+
+196
+00:14:50,010 --> 00:14:55,740
+الاشيفهدولة ال dot net و J2EE are collections of
+
+197
+00:14:55,740 --> 00:14:59,660
+objects developed ومعمولها packaging مسبقا انت
+
+198
+00:14:59,660 --> 00:15:01,960
+الآن بدك تعمل application و ال application ده
+
+199
+00:15:01,960 --> 00:15:06,160
+نفترض مش في ال information systems نفترض في ال
+
+200
+00:15:06,160 --> 00:15:08,980
+graphics ولا في معالجة الصور ولا في الذكاء
+
+201
+00:15:08,980 --> 00:15:12,100
+الاصطناعي ولا في كذامش هتيجي تعمل انت
+
+202
+00:15:12,100 --> 00:15:16,180
+implementation للخوارزميات تقول مثلا بدك تعمل ..
+
+203
+00:15:16,180 --> 00:15:20,640
+بدك تعمل تحريك ل .. ل .. ل object في الصورة او
+
+204
+00:15:20,640 --> 00:15:24,300
+تحريك ل .. او تحسين ل .. ل .. ل .. لصورة معينة و
+
+205
+00:15:24,300 --> 00:15:28,940
+تحسين الإضاءة تبعتها فهتلاقي انت objects جاهزة و
+
+206
+00:15:28,940 --> 00:15:33,070
+functions جاهزة مع موالي اللي بتقدر هذا الغرضفمش
+
+207
+00:15:33,070 --> 00:15:36,470
+هتيجي تعمل العمليات هذه من الصفر، هتلاقي
+
+208
+00:15:36,470 --> 00:15:40,910
+collection مخصوص لل image processing، collection
+
+209
+00:15:40,910 --> 00:15:45,050
+مخصوص للذكاء الصناعي، collection مخصوص لكل مجال من
+
+210
+00:15:45,050 --> 00:15:49,690
+المجالات، فانت هتعمل إعادة استخدام لهذه ال
+
+211
+00:15:49,690 --> 00:15:52,610
+components أو ال objects الموجودة في هذه ال
+
+212
+00:15:52,610 --> 00:15:53,010
+collections
+
+213
+00:15:57,280 --> 00:16:02,000
+و تدمجها في ال system تبعك النوع تالت من ال
+
+214
+00:16:02,000 --> 00:16:06,060
+components اللي هو standalone software يعني ممكن
+
+215
+00:16:06,060 --> 00:16:11,080
+انت software متكامل قائم بحد ذاته okay
+
+216
+00:16:13,790 --> 00:16:16,530
+تعتبروا ان هذا عبارة عن component هو كله عبارة عن
+
+217
+00:16:16,530 --> 00:16:21,510
+component وانت اتوفر عندك في المؤسسة او لال .. ال
+
+218
+00:16:21,510 --> 00:16:25,990
+.. ال .. ال .. الزبون تبعك؟ طب وين .. وين ال ..
+
+219
+00:16:25,990 --> 00:16:28,450
+وين ال software development في الموضوع؟ اذا كان
+
+220
+00:16:28,450 --> 00:16:33,820
+انا بدي اجيب ..صفتور جاهز و بدى استخدمه على طول
+
+221
+00:16:33,820 --> 00:16:36,800
+وين ال development؟ ال development ان احنا عادة ال
+
+222
+00:16:36,800 --> 00:16:41,480
+standalone software هذا ما بيجيش مطابق لاحتياجات
+
+223
+00:16:41,480 --> 00:16:45,560
+ال user مائة بالمائة فبنحتاج ايش نعمل؟ بنحتاج نعمل
+
+224
+00:16:45,560 --> 00:16:49,440
+تخصيص لهذا ال application كثير من ال applications
+
+225
+00:16:50,330 --> 00:16:54,450
+بيعملوها الشركات بهذا الكيفية، يعني أنت ممكن يبقى
+
+226
+00:16:54,450 --> 00:16:59,690
+برنامج محاسب، لكن معمول بـGeneral Requirements، كل
+
+227
+00:16:59,690 --> 00:17:05,350
+ما يتخيلوا أي مؤسسة موضوع فيه، انت الآن بدك عندك
+
+228
+00:17:05,350 --> 00:17:08,250
+مؤسسة، و المؤسسة هذه تعليمية أو قد تكون حكومية أو
+
+229
+00:17:08,250 --> 00:17:12,130
+قد تكون مالية أو مصرفية أو تجاريةفبنسبك أمور
+
+230
+00:17:12,130 --> 00:17:16,190
+وبنسبكاش أمور تانية فهنا ال .. ال .. ال .. ال
+
+231
+00:17:16,190 --> 00:17:18,970
+stand alone software هذا لما انت بتجيبه هتعمل عليه
+
+232
+00:17:18,970 --> 00:17:22,870
+عملية تخصيص حدث في بعض الأمور تعديل بعض الأمور
+
+233
+00:17:22,870 --> 00:17:25,650
+اللي فيه بحيث انها تتناسب بحيث ان ال software
+
+234
+00:17:25,650 --> 00:17:31,850
+يتناسب مع احتياجات المؤسس لبعتك ب .. على تموج يعني
+
+235
+00:17:31,850 --> 00:17:37,260
+okay فال stand alone software ممكن يعتبرعلى انه
+
+236
+00:17:37,260 --> 00:17:45,940
+commercial off the shelf software ويطبق
+
+237
+00:17:45,940 --> 00:17:50,600
+في المؤسسة بعد طبعا configuration بحيث ملاقم بيئة
+
+238
+00:17:50,600 --> 00:17:58,030
+العمل تبعتك او احتياجات المؤسسةتمام الان خلصنا من
+
+239
+00:17:58,030 --> 00:18:01,410
+ال .. اللي هو الريوز oriented software engineering
+
+240
+00:18:01,410 --> 00:18:05,330
+و طلعنا على ال stage .. ال stages تبعته و طلعنا
+
+241
+00:18:05,330 --> 00:18:13,350
+على ال types of components بإمكاننا
+
+242
+00:18:13,350 --> 00:18:20,870
+نطلع الآن على ال process activities اللي
+
+243
+00:18:20,870 --> 00:18:24,270
+هي ال activities اللي قلنا مشتركة في
+
+244
+00:18:28,350 --> 00:18:36,490
+معظم النماذج النماذج ال software development four
+
+245
+00:18:36,490 --> 00:18:47,170
+basic process activities اللي هم development مش
+
+246
+00:18:47,170 --> 00:18:54,230
+كمان مش
+
+247
+00:18:54,230 --> 00:18:54,550
+كمان
+
+248
+00:18:59,330 --> 00:19:05,770
+حد معايا تبّع high development ايش كمان validation
+
+249
+00:19:05,770 --> 00:19:10,230
+evolution
+
+250
+00:19:10,230 --> 00:19:16,030
+هدول تلاتي خلصنا في specification لأنه راح اتبني
+
+251
+00:19:16,030 --> 00:19:26,070
+اكتبها فوق فهيحط هنا specification تمام
+
+252
+00:19:26,070 --> 00:19:31,250
+انطلع عليهم بتفصيل شويهان احنا الان ناخد ال
+
+253
+00:19:31,250 --> 00:19:36,530
+specification specification stage او activity هي
+
+254
+00:19:36,530 --> 00:19:41,330
+ال process of establishing what .. what ايش .. ايش
+
+255
+00:19:41,330 --> 00:19:52,010
+الخدمات او ال functions او ال requirements او
+
+256
+00:19:52,010 --> 00:19:57,120
+احيانا سميها featuresتمام؟ يعني دي كلها مرادفات
+
+257
+00:19:57,120 --> 00:20:00,820
+تقريبا لنفس الفكرة الفكرة أنه احنا بدنا نعرف شو ال
+
+258
+00:20:00,820 --> 00:20:04,600
+software هذا بده يقدم لال .. و أحيانا .. و أحيانا
+
+259
+00:20:04,600 --> 00:20:10,420
+value value بمعنى منافع okay the process of
+
+260
+00:20:10,420 --> 00:20:13,740
+establishing establishing هنا كلمة تجيلة شوية بس
+
+261
+00:20:13,740 --> 00:20:18,480
+هي فعلا تتناسب مع طبيعة هذه ال activity أنه في
+
+262
+00:20:18,480 --> 00:20:24,700
+دراسة و تحليل و تنقيحبدنا نتأكد إنه فعلا لازم و مش
+
+263
+00:20:24,700 --> 00:20:29,980
+لازم و صياغة بشكل دقيق فعشان هيك الكلمة هذه
+
+264
+00:20:29,980 --> 00:20:34,660
+establishing تأسيس what services are required and
+
+265
+00:20:34,660 --> 00:20:38,900
+the constraints on the systems operation يعني إيش
+
+266
+00:20:38,900 --> 00:20:43,260
+المحددات العمل، إيش الأمور اللي هتبقى متوفرة له،
+
+267
+00:20:43,260 --> 00:20:46,680
+إيش اللي مش هيبقى متوفر لل system، وإيش البيئة
+
+268
+00:20:46,680 --> 00:20:50,280
+العامة، إيش ال other systems اللي هتفاعل معاهم، ما
+
+269
+00:20:50,280 --> 00:20:53,620
+إلى ذلكon the systems operation and development
+
+270
+00:20:53,620 --> 00:20:58,320
+okay لأن ال .. ال .. ال .. ال .. ال activity هذه
+
+271
+00:20:58,320 --> 00:21:01,160
+اللي هي requirements ال .. ال .. ال .. as per
+
+272
+00:21:01,160 --> 00:21:04,900
+specification أحيانا .. أحيانا هي في حد ذاتها
+
+273
+00:21:04,900 --> 00:21:09,360
+بيطلق عليها اسم requirements engineering ماشي؟
+
+274
+00:21:09,360 --> 00:21:12,900
+يعني مش بس مجرد requirements specification أو
+
+275
+00:21:12,900 --> 00:21:15,340
+requirements analysis أحيانا بيقول عنها
+
+276
+00:21:15,340 --> 00:21:18,700
+requirements engineering process وبتشتمل على
+
+277
+00:21:18,700 --> 00:21:23,370
+الأربعأنشطة التالية اللي هي في حاجة اسمها
+
+278
+00:21:23,370 --> 00:21:25,990
+feasibility study مش عارف اذا مر عليكم مصطلح حد
+
+279
+00:21:25,990 --> 00:21:29,150
+قبليكم ولا لأ في حاجة اسمها requirements
+
+280
+00:21:29,150 --> 00:21:34,950
+elicitation elicitation هذا one و analysis هذا two
+
+281
+00:21:34,950 --> 00:21:42,450
+requirements specification و requirements
+
+282
+00:21:42,450 --> 00:21:47,710
+validation ال feasibility study هي دراسة الجدوة
+
+283
+00:21:47,710 --> 00:21:56,580
+صح؟feasibility study دراسة الجدوة من اسمها اذا اذا
+
+284
+00:21:56,580 --> 00:22:00,000
+مصطلحها اول مرة بيمر عليكم بالعربي من اسمه شو
+
+285
+00:22:00,000 --> 00:22:05,130
+بتفهم منه دراسة الجدوةماهي مش دي هال system؟ إيش
+
+286
+00:22:05,130 --> 00:22:08,790
+المنفعة اللي هنحصل عليها؟ ماهي شو هيوفر علينا
+
+287
+00:22:08,790 --> 00:22:13,390
+فلوس؟ هوافر علينا جهد؟ تمام؟ إيش بالظبط الجدوة
+
+288
+00:22:13,390 --> 00:22:17,290
+تبعته؟ مش دي في إيش؟ is it technically and
+
+289
+00:22:17,290 --> 00:22:22,220
+financially feasible؟هذا المنفع اللي ذكرناها هي
+
+290
+00:22:22,220 --> 00:22:26,000
+جانب من جانب الجدوى انه financially feasible to
+
+291
+00:22:26,000 --> 00:22:29,580
+build the system يقصد بيه انه ايش المنفعة المالية
+
+292
+00:22:29,580 --> 00:22:32,860
+من هذا ال system كذلك الحالة technically هل احنا
+
+293
+00:22:32,860 --> 00:22:36,800
+نستطيع ان نبني هل لديناالقدرات التقنية وال
+
+294
+00:22:36,800 --> 00:22:42,160
+equipment والمبرمجين والطاقم اللي قادر على مثل هذا
+
+295
+00:22:42,160 --> 00:22:45,140
+النوع من ال systems فهذا السؤال لازم ينسأل من
+
+296
+00:22:45,140 --> 00:22:49,420
+البداية من قبل ما انا اخش في مشروع بدأ اعمل دراسة
+
+297
+00:22:49,420 --> 00:22:52,860
+الجدوة تبعته و اجاوب على أسئلة ال feasibility هذه
+
+298
+00:22:52,860 --> 00:22:58,680
+أسئلة الجدوة هل هو مشدي ماليا هل نستطيع ان نقوم
+
+299
+00:22:58,680 --> 00:23:04,480
+بعمل من هذا الحجم ولا لأ okayإذا والله أخدنا ضوء
+
+300
+00:23:04,480 --> 00:23:09,880
+أخضر إذا لاجينا أن الأمور فعلا مشدية الأمر مشدي
+
+301
+00:23:09,880 --> 00:23:14,240
+فبنبدأ في عملية اللي هو العملية الأساسية اللي هي
+
+302
+00:23:14,240 --> 00:23:18,340
+ال requirements عملية دراسة ال requirements أول
+
+303
+00:23:18,340 --> 00:23:22,130
+حاجة elicitationبالنسبة لـ Elicitation اللي يُقصد
+
+304
+00:23:22,130 --> 00:23:26,130
+بيها to elicit يعني أنك أنت تطلب من المستفيد أو من
+
+305
+00:23:26,130 --> 00:23:29,530
+المؤسسة أو من الزبون قول لي أيش بالظبط اللي أنت
+
+306
+00:23:29,530 --> 00:23:32,410
+عاوزه من ال system هذا أيش بالظبط عاوز ال system
+
+307
+00:23:32,410 --> 00:23:37,730
+يسويلك تمام ال elicitation يعني بنطلب و بنجمع اللي
+
+308
+00:23:37,730 --> 00:23:41,310
+هو المتطلبات و بعدين بنجهد نعملها دراسة و analysis
+
+309
+00:23:41,310 --> 00:23:46,210
+و زي ما قلت أنا تنقيح و ربما احنا نضيف من عنا او
+
+310
+00:23:46,210 --> 00:23:50,550
+نحرفwhat do the system stakeholders كلمة
+
+311
+00:23:50,550 --> 00:23:55,890
+stakeholders هذه عادة احنا ما بنحصرها بمين
+
+312
+00:23:55,890 --> 00:23:59,790
+بالمستفيد stakeholder stakeholder نظر عليكم
+
+313
+00:23:59,790 --> 00:24:05,330
+المصطلح هذا منتفعين
+
+314
+00:24:05,330 --> 00:24:08,550
+المساهمين
+
+315
+00:24:08,550 --> 00:24:12,590
+stockholders stock stock اللي هي الأسهم
+
+316
+00:24:15,620 --> 00:24:20,100
+الـ Stockholders اللي هم اللي بيشتروا أسهم من أسهم
+
+317
+00:24:20,100 --> 00:24:23,980
+الشركة إذا عندنا شركة مفتوحة أو مساهمة عامة أو
+
+318
+00:24:23,980 --> 00:24:27,000
+مساهمة محدودة و أصحاب اللي شارين أسهم في الشركة
+
+319
+00:24:27,000 --> 00:24:30,640
+دول م Stockholders بس Stakeholders هنا يقصد بيها
+
+320
+00:24:30,640 --> 00:24:34,920
+أي شخص منتفع أو حياة انتفاع من هذا ال system
+
+321
+00:24:34,920 --> 00:24:38,200
+المنتفع الأساسي هم المؤسسة اللي
+
+322
+00:24:41,200 --> 00:24:46,360
+اللي طلبته او الزبون اذا كان شخص واحد طلبه فهذا
+
+323
+00:24:46,360 --> 00:24:49,820
+ولكن في ال stakeholders في طبقات اخرى من ال
+
+324
+00:24:49,820 --> 00:24:54,480
+stakeholders نفسر فيه الأمر هذا الآن بس المهم احنا
+
+325
+00:24:54,480 --> 00:24:58,940
+عادة ال stakeholder بنقصد فيه اللي هوالزبون او
+
+326
+00:24:58,940 --> 00:25:03,560
+المالك المشروع الشخص اللى هنسلمه المشروع فى الآخر
+
+327
+00:25:03,560 --> 00:25:06,120
+او الجهة اللى هنسلمها المشروع او ال system فى
+
+328
+00:25:06,120 --> 00:25:09,580
+الآخر تمام what do the system stakeholders require
+
+329
+00:25:09,580 --> 00:25:14,000
+or expect from the system هذا الكلام بينحصر او
+
+330
+00:25:14,000 --> 00:25:19,680
+بيتحدد وبيدرس فى هذا ال .. فى هذا النشاطبعد هيكة
+
+331
+00:25:19,680 --> 00:25:24,360
+لما احنا نسأل و ناخد feedback يعني لما احنا نسأل
+
+332
+00:25:24,360 --> 00:25:29,740
+المنتفعين او الشركة و ندرس كل هذا الكلام بيظل ربما
+
+333
+00:25:29,740 --> 00:25:35,120
+في ذهننا سؤالنا و حصلنا على إجابات و اتكونت عندنا
+
+334
+00:25:35,120 --> 00:25:40,000
+فكرة عن ال system عن إيش الاحتياجات و عيش ال
+
+335
+00:25:40,000 --> 00:25:43,560
+functions وعيش ال services و الكلام هذا لكن هذا
+
+336
+00:25:43,560 --> 00:25:50,200
+الأمر لازم يدون بشكل إيش بشكل واضح و بشكلمحدد فهنا
+
+337
+00:25:50,200 --> 00:25:53,540
+ال specification يقصد بها defining specification
+
+338
+00:25:53,540 --> 00:25:56,000
+requirement specification defining the
+
+339
+00:25:56,000 --> 00:26:00,640
+requirements in detail وخلي بالك انه ال
+
+340
+00:26:00,640 --> 00:26:04,600
+specification هذه هتكون هي الأساس اللي على اساسه
+
+341
+00:26:04,600 --> 00:26:09,400
+اللي عليه بدي تم التحقق لاحقا من هل لما نعمل
+
+342
+00:26:09,400 --> 00:26:16,670
+validation هل انه systemعمل بي .. بي .. بيلبّي
+
+343
+00:26:16,670 --> 00:26:22,550
+المتطلبات ولا لأ؟ مش حاجي أتحقق من هذا الأمر في ال
+
+344
+00:26:22,550 --> 00:26:28,090
+validation بناء على الكلام اللي سمعته او الكلام
+
+345
+00:26:28,090 --> 00:26:33,330
+اللي اناأظنته لأ بدي نتحقق على أساس الكلام اللي
+
+346
+00:26:33,330 --> 00:26:38,310
+انكتب و اتحدد بشكل مفصل ال requirements validation
+
+347
+00:26:38,310 --> 00:26:41,230
+اللي هي checking the validity of the requirements
+
+348
+00:26:41,230 --> 00:26:45,450
+بمعنى انه بعد ما احنا مروينا بعد الأمر بنشوف هل
+
+349
+00:26:45,450 --> 00:26:49,190
+فعلا هذا ال requirements بعد ما أصيغته كل شيء هل
+
+350
+00:26:49,190 --> 00:26:53,410
+فعلا هذا ال requirements valid هل هي فعلا تلبي
+
+351
+00:26:53,410 --> 00:26:57,010
+احتياجاته يعني هو اذا قال انا احتياجي ان انا اخفف
+
+352
+00:26:57,010 --> 00:27:01,950
+النفقات بالنسبة 10%و أجينا و حصرنا الحاجات اللي
+
+353
+00:27:01,950 --> 00:27:05,790
+بده ال system يسويها فبدنا نتحقق ان فعلا هذا ال
+
+354
+00:27:05,790 --> 00:27:13,770
+system بهذه القدرات فعلا هيحقق هذا التوفير ولا لأ
+
+355
+00:27:13,770 --> 00:27:18,910
+الاسف
+
+356
+00:27:18,910 --> 00:27:24,130
+ال slide دي مش واضح فيها الكلام بس هي بتلخص بشكل
+
+357
+00:27:24,130 --> 00:27:31,290
+flow chartمن وين بنبدأ؟ من وين بنبدأ في ال
+
+358
+00:27:31,290 --> 00:27:35,750
+process؟ هذا كله ما يتعلق بس بيه اللي هو ال
+
+359
+00:27:35,750 --> 00:27:39,830
+specification يعني هذا flow chart لجزء من ال
+
+360
+00:27:39,830 --> 00:27:43,370
+process جزء واحد من ال process اللي هو ال
+
+361
+00:27:43,370 --> 00:27:48,990
+specifications وين نبدأ هنا؟ وين؟ هناك ولا هنا؟
+
+362
+00:27:48,990 --> 00:27:53,320
+لأن الأسهم خش على بعض هو ..هي هتوا ال feasibility
+
+363
+00:27:53,320 --> 00:27:58,640
+study صح؟ اذاكروا مره تانية ان الأشكال هذه تمثل
+
+364
+00:27:58,640 --> 00:28:02,360
+أفعال عمليات احنا بنقوم بيها فريق اللي عمل ال
+
+365
+00:28:02,360 --> 00:28:06,620
+software engineers و المربعات هذه هي عبارة عن منتج
+
+366
+00:28:06,620 --> 00:28:10,410
+document عادةالـ Feasibility Study بينتج عنها الـ
+
+367
+00:28:10,410 --> 00:28:14,210
+Feasibility Report التقرير والتقرير هذا خلاصة كلمة
+
+368
+00:28:14,210 --> 00:28:18,550
+واحدة او كلمتين انه نعم مش دي الشرورة في هذا القبر
+
+369
+00:28:18,550 --> 00:28:23,390
+ولا لأ مش مش دي ولا ينصح بي القيام بيه ماشي بس
+
+370
+00:28:23,390 --> 00:28:27,290
+طبعا الكلمتين دول لازم يوجه مفصل التبرير تبعهم ولا
+
+371
+00:28:27,290 --> 00:28:31,860
+لاOkay المهم هي عملية قد تأخذ أسابيع أو قد تأخذ
+
+372
+00:28:31,860 --> 00:28:37,140
+أكتر حسب حجم ال .. حجم ال system خلاصتها في هذا
+
+373
+00:28:37,140 --> 00:28:40,080
+التقرير okay ال requirements specification and
+
+374
+00:28:40,080 --> 00:28:43,260
+analysis برضه كمان بناء على ال requirements
+
+375
+00:28:43,260 --> 00:28:46,260
+specification and analysis بيطلع ان حاجة اسم ال
+
+376
+00:28:46,260 --> 00:28:48,900
+system models احنا جزء من عملية ال software
+
+377
+00:28:48,900 --> 00:28:53,680
+engineering اللي هي اصدار هذه ال models هذه ال
+
+378
+00:28:53,680 --> 00:28:57,460
+models زيها زيفي ال .. في الهندسة المعمارية و هيك
+
+379
+00:28:57,460 --> 00:29:00,480
+لما بيعملوا اللي هو ال blue prints أو المخططات
+
+380
+00:29:00,480 --> 00:29:05,900
+المباني فاحنا بتاع برضه كمان لازم في مراحل متقدمة
+
+381
+00:29:05,900 --> 00:29:10,660
+مبكرة من عملية ال software engineering تعمل models
+
+382
+00:29:10,660 --> 00:29:15,140
+تعمل أشكال توضحية اللي تعبر عن بنية ال system و عن
+
+383
+00:29:15,140 --> 00:29:19,780
+مكوناته و عن أوظافه و ما إلى ذلكفي موديلز خاصة
+
+384
+00:29:19,780 --> 00:29:23,640
+بالـ requirements في رسمات زي حاجة اسمها ال use
+
+385
+00:29:23,640 --> 00:29:28,120
+case ال use case رسمات بنعملها احنا و هنشوف في
+
+386
+00:29:28,120 --> 00:29:33,740
+المادة هذه ان شاء الله كيف بترتسم و مستخدم مخصوص
+
+387
+00:29:33,740 --> 00:29:37,060
+للتعبير عن اللي هو ال requirements تبع ال system
+
+388
+00:29:37,950 --> 00:29:41,310
+الـ Requirements Specification بيطلع عنها اللي هو
+
+389
+00:29:41,310 --> 00:29:44,430
+الـ User and System Requirements، هذا أشي مفصل
+
+390
+00:29:44,430 --> 00:29:47,390
+أكتر، يعني أنواع أخرى من الـ Models مفصلة أكتر،
+
+391
+00:29:47,390 --> 00:29:50,470
+بتعبر عن الـ Requirements، الـ Requirement
+
+392
+00:29:50,470 --> 00:29:54,760
+Validationبعد ذلك بيطلع الـ Requirements Document
+
+393
+00:29:54,760 --> 00:29:57,860
+اللي هي بعد ما تكون تحددت ال Requirements وعمل
+
+394
+00:29:57,860 --> 00:30:01,520
+عليها validation تطلع ال Requirements Document
+
+395
+00:30:01,520 --> 00:30:04,440
+النهائية ال Requirements Document النهائية هذه
+
+396
+00:30:04,440 --> 00:30:08,900
+أحيانا بيطلق عليها اسم SRS Software Requirements
+
+397
+00:30:08,900 --> 00:30:10,980
+Specification Document
+
+398
+00:30:13,990 --> 00:30:18,330
+طبعا في خطة
+
+399
+00:30:18,330 --> 00:30:23,330
+طبعتكم فيها مادة اسمها إيش؟ هندسة المتطلبات مرّت
+
+400
+00:30:23,330 --> 00:30:26,970
+عليكم المادة هذه؟ مش هي اللي أخدتوها، بس شوفتوها
+
+401
+00:30:26,970 --> 00:30:33,810
+في الخطة اسمها هندسة المتطلبات طبعا فكل .. كل
+
+402
+00:30:33,810 --> 00:30:38,370
+المادة علشان نشوف كيف عملية إنتاج هذا ال document
+
+403
+00:30:38,370 --> 00:30:44,480
+من بداية من feasibility study للأن هذا الأمر ..
+
+404
+00:30:44,480 --> 00:30:48,620
+هذه الأنشطة مابتيجيش هيك أب .. انت بتبقى قاعد على
+
+405
+00:30:48,620 --> 00:30:51,420
+المكتب و بتفكر في ال .. في ال requirements و
+
+406
+00:30:51,420 --> 00:30:56,500
+بتسجلها تيجي من خلال عملية تفاعلية و عملية مكررة
+
+407
+00:30:56,500 --> 00:31:00,760
+ما بينك و ما بين ال stakeholders اللي هم المؤسسة و
+
+408
+00:31:00,760 --> 00:31:05,360
+من يمثلها ال end users إذا كنت جواعد معاهم و .. و
+
+409
+00:31:05,360 --> 00:31:08,800
+بعدين هتعمل .. هتعمل ربما تعمل prototyping يعني
+
+410
+00:31:08,800 --> 00:31:13,890
+تعمل مماذج من ال softwareجابل لسه احنا ندخل حتى في
+
+411
+00:31:13,890 --> 00:31:18,670
+ال design تبعه نعمل نماذج افتراضية اللي من خلالها
+
+412
+00:31:18,670 --> 00:31:24,030
+ال user يعبر يقولي اه تاخد حجها من الزمن ليش لأن
+
+413
+00:31:24,030 --> 00:31:29,290
+جداش انا بتعب فيها برايح حالي اه و بتجنب الوقوع
+
+414
+00:31:29,290 --> 00:31:35,370
+فياش أخطاء و مطبات و أشياء يعني زي وجهات فيها
+
+415
+00:31:35,370 --> 00:31:43,460
+تكلفة العودة و تصليحها مكلفة و مجهدةتمام الان في
+
+416
+00:31:43,460 --> 00:31:48,380
+ال implementation مرحلة ال implementation design
+
+417
+00:31:48,380 --> 00:31:54,360
+and ال development هذه هي بقى عن design و ايضا
+
+418
+00:31:54,360 --> 00:31:59,380
+implementation فاحنا
+
+419
+00:31:59,380 --> 00:32:02,340
+هنا في ال .. في ال stage هذه ال process of
+
+420
+00:32:02,340 --> 00:32:05,500
+converting the system specification into an
+
+421
+00:32:05,500 --> 00:32:10,370
+executable systemOkay فالان احنا بنقول design and
+
+422
+00:32:10,370 --> 00:32:13,990
+implementation يعني بنحط تصميم تابعة ال system
+
+423
+00:32:13,990 --> 00:32:20,030
+بنيته و مكوناته و كل مكون شو بيسوي و كيف بتفاعل مع
+
+424
+00:32:20,030 --> 00:32:23,610
+المكونات الأخرى اش طبيعة البيانات اللي بياخدها اش
+
+425
+00:32:23,610 --> 00:32:27,320
+طبيعة البيانات اللي بيطلعهامكونات .. مكونات اللي
+
+426
+00:32:27,320 --> 00:32:30,960
+بتكون منها ال system ككل هذا ال design و بعد هيك
+
+427
+00:32:30,960 --> 00:32:33,900
+بناء على هذا ال design بيجي المدرمجين و اللي هذا
+
+428
+00:32:33,900 --> 00:32:38,140
+بنفذ هذا الأمر و في الآخر ايش بيطلع معايا بيطلع
+
+429
+00:32:38,140 --> 00:32:41,860
+معايا ال system خلاص فالمرحلة هذه اللي هي ال
+
+430
+00:32:41,860 --> 00:32:45,380
+design and
+
+431
+00:32:45,380 --> 00:32:50,600
+implementation ايش اللي بيسبقها اللي ات اول كنا
+
+432
+00:32:50,600 --> 00:32:55,440
+بنحكي فيه اللي هو مرحلة ال specificationوإيش اللي
+
+433
+00:32:55,440 --> 00:33:00,640
+بياليها أنا
+
+434
+00:33:00,640 --> 00:33:02,900
+بعد ما أكون عمل ال design وعمل ال implementation
+
+435
+00:33:02,900 --> 00:33:06,740
+يعني إيش طلعت ال output تبع هذه العملية هو بقى ال
+
+436
+00:33:06,740 --> 00:33:12,480
+executable system إيش عن executable يعني قابل
+
+437
+00:33:12,480 --> 00:33:16,240
+التنفيذ خلاص قابل الاستخدام جاهز للاستخدام هذه إيش
+
+438
+00:33:16,240 --> 00:33:20,580
+العملية إيش المخرج تبعها اللي هو ال SRS اللي كنا
+
+439
+00:33:20,580 --> 00:33:24,280
+بنحكي اللي هو specification document
+
+440
+00:33:28,090 --> 00:33:33,170
+فهذه هي عملية تحويل الـ requirements إلى
+
+441
+00:33:33,170 --> 00:33:42,150
+executable إلى نظام جاهز للاستخدام ال process of
+
+442
+00:33:42,150 --> 00:33:47,410
+converting ال specifications المتطلبات التي تم
+
+443
+00:33:47,410 --> 00:33:50,590
+تحديدها في المرحلة السابقة إلى executable system
+
+444
+00:33:50,590 --> 00:33:54,850
+جاهز للاستخدامالـ Software Design يُقصد بـ
+
+445
+00:33:54,850 --> 00:34:00,640
+Designing الـ Structure، هيكالية الـ Aهيكالية الـ
+
+446
+00:34:00,640 --> 00:34:04,140
+system و ال implementation اللي هي هذه الهيكالية
+
+447
+00:34:04,140 --> 00:34:06,660
+ايش معناته؟ معناته زي ما اتوا انا قولت اللي هي ال
+
+448
+00:34:06,660 --> 00:34:10,000
+components و علاقتهم بعض و كل component ايش بالظبط
+
+449
+00:34:10,000 --> 00:34:14,180
+وظيفتها و و ايش ال input تبعها و ال output تبعها
+
+450
+00:34:14,180 --> 00:34:17,800
+ال implementation اللي هو قولنا المبرمج بييجي او
+
+451
+00:34:17,800 --> 00:34:22,660
+المبرمجين بييجوا و يترجموا هذا الكلام الى برنامج
+
+452
+00:34:22,660 --> 00:34:23,620
+على أرض الواقع
+
+453
+00:34:27,690 --> 00:34:31,290
+و هدولة طبعا لأنهم عمليتين مشيت مع بعض اللي هو ال
+
+454
+00:34:31,290 --> 00:34:34,790
+implementation و ال design فغالبا ما بيتموا
+
+455
+00:34:34,790 --> 00:34:37,990
+interleaved كلمة interleaved ايش يعني؟ يعني مش ان
+
+456
+00:34:37,990 --> 00:34:43,210
+واحدة بتكتمل و التاني بتبدأ و خلاص لأ بتلاقي أثناء
+
+457
+00:34:43,210 --> 00:34:47,990
+ما بيصير design أيضا بيصير implementationو ممكن
+
+458
+00:34:47,990 --> 00:34:51,710
+مايبقاش كتامة لل design يعني كتامة جزئية من ال
+
+459
+00:34:51,710 --> 00:34:55,630
+design فروحنا عملنا implementation لها كتامة لل
+
+460
+00:34:55,630 --> 00:34:57,950
+design أخر و نعملها implementation ممكن ال
+
+461
+00:34:57,950 --> 00:35:02,230
+implementation لما نيجي نتحقق نعمل testing نلاقي
+
+462
+00:35:02,230 --> 00:35:05,670
+فيه خطأ و الخطأ هذا أصله في ال design فنرجع تاني
+
+463
+00:35:05,670 --> 00:35:08,850
+على ال design عشان نعدل ال design و ثم نرجع تاني
+
+464
+00:35:08,850 --> 00:35:13,450
+نبرمج فهي مقصودة ب Interleaved يعني متداخلتين اللي
+
+465
+00:35:13,450 --> 00:35:19,240
+هو ال design و ال implementationOkay ال design
+
+466
+00:35:19,240 --> 00:35:24,460
+بيشمل ال design بيشمل عدة جوانب من ال system
+
+467
+00:35:24,460 --> 00:35:29,360
+الجوانب البرمجي و أيضا اللي هو قاعدة البيانات okay
+
+468
+00:35:29,360 --> 00:35:38,180
+احنا الآن اتفجنا على انه ال design activities ايش
+
+469
+00:35:38,180 --> 00:35:42,570
+ال input الأساسي تبعهااللي هو الـ Requirements
+
+470
+00:35:42,570 --> 00:35:45,010
+Specification صح؟ هذا الـ Requirements
+
+471
+00:35:45,010 --> 00:35:48,710
+Specification فيه إلى جانبه أيضاً فيه كمان حاجة
+
+472
+00:35:48,710 --> 00:35:50,470
+اسمها الـ Data Description والـ Platform
+
+473
+00:35:50,470 --> 00:35:53,050
+Information الـ Platform حد بيعرف إيش الـ
+
+474
+00:35:53,050 --> 00:35:58,720
+Platform؟المنصة يعني ايش المنصة يعني انا بدي اعمل
+
+475
+00:35:58,720 --> 00:36:02,620
+ال system بدي يشتغل على ويندوز على ال web على
+
+476
+00:36:02,620 --> 00:36:06,680
+يونيكس على موبايلات على هذا المقصود بالمنصة اللي
+
+477
+00:36:06,680 --> 00:36:10,740
+هي الأرضية اللي هييجي يشتغل ال system على أساسها
+
+478
+00:36:10,740 --> 00:36:14,540
+تمام ال data description اللي هو انه أيضا برضه هذا
+
+479
+00:36:14,540 --> 00:36:17,560
+ال system بدي يتعامل مع بيانات بدي ياخد بيانات و
+
+480
+00:36:17,560 --> 00:36:21,370
+يطلع بيانات بنا نعرف برضه كمان شوصفتها هذه
+
+481
+00:36:21,370 --> 00:36:26,830
+البيانات، أيش الجداول، أيش كل جدول بيحتوي على أيش
+
+482
+00:36:26,830 --> 00:36:29,470
+وما إلى ذلك، تمام؟ وهذه ال requirements
+
+483
+00:36:29,470 --> 00:36:32,070
+specifications يقصد بيها الوظائف اللي بيقوم بها ال
+
+484
+00:36:32,070 --> 00:36:36,370
+system فكل هذه المعطيات هي اللي على أساسها بيقدر
+
+485
+00:36:36,370 --> 00:36:41,210
+نبدأ في عملية ال design عملية ال design تبدأ من ال
+
+486
+00:36:41,210 --> 00:36:46,470
+architectural design اللي هو التصميم الهيكلي العام
+
+487
+00:36:46,660 --> 00:36:51,060
+هو هذا التصميم الهيكل العام بحدد ال components لأن
+
+488
+00:36:51,060 --> 00:36:56,280
+في كل component بدي تحدد وظيفتها هذا جانب من ال
+
+489
+00:36:56,280 --> 00:37:00,480
+design الجانب الآخر هو ال interface design كلمة
+
+490
+00:37:00,480 --> 00:37:01,560
+مبينة انها interface
+
+491
+00:37:04,930 --> 00:37:09,710
+واجهة المستخدم واجهة التفاعل كلمة interface أحيانا
+
+492
+00:37:09,710 --> 00:37:12,850
+نقصد فيها لما احنا هنا في ال architectural design
+
+493
+00:37:12,850 --> 00:37:16,170
+مش قولنا ان في components ما بين كل component و
+
+494
+00:37:16,170 --> 00:37:19,450
+component إذا في تفاعل في حاجة اسمها interface في
+
+495
+00:37:19,450 --> 00:37:23,490
+المصر في ال objects و في ال classes إذا بتذكروا
+
+496
+00:37:23,490 --> 00:37:27,330
+فاحنا هنا بنحكي عن ال user interface design ما
+
+497
+00:37:27,330 --> 00:37:30,830
+بنحكي عن ال interface ما بين ال components صح user
+
+498
+00:37:30,830 --> 00:37:35,310
+بنحط كلمة user interfaceأو graphical interface
+
+499
+00:37:35,310 --> 00:37:40,770
+design صحيح وهذه قضية مهمة جدا وانا يعني عجبني جدا
+
+500
+00:37:40,770 --> 00:37:43,790
+انه حاططها في النص يعني اندي هنا architectural
+
+501
+00:37:43,790 --> 00:37:46,930
+design و هنا حاجة اسمها component design وفي النص
+
+502
+00:37:46,930 --> 00:37:52,410
+interface design لأنه يجب انه هي عادة مش ماخدة
+
+503
+00:37:52,410 --> 00:37:56,270
+حقها بس يجب ان تاخد حقها في عملية ال designلأن
+
+504
+00:37:56,270 --> 00:38:01,070
+كثير من ال systems بتفشل أو مستوى الرضا ال user في
+
+505
+00:38:01,070 --> 00:38:05,830
+النهاية عنها بيبقى مانخفض مش لأنها والله مابتحسبش
+
+506
+00:38:05,830 --> 00:38:11,410
+صح ولا لأنها مش سريعة ولا لأنا كده إنما لأن واجهة
+
+507
+00:38:11,410 --> 00:38:15,410
+ال system مابحكيش عن الواجهة من حيث الألوان
+
+508
+00:38:15,410 --> 00:38:21,170
+والتشكيل لأ سهولة التفاعل المجهود اللي بيبذله ال
+
+509
+00:38:21,170 --> 00:38:28,140
+user في التعامل مع ال systemيعني مش يسير فحديثة
+
+510
+00:38:28,140 --> 00:38:33,220
+بينفر ال user من المهم هذا جزء اخر مهم جدا في
+
+511
+00:38:33,220 --> 00:38:38,880
+مرحلة ال design ال component design اللي هي ايش
+
+512
+00:38:38,880 --> 00:38:41,480
+قلنا عايزا هذا ال architecture اللي هو التصميم
+
+513
+00:38:41,480 --> 00:38:45,880
+الهيكلي هذا التصميم الجزءي لكل واحدة من ال
+
+514
+00:38:45,880 --> 00:38:50,690
+componentsOkay وفينا برضه كمان ال database design
+
+515
+00:38:50,690 --> 00:38:54,670
+ال database اللي هي تشمل الجداول تشمل ال queries
+
+516
+00:38:54,670 --> 00:38:59,850
+وما إلى ذلك okay ال design outputs الآن عملية ال
+
+517
+00:38:59,850 --> 00:39:03,410
+design إذا كان هذا إذا كانت هذه ال activities
+
+518
+00:39:03,410 --> 00:39:08,470
+الأربعة دول هم ال activities والتلاتة هم مدخلات صح
+
+519
+00:39:08,470 --> 00:39:12,210
+مدخلات عملية ال design وعملية ال design هذه ال
+
+520
+00:39:12,210 --> 00:39:16,410
+activities فيها طب إيش مخرجات مخرجات عملية ال
+
+521
+00:39:16,410 --> 00:39:24,640
+designاللي هي كل حتيب جياش مستندات صح؟هيبقى فيه
+
+522
+00:39:24,640 --> 00:39:28,060
+الـ System Architecture اللي هو هيكالية عامة للـ
+
+523
+00:39:28,060 --> 00:39:30,420
+System هيبقى الـ Database Specification اللي هي
+
+524
+00:39:30,420 --> 00:39:34,180
+هيكالية قاعدة البيانات والجداول اللي فيها و الحقول
+
+525
+00:39:34,180 --> 00:39:37,560
+و كل الحقل إيش نوعه و ال relationships ما بين
+
+526
+00:39:37,560 --> 00:39:40,700
+الجداول و ما إلى ذلك ال Interface Design اللي
+
+527
+00:39:40,700 --> 00:39:45,720
+الشكل sketchات أو مخططات لشكل الواجهات المختلفة
+
+528
+00:39:45,720 --> 00:39:48,300
+ممكن يبقى أكتر من الشاشة و ال Component
+
+529
+00:39:48,300 --> 00:39:53,050
+Specification كل واحدة من ال components إيشأيش
+
+530
+00:39:53,050 --> 00:39:55,850
+بتسوي؟ أيش ال input تبعها؟ أيش ال output تبعها؟
+
+531
+00:39:55,850 --> 00:40:00,130
+كيف بتقوم بعملية معالجة ال input و إصدار ال
+
+532
+00:40:00,130 --> 00:40:08,010
+output؟ هذا كله يعني من هذا المرحلة و من المرحلة
+
+533
+00:40:08,010 --> 00:40:13,890
+السابقة بتبين للواحد جديش حجم الشغل اللي بتنطوي
+
+534
+00:40:13,890 --> 00:40:16,830
+عليه عملية software engineering software
+
+535
+00:40:16,830 --> 00:40:20,600
+engineeringبس السؤال اللي في الآخر هو انه هذا
+
+536
+00:40:20,600 --> 00:40:25,220
+الشغل متى بينعمل متى بيبقى مستاهل ان انا اقوم بكل
+
+537
+00:40:25,220 --> 00:40:29,820
+هال لخمة ده كلها او هالمجودة ده كله طبعا هذا الأمر
+
+538
+00:40:29,820 --> 00:40:34,300
+بتناسب معياش حجم ال .. المشروع اللي انا شغال عليه
+
+539
+00:40:34,300 --> 00:40:38,580
+اذا والله مشروع بخمسمية دولار ماعتقدش انه مستاهل
+
+540
+00:40:38,580 --> 00:40:44,010
+كل هالدوشة دي انما لما نكون بخمسمية الف دولارطبعا
+
+541
+00:40:44,010 --> 00:40:47,850
+فمعناه ذلك انه لا مستاهل و بده اجيب انا معايا طاقم
+
+542
+00:40:47,850 --> 00:40:53,600
+عمل الليأشتغلوا معايا عشان نقوم بكل هذه الأنشطة و
+
+543
+00:40:53,600 --> 00:40:57,020
+بعينايا
+
+544
+00:40:57,020 --> 00:41:00,420
+هذا لسه احنا بنحكي عن اللي هو مين ال specification
+
+545
+00:41:00,420 --> 00:41:04,920
+و ال development لسه ال validation قضية ال testing
+
+546
+00:41:04,920 --> 00:41:09,200
+غالبا ما بنغفلها لأنه احنا في كثير من الحلات بعد
+
+547
+00:41:09,200 --> 00:41:11,980
+ما نسلم ال software بيجي فيه عقد صغير لا ال
+
+548
+00:41:11,980 --> 00:41:15,480
+maintenance بينتهي بعد أكتر من شهر و بعدين ماحدش
+
+549
+00:41:15,480 --> 00:41:20,530
+بيعرف حدلكن الشغل ال .. ال .. ال .. ال software
+
+550
+00:41:20,530 --> 00:41:24,790
+اللي عليه ميزانية عالية اللي بينعمل عليه testing
+
+551
+00:41:24,790 --> 00:41:30,330
+أثناء ال development و testing قبل التسليم و بشكل
+
+552
+00:41:30,330 --> 00:41:34,070
+يعني مستفيد بحيث أنه لا يترك أي شيء للصدفة أنه
+
+553
+00:41:34,070 --> 00:41:38,510
+يحدث خطأ لأنه في .. في systems الخطأ الصغير ممكن
+
+554
+00:41:38,510 --> 00:41:46,620
+تبعاته تكون يعني أثرها مخاسر كبيرةتمام ال design
+
+555
+00:41:46,620 --> 00:41:50,300
+activities خلاص احنا حكيناها ال software
+
+556
+00:41:50,300 --> 00:41:53,700
+validation اللي يقصد بيه في المرحلة الأخيرة هنا ال
+
+557
+00:41:53,700 --> 00:41:57,020
+software validation اللي هي to validate to verify
+
+558
+00:41:57,020 --> 00:42:03,600
+ان ال system بيعمل اللي انطلب منه و validate ان
+
+559
+00:42:03,600 --> 00:42:10,340
+المتطلبات فعلا تلائم ال user هنميز
+
+560
+00:42:10,340 --> 00:42:16,050
+ما بين ال V الأولى و ال V التانيةverify و validate
+
+561
+00:42:16,050 --> 00:42:19,730
+تمام؟
+
+562
+00:42:19,730 --> 00:42:26,430
+validation من validOkay ماشي و غالبا valid نسمحها
+
+563
+00:42:26,430 --> 00:42:31,970
+نقول مثلا valid for يعني this صالح ليه يعني أحيانا
+
+564
+00:42:31,970 --> 00:42:35,650
+على ال toys بتقولك valid for children above three
+
+565
+00:42:35,650 --> 00:42:41,150
+years صالح للإيش للأطفال من سنة تلاتة فمفقود ف
+
+566
+00:42:41,150 --> 00:42:44,930
+valid يعني دايما اذكر معاه valid for valid for
+
+567
+00:42:44,930 --> 00:42:50,080
+يعني انا بدي أتحقق ان هذا شي مناسب لههذه الـ
+
+568
+00:42:50,080 --> 00:42:54,560
+validation ملائمة الـ system لفعلا احتياجات
+
+569
+00:42:54,560 --> 00:42:59,060
+المستخدم
+
+570
+00:42:59,060 --> 00:43:02,360
+هذه الـ validation طب ال verification to verify
+
+571
+00:43:02,360 --> 00:43:08,820
+verify يعني نتحقق نتحقق من انه ايش؟ ان ال system
+
+572
+00:43:08,820 --> 00:43:14,150
+فعلا بيلبي المتطلبات اللي اتحددت لهوانت هنا to
+
+573
+00:43:14,150 --> 00:43:18,810
+verify انه اداء ال system مطابق للوصف او ال
+
+574
+00:43:18,810 --> 00:43:22,370
+requirements اللي اتحددت في ال .. فهذه ال
+
+575
+00:43:22,370 --> 00:43:25,970
+validation غالبا بتيجي للتحقق من انه اصلا ال
+
+576
+00:43:25,970 --> 00:43:29,610
+specifications ملائمة او ال specifications بتعبر
+
+577
+00:43:29,610 --> 00:43:33,960
+عنها او بتلبي احتياجات اللي هداوالـ Verification
+
+578
+00:43:33,960 --> 00:43:37,960
+إن الـ system بعد ما اتنفذ فعلا مطابق للمواصفات
+
+579
+00:43:37,960 --> 00:43:41,280
+اللي اتحددت له في ال specification وفي ال design
+
+580
+00:43:41,280 --> 00:43:45,460
+تمام فهذا involves يشتمل على ال checking and
+
+581
+00:43:45,460 --> 00:43:49,680
+reviewing ل processes and system testing بنعمل ..
+
+582
+00:43:49,680 --> 00:43:55,740
+بنعمل testing لل system وال testing هذا له .. له
+
+583
+00:43:55,740 --> 00:44:01,920
+مستويات يعني Executing ال systemوالـ test cases
+
+584
+00:44:01,920 --> 00:44:04,680
+that are derived from specification يعني بناء على
+
+585
+00:44:04,680 --> 00:44:11,580
+ال specification بينعمل اللي هو الاختبارات okay
+
+586
+00:44:11,580 --> 00:44:16,600
+فينا تلت أنواع أساسية من ال testing اللي هو ال
+
+587
+00:44:16,600 --> 00:44:19,100
+component testing ال system testing و ال
+
+588
+00:44:19,100 --> 00:44:23,120
+acceptance testing الأسامي هذه صارت واضحة الآن ولا
+
+589
+00:44:23,120 --> 00:44:29,520
+.. ولا لسه component testingsystem testing حد
+
+590
+00:44:29,520 --> 00:44:33,460
+بيقدر يميز الفرق بين هدول التنين على الأقل هدول ال
+
+591
+00:44:33,460 --> 00:44:36,320
+component system و ال testing system ال component
+
+592
+00:44:36,320 --> 00:44:39,760
+testing احنا ايش الهدف تبعنا نتأكد من ايه عشان
+
+593
+00:44:39,760 --> 00:44:45,460
+نختبر نتحقق من انهإن كل واحد من ال components
+
+594
+00:44:45,460 --> 00:44:50,320
+شغالة حسب ما ال design اللي نحطلها لأن في واحد عمل
+
+595
+00:44:50,320 --> 00:44:53,600
+design و في واحد عمل implementation فبعد ما هدف
+
+596
+00:44:53,600 --> 00:44:58,400
+بدنا نشوف ان it was implemented صح according to
+
+597
+00:44:58,400 --> 00:45:02,830
+designيبقى هذا testing جزءي خلينا نقول جزءي وهذا
+
+598
+00:45:02,830 --> 00:45:07,230
+ال testing اللي هو الشامل اللي هو ان ال system كله
+
+599
+00:45:07,230 --> 00:45:10,210
+ال components كلها شغالة بشكل سليم و ال system
+
+600
+00:45:10,210 --> 00:45:13,810
+بيعطي ال response او بيعطي ال output السليم في كل
+
+601
+00:45:13,810 --> 00:45:18,060
+الأحوالالـ Acceptance Acceptance Testing ان والله
+
+602
+00:45:18,060 --> 00:45:22,600
+في الآخر ال system هذا هيتركب على ال environment
+
+603
+00:45:22,600 --> 00:45:26,800
+تبع المؤسسة على ال platform هيجي ال user هيقعد
+
+604
+00:45:26,800 --> 00:45:31,840
+هيشغل هيشوف ال interface هيدخل حالات و يشوف إيش ال
+
+605
+00:45:31,840 --> 00:45:37,220
+output فبصفة عامة ال system شغال في بيئة العمل
+
+606
+00:45:37,220 --> 00:45:41,720
+المستهدفة و كل شي تمام هذا هو اللي بنفحص في ال
+
+607
+00:45:41,720 --> 00:45:45,940
+acceptance testing acceptanceاللي هو يفترض انه
+
+608
+00:45:45,940 --> 00:45:52,940
+بناء عليه بده المطور ياخد كام المستحقاته المالية
+
+609
+00:45:52,940 --> 00:45:58,060
+صح؟ لما ال user جال انا من ال system لأ يعني مش
+
+610
+00:45:58,060 --> 00:46:04,740
+رابع عنه فهتتعطل عمليات السداد و الدفع و الكلام
+
+611
+00:46:04,740 --> 00:46:10,840
+هذا كله okay component testing ال system testing و
+
+612
+00:46:10,840 --> 00:46:12,480
+ال acceptance testing حكينا فيهم
+
+613
+00:46:16,170 --> 00:46:21,350
+الان احنا فيه عندنا نموذج لعمليات ال testing نموذج
+
+614
+00:46:21,350 --> 00:46:25,930
+لعمليات ال testing اللى بيسموه اللى هو ال V ال V
+
+615
+00:46:25,930 --> 00:46:33,010
+process خلينا على السري نطلع عليها و بعدين بنخلص
+
+616
+00:46:33,010 --> 00:46:39,330
+okay في عندنا احنا في عندنا خطين هنا خط اللى هو ال
+
+617
+00:46:39,330 --> 00:46:42,980
+documents اللى انعملتأثناء عملية ال specification
+
+618
+00:46:42,980 --> 00:46:45,520
+وعملية ال design فيها ال requirement specification
+
+619
+00:46:45,520 --> 00:46:51,860
+ال SRS وفيها اسم ال system specification وفيه
+
+620
+00:46:51,860 --> 00:46:55,560
+system design وفيه detail design كل واحد منها دولة
+
+621
+00:46:55,560 --> 00:47:00,280
+بترتب عليه يعني لما احنا محددش ال requirements
+
+622
+00:47:00,280 --> 00:47:03,720
+بناء على ال requirements اللي اتحددت هنا بنروح
+
+623
+00:47:03,720 --> 00:47:08,060
+بنفكر okay كيف بدنا نختبر ال system لما نكون اكتمل
+
+624
+00:47:09,130 --> 00:47:11,930
+بدي .. بدي .. بدنا نختبره بناء على ال requirements
+
+625
+00:47:11,930 --> 00:47:18,470
+ففي حاجة اسمة acceptance test plan خطة الاختبار
+
+626
+00:47:18,470 --> 00:47:22,790
+النهائي اللي هو اختبار التسليم خلينا نسميه اختبار
+
+627
+00:47:22,790 --> 00:47:28,510
+التسليم ال acceptance ال plan هذه عبارة عن مجموعة
+
+628
+00:47:28,510 --> 00:47:33,990
+من ال .. ال .. الاختبارات اللي بدنا نعمل او بدنا
+
+629
+00:47:33,990 --> 00:47:37,930
+نختبر مثلاشاشة ادخال الشاشة الفلانية الشاشة
+
+630
+00:47:37,930 --> 00:47:44,790
+الفلانية بدا نختبر data كذا data كذا واضح فبنحط في
+
+631
+00:47:44,790 --> 00:47:48,550
+هذا ال plan مجموعة من ال experiments او الاختبارات
+
+632
+00:47:48,550 --> 00:47:53,970
+هذا ال plan بتنعمل background قبل حتى ال system
+
+633
+00:47:53,970 --> 00:47:59,050
+ماشي مايتصمم بتنعمل استنادا او على اساس مرجعية
+
+634
+00:47:59,050 --> 00:48:02,270
+اياش ال requirements اللي اتحددت فيه ال
+
+635
+00:48:02,270 --> 00:48:07,890
+requirements specificationتمام؟ الان في خطوة ال
+
+636
+00:48:07,890 --> 00:48:12,930
+system specification و ال system design بتكون
+
+637
+00:48:12,930 --> 00:48:17,670
+اتحددت مكونات ال system الان هذا نظريا لسه لسه
+
+638
+00:48:17,670 --> 00:48:20,630
+احنا في ال design ماكنوش عملنا حاجة بس نظريا
+
+639
+00:48:20,630 --> 00:48:25,750
+اتحددنا مكوناته و كيف هتبقى مطارقةأو مترابطة مع
+
+640
+00:48:25,750 --> 00:48:32,030
+بعض بناء على هذا المنظور بنحدد نعمل integration
+
+641
+00:48:32,030 --> 00:48:35,990
+plan integration يعني كيف بنا نفحص بناء على هذا ال
+
+642
+00:48:35,990 --> 00:48:39,250
+design كيف بنا نفحص لما يعمل ال system ان ال
+
+643
+00:48:39,250 --> 00:48:45,510
+system مترابط و شغال فبتنحط ال plan في لحظتها
+
+644
+00:48:50,910 --> 00:48:57,330
+بنحط خطة لفحص ال subsystem كل جزئية من جزئيات اللي
+
+645
+00:48:57,330 --> 00:49:00,910
+ده او كل اتنين من ال components تفاعلوا مع بعض
+
+646
+00:49:00,910 --> 00:49:09,550
+سليم ولا لأ فهذه ال plansالخطط الاختبار بعد ما
+
+647
+00:49:09,550 --> 00:49:14,570
+يكون اكتمل عملية الانكود والعمل ال testing بنبدأ
+
+648
+00:49:14,570 --> 00:49:18,410
+على أساس هذا ال plan بنجري الاختبارات integration
+
+649
+00:49:18,410 --> 00:49:22,450
+test subsystem integration system integration
+
+650
+00:49:22,450 --> 00:49:28,450
+acceptance test و في الآخربنعطي اللي هو المنتج لل
+
+651
+00:49:28,450 --> 00:49:33,710
+.. فعملية ال testing هذه بتتخططلها مسبقا من
+
+652
+00:49:33,710 --> 00:49:35,970
+المراحل ال background مراحل ال specification و
+
+653
+00:49:35,970 --> 00:49:40,410
+مراحل ال design اخر اشي اللي هو ال software
+
+654
+00:49:40,410 --> 00:49:45,090
+evolution اللي هو انه احنا ال evolution ايش قلنا
+
+655
+00:49:45,090 --> 00:49:48,130
+ال
+
+656
+00:49:48,130 --> 00:49:51,910
+maintenance التعديل التطوير التحسين بالظبط okay
+
+657
+00:49:51,910 --> 00:49:53,210
+فاحنا الآن
+
+658
+00:49:56,560 --> 00:50:01,500
+بنفترض خلاص ان ال system انعمل و خلص و شغال و احنا
+
+659
+00:50:01,500 --> 00:50:04,140
+الان بنحكي عن ال evolution تطوير ال system و
+
+660
+00:50:04,140 --> 00:50:08,440
+تحسينه ففي انا existing system بدنا ال system هذا
+
+661
+00:50:08,440 --> 00:50:13,180
+نشوف و هل الآن يعني مثلا بعد ما تم تسليمه بسنة
+
+662
+00:50:15,080 --> 00:50:20,460
+استجدت متطلبات جديدة ولا لأ؟ فاحنا عاملين بنبدأ من
+
+663
+00:50:20,460 --> 00:50:24,140
+هنا بنبدأ من defining new system requirements
+
+664
+00:50:24,140 --> 00:50:28,440
+بنشوف ايش الآن احنا عاوزين بعدين بنقارن هذا اللي
+
+665
+00:50:28,440 --> 00:50:32,000
+احنا عاوزينه هذا الكلام بعد سنة بنقارن هو بال
+
+666
+00:50:32,000 --> 00:50:37,310
+existing system جداش بلبّي منه ايه بياش بتطلعالفرق
+
+667
+00:50:37,310 --> 00:50:41,070
+هو عبارة عن التغييرات اللي لازمة قد يكون أشياء
+
+668
+00:50:41,070 --> 00:50:44,770
+بدأت تنحضف و قد يكون غالبا أشياء بدأت تضاف فهذه
+
+669
+00:50:44,770 --> 00:50:50,310
+الآن الحاجات اللي هتكون اقترحت يبقى عملية اقتراح
+
+670
+00:50:50,310 --> 00:50:54,810
+it changes بيجي بناء على إيش؟ بناء على إن ال
+
+671
+00:50:54,810 --> 00:50:59,430
+system بعد فترة معينة المؤسسة بتعيد تقييم
+
+672
+00:50:59,430 --> 00:51:05,180
+احتياجاتهاOkay؟ مابنفعش كل ما يهب على حد .. ع بال
+
+673
+00:51:05,180 --> 00:51:11,340
+حد اشي جديد يروح يقول بدنا نعمل هذا الكلاملأ لازم
+
+674
+00:51:11,340 --> 00:51:15,140
+ناخده على فترات على فترة معينة بعد ان ال system
+
+675
+00:51:15,140 --> 00:51:18,880
+يكون اشتغال ست شهور سنة المؤسسة بتعيد تقييم
+
+676
+00:51:18,880 --> 00:51:22,620
+احتياجاتها بنشوف جداش من الاحتياجات هذه ال system
+
+677
+00:51:22,620 --> 00:51:27,580
+اللي موجود بيلبي جداش حاجات ايش حاجات جديدة اللي
+
+678
+00:51:27,580 --> 00:51:33,840
+محتاجين نضيفها فبينعمل اقتراح عليها هذا اقتراح
+
+679
+00:51:33,840 --> 00:51:38,470
+بالتعديلات على ال systemهذا الاختراع بيروح على ال
+
+680
+00:51:38,470 --> 00:51:42,870
+software engineers علشان يشوفوا كيف بدنا نعمل الان
+
+681
+00:51:42,870 --> 00:51:46,570
+modification على ال system بحيث يلبيها التغييرات
+
+682
+00:51:46,570 --> 00:51:51,390
+الجديدة هذه اللي مطلوبة okay وبناء على ال
+
+683
+00:51:51,390 --> 00:51:55,330
+modifications هذه لما تتنفس بيصير في عندي a new
+
+684
+00:51:55,330 --> 00:52:01,530
+system okay ال new system هذا بيصير هو الآن هو ال
+
+685
+00:52:01,530 --> 00:52:09,380
+existing systemوتتكرر الدورة دي بشكل دوري مانضبط
+
+686
+00:52:09,380 --> 00:52:14,140
+مش كل ما حد بده يغير حاجة بنروح على طول بنطلب
+
+687
+00:52:14,140 --> 00:52:18,390
+تغييراتلأ بشكل دوري بتنعمل عملية ال evolution
+
+688
+00:52:18,390 --> 00:52:23,850
+تمام؟ احنا الآن هيك بيكون عمليا خلصنا الحكي عن
+
+689
+00:52:23,850 --> 00:52:27,530
+اللي هو ال activities ال process activities ال
+
+690
+00:52:27,530 --> 00:52:31,590
+activities المشتركة في مختلف النماذج ال software
+
+691
+00:52:31,590 --> 00:52:35,930
+development processes المحاضرة الجاية ان شاء الله
+
+692
+00:52:35,930 --> 00:52:42,750
+بنشوفاللي هو العملية التغيير هذه و برضه فيها
+
+693
+00:52:42,750 --> 00:52:48,610
+تفاصيل و بعدين بنشوف ال prototyping و بنشوف اللي
+
+694
+00:52:48,610 --> 00:52:55,770
+هو في الآخر ال rational unified process ماشي؟و
+
+695
+00:52:55,770 --> 00:52:58,770
+احتمال كمان برضه المحاضرة الجاية نبدأ نحكي في
+
+696
+00:52:58,770 --> 00:53:02,770
+المشاريع المشاريع اللي بنعملها خلال الفصل ماشي بن
+
+697
+00:53:02,770 --> 00:53:07,070
+.. بنرضه ال .. ال list المشاريع المقترحة و بنبدأ
+
+698
+00:53:07,070 --> 00:53:11,770
+نحكي عن اللي هو النماذج اللي بتكون تعبوها كل فريق
+
+699
+00:53:11,770 --> 00:53:17,330
+بده يعبي نموذج خاص بالمشروع تبعه من ال .. من بداية
+
+700
+00:53:17,330 --> 00:53:21,550
+العملية لأخرها فيها النماذج اعطيكم العافية
+
diff --git a/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/Oj8LAsuGo5k.srt b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/Oj8LAsuGo5k.srt
new file mode 100644
index 0000000000000000000000000000000000000000..19ceb18ed680c72955823759fe3ac691b1bbf684
--- /dev/null
+++ b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/Oj8LAsuGo5k.srt
@@ -0,0 +1,4011 @@
+1
+00:00:20,940 --> 00:00:23,240
+بسم الله الرحمن الرحيم الصلاة والسلام علي أشرف
+
+2
+00:00:23,240 --> 00:00:29,180
+المرسلين أرحب بالجميع، الإخوان الطلاب، الحضور في مساق 
+
+3
+00:00:29,180 --> 00:00:34,080
+software engineering oneاليوم إن شاء الله هتكون
+
+4
+00:00:34,080 --> 00:00:39,140
+أول محاضرة لنا، أرحب برضه كمان بأي أحد يشاهد 
+
+5
+00:00:39,140 --> 00:00:44,900
+التسجيل هذا من داخل الجامعة أو من برا الجامعة
+
+6
+00:00:44,900 --> 00:00:49,040
+وطبعًا المجال مفتوح للجميع لأي استفسارات أو أي
+
+7
+00:00:49,040 --> 00:00:52,700
+مساعدة في مجال الـ software engineering من خلال
+
+8
+00:00:52,700 --> 00:00:56,100
+اللي هو الفيديو هذا والـ comments أو التعليقات
+
+9
+00:00:56,100 --> 00:01:03,910
+اللي بتظهر تحت الفيديو، ماشي الحال؟ احنا في المساق ده
+
+10
+00:01:03,910 --> 00:01:08,350
+إن شاء الله في المحاضرة دي بدنا نبدأ بتعريف عام
+
+11
+00:01:08,350 --> 00:01:14,290
+عن مجال اللي هو الـ software development بصفة عامة، و
+
+12
+00:01:14,290 --> 00:01:18,590
+بعدين اللي هو الـ software engineering بصفة خاصة، و
+
+13
+00:01:18,590 --> 00:01:23,110
+بعدين فيه أنا كمان نقطتين ثانيتين اللي هم الـ ethics 
+
+14
+00:01:23,110 --> 00:01:31,270
+وفي مثال على case study اللي بتعطيني مثال يوضح شو
+
+15
+00:01:31,270 --> 00:01:36,770
+يعني.. شو هي أنواع الـ software systems اللي عادة
+
+16
+00:01:36,770 --> 00:01:42,900
+ما بتتطلب أن نعملها engineering، ماشي؟ فاحنا هنحاول
+
+17
+00:01:42,900 --> 00:01:46,020
+في المحاضرة هذه أن نغطي الثلاث نقاط هدول اللي هم
+
+18
+00:01:46,020 --> 00:01:49,060
+professional software development نتعرف على إيش
+
+19
+00:01:49,060 --> 00:01:51,740
+يعني professional software development، what is
+
+20
+00:01:51,740 --> 00:01:53,700
+meant by software development and software
+
+21
+00:01:53,700 --> 00:01:57,340
+engineering، بعدها هنشوف أخلاقيات اللي هو ethics 
+
+22
+00:01:57,340 --> 00:02:01,760
+يعني اللي.. اللي بتشكل يعني مجموعة من المسئوليات 
+
+23
+00:02:01,760 --> 00:02:05,320
+اللي لازم يلتزم بها الـ software engineer أثناء
+
+24
+00:02:05,320 --> 00:02:10,380
+عمله كـ.. أثناء عمله على الـ software systems، وزي ما
+
+25
+00:02:10,380 --> 00:02:13,980
+قلت اللي هو case study، تمام؟ خليني أحطهم هنا على
+
+26
+00:02:13,980 --> 00:02:18,000
+الجانب هدول الثلاث نقاط وإن شاء الله بنقدر نغطيهم 
+
+27
+00:02:18,000 --> 00:02:22,960
+الثلاث محاضرة هذه اللي هو خليني أقول what is
+
+28
+00:02:22,960 --> 00:02:31,820
+software engineering ونقول software engineering
+
+29
+00:02:31,820 --> 00:02:32,360
+ethics
+
+30
+00:02:38,250 --> 00:02:42,930
+ونقول اللي هو نذكر الـ case study أو واحدة من
+
+31
+00:02:42,930 --> 00:02:48,350
+الثلاث اللي موجودين في الـ chapter ادوبك اللي تكفي
+
+32
+00:02:48,350 --> 00:02:54,740
+الوجه، نذكر واحدة بس إن شاء الله، طيب ماشي الحال؟ الـ
+
+33
+00:02:54,740 --> 00:02:56,840
+software engineering قبل ما ندخل في تعريف الـ
+
+34
+00:02:56,840 --> 00:03:01,140
+software engineering في أول شيء ينبغي أن احنا نفهم
+
+35
+00:03:01,140 --> 00:03:04,920
+ليش موضوع الـ software engineering ماخذ هذا الاهتمام
+
+36
+00:03:04,920 --> 00:03:08,720
+من وين بيجي الاهتمام يعني في مسألة الـ software
+
+37
+00:03:08,720 --> 00:03:14,220
+engineering، الاهتمام الأساسي جاي أو يعني العامل
+
+38
+00:03:14,220 --> 00:03:18,080
+الأساسي في هذا الاهتمام هو الاقتصاد والفلوس، تمام؟
+
+39
+00:03:18,180 --> 00:03:21,620
+خاصة في الدول اللي هو المتقدمة، وبالتحديد يعني في
+
+40
+00:03:21,620 --> 00:03:26,060
+الدول المتقدمة لأن الـ economies أو الاقتصادات في 
+
+41
+00:03:26,060 --> 00:03:30,420
+هذه الدول المتقدمة developed nations بتعتمد 
+
+42
+00:03:30,420 --> 00:03:36,140
+باِعتماد كبير على الـ software، ماهيش الحال كذلك
+
+43
+00:03:36,140 --> 00:03:41,940
+الحال أن كثير من الـ systems، الـ systems هنا قد تكون
+
+44
+00:03:41,940 --> 00:03:45,520
+يُقصد بها يعني بالتحديد اللي هو hardware systems 
+
+45
+00:03:45,520 --> 00:03:49,740
+كثير من الـ hardware systems بتكون بتحكم فيها الـ
+
+46
+00:03:49,740 --> 00:03:53,080
+software، يعني أنت ممكن تشوف device، device، machine
+
+47
+00:03:53,080 --> 00:03:58,220
+machine، شغلها mechanical لكن ما تبقاش واخد بالك 
+
+48
+00:03:58,220 --> 00:04:02,940
+أن التحكم في هذه الـ machine من خلال software، فالـ
+
+49
+00:04:02,940 --> 00:04:05,970
+software موجود في الـ software اللي احنا بنشوفه، و
+
+50
+00:04:05,970 --> 00:04:10,450
+أيضًا موجود كمان في إيش؟ في كثير من الـ systems الـ
+
+51
+00:04:10,450 --> 00:04:13,670
+mechanical systems موجود فيها الـ software بس بشكل
+
+52
+00:04:13,670 --> 00:04:20,710
+احنا مش ظاهر لنا الـ software engineering لأن هو
+
+53
+00:04:20,710 --> 00:04:26,050
+العلم أو المجال يعني اللي بيعني بالـ development
+
+54
+00:04:26,050 --> 00:04:32,400
+development، يعني عملية تطوير الـ software، لأنه بسبب
+
+55
+00:04:32,400 --> 00:04:37,240
+أن الـ software مهم جدًا لاقتصاديات الدول المتقدمة
+
+56
+00:04:37,240 --> 00:04:43,680
+ولأن الـ software منتشر في مختلف جوانب الحياة فإحنا 
+
+57
+00:04:43,680 --> 00:04:48,120
+الآن لازم نولي عملية صناعة الـ software، عملية تطوير
+
+58
+00:04:48,120 --> 00:04:50,340
+الـ software development أو الـ production اهتمام
+
+59
+00:04:50,340 --> 00:04:54,900
+كبير، وبالتالي بنشأ هذا المجال أو العلم، العلم هذا
+
+60
+00:04:54,900 --> 00:05:00,010
+is concerned withالـ theories يعني إيش النظريات، و
+
+61
+00:05:00,010 --> 00:05:05,110
+الطرق والـ tools، تمام؟ دول الثلاث أمور مهمة جدًا
+
+62
+00:05:05,110 --> 00:05:08,190
+اللي هي الـ theories أو هي اللي على أساسها أو اللي
+
+63
+00:05:08,190 --> 00:05:15,770
+بتكون منها علم الـ software engineering، احنا مش
+
+64
+00:05:15,770 --> 00:05:23,990
+جايين ندرس نظريات ولا جايين ندرس طرق ومشكلة نظرية
+
+65
+00:05:23,990 --> 00:05:28,170
+لأ، احنا في الـ software engineering بالأساس تركيزنا 
+
+66
+00:05:28,170 --> 00:05:31,330
+على الـ methods والـ tools، الـ tools اللي هي الأدوات 
+
+67
+00:05:31,330 --> 00:05:34,030
+اللي بنستخدمها، والـ methods اللي هي الطرق، و
+
+68
+00:05:34,030 --> 00:05:39,450
+المنهجيات اللي بنتبعها في في العملية أو في مشروع
+
+69
+00:05:39,450 --> 00:05:42,270
+مشروع إنتاج الـ software، لكن هذه الـ tools والـ
+
+70
+00:05:42,270 --> 00:05:46,350
+methods غالبًا ما بتبقى إيش متأسسة على نظريات
+
+71
+00:05:46,350 --> 00:05:49,290
+نظريات في الإدارة، ونظريات في التنظيم، ونظريات 
+
+72
+00:05:49,290 --> 00:05:54,550
+أيضًا كمان في إيش؟ في التحقق من ما يناسب الـ user 
+
+73
+00:05:54,550 --> 00:05:58,600
+لأن هذه الـ software systems كلها في الآخر إيش؟ هيجي
+
+74
+00:05:58,600 --> 00:06:03,360
+باستخدامها، فلازم أيضًا كمان يكون جانب من العلم
+
+75
+00:06:03,360 --> 00:06:09,000
+هذا متجه نحو فهم إيش احتياجات الـ user وإيش اللي
+
+76
+00:06:09,000 --> 00:06:13,900
+بينسموه okay، فكل هذا في الآخر يعني العلم الـ
+
+77
+00:06:13,900 --> 00:06:18,820
+software engineering معنًا بطرق و tools المستخدمة 
+
+78
+00:06:18,820 --> 00:06:22,040
+في عملية إنتاج أو عملية تطوير اللي هو الـ software 
+
+79
+00:06:22,040 --> 00:06:26,920
+كلمة تطوير هنا development، تمام؟ احنا لما بنترجمها
+
+80
+00:06:26,920 --> 00:06:31,570
+إلى تطوير بنفهم أو ممكن السامع يفهم أنه شيء موجود، و
+
+81
+00:06:31,570 --> 00:06:36,930
+بدنا نحسنه، لكن لأ، تطوير هنا يقصد بها يعني، حمور 
+
+82
+00:06:36,930 --> 00:06:40,710
+معنا في طول الوجود في المساق ده، كلمة تطوير يقصد
+
+83
+00:06:40,710 --> 00:06:47,670
+بيها من لحظة ما احنا بننشئه إلى كل أطوار حياته للـ
+
+84
+00:06:47,670 --> 00:06:54,050
+software، تمام؟ مش بضرورة مش بس أنه تحسين شيء موجود
+
+85
+00:06:54,050 --> 00:06:58,790
+فـ development يعني من الإنتاج وكل المراحل اللاحقة
+
+86
+00:06:58,790 --> 00:07:04,850
+okay all right، ففي عندنا برضه كمان شغل مهم آخر بتـ
+
+87
+00:07:04,850 --> 00:07:09,310
+..بتؤكد على أهمية الـ software وأهمية دراسة الـ
+
+88
+00:07:09,310 --> 00:07:13,670
+software engineering اللي هي أن في الدول هذه الـ
+
+89
+00:07:13,670 --> 00:07:16,810
+developed nations الـ GNP اللي هو Gross National
+
+90
+00:07:16,810 --> 00:07:21,640
+Product اللي هو إجمالي الإنتاج القومي للبلد بتلاقي
+
+91
+00:07:21,640 --> 00:07:26,380
+الصرف أو الإنفاق على الـ software، الإنفاق على الـ
+
+92
+00:07:26,380 --> 00:07:28,980
+software، الـ software اللي راني شرائه وإنتاجه
+
+93
+00:07:28,980 --> 00:07:34,720
+بيشكل fraction كبير، fraction يعني.. fraction يعني
+
+94
+00:07:34,720 --> 00:07:39,840
+جزء كبير من اللي هو الـ.. الـ.. الناتج هذا، إجمالي
+
+95
+00:07:39,840 --> 00:07:46,650
+الـ.. الـ.. الـ.. الناتج القومي، الإنتاج القومي، مسألة
+
+96
+00:07:46,650 --> 00:07:54,490
+بهذه الأهمية يفترض أن يكون عليها اهتمام كبير في
+
+97
+00:07:54,490 --> 00:07:56,230
+نقاط أخرى كذلك
+
+98
+00:08:00,130 --> 00:08:04,670
+الـ PCs والأجهزة الكمبيوتر، الـ hardware لما احنا
+
+99
+00:08:04,670 --> 00:08:08,250
+بنطلع عليها وبنطلع على تمنها وتمن الـ software
+
+100
+00:08:08,250 --> 00:08:12,350
+اللي بيستخدم عليها، بنلاقي أن الـ software cost
+
+101
+00:08:12,350 --> 00:08:17,010
+عادة أكثر بكثير من الـ hardware cost، يعني أنت لما
+
+102
+00:08:17,010 --> 00:08:21,390
+بتشتري جهاز كمبيوتر غالبًا بتطلع على اللي هو جدش 
+
+103
+00:08:21,390 --> 00:08:26,130
+تمنه، هيكلفك 500 لـ 1000 دولار لأكثر أحيانًا بكثير
+
+104
+00:08:26,750 --> 00:08:30,670
+ما بتحسبش حساب الـ software، وغالبًا يعني الـ software
+
+105
+00:08:30,670 --> 00:08:37,190
+بيجي مجانًا، بس المؤسسات لما بتشتري الـ computer عشان 
+
+106
+00:08:37,190 --> 00:08:42,990
+يتوظفوا للاستخدام في عملها الداخلي، خطأ كبير أنهم
+
+107
+00:08:42,990 --> 00:08:46,470
+بس ينظروا على ناحية الـ hardware فقط، ليش؟ لأن الـ
+
+108
+00:08:46,470 --> 00:08:50,550
+hardware هذا لسه بداية الحكاية، بعد هيك بيصيروا
+
+109
+00:08:50,550 --> 00:08:55,150
+بتكلفوا كثير من التكاليف في الـ software والـ
+
+110
+00:08:55,150 --> 00:08:58,230
+maintenance تبع الـ software والـ development بمعنى 
+
+111
+00:08:58,230 --> 00:09:02,890
+أنه تحسين الـ software، فهدف على الـ long run، على الـ
+
+112
+00:09:02,890 --> 00:09:05,970
+long run يعني إيش؟ على الـ long run على المدى الطويل
+
+113
+00:09:05,970 --> 00:09:11,630
+بتيجي تكلفة الـ software أضعاف أضعاف التكلفة اللي
+
+114
+00:09:11,630 --> 00:09:16,550
+انحطت في اللي هو الأجهزة والـ hardware، okay، فهي
+
+115
+00:09:16,550 --> 00:09:21,010
+احنا هنا بنقول أن الـ cost of software on a pc are
+
+116
+00:09:21,010 --> 00:09:24,490
+often greater than.. غالبًا بتكون أكثر بكثير من
+
+117
+00:09:24,490 --> 00:09:28,790
+ليش؟ من ليش؟ من الـ hardware هذا، من ناحية.. من
+
+118
+00:09:28,790 --> 00:09:35,150
+ناحية الـ maintenance، تمام؟ الـ software أكثر من الـ
+
+119
+00:09:35,150 --> 00:09:38,910
+hardware، okay، فالـ software engineering لهذه
+
+120
+00:09:38,910 --> 00:09:41,790
+الأسباب المختلفة، النقاط هدول، والنقاط اللي في الـ
+
+121
+00:09:41,790 --> 00:09:44,630
+slide اللي قبل الـ software engineering صار إشي 
+
+122
+00:09:44,630 --> 00:09:48,890
+ضروري جدًا علشان to.. إيش؟ to develop software
+
+123
+00:09:48,890 --> 00:09:52,470
+اللي يكون cost effective، إيش يعني cost effective؟
+
+124
+00:09:52,470 --> 00:10:00,310
+يعني التكلفة تبعته جايبة.. تكلفة تبعته استثمرت
+
+125
+00:10:00,310 --> 00:10:05,090
+بأفضل شكل ممكن، يعني مضاعفش فلوس هدرا، هي المقصود
+
+126
+00:10:05,090 --> 00:10:10,050
+بـ cost effective، تمام؟ الآن في مقطع ثاني بدنا نطلع
+
+127
+00:10:10,050 --> 00:10:14,170
+عليه أن في الأساس.. في الأساس أن الـ software..
+
+128
+00:10:14,170 --> 00:10:19,010
+الـ software ممكن تقسيمه إلى قسمين اللي هو فيه 
+
+129
+00:10:19,010 --> 00:10:22,610
+generic software وفيه customized software، ماشي؟ الـ
+
+130
+00:10:22,610 --> 00:10:26,730
+generic software كلمة السر أو الكلمة الأساسية في
+
+131
+00:10:26,730 --> 00:10:30,270
+الكلام ده كله أنه marketed، إيش يعني marketed؟ يعني
+
+132
+00:10:30,270 --> 0:10:36,190
+بتيجي شركة الـ software بتعمله بناء على يعني
+
+133
+00:10:36,190 --> 00:10:40,910
+استشعارها بإيش السوق محتاج، وبتعمل الـ software ده
+
+134
+00:10:40,910 --> 00:10:45,990
+وبتسويقه للي بده يشتري هذا الكلام، في المقابل النوع 
+
+135
+00:10:45,990 --> 00:10:48,630
+الثاني، لأ، النوع الثاني من الـ software اللي هو الـ
+
+136
+00:10:48,630 --> 00:10:51,790
+software اللي بتيجي المؤسسة اللي محتاجة أو الطرف 
+
+137
+00:10:51,790 --> 00:10:53,850
+أو الجهة اللي محتاجة الـ software هي اللي بتيجي
+
+138
+00:10:53,850 --> 00:10:57,570
+بتقول أنا محتاجة software يتصمم بشكل مخصوص لي
+
+139
+00:10:57,570 --> 00:11:01,210
+بالمواصفات الفلانية، وبتيجي بعد ذلك شركة الـ
+
+140
+00:11:01,210 --> 00:11:05,690
+development أو شركة إنتاج الـ software بتخشها
+
+141
+00:11:05,690 --> 00:11:09,110
+المشروع و بتعمل الـ software هذا عسب احتياجات الـ
+
+142
+00:11:09,110 --> 00:11:12,270
+customer يبقى فيها نوعين الـ generic software
+
+143
+00:11:12,270 --> 00:11:14,250
+product هنا يعني كلمة software
+
+144
+00:11:16,890 --> 00:11:20,230
+generic software products وفيه customized software
+
+145
+00:11:20,230 --> 00:11:24,650
+products واضح الفرق ما بينهم، الـ examples على ذلك
+
+146
+00:11:24,650 --> 00:11:28,510
+يعني على الـ generic اللي هي معظم الـ software
+
+147
+00:11:28,510 --> 00:11:30,930
+packages اللي احنا بنشتريهم استخدامها على الـ pc
+
+148
+00:11:30,930 --> 00:11:33,570
+يعني على الـ personal الكمبيوتر هذي generic لأنها
+
+149
+00:11:33,570 --> 00:11:37,490
+موجودة في الـ market و الناس بتشتريها بينما على
+
+150
+00:11:37,490 --> 00:11:41,270
+صعيدها ده اللي هو الـ customized software بيبقى
+
+151
+00:11:41,270 --> 00:11:46,390
+يعني embedded control systems يعني شركة اه عندها
+
+152
+00:11:46,390 --> 00:11:50,950
+device mechanical device و بدها software اللي 
+
+153
+00:11:50,950 --> 00:11:55,430
+يتحكم فيها يتحكم فيه يعني عادة مثلا مكان الـ ...
+
+154
+00:11:55,430 --> 00:12:01,950
+مكان الـ ...اللي بتعمل مكان النسيج مثلا التحكم تبعها
+
+155
+00:12:01,950 --> 00:12:04,450
+كله من خلال الـ software فهم بيعطوا يعني الـ
+
+156
+00:12:04,450 --> 00:12:07,670
+software بيجي بحيث أنه أنت بتعطيله أي صورة و هو
+
+157
+00:12:07,670 --> 00:12:13,150
+بعدين بيحول الصورة الى ايش؟ الى حركات للمكان عشان
+
+158
+00:12:13,150 --> 00:12:18,090
+ترسم الـ أو تنسج ترسم النقش هذا على الإجماش، فـ الـ
+
+159
+00:12:18,090 --> 00:12:22,350
+embedded control systems الـ Embedded واضح ايش يعني
+
+160
+00:12:22,350 --> 00:12:25,010
+كلمة Embedded؟ الـ Embedded يعني لما يبقى فيها
+
+161
+00:12:25,010 --> 00:12:28,910
+عندها hardware زي اللي اتول ما حكيت أنا مثال تبع
+
+162
+00:12:28,910 --> 00:12:33,410
+مكان نسيج أو أي مكان صناعية، الـ control تبعها هتتحكم
+
+163
+00:12:33,410 --> 00:12:37,870
+في حركتها و هذا بتتم خلال software فهذا الـ
+
+164
+00:12:37,870 --> 00:12:39,950
+software يبقى embedded ايش يعني embedded؟ يعني
+
+165
+00:12:39,950 --> 00:12:46,520
+مدمج بداخل الـ system الـ hardware system تمام؟ الـ
+
+166
+00:12:46,520 --> 00:12:49,520
+air traffic control الـ traffic يعني حركة المرور
+
+167
+00:12:49,520 --> 00:12:54,100
+حركة الخطوط الجوية يعني فالتحكم في الرحلات و ما
+
+168
+00:12:54,100 --> 00:12:57,020
+إلى ذلك، الـ traffic monitoring systems اللي هي
+
+169
+00:12:57,020 --> 00:13:01,660
+المواصلات و مراقبة المواصلات و تنظيمها برضه هذه
+
+170
+00:13:01,660 --> 00:13:05,420
+الكلام عبارة عن أجهزة في كل الأمثلة هذه لأن فيها
+
+171
+00:13:05,420 --> 00:13:08,800
+أجهزة specialized hardware devices لكن بدها
+
+172
+00:13:08,800 --> 00:13:14,930
+software إيش يتحكم فيها تمام؟ فهذا الـ ... ايش التمييز
+
+173
+00:13:14,930 --> 00:13:18,770
+بين اللوعين الأساسيات للـ software أنت الآن في
+
+174
+00:13:18,770 --> 00:13:22,870
+software engineering ممكن يجي الشغل هنا أو يجي
+
+175
+00:13:22,870 --> 00:13:25,710
+هنا يعني ممكن تكون أنت شغال في شركة بتنتج software
+
+176
+00:13:25,710 --> 00:13:29,690
+و بتعمل software للـ market و بتسوقه و ممكن أنت
+
+177
+00:13:29,690 --> 00:13:34,630
+تبقى شغال أيضا في شركة بتاخد مشاريع مع مؤسسات و
+
+178
+00:13:34,630 --> 00:13:42,400
+بتعمل لها software مخصوص okay تمام الآن نقطة ثانية
+
+179
+00:13:42,400 --> 00:13:45,840
+أيضا اللي هي علاقة بالنوعين هذه اللي هي product
+
+180
+00:13:45,840 --> 00:13:49,480
+specification ايش يعني product specification؟ يعني
+
+181
+00:13:49,480 --> 00:13:57,220
+وضع المواصفات في
+
+182
+00:13:57,220 --> 00:14:00,420
+الـ generic مين اللي بيضع المواصفات تبع الـ software
+
+183
+00:14:00,420 --> 00:14:04,840
+وفي الـ customized مين اللي بيضع المواصفات؟ اه
+
+184
+00:14:06,330 --> 00:14:10,670
+المطور في هنا ولا في هنا؟ في الـ generic المطور هو
+
+185
+00:14:10,670 --> 00:14:14,810
+اللي بيحدد المواصفات بينما في الـ customized هو ليش
+
+186
+00:14:14,810 --> 00:14:18,370
+الطبيعي أن الـ customer بناء على حاجته بيقول أنا
+
+187
+00:14:18,370 --> 00:14:21,590
+محتاج الـ software يسوي كذا و كذا و كذا، واضح النقطة
+
+188
+00:14:21,590 --> 00:14:26,050
+هذه؟ فهنا الـ software developer هو بناء على اعتقاده
+
+189
+00:14:26,050 --> 00:14:30,630
+و بناء أيضا كمان على بيعمل دراسة مسحية يعني بيعمل
+
+190
+00:14:30,630 --> 00:14:35,250
+استبانة و بدرس السوق و بدرس الـ market و بدرس الفئة
+
+191
+00:14:35,250 --> 00:14:39,210
+المستهدفة فيقول بدي اعمل برنامج مخصوص لفئة معينة
+
+192
+00:14:39,210 --> 00:14:43,970
+فبيعمل دراسة و بي ... بشكل علمي يعني مدروس بيحدد
+
+193
+00:14:43,970 --> 00:14:48,980
+المواصفات، بس المسئولية أو الحكم هو هنا لأ، هنا
+
+194
+00:14:48,980 --> 00:14:52,820
+الأمر راجع لمين؟ في الـ Customized راجع لـ
+
+195
+00:14:52,820 --> 00:14:55,860
+Customer By the Customer، هنا By the Software
+
+196
+00:14:55,860 --> 00:15:00,060
+Developer تمام؟ واضح النقطة هذه، بتهيألي الآن احنا
+
+197
+00:15:00,060 --> 00:15:03,800
+هنا في أنا slide أنا بدي أخليكوا ياها homework، الـ
+
+198
+00:15:03,800 --> 00:15:07,000
+slide هذه عبارة عن fact، ايش يعني fact؟ يعني
+
+199
+00:15:07,000 --> 00:15:11,220
+frequently asked questions about software
+
+200
+00:15:11,220 --> 00:15:14,720
+engineering، what is software؟ إيش هو الـ software؟
+
+201
+00:15:14,720 --> 00:15:19,900
+What are the attributes؟ يعني خصائص؟ أنا الآن إيش
+
+202
+00:15:19,900 --> 00:15:23,360
+اللي بدي أطلبه منكم؟ أنا الآن بدي أترجم لكم الأسئلة
+
+203
+00:15:23,360 --> 00:15:26,920
+و أنا بدي منكم الترجمة والأجوبة، و المحاضرة اللي جاي
+
+204
+00:15:26,920 --> 00:15:30,600
+إن شاء الله بدي بشكل عشوائي أسأل أي سؤال و تكون
+
+205
+00:15:30,600 --> 00:15:35,840
+أنت يعني محضر إجابته تمام؟ okay فالأسئلة هذه اللي
+
+206
+00:15:35,840 --> 00:15:39,680
+هي الأسئلة العامة يعني اللي بتسأل هو الموضوع الصحي
+
+207
+00:15:39,750 --> 00:15:41,330
+What is software engineering؟ What is software؟
+
+208
+00:15:41,330 --> 00:15:44,430
+What are the attributes يعني الخصائص للـ software
+
+209
+00:15:44,430 --> 00:15:49,190
+الجيد؟ What is software engineering؟ شو التعريف؟
+
+210
+00:15:49,190 --> 00:15:52,580
+هنمر كمان شوية على التعريف و نشرحه يعني بس حياته
+
+211
+00:15:52,580 --> 00:15:57,020
+مكتوب هنا أنت مطلوب منك أن أنت تبقى محضر لو سؤلت
+
+212
+00:15:57,020 --> 00:15:59,600
+فيه المحاضرة الجاية تبقى جاهز what are the
+
+213
+00:15:59,600 --> 00:16:02,640
+fundamental يعني الأساسي software engineering
+
+214
+00:16:02,640 --> 00:16:06,820
+activities يعني ايش الأنشطة المهام اللي بيقوم بيها
+
+215
+00:16:06,820 --> 00:16:10,160
+مين الـ software engineer المهندس الـ software اللي
+
+216
+00:16:10,160 --> 00:16:14,040
+هو أنت يعني بعد ما ... لما تبقى شغال على مشروع
+
+217
+00:16:14,040 --> 00:16:16,660
+software شو الأنشطة؟ فيه عندك اللي هو
+
+218
+00:16:16,660 --> 00:16:19,590
+specification تحديد الـ specification فيه عندك الـ
+
+219
+00:16:19,590 --> 00:16:22,150
+development هنا الـ development مرة أخرى بيقول اللي
+
+220
+00:16:22,150 --> 00:16:27,450
+هي عملية الإنتاج من من design من الـ analysis و
+
+221
+00:16:27,450 --> 00:16:31,510
+design و coding يعني implementation و برضه إيش فيه
+
+222
+00:16:31,510 --> 00:16:34,250
+يلحقها اللي هو الـ validation و الـ evolution
+
+223
+00:16:34,250 --> 00:16:37,930
+validation هي التحقق من إن الـ software حسب
+
+224
+00:16:37,930 --> 00:16:41,390
+المواصفات تم تصميمه يعني و إنتاجه حسب المواصفات و
+
+225
+00:16:41,390 --> 00:16:45,110
+الـ evolution اللي هي اللي هو تحسينه، جدا معين، أنا
+
+226
+00:16:45,110 --> 00:16:51,250
+جوابت السؤال هذا، what is the difference between
+
+227
+00:16:51,250 --> 00:16:55,590
+software engineering and computer science الفرق ما
+
+228
+00:16:55,590 --> 00:16:58,350
+بين هدول المجالين، مجالين إما في الدراسة أو في
+
+229
+00:16:58,350 --> 00:17:01,670
+العمل يعني أنت كقالب إيش بتدرس في الـ computer
+
+230
+00:17:01,670 --> 00:17:04,530
+science وإيش بتدرس في software engineering وإنت في
+
+231
+00:17:04,530 --> 00:17:08,930
+الشغل إيش مهامك كـ computer scientist وإيش مهامك كـ
+
+232
+00:17:08,930 --> 00:17:15,810
+software engineer تمام؟ هذه الإجابة غلط تمام؟ اه الـ
+
+233
+00:17:15,810 --> 00:17:20,930
+... الكلام اللي هنا مش دقيق، بديك تبحث ... أنا حاطط
+
+234
+00:17:20,930 --> 00:17:27,290
+تحت الـ slide هذه لو طلعته هنا في notes ماشي، الـ
+
+235
+00:17:27,290 --> 00:17:31,470
+notes هذه بتفرق ما بين ... هذه إجابة أكثر ... أكثر
+
+236
+00:17:31,470 --> 00:17:35,790
+يعني دقة بتفرق بس ما بين اللي هم تلت مجالات اللي
+
+237
+00:17:35,790 --> 00:17:40,280
+هو computer engineering هذا خارج نطاق السؤال،
+
+238
+00:17:40,280 --> 00:17:42,980
+السؤال بيسأل عن هدولة بس Computer Science و
+
+239
+00:17:42,980 --> 00:17:46,220
+Software Engineering، تمام؟ احنا في السؤال هنا
+
+240
+00:17:46,220 --> 00:17:49,060
+معنيين من الفرق ما بين هدول التانية، برضه مش غلط لو
+
+241
+00:17:49,060 --> 00:17:52,600
+أنت كمان جريت هذا و فهمته عشان تعرف تميز ما بين
+
+242
+00:17:52,600 --> 00:17:57,860
+التلاتة هدول، okay؟ هذه الإجابة اللي هنا أقرب إلى
+
+243
+00:17:57,860 --> 00:18:00,900
+الدقة من الإجابة اللي في الجدول هداك، okay؟
+
+244
+00:18:03,830 --> 00:18:08,110
+فأنت معني بإنك أنت السؤال هذا عند هذا السؤال what
+
+245
+00:18:08,110 --> 00:18:10,690
+is the difference between software engineering and
+
+246
+00:18:10,690 --> 00:18:14,330
+computer science اجيب الإجابة من هذه الـ ... من الـ
+
+247
+00:18:14,330 --> 00:18:16,270
+notes ايش بعد كس السؤال التاني what is the
+
+248
+00:18:16,270 --> 00:18:19,530
+difference between software engineering and
+
+249
+00:18:19,530 --> 00:18:23,430
+systems engineering شوف أفرجات لما احنا شيلنا كلمة
+
+250
+00:18:23,430 --> 00:18:26,990
+software و حطينا كلمة systems باختصار شديد كلمة
+
+251
+00:18:26,990 --> 00:18:30,750
+systems أعم من software يعني software، الـ systems قد
+
+252
+00:18:30,750 --> 00:18:35,970
+يكون software قد يكون hardware تمام؟ فهنا الـ
+
+253
+00:18:35,970 --> 00:18:40,330
+software engineer مختص بس في ما يتعلق بالـ software
+
+254
+00:18:40,330 --> 00:18:45,470
+والبرمجيات بينما الـ systems engineer أشمل بيتعامل
+
+255
+00:18:45,470 --> 00:18:50,990
+مع بينتج products بتبقى software أو بتبقى hardware
+
+256
+00:18:50,990 --> 00:18:55,310
+أو بتبقى systems مدمجة فيها الـ software و فيها الـ
+
+257
+00:18:55,310 --> 00:18:59,350
+hardware عيني أنا بجاوبلكم المفروض أن أنا ما جاوبش
+
+258
+00:18:59,350 --> 00:19:02,830
+بس أشرح السؤال و خلاص، what are the key challenges
+
+259
+00:19:02,830 --> 00:19:06,930
+التحديات الأساسية يعني الحاجات اللي بيجي في عندها
+
+260
+00:19:06,930 --> 00:19:11,590
+الـ software engineer و يجب يجتهد فيها يتعامل معها
+
+261
+00:19:11,590 --> 00:19:15,750
+بحضر في مهنة الـ software engineering what are the
+
+262
+00:19:15,750 --> 00:19:20,490
+costs تكاليف، ماهيش بدك تقول أن تكاليف يعني مثلا
+
+263
+00:19:20,680 --> 00:19:25,620
+تكلفة الكمبيوتر في تكلفة شرائه هو كجهاز، تكلفة
+
+264
+00:19:25,620 --> 00:19:30,340
+الاكسسورات اللي بتشتريها، تكلفة الـ software اللي
+
+265
+00:19:30,340 --> 00:19:34,580
+بتتركب عليه صح؟ تكلفة ربما كمان الـ communication و
+
+266
+00:19:34,580 --> 00:19:40,160
+الـ internet هنا نفس الشيء تكلفة الـ software أي طرف
+
+267
+00:19:40,160 --> 00:19:43,480
+بدي يستخدم الـ software هل التكلفة بتيجي بس على قدر
+
+268
+00:19:44,150 --> 00:19:49,110
+إيجار أو أتعاب الشركة اللي عملت للـ software ولا
+
+269
+00:19:49,110 --> 00:19:55,470
+فيه أيضا تكاليف أخرى ثانية لاحقة أو سابقة أو خفية
+
+270
+00:19:55,470 --> 00:20:00,190
+ممكن تبقى مش مبينة من الأول و تبقى ... و نتفاجأ
+
+271
+00:20:00,190 --> 00:20:04,730
+فيها لاحقا و نسينا نشد شعارنا عشان دخلنا على
+
+272
+00:20:04,730 --> 00:20:08,210
+هالورطة هذه، what are the course of software
+
+273
+00:20:08,210 --> 00:20:11,390
+engineering what are the best software engineering
+
+274
+00:20:11,390 --> 00:20:15,390
+techniques and methods techniques and methods اللي
+
+275
+00:20:15,390 --> 00:20:19,010
+بيستخدمها الـ software engineer أثناء شغله في عمل
+
+276
+00:20:19,010 --> 00:20:24,690
+أو في إنتاج الـ software what are the best؟ what
+
+277
+00:20:24,690 --> 00:20:28,630
+differences has the web made to software
+
+278
+00:20:28,630 --> 00:20:34,830
+engineering؟ شو الفرق اللي ... اللي بدأ ... يعني إيش
+
+279
+00:20:34,830 --> 00:20:38,630
+بتفرق developing software للـ web عن developing
+
+280
+00:20:38,630 --> 00:20:45,320
+software لـ ... غير الـ web؟ ماشي يعني كثير الآن من الـ 
+
+281
+00:20:45,320 --> 00:20:49,620
+systems web based ايش يعني إيه؟ يعني أنا بستخدم ال
+
+282
+00:20:49,620 --> 00:20:52,520
+system على ال web بركبوش عندي على .. بعملوش 
+
+283
+00:20:52,520 --> 00:20:56,120
+installation للـ software صح؟ كثير من المواقع بدي
+
+284
+00:20:56,120 --> 00:21:00,720
+أقدم طلب لشغل بدي .. كثير من الأمور بتبقى web
+
+285
+00:21:00,720 --> 00:21:03,980
+based بنعملها على ال web صح؟ يعني ال portal تبع ال
+
+286
+00:21:03,980 --> 00:21:07,500
+students اللي أنت بتستخدموه بتضيفوا مواد بتحتفظوا
+
+287
+00:21:07,500 --> 00:21:11,300
+بموادهم هذا software system بس هذا إيش web based
+
+288
+00:21:11,300 --> 00:21:18,940
+software system صح؟ فبدك تبقى عارف النقاط الفرق أهو
+
+289
+00:21:18,940 --> 00:21:23,740
+أو النقاط اللي بتحدثها تغيرات اللي بتحدثها ال web
+
+290
+00:21:23,740 --> 00:21:28,020
+based systems على ال software التقليدي يعني ماشي؟
+
+291
+00:21:28,400 --> 00:21:32,260
+بعد هي كده إضافة إلى الأسئلة دولة كلهم كانوا أسئلة
+
+292
+00:21:32,260 --> 00:21:36,340
+الآن هنا في جوانب اللي هي ال attributes okay أن 
+
+293
+00:21:36,340 --> 00:21:39,540
+هذه ال attributes أنا الآن بدي أشرحها مش جزء من
+
+294
+00:21:39,540 --> 00:21:42,340
+اللي مطلوب منك في ال homework okay ال homework بس
+
+295
+00:21:42,340 --> 00:21:45,380
+واقف على ال frequently asked questions اللي هم ال
+
+296
+00:21:45,380 --> 00:21:51,760
+slideين هدول هذه و 8 و 9 okay إنما هنا ال
+
+297
+00:21:51,760 --> 00:21:54,160
+attributes ال attributes إيش يعني قلنا ال
+
+298
+00:21:54,160 --> 00:22:01,240
+attributes خصائص أو صفات صفحات أو خصائص okay لإيش
+
+299
+00:22:01,240 --> 00:22:05,060
+لـ good software متى بنقول احنا good software متى 
+
+300
+00:22:05,060 --> 00:22:09,640
+بنقول أنه فلان is a good student شو ال attributes
+
+301
+00:22:09,640 --> 00:22:16,680
+تبع good student بيحضر المحاضرات كلها بي ..
+
+302
+00:22:16,680 --> 00:22:20,780
+ربما بيجتهد ربما بيجهد في ال homework كلها
+
+303
+00:22:20,780 --> 00:22:24,840
+المهم فهنا إيش ال ..attributes تبعه الـ good 
+
+304
+00:22:24,840 --> 00:22:32,200
+software بنحكيهم هدول نذكرهم بشكل دائم يعني طول
+
+305
+00:22:32,200 --> 00:22:36,580
+الأمر يعني إن شاء الله maintainability okay
+
+306
+00:22:36,580 --> 00:22:39,920
+dependability and security efficiency و
+
+307
+00:22:39,920 --> 00:22:45,350
+acceptability قضايا مهمة جدا جدا أي software مستاهل
+
+308
+00:22:45,350 --> 00:22:48,670
+أي software متعوب عليه، مصروف عليه، نزانيته عالية، 
+
+309
+00:22:48,670 --> 00:22:54,490
+لازم يتصف بهذه الخصائص Maintainability أهم شغل
+
+310
+00:22:54,490 --> 00:22:59,030
+لأن ال software ما هو إشي تمثال نعمله و نجوه و نتفرج
+
+311
+00:22:59,030 --> 00:23:03,780
+عليه طول الأمور، لأ هو عبارة عن شيء يتطور شيء بينمو
+
+312
+00:23:03,780 --> 00:23:07,840
+مع الزمن و بيزيد لازم يكون تصميمه بالأصل يوم أن
+
+313
+00:23:07,840 --> 00:23:12,820
+أنت صممته و سلمته للـ customer لازم تكون عامل
+
+314
+00:23:12,820 --> 00:23:16,360
+حساب أن هذا ال software راح يحتاج أن احنا نضيف
+
+315
+00:23:16,360 --> 00:23:20,440
+عليه يبقى إيش maintainability يعني أنه يكون قادر
+
+316
+00:23:20,440 --> 00:23:26,060
+للقابل للإضافة عليه و للتطوير من هنا المنفوم ال
+
+317
+00:23:26,060 --> 00:23:31,330
+maintainability أما أعمل له black box صندوق أسود لا 
+
+318
+00:23:31,330 --> 00:23:36,670
+يمكن فتحه إلا إذا بدنا ندمره، فهذا إيش؟ لا يجوز في
+
+319
+00:23:36,670 --> 00:23:39,050
+ال software فالـ software should be written
+
+320
+00:23:39,050 --> 00:23:43,470
+..written يعني إنك أنت تعامله .. إنك تكون عامله in
+
+321
+00:23:43,470 --> 00:23:47,430
+such a way so that it can evolve، مش قولنا أول
+
+322
+00:23:47,430 --> 00:23:51,960
+evolution، evolution اللي هي التطور يعني So that it
+
+323
+00:23:51,960 --> 00:23:56,580
+can evolve to meet changes أو changing needs
+
+324
+00:23:56,580 --> 00:24:02,160
+احتياجات المتغيرة و المستقبلية واضحة هذه القضية ال
+
+325
+00:24:02,160 --> 00:24:05,600
+maintainability هنا maintainability من maintenance
+
+326
+00:24:05,600 --> 00:24:08,640
+maintenance يعني نفهم احنا عادة بمعنى إيش 
+
+327
+00:24:08,640 --> 00:24:14,790
+maintenancemaintenance صيانة صح بس الصيانة في ال
+
+328
+00:24:14,790 --> 00:24:18,330
+hardware و الحاجات هذه و ال mechanical devices
+
+329
+00:24:18,330 --> 00:24:22,570
+الصيانة يعني التصليح حاجة أطلت بدنا نصليحها بس هنا
+
+330
+00:24:22,570 --> 00:24:27,210
+مش مقصود فيها التصليح فقط هنا ليش مقصود فيها
+
+331
+00:24:27,210 --> 00:24:32,710
+التطور و النمو revolution بالظبط ف maintainability
+
+332
+00:24:32,710 --> 00:24:38,470
+يعني أنك تصممه بطريقة تسمح به تسمح بإيش تطويره 
+
+333
+00:24:38,470 --> 00:24:44,370
+okay أنا الآن لو بدي أعمل software و أسلمك ال exe
+
+334
+00:24:44,370 --> 00:24:49,650
+file اه خلاص هذا أنت لا يمكن تعمل عليه إشي لكن أهم
+
+335
+00:24:49,650 --> 00:24:52,210
+bandwidth من بنود ال maintainability أن أسلمك ال
+
+336
+00:24:52,210 --> 00:24:57,090
+source code عشان لو أنت بدك ت .. لو أنت بدك تعدل
+
+337
+00:24:57,090 --> 00:25:01,370
+أو تجيب واحد ثاني يعدل يقدر يعدل ممكن أسألك ال
+
+338
+00:25:01,370 --> 00:25:04,090
+software .. ال source code ولكن أبقى كاتبه بطريقة
+
+339
+00:25:04,090 --> 00:25:08,010
+مخربشة بحيث أنه لو جاء .. لو جاء من ما جاء
+
+340
+00:25:08,010 --> 00:25:12,550
+ما يقدرش يفهم حاجة وبالتالي أصبح صح مفتوح لكن مش 
+
+341
+00:25:12,550 --> 00:25:17,230
+maintainable و ال maintainability لها .. لها أصول
+
+342
+00:25:17,230 --> 00:25:22,940
+مختلفة اللي بحيث أنك أنت ..تعمل الصفرة بحس أن أي
+
+343
+00:25:22,940 --> 00:25:27,760
+واحد لو جاء مكانك يقدر يكمل الشغل dependability
+
+344
+00:25:27,760 --> 00:25:32,640
+and security ماشي dependable dependable يعني إيش
+
+345
+00:25:32,640 --> 00:25:39,160
+dependable يعني يمكن الاعتماد عليه تمام
+
+346
+00:25:39,160 --> 00:25:42,740
+dependability من ناحية أنه نتائج تبعته سليمة حسبت
+
+347
+00:25:42,740 --> 00:25:47,980
+يعني بيحسب صح وبرضه من ناحية أنه مش أقل حاجة بتخليه
+
+348
+00:25:47,980 --> 00:25:54,400
+crash بتخليه يعطل أو يجف dependable إشي متين يعني
+
+349
+00:25:54,400 --> 00:25:58,560
+صح؟ و security secure بمعنى أنه عادة احنا في ال IT
+
+350
+00:25:58,560 --> 00:26:02,120
+ال security بدنا إسمه لنا مفهومة أن البيانات تبقى
+
+351
+00:26:02,720 --> 00:26:07,940
+ما حدش يشوفها إلا اللي مخول أو اللي مصرح إليه، إنما
+
+352
+00:26:07,940 --> 00:26:12,820
+حد ثاني سواء هي بيانات موجودة في file أو بيتم تبديل
+
+353
+00:26:12,820 --> 00:26:17,160
+على ال network، تمام؟ ما حدش يقدر يشوفها إلا اللي
+
+354
+00:26:17,160 --> 00:26:21,560
+معني إياها، وطريقة الأساسية اللي هي التشفير،
+
+355
+00:26:21,560 --> 00:26:24,680
+التشفير، البيانات هي اللي بتعطي تشفير و ال
+
+356
+00:26:24,680 --> 00:26:27,440
+accounts و نعمل حسابات و نعمل passwordات، الكلام
+
+357
+00:26:27,440 --> 00:26:30,570
+هذا كله واضح dependability and security نبي 
+
+358
+00:26:30,570 --> 00:26:34,250
+السيستم dependable and secure ال efficiency وهذه
+
+359
+00:26:34,250 --> 00:26:37,730
+قضية مهمة جدا في ال software و لا في أي حاجة في
+
+360
+00:26:37,730 --> 00:26:42,910
+الدنيا efficiency إيش إذا حكينا كيف بنعرفها ال
+
+361
+00:26:42,910 --> 00:26:47,670
+efficiency اللي هي الكفاءة بالعربي بس إيش يعني
+
+362
+00:26:47,670 --> 00:26:58,260
+الكفاءة يعني أنه بيعطي إنتاج أكثر في وقت أقل أو
+
+363
+00:26:58,260 --> 00:27:02,580
+بتكلفة أقل okay should not make wasteful use of
+
+364
+00:27:02,580 --> 00:27:06,880
+system resources يعني مش عشان أنا أطلع اللي استخدم
+
+365
+00:27:06,880 --> 00:27:11,840
+ال software اروح يكلفني كتير resources وموارد و
+
+366
+00:27:11,840 --> 00:27:17,280
+بدأ admin و ناس لا يطلع ناتج اللي مطلوبة بيش بأقل
+
+367
+00:27:17,280 --> 00:27:21,680
+قدر من ال resources acceptability الأهم لو أنت
+
+368
+00:27:21,680 --> 00:27:25,940
+فكرت فيها ال band الأخير هذه حتلاقيها بتشمل كل إشي
+
+369
+00:27:25,940 --> 00:27:30,620
+آخر كل ال attributes التانية ممكن نظريا تجعلها تحت ال
+
+370
+00:27:30,620 --> 00:27:33,540
+acceptability إيش يعني acceptability يعني أن يكون
+
+371
+00:27:33,540 --> 00:27:37,260
+مقبول أو لا لا acceptable مقبول acceptability أن 
+
+372
+00:27:37,260 --> 00:27:41,460
+يكون مقبول ال software must be acceptable to the to
+
+373
+00:27:41,460 --> 00:27:44,180
+the mean to the type of user أنا نفترض أنه
+
+374
+00:27:44,180 --> 00:27:48,020
+marketed software generic يعني وعمله ل .. و مستهدف
+
+375
+00:27:48,020 --> 00:27:52,340
+فئة معينة مش معقول أنا أبقى بنزل لهم إياه و أجي هنا
+
+376
+00:27:52,340 --> 00:27:55,960
+في .. مش عاجبهم ما هو هذا فلازم يكون ال software
+
+377
+00:27:55,960 --> 00:28:00,700
+هذا مقبول من الجهة المستهدفة سواء كان ال software
+
+378
+00:28:00,700 --> 00:28:04,920
+هذا marketed يعني generic أو كان customized okay
+
+379
+00:28:04,920 --> 00:28:07,880
+و ها دي الآن إيش اللي بيخلي ال software acceptable
+
+380
+00:28:07,880 --> 00:28:13,700
+أو مش acceptable يعني أنا أعطيتك software و أنت
+
+381
+00:28:13,700 --> 00:28:18,680
+ما رضيتش فيه، إيش اللي ممكن السبب؟ قد يكون هذا، قد 
+
+382
+00:28:18,680 --> 00:28:21,700
+يكون هذا، قد يكون نقص في أي واحد من هدول، عشان هي
+
+383
+00:28:21,700 --> 00:28:25,420
+كأنا بقول نظريا أنت ال acceptability هذه ممكن تشمل
+
+384
+00:28:25,420 --> 00:28:29,360
+كل إشي ثاني، ممكن تشمل كل إشي ثاني، بس أحيانا
+
+385
+00:28:29,360 --> 00:28:34,880
+بتفهم على أساس إيش؟ بعض ال .. بعض ال customers
+
+386
+00:28:34,880 --> 00:28:38,800
+بيختلفوا في ال .. في الأمور ال .. المعنوية مش
+
+387
+00:28:38,800 --> 00:28:42,640
+الأمور اللي هي محددة يعني مثلا أنا بفضل كذا أنت
+
+388
+00:28:42,640 --> 00:28:46,440
+بتفضل كذا أنا بفضل الألوان الفلانية ال interface
+
+389
+00:28:46,440 --> 00:28:51,160
+يبقى توزيعتها كذا ال interaction يبقى باستخدام ال
+
+390
+00:28:51,160 --> 00:28:54,940
+mouse لأ أنا بال keyboard واضح؟ أحيانا تبقى فروق 
+
+391
+00:28:54,940 --> 00:28:58,980
+.. فروق شخصية أو فروق فئوية ما بين فئة من الناس
+
+392
+00:28:58,980 --> 00:29:02,340
+وفئة أخرى ما بين مثلا الذكور و الإناث، ما بين العمر
+
+393
+00:29:02,340 --> 00:29:06,920
+الكبير و العمر الصغير، هذه هي اللي هي اللي يقصد
+
+394
+00:29:06,920 --> 00:29:10,480
+بيها ال acceptability أحيانا في أمور cultural يعني 
+
+395
+00:29:10,480 --> 00:29:14,080
+مثلا العرب و الأجانب الصينيين و اليابانيين الأفارقة
+
+396
+00:29:14,080 --> 00:29:18,700
+كده بتلاقي الأمور الثقافية بتخلي هذا يقبل شيء هذا 
+
+397
+00:29:18,700 --> 00:29:23,810
+كما يقبلوش، واضح؟ فال acceptability ممكن تنفهم على
+
+398
+00:29:23,810 --> 00:29:29,010
+اتجاهين اتجاه أنه إيش يتعلق بالفروق الفروق الفئوية
+
+399
+00:29:29,010 --> 00:29:34,610
+أو الشخصية ما بين ال customers و الافهم الأعم
+
+400
+00:29:34,610 --> 00:29:39,890
+لل acceptability اللي هو أنه ال attributes كلها
+
+401
+00:29:39,890 --> 00:29:45,880
+طيب ماشي الحال يبقى الآن احنا تقريبا لسه ما جاوبناش
+
+402
+00:29:45,880 --> 00:29:49,360
+على السؤال هذا what is software engineering كله
+
+403
+00:29:49,360 --> 00:29:53,980
+هذا كان مقدمة ال software engineering التعريف لأن
+
+404
+00:29:53,980 --> 00:29:57,740
+اللي هو software engineering is an engineering
+
+405
+00:29:57,740 --> 00:30:01,360
+discipline discipline يعني مجال علمي أو مجال دراسة
+
+406
+00:30:01,360 --> 00:30:06,820
+that is concerned with all aspects of يعني كافة 
+
+407
+00:30:06,820 --> 00:30:13,080
+جوانب عملية إنتاج الـ software من بداية الـ early
+
+408
+00:30:13,080 --> 00:30:16,040
+stages اللي هي إيش الـ early stages اللي هي valid
+
+409
+00:30:16,040 --> 00:30:20,160
+بأنها بتكون جمع المتطلبات specifications يعني of
+
+410
+00:30:20,160 --> 00:30:25,480
+system specification through لغاية ال maintenance
+
+411
+00:30:25,480 --> 00:30:30,660
+ال maintenance و ال evolution okay to maintaining
+
+412
+00:30:30,660 --> 00:30:33,620
+the system after it has gone into use بعد ما
+
+413
+00:30:33,620 --> 00:30:38,070
+استخدم صيانة تبعته يعني ال software engineering
+
+414
+00:30:38,070 --> 00:30:42,010
+بتعامل مع كل ال aspects لعملية إنتاج ال software
+
+415
+00:30:42,010 --> 00:30:44,990
+بداية من ال specification لغاية اللي هو ال
+
+416
+00:30:44,990 --> 00:30:49,570
+maintenance و ال evolution okay أنا بضيف كلمة
+
+417
+00:30:49,570 --> 00:31:03,010
+صغيرة وهي with aim بهدف developing
+
+418
+00:31:04,250 --> 00:31:10,030
+بحط كلمة الـ cost efficient هي دي of developing
+
+419
+00:31:10,030 --> 00:31:13,730
+cost
+
+420
+00:31:13,730 --> 00:31:22,930
+ذاكرينها هذه الكلمة؟ إيش قولنا معناتها؟ أن
+
+421
+00:31:22,930 --> 00:31:29,070
+الـsoftware يستحق التكلفة والاستثمار اللي أنفق عليه
+
+422
+00:31:29,070 --> 00:31:34,050
+ماهوَش .. ما كلفش أكثر من اللازم ولا أقل من اللازم
+
+423
+00:31:34,050 --> 00:31:36,630
+كلفش أكثر من اللازم لأن الـ efficiency cost
+
+424
+00:31:36,630 --> 00:31:41,290
+efficiency إن التكلفة اللي أنفق عليها قضية مهمة
+
+425
+00:31:41,290 --> 00:31:46,130
+يعني ممكن أطلع لك الـ software اللي بدك ياه لكن بعشر 
+
+426
+00:31:46,130 --> 00:31:49,550
+أضعاف الميزانية اللي أنت كنت راصدها أو الميزانية
+
+427
+00:31:49,550 --> 00:31:53,920
+اللي هو بيستحقها، صح؟ وممكن برضه كمان الـ .. الـ ..
+
+428
+00:31:53,920 --> 00:31:56,620
+الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ
+
+429
+00:31:56,620 --> 00:31:56,760
+الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ
+
+430
+00:31:56,760 --> 00:32:04,900
+.. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ ..
+
+431
+00:32:04,900 --> 00:32:06,660
+الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ
+
+432
+00:32:06,660 --> 00:32:07,080
+.. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ ..
+
+433
+00:32:07,080 --> 00:32:07,140
+الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ
+
+434
+00:32:07,140 --> 00:32:07,340
+.. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ ..
+
+435
+00:32:07,340 --> 00:32:07,500
+الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ
+
+436
+00:32:07,500 --> 00:32:07,540
+.. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ ..
+
+437
+00:32:07,540 --> 00:32:07,760
+الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ
+
+438
+00:32:07,760 --> 00:32:12,900
+.. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ .. الـ ..
+
+439
+00:32:12,900 --> 00:32:20,100
+الـ .. الـ .. الـ .. الـ
+
+440
+00:32:28,820 --> 00:32:34,160
+الآن كونه أن هوَ مجال من مجالات الهندسة
+
+441
+00:32:34,160 --> 00:32:38,740
+معناته أن هوَ بيستخدم أو بيستند إلى النظريات والـ
+
+442
+00:32:38,740 --> 00:32:43,760
+methods اللي بيستخدم في مجال الهندسة بصفة عامة for
+
+443
+00:32:43,760 --> 00:32:48,440
+solving اللي هوَ الـ problems ولتخطيط العملية الـ
+
+444
+00:32:48,440 --> 00:32:51,340
+all aspects of software الكلمة التانية دي all
+
+445
+00:32:51,340 --> 00:32:55,830
+aspects يقصد بها أنه not just الـ technical process
+
+446
+00:32:55,830 --> 00:33:00,730
+بس أيضا كمان اللي هوَ الـ project management وكل ما 
+
+447
+00:33:00,730 --> 00:33:06,690
+يتعلق بإدارة ومتابعة العملية عملية مشروع يعني الـ
+
+448
+00:33:06,690 --> 00:33:10,250
+software لأن الـ software production هذه في الآخر
+
+449
+00:33:10,250 --> 00:33:15,250
+احنا لازم نتخيلها على أنَّها عملية مشروع مشروع زي ما
+
+450
+00:33:15,250 --> 00:33:18,810
+أنت لما تيجي تعمل مشروع تخرج تبعك بتحدد لنفسك
+
+451
+00:33:18,810 --> 00:33:22,790
+الفترة الزمنية الأربع شهور وبتعمل جدول زمني
+
+452
+00:33:22,790 --> 00:33:27,430
+الأربع شهور دول كيف أنت بدك تـ .. تتنظمهم، إيش الـ ..
+
+453
+00:33:27,430 --> 00:33:30,150
+الأنشطة، إيش المهام اللي بدها تنعمل ومين بدي يعمل
+
+454
+00:33:30,150 --> 00:33:37,490
+كل شيء وإيش بده ينجز في نهاية كل .. كل مرحلة، فهذا
+
+455
+00:33:37,490 --> 00:33:42,030
+التنظيم هذا نوع من أنواع لإدارة المشاريع، طيب ماشي
+
+456
+00:33:42,030 --> 00:33:46,590
+الحاجة الآن الـ importance لأهمية الـ software
+
+457
+00:33:46,590 --> 00:33:50,530
+engineering .. أهمية الـ software engineering بدنا
+
+458
+00:33:50,530 --> 00:33:54,890
+نحكي عليها من .. من ناحية إيش؟ من ناحية أنَّه ما كانتش
+
+459
+00:33:54,890 --> 00:33:57,210
+الشيء .. أي شيء في الدنيا ما كانتش بتكون مهمة
+
+460
+00:34:00,270 --> 00:34:05,730
+لما يكون مثلًا بيمس قطاع واسع جدا من الناس، صح؟ لما 
+
+461
+00:34:05,730 --> 00:34:14,570
+يكون بيمس قضايا مثلًا حياة أو موت؟ يعني الوقع التبعه
+
+462
+00:34:14,570 --> 00:34:19,850
+إله خطورة أو إله أثر كبير على الـ .. فعندنا كانت الـ
+
+463
+00:34:19,850 --> 00:34:23,150
+software جاي من الناحية الأولى من الناحية إنه more
+
+464
+00:34:23,150 --> 00:34:29,110
+and more أفراد و .. و مجتمعات بتعتمد rely on
+
+465
+00:34:29,110 --> 00:34:32,830
+advanced software systems فمن هنا أهمية الـ
+
+466
+00:34:32,830 --> 00:34:36,350
+software engineering بتنبع من إنها بتتعامل مع شغل
+
+467
+00:34:36,350 --> 00:34:40,440
+اللي هي الـ software وهذا الشغل بتمث أو ..بدا
+
+468
+00:34:40,440 --> 00:34:44,600
+يتزايد مش .. مش الآن ومش في الماضي إلا أيضا كمان
+
+469
+00:34:44,600 --> 00:34:49,840
+في المستقبل، عملوا بزيادة اعتماد اه الناس سواء كان
+
+470
+00:34:49,840 --> 00:34:53,340
+أفراد ولا مجتمعات على حاجة اسمها الـ software
+
+471
+00:34:53,340 --> 00:34:59,000
+وبالتالي صار ضروري جدا أن هوَ الاهتمام بدراسة الـ
+
+472
+00:34:59,000 --> 00:35:02,760
+software وعملية إنتاجه، okay، فـ we need to be able
+
+473
+00:35:02,760 --> 00:35:08,240
+to produce reliable trustworthy systems تبقى برضه
+
+474
+00:35:08,240 --> 00:35:15,100
+economical يعني مش مكلفة كتير و quickly
+
+475
+00:35:20,230 --> 00:35:23,510
+فالـ software يعني أهمية الـ software engineering
+
+476
+00:35:23,510 --> 00:35:27,570
+نابعة من أهمية الـ software في حد ذاته في حد ذاته
+
+477
+00:35:27,570 --> 00:35:34,090
+الـ software مهم لهذا السبب لأنَّه بيمس حياة القطاعات
+
+478
+00:35:34,090 --> 00:35:37,510
+الواسعة من الناس والمجتمعات، كذلك الحاجة لأهمية الـ
+
+479
+00:35:37,510 --> 00:35:40,110
+software engineering جاي من أنَّه بدون software
+
+480
+00:35:40,110 --> 00:35:44,720
+engineering عملية إنتاج الـ software عملية إنتاج الـ
+
+481
+00:35:44,720 --> 00:35:48,500
+software ممكن تتعرض إلى تهديدات كثيرة، زي إنها
+
+482
+00:35:48,500 --> 00:35:51,340
+تطلع out of budget، ليش يعني out of budget؟ يعني
+
+483
+00:35:51,340 --> 00:35:56,380
+تبقى رصدها أنت ميزانية عشر تلاف دولار، راجعها أخدت
+
+484
+00:35:56,380 --> 00:36:01,560
+معاك عشرين، إذا أنت مش عامل، يعني أنت مدرك أهمية
+
+485
+00:36:01,560 --> 00:36:04,460
+الـ software، وجاي بدك تعمل software لمؤسسة أو لـ
+
+486
+00:36:04,460 --> 00:36:09,480
+market ورحت حطيت ميزانية عشر تلاف فاخدت معاك
+
+487
+00:36:09,480 --> 00:36:14,800
+عشرين ألف لأنَّك مش عامل تنظيم لعملية إنتاج الـ
+
+488
+00:36:14,800 --> 00:36:17,840
+software على أساس الـ software engineering فبالتالي
+
+489
+00:36:17,840 --> 00:36:21,760
+الـ software engineering مهمة جاي علشان إيه؟ ما يضبط
+
+490
+00:36:21,760 --> 00:36:24,680
+عشان يضبط عملية الإنتاج من ناحية الـ budget ومن
+
+491
+00:36:24,680 --> 00:36:27,800
+ناحية الـ time أنت مجدرله عشر شهر أكاد عشرين شهر
+
+492
+00:36:27,800 --> 00:36:31,200
+تمام؟ عدد الـ time برضه ما هوَ في الآخر بصبح إيش
+
+493
+00:36:31,200 --> 00:36:39,840
+كتكلفة مالية ولا لا، فالمهم أنَّه فالمهم أنَّه إضافة إلى
+
+494
+00:36:39,840 --> 00:36:42,140
+أهمية الـ software في حد ذاته، الـ software
+
+495
+00:36:42,140 --> 00:36:46,560
+engineering مهمة علشان تخلي عملية الإنتاج منضبطة
+
+496
+00:36:46,560 --> 00:36:51,700
+وما تخرجش عن إيش الميزانية وعن الإدارة، فبصير it
+
+497
+00:36:51,700 --> 00:36:57,500
+is usually a cheaper أوفر لنا أن أنا أتعب في عملية
+
+498
+00:36:57,500 --> 00:37:02,560
+إعداد وتخطيط للـ software من أني أترك الأمور بدون
+
+499
+00:37:02,560 --> 00:37:08,620
+تخطيط، أوفر صح؟ بخرجش عن الـ budget بخرجش عن
+
+500
+00:37:08,620 --> 00:37:12,120
+الميزانية، it is usually cheaper in the long run
+
+501
+00:37:12,120 --> 00:37:16,560
+على المدى الطويل، to use إيش طرق الـ engineering
+
+502
+00:37:16,560 --> 00:37:20,400
+software engineering طرق والـ techniques systems
+
+503
+00:37:20,400 --> 00:37:25,440
+rather than just write programs بشكل .. بشكل هيك
+
+504
+00:37:25,440 --> 00:37:30,540
+تلقائي بدون تخطيط كما لو كنت أنت بتبرمج لنفسك، أنا 
+
+505
+00:37:30,540 --> 00:37:34,540
+لما أعمل برنامج إيه لحالي بروحش أعمل specification
+
+506
+00:37:34,540 --> 00:37:38,060
+و analysis و design بروحش، صح؟ على طول الفكرة في
+
+507
+00:37:38,060 --> 00:37:41,580
+دماغي تتحول على طول مباشرة من دماغي على الـ
+
+508
+00:37:41,580 --> 00:37:45,080
+keyboard ولو لأ دي ما بتجيش أشتغل لنفسي، لكن لما بدي 
+
+509
+00:37:45,080 --> 00:37:50,620
+أشتغل software لمؤسسة ولا للماركت لازم أعمل هيك
+
+510
+00:37:50,620 --> 00:37:55,350
+بطلع أوفر هيك، أه التعب هذا اللي أنا بتعبه في عملية
+
+511
+00:37:55,350 --> 00:37:58,850
+التخطيط بيطلع في المحصلة على الـ long run على المدى
+
+512
+00:37:58,850 --> 00:38:02,910
+الطويل بيطلع أوفر من لو أنا خشيت على الأمر خبط لزق
+
+513
+00:38:02,910 --> 00:38:06,410
+هيك، لأنَّه خبط لزق هيك ده معناته هيتشعب الأمور بشكل
+
+514
+00:38:06,410 --> 00:38:11,970
+عشوائي وتتراكم علي التكلفة والـ .. صح؟ واضحة هذه
+
+515
+00:38:11,970 --> 00:38:15,630
+النقطة؟ okay تمام، إلى أنَّ إيش الـ activities قلنا الـ
+
+516
+00:38:15,630 --> 00:38:19,590
+activities يعني الأنشطة أو الفعاليات أو المهام
+
+517
+00:38:19,590 --> 00:38:22,670
+يعني المهام اللي بيقوم بها الـ software engineer
+
+518
+00:38:23,120 --> 00:38:27,080
+Engineer في عملية اللي هوَ إعداد الـ software فيه
+
+519
+00:38:27,080 --> 00:38:30,980
+اللي هي جمع الـ specifications عملية الـ development
+
+520
+00:38:30,980 --> 00:38:34,560
+أو أنشطة الـ development اللي هي أنا بحصرها في إيش
+
+521
+00:38:34,560 --> 00:38:39,120
+في الـ analysis والـ
+
+522
+00:38:39,120 --> 00:38:44,260
+الـ design وإيش كمان والـ
+
+523
+00:38:44,260 --> 00:38:47,940
+الـ implementation مر عليكوا المصطلحات هذه قبل هيك
+
+524
+00:38:47,940 --> 00:38:50,060
+آه
+
+525
+00:38:51,730 --> 00:38:54,470
+صح؟ الـ analysis ليه التحليل؟ طبعًا أنا هنا عملت
+
+526
+00:38:54,470 --> 00:38:57,110
+specification لكن أنا بدأ أقعد أدرس هذه الـ
+
+527
+00:38:57,110 --> 00:39:00,090
+specifications علشان بعد ذلك أقدر أحط الـ design
+
+528
+00:39:00,090 --> 00:39:03,970
+المناسب، ثم بعد ذلك الـ design هذا بدي أبدأ أنفذه، الـ
+
+529
+00:39:03,970 --> 00:39:07,350
+implementation، الـ testing طيب أنا وأنا بقى أنفذ
+
+530
+00:39:07,350 --> 00:39:10,170
+مش بدي أعمل بعد ذلك testing، الـ testing بيجي برضه
+
+531
+00:39:10,170 --> 00:39:13,990
+في الـ development ولا بيجي مع الـ validation مع الـ
+
+532
+00:39:13,990 --> 00:39:17,270
+validation آه لكن خلّي ببالك أنَّه الـ testing هوَ
+
+533
+00:39:17,270 --> 00:39:21,330
+برضه أنواع الـ testing في validation testing وفي
+
+534
+00:39:21,330 --> 00:39:24,630
+code testing أنا لما بكتب function وأنا بعمل
+
+535
+00:39:24,630 --> 00:39:27,230
+implementation إذا عملت function جديدة صغيرة أو
+
+536
+00:39:27,230 --> 00:39:31,010
+procedure صغيرة أو class أو كده مش بدّه أعملّه
+
+537
+00:39:31,010 --> 00:39:35,110
+testing برضه هوَ، ففي testing هنا على نطاق أو على
+
+538
+00:39:35,110 --> 00:39:38,470
+مستوى البرمجة وفي testing اللي هوَ الـ validation
+
+539
+00:39:38,470 --> 00:39:42,730
+اللي وقصد بيه غالبًا أنَّه الـ software كان كل اه إيش
+
+540
+00:39:42,730 --> 00:39:49,560
+كنت بتقولك كل اه هل فعلا بيلبي احتياجات الفئة
+
+541
+00:39:49,560 --> 00:39:53,620
+المستهدفة أو الـ customer المستهدف، احتياجاته كما تم 
+
+542
+00:39:53,620 --> 00:39:56,980
+التعبير عنها فيه، إيش كما تم صيغتها فيه الـ
+
+543
+00:39:56,980 --> 00:40:00,480
+specification فهذا الـ validation يميل أكثر إلى
+
+544
+00:40:00,480 --> 00:40:04,240
+قضية الـ acceptability أنَّه مقبول من الـ user إنما
+
+545
+00:40:04,240 --> 00:40:06,980
+في برضه نوع من أنواع الـ validation أو نوع من أنواع
+
+546
+00:40:06,980 --> 00:40:10,440
+الـ testing بيتم هنا في الـ implementation أثناء
+
+547
+00:40:10,440 --> 00:40:14,620
+البرمجة صح ولا لا؟ بعد ذلك النشاط الآخر الرابع
+
+548
+00:40:14,620 --> 00:40:19,080
+اللي هوَ الـ evolution اللي هوَ ما يقوم به المطور ما
+
+549
+00:40:19,080 --> 00:40:22,840
+بعد تسليم المنتج ما بعد تسليم الـ software لـ الـ
+
+550
+00:40:22,840 --> 00:40:28,280
+customer من قبيل التطوير والتحسين وزيادة الـ
+
+551
+00:40:28,280 --> 00:40:34,660
+functionality تبع الـ software، واضح هذا الكلام؟
+
+552
+00:40:34,660 --> 00:40:39,150
+هذول الأربع أنشطة الأساسية مشروع تتعلق بيه جمع الـ
+
+553
+00:40:39,150 --> 00:40:42,110
+specifications العشرة اللي بتتعلق بيه الـ
+
+554
+00:40:42,110 --> 00:40:46,890
+development العشرة اللي بتتعلق بيه الـ validation وبعد
+
+555
+00:40:46,890 --> 00:40:52,510
+هيك الـ evolution، evolution، طيب ماشي الآن الـ
+
+556
+00:40:52,510 --> 00:40:58,030
+issues الأمور اللي عادة بيأثر على most
+
+557
+00:40:58,030 --> 00:41:03,250
+software okay واللي هي غالبًا بتتععب من الـ software
+
+558
+00:41:03,250 --> 00:41:08,280
+engineer المطور لازم ياخد باله من هذه الأمور هيَ
+
+559
+00:41:08,280 --> 00:41:14,040
+الأكثر .. تأخذ أكثر نصيب من .. أكبر نصيب من الجهد
+
+560
+00:41:14,040 --> 00:41:19,280
+والتفكير والتخطيط اللي هيَ الـ heterogeneity okay
+
+561
+00:41:19,280 --> 00:41:24,200
+هذه issues .. إيش يعني issues؟ يعني إشكاليات أو 
+
+562
+00:41:24,200 --> 00:41:30,100
+مسائل أو قضايا تمام؟ هذه مفهوم الـ issue في هذا
+
+563
+00:41:30,100 --> 00:41:34,740
+السياق okay issue ككلمة إلها معاني كتيرة بس هنا
+
+564
+00:41:34,740 --> 00:41:39,540
+مقصود بيها قضايا أو إشكاليات اللي بدها وقفة وبدها
+
+565
+00:41:39,540 --> 00:41:43,220
+تفكير وحل قضية الـ heterogeneity قضية الـ change
+
+566
+00:41:43,220 --> 00:41:46,120
+وقضيتين اللي هم الـ security و الـ trust اللي هم
+
+567
+00:41:46,120 --> 00:41:48,640
+جايين مع بعض والآن بنوضح الفرق ما بينهم
+
+568
+00:41:48,640 --> 00:41:52,200
+heterogeneity مر عليكم مصطلح هذا قبل هيك لما نقول
+
+569
+00:41:52,200 --> 00:41:56,680
+الشيء heterogeneous يعني يتألف أو يتكون من عدة
+
+570
+00:41:56,680 --> 00:42:02,360
+أشياء متباينة ولكن منسجمة هنا الـ heterogeneity
+
+571
+00:42:02,360 --> 00:42:04,880
+إن الـ software تبعك اللي هتعمل على الـ customer
+
+572
+00:42:04,880 --> 00:42:10,420
+غالبا مش هيجي شغال هو لحاله في المؤسسة غالبا هيجي
+
+573
+00:42:10,420 --> 00:42:14,040
+جزء من منظومة other softwares و other hardwares
+
+574
+00:42:14,040 --> 00:42:17,480
+جايين في المؤسسة فبدك تأخذ في الحسبان هذه الـ
+
+575
+00:42:17,480 --> 00:42:22,780
+heterogeneity هذه التشكيل المتباينة من الـ software
+
+576
+00:42:22,780 --> 00:42:25,240
+و الـ hardware الأخر اللي بدي أتفاعل معاهم الـ
+
+577
+00:42:25,240 --> 00:42:29,680
+system تبعك وهذا يعني بيقول لك increasingly الـ
+
+578
+00:42:29,680 --> 00:42:32,420
+software systems are required مطلوب من أي software
+
+579
+00:42:32,420 --> 00:42:36,300
+system أنه to operate ويشتغل as distributed يعني
+
+580
+00:42:36,300 --> 00:42:39,400
+هو نفس الـ system أنت اللي بدك تعمله هيبقى شغال
+
+581
+00:42:39,400 --> 00:42:43,640
+مكون من عدة مكونات ومكون شغال على الـ server ومكون
+
+582
+00:42:43,640 --> 00:42:46,960
+شغال على الـ pc تبع هذا أوروبا ومكون تاني شغال على
+
+583
+00:42:47,990 --> 00:42:51,250
+الموبايل ومكوّن ثاني يشغّل على الـ web server
+
+584
+00:42:51,250 --> 00:42:54,310
+تمام database server و web server يعني على الأقل
+
+585
+00:42:54,310 --> 00:42:57,770
+ثلاثة أو أربعة عناصر أنت بدك تعملهم وكل عنصر من
+
+586
+00:42:57,770 --> 00:43:01,030
+هدول عناصر software elements بده يشغّل على 
+
+587
+00:43:01,030 --> 00:43:06,930
+hardware معين فبدك تأخذ في الحسبان هل .. هل أنظمة الأخرى
+
+588
+00:43:06,930 --> 00:43:09,690
+اللي الـ system بتاعك بده يشتغل عليها بدك تتأكد إن
+
+589
+00:43:09,690 --> 00:43:14,680
+الـ system شغال بشكل منسجم تمام لت change أحنا
+
+590
+00:43:14,680 --> 00:43:20,200
+بنعرفه في ثلاث اتجاهات الـ change في اللي هو خلّيني
+
+591
+00:43:20,200 --> 00:43:24,020
+أقول اتجاهين أساسيين الـ change في إن الـ customer
+
+592
+00:43:24,020 --> 00:43:28,420
+يغير و يبدل و يزيد و يضيف على الـ specifications
+
+593
+00:43:28,420 --> 00:43:33,100
+تمام؟ وهذا بنحصله في قضية الـ evolution في مرحلة الـ
+
+594
+00:43:33,100 --> 00:43:37,540
+evolution بنقول الـ software للـ customer أحنا في
+
+595
+00:43:37,540 --> 00:43:40,940
+الأول خلّيني نشتغل على حاجات محددة نعمل لكيها وبعدين
+
+596
+00:43:40,940 --> 00:43:45,310
+هي كأي حاجة إضافية بت .. بت .. بت .. بت ..بتحتاجها
+
+597
+00:43:45,310 --> 00:43:54,230
+بنسويلكيها لاحقا في مرحلة الـ evolution هذا change
+
+598
+00:43:54,230 --> 00:43:58,810
+جاي من الـ user أحيانا الـ change بنفرض فرض على الـ
+
+599
+00:43:58,810 --> 00:44:04,210
+user علينا من قبل المؤسسة اللي بيشتغل فيها الـ user
+
+600
+00:44:04,210 --> 00:44:08,550
+أو من قبل الإطار العام الخارجي كيف يعني؟ يعني
+
+601
+00:44:08,550 --> 00:44:12,950
+مؤسسة غيرت قوانينها، غيرت لوائحها، غيرت إجراءاتها،
+
+602
+00:44:12,950 --> 00:44:17,250
+غيرت الهيكلية الإدارية تبعتها هذا التغيير غالبا ما
+
+603
+00:44:17,250 --> 00:44:20,890
+بينعكس بإنه لازم يتغير شيء في الـ software عشان
+
+604
+00:44:20,890 --> 00:44:25,330
+يتجاوب أو ينسجم مع التغييرات هذه أحيانا برضه الـ
+
+605
+00:44:25,330 --> 00:44:29,270
+social يعني على مستوى إيه البلد صار في أي تغييرات
+
+606
+00:44:29,270 --> 00:44:32,910
+في القوانين البلد في اللوائح تبع الجهات المشرفة
+
+607
+00:44:32,910 --> 00:44:38,670
+على عمل المؤسسة فهذا أيضا كمان بيترتب عليه تغييرات
+
+608
+00:44:38,670 --> 00:44:43,370
+بتأثر على الـ software فاحنا بنحصلهم التغييرات هذه
+
+609
+00:44:43,370 --> 00:44:45,650
+بالتغييرات internal يعني من ناحية اللي هو الـ
+
+610
+00:44:45,650 --> 00:44:48,890
+customer نفسه هو بده يغير و يبدل في الـ software
+
+611
+00:44:48,890 --> 00:44:52,470
+بعد ما عملناله ياه وهذا شيء عادي مافيش أي مشكلة وفيه
+
+612
+00:44:52,470 --> 00:44:55,450
+برضه كمان شيء عادي برضه مافيش أي مشكلة بس جاي
+
+613
+00:44:55,450 --> 00:44:59,490
+من خارج إطار اللي هو الـ customer جاي المفروض عليه
+
+614
+00:44:59,490 --> 00:45:03,830
+من الخارج okay تمام فقضية الـ change هذه من
+
+615
+00:45:03,830 --> 00:45:07,010
+التحديات أو من الـ issues اللي لازم ياخذها في باله
+
+616
+00:45:07,010 --> 00:45:09,910
+الـ designer أو الـ software developer أو الـ
+
+617
+00:45:09,910 --> 00:45:14,530
+software engineer لما بيصمم الـ software okay بدي
+
+618
+00:45:14,530 --> 00:45:17,570
+أتعامل مع هالتغيرات في أوانها و برضه بدي آخذ في
+
+619
+00:45:17,570 --> 00:45:22,010
+الحسبان مستقبلا لإن لو أجاني تغيير لازم أكون عامل الـ
+
+620
+00:45:22,010 --> 00:45:27,690
+system حيث أنه يقبل التغيير مش أحتاج أهدمه و أبني من
+
+621
+00:45:27,690 --> 00:45:31,590
+جديد عشان أضيف له الشغل الصغير اللي انطلبت صح ولا
+
+622
+00:45:31,590 --> 00:45:36,250
+لا okay الـ security و الـ trust security حكينا فيها
+
+623
+00:45:36,250 --> 00:45:39,970
+قبل شوية اللي هي إن تبقى الـ data و الـ resources
+
+624
+00:45:39,970 --> 00:45:42,430
+اللي .. و الـ software نفسه هو نفسه الـ software
+
+625
+00:45:42,430 --> 00:45:46,250
+اللي بيبقى secure ما يضربوش فيروس الـ data ماحدش
+
+626
+00:45:46,250 --> 00:45:50,350
+يتطلع عليها مش مخول تمام فهي المقصودة بالـ security
+
+627
+00:45:50,350 --> 00:45:54,830
+الـ trust إنه أنا يعني موضوع الـ trust هذا صار شيء
+
+628
+00:45:54,830 --> 00:45:58,630
+ملحوظ الآن لأنه لما نحكي عن الـ cloud computing زي
+
+629
+00:45:58,630 --> 00:46:01,110
+ما بتعرفوا أو بتسمعوا بالـ cloud computing شو الـ cloud
+
+630
+00:46:01,110 --> 00:46:03,870
+computing؟ إنه أحنا كثير من الـ software اللي
+
+631
+00:46:03,870 --> 00:46:07,290
+بنستخدمه ما يبقى نازل عندي على ال .. هذا أبقى عن
+
+632
+00:46:07,290 --> 00:46:12,290
+الـ service بستخدمها من ال .. من الـ web okay شيء
+
+633
+00:46:12,290 --> 00:46:14,830
+مثال مباشر على هذا الكلام اللي هو الـ email أنت
+
+634
+00:46:14,830 --> 00:46:17,890
+الآن لما عندك البرنامج الـ email اللي بتستخدمه سواء
+
+635
+00:46:17,890 --> 00:46:20,570
+الـ hotmail أو الـ Gmail أو كده هذا وين موجود مش مين
+
+636
+00:46:20,570 --> 00:46:24,590
+نازل عندك على ال .. هذه خدمة أنت بتتلقاها من ..
+
+637
+00:46:24,590 --> 00:46:28,570
+okay من مين؟ من Microsoft أو من Google مظبوط الآن
+
+638
+00:46:28,570 --> 00:46:31,910
+برضه كمان في خدمات أخرى اللي هي التخزين الشركات
+
+639
+00:46:31,910 --> 00:46:35,770
+الآن بتأخذ خدمات زي إنه الـ software نفسه اللي
+
+640
+00:46:35,770 --> 00:46:38,990
+بتستخدمه نقول مثلا برنامج محاسبة ما بتروح تشتري
+
+641
+00:46:38,990 --> 00:46:42,150
+برنامج محاسبة زي ال .. إيش في هنا برنامج محاسبة
+
+642
+00:46:42,150 --> 00:46:45,890
+شائع في البلد القصيل و المحاسب السحري و مش عارفة
+
+643
+00:46:45,890 --> 00:46:49,630
+اه هادي أنت بتشتريه كـ software و بتركبه عندك و
+
+644
+00:46:49,630 --> 00:46:54,310
+بتستخدمه لأ الآن في systems من هذا القبيل
+
+645
+00:46:54,310 --> 00:46:59,530
+accounting يعني محاسبة web based بيعطولك اشتراك
+
+646
+00:46:59,530 --> 00:47:02,930
+بيعطولك account تدخل على الـ account بالـ user name
+
+647
+00:47:02,930 --> 00:47:06,630
+و الـ password و بتدخل حساباتك و بتدخل كده لا الـ
+
+648
+00:47:06,630 --> 00:47:09,590
+software عندك ولا الـ hardware الأجهزة الـ server ما
+
+649
+00:47:09,590 --> 00:47:14,190
+هي عندك كله على الـ cloud واضح؟ فهذا الأمر الاتجاه
+
+650
+00:47:14,190 --> 00:47:21,720
+هذا قاعد بينتشر الآن بخوفش شوية؟ هل أنا بأثق في هذه
+
+651
+00:47:21,720 --> 00:47:25,640
+الجهة اللي أنا حاطط كل معلوماتي وكل حساباتي وكل
+
+652
+00:47:25,640 --> 00:47:30,900
+بياناتي عندهم هل بأثق؟ هو العصر الأساسي في الـ
+
+653
+00:47:30,900 --> 00:47:35,740
+cloud computing إن مقدم الخدمة Google و Amazon و
+
+654
+00:47:35,740 --> 00:47:41,620
+الجهات هذه بتعطيك ثقة يعني بتأكدك و بتثبتك بكل
+
+655
+00:47:42,250 --> 00:47:47,850
+الإمكانية إنك ما تخافش بياناتك إن ما .. ماحدش غير
+
+656
+00:47:47,850 --> 00:47:52,830
+مخول هو يشوفها يعني و كأنه و كأنه زيها زي ما تكون
+
+657
+00:47:52,830 --> 00:47:59,650
+عندك في داخل المؤسسة تبعتك فهذا الأمر .. هذا الأمر
+
+658
+00:47:59,650 --> 00:48:03,850
+بيضطر ايضا المهندس مثلا بالمثال اللي بدي اخذه المهندس لل
+
+659
+00:48:03,850 --> 00:48:08,330
+software في عين الاعتبار إن أي تقنية تبدأ
+
+660
+00:48:08,330 --> 00:48:12,260
+تستخدمها في إنتاج الـ software وفي تثبيت الـ software
+
+661
+00:48:12,260 --> 00:48:17,340
+بعد ذلك للـ customer تبدأ تبقى secure و trustworthy
+
+662
+00:48:17,340 --> 00:48:25,320
+trustworthy يعني تستحق ثقة الـ customer تمام النقطة
+
+663
+00:48:25,320 --> 00:48:29,780
+الأخرى احنا إيش اللي كانت اللي قبل شوية اللي هي الـ
+
+664
+00:48:29,780 --> 00:48:32,980
+issues أو الإشكاليات اللي هنطلع على الـ diversity
+
+665
+00:48:32,980 --> 00:48:40,360
+الـ diversity اللي هي إن الـ software okay في أنواع
+
+666
+00:48:40,360 --> 00:48:44,840
+عديدة من الـ software، أنواع عديدة، very many
+
+667
+00:48:44,840 --> 00:48:52,000
+different types، okay؟
+
+668
+00:48:52,000 --> 00:48:54,740
+different types، different types بالأساس، يعني لو
+
+669
+00:48:54,740 --> 00:48:58,500
+أنت بدك تيجي تعمل شجرة، taxonomy للأنواع الـ
+
+670
+00:48:58,500 --> 00:49:02,660
+software، تيجي تقول مثلا بيودايا software، هناك
+
+671
+00:49:02,660 --> 00:49:06,120
+application software، هناك system software صح الـ
+
+672
+00:49:06,120 --> 00:49:08,740
+applications اللي هي الـ software التطبيقات و الـ
+
+673
+00:49:08,740 --> 00:49:10,740
+systems اللي هي الـ software اللي بيستخدم في التحكم
+
+674
+00:49:10,740 --> 00:49:13,760
+فيه الـ hardware systems الـ operating system هذا الـ
+
+675
+00:49:13,760 --> 00:49:17,260
+system software صح ولا لا الـ word و الـ excel و الـ
+
+676
+00:49:17,260 --> 00:49:20,540
+.. هذه application software و بعد هيك مثلا برضه
+
+677
+00:49:20,540 --> 00:49:24,200
+تحط صنف ثالث الـ entertainment software الـ
+
+678
+00:49:24,200 --> 00:49:28,540
+industrial software ما بعرفش يعني هتلاقي إن الشجرة
+
+679
+00:49:28,540 --> 00:49:33,910
+هذه بتتفرع بشكل يعني واسع جدا وأنواع كثيرة وأنواع
+
+680
+00:49:33,910 --> 00:49:37,110
+عديدة endless يعني لا نهاية لها من أنواع الـ
+
+681
+00:49:37,110 --> 00:49:41,430
+software لأن هل يعقل إن كل هذه الأنواع نستطيع
+
+682
+00:49:41,430 --> 00:49:44,770
+أحنا في علم الـ software engineering إن نحط methods
+
+683
+00:49:44,770 --> 00:49:49,210
+و techniques اللي تظبط اللي يتبعها الـ software
+
+684
+00:49:49,210 --> 00:49:53,710
+engineer بغض النظر عن نوع الـ software يعني لو بدي
+
+685
+00:49:53,710 --> 00:49:57,230
+أعمل game و لا لو بدي أعمل operating system و لا
+
+686
+00:49:57,230 --> 00:50:01,530
+لو بدي أعمل web based system و لا لو بدي أعمل تقول
+
+687
+00:50:01,530 --> 00:50:09,310
+مثلا إيش اسمه هذا الـ driver لطابعة كل البرمجيات
+
+688
+00:50:09,310 --> 00:50:14,430
+هذه يمكن تصميمها بنفس الطريقة و بنفس الـ
+
+689
+00:50:14,430 --> 00:50:17,510
+methodology لأ فالتباين هذا
+
+690
+00:50:20,840 --> 00:50:25,120
+تباين في أنواع الـ software يترتب عليه تباين أيضا
+
+691
+00:50:25,120 --> 00:50:32,060
+في إيش؟ في الطرق والأدوات المستخدمة في الـ software
+
+692
+00:50:32,060 --> 00:50:37,980
+engineering تمام؟ واضح هذه النقطة؟ okay الـ
+
+693
+00:50:37,980 --> 00:50:40,740
+Application Types لما أحنا بنقول Application Types
+
+694
+00:50:40,740 --> 00:50:44,700
+مصنفهم هو هنا على أساس كالتالي إنه في عندنا
+
+695
+00:50:44,700 --> 00:50:48,080
+standalone applications applications software
+
+696
+00:50:48,080 --> 00:50:51,180
+applications standalone إيش يعني standalone يعني
+
+697
+00:50:51,180 --> 00:50:54,260
+أحنا بنركبها ونفصلها قائمة بحد ذاتها standalone
+
+698
+00:50:54,260 --> 00:50:58,040
+يعني قائمة بحد ذاتها في إيش بتركبها على الجهاز
+
+699
+00:50:58,040 --> 00:51:00,840
+الواحد اللي هو الـ PC طب إيش يعني قائمة على حد
+
+700
+00:51:00,840 --> 00:51:06,750
+ذاتها يعني بتتمدش على سيرفر أو جهاز آخر، okay؟ هذا 
+
+701
+00:51:06,750 --> 00:51:11,430
+المقصود من الـ Standalone المقابل لهذا النوع،
+
+702
+00:51:11,430 --> 00:51:13,870
+العكس من النوع اللي هو الـ Interactive Transaction
+
+703
+00:51:13,870 --> 00:51:18,090
+Based Application Transaction Based هذه معظم
+
+704
+00:51:18,090 --> 00:51:21,710
+المؤسسات، نظم المعلومات اللي فيها Transaction
+
+705
+00:51:21,710 --> 00:51:26,380
+Based Application لو بدي قاعد أَدخل الحضور والغيابة
+
+706
+00:51:26,380 --> 00:51:32,200
+أو بدي أدخل علامة الطالب أنا بفتح الجهاز تبعي بشغل
+
+707
+00:51:32,200 --> 00:51:35,780
+البرنامج البرنامج بيشتغل عندي هنا لكن لما أحط
+
+708
+00:51:35,780 --> 00:51:39,870
+العلامة و أضغط Save وين العلامة دي بتروح؟ تروح على
+
+709
+00:51:39,870 --> 00:51:44,490
+الـ server تتخزن في ال database server okay فهذا
+
+710
+00:51:44,490 --> 00:51:48,270
+العملية التخزين العملية transaction زي قيد
+
+711
+00:51:48,270 --> 00:51:51,090
+بيسموها في المحاسبة قيد المحاسبة transaction
+
+712
+00:51:51,090 --> 00:51:54,570
+transaction interactive interactive بمعنى أنه في
+
+713
+00:51:54,570 --> 00:51:58,510
+طرفين اللي هو ال client اللي و أنا مشغله عندي الشق
+
+714
+00:51:58,510 --> 00:52:01,410
+اللي شغال عندي و ال server اللي هو شغال في ال
+
+715
+00:52:01,410 --> 00:52:05,610
+background على الجهاز المركزي صح ففي interaction
+
+716
+00:52:05,610 --> 00:52:09,310
+interaction مش بس في اتجاه واحد وبرضه ال server أنا
+
+717
+00:52:09,310 --> 00:52:12,570
+لما حطيت رقم الطالب بالأول عشان أحط علامته ال
+
+718
+00:52:12,570 --> 00:52:16,830
+server جاب لي بيانته و صفحته و كده فهنا في
+
+719
+00:52:16,830 --> 00:52:19,730
+interaction صح؟ Interactive Transaction Based
+
+720
+00:52:19,730 --> 00:52:24,770
+Applications هذه اللي هي الصفة الغالبة لل systems
+
+721
+00:52:24,770 --> 00:52:27,390
+اللي شغالة في المؤسسات سواء المؤسسات الأكاديمية أو
+
+722
+00:52:27,390 --> 00:52:32,370
+علمية أو حكومة أو تجاري أو كثير من ال
+
+723
+00:52:32,370 --> 00:52:36,130
+systems اللي شغالة في المؤسسات تصنف من هذا .. تحت
+
+724
+00:52:36,130 --> 00:52:39,340
+هذا التصنيف فيها الـ standalone اللي هي شغالة
+
+725
+00:52:39,340 --> 00:52:42,320
+قائمة بذاتها لا بتعتمد على ال server ولا إشي يعني
+
+726
+00:52:42,320 --> 00:52:45,300
+مثلا ال word و ال excel و الكذا application كله من
+
+727
+00:52:45,300 --> 00:52:49,760
+أول والأخر و بيعمل اللي بدي أعمله مش محتاج
+
+728
+00:52:49,760 --> 00:52:53,420
+server اللي أعطيه أو آخذ منه ولا لا okay
+
+729
+00:52:53,420 --> 00:52:57,660
+interactive transaction في ال embedded واضحة أنا
+
+730
+00:52:57,660 --> 00:53:01,320
+كلمة embedded قبل هيك اللي هي control systems يعني
+
+731
+00:53:01,320 --> 00:53:06,030
+software بيجي للتحكم في hardware و بيبقى embedded
+
+732
+00:53:06,030 --> 00:53:09,690
+فيه يعني راكب نازل على ال ROM تبعته ال read only
+
+733
+00:53:09,690 --> 00:53:16,790
+memory تبعته تمام بتخزن عليه و هكذا ممكن أَتَوَه أَجْعَل
+
+734
+00:53:16,790 --> 00:53:20,520
+ببالي مثالي اللي هو ال router لما إحنا الراوتر عندك
+
+735
+00:53:20,520 --> 00:53:23,200
+اللي في البيت هذا راكب عليه operating system أو
+
+736
+00:53:23,200 --> 00:53:27,780
+نظام embedded اه حتى أحيانا بنعمله إيش upgrade
+
+737
+00:53:27,780 --> 00:53:31,100
+اللي هو ال firmware بيسموه ال firmware تبعه هذا
+
+738
+00:53:31,100 --> 00:53:35,360
+عبارة عن embedded system software بيجي embedded
+
+739
+00:53:35,360 --> 00:53:38,640
+على ال hardware بنزل معه و بيصير كأنه جزء من
+
+740
+00:53:38,640 --> 00:53:42,920
+تركيبته يعني و ال virus ال virus صح و ال virus هذا
+
+741
+00:53:42,920 --> 00:53:47,360
+embedded و كثير من ال .. من ال .. الآلات الصناعية
+
+742
+00:53:48,300 --> 00:53:52,160
+اه بالظبط الآلات الصناعية و هكذا بيبقى فيه اللي 
+
+743
+00:53:52,160 --> 00:53:58,520
+لها software embedded okay طيب في نوع .. اه أنواع
+
+744
+00:53:58,520 --> 00:54:03,060
+أخرى في حاجة اسمها ال batch processing systems ال
+
+745
+00:54:03,060 --> 00:54:06,740
+batch processing ال batch processing الصفة اللي
+
+746
+00:54:06,740 --> 00:54:10,280
+بتميزها هي أنه بتكون أنت شوفت كيف هنا ال
+
+747
+00:54:10,280 --> 00:54:13,020
+transactions ال interactive transactions إيش
+
+748
+00:54:13,020 --> 00:54:16,950
+جولناك؟ جولناك مثلا أنا أدخل علامات طلاب عندي مثلا
+
+749
+00:54:16,950 --> 00:54:22,990
+عشرين طالب في الشعب أنا بدخل واحد واحد أو كل واحد
+
+750
+00:54:22,990 --> 00:54:26,730
+أحط علامته تلقائيًا بيروح transaction و بيعمل و
+
+751
+00:54:26,730 --> 00:54:29,730
+بتخزن على ال server اللي بعده و كذلك الحالة ال
+
+752
+00:54:29,730 --> 00:54:34,830
+batch قلت عملها مختلفة شوية أنه أنا ال locally
+
+753
+00:54:34,830 --> 00:54:39,890
+اللي بدخل الطلاب واحد ورا واحد العشرين بتخزنوا
+
+754
+00:54:39,890 --> 00:54:45,390
+locally في ملف بعد كده بضغط واحدة بيطلع ال 20 مرة
+
+755
+00:54:45,390 --> 00:54:49,750
+واحدة على ال server ال server بيعمل تنفيذ لهم هناك
+
+756
+00:54:49,750 --> 00:54:54,730
+و بيطلع له ال results أو بيعطيني إشارة أنه تم
+
+757
+00:54:54,730 --> 00:54:57,490
+العمل فهي الفرق ما بين ال batch شبيه بال
+
+758
+00:54:57,490 --> 00:55:01,890
+transaction based applications ولكن كلمة batch هنا
+
+759
+00:55:01,890 --> 00:55:07,750
+يعني بالتجميع كلمة batch يعني بالتجميع بيجمع لي
+
+760
+00:55:07,750 --> 00:55:12,090
+transactions مع بعض وبعدين دفعة واحدة بيوديهم
+
+761
+00:55:12,090 --> 00:55:14,970
+بيبعتهم على ال server ال server بيعمل الشغل اللي
+
+762
+00:55:14,970 --> 00:55:19,030
+عنده هناك ربما شغله بس يقتصر على التخزين وخلاص
+
+763
+00:55:19,030 --> 00:55:24,850
+وربما بيعمل نوع من الحسبة وبيعطيني يعني بلاش حكاية
+
+764
+00:55:24,850 --> 00:55:31,370
+علامات بقول مثلا رواتب بندخل بيانات الموظفين ودفعة
+
+765
+00:55:31,370 --> 00:55:35,260
+واحدة batch بيطلع على ال server ال server بيحسب كل
+
+766
+00:55:35,260 --> 00:55:39,320
+واحد كده هيكون راتبه وبيطلع له كشف بعد هيك بإيش
+
+767
+00:55:39,320 --> 00:55:43,640
+بيه الرواتب أنه إيه اللي بدها تنزل على البنك واضح
+
+768
+00:55:43,640 --> 00:55:46,940
+إيش الفرق بين transaction فقط وبين batch
+
+769
+00:55:46,940 --> 00:55:51,460
+processing okay large
+
+770
+00:55:51,460 --> 00:55:55,340
+numbers of individual inputs يعني يبقى فيها اندي
+
+771
+00:55:55,340 --> 00:56:01,600
+file طويل من individual inputs كل ما دخلنا بتخزنه
+
+772
+00:56:02,540 --> 00:56:06,080
+على مدار اليوم على مدار الشهر ومرة واحدة بعد ذلك
+
+773
+00:56:06,080 --> 00:56:10,240
+بيروحوا على ال processing على ال server تبارك الله ال
+
+774
+00:56:10,240 --> 00:56:13,860
+entertainment systems فئة في حد ذاتهم لحالهم تشمل
+
+775
+00:56:13,860 --> 00:56:17,700
+طبعا اللي هو ال games و تشمل التسالي والحاجات
+
+776
+00:56:17,700 --> 00:56:21,280
+المختلفة entertainment systems systems for
+
+777
+00:56:21,280 --> 00:56:27,320
+modeling و simulation modeling يعني 3D modeling 3D
+
+778
+00:56:27,320 --> 00:56:29,840
+modeling اللي هو ال graphics يعني ال system تبقى
+
+779
+00:56:29,840 --> 00:56:32,640
+لل graphics و ال simulation إيش يعني ال simulation
+
+780
+00:56:32,640 --> 00:56:37,840
+محاكاة يعني ما أقدرش أصمم القالة و أشوفها وبعدين
+
+781
+00:56:37,840 --> 00:56:41,020
+أغيرها أروح أعمل تصميم على ال computer و أشوفها
+
+782
+00:56:41,020 --> 00:56:45,980
+على ال computer و أعمل محاكاة لكيف هيكون شغلها على
+
+783
+00:56:45,980 --> 00:56:49,860
+أرض الواقع لما الأمور كلها تبقى مصبوطة أروح بقى
+
+784
+00:56:49,860 --> 00:56:53,950
+أنفذها أو ال simulation في التدريب مستخدم كتير
+
+785
+00:56:53,950 --> 00:56:58,210
+تدريب الطيران تدريب ال .. بيعملوا simulation عشان
+
+786
+00:56:58,210 --> 00:57:04,180
+أنت .. simulation إشي واسع جدًا يعني جدًا جدًا These
+
+787
+00:57:04,180 --> 00:57:07,340
+are systems that are developed by scientists and
+
+788
+00:57:07,340 --> 00:57:16,800
+engineers to model نموذج عن الشيء قبل تجسيده To
+
+789
+00:57:16,800 --> 00:57:21,040
+model physical processes or situations or objects
+
+790
+00:57:23,350 --> 00:57:28,010
+بنعملها نماذج عشان ندرسها ونحللها أكتر ونجربها و
+
+791
+00:57:28,010 --> 00:57:34,710
+كده على الشاشة قبل ما ننفذها قبل ما ننتجها على أرض
+
+792
+00:57:34,710 --> 00:57:37,830
+الواقع آخر إشي إثنين اللي هي data collection
+
+793
+00:57:37,830 --> 00:57:40,710
+systems و systems of systems data collection
+
+794
+00:57:40,710 --> 00:57:44,370
+systems يعني ال systems اللي وظيفتها بس to collect
+
+795
+00:57:44,370 --> 00:57:48,630
+data from their environment في واحد من ال case
+
+796
+00:57:48,630 --> 00:57:54,010
+studies اللي في آخر الشابتر على whether data
+
+797
+00:57:54,010 --> 00:57:58,790
+collection system أو station يعني ال system يركب
+
+798
+00:57:58,790 --> 00:58:04,950
+على محطة ال .. محطة .. محطة الأرصاد وظيفته أنه يأخذ
+
+799
+00:58:04,950 --> 00:58:07,770
+القراءات من ال sensors ال sensors يعني تبعت اللي
+
+800
+00:58:07,770 --> 00:58:11,970
+هو الرطوبة و الحرارة و الكلام تمام؟ فهذا .. هذا ..
+
+801
+00:58:11,970 --> 00:58:16,250
+هذا مقصود ب .. هذا مثال على هذا النوع اللي هو ال
+
+802
+00:58:16,250 --> 00:58:18,910
+system وظيفتها أنها تستقبل ال data من ال
+
+803
+00:58:18,910 --> 00:58:24,210
+environment okay؟ ويتجمعها أو ترسلها بشكل مباشر
+
+804
+00:58:24,210 --> 00:58:29,250
+لطرف ل software system اللي بدي أعمل معالجة أو
+
+805
+00:58:29,250 --> 00:58:32,950
+مراقبة أو يتاخد قرار أو ما إلى ذلك ال systems of
+
+806
+00:58:32,950 --> 00:58:38,090
+systems من اسمها أنه أنت بتعمل system مش من الصفر
+
+807
+00:58:38,090 --> 00:58:42,050
+لأ أنت بتروح بتجيب منظومة من ال systems اللي
+
+808
+00:58:42,050 --> 00:58:46,650
+already موجودة systems already موجودة وبتحاول إيش
+
+809
+00:58:46,650 --> 00:58:51,180
+تربط ما بينها بحيث أنها تتفاعل مع بعض okay يعني
+
+810
+00:58:51,180 --> 00:58:55,560
+نقول مثلا برنامج محاسبة معمول already جاهز عاملة
+
+811
+00:58:55,560 --> 00:59:00,720
+شركة X وفيه عندنا برنامج شؤون الموظفين اللي هو فيه
+
+812
+00:59:00,720 --> 00:59:07,480
+.. بيانات الموظفين وكده وفيه برنامج القبول و
+
+813
+00:59:07,480 --> 00:59:10,040
+التسجيل اللي هو فيه الطلاب والمواد اللي .. الآن
+
+814
+00:59:10,040 --> 00:59:14,770
+الطالب لما بياخد مادة بيترتب عليه إيش؟ عملية
+
+815
+00:59:14,770 --> 00:59:18,610
+محاسبية، إنه بيدفع فلوس مقابل هذه المادة، هذه
+
+816
+00:59:18,610 --> 00:59:21,890
+العملية المحاسبية المفروضة تصب في وين؟ في برنامج
+
+817
+00:59:21,890 --> 00:59:26,790
+المحاسبة، كذلك حال المدرّس، الموظف، الموظف لو أخذ
+
+818
+00:59:26,790 --> 00:59:32,290
+إجازة بدي انخصم من مثلا راتبه أو أجله مولود أو
+
+819
+00:59:32,290 --> 00:59:37,790
+أجتله ترقية بده ياخد فلوس فالاثنين هدول برنامج
+
+820
+00:59:37,790 --> 00:59:41,750
+الموظفين وبرنامج الطلاب بدهم ارتبطوا بشكل أو بآخر
+
+821
+00:59:41,750 --> 00:59:47,070
+ببرنامج المحاسبة فالآن أنت ممكن تيجي في مثل هذا
+
+822
+00:59:47,070 --> 00:59:51,110
+الموقف مطلوب منك أن تعمل عملية ربط بين هذه
+
+823
+00:59:51,110 --> 00:59:54,630
+الثلاثة systems بحيث يشتغلوا مع بعض في إيش؟ في one
+
+824
+00:59:54,630 --> 00:59:58,950
+integrated system صح؟ أنا بضرب مثال بسيط ممكن تبقى
+
+825
+00:59:58,950 --> 01:00:02,110
+إشي أعقد من هيك و ممكن تكون أنت دكتور مطمئنين
+
+826
+01:00:02,110 --> 01:00:05,330
+hardware و software في عندي جهاز .. الجهاز هذا
+
+827
+01:00:05,330 --> 01:00:09,210
+بيسوي شغل و بيسجل بيانات و بدك أنت تاخد البيانات
+
+828
+01:00:09,210 --> 01:00:13,590
+تبعتها و تشوف .. و تغذيها على software ال software
+
+829
+01:00:13,590 --> 01:00:18,630
+لا يعمل إشي و يطلع كشف أو يتحكم في ال .. في ال ..
+
+830
+01:00:18,630 --> 01:00:23,190
+في ال hardware هذا فمسألة system of system بمعنى
+
+831
+01:00:23,190 --> 01:00:27,930
+أنه أنت تعمل system مكون من a number of other
+
+832
+01:00:27,930 --> 01:00:34,270
+software systems تدمجهم مع بعض في منظومة واحدة
+
+833
+01:00:34,270 --> 01:00:38,230
+okay طيب في ضايل معانا بس كلمتين صغيرين بنحكيهم قبل
+
+834
+01:00:38,230 --> 01:00:42,590
+ما ندخل في الموضوع اللي هو ال ال ethics بنأخذ ال
+
+835
+01:00:42,590 --> 01:00:46,430
+software engineering ethics للمحاضرة الجاية إن شاء
+
+836
+01:00:46,430 --> 01:00:51,950
+الله بس لازم نخلص هالنقطتين الصغيرتين اللي هم علاقة
+
+837
+01:00:51,950 --> 01:01:00,470
+بين ال web صح
+
+838
+01:01:00,470 --> 01:01:06,730
+إحنا قلنا أن ال software systems في diverse types
+
+839
+01:01:06,730 --> 01:01:10,170
+of software systems يعني إيش diverse؟ يعني متباينة
+
+840
+01:01:10,170 --> 01:01:15,350
+وإنه صعب أنك أنت تعمل ال .. تدرس ال software 
+
+841
+01:01:15,350 --> 01:01:20,130
+engineering  و تغطي كل هذه الأنواع بنفس المنهجية و
+
+842
+01:01:20,130 --> 01:01:24,970
+بنفس الطرق لكن أيضًا كمان في إيش؟ في fundamentals
+
+843
+01:01:24,970 --> 01:01:29,410
+زي ما أنه في اختلافات كبيرة ما بين أنواع ال
+
+844
+01:01:29,410 --> 01:01:35,330
+software لكن في أساسياتها تتكرر معك بغض النظر عن نوع
+
+845
+01:01:35,330 --> 01:01:40,550
+ال software اللي أنت بدك تعمله okay تمام فأهم شغل
+
+846
+01:01:40,550 --> 01:01:49,090
+أنه لازم العملية تبقى عملية managed يعني يتم إدارة
+
+847
+01:01:49,090 --> 01:01:52,190
+سليمة وتنظيم للوقت فيه بغض النظر عن أيش نوع ال
+
+848
+01:01:52,190 --> 01:01:54,910
+software اللي أنت بدك تعمله، ما في software هتيجي
+
+849
+01:01:54,910 --> 01:01:57,830
+تعمله و تقول والله هذا النوع من ال software بقدر
+
+850
+01:01:57,830 --> 01:02:01,930
+أخش و أعمل على طول من راسي مرة واحدة لأ، الكل لازم 
+
+851
+01:02:01,930 --> 01:02:06,690
+يكون إيش؟ مرّ ب process منضبطة managed and
+
+852
+01:02:06,690 --> 01:02:11,690
+understood development process تمام okay كذلك
+
+853
+01:02:11,690 --> 01:02:14,850
+الحال، قسم آخر مشترك، يعني القسم الأولاني اللي هو
+
+854
+01:02:14,850 --> 01:02:20,590
+أنه تبقى إدارة أو خلينا نقول عملية أو إدارة واضحة 
+
+855
+01:02:20,590 --> 01:02:22,310
+للعملية
+
+856
+01:02:23,980 --> 01:02:28,060
+الإنتاج، تمام، النقطة الثانية اللي هي dependability
+
+857
+01:02:28,060 --> 01:02:32,140
+بغض النظر عن نوع ال software هذا، حتى لو كان game و
+
+858
+01:02:32,140 --> 01:02:36,080
+entertainment و الترفيه، ولا إيش ما كان، لازم يكون
+
+859
+01:02:36,080 --> 01:02:42,440
+ال dependability و ال performance يكون مبدأ أساسي
+
+860
+01:02:42,440 --> 01:02:46,800
+لك، حتى لو ما طلبهاش ال user، حتى لو ال user ما قالكش
+
+861
+01:02:46,800 --> 01:02:50,120
+أنا بدي إياه dependable، وبدي ال performance تبقى
+
+862
+01:02:50,120 --> 01:02:54,340
+عالية؟ لأ، هذا .. هذا بنسميه design principle يعني
+
+863
+01:02:54,340 --> 01:02:58,760
+مبدأ من مبادئ التصميم، مش مطلب من مطالب ال user
+
+864
+01:02:58,760 --> 01:03:02,360
+تمام؟ أنت وأنت بتصمم سواء هذا ال software هذا
+
+865
+01:03:02,360 --> 01:03:05,240
+النوع ولا هذا النوع ولا هذا النوع، بغض النظر عن إيش
+
+866
+01:03:05,240 --> 01:03:08,820
+نوع ال software اللي بتشتغل عليه، لازم تحط في دماغك
+
+867
+01:03:08,820 --> 01:03:12,340
+قضية ال dependability وقضية ال performance are
+
+868
+01:03:12,340 --> 01:03:20,040
+important for إيش؟ all types of systems تمام؟ قضية
+
+869
+01:03:20,040 --> 01:03:26,580
+ثالثة، أنه حتى لو كان game و ترفيه وشغلات يعني مش
+
+870
+01:03:26,580 --> 01:03:32,160
+لا تمثل الفلوس ولا تمثل الحياة والموت، برضه لازم
+
+871
+01:03:32,160 --> 01:03:38,120
+تكون أنت بادي الشغل، بادي شغلك، وال design بناء على
+
+872
+01:03:38,120 --> 01:03:43,920
+specifications واضحة، صح؟ يعني بقدر أفهم أنه مسألة
+
+873
+01:03:43,920 --> 01:03:48,620
+ال specifications هذه، activity هتبقى موجودة في كل
+
+874
+01:03:48,620 --> 01:03:51,620
+الأنظمة، في كل أنواع ال software اللي بدك تعملها، لازم
+
+875
+01:03:51,620 --> 01:03:55,440
+تبدأ بها وتستند إليها، specifications and
+
+876
+01:03:55,440 --> 01:04:03,800
+requirements okay النقطة الرابعة اللي هي ربما مش
+
+877
+01:04:03,800 --> 01:04:10,740
+مش إجبارية زي الثلاث الأولى، where appropriate
+
+878
+01:04:10,740 --> 01:04:18,540
+يعني إذا كان ممكن، إذا كان ممكن تعمل تتبع مبدأ اللي
+
+879
+01:04:18,540 --> 01:04:21,400
+هو ال software reuse، إيش يعني ال reuse؟ يعني إعادة
+
+880
+01:04:21,400 --> 01:04:26,640
+استخدام، يعني تدور في الأول، قبل ما تبرمج وتبدأ
+
+881
+01:04:26,640 --> 01:04:31,940
+تكتب code، هل يا ترى في شيء معمول بيسوي يعني أنت
+
+882
+01:04:31,940 --> 01:04:36,180
+عندك حددت ال design تبع ال software وقولت إن والله
+
+883
+01:04:36,180 --> 01:04:43,260
+في جزء منه بدي أعمل حسبة ال .. ده حسبة .. في حسبة
+
+884
+01:04:43,260 --> 01:04:47,660
+الراتب، بدي أعمل عملية حسابية، ربما يكون في library
+
+885
+01:04:47,660 --> 01:04:51,540
+أو API بتسوي هذا الكلام، فليش أنت تروح تعمل ال
+
+886
+01:04:51,540 --> 01:04:56,100
+function تبرمجها من جديد، اعمل استخدام لأحيانًا مثلًا
+
+887
+01:04:56,100 --> 01:04:59,500
+أسعار العملات، ليش أنا اروح وأجيب أسعار العملات
+
+888
+01:04:59,500 --> 01:05:03,940
+من ال internet وأخزنهم في ال file وأدخلهم على ال
+
+889
+01:05:03,940 --> 01:05:07,960
+database، ليش ما يكون في ال system تبعي تلقائي يروح
+
+890
+01:05:07,960 --> 01:05:13,440
+يجيب أسعار العملات من موقع بشكل تلقائي، تمام؟ ففي
+
+891
+01:05:13,440 --> 01:05:20,270
+جزئيات، قدر الإمكان حاول إنك إيش ما تعمل من الصفر بل
+
+892
+01:05:20,270 --> 01:05:23,790
+إنك تستخدم شيء موجود، لأن هذا الموجود خاصة إن كان
+
+893
+01:05:23,790 --> 01:05:27,770
+موجود ومستخدم على نطاق واسع بيكون reliable
+
+894
+01:05:27,770 --> 01:05:34,710
+وبيكون tested وبيعمل الحسبة صح، ووفر عليك المجهود
+
+895
+01:05:34,710 --> 01:05:37,990
+كثير من ال software systems اللي احنا بنعملها
+
+896
+01:05:37,990 --> 01:05:43,510
+بنلاقي libraries جاهزة، يعني عمليًا أنت كمية ال
+
+897
+01:05:43,510 --> 01:05:48,310
+coding اللي بتكتبه ربما أقل من النص، أقل من نصف
+
+898
+01:05:48,310 --> 01:05:52,410
+إجمالي ال code اللي بيشتغل في ال system، الجزء
+
+899
+01:05:52,410 --> 01:05:56,190
+الأكبر من ال code اللي بيشتغل بتكون أنت ماخده من
+
+900
+01:05:56,190 --> 01:06:00,830
+libraries خارجية، هاي مفهوم ال reuse okay where
+
+901
+01:06:00,830 --> 01:06:04,490
+appropriate you should you should reuse software
+
+902
+01:06:04,490 --> 01:06:08,030
+that has already been developed، بدل ما إنك أنت
+
+903
+01:06:08,030 --> 01:06:13,670
+تكتب ال software من ال .. من الصفر، تمام؟ الآن
+
+904
+01:06:13,670 --> 01:06:16,430
+بالنسبة لل web النقطة الأخيرة اللي بنحكي فيها فيما
+
+905
+01:06:16,430 --> 01:06:20,430
+يتعلق بال web و ال web based applications أنه أول
+
+906
+01:06:20,430 --> 01:06:26,070
+شغل اللي بدنا نقوله أنه المؤسسات قاعدة بتعتمد على
+
+907
+01:06:26,070 --> 01:06:30,010
+ال web أكثر بكثير من اللي هو من ال standalone
+
+908
+01:06:30,010 --> 01:06:34,830
+خلينا نقول أو من ال من ال desktop، اه ال web based
+
+909
+01:06:34,830 --> 01:06:38,210
+applications قاعدة بتنتشر وبتحل محل اللي هو ال
+
+910
+01:06:38,210 --> 01:06:43,510
+desktop applications okay في شغل إيه؟ اللي هي ال
+
+911
+01:06:43,510 --> 01:06:46,470
+web service، ال web service اللي هو زي ما أنت و
+
+912
+01:06:46,470 --> 01:06:50,690
+حكيت من مثال العمولات، ال system تبعك بدل ما إنه
+
+913
+01:06:50,690 --> 01:06:55,070
+أنا أخزن العمولات في ال system، أنا ممكن أجيب أسعار
+
+914
+01:06:55,070 --> 01:06:58,570
+العمولات بشكل تلقائي، خلي ال system يروح يعمل ابعت
+
+915
+01:06:58,570 --> 01:07:03,450
+استخدام وياخد أسعار العمولات من online من موقع
+
+916
+01:07:03,450 --> 01:07:07,380
+معين، في كثير من الأمور برضه بتشتغل بهذه الطريقة
+
+917
+01:07:07,380 --> 01:07:11,140
+بدل ما أنا أعمل ال function عندي ولا حتى أجيب
+
+918
+01:07:11,140 --> 01:07:15,120
+library وأحطها كجزء من ال system، لأ أنا بخلي ال
+
+919
+01:07:15,120 --> 01:07:20,080
+system يستدعي ال function من server آخر بيعملها لي
+
+920
+01:07:20,080 --> 01:07:24,360
+على الطاير، بنفذ العملية وبيعطيني ال output و
+
+921
+01:07:24,360 --> 01:07:27,920
+بيدخل ال output هذا في باقي الشغل، هذا اسمه إيش؟
+
+922
+01:07:27,920 --> 01:07:34,270
+web service، واضح؟ تمام، وبعد هيك ال cloud هدول ..
+
+923
+01:07:34,270 --> 01:07:41,550
+هدول النقطتين، نقطتان تقنيات أساسية في الوقت
+
+924
+01:07:41,550 --> 01:07:45,490
+المعاصر، الوقت الحالي اللي بتعتمد عليهم المؤسسات
+
+925
+01:07:45,490 --> 01:07:49,710
+في شغلها، ال web services و ال cloud تمام، ال cloud
+
+926
+01:07:49,710 --> 01:07:53,250
+أنا ذكرته قبل شوية، اللي هي الخدمات اللي بيقدمها
+
+927
+01:07:53,250 --> 01:07:57,630
+الطرف .. الطرف الخارجية اللي تنوب عن أو تسد عن إنك
+
+928
+01:07:57,630 --> 01:08:00,890
+أنت تركب ال software، تعمل ال software، تركب عندك في
+
+929
+01:08:00,890 --> 01:08:04,910
+ال systems، فأنت you do not buy software، لأ بتشتري
+
+930
+01:08:04,910 --> 01:08:10,570
+software ولا بتركب software، أنت بس you buy اللي هو
+
+931
+01:08:10,570 --> 01:08:17,370
+رخصة استخدام ال software اللي عندهم، okay تمام
+
+932
+01:08:17,370 --> 01:08:22,430
+فأنت الآن ال ال web-based applications هذه بيتطبق
+
+933
+01:08:22,430 --> 01:08:26,420
+مفهوم ال reuse، يعني إيه؟ لأن كثير من ال web-based
+
+934
+01:08:26,420 --> 01:08:31,440
+systems بتستخدم بعضها، زي حكيت ال web service اللي
+
+935
+01:08:31,440 --> 01:08:35,620
+حكيتها، web-based system أنت عامله ممكن في كثير من
+
+936
+01:08:35,620 --> 01:08:39,900
+الوظائف تبعته بيروح بياخد بيستعين ب web-based
+
+937
+01:08:39,900 --> 01:08:47,180
+systems أخرى، تمام؟ الآن الصفة المميزة لل web-based
+
+938
+01:08:47,180 --> 01:08:50,140
+application أو ال web-based software development
+
+939
+01:08:50,140 --> 01:08:54,830
+أنه بيتم إنتاجها incrementally، يعني إيش؟
+
+940
+01:08:54,830 --> 01:08:58,230
+incrementally يعني بالتدريج، لو أنت الآن طلعت على
+
+941
+01:08:58,230 --> 01:09:02,210
+ال student portal اللي لدينا في الجامعة، اه وإيش
+
+942
+01:09:02,210 --> 01:09:06,650
+الإمكانيات اللي فيه، رجعت عشر سنين لورا، هتلاقي أنه
+
+943
+01:09:06,650 --> 01:09:12,210
+قبل عشر سنين ما كانش إلا ربما عشر .. عشر في المائة من
+
+944
+01:09:12,210 --> 01:09:15,570
+ال .. من ال .. من الإمكانيات اللي موجودة وال ..
+
+945
+01:09:15,570 --> 01:09:20,610
+بِجِيهِة الأمور، يعني تطورات مع الزمن، كل فترة بيروح
+
+946
+01:09:20,610 --> 01:09:25,250
+بيضيف له شغلة جديدة، هي نفس ال portal ولكن اليوم تدخل
+
+947
+01:09:25,250 --> 01:09:29,650
+عليه هتلاقي مثلًا فيه الإمكانيات كده وكده وكده، بعد
+
+948
+01:09:29,650 --> 01:09:33,010
+شهر اثنين تدخل عليه هتلاقي ضاف له حاجة ثانية
+
+949
+01:09:33,010 --> 01:09:37,290
+شاشة ثانية أو ثلاثة، فال web based systems are
+
+950
+01:09:37,290 --> 01:09:42,620
+developed incrementally، يعني بتطوير تدريجي، يعني ال
+
+951
+01:09:42,620 --> 01:09:49,280
+user interfaces في ال web based أحيانًا بتبقى ما فيش
+
+952
+01:09:49,280 --> 01:09:53,160
+فيها القدرات زي لما أنت بدك تعمل application على
+
+953
+01:09:53,160 --> 01:09:56,580
+ال desktop، يعني أنت الآن على ال desktop في عندك
+
+954
+01:09:56,580 --> 01:10:00,260
+حرية كبيرة في إنك تختار ال iconات وتختار العناصر
+
+955
+01:10:00,260 --> 01:10:04,980
+تختار مكونات ال interface اللي تخطر على بالك، هذه
+
+956
+01:10:04,980 --> 01:10:10,240
+الأمور بتمكنك إنك أنت، الحرية هذه وكثرة المكونات
+
+957
+01:10:10,240 --> 01:10:14,640
+هذي بتمكنك إنك أنت تصمم interface اللي تبقى أسهل ما
+
+958
+01:10:14,640 --> 01:10:20,200
+يكون لل user، بينما لو ما عندكش كل هذه المكونات هذه
+
+959
+01:10:20,200 --> 01:10:24,860
+هتلاقي حالك هتعمل
+
+960
+01:10:24,860 --> 01:10:28,860
+software interface شوية صعب على ال user، ال web هي
+
+961
+01:10:28,860 --> 01:10:34,680
+نقطة الضعف في أنه لعهد قريب كان صعب إنك أنت تعمل
+
+962
+01:10:34,680 --> 01:10:40,330
+web page ال interface تبعها بنفس .. تعطي نفس
+
+963
+01:10:40,330 --> 01:10:45,570
+الإمكانيات للـ user زي ال desktop interface، بس
+
+964
+01:10:45,570 --> 01:10:50,230
+الآن في عندنا حاجة اسمها ال Ajax، ال Ajax تحتوي على
+
+965
+01:10:50,230 --> 01:10:54,170
+مجموعة من ال .. من ال interface components، إيش عن
+
+966
+01:10:54,170 --> 01:10:57,630
+interface components؟ يعني buttons، text boxes،
+
+967
+01:10:57,630 --> 01:11:06,070
+جداول، drop .. drop box اللي هو اللي بيكون صح؟
+
+968
+01:11:07,150 --> 01:11:10,750
+graphical interface components، مشابه جدًا للـ
+
+969
+01:11:10,750 --> 01:11:13,490
+graphical components اللي في الـ desktop
+
+970
+01:11:13,490 --> 01:11:17,570
+applications، وبالتالي صار المطور يستطيع إنه يعمل
+
+971
+01:11:17,570 --> 01:11:21,410
+applications ال interface تبعها سهلة لل user
+
+972
+01:11:21,410 --> 01:11:27,610
+وشبيهة بال applications اللي بالـ desktop تمام؟ بس
+
+973
+01:11:27,610 --> 01:11:30,330
+بتظل .. بتظل إن ال software ال web based
+
+974
+01:11:30,330 --> 01:11:35,530
+application .. web based systems distributed ماشي؟
+
+975
+01:11:35,530 --> 01:11:39,220
+distributed، إذا بتذكروا حكينا عن الـ heterogeneity
+
+976
+01:11:39,220 --> 01:11:43,400
+قبل شوية، الـ heterogeneity إنه ال components
+
+977
+01:11:43,400 --> 01:11:47,520
+المختلفة تبع ال software موزعة وكل واحد شغال على
+
+978
+01:11:47,520 --> 01:11:52,140
+ربما hardware مختلف، فهذا صفر أساسي في ال web based
+
+979
+01:11:52,140 --> 01:11:54,820
+لأنه إنت عندك في ال web based في عندك ال web
+
+980
+01:11:54,820 --> 01:11:59,400
+server وفي عندك الـ database server وقد 
+
+981
+01:11:59,400 --> 01:12:01,880
+يكون هذا الـ database server من شركة والـ web 
+
+982
+01:12:01,880 --> 01:12:05,830
+server من شركة ثانية، وفي الطرف الثالث اللي هو عند
+
+983
+01:12:05,830 --> 01:12:09,270
+الـ end user الله أعلم هو بيستخدم الـ web
+
+984
+01:12:09,270 --> 01:12:14,170
+application، الـ web browser الـ chrome والـ IE هل
+
+985
+01:12:14,170 --> 01:12:16,830
+بيستخدموه على mobile device؟ هل بيستخدموه على 
+
+986
+01:12:16,830 --> 01:12:21,810
+laptop؟ هل بيستخدموه على tablet؟ فهيكون الـ system
+
+987
+01:12:21,810 --> 01:12:26,090
+اللي أنت بتعمله by default لأنه web based هيكون
+
+988
+01:12:26,090 --> 01:12:29,650
+متنوع more heterogeneous فأنت بدك تتعامل مع هال
+
+989
+01:12:29,650 --> 01:12:31,990
+diversity هذه كلها.
+
+990
+01:12:35,170 --> 01:12:39,930
+ماشي، لكن أهم حاجة أنه العملية، عملية الـ software 
+
+991
+01:12:39,930 --> 01:12:42,930
+engineering بتظلّ سواء أنت بتعمل web based
+
+992
+01:12:42,930 --> 01:12:46,230
+applications ولا desktop applications بتظلّ نفس
+
+993
+01:12:46,230 --> 01:12:50,090
+العملية ونفس الطرق ونفس المنهجيات، ربما هنا في
+
+994
+01:12:50,090 --> 01:12:55,470
+تحديات أكثر بسبب أنه distributed وبسبب أن الـ web
+
+995
+01:12:55,470 --> 01:12:59,150
+interface ممكن تبقى أقل كفاءة من الـ desktop
+
+996
+01:12:59,150 --> 01:13:06,350
+interface، بس أنت كمصمم وكـ analyst وكـ يعني بدك 
+
+997
+01:13:06,350 --> 01:13:10,110
+تعمل مشروع software بنفس الطرق ونفس الـ tools اللي 
+
+998
+01:13:10,110 --> 01:13:15,070
+هتستخدم، تمام؟ احنا هيك خلاص بنكون انتهينا عند
+
+999
+01:13:15,070 --> 01:13:17,550
+المحاضرة الأولى، المحاضرة الجاية إن شاء الله
+
+1000
+01:13:17,550 --> 01:13:21,870
+lecture two، الثلاثة الجاية بنبدأ في موضوع الـ
+
+1001
+01:13:21,870 --> 01:13:25,870
+ethics وبنكمل على... بناخد واحدة من الـ case
+
+1002
+01:13:25,870 --> 01:13:31,030
+studies اللي في آخر الـ chapter إن شاء الله، باشي
+
+1003
+01:13:31,030 --> 01:13:31,830
+أعطيكم العافية 
diff --git a/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/S11npL0AOCQ_raw.srt b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/S11npL0AOCQ_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..8c5ab8d41ae4a97c01880c457f38fa1a764eb910
--- /dev/null
+++ b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/S11npL0AOCQ_raw.srt
@@ -0,0 +1,2756 @@
+1
+00:00:20,650 --> 00:00:22,290
+السلام عليكم ورحمة الله وبركاته السلام عليكم ورحمة
+
+2
+00:00:22,290 --> 00:00:22,690
+الله وبركاته السلام عليكم وبركاته السلام عليكم
+
+3
+00:00:22,690 --> 00:00:23,190
+وبركاته السلام عليكم وبركاته السلام عليكم وبركاته
+
+4
+00:00:23,190 --> 00:00:26,950
+السلام عليكم وبركاته السلام عليكم وبركاته السلام
+
+5
+00:00:26,950 --> 00:00:28,910
+عليكم وبركاته السلام عليكم وبركاته السلام عليكم
+
+6
+00:00:28,910 --> 00:00:31,010
+وبركاته السلام عليكم وبركاته السلام عليكم وبركاته
+
+7
+00:00:31,010 --> 00:00:31,010
+السلام عليكم وبركاته السلام عليكم وبركاته السلام
+
+8
+00:00:31,010 --> 00:00:31,010
+عليكم وبركاته السلام عليكم وبركاته السلام عليكم
+
+9
+00:00:31,010 --> 00:00:31,010
+وبركاته السلام عليكم وبركاته السلام عليكم وبركاته
+
+10
+00:00:31,010 --> 00:00:31,030
+السلام عليكم وبركاته السلام عليكم وبركاته السلام
+
+11
+00:00:31,030 --> 00:00:38,470
+عليكم وبركاته
+
+12
+00:00:38,470 --> 00:00:48,970
+السلام عليكم وبر
+
+13
+00:00:49,470 --> 00:00:54,130
+من برنامج لبرنامج من system ل system من
+
+14
+00:00:54,130 --> 00:00:57,410
+application ل application تختلف العملية يعني انت
+
+15
+00:00:57,410 --> 00:01:01,930
+نفسك فريق العمل الواحد لما يكون أمامك برنامج
+
+16
+00:01:01,930 --> 00:01:08,100
+لمؤسسة برنامج information system تمشيبأسلوب بينما
+
+17
+00:01:08,100 --> 00:01:12,400
+لو برنامج آخر تمشي بأسلوب آخر فالأسلوب هنا أقصد
+
+18
+00:01:12,400 --> 00:01:15,660
+يعني ال process خطوات والخطوات اللي احنا بنحكي مش
+
+19
+00:01:15,660 --> 00:01:19,160
+على الخطوات اللي هو ال development كلها لأ خطوات
+
+20
+00:01:19,160 --> 00:01:24,780
+جمع وتحديد وصياجة المتطلبات هذه المرحلة مرحلة جمع
+
+21
+00:01:24,780 --> 00:01:29,720
+وتحديد المتطلبات وصولا إلى ال document مستند
+
+22
+00:01:29,720 --> 00:01:36,540
+specification المتطلباتالعملية بتقوم فيها ممكن
+
+23
+00:01:36,540 --> 00:01:40,980
+تختلف من من برنامج لبرنامج آخر ف the processes
+
+24
+00:01:40,980 --> 00:01:46,480
+used for requirements engineering vary يعني
+
+25
+00:01:46,480 --> 00:01:54,650
+بتتباين widely بشكل كبير depending on حسب إيشعسب
+
+26
+00:01:54,650 --> 00:01:58,470
+ال domain ال domain يعني المجال يعني نوع البرنامج
+
+27
+00:01:58,470 --> 00:02:02,690
+اللى بتشتره هل هو information system لمؤسسة ولا هو
+
+28
+00:02:02,690 --> 00:02:08,710
+game ولا هو بختلف ولا هو website ولا غيره برضه ال
+
+29
+00:02:08,710 --> 00:02:14,640
+people اللى هم معنيين بالبرنامجبرضه طبيعتهم أثر
+
+30
+00:02:14,640 --> 00:02:18,880
+على طبيعة العملية وبرضه كذلك حال المؤسسة يعني two
+
+31
+00:02:18,880 --> 00:02:22,500
+information systems بس هذا لمؤسسة الى و هذا لمؤسسة
+
+32
+00:02:22,500 --> 00:02:28,020
+بقى عشان اختلفوا المؤسسات تختلف أسلوبك في عملية
+
+33
+00:02:28,020 --> 00:02:33,660
+جمع وتحديد المتطلبات فدول ال three factors العوامل
+
+34
+00:02:33,660 --> 00:02:42,460
+اللي بسببها بتختلف أسلوب أو عملية جمع المتطلباتفي
+
+35
+00:02:42,460 --> 00:02:45,680
+كل الأحوال انت في عملية جمع المتطلبات او عملية
+
+36
+00:02:45,680 --> 00:02:50,160
+هندسة المتطلبات بتقوم بمجموعة ثابتة من ال
+
+37
+00:02:50,160 --> 00:02:54,880
+activities من ال activities okay اللي هي
+
+38
+00:02:54,880 --> 00:03:02,960
+elicitation يعني جمع او طلب المتطلبات كل واحد بده
+
+39
+00:03:02,960 --> 00:03:06,020
+ايش من ال system كل واحد من المعنيين بال system
+
+40
+00:03:06,020 --> 00:03:09,100
+بتقوله قولي ايش اللي انت عاوزه فهذه عملية ال
+
+41
+00:03:09,100 --> 00:03:14,620
+elicitationanalysis لمن؟ للمتطلبات تدرسها وتحللها
+
+42
+00:03:14,620 --> 00:03:20,760
+وتعمل validation هدول الجزئيتين بيمشوا مع بعض عادة
+
+43
+00:03:20,760 --> 00:03:23,320
+يعني elicitation و analysis و elicitation و
+
+44
+00:03:23,320 --> 00:03:27,940
+analysis في الآخر بتطلع ب document
+
+45
+00:03:29,670 --> 00:03:33,130
+مبدأية اللى تعملها validation تتحقق من الكلام اللى
+
+46
+00:03:33,130 --> 00:03:37,750
+انت كتبته تتحقق منه وبعد هيك خلاص بعد التحقق بيصير
+
+47
+00:03:37,750 --> 00:03:41,810
+ايش ضايل خلاص المفروض نروح على ال design صح ولا لأ
+
+48
+00:03:41,810 --> 00:03:47,250
+بما انه اتحددت ال requirements وتعمل التحقق منها
+
+49
+00:03:47,250 --> 00:03:50,650
+وكل شي تمام خلاص نروح على ال design تمام هذا اشي
+
+50
+00:03:50,650 --> 00:03:56,180
+طبيعي ولكن ولكنليش ال management هادى؟ ما جالش
+
+51
+00:03:56,180 --> 00:03:59,780
+design جال management management لما يكون لأنه
+
+52
+00:03:59,780 --> 00:04:05,660
+هيكون فيه هناك تغيير أو تغيرات حدث أو ضعف أو تعديل
+
+53
+00:04:05,660 --> 00:04:10,700
+على ال requirements حتى بعد أن تمت سياغتها فهذا ال
+
+54
+00:04:10,700 --> 00:04:15,240
+management بتتعلق بإيش ب managing التغيرات أو ال
+
+55
+00:04:15,240 --> 00:04:19,900
+change على الهدف فاحنا الآن section أربعة أربعة
+
+56
+00:04:19,900 --> 00:04:24,600
+واللي بعدين كله مادة واللي عبارة عندراسة وتفصيل في
+
+57
+00:04:24,600 --> 00:04:28,040
+هذه النقاط أو هذه ال activities الأربع الأساسية
+
+58
+00:04:28,040 --> 00:04:33,260
+تمام بصفة عامة زي ما احنا قلنا انه بصفة عامة مختلف
+
+59
+00:04:33,260 --> 00:04:38,700
+الأساليب بتشترك في هذه الأربع activities الأساسية
+
+60
+00:04:38,700 --> 00:04:43,020
+ايضا كذلك الحياة المختلفة الأساليب صفتها الغالب
+
+61
+00:04:43,020 --> 00:04:47,580
+انها iterative عملية اذا بحكي بس على جزئية مش ال
+
+62
+00:04:47,580 --> 00:04:52,470
+software development كلهامرحلة جمع المتطلبات
+
+63
+00:04:52,470 --> 00:04:57,210
+وتحديدها هي في حجزاتها iterative activity إيش يعني
+
+64
+00:04:57,210 --> 00:05:03,930
+iterative يعني بتتم على دورات okay تمام وهذا الشكل
+
+65
+00:05:03,930 --> 00:05:08,290
+بيعبر عن هذه القضية بشكل أساسي أنه احنا في عندنا
+
+66
+00:05:08,290 --> 00:05:13,270
+طبعا هذا spiral view لعملية requirements
+
+67
+00:05:13,270 --> 00:05:17,610
+engineering process أنه في عندنا تلاتة
+
+68
+00:05:20,100 --> 00:05:24,020
+نواحي أساسية اللي هو هنا خليني أكتبه مش عارف أعتقد
+
+69
+00:05:24,020 --> 00:05:29,020
+ال slide دي مش واضحة كتير هذا إيش requirements
+
+70
+00:05:29,020 --> 00:05:34,160
+specification وهذه
+
+71
+00:05:34,160 --> 00:05:42,380
+requirements validation وهنا
+
+72
+00:05:42,380 --> 00:05:46,540
+elicitation
+
+73
+00:05:46,540 --> 00:05:49,200
+إيش قلنا elicitation معناها؟
+
+74
+00:05:51,520 --> 00:05:56,580
+تجمع أو بتقدر تقول طلب يعني احنا بنطلب من المعنيين
+
+75
+00:05:56,580 --> 00:06:00,560
+يعطونا أيش المتطلبات اللي بدهم إياها في ال system
+
+76
+00:06:00,560 --> 00:06:04,060
+و بنجمع هذه المتطلبات ايه المقصود بال elicitation
+
+77
+00:06:04,810 --> 00:06:09,270
+هذه هي الأبعاد الأربع أو الجوانب الأربع اللي هي
+
+78
+00:06:09,270 --> 00:06:12,610
+عملية ال .. ايش اللي بيحصل انه ال start أول اشي
+
+79
+00:06:12,610 --> 00:06:17,410
+بنروح في زاوية ال specification ان احنا بنروح على
+
+80
+00:06:17,410 --> 00:06:20,990
+المستوى ال business requirements على المستوى
+
+81
+00:06:20,990 --> 00:06:24,420
+العالي ان والله ال systemمحتاجين فيه انه يمكن
+
+82
+00:06:24,420 --> 00:06:28,360
+المدير انه يشوف تقارير محتاجين ال system يسرع هذه
+
+83
+00:06:28,360 --> 00:06:32,240
+متطلبات عامة okay general او high level
+
+84
+00:06:32,240 --> 00:06:36,100
+requirements بعد ذلك بنبدأ ايش نخصص فيها الآن
+
+85
+00:06:36,100 --> 00:06:39,560
+المتطلبات هذه بنقول ان احنا ايش بعد ذلك عاملين
+
+86
+00:06:39,560 --> 00:06:44,780
+عاملين بناء على انه تحددت لدينا مجموعة من
+
+87
+00:06:44,780 --> 00:06:50,680
+المتطلبات بنتحقق ان هذه المتطلبات ممكنةوفعلاً في
+
+88
+00:06:50,680 --> 00:06:54,380
+من وراها فايدة فبنقول علاش على feasibility مر
+
+89
+00:06:54,380 --> 00:06:58,630
+عليكم مصطلح ال feasibilityأكيد مر علينا قبل هيكة
+
+90
+00:06:58,630 --> 00:07:02,170
+feasibility يقصد بي انه التحقق من جدوة أحيانا تبقى
+
+91
+00:07:02,170 --> 00:07:06,310
+جدوة مالية جدوة مالية يعني إمكانية عمل هذا الكلام
+
+92
+00:07:06,310 --> 00:07:10,210
+وإنه فيه من وراه عامفة عمالية جدوة تقنية يعني
+
+93
+00:07:10,210 --> 00:07:13,790
+إمكانية عمله وانا الموارد وال resources والمعرفة
+
+94
+00:07:13,790 --> 00:07:19,570
+تمام جدوة زمنية okay فبنعمل ال feasibility أساطي
+
+95
+00:07:19,570 --> 00:07:21,930
+وهذا ال feasibility أساطي جاي في ناحية ال
+
+96
+00:07:21,930 --> 00:07:27,790
+validation لأن هي جزء او هيفي طبيعيتها هي activity
+
+97
+00:07:27,790 --> 00:07:33,790
+للتحقق من requirements اللي تم حصرها
+
+98
+00:07:33,790 --> 00:07:39,470
+أو جمعها هنا تمام؟ بعد ذلك بدور الدورة و بروح نعمل
+
+99
+00:07:39,470 --> 00:07:44,630
+اللي هو .. هنا إيش عملنا؟ عملنا business
+
+100
+00:07:44,630 --> 00:07:46,970
+requirements يعني business requirements يعني high
+
+101
+00:07:46,970 --> 00:07:50,960
+level requirementsتمام؟ الان بدنا نيجي ل ال user
+
+102
+00:07:50,960 --> 00:07:54,420
+اللي بده يستخدم ال system و نقوله انت ايش بالظبط
+
+103
+00:07:54,420 --> 00:07:58,760
+المهام او الوظائف اللي لو توفر عندك ال system هذا،
+
+104
+00:07:58,760 --> 00:08:01,840
+شو اللي حابب تكون موجودة في هذا ال system؟ يعني لو
+
+105
+00:08:01,840 --> 00:08:06,040
+المحسس قرر ان تجيب ال system يساعدك في عملية .. في
+
+106
+00:08:06,040 --> 00:08:10,040
+شغلك، ايش بتحب الوظائف؟ فهنا بيصير ايش؟ user
+
+107
+00:08:10,040 --> 00:08:16,780
+requirements elicitationrequires elicitation بعد
+
+108
+00:08:16,780 --> 00:08:22,160
+ذلك بنعمل الكلام هذا واللي جمعناه هنا بنعمله
+
+109
+00:08:22,160 --> 00:08:24,840
+specification كلمة specification هنا
+
+110
+00:08:28,140 --> 00:08:32,140
+ماذا يقصد بيها؟ يقصد بيها صياغة، صياغة، تمام؟ يعني
+
+111
+00:08:32,140 --> 00:08:36,880
+هنا بعد ما نجمع ونحلّي، بروح نصيغها، الآن نرجع
+
+112
+00:08:36,880 --> 00:08:40,100
+تاني عشان نعمل إيش؟ validation تاني، بس ال
+
+113
+00:08:40,100 --> 00:08:42,940
+validation الآن، هنا ال validation كان على هيئة
+
+114
+00:08:42,940 --> 00:08:45,980
+إيش؟ feasibility study، نعمل دراسة جدول التحقق
+
+115
+00:08:45,980 --> 00:08:48,220
+منها، بس هنا ال validation بيجي على هيئة
+
+116
+00:08:48,220 --> 00:08:51,320
+prototyping، يعني بناء على هذه ال user
+
+117
+00:08:51,320 --> 00:08:54,880
+requirements اللي احنا جمعناها ووصغناهابنروح إن
+
+118
+00:08:54,880 --> 00:08:57,800
+إحنا عاملين prototype يعني نسخة أولية النسخة
+
+119
+00:08:57,800 --> 00:09:02,020
+الأولية هذه وظيفتها إيش ال validation وظيفتها إن
+
+120
+00:09:02,020 --> 00:09:05,260
+إحنا نيجي نعرض لل user أولان الناس هدولة المعنيين
+
+121
+00:09:05,260 --> 00:09:09,940
+في ال system إنه هاي احنا فهمنا منكم هاي عملنا إيش
+
+122
+00:09:09,940 --> 00:09:14,040
+نموذج أولية هل هذا نموذج الأولى هو بالظبط زي ما
+
+123
+00:09:14,040 --> 00:09:18,000
+أنتوا كنتوا في بالكم ولا احنا أخطأنا في الفهم ولا
+
+124
+00:09:18,000 --> 00:09:24,700
+صح فال prototype هذا ال prototyping اللي هناجاي في
+
+125
+00:09:24,700 --> 00:09:30,160
+مربع او في متلف ال validation تمام؟ بنان عليه جاي
+
+126
+00:09:30,160 --> 00:09:35,220
+في مربع ال validation بنان عليه بدنا نبدأ نعمل إيش
+
+127
+00:09:35,220 --> 00:09:40,880
+بنان عليه بنشوف إذا كان في ناقص إشي وهو غالبا
+
+128
+00:09:40,880 --> 00:09:45,040
+هيكون ناقص إشي أشياء كتيرة فنروح نجمع كمان more
+
+129
+00:09:45,040 --> 00:09:48,340
+requirementsOkay more requirements و بنعملها more
+
+130
+00:09:48,340 --> 00:09:52,120
+specification و بنرجع تاني بنعمل review و بتستمر
+
+131
+00:09:52,120 --> 00:09:56,200
+العملية هذه ربما دورة أو دورتين و بعد كده بنطلع
+
+132
+00:09:56,200 --> 00:10:01,600
+ايش ال system النهائي لأ بنطلع اللي هو
+
+133
+00:10:01,600 --> 00:10:07,480
+specification النهائي okayأنا بحاول أن أركز على
+
+134
+00:10:07,480 --> 00:10:11,280
+هذه النقطة، لأننا نحكي عن الـ Process ليس تبع الـ
+
+135
+00:10:11,280 --> 00:10:14,440
+Development System كله، إنما الـ Process الخاصة
+
+136
+00:10:14,440 --> 00:10:20,400
+بجمع المتطلبات. هذا الشكل اللي أمامنا هنا، الوظيفة
+
+137
+00:10:20,400 --> 00:10:24,880
+منه أو الهدف منه، ليس أنه يعطيك الصورة الكاملة عن
+
+138
+00:10:24,880 --> 00:10:28,740
+الـ System، إنما يوضحلك إن العملية هي عملية
+
+139
+00:10:28,740 --> 00:10:35,670
+iterative.وإنها Spiral .. Spiral يعني بتكبر مع كل
+
+140
+00:10:35,670 --> 00:10:39,770
+ما نتقدم في الزمن أكتر بتكبر اللي هو ال activities
+
+141
+00:10:39,770 --> 00:10:44,730
+تمام الآن
+
+142
+00:10:44,730 --> 00:10:49,690
+بدنا ناخدهم بال .. بالمراحل أو بالأجزاء أول جزء
+
+143
+00:10:49,690 --> 00:10:52,790
+يقولنا احنا هنا برجع تاني على ال slide هذي قولنا
+
+144
+00:10:52,790 --> 00:10:55,790
+ان ال elicitation و ال analysis ال activities دولة
+
+145
+00:10:55,790 --> 00:11:02,870
+ماشيين مع بعضو لذلك requirements elicitation and
+
+146
+00:11:02,870 --> 00:11:11,120
+analysis نحكي عنهم مع بعضOkay أحيانا .. أحيانا
+
+147
+00:11:11,120 --> 00:11:14,180
+بيستخدم بدل كلمة registration بيستخدم كلمة
+
+148
+00:11:14,180 --> 00:11:18,940
+discovery discovery يعني استكشاف استكشاف المتطلبات
+
+149
+00:11:18,940 --> 00:11:23,100
+تمام؟ الآن هذا الأمر بيقوم بتقني ال staff اللي هم
+
+150
+00:11:23,100 --> 00:11:27,020
+مين التقني ال staff اللي هم أنت يا ال software
+
+151
+00:11:27,020 --> 00:11:33,550
+engineer مع مين؟ working مع مين؟أكيد الطرف التاني
+
+152
+00:11:33,550 --> 00:11:38,470
+اللى هو ال customer اللى بده ال .. اللى بده ال
+
+153
+00:11:38,470 --> 00:11:42,430
+system okay الهدف انك انت تفهم من ال .. من ال ..
+
+154
+00:11:42,430 --> 00:11:45,910
+الهدف من هذا القمر انك تفهم شو هي ال services ايش
+
+155
+00:11:45,910 --> 00:11:48,050
+احنا جولنا جاب ليك ال services ايش يقصد بيها
+
+156
+00:11:48,050 --> 00:11:54,730
+الخدمات او يعني ال functions شو هي الوظائف صح ولا
+
+157
+00:11:56,820 --> 00:12:00,520
+وش هو المجال اصلا عمل ال system يعني هو اللي هو في
+
+158
+00:12:00,520 --> 00:12:04,280
+المجال الطبي ولا في مجال إدارة المؤسسات التعليمية
+
+159
+00:12:04,280 --> 00:12:07,780
+ولا في مجال الألعاب ولا غيره ال domain انت طبعا
+
+160
+00:12:07,780 --> 00:12:12,840
+لما تيجي تدخل على مجال غالبا مش هتكون فيه انت مش
+
+161
+00:12:12,840 --> 00:12:16,080
+هتكون بتعرف اشي عن هذا المجال يعني انت الآن لو
+
+162
+00:12:16,080 --> 00:12:19,610
+روحت بدك تعمل system في المجال الطبيلما تقعد مع
+
+163
+00:12:19,610 --> 00:12:22,030
+هؤلاء الناس، هؤلاء الناس سيكونوا عاملين في المجال
+
+164
+00:12:22,030 --> 00:12:26,070
+الطبي، إما طباء أو مرادين أو مدراء مؤسسات طبية،
+
+165
+00:12:26,070 --> 00:12:29,730
+سيقعدوا يحكوا عن أشياء أنت أول مرة تسمع فيها، فإنت
+
+166
+00:12:29,730 --> 00:12:34,070
+هيكون واحد من أهدافك الأساسية إنك أنت تفهم ال
+
+167
+00:12:34,070 --> 00:12:40,060
+domain تبعهمتفهم اللي هو المجال أو مجال العمل تبعه
+
+168
+00:12:40,060 --> 00:12:44,260
+و بعد كتفهم أيضا كمان طبعا هذا اللي هو المتطلب
+
+169
+00:12:44,260 --> 00:12:48,660
+الأساسي أو هدفك الأساسي هو تفهم شو بالظبط التاصة و
+
+170
+00:12:48,660 --> 00:12:51,320
+الوظائف أو ال functions اللي بدهم إياها و أيضا
+
+171
+00:12:51,320 --> 00:12:55,800
+كمان تفهم إذا في constraints محددات للعمل اللي هي
+
+172
+00:12:55,800 --> 00:12:59,880
+قيود جاية من عندهم داخلية أو قيود خارجية مفروضة
+
+173
+00:12:59,880 --> 00:13:03,340
+على المؤسسة من الجهة الإشرافية حكينا قبل هيك في
+
+174
+00:13:03,340 --> 00:13:08,310
+هذا الأمرالان هدول ال customers او المعنيين اللي
+
+175
+00:13:08,310 --> 00:13:11,650
+انت في كلمة تانية غير ال customers في كلمة
+
+176
+00:13:11,650 --> 00:13:15,730
+stakeholders هدول ال stakeholders او ال customers
+
+177
+00:13:15,730 --> 00:13:20,870
+ممكن يكونوا يشمل ذلك يعني يشمل ال end users اللي
+
+178
+00:13:20,870 --> 00:13:25,110
+هم الناس اللي هيستخدموا ال system مباشرة ممكن
+
+179
+00:13:25,110 --> 00:13:30,090
+المدراء تبعونهمو ممكن كمان المهندسين اللي في
+
+180
+00:13:30,090 --> 00:13:34,670
+المؤسسة اللي .. اللي انت هتعملهم ال system اللي
+
+181
+00:13:34,670 --> 00:13:38,750
+هتولوا صيانة او متابعة ال system بعد ما انت تخلصه
+
+182
+00:13:38,750 --> 00:13:43,570
+تمام؟ و برضه كذلك الحال ال domain express اللي هم
+
+183
+00:13:43,570 --> 00:13:47,210
+ال ..خبراء أو اختصاصين تبعون المجال يعني مين هم؟
+
+184
+00:13:47,210 --> 00:13:51,130
+ملاعق طباء إذا أنت برنامج طبي القبيب هو ال domain
+
+185
+00:13:51,130 --> 00:13:56,010
+expert إذا برنامج محاسبي المحاسب هو ال domain
+
+186
+00:13:56,010 --> 00:13:59,950
+expert إذا برنامج تعليمي المدرس هو ال domain
+
+187
+00:13:59,950 --> 00:14:02,650
+expert هنا كلمة ال domain expert اللي هو الشخص
+
+188
+00:14:02,650 --> 00:14:05,910
+المختص مش بضرورة هذا يكون هو مستخدم مباشر لل
+
+189
+00:14:05,910 --> 00:14:10,670
+system بس هو اللي هيعطيلك الفكرة عن المجالإذا هو
+
+190
+00:14:10,670 --> 00:14:15,190
+مجال تعليمي و لا مجال طبي و لا مجال مالي و لا
+
+191
+00:14:15,190 --> 00:14:20,630
+محاسبي وهو اللي هيعطيك الفكرة يعني تفهم المصطلحات
+
+192
+00:14:20,630 --> 00:14:24,470
+و الأفكار و العمليات و الإجراءات اللي هي ده و
+
+193
+00:14:24,470 --> 00:14:28,110
+بيقول مش بضروره يكون هو مستخدم ال trade unions
+
+194
+00:14:28,110 --> 00:14:33,890
+هدولة و الوزارات و كده اللي هي الجهات الإشرافية ال
+
+195
+00:14:33,890 --> 00:14:37,490
+union هنا اللي هو الاتحاد اتحاد او النقابة تمام
+
+196
+00:14:37,490 --> 00:14:41,480
+هدولة عبارة عن جهات إشرافيةبتشرف على عمل هذه
+
+197
+00:14:41,480 --> 00:14:45,480
+المؤسسة ومن خلالها انت بتفهم اذا في constraints
+
+198
+00:14:45,480 --> 00:14:50,280
+ولا .. وأكيد طبعا في constraints فدولة كلهم الجهات
+
+199
+00:14:50,280 --> 00:14:53,980
+أو الأطراف هم بيسميهم stakeholders stakeholders
+
+200
+00:14:53,980 --> 00:14:58,580
+هنا دايما كتير بيلخبطوا ال .. بيقول الله فيه بينه
+
+201
+00:14:58,580 --> 00:15:01,960
+و بين stock holders ال stock ليه الأسهم يا دي قضية
+
+202
+00:15:01,960 --> 00:15:07,760
+اللي علاقة بيه المؤسسات المالية و بتشتري أسهم في
+
+203
+00:15:07,760 --> 00:15:12,660
+الشركة أو في هذا و بت ..وبتربح وبتخسر هناك شيء و
+
+204
+00:15:12,660 --> 00:15:17,500
+هنا شيء تاني هنا stake holder يعني أنت إلك مصلحة
+
+205
+00:15:17,500 --> 00:15:22,860
+أو أنت طرف فيه أو معنى بهذا ال system بشكل مباشر
+
+206
+00:15:22,860 --> 00:15:26,500
+أو غير مباشر مباشر إذا أنت كنت end user أو غير
+
+207
+00:15:26,500 --> 00:15:30,960
+مباشر إذا كنت انت جهة إشرافية نقابة أو وزارة أو ما
+
+208
+00:15:30,960 --> 00:15:37,260
+إلى ذلك تمام فالعملية هذه العملية هذه عملية ال
+
+209
+00:15:37,260 --> 00:15:41,660
+elicitation و ال analysisبيقوم بيها ال technical
+
+210
+00:15:41,660 --> 00:15:46,560
+staff سوية مع ال customers أو ال stakeholders اللي
+
+211
+00:15:46,560 --> 00:15:52,940
+هم هدولة بهدف جمع إيش ال services أو بهدف التعرف
+
+212
+00:15:52,940 --> 00:15:56,280
+على ال domain و التعرف على ما هي المتطلبات و
+
+213
+00:15:56,280 --> 00:15:59,780
+القيودالمتطلبات اللي بدي نفسها ال system و القيود
+
+214
+00:15:59,780 --> 00:16:01,960
+اللي بدي اعمل في اطارها .. بدي اشتغل في اطارها ..
+
+215
+00:16:01,960 --> 00:16:06,320
+okay؟ الان هذا الأمر .. أمر مش سهل أوي .. يعني مش
+
+216
+00:16:06,320 --> 00:16:12,050
+بسيط انك انت تسويه لوحدك كفردانت بدك ناس معاك يعني
+
+217
+00:16:12,050 --> 00:16:15,610
+بيشتغلوا عليه الفريق العمل كله اللي هم هيكونوا في
+
+218
+00:16:15,610 --> 00:16:19,270
+ال design و ال coding هم نفسهم بدهم يشتركوا أيضا
+
+219
+00:16:19,270 --> 00:16:22,230
+يشتغلوا على موضوع ال elicitation و ال analysis
+
+220
+00:16:22,230 --> 00:16:25,730
+تمام؟ و بدهم يشتغلوا مع الأطراف هذه المتعددة
+
+221
+00:16:25,730 --> 00:16:31,090
+فعملية فيها شوية مصاعب مصاعب ديش يسميها انا
+
+222
+00:16:31,090 --> 00:16:39,420
+problems مشاكل نسميها difficulties اويعني الجوانب
+
+223
+00:16:39,420 --> 00:16:45,920
+بدها شوية مجهود و أحد مصادر المصاعب هذه أن أحيانا
+
+224
+00:16:45,920 --> 00:16:49,140
+في بعض الأحيان الـ stakeholders don't know what
+
+225
+00:16:49,140 --> 00:16:53,320
+they really wantتمام؟ هي العبارة انا ضفت exactly
+
+226
+00:16:53,320 --> 00:16:56,320
+من اندي العبارة كانت they don't really .. they
+
+227
+00:16:56,320 --> 00:16:59,840
+don't .. they don't know what they really want
+
+228
+00:16:59,840 --> 00:17:03,420
+وهذا هي كان مش دقيقة احنا بنقول exactly لان هم
+
+229
+00:17:03,420 --> 00:17:07,520
+عارفين ايش بدهم بس مش صيغينه او مش معبرين عنه
+
+230
+00:17:07,520 --> 00:17:13,360
+بطريقة دقيقة انت لان دورانك اتبلور و .. و .. و
+
+231
+00:17:13,360 --> 00:17:17,280
+تصيغ بشكل دقيققد يكون هم بيقولك انا والله بدي
+
+232
+00:17:17,280 --> 00:17:22,120
+برنامج لتنظيم عمل المؤسسة في الجانب المالي في
+
+233
+00:17:22,120 --> 00:17:24,520
+الجانب الأكاديمي في الجانب الإداري في الجانب مش
+
+234
+00:17:24,520 --> 00:17:28,860
+عارف شو ويعطيك بعض التفاصيل الأخرى لكن لما انت
+
+235
+00:17:28,860 --> 00:17:32,060
+تقعد معاه بعد ما تقعد معاه هتكتشف ان في المزيد من
+
+236
+00:17:32,060 --> 00:17:36,540
+التفاصيل وفي المزيد من يعني على الأفقي و العمودي و
+
+237
+00:17:36,540 --> 00:17:39,620
+تلاقي انه في الآخر ال document اللي طلعتها بعد
+
+238
+00:17:39,620 --> 00:17:43,990
+اجتماعتك و بعد جلساتكاللي هو كان حكالك في البداية
+
+239
+00:17:43,990 --> 00:17:51,910
+بجيش ربع او تلت اللي تم حصره في اجمال العملية عشان
+
+240
+00:17:51,910 --> 00:17:56,630
+ايه كما نقولknow what they really want exactly
+
+241
+00:17:56,630 --> 00:18:01,070
+تمام فهذا اي اول إشكالية فانت بدك تواجه هذا بدك
+
+242
+00:18:01,070 --> 00:18:04,810
+تبقى مجاهز نفسك لهذه الإشكالية و هي انه اللي
+
+243
+00:18:04,810 --> 00:18:08,970
+بينطرح اليك في البداية او اللي بينجلك في البداية
+
+244
+00:18:08,970 --> 00:18:14,310
+هذا ليس بالضرورة كل الصورة في شغل كتير بدي نعمل
+
+245
+00:18:14,310 --> 00:18:19,470
+عشان استكشاف و رسم و بلورة المطلوبات بشكل مفصل و
+
+246
+00:18:19,470 --> 00:18:23,860
+دقيقتمام؟ فده أول إشكالية هتواجهك الإشكالية
+
+247
+00:18:23,860 --> 00:18:26,600
+التانية اللي هي أنه غالبا هتجيبهم بيحكوا
+
+248
+00:18:26,600 --> 00:18:31,180
+بالمصالحات ال .. ال .. الاختصاصية تبعت فبقى
+
+249
+00:18:31,180 --> 00:18:35,060
+المحاسبين عندهم مصالحات محاسبية .. محاسبية تبعون
+
+250
+00:18:35,060 --> 00:18:39,800
+البنوك اللي هم مصالحات بنكية مصرفية الأكاديميين
+
+251
+00:18:39,800 --> 00:18:42,940
+اللي هم العطل البائل وكل الناس في مجالهم فانت لما
+
+252
+00:18:42,940 --> 00:18:47,640
+تروح تشتغل system لجهة معينة شغالة في اقتصاداختصاص
+
+253
+00:18:47,640 --> 00:18:50,840
+معين هتواجه هذا الإشكالي انهم بيحكوا مصطلحات
+
+254
+00:18:50,840 --> 00:18:56,500
+ومفاهيم ممارسة عليك طبعا okay فهذه شوية معاناة بدك
+
+255
+00:18:56,500 --> 00:19:00,420
+تجتهد فيها انك انت لسه تاخد على ايه المصطلحات و
+
+256
+00:19:00,420 --> 00:19:07,560
+تفهمها كويس انا بذكر اول و جات في مسألة زي كده كان
+
+257
+00:19:07,560 --> 00:19:11,760
+برنامج محاسب بدنا نسويه لمؤسسة فالمحاسب او كبير
+
+258
+00:19:11,760 --> 00:19:14,080
+المحاسبين في المؤسسة عشان يوضح لي ايش اللي المطلوب
+
+259
+00:19:14,080 --> 00:19:17,630
+فبحكي بحكي بحكي و طول الوقت بحكي و بقولبدنا نجيب
+
+260
+00:19:17,630 --> 00:19:20,990
+القيد بدنا نسجل القيد بدنا نضيف بدنا كده فانا
+
+261
+00:19:20,990 --> 00:19:25,370
+قلتله بس لو سمحت ايه شو هو القيد تمام الراجل هو
+
+262
+00:19:25,370 --> 00:19:31,370
+بيفكر انه انا مبرمج ويعني بعرف .. بعرف البرمجة و
+
+263
+00:19:31,370 --> 00:19:34,950
+بعرف ايضا في المحاسب و بعرف ايضا في كل المجلات
+
+264
+00:19:34,950 --> 00:19:38,510
+المختلفة فهو اتفاجأ انه انا ماعرفش شو هو القيد
+
+265
+00:19:38,510 --> 00:19:41,470
+تمام انا طبعا كنت لسه خريجي .. خريجي جديد يعني مش
+
+266
+00:19:41,470 --> 00:19:49,110
+.. فهو بيفكر انه انت كتابع computerأو مبرمج مارر
+
+267
+00:19:49,110 --> 00:19:52,570
+عليك أو متعلم في .. في .. في .. في .. في الأربع
+
+268
+00:19:52,570 --> 00:19:57,530
+سنوات اللي انت دراستها متدارس البرمجة و دارس مختلف
+
+269
+00:19:57,530 --> 00:20:02,490
+الاش التخصصات الأخرى و عندك فكرة على الأقل مبدئية
+
+270
+00:20:03,100 --> 00:20:08,480
+في المحاسبة في المالية في الطب في التربية والتعليم
+
+271
+00:20:08,480 --> 00:20:13,540
+في كل الجوانب فانت طبعا تبقى fresh كل قلمتك كلها
+
+272
+00:20:13,540 --> 00:20:17,180
+في البرمجة والتصميم وهندسة البرمجيات وما إلى ذلك
+
+273
+00:20:17,180 --> 00:20:23,440
+لكن ماعندك دراية في المجالات اللي انت هتعمل فيها
+
+274
+00:20:23,440 --> 00:20:27,240
+ال systems okay فهذه هي حكاية ال terms هنا يقصد
+
+275
+00:20:27,240 --> 00:20:34,000
+بيها ايش المصطلحات المصطلحات التخصصيةكذلك الحال
+
+276
+00:20:34,000 --> 00:20:36,720
+إشكالية أخرى ممكن تواجهك اللي هي ال conflicting
+
+277
+00:20:36,720 --> 00:20:40,100
+requirements يعني طرف واحد من ال stakeholders
+
+278
+00:20:40,100 --> 00:20:43,360
+يقولك بده كذا و التاني يقولك بده كذا و تلاقي أن
+
+279
+00:20:43,360 --> 00:20:49,380
+هذا المطلب يتعارض مع هذا المطلب وهذه وردة هذه
+
+280
+00:20:49,380 --> 00:20:58,030
+الإشكاليات بده تدور على وسيلة لفك هذا التعارضOkay
+
+281
+00:20:58,030 --> 00:21:03,010
+احيانا بيبقى فيها انك political factors بتأثر على
+
+282
+00:21:03,010 --> 00:21:07,190
+عمل المؤسسة او بتأثر عليها من الخارج فبرضه هذا
+
+283
+00:21:07,190 --> 00:21:11,850
+الكلام بدك تكون منتبه انهأيش ال influence؟ ال
+
+284
+00:21:11,850 --> 00:21:15,070
+influence اللي هو التأثير الخارجي اللي جاية على
+
+285
+00:21:15,070 --> 00:21:18,670
+المؤسسة و اللي بيخليها تطلب الطلب بالشكل هذا يعني
+
+286
+00:21:18,670 --> 00:21:22,550
+انت بتستغرب ليش هم طالبين كذا او بتستغرب ليش انهم
+
+287
+00:21:22,550 --> 00:21:26,150
+طالبينه بالدوميات بالطريقة هذه بالتحديد مع ان
+
+288
+00:21:26,150 --> 00:21:29,610
+الطريقة هذه مش منطقية او معجدة او مطولة او كده
+
+289
+00:21:30,040 --> 00:21:35,940
+فتكتشف ان هذا مطلوب منهم من .. بتأثير من .. من
+
+290
+00:21:35,940 --> 00:21:39,780
+المؤسسات .. من جهات الإشرافية عليهم تمام؟ النقطة
+
+291
+00:21:39,780 --> 00:21:45,140
+الأخيرة و للا تقل أهمية اللي هي إيش؟ ان وانت بتعمل
+
+292
+00:21:45,140 --> 00:21:49,100
+analysis ل .. و elicitation لل requirements أثناء
+
+293
+00:21:50,270 --> 00:21:52,590
+أثناء وانت لسه بتجمع مش بعد ما خلصت ال
+
+294
+00:21:52,590 --> 00:21:56,110
+requirements و بدك تبدأ لأ أثناء ممكن تلاقي واحد
+
+295
+00:21:56,110 --> 00:21:59,590
+اليوم جالك بدي كذا و بعد شوية جالك بدي حاجة تانية
+
+296
+00:21:59,590 --> 00:22:06,190
+فبتصير ايش تغييرات على ال requirements during
+
+297
+00:22:06,190 --> 00:22:11,930
+بنقول أثناء مش بعد ما ..مش زي ما قلنا بعد ما تخلص
+
+298
+00:22:11,930 --> 00:22:16,270
+و بدك تعمل management لأ أثناء ما انت بتعمل ال
+
+299
+00:22:16,270 --> 00:22:20,330
+stakeholders بيغيروا و بيبدلوا في المتطلبات فهذا
+
+300
+00:22:20,330 --> 00:22:24,850
+اشي طبيعي تتوقعه يعني ما تقول انا ماقدرش اشتغل
+
+301
+00:22:24,850 --> 00:22:28,470
+بالطريقة هذه بدي الكلام واضح بدي الكلام محدد و
+
+302
+00:22:28,470 --> 00:22:32,010
+مايتغيرش و لا لا لأ بدك تعمل حسابك على كل هذه
+
+303
+00:22:32,010 --> 00:22:36,750
+الإشكاليات من ال changeلا ال requirements الغريب
+
+304
+00:22:36,750 --> 00:22:40,910
+اللي جاي .. غريب لأنه مطلوب من .. لا ال conflict
+
+305
+00:22:40,910 --> 00:22:44,490
+واحد بيطلب اشي لا واحد بيطلب اشي تاني .. لا
+
+306
+00:22:44,490 --> 00:22:48,910
+المصطلحات الجديدة عليك اللي ما انتش فاهمها .. لا
+
+307
+00:22:48,910 --> 00:22:53,310
+اللي هو الضبابية و ان المطالبة من الأصل مش واضحة
+
+308
+00:22:53,310 --> 00:22:59,310
+كويس .. تمام؟ فهذه هيمجموعة من ال problems الشائعة
+
+309
+00:22:59,310 --> 00:23:05,930
+اللي بتواجهك في مرحلة ال analysis لل requirements
+
+310
+00:23:05,930 --> 00:23:11,450
+تمام ال ال elicitation and analysis احنا هنحكي
+
+311
+00:23:11,450 --> 00:23:14,670
+معاها عنهم قلنا مع بعض هم التنتين ال elicitation
+
+312
+00:23:14,670 --> 00:23:18,530
+and analysis ممكن هم في حد ذاتهم لحالهم ال two
+
+313
+00:23:18,530 --> 00:23:23,600
+activities دولة الجمع وتحليل المتطلباتجاب لسه
+
+314
+00:23:23,600 --> 00:23:28,260
+validation و جاب لسه ال management ال elicitation
+
+315
+00:23:28,260 --> 00:23:36,300
+و ال analysis هم في حد ذاتهم برضه بيتم تنفيذهم
+
+316
+00:23:36,300 --> 00:23:44,200
+بشكل iterative تمام؟ و بينطوي العمل فيهم على أربع
+
+317
+00:23:44,200 --> 00:23:47,340
+activities
+
+318
+00:23:47,340 --> 00:23:52,490
+فرعيةListing and Analysis بتفرحوا إلى ايش؟ اول اشي
+
+319
+00:23:52,490 --> 00:23:56,670
+Discovery استكشاف تاني اشي Classification and
+
+320
+00:23:56,670 --> 00:24:02,610
+Organization Classification يعني تصنيف صح؟ و
+
+321
+00:24:02,610 --> 00:24:09,450
+Organization يعني تنظيم وبعدين Prioritization and
+
+322
+00:24:09,450 --> 00:24:12,270
+Negotiation اش يعني Prioritization؟
+
+323
+00:24:19,240 --> 00:24:24,240
+negotiation يعني إيش؟ تفاوض نقعد نتفاوض؟ أه بدك
+
+324
+00:24:24,240 --> 00:24:29,020
+تقعد تتفاوض إذا في .. إذا في conflict إذا واحد
+
+325
+00:24:29,020 --> 00:24:31,480
+بيقولك أنا بدي كده و بديها في الأول و التاني
+
+326
+00:24:31,480 --> 00:24:34,460
+بيقولك بدي كده و بديها في الأول الاتنين بدهم ..
+
+327
+00:24:34,460 --> 00:24:38,340
+المتطلبات اللي راح تتنعمل من أول release فبدك
+
+328
+00:24:38,340 --> 00:24:42,380
+تتفاوض على أساس أنه يا عم نعمل هدف و أنت تتنازل ل
+
+329
+00:24:42,380 --> 00:24:45,760
+.. ل .. ال requirements تبعتك في ال .. ال release
+
+330
+00:24:45,760 --> 00:24:51,690
+التانيةالـ specification اللي هي إيش؟ في الآخر في
+
+331
+00:24:51,690 --> 00:24:57,830
+الآخر اللي هي الصياغة تمام؟ إنه احنا نبدأ عمليا
+
+332
+00:24:57,830 --> 00:25:01,810
+نكتب و نصيغ ال requirements بعد ما خلصنا كل الكلام
+
+333
+00:25:01,810 --> 00:25:06,210
+اللي في الأولالصفحة تعمل مع مجموعات من المستخدمين
+
+334
+00:25:06,210 --> 00:25:07,230
+المستخدمين المستخدمين المستخدمين المستخدمين
+
+335
+00:25:07,230 --> 00:25:08,090
+المستخدمين المستخدمين المستخدمين المستخدمين
+
+336
+00:25:08,090 --> 00:25:10,770
+المستخدمين المستخدمين المستخدمين المستخدمين
+
+337
+00:25:10,770 --> 00:25:13,490
+المستخدمين المستخدمين المستخدمين المستخدمين
+
+338
+00:25:13,490 --> 00:25:17,430
+المستخدمين المستخدمين المستخدمين المستخدمين
+
+339
+00:25:17,430 --> 00:25:18,350
+المستخدمين المستخدمين المستخدمين المستخدمين
+
+340
+00:25:18,350 --> 00:25:18,350
+المستخدمين المستخدمين المستخدمين المستخدمين
+
+341
+00:25:18,350 --> 00:25:18,350
+المستخدمين المستخدمين المستخدمين المستخدمين
+
+342
+00:25:18,350 --> 00:25:18,350
+المستخدمين المستخدمين المستخدمين المستخدمين
+
+343
+00:25:18,350 --> 00:25:21,590
+المستخدمين المستخدمين المستخدمين المستخدمين
+
+344
+00:25:21,590 --> 00:25:26,260
+المستخدمتمام؟ مش مرقمة بتعطيلك رحالة ان انت ممكن
+
+345
+00:25:26,260 --> 00:25:31,660
+تعمل هذه او هذه او هذه بدون ترتيب لأ هم عمليا عرض
+
+346
+00:25:31,660 --> 00:25:35,540
+واقع جايين بالترتيب هذا اول اشي discovery ومنها
+
+347
+00:25:35,540 --> 00:25:39,760
+بتنتقل الى ال classification و ال organization
+
+348
+00:25:39,760 --> 00:25:44,220
+منها بتنتقل الى تحديد الاولويات و التفاوض و
+
+349
+00:25:44,220 --> 00:25:48,510
+التحديد الاولويات ثم بعد هيكبجي اللى هو ال
+
+350
+00:25:48,510 --> 00:25:55,070
+specification لو عملت ال specification وخلصت وخلصت
+
+351
+00:25:55,070 --> 00:26:04,590
+أنجازة هذا الكلام كله ايش بيجيه الدور على مين؟
+
+352
+00:26:04,590 --> 00:26:07,030
+ايش بيجيه؟ خلصنا ال installation and analysis ايش
+
+353
+00:26:07,030 --> 00:26:09,830
+بيجيه الدور؟ على ال validation طيب عملنا
+
+354
+00:26:09,830 --> 00:26:13,270
+validation و لاجينا ان الأمر لأ لسه بده مراجعة
+
+355
+00:26:13,270 --> 00:26:16,130
+تمام؟
+
+356
+00:26:16,600 --> 00:26:22,120
+بنروح و احنا اياش مكررين الدورة مرة تانية صح ال
+
+357
+00:26:22,120 --> 00:26:26,040
+validation ممكن يرجعني عشان اعيد الكرة مرة اخرى و
+
+358
+00:26:26,040 --> 00:26:32,020
+ارجع احط اعمل discover جديد و اعمل ال baguette
+
+359
+00:26:32,020 --> 00:26:38,380
+الدائرة مرة تانية هذا الشكل هو هو نفسهالاربع
+
+360
+00:26:38,380 --> 00:26:43,260
+activities الفرعية المتفرعة من ال analysis الاربع
+
+361
+00:26:43,260 --> 00:26:48,080
+activities الأساسية تمام و التوضيح تبعهم قلنا هنا
+
+362
+00:26:48,080 --> 00:26:52,140
+requirement discovery بتشتغل مع ال stakeholders to
+
+363
+00:26:52,140 --> 00:26:55,640
+discover شو هي ال requirements المطلوبة و تتعرف
+
+364
+00:26:55,640 --> 00:26:59,800
+على ال demand requirementsفي هذا ال step في ال
+
+365
+00:26:59,800 --> 00:27:02,060
+step التاني ال classification and organization ايش
+
+366
+00:27:02,060 --> 00:27:04,940
+بدك تعمل ايش يعني classification يعني تصنيف تصنيف
+
+367
+00:27:04,940 --> 00:27:07,160
+لمين تصنيف ال requirements ان والله هذه ال
+
+368
+00:27:07,160 --> 00:27:10,660
+requirements بالاساس هذه functional وهذه non
+
+369
+00:27:10,660 --> 00:27:14,280
+-functional هذه user وهذه system بعدين ال
+
+370
+00:27:14,280 --> 00:27:17,880
+functional قول والله هذه ال functional بنحطهم في
+
+371
+00:27:17,880 --> 00:27:20,640
+فئة وهذه المجموعة في فئة تانية وهذه المجموعة في
+
+372
+00:27:20,640 --> 00:27:24,390
+فئة تالتة فانتوانت بتاخد requirements بتقوم على
+
+373
+00:27:24,390 --> 00:27:28,370
+طول بتعمل تصنيف وتعمل تنظيم لل requirements عشان
+
+374
+00:27:28,370 --> 00:27:33,070
+الصورة تبقى أوضح عندك ال requirement
+
+375
+00:27:33,070 --> 00:27:38,930
+prioritization اللي هي وضع الأولويات وإذا كان فيه
+
+376
+00:27:38,930 --> 00:27:42,030
+conflict على الأولويات يعني تعارض في الأولويات بدك
+
+377
+00:27:42,030 --> 00:27:47,050
+تعمل تفاوض على أساس أنه تزيل هذا التعارض و ال
+
+378
+00:27:47,050 --> 00:27:49,650
+requirements specification بعدها كان خلاص are إيش
+
+379
+00:27:49,650 --> 00:27:51,090
+requirements are إيش
+
+380
+00:27:53,910 --> 00:28:03,950
+Documented بمعنى توثق وتصاغ
+
+381
+00:28:03,950 --> 00:28:08,650
+على أساس أنه ننتقل بعد ذلك إلى الـ next round أو
+
+382
+00:28:08,650 --> 00:28:12,470
+جولة أخرى جولة تانية في ال spiral و نستمر في
+
+383
+00:28:12,470 --> 00:28:19,550
+الدورة هذه لحد ما تكتمل specification بشكل نهائي
+
+384
+00:28:21,620 --> 00:28:27,020
+هدولة نفسهم slide هذه نفس الكلام اللي كان على
+
+385
+00:28:27,020 --> 00:28:32,260
+الشكل ماشي؟
+
+386
+00:28:32,260 --> 00:28:38,200
+طيب okay لان تفصيل مزيد من التفصيل في الأربع
+
+387
+00:28:38,200 --> 00:28:45,720
+خطواتهم ال discoveryو ال .. و ال classification و
+
+388
+00:28:45,720 --> 00:28:48,740
+ال prioritization و ال specification بدنا بس نمر
+
+389
+00:28:48,740 --> 00:28:51,300
+عليهم على السريع ال discovery ايش قلناها؟ ال
+
+390
+00:28:51,300 --> 00:28:55,320
+process of gathering استكشافية على الجامعة و ايضا
+
+391
+00:28:55,320 --> 00:28:58,960
+كمان distilling من صفة ربما في بعض ال requirements
+
+392
+00:28:58,960 --> 00:29:03,860
+ماتبجعش لازمة اشطبها مين اللي بيقرر انها تنشطب ولا
+
+393
+00:29:03,860 --> 00:29:09,310
+تضل؟من خلال الجلسات انت بينك وبين الطرف التاني
+
+394
+00:29:09,310 --> 00:29:12,470
+اللي هو ال stakeholders ممكن واحد يطلب issue وبعد
+
+395
+00:29:12,470 --> 00:29:16,770
+كده انكتشف ان هذا المطلب غير يمكن تحقيقه او هذا
+
+396
+00:29:16,770 --> 00:29:22,010
+المطلب تم تغطيته في مطلب اخر ف .. فهنا distilling
+
+397
+00:29:22,010 --> 00:29:28,510
+بمعنى تصفية او فلترة okay؟العملية هذه بتكون طبعا
+
+398
+00:29:28,510 --> 00:29:32,830
+من خلال التفاعل أو الجلوس مع ال stakeholders ال
+
+399
+00:29:32,830 --> 00:29:39,030
+stakeholders اللي هي كل الفئات من ال managers ل ال
+
+400
+00:29:39,030 --> 00:29:42,230
+external regulators اللي هم الجهات الإشرافية
+
+401
+00:29:42,230 --> 00:29:46,110
+الخارجية مرورا بال users و مرورا بكل الأطراف
+
+402
+00:29:46,110 --> 00:29:51,830
+التانية تمام؟ ال range تبع ال stakeholder واسع
+
+403
+00:29:51,830 --> 00:29:58,120
+ذكرناهم قبل slide هنا تلاتةOkay الآن هنا مثال على
+
+404
+00:29:58,120 --> 00:30:03,780
+ال stakeholders مين هم ال stakeholders لل system
+
+405
+00:30:03,780 --> 00:30:08,880
+هذا ال system تبع ال ال clinics العيادات مين مين
+
+406
+00:30:08,880 --> 00:30:13,260
+تتوقع ال stakeholders الأطراف المعنية بمثل هذا
+
+407
+00:30:13,260 --> 00:30:18,580
+النوع من ال systems أكيد الأطباء صح؟من كمان؟ وأكيد
+
+408
+00:30:18,580 --> 00:30:23,300
+المرضى المريض مع أنه ما هواش user ولا هو manager
+
+409
+00:30:23,300 --> 00:30:28,300
+ولا هو طبيب إلا إنه شخص معني بال system هذا فال
+
+410
+00:30:28,300 --> 00:30:32,560
+patients ال doctors الممرضات الممرضات قد يكونوا
+
+411
+00:30:32,560 --> 00:30:37,480
+بيستخدموا ال system ومفعل بيستخدموا هم الطباء برضه
+
+412
+00:30:37,480 --> 00:30:41,260
+كذلك الحال موظف الاستقبال receptionistاللي في
+
+413
+00:30:41,260 --> 00:30:44,400
+الهيادة أو في المستشفى برضه كذلك الحالة ال IT
+
+414
+00:30:44,400 --> 00:30:48,800
+staff إذا كان هيادة أو المستشفى فيها طاقم IT فيها
+
+415
+00:30:48,800 --> 00:30:53,180
+وحدة IT أو قسم IT هدولة أيضا معنين بيه ال system
+
+416
+00:30:53,180 --> 00:30:58,360
+تبعك أو بأي system تيركب عندهم في المؤسسةمين أطراف
+
+417
+00:30:58,360 --> 00:31:01,340
+تانية برضه كمان ممكن تبقى stakeholders أكيد ال
+
+418
+00:31:01,340 --> 00:31:04,200
+managers المدراء اللي في المستشفى أو اللي في
+
+419
+00:31:04,200 --> 00:31:07,820
+القيادة فيه نوعين من ال managers في ال health care
+
+420
+00:31:07,820 --> 00:31:12,460
+managers اللي هم المدراء المتخصصين في ال .. يعني
+
+421
+00:31:12,460 --> 00:31:18,290
+هم أطباءبرتبة مدير رئيس قسم أو حزيك okay هدولة
+
+422
+00:31:18,290 --> 00:31:21,830
+health care managers وظيفته اللي هي انه يتحقق انه
+
+423
+00:31:21,830 --> 00:31:27,010
+الامور ماشية على ميران من الناحية الطبية تمام وفي
+
+424
+00:31:27,010 --> 00:31:30,330
+ال medical ethics managers اللي هو اي مدير وظيفته
+
+425
+00:31:30,330 --> 00:31:34,810
+محصورة على انه هل ال system مراعي للإجراءات
+
+426
+00:31:34,810 --> 00:31:39,890
+الأخلاقية يعني قضية ال privacy ان البيانات
+
+427
+00:31:43,310 --> 00:31:47,510
+محفوظة بيانات المريض محفوظة بدون ما يطلع عليها أي
+
+428
+00:31:47,510 --> 00:31:53,030
+طرف آخر وأي ethical guidelines بتفرضها الجهات
+
+429
+00:31:53,030 --> 00:31:57,050
+الرقابية ففي managers وظيفتهم هي التأكد من إنه
+
+430
+00:31:57,050 --> 00:32:01,530
+الإجراءات اللي في المستشفى بما فيها ال system
+
+431
+00:32:01,530 --> 00:32:07,810
+منصعة أو متماشية مع ال guidelines فهدولة النوعين
+
+432
+00:32:07,810 --> 00:32:12,530
+من ال managers هدولة stakeholders كذلك الحالاللي
+
+433
+00:32:12,530 --> 00:32:17,010
+هو الوحدة الأرشيف اللي في المستشفى اللي هي ال
+
+434
+00:32:17,010 --> 00:32:20,930
+medical records staff المسؤولين عن أرشفة ال ..
+
+435
+00:32:20,930 --> 00:32:27,310
+البيانات و حفظها و استرجاعها إذا لازم عند الحاجة
+
+436
+00:32:27,310 --> 00:32:31,050
+يعنيفدولة عبارة عن ال medical records staff و ال
+
+437
+00:32:31,050 --> 00:32:34,370
+managers و جابل منهم من ال IT staff و ال
+
+438
+00:32:34,370 --> 00:32:37,190
+receptionist و ال doctors و ال nurses و ال
+
+439
+00:32:37,190 --> 00:32:40,830
+patients ايش بنقول عنهم دولة لنعتبرهم في هذا ال
+
+440
+00:32:40,830 --> 00:32:44,410
+system لنعتبرهم هم ال stakeholders الأطراف المعنية
+
+441
+00:32:44,410 --> 00:32:49,190
+في ال system و ليش احنا معنين ايه بهم؟ معنين ايه
+
+442
+00:32:49,190 --> 00:32:55,590
+بهم لأنه بدنا نجلس معاهم علشان نتعرف او نجمع ال
+
+443
+00:32:55,590 --> 00:32:56,550
+requirements
+
+444
+00:32:58,870 --> 00:33:02,910
+عملين جمع ال require مثلًا قدّة وسائل انت ممكن
+
+445
+00:33:02,910 --> 00:33:07,210
+تعمل استبانة و توزح عليهم و هم يجاوبوا و من خلال
+
+446
+00:33:07,210 --> 00:33:10,690
+.. و تسألهم أسئلة محددة و الأسئلة هي ديت ..
+
+447
+00:33:10,690 --> 00:33:16,110
+الإجابات تبعتهم تقولك والله إيش هم محتاجين يعني
+
+448
+00:33:16,110 --> 00:33:21,030
+السؤال ممكن تقوله إيش أنت محتاج و ذكر و هو يكتبلك
+
+449
+00:33:21,030 --> 00:33:24,970
+أو تعطيله قدّة أمور و تقوله هل أنت محتاج كده هل
+
+450
+00:33:24,970 --> 00:33:26,550
+أنت محتاج كده و هو يحط صح
+
+451
+00:33:30,450 --> 00:33:34,450
+هذه الاستبانة الآن هي عبارة عن أداة أصبحت أداة
+
+452
+00:33:34,450 --> 00:33:41,230
+لجمع الـ eliciting المتطلبات من الأطراف المعنية من
+
+453
+00:33:41,230 --> 00:33:45,050
+ال stakeholders لكن في أداة أخرى أو وسيلة أخرى
+
+454
+00:33:45,050 --> 00:33:48,830
+للتعرف على المتطلبات اللي هي ال interview المقابلة
+
+455
+00:33:48,830 --> 00:33:52,870
+المباشرة أنا خاصة مع من؟ مع ال managers أنا ال
+
+456
+00:33:52,870 --> 00:33:57,850
+manager هو أصل عدد ال managers مش كبيرفاروح اوزع
+
+457
+00:33:57,850 --> 00:34:01,590
+استبانة مش مستاهلة بروح بقى أجلس معاهم واحد واحد و
+
+458
+00:34:01,590 --> 00:34:05,290
+بقاش و بقى أفهم منهم إيش اللي هم محتاجينه
+
+459
+00:34:05,290 --> 00:34:10,190
+الاستبانة ممكن تكون أنسب لإيش لإيش نوع ال systems
+
+460
+00:34:10,190 --> 00:34:15,290
+اللي ممكن بدها استبانة أو بنسبها استبانة لو أندي
+
+461
+00:34:15,290 --> 00:34:19,390
+أنا system بدي أنزله على ال market برنامج بدي
+
+462
+00:34:19,390 --> 00:34:21,190
+أعمله أنا يعني مش custom
+
+463
+00:34:24,480 --> 00:34:28,600
+وعندي قاعدة واسعة من المستخدمين بيقول ان انا بس
+
+464
+00:34:28,600 --> 00:34:32,320
+بدي اعمل برنامج خاص بطلاب الجامعة بلاش يعني كل
+
+465
+00:34:32,320 --> 00:34:36,920
+المجتمع كل الطلاب الجامعة ألاف من الطلاب صح؟وبدي
+
+466
+00:34:36,920 --> 00:34:40,480
+أتعرف على إيش و الله بينزمهم في هذا البرنامج فبقى
+
+467
+00:34:40,480 --> 00:34:44,260
+بعمل استبانة بوزحها قد تكون مطبوعة و قد تكون صفحة
+
+468
+00:34:44,260 --> 00:34:48,620
+على موقع و هم بيعبوها online صح؟ هي كده هذا
+
+469
+00:34:48,620 --> 00:34:53,180
+الاستبانة هنا الأن أسلوب مناسب ليد الحالة لكن
+
+470
+00:34:53,180 --> 00:34:58,680
+لبرنامج لمؤسسة و stakeholders في عندي managers في
+
+471
+00:34:58,680 --> 00:35:02,040
+عندي end users في عندي كده فبالتحديد لل managers
+
+472
+00:35:02,040 --> 00:35:05,920
+أنسب إشي أن أروح أعمل معاهم إياشInterview او
+
+473
+00:35:05,920 --> 00:35:11,680
+مقابلة صح تمام المقابلة هي دي ممكن تبقى formal او
+
+474
+00:35:11,680 --> 00:35:15,400
+informal formal بمعنى انه اروح اعملها كأنها اجتماع
+
+475
+00:35:15,400 --> 00:35:19,540
+رسمى وابقى محضر وارجع اعملها محضر اجتماع ومن حضر
+
+476
+00:35:19,540 --> 00:35:24,740
+ومن محضرش وحاطط ايش مجموعة من المحاور اللي بدي
+
+477
+00:35:24,740 --> 00:35:28,700
+اتناولها في الاجتماع وممكن تبقى informal انه والله
+
+478
+00:35:28,700 --> 00:35:31,480
+باتصل عليه و بقوله ماكنتش بتبقى فاضي بدي امر عليك
+
+479
+00:35:32,660 --> 00:35:36,080
+ممكن يقول لي مر علي في ساعة الغدا من الساعة 12
+
+480
+00:35:36,080 --> 00:35:39,920
+للساعة 1 وان اتجابل في الكافيترة وان دردش هذا ايش
+
+481
+00:35:39,920 --> 00:35:43,820
+informal او ممكن اجابله في الجامعة في صلاة الظهر
+
+482
+00:35:43,820 --> 00:35:47,560
+واسأله سؤاليه عن ال system هذا informal interview
+
+483
+00:35:47,560 --> 00:35:50,740
+صح؟ فهذا المقصود بال formal و ال informal
+
+484
+00:35:50,740 --> 00:35:55,080
+interviews و ال .. و ال .. و الكل .. و الاسلوبين
+
+485
+00:35:55,080 --> 00:36:00,030
+يعني ايش واردفال interview ممكن يبقى formal وممكن
+
+486
+00:36:00,030 --> 00:36:03,650
+يبقى informal وممكن يبقى closed وممكن يبقى open ال
+
+487
+00:36:03,650 --> 00:36:07,990
+closed interview بيكون based on a predetermined
+
+488
+00:36:07,990 --> 00:36:13,930
+list of questions يعني أنا محضر أسئلة محددة بدي
+
+489
+00:36:13,930 --> 00:36:18,990
+أسأله فيها وفيها فقط من هنا اسمه closed يعني
+
+490
+00:36:18,990 --> 00:36:23,830
+الاجتماع أو المقابلة مغلقة على هذه الأسئلة و open
+
+491
+00:36:23,830 --> 00:36:28,820
+العكس منه إيش معناته؟معناته والله احنا حاطين اسم
+
+492
+00:36:28,820 --> 00:36:34,220
+الموضوع اللي بدنا نسأل فيه والاسئلة بتيجي حسب
+
+493
+00:36:34,220 --> 00:36:38,320
+التسهيل أثناء ال interview ماشي فالعكس من ال
+
+494
+00:36:38,320 --> 00:36:41,040
+closed هو ال open interviews where ال various
+
+495
+00:36:41,040 --> 00:36:45,440
+issues are explored عدة نقاط بيتم التناولها
+
+496
+00:36:45,440 --> 00:36:50,660
+والاسئلة بتيجي حسب الكلام الكلام بجر بعضه يعني
+
+497
+00:36:50,660 --> 00:36:56,800
+okay الان مين أحسن ال closed ولا ال openمن أنسب
+
+498
+00:36:56,800 --> 00:37:01,820
+ومتى بيكون الـ closed أحسن ومتى بيكون ال open أحسن
+
+499
+00:37:01,820 --> 00:37:08,000
+حسب الحاجة وغالب الأواجات أغلب الأحيان بيكون انت
+
+500
+00:37:08,000 --> 00:37:12,440
+عمليا ال interview تبعك خلط من الإتنين يعني بتكون
+
+501
+00:37:12,440 --> 00:37:18,480
+انت رايح ومحدد أسئلة تمام؟ ولكن أيضا إضافة إلى هذه
+
+502
+00:37:18,480 --> 00:37:24,430
+الأسئلة بتكون برضه فاتح مجال انهإذا بدك تضيف أسئلة
+
+503
+00:37:24,430 --> 00:37:31,550
+أو تسترسل معاه في واحد من المواضيع بشكل open واضح؟
+
+504
+00:37:31,550 --> 00:37:35,750
+okay فالمهم
+
+505
+00:37:35,750 --> 00:37:39,330
+في ال interview يعني مش كتير مهم هو formal ولا
+
+506
+00:37:39,330 --> 00:37:45,170
+informal مش كتير مهم ان هوclosed و لا open بيعتمد
+
+507
+00:37:45,170 --> 00:37:50,210
+على حسب الحالة المهم عادة اللي هو انك انت تخلي ال
+
+508
+00:37:50,210 --> 00:37:55,690
+interview مثمر عشان يكون مثمر انت لازم تكون open
+
+509
+00:37:55,690 --> 00:38:01,390
+minded يعني متفتحأيش ما بيحكيلك تكون متفتح معاه
+
+510
+00:38:01,390 --> 00:38:07,730
+ماتصرش على وجهة رأيك انت التقنية او خليك متفتح ليش
+
+511
+00:38:07,730 --> 00:38:12,950
+لأن انت انت بتشتر منه الكلام و في الآخر في ال ..
+
+512
+00:38:12,950 --> 00:38:15,990
+في ال analysis و في ال prioritization و في الهدا
+
+513
+00:38:15,990 --> 00:38:19,230
+بيطلع الغثم .. بيبين الغثم السمين انما في ال
+
+514
+00:38:19,230 --> 00:38:25,370
+interview خليك open minded و ما تغلقش اي امكانية
+
+515
+00:38:25,370 --> 00:38:31,960
+يعني خدPre-conceived ideas هي هذه .. Open minded
+
+516
+00:38:31,960 --> 00:38:38,040
+يعني أنت ما تثبتش أو ما تصرش على أفكار مسبقةOkay
+
+517
+00:38:38,040 --> 00:38:43,580
+او قناعات مسبقة او اراء مسبقة كذلك الحال شغل تاني
+
+518
+00:38:43,580 --> 00:38:47,500
+اضافة الى انك تبقى open minded انك تبقى انت اللي
+
+519
+00:38:47,500 --> 00:38:53,200
+تتحكم في ال interview ماتسيبش الاسترسال اه يضيع
+
+520
+00:38:53,200 --> 00:38:59,140
+وجهت ويحرفك عن الموضوع او مجموعة الأسئلة اللي انت
+
+521
+00:38:59,140 --> 00:39:03,680
+جاي بدك إجابات عليها و تلاقي الكلام راح في ود ..
+
+522
+00:39:03,680 --> 00:39:10,700
+في ود تانيprompt يعني وجه هنا فعل prompt فعل بمعنى
+
+523
+00:39:10,700 --> 00:39:16,360
+وجه ال interview to get discussions going using
+
+524
+00:39:16,360 --> 00:39:21,560
+اللي هو ممكن تستخدم عادى الان وسائل ممكن تستخدم
+
+525
+00:39:21,560 --> 00:39:26,220
+لوحة اثناء ال interview لوحة هو يرسم وانت او انت
+
+526
+00:39:26,220 --> 00:39:29,960
+ترسم و تسأل ويقوله هل انت بدك هيك ولا كده فالمهم
+
+527
+00:39:29,960 --> 00:39:32,700
+ان انت بدك توجه مسار
+
+528
+00:39:34,830 --> 00:39:39,490
+المقابلة ما تتركش الطرف التاني هو اللي يوجه مسارها
+
+529
+00:39:39,490 --> 00:39:45,590
+وتفقد التحكم ويروح الوجد وما تطلعش باشي خلص
+
+530
+00:39:45,590 --> 00:39:50,470
+الاجتماع وانت لسه ماجاوبتش الا على سؤال من عشرة او
+
+531
+00:39:50,470 --> 00:39:54,020
+مااخدتش اجابة الا على سؤال او سؤالين من عشرةتمام؟
+
+532
+00:39:54,020 --> 00:39:57,880
+فهنا دي عبارة عن نصائح لـ Effective، إيش يعني
+
+533
+00:39:57,880 --> 00:40:01,120
+Effective؟ يعني ال interview الفعال، الفعال يعني
+
+534
+00:40:01,120 --> 00:40:07,040
+المثمر، يعني اللي بيحقق الهدف اللي عقد من أجله،
+
+535
+00:40:07,040 --> 00:40:13,560
+تمام؟ فاحنا الآن هذا الكلام كان يعني بتقدر تقول
+
+536
+00:40:13,560 --> 00:40:17,870
+مقدمة نظرية للتعريف بإيشألوان ال interviews formal
+
+537
+00:40:17,870 --> 00:40:24,150
+و informal, closed و open والنصائح .. الآن على أرض
+
+538
+00:40:24,150 --> 00:40:27,950
+الواقع .. على أرض الواقع زي ما قلنا على أرض الواقع
+
+539
+00:40:27,950 --> 00:40:34,090
+in practice ال interviews are a mix خليط من ليهاش
+
+540
+00:40:34,090 --> 00:40:39,270
+open .. open .. closed و open ended closed و open
+
+541
+00:40:39,270 --> 00:40:43,290
+ended في .. في .. على الوجهين okay
+
+542
+00:40:48,300 --> 00:40:52,680
+الان ال interviews كويسة عشان احنا نعرف over all
+
+543
+00:40:52,680 --> 00:40:56,580
+بصفة عامة نفهم ايش ال stakeholders بدهم لكن بصفة
+
+544
+00:40:56,580 --> 00:41:02,020
+محددة بصفة محددة محتاجين وسيلة اخرى غير ال
+
+545
+00:41:02,020 --> 00:41:05,400
+interview عشان ناخد منهم بصفة محددة ايش الشغل اللي
+
+546
+00:41:05,400 --> 00:41:10,860
+بدهم يهام واحدة من اهم وسائل في التعرف على ايش
+
+547
+00:41:10,860 --> 00:41:13,640
+اللي بدهم يهام بصفة محددة هي ال prototypes يعني
+
+548
+00:41:13,640 --> 00:41:17,950
+انا بعمل prototypeعشان يقوللي إذا كان هذا exactly
+
+549
+00:41:17,950 --> 00:41:22,910
+اللي بدويا ولا بده غير هيك تمام؟ ال interviews are
+
+550
+00:41:22,910 --> 00:41:28,300
+not goodfor understanding the domain requirements
+
+551
+00:41:28,300 --> 00:41:30,800
+هذه ال domain requirements أنا مش حابب أدخل فيها
+
+552
+00:41:30,800 --> 00:41:34,620
+لأن احنا أصلا استثنينها في ال slides اللي فاتوا
+
+553
+00:41:34,620 --> 00:41:38,020
+فخلّيني أحكي عن ال domain requirements مستثنة
+
+554
+00:41:38,020 --> 00:41:43,540
+فاحنا بيكفينا النقطتين هدولة في الموضوع اللي على
+
+555
+00:41:43,540 --> 00:41:47,760
+أرض الواقع انه اول اشي انه ال interviews هي خليط
+
+556
+00:41:47,760 --> 00:41:50,880
+ما بين ال closed و ما بين ال open وشغل تاني انه
+
+557
+00:41:51,120 --> 00:41:55,140
+interviews بتعطيني overall requirements ما
+
+558
+00:41:55,140 --> 00:42:04,220
+بستخدمها لوضع الصياغة الدقيقة لل requirements تمام
+
+559
+00:42:04,220 --> 00:42:11,220
+الان كجزء من عملية تحديد او جمع المتطلبات ان انا
+
+560
+00:42:11,220 --> 00:42:17,850
+بدي اعبر عن المتطلبات على شكل scenariosكيف يعني؟
+
+561
+00:42:17,850 --> 00:42:21,130
+إيش يعني أعبّر عنه مطلبات على شكل scenarios؟ ال
+
+562
+00:42:21,130 --> 00:42:23,250
+scenario إيش هو ال scenario؟ ال scenario هو عبارة
+
+563
+00:42:23,250 --> 00:42:27,750
+عن example real life example example لإيش؟ أنا بدي
+
+564
+00:42:27,750 --> 00:42:32,370
+أتخيل مثال على user بيستخدم ال system جابن ال
+
+565
+00:42:32,370 --> 00:42:35,990
+system هيبقى موجود بدي أتخيل هذا ال system كيف راح
+
+566
+00:42:35,990 --> 00:42:40,150
+يستخدم من قبل ال user أنهي user؟ ربما يكون فيه
+
+567
+00:42:40,150 --> 00:42:43,510
+أنواع من ال users ممكن الدكتور، ممكن الممرض، ممكن
+
+568
+00:42:43,510 --> 00:42:47,170
+التابع ال reception، ممكن واحد من ال managersالمهم
+
+569
+00:42:47,170 --> 00:42:51,290
+بدي اتخيل واحد من هدول ال users هيستخدم ال system
+
+570
+00:42:51,290 --> 00:42:57,870
+في إيش وكيف وهذا هو السيناريو يعني مثلا باجي هنا
+
+571
+00:42:57,870 --> 00:43:02,130
+خد عندك هذا السيناريو، هذا السيناريو لإيش؟ لبرنامج
+
+572
+00:43:02,130 --> 00:43:04,030
+اللي هو ال clinics
+
+573
+00:43:06,890 --> 00:43:12,770
+بيجي بعطيني و بتخيلي .. و بتخيلي لإن عندي .. عندي
+
+574
+00:43:12,770 --> 00:43:17,950
+موظف جاعد و جاعد معاه المريض و المريض بدنا ناخد من
+
+575
+00:43:17,950 --> 00:43:21,530
+المريض هذا اللي هو ال medical history تبعه، شو
+
+576
+00:43:21,530 --> 00:43:24,680
+يعني ال medical history؟يعني تاريخ الطب يعني شو
+
+577
+00:43:24,680 --> 00:43:28,060
+بالظبط الحالة تبعته ايه مر بإيش شو كان إيش
+
+578
+00:43:28,060 --> 00:43:34,100
+الزيارات اللي قام بيها وإيش الوصف له أدوية فاحنا
+
+579
+00:43:34,100 --> 00:43:36,900
+بدنا نسأله عن هذا الأمر عشان نسجله على ال system
+
+580
+00:43:36,900 --> 00:43:41,900
+علشان لما نجد مع دكتور بعد هيكة الدكتور يكون شايف
+
+581
+00:43:41,900 --> 00:43:46,940
+أمامه ال history medical history عشان يقدر يفهم
+
+582
+00:43:46,940 --> 00:43:52,560
+الحالة بشكل أوضح فاحنا الآن بدنا نحكي عنوضع تخيّلي
+
+583
+00:43:52,560 --> 00:43:57,520
+لموظف جالس باستخدام ال system و قاعد معاه المريض و
+
+584
+00:43:57,520 --> 00:44:01,220
+بده ياخد من المريض معلومات و يعبيها على ال system
+
+585
+00:44:01,220 --> 00:44:06,320
+فهذا scenario لازم ينكتب انت في مرحلة ال
+
+586
+00:44:06,320 --> 00:44:10,860
+requirements engineering لازم تجمع او تصيغ او تكتب
+
+587
+00:44:10,860 --> 00:44:16,720
+scenarios لوظائف المتعددة تبع ال systemفهذا
+
+588
+00:44:16,720 --> 00:44:22,100
+السيناريو لوظيفة ايش؟ لوظيفة ايش؟ عملية ايش؟ عملية
+
+589
+00:44:22,100 --> 00:44:26,120
+collecting ال medical history هذه بتكون واحدة من
+
+590
+00:44:26,120 --> 00:44:29,220
+ال functions او ال requirements تبع ال system انه
+
+591
+00:44:29,220 --> 00:44:34,900
+في هناك user هحتاج ال system في ادخال ال medical
+
+592
+00:44:34,900 --> 00:44:37,790
+history تبع ال patientهذا الـ requirement الآن
+
+593
+00:44:37,790 --> 00:44:41,710
+بدها سيناريو بدك تتخيللها سيناريو هذا السيناريو
+
+594
+00:44:41,710 --> 00:44:45,750
+مثال على ذلك فإيش بقولك؟ بقولك ال patient has seen
+
+595
+00:44:45,750 --> 00:44:48,910
+a medical receptionist هو الآن جالس مع ال
+
+596
+00:44:48,910 --> 00:44:52,790
+receptionist receptionist يعني إيه؟ موظف الاستقبال
+
+597
+00:44:52,790 --> 00:44:59,510
+لأن موظف الاستقبال created a record in the system
+
+598
+00:44:59,510 --> 00:45:08,580
+و أخد البياناتالشخصية تبع المريضالان انت متخيل هذا
+
+599
+00:45:08,580 --> 00:45:14,020
+الوضع ان ال receptionist جاعد و اتم عملية ايش انجز
+
+600
+00:45:14,020 --> 00:45:18,780
+already عملية ايش انه عمل record عمل سجل للمريض
+
+601
+00:45:18,780 --> 00:45:22,100
+واخد بياناته اسمه تاريخ ميلاده سكنه عنيوانه
+
+602
+00:45:22,100 --> 00:45:27,400
+تليفونه وامور هذه والان هو بيش بده يعمل بده يدخل
+
+603
+00:45:27,400 --> 00:45:30,680
+ال medical history فال medical history مفصل عن
+
+604
+00:45:30,680 --> 00:45:35,220
+البيانة الشخصية البيانة الشخصية alreadyتم إدخالها
+
+605
+00:45:35,220 --> 00:45:39,520
+okay فهذا ال scenario لازم يوصف هذا الأمر يوصف انه
+
+606
+00:45:39,520 --> 00:45:44,840
+ايش اللي قبل ما يبدأ قبل ما تبدأ العملية المطلوبة
+
+607
+00:45:44,840 --> 00:45:50,760
+ف a nurse is locked on the system and is
+
+608
+00:45:50,760 --> 00:45:53,660
+collecting the medical history فمين اللي جاعت بنفس
+
+609
+00:45:53,660 --> 00:45:59,920
+في هذه العملية nurse ممرضة فال scenario لازم يبقى
+
+610
+00:45:59,920 --> 00:46:05,440
+مفصل فيهكل تفاصيل يعني ما تقدراش تقول .. ما تقولش
+
+611
+00:46:05,440 --> 00:46:09,960
+user .. ال user ال system user بده يدخل ال medical
+
+612
+00:46:09,960 --> 00:46:12,600
+history لأ لازم تقول أنهي user بالظبط هو ال nurse
+
+613
+00:46:12,600 --> 00:46:17,020
+ولا الدكتور ولا .. ولا مينفي عندي هنا كلمة normal
+
+614
+00:46:17,020 --> 00:46:20,740
+يعني بتوصف أنه لو الأمور بدي تمشي طبيعية بدون أي
+
+615
+00:46:20,740 --> 00:46:24,440
+إشكاليات، إيش اللي بيحصل؟ اللي بيحصل أن ال nurse
+
+616
+00:46:24,440 --> 00:46:28,580
+searches for the patient by family، هي معمولة ال
+
+617
+00:46:28,580 --> 00:46:32,700
+record فاحنا الآن بدنا نسترجع ال record عشان السجل
+
+618
+00:46:32,700 --> 00:46:37,840
+يعني تبع المريض علشان نضيف عليه الطريق الطبي أو ال
+
+619
+00:46:37,840 --> 00:46:42,020
+medical historyفهي بدها تسترجعه كيف بدها تسترجعه؟
+
+620
+00:46:42,020 --> 00:46:46,200
+هل في رقم للمريض؟ ولا بدها تسترجعه بال last name؟
+
+621
+00:46:46,200 --> 00:46:49,460
+لازم يكون محدد في ال scenario فهنا ال scenario ليش
+
+622
+00:46:49,460 --> 00:46:53,000
+بيقول by family name family name يعني اسم العائلة
+
+623
+00:46:53,000 --> 00:46:56,280
+if there is more than one patient in the same
+
+624
+00:46:56,280 --> 00:47:02,190
+surname يعني إذا في اتنين من نفس العائلةبدنا ايش؟
+
+625
+00:47:02,190 --> 00:47:05,510
+بدنا نميز بينهم بال give and name يعني بدها تختار
+
+626
+00:47:05,510 --> 00:47:11,670
+على أساس بدها تدخل الاسم الأولى، لأن لجته، لجت
+
+627
+00:47:11,670 --> 00:47:15,230
+المريض، لجت السجل تبع المريض اللي قاعد عندها والأن
+
+628
+00:47:15,230 --> 00:47:20,670
+بدها ايش؟ بدها تبدأ تعمل عملية إدخالالـ medical
+
+629
+00:47:20,670 --> 00:47:24,730
+history فالناس chooses the menu option بيبقى فيه
+
+630
+00:47:24,730 --> 00:47:29,990
+menu option هي هذا بوضحلي انه العملية بتبدأ بالضغط
+
+631
+00:47:29,990 --> 00:47:35,050
+مش على icon ولا على زر بالضغط على .. بتفتح menu
+
+632
+00:47:35,050 --> 00:47:39,830
+وتختار option من ال menu عشان تضيف medical history
+
+633
+00:47:39,830 --> 00:47:43,890
+تمام؟ هنا كلمة add أنا بفضل انها تستبدأ كلمة
+
+634
+00:47:43,890 --> 00:47:49,170
+collecting ب addingبمعنى أن العملية هي عملية إضافة
+
+635
+00:47:49,170 --> 00:47:53,970
+ال medical history على السجل تبع المريض الناس ثم
+
+636
+00:47:53,970 --> 00:47:59,190
+تتبع مجموعة من الاسئلة و هي
+
+637
+00:47:59,190 --> 00:48:02,450
+بدها تدخل الإجابة عليها من أين بدها تدخل الإجابة؟
+
+638
+00:48:02,450 --> 00:48:05,010
+بدها تسأل المريض و يشمل المريض بكلها بدها تتعبي
+
+639
+00:48:05,010 --> 00:48:12,970
+فهذا الآن .. بديش أجرح كله أنا بس الخلاصة أنه ال
+
+640
+00:48:12,970 --> 00:48:17,310
+scenario عبارة عن إيش؟هو .. و .. و حالة اخيولية
+
+641
+00:48:17,310 --> 00:48:21,170
+انت بتتخيلها ال system قبل ما تعمله بتتخيل انه
+
+642
+00:48:21,170 --> 00:48:24,710
+فعلا ال user قاعد على ال system و بده يقوم ب task
+
+643
+00:48:24,710 --> 00:48:28,830
+معينة اللي هي هنا في حالتنا هنا ايش اضافة ال ..
+
+644
+00:48:28,830 --> 00:48:32,310
+تسجيل ال medical history تبع الموضوع و بدك تتخيلها
+
+645
+00:48:32,310 --> 00:48:35,490
+كما لو كنت انت شايفها الآن كما .. كما لو كنت
+
+646
+00:48:35,490 --> 00:48:39,490
+شايفها بتحدث أمامك الآنهكذا تكون هذه المقصودة
+
+647
+00:48:39,490 --> 00:48:43,090
+بالسيناريو فالسيناريو مرة أخرى هو عبارة عن حدث
+
+648
+00:48:43,090 --> 00:48:51,730
+حقيقي حدث حقيقي لكن قبل ما يحدث حدث حقيقي تخيل ايه
+
+649
+00:48:51,730 --> 00:48:56,710
+لكيف هيحصل لكيف هيستخدم ال system في واقع الأمر
+
+650
+00:48:56,710 --> 00:49:01,170
+بعد ما ينجز تمام فاحنا بنعمل هذا الأمر قبل ما نعمل
+
+651
+00:49:01,170 --> 00:49:05,030
+ال system نتخيل الأوضاع هذه ونتخيل السيناريو هذه
+
+652
+00:49:05,030 --> 00:49:11,460
+لأن تخيلهابساعدني في إيش؟ في الإحاطة بالتفاصيل
+
+653
+00:49:11,460 --> 00:49:16,460
+المختلفةانا لان لما بقول ان هي بدها تدور بال last
+
+654
+00:49:16,460 --> 00:49:20,500
+name لما بقول بدها تدور هاسأل نفسي هل هتدور بال
+
+655
+00:49:20,500 --> 00:49:25,740
+last name ولا هتدور بال medical record number لما
+
+656
+00:49:25,740 --> 00:49:31,480
+.. لما و هي بتدور هاسأل نفسي لو طلع معاها اتنين
+
+657
+00:49:31,480 --> 00:49:37,540
+بنفس الاسم العائلة ايش هتسوي هتروح تحط اسم الشخص
+
+658
+00:49:37,540 --> 00:49:43,450
+عشان يفرزلها يعني بعد هيك لما تبدأ عملية ادخالالـ
+
+659
+00:49:43,450 --> 00:49:48,770
+medical history هل حاجة عندها زر ولا icon ولا menu
+
+660
+00:49:48,770 --> 00:49:54,710
+وتختار option هذه الأسئلة لحالها بتيجي تتوافد على
+
+661
+00:49:54,710 --> 00:49:59,830
+مخيلتك وانت بتتخيل في السيناريو فالأسئلة هذه
+
+662
+00:49:59,830 --> 00:50:06,110
+والإجابة عليها هم وسيلتك الأساسية لحصر المتطلبات
+
+663
+00:50:06,110 --> 00:50:14,180
+وجمعها وتحديدها قبل ما ال system يكونيكون انعمل
+
+664
+00:50:14,180 --> 00:50:20,580
+تمام بجيت ال scenario بيحكي عن طيب ماشي لو حصل خلل
+
+665
+00:50:20,580 --> 00:50:26,060
+في أحد الإجراءات في أحد الخطوات يعني مثلا جينا
+
+666
+00:50:26,060 --> 00:50:29,840
+ندور عليه بال last name و هو و مالا جدا هوش موجود
+
+667
+00:50:30,780 --> 00:50:35,400
+طبعا بداك تحط احتمال ان ربما اللاصنيه من كتب ال
+
+668
+00:50:35,400 --> 00:50:39,020
+spelling تبعته غلط ان احنا في اللغة العربية عندك
+
+669
+00:50:39,020 --> 00:50:43,280
+التال مربوطة واليه احيانا الناس بيش .. التال
+
+670
+00:50:43,280 --> 00:50:45,580
+مربوطة بتحطها ه okay
+
+671
+00:50:49,120 --> 00:50:52,920
+واليه بيحطوها بنقطتين و أحيان بيحطوها ألف لين
+
+672
+00:50:52,920 --> 00:50:59,980
+مظبوط فبدك تضكر هنا في السيناريو ان لو حصل انها
+
+673
+00:50:59,980 --> 00:51:03,920
+مالجتش ال record ايش ممكن يكون الخيار
+
+674
+00:51:06,680 --> 00:51:11,300
+نفحص اذا في او نستكشف اذا فيه spelling تهجيرة
+
+675
+00:51:11,300 --> 00:51:14,760
+اخرى، اذا برضه جربتها الكلام ولم يجدوش يبقى مافيش
+
+676
+00:51:14,760 --> 00:51:19,510
+احتمال الا ان هو ال record ما العملش من أصلهفإيش
+
+677
+00:51:19,510 --> 00:51:22,370
+تسوي في هذه الحالة؟ إذا ال record ما نعملش فين
+
+678
+00:51:22,370 --> 00:51:26,770
+أصله، إيش بدنا نعمل؟ هل مسموحلها إنها تعمل ال
+
+679
+00:51:26,770 --> 00:51:33,590
+record في هذه اللحظة و لا توجف العملية و تحول
+
+680
+00:51:33,590 --> 00:51:37,030
+المريض إلى شخص تاني يروح يعمل ال record و بعدين
+
+681
+00:51:37,030 --> 00:51:43,170
+يرجعلها تاني؟ فبدها هذا القمر يدرس و يبت فيه المهم
+
+682
+00:51:43,170 --> 00:51:47,950
+في القمر إنه ال scenario هو اللي فتح عليك كل هالاش
+
+683
+00:51:48,810 --> 00:51:51,770
+هذه الصورة العامة هذه وفتح عليك الأسئلة هذه كلها
+
+684
+00:51:51,770 --> 00:51:57,050
+والأسئلة هذه هي المطلوبة الأسئلة هي التفكير فيها
+
+685
+00:51:57,050 --> 00:52:02,770
+وواجهة إجابتها هو الأهم شغل في عملية الحصر أو
+
+686
+00:52:02,770 --> 00:52:07,390
+تحديد المتطلبات يمجى احنا الآن بنوجف هنا والمحاضرة
+
+687
+00:52:07,390 --> 00:52:11,010
+الجاية ان شاء الله بنكمل من عند ال use cases كأداة
+
+688
+00:52:11,010 --> 00:52:15,390
+أخرى كأداة أخرى بنستخدمها في عملية تحديد المتطلبات
+
+689
+00:52:15,390 --> 00:52:16,650
+يعطيكم العافية
+
diff --git a/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/b3jyephQR1o.srt b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/b3jyephQR1o.srt
new file mode 100644
index 0000000000000000000000000000000000000000..7b5e6171b9a63cad88a72b8c6d939da6c3161e93
--- /dev/null
+++ b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/b3jyephQR1o.srt
@@ -0,0 +1,2909 @@
+1
+00:00:21,080 --> 00:00:23,080
+بسم الله الرحمن الرحيم والصلاة والسلام على أشرف
+
+2
+00:00:23,080 --> 00:00:25,940
+المرسلين اليوم إن شاء الله بدنا ننهي chapter
+
+3
+00:00:25,940 --> 00:00:29,840
+اثنين في اللي كنا بدينا فيه قبل هيك وحكينا عن ال
+
+4
+00:00:29,840 --> 00:00:34,600
+software processes وشوفنا اللي هو الـ models وشوفنا
+
+5
+00:00:34,600 --> 00:00:38,600
+الـ activities وشوفنا مسألة التعامل مع الـ change
+
+6
+00:00:39,230 --> 00:00:43,710
+Okay، المتغيرات اللي بتحصل على المتطلبات أثناء 
+
+7
+00:00:43,710 --> 00:00:48,290
+عملية الـ design والـ development، والآن بدنا نيجي
+
+8
+00:00:48,290 --> 00:00:50,550
+عند اللي هو آخر bundle اللي هو الـ rational unified
+
+9
+00:00:50,550 --> 00:00:56,590
+process، okay، اللي هو عبارة عن نموذج آخر من نماذج 
+
+10
+00:00:56,590 --> 00:01:02,070
+developing الـ software، بيجمع ما بين خصائص اللي هو
+
+11
+00:01:02,070 --> 00:01:06,290
+النماذج اللي شوفناها قبل هيك، okay، تمام، آخر شيء كنا 
+
+12
+00:01:06,290 --> 00:01:11,110
+شوفناها الـ spiral، تمامًا، وبعدين ووصلنا عند اللي هو
+
+13
+00:01:11,110 --> 00:01:16,430
+الـ rational unified process، rational unified process
+
+14
+00:01:17,220 --> 00:01:21,040
+الـ rational unified process، لو نطلع عليها قبل ما 
+
+15
+00:01:21,040 --> 00:01:26,540
+نحكي في الكلام هذا، نطلع على الشكل هذا، يوضح الـ
+
+16
+00:01:26,540 --> 00:01:30,840
+process كلها، الـ process يعني إيش؟ اللي هو المراحل، و
+
+17
+00:01:30,840 --> 00:01:35,060
+إيش اللي بي... كل مرحلة، إيش اللي بيصير فيها عندك؟
+
+18
+00:01:35,060 --> 00:01:38,900
+أنت بالأصل مجموعة من الـ activities اللي هم الـ
+
+19
+00:01:38,900 --> 00:01:42,080
+inception، الـ elaboration، الـ construction، والـ
+
+20
+00:01:42,080 --> 00:01:46,880
+transition، okay، لأن الأسهم هذه، البيضاوية والسهم
+
+21
+00:01:46,880 --> 00:01:50,840
+اللي فوق هذا إشارة إلى الـ iteration بمعنى أنه احنا 
+
+22
+00:01:50,840 --> 00:01:56,980
+كل مرحلة، كل مرحلة بداخلها بتتم على شكل مجموعة من
+
+23
+00:01:56,980 --> 00:02:00,680
+الـ iterations، هي في حد ذاتها، يعني الـ inception هنا
+
+24
+00:02:00,680 --> 00:02:04,880
+اللي هي تحديد
+
+25
+00:02:04,880 --> 00:02:11,000
+الفكرة،
+
+26
+00:02:12,180 --> 00:02:21,400
+من البداية، الـ elaboration تفصيل الفكرة والجدوى،
+
+27
+00:02:21,400 --> 00:02:26,440
+تمام؟ الـ construction هذا بيشمل اللي هو الـ design
+
+28
+00:02:26,440 --> 00:02:31,580
+والـ development، والـ transition اللي هو تسليم الـ
+
+29
+00:02:31,580 --> 00:02:37,980
+system للمستخدم، وكل ما يترتب على ذلك من متابعة و
+
+30
+00:02:37,980 --> 00:02:44,860
+صيانة و... لأن هذا تحديد الفكرة بترمش من خطوة
+
+31
+00:02:44,860 --> 00:02:50,320
+واحدة بيتتم وبينعمل عادة تقييم وبيتكرر لحد ما يصير في إيش... يصير في... يعني تتبرر بشكل...
+
+32
+00:02:50,320 --> 00:02:56,760
+بشكل أدق، الآن هذا كله الأمر اللي هو الـ Inception
+
+33
+00:03:03,040 --> 00:03:05,180
+والـ elaboration، والـ construction، والـ transition،
+
+35
+00:03:05,180 --> 00:03:12,440
+ممكن أيضًا يتم كـ Iteration، وإن عمل مرة ثانية 
+
+36
+00:03:12,440 --> 00:03:16,120
+Iteration ثانية منه وIteration ثالثة، يعني بتقدر
+
+37
+00:03:16,120 --> 00:03:20,860
+تتخيل أن هذا الكلام كله بدي ينتج prototype أولي،
+
+38
+00:03:20,860 --> 00:03:25,380
+prototype مبدئي أو version أولى من الـ system، ثم
+
+39
+00:03:25,380 --> 00:03:31,450
+يعاد يقرر مرة ثانية علشان ينتج version ثانية، وإذا
+
+40
+00:03:31,450 --> 00:03:34,890
+لازم الأمر ثالثة و... ففيها إن احنا خلينا نطلع
+
+41
+00:03:34,890 --> 00:03:38,950
+الآن على ال... أول شيء، وصف العمليات الأربع هدول
+
+42
+00:03:38,950 --> 00:03:42,370
+أو الأنشطة الأربع اللي هو الـ inception، قولنا
+
+43
+00:03:42,370 --> 00:03:48,520
+inception اللي هو الفكرة الأساسية، establish the
+
+44
+00:03:48,520 --> 00:03:54,140
+business case for the system، إن أنت عندك فكرة زي
+
+45
+00:03:54,140 --> 00:03:56,680
+ما أنت وجيتوني قبل هيك، عشان أنتو تعرضوا لي الـ
+
+46
+00:03:56,680 --> 00:04:00,380
+projects اللي أنتو بدكوا تقترحوها، كان كل واحد
+
+47
+00:04:00,380 --> 00:04:06,160
+عنده الفكرة وبده يحاول يوضحها، وأيضًا يوضح جدواها،
+
+48
+00:04:06,160 --> 00:04:10,580
+صح؟ فهنا نفس الشيء، أنت في هذه المرحلة الـ team، فريق
+
+49
+00:04:10,580 --> 00:04:18,050
+العمل بدّه يولد الفكرة، وأيضًا كذلك الحال يحاول يشوف
+
+50
+00:04:18,050 --> 00:04:23,250
+يدرس ماذا جدواها، ويشوف إذا كان مستهلًا ولا مش مستهل،
+
+51
+00:04:23,250 --> 00:04:23,990
+تمام؟
+
+52
+00:04:26,330 --> 00:04:31,770
+Okay، الآن هنا الـ elaboration، هذا زي ما قلت أنا هنا
+
+53
+00:04:31,770 --> 00:04:35,970
+توليد الفكرة وهنا تفصيل الفكرة، فهدول الخطوتين
+
+54
+00:04:35,970 --> 00:04:42,510
+لازال في مرحلة تحديد الفكرة، بس هنا بتبدأ أنت تتفصل
+
+55
+00:04:42,510 --> 00:04:48,350
+وتحط شوية عن الـ architecture تبع الـ system، يعني
+
+56
+00:04:48,350 --> 00:04:53,850
+أنت ممكن وأنت بتعرض في الفكرة تبعك تكون مخطط خطوة
+
+57
+00:04:53,850 --> 00:04:59,210
+متقدمة وعملت تصور لـ System كيف هيكون مكوناته
+
+58
+00:04:59,210 --> 00:05:02,850
+الأساسية، إما مكوناته الظاهرية زي مثلًا الشاشات والـ
+
+59
+00:05:02,850 --> 00:05:08,010
+interface، يعني، أو مكوناته الداخلية اللي هي إذا 
+
+60
+00:05:08,010 --> 00:05:13,290
+كان في database ولا إذا كان في subsystems،
+
+61
+00:05:13,290 --> 00:05:16,270
+تمام؟ هنا الـ System Architecture هذا بيشمل زي ما
+
+62
+00:05:16,270 --> 00:05:19,250
+قلنا اللي هو عبارة عن مكونات الأساسية للـ System،
+
+63
+00:05:20,030 --> 00:05:25,830
+واضحة، إن أنت أنتقلت من جدوى هنا the case for، يعني
+
+64
+00:05:25,830 --> 00:05:37,110
+أنت المبررات أو الـ aspects، الأسباب اللي بتخلينا نحتاج هذا 
+
+65
+00:05:37,110 --> 00:05:41,050
+الـ system، بعد ما تجاوزنا هذه المرحلة، مرحلة إنه 
+
+66
+00:05:41,050 --> 00:05:44,890
+والله أهمية الـ system، بدنا نخش شوية في التفاصيل ونـ
+
+67
+00:05:44,890 --> 00:05:50,190
+طلع في الآخر بفكرة عن الـ system ككل، إيش اللي هو
+
+68
+00:05:50,190 --> 00:05:54,230
+الـ هيكلية تبعته والتركيب تبعته، okay، هذا الكلام
+
+69
+00:05:54,230 --> 00:05:58,150
+ضروري جدًا علشان احنا بعدها نبدأ في الـ construction،
+
+70
+00:05:58,150 --> 00:06:01,250
+الـ construction اللي هو الـ design والـ programming،
+
+71
+00:06:01,250 --> 00:06:05,120
+وأيضًا معاكم أمان إيش الـ testing، الـ Transition إيش 
+
+72
+00:06:05,120 --> 00:06:08,200
+قلنا لـ Transition؟ Transition الكلمة في حد ذاتها
+
+73
+00:06:08,200 --> 00:06:11,600
+التحول، تحول إيش يعني؟ يعني الـ system بنطلعه من
+
+74
+00:06:11,600 --> 00:06:15,240
+المختبر ونحطه على أرض الواقع في... بين إيدين 
+
+75
+00:06:15,240 --> 00:06:19,080
+الزبون، صح؟ فهذا معناه الـ deploy، كلمة الـ deploy
+
+76
+00:06:19,080 --> 00:06:25,080
+يعني بتقدر تقول خلاص، يعني توظيف الـ system على أرض
+
+77
+00:06:25,080 --> 00:06:25,580
+الواقع،
+
+78
+00:06:28,140 --> 00:06:31,600
+The system and in its operating environment، اللي
+
+79
+00:06:31,600 --> 00:06:35,920
+هو مناخ العمل الحقيقي اللي بدؤوا يستخدموا فيه، وضع
+
+80
+00:06:35,920 --> 00:06:39,660
+يعني أنت فاكر في الـ transition على أنه الـ system و
+
+81
+00:06:39,660 --> 00:06:43,300
+جوا الشركة عندك أو جوا فريق أو أثناء الـ
+
+82
+00:06:43,300 --> 00:06:47,980
+development، هو جوا المختبر كأنك أنت بتعمل بتركب
+
+83
+00:06:47,980 --> 00:06:51,140
+شيء في معمل أو كده، وبعد هيك لما بتطلع على
+
+84
+00:06:51,140 --> 00:06:55,820
+الاستخدام فأنت بتطلع على الـ operating environment،
+
+85
+00:06:56,510 --> 00:06:59,550
+واضحة، فاحنا الآن نرجع ثاني للرسم، احنا في عندنا
+
+86
+00:06:59,550 --> 00:07:06,150
+الأربع أنشطة الأساسية هدول جايين جايين بالتتالي، لكن
+
+87
+00:07:06,150 --> 00:07:12,130
+أنا بأعطل كل مرحلة حقها من خلال أنه أعملها كـ
+
+88
+00:07:12,130 --> 00:07:17,050
+iteration ورا iteration، إلى أن تبدأ تكتمل وتتبرر،
+
+89
+00:07:17,050 --> 00:07:20,390
+بنتقل على المرحلة اللي بعدها واللي بعدها واللي 
+
+90
+00:07:20,390 --> 00:07:23,610
+بعدها، وهذا الكلام كله، الأربع مراحل هدول ممكن 
+
+91
+00:07:23,610 --> 00:07:26,990
+تتكرروا في shot ثاني وshot ثالث، في كل shot أنا
+
+92
+00:07:26,990 --> 00:07:33,360
+بعمل version جديدة أو زيادة إضافات على الـ system،
+
+93
+00:07:33,360 --> 00:07:38,960
+في كل مرحلة، في كل shot، الآن،
+
+94
+00:07:38,960 --> 00:07:42,820
+الـ iterations يعني زي ما شوفنا، يبقى فيها إن
+
+95
+00:07:42,820 --> 00:07:49,360
+iterations in in phase، وفي cross phase iteration،
+
+96
+00:07:49,360 --> 00:07:52,840
+الـ in phase اللي هي الـ iteration اللي بيحصل بداخل
+
+97
+00:07:52,840 --> 00:07:56,420
+المرحلة،
+
+98
+00:07:56,420 --> 00:08:01,280
+المرحلة هذه مرحلة، فهذه phase، فبداخلها اللي هو الـ
+
+99
+00:08:01,280 --> 00:08:05,580
+in phase iteration، والـ cross phase، cross phase
+
+100
+00:08:05,580 --> 00:08:10,600
+iteration هو هو الـ iteration اللي نمشي كل الأربع 
+
+101
+00:08:10,600 --> 00:08:14,560
+مراحل خلصناهم ونرجع نعيدهم مرة ثانية، okay،
+
+102
+00:08:18,200 --> 00:08:22,380
+الأنشطة اللي بتتم هي الأنشطة بيسميها workflows،
+
+103
+00:08:22,380 --> 00:08:27,180
+تمام، workflows هنشوف إيش قصده بالـ static كمان شوية،
+
+104
+00:08:27,180 --> 00:08:31,040
+بس الـ workflows هي كلمة مرادفة لإيش؟ للأنشطة،
+
+105
+00:08:31,040 --> 00:08:32,540
+الأنشطة اللي بتتم،
+
+106
+00:08:37,340 --> 00:08:41,140
+Okay، اسمه workflow، يعني تدفق العمل، لأنه أي نشاط هو
+
+107
+00:08:41,140 --> 00:08:45,400
+في حد ذاته بيبدأ من نقطة وبيتطور النشاط، يعني 
+
+108
+00:08:45,400 --> 00:08:49,040
+بيستمر إلى حد ما ينتهي، وبعد كده بيبدأ نشاط آخر،
+
+109
+00:08:49,040 --> 00:08:55,180
+workflow تدفق عمل آخر، ففي إن اللي هو الـ workflows
+
+110
+00:08:55,180 --> 00:08:59,740
+هذه، Okay؟ هتلاقي إنه ولا شيء منها جديد علينا، يعني 
+
+111
+00:08:59,740 --> 00:09:03,840
+هي نفسها بس اللهم إلا... هي أصلًا كل ال... كل الـ
+
+112
+00:09:03,840 --> 00:09:07,880
+processes هي برضه نفس الأنشطة، بس كيف موزعة على
+
+113
+00:09:07,880 --> 00:09:12,440
+الزمن، آه؟ يعني كيف مجسمة الأنشطة إلى مراحل، و
+
+114
+00:09:12,440 --> 00:09:16,070
+المراحل هذه كيف اتكررت بها، فاحنا ولا واحد من هذول
+
+115
+00:09:16,070 --> 00:09:19,310
+هيكون جديد علينا، يعني مثلًا الـ business modeling، الـ
+
+116
+00:09:19,310 --> 00:09:24,130
+business modeling يقصد فيه اللي هو وضع التخيل للـ
+
+117
+00:09:24,130 --> 00:09:32,050
+business processes، العمليات الإدارية والتعبير
+
+118
+00:09:32,050 --> 00:09:36,410
+عنها على شكل نماذج، النماذج هذه غالبًا بتبقى flow
+
+119
+00:09:36,410 --> 00:09:40,730
+charts، يعني إيش العمليات الإدارية؟ العملية الإدارية
+
+120
+00:09:40,730 --> 00:09:46,290
+خذ عندك مؤسسة زي الجامعة، الطالب بدّه يسجل مواد
+
+121
+00:09:46,290 --> 00:09:51,670
+الفصل، أو قبل حتى التسجيل الطالب بدّه يقدم للجامعة
+
+122
+00:09:51,670 --> 00:09:58,100
+ويقدم لتخصص معين، ففي عندك لوائح بتقول إن على
+
+123
+00:09:58,100 --> 00:10:02,760
+الطالب إن يعمل كذا، أول شيء يعبي طلب، ثم يرسله أو يسلمه
+
+124
+00:10:02,760 --> 00:10:08,840
+بنفسه، ثم بعد هيك يستنى لحد ما ترد عليه الجامعة
+
+125
+00:10:08,840 --> 00:10:13,540
+بالقبول، ثم بعد هيك بيحدد الخيارات تبعته إيش ال...
+
+126
+00:10:13,540 --> 00:10:18,600
+الكلية، ثم بعد هيك بيروح ربما يدفع رسوم، هذه الخطوات
+
+127
+00:10:18,600 --> 00:10:22,000
+... هذه الخطوات فيما يتعلق بالقبول، في بعض كمان
+
+128
+00:10:22,000 --> 00:10:27,100
+خطوات فيما يتعلق بتسجيل المواد، في خطوات تتعلق بإن
+
+129
+00:10:27,100 --> 00:10:32,620
+والله بدّه ياخد أي كشف أو شهادة أو ورقة من الجامعة، 
+
+130
+00:10:32,620 --> 00:10:35,760
+كل هذه العمليات هي عمليات إدارية، Business
+
+131
+00:10:35,760 --> 00:10:39,480
+Processes، تمام؟ المدرس لما بدّه يحط العلامات برضه
+
+132
+00:10:39,480 --> 00:10:42,920
+بدّه يمشي بإجراءات معينة بعد ما يحطها، رئيس القسم
+
+133
+00:10:42,920 --> 00:10:46,220
+يوافق عليها ثم الشؤون الأكاديمي، ثم بعدها بتظهر على
+
+134
+00:10:46,220 --> 00:10:50,640
+صفحة الطالب أو على... فكل إجراء من إجراءات المؤسس،
+
+135
+00:10:50,640 --> 00:10:54,100
+إجراءات العمل في المؤسس هذا بيسميه عملية إدارية،
+
+136
+00:10:54,100 --> 00:10:57,400
+business process، الآن هذا الكلام في إيش دخله في 
+
+137
+00:10:57,400 --> 00:11:01,080
+الـ software؟ إيش دخله في هندسة البرمجيات؟ ولا
+
+138
+00:11:01,080 --> 00:11:05,300
+كيف؟ احنا أصلًا لما بنجي بنعمل software لمؤسسة
+
+139
+00:11:05,300 --> 00:11:08,340
+احنا بنـ admit العمليات الإدارية، إيش يعني بنـ
+
+140
+00:11:08,340 --> 00:11:12,360
+admit؟ يعني بدل ما بتتم بشكل manual يدوي، احنا بناخد
+
+
+
+141
+00:11:12,360 --> 00:11:16,300
+بنعملها من خلال الـ system من خلال الـ computer فأنا
+
+142
+00:11:16,300 --> 00:11:19,140
+لازم أفهم في الأول الـ business processes العملية
+
+143
+00:11:19,140 --> 00:11:23,600
+الإدارية اللي الـ system بده يعملها، Okay، وعلشان أقدر 
+
+144
+00:11:23,600 --> 00:11:28,500
+أيش أنا أنفذها على الـ .. صح؟ أقول مثلًا واحد منكم بدي
+
+145
+00:11:28,500 --> 00:11:32,840
+يعمل system لـ ordering في مطعم، أنا بدي أخش على 
+
+146
+00:11:32,840 --> 00:11:36,440
+المطعم وأجي على الطاولة اللي هو الـ tablet وبدي
+
+147
+00:11:36,440 --> 00:11:39,880
+أعمل طلبية المطعم اللي هو في حد ذاته إجراء إداري
+
+148
+00:11:39,880 --> 00:11:44,670
+لكيف الطلبية بتتم؟ من أن ييجي الجارسون ييجي في عندك
+
+149
+00:11:44,670 --> 00:11:49,630
+يأخذ منك الحاجات اللي أنت طالبها يكتبها على ورقة
+
+150
+00:11:49,630 --> 00:11:53,490
+يسلمها للناس اللي في المطبخ، بعد ما يخلصوا هو بدي
+
+151
+00:11:53,490 --> 00:11:57,130
+يجيبها، هذه الـ process بديهية في المطعم يعني أي حد
+
+152
+00:11:57,130 --> 00:11:59,890
+راح على مطعم عارفها، ومن غير حتى ما يروح على مطعم
+
+153
+00:11:59,890 --> 00:12:05,860
+عارف أيش الإجراء اللي بتتم في المطعم، تمام؟ بس المهم
+
+154
+00:12:05,860 --> 00:12:09,240
+هذه process، والـ process هذه بدها أيش بدنا احنا 
+
+155
+00:12:09,240 --> 00:12:13,440
+لما نعمل system لمطعم بدنا نعملها أتمة، مظبوط؟ ففي
+
+156
+00:12:13,440 --> 00:12:18,340
+كل مجال العمليات الإدارية، العمليات الإدارية اللي
+
+157
+00:12:18,340 --> 00:12:22,460
+الـ system بده يتمتها لازم أولًا تنفهم في الأول، و
+
+158
+00:12:22,460 --> 00:12:26,660
+تنعمل لها modeling علشان برضه كمان علشان بعد هي نقدر 
+
+159
+00:12:26,660 --> 00:12:31,030
+نعملها أتمة، Okay، الـ requirements، الـ requirements
+
+160
+00:12:31,030 --> 00:12:36,870
+اللي هي أيش الـ .. أيش المتطلبات اللي .. اللي بده
+
+161
+00:12:36,870 --> 00:12:39,790
+الـ system يلبيها، ربما مش كل العمليات الإدارية اللي 
+
+162
+00:12:39,790 --> 00:12:43,570
+بتسويها المؤسسة بدنا نأتمتها، فبدنا نحدد مين بالظبط 
+
+163
+00:12:43,570 --> 00:12:50,030
+منها اللي .. اللي بدها الـ system يطبقها، ومين ومين
+
+164
+00:12:50,030 --> 00:12:54,070
+هم المستخدمين، الـ actors هنا بلغة الـ UML لما نشوف
+
+165
+00:12:54,070 --> 00:12:57,850
+قدام اللي هو الـ UML models بنعبر عن الـ user بس على 
+
+166
+00:12:57,850 --> 00:13:02,340
+أنه actor  أكثر بتتفاعل مع الـ system، تمام؟ فهنا الـ
+
+167
+00:13:02,340 --> 00:13:06,140
+requirements بتشمل مين هم الـ actors وكل واحد منهم
+
+168
+00:13:06,140 --> 00:13:09,140
+أيش هي الـ requirements أو شو هي الـ tasks اللي بده
+
+169
+00:13:09,140 --> 00:13:12,540
+يسويها على الـ system، الـ analysis and design بعد ك
+
+170
+00:13:12,540 --> 00:13:17,560
+خلاص بيجي طبعًا هذافريق العمل بده يسوي هذا النشاط
+
+171
+00:13:17,560 --> 00:13:20,940
+صح؟ فريق العمل الـ .. الـ development team، وهذه كذلك
+
+172
+00:13:20,940 --> 00:13:23,860
+الحالة، فريق العمل بده يقعد مع الـ business مع 
+
+173
+00:13:23,860 --> 00:13:27,960
+الموظفين ويفهم منهم أيش العمليات الإدارية بيسويها
+
+174
+00:13:27,960 --> 00:13:31,680
+ويعملها model، كل هذه أنشطة بيسويها فريق العمل تبع
+
+175
+00:13:31,680 --> 00:13:35,840
+المشروع، الـ analysis and design بيبدأ في عملية اللي هو
+
+176
+00:13:35,840 --> 00:13:39,200
+تحليل المعطيات الكل اللي اتجمعت، هذه كلها في الآخر
+
+177
+00:13:40,430 --> 00:13:44,890
+ترتب عليها كثير من الموقعات والمعلومات اللي بتتدفق
+
+178
+00:13:44,890 --> 00:13:49,430
+علي فريق العمل، بده فريق العمل ينظمها ويطلع بالظبط
+
+179
+00:13:49,430 --> 00:13:54,750
+شو المتطلبات ويصيغها بشكل دقيق ويبدأ في الـ
+
+180
+00:13:54,750 --> 00:13:58,510
+designing اللي هو الـ system، أول ما بيبدأ في الـ
+
+181
+00:13:58,510 --> 00:14:04,420
+design طبعًا بيعمل model للـ system، نماذج، النماذج هذه
+
+182
+00:14:04,420 --> 00:14:08,020
+بتبدأ بالنماذج الورقية اللي هي الـ UML diagrams
+
+183
+00:14:08,020 --> 00:14:12,000
+وبعدها كان ممكن يبدأ يبدأ يبرمج ويطلع prototypes
+
+184
+00:14:12,000 --> 00:14:17,180
+الـ implementation اللي هي البرمجة ما فيش اشي جديد
+
+185
+00:14:17,180 --> 00:14:19,760
+اللي هو الـ components تبع الـ system تتنعمل لها
+
+186
+00:14:19,760 --> 00:14:25,740
+implementation تتنفذ وتتركب مع بعض وتطلع system
+
+187
+00:14:25,740 --> 00:14:30,660
+قد يكون نهائي إذا كان احنا بنحكي waterfall، وقد يكون
+
+188
+00:14:30,660 --> 00:14:34,740
+أيش version إذا كان احنا بنحكي iterative، واحنا هنا
+
+189
+00:14:34,740 --> 00:14:38,840
+بنحكي في الـ RUP اللي هي rational unified
+
+190
+00:14:38,840 --> 00:14:43,100
+process iterative وبالتالي الـ implementation اللي
+
+191
+00:14:43,100 --> 00:14:47,920
+بده تطلع عملية الـ implementation بده تنتج version
+
+192
+00:14:47,920 --> 00:14:53,160
+مش بده تنتج منتج نهائي، صح ولا لا؟ هذا الـ version
+
+193
+00:14:53,160 --> 00:14:57,240
+اللي عملنا له الـ testing وبعد ذلك بتنزل على اللي هو
+
+194
+00:14:57,240 --> 00:15:03,010
+الـ ..على الـ .. الـ .. الـ operating environment
+
+195
+00:15:03,010 --> 00:15:07,950
+علشان برضه كمان يبدو يستخدمها الـ users، وبعد ذلك
+
+196
+00:15:07,950 --> 00:15:12,410
+بتبدأ اللي هو مراحل الـ maintenance اللي هو ت
+
+197
+00:15:12,410 --> 00:15:16,610
+configure و تتعامل معاه لـ changes وكده .. الآن
+
+198
+00:15:16,610 --> 00:15:20,910
+كلام هذا كله .. كلام هذا كله عمليًا technical هو ..
+
+199
+00:15:20,910 --> 00:15:26,710
+هو أمور تقنية بيقوم بيها المهندس الـ software في ..
+
+200
+00:15:26,710 --> 00:15:31,000
+في .. في طبيعة عمله لكن .. الأفراد هدول الأفراد
+
+201
+00:15:31,000 --> 00:15:34,180
+فريق العمل اللي هم المهندسين الـ software اللي
+
+202
+00:15:34,180 --> 00:15:39,660
+بتكون منهم الفريق لازم يكون فيه إدارة لهم، فإضافة
+
+203
+00:15:39,660 --> 00:15:43,140
+إلى العنشطة هذه بيكون في project management
+
+204
+00:15:43,140 --> 00:15:47,500
+activities، project management activities يعني ناس
+
+205
+00:15:47,500 --> 00:15:50,960
+واحد من الـ team يبقى هو المدير أو إدارة المؤسسة
+
+206
+00:15:50,960 --> 00:15:56,980
+اللي تشرف على عمل الفريق، علشان تدعموا في كل الـ
+
+207
+00:15:56,980 --> 00:15:59,020
+workflows هذه، يعني في الـ deployment، في الـ
+
+208
+00:15:59,020 --> 00:16:03,320
+testing، في أي مستلزمات، أي شيء، أي تنظيم للعمل،
+
+209
+00:16:03,320 --> 00:16:07,180
+جدولة للأمور، التأكد من أنه مراقب، تأكد من أن
+
+210
+00:16:07,180 --> 00:16:10,700
+الأمور بتمشي على ميرام، كل هذه اللي هي الـ
+
+211
+00:16:10,700 --> 00:16:16,840
+management activities برضه لازم يتولاها حد إما من
+
+212
+00:16:16,840 --> 00:16:23,740
+الفريق نفسه أو من إدارة المؤسسة، الآن الـ environment
+
+213
+00:16:23,740 --> 00:16:30,940
+هذا شيء مهم أنه احنا فريق العمل هذا لما بيشتغل لازم
+
+214
+00:16:30,940 --> 00:16:36,220
+يكون المناخ العمل تبعه يبقى مناسب appropriate، مناخ
+
+215
+00:16:36,220 --> 00:16:39,780
+العمل وبيئة العمل تبقى مناسبة بمعنى أنه يتوفر له
+
+216
+00:16:39,780 --> 00:16:44,500
+المستلزمات اللازمة، يعني بدنا أجهزة كمبيوتر بدنا أي
+
+217
+00:16:44,500 --> 00:16:50,240
+ترتبة معينة تكون متوفرة له، وبالتالي الـ rational
+
+218
+00:16:50,240 --> 00:16:56,280
+unified process فيه لشق تقني اللي هو أغلب الأنشطة
+
+219
+00:16:56,280 --> 00:17:04,740
+وفيه شق إداري اللي هو يتعلق بتسهيل مهمة فريق
+
+220
+00:17:04,740 --> 00:17:09,520
+العمل، الـ project management والـ environment management
+
+221
+00:17:15,090 --> 00:17:19,310
+تحديد الأنشطة وتحديد كل نشاط أيش اللي بتمثّيه
+
+222
+00:17:19,310 --> 00:17:23,630
+وتحديد تسلسل العمل فيها، أنه برضه حاجة اسمها good
+
+223
+00:17:23,630 --> 00:17:28,830
+practices، الـ RUP، الـ rational unified process بتنص
+
+224
+00:17:28,830 --> 00:17:37,070
+على أن العمل كيف يجب أن يتم وكيف اللي هو الإدارة
+
+225
+00:17:37,070 --> 00:17:40,990
+تبعته، يعني أول شيء أول شيء أن هو iterative، عملية
+
+226
+00:17:40,990 --> 00:17:43,970
+الـ development software تكون iterative وهذا شيء
+
+227
+00:17:43,970 --> 00:17:49,570
+أساسي في الـ model تبعه، يعني الـ iteration موجودة
+
+228
+00:17:49,570 --> 00:17:56,050
+نقول in-phase و cross-phase، Okay، فأول أول شيء 
+
+229
+00:17:56,050 --> 00:18:01,530
+يلتزم بيه كل الفرق اللي بدأت تشتغل بهذا الأسلوب أنه
+
+230
+00:18:01,530 --> 00:18:07,480
+يكون الشغل عايش iterative، فـ you بتحدد الـ increments
+
+231
+00:18:07,480 --> 00:18:11,480
+زي ما شفنا في الـ incremental development بتحدد
+
+232
+00:18:11,480 --> 00:18:18,800
+لكل دورة لكل shot شو بالظبط بدها تغطي، أيش الـ
+
+233
+00:18:18,800 --> 00:18:22,060
+requirements اللي بدها تغطيها، وبتشتغل على جدر هذا
+
+234
+00:18:22,060 --> 00:18:26,060
+الـ increment، بس تخلص بتروح تعمل increment تانية، ف
+
+235
+00:18:26,060 --> 00:18:28,340
+you plan الـ increments based on customer
+
+236
+00:18:28,340 --> 00:18:33,490
+priorities، اللي بيتحدد في كل increment هو المجموعة
+
+237
+00:18:33,490 --> 00:18:38,110
+الـ requirements الأكثر أهمية للـ user عشان تعطيله
+
+238
+00:18:38,110 --> 00:18:43,110
+إياها من الأول، تمام؟ بعد هيك الـ requirements هذه
+
+239
+00:18:43,110 --> 00:18:46,830
+نقطة تانية الفريق العامل بده ينتبه لها أن الـ
+
+240
+00:18:46,830 --> 00:18:50,250
+requirements هذه بده يصير عليها تغيير، وبده يصير
+
+241
+00:18:50,250 --> 00:18:58,060
+عليها تبديل فلازم الفريق العمل يكون حاذر في تحديد
+
+242
+00:18:58,060 --> 00:19:01,260
+الـ requirements وحاذر في عملية الإضافة والحذف
+
+243
+00:19:01,260 --> 00:19:06,260
+ما يتركش عملية الـ requirements هذه تأخذ واجهة كبيرة
+
+244
+00:19:06,260 --> 00:19:11,660
+وتتوسع وتأثر على الـ development والـ design
+
+245
+00:19:11,660 --> 00:19:17,000
+explicitly document يعني فعل document فعل بمعنى
+
+246
+00:19:17,000 --> 00:19:20,400
+وثق اللي هو الـ customer requirements and keep
+
+247
+00:19:20,400 --> 00:19:24,890
+track of the changes to these requirements، اتضّح لك
+
+248
+00:19:24,890 --> 00:19:28,950
+نتابع إيه اللي هو الـ changes، تمام؟ برضه كذلك الحال
+
+249
+00:19:28,950 --> 00:19:32,670
+من الأمور اللي ينصح بها، أول شيء احنا قولنا ينصح
+
+250
+00:19:32,670 --> 00:19:37,430
+بأن يكون iterative وأن يكون الـ requirements يتم 
+
+251
+00:19:37,430 --> 00:19:43,050
+ضبطها بشكل يعني محكم، النقطة الثالثة اللي هي أنه 
+
+252
+00:19:43,050 --> 00:19:46,670
+يستخدم الـ component based architectures، أيش يعني
+
+253
+00:19:46,670 --> 00:19:50,520
+component based architecture؟ يعني ما يكونش كل الشغل
+
+254
+00:19:50,520 --> 00:19:56,260
+بده ينبنى من الصفر، صح؟ أنه تكون فيه مكونات قدر
+
+255
+00:19:56,260 --> 00:20:00,100
+الإمكان .. قدر الإمكان تستفيد من مكونات جاهزة وهذا
+
+256
+00:20:00,100 --> 00:20:04,340
+الأمر أصلًا مش محتاج نصيحة لإنه الكل بيعمل هيك الآن
+
+257
+00:20:04,340 --> 00:20:08,280
+ماحدا خاصة مع ضخامة الـ systems اللي موجودة الآن
+
+258
+00:20:08,280 --> 00:20:12,530
+ماحدا بيعمل الـ system من الصفر، بكتب كل شغل فيه، أنت 
+
+259
+00:20:12,530 --> 00:20:16,130
+لما تستخدم تعمل interface وتحط فيها زر، الزر هذا
+
+260
+00:20:16,130 --> 00:20:20,090
+component، أنت ما كتبت الـ code تبع الـ graphics تبع
+
+261
+00:20:20,090 --> 00:20:24,450
+الـ code تبع الزر، كيف الزر بده يترسم وكيف الزر
+
+262
+00:20:24,450 --> 00:20:28,350
+بده لما ي .. ينضغط عليه بده يتغير شكله، صح؟ ما 
+
+263
+00:20:28,350 --> 00:20:32,000
+كتبت الـ code هذا، هذا الـ code مكتوب وجاهز إليك أنت 
+
+264
+00:20:32,000 --> 00:20:35,760
+بس بتقول أنا بدي زر في المكان الفلاني، صح ولا لا؟ ف
+
+265
+00:20:35,760 --> 00:20:40,960
+.. فسواء كان graphical interface components صغيرة
+
+266
+00:20:40,960 --> 00:20:44,520
+زي زراير و drop down boxes والأمور هذه ولا سواء
+
+267
+00:20:44,520 --> 00:20:50,320
+كان classes أنت جايبها من library جاهزة فأنت ..
+
+268
+00:20:50,350 --> 00:20:53,970
+الجزء الكبير من الـ system تبعك هيبقى component
+
+269
+00:20:53,970 --> 00:20:58,450
+جاهز، فـ you organize a system architecture as a set
+
+270
+00:20:58,450 --> 00:21:03,970
+of reusable components، مستخدم كثير منهم، وأيضًا
+
+271
+00:21:03,970 --> 00:21:08,110
+كمان بعض اللي أنت بتكتبه برضه بتصممه بحيث أنه
+
+272
+00:21:08,110 --> 00:21:16,190
+تستخدمه لاحقًا في other systems، تمام؟ النقاط الأخرى 
+
+273
+00:21:16,190 --> 00:21:18,970
+كمان برضه good practices أنك أنت you visually
+
+274
+00:21:18,970 --> 00:21:25,690
+model الـ software يعني باقتصاد استخدام اللي هو الـ
+
+275
+00:21:25,690 --> 00:21:30,250
+models المخططات 
+
+276
+00:21:36,350 --> 00:21:40,450
+visually model يعني أنت لما بدك تقول process لما
+
+277
+00:21:40,450 --> 00:21:44,170
+بدك تقول مثلًا interface لما بدك تقول الـ user بده
+
+278
+00:21:44,170 --> 00:21:47,430
+يستخدم كده كده ويعمل كده كده على الـ system، ارسم 
+
+279
+00:21:47,430 --> 00:21:52,390
+هذا الكلام رسوميًا عبر عنه على شكل diagram، ولا بدك
+
+280
+00:21:52,390 --> 00:21:54,870
+تقول مثلًا أنا بدأت أستخدم database والـ database
+
+281
+00:21:54,870 --> 00:21:57,990
+فيها table ارسم هذا الكلام و الـ table اللي له
+
+282
+00:21:57,990 --> 00:22:02,010
+علاقة بالـ table الثاني ارسمه واضحة دائماً استخدم الـ
+
+283
+00:22:02,010 --> 00:22:08,280
+visual modeling في الـ design تبعكما تكتب كلام إلا 
+
+284
+00:22:08,280 --> 00:22:12,700
+اتعبر عنه بالرسم، تمام؟ الآن الـ software quality
+
+285
+00:22:12,700 --> 00:22:16,780
+مسألة مهمة جداً و الـ .. و الـ RUP بتركز على الـ
+
+286
+00:22:16,780 --> 00:22:21,640
+quality أنه أنت عندك الـ quality بالأساس فيه
+
+287
+00:22:21,640 --> 00:22:26,740
+مفهومين لها فيه مفهوم الـ quality من حيث أنه يعني
+
+288
+00:22:26,740 --> 00:22:30,500
+احنا كلمة الجودة لما بنقول هذا الـ software جيد ولا
+
+289
+00:22:30,500 --> 00:22:34,920
+هذا .. ولا أي منتج في الدنيا جيد على أي أساس بنقول 
+
+290
+00:22:34,920 --> 00:22:40,460
+أنه جيد؟ بصفة عامة يعني أنا الآن بدي أجرب عن كلمة
+
+291
+00:22:40,460 --> 00:22:45,180
+quality واسأل شو مفهومك أنت للـ quality مفهوم كل
+
+292
+00:22:45,180 --> 00:22:50,560
+واحد فيه كله quality بيقوم بالمهام المطلوبة قياماً
+
+293
+00:22:50,560 --> 00:22:54,640
+المهام المطلوبة
+
+294
+00:22:54,640 --> 00:22:59,200
+أفضل
+
+295
+00:22:59,200 --> 00:23:05,160
+صورة ممكنة أفضل صورة ممكنة أفضل
+
+296
+00:23:05,160 --> 00:23:12,040
+صورة ممكنة سهولة الاستخدام استخدام الأمثل للموارد
+
+297
+00:23:12,040 --> 00:23:15,760
+استخدام الاستخدام الأمثل للموارد استخدام الاستخدام
+
+298
+00:23:15,760 --> 00:23:18,000
+الأمثل للموارد استخدام الاستخدام الأمثل للموارد
+
+299
+00:23:18,000 --> 00:23:19,200
+استخدام الاستخدام الأمثل للموارد استخدام الاستخدام
+
+300
+00:23:19,200 --> 00:23:23,460
+الأمثل للموارد استخدام
+
+301
+00:23:23,460 --> 00:23:26,440
+الاستخدام الأمثل للموارد استخدام الاستخدام
+
+302
+00:23:26,440 --> 00:23:31,000
+الاستخدام الأمثل للموارد استخدام
+
+303
+00:23:31,000 --> 00:23:34,180
+الاستخدام
+
+304
+00:23:34,180 --> 00:23:35,560
+الاستخدام الاستخدام الاستخدام الاستخدام الاستخدام
+
+305
+00:23:35,560 --> 00:23:36,100
+الاستخدام الاستخدام الاستخدام الاستخدام الاستخدام
+
+306
+00:23:36,100 --> 00:23:38,600
+الاستخدام الاستخدام يعتمد على المعايير
+
+307
+00:23:38,600 --> 00:23:40,080
+والمقاييس صح؟
+
+308
+00:23:44,610 --> 00:23:48,650
+جيد بس لا لاحظوا هنا بيقول software quality يعني
+
+309
+00:23:48,650 --> 00:23:52,410
+software يعني إيه اللي هو البرنامج فاحنا البرنامج
+
+310
+00:23:52,410 --> 00:23:57,990
+لما احنا بنعمله جودته عادة يعني أكثر شيء بيكون أنه
+
+311
+00:23:57,990 --> 00:24:01,090
+احنا بدنا منه مجموعة من المطالبات مجموعة من
+
+312
+00:24:01,090 --> 00:24:03,970
+المطالب فجديش هو بيحقق من هذه المطالب أنا بعتبره
+
+313
+00:24:03,970 --> 00:24:08,810
+كويس صح أنت ممكن تيجي تقول والله هذا الجهاز في
+
+314
+00:24:08,810 --> 00:24:11,630
+جهاز ثاني أحسن منه بس لو ربما هذا الجهاز الثاني
+
+315
+00:24:11,630 --> 00:24:16,380
+اللي أحسن منه بيحتوي على أمور أنا مش محتاجة صح؟ فهو
+
+316
+00:24:16,380 --> 00:24:21,180
+صح جيد بس جيد للي محتاجه هذا جيد إلى بل ربما ممتاز
+
+317
+00:24:21,180 --> 00:24:24,420
+إليه لأنه بيقوم بكل اللي أنا بديها و كمان برضه
+
+318
+00:24:24,420 --> 00:24:29,600
+بالميزانية اللي أنا بديها فغالباً الجودة .. الجودة
+
+319
+00:24:29,600 --> 00:24:33,260
+غالباً ما بتأخذ .. يعني أحد مفاهيم الجودة هو
+
+320
+00:24:33,260 --> 00:24:36,740
+الالتزام زي ما قلنا هنا تأدية المهام والالتزام
+
+321
+00:24:36,740 --> 00:24:43,960
+بالمطلوب جديش هو ملتزم باللي انطلب فهو جيد زي تماماً
+
+322
+00:24:43,960 --> 00:24:47,380
+أنا ما بدأت قيم الطلاب الآن جديش التزم بالـ
+
+323
+00:24:47,380 --> 00:24:52,920
+requirements اللي بيتطلبها المساق من امتحانات من
+
+324
+00:24:52,920 --> 00:24:56,900
+homework من كده و جديش اللي قيمنا عليه فهو بياخد
+
+325
+00:24:57,790 --> 00:25:02,570
+إيش درجة في هذا المسار فالجودة هنا بتيجي في جانب
+
+326
+00:25:02,570 --> 00:25:07,910
+إيش في جانب الالتزام بالمتطلبات بس المتطلبات أحياناً
+
+327
+00:25:07,910 --> 00:25:13,390
+تبقى مش هي كل .. مش هي كل الـ .. ما يحدد الجودة في
+
+328
+00:25:13,390 --> 00:25:18,350
+أمور لها علاقة بأسلوب الـ design أسلوب التصميم
+
+329
+00:25:18,350 --> 00:25:23,030
+تمام؟ هي أنه يعني لما أنا أجي بأعمل برنامج و بدي
+
+330
+00:25:23,030 --> 00:25:26,490
+أكتب code بقول مثلاً بدي أكتب بس class صغير class
+
+331
+00:25:26,490 --> 00:25:29,710
+صغير و الـ class هذا بيحتوي على attributes و بيحتوي
+
+332
+00:25:29,710 --> 00:25:35,730
+على methods في هناك تعليمات لكيف الـ design الكويس
+
+333
+00:25:35,730 --> 00:25:43,090
+لما أنا أجي أصمم class يجب أن أسميه مثلاً بتسمية
+
+334
+00:25:43,090 --> 00:25:48,550
+مفهومة، يجب أن أسمي الـ attributes برضه بتسمية
+
+335
+00:25:48,550 --> 00:25:53,030
+مفهومة، يجب لما أعمل الـ methods أعملها بحيث أنها
+
+336
+00:25:53,030 --> 00:25:57,010
+تبقى efficient يعني ما بتأخذش وقت كبير من الـ ..
+
+337
+00:25:57,010 --> 00:26:01,410
+من الـ .. من الـ computer أنه الـ method هذه لو اجى
+
+338
+00:26:01,410 --> 00:26:06,470
+واحد ورائي بدي يقرأها تكون واضحة يقدر يفهمها
+
+339
+00:26:06,470 --> 00:26:12,970
+بسهولة ففي عندك أنت تعليمات أو نصائح أو إرشادات أو
+
+340
+00:26:12,970 --> 00:26:19,130
+أعراف للـ design اللي كويس okay فمن هنا هذا برضه
+
+341
+00:26:19,130 --> 00:26:23,470
+جانب آخر للـ quality فالـ software أنه بيقوم بكل شيء
+
+342
+00:26:23,470 --> 00:26:30,170
+مطلوب منه فهذا شيء جيد أيضاً أن يكون مصمم صح مصمم صح
+
+343
+00:26:30,170 --> 00:26:34,750
+فهذا شيء جانب آخر للـ quality فهنا بتقدر تقول
+
+344
+00:26:34,750 --> 00:26:40,910
+الالتزام بالمعايير والمقاييس معايير التصميم okay
+
+345
+00:26:40,910 --> 00:26:46,870
+all right فبيكون إيش؟ بيكون جانب آخر هنا هذا جانب
+
+346
+00:26:46,870 --> 00:26:50,930
+وهذا جانب آخر اللي بيحكي عنه هنا في هذا الـ bent
+
+347
+00:26:50,930 --> 00:26:55,890
+أكثر .. علاقته أكثر بالـ .. بالـ design بالـ design
+
+348
+00:26:55,890 --> 00:27:01,150
+تبع الـ software و أسلوب الـ .. أسلوب الـ design
+
+349
+00:27:01,150 --> 00:27:04,110
+ensure that the software meets organizational
+
+350
+00:27:04,110 --> 00:27:10,190
+quality standard تمام؟ quality standard فإلى جانب
+
+351
+00:27:10,190 --> 00:27:13,190
+.. إلى جانب أنه بيقوم بالمطلوب أيضاً كذلك الحال
+
+352
+00:27:13,190 --> 00:27:17,410
+متوافق مع الـ standards اللي اللي حطها الـ
+
+353
+00:27:17,410 --> 00:27:20,010
+organization أنهي organization الـ organization
+
+354
+00:27:20,010 --> 00:27:23,130
+اللي طلبت الـ system و لا الـ organization اللي
+
+355
+00:27:23,130 --> 00:27:27,850
+بتصمم الـ system يعني إذا أنت بدك تعمل system أنت
+
+356
+00:27:27,850 --> 00:27:30,490
+شغال في شركة software و بتعمل system لها الـ market
+
+357
+00:27:30,490 --> 00:27:34,930
+فأنت شغال في organization فعلى الوجهين هذا
+
+358
+00:27:34,930 --> 00:27:38,710
+organizational quality على الوجهين من ناحية
+
+359
+00:27:38,710 --> 00:27:42,010
+المؤسسة اللي طلبت و من ناحية المؤسسة اللي بتشتغل
+
+360
+00:27:42,010 --> 00:27:46,220
+فيها يجب أن يكون الـ Design تبع الـ Software و الـ
+
+361
+00:27:46,220 --> 00:27:50,220
+Software مكتوب بشكل إيش ملتزم به اللي هو الـ
+
+362
+00:27:50,220 --> 00:27:53,700
+standards تبعت الطرفين تبعت المؤسسة اللي طلبت
+
+363
+00:27:53,700 --> 00:27:58,400
+والمؤسسة اللي أنت بتشتغل فيها تمام فهذا ما يتعلق
+
+364
+00:27:58,400 --> 00:28:02,080
+بالـ quality وإنه يجب أن تـ verify الـ quality
+
+365
+00:28:02,080 --> 00:28:06,760
+verify إيش يعني verify يعني مش بس أنه احنا نترك
+
+366
+00:28:06,760 --> 00:28:11,040
+الأمر للمبرمج نقوله والله حط comments ملتزم به لا
+
+367
+00:28:11,040 --> 00:28:16,130
+لازم يكون فيه آلية للتحقق من أن الـ software مكتوب
+
+368
+00:28:16,130 --> 00:28:20,570
+بالشكل السليم ومصمم بالشكل السليم تمام؟ الآن الـ
+
+369
+00:28:20,570 --> 00:28:25,190
+changes control الـ changes to software يقصد بها
+
+370
+00:28:25,190 --> 00:28:27,670
+اللي هي الكلام اللي حكينا فيه قبل هيك اللي هو
+
+371
+00:28:27,670 --> 00:28:31,170
+managing احنا كنا حكينا في الأول في الـ
+
+372
+00:28:31,170 --> 00:28:33,490
+requirements managing الـ requirements الآن
+
+373
+00:28:33,490 --> 00:28:36,630
+managing الـ change و هذا الـ change بيحصل أما أثناء
+
+374
+00:28:36,630 --> 00:28:40,490
+يعني بعد ما تكون أن تحددت الـ requirements يصير
+
+375
+00:28:40,490 --> 00:28:44,110
+عليها تغيير أو بعد ما تسلم الـ system يصير فيه
+
+376
+00:28:44,110 --> 00:28:47,870
+تغيير فهذا الكلام بده control لذا هناك كنا بنقول
+
+377
+00:28:47,870 --> 00:28:51,210
+manage هنا بدنا control control يعني تتحكم يكون
+
+378
+00:28:51,210 --> 00:28:55,510
+إياك أنت حكم على الأمر مش Totorico مش Totorico على
+
+379
+00:28:55,510 --> 00:28:59,090
+حسب رغبة الـ user إيش ما بده أو الجهة الطالبة إيش
+
+380
+00:28:59,090 --> 00:29:03,610
+ما بده أو أنتو حاضر بس خليني أجودلك إياه لا لازم
+
+381
+00:29:03,610 --> 00:29:07,670
+يكون برضه كمان في إيش في تحكم إن هذا بنقدر نعمله و
+
+382
+00:29:07,670 --> 00:29:13,330
+هذا بنقدرش نعمله هذا ب .. ب .. ب .. ممكن الـ widget
+
+383
+00:29:13,330 --> 00:29:16,850
+بيسمح فيه و هذا الـ widget ما بيسمحش فيه هذا الـ budget
+
+384
+00:29:16,850 --> 00:29:20,030
+يعني الميزانية بتسمح فيه هذا الميزانية ما بيسمحش فيه
+
+385
+00:29:20,030 --> 00:29:24,070
+إلا إذا بدك تحط ميزانية جديدة واضح فهنا control
+
+386
+00:29:24,070 --> 00:29:29,950
+كلمة بتوحي بالعيش بتحكم إنك أنت لك إرادة مش بس
+
+387
+00:29:29,950 --> 00:29:38,700
+بدك تتنفذ إرادة العيش الـ user Okay؟ غير ده ببساطة
+
+388
+00:29:38,700 --> 00:29:42,540
+اللي احنا طلعنا عليه في الـ R.U.P اللي هي rational
+
+389
+00:29:42,540 --> 00:29:48,160
+unified process أنه في عندنا جانبين أساسيين اللي هم
+
+390
+00:29:48,160 --> 00:29:55,430
+الأنشطة المراحل و كل مرحلة إيش الأنشطة اللي فيها صح؟ إيش
+
+391
+00:29:55,430 --> 00:29:58,390
+الأنشطة أو إيش الـ workflows اللي فيها و الجانب
+
+392
+00:29:58,390 --> 00:30:03,070
+الأخر اللي هو الـ .. الـ good practice اللي هي
+
+393
+00:30:03,070 --> 00:30:09,130
+الفلسفة أو ثقافة هذا الـ model إنه شو المبادئ أو
+
+394
+00:30:09,130 --> 00:30:17,110
+النصائح اللي يلتزم فيها فريق العمل بشكل مستمر
+
+395
+00:30:17,110 --> 00:30:22,850
+أثناء عملية الـ development okay؟ فاحنا هيك بنكون
+
+396
+00:30:22,850 --> 00:30:28,410
+خلصنا الـ chapter اثنين خلصنا وشوفنا عدة models
+
+397
+00:30:28,410 --> 00:30:36,450
+software process models والآن السؤال صار متى بقدر
+
+398
+00:30:36,450 --> 00:30:39,330
+أستخدم هذا الـ model و متى بقدر أستخدم هذا الـ model
+
+399
+00:30:39,330 --> 00:30:44,350
+و هذا السؤال في hierarchy بالضبط لازم تجيبه عليه كل
+
+400
+00:30:44,350 --> 00:30:49,610
+واحد يجيب عليه يجاوب عليه للمشروع تبعه صح كل واحد
+
+401
+00:30:49,610 --> 00:30:55,780
+بناءً عليه نختار .. نختار .. نختار الـ .. نختار الـ ..
+
+402
+00:30:55,780 --> 00:30:57,900
+نختار الـ .. نختار الـ .. نختار الـ .. نختار الـ ..
+
+403
+00:30:57,900 --> 00:30:58,940
+نختار الـ .. نختار الـ .. نختار الـ .. نختار الـ ..
+
+404
+00:30:58,940 --> 00:31:02,600
+نختار الـ .. نختار الـ .. نختار الـ .. نختار الـ ..
+
+405
+00:31:02,600 --> 00:31:03,020
+نختار الـ .. نختار الـ .. نختار الـ .. نختار الـ ..
+
+406
+00:31:03,020 --> 00:31:03,360
+نختار الـ .. نختار الـ .. نختار الـ .. نختار الـ ..
+
+407
+00:31:03,360 --> 00:31:03,640
+نختار الـ .. نختار الـ .. نختار الـ .. نختار الـ ..
+
+408
+00:31:03,640 --> 00:31:08,290
+نختار الـ .. نهايه غالباً اللي بيحصل أنه احنا حكينا
+
+409
+00:31:08,290 --> 00:31:12,230
+الكلام هذا في البداية أنه غالباً أنت بتخلط آه أو
+
+410
+00:31:12,230 --> 00:31:16,410
+بتدمج ما بين اللي هو الـ models هذه و تشوف إيش الـ
+
+411
+00:31:16,410 --> 00:31:19,310
+.. إيش من هذا الموضوع اللي بيناسب و إيش من هذا
+
+412
+00:31:19,310 --> 00:31:22,710
+المنظور اللي بيناسب أكثر صح؟ فأنت عادة هتيجي تقول
+
+413
+00:31:22,710 --> 00:31:27,390
+والله أنا .. و لازم ترسم .. يعني ترسم اللي هو الـ ..
+
+414
+00:31:27,390 --> 00:31:30,310
+الـ .. التسلسل تبع .. يعني تقول والله أنا في الأول
+
+415
+00:31:30,310 --> 00:31:34,930
+بدي أعمل requirement analysis ثم بدي أعمل design
+
+416
+00:31:34,930 --> 00:31:40,130
+ثم هذه الـ .. هذه العمليتين بدي أمشي فيهم في
+
+417
+00:31:40,130 --> 00:31:44,490
+iteration ولما أنا أخلص أطلع version أو prototype
+
+418
+00:31:44,490 --> 00:31:50,450
+ثم بعد هيك أبدأ الـ implementation فأنت ..الطريقة
+
+419
+00:31:50,450 --> 00:31:54,770
+اللي هتتناسب مع المشروع تبعك بدك تعبر عنها بشكل
+
+420
+00:31:54,770 --> 00:31:59,110
+برضه إيش رسومي visual سواء كانت الطريقة أنت هتاخد
+
+421
+00:31:59,110 --> 00:32:05,390
+model واحد جاهز و تطبقه أو تخلط ما بين  قدّ models
+
+422
+00:32:05,390 --> 00:32:11,510
+المهم بدك تطلع رسم تعبّر عن ال process تبعتك عن ال
+
+423
+00:32:11,510 --> 00:32:16,140
+model تبع ال process تبعك، مسموح لك أنك أنت تخلص،
+
+424
+00:32:16,140 --> 00:32:24,840
+ما بعرفش زي ده، هو كان سؤالك؟ تمام
+
+425
+00:32:24,840 --> 00:32:31,320
+خلاص اه اه أنا أنا اللي بقوله، إذا وجب أن ال
+
+426
+00:32:31,320 --> 00:32:37,520
+system بتنسب ال waterfall كان بها، ما ننسبوش، بدك 
+
+427
+00:32:37,520 --> 00:32:42,340
+تأخذ ربما صفة من صفاتها خاصة من خصائصها زي مثلًا
+
+428
+00:32:42,340 --> 00:32:45,400
+اللي هو أنه لازم نتفّج على ال requirements من
+
+429
+00:32:45,400 --> 00:32:49,180
+البداية قبل ما نشتغل design إذا هذا الشغل الأمر
+
+430
+00:32:49,180 --> 00:32:55,340
+ضروري لك، اه فبت .. بتتبنى هي ما فيش فيها
+
+431
+00:32:55,340 --> 00:32:57,900
+prototyping بس أنت ال system بتاعك بيحتاج 
+
+432
+00:32:57,900 --> 00:33:02,540
+prototyping فبتقول أنا هاخد خاصية اللي هو الاتفاق
+
+433
+00:33:02,540 --> 00:33:07,280
+على المتطلبات مسبقًا من ال waterfall ثم آخد خاصية
+
+434
+00:33:07,280 --> 00:33:12,590
+ال iteration من أيّش من ال incremental أو آخد خاصية
+
+435
+00:33:12,590 --> 00:33:15,750
+برضه ال system تبعي بده risk عالية فبدي آخد خاصية
+
+436
+00:33:15,750 --> 00:33:19,990
+ال risk management من ال من ال spiral إذا بتذكروا
+
+437
+00:33:19,990 --> 00:33:24,310
+حكي عن ال spiral okay فأنت لأن ما ترك لك اليك القمر
+
+438
+00:33:24,310 --> 00:33:29,710
+شبه التلاتة اللي بدنا نبدأ فيه لأن بيارد برضه كمان
+
+439
+00:33:29,710 --> 00:33:34,710
+أسلوب آخر من اللي هو من ال من تنظيم العمل في ال في
+
+440
+00:33:34,710 --> 00:33:35,830
+عملية إنتاج ال software
+
+441
+00:33:39,320 --> 00:33:45,080
+بنسميه agile software development خلّيني أطبع عليه
+
+442
+00:33:45,080 --> 00:33:52,340
+لأنه أسلوب آخر وربما هذا الأسلوب أو هذه المنهجية
+
+443
+00:33:52,340 --> 00:34:00,820
+تتناسب لكثير من المشاريع اللي معاكم تمام؟ خليني بس
+
+444
+00:34:00,820 --> 00:34:05,220
+على السريع أقفز على slide جوا وبعدين بنرجع 
+
+445
+00:34:18,280 --> 00:34:23,280
+لأن إحنا لما
+
+446
+00:34:23,280 --> 00:34:27,280
+يكون عندنا ال system حجمه صغير small size دعونا
+
+447
+00:34:27,280 --> 00:34:30,920
+نقول أنه نفترض أنه فيه تلت أحجام اللي هو small و
+
+448
+00:34:30,920 --> 00:34:37,180
+mid-size و large-size systems تمام؟ ال large-size
+
+449
+00:34:37,180 --> 00:34:43,960
+systems لأ ال small-size systems من البديهي أنه 
+
+450
+00:34:43,960 --> 00:34:50,820
+ما بنسبهاش، ما بنسبهاش؟ إيش ما بنسبهاش من
+
+451
+00:34:50,820 --> 00:34:57,440
+اللي بنعرفهم؟ ال waterfall و ال spiral صح؟ ال
+
+452
+00:34:57,440 --> 00:35:02,600
+incremental أنسب صح؟ إحنا بقولنا يا دكتور بما أن
+
+453
+00:35:02,600 --> 00:35:05,760
+المباشرة راح يكون صغيرة راح مباشرة بما تعمل أي
+
+454
+00:35:05,760 --> 00:35:11,110
+منهجية، خلينا نقول في صغير و في صغير كتير، الصغير
+
+455
+00:35:11,110 --> 00:35:14,850
+كتير هذا اللي ما يحتاجش .. بس صغير .. بس هو خلي
+
+456
+00:35:14,850 --> 00:35:18,430
+بالك أنت طالما أن في عندك customer، ال customer
+
+457
+00:35:18,430 --> 00:35:23,590
+هذا عادة أنت محتاج تنظم العملية، فلازم ت .. لازم
+
+458
+00:35:23,590 --> 00:35:27,760
+تعمل ..شكل من أشكال التنظيم والتخطيط لل
+
+459
+00:35:27,760 --> 00:35:33,520
+development process لعملية التطوير، يعني أنت
+
+460
+00:35:33,520 --> 00:35:37,620
+بتتخيل أنه في system ل customer ممكن تعمله يا من
+
+461
+00:35:37,620 --> 00:35:42,020
+مرة واحدة وما يحتاجش يطلب منك تعديلات عليه بعد هيك
+
+462
+00:35:42,020 --> 00:35:47,560
+لا يعني حتى لو كان صغير فغالبًا إيش هتحتاج لتعديلات
+
+463
+00:35:47,560 --> 00:35:51,370
+و ربما تعملوا تعديلات هذه في version ثانية، يعني
+
+464
+00:35:51,370 --> 00:35:54,490
+الأولى هتكون version one و هتعمل version ثانية و
+
+465
+00:35:54,490 --> 00:35:58,650
+ربما version ثالثة و خلاص حتى و أنه صغير فلو أنت
+
+466
+00:35:58,650 --> 00:36:05,870
+طلعت على كثير من ال systems الميزانية
+
+467
+00:36:06,730 --> 00:36:13,750
+يعني بتقدر تقول مثلًا زي الميزانية في ال بضعة ألف
+
+468
+00:36:13,750 --> 00:36:20,550
+دولار هذا صغير من بالعشرات هذا mid-size بعدك لما
+
+469
+00:36:20,550 --> 00:36:25,930
+تبدأ في مئات الآلاف بتقول أنه ياش large system
+
+470
+00:36:25,930 --> 00:36:29,930
+okay فأنت
+
+471
+00:36:29,930 --> 00:36:30,270
+الآن
+
+472
+00:36:34,980 --> 00:36:40,920
+لما يبقى ال system small أو medium size و يكون for
+
+473
+00:36:40,920 --> 00:36:46,020
+sale يعني أنت بدك تعمله للبيع مش لمؤسسة فهذا النوع
+
+474
+00:36:46,020 --> 00:36:50,640
+من ال systems بيتحتم
+
+475
+00:36:50,640 --> 00:36:55,550
+أن أنت تعمله على على versions خلّي بالك حكاية for
+
+476
+00:36:55,550 --> 00:37:00,750
+sale هذه هي اللي بتفرض عليك لأن أنت حتمًا لم تستطع
+
+477
+00:37:00,750 --> 00:37:05,890
+أنك أنت تعطي ال market كل الخصائص من البداية ولا
+
+478
+00:37:05,890 --> 00:37:07,370
+لأ؟ ليش؟
+
+479
+00:37:10,130 --> 00:37:14,290
+عشان ت .. هذا تضلهم .. تضلك رابطهم معك يعني لو
+
+480
+00:37:14,290 --> 00:37:17,290
+نزلت لهم كل شيء مرة واحدة في ناس هتشتوا في ناس مش
+
+481
+00:37:17,290 --> 00:37:20,250
+هتشتوا واللي اشترها خلاص بعدين كان هينساك لأنه
+
+482
+00:37:20,250 --> 00:37:24,570
+أخذ كل ال features لكن لو أنت تبدأ تنزل هذا .. هذا
+
+483
+00:37:24,570 --> 00:37:27,810
+أسلوب marketing هذا أسلوب تسويق أن لما أنت تنزل
+
+484
+00:37:27,810 --> 00:37:32,250
+شوي شوي فأنت بتنزل الآن شوية خصائص .. خصائص و
+
+485
+00:37:32,250 --> 00:37:35,550
+بعدين بتقوله والله ال version الثانية هتبقى فيها
+
+486
+00:37:35,550 --> 00:37:38,710
+التعديلات و فيها التحديث هذا marketing هذا مش
+
+487
+00:37:38,710 --> 00:37:44,650
+software development بس إحنا بنقول أنه سبب آخر كنت
+
+488
+00:37:44,650 --> 00:37:49,450
+بدك التجارب، التقنية بتتطور أصلًا أنت برضه كذا
+
+489
+00:37:49,450 --> 00:37:53,450
+كالحة أنت ما جاش واثق من أنك فاهم السوق صح فاهم
+
+490
+00:37:53,450 --> 00:37:56,490
+المتطلب يعني حتى لو عندك رغبة أنك أنت تعطي ال user
+
+491
+00:37:56,490 --> 00:37:59,630
+كل اللي بده اياه من أول مرة مش هتقدر لأنه أنت مش
+
+492
+00:37:59,630 --> 00:38:04,850
+هتقدر تفهم يعني وجود ال system بين أيدين الناس هو
+
+493
+00:38:04,850 --> 00:38:08,610
+و ال feedback اللي بيجيلك منهم هو آليتك الأساسية
+
+494
+00:38:08,610 --> 00:38:12,690
+طريقتك الأساسية لفهم السوق وفهم إيش احتياجاته أنت
+
+495
+00:38:12,690 --> 00:38:16,580
+لما تستطيع، اه خاصة في ال small و ال medium size أنك
+
+496
+00:38:16,580 --> 00:38:22,280
+أنت تفهم إيش الاحتياجات الفئة ال users المستهدفة
+
+497
+00:38:22,280 --> 00:38:27,780
+.. الفئة المستهدفة فجزء من يعني شغل بتفرض .. بتفرض
+
+498
+00:38:27,780 --> 00:38:34,100
+عليك أنك أنت تعمل incremental development هي أنه
+
+499
+00:38:34,100 --> 00:38:38,780
+.. أنه أنت مش قادر .. ما بتقدرش تعرف .. تعرف السوق
+
+500
+00:38:38,780 --> 00:38:44,650
+إيش مادة، ففي هذه الحالة ما بتقدر تعمل اللي هو
+
+501
+00:38:44,650 --> 00:38:49,770
+waterfall أو تشتغل بطريقة waterfall كذلك الحال
+
+502
+00:38:49,770 --> 00:38:54,090
+فإحنا قلنا هنا لما يكون أنت بدك تعمل small to
+
+503
+00:38:54,090 --> 00:38:59,170
+medium size و تكون بدك تطلع للبيع مش يعني لمؤسسة
+
+504
+00:38:59,170 --> 00:39:03,050
+معينة كذلك الحالة لو كان لمؤسسة معينة custom
+
+505
+00:39:03,050 --> 00:39:06,910
+development within an organization برضه في كثير من 
+
+506
+00:39:06,910 --> 00:39:11,350
+الأحيان ال custom المؤسسات لما بتطلب software برضه
+
+507
+00:39:11,350 --> 00:39:15,570
+هم بيبقوش عارفين اللي بدهم اياه كله من البداية
+
+508
+00:39:15,570 --> 00:39:20,750
+ممكن يكون عارفين تلت أربع نص ربع من ال .. في
+
+509
+00:39:20,750 --> 00:39:24,690
+الأول لكن قدام لكن الباقي مش عارفينه فبيبين معاهم
+
+510
+00:39:24,690 --> 00:39:27,690
+قدام ففي الحالتين هدول لما كنت بدك تعمل custom
+
+511
+00:39:27,690 --> 00:39:31,810
+development ل system حتى وإن كان very large system
+
+512
+00:39:31,810 --> 00:39:37,330
+custom development system لمؤسسة أو بدك تعمل small
+
+513
+00:39:37,330 --> 00:39:42,920
+to medium sized للبيع فأنت محتاج محتاج آلية
+
+514
+00:39:42,920 --> 00:39:47,280
+آلية عمل أو منهجية اللي تسمح بالاش بال
+
+515
+00:39:47,280 --> 00:39:50,400
+incremental development بالتجزئة العمل بالتجزئة
+
+516
+00:39:50,400 --> 00:39:58,380
+أنك تطلع ال software على مراحل okay فهذا
+
+517
+00:39:58,380 --> 00:40:07,220
+هو اللي بيستخدم إيه ال agile method development
+
+518
+00:40:07,220 --> 00:40:15,010
+ال agile method بنعطي مثال عليها هرجع تاني أنا على
+
+519
+00:40:15,010 --> 00:40:19,890
+ال slides دي
+
+520
+00:40:19,890 --> 00:40:26,950
+okay
+
+521
+00:40:52,760 --> 00:40:55,800
+agile development هي نوع من أنواع ال incremental
+
+522
+00:40:55,800 --> 00:41:00,320
+إيش قلنا في ال incremental الخاصية الأساسية لل
+
+523
+00:41:00,320 --> 00:41:04,100
+incremental development أنه بتطلع ال system على
+
+524
+00:41:04,100 --> 00:41:07,980
+increments ماشي increments يعني بتتخيل ال
+
+525
+00:41:07,980 --> 00:41:13,720
+requirements كلها بتحدد الأهم بت .. اه بتحطه في
+
+526
+00:41:13,720 --> 00:41:17,460
+increment و بتقول أنا .. أنا بدي أشتغل على هذا ال
+
+527
+00:41:17,460 --> 00:41:21,440
+increment و أطلع فهذا ال agile هو نوع من أنواع ال
+
+528
+00:41:21,440 --> 00:41:27,230
+increment، بسمّي ال increment بسمّيها release release
+
+529
+00:41:27,230 --> 00:41:31,430
+كلمة release يعني إصدار يعني أنت افترض شركة
+
+530
+00:41:31,430 --> 00:41:35,090
+software و بدك تطلع ال software ل ال market للبيع
+
+531
+00:41:35,090 --> 00:41:39,810
+فهتطلع أول release من ال software ال release هذه
+
+532
+00:41:39,810 --> 00:41:47,310
+بدك تشتغلها بالآلية هذه أنه أول شيء بدك 
+
+533
+00:41:47,310 --> 00:41:52,980
+تحدد user stories for this release أول شيء release
+
+534
+00:41:52,980 --> 00:41:59,660
+هنا إيه اللي قلناه تساوي increment صح أو version
+
+535
+00:41:59,660 --> 00:42:03,120
+هنا
+
+536
+00:42:03,120 --> 00:42:12,320
+user story story يعني قصة feedback user
+
+537
+00:42:12,320 --> 00:42:14,560
+story هنا مقصود بها requirement
+
+538
+00:42:18,220 --> 00:42:23,200
+يعني متطلب، كل متطلب بنسميه story في ال agile
+
+539
+00:42:23,200 --> 00:42:30,600
+development okay فأنت بدك تحدد الآن مجموعة ال
+
+540
+00:42:30,600 --> 00:42:34,640
+requirements لهذا ال release select ال user
+
+541
+00:42:34,640 --> 00:42:38,660
+stories for this release لما بنقول select بذكرنا
+
+542
+00:42:38,660 --> 00:42:43,400
+بأنه قضية أن إحنا بنحدد ال requirements قدر
+
+543
+00:42:43,400 --> 00:42:48,750
+الإمكان ثم بعدين بنختار منها اللي هو مين ال most
+
+544
+00:42:48,750 --> 00:42:54,510
+يعني ال priority العالية و بنختاره على أساس أن ال
+
+545
+00:42:54,510 --> 00:42:59,490
+stories هذه بتتجسّم
+
+546
+00:42:59,490 --> 00:43:08,230
+إلى tasks هنا programming tasks
+
+547
+00:43:08,230 --> 00:43:14,010
+كلمة task أحيانًا استخدمها بمعنى user task
+
+548
+00:43:16,590 --> 00:43:22,010
+إذا قلنا user task فأصبحت هي و ال story واحدة لكن
+
+549
+00:43:22,010 --> 00:43:28,770
+لما نستخدمها task بمعنى programming task إيش أصبح
+
+550
+00:43:28,770 --> 00:43:29,330
+الفرق؟
+
+551
+00:43:33,500 --> 00:43:36,740
+لما أنا أقول programming task مش user task واضح
+
+552
+00:43:36,740 --> 00:43:40,900
+ليش user task جالي بنفس المعنى هنا أن user task
+
+553
+00:43:40,900 --> 00:43:45,040
+يعني أنا ك user بدي أعمل كده على البرنامج فهذا كده
+
+554
+00:43:45,040 --> 00:43:48,960
+هو ال task أو فهو هذا ال task هو ال story هو ال
+
+555
+00:43:48,960 --> 00:43:54,010
+requirement لكن لما أقول programming task بحاوله
+
+556
+00:43:54,010 --> 00:43:57,930
+عادة لما إحنا مثلًا نيجي نقول والله ال user بده يخش
+
+557
+00:43:57,930 --> 00:44:00,790
+على ال system فهذه task أن أحط ال user name و ال
+
+558
+00:44:00,790 --> 00:44:04,230
+password تبعته على ال system هذه task لكن عشان أنا
+
+559
+00:44:04,230 --> 00:44:08,430
+أبرمجها ربما أحتاج في الأول أعمل database لل
+
+560
+00:44:08,430 --> 00:44:13,990
+accounts بعدين أعمل آلية أن هو ياخد ال user name و 
+
+561
+00:44:13,990 --> 00:44:17,870
+ال password من ال user و يشفرهم بعدين بعد ما 
+
+562
+00:44:17,870 --> 00:44:22,150
+يشفرهم يبعتهم بعد ما يبعتهم ياخد ال reply من ال
+
+563
+00:44:22,150 --> 00:44:26,670
+server و يطلعله ال message اذا هي فيها error او 
+
+564
+00:44:26,670 --> 00:44:30,810
+يدخله على فهذه الان ال task هذه اللي هي ال task
+
+565
+00:44:30,810 --> 00:44:33,670
+دخول ال user على ال system اللي هي user task
+
+566
+00:44:33,670 --> 00:44:39,380
+اتحللت إلى أو ترتب عليها مجموعة من البرامجية
+
+567
+00:44:39,380 --> 00:44:43,100
+البرامجية البرامجية
+
+568
+00:44:43,100 --> 00:44:50,320
+البرامجية البرامجية البرامجية
+
+569
+00:44:50,320 --> 00:44:54,480
+البرامجية
+
+570
+00:44:54,480 --> 00:44:59,640
+البرامجية
+
+571
+00:44:59,640 --> 00:45:07,580
+البرامجية البرامجية هنا ال plan معناته انه بعد ما
+
+572
+00:45:07,580 --> 00:45:12,360
+انعرفت ال stories و اتعرف كل story ايش بيترتب
+
+573
+00:45:12,360 --> 00:45:18,280
+عليها مهام برمجية نقدر نوزع الشغل الآن على الأفراد
+
+574
+00:45:18,280 --> 00:45:24,010
+و على الزمن و نعمل ال plan تمام؟ ال plan هذه بتنعمل
+
+575
+00:45:24,010 --> 00:45:27,650
+للـ release يعني ايش معناته؟ معناته كل release بده 
+
+576
+00:45:27,650 --> 00:45:32,310
+يش plan لحاله صح؟ فهنا الخاصية الأساسية لل
+
+577
+00:45:32,310 --> 00:45:36,190
+incremental development بصفة عامة وهذا واحد منهم 
+
+578
+00:45:36,190 --> 00:45:41,330
+اللي هي انه احنا ال planning ماشي مع ال development
+
+579
+00:45:41,330 --> 00:45:45,470
+مش يسبقوا ان احنا بنعمل planning وبعدين بننفذ لأ
+
+580
+00:45:45,470 --> 00:45:49,130
+بنعمل planning أثناء الشغل okay هنا بيتم ال 
+
+581
+00:45:49,130 --> 00:45:52,470
+planning على كل ال release لحاله تمام فبعد كده
+
+582
+00:45:52,470 --> 00:45:58,110
+develop و integrate و test هذا كله ماشي مع بعضه
+
+583
+00:45:58,110 --> 00:46:02,010
+interleaved develop okay و integrate develop يعني
+
+584
+00:46:02,010 --> 00:46:04,810
+ايه البرمجة و integrate يعني ادمج المكونات اللي
+
+585
+00:46:04,810 --> 00:46:09,230
+عملت و test او اختبار اختبار اختبار المكون الواحد
+
+586
+00:46:09,230 --> 00:46:13,890
+و اختبار ال integration الدمج بعد هيك بنزل ال 
+
+587
+00:46:13,890 --> 00:46:19,550
+software ال software هنا يقصد بيه ايش بيقصد
+
+588
+00:46:19,550 --> 00:46:23,510
+بيه ال release الواحدة okay الان ال release هذه
+
+589
+00:46:23,510 --> 00:46:30,440
+بنعملها evaluation كده هيمقبولة من قبل الـ user
+
+590
+00:46:30,440 --> 00:46:33,880
+بدا تعديلات بدا إضافات بدا حدث بدا كده و ي
+
+591
+00:46:33,880 --> 00:46:39,900
+evaluate وبعد هيك بنشوف إيش استجد من ال stories و
+
+592
+00:46:39,900 --> 00:46:42,680
+إيش stories تانية بدنا نجيبها من الأصل اللي كنا
+
+593
+00:46:42,680 --> 00:46:47,700
+محددينها و بنخطط و بنحدد مجموعة .. مجموعة ال
+
+594
+00:46:47,700 --> 00:46:52,340
+stories مجموعة ال requirements اللي بدنا نزلها في
+
+595
+00:46:52,340 --> 00:46:57,960
+ال ash في ال release التالية وهي دورة عمل اللي هو 
+
+596
+00:46:57,960 --> 00:47:01,840
+ال agile development
+
+597
+00:47:01,840 --> 00:47:05,080
+okay فنعم
+
+598
+00:47:07,540 --> 00:47:13,020
+هتلاقي كثير لأنه وين ما في product للماركت أي
+
+599
+00:47:13,020 --> 00:47:16,680
+product للماركت و ال product هذا مستمر طالما انه
+
+600
+00:47:16,680 --> 00:47:21,820
+مستمر فعملية ال update عليه عملية التحديث لازم تتم
+
+601
+00:47:21,820 --> 00:47:26,460
+بقالية زيك أو مشابهة لهذا الكلام انه انت بتتعرف 
+
+602
+00:47:26,460 --> 00:47:30,260
+على ال requirements بتستجد عليك ال requirements و
+
+603
+00:47:30,260 --> 00:47:36,400
+.. و بتخططلها لـ release القادمة ما بتعمل كل
+
+604
+00:47:36,400 --> 00:47:39,200
+requirement لما و الله واحد بيقولك و الله بدنا كده
+
+605
+00:47:39,200 --> 00:47:42,800
+بتروح على طول تبقى تشتغل عليها لأ بتنزلها على ..
+
+606
+00:47:42,800 --> 00:47:47,740
+على .. على كل ال requirements اللي موجود عندك اللي 
+
+607
+00:47:47,740 --> 00:47:50,680
+على الطبور و بعدين بتاخد من طبور ال requirements
+
+608
+00:47:51,260 --> 00:47:58,340
+الإياش الأهم عشان تنزلوا في الدفع اللاحقا okay
+
+609
+00:47:58,340 --> 00:48:02,480
+فخلينا نمر على الخصائص الأساسية لل agile
+
+610
+00:48:02,480 --> 00:48:07,280
+programming أو development انه في عندنا بالأساس هي 
+
+611
+00:48:07,280 --> 00:48:11,760
+incremental incremental إياشما قلتش incremental
+
+612
+00:48:11,760 --> 00:48:14,460
+development لو قلت incremental development معناته 
+
+613
+00:48:14,460 --> 00:48:18,700
+ان انا عملت planning مسبق ولكن التنفيذ نفذته على 
+
+614
+00:48:18,700 --> 00:48:22,860
+أجزاء لأ هنا incremental ايش planning التخطيط نفسه
+
+615
+00:48:22,860 --> 00:48:26,860
+تم على أجزاء انا ماحطيت خطة بعيدة المدى لكل
+
+616
+00:48:26,860 --> 00:48:32,240
+العملية لأ حطيت خطة في الأول لل release هذه خوصت
+
+617
+00:48:32,240 --> 00:48:37,880
+منها عملت خطة جديدة لل release اللاحق small الـ
+
+618
+00:48:37,880 --> 00:48:43,220
+Releases هذه عادةً هنشوف قدام بيحكموها بزمن معين
+
+619
+00:48:43,220 --> 00:48:47,080
+ان والله كل شهرين بده انزل او كل شهر بده انزل
+
+620
+00:48:47,080 --> 00:48:50,740
+Release وبالتالي كمية ال requirements اللي بتنعمل
+
+621
+00:48:50,740 --> 00:48:55,120
+في شهر تتنازل مع طاقة فريق العمل اذا انا اندي بس
+
+622
+00:48:55,120 --> 00:49:00,570
+اربعة ولا خمسة فمش هحط requirements او stories إلا
+
+623
+00:49:00,570 --> 00:49:05,670
+على ما يستطيع هؤلاء الاربع والخمس يفعلوه في شهر أو 
+
+624
+00:49:05,670 --> 00:49:10,470
+إذا شهرين تمام؟ simple design إنه ال design بالاصل
+
+625
+00:49:10,470 --> 00:49:15,970
+بيكون بسيط جدا إيش السبب؟ ليش بان هي simple؟ علشان
+
+626
+00:49:15,970 --> 00:49:20,290
+لو انت عملت إشي وقالج واحد بعده كي يكمل عليه او
+
+627
+00:49:20,290 --> 00:49:23,510
+إذا ماكانش simple هيقعد واحد كبير عبال ما يستوه
+
+628
+00:49:23,510 --> 00:49:27,430
+بانت كيف سويته عشان يقدر يضيف عليه أو يغير عليه لأ
+
+629
+00:49:27,430 --> 00:49:33,040
+لازم يبقى بسيط test first development ما
+
+630
+00:49:33,040 --> 00:49:38,460
+بتنزلش إشي إلا أنت عامله يعني .. يعني هنا .. هنا 
+
+631
+00:49:38,460 --> 00:49:42,920
+ال testing هذا قولت أنا بتتم على مستوى ال function
+
+632
+00:49:42,920 --> 00:49:46,280
+الواحدة أو ال class الواحد أو ال object الواحد و 
+
+633
+00:49:46,280 --> 00:49:50,560
+أيضا على مستوى ال system ككل لما أدمج المكون مع
+
+634
+00:49:50,560 --> 00:49:54,100
+المكونات الأخرى فعملية ال testing في ال .. في ال
+
+635
+00:49:54,100 --> 00:50:00,100
+.. في ال agile عملية أساسية جدا جدا جدا تمام الـ 
+
+636
+00:50:00,100 --> 00:50:03,380
+Refactoring الـ Refactoring مش عارف سمعته في 
+
+637
+00:50:03,380 --> 00:50:07,260
+المصطلح حاجة جاب ليك ولا لا بس يقصد بأن أنت لحالك 
+
+638
+00:50:08,150 --> 00:50:12,150
+بتجعلك تراجع ال code تبعك باستمرار اللي انت كتبته
+
+639
+00:50:12,150 --> 00:50:16,770
+و تشوف ايش فيه امكانية للتعديل عليه وتحسينه من هنا
+
+640
+00:50:16,770 --> 00:50:20,910
+software quality software quality اه انت كتبت
+
+641
+00:50:20,910 --> 00:50:24,350
+function ال function هذه بتاخد رقمين و بتجمعهم و
+
+642
+00:50:24,350 --> 00:50:28,490
+بتطلع برا مافيش فيها ايش يتعدل لكن احيانا نكتب
+
+643
+00:50:28,490 --> 00:50:32,170
+function بتعمل شغل كتير و بتطلع output صح فانت
+
+644
+00:50:32,170 --> 00:50:37,320
+عملت في الأول و بتشتغل صح ما فيش أي مشكلة بعد فترة
+
+645
+00:50:37,320 --> 00:50:44,160
+جيت فتحتها و حاولت تفهمها و جيتها شوية مكلقة فبتروح
+
+646
+00:50:44,160 --> 00:50:48,940
+انت منك لحالك بتعدل ال design بتبسطها واخد بالك
+
+647
+00:50:48,940 --> 00:50:51,940
+فال refactoring هنا كل ال developers are expected
+
+648
+00:50:51,940 --> 00:50:55,900
+to refactor ال code ال refactoring هنا عملية بتتم 
+
+649
+00:50:55,900 --> 00:50:59,860
+على ال code اللي كتبته البرمجة اللي انت عملتها
+
+650
+00:50:59,860 --> 00:51:04,660
+بحيث انك انت دايما و باستمرار continuously إنه
+
+651
+00:51:08,500 --> 00:51:13,960
+تخلي تعمل improvement على ال code ال user ما
+
+652
+00:51:13,960 --> 00:51:18,620
+بيشوفوش صح يالها لكن انت معنى فريق العمل معنى بأن 
+
+653
+00:51:18,620 --> 00:51:21,920
+ال code هذا يبقى high quality على أساس إيش؟ على
+
+654
+00:51:21,920 --> 00:51:26,280
+أساس إن جدام جينا changes صح باستمرار فالإحتمال
+
+655
+00:51:26,280 --> 00:51:29,660
+انا واحد من ال changes أرجع أفتح code أنا عامله
+
+656
+00:51:29,660 --> 00:51:34,300
+فإذا لجيت ال code يعني مش مكتوب صح هتعب في فهمه
+
+657
+00:51:34,300 --> 00:51:37,370
+هتعب في التعديل عليه فلازم اللي كتب code دايما 
+
+658
+00:51:37,370 --> 00:51:41,110
+باستمرار ي .. هذا تمام؟ قضية ال pair programming
+
+659
+00:51:41,110 --> 00:51:49,170
+ايش يعني pair؟ ازواج اه اما اتنين مبرمجين او مبرمج 
+
+660
+00:51:49,170 --> 00:51:55,050
+و customer قضية ال customer جزء أساسي من أسلوب 
+
+661
+00:51:55,050 --> 00:51:58,770
+العمل هذا ال agile software development ال pair
+
+662
+00:51:58,770 --> 00:52:02,350
+programming الـ Developers work in pair يعني بيبقوا 
+
+663
+00:52:02,350 --> 00:52:06,790
+جاعدين على جهاز واحد اتنين مع بعض ببرمجه او بصممه
+
+664
+00:52:06,790 --> 00:52:13,170
+في ال task okay هذا بي .. بي .. يعني انت مثلا ممكن
+
+665
+00:52:13,170 --> 00:52:16,950
+تبقى مش ماخد بالك من حاجة اللي زميلك ينبهك واضح
+
+666
+00:52:16,950 --> 00:52:20,130
+الأفكار انت فكر في شغل التاني يقولك اه والله كويس
+
+667
+00:52:20,130 --> 00:52:24,410
+بس لو كانت هيك يتحسن على الأفكار واضح فالعمل في
+
+668
+00:52:24,410 --> 00:52:27,810
+أزواج اتنين جاعدين على ال system ممكن برضه واحد
+
+669
+00:52:27,810 --> 00:52:31,110
+يريح التاني يعني الان انا ماسك ال keyboard بعد
+
+670
+00:52:31,110 --> 00:52:34,150
+ساعة هو اللي يمسك ال keyboard يعني في النهاية
+
+671
+00:52:34,150 --> 00:52:39,570
+ادمغين على ال task بغض النظر عن مين اللي ايده على
+
+672
+00:52:39,570 --> 00:52:43,360
+ال keyboard واضح؟ developers work in pairs checking
+
+673
+00:52:43,360 --> 00:52:47,480
+each other's work بيفحصه أو يعني بيراقبه و ايه
+
+674
+00:52:47,480 --> 00:52:50,360
+اللي هذا تمام ال collective ownership قضية ال 
+
+675
+00:52:50,360 --> 00:52:53,680
+ownership هي قضية مهمة في ال agile إنه ال
+
+676
+00:52:53,680 --> 00:52:57,120
+developer و ال user لما بيحس إن هذا ال software
+
+677
+00:52:57,120 --> 00:53:03,820
+ملكه يعني إله هو تبعه مش إنه مجرد منتج عمله و باعه
+
+678
+00:53:03,820 --> 00:53:08,580
+في السوق لأ وجود الإحساس هذا الإحساس بال ownership
+
+679
+00:53:09,300 --> 00:53:15,960
+طبعا هذا شيء مهم جدا طبعا فكيف بتعزز الاحساس بال
+
+680
+00:53:15,960 --> 00:53:21,200
+ownership لو انا عملت بس جزئية و خلاص و بدرعش انا 
+
+681
+00:53:21,200 --> 00:53:23,800
+عن باقي الجزئيات التانية اللي عملوها المبرمجين
+
+682
+00:53:23,800 --> 00:53:27,460
+الأخرين في فريق العمل فانا خلاص انا معنى باللي
+
+683
+00:53:27,460 --> 00:53:33,790
+عملته مش مهتم بال system ككل لكن لما بينتقل ال
+
+684
+00:53:33,790 --> 00:53:38,130
+developer من task ل task أخرى ل task أخرى من جزء
+
+685
+00:53:38,130 --> 00:53:41,410
+في ال system اللي انا اشتغل على ال interface قدامي
+
+686
+00:53:41,410 --> 00:53:44,290
+اشتغل على ال database قدامي اشتغل على ال server
+
+687
+00:53:44,290 --> 00:53:49,870
+كده تنقل ال developer من جزئي لجزئية أخرى في ال
+
+688
+00:53:49,870 --> 00:53:54,190
+system صار عارف ال system كله صار له يد في كل 
+
+689
+00:53:54,190 --> 00:53:59,590
+جوانب ال system فانا بعزز شعوره بأن ال system هذا
+
+690
+00:54:00,570 --> 00:54:04,610
+أه كأنه ابنه يعني كأنه .. كأنه هو .. كأنه إلهم
+
+691
+00:54:04,610 --> 00:54:08,550
+فبتعزز الشعور هذا عند كل ال developers ال
+
+692
+00:54:08,550 --> 00:54:13,270
+continuous integration إنه احنا عادة بنعمل release
+
+693
+00:54:13,270 --> 00:54:16,350
+ال release التاني عبارة عن إضافات عليها فهذه 
+
+694
+00:54:16,350 --> 00:54:19,870
+الإضافات بتيجي على ال release السابقة وبتعمل 
+
+695
+00:54:19,870 --> 00:54:23,930
+integration إليها فاحنا باستمرار we add .. we
+
+696
+00:54:23,930 --> 00:54:29,820
+integrate components على الموجود سابقا Sustainable
+
+697
+00:54:29,820 --> 00:54:33,360
+pace، ايش قولنا Sustainable pace؟ قولنا إن ال
+
+698
+00:54:33,360 --> 00:54:38,440
+releases بتنزل في شهر، كل شهر أو كل شهرين Release،
+
+699
+00:54:38,440 --> 00:54:44,900
+تمام؟ هذي الشهر أو شهرين حددوا عليه أساس، على أساس
+
+700
+00:54:44,900 --> 00:54:49,640
+قدرة فريق العمل، احنا لأننا فريق عمل كبير، ممكن
+
+701
+00:54:49,640 --> 00:54:56,640
+ننزل Release كل شهر فريق عمل أقل ممكن شهرين كذلك
+
+702
+00:54:56,640 --> 00:55:01,240
+الحال أنا بدي المبرمج يشتغل كم ساعة في اليوم إذا
+
+703
+00:55:01,240 --> 00:55:05,060
+أنا شغلته أكثر من أربعين ساعة في اليوم تبدأ كفاءته 
+
+704
+00:55:05,060 --> 00:55:13,020
+تنخفض أربعين ساعة فمبدأ أساسي في اللي هو في العمل
+
+705
+00:55:13,020 --> 00:55:17,900
+في الـ agile أنه ما يشتغلش أكثر من أربعين ساعة حتى
+
+706
+00:55:17,900 --> 00:55:20,760
+لو مش مخلص لازم يسيب الشغل
+
+707
+00:55:26,250 --> 00:55:29,330
+أنا ايش قلت؟ تبتقول أربعين ساعة في اليوم؟ لأ لأ لأ
+
+708
+00:55:29,330 --> 00:55:31,250
+يا جماعة في حد مش بتقول أربعين ساعة في اليوم 
+
+709
+00:55:31,250 --> 00:55:35,570
+أربعين ساعة في الأسبوع ناسر أربعين ساعة في الأسبوع
+
+710
+00:55:35,570 --> 00:55:40,270
+تمام حتى كمان أنه ياخد يشتغل أكثر ويأخذ عليها
+
+711
+00:55:40,270 --> 00:55:45,290
+overtime برضه هذا ممنوع خلاص أربعين ساعة في
+
+712
+00:55:45,290 --> 00:55:50,550
+الأسبوع و بس okay طاقته الذهنية و البدنية بدنا
+
+713
+00:55:50,550 --> 00:55:56,690
+نحافظ عليها لليوم اللي بعده تمام؟ الـ on-site هذه
+
+714
+00:55:56,690 --> 00:56:00,950
+أهم شغل تقريبا في الـ agile development أنه ال
+
+715
+00:56:00,950 --> 00:56:05,010
+customer .. الـ customer لازم يبقى موجود مع فريق
+
+716
+00:56:05,010 --> 00:56:09,050
+العمل مش أنه احنا بنروحله زيارات أو بنعمل معاه
+
+717
+00:56:09,050 --> 00:56:14,390
+اجتماع كل مثلا أسبوع بنلتقي بيه هو معانا في عملية
+
+718
+00:56:14,390 --> 00:56:19,410
+الـ development مش كمصمم مش كمبرمج لأ كمتابع يقول
+
+719
+00:56:19,410 --> 00:56:23,630
+لي والله هذا هي كمصبوط هذه الـ requirement ان عملها
+
+720
+00:56:23,630 --> 00:56:27,650
+زي ما هو بدوها فهذا برضه كمان بعزز الـ ownership
+
+721
+00:56:27,650 --> 00:56:30,490
+and الـ customer بس إن هو الـ customer حاسس ان ال
+
+722
+00:56:30,490 --> 00:56:36,030
+system هذا اللي في عاجزه اسمها product champion ال
+
+723
+00:56:36,030 --> 00:56:40,690
+champion يعني بطل فهو مندوب الشركة أو مندوب ال
+
+724
+00:56:40,690 --> 00:56:45,150
+users مع فريق العمل هذي بيسموه product champion
+
+725
+00:56:45,150 --> 00:56:48,590
+بيضلوا مستمر معاهم في طول عملية الـ development
+
+726
+00:56:48,590 --> 00:56:53,470
+okay فاحنا الآن بيوقف عن هنا المحاضرة الجاية بنرجع 
+
+727
+00:56:53,470 --> 00:56:56,950
+من البداية وبنمر على تفاصيل اللي هو الـ agile
+
+728
+00:56:56,950 --> 00:56:58,290
+programming من البداية 
diff --git a/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/b3jyephQR1o_raw.srt b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/b3jyephQR1o_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..edf06e9d74be1243ac407e4cce61ff093b6a17a9
--- /dev/null
+++ b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/b3jyephQR1o_raw.srt
@@ -0,0 +1,2928 @@
+1
+00:00:21,080 --> 00:00:23,080
+بسم الله الرحمن الرحيم الصلاة والسلام على أشهر
+
+2
+00:00:23,080 --> 00:00:25,940
+المرسلين اليوم ان شاء الله بدنا أن ننهي chapter
+
+3
+00:00:25,940 --> 00:00:29,840
+اتنين في اللي كنا بدينا فيه قبل هيكة وحكينا عن ال
+
+4
+00:00:29,840 --> 00:00:34,600
+software processes وشوفنا اللي هو ال models وشوفنا
+
+5
+00:00:34,600 --> 00:00:38,600
+ال activities وشوفنا مسالة التعامل معاها ال change
+
+6
+00:00:39,230 --> 00:00:43,710
+Okay المتغيرات اللي بتحصل على المتطلبات أثناء
+
+7
+00:00:43,710 --> 00:00:48,290
+عملية ال design و ال development و الآن بدنا نجف
+
+8
+00:00:48,290 --> 00:00:50,550
+عند اللي هو آخر bundle اللي هو rational unified
+
+9
+00:00:50,550 --> 00:00:56,590
+process okay اللي هو عبارة عن نموذج أخر من نماذج
+
+10
+00:00:56,590 --> 00:01:02,070
+developing ال software بيجمع ما بين خصائص اللي هو
+
+11
+00:01:02,070 --> 00:01:06,290
+النماذج اللي شوفناها قبل هيك okay تمام أخر أشي كنا
+
+12
+00:01:06,290 --> 00:01:11,110
+شوفناها ال spiral تمامو بعدين وجفنا عند اللي هو
+
+13
+00:01:11,110 --> 00:01:16,430
+rational unified process rational unified process
+
+14
+00:01:17,220 --> 00:01:21,040
+ال rational unified process لو نطلع عليها قبل ما
+
+15
+00:01:21,040 --> 00:01:26,540
+نحكي في الكلام هذا نطلع على الشكل هذا يوضح ال
+
+16
+00:01:26,540 --> 00:01:30,840
+process كلها ال process يعني ايه اللي هو المراحل و
+
+17
+00:01:30,840 --> 00:01:35,060
+ايش اللي بي .. كل مرحلة ايش اللي بيصير فيها عندك
+
+18
+00:01:35,060 --> 00:01:38,900
+انت بالاساس مجموعة من ال activities اللي هم ال
+
+19
+00:01:38,900 --> 00:01:42,080
+inception ال elaboration ال construction و ال
+
+20
+00:01:42,080 --> 00:01:46,880
+transition okayلأن الأسهم هذه البيضاوية والسهم
+
+21
+00:01:46,880 --> 00:01:50,840
+اللي فوق هذا إشارة إلى ال iteration بمعنى أنه احنا
+
+22
+00:01:50,840 --> 00:01:56,980
+كل مرحلة كل مرحلة بداخلها بتتم على شكل مجموعة من
+
+23
+00:01:56,980 --> 00:02:00,680
+ال iterations هي في حزتها يعني ال inception هنا
+
+24
+00:02:00,680 --> 00:02:04,880
+اللي هي تحديد
+
+25
+00:02:04,880 --> 00:02:11,000
+الفكرة
+
+26
+00:02:12,180 --> 00:02:21,400
+من البداية ال elaboration تفصيل الفكرة والجدوة
+
+27
+00:02:21,400 --> 00:02:26,440
+تمام؟ ال construction هذا بيشمل اللي هو ال design
+
+28
+00:02:26,440 --> 00:02:31,580
+وال developmentو ال transition اللي هو تسليم ال
+
+29
+00:02:31,580 --> 00:02:37,980
+system للمستخدم و كل ما يترتب على ذلك من متابعة و
+
+30
+00:02:37,980 --> 00:02:44,860
+صيانة و .. لأن هذا تحديد الفكرة بترمش من خطوة
+
+31
+00:02:44,860 --> 00:02:50,320
+واحدة بيتتم و بينعمل عادة تقييم و بيتكرر لحد ديت
+
+32
+00:02:50,320 --> 00:02:56,760
+ما يصير في إيش .. يصير في .. يعني تتبرر بشكل ..
+
+33
+00:02:56,760 --> 00:03:03,040
+بشكل أدقيمالان هذا كله الامر اللي هو الـ Inception
+
+34
+00:03:03,040 --> 00:03:05,180
+و ال elaboration و ال construction و ال transition
+
+35
+00:03:05,180 --> 00:03:12,440
+ممكن ايضا يتم ككـ Iteration وإن عمل مرة تانية
+
+36
+00:03:12,440 --> 00:03:16,120
+Iteration تانية منه و Iteration تالتة يعني بتقدر
+
+37
+00:03:16,120 --> 00:03:20,860
+تتخيل أن هذا الكلام كله بدي ينتج prototype أولي
+
+38
+00:03:20,860 --> 00:03:25,380
+prototype مبدأي أو version أولى من ال system ثم
+
+39
+00:03:25,380 --> 00:03:31,450
+يعاد يقرر مرة تانية علشان ينتج versionتانية واذا
+
+40
+00:03:31,450 --> 00:03:34,890
+لازم الأمر تالتة و .. ففيها ان احنا خلينا نطلع
+
+41
+00:03:34,890 --> 00:03:38,950
+الآن على ال .. اول شيء وصف العمليات الأربعة هدولة
+
+42
+00:03:38,950 --> 00:03:42,370
+او الأنشطة الأربعة اللي هو ال inception قولنا
+
+43
+00:03:42,370 --> 00:03:48,520
+inception اللي هو الفكرة الأساسيةestablish the
+
+44
+00:03:48,520 --> 00:03:54,140
+business case for the system ان انت عندك فكرة زي
+
+45
+00:03:54,140 --> 00:03:56,680
+ما انت و جيتوني قبل هيك عشان انتوا يعروني ال
+
+46
+00:03:56,680 --> 00:04:00,380
+projects اللي انتوا بدكوا تقترحوها كان كل واحد
+
+47
+00:04:00,380 --> 00:04:06,160
+عنده الفكرة و بده يحاول يوضحها و أيضا يوضح جدواها
+
+48
+00:04:06,160 --> 00:04:10,580
+صح؟ فهنا نفس الاشي انت في هذه المرحلة ال team فريق
+
+49
+00:04:10,580 --> 00:04:18,050
+العمل بده يولد الفكرة و أيضا كذلك الحالحاول يشوف
+
+50
+00:04:18,050 --> 00:04:23,250
+يدرس ماذا جدواها وشوف إذا كان مستهلا ولا مش مستهلا
+
+51
+00:04:23,250 --> 00:04:23,990
+تمام؟
+
+52
+00:04:26,330 --> 00:04:31,770
+Okay الآن هنا ال elaboration هذا زي ما قلت انا هنا
+
+53
+00:04:31,770 --> 00:04:35,970
+توليد الفكرة وهنا تفصيل الفكرة فهدول الخطوتين
+
+54
+00:04:35,970 --> 00:04:42,510
+لازال في مرحلة تحديد الفكرة بس هنا تبدأ انت تتفصل
+
+55
+00:04:42,510 --> 00:04:48,350
+و تحط شوية عن ال architecture تبع ال system يعني
+
+56
+00:04:48,350 --> 00:04:53,850
+انت ممكن و انت بتعرض في الفكرة تبعتك تكونخطيط خطوة
+
+57
+00:04:53,850 --> 00:04:59,210
+متقدمة وعملت تصور لـ System كيف هيكون مكوناته
+
+58
+00:04:59,210 --> 00:05:02,850
+الأساسية إما مكوناته الظاهرية زي مثلا الشاشات و
+
+59
+00:05:02,850 --> 00:05:08,010
+الـ interface يعني أو مكوناته الداخلية اللي هي إذا
+
+60
+00:05:08,010 --> 00:05:13,290
+كان في database ولا إذا كان في subsystems
+
+61
+00:05:13,290 --> 00:05:16,270
+تمام؟ هنا الـ System Architecture هذا بيشمل زي ما
+
+62
+00:05:16,270 --> 00:05:19,250
+قلنا اللي هو عبارة عن مكونات الأساسية للـ System
+
+63
+00:05:20,030 --> 00:05:25,830
+واضحة ان انت انتقلت من جدوة هنا the case for يعني
+
+64
+00:05:25,830 --> 00:05:37,110
+انت المبررات او الاش الاسباباللي بتخلينا نحتاج هذا
+
+65
+00:05:37,110 --> 00:05:41,050
+ال system بعد ما تجاوزنا هذا المرحلة مرحلة انه
+
+66
+00:05:41,050 --> 00:05:44,890
+والله أهمية ال system بدنا نخش شوية في التفاصيل و
+
+67
+00:05:44,890 --> 00:05:50,190
+نطلع في الآخر بفكرة عن ال system ككل ايش اللي هو
+
+68
+00:05:50,190 --> 00:05:54,230
+ال هيكلية تبعته و التركيب تبعته okay هذا الكلام
+
+69
+00:05:54,230 --> 00:05:58,150
+ضروري جدا علشان احنا بعدها نبدأ في ال construction
+
+70
+00:05:58,150 --> 00:06:01,250
+ال construction اللي هو ال design و ال programming
+
+71
+00:06:01,250 --> 00:06:05,120
+و أيضا معاكم امان ايش ال testingالـ Transition إيش
+
+72
+00:06:05,120 --> 00:06:08,200
+قلنا لـ Transition؟ Transition الكلمة في حد ذاتها
+
+73
+00:06:08,200 --> 00:06:11,600
+التحول، تحول إيش يعني؟ يعني ال system بنطلعه من
+
+74
+00:06:11,600 --> 00:06:15,240
+المختبر ونحطه على أرض الواقع في .. بين إيدين
+
+75
+00:06:15,240 --> 00:06:19,080
+الزبون صح؟ فهذا معناته الـ deploy كلمة الـ deploy
+
+76
+00:06:19,080 --> 00:06:25,080
+يعني بتقدر تقول خلاص يعني توظيف ال system على أرض
+
+77
+00:06:25,080 --> 00:06:25,580
+الواقع
+
+78
+00:06:28,140 --> 00:06:31,600
+The system and in its operating environment اللي
+
+79
+00:06:31,600 --> 00:06:35,920
+هو مناخ العمل الحقيقي اللي بدوا يستخدم فيه وضع
+
+80
+00:06:35,920 --> 00:06:39,660
+يعني انت فاكر في ال transition على انه ال system و
+
+81
+00:06:39,660 --> 00:06:43,300
+جوا الشركة عندك او جوا فريق او اثناء ال
+
+82
+00:06:43,300 --> 00:06:47,980
+development هو جوا المختبر كأنك انت بتعمل بتركب
+
+83
+00:06:47,980 --> 00:06:51,140
+اشي في معمل او كده وبعد هيك لما بتطلع على
+
+84
+00:06:51,140 --> 00:06:55,820
+الاستخدام فانت بتطلع على ال operating environment
+
+85
+00:06:56,510 --> 00:06:59,550
+واضحة فاحنا الان نرجع تاني للرسم احنا في عندنا
+
+86
+00:06:59,550 --> 00:07:06,150
+الأربع أنشطة الأساسية دولة جايينجايين بالتتالي لكن
+
+87
+00:07:06,150 --> 00:07:12,130
+انا باعطل كل مرحلة حقها من خلال انه اعملها ك
+
+88
+00:07:12,130 --> 00:07:17,050
+iteration ورا iteration الى ان تبدأ تكتمل و تتبرر
+
+89
+00:07:17,050 --> 00:07:20,390
+بانتقل على المرحلة اللي بعدها و اللي بعدها و اللي
+
+90
+00:07:20,390 --> 00:07:23,610
+بعدها وهذا الكلام كله الاربع مراحل دولة ممكن
+
+91
+00:07:23,610 --> 00:07:26,990
+يتكرروا في shot تاني و shot تالت في كل shot انا
+
+92
+00:07:26,990 --> 00:07:33,360
+بعمل version جديدة اوزيادة اضافات على الـ system
+
+93
+00:07:33,360 --> 00:07:38,960
+في كل مرحلة في كل shot الان
+
+94
+00:07:38,960 --> 00:07:42,820
+ال iterations يعني زي ما شوفناه يبقى فيها ان
+
+95
+00:07:42,820 --> 00:07:49,360
+iterations in in phaseو في cross phase iteration
+
+96
+00:07:49,360 --> 00:07:52,840
+ال in phase اللي هي ال iteration اللي بيحصل بداخل
+
+97
+00:07:52,840 --> 00:07:56,420
+المرحلة
+
+98
+00:07:56,420 --> 00:08:01,280
+المرحلة هذه مرحلة فهذه phase فبداخلها اللي هو ال
+
+99
+00:08:01,280 --> 00:08:05,580
+in phase iteration و ال cross phase cross phase
+
+100
+00:08:05,580 --> 00:08:10,600
+iteration هو هو ال iteration اللي نمشي كل الأربع
+
+101
+00:08:10,600 --> 00:08:14,560
+مراحل خلصناهم و نرجع نعيدهم مرة تانية okay
+
+102
+00:08:18,200 --> 00:08:22,380
+الانشطة اللى بتتم هى الانشطة بيسميها workflows
+
+103
+00:08:22,380 --> 00:08:27,180
+تمام workflows هنشوف ايش جصده بال static كمان شوية
+
+104
+00:08:27,180 --> 00:08:31,040
+بس ال workflows هى كلمة مرادة فلايش للانشطة
+
+105
+00:08:31,040 --> 00:08:32,540
+الانشطة اللى بتتم
+
+106
+00:08:37,340 --> 00:08:41,140
+Okay اسمه workflow يعني تدفق العمل لأنه أي نشاط هو
+
+107
+00:08:41,140 --> 00:08:45,400
+في حد ذاته بيبدأ من نقطة وبيتطور النشاط يعني
+
+108
+00:08:45,400 --> 00:08:49,040
+بيستمر إلى حد يت ما ينتهي و بعد كده بيبدأ نشاط أخر
+
+109
+00:08:49,040 --> 00:08:55,180
+workflow تدفق عمل آخر ففي أن اللي هو ال workflows
+
+110
+00:08:55,180 --> 00:08:59,740
+هذهOkay؟ هتلاقي إنه ولا إشي منها جديد علينا، يعني
+
+111
+00:08:59,740 --> 00:09:03,840
+هي نفسها بس اللهم إلا .. هي أصلا كل ال .. كل ال
+
+112
+00:09:03,840 --> 00:09:07,880
+processes هي برعا نفس الأنشطة بس كيف موزعة على
+
+113
+00:09:07,880 --> 00:09:12,440
+الزمن، أه؟ يعني كيف مجسمة الأنشطة إلى مراحل و
+
+114
+00:09:12,440 --> 00:09:16,070
+المراحل هذه كيف اتكرتت بها، فاحناولا واحد من هذوله
+
+115
+00:09:16,070 --> 00:09:19,310
+هيكون جديد علينا يعني مثلا ال business modeling ال
+
+116
+00:09:19,310 --> 00:09:24,130
+business modeling يقصد فيه اللي هو وضع التخيل لل
+
+117
+00:09:24,130 --> 00:09:32,050
+business processes العمليات الإدارية والتعبير
+
+118
+00:09:32,050 --> 00:09:36,410
+عنها على شكل نماذج النماذج هذه غالبا بتبقى flow
+
+119
+00:09:36,410 --> 00:09:40,730
+charts يعني ايش العمليات الإدارية؟العملية الإدارية
+
+120
+00:09:40,730 --> 00:09:46,290
+خد عندك مؤسسة زي الجامعة الطالب بده يسجل مواد
+
+121
+00:09:46,290 --> 00:09:51,670
+الفصل أو قبل حتى التسجيل الطالب بده يقدم للجامعة
+
+122
+00:09:51,670 --> 00:09:58,100
+ويقدم لتخصص معينففي عندك لواء حقاني بتقول ان على
+
+123
+00:09:58,100 --> 00:10:02,760
+الطالب ان يعمل كده اولش يعبي طلب ثم يرسله او يسلمه
+
+124
+00:10:02,760 --> 00:10:08,840
+بنفسه ثم بعد هيك يستنى لحد ديت ما ترد عليه الجامعة
+
+125
+00:10:08,840 --> 00:10:13,540
+بالقبول ثم بعد هيك بيحدد الخيارات تبعته ايش ال ..
+
+126
+00:10:13,540 --> 00:10:18,600
+الكلية ثم بعد هيك بيروح ربما يدفع رسوم هذه الخطوات
+
+127
+00:10:18,600 --> 00:10:22,000
+.. هذه الخطوات فيما يتعلق بالقبول في بعض كمان
+
+128
+00:10:22,000 --> 00:10:27,100
+خطوات فيما يتعلق بتسجيل الموادفي خطوات تتعلق بإن
+
+129
+00:10:27,100 --> 00:10:32,620
+والله بده ياخد أي كشف أو شهادة أو ورقة من الجامعة،
+
+130
+00:10:32,620 --> 00:10:35,760
+كل هذه العمليات هي عمليات إدارية Business
+
+131
+00:10:35,760 --> 00:10:39,480
+Processes تمام؟ المدرس لما بده يحط العلامات برضه
+
+132
+00:10:39,480 --> 00:10:42,920
+بدي يمشي بإجراءات معينة بعد ما يحطها، رئيس القسم
+
+133
+00:10:42,920 --> 00:10:46,220
+يوافق عليها ثم الشهور الأكاديمي ثم بعدها بتظهر على
+
+134
+00:10:46,220 --> 00:10:50,640
+صفحة الطالب أو على ..فكل إجراء من إجراءات المؤسس
+
+135
+00:10:50,640 --> 00:10:54,100
+إجراءات العمل في المؤسس هذا بيسميه عملية إدارية
+
+136
+00:10:54,100 --> 00:10:57,400
+business process الآن هذا الكلام في إيش دخلوا في
+
+137
+00:10:57,400 --> 00:11:01,080
+ال software؟ إيش دخلوا في عندسة البرمجيات؟ ولا
+
+138
+00:11:01,080 --> 00:11:05,300
+كيف؟ احنا أصلا لما بنيجي بنعمل software لمؤسسة
+
+139
+00:11:05,300 --> 00:11:08,340
+احنا بن admit العمليات الإدارية، إيش يعني بن
+
+140
+00:11:08,340 --> 00:11:12,360
+admit؟يعني بدل ما بتتم بشكل manual يدوي احنا بناش
+
+141
+00:11:12,360 --> 00:11:16,300
+بنعملها من خلال ال system من خلال ال computer فانا
+
+142
+00:11:16,300 --> 00:11:19,140
+لازم افهم في الأول ال business processes العملية
+
+143
+00:11:19,140 --> 00:11:23,600
+الإداري اللي ال system بده يعملهاOkay و علشان اقدر
+
+144
+00:11:23,600 --> 00:11:28,500
+ايش انافذها على ال .. صح؟ اقول مثلا واحد منكم بدي
+
+145
+00:11:28,500 --> 00:11:32,840
+يعمل system ل ordering في مطعم انا بدي اخش على
+
+146
+00:11:32,840 --> 00:11:36,440
+المطعم و الاجي على الطاولة اللي هو ال tablet و بدي
+
+147
+00:11:36,440 --> 00:11:39,880
+اعمل طلبية المطعم اللي هو في حد ذاته إجراء إداري
+
+148
+00:11:39,880 --> 00:11:44,670
+لكيف الطلبية بتتممن إن ييجي الجارسون ييجي في عندك
+
+149
+00:11:44,670 --> 00:11:49,630
+ياخد منك الحاجات اللي انت طالبها يكتبها على ورقة
+
+150
+00:11:49,630 --> 00:11:53,490
+يسلمها للناس اللي في المطبخ بعد ما يخلصوا هو بدي
+
+151
+00:11:53,490 --> 00:11:57,130
+يجيبها هذه ال process بديهية في المطعم يعني اي حد
+
+152
+00:11:57,130 --> 00:11:59,890
+راح على مطعم عارفها و من غير حتى ما يروح على مطعم
+
+153
+00:11:59,890 --> 00:12:05,860
+عارف ايش الإجراء اللي بتتم في المطعم تمام؟بس المهم
+
+154
+00:12:05,860 --> 00:12:09,240
+هذه process و ال process هذه بدها ايش بدنا احنا
+
+155
+00:12:09,240 --> 00:12:13,440
+لما نعمل system لمطعم بدنا نعملها أتمة مظبوط ففي
+
+156
+00:12:13,440 --> 00:12:18,340
+كل مجال العمليات الإدارية العمليات الإدارية اللي
+
+157
+00:12:18,340 --> 00:12:22,460
+ال system بده يتمتها لازم أولا تنفهم في الأول و
+
+158
+00:12:22,460 --> 00:12:26,660
+تنعملها modeling علشان برضه كمان علشان بعد هي نقدر
+
+159
+00:12:26,660 --> 00:12:31,030
+نعملها أتمة okay ال requirementsالـ requirements
+
+160
+00:12:31,030 --> 00:12:36,870
+اللي هي إيش ال .. إيش المتطلبات اللي .. اللي بده
+
+161
+00:12:36,870 --> 00:12:39,790
+ال system يلبيها ربما مش كل العمليات الإدارية اللي
+
+162
+00:12:39,790 --> 00:12:43,570
+بتسويها المؤسسة بدنا نأتمتها فبدنا نحدد مين بالظبط
+
+163
+00:12:43,570 --> 00:12:50,030
+منها اللي .. اللي بدها ال system يطبقها ومين ومين
+
+164
+00:12:50,030 --> 00:12:54,070
+هم المستخدمين ال actors هنا بلغة ال UML لما نشوف
+
+165
+00:12:54,070 --> 00:12:57,850
+قدام اللي هو ال UML models بنعبر عن ال user بس على
+
+166
+00:12:57,850 --> 00:13:02,340
+أنه actorأكتر بتتفاعل مع ال system تمام فهنا ال
+
+167
+00:13:02,340 --> 00:13:06,140
+requirements بتشمل مين هم ال actors وكل واحد منهم
+
+168
+00:13:06,140 --> 00:13:09,140
+ايش هي ال requirements او شو هي ال tasks اللي بده
+
+169
+00:13:09,140 --> 00:13:12,540
+يسويها على ال system ال analysis and design بعد ك
+
+170
+00:13:12,540 --> 00:13:17,560
+خلاص بيجي طبعا هذافريق العمل بده يسوي هذا النشاط
+
+171
+00:13:17,560 --> 00:13:20,940
+صح؟ فريق العمل ال .. ال development team وهذه كذلك
+
+172
+00:13:20,940 --> 00:13:23,860
+الحالة فريق العمل بده يقعد مع ال business مع
+
+173
+00:13:23,860 --> 00:13:27,960
+الموظفين ويفهم منهم ايش العمليات الإدارية بيسويها
+
+174
+00:13:27,960 --> 00:13:31,680
+ويعملها model كل هذه أنشطة بيسويها فريق العمل تبع
+
+175
+00:13:31,680 --> 00:13:35,840
+المشروع analysis and design بيبدأ في عملية اللي هو
+
+176
+00:13:35,840 --> 00:13:39,200
+تحليل المعطيات الكل اللي اتجمعت هذه كلها في الآخر
+
+177
+00:13:40,430 --> 00:13:44,890
+ترتب عليها كثير من الموقعات والمعلومات اللي بتتدفق
+
+178
+00:13:44,890 --> 00:13:49,430
+علي فريق العمل بده فريق العمل ينظمها ويطلع بالظبط
+
+179
+00:13:49,430 --> 00:13:54,750
+شو المتطلبات ويصيغها بشكل دقيق ويبدأ في ال
+
+180
+00:13:54,750 --> 00:13:58,510
+designing اللي هو ال system اول ما بيبدأ في ال
+
+181
+00:13:58,510 --> 00:14:04,420
+design طبعا بيعمل model لل system نماذجالنماذج هذه
+
+182
+00:14:04,420 --> 00:14:08,020
+بتبدأ بالنماذج الورقية اللي هي الـ UML diagrams
+
+183
+00:14:08,020 --> 00:14:12,000
+وبعدها كان ممكن يبدأ يبدأ يبرمج ويطلع prototypes
+
+184
+00:14:12,000 --> 00:14:17,180
+ال implementation اللي هي البرمجة مافيش اشي جديد
+
+185
+00:14:17,180 --> 00:14:19,760
+اللي هو ال components تبع ال system تتنعملها
+
+186
+00:14:19,760 --> 00:14:25,740
+implementation تتنفذ وتتركب مع بعض و تطلع system
+
+187
+00:14:25,740 --> 00:14:30,660
+قد يكون نهائي اذا كان احنا بنحكي waterfallوقد يكون
+
+188
+00:14:30,660 --> 00:14:34,740
+ايش version اذا كان احنا بنحكي iterative واحنا هنا
+
+189
+00:14:34,740 --> 00:14:38,840
+الحاكي في ال R U P اللي هي rational unified
+
+190
+00:14:38,840 --> 00:14:43,100
+process iterative وبالتالي ال implementation اللي
+
+191
+00:14:43,100 --> 00:14:47,920
+بده تطلع عملية ال implementation بده تنتج version
+
+192
+00:14:47,920 --> 00:14:53,160
+مش بده تنتج منتج نهائي صح ولا لا؟ هذا ال version
+
+193
+00:14:53,160 --> 00:14:57,240
+اللي عملها ال testing وبعد ذلك بتنزل على اللي هو
+
+194
+00:14:57,240 --> 00:15:03,010
+ال ..على ال .. ال .. ال operating environment
+
+195
+00:15:03,010 --> 00:15:07,950
+علشان برضه كمان يبدو يستخدمها ال users و بعد ذلك
+
+196
+00:15:07,950 --> 00:15:12,410
+بتبدأ اللي هو مراحل ال maintenance اللي هو ت
+
+197
+00:15:12,410 --> 00:15:16,610
+configure و تتعامل معاه ل changes و كده .. الآن
+
+198
+00:15:16,610 --> 00:15:20,910
+كلام هذا كله .. كلام هذا كله عمليا technical هو ..
+
+199
+00:15:20,910 --> 00:15:26,710
+هو أمور تقنية بيقوم بيها المهندس ال software في ..
+
+200
+00:15:26,710 --> 00:15:31,000
+في .. في طبيعة عمله لكن ..الأفراد هدولة الأفراد
+
+201
+00:15:31,000 --> 00:15:34,180
+الفريق العمل اللي هم المهندسين ال software اللي
+
+202
+00:15:34,180 --> 00:15:39,660
+بتكون منهم الفريق لازم يكون فيه إدارة لهم فإضافة
+
+203
+00:15:39,660 --> 00:15:43,140
+إلى العنشطة هذه بيكون في project management
+
+204
+00:15:43,140 --> 00:15:47,500
+activities project management activities يعني ناس
+
+205
+00:15:47,500 --> 00:15:50,960
+واحد من ال team يبقى هو المدير أو إدارة المؤسسة
+
+206
+00:15:50,960 --> 00:15:56,980
+اللي تشرف على عمل الفريق علشانتدعموا في كل ال
+
+207
+00:15:56,980 --> 00:15:59,020
+workflows هذه، يعني في ال deployment، في ال
+
+208
+00:15:59,020 --> 00:16:03,320
+testing، في اي مستلزمات، اي اشي، اي تنظيم للعمل،
+
+209
+00:16:03,320 --> 00:16:07,180
+جدولة للامور، التأكد من انه مراقب، تأكد من ان
+
+210
+00:16:07,180 --> 00:16:10,700
+الأمور بتمشي على ميرام، كل هذه اللي هي ال
+
+211
+00:16:10,700 --> 00:16:16,840
+management activities برضه لازم يتولاها حد اما من
+
+212
+00:16:16,840 --> 00:16:23,740
+الفريق نفسه او من إدارة المؤسسةالان ال environment
+
+213
+00:16:23,740 --> 00:16:30,940
+هذا اشي مهم انه احنا فريق العمل هذا لما بيشتغللازم
+
+214
+00:16:30,940 --> 00:16:36,220
+يكون المناخ العمل تبعه يبقى مناسب appropriate مناخ
+
+215
+00:16:36,220 --> 00:16:39,780
+العمل وبيئة العمل تبقى مناسب بمعنى أنه يتوفر له
+
+216
+00:16:39,780 --> 00:16:44,500
+المستلزمات اللازمة يعني بدنا أجهزة كمبيوتر بدنا أي
+
+217
+00:16:44,500 --> 00:16:50,240
+ترتبة معينة تكون متوفرة له وبالتالي ال rational
+
+218
+00:16:50,240 --> 00:16:56,280
+unified process فيه لشق تقني اللي هو أغلب الأنشطة
+
+219
+00:16:56,280 --> 00:17:04,740
+وفيه شق إياش الإدارياللي هو يتعلق بتسهيل مهمة فريق
+
+220
+00:17:04,740 --> 00:17:09,520
+العمل project management و environment management
+
+221
+00:17:15,090 --> 00:17:19,310
+تحديد الأنشطة وتحديد كل نشاط ايش اللي بتتمثيه
+
+222
+00:17:19,310 --> 00:17:23,630
+وتحديد تسلسل العمل فيها انه برضه حاجة اسمها good
+
+223
+00:17:23,630 --> 00:17:28,830
+practices الـ RUP ال rational unified process بتنص
+
+224
+00:17:28,830 --> 00:17:37,070
+على انه العمل كيف يجب ان يتم وكيف اللي هو الإدارة
+
+225
+00:17:37,070 --> 00:17:40,990
+تبعته يعني اول اشي اول اشي ان هو iterative عملية
+
+226
+00:17:40,990 --> 00:17:43,970
+ال development softwareتكون iterative وهذا أشي
+
+227
+00:17:43,970 --> 00:17:49,570
+أساسي في ال model تبعه يعني ال iteration موجودة
+
+228
+00:17:49,570 --> 00:17:56,050
+قولنا in-phase و cross-phase okay فأول أول شئ
+
+229
+00:17:56,050 --> 00:18:01,530
+يلتزم بيه كل الفرق اللي بدأت تشتغل بهذا السلوب انه
+
+230
+00:18:01,530 --> 00:18:07,480
+يكون الشغل عايش iterative ف youبتحدد ال increments
+
+231
+00:18:07,480 --> 00:18:11,480
+زي ما شوفنا في ال incremental development بتحدد
+
+232
+00:18:11,480 --> 00:18:18,800
+لكل دورة لكل shot شو بالظبط بدها تغطي ايش ال
+
+233
+00:18:18,800 --> 00:18:22,060
+requirements اللي بدها تغطيها و بتشتغل على جدر هذا
+
+234
+00:18:22,060 --> 00:18:26,060
+ال increment بس تخلص بتروح تعمل increment تانية ف
+
+235
+00:18:26,060 --> 00:18:28,340
+you plan ال increments based on customer
+
+236
+00:18:28,340 --> 00:18:33,490
+prioritiesاللي بيتحدد في كل increment هو المجموعة
+
+237
+00:18:33,490 --> 00:18:38,110
+ال requirements الأكثر أهمية لل user عشان تعطيله
+
+238
+00:18:38,110 --> 00:18:43,110
+إياها من الأول تمام؟ بعد هيك ال requirements هذه
+
+239
+00:18:43,110 --> 00:18:46,830
+نقطة تانية الفريق العامل بده ينتبه لها ان ال
+
+240
+00:18:46,830 --> 00:18:50,250
+requirements هذه بده يصير عليها تغيير و بده يصير
+
+241
+00:18:50,250 --> 00:18:58,060
+عليها تبديل فلازمالفريق العمل يكون حاذر في تحديد
+
+242
+00:18:58,060 --> 00:19:01,260
+ال requirements و حاذر في عملية الإضافة و الحذف
+
+243
+00:19:01,260 --> 00:19:06,260
+مايتركش عملية ال requirements هذه تأخذ واجهة كبيرة
+
+244
+00:19:06,260 --> 00:19:11,660
+و تتوسع و تأثر على ال development و ال design
+
+245
+00:19:11,660 --> 00:19:17,000
+explicitly document يعني فعل document فعل بمعنى
+
+246
+00:19:17,000 --> 00:19:20,400
+وثق اللي هو ال customer requirements and keep
+
+247
+00:19:20,400 --> 00:19:24,890
+trackof the changes to these requirements اتضالك
+
+248
+00:19:24,890 --> 00:19:28,950
+نتبع ايه اللي هو ال changes تمام برضه كذلك الحال
+
+249
+00:19:28,950 --> 00:19:32,670
+من الأمور اللي ينصح بها اول شي احنا قولنا ينصح
+
+250
+00:19:32,670 --> 00:19:37,430
+بانه يكون iterative وان يكون ال requirements يتم
+
+251
+00:19:37,430 --> 00:19:43,050
+ضبطها بشكل يعني محكم النقطة التالتة اللي هي انه
+
+252
+00:19:43,050 --> 00:19:46,670
+يستخدم ال component based architectures ايش يعني
+
+253
+00:19:46,670 --> 00:19:50,520
+component based architectureيعني مايكونش كل الشغل
+
+254
+00:19:50,520 --> 00:19:56,260
+بده ينبنى من الصفر صح؟ انه تكون فيه مكونات قدر
+
+255
+00:19:56,260 --> 00:20:00,100
+الإمكان .. قدر الإمكان تستفيد من مكونات جاهزة وهذا
+
+256
+00:20:00,100 --> 00:20:04,340
+الأمر أصلا مش محتاج نصيحة لإنه الكل بيعمل هيك الآن
+
+257
+00:20:04,340 --> 00:20:08,280
+ماحدة خاصة مع ضخامة ال systems اللي موجودة الآن
+
+258
+00:20:08,280 --> 00:20:12,530
+ماحدة بيعمل ال system من الصفر بكتب كل شغل فيهانت
+
+259
+00:20:12,530 --> 00:20:16,130
+لما تستخدم تعمل interface و تحط فيها زر، الزر هذا
+
+260
+00:20:16,130 --> 00:20:20,090
+component، انت ما كتبت ال code تبع ال graphics تبع
+
+261
+00:20:20,090 --> 00:20:24,450
+ال code، تبع الزر، كيف الزر بده يرتسم و كيف الزر
+
+262
+00:20:24,450 --> 00:20:28,350
+بده لما ي .. يندغط عليه بده يتغير شكله، صح؟ ما
+
+263
+00:20:28,350 --> 00:20:32,000
+كتبت ال code هذاهذا ال code مكتوب و جاهز اليك انت
+
+264
+00:20:32,000 --> 00:20:35,760
+بس بتقول انا بدي زر في المكان الفلاني صح ولا لا ف
+
+265
+00:20:35,760 --> 00:20:40,960
+.. فسواء كان graphical interface components صغيرة
+
+266
+00:20:40,960 --> 00:20:44,520
+زي زراير و drop down boxes و الأمور هذه ولا سواء
+
+267
+00:20:44,520 --> 00:20:50,320
+كان classes انت جايبها من library جاهزة فانت ..
+
+268
+00:20:50,350 --> 00:20:53,970
+الجزء الكبير من ال system تبعك هيبقى component
+
+269
+00:20:53,970 --> 00:20:58,450
+جاهز ف you organize a system architecture as a set
+
+270
+00:20:58,450 --> 00:21:03,970
+of reusable components مستخدم كثير منهم و أيضا
+
+271
+00:21:03,970 --> 00:21:08,110
+كمان بعض اللي انت بتكتبه برضه بتصممه بحيث انه
+
+272
+00:21:08,110 --> 00:21:16,190
+تستخدمه لاحقا في other systems تمام؟النقاط أخرى
+
+273
+00:21:16,190 --> 00:21:18,970
+كمان برضه good practices انك انت you visually
+
+274
+00:21:18,970 --> 00:21:25,690
+model ال software يعني باقتصاد استخدام اللي هو ال
+
+275
+00:21:25,690 --> 00:21:30,250
+models المخططات
+
+276
+00:21:36,350 --> 00:21:40,450
+visually model يعني انت لما بدك تقول process لما
+
+277
+00:21:40,450 --> 00:21:44,170
+بدك تقول مثلا interface لما بدك تقول ال user بدى
+
+278
+00:21:44,170 --> 00:21:47,430
+يستخدم كده كده و يعمل كده كده على ال system ارسم
+
+279
+00:21:47,430 --> 00:21:52,390
+هذا الكلام رسوميا عبر عنه ع شكل diagram ولا بدك
+
+280
+00:21:52,390 --> 00:21:54,870
+تقول مثلا انا بدأ استخدم database و ال database
+
+281
+00:21:54,870 --> 00:21:57,990
+فيها table ارسم هذا الكلام و ال table اللي له
+
+282
+00:21:57,990 --> 00:22:02,010
+علاقة بال table التاني ارسمه واضحه دايما استخدم ال
+
+283
+00:22:02,010 --> 00:22:08,280
+visual modeling في ال design تبعكما تكتب كلام إلا
+
+284
+00:22:08,280 --> 00:22:12,700
+اتعبر عنه بالرسل، تمام؟ الآن ال software quality
+
+285
+00:22:12,700 --> 00:22:16,780
+مسألة مهمة جدا و ال .. و ال RUP بتركز على ال
+
+286
+00:22:16,780 --> 00:22:21,640
+quality أنه أنت عندك ال quality بالأساس فيه
+
+287
+00:22:21,640 --> 00:22:26,740
+مفهومين إلها فيه مفهوم ال quality من حيث أنه يعني
+
+288
+00:22:26,740 --> 00:22:30,500
+احنا كلمة الجودة لما بنقول هذا ال software جيد ولا
+
+289
+00:22:30,500 --> 00:22:34,920
+هذا .. ولا أي منتج في الدنيا جيد على أي أساس بنقول
+
+290
+00:22:34,920 --> 00:22:40,460
+إنه جيد؟بصفة عامة يعني انا الان بدي اجرب عن كلمة
+
+291
+00:22:40,460 --> 00:22:45,180
+equality واسأل شو مفهومك انت لل equality مفهوم كل
+
+292
+00:22:45,180 --> 00:22:50,560
+واحد فيه كله equality بيقدي المهام المطلوبة تقدية
+
+293
+00:22:50,560 --> 00:22:54,640
+المهام المطلوبة
+
+294
+00:22:54,640 --> 00:22:59,200
+أفضل
+
+295
+00:22:59,200 --> 00:23:05,160
+صورة ممكنة أفضل صورة ممكنة أفضل
+
+296
+00:23:05,160 --> 00:23:12,040
+صورة ممكنةسهولة الاستخدام استخدام الأمثل للموارد
+
+297
+00:23:12,040 --> 00:23:15,760
+استخدام الاستخدام الامثل للموارد استخدام الاستخدام
+
+298
+00:23:15,760 --> 00:23:18,000
+الامثل للموارد استخدام الاستخدام الامثل للموارد
+
+299
+00:23:18,000 --> 00:23:19,200
+استخدام الاستخدام الامثل للموارد استخدام الاستخدام
+
+300
+00:23:19,200 --> 00:23:23,460
+الامثل للموارد استخدام
+
+301
+00:23:23,460 --> 00:23:26,440
+الاستخدام الامثل للموارد استخدام الاستخدام
+
+302
+00:23:26,440 --> 00:23:31,000
+الاستخدام الامثل للموارد استخدام
+
+303
+00:23:31,000 --> 00:23:34,180
+الاستخدام
+
+304
+00:23:34,180 --> 00:23:35,560
+الاستخدام الاستخدام الاستخدام الاستخدام الاستخدام
+
+305
+00:23:35,560 --> 00:23:36,100
+الاستخدام الاستخدام الاستخدان الاستخدان الاستخدان
+
+306
+00:23:36,100 --> 00:23:38,600
+الاستخدان الاستخدان الاستهو يعتزم بالمعايير
+
+307
+00:23:38,600 --> 00:23:40,080
+والمقاييز صح؟
+
+308
+00:23:44,610 --> 00:23:48,650
+جيد بس لا لاحظوا هنا بيقول software quality يعني
+
+309
+00:23:48,650 --> 00:23:52,410
+software يعني ايه اللي هو البرنامج فاحنا البرنامج
+
+310
+00:23:52,410 --> 00:23:57,990
+لما احنا بنعمله جودته عادة يعني اكتر اشي بيكون انه
+
+311
+00:23:57,990 --> 00:24:01,090
+احنا بدنا منه مجموعة من المطالبات مجموعة من
+
+312
+00:24:01,090 --> 00:24:03,970
+المطالب فجداش هو بيحقق من هذا المطالب انا بعتبره
+
+313
+00:24:03,970 --> 00:24:08,810
+كويس صح انت ممكن تيجي تقول والله هذا الجهاز في
+
+314
+00:24:08,810 --> 00:24:11,630
+جهاز تاني احسن منه بس لو ربما هذا الجهاز التاني
+
+315
+00:24:11,630 --> 00:24:16,380
+اللي احسن منه بيحتوي على امور انا مش محتاجةصح؟ فهو
+
+316
+00:24:16,380 --> 00:24:21,180
+صح جيد بس جيد للي محتاجه هذا جيد إلي بل ربما ممتاز
+
+317
+00:24:21,180 --> 00:24:24,420
+إلي لأنه بيقدي كل اللي أنا بديها و كمان برضه
+
+318
+00:24:24,420 --> 00:24:29,600
+بالميزانية اللي أنا بديها فغالبا الجودة .. الجودة
+
+319
+00:24:29,600 --> 00:24:33,260
+غالبا ما بتأخذ .. يعني أحد المفاهيم الجودة هو
+
+320
+00:24:33,260 --> 00:24:36,740
+الالتزام زي ما قلنا هنا تأدية المهام والالتزام
+
+321
+00:24:36,740 --> 00:24:43,960
+بالمطلوب جديش هو ملتزم باللي انطلب فهوجيد زي تماما
+
+322
+00:24:43,960 --> 00:24:47,380
+انا مابدأ قيم الطلاب الآن جديش التزم بال
+
+323
+00:24:47,380 --> 00:24:52,920
+requirements اللي بيتطلبها المساق من امتحانات من
+
+324
+00:24:52,920 --> 00:24:56,900
+homework من كده و جديش اللي قيمنا عليه فهو بياخد
+
+325
+00:24:57,790 --> 00:25:02,570
+إيش درجة في هذا المسار فالجودة هنا بتيجي في جانب
+
+326
+00:25:02,570 --> 00:25:07,910
+إيش في جانب الالتزام بالمتطلبات بس المتطلبات أحيان
+
+327
+00:25:07,910 --> 00:25:13,390
+تبقى مش هي كل .. مش هي كل ال .. ما يحدد الجودة في
+
+328
+00:25:13,390 --> 00:25:18,350
+أمور اللي علاقة بأسلوب ال design أسلوب التصميم
+
+329
+00:25:18,350 --> 00:25:23,030
+تمام؟ هي أنه يعني لما أنا أجي بأعمل برنامج و بدي
+
+330
+00:25:23,030 --> 00:25:26,490
+أكتب code بقول مثلا بدي أكتب بس class صغيرclass
+
+331
+00:25:26,490 --> 00:25:29,710
+صغير و ال class هذا بيحتوي على attributes و بيحتوي
+
+332
+00:25:29,710 --> 00:25:35,730
+على methods في هناك تعليمات لكيف ال design الكويس
+
+333
+00:25:35,730 --> 00:25:43,090
+لما انابهصمم class يجب أنه أسميه مثلا بتسمية
+
+334
+00:25:43,090 --> 00:25:48,550
+مفهومة، يجب أنه أسمي ال attributes برضه بتسمية
+
+335
+00:25:48,550 --> 00:25:53,030
+مفهومة، يجب لما أعمل ال methods أعملها بحيث أنها
+
+336
+00:25:53,030 --> 00:25:57,010
+تبقى efficient يعني مابتاخدش وجهة كبيرة من ال ..
+
+337
+00:25:57,010 --> 00:26:01,410
+من ال .. من ال computerإنه ال method هذه لو أجى
+
+338
+00:26:01,410 --> 00:26:06,470
+واحد ورايا بدى يقرأها تكون واضحة يقدر يفهمها
+
+339
+00:26:06,470 --> 00:26:12,970
+بسهولة ففي عندك انت تعليمات أو نصايح أو إرشادات أو
+
+340
+00:26:12,970 --> 00:26:19,130
+أعراف لل design اللي كويس okay فمن هنا هذا برضه
+
+341
+00:26:19,130 --> 00:26:23,470
+جانب أخر لل quality فال software انه بيقدر كل إشي
+
+342
+00:26:23,470 --> 00:26:30,170
+مطلوب منه فهذا إشي جيد ايضا ان يكون مصمم صحمصمم صح
+
+343
+00:26:30,170 --> 00:26:34,750
+فهذا اشي جانب اخر لل equality فهنا بتقدر تقول
+
+344
+00:26:34,750 --> 00:26:40,910
+الالتزام بالمعايير والمقاييز معايير التصميم okay
+
+345
+00:26:40,910 --> 00:26:46,870
+all right فبيكون ايش؟ بيكون جانب اخر هنا هذا جانب
+
+346
+00:26:46,870 --> 00:26:50,930
+وهذا جانب اخراللي بيحكي عنه هنا في هذا الـ bent
+
+347
+00:26:50,930 --> 00:26:55,890
+أكتر .. علاقته أكتر بال .. بال design بال design
+
+348
+00:26:55,890 --> 00:27:01,150
+تبع ال software و أسلوب ال .. أسلوب ال design
+
+349
+00:27:01,150 --> 00:27:04,110
+ensure that the software meets organizational
+
+350
+00:27:04,110 --> 00:27:10,190
+quality standard تمام؟ equality standard فإلى جانب
+
+351
+00:27:10,190 --> 00:27:13,190
+.. إلى جانب إنه بيقدر المطلوب أيضا كذلك الحال
+
+352
+00:27:13,190 --> 00:27:17,410
+متوافق مع ال standards اللياللي حطها ال
+
+353
+00:27:17,410 --> 00:27:20,010
+organization انهي organization ال organization
+
+354
+00:27:20,010 --> 00:27:23,130
+اللي طلبت ال system و لا ال organization اللي
+
+355
+00:27:23,130 --> 00:27:27,850
+بتصمم ال system يعني اذا انت بدك تعمل system انت
+
+356
+00:27:27,850 --> 00:27:30,490
+شغال في شركة software و بتعمل system لها ال market
+
+357
+00:27:30,490 --> 00:27:34,930
+فانت شغال في organization فعلى الوجهين هذا
+
+358
+00:27:34,930 --> 00:27:38,710
+organizational quality على الوجهين من ناحية
+
+359
+00:27:38,710 --> 00:27:42,010
+المؤسسة اللي طلبت و من ناحية المؤسسة اللي بتشتغل
+
+360
+00:27:42,010 --> 00:27:46,220
+فيها يجب ان يكونالـ Design تبع الـ Software والـ
+
+361
+00:27:46,220 --> 00:27:50,220
+Software مكتوب بشكل إيش ملتزم بيه اللي هو ال
+
+362
+00:27:50,220 --> 00:27:53,700
+standards تبعت الطرفين تبعت المؤسسة اللي طلبت
+
+363
+00:27:53,700 --> 00:27:58,400
+والمؤسسة اللي انت بتشتغل فيها تمام فهذا ما يتعلق
+
+364
+00:27:58,400 --> 00:28:02,080
+بال equality وإنه يجب ان ت verify ال equality
+
+365
+00:28:02,080 --> 00:28:06,760
+verify ايش يعني verify يعني مش بس انه احنا نترك
+
+366
+00:28:06,760 --> 00:28:11,040
+الأمر للمبرمج نقوله والله حط comments ملتزم بيه لا
+
+367
+00:28:11,040 --> 00:28:16,130
+لازم يكون فيهألية للتحقق من أن الـ software مكتوب
+
+368
+00:28:16,130 --> 00:28:20,570
+بالشكل السليم ومصمم بالشكل السليم تمام؟ الآن الـ
+
+369
+00:28:20,570 --> 00:28:25,190
+changes control الـ changes to software يقصد بيها
+
+370
+00:28:25,190 --> 00:28:27,670
+اللي هي الكلام اللي حكينا فيه قبل هيكة اللي هو
+
+371
+00:28:27,670 --> 00:28:31,170
+managing احنا كنا حكينا في الأول في ال
+
+372
+00:28:31,170 --> 00:28:33,490
+requirements managing ال requirements الآن
+
+373
+00:28:33,490 --> 00:28:36,630
+managing ال change و هذا ال change بيحصلأما أثناء
+
+374
+00:28:36,630 --> 00:28:40,490
+يعني بعد ما تكون ان تحددت ال requirements يصير
+
+375
+00:28:40,490 --> 00:28:44,110
+عليها تغيير أو بعد ما تسلم ال system يصير فيه
+
+376
+00:28:44,110 --> 00:28:47,870
+تغيير فهذا الكلام بده control لذا هناك كنا بنقول
+
+377
+00:28:47,870 --> 00:28:51,210
+manage هنا بدنا control control يعني تتحكم يكون
+
+378
+00:28:51,210 --> 00:28:55,510
+إياك أنت حكم على الأمر مش Totorico مش Totorico على
+
+379
+00:28:55,510 --> 00:28:59,090
+حسب رغبة ال user إيش مابده أو الجهة الطالبة إيش
+
+380
+00:28:59,090 --> 00:29:03,610
+مابده أو انتوا حاضر بس خليني أجدولك إياه لأ لازم
+
+381
+00:29:03,610 --> 00:29:07,670
+يكون برضه كمان في إيشفي تحكم إن هذا بنقدر نعمله و
+
+382
+00:29:07,670 --> 00:29:13,330
+هذا بنقدرش نعمله هذا ب .. ب .. ب .. ممكن ال widget
+
+383
+00:29:13,330 --> 00:29:16,850
+بسمح فيه و هذا ال widget مابسمحش فيه هذا ال budget
+
+384
+00:29:16,850 --> 00:29:20,030
+يعني الميزانية بتسمح فيه هذا الميزانية مابسمحش فيه
+
+385
+00:29:20,030 --> 00:29:24,070
+إلا إذا بدك تحط ميزانية جديدة واضح فهنا control
+
+386
+00:29:24,070 --> 00:29:29,950
+كلمة بتوحي بالعيش بتحكم إنك إنت إلك إرادة مش بس
+
+387
+00:29:29,950 --> 00:29:38,700
+بدك تتنفذ إرادة العيش ال userOkay؟ غير ده ببساطة
+
+388
+00:29:38,700 --> 00:29:42,540
+اللي احنا طلعنا عليه في ال R.U.P اللي هي rational
+
+389
+00:29:42,540 --> 00:29:48,160
+unified process انه في عنا جانبين اساسيات اللي هم
+
+390
+00:29:48,160 --> 00:29:55,430
+الانشطة المضل و كل مضل ايش الانشطة اللي فيه صح؟إيش
+
+391
+00:29:55,430 --> 00:29:58,390
+الأنشطة أو إيش ال workflows اللي فيها والجانب
+
+392
+00:29:58,390 --> 00:30:03,070
+الأخر اللي هو ال .. ال good practice اللي هي
+
+393
+00:30:03,070 --> 00:30:09,130
+الفلسفة أو ثقافة هذا ال model إنه شو المبادئ أو
+
+394
+00:30:09,130 --> 00:30:17,110
+النصائح اللي يلتزم فيها فريق العمل بشكل مستمر
+
+395
+00:30:17,110 --> 00:30:22,850
+أثناء عملية ال development okay؟فاحنا هيك بنكون
+
+396
+00:30:22,850 --> 00:30:28,410
+خلصنا ال chapter اتنين خلصنا وشوفنا عدة models
+
+397
+00:30:28,410 --> 00:30:36,450
+software process models والان السؤال صار متى بقدر
+
+398
+00:30:36,450 --> 00:30:39,330
+استخدم هذا ال model و متى بقدر استخدم هذا ال model
+
+399
+00:30:39,330 --> 00:30:44,350
+و هذا السؤال في hijerko بالظبط لازم تجيبه عليه كل
+
+400
+00:30:44,350 --> 00:30:49,610
+واحد يجيب عليه يجاوب عليه للمشروع تبعه صح كل واحد
+
+401
+00:30:49,610 --> 00:30:55,780
+بناء علىنختار .. نختار .. نختار ال .. نختار ال ..
+
+402
+00:30:55,780 --> 00:30:57,900
+نختار ال .. نختار ال .. نختار ال .. نختار ال ..
+
+403
+00:30:57,900 --> 00:30:58,940
+نختار ال .. نختار ال .. نختار ال .. نختار ال ..
+
+404
+00:30:58,940 --> 00:30:58,940
+نختار ال .. نختار ال .. نختار ال .. نختار ال ..
+
+405
+00:30:58,940 --> 00:31:02,600
+نختار ال .. نختار ال .. نختار ال .. نختار ال ..
+
+406
+00:31:02,600 --> 00:31:03,020
+نختار ال .. نختار ال .. نختار ال .. نختار ال ..
+
+407
+00:31:03,020 --> 00:31:03,360
+نختار ال .. نختار ال .. نختار ال .. نختار ال ..
+
+408
+00:31:03,360 --> 00:31:03,360
+نختار ال .. نختار ال .. نختار ال .. نختار ال ..
+
+409
+00:31:03,360 --> 00:31:03,360
+نختار ال .. نختار ال .. نختار ال .. نختار ال ..
+
+410
+00:31:03,360 --> 00:31:03,360
+نختار ال .. نختار ال .. نختار ال .. نختار ال ..
+
+411
+00:31:03,360 --> 00:31:03,640
+نختار ال .. نختار ال .. نختار ال .. نختار ال ..
+
+412
+00:31:03,640 --> 00:31:08,290
+نختار ال .. نهو غالبا اللي بيحصل انه احنا حكينا
+
+413
+00:31:08,290 --> 00:31:12,230
+الكلام هذا في البداية انه غالبا انت بتخلط اه او
+
+414
+00:31:12,230 --> 00:31:16,410
+بتدمج ما بين اللي هو ال models هذه و تشوف ايش ال
+
+415
+00:31:16,410 --> 00:31:19,310
+.. ايش من هذا الموضوع اللي بناسب و ايش من هذا
+
+416
+00:31:19,310 --> 00:31:22,710
+المنظور اللي بناسب اكتر صح؟ فانت عادة هتيجي تقول
+
+417
+00:31:22,710 --> 00:31:27,390
+والله انا ..و لازم ترسم .. يعني ترسم اللي هو ال ..
+
+418
+00:31:27,390 --> 00:31:30,310
+ال .. التسلسل تبع .. يعني تقول والله أنا في الأول
+
+419
+00:31:30,310 --> 00:31:34,930
+بدي أعمل requirement analysis ثم بدي أعمل design
+
+420
+00:31:34,930 --> 00:31:40,130
+ثم هذه ال .. هذه العمليتين بدي أمشي فيهم في
+
+421
+00:31:40,130 --> 00:31:44,490
+iteration و لما أنا أخلص أطلع version أو prototype
+
+422
+00:31:44,490 --> 00:31:50,450
+ثم بعد هيك أبدأ ال implementation فانت ..الكيفية
+
+423
+00:31:50,450 --> 00:31:54,770
+اللى هتتناسب مع المشروع تبعك بدك تعبر عنها بشكل
+
+424
+00:31:54,770 --> 00:31:59,110
+برضه ايش رسومي visual سواء كانت كيفية انت هتاخد
+
+425
+00:31:59,110 --> 00:32:05,390
+model واحد جاهز و تطبجه او تخلط ما بين قدت models
+
+426
+00:32:05,390 --> 00:32:11,510
+المهم بدك تطلع رسم اتعبر عن ال process تبعتك عن ال
+
+427
+00:32:11,510 --> 00:32:16,140
+model تبع ال process تبعكفمسموحلك انك انت تخلص،
+
+428
+00:32:16,140 --> 00:32:24,840
+ماعرفش زي ده، هو كان سؤالك؟ تمام
+
+429
+00:32:24,840 --> 00:32:31,320
+خلاص اه اه انا انا اللي بقوله، اذا وجب ان ال
+
+430
+00:32:31,320 --> 00:32:37,520
+system بتنسب ال waterfall كان بها، مانسبوشفبدك
+
+431
+00:32:37,520 --> 00:32:42,340
+تاخد ربما صفة من صفاتها خاصة من خصائصها زي مثلا
+
+432
+00:32:42,340 --> 00:32:45,400
+اللي هو انه لازم نتفج على ال requirements من
+
+433
+00:32:45,400 --> 00:32:49,180
+البداية قبل ما نشتغل design إذا هذا الشغل الأمر
+
+434
+00:32:49,180 --> 00:32:55,340
+ضروري إلكأه فبت .. بتتبنى هى مافيش فيها
+
+435
+00:32:55,340 --> 00:32:57,900
+prototyping بس انت ال system بتاعك بيحتاج
+
+436
+00:32:57,900 --> 00:33:02,540
+prototyping فبتقول انا هاخد خاصية اللى هو الاتفاق
+
+437
+00:33:02,540 --> 00:33:07,280
+على المتطلبات مسبقا من ال waterfall ثم اخد خاصية
+
+438
+00:33:07,280 --> 00:33:12,590
+ال iteration من ايشمن ال incremental او اخد خاصية
+
+439
+00:33:12,590 --> 00:33:15,750
+برضه ال system تبعي بده risk عالية فبدي اخد خاصية
+
+440
+00:33:15,750 --> 00:33:19,990
+ال risk management من ال من ال spiral اذا بتذكروا
+
+441
+00:33:19,990 --> 00:33:24,310
+حكي عن ال spiral okay فانت لان ماتروك اليك القمر
+
+442
+00:33:24,310 --> 00:33:29,710
+شبه التلاتة اللي بدنا نبدأ فيه لان بيارد برضه كمان
+
+443
+00:33:29,710 --> 00:33:34,710
+اسلوب اخر من اللي هو من ال من تنظيم العمل في ال في
+
+444
+00:33:34,710 --> 00:33:35,830
+عملية إنتاج ال software
+
+445
+00:33:39,320 --> 00:33:45,080
+بنسميه agile software development خليني أطبع عليه
+
+446
+00:33:45,080 --> 00:33:52,340
+لأنه أسلوب أخر وربما هذا الأسلوب أو هذه المنهجية
+
+447
+00:33:52,340 --> 00:34:00,820
+اتناسب لكثير من المشاريع اللي معاكم تمام؟ خليني بس
+
+448
+00:34:00,820 --> 00:34:05,220
+على السريع أقفز على slide جوا وبعدين بنرجع
+
+449
+00:34:18,280 --> 00:34:23,280
+لأن احنا لما
+
+450
+00:34:23,280 --> 00:34:27,280
+يكون عندنا ال system حجمه صغير small size دعونا
+
+451
+00:34:27,280 --> 00:34:30,920
+نقول انه نفترض انه فيه تلت أحجام اللي هو small و
+
+452
+00:34:30,920 --> 00:34:37,180
+mid-size و large-size systems تمام؟ ال large-size
+
+453
+00:34:37,180 --> 00:34:43,960
+systems لأ ال small-size systems من البديهي انه
+
+454
+00:34:43,960 --> 00:34:50,820
+مابنسبهاشما بنسبهاش؟ ما بنسبهاش؟ إيش ما بنسبهاش من
+
+455
+00:34:50,820 --> 00:34:57,440
+اللي بنعرفهم؟ ال waterfall و ال spiral صح؟ ال
+
+456
+00:34:57,440 --> 00:35:02,600
+incremental أنسب صح؟ إحنا بقولنا يا دكتور بما أن
+
+457
+00:35:02,600 --> 00:35:05,760
+المباشرة راح يكون صغيرة راح مباشرة بما تعمل أي
+
+458
+00:35:05,760 --> 00:35:11,110
+منهجيةخلينا نقول في صغير و في صغير كتير، الصغير
+
+459
+00:35:11,110 --> 00:35:14,850
+كتير هذا اللي مابحتاجش .. بس صغير .. بس هو خلي
+
+460
+00:35:14,850 --> 00:35:18,430
+بالك انت طالما ان في عندك customer، ال customer
+
+461
+00:35:18,430 --> 00:35:23,590
+هذا عادة انت محتاج تنظم العملية، فلازم ت .. لازم
+
+462
+00:35:23,590 --> 00:35:27,760
+تعمل ..شكل من أشكال التنظيم والتخطيط لل
+
+463
+00:35:27,760 --> 00:35:33,520
+development process لعملية التطوير فيعني أنت
+
+464
+00:35:33,520 --> 00:35:37,620
+بتتخيل أنه في system ل customer ممكن تعملويا من
+
+465
+00:35:37,620 --> 00:35:42,020
+مرة واحدة وماحتاجش يطلب منك تعديلات عليه بعد هيك
+
+466
+00:35:42,020 --> 00:35:47,560
+لا يعني حتى لو كان صغير فغالبا إيش هتحتاج لتعديلات
+
+467
+00:35:47,560 --> 00:35:51,370
+و ربما تعملوا تعديلات هذه في version تانيةيعني
+
+468
+00:35:51,370 --> 00:35:54,490
+الأولى هتكون version one و هتعمل version تانية و
+
+469
+00:35:54,490 --> 00:35:58,650
+ربما version تالتة و خلاص حتى و أنه صغير فلو انت
+
+470
+00:35:58,650 --> 00:36:05,870
+طلعت على كثير من ال systems الميزانية
+
+471
+00:36:06,730 --> 00:36:13,750
+يعني بتقدر تقول مثلا زي الميزانية في ال بضعة ألف
+
+472
+00:36:13,750 --> 00:36:20,550
+دولار هذا صغير من بالعشرات هذا mid-size بعدك لما
+
+473
+00:36:20,550 --> 00:36:25,930
+تبدأ في مئات الألاف بتقول أنه ياش large system
+
+474
+00:36:25,930 --> 00:36:29,930
+okay فانت
+
+475
+00:36:29,930 --> 00:36:30,270
+الآن
+
+476
+00:36:34,980 --> 00:36:40,920
+لما يبقى ال system small او medium size و يكون for
+
+477
+00:36:40,920 --> 00:36:46,020
+sale يعني انت بدك تعمله للبيع مش لمؤسسة فهذا النوع
+
+478
+00:36:46,020 --> 00:36:50,640
+من ال systems بيتحتم
+
+479
+00:36:50,640 --> 00:36:55,550
+ان انت تعمله علىعلى versions خلّي بالك حكاية for
+
+480
+00:36:55,550 --> 00:37:00,750
+sale هذه هي اللي بتفرض عليك لأن انت حتما لم تستطيع
+
+481
+00:37:00,750 --> 00:37:05,890
+انك انت تعطي ال market كل الخصائص من البداية ولا
+
+482
+00:37:05,890 --> 00:37:07,370
+لأ؟ ليش؟
+
+483
+00:37:10,130 --> 00:37:14,290
+عشان ت .. هذا تضلهم .. تضلك رابطهم معاك يعني لو
+
+484
+00:37:14,290 --> 00:37:17,290
+نزلتلهم كل إشي مرة واحدة في ناس هتاشتوا في ناس مش
+
+485
+00:37:17,290 --> 00:37:20,250
+هتاشتوا و اللي اشترها خلاص بعدين كان هينساك لأنه
+
+486
+00:37:20,250 --> 00:37:24,570
+أخد كل ال features لكن لو أنت تبدأ تنزل هذا .. هذا
+
+487
+00:37:24,570 --> 00:37:27,810
+أسلوب marketing هذا أسلوب تسويق أن لما أنت تنزل
+
+488
+00:37:27,810 --> 00:37:32,250
+شوي شوي فانت بتنزل الآن شوية خصائص .. خصائص و
+
+489
+00:37:32,250 --> 00:37:35,550
+بعدين بتقوله والله ال version التانية هتبقى فيها
+
+490
+00:37:35,550 --> 00:37:38,710
+التعديلات و فيها التحديث هذا marketing هذا مش
+
+491
+00:37:38,710 --> 00:37:44,650
+software developmentبس احنا بنقول انه سبب اخر كنت
+
+492
+00:37:44,650 --> 00:37:49,450
+بدك التجاربالتقنية بتتطور اصلا انت برضه كذا
+
+493
+00:37:49,450 --> 00:37:53,450
+كالحالة انت مجاش واثق من انك فاهم السوق صح فاهم
+
+494
+00:37:53,450 --> 00:37:56,490
+المتطلب يعني حتى لو عندك رغبة انك انت تعطي ال user
+
+495
+00:37:56,490 --> 00:37:59,630
+كل اللي بدهيا من اول مرة مش هتقدر لانه انت مش
+
+496
+00:37:59,630 --> 00:38:04,850
+هتقدر تفهم يعني وجود ال system بين ايدين الناس هو
+
+497
+00:38:04,850 --> 00:38:08,610
+و ال feedback اللي بيجيلك منهم هو آليتك الأساسية
+
+498
+00:38:08,610 --> 00:38:12,690
+طريقتك الأساسية لفهم السوق وفهم ايش احتياجاته انت
+
+499
+00:38:12,690 --> 00:38:16,580
+لما تستطيعأه خاصة في ال small و ال medium size انك
+
+500
+00:38:16,580 --> 00:38:22,280
+انت تفهم ايش الاحتجاجات الفئة ال users المستهدفة
+
+501
+00:38:22,280 --> 00:38:27,780
+.. الفئة المستهدفة فجزء من يعني شغل بتفرض .. بتفرض
+
+502
+00:38:27,780 --> 00:38:34,100
+عليك انك انت تعمل incremental development هي انه
+
+503
+00:38:34,100 --> 00:38:38,780
+.. انه انت مش قادر .. مابتقدرش تعرف .. تعرف السوق
+
+504
+00:38:38,780 --> 00:38:44,650
+اش مادهففي هذا الحالة ما بتقدر تعمل اللي هو
+
+505
+00:38:44,650 --> 00:38:49,770
+waterfall او تشتغل بطريقة waterfall كذلك الحال
+
+506
+00:38:49,770 --> 00:38:54,090
+فاحنا قلنا هنا لما يكون انت بدك تعمل small to
+
+507
+00:38:54,090 --> 00:38:59,170
+medium size و تكون بدك تطلعه للبيع مش يعني لمؤسسة
+
+508
+00:38:59,170 --> 00:39:03,050
+معينة كذلك الحالة لو كان لمؤسسة معينة custom
+
+509
+00:39:03,050 --> 00:39:06,910
+development within an organization برضه في كثير من
+
+510
+00:39:06,910 --> 00:39:11,350
+الأحيان ال custom المؤسساتلما بتطلب software برضه
+
+511
+00:39:11,350 --> 00:39:15,570
+هم بيبقوش عارفين اللي بدهم إياه كله من البداية
+
+512
+00:39:15,570 --> 00:39:20,750
+ممكن يكون عارفين تلت ارباع نص ربع من ال .. في
+
+513
+00:39:20,750 --> 00:39:24,690
+الأول لكن جدام لكن الباقي مش عارفينه فبيبين معاهم
+
+514
+00:39:24,690 --> 00:39:27,690
+جدام ففي الحالتين هدولة لما كنت بدك تعمل custom
+
+515
+00:39:27,690 --> 00:39:31,810
+development ل system حتى وإن كان very large system
+
+516
+00:39:31,810 --> 00:39:37,330
+custom development system لمؤسسة أو بدك تعمل small
+
+517
+00:39:37,330 --> 00:39:42,920
+to medium sizedللبيع فانت محتاج محتاج ايالية
+
+518
+00:39:42,920 --> 00:39:47,280
+ايالية عمل او منهجية اللى تسمح بالاش بال
+
+519
+00:39:47,280 --> 00:39:50,400
+incremental development بالتجزئة العمل بالتجزئة
+
+520
+00:39:50,400 --> 00:39:58,380
+انك تطلع ال software على مراحل okay فهذا
+
+521
+00:39:58,380 --> 00:40:07,220
+هو اللى بيستخدم ايه ال agile method development
+
+522
+00:40:07,220 --> 00:40:15,010
+ال agile methodبنعطي مثال عليها هرجع تاني انا على
+
+523
+00:40:15,010 --> 00:40:19,890
+ال slides دي
+
+524
+00:40:19,890 --> 00:40:26,950
+okay
+
+525
+00:40:52,760 --> 00:40:55,800
+agile development هي نوع من أنواع ال incremental
+
+526
+00:40:55,800 --> 00:41:00,320
+إيش قولنا في ال incremental الخاصية الأساسية لل
+
+527
+00:41:00,320 --> 00:41:04,100
+incremental development أنه بتطلع ال system على
+
+528
+00:41:04,100 --> 00:41:07,980
+increments ماشي increments يعني بتتخيل ال
+
+529
+00:41:07,980 --> 00:41:13,720
+requirements كلها بتحدد الأهم بت .. أه بتحطه في
+
+530
+00:41:13,720 --> 00:41:17,460
+increment و بتقول أنا .. أنا بدي أشتغل على هذا ال
+
+531
+00:41:17,460 --> 00:41:21,440
+increment و أطلع فهذا ال agile هو نوع من أنواع ال
+
+532
+00:41:21,440 --> 00:41:27,230
+incrementبسمي ال increment بسميها release release
+
+533
+00:41:27,230 --> 00:41:31,430
+كلمة release يعني اصدار يعني انت افترض شركة
+
+534
+00:41:31,430 --> 00:41:35,090
+software و بدك تطلع ال software ل ال market لالبيع
+
+535
+00:41:35,090 --> 00:41:39,810
+فهتطلع اول release من ال software ال release هذه
+
+536
+00:41:39,810 --> 00:41:47,310
+بدك تشتغلها بالقالية هذه انه اول اشي بدك
+
+537
+00:41:47,310 --> 00:41:52,980
+تحددuser stories for this release اول شي release
+
+538
+00:41:52,980 --> 00:41:59,660
+هنا ايه اللي قلناه تساوي increment صح او version
+
+539
+00:41:59,660 --> 00:42:03,120
+هنا
+
+540
+00:42:03,120 --> 00:42:12,320
+user story story يعني قصة feedback user
+
+541
+00:42:12,320 --> 00:42:14,560
+story هنا مقصود بيها requirement
+
+542
+00:42:18,220 --> 00:42:23,200
+يعني متطلب كل متطلب بنسميه story في الـ agile
+
+543
+00:42:23,200 --> 00:42:30,600
+development okay فانت بدك تحدد الآن مجموعة ال
+
+544
+00:42:30,600 --> 00:42:34,640
+requirements لهذا ال release select ال user
+
+545
+00:42:34,640 --> 00:42:38,660
+stories for this release لما بنقول select بذكرنا
+
+546
+00:42:38,660 --> 00:42:43,400
+بقاش قضية ان احنا بنحدد ال requirements قدر
+
+547
+00:42:43,400 --> 00:42:48,750
+الإمكان ثم بعدين بنختار منها اللي هو مين الmost
+
+548
+00:42:48,750 --> 00:42:54,510
+يعني ال priority العالية و بنختاره على اساس ان ال
+
+549
+00:42:54,510 --> 00:42:59,490
+stories هذه بتتجسم
+
+550
+00:42:59,490 --> 00:43:08,230
+الى tasks هنا programming tasks
+
+551
+00:43:08,230 --> 00:43:14,010
+كلمة task أحيانا استخدمها بمعنى user task
+
+552
+00:43:16,590 --> 00:43:22,010
+إذا قلنا user task فأصبحت هي و ال story واحدة لكن
+
+553
+00:43:22,010 --> 00:43:28,770
+لما نستخدمها task بمعنى programming task إيش أصبح
+
+554
+00:43:28,770 --> 00:43:29,330
+الفرق؟
+
+555
+00:43:33,500 --> 00:43:36,740
+لما انا اقول programming task مش user task واضح
+
+556
+00:43:36,740 --> 00:43:40,900
+ليش user task جالي بنفس المعنى هنا ان user task
+
+557
+00:43:40,900 --> 00:43:45,040
+يعني انا ك user بدي اعمل كده على البرنامج فهذا كده
+
+558
+00:43:45,040 --> 00:43:48,960
+هو ال task او فهو هذا ال task هو ال story هو ال
+
+559
+00:43:48,960 --> 00:43:54,010
+requirement لكن لما اقول programming taskبحاوله
+
+560
+00:43:54,010 --> 00:43:57,930
+عادة لما احنا مثلا نيجي نقول والله ال user بده يخش
+
+561
+00:43:57,930 --> 00:44:00,790
+على ال system فهذه task ان احط ال user name و ال
+
+562
+00:44:00,790 --> 00:44:04,230
+password تبعته على ال system هذه task لكن عشان انا
+
+563
+00:44:04,230 --> 00:44:08,430
+ابرمجها ربما احتاج في الأول اعمل database لل
+
+564
+00:44:08,430 --> 00:44:13,990
+accountsبعدين اعمل آلية ان هو ياخد ال user name و
+
+565
+00:44:13,990 --> 00:44:17,870
+ال password من ال user و يشفرهم بعدين بعد ما
+
+566
+00:44:17,870 --> 00:44:22,150
+يشفرهم يبعتهم بعد ما يبعتهم ياخد ال reply من ال
+
+567
+00:44:22,150 --> 00:44:26,670
+server و يطلعله ال message اذا هي فيها error او
+
+568
+00:44:26,670 --> 00:44:30,810
+يدخله على فهذه الان ال task هذه اللي هي ال task
+
+569
+00:44:30,810 --> 00:44:33,670
+دخول ال user على ال system اللي هي user task
+
+570
+00:44:33,670 --> 00:44:39,380
+اتحللت إلى او ترتب عليها مجموعة من الالبرامجية
+
+571
+00:44:39,380 --> 00:44:43,100
+البرامجية البرامجية
+
+572
+00:44:43,100 --> 00:44:50,320
+البرامجية البرامجية البرامجية
+
+573
+00:44:50,320 --> 00:44:54,480
+البرامجية
+
+574
+00:44:54,480 --> 00:44:59,640
+البرامجية
+
+575
+00:44:59,640 --> 00:45:07,580
+البرامجية البرامجيةهنا ال plan معناته انه بعد ما
+
+576
+00:45:07,580 --> 00:45:12,360
+انعرفت ال stories و اتعرف كل story ايش بيترتب
+
+577
+00:45:12,360 --> 00:45:18,280
+عليها مهام برمجية نقدر نوزع الشغل الآن على الأفراد
+
+578
+00:45:18,280 --> 00:45:24,010
+و على الزمن و نعمل ال plan تمام؟ ال plan هذهبتنعمل
+
+579
+00:45:24,010 --> 00:45:27,650
+للـ release يعني ايش معناته؟ معناته كل release بده
+
+580
+00:45:27,650 --> 00:45:32,310
+يش plan لحاله صح؟ فهنا الخاصية الأساسية لل
+
+581
+00:45:32,310 --> 00:45:36,190
+incremental development بصفة عامة وهذا واحد منهم
+
+582
+00:45:36,190 --> 00:45:41,330
+اللي هي انه احنا ال planning ماشيمع ال development
+
+583
+00:45:41,330 --> 00:45:45,470
+مش يسبقوا ان احنا بنعمل planning و بعدين بننفس لأ
+
+584
+00:45:45,470 --> 00:45:49,130
+بنعمل planning أثناء الشغل okay هنا بيتم ال
+
+585
+00:45:49,130 --> 00:45:52,470
+planning على كل ال release لحالة تمام فبعد كده
+
+586
+00:45:52,470 --> 00:45:58,110
+develop و integrate و test هذا كله ماشي مع بعضه
+
+587
+00:45:58,110 --> 00:46:02,010
+interleaved developOkay و integrate develop يعني
+
+588
+00:46:02,010 --> 00:46:04,810
+ايه البرمجة و integrate يعني ادمج المكونات اللي
+
+589
+00:46:04,810 --> 00:46:09,230
+عملت و test او اختبار اختبار اختبار المكون الواحد
+
+590
+00:46:09,230 --> 00:46:13,890
+و اختبار ال integration الدمج بعد هيك بنزل ال
+
+591
+00:46:13,890 --> 00:46:19,550
+software ال software هنا يقصد بيه ايش بيقصد
+
+592
+00:46:19,550 --> 00:46:23,510
+بيه ال release الواحدة okay الان ال release هذه
+
+593
+00:46:23,510 --> 00:46:30,440
+بنعملها evaluation كده هيمقبولة من قبل الـ user
+
+594
+00:46:30,440 --> 00:46:33,880
+بدا تعديلات بدا إضافات بدا حدث بدا كده و ي
+
+595
+00:46:33,880 --> 00:46:39,900
+evaluate وبعد هيكبنشوف إيش استجد من ال stories و
+
+596
+00:46:39,900 --> 00:46:42,680
+إيش stories تانية بدنا نجيبها من الأصل اللي كنا
+
+597
+00:46:42,680 --> 00:46:47,700
+محددينها و بنخطط و بنحدد مجموعة .. مجموعة ال
+
+598
+00:46:47,700 --> 00:46:52,340
+stories مجموعة ال requirements اللي بدنا نزلها في
+
+599
+00:46:52,340 --> 00:46:57,960
+ال ash في ال release التالية وهي دورة عمل اللي هو
+
+600
+00:46:57,960 --> 00:47:01,840
+ال agile development
+
+601
+00:47:01,840 --> 00:47:05,080
+okay فنعم
+
+602
+00:47:07,540 --> 00:47:13,020
+هتلاقي كثير لأنه وين ما في product للماركت اي
+
+603
+00:47:13,020 --> 00:47:16,680
+product للماركت و ال product هذا مستمر طالما انه
+
+604
+00:47:16,680 --> 00:47:21,820
+مستمر فعملية ال update عليه عملية التحديث لازم تتم
+
+605
+00:47:21,820 --> 00:47:26,460
+بقالية زيك او مشابهة لهذا الكلام انه انت بتتعرف
+
+606
+00:47:26,460 --> 00:47:30,260
+على ال requirements بتستجد عليك ال requirementsو
+
+607
+00:47:30,260 --> 00:47:36,400
+.. و بتخططلها لـ release القادمة ما بتعمل كل
+
+608
+00:47:36,400 --> 00:47:39,200
+requirement لما و الله واحد بيقولك و الله بدنا كده
+
+609
+00:47:39,200 --> 00:47:42,800
+بتروح على طول تبقى تشتغل عليها لأ بتنزلها على ..
+
+610
+00:47:42,800 --> 00:47:47,740
+على .. على كل ال requirements اللي موجود عندك اللي
+
+611
+00:47:47,740 --> 00:47:50,680
+على الطبور و بعدين بتاخد من طبور ال requirements
+
+612
+00:47:51,260 --> 00:47:58,340
+الإياش الأهم عشان تنزلوا في الدفع اللاحقا okay
+
+613
+00:47:58,340 --> 00:48:02,480
+فخلينا نمر على الخصائص الأساسية لل agile
+
+614
+00:48:02,480 --> 00:48:07,280
+programming أو development أنه في عندنا بالأساس هي
+
+615
+00:48:07,280 --> 00:48:11,760
+incremental incremental إياشما قلتش incremental
+
+616
+00:48:11,760 --> 00:48:14,460
+development لو قلت incremental development معناته
+
+617
+00:48:14,460 --> 00:48:18,700
+ان انا عملت planning مسبق ولكن التنفيذ نفذته على
+
+618
+00:48:18,700 --> 00:48:22,860
+أجزاء لأ هنا incremental ايش planning التخطيط نفسه
+
+619
+00:48:22,860 --> 00:48:26,860
+تم على أجزاء انا ماحطيت خطة بعيدة المدى لكل
+
+620
+00:48:26,860 --> 00:48:32,240
+العملية لأ حطيت خطة في الأول لل release هذه خوصت
+
+621
+00:48:32,240 --> 00:48:37,880
+منها عملت خطة جديدة لل release اللاحق smallالـ
+
+622
+00:48:37,880 --> 00:48:43,220
+Releases هذه عادةً هنشوف قدام بيحكموها بزمن معين
+
+623
+00:48:43,220 --> 00:48:47,080
+ان والله كل شهرين بده انزل او كل شهر بده انزل
+
+624
+00:48:47,080 --> 00:48:50,740
+Release وبالتالي كمية ال requirements اللي بتنعمل
+
+625
+00:48:50,740 --> 00:48:55,120
+في شهر تتنازل مع طاقة فريق العمل اذا انا اندي بس
+
+626
+00:48:55,120 --> 00:49:00,570
+اربعة ولا خمسة فمش هحط requirements او storiesإلا
+
+627
+00:49:00,570 --> 00:49:05,670
+على ما يستطيع هؤلاء الاربع والخمس يفعلوه في شهر أو
+
+628
+00:49:05,670 --> 00:49:10,470
+إذا شهرين تمام؟ simple design إنه ال design بالاصل
+
+629
+00:49:10,470 --> 00:49:15,970
+بيكون بسيط جدا إيش السبب؟ ليش بان هي simple؟ علشان
+
+630
+00:49:15,970 --> 00:49:20,290
+لو انت عملت إشي وقالج واحد بعده كي يكمل عليه او
+
+631
+00:49:20,290 --> 00:49:23,510
+إذا ماكانش simple هيقعد واحد كبير عبال ما يستوه
+
+632
+00:49:23,510 --> 00:49:27,430
+بانت كيف سويته عشان يقدر يضيف عليه أو يغير عليه لأ
+
+633
+00:49:27,430 --> 00:49:33,040
+لازم يبقىأه simple test first development ما
+
+634
+00:49:33,040 --> 00:49:38,460
+بتنزلش إشي إلا أنت عامله يعني .. يعني هنا .. هنا
+
+635
+00:49:38,460 --> 00:49:42,920
+ال testing هذا قولت أنا بتتم على مستوى ال function
+
+636
+00:49:42,920 --> 00:49:46,280
+الواحدة أو ال class الواحد أو ال object الواحد و
+
+637
+00:49:46,280 --> 00:49:50,560
+أيضا على مستوى ال system ككل لما أدمج المكون مع
+
+638
+00:49:50,560 --> 00:49:54,100
+المكونات الأخرى فعملية ال testing في ال .. في ال
+
+639
+00:49:54,100 --> 00:50:00,100
+.. في ال agile عملية أساسية جدا جدا جداتمام الـ
+
+640
+00:50:00,100 --> 00:50:03,380
+Refactoring الـ Refactoring مش عارف سمعته في
+
+641
+00:50:03,380 --> 00:50:07,260
+المصطلح حاجة جاب ليك ولا لا بس يقصد بأن أنت لحالك
+
+642
+00:50:08,150 --> 00:50:12,150
+بتجعلك تراجع ال code تبعك باستمرار اللي انت كتبته
+
+643
+00:50:12,150 --> 00:50:16,770
+و تشوف ايش فيه امكانية للتعديل عليه وتحسينه من هنا
+
+644
+00:50:16,770 --> 00:50:20,910
+software quality software quality اه انت كتبت
+
+645
+00:50:20,910 --> 00:50:24,350
+function ال function هذه بتاخد رقمين و بتجمحهم و
+
+646
+00:50:24,350 --> 00:50:28,490
+بتطلع برا مافيش فيها ايش يتعدل لكن احيانا نكتب
+
+647
+00:50:28,490 --> 00:50:32,170
+function بتعمل شغل كتير و بتطلع output صح فانت
+
+648
+00:50:32,170 --> 00:50:37,320
+عملت في الأول و بتشتغل صحمافيش أي مشكلة بعد فترة
+
+649
+00:50:37,320 --> 00:50:44,160
+جيت فتحتها و حاولت تفهمها وجيتها شوية مكلقة فبتروح
+
+650
+00:50:44,160 --> 00:50:48,940
+انت منك لحالك بتعدل ال design بتبسطها واخد بالك
+
+651
+00:50:48,940 --> 00:50:51,940
+فال refactoring هنا كل ال developers are expected
+
+652
+00:50:51,940 --> 00:50:55,900
+to refactor ال code ال refactoring هنا عملية بتتم
+
+653
+00:50:55,900 --> 00:50:59,860
+على ال code اللي كتبته ال برمجة اللي انت عملتها
+
+654
+00:50:59,860 --> 00:51:04,660
+بحيث انك انت دايما و بستمرار continuouslyإنه
+
+655
+00:51:08,500 --> 00:51:13,960
+تخلّي تعمل improvement على ال code ال user ما
+
+656
+00:51:13,960 --> 00:51:18,620
+بيشوفوش صح يالها لكن انت معنى فريق العمل معنى بإن
+
+657
+00:51:18,620 --> 00:51:21,920
+ال code هذا يبقى high quality على أساس إيش؟ على
+
+658
+00:51:21,920 --> 00:51:26,280
+أساس إن جدّام جينا changes صح باستمار فالإحتمال
+
+659
+00:51:26,280 --> 00:51:29,660
+أنا واحد من ال changes أرجع أفتح code أنا عامله
+
+660
+00:51:29,660 --> 00:51:34,300
+فإذا لجيت ال code يعني مش مكتوب صح هتعب في فهمه
+
+661
+00:51:34,300 --> 00:51:37,370
+هتعب في التعديل عليهفلازم اللي كتب code دايما
+
+662
+00:51:37,370 --> 00:51:41,110
+باستمرار ي .. هذا تمام؟ قضية ال pair programming
+
+663
+00:51:41,110 --> 00:51:49,170
+ايش يعني pair؟ ازواج اه اما اتنين مبرمجين او مبرمج
+
+664
+00:51:49,170 --> 00:51:55,050
+و customer قضية ال customer جزء أساسي من أسلوب
+
+665
+00:51:55,050 --> 00:51:58,770
+العمل هذا ال agile software development ال pair
+
+666
+00:51:58,770 --> 00:52:02,350
+programmingالـ Developers work in pair يعني بيبقوا
+
+667
+00:52:02,350 --> 00:52:06,790
+جاعدين على جهاز واحد اتنين مع بعض ببرمجه او بصممه
+
+668
+00:52:06,790 --> 00:52:13,170
+في ال task okay هذا بي .. بي .. يعني انت مثلا ممكن
+
+669
+00:52:13,170 --> 00:52:16,950
+تبقى مش ماخد بالك من حاجة اللي زميلك ينبهكواضح
+
+670
+00:52:16,950 --> 00:52:20,130
+الأفكار انت فكر في شغل التاني يقولك اه والله كويس
+
+671
+00:52:20,130 --> 00:52:24,410
+بس لو كانت هيك يتحسن على الأفكار واضح فالعمل في
+
+672
+00:52:24,410 --> 00:52:27,810
+أزواج اتنين جاعدين على ال system ممكن برضه واحد
+
+673
+00:52:27,810 --> 00:52:31,110
+يريح التاني يعني الان انا ماسك ال keyboard بعد
+
+674
+00:52:31,110 --> 00:52:34,150
+ساعة هو اللي يمسك ال keyboard يعني في النهاية
+
+675
+00:52:34,150 --> 00:52:39,570
+ادمغين على ال task بغض النظر عن مين اللي ايده على
+
+676
+00:52:39,570 --> 00:52:43,360
+ال keyboard واضح؟developers work in pairs checking
+
+677
+00:52:43,360 --> 00:52:47,480
+each other's work بيفحصه أو يعني بيراقبه و إيه
+
+678
+00:52:47,480 --> 00:52:50,360
+اللي هذا تمام ال collective ownership قضية ال
+
+679
+00:52:50,360 --> 00:52:53,680
+ownership هي قضية مهمة في ال agile إنه ال
+
+680
+00:52:53,680 --> 00:52:57,120
+developer و ال user لما بيحس إن هذا ال software
+
+681
+00:52:57,120 --> 00:53:03,820
+ملكه يعني إله هو تبعه مش إنه مجرد منتج عمله و باعه
+
+682
+00:53:03,820 --> 00:53:08,580
+في السوق لأ وجود الإحساس هذا الإحساس بال ownership
+
+683
+00:53:09,300 --> 00:53:15,960
+طبعا هذا اشي مهم جدا طبعا فكيف بتعزز الاحساس بال
+
+684
+00:53:15,960 --> 00:53:21,200
+ownership لو انا عملت بس جزئية و خلاص و بدرعش انا
+
+685
+00:53:21,200 --> 00:53:23,800
+عن باقي الجزئيات التانية اللي عملوها المبرمجين
+
+686
+00:53:23,800 --> 00:53:27,460
+الأخرين في فريق العمل فانا خلاص انا معنى باللي
+
+687
+00:53:27,460 --> 00:53:33,790
+عملته مش مهتم بال system ككل لكن لمابينتقل ال
+
+688
+00:53:33,790 --> 00:53:38,130
+developer من task ل task أخرى ل task أخرى من جزء
+
+689
+00:53:38,130 --> 00:53:41,410
+في ال system اللي انا اشتغل على ال interface قدامي
+
+690
+00:53:41,410 --> 00:53:44,290
+اشتغل على ال database قدامي اشتغل على ال server
+
+691
+00:53:44,290 --> 00:53:49,870
+كده تنقل ال developer من جزئي لجزئية أخرى في ال
+
+692
+00:53:49,870 --> 00:53:54,190
+system صار عارف ال system كله صار له يد في كل
+
+693
+00:53:54,190 --> 00:53:59,590
+جوانب ال system فانا بعزز شعوره بأن ال system هذا
+
+694
+00:54:00,570 --> 00:54:04,610
+أه كأنه ابنه يعني كأنه .. كأنه هو .. كأنه إلهم
+
+695
+00:54:04,610 --> 00:54:08,550
+فبتعزز الشعور هذا عند كل ال developers ال
+
+696
+00:54:08,550 --> 00:54:13,270
+continuous integration إنه احنا عادة بنعمل release
+
+697
+00:54:13,270 --> 00:54:16,350
+ال release التاني عبارة عن إضافات عليها فهذه
+
+698
+00:54:16,350 --> 00:54:19,870
+الإضافات بتيجي على ال release السابقة وبتعمل
+
+699
+00:54:19,870 --> 00:54:23,930
+integration إليها فاحنا باستمرار we add .. we
+
+700
+00:54:23,930 --> 00:54:29,820
+integrate components على الموجود سابقاSustainable
+
+701
+00:54:29,820 --> 00:54:33,360
+pace، إيش قولنا Sustainable pace؟ قولنا إن ال
+
+702
+00:54:33,360 --> 00:54:38,440
+releases بتنزل في شهر، كل شهر أو كل شهرين Release،
+
+703
+00:54:38,440 --> 00:54:44,900
+تمام؟ هذي الشهر أو شهرين حددوا عليه أساس، على أساس
+
+704
+00:54:44,900 --> 00:54:49,640
+ضرقة فريق العمل، إحنا لأننا فريق عمل كبير، ممكن
+
+705
+00:54:49,640 --> 00:54:56,640
+ننزل Release كل شهرفريق عمل اقل ممكن شهرين كذلك
+
+706
+00:54:56,640 --> 00:55:01,240
+الحال انا بدي المبرمج يشتغل اكم ساعة في اليوم اذا
+
+707
+00:55:01,240 --> 00:55:05,060
+انا شغلته اكتر من اربعين ساعة في اليوم تبدأ كفاءته
+
+708
+00:55:05,060 --> 00:55:13,020
+تنخفض اربعين ساعة فمبدأ أساسي في اللي هو في العمل
+
+709
+00:55:13,020 --> 00:55:17,900
+في ال agile انه مايشتغلش اكتر من اربعين ساعة حتى
+
+710
+00:55:17,900 --> 00:55:20,760
+لو مش مخلص لازم يسيب الشغل
+
+711
+00:55:26,250 --> 00:55:29,330
+أنا ايش قلت؟ تبتقول اربعين ساعة في اليوم؟ لأ لأ لأ
+
+712
+00:55:29,330 --> 00:55:31,250
+يا جماعة في حد مش بتقول اربعين ساعة في اليوم
+
+713
+00:55:31,250 --> 00:55:35,570
+اربعين ساعة في الأسبوع ناسر اربعين ساعة في الأسبوع
+
+714
+00:55:35,570 --> 00:55:40,270
+تمام حتى كمان انه ياخد يشتغل اكتر و ياخد عليها
+
+715
+00:55:40,270 --> 00:55:45,290
+overtime برضه هذا ممنوع خلاص اربعين ساعة في
+
+716
+00:55:45,290 --> 00:55:50,550
+الأسبوع و بس okay طاقته الذهنية و البدنية بدنا
+
+717
+00:55:50,550 --> 00:55:56,690
+نحافظ عليها لليوم اللي بعدهتمام؟ ال on-site هذه
+
+718
+00:55:56,690 --> 00:56:00,950
+أهم شغل تقريبا في ال agile development أنه ال
+
+719
+00:56:00,950 --> 00:56:05,010
+customer .. ال customer لازم يبقى موجود مع فريق
+
+720
+00:56:05,010 --> 00:56:09,050
+العمل مش أنه احنا بنروحله زيارات أو بنعمل معاه
+
+721
+00:56:09,050 --> 00:56:14,390
+اجتماع كل مثلا أسبوع بنلتقي بيههو معانا في عملية
+
+722
+00:56:14,390 --> 00:56:19,410
+ال development مش كمصمم مش كمبرمج لأ كمتابع يقول
+
+723
+00:56:19,410 --> 00:56:23,630
+لي والله هذا هي كمصبوط هذه ال requirement ان عملها
+
+724
+00:56:23,630 --> 00:56:27,650
+زي ما هو بدوها فهذا برضه كمان بعزز ال ownership
+
+725
+00:56:27,650 --> 00:56:30,490
+and ال customer بس إن هو ال customer حاسس ان ال
+
+726
+00:56:30,490 --> 00:56:36,030
+system هذا اللي في عاجزه اسمها product championال
+
+727
+00:56:36,030 --> 00:56:40,690
+champion يعني بطل فهو مندوب الشركة او مندوب ال
+
+728
+00:56:40,690 --> 00:56:45,150
+users مع فريق العمل هذي بيسموه product champion
+
+729
+00:56:45,150 --> 00:56:48,590
+بيضلوا مستمر معاهم في طول عملية ال development
+
+730
+00:56:48,590 --> 00:56:53,470
+okay فاحنا الان بيوقف عن هنا المحاضرة الجاية بنرجع
+
+731
+00:56:53,470 --> 00:56:56,950
+من البداية وبنمر على تفاصيل اللي هو ال agile
+
+732
+00:56:56,950 --> 00:56:58,290
+programming من البداية
+
diff --git a/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/cBlGSDX7byg_raw.json b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/cBlGSDX7byg_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..7145a40a15fa1362f3cc82ae24add9ab4e50e498
--- /dev/null
+++ b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/cBlGSDX7byg_raw.json
@@ -0,0 +1 @@
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نشوف ايضا نقطة تانية او الموضوع التاني اللي هو نشوف ايش ال activities اللي بتتم في هذه ال processes و بعد ذلك في مثل اهم اللي هي", "tokens": [8297, 8978, 23758, 2423, 7187, 8978, 7649, 995, 6055, 1211, 2655, 8717, 4587, 41193, 5551, 3794, 32277, 10632, 34051, 6055, 1211, 2655, 3714, 2407, 46958, 40228, 5551, 3794, 32277, 10632, 13672, 1829, 39896, 16472, 8315, 8717, 2655, 3615, 28480, 15844, 45030, 11242, 2423, 5245, 13672, 1829, 39896, 2423, 1399, 5245, 4032, 4386, 4032, 8717, 8592, 38688, 1975, 1829, 11242, 995, 8717, 47432, 3660, 6055, 7649, 10632, 1975, 2407, 9673, 2407, 11242, 45367, 16712, 7649, 1829, 13672, 1829, 31439, 8717, 8592, 38688, 1975, 1829, 8592, 2423, 5354, 13672, 1829, 39894, 39237, 8978, 29538, 2423, 7555, 4032, 39182, 29910, 23275, 8978, 50113, 1211, 1975, 16095, 13672, 1829, 39896], "avg_logprob": -0.17552569870636842, "compression_ratio": 1.8839285714285714, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 99.29, "end": 99.47, "word": "Okay", 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"word": " هو", "probability": 0.97900390625}, {"start": 113.69, "end": 114.01, "word": " نشوف", "probability": 0.9762369791666666}, {"start": 114.01, "end": 114.19, "word": " ايش", "probability": 0.84765625}, {"start": 114.19, "end": 114.29, "word": " ال", "probability": 0.9892578125}, {"start": 114.29, "end": 115.05, "word": " activities", "probability": 0.98583984375}, {"start": 115.05, "end": 115.93, "word": " اللي", "probability": 0.98291015625}, {"start": 115.93, "end": 116.47, "word": " بتتم", "probability": 0.6435546875}, {"start": 116.47, "end": 116.65, "word": " في", "probability": 0.92529296875}, {"start": 116.65, "end": 116.91, "word": " هذه", "probability": 0.7275390625}, {"start": 116.91, "end": 117.07, "word": " ال", "probability": 0.97119140625}, {"start": 117.07, "end": 117.61, "word": " processes", "probability": 0.9716796875}, {"start": 117.61, "end": 118.19, "word": " و", "probability": 0.720703125}, {"start": 118.19, "end": 118.43, "word": " بعد", "probability": 0.80224609375}, {"start": 118.43, "end": 118.65, "word": " ذلك", "probability": 0.655029296875}, {"start": 118.65, "end": 118.97, "word": " في", "probability": 0.8955078125}, {"start": 118.97, "end": 119.29, "word": " مثل", "probability": 0.80419921875}, {"start": 119.29, "end": 119.63, "word": " اهم", "probability": 0.591796875}, {"start": 119.63, "end": 119.91, "word": " اللي", "probability": 0.9130859375}, {"start": 119.91, "end": 120.19, "word": " هي", "probability": 0.9130859375}], "temperature": 1.0}, {"id": 4, "seek": 14634, "start": 120.52, "end": 146.34, "text": "عملية الـ change لأنها هي المحورية .. النقطة .. المسألة الأساسية في كل المختلف ال processes كيف تعاملها مع التغيرات التغيرات اللي هو يقصد بيها التغير في طلبات الزبون يعني تمام؟ وفي الآخر بتطلع على example ل software process مستحدثة يعني شوية modern", "tokens": [25957, 1211, 10632, 2423, 39184, 1319, 5296, 33456, 11296, 39896, 9673, 5016, 13063, 10632, 4386, 28239, 47432, 3660, 4386, 9673, 3794, 10721, 37977, 16247, 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" هي", "probability": 0.25830078125}, {"start": 122.36, "end": 123.02, "word": " المحورية", "probability": 0.8895263671875}, {"start": 123.02, "end": 123.14, "word": " ..", "probability": 0.21875}, {"start": 123.14, "end": 124.0, "word": " النقطة", "probability": 0.92724609375}, {"start": 124.0, "end": 124.26, "word": " ..", "probability": 0.82666015625}, {"start": 124.26, "end": 124.8, "word": " المسألة", "probability": 0.951171875}, {"start": 124.8, "end": 125.36, "word": " الأساسية", "probability": 0.98486328125}, {"start": 125.36, "end": 125.52, "word": " في", "probability": 0.94384765625}, {"start": 125.52, "end": 125.86, "word": " كل", "probability": 0.974609375}, {"start": 125.86, "end": 126.72, "word": " المختلف", "probability": 0.8997395833333334}, {"start": 126.72, "end": 126.84, "word": " ال", "probability": 0.70166015625}, {"start": 126.84, "end": 127.3, "word": " processes", "probability": 0.83251953125}, {"start": 127.3, "end": 127.7, "word": " كيف", "probability": 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"probability": 0.9471435546875}, {"start": 136.02, "end": 136.3, "word": " يعني", "probability": 0.639404296875}, {"start": 136.3, "end": 137.08, "word": " تمام؟", "probability": 0.739013671875}, {"start": 137.08, "end": 137.26, "word": " وفي", "probability": 0.689453125}, {"start": 137.26, "end": 137.62, "word": " الآخر", "probability": 0.90869140625}, {"start": 137.62, "end": 138.12, "word": " بتطلع", "probability": 0.819091796875}, {"start": 138.12, "end": 138.54, "word": " على", "probability": 0.91796875}, {"start": 138.54, "end": 140.4, "word": " example", "probability": 0.8876953125}, {"start": 140.4, "end": 141.26, "word": " ل", "probability": 0.94921875}, {"start": 141.26, "end": 142.9, "word": " software", "probability": 0.67236328125}, {"start": 142.9, "end": 143.6, "word": " process", "probability": 0.98046875}, {"start": 143.6, "end": 145.42, "word": " مستحدثة", "probability": 0.90556640625}, {"start": 145.42, "end": 145.64, "word": " يعني", "probability": 0.8974609375}, 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810.85, "text": "في ال software هنتطلع على كل واحدة من هدولة الأنشطة و نحدد و نفهم بالظبط شو اللي بيصير في كل واحدة منهم okay الان احنا لما نقول software process يقصد بيها ايه ايش قلنا منهجية العمل software process model يقصد بيها نماذج لمنهجيات العمل", "tokens": [41185, 2423, 4722, 8032, 29399, 9566, 1211, 3615, 15844, 28242, 36764, 24401, 3660, 9154, 8032, 3215, 12610, 3660, 16247, 1863, 8592, 9566, 3660, 4032, 8717, 24401, 3215, 4032, 8717, 5172, 16095, 20666, 19913, 3555, 9566, 13412, 2407, 13672, 1829, 4724, 1829, 9381, 13546, 8978, 28242, 36764, 24401, 3660, 9154, 16095, 1392, 2423, 7649, 1975, 5016, 8315, 5296, 15042, 8717, 39648, 4722, 1399, 7251, 4587, 9381, 3215, 4724, 1829, 11296, 1975, 1829, 3224, 1975, 1829, 8592, 12174, 1211, 8315, 9154, 3224, 7435, 10632, 18863, 42213, 4722, 1399, 2316, 7251, 4587, 9381, 3215, 4724, 1829, 11296, 8717, 2304, 45636, 7435, 32767, 1863, 3224, 7435, 1829, 9307, 18863, 42213], "avg_logprob": -0.16851635096229126, "compression_ratio": 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نحدد", "probability": 0.737548828125}, {"start": 792.11, "end": 792.47, "word": " و", "probability": 0.88525390625}, {"start": 792.47, "end": 792.75, "word": " نفهم", "probability": 0.9861653645833334}, {"start": 792.75, "end": 793.17, "word": " بالظبط", "probability": 0.979248046875}, {"start": 793.17, "end": 793.37, "word": " شو", "probability": 0.916259765625}, {"start": 793.37, "end": 793.47, "word": " اللي", "probability": 0.931884765625}, {"start": 793.47, "end": 793.89, "word": " بيصير", "probability": 0.9248046875}, {"start": 793.89, "end": 794.53, "word": " في", "probability": 0.88525390625}, {"start": 794.53, "end": 794.69, "word": " كل", "probability": 0.9658203125}, {"start": 794.69, "end": 794.95, "word": " واحدة", "probability": 0.9879557291666666}, {"start": 794.95, "end": 795.33, "word": " منهم", "probability": 0.977783203125}, {"start": 795.33, "end": 796.09, "word": " okay", "probability": 0.310302734375}, {"start": 796.09, "end": 796.81, "word": " الان", 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الترتيب اللي بنص عليه هذا النموذج او ممكن ادمج ما بين طريقة هذا الطريقة هذا المنهجي و هذا المنهجي okay", "tokens": [8297, 8717, 2304, 45636, 7435, 1975, 1829, 8592, 37495, 22653, 22807, 37495, 22653, 1975, 5016, 8315, 3714, 43020, 8717, 30544, 8978, 6225, 9957, 8315, 8717, 2304, 45636, 7435, 13412, 3224, 48923, 4032, 7649, 995, 5296, 27842, 3224, 7435, 1829, 4724, 16254, 1975, 25957, 1211, 2423, 4722, 6055, 3555, 3615, 1829, 34051, 1975, 2655, 3555, 1863, 7578, 23758, 9673, 1863, 3224, 7435, 1975, 2407, 23758, 9673, 1863, 3224, 7435, 1975, 2407, 23758, 9673, 1863, 3224, 7435, 5296, 7649, 1975, 8315, 3714, 43020, 1975, 2655, 3555, 1863, 7578, 30767, 1829, 19446, 31439, 1975, 25957, 1211, 4724, 5016, 15730, 5172, 13546, 3224, 37495, 22653, 1975, 2304, 8592, 1829, 44945, 36178, 16712, 2288, 31371, 3555, 13672, 1829, 44945, 9381, 47356, 23758, 28239, 2304, 2407, 8848, 7435, 1975, 2407, 3714, 43020, 1975, 40448, 7435, 19446, 49374, 23032, 16572, 28671, 23758, 41950, 16572, 28671, 23758, 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" عادي", "probability": 0.85205078125}, {"start": 2334.05, "end": 2334.37, "word": " انما", "probability": 0.735107421875}, {"start": 2334.37, "end": 2334.53, "word": " لو", "probability": 0.9013671875}, {"start": 2334.53, "end": 2334.73, "word": " انا", "probability": 0.931396484375}, {"start": 2334.73, "end": 2334.99, "word": " هنا", "probability": 0.99462890625}], "temperature": 1.0}, {"id": 94, "seek": 235189, "start": 2335.85, "end": 2351.89, "text": "و بالدرجة انا اكتشفت أخطاء و الأخطاء هذه ممكن التعامل معاها هنا فبتبقى أسهل بكتير تمام", "tokens": [2407, 20666, 3215, 47341, 3660, 1975, 8315, 1975, 4117, 2655, 8592, 5172, 2655, 5551, 9778, 9566, 16606, 4032, 16247, 9778, 9566, 16606, 29538, 3714, 43020, 16712, 3615, 10943, 1211, 20449, 995, 11296, 34105, 6156, 3555, 2655, 3555, 4587, 7578, 5551, 3794, 3224, 1211, 4724, 4117, 2655, 13546, 46811, 10943], "avg_logprob": -0.18093749403953552, "compression_ratio": 1.3893805309734513, "no_speech_prob": 5.960464477539063e-08, "words": 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2754.18, "end": 2754.9, "word": " few", "probability": 0.08935546875}, {"start": 2754.9, "end": 2755.42, "word": " business", "probability": 0.97119140625}, {"start": 2755.42, "end": 2755.94, "word": " systems", "probability": 0.83056640625}, {"start": 2755.94, "end": 2756.18, "word": " have", "probability": 0.7158203125}, {"start": 2756.18, "end": 2756.74, "word": " stable", "probability": 0.78369140625}, {"start": 2756.74, "end": 2757.56, "word": " requirements", "probability": 0.951171875}, {"start": 2757.56, "end": 2758.66, "word": " بيقول", "probability": 0.6638590494791666}, {"start": 2758.66, "end": 2758.8, "word": " لك", "probability": 0.6697998046875}, {"start": 2758.8, "end": 2759.24, "word": " ملاحظة", "probability": 0.9583984375}, {"start": 2759.24, "end": 2759.38, "word": " ان", "probability": 0.59228515625}, {"start": 2759.38, "end": 2760.54, "word": " قدر", "probability": 0.8961588541666666}, {"start": 2760.54, "end": 2760.88, "word": " قليل", "probability": 0.970703125}, {"start": 2760.88, "end": 2761.3, "word": " جدا", "probability": 0.972900390625}, {"start": 2761.3, "end": 2761.66, "word": " من", "probability": 0.98046875}, {"start": 2761.66, "end": 2763.36, "word": " أنظمة", "probability": 0.7105305989583334}, {"start": 2763.36, "end": 2763.56, "word": " ال", "probability": 0.86328125}, {"start": 2763.56, "end": 2763.84, "word": " software", "probability": 0.8876953125}, {"start": 2763.84, "end": 2764.02, "word": " اللي", "probability": 0.72802734375}, {"start": 2764.02, "end": 2764.52, "word": " بتستخدم", "probability": 0.849609375}, {"start": 2764.52, "end": 2764.66, "word": " في", "probability": 0.77099609375}, {"start": 2764.66, "end": 2764.8, "word": " ال", "probability": 0.93310546875}, {"start": 2764.8, "end": 2765.12, "word": " business", "probability": 0.96337890625}, {"start": 2765.12, "end": 2766.32, "word": " اللي", "probability": 0.88525390625}, {"start": 2766.32, "end": 2766.6, "word": " هو", "probability": 0.98681640625}, {"start": 2766.6, "end": 2766.82, "word": " ال", "probability": 0.67236328125}, {"start": 2766.82, "end": 2767.2, "word": " requirements", "probability": 0.92822265625}, {"start": 2767.2, "end": 2767.64, "word": " تبعتها", "probability": 0.8408203125}, {"start": 2767.64, "end": 2767.98, "word": " stable", "probability": 0.7802734375}, {"start": 2767.98, "end": 2768.18, "word": " ايش", "probability": 0.6301676432291666}, {"start": 2768.18, "end": 2768.28, "word": " عن", "probability": 0.26123046875}, {"start": 2768.28, "end": 2768.72, "word": " stable", "probability": 0.80810546875}, {"start": 2768.72, "end": 2768.94, "word": " يعني", "probability": 0.826416015625}, {"start": 2768.94, "end": 2769.64, "word": " بتتغيرش", "probability": 0.853515625}, {"start": 2769.64, "end": 2771.14, "word": " الغالبية", "probability": 0.94287109375}], "temperature": 1.0}, {"id": 111, "seek": 280097, "start": 2772.11, "end": 2800.97, "text": "بتتغير Unstable requirements يعني ال requirements نفسها متذبذبة مرة بطلوا محكة و مرة بيغيروا و مرة بيزيدوا و مرة بننقص تمام؟ The follow through model is mostly used for large systems engineering projects where a system is developed at several sites هذه قضية أخرى وهي أنه لما يكون large project بيستخدموا هذه المنهجية علشان يضبطوا العمل في المواقع المختلفة", "tokens": [3555, 2655, 2655, 17082, 13546, 1156, 372, 712, 7728, 37495, 22653, 2423, 7728, 8717, 36178, 11296, 44650, 8848, 3555, 8848, 3555, 3660, 3714, 25720, 4724, 9566, 1211, 14407, 3714, 5016, 4117, 3660, 4032, 3714, 25720, 4724, 1829, 17082, 13546, 14407, 4032, 3714, 25720, 4724, 1829, 11622, 25708, 14407, 4032, 3714, 25720, 44945, 1863, 4587, 9381, 46811, 10943, 22807, 440, 1524, 807, 2316, 307, 5240, 1143, 337, 2416, 3652, 7043, 4455, 689, 257, 1185, 307, 4743, 412, 2940, 7533, 29538, 12174, 11242, 10632, 5551, 34740, 7578, 37037, 1829, 14739, 3224, 5296, 15042, 7251, 30544, 2416, 1716, 4724, 1829, 14851, 9778, 40448, 14407, 29538, 9673, 1863, 3224, 7435, 10632, 11203, 8592, 7649, 7251, 11242, 3555, 9566, 14407, 18863, 42213, 8978, 9673, 14407, 4587, 3615, 9673, 46456, 46538, 3660], "avg_logprob": -0.2529527667000538, "compression_ratio": 1.6524590163934427, "no_speech_prob": 7.152557373046875e-07, "words": [{"start": 2772.11, "end": 2772.79, "word": "بتتغير", "probability": 0.8122314453125}, {"start": 2772.79, "end": 2773.47, "word": " Unstable", "probability": 0.68450927734375}, {"start": 2773.47, "end": 2774.05, "word": " requirements", "probability": 0.71875}, {"start": 2774.05, "end": 2774.47, "word": " يعني", "probability": 0.906982421875}, {"start": 2774.47, "end": 2774.97, "word": " ال", "probability": 0.432373046875}, {"start": 2774.97, "end": 2775.31, "word": " requirements", "probability": 0.67333984375}, {"start": 2775.31, "end": 2775.81, "word": " نفسها", "probability": 0.8250325520833334}, {"start": 2775.81, "end": 2776.43, "word": " متذبذبة", "probability": 0.7195638020833334}, {"start": 2776.43, "end": 2776.67, "word": " مرة", "probability": 0.86474609375}, {"start": 2776.67, "end": 2777.05, "word": " بطلوا", "probability": 0.68365478515625}, {"start": 2777.05, "end": 2777.31, "word": " محكة", "probability": 0.51708984375}, {"start": 2777.31, "end": 2777.39, "word": " و", "probability": 0.86669921875}, {"start": 2777.39, "end": 2777.51, "word": " مرة", "probability": 0.89599609375}, {"start": 2777.51, "end": 2777.93, "word": " بيغيروا", "probability": 0.8751953125}, {"start": 2777.93, "end": 2778.01, "word": " و", "probability": 0.8935546875}, {"start": 2778.01, "end": 2778.11, "word": " مرة", "probability": 0.95654296875}, {"start": 2778.11, "end": 2778.67, "word": " بيزيدوا", "probability": 0.9525390625}, {"start": 2778.67, "end": 2778.71, "word": " و", "probability": 0.732421875}, {"start": 2778.71, "end": 2778.83, "word": " مرة", "probability": 0.96240234375}, {"start": 2778.83, "end": 2780.21, "word": " بننقص", "probability": 0.69921875}, {"start": 2780.21, "end": 2781.11, "word": " تمام؟", "probability": 0.615966796875}, {"start": 2781.11, "end": 2781.39, "word": " The", "probability": 0.269775390625}, {"start": 2781.39, "end": 2781.89, "word": " follow", "probability": 0.10498046875}, {"start": 2781.89, "end": 2782.07, "word": " through", "probability": 0.387451171875}, {"start": 2782.07, "end": 2782.49, "word": " model", "probability": 0.5927734375}, {"start": 2782.49, "end": 2782.63, "word": " is", "probability": 0.904296875}, {"start": 2782.63, "end": 2783.07, "word": " mostly", "probability": 0.94091796875}, {"start": 2783.07, "end": 2783.49, "word": " used", "probability": 0.91357421875}, {"start": 2783.49, "end": 2783.83, "word": " for", "probability": 0.94970703125}, {"start": 2783.83, "end": 2784.29, "word": " large", "probability": 0.90576171875}, {"start": 2784.29, "end": 2784.87, "word": " systems", "probability": 0.705078125}, {"start": 2784.87, "end": 2786.19, "word": " engineering", "probability": 0.517578125}, {"start": 2786.19, "end": 2786.93, "word": " projects", "probability": 0.9453125}, {"start": 2786.93, "end": 2787.27, "word": " where", "probability": 0.806640625}, {"start": 2787.27, "end": 2787.47, "word": " a", "probability": 0.96826171875}, {"start": 2787.47, "end": 2787.83, "word": " system", "probability": 0.9482421875}, {"start": 2787.83, "end": 2788.37, "word": " is", "probability": 0.9501953125}, {"start": 2788.37, "end": 2788.79, "word": " developed", "probability": 0.85107421875}, {"start": 2788.79, "end": 2789.07, "word": " at", "probability": 0.9091796875}, {"start": 2789.07, "end": 2789.43, "word": " several", "probability": 0.88330078125}, {"start": 2789.43, "end": 2790.01, "word": " sites", "probability": 0.88330078125}, {"start": 2790.01, "end": 2790.55, "word": " هذه", "probability": 0.46435546875}, {"start": 2790.55, "end": 2790.87, "word": " قضية", "probability": 0.98046875}, {"start": 2790.87, "end": 2791.29, "word": " أخرى", "probability": 0.9622395833333334}, {"start": 2791.29, "end": 2791.59, "word": " وهي", "probability": 0.787353515625}, {"start": 2791.59, "end": 2792.21, "word": " أنه", "probability": 0.76025390625}, {"start": 2792.21, "end": 2792.75, "word": " لما", "probability": 0.953125}, {"start": 2792.75, "end": 2793.17, "word": " يكون", "probability": 0.83740234375}, {"start": 2793.17, "end": 2793.99, "word": " large", "probability": 0.479248046875}, {"start": 2793.99, "end": 2794.49, "word": " project", "probability": 0.8095703125}, {"start": 2794.49, "end": 2795.63, "word": " بيستخدموا", "probability": 0.9900716145833334}, {"start": 2795.63, "end": 2795.89, "word": " هذه", "probability": 0.81884765625}, {"start": 2795.89, "end": 2796.71, "word": " المنهجية", "probability": 0.96083984375}, {"start": 2796.71, "end": 2797.53, "word": " علشان", "probability": 0.955078125}, {"start": 2797.53, "end": 2798.09, "word": " يضبطوا", "probability": 0.8990234375}, {"start": 2798.09, "end": 2798.63, "word": " العمل", "probability": 0.9873046875}, {"start": 2798.63, "end": 2799.03, "word": " في", "probability": 0.98486328125}, {"start": 2799.03, "end": 2800.49, "word": " المواقع", "probability": 0.913818359375}, {"start": 2800.49, "end": 2800.97, "word": " المختلفة", "probability": 0.996337890625}], "temperature": 1.0}, {"id": 112, "seek": 282759, "start": 2801.65, "end": 2827.59, "text": "شغل يعني أكتر من team شغالين على ال system وكل team في مكان منفصل بتستخدم هذه المنهجية لأنها لما أنت بتحط ال plan بشكل مسبق تمام و بتوزع المهام على التواقم اللي شغالة بشكل منفصل سهل على الإدارة أنها تدير المشروع هذا okay", "tokens": [8592, 17082, 1211, 37495, 22653, 5551, 4117, 2655, 2288, 9154, 1469, 13412, 17082, 6027, 9957, 15844, 2423, 1185, 4032, 28820, 1469, 8978, 3714, 41361, 9154, 5172, 36520, 39894, 14851, 9778, 40448, 29538, 9673, 1863, 3224, 7435, 10632, 5296, 33456, 11296, 5296, 15042, 14739, 2655, 39894, 5016, 9566, 2423, 1393, 4724, 8592, 28820, 3714, 35457, 4587, 46811, 10943, 4032, 39894, 2407, 11622, 3615, 9673, 3224, 10943, 15844, 16712, 14407, 4587, 2304, 13672, 1829, 13412, 17082, 6027, 3660, 4724, 8592, 28820, 9154, 5172, 36520, 8608, 3224, 1211, 15844, 33688, 3215, 9640, 3660, 14739, 11296, 6055, 3215, 13546, 9673, 8592, 32887, 3615, 23758, 1392], "avg_logprob": -0.1510416603848046, "compression_ratio": 1.7407407407407407, "no_speech_prob": 1.1920928955078125e-06, "words": [{"start": 2801.65, "end": 2802.27, "word": "شغل", "probability": 0.8414713541666666}, {"start": 2802.27, "end": 2802.71, "word": " يعني", "probability": 0.783203125}, {"start": 2802.71, "end": 2803.61, "word": " أكتر", "probability": 0.7581787109375}, {"start": 2803.61, "end": 2803.81, "word": " من", "probability": 0.994140625}, {"start": 2803.81, "end": 2804.15, "word": " team", "probability": 0.90625}, {"start": 2804.15, "end": 2804.75, "word": " شغالين", "probability": 0.8846435546875}, {"start": 2804.75, "end": 2804.97, "word": " على", "probability": 0.8955078125}, {"start": 2804.97, "end": 2805.25, "word": " ال", "probability": 0.978515625}, {"start": 2805.25, "end": 2806.07, "word": " system", "probability": 0.364013671875}, {"start": 2806.07, "end": 2806.91, "word": " وكل", "probability": 0.712158203125}, {"start": 2806.91, "end": 2807.23, "word": " team", "probability": 0.99267578125}, {"start": 2807.23, "end": 2807.43, "word": " في", "probability": 0.90185546875}, {"start": 2807.43, "end": 2807.83, "word": " مكان", "probability": 0.990478515625}, {"start": 2807.83, "end": 2808.65, "word": " منفصل", "probability": 0.9440104166666666}, {"start": 2808.65, "end": 2810.03, "word": " بتستخدم", "probability": 0.85003662109375}, {"start": 2810.03, "end": 2810.25, "word": " هذه", "probability": 0.671875}, {"start": 2810.25, "end": 2810.69, "word": " المنهجية", "probability": 0.8572265625}, {"start": 2810.69, "end": 2811.17, "word": " لأنها", "probability": 0.84716796875}, {"start": 2811.17, "end": 2812.59, "word": " لما", "probability": 0.829345703125}, {"start": 2812.59, "end": 2812.81, "word": " أنت", "probability": 0.758544921875}, {"start": 2812.81, "end": 2813.31, "word": " بتحط", "probability": 0.9689127604166666}, {"start": 2813.31, "end": 2813.83, "word": " ال", "probability": 0.978515625}, {"start": 2813.83, "end": 2814.33, "word": " plan", "probability": 0.94384765625}, {"start": 2814.33, "end": 2814.99, "word": " بشكل", "probability": 0.9777018229166666}, {"start": 2814.99, "end": 2815.55, "word": " مسبق", "probability": 0.95068359375}, {"start": 2815.55, "end": 2816.89, "word": " تمام", "probability": 0.938720703125}, {"start": 2816.89, "end": 2817.73, "word": " و", "probability": 0.455078125}, {"start": 2817.73, "end": 2818.23, "word": " بتوزع", "probability": 0.94091796875}, {"start": 2818.23, "end": 2818.77, "word": " المهام", "probability": 0.97998046875}, {"start": 2818.77, "end": 2819.15, "word": " على", "probability": 0.90869140625}, {"start": 2819.15, "end": 2820.85, "word": " التواقم", "probability": 0.86328125}, {"start": 2820.85, "end": 2821.03, "word": " اللي", "probability": 0.716796875}, {"start": 2821.03, "end": 2821.49, "word": " شغالة", "probability": 0.975341796875}, {"start": 2821.49, "end": 2822.01, "word": " بشكل", "probability": 0.97705078125}, {"start": 2822.01, "end": 2823.23, "word": " منفصل", "probability": 0.9847005208333334}, {"start": 2823.23, "end": 2824.25, "word": " سهل", "probability": 0.9456380208333334}, {"start": 2824.25, "end": 2824.45, "word": " على", "probability": 0.912109375}, {"start": 2824.45, "end": 2825.13, "word": " الإدارة", "probability": 0.9913330078125}, {"start": 2825.13, "end": 2825.45, "word": " أنها", "probability": 0.638427734375}, {"start": 2825.45, "end": 2826.11, "word": " تدير", "probability": 0.88720703125}, {"start": 2826.11, "end": 2826.61, "word": " المشروع", "probability": 0.98388671875}, {"start": 2826.61, "end": 2826.89, "word": " هذا", "probability": 0.87255859375}, {"start": 2826.89, "end": 2827.59, "word": " okay", "probability": 0.69873046875}], "temperature": 1.0}, {"id": 113, "seek": 285992, "start": 2830.36, "end": 2859.92, "text": "Okay ال incremental development اللي هي المنهجية أو النموذج التاني في هدولها activities صح؟", "tokens": [8297, 2423, 35759, 3250, 13672, 1829, 39896, 9673, 1863, 3224, 7435, 10632, 34051, 28239, 2304, 2407, 8848, 7435, 16712, 7649, 1829, 8978, 8032, 3215, 12610, 11296, 5354, 20328, 5016, 22807], "avg_logprob": -0.2668850748769699, "compression_ratio": 1.1367521367521367, "no_speech_prob": 0.0, "words": [{"start": 2830.36, "end": 2830.62, "word": "Okay", "probability": 0.294921875}, {"start": 2830.62, "end": 2831.32, "word": " ال", "probability": 0.72412109375}, {"start": 2831.32, "end": 2831.72, "word": " incremental", "probability": 0.42431640625}, {"start": 2831.72, "end": 2832.36, "word": " development", "probability": 0.95849609375}, {"start": 2832.36, "end": 2832.64, "word": " اللي", "probability": 0.802734375}, {"start": 2832.64, "end": 2832.76, "word": " هي", "probability": 0.92138671875}, {"start": 2832.76, "end": 2833.48, "word": " المنهجية", "probability": 0.932421875}, {"start": 2833.48, "end": 2833.92, "word": " أو", "probability": 0.51708984375}, {"start": 2833.92, "end": 2834.38, "word": " النموذج", "probability": 0.93095703125}, {"start": 2834.38, "end": 2839.12, "word": " التاني", "probability": 0.8346354166666666}, {"start": 2839.12, "end": 2857.48, "word": " في", "probability": 0.49267578125}, {"start": 2857.48, "end": 2858.72, "word": " هدولها", "probability": 0.6719970703125}, {"start": 2858.72, "end": 2859.24, "word": " activities", "probability": 0.8994140625}, {"start": 2859.24, "end": 2859.92, "word": " صح؟", "probability": 0.87890625}], "temperature": 1.0}, {"id": 114, "seek": 288466, "start": 2865.44, "end": 2884.66, "text": "صح؟ مش بالظبط ال oval هدا activity المربح هدا هيبقى عن مُنتَج أو مُستند مُستند أو مُنتَج الرسم هذه ترمز إلى مُنتَج يعني product أو outcome بينما الشكل البيضاوي أو المستدير هيكا هدا ال activities", "tokens": [9381, 5016, 22807, 37893, 20666, 19913, 3555, 9566, 2423, 37175, 8032, 28259, 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description لل system اللي بده ينعمل نبدأ في مرحلة ال specification مرحلة ال specification هذه اللي بيتم هنا اللي بيتم هنا متكرر", "tokens": [6027, 39184, 16387, 3855, 23758, 37495, 22653, 3714, 46456, 9381, 2288, 3714, 24401, 3215, 8978, 3224, 7728, 4724, 3794, 37893, 3714, 9381, 18513, 2288, 4724, 8592, 28820, 11778, 38436, 4587, 4724, 8592, 28820, 6225, 10943, 1392, 44945, 16606, 15844, 29538, 2423, 16387, 3855, 3855, 24976, 1185, 13672, 1829, 47525, 3224, 7251, 1863, 25957, 1211, 8717, 44510, 10721, 8978, 3714, 2288, 5016, 37977, 2423, 31256, 3714, 2288, 5016, 37977, 2423, 31256, 29538, 13672, 1829, 4724, 36081, 2304, 34105, 13672, 1829, 4724, 36081, 2304, 34105, 44650, 37983, 2288], "avg_logprob": -0.17187499725955657, "compression_ratio": 1.7568807339449541, "no_speech_prob": 0.0, "words": [{"start": 2909.37, "end": 2909.63, "word": "الـ", "probability": 0.731201171875}, {"start": 2909.63, "end": 2909.89, "word": " outline", "probability": 0.436279296875}, {"start": 2909.89, 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new file mode 100644
index 0000000000000000000000000000000000000000..cda6b5c0accf0770c3730ab167f4ae68abc84874
--- /dev/null
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@@ -0,0 +1 @@
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ده اصلا الفيروسات مشكلتها مش في اساءة الاستخدام مشكلتها ان هي بتسبب ضرر يعني انت جاعد بتعمل harmful او بتعمل harm ضرر على الأجهزة", "tokens": [32277, 1829, 44713, 9778, 3215, 10943, 44381, 9122, 23307, 24525, 16606, 3660, 42963, 14851, 9778, 3215, 10943, 39896, 4117, 9122, 23307, 3346, 438, 6156, 6027, 5172, 13546, 41779, 9307, 1975, 8315, 3714, 33599, 1829, 21542, 6027, 11778, 3224, 1975, 9381, 15040, 27188, 13546, 41779, 9307, 37893, 28820, 2655, 11296, 37893, 8978, 24525, 16606, 3660, 42963, 14851, 9778, 3215, 10943, 37893, 28820, 2655, 11296, 16472, 39896, 39894, 35457, 3555, 48812, 2288, 2288, 37495, 22653, 16472, 2655, 10874, 995, 22488, 39894, 25957, 1211, 19727, 1975, 2407, 39894, 25957, 1211, 6491, 48812, 2288, 2288, 15844, 16247, 7435, 3224, 11622, 3660], "avg_logprob": -0.1772959215604529, "compression_ratio": 1.9, "no_speech_prob": 1.430511474609375e-06, "words": [{"start": 847.66, "end": 848.06, "word": "اسي", "probability": 0.51202392578125}, {"start": 848.06, "end": 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الشغل إنك أنت تطبع أمور شخصية، فهذا واقع في إطار الـ Misuse، تمام؟ فهذه إبارة عن", "tokens": [10721, 15042, 24976, 10721, 1211, 3615, 16758, 34051, 6055, 14851, 9778, 40448, 11296, 5296, 9381, 6027, 5016, 4117, 25124, 9778, 9381, 12399, 37495, 22653, 44713, 9778, 40448, 10874, 3224, 31377, 24976, 8592, 17082, 1211, 8978, 14739, 4117, 6055, 25957, 1211, 4724, 2288, 10943, 7435, 16490, 9640, 7435, 25124, 17082, 1211, 34051, 6055, 14851, 9778, 40448, 23032, 21292, 27884, 25124, 17082, 1211, 36145, 4117, 14739, 2655, 6055, 9566, 3555, 3615, 5551, 2304, 13063, 13412, 9778, 9381, 10632, 12399, 6156, 3224, 15730, 36764, 4587, 3615, 8978, 11933, 9566, 9640, 2423, 39184, 23240, 438, 12399, 46811, 10943, 22807, 6156, 3224, 24192, 11933, 3555, 9640, 3660, 18871], "avg_logprob": -0.1574519187785112, "compression_ratio": 1.6938775510204083, "no_speech_prob": 8.940696716308594e-07, "words": [{"start": 899.69, "end": 900.27, "word": "أما", "probability": 0.636962890625}, {"start": 900.27, "end": 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"start": 3109.13, "end": 3129.25, "text": "Okay بعدين بيبعت إشارة أن ال blood sugar كذا هذا ال .. ال controller بيحسب بناء على مستوى blood sugar اللي وصله بيحسب جداش كمية ال أنسولين Okay فبيبعت إشارة أن ال أنسولين dose تبقى بالمقدار الفلاني الآن لازم تيجي في مرحلة معينة ال pump", "tokens": [8297, 39182, 9957, 4724, 1829, 3555, 34268, 11933, 8592, 9640, 3660, 14739, 2423, 3390, 5076, 9122, 15730, 23758, 2423, 4386, 2423, 10561, 4724, 1829, 5016, 35457, 44945, 16606, 15844, 3714, 14851, 2407, 7578, 3390, 5076, 13672, 1829, 4032, 36520, 3224, 4724, 1829, 5016, 35457, 10874, 3215, 33599, 9122, 2304, 10632, 2423, 14739, 3794, 12610, 9957, 1033, 6156, 21292, 3555, 34268, 11933, 8592, 9640, 3660, 14739, 2423, 14739, 3794, 12610, 9957, 14041, 6055, 3555, 4587, 7578, 20666, 2304, 28543, 9640, 27188, 1211, 7649, 1829, 6024, 48506, 5296, 31377, 2304, 6055, 1829, 7435, 1829, 8978, 3714, 2288, 5016, 37977, 20449, 9957, 3660, 2423, 5889], "avg_logprob": -0.2087378663924134, "compression_ratio": 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0.88623046875}, {"start": 4014.51, "end": 4014.89, "word": " ال", "probability": 0.96337890625}, {"start": 4014.89, "end": 4015.31, "word": " functionality", "probability": 0.96484375}, {"start": 4015.31, "end": 4015.97, "word": " الأساسية", "probability": 0.9747314453125}, {"start": 4015.97, "end": 4016.17, "word": " اللي", "probability": 0.7646484375}, {"start": 4016.17, "end": 4016.35, "word": " هي", "probability": 0.8388671875}, {"start": 4016.35, "end": 4016.69, "word": " إيش", "probability": 0.7576497395833334}, {"start": 4016.69, "end": 4017.51, "word": " جمع", "probability": 0.8333333333333334}, {"start": 4017.51, "end": 4018.17, "word": " بيانات", "probability": 0.939697265625}, {"start": 4018.17, "end": 4019.29, "word": " الحالة", "probability": 0.9744466145833334}, {"start": 4019.29, "end": 4019.85, "word": " الجوية", "probability": 0.9763997395833334}, {"start": 4019.85, "end": 4021.39, "word": " وإرسالها", "probability": 0.914794921875}, {"start": 4021.39, "end": 4021.99, "word": " وتخزينها", "probability": 0.91083984375}, {"start": 4021.99, "end": 4022.69, "word": " ومعالجتها", "probability": 0.9865373883928571}, {"start": 4022.69, "end": 4023.15, "word": " إضافة", "probability": 0.9764404296875}, {"start": 4023.15, "end": 4023.29, "word": " إلى", "probability": 0.88330078125}, {"start": 4023.29, "end": 4023.61, "word": " ذلك", "probability": 0.992431640625}, {"start": 4023.61, "end": 4024.23, "word": " هذه", "probability": 0.8701171875}, {"start": 4024.23, "end": 4025.53, "word": " functionality", "probability": 0.92724609375}, {"start": 4025.53, "end": 4026.19, "word": " إضافية", "probability": 0.99462890625}, {"start": 4026.19, "end": 4028.85, "word": " okay", "probability": 0.53857421875}, {"start": 4028.85, "end": 4029.57, "word": " فانت", "probability": 0.92529296875}, {"start": 4029.57, "end": 4029.97, "word": " الآن", "probability": 0.7183837890625}], "temperature": 1.0}, {"id": 171, "seek": 404653, "start": 4031.01, "end": 4046.53, "text": "أخدت صورة يفترض أخدنا صورة عن تلات أمثلة ل systems محتاجة عناية ومحتاجة جهد في التخطيط وفي الأداد علشان تطلع بالظبط مطابقة المطلوب منها تسوي", "tokens": [10721, 9778, 3215, 2655, 20328, 13063, 3660, 7251, 5172, 2655, 43042, 5551, 9778, 3215, 8315, 20328, 13063, 3660, 18871, 6055, 1211, 9307, 5551, 2304, 12984, 37977, 5296, 3652, 3714, 33753, 26108, 3660, 6225, 8315, 10632, 4032, 2304, 33753, 26108, 3660, 10874, 3224, 3215, 8978, 16712, 9778, 9566, 1829, 9566, 4032, 41185, 16247, 3215, 18513, 11203, 8592, 7649, 6055, 9566, 1211, 3615, 20666, 19913, 3555, 9566, 3714, 9566, 16758, 28671, 9673, 9566, 1211, 37746, 9154, 11296, 6055, 3794, 45865], "avg_logprob": -0.10245253013659127, "compression_ratio": 1.5759493670886076, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 4031.01, "end": 4031.91, "word": "أخدت", "probability": 0.93359375}, {"start": 4031.91, "end": 4032.31, "word": " صورة", "probability": 0.9856770833333334}, {"start": 4032.31, "end": 4032.77, "word": " يفترض", "probability": 0.943603515625}, {"start": 4032.77, "end": 4033.27, "word": " أخدنا", "probability": 0.7838134765625}, {"start": 4033.27, "end": 4033.59, "word": " صورة", "probability": 0.99365234375}, {"start": 4033.59, "end": 4033.77, "word": " عن", "probability": 0.97998046875}, {"start": 4033.77, "end": 4034.11, "word": " تلات", "probability": 0.9270833333333334}, {"start": 4034.11, "end": 4034.57, "word": " أمثلة", "probability": 0.836181640625}, {"start": 4034.57, "end": 4034.85, "word": " ل", "probability": 0.83251953125}, {"start": 4034.85, "end": 4036.27, "word": " systems", "probability": 0.403564453125}, {"start": 4036.27, "end": 4037.63, "word": " محتاجة", "probability": 0.9840087890625}, {"start": 4037.63, "end": 4038.35, "word": " عناية", "probability": 0.9000651041666666}, {"start": 4038.35, "end": 4038.93, "word": " ومحتاجة", "probability": 0.94580078125}, {"start": 4038.93, "end": 4039.29, "word": " جهد", "probability": 0.9474283854166666}, {"start": 4039.29, "end": 4039.67, "word": " في", "probability": 0.95654296875}, {"start": 4039.67, "end": 4040.71, "word": " التخطيط", "probability": 0.971484375}, {"start": 4040.71, "end": 4040.89, "word": " وفي", "probability": 0.940185546875}, {"start": 4040.89, "end": 4041.39, "word": " الأداد", "probability": 0.7862955729166666}, {"start": 4041.39, "end": 4041.93, "word": " علشان", "probability": 0.9705403645833334}, {"start": 4041.93, "end": 4042.63, "word": " تطلع", "probability": 0.994140625}, {"start": 4042.63, "end": 4043.85, "word": " بالظبط", "probability": 0.991455078125}, {"start": 4043.85, "end": 4044.51, "word": " مطابقة", "probability": 0.8360595703125}, {"start": 4044.51, "end": 4045.51, "word": " المطلوب", "probability": 0.8856201171875}, {"start": 4045.51, "end": 4045.89, "word": " منها", "probability": 0.9921875}, {"start": 4045.89, "end": 4046.53, "word": " تسوي", "probability": 0.8955078125}], "temperature": 1.0}, {"id": 172, "seek": 406812, "start": 4047.18, "end": 4068.12, "text": "Okay المحاضرة الجاية ان شاء الله في .. بنبدأ في chapter .. chapter 2 اللي هو بتعامل مع موضوع اللي هو ال process العملية إيش عملية هندسة البرمجيات إيش مراحلها وكل مرحلة إيش اللي بتتم فيها okay خلاص يعطيكم العافية", "tokens": [8297, 9673, 5016, 46958, 25720, 25724, 995, 10632, 16472, 13412, 16606, 21984, 8978, 4386, 44945, 44510, 10721, 8978, 7187, 4386, 7187, 568, 13672, 1829, 31439, 39894, 3615, 10943, 1211, 20449, 3714, 2407, 11242, 45367, 13672, 1829, 31439, 2423, 1399, 18863, 42213, 10632, 11933, 1829, 8592, 6225, 42213, 10632, 8032, 41260, 3794, 3660, 2423, 26890, 2304, 7435, 1829, 9307, 11933, 1829, 8592, 3714, 23557, 5016, 1211, 11296, 4032, 28820, 3714, 2288, 5016, 37977, 11933, 1829, 8592, 13672, 1829, 39894, 39237, 8978, 11296, 1392, 16490, 1211, 33546, 37495, 9566, 1829, 24793, 18863, 31845, 10632], "avg_logprob": -0.1482694847609407, "compression_ratio": 1.7192118226600985, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 4047.18, "end": 4047.56, "word": "Okay", "probability": 0.8330078125}, {"start": 4047.56, "end": 4048.42, "word": " المحاضرة", "probability": 0.9114990234375}, {"start": 4048.42, "end": 4049.26, "word": " الجاية", "probability": 0.7019856770833334}, {"start": 4049.26, "end": 4049.44, "word": " ان", "probability": 0.677734375}, {"start": 4049.44, "end": 4049.68, "word": " شاء", "probability": 0.991943359375}, {"start": 4049.68, "end": 4049.96, "word": " الله", "probability": 0.96875}, {"start": 4049.96, "end": 4051.46, "word": " في", "probability": 0.4345703125}, {"start": 4051.46, "end": 4051.68, "word": " ..", "probability": 0.65185546875}, {"start": 4051.68, "end": 4052.06, "word": " بنبدأ", "probability": 0.9046223958333334}, {"start": 4052.06, "end": 4052.18, "word": " في", "probability": 0.96826171875}, {"start": 4052.18, "end": 4052.58, "word": " chapter", "probability": 0.84326171875}, {"start": 4052.58, "end": 4053.36, "word": " ..", "probability": 0.83251953125}, {"start": 4053.36, "end": 4054.5, "word": " chapter", "probability": 0.92041015625}, {"start": 4054.5, "end": 4055.22, "word": " 2", "probability": 0.65478515625}, {"start": 4055.22, "end": 4055.88, "word": " اللي", "probability": 0.946533203125}, {"start": 4055.88, "end": 4056.04, "word": " هو", "probability": 0.9794921875}, {"start": 4056.04, "end": 4056.54, "word": " بتعامل", "probability": 0.8829345703125}, {"start": 4056.54, "end": 4056.8, "word": " مع", "probability": 0.9814453125}, {"start": 4056.8, "end": 4057.48, "word": " موضوع", "probability": 0.9534912109375}, {"start": 4057.48, "end": 4057.72, "word": " اللي", "probability": 0.95703125}, {"start": 4057.72, "end": 4057.94, "word": " هو", "probability": 0.9921875}, {"start": 4057.94, "end": 4058.16, "word": " ال", "probability": 0.91943359375}, {"start": 4058.16, "end": 4058.68, "word": " process", "probability": 0.96533203125}, {"start": 4058.68, "end": 4059.54, "word": " العملية", "probability": 0.8167317708333334}, {"start": 4059.54, "end": 4060.06, "word": " إيش", "probability": 0.6969401041666666}, {"start": 4060.06, "end": 4060.88, "word": " عملية", "probability": 0.9215494791666666}, {"start": 4060.88, "end": 4061.72, "word": " هندسة", "probability": 0.8544921875}, {"start": 4061.72, "end": 4062.5, "word": " البرمجيات", "probability": 0.8807779947916666}, {"start": 4062.5, "end": 4062.78, "word": " إيش", "probability": 0.9593098958333334}, {"start": 4062.78, "end": 4063.46, "word": " مراحلها", "probability": 0.9419921875}, {"start": 4063.46, "end": 4064.14, "word": " وكل", "probability": 0.80908203125}, {"start": 4064.14, "end": 4064.64, "word": " مرحلة", "probability": 0.993408203125}, {"start": 4064.64, "end": 4064.86, "word": " إيش", "probability": 0.98828125}, {"start": 4064.86, "end": 4065.0, "word": " اللي", "probability": 0.992919921875}, {"start": 4065.0, "end": 4065.42, "word": " بتتم", "probability": 0.77978515625}, {"start": 4065.42, "end": 4065.84, "word": " فيها", "probability": 0.992431640625}, {"start": 4065.84, "end": 4066.84, "word": " okay", "probability": 0.453369140625}, {"start": 4066.84, "end": 4067.34, "word": " خلاص", "probability": 0.9549153645833334}, {"start": 4067.34, "end": 4067.72, "word": " يعطيكم", "probability": 0.82861328125}, {"start": 4067.72, "end": 4068.12, "word": " العافية", "probability": 0.9736328125}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 4068.2521875, "duration_after_vad": 3944.0724999999825}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/i3nDKn0bZQI_raw.srt b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/i3nDKn0bZQI_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..5a33c6a3cfafd11b2e0c11065d195c5b174142a2
--- /dev/null
+++ b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/i3nDKn0bZQI_raw.srt
@@ -0,0 +1,1172 @@
+1
+00:00:20,970 --> 00:00:23,370
+بسم الله الرحمن الرحيم الصلاة والسلام علي أشرف
+
+2
+00:00:23,370 --> 00:00:28,610
+المصريين اليوم ان شاء الله بدنا نكمل اخر جزء في ال
+
+3
+00:00:28,610 --> 00:00:35,190
+chapter الرابع اللي هو ال requirements chapter فيه
+
+4
+00:00:35,190 --> 00:00:39,070
+انا section اربعة سبعة اللي هو بيتعلق بال
+
+5
+00:00:39,070 --> 00:00:42,330
+requirements management requirements management
+
+6
+00:00:42,330 --> 00:00:45,270
+كان ال section اللي قبل هيكا اللي هو requirements
+
+7
+00:00:45,270 --> 00:00:48,990
+validationبيتناوى الموضوع التحقق من ال
+
+8
+00:00:48,990 --> 00:00:52,810
+requirements بعد ما نكون احنا خلصنا ال elicitation
+
+9
+00:00:52,810 --> 00:00:56,330
+و ال analysis بدنا نتحقق من ال requirements اللي
+
+10
+00:00:56,330 --> 00:01:00,270
+انتحققنا منها و خلصنا و حطينا initial requirements
+
+11
+00:01:00,270 --> 00:01:06,140
+اللي نبدأ نشتغل عليهافي ال design و ال
+
+12
+00:01:06,140 --> 00:01:10,020
+implementation لكن لازم نتوقع أثناء ال design و ال
+
+13
+00:01:10,020 --> 00:01:14,940
+implementation أنه تحصل changes فلازم نكون مؤهلين
+
+14
+00:01:14,940 --> 00:01:20,360
+أو مهيئين للتعامل مع هذه التغييرات فيالتغييرات على
+
+15
+00:01:20,360 --> 00:01:24,820
+ال requirements فال section هذا 4-7 بتناول أو بنقش
+
+16
+00:01:24,820 --> 00:01:28,540
+موضوع اللي هو managing ال requirements managing ال
+
+17
+00:01:28,540 --> 00:01:33,480
+requirements يعني بالتحديد ما يتعلق بالتغييرات
+
+18
+00:01:33,480 --> 00:01:37,480
+اللي بتحصل على ال requirements إدارة أو تعامل مع
+
+19
+00:01:37,480 --> 00:01:39,960
+التغييرات اللي بتحصل على ال requirements ف
+
+20
+00:01:39,960 --> 00:01:46,510
+requirements management هو العملية عمليةعملية ال
+
+21
+00:01:46,510 --> 00:01:50,790
+managing ل changing requirements المتطلبات التي
+
+22
+00:01:50,790 --> 00:01:55,390
+تتغير أثناء .. أثناء requirements engineering
+
+23
+00:01:55,390 --> 00:02:00,330
+process يعني أثناء عمليةتحديد ال requirements و
+
+24
+00:02:00,330 --> 00:02:05,990
+جمعها و ايضا اثناء عملية ال system development او
+
+25
+00:02:05,990 --> 00:02:09,450
+مراحل اللاحق من ال system development okay اللي
+
+26
+00:02:09,450 --> 00:02:12,870
+بما يشمل ال analysis و ال design و ال
+
+27
+00:02:12,870 --> 00:02:16,410
+implementation و ال testing تمام؟ لأنه بدنا نتوقع
+
+28
+00:02:16,410 --> 00:02:20,830
+ان حتى في هذه المراحل المتقدمة ان يكون فيه تغيرات
+
+29
+00:02:21,430 --> 00:02:26,110
+طبعا جديش انت تجتهد في المراحل الأولى في جمع
+
+30
+00:02:26,110 --> 00:02:33,250
+المتطلبات بشكل دقيق بتوفر على حالك تغييرات لكن
+
+31
+00:02:33,250 --> 00:02:37,250
+تغييرات inevitable يعني لا مناص منها لا مفر منها
+
+32
+00:02:37,250 --> 00:02:42,350
+بس انت بتقدر تجلل من كثافتها بجديش انت بتجتهد في
+
+33
+00:02:42,350 --> 00:02:46,650
+المراحل الأولى المهمهو اجهك تغييرات في ال
+
+34
+00:02:46,650 --> 00:02:51,630
+requirements فبدك تعرف كيف تتعامل مع هذه طلبات
+
+35
+00:02:51,630 --> 00:02:53,370
+التغيير كيف تتعامل معاهم
+
+36
+00:02:57,410 --> 00:03:00,370
+بدنا .. قبل ما نشوف كيف تتعامل معها، بدنا نشوف
+
+37
+00:03:00,370 --> 00:03:05,130
+أصلا التغييرات هذه بتنبع أو بتنشأ من إيش؟ من إيش
+
+38
+00:03:05,130 --> 00:03:09,610
+بيحصل تغيير على ال requirements؟ ليش ممكن ييجيلك
+
+39
+00:03:09,610 --> 00:03:16,030
+في وجهة من الأوجهات ال customer بده يغير ..أو من
+
+40
+00:03:16,030 --> 00:03:19,090
+غير ما يجيلك انت تلاقي نفسك لازم واحدة من
+
+41
+00:03:19,090 --> 00:03:26,230
+المتطلبات او بعض منها يتغير بعض التغييرات بتنشأ من
+
+42
+00:03:26,230 --> 00:03:33,450
+انه تغيير بيحصل في ال business and technical
+
+43
+00:03:33,450 --> 00:03:37,730
+environment of the system ايش يعني business and
+
+44
+00:03:37,730 --> 00:03:42,610
+technical environment ال environment اللي بيشتغل
+
+45
+00:03:42,610 --> 00:03:46,480
+فيه او بيئة العالم اللي بيشتغل فيها ال systemفيه
+
+46
+00:03:46,480 --> 00:03:50,300
+بيئة إدارية والبيئة التقنية البيئة التقنية يعني
+
+47
+00:03:50,300 --> 00:03:56,520
+مثلا new hardware المؤسسة أدخلت hardware جديد على
+
+48
+00:03:56,520 --> 00:04:00,720
+العمل عندها وانت ال system تبعك لما انت عملته
+
+49
+00:04:00,720 --> 00:04:05,520
+عملته على أساسيشتغل في بيئة العمل اللي كانت في ذاك
+
+50
+00:04:05,520 --> 00:04:09,800
+الوقت لما هم غيروا و جابوا ربما نوع شديد من
+
+51
+00:04:09,800 --> 00:04:13,620
+الشبكات جابوا server شديد جابوا اي تغيرات تقنية
+
+52
+00:04:13,620 --> 00:04:18,080
+هذا الأمر ربما ينعكس او يأثر على ال system يصير ال
+
+53
+00:04:18,080 --> 00:04:24,620
+system طبعا مطلوب منه انه يشتغل في مع هذا ال
+
+54
+00:04:24,620 --> 00:04:29,020
+hardware اللي استجلتفممكن ينشأ التغيير على ال
+
+55
+00:04:29,020 --> 00:04:34,100
+software اللي انت بتعمله او ينشأ طلب التغيير نتيجة
+
+56
+00:04:34,100 --> 00:04:38,920
+وجود hardware جديد new hardware may be introduced
+
+57
+00:04:38,920 --> 00:04:45,220
+فقد يكون من الضروري انه ال system تبعك عشان يقدر
+
+58
+00:04:45,220 --> 00:04:49,960
+يتعامل مع هذا ال hardware الجديد قول مثلا على يعني
+
+59
+00:04:49,960 --> 00:04:54,640
+أبسط الاحتمالاتجابوا طابعة و الطابعة هادى .. انت
+
+60
+00:04:54,640 --> 00:04:57,820
+ال system تبعك بديه طابعة كشوفات و الكشوفات هادى
+
+61
+00:04:57,820 --> 00:05:01,680
+معمولة .. انت عاملة على أساس انه طابعة منها معينة،
+
+62
+00:05:01,680 --> 00:05:04,880
+الان جابوا طابعة .. كانت قبل الوصفة .. جابوا طابعة
+
+63
+00:05:04,880 --> 00:05:09,360
+ملونة okay؟ الان صار بدهم الكشوفات فعلا تطلع
+
+64
+00:05:09,360 --> 00:05:14,240
+ملونة، في الأول ماكانوش مهتمين في قضية الألوانصح؟
+
+65
+00:05:14,240 --> 00:05:18,140
+لما كانت طابعاتهم أبيض و أسود لما صار عندهم طابعات
+
+66
+00:05:18,140 --> 00:05:22,760
+ملونة صار مهتم بإنه بعض الكشفات أو كل الكشفات تطلع
+
+67
+00:05:22,760 --> 00:05:27,440
+بألوان معينة بحيث أنه والله الأرقام الإجمالية تبرز
+
+68
+00:05:27,440 --> 00:05:31,160
+بلون معين أو كده صح؟ فهذا التغيير في ال hardware
+
+69
+00:05:31,160 --> 00:05:36,900
+هذا مثال بسيط جدا على إنهم يستحدثوا طابعات ملونة
+
+70
+00:05:36,900 --> 00:05:42,100
+فاترتب عليه تغيير على ال design تبع ال system تبعه
+
+71
+00:05:42,660 --> 00:05:46,600
+Okay هذا من ناحية من ناحية أخرى ممكن تنشأ
+
+72
+00:05:46,600 --> 00:05:52,900
+التغييرات من انه ايش الناس اللي اللي هيستخدم ال
+
+73
+00:05:52,900 --> 00:05:58,160
+system ربما ماكانلهمش دور كبير في عملية جمال
+
+74
+00:05:58,160 --> 00:06:03,200
+المتطلبات كان التعاقب التعاقب التنسيق ما بين فريق
+
+75
+00:06:03,200 --> 00:06:07,220
+البرامج و ما بين مين المدرعة تبعهم او الناس اللي
+
+76
+00:06:07,220 --> 00:06:12,200
+هتدفع تمن ال system انما ال end user ماكانلوش
+
+77
+00:06:13,870 --> 00:06:17,010
+مساهمة كبيرة في تحديد المتطلبات اللي انبنى على
+
+78
+00:06:17,010 --> 00:06:20,370
+اساس ال system فالان لما انت خلصت ال system و
+
+79
+00:06:20,370 --> 00:06:24,130
+نزلته هذا ال end user شاف حاجة ماكانش بيعرف عنها
+
+80
+00:06:24,130 --> 00:06:29,150
+قبل هيكه فصار عنده ملاحظات فصرت انت مضطر او صار في
+
+81
+00:06:29,150 --> 00:06:34,670
+هناك حاجة الى التغيير ف ال people who pay for a
+
+82
+00:06:34,670 --> 00:06:38,110
+system and the user of that system are rarely the
+
+83
+00:06:38,110 --> 00:06:42,460
+same peopleماشي؟ يعني اللي بدفع تمان ال system مش
+
+84
+00:06:42,460 --> 00:06:46,800
+هو عادة مش هو اللي بستخدم ال system، أبقى وين
+
+85
+00:06:46,800 --> 00:06:50,920
+المشكلة؟ المشكلة أنه اللي بدفع هو اللي غالبا ما
+
+86
+00:06:50,920 --> 00:06:55,900
+بدخل .. ما بيكون له دور فيه تحديد المتطلباتطيب
+
+87
+00:06:55,900 --> 00:07:00,340
+حددنا جميع الموضوع الطلبات بناء على رغبة الجهد أو
+
+88
+00:07:00,340 --> 00:07:03,860
+الطرف هذا اللي بيدفع لكن لما عملنا ال system اصطدم
+
+89
+00:07:03,860 --> 00:07:11,220
+الأمر بال user وقدراته واحتياجاته وهل ال system
+
+90
+00:07:11,220 --> 00:07:19,540
+بيناسب طريقة العمل تبعته ولا لأ فصار في لازم مش ..
+
+91
+00:07:19,540 --> 00:07:22,580
+مديش اقول يعني اعتراض كبير ان ال user اعترض كبير
+
+92
+00:07:22,580 --> 00:07:26,590
+.. اعتراض كبير لأن ال system بالمرةما بنسبوش لأ بس
+
+93
+00:07:26,590 --> 00:07:34,870
+بنقول ان في ممكن تطرق او تنشر بعض التغييرات ان ال
+
+94
+00:07:34,870 --> 00:07:41,190
+user بديها بشكل غير عن لما وصفت لل developer من
+
+95
+00:07:41,190 --> 00:07:49,040
+قبل الطرف اللي دفع تكاليف ال system ماشي؟هذا منشأة
+
+96
+00:07:49,040 --> 00:07:53,600
+أخر للاختلاف أو للتغيير على ال system في منشأة
+
+97
+00:07:53,600 --> 00:07:57,660
+تالت وهو ان ال large systems لما انت بتكون تشتغل
+
+98
+00:07:57,660 --> 00:08:01,540
+large system usually have diverse user community
+
+99
+00:08:01,540 --> 00:08:06,170
+with many users having different requirementsلما
+
+100
+00:08:06,170 --> 00:08:09,370
+انت عملت ال system ال system الكبير و ال system
+
+101
+00:08:09,370 --> 00:08:13,290
+الكبير هذا فيه فئات مختلفة من ال user في عندك مثلا
+
+102
+00:08:13,290 --> 00:08:17,270
+في الجامعة ال system تبع الجامعة في عندك على الأقل
+
+103
+00:08:17,270 --> 00:08:21,050
+فئات الأكاديميين و فئات الإدارين الأكاديميين لو
+
+104
+00:08:21,050 --> 00:08:24,510
+تقدر تعتبرهم محدد فئات فئات كلية كذا و فئات كلية
+
+105
+00:08:24,510 --> 00:08:28,850
+كذا و فئات كلية كذا صح هذه الفئات المتعددة انت لما
+
+106
+00:08:28,850 --> 00:08:32,650
+جيت تشتغل ال system نفضل انك جيت تشتغل ال system
+
+107
+00:08:32,650 --> 00:08:40,660
+كبير لجامعة كلهاحاولت تاخد .. تستكشف أو تعمل
+
+108
+00:08:40,660 --> 00:08:45,340
+استبانة للمتطلبات كل الجهات هذه لما .. لما جيت
+
+109
+00:08:45,340 --> 00:08:48,760
+تعمل analysis لل requirements لجيت أنه في شوية
+
+110
+00:08:48,760 --> 00:08:51,940
+conflict في تعارض ما بين هدول الناس بدهم هيك و
+
+111
+00:08:51,940 --> 00:08:54,760
+هدول الناس بدهم هيك يعني مثلا جيت يقول مثلا أنت
+
+112
+00:08:54,760 --> 00:09:00,450
+بدك تعمل صفحات المدرسين في الجامعةلأ تلاقي تبعون
+
+113
+00:09:00,450 --> 00:09:04,610
+الهندسة بدهم الصفحات بدتهم تبقى ماخدة style معين،
+
+114
+00:09:04,610 --> 00:09:09,150
+تبعون الإنسانيات و ال humanities بدهم صفحاتهم تبقى
+
+115
+00:09:09,150 --> 00:09:13,130
+بالعربي و تبقى بالstyle معين، فهذا شويه conflict
+
+116
+00:09:13,130 --> 00:09:18,430
+اه؟ فانت يوم انك انت عملت ال system، روحت وازنت
+
+117
+00:09:18,430 --> 00:09:24,430
+الأمر و منت لطرف اكتر من طرف اخريوم ما نزل ال
+
+118
+00:09:24,430 --> 00:09:28,950
+system على أرض الواقع دجيت انه ممكن تكون معاك زمان
+
+119
+00:09:28,950 --> 00:09:33,490
+تغيرت موازين القوة فصار ال balance اللي انت عملته
+
+120
+00:09:33,490 --> 00:09:37,410
+او ال mainly اللي انت عملته لازم تعدل وتاخد بأراء
+
+121
+00:09:37,410 --> 00:09:43,110
+الطرف اللي انت يعني أهملته وتهمل شوية في أراء
+
+122
+00:09:43,110 --> 00:09:47,810
+الطرف اللي انت عطيتله أهميةمصبوط فهنا المقصود ايش؟
+
+123
+00:09:47,810 --> 00:09:51,850
+المقصود انه لما يكون ال system كبير و يبقى فيه
+
+124
+00:09:51,850 --> 00:09:55,350
+عندك فئات كتيرة من ال users و تبقى فيه تعارضات،
+
+125
+00:09:55,350 --> 00:10:00,930
+التعارضات هي دي عشان انت اتحلها بدك تمحاز لطرف
+
+126
+00:10:00,930 --> 00:10:05,430
+اكتر من طرف اخرهذا الانحياز ربما عند تسليم ال
+
+127
+00:10:05,430 --> 00:10:09,070
+system تلاقي ان حساباتك كانت خاطئة و انك محتاج
+
+128
+00:10:09,070 --> 00:10:13,210
+تعدل ال balance هذا شوية، اتميل اكتر لهذا الطرف،
+
+129
+00:10:13,210 --> 00:10:18,070
+هذا التعديل بينتج عنه تعديل في المتطلبات، تمام؟
+
+130
+00:10:19,010 --> 00:10:22,950
+أولويات الـ system هي أنك أعطيت أولوية لمتطلبات
+
+131
+00:10:22,950 --> 00:10:27,590
+هذا الطرف أكتر من متطلبات الطرف التاني هذا أثناء
+
+132
+00:10:27,590 --> 00:10:32,790
+جمع المتطلبات لكن عندما نزل الـ system وجدت أنك
+
+133
+00:10:32,790 --> 00:10:36,570
+أعطيت أولوية أكتر من اللازم لهذا الجهة كان المفروض
+
+134
+00:10:36,570 --> 00:10:40,350
+تعطيه أولوية شويه للجهة التانية فهذا معناته ليش
+
+135
+00:10:40,350 --> 00:10:44,940
+بدك تجول تعدل على ال design تبع ال systemالان
+
+136
+00:10:44,940 --> 00:10:49,020
+هدولة التلات .. التلات منابع للتغيير اللى هو
+
+137
+00:10:49,020 --> 00:10:52,120
+الوجود تغيير في ال hardware أو في ال business
+
+138
+00:10:52,120 --> 00:10:59,060
+بيأثر على ال system تبعك وجود اختلاف بين الجهة
+
+139
+00:10:59,060 --> 00:11:04,330
+اللى بتدفع عن الجهة اللى بتستخدموالمنشأة التالتة
+
+140
+00:11:04,330 --> 00:11:08,550
+اللي هو في ال systems الكبيرة وجود فئات متعددة و
+
+141
+00:11:08,550 --> 00:11:13,890
+يكون في conflict و انت بتكون ماقدرتش او قدرت
+
+142
+00:11:13,890 --> 00:11:20,110
+الامور لحظة جمع المتطلبات بشكل و الشكل هذا أصبح
+
+143
+00:11:20,110 --> 00:11:24,850
+غير مناسب عند التسليم، كان غير مناسب عند التسليم،
+
+144
+00:11:24,850 --> 00:11:29,600
+تمام، الآن ال requirementsعشان انت تعرف كيف تتعامل
+
+145
+00:11:29,600 --> 00:11:34,160
+معاها اللي بيحصل ان ال requirements لها دورة يعني
+
+146
+00:11:34,160 --> 00:11:37,520
+ال requirements change له دورة في الأول احنا بنكون
+
+147
+00:11:37,520 --> 00:11:41,940
+جمعنا ال initial understanding of a problem وبناء
+
+148
+00:11:41,940 --> 00:11:45,780
+على ال initial understanding فهمنا الابتدائي كتبنا
+
+149
+00:11:45,780 --> 00:11:49,740
+ال initial requirements document
+
+150
+00:11:52,430 --> 00:11:57,750
+لأن مع الزمن و احنا نشتغل على ال system تبدأ ال
+
+151
+00:11:57,750 --> 00:12:02,030
+understanding تبعنا يتطور يعني نفهم أشياء ماكناش
+
+152
+00:12:02,030 --> 00:12:04,850
+فاهمينها أو نشوف أشياء ماكناش عارفينها أو نعرف
+
+153
+00:12:04,850 --> 00:12:08,630
+أشياء ماكناش عارفينها واخد بالك فانت مع الزمن و
+
+154
+00:12:08,630 --> 00:12:14,510
+انت بت .. هذافبتغير فهمك
+
+155
+00:12:14,510 --> 00:12:20,850
+لاحتياجات ال user بناء على هذا التغير في فهمك
+
+156
+00:12:20,850 --> 00:12:26,270
+لاحتياجات لازم انتكانت روح تعمل ايش تعديل على ال
+
+157
+00:12:26,270 --> 00:12:32,070
+requirements و .. و تدرج هذا التعديل في ال .. في
+
+158
+00:12:32,070 --> 00:12:36,290
+المستندة و مع الزمن هذه الدورة بتتكرر يعني هذا
+
+159
+00:12:36,290 --> 00:12:39,790
+اللي كان initial و أصبح الان changed هذا اللي
+
+160
+00:12:39,790 --> 00:12:44,810
+changed requirements الآن مع الزمن بدك تصل لنقطة
+
+161
+00:12:44,810 --> 00:12:51,510
+انهانضافت أمور أخرى استوعبت أمور أخرى في ما يتعلق
+
+162
+00:12:51,510 --> 00:12:55,470
+بال system وبناء على فهمك الجديد صار هذا الان
+
+163
+00:12:55,470 --> 00:13:04,200
+previousوصار في عندك اشي جديد و دوليك خلال عملية
+
+164
+00:13:04,200 --> 00:13:08,100
+تطوير ال system بده يصير فيه فلان كل واحدة من
+
+165
+00:13:08,100 --> 00:13:12,680
+هدولة بتقدر تعتبرها version من المستند تبع ال
+
+166
+00:13:12,680 --> 00:13:15,860
+requirements هذه ال initial version وهذه بعدها
+
+167
+00:13:15,860 --> 00:13:19,060
+كانت version ربما one و بعدها version two انت طبعا
+
+168
+00:13:19,060 --> 00:13:25,520
+ما بدك تلاحقكل تغيير و تروح تضيفه على ال document
+
+169
+00:13:25,520 --> 00:13:30,220
+و تروح تقول لل designer و لل analyst يلا في احدنا
+
+170
+00:13:30,220 --> 00:13:34,020
+تغير .. تغيروا الشغل كوبلان على .. لا طبعا مش لازم
+
+171
+00:13:34,020 --> 00:13:39,160
+تلاحق لازم تعمل
+
+172
+00:13:39,160 --> 00:13:43,420
+التغييرات هذه على المتطلبات بحضر و بعناية بحيث انك
+
+173
+00:13:43,420 --> 00:13:50,430
+انت ما .. بحيث انك انت تتجللأتجلل المجهود الناتج
+
+174
+00:13:50,430 --> 00:13:51,090
+عن التغيير
+
+175
+00:13:57,590 --> 00:14:02,050
+Okay فاش اللي بدك تعمله وبعناية وبحرص انك انت في
+
+176
+00:14:02,050 --> 00:14:06,970
+الأول اشي بدك صمم في حد معين هيكون هو قادر يقول و
+
+177
+00:14:06,970 --> 00:14:12,310
+الله يجب انه نغير كده يعني ينشأ التغيير فهذا
+
+178
+00:14:12,310 --> 00:14:15,710
+المقصود بال requirements identification واحد من
+
+179
+00:14:15,710 --> 00:14:20,470
+الأطراف اما من داخل فريق ال development او من ال
+
+180
+00:14:20,470 --> 00:14:23,990
+users من طرف ال users بيقولوا و الله في انا تغيير
+
+181
+00:14:23,990 --> 00:14:26,490
+لازم ينعمل okay هذا اسمه requirements
+
+182
+00:14:26,490 --> 00:14:33,080
+identificationالان بدنا ندخل بناء على هذا ال
+
+183
+00:14:33,080 --> 00:14:38,560
+identification سمي طلب قول requirement request انه
+
+184
+00:14:38,560 --> 00:14:43,340
+جاء طلبات تغيير بناء على هذا الطلب بدنا ندخل في
+
+185
+00:14:43,340 --> 00:14:47,180
+management process management process اللي تتعلق
+
+186
+00:14:47,180 --> 00:14:53,120
+بأنه ندرس هذا الطلب و نقرر ما إذا كان ما إذا كان
+
+187
+00:14:53,120 --> 00:15:03,540
+يستحق ولا لأبدى يكون فيه أنه بعد ما نقرر إنه هذا
+
+188
+00:15:03,540 --> 00:15:08,520
+بده جدير ويستحق أنه ندرجه هذا التغيير في ال system
+
+189
+00:15:08,520 --> 00:15:13,440
+بدنا بعد هيك نهتم في مسألة traceability، إيش قولنا
+
+190
+00:15:13,440 --> 00:15:17,080
+traceability؟ بما أنه احنا قررنا إنه هذا التغيير
+
+191
+00:15:17,080 --> 00:15:25,700
+يستحق، بده نغير، يبقى لازم إيش؟لازم انه نتأكد انه
+
+192
+00:15:25,700 --> 00:15:29,580
+احنا رابطين ال .. ال .. الرابط ما بين القديم و
+
+193
+00:15:29,580 --> 00:15:33,380
+الجديد يعني بحس انه لما ييجي واحد يشوف اخر version
+
+194
+00:15:33,380 --> 00:15:36,480
+من ال .. من ال requirement يقدر يرجع و يشوف ايش
+
+195
+00:15:36,480 --> 00:15:40,480
+اللي كان جابلها و ايش اللي كان جابلهاإضافة إلى
+
+196
+00:15:40,480 --> 00:15:44,940
+ذلك، يجب أن تبحث أيضًا عن أدوات التي تستخدمها في
+
+197
+00:15:44,940 --> 00:15:50,740
+إدارة عملية التغيير، يوجد أدوات Software متخصصة،
+
+198
+00:15:50,740 --> 00:15:53,940
+ويوجد أيضًا أدوات جنرال البرابوس، مثلًا إذا كنت
+
+199
+00:15:53,940 --> 00:15:58,380
+تستخدم الـExcel، تسجل فيه تاريخوالسجل فيه وصف
+
+200
+00:15:58,380 --> 00:16:04,300
+التغيير والسجل فيه علاقته إذا كان هو تغيير ثاني
+
+201
+00:16:04,300 --> 00:16:09,360
+لأحد المطالبات السابقة فممكن تستخدم هنا software
+
+202
+00:16:09,360 --> 00:16:14,940
+tools that may be used بعض منها مخصص وبعض منها
+
+203
+00:16:14,940 --> 00:16:18,540
+generic زي spreadsheets أو simple database system
+
+204
+00:16:18,540 --> 00:16:22,520
+تعمل لك انت database system صغير لتسجيل التغييرات
+
+205
+00:16:22,880 --> 00:16:27,600
+الان احنا نعني بإيش ال management process هذي، إيش
+
+206
+00:16:27,600 --> 00:16:29,320
+اللي بدنا نسويه فيها؟
+
+207
+00:16:34,340 --> 00:16:38,040
+هنا في ال management process الهدف منها هو انه
+
+208
+00:16:38,040 --> 00:16:41,620
+احنا نطلع بقرار هل ال requirement هذا اللي تم
+
+209
+00:16:41,620 --> 00:16:46,040
+تحديده او اللي تم طلبه هل يستحق او لا يستحق فاللي
+
+210
+00:16:46,040 --> 00:16:49,280
+بيحصل انه انت you want to decide if a requirement
+
+211
+00:16:49,280 --> 00:16:53,600
+should be accepted يعني يقبل ولا لأ اول اشي بدك
+
+212
+00:16:53,600 --> 00:16:59,720
+تعمل analysisلا لـ problem أو لعياسة، فللـ change،
+
+213
+00:16:59,720 --> 00:17:03,300
+بدك تدرس هذا الـ change، الـ change هو أصلا لما
+
+214
+00:17:03,300 --> 00:17:09,060
+نطلب إنصار أنه في ألم المتطلب رقم كذا كذا كان هيكا
+
+215
+00:17:09,060 --> 00:17:12,950
+و احنا بدنا تعديله إلى كذا كذاهذه ال .. هذه ال ..
+
+216
+00:17:12,950 --> 00:17:13,650
+هذه ال .. هذه ال .. هذه ال .. هذه ال .. هذه ال ..
+
+217
+00:17:13,650 --> 00:17:13,810
+هذه ال .. هذه ال .. هذه ال .. هذه ال .. هذه ال ..
+
+218
+00:17:13,810 --> 00:17:13,970
+هذه ال .. هذه ال .. هذه ال .. هذه ال .. هذه ال ..
+
+219
+00:17:13,970 --> 00:17:13,990
+هذه ال .. هذه ال .. هذه ال .. هذه ال .. هذه ال ..
+
+220
+00:17:13,990 --> 00:17:14,310
+هذه ال .. هذه ال .. هذه ال .. هذه ال .. هذه ال ..
+
+221
+00:17:14,310 --> 00:17:15,770
+هذه ال .. هذه ال .. هذه ال .. هذه ال .. هذه ال ..
+
+222
+00:17:15,770 --> 00:17:15,870
+هذه ال .. هذه ال .. هذه ال .. هذه ال .. هذه ال ..
+
+223
+00:17:15,870 --> 00:17:22,030
+هذه ال ..
+
+224
+00:17:22,030 --> 00:17:26,390
+هذه ال .. هذه ال .. هذه ال .. هذه ال .. هذه ال ..
+
+225
+00:17:26,390 --> 00:17:26,690
+هذه ال .. هذه ال .. هذه ال .. هذه ال .. هذه ال ..
+
+226
+00:17:26,690 --> 00:17:26,690
+هذه ال .. هذه ال .. هذه ال .. هذه ال .. هذه ال ..
+
+227
+00:17:26,690 --> 00:17:26,690
+هذه ال .. هذه ال .. هذه ال .. هذه ال .. هذه ال ..
+
+228
+00:17:26,690 --> 00:17:26,870
+هذه ال .. هذه ال .. هذه ال .. هذه ال .. هذه ال ..
+
+229
+00:17:26,870 --> 00:17:28,150
+هذه ال .. هذه ال .. هذه ال .. هذه ال .. هذه ال ..
+
+230
+00:17:28,150 --> 00:17:31,250
+هذه ال .. هذه ال .. هذه ال .. هذه ال .. هذه ال ..
+
+231
+00:17:31,250 --> 00:17:37,680
+هذه ال .. هذهلو خطر في بال او المدير شافه في ال
+
+232
+00:17:37,680 --> 00:17:41,760
+system تاني و جال انا بديا ينعمل في ال system
+
+233
+00:17:41,760 --> 00:17:45,500
+تبعنا هذا بيقل مهم .. اذا انت .. اذا المدير شاف
+
+234
+00:17:45,500 --> 00:17:48,800
+حاجة في برنامج اخر و جال بدياها عندى ربما ماتبقاش
+
+235
+00:17:48,800 --> 00:17:51,920
+valid ايش يعني ماتبقاش valid؟ ماتبقاش ملائمة او
+
+236
+00:17:51,920 --> 00:17:57,600
+مناسبة او لازمة لاحتياط المؤسسة تبعته او losers
+
+237
+00:17:57,600 --> 00:18:01,860
+تبعونه ممكن لو عملنا الليواها ماحدش من هنا لعشر
+
+238
+00:18:01,860 --> 00:18:06,100
+سنين يستخدمهابس هو شافها ف .. ف .. فال .. ال .. ال
+
+239
+00:18:06,100 --> 00:18:09,960
+.. ال validity هنا يقصد بيها ان انت أكد في ال ..
+
+240
+00:18:09,960 --> 00:18:14,300
+في الخطوة هذه في ال analysis لطلب التغيير تتأكد ان
+
+241
+00:18:14,300 --> 00:18:20,620
+هذا المتطلب فعلا بيلبي حاجة من حاجاتكالـ user
+
+242
+00:18:20,620 --> 00:18:26,720
+تمام؟ الآن والله لاجينا valid طيب يمكن تكلفته هو
+
+243
+00:18:26,720 --> 00:18:30,900
+عالية يمكن الآن انا في هذه اللحظة داخل في ال
+
+244
+00:18:30,900 --> 00:18:35,640
+system غميق يعني جربت اخلص ال design او جربت اخلص
+
+245
+00:18:35,640 --> 00:18:39,300
+ال implementation عشان اعمل هذا ال requirement
+
+246
+00:18:39,300 --> 00:18:44,010
+اللي هو خلاص احنا اقرنه بان هو validربما هذا الأمر
+
+247
+00:18:44,010 --> 00:18:50,150
+يكلفنا عالي جدا يكلف وجد ويكلف فلوس ويكلف ربما
+
+248
+00:18:50,150 --> 00:18:54,230
+other فانت هنا ل change analysis and costing
+
+249
+00:18:54,230 --> 00:18:59,750
+decision بدك تقرر اه الشخص المسئول عن قبول
+
+250
+00:18:59,750 --> 00:19:03,710
+التغييرات هذه طلبات التغيير بده يقرر ما إذا كان
+
+251
+00:19:03,710 --> 00:19:13,220
+التغيير هذا تكلفته في حدود الممكن بعد هيك بدههو
+
+252
+00:19:13,220 --> 00:19:16,720
+يتولى عملية التنفيذ تنفيذ هذا التغيير بمعنى انه
+
+253
+00:19:16,720 --> 00:19:20,600
+بدي وجه ان والله فلان فلاني هذا اختصاصه هو اللي
+
+254
+00:19:20,600 --> 00:19:24,580
+ينفذ هذا التغيير هو المبرمج اللي شغال على الجدية
+
+255
+00:19:24,580 --> 00:19:27,940
+هذه فتمام فال change implementation the
+
+256
+00:19:27,940 --> 00:19:34,220
+requirements document بتنكتب وبعد هيك يعني بتوصغ
+
+257
+00:19:34,220 --> 00:19:38,280
+في الأول ال requirementش جديدة بصيغتها الجديدة
+
+258
+00:19:38,280 --> 00:19:43,920
+بناء على التعديل اللي انطلبوبينكتب ان هذه الصيغة
+
+259
+00:19:43,920 --> 00:19:49,900
+هي صيغة معدلة على الصيغة السابقة صيغة معدلة على
+
+260
+00:19:49,900 --> 00:19:54,720
+الصيغة السابقة و بعدها بيترحل ال requirement إلى
+
+261
+00:19:54,720 --> 00:19:59,180
+الطرف المسئول عن تطبيقها يعني في الأول لازم تصاغ
+
+262
+00:19:59,180 --> 00:20:03,460
+ال requirement بشكل واضح عشان لما نرحلها لطرف
+
+263
+00:20:03,460 --> 00:20:08,960
+المسئول عن تطبيقها يقرأها و يقدر ينفذها تمام؟
+
+264
+00:20:11,780 --> 00:20:21,720
+Okay يبقى احنا فيها ان في الاساس في change انطلب
+
+265
+00:20:22,970 --> 00:20:26,810
+حاجة معينة جاء وقال احنا بدنا نعمل تغيير قد يكون
+
+266
+00:20:26,810 --> 00:20:30,390
+زي ما قلت انا من ال users او قد يكون من داخل ال
+
+267
+00:20:30,390 --> 00:20:33,770
+system ال designer مثلا اكتشف انه في تعرض فجال
+
+268
+00:20:33,770 --> 00:20:37,430
+لازم هذا المتطلب يتغير لازم بدل ما هو هيك يصير زي
+
+269
+00:20:37,430 --> 00:20:41,190
+هيك المهم صار في identification ل change اللي هو
+
+270
+00:20:41,190 --> 00:20:44,290
+هذا اللي بنعمل عليه ايش analysis و specification
+
+271
+00:20:44,290 --> 00:20:47,450
+بعد هيك ال costing بعد هيك ال implementation
+
+272
+00:20:47,450 --> 00:20:51,430
+وبيحسبه في اندي revised requirementماشي هذا ال
+
+273
+00:20:51,430 --> 00:20:57,470
+revised requirement اتذكر ان احنا هنا كنا .. ايش؟
+
+274
+00:20:57,470 --> 00:20:59,990
+في initial understanding .. initial requirements
+
+275
+00:20:59,990 --> 00:21:03,810
+صار في change طلع change requirement .. changed
+
+276
+00:21:03,810 --> 00:21:08,290
+requirements هذا ال .. ال .. ال specification اللي
+
+277
+00:21:08,290 --> 00:21:13,630
+هنا هي اللي يقصد فيها .. هي اللي .. ال revised
+
+278
+00:21:13,630 --> 00:21:18,770
+requirementsطبعا هذا الكلام ممكن ينعمل على مستوى
+
+279
+00:21:18,770 --> 00:21:22,930
+تغيير الواحد او اذا التغييرات بتيجي دفعة واحدة
+
+280
+00:21:22,930 --> 00:21:26,270
+يعني انت ممكن تيجي عامل policy سياسة اللي والله
+
+281
+00:21:26,270 --> 00:21:29,590
+انا لا اقبل اي طلبة تغيير الا مرة في الشهر في
+
+282
+00:21:29,590 --> 00:21:33,710
+نهاية الشهر ففي اخر شهر بتلاقي handback خمسة ستة
+
+283
+00:21:33,710 --> 00:21:39,510
+سبعةطلبات تغيير تخدهم مرة واحدة و بتعمل عليهم ال
+
+284
+00:21:39,510 --> 00:21:46,290
+analysis و اللازم مرة واحدة و بنتج عن شغلك عليهم
+
+285
+00:21:46,290 --> 00:21:50,270
+اللي هو بنتج requirements specification document
+
+286
+00:21:50,270 --> 00:21:57,460
+جديدةOkay هيك أحلى منكون غطينا اللي هو ال .. ال ..
+
+287
+00:21:57,460 --> 00:21:59,760
+ال change management ال requirements change
+
+288
+00:21:59,760 --> 00:22:03,760
+management شوفنا اللي هو أسبابها أو فهمنا إيش هي
+
+289
+00:22:03,760 --> 00:22:07,180
+في الأول وشوفنا من وين بتنشأ ال requirements بعد
+
+290
+00:22:07,180 --> 00:22:11,040
+هيك شوفنا إيش القالية اللي بنستخدمها في تعاول مع
+
+291
+00:22:11,040 --> 00:22:16,020
+التغيرات ماشي ال .. هيك بنكون خلصنا ال chapter رقم
+
+292
+00:22:16,020 --> 00:22:20,360
+أربعة المتعلق بال requirements engineering يعطيكم
+
+293
+00:22:20,360 --> 00:22:20,720
+العافية
+
diff --git a/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/tXjyyjbW86Q.srt b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/tXjyyjbW86Q.srt
new file mode 100644
index 0000000000000000000000000000000000000000..273917daffdad7dd01d6ad65e0e376480b626f6c
--- /dev/null
+++ b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/tXjyyjbW86Q.srt
@@ -0,0 +1,1795 @@
+1
+00:00:20,970 --> 00:00:23,130
+بسم الله الرحمن الرحيم الصلاة والسلام على أشرف
+
+2
+00:00:23,130 --> 00:00:26,490
+المرسلين اليوم إن شاء الله بنبدأ في موضوع جديد
+
+3
+00:00:26,490 --> 00:00:29,990
+اللي هو الـ architectural design موضوع chapter 6 الـ
+
+4
+00:00:29,990 --> 00:00:34,750
+architectural design يقصد به اللي هو أنك أنت تصمم
+
+5
+00:00:34,750 --> 00:00:39,350
+الهيكلية العامة تبع الـ system اللي أنت شغال عليه
+
+6
+00:00:39,920 --> 00:00:45,380
+وهذا يعني مقدمة لـ detail design اللي هو أنه بعد 
+
+7
+00:00:45,380 --> 00:00:49,320
+ما تبقى توضح الهيكلية العامة للـ system هيكلية
+
+8
+00:00:49,320 --> 00:00:52,940
+العامة يعني المكونات الأساسية تبدأ بعد هيك تدخل في
+
+9
+00:00:52,940 --> 00:00:58,480
+تصميم تفصيلي لكل واحد من هذه المكونات فاحنا بدنا
+
+10
+00:00:58,480 --> 00:01:05,900
+نتعرف على اللي هو الـ .. الـ .. جوانب مختلفة من الـ ..
+
+11
+00:01:05,900 --> 00:01:08,080
+من الـ .. في الـ architectural design اللي هي
+
+12
+00:01:08,080 --> 00:01:15,940
+بالأساس فينا مجموعة من الـ decisions و
+
+13
+00:01:15,940 --> 00:01:21,280
+فينا مجموعة من الـ views وفي عندنا مفهوم الـ
+
+14
+00:01:21,280 --> 00:01:25,740
+patterns أو الـ architectural patterns نتعرف على
+
+15
+00:01:25,740 --> 00:01:32,660
+بعض منها وفي بعد هيك اللي هو الـ architectures أو
+
+16
+00:01:32,660 --> 00:01:37,340
+التصميم 
+
+17
+00:01:37,340 --> 00:01:42,960
+الشائع على بعض الـ applications application
+
+18
+00:01:42,960 --> 00:01:44,580
+architectures
+
+19
+00:01:47,170 --> 00:01:50,470
+تمام المحاضرة هذه ربما نغطي جزء من الكلام هذا و
+
+20
+00:01:50,470 --> 00:01:53,730
+نكمل المحاضرة الجاي إن شاء الله تمام الآن لو
+
+21
+00:01:53,730 --> 00:01:57,730
+لاحظت أنت ما فيش يعني هذه عبارة عن مرحلة مرحلة الـ
+
+22
+00:01:57,730 --> 00:02:01,050
+architectural design هي بلاش نسميها مرحلة ونقول
+
+23
+00:02:01,050 --> 00:02:04,070
+ونجول عنها واحدة من الـ activities الأساسية في الـ
+
+24
+00:02:04,070 --> 00:02:07,380
+software engineering أنت زي ما بدك تعمل جمع
+
+25
+00:02:07,380 --> 00:02:13,380
+المتطلبات وصياغتها وهي قضية ربما هي أهم شغل أهم
+
+26
+00:02:13,380 --> 00:02:19,580
+مُشاط أو أهم وظيفة ليك في الهندسة وفي البرمجيات
+
+27
+00:02:19,580 --> 00:02:23,300
+أنك أنت تجمع المتطلبات برضه كمان وظيفة أخرى الـ
+
+28
+00:02:23,300 --> 00:02:26,500
+design ووظيفة أخرى الـ implementation والـ testing
+
+29
+00:02:26,500 --> 00:02:30,520
+هذه وظائف أو أنشطة مهمة أيضا كمان اللي هو أنك أنت
+
+30
+00:02:30,520 --> 00:02:34,070
+تحط الـ architectural design للـ system فهذه وظيفة
+
+31
+00:02:34,070 --> 00:02:37,490
+أخرى من وظائفك أنت كـ software engineer الآن لو
+
+32
+00:02:37,490 --> 00:02:40,110
+لاحظت في الأربع هدول ما فيش حاجة اسمها
+
+33
+00:02:40,110 --> 00:02:45,570
+architectural design process يعني العملية اللي
+
+34
+00:02:45,570 --> 00:02:49,210
+تقوم بها أنت أو الخطوات اللي تقوم بها أنت لإتمام
+
+35
+00:02:49,210 --> 00:02:53,010
+هذه الوظيفة لإتمام هذا الدور اللي هو وضع الـ
+
+36
+00:02:53,010 --> 00:02:58,790
+architectural design السبب في ذلك أنه العملية هذه
+
+37
+00:02:58,790 --> 00:03:02,750
+زي ما بنقول عملية creative يعني إبداعية يعني ممكن
+
+38
+00:03:02,750 --> 00:03:09,570
+أنت تعملها بشكل بأسلوب مختلف عن أسلوب شخص ثاني
+
+39
+00:03:09,570 --> 00:03:14,250
+المهم مش الخطوات يعني بالتالي المهم مش خطوات ما فيش
+
+40
+00:03:14,250 --> 00:03:19,430
+standard procedure أو process اللي أنت تمشي فيها
+
+41
+00:03:19,430 --> 00:03:25,230
+لـ لإتمام الـ Architectural Design المهم هو ما هي
+
+42
+00:03:25,230 --> 00:03:29,050
+الأسئلة أو ما هي القرارات اللي أنت هتقف أمامها
+
+43
+00:03:29,050 --> 00:03:34,330
+تجيب عليها في هذه المرحلة
+
+44
+00:03:36,710 --> 00:03:40,070
+الآن أو بدنا نعرف شو يعني الـ software
+
+45
+00:03:40,070 --> 00:03:44,410
+architecture الـ software architecture أو الـ
+
+46
+00:03:44,410 --> 00:03:48,830
+software architectural design هي الـ design process
+
+47
+00:03:48,830 --> 00:03:54,630
+لتحديد التي يقوم بها المهندس اللي برامج for
+
+48
+00:03:54,630 --> 00:04:00,180
+identifying لتحديد اللي هو إيش الـ Subsystems
+
+49
+00:04:00,180 --> 00:04:03,480
+بالضبط الـ Subsystems يعني لما أنا بقول مكونات و
+
+50
+00:04:03,480 --> 00:04:06,500
+أنا بقول ما تقصد الـ Subsystems لأن كل مكون هو في
+
+51
+00:04:06,500 --> 00:04:10,740
+حد ذاته منظومة فرعية ماشي الـ identifying of the
+
+52
+00:04:10,740 --> 00:04:15,520
+subsystems اللي making up اللي تشكل أو تكون الـ
+
+53
+00:04:15,520 --> 00:04:19,140
+system وبعديك أيضا كمان يعني الـ design process
+
+54
+00:04:19,140 --> 00:04:23,960
+for identifying and identifying شغل ثاني اللي هم
+
+55
+00:04:23,960 --> 00:04:28,890
+الـ subsystems والـ framework for subsystem Control
+
+56
+00:04:28,890 --> 00:04:33,030
+and communication يعني
+
+57
+00:04:33,030 --> 00:04:36,350
+هدول الـ sub systems المكونات هدول ما بينها وما بين
+
+58
+00:04:36,350 --> 00:04:41,950
+بعض في communication صح يعني شيء بيعطل شيء وشيء
+
+59
+00:04:41,950 --> 00:04:48,650
+بياخد من شيء مظبوط وأحيانا في جهة بتتحكم أحياناً
+
+60
+00:04:48,650 --> 00:04:53,010
+يبقى في واحد من الـ subsystems هذه أو جهة أو طرق
+
+61
+00:04:53,010 --> 00:04:59,330
+أو system خارجي بيتحكم في متى تنتقل ومتى يرد
+
+62
+00:04:59,330 --> 00:05:05,850
+الطرف يعني متى تنتقل البيانات من طرف إلى طرف آخر و
+
+63
+00:05:05,850 --> 00:05:10,480
+متى يحصل الرد من الطرف الآخر بنقول أحيانا، بس
+
+64
+00:05:10,480 --> 00:05:13,100
+بالأساس لازم يكون فيه communication، أما الـ
+
+65
+00:05:13,100 --> 00:05:17,740
+control ممكن يبقى موجود بـ control خارجي أو ممكن لا
+
+66
+00:05:17,740 --> 00:05:21,960
+ما يكونش فيه control خارجي، إن الشيء أسينكرونس، يعني
+
+67
+00:05:21,960 --> 00:05:26,400
+ما فيش تنظيم للـ communication فبالتالي احنا ما بنـ
+
+68
+00:05:26,400 --> 00:05:28,920
+ما بنـ ما بن اقتصرش الـ architecture الـ software
+
+69
+00:05:28,920 --> 00:05:32,600
+architecture لا يقتصر على بس مجرد تحديد الـ
+
+70
+00:05:32,600 --> 00:05:37,480
+components فقط كجذر منعزلة لا لازم أيضا بتحديد شو
+
+71
+00:05:37,480 --> 00:05:41,880
+هي الـ communication اللي بيتمّ بينهم وإذا فيه
+
+72
+00:05:41,880 --> 00:05:46,800
+control فهذا العملية الـ design process احنا قلنا
+
+73
+00:05:46,800 --> 00:05:51,060
+أنها عملية ما قلناش أنها .. بس .. بس ما قلناها ما إلها
+
+74
+00:05:51,060 --> 00:05:54,740
+خطوات أو مراحل محددة standard اللي يمشي عليها الـ
+
+75
+00:05:54,740 --> 00:05:59,720
+software engineer في كل الأحوال بغض النظر عن نوع 
+
+76
+00:05:59,720 --> 00:06:02,860
+الـ system لا احنا بيقول إنها creative بمعنى إنها
+
+77
+00:06:02,860 --> 00:06:07,760
+راجعه للحالة اللي أمامه وللمعطيات اللي أمامه
+
+78
+00:06:07,760 --> 00:06:13,500
+بيمشي في الإجراء تبعه في خطوات الـ design حسب
+
+79
+00:06:13,500 --> 00:06:17,180
+الحالة اللي أمامه والمعطيات اللي أمامه Okay الهدف
+
+80
+00:06:17,180 --> 00:06:20,560
+من هذه الـ design process يعني بغض النظر عن خطواتها
+
+81
+00:06:20,560 --> 00:06:26,780
+الهدف منها هو إيش identifying ألف الـ subsystems
+
+82
+00:06:26,780 --> 00:06:30,900
+بقى الـ control جيه الـ communication ما بين الـ
+
+83
+00:06:30,900 --> 00:06:34,000
+subsystems بقول ألف الـ subsystems بقى الـ
+
+84
+00:06:34,000 --> 00:06:37,160
+communication ما بين الـ subsystems جيه إذا في
+
+85
+00:06:37,160 --> 00:06:41,210
+control أتحكم فيها الـ output of this design
+
+86
+00:06:41,210 --> 00:06:45,890
+process اللي هو description of the architecture و
+
+87
+00:06:45,890 --> 00:06:49,190
+الـ description هذا غالبا بيكون على شكل إيش كلام
+
+88
+00:06:49,190 --> 00:06:52,590
+احنا بنكتبه وبنقول يتكون الـ system من واحد اثنين
+
+89
+00:06:52,590 --> 00:06:59,010
+ثلاثة لا غالبا على شكل models الـ
+
+90
+00:06:59,010 --> 00:07:03,010
+output مخرجات هذه العملية هي عبارة عن description
+
+91
+00:07:03,010 --> 00:07:09,700
+والـ description هذا على شكل نماذج بتعبر عن
+
+92
+00:07:09,700 --> 00:07:16,340
+الهيكلية تبع ال system، تمام؟ فالآن الـ architectural
+
+93
+00:07:16,340 --> 00:07:22,080
+design كعملية بتتم مبكرا in the system design
+
+94
+00:07:22,080 --> 00:07:26,480
+process يعني أنا بقدر أصنف الـ system أو أقسم الـ
+
+95
+00:07:26,480 --> 00:07:30,000
+system design إلى مرحلتين الـ architectural design
+
+96
+00:07:30,000 --> 00:07:34,740
+في الأول وبعدين كـ detailed design فالـ architectural
+
+97
+00:07:34,740 --> 00:07:38,650
+design بيسبق الـ detailed design صح؟ بنقول an early
+
+98
+00:07:38,650 --> 00:07:43,630
+stage of the system design process وهي اللي بتشكل
+
+99
+00:07:43,630 --> 00:07:56,810
+الواصلة ما بين ما بين إيش؟ ما بينها بين الـ .. الـ
+
+100
+00:07:56,810 --> 00:08:00,750
+.. الـ design وبين الـ other design processes إيش
+
+101
+00:08:00,750 --> 00:08:03,670
+يعني الـ other design processes يعني بما أنه احنا
+
+102
+00:08:03,670 --> 00:08:07,190
+حددنا الـ architectural design أنه فيه components
+
+103
+00:08:07,190 --> 00:08:12,110
+كذا وكذا وكذا بعد هيك من على أساس هذا التجسيمة
+
+104
+00:08:12,110 --> 00:08:15,350
+بتبدأ الشغل على هذا الـ component أو هذا الـ
+
+105
+00:08:15,350 --> 00:08:18,780
+component أو هذا الـ component تمام؟ فالـ
+
+106
+00:08:18,780 --> 00:08:23,140
+specification من ناحية بتعطيك الـ requirements الـ
+
+107
+00:08:23,140 --> 00:08:25,180
+requirements هذه على أساسها بتحط الـ architectural
+
+108
+00:08:25,180 --> 00:08:29,000
+design وعلى أساس الـ architectural design بتعطيك ..
+
+109
+00:08:29,000 --> 00:08:33,080
+بيبدأ الـ detail design صح؟ okay دي .. دي اللي يبقى
+
+110
+00:08:33,080 --> 00:08:36,680
+.. صارت الـ architectural design حلقة وصل ما بين
+
+111
+00:08:36,680 --> 00:08:40,660
+الـ specification من ناحية وما بين الـ detail
+
+112
+00:08:40,660 --> 00:08:42,860
+design من ناحية okay فهي link
+
+113
+00:09:02,690 --> 00:09:08,150
+طيب هل يا طبعا دائما بتنعمل هذه العملية عملية الـ
+
+114
+00:09:08,150 --> 00:09:13,930
+architectural design بعد الـ specification وبتيجي
+
+115
+00:09:13,930 --> 00:09:19,550
+و بتكتمل ثم بعدين بيتلي العملية الأخرى يعني هل شيء
+
+116
+00:09:19,550 --> 00:09:24,330
+شبيه بالـ waterfall methodology غالبا لا غالبا احنا
+
+117
+00:09:24,330 --> 00:09:30,010
+بنبقى في الـ specification اللي هي requirements اه
+
+118
+00:09:30,010 --> 00:09:33,550
+رجل في الـ specification ورجل في الـ architectural
+
+119
+00:09:33,550 --> 00:09:37,730
+design يعني واحنا أثناء ما بتتكون عندنا فكرة
+
+120
+00:09:37,730 --> 00:09:41,910
+بتبدأ تتكون عندنا فكرة عن المتطلبات بتبدأ ترتسم في
+
+121
+00:09:41,910 --> 00:09:47,130
+ذهننا فكرة عن إيش هيكلية الـ system وتكوينه هل
+
+122
+00:09:47,130 --> 00:09:52,490
+بالزمن سيرفر؟ هل بالزمن front end؟ بالزمن two tier
+
+123
+00:09:52,490 --> 00:09:57,000
+ولا ثلاثة tier يعني ثلاث طبقات من المعالجة؟ كل هذا
+
+124
+00:09:57,000 --> 00:10:00,540
+بيبدأ يتكون عندي وببدأ أشتغل أحط في الـ design
+
+125
+00:10:00,540 --> 00:10:04,760
+أثناء ما أنا إيش أثناء ما أنا بجمع المطالبات وفي
+
+126
+00:10:04,760 --> 00:10:10,600
+نفس الوقت أيضا كمان أي شيء أنا بأبدأ أحطه كمكونات
+
+127
+00:10:10,600 --> 00:10:15,720
+رئيسية ممكن أيضا كمان تبدأ أدخل أو يجي حد ثاني
+
+128
+00:10:15,720 --> 00:10:20,760
+يدخل على التصميم التفصيلي لهذا المكون وأنا لسه مش
+
+129
+00:10:20,760 --> 00:10:26,150
+مكتمل لسه عندي الصورة تبع كل المكونات بالتالي بيكون
+
+130
+00:10:26,150 --> 00:10:29,430
+often carried out in parallel with some
+
+131
+00:10:29,430 --> 00:10:32,150
+specification activities، some specification
+
+132
+00:10:32,150 --> 00:10:35,670
+activities بيقصد بها الجانب الابتدائي اللي هو
+
+133
+00:10:35,670 --> 00:10:39,270
+جمع المتطلبات، فأثناء ما أنا أجمع متطلبات، بكون
+
+134
+00:10:39,270 --> 00:10:42,910
+كمان بشتغل على الـ architectural design، it
+
+135
+00:10:42,910 --> 00:10:46,390
+involves identifying زي ما قلنا إيش الـ major
+
+136
+00:10:46,390 --> 00:10:52,910
+system شو؟ Components and their communication هدول
+
+137
+00:10:52,910 --> 00:10:56,350
+المكونات الأساسية الـ control قلنا بديجي إذا كان
+
+138
+00:10:56,350 --> 00:11:02,130
+في هناك حاجة للـ control تمام فاحنا الآن الـ
+
+139
+00:11:02,130 --> 00:11:05,370
+architectural design افترض أنه صار واضح هنا مثال
+
+140
+00:11:05,370 --> 00:11:10,350
+على ذلك من الـ system من من الـ system بيقوم ب
+
+141
+00:11:10,350 --> 00:11:17,230
+packaging ايش يعني الـ packaging؟ يعني زي روبوت بده
+
+142
+00:11:17,230 --> 00:11:22,930
+يحط السلع في package أو المنتج مش السلع المنتج
+
+143
+00:11:22,930 --> 00:11:27,590
+في مصنع يعني و بده يعبيهم فالآن الـ robot هذا الـ
+
+144
+00:11:27,590 --> 00:11:31,310
+robot هذا صح أنت شايفه كـ hardware لكنه مكوّن
+
+145
+00:11:31,310 --> 00:11:35,570
+software مظبوط المكوّن software لا يقل أهمية عن
+
+146
+00:11:35,570 --> 00:11:40,910
+الإدراع و الـ .. و الـ ..الموجودة طبعا و الـ conveyor
+
+147
+00:11:40,910 --> 00:11:44,310
+built اللي هو شريط اللي بتمر عليه أو الحزام اللي
+
+148
+00:11:44,310 --> 00:11:50,250
+بتمر عليه المنتجات هذه فلازم أنت تتخيل اللي هو
+
+149
+00:11:50,250 --> 00:11:54,730
+المكونات سواء الـ software و الـ hardware مع بعض
+
+150
+00:11:54,730 --> 00:12:03,070
+شغلين على أنهم system واحد فلهذا الـ robot في ايش
+
+151
+00:12:03,070 --> 00:12:05,910
+المكونات اللي هو حاططها هنا؟ في عندك حاجة اسمها
+
+152
+00:12:05,910 --> 00:12:10,050
+مكوّن اسمه Vision مش عارف إذا راجعتها عندكوا الـ ..
+
+153
+00:12:10,050 --> 00:12:14,230
+Vision System System هنا يقصد بها Sub System هو
+
+154
+00:12:14,230 --> 00:12:18,490
+System في حال ذاته ومسؤول عن اللي هو أنه ياخد صورة
+
+155
+00:12:18,490 --> 00:12:23,610
+وربما يطلع منها كمان يعني يقولوا يعمل عليها تحسين
+
+156
+00:12:23,610 --> 00:12:26,530
+في System ثاني بيعمل حاجة اسمها Object
+
+157
+00:12:26,530 --> 00:12:29,070
+Identification يعني ايش Object Identification؟
+
+158
+00:12:29,070 --> 00:12:33,380
+تفترض أن هو السلعة قدر عن روموتاتبتدخلش و بتيجي
+
+159
+00:12:33,380 --> 00:12:37,080
+ماشي على الشريط و الـ robot هذا مسئوليته أنه يجيب
+
+160
+00:12:37,080 --> 00:12:43,060
+على الـ robot الـ remote و يحطه في الصندوق أكثر من
+
+161
+00:12:43,060 --> 00:12:48,320
+واحد و يعبيهم أو بلاش remote تفاح أو بندورة أي شيء
+
+162
+00:12:48,320 --> 00:12:52,300
+المهم أنه في الأول بده يكون فيه vision system ياخد
+
+163
+00:12:52,300 --> 00:12:55,520
+الصورة أو الفيديو أو المشهد و بعدين sub system
+
+164
+00:12:55,520 --> 00:12:59,220
+ثاني من كل الصورة يتعرف على آه هذا الـ robot هذا لأ
+
+165
+00:12:59,220 --> 00:13:04,520
+مش robot ماشي و يتعرف على الـ object اللي بدنا نحطه
+
+166
+00:13:04,520 --> 00:13:09,630
+في الصندوق و مكانه طبعا على أساس بعد هيك الـ Arm
+
+167
+00:13:09,630 --> 00:13:13,810
+Controller اللي هو المتحكم في الدراع، هذا الـ Arm
+
+168
+00:13:13,810 --> 00:13:17,410
+Controller برضه غالبا software، ممكن يكون hardware
+
+169
+00:13:17,410 --> 00:13:21,470
+built in أو software built in في الدراع نفسها،
+
+170
+00:13:21,470 --> 00:13:25,390
+okay؟ اللي مهم الـ Arm Controller هو الـ Gripper
+
+171
+00:13:25,390 --> 00:13:29,630
+Controller، الـ Gripper اللي هو الملقط اللي يركب
+
+172
+00:13:29,630 --> 00:13:34,400
+على الدراع، اللي يمسك الـ object و ي .. بعد ذلك يوجد
+
+173
+00:13:34,400 --> 00:13:38,240
+الـ Packaging Selection System اللي بيقوم بدور في
+
+174
+00:13:38,240 --> 00:13:44,740
+اختيار وين في أي package بدنا نحط السلعة المهم في
+
+175
+00:13:44,740 --> 00:13:48,460
+مكونات أخرى بعض منها هنا software بعض منها
+
+176
+00:13:48,460 --> 00:13:53,900
+hardware هذا الرسم من برة لبرة بتوضح لي بتوضح لي
+
+177
+00:13:53,900 --> 00:13:57,900
+اللي هو هذا الـ system ككل اللي هو الـ packaging أو
+
+178
+00:13:57,900 --> 00:14:01,740
+الـ packing system شو هي مكوناته وإيش
+
+179
+00:14:04,190 --> 00:14:08,270
+الـ Communication، صح؟ هذا الـ Sam معناه ذلك أن
+
+180
+00:14:08,270 --> 00:14:12,870
+هذا يعطي لهذا، هذا بيزود هذا، هذا بيغذي هذا،
+
+181
+00:14:12,870 --> 00:14:18,030
+مظبوط؟ بيغذيه طبعا data، information، okay؟ فهذا
+
+182
+00:14:18,030 --> 00:14:23,270
+مثال على اللي هو architectural design للروبوت تبع
+
+183
+00:14:23,270 --> 00:14:29,180
+الـ packing Okay فالآن احنا برضه قبل ما نخش في
+
+184
+00:14:29,180 --> 00:14:33,200
+تفاصيل أكثر برضه بنهمنا نفهم مفهوم أن الـ
+
+185
+00:14:33,200 --> 00:14:36,300
+architectural design أحيانا ممكن يخصّ به شغلتين
+
+186
+00:14:36,300 --> 00:14:39,800
+مختلفتين الـ architectural design يعني أنا لما بقول لك
+
+187
+00:14:39,800 --> 00:14:44,120
+هذا الـ design تبع الـ system أحيانا ايش اللي بيستخدم
+
+188
+00:14:44,120 --> 00:14:48,600
+بيستخدم زي ما حكينا قبل شوية أن عندي one single
+
+189
+00:14:48,600 --> 00:14:52,000
+one specific system system محدد قول الـ packing
+
+190
+00:14:52,000 --> 00:14:55,770
+robot هذا و بدي أشوف مكوناته و بدي أتعرف عليها
+
+191
+00:14:55,770 --> 00:15:00,690
+مكوناته وهذا بنسميه ايش architecture in the small
+
+192
+00:15:00,690 --> 00:15:04,610
+بمعنى أنه عندي one specific system و بدي أشوف الـ
+
+193
+00:15:04,610 --> 00:15:08,470
+smaller sub systems اللي بيتكونوا منه وأحيانا بيكون
+
+194
+00:15:08,470 --> 00:15:11,750
+القصد لا شيء ثاني في الاتجاه الخارجي architecture
+
+195
+00:15:11,750 --> 00:15:15,510
+in the large بمعنى أنه في عندي specific system بدي
+
+196
+00:15:15,510 --> 00:15:22,090
+أشوف موقعه من العرب ما بين الجامعات الأخرى تعمل
+
+197
+00:15:22,090 --> 00:15:26,090
+معها بشكل مدمج أو integrated مثلًا هنا في
+
+198
+00:15:26,090 --> 00:15:30,210
+الجامعة لو أنا جيت قلت الـ university information
+
+199
+00:15:30,210 --> 00:15:35,810
+system أو الـ university administration system هذا
+
+200
+00:15:35,810 --> 00:15:39,010
+كلمة كبيرة واسعة الـ information system تبع الجامعة
+
+201
+00:15:39,010 --> 00:15:43,080
+ككل كلمة كبيرة واسعة لأنها تشمل بداخلها عدة
+
+202
+00:15:43,080 --> 00:15:47,060
+subsystems وكل subsystem لسه ايش مكوناته، يعني مين
+
+203
+00:15:47,060 --> 00:15:50,980
+الـ subsystems؟ نظام القبول والتسجيل هذا في حد ذاته
+
+204
+00:15:50,980 --> 00:15:55,100
+system جزء من منظومة الـ information system تبع
+
+205
+00:15:55,100 --> 00:16:00,250
+الجامعة، نظام ايش؟ ايش مالي؟ نظام الراتب، نظام
+
+206
+00:16:00,250 --> 00:16:05,470
+العلامات، نظام الكورسات وتوسيع الكورسات على
+
+207
+00:16:05,470 --> 00:16:10,010
+المدرسين، أنظمة متعددة، كل واحد منهم لسه عبارة عن
+
+208
+00:16:10,010 --> 00:16:16,710
+component في الـ larger view، في الصورة الأشمل،
+
+209
+00:16:16,710 --> 00:16:22,940
+فهنا الشركة الصغيرة تتعامل مع مصمم البرنامج
+
+210
+00:16:22,940 --> 00:16:23,800
+الاندوبيوكسية الاندوبيوكسية الاندوبيوكسية
+
+211
+00:16:23,800 --> 00:16:24,860
+الاندوبيوكسية البرنامج الاندوبيوكسية البرنامج
+
+212
+00:16:24,860 --> 00:16:26,500
+الاندوبيوكسية البرنامج الاندوبيوكسية البرنامج
+
+213
+00:16:26,500 --> 00:16:29,600
+الاندوبيوكسية البرنامج الاندوبيوكسية البرنامج
+
+214
+00:16:29,600 --> 00:16:31,220
+الاندوبيوكسية البرنامج الاندوبيوكسية البرنامج
+
+215
+00:16:31,220 --> 00:16:33,520
+الاندوبيوكسية البرنامج الاندوبيوكسية البرنامج
+
+216
+00:16:33,520 --> 00:16:36,840
+الاندوبيوكسية البرنامج الاندوبيوكسية البرنامج
+
+217
+00:16:36,840 --> 00:16:40,270
+الاندوبيو بينما هنا is concerned with architecture
+
+218
+00:16:40,270 --> 00:16:43,490
+of complex enterprise systems الـ enterprise
+
+219
+00:16:43,490 --> 00:16:47,890
+systems كلمة دلوقت بتشوفها بدك تتخيل شيء زي
+
+220
+00:16:47,890 --> 00:16:51,550
+الجامعة الجامعة هنا اعتبرها enterprise و الـ system
+
+221
+00:16:51,550 --> 00:16:58,290
+تبعها هو أصلا متكون من multiple systems بيشتغلوا
+
+222
+00:16:58,290 --> 00:17:03,620
+بشكل integrated ثم أن كلمة Enterprise غالبا ما يقصد
+
+223
+00:17:03,620 --> 00:17:08,960
+بها نفس الكلام هذا ومتوزع على مترامية الأطراف يعني
+
+224
+00:17:08,960 --> 00:17:14,160
+أو متوزع على مواقع جغرافية متعددة يعني تخيل أن نفس
+
+225
+00:17:14,160 --> 00:17:19,110
+الجامعة بتنا هنا إلى فرع لها في خان يونس الفرع في
+
+226
+00:17:19,110 --> 00:17:24,630
+الجنوب الفرع في الشمال و كل الفروع هذه بيشتغلوا
+
+227
+00:17:24,630 --> 00:17:29,390
+computerized و كلهم مرتبطين مع بعض بمنظومة واحدة
+
+228
+00:17:29,390 --> 00:17:32,850
+okay فهذا برضه معناه آخر لمفهوم الـ enterprise
+
+229
+00:17:32,850 --> 00:17:37,500
+system فانتقل إلى أسلوبات تحتوي على أسلوبات أخرى
+
+230
+00:17:37,500 --> 00:17:41,480
+وأسلوبات أخرى و programs و program components وكلها
+
+231
+00:17:41,480 --> 00:17:46,060
+مع بعض Distributed over ايش different computers و
+
+232
+00:17:46,060 --> 00:17:48,860
+different maybe أيضا different location و maybe
+
+233
+00:17:48,860 --> 00:17:53,000
+owned by different organizations يعني مثلًا لما أنت
+
+234
+00:17:53,000 --> 00:17:55,860
+بتوزعها لما تكون عندك المؤسسة مترامية الأطراف و
+
+235
+00:17:55,860 --> 00:18:01,260
+فيها عدة branches أو مواقع الشبكة الواصلة ما بين
+
+236
+00:18:01,260 --> 00:18:04,380
+فرع وفرع ممكن تبقى مش تابعة للجامعة، يعني
+
+237
+00:18:04,380 --> 00:18:09,280
+مستأجرة من شركة الاتصالات، فإذا شركة الاتصالات
+
+238
+00:18:09,280 --> 00:18:16,600
+تمتلك جزء من البنية التحتية المنظومة تبعتكم مش أنت
+
+239
+00:18:16,600 --> 00:18:20,540
+اللي تمتلك كل البنية التحتية أنت تمتلك البنية
+
+240
+00:18:20,540 --> 00:18:24,620
+التحتية اللي في الموقع لكن من موقع لموقع خط
+
+241
+00:18:24,620 --> 00:18:29,660
+الاتصال هذا تابع لطرف ثاني managed by different
+
+242
+00:18:29,660 --> 00:18:33,460
+companies تمام المهم احنا اللي تبقى واضحة ايش يعني
+
+243
+00:18:33,460 --> 00:18:35,880
+architecture in the small و architecture in the
+
+244
+00:18:35,880 --> 00:18:41,640
+large الآن الـ .. الـ
+
+245
+00:18:41,640 --> 00:18:46,430
+.. الـ architecture هذا بيفيدنا في عدة أمور أو
+
+246
+00:18:46,430 --> 00:18:51,810
+بيستخدم في عدة نواحي ممكن يستخدم ويؤدي دور كوسيلة
+
+247
+00:18:51,810 --> 00:18:56,670
+التواصل أو أداء التخاطب مع الـ stakeholders يعني الـ
+
+248
+00:18:56,670 --> 00:19:01,690
+stakeholder بده يفهم يتصور العامل الـ system بنقدم
+
+249
+00:19:01,690 --> 00:19:05,390
+لواش architectural design الـ architectural design
+
+250
+00:19:05,390 --> 00:19:08,810
+غالبا الـ stakeholder بيطلبش أكثر من هيك يعني بيطلبش
+
+251
+00:19:08,810 --> 00:19:15,190
+تفاصيل detail design ماشي فبعد ما نكون أتممنا عملية
+
+252
+00:19:15,190 --> 00:19:19,340
+اللي هو الـ requirement specification بنشكل بصناعة
+
+253
+00:19:19,340 --> 00:19:26,240
+تصور دقيق للـ architecture تبع الـ system، فإذا
+
+254
+00:19:26,240 --> 00:19:30,040
+انطلب منا، إذا الـ stakeholders انطلبوا، نعطيهم ما
+
+255
+00:19:30,040 --> 00:19:32,680
+بي used as a focus of discussion ما بيننا و بين الـ
+
+256
+00:19:32,680 --> 00:19:35,670
+stakeholders طبعا ممكن يكون discussion هنا لغرض
+
+257
+00:19:35,670 --> 00:19:40,290
+أيضا لسه جمع المتطلبات يعني ممكن أنا أقدم نسخة من
+
+258
+00:19:40,290 --> 00:19:46,110
+الـ architectural design لغرض اخذ feedback و أفهم
+
+259
+00:19:46,110 --> 00:19:52,550
+منه إذا كان في اشياء أخرى ولا لا تمام؟ الآن كذلك
+
+260
+00:19:52,550 --> 00:19:57,300
+الحالة جزء من الـ analysis جزء من الـ Analysis، عملية
+
+261
+00:19:57,300 --> 00:20:02,740
+الـ Analysis برضه Analysis داخلية طبعا، داخل فريق
+
+262
+00:20:02,740 --> 00:20:05,800
+العمل، إنه احنا بنحط Architecture Design عشان نـ
+
+263
+00:20:05,800 --> 00:20:09,020
+discuss it، عشان نشوف هل فعلا الـ Architecture ده
+
+264
+00:20:09,020 --> 00:20:12,740
+أو تصورنا عن الـ system فعلا بيغطي كافة الجوانب
+
+265
+00:20:12,740 --> 00:20:17,800
+اللي مطلوبة وايضا كذلك الحال ربما أيضا هذا الـ
+
+266
+00:20:17,800 --> 00:20:22,680
+architecture يستخدم في إعادة الاستخدام بمعنى أنه لاحقا لما
+
+267
+00:20:22,680 --> 00:20:27,360
+نجي نعمل system جديد بعد ما خلصنا هذا الـ system
+
+268
+00:20:27,360 --> 00:20:31,120
+لاحقا نعمل system جديد ليش نعمل architecture جديد
+
+269
+00:20:31,120 --> 00:20:36,820
+إذا كان الـ system الجديد بيعتمد على بعض المكونات
+
+270
+00:20:38,620 --> 00:20:40,960
+اللي في الـ system الحالي يعني نفترض أن أنا عملت
+
+271
+00:20:40,960 --> 00:20:44,220
+system حالي وكان واحد من المكونات database server
+
+272
+00:20:44,220 --> 00:20:48,220
+هذا الـ database server ممكن هو نفسه يستخدم فيه كـ
+
+273
+00:20:48,220 --> 00:20:52,020
+database server لـ system آخر نفس الـ database بعض
+
+274
+00:20:52,020 --> 00:20:55,300
+المكونات تبعتها تيجي هذا كذلك حيث ممكن أن الـ
+
+275
+00:20:55,300 --> 00:20:59,020
+interface تبعت الـ system الحالي الـ system الجديد
+
+276
+00:20:59,020 --> 00:21:04,220
+يدخل كصفحة من صفحات الـ system الحالي أو شاشة من
+
+277
+00:21:04,220 --> 00:21:07,380
+شاشاته فلذلك ممكن هذا الـ architecture اللي عملته
+
+278
+00:21:07,380 --> 00:21:12,520
+يعاد استخدامه أو يرجع إليه يبنى عليه في other
+
+279
+00:21:12,520 --> 00:21:18,120
+systems that may be developed طيب الآن احنا فيه أن
+
+280
+00:21:18,120 --> 00:21:23,630
+برضه مستويات لما احنا بنحكي عن الـ .. عن الـ 
+
+281
+00:21:23,630 --> 00:21:31,630
+architecture ممكن تختلف اللي هو مستويات ممكن يكون
+
+282
+00:21:31,630 --> 00:21:37,070
+بس مجرد بسيط simple informal block diagram مجرد
+
+283
+00:21:37,070 --> 00:21:43,330
+بلوكات كل block عليه اسم المكون وعلاقتنا زي اللي
+
+284
+00:21:43,330 --> 00:21:47,710
+شفنا توي تبع ال robot اه okay لكن هذا لا يكفي
+
+285
+00:21:47,710 --> 00:21:52,490
+أحيانا نحتاج إلى قدر آخر من مستويات أخرى من التفصيل
+
+286
+00:21:52,960 --> 00:21:59,280
+Okay فباعتبار الأمر على اللي إيش احنا بدنا نستخدم
+
+287
+00:21:59,280 --> 00:22:04,100
+ال model هذا إذا بدنا بس لتوصيل الفكرة لل
+
+288
+00:22:04,100 --> 00:22:08,780
+stakeholder غالبا ما بيكفي ال simple لكن إذا بدنا 
+
+289
+00:22:08,780 --> 00:22:13,300
+نستخدمه في مرحلة ال design أو ال detail design
+
+290
+00:22:13,300 --> 00:22:17,540
+لازم ال designer اللي بده يحط ال detail design
+
+291
+00:22:17,540 --> 00:22:23,700
+يبقى عنده فكرة أعمق عن المكونات ووظيفة كل مكون
+
+292
+00:22:23,700 --> 00:22:27,280
+والعلاقة ما بين المكونات الأخرى وإيش طبيعة ال data
+
+293
+00:22:27,280 --> 00:22:31,260
+اللي بتروح أو تيجي ما بين هذه المكونات فبالتالي
+
+294
+00:22:31,260 --> 00:22:36,120
+بيقول depending on the use of الـ Architecture
+
+295
+00:22:36,120 --> 00:22:41,320
+Model بتحدد مستوى الـ Representation، مستوى الأمر،
+
+296
+00:22:41,320 --> 00:22:45,300
+تمام؟ الـ Box and Line Diagram، قلنا هذا زي الـ
+
+297
+00:22:45,300 --> 00:22:49,460
+Very Abstract، زي اللي .. زي اللي توي شفناها، تبع
+
+298
+00:22:49,460 --> 00:22:52,260
+الروبوت، بس مجرد ال components و ال relationship
+
+299
+00:22:52,260 --> 00:22:56,220
+ما بينهم، تمام؟ useful for communication with مين،
+
+300
+00:22:56,220 --> 00:23:00,220
+قلنا؟ الـ Box and Line Box and Line اللي هو مجرد
+
+301
+00:23:00,220 --> 00:23:05,740
+مربع باسم ال .. باسم ال component و Line يوضح
+
+302
+00:23:05,740 --> 00:23:09,280
+علاقة .. علاقة ال component بال other components
+
+303
+00:23:09,280 --> 00:23:12,140
+هاي اللي .. هاي المقصود بال Box and Line هذا اللي
+
+304
+00:23:12,140 --> 00:23:16,260
+هو ال simple ال simple اه و .. و .. و غالبا ما
+
+305
+00:23:16,260 --> 00:23:19,080
+يستخدم مع مين؟ قولي تعالى الكلام هذا قبل شوية
+
+306
+00:23:19,080 --> 00:23:22,320
+لتوضيح الفكرة لل stakeholders stakeholders اللي هو
+
+307
+00:23:22,320 --> 00:23:32,890
+الأطراف الخارجية المعنية بالمشروع تمام؟ ال ..
+
+308
+00:23:32,890 --> 00:23:38,850
+إلى جانب استخدام الـ architectural models للتخاطب
+
+309
+00:23:38,850 --> 00:23:42,390
+أو لتوضيح ال design لل stakeholders، قولنا ممكن ال
+
+310
+00:23:42,390 --> 00:23:47,610
+architectural model يستخدم كإيش؟ كأساس لل .. ل
+
+311
+00:23:47,610 --> 00:23:50,710
+detail design، مظبوط؟ مظبوط؟
+
+312
+00:23:54,680 --> 00:23:58,000
+Okay فهو أولا أساس لل discussion لل .. لل ..
+
+313
+00:23:58,000 --> 00:24:04,460
+للتعرف على ال .. ال system و تفاصيله بصفة هامة،
+
+314
+00:24:04,460 --> 00:24:07,840
+الآن برضه كذلك الحالة هذه ال architecture هي أو
+
+315
+00:24:07,840 --> 00:24:11,600
+هذه ال models اللي بترتسم هي بتلعب دوام في ال
+
+316
+00:24:11,600 --> 00:24:15,040
+documentation مظبوط لأنه أنا لما بدي أخلص ال system
+
+317
+00:24:15,040 --> 00:24:20,660
+هاجي آخذ أي كلام بدي أفصل و بدي أكتب ده أوثق ال
+
+318
+00:24:20,660 --> 00:24:24,340
+system بدي أوثق كل جوانبه وعلى رأسها اللي هو
+
+319
+00:24:24,340 --> 00:24:28,540
+الهيكلية العامة تبعته as a way of documenting an
+
+320
+00:24:28,540 --> 00:24:33,920
+architecture that has been designed الآن بالنسبة
+
+321
+00:24:33,920 --> 00:24:36,500
+لل decisions بالنسبة لل decisions
+
+322
+00:24:39,510 --> 00:24:45,310
+زي ما قلنا احنا إن ال process عملية التصميم ال
+
+323
+00:24:45,310 --> 00:24:49,410
+architecture تبع ال system ما إلها standard
+
+324
+00:24:49,410 --> 00:24:56,480
+sequence of steps إنما في مجموعة .. اللي أنا ..
+
+325
+00:24:56,480 --> 00:25:01,160
+إنما هي creative process وبالتالي مش معنين بخطوات،
+
+326
+00:25:01,160 --> 00:25:04,360
+إنما معنين بإيش، بال decisions والأسئلة اللي
+
+327
+00:25:04,360 --> 00:25:10,940
+بيسألها ال .. ال .. ال software engineer لنفسه عشان
+
+328
+00:25:10,940 --> 00:25:15,440
+يحط ال design تبع ال .. تبع ال system الأسئلة هذه
+
+329
+00:25:15,440 --> 00:25:20,600
+ربما كلها ربما بعض من هذه الأسئلة يعني مش كل ال
+
+330
+00:25:20,600 --> 00:25:25,080
+systems بتسأل فيها كل الأسئلة هذه بس على رأسها
+
+331
+00:25:25,080 --> 00:25:29,940
+أولا
+
+332
+00:25:29,940 --> 00:25:34,360
+سؤال مدهش جدا هل في هناك generic application
+
+333
+00:25:34,360 --> 00:25:38,910
+architecture that can be used يعني هل من الأصل أنا
+
+334
+00:25:38,910 --> 00:25:43,410
+محتاج أحط architectural design من الصفر ولا ال
+
+335
+00:25:43,410 --> 00:25:48,030
+system تبعي اللي أنا بدي أعمله شبيه به واحد من ال
+
+336
+00:25:48,030 --> 00:25:51,970
+applications المشهورة اللي مقدر آخذ ال
+
+337
+00:25:51,970 --> 00:25:55,610
+architecture تبع هذا ال application و أصمم ال
+
+338
+00:25:55,610 --> 00:26:01,660
+application تبعي على هوازي ما احنا اصلا لما بنسأل
+
+339
+00:26:01,660 --> 00:26:07,340
+نفسنا السؤال ال user بده system هل ال system اللي
+
+340
+00:26:07,340 --> 00:26:09,780
+هو محتاجه already موجود في ال market ممكن اروح
+
+341
+00:26:09,780 --> 00:26:14,750
+أشتريله أو المؤسسة تبعتي ممكن تشتري مواقع برنامج
+
+342
+00:26:14,750 --> 00:26:20,810
+جاهز ولا لازم أفصل أو أصمم برنامج خاص هنا نفس
+
+343
+00:26:20,810 --> 00:26:25,870
+الأشياء البرنامج تبع اللي أنا بدي أعمله هل هو شبيه
+
+344
+00:26:25,870 --> 00:26:29,170
+ببرنامج أو software يعني شبيه ب software موجود
+
+345
+00:26:29,170 --> 00:26:33,950
+اللي أبني على نفس البنية تبعته ولا لأ is a generic
+
+346
+00:26:33,950 --> 00:26:37,130
+application architecture that can be used هذا أول
+
+347
+00:26:37,130 --> 00:26:42,870
+سؤال إذا والله فيه يبقى خلاص بقى تبنى أو بيصمم ال
+
+348
+00:26:42,870 --> 00:26:49,610
+system تبعي على نفس هذه البرامج How will the
+
+349
+00:26:49,610 --> 00:26:52,430
+system be distributed؟ هذا سؤال برضه ال
+
+350
+00:26:52,430 --> 00:26:57,230
+distribution هنا يقصد بيه إيش؟ توزيع المكونات على
+
+351
+00:26:57,230 --> 00:27:01,670
+إيش؟ على hardware يعني والله أنا فيها اندي database
+
+352
+00:27:01,670 --> 00:27:04,710
+ال database هل بدها تروح على database server هل
+
+353
+00:27:04,710 --> 00:27:07,930
+بدها تروح على database server machine مخصصة لل
+
+354
+00:27:07,930 --> 00:27:11,730
+database server ولا ممكن تقعد هي و ال web server
+
+355
+00:27:11,730 --> 00:27:16,370
+على نفس ال machine هل هدول موجودين في نفس الموقع
+
+356
+00:27:16,370 --> 00:27:22,810
+ولا موجودين في location اه في موقع آخر تابع للمؤسسة
+
+357
+00:27:22,810 --> 00:27:28,630
+هل تابع للمؤسسة ولا تابع لـ hosted طرف ثالث ماشي
+
+358
+00:27:28,630 --> 00:27:33,510
+فهنا ال distribution نقصد بيها كيف التوزيع ال ..
+
+359
+00:27:33,510 --> 00:27:38,110
+احنا عارفين إن في مكونات لكن بدنا نسأل عن المكونات
+
+360
+00:27:38,110 --> 00:27:41,730
+ده المتواجدة في نفس المكان ولا على مكان مختلفة
+
+361
+00:27:41,730 --> 00:27:42,310
+سؤال
+
+362
+00:27:51,370 --> 00:27:55,590
+مكان مختلف في نفس الحرم الجامعي يعني ولا في مواقع
+
+363
+00:27:55,590 --> 00:27:58,410
+مختلفة؟ إن هنا في الجامعة
+
+364
+00:28:02,500 --> 00:28:05,440
+هو .. هو ال distribution بيكون على .. على .. على
+
+365
+00:28:05,440 --> 00:28:09,700
+أجهزة متعددة يعني لا .. لا يتخيل أن يكون كل ال
+
+366
+00:28:09,700 --> 00:28:12,220
+subsystems .. subsystems الجامعة قاعدة على جهاز
+
+367
+00:28:12,220 --> 00:28:16,400
+واحد، على server واحد، تمام؟ بيكون فيه عندك عدة
+
+368
+00:28:16,400 --> 00:28:19,560
+servers، و ال servers زي ما بيقولوا server farm
+
+369
+00:28:19,560 --> 00:28:25,840
+تبقى، يعني و كل server عبارة عن جهاز قاعدين كلهم
+
+370
+00:28:25,840 --> 00:28:31,620
+في rack و أحيانا برضه بتبقى virtual servers يعني ال
+
+371
+00:28:31,620 --> 00:28:36,680
+server ما هو ال virtual machine شغالة على hardware
+
+372
+00:28:36,680 --> 00:28:41,000
+و ال hardware هذا شغالة على قاعدة .. مش cloud
+
+373
+00:28:41,000 --> 00:28:44,400
+كارجية بنقول إنه احنا ال virtual server زي مثلا
+
+374
+00:28:44,400 --> 00:28:48,020
+لما تعمل virtual machine عندك على ال desktop مش في
+
+375
+00:28:48,020 --> 00:28:51,780
+ال VMware و ال .. و ال .. إيش اسمه هذا box
+
+376
+00:29:01,970 --> 00:29:06,390
+على نفس الهاردوير و جاي عنده processor ضخم و memory
+
+377
+00:29:06,390 --> 00:29:12,250
+ضخم و هدس ضخم و بيبقى عاملين ال creating ل add
+
+378
+00:29:12,250 --> 00:29:16,750
+servers على نفس ال machine الواحدة والصينيز دي جوا
+
+379
+00:29:16,750 --> 00:29:20,610
+كلهم شغالين على نفس ال machine وكأن هم موجودين على
+
+380
+00:29:20,610 --> 00:29:25,130
+شبكة بيبعتوا لبعض بال TCP IP كل واحد يبقى في
+
+381
+00:29:25,130 --> 00:29:28,650
+address و بيبعتوا لبعض و كلهم في واقع الأمر جوا
+
+382
+00:29:28,650 --> 00:29:34,590
+نفس ال hardware box الـ Distribution هذا يقصد به
+
+383
+00:29:34,590 --> 00:29:39,470
+اللي هو وين ال component موجود على أي host و ال
+
+384
+00:29:39,470 --> 00:29:41,870
+host يعني اللي هو ال hardware و ال host الآن هذا
+
+385
+00:29:41,870 --> 00:29:46,130
+قد يكون located في نفس موقع الجغرافي مع الأخرين أو
+
+386
+00:29:46,130 --> 00:29:50,910
+قد يكون في موقع جغرافي آخر تمام؟ what
+
+387
+00:29:50,910 --> 00:29:53,910
+architectural styles are appropriate؟ ال
+
+388
+00:29:53,910 --> 00:29:57,550
+architectural styles ليه شبيهة بمفهوم ال patterns؟
+
+389
+00:29:57,550 --> 00:30:02,140
+نحكي عنها قدام What approach will be used to
+
+390
+00:30:02,140 --> 00:30:06,720
+structure the system؟ طريقة الهيكل، هل هي إشي
+
+391
+00:30:06,720 --> 00:30:09,960
+متفرع من إشي، يعني ال components متفرع من ال
+
+392
+00:30:09,960 --> 00:30:13,820
+components و كلها بالصبلة، متحكم، رئيسي و لا كلهم
+
+393
+00:30:13,820 --> 00:30:18,140
+سواسية و كل واحد يقوله دور و بيعطي ال output تبقى
+
+394
+00:30:18,140 --> 00:30:22,040
+على الطرف المعني يعني زي مثلا في الشبكات عندنا
+
+395
+00:30:22,040 --> 00:30:25,860
+بيجي فيه client server و ال peer كذلك حالة ال
+
+396
+00:30:25,860 --> 00:30:28,760
+components حالة ال components نفسها بقى بال system
+
+397
+00:30:28,760 --> 00:30:32,420
+فيه إيه الطرف الرئيسي و الباجين بيتمدوا عليه و لا
+
+398
+00:30:32,420 --> 00:30:37,540
+كلهم متساويين في الشغل و في الدور
+
+399
+00:30:39,370 --> 00:30:46,350
+ماذا يعني التحكم؟ ماذا يعني التحكم؟ ماذا يعني
+
+400
+00:30:46,350 --> 00:30:48,050
+التحكم؟ ماذا يعني التحكم؟ ماذا يعني التحكم؟ ماذا
+
+401
+00:30:48,050 --> 00:30:51,890
+يعني التحكم؟ ماذا يعني التحكم؟ ماذا يعني التحكم؟
+
+402
+00:30:51,890 --> 00:30:58,350
+يعني التحكم؟ ماذا يعني التحكم؟ ماذا
+
+403
+00:30:58,350 --> 00:31:07,270
+يعني التحكم؟ ماذا يعني التحكم؟ ماذا يعني التحكم؟ في
+
+404
+00:31:07,270 --> 00:31:10,930
+مرحلة الـ development أو الـ implementation نعمل
+
+405
+00:31:10,930 --> 00:31:14,230
+موديول مثلا الـ robot arm هذا أول ما بدنا نشتغل
+
+406
+00:31:14,230 --> 00:31:17,250
+نشتغل بالمثال ال vision system اللي هو بده ياخد
+
+407
+00:31:17,250 --> 00:31:21,570
+الصورة و يتعرف على ال object حطينا ال vision و ال
+
+408
+00:31:21,570 --> 00:31:24,640
+object identification في موديول واحدة هنا الـ Arm
+
+409
+00:31:24,640 --> 00:31:27,660
+Controller و الـ Grip Controller هذا كمبونات و هذا
+
+410
+00:31:27,660 --> 00:31:31,700
+كمبونات نعملهم مع بعض لأن الشغل بينهم لازم يكون
+
+411
+00:31:31,700 --> 00:31:36,660
+متنسيق الـ Arm و الـ Grip لازم يكون هذا فنحطه كله
+
+412
+00:31:36,660 --> 00:31:39,780
+ماشي الأثنين مع بعض في موديول كذلك الحالي هنا الـ
+
+413
+00:31:39,780 --> 00:31:44,060
+Packaging Selection و Packing System هذا الكمبونر
+
+414
+00:31:44,060 --> 00:31:47,680
+نحطه في موديول واحد فممكن الأمر يكون
+
+415
+00:31:50,340 --> 00:31:54,480
+مجسم إضافة إلى ال component أيضا كمان مجسم على شكل
+
+416
+00:31:54,480 --> 00:32:02,340
+.. مجمع ال components في modules تمام ال control
+
+417
+00:32:02,340 --> 00:32:06,520
+برضه هل في control .. هل في control تتحكم .. وحدة
+
+418
+00:32:06,520 --> 00:32:09,840
+control تتحكم في ال components و لا ما في شيء
+
+419
+00:32:09,840 --> 00:32:13,820
+should be used what control strategy should be
+
+420
+00:32:13,820 --> 00:32:16,360
+used how will the architectural design be
+
+421
+00:32:16,360 --> 00:32:22,200
+evaluated تمام؟ لك تسأل نفسك أنت شايف إن هذا هو
+
+422
+00:32:22,200 --> 00:32:25,460
+الـarchitectural design المناسب، طيب إيش قليل 
+
+423
+00:32:25,460 --> 00:32:28,280
+تقييم ما إذا كان ثانوية مناسبة ولا لا؟ غالبا 
+
+424
+00:32:28,280 --> 00:32:30,500
+بالـprototyping
+
+425
+00:32:31,470 --> 00:32:37,590
+صح؟ أو بيكون من خلال النقاش مع الـstakeholders إذا
+
+426
+00:32:37,590 --> 00:32:40,030
+كان هذا مناسب ولا لا يعني أنت ممكن تحط .. إيش ..
+
+427
+00:32:40,030 --> 00:32:42,370
+إيش المشكلة؟ ممكن تحط design وتقول احنا بدنا 
+
+428
+00:32:42,370 --> 00:32:47,250
+server و server هذا بده يتجمع عليه كل الـ .. كل
+
+429
+00:32:47,250 --> 00:32:50,630
+الشغل طبعا الـ .. الـ .. المؤسسة ممكن تقول لك لأ أنا
+
+430
+00:32:50,630 --> 00:32:53,590
+ما عندي مقدر أجيب server بيه الامكانيات هذا أنا ممكن
+
+431
+00:32:53,590 --> 00:32:57,050
+عندي machines already موجودة و أنا ممكن أوزعلي الـ
+
+432
+00:32:57,050 --> 00:33:01,450
+database هنا الـweb server هنا كده هنا فالـ
+
+433
+00:33:01,450 --> 00:33:05,170
+architectural design تبعك لازم ترجع للـstakeholder
+
+434
+00:33:05,170 --> 00:33:10,450
+أو للـbusiness عشان تشوف إذا كان بيناسب ولا لأ تمام؟
+
+435
+00:33:10,450 --> 00:33:14,710
+how should architecture be documented؟ السؤال هذا
+
+436
+00:33:14,710 --> 00:33:17,870
+الإجابة عليه مباشرة لأنه من خلال الـmodels أنا 
+
+437
+00:33:17,870 --> 00:33:24,850
+برسم الـmodels برسم إشي زيك تمام؟ لكن هل هذا كافي؟
+
+438
+00:33:24,850 --> 00:33:29,030
+هل هذا الـbox and line كافي؟ لربما بيدي إيش؟ more 
+
+439
+00:33:29,030 --> 00:33:34,390
+detail لربما بيدي كمان text معاه يعني نص وأشرح و
+
+440
+00:33:34,390 --> 00:33:39,430
+أوضح وهذه .. هذه شغل يعني من الأسئلة اللي مش كتير
+
+441
+00:33:39,430 --> 00:33:44,250
+جوهرية اه و لكن في النهاية بقى تمجوا .. قلنا احنا
+
+442
+00:33:44,250 --> 00:33:49,320
+depends على الـstakeholder وإيش احتياجاته هل بحتاج
+
+443
+00:33:49,320 --> 00:33:54,480
+تفصيل ولأي حد من التفصيل كذلك الحال الـdesigner 
+
+444
+00:33:54,480 --> 00:33:58,220
+اللي بدي استلم عشان يعمل الـdetail design برضه إيش 
+
+445
+00:33:58,220 --> 00:34:02,280
+مستوى الـdetail اللي بده يعني طيب ماشي الحال احنا
+
+446
+00:34:02,280 --> 00:34:04,800
+الآن بنوقف عند هذا القدر والمحاضرة عشان إن شاء
+
+447
+00:34:04,800 --> 00:34:13,280
+الله بنكمل في الـ .. في الـviews .. الـviews و
+
+448
+00:34:13,280 --> 00:34:16,780
+بنشوف .. وبنشوف أمثلة أكثر على اللي هو 
+
+449
+00:34:16,780 --> 00:34:19,860
+architectural role modelsأعطيكم العافية
diff --git a/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/tXjyyjbW86Q_postprocess.srt b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/tXjyyjbW86Q_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..3c91dba04ab1e1f215ffee47e0267aaac56c012f
--- /dev/null
+++ b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/tXjyyjbW86Q_postprocess.srt
@@ -0,0 +1,1796 @@
+1
+00:00:20,970 --> 00:00:23,130
+بسم الله الرحمن الرحيم الصلاة والسلام على أشرف
+
+2
+00:00:23,130 --> 00:00:26,490
+المرسلين اليوم ان شاء الله بنبدأ في موضوع جديد
+
+3
+00:00:26,490 --> 00:00:29,990
+اللي هو ال architectural design موضوع chapter 6 ال
+
+4
+00:00:29,990 --> 00:00:34,750
+architectural design يقصد بي اللي هو انك انت تصمم
+
+5
+00:00:34,750 --> 00:00:39,350
+الهيكلية العامة تبع ال system اللي انت شغال عليه
+
+6
+00:00:39,920 --> 00:00:45,380
+وهذا يعني مقدمة لـ detail design اللي هو انه بعد
+
+7
+00:00:45,380 --> 00:00:49,320
+ما تبقى وضحط الهيكلية العامة لل system هيكلية
+
+8
+00:00:49,320 --> 00:00:52,940
+العامة يعني المكونات الأساسية تبدأ بعد هيك تدخل في
+
+9
+00:00:52,940 --> 00:00:58,480
+تصميم تفصيلي لكل واحد من هذه المكوناتفاحنا بدنا
+
+10
+00:00:58,480 --> 00:01:05,900
+نتعرف على اللي هو ال .. ال .. جارب مختلفة من ال ..
+
+11
+00:01:05,900 --> 00:01:08,080
+من ال .. في الـ architectural design اللي هي
+
+12
+00:01:08,080 --> 00:01:15,940
+بالأساس فينا مجموعة من ال decisions و
+
+13
+00:01:15,940 --> 00:01:21,280
+فينا مجموعة من ال viewsو في عندنا مفهوم ال
+
+14
+00:01:21,280 --> 00:01:25,740
+patterns او ال architectural patterns نتعرف على
+
+15
+00:01:25,740 --> 00:01:32,660
+بعض منها و في بعد هيك اللي هو ال architectures او
+
+16
+00:01:32,660 --> 00:01:37,340
+التصميم
+
+17
+00:01:37,340 --> 00:01:42,960
+الشائع على بعض ال applications application
+
+18
+00:01:42,960 --> 00:01:44,580
+architectures
+
+19
+00:01:47,170 --> 00:01:50,470
+تمام المحاضرة هذه ربما انغطي جزء من الكلام هذا و
+
+20
+00:01:50,470 --> 00:01:53,730
+منكمل المحاضرة الجاي ان شاء الله تمام الان لو
+
+21
+00:01:53,730 --> 00:01:57,730
+لاحظت انت مافيش يعني هذه عبارة عن مرحلة مرحلة ال
+
+22
+00:01:57,730 --> 00:02:01,050
+architectural design هي بلاش نسميها مرحلة نقل و
+
+23
+00:02:01,050 --> 00:02:04,070
+نجول عنها واحدة من ال activities الأساسية في ال
+
+24
+00:02:04,070 --> 00:02:07,380
+software engineering انت زي ما بدك تعملجمع
+
+25
+00:02:07,380 --> 00:02:13,380
+المتطلبات وصياغتها وهي قضية ربما هي اهم شغل اهم
+
+26
+00:02:13,380 --> 00:02:19,580
+مشاط او اهم وظيفة اليك في الهندسة وفي البرمجيات
+
+27
+00:02:19,580 --> 00:02:23,300
+انك انت تجمع المتطلبات برضه كمان وظيفة اخرى ال
+
+28
+00:02:23,300 --> 00:02:26,500
+design ووظيفة اخرى ال implementation و ال testing
+
+29
+00:02:26,500 --> 00:02:30,520
+هذه وظائف او انشطة مهم ايضا كمان اللي هو انك انت
+
+30
+00:02:30,520 --> 00:02:34,070
+تحط ال architectural designللـ system فهذه وظيفة
+
+31
+00:02:34,070 --> 00:02:37,490
+اخرى من وظائفك انت ك software engineer الان لو
+
+32
+00:02:37,490 --> 00:02:40,110
+لاحظت في الأربع هدول مافيش حاجة اسمها
+
+33
+00:02:40,110 --> 00:02:45,570
+architectural design process يعني العملية اللي
+
+34
+00:02:45,570 --> 00:02:49,210
+تقوم بيها انت او الخطوات اللي تقوم بيها انت لإتمام
+
+35
+00:02:49,210 --> 00:02:53,010
+هذه الوظيفة لإتمام هذا الدور اللي هو وضع ال
+
+36
+00:02:53,010 --> 00:02:58,790
+architectural designالسبب في ذلك انه العملية هذه
+
+37
+00:02:58,790 --> 00:03:02,750
+زي ما بنقول عملية creative يعني إبداعية يعني ممكن
+
+38
+00:03:02,750 --> 00:03:09,570
+أنت تعملها بشكل بأسلوب مختلف عن أسلوب شخص ثاني
+
+39
+00:03:09,570 --> 00:03:14,250
+المهم مش الخطوات يعني بالتالي المهم مش خطوات مافيش
+
+40
+00:03:14,250 --> 00:03:19,430
+standard procedure أو process اللي أنت تمشي فيها
+
+41
+00:03:19,430 --> 00:03:25,230
+لـلإتمام الـ Architectural Design المهم هو ما هي
+
+42
+00:03:25,230 --> 00:03:29,050
+الأسئلة أو ما هي القرارات اللي انت هتقف أمامها
+
+43
+00:03:29,050 --> 00:03:34,330
+تجيب عليها في هذا المرحلة
+
+44
+00:03:36,710 --> 00:03:40,070
+الان اوش بدنا نعرف شو يعني ال software
+
+45
+00:03:40,070 --> 00:03:44,410
+architecture ال software architecture او ال
+
+46
+00:03:44,410 --> 00:03:48,830
+software architectural design هي ال design process
+
+47
+00:03:48,830 --> 00:03:54,630
+لتحديد اللتي يقوم بها المهندس اللي برمجيات for
+
+48
+00:03:54,630 --> 00:04:00,180
+identifying لتحديد اللي هو ايشالـ Subsystems
+
+49
+00:04:00,180 --> 00:04:03,480
+بالظبط الـ Subsystems يعني لما أنا بقول مكونات و
+
+50
+00:04:03,480 --> 00:04:06,500
+انا بقول ما تقصد الـ Subsystems لأن كل مكوّن هو في
+
+51
+00:04:06,500 --> 00:04:10,740
+حد ذاته منظومة فرعية ماشي ال identifying of the
+
+52
+00:04:10,740 --> 00:04:15,520
+subsystems اللي making up اللي تشكل او تكون ال
+
+53
+00:04:15,520 --> 00:04:19,140
+system و بعديك ايضا كمان يعني ال design process
+
+54
+00:04:19,140 --> 00:04:23,960
+for identifying and identifying شغل تاني اللي هم
+
+55
+00:04:23,960 --> 00:04:28,890
+ال subsystems و ال framework for subsystemControl
+
+56
+00:04:28,890 --> 00:04:33,030
+and communication يعني
+
+57
+00:04:33,030 --> 00:04:36,350
+هدى ال sub systems المكونات هدى مابينها و مابين
+
+58
+00:04:36,350 --> 00:04:41,950
+بعض فى communication صح يعنى اشي بيعطل اشي و اشي
+
+59
+00:04:41,950 --> 00:04:48,650
+بياخد من اشي مظموط و احيانا فى جهة بتتحكمأحياناً
+
+60
+00:04:48,650 --> 00:04:53,010
+يبقى في واحد من الـ subsystems هذه أو جهة أو طرق
+
+61
+00:04:53,010 --> 00:04:59,330
+أو system خارجي بيتحكم في متى تنتقل و متى يرد
+
+62
+00:04:59,330 --> 00:05:05,850
+الطرف يعني متى تنتقل البيانات من طرف إلى طرف آخر و
+
+63
+00:05:05,850 --> 00:05:10,480
+متى يحصل الرد من الطرف الآخربنقول أحيانا، بس
+
+64
+00:05:10,480 --> 00:05:13,100
+بالأساس لازم يكون فيه communication، أما ال
+
+65
+00:05:13,100 --> 00:05:17,740
+control ممكن يبقى موجود بcontrol خارجي أو ممكن لأ
+
+66
+00:05:17,740 --> 00:05:21,960
+مايكنش فيه control خارجي، إن الأشي أسينكرونس، يعني
+
+67
+00:05:21,960 --> 00:05:26,400
+مافيش تنظيم لل communicationفبالتالي احنا مابن ..
+
+68
+00:05:26,400 --> 00:05:28,920
+مابن .. مابن اقتصرش ال architecture ال software
+
+69
+00:05:28,920 --> 00:05:32,600
+architecture لا يقتصر على بس مجرد تحديد ال
+
+70
+00:05:32,600 --> 00:05:37,480
+components فقط كجذر منعزلة لأ لازم ايضا بتحديد شو
+
+71
+00:05:37,480 --> 00:05:41,880
+هي ال communication اللي بيتما بينهم و اذا فيه
+
+72
+00:05:41,880 --> 00:05:46,800
+control فهذا العملية ال design process احنا قلنا
+
+73
+00:05:46,800 --> 00:05:51,060
+انها عملية ماقلناش انها .. بس .. بس ماقلهامايلها
+
+74
+00:05:51,060 --> 00:05:54,740
+خطوات أو مراحل محددة standard اللي يمشي عليها ال
+
+75
+00:05:54,740 --> 00:05:59,720
+software engineer في كل الأحوال بغض النظر عن شنوع
+
+76
+00:05:59,720 --> 00:06:02,860
+ال system لأ احنا بيقول إنها creative بمعنى إنها
+
+77
+00:06:02,860 --> 00:06:07,760
+راجعة للحالة اللي أمامه و للمعطيات اللي أمامه
+
+78
+00:06:07,760 --> 00:06:13,500
+بيمشي في الإجراء تبعه في خطوات ال design حسب
+
+79
+00:06:13,500 --> 00:06:17,180
+الحالة اللي أمامه و المعطيات اللي أمامهOkay الهدف
+
+80
+00:06:17,180 --> 00:06:20,560
+من هذه ال design process يعني بغض النظر عن خطواتها
+
+81
+00:06:20,560 --> 00:06:26,780
+الهدف منها هو إيش identifying ألف ال subsystems
+
+82
+00:06:26,780 --> 00:06:30,900
+بقى ال control جيه ال communication ما بين ال
+
+83
+00:06:30,900 --> 00:06:34,000
+subsystems بقول ألف ال subsystems بقى ال
+
+84
+00:06:34,000 --> 00:06:37,160
+communication ما بين ال subsystems جيه إذا في
+
+85
+00:06:37,160 --> 00:06:41,210
+controlأتحكم فيها الـ output of this design
+
+86
+00:06:41,210 --> 00:06:45,890
+process اللي هو description of the architecture و
+
+87
+00:06:45,890 --> 00:06:49,190
+ال description هذا غالبا بيكون على شكل إيش كلام
+
+88
+00:06:49,190 --> 00:06:52,590
+احنا بنكتبه و بنقول يتكون ال system من واحد اتنين
+
+89
+00:06:52,590 --> 00:06:59,010
+تلاتة لأ غالبا على شكل models ال
+
+90
+00:06:59,010 --> 00:07:03,010
+output مخرجات هذه العملية هي عبارة عن description
+
+91
+00:07:03,010 --> 00:07:09,700
+و ال description هذا على شكلنماذج بتعبر عن
+
+92
+00:07:09,700 --> 00:07:16,340
+الهيكلية تبع السيستم، تمام؟ فالان ال architectural
+
+93
+00:07:16,340 --> 00:07:22,080
+design كعملية بتتم مبكرا in the system design
+
+94
+00:07:22,080 --> 00:07:26,480
+process يعني انا بقدر اصنف ال system او اقسم ال
+
+95
+00:07:26,480 --> 00:07:30,000
+system design الى مرحلتين ال architectural design
+
+96
+00:07:30,000 --> 00:07:34,740
+في الأول بعدين كdetailed design فال architectural
+
+97
+00:07:34,740 --> 00:07:38,650
+design بيسبق ال detailed design صح؟بنقول an early
+
+98
+00:07:38,650 --> 00:07:43,630
+stage of the system design process وهي اللي بتشكل
+
+99
+00:07:43,630 --> 00:07:56,810
+الواصلة ما بين ما بين إيش؟ ما بينما بين ال .. ال
+
+100
+00:07:56,810 --> 00:08:00,750
+.. ال design وبين ال other design processes ايش
+
+101
+00:08:00,750 --> 00:08:03,670
+يعني ال other design processes يعني بما انه احنا
+
+102
+00:08:03,670 --> 00:08:07,190
+حددنا ال architectural design انه فيه components
+
+103
+00:08:07,190 --> 00:08:12,110
+كده وكده وكده بعد هيكمن على اساس هذا التجسيمة
+
+104
+00:08:12,110 --> 00:08:15,350
+بتبدأ الشغل على هذا ال component او هذا ال
+
+105
+00:08:15,350 --> 00:08:18,780
+component او هذا ال component تمام؟فال
+
+106
+00:08:18,780 --> 00:08:23,140
+specification من ناحية بتعطيك ال requirements ال
+
+107
+00:08:23,140 --> 00:08:25,180
+requirements هذه على أساسها بتحط ال architectural
+
+108
+00:08:25,180 --> 00:08:29,000
+design وعلى أساس ال architectural design بتعطيك ..
+
+109
+00:08:29,000 --> 00:08:33,080
+بيبدأ ال detail design صح؟ okay دي .. دي اللي يبقى
+
+110
+00:08:33,080 --> 00:08:36,680
+.. صارت ال architectural design حلقة واصلة ما بين
+
+111
+00:08:36,680 --> 00:08:40,660
+ال specification من ناحية و ما بين ال detail
+
+112
+00:08:40,660 --> 00:08:42,860
+design من ناحية okay فهي link
+
+113
+00:09:02,690 --> 00:09:08,150
+طيب هل يا طبعا دايما بتنعمل هذه العملية عملية الـ
+
+114
+00:09:08,150 --> 00:09:13,930
+architectural design بعد ال specification و بتيجي
+
+115
+00:09:13,930 --> 00:09:19,550
+و بتكتمل ثم بعدين بيتلي العملية الأخرى يعني هل شيء
+
+116
+00:09:19,550 --> 00:09:24,330
+شبيه بال waterfall methodology غالبا لأ غالبا احنا
+
+117
+00:09:24,330 --> 00:09:30,010
+بنبقى في ال specification اللي هي requirementsأه
+
+118
+00:09:30,010 --> 00:09:33,550
+رجل في ال specification و رجل في ال architectural
+
+119
+00:09:33,550 --> 00:09:37,730
+design يعني و احنا أثناء ما بتتكون عندنا فكرة
+
+120
+00:09:37,730 --> 00:09:41,910
+بتبدأ تتكون عندنا فكرة عن المتطلبات بتبدأ ترتسم في
+
+121
+00:09:41,910 --> 00:09:47,130
+ذهننا فكرة عن هيش هيكلية ال system و تكوينه هل
+
+122
+00:09:47,130 --> 00:09:52,490
+بالزمن سيرفر؟ هل بالزمن front end؟ بالزمن two tier
+
+123
+00:09:52,490 --> 00:09:57,000
+و لا تلاتة tier يعني تلت طبقات من المعالجة؟كل هذا
+
+124
+00:09:57,000 --> 00:10:00,540
+بيبدأ يتكوّن عندي و ببدأ أشتغل أحط في ال design
+
+125
+00:10:00,540 --> 00:10:04,760
+أثناء ما أنا ايش أثناء ما أنا بجمع المطالبات و في
+
+126
+00:10:04,760 --> 00:10:10,600
+نفس الوقت أيضا كمان أي شيء أنا بابدأ أحطه كمكونات
+
+127
+00:10:10,600 --> 00:10:15,720
+رئيسية ممكن أيضا كمان تبدأ أدخل أو ييجي حد تاني
+
+128
+00:10:15,720 --> 00:10:20,760
+يدخل على التصميم التفصيلي لهذا المكون و أنا لسه مش
+
+129
+00:10:20,760 --> 00:10:26,150
+مكتمل لسه عندي الصورة تبع كل المكوناتبالتالي بيكون
+
+130
+00:10:26,150 --> 00:10:29,430
+often carried out in parallel with some
+
+131
+00:10:29,430 --> 00:10:32,150
+specification activities، some specification
+
+132
+00:10:32,150 --> 00:10:35,670
+activities بيقصد بيها الجانب الابتدائي اللي هو
+
+133
+00:10:35,670 --> 00:10:39,270
+جامعة المتطلبات، فأثناء ما أنا أجمع متطلبات، بكون
+
+134
+00:10:39,270 --> 00:10:42,910
+كمان بشتغل على ال architectural design، it
+
+135
+00:10:42,910 --> 00:10:46,390
+involves identifying زي ما قلنا أياش ال major
+
+136
+00:10:46,390 --> 00:10:52,910
+system شو؟Components and their communication هدولة
+
+137
+00:10:52,910 --> 00:10:56,350
+المقطوط الأساسياتي ال control قلنا بديجي إذا كان
+
+138
+00:10:56,350 --> 00:11:02,130
+في هناك حاجة لل control تمام فاحنا الآن ال
+
+139
+00:11:02,130 --> 00:11:05,370
+architectural design افترض انه صار واضح هنا مثال
+
+140
+00:11:05,370 --> 00:11:10,350
+على ذلك من ال system من من ال system بيقوم ب
+
+141
+00:11:10,350 --> 00:11:17,230
+packaging ايش يعني ال packaging؟يعني زي روبوت بده
+
+142
+00:11:17,230 --> 00:11:22,930
+يحط السلاع في package او المنتج مش السلاع المنتج
+
+143
+00:11:22,930 --> 00:11:27,590
+في مصنع يعني و بده يعبيهم فالان ال robot هذا ال
+
+144
+00:11:27,590 --> 00:11:31,310
+robot هذا صح انت شايفه ك hardware لكنه مكوّن
+
+145
+00:11:31,310 --> 00:11:35,570
+software مظبوط المكوّن software لا يقل أهمية عن
+
+146
+00:11:35,570 --> 00:11:40,910
+الإدراع و ال .. و ال ..المواجد طبعا و ال conveyor
+
+147
+00:11:40,910 --> 00:11:44,310
+built اللي هو شريط اللي بتمر عليه او الحزام اللي
+
+148
+00:11:44,310 --> 00:11:50,250
+بتمر عليه المنتجات هذه فلازم انت تتخيل اللي هو
+
+149
+00:11:50,250 --> 00:11:54,730
+المكونات سواء ال software و ال hardware مع بعض
+
+150
+00:11:54,730 --> 00:12:03,070
+شغلين على انهم system واحد فلهذا ال robotفي ايش
+
+151
+00:12:03,070 --> 00:12:05,910
+المكونات اللي هو حاططها هنا؟ في عندك حاجة اسمها
+
+152
+00:12:05,910 --> 00:12:10,050
+مكون اسمه Vision مش عارف اذا رابحها عندكوا ال ..
+
+153
+00:12:10,050 --> 00:12:14,230
+Vision System System هنا يقصد بيها Sub System هو
+
+154
+00:12:14,230 --> 00:12:18,490
+System في حال ذاته ومسئول عن اللي هو انه ياخد صورة
+
+155
+00:12:18,490 --> 00:12:23,610
+وربما يطلع منها كمان يعني يقولوا يعمل عليها تحسين
+
+156
+00:12:23,610 --> 00:12:26,530
+في System تاني بيعمل حاجة اسمها Object
+
+157
+00:12:26,530 --> 00:12:29,070
+Identification يعني ايش Object Identification؟
+
+158
+00:12:29,070 --> 00:12:33,380
+تفترض ان هو السلعة قدر عن روموتاتبتدخلش و بتيجي
+
+159
+00:12:33,380 --> 00:12:37,080
+ماشي على الشريط و ال robot هذا مسئوليته انه يجيب
+
+160
+00:12:37,080 --> 00:12:43,060
+على ال robot ال remote و يحطه في الصندوق اكتر من
+
+161
+00:12:43,060 --> 00:12:48,320
+واحد و يعبيهم او بلاش remote تفاح او بندورة اي شي
+
+162
+00:12:48,320 --> 00:12:52,300
+المهم انه في الأول بده يكون فيه vision system ياخد
+
+163
+00:12:52,300 --> 00:12:55,520
+الصورة او الفيديو او المشهد و بعدين sub system
+
+164
+00:12:55,520 --> 00:12:59,220
+تاني من كل الصورة يتعرف على اه هذا ال robot هذا لأ
+
+165
+00:12:59,220 --> 00:13:04,520
+مش robotماشي و يتعرف على ال object اللي بدنا نحطه
+
+166
+00:13:04,520 --> 00:13:09,630
+في الصندوق و مكانه طبعا على أساس بعد هيكالـ Arm
+
+167
+00:13:09,630 --> 00:13:13,810
+Controller اللي هو المتحكم في الدراع، هذا الـ Arm
+
+168
+00:13:13,810 --> 00:13:17,410
+Controller برضه غالبا software، ممكن يكون hardware
+
+169
+00:13:17,410 --> 00:13:21,470
+built in أو software built in في الدراع نفسها،
+
+170
+00:13:21,470 --> 00:13:25,390
+okay؟ اللي مهم الـ Arm Controller هو الـ Gripper
+
+171
+00:13:25,390 --> 00:13:29,630
+Controller، الـ Gripper اللي هو الملجط اللي يراكب
+
+172
+00:13:29,630 --> 00:13:34,400
+على الدراع، اللي يمسك ال object و ي ..بعد ذلك يوجد
+
+173
+00:13:34,400 --> 00:13:38,240
+الـ Packaging Selection System اللي بيقيله دور في
+
+174
+00:13:38,240 --> 00:13:44,740
+اختيار وين في اي package بدنا نحط السلعة المهم في
+
+175
+00:13:44,740 --> 00:13:48,460
+مكونات أخرى بعض منها هنا software بعض منها
+
+176
+00:13:48,460 --> 00:13:53,900
+hardware هذا الرسم من برا لبرا بتوضحلي بتوضحلي
+
+177
+00:13:53,900 --> 00:13:57,900
+اللي هو هذا ال system ككل اللي هو ال packaging أو
+
+178
+00:13:57,900 --> 00:14:01,740
+ال packing system شو هي مكوناته وإيش
+
+179
+00:14:04,190 --> 00:14:08,270
+الـ Communication، صح؟ هذا الـ Sam معناه ذلك أن
+
+180
+00:14:08,270 --> 00:14:12,870
+هذا يعطي لهذا، هذا بيزود هذا، هذا بيغذي هذا،
+
+181
+00:14:12,870 --> 00:14:18,030
+مظبوط؟ بيغذيه طبعا data، information، okay؟ فهذا
+
+182
+00:14:18,030 --> 00:14:23,270
+مثال على اللي هو architectural design للروبوت تبع
+
+183
+00:14:23,270 --> 00:14:29,180
+ال packingOkay فالان احنا برضه قبل ما نخش في
+
+184
+00:14:29,180 --> 00:14:33,200
+تفاصيل اكتر برضه بنهمنا نفهم مفهوم ان ال
+
+185
+00:14:33,200 --> 00:14:36,300
+architectural design احيانا ممكن يخصط بيه شغلتين
+
+186
+00:14:36,300 --> 00:14:39,800
+مختلفات ال architectural design يعني انا لما بقولك
+
+187
+00:14:39,800 --> 00:14:44,120
+هذا ال design تبع ال system احيانا اش اللي بيستخدم
+
+188
+00:14:44,120 --> 00:14:48,600
+بيستخدم زي ما حكينا قبل شوية ان عندي one single
+
+189
+00:14:48,600 --> 00:14:52,000
+one specific system system محدد قول ال packing
+
+190
+00:14:52,000 --> 00:14:55,770
+robot هذا و بدى اشوف مكوناتهوبدي اتعرف عليها
+
+191
+00:14:55,770 --> 00:15:00,690
+مكوناته وهذا بنسميه اش architecture in the small
+
+192
+00:15:00,690 --> 00:15:04,610
+بمعنى انه عندي one specific system وبدي اشوف ال
+
+193
+00:15:04,610 --> 00:15:08,470
+smaller sub systems اللي بيتكونوا وحيانا بيكون
+
+194
+00:15:08,470 --> 00:15:11,750
+القصد لا اشي تاني في الاتجاه الخارجي architecture
+
+195
+00:15:11,750 --> 00:15:15,510
+in the large بمعنى انه في عندي specific system بدي
+
+196
+00:15:15,510 --> 00:15:22,090
+اشوف موقع من العرب ما بينالجامعات الأخرى تعمل
+
+197
+00:15:22,090 --> 00:15:26,090
+معاها بشكل مدمج أو integrated مثلًا هنا في
+
+198
+00:15:26,090 --> 00:15:30,210
+المجامعة لو أنا جيت قولت ال university information
+
+199
+00:15:30,210 --> 00:15:35,810
+system أو ال university administration system هذا
+
+200
+00:15:35,810 --> 00:15:39,010
+كلمة كبيرة واسعة ال information system تبع الجامعة
+
+201
+00:15:39,010 --> 00:15:43,080
+ككل كلمة كبيرة واسعة لأنها تشمل بداخلهاعدة
+
+202
+00:15:43,080 --> 00:15:47,060
+subsystems وكل subsystem لسه إيه مكوناته، يعني مين
+
+203
+00:15:47,060 --> 00:15:50,980
+ال subsystems؟ نظام القبول والتسجيل هذا في حجزته
+
+204
+00:15:50,980 --> 00:15:55,100
+system جزء من منظومة ال information system تبع
+
+205
+00:15:55,100 --> 00:16:00,250
+الجامعة، نظام إيه؟ إيه مالي؟نظام الراتب، نظام
+
+206
+00:16:00,250 --> 00:16:05,470
+العلامات، نظام الكورسات وتوسيع الكورسات على
+
+207
+00:16:05,470 --> 00:16:10,010
+المدرسين، أنظمة متعددة، كل واحد منهم لسه عبارة عن
+
+208
+00:16:10,010 --> 00:16:16,710
+component في ال larger view، في الصورة الأشمل،
+
+209
+00:16:16,710 --> 00:16:22,940
+فهناالشركة الصغيرة تتعامل مع مصمم البرنامج
+
+210
+00:16:22,940 --> 00:16:23,800
+الاندوبيوكسية الاندوبيوكسية الاندوبيوكسية
+
+211
+00:16:23,800 --> 00:16:24,860
+الاندوبيوكسية البرنامج الاندوبيوكسية البرنامج
+
+212
+00:16:24,860 --> 00:16:26,500
+الاندوبيوكسية البرنامج الاندوبيوكسية البرنامج
+
+213
+00:16:26,500 --> 00:16:29,600
+الاندوبيوكسية البرنامج الاندوبيوكسية البرنامج
+
+214
+00:16:29,600 --> 00:16:31,220
+الاندوبيوكسية البرنامج الاندوبيوكسية البرنامج
+
+215
+00:16:31,220 --> 00:16:33,520
+الاندوبيوكسية البرنامج الاندوبيوكسية البرنامج
+
+216
+00:16:33,520 --> 00:16:36,840
+الاندوبيوكسية البرنامج الاندوبيوكسية البرنامج
+
+217
+00:16:36,840 --> 00:16:40,270
+الاندوبيوبينما هنا is concerned with architecture
+
+218
+00:16:40,270 --> 00:16:43,490
+of complex enterprise systems ال enterprise
+
+219
+00:16:43,490 --> 00:16:47,890
+systems كلمة دلوقت بتشوفها بدك تتخيل اشي زي
+
+220
+00:16:47,890 --> 00:16:51,550
+الجامعة الجامعة هنا اعتبرها enterprise و ال system
+
+221
+00:16:51,550 --> 00:16:58,290
+تبعها هو اصلا متكون من multiple systems بيشتغلوا
+
+222
+00:16:58,290 --> 00:17:03,620
+بشكل integratedثم ان كلمة Enterprise غالبا ما يقصد
+
+223
+00:17:03,620 --> 00:17:08,960
+بيها نفس الكلام هذا ومتوزع على مترامل الأطراف يعني
+
+224
+00:17:08,960 --> 00:17:14,160
+او متوزع على مواقع جغرافية متعددة يعني تخيل ان نفس
+
+225
+00:17:14,160 --> 00:17:19,110
+الجامعة بتنا هنا الى فرعأه في خانيوناس الفرع في
+
+226
+00:17:19,110 --> 00:17:24,630
+الجنوب الفرع في الشمال و كل الأفراح هذه بيشتغلوا
+
+227
+00:17:24,630 --> 00:17:29,390
+computerized و كلهم مرتبطين مع بعض بمنظومة واحدة
+
+228
+00:17:29,390 --> 00:17:32,850
+okay فهذا برضه معناه أخر لمفهوم ال enterprise
+
+229
+00:17:32,850 --> 00:17:37,500
+systemفانتقل إلى أسلوبات تحتوي على أسلوبات أخرى
+
+230
+00:17:37,500 --> 00:17:41,480
+وأسلوبات أخرى وprograms و program components وكلها
+
+231
+00:17:41,480 --> 00:17:46,060
+مع بعض Distributed over إيش different computers و
+
+232
+00:17:46,060 --> 00:17:48,860
+different maybe أيضا different location و maybe
+
+233
+00:17:48,860 --> 00:17:53,000
+owned by different organizations يعني مثلا لما أنت
+
+234
+00:17:53,000 --> 00:17:55,860
+بتوزيها لما تكون عندك المؤسسة مترانة الأطراف و
+
+235
+00:17:55,860 --> 00:18:01,260
+فيها عدة branches أو مواقعالشبكة الواصلة ما بين
+
+236
+00:18:01,260 --> 00:18:04,380
+فرقة وفرقة ممكن تبقى مش تابعة للجامعة، يعني
+
+237
+00:18:04,380 --> 00:18:09,280
+مستأجرة من شركة الاتصالات، فإذا شركة الاتصالات
+
+238
+00:18:09,280 --> 00:18:16,600
+تمتلك جزء من البنية التحتية المنظومة تبعتكمش انت
+
+239
+00:18:16,600 --> 00:18:20,540
+اللي تمتلك كل البنية التحتية انت تمتلك البنية
+
+240
+00:18:20,540 --> 00:18:24,620
+التحتية اللي في الموقع لكن من موقع لموقع خط
+
+241
+00:18:24,620 --> 00:18:29,660
+الإتصال هذا تابع لطرف مابي managed by different
+
+242
+00:18:29,660 --> 00:18:33,460
+companies تمام المهم احنا اللي تبقى واضحة ايش يعني
+
+243
+00:18:33,460 --> 00:18:35,880
+architecture in the small و architecture in the
+
+244
+00:18:35,880 --> 00:18:41,640
+large الآن ال .. ال
+
+245
+00:18:41,640 --> 00:18:46,430
+.. ال architecture هذابيفيدنا في عدة أمور أو
+
+246
+00:18:46,430 --> 00:18:51,810
+بيستخدم في عدة نواحي ممكن يستخدم ويأدي دور كوسيلة
+
+247
+00:18:51,810 --> 00:18:56,670
+التواصل أو أداء التخاطب مع ال stakeholders يعني ال
+
+248
+00:18:56,670 --> 00:19:01,690
+stakeholder بده يفهمتصور العامل الـ system بنقدّم
+
+249
+00:19:01,690 --> 00:19:05,390
+لواش architectural design الـ architectural design
+
+250
+00:19:05,390 --> 00:19:08,810
+غالبا الـ stakeholder بطلبش أكتر من هيك يعني بطلبش
+
+251
+00:19:08,810 --> 00:19:15,190
+تفاصيل detail design ماشي فبعد ما نكون أتمنا عملية
+
+252
+00:19:15,190 --> 00:19:19,340
+اللي هو ال requirement specificationبنشكل بصناعة
+
+253
+00:19:19,340 --> 00:19:26,240
+تصور دقيق لل architecture تبع ال system، فإذا
+
+254
+00:19:26,240 --> 00:19:30,040
+انطلب مننا، إذا ال stakeholders انطلبوا، نعطيهم ما
+
+255
+00:19:30,040 --> 00:19:32,680
+بي used as a focus of discussion ما بيننا و بين ال
+
+256
+00:19:32,680 --> 00:19:35,670
+stakeholdersطبعا ممكن يكون discussion هنا لغرض
+
+257
+00:19:35,670 --> 00:19:40,290
+أيضا لسه جمع المتطلبات يعني ممكن انا اقدم نسخة من
+
+258
+00:19:40,290 --> 00:19:46,110
+ال architectural design لغرض اخد feedback و افهم
+
+259
+00:19:46,110 --> 00:19:52,550
+منه اذا كان في اشياء اخرى ولا لا تمام؟ الان كذلك
+
+260
+00:19:52,550 --> 00:19:57,300
+الحالة جزء من ال analysisجزء من ال Analysis، عملية
+
+261
+00:19:57,300 --> 00:20:02,740
+ال Analysis برضه Analysis داخلية طبعا، داخل فريق
+
+262
+00:20:02,740 --> 00:20:05,800
+العمل، إنه احنا بنحط Architecture Design عشان ت
+
+263
+00:20:05,800 --> 00:20:09,020
+discuss it، عشان نشوف هل فعلا ال Architecture ده
+
+264
+00:20:09,020 --> 00:20:12,740
+أو تصورنا عن ال system فعلا بيغطي كافة الجوانب
+
+265
+00:20:12,740 --> 00:20:17,800
+اللي مطلوبةو ايضا كبارك الحال ربما ايضا هذا ال
+
+266
+00:20:17,800 --> 00:20:22,680
+architecture يستخدم في الريوس بمعنى انه لاحقا لما
+
+267
+00:20:22,680 --> 00:20:27,360
+نجي نعمل system جديد بعد ما خلصنا هذا ال system
+
+268
+00:20:27,360 --> 00:20:31,120
+لاحقا نعمل system جديد ليش نعمل architecture جديد
+
+269
+00:20:31,120 --> 00:20:36,820
+اذا كان ال system الجديد بيعتمد على بعض المكونات
+
+270
+00:20:38,620 --> 00:20:40,960
+اللي في الـ system الحالي يعني نفترض ان انا عملت
+
+271
+00:20:40,960 --> 00:20:44,220
+system حالي وكان واحد من المكونات database server
+
+272
+00:20:44,220 --> 00:20:48,220
+هذا ال database server ممكن هو نفسه يستخدم فيه ك
+
+273
+00:20:48,220 --> 00:20:52,020
+database server ل system اخر نفس ال database بعض
+
+274
+00:20:52,020 --> 00:20:55,300
+المكونات تبعتها تيجي هذا كذلك حيث ممكن ان ال
+
+275
+00:20:55,300 --> 00:20:59,020
+interface تبعت ال system الحالي ال system الجديد
+
+276
+00:20:59,020 --> 00:21:04,220
+يدخل كصفحة من صفحات ال system الحاليأو شاشة من
+
+277
+00:21:04,220 --> 00:21:07,380
+شاشاته فلذلك ممكن هذا ال architecture اللي عملته
+
+278
+00:21:07,380 --> 00:21:12,520
+يعاد استخدامه أو يرجع اليه يبنى عليه في other
+
+279
+00:21:12,520 --> 00:21:18,120
+systems that may be developed طيب الان احنا فيه ان
+
+280
+00:21:18,120 --> 00:21:23,630
+برضه مستويات لما احنا بنحكي عن ال ..عن ال
+
+281
+00:21:23,630 --> 00:21:31,630
+architecture ممكن تختلف اللي هو مستويات ممكن يكون
+
+282
+00:21:31,630 --> 00:21:37,070
+بس مجرد بسيط simple informal block diagram مجرد
+
+283
+00:21:37,070 --> 00:21:43,330
+بلوكات كل block عليه اسم المكون و علاقتنا زي اللي
+
+284
+00:21:43,330 --> 00:21:47,710
+شفنا يتوي تبع ال robot اه okay لكن هذا لا يكفي
+
+285
+00:21:47,710 --> 00:21:52,490
+أحيانا نحتاج إلى قدر أخر من مستويات أخر من التفصيل
+
+286
+00:21:52,960 --> 00:21:59,280
+Okay فباعتبد الأمر على اللي إيش احنا بدنا نستخدم
+
+287
+00:21:59,280 --> 00:22:04,100
+ال model هذا إذا بدنا بس لتوصيل الفكرة لل
+
+288
+00:22:04,100 --> 00:22:08,780
+stakeholder غالبا ما بيكفي ال simple لكن إذا بدنا
+
+289
+00:22:08,780 --> 00:22:13,300
+نستخدمه في مرحلة ال design أو ال detail design
+
+290
+00:22:13,300 --> 00:22:17,540
+لازم ال designer اللي بده يحط ال detail design
+
+291
+00:22:17,540 --> 00:22:23,700
+يبقى عنده فكرةأعمق عن المكونات ووظيفة كل مكون
+
+292
+00:22:23,700 --> 00:22:27,280
+والعلاقة ما بين المكونات الأخرى وإيش طبيعة ال data
+
+293
+00:22:27,280 --> 00:22:31,260
+اللي بتروح أو تيجي ما بين هذه المكونات فبالتالي
+
+294
+00:22:31,260 --> 00:22:36,120
+بيقول depending on the use ofالـ Architecture
+
+295
+00:22:36,120 --> 00:22:41,320
+Model بتحدد مستوى الـ Representation، مستوى الامر،
+
+296
+00:22:41,320 --> 00:22:45,300
+تمام؟ الـ Box and Line Diagram، قلنا هذا زي الـ
+
+297
+00:22:45,300 --> 00:22:49,460
+Very Abstract، زي اللي .. زي اللي توي شفناها، تبع
+
+298
+00:22:49,460 --> 00:22:52,260
+الروبوت، بس مجرد ال components و ال relationship
+
+299
+00:22:52,260 --> 00:22:56,220
+ما بينهم، تمام؟ useful for communication with مين،
+
+300
+00:22:56,220 --> 00:23:00,220
+قلنا؟الـ Box and Line Box and Line اللي هو مجرد
+
+301
+00:23:00,220 --> 00:23:05,740
+مربع باسم ال .. باسم ال component و Line يوضح
+
+302
+00:23:05,740 --> 00:23:09,280
+علاقة .. علاقة ال component بال other components
+
+303
+00:23:09,280 --> 00:23:12,140
+هاي اللي .. هاي المقصود بال Box and Line هذا اللي
+
+304
+00:23:12,140 --> 00:23:16,260
+هو ال simple ال simple اه و .. و .. و غالبا ما
+
+305
+00:23:16,260 --> 00:23:19,080
+يستخدم مع مين؟ قولي تعالى الكلام هذا قبل شوية
+
+306
+00:23:19,080 --> 00:23:22,320
+لتوضيح الفكرة لل stakeholders stakeholders اللي هو
+
+307
+00:23:22,320 --> 00:23:32,890
+الأطراف الخارجية المعنية بالمشروعتمام؟ ال ..
+
+308
+00:23:32,890 --> 00:23:38,850
+إلى جانب استخدام الـ architectural models للتخاطب
+
+309
+00:23:38,850 --> 00:23:42,390
+أو لتوضيح ال design لل stakeholders، قولنا ممكن ال
+
+310
+00:23:42,390 --> 00:23:47,610
+architectural model يستخدم كإيش؟ كأساس لل .. ل
+
+311
+00:23:47,610 --> 00:23:50,710
+detail design، مظبوط؟ مظبوط؟
+
+312
+00:23:54,680 --> 00:23:58,000
+Okay فهو أولا أساس لل discussion لل .. لل ..
+
+313
+00:23:58,000 --> 00:24:04,460
+للتعرف على ال .. ال system و تفاصيله بصفة هامة،
+
+314
+00:24:04,460 --> 00:24:07,840
+الآن برضه كذلك الحالة هذه ال architecture هي أو
+
+315
+00:24:07,840 --> 00:24:11,600
+هذه ال models اللي بترتسم هي بتلعب دوام في ال
+
+316
+00:24:11,600 --> 00:24:15,040
+documentationمظبوط لأنه انا لما بدى اخلص ال system
+
+317
+00:24:15,040 --> 00:24:20,660
+هاجي اخد اي كلام بدى افصل و بدى اكتب ده اوثق ال
+
+318
+00:24:20,660 --> 00:24:24,340
+system بدى اوثق كل جوانبه وعلى رأسها اللي هو
+
+319
+00:24:24,340 --> 00:24:28,540
+الهيكلية العامة تبعته as a way of documenting an
+
+320
+00:24:28,540 --> 00:24:33,920
+architecture that has been designed الان بالنسبة
+
+321
+00:24:33,920 --> 00:24:36,500
+لل decisions بالنسبة لل decisions
+
+322
+00:24:39,510 --> 00:24:45,310
+زي ما قلنا احنا ان ال process عملية التصميم ال
+
+323
+00:24:45,310 --> 00:24:49,410
+architecture تبع ال system مايلها standard
+
+324
+00:24:49,410 --> 00:24:56,480
+sequence of stepsإنما في مجموعة .. اللي أنا ..
+
+325
+00:24:56,480 --> 00:25:01,160
+إنما هي creative process وبالتالي مش معنين بخطوات،
+
+326
+00:25:01,160 --> 00:25:04,360
+إنما معنين بإيش، بال decisions والأسئلة اللي
+
+327
+00:25:04,360 --> 00:25:10,940
+بيسألها ال .. ال .. ال software engineer لنفسهعشان
+
+328
+00:25:10,940 --> 00:25:15,440
+يحط ال design تبع ال .. تبع ال system الأسئلة هذه
+
+329
+00:25:15,440 --> 00:25:20,600
+ربما كلها ربما بعض من هذه الأسئلة يعني مش كل ال
+
+330
+00:25:20,600 --> 00:25:25,080
+systems بتسأل فيها كل الأسئلة هذه بس على رأسها
+
+331
+00:25:25,080 --> 00:25:29,940
+أولا
+
+332
+00:25:29,940 --> 00:25:34,360
+سؤال مدهي جدا هل في هناك generic application
+
+333
+00:25:34,360 --> 00:25:38,910
+architecturethat can be used يعني هل من الأصل أنا
+
+334
+00:25:38,910 --> 00:25:43,410
+محتاج أحط architectural design من الصفر ولا ال
+
+335
+00:25:43,410 --> 00:25:48,030
+system تبعي اللي أنا بدي أعمله شبيه به واحد من ال
+
+336
+00:25:48,030 --> 00:25:51,970
+applications المشهورة اللي مقدر أاخد ال
+
+337
+00:25:51,970 --> 00:25:55,610
+architecture تبع هذا ال application و أصمم ال
+
+338
+00:25:55,610 --> 00:26:01,660
+application تبعي على هوازي ما احنا اصلا لما بنسأل
+
+339
+00:26:01,660 --> 00:26:07,340
+نفسنا السؤال ال user بده system هل ال system اللي
+
+340
+00:26:07,340 --> 00:26:09,780
+هو محتاجه already موجود في ال market ممكن اروح
+
+341
+00:26:09,780 --> 00:26:14,750
+اشتريلهأو المؤسسة تبعتي ممكن تشتري مواقع برنامج
+
+342
+00:26:14,750 --> 00:26:20,810
+جاهز ولا لازم أفصل أو أصمم برنامج خاص هنا نفس
+
+343
+00:26:20,810 --> 00:26:25,870
+الأشياء البرنامج تبع اللي أنا بدي أعمله هل هو شبيه
+
+344
+00:26:25,870 --> 00:26:29,170
+ببرنامج أو software يعني شبيه ب software موجود
+
+345
+00:26:29,170 --> 00:26:33,950
+اللي أبني على نفس البنية تبعته ولا لأ is a generic
+
+346
+00:26:33,950 --> 00:26:37,130
+application architecture that can be used هذا أول
+
+347
+00:26:37,130 --> 00:26:42,870
+سؤال إذا والله فيه يبقى خلاص بقى تبنىأو بيصمم ال
+
+348
+00:26:42,870 --> 00:26:49,610
+system تبعي على نفس هذه البرامج How will the
+
+349
+00:26:49,610 --> 00:26:52,430
+system be distributed؟ هذا سؤال برضه ال
+
+350
+00:26:52,430 --> 00:26:57,230
+distribution هنا يقصد بيه إيش؟ توزيع المكونات على
+
+351
+00:26:57,230 --> 00:27:01,670
+إيش؟على hardware يعني والله انا فيها اندي database
+
+352
+00:27:01,670 --> 00:27:04,710
+ال database هل بدها تروح على database server هل
+
+353
+00:27:04,710 --> 00:27:07,930
+بدها تروح على database server machine مخصصة لل
+
+354
+00:27:07,930 --> 00:27:11,730
+database server ولا ممكن تقعد هي و ال web server
+
+355
+00:27:11,730 --> 00:27:16,370
+على نفس ال machine هل هدولة موجودين في نفس الموقع
+
+356
+00:27:16,370 --> 00:27:22,810
+ولا موجودين في locationأه في موقع آخر تابع للمؤسسة
+
+357
+00:27:22,810 --> 00:27:28,630
+هل تابع للمؤسسة ولا تابع لhosted طرف تالت ماشي
+
+358
+00:27:28,630 --> 00:27:33,510
+فهنا ال distribution نقصد بيها كيف التوزيع ال ..
+
+359
+00:27:33,510 --> 00:27:38,110
+احنا عارفين ان في مكونات لكن بدنا نسأل عن المكونات
+
+360
+00:27:38,110 --> 00:27:41,730
+ده المتواجدة في نفس المكان ولا على مكان مختلفة
+
+361
+00:27:41,730 --> 00:27:42,310
+سؤال
+
+362
+00:27:51,370 --> 00:27:55,590
+مكان مختلف في نفس الحرم الجامعة يعني ولا في مواقع
+
+363
+00:27:55,590 --> 00:27:58,410
+مختلفة؟ ان هنا في الجامعة
+
+364
+00:28:02,500 --> 00:28:05,440
+هو .. هو ال distribution بيكون على .. على .. على
+
+365
+00:28:05,440 --> 00:28:09,700
+أجهزة متعددة يعني لا .. لا يتخيل أن يكون كل ال
+
+366
+00:28:09,700 --> 00:28:12,220
+subsystems .. subsystems الجامعة جاعدة على جهاز
+
+367
+00:28:12,220 --> 00:28:16,400
+واحد، على server واحد، تمام؟ بيكون فيه عندك عدة
+
+368
+00:28:16,400 --> 00:28:19,560
+servers، و ال servers زي ما بيقولوا server farm
+
+369
+00:28:19,560 --> 00:28:25,840
+تبقى، يعني و كل server عبارة عن جهاز جاعدين كلهم
+
+370
+00:28:25,840 --> 00:28:31,620
+في rackو أحيانا برضه بتبقى virtual servers يعني ال
+
+371
+00:28:31,620 --> 00:28:36,680
+server ما هو ال virtual machine شغالة على hardware
+
+372
+00:28:36,680 --> 00:28:41,000
+و ال hardware هذا شغالة على قادة .. مش cloud
+
+373
+00:28:41,000 --> 00:28:44,400
+كارجية بنقول إنه احنا ال virtual server زي مثلا
+
+374
+00:28:44,400 --> 00:28:48,020
+لما تعمل virtual machine عندك على ال desktop مش في
+
+375
+00:28:48,020 --> 00:28:51,780
+ال VMware و ال .. و ال .. إيش اسمه هذا box
+
+376
+00:29:01,970 --> 00:29:06,390
+على نفس الهاردور و جاي عنده processor ضخم و memory
+
+377
+00:29:06,390 --> 00:29:12,250
+ضخم و هدس ضخم و بيبقى عاملين ال creating ل add
+
+378
+00:29:12,250 --> 00:29:16,750
+servers على نفس ال machine الواحدةوالصينيز دي جوا
+
+379
+00:29:16,750 --> 00:29:20,610
+كلهم شغالين على نفس ال machine وكأن هم موجودين على
+
+380
+00:29:20,610 --> 00:29:25,130
+شبكة بيبعتوا لبعض بال TCP IP كل واحد يبقى في
+
+381
+00:29:25,130 --> 00:29:28,650
+address و بيبعتوا لبعض و كلهم في واقع الأمر جوا
+
+382
+00:29:28,650 --> 00:29:34,590
+نفس ال hardware boxالـ Distribution هذا يقصد بي
+
+383
+00:29:34,590 --> 00:29:39,470
+اللي هو وين ال component موجود على أي host و ال
+
+384
+00:29:39,470 --> 00:29:41,870
+host يعني اللي هو ال hardware و ال host الآن هذا
+
+385
+00:29:41,870 --> 00:29:46,130
+قد يكون located في نفس موقع الجغرافي مع الأخرين أو
+
+386
+00:29:46,130 --> 00:29:50,910
+قد يكون في موقع جغرافي أخر تمام؟ what
+
+387
+00:29:50,910 --> 00:29:53,910
+architectural styles are appropriate؟ ال
+
+388
+00:29:53,910 --> 00:29:57,550
+architectural styles ليه شبيهة بمفهوم ال patterns؟
+
+389
+00:29:57,550 --> 00:30:02,140
+نحكي عنها قدامWhat approach will be used to
+
+390
+00:30:02,140 --> 00:30:06,720
+structure the system؟ طريقة الهيكل، هل هي إشي
+
+391
+00:30:06,720 --> 00:30:09,960
+متفرع من إشي، يعني ال components متفرع من ال
+
+392
+00:30:09,960 --> 00:30:13,820
+components و كلها بالصبلة، متحكم، رئيسي و لا كلهم
+
+393
+00:30:13,820 --> 00:30:18,140
+سواسية و كل واحد يقوله دور و بيعطيالـ output تبقى
+
+394
+00:30:18,140 --> 00:30:22,040
+على الطرف المعني يعني زي مثلا في الشبكات عندنا
+
+395
+00:30:22,040 --> 00:30:25,860
+بيجي فيه client server و ال peer كذلك حالة ال
+
+396
+00:30:25,860 --> 00:30:28,760
+components حالة ال components نفسها بقى بال system
+
+397
+00:30:28,760 --> 00:30:32,420
+في إيه الطرف الرئيسي و الباجين بيتمدوا عليه و لا
+
+398
+00:30:32,420 --> 00:30:37,540
+كلهم متساويين في الشغل و في الدور
+
+399
+00:30:39,370 --> 00:30:46,350
+ماذا يعني التحكم؟ ماذا يعني التحكم؟ ماذا يعني
+
+400
+00:30:46,350 --> 00:30:48,050
+التحكم؟ ماذا يعني التحكم؟ ماذا يعني التحكم؟ ماذا
+
+401
+00:30:48,050 --> 00:30:51,890
+يعني التحكم؟ ماذا يعني التحكم؟ ماذا يعني التحكم؟
+
+402
+00:30:51,890 --> 00:30:58,350
+يعني التحكم؟ ماذا يعني التحكم؟ ماذا
+
+403
+00:30:58,350 --> 00:31:07,270
+يعني التحكم؟ ماذا يعني التحكم؟ ماذا يعني التحكم؟في
+
+404
+00:31:07,270 --> 00:31:10,930
+مرحلة الـ development أو الـ implementation نعمل
+
+405
+00:31:10,930 --> 00:31:14,230
+موديول مثلا الـ robot arm هذا أول ما بدنا نشتغل
+
+406
+00:31:14,230 --> 00:31:17,250
+نشتغل بالمثال ال vision system اللي هو بده ياخد
+
+407
+00:31:17,250 --> 00:31:21,570
+الصورة و يتعرف على ال object حطينا ال vision و ال
+
+408
+00:31:21,570 --> 00:31:24,640
+object identification في موديول واحدهنا الـ Arm
+
+409
+00:31:24,640 --> 00:31:27,660
+Controller و الـ Grip Controller هذا كمبونات و هذا
+
+410
+00:31:27,660 --> 00:31:31,700
+كمبونات نعملهم مع بعض لأن الشغل بينهم لازم يكون
+
+411
+00:31:31,700 --> 00:31:36,660
+متنسيق الـ Arm و الـ Grip لازم يكون هذا فنحطه كله
+
+412
+00:31:36,660 --> 00:31:39,780
+ماشي الأثنين مع بعض في موديول كذلك الحالي هنا الـ
+
+413
+00:31:39,780 --> 00:31:44,060
+Packaging Selection و Packing System هذا الكمبونر
+
+414
+00:31:44,060 --> 00:31:47,680
+نحطه في موديول واحد فممكن الأمر يكون
+
+415
+00:31:50,340 --> 00:31:54,480
+مجسم إضافة إلى ال component أيضا كمان مجسم على شكل
+
+416
+00:31:54,480 --> 00:32:02,340
+.. مجمع ال components في modules تمام ال control
+
+417
+00:32:02,340 --> 00:32:06,520
+برضه هل في control .. هل في control تتحكم .. وحدة
+
+418
+00:32:06,520 --> 00:32:09,840
+control تتحكم في ال components و لا مافيش شيء
+
+419
+00:32:09,840 --> 00:32:13,820
+should be used what control strategy should be
+
+420
+00:32:13,820 --> 00:32:16,360
+used how will the architectural design be
+
+421
+00:32:16,360 --> 00:32:22,200
+evaluatedتمام؟ لك تسأل نفسك انت شايف ان هذا هو
+
+422
+00:32:22,200 --> 00:32:25,460
+الـarchitectural design المناسب، طيب إيش قليل
+
+423
+00:32:25,460 --> 00:32:28,280
+تقييم ما إذا كان ثانوية مناسبة ولا لا؟ غالبا
+
+424
+00:32:28,280 --> 00:32:30,500
+بالـprototyping
+
+425
+00:32:31,470 --> 00:32:37,590
+صح؟ او بيكون من خلال النقاش مع ال stakeholders اذا
+
+426
+00:32:37,590 --> 00:32:40,030
+كان هذا مناسب ولا لا يعني انت ممكن تحط .. ايش ..
+
+427
+00:32:40,030 --> 00:32:42,370
+ايش المشكلة؟ ممكن تحط design و تقول احنا بدنا
+
+428
+00:32:42,370 --> 00:32:47,250
+server و server هذا بده يتجمع عليه كل ال .. كل
+
+429
+00:32:47,250 --> 00:32:50,630
+الشغل طبعا ال .. ال .. المؤسسة ممكن تقول لك لأ انا
+
+430
+00:32:50,630 --> 00:32:53,590
+ماعمل مقدر اجيب server بيه الامكانيات هذا انا ممكن
+
+431
+00:32:53,590 --> 00:32:57,050
+عندي machines already موجودة و انا ممكن توزعلي ال
+
+432
+00:32:57,050 --> 00:33:01,450
+database هنا ال web server هنا كده هنافالـ
+
+433
+00:33:01,450 --> 00:33:05,170
+architectural design تبعك لازم ترجع ال stakeholder
+
+434
+00:33:05,170 --> 00:33:10,450
+أو البؤسس عشان تشوف إذا كان بيناسب ولا لأ تمام؟
+
+435
+00:33:10,450 --> 00:33:14,710
+how should architecture be documented؟ السؤال هذا
+
+436
+00:33:14,710 --> 00:33:17,870
+الإجابة عليه مباشرة لأنه من خلال ال models أنا
+
+437
+00:33:17,870 --> 00:33:24,850
+برسم ال models برسم إشي زيك تمام؟لكن هل هذا كافي؟
+
+438
+00:33:24,850 --> 00:33:29,030
+هل هذا ال box and line كافي؟ لربما بيدي ايش؟ more
+
+439
+00:33:29,030 --> 00:33:34,390
+detail لربما بيدي كمان text معاه يعني نص و أشرح و
+
+440
+00:33:34,390 --> 00:33:39,430
+أوضح وهذه .. هذه شغل يعني من الأسئلة اللي مش كتير
+
+441
+00:33:39,430 --> 00:33:44,250
+جوهرية أه و لكن في النهاية بقى تمجوا .. قلنا احنا
+
+442
+00:33:44,250 --> 00:33:49,320
+depends على ال stakeholder و إيش احتياجاتههل بحتاج
+
+443
+00:33:49,320 --> 00:33:54,480
+تفصيل و لأي حد من التفصيل كذلك الحال ال designer
+
+444
+00:33:54,480 --> 00:33:58,220
+اللي بدي استلم عشان يعمل ال detail design برضه ايش
+
+445
+00:33:58,220 --> 00:34:02,280
+مستوى ال detail اللي بده يعني طيب ماشي الحال احنا
+
+446
+00:34:02,280 --> 00:34:04,800
+الان بنوقف عند هذا القطر و المحاضرة عشان ان شاء
+
+447
+00:34:04,800 --> 00:34:13,280
+الله بنكمل في ال .. في ال views .. ال views و
+
+448
+00:34:13,280 --> 00:34:16,780
+بنشوف .. و بنشوف أمثلة أكتر على اللي هو
+
+449
+00:34:16,780 --> 00:34:19,860
+architectural role modelsأعطيكم العافية
+
diff --git a/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/tXjyyjbW86Q_raw.srt b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/tXjyyjbW86Q_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..65ce9362505f3cf20a5cdba7de50dad849e97840
--- /dev/null
+++ b/PL9fwy3NUQKwZehIm7RGZM5M1SWdayxKRo/tXjyyjbW86Q_raw.srt
@@ -0,0 +1,1804 @@
+1
+00:00:20,970 --> 00:00:23,130
+بسم الله الرحمن الرحيم الصلاة والسلام على أشرف
+
+2
+00:00:23,130 --> 00:00:26,490
+المرسلين اليوم ان شاء الله بنبدأ في موضوع جديد
+
+3
+00:00:26,490 --> 00:00:29,990
+اللي هو ال architectural design موضوع chapter 6 ال
+
+4
+00:00:29,990 --> 00:00:34,750
+architectural design يقصد بي اللي هو انك انت تصمم
+
+5
+00:00:34,750 --> 00:00:39,350
+الهيكلية العامة تبع ال system اللي انت شغال عليه
+
+6
+00:00:39,920 --> 00:00:45,380
+وهذا يعني مقدمة لـ detail design اللي هو انه بعد
+
+7
+00:00:45,380 --> 00:00:49,320
+ما تبقى وضحط الهيكلية العامة لل system هيكلية
+
+8
+00:00:49,320 --> 00:00:52,940
+العامة يعني المكونات الأساسية تبدأ بعد هيك تدخل في
+
+9
+00:00:52,940 --> 00:00:58,480
+تصميم تفصيلي لكل واحد من هذه المكوناتفاحنا بدنا
+
+10
+00:00:58,480 --> 00:01:05,900
+نتعرف على اللي هو ال .. ال .. جارب مختلفة من ال ..
+
+11
+00:01:05,900 --> 00:01:08,080
+من ال .. في الـ architectural design اللي هي
+
+12
+00:01:08,080 --> 00:01:15,940
+بالأساس فينا مجموعة من ال decisions و
+
+13
+00:01:15,940 --> 00:01:21,280
+فينا مجموعة من ال viewsو في عندنا مفهوم ال
+
+14
+00:01:21,280 --> 00:01:25,740
+patterns او ال architectural patterns نتعرف على
+
+15
+00:01:25,740 --> 00:01:32,660
+بعض منها و في بعد هيك اللي هو ال architectures او
+
+16
+00:01:32,660 --> 00:01:37,340
+التصميم
+
+17
+00:01:37,340 --> 00:01:42,960
+الشائع على بعض ال applications application
+
+18
+00:01:42,960 --> 00:01:44,580
+architectures
+
+19
+00:01:47,170 --> 00:01:50,470
+تمام المحاضرة هذه ربما انغطي جزء من الكلام هذا و
+
+20
+00:01:50,470 --> 00:01:53,730
+منكمل المحاضرة الجاي ان شاء الله تمام الان لو
+
+21
+00:01:53,730 --> 00:01:57,730
+لاحظت انت مافيش يعني هذه عبارة عن مرحلة مرحلة ال
+
+22
+00:01:57,730 --> 00:02:01,050
+architectural design هي بلاش نسميها مرحلة نقل و
+
+23
+00:02:01,050 --> 00:02:04,070
+نجول عنها واحدة من ال activities الأساسية في ال
+
+24
+00:02:04,070 --> 00:02:07,380
+software engineering انت زي ما بدك تعملجمع
+
+25
+00:02:07,380 --> 00:02:13,380
+المتطلبات وصياغتها وهي قضية ربما هي اهم شغل اهم
+
+26
+00:02:13,380 --> 00:02:19,580
+مشاط او اهم وظيفة اليك في الهندسة وفي البرمجيات
+
+27
+00:02:19,580 --> 00:02:23,300
+انك انت تجمع المتطلبات برضه كمان وظيفة اخرى ال
+
+28
+00:02:23,300 --> 00:02:26,500
+design ووظيفة اخرى ال implementation و ال testing
+
+29
+00:02:26,500 --> 00:02:30,520
+هذه وظائف او انشطة مهم ايضا كمان اللي هو انك انت
+
+30
+00:02:30,520 --> 00:02:34,070
+تحط ال architectural designللـ system فهذه وظيفة
+
+31
+00:02:34,070 --> 00:02:37,490
+اخرى من وظائفك انت ك software engineer الان لو
+
+32
+00:02:37,490 --> 00:02:40,110
+لاحظت في الأربع هدول مافيش حاجة اسمها
+
+33
+00:02:40,110 --> 00:02:45,570
+architectural design process يعني العملية اللي
+
+34
+00:02:45,570 --> 00:02:49,210
+تقوم بيها انت او الخطوات اللي تقوم بيها انت لإتمام
+
+35
+00:02:49,210 --> 00:02:53,010
+هذه الوظيفة لإتمام هذا الدور اللي هو وضع ال
+
+36
+00:02:53,010 --> 00:02:58,790
+architectural designالسبب في ذلك انه العملية هذه
+
+37
+00:02:58,790 --> 00:03:02,750
+زي ما بنقول عملية creative يعني إبداعية يعني ممكن
+
+38
+00:03:02,750 --> 00:03:09,570
+أنت تعملها بشكل بأسلوب مختلف عن أسلوب شخص ثاني
+
+39
+00:03:09,570 --> 00:03:14,250
+المهم مش الخطوات يعني بالتالي المهم مش خطوات مافيش
+
+40
+00:03:14,250 --> 00:03:19,430
+standard procedure أو process اللي أنت تمشي فيها
+
+41
+00:03:19,430 --> 00:03:25,230
+لـلإتمام الـ Architectural Design المهم هو ما هي
+
+42
+00:03:25,230 --> 00:03:29,050
+الأسئلة أو ما هي القرارات اللي انت هتقف أمامها
+
+43
+00:03:29,050 --> 00:03:34,330
+تجيب عليها في هذا المرحلة
+
+44
+00:03:36,710 --> 00:03:40,070
+الان اوش بدنا نعرف شو يعني ال software
+
+45
+00:03:40,070 --> 00:03:44,410
+architecture ال software architecture او ال
+
+46
+00:03:44,410 --> 00:03:48,830
+software architectural design هي ال design process
+
+47
+00:03:48,830 --> 00:03:54,630
+لتحديد اللتي يقوم بها المهندس اللي برمجيات for
+
+48
+00:03:54,630 --> 00:04:00,180
+identifying لتحديد اللي هو ايشالـ Subsystems
+
+49
+00:04:00,180 --> 00:04:03,480
+بالظبط الـ Subsystems يعني لما أنا بقول مكونات و
+
+50
+00:04:03,480 --> 00:04:06,500
+انا بقول ما تقصد الـ Subsystems لأن كل مكوّن هو في
+
+51
+00:04:06,500 --> 00:04:10,740
+حد ذاته منظومة فرعية ماشي ال identifying of the
+
+52
+00:04:10,740 --> 00:04:15,520
+subsystems اللي making up اللي تشكل او تكون ال
+
+53
+00:04:15,520 --> 00:04:19,140
+system و بعديك ايضا كمان يعني ال design process
+
+54
+00:04:19,140 --> 00:04:23,960
+for identifying and identifying شغل تاني اللي هم
+
+55
+00:04:23,960 --> 00:04:28,890
+ال subsystems و ال framework for subsystemControl
+
+56
+00:04:28,890 --> 00:04:33,030
+and communication يعني
+
+57
+00:04:33,030 --> 00:04:36,350
+هدى ال sub systems المكونات هدى مابينها و مابين
+
+58
+00:04:36,350 --> 00:04:41,950
+بعض فى communication صح يعنى اشي بيعطل اشي و اشي
+
+59
+00:04:41,950 --> 00:04:48,650
+بياخد من اشي مظموط و احيانا فى جهة بتتحكمأحياناً
+
+60
+00:04:48,650 --> 00:04:53,010
+يبقى في واحد من الـ subsystems هذه أو جهة أو طرق
+
+61
+00:04:53,010 --> 00:04:59,330
+أو system خارجي بيتحكم في متى تنتقل و متى يرد
+
+62
+00:04:59,330 --> 00:05:05,850
+الطرف يعني متى تنتقل البيانات من طرف إلى طرف آخر و
+
+63
+00:05:05,850 --> 00:05:10,480
+متى يحصل الرد من الطرف الآخربنقول أحيانا، بس
+
+64
+00:05:10,480 --> 00:05:13,100
+بالأساس لازم يكون فيه communication، أما ال
+
+65
+00:05:13,100 --> 00:05:17,740
+control ممكن يبقى موجود بcontrol خارجي أو ممكن لأ
+
+66
+00:05:17,740 --> 00:05:21,960
+مايكنش فيه control خارجي، إن الأشي أسينكرونس، يعني
+
+67
+00:05:21,960 --> 00:05:26,400
+مافيش تنظيم لل communicationفبالتالي احنا مابن ..
+
+68
+00:05:26,400 --> 00:05:28,920
+مابن .. مابن اقتصرش ال architecture ال software
+
+69
+00:05:28,920 --> 00:05:32,600
+architecture لا يقتصر على بس مجرد تحديد ال
+
+70
+00:05:32,600 --> 00:05:37,480
+components فقط كجذر منعزلة لأ لازم ايضا بتحديد شو
+
+71
+00:05:37,480 --> 00:05:41,880
+هي ال communication اللي بيتما بينهم و اذا فيه
+
+72
+00:05:41,880 --> 00:05:46,800
+control فهذا العملية ال design process احنا قلنا
+
+73
+00:05:46,800 --> 00:05:51,060
+انها عملية ماقلناش انها .. بس .. بس ماقلهامايلها
+
+74
+00:05:51,060 --> 00:05:54,740
+خطوات أو مراحل محددة standard اللي يمشي عليها ال
+
+75
+00:05:54,740 --> 00:05:59,720
+software engineer في كل الأحوال بغض النظر عن شنوع
+
+76
+00:05:59,720 --> 00:06:02,860
+ال system لأ احنا بيقول إنها creative بمعنى إنها
+
+77
+00:06:02,860 --> 00:06:07,760
+راجعة للحالة اللي أمامه و للمعطيات اللي أمامه
+
+78
+00:06:07,760 --> 00:06:13,500
+بيمشي في الإجراء تبعه في خطوات ال design حسب
+
+79
+00:06:13,500 --> 00:06:17,180
+الحالة اللي أمامه و المعطيات اللي أمامهOkay الهدف
+
+80
+00:06:17,180 --> 00:06:20,560
+من هذه ال design process يعني بغض النظر عن خطواتها
+
+81
+00:06:20,560 --> 00:06:26,780
+الهدف منها هو إيش identifying ألف ال subsystems
+
+82
+00:06:26,780 --> 00:06:30,900
+بقى ال control جيه ال communication ما بين ال
+
+83
+00:06:30,900 --> 00:06:34,000
+subsystems بقول ألف ال subsystems بقى ال
+
+84
+00:06:34,000 --> 00:06:37,160
+communication ما بين ال subsystems جيه إذا في
+
+85
+00:06:37,160 --> 00:06:41,210
+controlأتحكم فيها الـ output of this design
+
+86
+00:06:41,210 --> 00:06:45,890
+process اللي هو description of the architecture و
+
+87
+00:06:45,890 --> 00:06:49,190
+ال description هذا غالبا بيكون على شكل إيش كلام
+
+88
+00:06:49,190 --> 00:06:52,590
+احنا بنكتبه و بنقول يتكون ال system من واحد اتنين
+
+89
+00:06:52,590 --> 00:06:59,010
+تلاتة لأ غالبا على شكل models ال
+
+90
+00:06:59,010 --> 00:07:03,010
+output مخرجات هذه العملية هي عبارة عن description
+
+91
+00:07:03,010 --> 00:07:09,700
+و ال description هذا على شكلنماذج بتعبر عن
+
+92
+00:07:09,700 --> 00:07:16,340
+الهيكلية تبع السيستم، تمام؟ فالان ال architectural
+
+93
+00:07:16,340 --> 00:07:22,080
+design كعملية بتتم مبكرا in the system design
+
+94
+00:07:22,080 --> 00:07:26,480
+process يعني انا بقدر اصنف ال system او اقسم ال
+
+95
+00:07:26,480 --> 00:07:30,000
+system design الى مرحلتين ال architectural design
+
+96
+00:07:30,000 --> 00:07:34,740
+في الأول بعدين كdetailed design فال architectural
+
+97
+00:07:34,740 --> 00:07:38,650
+design بيسبق ال detailed design صح؟بنقول an early
+
+98
+00:07:38,650 --> 00:07:43,630
+stage of the system design process وهي اللي بتشكل
+
+99
+00:07:43,630 --> 00:07:56,810
+الواصلة ما بين ما بين إيش؟ ما بينما بين ال .. ال
+
+100
+00:07:56,810 --> 00:08:00,750
+.. ال design وبين ال other design processes ايش
+
+101
+00:08:00,750 --> 00:08:03,670
+يعني ال other design processes يعني بما انه احنا
+
+102
+00:08:03,670 --> 00:08:07,190
+حددنا ال architectural design انه فيه components
+
+103
+00:08:07,190 --> 00:08:12,110
+كده وكده وكده بعد هيكمن على اساس هذا التجسيمة
+
+104
+00:08:12,110 --> 00:08:15,350
+بتبدأ الشغل على هذا ال component او هذا ال
+
+105
+00:08:15,350 --> 00:08:18,780
+component او هذا ال component تمام؟فال
+
+106
+00:08:18,780 --> 00:08:23,140
+specification من ناحية بتعطيك ال requirements ال
+
+107
+00:08:23,140 --> 00:08:25,180
+requirements هذه على أساسها بتحط ال architectural
+
+108
+00:08:25,180 --> 00:08:29,000
+design وعلى أساس ال architectural design بتعطيك ..
+
+109
+00:08:29,000 --> 00:08:33,080
+بيبدأ ال detail design صح؟ okay دي .. دي اللي يبقى
+
+110
+00:08:33,080 --> 00:08:36,680
+.. صارت ال architectural design حلقة واصلة ما بين
+
+111
+00:08:36,680 --> 00:08:40,660
+ال specification من ناحية و ما بين ال detail
+
+112
+00:08:40,660 --> 00:08:42,860
+design من ناحية okay فهي link
+
+113
+00:09:02,690 --> 00:09:08,150
+طيب هل يا طبعا دايما بتنعمل هذه العملية عملية الـ
+
+114
+00:09:08,150 --> 00:09:13,930
+architectural design بعد ال specification و بتيجي
+
+115
+00:09:13,930 --> 00:09:19,550
+و بتكتمل ثم بعدين بيتلي العملية الأخرى يعني هل شيء
+
+116
+00:09:19,550 --> 00:09:24,330
+شبيه بال waterfall methodology غالبا لأ غالبا احنا
+
+117
+00:09:24,330 --> 00:09:30,010
+بنبقى في ال specification اللي هي requirementsأه
+
+118
+00:09:30,010 --> 00:09:33,550
+رجل في ال specification و رجل في ال architectural
+
+119
+00:09:33,550 --> 00:09:37,730
+design يعني و احنا أثناء ما بتتكون عندنا فكرة
+
+120
+00:09:37,730 --> 00:09:41,910
+بتبدأ تتكون عندنا فكرة عن المتطلبات بتبدأ ترتسم في
+
+121
+00:09:41,910 --> 00:09:47,130
+ذهننا فكرة عن هيش هيكلية ال system و تكوينه هل
+
+122
+00:09:47,130 --> 00:09:52,490
+بالزمن سيرفر؟ هل بالزمن front end؟ بالزمن two tier
+
+123
+00:09:52,490 --> 00:09:57,000
+و لا تلاتة tier يعني تلت طبقات من المعالجة؟كل هذا
+
+124
+00:09:57,000 --> 00:10:00,540
+بيبدأ يتكوّن عندي و ببدأ أشتغل أحط في ال design
+
+125
+00:10:00,540 --> 00:10:04,760
+أثناء ما أنا ايش أثناء ما أنا بجمع المطالبات و في
+
+126
+00:10:04,760 --> 00:10:10,600
+نفس الوقت أيضا كمان أي شيء أنا بابدأ أحطه كمكونات
+
+127
+00:10:10,600 --> 00:10:15,720
+رئيسية ممكن أيضا كمان تبدأ أدخل أو ييجي حد تاني
+
+128
+00:10:15,720 --> 00:10:20,760
+يدخل على التصميم التفصيلي لهذا المكون و أنا لسه مش
+
+129
+00:10:20,760 --> 00:10:26,150
+مكتمل لسه عندي الصورة تبع كل المكوناتبالتالي بيكون
+
+130
+00:10:26,150 --> 00:10:29,430
+often carried out in parallel with some
+
+131
+00:10:29,430 --> 00:10:32,150
+specification activities، some specification
+
+132
+00:10:32,150 --> 00:10:35,670
+activities بيقصد بيها الجانب الابتدائي اللي هو
+
+133
+00:10:35,670 --> 00:10:39,270
+جامعة المتطلبات، فأثناء ما أنا أجمع متطلبات، بكون
+
+134
+00:10:39,270 --> 00:10:42,910
+كمان بشتغل على ال architectural design، it
+
+135
+00:10:42,910 --> 00:10:46,390
+involves identifying زي ما قلنا أياش ال major
+
+136
+00:10:46,390 --> 00:10:52,910
+system شو؟Components and their communication هدولة
+
+137
+00:10:52,910 --> 00:10:56,350
+المقطوط الأساسياتي ال control قلنا بديجي إذا كان
+
+138
+00:10:56,350 --> 00:11:02,130
+في هناك حاجة لل control تمام فاحنا الآن ال
+
+139
+00:11:02,130 --> 00:11:05,370
+architectural design افترض انه صار واضح هنا مثال
+
+140
+00:11:05,370 --> 00:11:10,350
+على ذلك من ال system من من ال system بيقوم ب
+
+141
+00:11:10,350 --> 00:11:17,230
+packaging ايش يعني ال packaging؟يعني زي روبوت بده
+
+142
+00:11:17,230 --> 00:11:22,930
+يحط السلاع في package او المنتج مش السلاع المنتج
+
+143
+00:11:22,930 --> 00:11:27,590
+في مصنع يعني و بده يعبيهم فالان ال robot هذا ال
+
+144
+00:11:27,590 --> 00:11:31,310
+robot هذا صح انت شايفه ك hardware لكنه مكوّن
+
+145
+00:11:31,310 --> 00:11:35,570
+software مظبوط المكوّن software لا يقل أهمية عن
+
+146
+00:11:35,570 --> 00:11:40,910
+الإدراع و ال .. و ال ..المواجد طبعا و ال conveyor
+
+147
+00:11:40,910 --> 00:11:44,310
+built اللي هو شريط اللي بتمر عليه او الحزام اللي
+
+148
+00:11:44,310 --> 00:11:50,250
+بتمر عليه المنتجات هذه فلازم انت تتخيل اللي هو
+
+149
+00:11:50,250 --> 00:11:54,730
+المكونات سواء ال software و ال hardware مع بعض
+
+150
+00:11:54,730 --> 00:12:03,070
+شغلين على انهم system واحد فلهذا ال robotفي ايش
+
+151
+00:12:03,070 --> 00:12:05,910
+المكونات اللي هو حاططها هنا؟ في عندك حاجة اسمها
+
+152
+00:12:05,910 --> 00:12:10,050
+مكون اسمه Vision مش عارف اذا رابحها عندكوا ال ..
+
+153
+00:12:10,050 --> 00:12:14,230
+Vision System System هنا يقصد بيها Sub System هو
+
+154
+00:12:14,230 --> 00:12:18,490
+System في حال ذاته ومسئول عن اللي هو انه ياخد صورة
+
+155
+00:12:18,490 --> 00:12:23,610
+وربما يطلع منها كمان يعني يقولوا يعمل عليها تحسين
+
+156
+00:12:23,610 --> 00:12:26,530
+في System تاني بيعمل حاجة اسمها Object
+
+157
+00:12:26,530 --> 00:12:29,070
+Identification يعني ايش Object Identification؟
+
+158
+00:12:29,070 --> 00:12:33,380
+تفترض ان هو السلعة قدر عن روموتاتبتدخلش و بتيجي
+
+159
+00:12:33,380 --> 00:12:37,080
+ماشي على الشريط و ال robot هذا مسئوليته انه يجيب
+
+160
+00:12:37,080 --> 00:12:43,060
+على ال robot ال remote و يحطه في الصندوق اكتر من
+
+161
+00:12:43,060 --> 00:12:48,320
+واحد و يعبيهم او بلاش remote تفاح او بندورة اي شي
+
+162
+00:12:48,320 --> 00:12:52,300
+المهم انه في الأول بده يكون فيه vision system ياخد
+
+163
+00:12:52,300 --> 00:12:55,520
+الصورة او الفيديو او المشهد و بعدين sub system
+
+164
+00:12:55,520 --> 00:12:59,220
+تاني من كل الصورة يتعرف على اه هذا ال robot هذا لأ
+
+165
+00:12:59,220 --> 00:13:04,520
+مش robotماشي و يتعرف على ال object اللي بدنا نحطه
+
+166
+00:13:04,520 --> 00:13:09,630
+في الصندوق و مكانه طبعا على أساس بعد هيكالـ Arm
+
+167
+00:13:09,630 --> 00:13:13,810
+Controller اللي هو المتحكم في الدراع، هذا الـ Arm
+
+168
+00:13:13,810 --> 00:13:17,410
+Controller برضه غالبا software، ممكن يكون hardware
+
+169
+00:13:17,410 --> 00:13:21,470
+built in أو software built in في الدراع نفسها،
+
+170
+00:13:21,470 --> 00:13:25,390
+okay؟ اللي مهم الـ Arm Controller هو الـ Gripper
+
+171
+00:13:25,390 --> 00:13:29,630
+Controller، الـ Gripper اللي هو الملجط اللي يراكب
+
+172
+00:13:29,630 --> 00:13:34,400
+على الدراع، اللي يمسك ال object و ي ..بعد ذلك يوجد
+
+173
+00:13:34,400 --> 00:13:38,240
+الـ Packaging Selection System اللي بيقيله دور في
+
+174
+00:13:38,240 --> 00:13:44,740
+اختيار وين في اي package بدنا نحط السلعة المهم في
+
+175
+00:13:44,740 --> 00:13:48,460
+مكونات أخرى بعض منها هنا software بعض منها
+
+176
+00:13:48,460 --> 00:13:53,900
+hardware هذا الرسم من برا لبرا بتوضحلي بتوضحلي
+
+177
+00:13:53,900 --> 00:13:57,900
+اللي هو هذا ال system ككل اللي هو ال packaging أو
+
+178
+00:13:57,900 --> 00:14:01,740
+ال packing system شو هي مكوناته وإيش
+
+179
+00:14:04,190 --> 00:14:08,270
+الـ Communication، صح؟ هذا الـ Sam معناه ذلك أن
+
+180
+00:14:08,270 --> 00:14:12,870
+هذا يعطي لهذا، هذا بيزود هذا، هذا بيغذي هذا،
+
+181
+00:14:12,870 --> 00:14:18,030
+مظبوط؟ بيغذيه طبعا data، information، okay؟ فهذا
+
+182
+00:14:18,030 --> 00:14:23,270
+مثال على اللي هو architectural design للروبوت تبع
+
+183
+00:14:23,270 --> 00:14:29,180
+ال packingOkay فالان احنا برضه قبل ما نخش في
+
+184
+00:14:29,180 --> 00:14:33,200
+تفاصيل اكتر برضه بنهمنا نفهم مفهوم ان ال
+
+185
+00:14:33,200 --> 00:14:36,300
+architectural design احيانا ممكن يخصط بيه شغلتين
+
+186
+00:14:36,300 --> 00:14:39,800
+مختلفات ال architectural design يعني انا لما بقولك
+
+187
+00:14:39,800 --> 00:14:44,120
+هذا ال design تبع ال system احيانا اش اللي بيستخدم
+
+188
+00:14:44,120 --> 00:14:48,600
+بيستخدم زي ما حكينا قبل شوية ان عندي one single
+
+189
+00:14:48,600 --> 00:14:52,000
+one specific system system محدد قول ال packing
+
+190
+00:14:52,000 --> 00:14:55,770
+robot هذا و بدى اشوف مكوناتهوبدي اتعرف عليها
+
+191
+00:14:55,770 --> 00:15:00,690
+مكوناته وهذا بنسميه اش architecture in the small
+
+192
+00:15:00,690 --> 00:15:04,610
+بمعنى انه عندي one specific system وبدي اشوف ال
+
+193
+00:15:04,610 --> 00:15:08,470
+smaller sub systems اللي بيتكونوا وحيانا بيكون
+
+194
+00:15:08,470 --> 00:15:11,750
+القصد لا اشي تاني في الاتجاه الخارجي architecture
+
+195
+00:15:11,750 --> 00:15:15,510
+in the large بمعنى انه في عندي specific system بدي
+
+196
+00:15:15,510 --> 00:15:22,090
+اشوف موقع من العرب ما بينالجامعات الأخرى تعمل
+
+197
+00:15:22,090 --> 00:15:26,090
+معاها بشكل مدمج أو integrated مثلًا هنا في
+
+198
+00:15:26,090 --> 00:15:30,210
+المجامعة لو أنا جيت قولت ال university information
+
+199
+00:15:30,210 --> 00:15:35,810
+system أو ال university administration system هذا
+
+200
+00:15:35,810 --> 00:15:39,010
+كلمة كبيرة واسعة ال information system تبع الجامعة
+
+201
+00:15:39,010 --> 00:15:43,080
+ككل كلمة كبيرة واسعة لأنها تشمل بداخلهاعدة
+
+202
+00:15:43,080 --> 00:15:47,060
+subsystems وكل subsystem لسه إيه مكوناته، يعني مين
+
+203
+00:15:47,060 --> 00:15:50,980
+ال subsystems؟ نظام القبول والتسجيل هذا في حجزته
+
+204
+00:15:50,980 --> 00:15:55,100
+system جزء من منظومة ال information system تبع
+
+205
+00:15:55,100 --> 00:16:00,250
+الجامعة، نظام إيه؟ إيه مالي؟نظام الراتب، نظام
+
+206
+00:16:00,250 --> 00:16:05,470
+العلامات، نظام الكورسات وتوسيع الكورسات على
+
+207
+00:16:05,470 --> 00:16:10,010
+المدرسين، أنظمة متعددة، كل واحد منهم لسه عبارة عن
+
+208
+00:16:10,010 --> 00:16:16,710
+component في ال larger view، في الصورة الأشمل،
+
+209
+00:16:16,710 --> 00:16:22,940
+فهناالشركة الصغيرة تتعامل مع مصمم البرنامج
+
+210
+00:16:22,940 --> 00:16:23,800
+الاندوبيوكسية الاندوبيوكسية الاندوبيوكسية
+
+211
+00:16:23,800 --> 00:16:24,860
+الاندوبيوكسية البرنامج الاندوبيوكسية البرنامج
+
+212
+00:16:24,860 --> 00:16:26,500
+الاندوبيوكسية البرنامج الاندوبيوكسية البرنامج
+
+213
+00:16:26,500 --> 00:16:29,600
+الاندوبيوكسية البرنامج الاندوبيوكسية البرنامج
+
+214
+00:16:29,600 --> 00:16:31,220
+الاندوبيوكسية البرنامج الاندوبيوكسية البرنامج
+
+215
+00:16:31,220 --> 00:16:33,520
+الاندوبيوكسية البرنامج الاندوبيوكسية البرنامج
+
+216
+00:16:33,520 --> 00:16:36,840
+الاندوبيوكسية البرنامج الاندوبيوكسية البرنامج
+
+217
+00:16:36,840 --> 00:16:40,270
+الاندوبيوبينما هنا is concerned with architecture
+
+218
+00:16:40,270 --> 00:16:43,490
+of complex enterprise systems ال enterprise
+
+219
+00:16:43,490 --> 00:16:47,890
+systems كلمة دلوقت بتشوفها بدك تتخيل اشي زي
+
+220
+00:16:47,890 --> 00:16:51,550
+الجامعة الجامعة هنا اعتبرها enterprise و ال system
+
+221
+00:16:51,550 --> 00:16:58,290
+تبعها هو اصلا متكون من multiple systems بيشتغلوا
+
+222
+00:16:58,290 --> 00:17:03,620
+بشكل integratedثم ان كلمة Enterprise غالبا ما يقصد
+
+223
+00:17:03,620 --> 00:17:08,960
+بيها نفس الكلام هذا ومتوزع على مترامل الأطراف يعني
+
+224
+00:17:08,960 --> 00:17:14,160
+او متوزع على مواقع جغرافية متعددة يعني تخيل ان نفس
+
+225
+00:17:14,160 --> 00:17:19,110
+الجامعة بتنا هنا الى فرعأه في خانيوناس الفرع في
+
+226
+00:17:19,110 --> 00:17:24,630
+الجنوب الفرع في الشمال و كل الأفراح هذه بيشتغلوا
+
+227
+00:17:24,630 --> 00:17:29,390
+computerized و كلهم مرتبطين مع بعض بمنظومة واحدة
+
+228
+00:17:29,390 --> 00:17:32,850
+okay فهذا برضه معناه أخر لمفهوم ال enterprise
+
+229
+00:17:32,850 --> 00:17:37,500
+systemفانتقل إلى أسلوبات تحتوي على أسلوبات أخرى
+
+230
+00:17:37,500 --> 00:17:41,480
+وأسلوبات أخرى وprograms و program components وكلها
+
+231
+00:17:41,480 --> 00:17:46,060
+مع بعض Distributed over إيش different computers و
+
+232
+00:17:46,060 --> 00:17:48,860
+different maybe أيضا different location و maybe
+
+233
+00:17:48,860 --> 00:17:53,000
+owned by different organizations يعني مثلا لما أنت
+
+234
+00:17:53,000 --> 00:17:55,860
+بتوزيها لما تكون عندك المؤسسة مترانة الأطراف و
+
+235
+00:17:55,860 --> 00:18:01,260
+فيها عدة branches أو مواقعالشبكة الواصلة ما بين
+
+236
+00:18:01,260 --> 00:18:04,380
+فرقة وفرقة ممكن تبقى مش تابعة للجامعة، يعني
+
+237
+00:18:04,380 --> 00:18:09,280
+مستأجرة من شركة الاتصالات، فإذا شركة الاتصالات
+
+238
+00:18:09,280 --> 00:18:16,600
+تمتلك جزء من البنية التحتية المنظومة تبعتكمش انت
+
+239
+00:18:16,600 --> 00:18:20,540
+اللي تمتلك كل البنية التحتية انت تمتلك البنية
+
+240
+00:18:20,540 --> 00:18:24,620
+التحتية اللي في الموقع لكن من موقع لموقع خط
+
+241
+00:18:24,620 --> 00:18:29,660
+الإتصال هذا تابع لطرف مابي managed by different
+
+242
+00:18:29,660 --> 00:18:33,460
+companies تمام المهم احنا اللي تبقى واضحة ايش يعني
+
+243
+00:18:33,460 --> 00:18:35,880
+architecture in the small و architecture in the
+
+244
+00:18:35,880 --> 00:18:41,640
+large الآن ال .. ال
+
+245
+00:18:41,640 --> 00:18:46,430
+.. ال architecture هذابيفيدنا في عدة أمور أو
+
+246
+00:18:46,430 --> 00:18:51,810
+بيستخدم في عدة نواحي ممكن يستخدم ويأدي دور كوسيلة
+
+247
+00:18:51,810 --> 00:18:56,670
+التواصل أو أداء التخاطب مع ال stakeholders يعني ال
+
+248
+00:18:56,670 --> 00:19:01,690
+stakeholder بده يفهمتصور العامل الـ system بنقدّم
+
+249
+00:19:01,690 --> 00:19:05,390
+لواش architectural design الـ architectural design
+
+250
+00:19:05,390 --> 00:19:08,810
+غالبا الـ stakeholder بطلبش أكتر من هيك يعني بطلبش
+
+251
+00:19:08,810 --> 00:19:15,190
+تفاصيل detail design ماشي فبعد ما نكون أتمنا عملية
+
+252
+00:19:15,190 --> 00:19:19,340
+اللي هو ال requirement specificationبنشكل بصناعة
+
+253
+00:19:19,340 --> 00:19:26,240
+تصور دقيق لل architecture تبع ال system، فإذا
+
+254
+00:19:26,240 --> 00:19:30,040
+انطلب مننا، إذا ال stakeholders انطلبوا، نعطيهم ما
+
+255
+00:19:30,040 --> 00:19:32,680
+بي used as a focus of discussion ما بيننا و بين ال
+
+256
+00:19:32,680 --> 00:19:35,670
+stakeholdersطبعا ممكن يكون discussion هنا لغرض
+
+257
+00:19:35,670 --> 00:19:40,290
+أيضا لسه جمع المتطلبات يعني ممكن انا اقدم نسخة من
+
+258
+00:19:40,290 --> 00:19:46,110
+ال architectural design لغرض اخد feedback و افهم
+
+259
+00:19:46,110 --> 00:19:52,550
+منه اذا كان في اشياء اخرى ولا لا تمام؟ الان كذلك
+
+260
+00:19:52,550 --> 00:19:57,300
+الحالة جزء من ال analysisجزء من ال Analysis، عملية
+
+261
+00:19:57,300 --> 00:20:02,740
+ال Analysis برضه Analysis داخلية طبعا، داخل فريق
+
+262
+00:20:02,740 --> 00:20:05,800
+العمل، إنه احنا بنحط Architecture Design عشان ت
+
+263
+00:20:05,800 --> 00:20:09,020
+discuss it، عشان نشوف هل فعلا ال Architecture ده
+
+264
+00:20:09,020 --> 00:20:12,740
+أو تصورنا عن ال system فعلا بيغطي كافة الجوانب
+
+265
+00:20:12,740 --> 00:20:17,800
+اللي مطلوبةو ايضا كبارك الحال ربما ايضا هذا ال
+
+266
+00:20:17,800 --> 00:20:22,680
+architecture يستخدم في الريوس بمعنى انه لاحقا لما
+
+267
+00:20:22,680 --> 00:20:27,360
+نجي نعمل system جديد بعد ما خلصنا هذا ال system
+
+268
+00:20:27,360 --> 00:20:31,120
+لاحقا نعمل system جديد ليش نعمل architecture جديد
+
+269
+00:20:31,120 --> 00:20:36,820
+اذا كان ال system الجديد بيعتمد على بعض المكونات
+
+270
+00:20:38,620 --> 00:20:40,960
+اللي في الـ system الحالي يعني نفترض ان انا عملت
+
+271
+00:20:40,960 --> 00:20:44,220
+system حالي وكان واحد من المكونات database server
+
+272
+00:20:44,220 --> 00:20:48,220
+هذا ال database server ممكن هو نفسه يستخدم فيه ك
+
+273
+00:20:48,220 --> 00:20:52,020
+database server ل system اخر نفس ال database بعض
+
+274
+00:20:52,020 --> 00:20:55,300
+المكونات تبعتها تيجي هذا كذلك حيث ممكن ان ال
+
+275
+00:20:55,300 --> 00:20:59,020
+interface تبعت ال system الحالي ال system الجديد
+
+276
+00:20:59,020 --> 00:21:04,220
+يدخل كصفحة من صفحات ال system الحاليأو شاشة من
+
+277
+00:21:04,220 --> 00:21:07,380
+شاشاته فلذلك ممكن هذا ال architecture اللي عملته
+
+278
+00:21:07,380 --> 00:21:12,520
+يعاد استخدامه أو يرجع اليه يبنى عليه في other
+
+279
+00:21:12,520 --> 00:21:18,120
+systems that may be developed طيب الان احنا فيه ان
+
+280
+00:21:18,120 --> 00:21:23,630
+برضه مستويات لما احنا بنحكي عن ال ..عن ال
+
+281
+00:21:23,630 --> 00:21:31,630
+architecture ممكن تختلف اللي هو مستويات ممكن يكون
+
+282
+00:21:31,630 --> 00:21:37,070
+بس مجرد بسيط simple informal block diagram مجرد
+
+283
+00:21:37,070 --> 00:21:43,330
+بلوكات كل block عليه اسم المكون و علاقتنا زي اللي
+
+284
+00:21:43,330 --> 00:21:47,710
+شفنا يتوي تبع ال robot اه okay لكن هذا لا يكفي
+
+285
+00:21:47,710 --> 00:21:52,490
+أحيانا نحتاج إلى قدر أخر من مستويات أخر من التفصيل
+
+286
+00:21:52,960 --> 00:21:59,280
+Okay فباعتبد الأمر على اللي إيش احنا بدنا نستخدم
+
+287
+00:21:59,280 --> 00:22:04,100
+ال model هذا إذا بدنا بس لتوصيل الفكرة لل
+
+288
+00:22:04,100 --> 00:22:08,780
+stakeholder غالبا ما بيكفي ال simple لكن إذا بدنا
+
+289
+00:22:08,780 --> 00:22:13,300
+نستخدمه في مرحلة ال design أو ال detail design
+
+290
+00:22:13,300 --> 00:22:17,540
+لازم ال designer اللي بده يحط ال detail design
+
+291
+00:22:17,540 --> 00:22:23,700
+يبقى عنده فكرةأعمق عن المكونات ووظيفة كل مكون
+
+292
+00:22:23,700 --> 00:22:27,280
+والعلاقة ما بين المكونات الأخرى وإيش طبيعة ال data
+
+293
+00:22:27,280 --> 00:22:31,260
+اللي بتروح أو تيجي ما بين هذه المكونات فبالتالي
+
+294
+00:22:31,260 --> 00:22:36,120
+بيقول depending on the use ofالـ Architecture
+
+295
+00:22:36,120 --> 00:22:41,320
+Model بتحدد مستوى الـ Representation، مستوى الامر،
+
+296
+00:22:41,320 --> 00:22:45,300
+تمام؟ الـ Box and Line Diagram، قلنا هذا زي الـ
+
+297
+00:22:45,300 --> 00:22:49,460
+Very Abstract، زي اللي .. زي اللي توي شفناها، تبع
+
+298
+00:22:49,460 --> 00:22:52,260
+الروبوت، بس مجرد ال components و ال relationship
+
+299
+00:22:52,260 --> 00:22:56,220
+ما بينهم، تمام؟ useful for communication with مين،
+
+300
+00:22:56,220 --> 00:23:00,220
+قلنا؟الـ Box and Line Box and Line اللي هو مجرد
+
+301
+00:23:00,220 --> 00:23:05,740
+مربع باسم ال .. باسم ال component و Line يوضح
+
+302
+00:23:05,740 --> 00:23:09,280
+علاقة .. علاقة ال component بال other components
+
+303
+00:23:09,280 --> 00:23:12,140
+هاي اللي .. هاي المقصود بال Box and Line هذا اللي
+
+304
+00:23:12,140 --> 00:23:16,260
+هو ال simple ال simple اه و .. و .. و غالبا ما
+
+305
+00:23:16,260 --> 00:23:19,080
+يستخدم مع مين؟ قولي تعالى الكلام هذا قبل شوية
+
+306
+00:23:19,080 --> 00:23:22,320
+لتوضيح الفكرة لل stakeholders stakeholders اللي هو
+
+307
+00:23:22,320 --> 00:23:32,890
+الأطراف الخارجية المعنية بالمشروعتمام؟ ال ..
+
+308
+00:23:32,890 --> 00:23:38,850
+إلى جانب استخدام الـ architectural models للتخاطب
+
+309
+00:23:38,850 --> 00:23:42,390
+أو لتوضيح ال design لل stakeholders، قولنا ممكن ال
+
+310
+00:23:42,390 --> 00:23:47,610
+architectural model يستخدم كإيش؟ كأساس لل .. ل
+
+311
+00:23:47,610 --> 00:23:50,710
+detail design، مظبوط؟ مظبوط؟
+
+312
+00:23:54,680 --> 00:23:58,000
+Okay فهو أولا أساس لل discussion لل .. لل ..
+
+313
+00:23:58,000 --> 00:24:04,460
+للتعرف على ال .. ال system و تفاصيله بصفة هامة،
+
+314
+00:24:04,460 --> 00:24:07,840
+الآن برضه كذلك الحالة هذه ال architecture هي أو
+
+315
+00:24:07,840 --> 00:24:11,600
+هذه ال models اللي بترتسم هي بتلعب دوام في ال
+
+316
+00:24:11,600 --> 00:24:15,040
+documentationمظبوط لأنه انا لما بدى اخلص ال system
+
+317
+00:24:15,040 --> 00:24:20,660
+هاجي اخد اي كلام بدى افصل و بدى اكتب ده اوثق ال
+
+318
+00:24:20,660 --> 00:24:24,340
+system بدى اوثق كل جوانبه وعلى رأسها اللي هو
+
+319
+00:24:24,340 --> 00:24:28,540
+الهيكلية العامة تبعته as a way of documenting an
+
+320
+00:24:28,540 --> 00:24:33,920
+architecture that has been designed الان بالنسبة
+
+321
+00:24:33,920 --> 00:24:36,500
+لل decisions بالنسبة لل decisions
+
+322
+00:24:39,510 --> 00:24:45,310
+زي ما قلنا احنا ان ال process عملية التصميم ال
+
+323
+00:24:45,310 --> 00:24:49,410
+architecture تبع ال system مايلها standard
+
+324
+00:24:49,410 --> 00:24:56,480
+sequence of stepsإنما في مجموعة .. اللي أنا ..
+
+325
+00:24:56,480 --> 00:25:01,160
+إنما هي creative process وبالتالي مش معنين بخطوات،
+
+326
+00:25:01,160 --> 00:25:04,360
+إنما معنين بإيش، بال decisions والأسئلة اللي
+
+327
+00:25:04,360 --> 00:25:10,940
+بيسألها ال .. ال .. ال software engineer لنفسهعشان
+
+328
+00:25:10,940 --> 00:25:15,440
+يحط ال design تبع ال .. تبع ال system الأسئلة هذه
+
+329
+00:25:15,440 --> 00:25:20,600
+ربما كلها ربما بعض من هذه الأسئلة يعني مش كل ال
+
+330
+00:25:20,600 --> 00:25:25,080
+systems بتسأل فيها كل الأسئلة هذه بس على رأسها
+
+331
+00:25:25,080 --> 00:25:29,940
+أولا
+
+332
+00:25:29,940 --> 00:25:34,360
+سؤال مدهي جدا هل في هناك generic application
+
+333
+00:25:34,360 --> 00:25:38,910
+architecturethat can be used يعني هل من الأصل أنا
+
+334
+00:25:38,910 --> 00:25:43,410
+محتاج أحط architectural design من الصفر ولا ال
+
+335
+00:25:43,410 --> 00:25:48,030
+system تبعي اللي أنا بدي أعمله شبيه به واحد من ال
+
+336
+00:25:48,030 --> 00:25:51,970
+applications المشهورة اللي مقدر أاخد ال
+
+337
+00:25:51,970 --> 00:25:55,610
+architecture تبع هذا ال application و أصمم ال
+
+338
+00:25:55,610 --> 00:26:01,660
+application تبعي على هوازي ما احنا اصلا لما بنسأل
+
+339
+00:26:01,660 --> 00:26:07,340
+نفسنا السؤال ال user بده system هل ال system اللي
+
+340
+00:26:07,340 --> 00:26:09,780
+هو محتاجه already موجود في ال market ممكن اروح
+
+341
+00:26:09,780 --> 00:26:14,750
+اشتريلهأو المؤسسة تبعتي ممكن تشتري مواقع برنامج
+
+342
+00:26:14,750 --> 00:26:20,810
+جاهز ولا لازم أفصل أو أصمم برنامج خاص هنا نفس
+
+343
+00:26:20,810 --> 00:26:25,870
+الأشياء البرنامج تبع اللي أنا بدي أعمله هل هو شبيه
+
+344
+00:26:25,870 --> 00:26:29,170
+ببرنامج أو software يعني شبيه ب software موجود
+
+345
+00:26:29,170 --> 00:26:33,950
+اللي أبني على نفس البنية تبعته ولا لأ is a generic
+
+346
+00:26:33,950 --> 00:26:37,130
+application architecture that can be used هذا أول
+
+347
+00:26:37,130 --> 00:26:42,870
+سؤال إذا والله فيه يبقى خلاص بقى تبنىأو بيصمم ال
+
+348
+00:26:42,870 --> 00:26:49,610
+system تبعي على نفس هذه البرامج How will the
+
+349
+00:26:49,610 --> 00:26:52,430
+system be distributed؟ هذا سؤال برضه ال
+
+350
+00:26:52,430 --> 00:26:57,230
+distribution هنا يقصد بيه إيش؟ توزيع المكونات على
+
+351
+00:26:57,230 --> 00:27:01,670
+إيش؟على hardware يعني والله انا فيها اندي database
+
+352
+00:27:01,670 --> 00:27:04,710
+ال database هل بدها تروح على database server هل
+
+353
+00:27:04,710 --> 00:27:07,930
+بدها تروح على database server machine مخصصة لل
+
+354
+00:27:07,930 --> 00:27:11,730
+database server ولا ممكن تقعد هي و ال web server
+
+355
+00:27:11,730 --> 00:27:16,370
+على نفس ال machine هل هدولة موجودين في نفس الموقع
+
+356
+00:27:16,370 --> 00:27:22,810
+ولا موجودين في locationأه في موقع آخر تابع للمؤسسة
+
+357
+00:27:22,810 --> 00:27:28,630
+هل تابع للمؤسسة ولا تابع لhosted طرف تالت ماشي
+
+358
+00:27:28,630 --> 00:27:33,510
+فهنا ال distribution نقصد بيها كيف التوزيع ال ..
+
+359
+00:27:33,510 --> 00:27:38,110
+احنا عارفين ان في مكونات لكن بدنا نسأل عن المكونات
+
+360
+00:27:38,110 --> 00:27:41,730
+ده المتواجدة في نفس المكان ولا على مكان مختلفة
+
+361
+00:27:41,730 --> 00:27:42,310
+سؤال
+
+362
+00:27:51,370 --> 00:27:55,590
+مكان مختلف في نفس الحرم الجامعة يعني ولا في مواقع
+
+363
+00:27:55,590 --> 00:27:58,410
+مختلفة؟ ان هنا في الجامعة
+
+364
+00:28:02,500 --> 00:28:05,440
+هو .. هو ال distribution بيكون على .. على .. على
+
+365
+00:28:05,440 --> 00:28:09,700
+أجهزة متعددة يعني لا .. لا يتخيل أن يكون كل ال
+
+366
+00:28:09,700 --> 00:28:12,220
+subsystems .. subsystems الجامعة جاعدة على جهاز
+
+367
+00:28:12,220 --> 00:28:16,400
+واحد، على server واحد، تمام؟ بيكون فيه عندك عدة
+
+368
+00:28:16,400 --> 00:28:19,560
+servers، و ال servers زي ما بيقولوا server farm
+
+369
+00:28:19,560 --> 00:28:25,840
+تبقى، يعني و كل server عبارة عن جهاز جاعدين كلهم
+
+370
+00:28:25,840 --> 00:28:31,620
+في rackو أحيانا برضه بتبقى virtual servers يعني ال
+
+371
+00:28:31,620 --> 00:28:36,680
+server ما هو ال virtual machine شغالة على hardware
+
+372
+00:28:36,680 --> 00:28:41,000
+و ال hardware هذا شغالة على قادة .. مش cloud
+
+373
+00:28:41,000 --> 00:28:44,400
+كارجية بنقول إنه احنا ال virtual server زي مثلا
+
+374
+00:28:44,400 --> 00:28:48,020
+لما تعمل virtual machine عندك على ال desktop مش في
+
+375
+00:28:48,020 --> 00:28:51,780
+ال VMware و ال .. و ال .. إيش اسمه هذا box
+
+376
+00:29:01,970 --> 00:29:06,390
+على نفس الهاردور و جاي عنده processor ضخم و memory
+
+377
+00:29:06,390 --> 00:29:12,250
+ضخم و هدس ضخم و بيبقى عاملين ال creating ل add
+
+378
+00:29:12,250 --> 00:29:16,750
+servers على نفس ال machine الواحدةوالصينيز دي جوا
+
+379
+00:29:16,750 --> 00:29:20,610
+كلهم شغالين على نفس ال machine وكأن هم موجودين على
+
+380
+00:29:20,610 --> 00:29:25,130
+شبكة بيبعتوا لبعض بال TCP IP كل واحد يبقى في
+
+381
+00:29:25,130 --> 00:29:28,650
+address و بيبعتوا لبعض و كلهم في واقع الأمر جوا
+
+382
+00:29:28,650 --> 00:29:34,590
+نفس ال hardware boxالـ Distribution هذا يقصد بي
+
+383
+00:29:34,590 --> 00:29:39,470
+اللي هو وين ال component موجود على أي host و ال
+
+384
+00:29:39,470 --> 00:29:41,870
+host يعني اللي هو ال hardware و ال host الآن هذا
+
+385
+00:29:41,870 --> 00:29:46,130
+قد يكون located في نفس موقع الجغرافي مع الأخرين أو
+
+386
+00:29:46,130 --> 00:29:50,910
+قد يكون في موقع جغرافي أخر تمام؟ what
+
+387
+00:29:50,910 --> 00:29:53,910
+architectural styles are appropriate؟ ال
+
+388
+00:29:53,910 --> 00:29:57,550
+architectural styles ليه شبيهة بمفهوم ال patterns؟
+
+389
+00:29:57,550 --> 00:30:02,140
+نحكي عنها قدامWhat approach will be used to
+
+390
+00:30:02,140 --> 00:30:06,720
+structure the system؟ طريقة الهيكل، هل هي إشي
+
+391
+00:30:06,720 --> 00:30:09,960
+متفرع من إشي، يعني ال components متفرع من ال
+
+392
+00:30:09,960 --> 00:30:13,820
+components و كلها بالصبلة، متحكم، رئيسي و لا كلهم
+
+393
+00:30:13,820 --> 00:30:18,140
+سواسية و كل واحد يقوله دور و بيعطيالـ output تبقى
+
+394
+00:30:18,140 --> 00:30:22,040
+على الطرف المعني يعني زي مثلا في الشبكات عندنا
+
+395
+00:30:22,040 --> 00:30:25,860
+بيجي فيه client server و ال peer كذلك حالة ال
+
+396
+00:30:25,860 --> 00:30:28,760
+components حالة ال components نفسها بقى بال system
+
+397
+00:30:28,760 --> 00:30:32,420
+في إيه الطرف الرئيسي و الباجين بيتمدوا عليه و لا
+
+398
+00:30:32,420 --> 00:30:37,540
+كلهم متساويين في الشغل و في الدور
+
+399
+00:30:39,370 --> 00:30:46,350
+ماذا يعني التحكم؟ ماذا يعني التحكم؟ ماذا يعني
+
+400
+00:30:46,350 --> 00:30:48,050
+التحكم؟ ماذا يعني التحكم؟ ماذا يعني التحكم؟ ماذا
+
+401
+00:30:48,050 --> 00:30:51,890
+يعني التحكم؟ ماذا يعني التحكم؟ ماذا يعني التحكم؟
+
+402
+00:30:51,890 --> 00:30:51,890
+ماذا يعني التحكم؟ ماذا يعني التحكم؟ ماذا يعني
+
+403
+00:30:51,890 --> 00:30:51,890
+التحكم؟ ماذا يعني التحكم؟ ماذا يعني التحكم؟ ماذا
+
+404
+00:30:51,890 --> 00:30:58,350
+يعني التحكم؟ ماذا يعني التحكم؟ ماذا
+
+405
+00:30:58,350 --> 00:31:07,270
+يعني التحكم؟ ماذا يعني التحكم؟ ماذا يعني التحكم؟في
+
+406
+00:31:07,270 --> 00:31:10,930
+مرحلة الـ development أو الـ implementation نعمل
+
+407
+00:31:10,930 --> 00:31:14,230
+موديول مثلا الـ robot arm هذا أول ما بدنا نشتغل
+
+408
+00:31:14,230 --> 00:31:17,250
+نشتغل بالمثال ال vision system اللي هو بده ياخد
+
+409
+00:31:17,250 --> 00:31:21,570
+الصورة و يتعرف على ال object حطينا ال vision و ال
+
+410
+00:31:21,570 --> 00:31:24,640
+object identification في موديول واحدهنا الـ Arm
+
+411
+00:31:24,640 --> 00:31:27,660
+Controller و الـ Grip Controller هذا كمبونات و هذا
+
+412
+00:31:27,660 --> 00:31:31,700
+كمبونات نعملهم مع بعض لأن الشغل بينهم لازم يكون
+
+413
+00:31:31,700 --> 00:31:36,660
+متنسيق الـ Arm و الـ Grip لازم يكون هذا فنحطه كله
+
+414
+00:31:36,660 --> 00:31:39,780
+ماشي الأثنين مع بعض في موديول كذلك الحالي هنا الـ
+
+415
+00:31:39,780 --> 00:31:44,060
+Packaging Selection و Packing System هذا الكمبونر
+
+416
+00:31:44,060 --> 00:31:47,680
+نحطه في موديول واحد فممكن الأمر يكون
+
+417
+00:31:50,340 --> 00:31:54,480
+مجسم إضافة إلى ال component أيضا كمان مجسم على شكل
+
+418
+00:31:54,480 --> 00:32:02,340
+.. مجمع ال components في modules تمام ال control
+
+419
+00:32:02,340 --> 00:32:06,520
+برضه هل في control .. هل في control تتحكم .. وحدة
+
+420
+00:32:06,520 --> 00:32:09,840
+control تتحكم في ال components و لا مافيش شيء
+
+421
+00:32:09,840 --> 00:32:13,820
+should be used what control strategy should be
+
+422
+00:32:13,820 --> 00:32:16,360
+used how will the architectural design be
+
+423
+00:32:16,360 --> 00:32:22,200
+evaluatedتمام؟ لك تسأل نفسك انت شايف ان هذا هو
+
+424
+00:32:22,200 --> 00:32:25,460
+الـarchitectural design المناسب، طيب إيش قليل
+
+425
+00:32:25,460 --> 00:32:28,280
+تقييم ما إذا كان ثانوية مناسبة ولا لا؟ غالبا
+
+426
+00:32:28,280 --> 00:32:30,500
+بالـprototyping
+
+427
+00:32:31,470 --> 00:32:37,590
+صح؟ او بيكون من خلال النقاش مع ال stakeholders اذا
+
+428
+00:32:37,590 --> 00:32:40,030
+كان هذا مناسب ولا لا يعني انت ممكن تحط .. ايش ..
+
+429
+00:32:40,030 --> 00:32:42,370
+ايش المشكلة؟ ممكن تحط design و تقول احنا بدنا
+
+430
+00:32:42,370 --> 00:32:47,250
+server و server هذا بده يتجمع عليه كل ال .. كل
+
+431
+00:32:47,250 --> 00:32:50,630
+الشغل طبعا ال .. ال .. المؤسسة ممكن تقول لك لأ انا
+
+432
+00:32:50,630 --> 00:32:53,590
+ماعمل مقدر اجيب server بيه الامكانيات هذا انا ممكن
+
+433
+00:32:53,590 --> 00:32:57,050
+عندي machines already موجودة و انا ممكن توزعلي ال
+
+434
+00:32:57,050 --> 00:33:01,450
+database هنا ال web server هنا كده هنافالـ
+
+435
+00:33:01,450 --> 00:33:05,170
+architectural design تبعك لازم ترجع ال stakeholder
+
+436
+00:33:05,170 --> 00:33:10,450
+أو البؤسس عشان تشوف إذا كان بيناسب ولا لأ تمام؟
+
+437
+00:33:10,450 --> 00:33:14,710
+how should architecture be documented؟ السؤال هذا
+
+438
+00:33:14,710 --> 00:33:17,870
+الإجابة عليه مباشرة لأنه من خلال ال models أنا
+
+439
+00:33:17,870 --> 00:33:24,850
+برسم ال models برسم إشي زيك تمام؟لكن هل هذا كافي؟
+
+440
+00:33:24,850 --> 00:33:29,030
+هل هذا ال box and line كافي؟ لربما بيدي ايش؟ more
+
+441
+00:33:29,030 --> 00:33:34,390
+detail لربما بيدي كمان text معاه يعني نص و أشرح و
+
+442
+00:33:34,390 --> 00:33:39,430
+أوضح وهذه .. هذه شغل يعني من الأسئلة اللي مش كتير
+
+443
+00:33:39,430 --> 00:33:44,250
+جوهرية أه و لكن في النهاية بقى تمجوا .. قلنا احنا
+
+444
+00:33:44,250 --> 00:33:49,320
+depends على ال stakeholder و إيش احتياجاتههل بحتاج
+
+445
+00:33:49,320 --> 00:33:54,480
+تفصيل و لأي حد من التفصيل كذلك الحال ال designer
+
+446
+00:33:54,480 --> 00:33:58,220
+اللي بدي استلم عشان يعمل ال detail design برضه ايش
+
+447
+00:33:58,220 --> 00:34:02,280
+مستوى ال detail اللي بده يعني طيب ماشي الحال احنا
+
+448
+00:34:02,280 --> 00:34:04,800
+الان بنوقف عند هذا القطر و المحاضرة عشان ان شاء
+
+449
+00:34:04,800 --> 00:34:13,280
+الله بنكمل في ال .. في ال views .. ال views و
+
+450
+00:34:13,280 --> 00:34:16,780
+بنشوف .. و بنشوف أمثلة أكتر على اللي هو
+
+451
+00:34:16,780 --> 00:34:19,860
+architectural role modelsأعطيكم العافية
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/2L0aik8xCOs.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/2L0aik8xCOs.srt
new file mode 100644
index 0000000000000000000000000000000000000000..315c41e7101a0e653108825ba66d8e338a35696e
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/2L0aik8xCOs.srt
@@ -0,0 +1,2191 @@
+1
+00:00:05,040 --> 00:00:06,800
+أعوذ بالله من الشيطان الرجيم باسم الله الرحمن
+
+2
+00:00:06,800 --> 00:00:09,700
+الرحيم الصلاة والسلام على أشرف المرسلين سيدنا محمد 
+
+3
+00:00:09,700 --> 00:00:13,500
+وليه وصحابه وسلم طبعا استكمالا للحروق هتكلم على
+
+4
+00:00:13,500 --> 00:00:16,720
+الحروق الكيميائية اتكلمنا عن الحروق بأنواعها 
+
+5
+00:00:16,720 --> 00:00:20,800
+ودرجاتها وعوامل خطورة فيها طب هنتكلم على اللي هي 
+
+6
+00:00:20,800 --> 00:00:23,660
+الحروق الكيميائية وطالما .. طالما نتكلم على الحروق 
+
+7
+00:00:23,660 --> 00:00:27,920
+الكيميائية يعني الأثر الناتج من مسبب على .. وهو 
+
+8
+00:00:27,920 --> 00:00:29,760
+طبعا مسبب كيميائي
+
+9
+00:00:34,460 --> 00:00:39,000
+طبعا مثلا عندنا أحمد مركزة قلويات مركزة وها طبعا 
+
+10
+00:00:39,000 --> 00:00:42,300
+يعني خطورتها أكثر شيء زي ما قلنا في الصفة العامة
+
+11
+00:00:42,300 --> 00:00:45,360
+حتى في الحروق اللي هي في الوجه والكفين والقدمين
+
+12
+00:00:45,360 --> 00:00:49,000
+ومنطقة العين طبعا لأنه بيصير انتشارات خطيرة و
+
+13
+00:00:49,000 --> 00:00:53,320
+بالتالي هذه الأماكن لازمها مستشفى خوفا من مضاعفات 
+
+14
+00:00:53,320 --> 00:00:55,720
+التي قد تنتج من بعد الشفاء
+
+15
+00:01:00,480 --> 00:01:03,500
+طبعا ممكن أكثر حاجة احنا بنركز عليها بالنسبة
+
+16
+00:01:03,500 --> 00:01:08,720
+للحروق الكيميائية أقلل أثر المادة الحارقة أقلل أثر
+
+17
+00:01:08,720 --> 00:01:12,780
+المادة المسببة سواء طبعا حمض أو قلوي يمكن اليوم
+
+18
+00:01:12,780 --> 00:01:16,060
+احنا لو ضربنا مثال بسيط جدا من الحروق الكيميائية
+
+19
+00:01:16,060 --> 00:01:19,960
+أو الكيمياوية ليها الفوسفور الأبيض اللي صار على حرب
+
+20
+00:01:19,960 --> 00:01:24,320
+غزة في ال 2008 طبعا ما كان الخبرة وما كناش يعني 
+
+21
+00:01:24,320 --> 00:01:29,660
+واجهنا الإصابات بالحروق بسبب اللي هو الفوسفور
+
+22
+00:01:29,660 --> 00:01:32,770
+الأبيض طبعًا كان بعض الناس مثلًا  استخدموا المياه
+
+23
+00:01:32,770 --> 00:01:36,650
+طبعًا شيء معروف أن الحروق بدأت تستخدم المياه لكن 
+
+24
+00:01:36,650 --> 00:01:40,650
+كان الأساس اللي هو خنق المادة المسببة يعني طبعًا
+
+25
+00:01:40,650 --> 00:01:43,250
+لأنه بتفاعل المياه في أكسجين فبتفاعل طبعًا مع
+
+26
+00:01:43,250 --> 00:01:46,530
+الأكسجين الموجود في المياه فتوصل للحل أنه يعني 
+
+27
+00:01:46,530 --> 00:01:53,340
+تغطيتها أو وضع يعني أي مادة أو قطعة مثلا بطنية أو
+
+28
+00:01:53,340 --> 00:01:58,360
+أي حاجز عشان قليل من وصول الهواء للمادة المسببة 
+
+29
+00:01:58,360 --> 00:02:02,660
+وبالتالي بتم خنقها وعدم توصيل الأكسجين للمادة هذه
+
+30
+00:02:02,660 --> 00:02:07,640
+بطريقة الموضوع لكن كان في حال استخدام المياه كانت 
+
+31
+00:02:07,640 --> 00:02:10,660
+الحروق  أضرارها موجودة والمشاكل بتزيد أكثر وأكثر
+
+32
+00:02:11,150 --> 00:02:13,650
+طبعا إنسان مثلًا يتعرض لـ .. أحيانًا ممكن تكون بودرة 
+
+33
+00:02:13,650 --> 00:02:18,570
+حارقة يعني لأن طبعا هي ممكن تكون مادة كيميائية طبعا 
+
+34
+00:02:18,570 --> 00:02:21,690
+أهم حاجة أن أنا أقلل الأثر يمكن نستخدم طبعا دوش
+
+35
+00:02:21,690 --> 00:02:25,150
+كامل أو شاور كامل للشخص هذا طبعا بعد تقليل الملابس
+
+36
+00:02:25,150 --> 00:02:29,470
+كليا بقدر المستطاع عشان أن أنا أقدر أصل أو أصل
+
+37
+00:02:29,470 --> 00:02:34,090
+بالماء لجسم الشخص اللي عليه المادة الحارقة اللي
+
+38
+00:02:34,090 --> 00:02:38,530
+سببت طبعا للحروق أو قد تؤدي إلى تآكل في المنطقة
+
+39
+00:02:38,530 --> 00:02:42,400
+هذه طبعا من ضمن الأمثلة هذه اللي هي ما يصيب مثلا
+
+40
+00:02:42,400 --> 00:02:45,700
+العين وطبعا بيصير أحداث كثيرة أنتم وعينكم مثلا
+
+41
+00:02:45,700 --> 00:02:49,000
+بالذات في البيوت أشياء مثبتة لو احنا قلنا
+
+42
+00:02:49,000 --> 00:02:54,060
+بالنسبة للعين طبعا مثلا أنت بتشتغلي فلفل مثلا الـ 
+
+43
+00:02:54,060 --> 00:02:59,140
+chlorine المنظفات فطبعا ممكن يواجه شيء طاير شيء
+
+44
+00:02:59,140 --> 00:03:02,480
+آخر مثلا المادة الكيمياوية هذه الفلفل الشطة مثلا
+
+45
+00:03:02,480 --> 00:03:06,520
+طبعا كل الإسعاف الأولي من الخطأ أن أنا أخد الشخص
+
+46
+00:03:06,520 --> 00:03:10,860
+مباشرة للمستشفى الخطأ ليش؟ لأن المادة الكيمياوية اللي
+
+47
+00:03:10,860 --> 00:03:14,740
+موجودة هتعمل تآكل في العين مثلا عندنا مثلا
+
+48
+00:03:14,740 --> 00:03:17,820
+الشامبو، في عندنا مثلا الشيد، في عندنا مثلا 
+
+49
+00:03:17,820 --> 00:03:22,500
+الكلور، مياه النار، كل هذه إذا احنا تركناها وذهبنا
+
+50
+00:03:22,500 --> 00:03:24,420
+.. أنا ممكن أقول لك والله احنا المستشفى جري بعشر
+
+51
+00:03:24,420 --> 00:03:26,960
+دقائق، آه بنصل بعشر دقائق، لكن في العشر دقائق هذه 
+
+52
+00:03:26,960 --> 00:03:30,700
+بيصير تدمير للخلايا، أخطر شيء بيصير تدمير للخلايا
+
+53
+00:03:30,700 --> 00:03:34,660
+هي في منطقة إيش القرنية، لأن احنا من خلالها طبعا 
+
+54
+00:03:34,660 --> 00:03:38,600
+بدخل الإضاءة واحنا بنشوف أخطر من طبعا اللي هو منطقة
+
+55
+00:03:38,600 --> 00:03:43,000
+البيضاء بالنسبة للعين أما إذا أنا بدي أتعامل كويس مع
+
+56
+00:03:43,000 --> 00:03:48,880
+الحالة هذه يجب طرد المادة المسببة باستخدام المياه
+
+57
+00:03:48,880 --> 00:03:54,760
+الماء الجاري طبعا العين هتكون المصابة للخارج العين
+
+58
+00:03:54,760 --> 00:03:58,880
+المصابة للخارج عشان أثر المادة مايجي على العين
+
+59
+00:03:58,880 --> 00:04:03,500
+السليمة وبالتالي أنا بستخدم الغسيل بالمياه لكن إذا 
+
+60
+00:04:03,500 --> 00:04:08,230
+أنا شكيت إذا شكيت في الموضوع بلزم مستشفى، لكن من
+
+61
+00:04:08,230 --> 00:04:12,230
+بعض النصائح عدم فرك العين، فرك العين إيش بيسوي
+
+62
+00:04:12,230 --> 00:04:16,130
+توزيع المادة المسببة على العين بحد ذاتها وبالتالي 
+
+63
+00:04:16,130 --> 00:04:17,510
+طبعا بزيد المشكلة أكثر
+
+64
+00:04:20,680 --> 00:04:24,400
+كمان من بعض المواضعات اتخاذاتنا ما بدناش نكون يعني 
+
+65
+00:04:24,400 --> 00:04:28,780
+احنا عاملين فيها شوية ونجيب أي حاجة لو مثلا عندنا
+
+66
+00:04:28,780 --> 00:04:33,080
+الشامبو أو مثلا الشيء ده وشيء طبعا عملية تحريك
+
+67
+00:04:33,080 --> 00:04:36,280
+العين وفرك العين بزيادة هذه بوزع المادة أكثر،
+
+68
+00:04:36,280 --> 00:04:41,120
+بالتالي استخدامنا لصيانة للماء لكن الماء جاري، مش
+
+69
+00:04:41,120 --> 00:04:44,540
+أنا أجيب كوباية وأحط عيني في الكوباية، لا، الماء 
+
+70
+00:04:44,540 --> 00:04:49,480
+الجاري عشان يترد المياه مع المادة المسببة للخارج، مع
+
+71
+00:04:49,480 --> 00:04:53,040
+ملاحظة عدم استخدام الماء بقوة، زي ما قلنا عدم
+
+72
+00:04:53,040 --> 00:04:57,380
+استخدام الماء بقوة بالنسبة للحروق، طبعا المياه
+
+73
+00:04:57,380 --> 00:05:01,790
+الجارية هتأذي العين استخدامي لكوباية المياه طبعا
+
+74
+00:05:01,790 --> 00:05:04,710
+العين مش هتكون مفتوحة كويس وبالتالي بفتح العين
+
+75
+00:05:04,710 --> 00:05:08,970
+بالصورة هذه والمادة المصابة عشان تخرج للخارج
+
+76
+00:05:08,970 --> 00:05:13,610
+وبالتالي العين المصابة بتكون باتجاه الخارج مش
+
+77
+00:05:13,610 --> 00:05:17,270
+باتجاه العين السليمة يعني العين السليمة بتكون إيش؟
+
+78
+00:05:17,270 --> 00:05:22,330
+لأعلى والعين المصابة لأسفل طبعا بعد كده إذا احنا 
+
+79
+00:05:22,330 --> 00:05:26,230
+شكينا في الموضوع تماما وأعمل مثلا نقول مثلا
+
+80
+00:05:26,230 --> 00:05:30,170
+مستخدمش المياه مباشرة وفرك العين كثير وصار فيه 
+
+81
+00:05:30,170 --> 00:05:35,350
+تآكل برضه بستخدم المياه الجارية لكن مع إرسال
+
+82
+00:05:35,350 --> 00:05:40,470
+للمستشفى وتغطية العينين الاثنتين ليش بقول تغطية
+
+83
+00:05:40,470 --> 00:05:44,520
+العينين الاثنتين؟ لأن العين لحالها ما تتحركش، لازم
+
+84
+00:05:44,520 --> 00:05:47,720
+الاثنتين يتحركوا مع بعض، وبالتالي لو كان آثار أو شيء 
+
+85
+00:05:47,720 --> 00:05:51,200
+ملتصق بالعين، لأن في بعض المواد مثلا، بنكون مثلا 
+
+86
+00:05:51,200 --> 00:05:55,590
+اتعرض لحاجة ساخنة مادة كيميائية ساخنة، ممكن تكون 
+
+87
+00:05:55,590 --> 00:05:59,190
+التساقط بالعين، ما طلعتش مع المياه، تمام؟ فأنا حركة
+
+88
+00:05:59,190 --> 00:06:02,290
+العين هذه، العين السليمة هتتحرك، معناه العين
+
+89
+00:06:02,290 --> 00:06:04,890
+المصابة برضه هتتحرك، فممكن يعمل إيذاء أكثر،
+
+90
+00:06:04,890 --> 00:06:08,070
+بالتالي أنا بغم العينين الاثنتين وأروح المستشفى
+
+91
+00:06:08,070 --> 00:06:11,750
+طبعا في المستشفى، مستشفى العيون، في عملية صبغات 
+
+92
+00:06:11,750 --> 00:06:16,330
+للعين عشان يبين وتوسيع كمان عشان يبين وين الإصابة
+
+93
+00:06:16,330 --> 00:06:17,710
+والتخلص منها
+
+94
+00:06:24,800 --> 00:06:28,000
+طبعا احنا قلنا بالمجمل ممكن تستخدم المياه مع الحروق 
+
+95
+00:06:28,000 --> 00:06:32,480
+إلا في الكهربا، أنا بزيد المشكلة أكثر، بزيد الحروق
+
+96
+00:06:32,480 --> 00:06:35,300
+أكثر، لأن طبعا المياه ده موصل، مياه طبعا موصل جيد
+
+97
+00:06:35,300 --> 00:06:39,160
+لل الكهربا، وبالتالي كإسعاف أولي، فصل التيار
+
+98
+00:06:39,160 --> 00:06:42,840
+الكهربائي بقدر المستطاع طبعا من الأمان، لما أنا 
+
+99
+00:06:42,840 --> 00:06:44,520
+أقول والله بدأ أنا أسعى في الشخص والتيار
+
+100
+00:06:44,520 --> 00:06:47,900
+الكهربائي موجود، أنا ممكن أكون ضحية معه، فالأساس
+
+101
+00:06:47,900 --> 00:06:51,660
+هي فصل التيار الكهربائي من أقرب مكان مثلا عندنا
+
+102
+00:06:51,660 --> 00:06:54,920
+سلك كهربا أو عندنا القاطع، طبعا بعد ذلك أنا مقدر 
+
+103
+00:06:54,920 --> 00:06:57,380
+أشتري كويس، احنا مش عارفين القاطع وإيش، ممكن
+
+104
+00:06:57,380 --> 00:07:02,920
+نستخدم مادة عازلة زي قطعة كرسي بلاستيك، خشب، حاجة،
+
+105
+00:07:02,920 --> 00:07:06,620
+إن أنا أعزل الشخص هذا عن المصدر حتى أنا ما أكونش كمان
+
+106
+00:07:06,620 --> 00:07:11,140
+ضحية ثانية مع الشخص ذاته الصورة بتوضح لنا كثير من
+
+107
+00:07:11,140 --> 00:07:14,340
+الأخطاء اللي بتاع .. طبعا بتجتمع فيها الجهل مع
+
+108
+00:07:14,340 --> 00:07:18,700
+الإهمال الطفل ممكن .. ممكن تصير بعض الأخطاء أن
+
+109
+00:07:18,700 --> 00:07:22,500
+الطفل يجيب breeze مثلا مسمار كهربا .. مسمار وحاجة 
+
+110
+00:07:22,500 --> 00:07:27,100
+يدخله مثلا في الـ breeze بيصير أو في عندنا مثلا شاحن
+
+111
+00:07:27,100 --> 00:07:31,380
+جوال ممكن بأسنانه يستخدمه أو يقرصه وطبعا حصلت 
+
+112
+00:07:31,380 --> 00:07:34,850
+حاجات كثيرة فبالتالي هنكون حارسين أن هذه الأشياء من
+
+113
+00:07:34,850 --> 00:07:38,030
+الخطأ أن الطفل يضعها داخل الفم حتى لو كانت الشحنة 
+
+114
+00:07:38,030 --> 00:07:42,630
+بسيطة، ممكن طبعا الشحنة تكون أثر سلبي إيش على
+
+115
+00:07:42,630 --> 00:07:43,030
+الطفل
+
+116
+00:07:50,890 --> 00:07:55,110
+الحروق بحد ذاتها ممكن تعمل جروح كمان، ممكن تؤدي 
+
+117
+00:07:55,110 --> 00:07:58,470
+لتوقف القلب، لأن طبعا دائما القلب بيعمل بالإشارات
+
+118
+00:07:58,470 --> 00:08:01,690
+الكهربائية، والعصب بيعمل بإشارات كهربائية،
+
+119
+00:08:01,690 --> 00:08:05,530
+وبالتالي ممكن احنا ذكرنا في البداية أن إذا كان
+
+120
+00:08:05,530 --> 00:08:08,910
+القلب بيعمل في حالة طبعا الـ CPR، إذا كان القلب
+
+121
+00:08:08,910 --> 00:08:13,500
+بيعمل ولو ببطء أنا ما بتدخلش لكن إذا كان متوقف أنا 
+
+122
+00:08:13,500 --> 00:08:16,680
+ممكن، عملية إنعاش القلب مرة ثانية، احنا قلنا في
+
+123
+00:08:16,680 --> 00:08:20,320
+حاجة بيسميها Defibrillator أو الصدمة الكهربائية
+
+124
+00:08:20,320 --> 00:08:23,460
+داخل المستشفى، وهي طبعا الكهرباء بتصل إلى حوالي 400 
+
+125
+00:08:23,460 --> 00:08:27,200
+volt، يعني ضعيفة الكهرباء العادية هذه، لكن طالب أن
+
+126
+00:08:27,200 --> 00:08:30,660
+القلب يعمل، أنا بعطيه الفرصة إنه يستمر في العمل 
+
+127
+00:08:30,660 --> 00:08:35,120
+دون أن أنا أتدخل بالصعقات الكهربائية الخارجية 
+
+128
+00:08:39,010 --> 00:08:42,590
+الجزئية الثانية يعني هيك من كلنا ذكرنا الإصابات 
+
+129
+00:08:42,590 --> 00:08:46,450
+للحروق بأسبابها سواء الأسباب طبعا الحرارة الجافة و
+
+130
+00:08:46,450 --> 00:08:49,530
+الباردة والشعاعات وما شابه ذلك وطبعا الإصابات
+
+131
+00:08:49,530 --> 00:08:52,990
+الكيميائية وأخذنا مثال إصابات العين وأخذنا كمان 
+
+132
+00:08:52,990 --> 00:08:57,530
+الحروق الكهربائية هنتقل إلى الإصابات الحرارية
+
+133
+00:08:57,530 --> 00:09:02,450
+بمعنى الإصابات الناتجة من تعرض جسم الإنسان وخاصة
+
+134
+00:09:02,450 --> 00:09:07,180
+الدماغ .. طبعا الجسم ككل، لكن خاصة الدماغ لحرارة
+
+135
+00:09:07,180 --> 00:09:11,200
+عالية لا يستطيع تحملها ربنا سبحانه وتعالى أوجد
+
+136
+00:09:11,200 --> 00:09:15,160
+بداخل أجسامنا منظم حرارة طبعا هي موجودة في الـ
+
+137
+00:09:15,160 --> 00:09:18,560
+Hypothalamus زي عندنا مثلا منظم الثلاجة، إذا
+
+138
+00:09:18,560 --> 00:09:21,880
+الثلاجة دلوقتي شغالة على طول، نقول الله المطور خاف
+
+139
+00:09:21,880 --> 00:09:25,980
+ينحرج، تمام؟ لكن في عندنا بتصل لدرجة معينة وبتفصل 
+
+140
+00:09:26,860 --> 00:09:30,440
+هذه الـ Thermostat فـ Thermostat الجسم .. طبعا 
+
+141
+00:09:30,440 --> 00:09:33,200
+Thermostat .. طبعا Thermo كلمة لاتينية حرارة ..
+
+142
+00:09:33,200 --> 00:09:36,380
+Stat منظم يعني منظم الحرارة فـ Thermostat الجسم
+
+143
+00:09:36,380 --> 00:09:40,400
+موجود في الـ hypothalamus في حال أن إحنا شعرنا
+
+144
+00:09:40,400 --> 00:09:44,740
+أن الجو حر نقول الله بدنا نشرب مي أو نخفف الملابس
+
+145
+00:09:44,740 --> 00:09:48,860
+شعرنا أن الجسم بارد نقول بدنا ملابس ونشرب ده ..
+
+146
+00:09:48,860 --> 00:09:52,580
+ليش؟ عشان نحافظ على حرارة جسمنا لكن أحيانا يصل
+
+147
+00:09:52,580 --> 00:09:57,700
+بمنظم الحرارة هذا أن يتوقف عن العمل وبالتالي طالما
+
+148
+00:09:57,700 --> 00:10:01,520
+أن المنظم توقف عن العمل معناه الحرارة مش هتقدر
+
+149
+00:10:01,520 --> 00:10:05,540
+تتخلص منها، هتظلها كامنة في الجسم طبعا المنظم ..
+
+150
+00:10:05,540 --> 00:10:08,000
+هنتكلم شوية على كيف إحنا ممكن نفقد الحرارة طبعا في
+
+151
+00:10:08,000 --> 00:10:09,820
+عدة طرق لفقدان الحرارة
+
+152
+00:10:16,930 --> 00:10:20,870
+طبعا فيه أكثر من طريقة لفقدان الحرارة، أي إنسان 
+
+153
+00:10:20,870 --> 00:10:25,390
+مثلا يكون بيمشي أو بسير في جو حار مثلا أو في
+
+154
+00:10:25,390 --> 00:10:29,550
+الصيف، بنلاقي جسمه بيعرق بزيادة، بنلاقي أن فيه
+
+155
+00:10:29,550 --> 00:10:34,030
+احمرار في الجسم، تمام؟ ليش صار الشيء هذا؟ للتخلص من
+
+156
+00:10:34,030 --> 00:10:38,070
+الحرارة الزائدة، لأنه إحنا بنعرف أن مصدر الطاقة في
+
+157
+00:10:38,070 --> 00:10:42,170
+جسم الإنسان هو السكر والأكسجين، تمام؟ وخاصة
+
+158
+00:10:42,170 --> 00:10:46,730
+للدماغ، مصدر الطاقة للدماغ طبعا سكر وأكسجين. طيب لو
+
+159
+00:10:46,730 --> 00:10:50,630
+أنا اتعرضت لحرارة عالية من الجو هتقول حرارة
+
+160
+00:10:50,630 --> 00:10:53,830
+أربعين في الجو أنا الجسم كيف بده يعمل عشان ينظم
+
+161
+00:10:53,830 --> 00:10:57,010
+الحرارة هذه؟ بيصير اتساع في الأوعية الدموية
+
+162
+00:10:57,010 --> 00:11:02,830
+الطرفية وخروج العرق والعرق أساسه تبخير طبعا عشان
+
+163
+00:11:02,830 --> 00:11:05,370
+أنا .. طبعا نخرج الموضوع بس أن أنا أقول حاجة بسيطة
+
+164
+00:11:05,370 --> 00:11:09,350
+جدا الجسم بيفقد الحرارة بأربع طرق اللي هي التبخير
+
+165
+00:11:09,350 --> 00:11:16,390
+والتوصيل والحمل الحراري والملامسة. تبخير العرق
+
+166
+00:11:16,390 --> 00:11:20,690
+بتبخر. توصيل أن أنا بمسك حاجة دافية إذا كان الجو
+
+167
+00:11:20,690 --> 00:11:24,430
+بارد أو حاجة باردة إذا كان الجو دافي. الحمل الحراري
+
+168
+00:11:24,430 --> 00:11:28,470
+لو مروحة شغالة أو حاجة بتاخد شوية هوا وبالتالي
+
+169
+00:11:28,470 --> 00:11:30,690
+بقولها هتكون شوبان والله إيه جاي شوية نسمة هوا
+
+170
+00:11:30,690 --> 00:11:35,950
+باردة، تمام؟ يبقى عندنا التبخير والتوصيل والحمل
+
+171
+00:11:35,950 --> 00:11:40,450
+الحراري والملامسة. طبعا الملامسة أن أنا أمسك شيء
+
+172
+00:11:40,450 --> 00:11:45,650
+يبقى في عندنا تبخير، تبخير العرق. توصيل طبعا التوصيل
+
+173
+00:11:45,650 --> 00:11:50,090
+ما بين الجسم البارد وجسم ساخن. في عندنا الحمل الحراري
+
+174
+00:11:50,090 --> 00:11:56,310
+مروحة مثلا تمام والملامسة أحيانا ممكن .. لا في
+
+175
+00:11:56,310 --> 00:11:58,690
+عندنا طبعا الـ conduction و الـ vibration أو في
+
+176
+00:11:58,690 --> 00:12:02,390
+عندنا طبعا الـ .. الـ .. هم الأربع طرق. دولة الحمل
+
+177
+00:12:02,390 --> 00:12:08,450
+الحراري، توصيل، تبخير هم أربع طرق. تبخير والـ .. آه
+
+178
+00:12:08,450 --> 00:12:12,160
+آسف، الإشعاع. الإشعاع والتوصيل والحمل الحراري
+
+179
+00:12:12,160 --> 00:12:15,500
+والتبخير. الإشعاع مثلا أنا جربت على منطقة باردة
+
+180
+00:12:15,500 --> 00:12:17,840
+بقول الله أنا .. أنا بأشعر أن المنطقة باردة هذه
+
+181
+00:12:17,840 --> 00:12:22,020
+هذه .. هذه طبعا إيش؟ إشعاع أن بتبقى الحرارة بتتقل
+
+182
+00:12:22,020 --> 00:12:27,200
+من الأعلى للأقل. أنا عند جسمي طبعا ساخن وأنا جربت
+
+183
+00:12:27,200 --> 00:12:30,280
+على حاجة باردة بأشعر أنها بردت. الحرارة تفقد يبقى
+
+184
+00:12:30,280 --> 00:12:33,980
+باختصارهم باختصار شديد خارج ما في عندي أنا تبخير في
+
+185
+00:12:33,980 --> 00:12:39,220
+عندنا ملامسة، توصيل. الملامسة والتوصيل الواحدة، في
+
+186
+00:12:39,220 --> 00:12:43,400
+عندنا إشعاع والحمل الحراري، يبقى عندنا أربع طرق،
+
+187
+00:12:43,400 --> 00:12:49,400
+تبخير، حمل حراري، إشعاع، تمام؟ والتوصيل أو
+
+188
+00:12:49,400 --> 00:12:52,220
+الملامسة، هذه الأربع طرق اللي من خلالها إحنا بنفقد
+
+189
+00:12:52,220 --> 00:12:56,870
+الحرارة، عشان نتخلص من الحرارة الطبيعية. والداخلية على
+
+190
+00:12:56,870 --> 00:13:00,230
+ذلك أيضًا أنت تعمل الكمدات تستخدم إيه؟ التوصيل،
+
+191
+00:13:00,230 --> 00:13:04,870
+تمام؟ والحمل الحراري بتشغل مروحة، تمام؟ والتبخير
+
+192
+00:13:04,870 --> 00:13:09,890
+أنك بتحط مي على الجسم عشان إيش يتبخر، تمام؟ بيصير
+
+193
+00:13:09,890 --> 00:13:12,510
+توسيع الأوعية الدموية عشان الجسم يتخلص من
+
+194
+00:13:12,510 --> 00:13:15,150
+الحرارة الزائدة اللي اتعرض إليها لأنه كل ما اتعرض
+
+195
+00:13:15,150 --> 00:13:18,330
+لحرارة بيعرق أكثر. إحنا مشكلة نقول أن الإنسان مثلا
+
+196
+00:13:18,330 --> 00:13:24,970
+ما بيعرقش يعني أعزكم الله الكلب ما بيعرق لكن بيضبط
+
+197
+00:13:24,970 --> 00:13:28,910
+جسمه عن طريق اللسان وبالتالي دائما عشان ما فيش فيه
+
+198
+00:13:28,910 --> 00:13:31,830
+عنده خلايا عرقية بيكون طبعا لسان بيكون للأكل خارج
+
+199
+00:13:31,830 --> 00:13:36,890
+لكن لما نقول إنسان ما بيعرقش معناه مشكلة في مشكلة
+
+200
+00:13:36,890 --> 00:13:39,870
+في مركز تنظيم الحرارة الطبيعي أن يصير عندنا عملية
+
+201
+00:13:39,870 --> 00:13:42,590
+التعرق بيصير طبعا عملية توسيع الأوعية الدموية يعني
+
+202
+00:13:42,590 --> 00:13:46,130
+وصول كمية كبيرة من الدم وبيصير اتساع في مسام الجلد
+
+203
+00:13:46,130 --> 00:13:50,490
+وخروج اللي هو العرق وبالتالي اللي بيلعب وبيتعب كثير
+
+204
+00:13:50,490 --> 00:13:55,220
+بده يشرب مي بزيادة. الناس اللي مثلا بيلعب تمارين
+
+205
+00:13:55,220 --> 00:14:00,340
+رياضية الأفضل لو مثلا بياخد المي وعليها ملح خفيف
+
+206
+00:14:00,340 --> 00:14:04,640
+لأنه بيفقد كمية كبيرة من الصوديوم والصوديوم هذا بعدين
+
+207
+00:14:04,640 --> 00:14:08,360
+هيؤدي إلى تقلص العضلات، هذه طبعا هنصل إليها في
+
+208
+00:14:08,360 --> 00:14:12,800
+الموضوع المفصل بالنسبة لتقلص العضلات طبعا يبهان
+
+209
+00:14:12,800 --> 00:14:20,290
+فقدان الحرارة في الدماغ المختلف. طبعًا هنا طرق رفع
+
+210
+00:14:20,290 --> 00:14:23,450
+الحرارة طبعًا عكس. طريقتين أن بيصير عندي انقباض في
+
+211
+00:14:23,450 --> 00:14:26,690
+الأوعية الدموية أساس أن أنا أحافظ تالي يعني لما
+
+212
+00:14:26,690 --> 00:14:29,010
+الإنسان يكون في الجو البارد يكون جسمه على صفر
+
+213
+00:14:29,010 --> 00:14:33,070
+شوية تمام؟ وبده ملابس عشان يتدفى أكثر لأن طبعًا
+
+214
+00:14:33,070 --> 00:14:36,290
+ما بيصير تعرق في الجو البارد إلا إذا الإنسان بذل
+
+215
+00:14:36,290 --> 00:14:39,090
+مجهود وبالتالي بيصير عندي انقباض في الأوعية الدموية
+
+216
+00:14:39,090 --> 00:14:44,850
+عشان نقلل الأوعية نقلل كمية الدم من الجلد لأن أعضاء
+
+217
+00:14:44,850 --> 00:14:49,650
+الحيوية الداخلية أهم. أما بالنسبة لانخفاض الحرارة أو
+
+218
+00:14:49,650 --> 00:14:52,690
+التخلص من الحرارة، أنا ببدأ أفقد كمية من الحرارة
+
+219
+00:14:52,690 --> 00:14:55,530
+عشان أحافظ على حرارة الأعضاء الداخلية، يعني
+
+220
+00:14:55,530 --> 00:14:58,350
+بالمجمل بالتخلص من الحرارة أنا بحافظ على الأعضاء
+
+221
+00:14:58,350 --> 00:15:02,250
+الداخلية، بطبعا رفع حرارة الجسم، برضه بحافظ على
+
+222
+00:15:02,250 --> 00:15:05,130
+إيش، على حرارة الأعضاء الداخلية عشان تشتغل بالمعدل
+
+223
+00:15:05,130 --> 00:15:07,950
+الطبيعي من سبعة .. من ستة وتلاتين وتلاتة من عشرة
+
+224
+00:15:08,460 --> 00:15:13,960
+الـ 36.7 إلى 37.3 هذا المعدل الطبيعي سواء الصيف أو
+
+225
+00:15:13,960 --> 00:15:16,840
+الشتاء وأنت في أفريقيا وأنت في أوروبا ربنا أعطانا
+
+226
+00:15:16,840 --> 00:15:21,360
+إمكانية نحافظ على الحرارة هذه. طبعًا زيادة التعرق
+
+227
+00:15:21,360 --> 00:15:25,020
+اللي فيه لها مشاكل ممكن تؤدي لتقلص العضلات بسبب
+
+228
+00:15:25,020 --> 00:15:28,860
+فقدان كمية كبيرة من الصوديوم وهو العرق مالح اللي
+
+229
+00:15:28,860 --> 00:15:31,140
+بيؤدي للملوحة للعرق اللي هو عنصر الصوديوم
+
+230
+00:15:34,940 --> 00:15:40,240
+مين الناس الأكثر عرضة للأذى
+
+231
+00:15:40,240 --> 00:15:44,860
+الحراري؟ طبعًا الناس الأكثر عرضة أطفال، لكبار السن،
+
+232
+00:15:44,860 --> 00:15:48,060
+المصابين مثلا بالأمراض المزمنة، زي مثلا مرض السكر،
+
+233
+00:15:48,060 --> 00:15:50,720
+ده مرض السكر، بناخد المثال، اللي عندهم سمنة، اللي
+
+234
+00:15:50,720 --> 00:15:54,360
+هم بيعرقوا كثير، طبعًا اللي هم بيعرقوا كثير، الله
+
+235
+00:15:54,360 --> 00:15:56,420
+يكونوا هم معين يعني، بيكونوا قاعدين عرقوا، ما شاء
+
+236
+00:15:56,420 --> 00:15:59,820
+الله عليهم. الناس الحمد لله اللي مش عندنا اللي بتناول
+
+237
+00:15:59,820 --> 00:16:01,820
+الكحول لأن طبعًا الكحول بيعمل اتساع في الأوعية
+
+238
+00:16:01,820 --> 00:16:05,180
+الدموية وبالتالي بتلاقي مثلا بعض الأجانب ممكن
+
+239
+00:16:05,180 --> 00:16:08,760
+بيكون في ملابس خفيفة لو بيشرب كمية كبيرة من الكحول
+
+240
+00:16:08,760 --> 00:16:12,200
+لأن الكحول بيعمل توسيع في الأوعية الدموية، لكن
+
+241
+00:16:12,200 --> 00:16:17,830
+إحنا الحمد لله محرم عندنا. إيش أهم الإصابات الحرارية
+
+242
+00:16:17,830 --> 00:16:21,050
+اللي ممكن الإنسان يواجهها؟ طبعًا الإجهاد الحراري،
+
+243
+00:16:21,050 --> 00:16:25,450
+من اسمها من مجهود، إجهاد حراري يعني دليل أن بذل
+
+244
+00:16:25,450 --> 00:16:29,590
+مجهود، والمجهود أدى إلى فقدان كمية كبيرة من
+
+245
+00:16:29,590 --> 00:16:33,470
+العرق، والعرق أدى إلى فقدان كمية كبيرة من الصوديوم
+
+246
+00:16:33,990 --> 00:16:39,210
+والصوديوم ضروري جدا مع البوتاسيوم لحركة عمل العضلات
+
+247
+00:16:39,210 --> 00:16:43,770
+تمام؟ وبالتالي هنا يعني التسبب فقدان العلاقة الشديد
+
+248
+00:16:43,770 --> 00:16:46,190
+لكمية كمية السوائل المالحة مؤدي إلى نقص حجم الدم
+
+249
+00:16:46,190 --> 00:16:49,330
+وبالتالي الصدمة طبعًا كمية كبيرة بيفقدها معناه
+
+250
+00:16:49,330 --> 00:16:54,250
+هيأثر على حجم الدم لأن سيصبح الدم مركز أكثر يعني
+
+251
+00:16:54,250 --> 00:16:59,010
+فيه لزوجة أكثر وطبعًا فقدان كمية كبيرة من الدم مع
+
+252
+00:16:59,010 --> 00:17:04,560
+لزوجة الدم خوف أكبر من التجلطات. لو بيصير اللزوجة في
+
+253
+00:17:04,560 --> 00:17:07,580
+الدم نفسه، طبعًا هذا بزيادة الكمية أكبر، ما بيجرش
+
+254
+00:17:07,580 --> 00:17:11,200
+يقول الله عرق بسيط، لأ بالتعريق الزائد مع عدم
+
+255
+00:17:11,200 --> 00:17:14,900
+التعويض، يعني يقول مثلا الإنسان إحنا في شهر رمضان،
+
+256
+00:17:14,900 --> 00:17:19,350
+يجي مثلا وقت الظهر ويجي يلعبو .. و .. و إعراقة و
+
+257
+00:17:19,350 --> 00:17:23,430
+كمية كبيرة، هذا طبعًا ممكن يدخل في صدمة، صدمة ناتج
+
+258
+00:17:23,430 --> 00:17:26,670
+عن فقدان السوائل، والخطأ عشان يقولوا الناس اللي
+
+259
+00:17:26,670 --> 00:17:28,810
+بدهم يلعبوا التمرين، بتقولوا لاحظوا، لعبوا التمرين
+
+260
+00:17:28,810 --> 00:17:32,690
+قبل صلاة المغرب، يعني بعد العصر، لأنه بعد ذلك
+
+261
+00:17:32,690 --> 00:17:36,930
+هيصير تعود مباشرة، أما .. أما أول النهار خطأ كبير،
+
+262
+00:17:36,930 --> 00:17:41,450
+وقت الظهر برضه خطأ كبير. طبعًا الصدمة الناتجة بالنسبة
+
+263
+00:17:41,450 --> 00:17:46,030
+للاجهاد الحراري صدمة ناتجة من فقدان كمية كبيرة من
+
+264
+00:17:46,030 --> 00:17:49,230
+العرق يعني صدمة ناتجة عن فقدان السوائل
+
+265
+00:17:53,230 --> 00:17:56,130
+الأكثر .. طبعا الناس الأكثر عرضة طبعا أكيد الناس
+
+266
+00:17:56,130 --> 00:17:59,270
+اللي بيشتغلوا كثير وبيعرقوا كثير مثلا العمال طبعا
+
+267
+00:17:59,270 --> 00:18:02,250
+الأمراض اللي بيفقدها مثلا فقدان السوائل طبعا قيئ
+
+268
+00:18:02,250 --> 00:18:05,270
+وإسهال أو نزلات المعوية لأن طبعا بيفقد كمية كبيرة
+
+269
+00:18:05,270 --> 00:18:10,990
+وبالتالي الإنسان لما يكون عنده إسهال وقيئ بنلاقي
+
+270
+00:18:10,990 --> 00:18:15,480
+حرارته مرتفعة. طبعا ممكن يكون بسبب الالتهاب لكن برضه
+
+271
+00:18:15,480 --> 00:18:18,960
+بسبب فقدان كمية كبيرة من السوائل فقدان كمية كبيرة
+
+272
+00:18:18,960 --> 00:18:22,160
+من السوائل مع عدم التعويض بيرفع حرارة الجسم وطبعا
+
+273
+00:18:22,160 --> 00:18:26,830
+مؤشر غير صحي. عالي المريض طبعا ما أن نوع من
+
+274
+00:18:26,830 --> 00:18:29,510
+الارتفاع الشديد في حرارة الجسم ما أن يتعاطى بعض
+
+275
+00:18:29,510 --> 00:18:32,730
+الأدوية المنشطة. طبعا هذا بيزيد لتوسيع الأوعية
+
+276
+00:18:32,730 --> 00:18:35,790
+الدموية وبيزيد طبعا بعض الناس مثلا اللي بيلعبوا
+
+277
+00:18:35,790 --> 00:18:39,070
+حديد وشيء بياخد بعض الأدوية المنشطة لتنشيط الدورة
+
+278
+00:18:39,070 --> 00:18:41,350
+الدموية وتنشيط الدورة الدموية يعني توسيع في
+
+279
+00:18:41,350 --> 00:18:44,170
+الأوعية الدموية وبالتالي بيكون عرض أكثر لأنه
+
+280
+00:18:44,170 --> 00:18:44,950
+هيعرق أكثر 
+
+281
+00:18:49,070 --> 00:18:52,290
+طبعا إيش أهم الأعراض؟ طبعا شيء طبيعي، إنسان عرجان،
+
+282
+00:18:52,290 --> 00:18:55,090
+إيش هيكون الأعراض؟ طبعا صداع، دوخة، الحرارة 
+
+283
+00:18:55,090 --> 00:18:57,730
+العالية، لأن طبعا الفقر كمية كبيرة من الـ من 
+
+284
+00:18:57,730 --> 00:19:01,590
+السوائل، طبعا فوق الـ 38 و طبعا دي خطيرة جدا لما
+
+285
+00:19:01,590 --> 00:19:05,230
+ترتفع الحرارة بدون تعويض، أما إذا كان في تعويض مش 
+
+286
+00:19:05,230 --> 00:19:08,870
+مشكلة، لكن نقول إحنا إذا كان صايم إنسان مش لازم
+
+287
+00:19:08,870 --> 00:19:12,250
+يلعب قبل الظهر أو قبل العصر، أفضل طبعا بعد العصر
+
+288
+00:19:12,250 --> 00:19:17,000
+زي ما حكينافقدان الشهية مع الغثيان وبالتالي هذا 
+
+289
+00:19:17,000 --> 00:19:20,300
+عند بعض الناس اللي عندهم اللي هي النزلات المعوية
+
+290
+00:19:20,300 --> 00:19:27,460
+عرق شديد مع جلد باهت اللون ورطب طبعا هنا مع زيادة
+
+291
+00:19:27,460 --> 00:19:31,960
+كمية التعرق بيفقد كمية كبيرة من السوائل فبيصير شحوب
+
+292
+00:19:31,960 --> 00:19:35,920
+في النهاية ممكن تصير شحوب لكن في عرق في رطوبة طبعا
+
+293
+00:19:35,920 --> 00:19:39,000
+إحنا هنصل لمرحلة اللي إحنا بنتكلم عليها كمان شوية
+
+294
+00:19:39,000 --> 00:19:43,570
+حاجة مسميها ضربة الشمس طب إحنا هنتكلمها بالظبط وها
+
+295
+00:19:43,570 --> 00:19:46,650
+طبعا خطيرة جدا جدا على حياة الإنسان يمكن إحنا 
+
+296
+00:19:46,650 --> 00:19:50,170
+ما بنتعرضش لها كتير لأن الحرارة يعني ما بترتفعش كتير
+
+297
+00:19:50,170 --> 00:19:53,050
+كتير لكن بعض البلاد ممكن توصل فوق الستين الحرارة
+
+298
+00:19:53,050 --> 00:19:58,010
+أو خمسة و خمسين طيب و هاد جينا لنقطة اللي بيقول
+
+299
+00:19:58,010 --> 00:20:01,670
+إحنا فيها تقلص في العضلات تقلص العضلة نتيجة 
+
+300
+00:20:01,670 --> 00:20:05,630
+المجهود، نتيجة فقدان عرق، نتيجة فقدان عنصر 
+
+301
+00:20:05,630 --> 00:20:08,890
+الصوديوم وبالتالي اللي بعرق كتير بيحس أنه يصير إيش
+
+302
+00:20:08,890 --> 00:20:13,750
+العضلة نفسها فيها رشفة أو تقلص، يعني انكماش في 
+
+303
+00:20:13,750 --> 00:20:17,790
+العضلة، بسبب طبعا فقدان كمية كبيرة من الصوديوم
+
+304
+00:20:17,790 --> 00:20:19,910
+اللي داخل في العرق
+
+305
+00:20:25,220 --> 00:20:29,300
+نبض سريع وضعيف، نقول إننا كلمة النبض يعني لما أنا
+
+306
+00:20:29,300 --> 00:20:33,840
+أبض أمسك مثلا الشريان، بحس إنه ممتلئ، بحس إنه يعيش 
+
+307
+00:20:33,840 --> 00:20:38,200
+ممتلئ، في حال دائما الإسهال والقيء، بتلاحظ إن 
+
+308
+00:20:38,200 --> 00:20:42,060
+النبض بيكون سريع وضعيف، لإنه فقد كمية كبيرة من
+
+309
+00:20:42,060 --> 00:20:45,360
+السوائل، تمام؟ بمعنى إن حجم الدم إحنا قلنا بيقل
+
+310
+00:20:46,350 --> 00:20:50,230
+تركيز الدم بيزيد الـ hemoglobin بيزيد لكن حجم اللي
+
+311
+00:20:50,230 --> 00:20:53,370
+موجود فيه طبعا يعني الـ plasma هيقل لكن الـ
+
+312
+00:20:53,370 --> 00:20:56,050
+hemoglobin و طبعا خلايا الدم البيضاء و الدم الحمراء
+
+313
+00:20:56,050 --> 00:21:02,270
+موجودة تمام لكن صارت مركزة أكثر طيب الحجم قل معناه
+
+314
+00:21:02,270 --> 00:21:06,680
+القلب هيشتغل أكثر تمام؟ لكن كمية الدم .. حجم الدم
+
+315
+00:21:06,680 --> 00:21:11,600
+كحجم قليل وبالتالي القلب بيكون بينبض أكثر لكن
+
+316
+00:21:11,600 --> 00:21:15,540
+الشريان لو مسكناه ما بنشعر أنه ممتلئ يعني هنا لو 
+
+317
+00:21:15,540 --> 00:21:18,180
+أنت ضغطت على الشريان بتلاحظ أنه فيه مقاومة لأن قلب
+
+318
+00:21:18,180 --> 00:21:21,300
+القلب بينبض بصورة طبيعية لكن في حال أنه يكون نبض 
+
+319
+00:21:21,300 --> 00:21:25,580
+سريع ضعيف معناه غير ممتلئ الدم ماشي زي إنت عندك
+
+320
+00:21:25,580 --> 00:21:29,430
+مثلا باربيش مياه والمياه جارية فيه أجيت مرة ثانية 
+
+321
+00:21:29,430 --> 00:21:32,410
+ضعفت الميّه، لكن دلوقتي الميّه ماشية، بتسكي على
+
+322
+00:21:32,410 --> 00:21:36,570
+طول، لكن إذا كان الميّه قوية، طبعا، صعب إغلاق 
+
+323
+00:21:36,570 --> 00:21:39,210
+الوجه، وهذا طبعا بيصير معانا في حالة طبعا الـ
+
+324
+00:21:39,210 --> 00:21:42,690
+إسهال والقيء أو فقدان كمية كبيرة من السوائل، بيؤدي إلى
+
+325
+00:21:42,690 --> 00:21:48,490
+سرعة عمل القلب، عشان تعويد الخلايا بالدم، لكن الدم 
+
+326
+00:21:48,490 --> 00:21:51,390
+هذا بيكون في نفس الوقت ضعيف، يعني غير ممتلئ، 
+
+327
+00:21:51,390 --> 00:21:55,190
+بيمشي، لكن مش بنفس القوة اللي كان فيها قبل مسير
+
+328
+00:21:55,190 --> 00:21:57,510
+التعرق و فقدان كمية كبيرة من السوائل
+
+329
+00:22:01,560 --> 00:22:05,060
+دائما يا إخواننا، أي إنسان يكون عنده حرارة مرتفعة،
+
+330
+00:22:05,060 --> 00:22:11,440
+يكون عنده تنفس سريع، ليش؟ لأنه بده مصدر للطاقة،
+
+331
+00:22:11,440 --> 00:22:14,060
+تجيب تمثل الإنسان عنده التهابات، الطفل عنده الوزن،
+
+332
+00:22:14,060 --> 00:22:17,700
+لحظة على معدل التنفس، هتلاقيه أعلى وعدد دقات القلب
+
+333
+00:22:17,700 --> 00:22:22,280
+هتلاقيه أعلى هذا شيء طبيعي لأنه بده مصدر للطاقة
+
+334
+00:22:22,280 --> 00:22:26,440
+مصدر للطاقة هان إيش هياخد منه؟ اللي هو إيش؟ الـ
+
+335
+00:22:26,440 --> 00:22:30,680
+Oxygen وبالتالي يكون لكم معلومة أي إنسان أو أي طفل
+
+336
+00:22:30,680 --> 00:22:35,700
+عنده ارتفاع بالحرارة أو التهاب إحنا بنعطيه عصائر
+
+337
+00:22:35,700 --> 00:22:40,960
+محلّاة عشان أعطيه مصدر للطاقة وحافظ على معدل 
+
+338
+00:22:40,960 --> 00:22:45,060
+التنفس لأنه بده طاقة ما بديش أنا يولد طاقة جديدة
+
+339
+00:22:45,910 --> 00:22:49,410
+بنعطيه طاقة خارجية عشان أنا .. عشان .. طبعا لما 
+
+340
+00:22:49,410 --> 00:22:52,910
+أعطيه طاقة خارجية معناه أنا بقلل من فرصة تكوين
+
+341
+00:22:52,910 --> 00:22:56,510
+طاقة داخلية وبتاع أنا يعني بعطيه عساس إن أخفف من 
+
+342
+00:22:56,510 --> 00:22:58,150
+فرصة تكون الطاقة هان
+
+343
+00:23:00,960 --> 00:23:05,820
+طبعا أكثر حاجة إغماء أو الوفاة بسبب نقص حجم الدم
+
+344
+00:23:05,820 --> 00:23:10,600
+أو بسبب ارتفاع الحرارة التي أثرت على الدماغ و
+
+345
+00:23:10,600 --> 00:23:14,640
+دائما أي مشكلة بعيدا عن الدماغ بتكون بسيطة جدا لكن
+
+346
+00:23:14,640 --> 00:23:17,100
+إذا أصابت الدماغ طبعا بتكون المشكلة
+
+347
+00:23:21,060 --> 00:23:24,200
+طبعا الإسعاف الأول الهدف الأساسي إعادة السوائل،
+
+348
+00:23:24,200 --> 00:23:27,340
+إيه عرفنا السبب؟ بدنا إيش نعود السوائل اللي موجودة
+
+349
+00:23:27,340 --> 00:23:31,880
+و تبريد المكان عشان أنا ألطف و أقلل كمية الدم اللي
+
+350
+00:23:31,880 --> 00:23:35,640
+وصلت للأطراف و الجلد عشان يكون تركيزها وين عن
+
+351
+00:23:35,640 --> 00:23:40,120
+الأعضاء الحيوية اللي لازمة كمية دم كافية حتى تقوم
+
+352
+00:23:40,120 --> 00:23:44,200
+بالوظيفة الطبيعية المنطوية كيف أنا ممكن أخفض
+
+353
+00:23:44,200 --> 00:23:48,300
+الحرارة هذه؟ طبعا إسعافه، نقل آمن، وإحنا قلنا 
+
+354
+00:23:48,300 --> 00:23:51,960
+طبعا سلامة المصاب من سلامة المكان، سلامة المكان
+
+355
+00:23:51,960 --> 00:23:55,100
+هنا فيه خطورة، لأن من ارتفاع الحرارة، يبقى بياخدهم
+
+356
+00:23:55,100 --> 00:23:58,120
+لمكان آمن، وها طبعا يعني ممكن نستخدمها سواء في
+
+357
+00:23:58,120 --> 00:24:02,080
+الحروق، في الكسور، في الجروح، في الحوادث، وأيضا في
+
+358
+00:24:02,080 --> 00:24:05,580
+ضربة الحرارة أو الإجهاد الحراري، المكان اللي فيه
+
+359
+00:24:05,580 --> 00:24:08,060
+خطر، اللي هو زيادة الحرارة، زيادة الحرارة بياخدو 
+
+360
+00:24:08,060 --> 00:24:12,050
+إيش؟ لمكان آمن مع تخفيف الملابس طبعا هنا قلنا
+
+361
+00:24:12,050 --> 00:24:15,050
+الطرُق اللي إحنا ذكرناها الأربعة لما أنا مع التخفيف
+
+362
+00:24:15,050 --> 00:24:19,810
+الملابس معناه إيش عملية تعرق وعملية تبريد حراري إن
+
+363
+00:24:19,810 --> 00:24:23,150
+الحرارة الجو البارد في المكان البارد هيجي هوا بارد 
+
+364
+00:24:23,150 --> 00:24:27,450
+هياخد من الحرارة تمام؟ وبالتالي بيقل الحرارة عن
+
+365
+00:24:27,450 --> 00:24:30,330
+جسمه الخارجي عشان نحافظ على الحرارة الداخلية
+
+366
+00:24:33,270 --> 00:24:36,630
+طبعا المصاب أنا برفع القدمين للأعلى عشان أوفر كمية
+
+367
+00:24:36,630 --> 00:24:43,930
+من الدم للقلب و من ثم إيش للدماغ راح زي إخواننا هنا
+
+368
+00:24:43,930 --> 00:24:47,990
+الماء زي ما قلنا بنعطيه ماء فيها ملح خفيف ما بعطيش
+
+369
+00:24:47,990 --> 00:24:52,130
+ملح مركز لأن ملح مركز عامل على استفراغ فانا بعطي
+
+370
+00:24:52,130 --> 00:24:55,390
+بس ملح خفيف جدا أنا بحتاج كمية قليلة من الملح
+
+371
+00:24:55,390 --> 00:24:58,930
+كتعويض للي فقدوا عن طريق إيش العرق لفترة بسيطة
+
+372
+00:24:58,930 --> 00:25:04,230
+طبعا طبعا اللي ملاحظ طبعا اللي علامة الحياة، 
+
+373
+00:25:04,230 --> 00:25:09,830
+النفس وعادة دقات القلب، المور تمام تمام، بيوضع في 
+
+374
+00:25:09,830 --> 00:25:13,530
+وضع الإفاقة، طبعا هو هيستفيق تدريجيا مع تعويض 
+
+375
+00:25:13,530 --> 00:25:16,770
+السوائل، وهنا بيقول الحاجة إحنا لا نسمح إعطاء ماء
+
+376
+00:25:16,770 --> 00:25:21,190
+مثلّج لأنه بيعمل تهيج للمعدة، هي واطة ماء عادي مع
+
+377
+00:25:21,190 --> 00:25:24,630
+ملح خفيف تدريجيا، أنا بعطيه تدريجيا عشان يصيب 
+
+378
+00:25:24,630 --> 00:25:28,790
+امتصاص أو إعارة إمهاء للماء اللي فقده عشان يبدأ
+
+379
+00:25:28,790 --> 00:25:32,470
+يعود الكمية تدريجيا، أما مش .. من الخطأ أن ياخد
+
+380
+00:25:32,470 --> 00:25:35,830
+كمية كبيرة لأنه هنا ممكن يؤدي إيش إلى الاستفراغ
+
+381
+00:25:39,420 --> 00:25:44,300
+طبعا ضربة الحرارة أو ضربة الشمس الأساس تعرض الجسم 
+
+382
+00:25:44,300 --> 00:25:48,880
+لها تعرض أما ذاك الإجهاد هو بذل مجهود كبير لكن هنا 
+
+383
+00:25:48,880 --> 00:25:53,800
+تعرض الجسم لحرارة خارجية لا يستطيع تحملها طبعا هنا
+
+384
+00:25:53,800 --> 00:25:57,820
+في عندنا إمكانية أن الجسم يتحمل حرارة معينة لكن 
+
+385
+00:25:57,820 --> 00:26:00,640
+بعض الناس بيقول لك ممكن حرارة خمسين طب كيف اللي 
+
+386
+00:26:00,640 --> 00:26:03,580
+عايشين في الدول الخمسين؟ طبعا ما يكونش حاسر الرأس
+
+387
+00:26:04,160 --> 00:26:06,460
+طبعا غالبًا ده اللي مشغله في الأماكن الحارة بيكون
+
+388
+00:26:06,460 --> 00:26:10,760
+بيستخدم حاجة بيضاء مثلا حطة أو يعني طاقية بيضاء عساس 
+
+389
+00:26:10,760 --> 00:26:15,580
+تقلل من تعرض الدماغ للشمس المباشرة الجسم ممكن 
+
+390
+00:26:15,580 --> 00:26:19,940
+بيتحمل أكثر لكن الدماغ لغاية مرحلة معينة و مركز 
+
+391
+00:26:19,940 --> 00:26:26,660
+تنظيم الحرارة إذا اتعرض للحرارة بيبدأ على عدم 
+
+392
+00:26:26,660 --> 00:26:30,720
+العمل بصورة طبيعية و التوقف طيب لما أكون أنا فيه
+
+393
+00:26:30,720 --> 00:26:34,730
+عندي توقف إيش النتيجة السلبية؟ إن ما فيش أوامر
+
+394
+00:26:34,730 --> 00:26:38,790
+للعرق، ما فيش أوامر إن الدم يصل .. طبعا الـ .. 
+
+395
+00:26:38,790 --> 00:26:42,370
+المسام يصيب فيها تعرّق، وبالتالي الحرارة بتضلها
+
+396
+00:26:42,370 --> 00:26:46,070
+وين؟ كامنة، لما تضلها الحرارة كامنة، هتزيد
+
+397
+00:26:46,070 --> 00:26:49,190
+أربعين، واحد و أربعين، خمسة و أربعين، وطبعا حرارة
+
+398
+00:26:49,190 --> 00:26:54,020
+قاتلة للدماغ وبالتالي ضربة الشمس أو ضربة الحرارة قد 
+
+399
+00:26:54,020 --> 00:26:58,560
+تكون النهاية مميتة بسبب التعرض .. بسبب الحرارة
+
+400
+00:26:58,560 --> 00:27:02,980
+الكامنة أو المحبوسة داخل الجسم و اللي أثرت على 
+
+401
+00:27:02,980 --> 00:27:06,740
+الدماغ و بالمقابل قد يؤدي إلى الوفاة طبعا في 
+
+402
+00:27:06,740 --> 00:27:10,440
+حالات كتيرة من ضربة الشمس أدت إلى الوفاة إحنا هنا
+
+403
+00:27:10,440 --> 00:27:12,760
+بعض الأعراض نقول لك والله أنا حاسس مثلا ماشي في
+
+404
+00:27:12,760 --> 00:27:17,580
+الشمس كتير حاسس حاله ضايق عنده صداع عنده جفاف
+
+405
+00:27:17,580 --> 00:27:23,860
+بيتنفس بسرعة وبالتالي هنا من الخطأ من الخطأ أن
+
+406
+00:27:23,860 --> 00:27:26,720
+الإنسان يمشي تحت الشمس مباشرة إحنا شوية شوية
+
+407
+00:27:26,720 --> 00:27:29,560
+قابلنا على الصيف ومن الخطأ أن يمشي تحت الشمس
+
+408
+00:27:29,560 --> 00:27:33,870
+المباشرة ومن الخطأ لما نقول إنه نعرض للأطفال عشان 
+
+409
+00:27:33,870 --> 00:27:36,950
+يستفيدوا من فيتامين دال، نعرضهم للشمس المباشرة،
+
+410
+00:27:36,950 --> 00:27:40,010
+بالذات الرأس أو نعرضهم مثلا فترة الظهر، لأ تكون
+
+411
+00:27:40,010 --> 00:27:45,730
+فترة الصبح وآخر النهار طبعا
+
+412
+00:27:45,730 --> 00:27:49,290
+ترتفع في الحرارة لأربعين درجة أو أكثر وهذا طبعا
+
+413
+00:27:49,290 --> 00:27:53,330
+الفشل قد ينتج من مثلا مرض يرفع الحرارة، مرض شديد
+
+414
+00:27:53,330 --> 00:27:56,950
+جدا، ارتفاع حرارة عالي مثلا عندنا الـ Meningitis أو 
+
+415
+00:27:56,950 --> 00:27:59,950
+التهاب السحايا قد تصل حرارة واحد وأربعين واتنين 
+
+416
+00:27:59,950 --> 00:28:04,810
+وأربعين كمان التعرض للحرارة لفترة طويلة مثلا إنسان
+
+417
+00:28:04,810 --> 00:28:08,250
+بيشتغل في مكان حار مثلا في فرن في .. بدون تعويد
+
+418
+00:28:08,250 --> 00:28:12,650
+الماء وهال طبعا فيه خطورة أكثر بعض الأدوية زي ما
+
+419
+00:28:12,650 --> 00:28:17,190
+يقول بعض المُشيطات طبعا بيزيد الحرارة الإجهاد
+
+420
+00:28:17,190 --> 00:28:21,150
+الحراري إذا اتعرض و تعب كتير و توقفت عملية التعرض 
+
+421
+00:28:21,150 --> 00:28:23,790
+في الحالة هذه هم يقولون ماذا حدث أنه ضربت حرارة
+
+422
+00:28:27,110 --> 00:28:31,150
+طبعا زي ما حكينا أنه ممكن تسينا صداع، دوخة، الجلد 
+
+423
+00:28:31,150 --> 00:28:35,990
+بيكون دافئ و جاف، مع احمرار، دافئ و جاف، مع
+
+424
+00:28:35,990 --> 00:28:40,970
+احمرار، يعني ما فيش تعرق، يعني الحرارة بقيت بالداخل،
+
+425
+00:28:40,970 --> 00:28:44,030
+صار عندنا احمرار، لكن المسام، الجلد مش مفتوحة،
+
+426
+00:28:44,030 --> 00:28:46,810
+وبالتالي بتضل الحرارة الداخلية، وأخطر عضو بتأثر
+
+427
+00:28:46,810 --> 00:28:47,930
+فيها اللي هو الدماغ
+
+428
+00:28:52,010 --> 00:28:55,350
+طبعا تدهور سريع في درجة الوعي والاستجابة قد تؤدي في
+
+429
+00:28:55,350 --> 00:28:58,510
+النهاية إلى الوفاة وحصلت حالة مسجلة أن ماتت من
+
+430
+00:28:58,510 --> 00:29:04,590
+ضربة الشمس أو ضربة الحرارة طيب هنا .. هنا النبض قوي
+
+431
+00:29:04,590 --> 00:29:09,850
+ليش قوي؟ لأنه ما فيش عرق وضال الدم زي ما هو، احنا
+
+432
+00:29:09,850 --> 00:29:15,530
+قلنا جاد بالنسبة للمجهود قوي سريع وضعيف مقارنة
+
+433
+00:29:15,530 --> 00:29:19,050
+طبعاً بحجم الدم، لكن أنا قوي تمام جداً لأن زيادة
+
+434
+00:29:19,050 --> 00:29:23,190
+عدد ضربات القلب، والقلب قاعد بضخ الدم بسرعة، طبعاً
+
+435
+00:29:23,190 --> 00:29:27,510
+أملا منه أنه يصير توسيع في المسام، لكن ما فيش، لأن
+
+436
+00:29:27,510 --> 00:29:31,430
+ما وصلتش إشارة من الدماغ للجلد، طبعاً لأن كل الجسم
+
+437
+00:29:31,430 --> 00:29:34,730
+بيشتغل تحت إشارات الدماغ، ما فيش إشارة وصلت من
+
+438
+00:29:34,730 --> 00:29:38,010
+الدماغ أو مارسة من نظام الحرارة للجلد أنه يصير
+
+439
+00:29:38,010 --> 00:29:43,630
+عملية توسع، وبالدالي، بتضل الحرارة داخلية الحرارة
+
+440
+00:29:43,630 --> 00:29:46,770
+قد تصل إلى 42 و43 وها طبعا حرارة خطيرة جدا على
+
+441
+00:29:46,770 --> 00:29:51,790
+الدماغ يعني بس صورة بسيطة بتوضح إيش الفرق ما بين
+
+442
+00:29:51,790 --> 00:29:54,930
+الإجهاد الحراري وإيه طبعا الملاحظات مهمة يا
+
+443
+00:29:54,930 --> 00:29:59,670
+أخواتنا الإجهاد الحراري في عرق جزء من الدافئ تمام؟
+
+444
+00:29:59,670 --> 00:30:03,350
+والحرارة ممكن تكون مرتفعة أو عادية مع المجهود لكن
+
+445
+00:30:03,350 --> 00:30:07,870
+بالنسبة لضربة الشمس جفاف والجسم محمر ودافئ لأنه
+
+446
+00:30:07,870 --> 00:30:12,630
+ما فيش تعرّق والحرارة عالية جداً طبعا النبض سريع
+
+447
+00:30:12,630 --> 00:30:17,470
+وضعف بالنسبة للإجهاد الحراري أما بالنسبة لضربة 
+
+448
+00:30:17,470 --> 00:30:22,110
+الحرارة فالنبض هنا قوي جدا لأنه ما فقدش كمية كبيرة
+
+449
+00:30:22,110 --> 00:30:23,070
+أيه من السوائل
+
+450
+00:30:28,240 --> 00:30:31,040
+طبعاً كإسعاف أولي زي ما قلنا زي ما تعاملنا مع ضرب
+
+451
+00:30:31,040 --> 00:30:34,660
+مع الإجهاد الحراري برضه نقل المصاب من المكان الغير
+
+452
+00:30:34,660 --> 00:30:38,060
+آمن للمكان آمن وطبعا .. طبعا المكان الغالب يكون
+
+453
+00:30:38,060 --> 00:30:42,900
+هنا مكان مظلل أو مكان بارد أو رطب عشان أنه .. طبعا
+
+454
+00:30:42,900 --> 00:30:46,820
+في الحالة هذه احنا بنعمل عملية ترطيب للجسم بأن أنا
+
+455
+00:30:46,820 --> 00:30:50,940
+أمسح الجسم بماء مش أن أدير عليه ماء بأمسح الجسم
+
+456
+00:30:50,940 --> 00:30:54,920
+لأن أنا ببدأ أعمل على تخفيض الحرارة تدريجياً، تمام؟
+
+457
+00:30:54,920 --> 00:30:59,080
+زي ما أنا مثلا بعمل كمادات للطفل بخفض الحرارة تدريجيا
+
+458
+00:30:59,080 --> 00:31:03,800
+على أساس أن استمرارية أفضل من التوقف أما أنا بقول
+
+459
+00:31:03,800 --> 00:31:09,080
+عملية مسح الجسم بالماء البارد وليس مثلج ما أستخدمش 
+
+460
+00:31:09,080 --> 00:31:11,620
+الثلج يا أخواتنا هنا يكونوا واضح الكلام لنا
+
+461
+00:31:11,620 --> 00:31:16,140
+بأستخدم كميات ماء باردة أو عادية وليست مثلجة لأن
+
+462
+00:31:16,140 --> 00:31:21,370
+الماء المثلج بيزيد الألم أكثر وبقولنا احنا عدم
+
+463
+00:31:21,370 --> 00:31:25,070
+استخدام الثلج، تمام؟ ففي الحالة هذه بأستخدم مياه
+
+464
+00:31:25,070 --> 00:31:29,370
+عادية أو مياه باردة مع عدم استخدام الماء المثلج،
+
+465
+00:31:29,370 --> 00:31:32,210
+لأن الماء المثلج هيزيد فرصة انقباض الأوعية الدموية
+
+466
+00:31:32,210 --> 00:31:35,870
+أكثر، لأن أنا بدي أخفض الحرارة عشان الدماغ يرجع
+
+467
+00:31:35,870 --> 00:31:38,430
+يعمل بالصورة الطبيعية، ومركز التنظيم الحراري يعمل
+
+468
+00:31:38,430 --> 00:31:42,270
+بالصورة الطبيعية، ويصير توسع في المسام والتعرّق من
+
+469
+00:31:42,270 --> 00:31:42,630
+جديد
+
+470
+00:31:47,750 --> 00:31:52,990
+آخر حاجة اللي هي عضة الثلج أو قرصة البرد طبعا احنا
+
+471
+00:31:52,990 --> 00:31:56,690
+هنا ضعيف جداً أو قليل جداً اللي بتصير عندنا وطبعا من
+
+472
+00:31:56,690 --> 00:32:00,250
+أنواع الحروق الحروق الباردة تمام؟ احنا بيصير عندنا
+
+473
+00:32:00,250 --> 00:32:04,670
+ما يميزها اللي هي تورم في الأطراف وخاصة دول البشرة
+
+474
+00:32:04,670 --> 00:32:08,970
+البيضاء بيصير ألم بيصير ألم شديد فيهم طبعا في
+
+475
+00:32:08,970 --> 00:32:12,870
+الحالة هذه احنا بنقول عنها اللي هي تورم الأصابع
+
+476
+00:32:12,870 --> 00:32:16,510
+واحنا بنقول عنها عضة الثلج أو قرصة البرد طبعا هذه
+
+477
+00:32:16,510 --> 00:32:20,190
+خطيرة جداً في بلاد تانية بتكون حرارة منخفضة جداً
+
+478
+00:32:20,190 --> 00:32:25,370
+لأن لو احنا شبهنا شيء يعني تم تجميده في الثلاجة
+
+479
+00:32:25,370 --> 00:32:29,770
+تمام؟ وطلعناه من الثلاجة تمام؟ يعني معناه هيصير
+
+480
+00:32:29,770 --> 00:32:32,890
+تكسر في جدران الخلايا، لو كان مثلا قطعة لحم أو
+
+481
+00:32:32,890 --> 00:32:35,750
+دجاج أو شيء، بيصير تكسر أو انفجار لو حطيناه بماء
+
+482
+00:32:35,750 --> 00:32:39,920
+ساخن مباشرة بيصير انفجار في محتوى الخلية هذه يعني
+
+483
+00:32:39,920 --> 00:32:43,260
+القيم الغذائية هتقل وبالتالي احنا هنا لما نلاحظ
+
+484
+00:32:43,260 --> 00:32:47,080
+أن في عندنا تورم من الأساس بنعمل عملية طبعا زي مثلا
+
+485
+00:32:47,080 --> 00:32:51,100
+طبعا الصراحة للأطفال اللي عملت طبعا إحماء ماء
+
+486
+00:32:51,100 --> 00:32:55,380
+دافئ وليست ساخنة الماء الساخن ممنوع زي ما قلنا
+
+487
+00:32:55,380 --> 00:32:58,820
+الماء المثلج ممنوع والماء الساخن ممنوع لأن
+
+488
+00:32:58,820 --> 00:33:02,340
+بعمل تدمير في جدران الخلايا حتى يعني زي صدمة
+
+489
+00:33:02,340 --> 00:33:06,740
+للخلايا هذه بيصير تدمير مفاجئ لأن بعمل تدريجيا عشان
+
+490
+00:33:06,740 --> 00:33:11,470
+أن أنا أخفض الحرارة أرفع الحرارة للمكان المصاب
+
+491
+00:33:11,470 --> 00:33:15,530
+تدريجيا ممكن أعمل عملية إحماء أو تدليك تمام وهذا
+
+492
+00:33:15,530 --> 00:33:17,790
+اللي بيصير عند الأطفال اللي بيقول لك والله أنا بردان
+
+493
+00:33:17,790 --> 00:33:20,990
+فبقى بعمل عملية إحماء عشان أنشط الدورة الدموية احنا
+
+494
+00:33:20,990 --> 00:33:24,170
+بالمجمل ما بنصلش للصور اللي موجودة أمامنا طبعا
+
+495
+00:33:24,170 --> 00:33:29,050
+الصورة هذه .. هذه معناها صورة واضحة لعضة الثلج في
+
+496
+00:33:29,050 --> 00:33:32,350
+بلاد تانية بتصل حرارة عشرين وثلاثين وأربعين تحت
+
+497
+00:33:32,350 --> 00:33:36,170
+الصفر ممكن يصير عندهم طبعا هم استخدامهم للعلاج
+
+498
+00:33:36,170 --> 00:33:39,530
+الوقائي ممكن يقلل طبعا فرصة الصبح لكن لو طال ..
+
+499
+00:33:39,530 --> 00:33:43,990
+لو الفترة الزمنية طالت على العضو المعرض ل ..
+
+500
+00:33:43,990 --> 00:33:47,750
+للبرد الخارجي قد يؤدي إلى موت الخلية .. الخلايا
+
+501
+00:33:47,750 --> 00:33:48,330
+بحد ذاتها
+
+502
+00:33:52,760 --> 00:33:55,400
+زي ما .. يعني هذه الأوضاع .. الأعراض واضحة بيشعر زي
+
+503
+00:33:55,400 --> 00:33:58,780
+الدبابيس والتنميل مع البرد الشديد أنا بقول لك والله
+
+504
+00:33:58,780 --> 00:34:02,200
+أنا جأ صابع رجلي بيقوموني زي الدبابيس أو زي الوخز
+
+505
+00:34:02,200 --> 00:34:07,080
+طبعا نتيجة قلة وصول كمية الدم وقلة وصول كمية الدم
+
+506
+00:34:07,080 --> 00:34:10,260
+معناه يؤدي إلى الألم والدليل على ذلك أن أنت أمسك
+
+507
+00:34:10,260 --> 00:34:13,480
+قطعة من الثلج .. قطعة من الثلج أو من الثلاجة أو من
+
+508
+00:34:13,480 --> 00:34:16,940
+الفريزر بتلاحظي أن يديك صارت بيضاء أو صفراء وألم ما
+
+509
+00:34:16,940 --> 00:34:21,170
+بتقدر تصبرين لأن قلة وصول الدم معناه ألم، وكمان لما
+
+510
+00:34:21,170 --> 00:34:25,550
+نقول احنا إنسان مثلا العضلة عنده تعبت أو مثلا بدل
+
+511
+00:34:25,550 --> 00:34:27,790
+مجهود كثير، والله أصلا في ألم في العضلة، لأنها
+
+512
+00:34:27,790 --> 00:34:31,130
+انقبضت بسبب طبعا قلة وصول الإمداد، أي منطقة ما
+
+513
+00:34:31,130 --> 00:34:35,630
+بيصلهاش الدم بحجم كافي، هتكون فرصة للألم وفرصة
+
+514
+00:34:35,630 --> 00:34:38,390
+طبعا لالتهابات والمشاكل الصحية
+
+515
+00:34:43,470 --> 00:34:46,270
+طبعا هنا يا إخواننا يعني بنكون احنا حريصين جداً
+
+516
+00:34:46,270 --> 00:34:51,150
+بالذات كمان مرضى السكر المحافظة على الأقدام لطبعا
+
+517
+00:34:51,150 --> 00:34:54,510
+نكون ضعف الدورة الدموية، الدم بيكون لابس إيش جرابين
+
+518
+00:34:54,510 --> 00:34:58,410
+عشان ممكن ينجرح وما يشعرش، لكن احنا بنقول لما يكون
+
+519
+00:34:58,410 --> 00:35:01,730
+لابس جرابين بيكون إيش أفضل أفضل، وما يكونش كمان طبعا
+
+520
+00:35:01,730 --> 00:35:06,430
+الأحذية بتكون يعني ضيقة عشان طبعا نعمل تنشيط
+
+521
+00:35:06,430 --> 00:35:07,270
+للدورة الدموية
+
+522
+00:35:15,470 --> 00:35:19,170
+وزي ما قلنا ماء دافئ ما نستخدمش الساخن، زي ما
+
+523
+00:35:19,170 --> 00:35:26,070
+قلنا ماء بارد ما نستخدمش إيش؟ الثلج طبعا
+
+524
+00:35:26,070 --> 00:35:28,210
+إذا كان في ألم أش ممكن يستخدم بعض المسكنات
+
+525
+00:35:28,210 --> 00:35:34,310
+البسيطة، من باب الاحتياط طبعا آخر حاجة انخفاض
+
+526
+00:35:34,310 --> 00:35:38,770
+الحرارة، انخفاض حرارة الجسم وهذه اللي ممكن تصير
+
+527
+00:35:38,770 --> 00:35:43,650
+عند بعض الأطفال انخفاض الحرارة اللي بيصير عند بعض
+
+528
+00:35:43,650 --> 00:35:46,390
+الأطفال في الشتاء أن الطفل بيكون مثلا قريب على
+
+529
+00:35:46,390 --> 00:35:51,530
+الحيطة أو الطفل مثلا أمه بتخليه لثاني يوم تمام أو
+
+530
+00:35:51,530 --> 00:35:57,070
+الطفل مثلا ما بيرضعش كويس الطفل ملابسه مش قطنية طبعا
+
+531
+00:35:57,070 --> 00:35:59,710
+ممكن تدخل الهواء هذا طبعا ممكن يؤدي إلى انخفاض
+
+532
+00:35:59,710 --> 00:36:03,920
+الحرارة اللي طبعا بيسميها hypothermia وهي طبعا
+
+533
+00:36:03,920 --> 00:36:08,800
+مشكلة أنها بتأثر على عمل الدماغ لأن طبعا الدماغ ما
+
+534
+00:36:08,800 --> 00:36:13,000
+بيعمل بصورة طبيعية في الحرارة الطبيعية طبعا لا يعمل
+
+535
+00:36:13,000 --> 00:36:16,180
+بالحرارة المرتفعة في حالة ضربة الشمس أو ضربة
+
+536
+00:36:16,180 --> 00:36:19,320
+الحرارة ولا يعمل أيضاً بصورة طبيعية في اللي هو
+
+537
+00:36:19,320 --> 00:36:22,600
+انخفاض درجة الحرارة بصورة شديدة وهو طبعا ممكن يؤثر
+
+538
+00:36:22,600 --> 00:36:27,020
+كثير أعراضها طبعا الرعشة والجفاف والخمول وقلة
+
+539
+00:36:27,020 --> 00:36:31,340
+الوعي طبعا هنا التنفس بيكون بطيء وسطحي لأن طبعا
+
+540
+00:36:31,340 --> 00:36:37,820
+الدماغ لا يعمل بالصورة الطبيعية يعني
+
+541
+00:36:37,820 --> 00:36:40,120
+كإسعاف أولي اللي هو استبدال واللي عليه طبعا
+
+542
+00:36:40,120 --> 00:36:44,280
+خاصة احنا بنتكلم على الأطفال وطبعا الـ الـ
+
+543
+00:36:44,280 --> 00:36:46,880
+السوائل دافئة وتعويض وهذا طبعا شيء طبيعي أنا
+
+544
+00:36:46,880 --> 00:36:50,000
+أقول لك كيف الإنسان ممكن يعمل على رفع الحرارة
+
+545
+00:36:50,000 --> 00:36:54,060
+بالمالبس الدافئة أو الجوارب والسوائل الدافئة
+
+546
+00:36:58,220 --> 00:37:01,560
+هيك بيكون احنا أنهينا موضوع الحروق، نتمنى من الله
+
+547
+00:37:01,560 --> 00:37:05,900
+أنه لا تصيبكم حروق وتكونوا بصحة وعافية ونلتقي
+
+548
+00:37:05,900 --> 00:37:07,380
+في اللقاء القادم إن شاء الله تعالى
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/2oxUF8zspOw.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/2oxUF8zspOw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..b5b22791c182cf30adf0fbd947fadb604d52cdc5
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/2oxUF8zspOw.srt
@@ -0,0 +1,2887 @@
+1
+00:00:04,940 --> 00:00:06,960
+بسم الله الرحمن الرحيم الصلاة والسلام على أشرف
+
+2
+00:00:06,960 --> 00:00:10,740
+المرسلين سيدنا محمد وأهلي وصَحْبي وسلم يعني بداية
+
+3
+00:00:10,740 --> 00:00:14,000
+بنرحب فيكوا مع بداية الفصل في مادة الإسعافات 
+
+4
+00:00:14,000 --> 00:00:18,260
+الأولية إن شاء الله نكون موفقين وياكم في توصيل
+
+5
+00:00:18,260 --> 00:00:21,240
+المعلومات اللي أنتو ممكن تستفيدوا منها الآن طبعا
+
+6
+00:00:21,240 --> 00:00:24,600
+يمكن بداية الإسعاف الأولية يمكن البعض ما بيعتبرها 
+
+7
+00:00:24,600 --> 00:00:28,260
+فقط هي مادة متطلب جامعي أو حابب يدرسها، لأ هي
+
+8
+00:00:28,260 --> 00:00:32,160
+بيعتبرها إنها فعلا من المواد الحياتية، المواد
+
+9
+00:00:32,160 --> 00:00:35,240
+اليومية والأشياء اللي احنا لازم نكون عندنا خبرة
+
+10
+00:00:35,240 --> 00:00:39,650
+فيها الآن ما فيش إنسان ممكن يعني ما يعديش عليه ظرف
+
+11
+00:00:39,650 --> 00:00:46,610
+سواء جريح كسر، نزيف، حرق، تسمم، مشكلة مع طفل صغير،
+
+12
+00:00:46,610 --> 00:00:50,910
+مع طفل كبير، واحد اختنق، يعني هذه المشاكل كلها
+
+13
+00:00:50,910 --> 00:00:53,690
+اللي احنا ممكن نواجهها في حياتنا ممكن تكون طبعا 
+
+14
+00:00:53,690 --> 00:00:59,630
+داخل الجامعة، داخل البيت، أحيانا بعض المواقف تتطلب 
+
+15
+00:00:59,630 --> 00:01:04,330
+تدخل سريع ووقت ضروري جدا أن نحسبه احنا أحيانا
+
+16
+00:01:04,330 --> 00:01:07,890
+يمكن الوقت يكون عندنا بالساعات يمكن فراغ لكن
+
+17
+00:01:07,890 --> 00:01:12,590
+أحيانا الثواني في .. في قصة إنقاذ شخص معين طفل 
+
+18
+00:01:12,590 --> 00:01:15,830
+صغير طبعا يكون ضروري جدا وبالتالي في الإسعاف
+
+19
+00:01:15,830 --> 00:01:20,710
+الأولية أنا يعني بهمني أن أنا كيف يعني أستخدم الوقت
+
+20
+00:01:20,710 --> 00:01:25,030
+بطريقة صحيحة يعني أحيانا نقول والله احنا مثلا في 
+
+21
+00:01:25,030 --> 00:01:28,310
+عندنا بعض الأشياء لازم أستخدمها مثلا بطريقة طبية 
+
+22
+00:01:28,310 --> 00:01:31,690
+بحاجة معقمة لو سبب .. أسمي مثلا كان عندنا مثلا
+
+23
+00:01:31,690 --> 00:01:35,530
+جروح أو نزيف وأحيانا بالزمن مثلا في الكثور يكون 
+
+24
+00:01:35,530 --> 00:01:38,730
+عندي جبيرة طبية لكن احنا في الإسعاف الأولية ناخدها 
+
+25
+00:01:38,730 --> 00:01:45,150
+كقاعدة كلمة فش إمكانيات هذه مش موجودة بمعنى أن عدم
+
+26
+00:01:45,150 --> 00:01:48,990
+توفر الإمكانيات لا يعني تقديم .. عدم تقديم الخدمة
+
+27
+00:01:49,520 --> 00:01:53,340
+يعني دائما في الإسعاف الأولية فيه كلمة البديل ضروري
+
+28
+00:01:53,340 --> 00:01:58,480
+جدا أن أنا أستخدم يعني مهارتي وطبعا يعني ابتكاري
+
+29
+00:01:58,480 --> 00:02:02,560
+وطبعا هنشوفه من خلال يعني خصائص المسعف اللي طبعا
+
+30
+00:02:02,560 --> 00:02:04,780
+يعني بتنطق على الشخص اللي بيتقدم خدمة الإسعاف
+
+31
+00:02:04,780 --> 00:02:08,540
+الأولى ودائما يعني مادة الإسعاف الأولية أو آلية 
+
+32
+00:02:08,540 --> 00:02:12,700
+الإسعاف الأولية تتطلب القاعدة العلمية تتطلب إنسان
+
+33
+00:02:12,700 --> 00:02:16,180
+يكون عنده خلفية علمية عشان ليش بده يسوي طبعا
+
+34
+00:02:16,180 --> 00:02:19,080
+الإجراء هذا يمكن أنا لما أبدأ أعرف أنا ليش مثلا ببدأ
+
+35
+00:02:19,080 --> 00:02:22,940
+أستخدم موضوع معين لمرض معين أو حالة معينة أو حركة
+
+36
+00:02:22,940 --> 00:02:26,960
+معينة إذا ما كانت مبنية على أسلوب عشوائي قد تضر أكثر 
+
+37
+00:02:26,960 --> 00:02:30,180
+منها أيش تنفع وبالتالي احنا إن شاء الله يعني خلال
+
+38
+00:02:30,180 --> 00:02:33,480
+الفصل هنتعرف على أشياء كتيرة من خلالها أنا كيف 
+
+39
+00:02:33,480 --> 00:02:38,260
+أتعامل مع الطفل الصغير مرورا بشاب مرورا بالمسن
+
+40
+00:02:38,260 --> 00:02:41,990
+وأنا طبعا من خلال دراستنا طبعا الشيء الثاني احنا
+
+41
+00:02:41,990 --> 00:02:45,210
+كلنا يعني عدينا بتجارب والتجارب هذه يعني .. يعني
+
+42
+00:02:45,210 --> 00:02:50,230
+هنستخدمها كمثال أو كأمثلة واقعية احنا ممكن نستفيد
+
+43
+00:02:50,230 --> 00:02:53,310
+منها من حياتنا العملية كل حرفينا ممكن عند مثال
+
+44
+00:02:53,310 --> 00:02:56,350
+بناء على الموضوع اللي احنا بنتكلم فيه يعني أنا أحب 
+
+45
+00:02:56,350 --> 00:02:59,170
+يكون مشارك معانا في الموضوع هذا حتى احنا كلنا
+
+46
+00:02:59,170 --> 00:03:01,970
+نستفيد يمكن الموقف اللي أنت عديت فيه غيرك ما عداش
+
+47
+00:03:01,970 --> 00:03:05,140
+فيه وبالتالي عشان إيش نستفيد يعني البعض بيقولك 
+
+48
+00:03:05,140 --> 00:03:07,760
+والله أنا شفتهم بيسووا كده، طب ليه شفتين بيسووا 
+
+49
+00:03:07,760 --> 00:03:10,780
+كده؟ أنا شفتهم هيك، لأ لما يكون عندنا القاعدة 
+
+50
+00:03:10,780 --> 00:03:15,380
+العلمية والسبب، ليش؟ هم سمي ال rational، أنا بعمل 
+
+51
+00:03:15,380 --> 00:03:18,280
+الشيء الفلاني علشان كده، لكن لما يقولوا والله هم
+
+52
+00:03:18,280 --> 00:03:20,660
+شافوا، هم جالوا، هذا ما فيش عندنا في الإسعاف
+
+53
+00:03:20,660 --> 00:03:24,360
+الأولية، وبالتالي يا أخواتنا، احنا لازم نعمل أو لما 
+
+54
+00:03:24,360 --> 00:03:28,850
+نعمل أي إجراء لازم يكونوا عارفين ليش وببدأ نشارك 
+
+55
+00:03:28,850 --> 00:03:31,870
+مع بعض إن شاء الله تعالى في المادة هذه اللي طبعا
+
+56
+00:03:31,870 --> 00:03:35,370
+من أهم المواضيع يمكن هي صح من متطلبات الجامعة في 
+
+57
+00:03:35,370 --> 00:03:38,850
+مواضيع ثانية أخرى لكن البعض الطالبات لو احنا عملنا 
+
+58
+00:03:38,850 --> 00:03:41,610
+يعني بعض الاستفتاء هيقولك أنا مش بس عشان المادة 
+
+59
+00:03:41,610 --> 00:03:44,510
+المتطلب لأ أنا بدي استفيد من المادة هذه خاصة طبعا 
+
+60
+00:03:44,510 --> 00:03:46,890
+في حياتنا العملية وبالتالي يمكن هنا يعني اليوم
+
+61
+00:03:46,890 --> 00:03:50,030
+هنتكلم على بعض الأهداف اللي خلال المحاضرة إن شاء
+
+62
+00:03:50,030 --> 00:03:53,530
+الله هنجيبها مع بعض بدنا نعرف الإسعاف الأولية إيش
+
+63
+00:03:53,530 --> 00:03:57,130
+أهداف الإسعاف الأولية أهمية دراستنا للإسعاف الأولية
+
+64
+00:03:57,130 --> 00:04:00,790
+طبعا أنت كل مادة بتدرسيها إلها أهمية طبعا يمكن بعض 
+
+65
+00:04:00,790 --> 00:04:04,010
+المواد المطلوبة في الجامعة لربما مادة الإسعاف
+
+66
+00:04:04,010 --> 00:04:07,350
+الأولية أهم بكثير منها يمكن بعض المواد الأخرى اللي
+
+67
+00:04:07,350 --> 00:04:10,570
+تدرسوها بعد ما خلص الفصل أو الفصلين كنت ناسي كثير 
+
+68
+00:04:10,570 --> 00:04:14,570
+لكن مادة الإسعافة لو بالذات هي هتستمر معاكي مدى
+
+69
+00:04:14,570 --> 00:04:17,690
+الحياة أسباب الإصابات ليش بيصير عندنا حوادث طبعا
+
+70
+00:04:17,690 --> 00:04:20,550
+عندنا ثلاث أسباب أساسية هنتكلم عنها بالتفصيل مين هو 
+
+71
+00:04:20,550 --> 00:04:23,510
+الشخص المسعف وبالتالي يا أخواتنا هي مادة الإسعاف 
+
+72
+00:04:23,510 --> 00:04:28,010
+الأولية هي مادة عملية علمية عملية يعني نظرية عملية
+
+73
+00:04:28,240 --> 00:04:31,520
+ما بنفعقول والله أنا مثلا يعني بعض المواد الأخرى 
+
+74
+00:04:31,520 --> 00:04:34,920
+على سبيل المثال أنت ممكن تحفظيها بصم تمام؟ لكن 
+
+75
+00:04:34,920 --> 00:04:38,880
+ما لهاش تطبيقات عملية مثلا أشياء إنشائية لكن بعض
+
+76
+00:04:38,880 --> 00:04:42,240
+المواد الأخرى ومن ضمن طبعا المواد العملية وعلى رأس
+
+77
+00:04:42,240 --> 00:04:45,240
+القائمة مادة الإسعاف الأولية طبعا وكتير من المواد 
+
+78
+00:04:45,240 --> 00:04:49,920
+الطبية والصحية والتمريضية إذا أنت ما كنت تطبقيها
+
+79
+00:04:49,920 --> 00:04:54,320
+عملي هتنسيها وأنت وأنا فعلا بعض الأمثل البسيطة
+
+80
+00:04:54,320 --> 00:05:01,120
+يعني اسمع فأنسى أرى فأتذكر أشارك فلا أنسى وبالتالي
+
+81
+00:05:01,120 --> 00:05:04,860
+هنا إذا احنا مثلا شفت على الفيديو أو شفت جريت في 
+
+82
+00:05:04,860 --> 00:05:08,500
+الكتاب معلومة صحية لكن إذا أنت بصمتها 100% وما 
+
+83
+00:05:08,500 --> 00:05:13,970
+شاركت فيها هتنسيها إذا أنت مثلا شفت كلام ممكن 
+
+84
+00:05:13,970 --> 00:05:18,830
+تتذكري ممكن تنسيه إذا أنت شفت كلام أو صورة هتتذكري 
+
+85
+00:05:18,830 --> 00:05:22,950
+لكن في التطبيق العملي هيكون صعب وبالتالي لازم نكون
+
+86
+00:05:22,950 --> 00:05:26,810
+مشاركين لبعض الإجراءات يمكن بعض الأشياء أو تطبيقات 
+
+87
+00:05:26,810 --> 00:05:30,450
+البسيطة اللي احنا بنطلبها هنا في القاعة هذه ممكن 
+
+88
+00:05:30,450 --> 00:05:33,090
+نفديها في البيت أو ممكن نفدي احنا بعضها في القاعة
+
+89
+00:05:33,090 --> 00:05:37,190
+هنا ثاني حاجة دور نصف في حالات الطوارئ طبعا مهم جدا
+
+90
+00:05:37,190 --> 00:05:40,870
+جدا وكتير بتلاحظوا إنه جديش بيقولك والله قامل و
+
+91
+00:05:40,870 --> 00:05:43,730
+سافرين بين قيادة أو رجال الدفاع المدني بين قيادة طبعا
+
+92
+00:05:43,730 --> 00:05:47,730
+كلهم عندهم تدريبات ومؤهلين أنهم يقدموا الخدمة لأن 
+
+93
+00:05:47,730 --> 00:05:51,110
+طبعا يكون عندهم دورات وتخصص ومادة الإسعاف الأول
+
+94
+00:05:51,110 --> 00:05:54,010
+يا أخواتنا ما هيّاش فقط أن قول الله دبلوم أو مثلا
+
+95
+00:05:54,010 --> 00:05:57,530
+دورة أو شيء لأ هي فيها تخصص طبعا تصل لدرجة
+
+96
+00:05:57,530 --> 00:06:01,380
+الدكتوراة الأجهزة الحيوية في الجسم طبعا احنا فيها أن 
+
+97
+00:06:01,380 --> 00:06:04,980
+أجهزة حيوية وهو طبعا كنت ألاحظ في بعض الأوقات أن
+
+98
+00:06:04,980 --> 00:06:09,120
+كيف الجسم باهتم في تغذية بعض الأجهزة الحيوية يعني
+
+99
+00:06:09,120 --> 00:06:14,100
+نقول مثلا مثال مثال بسيط جدا لما نقول إنسان أصيب 
+
+100
+00:06:14,100 --> 00:06:18,360
+مثلا بطلق ناري في القلب وإنسان آخر أصيب بطلق ناري
+
+101
+00:06:18,360 --> 00:06:22,900
+مثلا بالساق والخطورة هنا طبعا في القلب لأن طبعا
+
+102
+00:06:22,900 --> 00:06:27,700
+الجهاز حيوي لأن لو بترت الأربع أطراف مش هيموت لكن
+
+103
+00:06:27,700 --> 00:06:31,720
+لو القلب أصيب لأنه هيموت أو مثلا عندنا الكبد أو 
+
+104
+00:06:31,720 --> 00:06:34,920
+عندنا مثلا طبعا الجهاز التنفسي وبالتالي الأجهزة
+
+105
+00:06:34,920 --> 00:06:37,660
+الحيوية هي ضرورية جدا وهذه يعني هيكون لها دورة كبيرة
+
+106
+00:06:37,660 --> 00:06:41,300
+في تعريف بعض المصطلحات المدمنها الصدمة حقيبة 
+
+107
+00:06:41,300 --> 00:06:44,360
+الإسعاف الأولية هو طبعا ممكن تكون أشياء بيتية يعني
+
+108
+00:06:44,360 --> 00:06:47,460
+موجودة في البيت أشياء بسيطة جدا كيف أنا من خلالها 
+
+109
+00:06:47,460 --> 00:06:51,400
+يعني أقدم شيء بسيط قبل أن يوصل الشخص هذا إيش
+
+110
+00:06:51,400 --> 00:06:55,410
+للمستشفى وبتبقى ويعني ممكن أنا يعني انفذها و
+
+111
+00:06:55,410 --> 00:06:57,710
+ما يلزمش وصوله لمستشفيات ده كان طبعا أشياء بسيطة
+
+112
+00:06:57,710 --> 00:07:00,510
+طبعا إيش الفرق بين التعقيم والتطهير اللي من 
+
+113
+00:07:00,510 --> 00:07:04,810
+خلالها أنا بدي أتجنب أمراض كتيرة طبعا ما بنعش ننسى
+
+114
+00:07:04,810 --> 00:07:08,870
+إن جاي نتكلم على الإسعاف الأولي أنت كمقدم لخدمة
+
+115
+00:07:08,870 --> 00:07:13,520
+الإسعاف الأولي بدك تكون محافظ على نفسك ما بنفع أقول
+
+116
+00:07:13,520 --> 00:07:16,780
+الله أنا بدي أقدم خدمة إسعاف أولي وألقي بنفسي 
+
+117
+00:07:16,780 --> 00:07:21,260
+بالخطر زي ما أقول مثلا عندك إنسان غريق وأنت ما
+
+118
+00:07:21,260 --> 00:07:23,840
+بتعرف تسبحي عندك ما شاء الله تمام تمام الأمور
+
+119
+00:07:23,840 --> 00:07:27,880
+الإسعاف الأولي 100% لكن أنت ما بتعرف تسبحي، بتغرق
+
+120
+00:07:27,880 --> 00:07:31,580
+بشبر مية، ترمي نفسك عشان تنقذيه؟ طبعا لأ، وبالتالي
+
+121
+00:07:31,580 --> 00:07:36,220
+هاناحنا ما بدنا ننقذ غيرنا ونكون احنا اياش الضحية
+
+122
+00:07:42,490 --> 00:07:46,610
+طيب لو قولنا يا أخواتنا الإسعاف الأولية طبعا هذا
+
+123
+00:07:46,610 --> 00:07:50,410
+يعني كإسعاف أولى .. كتعريف بسيط لو سألنا بسيط ..
+
+124
+00:07:50,410 --> 00:07:54,530
+سؤال بسيط جدا الإسعاف الأولية يُعتبر رعاية ولا
+
+125
+00:07:54,530 --> 00:07:59,490
+علاج؟
+
+126
+00:07:59,490 --> 00:08:02,830
+ماشي
+
+127
+00:08:02,830 --> 00:08:07,320
+المساعدة فوريه هي رعاية .. رعاية طبعا .. يعني هو
+
+128
+00:08:07,320 --> 00:08:10,880
+الرعاية الفورية المقدمة للشخص، عيلة اللي بده يحتاج
+
+129
+00:08:10,880 --> 00:08:14,740
+مستشفى، بده يحتاج تحليل، طبعا أنا بأتكلم في حال
+
+130
+00:08:14,740 --> 00:08:17,840
+عدم وجود سيارة الإسعاف، أنا بأتكلم في حال عدم
+
+131
+00:08:17,840 --> 00:08:18,380
+وجود سيارة الإسعاف، أنا بأتكلم في حال عدم موجود
+
+132
+00:08:18,380 --> 00:08:18,480
+سيارة الإسعاف، أنا بأتكلم في حال عدم موجود سيارة
+
+133
+00:08:18,480 --> 00:08:21,720
+الإسعاف، أنا بأتكلم في حال عدم موجود سيارة
+
+134
+00:08:21,720 --> 00:08:23,420
+الإسعاف، أنا بأتكلم في حال عدم موجود سيارة
+
+135
+00:08:23,420 --> 00:08:26,500
+الإسعاف،
+
+136
+00:08:26,500 --> 00:08:30,820
+أنا بأتكلم في
+
+137
+00:08:30,820 --> 00:08:36,610
+حال عدم وجود سيارة الإسعاف، أنا وأنا، الشخص هذا،
+
+138
+00:08:36,610 --> 00:08:40,950
+قبل ما أوصله للمستشفى، أنا بقدم له الرعاية، في حال
+
+139
+00:08:40,950 --> 00:08:43,670
+وصول سيارة الإسعاف، في حال نجلناه للمستشفى، طبعا
+
+140
+00:08:43,670 --> 00:08:46,490
+ننتقل لمرحلة العلاج، تمام؟ وبالتالي، هنا الإسعاف
+
+141
+00:08:46,490 --> 00:08:49,610
+الأول هو المساعدة الفورية أو الرعاية الفورية أو
+
+142
+00:08:49,610 --> 00:08:52,910
+العناية الفورية التي تُقدم للإنسان الذي أصيب بحادث أو 
+
+143
+00:08:52,910 --> 00:08:56,370
+مرض مفاجئ، نقف شوية بس عند الكلمتين هدول، حادث أو
+
+144
+00:08:56,370 --> 00:09:00,070
+مرض مفاجئ، هل أنا بقصد هنا الحادث حادث سيارة، حادث 
+
+145
+00:09:00,070 --> 00:09:05,070
+موتوسيكل؟ لأ طبعًا هنا الحوادث كتيرة، ضمن الحوادث
+
+146
+00:09:05,070 --> 00:09:09,750
+نتكلم عنها الغرق حادث، الحروق حادث، التسمم،
+
+147
+00:09:09,750 --> 00:09:16,570
+الكسور، الاختناق، لسعات النحل والدبابير، عضات
+
+148
+00:09:16,570 --> 00:09:21,290
+الأفاعي، هذه كلها تعتبر حوادث، الكسور حوادث،
+
+149
+00:09:21,290 --> 00:09:24,890
+وبالتالي هنا الحادث أنا بقصد فيه أي حاجة ممكن تؤثر
+
+150
+00:09:24,890 --> 00:09:30,240
+على حياة الإنسان، أو مرض مفاجئ، فما بقدر أقول والله 
+
+151
+00:09:30,240 --> 00:09:35,400
+كل إنسان يصاب بحادث معناه مريض لأن كنت تكون ماشية
+
+152
+00:09:35,400 --> 00:09:41,940
+اتزحلجتي فجأة يعني جِشرة موز تحت رجلك اتزحلجتي أو
+
+153
+00:09:41,940 --> 00:09:46,120
+أنت بتستعجلي على الدرج أَجعتي أنت تمام تمام صحتك لكن
+
+154
+00:09:46,120 --> 00:09:50,580
+أنت أساسًا ما كنتي مريضة لكن بعض الناس ممكن يكون مريض
+
+155
+00:09:50,580 --> 00:09:57,160
+أصلًا لكن مثلًا اتعرض لخبر صادم، نسي ياخد مثلًا
+
+156
+00:09:57,160 --> 00:10:02,460
+الانسولين، ارتفع عليه مثلًا خبر مفرح أو مفجع،
+
+157
+00:10:02,460 --> 00:10:05,820
+اتغيرت حالته الصحية وهنا طبعًا نقصد أن احنا في مرض
+
+158
+00:10:05,820 --> 00:10:10,740
+مفاجئ، أن الإنسان مثلًا عنده مرض مزمن لكن إيجى عليه 
+
+159
+00:10:10,740 --> 00:10:15,460
+ظرف من الظروف، غير الوضعية الصحية بالنسباله، خبر
+
+160
+00:10:15,460 --> 00:10:19,850
+سيء، ارتفع الضغط عندهم مثلًا لو واحد مريض سكر، زي 
+
+161
+00:10:19,850 --> 00:10:24,210
+الغضب مش ماخد .. مش ماكل أو مش مفطر و ماخد مثلًا
+
+162
+00:10:24,210 --> 00:10:27,660
+فقط الانسولين يبقى صار عندهم انخفاض معدل السكر
+
+163
+00:10:27,660 --> 00:10:31,180
+وبالتالي أنا بقدم الإسعاف الأولي للصحيح اللي أصيب
+
+164
+00:10:31,180 --> 00:10:36,020
+بالحادث وللمريض اللي اتغير وضعه إيش الصحيح لبنى
+
+165
+00:10:36,020 --> 00:10:39,680
+بحادث أو مرض مفاجئ قبل وصول مساعدة طبية متخصصة أو 
+
+166
+00:10:39,680 --> 00:10:43,840
+قبل نقله لأقرب مركز صحي أو مستشفى لبنى ما نصل
+
+167
+00:10:43,840 --> 00:10:47,660
+لنتيجة أن الإسعاف الأولي هو رعاية فورية تُقدم لأي
+
+168
+00:10:47,660 --> 00:10:51,660
+شخص أصيب بحادث أو مرض مفاجئ لحين وصول سيارة
+
+169
+00:10:51,660 --> 00:10:58,730
+الإسعاف أو نقله لأقرب مركز صحي طيب نجي هنا أن طبعًا
+
+170
+00:10:58,730 --> 00:11:01,950
+كل حاجة احنا بنسويها لازم يكون لها هدف، كل إنسان
+
+171
+00:11:01,950 --> 00:11:04,250
+في حياته بيكون له هدف، أنت دراستك هنا في الجامعة لها
+
+172
+00:11:04,250 --> 00:11:06,930
+هدف، بدك تاخد الشهادة إن شاء الله وبعدين طبعًا
+
+173
+00:11:06,930 --> 00:11:10,030
+بعد الشهادة تتمكن إن شاء الله ماجستير وبعديها طبعًا
+
+174
+00:11:10,030 --> 00:11:13,190
+... وكل واحد له هدفه، تمام؟ الحياة بدون هدف 
+
+175
+00:11:13,190 --> 00:11:17,520
+مالها طعم، معناه إنسان بعيش على الفاضي طبعًا وما
+
+176
+00:11:17,520 --> 00:11:20,400
+خلقنا الجن والإنس إلا ليعبدون طبعًا والعبادة
+
+177
+00:11:20,400 --> 00:11:23,980
+ماهيش بس الصلاة والصوم لأ العمل عبادة لما مثلًا
+
+178
+00:11:23,980 --> 00:11:27,120
+ينجح في عمله أو يَقِنّ في عمله برضه عبادة لكن الإنسان
+
+179
+00:11:27,120 --> 00:11:31,980
+بيكون عايش بدون هدف وكتير .. كتير بلاحظ أنه بعض
+
+180
+00:11:31,980 --> 00:11:34,340
+الناس اللي مثلًا بيكون وما لهمش أهداف ممكن ينتحر
+
+181
+00:11:34,340 --> 00:11:37,340
+وبالتالي احنا أي حاجة بنعملها لازم يكون لها هدف 
+
+182
+00:11:37,340 --> 00:11:43,210
+بدون .. طبعًا مابديل عن التخطيط إلا الفشل حاجة بدون
+
+183
+00:11:43,210 --> 00:11:45,910
+تخطيط ما هو بيقولك شغل على البركة، مافيش حاجة عشان
+
+184
+00:11:45,910 --> 00:11:49,230
+شغل على البركة، أنا متمنع الله أه، لكن ليه تاخد
+
+185
+00:11:49,230 --> 00:11:52,890
+ بالأسباب؟ عقلها وتوكل، وبالتالي طبعًا من أهداف
+
+186
+00:11:52,890 --> 00:11:56,970
+الإسعاف الأولي، أول حاجة إنقاذ حياة المصاب، سواء
+
+187
+00:11:56,970 --> 00:12:00,850
+طبعًا قلنا اللي أصيب بحادث أو اللي عنده مرض مفاجئ،
+
+188
+00:12:00,850 --> 00:12:04,650
+طبعًا أول حاجة أنا بدي أنقذ حياته، تمام؟ لما أنا
+
+189
+00:12:04,650 --> 00:12:10,350
+بدأ أتكلم على إنسان غريق قلما نرميله الحبل أو إنسان
+
+190
+00:12:10,350 --> 00:12:14,310
+مثلًا في مكان فيه حروق وطلعنا من المكان هذا احنا 
+
+191
+00:12:14,310 --> 00:12:18,770
+انقذناه لكن ربما الشخص هذا عنده مشاكل إذا أول حاجة
+
+192
+00:12:18,770 --> 00:12:21,870
+أنا بسويها إني بانقذ الشخص هذا بطلعه من المكان 
+
+193
+00:12:21,870 --> 00:12:27,800
+اللي فيه خطورة عليه ثاني حاجة تخفيف تأثير الإصابة،
+
+194
+00:12:27,800 --> 00:12:32,260
+بدي أتعامل معاه، طلعناه مثلًا وراجل مثلًا مولّع
+
+195
+00:12:32,260 --> 00:12:36,120
+كانون فحم في عزيزي البرد، والكانون هذا طبعًا أنتم 
+
+196
+00:12:36,120 --> 00:12:39,580
+عارفين بيطلع أول أكسيد الكربون، بسبب الاختناق، وميزة
+
+197
+00:12:39,580 --> 00:12:42,840
+أول أكسيد الكربون أنه لا لون ولا ريحة على عكس طبعًا
+
+198
+00:12:42,840 --> 00:12:45,780
+ثاني أكسيد الكربون بالتالي اللي ممكن يختنق تدريجيًا
+
+199
+00:12:45,780 --> 00:12:50,480
+إذا احنا طلعناه من المكان هذا تمام هذا أنقذناه لكن
+
+200
+00:12:50,480 --> 00:12:53,500
+ممكن أن هو يشكون مختنق فأنا بدي أحافظ على حياته 
+
+201
+00:12:53,500 --> 00:12:57,420
+أقلل من المشاكل بإن ممكن أنا أعمله تنفس صناعي زي
+
+202
+00:12:57,420 --> 00:13:01,100
+مثلًا الغريق اللي طلعناه من المكان من البحر وطلعناه
+
+203
+00:13:01,100 --> 00:13:06,010
+برا وطبعًا الرئتين فيهم ماء أو بقالع ماء كمان فأنا
+
+204
+00:13:06,010 --> 00:13:09,430
+بعمل إيش؟ إخراج المساعدة على إخراج الماء هذه و
+
+205
+00:13:09,430 --> 00:13:12,250
+مساعدته على التنفس الصناعي التَجَهّهات الثانية تخفيف 
+
+206
+00:13:12,250 --> 00:13:18,910
+أثر الإصابة الهدف الثالث تقليل المضاعفات لما أنا 
+
+207
+00:13:18,910 --> 00:13:23,600
+أتكلم مع إنسان عنده مثلًا كسور والشخص هذا مثلًا عنده
+
+208
+00:13:23,600 --> 00:13:27,820
+كسور في العنق أو كسور مثلًا في العمود الفقري أو
+
+209
+00:13:27,820 --> 00:13:32,180
+كسور في أي مكان تمام؟ لما أنا بدأ آخد أبسط شيء إن
+
+210
+00:13:32,180 --> 00:13:36,280
+أنا بتكلم مثلًا مع إنسان عنده كسور في الساق آخد
+
+211
+00:13:36,280 --> 00:13:39,540
+الحاجات البسيطة إذا أنا بدأ أُقلّل المضاعفات معناه
+
+212
+00:13:39,540 --> 00:13:44,120
+أنا بدي أثبت الكسر زي ما هو بحاولش إعادة الكسر هذه 
+
+213
+00:13:44,120 --> 00:13:48,320
+حاجة بسيطة لكن إنسان مثلًا عنده كسور طب ممكن نثبت
+
+214
+00:13:48,320 --> 00:13:51,420
+الكسر على ما هو وهنأكل بالتفصيل لكن لما أتكلم على 
+
+215
+00:13:51,420 --> 00:13:55,680
+إنسان عنده مثلًا كسور في العنق أو إنسان مثلًا كسور
+
+216
+00:13:55,680 --> 00:13:58,480
+في العمود الفقري وأنت دلوقتي تلاحظ أن المصابين يسعون 
+
+217
+00:13:58,480 --> 00:14:03,480
+لما تصل لأي مكان اشتباه لو كان اشتباه في كسور في
+
+218
+00:14:03,480 --> 00:14:08,360
+العنق طبعًا بلبسه الكولر طبعًا هي أساس دعم ماشي
+
+219
+00:14:08,360 --> 00:14:12,230
+للعنق لفقرة العنق حتى لو كان اشتباه طبعًا لو كان
+
+220
+00:14:12,230 --> 00:14:16,310
+عندك كسور العمود الفقري واحد لحاله مش هيشيله اثنين
+
+221
+00:14:16,310 --> 00:14:18,990
+لحاله مش هيشيله أقل شيء بيقولوا احنا بدنا أربعة
+
+222
+00:14:18,990 --> 00:14:24,150
+ليه؟ لأن العمود الفقري فقرات وأحيانًا بتكون النقل 
+
+223
+00:14:24,150 --> 00:14:29,330
+الخاطئ هو اللي نتج عنه الشلل أو الإصابة أو
+
+224
+00:14:29,330 --> 00:14:33,250
+المضاعفات مش من الإصابة بحد ذاتها وطبعًا عشان
+
+225
+00:14:33,250 --> 00:14:36,230
+بيقولوا احنا بنقلل المضاعفات اللي ممكن تصير لما 
+
+226
+00:14:36,230 --> 00:14:39,350
+نتكلم على سبيل المثال طبعًا أمثلة كتيرة واحد إنسان
+
+227
+00:14:39,350 --> 00:14:46,290
+مثلًا مريض سكر، تمام؟ واخد طبعًا إنسولين، واحنا بقول 
+
+228
+00:14:46,290 --> 00:14:49,170
+مثلًا إذا احنا مش عارفين، وهنا طبعًا هنعرفها، إيش
+
+229
+00:14:49,170 --> 00:14:52,490
+أعراض غيبوبة السكر أو إيش أعراض ارتفاع السكر،
+
+230
+00:14:52,490 --> 00:14:56,890
+والشخص هذا أخد إنسولين بدون ما يأكل، تمام؟ بدرجة 
+
+231
+00:14:56,890 --> 00:15:00,530
+بديه يفقد وعيه، تمام؟ اعتناء كمان إنسولين زيادة،
+
+232
+00:15:00,530 --> 00:15:04,660
+واحنا مش عارفين هيصير مضاعفات أكثر، هيصير خطر أكثر،
+
+233
+00:15:04,660 --> 00:15:08,320
+وهنا طبعًا بندخله في مضاعفات خطيرة تؤثر على الدماغ
+
+234
+00:15:08,320 --> 00:15:11,680
+بسبب نقص السكر الموجود A-H في الدم، وبالتالي أنا
+
+235
+00:15:11,680 --> 00:15:15,780
+من خلال إنقاذ المصاب، الحفاظ على حياة المصاب،
+
+236
+00:15:15,780 --> 00:15:17,900
+وتقليل المضاعفات هذه الأهداف الأساسية اللي من
+
+237
+00:15:17,900 --> 00:15:21,380
+خلالها ممكن أنا أقدم خدمة الإسعاف الأولي، طبعًا هذه
+
+238
+00:15:21,380 --> 00:15:24,900
+الأهداف ممكن أنا أقيسها على كل الحالات اللي ممكن 
+
+239
+00:15:24,900 --> 00:15:28,850
+أتعامل معاها قصة لذلك سواء من الحالة البسيطة للحياة
+
+240
+00:15:28,850 --> 00:15:32,590
+المعقدة، واحد ملقى على الأرض، اشتباه كسور، سيفيه 
+
+241
+00:15:32,590 --> 00:15:35,630
+زي ما هو، لكن أنت بتدور على أماكن ثانية مثلًا فيها
+
+242
+00:15:35,630 --> 00:15:39,010
+جروح، فيها نزيف، وهار طبعًا من خلال تفقد الشخص اللي
+
+243
+00:15:39,010 --> 00:15:41,490
+هنأخده، كمان شوية بخطوات مرتبة
+
+244
+00:15:48,530 --> 00:15:51,910
+طبعًا عوامل النجاح هنا احنا في الإسعاف الأولي، طبعًا 
+
+245
+00:15:51,910 --> 00:15:54,230
+هذا يعني برضه القوانين اللي جيتها اتكلموا كمان 
+
+246
+00:15:54,230 --> 00:15:58,410
+وخطوات مرتبة، العناية بالمصاب ككل، طبعًا أهم جهاز 
+
+247
+00:15:58,410 --> 00:16:03,370
+أنا بدأ أتفقد اللي هو الجهاز التنفسي ليش؟ أنه لو
+
+248
+00:16:03,370 --> 00:16:05,710
+كان عندي نزيف أنا ممكن أضغط على النزيف أو أي انسان 
+
+249
+00:16:05,710 --> 00:16:09,010
+ممكن يضغط على النزيف طبعًا ممكن لو طفل لو انسان 
+
+250
+00:16:09,010 --> 00:16:12,390
+صغير في السن ممكن طبعًا يضغط على مكان النزيف لكن
+
+251
+00:16:12,390 --> 00:16:14,430
+إذا كان الإنسان ما عنده خبرة في عملية التنفس
+
+252
+00:16:14,430 --> 00:16:18,870
+الاصطناعي وكيفية أن يفقد طبعًا يتفقد مكان التنفس 
+
+253
+00:16:18,870 --> 00:16:23,670
+الاصطناعي يتفقد الجهاز التنفسي يتفقد مدخل الهواء 
+
+254
+00:16:23,670 --> 00:16:27,300
+لجهاز التنفسي طبعًا هيكون صعب بالتالي احنا بناخد
+
+255
+00:16:27,300 --> 00:16:32,240
+الجسم ككل عملية تفقد وعملية طبعًا تابعة وملاحظة وين
+
+256
+00:16:32,240 --> 00:16:35,560
+أماكن الخطر اللي أنا ممكن أبدأ فيها طبعًا وين هنبدأ
+
+257
+00:16:35,560 --> 00:16:39,040
+هنأخذ طبعًا تدريجيًا من وين أنا ممكن أبدأ مع الشخص 
+
+258
+00:16:39,040 --> 00:16:42,860
+حاجة ثانية يعني هي نفسية المصاب هذه نقطة مهمة
+
+259
+00:16:42,860 --> 00:16:47,960
+كتير النفسية يعني العامل النفسي الطمأنة ومن هنا
+
+260
+00:16:47,960 --> 00:16:52,160
+طبعًا نقول احنا أحد مهام أو وظائف أو خصائص المسعف
+
+261
+00:16:52,160 --> 00:16:56,220
+القدرة على الطمأنة لما إنسان يقول على سبيل المثال
+
+262
+00:16:56,220 --> 00:17:02,420
+إذا كان الشخص هذا مثلًا في حالة سيارة، أسرة، وهو
+
+263
+00:17:02,420 --> 00:17:06,020
+اللي ربنا أنقذه من بين أسرة هذه، كلهم ماتوا أو
+
+264
+00:17:06,020 --> 00:17:10,020
+مثلًا غيره، تمام؟ إحنا كيف بدنا نتعامل مع الشخص هذا
+
+265
+00:17:10,020 --> 00:17:16,040
+ونفسيته؟ نقول والله يعني احمد ربك إنه .. أن ربنا
+
+266
+00:17:16,040 --> 00:17:21,340
+كتب لك عمر جديد، لكن الله يرحم الباقين هي بتمنى 
+
+267
+00:17:21,340 --> 00:17:27,390
+يموت معهم لكن احنا لازم نقدر نعالجه نفسيًا لأن دائمًا
+
+268
+00:17:27,390 --> 00:17:31,530
+إذا كان يعني هو عدى في صدمة وعدى في مشكلة وعدى
+
+269
+00:17:31,530 --> 00:17:35,190
+في حادث أنا بقادي ازود المشكلة عليه طبعًا لأ 
+
+270
+00:17:35,190 --> 00:17:38,910
+وبالتالي دائمًا العامل النفسي مهم جدًا ده مقول طبعًا
+
+271
+00:17:38,910 --> 00:17:44,330
+يعني أحيانًا حتى المعاملة مع المريض إذا كانت معاملة
+
+272
+00:17:44,330 --> 00:17:49,050
+أنت بتقدم له كل حاجة لكن معاملة مش إنسانية بُدوشها 
+
+273
+00:17:49,050 --> 00:17:53,370
+العلاج كله ولها المعاملة ولها الخدمة لكن أحيانًا
+
+274
+00:17:53,370 --> 00:17:57,730
+بقول والله يعني هذا الإنسان بساعدني وبقدم لي خدمة
+
+275
+00:17:57,730 --> 00:18:01,590
+أنا برتاح بسمته الكلام أكثر من العلاج وهنقول أن
+
+276
+00:18:01,590 --> 00:18:05,690
+بسمتك في وجه أخيك صدقة وبالتالي هنا العامل النفسي 
+
+277
+00:18:05,690 --> 00:18:10,110
+مهم جدًا في حال أن أنت بدأت تساعد إنسان عنده مشكلة
+
+278
+00:18:10,110 --> 00:18:14,390
+صحية لأن ببنقول حاجة ثانية خواتنا دائمًا لو قدم أي
+
+279
+00:18:14,390 --> 00:18:20,580
+خدمة ضع نفسك مكانه إذا أنت تتقبل أحد يعمل لك الصورة دي
+
+280
+00:18:20,580 --> 00:18:24,120
+عامل، لكن ما حدش بيتقبل، وبتقول الحين قاعدة عامل 
+
+281
+00:18:24,120 --> 00:18:27,860
+الناس كما تحب أن يعاملوك ولا كما .. ولا كما تحب أن 
+
+282
+00:18:27,860 --> 00:18:32,080
+تعامل،
+
+283
+00:18:32,080 --> 00:18:36,660
+إذا أنت بتعامل الناس كما يعاملوك، هي هي، يعني هو
+
+284
+00:18:36,660 --> 00:18:42,040
+مثلا عملك ب .. بشدة، هتعامل بشدة، لكن أنت بدأ تكون 
+
+285
+00:18:42,040 --> 00:18:46,100
+تعامل الناس بابتسامة، كما تحب أن تعامل، أنت بتحب
+
+286
+00:18:46,100 --> 00:18:49,340
+تعامل بإيش بالحسنة، مش تتعاملهم بالشدة والغلظة،
+
+287
+00:18:49,340 --> 00:18:53,140
+تمام؟ إيه بقى الناحية الثانية الناحية النفسية؟ إيه
+
+288
+00:18:53,140 --> 00:18:56,820
+بقى الإنسان شقين يا خواتنا جسدي ونفسي، إذا كان 
+
+289
+00:18:56,820 --> 00:19:00,100
+الناحية الجسدية أنا اهتمت فيها ونسيت الجانب
+
+290
+00:19:00,100 --> 00:19:04,160
+النفسي، أنا ما كملتش المشوار، بالتالي يجب أن نعيش 
+
+291
+00:19:04,160 --> 00:19:10,420
+الناحية الجسدية والناحية النفسية، التعامل
+
+292
+00:19:10,420 --> 00:19:15,160
+مع الإصابات حسب الأولوية، مين أولى؟ مش حسب الجراحة
+
+293
+00:19:15,160 --> 00:19:21,660
+ولا حسب الدين ولا حسب الملة ولا حسب العرق، أي ضحية
+
+294
+00:19:21,660 --> 00:19:27,840
+انسى ديانته، انسى جراحته، انسى من هو، لأن هو اعتبر 
+
+295
+00:19:27,840 --> 00:19:32,820
+إنسان، وأنت لو أنت كنت في نفس المكان، بدك حد يعمل لك 
+
+296
+00:19:32,820 --> 00:19:36,800
+بالحسنة، بدك حد يقدم لك خدمة .. خدمة إسعاف أولا، يعني 
+
+297
+00:19:36,800 --> 00:19:39,560
+مثلا نقول والله القريب ولا أخوه .. أخوه بإصابته
+
+298
+00:19:39,560 --> 00:19:43,340
+بسيطة، والغريب هذا اللي معاه مثلا مشكلة أو عامل
+
+299
+00:19:43,340 --> 00:19:47,090
+معاه مشكلة قبل كده، إصابته خطيرة، لأ هنا ناحية
+
+300
+00:19:47,090 --> 00:19:50,210
+إنسانية، ومن أحياها فكأنما أحيا الناس جميعا
+
+301
+00:19:50,210 --> 00:19:53,590
+وبالتالي يا أخواتنا لما يكون عندنا مثلا إنسان
+
+302
+00:19:53,590 --> 00:19:59,070
+بحاجة لخدمة إنسانية أو خدمة طبية أو خدمة صحية، مهما
+
+303
+00:19:59,070 --> 00:20:03,770
+كان ملته، إنسان أنا بتقدمه .. وبعدين نقول عليه
+
+304
+00:20:03,770 --> 00:20:08,130
+قضايا .. لأ مش دورنا هذا، احنا دورنا إننا ننقذه
+
+305
+00:20:08,130 --> 00:20:11,430
+بعدين طبعا أصحاب الاختصاص هم أولى فيه، وبالتالي
+
+306
+00:20:11,430 --> 00:20:15,290
+طبعا احنا حسب الأولوية أو نقول احنا الفرز، أو 
+
+307
+00:20:15,290 --> 00:20:18,270
+الترياج، يعني مثلا إذا يجي مثلا في المستشفيات
+
+308
+00:20:18,270 --> 00:20:21,530
+بيجعل المستشفيات في الاستقبال بيهتموا بإيه الحالات
+
+309
+00:20:21,530 --> 00:20:24,970
+الأخطر؟ ما يقولوش فلان ولا علان ولا لأ، لأن طبعا 
+
+310
+00:20:24,970 --> 00:20:27,950
+بتبقى لها المهنة مهنة إنسانية وطالما أنه مهنة
+
+311
+00:20:27,950 --> 00:20:34,430
+إنسانية، بتعامل الضحية إنسان، مش قريب ولا صديق حتى
+
+312
+00:20:34,430 --> 00:20:38,430
+لو كان من أي ملة، حتى لو كانت HDMI 2، بغض النظر طبعا 
+
+313
+00:20:38,430 --> 00:20:41,150
+الأشياء دي كلها، لأن المهنة مهنة إنسانية
+
+314
+00:20:44,310 --> 00:20:46,890
+الـتعامل مع حدث بشكل عام كاستدعاء سيارة الإسعاف 
+
+315
+00:20:46,890 --> 00:20:50,850
+يعني أنا بدي أنا أقدم خدمة وفي نفس الوقت أستعين
+
+316
+00:20:50,850 --> 00:20:54,630
+في حد يطلب سيارة الإسعاف، ما ننفع بقى أخلص كل حاجة وأقولهم 
+
+317
+00:20:54,630 --> 00:20:57,370
+الله يطلب له سيارة الإسعاف، وبالتالي أنا
+
+318
+00:20:57,370 --> 00:21:00,550
+بستهلك .. بستغل الوقت وأتمنى أنه قاعدة، أنا جيت
+
+319
+00:21:00,550 --> 00:21:03,790
+حانة أكرها مرتبة، كيف أنا ممكن أستدعي سيارة الإسعاف 
+
+320
+00:21:06,150 --> 00:21:09,070
+أهمية دراسة الإسعاف الأولية .. احنا اتكلمت واتكلمنا وين؟ 
+
+321
+00:21:09,070 --> 00:21:12,970
+على الأهداف .. هنتكلم على الأهمية .. 
+
+322
+00:21:12,970 --> 00:21:15,950
+أهمية دراستها، مساعدة الآخرين .. بقولك أنا والله 
+
+323
+00:21:15,950 --> 00:21:22,430
+بحب أخدم غيري .. ويا سلام لو أنت أنقذتي شخص تاني
+
+324
+00:21:22,430 --> 00:21:28,660
+أو ساعدتي جريح، بتكون مرتاحة نفسيا، لكن أحيانا لما 
+
+325
+00:21:28,660 --> 00:21:34,020
+الإنسان ممكن يعني نقول مثلا كان جادر وخذوا بالكم
+
+326
+00:21:34,020 --> 00:21:38,080
+يا أخواتنا، إذا أنت كنت جادرة تنقذ حياة إنسان و
+
+327
+00:21:38,080 --> 00:21:43,360
+تركته، تحاسبي، لأن أنت شاركت بإيش بقتله، لو مات مثلا
+
+328
+00:21:43,360 --> 00:21:50,300
+تمام، أنت جادرة تقدمي له خدمة تمام وسيبتيه، طب ما حدش 
+
+329
+00:21:50,300 --> 00:21:53,860
+شايفك، القانون مش شايفك لكن ربنا شايفك، أنت بيكون
+
+330
+00:21:53,860 --> 00:21:57,600
+هيش .. هيش دمرتِ حياته لكن جريح، أنت .. وأنت طب 
+
+331
+00:21:57,600 --> 00:22:00,600
+ممكن تشعر بالشيء هذا، جريح لما يكون إنسان مريض
+
+332
+00:22:00,600 --> 00:22:05,760
+وساعتيه، سكتيه، شفت من وجعه كلمتين طيبين، أنت داخل
+
+333
+00:22:05,760 --> 00:22:09,160
+الجريح أنت بتكون مرتاحة، وبالتالي هنا يا أخواتنا 
+
+334
+00:22:09,160 --> 00:22:13,960
+لازم نشعر إن في هذا يعني ناحيتين، ناحية دينية إن 
+
+335
+00:22:13,960 --> 00:22:17,780
+أنت إليك أجر، وناحية دينية إن أنت قدمتي خدمة
+
+336
+00:22:18,760 --> 00:22:23,080
+وبالتالي هنا أنا مساعدة الآخرين طبعا يعني هذا شيء
+
+337
+00:22:23,080 --> 00:22:27,580
+مهم جدا، ممكن تساعدني نفسيا يعني جبر الخواطر، أنت صح
+
+338
+00:22:27,580 --> 00:22:32,280
+مش متخصصة، لكن بكلمتين طيبين ساعدتي اتخففتي عنه سكت
+
+339
+00:22:32,280 --> 00:22:36,260
+يعني تخففتي عنه إنه مثلا يدخل في صدمة لو كان عنده
+
+340
+00:22:36,260 --> 00:22:42,720
+إيش مرض مزمن، الناحية الثانية مساعدة الفرد لنفسه، احنا 
+
+341
+00:22:42,720 --> 00:22:46,360
+لنفسنا، كيف نلقى لنفسنا، لو أنت مثلا صار عندك اختناق 
+
+342
+00:22:46,360 --> 00:22:51,580
+ما فيش حد عندك، وطبعا يعني عملية هتشوفوها كمان إن
+
+343
+00:22:51,580 --> 00:22:54,760
+شاء الله، أنت كيف ممكن تلقى لنفسك بنفسك ما فيش عندك 
+
+344
+00:22:54,760 --> 00:22:58,380
+أي حد، أنت مثلا صار عندك صداع، أنت صار عندك مثلا
+
+345
+00:22:58,380 --> 00:23:02,220
+حسيت حالك إنك دائخة، وصار عندك يعني عدم توازن، إيش 
+
+346
+00:23:02,220 --> 00:23:07,690
+الوضعية اللي ممكن تستعمليها، أنت صار عندك نزيف، صار 
+
+347
+00:23:07,690 --> 00:23:11,590
+عندك مثلا أبسط يعني في أنا أمثلة بسيطة جدا وهي
+
+348
+00:23:11,590 --> 00:23:13,690
+أبسط مثلا نقول نزيف لأنك كيف نتعامل، هنشوف 
+
+349
+00:23:13,690 --> 00:23:17,290
+طبعا، فبالتالي أنت ممكن تخدم غيرك وفي نفس الوقت 
+
+350
+00:23:17,290 --> 00:23:22,210
+تخدم نفسك، الاستعداد
+
+351
+00:23:22,210 --> 00:23:26,390
+للكوارث، احنا الحمد لله يعني بلدنا لا تستقر على 
+
+352
+00:23:26,390 --> 00:23:31,830
+وضع، يعني بين حروب، بين أحداث، وبالتالي يعني .. 
+
+353
+00:23:31,830 --> 00:23:35,630
+وهذا طبعا ممكن تشهدوا على الشيء هذا إن في الحروب
+
+354
+00:23:35,630 --> 00:23:38,910
+يعني ناحيتين .. ناحية، بعض الولادات الطارئة ما تصل 
+
+355
+00:23:38,910 --> 00:23:43,170
+للمستشفى، مثلا بتنمي التوليدة في البيت، فبالتالي يا 
+
+356
+00:23:43,170 --> 00:23:46,330
+حاجة لو كان مثلا عنده خبرة على سبيل المثال، كيف ممكن
+
+357
+00:23:46,330 --> 00:23:50,150
+يساعد في الحالة هذه، وبالتالي هم نكون الناس اللي 
+
+358
+00:23:50,150 --> 00:23:54,950
+عندهم خبرة بيخففوا الضغط عن المتخصصين اللي هم
+
+359
+00:23:54,950 --> 00:24:00,320
+بيكونوا وجودهم ضروري جدا لحالات خطيرة، يعني لا يعقل 
+
+360
+00:24:00,320 --> 00:24:03,760
+بالإنسان مثلا متخصص وأنت مثلا جرح بسيط، لأ في ناس 
+
+361
+00:24:03,760 --> 00:24:06,480
+سنين مثلا الجرح البسيط هذا عندهم خلفية كيف 
+
+362
+00:24:06,480 --> 00:24:10,320
+يتعاملوا معاه، وبيتركوا الأشياء المعقدة أو الأشياء
+
+363
+00:24:10,320 --> 00:24:12,340
+اللي فيها خطورة على هذا الإنسان، طبعا للناس
+
+364
+00:24:12,340 --> 00:24:17,820
+المتخصصين، وكتير مثلا ما فيش مواصلات، مثلا في عندنا 
+
+365
+00:24:17,820 --> 00:24:21,220
+حرب في .. في .. فاحنا طبعا بتتم إسعاف حالات كتيرة 
+
+366
+00:24:21,220 --> 00:24:24,480
+داخل بيوت، الولادة البيتية بتكتر في الحالة هذه
+
+367
+00:24:24,480 --> 00:24:25,360
+تمام؟
+
+368
+00:24:33,720 --> 00:24:39,760
+القانون الأول بالنسبة للإسعاف الأولية، انظر، فكر، اعمل
+
+369
+00:24:39,760 --> 00:24:48,260
+بمعنى إن أنا هستخدم حواس النظر تمام، وإيه؟ تفكير
+
+370
+00:24:48,260 --> 00:24:53,790
+هغير هيكلة، هستخدم طبعا الشم، طبعا هجي للقانون 
+
+371
+00:24:53,790 --> 00:24:59,870
+الثاني، هستخدم الحواس، اللمس والشم والسمع والنظر
+
+372
+00:24:59,870 --> 00:25:04,330
+ناخد القانون الأول، انظر، فكر، اعمل، طبعا في القانون
+
+373
+00:25:04,330 --> 00:25:11,230
+هذا أنا بأنظر للمكان، بأنظر للمكان في إمكانية أقدم
+
+374
+00:25:11,230 --> 00:25:13,770
+خدمة ولا لأ، لأن طبعا زي ما قلت فيها إن قانون
+
+375
+00:25:13,770 --> 00:25:16,730
+هجتكلم عليه، أو كقاعدة، بس أنا هجيت هتكلم بحاجة 
+
+376
+00:25:16,730 --> 00:25:21,900
+بسيطة جدا، انظر للمكان، فكر إيش بدك تعمل، ممكن اللي
+
+377
+00:25:21,900 --> 00:25:26,000
+ربما في عندك اختناق من حالة، من الأولى، تمام؟ طبعا، 
+
+378
+00:25:26,000 --> 00:25:30,140
+هذا شيء نظري، بالنظرة عن بعد، بيجي إن الجزئية
+
+379
+00:25:30,140 --> 00:25:34,840
+الثانية، اعمل، تبدأ بالعمل بإنك تجرب على مكان
+
+380
+00:25:34,840 --> 00:25:38,980
+الضحية، يعني صير أقرب، أنت كنت ماخد نظرة عن بعد
+
+381
+00:25:40,260 --> 00:25:45,200
+طبعا هنا هتجرب على المكان، تعمل focusing للنظرة هذه
+
+382
+00:25:45,200 --> 00:25:48,760
+نفسها، وتجرب على المكان عشان تبدأ تشتغل إيش مع
+
+383
+00:25:48,760 --> 00:25:53,020
+الشخص هذا، احنا دربنا عليه، نجي ننتقل للقانون الثاني 
+
+384
+00:25:53,020 --> 00:25:56,560
+و هذا القانون يا أخواتنا له علاقة بالجهاز التنفسي
+
+385
+00:25:56,560 --> 00:26:03,430
+انظر، استمع، استشعر أو تحسس، طبعا هنا إيش؟ بقول إن أهم 
+
+386
+00:26:03,430 --> 00:26:09,130
+جهاز أنا بنتبه إليه بعد ما أطمئن إنه ما فيش خطورة، لأن 
+
+387
+00:26:09,130 --> 00:26:12,110
+دايما يا أخواتنا بدي أنظر المكان آمن ومش آمن، يمكن
+
+388
+00:26:12,110 --> 00:26:16,610
+هنا مثلا في سلك كهربا، يمكن مثلا في قصف، يمكن مثلا 
+
+389
+00:26:16,610 --> 00:26:20,710
+في غرق، يمكن يمكن هذه حوادث طبعا أو أسباب بتأثر
+
+390
+00:26:20,710 --> 00:26:25,160
+عليها، إذا أنا جربت، تمام؟ وهي طبعا كنتوا تشوفوها كتير 
+
+391
+00:26:25,160 --> 00:26:29,900
+أيام كان مثلا قصف السيارات يقصف مثلا إنسان مستهدف 
+
+392
+00:26:29,900 --> 00:26:33,040
+شوية، تلاقي الشباب يهجموا على المكان نفسه، بدل 
+
+393
+00:26:33,040 --> 00:26:36,880
+الجريح يصيروا خمسة، وبالتالي أنا بأنظر، يعني أنا 
+
+394
+00:26:36,880 --> 00:26:40,740
+جربت على الشخص هذا بعد ما أطمأنيت إن المكان آمن، 
+
+395
+00:26:40,740 --> 00:26:44,320
+يعني بأنظر للقانون الأول، بطمنني إن في خطورة ولا
+
+396
+00:26:44,320 --> 00:26:48,830
+ما فيش خطورة؟ القانون الثاني، انظر، استمع، استشعر أو 
+
+397
+00:26:48,830 --> 00:26:54,690
+تحسس للجهاز التنفسي، بأنظر للشخص هذا في نفس ولا فيش
+
+398
+00:26:54,690 --> 00:27:00,330
+نفس، وبأسمع، يبقى أنا بأسمع وبأنظر، نظر إيش؟ 
+
+399
+00:27:00,330 --> 00:27:05,150
+لحركة الصدر، طبعا استشعر إن أنا بضع أيدي على الصدر 
+
+400
+00:27:05,150 --> 00:27:09,800
+نفسه، يمكن يكون نفس ضعيف، يعني بالنظر الكلش واضح، 
+
+401
+00:27:09,800 --> 00:27:13,580
+بالتألي بضع إيدي عليه، مش على مكان الجهاز التنفسي و
+
+402
+00:27:13,580 --> 00:27:17,920
+بشوف، يبقى أنا بستخدم هنا الحواس، نظر، استماع
+
+403
+00:27:18,900 --> 00:27:22,640
+استشعار، طبعا هذا القانون يا أخواتنا خاص بالجهاز
+
+404
+00:27:22,640 --> 00:27:26,600
+التنفسي، القانون الثاني لأن طبعا أهم جهاز أنا بدي 
+
+405
+00:27:26,600 --> 00:27:30,620
+أنتبه إليه هو الجهاز التنفسي، طبعا ما بقولش الجهاز
+
+406
+00:27:30,620 --> 00:27:34,400
+الهضمي ولا الجهاز البولي ولا الجهاز اللي .. لأ
+
+407
+00:27:34,400 --> 00:27:37,880
+الجهاز التنفسي لأن هو الأساس في دخول الأكسجين لوين
+
+408
+00:27:37,880 --> 00:27:43,350
+لجسم الإنسان من خلال الرئتين، القانون التالي مجرى
+
+409
+00:27:43,350 --> 00:27:47,210
+التنفس، مجرى الهواء، بعدين نيجي لعملية التنفس
+
+410
+00:27:47,210 --> 00:27:50,990
+والنبض اللي هي مولحناه، مجرى التنفس إن يكون حيانا
+
+411
+00:27:50,990 --> 00:27:56,310
+مثلا الشخص فاقد وعيه وراجع وتماتنية أو الشخص مثلا 
+
+412
+00:27:56,310 --> 00:28:02,330
+داخل في غيبوبة، تمام؟ أو مثلا إنه بيتشنج وكان ياكل، 
+
+413
+00:28:02,330 --> 00:28:05,990
+طب احنا بنعمل إيش؟ إقلاق لمجرى التنفس، لأن أي إنسان
+
+414
+00:28:05,990 --> 00:28:09,270
+يا أخواتنا فينا لما نقول مثلا راجبه تماتنية وحاول
+
+415
+00:28:09,270 --> 00:28:13,790
+أنت تتنفسي، هتلاقي فيها صعوبة، فبراك لما يكون إن 
+
+416
+00:28:13,790 --> 00:28:18,850
+إنسان فاقد وعيه، وفي حال فقدان الوعي، كل عضلة
+
+417
+00:28:18,850 --> 00:28:22,950
+الجسم يكون فيها ارتخاء، ومن ضمنها عضلة اللسان،
+
+418
+00:28:22,950 --> 00:28:25,990
+اللي هم يقولون إنه بلع لسانه، ومبلع لسانه، لكن
+
+419
+00:28:25,990 --> 00:28:30,350
+قاعدة اللسان بتعمل على إغلاق الحنجرة، وبالتالي لما 
+
+420
+00:28:30,350 --> 00:28:34,970
+أنت تتنفس، تجرب تكليكة، تحاول تتنفس، فيها صعوبة، وأنت .. 
+
+421
+00:28:34,970 --> 00:28:39,270
+و أنت يعني .. يعني قادر على التحكم في العضلات، فيما
+
+422
+00:28:39,270 --> 00:28:42,210
+يخص إنسان يكون فاقد وعيه، معناه قاعدة اللسان تعمل
+
+423
+00:28:42,210 --> 00:28:46,290
+إما هي مش على يغلغ، وبالتالي أنا بتطمن أن مجرى الهواء،
+
+424
+00:28:46,290 --> 00:28:48,770
+كَبداية، مجرى الهواء مش عملية التنفس، لأ مجرى
+
+425
+00:28:48,770 --> 00:28:52,720
+الهواء أمن أو سالك ولا غير سالك أو مسلك اللي هو
+
+426
+00:28:52,720 --> 00:28:56,940
+برفع رأسه طبعا طبعا نكون حرصين لأنه أنا بدي أطمن
+
+427
+00:28:56,940 --> 00:29:01,260
+كمان إنه ما فيش اشتباه في قصور العنق لأنها برضه
+
+428
+00:29:01,260 --> 00:29:04,040
+هنتعامل معاها و كيف احنا ممكن نتعامل معاها يبقى
+
+429
+00:29:04,040 --> 00:29:07,800
+باطمن أول حاجة مجرد التنفس في حاجة بالفم ما فيش
+
+430
+00:29:07,800 --> 00:29:11,460
+حاجة رأسه متنية مش متنية يبقى بعدين لما أعمل
+
+431
+00:29:11,460 --> 00:29:15,180
+إجراءات هذه و أسلك مجرد التنفس و أتمي رأسه للخلف
+
+432
+00:29:15,180 --> 00:29:18,980
+تمام و أرفع الذقن اللي أعلى بشوف في نفس ولا ما فيش
+
+433
+00:29:18,980 --> 00:29:27,500
+نفس في نفس، معناه إيش؟ عايش، ما فيش نفس، طبعا بنتقل
+
+434
+00:29:27,500 --> 00:29:32,360
+للنبض، النبض هالي بدي أستشعره، من أين بيستشعر
+
+435
+00:29:32,360 --> 00:29:37,400
+النبض هنا؟ في عندنا حالتين، في حالتين، إذا كان طفل
+
+436
+00:29:37,400 --> 00:29:41,720
+أو بالغ، طبعا في وضع طبيعي، يعني إذا كنا نستشعر،
+
+437
+00:29:41,720 --> 00:29:48,990
+من مكان، شريان، رسغ تمام؟ هذا الشيء الطبيعي، لكن
+
+438
+00:29:48,990 --> 00:29:53,790
+الأطفال مش منها، آه من هذه المنطقة، من منطقة
+
+439
+00:29:53,790 --> 00:29:58,650
+العرق، لأن بيكون المنطقة هاي مزحومة، متفقة، بيصعب
+
+440
+00:29:58,650 --> 00:30:01,870
+أن احنا لما ن .. نحس بالنبض بها، لأن بيقولوا
+
+441
+00:30:01,870 --> 00:30:07,670
+أمسكوا الطفل أنا هوضح لك إياها، كلامك صحيح، لكن
+
+442
+00:30:07,670 --> 00:30:10,830
+أقول في وضع طبيعي لما أقول احنا والله أنا بدأت أشوف
+
+443
+00:30:10,830 --> 00:30:15,310
+كم نبضة من نبضات القلب، ممكن نستخدم شريان الرسغ،
+
+444
+00:30:15,310 --> 00:30:18,110
+طبعا في أماكن ثانية ممكن نستخدمها، لأن القلب اللي
+
+445
+00:30:18,110 --> 00:30:22,050
+بينبض و بيودّي للرسغ، بيودّي للرأس، بيودّي للقدم، هو
+
+446
+00:30:22,050 --> 00:30:26,490
+القلب واحد تمام؟ بمعنى النبض اللي في الرأس أو في
+
+447
+00:30:26,490 --> 00:30:30,590
+العضل أو في الساعد أو في القدم أو بالفخذ أو في
+
+448
+00:30:30,590 --> 00:30:34,250
+البطن هو هو نفسه لكن أنا في حالات الإسعاف الأولية
+
+449
+00:30:34,250 --> 00:30:38,650
+بحاول أن أنا أستشعر النبض من شريان قريب على القلب
+
+450
+00:30:38,650 --> 00:30:44,350
+و كبير ليش؟ لأن دائما يا إخوتنا يعني شيء لا إرادي
+
+451
+00:30:44,350 --> 00:30:49,530
+أنه بيصير عندنا الاهتمام بالأجهزة الحيوية الداخلية
+
+452
+00:30:49,530 --> 00:30:54,750
+أكثر من الأطراف تمام؟ لأن الأطراف ممكن تلاقيش النبض
+
+453
+00:30:54,750 --> 00:30:59,290
+فيه وبالتالي هنتجه لشريان قوي و كبير ألا وهو
+
+454
+00:30:59,290 --> 00:31:03,850
+الشريان السباتي الشريان السباتي اللي هو وين؟ على أحد
+
+455
+00:31:03,850 --> 00:31:09,050
+الجانبين، يمين ولا يسار بيكون؟ على ناحيته، من
+
+456
+00:31:09,050 --> 00:31:14,160
+مين؟ على ناحيتين لأن طبعا لصين أنا إيد يمين
+
+457
+00:31:14,160 --> 00:31:17,040
+الذراع يمين و ذراع يسار شريان السباتي أيمن شريان
+
+458
+00:31:17,040 --> 00:31:19,240
+الرقبة السباتي أيسر طبعا هذا الشريان السباتي يا 
+
+459
+00:31:19,240 --> 00:31:25,340
+إخوتنا للبالغين موجود بين عضلة العنق وبين الحنجرة
+
+460
+00:31:25,340 --> 00:31:30,800
+أو بطريقة ثانية ارفع الذقن الأعلى عند منتصف العين
+
+461
+00:31:30,800 --> 00:31:34,460
+تنزل مباشرة على الشريان السباتي و الاستشعار بيكون
+
+462
+00:31:34,460 --> 00:31:40,370
+بالسبابة و الوسطى ما بكون بالإبهام اللي بهم لأنه فيه
+
+463
+00:31:40,370 --> 00:31:43,690
+نبض زي ما تفضلتي و بالتالي هنا بالسبابة أو الوسطى
+
+464
+00:31:43,690 --> 00:31:47,990
+و ما بأجيب الصورة هذه لأ بأجيب العرق لأن عشان أنا
+
+465
+00:31:47,990 --> 00:31:52,750
+أكون ضاغط من المنطقة كلها، الناس تشعر، و بضغط عشان
+
+466
+00:31:52,750 --> 00:31:56,690
+أشوف فيه نبض أو ما أشوفش فيه نبض تمام؟ يبقى هنا
+
+467
+00:31:56,690 --> 00:32:01,710
+استشعار نبض أما بالنسبة للطفل الرضيع، الرأس قصيرة،
+
+468
+00:32:01,710 --> 00:32:06,430
+إيدي هتضغط أكثر من رأسه وبالتالي إيش بسوي؟ من
+
+469
+00:32:06,430 --> 00:32:10,230
+الشريان الإبطي احنا بيقول لك الصورة يا بنتها اللي
+
+470
+00:32:10,230 --> 00:32:14,090
+جاتها من الشريان الإبطي طبعا الشرايين يا إخوتنا
+
+471
+00:32:14,090 --> 00:32:18,530
+عشان يكون يعني واضح معانا أن معظم الشرايين غير
+
+472
+00:32:18,530 --> 00:32:23,690
+واضحة و طبعا يعني ممكن في حكمة ربانية أنه لأنها
+
+473
+00:32:23,690 --> 00:32:27,530
+طبعا شديدة الخطورة في حال النزيف معظمها لكن في
+
+474
+00:32:27,530 --> 00:32:30,690
+منها سطحية و هذه الشريان السطحية احنا بنستخدمها
+
+475
+00:32:30,690 --> 00:32:33,750
+و هنقول طبعا احنا إيش بنستخدمها بعض الإجابات من
+
+476
+00:32:33,750 --> 00:32:36,770
+ضمنها أن أنا ممكن استشعر النبض إذا بالنسبة
+
+477
+00:32:36,770 --> 00:32:40,090
+للبالغين الشريان السباتي و بالنسبة للأطفال الرضع
+
+478
+00:32:40,090 --> 00:32:43,870
+الشريان الإبطي في حالة طوارئ لكن لما يقول إنسان
+
+479
+00:32:43,870 --> 00:32:48,310
+عادي بدأ أنا أشوف عدد دقات القلب ممكن استخدم إيش
+
+480
+00:32:48,310 --> 00:32:55,960
+الرسغ طيب لو ما فيش تنفس و لو ما فيش نبض نجي على
+
+481
+00:32:55,960 --> 00:33:00,740
+الخاطر طبعا الرابع اللي هو إنعاش القلب و الرئتين
+
+482
+00:33:00,740 --> 00:33:06,540
+CPR و هنا طبعا في فرق وقتاش أن أبدأ مع الأطفال من
+
+483
+00:33:06,540 --> 00:33:10,120
+الضغط على الصدر و وقتاش أبدأ مع الأكبار بالضغط على
+
+484
+00:33:10,120 --> 00:33:14,320
+الصدر طبعا فيه و كام مرة يبقى أنا مباشرة ما بأجي
+
+485
+00:33:14,320 --> 00:33:19,680
+أعمل تدليك لعضلة القلب و تنفسي اصطناعي إلا لما
+
+486
+00:33:19,680 --> 00:33:24,660
+أتيقن أنه ما فيش نبض و ما فيش تنفس لأن أحيانا ممكن
+
+487
+00:33:24,660 --> 00:33:29,620
+يكون ما فيش تنفس و فيها نبض طبعا و طبعا بعض الحالات
+
+488
+00:33:29,620 --> 00:33:34,300
+هنقلع هنا سؤال بسيط نشوف طبعا وقتاش ممكن يكون فيه
+
+489
+00:33:34,300 --> 00:33:39,440
+أو لأ نيجي هل جيت لبعض الحالات أو بعض الأسباب اللي
+
+490
+00:33:39,440 --> 00:33:45,160
+تؤدي للحوادث هنا تلات أسباب السبب الأول يعني أنا
+
+491
+00:33:45,160 --> 00:33:48,160
+قبل ما أطرحهم قبل ما أعرضهم هنعرضهم عليكم و نشوف
+
+492
+00:33:48,160 --> 00:33:54,590
+إيش الفرق من التلاتة السبب الأول الجهل جاهل؟ كلنا
+
+493
+00:33:54,590 --> 00:33:59,810
+بنجهل؟ في حد بيقول بيجهلش؟ مش جاهل يعني لأن بيقول
+
+494
+00:33:59,810 --> 00:34:05,890
+في حد بيجهلش؟ كلنا بنجهل؟ كيف بنجهل؟
+
+495
+00:34:05,890 --> 00:34:12,550
+في إيش؟
+
+496
+00:34:12,550 --> 00:34:16,470
+معنى
+
+497
+00:34:16,470 --> 00:34:22,790
+جاهل أنك ما بتعرفي شيء عن شيء لما أقول أن أنا
+
+498
+00:34:22,790 --> 00:34:27,250
+والله هذا الشيء شفته و هجيت أذكرته، هذا مش معناه
+
+499
+00:34:27,250 --> 00:34:31,210
+بتجهليه، لو صار عندك خرفي أخفيه عنه، لكن لما أقول
+
+500
+00:34:31,210 --> 00:34:34,570
+احنا والله لأول مرة في حياتي أشوف الشيء هذا أو
+
+501
+00:34:34,570 --> 00:34:40,230
+أسمع الخبر هذا، المعنى احنا كم نجهل، أيام الرسول
+
+502
+00:34:40,230 --> 00:34:44,410
+صلى الله عليه وسلم في كانت الجاهلية، ما كانش عندهم
+
+503
+00:34:44,410 --> 00:34:48,950
+كرم، الكفار ما كانش عندهم قرار؟ كان، و الضيافة، حسن
+
+504
+00:34:48,950 --> 00:34:53,870
+الضيافة، و الشجاعة، و المروءة، لكن كان جاهلين بإيش؟
+
+505
+00:34:53,870 --> 00:34:58,730
+بالدين، بأحكام الدين، لكن ما بيقولوا جاهلين في كل
+
+506
+00:34:58,730 --> 00:35:03,250
+شيء، لما يقول الطفل هذا جاهل، يعني لسه ما عندهوش
+
+507
+00:35:03,250 --> 00:35:07,930
+خبرة بأشياء هو مش عارفها وإحنا بالتالي بنحن نجهل
+
+508
+00:35:07,930 --> 00:35:11,890
+لما أقول أنا أول مرة أشوف الخبر ولا أول مرة أسمع
+
+509
+00:35:11,890 --> 00:35:16,690
+ولا أول مرة يعني ألاحظ هذا الشيء معناه أنا بقى
+
+510
+00:35:16,690 --> 00:35:20,850
+أجهله و بالتالي السبب الأول الجهل الإقدام على عمل
+
+511
+00:35:20,850 --> 00:35:24,310
+شيء دون معرفة النتيجة معناه لأنهم ما يعرفوش لما طفل
+
+512
+00:35:24,310 --> 00:35:28,010
+صغير يجيب المسمار و يحطه مثلا في البريز الكهربا هو مش
+
+513
+00:35:28,010 --> 00:35:33,510
+شايف الكهربا في البريز تمام؟ هيتكهرب و بالتالي لما
+
+514
+00:35:33,510 --> 00:35:37,810
+الست تيجي تصلح طنجرة الكهربا تمام؟ و تجيبها
+
+515
+00:35:37,810 --> 00:35:45,230
+السكين و إيدها حديد و توصل السلكتين مع بعض تجهل و
+
+516
+00:35:45,230 --> 00:35:49,010
+لما تجهل تجهل و بالتالي دائما .. دائما يعني الجاهل
+
+517
+00:35:49,010 --> 00:35:52,290
+مع أن أنت بتعمل شيء أنت ما عندك خلفية عنه هذا كان
+
+518
+00:35:52,290 --> 00:35:56,130
+مثال بسيط طيب نيجي للسبب الثاني الإهمال
+
+519
+00:35:58,130 --> 00:36:01,710
+الإقدام، عدم الإقدام على عمل ضروري أو الإقدام على
+
+520
+00:36:01,710 --> 00:36:06,090
+عمل ولكن بدون أخذ بالأسباب إهمال، لما تيجي تقدم
+
+521
+00:36:06,090 --> 00:36:33,530
+امتحان و أنت مش دارسه إهمال إهمال إهمال
+
+522
+00:36:33,530 --> 00:36:39,680
+و جاهل و طبعا وضع الأشياء في غير مكانها مثلا
+
+523
+00:36:39,680 --> 00:36:44,020
+عن البنت الصغيرة أو مثلا طيكاية كبيرة مثلا بدك
+
+524
+00:36:44,020 --> 00:36:46,540
+تتابعي مسلسل أو حاجة حطي صنيتها الجهة أو حاجة
+
+525
+00:36:46,540 --> 00:36:50,380
+في مكانها غير المعروف المكان اللي يكون قدام العين
+
+526
+00:36:50,380 --> 00:36:53,820
+بالذات الأشياء فيها خطورة تمام؟ اجى واحد ثاني أو
+
+527
+00:36:53,820 --> 00:36:59,130
+طفل صغير مثلا شدها الكباية صبتيها تمام؟ و حصلت كتير
+
+528
+00:36:59,130 --> 00:37:03,550
+حوادث .. كتير .. يعني ممكن وضع الشيء في غير مكانه
+
+529
+00:37:03,550 --> 00:37:07,110
+يؤدي لخطورة لناس هم مش متعودين يلاحظوا الشيء هذا
+
+530
+00:37:07,110 --> 00:37:11,490
+.. مكان مثلا الجلوس .. نحط أي حاجة .. تمام؟ مثلا
+
+531
+00:37:11,490 --> 00:37:16,070
+.. أنت سيبتي طنجرة الكهربا؟ جبتيها من الكهربا .. آه
+
+532
+00:37:16,070 --> 00:37:19,070
+.. و حصل .. يعني كلهم نسمع الحاجات هذه .. تمام ..
+
+533
+00:37:19,070 --> 00:37:22,490
+اجى الطفل حط دي عليها .. و حصل كتير .. و كلهم بتاع
+
+534
+00:37:22,490 --> 00:37:25,450
+نسمع الحاجات .. الحاجات هذه .. يعني بصراحة إهمال و
+
+535
+00:37:25,450 --> 00:37:29,090
+جاهل .. تمام .. و .. و الإهمال أمثلة طبعا أيش
+
+536
+00:37:29,090 --> 00:37:32,230
+كتيرة معنا .. الحاجة التالت أو السبب التالت ..
+
+537
+00:37:32,230 --> 00:37:36,650
+التهور .. ل .. لطبعا الاندفاع .. لقبض على شيء
+
+538
+00:37:36,650 --> 00:37:41,330
+طبعا بدون تفكير .. زي واحد مثلا عند الرمزون أحمر
+
+539
+00:37:41,330 --> 00:37:46,000
+.. و راكب سيارة تمام؟ و قطع الرمز هنا الأحمر معناه
+
+540
+00:37:46,000 --> 00:37:51,140
+موت هنا ممكن إيش تكون نتيجة نهائية تمام؟ أو واحد
+
+541
+00:37:51,140 --> 00:37:55,060
+مثلا راكب .. راكب سيارة بدون رخصة ولا بعرف قوانين
+
+542
+00:37:55,060 --> 00:38:01,950
+لأ الإهمال و تهور ..  أتصار عندنا تهور و عنده شوية
+
+543
+00:38:01,950 --> 00:38:04,650
+خفيف يعني، بيعرف السيارة سيارة، ما حدش بيقول مش
+
+544
+00:38:04,650 --> 00:38:07,570
+شايف السيارة يعني، آه ماشي بقى روحه، بس شايف ال
+
+545
+00:38:07,570 --> 00:38:09,610
+steel و شايف ال brick و شايف البنزين و شايف كل
+
+546
+00:38:09,610 --> 00:38:14,510
+عاجة، لكن صار عنده خلفية بسيطة، فصار عنده يقولك
+
+547
+00:38:14,510 --> 00:38:17,430
+الله أخذ السيارة و طلع فيها، اجي ثانية و مدهو على
+
+548
+00:38:17,430 --> 00:38:21,510
+المستشفى، يبقى صار عنده إيش إهمال، اللي مثلا بيلاقي
+
+549
+00:38:21,510 --> 00:38:26,770
+نفسه مثلا من أعلى، و المظلة مثلا ما فتحتش يبقى
+
+550
+00:38:26,770 --> 00:38:30,090
+بالتالي هنا التلت أسباب هذه قاصية على كل الحوادث
+
+551
+00:38:30,090 --> 00:38:33,070
+هتلاقي واحد من التلات حضور موجود فيها، يا إما
+
+552
+00:38:33,070 --> 00:38:35,350
+جاهل، يا إما مهمل، يا إما مهور
+
+553
+00:38:38,180 --> 00:38:42,700
+طيب نيجي ل .. نيجي لشخص المسعف هو طبعا مؤهل علميا
+
+554
+00:38:42,700 --> 00:38:45,820
+و عمليا و احنا قلنا في البداية لازم يكون عنده خلفية
+
+555
+00:38:45,820 --> 00:38:49,120
+علمية على أي متخصصين في علم الإسعافات الأولية بحيث
+
+556
+00:38:49,120 --> 00:38:52,680
+يكون قادرا على تقديم الخدمات الإسعافية لأي حالة
+
+557
+00:38:52,680 --> 00:38:55,840
+كانت في أي مكان أو زمان و بالإمكانيات المتاحة
+
+558
+00:38:55,840 --> 00:38:59,840
+يعني بأقل الإمكانيات إذن لما أقول إنسان أنا بدي
+
+559
+00:38:59,840 --> 00:39:03,940
+أقدم خدمة إسعاف أولي لإنسان هو في حاجة لإسعاف
+
+560
+00:39:03,940 --> 00:39:07,940
+الأولية وكان الشخص المقدم للخدمة عنده خلفية هيقدم 
+
+561
+00:39:07,940 --> 00:39:13,120
+الخدمة كويسة لكن لو جدامها بدون خلفية علمية ممكن
+
+562
+00:39:13,120 --> 00:39:16,300
+أضره زي ما يقولون مثلا حالة النقل يعني إن دي فيها
+
+563
+00:39:16,300 --> 00:39:18,960
+أخده مباشرة و بدي أدخله على السيارة طبعا أنت قدتله
+
+564
+00:39:18,960 --> 00:39:22,940
+شلالوصلت للمشكلة الثانية، ليش؟ ما عنكاش خلفية إن
+
+565
+00:39:22,940 --> 00:39:25,840
+العمود الفقري في النخاع الشوكي، طبعا هذا جزء من
+
+566
+00:39:25,840 --> 00:39:28,340
+الجهاز العصبي، والعمود الفقري هو الفقرات، والفقرات
+
+567
+00:39:28,340 --> 00:39:31,500
+هي طبعا مش كلها متماسكة أو كقطع واحدة، طبعا في
+
+568
+00:39:31,500 --> 00:39:35,600
+حركة ما بينها، ما عنكاش خلفية، فأنتقدتله لشلل،
+
+569
+00:39:35,600 --> 00:39:38,500
+وبالتالي هذا طبعا لازم يكون مؤهل علميا وعمليا
+
+570
+00:39:42,630 --> 00:39:44,930
+طبعًا هنا بعض الـ ... يعني على السريع هذكر بعض
+
+571
+00:39:44,930 --> 00:39:49,890
+الصفات للمسعف، أخلاق حميدة لأنك هتتعامل مع كل أنواع
+
+572
+00:39:49,890 --> 00:39:53,750
+سواء طبعًا سيدات أو رجال، يكون عنده أخلاق، يكون عنده 
+
+573
+00:39:53,750 --> 00:39:58,710
+خلق، تاني حاجة علم وخبرة، بدون علم ولا خبرة هيضر
+
+574
+00:39:58,710 --> 00:40:02,970
+أكثر ما ينفع، مبادرة يعني واحد عنده خلفية و تمام
+
+575
+00:40:02,970 --> 00:40:04,410
+تمام 100%، مبادرة يعني واحد عنده خلفية و تمام تمام
+
+576
+00:40:04,410 --> 00:40:05,690
+مبادرة يعني واحد عنده خلفية و تمام تمام 100%
+
+577
+00:40:05,690 --> 00:40:09,090
+مبادرة يعني
+
+578
+00:40:09,090 --> 00:40:10,670
+واحد عنده خلفية و تمام تمام 100%، مبادرة يعني واحد
+
+579
+00:40:10,670 --> 00:40:15,590
+عنده خَلق، وضوء العصابر عشان يقدر يطمن الشخص لو
+
+580
+00:40:15,590 --> 00:40:19,140
+يقول إنه عنده قدرة على اطمئنانه، لأن إذا كان الشخص،
+
+581
+00:40:19,140 --> 00:40:24,100
+الضحية، شايف المسعف وجهه أصفر و أرجانه شيء، هيخاف
+
+582
+00:40:24,100 --> 00:40:27,240
+أكثر، بالتالي طبعا يمشي يكون عنده  قصاب وقدرة على
+
+583
+00:40:27,240 --> 00:40:31,200
+الاطمئنان وقدرة على السيطرة على المكان، بمعنى يحاول
+
+584
+00:40:31,200 --> 00:40:34,480
+يسيطر على المكان، طبعا سيطرته على المكان هنا إنه
+
+585
+00:40:34,480 --> 00:40:37,720
+بيختار بعض الناس اللي يساعفوه، اللي يساعدوه، اللي
+
+586
+00:40:37,720 --> 00:40:41,020
+يرتبوه المكان، اللي يبعدوا الناس عنه، تمام؟ يبقى
+
+587
+00:40:41,020 --> 00:40:42,140
+أنا بيكون كقائد
+
+588
+00:40:44,810 --> 00:40:49,330
+جرأة، يكون جريء، مش والله هدّ فتى ولا حاجة، أخي عيب
+
+589
+00:40:49,330 --> 00:40:53,930
+أنا، طب ما فيش حد يجي يساعدها، هاد ضروري، لكن إذا 
+
+590
+00:40:53,930 --> 00:40:56,950
+كان فيه ناس ثانية أو أختها، حاجة ثانية، لكن إذا كان
+
+591
+00:40:56,950 --> 00:41:02,530
+هدّ الميت بيدا تموت ومخنوجة وما فيش حد يتركه تموت،
+
+592
+00:41:02,530 --> 00:41:08,710
+لأ، سريع البديهة والتفكير والتصرف، بده يبدأ من
+
+593
+00:41:08,710 --> 00:41:13,070
+الخطر من أين، يعني وين الأولويات،
+
+594
+00:41:15,270 --> 00:41:18,890
+قادر على الاطمئنان .. الثقة بالنفس .. الثقة بالنفس
+
+595
+00:41:18,890 --> 00:41:22,690
+هي تجيب .. يعني حواليه هيكون طبعا هيسمع همس كثير
+
+596
+00:41:22,690 --> 00:41:26,130
+.. لأ مش هي كان .. لأ الطريقة غير خاطئة .. لأ أنت
+
+597
+00:41:26,130 --> 00:41:30,470
+بدي أعمل وكأني أترش .. ليش؟ لأنه مطمئن إن شغله صح
+
+598
+00:41:30,470 --> 00:41:35,420
+وإنه ثقة في المعلومة اللي هو إيش عارفها اللي حاطه
+
+599
+00:41:35,420 --> 00:41:37,660
+ما ينبغي يعمله، يعني يكون عارف أو مدرك اللي اللي
+
+600
+00:41:37,660 --> 00:41:42,100
+بيسويه، عدم تعريض نفسه للخطر، إنه إنسان ما يعرفش
+
+601
+00:41:42,100 --> 00:41:48,060
+يسبح وراه ينقل إنسان غريق، احنا يخرجوا والغريق 
+
+602
+00:41:48,060 --> 00:41:51,880
+بتعلق في حبال الهواء، بجشة
+
+603
+00:41:56,420 --> 00:42:00,440
+طيب، واجبات المسعف عند وصوله، طبعا أنا بتكلم فيه
+
+604
+00:42:00,440 --> 00:42:03,260
+هنا بسرعة شوية، تقييم الموقف بسرعة وهدوء زي ما
+
+605
+00:42:03,260 --> 00:42:05,860
+قلنا، يعني عساسي يقدر يتحكم على المكان في المكان
+
+606
+00:42:05,860 --> 00:42:08,740
+حماية المصابين الموجودين في مكان الحدث من الأخطار
+
+607
+00:42:08,740 --> 00:42:13,460
+ممكن تحدث طبعا يقلها علاقة نفسية وتقييم الحالة
+
+608
+00:42:13,460 --> 00:42:17,900
+وتقديم الإسعاف الأولي المناسب، والأولوية طبعا لمين
+
+609
+00:42:17,900 --> 00:42:21,960
+أولى طبعا أهم في المهم والترتيب لدق المصابين
+
+610
+00:42:21,960 --> 00:42:27,370
+لمنازلهم أو مكان طبي، طبعا تدوين الملاحظات هذه لأنه
+
+611
+00:42:27,370 --> 00:42:31,090
+ممكن تسجل الملاحظات ويبعتها معاه لمركز الصحة أو
+
+612
+00:42:31,090 --> 00:42:33,530
+طبعا لسيارة الإسعاف، يقول ما سويت كده وكده وكده
+
+613
+00:42:33,530 --> 00:42:34,530
+عشان يقولونها عارفين
+
+614
+00:42:37,780 --> 00:42:40,060
+منع انتقال العدوى، هاد ضروري جدا يا إخواننا ..منع
+
+615
+00:42:40,060 --> 00:42:43,840
+انتقال العدوى لأن احنا فيه عندنا التهاب الكبد ..
+
+616
+00:42:43,840 --> 00:42:48,240
+تمام؟ في عندنا أمراض تنتقل عن طريق الدم، الـ aids ..
+
+617
+00:42:48,240 --> 00:42:51,400
+طبعا كل الأمراض هذه المقبولة عن طريق الدم هذه ..
+
+618
+00:42:51,400 --> 00:42:54,160
+فعشان نقول احنا لو كان يا حبايبي لو كان فيه guante
+
+619
+00:42:54,160 --> 00:42:59,080
+أو gloves، طبعا أساس إنه يحمي نفسه، يحمي نفسه أو طبعا
+
+620
+00:42:59,080 --> 00:43:01,580
+على أساس إن أنا في خطورة لو كان فين جريح مثلا
+
+621
+00:43:01,580 --> 00:43:04,820
+أصبعك مجروح ولا حاجة وبتخدم الشخص يبدأ
+
+622
+00:43:04,820 --> 00:43:09,360
+يعني مثلا مشكلة مثلا عنده نزيف، وأنت طبعا من الخطأ
+
+623
+00:43:09,360 --> 00:43:12,700
+إن أنا أوقف النزيف بيدي مباشرة، لأ لازم يكون طبعا
+
+624
+00:43:12,700 --> 00:43:16,060
+في حائل أو حاجز ما بين إيداك وما بين طبعا النزيف
+
+625
+00:43:16,060 --> 00:43:19,580
+حتى أنت تحمي نفسك وتحمي المريض، ممكن تكون مثلا
+
+626
+00:43:19,580 --> 00:43:23,020
+يعني فيها بعض الـ microbiota وحاجة عشان ما تنتقل و
+
+627
+00:43:23,020 --> 00:43:30,020
+تدخل إيش للجرح بحد ذاته، طبعا نختم بالشريحة هذه طبعا
+
+628
+00:43:30,020 --> 00:43:34,420
+دي R S A B C D، طبعا هذه اللي هي بتشمل إن أنا كيف
+
+629
+00:43:34,420 --> 00:43:38,060
+بيتعامل مع الشخص هذا، طبعا دي اللي هو الـ danger
+
+630
+00:43:38,060 --> 00:43:41,660
+الخطر اللي أنا قلناه في القناة الأولى بالاطمئنان إنه
+
+631
+00:43:41,660 --> 00:43:47,290
+أما كان خطر ولا مش خطر، طيب، حرف الـ R اللي هي
+
+632
+00:43:47,290 --> 00:43:50,990
+الـ Response، إذا أنت جيت مثلا إن إنسان فاقد الوعي
+
+633
+00:43:50,990 --> 00:43:53,590
+أو أنت بتشتبه إنه فاقد الوعي، وبالتالي يا قناني
+
+634
+00:43:53,590 --> 00:43:58,910
+إخواننا، يعتبر أي إنسان ضحية حي، ما بقولش والله ده
+
+635
+00:43:58,910 --> 00:44:02,560
+ميت على طول، إلا إذا تفقدته، بالتالي أنا بيجي عن
+
+636
+00:44:02,560 --> 00:44:06,600
+الاستجابة، استجابة لمين؟ هل هو شخص واعي ولا غير
+
+637
+00:44:06,600 --> 00:44:09,980
+واعي؟ وكلمة إن واعي ولا غير واعي إن أنا ممكن إنادي
+
+638
+00:44:09,980 --> 00:44:14,200
+عليه، ممكن أنا أقوصه لكن يحذر إنك تنسك المريض أو
+
+639
+00:44:14,200 --> 00:44:20,380
+الضحية وتهزيهم، ممنوع ممنوع، الثالث طبعا المساعدة، حرف
+
+640
+00:44:20,380 --> 00:44:22,620
+الـ S طبعا هو send for help اللي هي طبعا المساعدة
+
+641
+00:44:22,620 --> 00:44:25,740
+إنك أنت بتشيلي وطلبتي من حد إيش يطلب سيارة
+
+642
+00:44:25,740 --> 00:44:29,360
+الإسعاف أو حد طبعا يساعدك، طبعا الـ A اللي هو زي ما
+
+643
+00:44:29,360 --> 00:44:34,500
+قلنا، مجرد تنفس طبعا زي ما قلنا تنفس breathing نفسه
+
+644
+00:44:34,500 --> 00:44:37,820
+وطبعا إنعاش القلب اللي هو طبعا كلها بتتبع تتبع
+
+645
+00:44:37,820 --> 00:44:40,320
+لنا طبعا جهاز وقف الرجل فيها طبعا موجود في سيارة
+
+646
+00:44:40,320 --> 00:44:43,520
+الإسعاف لكن احنا بيهمنا طبعا الست الأولانين لأن
+
+647
+00:44:43,520 --> 00:44:46,400
+طبعا هي الأساس إن أنا كيف أتعامل مع الضحية
+
+648
+00:44:53,960 --> 00:44:57,060
+طبعا أيه عناية الشريحة، إن العناية تتمسعب بنفسه
+
+649
+00:44:57,060 --> 00:45:00,420
+طبعا من الخطر والتقييم النبض، أيه يعني بيقولنا أنت
+
+650
+00:45:00,420 --> 00:45:06,640
+واعي أو غير واعي، ننهي بالشريحة هذه عشان ننهي أيهما
+
+651
+00:45:06,640 --> 00:45:11,680
+أصحى، عشان ننهي في الشريحة هذه، طبعا أساعدها الجزء
+
+652
+00:45:11,680 --> 00:45:18,460
+الكبير عندنا أيهما أصحى، مش أنت لأ صح أيهما
+
+653
+00:45:18,460 --> 00:45:29,130
+أصحى، اه تفضلي، أيه هما أصح؟ هنسمع بخد وقت ثواني بس
+
+654
+00:45:29,130 --> 00:45:35,110
+نشوف و ليش طبعا التنتين صحيحات، ناخد من ناحي هذه
+
+655
+00:45:35,110 --> 00:45:40,710
+مين جاوبنا؟ اتفضل هي بس قولي .. بتقوليش ليش؟ مين
+
+656
+00:45:40,710 --> 00:45:48,270
+الصح؟ بدون تفسير؟ يعني الثانية؟ مين مع الثانية؟
+
+657
+00:45:48,270 --> 00:45:51,670
+اللي رافعين إيديهم معايا مع الثانية؟ طب مين مع الأولى؟
+
+658
+00:45:51,670 --> 00:45:56,470
+اتفضل، ليش؟ نبدأ بليش هالجهة؟ ماشي .. أنا شرعية إن
+
+659
+00:45:56,470 --> 00:46:00,130
+شاء الله .. اتفضل أيه؟ حسب الحالة .. بالطبع اللي
+
+660
+00:46:00,130 --> 00:46:03,250
+احنا وردناه فيه .. أنا حاجة بإجمال .. مارح نتسابر
+
+661
+00:46:03,250 --> 00:46:06,370
+.. لأ أنت راجح وبتقول مع الأولى؟ لأ .. مين مع
+
+662
+00:46:06,370 --> 00:46:10,890
+الأولى؟ .. مين مع الأولى؟ .. سلامة المصاب .. سلامة
+
+663
+00:46:10,890 --> 00:46:16,030
+المكان .. اتفضل أيه؟ .. إذا كان المكان مش ملازم ..
+
+664
+00:46:16,030 --> 00:46:20,270
+فهيؤثر عليه بشكل سلبي .. زي إذا كان المكان مش نظيف
+
+665
+00:46:20,270 --> 00:46:24,820
+.. بس الأرض هيخلي حياته يكون أسوأ .. ماشي، مين مع
+
+666
+00:46:24,820 --> 00:46:29,580
+الأولى كمان؟ أنا .. فضل .. أنا مع الثانية، طيب، مين
+
+667
+00:46:29,580 --> 00:46:33,420
+مع الأولى؟ مع حد .. طب نبدأ بالثانية أنا .. فضل
+
+668
+00:46:33,420 --> 00:46:38,440
+أيه؟ اتفضل هي .. سلامة المكان وسلامة المصادر إنه
+
+669
+00:46:38,440 --> 00:46:41,640
+العمل على جعل المنطقة آمنة، هي تقدر تحكي نفسها في
+
+670
+00:46:41,640 --> 00:46:44,860
+الحدث المجلة قائما و يليه دا يجب العمل على تجنب
+
+671
+00:46:44,860 --> 00:46:49,920
+ذلك حتى لا يلحق الضرر بالمصادر مية المية .. اه ..
+
+672
+00:46:49,920 --> 00:46:50,520
+اتفضل أيه؟
+
+673
+00:47:07,640 --> 00:47:11,080
+سلامة المصاب من سلامة المكان وليس سلامة المكان من
+
+674
+00:47:11,080 --> 00:47:14,860
+سلامة المصاب، لأن هدفنا المصاب مش المكان، طيب هذه
+
+675
+00:47:14,860 --> 00:47:17,400
+بتنطبق مع الأولى ولا مع الثانية؟ مع الأولى، مع
+
+676
+00:47:17,400 --> 00:47:22,080
+الأولى، مع الأولى، أطفال أنت معاك تنتهي، أنت تنتهي
+
+677
+00:47:22,080 --> 00:47:25,200
+في رسالة صحيحات، بس مين .. اه صح في تجديد مخيم
+
+678
+00:47:25,200 --> 00:47:31,000
+الأسعار في الأولى؟ ماشي، ماشي، أنا جاي معاكي، هجيت
+
+679
+00:47:31,000 --> 00:47:35,480
+لما احنا نقول، في .. أنا بجيبك مثال بسيط جدا،
+
+680
+00:47:35,480 --> 00:47:40,560
+هجيت لما اتلاحظ إن رجال الإطفاء، في حريق ويستعدوا
+
+681
+00:47:40,560 --> 00:47:45,260
+سيارة الإطفاء وفي ناس موجودين، إيش بيعملوه؟ واحدة
+
+682
+00:47:45,260 --> 00:47:51,730
+واحدة، إيش بيعملوه؟ بيطفوا والناس جوا؟
+
+683
+00:47:51,730 --> 00:47:55,710
+واحد وواحد .. واحد وواحد .. هدول عندهم خلافين
+
+684
+00:47:55,710 --> 00:47:58,130
+الرساعة في الأول تمام؟ إيش بيعملوا أول شيء؟ ولا
+
+685
+00:47:58,130 --> 00:48:05,670
+بيطفوا وبيخلوا الناس جوا؟ احنا
+
+686
+00:48:05,670 --> 00:48:11,480
+طول ما اتكلمنا قلنا بيكون مكان آمن، يعني أنا أبقى
+
+687
+00:48:11,480 --> 00:48:14,920
+إذا في خطورة إن أساعد مثلا ألقيله حبل أو عجل أو
+
+688
+00:48:14,920 --> 00:48:19,520
+حاجة، تمام؟ لأن المكان فيه خطورة، طيب، لما أنا بقول
+
+689
+00:48:19,520 --> 00:48:24,000
+إن هذا الرجل الإطفاء اللي نزل الناس من العمارة،
+
+690
+00:48:24,000 --> 00:48:29,080
+تمام؟ اهتم بالمكان ولا بالمصاب؟ يبقى سلامة المصاب
+
+691
+00:48:29,080 --> 00:48:33,040
+من سلامة المكان اللي أنا بتقدم فيه الخدمة، لما أقول
+
+692
+00:48:33,040 --> 00:48:38,380
+احنا غريق البحر، تمام؟ هجيت لما أنا بدي أقدم خدمة
+
+693
+00:48:38,380 --> 00:48:42,500
+داخل المكان هذا وفيه خطورة عليّ، تمام؟ أنا بتدجّع
+
+694
+00:48:42,500 --> 00:48:46,060
+في نفس المشكلة، فأنا باخد أرمي حبل عشان أخده مكان
+
+695
+00:48:46,060 --> 00:48:51,470
+آمن، لأن البحر يعتبر خطر، طبعا؟ لما أطلع الناس اللي
+
+696
+00:48:51,470 --> 00:48:55,390
+موجودين جوا اللي بيكرر الدفء والفحم .. طبعا؟ أنا
+
+697
+00:48:55,390 --> 00:48:59,130
+جوا، أين بأعملهم تنفسي اصطناعي؟ وأين بأعملهم؟ برا
+
+698
+00:48:59,130 --> 00:49:01,550
+.. برا .. برا .. برا .. برا .. برا .. برا .. برا
+
+699
+00:49:01,550 --> 00:49:01,810
+.. برا .. برا .. برا .. برا .. برا .. برا .. برا
+
+700
+00:49:01,810 --> 00:49:01,890
+.. برا .. برا .. برا .. برا .. برا .. برا .. برا
+
+701
+00:49:01,890 --> 00:49:02,370
+.. برا .. برا .. برا .. برا .. برا .. برا .. برا
+
+702
+00:49:02,370 --> 00:49:08,470
+.. برا .. برا .. برا .. برا .. برا .. برا .. برا
+
+703
+00:49:08,470 --> 00:49:16,050
+.. برا .. ب
+
+704
+00:49:17,460 --> 00:49:22,800
+ها ما هو حسب مش حسب هلجيت أنا بقعد مفسرك بسيط إذا 
+
+705
+00:49:22,800 --> 00:49:27,800
+كان المكان فيه خطورة تمام إذا كان مكان مش آمن آسف
+
+706
+00:49:27,800 --> 00:49:31,600
+أنا بدي اهتم إذا اهتمت أنا في المكان وتركت المصاب
+
+707
+00:49:31,600 --> 00:49:37,140
+هنا خطأ أنا صح أنا الناس لازم نطفئ النار تمام
+
+708
+00:49:37,140 --> 00:49:42,180
+لازم نطفئ الفحم لكن هنا ما بدي فيه أول شيء أنا
+
+709
+00:49:42,180 --> 00:49:47,320
+ببدأ بالمصاب، إذا كان المكان آمن للمصاب، بشغل في
+
+710
+00:49:47,320 --> 00:49:51,270
+المكان، إذا كان غير آمن، أنا باهتم بسلامة المصاب،
+
+711
+00:49:51,270 --> 00:49:54,590
+لكن إذا اهتمت يا أخواتنا، الثاني مهم، إن أنا أطفئ
+
+712
+00:49:54,590 --> 00:49:57,690
+النار، لكن أنا ببقون، أنا بكون على حساب مين؟
+
+713
+00:49:57,690 --> 00:50:02,470
+المصاب، لكن الأول أنا باهتم بالمصاب، بعد المكان، 
+
+714
+00:50:02,470 --> 00:50:05,870
+يبقى التنتين صحيحتان، الأولى طبعا أصح، سلامة المصاب
+
+715
+00:50:05,870 --> 00:50:09,090
+من سلامة المكان، وليس سلامة المكان من سلامة
+
+716
+00:50:09,090 --> 00:50:14,170
+المصاب، الثانية صحيحة، لكن الأصح أسلوب تفضيل، فضل 
+
+717
+00:50:14,170 --> 00:50:16,350
+الله عليكم بالخير، وإن شاء الله نكمل في لقاء ثاني
+
+718
+00:50:16,350 --> 00:50:18,780
+بإذن الله تعالى، شكرا لكم يعني هيك احنا ممكن أنهينا
+
+719
+00:50:18,780 --> 00:50:22,860
+يعني ممكن احنا أخذنا جزء بسيط كمقدمة كقوانين إسعاف
+
+720
+00:50:22,860 --> 00:50:26,840
+أولية تمام؟ إيش الأسباب التي تؤدي للإسعاف الأولي؟
+
+721
+00:50:26,840 --> 00:50:30,340
+وطبعا يعني بعض العبارات البسيطة وإن شاء الله المرة
+
+722
+00:50:30,340 --> 00:50:32,320
+الجارية هنكمل شكرا لكم وبركة الله فيكم 
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/2oxUF8zspOw_postprocess.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/2oxUF8zspOw_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..d7279711fa7c45c9aab1832235a455a69f60330d
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/2oxUF8zspOw_postprocess.srt
@@ -0,0 +1,2888 @@
+1
+00:00:04,940 --> 00:00:06,960
+بسم الله الرحمن الرحيم الصلاة والسلام على أشرف
+
+2
+00:00:06,960 --> 00:00:10,740
+المرسلين سيدنا محمد وأهلي وصحدي وسلم يعني بداية
+
+3
+00:00:10,740 --> 00:00:14,000
+بنراحب فيكوا مع بداية الفصل في مادة الأسعافات
+
+4
+00:00:14,000 --> 00:00:18,260
+الأولية ان شاء الله نكون موفقين وياكم في توصيل
+
+5
+00:00:18,260 --> 00:00:21,240
+المعلومات اللي انتوا ممكن تستفيدوا منهالأن طبعا
+
+6
+00:00:21,240 --> 00:00:24,600
+يمكن بدأة الإسعاف الأولى يمكن البعض ما بيعتبرها
+
+7
+00:00:24,600 --> 00:00:28,260
+فقط هي مادة متطلب جامعي أو حابب يدرسها، لأ هي
+
+8
+00:00:28,260 --> 00:00:32,160
+بيعتبرها إنها فعلا من المواد الحياتية، المواد
+
+9
+00:00:32,160 --> 00:00:35,240
+اليومية والاشياء اللي احنا لازم نكون عندنا خبرة
+
+10
+00:00:35,240 --> 00:00:39,650
+فيهالأن مافيش إنسان ممكن يعني مايعديش عليه ضرف
+
+11
+00:00:39,650 --> 00:00:46,610
+سواء جريح كسر، نزيف، حرق، تسمم، مشكلة مع طفل صغير،
+
+12
+00:00:46,610 --> 00:00:50,910
+مع طفل كبير، واحد اختنق، يعني هذه المشاكل كلها
+
+13
+00:00:50,910 --> 00:00:53,690
+اللي احنا ممكن نواجهها في حياتنا ممكن تكون طبعا
+
+14
+00:00:53,690 --> 00:00:59,630
+داخل الجامعة، داخل البيت، احيانا بعض المواقف تتطلب
+
+15
+00:00:59,630 --> 00:01:04,330
+تدخل سريع و وقت ضرور جدا ان نحسبهو احنا احيانا
+
+16
+00:01:04,330 --> 00:01:07,890
+يمكن الوجت يكون عندنا بالساعات يمكن فراغ لكن
+
+17
+00:01:07,890 --> 00:01:12,590
+احيانا الثواني في .. في قصة انقاذ شخص معين طفل
+
+18
+00:01:12,590 --> 00:01:15,830
+صغير طبعا يكون ضروري جدا وبالتالي في الإسعاف
+
+19
+00:01:15,830 --> 00:01:20,710
+الأولي انا يعني بهمني ان انا كيف يعني استخدم الوجت
+
+20
+00:01:20,710 --> 00:01:25,030
+بطريقة صحيحةيعني أحيانا نقول والله احنا مثلا في
+
+21
+00:01:25,030 --> 00:01:28,310
+عندنا بعض الأشياء لازم أستخدمها مثلا بطريقة طبية
+
+22
+00:01:28,310 --> 00:01:31,690
+بحاجة معقمة لو سبب .. أسمي مثلا كان عندنا مثلا
+
+23
+00:01:31,690 --> 00:01:35,530
+جروح أو نزيخ و أحيانا بالزمن مثلا في الكثور يكون
+
+24
+00:01:35,530 --> 00:01:38,730
+عندي جابيرة طبية لكن احنا في الإسعاف الأولي ناخدها
+
+25
+00:01:38,730 --> 00:01:45,150
+كقاعدة كلمة فش إمكانيات هذه مش موجودة بمعنى أن عدم
+
+26
+00:01:45,150 --> 00:01:48,990
+توفر الإمكانيات لا يعني تقديم .. عدم تقديم الخدمة
+
+27
+00:01:49,520 --> 00:01:53,340
+يعني دايما في الإسعاف الأولى فيه كلمة البديل ضروري
+
+28
+00:01:53,340 --> 00:01:58,480
+جدا أن أنا أستخدم يعني مهارتي وطبعا يعني ابتكاري
+
+29
+00:01:58,480 --> 00:02:02,560
+وطبعا هنشوفه من خلال يعني خصائص المسعف اللي طبعا
+
+30
+00:02:02,560 --> 00:02:04,780
+يعني بتنطق على الشخص اللي بتقدم خدمة الإسعاف
+
+31
+00:02:04,780 --> 00:02:08,540
+الأولى ودايما يعني مادة الإسعاف الأولى أو آلة
+
+32
+00:02:08,540 --> 00:02:12,700
+الإسعاف الأولى تتطلبالقاعدة العلمية تتطلب إنسان
+
+33
+00:02:12,700 --> 00:02:16,180
+يكون عنده خلفية علمية عشان ليش بده يسوي طبعا
+
+34
+00:02:16,180 --> 00:02:19,080
+الإجراء هذا يمكن أنا لما بدأ أعرف أنا ليش مثلا بدأ
+
+35
+00:02:19,080 --> 00:02:22,940
+أستخدم موضوع معين لمرض معين أو قالية معينة أو حركة
+
+36
+00:02:22,940 --> 00:02:26,960
+معينة إذا ما كانت مبنية على أسلوب عيمي قد تضر أكتر
+
+37
+00:02:26,960 --> 00:02:30,180
+منها أيش تنفع وبالتالي احنا ان شاء الله يعني خلال
+
+38
+00:02:30,180 --> 00:02:33,480
+الفصل هنتعرف على أشياء كتيرة من خلالها أنا كيف
+
+39
+00:02:33,480 --> 00:02:38,260
+أتعامل مع الطفل الصغير مرورا بشاب مرورا بالمسن
+
+40
+00:02:38,260 --> 00:02:41,990
+وانا طبعا من خلال دراستناطبعا الشيء التاني احنا
+
+41
+00:02:41,990 --> 00:02:45,210
+كلنا يعني عدينا بتجارب و التجارب هذه يعني .. يعني
+
+42
+00:02:45,210 --> 00:02:50,230
+هنستخدمها كمثال او كامثلة واقعية احنا ممكن نستفيد
+
+43
+00:02:50,230 --> 00:02:53,310
+منها من حياتنا العملية كل حرفينا ممكن عند مثال
+
+44
+00:02:53,310 --> 00:02:56,350
+بناء على الموضوع اللي احنا بنتكلم فيه يعني انا أحب
+
+45
+00:02:56,350 --> 00:02:59,170
+يكون مشارك معانا في الموضوع هذا حتى احنا كلنا
+
+46
+00:02:59,170 --> 00:03:01,970
+نستفيد يمكن الموقف اللي انت عدت فيه غيرك ماعداش
+
+47
+00:03:01,970 --> 00:03:05,140
+فيه وبالتالي عشان إيش نستفيديعني البعض بيقولك
+
+48
+00:03:05,140 --> 00:03:07,760
+والله أنا شفتهم بيسووا كده، طب ليه شفتين بيسووا
+
+49
+00:03:07,760 --> 00:03:10,780
+كده؟ أنا شفتهم هيك، لأ لما يكون عندنا القاعدة
+
+50
+00:03:10,780 --> 00:03:15,380
+العلمية والسبب، ليش؟ هم سمي ال rational، أنا بعمل
+
+51
+00:03:15,380 --> 00:03:18,280
+الشيء الفلاني علشان كده، لكن لما يقولوا والله هم
+
+52
+00:03:18,280 --> 00:03:20,660
+شافوا، هم جالوا، هذا مافيش عندنا في الإسعاف
+
+53
+00:03:20,660 --> 00:03:24,360
+الأولى، وبالتالي يا أخواتنا، احنا لازم نعمل أو لما
+
+54
+00:03:24,360 --> 00:03:28,850
+نعمل أي إجراءلازم يكونوا عارفين ليش و بدأنا نشارك
+
+55
+00:03:28,850 --> 00:03:31,870
+مع بعض ان شاء الله تعالى في المادة هذه اللي طبعا
+
+56
+00:03:31,870 --> 00:03:35,370
+من اهم المواضيع امكن هي صح من متطلبات الجامعة في
+
+57
+00:03:35,370 --> 00:03:38,850
+مواضيع تانية اخرى لكن البعض الطالبات لو احنا عملنا
+
+58
+00:03:38,850 --> 00:03:41,610
+يعني بعض الاستفتاء هيقولك انا مش بس عشان المادة
+
+59
+00:03:41,610 --> 00:03:44,510
+المتطلب لأ انا بدي استفيد من المادة هذه خاصة طبعا
+
+60
+00:03:44,510 --> 00:03:46,890
+في حياتنا العمليةوبالتالي يمكن هنا يعني اليوم
+
+61
+00:03:46,890 --> 00:03:50,030
+هيتكلم على بعض الأهداف اللي خلال المحاضرة ان شاء
+
+62
+00:03:50,030 --> 00:03:53,530
+الله هنجيجها مع بعض بدنا نعرف الإسعاف الأولى ايش
+
+63
+00:03:53,530 --> 00:03:57,130
+أهداف الإسعاف الأولى أهمية دراستنا للإسعاف الأولى
+
+64
+00:03:57,130 --> 00:04:00,790
+طبعا انت كل مادة بتدرسيها إلها أهمية طبعا يمكن بعض
+
+65
+00:04:00,790 --> 00:04:04,010
+الموادوالمطلوبة في الجامعة لربام مادة الإسعاف
+
+66
+00:04:04,010 --> 00:04:07,350
+الأولى أهم بكتير منها يمكن بعض المواد الأخرى اللي
+
+67
+00:04:07,350 --> 00:04:10,570
+تدرسوها بعد ما خلص الفصل أو الفصلين كنت نسي كتير
+
+68
+00:04:10,570 --> 00:04:14,570
+لكن مادة الإسعافة لو بالذات هي هتستمر معاكي مدى
+
+69
+00:04:14,570 --> 00:04:17,690
+الحياة أسباب الإصابات ليش بيصير عندنا حوادث طبعا
+
+70
+00:04:17,690 --> 00:04:20,550
+عندنا تلت أسباب أساسية هنتكلم عنها بالتفصيل مين هو
+
+71
+00:04:20,550 --> 00:04:23,510
+الشخص المسعف وبالتالي يا أخواتنا هي مادة الإسعاف
+
+72
+00:04:23,510 --> 00:04:28,010
+الأولى هي مادة عملية علمية عملية يعني نظرية عملية
+
+73
+00:04:28,240 --> 00:04:31,520
+ما بنفعقول والله انا مثلا يعني بعض المواد الأخرى
+
+74
+00:04:31,520 --> 00:04:34,920
+على سبيل المثال انت ممكن تحفظيها بصم تمام؟ لكن
+
+75
+00:04:34,920 --> 00:04:38,880
+مالاش تطبيقات عملية مثلا أشياء إنشائية لكن بعض
+
+76
+00:04:38,880 --> 00:04:42,240
+المواد الأخرى ومن ضمن طبعا المواد العملية وعلى رأس
+
+77
+00:04:42,240 --> 00:04:45,240
+القائمة مدت لساعة الأولى طبعا وكتير من المواد
+
+78
+00:04:45,240 --> 00:04:49,920
+الطبية والصحية والتمريضية اذا انت ماكنت تطبيقيها
+
+79
+00:04:49,920 --> 00:04:54,320
+عملي هتنسيها وانت وانا فعلا بعض الأمثل البسيطة
+
+80
+00:04:54,320 --> 00:05:01,120
+يعني أسمع فأنسىأرا فأتذكر أشارك فلا أنسى وبالتالي
+
+81
+00:05:01,120 --> 00:05:04,860
+هنا إذا احنا مثلا شفت على الفيديو أو شفت جريت في
+
+82
+00:05:04,860 --> 00:05:08,500
+الكتاب معلومة صحية لكن إذا أنت بصمتها 100% وما
+
+83
+00:05:08,500 --> 00:05:13,970
+شاركت فيهاهتنسيها إذا أنت مثلا شفت كلام ممكن
+
+84
+00:05:13,970 --> 00:05:18,830
+تتذكري ممكن تنسيه إذا أنت شفت كلام أو صورة هتتذكري
+
+85
+00:05:18,830 --> 00:05:22,950
+لكن في التطبيق العملي هيكون صعب وبالتالي يازم نكون
+
+86
+00:05:22,950 --> 00:05:26,810
+مشاركين لبعض الإجراءات يمكن بعض الأشياء أو تطبيقات
+
+87
+00:05:26,810 --> 00:05:30,450
+البسيطة اللي احنا بنطلبها هنا في القاعة هذه ممكن
+
+88
+00:05:30,450 --> 00:05:33,090
+نفديها في البيت أو ممكن نفدي احنا بعضها في القاعة
+
+89
+00:05:33,090 --> 00:05:37,190
+هنا تاني حاجة دور نصف في حالات الطوارئطبعا مهم جدا
+
+90
+00:05:37,190 --> 00:05:40,870
+جدا وكتير بتلاحظوا انه جديش بيقولك والله قامل و
+
+91
+00:05:40,870 --> 00:05:43,730
+سافرين بين قاد او رجال الدفاع المادي بين قاد طبعا
+
+92
+00:05:43,730 --> 00:05:47,730
+كلهم عندهم تدريبات ومؤهلين انهم يقدموا الخدمة لان
+
+93
+00:05:47,730 --> 00:05:51,110
+طبعا يكون عندهم دورات و تخصص ومادة الإسعاف الأول
+
+94
+00:05:51,110 --> 00:05:54,010
+يا اخواتنا ماهياش فقط ان جول الله دبلوم او مثلا
+
+95
+00:05:54,010 --> 00:05:57,530
+دورة او شيء لأ هي فيها تخصص طبعا تصل لدرجة
+
+96
+00:05:57,530 --> 00:06:01,380
+الدكتورةالأجهزة الحيوية في الجسم طبعا احنا فيها أن
+
+97
+00:06:01,380 --> 00:06:04,980
+أجهزة حيوية وهو طبعا كنت لاحظه في بعض الأوقات أن
+
+98
+00:06:04,980 --> 00:06:09,120
+كيف الجسم باهتم في تغذية بعض الأجهزة الحيوية يعني
+
+99
+00:06:09,120 --> 00:06:14,100
+نقول مثلا مثال مثال بسيط جدا لما نقول إنسان أصيب
+
+100
+00:06:14,100 --> 00:06:18,360
+مثلا طلق ناري في القلب وإنسان آخر أصيب طلق ناري
+
+101
+00:06:18,360 --> 00:06:22,900
+مثلا بالساق والخطورة هنا طبعا في القلب لأن طبعا
+
+102
+00:06:22,900 --> 00:06:27,700
+الجهاز حيوي لأن لو بترت الأربع أطراف مش هيموتلكن
+
+103
+00:06:27,700 --> 00:06:31,720
+لو القلب أصيب لأنه هيموت أو مثلا عندنا الكابيت أو
+
+104
+00:06:31,720 --> 00:06:34,920
+عندنا مثلا طبعا الجهاز التنفسي وبالتالي الأجهزة
+
+105
+00:06:34,920 --> 00:06:37,660
+الحقيقية هي ضرورية جدا وهذه يعني هكونها دورة كبيرة
+
+106
+00:06:37,660 --> 00:06:41,300
+في تعريف بعض المصطلحات المدمنها الصدمة حقيبة
+
+107
+00:06:41,300 --> 00:06:44,360
+الإسعاف الأولي هو طبعا ممكن تكون أشياء بيتية يعني
+
+108
+00:06:44,360 --> 00:06:47,460
+موجودة في البيت أشياء بسيطة جدا كيف أنا من خلالها
+
+109
+00:06:47,460 --> 00:06:51,400
+يعني أقدم شيء بسيط قبل أن يوصل الشخص هذا إيش
+
+110
+00:06:51,400 --> 00:06:55,410
+للمستشفى و بتبقى ويعني ممكن أنا يعني أنفجهاو
+
+111
+00:06:55,410 --> 00:06:57,710
+مابلزم وصوله لمستشفيات ده كان طبعا أشياء بسيطة
+
+112
+00:06:57,710 --> 00:07:00,510
+طبعا إيش الفرق بين التعقيم و التطهير اللي من
+
+113
+00:07:00,510 --> 00:07:04,810
+خلالها أنا بده أتجنب أمراض كتيرة طبعا مابنعش ننسى
+
+114
+00:07:04,810 --> 00:07:08,870
+إن جاي نتكلم على الإسعاف الأولي انت كمقدم لخدمة
+
+115
+00:07:08,870 --> 00:07:13,520
+الإسعاف الأولي بدك تكون محافظ على نفسكما بنفع أقول
+
+116
+00:07:13,520 --> 00:07:16,780
+الله أنا بدي أقدم خدمة إسعاف أولي و ألقي بنفسي
+
+117
+00:07:16,780 --> 00:07:21,260
+بالخطر زي ما أقول مثلا عندك إنسان غريق و أنت ما
+
+118
+00:07:21,260 --> 00:07:23,840
+بتعرف تسبحي عندك ما شاء الله تمام تمام الأمور
+
+119
+00:07:23,840 --> 00:07:27,880
+الإسعاف الأولي 100% لكن أنت ما بتعرف تسبحي، بتغرج
+
+120
+00:07:27,880 --> 00:07:31,580
+بشبر ميه، ترمي نفسك عشان تنقذيه؟ طبعا لأ، وبالتالي
+
+121
+00:07:31,580 --> 00:07:36,220
+هاناحنا ما بدنا ننقذ غيرنا و نكون احنا اياش الضحية
+
+122
+00:07:42,490 --> 00:07:46,610
+طيب لو قولنا يا أخواتنا الإسعاف الأولى طبعا هذا
+
+123
+00:07:46,610 --> 00:07:50,410
+يعني كإسعاف أولى .. كتعريف بسيط لو سألنا بسيط ..
+
+124
+00:07:50,410 --> 00:07:54,530
+سؤال بسيط جدا الإسعاف الأولى يُعتبر رعاية ولا
+
+125
+00:07:54,530 --> 00:07:59,490
+علاج؟
+
+126
+00:07:59,490 --> 00:08:02,830
+ماشي
+
+127
+00:08:02,830 --> 00:08:07,320
+المساعدة فورية هيرعاية .. رعاية طبعا .. يعني هو
+
+128
+00:08:07,320 --> 00:08:10,880
+الرعاية الفورية المقدمة للشخص، عيلة اللي بده يحتاج
+
+129
+00:08:10,880 --> 00:08:14,740
+مستشفى، بده يحتاج محليل، طبعا أنا بأتكلم في حال
+
+130
+00:08:14,740 --> 00:08:17,840
+عدم موجود سيارة الإسعاف، أنا بأتكلم في حال عدم
+
+131
+00:08:17,840 --> 00:08:18,380
+موجود سيارة الإسعاف، أنا بأتكلم في حال عدم موجود
+
+132
+00:08:18,380 --> 00:08:18,480
+سيارة الإسعاف، أنا بأتكلم في حال عدم موجود سيارة
+
+133
+00:08:18,480 --> 00:08:21,720
+الإسعاف، أنا بأتكلم في حال عدم موجود سيارة
+
+134
+00:08:21,720 --> 00:08:23,420
+الإسعاف، أنا بأتكلم في حال عدم موجود سيارة
+
+135
+00:08:23,420 --> 00:08:26,500
+الإسعاف،
+
+136
+00:08:26,500 --> 00:08:30,820
+أنا بأتكلم في
+
+137
+00:08:30,820 --> 00:08:36,610
+حال عدم موجود سيارة الإسعاف، أناوأنا، الشخص هذا،
+
+138
+00:08:36,610 --> 00:08:40,950
+قبل ما وصله للمستشفى، أنا بقدّمله الرعاية، في حال
+
+139
+00:08:40,950 --> 00:08:43,670
+وصوله سيارة الإسعاف، في حال نجلناه للمستشفى، طبعا
+
+140
+00:08:43,670 --> 00:08:46,490
+نتقل لمرحلة العلاجة، تمام؟ وبالتالي، هنا الإسعاف
+
+141
+00:08:46,490 --> 00:08:49,610
+الأول هو المساعدة الفورية أو الرعاية الفورية أو
+
+142
+00:08:49,610 --> 00:08:52,910
+العناية الفورية التي تقدّم الإنسان أصيب حادث أو
+
+143
+00:08:52,910 --> 00:08:56,370
+مرض مفاجئ، نقف شويه بس عند الكلمتين هدولة، حادث أو
+
+144
+00:08:56,370 --> 00:09:00,070
+مرض مفاجئ، هل أنا بقصد هنا الحادث حادث سيارة، حادث
+
+145
+00:09:00,070 --> 00:09:05,070
+موتوسيكل؟لأ طبعا هنا الحوادث اكتيرة، ضمن الحوادث
+
+146
+00:09:05,070 --> 00:09:09,750
+نتكلم عنها الغرق حادث، الحروق حادث، التسمم،
+
+147
+00:09:09,750 --> 00:09:16,570
+الكسور، الاختناق، لساعات النحل والدبون، عضات
+
+148
+00:09:16,570 --> 00:09:21,290
+الأفاعي، هذه كلها تعتبر حوادث، الكسور حوادث،
+
+149
+00:09:21,290 --> 00:09:24,890
+وبالتالي هنا الحادث أنا بقصد فيه أي حاجة ممكن تؤثر
+
+150
+00:09:24,890 --> 00:09:30,240
+على حياة الإنسان، أو مرض مفاجئ،فما بقدر أقول والله
+
+151
+00:09:30,240 --> 00:09:35,400
+كل إنسان يصاب بحادث معناه مريض لأن كنت تكون ماشية
+
+152
+00:09:35,400 --> 00:09:41,940
+اتزحلجتي فجأة يعني جشرة موز تحت رجلك اتزحلجتي أو
+
+153
+00:09:41,940 --> 00:09:46,120
+انت بتستعجل على الدرج أجعتي انت تمام تمام صحتك لكن
+
+154
+00:09:46,120 --> 00:09:50,580
+انت أساسا ماكنت مريضة لكن بعض الناس ممكن يكون مريض
+
+155
+00:09:50,580 --> 00:09:57,160
+أصلا لكن مثلا اتعرض لخبرصادم، نسي ياخد مثلا
+
+156
+00:09:57,160 --> 00:10:02,460
+الانسولين، ارتفع عليه مثلا خبر مفرح أو مفجع،
+
+157
+00:10:02,460 --> 00:10:05,820
+اتغيرت حالته الصحية وهنا طبعا نبصد ان احنا في مرض
+
+158
+00:10:05,820 --> 00:10:10,740
+مفاجئ، ان الانسان مثلا عنده مرض مزمن لكن ايجا عليه
+
+159
+00:10:10,740 --> 00:10:15,460
+ظرف من الظروف، غير الوضعية الصحية بالنسباله، خبر
+
+160
+00:10:15,460 --> 00:10:19,850
+سيء، ارتفعت الضغط عندهمثلا لو واحد مريض سكر، زي
+
+161
+00:10:19,850 --> 00:10:24,210
+الغضب مش ماخد .. مش ماكل أو مش مفطر و ماخد مثلا
+
+162
+00:10:24,210 --> 00:10:27,660
+فقط الانسولينيبقى صار عندهم انخفاض معادل السكر
+
+163
+00:10:27,660 --> 00:10:31,180
+وبالتالي أنا بقدم الإسعاف الأولى للصحيح اللي أصيب
+
+164
+00:10:31,180 --> 00:10:36,020
+بالحادث وللمريض اللي اتغير وضعه إيش الصحيح لبنى
+
+165
+00:10:36,020 --> 00:10:39,680
+بحادث أو مرض مفاجئ قبل وصول مساعدة طبية متخصصة أو
+
+166
+00:10:39,680 --> 00:10:43,840
+قبل نقله لأقرب مركز صحي أو مستشفى لبنى ما نصل
+
+167
+00:10:43,840 --> 00:10:47,660
+لنتيجة إن الإسعاف الأولى هو رعاية فورية تقدم لأي
+
+168
+00:10:47,660 --> 00:10:51,660
+شخص أصيب بحادث أو مرض مفاجئ لحين وصول سيارة
+
+169
+00:10:51,660 --> 00:10:58,730
+الإسعاف أو نقله لأقرب مركز صحيحطيب نجح هنا أن طبعا
+
+170
+00:10:58,730 --> 00:11:01,950
+كل حاجة احنا بنسويها لازم يكون لها هداف، كل إنسان
+
+171
+00:11:01,950 --> 00:11:04,250
+في حياته تقوله هداف، انت دراستك هنا في الجامعة لها
+
+172
+00:11:04,250 --> 00:11:06,930
+هداف، بدك تاخد الشهادة ان شاء الله و بعدين طبعا
+
+173
+00:11:06,930 --> 00:11:10,030
+بعد الشهادة تكمن ان شاء الله ماجستير و بعديها طبعا
+
+174
+00:11:10,030 --> 00:11:13,190
+.. و كل واحد له هدافه، تمام؟ الحياة بدون هداف
+
+175
+00:11:13,190 --> 00:11:17,520
+مالها طعم، معناه إنسان بعيش على الفاضيطبعا وما
+
+176
+00:11:17,520 --> 00:11:20,400
+خلقتوا الجن و الإنس إلا اللي يعبدون طبعا و العبادة
+
+177
+00:11:20,400 --> 00:11:23,980
+ماهيش بس الصلاة و الصوم لأ العمل عبادة لما مثلا
+
+178
+00:11:23,980 --> 00:11:27,120
+ينجز في عمله أو يقن في عمله برضه عبادة لكن الإنسان
+
+179
+00:11:27,120 --> 00:11:31,980
+بيكون عايش بدون هدف وكتير .. كتير بلاحظ أنه بعض
+
+180
+00:11:31,980 --> 00:11:34,340
+الناس اللي مثلا بيكون وما لهومش أهداف ممكن ينتحر
+
+181
+00:11:34,340 --> 00:11:37,340
+وبالتالي احنا أي حاجة يبقى نعملها لازم يكونها هدف
+
+182
+00:11:37,340 --> 00:11:43,210
+بدون .. طبعا مابديل عن التخطيط إلا الفشلحاجة بدون
+
+183
+00:11:43,210 --> 00:11:45,910
+تخطيط ما هو بيقولك شغل على البركة، مافيش حاجة عشان
+
+184
+00:11:45,910 --> 00:11:49,230
+شغل على البركة، أنا متمنع الله أه، لكن ليه تاخد
+
+185
+00:11:49,230 --> 00:11:52,890
+بالأسباب؟ عقلها وتوكل، وبالتالي طبعا من أهداف
+
+186
+00:11:52,890 --> 00:11:56,970
+الإسعاف الأولي، أول حاجة إنقاذ حياة المصاب، سواء
+
+187
+00:11:56,970 --> 00:12:00,850
+طبعا قلنا اللي أصيب حادث أو اللي عنده مرض مفاجئ،
+
+188
+00:12:00,850 --> 00:12:04,650
+طبعا أول حاجة أنا بدى أنقذ حياته، تمام؟ لما أنا
+
+189
+00:12:04,650 --> 00:12:10,350
+بدأ أتكلم على إنسان غريقلما نرميله الحبل او انسان
+
+190
+00:12:10,350 --> 00:12:14,310
+مثلا في مكان فيه حروق و طلعنا من المكان هذا احنا
+
+191
+00:12:14,310 --> 00:12:18,770
+انقذناه لكن ربما الشخص هذا عنده مشاكل اذا اول حاجة
+
+192
+00:12:18,770 --> 00:12:21,870
+انا بسويها اني بانقذ الشخص هذا بطلعه من المكان
+
+193
+00:12:21,870 --> 00:12:27,800
+اللي فيه خطورة عليه تاني حاجةتخفيف تأثير الإصابة،
+
+194
+00:12:27,800 --> 00:12:32,260
+بدي أتعامل معاه، طلعناه مثلا و راجل مثلا مولّع
+
+195
+00:12:32,260 --> 00:12:36,120
+كانون فحم في عزيزي البرد، و الكانون هذا طبعا أنتوا
+
+196
+00:12:36,120 --> 00:12:39,580
+عارفين بيطلع أول أكسيد الكربون، بسبب اقتناط، وميز
+
+197
+00:12:39,580 --> 00:12:42,840
+أول أكسيد الكربون أنه لا لون ولا ريحةعلى عكس طبعا
+
+198
+00:12:42,840 --> 00:12:45,780
+فانوكسيد الكربون بالتالي اللي ممكن يختنق تدريجيا
+
+199
+00:12:45,780 --> 00:12:50,480
+إذا احنا طلعناه من المكان هذا تمام هذا انقذناه لكن
+
+200
+00:12:50,480 --> 00:12:53,500
+ممكن ان هو يشكون مختنق فانا بدي أحافظ على حياته
+
+201
+00:12:53,500 --> 00:12:57,420
+أقلل من المشاكل بإن ممكن انا أعمله تنافس صناعي زي
+
+202
+00:12:57,420 --> 00:13:01,100
+مثلا الغريق اللي طلعناه من المكان من البحر وطلعناه
+
+203
+00:13:01,100 --> 00:13:06,010
+برا وطبعا الرئتين فيهم ميهأو بقالع ميه كمان فانا
+
+204
+00:13:06,010 --> 00:13:09,430
+بعمل إيش؟ إخراج المساعدة على إخراج الميه هذه و
+
+205
+00:13:09,430 --> 00:13:12,250
+مساعدته على التنافس الصناعي التجبهات التانية تخفيف
+
+206
+00:13:12,250 --> 00:13:18,910
+أثر الإصابة الهدف التالت تقليل المضاعفات لما أنا
+
+207
+00:13:18,910 --> 00:13:23,600
+أتكلم مع إنسان عنده مثلا كسوروالشخص هذا مثلا عنده
+
+208
+00:13:23,600 --> 00:13:27,820
+كسور في الأنق أو كسور مثلا في العمود الفقري أو
+
+209
+00:13:27,820 --> 00:13:32,180
+كسور في أي مكان تمام؟ لما أنا بدأ ناخد أبسط شيء إن
+
+210
+00:13:32,180 --> 00:13:36,280
+أنا بتكلم مثلا مع إنسان عنده كسور في الساق ناخد
+
+211
+00:13:36,280 --> 00:13:39,540
+الحاجات البسيطة إذا أنا بدأ أقلم المضاعفات معناه
+
+212
+00:13:39,540 --> 00:13:44,120
+أنا بدي أثبت الكسر زي ما هو بحاولش إعادة الكسرهذه
+
+213
+00:13:44,120 --> 00:13:48,320
+حاجة بسيطة لكن إنسان مثلا عنده كسور طب ممكن نثبت
+
+214
+00:13:48,320 --> 00:13:51,420
+الكسر على ما هو و هنأكل بالتفصيل لكن لما اتكلم على
+
+215
+00:13:51,420 --> 00:13:55,680
+إنسان عنده مثلا كسور في العنق أو إنسان مثلا كسور
+
+216
+00:13:55,680 --> 00:13:58,480
+في العمود الفقري و انت دلوقتي تلاحظ ان الصياب تسعى
+
+217
+00:13:58,480 --> 00:14:03,480
+لما تصل لأي مكان اشتباه لو كان اشتباه في كسور في
+
+218
+00:14:03,480 --> 00:14:08,360
+العنق طبعا بلبسه الكولر طبعا هي أساس دعاء ماشي
+
+219
+00:14:08,360 --> 00:14:12,230
+للعنق لفقرة العنق حتى لو كان اشتباهطبعا لو كان
+
+220
+00:14:12,230 --> 00:14:16,310
+عندك صوف الأمود الفقري واحد لحاله مش هيشيله اتنين
+
+221
+00:14:16,310 --> 00:14:18,990
+لحاله مش هيشيله اقل شيء بيقولوا احنا بدنا أربعة
+
+222
+00:14:18,990 --> 00:14:24,150
+ليش؟ لأن العمود الفقري فقرت واحيانا بتكون النقل
+
+223
+00:14:24,150 --> 00:14:29,330
+الخاطئ هو اللي نتج عنه الشلل أو الإصابة أو
+
+224
+00:14:29,330 --> 00:14:33,250
+المضاعفات مش من الإصابة بحد ذاتها وطبعا عشان
+
+225
+00:14:33,250 --> 00:14:36,230
+بيقولوا احنا بنقل المضاعفات اللي ممكن تصير لما
+
+226
+00:14:36,230 --> 00:14:39,350
+نتكلم على سبيل المثال طبعا أمثلة كتيرة واحد إنسان
+
+227
+00:14:39,350 --> 00:14:46,290
+مثلامريض سكر، تمام؟ واخد طبعا انسلين، واحنا بقول
+
+228
+00:14:46,290 --> 00:14:49,170
+مثلا إذا احنا مش عارفين، وهنا طبعا هنعرفها، إيش
+
+229
+00:14:49,170 --> 00:14:52,490
+أعراض غيبوبة السكر أو إيش أعراض ارتفاع السكر،
+
+230
+00:14:52,490 --> 00:14:56,890
+والشخص هذا أخد انسلين بدون ما يأكل، تمام؟ بدرجة
+
+231
+00:14:56,890 --> 00:15:00,530
+بديه يفقد وعيه، تمام؟ اعتناء كمان انسلين زيادة،
+
+232
+00:15:00,530 --> 00:15:04,660
+واحنا مش عارفينهيصير مضاعفات أكتر، هصير خطور أكتر،
+
+233
+00:15:04,660 --> 00:15:08,320
+وهنا طبعا بندخله في مضاعفات خطيرة تؤثر على الدماغ
+
+234
+00:15:08,320 --> 00:15:11,680
+بسبب نقص السكر الموجود A-H في الدم، وبالتالي أنا
+
+235
+00:15:11,680 --> 00:15:15,780
+من خلال إنقاذ المصاب، الحفاظ على حياة المصاب،
+
+236
+00:15:15,780 --> 00:15:17,900
+وتقليل المضاعفات هذه الأهداف الأساسية اللي من
+
+237
+00:15:17,900 --> 00:15:21,380
+خلالها ممكن أنا أقدم خدمة الإسعاف الأولي، طبعا هذه
+
+238
+00:15:21,380 --> 00:15:24,900
+الأهداف ممكن أنا أقيسها على كل الحالات اللي ممكن
+
+239
+00:15:24,900 --> 00:15:28,850
+أتعامل معاهاقصة لذلك سواء من الحالة البسيطة للحياة
+
+240
+00:15:28,850 --> 00:15:32,590
+المعقدة، واحد ملقى على الأرض، اشتباه كسور، سيفيه
+
+241
+00:15:32,590 --> 00:15:35,630
+زي ما هو، لكن أنت بتدور على أماكن تانية مثلا فيها
+
+242
+00:15:35,630 --> 00:15:39,010
+جروح، فيها نزيت، وهار طبعا من خلال تفقد الشخص اللي
+
+243
+00:15:39,010 --> 00:15:41,490
+هناخده، كمان شوية بخطوات مرتبة
+
+244
+00:15:48,530 --> 00:15:51,910
+طبعا عوام النجاح هنا إحنا في الإسعاف الأولى، طبعا
+
+245
+00:15:51,910 --> 00:15:54,230
+هذا يعني برضه القانون اللي جيتها اتكلموا كمان
+
+246
+00:15:54,230 --> 00:15:58,410
+وخطوات مرتبة، العناية بالمصاب ككل، طبعا أهم جهاز
+
+247
+00:15:58,410 --> 00:16:03,370
+أنا بدأ أتفقده اللي هو الجهاز التنفسيليش؟ انه لو
+
+248
+00:16:03,370 --> 00:16:05,710
+كان عندى نزيف انا ممكن اضغط على النزيف او اي انسان
+
+249
+00:16:05,710 --> 00:16:09,010
+ممكن يضغط على النزيف طبعا ممكن لو طفل لو انسان
+
+250
+00:16:09,010 --> 00:16:12,390
+صغير في السن ممكن طبعا يضغط على مكان النزيف لكن
+
+251
+00:16:12,390 --> 00:16:14,430
+اذا كان الانسان ماعندوش خبرة في عملية التنفس
+
+252
+00:16:14,430 --> 00:16:18,870
+الاصطناعي وكيفية ان يفقد طبعا يتفقد مكان التنفس
+
+253
+00:16:18,870 --> 00:16:23,670
+الصناعي يتفقد الجهاز التنفسي يتفقد مدخل الهواء
+
+254
+00:16:23,670 --> 00:16:27,300
+للجهاز التنفسي طبعا هيكون صعبوبالتالي احنا بناخد
+
+255
+00:16:27,300 --> 00:16:32,240
+الجسم ككل عملية تفقد وعملية طبعا تابعة وملاحظة وين
+
+256
+00:16:32,240 --> 00:16:35,560
+اماكن الخطر اللي انا ممكن ابدأ فيها طبعا وين هنبدأ
+
+257
+00:16:35,560 --> 00:16:39,040
+هناخد طبعا تدرجيا من وين انا ممكن ابدأ مع الشخص
+
+258
+00:16:39,040 --> 00:16:42,860
+حاجة تانية يعني هي بنفسية المصعبة هذه نقطة مهمة
+
+259
+00:16:42,860 --> 00:16:47,960
+كتير النفسية يعني العامل النفسي الطمأنة ومن هنا
+
+260
+00:16:47,960 --> 00:16:52,160
+طبعا نقول احنا احد مهام او وظائف او خصائص المصعف
+
+261
+00:16:52,160 --> 00:16:56,220
+القدر على الطمأنةلما ينسان يقول على سبيل المثال
+
+262
+00:16:56,220 --> 00:17:02,420
+إذا كان الشخص هذا مثلا في حالة سيارة، أسرة، و هو
+
+263
+00:17:02,420 --> 00:17:06,020
+اللي ربنا أنقضه من بين أسرة هذه، كلهم ماتوا أو
+
+264
+00:17:06,020 --> 00:17:10,020
+مثلا غيره، تمام؟ إحنا كيف بدنا نتعامل مع الشخص هذا
+
+265
+00:17:10,020 --> 00:17:16,040
+و نفسيته؟ نقول والله يعني أحمد ربك إنه .. إن ربنا
+
+266
+00:17:16,040 --> 00:17:21,340
+كتبلك عمر جديد، لكن الله يرحم الباقين هي بتمنى
+
+267
+00:17:21,340 --> 00:17:27,390
+يموت معهملكن احنا لازم نقدر نعالجه نفسيا لان دايما
+
+268
+00:17:27,390 --> 00:17:31,530
+اذا كان يعني هو عدى في صدمة و عدى في مشكلة و عدى
+
+269
+00:17:31,530 --> 00:17:35,190
+في حادث انا بقادي ازود المشكلة عليه طبعا لأ
+
+270
+00:17:35,190 --> 00:17:38,910
+وبالتالي دايما العامل النفسي مهم جدا ده مقول طبعا
+
+271
+00:17:38,910 --> 00:17:44,330
+يعني احيانا حتى المعاملة مع المريض اذا كان معاملة
+
+272
+00:17:44,330 --> 00:17:49,050
+انت بتقدميله كل حاجة لكن معاملة مش انسانية بدوشها
+
+273
+00:17:49,050 --> 00:17:53,370
+العلاج كلهولها المعاملة ولها الخدمة لكن أحيانا
+
+274
+00:17:53,370 --> 00:17:57,730
+بقول والله يعني هذا الإنسان بساعدني و بقدملي خدمة
+
+275
+00:17:57,730 --> 00:18:01,590
+أنا برتاح باسم الكلام أكتر من العلاج و هنقول أن
+
+276
+00:18:01,590 --> 00:18:05,690
+بسمتك في وجه أخيك صدقة وبالتالي هنا العامل النفسي
+
+277
+00:18:05,690 --> 00:18:10,110
+مهم جدا في حال أن أنت بدأت تساعد إنسان عنده مشكلة
+
+278
+00:18:10,110 --> 00:18:14,390
+صحية لأن ببنقول حاجة تانية خواتنا دايما لو قدم أي
+
+279
+00:18:14,390 --> 00:18:20,580
+خدمة ضع نفسك مكانه إذا أنت تتقبلحد يعملك الصورة دي
+
+280
+00:18:20,580 --> 00:18:24,120
+عامل، لكن ماحدش بتقبل، وبتقول الحين قاعدة عامل
+
+281
+00:18:24,120 --> 00:18:27,860
+الناس كما تحب أن يعاملوك ولا كما .. ولا كما تحب أن
+
+282
+00:18:27,860 --> 00:18:32,080
+تعامل،
+
+283
+00:18:32,080 --> 00:18:36,660
+إذا أنت بتعامل الناس كما يعاملوكأهي هي، يعني هو
+
+284
+00:18:36,660 --> 00:18:42,040
+مثلا عملك ب .. بشدة، هتعامل بشدة، لكن أنت بدأ تكون
+
+285
+00:18:42,040 --> 00:18:46,100
+تعامل الناس بابتسام، كما تحب أن تعامل، أنت بتحب
+
+286
+00:18:46,100 --> 00:18:49,340
+تعامل بإيش بالحسنة، مش تتعاملهم بالشدة والغلطة،
+
+287
+00:18:49,340 --> 00:18:53,140
+تمام؟إيه بقى الناحية التانية الناحية النفسية؟ إيه
+
+288
+00:18:53,140 --> 00:18:56,820
+بقى الإنسان شقين يا خواتنا جسدي و نفسي إذا كان
+
+289
+00:18:56,820 --> 00:19:00,100
+الناحية الجسدية أنا اهتمت فيها و نسيت الجانب
+
+290
+00:19:00,100 --> 00:19:04,160
+النفسي أنا ماكملتش المشوار بالتالي يجب أن نعيش
+
+291
+00:19:04,160 --> 00:19:10,420
+الناحية الجسدية و الناحية النفسية التعامل
+
+292
+00:19:10,420 --> 00:19:15,160
+مع الإصابات حسب الأولوية مين أولى؟ مش حسب الجرابة
+
+293
+00:19:15,160 --> 00:19:21,660
+ولا حسب الدين ولا حسب الملة ولا حسب العرقأي ضحية
+
+294
+00:19:21,660 --> 00:19:27,840
+انسى ديانته انسى جرابته انسى من هو لأن هو اعتبر
+
+295
+00:19:27,840 --> 00:19:32,820
+انسان وانت لو انت كنت في نفس المكان بدك حد يعملك
+
+296
+00:19:32,820 --> 00:19:36,800
+بالحسنة بدك حد يقدم لك خدمة .. خدمة ساعف أولا يعني
+
+297
+00:19:36,800 --> 00:19:39,560
+مثلا نقول والله الجريب و لا أخوه .. أخوه بإصابته
+
+298
+00:19:39,560 --> 00:19:43,340
+بسيطة و الغريب هذا اللي معاه مثلا مشكلة أو عامل
+
+299
+00:19:43,340 --> 00:19:47,090
+معاه مشكلة قبل كده إصابته خطيرة لأهنا ناحية
+
+300
+00:19:47,090 --> 00:19:50,210
+إنسانية ومن أحياها فكأننا ما أحيا الناس جميعا
+
+301
+00:19:50,210 --> 00:19:53,590
+وبالتالي يا أخواتنا لما يكون عندنا مثلا إنسان
+
+302
+00:19:53,590 --> 00:19:59,070
+بحاجة لخدمة إنسانية أو خدمة طبية أو خدمة صحية مهما
+
+303
+00:19:59,070 --> 00:20:03,770
+كان ملته إنسان أنا بتقدمه .. و بعدين نقول عليه
+
+304
+00:20:03,770 --> 00:20:08,130
+جضايا .. لأ مش دورنا هذا احنا دورنا إننا ننقضهم
+
+305
+00:20:08,130 --> 00:20:11,430
+بعدين طبعا أصحاب الاختصاص هم أولى فيه وبالتالي
+
+306
+00:20:11,430 --> 00:20:15,290
+طبعا احنا حسب الأولوية أو نقول احنا الفرزأو
+
+307
+00:20:15,290 --> 00:20:18,270
+الترياج يعني مثلا إذا ميجي مثلا في المستشفيات
+
+308
+00:20:18,270 --> 00:20:21,530
+بيجعل المستشفيات في الاستقبال بيهتموا أيه الحالات
+
+309
+00:20:21,530 --> 00:20:24,970
+الأخطر؟ ميقولوش فلان و لا علان و لا لأ لأن طبعا
+
+310
+00:20:24,970 --> 00:20:27,950
+بتبقى لها المهنة مهنة إنسانية و طالما أنه مهنة
+
+311
+00:20:27,950 --> 00:20:34,430
+إنسانية بتعامل الضحية إنسان مش جريب ولا صديق حتى
+
+312
+00:20:34,430 --> 00:20:38,430
+لو كان من أي ملة حتى لو كانت HDMI 2 بغض النظر طبعا
+
+313
+00:20:38,430 --> 00:20:41,150
+الأشياء دي كلها لأن المهنة مهنة إنسانية
+
+314
+00:20:44,310 --> 00:20:46,890
+التعامل مع حدث بشكل عام كاستدعاء سيارة الإسعاف
+
+315
+00:20:46,890 --> 00:20:50,850
+يعني أنا بدي أنا أقدم خدمة و في نفس الوجد أستعين
+
+316
+00:20:50,850 --> 00:20:54,630
+في حد يطلب سيارة الإسعاف مابنفع بقى أخلص كل حاجة و
+
+317
+00:20:54,630 --> 00:20:57,370
+أقولهم الله طلبوله سيارة الإسعاف وبالتالي أنا
+
+318
+00:20:57,370 --> 00:21:00,550
+بستهلك .. بستغلي الوجد و أتمنى أنه قاعدة، أنا جيت
+
+319
+00:21:00,550 --> 00:21:03,790
+حانة تكرها مرتبة كيف أنا ممكن أستدعي سيارة الإسعاف
+
+320
+00:21:06,150 --> 00:21:09,070
+أهمية دراسة الإسعاف الأولية .. احنا اتكلمت و
+
+321
+00:21:09,070 --> 00:21:12,970
+اتكلمنا وين؟ على الأهداف .. هنتكلم على الأهمية ..
+
+322
+00:21:12,970 --> 00:21:15,950
+أهمية دراستها مساعدة الآخرين .. بقولك أنا و الله
+
+323
+00:21:15,950 --> 00:21:22,430
+بحب أخدم غيري .. و يا سلام لو انت أنقضتي شخص تاني
+
+324
+00:21:22,430 --> 00:21:28,660
+أو ساعدتي جدش بتكون مرتاحة نفسيالكن أحيانا لما
+
+325
+00:21:28,660 --> 00:21:34,020
+الإنسان ممكن يعني نقول مثلا كان جادر و خدوا بالك
+
+326
+00:21:34,020 --> 00:21:38,080
+يا أخواتنا إذا أنت كنت جادرة تنقذ حياة إنسان و
+
+327
+00:21:38,080 --> 00:21:43,360
+تركتيه تحاسبي لأن انت شاركت إيش فقتله لو مات مثلا
+
+328
+00:21:43,360 --> 00:21:50,300
+تمام انت جادر تقدميه خدمة تمام و سيبتيهطب ماحدش
+
+329
+00:21:50,300 --> 00:21:53,860
+شايفك القانون مش شايفك لكن ربنا شايفك انت بيكون
+
+330
+00:21:53,860 --> 00:21:57,600
+هيش .. هيش دمرتي حياته لكن جديش انت .. و انت طب
+
+331
+00:21:57,600 --> 00:22:00,600
+ممكن تشعر في الشيء هذا جديش لما يكون إنسان مريض
+
+332
+00:22:00,600 --> 00:22:05,760
+وساعتيه سكتيه شففت من وجعه كلمتين طيبين انت داخل
+
+333
+00:22:05,760 --> 00:22:09,160
+الجدش انت بتكون مرتاحة وبالتالي هنا يا أخواتنا
+
+334
+00:22:09,160 --> 00:22:13,960
+لازم نشعر ان في هذا يعني ناحيتين ناحية دينية ان
+
+335
+00:22:13,960 --> 00:22:17,780
+انت إليك أجر و ناحية دينية ان انت قدمتي خدمة
+
+336
+00:22:18,760 --> 00:22:23,080
+وبالتالي هنا أنا مساعدة الآخرين طبعا يعني هذا شيء
+
+337
+00:22:23,080 --> 00:22:27,580
+مهم جدا ممكن تساعدني نفسيا يعني جبر الخواطر انت صح
+
+338
+00:22:27,580 --> 00:22:32,280
+مش متخصصة لكن بكلمتين طيبين ساعدتي اتخففتي عنه سكت
+
+339
+00:22:32,280 --> 00:22:36,260
+يعني اتخففتي عنه انه مثلا يدخل في صدمة لو كان عنده
+
+340
+00:22:36,260 --> 00:22:42,720
+ايش مرض مزمن النحية التانيةمساعدة الفرد لنفسه احنا
+
+341
+00:22:42,720 --> 00:22:46,360
+لنفسنا كيف نلقى لنفسنا لو انت مثلا صار عندك اختناق
+
+342
+00:22:46,360 --> 00:22:51,580
+مافيش حد عندك وطبعا يعني عملية هتشوفوها كمان ان
+
+343
+00:22:51,580 --> 00:22:54,760
+شاء الله انت كيف ممكن تلقى لنفسك بنفسك مافيش عندك
+
+344
+00:22:54,760 --> 00:22:58,380
+اي حد انت مثلا صار عندك صداع انت صار عندك مثلا
+
+345
+00:22:58,380 --> 00:23:02,220
+حسيت حالك انك دائخة وصار عندك يعني عدم توازن ايش
+
+346
+00:23:02,220 --> 00:23:07,690
+الوضعية اللي ممكن تستعمليها انت صار عندك نزيفصار
+
+347
+00:23:07,690 --> 00:23:11,590
+عندك مثلا أبساط يعني في أنا أمثلة بسيطة جدا و هي
+
+348
+00:23:11,590 --> 00:23:13,690
+أبساطة مثلا نقول نزيفة لأنك كيف نتعامل، هنشوف
+
+349
+00:23:13,690 --> 00:23:17,290
+طبعا، فبالتالي أنت ممكن تخدم غيرك و في نفس الوجه
+
+350
+00:23:17,290 --> 00:23:22,210
+تخدم نفسك الاستعداد
+
+351
+00:23:22,210 --> 00:23:26,390
+للكوارث، احنا الحمد لله يعني بلدنا لا تستقر على
+
+352
+00:23:26,390 --> 00:23:31,830
+واضعيعني بين حروب، بين أحداث، وبالتالي يعني ..
+
+353
+00:23:31,830 --> 00:23:35,630
+وهذا طبعا ممكن تشهدوا على الشيء هذا إن في الحروب
+
+354
+00:23:35,630 --> 00:23:38,910
+يعني ناحيان .. ناحيان بعض الولادات الطارة ما تصل
+
+355
+00:23:38,910 --> 00:23:43,170
+للمستشفىمثلا بتنمي التوليدة في البيت فبالتالي يا
+
+356
+00:23:43,170 --> 00:23:46,330
+حباد لو كان مثلا عنده خبرة على سبيل المثال كي ممكن
+
+357
+00:23:46,330 --> 00:23:50,150
+يساعد في الحالة هذه وبالتالي هم نكون الناس اللي
+
+358
+00:23:50,150 --> 00:23:54,950
+عندهم خبرة بيخففوا الضغط عن المتخصصين اللي هم
+
+359
+00:23:54,950 --> 00:24:00,320
+بيكونوا وجودهم ضروري جدا لحالات خطيرةيعني لا يعقن
+
+360
+00:24:00,320 --> 00:24:03,760
+بالإنسان مثلا متخصص وانت مثلا جرح بسيط لأ في ناس
+
+361
+00:24:03,760 --> 00:24:06,480
+سنين مثلا الجرح البسيط هذا عندهم خلفية كيف
+
+362
+00:24:06,480 --> 00:24:10,320
+يتعاملوا معاه وبيتركوا الأشياء المعقدة أو الأشياء
+
+363
+00:24:10,320 --> 00:24:12,340
+اللي فيها خطورة على هذا الإنسان طبعا للناس
+
+364
+00:24:12,340 --> 00:24:17,820
+المتخصصين وكتير مثلا مافيش مواصلات مثلا في عندنا
+
+365
+00:24:17,820 --> 00:24:21,220
+حرب في .. في .. فاحنا طبعا بتتم إسعاف حالات كتيرة
+
+366
+00:24:21,220 --> 00:24:24,480
+داخل بيوت الولادة البيتية بتكتر في الحالة هذه
+
+367
+00:24:24,480 --> 00:24:25,360
+تمام؟
+
+368
+00:24:33,720 --> 00:24:39,760
+القانون الأول بالنسبة للسعافي الأولى انظر فكر اعمل
+
+369
+00:24:39,760 --> 00:24:48,260
+بمعنى ان انا هستخدم حواس النظر تمام و ايه؟ تفكير
+
+370
+00:24:48,260 --> 00:24:53,790
+اهغير هيكالة هستخدم طبعا الشم طبعا هجي القانون
+
+371
+00:24:53,790 --> 00:24:59,870
+التاني هستخدم الحواسب اللمس والشم والسمع والنظر
+
+372
+00:24:59,870 --> 00:25:04,330
+ناخد القانون الأول انظر فكر اعمل طبعا في القانون
+
+373
+00:25:04,330 --> 00:25:11,230
+هذا انا بانظر للمكان بانظر للمكان في إمكانية أقدم
+
+374
+00:25:11,230 --> 00:25:13,770
+خدمة ولا لأ لأن طبعا زي ما قلت فيها ان قانون
+
+375
+00:25:13,770 --> 00:25:16,730
+هجتكلم عليه او كقاعدة بس انا هجيته هتكلم بحاجة
+
+376
+00:25:16,730 --> 00:25:21,900
+بسيطة جدا انظر للمكانفكر إيش بدك تعمل، ممكن اللي
+
+377
+00:25:21,900 --> 00:25:26,000
+ربما في عندك اختقم من حالة، من الأولى، تمام؟ طبعا،
+
+378
+00:25:26,000 --> 00:25:30,140
+هذا شيء نظري، بالنظرة عن بعد، بيجي أن الجزية
+
+379
+00:25:30,140 --> 00:25:34,840
+التانية اعمل، تبدأ بالعمل بإنك تجرب على مكان
+
+380
+00:25:34,840 --> 00:25:38,980
+الضحية، يعني صير أقرب، انت كنت ماخد نظرة عن بعد
+
+381
+00:25:40,260 --> 00:25:45,200
+طبعا هنا هتجرب على المكان تعمل focusing للنظرة هذه
+
+382
+00:25:45,200 --> 00:25:48,760
+نفسها و تجرب على المكان عشان تبدأ تشتغل ايش مع
+
+383
+00:25:48,760 --> 00:25:53,020
+الشخص هذا احنا دربنا عليه نجي ننتقل للقانون التاني
+
+384
+00:25:53,020 --> 00:25:56,560
+و هذا القانون يا أخواتنا له علاقة بالجهاز التنفسي
+
+385
+00:25:56,560 --> 00:26:03,430
+انظر استمع استشعر او تحسسطبعا هنا ايش؟ بقول أن أهم
+
+386
+00:26:03,430 --> 00:26:09,130
+جهاز أنا بنتبه إليه بعد مطمئن إنه مافيش خطورة لأن
+
+387
+00:26:09,130 --> 00:26:12,110
+دايما يا أخواتنا بدي أنظر المكان آمن ومش آمن يمكن
+
+388
+00:26:12,110 --> 00:26:16,610
+هنا مثلا في سلك كهربا، يمكن مثلا في قصف، يمكن مثلا
+
+389
+00:26:16,610 --> 00:26:20,710
+في غراق، يمكن يمكن هذه حوارث طبعا أو أسباب بتأثر
+
+390
+00:26:20,710 --> 00:26:25,160
+علي إذا أنا جربتتمام؟ وهي طبعا كنتوا تشوفوها كتير
+
+391
+00:26:25,160 --> 00:26:29,900
+أيام كان مثلا قصف السيارات يقصف مثلا إنسان مستهدف
+
+392
+00:26:29,900 --> 00:26:33,040
+شوية تلاقي الشباب يهجموا على المكان نفسه، بدل
+
+393
+00:26:33,040 --> 00:26:36,880
+البحية يصيروا خمسة وبالتالي أنا بنظر، يعني أنا
+
+394
+00:26:36,880 --> 00:26:40,740
+جربت على الشخص هذا بعد ما أطمأنيت إن المكان آمن،
+
+395
+00:26:40,740 --> 00:26:44,320
+يعني بنظر القانون الأول، بطمنني إن في خطورة ولا
+
+396
+00:26:44,320 --> 00:26:48,830
+مافيش خطورة؟القانون التاني، انظر، استمع، استشعر أو
+
+397
+00:26:48,830 --> 00:26:54,690
+تحسس للجهاز التنفسي، بنظر للشخص هذا في نفس ولا فيش
+
+398
+00:26:54,690 --> 00:27:00,330
+نفس، و باسمع، يبقى أنا باسمع و بانظر، نظر أيش؟
+
+399
+00:27:00,330 --> 00:27:05,150
+لحركة الصدر، طبعا استشعر إن أنا بضع أيدي على الصدر
+
+400
+00:27:05,150 --> 00:27:09,800
+نفسه، يمكن يكون نفس ضعيفيعني بالنظر الكلش واضح،
+
+401
+00:27:09,800 --> 00:27:13,580
+بالتالة بضع إيدي عليهش على مكان الجهاز التنفسي و
+
+402
+00:27:13,580 --> 00:27:17,920
+بشوف، يبقى أنا بستخدم هنا الحواس، نظر، استماع
+
+403
+00:27:18,900 --> 00:27:22,640
+استشعار طبعا هذا القانون يا أخواتنا خاص بالجهاز
+
+404
+00:27:22,640 --> 00:27:26,600
+التنفسي القانون التاني لإن طبعا أهم جهاز انا بدي
+
+405
+00:27:26,600 --> 00:27:30,620
+أنتبه إليه هو الجهاز التنفسي طبعا مابقولش الجهاز
+
+406
+00:27:30,620 --> 00:27:34,400
+الهضمي ولا الجهاز البولي ولا الجهاز اللي .. لأ
+
+407
+00:27:34,400 --> 00:27:37,880
+الجهاز التنفسي لإن هو الأساس في دخول الأكسجين لوين
+
+408
+00:27:37,880 --> 00:27:43,350
+لجسم الإنسان من خلال الإرعاتين القانون التالتمجرى
+
+409
+00:27:43,350 --> 00:27:47,210
+التنفس، مجرى الهوى، بعدين نيجي لعملية التنفس
+
+410
+00:27:47,210 --> 00:27:50,990
+والنبض اللي هي مولحناه، مجرى التنفس أن يكون حيانا
+
+411
+00:27:50,990 --> 00:27:56,310
+مثلا الشخص فاقد وعيه وراجع وتماتنية أو الشخص مثلا
+
+412
+00:27:56,310 --> 00:28:02,330
+داخل في غيبوبة، تمام؟ أو مثلا إنه بتشنج وكان ياكل،
+
+413
+00:28:02,330 --> 00:28:05,990
+طب احنا بعمل إيش؟ إقلاق لمجرى التنفس، لأن أي إنسان
+
+414
+00:28:05,990 --> 00:28:09,270
+يا أخواتنا فينا لما نقول مثلا راجبه تماتنية وحاول
+
+415
+00:28:09,270 --> 00:28:13,790
+أنت تتنفسي، هتلاقي فيها صعوبةفبراك لما يكون إن
+
+416
+00:28:13,790 --> 00:28:18,850
+إنسان فاقد وعيه، وفي حال فقدان الوعي، كل عضلة
+
+417
+00:28:18,850 --> 00:28:22,950
+الجسم يكون فيها ارتخاء، ومن ضمنها عضلة اللسان،
+
+418
+00:28:22,950 --> 00:28:25,990
+اللي هم يقولون أنه بلع لسانه، ومبلع لسانه، لكن
+
+419
+00:28:25,990 --> 00:28:30,350
+قاعدة اللسان بتعمل على إغلاق الحنجرة، وبالتالة لما
+
+420
+00:28:30,350 --> 00:28:34,970
+أنت تتنرجب تكليكة، حاول تنفسي، فيها صعوبة،وانت ..
+
+421
+00:28:34,970 --> 00:28:39,270
+وانت يعني .. يعني قادر على التحكم في العضلات، فيما
+
+422
+00:28:39,270 --> 00:28:42,210
+يكي لإنسان يكون فاقد وعيه، معناه قاعدة اللسان تعمل
+
+423
+00:28:42,210 --> 00:28:46,290
+إيهاش على يغلغ، وبالتالة أنا بتطمن أن مجرة الهواء،
+
+424
+00:28:46,290 --> 00:28:48,770
+كبداية، مجرة الهواء مش عملية التنفس، لأ مجرة
+
+425
+00:28:48,770 --> 00:28:52,720
+الهواءأمن أو سالك ولا غير سالك أو مسلك اللي هو
+
+426
+00:28:52,720 --> 00:28:56,940
+برفع رجبته طبعا طبعا نكون حرصين لإنه أنا بدي أطمن
+
+427
+00:28:56,940 --> 00:29:01,260
+كمان إنه مافيش اشتباه في قصور العنق لإنها برضه
+
+428
+00:29:01,260 --> 00:29:04,040
+هنتعامل معاها وكيف احنا ممكن نتعامل معاها يبقى
+
+429
+00:29:04,040 --> 00:29:07,800
+باطمن أول حاجة مجرد التنفس في حاجة بالفم مافيش
+
+430
+00:29:07,800 --> 00:29:11,460
+حاجة رجبته متنية مش متنية يبقى بعدين لما أعمل
+
+431
+00:29:11,460 --> 00:29:15,180
+إجراءات هذه و أسلك مجرد التنفس و أتمي رجبته للخلف
+
+432
+00:29:15,180 --> 00:29:18,980
+تمام و أرفع الدق اللي أعلى بشوف في نفس ولا مافيش
+
+433
+00:29:18,980 --> 00:29:27,500
+نفسفي نفس، معناه إيش؟ عايش، مافيش نفس، طبعا بنتقل
+
+434
+00:29:27,500 --> 00:29:32,360
+للنبض، النبض هالي بده أستشعره، من أين بيستشعر
+
+435
+00:29:32,360 --> 00:29:37,400
+النبض هنا؟ في عندنا حالتين، في حالتين، إذا كان طفل
+
+436
+00:29:37,400 --> 00:29:41,720
+أو بالغ، طبعا في وضع طبيعي، يعني إذا كنا نستشعر،
+
+437
+00:29:41,720 --> 00:29:48,990
+من مكان، شريان، رسغتمام؟ هذا الشيء الطبيعي، لكن
+
+438
+00:29:48,990 --> 00:29:53,790
+الأطفال مش منها، اه من هذه المنطجة، من منطقة
+
+439
+00:29:53,790 --> 00:29:58,650
+العروض، لإن بيكون المنطجة هاي مزجنها، متفقة، بيصعب
+
+440
+00:29:58,650 --> 00:30:01,870
+أن احنا لما ن .. نحس بالنبض بيها، لإن بيقولوا
+
+441
+00:30:01,870 --> 00:30:07,670
+أمسكوا الطفلأنا هوضح لك إياها، كلامك صحيح، لكن
+
+442
+00:30:07,670 --> 00:30:10,830
+أقول في وضع طبيعي لما أقول احنا والله أنا بدأ أشوف
+
+443
+00:30:10,830 --> 00:30:15,310
+كام نبضة من نبضات القلب، ممكن نستخدم شريان الرصغ،
+
+444
+00:30:15,310 --> 00:30:18,110
+طبعا في أماكن تانية ممكن نستخدمها، لأن القلب اللي
+
+445
+00:30:18,110 --> 00:30:22,050
+بينبض و بودع الرصغ، بودع الرأس، بودع القدم، هو
+
+446
+00:30:22,050 --> 00:30:26,490
+القلب واحدتمام؟ بمعنى النبض اللي في الرأس أو في
+
+447
+00:30:26,490 --> 00:30:30,590
+العضل أو في الساعد أو في القدم أو بالفخر أو في
+
+448
+00:30:30,590 --> 00:30:34,250
+الحوت هو هو نفسه لكن أنا في حالات الإسعاف الأولى
+
+449
+00:30:34,250 --> 00:30:38,650
+بحاول إن أنا أستشعر النبض من شريان قريب على القلب
+
+450
+00:30:38,650 --> 00:30:44,350
+وكبير ليش؟ لأن دايما يا أخواتنا يعني شيء لا إرادي
+
+451
+00:30:44,350 --> 00:30:49,530
+إنه بيصير عندنا الاهتمام بالأجهزة الحيوية الداخلية
+
+452
+00:30:49,530 --> 00:30:54,750
+أكتر من الأطرافتمام؟ لأن الأطراف ممكن تلاقيش النبض
+
+453
+00:30:54,750 --> 00:30:59,290
+فيه وبالتالي هنتجه لشريان قوي وكبير ألا وهو
+
+454
+00:30:59,290 --> 00:31:03,850
+الشريان السبعتي الشريان السبعتي اللي هوين؟ على أحد
+
+455
+00:31:03,850 --> 00:31:09,050
+الجانبين، يمين ولا يسار بيكون؟ على ناحيته، مية
+
+456
+00:31:09,050 --> 00:31:14,160
+لمين؟ع ناحيتين لان سنة طبعا لصين انا ايد يمين
+
+457
+00:31:14,160 --> 00:31:17,040
+الدراع يمين ودراع يسا شريان السباتي ايمن شريان
+
+458
+00:31:17,040 --> 00:31:19,240
+الدبان السباتي ايسا طبعا هذا الشريان السباتي يا
+
+459
+00:31:19,240 --> 00:31:25,340
+اخواتنا للبالغين موجود بين عضلة العنق وبين الحنجرة
+
+460
+00:31:25,340 --> 00:31:30,800
+او بطريقة تانية ارفع الدقن الاعلى عند منتصف العين
+
+461
+00:31:30,800 --> 00:31:34,460
+تنزل مباشرة على الشريان السباتي والاستشعار بكون
+
+462
+00:31:34,460 --> 00:31:40,370
+بالسبابة والوسطى ما بكون بالابهاماللي بهم لأنه فيه
+
+463
+00:31:40,370 --> 00:31:43,690
+نبض زي ما اتفضلتيه وبالتالي هنا بالسبابة أو الوسطى
+
+464
+00:31:43,690 --> 00:31:47,990
+وما باجيب الصورة هذه لأ باجيب العرض لإن عشان انا
+
+465
+00:31:47,990 --> 00:31:52,750
+أكون ضاع من المنطقة كلها، الناس تشعر، و بضغط عشان
+
+466
+00:31:52,750 --> 00:31:56,690
+أشوف فيه نبض أو ماشوفش فيه نبض تمام؟ يبقى هنا
+
+467
+00:31:56,690 --> 00:32:01,710
+استشعار نبض أما بالنسبة للطفل الرضيع، الرجب قصيرة،
+
+468
+00:32:01,710 --> 00:32:06,430
+إيدي هتضغط أكتر من رجبها وبالتالي إيش بسوي؟ من
+
+469
+00:32:06,430 --> 00:32:10,230
+الشريان القبطيأحنا بيقولك الصورة يا إبنها اللي
+
+470
+00:32:10,230 --> 00:32:14,090
+جاتها من الشريعة القبطي طبعا الشريعين يا أخواتنا
+
+471
+00:32:14,090 --> 00:32:18,530
+عشان يكون يعني واضح معانا أن معظم الشريعين غير
+
+472
+00:32:18,530 --> 00:32:23,690
+واضحة وطبعا يعني ممكن في حكمة ربانية أنه لأنها
+
+473
+00:32:23,690 --> 00:32:27,530
+طبعا شديدة الخطورة في حال النزيففمعظمها لكن في
+
+474
+00:32:27,530 --> 00:32:30,690
+منها سطحية وهذه الشريان السطحية احنا بنستخدمها
+
+475
+00:32:30,690 --> 00:32:33,750
+وحنقول طبعا احنا ايش بنستخدمها بعض الإجابات من
+
+476
+00:32:33,750 --> 00:32:36,770
+ضمنها ان انا ممكن استشعر النبض إذا بالنسبة
+
+477
+00:32:36,770 --> 00:32:40,090
+للباليين الشريان السباتي وبالنسبة للأطفال الرضع
+
+478
+00:32:40,090 --> 00:32:43,870
+الشريان الإبطي في حالة طوارئ لكن لما يقول إنسان
+
+479
+00:32:43,870 --> 00:32:48,310
+عادي بدأ أنا أشوف عدد دجات القلب ممكن استخدم ايش
+
+480
+00:32:48,310 --> 00:32:55,960
+الرسخة طيب لو مافيش تنفس و لو مافيش نبضنجي على
+
+481
+00:32:55,960 --> 00:33:00,740
+الخاطر طبعا الرابع اللي هو انعاش القلب و الرئتين
+
+482
+00:33:00,740 --> 00:33:06,540
+CBR وهنا طبعا في فرق وقتاش أن أبدأ مع الأطفال من
+
+483
+00:33:06,540 --> 00:33:10,120
+الضغط على الصدر و وقتاش أبدأ مع الأكبار بالضغط على
+
+484
+00:33:10,120 --> 00:33:14,320
+الصدر طبعا فيه و كام مرة يبقى أنا مباشرة ماباجي
+
+485
+00:33:14,320 --> 00:33:19,680
+أعمل تدليق لعضلة القلب و تنفسي أصطناعي إلا لما
+
+486
+00:33:19,680 --> 00:33:24,660
+أتيقن أنه مافيشنبض ومافيش تنفس لأن أحيانا ممكن
+
+487
+00:33:24,660 --> 00:33:29,620
+يكون مافيش تنفس وفيها نبض طبعا وطبعا بعض الحالات
+
+488
+00:33:29,620 --> 00:33:34,300
+هنقلع هنا سؤال بسيط نشوف طبعا وقتاش ممكن يكون فيه
+
+489
+00:33:34,300 --> 00:33:39,440
+أو لأ نيجي هل جيت لبعض الحالات أو بعض الأسباب اللي
+
+490
+00:33:39,440 --> 00:33:45,160
+تأدي للحوادث هنا تلات أسباب السبب الأول يعني أنا
+
+491
+00:33:45,160 --> 00:33:48,160
+قبل ما أطرحهم قبل ما أعرضهم هنعرضهم عليكم ونشوف
+
+492
+00:33:48,160 --> 00:33:54,590
+أيش الفرق من التلاتة السبب الأول الجهلجاهل؟ كلنا
+
+493
+00:33:54,590 --> 00:33:59,810
+بنجهل؟ في حد بيقول بيجهلش؟ مش جاهل يعني لإن بيقول
+
+494
+00:33:59,810 --> 00:34:05,890
+في حد بيجهلش؟ كلنا بنجهل؟ كيف بنجهل؟
+
+495
+00:34:05,890 --> 00:34:12,550
+في إيش؟
+
+496
+00:34:12,550 --> 00:34:16,470
+معنى
+
+497
+00:34:16,470 --> 00:34:22,790
+جاهل إنك ما بتعرفي شيء عن شيءلمّا أقول إن أنا
+
+498
+00:34:22,790 --> 00:34:27,250
+والله هذا الشيء شفته و هجيت أتذكرته، هذا مش معناه
+
+499
+00:34:27,250 --> 00:34:31,210
+بتجهليه، لو صار عندك خرفي أخافيه عنه، لكن لما أقول
+
+500
+00:34:31,210 --> 00:34:34,570
+احنا والله لأول مرة في حياتي أشوف الشيء هذا أو
+
+501
+00:34:34,570 --> 00:34:40,230
+أسمع الخبر هذا، المعنى احنا كم نجهل، أيام الرسول
+
+502
+00:34:40,230 --> 00:34:44,410
+صلى الله عليه وسلم في كانت الجاهلية، ماكانش عندهم
+
+503
+00:34:44,410 --> 00:34:48,950
+كرام،الكفار ماكانش عندهم قرار؟ كان، والضيافة، حسن
+
+504
+00:34:48,950 --> 00:34:53,870
+الضيافة، والشجاعة، والمروقة، لكن كان مجاهل بإيش؟
+
+505
+00:34:53,870 --> 00:34:58,730
+بالدين، بحكام الدين، لكن ما بيقولوا مجاهلين في كل
+
+506
+00:34:58,730 --> 00:35:03,250
+شيء، لما يقول الطفل هذا جاهل، يعني لسه ماعندوش
+
+507
+00:35:03,250 --> 00:35:07,930
+خبرة بأشياء هو مش عارفهاوإحنا بالتالي بنحن نجهل
+
+508
+00:35:07,930 --> 00:35:11,890
+لما أقول أنا أول مرة أشوف الخبر ولا أول مرة أسمع
+
+509
+00:35:11,890 --> 00:35:16,690
+ولا أول مرة يعني ألاحظ هذا الشيء معناه أنا بقى
+
+510
+00:35:16,690 --> 00:35:20,850
+أجهلهم وبالتالي السبب الأول الجهل الإقدام على عمل
+
+511
+00:35:20,850 --> 00:35:24,310
+شيء دون معرفة النتيجة معناه لأنهم مايعرفوش لما طفل
+
+512
+00:35:24,310 --> 00:35:28,010
+صغير جيب المصمار وحطه مثلا في البريز الكهربا هو مش
+
+513
+00:35:28,010 --> 00:35:33,510
+شايف الكهربا في البريز تمام؟ هيتكهربوبالتالي لما
+
+514
+00:35:33,510 --> 00:35:37,810
+الست تيجي تصلح تنجرة الكهربا تمام؟ و تجيبها
+
+515
+00:35:37,810 --> 00:35:45,230
+السكينة الإيدها هديد وتوصل السلكتين مع بعض تجهل و
+
+516
+00:35:45,230 --> 00:35:49,010
+لما تجهل تجهل وبالتالي دايما .. دايما يعني الجاهل
+
+517
+00:35:49,010 --> 00:35:52,290
+مع أن انت بتعمل شيء انت ماعندي خلفيه عنه هذا كان
+
+518
+00:35:52,290 --> 00:35:56,130
+مثال بسيط طيب نيجي للسبب التاني الإهمال
+
+519
+00:35:58,130 --> 00:36:01,710
+الاقدام، عدم الاقدام على عمل ضروري أو الاقدام على
+
+520
+00:36:01,710 --> 00:36:06,090
+عمل ولكن بدون أخذ بالأسباب اهمال، لما تيجي تقدم
+
+521
+00:36:06,090 --> 00:36:33,530
+امتحان وانت مش دارسه اهمالاهمال اهمال
+
+522
+00:36:33,530 --> 00:36:39,680
+و جاهليبلطق التنين وضع الأشياء في غير مكانها مثلا
+
+523
+00:36:39,680 --> 00:36:44,020
+عن البنت الصغيرة او مثلا تيكاى كبير مثلا بدك
+
+524
+00:36:44,020 --> 00:36:46,540
+تتابعي مسلسل ولا حاجة حطي تصنيتها الجهة ولا حاجة
+
+525
+00:36:46,540 --> 00:36:50,380
+في مكانها غير المعروف المكان اللي يكون قدام العلم
+
+526
+00:36:50,380 --> 00:36:53,820
+بالذات الأشياء فيها خطورة تمام؟ اجى واحد تاني او
+
+527
+00:36:53,820 --> 00:36:59,130
+طفل صغير مثلا شدها الكباية صبتيهاتمام؟ وحصلت كتير
+
+528
+00:36:59,130 --> 00:37:03,550
+حوادث .. كتير .. يعني ممكن وضع الشيء في غير مكانه
+
+529
+00:37:03,550 --> 00:37:07,110
+يأدي لخطورة لناس هم مش متعودين يلاحظوا الشيء هذا
+
+530
+00:37:07,110 --> 00:37:11,490
+.. مكان مثلا الجلوس .. نحط أي حاجة .. تمام؟ مثلا
+
+531
+00:37:11,490 --> 00:37:16,070
+.. انت سيبت طنجرة الكهربا؟جمتيها من الكهربا .. اه
+
+532
+00:37:16,070 --> 00:37:19,070
+.. وحصل .. يعني كلهم نسمع الحاجات هذه .. تمام ..
+
+533
+00:37:19,070 --> 00:37:22,490
+إجا الطفل حط دي عليها .. وحصل كتير .. وكلهم بتاع
+
+534
+00:37:22,490 --> 00:37:25,450
+نسمع الحاجات .. الحاجات هذه .. يعني بصرنا إهمال و
+
+535
+00:37:25,450 --> 00:37:29,090
+جاهد .. تمام .. و .. و الإهمال أمثلة طبعا أياش
+
+536
+00:37:29,090 --> 00:37:32,230
+كتيرة معنا .. الحاجة التالت أو السبب التالت ..
+
+537
+00:37:32,230 --> 00:37:36,650
+التهور .. ل .. لطبعا الاندفاع .. لقبضة على شيء
+
+538
+00:37:36,650 --> 00:37:41,330
+طبعا بدون تفكير .. زي واحد مثلا عند الرمزون أحمر
+
+539
+00:37:41,330 --> 00:37:46,000
+..وراكب سيارة تمام؟ وقطع الرمز هنا الأحمر معناه
+
+540
+00:37:46,000 --> 00:37:51,140
+موت هنا ممكن أيش تكون نتيجة نهائية تمام؟ أو واحد
+
+541
+00:37:51,140 --> 00:37:55,060
+مثلا راكب .. راكب سيارة بدون رخصة ولا بعرف قوانين
+
+542
+00:37:55,060 --> 00:38:01,950
+لأ الأهمال وتهور .. اتصار عندنا تهورهو عنده شوية
+
+543
+00:38:01,950 --> 00:38:04,650
+خفيف يعني، بيعرف السيارة سيارة، ماحدش بيقول مش
+
+544
+00:38:04,650 --> 00:38:07,570
+شايف السيارة يعني، اه ماشي بقى روحه، بس شايف ال
+
+545
+00:38:07,570 --> 00:38:09,610
+steel و شايف ال brick و شايف البنزين و شايف كل
+
+546
+00:38:09,610 --> 00:38:14,510
+عاجة، لكن صار عنده خلفيه بسيطة، فصار عنده يقولك
+
+547
+00:38:14,510 --> 00:38:17,430
+الله أخد السيارة و طلع فيها، اجي تانيه و مدهو على
+
+548
+00:38:17,430 --> 00:38:21,510
+المستشفى، يبقى صار عنده إيش إهمان، اللي مثلا بلقي
+
+549
+00:38:21,510 --> 00:38:26,770
+نفسه مثلا من أعلى، و المظلة مثلا مفتحتشيبقى
+
+550
+00:38:26,770 --> 00:38:30,090
+بالتالي هنا التلت أسباب هذه قصية على كل الحوادث
+
+551
+00:38:30,090 --> 00:38:33,070
+هتلاقي واحد من التلات حضور موجود فيها، يا إما
+
+552
+00:38:33,070 --> 00:38:35,350
+جاهل، يا إما همال، يا إما تهور
+
+553
+00:38:38,180 --> 00:38:42,700
+طيب نيجي ل .. نيجي لشخص المسعف هو طبعا موهل علميا
+
+554
+00:38:42,700 --> 00:38:45,820
+وعمليا واحنا قلنا في البداية لازم يكون عنده خلفية
+
+555
+00:38:45,820 --> 00:38:49,120
+علمية على أي متخصصين في علم الإسعافية الأولية بحيث
+
+556
+00:38:49,120 --> 00:38:52,680
+يكون قادرا على تقديم الخدمات الإسعافية لأي حالة
+
+557
+00:38:52,680 --> 00:38:55,840
+كانته في أي مكان أو زمان و بالإمكانيات المتاحة
+
+558
+00:38:55,840 --> 00:38:59,840
+يعني بأقل الإمكانياتإذن لما أقول إنسان أنا بدي
+
+559
+00:38:59,840 --> 00:39:03,940
+أقدم خدمة إسعاف أولي لإنسان هو في حاجة لإسعاف
+
+560
+00:39:03,940 --> 00:39:07,940
+الأولي وكان الشخص المقدم للخدمة عنده خلفية هيقدم
+
+561
+00:39:07,940 --> 00:39:13,120
+الخدمة كويسة لكن لو جدامها بدون خلفية علمية ممكن
+
+562
+00:39:13,120 --> 00:39:16,300
+أضره زي ما يقولون مثلا حالة النقل يعني ان دي فيها
+
+563
+00:39:16,300 --> 00:39:18,960
+أخده مباشرة و بدي أدخله على السيارة طبعا انت قدتله
+
+564
+00:39:18,960 --> 00:39:22,940
+شلالوصلت للمشكلة تانية، ليش؟ ماعنكاش خلفية إن
+
+565
+00:39:22,940 --> 00:39:25,840
+الأمود الفقري في النقاع الشوكي، طبعا هذا جزء من
+
+566
+00:39:25,840 --> 00:39:28,340
+الجهاز العصبي، والعمود الفقر هو الفقرات، والفقرات
+
+567
+00:39:28,340 --> 00:39:31,500
+هي طبعا مش كلها متماسكة أو كقطع واحدة، طبعا في
+
+568
+00:39:31,500 --> 00:39:35,600
+حركة ما بينها، ماعنكاش خلفية، فانتقدتله لشلل،
+
+569
+00:39:35,600 --> 00:39:38,500
+وبالتالي هذا طبعا لازم يكون مؤهل علميا وعمليا
+
+570
+00:39:42,630 --> 00:39:44,930
+طبعًا هنا بعض ال .. يعني على السريع هذكر بعض
+
+571
+00:39:44,930 --> 00:39:49,890
+الصفات للمسعف أخلاق حميدة لأنك هتتعامل مع كل أنواع
+
+572
+00:39:49,890 --> 00:39:53,750
+سواء طبعًا سيدات أو رجال يكون عنده أخلاق يكون عنده
+
+573
+00:39:53,750 --> 00:39:58,710
+خلق تاني حاجة علم وخبرة بدون علم ولا خبرة هيضر
+
+574
+00:39:58,710 --> 00:40:02,970
+أكتر ماينفع مبادرة يعني واحد عنده خلفية و تمام
+
+575
+00:40:02,970 --> 00:40:04,410
+تمام 100% مبادرة يعني واحد عنده خلفية و تمام تمام
+
+576
+00:40:04,410 --> 00:40:05,690
+مبادرة يعني واحد عنده خلفية و تمام تمام 100%
+
+577
+00:40:05,690 --> 00:40:09,090
+مبادرة يعني
+
+578
+00:40:09,090 --> 00:40:10,670
+واحد عنده خلفية و تمام تمام 100% مبادرة يعني واحد
+
+579
+00:40:10,670 --> 00:40:15,590
+عنده خإتزان وضوء العصابر عشان يقدر يطمن الشخص لو
+
+580
+00:40:15,590 --> 00:40:19,140
+يقول إنه عنده قدرة على اتطمئنهلأن إذا كان الشخص،
+
+581
+00:40:19,140 --> 00:40:24,100
+الضحية، شايف المسعف وجهه أصفر و أرجانه شيء، هيخاف
+
+582
+00:40:24,100 --> 00:40:27,240
+أكتر، بالتالي طبعا يمشي يكون عنده قصاب و قدرة على
+
+583
+00:40:27,240 --> 00:40:31,200
+الطمأنة و قدرة على السيطرة على المكان، بمعنى يحاول
+
+584
+00:40:31,200 --> 00:40:34,480
+يسيطر على المكان، طبعا سيطرته على المكان هنا إنه
+
+585
+00:40:34,480 --> 00:40:37,720
+بيختار بعض الناس اللي يساعفوه، اللي يساعدوه، اللي
+
+586
+00:40:37,720 --> 00:40:41,020
+يرتبوه المكان، اللي يبعدوا الناس عنه، تمام؟ يبقى
+
+587
+00:40:41,020 --> 00:40:42,140
+أنا بيكون كقائد
+
+588
+00:40:44,810 --> 00:40:49,330
+جرأة، يكون جريء، مش والله هد فتى ولا حاجة، أخي عيب
+
+589
+00:40:49,330 --> 00:40:53,930
+أنا، طب مافيش حد يجي يساعدها، هاد ضروري، لكن إذا
+
+590
+00:40:53,930 --> 00:40:56,950
+كان فيه ناس ثانية أو أختة، حاجة تانية، لكن إذا كان
+
+591
+00:40:56,950 --> 00:41:02,530
+هد الميت بيدا تموت ومخنوجة ومافيش حد يتركه تموت،
+
+592
+00:41:02,530 --> 00:41:08,710
+لأ، سريع البديع والتفكير والتصرف، بده يبدأ من
+
+593
+00:41:08,710 --> 00:41:13,070
+الخطر من أين، يعني وين الأولويات،
+
+594
+00:41:15,270 --> 00:41:18,890
+قادر على الطمأنة .. الثقة بالنفس .. الثقة بالنفس
+
+595
+00:41:18,890 --> 00:41:22,690
+هي تجيب .. يعني حواليه هيكون طبعا هيسمع همس كتير
+
+596
+00:41:22,690 --> 00:41:26,130
+.. لأ مش هي كان .. لأ الطريقة غير خاطأ .. لأ انت
+
+597
+00:41:26,130 --> 00:41:30,470
+بدي اعمل و كإما أترش .. ليش؟ لأنه مطمئن أن شغله صح
+
+598
+00:41:30,470 --> 00:41:35,420
+و أنه ثقة في المعلومة اللي هو إيش عارفهااللي حاطبه
+
+599
+00:41:35,420 --> 00:41:37,660
+ما ينبغي يعمله يعني يكون عارف أو مدرك اللي اللي
+
+600
+00:41:37,660 --> 00:41:42,100
+بيسويه عدم تعريض نفسه للخطر، إنه انسان مايعرفش
+
+601
+00:41:42,100 --> 00:41:48,060
+يسبح وراه ينقل إنسان غريق، احنا يخرجوا و الغرجان
+
+602
+00:41:48,060 --> 00:41:51,880
+بتعلل في حبال الهواء، بجشة
+
+603
+00:41:56,420 --> 00:42:00,440
+طيب واجبات المصحف عند وصوله طبعا أنا بتتكلم فيه
+
+604
+00:42:00,440 --> 00:42:03,260
+هنا بسرعة شويه تقييم الموقف بسرعة و هدوء زي ما
+
+605
+00:42:03,260 --> 00:42:05,860
+قلنا يعني عساسي يقدر يتحكم على المكان في المكان
+
+606
+00:42:05,860 --> 00:42:08,740
+حماية المصابين الموجودين في مكان الحدث من الأخطر
+
+607
+00:42:08,740 --> 00:42:13,460
+ممكن التحدث طبعا يقلها علاقة نفسية وتقييم الحالة
+
+608
+00:42:13,460 --> 00:42:17,900
+وتقديم الإسعاف الأولي المناسب و الأولوية طبعا لمين
+
+609
+00:42:17,900 --> 00:42:21,960
+أولى طبعا أهم في المهم و الترتيب لدق المصابين
+
+610
+00:42:21,960 --> 00:42:27,370
+لمنازلهم أو مكان طبيطبعا تدوي الملاحظات هذه لأنه
+
+611
+00:42:27,370 --> 00:42:31,090
+ممكن تسجل الملاحظات و يبعتها معاه لمركز الصحة أو
+
+612
+00:42:31,090 --> 00:42:33,530
+طبعا لسيارة السعادة يقول ما سويت كده و كده و كده
+
+613
+00:42:33,530 --> 00:42:34,530
+عشان يقولونهاش عارفين
+
+614
+00:42:37,780 --> 00:42:40,060
+منع انتقال العدوى هاد ضروري جدا يا اخواتنا ..منع
+
+615
+00:42:40,060 --> 00:42:43,840
+انتقال العدوى لإن احنا فيه عندنا التهاب الكبد ..
+
+616
+00:42:43,840 --> 00:42:48,240
+تمام؟ في عندنا أمراض تنتقل عن طريق الدم ال aids ..
+
+617
+00:42:48,240 --> 00:42:51,400
+طبعا كل الأمراض هذه المقبولة عن طريق الدم هذه ..
+
+618
+00:42:51,400 --> 00:42:54,160
+فعشان نقول احنا لو كان يا حباذي لو كان فيه guante
+
+619
+00:42:54,160 --> 00:42:59,080
+أو gloves طبعا أساس انه يحمي نفسهيحمي نفسه أو طبعا
+
+620
+00:42:59,080 --> 00:43:01,580
+على أساس إن أنا في خطورة لو كان فين جريح مثلا
+
+621
+00:43:01,580 --> 00:43:04,820
+أصبعك مجروح ولا حاجة وبتجد من تخدمه الشخص يبدأ
+
+622
+00:43:04,820 --> 00:43:09,360
+يعني مثلا مشكلة مثلا عنده نزيف وانت طبعا من الخطأ
+
+623
+00:43:09,360 --> 00:43:12,700
+إن أنا أوقف النزيف بيدي مباشرة لأ لازم يكون طبعا
+
+624
+00:43:12,700 --> 00:43:16,060
+في حائل أو حاجز ما بين إيداك وما بين طبعا النزيف
+
+625
+00:43:16,060 --> 00:43:19,580
+حتى أنت تحمي نفسك و تحمي المريض ممكن تكون مثلا
+
+626
+00:43:19,580 --> 00:43:23,020
+يعني فيها بعض ال microbiota وحاجة عشان ما تنتقل و
+
+627
+00:43:23,020 --> 00:43:30,020
+تدخل إيش للجرع بحد ذاتهطبعا نختم بالشريحة هذه طبعا
+
+628
+00:43:30,020 --> 00:43:34,420
+دي R S A B C D طبعا هذه اللي هي بتشمل ان انا كيف
+
+629
+00:43:34,420 --> 00:43:38,060
+بيتعامل مع الشخص هذا طبعا دي اللي هو ال danger
+
+630
+00:43:38,060 --> 00:43:41,660
+الخطر اللي انا قلناه في القناة الأول بالطمأن انه
+
+631
+00:43:41,660 --> 00:43:47,290
+اما كان خطر ولا مش خطرطيب، حرف الـR اللي هي
+
+632
+00:43:47,290 --> 00:43:50,990
+الـResponse إذا أنت جيت مثلا إن إنسان فاقد الواعي
+
+633
+00:43:50,990 --> 00:43:53,590
+أو أنت بتشتبه إنه فاقد الواعي، وبالتالي، يا قانوني
+
+634
+00:43:53,590 --> 00:43:58,910
+أخواتنا، يعتبر أي إنسان ضحية حي، مابقولش والله ده
+
+635
+00:43:58,910 --> 00:44:02,560
+ميت على طول، إلا إذا اتفقدتهبالتالت أنا بيجي عن
+
+636
+00:44:02,560 --> 00:44:06,600
+الاستجابة استجابة لمين؟ هل هو شخص واعي ولا غير
+
+637
+00:44:06,600 --> 00:44:09,980
+واعي؟ وكلمة ان واعي ولا غير واعي ان انا ممكن انادي
+
+638
+00:44:09,980 --> 00:44:14,200
+عليه ممكن انا اقصه لكن يحذر انك تنسك المريض او
+
+639
+00:44:14,200 --> 00:44:20,380
+الضحية وتهزيهم ممنوع ممنوعالثالث طبعا المساعدة حرف
+
+640
+00:44:20,380 --> 00:44:22,620
+ال S طبعا هو send for help اللي هي طبعا المساعدة
+
+641
+00:44:22,620 --> 00:44:25,740
+انك انت بتشيلي و طلبتي من حد أيش يطلب سيارة
+
+642
+00:44:25,740 --> 00:44:29,360
+الإسهاف او حد طبعا يساعدك طبعا ال A اللي هو زي ما
+
+643
+00:44:29,360 --> 00:44:34,500
+قلنا مجرد تنفس طبعا زي ما قلنا تنفس breathing نفسه
+
+644
+00:44:34,500 --> 00:44:37,820
+و طبعا انعاش القلب اللي هو طبعا كلها بتتعب تتبع
+
+645
+00:44:37,820 --> 00:44:40,320
+لنا طبعا جهاز وقف الرجل فيها طبعا موجود في سيارة
+
+646
+00:44:40,320 --> 00:44:43,520
+الإسهاف لكن احنا بيهمنا طبعا الست الأولانين لان
+
+647
+00:44:43,520 --> 00:44:46,400
+طبعا هي الأساس ان انا كيف اتعامل مع الضحية
+
+648
+00:44:53,960 --> 00:44:57,060
+طبعا أيه عناية الشريحة ان العناية تتمسعب بنفسه
+
+649
+00:44:57,060 --> 00:45:00,420
+طبعا من الخطر والتقييم النبض أيه يعني بيقولنا انت
+
+650
+00:45:00,420 --> 00:45:06,640
+واعي او غير واعي ننهي بالشريحة هذه عشان ننهي أيهما
+
+651
+00:45:06,640 --> 00:45:11,680
+أصحى عشان ننهي في الشريحة هذه طبعا أساعدها الجزء
+
+652
+00:45:11,680 --> 00:45:18,460
+الكبير عندنا أيهما أصحى مش انت لأ صح أيهما
+
+653
+00:45:18,460 --> 00:45:29,130
+أصحى اه تفضليأيه هما أصح؟ هنسمع بخد وقت ثواني بس
+
+654
+00:45:29,130 --> 00:45:35,110
+نشوف و ليش طبعا التنتين صحيحات ناخد من ناحي هذه
+
+655
+00:45:35,110 --> 00:45:40,710
+مين جاوبنا؟ اتفضل هي بس قولي .. بتقوليش ليش؟ مين
+
+656
+00:45:40,710 --> 00:45:48,270
+الصح؟ بدون تفسير؟ يعني التانية؟ مين مع التانية؟
+
+657
+00:45:48,270 --> 00:45:51,670
+اللي رفعينيه معايا مع التانية؟ طب مين مع الأولى؟
+
+658
+00:45:51,670 --> 00:45:56,470
+اتفضل ليش؟ نبدأ بليش هالجهته؟ماشي .. انا شركية ان
+
+659
+00:45:56,470 --> 00:46:00,130
+شاء الله .. اتفضل ايه؟ حسب الحالة .. بالطبع اللي
+
+660
+00:46:00,130 --> 00:46:03,250
+احنا وردناه فيه .. انا حاجة بإجمال .. مارح نتسابر
+
+661
+00:46:03,250 --> 00:46:06,370
+.. لأ انت راجيت و بتقول مع الأولى؟ لأ .. مين مع
+
+662
+00:46:06,370 --> 00:46:10,890
+الأولى؟ .. مين مع الأولى؟ .. سلامة المصمم .. سلامة
+
+663
+00:46:10,890 --> 00:46:16,030
+المكان .. اتفضل ايه؟ .. اذا كان المكان مش ملازم ..
+
+664
+00:46:16,030 --> 00:46:20,270
+فهيقرع عليه بشكل سلبي .. زي اذا كان المكان مش نظيف
+
+665
+00:46:20,270 --> 00:46:24,820
+.. بس الارض هيخلى حياته يكون أسوأ ..ماشي، مين مع
+
+666
+00:46:24,820 --> 00:46:29,580
+الأولى كمان؟ انا .. فضل .. انا مع التانية طيب، مين
+
+667
+00:46:29,580 --> 00:46:33,420
+مع الأولى؟ مع حد .. طب نبدأ بالتانية انا .. فضل
+
+668
+00:46:33,420 --> 00:46:38,440
+ايه؟ اتفضل هى .. سلامت المكان و سلامت المصادر انه
+
+669
+00:46:38,440 --> 00:46:41,640
+العمل على جال المنطقة امنة هي تقدر يحكو نفسها في
+
+670
+00:46:41,640 --> 00:46:44,860
+الحدث المجلة قائما و يليه دا يجب العمل على تجنب
+
+671
+00:46:44,860 --> 00:46:49,920
+ذلك حتى لا يلحق الدرر بالمصادر مية المية .. اه ..
+
+672
+00:46:49,920 --> 00:46:50,520
+اتفضل ايه؟
+
+673
+00:47:07,640 --> 00:47:11,080
+سلامة المصاب من سلامة المكان وليس سلامة المكان من
+
+674
+00:47:11,080 --> 00:47:14,860
+سلامة المصاب لأن هدفنا المصاب مش المكان طيب هذي
+
+675
+00:47:14,860 --> 00:47:17,400
+بتنطبخ مع الأولى ولا مع التانية؟ مع الأولى مع
+
+676
+00:47:17,400 --> 00:47:22,080
+الأولىمع الأولى، أطفال أنت معاك تنتهي، أنت تنتهي
+
+677
+00:47:22,080 --> 00:47:25,200
+في رسالة صحيحات، بس مين .. أه صح في تجديد مخيم
+
+678
+00:47:25,200 --> 00:47:31,000
+الاسعار في الأولى؟ ماشي، ماشي، أنا جاي معاكي، هجيت
+
+679
+00:47:31,000 --> 00:47:35,480
+لما احنا نقول، في .. أنا بتجيبك مثال بسيط جدا،
+
+680
+00:47:35,480 --> 00:47:40,560
+هجيت لما اتلاحظ أن رجال الأطفاء، في حريق و يستعدوا
+
+681
+00:47:40,560 --> 00:47:45,260
+سيارة الأطفاء و في ناس موجودين، إيش بيعملوه؟ واحدة
+
+682
+00:47:45,260 --> 00:47:51,730
+واحدة، إيش بيعملوه؟بطفوا و الناس جوا؟
+
+683
+00:47:51,730 --> 00:47:55,710
+واحد و واحد .. واحد و واحد .. هدول عندهم خالفين
+
+684
+00:47:55,710 --> 00:47:58,130
+الرساعة في الأول تمام؟ إيش بيعملوا أول شي؟ ولا
+
+685
+00:47:58,130 --> 00:48:05,670
+بتطفوا و بيخلوا الناس جوا؟ احنا
+
+686
+00:48:05,670 --> 00:48:11,480
+طول لما اتكلمنا قلنا بيكون مكان آمنيعني أنا أبقى
+
+687
+00:48:11,480 --> 00:48:14,920
+إذا في خطورة أن أساعد مثلا ألقيله حبل أو عجل أو
+
+688
+00:48:14,920 --> 00:48:19,520
+حاجة، تمام؟ لأن المكان فيه خطورة طيب، لما أنا بقول
+
+689
+00:48:19,520 --> 00:48:24,000
+إن هذا الراجل الإطفاء اللي نزل الناس من العمارة،
+
+690
+00:48:24,000 --> 00:48:29,080
+تمام؟ اهتم بالمكان ولا بالمصاب؟ يبقى سلامة المصاب
+
+691
+00:48:29,080 --> 00:48:33,040
+من سلامة المكان اللي أنا بتقدم فيه الخدمة لما أقول
+
+692
+00:48:33,040 --> 00:48:38,380
+إحنا غريق البحرتمام؟ هجيت لما أنا بد أقدم خدمة
+
+693
+00:48:38,380 --> 00:48:42,500
+داخل المكان هذا و فيه خطورة عليّ تمام؟ أنا بتدجع
+
+694
+00:48:42,500 --> 00:48:46,060
+في نفس المشكلة فانا باخد ارميل حبل عشان أخده مكان
+
+695
+00:48:46,060 --> 00:48:51,470
+آمن لإن البحر يعتبر خطرطبعا؟ لما أطلع الناس اللي
+
+696
+00:48:51,470 --> 00:48:55,390
+موجودين جوا اللي بيكرر الدفء و الفحم .. طبعا؟ أنا
+
+697
+00:48:55,390 --> 00:48:59,130
+جوا أين بأعملهم تنفسي إصطناعي؟ و أين بأعملهم؟ برا
+
+698
+00:48:59,130 --> 00:49:01,550
+.. برا .. برا .. برا .. برا .. برا .. برا .. برا
+
+699
+00:49:01,550 --> 00:49:01,810
+.. برا .. برا .. برا .. برا .. برا .. برا .. برا
+
+700
+00:49:01,810 --> 00:49:01,890
+.. برا .. برا .. برا .. برا .. برا .. برا .. برا
+
+701
+00:49:01,890 --> 00:49:02,370
+.. برا .. برا .. برا .. برا .. برا .. برا .. برا
+
+702
+00:49:02,370 --> 00:49:08,470
+.. برا .. برا .. برا .. برا .. برا .. برا .. برا
+
+703
+00:49:08,470 --> 00:49:16,050
+.. برا .. ب
+
+704
+00:49:17,460 --> 00:49:22,800
+ها ما هو حسب مش حسب هلجيت انا بقعد مفسرك بسيط اذا
+
+705
+00:49:22,800 --> 00:49:27,800
+كان المكان فيه خطورة تمام اذا كان مكان مش امن اسف
+
+706
+00:49:27,800 --> 00:49:31,600
+انا بدي اهتم اذا اهتمت انا في المكان و تركت المصاب
+
+707
+00:49:31,600 --> 00:49:37,140
+هنا خطأ انا صح انا الناس لازم نطفوا النار تمام
+
+708
+00:49:37,140 --> 00:49:42,180
+لازم نطفوا الفحم لكن هنا ما بدى فيه اول شيءأنا
+
+709
+00:49:42,180 --> 00:49:47,320
+ببدأ بالمصاب، إذا كان المكان آمن للمصاب، بشغل في
+
+710
+00:49:47,320 --> 00:49:51,270
+المكانإذا كان غير آمن، أنا باهتم بسلامة المصاب،
+
+711
+00:49:51,270 --> 00:49:54,590
+لكن إذا اهتمت يا أخواتنا، التاني مهم، إن أنا أطف
+
+712
+00:49:54,590 --> 00:49:57,690
+النار، لكن أنا ببقون، أنا بكون على حساب مين؟
+
+713
+00:49:57,690 --> 00:50:02,470
+المصاب، لكن الأول أنا باهتم بالمصاب، بعد المكان،
+
+714
+00:50:02,470 --> 00:50:05,870
+يبقى التنتين صحيحات، الأولى طبعا أصح، سلامة المصاب
+
+715
+00:50:05,870 --> 00:50:09,090
+من سلامة المكان، وليس سلامة المكان من سلامة
+
+716
+00:50:09,090 --> 00:50:14,170
+المصاب، التانية صحيحة، لكن الأصح اسلوب تفضيل، فضل
+
+717
+00:50:14,170 --> 00:50:16,350
+الله عليكم بالخير، وإن شاء الله نكمل في لقاء تاني
+
+718
+00:50:16,350 --> 00:50:18,780
+بإن الله تعالىشكرا لكم يعني هيك احنا ممكن أنهينا
+
+719
+00:50:18,780 --> 00:50:22,860
+يعني ممكن احنا أخدنا جزء بسيط كمقدمة كقوانين إسعاف
+
+720
+00:50:22,860 --> 00:50:26,840
+أولي تمام؟ إيش الأسباب التي تؤدي للإسعاف الأولي؟
+
+721
+00:50:26,840 --> 00:50:30,340
+وطبعا يعني بعض العبارات البسيطة وإن شاء الله المرة
+
+722
+00:50:30,340 --> 00:50:32,320
+الجاية هنكمل شكرا لكم وبركة الله فيكم
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/2oxUF8zspOw_raw.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/2oxUF8zspOw_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..3cc6f7607f99d8b53ae4239115b36dff03adc5dc
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/2oxUF8zspOw_raw.srt
@@ -0,0 +1,2900 @@
+1
+00:00:04,940 --> 00:00:06,960
+بسم الله الرحمن الرحيم الصلاة والسلام على أشرف
+
+2
+00:00:06,960 --> 00:00:10,740
+المرسلين سيدنا محمد وأهلي وصحدي وسلم يعني بداية
+
+3
+00:00:10,740 --> 00:00:14,000
+بنراحب فيكوا مع بداية الفصل في مادة الأسعافات
+
+4
+00:00:14,000 --> 00:00:18,260
+الأولية ان شاء الله نكون موفقين وياكم في توصيل
+
+5
+00:00:18,260 --> 00:00:21,240
+المعلومات اللي انتوا ممكن تستفيدوا منهالأن طبعا
+
+6
+00:00:21,240 --> 00:00:24,600
+يمكن بدأة الإسعاف الأولى يمكن البعض ما بيعتبرها
+
+7
+00:00:24,600 --> 00:00:28,260
+فقط هي مادة متطلب جامعي أو حابب يدرسها، لأ هي
+
+8
+00:00:28,260 --> 00:00:32,160
+بيعتبرها إنها فعلا من المواد الحياتية، المواد
+
+9
+00:00:32,160 --> 00:00:35,240
+اليومية والاشياء اللي احنا لازم نكون عندنا خبرة
+
+10
+00:00:35,240 --> 00:00:39,650
+فيهالأن مافيش إنسان ممكن يعني مايعديش عليه ضرف
+
+11
+00:00:39,650 --> 00:00:46,610
+سواء جريح كسر، نزيف، حرق، تسمم، مشكلة مع طفل صغير،
+
+12
+00:00:46,610 --> 00:00:50,910
+مع طفل كبير، واحد اختنق، يعني هذه المشاكل كلها
+
+13
+00:00:50,910 --> 00:00:53,690
+اللي احنا ممكن نواجهها في حياتنا ممكن تكون طبعا
+
+14
+00:00:53,690 --> 00:00:59,630
+داخل الجامعة، داخل البيت، احيانا بعض المواقف تتطلب
+
+15
+00:00:59,630 --> 00:01:04,330
+تدخل سريع و وقت ضرور جدا ان نحسبهو احنا احيانا
+
+16
+00:01:04,330 --> 00:01:07,890
+يمكن الوجت يكون عندنا بالساعات يمكن فراغ لكن
+
+17
+00:01:07,890 --> 00:01:12,590
+احيانا الثواني في .. في قصة انقاذ شخص معين طفل
+
+18
+00:01:12,590 --> 00:01:15,830
+صغير طبعا يكون ضروري جدا وبالتالي في الإسعاف
+
+19
+00:01:15,830 --> 00:01:20,710
+الأولي انا يعني بهمني ان انا كيف يعني استخدم الوجت
+
+20
+00:01:20,710 --> 00:01:25,030
+بطريقة صحيحةيعني أحيانا نقول والله احنا مثلا في
+
+21
+00:01:25,030 --> 00:01:28,310
+عندنا بعض الأشياء لازم أستخدمها مثلا بطريقة طبية
+
+22
+00:01:28,310 --> 00:01:31,690
+بحاجة معقمة لو سبب .. أسمي مثلا كان عندنا مثلا
+
+23
+00:01:31,690 --> 00:01:35,530
+جروح أو نزيخ و أحيانا بالزمن مثلا في الكثور يكون
+
+24
+00:01:35,530 --> 00:01:38,730
+عندي جابيرة طبية لكن احنا في الإسعاف الأولي ناخدها
+
+25
+00:01:38,730 --> 00:01:45,150
+كقاعدة كلمة فش إمكانيات هذه مش موجودة بمعنى أن عدم
+
+26
+00:01:45,150 --> 00:01:48,990
+توفر الإمكانيات لا يعني تقديم .. عدم تقديم الخدمة
+
+27
+00:01:49,520 --> 00:01:53,340
+يعني دايما في الإسعاف الأولى فيه كلمة البديل ضروري
+
+28
+00:01:53,340 --> 00:01:58,480
+جدا أن أنا أستخدم يعني مهارتي وطبعا يعني ابتكاري
+
+29
+00:01:58,480 --> 00:02:02,560
+وطبعا هنشوفه من خلال يعني خصائص المسعف اللي طبعا
+
+30
+00:02:02,560 --> 00:02:04,780
+يعني بتنطق على الشخص اللي بتقدم خدمة الإسعاف
+
+31
+00:02:04,780 --> 00:02:08,540
+الأولى ودايما يعني مادة الإسعاف الأولى أو آلة
+
+32
+00:02:08,540 --> 00:02:12,700
+الإسعاف الأولى تتطلبالقاعدة العلمية تتطلب إنسان
+
+33
+00:02:12,700 --> 00:02:16,180
+يكون عنده خلفية علمية عشان ليش بده يسوي طبعا
+
+34
+00:02:16,180 --> 00:02:19,080
+الإجراء هذا يمكن أنا لما بدأ أعرف أنا ليش مثلا بدأ
+
+35
+00:02:19,080 --> 00:02:22,940
+أستخدم موضوع معين لمرض معين أو قالية معينة أو حركة
+
+36
+00:02:22,940 --> 00:02:26,960
+معينة إذا ما كانت مبنية على أسلوب عيمي قد تضر أكتر
+
+37
+00:02:26,960 --> 00:02:30,180
+منها أيش تنفع وبالتالي احنا ان شاء الله يعني خلال
+
+38
+00:02:30,180 --> 00:02:33,480
+الفصل هنتعرف على أشياء كتيرة من خلالها أنا كيف
+
+39
+00:02:33,480 --> 00:02:38,260
+أتعامل مع الطفل الصغير مرورا بشاب مرورا بالمسن
+
+40
+00:02:38,260 --> 00:02:41,990
+وانا طبعا من خلال دراستناطبعا الشيء التاني احنا
+
+41
+00:02:41,990 --> 00:02:45,210
+كلنا يعني عدينا بتجارب و التجارب هذه يعني .. يعني
+
+42
+00:02:45,210 --> 00:02:50,230
+هنستخدمها كمثال او كامثلة واقعية احنا ممكن نستفيد
+
+43
+00:02:50,230 --> 00:02:53,310
+منها من حياتنا العملية كل حرفينا ممكن عند مثال
+
+44
+00:02:53,310 --> 00:02:56,350
+بناء على الموضوع اللي احنا بنتكلم فيه يعني انا أحب
+
+45
+00:02:56,350 --> 00:02:59,170
+يكون مشارك معانا في الموضوع هذا حتى احنا كلنا
+
+46
+00:02:59,170 --> 00:03:01,970
+نستفيد يمكن الموقف اللي انت عدت فيه غيرك ماعداش
+
+47
+00:03:01,970 --> 00:03:05,140
+فيه وبالتالي عشان إيش نستفيديعني البعض بيقولك
+
+48
+00:03:05,140 --> 00:03:07,760
+والله أنا شفتهم بيسووا كده، طب ليه شفتين بيسووا
+
+49
+00:03:07,760 --> 00:03:10,780
+كده؟ أنا شفتهم هيك، لأ لما يكون عندنا القاعدة
+
+50
+00:03:10,780 --> 00:03:15,380
+العلمية والسبب، ليش؟ هم سمي ال rational، أنا بعمل
+
+51
+00:03:15,380 --> 00:03:18,280
+الشيء الفلاني علشان كده، لكن لما يقولوا والله هم
+
+52
+00:03:18,280 --> 00:03:20,660
+شافوا، هم جالوا، هذا مافيش عندنا في الإسعاف
+
+53
+00:03:20,660 --> 00:03:24,360
+الأولى، وبالتالي يا أخواتنا، احنا لازم نعمل أو لما
+
+54
+00:03:24,360 --> 00:03:28,850
+نعمل أي إجراءلازم يكونوا عارفين ليش و بدأنا نشارك
+
+55
+00:03:28,850 --> 00:03:31,870
+مع بعض ان شاء الله تعالى في المادة هذه اللي طبعا
+
+56
+00:03:31,870 --> 00:03:35,370
+من اهم المواضيع امكن هي صح من متطلبات الجامعة في
+
+57
+00:03:35,370 --> 00:03:38,850
+مواضيع تانية اخرى لكن البعض الطالبات لو احنا عملنا
+
+58
+00:03:38,850 --> 00:03:41,610
+يعني بعض الاستفتاء هيقولك انا مش بس عشان المادة
+
+59
+00:03:41,610 --> 00:03:44,510
+المتطلب لأ انا بدي استفيد من المادة هذه خاصة طبعا
+
+60
+00:03:44,510 --> 00:03:46,890
+في حياتنا العمليةوبالتالي يمكن هنا يعني اليوم
+
+61
+00:03:46,890 --> 00:03:50,030
+هيتكلم على بعض الأهداف اللي خلال المحاضرة ان شاء
+
+62
+00:03:50,030 --> 00:03:53,530
+الله هنجيجها مع بعض بدنا نعرف الإسعاف الأولى ايش
+
+63
+00:03:53,530 --> 00:03:57,130
+أهداف الإسعاف الأولى أهمية دراستنا للإسعاف الأولى
+
+64
+00:03:57,130 --> 00:04:00,790
+طبعا انت كل مادة بتدرسيها إلها أهمية طبعا يمكن بعض
+
+65
+00:04:00,790 --> 00:04:04,010
+الموادوالمطلوبة في الجامعة لربام مادة الإسعاف
+
+66
+00:04:04,010 --> 00:04:07,350
+الأولى أهم بكتير منها يمكن بعض المواد الأخرى اللي
+
+67
+00:04:07,350 --> 00:04:10,570
+تدرسوها بعد ما خلص الفصل أو الفصلين كنت نسي كتير
+
+68
+00:04:10,570 --> 00:04:14,570
+لكن مادة الإسعافة لو بالذات هي هتستمر معاكي مدى
+
+69
+00:04:14,570 --> 00:04:17,690
+الحياة أسباب الإصابات ليش بيصير عندنا حوادث طبعا
+
+70
+00:04:17,690 --> 00:04:20,550
+عندنا تلت أسباب أساسية هنتكلم عنها بالتفصيل مين هو
+
+71
+00:04:20,550 --> 00:04:23,510
+الشخص المسعف وبالتالي يا أخواتنا هي مادة الإسعاف
+
+72
+00:04:23,510 --> 00:04:28,010
+الأولى هي مادة عملية علمية عملية يعني نظرية عملية
+
+73
+00:04:28,240 --> 00:04:31,520
+ما بنفعقول والله انا مثلا يعني بعض المواد الأخرى
+
+74
+00:04:31,520 --> 00:04:34,920
+على سبيل المثال انت ممكن تحفظيها بصم تمام؟ لكن
+
+75
+00:04:34,920 --> 00:04:38,880
+مالاش تطبيقات عملية مثلا أشياء إنشائية لكن بعض
+
+76
+00:04:38,880 --> 00:04:42,240
+المواد الأخرى ومن ضمن طبعا المواد العملية وعلى رأس
+
+77
+00:04:42,240 --> 00:04:45,240
+القائمة مدت لساعة الأولى طبعا وكتير من المواد
+
+78
+00:04:45,240 --> 00:04:49,920
+الطبية والصحية والتمريضية اذا انت ماكنت تطبيقيها
+
+79
+00:04:49,920 --> 00:04:54,320
+عملي هتنسيها وانت وانا فعلا بعض الأمثل البسيطة
+
+80
+00:04:54,320 --> 00:05:01,120
+يعني أسمع فأنسىأرا فأتذكر أشارك فلا أنسى وبالتالي
+
+81
+00:05:01,120 --> 00:05:04,860
+هنا إذا احنا مثلا شفت على الفيديو أو شفت جريت في
+
+82
+00:05:04,860 --> 00:05:08,500
+الكتاب معلومة صحية لكن إذا أنت بصمتها 100% وما
+
+83
+00:05:08,500 --> 00:05:13,970
+شاركت فيهاهتنسيها إذا أنت مثلا شفت كلام ممكن
+
+84
+00:05:13,970 --> 00:05:18,830
+تتذكري ممكن تنسيه إذا أنت شفت كلام أو صورة هتتذكري
+
+85
+00:05:18,830 --> 00:05:22,950
+لكن في التطبيق العملي هيكون صعب وبالتالي يازم نكون
+
+86
+00:05:22,950 --> 00:05:26,810
+مشاركين لبعض الإجراءات يمكن بعض الأشياء أو تطبيقات
+
+87
+00:05:26,810 --> 00:05:30,450
+البسيطة اللي احنا بنطلبها هنا في القاعة هذه ممكن
+
+88
+00:05:30,450 --> 00:05:33,090
+نفديها في البيت أو ممكن نفدي احنا بعضها في القاعة
+
+89
+00:05:33,090 --> 00:05:37,190
+هنا تاني حاجة دور نصف في حالات الطوارئطبعا مهم جدا
+
+90
+00:05:37,190 --> 00:05:40,870
+جدا وكتير بتلاحظوا انه جديش بيقولك والله قامل و
+
+91
+00:05:40,870 --> 00:05:43,730
+سافرين بين قاد او رجال الدفاع المادي بين قاد طبعا
+
+92
+00:05:43,730 --> 00:05:47,730
+كلهم عندهم تدريبات ومؤهلين انهم يقدموا الخدمة لان
+
+93
+00:05:47,730 --> 00:05:51,110
+طبعا يكون عندهم دورات و تخصص ومادة الإسعاف الأول
+
+94
+00:05:51,110 --> 00:05:54,010
+يا اخواتنا ماهياش فقط ان جول الله دبلوم او مثلا
+
+95
+00:05:54,010 --> 00:05:57,530
+دورة او شيء لأ هي فيها تخصص طبعا تصل لدرجة
+
+96
+00:05:57,530 --> 00:06:01,380
+الدكتورةالأجهزة الحيوية في الجسم طبعا احنا فيها أن
+
+97
+00:06:01,380 --> 00:06:04,980
+أجهزة حيوية وهو طبعا كنت لاحظه في بعض الأوقات أن
+
+98
+00:06:04,980 --> 00:06:09,120
+كيف الجسم باهتم في تغذية بعض الأجهزة الحيوية يعني
+
+99
+00:06:09,120 --> 00:06:14,100
+نقول مثلا مثال مثال بسيط جدا لما نقول إنسان أصيب
+
+100
+00:06:14,100 --> 00:06:18,360
+مثلا طلق ناري في القلب وإنسان آخر أصيب طلق ناري
+
+101
+00:06:18,360 --> 00:06:22,900
+مثلا بالساق والخطورة هنا طبعا في القلب لأن طبعا
+
+102
+00:06:22,900 --> 00:06:27,700
+الجهاز حيوي لأن لو بترت الأربع أطراف مش هيموتلكن
+
+103
+00:06:27,700 --> 00:06:31,720
+لو القلب أصيب لأنه هيموت أو مثلا عندنا الكابيت أو
+
+104
+00:06:31,720 --> 00:06:34,920
+عندنا مثلا طبعا الجهاز التنفسي وبالتالي الأجهزة
+
+105
+00:06:34,920 --> 00:06:37,660
+الحقيقية هي ضرورية جدا وهذه يعني هكونها دورة كبيرة
+
+106
+00:06:37,660 --> 00:06:41,300
+في تعريف بعض المصطلحات المدمنها الصدمة حقيبة
+
+107
+00:06:41,300 --> 00:06:44,360
+الإسعاف الأولي هو طبعا ممكن تكون أشياء بيتية يعني
+
+108
+00:06:44,360 --> 00:06:47,460
+موجودة في البيت أشياء بسيطة جدا كيف أنا من خلالها
+
+109
+00:06:47,460 --> 00:06:51,400
+يعني أقدم شيء بسيط قبل أن يوصل الشخص هذا إيش
+
+110
+00:06:51,400 --> 00:06:55,410
+للمستشفى و بتبقى ويعني ممكن أنا يعني أنفجهاو
+
+111
+00:06:55,410 --> 00:06:57,710
+مابلزم وصوله لمستشفيات ده كان طبعا أشياء بسيطة
+
+112
+00:06:57,710 --> 00:07:00,510
+طبعا إيش الفرق بين التعقيم و التطهير اللي من
+
+113
+00:07:00,510 --> 00:07:04,810
+خلالها أنا بده أتجنب أمراض كتيرة طبعا مابنعش ننسى
+
+114
+00:07:04,810 --> 00:07:08,870
+إن جاي نتكلم على الإسعاف الأولي انت كمقدم لخدمة
+
+115
+00:07:08,870 --> 00:07:13,520
+الإسعاف الأولي بدك تكون محافظ على نفسكما بنفع أقول
+
+116
+00:07:13,520 --> 00:07:16,780
+الله أنا بدي أقدم خدمة إسعاف أولي و ألقي بنفسي
+
+117
+00:07:16,780 --> 00:07:21,260
+بالخطر زي ما أقول مثلا عندك إنسان غريق و أنت ما
+
+118
+00:07:21,260 --> 00:07:23,840
+بتعرف تسبحي عندك ما شاء الله تمام تمام الأمور
+
+119
+00:07:23,840 --> 00:07:27,880
+الإسعاف الأولي 100% لكن أنت ما بتعرف تسبحي، بتغرج
+
+120
+00:07:27,880 --> 00:07:31,580
+بشبر ميه، ترمي نفسك عشان تنقذيه؟ طبعا لأ، وبالتالي
+
+121
+00:07:31,580 --> 00:07:36,220
+هاناحنا ما بدنا ننقذ غيرنا و نكون احنا اياش الضحية
+
+122
+00:07:42,490 --> 00:07:46,610
+طيب لو قولنا يا أخواتنا الإسعاف الأولى طبعا هذا
+
+123
+00:07:46,610 --> 00:07:50,410
+يعني كإسعاف أولى .. كتعريف بسيط لو سألنا بسيط ..
+
+124
+00:07:50,410 --> 00:07:54,530
+سؤال بسيط جدا الإسعاف الأولى يُعتبر رعاية ولا
+
+125
+00:07:54,530 --> 00:07:59,490
+علاج؟
+
+126
+00:07:59,490 --> 00:08:02,830
+ماشي
+
+127
+00:08:02,830 --> 00:08:07,320
+المساعدة فورية هيرعاية .. رعاية طبعا .. يعني هو
+
+128
+00:08:07,320 --> 00:08:10,880
+الرعاية الفورية المقدمة للشخص، عيلة اللي بده يحتاج
+
+129
+00:08:10,880 --> 00:08:14,740
+مستشفى، بده يحتاج محليل، طبعا أنا بأتكلم في حال
+
+130
+00:08:14,740 --> 00:08:17,840
+عدم موجود سيارة الإسعاف، أنا بأتكلم في حال عدم
+
+131
+00:08:17,840 --> 00:08:18,380
+موجود سيارة الإسعاف، أنا بأتكلم في حال عدم موجود
+
+132
+00:08:18,380 --> 00:08:18,480
+سيارة الإسعاف، أنا بأتكلم في حال عدم موجود سيارة
+
+133
+00:08:18,480 --> 00:08:21,720
+الإسعاف، أنا بأتكلم في حال عدم موجود سيارة
+
+134
+00:08:21,720 --> 00:08:23,420
+الإسعاف، أنا بأتكلم في حال عدم موجود سيارة
+
+135
+00:08:23,420 --> 00:08:26,500
+الإسعاف،
+
+136
+00:08:26,500 --> 00:08:30,820
+أنا بأتكلم في
+
+137
+00:08:30,820 --> 00:08:36,610
+حال عدم موجود سيارة الإسعاف، أناوأنا، الشخص هذا،
+
+138
+00:08:36,610 --> 00:08:40,950
+قبل ما وصله للمستشفى، أنا بقدّمله الرعاية، في حال
+
+139
+00:08:40,950 --> 00:08:43,670
+وصوله سيارة الإسعاف، في حال نجلناه للمستشفى، طبعا
+
+140
+00:08:43,670 --> 00:08:46,490
+نتقل لمرحلة العلاجة، تمام؟ وبالتالي، هنا الإسعاف
+
+141
+00:08:46,490 --> 00:08:49,610
+الأول هو المساعدة الفورية أو الرعاية الفورية أو
+
+142
+00:08:49,610 --> 00:08:52,910
+العناية الفورية التي تقدّم الإنسان أصيب حادث أو
+
+143
+00:08:52,910 --> 00:08:56,370
+مرض مفاجئ، نقف شويه بس عند الكلمتين هدولة، حادث أو
+
+144
+00:08:56,370 --> 00:09:00,070
+مرض مفاجئ، هل أنا بقصد هنا الحادث حادث سيارة، حادث
+
+145
+00:09:00,070 --> 00:09:05,070
+موتوسيكل؟لأ طبعا هنا الحوادث اكتيرة، ضمن الحوادث
+
+146
+00:09:05,070 --> 00:09:09,750
+نتكلم عنها الغرق حادث، الحروق حادث، التسمم،
+
+147
+00:09:09,750 --> 00:09:16,570
+الكسور، الاختناق، لساعات النحل والدبون، عضات
+
+148
+00:09:16,570 --> 00:09:21,290
+الأفاعي، هذه كلها تعتبر حوادث، الكسور حوادث،
+
+149
+00:09:21,290 --> 00:09:24,890
+وبالتالي هنا الحادث أنا بقصد فيه أي حاجة ممكن تؤثر
+
+150
+00:09:24,890 --> 00:09:30,240
+على حياة الإنسان، أو مرض مفاجئ،فما بقدر أقول والله
+
+151
+00:09:30,240 --> 00:09:35,400
+كل إنسان يصاب بحادث معناه مريض لأن كنت تكون ماشية
+
+152
+00:09:35,400 --> 00:09:41,940
+اتزحلجتي فجأة يعني جشرة موز تحت رجلك اتزحلجتي أو
+
+153
+00:09:41,940 --> 00:09:46,120
+انت بتستعجل على الدرج أجعتي انت تمام تمام صحتك لكن
+
+154
+00:09:46,120 --> 00:09:50,580
+انت أساسا ماكنت مريضة لكن بعض الناس ممكن يكون مريض
+
+155
+00:09:50,580 --> 00:09:57,160
+أصلا لكن مثلا اتعرض لخبرصادم، نسي ياخد مثلا
+
+156
+00:09:57,160 --> 00:10:02,460
+الانسولين، ارتفع عليه مثلا خبر مفرح أو مفجع،
+
+157
+00:10:02,460 --> 00:10:05,820
+اتغيرت حالته الصحية وهنا طبعا نبصد ان احنا في مرض
+
+158
+00:10:05,820 --> 00:10:10,740
+مفاجئ، ان الانسان مثلا عنده مرض مزمن لكن ايجا عليه
+
+159
+00:10:10,740 --> 00:10:15,460
+ظرف من الظروف، غير الوضعية الصحية بالنسباله، خبر
+
+160
+00:10:15,460 --> 00:10:19,850
+سيء، ارتفعت الضغط عندهمثلا لو واحد مريض سكر، زي
+
+161
+00:10:19,850 --> 00:10:24,210
+الغضب مش ماخد .. مش ماكل أو مش مفطر و ماخد مثلا
+
+162
+00:10:24,210 --> 00:10:27,660
+فقط الانسولينيبقى صار عندهم انخفاض معادل السكر
+
+163
+00:10:27,660 --> 00:10:31,180
+وبالتالي أنا بقدم الإسعاف الأولى للصحيح اللي أصيب
+
+164
+00:10:31,180 --> 00:10:36,020
+بالحادث وللمريض اللي اتغير وضعه إيش الصحيح لبنى
+
+165
+00:10:36,020 --> 00:10:39,680
+بحادث أو مرض مفاجئ قبل وصول مساعدة طبية متخصصة أو
+
+166
+00:10:39,680 --> 00:10:43,840
+قبل نقله لأقرب مركز صحي أو مستشفى لبنى ما نصل
+
+167
+00:10:43,840 --> 00:10:47,660
+لنتيجة إن الإسعاف الأولى هو رعاية فورية تقدم لأي
+
+168
+00:10:47,660 --> 00:10:51,660
+شخص أصيب بحادث أو مرض مفاجئ لحين وصول سيارة
+
+169
+00:10:51,660 --> 00:10:58,730
+الإسعاف أو نقله لأقرب مركز صحيحطيب نجح هنا أن طبعا
+
+170
+00:10:58,730 --> 00:11:01,950
+كل حاجة احنا بنسويها لازم يكون لها هداف، كل إنسان
+
+171
+00:11:01,950 --> 00:11:04,250
+في حياته تقوله هداف، انت دراستك هنا في الجامعة لها
+
+172
+00:11:04,250 --> 00:11:06,930
+هداف، بدك تاخد الشهادة ان شاء الله و بعدين طبعا
+
+173
+00:11:06,930 --> 00:11:10,030
+بعد الشهادة تكمن ان شاء الله ماجستير و بعديها طبعا
+
+174
+00:11:10,030 --> 00:11:13,190
+.. و كل واحد له هدافه، تمام؟ الحياة بدون هداف
+
+175
+00:11:13,190 --> 00:11:17,520
+مالها طعم، معناه إنسان بعيش على الفاضيطبعا وما
+
+176
+00:11:17,520 --> 00:11:20,400
+خلقتوا الجن و الإنس إلا اللي يعبدون طبعا و العبادة
+
+177
+00:11:20,400 --> 00:11:23,980
+ماهيش بس الصلاة و الصوم لأ العمل عبادة لما مثلا
+
+178
+00:11:23,980 --> 00:11:27,120
+ينجز في عمله أو يقن في عمله برضه عبادة لكن الإنسان
+
+179
+00:11:27,120 --> 00:11:31,980
+بيكون عايش بدون هدف وكتير .. كتير بلاحظ أنه بعض
+
+180
+00:11:31,980 --> 00:11:34,340
+الناس اللي مثلا بيكون وما لهومش أهداف ممكن ينتحر
+
+181
+00:11:34,340 --> 00:11:37,340
+وبالتالي احنا أي حاجة يبقى نعملها لازم يكونها هدف
+
+182
+00:11:37,340 --> 00:11:43,210
+بدون .. طبعا مابديل عن التخطيط إلا الفشلحاجة بدون
+
+183
+00:11:43,210 --> 00:11:45,910
+تخطيط ما هو بيقولك شغل على البركة، مافيش حاجة عشان
+
+184
+00:11:45,910 --> 00:11:49,230
+شغل على البركة، أنا متمنع الله أه، لكن ليه تاخد
+
+185
+00:11:49,230 --> 00:11:52,890
+بالأسباب؟ عقلها وتوكل، وبالتالي طبعا من أهداف
+
+186
+00:11:52,890 --> 00:11:56,970
+الإسعاف الأولي، أول حاجة إنقاذ حياة المصاب، سواء
+
+187
+00:11:56,970 --> 00:12:00,850
+طبعا قلنا اللي أصيب حادث أو اللي عنده مرض مفاجئ،
+
+188
+00:12:00,850 --> 00:12:04,650
+طبعا أول حاجة أنا بدى أنقذ حياته، تمام؟ لما أنا
+
+189
+00:12:04,650 --> 00:12:10,350
+بدأ أتكلم على إنسان غريقلما نرميله الحبل او انسان
+
+190
+00:12:10,350 --> 00:12:14,310
+مثلا في مكان فيه حروق و طلعنا من المكان هذا احنا
+
+191
+00:12:14,310 --> 00:12:18,770
+انقذناه لكن ربما الشخص هذا عنده مشاكل اذا اول حاجة
+
+192
+00:12:18,770 --> 00:12:21,870
+انا بسويها اني بانقذ الشخص هذا بطلعه من المكان
+
+193
+00:12:21,870 --> 00:12:27,800
+اللي فيه خطورة عليه تاني حاجةتخفيف تأثير الإصابة،
+
+194
+00:12:27,800 --> 00:12:32,260
+بدي أتعامل معاه، طلعناه مثلا و راجل مثلا مولّع
+
+195
+00:12:32,260 --> 00:12:36,120
+كانون فحم في عزيزي البرد، و الكانون هذا طبعا أنتوا
+
+196
+00:12:36,120 --> 00:12:39,580
+عارفين بيطلع أول أكسيد الكربون، بسبب اقتناط، وميز
+
+197
+00:12:39,580 --> 00:12:42,840
+أول أكسيد الكربون أنه لا لون ولا ريحةعلى عكس طبعا
+
+198
+00:12:42,840 --> 00:12:45,780
+فانوكسيد الكربون بالتالي اللي ممكن يختنق تدريجيا
+
+199
+00:12:45,780 --> 00:12:50,480
+إذا احنا طلعناه من المكان هذا تمام هذا انقذناه لكن
+
+200
+00:12:50,480 --> 00:12:53,500
+ممكن ان هو يشكون مختنق فانا بدي أحافظ على حياته
+
+201
+00:12:53,500 --> 00:12:57,420
+أقلل من المشاكل بإن ممكن انا أعمله تنافس صناعي زي
+
+202
+00:12:57,420 --> 00:13:01,100
+مثلا الغريق اللي طلعناه من المكان من البحر وطلعناه
+
+203
+00:13:01,100 --> 00:13:06,010
+برا وطبعا الرئتين فيهم ميهأو بقالع ميه كمان فانا
+
+204
+00:13:06,010 --> 00:13:09,430
+بعمل إيش؟ إخراج المساعدة على إخراج الميه هذه و
+
+205
+00:13:09,430 --> 00:13:12,250
+مساعدته على التنافس الصناعي التجبهات التانية تخفيف
+
+206
+00:13:12,250 --> 00:13:18,910
+أثر الإصابة الهدف التالت تقليل المضاعفات لما أنا
+
+207
+00:13:18,910 --> 00:13:23,600
+أتكلم مع إنسان عنده مثلا كسوروالشخص هذا مثلا عنده
+
+208
+00:13:23,600 --> 00:13:27,820
+كسور في الأنق أو كسور مثلا في العمود الفقري أو
+
+209
+00:13:27,820 --> 00:13:32,180
+كسور في أي مكان تمام؟ لما أنا بدأ ناخد أبسط شيء إن
+
+210
+00:13:32,180 --> 00:13:36,280
+أنا بتكلم مثلا مع إنسان عنده كسور في الساق ناخد
+
+211
+00:13:36,280 --> 00:13:39,540
+الحاجات البسيطة إذا أنا بدأ أقلم المضاعفات معناه
+
+212
+00:13:39,540 --> 00:13:44,120
+أنا بدي أثبت الكسر زي ما هو بحاولش إعادة الكسرهذه
+
+213
+00:13:44,120 --> 00:13:48,320
+حاجة بسيطة لكن إنسان مثلا عنده كسور طب ممكن نثبت
+
+214
+00:13:48,320 --> 00:13:51,420
+الكسر على ما هو و هنأكل بالتفصيل لكن لما اتكلم على
+
+215
+00:13:51,420 --> 00:13:55,680
+إنسان عنده مثلا كسور في العنق أو إنسان مثلا كسور
+
+216
+00:13:55,680 --> 00:13:58,480
+في العمود الفقري و انت دلوقتي تلاحظ ان الصياب تسعى
+
+217
+00:13:58,480 --> 00:14:03,480
+لما تصل لأي مكان اشتباه لو كان اشتباه في كسور في
+
+218
+00:14:03,480 --> 00:14:08,360
+العنق طبعا بلبسه الكولر طبعا هي أساس دعاء ماشي
+
+219
+00:14:08,360 --> 00:14:12,230
+للعنق لفقرة العنق حتى لو كان اشتباهطبعا لو كان
+
+220
+00:14:12,230 --> 00:14:16,310
+عندك صوف الأمود الفقري واحد لحاله مش هيشيله اتنين
+
+221
+00:14:16,310 --> 00:14:18,990
+لحاله مش هيشيله اقل شيء بيقولوا احنا بدنا أربعة
+
+222
+00:14:18,990 --> 00:14:24,150
+ليش؟ لأن العمود الفقري فقرت واحيانا بتكون النقل
+
+223
+00:14:24,150 --> 00:14:29,330
+الخاطئ هو اللي نتج عنه الشلل أو الإصابة أو
+
+224
+00:14:29,330 --> 00:14:33,250
+المضاعفات مش من الإصابة بحد ذاتها وطبعا عشان
+
+225
+00:14:33,250 --> 00:14:36,230
+بيقولوا احنا بنقل المضاعفات اللي ممكن تصير لما
+
+226
+00:14:36,230 --> 00:14:39,350
+نتكلم على سبيل المثال طبعا أمثلة كتيرة واحد إنسان
+
+227
+00:14:39,350 --> 00:14:46,290
+مثلامريض سكر، تمام؟ واخد طبعا انسلين، واحنا بقول
+
+228
+00:14:46,290 --> 00:14:49,170
+مثلا إذا احنا مش عارفين، وهنا طبعا هنعرفها، إيش
+
+229
+00:14:49,170 --> 00:14:52,490
+أعراض غيبوبة السكر أو إيش أعراض ارتفاع السكر،
+
+230
+00:14:52,490 --> 00:14:56,890
+والشخص هذا أخد انسلين بدون ما يأكل، تمام؟ بدرجة
+
+231
+00:14:56,890 --> 00:15:00,530
+بديه يفقد وعيه، تمام؟ اعتناء كمان انسلين زيادة،
+
+232
+00:15:00,530 --> 00:15:04,660
+واحنا مش عارفينهيصير مضاعفات أكتر، هصير خطور أكتر،
+
+233
+00:15:04,660 --> 00:15:08,320
+وهنا طبعا بندخله في مضاعفات خطيرة تؤثر على الدماغ
+
+234
+00:15:08,320 --> 00:15:11,680
+بسبب نقص السكر الموجود A-H في الدم، وبالتالي أنا
+
+235
+00:15:11,680 --> 00:15:15,780
+من خلال إنقاذ المصاب، الحفاظ على حياة المصاب،
+
+236
+00:15:15,780 --> 00:15:17,900
+وتقليل المضاعفات هذه الأهداف الأساسية اللي من
+
+237
+00:15:17,900 --> 00:15:21,380
+خلالها ممكن أنا أقدم خدمة الإسعاف الأولي، طبعا هذه
+
+238
+00:15:21,380 --> 00:15:24,900
+الأهداف ممكن أنا أقيسها على كل الحالات اللي ممكن
+
+239
+00:15:24,900 --> 00:15:28,850
+أتعامل معاهاقصة لذلك سواء من الحالة البسيطة للحياة
+
+240
+00:15:28,850 --> 00:15:32,590
+المعقدة، واحد ملقى على الأرض، اشتباه كسور، سيفيه
+
+241
+00:15:32,590 --> 00:15:35,630
+زي ما هو، لكن أنت بتدور على أماكن تانية مثلا فيها
+
+242
+00:15:35,630 --> 00:15:39,010
+جروح، فيها نزيت، وهار طبعا من خلال تفقد الشخص اللي
+
+243
+00:15:39,010 --> 00:15:41,490
+هناخده، كمان شوية بخطوات مرتبة
+
+244
+00:15:48,530 --> 00:15:51,910
+طبعا عوام النجاح هنا إحنا في الإسعاف الأولى، طبعا
+
+245
+00:15:51,910 --> 00:15:54,230
+هذا يعني برضه القانون اللي جيتها اتكلموا كمان
+
+246
+00:15:54,230 --> 00:15:58,410
+وخطوات مرتبة، العناية بالمصاب ككل، طبعا أهم جهاز
+
+247
+00:15:58,410 --> 00:16:03,370
+أنا بدأ أتفقده اللي هو الجهاز التنفسيليش؟ انه لو
+
+248
+00:16:03,370 --> 00:16:05,710
+كان عندى نزيف انا ممكن اضغط على النزيف او اي انسان
+
+249
+00:16:05,710 --> 00:16:09,010
+ممكن يضغط على النزيف طبعا ممكن لو طفل لو انسان
+
+250
+00:16:09,010 --> 00:16:12,390
+صغير في السن ممكن طبعا يضغط على مكان النزيف لكن
+
+251
+00:16:12,390 --> 00:16:14,430
+اذا كان الانسان ماعندوش خبرة في عملية التنفس
+
+252
+00:16:14,430 --> 00:16:18,870
+الاصطناعي وكيفية ان يفقد طبعا يتفقد مكان التنفس
+
+253
+00:16:18,870 --> 00:16:23,670
+الصناعي يتفقد الجهاز التنفسي يتفقد مدخل الهواء
+
+254
+00:16:23,670 --> 00:16:27,300
+للجهاز التنفسي طبعا هيكون صعبوبالتالي احنا بناخد
+
+255
+00:16:27,300 --> 00:16:32,240
+الجسم ككل عملية تفقد وعملية طبعا تابعة وملاحظة وين
+
+256
+00:16:32,240 --> 00:16:35,560
+اماكن الخطر اللي انا ممكن ابدأ فيها طبعا وين هنبدأ
+
+257
+00:16:35,560 --> 00:16:39,040
+هناخد طبعا تدرجيا من وين انا ممكن ابدأ مع الشخص
+
+258
+00:16:39,040 --> 00:16:42,860
+حاجة تانية يعني هي بنفسية المصعبة هذه نقطة مهمة
+
+259
+00:16:42,860 --> 00:16:47,960
+كتير النفسية يعني العامل النفسي الطمأنة ومن هنا
+
+260
+00:16:47,960 --> 00:16:52,160
+طبعا نقول احنا احد مهام او وظائف او خصائص المصعف
+
+261
+00:16:52,160 --> 00:16:56,220
+القدر على الطمأنةلما ينسان يقول على سبيل المثال
+
+262
+00:16:56,220 --> 00:17:02,420
+إذا كان الشخص هذا مثلا في حالة سيارة، أسرة، و هو
+
+263
+00:17:02,420 --> 00:17:06,020
+اللي ربنا أنقضه من بين أسرة هذه، كلهم ماتوا أو
+
+264
+00:17:06,020 --> 00:17:10,020
+مثلا غيره، تمام؟ إحنا كيف بدنا نتعامل مع الشخص هذا
+
+265
+00:17:10,020 --> 00:17:16,040
+و نفسيته؟ نقول والله يعني أحمد ربك إنه .. إن ربنا
+
+266
+00:17:16,040 --> 00:17:21,340
+كتبلك عمر جديد، لكن الله يرحم الباقين هي بتمنى
+
+267
+00:17:21,340 --> 00:17:27,390
+يموت معهملكن احنا لازم نقدر نعالجه نفسيا لان دايما
+
+268
+00:17:27,390 --> 00:17:31,530
+اذا كان يعني هو عدى في صدمة و عدى في مشكلة و عدى
+
+269
+00:17:31,530 --> 00:17:35,190
+في حادث انا بقادي ازود المشكلة عليه طبعا لأ
+
+270
+00:17:35,190 --> 00:17:38,910
+وبالتالي دايما العامل النفسي مهم جدا ده مقول طبعا
+
+271
+00:17:38,910 --> 00:17:44,330
+يعني احيانا حتى المعاملة مع المريض اذا كان معاملة
+
+272
+00:17:44,330 --> 00:17:49,050
+انت بتقدميله كل حاجة لكن معاملة مش انسانية بدوشها
+
+273
+00:17:49,050 --> 00:17:53,370
+العلاج كلهولها المعاملة ولها الخدمة لكن أحيانا
+
+274
+00:17:53,370 --> 00:17:57,730
+بقول والله يعني هذا الإنسان بساعدني و بقدملي خدمة
+
+275
+00:17:57,730 --> 00:18:01,590
+أنا برتاح باسم الكلام أكتر من العلاج و هنقول أن
+
+276
+00:18:01,590 --> 00:18:05,690
+بسمتك في وجه أخيك صدقة وبالتالي هنا العامل النفسي
+
+277
+00:18:05,690 --> 00:18:10,110
+مهم جدا في حال أن أنت بدأت تساعد إنسان عنده مشكلة
+
+278
+00:18:10,110 --> 00:18:14,390
+صحية لأن ببنقول حاجة تانية خواتنا دايما لو قدم أي
+
+279
+00:18:14,390 --> 00:18:20,580
+خدمة ضع نفسك مكانه إذا أنت تتقبلحد يعملك الصورة دي
+
+280
+00:18:20,580 --> 00:18:24,120
+عامل، لكن ماحدش بتقبل، وبتقول الحين قاعدة عامل
+
+281
+00:18:24,120 --> 00:18:27,860
+الناس كما تحب أن يعاملوك ولا كما .. ولا كما تحب أن
+
+282
+00:18:27,860 --> 00:18:32,080
+تعامل،
+
+283
+00:18:32,080 --> 00:18:36,660
+إذا أنت بتعامل الناس كما يعاملوكأهي هي، يعني هو
+
+284
+00:18:36,660 --> 00:18:42,040
+مثلا عملك ب .. بشدة، هتعامل بشدة، لكن أنت بدأ تكون
+
+285
+00:18:42,040 --> 00:18:46,100
+تعامل الناس بابتسام، كما تحب أن تعامل، أنت بتحب
+
+286
+00:18:46,100 --> 00:18:49,340
+تعامل بإيش بالحسنة، مش تتعاملهم بالشدة والغلطة،
+
+287
+00:18:49,340 --> 00:18:53,140
+تمام؟إيه بقى الناحية التانية الناحية النفسية؟ إيه
+
+288
+00:18:53,140 --> 00:18:56,820
+بقى الإنسان شقين يا خواتنا جسدي و نفسي إذا كان
+
+289
+00:18:56,820 --> 00:19:00,100
+الناحية الجسدية أنا اهتمت فيها و نسيت الجانب
+
+290
+00:19:00,100 --> 00:19:04,160
+النفسي أنا ماكملتش المشوار بالتالي يجب أن نعيش
+
+291
+00:19:04,160 --> 00:19:10,420
+الناحية الجسدية و الناحية النفسية التعامل
+
+292
+00:19:10,420 --> 00:19:15,160
+مع الإصابات حسب الأولوية مين أولى؟ مش حسب الجرابة
+
+293
+00:19:15,160 --> 00:19:21,660
+ولا حسب الدين ولا حسب الملة ولا حسب العرقأي ضحية
+
+294
+00:19:21,660 --> 00:19:27,840
+انسى ديانته انسى جرابته انسى من هو لأن هو اعتبر
+
+295
+00:19:27,840 --> 00:19:32,820
+انسان وانت لو انت كنت في نفس المكان بدك حد يعملك
+
+296
+00:19:32,820 --> 00:19:36,800
+بالحسنة بدك حد يقدم لك خدمة .. خدمة ساعف أولا يعني
+
+297
+00:19:36,800 --> 00:19:39,560
+مثلا نقول والله الجريب و لا أخوه .. أخوه بإصابته
+
+298
+00:19:39,560 --> 00:19:43,340
+بسيطة و الغريب هذا اللي معاه مثلا مشكلة أو عامل
+
+299
+00:19:43,340 --> 00:19:47,090
+معاه مشكلة قبل كده إصابته خطيرة لأهنا ناحية
+
+300
+00:19:47,090 --> 00:19:50,210
+إنسانية ومن أحياها فكأننا ما أحيا الناس جميعا
+
+301
+00:19:50,210 --> 00:19:53,590
+وبالتالي يا أخواتنا لما يكون عندنا مثلا إنسان
+
+302
+00:19:53,590 --> 00:19:59,070
+بحاجة لخدمة إنسانية أو خدمة طبية أو خدمة صحية مهما
+
+303
+00:19:59,070 --> 00:20:03,770
+كان ملته إنسان أنا بتقدمه .. و بعدين نقول عليه
+
+304
+00:20:03,770 --> 00:20:08,130
+جضايا .. لأ مش دورنا هذا احنا دورنا إننا ننقضهم
+
+305
+00:20:08,130 --> 00:20:11,430
+بعدين طبعا أصحاب الاختصاص هم أولى فيه وبالتالي
+
+306
+00:20:11,430 --> 00:20:15,290
+طبعا احنا حسب الأولوية أو نقول احنا الفرزأو
+
+307
+00:20:15,290 --> 00:20:18,270
+الترياج يعني مثلا إذا ميجي مثلا في المستشفيات
+
+308
+00:20:18,270 --> 00:20:21,530
+بيجعل المستشفيات في الاستقبال بيهتموا أيه الحالات
+
+309
+00:20:21,530 --> 00:20:24,970
+الأخطر؟ ميقولوش فلان و لا علان و لا لأ لأن طبعا
+
+310
+00:20:24,970 --> 00:20:27,950
+بتبقى لها المهنة مهنة إنسانية و طالما أنه مهنة
+
+311
+00:20:27,950 --> 00:20:34,430
+إنسانية بتعامل الضحية إنسان مش جريب ولا صديق حتى
+
+312
+00:20:34,430 --> 00:20:38,430
+لو كان من أي ملة حتى لو كانت HDMI 2 بغض النظر طبعا
+
+313
+00:20:38,430 --> 00:20:41,150
+الأشياء دي كلها لأن المهنة مهنة إنسانية
+
+314
+00:20:44,310 --> 00:20:46,890
+التعامل مع حدث بشكل عام كاستدعاء سيارة الإسعاف
+
+315
+00:20:46,890 --> 00:20:50,850
+يعني أنا بدي أنا أقدم خدمة و في نفس الوجد أستعين
+
+316
+00:20:50,850 --> 00:20:54,630
+في حد يطلب سيارة الإسعاف مابنفع بقى أخلص كل حاجة و
+
+317
+00:20:54,630 --> 00:20:57,370
+أقولهم الله طلبوله سيارة الإسعاف وبالتالي أنا
+
+318
+00:20:57,370 --> 00:21:00,550
+بستهلك .. بستغلي الوجد و أتمنى أنه قاعدة، أنا جيت
+
+319
+00:21:00,550 --> 00:21:03,790
+حانة تكرها مرتبة كيف أنا ممكن أستدعي سيارة الإسعاف
+
+320
+00:21:06,150 --> 00:21:09,070
+أهمية دراسة الإسعاف الأولية .. احنا اتكلمت و
+
+321
+00:21:09,070 --> 00:21:12,970
+اتكلمنا وين؟ على الأهداف .. هنتكلم على الأهمية ..
+
+322
+00:21:12,970 --> 00:21:15,950
+أهمية دراستها مساعدة الآخرين .. بقولك أنا و الله
+
+323
+00:21:15,950 --> 00:21:22,430
+بحب أخدم غيري .. و يا سلام لو انت أنقضتي شخص تاني
+
+324
+00:21:22,430 --> 00:21:28,660
+أو ساعدتي جدش بتكون مرتاحة نفسيالكن أحيانا لما
+
+325
+00:21:28,660 --> 00:21:34,020
+الإنسان ممكن يعني نقول مثلا كان جادر و خدوا بالك
+
+326
+00:21:34,020 --> 00:21:38,080
+يا أخواتنا إذا أنت كنت جادرة تنقذ حياة إنسان و
+
+327
+00:21:38,080 --> 00:21:43,360
+تركتيه تحاسبي لأن انت شاركت إيش فقتله لو مات مثلا
+
+328
+00:21:43,360 --> 00:21:50,300
+تمام انت جادر تقدميه خدمة تمام و سيبتيهطب ماحدش
+
+329
+00:21:50,300 --> 00:21:53,860
+شايفك القانون مش شايفك لكن ربنا شايفك انت بيكون
+
+330
+00:21:53,860 --> 00:21:57,600
+هيش .. هيش دمرتي حياته لكن جديش انت .. و انت طب
+
+331
+00:21:57,600 --> 00:22:00,600
+ممكن تشعر في الشيء هذا جديش لما يكون إنسان مريض
+
+332
+00:22:00,600 --> 00:22:05,760
+وساعتيه سكتيه شففت من وجعه كلمتين طيبين انت داخل
+
+333
+00:22:05,760 --> 00:22:09,160
+الجدش انت بتكون مرتاحة وبالتالي هنا يا أخواتنا
+
+334
+00:22:09,160 --> 00:22:13,960
+لازم نشعر ان في هذا يعني ناحيتين ناحية دينية ان
+
+335
+00:22:13,960 --> 00:22:17,780
+انت إليك أجر و ناحية دينية ان انت قدمتي خدمة
+
+336
+00:22:18,760 --> 00:22:23,080
+وبالتالي هنا أنا مساعدة الآخرين طبعا يعني هذا شيء
+
+337
+00:22:23,080 --> 00:22:27,580
+مهم جدا ممكن تساعدني نفسيا يعني جبر الخواطر انت صح
+
+338
+00:22:27,580 --> 00:22:32,280
+مش متخصصة لكن بكلمتين طيبين ساعدتي اتخففتي عنه سكت
+
+339
+00:22:32,280 --> 00:22:36,260
+يعني اتخففتي عنه انه مثلا يدخل في صدمة لو كان عنده
+
+340
+00:22:36,260 --> 00:22:42,720
+ايش مرض مزمن النحية التانيةمساعدة الفرد لنفسه احنا
+
+341
+00:22:42,720 --> 00:22:46,360
+لنفسنا كيف نلقى لنفسنا لو انت مثلا صار عندك اختناق
+
+342
+00:22:46,360 --> 00:22:51,580
+مافيش حد عندك وطبعا يعني عملية هتشوفوها كمان ان
+
+343
+00:22:51,580 --> 00:22:54,760
+شاء الله انت كيف ممكن تلقى لنفسك بنفسك مافيش عندك
+
+344
+00:22:54,760 --> 00:22:58,380
+اي حد انت مثلا صار عندك صداع انت صار عندك مثلا
+
+345
+00:22:58,380 --> 00:23:02,220
+حسيت حالك انك دائخة وصار عندك يعني عدم توازن ايش
+
+346
+00:23:02,220 --> 00:23:07,690
+الوضعية اللي ممكن تستعمليها انت صار عندك نزيفصار
+
+347
+00:23:07,690 --> 00:23:11,590
+عندك مثلا أبساط يعني في أنا أمثلة بسيطة جدا و هي
+
+348
+00:23:11,590 --> 00:23:13,690
+أبساطة مثلا نقول نزيفة لأنك كيف نتعامل، هنشوف
+
+349
+00:23:13,690 --> 00:23:17,290
+طبعا، فبالتالي أنت ممكن تخدم غيرك و في نفس الوجه
+
+350
+00:23:17,290 --> 00:23:22,210
+تخدم نفسك الاستعداد
+
+351
+00:23:22,210 --> 00:23:26,390
+للكوارث، احنا الحمد لله يعني بلدنا لا تستقر على
+
+352
+00:23:26,390 --> 00:23:31,830
+واضعيعني بين حروب، بين أحداث، وبالتالي يعني ..
+
+353
+00:23:31,830 --> 00:23:35,630
+وهذا طبعا ممكن تشهدوا على الشيء هذا إن في الحروب
+
+354
+00:23:35,630 --> 00:23:38,910
+يعني ناحيان .. ناحيان بعض الولادات الطارة ما تصل
+
+355
+00:23:38,910 --> 00:23:43,170
+للمستشفىمثلا بتنمي التوليدة في البيت فبالتالي يا
+
+356
+00:23:43,170 --> 00:23:46,330
+حباد لو كان مثلا عنده خبرة على سبيل المثال كي ممكن
+
+357
+00:23:46,330 --> 00:23:50,150
+يساعد في الحالة هذه وبالتالي هم نكون الناس اللي
+
+358
+00:23:50,150 --> 00:23:54,950
+عندهم خبرة بيخففوا الضغط عن المتخصصين اللي هم
+
+359
+00:23:54,950 --> 00:24:00,320
+بيكونوا وجودهم ضروري جدا لحالات خطيرةيعني لا يعقن
+
+360
+00:24:00,320 --> 00:24:03,760
+بالإنسان مثلا متخصص وانت مثلا جرح بسيط لأ في ناس
+
+361
+00:24:03,760 --> 00:24:06,480
+سنين مثلا الجرح البسيط هذا عندهم خلفية كيف
+
+362
+00:24:06,480 --> 00:24:10,320
+يتعاملوا معاه وبيتركوا الأشياء المعقدة أو الأشياء
+
+363
+00:24:10,320 --> 00:24:12,340
+اللي فيها خطورة على هذا الإنسان طبعا للناس
+
+364
+00:24:12,340 --> 00:24:17,820
+المتخصصين وكتير مثلا مافيش مواصلات مثلا في عندنا
+
+365
+00:24:17,820 --> 00:24:21,220
+حرب في .. في .. فاحنا طبعا بتتم إسعاف حالات كتيرة
+
+366
+00:24:21,220 --> 00:24:24,480
+داخل بيوت الولادة البيتية بتكتر في الحالة هذه
+
+367
+00:24:24,480 --> 00:24:25,360
+تمام؟
+
+368
+00:24:33,720 --> 00:24:39,760
+القانون الأول بالنسبة للسعافي الأولى انظر فكر اعمل
+
+369
+00:24:39,760 --> 00:24:48,260
+بمعنى ان انا هستخدم حواس النظر تمام و ايه؟ تفكير
+
+370
+00:24:48,260 --> 00:24:53,790
+اهغير هيكالة هستخدم طبعا الشم طبعا هجي القانون
+
+371
+00:24:53,790 --> 00:24:59,870
+التاني هستخدم الحواسب اللمس والشم والسمع والنظر
+
+372
+00:24:59,870 --> 00:25:04,330
+ناخد القانون الأول انظر فكر اعمل طبعا في القانون
+
+373
+00:25:04,330 --> 00:25:11,230
+هذا انا بانظر للمكان بانظر للمكان في إمكانية أقدم
+
+374
+00:25:11,230 --> 00:25:13,770
+خدمة ولا لأ لأن طبعا زي ما قلت فيها ان قانون
+
+375
+00:25:13,770 --> 00:25:16,730
+هجتكلم عليه او كقاعدة بس انا هجيته هتكلم بحاجة
+
+376
+00:25:16,730 --> 00:25:21,900
+بسيطة جدا انظر للمكانفكر إيش بدك تعمل، ممكن اللي
+
+377
+00:25:21,900 --> 00:25:26,000
+ربما في عندك اختقم من حالة، من الأولى، تمام؟ طبعا،
+
+378
+00:25:26,000 --> 00:25:30,140
+هذا شيء نظري، بالنظرة عن بعد، بيجي أن الجزية
+
+379
+00:25:30,140 --> 00:25:34,840
+التانية اعمل، تبدأ بالعمل بإنك تجرب على مكان
+
+380
+00:25:34,840 --> 00:25:38,980
+الضحية، يعني صير أقرب، انت كنت ماخد نظرة عن بعد
+
+381
+00:25:40,260 --> 00:25:45,200
+طبعا هنا هتجرب على المكان تعمل focusing للنظرة هذه
+
+382
+00:25:45,200 --> 00:25:48,760
+نفسها و تجرب على المكان عشان تبدأ تشتغل ايش مع
+
+383
+00:25:48,760 --> 00:25:53,020
+الشخص هذا احنا دربنا عليه نجي ننتقل للقانون التاني
+
+384
+00:25:53,020 --> 00:25:56,560
+و هذا القانون يا أخواتنا له علاقة بالجهاز التنفسي
+
+385
+00:25:56,560 --> 00:26:03,430
+انظر استمع استشعر او تحسسطبعا هنا ايش؟ بقول أن أهم
+
+386
+00:26:03,430 --> 00:26:09,130
+جهاز أنا بنتبه إليه بعد مطمئن إنه مافيش خطورة لأن
+
+387
+00:26:09,130 --> 00:26:12,110
+دايما يا أخواتنا بدي أنظر المكان آمن ومش آمن يمكن
+
+388
+00:26:12,110 --> 00:26:16,610
+هنا مثلا في سلك كهربا، يمكن مثلا في قصف، يمكن مثلا
+
+389
+00:26:16,610 --> 00:26:20,710
+في غراق، يمكن يمكن هذه حوارث طبعا أو أسباب بتأثر
+
+390
+00:26:20,710 --> 00:26:25,160
+علي إذا أنا جربتتمام؟ وهي طبعا كنتوا تشوفوها كتير
+
+391
+00:26:25,160 --> 00:26:29,900
+أيام كان مثلا قصف السيارات يقصف مثلا إنسان مستهدف
+
+392
+00:26:29,900 --> 00:26:33,040
+شوية تلاقي الشباب يهجموا على المكان نفسه، بدل
+
+393
+00:26:33,040 --> 00:26:36,880
+البحية يصيروا خمسة وبالتالي أنا بنظر، يعني أنا
+
+394
+00:26:36,880 --> 00:26:40,740
+جربت على الشخص هذا بعد ما أطمأنيت إن المكان آمن،
+
+395
+00:26:40,740 --> 00:26:44,320
+يعني بنظر القانون الأول، بطمنني إن في خطورة ولا
+
+396
+00:26:44,320 --> 00:26:48,830
+مافيش خطورة؟القانون التاني، انظر، استمع، استشعر أو
+
+397
+00:26:48,830 --> 00:26:54,690
+تحسس للجهاز التنفسي، بنظر للشخص هذا في نفس ولا فيش
+
+398
+00:26:54,690 --> 00:27:00,330
+نفس، و باسمع، يبقى أنا باسمع و بانظر، نظر أيش؟
+
+399
+00:27:00,330 --> 00:27:05,150
+لحركة الصدر، طبعا استشعر إن أنا بضع أيدي على الصدر
+
+400
+00:27:05,150 --> 00:27:09,800
+نفسه، يمكن يكون نفس ضعيفيعني بالنظر الكلش واضح،
+
+401
+00:27:09,800 --> 00:27:13,580
+بالتالة بضع إيدي عليهش على مكان الجهاز التنفسي و
+
+402
+00:27:13,580 --> 00:27:17,920
+بشوف، يبقى أنا بستخدم هنا الحواس، نظر، استماع
+
+403
+00:27:18,900 --> 00:27:22,640
+استشعار طبعا هذا القانون يا أخواتنا خاص بالجهاز
+
+404
+00:27:22,640 --> 00:27:26,600
+التنفسي القانون التاني لإن طبعا أهم جهاز انا بدي
+
+405
+00:27:26,600 --> 00:27:30,620
+أنتبه إليه هو الجهاز التنفسي طبعا مابقولش الجهاز
+
+406
+00:27:30,620 --> 00:27:34,400
+الهضمي ولا الجهاز البولي ولا الجهاز اللي .. لأ
+
+407
+00:27:34,400 --> 00:27:37,880
+الجهاز التنفسي لإن هو الأساس في دخول الأكسجين لوين
+
+408
+00:27:37,880 --> 00:27:43,350
+لجسم الإنسان من خلال الإرعاتين القانون التالتمجرى
+
+409
+00:27:43,350 --> 00:27:47,210
+التنفس، مجرى الهوى، بعدين نيجي لعملية التنفس
+
+410
+00:27:47,210 --> 00:27:50,990
+والنبض اللي هي مولحناه، مجرى التنفس أن يكون حيانا
+
+411
+00:27:50,990 --> 00:27:56,310
+مثلا الشخص فاقد وعيه وراجع وتماتنية أو الشخص مثلا
+
+412
+00:27:56,310 --> 00:28:02,330
+داخل في غيبوبة، تمام؟ أو مثلا إنه بتشنج وكان ياكل،
+
+413
+00:28:02,330 --> 00:28:05,990
+طب احنا بعمل إيش؟ إقلاق لمجرى التنفس، لأن أي إنسان
+
+414
+00:28:05,990 --> 00:28:09,270
+يا أخواتنا فينا لما نقول مثلا راجبه تماتنية وحاول
+
+415
+00:28:09,270 --> 00:28:13,790
+أنت تتنفسي، هتلاقي فيها صعوبةفبراك لما يكون إن
+
+416
+00:28:13,790 --> 00:28:18,850
+إنسان فاقد وعيه، وفي حال فقدان الوعي، كل عضلة
+
+417
+00:28:18,850 --> 00:28:22,950
+الجسم يكون فيها ارتخاء، ومن ضمنها عضلة اللسان،
+
+418
+00:28:22,950 --> 00:28:25,990
+اللي هم يقولون أنه بلع لسانه، ومبلع لسانه، لكن
+
+419
+00:28:25,990 --> 00:28:30,350
+قاعدة اللسان بتعمل على إغلاق الحنجرة، وبالتالة لما
+
+420
+00:28:30,350 --> 00:28:34,970
+أنت تتنرجب تكليكة، حاول تنفسي، فيها صعوبة،وانت ..
+
+421
+00:28:34,970 --> 00:28:39,270
+وانت يعني .. يعني قادر على التحكم في العضلات، فيما
+
+422
+00:28:39,270 --> 00:28:42,210
+يكي لإنسان يكون فاقد وعيه، معناه قاعدة اللسان تعمل
+
+423
+00:28:42,210 --> 00:28:46,290
+إيهاش على يغلغ، وبالتالة أنا بتطمن أن مجرة الهواء،
+
+424
+00:28:46,290 --> 00:28:48,770
+كبداية، مجرة الهواء مش عملية التنفس، لأ مجرة
+
+425
+00:28:48,770 --> 00:28:52,720
+الهواءأمن أو سالك ولا غير سالك أو مسلك اللي هو
+
+426
+00:28:52,720 --> 00:28:56,940
+برفع رجبته طبعا طبعا نكون حرصين لإنه أنا بدي أطمن
+
+427
+00:28:56,940 --> 00:29:01,260
+كمان إنه مافيش اشتباه في قصور العنق لإنها برضه
+
+428
+00:29:01,260 --> 00:29:04,040
+هنتعامل معاها وكيف احنا ممكن نتعامل معاها يبقى
+
+429
+00:29:04,040 --> 00:29:07,800
+باطمن أول حاجة مجرد التنفس في حاجة بالفم مافيش
+
+430
+00:29:07,800 --> 00:29:11,460
+حاجة رجبته متنية مش متنية يبقى بعدين لما أعمل
+
+431
+00:29:11,460 --> 00:29:15,180
+إجراءات هذه و أسلك مجرد التنفس و أتمي رجبته للخلف
+
+432
+00:29:15,180 --> 00:29:18,980
+تمام و أرفع الدق اللي أعلى بشوف في نفس ولا مافيش
+
+433
+00:29:18,980 --> 00:29:27,500
+نفسفي نفس، معناه إيش؟ عايش، مافيش نفس، طبعا بنتقل
+
+434
+00:29:27,500 --> 00:29:32,360
+للنبض، النبض هالي بده أستشعره، من أين بيستشعر
+
+435
+00:29:32,360 --> 00:29:37,400
+النبض هنا؟ في عندنا حالتين، في حالتين، إذا كان طفل
+
+436
+00:29:37,400 --> 00:29:41,720
+أو بالغ، طبعا في وضع طبيعي، يعني إذا كنا نستشعر،
+
+437
+00:29:41,720 --> 00:29:48,990
+من مكان، شريان، رسغتمام؟ هذا الشيء الطبيعي، لكن
+
+438
+00:29:48,990 --> 00:29:53,790
+الأطفال مش منها، اه من هذه المنطجة، من منطقة
+
+439
+00:29:53,790 --> 00:29:58,650
+العروض، لإن بيكون المنطجة هاي مزجنها، متفقة، بيصعب
+
+440
+00:29:58,650 --> 00:30:01,870
+أن احنا لما ن .. نحس بالنبض بيها، لإن بيقولوا
+
+441
+00:30:01,870 --> 00:30:07,670
+أمسكوا الطفلأنا هوضح لك إياها، كلامك صحيح، لكن
+
+442
+00:30:07,670 --> 00:30:10,830
+أقول في وضع طبيعي لما أقول احنا والله أنا بدأ أشوف
+
+443
+00:30:10,830 --> 00:30:15,310
+كام نبضة من نبضات القلب، ممكن نستخدم شريان الرصغ،
+
+444
+00:30:15,310 --> 00:30:18,110
+طبعا في أماكن تانية ممكن نستخدمها، لأن القلب اللي
+
+445
+00:30:18,110 --> 00:30:22,050
+بينبض و بودع الرصغ، بودع الرأس، بودع القدم، هو
+
+446
+00:30:22,050 --> 00:30:26,490
+القلب واحدتمام؟ بمعنى النبض اللي في الرأس أو في
+
+447
+00:30:26,490 --> 00:30:30,590
+العضل أو في الساعد أو في القدم أو بالفخر أو في
+
+448
+00:30:30,590 --> 00:30:34,250
+الحوت هو هو نفسه لكن أنا في حالات الإسعاف الأولى
+
+449
+00:30:34,250 --> 00:30:38,650
+بحاول إن أنا أستشعر النبض من شريان قريب على القلب
+
+450
+00:30:38,650 --> 00:30:44,350
+وكبير ليش؟ لأن دايما يا أخواتنا يعني شيء لا إرادي
+
+451
+00:30:44,350 --> 00:30:49,530
+إنه بيصير عندنا الاهتمام بالأجهزة الحيوية الداخلية
+
+452
+00:30:49,530 --> 00:30:54,750
+أكتر من الأطرافتمام؟ لأن الأطراف ممكن تلاقيش النبض
+
+453
+00:30:54,750 --> 00:30:59,290
+فيه وبالتالي هنتجه لشريان قوي وكبير ألا وهو
+
+454
+00:30:59,290 --> 00:31:03,850
+الشريان السبعتي الشريان السبعتي اللي هوين؟ على أحد
+
+455
+00:31:03,850 --> 00:31:09,050
+الجانبين، يمين ولا يسار بيكون؟ على ناحيته، مية
+
+456
+00:31:09,050 --> 00:31:14,160
+لمين؟ع ناحيتين لان سنة طبعا لصين انا ايد يمين
+
+457
+00:31:14,160 --> 00:31:17,040
+الدراع يمين ودراع يسا شريان السباتي ايمن شريان
+
+458
+00:31:17,040 --> 00:31:19,240
+الدبان السباتي ايسا طبعا هذا الشريان السباتي يا
+
+459
+00:31:19,240 --> 00:31:25,340
+اخواتنا للبالغين موجود بين عضلة العنق وبين الحنجرة
+
+460
+00:31:25,340 --> 00:31:30,800
+او بطريقة تانية ارفع الدقن الاعلى عند منتصف العين
+
+461
+00:31:30,800 --> 00:31:34,460
+تنزل مباشرة على الشريان السباتي والاستشعار بكون
+
+462
+00:31:34,460 --> 00:31:40,370
+بالسبابة والوسطى ما بكون بالابهاماللي بهم لأنه فيه
+
+463
+00:31:40,370 --> 00:31:43,690
+نبض زي ما اتفضلتيه وبالتالي هنا بالسبابة أو الوسطى
+
+464
+00:31:43,690 --> 00:31:47,990
+وما باجيب الصورة هذه لأ باجيب العرض لإن عشان انا
+
+465
+00:31:47,990 --> 00:31:52,750
+أكون ضاع من المنطقة كلها، الناس تشعر، و بضغط عشان
+
+466
+00:31:52,750 --> 00:31:56,690
+أشوف فيه نبض أو ماشوفش فيه نبض تمام؟ يبقى هنا
+
+467
+00:31:56,690 --> 00:32:01,710
+استشعار نبض أما بالنسبة للطفل الرضيع، الرجب قصيرة،
+
+468
+00:32:01,710 --> 00:32:06,430
+إيدي هتضغط أكتر من رجبها وبالتالي إيش بسوي؟ من
+
+469
+00:32:06,430 --> 00:32:10,230
+الشريان القبطيأحنا بيقولك الصورة يا إبنها اللي
+
+470
+00:32:10,230 --> 00:32:14,090
+جاتها من الشريعة القبطي طبعا الشريعين يا أخواتنا
+
+471
+00:32:14,090 --> 00:32:18,530
+عشان يكون يعني واضح معانا أن معظم الشريعين غير
+
+472
+00:32:18,530 --> 00:32:23,690
+واضحة وطبعا يعني ممكن في حكمة ربانية أنه لأنها
+
+473
+00:32:23,690 --> 00:32:27,530
+طبعا شديدة الخطورة في حال النزيففمعظمها لكن في
+
+474
+00:32:27,530 --> 00:32:30,690
+منها سطحية وهذه الشريان السطحية احنا بنستخدمها
+
+475
+00:32:30,690 --> 00:32:33,750
+وحنقول طبعا احنا ايش بنستخدمها بعض الإجابات من
+
+476
+00:32:33,750 --> 00:32:36,770
+ضمنها ان انا ممكن استشعر النبض إذا بالنسبة
+
+477
+00:32:36,770 --> 00:32:40,090
+للباليين الشريان السباتي وبالنسبة للأطفال الرضع
+
+478
+00:32:40,090 --> 00:32:43,870
+الشريان الإبطي في حالة طوارئ لكن لما يقول إنسان
+
+479
+00:32:43,870 --> 00:32:48,310
+عادي بدأ أنا أشوف عدد دجات القلب ممكن استخدم ايش
+
+480
+00:32:48,310 --> 00:32:55,960
+الرسخة طيب لو مافيش تنفس و لو مافيش نبضنجي على
+
+481
+00:32:55,960 --> 00:33:00,740
+الخاطر طبعا الرابع اللي هو انعاش القلب و الرئتين
+
+482
+00:33:00,740 --> 00:33:06,540
+CBR وهنا طبعا في فرق وقتاش أن أبدأ مع الأطفال من
+
+483
+00:33:06,540 --> 00:33:10,120
+الضغط على الصدر و وقتاش أبدأ مع الأكبار بالضغط على
+
+484
+00:33:10,120 --> 00:33:14,320
+الصدر طبعا فيه و كام مرة يبقى أنا مباشرة ماباجي
+
+485
+00:33:14,320 --> 00:33:19,680
+أعمل تدليق لعضلة القلب و تنفسي أصطناعي إلا لما
+
+486
+00:33:19,680 --> 00:33:24,660
+أتيقن أنه مافيشنبض ومافيش تنفس لأن أحيانا ممكن
+
+487
+00:33:24,660 --> 00:33:29,620
+يكون مافيش تنفس وفيها نبض طبعا وطبعا بعض الحالات
+
+488
+00:33:29,620 --> 00:33:34,300
+هنقلع هنا سؤال بسيط نشوف طبعا وقتاش ممكن يكون فيه
+
+489
+00:33:34,300 --> 00:33:39,440
+أو لأ نيجي هل جيت لبعض الحالات أو بعض الأسباب اللي
+
+490
+00:33:39,440 --> 00:33:45,160
+تأدي للحوادث هنا تلات أسباب السبب الأول يعني أنا
+
+491
+00:33:45,160 --> 00:33:48,160
+قبل ما أطرحهم قبل ما أعرضهم هنعرضهم عليكم ونشوف
+
+492
+00:33:48,160 --> 00:33:54,590
+أيش الفرق من التلاتة السبب الأول الجهلجاهل؟ كلنا
+
+493
+00:33:54,590 --> 00:33:59,810
+بنجهل؟ في حد بيقول بيجهلش؟ مش جاهل يعني لإن بيقول
+
+494
+00:33:59,810 --> 00:34:05,890
+في حد بيجهلش؟ كلنا بنجهل؟ كيف بنجهل؟
+
+495
+00:34:05,890 --> 00:34:12,550
+في إيش؟
+
+496
+00:34:12,550 --> 00:34:16,470
+معنى
+
+497
+00:34:16,470 --> 00:34:22,790
+جاهل إنك ما بتعرفي شيء عن شيءلمّا أقول إن أنا
+
+498
+00:34:22,790 --> 00:34:27,250
+والله هذا الشيء شفته و هجيت أتذكرته، هذا مش معناه
+
+499
+00:34:27,250 --> 00:34:31,210
+بتجهليه، لو صار عندك خرفي أخافيه عنه، لكن لما أقول
+
+500
+00:34:31,210 --> 00:34:34,570
+احنا والله لأول مرة في حياتي أشوف الشيء هذا أو
+
+501
+00:34:34,570 --> 00:34:40,230
+أسمع الخبر هذا، المعنى احنا كم نجهل، أيام الرسول
+
+502
+00:34:40,230 --> 00:34:44,410
+صلى الله عليه وسلم في كانت الجاهلية، ماكانش عندهم
+
+503
+00:34:44,410 --> 00:34:48,950
+كرام،الكفار ماكانش عندهم قرار؟ كان، والضيافة، حسن
+
+504
+00:34:48,950 --> 00:34:53,870
+الضيافة، والشجاعة، والمروقة، لكن كان مجاهل بإيش؟
+
+505
+00:34:53,870 --> 00:34:58,730
+بالدين، بحكام الدين، لكن ما بيقولوا مجاهلين في كل
+
+506
+00:34:58,730 --> 00:35:03,250
+شيء، لما يقول الطفل هذا جاهل، يعني لسه ماعندوش
+
+507
+00:35:03,250 --> 00:35:07,930
+خبرة بأشياء هو مش عارفهاوإحنا بالتالي بنحن نجهل
+
+508
+00:35:07,930 --> 00:35:11,890
+لما أقول أنا أول مرة أشوف الخبر ولا أول مرة أسمع
+
+509
+00:35:11,890 --> 00:35:16,690
+ولا أول مرة يعني ألاحظ هذا الشيء معناه أنا بقى
+
+510
+00:35:16,690 --> 00:35:20,850
+أجهلهم وبالتالي السبب الأول الجهل الإقدام على عمل
+
+511
+00:35:20,850 --> 00:35:24,310
+شيء دون معرفة النتيجة معناه لأنهم مايعرفوش لما طفل
+
+512
+00:35:24,310 --> 00:35:28,010
+صغير جيب المصمار وحطه مثلا في البريز الكهربا هو مش
+
+513
+00:35:28,010 --> 00:35:33,510
+شايف الكهربا في البريز تمام؟ هيتكهربوبالتالي لما
+
+514
+00:35:33,510 --> 00:35:37,810
+الست تيجي تصلح تنجرة الكهربا تمام؟ و تجيبها
+
+515
+00:35:37,810 --> 00:35:45,230
+السكينة الإيدها هديد وتوصل السلكتين مع بعض تجهل و
+
+516
+00:35:45,230 --> 00:35:49,010
+لما تجهل تجهل وبالتالي دايما .. دايما يعني الجاهل
+
+517
+00:35:49,010 --> 00:35:52,290
+مع أن انت بتعمل شيء انت ماعندي خلفيه عنه هذا كان
+
+518
+00:35:52,290 --> 00:35:56,130
+مثال بسيط طيب نيجي للسبب التاني الإهمال
+
+519
+00:35:58,130 --> 00:36:01,710
+الاقدام، عدم الاقدام على عمل ضروري أو الاقدام على
+
+520
+00:36:01,710 --> 00:36:06,090
+عمل ولكن بدون أخذ بالأسباب اهمال، لما تيجي تقدم
+
+521
+00:36:06,090 --> 00:36:33,530
+امتحان وانت مش دارسه اهمالاهمال اهمال
+
+522
+00:36:33,530 --> 00:36:39,680
+و جاهليبلطق التنين وضع الأشياء في غير مكانها مثلا
+
+523
+00:36:39,680 --> 00:36:44,020
+عن البنت الصغيرة او مثلا تيكاى كبير مثلا بدك
+
+524
+00:36:44,020 --> 00:36:46,540
+تتابعي مسلسل ولا حاجة حطي تصنيتها الجهة ولا حاجة
+
+525
+00:36:46,540 --> 00:36:50,380
+في مكانها غير المعروف المكان اللي يكون قدام العلم
+
+526
+00:36:50,380 --> 00:36:53,820
+بالذات الأشياء فيها خطورة تمام؟ اجى واحد تاني او
+
+527
+00:36:53,820 --> 00:36:59,130
+طفل صغير مثلا شدها الكباية صبتيهاتمام؟ وحصلت كتير
+
+528
+00:36:59,130 --> 00:37:03,550
+حوادث .. كتير .. يعني ممكن وضع الشيء في غير مكانه
+
+529
+00:37:03,550 --> 00:37:07,110
+يأدي لخطورة لناس هم مش متعودين يلاحظوا الشيء هذا
+
+530
+00:37:07,110 --> 00:37:11,490
+.. مكان مثلا الجلوس .. نحط أي حاجة .. تمام؟ مثلا
+
+531
+00:37:11,490 --> 00:37:16,070
+.. انت سيبت طنجرة الكهربا؟جمتيها من الكهربا .. اه
+
+532
+00:37:16,070 --> 00:37:19,070
+.. وحصل .. يعني كلهم نسمع الحاجات هذه .. تمام ..
+
+533
+00:37:19,070 --> 00:37:22,490
+إجا الطفل حط دي عليها .. وحصل كتير .. وكلهم بتاع
+
+534
+00:37:22,490 --> 00:37:25,450
+نسمع الحاجات .. الحاجات هذه .. يعني بصرنا إهمال و
+
+535
+00:37:25,450 --> 00:37:29,090
+جاهد .. تمام .. و .. و الإهمال أمثلة طبعا أياش
+
+536
+00:37:29,090 --> 00:37:32,230
+كتيرة معنا .. الحاجة التالت أو السبب التالت ..
+
+537
+00:37:32,230 --> 00:37:36,650
+التهور .. ل .. لطبعا الاندفاع .. لقبضة على شيء
+
+538
+00:37:36,650 --> 00:37:41,330
+طبعا بدون تفكير .. زي واحد مثلا عند الرمزون أحمر
+
+539
+00:37:41,330 --> 00:37:46,000
+..وراكب سيارة تمام؟ وقطع الرمز هنا الأحمر معناه
+
+540
+00:37:46,000 --> 00:37:51,140
+موت هنا ممكن أيش تكون نتيجة نهائية تمام؟ أو واحد
+
+541
+00:37:51,140 --> 00:37:55,060
+مثلا راكب .. راكب سيارة بدون رخصة ولا بعرف قوانين
+
+542
+00:37:55,060 --> 00:38:01,950
+لأ الأهمال وتهور .. اتصار عندنا تهورهو عنده شوية
+
+543
+00:38:01,950 --> 00:38:04,650
+خفيف يعني، بيعرف السيارة سيارة، ماحدش بيقول مش
+
+544
+00:38:04,650 --> 00:38:07,570
+شايف السيارة يعني، اه ماشي بقى روحه، بس شايف ال
+
+545
+00:38:07,570 --> 00:38:09,610
+steel و شايف ال brick و شايف البنزين و شايف كل
+
+546
+00:38:09,610 --> 00:38:14,510
+عاجة، لكن صار عنده خلفيه بسيطة، فصار عنده يقولك
+
+547
+00:38:14,510 --> 00:38:17,430
+الله أخد السيارة و طلع فيها، اجي تانيه و مدهو على
+
+548
+00:38:17,430 --> 00:38:21,510
+المستشفى، يبقى صار عنده إيش إهمان، اللي مثلا بلقي
+
+549
+00:38:21,510 --> 00:38:26,770
+نفسه مثلا من أعلى، و المظلة مثلا مفتحتشيبقى
+
+550
+00:38:26,770 --> 00:38:30,090
+بالتالي هنا التلت أسباب هذه قصية على كل الحوادث
+
+551
+00:38:30,090 --> 00:38:33,070
+هتلاقي واحد من التلات حضور موجود فيها، يا إما
+
+552
+00:38:33,070 --> 00:38:35,350
+جاهل، يا إما همال، يا إما تهور
+
+553
+00:38:38,180 --> 00:38:42,700
+طيب نيجي ل .. نيجي لشخص المسعف هو طبعا موهل علميا
+
+554
+00:38:42,700 --> 00:38:45,820
+وعمليا واحنا قلنا في البداية لازم يكون عنده خلفية
+
+555
+00:38:45,820 --> 00:38:49,120
+علمية على أي متخصصين في علم الإسعافية الأولية بحيث
+
+556
+00:38:49,120 --> 00:38:52,680
+يكون قادرا على تقديم الخدمات الإسعافية لأي حالة
+
+557
+00:38:52,680 --> 00:38:55,840
+كانته في أي مكان أو زمان و بالإمكانيات المتاحة
+
+558
+00:38:55,840 --> 00:38:59,840
+يعني بأقل الإمكانياتإذن لما أقول إنسان أنا بدي
+
+559
+00:38:59,840 --> 00:39:03,940
+أقدم خدمة إسعاف أولي لإنسان هو في حاجة لإسعاف
+
+560
+00:39:03,940 --> 00:39:07,940
+الأولي وكان الشخص المقدم للخدمة عنده خلفية هيقدم
+
+561
+00:39:07,940 --> 00:39:13,120
+الخدمة كويسة لكن لو جدامها بدون خلفية علمية ممكن
+
+562
+00:39:13,120 --> 00:39:16,300
+أضره زي ما يقولون مثلا حالة النقل يعني ان دي فيها
+
+563
+00:39:16,300 --> 00:39:18,960
+أخده مباشرة و بدي أدخله على السيارة طبعا انت قدتله
+
+564
+00:39:18,960 --> 00:39:22,940
+شلالوصلت للمشكلة تانية، ليش؟ ماعنكاش خلفية إن
+
+565
+00:39:22,940 --> 00:39:25,840
+الأمود الفقري في النقاع الشوكي، طبعا هذا جزء من
+
+566
+00:39:25,840 --> 00:39:28,340
+الجهاز العصبي، والعمود الفقر هو الفقرات، والفقرات
+
+567
+00:39:28,340 --> 00:39:31,500
+هي طبعا مش كلها متماسكة أو كقطع واحدة، طبعا في
+
+568
+00:39:31,500 --> 00:39:35,600
+حركة ما بينها، ماعنكاش خلفية، فانتقدتله لشلل،
+
+569
+00:39:35,600 --> 00:39:38,500
+وبالتالي هذا طبعا لازم يكون مؤهل علميا وعمليا
+
+570
+00:39:42,630 --> 00:39:44,930
+طبعًا هنا بعض ال .. يعني على السريع هذكر بعض
+
+571
+00:39:44,930 --> 00:39:49,890
+الصفات للمسعف أخلاق حميدة لأنك هتتعامل مع كل أنواع
+
+572
+00:39:49,890 --> 00:39:53,750
+سواء طبعًا سيدات أو رجال يكون عنده أخلاق يكون عنده
+
+573
+00:39:53,750 --> 00:39:58,710
+خلق تاني حاجة علم وخبرة بدون علم ولا خبرة هيضر
+
+574
+00:39:58,710 --> 00:40:02,970
+أكتر ماينفع مبادرة يعني واحد عنده خلفية و تمام
+
+575
+00:40:02,970 --> 00:40:04,410
+تمام 100% مبادرة يعني واحد عنده خلفية و تمام تمام
+
+576
+00:40:04,410 --> 00:40:04,410
+100% مبادرة يعني واحد عنده خلفية و تمام تمام 100%
+
+577
+00:40:04,410 --> 00:40:05,690
+مبادرة يعني واحد عنده خلفية و تمام تمام 100%
+
+578
+00:40:05,690 --> 00:40:09,090
+مبادرة يعني
+
+579
+00:40:09,090 --> 00:40:10,670
+واحد عنده خلفية و تمام تمام 100% مبادرة يعني واحد
+
+580
+00:40:10,670 --> 00:40:15,590
+عنده خإتزان وضوء العصابر عشان يقدر يطمن الشخص لو
+
+581
+00:40:15,590 --> 00:40:19,140
+يقول إنه عنده قدرة على اتطمئنهلأن إذا كان الشخص،
+
+582
+00:40:19,140 --> 00:40:24,100
+الضحية، شايف المسعف وجهه أصفر و أرجانه شيء، هيخاف
+
+583
+00:40:24,100 --> 00:40:27,240
+أكتر، بالتالي طبعا يمشي يكون عنده قصاب و قدرة على
+
+584
+00:40:27,240 --> 00:40:31,200
+الطمأنة و قدرة على السيطرة على المكان، بمعنى يحاول
+
+585
+00:40:31,200 --> 00:40:34,480
+يسيطر على المكان، طبعا سيطرته على المكان هنا إنه
+
+586
+00:40:34,480 --> 00:40:37,720
+بيختار بعض الناس اللي يساعفوه، اللي يساعدوه، اللي
+
+587
+00:40:37,720 --> 00:40:41,020
+يرتبوه المكان، اللي يبعدوا الناس عنه، تمام؟ يبقى
+
+588
+00:40:41,020 --> 00:40:42,140
+أنا بيكون كقائد
+
+589
+00:40:44,810 --> 00:40:49,330
+جرأة، يكون جريء، مش والله هد فتى ولا حاجة، أخي عيب
+
+590
+00:40:49,330 --> 00:40:53,930
+أنا، طب مافيش حد يجي يساعدها، هاد ضروري، لكن إذا
+
+591
+00:40:53,930 --> 00:40:56,950
+كان فيه ناس ثانية أو أختة، حاجة تانية، لكن إذا كان
+
+592
+00:40:56,950 --> 00:41:02,530
+هد الميت بيدا تموت ومخنوجة ومافيش حد يتركه تموت،
+
+593
+00:41:02,530 --> 00:41:08,710
+لأ، سريع البديع والتفكير والتصرف، بده يبدأ من
+
+594
+00:41:08,710 --> 00:41:13,070
+الخطر من أين، يعني وين الأولويات،
+
+595
+00:41:15,270 --> 00:41:18,890
+قادر على الطمأنة .. الثقة بالنفس .. الثقة بالنفس
+
+596
+00:41:18,890 --> 00:41:22,690
+هي تجيب .. يعني حواليه هيكون طبعا هيسمع همس كتير
+
+597
+00:41:22,690 --> 00:41:26,130
+.. لأ مش هي كان .. لأ الطريقة غير خاطأ .. لأ انت
+
+598
+00:41:26,130 --> 00:41:30,470
+بدي اعمل و كإما أترش .. ليش؟ لأنه مطمئن أن شغله صح
+
+599
+00:41:30,470 --> 00:41:35,420
+و أنه ثقة في المعلومة اللي هو إيش عارفهااللي حاطبه
+
+600
+00:41:35,420 --> 00:41:37,660
+ما ينبغي يعمله يعني يكون عارف أو مدرك اللي اللي
+
+601
+00:41:37,660 --> 00:41:42,100
+بيسويه عدم تعريض نفسه للخطر، إنه انسان مايعرفش
+
+602
+00:41:42,100 --> 00:41:48,060
+يسبح وراه ينقل إنسان غريق، احنا يخرجوا و الغرجان
+
+603
+00:41:48,060 --> 00:41:51,880
+بتعلل في حبال الهواء، بجشة
+
+604
+00:41:56,420 --> 00:42:00,440
+طيب واجبات المصحف عند وصوله طبعا أنا بتتكلم فيه
+
+605
+00:42:00,440 --> 00:42:03,260
+هنا بسرعة شويه تقييم الموقف بسرعة و هدوء زي ما
+
+606
+00:42:03,260 --> 00:42:05,860
+قلنا يعني عساسي يقدر يتحكم على المكان في المكان
+
+607
+00:42:05,860 --> 00:42:08,740
+حماية المصابين الموجودين في مكان الحدث من الأخطر
+
+608
+00:42:08,740 --> 00:42:13,460
+ممكن التحدث طبعا يقلها علاقة نفسية وتقييم الحالة
+
+609
+00:42:13,460 --> 00:42:17,900
+وتقديم الإسعاف الأولي المناسب و الأولوية طبعا لمين
+
+610
+00:42:17,900 --> 00:42:21,960
+أولى طبعا أهم في المهم و الترتيب لدق المصابين
+
+611
+00:42:21,960 --> 00:42:27,370
+لمنازلهم أو مكان طبيطبعا تدوي الملاحظات هذه لأنه
+
+612
+00:42:27,370 --> 00:42:31,090
+ممكن تسجل الملاحظات و يبعتها معاه لمركز الصحة أو
+
+613
+00:42:31,090 --> 00:42:33,530
+طبعا لسيارة السعادة يقول ما سويت كده و كده و كده
+
+614
+00:42:33,530 --> 00:42:34,530
+عشان يقولونهاش عارفين
+
+615
+00:42:37,780 --> 00:42:40,060
+منع انتقال العدوى هاد ضروري جدا يا اخواتنا ..منع
+
+616
+00:42:40,060 --> 00:42:43,840
+انتقال العدوى لإن احنا فيه عندنا التهاب الكبد ..
+
+617
+00:42:43,840 --> 00:42:48,240
+تمام؟ في عندنا أمراض تنتقل عن طريق الدم ال aids ..
+
+618
+00:42:48,240 --> 00:42:51,400
+طبعا كل الأمراض هذه المقبولة عن طريق الدم هذه ..
+
+619
+00:42:51,400 --> 00:42:54,160
+فعشان نقول احنا لو كان يا حباذي لو كان فيه guante
+
+620
+00:42:54,160 --> 00:42:59,080
+أو gloves طبعا أساس انه يحمي نفسهيحمي نفسه أو طبعا
+
+621
+00:42:59,080 --> 00:43:01,580
+على أساس إن أنا في خطورة لو كان فين جريح مثلا
+
+622
+00:43:01,580 --> 00:43:04,820
+أصبعك مجروح ولا حاجة وبتجد من تخدمه الشخص يبدأ
+
+623
+00:43:04,820 --> 00:43:09,360
+يعني مثلا مشكلة مثلا عنده نزيف وانت طبعا من الخطأ
+
+624
+00:43:09,360 --> 00:43:12,700
+إن أنا أوقف النزيف بيدي مباشرة لأ لازم يكون طبعا
+
+625
+00:43:12,700 --> 00:43:16,060
+في حائل أو حاجز ما بين إيداك وما بين طبعا النزيف
+
+626
+00:43:16,060 --> 00:43:19,580
+حتى أنت تحمي نفسك و تحمي المريض ممكن تكون مثلا
+
+627
+00:43:19,580 --> 00:43:23,020
+يعني فيها بعض ال microbiota وحاجة عشان ما تنتقل و
+
+628
+00:43:23,020 --> 00:43:30,020
+تدخل إيش للجرع بحد ذاتهطبعا نختم بالشريحة هذه طبعا
+
+629
+00:43:30,020 --> 00:43:34,420
+دي R S A B C D طبعا هذه اللي هي بتشمل ان انا كيف
+
+630
+00:43:34,420 --> 00:43:38,060
+بيتعامل مع الشخص هذا طبعا دي اللي هو ال danger
+
+631
+00:43:38,060 --> 00:43:41,660
+الخطر اللي انا قلناه في القناة الأول بالطمأن انه
+
+632
+00:43:41,660 --> 00:43:47,290
+اما كان خطر ولا مش خطرطيب، حرف الـR اللي هي
+
+633
+00:43:47,290 --> 00:43:50,990
+الـResponse إذا أنت جيت مثلا إن إنسان فاقد الواعي
+
+634
+00:43:50,990 --> 00:43:53,590
+أو أنت بتشتبه إنه فاقد الواعي، وبالتالي، يا قانوني
+
+635
+00:43:53,590 --> 00:43:58,910
+أخواتنا، يعتبر أي إنسان ضحية حي، مابقولش والله ده
+
+636
+00:43:58,910 --> 00:44:02,560
+ميت على طول، إلا إذا اتفقدتهبالتالت أنا بيجي عن
+
+637
+00:44:02,560 --> 00:44:06,600
+الاستجابة استجابة لمين؟ هل هو شخص واعي ولا غير
+
+638
+00:44:06,600 --> 00:44:09,980
+واعي؟ وكلمة ان واعي ولا غير واعي ان انا ممكن انادي
+
+639
+00:44:09,980 --> 00:44:14,200
+عليه ممكن انا اقصه لكن يحذر انك تنسك المريض او
+
+640
+00:44:14,200 --> 00:44:20,380
+الضحية وتهزيهم ممنوع ممنوعالثالث طبعا المساعدة حرف
+
+641
+00:44:20,380 --> 00:44:22,620
+ال S طبعا هو send for help اللي هي طبعا المساعدة
+
+642
+00:44:22,620 --> 00:44:25,740
+انك انت بتشيلي و طلبتي من حد أيش يطلب سيارة
+
+643
+00:44:25,740 --> 00:44:29,360
+الإسهاف او حد طبعا يساعدك طبعا ال A اللي هو زي ما
+
+644
+00:44:29,360 --> 00:44:34,500
+قلنا مجرد تنفس طبعا زي ما قلنا تنفس breathing نفسه
+
+645
+00:44:34,500 --> 00:44:37,820
+و طبعا انعاش القلب اللي هو طبعا كلها بتتعب تتبع
+
+646
+00:44:37,820 --> 00:44:40,320
+لنا طبعا جهاز وقف الرجل فيها طبعا موجود في سيارة
+
+647
+00:44:40,320 --> 00:44:43,520
+الإسهاف لكن احنا بيهمنا طبعا الست الأولانين لان
+
+648
+00:44:43,520 --> 00:44:46,400
+طبعا هي الأساس ان انا كيف اتعامل مع الضحية
+
+649
+00:44:53,960 --> 00:44:57,060
+طبعا أيه عناية الشريحة ان العناية تتمسعب بنفسه
+
+650
+00:44:57,060 --> 00:45:00,420
+طبعا من الخطر والتقييم النبض أيه يعني بيقولنا انت
+
+651
+00:45:00,420 --> 00:45:06,640
+واعي او غير واعي ننهي بالشريحة هذه عشان ننهي أيهما
+
+652
+00:45:06,640 --> 00:45:11,680
+أصحى عشان ننهي في الشريحة هذه طبعا أساعدها الجزء
+
+653
+00:45:11,680 --> 00:45:18,460
+الكبير عندنا أيهما أصحى مش انت لأ صح أيهما
+
+654
+00:45:18,460 --> 00:45:29,130
+أصحى اه تفضليأيه هما أصح؟ هنسمع بخد وقت ثواني بس
+
+655
+00:45:29,130 --> 00:45:35,110
+نشوف و ليش طبعا التنتين صحيحات ناخد من ناحي هذه
+
+656
+00:45:35,110 --> 00:45:40,710
+مين جاوبنا؟ اتفضل هي بس قولي .. بتقوليش ليش؟ مين
+
+657
+00:45:40,710 --> 00:45:48,270
+الصح؟ بدون تفسير؟ يعني التانية؟ مين مع التانية؟
+
+658
+00:45:48,270 --> 00:45:51,670
+اللي رفعينيه معايا مع التانية؟ طب مين مع الأولى؟
+
+659
+00:45:51,670 --> 00:45:56,470
+اتفضل ليش؟ نبدأ بليش هالجهته؟ماشي .. انا شركية ان
+
+660
+00:45:56,470 --> 00:46:00,130
+شاء الله .. اتفضل ايه؟ حسب الحالة .. بالطبع اللي
+
+661
+00:46:00,130 --> 00:46:03,250
+احنا وردناه فيه .. انا حاجة بإجمال .. مارح نتسابر
+
+662
+00:46:03,250 --> 00:46:06,370
+.. لأ انت راجيت و بتقول مع الأولى؟ لأ .. مين مع
+
+663
+00:46:06,370 --> 00:46:10,890
+الأولى؟ .. مين مع الأولى؟ .. سلامة المصمم .. سلامة
+
+664
+00:46:10,890 --> 00:46:16,030
+المكان .. اتفضل ايه؟ .. اذا كان المكان مش ملازم ..
+
+665
+00:46:16,030 --> 00:46:20,270
+فهيقرع عليه بشكل سلبي .. زي اذا كان المكان مش نظيف
+
+666
+00:46:20,270 --> 00:46:24,820
+.. بس الارض هيخلى حياته يكون أسوأ ..ماشي، مين مع
+
+667
+00:46:24,820 --> 00:46:29,580
+الأولى كمان؟ انا .. فضل .. انا مع التانية طيب، مين
+
+668
+00:46:29,580 --> 00:46:33,420
+مع الأولى؟ مع حد .. طب نبدأ بالتانية انا .. فضل
+
+669
+00:46:33,420 --> 00:46:38,440
+ايه؟ اتفضل هى .. سلامت المكان و سلامت المصادر انه
+
+670
+00:46:38,440 --> 00:46:41,640
+العمل على جال المنطقة امنة هي تقدر يحكو نفسها في
+
+671
+00:46:41,640 --> 00:46:44,860
+الحدث المجلة قائما و يليه دا يجب العمل على تجنب
+
+672
+00:46:44,860 --> 00:46:49,920
+ذلك حتى لا يلحق الدرر بالمصادر مية المية .. اه ..
+
+673
+00:46:49,920 --> 00:46:50,520
+اتفضل ايه؟
+
+674
+00:47:07,640 --> 00:47:11,080
+سلامة المصاب من سلامة المكان وليس سلامة المكان من
+
+675
+00:47:11,080 --> 00:47:14,860
+سلامة المصاب لأن هدفنا المصاب مش المكان طيب هذي
+
+676
+00:47:14,860 --> 00:47:17,400
+بتنطبخ مع الأولى ولا مع التانية؟ مع الأولى مع
+
+677
+00:47:17,400 --> 00:47:22,080
+الأولىمع الأولى، أطفال أنت معاك تنتهي، أنت تنتهي
+
+678
+00:47:22,080 --> 00:47:25,200
+في رسالة صحيحات، بس مين .. أه صح في تجديد مخيم
+
+679
+00:47:25,200 --> 00:47:31,000
+الاسعار في الأولى؟ ماشي، ماشي، أنا جاي معاكي، هجيت
+
+680
+00:47:31,000 --> 00:47:35,480
+لما احنا نقول، في .. أنا بتجيبك مثال بسيط جدا،
+
+681
+00:47:35,480 --> 00:47:40,560
+هجيت لما اتلاحظ أن رجال الأطفاء، في حريق و يستعدوا
+
+682
+00:47:40,560 --> 00:47:45,260
+سيارة الأطفاء و في ناس موجودين، إيش بيعملوه؟ واحدة
+
+683
+00:47:45,260 --> 00:47:51,730
+واحدة، إيش بيعملوه؟بطفوا و الناس جوا؟
+
+684
+00:47:51,730 --> 00:47:55,710
+واحد و واحد .. واحد و واحد .. هدول عندهم خالفين
+
+685
+00:47:55,710 --> 00:47:58,130
+الرساعة في الأول تمام؟ إيش بيعملوا أول شي؟ ولا
+
+686
+00:47:58,130 --> 00:48:05,670
+بتطفوا و بيخلوا الناس جوا؟ احنا
+
+687
+00:48:05,670 --> 00:48:11,480
+طول لما اتكلمنا قلنا بيكون مكان آمنيعني أنا أبقى
+
+688
+00:48:11,480 --> 00:48:14,920
+إذا في خطورة أن أساعد مثلا ألقيله حبل أو عجل أو
+
+689
+00:48:14,920 --> 00:48:19,520
+حاجة، تمام؟ لأن المكان فيه خطورة طيب، لما أنا بقول
+
+690
+00:48:19,520 --> 00:48:24,000
+إن هذا الراجل الإطفاء اللي نزل الناس من العمارة،
+
+691
+00:48:24,000 --> 00:48:29,080
+تمام؟ اهتم بالمكان ولا بالمصاب؟ يبقى سلامة المصاب
+
+692
+00:48:29,080 --> 00:48:33,040
+من سلامة المكان اللي أنا بتقدم فيه الخدمة لما أقول
+
+693
+00:48:33,040 --> 00:48:38,380
+إحنا غريق البحرتمام؟ هجيت لما أنا بد أقدم خدمة
+
+694
+00:48:38,380 --> 00:48:42,500
+داخل المكان هذا و فيه خطورة عليّ تمام؟ أنا بتدجع
+
+695
+00:48:42,500 --> 00:48:46,060
+في نفس المشكلة فانا باخد ارميل حبل عشان أخده مكان
+
+696
+00:48:46,060 --> 00:48:51,470
+آمن لإن البحر يعتبر خطرطبعا؟ لما أطلع الناس اللي
+
+697
+00:48:51,470 --> 00:48:55,390
+موجودين جوا اللي بيكرر الدفء و الفحم .. طبعا؟ أنا
+
+698
+00:48:55,390 --> 00:48:59,130
+جوا أين بأعملهم تنفسي إصطناعي؟ و أين بأعملهم؟ برا
+
+699
+00:48:59,130 --> 00:49:01,550
+.. برا .. برا .. برا .. برا .. برا .. برا .. برا
+
+700
+00:49:01,550 --> 00:49:01,810
+.. برا .. برا .. برا .. برا .. برا .. برا .. برا
+
+701
+00:49:01,810 --> 00:49:01,890
+.. برا .. برا .. برا .. برا .. برا .. برا .. برا
+
+702
+00:49:01,890 --> 00:49:01,890
+.. برا .. برا .. برا .. برا .. برا .. برا .. برا
+
+703
+00:49:01,890 --> 00:49:02,370
+.. برا .. برا .. برا .. برا .. برا .. برا .. برا
+
+704
+00:49:02,370 --> 00:49:02,370
+.. برا .. برا .. برا .. برا .. برا .. برا .. برا
+
+705
+00:49:02,370 --> 00:49:08,470
+.. برا .. برا .. برا .. برا .. برا .. برا .. برا
+
+706
+00:49:08,470 --> 00:49:16,050
+.. برا .. ب
+
+707
+00:49:17,460 --> 00:49:22,800
+ها ما هو حسب مش حسب هلجيت انا بقعد مفسرك بسيط اذا
+
+708
+00:49:22,800 --> 00:49:27,800
+كان المكان فيه خطورة تمام اذا كان مكان مش امن اسف
+
+709
+00:49:27,800 --> 00:49:31,600
+انا بدي اهتم اذا اهتمت انا في المكان و تركت المصاب
+
+710
+00:49:31,600 --> 00:49:37,140
+هنا خطأ انا صح انا الناس لازم نطفوا النار تمام
+
+711
+00:49:37,140 --> 00:49:42,180
+لازم نطفوا الفحم لكن هنا ما بدى فيه اول شيءأنا
+
+712
+00:49:42,180 --> 00:49:47,320
+ببدأ بالمصاب، إذا كان المكان آمن للمصاب، بشغل في
+
+713
+00:49:47,320 --> 00:49:51,270
+المكانإذا كان غير آمن، أنا باهتم بسلامة المصاب،
+
+714
+00:49:51,270 --> 00:49:54,590
+لكن إذا اهتمت يا أخواتنا، التاني مهم، إن أنا أطف
+
+715
+00:49:54,590 --> 00:49:57,690
+النار، لكن أنا ببقون، أنا بكون على حساب مين؟
+
+716
+00:49:57,690 --> 00:50:02,470
+المصاب، لكن الأول أنا باهتم بالمصاب، بعد المكان،
+
+717
+00:50:02,470 --> 00:50:05,870
+يبقى التنتين صحيحات، الأولى طبعا أصح، سلامة المصاب
+
+718
+00:50:05,870 --> 00:50:09,090
+من سلامة المكان، وليس سلامة المكان من سلامة
+
+719
+00:50:09,090 --> 00:50:14,170
+المصاب، التانية صحيحة، لكن الأصح اسلوب تفضيل، فضل
+
+720
+00:50:14,170 --> 00:50:16,350
+الله عليكم بالخير، وإن شاء الله نكمل في لقاء تاني
+
+721
+00:50:16,350 --> 00:50:18,780
+بإن الله تعالىشكرا لكم يعني هيك احنا ممكن أنهينا
+
+722
+00:50:18,780 --> 00:50:22,860
+يعني ممكن احنا أخدنا جزء بسيط كمقدمة كقوانين إسعاف
+
+723
+00:50:22,860 --> 00:50:26,840
+أولي تمام؟ إيش الأسباب التي تؤدي للإسعاف الأولي؟
+
+724
+00:50:26,840 --> 00:50:30,340
+وطبعا يعني بعض العبارات البسيطة وإن شاء الله المرة
+
+725
+00:50:30,340 --> 00:50:32,320
+الجاية هنكمل شكرا لكم وبركة الله فيكم
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/3DhmpC0jDSw.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/3DhmpC0jDSw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..12e7d46c0c95785e2bd6aba351e257541ada2b2a
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/3DhmpC0jDSw.srt
@@ -0,0 +1,2638 @@
+1
+00:00:05,160 --> 00:00:07,000
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:07,000 --> 00:00:09,580
+الرحيم الصلاة والسلام علي أشرف المرسلين سيدنا محمد 
+
+3
+00:00:09,580 --> 00:00:12,920
+وآله وصحبه وسلم استكمال طبعا لموضوع اللي هي
+
+4
+00:00:12,920 --> 00:00:15,640
+إصابات الجهاز الدوري اتكلمنا على بعض الإصابات اللي 
+
+5
+00:00:15,640 --> 00:00:18,840
+ممكن الإنسان يتعرض لها ومن ضمنها طبعا اتكلمنا على
+
+6
+00:00:18,840 --> 00:00:21,480
+النزيف واتكلمنا على بعض الأماكن اللي ممكن يصير 
+
+7
+00:00:21,480 --> 00:00:23,960
+فيها النزيف ومن ضمنها خدنا مثال بسيط اللي هو طبعا
+
+8
+00:00:23,960 --> 00:00:26,440
+نزيف الأنف أو نزيف الرعاف وكيف يعني ممكن نتعامل
+
+9
+00:00:26,440 --> 00:00:30,530
+معه طبعا قد يتعرض الإنسان لأماكن أخرى ممكن يكون
+
+10
+00:00:30,530 --> 00:00:33,910
+فيها نزيف يعني اليوم بنتكلم عن نزيف الأذن ودايما 
+
+11
+00:00:33,910 --> 00:00:37,610
+طبعا يمكن نزيف الأذن يمكن  يدل على أن هناك 
+
+12
+00:00:37,610 --> 00:00:41,090
+مشكلة خطيرة في قاع الأذن بالذات لما يكون السائل
+
+13
+00:00:41,090 --> 00:00:45,110
+طبعا مش بس دم ممكن يكون معاه سائل أبيض وطبعا
+
+14
+00:00:45,110 --> 00:00:48,790
+السائل محيط بـاللي هو الدماغ أو الجمجمة أو بالـ
+
+15
+00:00:48,790 --> 00:00:54,140
+المخ أو المخيخ وطبعا السائل اللي هو فيه خطورة لو
+
+16
+00:00:54,140 --> 00:00:57,600
+صار فيه تسريب معناه إصابة خطيرة وبدأت على قاع 
+
+17
+00:00:57,600 --> 00:01:00,840
+الجمجمة طبعا إنه اتكلمنا بالتحديد على نزيف الأذن
+
+18
+00:01:00,840 --> 00:01:04,260
+طبعا عادة ممكن يكون كسر في قاع الجمجمة يعني إن
+
+19
+00:01:04,260 --> 00:01:08,420
+الإنسان وجع الخلف ماصارش فيه نزيف خارجي لكن صار
+
+20
+00:01:08,420 --> 00:01:11,100
+فيه تسريب من الأذن وبالتالي طبعا هذا المنفذ
+
+21
+00:01:11,100 --> 00:01:14,640
+الأساسي أو المنفذ الصحيح أو المنفذ اللي غير طبيعي 
+
+22
+00:01:14,640 --> 00:01:18,020
+سينمنه مكان النزيف اللي هو مخرج آخر على وهو الأذن
+
+23
+00:01:18,450 --> 00:01:21,350
+طبعا هنا تيجي تكسر قاع الجمجمة في حالة سقوط من
+
+24
+00:01:21,350 --> 00:01:25,170
+علو أو إنسان مثلا جاب آلة حادة ولا حاجة أو كتاب في
+
+25
+00:01:25,170 --> 00:01:28,850
+الصغير ودخلها في الأذن وطبعا ممكن يؤدي إلى نزيف 
+
+26
+00:01:28,850 --> 00:01:34,390
+وبالتالي هنا طبعا يختلف من وجود دم مع سائل شفاف من 
+
+27
+00:01:34,390 --> 00:01:38,250
+عدم وجود سائل شفاف، يمكن أقل ضرر طبعا هو مجرد وجود
+
+28
+00:01:38,250 --> 00:01:42,900
+دم بسيط طبعا ممكن النزيف يكون أيضا يعني مصاحب لبعض
+
+29
+00:01:42,900 --> 00:01:45,740
+الالتهابات الشديدة لكن هذا قليل من أن تكون موجودة
+
+30
+00:01:45,740 --> 00:01:49,680
+طبعا النزيف ممكن يكون نتيجة ثقوب من طبلة الأذن أو
+
+31
+00:01:49,680 --> 00:01:55,300
+يعني نقول إنسان وضع آلة حادة أو عود أو طفل صغير 
+
+32
+00:01:55,300 --> 00:01:58,700
+مثلا بيلعب فصار ثقوب في طبلة الأذن وهذا طبعا ممكن
+
+33
+00:01:58,700 --> 00:02:02,340
+يؤدي فقط إلى وجود كمية من الدم ما بيكون نزيف
+
+34
+00:02:02,340 --> 00:02:08,100
+السائل أكبر موجود طبعا شيء طبيعي أن الألم بيكون
+
+35
+00:02:08,100 --> 00:02:11,440
+موجود داخل الأذن نتيجة الإصابة لأنه طبعا يعتبر جرح
+
+36
+00:02:11,440 --> 00:02:16,580
+طبعا طبلة الأذن هي غشاء موجود طبعا يحجز طبقة 
+
+37
+00:02:16,580 --> 00:02:19,980
+الأذن الداخلية عن الأذن الخارجية وبالتالي لو صار 
+
+38
+00:02:19,980 --> 00:02:23,700
+في أي ثقوب معناه وأساسا مش لازم أي حاجة غريبة تدخل
+
+39
+00:02:23,700 --> 00:02:26,540
+الأذن حتى السوائل حتى الميه مش لازم لكن لو كان في
+
+40
+00:02:26,540 --> 00:02:30,080
+عندنا مشكلة بالثقوب هذا طبعا هو يعني غشاء رقيق جدا 
+
+41
+00:02:30,080 --> 00:02:33,700
+ينقل الذبذبات عشان الإنسان طبعا يسمع لكن لو كان فيه 
+
+42
+00:02:33,700 --> 00:02:37,940
+ثقوب معناه أنه صار فيه اتّهاك لهذا الغشاء وبالتالي 
+
+43
+00:02:37,940 --> 00:02:43,840
+يؤدي إلى ألم سيلان دم بسيط من الأذن غير مصحوب بأي
+
+44
+00:02:43,840 --> 00:02:46,800
+سائل واحنا هنا طالما بس ع جد الأذن معناه
+
+45
+00:02:46,800 --> 00:02:49,660
+مافيش أي سائل آخر لكن لو كان في عندنا سائل آخر أو
+
+46
+00:02:49,660 --> 00:02:54,020
+سائل شفاف معناه بتكون إصابة غالبا مع قاعدة الجمجمة 
+
+47
+00:02:54,020 --> 00:02:57,260
+أو السائل المحيط وين بالدماغ
+
+48
+00:03:01,670 --> 00:03:06,010
+طبعا الصمم طبيعي أنه الوسيلة
+
+49
+00:03:06,010 --> 00:03:09,650
+اللي كانت تنقل الإشارات أو الذبذبات مش موجودة صارت 
+
+50
+00:03:09,650 --> 00:03:13,610
+وبالتالي هيكون عنده سمع في ناحية واضح لكن الناحية
+
+51
+00:03:13,610 --> 00:03:16,830
+اللي فيها الإصابة مش هيكون فيها سمع وطبعا يعني 
+
+52
+00:03:16,830 --> 00:03:22,010
+ممكن يكون أحد الأسباب للصمم إذا لم تتم المعالجة لكن
+
+53
+00:03:22,010 --> 00:03:25,710
+لو تمت المعالجة ممكن تصير ترقيع لطبلة الأذن و
+
+54
+00:03:25,710 --> 00:03:31,970
+الشفاء طبعا إذا كان هناك إجراءات طبية يعني بطريقة 
+
+55
+00:03:31,970 --> 00:03:36,590
+صحية ممكن طبعا يرجع الوضع لوضعه السابق لكن ما أخذ
+
+56
+00:03:36,590 --> 00:03:40,270
+بالاعتبار أن هذا ممكن ياخذ وجهة شوية لأن طبعا 
+
+57
+00:03:40,270 --> 00:03:44,930
+المنطقة هذه يعني فيه لها مسموحات وممنوعات أن 
+
+58
+00:03:44,930 --> 00:03:48,930
+مسموح ممنوع أي سائل يكون في المنطقة هذه خوف أن يصير 
+
+59
+00:03:48,930 --> 00:03:55,050
+عندنا عدوى والتهاب بعد هيك طبعا هنا كإسعاف أولي
+
+60
+00:03:55,050 --> 00:03:59,090
+احنا وزي ما قلنا في إصابات الجهاز التنفسي أو 
+
+61
+00:03:59,090 --> 00:04:02,110
+الصدر طبعا بيكون على ناحية المصابة ونفس الفكرة 
+
+62
+00:04:02,110 --> 00:04:04,930
+هنا بالنسبة للأذن أيضا بيكون على ناحية المصابة حتى
+
+63
+00:04:04,930 --> 00:04:09,210
+لو في أي سائل يكون للخارج زي ما قلنا مثلا في نزيف
+
+64
+00:04:09,210 --> 00:04:13,150
+الأنف طبعا ده الجلوس عشان أنا لو في عندي نزيف ما بديش
+
+65
+00:04:13,150 --> 00:04:15,370
+النزيف يستمر يظل إيش نزيف للداخل
+
+66
+00:04:20,190 --> 00:04:25,250
+طبعا دايما يعني لما نقول وضع المصاب زي ما
+
+67
+00:04:25,250 --> 00:04:29,230
+حكينا وضع الجلوس بالنسبة لنزيف الأنف كمان إنها 
+
+68
+00:04:29,230 --> 00:04:33,410
+بالنسبة للأذن ممكن يكون وضع نصف الجلوس أو الجلوس
+
+69
+00:04:33,410 --> 00:04:36,470
+سواء في زاوية قائمة أو زاوية خمسة أو ربعين لكن
+
+70
+00:04:36,470 --> 00:04:40,190
+غالبا يكون عن ناحية المصابة حتى لو في أي دم أو 
+
+71
+00:04:40,190 --> 00:04:42,450
+سائل بيدكون للخارج أي نعم
+
+72
+00:04:49,490 --> 00:04:53,070
+طبعا هنا غطي الأذن بشاش معقم، إذا ما فيه معقم
+
+73
+00:04:53,070 --> 00:04:54,930
+ممكن نستخدم طبعا شاش عادي، دايما هقولنا في 
+
+74
+00:04:54,930 --> 00:04:59,090
+الإسعاف الأولي ليس بالضرورة يعني عدم وجود 
+
+75
+00:04:59,090 --> 00:05:03,330
+الإمكانيات، يعني عدم تقديم الخدمة، لأ ممكن نستخدم 
+
+76
+00:05:03,330 --> 00:05:06,870
+البدائل، والبدائل دي هنا طبعا هي قطع جماش ولا
+
+77
+00:05:06,870 --> 00:05:10,490
+يستخدم القطن، بنكرر مرة ثانية، دايما في الجروح 
+
+78
+00:05:10,490 --> 00:05:13,010
+بالصفة العامة يا إخواننا لا يستخدم القطن لأن طبعا 
+
+79
+00:05:13,010 --> 00:05:15,910
+فيصير له التصاق وبيطلع منه خيوط غير طبعا يكون 
+
+80
+00:05:15,910 --> 00:05:18,910
+الخيوط تعتبر جسم غريب بالنسبة لما 
+
+81
+00:05:23,540 --> 00:05:27,300
+طبعا نزيف من الأنف، من الفم، يعني هذا غالبا بيصير 
+
+82
+00:05:27,300 --> 00:05:30,940
+نتيجة ضربة أو خلع سن أو طقة أو مثلا أو درس وطبعا
+
+83
+00:05:30,940 --> 00:05:33,380
+الشيء الطبيعي ممكن هذا الشيء اللي اللي بيعمل في
+
+84
+00:05:33,380 --> 00:05:37,160
+بعض الناس الأخطاء كل شوية مثلا ممكن حاطة شاش ولا
+
+85
+00:05:37,160 --> 00:05:39,600
+حاجة وأنت بتلاحظوا حتى عند أطباء الأسنان ممكن 
+
+86
+00:05:39,600 --> 00:05:45,200
+شاش، قطعة شاش صغيرة أفضل من القطن طبعا مثلا بضل ضغط
+
+87
+00:05:45,200 --> 00:05:47,960
+عليها شوية برفعها بلاقي فيها دم بتغيرها وهنقولنا
+
+88
+00:05:47,960 --> 00:05:51,900
+كقاعدة عامة أن أي جروح موجود عليها قطعة جماش أنا 
+
+89
+00:05:51,900 --> 00:05:55,240
+ما بشيلها أو قطعة شاشة لأ أنا بضع قطعة جماش لكن
+
+90
+00:05:55,240 --> 00:05:59,300
+بالتالي هنحن كمان قولنا مرة قبل كده أنه الطريقة
+
+91
+00:05:59,300 --> 00:06:02,860
+الأولى لإيقاف النزيف اللي هو الضغط المباشر
+
+92
+00:06:02,860 --> 00:06:05,000
+وبالتالي هن لما أكون أنا في ضغط مباشر معناه 
+
+93
+00:06:05,260 --> 00:06:08,320
+الأسنان هي بتضغط على مكان الجرح لإنه تخيل إن لو
+
+94
+00:06:08,320 --> 00:06:11,820
+كان عندي مثلا خلع درس أو شيء هيكون طبعا فيه زي
+
+95
+00:06:11,820 --> 00:06:16,760
+يعني حفرة كبيرة هذه وها طبعا ممكن تكون وسيلة لطبعا
+
+96
+00:06:16,760 --> 00:06:20,760
+النزيف أكثر إذا أنا كل مرة بدي أضل إيش أغير قطعة 
+
+97
+00:06:20,760 --> 00:06:23,580
+الجماش أو قطعة الشاش المعقمة هذه أو النظيفة
+
+98
+00:06:33,220 --> 00:06:36,360
+طبعا الشيء أنا كمان المسموح فيه والممنوع اللي هو 
+
+99
+00:06:36,360 --> 00:06:40,240
+استخدام أي حاجة دافئة ليش طبعا أي حاجة دافئة؟
+
+100
+00:06:40,240 --> 00:06:43,740
+لأنها طبعا بتسرّع الدورة الدموية وبالتالي بتكون 
+
+101
+00:06:43,740 --> 00:06:46,780
+الفرصة لـالنزيف أكثر أو مثلا تناول الطعام 
+
+102
+00:06:46,780 --> 00:06:50,300
+والشرب في الحالة هذه طبعا بتم إيقافها لغاية
+
+103
+00:06:50,300 --> 00:06:54,420
+لغاية طبعا ليش؟ الأفضل لو يعني بعد الفترة الزمنية 
+
+104
+00:06:54,420 --> 00:06:58,020
+اللي مسموح فيها بتم اللي هو استخدام الغرغرة أو
+
+105
+00:06:58,020 --> 00:07:02,390
+مضمضة بمحلول ملح ما نستخدم الميه العادية، ليش؟
+
+106
+00:07:02,390 --> 00:07:05,250
+لمحلول الملح لأن أنا في عندي جروح مفتوحة، والجروح
+
+107
+00:07:05,250 --> 00:07:09,450
+المفتوحة بيكون عرضة للعدوى وعرضة للالتهاب، وبالتالي
+
+108
+00:07:09,450 --> 00:07:13,170
+بستخدم الغرغرة الموصوفة أو محلول الملح أو احنا
+
+109
+00:07:13,170 --> 00:07:16,890
+ممكن نحضر طبعا المحلول الملح في البيت عشان كمية 
+
+110
+00:07:16,890 --> 00:07:19,750
+قليلة من الملح مع بعض الميه ممكن استخدمها 
+
+111
+00:07:34,490 --> 00:07:36,890
+طبعا دي من الممنوعات اللي هي عدم زي ما قولنا
+
+112
+00:07:36,890 --> 00:07:39,290
+عدم شرب الأشياء الساخنة أو السوائل 
+
+113
+00:07:39,290 --> 00:07:42,330
+الساخنة أو عدم تناول الطعام والشراب، لكن اه
+
+114
+00:07:42,330 --> 00:07:46,370
+وكمان في نفس اللحظة لا يسمح بالغرغرة، لا يسمح 
+
+115
+00:07:46,370 --> 00:07:48,750
+بالغرغرة، لو إن أنا زي كإن أنا قاعد عند جروح وأنا 
+
+116
+00:07:48,750 --> 00:07:52,230
+بعمل غسل للجرح، وبالتالي مسموح ممنوع استخدام 
+
+117
+00:07:52,230 --> 00:07:55,190
+السوائل الساخنة أو الدافئة، ممنوع طبعا الأكل
+
+118
+00:07:55,190 --> 00:07:59,430
+والشرب، ممنوع استخدام الغرغرة بعد خلع الدرس أو
+
+119
+00:07:59,430 --> 00:08:00,330
+السن مباشرة 
+
+120
+00:08:04,510 --> 00:08:06,830
+هل أنا نزيف المعدة أو المريء؟ خلينا طبعا هالنقطة 
+
+121
+00:08:06,830 --> 00:08:11,990
+مهمة كثير طبعا ممكن يكون أحد الأسباب دوالي المريء 
+
+122
+00:08:11,990 --> 00:08:15,530
+أو قرحة المعدة واحد يقول ما احنا برضه في عندنا قرحة
+
+123
+00:08:15,530 --> 00:08:19,930
+12 لكن في حالات قرحة الـ12 ما بيصير خروج الدم من 
+
+124
+00:08:19,930 --> 00:08:25,990
+الـ12 وبالتالي لو كان هناك مثلا براز مدمم باللون 
+
+125
+00:08:25,990 --> 00:08:32,470
+القاتم اللون مثلا اللي بيميل للسواد هذا معناه أنه
+
+126
+00:08:32,470 --> 00:08:37,150
+فيه هضم لمادة الحديد وهذا طبعا نقطة للتذكير أن كل 
+
+127
+00:08:37,150 --> 00:08:41,330
+الأطفال بياخذوا شراب الحديد بنبه الأمهات إنه ممكن
+
+128
+00:08:41,330 --> 00:08:45,390
+الطفل يكون برازه لونه على سواد، هذا بسبب الحديد
+
+129
+00:08:45,390 --> 00:08:48,850
+وبالتالي لما أكون عندي قرحة المعدة، بدي أفرّقها عن 
+
+130
+00:08:48,850 --> 00:08:52,770
+قرحة الـ12 بإن قرحة المعدة بصير ألم مباشرة بعد 
+
+131
+00:08:52,770 --> 00:08:56,810
+الأكل، لكن قرحة الـ12 تقريبا بعد ساعة ونص أو
+
+132
+00:08:56,810 --> 00:09:02,550
+ساعتين، قبل ما الأكل ينتقل من المعدة للـ12 طيب، هل 
+
+133
+00:09:02,550 --> 00:09:08,850
+لو كان عندي أنا مثلا نزيف أو مثلا قيء مدمم؟ أنا مش 
+
+134
+00:09:08,850 --> 00:09:12,650
+بالضرورة أعرف عشان أنه هذا من المريء أو مثلا من 
+
+135
+00:09:12,650 --> 00:09:16,330
+المعدة، إيش كإسعاف أولي أنا ممكن أتدخل في الحالة 
+
+136
+00:09:16,330 --> 00:09:21,830
+هذه، كإسعاف أولي، عشان أن أول حاجة طريقة الضغط 
+
+137
+00:09:21,830 --> 00:09:27,990
+المباشر ما بتظبط، رفع اليد المصابة ما بيظبط، ضغط
+
+138
+00:09:27,990 --> 00:09:33,070
+أن أضع قطعة تلج خارجية برضه ما بيظبط، إيش الحل؟ 
+
+139
+00:09:34,610 --> 00:09:40,370
+الحل إن أنا أرسل ماء من التلج المهروس أو الميه 
+
+140
+00:09:40,370 --> 00:09:47,090
+الباردة يبلعها ماء باردة مش ماء عادية ممنوع 
+
+141
+00:09:47,090 --> 00:09:50,030
+استخدام المياه الساخنة لأن المياه الساخنة هتزيد فرصة
+
+142
+00:09:50,030 --> 00:09:54,710
+النزيف وبالتالي يقول أما جبت الثلج مهروس أو ماء
+
+143
+00:09:54,710 --> 00:10:00,920
+مثلج، يعني ماء بارد، إيش الفكرة من هنا؟ عسى تعمل ضيق 
+
+144
+00:10:00,920 --> 00:10:05,400
+في الأوعية الدموية طبعا هذا يعني لو استمر فيه نزيف
+
+145
+00:10:05,400 --> 00:10:10,120
+لكن أنا ممكن أقلل من .. من فكرة .. من طبعا كمية
+
+146
+00:10:10,120 --> 00:10:14,560
+النزيف، أفضل ما أضلها مستمر أو أضيع المستشفى زي ما
+
+147
+00:10:14,560 --> 00:10:17,160
+أقول والله مثلا إنسان مجروح أنا أضغط على مكان
+
+148
+00:10:17,160 --> 00:10:19,760
+الجروح وأنجله للمستشفى والآن قول على المستشفى
+
+149
+00:10:19,760 --> 00:10:24,660
+مباشرة طبعا أقل الدرجات إن أنا أستخدم ثلج مهروس أو
+
+150
+00:10:24,660 --> 00:10:28,720
+مياه باردة ولا يسمح باستخدام الماء الدافئ أو الساخن
+
+151
+00:10:28,720 --> 00:10:30,960
+لأن طبعا بيزيد من فرصة النظيفة
+
+152
+00:10:33,990 --> 00:10:37,730
+طبعا وضع الثلج هنا ضعيف شوية لكن احنا بنقول الأفضل
+
+153
+00:10:37,730 --> 00:10:44,290
+..الأفضل استخدام ماء بارد أو ثلج مهروس للداخل لأن
+
+154
+00:10:44,290 --> 00:10:50,090
+هيك أنا بأضمن إنه إيش .. المياه وصلت للداخل وعملت
+
+155
+00:10:50,090 --> 00:10:55,730
+انقباض أو انقماش في الأوعية الدموية يعني
+
+156
+00:10:55,730 --> 00:10:58,670
+الـ band الثالث .. الثاني هو أفضل من الـ band الأول
+
+157
+00:11:02,410 --> 00:11:05,210
+طيب، نيجي هنا لموضوع ثاني، العلاقة بالدورة
+
+158
+00:11:05,210 --> 00:11:09,310
+الدموية، بالمضخة الأساسية بالنسبة للدم، ألا وهي
+
+159
+00:11:09,310 --> 00:11:13,030
+القلب، يعني نسميه طبعا إيه؟ الأزمات القلبية أو 
+
+160
+00:11:13,030 --> 00:11:19,260
+النوبات القلبية، في عندنا طبعا اللي بيغذي القلب هي
+
+161
+00:11:19,260 --> 00:11:24,760
+شرايين تخرج من الشريان الأورطي أو تتفرع من الشريان
+
+162
+00:11:24,760 --> 00:11:29,960
+الأورطي والدم زي ما قلنا مقر الدخول اللي هو القلب
+
+163
+00:11:29,960 --> 00:11:34,240
+لكن القلب بالرغم من هيك بياخد جزء من الدم زيه زي
+
+164
+00:11:34,240 --> 00:11:37,940
+أي عضو آخر، مش معناه إن هو اللي موجود في الدم ياخد
+
+165
+00:11:37,940 --> 00:11:41,660
+كل حاجة، لأ طبعًا بياخد بالتغذية من الخارج وليس من
+
+166
+00:11:41,660 --> 00:11:44,460
+الداخل، الدم موجود داخل القلب لكن التغذية بتكون من
+
+167
+00:11:44,460 --> 00:11:47,440
+الخارج، الشرايين اللي هم بيسميها الشرايين التاجية
+
+168
+00:11:47,440 --> 00:11:51,260
+أو coronary artery، طبعًا هي شبيهة بالتاج طبعًا هذه
+
+169
+00:11:51,260 --> 00:11:56,600
+الشرايين بتغذي القلب، طبعًا شيء طبيعي أن أي إنسان
+
+170
+00:11:56,600 --> 00:12:03,040
+بيزيد مجهوده معناه بيزيد التغذية لأعضاء الجسم لكن
+
+171
+00:12:03,040 --> 00:12:07,390
+لو كان هناك مثلًا عندنا مجهود، والمجهود هذا بيطلب
+
+172
+00:12:07,390 --> 00:12:13,150
+تغذية أو كمية دم إضافية لكن الطريق ضيق، معناه العضو
+
+173
+00:12:13,150 --> 00:12:16,030
+هذا مش هiaخد كمية الـ Oxygen والغذاء الكافي
+
+174
+00:12:16,030 --> 00:12:19,590
+بالنسبة لهم أو إذا كان المكان مغلق أو كان الطريق 
+
+175
+00:12:19,590 --> 00:12:23,990
+مغلقة، معناه إيش؟ مش هiaخد بالمرة، طبعًا هنا في عندنا 
+
+176
+00:12:23,990 --> 00:12:27,450
+نوعين من نوبات قلبية، النوع الأول هي Angina
+
+177
+00:12:27,450 --> 00:12:32,260
+Pectoris أو الذبحة الصدرية، الذبحة الصدرية هذه بتيجي
+
+178
+00:12:32,260 --> 00:12:36,700
+نتيجة مجهود، طبعا هنا بيكون فيها ضيق في الشرايين
+
+179
+00:12:36,700 --> 00:12:39,720
+التاجية المغذية أو بعض الشرايين أو أحد الشرايين
+
+180
+00:12:39,720 --> 00:12:42,360
+ممكن نقول احنا الشرايين التاجية كلها عشان
+
+181
+00:12:42,360 --> 00:12:45,780
+احنا نكون واضحين لما نتكلم على الذبحة الصدرية، لو
+
+182
+00:12:45,780 --> 00:12:49,300
+أنا قلت طبعا ضيق في كل الشرايين التاجية، طبعا ده لأ
+
+183
+00:12:49,300 --> 00:12:55,090
+خطأ، لأ لأ لما أتكلم أقول الذبحة الصدرية هي ضيق في
+
+184
+00:12:55,090 --> 00:12:58,610
+أحد الشرايين التاجية المغذية لعضلة القلب، اه لكن ما
+
+185
+00:12:58,610 --> 00:13:02,850
+بقدر أقول هي ضيق في كل الشرايين التاجية، لأ لأ لأ
+
+186
+00:13:02,850 --> 00:13:07,110
+وبالتالي بعض أو أحد الشرايين التاجية المغذية لعضلة
+
+187
+00:13:07,110 --> 00:13:14,050
+القلب، طبعا هنا وطبعا الضيق هذا نتيجة قلة وصول الدم
+
+188
+00:13:14,050 --> 00:13:17,610
+المحمل بالأكسجين، طبعا دايمًا يا أخواتنا وين المكان
+
+189
+00:13:17,610 --> 00:13:21,930
+اللي ما بيوصل له دم محمل بالأكسجين بيكون فيه ألم، أنا
+
+190
+00:13:21,930 --> 00:13:25,190
+أقول لك مثال بسيط لما احنا نقول أنت تمسكي قطعة 
+
+191
+00:13:25,190 --> 00:13:29,570
+الثلج، تمام، والقطعة هذه مسكتها بين إيديكي، إيديكي 
+
+192
+00:13:29,570 --> 00:13:33,370
+كيف هتصير فيهم؟ ألم، اصفرار، اصفرار، هتصير مش
+
+193
+00:13:33,370 --> 00:13:36,770
+حمراء، طبعًا هتصير فيهم ألم، ليش؟ لأنه صار عنده ضيق
+
+194
+00:13:36,770 --> 00:13:41,070
+في الأوعية الدموية وقلة وصول للأوعية الدم المحمل 
+
+195
+00:13:41,070 --> 00:13:44,590
+بأكسجين، معناه إيش؟ فيه ألم، نتيجة نقص الأكسجين ..
+
+196
+00:13:44,590 --> 00:13:46,810
+الدم المحمل بالأكسجين، احنا لما نقول الله في 
+
+197
+00:13:46,810 --> 00:13:49,490
+الشتاء، في الجو البارد، بنشعر إن أطرافنا فيها ألم
+
+198
+00:13:50,250 --> 00:13:54,770
+وعلى الزرقة بسبب نقص أصول كمية الدم الكافية
+
+199
+00:13:54,770 --> 00:13:57,610
+المحملة بالأكسجين اللي طبعا هتعمل على دفع المنطقة
+
+200
+00:13:57,610 --> 00:14:01,470
+هذه، وطبعا زيادة برودة المنطقة هذه مع نافي H ألم
+
+201
+00:14:01,470 --> 00:14:05,430
+للمنطقة اللي ما بيصِل لها الدم، وطبعًا ما بيحدث عندنا
+
+202
+00:14:05,430 --> 00:14:10,420
+في الشرايين التاجية، طبعًا هنا إيش الأعراض؟ طبعًا هذه
+
+203
+00:14:10,420 --> 00:14:13,440
+أول حاجة بيقول إن احنا الذبحة الصدرية بتكون نتيجة
+
+204
+00:14:13,440 --> 00:14:17,940
+مجهود أو توتر عصبي، تمام؟ وبالتالي من أعراضها أول
+
+205
+00:14:17,940 --> 00:14:21,300
+حاجة ألم أثناء المجهود العظيم، يعني بتظهرش فجأة،
+
+206
+00:14:21,300 --> 00:14:23,200
+اللي بتظهر فجأة، هنتكلم عنها كمان شوية، لكن هذه
+
+207
+00:14:23,200 --> 00:14:27,660
+نتيجة المجهود، بيطلع الدرّاج، بيطلع سيلينة، بيطلع
+
+208
+00:14:27,660 --> 00:14:32,540
+منطقة عالية، مرتفع عالي، بيشعر إيش، بعد ليه إيش؟ ليش
+
+209
+00:14:32,540 --> 00:14:40,700
+بيتعاب؟ لأن القلب .. القلب بيضخ بزيادة وزي وزي باقي
+
+210
+00:14:40,700 --> 00:14:44,700
+الأعضاء، هيقل عليه كمية الـ Oxygen .. الدم المحملة
+
+211
+00:14:44,700 --> 00:14:47,420
+بالأكسجين، اللي ممكن باقي الأعضاء ما نشعر فيها،
+
+212
+00:14:47,420 --> 00:14:49,900
+وبالتالي يا أخواتنا، أي منطقة بنقص عنها الأكسجين،
+
+213
+00:14:49,900 --> 00:14:53,460
+فيها ألم، ده بيقول مثلًا، عندنا مثال ثاني، لو كان 
+
+214
+00:14:53,460 --> 00:14:55,920
+عندي مثلًا احتباس في منطقة معينة، زي ما ضربنا مثلًا
+
+215
+00:14:55,920 --> 00:14:59,640
+توي، ونقص الدم المحملة بالأكسجين، أو وصل دم، لكن
+
+216
+00:14:59,640 --> 00:15:02,740
+مافيش كمية أكسجين كافية، يعني مثلًا، نسبة الهيموجلوبين
+
+217
+00:15:02,740 --> 00:15:06,010
+منخفضة، يعني زي زي كأنو ما وصلش الدم إيش المحمل
+
+218
+00:15:06,010 --> 00:15:08,790
+بالأكسجين الكافي، وبالتالي طبعا بيصير ألم، وهنا طبعًا
+
+219
+00:15:08,790 --> 00:15:12,750
+لأن القلب بدّه يضخ بزيادة عشان يلبّي احتياجات الجسم 
+
+220
+00:15:12,750 --> 00:15:16,510
+كلها لكن الشرايين المغذية للقلب فيها ضيق، معناه مش
+
+221
+00:15:16,510 --> 00:15:19,510
+هياخد كمية الكافية من إيش من الأكسجين، وبالتالي
+
+222
+00:15:19,510 --> 00:15:23,910
+بيشعر بالألم، يجب أول ميزة للذبحة الصدرية أن بتحدث
+
+223
+00:15:23,910 --> 00:15:27,570
+فيها ألم أثناء المجهود العضلي، صلي الدرّاج حمل حاجة
+
+224
+00:15:27,570 --> 00:15:31,350
+ثقيلة اللي طبعا في عبء على القلب عشان إيش يزيد من
+
+225
+00:15:31,350 --> 00:15:31,810
+مجهوده
+
+226
+00:15:34,430 --> 00:15:37,570
+طبعًا لحظة يا أخواتنا، الصورة هذه وقمت تركز كل ما
+
+227
+00:15:37,570 --> 00:15:42,180
+زاد اللون بتصير طبعًا .. طبعًا هنا كل ما زاد اللون 
+
+228
+00:15:42,180 --> 00:15:46,240
+عندنا معناه إيش بدّه يصير؟ هنا كل ما كان اللون أغمق 
+
+229
+00:15:46,240 --> 00:15:49,180
+كل ما كان المشكلة أكثر، يعني هتطلعوا إيش؟ بتتقل 
+
+230
+00:15:49,180 --> 00:15:52,780
+للعنق، لمين؟ للناحية اليسار، ممكن ينتقل طبعًا 
+
+231
+00:15:52,780 --> 00:15:56,140
+للناحية اليمين، لكن هنا على القلب، لأن القلب في
+
+232
+00:15:56,140 --> 00:15:59,500
+المنتصف، يمين للناحية اليسار، وبالتالي الألم ينتقل
+
+233
+00:15:59,500 --> 00:16:02,600
+للعنق وللناحية اليسار، لكن ناحية اليمين في الألم،
+
+234
+00:16:02,600 --> 00:16:07,450
+لكن يكون اليسار أكثر وأشد، الألم محنوق؟ لأ الألم بحس 
+
+235
+00:16:07,450 --> 00:16:11,850
+ألم مش خنجة، بحس ألم بالعضلات نفسها وضغط وكأنه
+
+236
+00:16:11,850 --> 00:16:15,750
+في حاجة ضغط على صدره، يعني أنا شايف إن الصورة هذه
+
+237
+00:16:15,750 --> 00:16:20,170
+اللي فوق مثلًا كأنه بين ملزمة يعني بين فكاية كماشة
+
+238
+00:16:20,170 --> 00:16:24,710
+لكن مضغوط بضغط، بحس كأنه العمارة كلها فوق صدره
+
+239
+00:16:24,710 --> 00:16:27,470
+ضلعة؟ اه ضلعة على صدره ضغط كثير
+
+240
+00:16:31,270 --> 00:16:34,770
+هذا ما يميزه، هو من أهم مميزاتها الألم أثناء المجهود
+
+241
+00:16:34,770 --> 00:16:37,910
+العضلي، طبعا ثقل على منطقة الصدر دي اللي أنتو
+
+242
+00:16:37,910 --> 00:16:41,470
+شايفينه أخواتنا هنا بالصورة زي هذه طبعا يمتد 
+
+243
+00:16:41,470 --> 00:16:45,310
+تدريجيا للناحية اليسار أكثر منها من ناحية اليمين
+
+244
+00:16:45,310 --> 00:16:50,250
+للعنق والناحية اليسار، بعدين ممكن يكون ألم في 
+
+245
+00:16:50,250 --> 00:16:51,410
+الناحية اليمين
+
+246
+00:16:59,110 --> 00:17:04,010
+طبعًا هنا الحل إنك تخفف المجهود، أخففوا اللعب ليش؟
+
+247
+00:17:04,010 --> 00:17:07,310
+على القلب، بمعنى إنه عشان أنا أعرف إن هذا عنده ذبحة 
+
+248
+00:17:07,310 --> 00:17:09,790
+صدرية ولو ما عنده ذبحة صدرية، المجهود اللي بيبين،
+
+249
+00:17:09,790 --> 00:17:12,690
+هو الاختبار، اه وبالتالي طبعا فينا بعض التمارين الـ
+
+250
+00:17:12,690 --> 00:17:15,770
+ECG اللي هي وللقلب، عشان نشوف مدى كفاءة القلب،
+
+251
+00:17:15,770 --> 00:17:18,550
+يعني عن خطوة، خطوتين، ثلاث، بيصير يلهد، بيصير مش
+
+252
+00:17:18,550 --> 00:17:21,850
+قادر، اه صحيح، لمشي على طبعا الاجتماعات أو ما
+
+253
+00:17:21,850 --> 00:17:25,430
+تسميه الـ ECG، طبعا تخطيط للقلب هذا، نعم، هذا
+
+254
+00:17:25,430 --> 00:17:28,650
+بيعطينا إشارة إن القلب يعمل بصورة طبيعية ولا لأ
+
+255
+00:17:31,800 --> 00:17:35,040
+لكن إذا بدأ المجهود هانبينه، وبالتالي عشان الفرق
+
+256
+00:17:35,040 --> 00:17:37,620
+ما بينها وما بينه طبعا الجلطة القلبية، لأ الذبحة
+
+257
+00:17:37,620 --> 00:17:41,940
+الصدرية يسبقها مجهود عضلي، ويسبقها ألم ينتشر من
+
+258
+00:17:41,940 --> 00:17:45,520
+المنتصف إلى الناحية اليسرى أو العنق أو حتى الفك، 
+
+259
+00:17:45,520 --> 00:17:49,060
+كمان، ممكن ينتشر إلى الناحية اليمين، لكن أكثر هو
+
+260
+00:17:49,060 --> 00:17:54,040
+بيكون في المنتصف والناحية اليسارة، هذا حاجة ثانية،
+
+261
+00:17:54,040 --> 00:17:58,780
+الجلطة، هنتكلم عليها إن شاء الله، لأ مش نفسها، طيب
+
+262
+00:17:58,780 --> 00:18:03,330
+الحل هذا إن أوسع الطريق، أوسع الطريق عشان أزيد كمية 
+
+263
+00:18:03,330 --> 00:18:06,030
+الدم، إيش اللي بوسع ليها الطريق؟ في حاجة بيسموها
+
+264
+00:18:06,030 --> 00:18:08,870
+الكورديل .. طبعا الكورديل خمسة ملي جرام أو غليسيرين
+
+265
+00:18:08,870 --> 00:18:12,250
+نترات الغليسيرين بتاخد طبعا تحت اللسان، وتحت اللسان 
+
+266
+00:18:12,250 --> 00:18:15,550
+لإن في تحت اللسان شريان، تمام؟ والشريان اللي
+
+267
+00:18:15,550 --> 00:18:20,280
+بيساعد على امتصاص الأدوية، وبالتالي احنا بنقول مش
+
+268
+00:18:20,280 --> 00:18:24,720
+يبلعها بلع لأن هنا أسرع منه يبلعها بلع، وبالتالي خمس
+
+269
+00:18:24,720 --> 00:18:28,480
+دقايق شوية بيقولك اه والله رفعت، فدائما مرضى الذبحة
+
+270
+00:18:28,480 --> 00:18:31,200
+الصدرية بيكون معاهم نترات الغليسيرين، أي حبة صغيرة جان
+
+271
+00:18:31,200 --> 00:18:34,640
+حبة العدسة خمسة ملي جرام نترات الغليسيرين أو الكورديل
+
+272
+00:18:34,640 --> 00:18:39,780
+خمسة ملي جرام، يبقى الهدف من الكورديل خمسة ملي جرام
+
+273
+00:18:39,780 --> 00:18:44,820
+هي عمل التوسيع للشريان اللي فيه ضيق
+
+274
+00:18:50,180 --> 00:18:54,560
+اه، الكورديل هو أحد وسائل أو الـ Nitroglycerin، وظيفته
+
+275
+00:18:54,560 --> 00:19:01,280
+توسيع الشرايين التاجية، الضيقة، فضلها
+
+276
+00:19:05,050 --> 00:19:07,870
+لأ حسب هذه خمسة ملي جرام كمية قليلة جدا عشان
+
+277
+00:19:07,870 --> 00:19:12,190
+يعطيني أثر مباشر وبسرعة، لكن بعض اللي بدأ متلاقي 
+
+278
+00:19:12,190 --> 00:19:15,710
+مائة ملي جرام، خمس مائة ملي جرام مثلًا زي المضادات
+
+279
+00:19:15,710 --> 00:19:19,690
+الحيوية، ما أقدر أحطها تحت لسان لأن أنا بدّي واجهة 
+
+280
+00:19:19,690 --> 00:19:23,610
+شوية عشان يصير الامتصاص، وبعضها لازم يكون مثلًا بدّي 
+
+281
+00:19:23,610 --> 00:19:26,270
+يكون مع الطعام لكن هذه خمسة ملي جرام اللي أسرع
+
+282
+00:19:26,270 --> 00:19:29,370
+نصفها عشان يصل التأثير مباشر لوين؟ للقلب
+
+283
+00:19:32,030 --> 00:19:35,250
+طبعا قد يصاحب... قد يصاحب كمان احنا بنقول احنا قد
+
+284
+00:19:35,250 --> 00:19:38,790
+يصاحب ممكن أو ممكن لا كمان ضيق في التنفس طبعا
+
+285
+00:19:38,790 --> 00:19:42,110
+الجلد يكون شاحب أو بيه زرقاليش لأنه صار ضيق في
+
+286
+00:19:42,110 --> 00:19:45,670
+الأوعية الدموية الطرفية و احنا بنقولنا شيء رباني
+
+287
+00:19:45,670 --> 00:19:49,250
+أنه في حال الخطر على جسم الإنسان زي ما بيقولوا
+
+288
+00:19:49,250 --> 00:19:53,610
+احنا عندنا الشجرة الشجرة لو ماتنقطت عنها المياه في
+
+289
+00:19:53,610 --> 00:19:57,950
+إيش بتضحي أول شيء بالثمار
+
+290
+00:19:59,250 --> 00:20:01,910
+بعدين بيصير عينها الورق، بعدين شوية شوية الأفرع
+
+291
+00:20:01,910 --> 00:20:06,970
+الصغيرة، لا غاية لما تصل إيش، لفرع الكبير، تمام؟
+
+292
+00:20:06,970 --> 00:20:10,350
+وبالتالي هنا هنقول الجلد مش أهم من القلب ولا أهم
+
+293
+00:20:10,350 --> 00:20:12,870
+من الجهاز التنفسي ولا أهم من الكبد، فبيصير عيننا
+
+294
+00:20:12,870 --> 00:20:15,810
+ضيق في الأوعية الدموية الطرفية واتساع في الأوعية
+
+295
+00:20:15,810 --> 00:20:19,230
+الدموية الداخلية عشان نعمل عملية إرواء للأوعية 
+
+296
+00:20:19,230 --> 00:20:22,350
+الدموية أو العضو الحيوي أكتر منها إيش من الجلد
+
+297
+00:20:22,350 --> 00:20:30,160
+طبعا عرق، والعرق بيكون غالبا بارد غثيان ماقية،
+
+298
+00:20:30,160 --> 00:20:33,220
+بيصير الناس تفارق، طبعا بعض الأعراض أنه ممكن تحدث،
+
+299
+00:20:33,220 --> 00:20:36,120
+وليس في الدورة كلها تحدث مرة واحدة، بتلاقي فجأة
+
+300
+00:20:36,120 --> 00:20:39,520
+بعد ما تعب أجهده الإعياء، حاسس حاله أنه بيستفرغ،
+
+301
+00:20:39,520 --> 00:20:43,060
+ممكن يستفرغ وممكن لا، بيصير الهذيان، لأن طبعا كله من
+
+302
+00:20:43,060 --> 00:20:46,540
+علامات العبء اللي وقع على القلب بسبب عدم وصول كمية
+
+303
+00:20:46,540 --> 00:20:49,180
+كافية من الدم المحمل بالأكسجين لعضلة القلب
+
+304
+00:20:51,990 --> 00:20:56,070
+طبعا خدران أو تنميل في الأطراف بيقولك حاسس أنه خد
+
+305
+00:20:56,070 --> 00:21:00,090
+بنملني أو مثلا يفك بنملني أو ده يبنملوني طبعا هذا
+
+306
+00:21:00,090 --> 00:21:04,690
+برضه دليل على إشارة أن هناك مشكلة في القلب مشكلة
+
+307
+00:21:04,690 --> 00:21:08,190
+ثانوية لكن المشكلة الأساسية بتكون في منطقة القلب
+
+308
+00:21:08,190 --> 00:21:12,670
+نفسها الألم أشد بيكون ألم عاصر يعني مضغوط كأنه
+
+309
+00:21:12,670 --> 00:21:16,680
+حاسس أنه في حاجة ثقل على الصدر طبعا هو ما في ثقل لكن
+
+310
+00:21:16,680 --> 00:21:19,780
+هو بيشعر أنه في ثقل بسبب طبعا نقص الدم المحمل
+
+311
+00:21:19,780 --> 00:21:25,660
+بالأكسجين اللي واصل لعضلة القلب من الخارج ضعف
+
+312
+00:21:25,660 --> 00:21:28,460
+أوعيته طبعا دائما كبار السن ما بيحملوا كتير طبعا كون
+
+313
+00:21:28,460 --> 00:21:32,440
+واضح عليهم أكثر من الشباب الصغار طبعا إيش أسبابها؟
+
+314
+00:21:32,440 --> 00:21:35,880
+طبعا في أسباب كثيرة يعني بعض أسبابها مثلا الحالة
+
+315
+00:21:35,880 --> 00:21:39,230
+النفسية بعض أسبابها تناول بعض العلاجات اللي بتعمل
+
+316
+00:21:39,230 --> 00:21:42,990
+ضيق في الأوعية الدموية، بعض أسبابها مثلا نوعية
+
+317
+00:21:42,990 --> 00:21:46,190
+الغذاء اللي الإنسان بياخده، يعني طبعا قلة الحركة،
+
+318
+00:21:46,190 --> 00:21:52,610
+قلة التمرين، طبعا دي إلا أسباب كثيرة نيجي
+
+319
+00:21:52,610 --> 00:21:55,850
+لجلطة القلبية أو MI أو myocardial infarction زي ما
+
+320
+00:21:55,850 --> 00:21:59,390
+يسموها وهو طبعا غالبًا إنه يكون فيها موت جزء من عضلة
+
+321
+00:21:59,390 --> 00:22:04,720
+القلب، بسبب انسداد أحد الشرايين التاجية المغذية
+
+322
+00:22:04,720 --> 00:22:08,100
+ لمنطقة معينة من عضلة القلب لكن قلنا في الذبحة
+
+323
+00:22:08,100 --> 00:22:12,360
+الصدرية ضيق مع أن فيه شوية دم ماشي لكن غير كافية
+
+324
+00:22:12,360 --> 00:22:15,480
+واريكيت تظهر طبعا بالمجهود لكن الجلطة القلبية يقولك
+
+325
+00:22:15,480 --> 00:22:21,340
+فجأة والله فجأة وعيه وبطلت القلب يتوقف لأن في عندنا
+
+326
+00:22:21,340 --> 00:22:25,200
+منطقة لا يصلها الدم لأنه منطقة مغلقة وطبعا جدّيش
+
+327
+00:22:25,200 --> 00:22:30,220
+بتكون خطورتها حسب الانسداد كل مكان انسداد أكثر من
+
+328
+00:22:30,220 --> 00:22:32,120
+من منطقة كل مكان فيه الخطورة أكثر
+
+329
+00:22:36,290 --> 00:22:40,990
+يبقى أن جلطة القلب فيها موت لأجزاء من عضلة
+
+330
+00:22:40,990 --> 00:22:45,250
+القلب، لكن الذبحة الصدرية ما فيها موت، فيها ضيق في
+
+331
+00:22:45,250 --> 00:22:48,090
+أحد الشرايين المغذي لعضلة القلب من ناحية الخارجية
+
+332
+00:22:48,090 --> 00:22:51,390
+طبعا
+
+333
+00:22:51,390 --> 00:22:54,550
+هذه الصورة إيه يا أخواتنا؟ يعني هيك واضحة هنا؟
+
+334
+00:22:54,550 --> 00:23:01,430
+ماشي هأقول لك طبعا هنا عندنا هاي هذه الشريان، لاحظين
+
+335
+00:23:01,430 --> 00:23:05,350
+هذه المنطقة، الخط الأبيض هنا شريان، تاجي، لكن فيه
+
+336
+00:23:05,350 --> 00:23:09,130
+عندنا انسداد هنا، فأدى إلى موت في المنطقة هذه، وكل
+
+337
+00:23:09,130 --> 00:23:13,570
+ما كانت المنطقة أكبر، كل ما كان الخطر أكثر، ليش؟
+
+338
+00:23:13,570 --> 00:23:17,640
+لأن عضلة القلب عضلة قبلها تنبسط لكن هنا أنا عندي صار
+
+339
+00:23:17,640 --> 00:23:22,680
+عندي جزء ميت معناه المنطقة هذه الميتة هتقلل من
+
+340
+00:23:22,680 --> 00:23:26,160
+كفاءة عضلة القلب وخاصة البطينين ودايمًا يا
+
+341
+00:23:26,160 --> 00:23:29,180
+أخواتنا يمكن غالبًا يكون الذبحة الجلطة القلبية في
+
+342
+00:23:29,180 --> 00:23:33,400
+البطينين أكثر وهذا طبعا بأثر أكثر وفيه خطورة ليش؟
+
+343
+00:23:33,400 --> 00:23:36,000
+لأن البطينين هم اللي هيدخلوا الدم لكل أجزاء الجسم
+
+344
+00:23:36,000 --> 00:23:39,740
+سواء الدموية الصغيرة أو الدموية الكبرى طبعا هنا
+
+345
+00:23:39,740 --> 00:23:44,310
+إيش أهم الأعراض؟ طبعا الألم قد يكون فجأة غير...
+
+346
+00:23:44,310 --> 00:23:47,210
+ممكن يكون بعد مجهود لكن الألم ممكن هو جاهز حاسس
+
+347
+00:23:47,210 --> 00:23:51,870
+بالألم وحاسس طبعا أنه السكاكين بتوخز فيه زي
+
+348
+00:23:51,870 --> 00:23:55,210
+السكاكين حاجات حادة... هو بيتخيل لكن هي مش موجودة
+
+349
+00:23:55,210 --> 00:23:59,470
+لكن لما يكون عندنا ألم عاصر وضاقط معناه طبعا
+
+350
+00:23:59,470 --> 00:24:02,930
+الذبحة لكن هان زي السكاكين ووخز كثير لأن ألم عضري
+
+351
+00:24:02,930 --> 00:24:07,090
+قدر الألم الجلطة القلبية مؤلم شديد جدًا جدًا يعني
+
+352
+00:24:07,090 --> 00:24:11,090
+أحيانًا بضطره يطرد داخل المستشفى يعطوه مادة مسكنة
+
+353
+00:24:11,090 --> 00:24:16,150
+أو مادة مخدرة نتيجة الألم الشديد فعضلة القلب نفسها
+
+354
+00:24:16,150 --> 00:24:19,190
+طبعا هنا في عندنا ألم ممكن يتقلل الفك والرقبة أو
+
+355
+00:24:19,190 --> 00:24:23,290
+الأطراف زي ما حصل عندنا طبعا في الذبحة الصدرية طبعا
+
+356
+00:24:23,290 --> 00:24:25,970
+ضيق من النفس لكن أكثر حاجة يا أخواتنا من أن نركز
+
+357
+00:24:25,970 --> 00:24:29,090
+عليها أن الألم يكون نتيجة مجهود في الذبحة الصدرية
+
+358
+00:24:29,090 --> 00:24:33,450
+لكن هذا الغالب يكون فجأة بدون سببات بمعنى أن
+
+359
+00:24:33,450 --> 00:24:37,980
+الجلطة موجودة لكن مثلا نقول تعرّض لموقف صادم أو
+
+360
+00:24:37,980 --> 00:24:41,860
+لحزن أو زعل فجأة بعدين والله بيقولك إيه اتوجّع عنده
+
+361
+00:24:41,860 --> 00:24:45,400
+القلب هي بتكون أساسًا موجودة لكن اللي كشفه مثلا
+
+362
+00:24:45,400 --> 00:24:48,580
+بالبلد دي أنه طبعا الزعل أو التوتر أساسًا طبعا هنا
+
+363
+00:24:48,580 --> 00:24:51,680
+بيكون عندنا ميل للقى... للقى... التجربة يا أخواتنا
+
+364
+00:24:51,680 --> 00:24:56,420
+هي غالبًا أعراضها شبيهة بأعراض طبعا الذبحة الصدرية
+
+365
+00:24:56,420 --> 00:25:00,500
+لكن ممكن الأساس اللي احنا بنركز فيه اللي هو السبب
+
+366
+00:25:00,500 --> 00:25:04,220
+السبب غالبًا فيه مجهود عضلي لكن هنا ممكن يكون فجأة
+
+367
+00:25:04,220 --> 00:25:08,970
+أو بنقول مثلا تبكي القشة التي قسمت ظهر البعير شوية
+
+368
+00:25:08,970 --> 00:25:14,130
+اتزعل، غضب، سمع خبر، ازعلوا حاجة، هو إيش اللي بين
+
+369
+00:25:14,130 --> 00:25:15,250
+أن في عنده جلطة قلبية
+
+370
+00:25:18,660 --> 00:25:23,240
+طبعا هنا قد يتحسن الألم جزئيًا بالراحة أو بأخذ حبوب
+
+371
+00:25:23,240 --> 00:25:25,720
+... طبعا هنا قد يتحسن لأن احنا قلنا أساس هنا
+
+372
+00:25:25,720 --> 00:25:29,240
+انسداد... هنا انسداد كله، لو مهما تصير توسيع
+
+373
+00:25:29,240 --> 00:25:33,920
+المشكلة طبعا قائمة، لكن أكثر حاجة بيصير أن التحسن
+
+374
+00:25:33,920 --> 00:25:37,640
+أكثر في الذبحة الصدرية أكثر منه في الجلطة القلبية
+
+375
+00:25:37,640 --> 00:25:41,900
+باستخدام حبوب Nitroglycerin أو طبعا هو النتروجليسرين
+
+376
+00:25:41,900 --> 00:25:47,240
+الخمسة ملي جرام بيصير... هد احنا كأسعار في أول اه...
+
+377
+00:25:47,240 --> 00:25:49,460
+لكن اه بيصير... هقصر أو بيصير... تسليق وإش...
+
+378
+00:25:49,460 --> 00:25:54,380
+ما أعرفش... أما... اه بتوقف... لأن في عندي أنا مثلا
+
+379
+00:25:54,380 --> 00:25:57,660
+القلب ليش بيوقف... لأن جلطة القلب مطلوب منه مجهود
+
+380
+00:25:57,660 --> 00:26:02,020
+كبير... لكن في جزء منه ما اشتغلش... مش هيقدم الكفاءة
+
+381
+00:26:02,020 --> 00:26:04,440
+... وبالتالي هيتوقف... هد هيكون السبب بتوقف القلب
+
+382
+00:26:04,440 --> 00:26:08,760
+... بسبب موت جزء... وكل مكان الجزء أكبر فيه
+
+383
+00:26:08,760 --> 00:26:13,240
+الخطورة أكثر يعني بعض الناس مثلا ماشي بعض الناس
+
+384
+00:26:13,240 --> 00:26:17,500
+مثلا ممكن يصير إسعاف أولي يعني ممكن يستعيد القلب
+
+385
+00:26:17,500 --> 00:26:21,800
+قوته ويرجع ينبض مرة ثانية لكن ممنوع عليه بعد هيك
+
+386
+00:26:21,800 --> 00:26:27,980
+التوتر التدخين العصبية الجري عشان هو الدخول اه
+
+387
+00:26:27,980 --> 00:26:31,880
+لأنه ثبت إنه عنده جلطة بالتصوير بيبين بالتصوير بيبين
+
+388
+00:26:31,880 --> 00:26:36,680
+لكن احنا بنقول ممكن يستعيد وممكن ما يستعيدش وناس
+
+389
+00:26:36,680 --> 00:26:41,360
+كثير عدت مرتين وثلاثة فيه لكن بده أهم حاجة توصيته
+
+390
+00:26:41,360 --> 00:26:46,200
+يحافظ على علاجه، الراحة النفسية، نوعية الأكل،
+
+391
+00:26:46,200 --> 00:26:51,240
+التمشي طبعا ببطء لكن ما ينقطعش عن التمشي، تمام؟ اه و
+
+392
+00:26:51,240 --> 00:26:54,440
+هات طبعا أهم حاجة في الموضوع كل أخواتنا اللي هو
+
+393
+00:26:54,440 --> 00:26:56,940
+العامل النفسي، هات طبعا هو بيبينها
+
+394
+00:27:01,480 --> 00:27:04,700
+نوبة القلبية إما بيسموها جلطة قلبية أو نوبة قلبية
+
+395
+00:27:04,700 --> 00:27:08,120
+زي ما يقولون نوبة الصرع زي ما يقولون نوبة الصرع
+
+396
+00:27:08,120 --> 00:27:11,580
+مثلا فضلا
+
+397
+00:27:11,580 --> 00:27:15,280
+مش
+
+398
+00:27:15,280 --> 00:27:25,660
+كل قلب بيموت الجزء اللي صار فيه انسداد طبعا
+
+399
+00:27:25,660 --> 00:27:26,920
+ما هنقول... فضلا يعني
+
+400
+00:27:30,390 --> 00:27:37,170
+اه اه بيبين بيبين بيبين بيبين بيبين طبعا هنا ال...
+
+401
+00:27:37,170 --> 00:27:40,990
+قلنا هنا الجلطة يا أخواتنا أخطر من الذبحة طبعا لأن
+
+402
+00:27:40,990 --> 00:27:45,470
+خلايا عضلة القلب قد تكون ماتت لكن بالذبحة موجودة
+
+403
+00:27:45,470 --> 00:27:49,950
+لكن نسبة التغذية لها ضعيفة يعني احنا ممكن مرة
+
+404
+00:27:49,950 --> 00:27:52,650
+ثانية نحاول إيش... أن... أن... أنعود التغذية
+
+405
+00:27:52,650 --> 00:27:55,970
+وإنعاشها مرة ثانية طبعا بالتغذية والتوسيع اللي هو
+
+406
+00:27:55,970 --> 00:27:58,090
+الشرايين التاجية... الشرايين التاجية باستخدامها
+
+407
+00:27:58,090 --> 00:28:01,810
+طبعا النتروجليسرين طبعا وأهم حاجة يا أخواتنا يعني أي
+
+408
+00:28:01,810 --> 00:28:04,590
+إنسان مثلا عنده مرض مزمن بده يحافظ على علاجه
+
+409
+00:28:05,410 --> 00:28:08,370
+بتحافظ على التغذية و إعادة التغذية إذا كان مثلا
+
+410
+00:28:08,370 --> 00:28:13,350
+الراحة النفسية طبعا بدنا نقول حاجة إنه إنسان إذا
+
+411
+00:28:13,350 --> 00:28:16,610
+يعني بقولك أنا بساخرش على نفسي طبعا بعدين هي كانت
+
+412
+00:28:16,610 --> 00:28:19,070
+المرض بيسيطر عليا وفي النهاية طبعا الموت بيسيطر
+
+413
+00:28:19,070 --> 00:28:23,130
+عليا وبالتالي طبعا يعني أرضى بما قسمه الله لك
+
+414
+00:28:23,130 --> 00:28:28,310
+تكون أغنى الناس أنت زعلّك مش هيجدي الدنيا ولا هيأخر
+
+415
+00:28:28,310 --> 00:28:33,350
+الدنيا بل بقى ممكن يجدي المرض ويأخر الصحة هذا اللي
+
+416
+00:28:33,350 --> 00:28:39,590
+بتفهمه بالنسبة للزعل طبعا غالبًا الناس 62% تحصل
+
+417
+00:28:39,590 --> 00:28:44,690
+لزمات أثناء نومهم وبالتالي يا أخواتنا هاني يعني احنا فيه
+
+418
+00:28:44,690 --> 00:28:49,530
+عندنا حتى ناحية دينية أنه صلاة الفجر لها أجر كبير
+
+419
+00:28:49,530 --> 00:28:55,350
+من ناحية الآخرة ولها قيمة صحية كبيرة كمان لأنه
+
+420
+00:28:55,350 --> 00:28:59,190
+... لأن طول الليل الإنسان لما بنام معناه العبء على 
+
+421
+00:28:59,190 --> 00:29:04,890
+القلب بيقل تمام؟ بيقل .. وبالتالي يعني ما بيضل قوة
+
+422
+00:29:04,890 --> 00:29:09,210
+القلب في ضخ الدم كما هي .. كما بدأ من بناء .. مثلا
+
+423
+00:29:09,210 --> 00:29:13,790
+بناء النوم تبدأ القل الكمية معناه أنه الأوعية 
+
+424
+00:29:13,790 --> 00:29:19,930
+الدموية بتبدأ تضيق تدريجيا .. تمام؟ فلما أنا الأوعية
+
+425
+00:29:19,930 --> 00:29:23,350
+الدموية هتبدأ تضيق ما بدي تصل لمرحلة حالة الإغلاق
+
+426
+00:29:24,180 --> 00:29:27,920
+فبالتالي ممكن أكثر الناس بيصير اللهم الجلطة
+
+427
+00:29:27,920 --> 00:29:32,540
+القلبية وقت الصبح أو وقت الفجر في فترة هادئة يعني
+
+428
+00:29:32,540 --> 00:29:35,720
+في الهدوء و كده فلما الإنسان بيقوم بصلاة الفجر
+
+429
+00:29:35,720 --> 00:29:40,560
+بيقوم بتمشي معناه بعيد نشاط القلب مرة ثانية بيصير
+
+430
+00:29:40,560 --> 00:29:44,080
+التوسع في الأوعية الدموية وبالتالي يعني لهم يعني
+
+431
+00:29:44,080 --> 00:29:48,280
+حتى الغربيين طبعا هم يعني ما بيهمهم صلاة الفجر
+
+432
+00:29:48,280 --> 00:29:51,680
+فبنصحوا المرضى يقولوا أنت قوم مثلا الساعة خمسة ستة
+
+433
+00:29:51,680 --> 00:29:57,280
+يمشي لك خمس دقائق ورجع نام عشان تنشيط عضلة القلب طب
+
+434
+00:29:57,280 --> 00:30:00,100
+احنا الحمد لله يعني .. يعني ربنا أعطانا شيء واحنا 
+
+435
+00:30:00,100 --> 00:30:05,200
+فيه أجر فيه يعني هذا الشيء لمصلحتنا فجدًا قيمته
+
+436
+00:30:05,200 --> 00:30:08,600
+الصحية احنا مستفيدين منها طبعا بخلاف الأجر جدًّا احنا 
+
+437
+00:30:08,600 --> 00:30:12,200
+مستفيدين من ناحية هذه وبالتالي تقل نسبة الإصابة
+
+438
+00:30:12,200 --> 00:30:16,100
+بالجلطات القلبية مع صلاة الفجر تقل للإنسان اللي
+
+439
+00:30:16,100 --> 00:30:19,120
+بيداوم مع صلاة الفجر فو بالتالي طبعا فضل كبير من 
+
+440
+00:30:19,120 --> 00:30:24,100
+ربنا الحمد لله، طبعا زي ما قلنا التدخين، السمنة،
+
+441
+00:30:24,100 --> 00:30:28,220
+التغذية اللي فيها دهون مشبعة طبعا هذه من أهم
+
+442
+00:30:28,220 --> 00:30:31,900
+العوامل، قلة الحركة من أهم العوامل و بالتالي مثلا
+
+443
+00:30:31,900 --> 00:30:34,800
+بقول في الحركة بركة و بالتالي كل ما الإنسان كان
+
+444
+00:30:34,800 --> 00:30:37,640
+نشيط، كل ما الإنسان كان محافظ على صحته لأنه بعد
+
+445
+00:30:37,640 --> 00:30:42,040
+الصحة لا يمتلك الإنسان شيء إلا طبعا نعمة الدين
+
+446
+00:30:51,840 --> 00:30:55,520
+طبعا كأسه في أولها لإخواتنا بدنا نعرف إنه أي حركة 
+
+447
+00:30:55,520 --> 00:30:58,860
+بتزيد الإجهاد على القلب، أي حركة بتزيد الإجهاد على 
+
+448
+00:30:58,860 --> 00:31:03,260
+القلب معناه إنه حتى يعني ما بدوش يتحرك، تتم عملية
+
+449
+00:31:03,260 --> 00:31:07,690
+نقله حتى لو على كرسي، ممنوع الحركة، ما فيش حركة ما
+
+450
+00:31:07,690 --> 00:31:11,250
+بدي أزود المجهود على عضلة القلب، يعني لما حتى احنا 
+
+451
+00:31:11,250 --> 00:31:14,970
+عندنا في المستشفيات لما يكون في مريض قلب وعنده
+
+452
+00:31:14,970 --> 00:31:17,650
+مشكلة في القلب، بننقله من جسم لجسم بسيارة
+
+453
+00:31:17,650 --> 00:31:21,370
+الإسعاف، ممنوع الحركة، ممنوع التوتر، بيكون طبعا في
+
+454
+00:31:21,370 --> 00:31:25,250
+غرفة هادئة، ما فيش طبعا إزعاج، لأن طبعا كل ما توتر
+
+455
+00:31:25,250 --> 00:31:28,790
+أكثر، بإنها القلب هيضخ أكثر، وطبعا بيزيد العبء على
+
+456
+00:31:28,790 --> 00:31:33,920
+القلب ونحس اللي بيكون طبعا الأهم وضع الجلوس لإنه 
+
+457
+00:31:33,920 --> 00:31:37,740
+دايما المرضى اللي عنده مشكلة في الجهة النفسية أو 
+
+458
+00:31:37,740 --> 00:31:40,620
+في القلب يكون عندنا وضع ال .. بنسميه وضع الجلوس أو
+
+459
+00:31:40,620 --> 00:31:47,560
+نصف الجلوس وطبعا مريح لعضلة القلب أكثر طبعا
+
+460
+00:31:47,560 --> 00:31:50,220
+يعني توسيع الملابس أو فك الملابس لأن طبعا ممكن
+
+461
+00:31:50,220 --> 00:31:53,480
+يكون نفسيا هو يعني مضايق منها أكثر وطبعا أي حاجة 
+
+462
+00:31:53,480 --> 00:31:56,580
+بيقول لك إن أنا مخنوق .. مخنوق يعني هي بنضل أعيش 
+
+463
+00:31:56,580 --> 00:32:01,060
+عامل نفسي كمان فيها طبعا طعام وشراب لأنه بكل هذا
+
+464
+00:32:01,060 --> 00:32:04,480
+بيحتاج مجهود والمجهود لأنه بيطلب ضخ الدم للمعدة
+
+465
+00:32:04,480 --> 00:32:07,140
+عشان إنه طبعا تصير عملية الهضم وبالتالي يمنع
+
+466
+00:32:07,140 --> 00:32:11,520
+الأشياء هذه كلها يمنع أي شيء إنه تأثير سلبي على
+
+467
+00:32:11,520 --> 00:32:16,140
+القلب إنه بيزود عمل القلب وبالتالي نشاط، حركة،
+
+468
+00:32:16,140 --> 00:32:20,160
+توتر، أكل، شرب لأنه هذا طبعا ايش كله هيزود نشاط
+
+469
+00:32:20,160 --> 00:32:25,960
+عضلة القلب طبعا العلاج الموصوف طبعا زي ما قلنا هو
+
+470
+00:32:25,960 --> 00:32:31,820
+الكرديل بساعد يعني نوعا ما أحيانا ممكن يتوقف القلب
+
+471
+00:32:31,820 --> 00:32:35,060
+في الحالة هذه احنا زي ما نقول نبدأ بعمل إنعاش
+
+472
+00:32:35,060 --> 00:32:38,780
+القلب الرئوي عشان إنه يعني في نفس اللحظة توقف
+
+473
+00:32:38,780 --> 00:32:44,260
+القلب فمباشرة بنبدأ بتوقف القلب واحد يقول احنا اما
+
+474
+00:32:44,260 --> 00:32:47,300
+احنا اتعلمنا عشان نبدأ نشوف التنفس مبتدأ لما توقف
+
+475
+00:32:47,300 --> 00:32:51,780
+القلب توقف التنفس فمباشرة نبدأ و كده بتلاحظوا حتى
+
+476
+00:32:51,780 --> 00:32:55,080
+في الإسعاف الأولي أو في سيارة الإسعاف بنبدأ مباشرة
+
+477
+00:32:55,080 --> 00:33:00,570
+شخص وجع مرة واحدة والقلب توقف معناه في تدليك عضلة
+
+478
+00:33:00,570 --> 00:33:04,610
+القلب ومن ثم اللي هي التنفس الصناعي ممكن بعد
+
+479
+00:33:04,610 --> 00:33:09,870
+تدليك يرجع .. اه ممكن لأ احنا بنتكلم كأسه فولت 
+
+480
+00:33:09,870 --> 00:33:12,290
+بسيط الأجهزة موجودة دي سي شوك أو طبعا الصدمة
+
+481
+00:33:12,290 --> 00:33:14,870
+الكهربائية موجودة وهي طبعا قوة الصدمة الكهربائية
+
+482
+00:33:14,870 --> 00:33:21,210
+400 فولت يعني جدًا الكهرباء دي مرتين .. اه لأ جيت احنا
+
+483
+00:33:21,210 --> 00:33:25,670
+بنتكلم على إنسان فجأة سيما خبر حاجة طب ساكت بطل 
+
+484
+00:33:25,670 --> 00:33:29,570
+ايه القلب .. اه مباشر طالما ما فيش قلب يعمل ما فيش
+
+485
+00:33:29,570 --> 00:33:32,870
+نفس يعمل لأن بقولش إني والله قدامي كان ياكل ولا 
+
+486
+00:33:32,870 --> 00:33:40,310
+يطلع .. ما فيش .. ما فيش مدام إذا كان ما فيش سبب لتوقف
+
+487
+00:33:40,310 --> 00:33:44,070
+التنفس بالسبب الخارجي مثلا بيأكل أو بيشرب، معناه 
+
+488
+00:33:44,070 --> 00:33:48,590
+أنا بدأ أستكشف السبب، لكن واحد قاعد أمامي ورجل و
+
+489
+00:33:48,590 --> 00:33:52,830
+تمام تمام سمع خبر اللي هو يشبط الـ خلاص طب ساكن،
+
+490
+00:33:52,830 --> 00:33:55,790
+معناه هذا ما .. لا بدأ أقول والله في انسداد مجرد
+
+491
+00:33:55,790 --> 00:33:58,890
+التنفس ولا كان حاجة ياكل ولا شيء، فطبعا أنا معروف 
+
+492
+00:33:58,890 --> 00:34:02,250
+عند السبب أن القلب توقف، فمباشرة في اللحظة هذه بتم 
+
+493
+00:34:02,250 --> 00:34:06,260
+عمل تنفس القلب طبعا؟ لأن احنا قلنا هنا .. لأن في
+
+494
+00:34:06,260 --> 00:34:09,300
+كمية هواء دخلت الرئتين فأنا بدي أصرف كمية الهواء هذه
+
+495
+00:34:09,300 --> 00:34:12,080
+طب أنا لو ظلت هنا دول اللي كان قادر وما اشتغلش بس 
+
+496
+00:34:12,080 --> 00:34:16,300
+ممكن إن بعد فترة هدايب المدرسة اللي لازم تاخده احنا 
+
+497
+00:34:16,300 --> 00:34:20,980
+قلنا واجتيش أو لأ متى بضل إن أنا أشتغل أما إنك
+
+498
+00:34:20,980 --> 00:34:27,220
+تتعب أو ييجي حد يساعدك أو ما فيش نتيجة من التعب 
+
+499
+00:34:27,220 --> 00:34:29,360
+نفسه هذا كله ما فيش نتيجة إنه خلاص .. خلاص طبعا
+
+500
+00:34:29,360 --> 00:34:31,780
+ما فيش .. ما يفيديش من أول دقيقة أنا ما أقدر أحكم على
+
+501
+00:34:31,780 --> 00:34:35,480
+الشخص إنه ميت من أول دقيقة لأن طالما إن الجسم دافئ
+
+502
+00:34:35,480 --> 00:34:38,660
+وأنا بقى أشتغل معناه ايه فيه أمل في الحياة، يعني
+
+503
+00:34:38,660 --> 00:34:43,260
+أنا بقى لغاية لما المريض يستعيد وعيه أو أنا بقى 
+
+504
+00:34:43,260 --> 00:34:47,380
+أجهد أو ييجي حد يساعدني أو وصول سيارة الإسعاف أو
+
+505
+00:34:47,380 --> 00:34:49,720
+ما فيش عليه علامات حياة بالمرة، بقولش والله مثلا 
+
+506
+00:34:49,720 --> 00:34:52,680
+بتبقى لي نص ساعة أشتغل معاهم، ما فيش
+
+507
+00:34:57,240 --> 00:34:59,660
+طبعا يعني كوقاية .. يعني وليس وقاية أهم حاجة ..
+
+508
+00:34:59,660 --> 00:35:02,660
+نتكلم .. نتعرف على أساس أنه التدخين والأغذية
+
+509
+00:35:02,660 --> 00:35:06,860
+الدهنية وقلة الحركة والناحية النفسية طبعا والـ 
+
+510
+00:35:06,860 --> 00:35:10,680
+.. إذا كان مريض مزمن يريد ياخذ طبعا علاجه طبعا
+
+511
+00:35:10,680 --> 00:35:13,620
+دايما .. دايما يا إخواننا بنعرف حاجة مهمة جدا لكل 
+
+512
+00:35:13,620 --> 00:35:18,280
+مرضى المزمنين أربعة محاور مهمة المحور الأول الراحة
+
+513
+00:35:18,280 --> 00:35:24,100
+النفسية المحور الثاني العلاج الموصوف على العلاج 
+
+514
+00:35:24,100 --> 00:35:28,200
+بانتظام حتى لو كان عنده ضغط أو سكر ومنتظم المحور 
+
+515
+00:35:28,200 --> 00:35:34,000
+الثالث الحركة المحور الرابع الحمية لازم أربعة
+
+516
+00:35:34,000 --> 00:35:37,640
+المحاور دول طالما إنه مريض مزمن لازم يلتزم فيهم ما
+
+517
+00:35:37,640 --> 00:35:40,660
+بنفع يقول والله أنا عندي مرض وماشاء الله السكر كويس
+
+518
+00:35:40,660 --> 00:35:43,940
+تمام تمام أو أنا متحمل لكن باخدش علاج لأ بدي أخذ
+
+519
+00:35:43,940 --> 00:35:47,960
+علاج آخر
+
+520
+00:35:47,960 --> 00:35:51,650
+جزئية عندنا اللي هي الصدمة والصدمة يا إخواننا ليست
+
+521
+00:35:51,650 --> 00:35:55,070
+مقصود فيها إن إنسان صدم شيء معين أو إن صدم شيء
+
+522
+00:35:55,070 --> 00:35:59,490
+معين لأ طبعا هنا طبعا في منها أنواع في الحالة هذه
+
+523
+00:35:59,490 --> 00:36:02,510
+طبعا هي فشل الجهاز الدوري اللي هو طبعا القلب في 
+
+524
+00:36:02,510 --> 00:36:05,870
+إرواء الأعضاء بمعنى إنه غير قادر أن يوصل الدم
+
+525
+00:36:05,870 --> 00:36:11,550
+الكافي للأعضاء الحيوية للأعضاء الحيوية وهنا طبعا
+
+526
+00:36:11,550 --> 00:36:15,700
+مشكلة احنا شيء طبيعي إن لو قلنا ما وصلش للجلد الدم
+
+527
+00:36:15,700 --> 00:36:19,640
+بكمية كافية فيه انتظار وفيه صبر لكن ما يوصلش الدم
+
+528
+00:36:19,640 --> 00:36:24,600
+للدماغ لفترة فيه خوف وإن احنا طبعا الدماغ يحتمل
+
+529
+00:36:24,600 --> 00:36:28,220
+أربع دقائق من عدم وصول الدم المحمل بالأكسجين لكن
+
+530
+00:36:28,220 --> 00:36:31,920
+بعد الأربع دقائق هذه من أربع لستة فيه خطر يعني
+
+531
+00:36:31,920 --> 00:36:36,020
+عندنا رمز لون أحمر برتقالي بعد هيك بعد ست دقائق أي
+
+532
+00:36:36,020 --> 00:36:39,680
+منطقة ما بيصلها الدم من الدماغ طبعا معرضة للموت
+
+533
+00:36:42,780 --> 00:36:45,200
+طبعا الصدمة يا إخواننا في أنواع كثيرة، طبعا
+
+534
+00:36:45,200 --> 00:36:48,820
+الأسباب هي الأنواع، نوع بنتج عن نقص السوائل، واحنا
+
+535
+00:36:48,820 --> 00:36:52,060
+بنسميها طبعا الصدمة الناتجة عن نقص السوائل زي مثلًا 
+
+536
+00:36:52,060 --> 00:36:56,200
+النزيف أو الإسهال أو الحروق، الحروق اه، الحروق اه، 
+
+537
+00:36:56,200 --> 00:36:59,200
+لأن طبعا ممكن نفقد كمية كبيرة من السوائل، الصدمة
+
+538
+00:36:59,200 --> 00:37:04,100
+العصبية، اللي هي طبعا تعرض الإنسان لألم شديد، انت 
+
+539
+00:37:04,100 --> 00:37:08,680
+مثلًا أنت واقفة خبطت يدك باب السيارة أو باب القاعة
+
+540
+00:37:08,680 --> 00:37:12,710
+هتلاقي فيه ألم، بالذات طبعا أصابعك النوع
+
+541
+00:37:12,710 --> 00:37:16,970
+الثالث الصدمة التحسسية نتيجة إنسان عنده حساسية من
+
+542
+00:37:16,970 --> 00:37:20,830
+نوع معين، من علاج، من أكل، من شرب، تمام؟ النوع
+
+543
+00:37:20,830 --> 00:37:25,290
+الرابع الصدمة التسممية، نتيجة طبعا مثلًا نقول لدغة
+
+544
+00:37:25,290 --> 00:37:28,990
+غير الثعبان أو الحية، لأنه دخل سم داخل جسم
+
+545
+00:37:28,990 --> 00:37:34,010
+الإنسان، النوع الخامس الصدمة القلبية، بسبب مشكلة
+
+546
+00:37:34,010 --> 00:37:39,030
+في القلب، مثلًا جلطة قلبية، النوع السادس الصدمة
+
+547
+00:37:39,030 --> 00:37:41,970
+النفسية،
+
+548
+00:37:43,140 --> 00:37:47,640
+السابع الصدمة الكهربائية طبعا انت دايما بتعرفوا
+
+549
+00:37:47,640 --> 00:37:51,600
+إن الأعصاب تعمل بالإشارات الكهربائية ولما يدخل 
+
+550
+00:37:51,600 --> 00:37:55,380
+كمية كهربائية أعلى منها طبعا ممكن تعيق عملها أو
+
+551
+00:37:55,380 --> 00:37:59,080
+تأثر عليها أو تعمل على تأيين اللي هي خلايا الدم
+
+552
+00:37:59,080 --> 00:38:03,060
+الحمراء وبالتالي بنخفض معدل الـ hemoglobin عنده و
+
+553
+00:38:03,060 --> 00:38:05,420
+نقول أي إنسان مثلًا تكهرب والله نسبة الدم عنده صارت
+
+554
+00:38:05,420 --> 00:38:09,040
+خمسة أو ستة hemoglobin يبقى هذه الأسباب اللي
+
+555
+00:38:09,040 --> 00:38:12,980
+خلاناها هي طبعا صدمة لها علاقة بالأوعية الدموية زي 
+
+556
+00:38:12,980 --> 00:38:17,150
+ما قلناها ليها علاقة بالقلب صدمة قلبية كمان ولا 
+
+557
+00:38:17,150 --> 00:38:20,730
+علاقة بالقلب صدمة كهربائية طبعا بس جايبين بعض
+
+558
+00:38:20,730 --> 00:38:23,470
+الأسباب بالأربع لكن احنا اللي تكلمنا عنهم هي أشياء 
+
+559
+00:38:23,470 --> 00:38:30,790
+ثانية إضافية أعراض الصدمة لما نشوف أي إنسان أنا 
+
+560
+00:38:30,790 --> 00:38:37,380
+أقول لك مثلًا .. نقول مثلًا إنسان شاف منظر مخيف أول 
+
+561
+00:38:37,380 --> 00:38:42,540
+حاجة تقول ما لونك متغير، مصفر، ليش لونك شاحب هيك؟
+
+562
+00:38:42,540 --> 00:38:46,640
+ما العينك شايفك انك ضايق؟ أو هو بيقولك والله أنا 
+
+563
+00:38:46,640 --> 00:38:50,360
+حاسس حالي ضايق؟ أو عينايا زغللة؟ بتحسي إن في عرق
+
+564
+00:38:50,360 --> 00:38:57,180
+بارد؟ طبعًا ممكن يكون في رجفة؟ طبعًا ممكن في نفس
+
+565
+00:38:57,180 --> 00:39:01,150
+الوقت بتنفس بزيادة؟ في نفس الوقت ممكن يكون عنده
+
+566
+00:39:01,150 --> 00:39:04,310
+زيادة في عدد ضربات القلب، طبعًا هذه الأسباب يا أخواتنا
+
+567
+00:39:04,310 --> 00:39:08,290
+أنه يعني ربنا سبحانه وتعالى زي ما قلنا فيه أن
+
+568
+00:39:08,290 --> 00:39:11,450
+أشياء زي ردة فعل وهي طبعًا بيشتغل فيها الجهاز
+
+569
+00:39:11,450 --> 00:39:14,490
+العصبي اللي هو الإرادي واللا إرادي فكان ردة فعل
+
+570
+00:39:14,490 --> 00:39:15,810
+الجهاز العصبي اللي هو الإرادي اللي هو الإرادي اللي 
+
+571
+00:39:15,810 --> 00:39:17,390
+هو الإرادي اللي هو الإرادي اللي هو الإرادي اللي هو
+
+572
+00:39:17,390 --> 00:39:19,130
+الإرادي اللي هو الإرادي اللي هو الإرادي اللي هو
+
+573
+00:39:19,130 --> 00:39:20,790
+الإرادي اللي هو الإرادي اللي هو الإرادي اللي هو
+
+574
+00:39:20,790 --> 00:39:21,090
+الإرادي اللي هو الإرادي اللي هو الإرادي اللي هو
+
+575
+00:39:21,090 --> 00:39:26,490
+الإرادي اللي هو الإرادي اللي هو الإرادي اللي هو
+
+576
+00:39:26,490 --> 00:39:33,640
+الإرادي، طبعًا إيش؟ اتساع الأوعية الدموية الداخلية
+
+577
+00:39:33,640 --> 00:39:40,520
+وبالتالي هنا بيصير عندنا الجلد شاحب ومصفر لأنه بطل 
+
+578
+00:39:40,520 --> 00:39:44,740
+يصل كمية دم كافية للجلد مع زيادة في معدل التنفس
+
+579
+00:39:44,740 --> 00:39:47,420
+طبعًا زيادة في معدل التنفس ليش؟ لأنه في عنده زيادة
+
+580
+00:39:47,420 --> 00:39:51,160
+في عدد ضربات القلب عشان يصير أكسجة للدم الواصل 
+
+581
+00:39:51,160 --> 00:39:55,660
+للرئتين، وتم طبعًا حمله لأعضاء الحيوية، وبالتالي من
+
+582
+00:39:55,660 --> 00:39:59,600
+أعراض الصدمة، فيه إرهاق وعصبية ودوار وفقدان
+
+583
+00:39:59,600 --> 00:40:02,580
+التركيز، هذه الإشارات إخواتنا، اللي علاقة بالجهاز
+
+584
+00:40:02,580 --> 00:40:06,920
+العصبي، اللي طبعًا عصبية ودوار وزغللة وعدم التوازن
+
+585
+00:40:06,920 --> 00:40:10,800
+وممكن طبعًا نفقد الوعي ونجي على الأرض، تمام؟ العامل
+
+586
+00:40:10,800 --> 00:40:13,920
+التالي عرضنا نبض سريع وضعيف، إيش يعني نبض سريع
+
+587
+00:40:13,920 --> 00:40:18,000
+وضعف؟ يعني لما نقول إن احنا في ضيق في الأوعية 
+
+588
+00:40:18,000 --> 00:40:20,780
+الدموية الطرفية وفي اتساع في الأوعية الدموية
+
+589
+00:40:20,780 --> 00:40:23,340
+الداخلية، تمام؟ هجيت لما أقول أنا والله عندي مثلًا
+
+590
+00:40:23,340 --> 00:40:27,380
+خرطوم ضيق وخرطوم واسع، واخدين اثنين من نفس 
+
+591
+00:40:27,380 --> 00:40:32,280
+الحنفية المياه، تمام؟ نفس المصدر، الخرطوم الضيق لو
+
+592
+00:40:32,280 --> 00:40:35,830
+احنا اذينا نضغط عليه بنشعر إنه مليان، المياه ماشية
+
+593
+00:40:35,830 --> 00:40:40,050
+مش علمية، لكن الخرطوم الواسع لو ضغطنا عليه في
+
+594
+00:40:40,050 --> 00:40:43,890
+ضعف، وده نفس الحاجة اللي بيصير، وبالتالي في حال
+
+595
+00:40:43,890 --> 00:40:48,310
+الصدمة بيصير نبض سريع وضعيف، ضعيف من ناحية القوة،
+
+596
+00:40:48,310 --> 00:40:51,630
+مش من ناحية طبعًا تدفق الدم، من ناحية اتساع الوعاء
+
+597
+00:40:51,630 --> 00:40:57,540
+الدموي وهذا، فبيصير ضعف، ضغط دم منخفض لأنه صار عنده
+
+598
+00:40:57,540 --> 00:41:00,820
+اتساع في الأوعية الدموية، تمام؟ وهذا طبعًا أحيانًا
+
+599
+00:41:00,820 --> 00:41:04,740
+بعض الناس طبعًا ممكن يفقد وعيه بسبب أيضًا انخفاض في
+
+600
+00:41:04,740 --> 00:41:08,920
+ضغط الدم، ضغط الدم وصل عنده مثلًا 80 على 50،
+
+601
+00:41:08,920 --> 00:41:13,640
+80 على 60، هذا طبعًا فيه خطورة، زيادة في معدل
+
+602
+00:41:13,640 --> 00:41:15,840
+التنفس، طبعًا فيه أنا زيادة في معدل القلب، في زيادة
+
+603
+00:41:15,840 --> 00:41:19,840
+في معدل التنفس، عطش متزايد لأنه بيصير عندها أنا 
+
+604
+00:41:19,840 --> 00:41:26,090
+طبعًا ساحب كمية من السوائل للأوعية الدموية، غثيان أو
+
+605
+00:41:26,090 --> 00:41:29,870
+قيء، طبعًا احنا ليس بتضرر كل عرض تحصل لكن هذا ممكن
+
+606
+00:41:29,870 --> 00:41:34,990
+نصنع شحوب الجلد وهذا مميز واضح جدًا لو إنسان خاف
+
+607
+00:41:34,990 --> 00:41:40,990
+تظهر عليه العلامة كلها، طبعًا
+
+608
+00:41:40,990 --> 00:41:44,410
+أهم حاجة بالنسبة للصدمة يا أخواتنا تلات أشياء
+
+609
+00:41:44,410 --> 00:41:52,320
+أساسية، أولًا توفير الأكسجين، ال oxygen بتوفر طبعًا 
+
+610
+00:41:52,320 --> 00:41:57,440
+أحسن الدورة الدموية، تمام؟ وحافظ على حرارة الشخص هذا
+
+611
+00:41:57,440 --> 00:42:00,020
+لكن جاب الأشياء دي كلها يطمن الشخص اللي هي 
+
+612
+00:42:00,020 --> 00:42:03,420
+الناحية النفسية، طبعًا أنا بدي أختار فيه وضع مناسب
+
+613
+00:42:03,420 --> 00:42:07,380
+عشان أشوف وأرجع بالصورة الواضحة، هذا بأمنلي التلات
+
+614
+00:42:07,380 --> 00:42:10,160
+أهداف اللي أنا بدي أتكلم عليها
+
+615
+00:42:13,020 --> 00:42:16,000
+طبعًا الطمأنة وتشجيع المصاب على الراحة والاسترخاء
+
+616
+00:42:16,000 --> 00:42:19,360
+على الأرض، طبعًا الوضع هنا يا إخواننا، طبعًا احنا ممكن
+
+617
+00:42:19,360 --> 00:42:22,720
+نلاحظ إذا كان في نزيف أو ما فيش نزيف كمان للاطمئنان
+
+618
+00:42:22,720 --> 00:42:26,100
+إذا كان مثلًا لدغته ثعبان أو عقرب وغيرها، طبعًا
+
+619
+00:42:26,100 --> 00:42:29,460
+هنتكلم معانا في محاضرة بعد كده بموضوع التسمم، لكن
+
+620
+00:42:29,460 --> 00:42:32,960
+هنا لاحظين يا إخواننا، هنا الموضوع هذا هدوم بالصورة
+
+621
+00:42:32,960 --> 00:42:36,220
+هذه، طبعًا هنا بدي أؤمنلي
+
+622
+00:42:40,340 --> 00:42:45,480
+تلات أشياء مهمة، تلات أشياء مهمة، هذا الوضع بدي أؤمن 
+
+623
+00:42:45,480 --> 00:42:49,500
+ليه، وهذا طبعًا في حال الغماء، في حال طبعًا الصدمة، أي
+
+624
+00:42:49,500 --> 00:42:53,060
+نوع من أنواع الصدمة، طبعًا بعد ما أتأكد أو بعد ما
+
+625
+00:42:53,060 --> 00:42:57,880
+أتعامل مع السبب، لكن واحد مثلًا تعرض لموقف صادم
+
+626
+00:42:57,880 --> 00:43:03,460
+واحد مثلًا، مثلًا خبط رأسه بالباب، نتيجة الألم ما فيش
+
+627
+00:43:03,460 --> 00:43:06,840
+طبعًا نزيف، بس نتيجة الألم، فالوضع هذا هو وضع المهم
+
+628
+00:43:07,360 --> 00:43:10,620
+أنا في الحالة هذه، لاحظين، بدي أحافظ على معدل على
+
+629
+00:43:10,620 --> 00:43:15,500
+التنفس باتجاه الرأس لإيش؟ ناحية مع رفع إيش؟ الذقن
+
+630
+00:43:15,500 --> 00:43:18,240
+لأعلى، يبقى هذا هي مجرى التنفس اللي بتوفرلي ال
+
+631
+00:43:18,240 --> 00:43:20,980
+oxygen، يبقى أول حاجة بتوفرلي ال oxygen، تاني حاجة
+
+632
+00:43:20,980 --> 00:43:24,700
+توفير كمية من الدم، طبعًا دايمًا الطرفين السفليين
+
+633
+00:43:24,700 --> 00:43:28,300
+فيهم كمية كبيرة من الدم، فأنا رفعهم هنا بأدي إلى
+
+634
+00:43:28,300 --> 00:43:32,560
+سهولة عودة الدم لمين؟ لمنطقة القلب عشان القلب يضخ
+
+635
+00:43:32,560 --> 00:43:37,370
+ويظل يستمر، خامس حاجة أنا بقوم بتغطية المصاب
+
+636
+00:43:37,370 --> 00:43:40,930
+هذا عشان أحافظ على الحرارة، طبعًا ليش أنا ب .. طبعًا
+
+637
+00:43:40,930 --> 00:43:44,230
+محافظة الحرارة، إيش الهدف منها؟ محافظتي على الحرارة
+
+638
+00:43:44,230 --> 00:43:47,730
+عشان الجسم ما يولدش طاقة زيادة ويستهلك كمية من ال
+
+639
+00:43:47,730 --> 00:43:50,530
+oxygen، وبالتالي أنا بحافظ عليها، يبقى تلات أشياء
+
+640
+00:43:50,530 --> 00:43:54,350
+أساسية، المحافظة على حرارة الجسم، توفير ال oxygen
+
+641
+00:43:54,350 --> 00:43:57,690
+الكافي، والمحافظة على الدورة الدموية، وبالتالي يا
+
+642
+00:43:57,690 --> 00:44:01,090
+إخواننا هذا طبعًا أنا بستخدم هذه في حال إن أنا
+
+643
+00:44:01,090 --> 00:44:05,080
+سيطرت على السبب، يعني مثلًا إنسان هذا عنده نزيف، أنت
+
+644
+00:44:05,080 --> 00:44:09,200
+عملت معاه للنزيف، الشخص هذا مثلًا عنده ألم، أنا يعني
+
+645
+00:44:09,200 --> 00:44:12,380
+اللي .. بتضغط في وضع هذا عشان أقلل الألم أو أضغط 
+
+646
+00:44:12,380 --> 00:44:17,060
+على مكان الألم، الشخص مثلًا زي كده عنده مثلًا حروق
+
+647
+00:44:17,060 --> 00:44:19,800
+أنا كطبيب أتعامل مع الحروق، لكن لما أقول إن أنا
+
+648
+00:44:19,800 --> 00:44:23,520
+إن إنسان تعرض لصدمة نفسية أو مثلًا لألم بدون مثلًا
+
+649
+00:44:23,520 --> 00:44:27,340
+جروح، فهو الوضع هذا، إنسان مثلًا قدامي سمع خبر سيء أو
+
+650
+00:44:27,340 --> 00:44:30,240
+حاجة، وجه على الأرض أو لقى لون اللي بيقول حاسس
+
+651
+00:44:30,240 --> 00:44:33,200
+حالي إني ضايق مثلًا أو لونه اصفر مباشرة نائم على
+
+652
+00:44:33,200 --> 00:44:39,000
+الأرض، تمام؟ ارفع الساقين ووجهه على ناحية وغطيه، ليش؟
+
+653
+00:44:39,000 --> 00:44:42,060
+عشان ما ياخدش حرارة زيادة عن اللازمة، هذا بالنسبة
+
+654
+00:44:42,060 --> 00:44:45,100
+للوضع اللي احنا بنسميه وضع الصدمة وهو طبعًا الوضع
+
+655
+00:44:45,100 --> 00:44:48,640
+بيستخدم في الحالات اللي ممكن يشعر فيها الإنسان
+
+656
+00:44:48,640 --> 00:44:53,260
+بالإغماء أو بالصدمة حيث بيكون هنا موضوع اللي هو
+
+657
+00:44:53,260 --> 00:44:56,860
+الصدمة الجهازية الدورية وإن شاء الله طبعًا نكون
+
+658
+00:44:56,860 --> 00:45:00,940
+قادرين نوصل المعلومات اللي قلت فيكوا، وربنا يحميكوا
+
+659
+00:45:00,940 --> 00:45:02,960
+ويُمتعكم بالصحة والعافية رب العالمين
+
+
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/3DhmpC0jDSw_raw.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/3DhmpC0jDSw_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..88cad8d32d67f1c6c44b3a634213e6101064c419
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/3DhmpC0jDSw_raw.srt
@@ -0,0 +1,2636 @@
+1
+00:00:05,160 --> 00:00:07,000
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:07,000 --> 00:00:09,580
+الرحيم الصلاة والسلام علي أشرف المرسلين سيدنا محمد
+
+3
+00:00:09,580 --> 00:00:12,920
+وقاليه وصحابيه وسلم استكمال طبعا لموضوع اللي هي
+
+4
+00:00:12,920 --> 00:00:15,640
+إصابات الجهاز الدوري اتكلمنا على بعض الإصابات اللي
+
+5
+00:00:15,640 --> 00:00:18,840
+ممكن إنسان يتعرض إلها ومن ضمنها طبعا اتكلمنا على
+
+6
+00:00:18,840 --> 00:00:21,480
+النزيف واتكلمنا على بعض الأماكن اللي ممكن يصير
+
+7
+00:00:21,480 --> 00:00:23,960
+فيها النزيف ومن ضمنها خدنا مثال بسيط اللي هو طبعا
+
+8
+00:00:23,960 --> 00:00:26,440
+نزيف الأنف أو نزيف الرعاف وكيف يعني ممكن نتعامل
+
+9
+00:00:26,440 --> 00:00:30,530
+معهطبعا قد يتعرض الإنسان لأماكن أخرى ممكن يكون
+
+10
+00:00:30,530 --> 00:00:33,910
+فيها نزيف يعني اليوم بنتكلم عن نزيف الأذن و دايما
+
+11
+00:00:33,910 --> 00:00:37,610
+طبعا يمكن نزيف الأذن يمكن ال .. بدل على إن هناك
+
+12
+00:00:37,610 --> 00:00:41,090
+مشكلة خطيرة في قاع الأذن بالذات لما يكون السائل
+
+13
+00:00:41,090 --> 00:00:45,110
+طبعا مش بس دم ممكن يكون معاه سائل أبيض و طبعا
+
+14
+00:00:45,110 --> 00:00:48,790
+السائل محيط بال .. اللي هو الدماغ أو الجمج أو بال
+
+15
+00:00:48,790 --> 00:00:54,140
+..المخ أو المخيخ وطبعا السائل اللي هو فيه خطورة لو
+
+16
+00:00:54,140 --> 00:00:57,600
+صار فيه تسريب معناه إصابة خطيرة وبدأت على قاع
+
+17
+00:00:57,600 --> 00:01:00,840
+الجمجمة طبعا إنه اتكلمنا بالتحديد على نزيف الأدن
+
+18
+00:01:00,840 --> 00:01:04,260
+طبعا عادة ممكن يكون كسر في قاع الجمجمة يعني إن
+
+19
+00:01:04,260 --> 00:01:08,420
+الإنسان وجع الخلف ماصارش فيه نزيف خارجي لكن صار
+
+20
+00:01:08,420 --> 00:01:11,100
+فيه تسريب من الأدن وبالتالي طبعا هذا المنفذ
+
+21
+00:01:11,100 --> 00:01:14,640
+الأساسي أو المنفذ الصحيح أو المنفذ اللي غير طبيعي
+
+22
+00:01:14,640 --> 00:01:18,020
+سينمنه مكان نزيف اللي هو مخرج آخر على و هو الأدن
+
+23
+00:01:18,450 --> 00:01:21,350
+طبعا هنا تيجي تكسي القاع الجمجمة في حالة سقوط من
+
+24
+00:01:21,350 --> 00:01:25,170
+علو أو إنسان مثلا جاب آلة حادة ولا حاجة أو كتاب في
+
+25
+00:01:25,170 --> 00:01:28,850
+الصغير ودخلها في الأذن وطبعا ممكن يؤدي إلى نزيف
+
+26
+00:01:28,850 --> 00:01:34,390
+وبالتالي هنا طبعا يختلف من وجود دم مع سائل شفاف من
+
+27
+00:01:34,390 --> 00:01:38,250
+عدم وجود سائل شفاف، يمكن أقل ضرر طبعا هو مجرد وجود
+
+28
+00:01:38,250 --> 00:01:42,900
+دم بسيططبعا ممكن النزيف يكون أيضا يعني مصاحب لبعض
+
+29
+00:01:42,900 --> 00:01:45,740
+الإتهابات الشديدة لكن هذا قليل من أن تكون موجودة
+
+30
+00:01:45,740 --> 00:01:49,680
+طبعا النزيف ممكن يكون نتيجة ثقوب من طابلة الأذن أو
+
+31
+00:01:49,680 --> 00:01:55,300
+يعني نقول إنسان وضع آلة حادة أو عود أو طفل صغير
+
+32
+00:01:55,300 --> 00:01:58,700
+مثلا بيلعب فصار ثقوب في طابلة الأذن وهذا طبعا ممكن
+
+33
+00:01:58,700 --> 00:02:02,340
+يؤدي فقط إلى وجود كمية من الدم ما بيكون نزيف
+
+34
+00:02:02,340 --> 00:02:08,100
+السايل أكبر موجودطبعا شيء طبيعي أن دا الألم بكون
+
+35
+00:02:08,100 --> 00:02:11,440
+موجود داخل الأذن نتيجة الإصابة لأنه طبعا يعتبر جرح
+
+36
+00:02:11,440 --> 00:02:16,580
+طبعا طابرة الأذن هي غشاء موجود طبعا يحجز طبقة
+
+37
+00:02:16,580 --> 00:02:19,980
+الأذن الداخلية عن الأذن الخارجية وبالتالي لو صار
+
+38
+00:02:19,980 --> 00:02:23,700
+في أي ثقوب معناه وأساسا مش لازم أي حاجة غريبة تعد
+
+39
+00:02:23,700 --> 00:02:26,540
+الأذن حتى السوائل حتى الميه مش لازم لكن لو كان في
+
+40
+00:02:26,540 --> 00:02:30,080
+عنا مشكلة بالثقوب هذاطبعا هو يعني غشاء رقيق جدا
+
+41
+00:02:30,080 --> 00:02:33,700
+ينقل الذبذبات عساس انسان طبعا يسمع لكن لو كان فيه
+
+42
+00:02:33,700 --> 00:02:37,940
+ثقوب معناه انه صار فيه اتهتك لهذا الغشاء وبالتالي
+
+43
+00:02:37,940 --> 00:02:43,840
+يؤدي الى ألم سايلان دم بسيط من الأذن غير مصحوب بأي
+
+44
+00:02:43,840 --> 00:02:46,800
+سائل واحنا جونا هنا طالما بس ع جد الأذن معناه
+
+45
+00:02:46,800 --> 00:02:49,660
+مافيش أي سائل أخر لكن لو كان في عيننا سائل أخر أو
+
+46
+00:02:49,660 --> 00:02:54,020
+سائل شفاف معناه بتكون إصابة غالبا مع قاعدة الجمجمة
+
+47
+00:02:54,020 --> 00:02:57,260
+أو السائل المحيط وين بالدماغ
+
+48
+00:03:01,670 --> 00:03:06,010
+طبعا الصمم طبيعي أنه ال .. ال .. ال .. الوسيلة
+
+49
+00:03:06,010 --> 00:03:09,650
+اللي كانت تنقل الإشارات أو الذبذبات مش موجودة صارت
+
+50
+00:03:09,650 --> 00:03:13,610
+وبالتالي هيكون عنده سمع في ناحية واضح لكن الناحية
+
+51
+00:03:13,610 --> 00:03:16,830
+اللي فيها الإصابة مش هيكون فيها سمع وطبعا يعني
+
+52
+00:03:16,830 --> 00:03:22,010
+ممكن يكون أحد الأسباب للصمم إذا لم تم المعالجة لكن
+
+53
+00:03:22,010 --> 00:03:25,710
+لو تمت المعالجة ممكن تبصير ترقيع لطلبة الأذن و
+
+54
+00:03:25,710 --> 00:03:31,970
+الشفاء طبعا إذا كان هناكإجراءات طبية يعني بطريقة
+
+55
+00:03:31,970 --> 00:03:36,590
+صحية ممكن طبعا يرجع الوضع لوضعه السابق لكن ما أخذ
+
+56
+00:03:36,590 --> 00:03:40,270
+بالاعتبار أن هذا ممكن ياخد وجهة شوية لأن طبعا
+
+57
+00:03:40,270 --> 00:03:44,930
+المنطق هذه يعني فيه ..يلها مسموحات وممنوعات أن
+
+58
+00:03:44,930 --> 00:03:48,930
+مسموح ممنوع أي سائل يكون في المنطق هذه خوف أن يصير
+
+59
+00:03:48,930 --> 00:03:55,050
+عندنا عدوى والتهاب بعد هيكطبعا هنا كإسعاف أولي
+
+60
+00:03:55,050 --> 00:03:59,090
+احنا و زي ما قلنا في الإصابات الجهاز التنفس أو
+
+61
+00:03:59,090 --> 00:04:02,110
+الصدر طبعا بيكون على ناحية المصابة و نفس الفكرة
+
+62
+00:04:02,110 --> 00:04:04,930
+هنا بالنسبة للأذن أيضا بيكون على ناحية المصابة حتى
+
+63
+00:04:04,930 --> 00:04:09,210
+لو في أي سائل يكون للخارج زي ما قلنا مثلا في نزيف
+
+64
+00:04:09,210 --> 00:04:13,150
+الأنف طبعا ده الجلوس عشان انا لو في عندى نزيف بديش
+
+65
+00:04:13,150 --> 00:04:15,370
+النزيف يستمر يظل ايش نزيف للداخل
+
+66
+00:04:20,190 --> 00:04:25,250
+طبعا دايما يعني لما نقول ال .. وضع المصاب زي ما
+
+67
+00:04:25,250 --> 00:04:29,230
+حكينا وضع الجلوس بالنسبة لنظيف الأنف كمان إنها
+
+68
+00:04:29,230 --> 00:04:33,410
+بالنسبة لأذن ممكن يكون وضع نصف الجلوس أو الجلوس
+
+69
+00:04:33,410 --> 00:04:36,470
+سواء في زاوية قائمة أو زاوية خمسة أو ربعين لكن
+
+70
+00:04:36,470 --> 00:04:40,190
+غالبا يكون عن ناحية المصابة حتى لو في أي دم أو
+
+71
+00:04:40,190 --> 00:04:42,450
+سائل بيدكون للخارج أي نعم
+
+72
+00:04:49,490 --> 00:04:53,070
+طبعا هنا غطى لدنى بشاشه معقّم، اذا مافيه معقّم
+
+73
+00:04:53,070 --> 00:04:54,930
+ممكن نستخدم طبعا شاشه عادى، دايما هقولنا في
+
+74
+00:04:54,930 --> 00:04:59,090
+الإسعاف الأولى ليس بالضرورة يعني ال .. عدم وجود
+
+75
+00:04:59,090 --> 00:05:03,330
+الإمكانيات، يعني عدم تقديم الخدمة، لأ ممكن نستخدم
+
+76
+00:05:03,330 --> 00:05:06,870
+البدائل، و البدائل دي هنا طبعا هي قطع إجماش ولا
+
+77
+00:05:06,870 --> 00:05:10,490
+يستخدم القطن، بنكره مرة تانية، دايما في الجروح
+
+78
+00:05:10,490 --> 00:05:13,010
+بالصفة العامة يا أخواتنا لا يستخدم القطن لأن طبعا
+
+79
+00:05:13,010 --> 00:05:15,910
+في صير له التصاق و بطلع منه خيوط غير طبعا يكون
+
+80
+00:05:15,910 --> 00:05:18,910
+الخيوط تعتبر جسم غريب بالنسبة لما
+
+81
+00:05:23,540 --> 00:05:27,300
+طبعا نزيف من الأنف، من الفم، يعني هذا غالبا بيصير
+
+82
+00:05:27,300 --> 00:05:30,940
+نتيجة ضربة أو خلع سن أو طقا أو مثلا أو درس و طبعا
+
+83
+00:05:30,940 --> 00:05:33,380
+الشيء الطبيعي ممكن هذا الشيء اللي .. اللي بجع في
+
+84
+00:05:33,380 --> 00:05:37,160
+بعض الناس الأخطاء كل شوية مثلا ممكن حاطة شاش ولا
+
+85
+00:05:37,160 --> 00:05:39,600
+حاجة و أنت بتلاحظوا حتى عند أطباء الأسنان ممكن
+
+86
+00:05:39,600 --> 00:05:45,200
+شاش، جطع شاش صغيرة أفضل من الجطونطبعا مثلا بضل ضغط
+
+87
+00:05:45,200 --> 00:05:47,960
+عليها شوية برفعها بلاقي فيها ده بتغيرها و هنقولنا
+
+88
+00:05:47,960 --> 00:05:51,900
+كقاعدة عامة أن أي جروح موجود عليها قطعة إجماش أنا
+
+89
+00:05:51,900 --> 00:05:55,240
+مابشيلها أو قطعة شاشة لأ أنا بضع قطعة إجماش لكن
+
+90
+00:05:55,240 --> 00:05:59,300
+بالتالي هنحن كمان قولنا مرة قبل كده أنه الطريقة
+
+91
+00:05:59,300 --> 00:06:02,860
+الأولى لإيقاف النزيف اللي هو الضغط المباشر
+
+92
+00:06:02,860 --> 00:06:05,000
+وبالتالي هن .. لما أكون أنا في ضغط مباشر معناه
+
+93
+00:06:05,260 --> 00:06:08,320
+الإسنان هي بتضغط على مكان الجراح لإنه تخيل إن لو
+
+94
+00:06:08,320 --> 00:06:11,820
+كان عندي مثلا خلع درس أو شيء هيكون طبعا فيه زي
+
+95
+00:06:11,820 --> 00:06:16,760
+يعني حفرة كبيرة هذه وها طبعا ممكن تكون وسيلة لطبعا
+
+96
+00:06:16,760 --> 00:06:20,760
+النظيف أكتر إذا أنا كل مرة بدي أضل إيش أغير جطعة
+
+97
+00:06:20,760 --> 00:06:23,580
+الجماش أو جطعة الشاشة المعقمة هذه أو النظيفة
+
+98
+00:06:33,220 --> 00:06:36,360
+طبعا الشيء انا كمان المسموح فيه الممنوع اللي هو
+
+99
+00:06:36,360 --> 00:06:40,240
+استخدام أي حاجة دافية ليش طبعا أي حاجة دافية؟
+
+100
+00:06:40,240 --> 00:06:43,740
+لأنها طبعا بتمشط الدورة الدموية وبالتالي بتكون
+
+101
+00:06:43,740 --> 00:06:46,780
+الفرصة اللي نزيف أكتر أو مثلا التناول الطعام
+
+102
+00:06:46,780 --> 00:06:50,300
+والشرا في الحالة هذه طبعا بتم إيقافها لغاية ..
+
+103
+00:06:50,300 --> 00:06:54,420
+لغاية طبعا ليش؟ الأفضل لو يعني بعد الفترة الزمنية
+
+104
+00:06:54,420 --> 00:06:58,020
+اللي مسموح فيها بتم اللي هو استخدام الغرغرة أو
+
+105
+00:06:58,020 --> 00:07:02,390
+مضمدة بمحلول ملحما بستخدم الميه العادى، ليش؟
+
+106
+00:07:02,390 --> 00:07:05,250
+للمحلول الملح لإن أنا في عندى جروح مفتوحة، والجروح
+
+107
+00:07:05,250 --> 00:07:09,450
+المفتوحة بيكون عرضة للعدوى وعرضة للاتهام، وبالتالي
+
+108
+00:07:09,450 --> 00:07:13,170
+بستخدم الغرغرة الموصوفة أو محلول الملح أو احنا
+
+109
+00:07:13,170 --> 00:07:16,890
+ممكن نحضر طبعا المحلول الملح في البيت عساس كمية
+
+110
+00:07:16,890 --> 00:07:19,750
+قليلة من الملح مع بعض الميه ممكن استخدمها
+
+111
+00:07:34,490 --> 00:07:36,890
+طبعا دي من الممنوعات اللي هي عدم .. زي ما قولنا
+
+112
+00:07:36,890 --> 00:07:39,290
+عدم شرب الأشياء .. الأشياء الساخنة أو السوال
+
+113
+00:07:39,290 --> 00:07:42,330
+الساخنة أو عدم تنوع الطعام والشراب، لكن .. اه
+
+114
+00:07:42,330 --> 00:07:46,370
+وكمان في نفس اللحظة لا يسمح بالغرغرة، لا يسمح
+
+115
+00:07:46,370 --> 00:07:48,750
+بالغرغرة، لو ان انا زي كإن أنا قاعد عند جروح وانا
+
+116
+00:07:48,750 --> 00:07:52,230
+بعمل غسل للجرح، وبالتالي مسموح .. ممنوع استخدام
+
+117
+00:07:52,230 --> 00:07:55,190
+السوال الساخنة أو الدافية، ممنوع طبعا الأكل
+
+118
+00:07:55,190 --> 00:07:59,430
+والشرب، ممنوع استخدام الغرغرة بعد خلع الدرس أو
+
+119
+00:07:59,430 --> 00:08:00,330
+السن مباشرة
+
+120
+00:08:04,510 --> 00:08:06,830
+هل أنا نزيفي المعدة أو المريء؟ خبتنا طبعا هالنقطة
+
+121
+00:08:06,830 --> 00:08:11,990
+مهمة كتير طبعا ممكن يكون أحد الأسباب دوالي المريء
+
+122
+00:08:11,990 --> 00:08:15,530
+أو قرحة المعدة واحد يقول ما احنا برضه في عنا قرحة
+
+123
+00:08:15,530 --> 00:08:19,930
+12 لكن في حالات قرحة ال 12 ما بيصير خروج الدم من
+
+124
+00:08:19,930 --> 00:08:25,990
+ال 12وبالتالي لو كان هناك مثلا براز مدمم باللون
+
+125
+00:08:25,990 --> 00:08:32,470
+القاتم اللون مثلا اللي بيميل للسواد هذا معناه أنه
+
+126
+00:08:32,470 --> 00:08:37,150
+فيه هضم لمادة الحديد وهذا طبعا نقطة للتذكير أن كل
+
+127
+00:08:37,150 --> 00:08:41,330
+الأطفال بياخدواشراب الحديد بنبه الأمهات إنه ممكن
+
+128
+00:08:41,330 --> 00:08:45,390
+الطفل يكون برازه لونه على سواد، هذا بسبب الحديد
+
+129
+00:08:45,390 --> 00:08:48,850
+وبالتالي لما أكون عندي قرحة المعدة، بدي أفرجها عن
+
+130
+00:08:48,850 --> 00:08:52,770
+قرحة الـ12 بإن قرحة المعدة بصير ألم مباشرة بعد
+
+131
+00:08:52,770 --> 00:08:56,810
+الأكل، لكن قرحة الـ12 تقريبا بعد ساعة ونص أو
+
+132
+00:08:56,810 --> 00:09:02,550
+ساعتين، قبل ما الأكل ينتقل من المعدة للـ12 طيب، هل
+
+133
+00:09:02,550 --> 00:09:08,850
+لو كان عندي أنا مثلا نزيف أو مثلا قيق مدمم؟أنا مش
+
+134
+00:09:08,850 --> 00:09:12,650
+بالضرورة أعرف عشان أنه هذا من المريء أو مثلا من
+
+135
+00:09:12,650 --> 00:09:16,330
+المعدة، إيش كإسعاف أولي أنا ممكن أتدخر في الحالة
+
+136
+00:09:16,330 --> 00:09:21,830
+هذه، كإسعاف أولي، عشان أن أول حاجة طريقة الضغط
+
+137
+00:09:21,830 --> 00:09:27,990
+المباشر ما بتظبط، رفع العدو المصاب ما بيظبط، ضغط
+
+138
+00:09:27,990 --> 00:09:33,070
+أن أضع جطعة تلج خارجية برضه ما بيظبط، إيش الحل؟
+
+139
+00:09:34,610 --> 00:09:40,370
+الحل ان انا ارسل مرسال من التلج المهروس او الميه
+
+140
+00:09:40,370 --> 00:09:47,090
+الباردة يبلعها ميه باردة مش ميه عادية ممنوع
+
+141
+00:09:47,090 --> 00:09:50,030
+استخدام الميه الساخنه لان الميه الساخنه هتزود فرصة
+
+142
+00:09:50,030 --> 00:09:54,710
+النزيف وبالتالي يقول اما جبت التلج مهروس او ماء
+
+143
+00:09:54,710 --> 00:10:00,920
+مثلجيعني ماء بارد، إيش الفكرة من هنا؟ عسى تعمل ضيق
+
+144
+00:10:00,920 --> 00:10:05,400
+في الأوعية الدموية طبعا هذا يعني لو استمر فيه نزيف
+
+145
+00:10:05,400 --> 00:10:10,120
+لكن أنا ممكن أقلل من .. من فكرة .. من طبعا كمية
+
+146
+00:10:10,120 --> 00:10:14,560
+النزيفأفضل ما اتضالها مستمر أو اضيع المستشفى زي ما
+
+147
+00:10:14,560 --> 00:10:17,160
+اقول والله مثلا انسان مجروح انا اضغط على مكان
+
+148
+00:10:17,160 --> 00:10:19,760
+الجروح ونجلته للمستشفى والان قول على المستشفى
+
+149
+00:10:19,760 --> 00:10:24,660
+مباشرة طبعا اقل الدررين ان انا استخدم ثلج مهروس او
+
+150
+00:10:24,660 --> 00:10:28,720
+ميه باردة ولا يسمح باستخدام الماء الدافئ او الساخن
+
+151
+00:10:28,720 --> 00:10:30,960
+لان طبعا بزيد من فرصة النظيفة
+
+152
+00:10:33,990 --> 00:10:37,730
+طبعا وضع الثلج هنا ضعيف شوية لكن احنا بقول الأفضل
+
+153
+00:10:37,730 --> 00:10:44,290
+.. الافضل استخدام ماء بارد او ثلج مهروس للداخل لان
+
+154
+00:10:44,290 --> 00:10:50,090
+هيك انا بأضمن انه إيش .. الميه وصلت للداخل وعملت
+
+155
+00:10:50,090 --> 00:10:55,730
+انقماش او انقباض في الأواعي الدموية يعني
+
+156
+00:10:55,730 --> 00:10:58,670
+ال band التالت .. التاني هو أفضل من ال band الأول
+
+157
+00:11:02,410 --> 00:11:05,210
+طيب، نيجي هنا لموضوع تاني، العلاقة بالدورة
+
+158
+00:11:05,210 --> 00:11:09,310
+الدموية، بالمضخة الأساسية بالنسبة للدم، ألا وهي
+
+159
+00:11:09,310 --> 00:11:13,030
+القلب، يعني نسميه طبعا إيه؟ الأزمات القلبية أو
+
+160
+00:11:13,030 --> 00:11:19,260
+النوبات القلبيةفي عندنا طبعا اللي بيغذي القلب هي
+
+161
+00:11:19,260 --> 00:11:24,760
+شراين تخرج من الشريان الأورطي أو تتفرع من الشريان
+
+162
+00:11:24,760 --> 00:11:29,960
+الأورطي والدم زي ما قلنا مقر الدخل اللي هو القلب
+
+163
+00:11:29,960 --> 00:11:34,240
+لكن القلب بالرغم من هيك بياخد جزء من الدم زيه زي
+
+164
+00:11:34,240 --> 00:11:37,940
+أي عضو آخر مش معناه ان هو اللي موجود في الدم ياخد
+
+165
+00:11:37,940 --> 00:11:41,660
+كل حاجة لأطبعًا بياخد بالتخذية من الخارج وليس من
+
+166
+00:11:41,660 --> 00:11:44,460
+الداخل الدم موجود داخل القلب لكن التخذية بتكون من
+
+167
+00:11:44,460 --> 00:11:47,440
+الخارج الشراينة اللي هم بيسميها الشراينة التاجية
+
+168
+00:11:47,440 --> 00:11:51,260
+أو coronary artery طبعًا هي شبيهة بالتاج طبعًا هذه
+
+169
+00:11:51,260 --> 00:11:56,600
+الشراينة بتغذي القلب طبعًا شيء طبيعي أن أي إنسان
+
+170
+00:11:56,600 --> 00:12:03,040
+بيزيد مجهوده معناه بيزيد التخذية لأعضاء الجسم لكن
+
+171
+00:12:03,040 --> 00:12:07,390
+لو كان هناك مثلًا عندنا مجهودوالمجهود هذا بتطلب
+
+172
+00:12:07,390 --> 00:12:13,150
+تغذية أو كمية دم إضافية لكن الطريق ضيق معناه العضو
+
+173
+00:12:13,150 --> 00:12:16,030
+هذا مش هياخد كمية الـ Oxygen و الغذاء الكافي
+
+174
+00:12:16,030 --> 00:12:19,590
+بالنسبالهم أو إذا كان المكان مغلق أو كان الطريق
+
+175
+00:12:19,590 --> 00:12:23,990
+مغلقة معناه إيش؟ مش هياخد بالمرة طبعا هنا في عندنا
+
+176
+00:12:23,990 --> 00:12:27,450
+نوعين من نوبات قلبية النوع الأول هي Angina
+
+177
+00:12:27,450 --> 00:12:32,260
+Bacteris أو الذبحة الصدريةالدبح الصدرية هذه بتيجي
+
+178
+00:12:32,260 --> 00:12:36,700
+نتيجة مجهود طبعا هنا بيكون فيها ضيق في الشرايين
+
+179
+00:12:36,700 --> 00:12:39,720
+التاجية المغذية أو بعض الشرايين أو أحد الشرايين
+
+180
+00:12:39,720 --> 00:12:42,360
+مامن نقدر نقول احنا الشرايين التاجية كلها عشان
+
+181
+00:12:42,360 --> 00:12:45,780
+احنا نكون واضحين لما نتكلم على الدبح الصدرية لو
+
+182
+00:12:45,780 --> 00:12:49,300
+أنا قلت طبعا ضيق في كل الشرايين التاجية طبعا ده لأ
+
+183
+00:12:49,300 --> 00:12:55,090
+خطألأ لأ لما اتكلم اقول الذبحة الصدرية هي ضيق في
+
+184
+00:12:55,090 --> 00:12:58,610
+احد الشراين التاجية المغذية لعضلة القلب اه لكن ما
+
+185
+00:12:58,610 --> 00:13:02,850
+بقدر اقول هي ضيق في كل الشراين التاجية لأ لأ لأ
+
+186
+00:13:02,850 --> 00:13:07,110
+وبالتالة بعض او احد الشراين التاجية المغذية لعضلة
+
+187
+00:13:07,110 --> 00:13:14,050
+القلب طبعا هنا وطبعا الضيق هذانتيجة قلة وصول الدم
+
+188
+00:13:14,050 --> 00:13:17,610
+المحمل بالإكسجين طبعا دايما يا أخواتنا وين المكان
+
+189
+00:13:17,610 --> 00:13:21,930
+اللي ما بيصلوا دم محمل بالإكسجين بيكون فيه ألم أنا
+
+190
+00:13:21,930 --> 00:13:25,190
+أقولك مثال بسيط لما احنا نقول انت تمسكي الجطع
+
+191
+00:13:25,190 --> 00:13:29,570
+التلج تماموالقطع هادى مسكتها بين إيديكى، إيديكى
+
+192
+00:13:29,570 --> 00:13:33,370
+كيف هسير فيهم؟ ألم، أسفرار، أسفرار، هصير مش
+
+193
+00:13:33,370 --> 00:13:36,770
+أحمران، طبعا هسير فيهم ألم، ليش؟ لأنه صار عنده ضيق
+
+194
+00:13:36,770 --> 00:13:41,070
+في الأوعية الدموية وقلة وصول لأوعية الدم المحمّل
+
+195
+00:13:41,070 --> 00:13:44,590
+بأكسجين معناه أيش؟ فيه ألم، نتيجة نقص الأكسجين ..
+
+196
+00:13:44,590 --> 00:13:46,810
+الدم المحمّل بأكسجين، احنا لما نقول الله في
+
+197
+00:13:46,810 --> 00:13:49,490
+الشتاء، في الجو البارد، بنشعر أن أطرافنا فيها ألم
+
+198
+00:13:50,250 --> 00:13:54,770
+وعلى الزرقاق بسبب نقص أصول كمية الدم الكافية
+
+199
+00:13:54,770 --> 00:13:57,610
+المحملة بالإكسجين اللى طبعا هتعمل على دفع المنطقة
+
+200
+00:13:57,610 --> 00:14:01,470
+هذه وطبعا زيادة برورة المنطقة هذه مع نافي H ألم
+
+201
+00:14:01,470 --> 00:14:05,430
+للمنطقة اللى ما بيصليلها الدم وطبعا ما بيحدث عندنا
+
+202
+00:14:05,430 --> 00:14:10,420
+في الشرنين التاجيةطبعاً هنا إيش الأعراض؟ طبعاً هذه
+
+203
+00:14:10,420 --> 00:14:13,440
+أول حاجة بيقول إن إحنا الدبحة الصدرية بتكون نتيجة
+
+204
+00:14:13,440 --> 00:14:17,940
+مجهود أو توتر عصبي، تمام؟ وبالتالي من أعراضها أول
+
+205
+00:14:17,940 --> 00:14:21,300
+حاجة ألم أثناء المجهود العظيم، يعني بتظهرش فجأة،
+
+206
+00:14:21,300 --> 00:14:23,200
+اللي بتظهر فجأة، هنتكلم عنها كمان شوية، لكن هذه
+
+207
+00:14:23,200 --> 00:14:27,660
+نتيجة المجهود، بيطلع الدراج، بيطلع سلنة، بيطلع
+
+208
+00:14:27,660 --> 00:14:32,540
+منطق عالي، مرتفع عالي، بيشعر إيش، بعد ليه إيش؟ ليش
+
+209
+00:14:32,540 --> 00:14:40,700
+بيتعاب؟لأن القلب .. القلب بددخ بزيادة وزي وزي باقي
+
+210
+00:14:40,700 --> 00:14:44,700
+الأعضاء، هقل عليه كمية الـ Oxygen .. الدم المحملة
+
+211
+00:14:44,700 --> 00:14:47,420
+بالإكسجين، اللي ممكن باقي الأعضاء ما نشعر فيها،
+
+212
+00:14:47,420 --> 00:14:49,900
+وبالتالي يا أخواتنا، أي منطقة بنقص عنها الإكسجين،
+
+213
+00:14:49,900 --> 00:14:53,460
+فيها ألم، ده بيقول مثلا، عندنا مثال تاني، لو كان
+
+214
+00:14:53,460 --> 00:14:55,920
+عندي مثلا احتباس في منطقة معينة، زي ما ضربنا مثلًا
+
+215
+00:14:55,920 --> 00:14:59,640
+توي، ونقص الدم المحملة بالإكسجين، أو وصل دم، لكن
+
+216
+00:14:59,640 --> 00:15:02,740
+مافيش كمية إكسجين كافية، يعني مثلا، نسبة المجلوين
+
+217
+00:15:02,740 --> 00:15:06,010
+منخفضةيعني زي زي كوين موصلش الدم إيش المحمل
+
+218
+00:15:06,010 --> 00:15:08,790
+الوكسيجين الكافي وبالتالي طبعا بيصير ألم وهنا طبعا
+
+219
+00:15:08,790 --> 00:15:12,750
+لأن القلب بدي ضخ بزيادة عشان يلبّي احتياجات الجسم
+
+220
+00:15:12,750 --> 00:15:16,510
+كلها لكن الشرايين المغذية للقلب فيها ضيق معناه مش
+
+221
+00:15:16,510 --> 00:15:19,510
+هياخد كمية الكافية من إيش من الوكسيجين وبالتالي
+
+222
+00:15:19,510 --> 00:15:23,910
+بيشعر بالألم يجب أول ميزة للدبحة الصدرية أن بتحدث
+
+223
+00:15:23,910 --> 00:15:27,570
+فيها ألم أثناء المجهود العضلي صلي الدراج حمل حاجة
+
+224
+00:15:27,570 --> 00:15:31,350
+ثقيلة اللي طبعا في عبئ القلب عشان إيش يزيد من
+
+225
+00:15:31,350 --> 00:15:31,810
+مجهوده
+
+226
+00:15:34,430 --> 00:15:37,570
+طبعا لحظة يا أخواتنا الصورة هذه وقمت تركز كل ما
+
+227
+00:15:37,570 --> 00:15:42,180
+زاد اللونبتصير طبعا .. طبعا هنا كل ما زاد اللون
+
+228
+00:15:42,180 --> 00:15:46,240
+عندنا معناه إيش بده يصير؟ هنا كل ما كان اللون أغمق
+
+229
+00:15:46,240 --> 00:15:49,180
+كل ما كان المشكلة أكتر، يعني هتطلعو إيش؟ بتتقل
+
+230
+00:15:49,180 --> 00:15:52,780
+للعنق، لمين؟ للناحية اليسار، ممكن ينتقل طبعا
+
+231
+00:15:52,780 --> 00:15:56,140
+للناحية اليمين، لكن هنا على القلب، لأن القلب في
+
+232
+00:15:56,140 --> 00:15:59,500
+المنتصف يمين للناحية اليسار، وبالتالي القلم ينتقل
+
+233
+00:15:59,500 --> 00:16:02,600
+للعنق وللناحية اليسار، لكن ناحية اليمين في القلم،
+
+234
+00:16:02,600 --> 00:16:07,450
+لكن يكون اليسار أكتر وأشدالمسر محنوق؟ لأ الألم بحس
+
+235
+00:16:07,450 --> 00:16:11,850
+ألم مش خنجة بحس ألم بالعضلات نفسها و مضاج و كأنه
+
+236
+00:16:11,850 --> 00:16:15,750
+في حاجة ضغط على صدره يعني انا شايف ان الصورة هذه
+
+237
+00:16:15,750 --> 00:16:20,170
+اللي فوق مثلا كأنه بين ملزمة يعني بين فكاية كماشة
+
+238
+00:16:20,170 --> 00:16:24,710
+لكن مضغوط بضغط بحس كأنه العمارة كلها فوق صدره
+
+239
+00:16:24,710 --> 00:16:27,470
+ضلعة؟ اه ضلعة على صدره مضاج كتير
+
+240
+00:16:31,270 --> 00:16:34,770
+هذا ما يميزه هو من هم مميزاتها الألم أثناء المجود
+
+241
+00:16:34,770 --> 00:16:37,910
+العضلي طبعا ثقل على منطقة الصدر دي اللي ما انتوا
+
+242
+00:16:37,910 --> 00:16:41,470
+شايفينه أخواتنا هنا بالصورة زي هذه طبعا يمتد
+
+243
+00:16:41,470 --> 00:16:45,310
+تدريجيا للناحية اليسار أكتر منها من ناحية اليامين
+
+244
+00:16:45,310 --> 00:16:50,250
+للعنق والناحية اليسار بعدين ممكن يكون ألم في
+
+245
+00:16:50,250 --> 00:16:51,410
+الناحية اليامين
+
+246
+00:16:59,110 --> 00:17:04,010
+طبعا هنا الحل انك خفف المجهودأخففوا اللعيب ليش؟
+
+247
+00:17:04,010 --> 00:17:07,310
+على القلب، بمعنى إنه عشان أنا أعرف إن هذا عنده ذبح
+
+248
+00:17:07,310 --> 00:17:09,790
+صدرية و لو ما عنده ذبح صدرية، المجهود اللي بيبين،
+
+249
+00:17:09,790 --> 00:17:12,690
+هو الاختبار، أه وبالتالي طبعا فينا بعض التمارين ال
+
+250
+00:17:12,690 --> 00:17:15,770
+eco اللي هي وللقلب، عشان نشوف مدى كفاءة القلب،
+
+251
+00:17:15,770 --> 00:17:18,550
+يعني عن خطوة، خطوتين، تلاتة، بيصير يلهد، بيصير مش
+
+252
+00:17:18,550 --> 00:17:21,850
+قادر، أه صحيح، لمشي على طبعا الإجتماعات أو ما
+
+253
+00:17:21,850 --> 00:17:25,430
+تسميه ال eco، طبعا تخطيط للقلب هذا، نعم، هذا
+
+254
+00:17:25,430 --> 00:17:28,650
+بيعطينا إشارة إن القلب يعمل بصورة طبيعية ولا ل
+
+255
+00:17:31,800 --> 00:17:35,040
+لكن إذا بدأ المجهود هانبينه، وبالتالي عشان الفرق
+
+256
+00:17:35,040 --> 00:17:37,620
+ما بينها وما بينه طبعا الجلطة القلبية، لأ الذبح
+
+257
+00:17:37,620 --> 00:17:41,940
+الصدرية يسبقها مجهود عضله، ويسبقها ألم ينتشر من
+
+258
+00:17:41,940 --> 00:17:45,520
+المنتصف إلى الناحية اليسرى أو العنق أو حتى الفك،
+
+259
+00:17:45,520 --> 00:17:49,060
+كمان، مقد ينتشر إلى الناحية اليمين، لكن أكتر هو
+
+260
+00:17:49,060 --> 00:17:54,040
+بيكون في المنتصف والناحية اليسارة، هذا حاجة تانية،
+
+261
+00:17:54,040 --> 00:17:58,780
+الجلطة، هنتكلم عليها ان شاء الله، لأ مش نفسها، طيب
+
+262
+00:17:58,780 --> 00:18:03,330
+الحل هذا أن أوسع الطريقأوسع الطريق عشان أزيد كمية
+
+263
+00:18:03,330 --> 00:18:06,030
+الدم، إيش اللي بوسع ليها الطريق؟ في حاجة بيسموها
+
+264
+00:18:06,030 --> 00:18:08,870
+القاية .. طبعا الكردين خمسة ملي جرام أو غلسرين
+
+265
+00:18:08,870 --> 00:18:12,250
+ايتروغلسرين بتاخد طبعا تحت اللسان، و تحت اللسان
+
+266
+00:18:12,250 --> 00:18:15,550
+لإن في تحت اللسان شريان، تمام؟ و الشريان اللي
+
+267
+00:18:15,550 --> 00:18:20,280
+بيساعد على انتصاص الأدويةوبالتالي احنا بيقول مش
+
+268
+00:18:20,280 --> 00:18:24,720
+يبلع حبلع لأنه هنا أسرع منه يبلع حبلع وبالتالي خمس
+
+269
+00:18:24,720 --> 00:18:28,480
+دقايق شوية بيقولك اه والله رفعت فدائما مرضى الدبح
+
+270
+00:18:28,480 --> 00:18:31,200
+الصدرية بيكون معاهم نيتروجلسرين اي حبة صغيرة جان
+
+271
+00:18:31,200 --> 00:18:34,640
+حبة العدسة خمسة ملي جرام نيتروجلسرين او الكورديل
+
+272
+00:18:34,640 --> 00:18:39,780
+خمسة ملي جرام يبقى الهدف من الكورديل خمسة ملي جرام
+
+273
+00:18:39,780 --> 00:18:44,820
+هي عمل التوسيع للشريان اللي فيه ضيق
+
+274
+00:18:50,180 --> 00:18:54,560
+أهلكرديل هو أحد وسائل أو الـ Nitroglycerin وظيفته
+
+275
+00:18:54,560 --> 00:19:01,280
+توسيع الشرايين التاجية، الضيقة فضلها
+
+276
+00:19:05,050 --> 00:19:07,870
+لأ حسب هذه خمسة ملي جرام كمية قليلة جدا عشان
+
+277
+00:19:07,870 --> 00:19:12,190
+يعطيني أثر مباشر و بسرعة لكن بعض اللي بدوا متلاقي
+
+278
+00:19:12,190 --> 00:19:15,710
+مائة ملي جرام، خمس مائة ملي جرام مثلا زي المضادة
+
+279
+00:19:15,710 --> 00:19:19,690
+الحيوية، مابقدر أحطها تحت لسان لأن أنا بدي واجهة
+
+280
+00:19:19,690 --> 00:19:23,610
+شوية عشان يصير الانتصاص و بعضها لازم يكون مثلا بدي
+
+281
+00:19:23,610 --> 00:19:26,270
+يكون مع الطعام لكن هذه خمسة ملي جرام اللي أسرع
+
+282
+00:19:26,270 --> 00:19:29,370
+انتصاصها عشان يصل التأثير مباشر لوين؟ للقلب
+
+283
+00:19:32,030 --> 00:19:35,250
+طبعا قد يصاحب .. قد يصاحب كمان احنا بيقول احنا قد
+
+284
+00:19:35,250 --> 00:19:38,790
+يصاحب ممكن او ممكن لأ كمان ضيق في التنفس طبعا
+
+285
+00:19:38,790 --> 00:19:42,110
+الجلد يكون شاحب او بيه زرقاليش لأنه صار ضيق في
+
+286
+00:19:42,110 --> 00:19:45,670
+الاوعي الدموية الطرفية و احنا بيقولنا شيء رباني
+
+287
+00:19:45,670 --> 00:19:49,250
+انه في حال الخطر على جسم الإنسان زي ما بيقولوا
+
+288
+00:19:49,250 --> 00:19:53,610
+احنا عندنا الشجرة الشجرة لو ماتنقطت عنها الميه في
+
+289
+00:19:53,610 --> 00:19:57,950
+إيش بتضحي أول شيء بالثمر
+
+290
+00:19:59,250 --> 00:20:01,910
+بعدين بيصير عيننا الورج، بعدين شويه شويه الأفرع
+
+291
+00:20:01,910 --> 00:20:06,970
+الصغيرة، لا غاية لما تصل إيش، لفرع الكبير، تمام؟
+
+292
+00:20:06,970 --> 00:20:10,350
+وبالتالي هنا هنقول الجلد مش أهم من القلب ولا أهم
+
+293
+00:20:10,350 --> 00:20:12,870
+من الجهاز التنفسي ولا أهم من الكبد، فبيصير عيننا
+
+294
+00:20:12,870 --> 00:20:15,810
+ضيق في الأوية الدموية الطرفية واتساع في الأوية
+
+295
+00:20:15,810 --> 00:20:19,230
+الدموية الداخلية عشان نعمل عملة إرواق للأوية
+
+296
+00:20:19,230 --> 00:20:22,350
+الدموية أو العضاء الحيوي أكتر منها إيش من الجلد
+
+297
+00:20:22,350 --> 00:20:30,160
+طبعا عرق، والعرق بيكون غالبا باردغثيان ماقية،
+
+298
+00:20:30,160 --> 00:20:33,220
+بيصير الناس تفراج، طبعا بعض العراض أنه ممكن تحدث،
+
+299
+00:20:33,220 --> 00:20:36,120
+وليس في الدورة كلها تحدث مرة واحدة، بتلاقي فجأة
+
+300
+00:20:36,120 --> 00:20:39,520
+بعد ما تعب أجهده العراج، حاسس حاله أنه بيستفرج،
+
+301
+00:20:39,520 --> 00:20:43,060
+ممكن يستفرج وممكن لأ، بيصير الهات، لأن طبعا كله من
+
+302
+00:20:43,060 --> 00:20:46,540
+علامات العبء اللي وقع على القلب بسبب عدم وصول كمية
+
+303
+00:20:46,540 --> 00:20:49,180
+كافية من الدم المحمل الوكسيجين لعضلة القلب
+
+304
+00:20:51,990 --> 00:20:56,070
+طبعا خدران أو تنميل في الأدرى بيقولك حاسس أنه خد
+
+305
+00:20:56,070 --> 00:21:00,090
+بنملني أو مثلا يفك بنملني أو ده يبنملوني طبعا هذا
+
+306
+00:21:00,090 --> 00:21:04,690
+برضه دليل على إشارة أن هناك مشكلة في القلب مشكلة
+
+307
+00:21:04,690 --> 00:21:08,190
+ثانوية لكن مشكلة الأساسية بتكون في منطقة القلب
+
+308
+00:21:08,190 --> 00:21:12,670
+نفسها الألم أشد بيكون ألم عاصر يعني مضغوط كأنه
+
+309
+00:21:12,670 --> 00:21:16,680
+حاسس أنه في حاجة ثقل على الصدرطبعا هو مافي ثقل لكن
+
+310
+00:21:16,680 --> 00:21:19,780
+هو بيشعر أنه في ثقل بسبب طبعا نقص الدم المحمل
+
+311
+00:21:19,780 --> 00:21:25,660
+بالأكسجين اللى واصل لعضلة القلب من الخارج ضعف
+
+312
+00:21:25,660 --> 00:21:28,460
+أوعيه طبعا دائما أكبر السن مابتحمله كتير طبعا كون
+
+313
+00:21:28,460 --> 00:21:32,440
+واضح عليهم أكتر من الشباب الصغار طبعا إيش أسبابها؟
+
+314
+00:21:32,440 --> 00:21:35,880
+طبعا في أسباب كتيرة يعني بعض أسبابها مثلا الحالة
+
+315
+00:21:35,880 --> 00:21:39,230
+النفسيةبعض أسبابها تناول بعض العلاجات اللي بتعمل
+
+316
+00:21:39,230 --> 00:21:42,990
+ضيق في الأوية الدموية، بعض أسبابها مثلا نوعية
+
+317
+00:21:42,990 --> 00:21:46,190
+الغذاء اللي الإنسان بياخده، يعني طبعا قلة الحركة،
+
+318
+00:21:46,190 --> 00:21:52,610
+قلة التمرين، طبعا دي إلا أسباب كتيرة نيجي
+
+319
+00:21:52,610 --> 00:21:55,850
+لجلطة القلبية أو MI أو myocardial infarction زي ما
+
+320
+00:21:55,850 --> 00:21:59,390
+يسموها وهو طبعا غالب إنه يكون فيها موت جزء من عضلة
+
+321
+00:21:59,390 --> 00:22:04,720
+القلب، بسبب انسدادأحد الشرايين التاجية المغذية
+
+322
+00:22:04,720 --> 00:22:08,100
+لمنطقة معينة من عضلة القلب لكن قلنا في الدبح
+
+323
+00:22:08,100 --> 00:22:12,360
+الصدرية ضيق مع أن فيه شوية دم ماشي لكن غير كافية
+
+324
+00:22:12,360 --> 00:22:15,480
+واريكيت تظهر طبعا بالمجهود لكن الجلطة القلب يقولك
+
+325
+00:22:15,480 --> 00:22:21,340
+فجأة والله فجد وعيه وبطلت الجلب توقف لأن في عندنا
+
+326
+00:22:21,340 --> 00:22:25,200
+منطقة لا يصلها الدم لأنه منطقة مغلقة وطبعا جديش
+
+327
+00:22:25,200 --> 00:22:30,220
+بتكون خطورتها حسب الانسداد كل مكان انسداد أكتر من
+
+328
+00:22:30,220 --> 00:22:32,120
+منطقة كل مكان فيه الخطورة أكتر
+
+329
+00:22:36,290 --> 00:22:40,990
+يبقى أن الجلد القلبية فيها موت لأجزاء من عضلة
+
+330
+00:22:40,990 --> 00:22:45,250
+القلب، لكن ذا بحصة ضرية ما فيها موت، فيها ضيق في
+
+331
+00:22:45,250 --> 00:22:48,090
+أحد الشرايين المغذي لعضلة القلب من ناحية الخارجية
+
+332
+00:22:48,090 --> 00:22:51,390
+طبعا
+
+333
+00:22:51,390 --> 00:22:54,550
+هذه الصورة أيه يا أخواتنا؟ يعني هيك واضحة هنا؟
+
+334
+00:22:54,550 --> 00:23:01,430
+ماشي هقولكطبعا هنا عندنا هاي هذه الشريان، لاحظين
+
+335
+00:23:01,430 --> 00:23:05,350
+هذه المنطقة، الخط الأبيض هنا شريان، تاجي، لكن فيه
+
+336
+00:23:05,350 --> 00:23:09,130
+عندنا انسداد هنا، فأدى إلى موت في المنطقة هذه، وكل
+
+337
+00:23:09,130 --> 00:23:13,570
+ما كانت المنطقة أكبر، كل ما كان الخطر أكتر، ليش؟
+
+338
+00:23:13,570 --> 00:23:17,640
+لأن عضلة القلب عضلة قبله تنبسطلكن هنا انا عندى صار
+
+339
+00:23:17,640 --> 00:23:22,680
+عندى جزء ميت معناه المنطقى هذه الميته هتقلل من
+
+340
+00:23:22,680 --> 00:23:26,160
+كفاءة عضلة القلب و خاصة البطينين و دايما يا
+
+341
+00:23:26,160 --> 00:23:29,180
+اخواتنا يمكن غالبا يكون الذبأ الجلطة القلبية في
+
+342
+00:23:29,180 --> 00:23:33,400
+البطينين اكتر وهذا طبعا بأثر اكتر و فيه خطوره ليش؟
+
+343
+00:23:33,400 --> 00:23:36,000
+لان البطينين هم اللي هيدخوا الدم لكل أجزاء الجسم
+
+344
+00:23:36,000 --> 00:23:39,740
+سواء الدموية الصغيرة او الدموية الكبرى طبعا هنا
+
+345
+00:23:39,740 --> 00:23:44,310
+ايش اهم الاعراض؟ طبعا الألم قد يكون فجأةغير ..
+
+346
+00:23:44,310 --> 00:23:47,210
+ممكن يكون بعد مجهود لكن الألم ممكن هو جاهز حاسس
+
+347
+00:23:47,210 --> 00:23:51,870
+بالألم وحاسس طبعا أنه السكاكين بتوخز فيه زي
+
+348
+00:23:51,870 --> 00:23:55,210
+السكاكين حاجات حادة .. هو بتخيل لكن هي مش موجودة
+
+349
+00:23:55,210 --> 00:23:59,470
+لكن لما يكون عندنا ألم عاصر وضاقط معناه طبعا
+
+350
+00:23:59,470 --> 00:24:02,930
+الدبحة لكن هان زي السكاكين ووخز كتير لأن ألم عضر
+
+351
+00:24:02,930 --> 00:24:07,090
+قدر الألم الجلطة القلبية مؤلم شدا جدا جدا يعني
+
+352
+00:24:07,090 --> 00:24:11,090
+أحيان بضطرهبتطرد داخل المستشفى يعطوه مادة مسكّنة
+
+353
+00:24:11,090 --> 00:24:16,150
+أو مادة مخدرة نتيجة الألم الشديد فعضلة القلب نفسها
+
+354
+00:24:16,150 --> 00:24:19,190
+طبعا هنا في عندنا ألم ممكن يتقلل الفك والرقب أو
+
+355
+00:24:19,190 --> 00:24:23,290
+الأضرار زي ما حصل عندنا طبعا في الذبح الصدرية طبعا
+
+356
+00:24:23,290 --> 00:24:25,970
+ضيق من النفس لكن أكتر حاجة يا أخواتنا من أن نركز
+
+357
+00:24:25,970 --> 00:24:29,090
+عليها أن الألم يكون نتيجة مجهود في الذبح الصدرية
+
+358
+00:24:29,090 --> 00:24:33,450
+لكن هذا الغالب يكون فجأة بدون سببات بمعنى أن
+
+359
+00:24:33,450 --> 00:24:37,980
+الجلطة موجودةلكن مثلا نقول اتعرّف لموقف صادم أو
+
+360
+00:24:37,980 --> 00:24:41,860
+لحزن أو زعل فجأة بعدين والله بيقولك ايه اتوجب عنده
+
+361
+00:24:41,860 --> 00:24:45,400
+القلب هي بتكون أساسا موجودة لكن اللي كشفه مثلا
+
+362
+00:24:45,400 --> 00:24:48,580
+بالبلد دي انه طبعا الزعل او التوتر اصلا طبعا هنا
+
+363
+00:24:48,580 --> 00:24:51,680
+بيكون عندنا ميل للقى .. للقى .. التجربة يا أخواتنا
+
+364
+00:24:51,680 --> 00:24:56,420
+هي غالبا أعراضها شبيهة بعراض طبعا الذبح الصدرية
+
+365
+00:24:56,420 --> 00:25:00,500
+لكن ممكن الأساس اللي احنا بنركز فيه اللي هو السبب
+
+366
+00:25:00,500 --> 00:25:04,220
+السبب غالبا فيه مجهود عضلي لكن هنا ممكن يكون فاجأة
+
+367
+00:25:04,220 --> 00:25:08,970
+أوبنقول مثلا تبكي القشة التي قسمت ظهر البعيل شويه
+
+368
+00:25:08,970 --> 00:25:14,130
+اتزعل، غضب، سمع خبر، ازعلوا حاجة، هو ايش اللي بيّن
+
+369
+00:25:14,130 --> 00:25:15,250
+ان في عنده جلطة قلبية
+
+370
+00:25:18,660 --> 00:25:23,240
+طبعا هنا قد يتحسن الألم جزئيا بالراحة أو باخد حبوب
+
+371
+00:25:23,240 --> 00:25:25,720
+.. طبعا هنا قد يتحسن لإن احنا قولنا أساس هنا
+
+372
+00:25:25,720 --> 00:25:29,240
+انسداد .. هنا انسداد كله، لو مهما تصير توسيع
+
+373
+00:25:29,240 --> 00:25:33,920
+المشكلة طبعا قايمة، لكن أكتر حاجة بيصير أن التحسن
+
+374
+00:25:33,920 --> 00:25:37,640
+أكتر في الذبح الصدرية أكتر منه في الجلطة القلبية
+
+375
+00:25:37,640 --> 00:25:41,900
+باستخدام حبوب Nitroglycerin أو طبعا هو الكردي
+
+376
+00:25:41,900 --> 00:25:47,240
+الخمسة ملي جرامبصير .. هد احنا كأسعار في أول اه ..
+
+377
+00:25:47,240 --> 00:25:49,460
+لكن اه بصير .. هقصر أو بصير .. تسليق و إش ..
+
+378
+00:25:49,460 --> 00:25:54,380
+ماعرفش .. أما .. اه بتوقف .. لأن في عندي أنا مثلا
+
+379
+00:25:54,380 --> 00:25:57,660
+القلب ليش بيوقف .. لأن جات القلب مطلوب منه مجهود
+
+380
+00:25:57,660 --> 00:26:02,020
+كبير .. لكن في جزء منه مشتغلش .. مش هيقدم الكفاءة
+
+381
+00:26:02,020 --> 00:26:04,440
+.. و بالتالي هيتوقف .. هد هيكون السبب بتوقف القلب
+
+382
+00:26:04,440 --> 00:26:08,760
+.. بسبب موت جزء .. و كل مكان الجزء أكبر فيه
+
+383
+00:26:08,760 --> 00:26:13,240
+الخطورة أكتريعني بعض الناس مثلا ماشي بعض الناس
+
+384
+00:26:13,240 --> 00:26:17,500
+مثلا ممكن يصير إسعاف أول يعني ممكن يستعيد القلب
+
+385
+00:26:17,500 --> 00:26:21,800
+قوته ويرجع ينبض مرة تانية لكن ممنوع عليه بعد هيك
+
+386
+00:26:21,800 --> 00:26:27,980
+التوتر التدخين العصبية الجري عشان هو الدخول اه
+
+387
+00:26:27,980 --> 00:26:31,880
+لأنه ثبت إنه عنده جلطة بالتصور بيبين بالتصور بيبين
+
+388
+00:26:31,880 --> 00:26:36,680
+لكن احنا بيقول ممكن يستعيد وممكن مايستعيدش وناس
+
+389
+00:26:36,680 --> 00:26:41,360
+كتير عدت مرتين و تلتة فيهالكن بده أهم حاجة توصيته
+
+390
+00:26:41,360 --> 00:26:46,200
+يحافظ على علاجه، الراحة النفسية، نوعية الأكل،
+
+391
+00:26:46,200 --> 00:26:51,240
+الماشي طبعا بطء لكن ماينجطعش عن الماشي، تمام؟ اه و
+
+392
+00:26:51,240 --> 00:26:54,440
+هات طبعا أهم حاجة في الموضوع كل أخواتنا اللي هو
+
+393
+00:26:54,440 --> 00:26:56,940
+العامل النفسي، هات طبعا هو بيبينها
+
+394
+00:27:01,480 --> 00:27:04,700
+نوبة القلبية إما بيسموها جلطة قلبية أو نوبة قلبية
+
+395
+00:27:04,700 --> 00:27:08,120
+زي ما يقولون نوبة الصرع زي ما يقولون نوبة الصرع
+
+396
+00:27:08,120 --> 00:27:11,580
+مثلا فضلا
+
+397
+00:27:11,580 --> 00:27:15,280
+مش
+
+398
+00:27:15,280 --> 00:27:25,660
+كل جلب بيموت الجزء اللي صار فيه انسداد طبعا
+
+399
+00:27:25,660 --> 00:27:26,920
+ما هنقول .. فضلا يعني
+
+400
+00:27:30,390 --> 00:27:37,170
+اه اه بيبين بيبين بيبين بيبين بيبينطبعا هنا ال ..
+
+401
+00:27:37,170 --> 00:27:40,990
+قولنا هنا الجلط يا أخواتنا أخطر من الذبحة طبعا لأن
+
+402
+00:27:40,990 --> 00:27:45,470
+خلايا عضلة القلب قد تكون ماتت لكن بالذبحة موجودة
+
+403
+00:27:45,470 --> 00:27:49,950
+لكن نسبة التغذية لها ضعيفة يعني احنا ممكن مرة
+
+404
+00:27:49,950 --> 00:27:52,650
+تانية نحاول ايش .. ان .. ان .. انعود التغذية
+
+405
+00:27:52,650 --> 00:27:55,970
+وانعاشها مرة تانية طبعا بالتغذية و التوسيع اللي هو
+
+406
+00:27:55,970 --> 00:27:58,090
+الشرايين التاجية .. الشرايين التاجية باستخدامها
+
+407
+00:27:58,090 --> 00:28:01,810
+طبعا الكردين طبعا و أهم حاجة يا أخواتنا يعني أي
+
+408
+00:28:01,810 --> 00:28:04,590
+إنسان مثلا عنده مرض مزمن بده يحافظ على العلاج
+
+409
+00:28:05,410 --> 00:28:08,370
+بتحافظ على التغنى و عيد التغذية إذا كان مثلا
+
+410
+00:28:08,370 --> 00:28:13,350
+الراحة النفسية طبعا بدنا نقول حاجة إنه إنسان إذا
+
+411
+00:28:13,350 --> 00:28:16,610
+يعني بقولك أنا بساطرش على نفسي طبعا بعدين هي كان
+
+412
+00:28:16,610 --> 00:28:19,070
+المرض بيسيطر عليا و في النهاية طبعا الموت بيسيطر
+
+413
+00:28:19,070 --> 00:28:23,130
+عليا و بالتالي طبعا يعني ارضى بما قسمه الله لك
+
+414
+00:28:23,130 --> 00:28:28,310
+تكون أغنى الناسانت زعلك مش هيجدم الدنيا ولا هيأخر
+
+415
+00:28:28,310 --> 00:28:33,350
+الدنيا بل بقى ممكن يجدم المرض و أخر الصحة هذا اللي
+
+416
+00:28:33,350 --> 00:28:39,590
+بتفهمه بالنسبة للزعل طبعا غالبا الناس 62% تحصل
+
+417
+00:28:39,590 --> 00:28:44,690
+لزمات أثناء نومهم وبالتالي خواتنا هانيعني احنا فيه
+
+418
+00:28:44,690 --> 00:28:49,530
+عندنا حتى ناحية دينية أنه صلاة الفجر لها أجر كبير
+
+419
+00:28:49,530 --> 00:28:55,350
+من ناحية الأخروية و لها قيمة صحية كبيرة كمان لأنه
+
+420
+00:28:55,350 --> 00:28:59,190
+.. لأن طول الليل الإنسان لما بنام معناه العبئ على
+
+421
+00:28:59,190 --> 00:29:04,890
+القلب بقلتمام؟ بقل .. وبالتالي يعني ما بيضل قوة
+
+422
+00:29:04,890 --> 00:29:09,210
+القلب في ضخ الدم كما هي .. كما بدأ من بناء .. مثلا
+
+423
+00:29:09,210 --> 00:29:13,790
+بناء النوم تبدأ القل الكمية معناه أنه الأوعي
+
+424
+00:29:13,790 --> 00:29:19,930
+الدموي بتبدأ تضيق تدريجيا .. تمام؟ فلما أنا الأوعي
+
+425
+00:29:19,930 --> 00:29:23,350
+الدموي هتبدأ تضيق ما بدي تصل لمرجل حالة الإغلاق
+
+426
+00:29:24,180 --> 00:29:27,920
+فبالتالي ممكن أكتر الناس بيصير اللهم الجلطة
+
+427
+00:29:27,920 --> 00:29:32,540
+القلبية وقت الصبح أو وقت الفجر في فترة هادى يعني
+
+428
+00:29:32,540 --> 00:29:35,720
+في اليحدى و كده فلما الإنسان بيقوم بصلي الفجر
+
+429
+00:29:35,720 --> 00:29:40,560
+بيقوم بتمشط معناه بعيد نشاط القلب مرة تانية بيصير
+
+430
+00:29:40,560 --> 00:29:44,080
+التساع في الأوعي الدموية وبالتالي يعني لهم يعني
+
+431
+00:29:44,080 --> 00:29:48,280
+حتى الغربيين طبعا هم يعني ما بيهموا صلاة الفجر
+
+432
+00:29:48,280 --> 00:29:51,680
+فبنصحوا المرضى يقولوا أنت قوم مثلا الساعة خمسة ستة
+
+433
+00:29:51,680 --> 00:29:57,280
+يمشيلك خمس دقايق ورجع نامعسى تنشيط عضلة القلب طب
+
+434
+00:29:57,280 --> 00:30:00,100
+احنا الحمد لله يعني .. يعني ربنا أعطانا شيء و احنا
+
+435
+00:30:00,100 --> 00:30:05,200
+فيه إله أجر فيعني هذا الشيء لمصلحتنا فجدش القيمة
+
+436
+00:30:05,200 --> 00:30:08,600
+الصحية احنا مستفيد منها طبعا بخلاف الأجر جدش احنا
+
+437
+00:30:08,600 --> 00:30:12,200
+مستفيد من ناحية هذه وبالتالي تقل نسبة الإصابة
+
+438
+00:30:12,200 --> 00:30:16,100
+بالجلطات القلبية مع صلاة الفجر تقل للإنسان اللي
+
+439
+00:30:16,100 --> 00:30:19,120
+بيداو مع صلاة الفجر فو بالتالي طبعا فضل كبير من
+
+440
+00:30:19,120 --> 00:30:24,100
+ربناالحمد لله، طبعا زي ما قلنا التدخين، السمنة،
+
+441
+00:30:24,100 --> 00:30:28,220
+التغذية اللي فيها دهون مشبعة طبعا هذه من أهم
+
+442
+00:30:28,220 --> 00:30:31,900
+العوامل، قلة الحركة من أهم العوامل و بالتالي مثلا
+
+443
+00:30:31,900 --> 00:30:34,800
+بقول في الحركة بركة و بالتالي كل ما الإنسان كان
+
+444
+00:30:34,800 --> 00:30:37,640
+نشير، كل ما الإنسان كان محافظ على صحته لأنه بعد
+
+445
+00:30:37,640 --> 00:30:42,040
+الصحة لا يمتلك الإنسان شيء إلا طبعا نعمة الدين
+
+446
+00:30:51,840 --> 00:30:55,520
+طبعا كاسها في أولها لإخواتنا بدنا نعرف إنه أي حركة
+
+447
+00:30:55,520 --> 00:30:58,860
+بتزيد الإعباء على القلب، أي حركة بتزيد الإعباء على
+
+448
+00:30:58,860 --> 00:31:03,260
+القلب معناها إنه حتى يعني مابدوش يتحرك، يتم عملية
+
+449
+00:31:03,260 --> 00:31:07,690
+نقله حتى لو على كرسي، ممنوع الحركة، مافيش حركةما
+
+450
+00:31:07,690 --> 00:31:11,250
+بدي أزود المجموع على علبة القلب، يعني لما حتى احنا
+
+451
+00:31:11,250 --> 00:31:14,970
+عندنا في المستشفيات لما يكون في مريض قلب وعنده
+
+452
+00:31:14,970 --> 00:31:17,650
+مشكلة في القلب، بتمنجله من جسم لجسم بسيارة
+
+453
+00:31:17,650 --> 00:31:21,370
+الإسعاف، ممنوع الحركة، ممنوع التوتر، بيكون طبعا في
+
+454
+00:31:21,370 --> 00:31:25,250
+غرفة هادية، مافيش طبعا إزعاج، لأن طبعا كل ما توتر
+
+455
+00:31:25,250 --> 00:31:28,790
+أكتر، بإنها القلب هيضخ أكتر، وطبعا بزيد العبء على
+
+456
+00:31:28,790 --> 00:31:33,920
+القلب ونحس اللي بيكونطبعا الأهم وضع الجلوس لإنه
+
+457
+00:31:33,920 --> 00:31:37,740
+دايما المرضى اللي عنده مشكلة في الجهة السنفسي أو
+
+458
+00:31:37,740 --> 00:31:40,620
+في القلب يكون عندنا وضع ال .. بنسموه وضع الجلوس أو
+
+459
+00:31:40,620 --> 00:31:47,560
+نصف الجلوس وطبعا مريح لعضلة القلب أكتر طبعا
+
+460
+00:31:47,560 --> 00:31:50,220
+يعني توسيع الملابس أو فك الملابس لإن طبعا ممكن
+
+461
+00:31:50,220 --> 00:31:53,480
+يكون نفسيا هو يعني مضايق منها أكتر وطبعا أي حاجة
+
+462
+00:31:53,480 --> 00:31:56,580
+بيقولك إن أنا مخنوج .. مخنوج يعني هى بنضل أعيش
+
+463
+00:31:56,580 --> 00:32:01,060
+عامل نفسي كمان فيهاطبعا طعام و شراب لأنه بكله هذا
+
+464
+00:32:01,060 --> 00:32:04,480
+بيده مجهود و المجهود لأنه بتطلب ضخ الدم للمعدة
+
+465
+00:32:04,480 --> 00:32:07,140
+عساس انه طبعا تصير عملية الهضيمة و بالتالي يمنع
+
+466
+00:32:07,140 --> 00:32:11,520
+الأشياء هذه كلها يمنع أي شيء انه أثر سلبي على
+
+467
+00:32:11,520 --> 00:32:16,140
+القلب انه بيزود عمل القلب و بالتالي نشاط، حركة،
+
+468
+00:32:16,140 --> 00:32:20,160
+توتر، أكل، شرب لأنه هذا طبعا ايش كله هيزود نشاط
+
+469
+00:32:20,160 --> 00:32:25,960
+عضلة القلب طبعا العلاج الموصوف طبعا زي ما قلنا هو
+
+470
+00:32:25,960 --> 00:32:31,820
+الكرديل بساعد يعني نوعا ماأحيانا ممكن يتوقف القلب
+
+471
+00:32:31,820 --> 00:32:35,060
+في الحالة هذه احنا زي ما نقول نبدأ بعمل اتعاش
+
+472
+00:32:35,060 --> 00:32:38,780
+القلب الريئوي عساس انه يعني في نفس اللحظة اتوقف
+
+473
+00:32:38,780 --> 00:32:44,260
+القلب فمباشرة بنبدأ بتوقف القلب واحد يقول احنا اما
+
+474
+00:32:44,260 --> 00:32:47,300
+احنا اتعلمنا عساس نبدأ نشوف التنفس مبتدأ لما اتوقف
+
+475
+00:32:47,300 --> 00:32:51,780
+القلب اتوقف التنفس فمباشرة نبدأ و كده بتلاحظوا حتى
+
+476
+00:32:51,780 --> 00:32:55,080
+في الإسعاف الأولي او في سيارة الإسعاف ببدأ مباشرة
+
+477
+00:32:55,080 --> 00:33:00,570
+شخص وجع مرة واحدةوالقلب اتوقف معناه في تدليق عدلة
+
+478
+00:33:00,570 --> 00:33:04,610
+القلب ومن ثم اللي هي التنفس الاصطناعية ممكن بعد
+
+479
+00:33:04,610 --> 00:33:09,870
+تدليكي يرجع .. اه ممكن لأ احنا بنتكلم كاس افول
+
+480
+00:33:09,870 --> 00:33:12,290
+بسيط الأجهزة موجود دي سي شوك أو طبعا الصدمة
+
+481
+00:33:12,290 --> 00:33:14,870
+الكهربائية موجودة وهي طبعا قوة الصدمة الكهربائية
+
+482
+00:33:14,870 --> 00:33:21,210
+400 volt يعني جد الكهربا دي مرتين .. اه لأجيت احنا
+
+483
+00:33:21,210 --> 00:33:25,670
+بنتكلم على إنسان فجأة سيما خبر حاجة طب ساكت بطل
+
+484
+00:33:25,670 --> 00:33:29,570
+إيش القلب .. اه مباشر طالما ما نفش قلب يعمل ما نفش
+
+485
+00:33:29,570 --> 00:33:32,870
+نفس يعمل لإن بقولش أني والله قدامي كان ياكل ولا
+
+486
+00:33:32,870 --> 00:33:40,310
+أطلع .. مافيش .. مافيشمدام إذا كان مافيش سبب لتوقف
+
+487
+00:33:40,310 --> 00:33:44,070
+التنفس بالسبب الخارج مثلا بيأكل أو بيشرب، معناه
+
+488
+00:33:44,070 --> 00:33:48,590
+أنا بدأ أستكشف السبب، لكن واحد قاعد أمامي ورجال و
+
+489
+00:33:48,590 --> 00:33:52,830
+تمام تمام سمع خبر اللي هو يشبط الـ خلاص طب ساكن،
+
+490
+00:33:52,830 --> 00:33:55,790
+معناه هذا ما .. لا بدأ أقول والله في إنسداد مجرد
+
+491
+00:33:55,790 --> 00:33:58,890
+التنفس ولا كان حاجة يأكل ولا شيء، فطبعا أنا معروف
+
+492
+00:33:58,890 --> 00:34:02,250
+عند السبب أن القلب توقف، فمباشرة في اللحظة هذه بتم
+
+493
+00:34:02,250 --> 00:34:06,260
+عمل تضييق القلبطبعا؟ لأن احنا جولنا هنا .. لأن في
+
+494
+00:34:06,260 --> 00:34:09,300
+كمية هوا دخلت الرئتين فانا بدي أصرف كمية الهوا هذه
+
+495
+00:34:09,300 --> 00:34:12,080
+طب انا لو ضلت هنا دول اللي كان قادر و ماشتغلش بس
+
+496
+00:34:12,080 --> 00:34:16,300
+ممكن ان بعد فترة هدعب المدرسة اللي لازم تاخده احنا
+
+497
+00:34:16,300 --> 00:34:20,980
+جولنا و اجتيش او لأمتى بضل ان انا اشتغل اما انك
+
+498
+00:34:20,980 --> 00:34:27,220
+تتعبى او ايجي حد يساعدك او مافيش نتيجة من التعب
+
+499
+00:34:27,220 --> 00:34:29,360
+نفسه هذا كله مافيش نتيجة انه خلاص .. خلاص طبعا
+
+500
+00:34:29,360 --> 00:34:31,780
+مافيش .. مافيديش من أول دقيقة انا مابقدر أحكم على
+
+501
+00:34:31,780 --> 00:34:35,480
+الشخص انه ميت من أول دقيقةلأن طالما أن الجسم دافئ
+
+502
+00:34:35,480 --> 00:34:38,660
+و أنا بقى أشتغل معناه أيه فيه أمل في الحياة، يعني
+
+503
+00:34:38,660 --> 00:34:43,260
+أنا بقى لغاية لما المريض يستعيد وعيه أو أنا قبعا
+
+504
+00:34:43,260 --> 00:34:47,380
+أجهد أو ييجي حد يساعدني أو وصوله سيارة الإسعاف أو
+
+505
+00:34:47,380 --> 00:34:49,720
+مافيش عليها علامات حياة بالمرة، بقولش والله مثلا
+
+506
+00:34:49,720 --> 00:34:52,680
+بتبقى لي نص ساعة أشتغل معاهم، مافيش
+
+507
+00:34:57,240 --> 00:34:59,660
+طبعًا يعني كوقاية .. يعني ليس وقاية أهم حاجة ..
+
+508
+00:34:59,660 --> 00:35:02,660
+نتكلم .. نتعرف على أساس أنه التدخين و الأخذية
+
+509
+00:35:02,660 --> 00:35:06,860
+الدهنية و قلة الحركة و الناحية النفسية طبعًا و ال
+
+510
+00:35:06,860 --> 00:35:10,680
+.. إذا كان مريض مزمن يريد ياخد طبعًا علاجه طبعًا
+
+511
+00:35:10,680 --> 00:35:13,620
+دايما .. دايما يا أخواتنا بنعرف حاجة مهمة جدًا لكل
+
+512
+00:35:13,620 --> 00:35:18,280
+مرضى المزمنين أربع محاور مهمين المحور الأول الراحة
+
+513
+00:35:18,280 --> 00:35:24,100
+النفسية المحور التانيالعلاج الموظف على العلاج
+
+514
+00:35:24,100 --> 00:35:28,200
+بانتظام حتى لو كان عنده ضغط أو سكر ومنتظم المحور
+
+515
+00:35:28,200 --> 00:35:34,000
+التالت الحركة المحور الرابع الحمية لازم أربع
+
+516
+00:35:34,000 --> 00:35:37,640
+المحور دول طالما أنه مريض مزمن لازم يلتزم فيهم ما
+
+517
+00:35:37,640 --> 00:35:40,660
+بنفع يقول والله أنا عند مرض وماشاء الله السكر كويس
+
+518
+00:35:40,660 --> 00:35:43,940
+تمام تمام أو أنا متحمل لكن باخدش علاج لأ بدي أخد
+
+519
+00:35:43,940 --> 00:35:47,960
+علاج أخر
+
+520
+00:35:47,960 --> 00:35:51,650
+جزئية عندنا اللي هي الصدمةوالصدمة يا أخواتنا ليست
+
+521
+00:35:51,650 --> 00:35:55,070
+مقصود فيها إن إنسان صدم شيء معين أو ان صدم شيء
+
+522
+00:35:55,070 --> 00:35:59,490
+معين لأ طبعا هنا طبعا في منها أنواع في الحالة هذه
+
+523
+00:35:59,490 --> 00:36:02,510
+طبعا هي فشل الجهاز الدوري اللي هو طبعا القلب في
+
+524
+00:36:02,510 --> 00:36:05,870
+إرواء الأنتج بمعنى إنه غير قادر أن يوصل الدم
+
+525
+00:36:05,870 --> 00:36:11,550
+الكافي للأعضاء الحيوية للأعضاء الحيوية وهنا طبعا
+
+526
+00:36:11,550 --> 00:36:15,700
+مشكلةاحنا شئ طبيعي إن لو قلنا ماوصلش الجلد الدم
+
+527
+00:36:15,700 --> 00:36:19,640
+بكمية كافية فيه انتظار وفيه صبر لكن مايصلش الدم
+
+528
+00:36:19,640 --> 00:36:24,600
+للدماغ لفترة فيه خوف وإن احنا طبعا الدماغ يحتمل
+
+529
+00:36:24,600 --> 00:36:28,220
+أربع دقائق من عدم وصول الدم المحمل و السجين لكن
+
+530
+00:36:28,220 --> 00:36:31,920
+بعد الأربع دقائق هذه من أربع لستة فيه خطر يعني
+
+531
+00:36:31,920 --> 00:36:36,020
+عندنا رمزون أحمق برتقالي بعد هيكة بعد ست دقائق أي
+
+532
+00:36:36,020 --> 00:36:39,680
+منطقة ما بيصلها الدم من الدماغ طبعا معرضة لعلموت
+
+533
+00:36:42,780 --> 00:36:45,200
+طبعًا الصدمة يا أخواتنا في أنواع كتيرة، طبعًا
+
+534
+00:36:45,200 --> 00:36:48,820
+الأسباب هي الأنواع، نوع بنتج عن نقص السوائل، وحنا
+
+535
+00:36:48,820 --> 00:36:52,060
+نسميها طبعًا الصدمة الناتج عن نقص السوائل زي مثلًا
+
+536
+00:36:52,060 --> 00:36:56,200
+النزيف أو الإسهال أو الحروق، الحروق أه، الحروق أه،
+
+537
+00:36:56,200 --> 00:36:59,200
+لأن طبعًا ممكن نفقد كمية كبيرة من الدموع، الصدمة
+
+538
+00:36:59,200 --> 00:37:04,100
+العصبية، اللي هي طبعًا تعرض الإنسان لألم شديد، انت
+
+539
+00:37:04,100 --> 00:37:08,680
+مثلًا إنت واقفة خبط عيدك باب السيارة أو باب الباب،
+
+540
+00:37:08,680 --> 00:37:12,710
+القاعةهتلاقي فيه قلم، بالذات طبعاً عصابع النوع
+
+541
+00:37:12,710 --> 00:37:16,970
+التالت الصدمة التحسسيةنتيجة إنسان عنده حساسية من
+
+542
+00:37:16,970 --> 00:37:20,830
+نوع معين، من علاج، من أكل، من شرب، تمام؟ النوع
+
+543
+00:37:20,830 --> 00:37:25,290
+الرابع الصدمة التسممية، نتيجة طبعا مثلا نقول لد
+
+544
+00:37:25,290 --> 00:37:28,990
+غير الثعبان أو الحية، لأنه دخل سم داخل جسم
+
+545
+00:37:28,990 --> 00:37:34,010
+الإنسان، النوع الخامس الصدمة القلبية، بسبب مشكلة
+
+546
+00:37:34,010 --> 00:37:39,030
+في القلب، مثلا جلطة قلبية، النوع الثالث الصدمة
+
+547
+00:37:39,030 --> 00:37:41,970
+النفسية،
+
+548
+00:37:43,140 --> 00:37:47,640
+السابع الصدمة الكهربائيةطبعاً انت دايما بتعرفوا
+
+549
+00:37:47,640 --> 00:37:51,600
+أنه العصاب تعمل بالإشارات الكهربائية و لما يدخل
+
+550
+00:37:51,600 --> 00:37:55,380
+كمية كهربائية أعلى منها طبعاً ممكن تعيق عملها أو
+
+551
+00:37:55,380 --> 00:37:59,080
+تأثر عليها أو تعمل على تأيين اللي هي خلايا الدم
+
+552
+00:37:59,080 --> 00:38:03,060
+الحمراء و بالتالي بنخفض معدل ال hemoglobin عنده و
+
+553
+00:38:03,060 --> 00:38:05,420
+نقول أي إنسان مثلا تكهرب والله نسبة الدم عنده صارت
+
+554
+00:38:05,420 --> 00:38:09,040
+خمسة أو ستة hemoglobin يبقى هذه الأسباب اللي
+
+555
+00:38:09,040 --> 00:38:12,980
+خلاناها هي طبعاً صدمة لها علاقة بالأوعي الدموية زي
+
+556
+00:38:12,980 --> 00:38:17,150
+ما قلناها ليها علاقة بالقلب صدمة قلبية كمانولا
+
+557
+00:38:17,150 --> 00:38:20,730
+علاقة بالقلب صدمة كهربائية طبعا بس جايبين بعض
+
+558
+00:38:20,730 --> 00:38:23,470
+الأسباب بالاربع لكن احنا اللي اتكلمت عنهم هي أشياء
+
+559
+00:38:23,470 --> 00:38:30,790
+تانية إضافية أعراض الصدمة لما نشوف أي إنسان أنا
+
+560
+00:38:30,790 --> 00:38:37,380
+أقولك مثلا .. نقول مثلا إنسان شاف منظر مخيفأول
+
+561
+00:38:37,380 --> 00:38:42,540
+حاجة تقول ما لونك متغير، مصفر، ليش لونك شاحب هيك؟
+
+562
+00:38:42,540 --> 00:38:46,640
+ما العينك شايفك انك ضايق؟ او هو بيقولك والله انا
+
+563
+00:38:46,640 --> 00:38:50,360
+حاسس حالي ضايق؟ او عينايا زغلله؟ بتحسي ان في عرق
+
+564
+00:38:50,360 --> 00:38:57,180
+بارد؟ طبعا ممكن يكون في رجفة؟ طبعا ممكن في نفس
+
+565
+00:38:57,180 --> 00:39:01,150
+الوقت بتنفس بزيادة؟في نفس الوقت ممكن يكون عنده
+
+566
+00:39:01,150 --> 00:39:04,310
+زيادة في عدد جات القلب طبعا هذه الأسباب يا أخواتنا
+
+567
+00:39:04,310 --> 00:39:08,290
+أنه يعني ربنا سبحانه وتعالى زي ما قلنا فيه أن
+
+568
+00:39:08,290 --> 00:39:11,450
+أشياء زي ردة فعل وهي طبعا بيشتغل فيها الجهاز
+
+569
+00:39:11,450 --> 00:39:14,490
+العصبي اللي هو الإراد واللا إراد فكان ردة فعل
+
+570
+00:39:14,490 --> 00:39:15,810
+الجهاز العصبي اللي هو الإراد اللي هو الإراد اللي
+
+571
+00:39:15,810 --> 00:39:17,390
+هو الإراد اللي هو الإراد اللي هو الإراد اللي هو
+
+572
+00:39:17,390 --> 00:39:19,130
+الإراد اللي هو الإراد اللي هو الإراد اللي هو
+
+573
+00:39:19,130 --> 00:39:20,790
+الإراد اللي هو الإراد اللي هو الإراد اللي هو
+
+574
+00:39:20,790 --> 00:39:21,090
+الإراد اللي هو الإراد اللي هو الإراد اللي هو
+
+575
+00:39:21,090 --> 00:39:26,490
+الإراد اللي هو الإراد اللي هو الإراد اللي هو
+
+576
+00:39:26,490 --> 00:39:33,640
+الإراد اللمع طبعا ايش؟ اتساع الأوعد نموية داخلية
+
+577
+00:39:33,640 --> 00:39:40,520
+وبالتالي هنا بيصير عندنا الجلد شاحب ومصفر لأنه بطل
+
+578
+00:39:40,520 --> 00:39:44,740
+يصل كمية دم كافية للجلد مع زيادة في معدل التنفس
+
+579
+00:39:44,740 --> 00:39:47,420
+طبعا زيادة في معدل التنفس ليش؟ لأنه في عنده زيادة
+
+580
+00:39:47,420 --> 00:39:51,160
+في عدد درجات القلب عشان يصير أكسجة لأ الدم المواصل
+
+581
+00:39:51,160 --> 00:39:55,660
+لالرئتين و تم طبعا حمله لأعضاء الحيويةوبالتالي من
+
+582
+00:39:55,660 --> 00:39:59,600
+أعراض الصدمة، فيه إرهاق وعصبية ودوار وفقدان
+
+583
+00:39:59,600 --> 00:40:02,580
+التركيز، هذه الإشارات إخواتنا، اللي علاقة بالجهاز
+
+584
+00:40:02,580 --> 00:40:06,920
+العصبي، اللي طبعا عصبية ودوار وزغللة وعدم التوازن
+
+585
+00:40:06,920 --> 00:40:10,800
+وممكن طبعا نفقد وعي ونجي على الأرض، تمام؟ العامل
+
+586
+00:40:10,800 --> 00:40:13,920
+التالع عرضنا نبض سريع وضعيف، إيش يعني نبض سريع
+
+587
+00:40:13,920 --> 00:40:18,000
+وضعيف؟يعني لما نقول ان احنا في ضيق في القمعية
+
+588
+00:40:18,000 --> 00:40:20,780
+الدموية الترافية و في اتساع في القمعية الدموية
+
+589
+00:40:20,780 --> 00:40:23,340
+الداخلية تمام هجيت لما اقول انا والله عندى مثلا
+
+590
+00:40:23,340 --> 00:40:27,380
+باربيش ضيق و باربيش واسع و ماخدين اتنين من نفس
+
+591
+00:40:27,380 --> 00:40:32,280
+الحنفية الميه تمام نفس المصدر ال باربيش الضيق لو
+
+592
+00:40:32,280 --> 00:40:35,830
+احنا اذينا نضغط عليه بنشعر انه مليانالميّه ماشية
+
+593
+00:40:35,830 --> 00:40:40,050
+مش علومية، لكن البربيش الواسع لو ضغطنا عليه في
+
+594
+00:40:40,050 --> 00:40:43,890
+ضعف، وده نفس الحاجة اللي بيصير، وبالتالي في حال
+
+595
+00:40:43,890 --> 00:40:48,310
+الصدمة بيصير نبض سريع وضعيف، ضعيف من ناحية القوة،
+
+596
+00:40:48,310 --> 00:40:51,630
+مش من ناحية طبعا دفاع الدم، من ناحية تساعل الوعاء
+
+597
+00:40:51,630 --> 00:40:57,540
+الدم وهذا، فبيصير ضعفضغط دم منخفض لأنه صار عنده
+
+598
+00:40:57,540 --> 00:41:00,820
+تسعة في الأواعي الدموية، تمام؟ وهذا طبعا أحيانا
+
+599
+00:41:00,820 --> 00:41:04,740
+بعض الناس طبعا ممكن يفقد وعيه بسبب أيضا انخفاض في
+
+600
+00:41:04,740 --> 00:41:08,920
+ضغط الدم، ضغط الدم وصل عنده مثلا تمانين على خمسين،
+
+601
+00:41:08,920 --> 00:41:13,640
+تمانين على ستين، هذا طبعا فيه خطورة زيادة في معدل
+
+602
+00:41:13,640 --> 00:41:15,840
+التنفس، طبعا في انا زيادة في معدل القلب، في زيادة
+
+603
+00:41:15,840 --> 00:41:19,840
+في معدل التنفس، عطش متزايد لأنه بيصير عندها أنا
+
+604
+00:41:19,840 --> 00:41:26,090
+طبعا ساحب كمية من السوائل للأواعي الدمويةغثيان أو
+
+605
+00:41:26,090 --> 00:41:29,870
+قيء طبعا احنا ليس بتضرر كل عرض تحصل لكن هذا ممكن
+
+606
+00:41:29,870 --> 00:41:34,990
+نصنع شحوب الجلد وهذا مميز واضح جدا لو انسان خاف
+
+607
+00:41:34,990 --> 00:41:40,990
+تظهر عليه العلمة لكلها طبعا
+
+608
+00:41:40,990 --> 00:41:44,410
+أهم حاجة بالنسبة للصدمة يا أخواتنا تلت أشياء
+
+609
+00:41:44,410 --> 00:41:52,320
+أساسية أولا ال ابدوفير انا ال oxygenبتوفر طبعا
+
+610
+00:41:52,320 --> 00:41:57,440
+أحسن الدور الدموية تمام؟ وحافظ على حرارة الشخص هذا
+
+611
+00:41:57,440 --> 00:42:00,020
+لكن جاب الأشياء دي كلها يطمنت الشخص اللي هي
+
+612
+00:42:00,020 --> 00:42:03,420
+الناحية النفسية طبعا أنا بدي أختار فيه واضع مناسب
+
+613
+00:42:03,420 --> 00:42:07,380
+عشان أشوف و أرجع بالصورة الواضح هذا بأمنلي التلت
+
+614
+00:42:07,380 --> 00:42:10,160
+أهداف اللي أنا بدي أتكلم عليها
+
+615
+00:42:13,020 --> 00:42:16,000
+طبعا الطمأنة و تشجيع المصاب على الراحة و الاستلخاء
+
+616
+00:42:16,000 --> 00:42:19,360
+على الأرض طبعا الوضع هنا يا اخواننا طبعا احنا ممكن
+
+617
+00:42:19,360 --> 00:42:22,720
+نلاحظ اذا كان في نزيف او مافيش نزيف كمان للاطمئنان
+
+618
+00:42:22,720 --> 00:42:26,100
+اذا كان مثلا لدغته ثعبان او عجراب وغيرها طبعا
+
+619
+00:42:26,100 --> 00:42:29,460
+هنتكلم معانا في محاضرة بعد كده بموضوع التسمم لكن
+
+620
+00:42:29,460 --> 00:42:32,960
+هنا لاحظين يا اخواننا هنا الموضوع هذا هدوم بالصورة
+
+621
+00:42:32,960 --> 00:42:36,220
+هذه طبعا هنا بدي أمنلي
+
+622
+00:42:40,340 --> 00:42:45,480
+تلت أشياء مهمة تلت أشياء مهمة هذا الوضع بدي أؤمن
+
+623
+00:42:45,480 --> 00:42:49,500
+ليه و هذا طبعا في حال الغماء في حال طبعا الصدمة أي
+
+624
+00:42:49,500 --> 00:42:53,060
+نوع من النوع الصدمة طبعا بعد ما اتأكد أو بعد ما
+
+625
+00:42:53,060 --> 00:42:57,880
+اتعامل مع السبب لكن واحد مثلا اتعرض لموقف صادم
+
+626
+00:42:57,880 --> 00:43:03,460
+واحد مثلا مثلا خبط عيده الباب نتيجة الألم مافيش
+
+627
+00:43:03,460 --> 00:43:06,840
+طبعا نزيب بس نتيجة الألم فالوضع هذا هو وضع المهم
+
+628
+00:43:07,360 --> 00:43:10,620
+أنا في الحالة هذه لاحظين بدي أحافظ على معدل على
+
+629
+00:43:10,620 --> 00:43:15,500
+التنفس باتجاه الرأس لإيش لناحية مع رفع إيش الذقن
+
+630
+00:43:15,500 --> 00:43:18,240
+لأعلى يبقى هذا هي مجلة التنفس اللي بتوفرلي ال
+
+631
+00:43:18,240 --> 00:43:20,980
+oxygen يبقى أول حاجة بتوفرلي ال oxygen تاني حاجة
+
+632
+00:43:20,980 --> 00:43:24,700
+توفير كمية من الدم طبعا دايما الطرفين السفليين
+
+633
+00:43:24,700 --> 00:43:28,300
+فيهم كمية كبيرة من الدم فأنا رفعهم هنا بأد إلى
+
+634
+00:43:28,300 --> 00:43:32,560
+سهولة عولة الدم لمين؟ لمنطقة القلب عشان القلب يضخ
+
+635
+00:43:32,560 --> 00:43:37,370
+ويظل يستمرخامة التالت حاجة أنا بقوم بتغطية المصاب
+
+636
+00:43:37,370 --> 00:43:40,930
+هذا عشان أحافظ على الحرارة طبعا ليش أنا ب .. طبعا
+
+637
+00:43:40,930 --> 00:43:44,230
+محافظة الحرارة إيش الهدف منها محافظتي على الحرارة
+
+638
+00:43:44,230 --> 00:43:47,730
+عشان الجسم مايولدش طاقة زيادة ويستهلك كمية من ال
+
+639
+00:43:47,730 --> 00:43:50,530
+oxygen وبالتالي أنا بحافظ عليها يبقى تلت أشياء
+
+640
+00:43:50,530 --> 00:43:54,350
+أساسية المحافظة على حرارة الجسم توفير ال oxygen
+
+641
+00:43:54,350 --> 00:43:57,690
+الكافي والمحافظة على الدورة الدموية وبالتالي يا
+
+642
+00:43:57,690 --> 00:44:01,090
+أخواننا هذا طبعا أنا بستخدم هذه في حال أن أنا
+
+643
+00:44:01,090 --> 00:44:05,080
+سيطرت على السببيعني مثلا إنسان هذا عنده نزيف أنت
+
+644
+00:44:05,080 --> 00:44:09,200
+عملت معاه نزيف، الشخص هذا مثلا عنده ألم، أنا يعني
+
+645
+00:44:09,200 --> 00:44:12,380
+اللي .. بتضغط في وضع هذا عشان أقلل الألم أو أضغط
+
+646
+00:44:12,380 --> 00:44:17,060
+على مكان الألم، الشخص مثلا زي كدهعنده مثلا الحروق
+
+647
+00:44:17,060 --> 00:44:19,800
+انا كبري اتعامل مع الحروق لكن لما اقول ان انا
+
+648
+00:44:19,800 --> 00:44:23,520
+انسان اتعرض لصدمه نفسية او مثلا لألم بدون مثلا
+
+649
+00:44:23,520 --> 00:44:27,340
+جروح فهو الوضع هذا انسان مثلا قدامي سمع خبر سيء او
+
+650
+00:44:27,340 --> 00:44:30,240
+حاجة وجه على الأرض او لجيت لون اللي بيقول حاسس
+
+651
+00:44:30,240 --> 00:44:33,200
+حالي اني ضايق مثلا او لون أسفر مباشرة نايمي على
+
+652
+00:44:33,200 --> 00:44:39,000
+الأرض تمام وارفع الساقين ووجهه على ناحية وغطيهليش؟
+
+653
+00:44:39,000 --> 00:44:42,060
+عشان مايفخدش حرارة زيادة عن اللازمة هذا بالنسبة
+
+654
+00:44:42,060 --> 00:44:45,100
+للوضع اللي احنا بسميه وضع الصدمة وهو طبعا الوضع
+
+655
+00:44:45,100 --> 00:44:48,640
+يستخدم في الحالات اللي ممكن يشعر فيها الإنسان
+
+656
+00:44:48,640 --> 00:44:53,260
+بالإغماق أو بالصدمة حيث بيكون هنا موضوع اللي هو
+
+657
+00:44:53,260 --> 00:44:56,860
+الصدرات الجهازي الدوري وإن شاء الله طبعا نكون
+
+658
+00:44:56,860 --> 00:45:00,940
+قادرين نوصل المعلومات اللي قلت فيكوا وربنا يحميكوا
+
+659
+00:45:00,940 --> 00:45:02,960
+ويمتعكوا بالصح والعافية رب العالمين
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/49r8S2SNwkw_raw.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/49r8S2SNwkw_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..42a6754547a909c893cf0a3e1b12aaf8b50b5696
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/49r8S2SNwkw_raw.srt
@@ -0,0 +1,1992 @@
+1
+00:00:05,210 --> 00:00:07,130
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:07,130 --> 00:00:09,250
+الرحيم والصلاة والسلام على أشرف المرسلين سيدنا
+
+3
+00:00:09,250 --> 00:00:12,630
+محمد وليه والسلام عليه واسلم اتكلمنا على يعني
+
+4
+00:00:12,630 --> 00:00:15,750
+العديد من المواضيع من ضمنها إصابات الجهاز التنفسي
+
+5
+00:00:15,750 --> 00:00:18,930
+وإصابات الجهاز الدوري اليوم يعني هنتكلم برضه على
+
+6
+00:00:18,930 --> 00:00:23,330
+موضوع يعني إحنا في مقدورنا أن نسعف بالحالات اللي
+
+7
+00:00:23,330 --> 00:00:27,370
+ممكن يعني تكون ضحية لهذا الموضوع على وهو طبعا
+
+8
+00:00:27,370 --> 00:00:31,950
+موضوع الجروح وطبعا كلمة جرح يعني مجرد أن أسمع كلمة
+
+9
+00:00:31,950 --> 00:00:35,450
+جرح معناه أن أنا ممكن أشوف دملكن طبعا الجروح برضه
+
+10
+00:00:35,450 --> 00:00:37,910
+منها أنواع وبالتالي احنا اليوم هنتكلم إيش هذه
+
+11
+00:00:37,910 --> 00:00:42,110
+الأنواع؟ إيش طبيعتها؟ كيف أنا ممكن أعرف أنواعها؟
+
+12
+00:00:42,110 --> 00:00:45,030
+كيف أنا ممكن أقدم خدمة إسعاف أول لها ساعة الحدث أو
+
+13
+00:00:45,030 --> 00:00:45,910
+ما بعد الحدث؟
+
+14
+00:00:49,880 --> 00:00:53,040
+طبعا يعني كبداية احنا مجرد نعرف ان كلمة جرح يعني
+
+15
+00:00:53,040 --> 00:00:56,240
+حاجة بتخص الجلد و هذا طبعا شيء طبيعي بقولش والله
+
+16
+00:00:56,240 --> 00:00:59,520
+ان جرح من بطنه يعني حاجة .. لأ طبعا شيء طبيعي انه
+
+17
+00:00:59,520 --> 00:01:03,260
+آلة حادة او شيء أثر على الجلد و أدى الى جرح او عدم
+
+18
+00:01:03,260 --> 00:01:06,840
+تواصل في هذا الجرح و بالتالي الجرح .. الجلد بحد
+
+19
+00:01:06,840 --> 00:01:10,380
+ذاته طبعا بتكون من طبقتين طبعا هي طبقة البشرة زي
+
+20
+00:01:10,380 --> 00:01:15,170
+ما انتوا شايفينها هناأنا هي خواتنا وطبقة الأدمة،
+
+21
+00:01:15,170 --> 00:01:17,510
+طبعا حتى اسم آدم يعني .. الأدم .. طبعا الأدم
+
+22
+00:01:17,510 --> 00:01:22,030
+معناها التراب يعني، تمام؟ وبالتالي هنا يعني البشرة
+
+23
+00:01:22,030 --> 00:01:25,750
+هذه الطبقة الصفحية الخارجية اللي هي احنا موجودة، و
+
+24
+00:01:25,750 --> 00:01:28,690
+الجلد بحد ذاته هو أكبر عضو بيمثل جسم الإنسان من
+
+25
+00:01:28,690 --> 00:01:31,660
+ناحية المساحةطبعا إن وظائف عديدة، يمكن لو اتكلمنا
+
+26
+00:01:31,660 --> 00:01:35,000
+عن وظائف الجل طبعا وظائف عديدة منها تنظيم الحرارة،
+
+27
+00:01:35,000 --> 00:01:38,620
+منها المساعدة على تحويل فيتامين دال غير ناشط إلى
+
+28
+00:01:38,620 --> 00:01:41,580
+فيتامين دال ناشط بتعرضه لشعة الشمس طبعا فوق
+
+29
+00:01:41,580 --> 00:01:46,100
+بنفسجية، طبعا زي ما قلنا التخلص من اللي هي العرق
+
+30
+00:01:46,100 --> 00:01:50,510
+والمواد الضارة للجسمالجلد بحد ذاته بنعطينا المنظر
+
+31
+00:01:50,510 --> 00:01:53,450
+الجمالي تخيل إنسان بدون جلد كيف بيكون المنظر؟
+
+32
+00:01:53,450 --> 00:01:55,970
+وبالتالي وظائف الجلد عديدة لكن جوحنا من ناحية
+
+33
+00:01:55,970 --> 00:01:58,770
+تشريحية يعني في عندنا الطبقة الأولى اللي هي طبقة
+
+34
+00:01:58,770 --> 00:02:02,890
+البشرة وهذه طبعا طبقات يعني مكونة من نتيجة طلائي
+
+35
+00:02:02,890 --> 00:02:05,110
+اللي هم سميه طبعا epithelia ال tissue وهذه طبعا
+
+36
+00:02:05,110 --> 00:02:09,670
+طلائية يعني يعني مجرد أن هذه الطبقة موجودة خارجية
+
+37
+00:02:09,670 --> 00:02:12,770
+معناها تركيبها يختلف عن الطبقات الموجودة أسفل منها
+
+38
+00:02:12,960 --> 00:02:16,640
+فالطبقة هذه طبقات لكن فيها طبقة مهمة جدا اللي هي
+
+39
+00:02:16,640 --> 00:02:20,500
+الطبقة القاعدية وهي الطبقة المسؤولة عن نمو الجلد
+
+40
+00:02:20,500 --> 00:02:23,880
+مرتانة بالصورة الطبيعية، بمعنى لو الطبقة هذه
+
+41
+00:02:23,880 --> 00:02:28,730
+القاعدية .. الطبقة هذه القاعدية لو راحتطبعاً هي
+
+42
+00:02:28,730 --> 00:02:32,770
+رقيقة جداً وبالتالي هنا لما بيصير عملية ترقيع
+
+43
+00:02:32,770 --> 00:02:38,110
+للجلد أو تجميل بيأخذ هذه الطبقة وهي رقيقة جدا يعني
+
+44
+00:02:38,110 --> 00:02:42,630
+مثلا زي الشاشة البسيطة وهذه طبعا بتتم زناعتها في
+
+45
+00:02:42,630 --> 00:02:45,530
+أماكن أخرى لو كان فيها عندنا تشوهات لو إنسان مثلا
+
+46
+00:02:45,530 --> 00:02:49,330
+كان عنده حروق وصار عنده تشوهات بتم أخذ طبقة رقيقة
+
+47
+00:02:49,330 --> 00:02:54,300
+جدا موجودة فيها الطبقة القاعدية عشان الجلديظهر أو
+
+48
+00:02:54,300 --> 00:02:57,140
+ينمو مرة تانية وخاصة طب نقول احنا من الإنسان بحد
+
+49
+00:02:57,140 --> 00:03:00,320
+ذاته يعني في أماكن معينة تأخذ هذه الطبقة منها عشان
+
+50
+00:03:00,320 --> 00:03:04,120
+تصير زراعتها في مكان آخر في نفس جسم الإنسان ويتم
+
+51
+00:03:04,120 --> 00:03:07,560
+طبعا نموها من أول جديد وتنمو بخلايا جديدة طبيعية
+
+52
+00:03:09,350 --> 00:03:12,150
+طبعًا، هذه الطبقة أحيانًا ممكن تنمو لو أي جرح
+
+53
+00:03:12,150 --> 00:03:16,470
+مثلًا صار للإنسان، ممكن يصير فينا التهاب أو تدمير
+
+54
+00:03:16,470 --> 00:03:20,890
+للطبقة هذه، في حال إنه دلت الطبقة هذه موجودة،
+
+55
+00:03:20,890 --> 00:03:23,830
+الجلد برجع بصورته الطبيعية، مع أن مافيش تشوّق، زي
+
+56
+00:03:23,830 --> 00:03:26,790
+ما يقول مثلًا، عنا حروقدرجة أولى أو حروق درجة
+
+57
+00:03:26,790 --> 00:03:30,970
+ثانية الطبقة ماتدمرت تمام القاعدية برجع الجلد كما
+
+58
+00:03:30,970 --> 00:03:33,830
+هو أحيان بطبعا يصير بعض التلوين فيه لكن لما أقول
+
+59
+00:03:33,830 --> 00:03:37,770
+مثلا أن حروق من الدرجة الثالثة أو مثلا صار تدمير
+
+60
+00:03:37,770 --> 00:03:41,750
+للخلايا كلها طبعا .. طبعا الجلد بتدمر و الطبقة
+
+61
+00:03:41,750 --> 00:03:45,630
+القاعدية هذه بتروح معناه أنه هيطلع لجلد أو نسيج
+
+62
+00:03:45,630 --> 00:03:49,920
+ليفيوهذا طبعاً النوع الأول اللي بيرجع لوضعه
+
+63
+00:03:49,920 --> 00:03:53,980
+الطبيعي نسميه التقام القصدي الأول بمعنى مافيش أي
+
+64
+00:03:53,980 --> 00:03:57,560
+مضاعفات، بمعنى أن الطبق القاعدية موجودة، النوع
+
+65
+00:03:57,560 --> 00:04:01,000
+التاني لو صار عند مثلا التهاب، تمام؟ وهذا الطبق
+
+66
+00:04:01,000 --> 00:04:04,040
+القاعدية تم تدميرها، مثلا إن إنسان عمل عملية
+
+67
+00:04:04,040 --> 00:04:07,300
+جراحية أو صار تهت كل المنطقة هذه كلها، بيصير أن
+
+68
+00:04:07,300 --> 00:04:10,880
+التقام القصدي الثاني، طبعا هو second intention
+
+69
+00:04:10,880 --> 00:04:13,780
+وfirst intention، intention، بمعنى أن الطبق
+
+70
+00:04:13,780 --> 00:04:18,380
+القاعدية زالت،يعني طبعا تم انتزاحها أو تدميرها،
+
+71
+00:04:18,380 --> 00:04:23,100
+إذا النسيج اللي هيكون ظاهر عندنا ومتجدد هو نسيج
+
+72
+00:04:23,100 --> 00:04:26,580
+ليفي، وطبعا احنا ممكن نلاحظه لبعض الناس اللي صار
+
+73
+00:04:26,580 --> 00:04:29,900
+عنهم تدمير للطبقة القاعدية هذه، بنلاحظ وقت البرد
+
+74
+00:04:29,900 --> 00:04:33,660
+الشديد اللون المنطق اللي صار تدمير فيها، لون غامق
+
+75
+00:04:34,180 --> 00:04:38,240
+وطبعا هذه منطقة هشة يعني سهل أن تنجرها ومنطقة لو
+
+76
+00:04:38,240 --> 00:04:42,160
+انجرحت فيها نزيف كمية أكبر وبالتالي لو صار تدمير
+
+77
+00:04:42,160 --> 00:04:47,060
+للمنطقة هذه يلتأم الجرح بحاجة مسمية التقام القصد
+
+78
+00:04:47,060 --> 00:04:51,340
+الثاني لكن في حال أن الطبقة القاعدية دلت كما هي
+
+79
+00:04:51,340 --> 00:04:54,980
+وما صار إليها تدمير يعني صارت إصابة لكن دلتها بصير
+
+80
+00:04:54,980 --> 00:04:58,500
+التقام القصد الأول بمعنى أن الخلايا هتنموا بصورة
+
+81
+00:04:58,500 --> 00:05:04,050
+طبيعية وكأن شئ لم يكناللون الطبيعي يعني فى حال
+
+82
+00:05:04,050 --> 00:05:07,210
+حروق
+
+83
+00:05:07,210 --> 00:05:09,250
+الدرجة الأولى مافيش مشكلة الدرجة التانية بصير
+
+84
+00:05:09,250 --> 00:05:09,730
+تلوين
+
+85
+00:05:12,290 --> 00:05:15,010
+أه بس لأ بكون فيها ثقاجية وانت مش محددها درجة
+
+86
+00:05:15,010 --> 00:05:17,870
+أولى، الدرجة الأولى مابتتركش أي أثر، هنتكلم عليها،
+
+87
+00:05:17,870 --> 00:05:21,290
+الدرجة طبعا الثانية بتطيب 100% لكن بيبقى لها
+
+88
+00:05:21,290 --> 00:05:24,630
+تلوين، لكن مابصيرش تشوه، فالدرجة التالتة بصير
+
+89
+00:05:24,630 --> 00:05:28,210
+تشوه، أولى و تانية مافيش تشوه، أولى مافيش أثر،
+
+90
+00:05:28,210 --> 00:05:31,570
+تانية مافيش أثر لكن فيه تلوين، تالتة فيه تدمير
+
+91
+00:05:31,570 --> 00:05:33,370
+وتحتاج إلى عمل ترقي أو تجميل
+
+92
+00:05:36,230 --> 00:05:40,110
+طبعاً الطبقة التانية اللي طبقة الأدمة .. طبعا طبقة
+
+93
+00:05:40,110 --> 00:05:43,170
+الأدمة هذه زي ما احنا شايفينها اخوات هنا .. هدا هي
+
+94
+00:05:43,170 --> 00:05:47,270
+و هاد الطبقة اللي فيها طبعا الأوعية الدموية و فيها
+
+95
+00:05:47,270 --> 00:05:51,110
+نهايات الأعصاب و فيها طبعا ال .. ال .. ال .. بصيلة
+
+96
+00:05:51,110 --> 00:05:53,630
+الشعرة و هاد طبعا كله .. و هاد الطبقة لو احنا
+
+97
+00:05:53,630 --> 00:05:56,590
+وصلنا أيه لها معناه احنا اخترقنا الطبقة القاعدية
+
+98
+00:05:56,590 --> 00:05:59,830
+او اخترقنا طبقة البشرة و بالتالي لو صار تدمير
+
+99
+00:05:59,830 --> 00:06:04,410
+للطبقة القاعدية هنصل لطبقة الأدمةطبقة الأدمة زي ما
+
+100
+00:06:04,410 --> 00:06:07,470
+احنا شايفينها يا أخواتنا طبعا فيها نهايات الأعصاب،
+
+101
+00:06:07,470 --> 00:06:10,650
+طبعا فيها بصيلة الشعرة، فيها الأوعي الدموية، بمعنى
+
+102
+00:06:10,650 --> 00:06:13,890
+لو احنا اخترقنا الطبقة السطحية هذه البشرة، هنصل
+
+103
+00:06:13,890 --> 00:06:17,850
+لمنطقة تؤدي إلى نزيف، والنزيف طبعا حسب، كل مكان
+
+104
+00:06:17,850 --> 00:06:20,850
+أعمق، كل مكان كمية الدم النازف أكثر
+
+105
+00:06:25,790 --> 00:06:28,690
+طبعا الجرح بحد ذاته زي ما احنا اتكلمنا يعني شرخ او
+
+106
+00:06:28,690 --> 00:06:32,890
+تفرق او تمزق يحدث في أنسبة الجسم الخارجية او
+
+107
+00:06:32,890 --> 00:06:37,010
+الداخلية يعني في عندنا ممكن يكون نزيف داخلي او جرح
+
+108
+00:06:37,010 --> 00:06:40,690
+داخلي، انسان مثلا بلع دبوس، بلع شفرة، بلع اي حاجة،
+
+109
+00:06:40,690 --> 00:06:44,850
+ممكن يؤدي طبعا إلى جرح طبعا الجروح هذه ممكن تكون
+
+110
+00:06:44,850 --> 00:06:48,010
+نتيجة ضربة و ليس منكون آلة حادة، واحد انسان وجع
+
+111
+00:06:48,010 --> 00:06:52,190
+على ايده مثلا جسم ثقيل او خبط عليه او سكر على ايده
+
+112
+00:06:52,190 --> 00:06:55,050
+الباب مثلا طبعا هذا بيؤدي إيش إلى جروح
+
+113
+00:06:57,790 --> 00:07:00,350
+طب الجروح منها يا أخواتنا نوعين، طب فيها إن جروح
+
+114
+00:07:00,350 --> 00:07:04,990
+مفتوح وجرح مغلق، أي جرح مفتوح معناه يصاحب نزيف
+
+115
+00:07:04,990 --> 00:07:09,930
+للخارج، ممكن يكون عندنا جروح مغلقة لكن فيها نزيف
+
+116
+00:07:09,930 --> 00:07:15,000
+يبقى تحت الجلداه ال .. ال .. النزيف اللى موجود تحت
+
+117
+00:07:15,000 --> 00:07:19,280
+الجلد هذا ع سبيل مثال الكدمات انت قاعدة بتعمل
+
+118
+00:07:19,280 --> 00:07:23,080
+الصلاة تخبطت على ايدك صار ايش كدمة؟ و جعل ايدك
+
+119
+00:07:23,080 --> 00:07:27,620
+مثلا جسم ثقيل او حجر او اي قلة مثلا ثقيلة نقول
+
+120
+00:07:27,620 --> 00:07:30,760
+احنا بالعربي حبس الدم، تمام؟ هذه مسمية احنا
+
+121
+00:07:30,760 --> 00:07:35,060
+الكدمات طبعا هنتعرف ايش طبيعة هذه الجروح و ايش
+
+122
+00:07:35,060 --> 00:07:38,900
+طبيعة الجروح هذا و كيف ممكن نتعامل معاه الجرح
+
+123
+00:07:38,900 --> 00:07:43,150
+المفتوح معناه صار فيه قطعوخروج الدم أما بالنسبة
+
+124
+00:07:43,150 --> 00:07:46,610
+للجروح المغلق الدم لازال موجود وقت ما هنسميه إيش
+
+125
+00:07:46,610 --> 00:07:51,950
+الكدمات فضلي
+
+126
+00:07:51,950 --> 00:08:00,030
+.. فضلي أه صحيح
+
+127
+00:08:02,400 --> 00:08:06,280
+أحنا إنتي استبقتي السؤال إنه جاي معانا الجميع
+
+128
+00:08:06,280 --> 00:08:08,780
+يعني، لو ما جاوبنهوش بتسألي نتكملينه يعني، ماشي
+
+129
+00:08:08,780 --> 00:08:11,760
+محترم رأيك طبعا الجروح المغلقة، نبدأ بالجروح
+
+130
+00:08:11,760 --> 00:08:16,300
+المغلقة، تمام؟ الجروح المغلقة هي زي ما حكينا مثلا
+
+131
+00:08:16,300 --> 00:08:21,520
+هي مغلقة وفيها الكدمات، تمام؟ آه الكدمات، عاد هذه
+
+132
+00:08:21,520 --> 00:08:28,680
+الكدمات موجود فيها نزيف تحت الجلد، تمام؟ النزيفة
+
+133
+00:08:28,680 --> 00:08:32,900
+ده ماخرج براطبعا انا مابدي يخرج برا عمل صناعي انه
+
+134
+00:08:32,900 --> 00:08:36,660
+يخرج برا لكن في احنا آلات او أشياء و آلية احنا
+
+135
+00:08:36,660 --> 00:08:40,600
+بيستخدمها ممكن تخفف من النزيف هذا او حد تكلم عليه
+
+136
+00:08:40,600 --> 00:08:43,660
+طبعا في حد نتكلم على إسعاف الجروح المغرام ..اشي
+
+137
+00:08:43,660 --> 00:08:46,640
+اللي بيميزها زي ما اتفضلت بيكون في البداية لون
+
+138
+00:08:46,640 --> 00:08:50,760
+محمر الدم لأنه خرج من مكانه الطبيعي بعدين بتلون و
+
+139
+00:08:50,760 --> 00:08:54,440
+بصير لون أزرق بعدين غامق شوي شوي وبصير أياش أسوان
+
+140
+00:08:55,020 --> 00:08:57,040
+طب ما اللي بيصير هنا إخواتنا، أنا بدي أستبق
+
+141
+00:08:57,040 --> 00:09:00,920
+الموضوع هذا و أحكي فيه إن في حال إسعاف الجروح
+
+142
+00:09:00,920 --> 00:09:07,380
+المغلقة إحنا بمستخدم كمادات ميّه باردة الهدف منها
+
+143
+00:09:07,380 --> 00:09:12,380
+تضييق الأوعيه الدموية عشان نخفف حدة النزيف لكن
+
+144
+00:09:12,380 --> 00:09:17,780
+التاني يوم بدي أستخدم كمادات ميّه دافيةعشان أزود
+
+145
+00:09:17,780 --> 00:09:21,380
+كمية الدم اللي موجود هنا والدم هذا بدي ييجي عشان
+
+146
+00:09:21,380 --> 00:09:24,560
+يعمل يعمل التنظيف للأجسام الغريبة لأن الدم اللي
+
+147
+00:09:24,560 --> 00:09:29,290
+كان طبيعيصار غريب لأنه خرج من مكانه الطبيعي
+
+148
+00:09:29,290 --> 00:09:33,370
+وبالتالي هنا بنلاحظ أن أول يوم بتكون يعني صلبة
+
+149
+00:09:33,370 --> 00:09:38,470
+نوعا ما شويه شويه بتبدأيش طبعا فيها انخفاض تمام؟
+
+150
+00:09:38,470 --> 00:09:42,450
+ليش بيصير عندي الدم أنا زودته بالكمدات الميه
+
+151
+00:09:42,450 --> 00:09:47,670
+الدافية عشان يتخلصلي من الجسم الغريب هذا؟ أخر شيء
+
+152
+00:09:47,670 --> 00:09:51,170
+بيصير لون أسود، الأسود هذا له طبعا خلايا الدم
+
+153
+00:09:51,170 --> 00:09:56,000
+الحمرة المحتوية على الحديدتمام؟ وبالتالي ممكن طبعا
+
+154
+00:09:56,000 --> 00:09:59,940
+تجشر بصورة .. جشرة رقيقة جدا ونلاقي الجلد الطبيعي
+
+155
+00:09:59,940 --> 00:10:04,280
+كما هو لأنه ماصار تدمير للطبقة القاعدية يبقى هنحل
+
+156
+00:10:04,280 --> 00:10:08,040
+بالنسبة للكمدات الكدمات اللي هي كمدات ميه باردة في
+
+157
+00:10:08,040 --> 00:10:12,260
+أول يوم تمام؟ و تاني يوم نستخدم الميه الدافع
+
+158
+00:10:18,500 --> 00:10:21,260
+هذا هي اللي هم نتكلم عليها، طبعا زي ما بنقول احنا
+
+159
+00:10:21,260 --> 00:10:25,060
+يا خواتنا إنه في أي حالة من حالات النزيف أو الجروح
+
+160
+00:10:25,060 --> 00:10:28,920
+بدي أكون رفع العضو المصاب لأعلى عشان أقلل من
+
+161
+00:10:28,920 --> 00:10:32,920
+النزيف، النزيف طبعا سواء الداخلي أو الخارجي أو
+
+162
+00:10:32,920 --> 00:10:39,380
+المغلق أو المفتوحطيب إذا احنا لاحظنا إن فينا زي ما
+
+163
+00:10:39,380 --> 00:10:42,660
+حكينا المرة الفاتة جروح و احنا اشتبهنا إنه فيه جرح
+
+164
+00:10:42,660 --> 00:10:45,600
+مثلا أو نزيف .. نزيف داخلي و هذا طبعا نزيف في
+
+165
+00:10:45,600 --> 00:10:49,820
+البطن و هنجون بعض العلمات يعني بعد شوية لو كان
+
+166
+00:10:49,820 --> 00:10:52,980
+كمية نزيف كبيرة بيبدأ اللون اسفرار، بيبدأ زيادة في
+
+167
+00:10:52,980 --> 00:10:56,180
+معدل التنفس، بيبدأ زيادة في عدد دجالة القلب، بيبدأ
+
+168
+00:10:56,180 --> 00:11:00,400
+مش واعي، بيبدأ يصير عنده غثيان، دوخة، عدم استقرار،
+
+169
+00:11:00,400 --> 00:11:04,270
+وبالتالي هذا مباشرة لازم مستشفىلأن ما بقدر أشوف
+
+170
+00:11:04,270 --> 00:11:08,470
+أنا والله بطن .. ممكن لو استمر لفترة .. فترة البطن
+
+171
+00:11:08,470 --> 00:11:12,410
+يتيبس يعني معناه ينتفخ وطبعا خطيرة جدا معناه أنه
+
+172
+00:11:12,410 --> 00:11:16,190
+في كمية دم كبيرة خرجت من مكانها وهذه بتهدد الحياة
+
+173
+00:11:16,190 --> 00:11:20,450
+فاشتباه أنه في نزيف بلزم مستشفى لأنه ربما يحتاج
+
+174
+00:11:20,450 --> 00:11:24,770
+إلى عملية طبعا استكشاف دي طبعا عملية فتح بطن عشان
+
+175
+00:11:24,770 --> 00:11:28,550
+نلاقي مكان نزيف هذا لأنه النزيف هذا قد يؤدي بحياة
+
+176
+00:11:28,550 --> 00:11:30,350
+الشخص ونهاية الموت
+
+177
+00:11:35,770 --> 00:11:38,650
+طب هنيجي لأنواع الجروح المفتوحة، اتكلمنا عن الجروح
+
+178
+00:11:38,650 --> 00:11:41,210
+المغلقة، الجروح المفتوحة طبعا منها أنواع، من
+
+179
+00:11:41,210 --> 00:11:44,310
+البسيط للخطير، طبعا أبسط الأنواع هذه اللي هو الجرح
+
+180
+00:11:44,310 --> 00:11:48,950
+السحجي أو الكشطي أو الكحتي، طب هذه أنواع بسيطة،
+
+181
+00:11:48,950 --> 00:11:52,490
+وهذه أبسطها لأن بيكون سطحية، وغالب النزيف بيكون
+
+182
+00:11:52,490 --> 00:11:57,330
+فيها شعيرييعني معناه انه ايش؟ مجرد انه صار يعني
+
+183
+00:11:57,330 --> 00:12:02,090
+خدش بسيط للجلد لطبقات الجلد الخارجية لطبقة البشرة
+
+184
+00:12:02,090 --> 00:12:06,130
+ووصلنا جريب من طبقة اللي هي الأدمة وبالتالي بيصير
+
+185
+00:12:06,130 --> 00:12:09,110
+عندنا نزيف شعير لإن احنا قولنا الشعيرة الدموية
+
+186
+00:12:09,110 --> 00:12:12,170
+موجودة والعصاب موجودة في طبقة الأدمة
+
+187
+00:12:15,090 --> 00:12:18,290
+يعني بكشة الجلد تحدث نتيجة احتكاك الجلد بسطح خشن
+
+188
+00:12:18,290 --> 00:12:21,070
+مما يؤدي إلى تلف الطبقة السطحية، طبعا الطبقة
+
+189
+00:12:21,070 --> 00:12:23,950
+السطحية أسفل منها اللي هي الشعيرات الدموية و نهاية
+
+190
+00:12:23,950 --> 00:12:26,690
+العصاب، و بالتالة طبعا اللي بيكون إيش قصائصه؟
+
+191
+00:12:26,690 --> 00:12:30,530
+بيكون نظيف، بسيط، يعني شعيري، طبعا في ألم، و
+
+192
+00:12:30,530 --> 00:12:33,610
+بالذات لو واحد مثلا كان عرجان ووجع وانزحلج أو مثلا
+
+193
+00:12:33,610 --> 00:12:37,370
+خدشت، في ألم ليش؟ لأن العرق بيحتوي على الأملح، و
+
+194
+00:12:37,370 --> 00:12:40,250
+الأملح طبعا أثرت على الأعصاب، و بالتالي طبعا ليش؟
+
+195
+00:12:40,250 --> 00:12:46,040
+بيحدث ألمطبعا هنا احتمال تلوث إذا لم يتم إسعاف،
+
+196
+00:12:46,040 --> 00:12:49,740
+إذا لم يتم معاملة الجرح بطريقة معقمة أو نظيفة أو
+
+197
+00:12:49,740 --> 00:12:53,620
+استخدامنا محلول مطهر، الخاص طبعا هو محلول الملحان
+
+198
+00:12:53,620 --> 00:12:58,900
+طبعا الجرح مؤلم لأنه صار عندنا نهيئة عصاب مكشوفة
+
+199
+00:12:59,490 --> 00:13:03,030
+وبالتالي يعني احنا يوم و التاني طبعا في تاني يوم
+
+200
+00:13:03,030 --> 00:13:06,150
+بيصير طبعا ليه عملية إغلاق اللي طبعا لأنه الجرح
+
+201
+00:13:06,150 --> 00:13:09,750
+هنا عملية التقام سريع جدا لأنه منطقة سطحية وكل ما
+
+202
+00:13:09,750 --> 00:13:13,710
+كان الإنسان وضع الصح جيد كل ما كان فترة التقام
+
+203
+00:13:13,710 --> 00:13:17,110
+أقصر وكل ما كان وضع الصح سيء خاصة عندما نقول مرضى
+
+204
+00:13:17,110 --> 00:13:22,470
+السكر كل ما كان فترة التقام أطولهذه بعض الصور ..
+
+205
+00:13:22,470 --> 00:13:26,610
+طبعا الصور للجروح اللي هي الكشتية أو الكحتي، هي
+
+206
+00:13:26,610 --> 00:13:29,530
+طبعا واضحة كتير، هدم الزحرج على الأسفلت و هدم
+
+207
+00:13:29,530 --> 00:13:33,370
+الزحرج طبعا أو خبط في حاجة خشنة أو ماسك طبعا يعني
+
+208
+00:13:33,370 --> 00:13:37,230
+سلك وبالتالي طبعا هذي جروح متشوفة كتير للي بيلعبوا
+
+209
+00:13:37,230 --> 00:13:41,330
+على البسكليت أو بيلعبوا مثلا في الشارع أو ب ..
+
+210
+00:13:41,330 --> 00:13:41,710
+يعني
+
+211
+00:13:46,880 --> 00:13:51,680
+الجروح القطعية، معظم أو كل العمليات الجراحية هي
+
+212
+00:13:51,680 --> 00:13:57,240
+جروح قطعية، لأن طبعا جرح قطعي معناه بانتظام، يعني
+
+213
+00:13:57,240 --> 00:14:01,680
+الحواف منتظمة، وطبعا استخدام آلة حادة، يعني مجسود،
+
+214
+00:14:01,680 --> 00:14:04,380
+مجسود، أحيانا ممكن يكون جرح قطعي، لكن غير مجسود،
+
+215
+00:14:04,380 --> 00:14:07,380
+أنت مسكة مثلا سكينة، سكينة حادة، ما شاء الله،
+
+216
+00:14:07,380 --> 00:14:12,430
+جديدة، شرياها، وبدك تجربيهانزلت على أصبعك أو نزلت
+
+217
+00:14:12,430 --> 00:14:15,570
+على الأيد أو حاجة، معناه جريح بيطلع جريح مرتب،
+
+218
+00:14:15,570 --> 00:14:19,090
+اللي هو حواف منتظمة، اه الحواف منتظمة، والنتيجة
+
+219
+00:14:19,090 --> 00:14:22,750
+طبعا هو بدل على استخدام الآلة الحادة اللي تم
+
+220
+00:14:22,750 --> 00:14:27,270
+استخدامها جريح يحدث فيه قطع أنسجة وتسببها الأجسام
+
+221
+00:14:27,270 --> 00:14:31,410
+الحادة، يبقى هنا الحواف بتكون منتظمة، واحنا قلنا
+
+222
+00:14:31,410 --> 00:14:34,470
+أقرب مثل عندنا العمليات الجراحية، كل العمليات
+
+223
+00:14:34,470 --> 00:14:37,410
+الجراحية هي عمليات منتظمة أو جروح قطعية
+
+224
+00:14:40,400 --> 00:14:45,620
+طبعا أهم الخصائص الهواب بتكون منتظمة النزيف سريع و
+
+225
+00:14:45,620 --> 00:14:50,600
+يعتمد على العمق كل مكان أعمق كل مكان فيه كمية نزيف
+
+226
+00:14:50,600 --> 00:14:54,740
+أكتر و على المكان لأن بعض الأماكن مثلا بيكون مثلا
+
+227
+00:14:54,740 --> 00:14:58,180
+كمية الدم مثلا فيها كمية ضعيفة و بعض الأماكن بيكون
+
+228
+00:14:58,180 --> 00:15:01,400
+فيها كمية الدم قوية يبقى بالتالي يعتمد على المكان
+
+229
+00:15:01,400 --> 00:15:07,040
+و على العمق خطورته هنا ممكن يؤديو هاد طبعا يعني
+
+230
+00:15:07,040 --> 00:15:11,260
+بعض الناس حتى ممكن بيستخدمه في عملية الانتحار، على
+
+231
+00:15:11,260 --> 00:15:14,700
+أساس إنه بيقطع مثلا الشريان، هذا جريح قطعي، عشان
+
+232
+00:15:14,700 --> 00:15:17,460
+يفقد كمية .. يعني هو بيكون عارف إنه بيقطع الشريان،
+
+233
+00:15:17,460 --> 00:15:21,380
+طبعا كل ما قطع أو كل ما كان قطع فيه شراين، أكثر
+
+234
+00:15:21,380 --> 00:15:24,240
+خطورة بتكون منه في الأول ده، وبالتالي هنا على أساس
+
+235
+00:15:24,240 --> 00:15:27,480
+عملية خروج كمية كبيرة من الدم و أدّي للانتحار،
+
+236
+00:15:27,480 --> 00:15:29,940
+طبعا هذا مابناش نعرفكوا إياها، لإن مابناش إياها
+
+237
+00:15:29,940 --> 00:15:30,260
+أصلا
+
+238
+00:15:34,910 --> 00:15:38,930
+طبعًا الالتقام بيكون سريع، سريع نسبيًا لأن طبعًا
+
+239
+00:15:38,930 --> 00:15:41,490
+الحواف، وبالتالي أخواتنا بيقولوا إحنا في العملية
+
+240
+00:15:41,490 --> 00:15:46,210
+الجرحية استخدام الغرز هي عملية تقريب الحواف، يعني
+
+241
+00:15:46,210 --> 00:15:49,610
+لو احنا بيقولوا ممكن نساء نضل نماسك الجرح بفترة
+
+242
+00:15:49,610 --> 00:15:52,870
+طويلة، بيلتقم، لكن ماحدة بيصبر نضل نماسك الجرح
+
+243
+00:15:52,870 --> 00:15:57,070
+لفترة طويلة، وبالتالي استخدام الغرز أو الخيوط
+
+244
+00:15:57,070 --> 00:16:01,630
+نفسها هي عملية تقارب، عملية تقارب الحواف، لكن بشرط
+
+245
+00:16:01,630 --> 00:16:05,320
+أن تكون أماكن معقمةوالورز معقمة وعمليت طبعا
+
+246
+00:16:05,320 --> 00:16:09,780
+استخدام الخيوط هذه بطريقة معقمة وبالتالي لإنه صار
+
+247
+00:16:09,780 --> 00:16:14,280
+عندى جرح مفتوح معناه فرصة لدخول الميكروبات وإحداث
+
+248
+00:16:14,280 --> 00:16:17,640
+العدوى أو إحداث طبعا الاتهاب وكتير بنلاحظ من بعض
+
+249
+00:16:17,640 --> 00:16:21,960
+العمليات الجراحية بيصير فيها اتهاب طبعا نتيجة عدم
+
+250
+00:16:21,960 --> 00:16:28,150
+استخدام او باستخدام طريقة معقمةو هذا بيؤدي لدخول
+
+251
+00:16:28,150 --> 00:16:31,110
+العدوى أو دخول الميكروبات وبالتالي بتكون عندنا
+
+252
+00:16:31,110 --> 00:16:34,910
+الاتهابات و طبعا نتيجة الاتهاب هيورث عندنا التقام
+
+253
+00:16:34,910 --> 00:16:39,810
+القصد الثاني طبعا هينتج عندى ندبة وإن في ندبة
+
+254
+00:16:39,810 --> 00:16:44,310
+معناها هذه هي التقام القصد الثاني اللي صار أساسا
+
+255
+00:16:44,310 --> 00:16:50,990
+تدمير الطبقة القاعدية في هذه المنطقة القلم بسيط
+
+256
+00:16:50,990 --> 00:16:51,630
+ليش؟
+
+257
+00:16:57,810 --> 00:17:06,070
+لش الألم أبسط برضه
+
+258
+00:17:06,070 --> 00:17:20,730
+في السحجي برضه في منطق عصبية كشفت نهاية
+
+259
+00:17:20,730 --> 00:17:22,050
+العصاب نهاية العصاب نعم
+
+260
+00:17:28,980 --> 00:17:36,500
+لو أحنا ناخدها من ناحية الجرح السحجي أو الجرح
+
+261
+00:17:36,500 --> 00:17:39,920
+القطعي الجرح السحجي من ناحية المساحة غطى مساحة
+
+262
+00:17:39,920 --> 00:17:45,100
+أكتر يعني معناها صار في عندي تأثير على نهايات
+
+263
+00:17:45,100 --> 00:17:53,370
+أعصاب أكتر كمساحة لكن جرح قطعي مساحة أقليعني أثر
+
+264
+00:17:53,370 --> 00:18:00,730
+على نهايات أعصاب قليلة لأنه في القطعي اتجاه واحد،
+
+265
+00:18:00,730 --> 00:18:05,290
+تمام؟ لكن في السحجي أخد غطى على منطق أكتر وبالتالي
+
+266
+00:18:05,290 --> 00:18:09,210
+صار تكشف لنهايات أعصاب أكتر وبالتالي لما نتكلم على
+
+267
+00:18:09,210 --> 00:18:13,630
+الحروق، في الحرق الدرجة الثاني أخطر، في ألم أكتر
+
+268
+00:18:13,630 --> 00:18:18,450
+من التالتة في التالتة ليش؟ لأنه صار يعني تكشف
+
+269
+00:18:18,450 --> 00:18:23,920
+نهايات أعصابماشي، هرجيت في السحجي، المساحة أكبر،
+
+270
+00:18:23,920 --> 00:18:27,340
+تمام؟ في القطع أيه؟ مساحة أقل باتجاه واحد، بس،
+
+271
+00:18:27,340 --> 00:18:31,060
+يعني أهي أثر على نهاية عصاب أقل فبحاسب الأدب
+
+272
+00:18:31,060 --> 00:18:35,560
+عالجرم، يعني ممكن بس .. لأ، لأ، لأ، هذا ما أخد من
+
+273
+00:18:35,560 --> 00:18:41,750
+ناحية المساحة، في نسبة للسحجي، مساحة أكبرطبعا؟
+
+274
+00:18:41,750 --> 00:18:46,230
+يعني صناعة أعصاب مكشوفة أكتر من نسبة لأ القطعي
+
+275
+00:18:46,230 --> 00:18:49,910
+باتجاه واحد يعني .. يعني مقارنة بالمساحة صغيرة
+
+276
+00:18:49,910 --> 00:18:54,950
+يعني هات الأعصاب اللي اتأثرت أقل، اللي اتدررت أقل،
+
+277
+00:18:54,950 --> 00:18:58,050
+طبعا؟ وعشان يتعرضوا يكون الألم إيش أقل؟ لأن كل ما
+
+278
+00:18:58,050 --> 00:19:00,830
+كانت المساحة أوسع كل ما كانت أثير صناعة الأعصاب
+
+279
+00:19:00,830 --> 00:19:05,650
+أكتر طب وكل ما قلت الأعصاب اللي تدبت بجل الألم؟ أه
+
+280
+00:19:05,650 --> 00:19:09,400
+بجل الألماللي تلفت، بس دي ما تلفتش في السحج،
+
+281
+00:19:09,400 --> 00:19:12,060
+ضالاتها موجودة و مكشوفة، طبعا، و هذا طبعا اللي
+
+282
+00:19:12,060 --> 00:19:15,040
+بيجي معانا بالنسبة للحروق الدرجة التالتة، إن فيها
+
+283
+00:19:15,040 --> 00:19:19,340
+ألم أقل من التانية، اه، التالتة أقل لإنه صار
+
+284
+00:19:19,340 --> 00:19:25,540
+تدمير، طبعا، أقرب على الجروح طبعا هي القطعية، طبعا
+
+285
+00:19:25,540 --> 00:19:28,680
+منتظمة، شايفين الهواف منتظمة و ما شاء الله عليها
+
+286
+00:19:28,680 --> 00:19:38,020
+بدأ بس غرز، طبعا، و نعمشمش يعني تهرزش احنا مش حاجة
+
+287
+00:19:38,020 --> 00:19:43,080
+زي بحط قهوة و أسترخيش نيجي لغة طبعا يعني بت ..
+
+288
+00:19:43,080 --> 00:19:46,960
+بتذكرنا بحاجة بالنسبة للطب الشعبي اللي في حالات
+
+289
+00:19:46,960 --> 00:19:54,340
+الجروح أنه بيستخدموا الجهوة الجهوة البن البن طبعا
+
+290
+00:19:54,340 --> 00:19:58,100
+البن سواء سادة أو حلوة مش فارق يعني طبعا هذا ..
+
+291
+00:19:58,100 --> 00:20:03,880
+هذا .. هذا خطأ لأن أول إش هي مش معقمةمش معقّم، أنا
+
+292
+00:20:03,880 --> 00:20:06,580
+عام والتاني كنت أقدي لتلوث الجروح وطبعا الطي الفضل
+
+293
+00:20:06,580 --> 00:20:13,710
+زيه عنياتهمطب البحر ناكل جهو .. ما هو البن اه هو
+
+294
+00:20:13,710 --> 00:20:16,590
+البن و لا بيخلف البن على الجهة .. ما هو نفسه .. اه
+
+295
+00:20:16,590 --> 00:20:19,950
+البن او الجهو طبعا كانوا يستخدموه طبعا هذا عادة
+
+296
+00:20:19,950 --> 00:20:21,750
+خاطئة من العادات الشعبية زي ما يقول مثلا احنا
+
+297
+00:20:21,750 --> 00:20:24,630
+بيستخدم ال كلونس على الحروق طبعا دي وصوات شعبية
+
+298
+00:20:24,630 --> 00:20:27,130
+لما نتكلم عن الحروق هناخد تفاصيل اكتر كمان و
+
+299
+00:20:27,130 --> 00:20:30,630
+بالتالي الأفضل بالنسبة للحروق عدم استخدام الوصوات
+
+300
+00:20:30,630 --> 00:20:33,610
+الشعبية هذه و استخدام الطريقة المناسبة لتنظيف
+
+301
+00:20:33,610 --> 00:20:35,950
+الجرع زي ما هتكلم عليها كمان شوية ان شاء الله
+
+302
+00:20:38,250 --> 00:20:42,070
+الجروح اه .. هالجروح كانوا زمان يستخدموا الغرز
+
+303
+00:20:42,070 --> 00:20:49,560
+بالسكينة انهم يسيخنوها under و ..عملية الـ K .. K
+
+304
+00:20:49,560 --> 00:20:53,540
+.. K .. عملية الـ K وهذا يستخدم اليوم الـ K في
+
+305
+00:20:53,540 --> 00:20:56,760
+إغلاق الأوعية الدموية اللي الكتري بيسموه طبعا ..
+
+306
+00:20:56,760 --> 00:21:01,800
+علميا بيسموه كتري كتري هي عملية K للأوعية الدموية
+
+307
+00:21:01,800 --> 00:21:05,260
+النازفة وهذا طبعا يستخدم في العمليات الجراحية لو
+
+308
+00:21:05,260 --> 00:21:08,240
+كان مثلا شريان أو وريد أو شريان نازف بيستخدم عملية
+
+309
+00:21:08,240 --> 00:21:16,980
+K عساس إغلاقلا الـ K يستخدم .. بختلف الـ K يستخدم
+
+310
+00:21:16,980 --> 00:21:20,040
+لإغلاق الأوعية الدموية فين اللوز؟ لما يعمل عملية
+
+311
+00:21:20,040 --> 00:21:24,640
+اللوز؟ لأ اللوز غرز اللوز .. اللوز .. اللوز غرز
+
+312
+00:21:24,640 --> 00:21:27,080
+وبالتالي احنا سبقنا جبل كده احنا جولنا في عنا ..
+
+313
+00:21:27,080 --> 00:21:32,060
+في عنا .. اه حاجة
+
+314
+00:21:32,060 --> 00:21:35,140
+تاني بختلف عن الجروة لكن هي احنا بيقول في العملية
+
+315
+00:21:35,140 --> 00:21:38,200
+الجرحية يستخدم الـ K لإغلاق الأوعية الدموية عشان
+
+316
+00:21:38,200 --> 00:21:41,840
+يوقف النزيفالغرز .. طبعا الغرز أنواع .. أنا
+
+317
+00:21:41,840 --> 00:21:44,000
+مابنأخد تفاصيلة للغرز .. طبعا الغرز أنواع منها
+
+318
+00:21:44,000 --> 00:21:47,240
+داخلية بتدوب و منها خارجيها مابتدوب .. و في نوع
+
+319
+00:21:47,240 --> 00:21:49,780
+تاني بالنسبة للغرز فيه clipsات .. طبعا اللي معدنية
+
+320
+00:21:49,780 --> 00:21:53,020
+.. مثلا .. العملية مثلا القلب مفتوح بيستخدم ال
+
+321
+00:21:53,020 --> 00:21:56,880
+clipsات .. طبعا .. أما الغرز فينا نوعين .. طبعا
+
+322
+00:21:56,880 --> 00:21:58,780
+أنواع أكتر من أنواع .. مابناش ناخد تفاصيلة .. في
+
+323
+00:21:58,780 --> 00:22:01,660
+منها داخلية بتدوب و خارجيها أنواع .. الخارجي منها
+
+324
+00:22:01,660 --> 00:22:04,860
+نايلون و منها سقم منها حرير و أنواع تانية .. طبعا
+
+325
+00:22:04,860 --> 00:22:05,280
+.. ف
+
+326
+00:22:09,430 --> 00:22:13,210
+بدنا نكون حارسين إنه لا يتم إلا بعد تنظيف الجرعى،
+
+327
+00:22:13,210 --> 00:22:16,450
+لو ممكن يصير عندنا أخطاء طبية، ينسى جزازة جوا،
+
+328
+00:22:16,450 --> 00:22:21,810
+ينسى جسم غريب جوا، و بعد هيك يبدأ يلتهب، تمام؟ و
+
+329
+00:22:21,810 --> 00:22:24,750
+يصير عندنا مشكلة، و يصير صديد و .. و حصل حالات
+
+330
+00:22:24,750 --> 00:22:30,290
+كتيرة، و أنتوا يسمعتوا فيها كمانطيب، الجرح التالت
+
+331
+00:22:30,290 --> 00:22:33,630
+أو النوع التالت اللي هو المتهتك، يعنيها الحواف غير
+
+332
+00:22:33,630 --> 00:22:38,710
+منتظمة، تمام؟ وها طبعا نتيجة المسبب، دايما الجروح
+
+333
+00:22:38,710 --> 00:22:43,110
+بياخد صورة السبب، يعني بتدل على السبب، هل هو أقل
+
+334
+00:22:43,110 --> 00:22:49,660
+حادة ولا أقل مثلا إلها زوايا أو غير منتظمة؟النتيجة
+
+335
+00:22:49,660 --> 00:22:52,480
+طبعا مصادرات قوية كحوارة السيارات ووقوع جسم ثقيلة
+
+336
+00:22:52,480 --> 00:22:56,140
+على الجسم من مكان مرتفع يعني نعمل تهتك .. تهتك
+
+337
+00:22:56,140 --> 00:22:59,080
+وعدم انتظام في حواف الجروح على عكس طبعا اللي هو
+
+338
+00:22:59,080 --> 00:23:03,440
+الجروح القطعي غير مضطر .. غير مضطر نعم .. يعني
+
+339
+00:23:03,440 --> 00:23:06,880
+واحد مثلا .. واحد طبعا يكون حارسين جدا .. يكونوا
+
+340
+00:23:06,880 --> 00:23:12,460
+حارسين جدا في حال .. في حال انه يكون الطفل ماسك
+
+341
+00:23:12,460 --> 00:23:18,390
+سكينة أو أي آلة حادة ممنوع تسحبيها منهبالذات لما
+
+342
+00:23:18,390 --> 00:23:23,350
+يكون ماسك نصل السكينة يعني الجزء الحاد ممنوع حتى
+
+343
+00:23:23,350 --> 00:23:28,930
+انت لما بدك تناولي حدا سكينة ما تناوليها من النصل
+
+344
+00:23:28,930 --> 00:23:33,110
+تناوليها من ال .. اليد لأن انت بتكون متمكنة
+
+345
+00:23:33,110 --> 00:23:37,330
+بالنسبال للنصل و كتير الطفل مثلا يكون ماسك آه لحدة
+
+346
+00:23:37,330 --> 00:23:41,150
+او جزازة او اي شي و تشديها من ايده و بعديها على
+
+347
+00:23:41,150 --> 00:23:49,690
+المستشفى بتحصل كتير بتحصل كتير لا تحيلي عليهخلّيه
+
+348
+00:23:49,690 --> 00:23:54,630
+فرده لحاله، اعطيه حاجة تاني أحسن منها، اعطيه حاجة
+
+349
+00:23:54,630 --> 00:24:00,250
+أحسن منها، لا هو مش هيخاف، هو مش هيخاف، بس اعطيه
+
+350
+00:24:00,250 --> 00:24:03,810
+حاجة يغري فيها، بيأكلها ولا حاجة، بيسيب السكينة
+
+351
+00:24:03,810 --> 00:24:07,170
+كلها طيب،
+
+352
+00:24:07,170 --> 00:24:11,010
+بنسبة لخصائص الجرح أو الجرح طبعا، تمزق وتهتق في
+
+353
+00:24:11,010 --> 00:24:14,370
+الجلد وعدم انتظام بالنسبة للحواف وهنا كمية النزيف
+
+354
+00:24:14,370 --> 00:24:18,250
+بتكون كبيرة، ليش؟ لأن أكثر من مكان بيصي فيها نزيف
+
+355
+00:24:20,240 --> 00:24:24,220
+طبعا في الحالة دي يا أخواتنا فرصة التلوث إذا لم
+
+356
+00:24:24,220 --> 00:24:27,720
+يتم تنظيف الجرح بصورة طبيعية بيصير عندنا فرصة
+
+357
+00:24:27,720 --> 00:24:31,720
+كبيرة للتلوث طبعا اللي بدنا نقوله هنا في عملية ..
+
+358
+00:24:31,720 --> 00:24:35,040
+في عملية طبعا اللي .. و لاحظوا هنا الألم شديدة ..
+
+359
+00:24:35,040 --> 00:24:39,500
+ليش؟ لنغطط مساحة أكبر كمان بالنسبة لنهايات العصابة
+
+360
+00:24:40,000 --> 00:24:45,180
+في حالات الجروح المتهتكة بيصير عملية تنظيم لمكان
+
+361
+00:24:45,180 --> 00:24:48,880
+الجروح لأنه مابنفع يعمل غرز وهذا تعتبر زوائد أو
+
+362
+00:24:48,880 --> 00:24:55,160
+بقايا للجلد فبيصير عملية تنظيم لمكان الإصابة ويتم
+
+363
+00:24:55,160 --> 00:25:00,130
+عملية شد حواف الجلد مع بعضلأن الجلد فيه ليونة يعني
+
+364
+00:25:00,130 --> 00:25:03,150
+ممكن ايش تجمع الجلد كما هو و طالما انه نهائي
+
+365
+00:25:03,150 --> 00:25:06,450
+الطبقة القاعدية موجودة معناه حين ان انتوا يعتبر
+
+366
+00:25:06,450 --> 00:25:11,430
+حينه مرة تانية بدون اي مشاكل الا مكان الغرز هيكون
+
+367
+00:25:11,430 --> 00:25:15,810
+فيه ندبة او نسيج ليفي لان اتحطمت تمام؟
+
+368
+00:25:17,700 --> 00:25:23,020
+أه بس في المناطق .. لا .. ماشي احنا بنقول في
+
+369
+00:25:23,020 --> 00:25:25,920
+المناطق هي مثلا خطورة فيها خطورة لإن طبعا زي ما
+
+370
+00:25:25,920 --> 00:25:29,180
+بنقول مانعش ندخل في الغرز .. غرز طبعا مجسات طبعا 0
+
+371
+00:25:29,180 --> 00:25:33,040
+.5، 0.4، 0.3 .. كل مجزة زادة لـ 0.5، 0.6 أصغر
+
+372
+00:25:33,040 --> 00:25:37,120
+الحجب بكون طبعا 0.1، 0 .. طبعا 0.2 طبعا أكبر حسب
+
+373
+00:25:37,120 --> 00:25:41,400
+ما بنقدر نستخدم مثلا الحجم أكبر من 0.2 مثلا في
+
+374
+00:25:41,400 --> 00:25:44,080
+العين لأ في عيننا 0.5 و 0 .. طبعا العملية .. لإن
+
+375
+00:25:44,080 --> 00:25:47,670
+هذه بدها غرز دقيقة جداطبعا يعني ممكن طبعا
+
+376
+00:25:47,670 --> 00:25:50,470
+استخدامها باللازر، استخدامها للغرض السحرية، أي أن
+
+377
+00:25:50,470 --> 00:25:53,170
+كان .. لكن المعنى احنا بيقول إنه ما كان العملية
+
+378
+00:25:53,170 --> 00:25:57,350
+نفسها حسب، إذا كانت منطبقة، مش هتبين كويس، لكن إذا
+
+379
+00:25:57,350 --> 00:26:01,870
+كان جروح متهتك ومتفتت أو طبعا يعني الهرسي، ممكن
+
+380
+00:26:01,870 --> 00:26:05,050
+يكون فيه يعني واضح إنه ما كان، إنه هنا في إيه
+
+381
+00:26:05,050 --> 00:26:11,150
+الصعبة زي
+
+382
+00:26:11,150 --> 00:26:14,890
+مثلا الصورة ها دي، طبعا الصورة ها دي شايفينها، مش
+
+383
+00:26:14,890 --> 00:26:20,240
+منطبقةمش منتظمة، هذه مشارشرة يعني وبالتالي بيصير
+
+384
+00:26:20,240 --> 00:26:23,740
+عملية .. طبعا لما بيعمل عملية طبعا تجميحها ما
+
+385
+00:26:23,740 --> 00:26:26,960
+بيصير عملية طبعا تجميح الحواف هذه لأن طبعا تعتبر
+
+386
+00:26:26,960 --> 00:26:30,760
+حواف أيش غير قابلة للاتصاق فبصير عملية قص للحواف
+
+387
+00:26:30,760 --> 00:26:35,740
+هذه تمام؟ والحواف هذه وضمها على بعض أما زي ما هي
+
+388
+00:26:35,740 --> 00:26:39,720
+كلمة بنفع لأنه تعتبر أجسام غريب خلاص جزء ميت تعتبر
+
+389
+00:26:39,720 --> 00:26:45,740
+كيف يبوصها؟ بيبوصها بالمشرة بالمشرة، بيصير تخدير
+
+390
+00:26:45,740 --> 00:26:50,030
+موضعينتاخدين موضعين عشان تصير الحواف منتظمة ولو
+
+391
+00:26:50,030 --> 00:26:53,490
+دلتها هي كان مابتلتقمش بالمرة كام قرص هنا .. اه
+
+392
+00:26:53,490 --> 00:26:55,590
+يعني على مستوى واحد؟ اه على مستوى .. يعني قصد انا
+
+393
+00:26:55,590 --> 00:26:59,290
+انا بيصير هانا قص على المستوى هذا و قص على المستوى
+
+394
+00:26:59,290 --> 00:27:03,950
+هذا و تجميحهم طبعا الجلد لين .. يعني في إمكانية
+
+395
+00:27:03,950 --> 00:27:06,350
+لشد الجلد، تمام؟ ولا الدليل على الدليل هي أن السيد
+
+396
+00:27:06,350 --> 00:27:09,810
+لما تحمل طبعا البطن بنتفخن، اه طبعا في ليونة في
+
+397
+00:27:09,810 --> 00:27:12,810
+الجلد، و من يعام ربنا علينا الجلد، يعني ان هو ..
+
+398
+00:27:12,810 --> 00:27:15,310
+مش هالجيطة، بس يعني .. يعني ..
+
+399
+00:27:18,210 --> 00:27:21,510
+لا مش هتجل .. مش هتجل .. مش عظم هذا .. العظم ..
+
+400
+00:27:21,510 --> 00:27:25,070
+العظم بتجل .. اه .. قبل البلوغ .. بعد البلوغ بتجل
+
+401
+00:27:25,070 --> 00:27:30,130
+.. اه بتشد لحالة .. اه لحالة .. ايه نعم .. لما
+
+402
+00:27:30,130 --> 00:27:33,390
+بيصير نمول للخلايا من الطبق القاعدى .. على عكس
+
+403
+00:27:33,390 --> 00:27:36,190
+طبعا عظم العظم انجزت خلاص بجزا .. خاص طبعا ايش ..
+
+404
+00:27:36,190 --> 00:27:41,590
+قبل البلوغ .. بعد البلوغ آسف نيجي
+
+405
+00:27:41,590 --> 00:27:46,000
+للنوع الرابع اللي هو الجرح التعنيأو الوخزي، طبعا
+
+406
+00:27:46,000 --> 00:27:49,240
+يعني هي من اسمه جرح طعني أو وخزي، سواء مقصود أو
+
+407
+00:27:49,240 --> 00:27:53,720
+غير مقصود، يعني واحد طعن واحد بسكينة أو واحد مثلا
+
+408
+00:27:53,720 --> 00:27:58,480
+بمصمار أو طلق ناري، وهذا طبعا في منه نوعين، في منه
+
+409
+00:27:58,480 --> 00:28:04,110
+طبعا جرح نافذ وغير نافذتمام؟ طبعا هنا كخصائص عامة
+
+410
+00:28:04,110 --> 00:28:07,830
+نتكلم فيها أنه يكون طبعا طول جرح وحوافه غير منتظم
+
+411
+00:28:07,830 --> 00:28:12,190
+ويتأخذ شكل المسبب مثلا زي مثلا سكينة أو خنجر أو
+
+412
+00:28:12,190 --> 00:28:17,750
+مصمار أو سيخ حديد معدني أو مثلا ارصاصة أو طلق يعني
+
+413
+00:28:17,750 --> 00:28:23,980
+أيه كان طبعا بياخد شكل المسبب تمام؟طبعا هنا كل
+
+414
+00:28:23,980 --> 00:28:29,660
+مكان الإصابة من بعد بيكون أضعف لكن القرب بتكون
+
+415
+00:28:29,660 --> 00:28:33,420
+أقوى وبالتالي طبعا ممكن تكون كمية الدم قاتلة وخاصة
+
+416
+00:28:33,420 --> 00:28:37,000
+اليوم احنا طبعا بنشوف كتير حتى يعني في المظاهرات
+
+417
+00:28:37,000 --> 00:28:40,140
+أو في المسيرات أو في الحبوبين طبعا بيكون التركيز
+
+418
+00:28:40,140 --> 00:28:44,860
+على منطقة القلب عشان طبعا يكون نزيف قاتل أو على
+
+419
+00:28:44,860 --> 00:28:48,300
+الرأس هو طبعا خطير جدا مايكونش التصيب على الرجلين
+
+420
+00:28:49,940 --> 00:28:55,480
+طبعاً كمية النزيف ممكن تكون بسيطة لكن داخلية أكبر
+
+421
+00:28:56,130 --> 00:28:58,870
+أه وبالتالي يقولوا الله فيش شوية الدم بسيطة لكن
+
+422
+00:28:58,870 --> 00:29:02,830
+داخلي ماكنت تؤدي إلى الوفعة بالسبب تعمل كمية الدم
+
+423
+00:29:02,830 --> 00:29:06,330
+أو النزيف الشديد اللي حصلت نتيجة إصابة أحد الأعضاء
+
+424
+00:29:06,330 --> 00:29:10,650
+مثلا الطحال أو الكبد أو القلب وبالتالي يقولوا الله
+
+425
+00:29:10,650 --> 00:29:13,710
+إصابة مباشرة في القلب مات بعدها على طول لأنه خلاص
+
+426
+00:29:13,710 --> 00:29:16,390
+الدم كله خرج إلى الخارج وبالتالي يقولوا الله أو
+
+427
+00:29:16,390 --> 00:29:23,030
+مرة تانية مثلا الإصابة بجوار القلب وربنا سلمهطبعا
+
+428
+00:29:23,030 --> 00:29:26,830
+هنا ممكن يؤدي إلى .. ممكن يؤدي إلى حدوث التهابات
+
+429
+00:29:26,830 --> 00:29:31,390
+بسبب دخول الأجسام .. أجسام الخارجية، ملابس أو شيء،
+
+430
+00:29:31,390 --> 00:29:34,490
+داخل الجرح نفسه، نتيجة الإصابة، طبعا يعتبرها ده
+
+431
+00:29:34,490 --> 00:29:40,170
+جسم .. أو يمكن يكون ملوث، نعم أكيد طبعا زي ما قلنا
+
+432
+00:29:40,170 --> 00:29:42,870
+هنا خواتنا، في عندنا الجرح الأول، طبعا النوع الأول
+
+433
+00:29:42,870 --> 00:29:47,390
+هو النافذ، يعني إله مدخل و مخرج، ما يميزه؟ طبعا
+
+434
+00:29:47,390 --> 00:29:54,220
+المدخل أصغر من المخرج، لأنه أسرعأسرع، أسرع، يبقى
+
+435
+00:29:54,220 --> 00:29:59,140
+المدخل أصغر من المخرج، الفاتحتين، المدخل والمخرج،
+
+436
+00:29:59,140 --> 00:30:05,340
+المدخل أصغر من المخرج، تمام؟ يكون نزيف، نزيف خارجي
+
+437
+00:30:05,340 --> 00:30:08,260
+عادة، فيه نزيف، أكيد واحد يتصرف مثلا أو يطعم
+
+438
+00:30:08,260 --> 00:30:12,760
+سكينه، يكون طبعا فيه نزيف، احتمال تهتك داخلي لمين؟
+
+439
+00:30:12,760 --> 00:30:16,200
+لبعض الأعضاء اللي أصيبت، أو بعض الأنسجة، أو بعض
+
+440
+00:30:16,200 --> 00:30:19,180
+العضلات، أو بعض القلب، طبعا ممكن طبعا أخطر حاجة زي
+
+441
+00:30:19,180 --> 00:30:23,150
+ما نقول أننا في الدماغ وفي القلب،طبعا حلوث التهاب
+
+442
+00:30:23,150 --> 00:30:27,530
+زي ما قلنا نتيجة دخول أجسام غريبة أو الماء المسبب
+
+443
+00:30:27,530 --> 00:30:31,150
+هو أصلا ما تجدوا مثلا سيخ عليه صدا أو مصمار عليه
+
+444
+00:30:31,150 --> 00:30:34,610
+صدا هو هذا طبعا ما يدعيش إلى مشاكل التهابات ممكن
+
+445
+00:30:34,610 --> 00:30:37,930
+تحدث بقى أو دخول من جسم الإنسان من .. من ملابس
+
+446
+00:30:37,930 --> 00:30:42,030
+الشخص نفسه هذا للداخل طبعا الجارح الغنافي طبعا
+
+447
+00:30:42,030 --> 00:30:48,580
+مدخل بدون مخرج يعني معناه استقرتالإصابة .. زي ما
+
+448
+00:30:48,580 --> 00:30:52,440
+نقول مثلا إصابة إنسان بطعن سكين في الصدر .. مدخل
+
+449
+00:30:52,440 --> 00:30:56,480
+إصابة الإنسان بارصاصة عن بعد .. الارصاصة و الله
+
+450
+00:30:56,480 --> 00:30:59,900
+استقرت .. هذا مدخل لكن لو خرجت من ناحية تانية ..
+
+451
+00:30:59,900 --> 00:31:06,780
+يعتبر جرح نافذ مدخل و مخرج زي
+
+452
+00:31:06,780 --> 00:31:09,600
+مثلا بالصورة هذه عندنا .. طبعا هنا في عندنا مدخل و
+
+453
+00:31:09,600 --> 00:31:13,260
+مخرج أخواتنا و زي ما قلنا احنا لو احنا .. او حكينا
+
+454
+00:31:13,260 --> 00:31:17,770
+المرة الفاتة .. لو كانت الإصابة موجودةمش منزوعة
+
+455
+00:31:17,770 --> 00:31:24,910
+بأثبتها عشان أنا مازيشي لأن لربما .. لربما هذه آلة
+
+456
+00:31:24,910 --> 00:31:30,050
+.. آلة الإصابة هي عاملة إغلاق للجروحتمام؟ أو ممكن
+
+457
+00:31:30,050 --> 00:31:33,290
+تكون مثلا مشارشرة لأن الموضوع أنا ممكن أسحبها مرة
+
+458
+00:31:33,290 --> 00:31:37,630
+تانية تزيد المشكلة أكتر يبقى الحل عشان أننا نتذكر
+
+459
+00:31:37,630 --> 00:31:40,730
+بس حاجة بسيطة الحل في الحالة هذه أن أنا أثبتها
+
+460
+00:31:40,730 --> 00:31:45,410
+شايفين؟ عمل التثبيت لكن لو كانت الإصابة في الصدر
+
+461
+00:31:45,410 --> 00:31:50,830
+ومنزوعة احنا بيقولنا نستخدم .. نستخدم غيار جطعة
+
+462
+00:31:50,830 --> 00:31:55,010
+شاشة نظيفة أو معقمة من ثلاث نواحي وناحية تكون
+
+463
+00:31:55,010 --> 00:32:01,510
+مفتوحة هذا بس في الصدر تمام؟ الحمد للهطبعا نيجي
+
+464
+00:32:01,510 --> 00:32:04,550
+لنا النوع الخامس اللي هو جرح الانتزاع طبعا ما اسمه
+
+465
+00:32:04,550 --> 00:32:09,450
+جرح انتزاع اللي عملت انتزاع جزء .. جزء من الجسم زي
+
+466
+00:32:09,450 --> 00:32:14,410
+مثلا واحد مثلا طالع بده .. ضبط حاجة في السجف وشيء
+
+467
+00:32:14,410 --> 00:32:18,190
+فيه مروحة .. مروحة سجف خبطته عملت نت طبعا انتزاع
+
+468
+00:32:18,190 --> 00:32:22,470
+او مثلا إنسان بيشتغل في آلحة ده ولا حاجة طبعا هو
+
+469
+00:32:22,470 --> 00:32:25,790
+مثلا ممكن بسكين قطع له طبعا جماعة جزء من اللي هو
+
+470
+00:32:25,790 --> 00:32:29,270
+الجسم نفسه يبقى طبعا طبعا إيش جرح انتزاع معناه
+
+471
+00:32:29,270 --> 00:32:33,590
+انتزاع جزءمن الجسم محدد او او عزيزكم الله عضات
+
+472
+00:32:33,590 --> 00:32:36,790
+الحيوانات ممكن تجيب برضه جزء من التزاق تفضل ايه
+
+473
+00:32:36,790 --> 00:32:41,090
+انت
+
+474
+00:32:41,090 --> 00:32:45,860
+ليش ملزجة على الكيلأ طبعا بيصير .. بيصير التعامل
+
+475
+00:32:45,860 --> 00:32:50,000
+مع الجرح بصورة بسيطة و حسب المسبب لو كان مثلا بعض
+
+476
+00:32:50,000 --> 00:32:53,200
+الحيوانات طبعا في .. طبعا و بالذات طبعا الكلاب في
+
+477
+00:32:53,200 --> 00:32:56,220
+طبعا يعني ال .. مصر الخاص أو التطعيم الخاص اللي هم
+
+478
+00:32:56,220 --> 00:32:59,980
+يأخد اه في البطن لمدة واحد و عشرين يوم لكن إذا كان
+
+479
+00:32:59,980 --> 00:33:02,260
+من جرح عادي واش بيصير عملية معامل أو التعامل مع
+
+480
+00:33:02,260 --> 00:33:07,320
+الجرح بطرق .. بطريقة معقمة حتى ما يحدثش العدوى طيب
+
+481
+00:33:07,320 --> 00:33:11,980
+في نفس ال .. في ال .. في ال .. هي حدثة لو مثلا إيش
+
+482
+00:33:11,980 --> 00:33:18,840
+دخللأ لأ لأ زي ما هو لأن الخطر من النزيه ممكن يكون
+
+483
+00:33:18,840 --> 00:33:22,140
+أكتر من الإصابة نفسها لأنه هنا ممكن يكون إذا أنا
+
+484
+00:33:22,140 --> 00:33:26,040
+نزعتها يزيد .. يزيد النزيف ممكن أقطع وطر أو .. أو
+
+485
+00:33:26,040 --> 00:33:29,920
+شريان أو حسب أو عصب تمام؟ طبعا ممكن يكون فرصة
+
+486
+00:33:29,920 --> 00:33:33,700
+لدخول هنا لو كان مثلا في الصدر فبالتالي في
+
+487
+00:33:33,700 --> 00:33:39,080
+المستشفى شغلهمعندهم استعداداتهم، عندهم تعويض مثلا
+
+488
+00:33:39,080 --> 00:33:41,660
+الدم، عندهم تعويض محلول، عندهم مثلا مضادات حيوية،
+
+489
+00:33:41,660 --> 00:33:45,400
+عندهم، عندهم، لكن انت ماعندك حاجة خارج البيت، لكن
+
+490
+00:33:45,400 --> 00:33:49,860
+لو .. لو كانت مثلا في الصدر ومنزوعة، أنا بسكرها،
+
+491
+00:33:49,860 --> 00:33:54,060
+بس مجرد أخلي فتحة واحدة، يعني بسكر تلت حواف و بخلي
+
+492
+00:33:54,060 --> 00:33:57,820
+ناحية واحدةأه عشان .. و بنايمه على ناحية المصابة
+
+493
+00:33:57,820 --> 00:34:01,520
+عشان لو فيه دم أو حاجة يخرج .. عشان يخفف عن الرئة
+
+494
+00:34:01,520 --> 00:34:04,320
+و يصير .. يصير .. ما يدخل .. ما .. يعني مايعوجش
+
+495
+00:34:04,320 --> 00:34:07,580
+عملية التنفس، بدي أكون كمان على نفس ال .. الناحية
+
+496
+00:34:07,580 --> 00:34:13,160
+أيش المصابة، دماغ؟ طيب نصلي هنا .. نصلي هنا ان شاء
+
+497
+00:34:13,160 --> 00:34:16,340
+الله و الله يعطيكوا العافية و ربنا متعكوا بالصح
+
+498
+00:34:16,340 --> 00:34:17,280
+والعلم شكرا لكم
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/4KVDP4ySM9E.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/4KVDP4ySM9E.srt
new file mode 100644
index 0000000000000000000000000000000000000000..478403ad8dad780c51bc9ad10d90ad908a485021
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/4KVDP4ySM9E.srt
@@ -0,0 +1,1867 @@
+1
+00:00:05,160 --> 00:00:06,760
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:06,760 --> 00:00:09,780
+الرحيم والصلاة والسلام على أشرف المرسلين سيدنا محمد
+
+3
+00:00:09,780 --> 00:00:13,840
+وآله وصحبه وسلم. طبعًا، استكمال اللقاء السابق 
+
+4
+00:00:13,840 --> 00:00:17,400
+لإصابات الجهاز التنفسي. تكلمنا على يعني الـ
+
+5
+00:00:17,400 --> 00:00:21,140
+الوسائل أو الأسباب اللي تؤدي لقلة الأكسجة أو وصول
+
+6
+00:00:21,140 --> 00:00:24,800
+الأكسجين إلى الدماغ خاصة، ثم انتقلنا إلى إصابات 
+
+7
+00:00:24,800 --> 00:00:28,280
+الجهاز التنفسي التي قد تكون معيقة لدخول هواء محمل 
+
+8
+00:00:28,280 --> 00:00:32,440
+بأكسجين، اللي هو طبعًا أحد الأسباب الأخرى اللي ممكن
+
+9
+00:00:32,440 --> 00:00:36,040
+تكون مؤدية إلى عدم دخول الهواء المحمل بالأكسجين هو
+
+10
+00:00:36,040 --> 00:00:41,200
+الغرق. طبعًا يعني أي إنسان ما بعرف يسبح، مش لازم ينزل 
+
+11
+00:00:41,200 --> 00:00:45,720
+يسبح. هذا طبعًا شيء طبيعي، وبالتالي ممكن يكون الغريق
+
+12
+00:00:45,720 --> 00:00:49,600
+هو أحد الأسباب المؤدية لغرق الشخص المنقذ، وبالتالي 
+
+13
+00:00:49,600 --> 00:00:52,660
+هنا نقول احنا لازم يكون الشخص اللي بعرف يسبح أو 
+
+14
+00:00:52,660 --> 00:00:56,020
+ينزل يسبح يكون بعرف يسبح. ما بعرفش يسبح يستخدم طبعًا
+
+15
+00:00:56,020 --> 00:00:59,700
+وسيلة ثانية. لكن يعني نقول احنا إن الغرق بحد ذاته 
+
+16
+00:00:59,700 --> 00:01:05,660
+هو دخول الماء للرئتين. طبعًا، دخول الميه للرئتين طبعًا
+
+17
+00:01:05,660 --> 00:01:09,760
+هنا طبعًا علامات اللي بنلاحظها. يعني كل الأعراض اللي 
+
+18
+00:01:09,760 --> 00:01:12,820
+بتظهر عندنا سواء من الإصابات أو من نقص الأكسجة أو 
+
+19
+00:01:12,820 --> 00:01:16,600
+من الغرق هي علامات مشتركة بأنه طبعًا يكون ازرقاق في 
+
+20
+00:01:16,600 --> 00:01:21,020
+عندنا. طبعًا، جهوظ في العينين. في عندنا طبعًا شحوب في
+
+21
+00:01:21,020 --> 00:01:24,080
+عندنا. هبوط في معدل التنفس أحيانًا لأنه ما فيش
+
+22
+00:01:24,080 --> 00:01:27,560
+إمكانية أن نكون عند الجسم مليان أو ريتم المنطقات و 
+
+23
+00:01:27,560 --> 00:01:30,960
+نحاول تبع التنفس بصورة طبيعية. قد يؤدي إلى فقدان
+
+24
+00:01:30,960 --> 00:01:33,840
+الوعي وقد يؤدي إلى الوفاة. طبعًا، شيء طبيعي. هنا قلنا
+
+25
+00:01:33,840 --> 00:01:37,440
+أن الدماغ قد يحتمل لـ4 دقائق بدون أي مشاكل أو
+
+26
+00:01:37,440 --> 00:01:41,980
+مخاطر. لكن بعد هيك بيصير طبعًا مشكلة على الدماغ
+
+27
+00:01:47,780 --> 00:01:52,740
+طبعًا، وقاية الغرق يعني باختصار اللي ما بعرف يسبح 
+
+28
+00:01:52,740 --> 00:01:57,840
+ما يسبحش، أو بالذات طبعًا أطفال نكون احنا حريصين عليهم
+
+29
+00:01:57,840 --> 00:02:01,920
+ولو بمساعدة إنسان بده مثلاً غريق وأنا ما بعرف 
+
+30
+00:02:01,920 --> 00:02:04,700
+أسبح وطبعًا هذه من أساس إن سلامة المصاب من سلامة
+
+31
+00:02:04,700 --> 00:02:09,600
+المكان. إن أنا ممكن أساعده بأشياء سهلة مثلاً قطعة 
+
+32
+00:02:09,600 --> 00:02:14,760
+خشبية. طبعًا، عجل مطاطي هذه طبعًا ممكن الأشياء تساعد
+
+33
+00:02:14,760 --> 00:02:20,630
+أما أنا ألقي نفسي بجانب الشخص هذا وأنا ما بعرفش هصير 
+
+34
+00:02:20,630 --> 00:02:23,890
+أنا طبعًا غريق مرة ثانية، وأنا بنحتاج لناس ينقذونا 
+
+35
+00:02:23,890 --> 00:02:26,930
+لكن طبعًا أول حاجة بالنسبة للي تكلمنا عنها باسعاف 
+
+36
+00:02:26,930 --> 00:02:31,130
+الغريق. يعني ممكن هات طبعًا نقاط واضحة جدًا. الأساس 
+
+37
+00:02:31,130 --> 00:02:34,310
+إن إنسان يعني يشعر إن في غريق. ممكن الإنسان 
+
+38
+00:02:34,310 --> 00:02:37,910
+ما بيعرف ينقذ أو شيء لكن بيشعر إن طبعًا بعض الناس 
+
+39
+00:02:37,910 --> 00:02:40,970
+ممكن يساعد في عملية إنقاذ الغريق وأهم شيء 
+
+40
+00:02:40,970 --> 00:02:44,730
+يقول إن احنا هو أول جهاز مهتم فيه طبعًا هو الجهاز
+
+41
+00:02:44,730 --> 00:02:48,470
+التنفسي. فأنباشرة أنا مهتم مش إن أقعد أواعي المريض 
+
+42
+00:02:48,470 --> 00:02:51,070
+وأصحي المريض وأنا دي المريض ... الضحية آسف أو 
+
+43
+00:02:51,070 --> 00:02:54,890
+الغريق، لأن أنا مهتم إن الشخص هذا طالع له إنه أزرق 
+
+44
+00:02:54,890 --> 00:02:58,450
+شفاه في ذَرَد طبعًا يعني إيه؟ ممكن يكون فاقد وعيه، 
+
+45
+00:02:58,450 --> 00:03:00,810
+طبعًا فقدان الوعي نتيجة إيه؟ ممكن يكون نتيجة الخوف 
+
+46
+00:03:00,810 --> 00:03:04,710
+الشديد من الغرق بحد ذاته أو نتيجة طبعًا عدم وصول 
+
+47
+00:03:04,710 --> 00:03:08,550
+كمية كافية من الأكسجين لدمه، وبالتالي أنا أبدأ بأول 
+
+48
+00:03:08,550 --> 00:03:11,570
+حاجة اللي هي طبعًا بالتنفس الصناعي. طبعًا بالحالة 
+
+49
+00:03:11,570 --> 00:03:15,930
+هذه زي ما قلنا احنا عملية طبعًا ثني العنق تمام؟ و 
+
+50
+00:03:15,930 --> 00:03:19,450
+الرأس طبعًا نجيبها للخلف والدقن لأعلى وإعطاء تنفس 
+
+51
+00:03:19,450 --> 00:03:23,390
+طبعًا هنا إذا كان الشخص بالغ طبعًا نكون من فم لفم 
+
+52
+00:03:23,390 --> 00:03:28,310
+بعد تنظيف الفم، لأن ربما الفم بيكون مثلاً فيه طحالب 
+
+53
+00:03:28,310 --> 00:03:32,770
+فيه أعشاب فيه رمل. ليش؟ لأن طالما الإنسان فقد وعيه
+
+54
+00:03:33,350 --> 00:03:37,130
+معناه ممكن يكون الفم ممتلئ مثلاً مش بس بالميه طبعًا
+
+55
+00:03:37,130 --> 00:03:40,490
+الشيء الثاني اللي بنعمل عليه هو بنساعد عليه عملية 
+
+56
+00:03:40,490 --> 00:03:46,210
+إفراغ أو تجويف الفم من أي مادة موجودة أو الأساس 
+
+57
+00:03:46,210 --> 00:03:51,260
+كمان إن أحرك قاعدة اللسان وبالتالي العملية ضخ الهواء
+
+58
+00:03:51,260 --> 00:03:55,940
+من رئة المسعف لفم الضحية أو فم الغريق. لكن إذا كان
+
+59
+00:03:55,940 --> 00:04:00,580
+طفل بنعمل بالخنصر بنعمل طريقة خطة فيها الإخراج أي 
+
+60
+00:04:00,580 --> 00:04:05,560
+مادة موجودة أو مادة عالقة وطبعًا التنفس الاصطناعي
+
+61
+00:04:05,560 --> 00:04:12,710
+من الفم لأنف وفم الطفل. فم الغريق المسعف بيغطي الفم و
+
+62
+00:04:12,710 --> 00:04:16,970
+أنف الضحية وبالتالي هم بيقولوا احنا الأساس في 
+
+63
+00:04:16,970 --> 00:04:23,450
+الإنقاذ عملية إدخال هواء. طبعًا عملية رفع الضحية أو 
+
+64
+00:04:23,450 --> 00:04:26,690
+رفع الغريق من القدمين هذا برضه بساعد على خروج 
+
+65
+00:04:26,690 --> 00:04:30,170
+الميه. طبعًا، سواء الطفل أنا ممكن أحمله بإيدي أما 
+
+66
+00:04:30,170 --> 00:04:33,190
+الإنسان البالغ طبعًا أنا ممكن أحمله إيش؟ من القدمين
+
+67
+00:04:33,190 --> 00:04:36,530
+بعد ما أعمل عملية تنفس مباشرة والتنفس هذه أنا 
+
+68
+00:04:36,530 --> 00:04:41,590
+ما بستمرش بس مجرد عملية تنبيه. أنا بعطي نفس لكن أنا 
+
+69
+00:04:41,590 --> 00:04:44,630
+ما يعقل إن أنا أعطي نفس وريقتي ممتلئات بالميه 
+
+70
+00:04:44,630 --> 00:04:48,230
+فبالتالي أنا بعطي نفسين وبارفع قدمين الشخص هذا
+
+71
+00:04:48,230 --> 00:04:52,530
+حتى لو فيه ميه. خروج الميه للخارج طبعًا بعد إخراج 
+
+72
+00:04:52,530 --> 00:04:55,870
+الميه وأتأكد إن بدأ الشخص طبعًا يتنفس هيك الأمور 
+
+73
+00:04:55,870 --> 00:05:00,370
+تكون تمام تمام. لكن إذا أنا لاحظت إن لسه في حاجة
+
+74
+00:05:00,370 --> 00:05:05,010
+لتنفس صناعي أنا بأستمر لغاية إن إيش يرجع التنفس
+
+75
+00:05:05,010 --> 00:05:07,950
+بصورته الطبيعية. وطالما إن كان هناك فيه تنفس 
+
+76
+00:05:07,950 --> 00:05:12,580
+معناه إن القلب بينبض. دكتور ممكن أسألك ... تفضلي ...
+
+77
+00:05:12,580 --> 00:05:16,880
+اتفضلي ... هلّقيت مش إحنا أخذنا إن المفروض إن إحنا
+
+78
+00:05:16,880 --> 00:05:19,460
+بنبلش من عشان قلبه لأن أنا ما فيش احتمال إن نكون 
+
+79
+00:05:19,460 --> 00:05:22,860
+قلبه اللي واقع. لا احنا ... إخواننا حتى في الـCPR اللي
+
+80
+00:05:22,860 --> 00:05:27,000
+احنا ذكرناها بيقولوا احنا منعت نفسين 100%. تمام؟ 
+
+81
+00:05:27,000 --> 00:05:32,380
+بعدين إذا الشخص بدأ يتنفس خلاص، أو إذا كان لازال 
+
+82
+00:05:32,380 --> 00:05:37,600
+النفس متوقف أو النفس ضعيف بنتقل بشوف إذا كان
+
+83
+00:05:37,600 --> 00:05:40,740
+القلب متوقف ولا لا. إذا كان القلب يعمل بأستمر على 
+
+84
+00:05:40,740 --> 00:05:46,360
+التنفس. أما إذا كان القلب يعمل ولو ببطء بأستمر فقط 
+
+85
+00:05:46,360 --> 00:05:49,240
+على التنفس، لأنه أنا ما بتدخل إذا كان القلب يعمل 
+
+86
+00:05:49,240 --> 00:05:53,000
+ما بتدخل لكن واجهت أنا بعمل التنفس الصناعي إذا كان
+
+87
+00:05:53,000 --> 00:05:58,400
+متوقف أو ضعيف. أنا في الأساس في الـCPR بعطي نفسين 
+
+88
+00:05:58,400 --> 00:06:02,180
+لكن إذا أنا لاحظت إن الشخص هذا متوقف النفس، متوقف
+
+89
+00:06:02,180 --> 00:06:05,900
+القلب، بأبدأ تدليك القلب. أما بالنسبة للأطفال
+
+90
+00:06:05,900 --> 00:06:08,160
+العكس، لأنه بيقولوا احنا عايشين حسب كمية الهواء
+
+91
+00:06:08,160 --> 00:06:11,360
+الموجودة في رئتيه. تفضلي
+
+92
+00:06:17,610 --> 00:06:23,330
+شيء طبيعي يا إخواننا إن احنا كلنا لما بناكل بننعس و
+
+93
+00:06:23,330 --> 00:06:26,350
+النعس إيش معناه؟ إن ورود كمية كبيرة من الدم 
+
+94
+00:06:26,350 --> 00:06:30,790
+للمعدة وهذه ممكن أكثر حاجة بتلاحظيها في رمضان كل 
+
+95
+00:06:30,790 --> 00:06:34,630
+عامة بيبقى يتجرب هيو. فأي إنسان بياكل بما فيه 
+
+96
+00:06:34,630 --> 00:06:39,570
+معناه هينعس. واحد نعسان معناه مش هيصبح كويس ثاني 
+
+97
+00:06:39,570 --> 00:06:43,650
+حاجة. هيكون ثقل في المعدة وبالتالي طبعًا هذا دائمًا 
+
+98
+00:06:43,650 --> 00:06:47,930
+حتى ... حتى يتجنب إن الاستحمام بعد الوجبة كمان 
+
+99
+00:06:47,930 --> 00:06:52,330
+لأن طبعًا ليش؟ لأن الدم معظم هتتجه وين؟ للمعدة
+
+100
+00:06:52,330 --> 00:06:55,930
+فالأفضل سواء الصباح أو الاستحمام لا يفضل بعد تناول
+
+101
+00:06:55,930 --> 00:07:00,390
+وجبة الطعام. طبعًا، يمكن هذه النقطة الأخيرة بالأساس 
+
+102
+00:07:00,390 --> 00:07:02,870
+نعطيه حاجة دافية أو أشياء طبعًا لأنه شيء أكيد مع 
+
+103
+00:07:02,870 --> 00:07:05,770
+الميه ممكن طبعًا جسمه يكون بارد شوية فنعطيه بس حاجة 
+
+104
+00:07:05,770 --> 00:07:07,570
+إيش تنشيطية أو سواء دافية
+
+105
+00:07:19,440 --> 00:07:23,700
+نيجي لأحد الأسباب الأخرى اللي هي إحلال غاز محل
+
+106
+00:07:23,700 --> 00:07:26,800
+الأكسجين واحنا تكلمنا عنه اللي هو طبعًا أول أكسيد 
+
+107
+00:07:26,800 --> 00:07:30,060
+الكربون وهو طبعًا يعني بعض الناس بيسميه غاز الفحم 
+
+108
+00:07:30,060 --> 00:07:34,920
+وطبعًا ميزته إنه لا لون ولا ريحة على عكس ثاني أكسيد
+
+109
+00:07:34,920 --> 00:07:38,720
+الكربون اللي طبعًا بتصعد لو أنت حرقت حاجة مثلاً 
+
+110
+00:07:38,720 --> 00:07:43,860
+كرتون وورق خشب إشي طبعًا ممكن تصعد لونه أبيض وهو 
+
+111
+00:07:43,860 --> 00:07:47,340
+طبعًا احنا كنا بنشعر فيه وبنضايق منه. لكن أول أكسيد 
+
+112
+00:07:47,340 --> 00:07:53,640
+الكربون احنا ما بنضايق منه ما فيش ... ماشي ... احسب ...
+
+113
+00:07:53,640 --> 00:07:56,920
+هيجيت أنا ... هل يُعقل احنا قاعدين كده نقول والله في
+
+114
+00:07:56,920 --> 00:07:59,620
+واحد استنشق أول أكسيد الكربون واحنا ما فيش عندنا
+
+115
+00:07:59,620 --> 00:08:03,220
+حاجة مولعة عمل فحم؟ لا طبعًا ... طبعًا ... طبعًا ... طبعًا
+
+116
+00:08:03,220 --> 00:08:04,540
+... طبعًا ... طبعًا ... طبعًا ... طبعًا ... طبعًا ... طبعًا ...
+
+117
+00:08:04,540 --> 00:08:05,640
+طبعًا ... طبعًا ... طبعًا ... طبعًا ... طبعًا ... طبعًا ...
+
+118
+00:08:05,640 --> 00:08:06,140
+طبعًا ... طبعًا ... طبعًا ... طبعًا ... طبعًا ... طبعًا ...
+
+119
+00:08:06,140 --> 00:08:09,640
+طبعًا ... طبعًا ... طبعًا ... طبعًا ... طبعًا ... طبعًا ...
+
+120
+00:08:09,640 --> 00:08:12,220
+طبعًا ... طب واحد وأنا قاعد على الكرسي وجع الأرض
+
+121
+00:08:12,220 --> 00:08:16,620
+ما فيش اشتباه هنا واحد مثلاً وجع من سطح والله فيه
+
+122
+00:08:16,620 --> 00:08:19,600
+اشتباه. واحد خبط بالموتسيكل فيه اشتباه، طبيعة
+
+123
+00:08:19,600 --> 00:08:23,460
+المكان هي اللي بتثبت لي، الخطورة حسب المكان
+
+124
+00:08:23,460 --> 00:08:26,100
+وبالتالي هنا لما أقول أنا سلامة المصاب من سلامة
+
+125
+00:08:26,100 --> 00:08:28,860
+المكان، إن إذا كان الشخص هذا اللي قاعد بتدفع
+
+126
+00:08:28,860 --> 00:08:32,640
+الفحم وأنا لحقته في اللحظات الأخيرة ولاقيته مغيب
+
+127
+00:08:32,640 --> 00:08:35,460
+لأنه ممكن طبعًا نفقد الوعي نتيجة إحلال الـ أو أكسيد
+
+128
+00:08:35,460 --> 00:08:39,080
+الكربون محل الأكسجين. تمام؟ لأن احنا قلنا من بعض 
+
+129
+00:08:39,080 --> 00:08:41,700
+الحالات اللي بتاخذ معانا وقت أطول في إعارة التنفس 
+
+130
+00:08:41,700 --> 00:08:46,020
+الصناعي للطبيعي. طبيعيته اللي هي إحلال التسمم بأول
+
+131
+00:08:46,020 --> 00:08:49,780
+أكسيد الكربون والمخدرات وبالتالي هنا ... أنا ما
+
+132
+00:08:49,780 --> 00:08:54,590
+بنقذ هو جوا. أنا بدأ أخرج من المكان هذا. تمام؟ طبعًا 
+
+133
+00:08:54,590 --> 00:08:56,790
+أنا أقول لك مثلاً لو حد يقول لك أنا ممكن أعمل تهوية 
+
+134
+00:08:56,790 --> 00:08:59,730
+للشبابيك أفتح لي باب لا أنت طلع جوا من برا 
+
+135
+00:08:59,730 --> 00:09:03,350
+وكالواجب إن ممكن لما تطلعوا برا يبدأ يقعد نفسه 
+
+136
+00:09:03,350 --> 00:09:07,750
+ضعيف لكن مجرد دخول الـ oxygen يبدأ. لكن أفضل إن 
+
+137
+00:09:07,750 --> 00:09:11,950
+أنا لجيت نفسه ضعيف أعمله تنفس صناعي وطالما يا 
+
+138
+00:09:11,950 --> 00:09:15,050
+إخواننا أنا بقول مرة ثانية طالما في نفس القلب أنا 
+
+139
+00:09:15,050 --> 00:09:19,450
+باهتمش كثير لأن القلب يعمل لكن الأول لاحظ النفس
+
+140
+00:09:19,450 --> 00:09:23,590
+متوقف واتجاهه لجهة القلب متوقف كبداية لو أنا جيت 
+
+141
+00:09:23,590 --> 00:09:28,960
+الشخص هذا نفسُه متوقف، ببدأ بتنفس اختبار نفسين لكن
+
+142
+00:09:28,960 --> 00:09:32,520
+بعديها إذا استعاد وعيه وبدأ نتيجة الـ oxygen يعني
+
+143
+00:09:32,520 --> 00:09:36,560
+نقول الاحتمال أنه إذا أنا أعطيته نفس تمام بسبب 
+
+144
+00:09:36,560 --> 00:09:40,620
+تأثير أول أكسيد الكربون أنه أثر على مركز التنفس
+
+145
+00:09:40,620 --> 00:09:45,050
+وبدأ توقف مركز التنفس أو ضعف، إذا ضعف، معناه لسه 
+
+146
+00:09:45,050 --> 00:09:48,850
+القلب لا يعمل، تمام؟ وإذا توقف، ممكن يكون القلب
+
+147
+00:09:48,850 --> 00:09:53,550
+كمان توقف، لكن أنا ببدأ بالتنفس، إذا استعاد نفسه،
+
+148
+00:09:53,550 --> 00:09:57,790
+خلاص، ما بهتم للقلب، لكن إذا كان لازم أتوقف، بنتبه
+
+149
+00:09:57,790 --> 00:10:01,450
+للقلب، إذا القلب متوقف، ببدأ بتبليغ القلب، تمام؟
+
+150
+00:10:01,590 --> 00:10:04,790
+وبالتالي هانا اللي هو الغازات اللي اتضررت طبعا
+
+151
+00:10:04,790 --> 00:10:07,510
+ممكن أشرع عن اللي هو أول أكسيد الكربون اللي هو
+
+152
+00:10:07,510 --> 00:10:13,550
+غاز سام قاتل وهو طبعا بيجي تدريجياً، الميزة فيه بيخلي
+
+153
+00:10:13,550 --> 00:10:16,910
+الواحد ينعس وفي نفس الوقت بيحل محل الاكسجين اللي
+
+154
+00:10:16,910 --> 00:10:20,370
+موجود على الـ hemoglobin وبيصير مادة سامة للدماغ
+
+155
+00:10:20,370 --> 00:10:23,310
+فالدماغ طبعا بيقول كاش والله أنا أخرت أو.. لأ
+
+156
+00:10:23,310 --> 00:10:26,780
+بيعطيك العلامات، العلامات، الإنسان يجي على إنسان في
+
+157
+00:10:26,780 --> 00:10:30,500
+غرفة وفيها فحم مثلاً حيكون يعني حاسس حاله نايم
+
+158
+00:10:30,500 --> 00:10:35,360
+يعني .. يعني كأنه واخد مخدر، مش واعي عن اللي حواليه
+
+159
+00:10:35,360 --> 00:10:39,640
+حاسس رأسه تقيل، بده ينام، فشوية شوية طالما هو
+
+160
+00:10:39,640 --> 00:10:44,180
+نايم، هياخد أول أكسيد الكربون بزيادة، وهنا طبعا
+
+161
+00:10:44,180 --> 00:10:47,840
+الخطورة، وهنا كتير ممكن زي ما وأنتم بتعرفوا تم 
+
+162
+00:10:47,840 --> 00:10:51,000
+تذييل حالات كتيرة، من الوفيات ولا حتى الآن، ولا
+
+163
+00:10:51,000 --> 00:10:54,240
+حتى الآن، طبعا، يا بكون ما كل كسّه نايم، مش ماكلها
+
+164
+00:10:56,490 --> 00:11:03,710
+تمام، فطبعا هذا هو، لكن الـ carbon مميز عنه، نجي
+
+165
+00:11:03,710 --> 00:11:07,810
+لحاجة ثالثة أو الخامسة اللي هي الجروح النافذة في
+
+166
+00:11:07,810 --> 00:11:11,090
+الصدر طبعا أن احنا في عندنا يعني جروح نافذة وغير
+
+167
+00:11:11,090 --> 00:11:16,130
+نافذة طبعا نسميها الجروح الطعنية، طبعاً الخطورة في
+
+168
+00:11:16,130 --> 00:11:19,950
+الجرح النافذ لأن طبعا غالباً بكون في الرئتين، إذا كان
+
+169
+00:11:19,950 --> 00:11:23,310
+في الرئتين أو مثلاً في القلب، طبعاً  نختار اللي في
+
+170
+00:11:23,310 --> 00:11:26,830
+القلب، لأ، ربما في الرئتين طبعاً يتم إسعافه
+
+171
+00:11:26,830 --> 00:11:32,570
+والمحافظة على الأداة أو الوسيلة التي تم طعنه فيها،
+
+172
+00:11:32,570 --> 00:11:35,090
+ممكن يكون طبعا مثلاً سِخ معدني، ممكن يكون طبعا 
+
+173
+00:11:35,090 --> 00:11:38,930
+سكين، طبعاً في الأساس إذا كانت بعيدة عن القلب هي 
+
+174
+00:11:38,930 --> 00:11:42,130
+نوعاً ما سليمة، لكن إذا كانت مباشرة في القلب،
+
+175
+00:11:42,130 --> 00:11:45,550
+طبعاً صعب جداً اللي هو إنقاذه، احنا بنحاول، لكن
+
+176
+00:11:45,550 --> 00:11:49,310
+أنتوا عارفين طبعا القلب مباشرة، مجرد أنه يتم ضخ
+
+177
+00:11:49,310 --> 00:11:52,690
+الدم، هيكون طبعا الخارجي، لكن أحياناً ممكن تكون
+
+178
+00:11:52,690 --> 00:11:58,970
+السكين هي مطعونة أو مجروزة في القلب وثابتة، الخطأ
+
+179
+00:11:58,970 --> 00:12:04,190
+إزالتها، الخطأ إزالتها لأن فيها مشاكل كتيرة من
+
+180
+00:12:04,190 --> 00:12:07,450
+إزالتها طبعا ممكن يكون عندي أنا مثلاً قطع الوريد،
+
+181
+00:12:07,450 --> 00:12:13,350
+قطع الشرايين، عملية توسيق، أو نجعل فيه هناك مخرج
+
+182
+00:12:13,350 --> 00:12:19,360
+للدم طبعاً بالأساس أن أنا بخليها كما هي مع تثبيتها
+
+183
+00:12:19,360 --> 00:12:24,140
+يبقى فينا هنا حالتين، إذا كانت منزوعة وإذا كانت
+
+184
+00:12:24,140 --> 00:12:29,180
+موجودة، إذا كانت .. نفترض احنا مثلاً في الصدر تمام؟
+
+185
+00:12:29,180 --> 00:12:32,180
+لأ طبعاً أنا بختار منطقة صدر لأن منطقة فيها القلب
+
+186
+00:12:32,180 --> 00:12:36,560
+ومنطقة فيها الرئتين، إذا كانت منزوعة فأنا إيش
+
+187
+00:12:36,560 --> 00:12:44,620
+بعمل؟ بغطي المكان، الجروح بشاش من ثلاث نواحي ونوم
+
+188
+00:12:44,620 --> 00:12:48,900
+الشخص بيكون على ناحية المصابة، حتى لو كان فيه دم
+
+189
+00:12:48,900 --> 00:12:53,340
+وحاجة يكون للخارج تمام؟ ثاني حاجة إنه يكون فيه
+
+190
+00:12:53,340 --> 00:12:57,920
+سُؤالّة عند للرئة السليمة للحركة، لأن أنا ما بنام
+
+191
+00:12:57,920 --> 00:13:02,020
+على الناحية السليمة، بنام على الناحية المصابة مع
+
+192
+00:13:02,020 --> 00:13:07,960
+وضع قطعة قماش، ما فيش معقمة، قطعة نظيفة تمام؟ واترك
+
+193
+00:13:07,960 --> 00:13:12,640
+ناحية مفتوحة عشان إيش؟ خروج الدم اللي موجود في
+
+194
+00:13:12,640 --> 00:13:18,290
+الرئة، لأن وجود الدم بيأثر على عملية التنفس تمام؟
+
+195
+00:13:18,290 --> 00:13:20,930
+وبالتالي يعني البعض بيقول احنا ممكن كمان نحط قطعة
+
+196
+00:13:20,930 --> 00:13:26,070
+نايلون فوق الشاش فوق .. فوق الشاش، وخلّي بس نواحي
+
+197
+00:13:26,070 --> 00:13:29,350
+يعني احنا إيش؟ بنلّزق من ثلاث نواحي وبنخلي نواحي
+
+198
+00:13:29,350 --> 00:13:33,510
+إيش؟ مفتوحة، طيب في حال أن هي كانت لازالت مغروسة
+
+199
+00:13:33,510 --> 00:13:39,930
+بتركها كما هي لكن مع وضع شاش أو قماش حواليها، إذا
+
+200
+00:13:39,930 --> 00:13:43,490
+كانت منزوعة إلها حل، وإذا كانت مغروسة إلها حل طبعاً
+
+201
+00:13:43,490 --> 00:13:47,870
+أن هنا فينا صورة وهي طبعا صورة طبعاً ممكن نقاش 
+
+202
+00:13:47,870 --> 00:13:52,050
+الأعراض، وقلنا الأعراض مشتركة طبعا من الزرقة، من تعب
+
+203
+00:13:52,050 --> 00:13:55,930
+في النفس، من الخروج، أحياناً ممكن يكون مثلاً زي الرغوة
+
+204
+00:13:55,930 --> 00:13:59,590
+من مكان الجرح، لأن طبعاً في خروج هواء وبالتالي
+
+205
+00:13:59,590 --> 00:14:03,490
+هنا طبعا أحد العلامات الواضحة، يمكن هنا في صورة
+
+206
+00:14:03,490 --> 00:14:07,750
+واضحة، يمكن البعض شافها قبل كده طبعاً الصورة هذه
+
+207
+00:14:07,750 --> 00:14:14,110
+طبعاً هي صورة هذه، صورة حقيقية، هَدِّد طبعا صورة إني 
+
+208
+00:14:14,110 --> 00:14:19,170
+مارفد أحكيها، هلجيتها أنا مش هرطيها، هذه صورة
+
+209
+00:14:19,170 --> 00:14:24,810
+حقيقية جبتها، وهذه تقريباً هذه أهلي كانت عندنا في
+
+210
+00:14:24,810 --> 00:14:30,970
+أعتقد في الشمال وهذه طبعاً هذه سواق توكتوك مع كَرّة
+
+211
+00:14:30,970 --> 00:14:38,380
+حصان، آه طبعاً هذه مصورة تحت كَرْبة الحصان، ما شالوها
+
+212
+00:14:38,380 --> 00:14:44,280
+هو ربنا رحمه أنها مش في القلب ولا بالحجم هذه، كان
+
+213
+00:14:44,280 --> 00:14:48,320
+طبعا مميتة .. مميتة، طبعاً إيش هم عملوه؟ جسوها ..
+
+214
+00:14:48,320 --> 00:14:55,040
+هرّوها في المستشفى، طبعا جصوا الـ .. الـ .. الحديده
+
+215
+00:14:55,040 --> 00:14:59,660
+نفسها، دي طبعاً الحديده، جصوها واخدوها على
+
+216
+00:14:59,660 --> 00:15:04,320
+المستشفى، طبعاً هي بداية الحديده وإنها المجصوصة لأ
+
+217
+00:15:04,320 --> 00:15:09,540
+واعي، لأن هي نفسها بحد ذاتها عملت إغلاق للجروح، 
+
+218
+00:15:09,540 --> 00:15:12,880
+صحيح أن فيها ندم، لكن هي ما تمّ انتزاحها في مكان 
+
+219
+00:15:12,880 --> 00:15:18,540
+الحدث، آه طبعاً هذه إزالتها خطيرة طبعا بالتالي، هل لما
+
+220
+00:15:18,540 --> 00:15:21,640
+يكون إزالتها في المستشفى فيه إمكانيات راقية في
+
+221
+00:15:21,640 --> 00:15:27,170
+الشمال والراجل طبعاً إنه نصيب وظل حي ويرزق، طبعا هذه
+
+222
+00:15:27,170 --> 00:15:30,870
+من أحد .. لكن أنا بقولها كمثال، ممكن يكون طبعا طعن
+
+223
+00:15:30,870 --> 00:15:37,410
+سكين ومثلاً حديدة أو شيء، لكن هذه شيء واقع عشان
+
+224
+00:15:37,410 --> 00:15:41,750
+نثبت أن احنا مش لازم نشيل أي حاجة مغروسة أو نتركها
+
+225
+00:15:41,750 --> 00:15:46,190
+كمان ممكن يكون الطعن بالظهر، مش ضروري في الصدر أو
+
+226
+00:15:46,190 --> 00:15:52,010
+نتركها أو نتركها، طب ويازما هي، قولنا كيف نتصرف
+
+227
+00:15:52,010 --> 00:15:55,510
+معاها إذا كانت منزوعة وإذا كانت لازالت مغروسة
+
+228
+00:15:58,500 --> 00:16:05,360
+آه حسب حسب يعني حالة زيها هذه نظيفة شديد لكن هنا
+
+229
+00:16:05,360 --> 00:16:11,480
+وجودها أدى إلى إغلاق الجرح، أنا قلت إيه؟ قلنا احنا
+
+230
+00:16:11,480 --> 00:16:15,940
+إذا كانت منزوعة بت .. بت .. طبعا بت .. بتحط عليها 
+
+231
+00:16:15,940 --> 00:16:20,480
+شاش، إذا كانت في الصدر، فأنا ببقى في خلّاتنا، أنا
+
+232
+00:16:20,480 --> 00:16:24,040
+كلام بيتكلم، إذا كانت في الصدر تُترك، ناحية من الأربع 
+
+233
+00:16:24,040 --> 00:16:27,580
+نواحي، لكن إذا كانت مثلاً في الذراع، في العضو، في 
+
+234
+00:16:27,580 --> 00:16:31,980
+الفقر، بسكرها كلها، ليش أنا بقول في الصدر؟ لأن هذا 
+
+235
+00:16:31,980 --> 00:16:36,280
+دخول، في عندي رئتين بيتنفسوا، فأنا بدي أخفف كمية
+
+236
+00:16:36,280 --> 00:16:42,290
+الدم النازفة للخارج، آه تمام؟ وفي نفس الوقت أنا 
+
+237
+00:16:42,290 --> 00:16:47,090
+بقول بضع قطعة نايلون إذا كانت في الصدر عشان عدم
+
+238
+00:16:47,090 --> 00:16:50,550
+دخول الهواء مرة أخرى، الهواء بيدخلوا ليش من برج الفم
+
+239
+00:16:50,550 --> 00:16:54,810
+والأنف تمام؟ فإذا كانت مجروزة إلها حل، وإذا كانت
+
+240
+00:16:54,810 --> 00:16:59,610
+منزوعة إلها حل تمام؟ طبعا هذا إنسان ربنا أنقده
+
+241
+00:16:59,610 --> 00:17:03,350
+ويعني برضه .. آه عايش .. طبعاً الكلام كان جاب له 
+
+242
+00:17:03,350 --> 00:17:04,470
+حوالي عشر سنين
+
+243
+00:17:11,520 --> 00:17:15,200
+طبعاً أنا في كصورة مبسطة بالنسبة كيف أتعامل أنا مع
+
+244
+00:17:15,200 --> 00:17:18,740
+جروح الصدر، وقلنا هي طبعا جروح الصدر هي اللي أنا
+
+245
+00:17:18,740 --> 00:17:22,360
+بستخدم ثلاث نواحي فقط، أما أماكن ثانية طبعاً بعمل
+
+246
+00:17:22,360 --> 00:17:27,160
+إغلاق كلها، نجي لحاجة مهمة كتيرة جداً طبعاً هنعرض
+
+247
+00:17:27,160 --> 00:17:30,080
+فيديو طبعا الفيديو هذا احنا عملناه تطبيق عملي
+
+248
+00:17:30,080 --> 00:17:35,600
+عندنا في المختبر اللي هو طبعاً الغصة طبعا أو الشرجة
+
+249
+00:17:35,600 --> 00:17:40,830
+طبعاً لكن أنا بتكلم هنا على وجود جسم غريب في الحنجرة
+
+250
+00:17:40,830 --> 00:17:46,210
+جسم غريب، وما غريب إلا الشيطان، فأنا بتكلمها جسم
+
+251
+00:17:46,210 --> 00:17:51,930
+غريب في الحنجرة وليس في المريء، وقلنا أول حاجة في
+
+252
+00:17:51,930 --> 00:17:57,770
+عنا أشياء أشياء مهمة كتير، إذا كانت في المريء، بتكلم
+
+253
+00:17:57,770 --> 00:18:02,810
+لأ ما بقدر أقول في المريء، صعب يعني نقول مثلاً كيف
+
+254
+00:18:02,810 --> 00:18:07,330
+صارت في المريء، إنسان مثلاً أكل بسرعة ومستعجل بالبلع
+
+255
+00:18:07,330 --> 00:18:11,910
+مثلاً زي الفتلة زي اللقمة في الزور، يشرب ميه .. يشرب
+
+256
+00:18:11,910 --> 00:18:15,770
+ميه، تمام؟ لكن في المكان الثاني هناخد الفيديو هذا
+
+257
+00:18:15,770 --> 00:18:21,130
+ونلاحظ إيش ممكن يصير معاه حقيقي ..
+
+258
+00:18:28,720 --> 00:18:33,860
+عدم أخذ الهوى، وبالتالي ده لاحظناه أو تحدثنا عن
+
+259
+00:18:33,860 --> 00:18:38,380
+كيف يتحقق بناء على الفرق السابق الذي ذكرناه في 
+
+260
+00:18:38,380 --> 00:18:42,620
+ظروف السلام، يعني أسس أو استشعر هو هذا مؤشر لأخذ
+
+261
+00:18:42,620 --> 00:18:48,040
+الهوى أو عدم أخذ الهوى، لربما يكون الشخص واعي أو
+
+262
+00:18:48,040 --> 00:18:51,710
+لربما يكون الشخص لا واعي، المؤشرات الأساسية التي تدل
+
+263
+00:18:51,710 --> 00:18:54,730
+على أن هناك إغلاق جزء أو ولا قفلين هي أشياء مصرّة
+
+264
+00:18:54,730 --> 00:18:59,730
+جداً، إذا كان هناك صوت من هناك، قد يكون إغلاق جزئي،
+
+265
+00:18:59,730 --> 00:19:04,330
+أما إذا كان لا يوجد أي صوت، يكون إغلاق قفلين، تالي
+
+266
+00:19:04,330 --> 00:19:07,810
+قد ينضج الإنسان ويعيق نتيجة الآخر
+
+267
+00:19:17,690 --> 00:19:23,190
+دخول الهواء إلى الرئتين، وبالتالي حينما نحاول نُعالج
+
+268
+00:19:23,190 --> 00:19:27,930
+على شخص بأقل وعي، أول شيء نتعرف على درجة الخطر ثم
+
+269
+00:19:27,930 --> 00:19:33,610
+درجة الوعي، وبعد ذلك هل هناك دخول هواء أو عدمه طبعا 
+
+270
+00:19:33,610 --> 00:19:38,230
+من خلال القوانين التي ذكرتهم سنحاول الآن تطبيق بعض
+
+271
+00:19:38,230 --> 00:19:44,530
+الإجراءات العملية في حال دخول جسم غريب طبعاً داخل
+
+272
+00:19:44,530 --> 00:19:48,450
+الحنجرة، من ناحية إغلاق جزء .. أو إغلاق كله، يمكن
+
+273
+00:19:48,450 --> 00:19:52,430
+لربما بعض الناس يعني أثناء الـ .. الـ .. الطعام أو
+
+274
+00:19:52,430 --> 00:19:55,670
+يعني التناول، وأي .. أي مشروبات، يحاول أن يعني 
+
+275
+00:19:55,670 --> 00:19:59,630
+يتكلم، وهي طبعا يعني عادة خاطئة، لأن طبعاً دخول
+
+276
+00:19:59,630 --> 00:20:04,270
+الهواء مع الطعام هذا مشكلة ويسبب ضيق في مجرد
+
+277
+00:20:04,270 --> 00:20:09,070
+التنفس، لذلك فمجرد التنفس يعني هو فقط لدخول الهواء
+
+278
+00:20:09,070 --> 00:20:13,510
+أما الـ .. طبعا مجرى الطعام فهو طبعا داخل الـ .. ال
+
+279
+00:20:13,510 --> 00:20:17,450
+.. المريء، وطبعا خاص بالمأكولات والمشروبات طبعا الـ
+
+280
+00:20:17,450 --> 00:20:21,250
+.. الجزء المشترك لدخول الطعام والهواء هو طبعا
+
+281
+00:20:21,250 --> 00:20:24,910
+البلعوم و بالتالي يكون هناك أثناء تناول الطعام و
+
+282
+00:20:24,910 --> 00:20:28,540
+الشرابلسان/المزمار الذي يعمل على إغلاق الحنجرة
+
+283
+00:20:28,540 --> 00:20:32,280
+أثناء تناول الطعام يكون هناك إغلاق وأثناء الكلام
+
+284
+00:20:32,280 --> 00:20:36,120
+يكون رفع أو فتح لهذا المدخل وبالتالي يحدث الصوت
+
+285
+00:20:36,120 --> 00:20:39,980
+وبالتالي بعض الناس حينما يعني يكون ضحكة عالية أو
+
+286
+00:20:39,980 --> 00:20:43,620
+كلام لربما يدخل جزء من الطعام داخل الرئة أو 
+
+287
+00:20:43,620 --> 00:20:48,100
+الحنجرة وبالتالي يبدأ بالسعال إذا حاولنا مساعدة
+
+288
+00:20:48,100 --> 00:20:53,220
+شخص بدأ يتناول طعام أو دخل لديه جسم غريب فإننا
+
+289
+00:20:53,220 --> 00:20:56,520
+نبدأ بالخطوات التالية التي من خلالها سنطبقها
+
+290
+00:20:56,520 --> 00:21:00,300
+تطبيقًا عمليًا كبداية يعني كبداية نتحدث عن شيء مهم
+
+291
+00:21:00,300 --> 00:21:04,260
+جدًا وهي من بعض الأخطاء التي قد تكون واردة عن بعض
+
+292
+00:21:04,260 --> 00:21:08,940
+الحالات اللي هو أثناء الشرب أو طبعًا دخول جسم غريب،
+
+293
+00:21:08,940 --> 00:21:12,440
+فالبعض يتناول الماء مباشرة أو المشروب، البعض يدعو
+
+294
+00:21:12,440 --> 00:21:16,680
+زميله لتناول كوب من الماء، وهذا خاطئ جدًا، لماذا؟
+
+295
+00:21:16,680 --> 00:21:20,120
+طبعًا إذا كان هناك إغلاق جزئي أو إغلاق كلي في مجرى
+
+296
+00:21:20,120 --> 00:21:24,800
+التنفس، فالأفضل هو إخراج الجسم الغريب وليس دخول
+
+297
+00:21:24,800 --> 00:21:28,820
+الماء لتأخير إخراج الجسم الغريب، وهذا عادة خاطئ،
+
+298
+00:21:28,820 --> 00:21:32,480
+وبالتالي يجب علينا أن نكون حريصين جدًا في حال دخول
+
+299
+00:21:32,480 --> 00:21:35,820
+جسم غريب سواء كأداء لأغلاق جزئي أو أغلاق كلي، عدم
+
+300
+00:21:35,820 --> 00:21:39,700
+تناول الماء، لكن الخطوة الأساسية الأولى هي الدعم 
+
+301
+00:21:39,700 --> 00:21:43,500
+النفسي للشخص ومساعدته على السعال، عملية السعال،
+
+302
+00:21:43,500 --> 00:21:47,040
+وبالتالي أنا أقف بجانب الشخص، نفترض هنا زميلنا
+
+303
+00:21:47,040 --> 00:21:51,340
+يعني حصل لديه أغلاق جزئي أو أغلاق كلي، وأنا ملاحظ
+
+304
+00:21:51,340 --> 00:21:55,960
+هنا أن المؤشر الأساسي كعلامة أن هناك إغلاق جزئي أو
+
+305
+00:21:55,960 --> 00:22:00,460
+إغلاق كلي هو أن يضع الشخص يده على منطقة العنق وهي 
+
+306
+00:22:00,460 --> 00:22:04,080
+طبعًا مؤشر أن هناك إغلاق جزئي أو إغلاق كلي وبالتالي 
+
+307
+00:22:04,080 --> 00:22:07,820
+أنا في المرحلة هذه وفي الحالة هذه أقف بجانب الشخص و
+
+308
+00:22:07,820 --> 00:22:12,100
+أدعمه نفسيًا بالتشجيع على السعال، إذا الخطوة الأولى
+
+309
+00:22:12,100 --> 00:22:15,820
+لإخراج الجسم الغريب في حال الاختناق، في حال دخول 
+
+310
+00:22:15,820 --> 00:22:19,920
+جسم غريب وإغلاق جزئي أو إغلاق كلي، هو الدعم
+
+311
+00:22:19,920 --> 00:22:24,380
+النفسي، أشجعه على السعال، أساعده، كح، وهكذا طبعًا الشيء،
+
+312
+00:22:24,380 --> 00:22:27,440
+حتى يخرج الهواء من الرئتين ويدفع الجسم الغريب من 
+
+313
+00:22:27,440 --> 00:22:30,870
+الحنجرة إلى الخارج، وبعد ذلك بالطبع تناول
+
+314
+00:22:30,870 --> 00:22:34,070
+الطعام أو الشرب، لأن الخطوة الأولى هي الدعم النفسي 
+
+315
+00:22:34,070 --> 00:22:36,970
+والتشجيع على السعال، طبعًا في الوضع الحادث أن أقف 
+
+316
+00:22:36,970 --> 00:22:42,130
+بجانب الضحية أو بجانب الشخص المختنق، وطبعًا تكون قدم
+
+317
+00:22:42,130 --> 00:22:46,610
+للأمام وقدم للخلف، وطبعًا لهي لها مغزى كبير، الهدف
+
+318
+00:22:46,610 --> 00:22:50,770
+منها أنه في حال استمرار عملية إغلاق مجرى التنفس
+
+319
+00:22:50,770 --> 00:22:55,630
+سيكون هناك انخفاض تدريجي في دخول الأكسجين إلى
+
+320
+00:22:55,630 --> 00:22:59,610
+الرئتين وقد يؤدي إلى فقدان الوعي وبالتالي أنا أكون 
+
+321
+00:22:59,610 --> 00:23:03,290
+حريصًا جدًا حتى لا يقع الشخص على الأرض فالقدم
+
+322
+00:23:03,290 --> 00:23:06,770
+الأمامية تساعدني والقدم الخلفية تساعدني في حفظ
+
+323
+00:23:06,770 --> 00:23:11,560
+التوازن لي وللشخص نفسه. إذا الخطوة الثانية هي بعد
+
+324
+00:23:11,560 --> 00:23:18,100
+دعمه وتشجيعه على السعال هي أن أضع يدي على وسط ..
+
+325
+00:23:18,100 --> 00:23:23,340
+منتصف صدر الشخص وأعمل بانحناء الشخص وبالضرب بين 
+
+326
+00:23:23,340 --> 00:23:28,780
+.. بين لوحتي الكتف من خمس ضربات إلى عشر ضربات طبعًا 
+
+327
+00:23:28,780 --> 00:23:32,520
+بالصورة هكذا للدفع من أسفل إلى أعلى، إذا رأيناها 
+
+328
+00:23:32,520 --> 00:23:36,490
+بالصورة التالية تكون بالتالي متدافع من أسفل إلى
+
+329
+00:23:36,490 --> 00:23:40,410
+أعلى خمس ضربات، والضربات تكون قوية، وهذا .. وطبعًا
+
+330
+00:23:40,410 --> 00:23:44,750
+السبب في هذه هي عملية خلخلة للهواء للضغط على الجسم
+
+331
+00:23:44,750 --> 00:23:47,590
+الغريب ويخرجه، لربما هذه الطريقة .. الخطوة
+
+332
+00:23:47,590 --> 00:23:51,110
+الثانية تنجح، ولربما تفشل، في حال نجحت كانت الأمور 
+
+333
+00:23:51,110 --> 00:23:54,910
+تمام مئة في المائة، وفي حال أنها فشلت ننتقل للخطوة
+
+334
+00:23:54,910 --> 00:23:59,030
+الثالثة، والخطوة الثالثة هي أن أضع يدي، طبعًا إذا 
+
+335
+00:23:59,030 --> 00:24:03,730
+لاحظنا القدمين للأمام وللخلف، أضع يدي عند أسفل 
+
+336
+00:24:03,730 --> 00:24:06,750
+عضمة القص هناك الحجاب الحاجز، الذي يكون الحد
+
+337
+00:24:06,750 --> 00:24:11,050
+السفلي بالنسبة للرئتين، فأضع قبضة اليد بالصورة
+
+338
+00:24:11,050 --> 00:24:15,650
+التالية وأضغط هكذا من أسفل إلى أعلى من أسفل إلى
+
+339
+00:24:15,650 --> 00:24:18,890
+أعلى وهي طبعًا يمكن لربما يكون فيها ألم لكن ألم 
+
+340
+00:24:18,890 --> 00:24:23,830
+الاختناق هو أشد بكثير من ألم الضغط على أسفل الحجاب 
+
+341
+00:24:23,830 --> 00:24:27,550
+الحاجز وبالتالي أضغط بالصورة التالية خمسة إلى عشر 
+
+342
+00:24:27,550 --> 00:24:31,930
+ضغطات للداخل مع طبعًا عملية الفرق وهي طبعًا صورة
+
+343
+00:24:31,930 --> 00:24:36,530
+عملية فرق هكذا إن أنا أضغط وأعمل ضغط للهواء
+
+344
+00:24:36,530 --> 00:24:41,790
+الموجود داخل الرئتين إلى أعلى حتى يساعد على خروج
+
+345
+00:24:41,790 --> 00:24:44,910
+الجسم الغريب، يبقى هذه الخطوة الثالثة عملية طبعًا 
+
+346
+00:24:44,910 --> 00:24:49,110
+تسمى طريقة هيمليك هكذا تساعد على إخراج الجسم
+
+347
+00:24:49,110 --> 00:24:54,250
+الغريب بالضغط على أسفل حجاب الحاجز لأعلى، لربما
+
+348
+00:24:54,250 --> 00:24:58,810
+الطريقة هنا تفشل وربما تنجح، الخطوة الثانية إذا
+
+349
+00:24:58,810 --> 00:25:02,950
+نجحت، الطريقة هذه طبعًا المريض يأخذ وضعه الطبيعي
+
+350
+00:25:02,950 --> 00:25:07,990
+بالوضع الذي يراه مريحًا له، هناك إمكانية لو فشلت
+
+351
+00:25:07,990 --> 00:25:12,030
+الطريقة أن أساعد الشخص على الاستلقاء على الأرض
+
+352
+00:25:12,030 --> 00:25:16,790
+طبعًا ما يدل على أن هناك طريقة فاشلة أن الشخص يبدأ
+
+353
+00:25:16,790 --> 00:25:22,390
+بفقدان توازنه ويحاول أن يلقى على الأرض، وبالتالي و
+
+354
+00:25:22,390 --> 00:25:26,830
+وضع قدمي الأولى والقدم الثانية في الآلية التي
+
+355
+00:25:26,830 --> 00:25:30,990
+وضعتها هي ما يساعدني على عدم سقوط الضحية إلى
+
+356
+00:25:30,990 --> 00:25:35,710
+الأرض مباشرة، لنفترض حاليًا أن الضحية فقد الوعي، فنقوم
+
+357
+00:25:35,710 --> 00:25:40,770
+بوضع استلقاء على الأرض، سنفيده حاليًا على الأرض إن
+
+358
+00:25:40,770 --> 00:25:43,670
+شاء الله تعالى، استكمالًا للموضوع أن إذا كان هناك
+
+359
+00:25:43,670 --> 00:25:48,580
+إمكانية للمساعدة كما تحدثنا نقدمها، أما إذا كان 
+
+360
+00:25:48,580 --> 00:25:54,120
+الشخص بدأ يفقد وعيه وهذا طبعًا بحدوث عدم دخول كمية
+
+361
+00:25:54,120 --> 00:25:57,500
+من الأكسجين oxygen الكافية، فهنا نلجأ للطريقة التالية 
+
+362
+00:25:57,500 --> 00:26:01,060
+استلقاء الضحية على الأرض، يعني الطريقة واضحة
+
+363
+00:26:01,060 --> 00:26:05,580
+بالصورة التالية، أضع نفسي مقابل الشخص مع ملاحظة أنه
+
+364
+00:26:05,580 --> 00:26:11,740
+في هذه الوضعية يكون الشخص وجهه إلى ناحية طبعًا
+
+365
+00:26:11,740 --> 00:26:15,840
+الآلية ضرورية تكون سريعة، يكون الشخص وجهه إلى ناحية
+
+366
+00:26:15,840 --> 00:26:22,750
+مع رفع الذقن لأعلى ومساعد فتح فم الشخص أو الضحية
+
+367
+00:26:22,750 --> 00:26:27,230
+طبعًا دي آلية مهمة لأن إذا كان هناك جسم غريب وبدأ 
+
+368
+00:26:27,230 --> 00:26:31,890
+يخرج حتى يخرج الجسم الغريب للخارج ولا يستقر داخل
+
+369
+00:26:31,890 --> 00:26:36,690
+الحلق ولا يزال يعمل على إغلاق مجرى التنفس 
+
+370
+00:26:36,690 --> 00:26:41,630
+وبالتالي الآلية التالية تكون هكذا 
+
+371
+00:26:43,120 --> 00:26:48,040
+طبعًا أضغط عن نفس مكان الضغط اللي استخدمته وكان الشخص
+
+372
+00:26:48,040 --> 00:26:53,380
+واعيًا أضغط بالصورة هكذا لأسفل ولأعلى لأسفل و
+
+373
+00:26:53,380 --> 00:26:58,620
+لأعلى، طبعًا هنا هي فعلًا مؤلمة لكن كما ذكرت أن ألم 
+
+374
+00:26:58,620 --> 00:27:04,440
+الضغط أقل بكثير من ألم الاختناق، وهنا أضغط من خمس
+
+375
+00:27:04,440 --> 00:27:09,860
+ضغطات إلى عشر ضغطات بالآلية التالية خمسة إلى عشرة
+
+376
+00:27:09,860 --> 00:27:17,440
+وأقوم بالتفتيش هل هناك جسم غريب أم لا بإدخال
+
+377
+00:27:17,440 --> 00:27:23,680
+الإصبع بطريقة خطافية وليس بطريقة عمودية للتأكد من 
+
+378
+00:27:23,680 --> 00:27:28,660
+إخراج الجسم الغريب إلى الخارج، طبعًا لربما يستجيب
+
+379
+00:27:28,660 --> 00:27:34,890
+الشخص، طبعًا أقول لك احتمالات، الاحتمال الأول استجابة 
+
+380
+00:27:34,890 --> 00:27:40,170
+الشخص، الاحتمال الثاني عدم استجابة الشخص، وبالتالي
+
+381
+00:27:40,170 --> 00:27:47,830
+نلجأ إلى كيفية تنفس اصطناعي إذا كان الشخص التنفس
+
+382
+00:27:47,830 --> 00:27:53,250
+لديه متوقفًا، وليه كما ذكرناها في الحلقة السابقة هي
+
+383
+00:27:53,250 --> 00:28:00,910
+أن أتأكد من التنفس بالسمع والشعور 
+
+384
+00:28:00,910 --> 00:28:06,460
+وبالنظر، إذا لا يوجد تنفس أبدأ بالتنفس الاصطناعي
+
+385
+00:28:06,460 --> 00:28:11,020
+تحدثنا عن آلية مساعدة الشخص في حال الاختناق
+
+386
+00:28:11,020 --> 00:28:15,020
+بالنسبة للبالغين، أما بالنسبة للأطفال ربما، وطبعًا 
+
+387
+00:28:15,020 --> 00:28:18,480
+شيء كثير جدًا يحدث عند الأطفال وهو دخول أجسام
+
+388
+00:28:18,480 --> 00:28:24,300
+غريبة كبعض المكسرات أو الأشياء أو بقايا الطعام أو
+
+389
+00:28:24,300 --> 00:28:28,300
+إدخال شيء من طفل الأخ لطفل آخر داخل فمه، وبالتالي 
+
+390
+00:28:28,300 --> 00:28:32,300
+قد يؤدي إلى الاختناق، قبل أن أتحدث يعني هناك نصيحة
+
+391
+00:28:32,300 --> 00:28:37,640
+مهمة جدًا جدًا هي للأمهات بالذات عدم وضع الأطفال
+
+392
+00:28:37,640 --> 00:28:42,440
+بوضع الاستلقاء خاصة الأطفال الرضع أثناء الليل لأنه
+
+393
+00:28:42,440 --> 00:28:46,640
+لربما يكون هناك اختناق نتيجة خروج الغذاء وهو طبعًا 
+
+394
+00:28:46,640 --> 00:28:50,460
+حليب الأم أو الحليب الصناعي إلى داخل الفم وبالتالي 
+
+395
+00:28:50,460 --> 00:28:53,700
+يؤدي للاختناق، وبالتالي إنهم إما على الجانب الأيمن 
+
+396
+00:28:53,700 --> 00:28:57,740
+أو الجانب الأيسر، هذا هو طبعًا الأساس لكن لربما يحدث 
+
+397
+00:28:57,740 --> 00:29:04,320
+عن بعض وفي بعض الحالات حدوث دخول جسم غريب إلى القصبة
+
+398
+00:29:04,320 --> 00:29:08,020
+الهوائية أو إلى أعلى الحنجرة وهذا طبعًا يؤدي إلى
+
+399
+00:29:08,020 --> 00:29:11,640
+الاختناق، وأهم شيء نلاحظه في حال اختناق الطفل لا
+
+400
+00:29:11,640 --> 00:29:16,300
+يده كالـكبار على عنقه وإنما يبدأ بالازرقاق نتيجة 
+
+401
+00:29:16,300 --> 00:29:21,620
+نقص معدل الأكسجين oxygen داخل الجسم وهذا طبعًا يعني فيه
+
+402
+00:29:21,620 --> 00:29:25,240
+خطورة أكثر من البالغين لأن ربما تحمل البالغين أكثر
+
+403
+00:29:25,510 --> 00:29:29,390
+من تحمل الأطفال، وبالتالي أول شيء نضعه ن .. ن ..
+
+404
+00:29:29,390 --> 00:29:35,010
+نبدأ به بالنسبة للأطفال هو وضع يدي للأطفال الرضع
+
+405
+00:29:35,010 --> 00:29:39,150
+أتكلم على .. أتحدث عن الأطفال الرضع، يدي تكون ساندة 
+
+406
+00:29:39,150 --> 00:29:42,950
+أو داعمة لوجه الطفل مع ثني وجه الطفل قليلًا
+
+407
+00:29:42,950 --> 00:29:46,920
+وبالتالي يكون أعلى طبعًا هيكون الجزء السفلي هو
+
+408
+00:29:46,920 --> 00:29:51,860
+قدمين أعلى من الرأس حتى أقوم بالضغط وبالضرب على
+
+409
+00:29:51,860 --> 00:29:56,360
+طبعًا ال .. ال .. ال .. ظهر الطفل وهي طبعًا تكون 
+
+410
+00:29:56,360 --> 00:30:00,340
+خلف خفيفًا طبعًا تكون ب .. بمقدمة الأصابع وليس
+
+411
+00:30:00,340 --> 00:30:03,700
+براحة اليدين كما في الـكبار وبالتالي أضغط، أقوم
+
+412
+00:30:03,700 --> 00:30:06,280
+بالضرب، وطبعًا ليه يكون الضرب مشابه للضرب على
+
+413
+00:30:06,280 --> 00:30:08,640
+الكبار لأن طبعًا ضرب الكبار يكون فيه طبعًا قوة
+
+414
+00:30:08,640 --> 00:30:12,360
+أكبر، وبالتالي أقوم بالضرب إما خمس ضربات إلى عشر
+
+415
+00:30:12,360 --> 00:30:18,380
+ضربات ومن ثم طبعًا أعمل على تغيير وضع الطفل ولا
+
+416
+00:30:18,380 --> 00:30:22,920
+يزال الرأس أدنى من معدل أو من مستوى القدمين مع 
+
+417
+00:30:22,920 --> 00:30:28,400
+إدخال الإصبع الخنصر داخل فم الطفل وليس بطريقة
+
+418
+00:30:28,400 --> 00:30:33,300
+عمودية وإنما بطريقة خطافية هكذا للتأكد من إخراج الجسم
+
+419
+00:30:33,300 --> 00:30:37,480
+الغريب، لو ربما تنجح ولو ربما أستمر فيها مرة أخرى
+
+420
+00:30:37,740 --> 00:30:42,680
+لكن بين الأولى والثانية أسمع وأرى هل هناك فيه نفس 
+
+421
+00:30:42,680 --> 00:30:46,100
+أو ما فيه نفس، إذا كان هناك فيه نفس تمام الأمور
+
+422
+00:30:46,100 --> 00:30:50,900
+100%، لكن إذا لم يحدث هناك نفس، وبدأ الطفل يزداد 
+
+423
+00:30:50,900 --> 00:30:56,740
+زرقاقه أبدأ بعملية التنفس الاصطناعي بداية، وبعد 
+
+424
+00:30:56,740 --> 00:31:01,820
+ذلك أتأكد إذا استجاب للتنفس الاصطناعي 100% يكون
+
+425
+00:31:01,820 --> 00:31:06,800
+الدورة الدموية تعمل 100% أما إذا لازال التنفس متوقف
+
+426
+00:31:06,800 --> 00:31:11,140
+فإن أنا أستشعر كما ذكرت قبل ذلك من النبض من
+
+427
+00:31:11,140 --> 00:31:17,180
+الشريان الإبطي إذا كان النفس فقط هو متوقف والدورة 
+
+428
+00:31:17,180 --> 00:31:21,300
+الدموية تعمل أستمر فقط بالتنفس الاصطناعي أما إذا
+
+429
+00:31:21,300 --> 00:31:26,340
+كان هناك توقف من الجهاز الدوري والجهاز التنفسي
+
+430
+00:31:26,340 --> 00:31:32,290
+فأبدأ بالـ CPR للأطفال بداية من التنفس الاصطناعي ثم 
+
+431
+00:31:32,290 --> 00:31:37,470
+تدليك القلب ويبدأ بنفسين مقابل ثلاثين مرة ضغط على
+
+432
+00:31:37,470 --> 00:31:42,170
+منتصف الصدر مقابل حلمتين الطفل وهذا عكس ما يحدث
+
+433
+00:31:42,170 --> 00:31:46,770
+للكبار أن أنا أبدأ بالضغط على الرئتين تدليك عضلة 
+
+434
+00:31:46,770 --> 00:31:51,070
+القلب ثم التنفس الاصطناعي وهكذا أستمر طبعا ..
+
+435
+00:31:51,070 --> 00:31:55,730
+وهكذا طبعا بالنسبة للأطفال كمية الهواء التي تدخل 
+
+436
+00:31:55,730 --> 00:32:00,780
+لدى الأطفال هي كمية ضغط تمام يا بابا احنا هدى بس
+
+437
+00:32:00,780 --> 00:32:05,060
+يعني حاولنا توضيح أن حاجات بالنسبة للـ CPR اللي 
+
+438
+00:32:05,060 --> 00:32:08,400
+حابين نقول أن يعني مشاكل الـ الـ الإصابات 
+
+439
+00:32:08,400 --> 00:32:13,570
+الجهاز التنفسي فيها أو الوسائل التي من خلالها ممكن
+
+440
+00:32:13,570 --> 00:32:17,030
+يكون عندي عدم دخول كمية كافية للأكسجين طبعا هذه
+
+441
+00:32:17,030 --> 00:32:21,170
+مشكلة وبالتالي أنا أسعى و أبحث عن وين فيه سبب أن
+
+442
+00:32:21,170 --> 00:32:24,710
+أنا أعالج السبب هذا أو إذا كانت فيه مشكلة و مرضى
+
+443
+00:32:24,710 --> 00:32:29,110
+يقع طبعا طارئة من خلال الصباط التي احنا لاحظناها
+
+444
+00:32:29,680 --> 00:32:33,040
+وبهيك طبعا نقول احنا إذا كان في مشكلة أنا بقدر
+
+445
+00:32:33,040 --> 00:32:37,100
+أتعامل معها ومن خلالها بقدر أساعد الشخص فإن أنا 
+
+446
+00:32:37,100 --> 00:32:40,820
+بقدم له عملية إخراج الجسم الغريب لاحظت كيف أنّه
+
+447
+00:32:40,820 --> 00:32:44,060
+يكون وضع المصاب طبعا رجل للأمام أو قدم للأمام و
+
+448
+00:32:44,060 --> 00:32:48,360
+قدم للخلف طبعا هذا الهدف منها أساسا أن ممكن الشخص
+
+449
+00:32:48,360 --> 00:32:51,960
+الضحية يفقد وعيه و يجي على الأرض حتى أنا ما أجعله
+
+450
+00:32:51,960 --> 00:32:55,180
+معاه طبعا يكون قدم للأمام و قدم للخلف و بتاع طبعا
+
+451
+00:32:55,180 --> 00:32:59,680
+هي أشياء إجرائية بسيطة من خلالها أنا ممكن أقلل من
+
+452
+00:32:59,680 --> 00:33:03,800
+فرصة تدهور وضع المريض أو تقليل المضاعفات أو الأساس
+
+453
+00:33:03,800 --> 00:33:09,630
+أن أنا أنقذ حياة المصاب و أحافظ عليه تمام احنا
+
+454
+00:33:09,630 --> 00:33:12,470
+طبعا يمكن قبل كده قلنا نضغط على القلب في حال الـ
+
+455
+00:33:12,470 --> 00:33:18,050
+CPR عمودي لكن هنا أنا أضغط من أسفل لأعلى حتى أعمل 
+
+456
+00:33:18,050 --> 00:33:22,130
+ضغط على الحجاب الحاجز اللي هيضغط لي على الرئتين و
+
+457
+00:33:22,130 --> 00:33:25,410
+طبعا زي ما أنا أشبه مثال بسيط جدا لو كان عندك
+
+458
+00:33:25,410 --> 00:33:28,670
+بالونة مليانة بالهواء تضغط عليها الهواء يكون
+
+459
+00:33:28,670 --> 00:33:32,010
+لأعلى طبعا دائما الهواء أخف وبالتالي أنا أضغط من
+
+460
+00:33:32,010 --> 00:33:35,110
+القاعدة لأعلى و هنا القاعدة عند اللي هو إيش الحجاب 
+
+461
+00:33:35,110 --> 00:33:39,130
+الحاجز تمام؟ أما لما أنا بعمل ضرب على الظهر، ما أنا
+
+462
+00:33:39,130 --> 00:33:43,610
+بعمل خلخلة، والخلخلة هذه ممكن تطرد الجسم الغريب
+
+463
+00:33:43,610 --> 00:33:47,450
+ومخرج الجسم الغريب هو إيش؟ الحنجرة تمام؟ حكم كله
+
+464
+00:33:47,450 --> 00:33:50,430
+هنا بالنسبة لإصابات الجهاز التنفسي، إذا في أي سؤال
+
+465
+00:33:50,430 --> 00:33:54,470
+أو استفسار حول الموضوع إن شاء الله و تعالى تمانى
+
+466
+00:33:54,470 --> 00:33:58,230
+.. أي سؤال؟ بارك الله فيك و أنا تمانى السلامة من
+
+467
+00:33:58,230 --> 00:33:59,630
+الله جميعكم إن شاء الله و تعالى 
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/4KVDP4ySM9E_raw.json b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/4KVDP4ySM9E_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..4a28d3d5f1bb0eb962c6b90f140f902decfe76a9
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/4KVDP4ySM9E_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 3162, "start": 5.16, "end": 31.62, "text": "أعوذ بالله من الشيطان عزيزي باسم الله الرحمن الرحيم الصلاة والسلام علي أشرف المسلمين سيدنا محمد و آله وصحابه وسلم طبعا استكمال اللقاء السابق لإصابات الجهاز التنفسي اتكلمنا على يعني ال .. الوسائل أو الأسباب اللي تؤدي لقلة الأكسجة أو وصول الأكسجين إلى الدماغ خاصة و ثم انتقلنا إلى إصابات الجهاز التنفسي التي قد تكون معيقة لدخول هواء محمل أكسجين اللي هو طبعا أحد الأسباب الأخرى اللي هي", "tokens": [10721, 3615, 2407, 8848, 20666, 43761, 9154, 25124, 1829, 9566, 7649, 6225, 11622, 1829, 11622, 1829, 4724, 32277, 2304, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 31767, 15040, 3660, 16070, 3794, 37440, 25894, 5551, 8592, 28480, 9673, 3794, 19528, 9957, 8608, 25708, 8315, 3714, 35571, 3215, 4032, 19753, 43761, 4032, 9381, 5016, 16758, 3224, 46952, 19528, 23032, 3555, 3615, 995, 44713, 24793, 6027, 13672, 4587, 16606, 21136, 16758, 4587, 5296, 28814, 9381, 16758, 9307, 25724, 3224, 31377, 16712, 1863, 36178, 1829, 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الموضوع", "probability": 0.998779296875}, {"start": 2031.89, "end": 2032.35, "word": " ان", "probability": 0.45654296875}, {"start": 2032.35, "end": 2032.53, "word": " شاء", "probability": 0.9833984375}, {"start": 2032.53, "end": 2032.65, "word": " الله", "probability": 0.9501953125}, {"start": 2032.65, "end": 2032.81, "word": " و", "probability": 0.485107421875}, {"start": 2032.81, "end": 2033.41, "word": " تعالى", "probability": 0.9401041666666666}, {"start": 2033.41, "end": 2034.47, "word": " تماني", "probability": 0.510986328125}, {"start": 2034.47, "end": 2035.23, "word": " ..", "probability": 0.744140625}, {"start": 2035.23, "end": 2035.49, "word": " أي", "probability": 0.7265625}, {"start": 2035.49, "end": 2035.99, "word": " سؤال؟", "probability": 0.984375}, {"start": 2035.99, "end": 2036.29, "word": " بارك", "probability": 0.9817708333333334}, {"start": 2036.29, "end": 2036.39, "word": " الله", "probability": 0.96728515625}, {"start": 2036.39, "end": 2036.65, "word": " فيك", "probability": 0.7371826171875}, {"start": 2036.65, "end": 2036.71, "word": " و", "probability": 0.6513671875}, {"start": 2036.71, "end": 2036.77, "word": " أنا", "probability": 0.187255859375}, {"start": 2036.77, "end": 2036.99, "word": " تماني", "probability": 0.9088541666666666}, {"start": 2036.99, "end": 2037.69, "word": " السلامة", "probability": 0.9554036458333334}, {"start": 2037.69, "end": 2038.23, "word": " من", "probability": 0.984375}, {"start": 2038.23, "end": 2038.41, "word": " الله", "probability": 0.970703125}, {"start": 2038.41, "end": 2038.71, "word": " جميع", "probability": 0.9698893229166666}, {"start": 2038.71, "end": 2038.93, "word": " أنكم", "probability": 0.55767822265625}, {"start": 2038.93, "end": 2039.11, "word": " ان", "probability": 0.65380859375}, {"start": 2039.11, "end": 2039.23, "word": " شاء", "probability": 0.990966796875}, {"start": 2039.23, "end": 2039.31, "word": " الله", "probability": 0.94921875}, {"start": 2039.31, "end": 2039.45, "word": " و", "probability": 0.96044921875}, {"start": 2039.45, "end": 2039.63, "word": " تعالى", "probability": 0.994140625}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2039.7105, "duration_after_vad": 1969.7868749999964}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/4KVDP4ySM9E_raw.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/4KVDP4ySM9E_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..eaa5241bdc2130a7367d3b9fc085310e79564bdf
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/4KVDP4ySM9E_raw.srt
@@ -0,0 +1,1868 @@
+1
+00:00:05,160 --> 00:00:06,760
+أعوذ بالله من الشيطان عزيزي باسم الله الرحمن
+
+2
+00:00:06,760 --> 00:00:09,780
+الرحيم الصلاة والسلام علي أشرف المسلمين سيدنا محمد
+
+3
+00:00:09,780 --> 00:00:13,840
+و آله وصحابه وسلم طبعا استكمال اللقاء السابق
+
+4
+00:00:13,840 --> 00:00:17,400
+لإصابات الجهاز التنفسي اتكلمنا على يعني ال ..
+
+5
+00:00:17,400 --> 00:00:21,140
+الوسائل أو الأسباب اللي تؤدي لقلة الأكسجة أو وصول
+
+6
+00:00:21,140 --> 00:00:24,800
+الأكسجين إلى الدماغ خاصة و ثم انتقلنا إلى إصابات
+
+7
+00:00:24,800 --> 00:00:28,280
+الجهاز التنفسي التي قد تكون معيقة لدخول هواء محمل
+
+8
+00:00:28,280 --> 00:00:32,440
+أكسجين اللي هو طبعا أحد الأسباب الأخرى اللي هيممكن
+
+9
+00:00:32,440 --> 00:00:36,040
+تكون مؤدية إلى عدم دخول الهواء المحمل و السجين هو
+
+10
+00:00:36,040 --> 00:00:41,200
+الغرق طبعا يعني أي إنسان ما بعرف يسبح مش لازم ينزل
+
+11
+00:00:41,200 --> 00:00:45,720
+يسبح هذا طبعا شيء طبيعي وبالتالي ممكن يكون الغريق
+
+12
+00:00:45,720 --> 00:00:49,600
+هو أحد الأسباب المؤدية لغرق الشخص المنقد وبالتالي
+
+13
+00:00:49,600 --> 00:00:52,660
+هنا نقول احنا لازم يكون الشخص اللي بعرف يسبح أو
+
+14
+00:00:52,660 --> 00:00:56,020
+ينزل يسبح يكون بعرف يسبح مابعرفش يسبح يستخدم طبعا
+
+15
+00:00:56,020 --> 00:00:59,700
+وسيلة تانية لكن يعني نقول احنا ان الغرق بحد ذاته
+
+16
+00:00:59,700 --> 00:01:05,660
+هو دخول الماءالرئتين طبعا دخول الميه لارئتين طبعا
+
+17
+00:01:05,660 --> 00:01:09,760
+هنا طبعا علامات اللي بنلاحظها يعني كل الأعراض اللي
+
+18
+00:01:09,760 --> 00:01:12,820
+بتظهر عندنا سواء من الإصابات أو من نقص الأكسجة أو
+
+19
+00:01:12,820 --> 00:01:16,600
+من الغرق هي علامات مشتركة بأنه طبعا يكون اذرقاق في
+
+20
+00:01:16,600 --> 00:01:21,020
+عندنا طبعا جهوظ في العينين في عندنا طبعا شحوبفي
+
+21
+00:01:21,020 --> 00:01:24,080
+عندنا هبوط في معدل التنفس أحيانا لأنه مافيش
+
+22
+00:01:24,080 --> 00:01:27,560
+إمكانية أن نكون عند الجسم مليان أو ريتم المنطقات و
+
+23
+00:01:27,560 --> 00:01:30,960
+نحاول تبع التنفس بصورة طبيعية قد يؤدي إلى فقدان
+
+24
+00:01:30,960 --> 00:01:33,840
+الوعي و قد يؤدي إلى الوفاة طبعا شيء طبيعي هنا قلنا
+
+25
+00:01:33,840 --> 00:01:37,440
+أن الدماغ قد يحتمل ل 4 دقايق بدون أي مشاكل أو
+
+26
+00:01:37,440 --> 00:01:41,980
+مخاطر لكن بعد هيكا بيصير طبعا مشكلة على الدماغ
+
+27
+00:01:47,780 --> 00:01:52,740
+طبعا وقايم الغرق يعني باختصار اللي ما بعرف يسبح
+
+28
+00:01:52,740 --> 00:01:57,840
+مايسبحش او بالذات طبعا أطفال نكون احنا حرصين عليهم
+
+29
+00:01:57,840 --> 00:02:01,920
+و لو بمساعدة إنسان بده مثلا غريق و أنا ما بعرف
+
+30
+00:02:01,920 --> 00:02:04,700
+أسبح و طبعا هذه من أساس أنه سلامة المصاب من سلامة
+
+31
+00:02:04,700 --> 00:02:09,600
+المكان أن أنا ممكن أساعده بأشياء هبل مثلا قطعة
+
+32
+00:02:09,600 --> 00:02:14,760
+خشبية طبعا عجل مطاطي هذه طبعا ممكن الأشياء تساعد
+
+33
+00:02:14,760 --> 00:02:20,630
+أما أنا ألقي نفسيبجانب الشخص هذا و انا بعرفش هصير
+
+34
+00:02:20,630 --> 00:02:23,890
+انا طبعا غريق مرة تانية و انا بنحتاج لناس ينقذونا
+
+35
+00:02:23,890 --> 00:02:26,930
+لكن طبعا اول حاجة بالنسبة اللى متكلم عنها باسعاف
+
+36
+00:02:26,930 --> 00:02:31,130
+الغريق يعني امكن هات طبعا نقاط واضحة جدا الاساس
+
+37
+00:02:31,130 --> 00:02:34,310
+انه انسان يعني يشعر انه فيه غريقممكن الإنسان
+
+38
+00:02:34,310 --> 00:02:37,910
+مابيعرف بينقض أو شيء لكن بيشعر إنه طبعا بعض الناس
+
+39
+00:02:37,910 --> 00:02:40,970
+ممكن يساعد في عملية الانقاض الغريق و أهم الشيء
+
+40
+00:02:40,970 --> 00:02:44,730
+يقول إن أحنا هو أول جهاز مهتم فيه طبعا هو الجهاز
+
+41
+00:02:44,730 --> 00:02:48,470
+التنفسي فانباشرة أنا مهتم مش إن أقعد أواعي المريض
+
+42
+00:02:48,470 --> 00:02:51,070
+و أصحي المريض و أنادي المريض .. الضحية أسف أو
+
+43
+00:02:51,070 --> 00:02:54,890
+الغريق لأن أنا مهتم إن الشخص هذا طالع له إنه أزرق
+
+44
+00:02:54,890 --> 00:02:58,450
+شفاه في ذردطبعا يعني إيه؟ ممكن يكون فاقد وعيه،
+
+45
+00:02:58,450 --> 00:03:00,810
+طبعا فقدان الوعي نتيجة إيه؟ ممكن يكون نتيجة الخوف
+
+46
+00:03:00,810 --> 00:03:04,710
+الشديد، من الغرق بحد ذاته، أو نتيجة طبعا عدم وصول
+
+47
+00:03:04,710 --> 00:03:08,550
+كمية كافة من الأكسجين لدمه، وبالتالي أنا أبدأ بأول
+
+48
+00:03:08,550 --> 00:03:11,570
+حاجة اللي هي طبعا بالتنفس الصناعي، طبعا بالحالة
+
+49
+00:03:11,570 --> 00:03:15,930
+هذه زي ما قلنا احنا عملية طبعا ثاني العنقتمام؟ و
+
+50
+00:03:15,930 --> 00:03:19,450
+الرأس طبعا نجيبها للخلف و الدقن لأعلى و إعطاء تنفس
+
+51
+00:03:19,450 --> 00:03:23,390
+طبعا هنا إذا كان الشخص بالغ طبعا نكون من فم لفم
+
+52
+00:03:23,390 --> 00:03:28,310
+بعد تنظيف الفم لأن ربما الفم بيكون مثلا فيه طحالب
+
+53
+00:03:28,310 --> 00:03:32,770
+فيه أعشاب فيه رمل ليش؟ لأن طالما الإنسان فقد وعيه
+
+54
+00:03:33,350 --> 00:03:37,130
+معناه ممكن يكون الفم ممتازة مثلا مش بس بالمية طبعا
+
+55
+00:03:37,130 --> 00:03:40,490
+الشيء التاني اللي عملت عليه هو بساعد عليه عملية
+
+56
+00:03:40,490 --> 00:03:46,210
+إفراغ أو تجوف الفم من أي مادة موجودة أو الأساس
+
+57
+00:03:46,210 --> 00:03:51,260
+كمان أن احرك قاعدة اللسان وبالتاليعملية ضخ الهواء
+
+58
+00:03:51,260 --> 00:03:55,940
+من رقتي المسعف لفم الضحية أو فم الغريق لكن إذا كان
+
+59
+00:03:55,940 --> 00:04:00,580
+طفل بنحنا بالخنصر بعمل طريقة خطة فيها الإخراج أي
+
+60
+00:04:00,580 --> 00:04:05,560
+مادة موجودة أو مادة عالقة والطبعا التنفس الاصطناعي
+
+61
+00:04:05,560 --> 00:04:12,710
+من الفم لأنف وفم الطفلفم الغرق المسعف بيغطي الفم و
+
+62
+00:04:12,710 --> 00:04:16,970
+أنف الضحية وبالتالي هم يقولوا احنا الاساس في
+
+63
+00:04:16,970 --> 00:04:23,450
+الانقاذ عملية ادخال هواطبعاً عملية رفع الضحية أو
+
+64
+00:04:23,450 --> 00:04:26,690
+رفع الغريق من القدمين هذا برضه بساعد على خروج
+
+65
+00:04:26,690 --> 00:04:30,170
+الميه طبعا سواء الطفل أنا ممكن أحمله بإيدي أما
+
+66
+00:04:30,170 --> 00:04:33,190
+الإنسان البالغ طبعا أنا ممكن أحمله إيش؟ من القدمين
+
+67
+00:04:33,190 --> 00:04:36,530
+بعد ما أعمل عملية تنفس مباشرة والتنفس هذه أنا
+
+68
+00:04:36,530 --> 00:04:41,590
+مابستمرش بس مجرد عملية تنبيهانا باعطي نفس لكن انا
+
+69
+00:04:41,590 --> 00:04:44,630
+لايعقل ان انا اعطي نفس و ريقتين ممتلئات بالمية
+
+70
+00:04:44,630 --> 00:04:48,230
+فبالتالي انا باعطي نفسين و بارفع قدمين الشخص هذا
+
+71
+00:04:48,230 --> 00:04:52,530
+حتى لو فيه مية خروج المية للخارج طبعا بعد اخراج
+
+72
+00:04:52,530 --> 00:04:55,870
+المية و اتأكد انه بدأ الشخص طبعا يتنفس هيك الأمور
+
+73
+00:04:55,870 --> 00:05:00,370
+تكون تمامة تمام لكن اذا انا لاحظت انه لسه في حاجة
+
+74
+00:05:00,370 --> 00:05:05,010
+لتنفس صناعي انا باستمر لغاية انه ايش يرجع التنفس
+
+75
+00:05:05,010 --> 00:05:07,950
+بصورته الطبيعية و طالما انه كان هناك فيه تنفس
+
+76
+00:05:07,950 --> 00:05:12,580
+معناه ان القلب ينبطدكتور ممكن أسألك .. أتفضلي ..
+
+77
+00:05:12,580 --> 00:05:16,880
+أتفضلي .. هلقيت مش إحنا أخدنا إنه المفروض إن إحنا
+
+78
+00:05:16,880 --> 00:05:19,460
+بنبلش من عشان قلبه، لإن أنا مافيش احتمال إن نكون
+
+79
+00:05:19,460 --> 00:05:22,860
+قلبه اللي وقعلا احنا .. اخواتنا حتى في الـCPR اللي
+
+80
+00:05:22,860 --> 00:05:27,000
+احنا ذكرناها، بيقولوا احنا منعت نفسين 100%، تمام؟
+
+81
+00:05:27,000 --> 00:05:32,380
+بعدين إذا الشخص بدأ يتنفس، خلاص أو إذا كان لازال
+
+82
+00:05:32,380 --> 00:05:37,600
+النفس متوقف أو النفس ضعيف، بنتقل، بشوف إذا كان
+
+83
+00:05:37,600 --> 00:05:40,740
+القلب متوقف ولا لا، إذا كان القلب يعمل، بستمر على
+
+84
+00:05:40,740 --> 00:05:46,360
+التنفس، أما إذا كان القلب يعمل ولو ببطء،بستمر فقط
+
+85
+00:05:46,360 --> 00:05:49,240
+على التنفس لأنه أنا مابتدخل، إذا كان القلب يعمل
+
+86
+00:05:49,240 --> 00:05:53,000
+مابتدخل، لكن واجتش أنا بعمل التنفس الصناعي إذا كان
+
+87
+00:05:53,000 --> 00:05:58,400
+متوقف أو ضعيف، أنا في الأساس في ال CPR بعطي نفسين،
+
+88
+00:05:58,400 --> 00:06:02,180
+لكن إذا أنا لاحظت إن الشخص هذا متوقف النفس، متوقف
+
+89
+00:06:02,180 --> 00:06:05,900
+القلب، بابدأ تذليق القلب، أما بالنسبة للأطفال،
+
+90
+00:06:05,900 --> 00:06:08,160
+العكس، لأنه بيقولوا احنا عايش حسب كمية الهواء
+
+91
+00:06:08,160 --> 00:06:11,360
+الموجودة في الرئعتينة، فضلي
+
+92
+00:06:17,610 --> 00:06:23,330
+شي طبيعي يا اخواتنا ان احنا كلنا لما بناكل بننعس و
+
+93
+00:06:23,330 --> 00:06:26,350
+النعس ايش معناه؟ انه ورود كمية كبيرة من الدم
+
+94
+00:06:26,350 --> 00:06:30,790
+للمعدة و هذه ممكن اكتر حاجة بتلاحظيها في رمضان كل
+
+95
+00:06:30,790 --> 00:06:34,630
+عامة بيبقى يتجرب هيو فأي انسان بياكل بما اللي معته
+
+96
+00:06:34,630 --> 00:06:39,570
+معناه هينعس واحد نعسان معناه مش هيصبح كويس تاني
+
+97
+00:06:39,570 --> 00:06:43,650
+حاجة هيكون ثقل في المعدةوبالتالي طبعا هذا دايما
+
+98
+00:06:43,650 --> 00:06:47,930
+حتى .. حتى يتجنب انه الاستحمام بعد الواجبة كمان
+
+99
+00:06:47,930 --> 00:06:52,330
+لأن طبعا ليش؟ لأن الدم معظمه هتتجه وين؟ للمعدة
+
+100
+00:06:52,330 --> 00:06:55,930
+فالأفضل سواء الصباح او الاستحمام لا يفضل بعد تناول
+
+101
+00:06:55,930 --> 00:07:00,390
+وجبة الطعام طبعا يمكن هذا النقطة الأخيرة باساس
+
+102
+00:07:00,390 --> 00:07:02,870
+نعطيه حاجة دافية أو اشياء طبعا لأنه شيء اكيد مع
+
+103
+00:07:02,870 --> 00:07:05,770
+الميه ممكن طبعا جسمه يكون برد شوية فنعطيه بس حاجة
+
+104
+00:07:05,770 --> 00:07:07,570
+أيش تنشطية أو سواء دافية
+
+105
+00:07:19,440 --> 00:07:23,700
+نيجي لأحد الأسباب أخرى اللي هي إحلال غاز محل
+
+106
+00:07:23,700 --> 00:07:26,800
+الأكسجين واحنا اتكلمنا عنه اللي هو طبعا أول أكسيد
+
+107
+00:07:26,800 --> 00:07:30,060
+الكربون وهو طبعا يعني بعض الناس بيسميه غاز الفحم
+
+108
+00:07:30,060 --> 00:07:34,920
+وطبعا ميزته أنه لا لون ولا ريحة على عكس ثاني أكسيد
+
+109
+00:07:34,920 --> 00:07:38,720
+الكربون اللي طبعا بتصعد لو أنت حرجت حاجة مثلا
+
+110
+00:07:38,720 --> 00:07:43,860
+كرتون وورق خشب إشي طبعا ممكن تصعد لونه أبيض وهو
+
+111
+00:07:43,860 --> 00:07:47,340
+طبعا احنا كنا بنشعر فيه و بنضايق منه لكن أول أكسيد
+
+112
+00:07:47,340 --> 00:07:53,640
+الكربون احنا ما بنضايق منهماشي .. ماشي .. احسب ..
+
+113
+00:07:53,640 --> 00:07:56,920
+هجيت انا .. هل يُعقل احنا قاعدين كده نقول والله في
+
+114
+00:07:56,920 --> 00:07:59,620
+واحد استنشق اوى اكسيد الكربون و احنا مافيش عنا
+
+115
+00:07:59,620 --> 00:08:03,220
+حاجة مولة عمل فحم؟ لا طبعا .. طبعا .. طبعا .. طبعا
+
+116
+00:08:03,220 --> 00:08:04,540
+.. طبعا .. طبعا .. طبعا .. طبعا .. طبعا .. طبعا ..
+
+117
+00:08:04,540 --> 00:08:05,640
+طبعا .. طبعا .. طبعا .. طبعا .. طبعا .. طبعا ..
+
+118
+00:08:05,640 --> 00:08:06,140
+طبعا .. طبعا .. طبعا .. طبعا .. طبعا .. طبعا ..
+
+119
+00:08:06,140 --> 00:08:09,640
+طبعا .. طبعا .. طبعا .. طبعا .. طبعا .. طبعا ..
+
+120
+00:08:09,640 --> 00:08:12,220
+طبعا .. طبواحد و أنا قاعد على الكرسي وجع الأرض
+
+121
+00:08:12,220 --> 00:08:16,620
+مافيش اشتباه هنا، واحد مثلا وجع عن سطح والله فيه
+
+122
+00:08:16,620 --> 00:08:19,600
+اشتباه، واحد خبط الموتسيكل، فيه اشتباه، طبيعة
+
+123
+00:08:19,600 --> 00:08:23,460
+المكان هي اللي بتثبتلي، الخطورة حسب المكان،
+
+124
+00:08:23,460 --> 00:08:26,100
+وبالتالي هان لما اقول انا سلامت المصاب من سلامة
+
+125
+00:08:26,100 --> 00:08:28,860
+المكان، انه اذا كان الشخص هذا اللي قاعد بتدفع
+
+126
+00:08:28,860 --> 00:08:32,640
+الفحم وانا نحبته في اللحظات الأخيرةولاقيته مغيب
+
+127
+00:08:32,640 --> 00:08:35,460
+لأنه ممكن طبعا نفقد وعيه، نتيجة احلال ال او اكسيد
+
+128
+00:08:35,460 --> 00:08:39,080
+الكربون محل الاكسجين، تمام؟ لإن احنا جولنا من بعض
+
+129
+00:08:39,080 --> 00:08:41,700
+الحالات اللي تاخد معانا وقت أطول في إعارة التنفس
+
+130
+00:08:41,700 --> 00:08:46,020
+الصناعي للطبيعي، طبيعته، اللي هي احلال التسمم باو
+
+131
+00:08:46,020 --> 00:08:49,780
+اكسيد الكربون والمخدرات، وبالتالي هانا .. انا ما
+
+132
+00:08:49,780 --> 00:08:54,590
+بنقض هو جواأنا بدأ أخرج من المكان هذا، تمام؟ طبعا
+
+133
+00:08:54,590 --> 00:08:56,790
+أنا أقول لك مثلا لو حد يقولك أنا ممكن أعمل تاهوية
+
+134
+00:08:56,790 --> 00:08:59,730
+للشبابيك، أفتح لي باب، لأ انت طلع جوا من البرا،
+
+135
+00:08:59,730 --> 00:09:03,350
+وكالحل، انه ممكن لما تطلعوا برا يبدأ يقعد نفسه
+
+136
+00:09:03,350 --> 00:09:07,750
+ضعيف، لكن مجرد دخول ال oxygen يبدأ، لكن أفضل إن
+
+137
+00:09:07,750 --> 00:09:11,950
+أنا لجيت نفسه ضعيف أعمله تنفس إصطناعيو طالما يا
+
+138
+00:09:11,950 --> 00:09:15,050
+اخواتنا انا بقول مرة تانية طالما في نفس القلب انا
+
+139
+00:09:15,050 --> 00:09:19,450
+باهتمش كتير لان القلب يعمل لكن الاول لاحظة النفس
+
+140
+00:09:19,450 --> 00:09:23,590
+متوقف واتجاهة لجهة القلب متوقف كبداية لو انا جيت
+
+141
+00:09:23,590 --> 00:09:28,960
+الشخص هذا نفس متوقف ببدأ بتنفساختبار نفسين لكن
+
+142
+00:09:28,960 --> 00:09:32,520
+بعديها إذا استعاد وعيه وبدأ نتيجة ال oxygen يعني
+
+143
+00:09:32,520 --> 00:09:36,560
+نقول الاحتمال انه اذا انا اعطيته نفس تمام بسبب
+
+144
+00:09:36,560 --> 00:09:40,620
+تأثير او اكسيد الكربون انه اثر على مركز التنفس
+
+145
+00:09:40,620 --> 00:09:45,050
+وبدأ توقف مركز التنفس او ضعيفإذا ضعف، معناه لسه
+
+146
+00:09:45,050 --> 00:09:48,850
+القلب لا يعمل، تمام؟ وإذا توقف، ممكن يكون القلب
+
+147
+00:09:48,850 --> 00:09:53,550
+كمان توقف، لكن أنا ببدأ بالتنفس، إذا استعاد نفسه،
+
+148
+00:09:53,550 --> 00:09:57,790
+خلاص، مابهتم للقلب، لكن إذا كان لازم أتوقف، بنتبه
+
+149
+00:09:57,790 --> 00:10:01,450
+للقلب، إذا القلب متوقف، ببدأ بتبليق القلب، تمام؟
+
+150
+00:10:01,590 --> 00:10:04,790
+وبالتالي هانا اللي هو الغازات اللي اتضارة طبعا
+
+151
+00:10:04,790 --> 00:10:07,510
+ممكن اشرع عنا اللي هو اول اكسيد الكربون اللي هو
+
+152
+00:10:07,510 --> 00:10:13,550
+غاز سام قاتل وهو طبعا بيجي تدرجيا الميزة فيه بيخلي
+
+153
+00:10:13,550 --> 00:10:16,910
+الواحد ينعس و في نفس الوقت بيحل محل الاكسجين اللي
+
+154
+00:10:16,910 --> 00:10:20,370
+موجود على ال homoglobin و بيصير مادة سامة للدماغ
+
+155
+00:10:20,370 --> 00:10:23,310
+فالدماغ طبعا بيقول كاش والله انا اخرت او .. لأ
+
+156
+00:10:23,310 --> 00:10:26,780
+بيعطيك العلاماتالعلمات الإنسان إيجي على إنسان في
+
+157
+00:10:26,780 --> 00:10:30,500
+غرفة و فيها فحم مثلا حيكون يعني حاسس حاله نايم
+
+158
+00:10:30,500 --> 00:10:35,360
+يعني .. يعني كإنه ماخد مخدر مش واعي عن اللي حواليه
+
+159
+00:10:35,360 --> 00:10:39,640
+حاسس راسه تقيل، بده ينام، فشوية شوية طالما هو
+
+160
+00:10:39,640 --> 00:10:44,180
+نايم، هياخد أول إكسيد الكربون بزيادة و هن طبعا
+
+161
+00:10:44,180 --> 00:10:47,840
+الخطورة، و هن كتير ممكن زي ما و انتوا بتعرفوا تم
+
+162
+00:10:47,840 --> 00:10:51,000
+تذيير حالات كتيرة، من الوفيات و لا حتى الآن، و لا
+
+163
+00:10:51,000 --> 00:10:54,240
+حتى الآن، طبعا، يا بكون ماكل كسة نايم مش ماكلها
+
+164
+00:10:56,490 --> 00:11:03,710
+تمام فطبعا هذا هو لكن ال carbon مميز عنه نجي
+
+165
+00:11:03,710 --> 00:11:07,810
+لحاجة تالتة او الخامسة اللي هي الجروح النافذة في
+
+166
+00:11:07,810 --> 00:11:11,090
+الصدر طبعا ان احنا في عندنا يعني جروح نافذة و غير
+
+167
+00:11:11,090 --> 00:11:16,130
+نافذة طبعا نسميها الجروح الطعنية طبعا الخطورة في
+
+168
+00:11:16,130 --> 00:11:19,950
+الجرح النافذ لان طبعا غالبا بكون في الرؤى اذا كان
+
+169
+00:11:19,950 --> 00:11:23,310
+في الرؤى او مثلا في القلب طبعا اختارها اللي في
+
+170
+00:11:23,310 --> 00:11:26,830
+القلبلأ، ربما في الرعاية طبعاً يتم إسعافه
+
+171
+00:11:26,830 --> 00:11:32,570
+والمحافظة على الأداء أو الوسيلة التي تم طعنه فيها،
+
+172
+00:11:32,570 --> 00:11:35,090
+ممكن يكون طبعاً مثلا سيخ معدني، ممكن يكون طبعاً
+
+173
+00:11:35,090 --> 00:11:38,930
+سكين، طبعاً في الأساس إذا كانت بعيدة عن القلب، هي
+
+174
+00:11:38,930 --> 00:11:42,130
+نوعاً ما سليمة، لكن إذا كانت مباشرة في القلب،
+
+175
+00:11:42,130 --> 00:11:45,550
+طبعاً صعب جداً اللي هو إنقاذه، احنا بنحاول، لكن
+
+176
+00:11:45,550 --> 00:11:49,310
+انت عارفين طبعا القلب مباشرة، مجرد أنه يتم ضخ
+
+177
+00:11:49,310 --> 00:11:52,690
+الدم، هيكون طبعاً الخارجي، لكن أحياناًممكن تكون
+
+178
+00:11:52,690 --> 00:11:58,970
+السكينة هي مطعونة أو مجروزة في القلب و ثابتة الخطأ
+
+179
+00:11:58,970 --> 00:12:04,190
+إزالتها الخطأ إزالتها لأن فيها مشاكل كتيرة من
+
+180
+00:12:04,190 --> 00:12:07,450
+إزالتها طبعا ممكن يكون عندي أنا مثلا قطع الأور ده،
+
+181
+00:12:07,450 --> 00:12:13,350
+قطع الشراين، عملية توسيق، او نجعل فيه هناك مخرج
+
+182
+00:12:13,350 --> 00:12:19,360
+للدم طبعا بالأساس إن أنا بخليها كما هيمع تثبيتها
+
+183
+00:12:19,360 --> 00:12:24,140
+يبقى فينا هنا حالتين إذا كانت منزوعة وإذا كانت
+
+184
+00:12:24,140 --> 00:12:29,180
+موجودة إذا كانت .. نفترض احنا مثلا في الصدر تمام؟
+
+185
+00:12:29,180 --> 00:12:32,180
+لأ طبعا أنا بختار منطقة صدر لأن منطقة فيها القلب
+
+186
+00:12:32,180 --> 00:12:36,560
+ومنطقة فيها الرقاتين إذا كانت منزوعة فانا إيش
+
+187
+00:12:36,560 --> 00:12:44,620
+بعمل؟ بغطي المكان الجروح بشاش من تلت نواحي ونوم
+
+188
+00:12:44,620 --> 00:12:48,900
+الشخص بيكون على ناحية المصابةحتى لو كان فيه دم
+
+189
+00:12:48,900 --> 00:12:53,340
+وحاجة يكون للخارج تمام؟ تاني حاجة إنه يكون فيه
+
+190
+00:12:53,340 --> 00:12:57,920
+سوالة عند للرئة السليمة للحركة لأن أنا ما بنايم
+
+191
+00:12:57,920 --> 00:13:02,020
+على الناحية السليمة بنايم على الناحية المصابة مع
+
+192
+00:13:02,020 --> 00:13:07,960
+وضع قطعة قماش مافيش معقمة قطعة نظيفة تمام؟ واترك
+
+193
+00:13:07,960 --> 00:13:12,640
+ناحية مفتوحة عشان إيش؟ خروج الدم اللي موجود في
+
+194
+00:13:12,640 --> 00:13:18,290
+الرئة لأن وجود الدم بأثر على عملية التنفستمام؟
+
+195
+00:13:18,290 --> 00:13:20,930
+وبالتالي يعني البعض بيقول احنا ممكن كمان نحط جطعة
+
+196
+00:13:20,930 --> 00:13:26,070
+نايلون فوق الجماش فوق .. فوق الشاشة وخلّي بس نواحي
+
+197
+00:13:26,070 --> 00:13:29,350
+يعني احنا ايش؟ بنلزج من تلت نواحي و بنخلي نواحي
+
+198
+00:13:29,350 --> 00:13:33,510
+ايش؟ مفتوحة طيب في حال انها كانت لازالت مغروسة
+
+199
+00:13:33,510 --> 00:13:39,930
+بتركهاكما هي لكن مع وضع شاش أو جماش حواليها إذا
+
+200
+00:13:39,930 --> 00:13:43,490
+كانت منزوعة إلها حل وإذا كانت مغروسة إلها حل طبعا
+
+201
+00:13:43,490 --> 00:13:47,870
+إن هنا فينا صورة وهي طبعا صورة طبعا ممكن نقاش
+
+202
+00:13:47,870 --> 00:13:52,050
+الأعراض وقلنا الأعراض مشتركة طبعا من الزرقة من تعب
+
+203
+00:13:52,050 --> 00:13:55,930
+في النفس من الخروج أحيانا ممكن يكون مثلا زي الرغوة
+
+204
+00:13:55,930 --> 00:13:59,590
+من المكان الجرح لأن طبعا في خروج هواء وبالتالي
+
+205
+00:13:59,590 --> 00:14:03,490
+هانا طبعا أحد الأعلامات الواضحةيمكن هنا في صورة
+
+206
+00:14:03,490 --> 00:14:07,750
+واضحة يمكن البعض شافها قبل كده طبعا الصورة هذه
+
+207
+00:14:07,750 --> 00:14:14,110
+طبعا هي صورة هذه صورة حقيقية هادد طبعا صورة اني
+
+208
+00:14:14,110 --> 00:14:19,170
+مارفد احكوا إياها هلجيتها انا مش هرطيها هذه صورة
+
+209
+00:14:19,170 --> 00:14:24,810
+حقيقية هجبتها وهذه تقريبا هذه أهلي كانت عندنا في
+
+210
+00:14:24,810 --> 00:14:30,970
+أعتقد في الشمال وهذه طبعا هذه سواق توكتوك مع كارة
+
+211
+00:14:30,970 --> 00:14:38,380
+حصانأه طبعا هذه المصورة تحت كربة الحصان ما شالوها
+
+212
+00:14:38,380 --> 00:14:44,280
+هو ربنا رحمه أنها مش في القلب ولا بالحجم هذه كان
+
+213
+00:14:44,280 --> 00:14:48,320
+طبعا مميتا .. مميتا طبعا إيش هم عملوه؟ جسوا ..
+
+214
+00:14:48,320 --> 00:14:55,040
+هرهووا في المستشفىطبعا جصوا ال .. ال .. الحديدة
+
+215
+00:14:55,040 --> 00:14:59,660
+نفسها، دي طبعا الحديدة، جصوها واخدوها على
+
+216
+00:14:59,660 --> 00:15:04,320
+المستشفى، طبعا هي بداية الحديدة وانها المجصوصة، لأ
+
+217
+00:15:04,320 --> 00:15:09,540
+واعي، لأن هي نفسها بحد ذاتها يعملت إغلاق للجروح،
+
+218
+00:15:09,540 --> 00:15:12,880
+صح أن فيها ندم، لكن هي ما تمش انتزاحها في مكان
+
+219
+00:15:12,880 --> 00:15:18,540
+الحدثأه طبعا هذه إزالتها خطيرة طبعا بالتالي هل لما
+
+220
+00:15:18,540 --> 00:15:21,640
+يكون إزالتها في المستشفى فيه إمكانيات راهي في
+
+221
+00:15:21,640 --> 00:15:27,170
+الشمال و الراجل طبعا إنه نصيب وظل حي ويرزقطبعا هذه
+
+222
+00:15:27,170 --> 00:15:30,870
+من احد .. لكن انا بقولها كمثال ممكن يكون طبعا طعن
+
+223
+00:15:30,870 --> 00:15:37,410
+سكين و مثلا حديدة او شيء لكن هذه شيء واقع عشان
+
+224
+00:15:37,410 --> 00:15:41,750
+نثبت ان احنا مش لازم نشيل اي حاجة مغروسة او تركيها
+
+225
+00:15:41,750 --> 00:15:46,190
+كمان ممكن يكون الطعن بالظهر مش ضروري في الصدر او
+
+226
+00:15:46,190 --> 00:15:52,010
+تركيها او تركيها طب و يازما هي قولنا كيف نتصرف
+
+227
+00:15:52,010 --> 00:15:55,510
+معاها اذا كانت منزوعة و اذا كانت لازالة مغروسة
+
+228
+00:15:58,500 --> 00:16:05,360
+أه حسب حسب يعني حالة زيها هذه نظيف شديد لكن هنا
+
+229
+00:16:05,360 --> 00:16:11,480
+وجودها أدى إلى أغلاق الجرهأنا قلت ايه؟ قلنا احنا
+
+230
+00:16:11,480 --> 00:16:15,940
+إذا كانت منزوعة بت .. بت .. طبعا بت .. بتحط عليها
+
+231
+00:16:15,940 --> 00:16:20,480
+شاشة إذا كانت في الصدر، فانا ببقى في خلاتنا، أنا
+
+232
+00:16:20,480 --> 00:16:24,040
+كلام يتكلم إذا كانت في الصدر تتركناحيا من الأربع
+
+233
+00:16:24,040 --> 00:16:27,580
+نواحي، لكن إذا كانت مثلا في الذراع، في العضو، في
+
+234
+00:16:27,580 --> 00:16:31,980
+الفقر، بسكرها كلها، ليش أنا بقول في الصدر؟ لأن هذا
+
+235
+00:16:31,980 --> 00:16:36,280
+دخول، في عندي رئتين بتنفسوا، فانا بدي أخفف كمية
+
+236
+00:16:36,280 --> 00:16:42,290
+الدم النازفة للخارج،أه تمام؟ وفي نفس الوقت أنا
+
+237
+00:16:42,290 --> 00:16:47,090
+بقول بضع جطعة Mylon إذا كانت في الصدر عشان عدم
+
+238
+00:16:47,090 --> 00:16:50,550
+دخول الهواء مرة أخرى الهواء يدخلوا ليش من برج الفم
+
+239
+00:16:50,550 --> 00:16:54,810
+والأنف تمام؟ فإذا كانت مجروزة إلها حل وإذا كانت
+
+240
+00:16:54,810 --> 00:16:59,610
+منزوعة إلها حل تمام؟ طبعا هذا إنسان ربنا أنقده
+
+241
+00:16:59,610 --> 00:17:03,350
+ويعني برضه .. اه عايش .. طبعا الكلام كان جاب له
+
+242
+00:17:03,350 --> 00:17:04,470
+حوالي عشر سنين
+
+243
+00:17:11,520 --> 00:17:15,200
+طبعا انا فى كصورة مبسطة بالنسبة كيف اتعامل انا مع
+
+244
+00:17:15,200 --> 00:17:18,740
+صباط الصدر وقولنا هى طبعا الصباط الصدر هي اللى انا
+
+245
+00:17:18,740 --> 00:17:22,360
+بستخدم تلت نواحي فقط اما اماكن تانية طبعا بعمل
+
+246
+00:17:22,360 --> 00:17:27,160
+اغلاق كلها نجى لحاجة مهمة كتيرة جدا طبعا هنعرض
+
+247
+00:17:27,160 --> 00:17:30,080
+فيديو طبعا الفيديو هذا احنا عملناه تطبيق عملى
+
+248
+00:17:30,080 --> 00:17:35,600
+عندنا فى المختبر اللى هو طبعا الغصة طبعا او الشرجة
+
+249
+00:17:35,600 --> 00:17:40,830
+طبعا لكن انا بتكلم هنا على وجود جسم غريبفي الحنجرة
+
+250
+00:17:40,830 --> 00:17:46,210
+جسم غريب وما غريب إلا الشيطان فانا بتكلمها جسم
+
+251
+00:17:46,210 --> 00:17:51,930
+غريب في الحنجرة وليس في المريء وقولنا أول حاجة في
+
+252
+00:17:51,930 --> 00:17:57,770
+عنا أشياء أشياء مهمة كتير إذا كانت في المريء بتكلم
+
+253
+00:17:57,770 --> 00:18:02,810
+لأ ما بقدر أقول في المريء صعب يعني نقول مثلا كيف
+
+254
+00:18:02,810 --> 00:18:07,330
+صارت في المريء إنسان مثلا أكل بسرعةو مستعجل بالبلد
+
+255
+00:18:07,330 --> 00:18:11,910
+مثلا زي الفتل زي اللقمة في الزهر يشرب ميه .. يشرب
+
+256
+00:18:11,910 --> 00:18:15,770
+ميه تمام؟ لكن في الماكن التانية هناخد الفيديو هذا
+
+257
+00:18:15,770 --> 00:18:21,130
+و نلاحظ أيش ممكن يصير معاه حقيقي ..
+
+258
+00:18:28,720 --> 00:18:33,860
+عدم أخو الهوى، وبالتالي ده لاحظنا أو اتحدثنا عن
+
+259
+00:18:33,860 --> 00:18:38,380
+كيف يتحقق بناء على الفرق السابق الذي ذكرناه في
+
+260
+00:18:38,380 --> 00:18:42,620
+ظروف السلام يعني أسس أو استشعر هو هذا مؤشر للأخو
+
+261
+00:18:42,620 --> 00:18:48,040
+الهوى أو عدم أخو الهوى، لربما يكون الشخص واعي أو
+
+262
+00:18:48,040 --> 00:18:51,710
+لربما يكون الشخص لايواعيالمؤشرات الأساسية التي تدل
+
+263
+00:18:51,710 --> 00:18:54,730
+على أن هناك إغلاق جزء أو ولا قفلين هي أشياء مصرقة
+
+264
+00:18:54,730 --> 00:18:59,730
+جدا، إذا كان هناك صوت من هناك، قد يكون إغلاق جزءي،
+
+265
+00:18:59,730 --> 00:19:04,330
+أما إذا كان لا يوجد أي صوت، يكون إغلاق قفلين، تالي
+
+266
+00:19:04,330 --> 00:19:07,810
+قد ينضج الإنسان ويعيق نتيجة الآخر
+
+267
+00:19:17,690 --> 00:19:23,190
+دخول الهواء إلى الرئتين وبالتالي حينما نحاول نطلق
+
+268
+00:19:23,190 --> 00:19:27,930
+على شخص باقل الوعي أول شيء نتعرف على درجة الخطر ثم
+
+269
+00:19:27,930 --> 00:19:33,610
+درجة الوعي وبعد ذلك هل هناك دخول هواء أو عدمه طبعا
+
+270
+00:19:33,610 --> 00:19:38,230
+من خلال القانون التي ذكرتهم سنحاول الآن تطبيق بعض
+
+271
+00:19:38,230 --> 00:19:44,530
+الإجراءات العملية في حال دخول جسم غريب طبعا داخل
+
+272
+00:19:44,530 --> 00:19:48,450
+الحنجرةمن ناحية اغلاق جزء .. او اغلاق كله، يمكن
+
+273
+00:19:48,450 --> 00:19:52,430
+لربما بعض الناس يعني أثناء ال .. ال .. الطعام أو
+
+274
+00:19:52,430 --> 00:19:55,670
+يعني التناول و أي .. أي مشروبات يحاول أن يعني
+
+275
+00:19:55,670 --> 00:19:59,630
+يتكلم، وهي طبعا يعني عادة خاطرة، لأن طبعا دخول
+
+276
+00:19:59,630 --> 00:20:04,270
+الهواء مع الطعام، هذا مشكلة ويسبب ضيق في مجرد
+
+277
+00:20:04,270 --> 00:20:09,070
+التنفسلذلك فمجرة التنفس يعني هو فقط لدخول الهواء
+
+278
+00:20:09,070 --> 00:20:13,510
+أما ال .. طبعا مجرة الطعام فهو طبعا داخل ال .. ال
+
+279
+00:20:13,510 --> 00:20:17,450
+.. المريء و طبعا خاص بالمأكلات و المشروبات طبعا ال
+
+280
+00:20:17,450 --> 00:20:21,250
+.. الجزء المشترك لدخول الطعام و الهواء هو طبعا
+
+281
+00:20:21,250 --> 00:20:24,910
+البلعوم و بالتالي يكون هناك أثناء تناول الطعام و
+
+282
+00:20:24,910 --> 00:20:28,540
+الشرابلسان المزمار الذي يعمل على إغلاق الحنجرة
+
+283
+00:20:28,540 --> 00:20:32,280
+أثناء تناول الطعام يكون هناك إغلاق وأثناء الكلام
+
+284
+00:20:32,280 --> 00:20:36,120
+يكون رفع أو فتح لهذا المدخل وبالتالي يحدث الصوت
+
+285
+00:20:36,120 --> 00:20:39,980
+وبالتالي بعض الناس حينما يعني يكون ضحكة عالية أو
+
+286
+00:20:39,980 --> 00:20:43,620
+كلام لربما يدخل جزء من الطعام داخل الرئة أو
+
+287
+00:20:43,620 --> 00:20:48,100
+الحنجرة وبالتالي يبدأ بالسعادة إذا حاولنا مساعدة
+
+288
+00:20:48,100 --> 00:20:53,220
+شخص بدأ يتناول طعام أو دخل لديه جسم غريب فإننا
+
+289
+00:20:53,220 --> 00:20:56,520
+نبدأ بالخطواتالتالية التي من خلالها سنطبقها
+
+290
+00:20:56,520 --> 00:21:00,300
+تطبيقًا عمليًا كبداية يعني كبداية نتحدث عن شيء مهم
+
+291
+00:21:00,300 --> 00:21:04,260
+جدًا وهي من بعض الأخطاء التي قد تكون واردة عن بعض
+
+292
+00:21:04,260 --> 00:21:08,940
+الحالات اللي هو أثناء الشرق أو طبعًادخول جسم غريب،
+
+293
+00:21:08,940 --> 00:21:12,440
+فالبعض يتناول الماء مباشرة أو البضع، البعض يدعو
+
+294
+00:21:12,440 --> 00:21:16,680
+زميله لتناول كوب من الماء، وهذا خاطئ جدا، لماذا؟
+
+295
+00:21:16,680 --> 00:21:20,120
+طبعا إذا كان هناك إغلاق جزءي أو إغلاق كلي في مجلة
+
+296
+00:21:20,120 --> 00:21:24,800
+التنفس، فالأفضل هو إخراج الجسم الغريب وليس دخول
+
+297
+00:21:24,800 --> 00:21:28,820
+الماء لتأخير إخراج الجسم الغريب، وهذا عادى خاطئ،
+
+298
+00:21:28,820 --> 00:21:32,480
+وبالتالييجب علينا أن نكون حريصين جدا في حال دخول
+
+299
+00:21:32,480 --> 00:21:35,820
+جسم غريب سواء كأداء لأغلاق جزء أو أغلاق كله، عدم
+
+300
+00:21:35,820 --> 00:21:39,700
+تناور الماء، لكن الخطوة الأساسية الأولى هي الدعم
+
+301
+00:21:39,700 --> 00:21:43,500
+النفسي للشخص ومساعدته لسعاله، عملية السعالة،
+
+302
+00:21:43,500 --> 00:21:47,040
+وبالتالي أنا أقف بجانب الشخص، نفترض هنا زميلنا
+
+303
+00:21:47,040 --> 00:21:51,340
+يعني حصل لديه أغلاق جزء أو أغلاق كله،وانا ملاحظ
+
+304
+00:21:51,340 --> 00:21:55,960
+هنا أن المؤشر الأساسي كعلامة أن هناك إغلاق جزئي أو
+
+305
+00:21:55,960 --> 00:22:00,460
+إغلاق كله هو أن يضع الشخص يدهي على منطقة العنق وهي
+
+306
+00:22:00,460 --> 00:22:04,080
+طبعا مؤشر أن هناك إغلاق جزئي أو إغلاق كله وبالتالي
+
+307
+00:22:04,080 --> 00:22:07,820
+أنا في المرحلة هذه وفي الحالة هذهأقب بجانب الشخص و
+
+308
+00:22:07,820 --> 00:22:12,100
+أدعمه نفسيا بالتشجيع على السؤال، إذا الخطوة الأولى
+
+309
+00:22:12,100 --> 00:22:15,820
+لإخراج الجسم الغريب في حال الإختناق، في حال دخول
+
+310
+00:22:15,820 --> 00:22:19,920
+جسم غريب و إغلاق جزء أو إغلاق كله، هو الدعم
+
+311
+00:22:19,920 --> 00:22:24,380
+النفسي، أشجعه على السؤال، أسعد، كح، و هتطبع الشيء،
+
+312
+00:22:24,380 --> 00:22:27,440
+حتى يخرج الهواء من الرئتين و يدفع الجسم الغريب من
+
+313
+00:22:27,440 --> 00:22:30,870
+الحنجران إلى الخارجوبعد ذلك بالسطحي طبعا تناول
+
+314
+00:22:30,870 --> 00:22:34,070
+الطعام أو الشرب، لأن الخطة الأولى هي الدعم النفسى
+
+315
+00:22:34,070 --> 00:22:36,970
+والتسجيل على السعادة، طبعا في الوضع الحادث أن أقف
+
+316
+00:22:36,970 --> 00:22:42,130
+بجانب الضحية أو بجانب الشخص المختنق وطبعا تكون قدم
+
+317
+00:22:42,130 --> 00:22:46,610
+للأمام وقدم للخلق وطبعا هيلها مغزة كبيرة، الهدف
+
+318
+00:22:46,610 --> 00:22:50,770
+منها أنه في حال استمرار عملية إغلاق مجلة التنفس
+
+319
+00:22:50,770 --> 00:22:55,630
+سيكون هناك انخفاض تدريجيا في دخول الأكسجينلا
+
+320
+00:22:55,630 --> 00:22:59,610
+إرئتين وقد يؤدي إلى فقدان الوعي وبالتالي أنا أكون
+
+321
+00:22:59,610 --> 00:23:03,290
+حريص جدا حتى لا يقع الشخص على الأرض فالقدم
+
+322
+00:23:03,290 --> 00:23:06,770
+الأمامية تساعدني والقدم الخلفية تساعدني في حفظ
+
+323
+00:23:06,770 --> 00:23:11,560
+التوازن ليه والشخص نفسه. إذا الخطوة التانية هيبعد
+
+324
+00:23:11,560 --> 00:23:18,100
+دعمه وتشجيعه على السعال هي أن أضع يدي على وسط ..
+
+325
+00:23:18,100 --> 00:23:23,340
+منتصف صدر الشخص و أعمل بانحناء الشخص وبالضرب بين
+
+326
+00:23:23,340 --> 00:23:28,780
+.. بين لوحتي الكتف من خمس ضربات إلى عشر ضربات طبعا
+
+327
+00:23:28,780 --> 00:23:32,520
+بالصورة عساس للدفع من أسفل إلى أعلى، إذا رأيناها
+
+328
+00:23:32,520 --> 00:23:36,490
+بالصورة التاليةتكون بالتالي متدافع من أسفل إلى
+
+329
+00:23:36,490 --> 00:23:40,410
+أعلى خمس ضربات، والضربات تكون قوية، وهذا .. وطبعا
+
+330
+00:23:40,410 --> 00:23:44,750
+السبب في هذه هي عملية خلخلة للهواء للضغط على الجسم
+
+331
+00:23:44,750 --> 00:23:47,590
+الغريب ويخرجيه، لربما هذه الطريقة .. الخطوة
+
+332
+00:23:47,590 --> 00:23:51,110
+التانية تنجح، ولربما تفشل، في حال نجحت كانت الأمور
+
+333
+00:23:51,110 --> 00:23:54,910
+تمام مئة في المائة، وفي حال أنها فشلتفننتقل للخطوة
+
+334
+00:23:54,910 --> 00:23:59,030
+الثالثة، والخطوة الثالثة هي أن أضع يدي، طبعا إذا
+
+335
+00:23:59,030 --> 00:24:03,730
+لاحظنا القدمين للأمام و للخلف، أضع يدي عند أسفل
+
+336
+00:24:03,730 --> 00:24:06,750
+عضمة القص هناك الحجاب الحاجز، الذي يكون الحد
+
+337
+00:24:06,750 --> 00:24:11,050
+السفلي بالنسبة للرئتين، فأضعقبضة اليد بالصورة
+
+338
+00:24:11,050 --> 00:24:15,650
+التالية و أضغط ده من أسفل إلى أعلى من أسفل إلى
+
+339
+00:24:15,650 --> 00:24:18,890
+أعلى وهي طبعا يمكن لربما يكون فيها ألم لكن ألم
+
+340
+00:24:18,890 --> 00:24:23,830
+الاختناق هو أشد بكثير من ألم الضغط على أسفل الحجاب
+
+341
+00:24:23,830 --> 00:24:27,550
+الحاجز وبالتالي أضغط بالصورة التالية خمسة إلى عشر
+
+342
+00:24:27,550 --> 00:24:31,930
+ضغطات للداخل مع طبعا عملية الفرق وهي طبعا صورة
+
+343
+00:24:31,930 --> 00:24:36,530
+عملية فرق عسى إن أنا أضغط و أعمل ضغط للهواء
+
+344
+00:24:36,530 --> 00:24:41,790
+الموجود داخل الرئتينالى أعلى حتى يساعد على خروج
+
+345
+00:24:41,790 --> 00:24:44,910
+الجسم الغريب يبقى هذه الخطوة الثالثة عملية طبعا
+
+346
+00:24:44,910 --> 00:24:49,110
+تسمى طريقة هملك عساس أن تساعد على إخراج الجسم
+
+347
+00:24:49,110 --> 00:24:54,250
+الغريب بالضغط على أسفل حجاب الحاجز لأعلى لربما
+
+348
+00:24:54,250 --> 00:24:58,810
+الطريقة هنا تفشل وربما تنجح الخطوة التانية إذا
+
+349
+00:24:58,810 --> 00:25:02,950
+نجحت الطريقة هذه طبعا المريض ياخد وضعه الطبيعي
+
+350
+00:25:02,950 --> 00:25:07,990
+بالوضع الذي يراه مريح لهمهناك إمكانية لو فشلت
+
+351
+00:25:07,990 --> 00:25:12,030
+الطريقة أن أساعد الشخص على الاستلقاء على الأرض
+
+352
+00:25:12,030 --> 00:25:16,790
+طبعا ما يدل على أن هناك طريقة فاشلة أن الشخص يبدأ
+
+353
+00:25:16,790 --> 00:25:22,390
+بفقدان توازنه و يحاول أن يلقى على الأرض وبالتالي و
+
+354
+00:25:22,390 --> 00:25:26,830
+وضع قدمي الأولى و القدم الثانية في الآلية التي
+
+355
+00:25:26,830 --> 00:25:30,990
+وضعتها هي ما يساعدني على عدم السقوط الضحية إلى
+
+356
+00:25:30,990 --> 00:25:35,710
+الأرض مباشرةلنفترض حاليا أن الضحية فقد الوعي فنقوم
+
+357
+00:25:35,710 --> 00:25:40,770
+بوضع استلقاء على الأرض سنفيده حاليا على الأرض ان
+
+358
+00:25:40,770 --> 00:25:43,670
+شاء الله تعالى استكملا للموضوع أن إذا كان هناك
+
+359
+00:25:43,670 --> 00:25:48,580
+إمكانية للمساعدة كما تحدثنا نقدمهاأما إذا كان
+
+360
+00:25:48,580 --> 00:25:54,120
+الشخص بدأ يفقد وعده وهذا طبعا بحدوث عدم دخول كمية
+
+361
+00:25:54,120 --> 00:25:57,500
+من ال oxygen الكافية فهنا نلجأ للطريقة التالية
+
+362
+00:25:57,500 --> 00:26:01,060
+استلقاء الضحية على الأرض يعني الطريقة واضحة
+
+363
+00:26:01,060 --> 00:26:05,580
+بالصورة التالية أضع نفسي مقابل الشخص مع ملاحظة أنه
+
+364
+00:26:05,580 --> 00:26:11,740
+في هذه الوضعية يكون الشخص وجهه إلى ناحية طبعا
+
+365
+00:26:11,740 --> 00:26:15,840
+الألية ضرورية تكون سريعة يكون الشخص وجهه إلى ناحية
+
+366
+00:26:15,840 --> 00:26:22,750
+مع رفعالذقن لأعلى ومساعد فتح فم الشخص أو الطحية
+
+367
+00:26:22,750 --> 00:26:27,230
+طبعا دي آلية مهمة لأن إذا كان هناك جسم غريب وبدأ
+
+368
+00:26:27,230 --> 00:26:31,890
+يخرج حتى يخرج جسم الغريب للخارج ولا يستقر داخل
+
+369
+00:26:31,890 --> 00:26:36,690
+الحلق و لا يزال يعمل على إغلاق مجرأ التنفس
+
+370
+00:26:36,690 --> 00:26:41,630
+وبالتالي الآلية التالية تكون هكذا
+
+371
+00:26:43,120 --> 00:26:48,040
+طبعا أضغط عن نفس مكان الضغط اللي استخدمته وكان شخص
+
+372
+00:26:48,040 --> 00:26:53,380
+واعيا أضغط بالصورة القاتية لأسفل و لإعلى لأسفل و
+
+373
+00:26:53,380 --> 00:26:58,620
+لإعلى طبعا هنا هي فعلا مؤلمة لكن كما ذكرت أن ألم
+
+374
+00:26:58,620 --> 00:27:04,440
+الضغط أقل بكثير من ألم الاختناق وهنا أضغط من خمس
+
+375
+00:27:04,440 --> 00:27:09,860
+ضغطات إلى عشر ضغطات بالأهلية التاليةخمسة إلى عشرة
+
+376
+00:27:09,860 --> 00:27:17,440
+وأقوم بالتفتيش هل هناك جسم غريب أم لا بإدخال
+
+377
+00:27:17,440 --> 00:27:23,680
+الأصبع بطريقة خطافية وليس بطريقة عمودية لتأكد من
+
+378
+00:27:23,680 --> 00:27:28,660
+إخراج الجسم الغريب إلى الخارج طبعا لربما يستجيب
+
+379
+00:27:28,660 --> 00:27:34,890
+الشخص طبعا أقول لك احتمالاتالاحتمال الأول استجابة
+
+380
+00:27:34,890 --> 00:27:40,170
+الشخص الاحتمال الثاني عدم استجابة الشخص وبالتالي
+
+381
+00:27:40,170 --> 00:27:47,830
+نلجأ إلى كيفية تنفس إصطناعي إذا كان الشخص التنفس
+
+382
+00:27:47,830 --> 00:27:53,250
+لديه متوقفا وليه كما ذكرناها في الحلقة السابقة هي
+
+383
+00:27:53,250 --> 00:28:00,910
+أن أتأكد من النفس بالسمع بالشعور
+
+384
+00:28:00,910 --> 00:28:06,460
+وبالنظرإذا لا يوجد تنفس أبدأ بالتنفس الاصطناعي
+
+385
+00:28:06,460 --> 00:28:11,020
+تحدثنا عن آلية مساعدة الشخص في حال الاختناق
+
+386
+00:28:11,020 --> 00:28:15,020
+بالنسبة للبالغين أما بالنسبة للأطفال ربما وطبعا
+
+387
+00:28:15,020 --> 00:28:18,480
+شيء كثير جدا يحدث عند الأطفال و هو دخول أجسام
+
+388
+00:28:18,480 --> 00:28:24,300
+غريبة كبعض المكسرات أو الأشياء أو بقايا الطعام أو
+
+389
+00:28:24,300 --> 00:28:28,300
+ادخال شيء من طفل الاخي لطفل آخر داخل فمه وبالتالي
+
+390
+00:28:28,300 --> 00:28:32,300
+قد يؤدي إلى الاختناققبل أن أتحدث يعني هناك نصيحة
+
+391
+00:28:32,300 --> 00:28:37,640
+مهمة جدا جدا هي للأمهات بالذات عدم وضع الأطفال
+
+392
+00:28:37,640 --> 00:28:42,440
+ووضع الاستلقاء خاصة الأطفال الرضع أثناء الليل لأنه
+
+393
+00:28:42,440 --> 00:28:46,640
+لربما يكون هناك اختناق نتيجة خروج الغذاء وهو طبعا
+
+394
+00:28:46,640 --> 00:28:50,460
+حليب الأم أو الحليب الصناعي إلى داخل الفم وبالتالي
+
+395
+00:28:50,460 --> 00:28:53,700
+يؤدي للاختناق وبالتالي إنهم إما على الجانب الأيمن
+
+396
+00:28:53,700 --> 00:28:57,740
+أو الجانب الأيصر هذا هو طبعا الأساس لكن لربما يحدث
+
+397
+00:28:57,740 --> 00:29:04,320
+عن بعض وفي بعض الحالات حدوثدخول جسم غريب إلى القصب
+
+398
+00:29:04,320 --> 00:29:08,020
+اللوائية أو إلى الأعلى الحنجرة وهذا طبعا يؤدي إلى
+
+399
+00:29:08,020 --> 00:29:11,640
+الاختناق وأهم شيء نلاحظه في حال اختناق الطفل لا
+
+400
+00:29:11,640 --> 00:29:16,300
+يده كالكبار على عنقيه وإنما يبدأ بالازرقاق نتيجة
+
+401
+00:29:16,300 --> 00:29:21,620
+نقص معدل ال oxygen داخل الجسم وهذا طبعا يعني فيه
+
+402
+00:29:21,620 --> 00:29:25,240
+خطورة أكتر من البالغين لأن ربما تحمل البالغين أكتر
+
+403
+00:29:25,510 --> 00:29:29,390
+من تحمل الأطفال وبالتالي أول شيء نضعه ن .. ن ..
+
+404
+00:29:29,390 --> 00:29:35,010
+نبدأ به بالنسبة للأطفال هو وضع يدي للأطفال الرضع
+
+405
+00:29:35,010 --> 00:29:39,150
+اتكلم على .. اتحدث عن الأطفال الرضع يدي تكون ساندة
+
+406
+00:29:39,150 --> 00:29:42,950
+أو داعمة لوجه الطفل مع ثاني وجه الطفل قليلا
+
+407
+00:29:42,950 --> 00:29:46,920
+وبالتالي يكون أعلىطبعاً هيكون الجزء السفلي هو
+
+408
+00:29:46,920 --> 00:29:51,860
+قدمين أعلى من الرأس حتى أقوم بالضغط و بالضرب على
+
+409
+00:29:51,860 --> 00:29:56,360
+طبعاً ال .. ال .. ال .. ذهب الطفل وهي طبعاً تكون
+
+410
+00:29:56,360 --> 00:30:00,340
+خال خلام طبعاً تكون ب .. بمقدمة الأديان و ليس
+
+411
+00:30:00,340 --> 00:30:03,700
+براحة الأديان كما في الكبار وبالتالي أضغط أقوم
+
+412
+00:30:03,700 --> 00:30:06,280
+بالضرب و طبعاً ليه يكون الضرب مشابه للضرب على
+
+413
+00:30:06,280 --> 00:30:08,640
+الكبار لأن طبعاً ضرب الكبار يكون فيه طبعاً قوة
+
+414
+00:30:08,640 --> 00:30:12,360
+أكبر وبالتالي أقوم بالضرب إما خمس ضربات إلى عشر
+
+415
+00:30:12,360 --> 00:30:18,380
+ضربات ومن ثمطبعا أعمل على تغيير وضع الطفل و لا
+
+416
+00:30:18,380 --> 00:30:22,920
+يزال الرأس أدنى من معدل أو من مستوى القدمين مع
+
+417
+00:30:22,920 --> 00:30:28,400
+إدخال الأصبع الخنصر داخل فم الطفل و ليس بطريقة
+
+418
+00:30:28,400 --> 00:30:33,300
+عمودية و إنما بطريقة خطة فيها لتأكد من إخراج الجسم
+
+419
+00:30:33,300 --> 00:30:37,480
+الغريب لو ربما تنجح و لو ربما أستمر فيها مرة أخرى
+
+420
+00:30:37,740 --> 00:30:42,680
+لكن بين الأولى والتانية أسمع وأرى هل هناك فيه نفس
+
+421
+00:30:42,680 --> 00:30:46,100
+أو ما فيه نفس، إذا كان هناك فيه نفس تمام الأمور
+
+422
+00:30:46,100 --> 00:30:50,900
+100%، لكن إذا لم يحدث هناك نفس، وبدأ الطفل يزداد
+
+423
+00:30:50,900 --> 00:30:56,740
+زرقاخه أبدأ بعملية التنفس الاصطناعي بداية، وبعد
+
+424
+00:30:56,740 --> 00:31:01,820
+ذلك أتأكد إذا استجاب للتنفس الاصطناعي100% يكون
+
+425
+00:31:01,820 --> 00:31:06,800
+الدور الدموية تعمل 100% أما إذا لازال التنفس متوقف
+
+426
+00:31:06,800 --> 00:31:11,140
+فإن انا أستشعر كما ذكرت قبل ذلك من النبض من
+
+427
+00:31:11,140 --> 00:31:17,180
+الشريان الإبطي إذا كان النفس فقط هو متوقف والدور
+
+428
+00:31:17,180 --> 00:31:21,300
+الدموية تعمل أستمر فقط بالتنفس الإصطناعي أما إذا
+
+429
+00:31:21,300 --> 00:31:26,340
+كان هناك توقف من الجهاز الدوري والجهاز التنفسي
+
+430
+00:31:26,340 --> 00:31:32,290
+فأبدأ بال CPR للأطفالبداية من التنفس الاصطناعي ثم
+
+431
+00:31:32,290 --> 00:31:37,470
+تدليق القلب ويبدأ بنفسين مقابل ثلاثين مرة ضغط على
+
+432
+00:31:37,470 --> 00:31:42,170
+منتصف الصدر مقابل حلمتين الطفل وهذا عكس ما يحدث
+
+433
+00:31:42,170 --> 00:31:46,770
+للكبار ان انا ابدأ بالضغط على الرئتين تدليق عضلة
+
+434
+00:31:46,770 --> 00:31:51,070
+القلب ثم التنفس الاصطناعي وهكذا استمر طبعا ..
+
+435
+00:31:51,070 --> 00:31:55,730
+وهكذا طبعا بالنسبة للأطفال كمية الهواء اللتي تدخل
+
+436
+00:31:55,730 --> 00:32:00,780
+لدى الأطفال هي كمية ضغطتمام يا بابا احنا هدى بس
+
+437
+00:32:00,780 --> 00:32:05,060
+يعني حاولنا توضيح انه حاجان بالنسبة لل CPR اللي
+
+438
+00:32:05,060 --> 00:32:08,400
+حابين نقول انه يعني مشاكل ال .. ال .. الإصابات
+
+439
+00:32:08,400 --> 00:32:13,570
+الجهاز تنفسه فيها أو الوسائل اللي من خلالهاممكن
+
+440
+00:32:13,570 --> 00:32:17,030
+يكون عندى عدم دخول كمية كافية للأكسجين طبعا هذه
+
+441
+00:32:17,030 --> 00:32:21,170
+مشكلة وبالتالي أنا بسعى و بدور على وين فيه سبب ان
+
+442
+00:32:21,170 --> 00:32:24,710
+انا عالج السبب هذا او اذا كانت فيه مشكلة و مرضى
+
+443
+00:32:24,710 --> 00:32:29,110
+يقع طبعا طارقة من خلال الصباط اللى احنا لاحظناها
+
+444
+00:32:29,680 --> 00:32:33,040
+وبهيك طبعا نقول احنا إذا كان في مشكلة أنا بقدر
+
+445
+00:32:33,040 --> 00:32:37,100
+أتعامل معاها ومن خلالها بقدر أساعد الشخص فانا
+
+446
+00:32:37,100 --> 00:32:40,820
+بقدمها عملية إخراج الجسم الغريب لاحظته كيف أنه
+
+447
+00:32:40,820 --> 00:32:44,060
+يكون وضع المصحف طبعا رجل للأمام أو قدم للأمام و
+
+448
+00:32:44,060 --> 00:32:48,360
+قدم للخلف طبعا هذا الهدف منها أساسا أن ممكن الشخص
+
+449
+00:32:48,360 --> 00:32:51,960
+الضحية يفقد وعيهو يجي على الأرض حتى أنا ما أجعش
+
+450
+00:32:51,960 --> 00:32:55,180
+معاه طبعا يكون قدم للأمام و قدم للخلف و بتاع طبعا
+
+451
+00:32:55,180 --> 00:32:59,680
+هي أشياء إجرائية بسيطة من خلالها أنا ممكن أقلل من
+
+452
+00:32:59,680 --> 00:33:03,800
+فرصة تدهور وضع المريض أو تقلي المضاعفات أو الأساس
+
+453
+00:33:03,800 --> 00:33:09,630
+إن أنا أنقذ حياة المصاب و أحافظ عليهمتمام احنا
+
+454
+00:33:09,630 --> 00:33:12,470
+طبعا يمكن قبل كده اقولنا اضغط على القلب في حال ال
+
+455
+00:33:12,470 --> 00:33:18,050
+CPR عمودي لكن هنا انا بضغط من أسفل لأعلى حتى اعمل
+
+456
+00:33:18,050 --> 00:33:22,130
+ضغط على الحجاب الحاجز اللي هيضغطلي على الرئتين و
+
+457
+00:33:22,130 --> 00:33:25,410
+طبعا زي ما انا أشبه مثال بسيط جدا لو كان عندك
+
+458
+00:33:25,410 --> 00:33:28,670
+بلونة مليونة بالهواء تضغط عليها الهواء ين هيكون
+
+459
+00:33:28,670 --> 00:33:32,010
+لأعلى طبعا دايما الهواء أخف وبالتالي انا بضغط من
+
+460
+00:33:32,010 --> 00:33:35,110
+القاعدة لأعلى و هنا القاعدة عند اللي هو إيش الحجاب
+
+461
+00:33:35,110 --> 00:33:39,130
+الحاجزتمام؟ أما لما أنا بعمل ضرب على الظهر، ما أنا
+
+462
+00:33:39,130 --> 00:33:43,610
+بعمل خلخلة، والخلخلة هذي ممكن تطرد الجسم الغريب
+
+463
+00:33:43,610 --> 00:33:47,450
+ومخرج الجسم الغريب هو إيش؟ الحنشر تمام؟ حكم كله
+
+464
+00:33:47,450 --> 00:33:50,430
+هنا بالنسبة لإصابات الجهاز التنفسي، إذا في أي سؤال
+
+465
+00:33:50,430 --> 00:33:54,470
+أو استفسار حول الموضوع ان شاء الله و تعالى تماني
+
+466
+00:33:54,470 --> 00:33:58,230
+.. أي سؤال؟ بارك الله فيك و أنا تماني السلامة من
+
+467
+00:33:58,230 --> 00:33:59,630
+الله جميع أنكم ان شاء الله و تعالى
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/5xnDkqNfFnc_raw.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/5xnDkqNfFnc_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..eac3ec920d0dedd7795ebe09305c456f9ebacbb8
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/5xnDkqNfFnc_raw.srt
@@ -0,0 +1,908 @@
+1
+00:00:05,030 --> 00:00:06,950
+عوض بالله من الشيطان الرجيم بسم الله الرحمن الرحيم
+
+2
+00:00:06,950 --> 00:00:09,850
+والصلاة والسلام وعلى أشرف المرسلين سيدنا محمد وليه
+
+3
+00:00:09,850 --> 00:00:13,710
+وصحابه وسلم هناخد بعد هيك جزئية بسيطة كيف عملية
+
+4
+00:00:13,710 --> 00:00:18,190
+النقل وليس بضرورة نقل لإنسان مكسور النقل لإنسان
+
+5
+00:00:18,190 --> 00:00:22,310
+فقد وعيه النقل لإنسان بصفة عامة لإنسان مثلا إنسان
+
+6
+00:00:22,310 --> 00:00:25,170
+كبير في العمر إنسان صار عنده مثلا كسور وأنا برضه
+
+7
+00:00:25,170 --> 00:00:28,090
+بدأ انقله طبعا في عيننا قليلة لنقل ودايما يا أخي
+
+8
+00:00:28,090 --> 00:00:30,750
+وقتنا بدنا نعرف حاجة مهمة جدا أن أحيانا تكون
+
+9
+00:00:30,750 --> 00:00:32,030
+المضاعفات الناتجة
+
+10
+00:00:34,620 --> 00:00:37,880
+من الإصابة بحد ذاتها وطبعا كتير بيقولك والله نجله
+
+11
+00:00:37,880 --> 00:00:43,760
+خطأ فصار عنده شلل طبعا حسب .. حسب المكان اللي ممكن
+
+12
+00:00:43,760 --> 00:00:47,180
+أنا أتعامل معاه إذا كان الشخص هذا فاقد الوعي إذا
+
+13
+00:00:47,180 --> 00:00:50,680
+كان عنده مثلا مكان ديج إذا كان عند الشخص هذا مثلا
+
+14
+00:00:50,680 --> 00:00:53,920
+عنده إشتباه .. إشتباه كسورة حمض الفقر أو العنوق
+
+15
+00:00:53,920 --> 00:00:57,080
+كيف أنا بيدنجله؟ احنا ممكن ننجله مثلا على .. على
+
+16
+00:00:57,080 --> 00:01:00,380
+ست .. مثلا ست أشخاص لكن احنا وضعناه مثلا على فرشة
+
+17
+00:01:00,970 --> 00:01:03,770
+أو مرتبة لكن المرتبة هالـ Sphingotria معناه طبعا
+
+18
+00:01:03,770 --> 00:01:07,810
+أيه فيه مشكلة وبالتالي النقل الصحيح يقلل من
+
+19
+00:01:07,810 --> 00:01:11,950
+المضاعفات أو المخاطر التي قد تنتج من لو كان نقل
+
+20
+00:01:11,950 --> 00:01:15,900
+خاطرطبعا هو الموضوع بسيط جدا، الموضوع طبعا هو أنا
+
+21
+00:01:15,900 --> 00:01:18,620
+.. لاحظوا النقطة المهمة اللي هي سلامة المصاب من
+
+22
+00:01:18,620 --> 00:01:22,660
+سلامة المكان، معناه إن أنا دائما أتأكد من المكان
+
+23
+00:01:22,660 --> 00:01:26,680
+اللي أنا بتعامل فيه هو آمن، ليش؟ عشان أقدم الخدمة
+
+24
+00:01:26,680 --> 00:01:30,680
+للمصعف، للمصاب، لكن إذا كان المكان غير آمن، فأنا
+
+25
+00:01:30,680 --> 00:01:34,560
+بتدنجل الشخص هذا المصاب لمكان آمن، يعني أنا بهمني
+
+26
+00:01:34,560 --> 00:01:40,830
+سلامة المصاب قبل سلامة المكانطبعاً من بعض الأماكن
+
+27
+00:01:40,830 --> 00:01:43,530
+اللي فيها خطورة على حياة الإنسان، الحريق، المناطق
+
+28
+00:01:43,530 --> 00:01:46,950
+المطورة بالأدخنة، مثلا إنسان مولّع فحم وطبعا
+
+29
+00:01:46,950 --> 00:01:50,090
+لاحظنا أن هذا أو مثلا الأماكن اللي بيصير فيها
+
+30
+00:01:50,090 --> 00:01:53,810
+احتراق أو حروق، دايما بنهتم إننا نخرج الشخص هذا
+
+31
+00:01:53,810 --> 00:01:57,410
+لمكان آمن، لأن بهمني أنا سلامة الشخص هذا مش سلامة
+
+32
+00:01:57,410 --> 00:02:00,410
+المكان، سلامة المكان بتهمني آه، لكن مش أهم من
+
+33
+00:02:00,410 --> 00:02:04,800
+سلامة الشخصطبعا بعض الأماكن اللي احنا .. يعني مثلا
+
+34
+00:02:04,800 --> 00:02:09,080
+بالبحر، البحر فيه خطورة، غريق، فانطلع ايش؟ على
+
+35
+00:02:09,080 --> 00:02:10,420
+الشط، المكان الأمن منه
+
+36
+00:02:16,670 --> 00:02:19,230
+طبعًا الهدف من نقل المصاب هو طبعًا وضع المصاب في
+
+37
+00:02:19,230 --> 00:02:22,110
+وضع مريح بمعنى إن أنا لما أضع المصاب في وضع مريح
+
+38
+00:02:22,110 --> 00:02:25,230
+الشخص لو كان واعي هو هيساعدني إنه هذا الوضع مريح
+
+39
+00:02:25,230 --> 00:02:28,110
+أو مش مريح لكن إذا كان فاقد الواعي طبعًا حسب
+
+40
+00:02:28,110 --> 00:02:30,830
+الخبرة أنا بقول مين الأفضل .. مين الأفضل له في حال
+
+41
+00:02:30,830 --> 00:02:36,170
+النقل لما أقول لسان والله مثلًا بتنفس كويس و القلب
+
+42
+00:02:36,170 --> 00:02:39,870
+ينبر عنده وفاقد الواعي ووضع الإفاق أيه بقى أنا حسب
+
+43
+00:02:39,870 --> 00:02:42,710
+إذا كان الشخص وبالتالي أنا بهمن لما يكون الشخص
+
+44
+00:02:42,710 --> 00:02:46,680
+واعي بساعدني كتيرلكن ده غير واعي انا بتحكم و حسب
+
+45
+00:02:46,680 --> 00:02:49,580
+الخبرة كيف انا ممكن اساعد الشخص هذا في حال
+
+46
+00:02:49,580 --> 00:02:53,520
+المحافظة على حياته وتقليل المضاعفات طبعا تأمين
+
+47
+00:02:53,520 --> 00:02:56,400
+سلامة المصاب والمحافظة على حياته زي ما حكينا عدم
+
+48
+00:02:56,400 --> 00:03:00,120
+التسبب في المضاعفات لطبعا النقل الخاطئ و خاصة و
+
+49
+00:03:00,120 --> 00:03:02,900
+خاصة و خاصة و عيد مرة تانية الفقرات الصغيرة
+
+50
+00:03:02,900 --> 00:03:06,140
+الموجودة في الرقبة و العمودة الفقرية
+
+51
+00:03:09,420 --> 00:03:12,540
+طبعاً بعض الاعتبارات مثلا طبيعة الإصابة وشدة
+
+52
+00:03:12,540 --> 00:03:16,240
+خطورتها هل ممكن أنجله ولا أخليه؟ هل أنا بقدر أنجله
+
+53
+00:03:16,240 --> 00:03:20,120
+لحالي ولا بدي مساعدة؟ مدى الخط المتوقع من النقل
+
+54
+00:03:20,120 --> 00:03:23,720
+الخاطئ؟ لو أنا رجلته ممكن أو لأ؟ يعني مثلا واحد
+
+55
+00:03:23,720 --> 00:03:28,400
+بيقولك أنا عملت جبيرة لإنسان طفل صغير عنده كسوف
+
+56
+00:03:28,400 --> 00:03:31,180
+مثلا في السقف هتبقى أنجله لكن واحد عنده كسوف في
+
+57
+00:03:31,180 --> 00:03:36,850
+العنق مثلا أو في العمود الفقري هتبقى تركهحسب ..
+
+58
+00:03:36,850 --> 00:03:42,950
+حسب الإصابة إذا كان أنا بقدر أقولها أو أخليها هو
+
+59
+00:03:42,950 --> 00:03:46,190
+.. يعني .. عشان .. هو ليس بالضرورة يكونوا مسعفين
+
+60
+00:03:46,190 --> 00:03:49,990
+عشان تكونوا عارفة لإنه يقولنا المسعف هو القادر على
+
+61
+00:03:49,990 --> 00:03:52,630
+التحكم في المكان و السيطرة على المكان هو القادر
+
+62
+00:03:52,630 --> 00:03:57,110
+يوجههم يعني بعض الناس عاديين لكن أنا مثلا إنت عندك
+
+63
+00:03:57,110 --> 00:04:01,250
+خبرة تقوله افعل ولا تفعللأن هو ممكن يكون عنده ..
+
+64
+00:04:01,250 --> 00:04:03,690
+يعني هي الشغل اللي أحيانا بتكونش بس بقوة العضلات
+
+65
+00:04:03,690 --> 00:04:06,530
+فقط، أحيانا بتكونش الشغل بقوة العضلات فقط، أحيانا
+
+66
+00:04:06,530 --> 00:04:09,450
+بكون قوة العضلات تؤذي أكتر، يبقوا يقولك واحد مثلا
+
+67
+00:04:09,450 --> 00:04:12,890
+جسم ما شاء الله بواحد هشيله كله، لأن طبعا هذا خطأ،
+
+68
+00:04:12,890 --> 00:04:15,750
+لكن احنا بدنا نكون .. حتى لو كان إنسان عنده قدرة،
+
+69
+00:04:15,750 --> 00:04:18,410
+بدنا نستخدم الطريقة الصحية عشان أقل المضاعفات اللي
+
+70
+00:04:18,410 --> 00:04:22,990
+ممكن تصيب .. تصيبكمان حاجة تانية مهمة جدا يا
+
+71
+00:04:22,990 --> 00:04:27,070
+أخواتنا زي ما أنت تريد أن تحافظ على الضحية تريد أن
+
+72
+00:04:27,070 --> 00:04:31,790
+تحافظ على نفسك يعني مثلا إنسان بدين كيف أنت تريد
+
+73
+00:04:31,790 --> 00:04:34,370
+أن تتعامل مع الشخص هذا البدين؟ ممكن تسحبه يسحب
+
+74
+00:04:34,370 --> 00:04:38,410
+مثلًا بتتكلم قبل قليل ممكن تساعد حد تاني تضعه على
+
+75
+00:04:38,410 --> 00:04:41,570
+كرسي وتسحبه لكن من الخطأ إن أنا أقول والله بدي
+
+76
+00:04:41,570 --> 00:04:44,450
+أسعف الشخص وفي النهاية يصير معاك disk أو غضروف
+
+77
+00:04:44,450 --> 00:04:48,550
+برضه احنا كمسعف بدي أساعد نفسه مانعش نقول المشكلة
+
+78
+00:04:48,550 --> 00:04:48,910
+تانية
+
+79
+00:04:52,090 --> 00:04:55,370
+تمام، المسافة المطلوبة لتحريك المصاب هل هي مسافة
+
+80
+00:04:55,370 --> 00:04:57,950
+بعيدة و لا مسافة جريبة؟ مسافة جريبة ممكن أنا أسحب
+
+81
+00:04:57,950 --> 00:05:01,510
+و أسحب، مسافة بعيدة مثلا و فيه مطبط و جروح و كسور
+
+82
+00:05:01,510 --> 00:05:07,010
+طبعا ممكن أعمل إيش؟ نقل بالأدرع الخطر المتوقع من
+
+83
+00:05:07,010 --> 00:05:10,830
+نقل المصاب، هل أنا أتركه مكانه و مافي مضاعفات؟ ولا
+
+84
+00:05:10,830 --> 00:05:14,430
+أخده من المكان في خطورة لمكان آمن؟ طبعا الكل بتتم
+
+85
+00:05:14,430 --> 00:05:19,350
+عملية التقييم طبعا هنا يجب أن يكون المصاب قريب من
+
+86
+00:05:19,350 --> 00:05:24,130
+المصاب قدر مستطاعيعني عساس أنه نقدر، المعنى إيش
+
+87
+00:05:24,130 --> 00:05:27,150
+قريب، إن أنا مابديش أن أسحب الشخص و أنا بعيد، لأن
+
+88
+00:05:27,150 --> 00:05:30,170
+طبعا ممكن أثر عليهش العمود الفقري، مابديش أرفع
+
+89
+00:05:30,170 --> 00:05:33,270
+الشخص هنا و أنا طبعا إيش ال .. الركوبتين مش
+
+90
+00:05:33,270 --> 00:05:35,990
+متنيين، لأ يكونوا متنيين حتى أن أقدر أكون الحمل
+
+91
+00:05:35,990 --> 00:05:41,450
+كله وين، عالمفاصل و ليس عالمفاصل العمود الفقريهذه
+
+92
+00:05:41,450 --> 00:05:47,430
+نفس اللي حكيناها طبعا مستخدم جد ما يستطيع استخدم
+
+93
+00:05:47,430 --> 00:05:50,930
+العجل قبل ما يستخدم الجوة لأن استخدام القوة قبل
+
+94
+00:05:50,930 --> 00:05:55,970
+العجل ممكن يأذي نفسه هو كمان عندنا بعض الطرق طبعا
+
+95
+00:05:55,970 --> 00:05:58,890
+طريقة المزلقة اللي هي هذه الصورة هذه اللي هي عملية
+
+96
+00:05:58,890 --> 00:06:02,770
+السحبعملت السحب الشخص يعني قولنا لأ مثلا والله
+
+97
+00:06:02,770 --> 00:06:08,430
+الإنسان طبعا بالسحب أنا ممكن أضع كرتونة جطة جماش
+
+98
+00:06:08,430 --> 00:06:10,870
+على اساس أن أنا عملت السحب لأنه مابدأ أديه كمان
+
+99
+00:06:10,870 --> 00:06:15,590
+والسحب هذا لما ده أسحبه من الذراعينفي حالة مثلا
+
+100
+00:06:15,590 --> 00:06:19,950
+كسور لأطراف السفلية لكن أسحب من أطراف السفلية في
+
+101
+00:06:19,950 --> 00:06:22,550
+حالة مثلا كسور إيش لأطراف العلوية إذا أنا كنت
+
+102
+00:06:22,550 --> 00:06:26,150
+لحالي وإذا كان إنسان مثلا بدين بطعة جترة جماش أو
+
+103
+00:06:26,150 --> 00:06:29,190
+جترة كرتور وعمل يتسحب أنا بسحب من ناحية السليمة
+
+104
+00:06:29,190 --> 00:06:32,690
+وليس من ناحية المصحبة طبعا يسموه طريقة المزلقة
+
+105
+00:06:32,690 --> 00:06:37,730
+ليعمل يتسحب الطريقة التانية الدعم البشرية واحنا
+
+106
+00:06:37,730 --> 00:06:42,570
+قلنا وحكينا المرة فاتتإن أنا ممكن في حال إنسان
+
+107
+00:06:42,570 --> 00:06:46,490
+مكسور عنده مثلا كسور في الساق وانا عملت جابيرة أنا
+
+108
+00:06:46,490 --> 00:06:50,890
+باجي على الناحية المصابة لأن أنا بده أحلي المحل
+
+109
+00:06:50,890 --> 00:06:55,310
+الكسر نفسه أحيانا إذا كان الشخص واعي و تمام تمام
+
+110
+00:06:55,310 --> 00:06:59,070
+لكن عنده كسر و قادر يمشي لكن مش قادر يمشي كويس
+
+111
+00:06:59,070 --> 00:07:02,890
+فأنا بحلي المحل طبعا ناحية إياش المصابة فلو في
+
+112
+00:07:02,890 --> 00:07:06,460
+حالة رجلتك تمت مكسورين إيش بده المصابة؟أه بنربطهم
+
+113
+00:07:06,460 --> 00:07:11,320
+مع بعض تمام و ممكن نضعه على كرسي و احنا طبعا يكون
+
+114
+00:07:11,320 --> 00:07:13,900
+هو موجود على الكرسي تمام طبعا في الحال هاري يكون
+
+115
+00:07:13,900 --> 00:07:18,480
+اتنين او تلاتة افضل عساس اتنين من الكرسي نفسه و
+
+116
+00:07:18,480 --> 00:07:21,120
+انا بحمل ايش الساقين المكسورين طبعا ممكن احنا نحطه
+
+117
+00:07:21,120 --> 00:07:27,080
+على شاشة او علام نشيل اقربه عم تحس انه مانأذي او
+
+118
+00:07:27,080 --> 00:07:29,520
+مانأذى بالظبط طبعا ممكن لكن في عمود الفقر لا يسمح
+
+119
+00:07:30,590 --> 00:07:36,070
+بالتالي يا أخواتنا، بدنا نقول إحنا حاجة مهمة كتير،
+
+120
+00:07:36,070 --> 00:07:39,730
+ذكرت قبل كده إن في الإسعاف الأولي يوجد البديل
+
+121
+00:07:39,730 --> 00:07:47,850
+ويوجد المهارة وسرعة البديهة والتفكير السريعتمام؟
+
+122
+00:07:47,850 --> 00:07:51,230
+يعني بمعنى إن كل إنسان ممكن يكون عنده مهارة معينة
+
+123
+00:07:51,230 --> 00:07:55,730
+أو استخدام طريقة معينة لكن النتيجة تكون إيجابية ما
+
+124
+00:07:55,730 --> 00:07:58,950
+بقدر أقول أنا خطأ انت مثلا عندك طريقة معينة لنقل
+
+125
+00:07:58,950 --> 00:08:03,850
+طبعا لكن النهاية مايكونش فيها مضاعفات على الضحية
+
+126
+00:08:03,850 --> 00:08:07,840
+مافيش مشكلةلكن إذا أنا بدي أكون عندى طريقة معينة
+
+127
+00:08:07,840 --> 00:08:11,280
+أو الطريقة هذه تؤدي مثلا بالخطأ أو بالمضاعفات على
+
+128
+00:08:11,280 --> 00:08:15,100
+سبيل المثال أنا بدي أقول والله بدي أنجل المصاب بس
+
+129
+00:08:15,100 --> 00:08:19,100
+بعد ما أعمل إعادة الإعظام إلى مكانها طبعا ده خطأ
+
+130
+00:08:19,100 --> 00:08:23,320
+لكن أنا بتركها كما هي بثبتها بالجبيرة و بأنجلها
+
+131
+00:08:23,320 --> 00:08:25,960
+إيش بعد ما أستخدم الجبيرة طبعا هنا اللي في عندنا
+
+132
+00:08:25,960 --> 00:08:30,020
+طبعا طريقة الكرسي الأيادى نفسها إذا كان إنسان مثلا
+
+133
+00:08:30,020 --> 00:08:33,820
+واعي طبعا الصورة عندنا بعض الصور طبعا عندنا هنا
+
+134
+00:08:34,930 --> 00:08:40,790
+طبعا هنا طبعا ممكن يدين عشان يبسن دهرو تمام؟ او
+
+135
+00:08:40,790 --> 00:08:44,830
+مثلا جوتة الكرسي طبعا يكون واعي عشان انه طبعا هو
+
+136
+00:08:44,830 --> 00:08:48,870
+الشخص المسعي .. الضحية بيضع ادي على عنق طبعا أيش
+
+137
+00:08:48,870 --> 00:08:51,730
+المسعفين نفسهم طبعا هذه ممكن استعين الناس تانين
+
+138
+00:08:51,730 --> 00:08:54,090
+عاديين ينجلوه يعني ملايسة بتضرروهم الناس المسعف
+
+139
+00:08:54,090 --> 00:08:57,950
+لطبعا هاش مهارة كتير طبعا هاي صورة الطفل هنا و
+
+140
+00:08:57,950 --> 00:09:00,510
+طبعا بتلاحظوا لو عنده مثلا كسور انا اعمله مثلا
+
+141
+00:09:00,510 --> 00:09:04,660
+كسور بالساقين هالول مثلا نفس الفكرةهي عند الكثور
+
+142
+00:09:04,660 --> 00:09:08,900
+بالثقيلة دول بعمل جبيرة تمام و بانجله طبعا هذا
+
+143
+00:09:08,900 --> 00:09:13,100
+طبعا طريقة الكورس الأيه دي في حال مسعفين إذا كان
+
+144
+00:09:13,100 --> 00:09:16,920
+الشخص هذا مايكونش كمان عنده كثور بالعمود الفقري لا
+
+145
+00:09:16,920 --> 00:09:26,480
+يسمح أو كثور في العنق برضه لا يسمح تمام طب
+
+146
+00:09:26,480 --> 00:09:30,250
+إذا كان الشخص هذا فاقد الوعي لاحظين هان كيفلازم
+
+147
+00:09:30,250 --> 00:09:34,050
+يكون شخص من الخلف لأنه طبعا شخص مايكونش يسيطر على
+
+148
+00:09:34,050 --> 00:09:38,410
+نفسه وخوف أنه يجعب لكن الشخص الواعي هو ممكن يضع
+
+149
+00:09:38,410 --> 00:09:41,630
+الذراعين على أعناق اللي هو المساعدين اللي محددتهم
+
+150
+00:09:47,690 --> 00:09:50,830
+النقال البشرية زي ما قلنا هنا اللي هي عملية النقل
+
+151
+00:09:50,830 --> 00:09:56,950
+وخاصة في حال ليها كسور أو اشتباه كسور العمود
+
+152
+00:09:56,950 --> 00:10:01,510
+الفقري بمعنى طبعا هذا دا يا أخواتنا المجموعة بيكون
+
+153
+00:10:01,510 --> 00:10:05,730
+لها قائد أو موجه لأنه مابنفع كل واحد من ناحيته
+
+154
+00:10:05,730 --> 00:10:10,490
+يرفع على كيفه صوت واحد ورفعة واحدةطبعا نقول من
+
+155
+00:10:10,490 --> 00:10:14,030
+يرفع من يرفع لكن بعد التأكد أن نقول كل اتنين
+
+156
+00:10:14,030 --> 00:10:17,510
+مقابلين لبعض طبعا لو كان عندنا مثلا أربع .. ستة
+
+157
+00:10:17,510 --> 00:10:20,790
+أفضل .. أفضل من أربعة .. أربعة أفضل من اتنين .. و
+
+158
+00:10:20,790 --> 00:10:23,190
+أفضل من تلاتة .. و بالتالة لو كان عندنا ستة أشخاص
+
+159
+00:10:23,190 --> 00:10:27,190
+مثلا .. طبعا أقبال بعض عند الكتفين و عند الحض و
+
+160
+00:10:27,190 --> 00:10:30,990
+عند الطرفين عشان إيش؟ عملية يجعل الجسم كله إيش؟
+
+161
+00:10:30,990 --> 00:10:34,670
+قطعة واحدة بدون حركة لمفاصل أو لفقرة العمود
+
+162
+00:10:34,670 --> 00:10:35,090
+الفقرين
+
+163
+00:10:38,130 --> 00:10:40,870
+طبعا الطريقة الخامسة هي طريقة الكرسي وهنا ممكن
+
+164
+00:10:40,870 --> 00:10:44,010
+تشوفوها كتير اللي هي الطريقة لو كان إنسان كبير في
+
+165
+00:10:44,010 --> 00:10:48,050
+العمر، ست كبيرة و عندهم يطلع مثلا على طابق، يعني
+
+166
+00:10:48,050 --> 00:10:50,930
+ماتكلمش .. ليس بضررك الإنسان مقصود بالطريقة هذه
+
+167
+00:10:50,930 --> 00:10:54,770
+معاهم، كبير في العمر، نزلوله كرسي و اتنين بيحملوه
+
+168
+00:10:55,250 --> 00:10:57,710
+مش جادر لإن طبعا عنده مثلا مشكلة في القلب أو عنده
+
+169
+00:10:57,710 --> 00:11:00,490
+أزمة أو .. أو مشاكلة لكلها طبعا عملية اللي هي نجل
+
+170
+00:11:00,490 --> 00:11:04,110
+الكرسي على أساس أن أستخدمه ممكن من .. لو من البيت
+
+171
+00:11:04,110 --> 00:11:08,170
+لبرا إذا كان مرضيك عشان نطلع و نخرج البيت طبعا ال
+
+172
+00:11:08,170 --> 00:11:11,450
+.. نقال ال .. ال .. نقل بوسط بطنية أو عمودين
+
+173
+00:11:11,450 --> 00:11:17,430
+خشبيين بطنية أو حرام أو أي حاجة لكن هذه لا تستخدم
+
+174
+00:11:18,070 --> 00:11:20,090
+في العمود الفقري في العمود الفقري يمكن استخدام
+
+175
+00:11:20,090 --> 00:11:24,750
+قطعة خشبية او يعني قطعة معدنية على أساس انه
+
+176
+00:11:24,750 --> 00:11:28,570
+مايصيرش عندى تقوس في فقرات العمود الفقري طبعا هذه
+
+177
+00:11:28,570 --> 00:11:32,610
+النقال الخشبية لإنسان مثلا عنده كسور بالعمود
+
+178
+00:11:32,610 --> 00:11:35,530
+الفقري بالذراعين أو عنده كسور مثلا بيطلع في
+
+179
+00:11:35,530 --> 00:11:41,180
+السفلية ومافيش خوف على فقرات العمود الفقريالقاعة
+
+180
+00:11:41,180 --> 00:11:44,220
+الخشبيهة دي بسيطة، قلنا طبعا دايما المسعف عنده
+
+181
+00:11:44,220 --> 00:11:47,920
+الأولوي ال .. البدائل، عندك .. عندك مثلا شرشف،
+
+182
+00:11:47,920 --> 00:11:51,500
+عندك حرام، عندك طبعا وجدعتين خشبيهات عاديين، طبعا
+
+183
+00:11:51,500 --> 00:11:54,840
+مواسير حديد ممكن نستخدمهم على أساس نكوّن من خلالهم
+
+184
+00:11:54,840 --> 00:11:59,540
+وسيلة للنقل، طبعا ممكن هذا نستخدمها مع إنسان عادي،
+
+185
+00:11:59,540 --> 00:12:02,220
+إنسان بدين، مش ممكن نحمل اتنين، لأنه ممكن يجي
+
+186
+00:12:02,220 --> 00:12:07,270
+علينا أي شحن الخطر من الحمل الخاطرطبعا هي كما نكون
+
+187
+00:12:07,270 --> 00:12:13,350
+أنهينا الجزء الأخير من الإسعاف الأولي في حالات
+
+188
+00:12:13,350 --> 00:12:16,410
+صابات الجهاز اللي هي الحركي وهي طبعا أخر لقاء هنا
+
+189
+00:12:16,410 --> 00:12:20,450
+عندنا طبعا نتمنى من الله نكون احنا قدرنا نوصل بعض
+
+190
+00:12:20,450 --> 00:12:23,910
+المعلومات اللي احنا نستفيد منها في حياتنا العملية
+
+191
+00:12:23,910 --> 00:12:27,920
+وليس فقط مجرد الامتحانوليس فقط مجرد الامتحان
+
+192
+00:12:27,920 --> 00:12:31,480
+وبالتالي يا اخوات ما نقول احنا كمادة إسعاف أولى هي
+
+193
+00:12:31,480 --> 00:12:37,580
+مادة أساسية، مادة عملية، ليس فقط من أجل الجامعة أو
+
+194
+00:12:37,580 --> 00:12:41,980
+من أجل الامتحان، الامتحان هتستفيد من المواد اللي
+
+195
+00:12:41,980 --> 00:12:45,120
+خدتيهاأو المواضيع اللي أخدتها في حياتك العملية
+
+196
+00:12:45,120 --> 00:12:48,000
+يعني صار عندك ارتفاع بالحرارة أو صار في البيت
+
+197
+00:12:48,000 --> 00:12:51,200
+ارتفاع بالحرارة أو صار نوع من نوع التسمم أو صار
+
+198
+00:12:51,200 --> 00:12:54,480
+نوع من نوع الجروح أو الحروق أو الكسور فاحنا بدناش
+
+199
+00:12:54,480 --> 00:12:57,840
+نستنى سيارة الإسعاف وإحنا مش قادرين نقدم أي حاجة
+
+200
+00:12:57,840 --> 00:13:01,660
+بسيطة بمعنى إنه في الإسعاف الأولي اللي أنا بقدمه
+
+201
+00:13:01,660 --> 00:13:08,080
+استغلال للوقت الأمثل فترة قصيرة تنخذ حياة إنسانلما
+
+202
+00:13:08,080 --> 00:13:12,240
+أقول والله انا لو صار عندى حروق واخدت الشخص هذا
+
+203
+00:13:12,240 --> 00:13:15,800
+مباشرة من المكان اللى انحرق فيه على المستشفى ماهي
+
+204
+00:13:15,800 --> 00:13:18,540
+الفترة هذه لو انا استخدمتها العشر دقايق في البيت
+
+205
+00:13:18,540 --> 00:13:22,780
+كان انا قللت المضاعفات او انسان مثلا اصيب بمواد
+
+206
+00:13:22,780 --> 00:13:26,280
+حارقة في العين او مثلا مواد أكالة او كلور او اللي
+
+207
+00:13:26,280 --> 00:13:29,980
+شاري كلها واخدته على المستشفى مباشرة الخمس دقايق
+
+208
+00:13:29,980 --> 00:13:34,140
+او العشر دقايق هذه هتأثر تأثير سلبي وخطر على العين
+
+209
+00:13:34,140 --> 00:13:37,820
+لان تمت أكل في العينوبالتالي معرفتنا بمبادئ
+
+210
+00:13:37,820 --> 00:13:40,840
+الإسعاف الأولى هي من أهم المواضيع اللى إحنا
+
+211
+00:13:40,840 --> 00:13:44,780
+بنحتاجها في حياتنا العادية، في حياتنا اليومية، إذا
+
+212
+00:13:44,780 --> 00:13:49,580
+لم تكن لخدمتك أنتي فهتكون لخدمة الآخرين، والناحية
+
+213
+00:13:49,580 --> 00:13:53,440
+تانية أنه لما أنت تجدمي خدمة لإنسان وساعدتي، هل
+
+214
+00:13:53,440 --> 00:13:56,460
+تقولي إخواتنا؟ إن الإنسان بداخله بيحس إنه مرتاح
+
+215
+00:13:56,460 --> 00:14:01,940
+نفسياعشان نختم اذا انت كنت قادر انك تخدم اي انسان
+
+216
+00:14:01,940 --> 00:14:06,240
+و تقدميله خدمة هذه و الشخص هذا أصيب بضرر بعدم
+
+217
+00:14:06,240 --> 00:14:09,880
+تقديم خدمة كله انت تحاسبي لان انت بتكون في الحالة
+
+218
+00:14:09,880 --> 00:14:13,640
+هذه انت شاركتي في إيذاء الشخص هذا جدش انت بتقدمي
+
+219
+00:14:13,640 --> 00:14:18,060
+الخدمة جدش انت بتكون مرتاحة نفسيا لكن بدنا نقول
+
+220
+00:14:18,060 --> 00:14:21,960
+كمار حاجة تانية مهمة جدا ان الاسعاف الأولي اذا
+
+221
+00:14:21,960 --> 00:14:25,940
+احنا قدمنا أجرلكن اذا احنا ما جدمناه و احنا قادرين
+
+222
+00:14:25,940 --> 00:14:29,940
+نقدمه طبعا هذا نحسب عليه نتمنى السلام و التوفيق من
+
+223
+00:14:29,940 --> 00:14:34,420
+الله للجميع شكرا مبارك الله فيكم حياكم الله و
+
+224
+00:14:34,420 --> 00:14:38,500
+اتحملونا اذا احنا كنا يعني ذالين هيك او هيك و ان
+
+225
+00:14:38,500 --> 00:14:42,200
+شاء الله نكون .. نقدرنا يعني نوصل اي معلومة صحية
+
+226
+00:14:42,200 --> 00:14:44,960
+عليكم بإذن الله تعالى شكرا و نتمناكوا التوفيق و
+
+227
+00:14:44,960 --> 00:14:46,180
+التخرج بإذن الله تعالى
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/6fZo2gx5dJA_raw.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/6fZo2gx5dJA_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..fb898cfae1d08fd6970f8b310a84cb6388d77c4d
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/6fZo2gx5dJA_raw.srt
@@ -0,0 +1,1116 @@
+1
+00:00:05,280 --> 00:00:07,880
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:07,880 --> 00:00:11,600
+وبركاته استكمالا للقائد السابق الذي بدأنا فيه في
+
+3
+00:00:11,600 --> 00:00:16,140
+عملية الانعاش القلبي والتنفس الاصطناعي نتكلم اليوم
+
+4
+00:00:16,140 --> 00:00:20,020
+بإذن الله تعالى عن الاختناق يعني حقيقة أن مشكلة
+
+5
+00:00:20,020 --> 00:00:23,120
+الاختناق عند بعض الناس قد تكون هي مهددة للحياة وقد
+
+6
+00:00:23,120 --> 00:00:28,060
+تكون هي فيصل بين الحياة والموت لذلك فمن البديهي أن
+
+7
+00:00:28,060 --> 00:00:31,860
+نتعرف على الجهاز التنفسي بصورة مبسطة ألا وهو يبدأ
+
+8
+00:00:31,860 --> 00:00:36,880
+من الأنف الفموالحلق ثم الحنجرة ثم القصبة الهوائية
+
+9
+00:00:36,880 --> 00:00:41,080
+فالرئتين وداخل الرئتين يتشعب الجهاز التنفسي إلى
+
+10
+00:00:41,080 --> 00:00:44,820
+القصابات الهوائية ثم الحواصلات الهوائية وبالتالي
+
+11
+00:00:44,820 --> 00:00:48,840
+الجهاز التنفسي ضروري جدا لتبادل الغازات وأهمها هو
+
+12
+00:00:48,840 --> 00:00:52,680
+غاز ال oxygen الذي يستفيد منه الدماغ كمصدر للطاقة
+
+13
+00:00:52,680 --> 00:00:57,160
+لكن إذا حصل هناك أي مشكلة في عدم دخول الهواء
+
+14
+00:00:57,160 --> 00:01:00,640
+المحمل بال oxygen فإن هذا يكون مهدد للحياة وذكرنا
+
+15
+00:01:00,640 --> 00:01:05,050
+سابقا أنالدماغ قد يستطيع أن يتحمل لمدة أربع دقائق
+
+16
+00:01:05,050 --> 00:01:08,330
+بدون وصول الـ Exygen لكن بعد ذلك تكون المشكلة
+
+17
+00:01:08,330 --> 00:01:12,410
+خطيرة وخاصة إذا زادت هذه الفترة الزمنية لذلك قد
+
+18
+00:01:12,410 --> 00:01:16,130
+يكون هناك أسباب تؤدي إلى عدم دخول الهواء إلى
+
+19
+00:01:16,130 --> 00:01:20,600
+الرئتين ومن ضمن هذه الأسباب لربمادخول أجسام غريب
+
+20
+00:01:20,600 --> 00:01:24,940
+أو جسم غريب ويعمل إغلاق جزءي أو كله أو دخول إنسان
+
+21
+00:01:24,940 --> 00:01:30,700
+في مرحلة من التشنجات الحرارية أو الصراع وبالتالي
+
+22
+00:01:30,700 --> 00:01:35,840
+السبب الأساسي إذا كان معروفا أن يكون هناك حل بسيط
+
+23
+00:01:35,840 --> 00:01:38,680
+وحل سريع وبالتالي الفترة الزمنية أو الوقت الزمني
+
+24
+00:01:38,680 --> 00:01:41,680
+أو المدة الزمنية أو الوقت ضروري جدا لإنقاذ الحياة
+
+25
+00:01:41,920 --> 00:01:47,200
+فمن أهم الأهجزة التي من خلالها يمكن مساعدة الإنسان
+
+26
+00:01:47,200 --> 00:01:52,520
+هو الجهاز التنافسي لذلك فأول شئ نهتم به هو تأكدنا
+
+27
+00:01:52,520 --> 00:01:56,440
+من دخول الهواء أو عدم دخول الهواء وبالتالي إذا
+
+28
+00:01:56,440 --> 00:02:02,500
+لاحظنا أوتحدثنا عن كيفية التحقق بناء على القانون
+
+29
+00:02:02,500 --> 00:02:06,760
+السابق الذي ذكرنا انظر استمع تحسس أو استشعر هو هذا
+
+30
+00:02:06,760 --> 00:02:11,740
+مؤشر لاتأكد من دخول هواء أو عدم دخول هواء لربما
+
+31
+00:02:11,740 --> 00:02:15,340
+يكون الشخص واعي أو لربما يكون الشخص غير واعي
+
+32
+00:02:15,540 --> 00:02:19,060
+المؤشرات الأساسية التي تدل على أن هناك إغلاق جزء
+
+33
+00:02:19,060 --> 00:02:22,620
+أو إغلاق كله هي أشياء بسيطة جدا إذا كان هناك صوت
+
+34
+00:02:22,620 --> 00:02:27,660
+فإن هناك قد يكون إغلاق جزء أما إذا كان لا يوجد أي
+
+35
+00:02:27,660 --> 00:02:32,220
+صوت فيكون إغلاق كله وبالتالي قد يفقد الإنسان وعيه
+
+36
+00:02:32,220 --> 00:02:36,140
+نتيجة لعدم دخول كمية كافية من ال Oxygen داخل
+
+37
+00:02:36,140 --> 00:02:43,930
+الرئتين لذلك أول شيء أول ما نتأكد به هو كيفيةدخول
+
+38
+00:02:43,930 --> 00:02:49,590
+الهواء إلى الرئتين وبالتالي حينمانحاول إنقاد شخص
+
+39
+00:02:49,590 --> 00:02:53,730
+فاقد الوعي أول شيء نتعرف على درجة الوعي الخطر ثم
+
+40
+00:02:53,730 --> 00:02:59,410
+درجة الوعي وبعد ذلك هل هناك دخول هواء أو عدمه طبعا
+
+41
+00:02:59,410 --> 00:03:04,010
+من خلال القانون التي ذكرتهم سنحاول الآن تطبيق بعض
+
+42
+00:03:04,010 --> 00:03:10,310
+الإجراءات العملية في حال دخول جسم غريب طبعا داخل
+
+43
+00:03:10,310 --> 00:03:14,670
+الحنجرة من ناحية إغلاق جزء أو إغلاق كله يمكن لربما
+
+44
+00:03:14,670 --> 00:03:19,430
+بعض الناس يعني أتنقل كالطعامأو يعني تناولوا أي
+
+45
+00:03:19,430 --> 00:03:23,510
+مشروبات يحاول أن يعني يتكلم وهذا طبعا يعني عادة
+
+46
+00:03:23,510 --> 00:03:27,250
+خاطرة لأن طبعا دخول الهواء مع الطعام هذا مشكلة
+
+47
+00:03:27,250 --> 00:03:33,450
+ويسبب ضيق في مجرى التنفس لذلك فمجرى التنفس يعني هو
+
+48
+00:03:33,450 --> 00:03:38,390
+فقط لدخول الهواء أما طبعا مجرى الطعام فهو طبعا
+
+49
+00:03:38,390 --> 00:03:43,010
+داخل المريء وهو طبعا خاص بالمأكلات والمشروبات طبعا
+
+50
+00:03:43,010 --> 00:03:47,310
+الجزء المشترك لدخول الطعام والهواء هوطبعا قلب
+
+51
+00:03:47,310 --> 00:03:50,590
+العوم وبالتالي يكون هناك أثناء تناول الطعام
+
+52
+00:03:50,590 --> 00:03:54,330
+والشراب لسان المزمار الذي يعمل على إغلاق الحنجرة
+
+53
+00:03:54,330 --> 00:03:58,070
+أثناء تناول الطعام يكون هناك إغلاق وأثناء الكلام
+
+54
+00:03:58,070 --> 00:04:01,930
+يكون رفع أو فتح لهذا المدخل وبالتالي يحدث الصوت
+
+55
+00:04:01,930 --> 00:04:05,770
+وبالتالي بعض الناس حينما يعني يكون ضحكة عالية أو
+
+56
+00:04:05,770 --> 00:04:09,410
+كلام لربما يدخل جزء من الطعام داخل الرئة أو
+
+57
+00:04:09,410 --> 00:04:13,860
+الحنجرة وبالتالي يبدأ بالسعادةإذا حاولنا مساعدة
+
+58
+00:04:13,860 --> 00:04:19,020
+شخص بدأ يتناول طعام أو دخل لديه جسم غريب فإننا
+
+59
+00:04:19,020 --> 00:04:22,320
+نبدأ بالخطوات التالية التي من خلالها سنطبقها
+
+60
+00:04:22,320 --> 00:04:26,100
+تطبيقًا عمليًا كبداية يعني كبداية نتحدث عن شيء مهم
+
+61
+00:04:26,100 --> 00:04:30,040
+جدًا وهي من بعض الأخطاء التي قد تكون واردة عن بعض
+
+62
+00:04:30,040 --> 00:04:35,310
+الحالاتأثناء الشرقاء أو طبعا دخول جسم غريب فالبعض
+
+63
+00:04:35,310 --> 00:04:40,130
+يتناول الماء مباشرة أو البعض يدعو زميله لتناول كوب
+
+64
+00:04:40,130 --> 00:04:43,570
+من الماء وها طبعا خاطئ جدا لماذا؟ طبعا إذا كان
+
+65
+00:04:43,570 --> 00:04:47,210
+هناك إغلاق جزء أو إغلاق كله في مجلة التنفسفالأفضل
+
+66
+00:04:47,210 --> 00:04:53,150
+هو إخراج الجسم الغريب وليس دخول الماء لتأخير إخراج
+
+67
+00:04:53,150 --> 00:04:55,650
+الجسم الغريب وهذه طبعا عادة خاطئة وبالتالي يجب
+
+68
+00:04:55,650 --> 00:04:59,290
+علينا أن نكون حريصين جدا في حال دخول جسم غريب سواء
+
+69
+00:04:59,290 --> 00:05:02,890
+كأدأ إلى غلق جزي أو غلق كلي، عدم تناور الماء، لكن
+
+70
+00:05:02,890 --> 00:05:06,390
+الخطوة الأساسية الأولى هي الدعم النفسي للشخص
+
+71
+00:05:06,390 --> 00:05:10,090
+ومساعدته لسعاله، عملية السعالة، وبالتالي أنا أقب
+
+72
+00:05:10,090 --> 00:05:15,230
+بجانب الشخص، نفترض هنا زميله يعنيحصل لديه إغلاق
+
+73
+00:05:15,230 --> 00:05:19,530
+جزء أو إغلاق كله والملاحظ هنا أن المؤشر الأساسي
+
+74
+00:05:19,530 --> 00:05:23,050
+كعلامة أن هناك إغلاق جزء أو إغلاق كله هو أن يضع
+
+75
+00:05:23,050 --> 00:05:26,990
+الشخص يدهي على منطقة العُنُب وهذا طبعا مؤشر أن
+
+76
+00:05:26,990 --> 00:05:30,150
+هناك إغلاق جزء أو إغلاق كله وبالتالي أنا في
+
+77
+00:05:30,150 --> 00:05:34,310
+المرحلة هذه وفي الحالة هذه أقف بجانب الشخص وأدعمه
+
+78
+00:05:34,310 --> 00:05:38,530
+نفسيا بالتشجيع على السعادة إذا الخطوة الأولىلإخراج
+
+79
+00:05:38,530 --> 00:05:42,170
+الجسم الغريب في حال الإختناق، في حال دخول جسم غريب
+
+80
+00:05:42,170 --> 00:05:46,750
+وقدّى إغلاق جزء أو إغلاق كله، هو الدعم النفسي،
+
+81
+00:05:46,750 --> 00:05:50,670
+أشجعه على السعال، أسعل، أكوح، وهذا طبعا شيء حتى
+
+82
+00:05:50,670 --> 00:05:53,230
+يخرج الهواء من الرئتين ويدفع الجسم الغريب من
+
+83
+00:05:53,230 --> 00:05:56,670
+الحنجران إلى الخارج، وبعد ذلك باستطاعه طبعا تناول
+
+84
+00:05:56,670 --> 00:05:59,870
+الطعام أو الشرب، فالخطة الأولى هي الدعم النفسي
+
+85
+00:05:59,870 --> 00:06:02,750
+والتشجيع على السعال، طبعا في الواضح هذا أنا أقف
+
+86
+00:06:02,750 --> 00:06:07,910
+بجانب الضحية أو بجانب الشخص المختنقو طبعا تكون قدم
+
+87
+00:06:07,910 --> 00:06:12,390
+للأمام و قدم للخلف و طبعا إلها مغذاة كبيرة الهدف
+
+88
+00:06:12,390 --> 00:06:16,530
+منها أنه في حال استمرار عملية إغلاق مجرة التنفس
+
+89
+00:06:16,530 --> 00:06:22,270
+سيكون هناك انخفاض تدريجيا في دخول إكسجين لإرئتين و
+
+90
+00:06:22,270 --> 00:06:25,910
+قد يؤدي إلى فقدان الوعي وبالتالي أنا أكون حارس جدا
+
+91
+00:06:25,910 --> 00:06:30,150
+حتى لا يقع الشخص على الأرض فالقدم الأمامية تساعدني
+
+92
+00:06:30,150 --> 00:06:34,350
+و القدم الخلفية تساعدني في حفظ التوازن ليه و للشخص
+
+93
+00:06:34,350 --> 00:06:39,270
+نفسه إذا الخطوة التانيةهي بعد دعمه وتشجيعه على
+
+94
+00:06:39,270 --> 00:06:45,930
+السعال هي أن أضع يدي على وسط .. منتصف صدر الشخص
+
+95
+00:06:45,930 --> 00:06:51,070
+وأعمل بانحناء الشخص وبالضرب بين .. بين لوحتي الكتف
+
+96
+00:06:51,070 --> 00:06:55,830
+من خمس ضربات إلى عشر ضربات طبعاً بالصورة عساس
+
+97
+00:06:55,830 --> 00:06:59,120
+للدفع من أسفل إلى أعلىإذا رأيناها بالصورة التالية
+
+98
+00:06:59,120 --> 00:07:03,840
+تكون بالتالي متدافع من أسفل إلى أعلى خمس ضربات
+
+99
+00:07:03,840 --> 00:07:07,960
+والضربات تكون قوية وهذا طبعا السبب في هذه هي عملية
+
+100
+00:07:07,960 --> 00:07:11,780
+خلخلة للهواء للضغط على الجسم الغريب وإخراجه لو
+
+101
+00:07:11,780 --> 00:07:14,540
+ربما هذه الطريقة الخطوة التانية تنجح و لو ربما
+
+102
+00:07:14,540 --> 00:07:17,760
+تفشل في حال نجحت كانت الأمور تمام مئة في المائة
+
+103
+00:07:17,760 --> 00:07:21,840
+وفي حال أنها فشلت فننتقل للخطوة الثالثة والخطوة
+
+104
+00:07:21,840 --> 00:07:26,240
+الثالثة هي أن أضعيدي طبعا إذا لاحظنا القدمين
+
+105
+00:07:26,240 --> 00:07:30,400
+للأمام و للخلف أضع يدي عند أسفل عظمة القص هناك
+
+106
+00:07:30,400 --> 00:07:33,540
+الحجاب الحاجز الذي يكون الحد السفلي بالنسبة
+
+107
+00:07:33,540 --> 00:07:39,160
+للرئتين فأضع قبضة اليد بالصورة التالية و أضغط من
+
+108
+00:07:39,160 --> 00:07:42,720
+أسفل إلى أعلى من أسفل إلى أعلى وهذا طبعا يمكن لو
+
+109
+00:07:42,720 --> 00:07:46,680
+ربما يكون فيها ألم لكن ألم الإختناق هو أشد بكثير
+
+110
+00:07:46,680 --> 00:07:50,890
+من ألم الضغط علىأسفل الحجاب الحاجز وبالتالي أضغط
+
+111
+00:07:50,890 --> 00:07:56,590
+بالصورة التالية 5 إلى 10 ضغطات للداخل طبعا عملية
+
+112
+00:07:56,590 --> 00:08:00,570
+الفرق وهي طبعا صورة عملية فرق عساس أن أنا أضغط
+
+113
+00:08:00,570 --> 00:08:05,290
+وأعمل ضغط للهواء الموجود داخل الرئتينالى أعلى حتى
+
+114
+00:08:05,290 --> 00:08:09,230
+يساعد على خروج الجسم الغريب يبقى هذه الخطوة
+
+115
+00:08:09,230 --> 00:08:13,610
+التالتة عاملة طبعا تسمى طريقة Hemlick على أساس أن
+
+116
+00:08:13,610 --> 00:08:17,630
+تساعد على إخراج الجسم الغريب بالضغط على أسفل حجب
+
+117
+00:08:17,630 --> 00:08:22,360
+الحاجز لأعلىلو ربما الطريقة هنا تفشل وربما تنجح
+
+118
+00:08:22,360 --> 00:08:27,160
+الخطوة التانية إذا نجحت .. نجحت الطريقة هذه طبعا
+
+119
+00:08:27,160 --> 00:08:31,000
+المريض يأخذ وضعه الطبيعي بالوضع الذي يراه مريحا
+
+120
+00:08:31,000 --> 00:08:35,760
+لهم لكن هناك إمكانية لو فشلت الطريقة أن أساعد
+
+121
+00:08:35,760 --> 00:08:39,470
+الشخص على الاستلقاء على الأرضطبعا ما يدل على أن
+
+122
+00:08:39,470 --> 00:08:44,490
+هناك طريقة فاشلة أن الشخص يبدأ بفقدان توازنه
+
+123
+00:08:44,490 --> 00:08:50,010
+ويحاول أن يلقى على الأرض وبالتالي ووضع قدمي الأولى
+
+124
+00:08:50,010 --> 00:08:54,310
+وقدمي الثانية في الآلية التي وضعتها هي ما يساعدني
+
+125
+00:08:54,310 --> 00:08:58,900
+على عدم سقوط الضحية إلى الأرض مباشرةلنفترض حاليًا
+
+126
+00:08:58,900 --> 00:09:04,140
+أن الضحية فقدت الوعي فنقوم بوضع الضحية بوضع
+
+127
+00:09:04,140 --> 00:09:06,720
+استلقاء على الأرض سننفذه حاليًا على الأرض إن شاء
+
+128
+00:09:06,720 --> 00:09:09,460
+الله تعالى استكمالًا للموضوع إن إذا كان هناك
+
+129
+00:09:09,460 --> 00:09:14,340
+إمكانية للمساعدة كما تحدثنا نقدمهاأما إذا كان
+
+130
+00:09:14,340 --> 00:09:19,920
+الشخص بدأ يفقد وعده وهذا طبعا بحدوث عدم دخول كمية
+
+131
+00:09:19,920 --> 00:09:23,280
+من ال oxygen الكافية فإننا نلجأ للطريقة التالية
+
+132
+00:09:23,280 --> 00:09:26,840
+استلقاء الضحية على الأرض يعني الطريقة واضحة
+
+133
+00:09:26,840 --> 00:09:31,400
+بالصورة التالية أضع نفسي مقابل الشخص مع ملاحظة أنه
+
+134
+00:09:31,400 --> 00:09:37,530
+في هذه الوضعية يكون الشخص وجهه إلى ناحيةطبعا
+
+135
+00:09:37,530 --> 00:09:41,610
+الألية ضرورية تكون سريعة يكون الشخص وجهه إلى ناحية
+
+136
+00:09:41,610 --> 00:09:48,530
+مع رفع الذقن لأعلى ومساعد فتح فم الشخص أو الضحية
+
+137
+00:09:48,530 --> 00:09:53,010
+طبعا دي ألية مهمة لأن إذا كان هناك جسم غريب وبدأ
+
+138
+00:09:53,010 --> 00:09:57,670
+يخرج حتى يخرج الجسم الغريب للخارج ولا يستقر داخل
+
+139
+00:09:57,670 --> 00:10:02,470
+الحلق و لا يزال يعمل على إغلاق مجرى التنفس
+
+140
+00:10:02,470 --> 00:10:11,050
+وبالتالي الألية التالية تكونهكذا طبعا أضغط عن نفس
+
+141
+00:10:11,050 --> 00:10:14,750
+مكان الضغط التي استخدمتها وكان شخص واعيا أضغط
+
+142
+00:10:14,750 --> 00:10:20,230
+بالصورة القاتية لأسفل والإعلى لأسفل والإعلى طبعا
+
+143
+00:10:20,230 --> 00:10:25,870
+هنا هي فعلا مؤلمة لكن كما ذكرت أن ألم الضغط أقل
+
+144
+00:10:25,870 --> 00:10:31,430
+بكثير من ألم الاختناق وهنا أضغط من خمس ضغطات إلى
+
+145
+00:10:31,430 --> 00:10:36,730
+عشر ضغطات بالأعلى التاليةخمسة إلى عشرة وأقوم
+
+146
+00:10:36,730 --> 00:10:43,790
+بالتفتيش هل هناك جسم غريب أم لا بإدخال الأصبع
+
+147
+00:10:43,790 --> 00:10:49,870
+بطريقة خطافية وليس بطريقة عمودية لتأكد من إخراج
+
+148
+00:10:49,870 --> 00:10:55,710
+الجسم الغريب إلى الخارج طبعا لربما يستجيب الشخص طب
+
+149
+00:10:55,710 --> 00:11:01,130
+أنا أقول لك احتمالاتالاحتمال الأول استجابة الشخص
+
+150
+00:11:01,130 --> 00:11:06,830
+الاحتمال الثاني عدم استجابة الشخص وبالتالي نلجأ
+
+151
+00:11:06,830 --> 00:11:14,210
+إلى كيفية التنفس إصطناعي إذا كان الشخص التنفس لديه
+
+152
+00:11:14,210 --> 00:11:19,590
+متوقفا واللي كما ذكرناها في الحلقة السابقة هي أن
+
+153
+00:11:19,590 --> 00:11:25,910
+أتأكد من النفس بالسمع بشعور
+
+154
+00:11:27,190 --> 00:11:32,270
+وبالنظر إذا لا يوجد تنفس أبدأ بالتنفس الاصطناعي
+
+155
+00:11:32,270 --> 00:11:36,810
+تحدثنا عن آلية مساعدة الشخص في حال الاختناق
+
+156
+00:11:36,810 --> 00:11:40,810
+بالنسبة للبالغين أما بالنسبة للأطفال لربما وطبعا
+
+157
+00:11:40,810 --> 00:11:44,830
+شيء كثير جدا يحدث عند الأطفال وهو دخول أجسام غريبة
+
+158
+00:11:44,830 --> 00:11:51,710
+كبعض المكسرات أو بقايا الطعام أو إدخال شيء من طفل
+
+159
+00:11:51,710 --> 00:11:55,150
+إلخ الطفل آخر داخل الفم وبالتالي قد يؤدي إلى
+
+160
+00:11:55,150 --> 00:11:59,320
+الاختناققبل أن أتحدث يعني هناك نصيحة مهمة جدا جدا
+
+161
+00:11:59,320 --> 00:12:05,000
+هي للأمهات بالذات عدم وضع الأطفال وضع الاستلقاء
+
+162
+00:12:05,000 --> 00:12:09,080
+خاصة الأطفال الرضع أثناء الليل لأنه لربما يكون
+
+163
+00:12:09,080 --> 00:12:13,100
+هناك اختناق نتيجة خروج الغذاء وهو طبعا حليب الأم
+
+164
+00:12:13,100 --> 00:12:16,520
+أو الحليب الصناعي إلى داخل الفم وبالتالي يؤدي
+
+165
+00:12:16,520 --> 00:12:19,680
+للاختناق وبالتالي إنهم إما على الجانب الأيمن أو
+
+166
+00:12:19,680 --> 00:12:24,020
+الجانب الأيصر هذا هو طبعا الأساسلكن ربما يحدث في
+
+167
+00:12:24,020 --> 00:12:30,640
+بعض الحلات حدوث دخول جسم غريب إلى القصبة اللوائية
+
+168
+00:12:30,640 --> 00:12:34,240
+أو إلى الأعلى الحنجرة وهذا طبعا يؤدي إلى الاختناق
+
+169
+00:12:34,240 --> 00:12:38,120
+وأهم شيء نلاحظه في حال اختناق الطفل لا يضع يده
+
+170
+00:12:38,120 --> 00:12:42,480
+كالكبار على عنقه وإنما يبدأ بالازرقاق نتيجة نقص
+
+171
+00:12:42,480 --> 00:12:47,800
+معدل الـOxygen داخل الجسم وهذا طبعا يعني فيه خطورة
+
+172
+00:12:47,800 --> 00:12:51,530
+أكتر من البالغين لأن ربما تحمل البالغين أكترمن
+
+173
+00:12:51,530 --> 00:12:56,310
+تحمل الأطفال وبالتالي أول شيء نضعه نبدأ به بالنسبة
+
+174
+00:12:56,310 --> 00:13:02,230
+للأطفال هو وضع يدي للأطفال الرضع أتحدث عن أطفال
+
+175
+00:13:02,230 --> 00:13:07,430
+الرضع يدي تكون ساندة أو داعمة لوجه الطفل مع ثاني
+
+176
+00:13:07,430 --> 00:13:11,870
+وجه الطفل قليلا وبالتالي يكون أعلى طبعا يكون الجزء
+
+177
+00:13:11,870 --> 00:13:16,990
+السفلي هو القدمين أعلى من الرأس حتى أقوم بالضغط و
+
+178
+00:13:16,990 --> 00:13:22,710
+بالضرب علىطبعا الظهر الطفل وهو طبعا تكون خال خلان
+
+179
+00:13:22,710 --> 00:13:27,390
+طبعا تكون بمقدمة اليدين وليس براحة اليدين كما في
+
+180
+00:13:27,390 --> 00:13:30,630
+الكبار وبالتالي أضوء أقوم بالضرب وطبعا لا يكون
+
+181
+00:13:30,630 --> 00:13:33,290
+الضرب مشابه للضرب على الكبار لأن طبعا ضرب الكبار
+
+182
+00:13:33,290 --> 00:13:36,290
+يكون فيه طبعا قوة أكبر وبالتالي أقوم بالضرب إما
+
+183
+00:13:36,290 --> 00:13:41,870
+خمس ضربات إلى عشر ضربات ومن ثم طبعا أعمل على تغيير
+
+184
+00:13:41,870 --> 00:13:47,580
+وضع الطفلولا يزال الرأس أدنى من المعدل أو من مستوى
+
+185
+00:13:47,580 --> 00:13:53,780
+القدمين مع إدخال الأصبع الخنصر داخل فم الطفل وليس
+
+186
+00:13:53,780 --> 00:13:58,280
+بطريقة عمودية وإنما بطريقة خطة فيها للتأكد من
+
+187
+00:13:58,280 --> 00:14:02,350
+إخراج الجسم الغريبلو ربما تنجح و لو ربما أستمر
+
+188
+00:14:02,350 --> 00:14:07,250
+فيها مرة أخرى لكن بين الأولى و التانية أسمع و أرى
+
+189
+00:14:07,250 --> 00:14:11,050
+هل هناك فيه نفس أو مافيه نفس إذا كان هناك فيه نفس
+
+190
+00:14:11,050 --> 00:14:15,810
+تمام الأمور 100% لكن إذا لم يحدث هناك نفس و بدأ
+
+191
+00:14:15,810 --> 00:14:20,190
+الطفل يزداد زرقاخه أبدأ بعملية التنفس الاصطناعي
+
+192
+00:14:20,190 --> 00:14:25,450
+بداية و بعد ذلك أتأكد إذا استجاب للتنفس الاصطناعي
+
+193
+00:14:26,560 --> 00:14:31,460
+100% يكون الدورة الدموية تعمل 100% أما إذا لازال
+
+194
+00:14:31,460 --> 00:14:35,980
+التنفس متوقف فإن أنا أستشعر كما ذكرت قبل ذلك من
+
+195
+00:14:35,980 --> 00:14:41,580
+النبض من الشريان الإبطي إذا كان النفس فقط هو متوقف
+
+196
+00:14:42,170 --> 00:14:46,330
+والدورة الدموية تعمل أستمر فقط بالتنفس الاصطناعي
+
+197
+00:14:46,330 --> 00:14:51,430
+أما إذا كان هناك توقف من الجهاز الدوري والجهاز
+
+198
+00:14:51,430 --> 00:14:56,550
+التنفسي فأبدأ بالـCPR للأطفال بداية من التنفس
+
+199
+00:14:56,550 --> 00:15:02,390
+الاصطناعي ثم تدليق القلب ويبدأ بنفسين مقابل ثلاثين
+
+200
+00:15:02,390 --> 00:15:07,110
+مرة ضغط على منتصف الصدر مقابل حلمتية الطفل وهذا
+
+201
+00:15:07,110 --> 00:15:11,350
+عكس ما يحدث للكبار إن أنا أبدأ بالضغط على الرئتين
+
+202
+00:15:11,650 --> 00:15:15,910
+تبديك عضلة القلب ثم التنفس الاصطناعي وهكذا أستمر
+
+203
+00:15:15,910 --> 00:15:21,890
+طبعا وهذا بالنسبة للأطفال كمية الهواء التي تدخل
+
+204
+00:15:21,890 --> 00:15:26,830
+لدى الأطفال هي كمية بسيطة مجرد كمية الهواء
+
+205
+00:15:26,830 --> 00:15:31,740
+الموجودة بالفم على عكس ما يحدث للكباركمية الهواء
+
+206
+00:15:31,740 --> 00:15:36,540
+تكون بحجم الرئتين حتى أدفعها للبالغين أما بالنسبة
+
+207
+00:15:36,540 --> 00:15:39,640
+للأطفال فقط تجويف الفم الهواء الموجود داخل تجويف
+
+208
+00:15:39,640 --> 00:15:44,620
+الفم لإن أنا إذا دفعت كمية كبيرة من الهواء قد يؤدي
+
+209
+00:15:44,620 --> 00:15:50,340
+إلى تمزق في خلايا وجدران أنسجة الرئتين ولا أريد
+
+210
+00:15:50,340 --> 00:15:54,140
+حدوث نزيف داخلي أو مضاعفات ومشاكل نتيجة إن أنا
+
+211
+00:15:54,140 --> 00:15:58,140
+أصلح شيء طبعا وأدمر شيء آخر وبالتالي عملية إخراج
+
+212
+00:15:58,140 --> 00:16:04,580
+جسم الغريب تبدأ بالضغط أو بالضربعلى دهر الطفل خمس
+
+213
+00:16:04,580 --> 00:16:10,300
+إلى عشر ضغطات أو ضربات ومن ثمعيد الطفل إلى وضعه
+
+214
+00:16:10,300 --> 00:16:17,860
+الطبيعي مع مساعدة فأس الطفل بحمايته حتى لا يكون
+
+215
+00:16:17,860 --> 00:16:23,240
+هناك خسور وهكذا نستمر فيها لحين وصول خدمة المستشفى
+
+216
+00:16:23,240 --> 00:16:27,920
+أو وصوله للمستشفى أو لربما نكون أدينا هذه
+
+217
+00:16:27,920 --> 00:16:32,520
+الإجراءات قبل وصول المستشفى ويستعيد الطفل نشاطه
+
+218
+00:16:32,520 --> 00:16:36,500
+وحياته وتنفسه ويكون قد أنقذنا حياته من الاختناق
+
+219
+00:16:36,500 --> 00:16:41,950
+الملاحظة التي أريدتوضيحها بعد التعامل مع الكبار
+
+220
+00:16:41,950 --> 00:16:49,350
+والأطفال هناك فرق ما بين انحشار جسم كبير والاختناق
+
+221
+00:16:49,350 --> 00:16:55,530
+الاختناق معناه دخول جسم غريب وإغلاق جزئي أو كلي
+
+222
+00:16:55,530 --> 00:17:00,530
+لمدخل الهواء أما انحشار جسم كبير هذا يكون طبعا في
+
+223
+00:17:00,530 --> 00:17:06,030
+البلعوم والبلعوم بحد ذاته هو خلف الحنجرة وطبعا
+
+224
+00:17:06,030 --> 00:17:12,350
+يعني فقرات الحنجرةهي تعمل يعني كهلال أو كحرف الـC
+
+225
+00:17:12,350 --> 00:17:18,030
+طبعا أو الحلقة غير كاملة وبالتالي ما يميز أن هناك
+
+226
+00:17:18,030 --> 00:17:24,630
+إمكانية لتناول شرب الماء من عدمه هو في حال اختناق
+
+227
+00:17:24,630 --> 00:17:30,470
+شخص ودخول جسم غريب وعملغلاق جزئي أو غلاق قلي هي
+
+228
+00:17:30,470 --> 00:17:34,810
+الأساس الإشارة وضع الجد عند العنق وهي طبعا مؤشر
+
+229
+00:17:34,810 --> 00:17:39,210
+للاختناق وهنا لا يسمح بتناول الطعام أما في حال
+
+230
+00:17:39,210 --> 00:17:43,730
+وجود انحشار جسم كبير من الطعام على سبيل المثال
+
+231
+00:17:43,730 --> 00:17:48,830
+داخل قلب العوم يسمح في هذه الحالة تناول الطعام،
+
+232
+00:17:48,830 --> 00:17:52,530
+تناول الشراب لدفع الجسم الغريب داخل الرئتين وهنا
+
+233
+00:17:52,530 --> 00:17:57,870
+طبعا نفرق في حالودخول جسم غريب للرئتين لا يسمح
+
+234
+00:17:57,870 --> 00:18:02,370
+بالتناول الماء أما في حال دخول أو انحشار قطعة
+
+235
+00:18:02,370 --> 00:18:06,290
+كبيرة من الطعام في المريء فيسمح وبالتالي نكون احنا
+
+236
+00:18:06,290 --> 00:18:10,950
+أدينا هذه الرسالة بكيفية إجراء وإخراج جسم الغريب
+
+237
+00:18:10,950 --> 00:18:15,370
+سواء للطفل أو للبالغ سابقة وأن ذكرنا أن هناك فيه
+
+238
+00:18:15,370 --> 00:18:18,210
+إمكانية لمساعدة الأشخاص في حال اختناق ودخول جسم
+
+239
+00:18:18,210 --> 00:18:23,910
+غريب إلى الرئتين أو إلى الحنجرةلكن لربما يحدث أن
+
+240
+00:18:23,910 --> 00:18:28,950
+تكون أنت لوحدك ولا يوجد حدا أو لا يوجد أحد معاك
+
+241
+00:18:28,950 --> 00:18:34,950
+وكيف تتصرف في هذه الحالة طبعا النفس غالية الحياة
+
+242
+00:18:34,950 --> 00:18:39,710
+غالية لذلك فهناك بعض الإجراءات البسيطة التي يمكن
+
+243
+00:18:39,710 --> 00:18:44,810
+أن تتصرف فيها إذا حدث لك اختناق وأنت لوحدك الخطوة
+
+244
+00:18:44,810 --> 00:18:49,960
+الأولىهي استخدام الكرسي والضغط أسفل عضمة القص
+
+245
+00:18:49,960 --> 00:18:56,910
+وأعلى منطقة البطن بالطريقة الآتيةأضغط أعلى البطن و
+
+246
+00:18:56,910 --> 00:19:02,670
+أسفل عضمة القص وهذه كأن هناك شخص خلفي يضغط أعلى من
+
+247
+00:19:02,670 --> 00:19:07,530
+البطن و أسفل عضمة القص طبعا هناك ألم في هذه الحالة
+
+248
+00:19:07,530 --> 00:19:12,590
+لكن الألم الصادر والناتج عن الضغط على حافة الكرسي
+
+249
+00:19:12,590 --> 00:19:18,090
+يكون أقل بكثير كثير جدا من ألم الاختناق الطريقة
+
+250
+00:19:18,090 --> 00:19:21,290
+الثانية إذا لم يكن لدي كرسي ممكن أستخدم أنا
+
+251
+00:19:21,290 --> 00:19:26,920
+الطاولةواتضغط بحفة الطاولة على منطقة أسفل عضمة
+
+252
+00:19:26,920 --> 00:19:31,900
+القص وأعلى منطقة البطن بالصورة الآتية واتضغط حتى
+
+253
+00:19:31,900 --> 00:19:36,960
+أحاول إخراج الجسم الغريب في حال لا يوجد كرسي، في
+
+254
+00:19:36,960 --> 00:19:43,200
+حال لا يوجد طاولة، أنا ممكن أستخدم نفس الفكرة بوضع
+
+255
+00:19:43,200 --> 00:19:49,080
+دهري إلى الحائط مع استخدام قبضة اليد أعلى البطن
+
+256
+00:19:49,080 --> 00:19:55,290
+وأسفل عضمة القص واتضغطوضرب الظهر على الحائط حتى
+
+257
+00:19:55,290 --> 00:19:59,570
+أعمل خلخلة في الهواء الموجود في الريعتين وأساعد
+
+258
+00:19:59,570 --> 00:20:03,070
+على إخراج الجسم الغريب طبعا هي كلها محاولات لكن مع
+
+259
+00:20:03,070 --> 00:20:08,120
+المحاولة يعني هناك نسبة عالية من النجاحهناك حالات
+
+260
+00:20:08,120 --> 00:20:14,200
+أخرى بسيطة استثنائية في حال لو كنت تساعد شخصا
+
+261
+00:20:14,200 --> 00:20:20,620
+بدينا أو سيدة حامل ذكرنا قبل ذلك استخدام قبضة اليد
+
+262
+00:20:20,620 --> 00:20:26,420
+أعلى البطن وأسفل عضمة القص لكن في حال السيدة
+
+263
+00:20:26,420 --> 00:20:31,280
+الحامل أو الإنسان البدين فانا لا أستطيع الطريقة
+
+264
+00:20:31,280 --> 00:20:37,400
+هذه أطبقها عليهم لكن أستطيع وضعأ راحت الكف في
+
+265
+00:20:37,400 --> 00:20:42,300
+منتصف الصدر وأأتي من خلف الشخص، ذكرنا أن هناك
+
+266
+00:20:42,300 --> 00:20:46,820
+إمكانية لمساعدة الشخص في حال وضع طبيعي إنسان عادي،
+
+267
+00:20:46,820 --> 00:20:52,540
+لكن إذا كان هناك شخص بدين فأنا أقوم، أقوم بوضع
+
+268
+00:20:52,540 --> 00:20:57,000
+اليد في منتصف الصدر واليد الأخرى فوقها وعملية
+
+269
+00:20:57,000 --> 00:21:03,770
+الضغططبعا هذه طريقة بديل لاستخدام قبضة اليد أعلى
+
+270
+00:21:03,770 --> 00:21:09,470
+من البطن وأسفل من عظمة القصة هي طريقة طبعا تكون
+
+271
+00:21:09,470 --> 00:21:14,130
+لها نتيجة إيجابية لكن أفضل من استخدام القبضة اليد
+
+272
+00:21:14,130 --> 00:21:18,330
+أعلى البطن وأسفل عظمة القصة في حالات السيدة الحامل
+
+273
+00:21:18,330 --> 00:21:23,740
+وفي حال الإنسان البديلهذه طبعا وسائل بسيطة
+
+274
+00:21:23,740 --> 00:21:26,960
+نستخدمها في الإسعاف الأولي في حال الاختناق إذا كنت
+
+275
+00:21:26,960 --> 00:21:32,320
+مع شخص آخر تساعده أو إذا كنت لوحدك حتى تساعد نفسك
+
+276
+00:21:32,320 --> 00:21:38,460
+بنفسك طبعا المهم جدا إن أعرف كيفية التعامل لو كنت
+
+277
+00:21:38,460 --> 00:21:42,960
+وحدي بمساعدة نفسي بنفسي لإخراج الجسم الغريب هذا
+
+278
+00:21:42,960 --> 00:21:46,400
+وبرك الله فيكم وانتمنى السلام من الله للجميع شكرا
+
+279
+00:21:46,400 --> 00:21:46,700
+لكم
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/6maaSsGK6hs.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/6maaSsGK6hs.srt
new file mode 100644
index 0000000000000000000000000000000000000000..bd806be68367ead2996698a43ad304a680c9e145
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/6maaSsGK6hs.srt
@@ -0,0 +1,2228 @@
+1
+00:00:05,310 --> 00:00:06,970
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:06,970 --> 00:00:09,050
+الرحيم الصلاة والسلام وعلى أشرف المرسلين سيدنا
+
+3
+00:00:09,050 --> 00:00:12,230
+محمد و على أصحابه أجمعين السلام استكمال للخطوات السابقة
+
+4
+00:00:12,230 --> 00:00:16,230
+و لكيفية إسعاف الكسور طبعا اتكلمنا عن أنواع
+
+5
+00:00:16,230 --> 00:00:19,150
+الكسور، طبيعة الكسور، إيش الأسباب الممكن تؤدي إلى
+
+6
+00:00:19,150 --> 00:00:22,970
+الكسور، اليوم هنتكلم صفة عامة على أهم الخطوات اللي
+
+7
+00:00:22,970 --> 00:00:26,700
+لازمة لإسعاف الكسور وبنتكلم هنا كإسعاف كسور يعني
+
+8
+00:00:26,700 --> 00:00:30,500
+خارج حدود المستشفى بأقل الإمكانيات طبعا دائماً 
+
+9
+00:00:30,500 --> 00:00:34,240
+كقاعدة عامة بالنسبة للإسعاف الأولي لا يعني عدم توفر
+
+10
+00:00:34,240 --> 00:00:37,520
+الإمكانيات اللي لازمة عدم تقديم الخدمة، بمعنى إن
+
+11
+00:00:37,520 --> 00:00:41,140
+ما كانش عندي مثلا جبيرة طبية أو غيار معقم أو مثلا
+
+12
+00:00:41,140 --> 00:00:43,700
+المحلول الملحي إني ما أقدمش الخدمة، الخدمة الطبية،
+
+13
+00:00:43,700 --> 00:00:46,440
+وبالتالي هنا بالنسبة للإسعاف الأولي أنا بقدم
+
+14
+00:00:46,440 --> 00:00:50,060
+الخدمة اللي هي في صالح المريض أو العناية في صالح
+
+15
+00:00:50,060 --> 00:00:53,880
+المريض بأقل الإمكانيات اللي متوفرة عندي طبعاً دائماً
+
+16
+00:00:53,880 --> 00:00:57,580
+.. دائماً في الإسعاف الأولي البدائي المتوفرة ما
+
+17
+00:00:57,580 --> 00:01:00,200
+بقدر أقول والله أو ما فيش عند حد يقول والله مثلا
+
+18
+00:01:00,200 --> 00:01:03,200
+ما عنديش جبيرة طبية إن خلاص أستخدم .. لأ أنا ممكن
+
+19
+00:01:03,200 --> 00:01:07,200
+أستخدم ب شيء طبعاً إضافية أو مساعدة طبعاً أهم حاجة
+
+20
+00:01:07,200 --> 00:01:11,680
+بالنسبة للإجراءات اللي بدي أقدمها أولاً الوضع
+
+21
+00:01:11,680 --> 00:01:14,600
+المريح للمريض من ناحية .. سواء من ناحية نفسية أو 
+
+22
+00:01:14,600 --> 00:01:18,000
+ناحية جسدية لأن دائماً احنا قلنا طمأنة المصاب هذه
+
+23
+00:01:18,000 --> 00:01:23,130
+من خصائص المسعف لنكون قادرين على طمأنة المصاب وأيضاً
+
+24
+00:01:23,130 --> 00:01:27,410
+الوضع المريح مين اللي هيحدد الوضع المريح؟ مين
+
+25
+00:01:27,410 --> 00:01:30,230
+هيحدد للمريض بحد ذاته؟ لأن طبعاً هذا وضع مريح له
+
+26
+00:01:30,230 --> 00:01:32,990
+أو مش مريح له لأن هو اللي هيشعر بالألم واحنا قلنا
+
+27
+00:01:32,990 --> 00:01:36,690
+في عندنا علامات احنا بنلاحظها وفي عندنا أعراض
+
+28
+00:01:36,690 --> 00:01:40,850
+المريض بيتكلم فيها فوين الوضع المريح بالنسبة للمريض
+
+29
+00:01:40,850 --> 00:01:45,090
+إذا كان واعياً لكن إذا كان المريض غير واعٍ أنا بتكلم
+
+30
+00:01:45,090 --> 00:01:48,210
+من ناحية خبرة كيف أنا ممكن أختار وضع مناسب له
+
+31
+00:01:48,210 --> 00:01:52,870
+يعني مثلاً مريض غير واعٍ لكن دخل في صدمة أو مريض
+
+32
+00:01:52,870 --> 00:01:56,730
+مثلاً مريض قلب أو عنده مثلاً صعوبة التنفس باختار وضع
+
+33
+00:01:56,730 --> 00:02:00,090
+.. على سبيل المثال عند مريض مثلاً فاقد الوعي لكن
+
+34
+00:02:00,090 --> 00:02:03,770
+بيتنفس و القلب عنده بينبض ف أنا باختار إيش هو وضع
+
+35
+00:02:03,770 --> 00:02:07,730
+الإفاقة إذا كان المريض واعياً هذا بساعدني لكن إذا
+
+36
+00:02:07,730 --> 00:02:10,670
+كان غير واعٍ أنا بناء على خبرتي و المعلومة اللي 
+
+37
+00:02:10,670 --> 00:02:13,830
+عندي أنا باختار وضع الموصوف طبعاً بعملية تقييم وضع
+
+38
+00:02:13,830 --> 00:02:16,110
+المصاب وتأكد من عدم وجود إصابات أخرى، إيش يعني
+
+39
+00:02:16,110 --> 00:02:20,370
+إصابات أخرى؟ عنده جروح مثلاً، عنده مثلاً لدغة ثعبان،
+
+40
+00:02:20,370 --> 00:02:23,150
+عنده حروق، يبقى أنا عملت تقييم أساسية، واحنا قلنا
+
+41
+00:02:23,150 --> 00:02:25,570
+في الأساس، في البداية، أني أكون عملت تقييم سريع
+
+42
+00:02:25,570 --> 00:02:28,950
+ليعيش للمريض، وقبل كل حاجة، قبل كل شيء، قول إن
+
+43
+00:02:28,950 --> 00:02:33,170
+احنا متأكدين من درجة وعي المريض، واعٍ أو غير واعٍ،
+
+44
+00:02:33,170 --> 00:02:37,680
+وعي هذا هيساعدني، غير واعٍ يعني أنا بدي أجتهد جداً 
+
+45
+00:02:37,680 --> 00:02:40,800
+أجيب معلومات أستفيد منها طبعاً هنا يكون التعامل ..
+
+46
+00:02:40,800 --> 00:02:43,260
+هذا نقطة مهمة جداً يكون التعامل مع حالة تشبه الكسور
+
+47
+00:02:43,260 --> 00:02:46,160
+كأنها كسور يعني أنا لاحظت بعض العلامات اللي
+
+48
+00:02:46,160 --> 00:02:50,780
+اتكلمنا عنها مثلاً احمرار، سخونة، ورم، ألم، انتفاخ،
+
+49
+00:02:50,780 --> 00:02:54,680
+طبعاً فيه تشوه، هذا أعتبره كسر يعني معناه حتى لو
+
+50
+00:02:54,680 --> 00:02:58,760
+كانت ردود فعل، مين اللي بيثبتها أو مين في الكلام هذا؟ التصوير
+
+51
+00:02:58,760 --> 00:03:02,060
+ بالأشعة لكن أنا بتعامل مع الحالة هذه وبعملها جبيرة
+
+52
+00:03:02,060 --> 00:03:06,800
+بسيطة كأنها كسر باشتباه الكسور كأنها كسور
+
+53
+00:03:09,270 --> 00:03:11,650
+طبعاً العلامات الحقيقية اللي بيهمني أنا ليش لإن احنا
+
+54
+00:03:11,650 --> 00:03:15,110
+قلنا المريض قد يدخل نتيجة الألم الشديد في صدمة
+
+55
+00:03:15,110 --> 00:03:18,490
+عصبية يعني نتيجة الألم الشديد وبالتالي أنا بدي
+
+56
+00:03:18,490 --> 00:03:22,770
+أهتم طبعاً ممكن الصدمة تكون نتيجة الخوف الشديد صدمة
+
+57
+00:03:22,770 --> 00:03:26,050
+نفسية أو نتيجة الألم الشديد فبالتالي أنا بيكون
+
+58
+00:03:26,050 --> 00:03:29,270
+التعامل هنا من ناحية نفسية ومن ناحية جسدية كيف إن
+
+59
+00:03:29,270 --> 00:03:33,810
+أطمئن المصاب نفسياً وكيف أنا أختار أو يختار للمصاب
+
+60
+00:03:33,810 --> 00:03:38,450
+في وضع مريح وريح له حتى لإن احنا قلنا تحريك إعادة 
+
+61
+00:03:38,450 --> 00:03:43,470
+العظام إلى وضعها الطبيعي مؤلم جداً وهذا لا يسمح به
+
+62
+00:03:43,470 --> 00:03:47,750
+وبالتالي قد يزيد الألم على المصاب وندخل في مشكلة ثانية
+
+63
+00:03:47,750 --> 00:03:50,510
+اللي هي مشكلة الصدمة واحنا ما بنحب ندخل لمشاكل ثانية
+
+64
+00:03:50,510 --> 00:03:54,300
+إضافية تقييم مدى مقدرة المصاب على تحريك العضلات
+
+65
+00:03:54,300 --> 00:03:57,280
+والمصاب على نحو طبيعي، بمعنى إن أنا عملت جبيرة
+
+66
+00:03:57,280 --> 00:04:01,100
+على الشخص هذا، هل الشخص هذا ممكن أن أنقله على سيارة
+
+67
+00:04:01,100 --> 00:04:04,720
+الإسعاف أو ممكن أعمل عملية نقل له إذا كان مثلاً
+
+68
+00:04:04,720 --> 00:04:09,160
+ثبتت مثلاً ساقيه مع بعض أو مثلاً ثبتت طبعاً المكسور،
+
+69
+00:04:09,160 --> 00:04:12,240
+زي ما هنتكلم بعد شوية و أنا أكون داعم له، هذا ما
+
+70
+00:04:12,240 --> 00:04:16,450
+هنتكلم فيه بالنسبة للنقل والإخلاء فحاولية .. حاولية
+
+71
+00:04:16,450 --> 00:04:21,370
+العمل الطبيعي لوضع المكسور بدي أحاول قدر المستطاع
+
+72
+00:04:21,370 --> 00:04:26,670
+أن أحاول أتفادى .. أتفادى تشوّه، بمعنى أن مثلاً
+
+73
+00:04:26,670 --> 00:04:30,850
+كسر في اليد وكسر في الساق فيه تشوّه، ما بحاول أرجعه لوضعه الطبيعي
+
+74
+00:04:30,850 --> 00:04:33,290
+عشان أقول الله أنا بدي أرجعه لوضعه الطبيعي، لا، يبقى
+
+75
+00:04:33,290 --> 00:04:33,710
+كما هو
+
+76
+00:04:38,550 --> 00:04:43,550
+طبعاً هنا قصة إزالة الملابس أساساً من باب سهولة
+
+77
+00:04:43,550 --> 00:04:47,390
+العمل وهنا طبعاً نقطة مهمة الأخيرة لا يجب تحريك
+
+78
+00:04:47,390 --> 00:04:51,470
+العظام أو المفصل المكسور لا يجب إبقائه كما هو عمل
+
+79
+00:04:51,470 --> 00:04:57,490
+جبيرة كما هو لأن إعادة المفاصل أو العظام إلى وضعها
+
+80
+00:04:57,490 --> 00:05:01,630
+الطبيعي قد يكون أخطر من وضعها كما هي ممكن يعمل
+
+81
+00:05:01,630 --> 00:05:06,510
+نزيف ممكن يعمل جروح، ممكن يعمل خدش لأعصاب، ممكن
+
+82
+00:05:06,510 --> 00:05:10,290
+يعمل خدش لأوتار، ممكن يعمل خدش للأوعية الدموية،
+
+83
+00:05:10,290 --> 00:05:14,310
+وبالتالي تثبيته حتى لو كانت العظام بارزة، لا يسمح
+
+84
+00:05:14,310 --> 00:05:14,910
+بإعادتها
+
+85
+00:05:23,360 --> 00:05:27,360
+طبعاً هنا في بعض الأماكن لا يسمح بنقل المصاب فيها
+
+86
+00:05:27,360 --> 00:05:32,400
+إلا بمساعدة آخرين وخاصة طبعاً إن هي إيش إصابات
+
+87
+00:05:32,400 --> 00:05:35,680
+العمود الفقري لو العمود الفقري ليس قطعة واحدة هو
+
+88
+00:05:35,680 --> 00:05:39,200
+فقرات لما أنا بدي آجي أنقل الشخص هذا اللي عنده
+
+89
+00:05:39,200 --> 00:05:43,820
+مشاكل في العمود الفقري لربما أدى هذا الكسر إلى خدش
+
+90
+00:05:43,820 --> 00:05:48,300
+في النخاع الشوكي وطبعاً لو ربما تكون المصاب في
+
+91
+00:05:48,300 --> 00:05:52,020
+خطر على نقله أكثر من موضوع كما هو يعني المضاعفات
+
+92
+00:05:52,020 --> 00:05:55,320
+اللي تنتج من النقل أخطر وبالتالي بعض الناس .. بعض
+
+93
+00:05:55,320 --> 00:05:58,720
+الناس مثلاً بيكون عنده شلل نتيجة النقل الخاطئ
+
+94
+00:05:58,720 --> 00:06:03,260
+وبالتالي في حالات إصابة أو اشتباه إصابة في العمود
+
+95
+00:06:03,260 --> 00:06:07,780
+الفقري لا يسمح بنقل الـ .. الـ .. المصاب من طـ .. من
+
+96
+00:06:07,780 --> 00:06:11,560
+قبل شخصين أقل شيء بيكون أربع أشخاص أو ثلاثة أشخاص
+
+97
+00:06:11,560 --> 00:06:16,300
+طبعاً شخصين طبعاً بالمقابل عشان شخصين من طبعاً من الـ
+
+98
+00:06:16,300 --> 00:06:19,160
+.. الـ .. الكفين بالظبط أنا بدي ينقل العمود الفقري
+
+99
+00:06:19,160 --> 00:06:23,410
+كقطعة واحدة التالي، والأفضل لو كانت ستة أشخاص نُور على
+
+100
+00:06:23,410 --> 00:06:26,210
+نُور، طبعاً على أساس تكون الأشخاص متقابلين، وهو طبعاً
+
+101
+00:06:26,210 --> 00:06:29,710
+هناخده كيف بالنسبة للنقل في الفصل القادم إن شاء
+
+102
+00:06:29,710 --> 00:06:32,830
+الله، لأنه احنا لا يسمح بنقل المصاب من طرف أو من
+
+103
+00:06:32,830 --> 00:06:36,410
+قبل شخصين أو شخص واحد في حالات اشتباه أو كسور
+
+104
+00:06:36,410 --> 00:06:37,110
+العمود الفقري
+
+105
+00:06:41,610 --> 00:06:44,250
+طبعاً الإصابات اللي مثلاً بسيطة و هنعمل لها جبيرة ممكن
+
+106
+00:06:44,250 --> 00:06:47,990
+أنا أساعده عشان ينقل إيش لسيارة الإسعاف أو لسيارة
+
+107
+00:06:47,990 --> 00:06:51,690
+.. لا طبعاً هنا إذا كان هناك جرح ينزف حول الكسر أو
+
+108
+00:06:51,690 --> 00:06:57,450
+.. لا نوصل طبعاً غسل الجرح معناه تكرار النزيف أنا 
+
+109
+00:06:57,450 --> 00:07:00,710
+ممكن أمسحه بمحلول ملح أو إذا ما فيش عندي ممكن أعمل
+
+110
+00:07:00,710 --> 00:07:04,850
+ماء وملح، مسح، ع السريع لأن تكرار الغسيل معناه
+
+111
+00:07:04,850 --> 00:07:09,390
+تكرار النزيف وبالتالي لو كان عندي أنا كسر وجرح أنا
+
+112
+00:07:09,390 --> 00:07:13,450
+بعمل على إيقاف النزيف ومن ثم تثبيت الكسر، لأن إذا
+
+113
+00:07:13,450 --> 00:07:17,880
+أنا ثبتت الكسر النزيف هيظل مستمر فالأولى في حالات
+
+114
+00:07:17,880 --> 00:07:22,600
+وجود نزيف أو جروح مفتوحة مع كسر واحنا قلنا طبعاً كل
+
+115
+00:07:22,600 --> 00:07:26,620
+الكسور المفتوحة يصاحبها جروح وليس بالضرورة كل
+
+116
+00:07:26,620 --> 00:07:29,280
+الجروح .. كل الكسور المغلقة ممكن يصاحبها نزيف قد
+
+117
+00:07:29,280 --> 00:07:33,240
+يصاحبها نزيف مغلق أو داخلي وبالتالي أنا بحاول أوقف
+
+118
+00:07:33,240 --> 00:07:35,640
+النزيف طب كيف احنا بنعمل إيقاف النزيف؟ طب نستخدم
+
+119
+00:07:35,640 --> 00:07:40,200
+قطع قماش لا نستخدم القطن المطلق لأن القطن هو طبعاً
+
+120
+00:07:40,200 --> 00:07:44,440
+.. طبعاً هيوبر وهيطلع طبعاً قطعة صغيرة منه وطبعاً
+
+121
+00:07:44,440 --> 00:07:51,140
+ممكن تكون كجسم غريب داخل الجرح بحد ذاته طبعاً
+
+122
+00:07:51,140 --> 00:07:56,280
+هذا يعني لما نتكلم على الـ .. استخدام الكمدات،
+
+123
+00:07:56,280 --> 00:08:00,140
+يقولون كمدات ماء باردة في حال الكسور المغلقة
+
+124
+00:08:00,140 --> 00:08:05,640
+الكسور المغلقة طبعاً عشان أُقلل من إيش؟ من النزيف
+
+125
+00:08:05,640 --> 00:08:10,520
+لو كان في عندي نزيف أنا طبعاً بعض الملاحظات إنه يعني
+
+126
+00:08:10,520 --> 00:08:13,520
+الخطأ إنه نحمله ونضعه على الأرض مرة واحدة
+
+127
+00:08:13,520 --> 00:08:16,060
+لأن طبعاً ممكن يكون الوضع على الأرض أو التلامس
+
+128
+00:08:16,060 --> 00:08:19,200
+ بالأرض هو طبعاً بيزيد المشكلة أكثر يعني حمله ببطء و
+
+129
+00:08:19,200 --> 00:08:23,240
+نقله ووضعه على الأرض ببطء طبعاً الصعب أحياناً تمييز
+
+130
+00:08:23,240 --> 00:08:26,480
+بين كسر وإصابة المفاصل طبعاً هأتي زي ما قلنا من خلال
+
+131
+00:08:26,480 --> 00:08:31,200
+شعب تم كسر عظام كبيرة تؤدي للصدمة وطبعاً هي
+
+132
+00:08:31,200 --> 00:08:35,100
+نتيجة الألم الشديد أو النزيف الشديد لا يجب إصلاح
+
+133
+00:08:35,100 --> 00:08:38,000
+زي ما قلناها دين قد طبعاً حاكنها بس مجرد إنه إيش
+
+134
+00:08:38,000 --> 00:08:43,320
+تأكد لها مرة ثانية طبعاً هأتي طبعاً احنا حاكنها على
+
+135
+00:08:43,320 --> 00:08:47,540
+كل ناحية الجبائر يا أخواتنا يعني هي أي شيء أنا
+
+136
+00:08:47,540 --> 00:08:52,280
+باستخدمه لتثبيت الكسر وليس بالضرورة الجبائر الطبية
+
+137
+00:08:52,280 --> 00:08:56,100
+طبعاً استخدام الجبائر أنا ممكن أستخدم الجبيرة الهدف
+
+138
+00:08:56,100 --> 00:09:00,460
+منها تثبيت الكسر طبعاً الجبائر ممكن تكون قطعة قماش
+
+139
+00:09:00,460 --> 00:09:04,600
+ممكن تكون ورق مقوى ممكن تكون خشب ممكن تكون معدن
+
+140
+00:09:04,600 --> 00:09:09,030
+ممكن تكون الجسم بحد ذاته يعتبر جبيرة الجسم الجزء
+
+141
+00:09:09,030 --> 00:09:12,770
+السليم يعتبر جبيرة طبعاً لجزء المكسور طبعاً ذلك
+
+142
+00:09:12,770 --> 00:09:17,250
+الأهم شيء بالنسبة للجبيرة اللي هي عملت تثبيت
+
+143
+00:09:17,250 --> 00:09:21,590
+المفاصل أو تثبيت مكان الكسر طبعاً في نقاط مهمة
+
+144
+00:09:21,590 --> 00:09:25,910
+احنا بنذكرها بالنسبة للجبائر طبعا يعني إضافة
+
+145
+00:09:25,910 --> 00:09:29,830
+لتخفيف القلم وطبعا بتساعد على تقليل التهتكات لأن
+
+146
+00:09:29,830 --> 00:09:31,250
+طبعا لما بيقع التثبيت للكسر
+
+147
+00:09:39,060 --> 00:09:42,660
+طبعا أنا بدي أكون نقطة مهمة جدا يا إخواننا الجبيرة
+
+148
+00:09:42,660 --> 00:09:47,960
+لازم تغطي مفصل بعيد ومفصل قبل بالنسبة للكسر ضروري
+
+149
+00:09:47,960 --> 00:09:52,180
+جدا اضغط مفصل بعيد ومفصل جبل يعني مثلا عندنا كسر
+
+150
+00:09:52,180 --> 00:09:57,220
+في عظم عظام طبعا هو الساعد بده اضغط مفصل الرسغ و
+
+151
+00:09:57,220 --> 00:10:03,260
+مفصل المرفق ليش؟ لأن حركة العضلات بتحرك العظام و
+
+152
+00:10:03,260 --> 00:10:05,900
+لما يتحرك العظام المكسورة معناه بزيد الألم
+
+153
+00:10:05,900 --> 00:10:09,920
+وبالتالي أنا بدي أعمل تثبيت مفصل بعيد ومفصل جبل
+
+154
+00:10:09,920 --> 00:10:14,280
+عشان أُثبت الكسر وأنا طبعاً بقلل من حركة العظام
+
+155
+00:10:14,280 --> 00:10:19,850
+المكسورة طبعا بعد عملية الجبيرة بدي أتأكد من وجود
+
+156
+00:10:19,850 --> 00:10:23,750
+دورة دموية أو الضغط على الأعصاب وهذا طبعا بيجي من
+
+157
+00:10:23,750 --> 00:10:29,750
+خلال... من خلال وجود تنميل وجود ازرقاق وجود انتفاخ
+
+158
+00:10:29,750 --> 00:10:35,390
+في الأصابع أو وجود ألم طبعا هذه كلها معناه أن أنا 
+
+159
+00:10:35,390 --> 00:10:39,050
+في عندي مشكلة لما استخدمت اللي هو الجبيرة على مكان
+
+160
+00:10:39,050 --> 00:10:43,670
+... النقطة الثانية لا يسمح باستخدام الأربطة فوق
+
+161
+00:10:43,670 --> 00:10:49,820
+الكسور لو استخدام الأربطة فوق الكسور معناه هتتحرك
+
+162
+00:10:49,820 --> 00:11:00,960
+الكثير أما يستخدم قبل وبعد الكسور طبعا
+
+163
+00:11:00,960 --> 00:11:05,040
+زي ما حكينا احنا ممكن نستخدم الجماش أو الشاش فوق
+
+164
+00:11:05,040 --> 00:11:07,360
+الشاش ممكن نستخدم الجِطن أما الجِطن مباشرة ما
+
+165
+00:11:07,360 --> 00:11:08,000
+بنستخدمه
+
+166
+00:11:13,130 --> 00:11:17,150
+يعني هذه نقاط يعني ال... طبعا لو في عندي مشكلة أنه
+
+167
+00:11:17,150 --> 00:11:20,530
+الشخص هذا غير واعي أو شبه واعي طبعا لا يستخ... لا
+
+168
+00:11:20,530 --> 00:11:24,210
+يسمح باستخدام أي شيء عن طريق الفم لإنه طبعا قد
+
+169
+00:11:24,210 --> 00:11:27,930
+يكون فرصة للاختناق لإنه ممكن ما يقدرش يبلع كويس
+
+170
+00:11:33,660 --> 00:11:37,900
+طبعا الأربطة يا إخواننا أي شيء أنا بستخدمه لتثبيت
+
+171
+00:11:37,900 --> 00:11:41,280
+الجبائر طبعا الأربطة ممكن تكون قطعة جماش ممكن تكون
+
+172
+00:11:41,280 --> 00:11:45,740
+ربط أحذية ممكن تكون طبعا قطعة يعني قطعة شاش أي
+
+173
+00:11:45,740 --> 00:11:56,060
+حاجة أنا بستخدمها لتثبيت الجبيرة تعتبر أربطة طبعا
+
+174
+00:11:56,060 --> 00:11:58,860
+هنا لدينا بعض الأمثلة بعض الأمثلة بالنسبة لأنواع
+
+175
+00:11:58,860 --> 00:12:04,000
+الكسور يعني مثلا عندنا كسور الحوض وضمن الحوض فيه
+
+176
+00:12:04,000 --> 00:12:09,700
+مفاصل ثابتة، العظام الحوض هي مفاصل ثابتة أما ما
+
+177
+00:12:09,700 --> 00:12:13,660
+يخرج منها مثلا عظمة الفخذ هي طبعا عظام متحركة،
+
+178
+00:12:13,660 --> 00:12:14,560
+واسعة الحركة
+
+179
+00:12:18,990 --> 00:12:23,450
+طبعا في حالات العظام الكسور، الحوض، بدنا نلاحظ أنه
+
+180
+00:12:23,450 --> 00:12:27,350
+عدم حركة المصاب أحيانا قد يصاحب طبعا خروج بول مدمم
+
+181
+00:12:27,350 --> 00:12:30,570
+وهو طبعا نتيجة... ممكن يكون إصابة في المثانة نفسها
+
+182
+00:12:30,570 --> 00:12:35,990
+في الحالة هذه لا يسمح مطلقا تحريك الشخص المصاب لأن
+
+183
+00:12:35,990 --> 00:12:40,090
+أي حركة ممكن تؤذي وقد ت... يعني قد تؤدي إلى جروح
+
+184
+00:12:40,090 --> 00:12:45,270
+داخلية وبالتالي تثبيت الشخص المشتبه فيه كسور الحوض
+
+185
+00:12:45,270 --> 00:12:48,390
+مع عدم الحركة ونقله كما هو للمستشفى
+
+186
+00:12:55,270 --> 00:12:59,250
+طبعا يمكن في نقاط كتير مهمة عندنا بالنسبة لإسعافات
+
+187
+00:12:59,250 --> 00:13:04,290
+بعض الأماكن طبعا المثال الثاني عظام الفخذ طبعا
+
+188
+00:13:04,290 --> 00:13:08,870
+أطول عظمة في جسم الإنسان طبعا هي عظمة الفخذ طبعا
+
+189
+00:13:08,870 --> 00:13:14,190
+ممكن نستخدمها جبيرة خارجية مثلا قطعة خشبية لتثبيت
+
+190
+00:13:14,190 --> 00:13:19,510
+عظمة الفخذ أو أنا ممكن أستخدم الجسم نفسه جبيرة
+
+191
+00:13:19,510 --> 00:13:24,630
+يعني مثلا الفخذ السليمة استخدمها باتجاه الفخذ
+
+192
+00:13:24,630 --> 00:13:29,490
+المصابة أو المكسورة على جبيرة لكن المهم هنا أن يكون
+
+193
+00:13:29,490 --> 00:13:33,810
+ما بين منطقة الفخذ المكسورة والسليمة يكون في عملية
+
+194
+00:13:33,810 --> 00:13:38,010
+حشو أما بجماش أو جِطن لو طبعا في عندنا تجويف جسم
+
+195
+00:13:38,010 --> 00:13:41,690
+الإنسان يعني مش موضوع بصورة مستقيمة، في تجويف طبعا
+
+196
+00:13:41,690 --> 00:13:45,530
+لو احنا... لو وقفنا بصورة مستقيمة أمام المرأة،
+
+197
+00:13:45,530 --> 00:13:49,190
+هنلاقي بين طبعا منطقة الفخذ أو الساق فيه فراغات،
+
+198
+00:13:49,190 --> 00:13:51,770
+الفراغات الثانية أنا بعمل فيها عملية حشم، قبل ما
+
+199
+00:13:51,770 --> 00:13:55,290
+أربط الأربطة ليش؟ لأن إذا أنا بدي أربط الأربطة
+
+200
+00:13:55,290 --> 00:13:59,910
+معناه يعني التجويف هذه هتضُم على بعض فأنا ما بدي
+
+201
+00:13:59,910 --> 00:14:02,450
+أضمها على بعض ضمها معناه تحريك العظم المكسور
+
+202
+00:14:02,450 --> 00:14:05,550
+وبالتالي بعمل عملية حشو للفراغات هذه اللي هي
+
+203
+00:14:05,550 --> 00:14:08,830
+فراغات طبيعية عشان ما أحركش العظام المكسورة
+
+204
+00:14:08,830 --> 00:14:12,770
+باستخدام الرباطة طبعاً أكتر شيء بالنسبة ويكون واضح
+
+205
+00:14:12,770 --> 00:14:19,070
+بالنسبة للكسور وخاصة طبعا الصورة واضحة للكسور طبعا
+
+206
+00:14:19,070 --> 00:14:21,670
+كسر داخلي طبعا الصورة هذه
+
+207
+00:14:26,280 --> 00:14:30,780
+طبعا فيه هنا هاي كسر، هاي طبعا كسر داخلي، طبعا هنا
+
+208
+00:14:30,780 --> 00:14:36,040
+بعد التثبيت، انحط طبعا ليه بلاتين، لكن هنا طبعا...
+
+209
+00:14:36,040 --> 00:14:38,260
+هذا داخل المستشفى، هذا ممكن يكون طبعا خارج
+
+210
+00:14:38,260 --> 00:14:41,060
+المستشفى، ففي الحالة هذه بيكون تشوه وانتفاخ أسطورة
+
+211
+00:14:41,060 --> 00:14:44,820
+واضحة جدا، وبالتالي هنا إيش أهم العلامات تكون؟ طبعا
+
+212
+00:14:44,820 --> 00:14:48,380
+ألم شديد، عدم القدرة على الوقوف أو عدم القدرة على
+
+213
+00:14:48,380 --> 00:14:52,300
+الحركة، طبعا أخطر ناس يصابوا بالكسور هذه هم كبار
+
+214
+00:14:52,300 --> 00:14:55,210
+السن طبعاً يكون عندنا هشاشة في العظام العمالي طبعا
+
+215
+00:14:55,210 --> 00:14:58,830
+هشاشة طبيعية وبالتالي كبير السن قد يصاب بالكسور
+
+216
+00:14:58,830 --> 00:15:02,250
+هذه ويمكن أن تقعد معه سنة أو أكثر لماذا؟ لما تفتح
+
+217
+00:15:02,250 --> 00:15:05,230
+العظام ما ترجعش لو طبعتها إلا عن طريق البلاتين ولا
+
+218
+00:15:05,230 --> 00:15:07,950
+كذا؟ لا هو البلاتين... هو جبيرة البلاتين يعتبر
+
+219
+00:15:07,950 --> 00:15:11,270
+الهدف الخاص بنا يقول لنا منه الجبيرة هي عملية تثبيت
+
+220
+00:15:11,270 --> 00:15:14,750
+هجيء تحرك ممكن يضمن نفسه ما يتحركش المرة بدون جبيرة
+
+221
+00:15:14,750 --> 00:15:18,490
+مش مشكلة في حد بتحركيش؟ مستحيل وبالتالي احنا
+
+222
+00:15:18,490 --> 00:15:22,330
+الجبيرة هي بتثب... بتثب... بتثبت مكان جزء المكسور
+
+223
+00:15:22,330 --> 00:15:24,970
+لغاية لما يلتئم جزء المكسور هذا زي ما أقول احنا
+
+224
+00:15:24,970 --> 00:15:27,250
+بالله عندنا مثلاً جرح والجرح هذا أنا بتدعي...
+
+225
+00:15:27,250 --> 00:15:31,010
+الغرز على سبيل المثال إيش وظيفة الغرز؟ تقارب الحواف
+
+226
+00:15:31,010 --> 00:15:35,430
+لكن لو أنا بضمن أن هذه الحواف متقاربة بدون حركة
+
+227
+00:15:35,430 --> 00:15:38,630
+ما أستخدمش الغرز لكن برضه ما أقدر وبالتالي هنا لما
+
+228
+00:15:38,630 --> 00:15:41,450
+أستخدم أنا البلاتين ممكن طبعا البلاتين داخلي أو
+
+229
+00:15:41,450 --> 00:15:44,780
+بلاتين خارجي في بلاتين داخلي بيكون طبعا وجود
+
+230
+00:15:44,780 --> 00:15:48,900
+عمليتين عملية قبل طبعا زرع البلاتين وعملية بعد زرع
+
+231
+00:15:48,900 --> 00:15:52,440
+البلاتين في حالة طبعا تم التئام العظام المكسورة
+
+232
+00:15:52,440 --> 00:15:57,100
+لكن بقول أنا الجبيرة بحد ذاتها سواء البلاتين أو
+
+233
+00:15:57,100 --> 00:16:02,270
+الجبس هي تعتبر وسيلة لتثبيت العضو المكسور لأن
+
+234
+00:16:02,270 --> 00:16:04,850
+العضوم المقصودة بالذات يا إخواننا العظام تأخذ وقت
+
+235
+00:16:04,850 --> 00:16:07,570
+طويل علاقة طبعا الجروح الجروح ممكن اسمها أو عشر
+
+236
+00:16:07,570 --> 00:16:11,170
+أيام خلاص للطيب لكن العظام بتأخذ وقت أطول وبالتالي
+
+237
+00:16:11,170 --> 00:16:14,930
+كمان هو بيقول أن مهم جدا العظام حتى لو التئمت
+
+238
+00:16:14,930 --> 00:16:19,620
+بيبقى لها آثار خاصة في الجو البارد وفي الجو البارد
+
+239
+00:16:19,620 --> 00:16:23,720
+بيزيد المشكلة أكثر وبالتالي إخواننا هنا أكثر شيء...
+
+240
+00:16:23,720 --> 00:16:27,400
+أكثر شيء ممكن يهدد الإنسان في حال كسور أنه نقص
+
+241
+00:16:27,400 --> 00:16:31,360
+عنصر الكالسيوم وبالتالي بيزيد عند السيدات أكثر من
+
+242
+00:16:31,360 --> 00:16:34,980
+الرجال لكن شيء طبيعي أن يصير هشاشة في العظام بعد
+
+243
+00:16:34,980 --> 00:16:39,720
+سن الأربعين أو الخمسين ليش؟ لأنه بيصير بنقص عنصر
+
+244
+00:16:39,720 --> 00:16:42,980
+الكالسيوم احتياج الإنسان، طبيعة أكله وطبيعة عمله
+
+245
+00:16:42,980 --> 00:16:46,540
+مختلفة عن إيش هو شباب لكن المشكلة لما نقول لإنسان
+
+246
+00:16:46,540 --> 00:16:49,120
+صغير في العمر وعنده هشاشة في العظام طبعا زي ما
+
+247
+00:16:49,120 --> 00:16:52,160
+حكينا أن المرة الفاتت في عوامل تزيد من عملية هشاشة
+
+248
+00:16:52,160 --> 00:16:56,020
+العظام من ضمنها عدم تناول مأكولات غنية بالكالسيوم
+
+249
+00:16:56,020 --> 00:17:00,600
+أو تناول كمية كبيرة من الكوكاكولا أو المشروبات الغازية
+
+250
+00:17:00,600 --> 00:17:03,710
+اللي طبعا بتعمل إيش هشاشة بالعظام كمان حاجة ثانية
+
+251
+00:17:03,710 --> 00:17:10,090
+يا إخواننا نقص فيتامين دال مهم جدا جدا جدا في سبب
+
+252
+00:17:10,090 --> 00:17:13,850
+وجود هشاشة في العظام طبعا هو مهم عشان أنه بيساعد
+
+253
+00:17:13,850 --> 00:17:17,530
+انتقال الكالسيوم لكن عدم وجوده طبعا له مخاطر ثانية
+
+254
+00:17:17,530 --> 00:17:20,690
+سواء من ضعف المناعة، سواء من الالتهابات، سواء طبعا
+
+255
+00:17:20,690 --> 00:17:24,570
+من القوة الجسدية هو بيحكوا أن كل أهل بدل تعاني من
+
+256
+00:17:24,570 --> 00:17:30,050
+نقص فيتامين دال؟ طب ليش؟ ما بعرفش؟ لا هو اللحمة هو
+
+257
+00:17:30,050 --> 00:17:36,870
+طبيعة الأكل طبيعة الأكل اللي احنا ما نتناوله طبعا
+
+258
+00:17:36,870 --> 00:17:39,970
+نكون فقير نوعا ما... فيتامين دال... فيتامين دال
+
+259
+00:17:39,970 --> 00:17:42,830
+طبعا أهم مصدر لفيتامين دال طبعا هو الشمس... الشمس
+
+260
+00:17:42,830 --> 00:17:45,370
+لما بتحولي فيتامين دال لغير نشط اللي موجود تحت
+
+261
+00:17:45,370 --> 00:17:48,990
+الجلد لفيتامين دال نشط... بمعنى أنا... أنا بستفيد
+
+262
+00:17:48,990 --> 00:17:52,450
+... يعني الشمس بتساعدني على امتصاص الـ Calcium كيف؟
+
+263
+00:17:52,540 --> 00:17:55,760
+بتحويل الفيتامين دال الغير نشط تحت الجلد لفيتامين
+
+264
+00:17:55,760 --> 00:17:59,120
+دال نشط، وفيتامين دال بساعد على امتصاص الكالسيوم،
+
+265
+00:17:59,120 --> 00:18:01,440
+يعني بطريقة غير مباشرة، وبالتالي بيقولوا احنا نعرض
+
+266
+00:18:01,440 --> 00:18:04,340
+الأطفال لفيتامين دال، تمام؟ وبالتالي الأطفال عندهم
+
+267
+00:18:04,340 --> 00:18:07,120
+مشكلة في التقوس، زي ما حكينا المرة الفاتت، إذا كانت
+
+268
+00:18:07,120 --> 00:18:11,160
+الأمهات ما بتتناول المأكولات الغنية بفيتامين دال أو
+
+269
+00:18:11,160 --> 00:18:15,930
+الغنية بالكالسيوم، بالكالسيوم طبعا زي اللي قلنا يا
+
+270
+00:18:15,930 --> 00:18:20,750
+إخواننا يمكن هذه نقطة مهمة جدا وقلنا أكثر ناس عرضة
+
+271
+00:18:20,750 --> 00:18:24,030
+إلها طبعا السيدات وأكبار السن طبعا إيش ال... كيف
+
+272
+00:18:24,030 --> 00:18:27,390
+أنا بدي أتعامل مع الحالة هذه طبعا هي عملية التثبيت
+
+273
+00:18:27,390 --> 00:18:31,510
+عملية تثبيت يا إخواننا طبعا نقطة مهمة جدا بأن أُثبت
+
+274
+00:18:32,200 --> 00:18:41,560
+أما تحطيها الخشبيات من القدم للإبط
+
+275
+00:18:41,560 --> 00:18:47,300
+وخشبة داخلية للحوض مع عملية تثبيت بالأربطة أو ممكن
+
+276
+00:18:47,300 --> 00:18:51,960
+استخدم الفخذ السليم مثلا منطقة سليمة بشدها باتجاه
+
+277
+00:18:51,960 --> 00:18:56,300
+المنطقة المكسورة تمام؟ في الصورة هذه لما أنا أحرك
+
+278
+00:18:56,300 --> 00:18:59,980
+السليمة باتجاه المكسور احنا قلنا المكسور ما بدنا
+
+279
+00:18:59,980 --> 00:19:04,060
+نحركه مطلقا فبسيط طبعا بسحب السليمة باتجاه...
+
+280
+00:19:04,060 --> 00:19:07,500
+طبعا هو في حالة وضع استلقاء لأنه ممنوع الحركة
+
+281
+00:19:07,500 --> 00:19:12,520
+بسحب الوضع الـ .. الطرف السليمة باتجاه المصابة مع
+
+282
+00:19:12,520 --> 00:19:15,820
+عمل عملية حشو للفرغات الموجودة هنا الفائدة من
+
+283
+00:19:15,820 --> 00:19:20,100
+عملية الحشو هي الـ issue اللي وظفتها  إنها تمنع من حركة
+
+284
+00:19:20,100 --> 00:19:23,320
+العظام لأن لو أنا .. طبعا هذه فرقات طبيعية لكن لو
+
+285
+00:19:23,320 --> 00:19:27,740
+أنا شديت الأربطة بصورة طبيعية هتحرك العظام
+
+286
+00:19:27,740 --> 00:19:31,940
+الملاحظة الثانية إن أنا الأربطة مش لازم تيجي فوق
+
+287
+00:19:31,940 --> 00:19:34,180
+الكسـر اللي مشتبه فيه ولكن طبعا أنا مش شايف إن في
+
+288
+00:19:34,180 --> 00:19:38,280
+كسر وإن في اشتباه بالكسـر مش لازم وقلنا نقطة ثالثة
+
+289
+00:19:38,280 --> 00:19:42,280
+أنه لازم الجبيرة تغطي مفصل بعيد ومفصل قريب طبعا لو
+
+290
+00:19:42,280 --> 00:19:44,820
+اتكلمنا هنا من ناحيتين الناحية الأولى إذا كان مثلا
+
+291
+00:19:44,820 --> 00:19:48,020
+جطعتين خشبيات هتغطي مفصل بعيد اللي هو طبعا الركبة
+
+292
+00:19:48,990 --> 00:19:53,330
+ومفصل قريب هو مفصل الحوض، تمام؟ عشان ما يتحركش،
+
+293
+00:19:53,330 --> 00:19:55,770
+لكن لو أنا مثلا استخدمت الساق السليمة، معناه
+
+294
+00:19:55,770 --> 00:20:00,350
+المفاصل السفلية والعلوية في حال تثبيت، وبالتالي
+
+295
+00:20:00,350 --> 00:20:03,590
+في الحالة هذه أنا ممكن لو ما عنديش أي شيء أستخدم
+
+296
+00:20:03,590 --> 00:20:08,410
+اللي هو طبعا الساق، الطرف السليم كجبيرة لـ طرف
+
+297
+00:20:08,410 --> 00:20:12,890
+المصاب، بمعنى أن الجسم يعتبر جبيرة لنفسه، سواء
+
+298
+00:20:12,890 --> 00:20:17,180
+طبعا الطرف العلوية أو الطرف السفلي طبعًا هنقول
+
+299
+00:20:17,180 --> 00:20:21,360
+ملاحظة ثانية إنه لا يسمح مطلقًا إعادة الإعظام لو
+
+300
+00:20:21,360 --> 00:20:25,140
+كانت مكسورة أو بارزة لكن في الحالة هذه بتم عمل
+
+301
+00:20:25,140 --> 00:20:28,980
+غيـار أو استخدام طريقة لإيقاف النزيف باستخدام
+
+302
+00:20:28,980 --> 00:20:31,860
+الشاش المعقم إن وجد وإن لم يوجد في طبعا جطعة
+
+303
+00:20:31,860 --> 00:20:35,680
+جماش نظيفة يبقى الأساس إن أنا بعمل إيقاف للنزيف
+
+304
+00:20:35,680 --> 00:20:39,700
+ومن ثم بستخدم الأربطة لإيقاف طبعا لتثبيت الكسـر
+
+305
+00:20:44,410 --> 00:20:49,410
+طبعا هنا بدنا نحاول نلاحظ بعض الملاحظات إن أنا
+
+306
+00:20:49,410 --> 00:20:53,450
+مدام ثبتت الطرف السفلي السليم مع الطرف السفلي 
+
+307
+00:20:53,450 --> 00:20:57,270
+المصاب ممنوع الحركة ممنوع ارفع لأ بده يظل الشخص
+
+308
+00:20:57,270 --> 00:21:02,590
+كما هو ووضع استقامة طبعا عملية نقله يعني الطرفين
+
+309
+00:21:02,590 --> 00:21:05,730
+صاروا طرف واحدة اللي جيتها عمال يتنقلوا طبعا ممكن
+
+310
+00:21:05,730 --> 00:21:09,210
+يكون من تلت أشخاص أو أربع أشخاص برضه يفضل طبعا
+
+311
+00:21:09,210 --> 00:21:11,530
+الجزء اللي هو اللي ما فيش عليه خوف لإن الخوف عنا
+
+312
+00:21:11,530 --> 00:21:15,630
+أياش من جلد السفلين عجبت لو احنا فرضنا إن الشخص
+
+313
+00:21:15,630 --> 00:21:20,570
+هذا اللي احنا ثبتناه بغطاتين خشبيات تمام من الخارج
+
+314
+00:21:20,570 --> 00:21:24,450
+والداخل أنا كمسعف طبعا هيجينا معانا وعلى أي ناحية
+
+315
+00:21:24,450 --> 00:21:28,090
+ممكن أجاف لمساعدته في الماشي على الناحية المصعبة
+
+316
+00:21:28,090 --> 00:21:29,430
+ولا على الناحية السليمة
+
+317
+00:21:34,410 --> 00:21:45,570
+واحد أنا واحد مش اثنين بأقف
+
+318
+00:21:45,570 --> 00:21:48,850
+أنا على .. احنا قلنا خواتنا .. قلنا إن الجبيرة
+
+319
+00:21:48,850 --> 00:21:52,610
+هي بتساعد تثبيت الكسـر وبتحل محل العظام الطبيعية
+
+320
+00:21:52,610 --> 00:21:56,310
+الصحيحة فأنا بنعتبر نفسي .. فأنا المصعف يعتبر
+
+321
+00:21:56,310 --> 00:21:59,500
+كجبيرة المصعف أو اللي بده ينقل الشخص على اليمين
+
+322
+00:21:59,500 --> 00:22:03,520
+يعتبر كجبيرة وبالتالي بيجف على ناحية المصابة، لأن
+
+323
+00:22:03,520 --> 00:22:06,860
+ناحية المصابة ممنوعة حركتها، تمام؟ وقال طبعا لو
+
+324
+00:22:06,860 --> 00:22:09,660
+كان حتى عندك صوف الطرف، الصوف اللي هو الصوف، فبيجف
+
+325
+00:22:09,660 --> 00:22:12,700
+المصاب على يمي .. طبعا الـ .. الـ .. الـ .. ناحية
+
+326
+00:22:12,700 --> 00:22:16,780
+المصعف على يمي .. على ناحية الطرف المصابة، لأن
+
+327
+00:22:16,780 --> 00:22:20,160
+الطرف المصاب مش لازم تجي على الأرض، لأن هو هيمشي و
+
+328
+00:22:20,160 --> 00:22:24,710
+هيبغط وين؟ على الطرف السليمة والطرف الثاني الشخص
+
+329
+00:22:24,710 --> 00:22:29,070
+المصعف هو يعتبر مكان المكسور وبالتالي طبعا الشخص
+
+330
+00:22:29,070 --> 00:22:33,110
+بيجيه فين؟ المصائف السليم أو المصعف على الناحية
+
+331
+00:22:33,110 --> 00:22:38,000
+المصابة طبعًا أنا ملاحظة إنه ما بقدرش إنه أنجو
+
+332
+00:22:38,000 --> 00:22:41,700
+الإنسان وأنا شاعر إنه في عنده علامات للصدمة ممنوع
+
+333
+00:22:41,700 --> 00:22:44,820
+ممكن تكون علامات الصدمة نتيجة الألم وبالتالي دائما
+
+334
+00:22:44,820 --> 00:22:48,820
+في أي إسعاف أي حالة بدأ أنا أنتبه لعلامات إيش
+
+335
+00:22:48,820 --> 00:22:54,180
+الحيوية اللي طبعا نبض والتنفس تمام؟ واختبار
+
+336
+00:22:54,180 --> 00:22:57,380
+وملاحظة الوجه تمام؟ طبعا هنا فيها إنه يكون معدل
+
+337
+00:22:57,380 --> 00:23:02,040
+التنفس طبعا علامة الحياة أربعة لكن يكون هنا حاجات
+
+338
+00:23:02,040 --> 00:23:08,390
+واضحة جدا معدل التنفس النبض والنبض ودرجة الوعي هذي
+
+339
+00:23:08,390 --> 00:23:12,990
+طبعا ضرورية جدا جدا طبعا
+
+340
+00:23:12,990 --> 00:23:18,770
+كسـر الساق نفس الفكرة زي ما اتكلمت على العظام الفخذ
+
+341
+00:23:18,770 --> 00:23:22,810
+نفس الحالة ممكن أستخدم أنا جبيرة لكن جبيرة بتستخدم
+
+342
+00:23:22,810 --> 00:23:26,670
+من عند القدم لغاية أعلى الركبة والجبيرة الثانية أو
+
+343
+00:23:26,670 --> 00:23:29,890
+الخشبية الثانية من الداخل أيضا لأعلى الركبة لكن
+
+344
+00:23:29,890 --> 00:23:33,530
+أنا ممكن برضه أستخدم الساق السليمة باتجاه الساق
+
+345
+00:23:33,530 --> 00:23:37,150
+المصابة أيضا كجبيرة يبقى التعامل مع الفخذ أو مع
+
+346
+00:23:37,150 --> 00:23:41,890
+الساق نفس القاعدة مفصل بعيد ومفصل قريب مع عدم ضغط
+
+347
+00:23:41,890 --> 00:23:44,710
+على المكان المصاب أو مشتبه فيه كسور
+
+348
+00:23:49,010 --> 00:23:51,870
+راح ندينا يا خواتنا طبعا هذه الصورة بتدللي اللي أنا
+
+349
+00:23:51,870 --> 00:23:58,570
+ممكن أستخدم الطرف المصاب الطرف السليم كجبيرة للطرف
+
+350
+00:23:58,570 --> 00:24:04,510
+المصاب ونلاحظ يا خواتنا ممنوع أي رباط أو أي أربطة
+
+351
+00:24:04,510 --> 00:24:08,230
+تكون فوق الكسـر أو اشتباه الكسـر لأن وجودها فوق
+
+352
+00:24:08,230 --> 00:24:11,450
+الكسـر أو اشتباه الكسـر معناه في عملية حركة للكسور
+
+353
+00:24:15,320 --> 00:24:20,380
+طيب نيجي لـ قصة ثانية بالنسبة لـ قدم القدم هنا نقطة
+
+354
+00:24:20,380 --> 00:24:28,370
+مهمة جدا القدم مش هنقدر نستخدم جطعة خشبية تمام فأنا
+
+355
+00:24:28,370 --> 00:24:32,130
+بستخدم في الحالة هذه إذا كان في عندي اشتباه في
+
+356
+00:24:32,130 --> 00:24:35,950
+مفصل القدم أو كسـر في مفصل القدم مثلا احنا في مشكلة
+
+357
+00:24:35,950 --> 00:24:38,950
+بالمفصل نفسه أو مثلا أنت واحد على الدرج وجات
+
+358
+00:24:38,950 --> 00:24:43,330
+زحلقة تمام فأنا أشتبه إنه عنده مثلا انزلاق في مفصل
+
+359
+00:24:43,330 --> 00:24:47,610
+القدم وطبعا هناخده بالنسبة للمفاصل أو اشتباه كسور
+
+360
+00:24:47,610 --> 00:24:50,330
+فأنا بستخدمش جطعة خشبية يعني مش هقدر أستخدم جطعة
+
+361
+00:24:50,330 --> 00:24:54,940
+خشبية فهيقول تثبت مفصل بعيد ومفصل قريب مفصل بعيد و
+
+362
+00:24:54,940 --> 00:24:58,520
+مفصل قريب طبعا هنا القدم حدته مفصل الكاحل بالصورة
+
+363
+00:24:58,520 --> 00:25:04,390
+هذه طبعا هاي المفصل فأنا بستخدم أما ملاية أو بشكير
+
+364
+00:25:04,390 --> 00:25:08,350
+أو مخدة صغيرة طبعا هو هنا في سيارات الإسعاف في
+
+365
+00:25:08,350 --> 00:25:12,530
+احنا حاجة نسميها اللي هي الأكياس الهوائية هاي طبعا
+
+366
+00:25:12,530 --> 00:25:16,690
+الأكياس الهوائية بتلبس بالقدم كلها المكسورة هذه و
+
+367
+00:25:16,690 --> 00:25:20,530
+بتنفخها زي البلونة طبعا اللي موجودة في سيارة
+
+368
+00:25:20,530 --> 00:25:26,330
+الإسعاف طبعا بيسموها الجبائر الهوائية بنلبسها داخل
+
+369
+00:25:26,330 --> 00:25:30,250
+الساق المكسور كلها فهي لما بتضغط طبعا الضغط يكون
+
+370
+00:25:30,250 --> 00:25:34,770
+متوازي زي طبعا البلونة أو عجل السيارة لما بتنتفخ
+
+371
+00:25:34,770 --> 00:25:37,710
+طبعا يكون ضغط الهواش متوازي على الجميع لكن أنا
+
+372
+00:25:37,710 --> 00:25:40,790
+احنا هنتكلم مش على سيارة الإسعاف نتكلم على اللي هي
+
+373
+00:25:40,790 --> 00:25:44,610
+الوسائل البسيطة جدا بستخدم أما ملاية أو بشكير أو
+
+374
+00:25:44,610 --> 00:25:48,250
+منشفة أو أي حاجة أو مخدة صغيرة تيجي من تحت القدم
+
+375
+00:25:48,250 --> 00:25:53,490
+باتجاه الساق من أعلى وبثبتها وبالتالي هنا لاحظين
+
+376
+00:25:53,490 --> 00:25:58,190
+هنا إن أنا بثبت القدم من أسفل مع الساق بالتالي قدم
+
+377
+00:25:58,190 --> 00:26:02,550
+إيش برضه هنقول ممنوع الحركة ممنوع الحركة لأن خوفا
+
+378
+00:26:02,550 --> 00:26:05,310
+واحد هنقول لك ممكن ما فيش كسور حتى لو ما كانش فيه
+
+379
+00:26:05,310 --> 00:26:10,890
+كسور طبعا هنستخدم كمادات ماء باردة ممنوع ممنوع جدا
+
+380
+00:26:10,890 --> 00:26:15,710
+في حالات اشتباه الكسور أو النزيف استخدام الكمادات
+
+381
+00:26:15,710 --> 00:26:20,190
+الدافئة لأن طبعا بيزيد من مشكلة النزيف بيزيد النزيف
+
+382
+00:26:20,190 --> 00:26:25,330
+حد ذاته وممكن نستخدم كمادات ماء باردة في حال
+
+383
+00:26:25,330 --> 00:26:29,570
+التسمم، في حال لدغ الثعبان، عشان أنا بدي أوقف
+
+384
+00:26:29,570 --> 00:26:33,370
+وأعمل ضيق في الأوعية الدموية، لكن في حال .. في حال
+
+385
+00:26:33,370 --> 00:26:38,390
+الكسور أو طبعا الرد أو اشتباه الكسور يمنع استخدام
+
+386
+00:26:38,390 --> 00:26:42,010
+الكمالات الدافئة، بستخدم كمالات ماء باردة، في
+
+387
+00:26:42,010 --> 00:26:46,870
+حالتها ليش بستخدمها؟ عشان أعمل ضيق للأوعية الدموية،
+
+388
+00:26:46,870 --> 00:26:49,050
+عشان ما يزيدش النزيف، ما يزيد النزيف
+
+389
+00:27:00,760 --> 00:27:04,980
+طبعا العضد زي ما قلنا احنا بدنا بالفخذ فيه عظمة
+
+390
+00:27:04,980 --> 00:27:10,700
+واحدة والعضد أيضا فيه عظمة واحدة فأنا ممكن أستخدم
+
+391
+00:27:10,700 --> 00:27:14,920
+أيضا اللي هي رباط مثلث أو أستخدم الجسم السليم
+
+392
+00:27:14,920 --> 00:27:18,760
+جبيرة للعضد طبعا هنا فيه يعني طبعا أنا هوريكوا
+
+393
+00:27:18,760 --> 00:27:23,580
+طبعا صورة فيها بستخدم رباط مثلث سواء لكسور عضد أو
+
+394
+00:27:23,580 --> 00:27:26,860
+كسور للساعد وطبعا هذه نقطة مهمة كتير إن أستخدمها
+
+395
+00:27:30,270 --> 00:27:35,250
+هنا طبعا هي كسور العدد، راحظين هنا، برضه هيكسر،
+
+396
+00:27:35,250 --> 00:27:39,470
+هنا ممكن يكون نلاحظ إنه في ورم أو انتفاخ، طبعا هنا
+
+397
+00:27:39,470 --> 00:27:43,090
+لا يسمح بعادة تقويمه مرة أخرى، حتى لو كان أنا
+
+398
+00:27:43,090 --> 00:27:49,430
+متأكد، أما هنا طبعا هي بيبعد لعمل الجبيرة، طبعا
+
+399
+00:27:49,430 --> 00:27:52,270
+طبعا صورة الأشعة اللي بيثبتلي أو بينفي إنه في كسـر،
+
+400
+00:27:52,270 --> 00:27:57,370
+طبعا هو استخدام صورة الأشعة طبعا هنا يا أخواتنا بدنا
+
+401
+00:27:57,370 --> 00:28:00,870
+نقول حاجة مهمة جدا إن في حالة الـ .. الـ .. الكسور
+
+402
+00:28:00,870 --> 00:28:04,130
+العظام اللي هو الأطراف العلوية العضد أو طبعا
+
+403
+00:28:04,130 --> 00:28:08,950
+الساعد غالبا بستخدم طبعا الرباط المثلث في أنا عند
+
+404
+00:28:08,950 --> 00:28:11,950
+فيديو بسيط هنا يعني طبعا عشان تثبتنا المعلومة أكثر
+
+405
+00:28:11,950 --> 00:28:21,270
+فيديو كسور العضد يمكن أن تحدث الكسور في أي مكان في
+
+406
+00:28:21,270 --> 00:28:27,970
+عظم العضد أو في عظمي الساعد وقد تشمل المرفق على أن
+
+407
+00:28:27,970 --> 00:28:33,210
+العظام الأكثر تعرضا للكسـر هي عظام الرسغ والكسور
+
+408
+00:28:33,210 --> 00:28:38,770
+التي تصيب مفصل المرفق تصادف بشكل خاص عند الأطفال
+
+409
+00:28:38,870 --> 00:28:44,290
+بتقول بس نقطة مهمة لشيء هذا الكف بحد ذاته بيدللي
+
+410
+00:28:44,290 --> 00:28:47,750
+وين اتجاه الكسـر يعني مثلا أنا لاجيت إنسان بالصورة
+
+411
+00:28:47,750 --> 00:28:53,110
+هذه معناه كسـر أسفل طبعا في الساعد لاجيت الكف لأعلى
+
+412
+00:28:53,110 --> 00:28:58,710
+تمام بيكون كسـر لأعلى لاجيت الكف لأعلى بيكون كسـر في
+
+413
+00:28:58,710 --> 00:29:00,690
+عظم الترقوة طيب ليش؟ عشان أنا بروح نفسرها علميا
+
+414
+00:29:01,790 --> 00:29:05,030
+احنا قلنا دائما في حالات الكسورة ميثبت مفصل قريب
+
+415
+00:29:05,030 --> 00:29:09,670
+ومفصل بعيد هلجت المفصل لو كان عنده كسـر في الساعد
+
+416
+00:29:09,670 --> 00:29:14,810
+المصاب حتى تحيمسك المفصل الأبعد؟ لأن المفصل الأقرب
+
+417
+00:29:14,810 --> 00:29:20,720
+مثبت بالعضد لما أنا يكون عند الكسـر في العضد، معناه
+
+418
+00:29:20,720 --> 00:29:25,060
+الشخص المكسور، هيمسك منضجة الكتف، عشان يثبت المفصل
+
+419
+00:29:25,060 --> 00:29:30,240
+الأبعد، المفصل الأقرب اللي هو إيش الكتف، مثبته
+
+420
+00:29:30,240 --> 00:29:35,960
+خالص، لو لجيت لأعلى، بمسك في الرجب يعني عندي كسور
+
+
+421
+00:29:35,960 --> 00:29:40,900
+في الطول قوى أو أضمة اللوحة الكتف وبالتالي أنا
+
+422
+00:29:40,900 --> 00:29:45,320
+اتجاه الكفر بدلي كل مكان لأسفل بيكون كسر لأسفل كل
+
+423
+00:29:45,320 --> 00:29:48,940
+مكان لأعلى بيكون كسر لأعلى نكمل الجزئية دقيقة هو
+
+424
+00:29:48,940 --> 00:29:54,660
+هذا نشوف وهذا الكسر قد يلحق أذى كبير بالأوعية
+
+425
+00:29:54,660 --> 00:30:00,420
+الدموية والأعصاب المجاورة الأعراض 
+
+426
+00:30:01,670 --> 00:30:08,050
+الأعراض والعلامات العامة للكسور ألم في مكان الكسر
+
+427
+00:30:08,050 --> 00:30:14,770
+يزداد بالحركة ربما أصبح المصاب غير قادر على
+
+428
+00:30:14,770 --> 00:30:21,390
+استعمال الطرف احتمال عدم المقدرة على ثني أو تقويم
+
+429
+00:30:21,390 --> 00:30:29,470
+المرفق في الطرف المصاب الهدف تثبيت الطرف والنقل
+
+430
+00:30:29,470 --> 00:30:37,100
+إلى المستشفى المعالجة العامة اجعل المصاب يستند ذراع
+
+431
+00:30:37,100 --> 00:30:44,660
+الطرف المصاب على صدره استند الطرف بوساطة معلاق
+
+432
+00:30:44,660 --> 00:30:45,860
+للذراع
+
+433
+00:31:24,830 --> 00:31:33,140
+ضع برفق رفادات طرية بين عضده وصدره ثبت الطرف على
+
+434
+00:31:33,140 --> 00:31:39,520
+صدره بواسطة عصابة ذات طية عريضة فوق معلاق الرفع
+
+435
+00:31:39,520 --> 00:31:50,700
+قريباً من المرفق وجعل
+
+436
+00:31:50,700 --> 00:31:57,920
+عقدة أمام الجهة السليمة ثم
+
+437
+00:31:57,920 --> 00:32:04,500
+تحقق من دوران الدم اعمل على نقل المصابة هنا في نقاط
+
+438
+00:32:04,500 --> 00:32:08,920
+مهمة أحدنا بتركز عليها أن أنا بستخدم الجبيرة أو
+
+439
+00:32:08,920 --> 00:32:13,960
+الرباط المثلث بستخدمه لأطراف العلوية سواء للساعد
+
+440
+00:32:13,960 --> 00:32:19,960
+أو للعضد مع ملاحظة أن أنا ممكن اثبت الجسم اللي
+
+441
+00:32:19,960 --> 00:32:23,320
+طبعاً الطرف المكسور مع الجسم برباط آخر رباط مستعرض
+
+442
+00:32:23,320 --> 00:32:27,640
+أو رباط عريض الهدف من الجبيرة هذه المثلث أن أنا
+
+443
+00:32:27,640 --> 00:32:32,390
+أعمل على عدم تحريك ايش العضو المكسور وبالتالي أنا
+
+444
+00:32:32,390 --> 00:32:36,610
+بستخدم الرباط المثلث في كل الأحوال طبعاً سواء
+
+445
+00:32:36,610 --> 00:32:41,230
+للساعد أو للعضد عشان أن أنا اثبت المنطقة المكسورة
+
+446
+00:32:47,830 --> 00:32:51,730
+طبعاً كسر الكوع أحياناً الكوع ممكن يكون نتيجة ضرب
+
+447
+00:32:51,730 --> 00:32:55,710
+أو نتيجة طبعاً إصابة مباشرة أو مثلاً القوع على الكوع
+
+448
+00:32:55,710 --> 00:32:59,990
+بحد ذاته فنفس الفكرة لو كان حتى العظام الكوع بارزة
+
+449
+00:32:59,990 --> 00:33:06,030
+لا يسمح بإعادتها أو لا يسمح طبعاً الطلب من المصاب
+
+450
+00:33:06,030 --> 00:33:10,150
+أنه يحرك العظام عشان إعادتها طبعاً مؤلم جداً جداً أي
+
+451
+00:33:10,150 --> 00:33:13,370
+واحد فيه لو خبط مثلاً الكوع عنده أو العظام منطقة
+
+452
+00:33:13,370 --> 00:33:17,970
+صلبة هيشعر بالألم وبالتالي هذا ممنوع طلب من المصاب
+
+453
+00:33:17,970 --> 00:33:20,950
+أنه أنا أجرب والله فيه كسر ولا فيش كسر لأ لأن
+
+454
+00:33:20,950 --> 00:33:24,510
+المصاب مش هيقدر يحرك وطالما كل ما كان فيه ألم شديد
+
+455
+00:33:24,510 --> 00:33:29,870
+فالاشتباه بالكسور يكون أشد أنا
+
+456
+00:33:29,870 --> 00:33:39,650
+هو الرباط المثلث اللي احنا اتكلمنا عنه طبعاً
+
+457
+00:33:39,650 --> 00:33:40,690
+هنا نفس الفكرة
+
+458
+00:33:46,210 --> 00:33:50,670
+ماشي يعني هاي الرباط المثلث طبعاً ملاحظة يا أخواتنا
+
+459
+00:33:50,670 --> 00:33:55,430
+بالنسبة للرباطة للعقدة اللي بده تكون موجودة ما
+
+460
+00:33:55,430 --> 00:33:59,710
+تكون على خلف العنق لما تكون ضغط على الفقرات
+
+461
+00:33:59,710 --> 00:34:04,380
+الرقبة بتكون على أحد الجانبين أو بالجانب المقابل
+
+462
+00:34:04,380 --> 00:34:07,460
+للإصابة يعني العقدة اللي أنا بدربطها هتكون
+
+463
+00:34:07,460 --> 00:34:10,600
+بالناحية المقابلة للإصابة لأن طبعاً ناحية المقابلة
+
+464
+00:34:10,600 --> 00:34:13,940
+للإصابة هي عضلات العنق اتضغط على عضلات العنق أخف
+
+465
+00:34:13,940 --> 00:34:17,380
+بكتير ألم من اتضغط على فقرات العنق لأن لو بدأت
+
+466
+00:34:17,380 --> 00:34:19,340
+اتضغط على فقرات العنق هيظل الشخص ايش راغبته ايش
+
+467
+00:34:19,340 --> 00:34:22,600
+للأمام وطبعاً بيصنع انحناء للأمام وبالتالي بكون
+
+468
+00:34:22,600 --> 00:34:26,900
+الرباط على الناحية المقابلة للكسر الكسر واليمين
+
+469
+00:34:26,900 --> 00:34:31,560
+الناحية طبعاً الربط يكون ايش على ناحية الإصابة مع
+
+470
+00:34:31,560 --> 00:34:36,420
+العنق، العنق، عضلات العنق، مش خلف العنق، على
+
+471
+00:34:36,420 --> 00:34:40,040
+الجانب، على ناحية المقابلة، لأن ورا احنا هنا في
+
+472
+00:34:40,040 --> 00:34:43,000
+عيننا عيش فقرات العنق، و طبعاً ثقل هيكون على
+
+473
+00:34:43,000 --> 00:34:46,440
+العظام، لأ أنا ما بديش .. لو أنه في ثقل، هده الوجبة
+
+474
+00:34:46,440 --> 00:34:51,440
+للأمام، لكن لما يكون على الجانب، مش هيكون ضبط،
+
+475
+00:34:51,440 --> 00:34:59,820
+لسه، رحز شوية، لسه معانا وجيت طبعاً هنا يا إخواننا
+
+476
+00:34:59,820 --> 00:35:02,860
+في صورة هنا أصابع اليد و ال .. طبعاً اليد و الأصابع
+
+477
+00:35:02,860 --> 00:35:05,940
+الكسور اليد و الأصابع و احنا قلنا هنا أكثر منطقة
+
+478
+00:35:05,940 --> 00:35:09,960
+فيها عظام سواء القدمين أو الكافين في ثلاثين عظمة و
+
+479
+00:35:09,960 --> 00:35:12,420
+في عنوان ثلاثين عظمة تمام؟ إذا .. إلا زي ما حكينا
+
+480
+00:35:12,420 --> 00:35:16,800
+في ناحية التشريحية فطبعاً هنا الخوف لو أنا اشتبهت
+
+481
+00:35:16,800 --> 00:35:21,020
+في عضو فيه طبعاً كسور الأصبع أو شيء سهل جداً إما
+
+482
+00:35:21,020 --> 00:35:25,200
+بجراتين خشبيات أو بالأصبع السليم مع الأصبع المكسور
+
+483
+00:35:25,200 --> 00:35:28,540
+نفس ما استخدمنا وين؟ بالكسور اللي هي طبعاً الأطراف
+
+484
+00:35:28,540 --> 00:35:31,440
+السفلية طبعاً هذا ما بياخد وقت طويل لأن العظام
+
+485
+00:35:31,440 --> 00:35:34,240
+صغيرة لكن بياخد وقت أطول طبعاً اللي هي العظام .. كل
+
+486
+00:35:34,240 --> 00:35:38,080
+ما كان العظم أكبر كل ما كان الوقت لأطول بالنسبة
+
+487
+00:35:38,080 --> 00:35:41,160
+للـ LTM أما بالنسبة للعظام طبعاً اللي هي الأصابع
+
+488
+00:35:41,160 --> 00:35:44,600
+طبعاً ما بتاخد وقت طويل وغالباً يكون يعني زي قوالب
+
+489
+00:35:44,600 --> 00:35:47,460
+جبصية ممكن الإنسان يستخدمها طبعاً نتكلم على سعر
+
+490
+00:35:47,460 --> 00:35:51,480
+أولي ممكن تستخدم قطعتين خشبيات أو الكسر اللي هو أو
+
+491
+00:35:51,480 --> 00:35:55,020
+طبعاً اللي هو الأصبع السليم مع الأصبع المكسور
+
+492
+00:35:58,820 --> 00:36:03,360
+احنا قلنا هذا التئام إعادة الترميم لكن فيه ظروف
+
+493
+00:36:03,360 --> 00:36:08,010
+بتزيد الألم وخاصة بالجو البارد فأي إنسان عنده كسور
+
+494
+00:36:08,010 --> 00:36:12,590
+في الجو البارد بتألم، لكن شيء أفضل من لا شيء،
+
+495
+00:36:12,590 --> 00:36:16,570
+يلتقام الكسور، صح بترجعه مثلاً بصورة شبه طبيعية،
+
+496
+00:36:16,570 --> 00:36:20,110
+لكن عدم التئامها وتفتتها قد يؤدي إلى قصر في العضو
+
+497
+00:36:20,110 --> 00:36:23,170
+نفسه، وبالتالي طبعاً هذا يعتمد على عدة عوامل، من
+
+498
+00:36:23,170 --> 00:36:27,430
+ضمن العوامل هذه، قد ايش هو وضعه الصحي كويس، قد ايش هو
+
+499
+00:36:27,430 --> 00:36:31,370
+عنده مناعة، قد ايش عنده كالسيوم في العظام مخزن، كيف
+
+500
+00:36:31,370 --> 00:36:34,690
+طبيعة الناحية النفسية، Vitamin D طبعاً في عندنا
+
+501
+00:36:34,690 --> 00:36:37,390
+عوامل كتير بتأثر عليها كل ما كانت العوامل السلبية
+
+502
+00:36:37,390 --> 00:36:43,890
+موجودة كل ما كانت النتائج أسوأ طبعاً
+
+503
+00:36:43,890 --> 00:36:48,970
+هنا في عندنا الجزئية العظام القفص الصدري طبعاً هنا
+
+504
+00:36:48,970 --> 00:36:54,590
+أكثر شيء ممكن يشكي منها الإنسان صعوبة بالتنفس طبعاً
+
+505
+00:36:54,590 --> 00:36:58,170
+ليش يكون صعب التلفزيون في مصر؟ لأن في حال الشهيق
+
+506
+00:36:58,170 --> 00:37:03,820
+زيادة صارت تساع أفقي تمام ورأسي طبعاً ليش معناه
+
+507
+00:37:03,820 --> 00:37:08,320
+ارتخاء؟ معناه ارتخاء طبعاً لانقباض في عضلة الحجاب
+
+508
+00:37:08,320 --> 00:37:11,780
+الحاجز وانقباض في عضلات القفص الصدري وبالتالي هنا
+
+509
+00:37:11,780 --> 00:37:15,040
+معناه في حركة للأعظام وبالتالي هنا بنلاحظ أن الشخص
+
+510
+00:37:15,040 --> 00:37:19,240
+اللي عنده كسور في قفص صدري أكثر شيء بتألم منه
+
+511
+00:37:19,240 --> 00:37:22,320
+عملية النفس يعني بيقول يعني ادو بياخد النفس ليش؟
+
+512
+00:37:22,320 --> 00:37:25,830
+لأن كل نفس هياخده هيزيد الألم أكثر هو طبعاً أكثر
+
+513
+00:37:25,830 --> 00:37:28,770
+مشكلة ممكن نعلم منها .. طبعاً أكثر .. أكثر شيء ..
+
+514
+00:37:28,770 --> 00:37:31,950
+أكثر شيء هانا .. من .. ان .. نساعده أنه ما يكونش
+
+515
+00:37:31,950 --> 00:37:35,210
+عنده أي مجهود لأنه أي مجهود بتطلب Oxygen فمانعش
+
+516
+00:37:35,210 --> 00:37:38,790
+نكون عنده مجهود وبالتالي طبعاً وروده للمستشفى وضع
+
+517
+00:37:38,790 --> 00:37:42,890
+طبعاً الجلوس المحبب .. وضع الجلوس المحبب لأن
+
+518
+00:37:42,890 --> 00:37:46,330
+ما بنستخدم وضع الاستقامة طبعاً بيزيد العبء وضغط
+
+519
+00:37:46,330 --> 00:37:50,730
+الأحشاء على الرئتين وبالتالي هنقول وضع الجلوس هو
+
+520
+00:37:50,730 --> 00:37:54,090
+هذا المحبب عشان أقلل العبء على عمل الجاذب نفسه
+
+521
+00:37:57,120 --> 00:38:00,180
+طبعاً برضه نستخدم اللي هو الرباط المثلث عشان أثبت
+
+522
+00:38:00,180 --> 00:38:04,260
+ليائي المحصول فإن أخر حاجة اللي هي العمود الفقري و
+
+523
+00:38:04,260 --> 00:38:08,880
+زي ما اتكلمنا احنا هنا لا يسمح بتحريك الشخص من
+
+524
+00:38:08,880 --> 00:38:12,800
+مكانه إذا كان هناك اشتباه أو كسور في العمود الفقري
+
+525
+00:38:12,800 --> 00:38:18,140
+تثبيته في مكانه أو نقله من خلال أربعة أو ستة أشخاص
+
+526
+00:38:18,140 --> 00:38:22,840
+على قطعة خشبية ما فيش إمكانية نبدأ .. طبعاً نفضل
+
+527
+00:38:22,840 --> 00:38:26,840
+دايماً هو لكن مع ملاحظة اللي هي علامات الحياة أيضاً
+
+528
+00:38:26,840 --> 00:38:31,620
+لطبعاً هنا النقل الخاطئ قد يؤدي إلى شلل خاصة لو
+
+529
+00:38:31,620 --> 00:38:35,000
+كانت إصابات في فقرات العمود الفقري العلوية
+
+530
+00:38:51,990 --> 00:38:54,870
+لاحظين هذه الصورة الواضحة بالنسبة لنقل الشخص اللي
+
+531
+00:38:54,870 --> 00:38:59,630
+هو قطعة واحدة عشان أنا أضمن عدم تحريك اللي هو
+
+532
+00:38:59,630 --> 00:39:03,150
+فقرات العمود الفقري الشخص هذا كله قطعة واحدة
+
+533
+00:39:03,150 --> 00:39:06,010
+لاحظوا فيه شخص عند العنق عشان ما يحركش فقرات العنق
+
+534
+00:39:06,010 --> 00:39:08,970
+اللي هيتأثر على نخاع الشوكة وفي عندي من ناحيتين
+
+535
+00:39:08,970 --> 00:39:13,110
+عشان ما يحركش طبعاً الفقرات العمود الفقري باتجاه
+
+536
+00:39:13,110 --> 00:39:17,090
+الكتفين وعندي باتجاه الحوض عشان ما يحركش برضه نهايات
+
+537
+00:39:17,090 --> 00:39:19,730
+العمود الفقري والجزء السفلي طب ماهي الفائدة من
+
+538
+00:39:19,730 --> 00:39:22,830
+الجزء السفلي لأن حركة الأطراف السفلية معناها تتحرك
+
+539
+00:39:22,830 --> 00:39:25,770
+العضلات وتتحرك عضلات الظهر وفي النهاية يكون عندي
+
+540
+00:39:25,770 --> 00:39:29,910
+حركة للعمود الفقري فطبعاً لازم يكون طبعاً احنا قلنا
+
+541
+00:39:29,910 --> 00:39:33,890
+تهدئة المصاب مهم جداً وطمأنة المصاب مهم جداً وأنا
+
+542
+00:39:33,890 --> 00:39:39,080
+أنقله كقطعة واحدة على لوح خشبي ممنوع أني أنقله مثلاً
+
+543
+00:39:39,080 --> 00:39:42,620
+على فرشة حتى لو كنا احنا ستة مثلاً نجلناها على فرشة
+
+544
+00:39:42,620 --> 00:39:45,360
+ننجلنا نحمله بالفرشة طبعاً هذا خطأ أما أنا بننقله
+
+545
+00:39:45,360 --> 00:39:49,480
+على لوحة خشبية قطعة مستوية عشان ما يصيرش تقوس
+
+546
+00:39:49,480 --> 00:39:52,320
+وبالتالي نقول احنا أي إنسان عنده مشاكل بالعمود
+
+547
+00:39:52,320 --> 00:39:56,140
+الفقري أو ألم بالظهر طبعاً لا يسمح له .. لا يسمح له
+
+548
+00:39:56,140 --> 00:40:00,050
+ايش؟ أنه ينام على فرش اسفنجي ينام على .. يعني على ..
+
+549
+00:40:00,050 --> 00:40:03,770
+على الأرض أو على فرشة رقيقة جداً لأن طبعاً وجود
+
+550
+00:40:03,770 --> 00:40:06,790
+الـ Sphinx معناه هيزيد ايش ال .. ال .. ال .. ده و
+
+551
+00:40:06,790 --> 00:40:09,510
+بالذات لما يكون عندنا Sphinx ضغط منخفض طبعاً في
+
+552
+00:40:09,510 --> 00:40:13,110
+Sphinx طبيعي ضغط عالي تمام؟ هذا طبعاً عشان ما يساعدش
+
+553
+00:40:13,110 --> 00:40:20,530
+على تقوس فقرات العمود الفقري ماشي
+
+554
+00:40:20,530 --> 00:40:24,600
+يعني طيب ننجز النقطة هذه عشان نضيفها مع اللي هو
+
+555
+00:40:24,600 --> 00:40:26,820
+النقل والإخلاء، النقل والإخلاء طبعاً جزء بسيط
+
+556
+00:40:26,820 --> 00:40:29,000
+جدا، بنجز هيكل النقطة هذه خواتنا إن شاء الله و
+
+557
+00:40:29,000 --> 00:40:30,880
+بنكمل يوم الأربعاء بإذن الله تعالى
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/6maaSsGK6hs_raw.json b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/6maaSsGK6hs_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..7c4b092e542fc46023da46803642c2b0bb16571e
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/6maaSsGK6hs_raw.json
@@ -0,0 +1 @@
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\ No newline at end of file
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/F0acRMK-Ta8_postprocess.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/F0acRMK-Ta8_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..01e78762779e8d64ea22a2c60beae8131738bc59
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/F0acRMK-Ta8_postprocess.srt
@@ -0,0 +1,1964 @@
+1
+00:00:05,150 --> 00:00:06,870
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:06,870 --> 00:00:09,130
+الرحيم والصلاة والسلام وعلى أشرف المرسلين سيدنا
+
+3
+00:00:09,130 --> 00:00:13,430
+محمد وعليه والصحابي وسلم طبعا بنقول مرة تانية كل
+
+4
+00:00:13,430 --> 00:00:17,650
+عاملتم بخير وان شاء الله يكون يعني خير من ربنا إلى
+
+5
+00:00:17,650 --> 00:00:20,850
+الفصل وخير لنا ان شاء الله بعد صيامنا شهر رمضان
+
+6
+00:00:20,850 --> 00:00:24,390
+اليوم هتكلم على موضوع .. هذا موضوع مهم .. موضوع
+
+7
+00:00:24,390 --> 00:00:28,980
+مركب أو معقد شويةلأن طبعا الموضوع طويل و بيتناول
+
+8
+00:00:28,980 --> 00:00:32,540
+تلت أجزاء و هى طبعا أجزاء مهمة جدا فى حياتنا أي
+
+9
+00:00:32,540 --> 00:00:35,800
+جزء بيصير عقب فيه معناه بيأثر على الجزئين الباقين
+
+10
+00:00:35,800 --> 00:00:40,580
+الا طبعا هو اللى هو الجهاز الحركى او الهيكل الحركى
+
+11
+00:00:40,580 --> 00:00:44,060
+طبعا طالما انه هيكلي حركى يبقى فى عندنا هيكل و فى
+
+12
+00:00:44,060 --> 00:00:47,260
+عندنا طبعا أشياء مساعدة بالنسبة للحركة طبعا أنا
+
+13
+00:00:47,260 --> 00:00:49,920
+قبل ما اتكلم على الموضوع هذا فى عندنا بس فيديو
+
+14
+00:00:49,920 --> 00:00:55,970
+بسيط طبعا هذا الفيديو هناخد بس بصورة بسيطةوعمل
+
+15
+00:00:55,970 --> 00:01:02,350
+الهيكل العظمى يعتبر الهيكل العظمى دعامة رئيسة
+
+16
+00:01:02,350 --> 00:01:08,490
+حاملة بجسم الإنسان لبقائه ممتصبة ويعتبر الهيكل
+
+17
+00:01:08,490 --> 00:01:13,570
+العظمى الهيكل المشكل لجسم الإنسان والحامي لما في
+
+18
+00:01:13,570 --> 00:01:18,990
+داخله من أجزاء حيوية ومهمة مثل الدماغ المحمي داخل
+
+19
+00:01:18,990 --> 00:01:24,700
+الجمجمة القاسيةومثل القلب و الرئة المحميان داخل
+
+20
+00:01:24,700 --> 00:01:31,120
+القفص الصدري ليس هذا فحسب فالهيكل العظمي يقوم
+
+21
+00:01:31,120 --> 00:01:35,740
+بتأدية وظائف أخرى مثل تمكين الجسم من الحركة بطرق
+
+22
+00:01:35,740 --> 00:01:40,740
+مختلفة بالاضافة إلى إنتاج كريات الدم الحمراء في
+
+23
+00:01:40,740 --> 00:01:45,920
+داخل الإظام العريضة مثل أضلاع القفص الصدريناهيك عن
+
+24
+00:01:45,920 --> 00:01:50,100
+أن الأعظام تعتبر مخزنا لبعض الأملاح المعدنية
+
+25
+00:01:50,100 --> 00:01:56,340
+الهامة مثل الكالسيوم والفسفور يتكون
+
+26
+00:01:56,340 --> 00:02:02,700
+الهيكل العظمى من 206 عظمة يختلف حجم وشكل كل منها
+
+27
+00:02:02,700 --> 00:02:08,020
+عن الآخر تتوزع عظام الهيكل العظمى في الجسم على
+
+28
+00:02:08,020 --> 00:02:14,670
+النحو التالي21 عظمة في الجمجمة التي تعتبر الحصن
+
+29
+00:02:14,670 --> 00:02:21,690
+المنيع لحماية الدماغ قائد أنظمة الجسم كاملة 6 عظام
+
+30
+00:02:21,690 --> 00:02:28,290
+صغيرة في داخل الأذنين عظمة واحدة تشكل الفك سفلي
+
+31
+00:02:28,290 --> 00:02:36,910
+عظمة واحدة تشكل جسم العظم اللامي26 عظمة في العمود
+
+32
+00:02:36,910 --> 00:02:42,170
+الفقري الذي يعتبر أهم أجزاء الهيكل العظمى والدعامة
+
+33
+00:02:42,170 --> 00:02:48,050
+الرئيسة للجسم وقد سمى بهذا الاسم بسبب تكونه من
+
+34
+00:02:48,050 --> 00:02:53,230
+مجموعة من الفقرات المتراكبة والمفصولة بوسادات
+
+35
+00:02:53,230 --> 00:02:59,090
+غضروفية تسمح لهذه الفقرات بالحركة البسيطة دون تآكل
+
+36
+00:02:59,090 --> 00:03:00,310
+هذه الفقرات
+
+37
+00:03:02,550 --> 00:03:07,350
+12 زوجا من العظام في القفص الصدري والذي يعتبر
+
+38
+00:03:07,350 --> 00:03:13,690
+القفص الحامي للرئتين والقلب عظمة واحدة تشكل عظمة
+
+39
+00:03:13,690 --> 00:03:22,010
+القص 32 عظمة لكل من الطرفين العلويين وهذا العدد من
+
+40
+00:03:22,010 --> 00:03:26,750
+العظام يعني وجود مفاصلة أكثر في الأطراف وبالتالي
+
+41
+00:03:26,750 --> 00:03:34,670
+حرية أكبر في أداء الحركات المختلفةو 31 عظمة لكل من
+
+42
+00:03:34,670 --> 00:03:39,590
+الطرفين السفليين وهذا العدد يمنح الأطراف السفلية
+
+43
+00:03:39,590 --> 00:03:45,270
+حرية كبيرة في الحركة ولكن أقل من حرية حركة الأطراف
+
+44
+00:03:45,270 --> 00:03:51,790
+العلوية يربط العظام بعضها البعض مفاصل مختلفة
+
+45
+00:03:51,790 --> 00:03:57,070
+الأشكال تسمح لأجزاء الهيكل العظمي بالحركة وبالتالي
+
+46
+00:03:57,070 --> 00:04:03,900
+السماح للجسم البشري بالحركةويثبت المفاصل ببعضها
+
+47
+00:04:03,900 --> 00:04:09,160
+البعض انسجة رابطة تمنع المفاصل من الحركة بطريقة
+
+48
+00:04:09,160 --> 00:04:16,720
+خاطئة كل مفصل في الجسم له شكل يختلف عن الآخر وهذا
+
+49
+00:04:16,720 --> 00:04:21,160
+الاختلاف في الشكل عائد إلى اختلاف قدرة حركة ذلك
+
+50
+00:04:21,160 --> 00:04:26,900
+الجزء المرتبط بالمفصل وسوف يتم ان شاء الله التفصيل
+
+51
+00:04:26,900 --> 00:04:33,570
+في هذا الموضوع في درس كيف تعمل عضلاتنايرتبط
+
+52
+00:04:33,570 --> 00:04:37,930
+بالهيكل العظمى الجهاز العطلي الذي يقوم بتحريك
+
+53
+00:04:37,930 --> 00:04:42,270
+العظام عند انقباض او ارتخاء العضلات المرتبطة
+
+54
+00:04:42,270 --> 00:04:48,210
+بالجزء المطلوب تحريكه من الهيكل العظمى ومن الجدير
+
+55
+00:04:48,210 --> 00:04:52,490
+بالذكر ان العظام ذُكرت في القرآن الكريم في قوله
+
+56
+00:04:52,490 --> 00:04:57,790
+تعالى باسم الله الرحمن الرحيم
+
+57
+00:05:00,760 --> 00:05:11,200
+ثم خلقنا النطقة علقة فخلقنا العلقة مضغة فخلقنا
+
+58
+00:05:11,200 --> 00:05:21,760
+المضغة عظاما فكسونا العظام لحما فكسونا العظام لحما
+
+59
+00:05:21,760 --> 00:05:33,540
+ثم أنشأناه خلقا آخرفتبارك الله أحسن الخالقين بسم
+
+60
+00:05:33,540 --> 00:05:36,500
+الله الرحمن الرحيم طبعا يعني الفيديو اتكلم حاجة
+
+61
+00:05:36,500 --> 00:05:42,640
+واضحة جدا هو ذكر الهيكل العضمي وذاكر المفاصل اللي
+
+62
+00:05:42,640 --> 00:05:47,020
+من خلالها بتتحرك الهيكل العضمي وذاكر حاجة مهمة جدا
+
+63
+00:05:47,020 --> 00:05:51,860
+هي العضلات فأي جزء من التلت أجزاء هذه في مشكلة صار
+
+64
+00:05:51,860 --> 00:05:56,200
+معناه هيأثر على الحركة أو هيأثر على طبيعة عمل
+
+65
+00:05:56,200 --> 00:05:59,900
+العضو هذاطبعا هو ذكر ايضا اللى هو عدد العظام اللى
+
+66
+00:05:59,900 --> 00:06:03,620
+موجودة في كل مكان في الجسم لو ربما ممكن انتوا
+
+67
+00:06:03,620 --> 00:06:07,780
+انتبهتوا انه الأطراف العلوية فيها عدد عظام كثيرة
+
+68
+00:06:07,780 --> 00:06:10,460
+اكتر من الأطراف السفلية طبعا الـ 32 و تحت طبعا الـ
+
+69
+00:06:10,460 --> 00:06:15,970
+33و 31 طبعا تحت و 32 فوق في الأطراف العلوية طبعا
+
+70
+00:06:15,970 --> 00:06:19,950
+مين اللي بيزود العدد هذا؟ طبعا عندنا العضد و عندنا
+
+71
+00:06:19,950 --> 00:06:23,070
+العضد و عندنا الساعد هذو العظام طويلة لكن بيزود
+
+72
+00:06:23,070 --> 00:06:26,250
+اللي هي العظام القصيرة اللي هي عقلة الأصبع تمام؟ و
+
+73
+00:06:26,250 --> 00:06:29,530
+بالتالة هنلاحظ أنه في عندنا مفاصل كثيرة و بالتالة
+
+74
+00:06:29,530 --> 00:06:33,630
+زي ما ذكرنا في محاضرة الحروق أنه أماكن اللي فيها
+
+75
+00:06:33,630 --> 00:06:37,510
+خطورة بالنسبة للحروق اللي هيالكفين لأن فيها مفاصل
+
+76
+00:06:37,510 --> 00:06:40,490
+لو صار فيه تيابس من المفاصل هذه معناه انا مش هقدر
+
+77
+00:06:40,490 --> 00:06:44,190
+احرك ايديه مش هقدر استفيد منهم طبعا مافيش واحد
+
+78
+00:06:44,190 --> 00:06:47,470
+مننا بيستغنع حركة الأيدين وبالتالي هنا قلنا احنا
+
+79
+00:06:47,470 --> 00:06:50,730
+في مماتق خطيرة لو صار فيها حروق ومنضي منها الكفين
+
+80
+00:06:50,730 --> 00:06:56,250
+هنتعرف شوية هنا بالنسبة للجهاز الهيكلي الحركي طبعا
+
+81
+00:06:56,250 --> 00:07:00,610
+زي ما قلنا يتكون الجهاز الحركي من تلت أجزاء العظمي
+
+82
+00:07:00,610 --> 00:07:05,660
+الهيكل عظمي و العضلي و المفاصلطبعا هناخد كل جزء و
+
+83
+00:07:05,660 --> 00:07:10,220
+إيش المشاكل اللي بتصير فيه و إحنا كيف ممكن نتدخل
+
+84
+00:07:10,220 --> 00:07:13,500
+أو يكون لنا دور لو صار مشكلة من المشاكل هذه طبعا
+
+85
+00:07:13,500 --> 00:07:16,880
+كإسعاف أولي و ليس من ناحية مرضية لأن أحيان بيصير
+
+86
+00:07:16,880 --> 00:07:20,480
+عندنا مشاكل من ناحية مرضية و أحيان بيصير مثلا لو
+
+87
+00:07:20,480 --> 00:07:25,240
+صار إنسان معاه تشنجهذا عرض بأثر عالميا على عضلات
+
+88
+00:07:25,240 --> 00:07:28,960
+أكثر شيء تمام؟ لكن أنا بدأ أتصرف إجابات وأتبع أيش
+
+89
+00:07:28,960 --> 00:07:32,320
+حالة من حالات الطوارئ الهيكل العظمي أو الجهاز
+
+90
+00:07:32,320 --> 00:07:36,300
+الهيكلي بتكلم كعظام جيت حاول تقوم بالجزي الأول هو
+
+91
+00:07:36,300 --> 00:07:38,920
+الجهاز الذي يعطي الجسم شكله العام يعني لما نقول
+
+92
+00:07:38,920 --> 00:07:43,840
+إحنا في الحفريات كيف بيعرف إن هذا مثلا عزيزي الله
+
+93
+00:07:43,840 --> 00:07:49,140
+حيوانأو إنسان أو ديناصور أو أو من خلال الهيكل عظمي
+
+94
+00:07:49,140 --> 00:07:53,120
+وبالتالي الهيكل العظمي بيعطيني الشكل طيب حتى في
+
+95
+00:07:53,120 --> 00:07:58,580
+الإنسان لو احنا مثلا شفنا اتنين أشخاص قدامنا إيش
+
+96
+00:07:58,580 --> 00:08:03,140
+معنى بيقول هذا راجل وهذا سيدة؟من هيكل العظمى من
+
+97
+00:08:03,140 --> 00:08:06,720
+الشكل من الشكل طبعاً ملامح السيدة تختلف عن الراجل
+
+98
+00:08:06,720 --> 00:08:10,700
+وبالتالي هو الأساس اللي يُبنى عليه العضلات وطبعاً
+
+99
+00:08:10,700 --> 00:08:13,660
+زي ما ذكر في القرآن الكريم وبالتالي لما أنا بدي
+
+100
+00:08:13,660 --> 00:08:17,460
+أتكلم على الجهاز العظمى وميز إن هذا كائن إنسان أو
+
+101
+00:08:17,460 --> 00:08:20,680
+هذا كائن مثلا حيوان عزيزي من الله من خلال الهيكل
+
+102
+00:08:20,680 --> 00:08:24,900
+العظمى وبالتالي أول حاجة بيعطيني الشكل الخارجي
+
+103
+00:08:24,900 --> 00:08:29,340
+للمخلوق تاني حاجةالتكوين الجاذب ده ما شوفنا من
+
+104
+00:08:29,340 --> 00:08:34,780
+الفيديو أكم عظمة؟ 206 موزعين في كل جسم زي ما قلنا
+
+105
+00:08:34,780 --> 00:08:39,640
+من أصغر عظمة لعقل الإصبع لأطول عظمة اللي هي عظمة
+
+106
+00:08:39,640 --> 00:08:44,860
+الفخد طبعا في عظام صغيرة كمان موجودة في الأذن لكن
+
+107
+00:08:44,860 --> 00:08:50,240
+نتكلم الحاجات الخارجية اللي شايفينها عقل الإصبع أو
+
+108
+00:08:50,240 --> 00:08:53,960
+عظمة الفخد الطويلة لكن في الأذن ما بنشوفها لكن
+
+109
+00:08:53,960 --> 00:08:59,400
+هناك عظام صغيرة جدايبقى العدد الأساسي مطلوب مننا
+
+110
+00:08:59,400 --> 00:09:02,940
+نعرفه 206 عظام، هذا مطلوب مننا نعرفه، لكن احنا مش
+
+111
+00:09:02,940 --> 00:09:09,660
+طالبين بالضبط كام عظمة في كل مكانطبعا في عندنا
+
+112
+00:09:09,660 --> 00:09:13,340
+هيكل عظمي محوري و هيكل عظمي طرفي زي ما قلنا في
+
+113
+00:09:13,340 --> 00:09:17,980
+عندنا جهاز عصبي مركزي و في عندنا جهاز عصبي طرفي
+
+114
+00:09:17,980 --> 00:09:22,400
+طبعا فالجهاز المحوري اللي هو بتكون من الجمجمة و
+
+115
+00:09:22,400 --> 00:09:26,720
+العمود الفقري و الدلوع و لاحظوا أن الجمجمة تحوي
+
+116
+00:09:26,720 --> 00:09:30,080
+أهم عضو في جسم الإنسان زي ما شوفتم في الفيديو طبعا
+
+117
+00:09:30,080 --> 00:09:34,040
+هو الدماغ بيجي عندك كمان القفص الصدري إيش يحوي؟
+
+118
+00:09:34,830 --> 00:09:39,830
+القلب والرئتين بقى عضو مهم جدا هو إيش القلب بيجي
+
+119
+00:09:39,830 --> 00:09:42,630
+عندى كمان طبعا لما اتكلم على جمجم معناه الجهاز
+
+120
+00:09:42,630 --> 00:09:47,630
+العصب المركزى طبعا بيجي كمان عندى اللى هو العمود
+
+121
+00:09:47,630 --> 00:09:51,570
+الفقري إيش في قلبه النخاع الشوكى النخاع الشوكى
+
+122
+00:09:51,570 --> 00:09:55,730
+تمام وبالتالي هنا في عندى هذه أشياء محورية أشياء
+
+123
+00:09:55,730 --> 00:10:00,490
+محورية أي جزء فيها يصاب بمشكلة معناه هيأثر على
+
+124
+00:10:00,490 --> 00:10:04,530
+باقي الجسم لو جونا مثلا إصابة في الدماغإصابة
+
+125
+00:10:04,530 --> 00:10:08,450
+بالعمود الفقري أثناء مثلًا إصابة أو حادث وصار نقل
+
+126
+00:10:08,450 --> 00:10:13,190
+خاطئ ممكن يصير معاه شلال إصابة بالقلب ممكن يؤدر
+
+127
+00:10:13,190 --> 00:10:16,490
+الوفاة وبالتالي عمود ال .. طبعًا الجهاز الهيكلي
+
+128
+00:10:16,490 --> 00:10:21,950
+المحوري هو أساسي ويدم عناصر أو أعضاء ضرورية جدًا
+
+129
+00:10:21,950 --> 00:10:27,260
+نيجي للجهازالهائي طبعا الهيكلي الطرفي الهيكلي
+
+130
+00:10:27,260 --> 00:10:30,540
+العظمي الطرفي طبعا الحزام الكتفي هو طبعا انا مدب
+
+131
+00:10:30,540 --> 00:10:35,680
+الكتفين او محور الكتفين العظام طبعا الحزام الحوضي
+
+132
+00:10:35,680 --> 00:10:39,820
+طبعا هو المحور اللي بينطلق منه اللي هو ايش الفخذين
+
+133
+00:10:39,820 --> 00:10:42,600
+طبعا لدينا مفاصلة ناحية ال amino acid طبعا الإنسان
+
+134
+00:10:42,600 --> 00:10:46,080
+بالوثم هو نصيناليمين زي ليه صح؟ وبالتالي انا لما
+
+135
+00:10:46,080 --> 00:10:48,980
+بده اعرف انه الإنسان هذا وضعه طبيعي ولا غير طبيعي،
+
+136
+00:10:48,980 --> 00:10:50,980
+بقول مثلا ايدي .. بقولك والله انا ايه؟ عندى إيدي
+
+137
+00:10:50,980 --> 00:10:54,300
+فيها مشكلة أو ورا مشكلة، طب بقولشوف إيدي التانية،
+
+138
+00:10:54,300 --> 00:10:58,080
+بعملش مقارنة مع إنسان تاني، إنسان أنا بعمل مقارنة
+
+139
+00:10:58,080 --> 00:11:01,920
+إيش؟ لنفسه، إيش لنفسه، طبعا عظام الأطراف السفلية و
+
+140
+00:11:01,920 --> 00:11:06,300
+العلويةيبقى هذا اتكون عندنا جهاز محوري وجهاز طرفي
+
+141
+00:11:06,300 --> 00:11:10,140
+المحوري اللي هو طبعا الجمجمة العمود الفقري والضلون
+
+142
+00:11:10,140 --> 00:11:13,500
+أما الطرفي طبعا الطرف العلوية والسفلية وطبعا
+
+143
+00:11:13,500 --> 00:11:17,500
+المحور ال .. ال .. ال .. ال .. الكتفي ومحور الحوض
+
+144
+00:11:17,500 --> 00:11:20,820
+هذه أشياء اللي احنا بدنا يها، لاحظي احنا مابدناش
+
+145
+00:11:20,820 --> 00:11:23,740
+بالتفصيل عدد العظام الموجودة، لكن لما فيديو، بس
+
+146
+00:11:23,740 --> 00:11:27,960
+إيش نظرة عامة بالنسبة لعدد العظام، فضليه
+
+147
+00:11:30,150 --> 00:11:34,050
+وانت وكنت في عظمة أطول من عظمة مثلا عظمة بتاعك هذه
+
+148
+00:11:34,050 --> 00:11:38,570
+أطول من عظمةطبعًا هو موضوع العظام موضوع كبير لكن
+
+149
+00:11:38,570 --> 00:11:44,450
+أنا أوضح لك حاجة الإنسان في عنده إمكانية لزيادة في
+
+150
+00:11:44,450 --> 00:11:48,130
+الجسم وهذه مسموحة لمرحلة النمو طبعًا مرحلة النمو
+
+151
+00:11:48,130 --> 00:11:53,450
+مستمرة لمدى الحياة لكن بتفاوت يعني بعض المناطق
+
+152
+00:11:53,450 --> 00:11:55,830
+بيتوقف فيها النمو بعض المناطق تبعًا بيستمر فيها
+
+153
+00:11:55,830 --> 00:12:00,370
+النمو لكن نسبة النمو بالنسبة للأعضاء تختلف مثلًا
+
+154
+00:12:00,370 --> 00:12:07,260
+نمو الجمجمة بالإنسان بيكون حجمه كبيرتمام؟ تقريبًا
+
+155
+00:12:07,260 --> 00:12:11,020
+على عمر سنة نقول مثلًا الحجم للجمجمة مقابل مثلًا
+
+156
+00:12:11,020 --> 00:12:14,820
+الحجم اللي هو القفص الصدري لكن ما بيستمر النمو في
+
+157
+00:12:14,820 --> 00:12:19,420
+الجمجمة زي النمو مثلًا في الأطراف لكن فيه نمو ضئيل
+
+158
+00:12:19,420 --> 00:12:23,620
+جدًا تمام؟ يعني تقريبًا نقول مثلًا النمو في
+
+159
+00:12:23,620 --> 00:12:27,800
+الجمجمة بزيد مثلًا خلال السنة الأولى اتنين سنة و
+
+160
+00:12:27,800 --> 00:12:30,880
+نص على سبيل المثال في الست شهور طبعًا ست شهور
+
+161
+00:12:30,880 --> 00:12:35,580
+الأولى ست شهور التانية تقريبًا سنة و نصوبالتالي لو
+
+162
+00:12:35,580 --> 00:12:39,280
+صار مشكلة عند أي طفل في مكان نموه العظام، طبعا
+
+163
+00:12:39,280 --> 00:12:42,160
+مكان نموه عظام أخواتنا في منطقة جبل المفسر اللي
+
+164
+00:12:42,160 --> 00:12:45,260
+طبعا هتتكلم عليها، فيها ما يسمونه Epiphysis، طبعا
+
+165
+00:12:45,260 --> 00:12:48,600
+هذه يعني ما قبل نهاية العظام، هذا المنطقة اللي
+
+166
+00:12:48,600 --> 00:12:52,680
+يبينه منها العظام، لو صار فيها خلال، معناه مش
+
+167
+00:12:52,680 --> 00:12:55,680
+هيصير إطالة في العظام نفسها، لكن بيبقى العظام
+
+168
+00:12:55,680 --> 00:13:02,140
+بصورة طبيعية، انه يزيد لحد معينطبعا هذه طبعا بتطلب
+
+169
+00:13:02,140 --> 00:13:06,060
+كمان إيش العوامل بتأثر فيه مثلا عوامل الوراثة في
+
+170
+00:13:06,060 --> 00:13:10,180
+ناس أطفال مثلا أهليهم طوال في ناس أطفال مثلا قصار
+
+171
+00:13:10,180 --> 00:13:14,160
+شوية وبالتالي في عنا عوامل مؤثرة لطول لكن إذا كان
+
+172
+00:13:14,160 --> 00:13:19,120
+مشكلةيعني طفل مثلا طرف أطول من طرف أكبر فيه مشكلة
+
+173
+00:13:19,120 --> 00:13:25,300
+مرضية أو إصابة تمام؟ بمعنى إن مافيش طفل يولد نقول
+
+174
+00:13:25,300 --> 00:13:29,340
+طرف أوطى من طرف أو طرف أعلى من طرف إلا يصاب بمشكلة
+
+175
+00:13:29,340 --> 00:13:33,580
+مرضية أما بصفة عامة الإنسان متساوي من الناحيتين
+
+176
+00:13:33,580 --> 00:13:36,700
+لكن إذا كان فيه مشكلة في طرف معناه في عنده دخل
+
+177
+00:13:36,700 --> 00:13:41,230
+عنده مشكلة أو إصابة أو حادثالالتهابات ممكن تأثر
+
+178
+00:13:41,230 --> 00:13:43,110
+عليها، هتتكلم على الأشياء دي كلها، أيش بيأثر
+
+179
+00:13:43,110 --> 00:13:46,710
+عليها، لكن بيقول احنا إنسان يولد متساوي الناحيتين
+
+180
+00:13:48,110 --> 00:13:50,730
+نتكلم عليها اللي جيتها، ناخد الجهاز المحوري، أول
+
+181
+00:13:50,730 --> 00:13:54,610
+حاجة طبعا الجمجمة، طبعا تحمي اللي هو الدماغ، و
+
+182
+00:13:54,610 --> 00:13:58,790
+بداخله طبعا هي تجويف، بداخله إيش؟ العين، مقلة
+
+183
+00:13:58,790 --> 00:14:02,110
+العين، وهو طبعا مقلة العين يعني ربنا أوجدها في
+
+184
+00:14:02,110 --> 00:14:06,470
+مكان مهم جدا، طبعا لاحظوا يا أخواتنا يعني من كرم
+
+185
+00:14:06,470 --> 00:14:10,390
+ربنا كمان إنه الجمجمة، الدماغ موجود في أعلى جزء في
+
+186
+00:14:10,390 --> 00:14:15,270
+جسم الإنسانطبعًا نظرًا لقيمته وأهميته مش موجود
+
+187
+00:14:15,270 --> 00:14:20,150
+أسفل ولا في الوسط وموجود في مكان مستقل بذاته ومحمي
+
+188
+00:14:20,150 --> 00:14:23,750
+طبعًا بأغشية ومحمي إبسائل نظرًا طبعًا ليش الأهمية
+
+189
+00:14:23,750 --> 00:14:26,990
+وبالتالي نقول مثلًا هو القائد العام لكل أجزاء
+
+190
+00:14:26,990 --> 00:14:31,480
+الجسم لو أصيب هذا المكانمعناه إيش؟ هيتأثر باقي إيش
+
+191
+00:14:31,480 --> 00:14:34,440
+في أجزاء الجسم، لو أصيب القاعد هصير تشتت واتفتت
+
+192
+00:14:34,440 --> 00:14:38,080
+طبعا في إيش؟ في الأطراف، وبالتالي هنا الدماغ ربنا
+
+193
+00:14:38,080 --> 00:14:42,260
+حماه وأوجله في أعلى مكان في الجسم، نظرا لأهميته
+
+194
+00:14:42,260 --> 00:14:45,080
+وقيمته، لأنه لو صار فيه أي مشكلة، معناه هيأثر على
+
+195
+00:14:45,080 --> 00:14:48,720
+كل الجسم، الجمجمة أول حاجة تحميل الدماغ وداخلها
+
+196
+00:14:48,720 --> 00:14:53,960
+موجود طبعا لو تشوفه في العين، طبعا في إن هنا تتكون
+
+197
+00:14:53,960 --> 00:14:57,880
+.. هنا يا أخوات نما اتكلم على الجمجمةالجمجمة لما
+
+198
+00:14:57,880 --> 00:15:02,740
+الإنسان يولد مابتكون مغلقة، مابتكونش مغلقة، في
+
+199
+00:15:02,740 --> 00:15:06,180
+شكلين، في عنا شكلين، في عنا طبعا احنا بيسموه
+
+200
+00:15:06,180 --> 00:15:08,600
+اليفوخ هو ال .. طبعا هو .. بتقول عنه بالعربي ان
+
+201
+00:15:08,600 --> 00:15:13,700
+الفوخ هو اليافوخ أو fontanelle، طبعا في عنا اتنين،
+
+202
+00:15:13,700 --> 00:15:18,240
+يافوخ أمامي و يافوخ خالفي، اليافوخ الخالفي ماخد
+
+203
+00:15:18,240 --> 00:15:23,680
+على شكل مثلث، هذا يغلق بعد الولادةلكن طالما ان في
+
+204
+00:15:23,680 --> 00:15:28,120
+انا عندى عظمتين جان بعض يعتبر هذا مفصل هتكلم نعم
+
+205
+00:15:28,120 --> 00:15:35,660
+تعرف ايه؟ هذا هتكلم ليه؟ انا لسه مخلصش الكلام اصلا
+
+206
+00:15:36,430 --> 00:15:40,050
+فهو .. فهو إن عندنا فيه عامتين أخواتنا يُعتبر
+
+207
+00:15:40,050 --> 00:15:43,130
+مفصل، لكن المفاصل اللي هتتكلم عليه هيش من التفصيل،
+
+208
+00:15:43,130 --> 00:15:46,670
+فعندنا طبعا اللي هو نوعيا من اليفوخ، اليفوخ الخلفي
+
+209
+00:15:46,670 --> 00:15:50,710
+هو ده شكل مثلث يغلق مباشرة بعد الولادة، واليفوخ
+
+210
+00:15:50,710 --> 00:15:53,910
+الأمامي اللي هو شكل معين زي شكل البجلوة يعني
+
+211
+00:15:53,910 --> 00:15:57,510
+بالعربي، هذا يستمر من سنة لسنة و نص، يعني من 12
+
+212
+00:15:57,510 --> 00:16:04,650
+شهر تقريبا ل18 شهرطبعا هنا بيغلق بالتدريج طب هنا
+
+213
+00:16:04,650 --> 00:16:07,670
+يعني لما اتكلم لو قول طب ليش لا ايه يعني مابيغلقش
+
+214
+00:16:07,670 --> 00:16:10,650
+مباشرة حاجة تانية
+
+215
+00:16:14,990 --> 00:16:17,730
+وهذا أحد الأسباب الأساسية، طبعا في عندنا السبب
+
+216
+00:16:17,730 --> 00:16:20,850
+الأول أنه بسهل عملية الولادة، يعني بتلاحظوا عظام
+
+217
+00:16:20,850 --> 00:16:25,570
+الجمجم فيها حركة، وطبعا مساعد على الولادة، الحاجة
+
+218
+00:16:25,570 --> 00:16:30,130
+التانية أنه لو أغلق هذا اليفوخ، معناه أن الدماغ مش
+
+219
+00:16:30,130 --> 00:16:34,370
+هياخد نمو طبيعي، وزي ما نقول هنا في عندنا زيادة،
+
+220
+00:16:34,370 --> 00:16:36,830
+معناه نمو في عندنا زيادة، يعني نمو يعني زيارة
+
+221
+00:16:36,830 --> 00:16:41,130
+يعادة الخلايا، طبعالما اتكلم هنا يا أخواتنا بتتكلم
+
+222
+00:16:41,130 --> 00:16:44,290
+بس بتركز على حاجة معينة عدد خلايا الجهاز العصبي
+
+223
+00:16:44,290 --> 00:16:49,490
+ثابتة، ما بزيد، بزيد حجمه فقط، لكن عدد خلايا الجسد
+
+224
+00:16:49,490 --> 00:16:53,530
+دي بزيد، يعني عدد خلايا الدماغ اللي انولدنا فيها
+
+225
+00:16:53,530 --> 00:16:59,530
+هي هي، ما بيصيرش فيها تغيير، ما بيصيرش فيها تجديد،
+
+226
+00:16:59,530 --> 00:17:03,290
+لأن لو صار فيها تجديد، بتعرفيش حالك أنت وإين، يعني
+
+227
+00:17:03,290 --> 00:17:07,450
+زي أنت متفرمت جهاز الحسوب، بتروح المعلومات كلها،
+
+228
+00:17:07,580 --> 00:17:11,280
+الطبيب الإنسان عمره 80 سنة ممكن يجيبك ذكريات لما
+
+229
+00:17:11,280 --> 00:17:15,680
+كان عمره عشر سنين وأقل من هيكان وبالتالي هنا بيصير
+
+230
+00:17:15,680 --> 00:17:20,720
+عندنا زيادة في حجم الخلايا وليس في عددها وبالتالي
+
+231
+00:17:20,720 --> 00:17:24,800
+طبعا اليفوخ هذا لو احنا ممكن نستدل منه هل هناك
+
+232
+00:17:24,800 --> 00:17:27,840
+مشكلة مرضية ولا لأ، بالتالي أي أخ من الأخوات اللي
+
+233
+00:17:27,840 --> 00:17:30,740
+راحت على مستشفى الأطفال بتلاقي الطبيب أحيان بيضأ
+
+234
+00:17:30,740 --> 00:17:35,230
+بيده إيش على منطقة اليفوخطبعا ليه منطقة طرية
+
+235
+00:17:35,230 --> 00:17:38,470
+وبتلاقي .. بتلاقي احيانا الطفل لو متنفس بتلاقي فيه
+
+236
+00:17:38,470 --> 00:17:43,210
+حركة كمان طبعا هذا لو كان فيها انتفاخ معناه فيها
+
+237
+00:17:43,210 --> 00:17:47,710
+زيادة في الضغط داخل الدماغ وطبعا أحد الأعلامات
+
+238
+00:17:47,710 --> 00:17:51,170
+المؤشرة أنه فيه التهاب لأن دايما الاتهاب بصاحبه
+
+239
+00:17:51,170 --> 00:17:56,750
+يشتورموبالتالي لو كان مثلا لاحظ أنه في انتفاخ في
+
+240
+00:17:56,750 --> 00:18:00,970
+الجمجمة في اليافوخ و الطفل عنده حرارة او ارتفاع
+
+241
+00:18:00,970 --> 00:18:03,890
+بالحرارة الاشتباه الأول يكون عنده meningitis أو
+
+242
+00:18:03,890 --> 00:18:08,510
+ارتفاع بالسحاية ارتفاع بالسحاية او ارتفاع بالأقش
+
+243
+00:18:08,510 --> 00:18:14,570
+المحيط بالدماغ طبعا لو كان فيه ارتفاع في المنطقة
+
+244
+00:18:14,570 --> 00:18:19,320
+هذه لكن لو كانت مستوية طبعا مافيه خوفوان طبعا خايف
+
+245
+00:18:19,320 --> 00:18:21,640
+من الأطفال يقولك الطفل الصغير ييجي يضغط على
+
+246
+00:18:21,640 --> 00:18:24,880
+الجمجمة لإن طبعا هذه قريبة من الدماغ لإن المنطق
+
+247
+00:18:24,880 --> 00:18:29,100
+هذه ما بتكون محمية الدماغ فيها بس بيكون إيش؟ ليه
+
+248
+00:18:29,100 --> 00:18:32,680
+إيش؟ فروة الرأس، لكن بقى ليه طبعا إيش؟ بتسكر من
+
+249
+00:18:32,680 --> 00:18:34,420
+سنة لغاية سنة و نصف
+
+250
+00:18:41,210 --> 00:18:44,950
+بصير عنده عدم نمو طبيعي للدماغ، يعني مثلًا إحنا
+
+251
+00:18:44,950 --> 00:18:47,950
+بالعرب والإنجليزي اللي هي microcephaly أو طبعًا
+
+252
+00:18:47,950 --> 00:18:52,170
+صغر في حجم الدماغ، ودموق طبعًا ونمو الشخص هذا ما
+
+253
+00:18:52,170 --> 00:18:55,730
+بيكون طبيعي، ليش؟ لأنه نمو الدماغ ما كان طبيعي،
+
+254
+00:18:55,730 --> 00:18:58,330
+لأنه لازم يكون في عنده زيادة في حجم خلايا الدماغ
+
+255
+00:18:58,330 --> 00:19:02,400
+بالصورة الطبيعية، وبالتالي لو أغلق مبكربتلاقي حجم
+
+256
+00:19:02,400 --> 00:19:06,560
+وقص الطفل الصغير وها طبعا حجم الدماغ كمان صغير،
+
+257
+00:19:06,560 --> 00:19:10,900
+معناه الدماغ ما خدش وقته في زيارة حجم الخلايا عشان
+
+258
+00:19:10,900 --> 00:19:14,060
+يتطور بصورة طبيعية، لأنه طبعا دايما بصاحب النمو و
+
+259
+00:19:14,060 --> 00:19:21,800
+بصاحب التطور تمام،
+
+260
+00:19:21,800 --> 00:19:24,540
+لو انتوا اتباهتوا شوية هو بالنسبة للفيديو، ذكر إن
+
+261
+00:19:24,540 --> 00:19:28,560
+فيه إن المكان الأساسي لتخزين العناصر المهمة، اللي
+
+262
+00:19:28,560 --> 00:19:31,880
+هي الكالسيوم و الفسفور، اللي هو الإضامةوبالتالي،
+
+263
+00:19:31,880 --> 00:19:36,200
+لو صار عندنا أي مشكلة في نقص الـCalcium أو نقص
+
+264
+00:19:36,200 --> 00:19:39,120
+اللي هو الفوسفور، بيأثر على العظام وعلى نموها.
+
+265
+00:19:39,960 --> 00:19:42,040
+طبعًا، هنتكلم عن إن طبعًا ممكن أحد الأسباب قد اللي
+
+266
+00:19:42,040 --> 00:19:45,580
+لها الشاشة، كثير من بعض، لكن قد يؤدي أيضًا إلى نمو
+
+267
+00:19:45,580 --> 00:19:49,620
+غير طبيعي، والدليل على ذلك، بنلاحظ إن بعض الأمهات،
+
+268
+00:19:49,620 --> 00:19:53,910
+أولانهم يولدوابكساح أو ليه العظام؟ طب مافيه ليه
+
+269
+00:19:53,910 --> 00:19:56,750
+العظام للإكبار وكساح طبعا للأطفال أي إن كان طبعا
+
+270
+00:19:56,750 --> 00:20:00,770
+فيه نقص الكالسيوم هتعمل مثلا عند السيدات لما تكون
+
+271
+00:20:00,770 --> 00:20:05,390
+حامل وما بتاخد الكالسيوم صورة طبيعية أو مثلا تهتمش
+
+272
+00:20:05,390 --> 00:20:09,450
+بتخزييتهافالنتيجة ان الطفل عنده ايش تقوس في العظام
+
+273
+00:20:09,450 --> 00:20:12,930
+طبعا بعد ذلك بده علاج طب هيك بقى الأكل والشرب في
+
+274
+00:20:12,930 --> 00:20:17,910
+الحمل بكون وقايا أسهل لكن بعد ذلك يضطر علاج وتصوير
+
+275
+00:20:17,910 --> 00:20:23,130
+الشعوة وطبعا أدوية وخقر وطبعا مشاكل كتيرة إذا بدنا
+
+276
+00:20:23,130 --> 00:20:25,670
+نعرف أول حاجة أن الجمج مافيها مفاصل إيش نوع
+
+277
+00:20:25,670 --> 00:20:29,310
+المفاصل هذه؟ طبعا مفاصل ثابتة لمّا نسألنا نذكرها
+
+278
+00:20:29,310 --> 00:20:31,690
+أن هذه مفاصل ثابتة مابتتحركة
+
+279
+00:20:35,690 --> 00:20:38,770
+طبعاً .. ال .. ال .. بنقول حاجة مهمة يا أخواتنا،
+
+280
+00:20:38,770 --> 00:20:43,750
+العظام بحد ذاتها ليست مصممة، لو كانت العظام مصممة،
+
+281
+00:20:43,750 --> 00:20:47,630
+الإنسان دايما يكون إيه؟ رأسه تقيل، ولو صار عندي
+
+282
+00:20:47,630 --> 00:20:51,910
+يعني حشه، لأ التجاوف اللي موجودة في العظام، بنشعر
+
+283
+00:20:51,910 --> 00:20:55,110
+برضه بثقل، من ضمن التجاوف اللي موجودة في العظام هي
+
+284
+00:20:55,110 --> 00:21:00,970
+إيش؟ الجيوب الأنفيةالجوب الألفية طبعا موجودة في
+
+285
+00:21:00,970 --> 00:21:05,470
+المقدم في الجبهة وعلى الجنبي على الخدين منها من
+
+286
+00:21:05,470 --> 00:21:11,750
+الأمام تمام الوجنتين نسميها وهذه بتعطي خفة لحجم
+
+287
+00:21:11,750 --> 00:21:17,090
+العظام وأيضا بتعطي صدر للصوتلو واحد كان عنده مثلًا
+
+288
+00:21:17,090 --> 00:21:21,230
+التهاب بالجوب الأنفية صوته بخن يعني زي السماعة
+
+289
+00:21:21,230 --> 00:21:25,810
+اللي مثلًا فيها ثقب أو مش ثابتة تمام؟ لكن لما يكون
+
+290
+00:21:25,810 --> 00:21:28,970
+الإنسان بصورة طبيعية مافيش عنده أي مشاكل صوته واضح
+
+291
+00:21:28,970 --> 00:21:32,390
+انت ممكن تنتبه طبعًا لما تقول هو الله إنسان ليش
+
+292
+00:21:32,390 --> 00:21:36,190
+انت صوتك متغير ومش مبين عليه لأنه صار فيه إن
+
+293
+00:21:36,190 --> 00:21:38,150
+التهابات والتهابات هذه طبعًا فيه ممكن يكون فيها
+
+294
+00:21:38,150 --> 00:21:42,130
+صديد أو التهاب أو تورم وبالتالي يؤثر على صدر الصوت
+
+295
+00:21:42,130 --> 00:21:46,010
+اللي بيصير من خلال الجوب الأنفيةالجمجمة فيهم
+
+296
+00:21:46,010 --> 00:21:50,950
+الموجودة طبعا ايش؟ في الجمجمة ايضا طبعا الجزء
+
+297
+00:21:50,950 --> 00:21:55,650
+الوحيد المتحرك بالنسبة للجمجمة هو الفك السفلي يعني
+
+298
+00:21:55,650 --> 00:21:59,090
+طبعا في عندنا فك علوي و فك سفلي طبعا هو طبعا بيحمل
+
+299
+00:21:59,090 --> 00:22:02,390
+الأسنان الفك السفلي هو المتحرك وهو طبعا في عندنا
+
+300
+00:22:02,390 --> 00:22:07,190
+فكين وهو طبعا هتكلم على بعض المشاكل للعظام للمفاصل
+
+301
+00:22:07,190 --> 00:22:11,170
+لما نصل لها وهو طبعا أحد المشاكل بتصير في الفكين
+
+302
+00:22:11,170 --> 00:22:14,840
+لما الإنسان مثلا بدحك كتيرو بقدرش ارجع الفك مرة
+
+303
+00:22:14,840 --> 00:22:21,100
+تانية طبعا هذا اللي
+
+304
+00:22:21,100 --> 00:22:26,140
+انا ساميه طبعا خلع لما نصل للمفاصلة هتكلم عنه لكن
+
+305
+00:22:26,140 --> 00:22:29,320
+انا اتذكر ان هذا مثال حي انه ممكن يصير عند بعض
+
+306
+00:22:29,320 --> 00:22:33,680
+الناس هطبعا ساميه خلع لأنه مارجعش لمكانه لكن لما
+
+307
+00:22:33,680 --> 00:22:36,200
+نصل للمفاصلة هنوضحه اكتر لأن فيها مراتق تانية ممكن
+
+308
+00:22:36,200 --> 00:22:38,760
+يصير فيها خلع هوريه و طبعا اعيش بعض الصورة
+
+309
+00:22:41,520 --> 00:22:45,860
+نجي الجزء التاني من نسبة جهاز هيكل المحوري طبعا
+
+310
+00:22:45,860 --> 00:22:48,700
+عندنا العمودي فقري و قولنا طبعا عمودي فقري احنا
+
+311
+00:22:48,700 --> 00:22:52,540
+لحظة ناخد بس أرقام بسيطة جدا طبعا في عندنا تلاتة و
+
+312
+00:22:52,540 --> 00:22:56,680
+تلاتين فقرة تلاتة و تلاتين فقرة مقسمة من ضمنها
+
+313
+00:22:56,680 --> 00:23:00,640
+طبعا في عندنا سبعة فقرات العنقية او فقرات العنق
+
+314
+00:23:00,640 --> 00:23:06,800
+طبعا الفقرات هذه كلها مش موجودة مباشرة فوق بعض في
+
+315
+00:23:06,800 --> 00:23:11,970
+بينها بنسميه ال disk او الغضروفالغدروف طبعا هو
+
+316
+00:23:11,970 --> 00:23:19,210
+أصلب من العضلات و أقل صلابة من العظامأقل صلابة من
+
+317
+00:23:19,210 --> 00:23:23,690
+العظام و أسلب من العضلات يعني في نوع من الصلابة
+
+318
+00:23:23,690 --> 00:23:27,070
+لكن مافيش نوع من اليونة زي العضلات طبعا العضلات
+
+319
+00:23:27,070 --> 00:23:32,790
+فيها طراوة وهذا طبعا موجود بين الفقرات هذه عشان لو
+
+320
+00:23:32,790 --> 00:23:36,550
+.. طبعا هنا بساعد على الحركة لأن لو كانت العظام
+
+321
+00:23:36,550 --> 00:23:42,040
+فوق بعضها بصير من المشكلة بصير تآكل في العظامتأكل
+
+322
+00:23:42,040 --> 00:23:45,220
+في العظام طبعا هذه غضاريف لونها أبيض وانت عارفينها
+
+323
+00:23:45,220 --> 00:23:48,760
+طبعا مانهات كل عظمة بنلاقي برضه في غضاريف لكن هنا
+
+324
+00:23:48,760 --> 00:23:52,360
+بين كل فقرة و تانية في غضاريف الغضاريفة طبعا
+
+325
+00:23:52,360 --> 00:23:55,760
+بتساعد ايش على الحركة .. الحركة أحيانا برضه بصير
+
+326
+00:23:55,760 --> 00:24:01,190
+عندنا مشكلة للانزلاقاتانزلاقات طبعا البرتقال تتكلم
+
+327
+00:24:01,190 --> 00:24:03,350
+عليها بالنسبة للمفاصل اللي احنا بيسميه اللي صار
+
+328
+00:24:03,350 --> 00:24:07,270
+عنده disk أو غضروف لإنه صار عنده إزاحة والإزاحة
+
+329
+00:24:07,270 --> 00:24:11,070
+بالنسبة للغضروف بتضغط على النخاع الشوكي وبالتالي
+
+330
+00:24:11,070 --> 00:24:15,330
+بيقولك إيش صار عنده ألم مش قادر يتحرك طبعا أي حاجة
+
+331
+00:24:15,330 --> 00:24:18,230
+بتأثر على النخاع الشوكي سواء من التهاب أو ضغط
+
+332
+00:24:18,230 --> 00:24:22,630
+خارجي أو ورم لا سمح الله طبعا بيأثر على مكان
+
+333
+00:24:22,630 --> 00:24:26,350
+الإصابة وإن هي الإصابة بيأثر على الأطراف طبعا على
+
+334
+00:24:26,350 --> 00:24:27,530
+العصابة الطرفية
+
+335
+00:24:34,250 --> 00:24:42,510
+هواء .. هواء .. هواء .. هواء .. هواء .. هواء ..
+
+336
+00:24:42,510 --> 00:24:46,270
+هواء
+
+337
+00:24:46,270 --> 00:24:58,230
+.. هواء .. هواء .. هواء .. هواء .. هواء
+
+338
+00:24:58,230 --> 00:25:01,090
+.. هواء .. هواء .. هواء .. هواء .. هواء .. هواء ..
+
+339
+00:25:01,090 --> 00:25:01,990
+هواء .. هواء .. هواء .. هواء .. هواء .. هواء ..
+
+340
+00:25:01,990 --> 00:25:02,170
+هواء .. هواء .. هواء .. هواء .. هواء .. هواء ..
+
+341
+00:25:02,170 --> 00:25:03,010
+هواء .. هواء .. هو
+
+342
+00:25:08,810 --> 00:25:12,310
+أنا باتكلمش على عيش طبيعي باتكلم على الناس اللي
+
+343
+00:25:12,310 --> 00:25:15,930
+معتادة على الشيء هذا طبعا خوفا إنه يصير ضغط على
+
+344
+00:25:15,930 --> 00:25:20,270
+الفقرات نفسه يصير طبعا disk أو إزاحة فإحنا ليش
+
+345
+00:25:20,270 --> 00:25:24,570
+نعرض نفسنا للشيء هذا زي أنا أقول مثال بسيط جدا زي
+
+346
+00:25:24,570 --> 00:25:28,830
+إنسان مثلا العطاس هذا يعني نعمة من ربنا اللي بكتم
+
+347
+00:25:28,830 --> 00:25:33,750
+العطسة برضه فيه خطورةلأن الزيادة .. لأ بيقدروا لأن
+
+348
+00:25:33,750 --> 00:25:36,310
+في زيادة بيكون على الضغط على داخل الدماغ وممكن
+
+349
+00:25:36,310 --> 00:25:41,850
+أدّي الانفجار أو نزيف بسيط داخل الدماغ تمام؟ إذا
+
+350
+00:25:41,850 --> 00:25:44,270
+بيبقى بنعرف الرقم هذا إن في عندنا تلاتة و تلاتين
+
+351
+00:25:44,270 --> 00:25:47,750
+فقرا موجودة طبعا هي زي ما الفيديو كان قسملها إلنا
+
+352
+00:25:47,750 --> 00:25:52,090
+لكن إحنا بس مطلوب إن إيش الرقم هذا الواضح طبعا هي
+
+353
+00:25:52,090 --> 00:25:56,690
+التقسيمة أول حاجة في عندنا سبع فقرات عنقية طبعا في
+
+354
+00:25:56,690 --> 00:26:00,950
+العنق سبع فقرات تمام؟ في عندنا اتناشر فقرة صدرية
+
+355
+00:26:01,640 --> 00:26:07,680
+طبعا هو طبعا موصول فيها اللي هو الأضلاع فيه إن
+
+356
+00:26:07,680 --> 00:26:11,740
+فقرات القطنية اللي هي بالخلف طبعا مش موصول طبعا
+
+357
+00:26:11,740 --> 00:26:15,420
+قبل نهاية العمود الفقري لكن مش موصول فيها الأضلاع
+
+358
+00:26:15,420 --> 00:26:21,840
+الأضلاع موصولين إيش في ال 12 فقرات عجزية طبعا و هي
+
+359
+00:26:21,840 --> 00:26:27,220
+ملتحمة مع بعضأطلب عنه لأنه طبعًا تجريبًا في التقوس
+
+360
+00:26:27,220 --> 00:26:30,000
+البسيط مع نهاية طبعًا اللي هو العمود الفقرية
+
+361
+00:26:30,000 --> 00:26:35,020
+والفقرات العصعوسية لنهاية العمود الفقر يعني طبعًا
+
+362
+00:26:35,020 --> 00:26:37,740
+نهاية العمود الفقر هي الفقرات العصعوسية اللي ما
+
+363
+00:26:37,740 --> 00:26:41,280
+بيصلها النخع الشوكي وبرضه الفقراء الطبع العزيزي
+
+364
+00:26:41,280 --> 00:26:45,690
+برضه ما بيصلها النخع الشوكيوالدليل علي ذلك أنه لما
+
+365
+00:26:45,690 --> 00:26:49,190
+يصير عينة .. طبعا أخذ عينة من سائل النخاع الشوكي
+
+366
+00:26:49,190 --> 00:26:53,470
+من العمود الفقر لكن من فقرات القطنية أو القطنية هي
+
+367
+00:26:53,470 --> 00:26:57,690
+بالسموها تمام؟ لأن ما بيصلها لأن لو صار من فقرات
+
+368
+00:26:57,690 --> 00:27:01,590
+أعلى معناه هيصير وخز للنخاع الشوكي هذا طبعا مشكلة
+
+369
+00:27:02,230 --> 00:27:05,250
+تمام؟ يبقى بالتالي أي إنسان بيبقى عند إشتباه مثلا
+
+370
+00:27:05,250 --> 00:27:09,970
+في التهاب السحاية أو مثلا للحمة الشوكية بتاخد بزل
+
+371
+00:27:09,970 --> 00:27:13,530
+من سائل النخاع الشوكي من الفقرات القطانية اللي هي
+
+372
+00:27:13,530 --> 00:27:17,910
+موجودة في أسفل العمود الفقري وليس النخاع الشوكي
+
+373
+00:27:17,910 --> 00:27:24,070
+طيب
+
+374
+00:27:24,070 --> 00:27:27,410
+القفص الصدري طبعا جزء تالت طبعا قلنا بيحتوي على 18
+
+375
+00:27:27,410 --> 00:27:33,830
+زوج متصلات مع بعض وين بعضمة القصيبقى عضمة القص
+
+376
+00:27:33,830 --> 00:27:38,030
+نقدر نقود ما بين عضمة القص وعظام قفص صدري فيه مفصل
+
+377
+00:27:38,030 --> 00:27:41,770
+ولا مافيش مفصال؟ فيه، ده كان حاسس نوعها طبعا غير
+
+378
+00:27:41,770 --> 00:27:45,270
+متحرك طبعا لما نسألنا في أن مفاصل تلت أنواع، هنحدد
+
+379
+00:27:45,270 --> 00:27:53,310
+بالضبط والدليل
+
+380
+00:27:53,310 --> 00:27:57,690
+على أن في حركة لما اتكلمنا على التنفس الطبيعي،
+
+381
+00:27:57,690 --> 00:28:02,570
+بقولنا احنا في عناالاتساع من ناحية فقية والاتساع
+
+382
+00:28:02,570 --> 00:28:07,230
+من ناحية رأسية الاتساع من ناحية رأسية اللي طبعا هو
+
+383
+00:28:07,230 --> 00:28:11,130
+انقباض الحجاب الحاجز والاتساع من ناحية فقية اللي
+
+384
+00:28:11,130 --> 00:28:14,790
+هو IH اتساع انقباض في عضلات القرف الصدري اللي
+
+385
+00:28:14,790 --> 00:28:20,270
+هتحرك معاها فقرات العظمية اللي موجودة IH في الصدر
+
+386
+00:28:28,240 --> 00:28:32,400
+طبعًا من ناحية تركيب أو تشريح بالنسبة للعظام أهم
+
+387
+00:28:32,400 --> 00:28:36,760
+عنصر موجود فيها تقريبًا فوق 90% من الكالسيوم موجود
+
+388
+00:28:36,760 --> 00:28:41,000
+في العظام المخزن الأساسي بالنسبة لكالسيوم طبعًا هو
+
+389
+00:28:41,000 --> 00:28:46,520
+العظام طبعًا ال .. مين أقوى العظام ولا الأسنان
+
+390
+00:28:46,520 --> 00:28:53,060
+الأسنان
+
+391
+00:28:53,060 --> 00:28:53,740
+ولا العظام
+
+392
+00:28:58,590 --> 00:29:01,650
+الأسنان أقوى من العظام، الأسنان أقوى من العظام،
+
+393
+00:29:01,650 --> 00:29:04,010
+لكن لإن أنا غنية برضه أيش بالكالسيوم، وبالتالي لما
+
+394
+00:29:04,010 --> 00:29:06,610
+نلاحظ إن الإنسان عنده مشكلة بالكالسيوم، هيأثر برضه
+
+395
+00:29:06,610 --> 00:29:13,590
+أيش على العظام، على أسنان، عسف، وبالتالي
+
+396
+00:29:13,590 --> 00:29:16,510
+لما نقول إحنا أي إنسان عنده كسور، أهم أكل بيكون
+
+397
+00:29:16,510 --> 00:29:20,670
+إله أيش؟ أغذية غنية بالكالسيوم و الفسفور، لكن طبعا
+
+398
+00:29:20,670 --> 00:29:21,830
+الكالسيوم أيش رقم واحد
+
+399
+00:29:27,540 --> 00:29:32,460
+طبعا هنتكلم على النمو مرحلة البلوغ بتوقف النمو
+
+400
+00:29:32,460 --> 00:29:35,680
+لأنه ما بيزيج واحنا قولنا فيه زيادة في الجسم في
+
+401
+00:29:35,680 --> 00:29:39,820
+نمو الجسم لكن بتفاوت نسب بسيطة أو نسب سريعة يعني
+
+402
+00:29:39,820 --> 00:29:43,220
+نسبة الزيادة مثلا في عظام الجمجمة ليست هي نسبة
+
+403
+00:29:43,220 --> 00:29:46,760
+زيادة كما في الأطرافلأن لو كان عندى نسبة زيادة في
+
+404
+00:29:46,760 --> 00:29:49,900
+عظام الجمجمان كما هي نسبة زيادة في عظام الأطراف،
+
+405
+00:29:49,900 --> 00:29:52,680
+مع ان الانسان عايش حجم الرأس بيكون كبير جدا، لكن
+
+406
+00:29:52,680 --> 00:29:55,320
+متالي خلال السنة الأولى تقريبا اتنين سنة و نص
+
+407
+00:29:55,320 --> 00:29:58,660
+مزيد، الست شهور الأولى ست شهور التانية تقريبا سنت
+
+408
+00:29:58,660 --> 00:30:02,920
+و نص، لكن بعد هيك بيبدأ يقل تدريجيا، تمام؟ لكن أنا
+
+409
+00:30:02,920 --> 00:30:05,840
+بقول أن في عندنا نمو بالنسبة للعظام عند مرحلة
+
+410
+00:30:05,840 --> 00:30:10,230
+البلوغ يتوقفولّا كان الإنسان بزيد نموه أو بعد
+
+411
+00:30:10,230 --> 00:30:14,510
+مراحة البلوغ بتظل إيش؟ بتصعد لكن مين أطول من مين؟
+
+412
+00:30:14,510 --> 00:30:17,470
+مقولش والله هذا أفلان أطول من أفلان معناه هذا نموه
+
+413
+00:30:17,470 --> 00:30:21,270
+توقف، لأ طبعا في إن عوامل بتأثر وخاصة طبعا إيش؟
+
+414
+00:30:21,270 --> 00:30:26,840
+عامل الوراثية، الوراثية نعمطبعًا، هنا قدرة العظام
+
+415
+00:30:26,840 --> 00:30:29,880
+على إصلاح نفسها بنفسها، بمعنى، طبعًا، لما يصير
+
+416
+00:30:29,880 --> 00:30:34,040
+عندنا كسر، بيصير تكتر .. ال .. عشان تتم الإصلاح،
+
+417
+00:30:34,040 --> 00:30:36,480
+زي وصلة ما بين العظام، بيسموه Calcification أو ت
+
+418
+00:30:36,480 --> 00:30:40,740
+.. ت .. تراكم الكالسيوم على مكان العظام، وفي حال
+
+419
+00:30:40,740 --> 00:30:43,540
+التأم مائة في المية، الجبلة هذه الصغيرة اللي
+
+420
+00:30:43,540 --> 00:30:47,780
+بتصير، بيصير إنها تآكل، عشان ترجعش العظام ملتحمة
+
+421
+00:30:47,780 --> 00:30:50,620
+كما هي، لكن أي كسر، عشان احنا نكون عارفين يا
+
+422
+00:30:50,620 --> 00:30:55,080
+خواتنا، أي مشكلة في العظام،بيضال إلى أثر وخاصة مع
+
+423
+00:30:55,080 --> 00:31:00,060
+الجو البارد أي مشكلة في الجو البارد بزيد بأثر حتى
+
+424
+00:31:00,060 --> 00:31:04,780
+لو كان صار التأم 100% لكن في الجو البارد بشعر أن
+
+425
+00:31:04,780 --> 00:31:08,600
+فيه ألم سبحان الله طبعاً ما بتصلش لخلقة ربانية
+
+426
+00:31:08,600 --> 00:31:12,820
+تمام و تمام قبل الكسر بعد الكسر صار التأم صحيح لكن
+
+427
+00:31:12,820 --> 00:31:16,280
+بيضال أثر من الألم وخاصة في الجو اللي فيه انخفاض
+
+428
+00:31:16,280 --> 00:31:17,060
+درجة الحرارة
+
+429
+00:31:20,430 --> 00:31:24,990
+طبعًا مع تقدم العمر إشي طبيعي إنه ينقص هذا الـ
+
+430
+00:31:24,990 --> 00:31:27,670
+Calcium يعني إحنا بنشبه دايما طالع نيوردة في
+
+431
+00:31:27,670 --> 00:31:31,430
+القرآن الكريم رب إني وهن العظم مني واشتعل رأسه
+
+432
+00:31:31,430 --> 00:31:34,330
+شايبا ده ليه اللي على الكبر؟ شيء طبيعي إحنا كلنا
+
+433
+00:31:34,330 --> 00:31:39,860
+بصير إنا يعني الهشاشةبالصير تدريجياً، حسب العمر
+
+434
+00:31:39,860 --> 00:31:43,780
+الكبير، أه، احنا يعني دايماً في العظام بنشبهها زي
+
+435
+00:31:43,780 --> 00:31:47,780
+كوز الليف، تمام؟ كوز الليف فيه فراغات، لكن لما
+
+436
+00:31:47,780 --> 00:31:51,720
+تزيد المسافات هذه، هيضعف، هيصير هش، وطبعاً هش هشة
+
+437
+00:31:51,720 --> 00:31:55,240
+العظام، تمام؟ وبالتالي لما الإنسان بيكبر، الشيء
+
+438
+00:31:55,240 --> 00:31:57,860
+الطبيعي أنه، بنقول حتى الكثر بالنسبة للإنسان
+
+439
+00:31:57,860 --> 00:32:02,080
+الكبير في العمر، صعب جداً، لأنه مش هيلتان بصورةلكن
+
+440
+00:32:02,080 --> 00:32:05,260
+عندما أقول إن عندي هشاشة في العظام للسن لإنسان
+
+441
+00:32:05,260 --> 00:32:10,780
+مقتبل العمر أو سن صغير، يبقى أن في عنده مشكلة. هد
+
+442
+00:32:10,780 --> 00:32:14,920
+في عنده مشكلة إن في خاصة ممكن يكون أورام بالعظام
+
+443
+00:32:14,920 --> 00:32:19,020
+نفسها أو بياخد علاجات بتأثر على انتصاص الكالسيوم
+
+444
+00:32:19,560 --> 00:32:24,780
+تمام؟ أو في عنده مثلا نقص في عنصر الكالسوم سوء
+
+445
+00:32:24,780 --> 00:32:28,240
+تخدية وبالتالي هنتكلم على هشاشة العضوام مع تقدم
+
+446
+00:32:28,240 --> 00:32:33,340
+العمر لكن ليس واضحة أو طبيعية في جيل الشباب أو
+
+447
+00:32:33,340 --> 00:32:36,260
+طبعا إيش؟ طبعا نقول مثلا أقل من أربعين سنة لكن بعد
+
+448
+00:32:36,260 --> 00:32:40,640
+كده طبيعي لكن الأقل بصير مشكلة طبعا مين .. مين
+
+449
+00:32:40,640 --> 00:32:43,960
+أكتر الناس بيكون عنده هشاشة في العضوام؟السيدات ولا
+
+450
+00:32:43,960 --> 00:32:47,780
+الرجال؟ طبعا السيدات بسبب الحمل أكتر .. طبعا بسبب
+
+451
+00:32:47,780 --> 00:32:51,000
+الحمل أكتر وها طبعا عايزين نقول احنا اي سيدة حامل
+
+452
+00:32:51,000 --> 00:32:55,060
+لازم تزود غذائها بالنسبة لتاخد اللي هو عنصر
+
+453
+00:32:55,060 --> 00:33:00,780
+الكاليسيوم طبعا
+
+454
+00:33:00,780 --> 00:33:04,170
+ماشي ناخد الوضع افهد يعني و ننهي فيهاأول وظيفة
+
+455
+00:33:04,170 --> 00:33:05,990
+بالنسبة للوظيفة العظامية .. طبعا هذه مهمة جدا لنا
+
+456
+00:33:05,990 --> 00:33:08,190
+.. فاضل كمان تُعطي الشكل العام زي ما قلنا احنا
+
+457
+00:33:08,190 --> 00:33:10,990
+ممكن نفرق بين راجل وست أو مثلا الحفريات .. طبعا هي
+
+458
+00:33:10,990 --> 00:33:16,250
+بتعطينا أيش؟ دليل المخلوق .. طبعا تعتبر كروافع
+
+459
+00:33:16,250 --> 00:33:20,440
+العظامة نفسهاممكن طبعًا قوية، لكن بيبقى شيء اللي
+
+460
+00:33:20,440 --> 00:33:24,420
+يجذبها وده ذلك إن بيقول مثلًا اتساع في القفص
+
+461
+00:33:24,420 --> 00:33:27,740
+الصدري من ناحية أفقية إن عظام القفص الصدري صار
+
+462
+00:33:27,740 --> 00:33:31,640
+فيها انقباض وطبعًا جذبت العظام معها وبالتالي هنا
+
+463
+00:33:31,640 --> 00:33:34,240
+يا أخواتنا يعني فكرة الروافع الهيدروليكي طبعًا
+
+464
+00:33:34,240 --> 00:33:37,280
+عنده فكرة بالنسبة للطلاب الهندسة في الهيدروليكي
+
+465
+00:33:37,280 --> 00:33:41,600
+طبعًا فيها الروافع طبعًا بيصير طبعًا يعني زيادة في
+
+466
+00:33:41,600 --> 00:33:45,990
+طرف ونقص في طرف يعني انقباض في طرفو تمدد في طرف
+
+467
+00:33:45,990 --> 00:33:50,030
+لما اقول مثلا في عندى مثلا منطقة ايش العدد هذا هي
+
+468
+00:33:50,030 --> 00:33:53,190
+انا بدى حرك مثلا الساعد بيصير ان طبعا في عندنا
+
+469
+00:33:53,190 --> 00:33:55,990
+العدل ذات ثلاث رؤوس طبعا داخلية بيصير عندنا انقباض
+
+470
+00:33:55,990 --> 00:33:59,630
+و ذات الرأس يانطباع بيصير انبساط و العكس صحيح
+
+471
+00:34:00,410 --> 00:34:03,570
+انقباض دايما وين فيه انقباض معناه فيه قصر في
+
+472
+00:34:03,570 --> 00:34:07,090
+العضلة وين فيه انبساط فيه سطالة في العضلة والدليل
+
+473
+00:34:07,090 --> 00:34:10,370
+على ذلك كمان لما اتكلم ان في عندى انا اتساع من
+
+474
+00:34:10,370 --> 00:34:13,170
+ناحية رأسية بالنسبة للقفص الصدري انه صار عندى
+
+475
+00:34:13,170 --> 00:34:16,930
+انقباض في عضلة الحجاب الحاجز لما يصير فيه ارتخاء
+
+476
+00:34:16,930 --> 00:34:19,830
+في عضلة الحجاب الحاجز معناه هتصغر المسافة داخل ايش
+
+477
+00:34:19,830 --> 00:34:25,270
+الصدر تلاتة حماية الانسجان وهمة طبعا يقولنا ايش
+
+478
+00:34:25,270 --> 00:34:30,600
+الدماغ و القلبوالحبل الشوكي بتكوين خلايا الدم طب
+
+479
+00:34:30,600 --> 00:34:33,800
+نكون صورة واضحة خلايا الدم الإنسان بتتكوى عنده
+
+480
+00:34:33,800 --> 00:34:39,440
+خلايا الدم وهو البطن إمه من الكبد بعد ما يولد بصير
+
+481
+00:34:39,440 --> 00:34:43,480
+المسئولية للعظام يعني العظام وظيفتها بعد الولادة
+
+482
+00:34:43,480 --> 00:34:48,000
+تكوين خلايا دم حمراء لكن جبل طبعا بيصير إيش؟ بيكون
+
+483
+00:34:48,000 --> 00:34:50,180
+موجود في الكبد وهو طبعا الشيء اللي الحين لاحظناه
+
+484
+00:34:50,180 --> 00:34:54,750
+أنه في حال النزيف بينشطإنه خلّى العظم العظمي
+
+485
+00:34:54,750 --> 00:34:59,950
+لتكوين خلايا دم حمراء عشان تساعد في اتعود الجزء
+
+486
+00:34:59,950 --> 00:35:08,450
+المفقود وتعود في إمكانية حمل الـOxygen طبعاً
+
+487
+00:35:08,450 --> 00:35:11,190
+العظام تلتقي مع بعض زي ما قلنا في الجهاز اللي في
+
+488
+00:35:11,190 --> 00:35:13,910
+الفيديو شفناه تلتقي مع بعض وتكوّل المفاصل والمفاصل
+
+489
+00:35:13,910 --> 00:35:16,870
+طبعاً دي تلت أنواع هناخد هذه بالتفصيل إن شاء الله
+
+490
+00:35:16,870 --> 00:35:22,270
+في لقاءة الفيديونسأل جزئية العضلات و نكملها المرة
+
+491
+00:35:22,270 --> 00:35:25,050
+الجاية بإن لا اتعالم الله يعطيكوا ألف حافة يا ربنا
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/F0acRMK-Ta8_raw.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/F0acRMK-Ta8_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..ead5c330cd660445dbf0d429860043a4908108fa
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/F0acRMK-Ta8_raw.srt
@@ -0,0 +1,1992 @@
+1
+00:00:05,150 --> 00:00:06,870
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:06,870 --> 00:00:09,130
+الرحيم والصلاة والسلام وعلى أشرف المرسلين سيدنا
+
+3
+00:00:09,130 --> 00:00:13,430
+محمد وعليه والصحابي وسلم طبعا بنقول مرة تانية كل
+
+4
+00:00:13,430 --> 00:00:17,650
+عاملتم بخير وان شاء الله يكون يعني خير من ربنا إلى
+
+5
+00:00:17,650 --> 00:00:20,850
+الفصل وخير لنا ان شاء الله بعد صيامنا شهر رمضان
+
+6
+00:00:20,850 --> 00:00:24,390
+اليوم هتكلم على موضوع .. هذا موضوع مهم .. موضوع
+
+7
+00:00:24,390 --> 00:00:28,980
+مركب أو معقد شويةلأن طبعا الموضوع طويل و بيتناول
+
+8
+00:00:28,980 --> 00:00:32,540
+تلت أجزاء و هى طبعا أجزاء مهمة جدا فى حياتنا أي
+
+9
+00:00:32,540 --> 00:00:35,800
+جزء بيصير عقب فيه معناه بيأثر على الجزئين الباقين
+
+10
+00:00:35,800 --> 00:00:40,580
+الا طبعا هو اللى هو الجهاز الحركى او الهيكل الحركى
+
+11
+00:00:40,580 --> 00:00:44,060
+طبعا طالما انه هيكلي حركى يبقى فى عندنا هيكل و فى
+
+12
+00:00:44,060 --> 00:00:47,260
+عندنا طبعا أشياء مساعدة بالنسبة للحركة طبعا أنا
+
+13
+00:00:47,260 --> 00:00:49,920
+قبل ما اتكلم على الموضوع هذا فى عندنا بس فيديو
+
+14
+00:00:49,920 --> 00:00:55,970
+بسيط طبعا هذا الفيديو هناخد بس بصورة بسيطةوعمل
+
+15
+00:00:55,970 --> 00:01:02,350
+الهيكل العظمى يعتبر الهيكل العظمى دعامة رئيسة
+
+16
+00:01:02,350 --> 00:01:08,490
+حاملة بجسم الإنسان لبقائه ممتصبة ويعتبر الهيكل
+
+17
+00:01:08,490 --> 00:01:13,570
+العظمى الهيكل المشكل لجسم الإنسان والحامي لما في
+
+18
+00:01:13,570 --> 00:01:18,990
+داخله من أجزاء حيوية ومهمة مثل الدماغ المحمي داخل
+
+19
+00:01:18,990 --> 00:01:24,700
+الجمجمة القاسيةومثل القلب و الرئة المحميان داخل
+
+20
+00:01:24,700 --> 00:01:31,120
+القفص الصدري ليس هذا فحسب فالهيكل العظمي يقوم
+
+21
+00:01:31,120 --> 00:01:35,740
+بتأدية وظائف أخرى مثل تمكين الجسم من الحركة بطرق
+
+22
+00:01:35,740 --> 00:01:40,740
+مختلفة بالاضافة إلى إنتاج كريات الدم الحمراء في
+
+23
+00:01:40,740 --> 00:01:45,920
+داخل الإظام العريضة مثل أضلاع القفص الصدريناهيك عن
+
+24
+00:01:45,920 --> 00:01:50,100
+أن الأعظام تعتبر مخزنا لبعض الأملاح المعدنية
+
+25
+00:01:50,100 --> 00:01:56,340
+الهامة مثل الكالسيوم والفسفور يتكون
+
+26
+00:01:56,340 --> 00:02:02,700
+الهيكل العظمى من 206 عظمة يختلف حجم وشكل كل منها
+
+27
+00:02:02,700 --> 00:02:08,020
+عن الآخر تتوزع عظام الهيكل العظمى في الجسم على
+
+28
+00:02:08,020 --> 00:02:14,670
+النحو التالي21 عظمة في الجمجمة التي تعتبر الحصن
+
+29
+00:02:14,670 --> 00:02:21,690
+المنيع لحماية الدماغ قائد أنظمة الجسم كاملة 6 عظام
+
+30
+00:02:21,690 --> 00:02:28,290
+صغيرة في داخل الأذنين عظمة واحدة تشكل الفك سفلي
+
+31
+00:02:28,290 --> 00:02:36,910
+عظمة واحدة تشكل جسم العظم اللامي26 عظمة في العمود
+
+32
+00:02:36,910 --> 00:02:42,170
+الفقري الذي يعتبر أهم أجزاء الهيكل العظمى والدعامة
+
+33
+00:02:42,170 --> 00:02:48,050
+الرئيسة للجسم وقد سمى بهذا الاسم بسبب تكونه من
+
+34
+00:02:48,050 --> 00:02:53,230
+مجموعة من الفقرات المتراكبة والمفصولة بوسادات
+
+35
+00:02:53,230 --> 00:02:59,090
+غضروفية تسمح لهذه الفقرات بالحركة البسيطة دون تآكل
+
+36
+00:02:59,090 --> 00:03:00,310
+هذه الفقرات
+
+37
+00:03:02,550 --> 00:03:07,350
+12 زوجا من العظام في القفص الصدري والذي يعتبر
+
+38
+00:03:07,350 --> 00:03:13,690
+القفص الحامي للرئتين والقلب عظمة واحدة تشكل عظمة
+
+39
+00:03:13,690 --> 00:03:22,010
+القص 32 عظمة لكل من الطرفين العلويين وهذا العدد من
+
+40
+00:03:22,010 --> 00:03:26,750
+العظام يعني وجود مفاصلة أكثر في الأطراف وبالتالي
+
+41
+00:03:26,750 --> 00:03:34,670
+حرية أكبر في أداء الحركات المختلفةو 31 عظمة لكل من
+
+42
+00:03:34,670 --> 00:03:39,590
+الطرفين السفليين وهذا العدد يمنح الأطراف السفلية
+
+43
+00:03:39,590 --> 00:03:45,270
+حرية كبيرة في الحركة ولكن أقل من حرية حركة الأطراف
+
+44
+00:03:45,270 --> 00:03:51,790
+العلوية يربط العظام بعضها البعض مفاصل مختلفة
+
+45
+00:03:51,790 --> 00:03:57,070
+الأشكال تسمح لأجزاء الهيكل العظمي بالحركة وبالتالي
+
+46
+00:03:57,070 --> 00:04:03,900
+السماح للجسم البشري بالحركةويثبت المفاصل ببعضها
+
+47
+00:04:03,900 --> 00:04:09,160
+البعض انسجة رابطة تمنع المفاصل من الحركة بطريقة
+
+48
+00:04:09,160 --> 00:04:16,720
+خاطئة كل مفصل في الجسم له شكل يختلف عن الآخر وهذا
+
+49
+00:04:16,720 --> 00:04:21,160
+الاختلاف في الشكل عائد إلى اختلاف قدرة حركة ذلك
+
+50
+00:04:21,160 --> 00:04:26,900
+الجزء المرتبط بالمفصل وسوف يتم ان شاء الله التفصيل
+
+51
+00:04:26,900 --> 00:04:33,570
+في هذا الموضوع في درس كيف تعمل عضلاتنايرتبط
+
+52
+00:04:33,570 --> 00:04:37,930
+بالهيكل العظمى الجهاز العطلي الذي يقوم بتحريك
+
+53
+00:04:37,930 --> 00:04:42,270
+العظام عند انقباض او ارتخاء العضلات المرتبطة
+
+54
+00:04:42,270 --> 00:04:48,210
+بالجزء المطلوب تحريكه من الهيكل العظمى ومن الجدير
+
+55
+00:04:48,210 --> 00:04:52,490
+بالذكر ان العظام ذُكرت في القرآن الكريم في قوله
+
+56
+00:04:52,490 --> 00:04:57,790
+تعالى باسم الله الرحمن الرحيم
+
+57
+00:05:00,760 --> 00:05:11,200
+ثم خلقنا النطقة علقة فخلقنا العلقة مضغة فخلقنا
+
+58
+00:05:11,200 --> 00:05:21,760
+المضغة عظاما فكسونا العظام لحما فكسونا العظام لحما
+
+59
+00:05:21,760 --> 00:05:33,540
+ثم أنشأناه خلقا آخرفتبارك الله أحسن الخالقين بسم
+
+60
+00:05:33,540 --> 00:05:36,500
+الله الرحمن الرحيم طبعا يعني الفيديو اتكلم حاجة
+
+61
+00:05:36,500 --> 00:05:42,640
+واضحة جدا هو ذكر الهيكل العضمي وذاكر المفاصل اللي
+
+62
+00:05:42,640 --> 00:05:47,020
+من خلالها بتتحرك الهيكل العضمي وذاكر حاجة مهمة جدا
+
+63
+00:05:47,020 --> 00:05:51,860
+هي العضلات فأي جزء من التلت أجزاء هذه في مشكلة صار
+
+64
+00:05:51,860 --> 00:05:56,200
+معناه هيأثر على الحركة أو هيأثر على طبيعة عمل
+
+65
+00:05:56,200 --> 00:05:59,900
+العضو هذاطبعا هو ذكر ايضا اللى هو عدد العظام اللى
+
+66
+00:05:59,900 --> 00:06:03,620
+موجودة في كل مكان في الجسم لو ربما ممكن انتوا
+
+67
+00:06:03,620 --> 00:06:07,780
+انتبهتوا انه الأطراف العلوية فيها عدد عظام كثيرة
+
+68
+00:06:07,780 --> 00:06:10,460
+اكتر من الأطراف السفلية طبعا الـ 32 و تحت طبعا الـ
+
+69
+00:06:10,460 --> 00:06:15,970
+33و 31 طبعا تحت و 32 فوق في الأطراف العلوية طبعا
+
+70
+00:06:15,970 --> 00:06:19,950
+مين اللي بيزود العدد هذا؟ طبعا عندنا العضد و عندنا
+
+71
+00:06:19,950 --> 00:06:23,070
+العضد و عندنا الساعد هذو العظام طويلة لكن بيزود
+
+72
+00:06:23,070 --> 00:06:26,250
+اللي هي العظام القصيرة اللي هي عقلة الأصبع تمام؟ و
+
+73
+00:06:26,250 --> 00:06:29,530
+بالتالة هنلاحظ أنه في عندنا مفاصل كثيرة و بالتالة
+
+74
+00:06:29,530 --> 00:06:33,630
+زي ما ذكرنا في محاضرة الحروق أنه أماكن اللي فيها
+
+75
+00:06:33,630 --> 00:06:37,510
+خطورة بالنسبة للحروق اللي هيالكفين لأن فيها مفاصل
+
+76
+00:06:37,510 --> 00:06:40,490
+لو صار فيه تيابس من المفاصل هذه معناه انا مش هقدر
+
+77
+00:06:40,490 --> 00:06:44,190
+احرك ايديه مش هقدر استفيد منهم طبعا مافيش واحد
+
+78
+00:06:44,190 --> 00:06:47,470
+مننا بيستغنع حركة الأيدين وبالتالي هنا قلنا احنا
+
+79
+00:06:47,470 --> 00:06:50,730
+في مماتق خطيرة لو صار فيها حروق ومنضي منها الكفين
+
+80
+00:06:50,730 --> 00:06:56,250
+هنتعرف شوية هنا بالنسبة للجهاز الهيكلي الحركي طبعا
+
+81
+00:06:56,250 --> 00:07:00,610
+زي ما قلنا يتكون الجهاز الحركي من تلت أجزاء العظمي
+
+82
+00:07:00,610 --> 00:07:05,660
+الهيكل عظمي و العضلي و المفاصلطبعا هناخد كل جزء و
+
+83
+00:07:05,660 --> 00:07:10,220
+إيش المشاكل اللي بتصير فيه و إحنا كيف ممكن نتدخل
+
+84
+00:07:10,220 --> 00:07:13,500
+أو يكون لنا دور لو صار مشكلة من المشاكل هذه طبعا
+
+85
+00:07:13,500 --> 00:07:16,880
+كإسعاف أولي و ليس من ناحية مرضية لأن أحيان بيصير
+
+86
+00:07:16,880 --> 00:07:20,480
+عندنا مشاكل من ناحية مرضية و أحيان بيصير مثلا لو
+
+87
+00:07:20,480 --> 00:07:25,240
+صار إنسان معاه تشنجهذا عرض بأثر عالميا على عضلات
+
+88
+00:07:25,240 --> 00:07:28,960
+أكثر شيء تمام؟ لكن أنا بدأ أتصرف إجابات وأتبع أيش
+
+89
+00:07:28,960 --> 00:07:32,320
+حالة من حالات الطوارئ الهيكل العظمي أو الجهاز
+
+90
+00:07:32,320 --> 00:07:36,300
+الهيكلي بتكلم كعظام جيت حاول تقوم بالجزي الأول هو
+
+91
+00:07:36,300 --> 00:07:38,920
+الجهاز الذي يعطي الجسم شكله العام يعني لما نقول
+
+92
+00:07:38,920 --> 00:07:43,840
+إحنا في الحفريات كيف بيعرف إن هذا مثلا عزيزي الله
+
+93
+00:07:43,840 --> 00:07:49,140
+حيوانأو إنسان أو ديناصور أو أو من خلال الهيكل عظمي
+
+94
+00:07:49,140 --> 00:07:53,120
+وبالتالي الهيكل العظمي بيعطيني الشكل طيب حتى في
+
+95
+00:07:53,120 --> 00:07:58,580
+الإنسان لو احنا مثلا شفنا اتنين أشخاص قدامنا إيش
+
+96
+00:07:58,580 --> 00:08:03,140
+معنى بيقول هذا راجل وهذا سيدة؟من هيكل العظمى من
+
+97
+00:08:03,140 --> 00:08:06,720
+الشكل من الشكل طبعاً ملامح السيدة تختلف عن الراجل
+
+98
+00:08:06,720 --> 00:08:10,700
+وبالتالي هو الأساس اللي يُبنى عليه العضلات وطبعاً
+
+99
+00:08:10,700 --> 00:08:13,660
+زي ما ذكر في القرآن الكريم وبالتالي لما أنا بدي
+
+100
+00:08:13,660 --> 00:08:17,460
+أتكلم على الجهاز العظمى وميز إن هذا كائن إنسان أو
+
+101
+00:08:17,460 --> 00:08:20,680
+هذا كائن مثلا حيوان عزيزي من الله من خلال الهيكل
+
+102
+00:08:20,680 --> 00:08:24,900
+العظمى وبالتالي أول حاجة بيعطيني الشكل الخارجي
+
+103
+00:08:24,900 --> 00:08:29,340
+للمخلوق تاني حاجةالتكوين الجاذب ده ما شوفنا من
+
+104
+00:08:29,340 --> 00:08:34,780
+الفيديو أكم عظمة؟ 206 موزعين في كل جسم زي ما قلنا
+
+105
+00:08:34,780 --> 00:08:39,640
+من أصغر عظمة لعقل الإصبع لأطول عظمة اللي هي عظمة
+
+106
+00:08:39,640 --> 00:08:44,860
+الفخد طبعا في عظام صغيرة كمان موجودة في الأذن لكن
+
+107
+00:08:44,860 --> 00:08:50,240
+نتكلم الحاجات الخارجية اللي شايفينها عقل الإصبع أو
+
+108
+00:08:50,240 --> 00:08:53,960
+عظمة الفخد الطويلة لكن في الأذن ما بنشوفها لكن
+
+109
+00:08:53,960 --> 00:08:59,400
+هناك عظام صغيرة جدايبقى العدد الأساسي مطلوب مننا
+
+110
+00:08:59,400 --> 00:09:02,940
+نعرفه 206 عظام، هذا مطلوب مننا نعرفه، لكن احنا مش
+
+111
+00:09:02,940 --> 00:09:09,660
+طالبين بالضبط كام عظمة في كل مكانطبعا في عندنا
+
+112
+00:09:09,660 --> 00:09:13,340
+هيكل عظمي محوري و هيكل عظمي طرفي زي ما قلنا في
+
+113
+00:09:13,340 --> 00:09:17,980
+عندنا جهاز عصبي مركزي و في عندنا جهاز عصبي طرفي
+
+114
+00:09:17,980 --> 00:09:22,400
+طبعا فالجهاز المحوري اللي هو بتكون من الجمجمة و
+
+115
+00:09:22,400 --> 00:09:26,720
+العمود الفقري و الدلوع و لاحظوا أن الجمجمة تحوي
+
+116
+00:09:26,720 --> 00:09:30,080
+أهم عضو في جسم الإنسان زي ما شوفتم في الفيديو طبعا
+
+117
+00:09:30,080 --> 00:09:34,040
+هو الدماغ بيجي عندك كمان القفص الصدري إيش يحوي؟
+
+118
+00:09:34,830 --> 00:09:39,830
+القلب والرئتين بقى عضو مهم جدا هو إيش القلب بيجي
+
+119
+00:09:39,830 --> 00:09:42,630
+عندى كمان طبعا لما اتكلم على جمجم معناه الجهاز
+
+120
+00:09:42,630 --> 00:09:47,630
+العصب المركزى طبعا بيجي كمان عندى اللى هو العمود
+
+121
+00:09:47,630 --> 00:09:51,570
+الفقري إيش في قلبه النخاع الشوكى النخاع الشوكى
+
+122
+00:09:51,570 --> 00:09:55,730
+تمام وبالتالي هنا في عندى هذه أشياء محورية أشياء
+
+123
+00:09:55,730 --> 00:10:00,490
+محورية أي جزء فيها يصاب بمشكلة معناه هيأثر على
+
+124
+00:10:00,490 --> 00:10:04,530
+باقي الجسم لو جونا مثلا إصابة في الدماغإصابة
+
+125
+00:10:04,530 --> 00:10:08,450
+بالعمود الفقري أثناء مثلًا إصابة أو حادث وصار نقل
+
+126
+00:10:08,450 --> 00:10:13,190
+خاطئ ممكن يصير معاه شلال إصابة بالقلب ممكن يؤدر
+
+127
+00:10:13,190 --> 00:10:16,490
+الوفاة وبالتالي عمود ال .. طبعًا الجهاز الهيكلي
+
+128
+00:10:16,490 --> 00:10:21,950
+المحوري هو أساسي ويدم عناصر أو أعضاء ضرورية جدًا
+
+129
+00:10:21,950 --> 00:10:27,260
+نيجي للجهازالهائي طبعا الهيكلي الطرفي الهيكلي
+
+130
+00:10:27,260 --> 00:10:30,540
+العظمي الطرفي طبعا الحزام الكتفي هو طبعا انا مدب
+
+131
+00:10:30,540 --> 00:10:35,680
+الكتفين او محور الكتفين العظام طبعا الحزام الحوضي
+
+132
+00:10:35,680 --> 00:10:39,820
+طبعا هو المحور اللي بينطلق منه اللي هو ايش الفخذين
+
+133
+00:10:39,820 --> 00:10:42,600
+طبعا لدينا مفاصلة ناحية ال amino acid طبعا الإنسان
+
+134
+00:10:42,600 --> 00:10:46,080
+بالوثم هو نصيناليمين زي ليه صح؟ وبالتالي انا لما
+
+135
+00:10:46,080 --> 00:10:48,980
+بده اعرف انه الإنسان هذا وضعه طبيعي ولا غير طبيعي،
+
+136
+00:10:48,980 --> 00:10:50,980
+بقول مثلا ايدي .. بقولك والله انا ايه؟ عندى إيدي
+
+137
+00:10:50,980 --> 00:10:54,300
+فيها مشكلة أو ورا مشكلة، طب بقولشوف إيدي التانية،
+
+138
+00:10:54,300 --> 00:10:58,080
+بعملش مقارنة مع إنسان تاني، إنسان أنا بعمل مقارنة
+
+139
+00:10:58,080 --> 00:11:01,920
+إيش؟ لنفسه، إيش لنفسه، طبعا عظام الأطراف السفلية و
+
+140
+00:11:01,920 --> 00:11:06,300
+العلويةيبقى هذا اتكون عندنا جهاز محوري وجهاز طرفي
+
+141
+00:11:06,300 --> 00:11:10,140
+المحوري اللي هو طبعا الجمجمة العمود الفقري والضلون
+
+142
+00:11:10,140 --> 00:11:13,500
+أما الطرفي طبعا الطرف العلوية والسفلية وطبعا
+
+143
+00:11:13,500 --> 00:11:17,500
+المحور ال .. ال .. ال .. ال .. الكتفي ومحور الحوض
+
+144
+00:11:17,500 --> 00:11:20,820
+هذه أشياء اللي احنا بدنا يها، لاحظي احنا مابدناش
+
+145
+00:11:20,820 --> 00:11:23,740
+بالتفصيل عدد العظام الموجودة، لكن لما فيديو، بس
+
+146
+00:11:23,740 --> 00:11:27,960
+إيش نظرة عامة بالنسبة لعدد العظام، فضليه
+
+147
+00:11:30,150 --> 00:11:34,050
+وانت وكنت في عظمة أطول من عظمة مثلا عظمة بتاعك هذه
+
+148
+00:11:34,050 --> 00:11:38,570
+أطول من عظمةطبعًا هو موضوع العظام موضوع كبير لكن
+
+149
+00:11:38,570 --> 00:11:44,450
+أنا أوضح لك حاجة الإنسان في عنده إمكانية لزيادة في
+
+150
+00:11:44,450 --> 00:11:48,130
+الجسم وهذه مسموحة لمرحلة النمو طبعًا مرحلة النمو
+
+151
+00:11:48,130 --> 00:11:53,450
+مستمرة لمدى الحياة لكن بتفاوت يعني بعض المناطق
+
+152
+00:11:53,450 --> 00:11:55,830
+بيتوقف فيها النمو بعض المناطق تبعًا بيستمر فيها
+
+153
+00:11:55,830 --> 00:12:00,370
+النمو لكن نسبة النمو بالنسبة للأعضاء تختلف مثلًا
+
+154
+00:12:00,370 --> 00:12:07,260
+نمو الجمجمة بالإنسان بيكون حجمه كبيرتمام؟ تقريبًا
+
+155
+00:12:07,260 --> 00:12:11,020
+على عمر سنة نقول مثلًا الحجم للجمجمة مقابل مثلًا
+
+156
+00:12:11,020 --> 00:12:14,820
+الحجم اللي هو القفص الصدري لكن ما بيستمر النمو في
+
+157
+00:12:14,820 --> 00:12:19,420
+الجمجمة زي النمو مثلًا في الأطراف لكن فيه نمو ضئيل
+
+158
+00:12:19,420 --> 00:12:23,620
+جدًا تمام؟ يعني تقريبًا نقول مثلًا النمو في
+
+159
+00:12:23,620 --> 00:12:27,800
+الجمجمة بزيد مثلًا خلال السنة الأولى اتنين سنة و
+
+160
+00:12:27,800 --> 00:12:30,880
+نص على سبيل المثال في الست شهور طبعًا ست شهور
+
+161
+00:12:30,880 --> 00:12:35,580
+الأولى ست شهور التانية تقريبًا سنة و نصوبالتالي لو
+
+162
+00:12:35,580 --> 00:12:39,280
+صار مشكلة عند أي طفل في مكان نموه العظام، طبعا
+
+163
+00:12:39,280 --> 00:12:42,160
+مكان نموه عظام أخواتنا في منطقة جبل المفسر اللي
+
+164
+00:12:42,160 --> 00:12:45,260
+طبعا هتتكلم عليها، فيها ما يسمونه Epiphysis، طبعا
+
+165
+00:12:45,260 --> 00:12:48,600
+هذه يعني ما قبل نهاية العظام، هذا المنطقة اللي
+
+166
+00:12:48,600 --> 00:12:52,680
+يبينه منها العظام، لو صار فيها خلال، معناه مش
+
+167
+00:12:52,680 --> 00:12:55,680
+هيصير إطالة في العظام نفسها، لكن بيبقى العظام
+
+168
+00:12:55,680 --> 00:13:02,140
+بصورة طبيعية، انه يزيد لحد معينطبعا هذه طبعا بتطلب
+
+169
+00:13:02,140 --> 00:13:06,060
+كمان إيش العوامل بتأثر فيه مثلا عوامل الوراثة في
+
+170
+00:13:06,060 --> 00:13:10,180
+ناس أطفال مثلا أهليهم طوال في ناس أطفال مثلا قصار
+
+171
+00:13:10,180 --> 00:13:14,160
+شوية وبالتالي في عنا عوامل مؤثرة لطول لكن إذا كان
+
+172
+00:13:14,160 --> 00:13:19,120
+مشكلةيعني طفل مثلا طرف أطول من طرف أكبر فيه مشكلة
+
+173
+00:13:19,120 --> 00:13:25,300
+مرضية أو إصابة تمام؟ بمعنى إن مافيش طفل يولد نقول
+
+174
+00:13:25,300 --> 00:13:29,340
+طرف أوطى من طرف أو طرف أعلى من طرف إلا يصاب بمشكلة
+
+175
+00:13:29,340 --> 00:13:33,580
+مرضية أما بصفة عامة الإنسان متساوي من الناحيتين
+
+176
+00:13:33,580 --> 00:13:36,700
+لكن إذا كان فيه مشكلة في طرف معناه في عنده دخل
+
+177
+00:13:36,700 --> 00:13:41,230
+عنده مشكلة أو إصابة أو حادثالالتهابات ممكن تأثر
+
+178
+00:13:41,230 --> 00:13:43,110
+عليها، هتتكلم على الأشياء دي كلها، أيش بيأثر
+
+179
+00:13:43,110 --> 00:13:46,710
+عليها، لكن بيقول احنا إنسان يولد متساوي الناحيتين
+
+180
+00:13:48,110 --> 00:13:50,730
+نتكلم عليها اللي جيتها، ناخد الجهاز المحوري، أول
+
+181
+00:13:50,730 --> 00:13:54,610
+حاجة طبعا الجمجمة، طبعا تحمي اللي هو الدماغ، و
+
+182
+00:13:54,610 --> 00:13:58,790
+بداخله طبعا هي تجويف، بداخله إيش؟ العين، مقلة
+
+183
+00:13:58,790 --> 00:14:02,110
+العين، وهو طبعا مقلة العين يعني ربنا أوجدها في
+
+184
+00:14:02,110 --> 00:14:06,470
+مكان مهم جدا، طبعا لاحظوا يا أخواتنا يعني من كرم
+
+185
+00:14:06,470 --> 00:14:10,390
+ربنا كمان إنه الجمجمة، الدماغ موجود في أعلى جزء في
+
+186
+00:14:10,390 --> 00:14:15,270
+جسم الإنسانطبعًا نظرًا لقيمته وأهميته مش موجود
+
+187
+00:14:15,270 --> 00:14:20,150
+أسفل ولا في الوسط وموجود في مكان مستقل بذاته ومحمي
+
+188
+00:14:20,150 --> 00:14:23,750
+طبعًا بأغشية ومحمي إبسائل نظرًا طبعًا ليش الأهمية
+
+189
+00:14:23,750 --> 00:14:26,990
+وبالتالي نقول مثلًا هو القائد العام لكل أجزاء
+
+190
+00:14:26,990 --> 00:14:31,480
+الجسم لو أصيب هذا المكانمعناه إيش؟ هيتأثر باقي إيش
+
+191
+00:14:31,480 --> 00:14:34,440
+في أجزاء الجسم، لو أصيب القاعد هصير تشتت واتفتت
+
+192
+00:14:34,440 --> 00:14:38,080
+طبعا في إيش؟ في الأطراف، وبالتالي هنا الدماغ ربنا
+
+193
+00:14:38,080 --> 00:14:42,260
+حماه وأوجله في أعلى مكان في الجسم، نظرا لأهميته
+
+194
+00:14:42,260 --> 00:14:45,080
+وقيمته، لأنه لو صار فيه أي مشكلة، معناه هيأثر على
+
+195
+00:14:45,080 --> 00:14:48,720
+كل الجسم، الجمجمة أول حاجة تحميل الدماغ وداخلها
+
+196
+00:14:48,720 --> 00:14:53,960
+موجود طبعا لو تشوفه في العين، طبعا في إن هنا تتكون
+
+197
+00:14:53,960 --> 00:14:57,880
+.. هنا يا أخوات نما اتكلم على الجمجمةالجمجمة لما
+
+198
+00:14:57,880 --> 00:15:02,740
+الإنسان يولد مابتكون مغلقة، مابتكونش مغلقة، في
+
+199
+00:15:02,740 --> 00:15:06,180
+شكلين، في عنا شكلين، في عنا طبعا احنا بيسموه
+
+200
+00:15:06,180 --> 00:15:08,600
+اليفوخ هو ال .. طبعا هو .. بتقول عنه بالعربي ان
+
+201
+00:15:08,600 --> 00:15:13,700
+الفوخ هو اليافوخ أو fontanelle، طبعا في عنا اتنين،
+
+202
+00:15:13,700 --> 00:15:18,240
+يافوخ أمامي و يافوخ خالفي، اليافوخ الخالفي ماخد
+
+203
+00:15:18,240 --> 00:15:23,680
+على شكل مثلث، هذا يغلق بعد الولادةلكن طالما ان في
+
+204
+00:15:23,680 --> 00:15:28,120
+انا عندى عظمتين جان بعض يعتبر هذا مفصل هتكلم نعم
+
+205
+00:15:28,120 --> 00:15:35,660
+تعرف ايه؟ هذا هتكلم ليه؟ انا لسه مخلصش الكلام اصلا
+
+206
+00:15:36,430 --> 00:15:40,050
+فهو .. فهو إن عندنا فيه عامتين أخواتنا يُعتبر
+
+207
+00:15:40,050 --> 00:15:43,130
+مفصل، لكن المفاصل اللي هتتكلم عليه هيش من التفصيل،
+
+208
+00:15:43,130 --> 00:15:46,670
+فعندنا طبعا اللي هو نوعيا من اليفوخ، اليفوخ الخلفي
+
+209
+00:15:46,670 --> 00:15:50,710
+هو ده شكل مثلث يغلق مباشرة بعد الولادة، واليفوخ
+
+210
+00:15:50,710 --> 00:15:53,910
+الأمامي اللي هو شكل معين زي شكل البجلوة يعني
+
+211
+00:15:53,910 --> 00:15:57,510
+بالعربي، هذا يستمر من سنة لسنة و نص، يعني من 12
+
+212
+00:15:57,510 --> 00:16:04,650
+شهر تقريبا ل18 شهرطبعا هنا بيغلق بالتدريج طب هنا
+
+213
+00:16:04,650 --> 00:16:07,670
+يعني لما اتكلم لو قول طب ليش لا ايه يعني مابيغلقش
+
+214
+00:16:07,670 --> 00:16:10,650
+مباشرة حاجة تانية
+
+215
+00:16:14,990 --> 00:16:17,730
+وهذا أحد الأسباب الأساسية، طبعا في عندنا السبب
+
+216
+00:16:17,730 --> 00:16:20,850
+الأول أنه بسهل عملية الولادة، يعني بتلاحظوا عظام
+
+217
+00:16:20,850 --> 00:16:25,570
+الجمجم فيها حركة، وطبعا مساعد على الولادة، الحاجة
+
+218
+00:16:25,570 --> 00:16:30,130
+التانية أنه لو أغلق هذا اليفوخ، معناه أن الدماغ مش
+
+219
+00:16:30,130 --> 00:16:34,370
+هياخد نمو طبيعي، وزي ما نقول هنا في عندنا زيادة،
+
+220
+00:16:34,370 --> 00:16:36,830
+معناه نمو في عندنا زيادة، يعني نمو يعني زيارة
+
+221
+00:16:36,830 --> 00:16:41,130
+يعادة الخلايا، طبعالما اتكلم هنا يا أخواتنا بتتكلم
+
+222
+00:16:41,130 --> 00:16:44,290
+بس بتركز على حاجة معينة عدد خلايا الجهاز العصبي
+
+223
+00:16:44,290 --> 00:16:49,490
+ثابتة، ما بزيد، بزيد حجمه فقط، لكن عدد خلايا الجسد
+
+224
+00:16:49,490 --> 00:16:53,530
+دي بزيد، يعني عدد خلايا الدماغ اللي انولدنا فيها
+
+225
+00:16:53,530 --> 00:16:59,530
+هي هي، ما بيصيرش فيها تغيير، ما بيصيرش فيها تجديد،
+
+226
+00:16:59,530 --> 00:17:03,290
+لأن لو صار فيها تجديد، بتعرفيش حالك أنت وإين، يعني
+
+227
+00:17:03,290 --> 00:17:07,450
+زي أنت متفرمت جهاز الحسوب، بتروح المعلومات كلها،
+
+228
+00:17:07,580 --> 00:17:11,280
+الطبيب الإنسان عمره 80 سنة ممكن يجيبك ذكريات لما
+
+229
+00:17:11,280 --> 00:17:15,680
+كان عمره عشر سنين وأقل من هيكان وبالتالي هنا بيصير
+
+230
+00:17:15,680 --> 00:17:20,720
+عندنا زيادة في حجم الخلايا وليس في عددها وبالتالي
+
+231
+00:17:20,720 --> 00:17:24,800
+طبعا اليفوخ هذا لو احنا ممكن نستدل منه هل هناك
+
+232
+00:17:24,800 --> 00:17:27,840
+مشكلة مرضية ولا لأ، بالتالي أي أخ من الأخوات اللي
+
+233
+00:17:27,840 --> 00:17:30,740
+راحت على مستشفى الأطفال بتلاقي الطبيب أحيان بيضأ
+
+234
+00:17:30,740 --> 00:17:35,230
+بيده إيش على منطقة اليفوخطبعا ليه منطقة طرية
+
+235
+00:17:35,230 --> 00:17:38,470
+وبتلاقي .. بتلاقي احيانا الطفل لو متنفس بتلاقي فيه
+
+236
+00:17:38,470 --> 00:17:43,210
+حركة كمان طبعا هذا لو كان فيها انتفاخ معناه فيها
+
+237
+00:17:43,210 --> 00:17:47,710
+زيادة في الضغط داخل الدماغ وطبعا أحد الأعلامات
+
+238
+00:17:47,710 --> 00:17:51,170
+المؤشرة أنه فيه التهاب لأن دايما الاتهاب بصاحبه
+
+239
+00:17:51,170 --> 00:17:56,750
+يشتورموبالتالي لو كان مثلا لاحظ أنه في انتفاخ في
+
+240
+00:17:56,750 --> 00:18:00,970
+الجمجمة في اليافوخ و الطفل عنده حرارة او ارتفاع
+
+241
+00:18:00,970 --> 00:18:03,890
+بالحرارة الاشتباه الأول يكون عنده meningitis أو
+
+242
+00:18:03,890 --> 00:18:08,510
+ارتفاع بالسحاية ارتفاع بالسحاية او ارتفاع بالأقش
+
+243
+00:18:08,510 --> 00:18:14,570
+المحيط بالدماغ طبعا لو كان فيه ارتفاع في المنطقة
+
+244
+00:18:14,570 --> 00:18:19,320
+هذه لكن لو كانت مستوية طبعا مافيه خوفوان طبعا خايف
+
+245
+00:18:19,320 --> 00:18:21,640
+من الأطفال يقولك الطفل الصغير ييجي يضغط على
+
+246
+00:18:21,640 --> 00:18:24,880
+الجمجمة لإن طبعا هذه قريبة من الدماغ لإن المنطق
+
+247
+00:18:24,880 --> 00:18:29,100
+هذه ما بتكون محمية الدماغ فيها بس بيكون إيش؟ ليه
+
+248
+00:18:29,100 --> 00:18:32,680
+إيش؟ فروة الرأس، لكن بقى ليه طبعا إيش؟ بتسكر من
+
+249
+00:18:32,680 --> 00:18:34,420
+سنة لغاية سنة و نصف
+
+250
+00:18:41,210 --> 00:18:44,950
+بصير عنده عدم نمو طبيعي للدماغ، يعني مثلًا إحنا
+
+251
+00:18:44,950 --> 00:18:47,950
+بالعرب والإنجليزي اللي هي microcephaly أو طبعًا
+
+252
+00:18:47,950 --> 00:18:52,170
+صغر في حجم الدماغ، ودموق طبعًا ونمو الشخص هذا ما
+
+253
+00:18:52,170 --> 00:18:55,730
+بيكون طبيعي، ليش؟ لأنه نمو الدماغ ما كان طبيعي،
+
+254
+00:18:55,730 --> 00:18:58,330
+لأنه لازم يكون في عنده زيادة في حجم خلايا الدماغ
+
+255
+00:18:58,330 --> 00:19:02,400
+بالصورة الطبيعية، وبالتالي لو أغلق مبكربتلاقي حجم
+
+256
+00:19:02,400 --> 00:19:06,560
+وقص الطفل الصغير وها طبعا حجم الدماغ كمان صغير،
+
+257
+00:19:06,560 --> 00:19:10,900
+معناه الدماغ ما خدش وقته في زيارة حجم الخلايا عشان
+
+258
+00:19:10,900 --> 00:19:14,060
+يتطور بصورة طبيعية، لأنه طبعا دايما بصاحب النمو و
+
+259
+00:19:14,060 --> 00:19:21,800
+بصاحب التطور تمام،
+
+260
+00:19:21,800 --> 00:19:24,540
+لو انتوا اتباهتوا شوية هو بالنسبة للفيديو، ذكر إن
+
+261
+00:19:24,540 --> 00:19:28,560
+فيه إن المكان الأساسي لتخزين العناصر المهمة، اللي
+
+262
+00:19:28,560 --> 00:19:31,880
+هي الكالسيوم و الفسفور، اللي هو الإضامةوبالتالي،
+
+263
+00:19:31,880 --> 00:19:36,200
+لو صار عندنا أي مشكلة في نقص الـCalcium أو نقص
+
+264
+00:19:36,200 --> 00:19:39,120
+اللي هو الفوسفور، بيأثر على العظام وعلى نموها.
+
+265
+00:19:39,960 --> 00:19:42,040
+طبعًا، هنتكلم عن إن طبعًا ممكن أحد الأسباب قد اللي
+
+266
+00:19:42,040 --> 00:19:45,580
+لها الشاشة، كثير من بعض، لكن قد يؤدي أيضًا إلى نمو
+
+267
+00:19:45,580 --> 00:19:49,620
+غير طبيعي، والدليل على ذلك، بنلاحظ إن بعض الأمهات،
+
+268
+00:19:49,620 --> 00:19:53,910
+أولانهم يولدوابكساح أو ليه العظام؟ طب مافيه ليه
+
+269
+00:19:53,910 --> 00:19:56,750
+العظام للإكبار وكساح طبعا للأطفال أي إن كان طبعا
+
+270
+00:19:56,750 --> 00:20:00,770
+فيه نقص الكالسيوم هتعمل مثلا عند السيدات لما تكون
+
+271
+00:20:00,770 --> 00:20:05,390
+حامل وما بتاخد الكالسيوم صورة طبيعية أو مثلا تهتمش
+
+272
+00:20:05,390 --> 00:20:09,450
+بتخزييتهافالنتيجة ان الطفل عنده ايش تقوس في العظام
+
+273
+00:20:09,450 --> 00:20:12,930
+طبعا بعد ذلك بده علاج طب هيك بقى الأكل والشرب في
+
+274
+00:20:12,930 --> 00:20:17,910
+الحمل بكون وقايا أسهل لكن بعد ذلك يضطر علاج وتصوير
+
+275
+00:20:17,910 --> 00:20:23,130
+الشعوة وطبعا أدوية وخقر وطبعا مشاكل كتيرة إذا بدنا
+
+276
+00:20:23,130 --> 00:20:25,670
+نعرف أول حاجة أن الجمج مافيها مفاصل إيش نوع
+
+277
+00:20:25,670 --> 00:20:29,310
+المفاصل هذه؟ طبعا مفاصل ثابتة لمّا نسألنا نذكرها
+
+278
+00:20:29,310 --> 00:20:31,690
+أن هذه مفاصل ثابتة مابتتحركة
+
+279
+00:20:35,690 --> 00:20:38,770
+طبعاً .. ال .. ال .. بنقول حاجة مهمة يا أخواتنا،
+
+280
+00:20:38,770 --> 00:20:43,750
+العظام بحد ذاتها ليست مصممة، لو كانت العظام مصممة،
+
+281
+00:20:43,750 --> 00:20:47,630
+الإنسان دايما يكون إيه؟ رأسه تقيل، ولو صار عندي
+
+282
+00:20:47,630 --> 00:20:51,910
+يعني حشه، لأ التجاوف اللي موجودة في العظام، بنشعر
+
+283
+00:20:51,910 --> 00:20:55,110
+برضه بثقل، من ضمن التجاوف اللي موجودة في العظام هي
+
+284
+00:20:55,110 --> 00:21:00,970
+إيش؟ الجيوب الأنفيةالجوب الألفية طبعا موجودة في
+
+285
+00:21:00,970 --> 00:21:05,470
+المقدم في الجبهة وعلى الجنبي على الخدين منها من
+
+286
+00:21:05,470 --> 00:21:11,750
+الأمام تمام الوجنتين نسميها وهذه بتعطي خفة لحجم
+
+287
+00:21:11,750 --> 00:21:17,090
+العظام وأيضا بتعطي صدر للصوتلو واحد كان عنده مثلًا
+
+288
+00:21:17,090 --> 00:21:21,230
+التهاب بالجوب الأنفية صوته بخن يعني زي السماعة
+
+289
+00:21:21,230 --> 00:21:25,810
+اللي مثلًا فيها ثقب أو مش ثابتة تمام؟ لكن لما يكون
+
+290
+00:21:25,810 --> 00:21:28,970
+الإنسان بصورة طبيعية مافيش عنده أي مشاكل صوته واضح
+
+291
+00:21:28,970 --> 00:21:32,390
+انت ممكن تنتبه طبعًا لما تقول هو الله إنسان ليش
+
+292
+00:21:32,390 --> 00:21:36,190
+انت صوتك متغير ومش مبين عليه لأنه صار فيه إن
+
+293
+00:21:36,190 --> 00:21:38,150
+التهابات والتهابات هذه طبعًا فيه ممكن يكون فيها
+
+294
+00:21:38,150 --> 00:21:42,130
+صديد أو التهاب أو تورم وبالتالي يؤثر على صدر الصوت
+
+295
+00:21:42,130 --> 00:21:46,010
+اللي بيصير من خلال الجوب الأنفيةالجمجمة فيهم
+
+296
+00:21:46,010 --> 00:21:50,950
+الموجودة طبعا ايش؟ في الجمجمة ايضا طبعا الجزء
+
+297
+00:21:50,950 --> 00:21:55,650
+الوحيد المتحرك بالنسبة للجمجمة هو الفك السفلي يعني
+
+298
+00:21:55,650 --> 00:21:59,090
+طبعا في عندنا فك علوي و فك سفلي طبعا هو طبعا بيحمل
+
+299
+00:21:59,090 --> 00:22:02,390
+الأسنان الفك السفلي هو المتحرك وهو طبعا في عندنا
+
+300
+00:22:02,390 --> 00:22:07,190
+فكين وهو طبعا هتكلم على بعض المشاكل للعظام للمفاصل
+
+301
+00:22:07,190 --> 00:22:11,170
+لما نصل لها وهو طبعا أحد المشاكل بتصير في الفكين
+
+302
+00:22:11,170 --> 00:22:14,840
+لما الإنسان مثلا بدحك كتيرو بقدرش ارجع الفك مرة
+
+303
+00:22:14,840 --> 00:22:21,100
+تانية طبعا هذا اللي
+
+304
+00:22:21,100 --> 00:22:26,140
+انا ساميه طبعا خلع لما نصل للمفاصلة هتكلم عنه لكن
+
+305
+00:22:26,140 --> 00:22:29,320
+انا اتذكر ان هذا مثال حي انه ممكن يصير عند بعض
+
+306
+00:22:29,320 --> 00:22:33,680
+الناس هطبعا ساميه خلع لأنه مارجعش لمكانه لكن لما
+
+307
+00:22:33,680 --> 00:22:36,200
+نصل للمفاصلة هنوضحه اكتر لأن فيها مراتق تانية ممكن
+
+308
+00:22:36,200 --> 00:22:38,760
+يصير فيها خلع هوريه و طبعا اعيش بعض الصورة
+
+309
+00:22:41,520 --> 00:22:45,860
+نجي الجزء التاني من نسبة جهاز هيكل المحوري طبعا
+
+310
+00:22:45,860 --> 00:22:48,700
+عندنا العمودي فقري و قولنا طبعا عمودي فقري احنا
+
+311
+00:22:48,700 --> 00:22:52,540
+لحظة ناخد بس أرقام بسيطة جدا طبعا في عندنا تلاتة و
+
+312
+00:22:52,540 --> 00:22:56,680
+تلاتين فقرة تلاتة و تلاتين فقرة مقسمة من ضمنها
+
+313
+00:22:56,680 --> 00:23:00,640
+طبعا في عندنا سبعة فقرات العنقية او فقرات العنق
+
+314
+00:23:00,640 --> 00:23:06,800
+طبعا الفقرات هذه كلها مش موجودة مباشرة فوق بعض في
+
+315
+00:23:06,800 --> 00:23:11,970
+بينها بنسميه ال disk او الغضروفالغدروف طبعا هو
+
+316
+00:23:11,970 --> 00:23:19,210
+أصلب من العضلات و أقل صلابة من العظامأقل صلابة من
+
+317
+00:23:19,210 --> 00:23:23,690
+العظام و أسلب من العضلات يعني في نوع من الصلابة
+
+318
+00:23:23,690 --> 00:23:27,070
+لكن مافيش نوع من اليونة زي العضلات طبعا العضلات
+
+319
+00:23:27,070 --> 00:23:32,790
+فيها طراوة وهذا طبعا موجود بين الفقرات هذه عشان لو
+
+320
+00:23:32,790 --> 00:23:36,550
+.. طبعا هنا بساعد على الحركة لأن لو كانت العظام
+
+321
+00:23:36,550 --> 00:23:42,040
+فوق بعضها بصير من المشكلة بصير تآكل في العظامتأكل
+
+322
+00:23:42,040 --> 00:23:45,220
+في العظام طبعا هذه غضاريف لونها أبيض وانت عارفينها
+
+323
+00:23:45,220 --> 00:23:48,760
+طبعا مانهات كل عظمة بنلاقي برضه في غضاريف لكن هنا
+
+324
+00:23:48,760 --> 00:23:52,360
+بين كل فقرة و تانية في غضاريف الغضاريفة طبعا
+
+325
+00:23:52,360 --> 00:23:55,760
+بتساعد ايش على الحركة .. الحركة أحيانا برضه بصير
+
+326
+00:23:55,760 --> 00:24:01,190
+عندنا مشكلة للانزلاقاتانزلاقات طبعا البرتقال تتكلم
+
+327
+00:24:01,190 --> 00:24:03,350
+عليها بالنسبة للمفاصل اللي احنا بيسميه اللي صار
+
+328
+00:24:03,350 --> 00:24:07,270
+عنده disk أو غضروف لإنه صار عنده إزاحة والإزاحة
+
+329
+00:24:07,270 --> 00:24:11,070
+بالنسبة للغضروف بتضغط على النخاع الشوكي وبالتالي
+
+330
+00:24:11,070 --> 00:24:15,330
+بيقولك إيش صار عنده ألم مش قادر يتحرك طبعا أي حاجة
+
+331
+00:24:15,330 --> 00:24:18,230
+بتأثر على النخاع الشوكي سواء من التهاب أو ضغط
+
+332
+00:24:18,230 --> 00:24:22,630
+خارجي أو ورم لا سمح الله طبعا بيأثر على مكان
+
+333
+00:24:22,630 --> 00:24:26,350
+الإصابة وإن هي الإصابة بيأثر على الأطراف طبعا على
+
+334
+00:24:26,350 --> 00:24:27,530
+العصابة الطرفية
+
+335
+00:24:34,250 --> 00:24:42,510
+هواء .. هواء .. هواء .. هواء .. هواء .. هواء ..
+
+336
+00:24:42,510 --> 00:24:46,270
+هواء
+
+337
+00:24:46,270 --> 00:24:58,230
+.. هواء .. هواء .. هواء .. هواء .. هواء
+
+338
+00:24:58,230 --> 00:25:01,090
+.. هواء .. هواء .. هواء .. هواء .. هواء .. هواء ..
+
+339
+00:25:01,090 --> 00:25:01,990
+هواء .. هواء .. هواء .. هواء .. هواء .. هواء ..
+
+340
+00:25:01,990 --> 00:25:02,170
+هواء .. هواء .. هواء .. هواء .. هواء .. هواء ..
+
+341
+00:25:02,170 --> 00:25:02,170
+هواء .. هواء .. هواء .. هواء .. هواء .. هواء ..
+
+342
+00:25:02,170 --> 00:25:02,170
+هواء .. هواء .. هواء .. هواء .. هواء .. هواء ..
+
+343
+00:25:02,170 --> 00:25:02,170
+هواء .. هواء .. هواء .. هواء .. هواء .. هواء ..
+
+344
+00:25:02,170 --> 00:25:02,170
+هواء .. هواء .. هواء .. هواء .. هواء .. هواء ..
+
+345
+00:25:02,170 --> 00:25:02,170
+هواء .. هواء .. هواء .. هواء .. هواء .. هواء ..
+
+346
+00:25:02,170 --> 00:25:02,170
+هواء .. هواء .. هواء .. هواء .. هواء .. هواء ..
+
+347
+00:25:02,170 --> 00:25:02,170
+هواء .. هواء .. هواء .. هواء .. هواء .. هواء ..
+
+348
+00:25:02,170 --> 00:25:03,010
+هواء .. هواء .. هو
+
+349
+00:25:08,810 --> 00:25:12,310
+أنا باتكلمش على عيش طبيعي باتكلم على الناس اللي
+
+350
+00:25:12,310 --> 00:25:15,930
+معتادة على الشيء هذا طبعا خوفا إنه يصير ضغط على
+
+351
+00:25:15,930 --> 00:25:20,270
+الفقرات نفسه يصير طبعا disk أو إزاحة فإحنا ليش
+
+352
+00:25:20,270 --> 00:25:24,570
+نعرض نفسنا للشيء هذا زي أنا أقول مثال بسيط جدا زي
+
+353
+00:25:24,570 --> 00:25:28,830
+إنسان مثلا العطاس هذا يعني نعمة من ربنا اللي بكتم
+
+354
+00:25:28,830 --> 00:25:33,750
+العطسة برضه فيه خطورةلأن الزيادة .. لأ بيقدروا لأن
+
+355
+00:25:33,750 --> 00:25:36,310
+في زيادة بيكون على الضغط على داخل الدماغ وممكن
+
+356
+00:25:36,310 --> 00:25:41,850
+أدّي الانفجار أو نزيف بسيط داخل الدماغ تمام؟ إذا
+
+357
+00:25:41,850 --> 00:25:44,270
+بيبقى بنعرف الرقم هذا إن في عندنا تلاتة و تلاتين
+
+358
+00:25:44,270 --> 00:25:47,750
+فقرا موجودة طبعا هي زي ما الفيديو كان قسملها إلنا
+
+359
+00:25:47,750 --> 00:25:52,090
+لكن إحنا بس مطلوب إن إيش الرقم هذا الواضح طبعا هي
+
+360
+00:25:52,090 --> 00:25:56,690
+التقسيمة أول حاجة في عندنا سبع فقرات عنقية طبعا في
+
+361
+00:25:56,690 --> 00:26:00,950
+العنق سبع فقرات تمام؟ في عندنا اتناشر فقرة صدرية
+
+362
+00:26:01,640 --> 00:26:07,680
+طبعا هو طبعا موصول فيها اللي هو الأضلاع فيه إن
+
+363
+00:26:07,680 --> 00:26:11,740
+فقرات القطنية اللي هي بالخلف طبعا مش موصول طبعا
+
+364
+00:26:11,740 --> 00:26:15,420
+قبل نهاية العمود الفقري لكن مش موصول فيها الأضلاع
+
+365
+00:26:15,420 --> 00:26:21,840
+الأضلاع موصولين إيش في ال 12 فقرات عجزية طبعا و هي
+
+366
+00:26:21,840 --> 00:26:27,220
+ملتحمة مع بعضأطلب عنه لأنه طبعًا تجريبًا في التقوس
+
+367
+00:26:27,220 --> 00:26:30,000
+البسيط مع نهاية طبعًا اللي هو العمود الفقرية
+
+368
+00:26:30,000 --> 00:26:35,020
+والفقرات العصعوسية لنهاية العمود الفقر يعني طبعًا
+
+369
+00:26:35,020 --> 00:26:37,740
+نهاية العمود الفقر هي الفقرات العصعوسية اللي ما
+
+370
+00:26:37,740 --> 00:26:41,280
+بيصلها النخع الشوكي وبرضه الفقراء الطبع العزيزي
+
+371
+00:26:41,280 --> 00:26:45,690
+برضه ما بيصلها النخع الشوكيوالدليل علي ذلك أنه لما
+
+372
+00:26:45,690 --> 00:26:49,190
+يصير عينة .. طبعا أخذ عينة من سائل النخاع الشوكي
+
+373
+00:26:49,190 --> 00:26:53,470
+من العمود الفقر لكن من فقرات القطنية أو القطنية هي
+
+374
+00:26:53,470 --> 00:26:57,690
+بالسموها تمام؟ لأن ما بيصلها لأن لو صار من فقرات
+
+375
+00:26:57,690 --> 00:27:01,590
+أعلى معناه هيصير وخز للنخاع الشوكي هذا طبعا مشكلة
+
+376
+00:27:02,230 --> 00:27:05,250
+تمام؟ يبقى بالتالي أي إنسان بيبقى عند إشتباه مثلا
+
+377
+00:27:05,250 --> 00:27:09,970
+في التهاب السحاية أو مثلا للحمة الشوكية بتاخد بزل
+
+378
+00:27:09,970 --> 00:27:13,530
+من سائل النخاع الشوكي من الفقرات القطانية اللي هي
+
+379
+00:27:13,530 --> 00:27:17,910
+موجودة في أسفل العمود الفقري وليس النخاع الشوكي
+
+380
+00:27:17,910 --> 00:27:24,070
+طيب
+
+381
+00:27:24,070 --> 00:27:27,410
+القفص الصدري طبعا جزء تالت طبعا قلنا بيحتوي على 18
+
+382
+00:27:27,410 --> 00:27:33,830
+زوج متصلات مع بعض وين بعضمة القصيبقى عضمة القص
+
+383
+00:27:33,830 --> 00:27:38,030
+نقدر نقود ما بين عضمة القص وعظام قفص صدري فيه مفصل
+
+384
+00:27:38,030 --> 00:27:41,770
+ولا مافيش مفصال؟ فيه، ده كان حاسس نوعها طبعا غير
+
+385
+00:27:41,770 --> 00:27:45,270
+متحرك طبعا لما نسألنا في أن مفاصل تلت أنواع، هنحدد
+
+386
+00:27:45,270 --> 00:27:53,310
+بالضبط والدليل
+
+387
+00:27:53,310 --> 00:27:57,690
+على أن في حركة لما اتكلمنا على التنفس الطبيعي،
+
+388
+00:27:57,690 --> 00:28:02,570
+بقولنا احنا في عناالاتساع من ناحية فقية والاتساع
+
+389
+00:28:02,570 --> 00:28:07,230
+من ناحية رأسية الاتساع من ناحية رأسية اللي طبعا هو
+
+390
+00:28:07,230 --> 00:28:11,130
+انقباض الحجاب الحاجز والاتساع من ناحية فقية اللي
+
+391
+00:28:11,130 --> 00:28:14,790
+هو IH اتساع انقباض في عضلات القرف الصدري اللي
+
+392
+00:28:14,790 --> 00:28:20,270
+هتحرك معاها فقرات العظمية اللي موجودة IH في الصدر
+
+393
+00:28:28,240 --> 00:28:32,400
+طبعًا من ناحية تركيب أو تشريح بالنسبة للعظام أهم
+
+394
+00:28:32,400 --> 00:28:36,760
+عنصر موجود فيها تقريبًا فوق 90% من الكالسيوم موجود
+
+395
+00:28:36,760 --> 00:28:41,000
+في العظام المخزن الأساسي بالنسبة لكالسيوم طبعًا هو
+
+396
+00:28:41,000 --> 00:28:46,520
+العظام طبعًا ال .. مين أقوى العظام ولا الأسنان
+
+397
+00:28:46,520 --> 00:28:53,060
+الأسنان
+
+398
+00:28:53,060 --> 00:28:53,740
+ولا العظام
+
+399
+00:28:58,590 --> 00:29:01,650
+الأسنان أقوى من العظام، الأسنان أقوى من العظام،
+
+400
+00:29:01,650 --> 00:29:04,010
+لكن لإن أنا غنية برضه أيش بالكالسيوم، وبالتالي لما
+
+401
+00:29:04,010 --> 00:29:06,610
+نلاحظ إن الإنسان عنده مشكلة بالكالسيوم، هيأثر برضه
+
+402
+00:29:06,610 --> 00:29:13,590
+أيش على العظام، على أسنان، عسف، وبالتالي
+
+403
+00:29:13,590 --> 00:29:16,510
+لما نقول إحنا أي إنسان عنده كسور، أهم أكل بيكون
+
+404
+00:29:16,510 --> 00:29:20,670
+إله أيش؟ أغذية غنية بالكالسيوم و الفسفور، لكن طبعا
+
+405
+00:29:20,670 --> 00:29:21,830
+الكالسيوم أيش رقم واحد
+
+406
+00:29:27,540 --> 00:29:32,460
+طبعا هنتكلم على النمو مرحلة البلوغ بتوقف النمو
+
+407
+00:29:32,460 --> 00:29:35,680
+لأنه ما بيزيج واحنا قولنا فيه زيادة في الجسم في
+
+408
+00:29:35,680 --> 00:29:39,820
+نمو الجسم لكن بتفاوت نسب بسيطة أو نسب سريعة يعني
+
+409
+00:29:39,820 --> 00:29:43,220
+نسبة الزيادة مثلا في عظام الجمجمة ليست هي نسبة
+
+410
+00:29:43,220 --> 00:29:46,760
+زيادة كما في الأطرافلأن لو كان عندى نسبة زيادة في
+
+411
+00:29:46,760 --> 00:29:49,900
+عظام الجمجمان كما هي نسبة زيادة في عظام الأطراف،
+
+412
+00:29:49,900 --> 00:29:52,680
+مع ان الانسان عايش حجم الرأس بيكون كبير جدا، لكن
+
+413
+00:29:52,680 --> 00:29:55,320
+متالي خلال السنة الأولى تقريبا اتنين سنة و نص
+
+414
+00:29:55,320 --> 00:29:58,660
+مزيد، الست شهور الأولى ست شهور التانية تقريبا سنت
+
+415
+00:29:58,660 --> 00:30:02,920
+و نص، لكن بعد هيك بيبدأ يقل تدريجيا، تمام؟ لكن أنا
+
+416
+00:30:02,920 --> 00:30:05,840
+بقول أن في عندنا نمو بالنسبة للعظام عند مرحلة
+
+417
+00:30:05,840 --> 00:30:10,230
+البلوغ يتوقفولّا كان الإنسان بزيد نموه أو بعد
+
+418
+00:30:10,230 --> 00:30:14,510
+مراحة البلوغ بتظل إيش؟ بتصعد لكن مين أطول من مين؟
+
+419
+00:30:14,510 --> 00:30:17,470
+مقولش والله هذا أفلان أطول من أفلان معناه هذا نموه
+
+420
+00:30:17,470 --> 00:30:21,270
+توقف، لأ طبعا في إن عوامل بتأثر وخاصة طبعا إيش؟
+
+421
+00:30:21,270 --> 00:30:26,840
+عامل الوراثية، الوراثية نعمطبعًا، هنا قدرة العظام
+
+422
+00:30:26,840 --> 00:30:29,880
+على إصلاح نفسها بنفسها، بمعنى، طبعًا، لما يصير
+
+423
+00:30:29,880 --> 00:30:34,040
+عندنا كسر، بيصير تكتر .. ال .. عشان تتم الإصلاح،
+
+424
+00:30:34,040 --> 00:30:36,480
+زي وصلة ما بين العظام، بيسموه Calcification أو ت
+
+425
+00:30:36,480 --> 00:30:40,740
+.. ت .. تراكم الكالسيوم على مكان العظام، وفي حال
+
+426
+00:30:40,740 --> 00:30:43,540
+التأم مائة في المية، الجبلة هذه الصغيرة اللي
+
+427
+00:30:43,540 --> 00:30:47,780
+بتصير، بيصير إنها تآكل، عشان ترجعش العظام ملتحمة
+
+428
+00:30:47,780 --> 00:30:50,620
+كما هي، لكن أي كسر، عشان احنا نكون عارفين يا
+
+429
+00:30:50,620 --> 00:30:55,080
+خواتنا، أي مشكلة في العظام،بيضال إلى أثر وخاصة مع
+
+430
+00:30:55,080 --> 00:31:00,060
+الجو البارد أي مشكلة في الجو البارد بزيد بأثر حتى
+
+431
+00:31:00,060 --> 00:31:04,780
+لو كان صار التأم 100% لكن في الجو البارد بشعر أن
+
+432
+00:31:04,780 --> 00:31:08,600
+فيه ألم سبحان الله طبعاً ما بتصلش لخلقة ربانية
+
+433
+00:31:08,600 --> 00:31:12,820
+تمام و تمام قبل الكسر بعد الكسر صار التأم صحيح لكن
+
+434
+00:31:12,820 --> 00:31:16,280
+بيضال أثر من الألم وخاصة في الجو اللي فيه انخفاض
+
+435
+00:31:16,280 --> 00:31:17,060
+درجة الحرارة
+
+436
+00:31:20,430 --> 00:31:24,990
+طبعًا مع تقدم العمر إشي طبيعي إنه ينقص هذا الـ
+
+437
+00:31:24,990 --> 00:31:27,670
+Calcium يعني إحنا بنشبه دايما طالع نيوردة في
+
+438
+00:31:27,670 --> 00:31:31,430
+القرآن الكريم رب إني وهن العظم مني واشتعل رأسه
+
+439
+00:31:31,430 --> 00:31:34,330
+شايبا ده ليه اللي على الكبر؟ شيء طبيعي إحنا كلنا
+
+440
+00:31:34,330 --> 00:31:39,860
+بصير إنا يعني الهشاشةبالصير تدريجياً، حسب العمر
+
+441
+00:31:39,860 --> 00:31:43,780
+الكبير، أه، احنا يعني دايماً في العظام بنشبهها زي
+
+442
+00:31:43,780 --> 00:31:47,780
+كوز الليف، تمام؟ كوز الليف فيه فراغات، لكن لما
+
+443
+00:31:47,780 --> 00:31:51,720
+تزيد المسافات هذه، هيضعف، هيصير هش، وطبعاً هش هشة
+
+444
+00:31:51,720 --> 00:31:55,240
+العظام، تمام؟ وبالتالي لما الإنسان بيكبر، الشيء
+
+445
+00:31:55,240 --> 00:31:57,860
+الطبيعي أنه، بنقول حتى الكثر بالنسبة للإنسان
+
+446
+00:31:57,860 --> 00:32:02,080
+الكبير في العمر، صعب جداً، لأنه مش هيلتان بصورةلكن
+
+447
+00:32:02,080 --> 00:32:05,260
+عندما أقول إن عندي هشاشة في العظام للسن لإنسان
+
+448
+00:32:05,260 --> 00:32:10,780
+مقتبل العمر أو سن صغير، يبقى أن في عنده مشكلة. هد
+
+449
+00:32:10,780 --> 00:32:14,920
+في عنده مشكلة إن في خاصة ممكن يكون أورام بالعظام
+
+450
+00:32:14,920 --> 00:32:19,020
+نفسها أو بياخد علاجات بتأثر على انتصاص الكالسيوم
+
+451
+00:32:19,560 --> 00:32:24,780
+تمام؟ أو في عنده مثلا نقص في عنصر الكالسوم سوء
+
+452
+00:32:24,780 --> 00:32:28,240
+تخدية وبالتالي هنتكلم على هشاشة العضوام مع تقدم
+
+453
+00:32:28,240 --> 00:32:33,340
+العمر لكن ليس واضحة أو طبيعية في جيل الشباب أو
+
+454
+00:32:33,340 --> 00:32:36,260
+طبعا إيش؟ طبعا نقول مثلا أقل من أربعين سنة لكن بعد
+
+455
+00:32:36,260 --> 00:32:40,640
+كده طبيعي لكن الأقل بصير مشكلة طبعا مين .. مين
+
+456
+00:32:40,640 --> 00:32:43,960
+أكتر الناس بيكون عنده هشاشة في العضوام؟السيدات ولا
+
+457
+00:32:43,960 --> 00:32:47,780
+الرجال؟ طبعا السيدات بسبب الحمل أكتر .. طبعا بسبب
+
+458
+00:32:47,780 --> 00:32:51,000
+الحمل أكتر وها طبعا عايزين نقول احنا اي سيدة حامل
+
+459
+00:32:51,000 --> 00:32:55,060
+لازم تزود غذائها بالنسبة لتاخد اللي هو عنصر
+
+460
+00:32:55,060 --> 00:33:00,780
+الكاليسيوم طبعا
+
+461
+00:33:00,780 --> 00:33:04,170
+ماشي ناخد الوضع افهد يعني و ننهي فيهاأول وظيفة
+
+462
+00:33:04,170 --> 00:33:05,990
+بالنسبة للوظيفة العظامية .. طبعا هذه مهمة جدا لنا
+
+463
+00:33:05,990 --> 00:33:08,190
+.. فاضل كمان تُعطي الشكل العام زي ما قلنا احنا
+
+464
+00:33:08,190 --> 00:33:10,990
+ممكن نفرق بين راجل وست أو مثلا الحفريات .. طبعا هي
+
+465
+00:33:10,990 --> 00:33:16,250
+بتعطينا أيش؟ دليل المخلوق .. طبعا تعتبر كروافع
+
+466
+00:33:16,250 --> 00:33:20,440
+العظامة نفسهاممكن طبعًا قوية، لكن بيبقى شيء اللي
+
+467
+00:33:20,440 --> 00:33:24,420
+يجذبها وده ذلك إن بيقول مثلًا اتساع في القفص
+
+468
+00:33:24,420 --> 00:33:27,740
+الصدري من ناحية أفقية إن عظام القفص الصدري صار
+
+469
+00:33:27,740 --> 00:33:31,640
+فيها انقباض وطبعًا جذبت العظام معها وبالتالي هنا
+
+470
+00:33:31,640 --> 00:33:34,240
+يا أخواتنا يعني فكرة الروافع الهيدروليكي طبعًا
+
+471
+00:33:34,240 --> 00:33:37,280
+عنده فكرة بالنسبة للطلاب الهندسة في الهيدروليكي
+
+472
+00:33:37,280 --> 00:33:41,600
+طبعًا فيها الروافع طبعًا بيصير طبعًا يعني زيادة في
+
+473
+00:33:41,600 --> 00:33:45,990
+طرف ونقص في طرف يعني انقباض في طرفو تمدد في طرف
+
+474
+00:33:45,990 --> 00:33:50,030
+لما اقول مثلا في عندى مثلا منطقة ايش العدد هذا هي
+
+475
+00:33:50,030 --> 00:33:53,190
+انا بدى حرك مثلا الساعد بيصير ان طبعا في عندنا
+
+476
+00:33:53,190 --> 00:33:55,990
+العدل ذات ثلاث رؤوس طبعا داخلية بيصير عندنا انقباض
+
+477
+00:33:55,990 --> 00:33:59,630
+و ذات الرأس يانطباع بيصير انبساط و العكس صحيح
+
+478
+00:34:00,410 --> 00:34:03,570
+انقباض دايما وين فيه انقباض معناه فيه قصر في
+
+479
+00:34:03,570 --> 00:34:07,090
+العضلة وين فيه انبساط فيه سطالة في العضلة والدليل
+
+480
+00:34:07,090 --> 00:34:10,370
+على ذلك كمان لما اتكلم ان في عندى انا اتساع من
+
+481
+00:34:10,370 --> 00:34:13,170
+ناحية رأسية بالنسبة للقفص الصدري انه صار عندى
+
+482
+00:34:13,170 --> 00:34:16,930
+انقباض في عضلة الحجاب الحاجز لما يصير فيه ارتخاء
+
+483
+00:34:16,930 --> 00:34:19,830
+في عضلة الحجاب الحاجز معناه هتصغر المسافة داخل ايش
+
+484
+00:34:19,830 --> 00:34:25,270
+الصدر تلاتة حماية الانسجان وهمة طبعا يقولنا ايش
+
+485
+00:34:25,270 --> 00:34:30,600
+الدماغ و القلبوالحبل الشوكي بتكوين خلايا الدم طب
+
+486
+00:34:30,600 --> 00:34:33,800
+نكون صورة واضحة خلايا الدم الإنسان بتتكوى عنده
+
+487
+00:34:33,800 --> 00:34:39,440
+خلايا الدم وهو البطن إمه من الكبد بعد ما يولد بصير
+
+488
+00:34:39,440 --> 00:34:43,480
+المسئولية للعظام يعني العظام وظيفتها بعد الولادة
+
+489
+00:34:43,480 --> 00:34:48,000
+تكوين خلايا دم حمراء لكن جبل طبعا بيصير إيش؟ بيكون
+
+490
+00:34:48,000 --> 00:34:50,180
+موجود في الكبد وهو طبعا الشيء اللي الحين لاحظناه
+
+491
+00:34:50,180 --> 00:34:54,750
+أنه في حال النزيف بينشطإنه خلّى العظم العظمي
+
+492
+00:34:54,750 --> 00:34:59,950
+لتكوين خلايا دم حمراء عشان تساعد في اتعود الجزء
+
+493
+00:34:59,950 --> 00:35:08,450
+المفقود وتعود في إمكانية حمل الـOxygen طبعاً
+
+494
+00:35:08,450 --> 00:35:11,190
+العظام تلتقي مع بعض زي ما قلنا في الجهاز اللي في
+
+495
+00:35:11,190 --> 00:35:13,910
+الفيديو شفناه تلتقي مع بعض وتكوّل المفاصل والمفاصل
+
+496
+00:35:13,910 --> 00:35:16,870
+طبعاً دي تلت أنواع هناخد هذه بالتفصيل إن شاء الله
+
+497
+00:35:16,870 --> 00:35:22,270
+في لقاءة الفيديونسأل جزئية العضلات و نكملها المرة
+
+498
+00:35:22,270 --> 00:35:25,050
+الجاية بإن لا اتعالم الله يعطيكوا ألف حافة يا ربنا
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/FiB9zGbe1QM_postprocess.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/FiB9zGbe1QM_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..6ba81eb4318dcfad7c6cee41033c3648c6f9a266
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/FiB9zGbe1QM_postprocess.srt
@@ -0,0 +1,2476 @@
+1
+00:00:05,040 --> 00:00:06,940
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:06,940 --> 00:00:09,380
+الرحيم والصلاة والسلام علي أشرف المرسلين سيدنا
+
+3
+00:00:09,380 --> 00:00:13,000
+محمد وعليه وصحبه وسلم استكمالا لموضوع إصابات
+
+4
+00:00:13,000 --> 00:00:17,740
+الجهاز العصبي تكلمنا عن بعض المشاكل اليوم هنكمل
+
+5
+00:00:17,740 --> 00:00:21,740
+بعض المشاكل الأخرى التي قد تصيب الجهاز العصبيهي
+
+6
+00:00:21,740 --> 00:00:25,200
+توقفنا عند السكتة الدماغية، طبعا السكتة الدماغية
+
+7
+00:00:25,200 --> 00:00:28,360
+يعني يقولنا أي حاجة بتأثر على الدماغ، بتأثر على
+
+8
+00:00:28,360 --> 00:00:32,520
+كتير من مناطق الجسم، ولا ربما تؤثر على أعضاء حيوية
+
+9
+00:00:32,520 --> 00:00:35,880
+من ضمنها القلب أو الجهاز التنفسي أو الكلاب أو ما
+
+10
+00:00:35,880 --> 00:00:39,500
+شابه ذلك، وبالتالي احنا اليوم هنتكلم على الجزئية
+
+11
+00:00:39,500 --> 00:00:43,340
+الخامسة من مشاكل أو إصابات الجهاز العصبي على وهي
+
+12
+00:00:43,340 --> 00:00:46,340
+طبعا السكتة الدماغية، طبعا إلها أكتر من مصطلح
+
+13
+00:00:46,340 --> 00:00:49,900
+الجلطة الدماغية أو ضربة الدماغ أو خطوة الدماغأو
+
+14
+00:00:49,900 --> 00:00:53,140
+brain stroke طبعا هذه أكتر من مصطلح إلها وبالتالي
+
+15
+00:00:53,140 --> 00:00:57,900
+طبعا إلها أيضا عدة أسباب لكن بالمجمال إصابتها ليست
+
+16
+00:00:57,900 --> 00:01:01,800
+بالبسيطة إصابتها قد تؤدي إلى الوفاة هنتعرف على ..
+
+17
+00:01:01,800 --> 00:01:04,880
+نتعرف بعض الأشياء اللي ممكن تؤدي إلى السكتة
+
+18
+00:01:04,880 --> 00:01:10,460
+الدماغية أو الجلطة طبعا الجلطة يعني زي كلمة تجلط
+
+19
+00:01:10,460 --> 00:01:13,590
+.. تيجي طبعا كلمة من مصطلح تجلط الدموالجلطة ممكن
+
+20
+00:01:13,590 --> 00:01:17,390
+تكون فقط ليست في الدماغ، ممكن تكون طبعا في الطرف
+
+21
+00:01:17,390 --> 00:01:22,050
+السفلية مثلا زي جلطة في الساق، معنى جلطة تيجي أحد
+
+22
+00:01:22,050 --> 00:01:25,250
+الأسباب الأولى اللي هي التخثر، يعني تجمد الدم في
+
+23
+00:01:25,250 --> 00:01:28,870
+منطق معينة وها طبعا بيعمل حاجز عن مرور الدم لما
+
+24
+00:01:28,870 --> 00:01:33,370
+بعد هذا اللي هي المنطقةيعني انسداد، الجلطة
+
+25
+00:01:33,370 --> 00:01:36,230
+التخثرية، شيء طبيعي أن الدم يا أخواتنا لما يكون
+
+26
+00:01:36,230 --> 00:01:39,470
+ماشي في الأوعي الدموية ما بتجمد ولا بتخثر إلا إذا
+
+27
+00:01:39,470 --> 00:01:43,490
+كان هناك مشاكل أو معيقات، يعني أحيانا لو خرج الدم
+
+28
+00:01:43,490 --> 00:01:46,270
+خارج ..شيء طبيعي أنه لما يخرج الدم عن مساره
+
+29
+00:01:46,270 --> 00:01:49,460
+الطبيعي بتجلططبعا في حالة طبعا إيقاف النزيف، لكن
+
+30
+00:01:49,460 --> 00:01:51,920
+لما أقول أنا والله في عيني صار جلطة في مكان معين
+
+31
+00:01:51,920 --> 00:01:55,240
+في الجسم، معناه فيه مشكلة، معناه طبعا هو أسباب
+
+32
+00:01:55,240 --> 00:01:59,320
+كتير من ضمنها الجلطة الدماغية، وبدأ أعرف أنا أن
+
+33
+00:01:59,320 --> 00:02:01,900
+المنطقة اللي بيصير فيها الجلطة معناها ما بيصلها
+
+34
+00:02:01,900 --> 00:02:04,500
+الدم، زي ما أقول مثلا إحنا الجلطة القلبية، معناها
+
+35
+00:02:04,500 --> 00:02:07,020
+انسداد، وانا قبل كده خدنا .. خدنا .. اتكلمنا على
+
+36
+00:02:07,020 --> 00:02:12,270
+الذبحة والجلطة، الجلطة انسداد كلهطبعا الذبحة اللي
+
+37
+00:02:12,270 --> 00:02:14,770
+هو ضيق وبالتالي هنا أول سبب من الأسباب اللي هي
+
+38
+00:02:14,770 --> 00:02:18,050
+الجلطة الدماغية اللي هي الجلطة التخثرية السبب
+
+39
+00:02:18,050 --> 00:02:21,170
+التاني تمزق شريان الدماغ واحد مثلا عنده ارتفاع ضغط
+
+40
+00:02:21,170 --> 00:02:24,470
+عنده ضغط الدم مرتفع ودم نقصه .. نقصه ضغط الدم يا
+
+41
+00:02:24,470 --> 00:02:28,190
+أخواتنا هو ضغط الدم الشرياني ضغط الدم الشرياني
+
+42
+00:02:28,190 --> 00:02:30,970
+يعني المقاوم اللي يجيهها أثناء .. الدم أثناء مروره
+
+43
+00:02:30,970 --> 00:02:36,370
+في الشرينطبعاً كل مكان فيه زيادة في صلابة الشريين
+
+44
+00:02:36,370 --> 00:02:40,650
+وقساوة الشريين كل مكان الفرصة فيها إيش للانفجار
+
+45
+00:02:40,650 --> 00:02:44,890
+الشيء الطبيعي إن الشريان فيه ليونة وفيه مرونة
+
+46
+00:02:44,890 --> 00:02:49,890
+بتمدد لكن لما يصير عندي انقباض في قوة الاندفاع من
+
+47
+00:02:49,890 --> 00:02:54,150
+الدم الموجود في القلب وما بيلاقي ليونة معناه هيصير
+
+48
+00:02:54,150 --> 00:02:59,010
+ضغط لما نقول احنا والله مثلا عندنانبوب ميه وجد ضغط
+
+49
+00:02:59,010 --> 00:03:02,250
+ميه في النبوب هذا وجد دار رقيق فملاقي صار فيه
+
+50
+00:03:02,250 --> 00:03:05,990
+انفجار وبالتالي نفس الحاجة ممكن تأدي لتمزق والتمزق
+
+51
+00:03:05,990 --> 00:03:09,970
+هذا غالب يكون عند مرضى ضغط الدم الشريعاني ولم يقصد
+
+52
+00:03:09,970 --> 00:03:15,660
+ضغط الدم يا إخواننا دايما نذكر ضغط دم شريعانيطبعا
+
+53
+00:03:15,660 --> 00:03:18,260
+التدرج في حدوث أعراض السكت الدماغية طبعا ما تيجي
+
+54
+00:03:18,260 --> 00:03:22,980
+مرة واحدة لكن ممكن طبعا تيجي لمرحل بسيطة طبعا يعني
+
+55
+00:03:22,980 --> 00:03:26,920
+أعراضها بسيطة مثلا بيقولك والله صار عندي خدلان صار
+
+56
+00:03:26,920 --> 00:03:30,600
+مثلا صعوبة في الكلام طبعا شيء تدريجي وبالتالي هنا
+
+57
+00:03:30,600 --> 00:03:36,860
+ممكن تظهر مؤقت حاجات بسيطة بسبب يعني بحكم المنطقة
+
+58
+00:03:36,860 --> 00:03:40,100
+اللي انقطع عنها الدم لو كان رشح بسيط بيقولها لسه
+
+59
+00:03:40,100 --> 00:03:43,420
+عم استمر لكن ثاناء لو كان غلق كلي تظهر العراض
+
+60
+00:03:43,420 --> 00:03:49,310
+واضحةغالبا، نعد مرة تانية إن مرضى ضغط الدم هم أكثر
+
+61
+00:03:49,310 --> 00:03:55,370
+عرضة بسبب عدم انتظام ضغط الدم عند الشخص المصاب،
+
+62
+00:03:55,370 --> 00:04:00,350
+ضغط الدم طبعا المراد المزمنة اسمه القاتل الصامت،
+
+63
+00:04:00,350 --> 00:04:04,250
+لان ممكن يرتفع ضغط الدم بدون حلوث أعراض لكن فجأة
+
+64
+00:04:04,250 --> 00:04:09,680
+ويقولك والله فقد وعيهطلع زبد يعني بطل اشوف فيهم
+
+65
+00:04:09,680 --> 00:04:13,900
+ليش لإن صار عندي انفجار في أحد الشرايين داخل
+
+66
+00:04:13,900 --> 00:04:14,340
+الدماغ
+
+67
+00:04:17,170 --> 00:04:21,230
+هذه صورة بسيطة جدا بالنسبة للجلطة طبعا هنا أي
+
+68
+00:04:21,230 --> 00:04:24,330
+منطقة زي ما نقول احنا هنا هذه منطقة صار فيها
+
+69
+00:04:24,330 --> 00:04:28,350
+انسداد انسداد تمام صار المنطقة فيها نزيف المنطقة
+
+70
+00:04:28,350 --> 00:04:30,890
+اللي صار فيها انسداد او المنطقة اللي صار فيها نزيف
+
+71
+00:04:30,890 --> 00:04:33,770
+معناه الدماغ مش هيهم كمية الدم الكافية له يعني
+
+72
+00:04:33,770 --> 00:04:37,890
+النزيف او الانسداد النزيف الدم هيكون الخارجمعنى
+
+73
+00:04:37,890 --> 00:04:40,910
+خارج الأوعي الدموية وهنا لازم يقولنا كل خلية من
+
+74
+00:04:40,910 --> 00:04:43,810
+خلايا الجسم لازم يصلها الدم المنطقة اللي صار فيها
+
+75
+00:04:43,810 --> 00:04:48,110
+انسداد تخثر معناه ما وصلها الدم زي ما نقول مثلا
+
+76
+00:04:48,110 --> 00:04:50,750
+عندنا انسداد في أحد الشرايين أو انسداد في أحد
+
+77
+00:04:50,750 --> 00:04:53,970
+شرايين المغدية للقلب الشرايين التاجية معناه قد إلى
+
+78
+00:04:53,970 --> 00:04:58,510
+جلطة قلبية وكل ما كانت الوعاء الدموي في انسداد
+
+79
+00:04:58,510 --> 00:05:02,810
+أكبر كل مكان ما بعد الوعاء الدموي مساحة أكبراللي
+
+80
+00:05:02,810 --> 00:05:06,310
+طبعا هيتفرع وبالتالي كل مكان الواعد نموي المغلق
+
+81
+00:05:06,310 --> 00:05:11,510
+أكبر كل مكان الخطورة أكتر بسبب انسداد كمية أو
+
+82
+00:05:11,510 --> 00:05:14,690
+مساحة أوسع من العضو المصاب، نتكلم هنا اليوم على
+
+83
+00:05:14,690 --> 00:05:21,380
+الجهاز العصبييبقى ايه اما جلطة او نزيف ايه طبعا
+
+84
+00:05:21,380 --> 00:05:25,500
+صورة اخرى كمان هان اقول مثلا شريان انفجار يبقى هان
+
+85
+00:05:25,500 --> 00:05:28,920
+اكتر حاجة اللي احنا ممكن نخاف منه عند مرضى ضغط
+
+86
+00:05:28,920 --> 00:05:33,700
+الدم انفجار في أحد الشرايين بسبب زيارة ضغط الدم
+
+87
+00:05:33,700 --> 00:05:38,800
+الموجود داخل الشرايين وبسبب قلة ليونة ومرونة
+
+88
+00:05:38,800 --> 00:05:40,440
+الشرايين تمام؟
+
+89
+00:05:44,720 --> 00:05:47,780
+أعراض ما بعد الإصابة طبعا ممكن تظهر لو إنسان أصيب
+
+90
+00:05:47,780 --> 00:05:51,580
+فقدر مفاجئ يعني مافيش قوة ممكن ييجي على الأرض
+
+91
+00:05:51,580 --> 00:05:57,060
+مايتوزنش لأن طبعا صار السيطرة وين اللي ممكن يتحكم
+
+92
+00:05:57,060 --> 00:06:00,660
+فيها الدماغالسهم غيره أضحى صعوبة في النطق يعني
+
+93
+00:06:00,660 --> 00:06:05,920
+اتلعثم مايتكلمش كويس في الإبصار طبعا ده لو اتطلعنا
+
+94
+00:06:05,920 --> 00:06:09,280
+على الإبصار أو الصداع أو التوازن أو الطنين و
+
+95
+00:06:09,280 --> 00:06:11,880
+الصعوبة في وقفه دلوقتي كلها يا أخواتنا بتعود على
+
+96
+00:06:11,880 --> 00:06:15,910
+جهاز العصبزي ما قلنا، عدم توازن، فقدان، طانين
+
+97
+00:06:15,910 --> 00:06:21,690
+الأذن، لا اعتماد في الكلام، استفراغ مستمر، طبعاً
+
+98
+00:06:21,690 --> 00:06:24,950
+فقدان القدرة على الحركة، هذا كلها علاقة بالجهاز
+
+99
+00:06:24,950 --> 00:06:28,810
+العصبي، وبالتالي هذه إشارات تنبيهية، زي نقول إحنا
+
+100
+00:06:28,810 --> 00:06:32,220
+مثلا إنسانيعني ليس بالضرورة فقط مثلا مريض السكر
+
+101
+00:06:32,220 --> 00:06:35,620
+الضغط، لكن احنا عندنا مثلا نقول مريض السكر، بيقولك
+
+102
+00:06:35,620 --> 00:06:40,580
+صار بشعر في خدلان، بقص الإبصار صار ضعيف، المناعة
+
+103
+00:06:40,580 --> 00:06:44,060
+صارت ضعيفة، يبهرك أعراض جانبية، لكن أنا لما أتكلم
+
+104
+00:06:44,060 --> 00:06:48,460
+على عدم التوازن، وطبعا الغثيان أو الاستفراغ
+
+105
+00:06:48,460 --> 00:06:52,820
+المستمر، طبعا المشكلة في الإبصار، هذه كلها علاقة
+
+106
+00:06:52,820 --> 00:06:55,480
+أو بطنين الأذن، بيقولك أنا بسمع طنين، هذه كلها
+
+107
+00:06:55,480 --> 00:06:58,820
+علاقة أو منبهات أنه في عنده مشكلة أيش في الجهاز
+
+108
+00:06:58,820 --> 00:06:59,320
+العصبي
+
+109
+00:07:03,360 --> 00:07:07,820
+طيب، إيش الأوامل التي تزيد المشكلة أكتر، بالنسبة
+
+110
+00:07:07,820 --> 00:07:11,800
+للجلطة الدماغية؟ يعني ممكن تساعد على حدوث الجلطة
+
+111
+00:07:11,800 --> 00:07:14,320
+على عكس الناس الأخرين اللي مش موجود عندهمها
+
+112
+00:07:14,320 --> 00:07:17,680
+دلوقتي؟ أول حاجة السمنة، والسمنة شيء طبيعي إن
+
+113
+00:07:17,680 --> 00:07:21,860
+زيادة الوزن هتأثر على عمل القلب، لأن عمل القلب
+
+114
+00:07:21,860 --> 00:07:25,300
+هيزيد عليه العبء أكتر، وأيضا هيكون أنه تراكم في
+
+115
+00:07:25,300 --> 00:07:28,920
+الدهون أكتر، وتراكم الدهون معناه ضيق في الأوعية
+
+116
+00:07:28,920 --> 00:07:33,730
+الدمويةوضيق في الشرايين وهذا طبعا بضايق مسار أو
+
+117
+00:07:33,730 --> 00:07:37,390
+مجرة الدم وبالتالي هيلاقي مقاومة وقد يؤدي إلى
+
+118
+00:07:37,390 --> 00:07:40,730
+الانفجار اضاف إلى ذلك ممكن يكون في انزلاقات بسيطة
+
+119
+00:07:40,730 --> 00:07:44,430
+من الجدار الشريان بسبب طرقهم الكوليسترول او الدهون
+
+120
+00:07:44,430 --> 00:07:48,210
+الضارة وهذا طبعا بتمشي مع الدم وين في منطقة ضيقة
+
+121
+00:07:48,210 --> 00:07:52,350
+بتعملها ايش اغلب رقم اتنين يبقى السمنة خطيرة جدا
+
+122
+00:07:52,350 --> 00:07:55,890
+يا أخواتنا السمنة مش عجبات جلطة السمنة على القلب
+
+123
+00:07:55,890 --> 00:07:59,970
+السمنة السكر السمنة على المفاصلالسمنة ضغط الدم
+
+124
+00:07:59,970 --> 00:08:05,570
+الشرياني طبعا عبء كبير ضعف المناعة وبالتالي طبعا
+
+125
+00:08:05,570 --> 00:08:08,490
+زيادة الوزن على المعدل الطبيعي في مشكلة وعلى القلب
+
+126
+00:08:08,490 --> 00:08:12,750
+رقم واحد مرض السكر طبعا أحد الأسباب بتزيد المشكلة
+
+127
+00:08:12,750 --> 00:08:16,650
+أكتر لأنه يكون عندنا أيش ضعف في المناعة في عندنا
+
+128
+00:08:16,650 --> 00:08:20,970
+ضعف في الإحساس وهي طبعا ضعفات مرض السكر مرض السكر
+
+129
+00:08:20,970 --> 00:08:27,370
+مش بسيط مرض الضغط مش بسيط أي علاج أي مرض مزمن لازم
+
+130
+00:08:27,370 --> 00:08:31,000
+الإنسان يتابعهما يقول والله أنا بتبعي شوية ضغط
+
+131
+00:08:31,000 --> 00:08:34,840
+كويس ولا سكر كويس، لأ أي مرض مزمن لازم تظل
+
+132
+00:08:34,840 --> 00:08:40,340
+هالمتابعة مع استمرار العلاج حتى لو كان منتظم رقم
+
+133
+00:08:40,340 --> 00:08:44,040
+تلاتة التدخين، التدخين مشكلة، مشكلة كبيرة أحد
+
+134
+00:08:44,040 --> 00:08:49,720
+أختار المشاكله اللي هي تصلب الشرين، تصلب الشرين
+
+135
+00:08:49,720 --> 00:08:52,240
+المشكلة طبعا بالمناسبة يا أخوتي ما نعرف احنا ان
+
+136
+00:08:52,240 --> 00:08:56,060
+عملية تصلب الشرين تبدأ منذ الولادة، لكن تدريج
+
+137
+00:08:56,060 --> 00:08:59,920
+طبيعييعني لو احنا قولنا مثلا لو مسكنا وريد طفل
+
+138
+00:08:59,920 --> 00:09:03,560
+صغير و وريد إنسان مسن، هتلاقي فيه صلابة، لكنها
+
+139
+00:09:03,560 --> 00:09:06,520
+طبيعي، لكن .. لكن لما أقول إن والله إنسان عمره
+
+140
+00:09:06,520 --> 00:09:10,420
+عشرين سنة و بدخن كتير، صلابة الشرايين على عكس
+
+141
+00:09:10,420 --> 00:09:13,980
+إنسان تاني بنفس العمر، لكن ما بدخن، وبالتالي أحد
+
+142
+00:09:13,980 --> 00:09:17,300
+الأسباب تؤدي إلى صلابة الشرايين، اللي هو التدخين،
+
+143
+00:09:17,300 --> 00:09:21,020
+و أخطر من التدخين، اللي هو الشيشة، و طبعا أخطر
+
+144
+00:09:21,020 --> 00:09:27,050
+وأخطر، فبتعدوا عنهارقم اربع .. لا اليوم صار موفي
+
+145
+00:09:27,050 --> 00:09:31,450
+منهم بشيش اليوم، الحمد لله رب العالمين، برستشيش
+
+146
+00:09:31,450 --> 00:09:34,570
+طبعا معادل طبعا تجاربة نعمل بالدخان كاملة، الحمد
+
+147
+00:09:34,570 --> 00:09:39,520
+لله رب العالمينقلب الدخان كامل .. نفس .. اه اللي
+
+148
+00:09:39,520 --> 00:09:41,100
+هي .. الراس الشيش .. هو راس الشيش .. اه اللي
+
+149
+00:09:41,100 --> 00:09:44,260
+بيسموه .. اه ده .. طبعا .. اه رقم أربعة .. ارتفاع
+
+150
+00:09:44,260 --> 00:09:48,920
+ضغط الدم .. انا بيقول ارتفاع .. يعني مش منتظم ..
+
+151
+00:09:48,920 --> 00:09:52,140
+احنا في عين ضغط الدم شرياني .. ضغط الدم هو ضغط
+
+152
+00:09:52,140 --> 00:09:55,520
+الدم شرياني .. لكن ارتفاع عن المعدل الطبيعي ومافيش
+
+153
+00:09:55,520 --> 00:09:58,220
+عين رقم ثابت يا أخواتنا من نسبة لضغط الدم .. بيقول
+
+154
+00:09:58,220 --> 00:10:00,870
+يعتمد على ..صح انتوا بتقولوا مثلا مائة و عشر ..
+
+155
+00:10:00,870 --> 00:10:02,970
+مائة و عشرين على تمانين أو مائة و عشر على سبعين
+
+156
+00:10:02,970 --> 00:10:06,790
+ماشي لكن حسب العمر لما أقول انا مائة و تلاتين على
+
+157
+00:10:06,790 --> 00:10:09,370
+تسعين لإنسان عمره تسعين سنة ولا تمانين سنة طبيعي
+
+158
+00:10:09,370 --> 00:10:14,150
+ليش؟ لأنه بحكم صلابة الشراين لكن لما أقوله الله
+
+159
+00:10:14,150 --> 00:10:18,490
+مائة و تلاتين على تسعين بعمركه مش طبيعي مش طبيعي
+
+160
+00:10:18,490 --> 00:10:22,910
+عالي تمام؟ لما أقوله الله مثلا شاب صغير مثلا عمره
+
+161
+00:10:22,910 --> 00:10:26,810
+عشر سنوات ضغط الدم عنده مائة و تلاتين على تمانين
+
+162
+00:10:26,810 --> 00:10:30,900
+برضهعالي وبالتالي حسب الفئة العمرية حسب الفئة
+
+163
+00:10:30,900 --> 00:10:33,720
+العمرية يعني مابقولش أنه والله مية وعشرة ع سبعين
+
+164
+00:10:33,720 --> 00:10:37,760
+هو طبيعي ماشي لكن حسب الفئة العمرية طب لو قلنا
+
+165
+00:10:37,760 --> 00:10:39,900
+مثلا إنسان كبير في العمر مية و تلاتين ع تمانين
+
+166
+00:10:39,900 --> 00:10:43,840
+برضه طبيعي يبقوا يعتمد على طبعا وبالتالي ضغط الدم
+
+167
+00:10:43,840 --> 00:10:48,080
+القاتل الصامت لأن الحين ممكن نظهر بصير مشكلة بدون
+
+168
+00:10:48,080 --> 00:10:53,240
+أي أعراض يعني فجأة بتلاقي الرجال مثلاجاعد ووجع على
+
+169
+00:10:53,240 --> 00:10:56,080
+الأرض مثلا شوية زعل بسيط ارتبط ضغط الدم ووجع على
+
+170
+00:10:56,080 --> 00:10:59,240
+الأرض يعني تلك القشة التي قسمت دهر البعير صار عدو
+
+171
+00:10:59,240 --> 00:11:06,640
+نزيف مثلا في الدماغ جلطة دماغية مباشرة اتفضلي اشي
+
+172
+00:11:06,640 --> 00:11:11,800
+طبيعي احنا أول أساسي نقول احنا ضغط الدم أشر يعني
+
+173
+00:11:11,800 --> 00:11:15,960
+طبعا الانخفاض أهو من الارتفاع عشان يكون أول حاجة
+
+174
+00:11:15,960 --> 00:11:20,410
+الانخفاض ضغط الدم يعني زيارة القوةطبعا ايش معنى
+
+175
+00:11:20,410 --> 00:11:22,990
+ضغط الدم؟ بالمجمل سؤال تفاح وانقفاض، ضغط الدم
+
+176
+00:11:22,990 --> 00:11:26,210
+الشريعي هو المقاومة التي يلاقيها الدم أثناء مروره
+
+177
+00:11:26,210 --> 00:11:30,570
+في الشراين، مش في الأوردة، في الشراين، ضغط الدم
+
+178
+00:11:30,570 --> 00:11:34,590
+معناه زالت المقاومة على الدم اللي مارن أو اللي
+
+179
+00:11:34,590 --> 00:11:39,360
+داخل في الشراينتمام؟ لكن انخفاض ضغط الدم قد يكون
+
+180
+00:11:39,360 --> 00:11:43,380
+نتيجة قيق أو إسهال لأنه قل معدل الدم قلت ..
+
+181
+00:11:43,380 --> 00:11:46,840
+فبالتالي بيقولوا احنا .. هذا مثال بسيط جدا لكن
+
+182
+00:11:46,840 --> 00:11:50,840
+أحيانا ممكن بعض الأدوية بتقلل من ضغط الدم يعني
+
+183
+00:11:50,840 --> 00:11:53,860
+بتعمل ارتخاء في الشريين تمام؟ لكن أنا لما أقول
+
+184
+00:11:53,860 --> 00:11:56,440
+ارتخاء في الشريين معناه لما الدم يعدي في الشريين
+
+185
+00:11:56,440 --> 00:11:59,680
+هذه مش علاجها المقاومة لكن لإنسان عنده مثلا انخفاض
+
+186
+00:11:59,680 --> 00:12:02,700
+ضغط الدم والله بيقولك مثلا ضغطة منخفض سيدة حالنا
+
+187
+00:12:02,700 --> 00:12:05,620
+بتقول ضغط منخفض إيش أسهل حاجة؟ اعطيه سوائل
+
+188
+00:12:05,620 --> 00:12:10,830
+ومشروباتوعصائر طبيعية للتعويض بس معالج ضغط الدم
+
+189
+00:12:10,830 --> 00:12:17,410
+المنخفض أهوان من ضغط الدم المرتفع نعم أمراض القلب
+
+190
+00:12:17,410 --> 00:12:21,230
+ليش؟ لأن طبعا هو المضخة إذا كان القلب في مشكلة
+
+191
+00:12:21,230 --> 00:12:26,170
+معناه هينعكس وين؟ على الشرايين وع الدماءالتقدم في
+
+192
+00:12:26,170 --> 00:12:29,110
+السن، شيء طبيعي لإن طبعا بيزيد عندنا فترة إيش؟
+
+193
+00:12:29,110 --> 00:12:33,930
+الشايخوخة و طبعا الأنسجة بيبتهرم، الخلايا بتضعف،
+
+194
+00:12:33,930 --> 00:12:36,610
+السترسال البشرين بيزيد، إيه بقى طبعا أحد أسباب
+
+195
+00:12:36,610 --> 00:12:42,800
+أخرى؟الكلسترول و تناول دهون غير مشبعة، يعني الدهون
+
+196
+00:12:42,800 --> 00:12:46,660
+مثلا المهدرجة، على عكس طبعا الدهون النباتية، زيت
+
+197
+00:12:46,660 --> 00:12:50,400
+الزيتون، طبيعي، لكن دهون الزيوت المهدرجة اللي طبعا
+
+198
+00:12:50,400 --> 00:12:53,780
+تم عملتها إيش؟ بالهيدروجين، وها طبعا ضارة لجسم،
+
+199
+00:12:53,780 --> 00:12:57,060
+لأن طبعا .. صحيح، صحيح، اه لأن طبعا .. ما نكتر
+
+200
+00:12:57,060 --> 00:13:00,240
+منها، لكن الدهون الحيوانية أقل ضرر بكثير من الدهون
+
+201
+00:13:00,240 --> 00:13:04,300
+المصنعةوبالتالي طبعا ربنا حرم على بني إسرائيل لأن
+
+202
+00:13:04,300 --> 00:13:07,800
+فيها منفع عليهم فحرمهم من حاجة هم كانوا يستفيدوا
+
+203
+00:13:07,800 --> 00:13:12,890
+منها، طبعا إيش؟ عقاب لهمطبعا كإسعاف أوليا، أهم
+
+204
+00:13:12,890 --> 00:13:15,790
+حاجة أحنا بيهمنا أنه .. أن يقدر نوصل الشخص الهدايش
+
+205
+00:13:15,790 --> 00:13:20,270
+للمستشفي أكتر شيء طب .. لأ، احنا بيقول إنه .. احنا
+
+206
+00:13:20,270 --> 00:13:23,230
+.. بالنهاية بدي أوصل للمستشفي أنا، أتبع؟ لكن أنا
+
+207
+00:13:23,230 --> 00:13:26,270
+بالذامن الهدوء، بالذامن متابعة ومراقبة اللي هي
+
+208
+00:13:26,270 --> 00:13:30,310
+علامات الحياة، النفس، عدد درجات القلب، منبض القلب
+
+209
+00:13:30,310 --> 00:13:33,730
+أو ممنبضش، أنا دايما في أي إنسان بدي أراقب علامات
+
+210
+00:13:33,730 --> 00:13:38,270
+الحياة عنده، وخاصة طبعا هو التنفس والضغط أو النبض
+
+211
+00:13:38,270 --> 00:13:44,190
+صحيحطبعا هنا ممكن نساعد الشخص على وضع الجلوس أو
+
+212
+00:13:44,190 --> 00:13:48,890
+طبعا الاستلقاء ممكن نرفع القدمين عساس ايش انا لو
+
+213
+00:13:48,890 --> 00:13:52,170
+كان مثلا .. لو كان الشخص مثلا نفاق دواعيه تمام على
+
+214
+00:13:52,170 --> 00:13:55,650
+سبيل المثال ممكن أستخدم لكن بتنفس و ينبض القلب
+
+215
+00:13:55,650 --> 00:14:00,750
+عنده طبعا وين بكون وضع الإفاقة اذا كده طبعا
+
+216
+00:14:06,430 --> 00:14:09,250
+لأ انا بقول حسب انا مابديش انا ارفعها لإن انا بقول
+
+217
+00:14:09,250 --> 00:14:14,070
+اذا كان فاقد وعي وفي نفس كويس بشكل عام وفي طبعا في
+
+218
+00:14:14,070 --> 00:14:19,670
+عندى مثلا تنفس طبيعي وفي عندى النبض طبيعي انا ممكن
+
+219
+00:14:19,670 --> 00:14:23,130
+اخليه على اي ناحية و خاصة لما نوضع الفاقة هو افضل
+
+220
+00:14:23,130 --> 00:14:29,010
+اشي لأن أحيانا قد يصاحب الجلطة شلل فانا بكون عن
+
+221
+00:14:29,010 --> 00:14:32,230
+ناحية ايش المصابة عشان لو في بقى اللعاب بيكون انا
+
+222
+00:14:32,230 --> 00:14:36,820
+اعيش للخارجطبعا في الحالة دي حتى لو كان شبيه واعي
+
+223
+00:14:36,820 --> 00:14:40,720
+يمنع اعطاء اي شيء لان طبعا خوفا من ايش؟ من
+
+224
+00:14:40,720 --> 00:14:45,260
+الاختناق طبعا بالمجمل هذا لازم بلزم مستشفى لان انا
+
+225
+00:14:45,260 --> 00:14:48,620
+مابقدر انا اعطيه اي علاج ولا شيء لكن ايش؟ مراقبة
+
+226
+00:14:48,620 --> 00:14:53,390
+.. بس مراقبة .. مراقبةطبعا كمضاعفات للسكتر الدماغي
+
+227
+00:14:53,390 --> 00:14:56,930
+مضاعفات خطيرة، طبعا العجزة الكلي، يعني الشلع
+
+228
+00:14:56,930 --> 00:15:01,090
+الكامل، طبعا أخطرها اللي هو الموت، ممكن يصير تلعتم
+
+229
+00:15:01,090 --> 00:15:05,570
+في الكلام، صعوبة في الحركة، يعني عدم توازن، عدم
+
+230
+00:15:05,570 --> 00:15:11,150
+توازن، ممكن يؤثر على الذاكرةممكن يؤثر على الإبصار
+
+231
+00:15:11,150 --> 00:15:16,290
+حسب وين الانسداد حسب وين الانسداد وبالتالي هنا
+
+232
+00:15:16,290 --> 00:15:19,150
+ممكن يكون طبعا من ناحية نفسية يعني طبعا ناحية
+
+233
+00:15:19,150 --> 00:15:22,510
+نفسية من ناحية جسدية ممكن يكون اكتئاب ممكن طبعا
+
+234
+00:15:22,510 --> 00:15:27,170
+بالحركة مامشيشي كويس طبعا مابقدر يسرع يسرعي كل شيء
+
+235
+00:15:27,170 --> 00:15:33,070
+لكن ممكن طبعا يكون شلل ممكن يكون صعوبة في الكلام
+
+236
+00:15:33,070 --> 00:15:38,740
+بتلعتم في الكلام الذاكرة تخونه طنين مستمرحسب
+
+237
+00:15:38,740 --> 00:15:43,880
+اختارها حسب بالظبط اختارها الموت طبعا اختارها قد
+
+238
+00:15:43,880 --> 00:15:47,980
+تؤدي الى الموت لكن لو الانسان نجي منها يقول طب
+
+239
+00:15:47,980 --> 00:15:51,480
+الحمد لله في كل حالة لكن ممكن ينجي منها لكن بده
+
+240
+00:15:51,480 --> 00:15:53,880
+علاج فيما بعد مستمر على طول نعم
+
+241
+00:15:58,460 --> 00:16:00,840
+ما احنا قلنا بيبقى لها مراحل، احنا ذكرنا المراحل
+
+242
+00:16:00,840 --> 00:16:04,260
+ممكن تكون حاجة بسيطة، لكن لو أهمل، الضغط هذا يعطيك
+
+243
+00:16:04,260 --> 00:16:08,880
+مثلا كمنبه، نزيف بسيط جدا، لكن بعد لو أهمل، ممكن
+
+244
+00:16:08,880 --> 00:16:11,820
+تكون إيش إيه إيه، يجي مثلا انفجار أكتر، وأدى طبعا
+
+245
+00:16:11,820 --> 00:16:17,880
+إنسداد شريان أكبر وبالتالي اللي بيكون خطورة نيجي
+
+246
+00:16:17,880 --> 00:16:20,860
+لمشكلة تانية، اللي علاقة بالجهاز العصبي على وهي
+
+247
+00:16:20,860 --> 00:16:23,460
+الإغماء، بقولك مغمع عليه،
+
+248
+00:16:28,300 --> 00:16:32,500
+طبعا و فقدان الواعي جزئيا، طبعا هنا انا بدي اجيب
+
+249
+00:16:32,500 --> 00:16:35,380
+مثال بسيط جدا لو احنا كلنا .. او اي .. و انسان كان
+
+250
+00:16:35,380 --> 00:16:40,680
+نايم تمام و سمع صوت قصف ولا .. بفد مرة واحدة، كيف
+
+251
+00:16:40,680 --> 00:16:41,220
+بشعر؟
+
+252
+00:16:43,760 --> 00:16:47,400
+بس و زغلالة في العينين و بس حاله انه بده يجعب
+
+253
+00:16:47,400 --> 00:16:51,740
+وبالتالي هدقش لإنه صار فيه عنده قصور في وصول
+
+254
+00:16:51,740 --> 00:16:55,920
+الدورة الدموية أو الدم للدماج مؤقت لحظي طبعا لإن
+
+255
+00:16:55,920 --> 00:16:59,200
+طبعا الدماغ خدمتنا حساس جدا نلاحظ احنا في أول يوم
+
+256
+00:16:59,200 --> 00:17:02,680
+في الصيام مثلا إنه خطوة السكر بيعطينا إشارة ودائما
+
+257
+00:17:02,680 --> 00:17:05,660
+خدوة قاعدة يعني هذا من فضل ربنا علينا إن الدماغ
+
+258
+00:17:05,660 --> 00:17:09,440
+بيعطينا إشارات قبل ما ياخد من المخزونجاب المخزن من
+
+259
+00:17:09,440 --> 00:17:12,940
+الاحتياطة عشان أنت لأ خلّي المخزون مخزون وعوض لي
+
+260
+00:17:12,940 --> 00:17:17,260
+إيش من برا لكن عند ضرر قصوى بياخد فدائما يعطينا
+
+261
+00:17:17,260 --> 00:17:21,100
+مؤشرات أنه إيش انت بيه على نفسك يا إنسان وطبعا من
+
+262
+00:17:21,100 --> 00:17:23,880
+فضل ربنا علينا لإن هذه أشياء بتشغل لحالة automatic
+
+263
+00:17:23,880 --> 00:17:28,080
+لا إرادة لكن يعطينا إشارات هذه لما نقول والله مثلا
+
+264
+00:17:28,080 --> 00:17:32,600
+إنسان نهض طبعا شيء طبيعي أنه يصير قصور في وصول
+
+265
+00:17:32,600 --> 00:17:36,080
+الدم وطبعا إعطانا الدماغ إشارة زغلة لفقه مباشرة
+
+266
+00:17:36,080 --> 00:17:39,480
+صار زغلة في العينين أو حاسس حاله أنه دايختطب هو لو
+
+267
+00:17:39,480 --> 00:17:43,200
+غمض عينيه، بس ثواني أو قعد على الأرض، هتصل كمية
+
+268
+00:17:43,200 --> 00:17:47,660
+الدم طبيعي أيش لدمه؟ هو لصح، هو لصح، لكن أحيانًا
+
+269
+00:17:47,660 --> 00:17:50,600
+يقول إنسان مثلا .. وبالتالي كبار السن لازم، ضروري
+
+270
+00:17:50,600 --> 00:17:54,120
+جدا، لأنه بسبب ضعف الدورة الدموية عندهم أو بسبب
+
+271
+00:17:54,120 --> 00:17:56,920
+ضعف عضلة القلب، لأنه مش هتضخ بالصورة الطبيعية،
+
+272
+00:17:56,920 --> 00:17:59,980
+فدائما أي إنسان حتى لو كان عامل عملية جراحية، لازم
+
+273
+00:17:59,980 --> 00:18:02,960
+يجعد شوية، بعدين ينهض، من الخطأ إنسان يقول مرة
+
+274
+00:18:02,960 --> 00:18:06,330
+واحدةطب ماشي واحد يقولك أنا بجمش مشكلة، بغمط
+
+275
+00:18:06,330 --> 00:18:09,310
+عينيه، خلاص، في الشباب بتبينش كتير، لكن لما تكون
+
+276
+00:18:09,310 --> 00:18:12,710
+إنسان كبير في العمر، بتبين أكتر، بتبين أكتر، يبقى
+
+277
+00:18:12,710 --> 00:18:16,770
+هو فقدان الوعي جزئيا و كليا لمدة قصيرة جدا، نتيجة
+
+278
+00:18:16,770 --> 00:18:20,330
+نقص امتد خلايا الدم بكمية الدم اللازمة، طبعا كمية
+
+279
+00:18:20,330 --> 00:18:25,050
+الدم الغنية بالأكسجين، وعدم ما يسترد المصاب ويبقى
+
+280
+00:18:25,050 --> 00:18:27,170
+سحوط على الدم، طبعا هو شيء طبيعي، لما بيجي على
+
+281
+00:18:27,170 --> 00:18:30,290
+الأرض، بيوقع، ليش بيوقع، بصح صح، لأن الدم وصل
+
+282
+00:18:30,290 --> 00:18:33,960
+للدماغ،فالدمغ بيصلوا .. بس المشكلة اللي بيجي على
+
+283
+00:18:33,960 --> 00:18:38,300
+حاجة تأذين، هذه المشكلة، فدايما اللي بيكون عنده ..
+
+284
+00:18:38,300 --> 00:18:40,760
+طبعا هنتكلم عن الأسباب هذه، اللي بيكون عنده الهالة
+
+285
+00:18:40,760 --> 00:18:43,760
+هذه مستمرة، أقل حاجة، أقل شيء، يبدي يعمل فحص
+
+286
+00:18:43,760 --> 00:18:50,010
+Hemoglobin أو قوة الدمطبعا أهم الأسباب القلم طبعا
+
+287
+00:18:50,010 --> 00:18:53,550
+التعب لمجهود زائد، تعب كتير وطبعا مش قادر يصيب
+
+288
+00:18:53,550 --> 00:18:56,570
+نفسه ممكن يجعق، طبعا زي مانسا بيشتغل يقول الله أنا
+
+289
+00:18:56,570 --> 00:18:59,930
+حاسس حالي ضايق، اتعبت كتير و بدأي إيش أرتاح، طبعا
+
+290
+00:18:59,930 --> 00:19:03,190
+أخواتنا بيقول حاجة مهمة أنه لما لسان بيشتغل لفترة
+
+291
+00:19:03,190 --> 00:19:07,290
+طويلة، لتناقل وقوف، هذا طبعا بيبطئ الدورة الدموية،
+
+292
+00:19:07,290 --> 00:19:10,950
+و بيحس حاله .. بيحس حاله انه تعبان، لو أخدله يعني
+
+293
+00:19:10,950 --> 00:19:15,000
+مثلا قيلوله عشر دقايق، ربع ساعة تكفيطبعا دائما
+
+294
+00:19:15,000 --> 00:19:18,680
+القيلولة لا تزيد عن ساعة، من نقول مثلا من نص ساعة
+
+295
+00:19:18,680 --> 00:19:23,000
+لساعة، أكتر شيء، لكن لو أخد عشر دقائق بكفي، ليش
+
+296
+00:19:23,000 --> 00:19:28,300
+بيزيد عملية نشاط الدورة الدموية من أول لجديد القلق
+
+297
+00:19:28,300 --> 00:19:32,330
+والخوف والغضب، طبعا كلها أسباب هتؤدي للإجماعارتفاع
+
+298
+00:19:32,330 --> 00:19:35,150
+ضارة حرارة الجو و الرطوبة وهذا طبعا لحظة احنا في
+
+299
+00:19:35,150 --> 00:19:38,710
+الصيف لما تكون الرطوبة عالي جدا وحس حالي ضايق
+
+300
+00:19:38,710 --> 00:19:42,670
+مزاهزي طبعا هذا احد الأسباب لأن هذا طبعا بيكون
+
+301
+00:19:42,670 --> 00:19:45,610
+معدل طبعا كل مزارة الرطوبة في الجو بتأثر على
+
+302
+00:19:45,610 --> 00:19:49,850
+التنفس كمان لطبعا الجو بيكون محمل بالرطوبة او
+
+303
+00:19:49,850 --> 00:19:52,870
+ببخار الماء اكتر من اللي احنا بنحتاجه
+
+304
+00:19:56,400 --> 00:19:59,780
+هذه زي ما ذكرنا الوقوف المفاجئ أحد الأسباب خاصة
+
+305
+00:19:59,780 --> 00:20:04,220
+لأكبار السن يمكن تكبير شاب وصحته كويسة طفلته وصحته
+
+306
+00:20:04,220 --> 00:20:07,320
+كويسة ممكن لو سنت حاجة بس تواني لكن الكبير ممكن
+
+307
+00:20:07,320 --> 00:20:09,800
+يجي على الأرض وبالتالي دايما الأكبار زي ما صدلت
+
+308
+00:20:09,800 --> 00:20:12,760
+لازم يكون يقعدش شوية بعدين إيش إيجاف بعدين يمشي
+
+309
+00:20:16,450 --> 00:20:19,690
+طبعا علامات قد تصاحب اللغماء زى ما بيقولنا الدوخة،
+
+310
+00:20:19,690 --> 00:20:22,310
+الغتيان، القيم طبعا كل أخواتنا هاد يلاحظوا أنه
+
+311
+00:20:22,310 --> 00:20:28,150
+إيش؟ اللي علاقة بالجاز، الجاز العصبي طالما أنه
+
+312
+00:20:28,150 --> 00:20:33,210
+الأعراض هاد واضحة لكن أحيانا بيقولك بعض الناس أو
+
+313
+00:20:33,210 --> 00:20:36,270
+مثلا خاصة عند السيدات بتمشي كتير بتحس على تعبة
+
+314
+00:20:36,270 --> 00:20:42,730
+ووجعت إيش بتتوقع يكون الأسباب هنا؟فقر الدم فقر
+
+315
+00:20:42,730 --> 00:20:46,630
+الدم يعني الدم ضعيف و كل ما كان الإنسان عنده فقر
+
+316
+00:20:46,630 --> 00:20:51,130
+الدم أو الهموجلبيين منخفض تمام معناه مش هيكون كمية
+
+317
+00:20:51,130 --> 00:20:53,870
+كافية من ال oxygen للدمان و بالتالي هيتعب بسرعة
+
+318
+00:20:53,870 --> 00:20:57,470
+فطبعا لو في حصن الدم هنلاقي يمكن نجيه تمانية أو
+
+319
+00:20:57,470 --> 00:21:00,670
+تسعة و هيطبعا كمية غير كافية لأساس يكون طبعا فوق
+
+320
+00:21:00,670 --> 00:21:06,130
+ال 11 تفضلي فالحيني ايش ممكن يكون أفضل ادماء تانية
+
+321
+00:21:06,130 --> 00:21:06,690
+غير
+
+322
+00:21:11,770 --> 00:21:15,930
+أه أسباب تانية إحنا نقول إن التوتر إن زيارة رطوبة
+
+323
+00:21:15,930 --> 00:21:19,890
+الجو تمام؟ إكبار السن طبعا اللي هو أساس النهود من
+
+324
+00:21:19,890 --> 00:21:26,190
+ال fresh سرعة العمل لفترة طويلة و وضع الوقوف لإنه
+
+325
+00:21:26,190 --> 00:21:29,870
+هيضعف الدورة الدموية للدماغ هذا طبعا أسباب عديدة
+
+326
+00:21:29,870 --> 00:21:34,650
+ممكن يكون حالة نفسية كمان الخوف التوتر الغضب نعم
+
+327
+00:21:37,990 --> 00:21:45,510
+الخوف من ارتفاع ضغط الدم يقدّمك إلى الجلطة طبعا
+
+328
+00:21:45,510 --> 00:21:49,630
+الإسعاف الأول للإغماق الهدف .. الهدف يا أخواتنا من
+
+329
+00:21:49,630 --> 00:21:52,890
+الإسعاف الأول للإغماق أن أنا أوصل كمية كافة من
+
+330
+00:21:52,890 --> 00:21:57,770
+الدم المحمل من الوكسوجين للدمغ ودائما وضع الإغماق
+
+331
+00:21:57,770 --> 00:22:02,460
+مع وضع الصدمة متشابهأحنا في وضع الصدمة رفع القدم
+
+332
+00:22:02,460 --> 00:22:07,200
+السقين عشان أوصل الدم لمين للدمه، في وضع الإغماق
+
+333
+00:22:07,200 --> 00:22:11,340
+نفس الفكرة رفع القدمين لأعلى عشان أوصل الدم وين
+
+334
+00:22:11,340 --> 00:22:16,750
+برضه إيش للدمه، لكن إذا كان هذا استمرتباستمرار
+
+335
+00:22:16,750 --> 00:22:19,910
+يعني اكتر من المرة فبدي اعمل بعض التحليل و من ضمن
+
+336
+00:22:19,910 --> 00:22:23,930
+التحليل هذه هي hemoglobin طبعا أبسط تحليل احنا
+
+337
+00:22:23,930 --> 00:22:28,390
+ممكن ايش قوة الدم اذا كان الدم ضعيف هى طبعا قد
+
+338
+00:22:28,390 --> 00:22:33,040
+تؤدي او الشخص مثلا يكون عنده تفيرياتيعني بمعنى أن
+
+339
+00:22:33,040 --> 00:22:35,340
+الأكل اللي بياكله ما بيستفيد منه كتير وبالتالي
+
+340
+00:22:35,340 --> 00:22:39,600
+الفائد ده بتروح لطفيليات لو فحصنا الدم هنلاقي عنده
+
+341
+00:22:39,600 --> 00:22:43,260
+ال hemoglobin يمكن تمانية أو تسعة طبعا بتلاقي برضه
+
+342
+00:22:43,260 --> 00:22:46,720
+شحوب في الوجه وطبعا بعض المؤشرات أن في عنده مشكلة
+
+343
+00:22:46,720 --> 00:22:51,440
+في قوة الدم طيب
+
+344
+00:22:51,440 --> 00:22:54,820
+بدنا نقول حاجة بسيطة جدا قبل ناخد التشنجات لو
+
+345
+00:22:54,820 --> 00:22:59,240
+إنسان و أنت مارجة مثلا حسيت حالك أنك ضايقة إيش
+
+346
+00:22:59,240 --> 00:23:05,140
+الصح؟بتسند حالك بيكتمسكي حاجة و تغطر راسك إيش
+
+347
+00:23:05,140 --> 00:23:10,180
+لأسفل هذا رقم واحد بيحصل أحيانا و أنت بتدرسي تحس
+
+348
+00:23:10,180 --> 00:23:16,080
+حالك أنك نعسانة بخاصة
+
+349
+00:23:16,080 --> 00:23:23,320
+مادة هي كانت مشيقة شيقة أسمها بالظبط فليش بتنعسيه؟
+
+350
+00:23:23,320 --> 00:23:28,500
+أول حاجة بيقول إذا كانت المادة جاسية شوية ماشي إذا
+
+351
+00:23:28,500 --> 00:23:32,020
+كانت جاسية شوية هروب من المادةالثانوية التانية
+
+352
+00:23:32,020 --> 00:23:36,740
+زيارة الفترة الزمنية في وضع الجلوس معناه هيعمل ضعف
+
+353
+00:23:36,740 --> 00:23:38,860
+الدور الدموية و بالذات لما الواحد يكون تاني رجلي
+
+354
+00:23:38,860 --> 00:23:42,260
+لما تكون قاعدة على الكرسي لفترة طويلة حصير عينة
+
+355
+00:23:42,260 --> 00:23:45,520
+راكم في تانيكسيد الكربون مافيش حركة وبالتالي بيقول
+
+356
+00:23:45,520 --> 00:23:48,600
+احنا اندو رسيلك ساعة قوم يمشي بس خمس دقايق و
+
+357
+00:23:48,600 --> 00:23:51,920
+ارجعين هجيت مافيش قهوة و شاي لما يكون دنيا افطار
+
+358
+00:23:51,920 --> 00:23:55,840
+بتعملي فنجان قهوة و بترجعين بس خمس دقايق اجد اعملي
+
+359
+00:23:55,840 --> 00:24:00,700
+فنجان قهوة او كوبية شاي و ترجع و تلاقي حطيب لو ..
+
+360
+00:24:00,700 --> 00:24:04,240
+لو انت مثلا حاسي تحارق دايخة تمام هتقعد على الأرض
+
+361
+00:24:04,240 --> 00:24:08,400
+تمام و اقعد على القرفصاء و تحط رزاكي طبعا رأسك بين
+
+362
+00:24:08,400 --> 00:24:12,700
+الرجلين عشان تصل كمية كبيرة من الدم للدماغ لان في
+
+363
+00:24:12,700 --> 00:24:16,500
+وضع القرفصاء تمام انا بعمل حجز من وصول الدم
+
+364
+00:24:16,500 --> 00:24:20,610
+للأطلاف السفليةتمام؟ و بخلي كمية الدم الأكتر
+
+365
+00:24:20,610 --> 00:24:24,530
+بتوزيه عنوين على الدماغ وبالتالي الهدف الأساسي لو
+
+366
+00:24:24,530 --> 00:24:27,210
+حاسس حاله واحد دايخ يقعد على الأرض أو يقعد على
+
+367
+00:24:27,210 --> 00:24:31,250
+كرسي و يخلي راسه ايش من الرجلين عشان قوة الدم تصل
+
+368
+00:24:31,250 --> 00:24:34,770
+للدماغ بسرعة أكتر هذا طبعا حاجات بس إسعافات أولية
+
+369
+00:24:34,770 --> 00:24:38,510
+لازم تعرفوها إذا انت دايخة و انت جاعدة أو ان عايز
+
+370
+00:24:38,510 --> 00:24:44,360
+تقوم امشي حاسيت حالك تعبانة و دايخة و جاعدينممكن
+
+371
+00:24:44,360 --> 00:24:49,020
+تخلّي الرأس بين رجلين عشان إيش الدم يصلّا الدماغ
+
+372
+00:24:49,020 --> 00:24:54,160
+بصورة أسرع نيجي لمشكلة تانية لها علاقة بالجهاز
+
+373
+00:24:54,160 --> 00:24:57,280
+العصبي التشنجات طبعا التشنجات وحنا بيقولك هذا
+
+374
+00:24:57,280 --> 00:25:02,880
+متشنج و بقاتي المتشنج حاسس حاله أنه متيبس يبقى هي
+
+375
+00:25:02,880 --> 00:25:07,420
+حركات لا إيرادية مافيش منها هدف طبعا أسباب
+
+376
+00:25:07,420 --> 00:25:10,640
+التشنجات كتيرة حنتكلم على بعض أسباب التشنجات وكيف
+
+377
+00:25:10,640 --> 00:25:11,620
+هممكن نتعامل معاهم
+
+378
+00:25:14,690 --> 00:25:20,330
+طبعا دايما لما نقول شيء معيّم نعرف السبب لأي عمل
+
+379
+00:25:20,330 --> 00:25:24,590
+ممكن يصير طبعا هي حركات لا إيرادية بمعنى ملهاش
+
+380
+00:25:24,590 --> 00:25:29,650
+مغزة بدون فائدة لكن خارج عن السيطرة خارج عن
+
+381
+00:25:29,650 --> 00:25:33,530
+السيطرة ليش؟ وهذه إشارة إن الدماغ اتحمل أو اتعرض
+
+382
+00:25:33,530 --> 00:25:38,870
+لحاجة غير طبيعية وخاصة ممكن يكون أدوية زي المخدرات
+
+383
+00:25:38,870 --> 00:25:44,260
+ممكن يكون حرارة عاليةممكن يكون إصابة في الدماغ،
+
+384
+00:25:44,260 --> 00:25:49,480
+ممكن يكون الصرع وبالتالي هنا تعرض الدماغ لمؤثر
+
+385
+00:25:49,480 --> 00:25:54,120
+خارجي غير طبيعي قد يؤدي إلى التشنجات هذه طبعا في
+
+386
+00:25:54,120 --> 00:25:57,860
+عندنا تشنجات عند الأطفال وفي عند البالغين إيش ممكن
+
+387
+00:25:57,860 --> 00:26:01,940
+يصاحب هذه التشنجات؟ لو لاحظت أي طفل عنده تشنجات،
+
+388
+00:26:01,940 --> 00:26:06,470
+بتلاحظ إن صوته زي صوت الشخيرليش؟ لأن فيه صار تيبّس
+
+389
+00:26:06,470 --> 00:26:10,570
+في عضلات القفص الصدري و صار صعوبة في عملية التنفس
+
+390
+00:26:10,570 --> 00:26:15,270
+قد تؤدي إلى إيش؟ توقف التنفس و من هنابهمني أنا أني
+
+391
+00:26:15,270 --> 00:26:19,250
+ألاحظ و أراقب عملية التنفس هل هي طبيعية أو غير
+
+392
+00:26:19,250 --> 00:26:23,420
+طبيعية رقم اتنينطبعا، أنا هتتكلم وجيت على سبب،
+
+393
+00:26:23,420 --> 00:26:25,880
+التبول أو التبرز اللي لا إرادي، لأنه طبعا صارت
+
+394
+00:26:25,880 --> 00:26:29,780
+تصدر أوامر غير طبيعية من الدماغ، يعني صار يشتغل
+
+395
+00:26:29,780 --> 00:26:33,460
+بصورة غير طبيعية، طبعا، صار يعطي إشارات مش في
+
+396
+00:26:33,460 --> 00:26:37,080
+وجتها أو مش في معادها، سواء للجهاز طبعا البولي أو
+
+397
+00:26:37,080 --> 00:26:41,890
+طبعا الجهاز الهضميزرقه في الشفاتين وجهه يعني نقول
+
+398
+00:26:41,890 --> 00:26:45,670
+ان احنا تقلص العضلات هيأثر على الدورة الدموية
+
+399
+00:26:45,670 --> 00:26:48,670
+وبالتالي طبعا مايصيراش إزرقاق بسبب عدم وصول كيمية
+
+400
+00:26:48,670 --> 00:26:52,690
+كافية من الدم المحمل بأكسجين للشفاة طبعا ممكن يكون
+
+401
+00:26:52,690 --> 00:26:58,160
+فيه رجوةطبعا هذه ممكن نوبة التشنش ما بين دقيقة الى
+
+402
+00:26:58,160 --> 00:27:03,580
+دقيقتين او نص دقيقة بحيث طبعا ممكن طبعا تزول لكن
+
+403
+00:27:03,580 --> 00:27:08,280
+بعد زوال النوبة يشعر المصاب بتعب شديد ب .. بارهاخ
+
+404
+00:27:08,280 --> 00:27:12,450
+شديد جدا جدا جدا يميل بعده الى النعاسيعني كأنه
+
+405
+00:27:12,450 --> 00:27:16,230
+مشتغل إليه أسبوع كامل، بيكون نعسان، يغط فيه سبات
+
+406
+00:27:16,230 --> 00:27:20,510
+عميقة، وبالتالي هنا إحنا بنلاحظ الشخص هذا،
+
+407
+00:27:20,510 --> 00:27:23,930
+بنراقبه، بنخليه ما يأذيش نفسه، إذا في أي شيء
+
+408
+00:27:23,930 --> 00:27:29,650
+حواليه نبعد عنه، تمام؟ ممنوع تثبيت الشخص المتشنج
+
+409
+00:27:29,650 --> 00:27:39,030
+ممنوع .. ممنوع .. ممنوع خوفا من كسورهلأ خليه ياخد
+
+410
+00:27:39,030 --> 00:27:44,350
+راحته .. اه يعني في ناس بتثبته ممنوع .. ممنوع
+
+411
+00:27:44,350 --> 00:27:50,610
+تثبيته تمام؟ مراقبته و حمايته من أي أشياء محيطة
+
+412
+00:27:50,610 --> 00:27:56,030
+فيه يأذي نفسه فيها مع مراقبة التنفستمام؟ ممنوع فتح
+
+413
+00:27:56,030 --> 00:27:59,390
+الفك لعملية التنفس، أننا نفتح الفك عشان .. لأنه
+
+414
+00:27:59,390 --> 00:28:03,970
+متيبس، يبقى متيبس، والدريع دالك أنه فيه شخير،
+
+415
+00:28:03,970 --> 00:28:07,070
+المعنى أنه صار أن عضلات القفص الصدري وعضلات
+
+416
+00:28:07,070 --> 00:28:10,830
+المحيطة بالقصبة اللوائية فيها تيبس، طبعا التيبس
+
+417
+00:28:10,830 --> 00:28:16,760
+مؤقت بزول الحاجةهو تيبّص بيصير عندي ارتخاء وهذا
+
+418
+00:28:16,760 --> 00:28:19,920
+طبعا .. طبعا تيبّص عضلة لسان بتعمل على إغلاق مجرة
+
+419
+00:28:19,920 --> 00:28:22,880
+التنفس وبالتالي أنا باهمني إن أنا أراقب مجرة
+
+420
+00:28:22,880 --> 00:28:27,200
+التنفس لو فيه زبد أو رغوة أنا بدي أمسحها، تمام؟
+
+421
+00:28:27,200 --> 00:28:31,980
+أنا ممكن أستخدم جطعة إجماش هو جثة بلع اللسان يا
+
+422
+00:28:31,980 --> 00:28:37,660
+أخواتنا هي ارتخاء في عضلة اللسان البلع اللسان عشان
+
+423
+00:28:37,660 --> 00:28:42,850
+تكونوا عارفين بلع اللسان بيصير .. طبعا هو كمصطلحهو
+
+424
+00:28:42,850 --> 00:28:47,190
+معناه إغلاق قاعدة اللسان لمجرأ الهواء وهذا بيصير
+
+425
+00:28:47,190 --> 00:28:53,030
+في حال الإنسان فاقد الوعي مش المتشنج فاقد الوعي
+
+426
+00:28:53,030 --> 00:28:55,830
+انه بيصير عند ارتخاء في كل عضلات الجسم على عكس
+
+427
+00:28:55,830 --> 00:28:59,190
+التشنج فلما يصير عند ارتخاء في عضلات الجسم قاعدة
+
+428
+00:28:59,190 --> 00:29:03,290
+اللسان بتعمل على إغلاق الحنجرةلكن في التشنج لأ،
+
+429
+00:29:03,290 --> 00:29:07,370
+التشنج الجهاز كله متشنج، كله متيبس، وبالتالي بيعمل
+
+430
+00:29:07,370 --> 00:29:12,270
+على ضيق في مجرى الهواء وعدم ظهور حركات طبيعية
+
+431
+00:29:12,270 --> 00:29:16,070
+للجهاز التنفسي، ومن هنا طبعا تصير الصوت الشخير عند
+
+432
+00:29:16,070 --> 00:29:19,950
+الشخص هذا بسبب ضيق مجرى الهواء، لكن مش بسبب ارتخاء
+
+433
+00:29:19,950 --> 00:29:24,230
+اللسان، لكن في حال إنسان فاقد الوعي، معناه في
+
+434
+00:29:24,230 --> 00:29:27,870
+ارتخاء في كل عضلات جسمهلكن وانت تعالى يحملى إنسان
+
+435
+00:29:27,870 --> 00:29:32,430
+هو مرتخى، تقيل، طبعا، لكن لما يكون صحته وعفيته، لو
+
+436
+00:29:32,430 --> 00:29:35,550
+كان وزنه 100 كيلو، بمشي، لكن إنسان لما بصير عنده
+
+437
+00:29:35,550 --> 00:29:38,850
+ارتخاء وزنه .. احنا نسبيا بيقول انه تقيل، فبالتالي
+
+438
+00:29:38,850 --> 00:29:42,550
+ضمن العضلة هذه عضلة لسانه بيصير ايش؟ اغلاق لمجرع
+
+439
+00:29:42,550 --> 00:29:44,750
+الهوام، وهذا اللي بيقول عنه أيش؟ بلع لسانه
+
+440
+00:29:50,180 --> 00:29:53,360
+طبعا ليش بيصير .. عشان توضيح أكتر، ليش بيصير
+
+441
+00:29:53,360 --> 00:29:57,160
+العضلة تتشنج؟ لأن طبعا شيء طبيعي أن الدماغ يعمل
+
+442
+00:29:57,160 --> 00:30:01,220
+بيشارات كهربائية، فبيصير إصدار إشارات غير طبيعية
+
+443
+00:30:01,220 --> 00:30:05,980
+للعضلات، لأن العضلة بتشتغل تحت مين؟ تحت قمر العصب،
+
+444
+00:30:05,980 --> 00:30:11,710
+فبيعطيها إشارات غير طبيعيةفبتتيبس، تمام؟ زي مثلا
+
+445
+00:30:11,710 --> 00:30:15,390
+تقولي أنت بريك تحمل شغلة، تمام؟ في عندنا انقباض
+
+446
+00:30:15,390 --> 00:30:18,890
+العضلة وانبساط العضلة، لكنها بيصير أوامر غير
+
+447
+00:30:18,890 --> 00:30:22,090
+طبيعية من الدماغ، لأن الدماغ لا يعمل بصورة طبيعية،
+
+448
+00:30:22,090 --> 00:30:25,310
+فصدر الأوامر هذه للعضلات بأدي إلى التشنج أو
+
+449
+00:30:25,310 --> 00:30:25,810
+التيابس
+
+450
+00:30:32,540 --> 00:30:35,860
+إيش أهم أسباب اللي هو التشنج؟ طبعا أنه هنكون
+
+451
+00:30:35,860 --> 00:30:38,360
+ذاكرين أكتر من السبب و هناخد بعض الأمثل البسيطة
+
+452
+00:30:38,360 --> 00:30:44,800
+حاليا طبعا الصرع و الصرع يا أخواتنا هو مرض مزمنمرض
+
+453
+00:30:44,800 --> 00:30:48,780
+مزمن يعني إذا حصل مع الإنسان بستمر معاه، طبعا له
+
+454
+00:30:48,780 --> 00:30:51,760
+أسباب كتيرة، ممكن يكون وراثة، ممكن يكون إصابة في
+
+455
+00:30:51,760 --> 00:30:58,000
+الدماغ، طبعا ممكن يكون التهابات أو مثلا ورم في
+
+456
+00:30:58,000 --> 00:31:00,520
+الدماغ لا سمح الله، هذا طبعا يؤدي إلى الصراع،
+
+457
+00:31:00,520 --> 00:31:04,940
+تمام؟ وبالتالي لو أي إنسان أصيب مثلا عنده سقوط أو
+
+458
+00:31:04,940 --> 00:31:07,820
+حادث مثلا وأثر على الرأس، بيسأله هل اتشنج و لا
+
+459
+00:31:07,820 --> 00:31:11,380
+ماتشنجش؟إذا ما اتشنجش طبعا مكون بخير طبعا مافيش
+
+460
+00:31:11,380 --> 00:31:14,660
+مشكلة لكن اتشنجش بالخلاف يكون فيه نزيف صار في
+
+461
+00:31:14,660 --> 00:31:19,300
+الدماغ و أثر على عمل الدماغ السبب التاني اللي هي
+
+462
+00:31:19,300 --> 00:31:23,860
+الحرارة عند بعض الأطفال اللي تسميها تشنجات حرارية
+
+463
+00:31:23,860 --> 00:31:28,520
+بمعنى أن الطفل لو كان عنده التهاباتوفيها ارتفاع
+
+464
+00:31:28,520 --> 00:31:32,720
+بالحرارة قد يتشنج عند بعض الأطفال، ودائما فكرة
+
+465
+00:31:32,720 --> 00:31:36,580
+تشنجات الأطفال ما بين خمس شهور أو ما بين ست شهور
+
+466
+00:31:36,580 --> 00:31:40,420
+لست سنوات، هذه أكتر فرصة بيصير فيها، لكن بعد ذلك
+
+467
+00:31:40,420 --> 00:31:43,800
+يصير عنده قدرة على التحمل الحرارة، لكن هذا لا يعني
+
+468
+00:31:43,800 --> 00:31:48,970
+إهمالنا للأطفال اللي مابتشنجوش بارتفاع الحرارةبهذه
+
+469
+00:31:48,970 --> 00:31:51,970
+الحرارة اللى بتحرس عند الأطفال عند بعضهم تؤدي
+
+470
+00:31:51,970 --> 00:31:55,570
+لتشنج وعند بعض أخر لا، لكن اللى ما بيصير عنده تشنج
+
+471
+00:31:55,570 --> 00:32:00,090
+لا يعني أن أنا أهمل أقول بتشنجش، لأ الحرارة بتؤثر،
+
+472
+00:32:00,090 --> 00:32:05,010
+زيادتها بيأثر طبعا
+
+473
+00:32:05,010 --> 00:32:07,630
+زى ما قلنا هنا بعض الاتهابات مصاحبة مثلا الغد
+
+474
+00:32:07,630 --> 00:32:13,650
+نكافية أو مثلا الحصبة أو أورام الدماغنزيف وأورام
+
+475
+00:32:13,650 --> 00:32:17,850
+وهذه طبعا بعض الأسباب تؤدي إلى .. طبعا هي التشنجات
+
+476
+00:32:17,850 --> 00:32:23,630
+تسمم مثلا بمواد .. مواد مثلا سامة أخد .. اتلع مادة
+
+477
+00:32:23,630 --> 00:32:26,870
+سامة ومادة خطيرة أثرت وين وصول .. أدى وصولها وين
+
+478
+00:32:26,870 --> 00:32:32,870
+للدماغ وبالتالي قد يحدث التشنج كتير من بعض
+
+479
+00:32:32,870 --> 00:32:36,250
+العلاجات النفسية لو زارت جرعتها قد يؤديت إلى
+
+480
+00:32:36,250 --> 00:32:36,970
+التشنج كمان
+
+481
+00:32:41,210 --> 00:32:43,970
+طبعا الصرع الكبير الصرع يعني بمعناه أنه بيغطي
+
+482
+00:32:43,970 --> 00:32:46,590
+الجسم كله لما الحين من حالات الصرع يا أخواتنا فيه
+
+483
+00:32:46,590 --> 00:32:51,910
+صرع جزئي و صرع كله أو صرع كبير طبعا أحيانا ممكن
+
+484
+00:32:51,910 --> 00:32:55,950
+الطفل يولد معاه صرع الصرع بدنا نعرفه أنه بيصير
+
+485
+00:32:55,950 --> 00:33:01,240
+فجأةماشي الصراع بيصير فجأة على عكس التشنجات
+
+486
+00:33:01,240 --> 00:33:04,960
+الحرارية هو الصراع فيه تشنجات والتشنجات الحرارية
+
+487
+00:33:04,960 --> 00:33:09,000
+فيها تشنجات لكن التشنجات الحرارية بمعنى أنه لما
+
+488
+00:33:09,000 --> 00:33:12,220
+يكون الإنسان عادي حرارته عادية مافيش خوف لكن اللي
+
+489
+00:33:12,220 --> 00:33:16,100
+عنده صراع هو قاعد ممكن يتشنج لكن هذا طبعا بيدله
+
+490
+00:33:16,100 --> 00:33:20,310
+علاج مدى الحياةطبعا الأسباب هذه .. الأسباب .. طبعا
+
+491
+00:33:20,310 --> 00:33:23,070
+بعد ما تقول سواء التشنج الحراري أو الصراع .. إيش
+
+492
+00:33:23,070 --> 00:33:26,970
+صار معاك مش عارف .. طبعا فقدان واعي كمان .. مابحدث
+
+493
+00:33:26,970 --> 00:33:31,720
+.. مابشعرش أو مابكون واعي لأي شي بدور حواليناإيش
+
+494
+00:33:31,720 --> 00:33:33,640
+أهم أسباب بالنسبة للصرا طبعا بيقولنا وراثة،
+
+495
+00:33:33,640 --> 00:33:36,980
+إيصابات دماغ أو مراد جهاز عصبي؟ نقص الوكسوجين قبل
+
+496
+00:33:36,980 --> 00:33:39,860
+اللي هو اعدام، تمام؟ يعني مثلا الحابل السوري ملفوف
+
+497
+00:33:39,860 --> 00:33:42,960
+على رجبته، تمام صار عنده مشاكل، أخدت لهم بعض
+
+498
+00:33:42,960 --> 00:33:45,520
+العلاجات اتأثرت على كمية الوكسوجين، هذا قد يؤدي،
+
+499
+00:33:45,520 --> 00:33:47,880
+لكن أكتر أشياء اللي احنا بيشوف بالنسبة للصرا هي
+
+500
+00:33:47,880 --> 00:33:51,300
+أياش أمراض وراثية، معناه أنه هيستمر معاه مدى
+
+501
+00:33:51,300 --> 00:33:51,640
+الحياة
+
+502
+00:33:58,080 --> 00:34:01,340
+طبعا في عندنا بعض الملاحظات المهمة هجراهم عشان
+
+503
+00:34:01,340 --> 00:34:05,880
+توضيح أكتر سواء التشنجات والصراع أول حاجة عدم
+
+504
+00:34:05,880 --> 00:34:10,600
+تقييد حركة المصاب عشان خوف إيذاؤهم و أضع قطعة قماش
+
+505
+00:34:10,600 --> 00:34:13,840
+مناسبة خشبية قماش على أحد الجانبين أنا مابديش أضع
+
+506
+00:34:13,840 --> 00:34:18,420
+.. أسكر الفم بس مساعدة لكن مع عدم محاولة فتح الفك
+
+507
+00:34:18,420 --> 00:34:22,100
+بقوة بقوة لأن مابديش أذي أنا لأن ممكن تصير كسور
+
+508
+00:34:22,100 --> 00:34:27,370
+خاصة عند الأطفالطبعا المصاب بعد ما يستفيق يوضع في
+
+509
+00:34:27,370 --> 00:34:30,470
+وضع الإفاقة أو الأفضل لأنه يقول إن احنا عايش حيكون
+
+510
+00:34:30,470 --> 00:34:36,050
+شاعر بنعاس عميق جدا فك ملابس المصاب طبعا نحافظ على
+
+511
+00:34:36,050 --> 00:34:39,890
+مجلة الهواء طبعا هذه أشياء ضرورية جدا أحيانا قد
+
+512
+00:34:39,890 --> 00:34:45,030
+يتطلب تنفس إصطناعي لكن تنفس إصطناعي بيكون من فم
+
+513
+00:34:45,030 --> 00:34:50,590
+للأنف من فم للأنف لأن ما بنقدر نفتح الفك عشان ندفع
+
+514
+00:34:50,590 --> 00:34:55,060
+فيه هواءهذا في حال .. في حال صعوبة في التنفس كليا
+
+515
+00:34:57,730 --> 00:35:01,610
+Okay، بحنقول مختلفة، أنا مابديش ألاقي شخص أنا
+
+516
+00:35:01,610 --> 00:35:05,970
+متيبس أو متشنج و أفتح الفك ممنوع، ولا أثبته، بزيل
+
+517
+00:35:05,970 --> 00:35:09,190
+أي حاجة حواليه، إيه بقى؟ حاجة تانية، تثبيته
+
+518
+00:35:09,190 --> 00:35:13,010
+ممنوعة، مراقبة التنفس، و أضعه في الوضع الإفاقة
+
+519
+00:35:13,010 --> 00:35:15,770
+بيكون أفضل بعد ما يستعيدوا عيوبته، مش هو لسه في
+
+520
+00:35:15,770 --> 00:35:18,950
+حالة إنه بالتشنج طبعا هذا لو حصلت لأول مرة، بده
+
+521
+00:35:18,950 --> 00:35:22,770
+متابعة، خاصة بيكتبوا العلاج، طبعا ضمن العلاجات
+
+522
+00:35:22,770 --> 00:35:26,030
+اللي تكتب اللي هو طبعا اليوم انهل أو الارجاكتين
+
+523
+00:35:31,670 --> 00:35:34,870
+هذه طبعا صورة توضحية بكيف انا اتعامل مع تحالة
+
+524
+00:35:34,870 --> 00:35:38,970
+التشنجة نيجي الى التشنجات نركز شوية على التشنجات
+
+525
+00:35:38,970 --> 00:35:42,290
+الحرارية عند الأطفال قلنا اسمها حرارية Febrile
+
+526
+00:35:42,290 --> 00:35:45,490
+Convulsion اللي ما بتصير الا بحدوث حرارة عند
+
+527
+00:35:45,490 --> 00:35:49,170
+الأطفال عندهم قابلية للتشنج و ليس كل الأطفاليعني
+
+528
+00:35:49,170 --> 00:35:51,850
+بعض الأطفال ممكن تصل لحرارته أربعين، هذا طبعا مش
+
+529
+00:35:51,850 --> 00:35:54,550
+مسموح نقوله لما مثلا بتشنجش أخليه تصل لأربعين أو
+
+530
+00:35:54,550 --> 00:35:58,130
+أكتر، لأ، يعني مابديش تصل لحرارة أربعين، وبالتالي
+
+531
+00:35:58,130 --> 00:36:02,530
+أي طفل مشتبه أن يكون عنده تشنجات متابعة الحرارة
+
+532
+00:36:02,530 --> 00:36:05,710
+مجرد أنه صار شوية رشيح أو شوية عطاس، عسى إنه ما
+
+533
+00:36:05,710 --> 00:36:11,630
+تتطور وزيد الحرارة زي
+
+534
+00:36:11,630 --> 00:36:14,610
+ما قلنا من ست شهور لخمس سنوات أو ست سنوات، وقت رفع
+
+535
+00:36:14,610 --> 00:36:17,330
+طبعا حرارة، بعض الأطفال بتشنج عنده تمنة وتلاتين
+
+536
+00:36:17,330 --> 00:36:21,590
+ونصطيب اللي اما بتقولك والله اتشنج بس كان حرارته
+
+537
+00:36:21,590 --> 00:36:25,210
+كويسة اللي اما بتكونش جاسة الحرارة كويس او كائن
+
+538
+00:36:25,210 --> 00:36:30,330
+عملاله كمدات و جاسة الحرارة فالميه تحت الابت بتكون
+
+539
+00:36:30,330 --> 00:36:36,490
+ايش مأثرة و الحرارة .. بتكون الحرارة موجودة طبعا
+
+540
+00:36:36,490 --> 00:36:38,890
+زي ما قلنا يا أخواتنا يعني أهم حاجة .. أهم حاجة
+
+541
+00:36:38,890 --> 00:36:43,910
+بالنسبة لتشنجاتنا عند الأطفال أن أول حاجة أحاول
+
+542
+00:36:43,910 --> 00:36:48,500
+ماتصرش لكن أنا بهمنك كيفي أن أخفض الحرارةطبعا في
+
+543
+00:36:48,500 --> 00:36:51,980
+عندنا خمس مناطق لتخفيض الحرارة، وهي طبعا ضرورية
+
+544
+00:36:51,980 --> 00:36:54,620
+جدا، والمناطق الدائمة اللي خفضت فيها الحرارة فيها
+
+545
+00:36:54,620 --> 00:36:57,340
+شرايين، بمعنى لو أنا مسكت المنطقة هيلاجي فيها
+
+546
+00:36:57,340 --> 00:37:02,220
+حاجات مش تنبض فيها، الخمس مناطق هي كالتالي، العنق،
+
+547
+00:37:02,220 --> 00:37:06,200
+الرجبة، ده عند الشريان السباتي، يمين و يسار، تحت
+
+548
+00:37:06,200 --> 00:37:13,290
+القبطين، في عند الشريان القبطي، المرفقينهدول أماكن
+
+549
+00:37:13,290 --> 00:37:16,130
+.. أماكن عشان تتكلم الصفحة عامة جيتها مكان الإحفاظ
+
+550
+00:37:16,130 --> 00:37:20,550
+للأطفال خلف الركبة للنحيتين يبقى صار عندنا خمس
+
+551
+00:37:20,550 --> 00:37:26,210
+مناطق مع فرد الذراعين والساقين ليش؟ بيقولوا احنا
+
+552
+00:37:26,210 --> 00:37:29,670
+عشان عملية فقدان حرارة و هيقولوا مرفق اتكلمنا كيف
+
+553
+00:37:29,670 --> 00:37:32,930
+ان الإنسان ممكن يفقد حرارته تمام؟ فبتسوأ بالتبخير
+
+554
+00:37:32,930 --> 00:37:36,170
+أو التوصيل أو الحمل الحراري وبالتالي يقول تخفيف
+
+555
+00:37:36,170 --> 00:37:42,640
+الملابس عمل كمانات مي عادية مش تلجمية عادية طبعا
+
+556
+00:37:42,640 --> 00:37:46,940
+في حال ممكن
+
+557
+00:37:46,940 --> 00:37:49,920
+الأكتر من هيك يا اخواتنا انه او بدنا نعرف معلومة
+
+558
+00:37:49,920 --> 00:37:52,880
+انه أسرع وسيلة لتخفيض الحرارة هي كمارية الميه
+
+559
+00:37:52,880 --> 00:37:57,020
+الباردة مش تلج ميه باردة لو فيش ميه باردة ميه
+
+560
+00:37:57,020 --> 00:38:02,380
+عاديةلأن احنا في حال انتقال الحرارة من الأعلى
+
+561
+00:38:02,380 --> 00:38:06,220
+تركيز للأقل تركيز و هنجولنا تنتقل الحرارة بالتوصيل
+
+562
+00:38:06,220 --> 00:38:09,180
+لإن أنا بحط مثلا كمادة الكمادة حرارتها من الخفضة
+
+563
+00:38:09,180 --> 00:38:12,640
+الجسم حرارته عالية هنتقل من الأعلى للأقل وبالتالي
+
+564
+00:38:12,640 --> 00:38:16,380
+هانا بستخدم المناطق هذه الأشياء المهمة جدا هي طبعا
+
+565
+00:38:16,380 --> 00:38:22,020
+بتهمكم تخفيف الملابس استخدام الكمادات زيادة شرب
+
+566
+00:38:22,020 --> 00:38:28,260
+الميه هنقول طبعا ليش زيادة العصير المحلةتمام؟
+
+567
+00:38:28,260 --> 00:38:33,380
+استخدام مروحة لتنشيط الهواء لأن في عندنا حمل حراري
+
+568
+00:38:33,380 --> 00:38:38,040
+كمان نجوطين مهمين كتير زيادة الميه عشان نروح
+
+569
+00:38:38,040 --> 00:38:42,780
+الحمام كتير عشان نفقد الحرارة الداخلية زيارة
+
+570
+00:38:42,780 --> 00:38:46,920
+المشروبات المحلى أو العصير المحلى علشان الجسم
+
+571
+00:38:46,920 --> 00:38:51,820
+مايولدش طاقة إضافية لأن الحرارة أخواتنا بحد ذاتها
+
+572
+00:38:51,820 --> 00:38:56,350
+هي وسيلة دفاعية للقضاء على الميكروبفعساس ياخد طاقة
+
+573
+00:38:56,350 --> 00:39:00,510
+خارجية جاهزة، يبقى تخفيف ملابس، فرد الذراعين
+
+574
+00:39:00,510 --> 00:39:05,550
+والساقين، تمام؟ استخدام مروحة، زيادة شرب الميه،
+
+575
+00:39:05,550 --> 00:39:10,290
+تمام؟ العصائر المحلات، بعد ما خفض الحرارة، طبعا
+
+576
+00:39:10,290 --> 00:39:14,990
+أنا بعطي إيش؟ خافض للحرارة،
+
+577
+00:39:14,990 --> 00:39:19,190
+هو خفض الحرارة، شراب، تحميل، أي حاجة، خفض للحرارة،
+
+578
+00:39:19,190 --> 00:39:22,920
+لكن إذا كان الإنسان عنده إسهال، يمنع التحميلممنع
+
+579
+00:39:22,920 --> 00:39:26,320
+التعامل طبعا بتزيد المشكلة أكتر لكن الأفضل يا
+
+580
+00:39:26,320 --> 00:39:31,520
+أخواتنا تخفيض الحرارة قبل إعطاء أي علاج و خاصة ال
+
+581
+00:39:31,520 --> 00:39:34,780
+ECMO لأن ال ECMO هيرفع شوية درجة الحرارة و بعدين
+
+582
+00:39:34,780 --> 00:39:39,440
+هينزلها فانا ب .. ال ECMO أو غيره أي علاج أجال
+
+583
+00:39:39,440 --> 00:39:41,980
+الحاجة بده نص ساعة فأنا بقول في النص الساعة اللي
+
+584
+00:39:41,980 --> 00:39:46,000
+بكون أنا خفضت الحرارة مع قياس الحرارة طبعا إيش كل
+
+585
+00:39:46,000 --> 00:39:49,760
+نص ساعة و تلت ساعة للتأكيد يعني هناك شكل .. بناخد
+
+586
+00:39:49,760 --> 00:39:52,160
+بعد ما خفض الحرارة الأفضل .. الأفضل
+
+587
+00:39:57,310 --> 00:40:00,970
+طبعا هانا هذه طبعا صورة على بعض الحالات المتشنجة
+
+588
+00:40:00,970 --> 00:40:04,530
+كيف بيصير حالة التشنج طبعا هانا ابعد المصاب اضع
+
+589
+00:40:04,530 --> 00:40:07,090
+المصاب فضل السلقاء طبعا اجيب من الملابس اللي كان
+
+590
+00:40:07,090 --> 00:40:10,190
+حواليه ملابس او حاجة عشان إيش للمحافظة لإن طبعا
+
+591
+00:40:10,190 --> 00:40:12,930
+احنا في حالات تشنج بيقولنا بيكون في ضيق في عملية
+
+592
+00:40:12,930 --> 00:40:16,510
+التنفس او دخول الهوار يعني طبعا كلها مراقبة إلا
+
+593
+00:40:16,510 --> 00:40:20,050
+لقدره قصوى لجيت أن النفس توقف فانا بقيت التنفس لكن
+
+594
+00:40:20,050 --> 00:40:23,390
+طالما أنه بتنفس خليه يتنفس لحاله إذا في زبد او
+
+595
+00:40:23,390 --> 00:40:27,250
+حاجة أنا
+
+596
+00:40:27,280 --> 00:40:30,520
+بلاش يسكّل فهم، ع جنب، عشان نخلّي مجلة الهواء أيش
+
+597
+00:40:30,520 --> 00:40:35,020
+فاتح من الفهم. في بعض المفاهيم الخاطئة عشان ننفذ
+
+598
+00:40:35,020 --> 00:40:38,960
+الموضوع، أول مفهوم خاطئ، التشنجات الحرارية تسبب
+
+599
+00:40:38,960 --> 00:40:42,820
+تلب بالمخ أو تترك مضاعفات، خاطئ، هاري أخواتنا
+
+600
+00:40:42,820 --> 00:40:46,640
+خاطئة، تمام؟ يعني المفاهيم خاطئة، لو وجدنا الصح
+
+601
+00:40:46,640 --> 00:40:51,240
+وخطأ، نقول أيش؟ خاطئة. طبعا، هل تؤثر على نمو ذكاء
+
+602
+00:40:51,240 --> 00:40:54,790
+الدماغ؟ طبعا لأ.اكتير من الطفال كانوا متشنجات
+
+603
+00:40:54,790 --> 00:40:57,810
+وماشاء الله اتعلموا دكتور ومهندس وماشاء الله بس
+
+604
+00:40:57,810 --> 00:41:02,750
+طبعا هي منظرها للأهل مخيف منظر طفل ازرق ومتشنج
+
+605
+00:41:02,750 --> 00:41:06,210
+وعينيه بيقلبوا لورا هذا طبعا هو المخيف المفهوم
+
+606
+00:41:06,210 --> 00:41:09,270
+الخاطئ التاني يجب عمل رسم مخ للطفل اللي مصاب
+
+607
+00:41:09,270 --> 00:41:14,050
+بتشنجته الحرية إذا كده اتكررت أه لكن مش من أول مرة
+
+608
+00:41:14,050 --> 00:41:17,950
+إذا اتكررت ممكن نعمله لأنه ممكن تكون مثلا نوبة أو
+
+609
+00:41:17,950 --> 00:41:19,490
+عابرة وما أثرتش كتير
+
+610
+00:41:23,710 --> 00:41:26,570
+تقعد التشنوجات الحرارية لحدوث الصراع؟ لأ،
+
+611
+00:41:26,570 --> 00:41:29,810
+التشنوجات الحرارية مايلها دعوة بالصراع، الصراع مرض
+
+612
+00:41:29,810 --> 00:41:33,850
+والتشنوجات عرض، اخدوا بالكم، التشنوجات الحرارية هي
+
+613
+00:41:33,850 --> 00:41:39,170
+عرض، أما الصراع فهو مرض، تمام؟ لأن بصاحب الصراع
+
+614
+00:41:39,170 --> 00:41:43,110
+تشنوجات كمان، لكن ما بيقول عن تشنوجات حرارية،
+
+615
+00:41:43,110 --> 00:41:45,330
+البعض يعتبر تشنوجات الحرارية نوع من أنواع الصراع،
+
+616
+00:41:45,330 --> 00:41:49,630
+طبعا لأ، هي عرض وليست مرض، تشنوجة الحرارية
+
+617
+00:41:49,630 --> 00:41:54,410
+بسببرتفع الحرارة، وهي كده بيقول احناالله يعطيكوا
+
+618
+00:41:54,410 --> 00:41:58,250
+العافية و ربنا يبلعنكوا الأمراض و يمكّحكوا بالصحة
+
+619
+00:41:58,250 --> 00:41:58,710
+و العافية
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/Fsw3p62NF2o_raw.json b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/Fsw3p62NF2o_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..dbb1f6288365a3608b6982434996e4bc6719926f
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/Fsw3p62NF2o_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 2549, "start": 5.03, "end": 25.49, "text": "بسم الله الرحمن الرحيم استكمال طبعاً لجزء اللي حكيناه المرة الفاتة بالنسبة لأولويات إنقاذ الحياة طبعا وقولنا كيف لما نكون في الأطفال و الزغار اليوم طبعا احنا كنت جزء و يمكن وصلنا لغاية طبعا لل CPR او لمتنفس او لنعاش القلب رئوي طبعا يمكن هو من أولويات الأمور اللي احنا .. و لاحظوا هذا طبعا الصورة", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 44713, 24793, 6027, 23032, 3555, 3615, 995, 14111, 5296, 7435, 11622, 38207, 13672, 1829, 11331, 4117, 1829, 8315, 3224, 9673, 25720, 27188, 9307, 3660, 20666, 1863, 35457, 3660, 5296, 10721, 12610, 45865, 9307, 36145, 4587, 45636, 21542, 25528, 3660, 23032, 3555, 3615, 995, 4032, 39648, 8315, 9122, 33911, 5296, 15042, 8717, 30544, 8978, 16247, 9566, 5172, 6027, 4032, 6024, 110, 17082, 9640, 45595, 20498, 23032, 3555, 3615, 995, 1975, 5016, 8315, 9122, 29399, 10874, 11622, 38207, 4032, 7251, 43020, 4032, 36520, 8315, 5296, 17082, 995, 10632, 23032, 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{"id": 62, "seek": 156228, "start": 1556.5, "end": 1562.28, "text": "دايماً خدوها كقاعدة إذا كان هناك فيه نفس في قلب ينبض لكن ليس بالضرورة العكس", "tokens": [28259, 1829, 15042, 14111, 16490, 3215, 2407, 11296, 9122, 4587, 995, 22488, 3660, 11933, 15730, 25961, 34105, 4117, 8978, 3224, 8717, 36178, 8978, 12174, 46152, 7251, 1863, 3555, 11242, 44381, 32239, 3794, 20666, 11242, 2288, 13063, 3660, 18863, 4117, 3794], "avg_logprob": -0.1746379602246168, "compression_ratio": 1.3465346534653466, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1556.5, "end": 1556.98, "word": "دايماً", "probability": 0.61767578125}, {"start": 1556.98, "end": 1557.26, "word": " خدوها", "probability": 0.8714599609375}, {"start": 1557.26, "end": 1557.9, "word": " كقاعدة", "probability": 0.95947265625}, {"start": 1557.9, "end": 1558.14, "word": " إذا", "probability": 0.792236328125}, {"start": 1558.14, "end": 1558.32, "word": " كان", "probability": 0.99462890625}, {"start": 1558.32, "end": 1558.62, 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\ No newline at end of file
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/Fsw3p62NF2o_raw.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/Fsw3p62NF2o_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..4cbab00ef6a664afe20c6390f40b4235cfc1375f
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/Fsw3p62NF2o_raw.srt
@@ -0,0 +1,1948 @@
+1
+00:00:05,030 --> 00:00:07,910
+بسم الله الرحمن الرحيم استكمال طبعاً لجزء اللي
+
+2
+00:00:07,910 --> 00:00:12,170
+حكيناه المرة الفاتة بالنسبة لأولويات إنقاذ الحياة
+
+3
+00:00:12,170 --> 00:00:15,570
+طبعا وقولنا كيف لما نكون في الأطفال و الزغار اليوم
+
+4
+00:00:15,570 --> 00:00:18,670
+طبعا احنا كنت جزء و يمكن وصلنا لغاية طبعا لل CPR
+
+5
+00:00:18,670 --> 00:00:23,110
+او لمتنفس او لنعاش القلب رئوي طبعا يمكن هو من
+
+6
+00:00:23,110 --> 00:00:25,030
+أولويات الأمور اللي احنا .. و لاحظوا هذا طبعا
+
+7
+00:00:25,030 --> 00:00:30,230
+الصورةصورة طبعا مهم جدا انا كيف من خلالها ان اخلى
+
+8
+00:00:30,230 --> 00:00:33,450
+مجرم الهواء، وقلنا يعني في عندنا أشياء أساسية مهمة
+
+9
+00:00:33,450 --> 00:00:36,730
+جدا، ان انا لازم اتفقد ان في عندى خطر او مافيش
+
+10
+00:00:36,730 --> 00:00:39,870
+خطر، لان طبعا الخطر سواء موجود عند المريض ممكن
+
+11
+00:00:39,870 --> 00:00:43,250
+يهدد حياتي، تاني حاجة يعني زي ما قلنا يعني مدى
+
+12
+00:00:43,250 --> 00:00:46,720
+واعي المريض ومدى استجابتهبعد كده بنتمن ان في عندي
+
+13
+00:00:46,720 --> 00:00:50,120
+مجرة هوا فاتح و مش فاتح و بعدين طبعا بنتقل لعمل
+
+14
+00:00:50,120 --> 00:00:53,440
+تنفس صناعي لتنفس طبيعي اذا في تنفس او مافيش تنفس
+
+15
+00:00:53,440 --> 00:00:57,380
+بناء على القانون الثاني ذكرناه طبعا انظر استمع
+
+16
+00:00:57,380 --> 00:01:02,420
+استشعر بعد كده اذا مافيش نفس او اذا في نفس ضعيف او
+
+17
+00:01:02,420 --> 00:01:08,140
+متوقف بعد ان اطمئنني اطمئنت على مسلك الهوا بابدأ
+
+18
+00:01:08,140 --> 00:01:12,200
+باعطاه نفسين طبعا بيسموه نفسين اختبار انه ممكن
+
+19
+00:01:12,200 --> 00:01:15,960
+طبعا الشخص يستجيب او مايستجيبشبعد ما اعمل انا
+
+20
+00:01:15,960 --> 00:01:20,080
+نفسين بارخد طبعا بتطمن هل في نبض او مافيش نبض طبعا
+
+21
+00:01:20,080 --> 00:01:23,140
+من خلال اللي هو استشعار النبض من اللي هو الشريان
+
+22
+00:01:23,140 --> 00:01:26,980
+السبدي اليوم ان شاء الله يعني عندنا حاجة كيف قالية
+
+23
+00:01:26,980 --> 00:01:31,580
+عملية احنا وصلنا للصورة هذه ان في حال اشتباه ان في
+
+24
+00:01:31,580 --> 00:01:35,120
+عندنا كسور لان في الحال اللي في وضع الطبيعي لو انا
+
+25
+00:01:35,120 --> 00:01:39,580
+مطمئن انه مافيش كسرطبعا لو حد يتسأل طب ايش يريد
+
+26
+00:01:39,580 --> 00:01:42,580
+يعرفني ان في اشتباه او مافيش اشتباه؟ طبعا اللي
+
+27
+00:01:42,580 --> 00:01:46,560
+بيعرفني مكان الحادث .. مكان الحادث .. حادث سيارة
+
+28
+00:01:46,560 --> 00:01:50,580
+.. واحد سقط من اعلى .. واحد طبعا يعني ضرب على
+
+29
+00:01:50,580 --> 00:01:54,360
+الرجب او شي .. طبعا هذا ممكن يثبتلي او في او مافيش
+
+30
+00:01:54,360 --> 00:01:58,250
+.. وبالتالي هنا بتكلم حاجةانه كيف اتعامل مرحلة طب
+
+31
+00:01:58,250 --> 00:02:01,330
+هذه الحاجة تسموها هنا Geo thrust و احنا قلنا عساس
+
+32
+00:02:01,330 --> 00:02:04,770
+اني بدفع انا قاعدة اللسان للامام مع فتح الفك و
+
+33
+00:02:04,770 --> 00:02:08,630
+ابقاء الرأس كما هو مابقدرت من الرجبة خوفا منكون
+
+34
+00:02:08,630 --> 00:02:13,070
+عندى كسور او خدش او شعر في طبع فقرات العمود ..
+
+35
+00:02:13,070 --> 00:02:16,050
+فقرات العنق و طبعا عشان مادخلش في المضاعفات لان
+
+36
+00:02:16,050 --> 00:02:18,570
+احنا من اهداف اللساحف الاولى اللى هو هدف التالت هو
+
+37
+00:02:18,570 --> 00:02:22,370
+تقليل المضاعفات طب هذه القالية بستخدمها في حال
+
+38
+00:02:22,370 --> 00:02:28,250
+اشتباه الكسور لمن؟ لاللي هو العنقطبعا هنا يعني كيف
+
+39
+00:02:28,250 --> 00:02:30,610
+انا احافظ على الدورة الدموية من خلال تلات أشياء
+
+40
+00:02:30,610 --> 00:02:34,690
+أساسية و احنا بنعرف طبعا إذا كان القلب متوقف معناه
+
+41
+00:02:34,690 --> 00:02:38,470
+مش هيصل الدم للجهاز المهم جدا في الجسم أنا وهو
+
+42
+00:02:38,470 --> 00:02:42,450
+طبعا الجهاز العصبي فانا كيف بدأ أعمل على ضخ الدم
+
+43
+00:02:42,450 --> 00:02:46,190
+لكل أجزاء الجسم طبعا أول حاجة يعني تقولنا إيش
+
+44
+00:02:46,190 --> 00:02:49,830
+خطورة توقف عدد القلب؟ بنعكس على مين؟ على الدمار
+
+45
+00:02:49,830 --> 00:02:55,610
+لإن الدمار قد يتحمل لمدة أربع دقائق توقف الأكسجين
+
+46
+00:02:56,660 --> 00:03:00,840
+بعد هيك بصور احنا بنعدى فى مراحل الخطر من اربعة
+
+47
+00:03:00,840 --> 00:03:03,620
+لست دجاج يعنى احنا بنقول مثلا انا قعدت زمزون صار
+
+48
+00:03:03,620 --> 00:03:07,040
+لونه برتقالى او أسفر يعنى بفيه خطورة جدا بعد الست
+
+49
+00:03:07,040 --> 00:03:11,080
+دجاج الاولى من عدم مصول الدم المحمل بالاكسوجين
+
+50
+00:03:11,080 --> 00:03:15,560
+تبدأ تتلف الخلايا وطبعا تلفها بلا عودة مافيش عودة
+
+51
+00:03:16,900 --> 00:03:19,180
+كيفية المحافظة على الدورة الدموية طبعا من خلالها
+
+52
+00:03:19,180 --> 00:03:21,420
+اللي هو الضغط على القلب وهذا هناخدها جد كام عشان
+
+53
+00:03:21,420 --> 00:03:24,540
+نتكلم بالتفصيل فيها جداش أضغط والمسافر اللي بضغط
+
+54
+00:03:24,540 --> 00:03:28,340
+فيها وكم مرة أضغط سواء الأكبر أو اللي هو الأطفال
+
+55
+00:03:28,340 --> 00:03:32,380
+طبعا حيانا ممكن يكون متوفر عندي جهاز طبعا اللي هو
+
+56
+00:03:32,380 --> 00:03:34,760
+الصدمة الكهربائية وهذا طبعا الجهاز موجود غالبا في
+
+57
+00:03:34,760 --> 00:03:37,940
+سيارة الإسعار أنا بتكلم هذا طبعا الأولى والتانى
+
+58
+00:03:37,940 --> 00:03:40,980
+ممكن أنانفدهم لكن التالتا في حال توفر الجهاز طبعا
+
+59
+00:03:40,980 --> 00:03:44,620
+هنا في عيننا جهازيناللي هو ال DC DC Shock بتسميه
+
+60
+00:03:44,620 --> 00:03:48,460
+أو Direct Current Shock لصدمة كهربائية و طبعا
+
+61
+00:03:48,460 --> 00:03:52,080
+الشحنة فيها 400 Volt يعني ضعف الكهربا اللي موجودة
+
+62
+00:03:52,080 --> 00:03:55,360
+حاليا وبالتالي خوف برضه على المصرف إذا ماكنش عنده
+
+63
+00:03:55,360 --> 00:03:59,140
+خبرة كيف يستخدم الجهاز هذافي عندنا جهاز تاني
+
+64
+00:03:59,140 --> 00:04:01,740
+automated طبعا ال AED Automated External
+
+65
+00:04:01,740 --> 00:04:04,880
+Defibrillator اللي هو طبعا مزيد الرجفان للقلب في
+
+66
+00:04:04,880 --> 00:04:07,860
+حال طبعا عدم انتظام عضلة القلب او عامة عضلة القلب
+
+67
+00:04:07,860 --> 00:04:11,760
+هذا طبعا مش متوفر الا في سيارة الاسعاف لان نتكلم
+
+68
+00:04:11,760 --> 00:04:15,240
+على نقطة الأولى والتانية ان انا من خلالها بتدليق
+
+69
+00:04:15,240 --> 00:04:18,100
+عضلة القلب او بتضغط على عضلة القلب من خلالها انا
+
+70
+00:04:18,100 --> 00:04:23,900
+ممكن اوفر دم محمل اكسجين للجهاز العصبي واجز الجسم
+
+71
+00:04:23,900 --> 00:04:28,850
+كلهاطبعا بكون متناسق او متوازي مع التنافس
+
+72
+00:04:28,850 --> 00:04:29,470
+الاصطناعي
+
+73
+00:04:33,090 --> 00:04:36,570
+طبعا بس تذكيرها اللي حكيناها قبل كده اللي هي خطوات
+
+74
+00:04:36,570 --> 00:04:40,810
+العمل عندنا اللي طبعا دي danger خطورة المكان طبعا
+
+75
+00:04:40,810 --> 00:04:44,530
+بعدين response بعدين انا بابعت ناس او حتى بتصير
+
+76
+00:04:44,530 --> 00:04:47,670
+تليفوم اتنان عشان يجيبلي سيارة اسعاف بعدين A طبعا
+
+77
+00:04:47,670 --> 00:04:52,250
+هو مشغة التنفس بعدين عملية التنفس بحد ذاتها و طبعا
+
+78
+00:04:52,250 --> 00:04:56,130
+ال C اللي هي ال circulation طبعا و ال D اللي هو
+
+79
+00:04:56,130 --> 00:04:58,770
+defibrillator اللي احنا اتكلمنا على الجهاز
+
+80
+00:04:58,770 --> 00:05:00,090
+حاكيناها قبل شوية
+
+81
+00:05:08,410 --> 00:05:11,630
+نتكلم على جهة على حاجة تقييم درجة الواعي و بقولنا
+
+82
+00:05:11,630 --> 00:05:16,110
+إذا كان واعي معناه واعي و بتكلم معناه إيش القلب
+
+83
+00:05:16,110 --> 00:05:19,830
+ينضج عنده و معناه إيش التنفس موجود فهو طبعا بيختار
+
+84
+00:05:19,830 --> 00:05:22,910
+إيش الوضع اللي بدهي يعني لإنه واعي طيب إذا كان
+
+85
+00:05:22,910 --> 00:05:27,530
+الشخص هذا مافيش عنده استجابة إذا كان الشخص هذا
+
+86
+00:05:27,530 --> 00:05:32,350
+مافي عنده استجابة بصير أنا أتفقد إنه في عنده نفس
+
+87
+00:05:32,350 --> 00:05:38,420
+أو ماعنده نفس طيب إذا كانعندهش تجابة و الشخص هذا
+
+88
+00:05:38,420 --> 00:05:41,900
+مافيش عنده نفس و الشخص هذا مافيش عنده نضاط للقلب
+
+89
+00:05:41,900 --> 00:05:46,940
+ده أبدأ بعملية اللي هو الانعاش القلبي أوي لكن إذا
+
+90
+00:05:46,940 --> 00:05:52,340
+كان الشخص هذا فاقد الوعي لكن النفس موجود و القلب
+
+91
+00:05:52,340 --> 00:05:55,540
+ينضب أنا بقى أضعه في وضع الإفاقة هنطبعا تشوف هتجد
+
+92
+00:05:55,540 --> 00:05:57,760
+كمان شوية كيف احنا ممكن نضع الشخص هذا في وضع
+
+93
+00:05:57,760 --> 00:05:58,220
+الإفاقة
+
+94
+00:06:07,720 --> 00:06:10,240
+طبعا هذه وضع الفرقه جيت احنا عملنا طبعا تدريب عملي
+
+95
+00:06:10,240 --> 00:06:15,780
+نيجي
+
+96
+00:06:15,780 --> 00:06:19,320
+للخطوات هذه عملية انعاش القلب طبعا أساس في عملية
+
+97
+00:06:19,320 --> 00:06:23,020
+انعاش القلب ان انا اعمل ضغط على عضلة القلب لكن
+
+98
+00:06:23,020 --> 00:06:27,500
+امتى انا بده اعمل ضغط على عضلة القلب؟طبعا زمان
+
+99
+00:06:27,500 --> 00:06:32,140
+يعني لما .. جابل 2010 كان النظام أساس أنه أنا أبدأ
+
+100
+00:06:32,140 --> 00:06:34,780
+تنفس الصناعي و أبدأ .. و أستمر بالتنفس الصناعي
+
+101
+00:06:34,780 --> 00:06:38,720
+بعدين عضلة القلب حكينا احنا المرة الفاتة أنه في
+
+102
+00:06:38,720 --> 00:06:41,680
+فرق ما بين التنفس الاصطناعي و انعاش القلب ليه أو
+
+103
+00:06:41,680 --> 00:06:44,980
+عند الأطفال و عند البالغين و جلنا السبب عند
+
+104
+00:06:44,980 --> 00:06:48,080
+البالغين لأن أخر نفس بياخده بيكون محمل من ال
+
+105
+00:06:48,080 --> 00:06:51,920
+oxygen و أنا مابده منه إلا آليه عشان أضخ الدم
+
+106
+00:06:51,920 --> 00:06:55,260
+للريقتين عشان نحمل ال oxygen و يتوزع لكل إيش أجزاء
+
+107
+00:06:55,260 --> 00:06:58,510
+الجسملكن بالنسبة للأطفال حجم الرئة صغير جدا
+
+108
+00:06:58,510 --> 00:07:02,730
+وبالتالي ما بتكون كمية الـ Exygenase كافية من هنا
+
+109
+00:07:02,730 --> 00:07:07,570
+لما أنا أطمأن بجيت ببدأ بالانعاش القلبي في حال ان
+
+110
+00:07:07,570 --> 00:07:11,630
+انا اطمأنيت ان القلب متوقف نقول ملاحظاتين مهمين
+
+111
+00:07:11,630 --> 00:07:15,030
+جدا واجتاش انا ببدأ التنفس الصناعي و تدليق القلب
+
+112
+00:07:15,030 --> 00:07:21,270
+التنفس الصناعي يبدأ في حال توقف التنفس او اذا كان
+
+113
+00:07:21,270 --> 00:07:28,150
+النفس ضعيفأما تدليك القلب فقط في حال توقف عضلة
+
+114
+00:07:28,150 --> 00:07:32,870
+القلب، لأن كان القلب ينبض ما بتدخل فيه، يبقى اللي
+
+115
+00:07:32,870 --> 00:07:36,730
+انعاش القلب رئوي، تلاحظوا اللي انعاش القلب ده عند
+
+116
+00:07:36,730 --> 00:07:42,210
+البالغينبأبدأ نفسيين اختبار، بعدين بدأ عملية
+
+117
+00:07:42,210 --> 00:07:48,130
+تقييم، إذا الشخص استجاب للنفسين هدولة، بدأ يسأل أو
+
+118
+00:07:48,130 --> 00:07:52,710
+بدأ يرد عليّ أو بدأ يستجيب، باتدخلش في القلب، لأن
+
+119
+00:07:52,710 --> 00:07:57,010
+طالما أن في عنده نفس، معناه في القلب ينبض، لكن إذا
+
+120
+00:07:57,010 --> 00:08:02,550
+كان النفس لازال متوقف ومافيش استجابة، بنتقل لعضلة
+
+121
+00:08:02,550 --> 00:08:05,310
+القلب من خلال الشيران السبات، يعني ركز رجحت بس
+
+122
+00:08:05,310 --> 00:08:10,030
+عليكبار أو البالغينإيش اللي بصير عندي هنا؟ أنا
+
+123
+00:08:10,030 --> 00:08:12,850
+بقاجي طبعا .. طب نتكلم على إذا كان مسعيف أو
+
+124
+00:08:12,850 --> 00:08:16,410
+مسعيفين، نتكلم أو حاجة على مسعيف، بقاجي طبعا ال ..
+
+125
+00:08:16,410 --> 00:08:20,590
+عند .. طبعا كاتف الشخص، تمام؟ يمين أو يسار مش
+
+126
+00:08:20,590 --> 00:08:24,590
+هتفرق، مش هتفرق، لكن في نفس الوقت أنا بدي أكون
+
+127
+00:08:24,590 --> 00:08:29,460
+كاتف الشخص طبعا بين ركب المسعفأيش باجي أسوي أنا
+
+128
+00:08:29,460 --> 00:08:33,300
+هنا؟ قبل كل شيء بدي أخفف الملابس عشان انا أقدر
+
+129
+00:08:33,300 --> 00:08:40,160
+أضغط على صدر الشخص هنا بابدأ بالضغط تلاتين مرة على
+
+130
+00:08:40,160 --> 00:08:44,080
+طبعا هو بيكون بالضغط هنا التحديد اللي له خبرة يكون
+
+131
+00:08:44,080 --> 00:08:47,780
+عارفها لكن عشان احنا نحدد ده كويس عندنا عضمة القص
+
+132
+00:08:47,780 --> 00:08:54,770
+تمام؟ يعني الأول مرة بقعد تلت أصابعبأرفع الأصبعين
+
+133
+00:08:54,770 --> 00:09:02,110
+بخلي أصبع واحد تمام سبابة طبعا راحت الكف فوق
+
+134
+00:09:02,110 --> 00:09:06,230
+الأصبع راحت الكف قريتها هنشوف الصورة فوق الأصبع
+
+135
+00:09:06,230 --> 00:09:10,030
+طبعا هذا الضغط هو اللي بيكون على البطين الأيمن
+
+136
+00:09:10,030 --> 00:09:14,890
+والأيسرلان انا من انا بدهمني ايش ان ادخل الدم وين
+
+137
+00:09:14,890 --> 00:09:19,230
+لجسم كله مين هيدخل الدم البطاين الايمن و الايسر
+
+138
+00:09:19,230 --> 00:09:22,850
+عساس نصل لدورة دموية كبرى و نصل لدورة دموية ايش
+
+139
+00:09:22,850 --> 00:09:28,070
+صغره الدغط بده يكون تقريبا من اتنين و نص انش الى
+
+140
+00:09:28,070 --> 00:09:33,010
+تلاتة انش يعني من خمسة لستة سانتي متوسط خمسة سانتي
+
+141
+00:09:33,010 --> 00:09:36,380
+بعض الكتب بتقول من اربع لخمسة سانتيليش أنا بقول
+
+142
+00:09:36,380 --> 00:09:40,660
+المسافة هذه؟ لأن طبعا القلب حر الحركة، مش ملاسق
+
+143
+00:09:40,660 --> 00:09:46,100
+للصدر مباشرة، وبالتالي أنا بدأ أضغط على القفص
+
+144
+00:09:46,100 --> 00:09:50,540
+الصدري عشان يصل وين؟ للبطين الأيمن والأيسر، قد
+
+145
+00:09:50,540 --> 00:09:56,690
+يصاحب الضغط كسور في الأضلاعممكن لكن ايهم اقل ضرر
+
+146
+00:09:56,690 --> 00:10:01,150
+الكسر ولا توقف القلب طبعا الكسر بالتالي ما بنخاف
+
+147
+00:10:01,150 --> 00:10:06,830
+من الحاجة هذه عشان اضغط انا تلاتين بغطى و اصل لقلب
+
+148
+00:10:06,830 --> 00:10:10,790
+عشان ادخل الدم بضغط تلاتين مرةبخلص التلاتين مرة
+
+149
+00:10:10,790 --> 00:10:17,250
+بأرجع باعطي نفسين مع ملاحظة ان طبعا الذقن .. طبعا
+
+150
+00:10:17,250 --> 00:10:23,370
+الرقبة ممتدة في حالة استقامة و الجبهة للخلف تمام؟
+
+151
+00:10:23,370 --> 00:10:28,410
+و الفم مفتوح الفك السفلي مفتوح عشان هذا بساعد على
+
+152
+00:10:28,410 --> 00:10:33,550
+إدخال الهواء داخل الرئتين لكن منكون احنا حارسين لو
+
+153
+00:10:33,550 --> 00:10:36,390
+كانت الرجل بمطنية بعيد مرة تانية وجينا نضغط
+
+154
+00:10:36,390 --> 00:10:42,780
+النفسين هيكون صعببخلص النفسين بأرجع بأعطي تلاتين
+
+155
+00:10:42,780 --> 00:10:47,780
+ضغطة يعني أنا بستمر في العملية هذه تقريبا اربع
+
+156
+00:10:47,780 --> 00:10:52,480
+دورات اربع دورات الاربع دورات كام مرة بكون ضغطت
+
+157
+00:10:52,480 --> 00:10:58,700
+على القلب فيها من مية لمية وعشرين مرة يعني ايش
+
+158
+00:10:58,700 --> 00:11:04,480
+ضغطة كام نفس بكون اعطيت فيها تقريباتمان مرات مع
+
+159
+00:11:04,480 --> 00:11:10,220
+ملاحظة ان كل نفس والتاني بادخل نفس وانتظر لغاية
+
+160
+00:11:10,220 --> 00:11:14,740
+لما يخرج اللي هو زفير المريض او زفير الضحية يعني
+
+161
+00:11:14,740 --> 00:11:19,320
+تقريبا خلال دقيقة واحدة باضغط مية الى مية وعشرين
+
+162
+00:11:19,320 --> 00:11:26,200
+ضغطة على الصدر مقابل تمان مرات تنفس طيب عجيت
+
+163
+00:11:26,200 --> 00:11:29,340
+الملاحظة هان كمان عشان انا اتأكد لان بعض الناس
+
+164
+00:11:29,340 --> 00:11:35,490
+بيقولك انا حطيت ايدي و جمتهاعشان كنا هرصين التحسس
+
+165
+00:11:35,490 --> 00:11:39,130
+على منطقة الشيران السباتى بما لا يقل من عشر ثوانى
+
+166
+00:11:39,860 --> 00:11:42,620
+لأن مابنفع أحط إيدي و أجيبها و بالتالي فقلنا إيش
+
+167
+00:11:42,620 --> 00:11:46,040
+الأصحاب تكون بالعرض عشان أنا أستشعر الشريان
+
+168
+00:11:46,040 --> 00:11:51,040
+السباتي مابنفع بالطول هيك لأن أنت لأول ما تكون إيش
+
+169
+00:11:51,040 --> 00:11:53,660
+وعية ممكن تبعيها على العضلة تقولي والله مافيش نبض
+
+170
+00:11:53,660 --> 00:11:57,820
+و يكون القلب يعمل فانا قلت مابديش أدخل في حال
+
+171
+00:11:57,820 --> 00:12:03,360
+القلب إيش يعمل بعد الدقيقة الأولى بعمل عملية تقييم
+
+172
+00:12:03,360 --> 00:12:09,040
+التقييم من أين بيجي من النفس ولا من القلب من النفس
+
+173
+00:12:10,430 --> 00:12:14,190
+تقييم بيجي من النفس تمام بعد الدقيقة الأولى بعمل
+
+174
+00:12:14,190 --> 00:12:19,610
+تقييم هل في نفس او مافيش نفس يبقى قانون التاني
+
+175
+00:12:19,610 --> 00:12:23,810
+دايما استحضره طبعا انظر استشهر تحسس او طبعا عساس
+
+176
+00:12:23,810 --> 00:12:28,650
+ايش انظر السماء استشهر اسف عساس ان يكون في نفس ولا
+
+177
+00:12:28,650 --> 00:12:36,440
+مافيش نفس اذا لازال النفس متوقف تمامبت .. طبعا ب
+
+178
+00:12:36,440 --> 00:12:39,980
+.. بشوف هل في نضب ولا مفيش لأن ربما يكون القلب
+
+179
+00:12:39,980 --> 00:12:44,360
+يعمل وهنا جونا الحالات اللي بتأخر فينا استجابة
+
+180
+00:12:44,360 --> 00:12:48,960
+للتنفس اللي هي إما التسمن بأول أكسيد الكربون أو
+
+181
+00:12:48,960 --> 00:12:53,780
+المخدرات هذا ممكن ياخد معانا وجود طويل طيب هل ممكن
+
+182
+00:12:53,780 --> 00:13:00,850
+الشخص يبدأ القلب ينضب والنفس متوقف؟ممكن .. ممكن
+
+183
+00:13:00,850 --> 00:13:05,650
+طيب .. بعض الحالات ان ممكن في .. يعني لما انا باجي
+
+184
+00:13:05,650 --> 00:13:09,130
+باعطي مثلا نفس اختبار لو مثلا ناخدها من البداية بس
+
+185
+00:13:09,130 --> 00:13:13,810
+استرجاع بسيط يكون في جسم غريب في الحالة هذه وقتنا
+
+186
+00:13:13,810 --> 00:13:18,330
+.. بنركز انه انا بدفع بقوة و بادفع الجسم الغريب
+
+187
+00:13:18,330 --> 00:13:24,410
+للداخل طبعا غالبا هنروح على الناحية اليمنى فهل في
+
+188
+00:13:24,410 --> 00:13:28,630
+خطورة انه انا ادفع الجسم الغريب ولا خطورة الاختناق
+
+189
+00:13:29,270 --> 00:13:33,530
+طبعا خطورة الاختلاق ..فضلي ..انا مش قادر اطلعه
+
+190
+00:13:33,530 --> 00:13:37,730
+..ماشي ..ماشي ..انا قلت بالاساس ان بعمل عمل
+
+191
+00:13:37,730 --> 00:13:41,570
+التنظيف لمسلك الهواء ..في الأساس احنا جلنا طبعا ال
+
+192
+00:13:41,570 --> 00:13:46,690
+D R S ..بعدين A B C D ..طبعا ..لما قلت ال A ..ال A
+
+193
+00:13:46,690 --> 00:13:49,070
+روي ..انا بسلك مسلك الهواء ..هجيت طبعا هاريك
+
+194
+00:13:49,070 --> 00:13:52,210
+بالصورة كمان ..بسلك مسلك الهواء ..مالجيتش حاجة
+
+195
+00:13:52,210 --> 00:13:56,630
+..وتنيت الرجبة في استقامة ..والذكرة ..والجبهة
+
+196
+00:13:56,630 --> 00:14:00,680
+للخلفhit tilt chim lift تمام؟ hit tilt معناه بيطني
+
+197
+00:14:00,680 --> 00:14:04,440
+الجبه للخلف طبعا chim lift ان الذقن الأعلى مع فتح
+
+198
+00:14:04,440 --> 00:14:08,380
+الفتح ودخلت أصبعي بطريقة خطافية ماطلعتش اي حاجة
+
+199
+00:14:08,380 --> 00:14:13,740
+لربما الجسم الغريب وين في الحنجرة تمام؟ ففي الحالة
+
+200
+00:14:13,740 --> 00:14:17,820
+هذه انا مابقدر أدخل أصبعي للداخل طيب إيش هتنفع
+
+201
+00:14:17,820 --> 00:14:21,380
+حوار و الأمور تمام تمام الراجل هو باستقامة الجبه
+
+202
+00:14:21,380 --> 00:14:26,040
+للخلف الذقن الأعلى الفم مفتوح تمام؟ مافيش اش عمال
+
+203
+00:14:27,830 --> 00:14:34,270
+بدفع القوة عشان أدخل الجسم هذا وين للداخل الخطورة
+
+204
+00:14:34,270 --> 00:14:38,670
+من الجسم ولا الاختناق أكتر طبعا الاختناق بعدين في
+
+205
+00:14:38,670 --> 00:14:44,650
+المستشفى بتم إخراجه اتفضل اسألي أنا
+
+206
+00:14:44,650 --> 00:14:47,230
+بدفع القوة طب أحنا ماشي نقفل في الجوات التانية
+
+207
+00:14:47,230 --> 00:14:50,230
+اللي عملت فتحة في القصبة الهوائية لأ احنا عشان
+
+208
+00:14:50,230 --> 00:14:53,710
+أشياء بسيطة لكم ماشي طبعا فينا التنافس عن طريقة و
+
+209
+00:14:53,710 --> 00:14:58,190
+أعمل فتحة في القصبة الهوائيةماشي او او او طبعا
+
+210
+00:14:58,190 --> 00:15:01,970
+غطاء جلم او حاجة تمام اه بس انا بتكلم عن حاجات
+
+211
+00:15:01,970 --> 00:15:07,330
+انتوا بمقدوركوا تنفيذها لان طبعا مفيش من .. مش من
+
+212
+00:15:07,330 --> 00:15:09,730
+السهولة .. مش من السهولة يقولوا الله انا بدي اعمل
+
+213
+00:15:09,730 --> 00:15:12,230
+فتحة هنا ولا حاجة يعني احنا كمجتمع مايقولك انا بدي
+
+214
+00:15:12,230 --> 00:15:15,890
+بيقوله احنا بتكلم الحاجات البسيطة اللي مقدر عليها
+
+215
+00:15:15,890 --> 00:15:20,700
+بتكلم الأساسيات البسيطة وبالتالي هناإذا أنا حاولت
+
+216
+00:15:20,700 --> 00:15:24,000
+ومافيش فايدة بدفع بقوة، يعني ناخد الاحتمال إن
+
+217
+00:15:24,000 --> 00:15:27,800
+الجسم الغريب يدخل للداخل، تمام؟ أه، فأكتر حاجة
+
+218
+00:15:27,800 --> 00:15:32,280
+الخطورة بتكون من اختناق مش الجسم الغريب، تمام؟
+
+219
+00:15:32,280 --> 00:15:38,060
+وبالتالي أخواتنا، قلنا تقييم بعد الدقيقة الأولى،
+
+220
+00:15:38,060 --> 00:15:41,840
+وبستمر كمان تلت دورات، لأن كل دورة خلال دقيقة
+
+221
+00:15:41,840 --> 00:15:46,320
+واحدة، وكل دورة من 100 ل120، ضغط على القلب، مقابل
+
+222
+00:15:46,320 --> 00:15:53,110
+تمان مرات تنافسبعد تلت دقائق لان انا جاي بد اكسب
+
+223
+00:15:53,110 --> 00:15:56,850
+اول اربع دقاج عشان مايتأثرش الدماغ بنقص ال oxygen
+
+224
+00:15:56,850 --> 00:16:00,790
+بعد اول تلت دقاج كمان بعد دقيقة الاولى بعمل تقييم
+
+225
+00:16:00,790 --> 00:16:06,030
+طيب يا ترى هل انا بستمر على طول ولا بتوقف طبعا
+
+226
+00:16:06,030 --> 00:16:11,820
+لامتى انا ممكن استمر في حال الشخص استعاد وعيهفي
+
+227
+00:16:11,820 --> 00:16:16,220
+حال أنا تعبت أو رهقت مش قادر أكمل في حال جاتنى
+
+228
+00:16:16,220 --> 00:16:22,440
+مساعدة في حال ان علامات الحياة غير موجودة طبعا
+
+229
+00:16:22,440 --> 00:16:25,860
+دائما الإنسان لما بندفع و بنعمل تبليك للقلب بيكون
+
+230
+00:16:25,860 --> 00:16:30,700
+جسمه دافع لكن لو كان انه فترة يعني مثلا انت وجهت
+
+231
+00:16:30,700 --> 00:16:33,420
+واحد انت مش عارف هو اجتاش طبعا هذا الشخص على الأرض
+
+232
+00:16:33,420 --> 00:16:38,020
+لكن بدك تحاولي بمعنى انه احنا قولنا اي شخص انا بده
+
+233
+00:16:38,020 --> 00:16:43,120
+احاول معاه مابعتبره ميتلكن في إمكانية للمحاولة لكن
+
+234
+00:16:43,120 --> 00:16:46,060
+لما أكون أنا جدا جوغر الأرض مانا لسه هاريش يعني
+
+235
+00:16:46,060 --> 00:16:50,540
+لسه في نفس اللحظة و المحاولة أفضل وبالتالي هالمجلد
+
+236
+00:16:50,540 --> 00:16:56,520
+انا بستمر لغاية ان الشخص يستجيب ان انا أرهق كليا
+
+237
+00:16:56,520 --> 00:17:02,640
+اتييني مساعدة تمام طبعا اقول علامة الحياة مش
+
+238
+00:17:02,640 --> 00:17:07,460
+موجودة عليه او حد من الأشخاص يساعدنيطبعا هذه خمس
+
+239
+00:17:07,460 --> 00:17:18,820
+حالات اللي من خلالها انا ممكن استمر او اتوقف طبعا
+
+240
+00:17:18,820 --> 00:17:22,520
+هاي الصورة هنا طبعا هو فيديو ..انسان ما يتنفس و
+
+241
+00:17:22,520 --> 00:17:27,060
+القلب لا يمنع و مافيش عنده كسور ..هل هتعني انا
+
+242
+00:17:27,060 --> 00:17:32,780
+بتتكلم عن حياة الشياطين؟ كمان شوية ..هل هتعني انا
+
+243
+00:17:32,780 --> 00:17:35,240
+بتتعني انا بتتكلم عن حياة الشياطين؟ كمان شوية ..هل
+
+244
+00:17:35,240 --> 00:17:36,160
+هتعني انا بتتعني انا بتتعني انا بتتعني انا بتتعني
+
+245
+00:17:36,160 --> 00:17:36,160
+انا بتتعني انا بتتعني انا بتتعني انا بتتعني انا
+
+246
+00:17:36,160 --> 00:17:36,160
+بتتعني انا بتتعني انا بتتعني انا بتتعني انا بتتعني
+
+247
+00:17:36,160 --> 00:17:39,520
+انا بتتمايبقى الصورة هذه، إيدي هذه، و لاحظوا إن
+
+248
+00:17:39,520 --> 00:17:45,780
+أنا مابديش أضر شوية لفترة بفترة شوية كتفه تغيب بين
+
+249
+00:17:45,780 --> 00:17:49,300
+الركبتين زي ما كنا قولنا الرجليين بين الركبتين أنا
+
+250
+00:17:49,300 --> 00:17:56,000
+في الصورة هذه ببدأ إن اللي بدأ لاحظه إنه الكتف و
+
+251
+00:17:56,000 --> 00:18:01,980
+الكوة و الرسوم أستقام واحدة تاني حاجة .. تاني حاجة
+
+252
+00:18:01,980 --> 00:18:07,240
+إيش اللي بتحرك مني؟ بسرك و نشوفبأجيب الصورة هناك،
+
+253
+00:18:07,240 --> 00:18:13,080
+راهزين؟ بس قاعد اليد هي بتكون على الصدر الأصابع مش
+
+254
+00:18:13,080 --> 00:18:16,420
+هتكون على الصدر، ليش؟ لأن أنا بضغط عليه مباركة،
+
+255
+00:18:16,420 --> 00:18:19,640
+كمان هذه تانية بتتوزع، متضبط، بجيب الصورة هناك،
+
+256
+00:18:19,640 --> 00:18:26,560
+برفع الصورة هذه، بدخلها، واحد، اثنين، تلات، اربع،
+
+257
+00:18:26,560 --> 00:18:30,500
+خمسة، ستة، بعدها غير تلاتين، هل تختبر فتدخل هناك؟
+
+258
+00:18:30,500 --> 00:18:37,670
+لأ، لقد دخلت، لأ، هنا بضغط تلاتين ضغطةفهيبتدش رموق
+
+259
+00:18:37,670 --> 00:18:44,710
+من أقبع لخمس صناعي لأقل ثقابة متعددة في بعض الكده
+
+260
+00:18:44,710 --> 00:18:50,730
+بتكون من خمسة لست صناعي حديثا 2015 من خمسة لست
+
+261
+00:18:50,730 --> 00:18:54,570
+صناعي يعني تقريبا اتنين انش او اتنين انش و اربعة
+
+262
+00:18:54,570 --> 00:18:58,790
+في العرب يقولون مصر مصر مصر مصر مصر مصر مصر مصر
+
+263
+00:18:58,790 --> 00:19:00,590
+مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر
+
+264
+00:19:00,590 --> 00:19:00,870
+مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر مصر
+
+265
+00:19:00,870 --> 00:19:00,910
+مصر مصر مصر مصر مصر مصر مصر مصر مصر
+
+266
+00:19:06,330 --> 00:19:12,590
+أنا كل اليوم عايز أقول تلاتين ضغطة، بخلص التلاتين
+
+267
+00:19:12,590 --> 00:19:20,810
+ضغطة، بأجي أنا أعمل نفسي نفسي، في نفس الوضع نفسه،
+
+268
+00:19:20,810 --> 00:19:25,470
+بغطي الفم كله
+
+269
+00:19:31,400 --> 00:19:34,320
+تمام؟ طبعا هذه يا أخواتنا يعني التأكيد إن وين أنا
+
+270
+00:19:34,320 --> 00:19:37,260
+بضغط الملاحظات اللي موجودة هنا إن زي ما شوفت
+
+271
+00:19:37,260 --> 00:19:43,040
+بالصورة أرجع شويه أريكم الصورة هذه ليش أنا بفردش
+
+272
+00:19:43,040 --> 00:19:50,360
+إيدي كلها على صدر الضحية؟ لأن إذا أنا فردت إيدي
+
+273
+00:19:50,360 --> 00:19:53,500
+على الضحية كلها، على صدر الضحية كلها، معناها الضغط
+
+274
+00:19:53,500 --> 00:19:58,580
+اتوزق الكل لكن أنا بدأ أركز الضغط وين؟ على قاعدة
+
+275
+00:19:58,580 --> 00:20:02,590
+القلب، اللي هو وين؟على البطاين .. آسف على البطاين
+
+276
+00:20:02,590 --> 00:20:06,270
+الأيمن و البطاين الأيسر مابديش اوزع الضغط وين على
+
+277
+00:20:06,270 --> 00:20:09,330
+كل الصدر وبالتالي انا ال .. اه الحالة اللى شوفناها
+
+278
+00:20:09,330 --> 00:20:12,590
+احنا بقولنا اول دقيقة بعدين اول كمان تلت دقائق
+
+279
+00:20:12,590 --> 00:20:16,390
+عشان اعمل عملية تقييم طيب ايش الحالات اللى ممكن
+
+280
+00:20:16,390 --> 00:20:20,090
+يكون فيها مساعدة يكون عند اتنين اشخاص اتنين طيب
+
+281
+00:20:20,090 --> 00:20:25,070
+لما يكون عند شخص تاني بيكون واحد طبعا جبال القلب
+
+282
+00:20:25,070 --> 00:20:32,790
+واحد جبال وينالفم يعني بيكونوا .. بيكونوش على نفس
+
+283
+00:20:32,790 --> 00:20:37,110
+المستوى بيكونوا ببقى البعض مابيكونوش بنفس المستوى
+
+284
+00:20:37,110 --> 00:20:40,890
+اذا في أنبو ماشي انا بتكلم أبسط الأشياء اللي طبعا
+
+285
+00:20:40,890 --> 00:20:43,250
+اذا كان جهاز أنبو الانبو موجود هو ينفذ جهاز سيارة
+
+286
+00:20:43,250 --> 00:20:46,930
+الاسعاف لكن بتكلم على أشياء بسيطة انت ممكن تستخدم
+
+287
+00:20:46,930 --> 00:20:52,830
+شاشة عشان باب لقايا و لحماية او نمسح مثلا مطهر ميه
+
+288
+00:20:52,830 --> 00:20:57,190
+اي حاجة من باب لقايا ممكن احنا نستخدم كمان التنفس
+
+289
+00:20:57,190 --> 00:21:01,700
+الاصطناعي عن طريق الأنفأه .. لو أحد عنده مثلا
+
+290
+00:21:01,700 --> 00:21:06,200
+مشكلة في الفم و عنده كسور أو عنده مثلا مشكلة أو
+
+291
+00:21:06,200 --> 00:21:10,020
+إغلاق أو ما شبه ذلك .. تمام؟ فبعمل إغلاق للفم و عن
+
+292
+00:21:10,020 --> 00:21:13,860
+طريق إيش الأنف .. المهم في سبب معين .. المهم في
+
+293
+00:21:13,860 --> 00:21:18,700
+سبب معين .. بدفع النفس عن طريق الأنف .. من الفم
+
+294
+00:21:18,700 --> 00:21:23,440
+للأنف .. طبعا إخواتنا ممكن تستهجرون .. طبعا إنقاذ
+
+295
+00:21:23,440 --> 00:21:29,150
+الحياة أولويات مهمة جدا ..أولوية مهمة جدا وبالتالي
+
+296
+00:21:29,150 --> 00:21:33,010
+أنا ببدأ وين في إمكانية لمساعدة الشخص هذا لكن إذا
+
+297
+00:21:33,010 --> 00:21:36,490
+أحنا كنا اتنين .. إذا أحنا كنا اتنين نفس الحاجة
+
+298
+00:21:36,490 --> 00:21:43,230
+تلاتين .. تلاتين .. خمسة .. آسف تلاتين نفسين نفس
+
+299
+00:21:43,230 --> 00:21:47,510
+الشيء لكن هنا إيش الميزة أنه لما يكون عند مصعفين
+
+300
+00:21:47,510 --> 00:21:52,290
+اتنين أفضل و أريح عن مصعف واحد لأن لما يكون عند
+
+301
+00:21:52,290 --> 00:21:56,030
+مصعف واحد في تعب و في مجهود لكن لما يكون عند اتنين
+
+302
+00:21:57,160 --> 00:22:01,060
+فيه أريحية .. فيه أريحية وبالتالي طبعا هذه لازم
+
+303
+00:22:01,060 --> 00:22:04,180
+يكون الإنسان عشان هي قولت أنا ممكن أتوقف إذا تعب
+
+304
+00:22:04,180 --> 00:22:08,720
+لأن أولها بيكون متمشط أكتر شوية شوية هيتعب
+
+305
+00:22:08,720 --> 00:22:15,160
+الملاحظة التانية أنه لما أنت تعطي نفس مش ورا بعض
+
+306
+00:22:15,160 --> 00:22:19,560
+لازم تعطي فرصة أنه النفس اللي في صدر الضحية هذا
+
+307
+00:22:19,560 --> 00:22:24,760
+يخرج يعني أن أنت تاخد شهيق هو إيش اطلع زفير ومرة
+
+308
+00:22:24,760 --> 00:22:29,270
+تانيةوبالتالي كمان لما أنا باجي بضغط بقولش واحد
+
+309
+00:22:29,270 --> 00:22:32,890
+اتنين اتتنين لأ مابنفع لإن الفرصة هذه عشان يكون
+
+310
+00:22:32,890 --> 00:22:38,630
+فيها فرصة ليش لإعطاء يعني عشان نعطي فرصة لمين
+
+311
+00:22:38,630 --> 00:22:42,890
+للقلب انه ضخم يعني تجريبا لو احنا أجينا نجيسها
+
+312
+00:22:42,890 --> 00:22:49,110
+يعني لو انا بدأ فقط بتنفس لحاله تمام بين النفس
+
+313
+00:22:49,110 --> 00:22:52,050
+والتاني تجريبا من خمسة إلى ست ثوانين إذا كان بس
+
+314
+00:22:52,050 --> 00:22:57,020
+تنفس لحالهيعني تقريبا بيعطي اتناشر مرة نفس إذا كان
+
+315
+00:22:57,020 --> 00:23:01,960
+القلب ينبض لكن إذا كانوا التنين مع بعض تنفس مع
+
+316
+00:23:01,960 --> 00:23:07,300
+تدليك للقلب تقريبا أنا بعطي أربع مرات تدليك في
+
+317
+00:23:07,300 --> 00:23:11,500
+تلاتين يعني مائة و عشرين مقابل أربع مرات تنفس في
+
+318
+00:23:11,500 --> 00:23:15,740
+اتنين تمانية تمام؟ وهذه هل التمانية تكفي؟ التمانية
+
+319
+00:23:15,740 --> 00:23:20,210
+تكفيلكن لما يكون فقط لحال التنفس بياخد تقريبا إيش؟
+
+320
+00:23:20,210 --> 00:23:25,030
+اتناشر مرة، تمام؟ هذا بالنسبة للبالغين إذا كان شخص
+
+321
+00:23:25,030 --> 00:23:35,410
+مصعف لحاله أو مصعفين اتنين تفضلي
+
+322
+00:23:35,410 --> 00:23:41,190
+تلاقيت بعد ال 120 هدولة فرص؟ لا احنا قولنا التقييم
+
+323
+00:23:41,190 --> 00:23:46,210
+أول دقيقة بعد الدقيقة الأولى بنعمل كمان تلت دورات
+
+324
+00:23:46,900 --> 00:23:53,360
+يعني .. اه .. ماشي .. ماحنا جولنا لإنت نستمر .. اه
+
+325
+00:23:53,360 --> 00:23:57,540
+.. إذا في استجابة .. إذا إنت تعبتي على الآخر ..
+
+326
+00:23:57,540 --> 00:24:01,280
+إذا الشخص مافيش عليه علامات الحياة .. إذا وصل حد
+
+327
+00:24:01,280 --> 00:24:05,660
+يساعدني .. إذا وصل سيادة لساعة فهم اتكفلوا فيه ..
+
+328
+00:24:05,660 --> 00:24:09,470
+او لا ما .. مابتقدرش تستمري على طوللأنه .. لأن
+
+329
+00:24:09,470 --> 00:24:11,730
+احنا قولنا أول أربع دقيقه ممكن .. يعني الاجارة
+
+330
+00:24:11,730 --> 00:24:15,010
+ممكن يست .. ممكن يتحمل لكن أنا ليش أخليه يتحمل و
+
+331
+00:24:15,010 --> 00:24:17,710
+أنا قادر أساعده؟ وبالتالي طبعا في ممكن يهلل
+
+332
+00:24:17,710 --> 00:24:20,830
+المساعدة دكتورنا ماصمحت إيش في .. إيش مفرج مع
+
+333
+00:24:20,830 --> 00:24:24,950
+المسعب إذا كان جسم المريض دارج ولا ساخدش؟ أه ..
+
+334
+00:24:24,950 --> 00:24:29,830
+بالظبط
+
+335
+00:24:29,830 --> 00:24:33,210
+.. حاجات احنا قولنا مصدر الطاقة يا أخواتنا لما
+
+336
+00:24:33,210 --> 00:24:36,030
+نقول إحنا إنسان جسمه دافي
+
+337
+00:24:38,970 --> 00:24:42,810
+لأ، أنا ماقولتش ميت، ماقولت ميت أنا، يعني مثلا،
+
+338
+00:24:42,810 --> 00:24:46,490
+أنا استمرت معاه خمس ست دجاج، واسمه متلج، مافيش
+
+339
+00:24:46,490 --> 00:24:49,150
+علامة من علامة الحياة، لكن ده اللي جيت ها، والله
+
+340
+00:24:49,150 --> 00:24:54,210
+بده شويه لينه واتغير، معناه حي، لو الخلية الميتة
+
+341
+00:24:54,210 --> 00:24:57,570
+جد مضخ فيها ده، من هي ميتةمافيش ممكن .. وبالتالي
+
+342
+00:24:57,570 --> 00:25:00,850
+احنا بنقول مصدر الطاقة في جسم الإنسان اتنين اللي
+
+343
+00:25:00,850 --> 00:25:04,110
+هو السكريات و ال .. و ال .. و ال .. و ال oxygen و
+
+344
+00:25:04,110 --> 00:25:06,650
+طبعا مصدر الطاقة بالغالب لدماغ وبالتالي لما أنا
+
+345
+00:25:06,650 --> 00:25:10,650
+قاعد بضخ دم محمل ب oxygen معناه هالخلايا هذه
+
+346
+00:25:10,650 --> 00:25:15,330
+هيصلها مصدر طاقة و هتبقى ليش، قولونا هيبدأ يتغير،
+
+347
+00:25:15,330 --> 00:25:18,630
+لكن مش معناه انا استمر كمان عشر دقايق وفيش علامات
+
+348
+00:25:18,630 --> 00:25:22,450
+بالمرة، معناه حتى بقى لاقياش alpha عظيم، الاحتمال
+
+349
+00:25:22,450 --> 00:25:22,990
+بعد هيك
+
+350
+00:25:35,900 --> 00:25:41,660
+طبعا زي ما قلنا اخواتنا انه يعني التنفس الصناعي
+
+351
+00:25:41,660 --> 00:25:45,280
+يعني هتذكر ان احنا فيه تلت حلال لغاية لما تصل
+
+352
+00:25:45,280 --> 00:25:49,140
+المساعدة لغاية لما بدأ المصاب بالتنفس الطبيعي هجيت
+
+353
+00:25:49,140 --> 00:25:54,560
+لو بدأ المصاب بالتنفس الطبيعي تمام؟ وضلوا لازال
+
+354
+00:25:54,560 --> 00:25:59,180
+فاقد الوعيدايماً خدوها كقاعدة إذا كان هناك فيه نفس
+
+355
+00:25:59,180 --> 00:26:03,720
+في قلب ينبض لكن ليس بالضرورة العكسيعني نكون مثلا
+
+356
+00:26:03,720 --> 00:26:07,080
+نفس متوقف القلب لازم يكون متوقف، لأ ممكن يكون
+
+357
+00:26:07,080 --> 00:26:10,840
+القلب يعمل لكن هناك إغلاق لمجرد التنفس، و هنتوجلنا
+
+358
+00:26:10,840 --> 00:26:15,100
+إن أنا ممكن أدفع الجسم الغريب للداخل عشان أخلي بس
+
+359
+00:26:15,100 --> 00:26:18,660
+هناك مسلة للهوار طيب، هلجيت في حال احنا زي ما
+
+360
+00:26:18,660 --> 00:26:23,020
+ذكرنا هنا إنه بدأ المصاب يتنفس لكن لازال فاقد
+
+361
+00:26:23,020 --> 00:26:27,140
+الوعي؟ إيش علامات تنفس يمكن يكح أو يسعل أو يستعيد
+
+362
+00:26:27,140 --> 00:26:32,070
+وعيه؟اذا كان الشخص فاقد الوعي لازال تمام او
+
+363
+00:26:32,070 --> 00:26:35,310
+الاحتمال اول بدى يستعيد وعيه بيختار وضع البدنية
+
+364
+00:26:35,310 --> 00:26:41,410
+لكن اذا كان لازال فاقد الوعي وطبعا التنفس موجود و
+
+365
+00:26:41,410 --> 00:26:44,830
+القلب موجود طبعا بيوضع ايش؟ بيوضع الافاقة ووضع
+
+366
+00:26:44,830 --> 00:26:48,390
+الافاقة او يسمونه ال recovery position هو وضع
+
+367
+00:26:48,390 --> 00:26:52,650
+بساعد على عملية التنفس وحركة القلبهرجيت حنشوف طبعا
+
+368
+00:26:52,650 --> 00:26:56,650
+كيف احنا في قالية نفذناها وهذه طبعا القالية مهمة
+
+369
+00:26:56,650 --> 00:27:01,050
+جدا في حالات فاقد الوعي حتى مايعملش اغلاق لمجرد
+
+370
+00:27:01,050 --> 00:27:05,570
+التنفس اذا كان نايم مستقيم والقيق يرجع مرة تانية
+
+371
+00:27:05,570 --> 00:27:06,190
+للفهم
+
+372
+00:27:13,840 --> 00:27:17,920
+هذا هو طبعا وضع الفاقة لكن احنا طبعا جانا نشوف وضع
+
+373
+00:27:17,920 --> 00:27:20,260
+الفاقة نقول بالنسبة للأطفال يا أخواتنا عشان ناخدوا
+
+374
+00:27:20,260 --> 00:27:23,180
+وضع الفاقة اللي جيتها بالفيديو طبعا الأطفال
+
+375
+00:27:23,180 --> 00:27:27,720
+مابنفهموا سيافين اتنين لأنه الطفل انا حامله بإيدي
+
+376
+00:27:27,720 --> 00:27:33,360
+بالصورة هذه و لازم طبعا الطفل لما أحمله بإيدي زي
+
+377
+00:27:33,360 --> 00:27:36,620
+ما قلنا .. زي ما قلنا بالنسبة للبلغين بدخل أصبع
+
+378
+00:27:36,620 --> 00:27:41,880
+الخنصرتمام؟ حتى إذا في حاجة أ .. أ .. أطلحها برا،
+
+379
+00:27:41,880 --> 00:27:44,620
+لكن ملاحظها بالنسبالي البلغيين احنا جولنا من اتنين
+
+380
+00:27:44,620 --> 00:27:48,420
+رجبا ل head .. طبعا chin tilt، head lift، طبعا ..
+
+381
+00:27:48,420 --> 00:27:52,200
+طبعا head lift as if chin tilt، عساس انه إيش؟
+
+382
+00:27:52,200 --> 00:27:56,880
+الجبهة للخلف، طبعا head lift للخلف أو chin tilt،
+
+383
+00:27:56,880 --> 00:28:01,920
+ان أفتح الفكانةطبعا لكن بالنسبة للأطفال مابك من
+
+384
+00:28:01,920 --> 00:28:06,580
+الرجبة بس أدويه بشيء بسيط لأن الرجبة لينة و بخاف
+
+385
+00:28:06,580 --> 00:28:10,060
+من الكسور بعدين مسافة الرجبة قصيرة جدا مقارنة
+
+386
+00:28:10,060 --> 00:28:14,780
+بالبالغين وبالتالي إيد بتكون تحت الرجبة لإن مابنفع
+
+387
+00:28:14,780 --> 00:28:18,460
+أخلي الرجبة متدلية لإن بخاف من الكسور تمام؟
+
+388
+00:28:18,460 --> 00:28:21,440
+وبالتالي لو كنا نستخدم الرجبة كمان ملاحظة تانية إن
+
+389
+00:28:21,440 --> 00:28:26,000
+القدمين أعلى من الرجبة طبعا دايما نستخدم أشياء
+
+390
+00:28:26,000 --> 00:28:30,600
+بتساعدنا اللي هي الجاذبيةلأن أحساس لو في حاجة يكون
+
+391
+00:28:30,600 --> 00:28:34,840
+خروجها أسهل، بدخل أصبع، تمام؟ إذا مع الحركة هذي
+
+392
+00:28:34,840 --> 00:28:38,360
+بدأ الطفل يسعي ولا شيء، تمام، بتطمن عليه، لكن إذا
+
+393
+00:28:38,360 --> 00:28:44,240
+لازال كما هو، إيش بعمل؟ باعطي نفسين، إذا كان نفس
+
+394
+00:28:44,240 --> 00:28:50,780
+متوقف، باعطي خمسة، للأطفال باعطي خمسة، البالغين
+
+395
+00:28:50,780 --> 00:28:54,120
+نفسين، للأطفال باعطي خمسة، وقلنا النفس للباقي
+
+396
+00:28:54,120 --> 00:28:59,190
+للأطفال، بس مجرد نفخمش تجوق في الصدر لأن تجوق في
+
+397
+00:28:59,190 --> 00:29:03,010
+الصدر قد يؤدي إلى نزيف داخل الرئة أو تمزق داخل
+
+398
+00:29:03,010 --> 00:29:07,750
+أنسجة الرئة مابتحمل .. مابتحمل وبالتالي هنا انا
+
+399
+00:29:07,750 --> 00:29:13,830
+بعطي خمس مرات اول مرة بعطي خمس مرات ليش؟ حتى اوفر
+
+400
+00:29:13,830 --> 00:29:18,180
+كمية من ال oxygenوالنفس بيكون و بتنفس مش و ربعها
+
+401
+00:29:18,180 --> 00:29:20,580
+كمان زي ال .. يعني كم .. زي ما بنعملش في الأكبار
+
+402
+00:29:20,580 --> 00:29:23,560
+برضه ما بنعملش عند الأصغار، إنه باعطي نفس و خروج
+
+403
+00:29:23,560 --> 00:29:28,280
+النفس، شهيق و الطفل بيعطينا إيش؟ زفير، خمس مرات،
+
+404
+00:29:28,280 --> 00:29:33,600
+إذا الطفل هذا بدأ يستجيب، كان بيها، ما استجابش،
+
+405
+00:29:33,600 --> 00:29:38,360
+بقاجي أستشعر القلب أو النبض من أين؟ من الشريان
+
+406
+00:29:38,360 --> 00:29:43,000
+القبطيلأن العنق ما بيجاوب معايا الرجب القصيرة و
+
+407
+00:29:43,000 --> 00:29:46,980
+بستشعرش النبض كويس وبالتالي هان بستشعر النبض من
+
+408
+00:29:46,980 --> 00:29:52,340
+الشريانة الإبطي في نبض بستمر بالتنفس إذا كان تنفس
+
+409
+00:29:52,340 --> 00:29:56,720
+متواقف مافيش نبض و مافيش تنفس بيبصولي عندهان ال
+
+410
+00:29:56,720 --> 00:30:01,200
+CBR أو تعاشق القلبي أو لمين للأطفال لكن الأطفال
+
+411
+00:30:01,200 --> 00:30:07,060
+هان مابتغطب إيدي كلها بس بأصبعين في منتصف الصدر
+
+412
+00:30:08,140 --> 00:30:13,220
+أصبعين و تقريبا كام صنطي؟ اتنين الى تلاتة صنطي لان
+
+413
+00:30:13,220 --> 00:30:16,560
+ماقدرش اضغط زيادة لان اذا بضغط بزيادة طب اعمل
+
+414
+00:30:16,560 --> 00:30:20,840
+تكسير مباشر بالنسبة للقفص الصدري يبقى من اتنين الى
+
+415
+00:30:20,840 --> 00:30:26,820
+تلاتة صنطي باضغط برضه تلاتين مرة مع نفسين و أيضا
+
+416
+00:30:26,820 --> 00:30:31,440
+تقييم زي ما في البالغين بعد الدقيقة الأولى بعمل
+
+417
+00:30:31,440 --> 00:30:36,480
+تقييم مافيش استجابة برضه بستمر كما هي إيش عند
+
+418
+00:30:36,480 --> 00:30:37,040
+البالغين
+
+419
+00:30:41,250 --> 00:30:45,990
+الطفل الرضيع، بتكلم عن الطفل الرضيع، لكن إنسان عمر
+
+420
+00:30:45,990 --> 00:30:49,690
+مثلا عشر سنوات، أحد عشر سنة، أنا بأضغط على الصدر
+
+421
+00:30:49,690 --> 00:30:54,790
+بيد واحدةأه اللي رضيها سنتين اللي بقدر أحمله
+
+422
+00:30:54,790 --> 00:30:58,950
+بإيديه لكن لما أقول مثلا واحد عشر سنين لأ نفس
+
+423
+00:30:58,950 --> 00:31:03,790
+إجراءات البالغ لكن مش بإتين بإيد واحدة بإيد واحدة
+
+424
+00:31:03,790 --> 00:31:07,910
+لإن إدتين بأضمن الكثير مية في المية لأ طبعا بيد
+
+425
+00:31:07,910 --> 00:31:10,930
+واحدة طبعا هذه الصورة هذه عساس أنه يشد ضغط على
+
+426
+00:31:10,930 --> 00:31:15,190
+الصدر في إنها أنا كيف أنا بدي أستخدم اللي هو الوضع
+
+427
+00:31:15,190 --> 00:31:17,450
+اللي فاقة طبعا أنا عملناه في المختبر
+
+428
+00:31:22,860 --> 00:31:25,000
+طب احنا دي أخواتنا عشان نكون عارفين نازل كلها على
+
+429
+00:31:25,000 --> 00:31:28,660
+صفحة ال .. على اليوتيوب طبعا بالتفصيل لإن لو بدنا
+
+430
+00:31:28,660 --> 00:31:31,520
+نعيده من أول حجة واتساقه كاملة .. وإن تنفسك أو
+
+431
+00:31:31,520 --> 00:31:35,680
+تغير حد على خط كام لك إمكانية المساعدة أو لا طبعا
+
+432
+00:31:35,680 --> 00:31:40,900
+كبداية هو أمان المكان حتى أقوم بتقديم الخدمة وحتى
+
+433
+00:31:40,900 --> 00:31:42,740
+لا .. لأ عندنا في الجامعة فوق
+
+434
+00:31:48,390 --> 00:31:50,890
+طب هذا على أساس وضع الإفاقة، نتكلم احنا بعد ما
+
+435
+00:31:50,890 --> 00:31:54,150
+عملنا إجراءاتنا و الشخص هذا فاقد الواعي لكن موجود
+
+436
+00:31:54,150 --> 00:31:57,230
+النفس و موجود القلب بصورة طبيعية عمل
+
+437
+00:32:19,450 --> 00:32:26,490
+و انا وديها بقى من ساعة مش عندى يعني هل هناك في
+
+438
+00:32:26,490 --> 00:32:30,150
+نفس .. هل هناك في نفس .. هل في حركة صدرهى موجودة
+
+439
+00:32:30,150 --> 00:32:34,650
+على الصفحه يعنى
+
+440
+00:32:34,650 --> 00:32:41,290
+هدى مش شايفه من ال .. عليها خيار اذا كان هناك في
+
+441
+00:32:41,290 --> 00:32:46,690
+حركة الصدر و في نفسك انا هتخيل ان انا مش مريض او
+
+442
+00:32:46,690 --> 00:32:49,970
+مريض او مريض او مريض او مريض او مريض او مريض او
+
+443
+00:32:49,970 --> 00:32:50,810
+مريض او مريض او مريض او مريض او مريض او مريض او
+
+444
+00:32:50,810 --> 00:32:53,150
+مريض او مريض او مريض او مريض او مريض او مريض او
+
+445
+00:32:53,150 --> 00:32:53,670
+مريض او مريض او مريض او مريض او مريض او مريض او
+
+446
+00:32:53,670 --> 00:32:55,110
+مريض او مريض او مريض او مريض او مريض او مريض او
+
+447
+00:32:55,110 --> 00:33:01,220
+مريض او مريض او مريهذا شخص فاقد الوعي الذي يتنفس
+
+448
+00:33:01,220 --> 00:33:05,780
+في صورة ما تبينه في وضعه ووضع الإفاقة أو الصورة دي
+
+449
+00:33:05,780 --> 00:33:09,220
+طبعاً وضع الإفاقة يساعد على إتقان علاج التنفس
+
+450
+00:33:09,220 --> 00:33:14,920
+الصورة تبينه الوضع الأول من اللي أضع هذه اليد
+
+451
+00:33:14,920 --> 00:33:21,560
+استقامة الجسم اليد الأخرى الأعلى وأقوم بسحب الشخص
+
+452
+00:33:21,560 --> 00:33:24,820
+من الوسط والكتف الصورة التاعتية
+
+453
+00:33:36,810 --> 00:33:38,630
+طب اعادة عملناها
+
+454
+00:33:51,450 --> 00:33:58,870
+مش مشكلة مش مشكلة مش مشكلة هو
+
+455
+00:33:58,870 --> 00:34:02,210
+غالبا بيكون على ال .. هو غالبا بيكون ناحية اليسرى
+
+456
+00:34:02,210 --> 00:34:05,990
+لأعلى يعني احنا يمنا بس عشان التصوير احنا ..
+
+457
+00:34:11,120 --> 00:34:14,640
+طب لاحظوا هنا أنه بيكون الرأس لأعلى حتى لو استفرغ
+
+458
+00:34:14,640 --> 00:34:18,740
+يكون طبعا قياء للخارج مايرجع و طب لاحظ دائما احنا
+
+459
+00:34:18,740 --> 00:34:24,860
+نفضل على الناحية اليمنى ليش؟ عشان القلب يكون معلق
+
+460
+00:34:24,860 --> 00:34:31,190
+و يعمل بصورة طبيعيةيتنفس من خلال الدفن وهذا هو
+
+461
+00:34:31,190 --> 00:34:37,110
+الوضع الاساسي هذا الوضع يا أخوان هو وضع مهم جدا و
+
+462
+00:34:37,110 --> 00:34:41,330
+هو طبعا يتبقى عليه وضع الرفقة الذي يتبادل من واحد
+
+463
+00:34:41,330 --> 00:34:47,150
+أنت جزء من الصدر وعلى اللقب ويساعد في ذلك الفتح مع
+
+464
+00:34:47,150 --> 00:34:51,250
+الرفقة المساعدة على رفع جزء من الصدر الملاحظة
+
+465
+00:34:51,250 --> 00:34:56,730
+الأخرى أن وجه الشخص يجانب والذكر الأعلى وهذا هو ما
+
+466
+00:34:56,730 --> 00:35:01,380
+يسهل من عملمن نفسه، ولو حصلت أن خرج شيء من هذا
+
+467
+00:35:01,380 --> 00:35:07,420
+المعنى، فالفرق معناه الاستفرار من الخارج، ايضا لا
+
+468
+00:35:07,420 --> 00:35:12,560
+يستطيع هذا الشخص سواء انقلاب اليسار او اليمين، ان
+
+469
+00:35:12,560 --> 00:35:19,340
+موجود طبعا القدم في الساق السفلى مع المرسق الأعلان
+
+470
+00:35:19,340 --> 00:35:24,000
+باتجاه واحد ومن ناحية الخلفية هناك طبعا .. طبعا
+
+471
+00:35:24,000 --> 00:35:28,860
+تمثللإن الفخم مع الساق هو الدراع العذبية فهذا
+
+472
+00:35:28,860 --> 00:35:33,800
+مانعك أن يتقلب بالمريض أو تقليل الخلف أو الامام،
+
+473
+00:35:33,800 --> 00:35:39,260
+فهذا هو وضع آمن جدا في حال كان شخص فاقد الإنوعي
+
+474
+00:35:39,260 --> 00:35:45,200
+يتنفس في وضع ال ..بس بدنا نقول حاجة يا أخواتنا أنه
+
+475
+00:35:45,200 --> 00:35:49,580
+هذا صعب نستخدمه في حالات كسورة وبالتالي لو إنسان
+
+476
+00:35:49,580 --> 00:35:52,840
+فاقد الوعي و حد يتسأل طب فاقد الوعي و بتنفس و
+
+477
+00:35:52,840 --> 00:35:55,580
+القلب .. أنا بضل .. بضل في جانبه لكنه يجي على
+
+478
+00:35:55,580 --> 00:36:00,000
+ناحية لإنه بيكون شخص بجانبه مع مراقبة علامات
+
+479
+00:36:00,000 --> 00:36:06,280
+الحياة لإن ما بقدر أجلبه بالصورة هذه لإنه بيصير
+
+480
+00:36:06,280 --> 00:36:10,230
+خطورة أكتربس احنا خطورة اكتر، هيك ان شاء الله نكون
+
+481
+00:36:10,230 --> 00:36:12,950
+قدرنا نوصل معلومة .. ان نقول ان طبعا المحاضرة
+
+482
+00:36:12,950 --> 00:36:16,810
+المصورة كاملة بالنسبة لل CBR موجودة على الصفحة،
+
+483
+00:36:16,810 --> 00:36:19,610
+تجريمة مدتها حوالي اربعين دقيقة، مضاف اليها طبعا
+
+484
+00:36:19,610 --> 00:36:23,870
+هو ال .. ال .. وضع اللفاقة، فطبعا موجودة، حابب
+
+485
+00:36:23,870 --> 00:36:27,110
+تستعينوا فيها لا الاستضاحة، وإذا في اي سؤال ان شاء
+
+486
+00:36:27,110 --> 00:36:30,210
+الله بناخد اللقاء القادم ان شاء الله، شكرا مبارك
+
+487
+00:36:30,210 --> 00:36:30,710
+الله فيكم
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/NM0Y4v8qYFw.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/NM0Y4v8qYFw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..6349668e0843a4a4ec2ac65006d6bb7d111f96b0
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/NM0Y4v8qYFw.srt
@@ -0,0 +1,1819 @@
+1
+00:00:05,300 --> 00:00:07,660
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:07,660 --> 00:00:13,140
+وبركاته، حقيقة إن أغلى ما يمتلكه الإنسان هو الحياة
+
+3
+00:00:13,140 --> 00:00:17,340
+والصحة، وبالتالي إذا أردنا نتحدث عن الحياة فيجب 
+
+4
+00:00:17,340 --> 00:00:21,280
+علينا أن نتحدث كيف ننقذ هذه الحياة ونقلل من 
+
+5
+00:00:21,280 --> 00:00:25,360
+المضاعفات التي قد تصيب الشخص إذا أُثبت لهذه الحياة
+
+6
+00:00:25,360 --> 00:00:29,440
+أو أُثبت لهذه الحياة أي مشكلة صحية، وكذلك كيف نحافظ
+
+7
+00:00:29,440 --> 00:00:33,740
+على هذه الحياة، ومن هنا يجب علينا أن ندخل إلى مدخل
+
+8
+00:00:33,740 --> 00:00:38,400
+بصير من خلال الشيء المهم قاله، وهو الإسعافات الأولية
+
+9
+00:00:38,400 --> 00:00:42,560
+التي من خلالها نحن ننقذ حياة الإنسان ونحافظ عليها
+
+10
+00:00:42,560 --> 00:00:46,980
+ونقلل من المضاعفات التي قد تحدث نتيجة إصابة معينة
+
+11
+00:00:46,980 --> 00:00:51,480
+وقد تكون هذه إصابة بسيطة، لكن هناك مشكلة في عملية 
+
+12
+00:00:51,480 --> 00:00:55,380
+النقل أو عملية التعامل مع هذه الحالة، وبالتالي 
+
+13
+00:00:55,380 --> 00:00:58,680
+حينما نتحدث عن الإسعافات الأولية فإننا نبدأ 
+
+14
+00:00:58,680 --> 00:01:04,300
+بتعريفها، قاله، وهي الخدمات المتوفرة، كيف نستخدمها، و
+
+15
+00:01:04,300 --> 00:01:08,500
+بأقل الإمكانيات، وأما بالنسبة للتعريف فهو إبداء
+
+16
+00:01:08,500 --> 00:01:14,300
+القيمة العلمية التي من خلالها أنا أستطيع أن أساعد
+
+17
+00:01:14,300 --> 00:01:19,860
+هذا الشخص، فهي كيف أمكن حياة الإنسان من خلال تقديم 
+
+18
+00:01:19,860 --> 00:01:24,740
+الإسعافات الأولية، فهي الرعاية الأولية المقدمة لأي 
+
+19
+00:01:24,740 --> 00:01:29,960
+شخص أصيب بحالة أو مرض مفاجئ، وبالتالي هذا المرض
+
+20
+00:01:29,960 --> 00:01:35,360
+المفاجئ قد يكون أعراضه غير واضحة، على سبيل المثال مرض
+
+21
+00:01:35,360 --> 00:01:39,480
+الضغط أو مرض السكر، لكن الإنسان إذا تعرض لأي مشكلة 
+
+22
+00:01:39,480 --> 00:01:43,840
+صحية أو مشكلة نفسية، قد تحدث تطورات خطيرة على حياة
+
+23
+00:01:43,840 --> 00:01:47,260
+هذا الإنسان، وبالتالي الرعاية المقدمة لإنقاذ الشخص
+
+24
+00:01:47,260 --> 00:01:50,240
+الذي يصيب حالة المرض المفاجئ، اللي هي وصول الخدمة
+
+25
+00:01:50,240 --> 00:01:54,370
+الطبية أو نقله إلى مركز صحي، هو ما نريد توضيحه حول
+
+26
+00:01:54,370 --> 00:01:57,310
+الإسعافات الأولية، وبالتالي هناك أهداف أساسية
+
+27
+00:01:57,310 --> 00:02:01,530
+بالنسبة للإسعافات الأولية، وهي إنقاذ حياة المصاب،
+
+28
+00:02:01,530 --> 00:02:05,550
+الحفاظ على حياته، وتقليل من المضاعفات، ولكل علم
+
+29
+00:02:05,550 --> 00:02:11,810
+قوانين مهمة، ولكل علم أساسيات مهمة، وهنا لدينا من 
+
+30
+00:02:11,810 --> 00:02:15,790
+يقدم هذه الخدمة، وهو المسعف، والذي تنطبق عليه
+
+31
+00:02:15,790 --> 00:02:21,840
+شروط مهمة، من خلال، يعني يستطيع هذا الإنسان أن يكون 
+
+32
+00:02:21,840 --> 00:02:25,920
+ملمًّا بهذه المادة من ناحية علمية وعملية، ولديه شهادة 
+
+33
+00:02:25,920 --> 00:02:30,080
+معتمدة بها من مركز معتمد به، ومن خلالها يستطيع 
+
+34
+00:02:30,080 --> 00:02:33,640
+تقديم الخدمة الأولية أو الرعاية الأولية لأي مصاب
+
+35
+00:02:33,640 --> 00:02:38,400
+لذلك فلدينا بعض القوانين التي من خلالها نحن نتعامل
+
+36
+00:02:38,400 --> 00:02:43,220
+مع جميع الضحايا التي قد تكون مصابة بمشكلة صحية أو
+
+37
+00:02:43,220 --> 00:02:46,520
+مرض مفاجئ، أول قانون بالنسبة للقوانين الإسعافية
+
+38
+00:02:46,520 --> 00:02:50,960
+الأولية هو انظر فكر اعمل، وسنوضحهم بالتفصيل، القانون
+
+39
+00:02:50,960 --> 00:02:56,000
+الثاني انظر استمع استشعر أو تحسس، القانون الثالث
+
+40
+00:02:56,000 --> 00:03:00,400
+مجاري التنفس، عملية التنفس، الدورة الدموية، هي، أما
+
+41
+00:03:00,400 --> 00:03:06,270
+القانون الرابع فهو CBR أو الإنعاش القلبي الرئوي، 
+
+42
+00:03:06,270 --> 00:03:10,490
+لو بدأنا بالقانون الأول وهو كيف أنا أقيّم الحالة 
+
+43
+00:03:10,490 --> 00:03:15,750
+وبالتالي يجب حينما نواجه أي مشكلة صحية لأي إنسان 
+
+44
+00:03:15,750 --> 00:03:19,530
+أو أي إنسان كان واجه مشكلة صحية، يجب علينا أن نعلم
+
+45
+00:03:19,530 --> 00:03:25,050
+أن الخطر الواقع على الشخص لا يماثل الخطر الواقع علينا نحن لهذا
+
+46
+00:03:25,050 --> 00:03:28,930
+الخطر، وبالتالي هنا قاعدة مهمة أو يعني قاعدة لغوية
+
+47
+00:03:28,930 --> 00:03:33,760
+مهمة هي أن سلامة المصاب من سلامة المكان، وليس سلامة 
+
+48
+00:03:33,760 --> 00:03:37,640
+المكان من سلامة المصاب، بمعنى أنا أهتم بسلامة
+
+49
+00:03:37,640 --> 00:03:41,280
+المصاب، وإذا كان المكان آمن فأنا أقدم الخدمة
+
+50
+00:03:41,280 --> 00:03:44,240
+الفورية أو الرعاية الفورية لهذا الشخص في نفس
+
+51
+00:03:44,240 --> 00:03:49,320
+المكان، لكن إذا كان المكان غير آمن فإن أنا أنقل هذا
+
+52
+00:03:49,320 --> 00:03:53,320
+المصاب إلى مكان آمن حتى أستطيع تقديم الخدمة، وهذا
+
+53
+00:03:53,320 --> 00:03:57,960
+ما نحصل به في القانون الأول انظر فكر اعمل، وهذا ما
+
+54
+00:03:57,960 --> 00:04:02,620
+يتماشى مع خطورة المكان، هل هناك خطورة في المكان؟
+
+55
+00:04:02,620 --> 00:04:06,460
+هل هناك خطورة تقع على الضحية أو وقعت على الضحية، و
+
+56
+00:04:06,460 --> 00:04:09,660
+قد أكون أنا ضحية أخرى، على سبيل المثال إذا إنسان
+
+57
+00:04:09,660 --> 00:04:14,400
+كان يستطيع السباحة ورأى غريقًا، هل يستطيع مساعدته
+
+58
+00:04:14,400 --> 00:04:18,080
+بالسباحة ويكون ضحية أخرى أو يستخدم وسائل أخرى؟
+
+59
+00:04:18,080 --> 00:04:21,640
+وبالتالي هنا نحن نقول إن قلة الإمكانيات في
+
+60
+00:04:21,640 --> 00:04:25,200
+الإسعافات الأولية لا تعني عدم تقديم الخدمة،
+
+61
+00:04:25,200 --> 00:04:29,610
+وبالتالي نحن في الإسعافات الأولية نقدم مساعدة بأقل
+
+62
+00:04:29,610 --> 00:04:34,350
+الإمكانيات حتى لو بوسائل بسيطة، وهذا ما يهتم به
+
+63
+00:04:34,350 --> 00:04:39,430
+المسعف خلال تقديمه الإسعافات الأولية،  الجانب الآخر
+
+64
+00:04:39,430 --> 00:04:41,270
+بعد الظروف، هي هل
+
+65
+00:04:43,820 --> 00:04:47,760
+هو واعٍ أو غير واعٍ، إذن هو عملية الوعي، هل هو
+
+66
+00:04:47,760 --> 00:04:50,500
+واعٍ أم غير واعٍ، سنتطرق لاحقًا للتفسير عن هذه
+
+67
+00:04:50,500 --> 00:04:55,720
+العوامل، الجزئية الثانية هي أنا أستطيع أن أنا
+
+68
+00:04:55,720 --> 00:05:00,000
+أستفيد من الناس الموجودين حولي أو يساعدوني، لأن 
+
+69
+00:05:00,000 --> 00:05:04,060
+كل مكان هناك ناس، أنا ممكن من صفات المسعف، وصفات
+
+70
+00:05:04,060 --> 00:05:09,800
+المسعف أن أنا أسخرهم أو أتعامل معهم حتى يساعدوني،
+
+71
+00:05:09,800 --> 00:05:14,580
+بعد ذلك هل هناك فيه تنفس أم ما فيش تنفس؟ لذلك 
+
+72
+00:05:14,580 --> 00:05:19,640
+فالقانون الثاني انظر استمع تحسس أو استشعر، وهذا 
+
+73
+00:05:19,640 --> 00:05:23,140
+يعمد على عملية التنفس، هل هذا الشخص يتنفس؟
+
+74
+00:05:26,500 --> 00:05:30,120
+أم داخل مثلا في غيبوبة أو داخل في إغماء، هل هذا 
+
+75
+00:05:30,120 --> 00:05:34,180
+الشخص قد بلع شيء معين، هل هذا الشخص لديه تشنجات،
+
+76
+00:05:34,180 --> 00:05:37,120
+هل هذا الشخص لديه صراع؟ ومنهم بتتم عملية التقييم،
+
+77
+00:05:37,120 --> 00:05:42,700
+هي انظر ... انظر إلى حركة صدر الضحية، استمع هل هناك 
+
+78
+00:05:42,700 --> 00:05:48,160
+فيه خروج ودخول هواء، واستشعر أو تحسس يدك على صدر
+
+79
+00:05:48,160 --> 00:05:51,900
+هذا الشخص، هل هناك فيه حركة انخفاض وانبساط ..
+
+80
+00:05:51,900 --> 00:05:56,110
+وانبساط بالنسبة للصدر؟ أما بالنسبة للقانون الثالث،
+
+81
+00:05:56,110 --> 00:06:00,670
+وهو مجاري التنفس، وعملية التنفس، والدورة الدموية، وهذا
+
+82
+00:06:00,670 --> 00:06:05,230
+طبعًا خلال كيفية تقييم الجهاز التنفسي اللي يعمل
+
+83
+00:06:08,530 --> 00:06:13,470
+وما هو التدخل في هذا المجال؟ وبعد ذلك إذا لم يكن
+
+84
+00:06:13,470 --> 00:06:16,890
+هناك تنفس، هل هناك فيه مِبْض أم لا؟ وبالتالي هذا 
+
+85
+00:06:16,890 --> 00:06:20,370
+القانون يعني يدلنا أن بعض الحالات التي قد تواجه
+
+86
+00:06:20,370 --> 00:06:25,590
+الإنسان، قد يكون لديه مِبْض ويكون التنفس متوقف بسبب
+
+87
+00:06:25,590 --> 00:06:30,090
+إغلاق مجرى التنفس، أو إنسان آخر التنفس متوقف والمِبْض
+
+88
+00:06:30,090 --> 00:06:32,330
+متوقف، أو إنسان آخر
+
+89
+00:06:41,770 --> 00:06:46,790
+أما القانون الرابع، إذا لم يكن هناك تنفس ولم يكن 
+
+90
+00:06:46,790 --> 00:06:47,250
+هناك نبض 
+
+91
+00:06:51,120 --> 00:06:56,280
+فما يجب علينا هو عملية تدليك عضلة القلب ثم التنفس 
+
+92
+00:06:56,280 --> 00:07:00,500
+الاصطناعي، إذا كان بالغًا، أما بالنسبة للأطفال فنبدأ 
+
+93
+00:07:00,500 --> 00:07:04,800
+بالتنفس الاصطناعي، ومن ثم بعد ذلك نبدأ بتدليك عضلة
+
+94
+00:07:04,800 --> 00:07:08,220
+القلب، طبعًا هذه أرقام، وهذه الكلمات لها معيارها، و
+
+95
+00:07:08,220 --> 00:07:12,860
+لها اعتبارات من ناحية رقمية، كم مدة، كم ضغط على 
+
+96
+00:07:12,860 --> 00:07:17,180
+الصدر، وأي مكان أنا أضغط به، وأيضًا كم مرة من 
+
+97
+00:07:17,180 --> 00:07:21,060
+التنفس، وكم هي المدة التي من خلالها أقوم بعملية 
+
+98
+00:07:21,060 --> 00:07:24,500
+التنفس، وإلى متى أستمر في عملية التنفس وتدليك
+
+99
+00:07:24,500 --> 00:07:30,380
+القلب، هذا ما نراه إن شاء الله في الوقت الآتي من
+
+100
+00:07:30,380 --> 00:07:36,460
+عملية تدليك القلب والتنفس الصناعي، سنحاول توضيح 
+
+101
+00:07:36,460 --> 00:07:40,220
+بعض الأشياء الخاصة بالمجال العملي من ناحية التنفس
+
+102
+00:07:40,220 --> 00:07:44,200
+الصناعي وتدليك عضلة القلب، طبعًا هناك بعض الأشياء 
+
+103
+00:07:44,200 --> 00:07:49,420
+المهمة التي أود أن أوضحها اللي هي، هل المكان آمن
+
+104
+00:07:49,420 --> 00:07:53,300
+أم غير آمن، وكما ذكرت فإن سلامة المصاب من سلامة 
+
+105
+00:07:53,300 --> 00:07:58,420
+المكان، وهذا يعني أن هناك إذا كان خطر على المصاب
+
+106
+00:07:58,420 --> 00:08:04,020
+فيجب أن يستعين بطرق أخرى لمحاولة أن ينقذ هذا الشخص 
+
+107
+00:08:04,020 --> 00:08:07,860
+من المكان ويخرجه إلى مكان آمن، يبقى كبداية حينما 
+
+108
+00:08:07,860 --> 00:08:11,290
+أجد أي إنسان واقع على الأرض، وليس بالضرورة يكون
+
+109
+00:08:11,290 --> 00:08:17,330
+ميتًا، لذلك فأنا أحاول أن أستوضح الأمر من خلال أول
+
+110
+00:08:17,330 --> 00:08:22,410
+قانون ألا وهو انظر فكر اعمل، بمعنى أطمئن أن هناك هل 
+
+111
+00:08:22,410 --> 00:08:26,390
+له خطورة أم لا يوجد خطورة، إذا كان المكان آمن
+
+112
+00:08:26,390 --> 00:08:30,150
+فأنا أستطيع أقدم هذه الخدمة، إذا كان المكان غير
+
+113
+00:08:30,150 --> 00:08:34,090
+آمن، وهذا ممكن ما نراه في حالة مثلاً بعض الحوادث
+
+114
+00:08:34,090 --> 00:08:38,540
+اللي بتحدث في بعض العمارات أو البيوت السكنية، فإن 
+
+115
+00:08:38,540 --> 00:08:42,480
+أول شيء يقوم به رجال الإطفاء هو إخراج الضحية للخارج، أو
+
+116
+00:08:42,480 --> 00:08:48,240
+إذا كان هناك مثلا مكان به استخدام الفحم، حصل هناك
+
+117
+00:08:48,240 --> 00:08:51,560
+تسمم، فيتم إخراج الضحية للخارج حتى يتم إنقاذها
+
+118
+00:08:51,560 --> 00:08:56,240
+يبقى الخطوة الأولى عملية الأمان في المكان، الخطوة
+
+119
+00:08:56,240 --> 00:09:00,140
+الثانية مدى وعي الضحية، طبعًا أي شخص طبعًا يعتبر ضحية
+
+120
+00:09:00,140 --> 00:09:02,960
+في الحالة هذه، يبقى النقطة الثانية  Responsiveness
+
+121
+00:09:02,960 --> 00:09:07,360
+Responsiveness  عليها وهي درجة وعي الشخص، وكيف أنا 
+
+122
+00:09:07,360 --> 00:09:11,660
+أستطيع تحديد درجة وعي الشخص من خلاله، أولًا يجب
+
+123
+00:09:11,660 --> 00:09:13,360
+علينا عدم هز الشخص
+
+124
+00:09:17,160 --> 00:09:23,040
+واعية به، طبعًا أنا بالمناداة بممكن فرق شحمة الأذن
+
+125
+00:09:23,040 --> 00:09:28,940
+أو ربط على الكتف، أو المناداة، هل تسمعني؟ أنت بخير؟ 
+
+126
+00:09:28,940 --> 00:09:33,580
+وهذه هي المصطلحات التي من خلالها أستطيع أن أتأكد 
+
+127
+00:09:33,580 --> 00:09:36,300
+أن الشخص واعٍ أو غير، طبعًا هناك عدة احتمالات 
+
+128
+00:09:36,300 --> 00:09:40,900
+الاحتمال الأول إذا كان الشخص واعٍ، طبعًا أي شخص واعٍ
+
+129
+00:09:40,900 --> 00:09:45,680
+معناه هو يتنفس، وبالتالي يمكن وضعه في وضع ... طبعًا من 
+
+130
+00:09:45,680 --> 00:09:48,760
+الإفاقة التي سميناها في ... طبعًا لقاءات أخرى إن شاء
+
+131
+00:09:48,760 --> 00:09:52,340
+الله تعالى أو حلقة خاصة به، الاحتمال الثاني إذا
+
+132
+00:09:52,340 --> 00:09:57,540
+كان الشخص غير واعٍ، فهنا يبدو علي أنني أتأكد إذا 
+
+133
+00:09:57,540 --> 00:10:03,240
+كان هذا الشخص غير واعٍ، كيف أساعد هذا الشخص، مساعدة 
+
+134
+00:10:03,240 --> 00:10:07,280
+لهذا الشخص من خلال القانون الثاني اللي ذكرناه اللي 
+
+135
+00:10:07,280 --> 00:10:13,380
+هو انظر استمع استشعر، طبعًا، لكن يجب عليا أتأكد أن
+
+136
+00:10:13,380 --> 00:10:17,160
+هناك لا يوجد كسور أو احتمال كسور في العنق، لأن
+
+137
+00:10:17,160 --> 00:10:21,040
+طبعًا يعني أي حركة في العنق إن كان هناك كسور طبعًا
+
+138
+00:10:21,040 --> 00:10:26,060
+ربما تكون مضاعفات خطيرة، كما تحدثنا من أهداف 
+
+139
+00:10:26,060 --> 00:10:29,080
+الإسعافات الأولية هي تقليل المضاعفات، وبالتالي ده لما
+
+140
+00:10:29,080 --> 00:10:33,540
+أستجيب للشخص فأتأكد من خلال، طبعًا إذا كان ملابس
+
+141
+00:10:33,540 --> 00:10:38,640
+ثقيلة فأنا أخفف الملابس حتى أرى حركة الصدر، انخفاض
+
+142
+00:10:38,640 --> 00:10:42,060
+انبساط، يبقى ننظر القانون الأول، القانون الثاني،
+
+143
+00:10:42,060 --> 00:10:47,160
+أنظر إلى حركة الصدر، أستمع هل هناك نفس أم لا نفس
+
+144
+00:10:47,580 --> 00:10:51,920
+أيضًا باللمس على الصدر، هل هناك فيه حركة أم لا 
+
+145
+00:10:51,920 --> 00:10:54,460
+حركة، وبالتالي في الإسعاف الأول يعني أستخدم
+
+146
+00:10:54,460 --> 00:10:59,960
+الحواس، حسب السمع، حسب اللمس، حسب الشم، طبعًا هذه
+
+147
+00:10:59,960 --> 00:11:04,820
+استخداماتها حسب طبعًا الحالة أو الضحية، إذا كان
+
+148
+00:11:04,820 --> 00:11:09,880
+لا يوجد استجابة، وكان هناك تنفس، والشخص فاقد 
+
+149
+00:11:09,880 --> 00:11:13,900
+للوعي، إذا كما هو معلوم علميًا، إذا كان الشخص يتنفس
+
+150
+00:11:13,900 --> 00:11:18,140
+فالقلب ينبض، وبالتالي فاقد للوعي، أضع فرض الإفاقة.
+
+151
+00:11:18,400 --> 00:11:23,430
+إذا كان التنفس ضعيفًا، إذا كان التنفس ضعيفًا فأنا أبدأ
+
+152
+00:11:23,430 --> 00:11:27,990
+طبعًا بالتنفس الاصطناعي، إذا كان التنفس ضعيفًا أو
+
+153
+00:11:27,990 --> 00:11:33,350
+متوقفًا فأنا أبدأ بالتنفس الاصطناعي بإعطاء نفسين عبر
+
+154
+00:11:33,350 --> 00:11:40,190
+طبعًا من الرئتين، إعطاء نفس أول وانتظار وملاحظة 
+
+155
+00:11:40,190 --> 00:11:44,410
+ارتفاع وخفض الصدر والانتظار حتى خروج هواء الزفير
+
+156
+00:11:44,410 --> 00:11:48,850
+وإعطاء نفس آخر، طبعًا القاعدة تقول كالتالي هي رفع
+
+157
+00:11:48,850 --> 00:11:53,230
+الذقن لأعلى، طبعًا بالصورة هذه مع رفع طبعًا خفض الرأس
+
+158
+00:11:53,230 --> 00:11:57,770
+لأسفل، طبعًا هي كان مصطلح إنجليزي طبعًا chin lift
+
+159
+00:11:57,770 --> 00:12:03,150
+head tilt بالصورة هذه، طبعًا اللي برفعها تمام؟ مع
+
+160
+00:12:03,150 --> 00:12:08,750
+ملاحظة قبل إعطاء النفس، أدخل الإصبع لتحريك هل إذا
+
+161
+00:12:08,750 --> 00:12:12,850
+كان هناك شيء داخل الفم، طبعًا الـsweathing إذا كان 
+
+162
+00:12:12,850 --> 00:12:18,450
+هناك تحريك أو سحب أي شيء غريب داخل الفم، لأنه لو 
+
+163
+00:12:18,450 --> 00:12:22,350
+ربما يكون هذا الشيء مع فقدانه، يعني اللسان هو الذي
+
+164
+00:12:22,350 --> 00:12:26,620
+ساعد بإغلاق المجرى التنفسي، من الناحية الأخرى، لربما 
+
+165
+00:12:26,620 --> 00:12:30,260
+يكون الشخص رقبته... طبعًا فيه انحناء، وبالتالي اللي
+
+166
+00:12:30,260 --> 00:12:33,520
+هنكون... نتعادل في اللغة العامية، هو بلع لسانه،
+
+167
+00:12:33,520 --> 00:12:36,340
+وطبعًا ما يبلع لسانه، لكن عضلة اللسان تكون عاملة
+
+168
+00:12:36,340 --> 00:12:42,480
+على إغلاق مجرى التنفس، لعرقلة، ففي حال عدم الشك في
+
+169
+00:12:42,480 --> 00:12:46,360
+وجود كسور أو التأكد من وجود كسور، فإن أنا أطبق
+
+170
+00:12:46,360 --> 00:12:51,910
+القانون، طبعًا chin lift , head tilt للأعلى، وبالتالي
+
+171
+00:12:51,910 --> 00:12:57,790
+أبدأ بإعطاء النفسين، والنفسين هدول أنا أقول لك 
+
+172
+00:12:57,790 --> 00:13:03,370
+بأعطيهم في حال إن الشخص ما بيتنفس أو النفس ضعيف
+
+173
+00:13:03,370 --> 00:13:08,610
+فأقوم بإعطاء مع إغلاق فتحتي الأنف، ووضع اليد أسفل
+
+174
+00:13:08,610 --> 00:13:13,970
+الرقبة، طبعًا اللي ربما البعض يتساءل ليش أنا أستخدم 
+
+175
+00:13:13,970 --> 00:13:18,250
+الطريقة هذه؟ لأن إذا احنا يعني حاولنا يعني نجرب 
+
+176
+00:13:18,250 --> 00:13:21,830
+عملية التنفس في وضع انتقال رأسي، يكون عملية التنفس
+
+177
+00:13:21,830 --> 00:13:25,450
+صعبة، لكن في وضع رفع الرأس لأعلى، فتكون عملية التنفس
+
+178
+00:13:25,450 --> 00:13:29,970
+سهلة، وهذا ما يساعدني على إدخال هواء الشهيق بالنسبة 
+
+179
+00:13:29,970 --> 00:13:34,590
+للرئتين، وبالنسبة لي هو هو الزفير إلى داخل الرئتين.
+
+180
+00:13:34,590 --> 00:13:40,550
+طيب، السؤال هنا، طالما نتحدث عن هواء الزفير، هل هناك 
+
+181
+00:13:40,550 --> 00:13:43,510
+نسبة من الأكسجين في هواء الزفير؟ نعم، لأن أنا
+
+182
+00:13:43,510 --> 00:13:47,180
+كإنسان عادي أستفيد من الـoxygen الموجود في الهواء
+
+183
+00:13:47,180 --> 00:13:52,530
+الجوي والذي تتراوح نسبته بين 20 إلى 21% فقط، أستفيد
+
+184
+00:13:52,530 --> 00:13:56,610
+منها 5%، إذا نسبة عالية من الأكسجين تخرج من هواء
+
+185
+00:13:56,610 --> 00:14:00,210
+الزفير، وهذا ما يساعد الضحية على الاستفادة من
+
+186
+00:14:00,210 --> 00:14:03,910
+الأكسجين الموجود في هواء الزفير، نرجع إلى ما بدأنا
+
+187
+00:14:03,910 --> 00:14:08,210
+به وهو عملية التنفس الصناعي بالصورة التالية، أفتح 
+
+188
+00:14:08,210 --> 00:14:13,830
+الفم مع أخذ هواء شهيق لملء الرئتين، ودفعه إلى رئتي
+
+189
+00:14:13,830 --> 00:14:18,230
+الضحية مع ملاحظة حركة صدر الضحية.
+
+190
+00:14:24,980 --> 00:14:29,460
+إذا أنا أعطيك نفسين، طبعًا بين كل نفس وآخر تقريبًا
+
+191
+00:14:29,460 --> 00:14:35,440
+ست ثواني، طبعًا هذا شيء مبدئي، إذا الشخص استجاب وبدأ
+
+192
+00:14:35,440 --> 00:14:39,820
+يعني استعيد وعيه أو بدأ يكح أو ملاحظات أنه استرد 
+
+193
+00:14:39,820 --> 00:14:43,640
+وعيه، طبعًا هنوقف كل الإجراءات، وإذا كان وعيه 100%
+
+194
+00:14:43,640 --> 00:14:47,660
+طبعًا يأخذ الوضع المناسب له، إذا لازال فاقد الوعي،
+
+195
+00:14:47,660 --> 00:14:51,640
+لكن بدأ يعمل يتنفس تلقائيًا، طبعًا نضعه في وضع الإفاقة.
+
+196
+00:14:51,640 --> 00:14:56,990
+طيب، الاحتمال الثاني، إذا كان بعد النفسين، بعد نفسي
+
+197
+00:14:56,990 --> 00:15:02,070
+لا يوجد تنفس، ومن هنا أبدأ بتحسس ولمس اللي هو 
+
+198
+00:15:02,070 --> 00:15:06,010
+الجهاز الدوري من خلال الشريان السباتي، وغالبا عن
+
+199
+00:15:06,010 --> 00:15:07,930
+الشريان السباتي هو موجود
+
+200
+00:15:10,460 --> 00:15:15,520
+موجود طبعًا خلف الرقبة... طبعًا في مقدمة العنق، في 
+
+201
+00:15:15,520 --> 00:15:19,700
+مقدمة العنق، طبعًا هنا القصبة الهوائية، طبعًا هنا
+
+202
+00:15:19,700 --> 00:15:22,980
+الشريان السباتي الأيمن، وهنا الشريان السباتي
+
+203
+00:15:22,980 --> 00:15:27,660
+الأيسر، إذا الشريان السباتي يكون بين الحنجرة وبين
+
+204
+00:15:27,660 --> 00:15:33,630
+عضلة العنق، فأضغط بإصبعي السبابة والوسطى لمدة عشر
+
+205
+00:15:33,630 --> 00:15:37,530
+ثوانٍ من خمس ثوانٍ إلى عشر ثوانٍ حتى أتأكد إن هناك 
+
+206
+00:15:37,530 --> 00:15:41,690
+فيه نبض أم لا فيه نبض، إذا كان باحتمال أول، إذا كان
+
+207
+00:15:41,690 --> 00:15:46,370
+فيه نبض، أستمر فقط بالتنفس الصناعي، طبعًا يعني البعض 
+
+208
+00:15:46,370 --> 00:15:50,690
+هيتساءل يعني ليش بعض الناس ممكن يكون هناك توقف أو 
+
+209
+00:15:50,690 --> 00:15:54,950
+ضعف في عمل التنفس؟ طبعًا أكثر الأشياء التي قد تؤخر
+
+210
+00:15:54,950 --> 00:15:59,530
+عملية التنفس أو تضعف عملية التنفس إما المخدرات أو 
+
+211
+00:15:59,530 --> 00:16:02,730
+التسمم بأول أكسيد الكربون اللي ناتج عنه غاز الفحم.
+
+212
+00:16:04,130 --> 00:16:07,710
+إذا كان هناك نبض، أستمر، ولا يوجد تنفس، أستمر 
+
+213
+00:16:07,710 --> 00:16:12,730
+بالتنفس، تقريبًا كل 6 ثوانٍ أعطي نفس وانتظر لحين 
+
+214
+00:16:12,730 --> 00:16:17,490
+خروج التنفس... طبعًا الزفير بالنسبة للضحية، إذا لا
+
+215
+00:16:17,490 --> 00:16:22,050
+يوجد تنفس ولا يوجد نبض، فهنا أبدأ بعمل تدليك القلب 
+
+216
+00:16:22,050 --> 00:16:27,820
+مع التنفس الصناعي، وتدليك القلب يبدأ بوضع الكفين
+
+217
+00:16:27,820 --> 00:16:34,740
+على منتصف الصدر، بمعنى قسم عظمة القص، أضع ثلاث أصابع
+
+218
+00:16:34,740 --> 00:16:39,960
+نظريًا، وأرفع أصبعين، وأعلى من عظمة القص تقريبًا 
+
+219
+00:16:39,960 --> 00:16:44,860
+خمسة سم، أنا بقَع الكفين... بقَع الكفين، وبضغط
+
+220
+00:16:44,860 --> 00:16:49,080
+طبعًا الضغط هنا ما يقارب من أربعة إلى خمسة سم، 
+
+221
+00:16:49,080 --> 00:16:52,600
+ونحن نتحدث عن البالغين لحد الآن، من أربعة إلى خمسة
+
+222
+00:16:52,600 --> 00:16:56,940
+سم إلى أسفل، طيب ليش أنا بضغط المسافة هذه؟ حتى
+
+223
+00:16:56,940 --> 00:17:02,460
+أصل إلى عضلة القلب، طبعًا البطين الأيمن والبطين 
+
+224
+00:17:02,460 --> 00:17:06,680
+الأيسر، حتى يتم ضخ الدم من خلالهما إلى الرئتين وإلى
+
+225
+00:17:06,680 --> 00:17:10,860
+جميع أعضاء الجسم، طبعًا الهواء الموجود داخل
+
+226
+00:17:10,860 --> 00:17:14,520
+الرئتين محمل بالأكسجين، آخر نفس أخذه المريض، محمل
+
+227
+00:17:14,520 --> 00:17:17,120
+بالأكسجين، حتى يتم الاستفادة من الأكسجين الموجود فيه
+
+228
+00:17:17,120 --> 00:17:20,940
+الرئتين، وبالتالي تكون هناك دورة دموية كاملة 
+
+229
+00:17:20,940 --> 00:17:23,940
+باستخدام الهواء الموجود داخل الرئتين المحمل
+
+230
+00:17:23,940 --> 00:17:28,820
+بالأكسجين، فأضغط ثلاثين ضغطة، طبعًا ثلاثين ضغطة أنا
+
+231
+00:17:28,820 --> 00:17:34,360
+بضغطهم واليد مستقيمة، طبعًا سنحاول تطبيق هذا على 
+
+232
+00:17:34,360 --> 00:17:38,840
+الأرض حاليًا، طبعًا الوضع الصحيح بالنسبة للضحية أضع
+
+233
+00:17:38,840 --> 00:17:42,700
+الكتف بالنسبة للضحية بين الرقبتين أو... طبعًا 
+
+234
+00:17:42,700 --> 00:17:46,380
+المرفق بين الرقبتين، المرفق تكون الكتف حتى يستطيع 
+
+235
+00:17:46,380 --> 00:17:50,920
+الضغط على الرئتين وإعطاء النفس الصناعي، من هنا نبدأ 
+
+236
+00:17:50,920 --> 00:17:56,800
+بالضغط على الرئتين، بمعدل ثلاثين ضغطًا، اليدان مستقيمتان
+
+237
+00:17:56,800 --> 00:18:03,420
+لا يمكن مفصل متحرك هنا إلا مفصل الحوض، وبالتالي 
+
+238
+00:18:03,800 --> 00:18:08,360
+أضغط بالصورة التالية، بضغط كل الجسم، وبالتالي أضغط
+
+239
+00:18:08,360 --> 00:18:15,840
+واحد، اثنين، ثلاثة، أربعة، خمسة، ستة، سبعة،
+
+240
+00:18:15,840 --> 00:18:20,560
+ثمانية، تسعة، عشرة، واستمر بالضغط إلى ما يقارب من 
+
+241
+00:18:20,560 --> 00:18:24,900
+خمس عشرة ثانية، إذا خلال خمس عشرة ثانية أضغط ما يقارب 
+
+242
+00:18:24,900 --> 00:18:29,700
+من ثلاثين ضغطة، ثم انتقل إلى التنفس الصناعي،
+
+243
+00:18:29,700 --> 00:18:30,620
+أعطي نفسين.
+
+244
+00:18:33,330 --> 00:18:37,710
+أعطي، وأنظر إلى حركة الصدر، مع ملاحظة ثاني رفع
+
+245
+00:18:37,710 --> 00:18:42,150
+الذقن مع ثني الرأس للخلف، طبعًا، chin lift، head
+
+246
+00:18:42,150 --> 00:18:47,510
+tilt، وإعطاء النفسين، وألاحظ إعطاء النفس مع حركة
+
+247
+00:18:47,510 --> 00:18:52,260
+الصدر، ثم أعطي فرصة لخروج النفس الذي دخل على هيئة
+
+248
+00:18:52,260 --> 00:18:56,300
+شهيق، ومن ثم يخرج على هيئة زفير، وأعطيه نفس آخر.
+
+249
+00:18:56,300 --> 00:19:01,720
+فيكون لدينا نفسين، إذا خلال كل دقيقة نعطي ما يقارب 
+
+250
+00:19:01,720 --> 00:19:08,120
+من 8 إلى 10 مرات تنفس، بمعنى يكون بين كل نفس طبعًا
+
+251
+00:19:08,120 --> 00:19:12,540
+خلال الدقيقة الواحدة، يكون لدينا ما يقارب من 100
+
+252
+00:19:12,540 --> 00:19:17,880
+إلى 120 ضغطة على الصدر، وما يقارب من ثمانية إلى عشر
+
+253
+00:19:17,880 --> 00:19:22,980
+مرات تنفس صناعي، طبعًا إلى متى أستمر بالعملية
+
+254
+00:19:22,980 --> 00:19:27,800
+هذه؟ أستمر بالعملية هذه إلى حين ظهور علامات الحياة.
+
+255
+00:19:27,800 --> 00:19:32,380
+بدأ المريض أو الضحية يستعيد وعيه، إذا وصلت الخدمة
+
+256
+00:19:32,380 --> 00:19:37,760
+الطبية، إذا أنا أوقفها، إذا المريض تبدو عليه علامات 
+
+257
+00:19:37,760 --> 00:19:42,140
+الموت ولا يستجيب، وهذا يعني إن هناك جسم بارد، ولا 
+
+258
+00:19:42,140 --> 00:19:45,980
+توجد عليه تغيير في لون البشرة بالنسبة للمريض أو 
+
+259
+00:19:45,980 --> 00:19:50,260
+للضحية، وبعد ذلك، إذا استجاب المريض، فالاحتمال الأول 
+
+260
+00:19:50,260 --> 00:19:54,580
+إذا استجاب كان واعيًا، يختار عضواً مناسباً له، إذا المريض 
+
+261
+00:19:54,580 --> 00:19:59,140
+بدأ يتنفس والقلب ينبض، وكيف أعرف ذلك؟ طبعًا يكون
+
+262
+00:19:59,140 --> 00:20:06,320
+هناك تقييم بعد تقييمين الأوليين، من سماع للتنفس و
+
+263
+00:20:06,320 --> 00:20:11,920
+للنبض، بداية إذا كان لا يتنفس، أنتقل إلى النبض،
+
+264
+00:20:11,920 --> 00:20:16,840
+برضه الاحتمال يكون لدينا، إذا كان القلب بدأ يعمل والـ
+
+265
+00:20:16,840 --> 00:20:21,200
+تنفس متوقف، أستمر بعمل التنفس، إذا لا زال القلب 
+
+266
+00:20:21,200 --> 00:20:25,800
+متوقف والتنفس متوقف، أستمر في عمل تدليك القلب وعضلة... 
+
+267
+00:20:25,800 --> 00:20:29,960
+تدليك عضلة القلب والتنفس الصناعي، وكما 
+
+268
+00:20:29,960 --> 00:20:34,040
+أذكرت أستمر لحالة بعين، طبعًا الظروف اللي أنا ذكرتها
+
+269
+00:20:34,040 --> 00:20:38,380
+أو الحاجات اللي ذكرتها، إذا كان الشخص، الاحتمال الأخير،
+
+270
+00:20:38,380 --> 00:20:42,080
+بدأ يتنفس وبدأ القلب يعمل ولا يزال فاقدًا للوعي، 
+
+271
+00:20:42,080 --> 00:20:45,940
+طبعًا يوضع في وضع الإفاقة، طبعًا الإفاقة لديها قلية 
+
+272
+00:20:45,940 --> 00:20:50,290
+خاصة، سأوضحها بالتفصيل إن شاء الله تعالى، بقى ذكرنا
+
+273
+00:20:50,290 --> 00:20:54,910
+أن هناك احتمالية قد يقوم هناك كسور في العنق، احنا 
+
+274
+00:20:54,910 --> 00:20:57,570
+تحدثنا في هذا العدد من الكسور في العنق، لكن إذا 
+
+275
+00:20:57,570 --> 00:21:01,710
+كان هناك احتمالية لكسر في العنق، طبعًا رفع الذقن 
+
+276
+00:21:01,710 --> 00:21:06,370
+لأعلى ورفع الرأس لأصل العنق، هذا خطير جدًا في هذا
+
+277
+00:21:06,370 --> 00:21:10,070
+الاشتباه أو طبعًا تأكد إن هناك كسور، طبعًا ولا عامل
+
+278
+00:21:10,070 --> 00:21:17,100
+في ذلك، طبعًا هناك آلية ليعمل، يتسحب الفك لأعلى مع عدم 
+
+279
+00:21:17,100 --> 00:21:20,320
+تحريك العنق إلا شيء بسيط جدًا أو عدم تحريكها مطلقًا
+
+280
+00:21:20,320 --> 00:21:23,920
+أفضل، سحب الفك الأعلى، طبعًا الحركة هذه، يعني 
+
+281
+00:21:23,920 --> 00:21:26,760
+بالصورة اللي واحدة اللي جئنا أوضحها، بالصورة هذه،
+
+282
+00:21:26,760 --> 00:21:31,220
+بقت غط بالصورة هذه، في حال اشتباه أن هناك قصور أو
+
+283
+00:21:31,220 --> 00:21:36,640
+قصور فعلا فيها، العنوضف من الخطأ جدا رفع الذقن لأعلى
+
+284
+00:21:36,640 --> 00:21:42,980
+وتحريك وثني الرأس للخلف، لذلك فإننا نستخدم طريقة
+
+285
+00:21:42,980 --> 00:21:48,000
+طبعا هي باللغة العلمية Jaw thrust وهذه معناها إن
+
+286
+00:21:48,000 --> 00:21:53,940
+أنا في قاعدة الفك السفلي أعمل على تحريك.. تحريك
+
+287
+00:21:53,940 --> 00:21:58,920
+الفك، وهذه طبعا تحرك معي عملية قاعدة اللسان أو
+
+288
+00:21:58,920 --> 00:22:04,140
+قاعدة لسان، وبالتالي أتيح المجال لدخول الهواء وأبدأ
+
+289
+00:22:04,140 --> 00:22:09,340
+بالتنفس الاصطناعي، كما ذكرت طبعا نفسين مقابل ثلاثين
+
+290
+00:22:09,340 --> 00:22:13,720
+ضغط على القلب، البعض يتساءل كيف يمكن المحافظة على
+
+291
+00:22:13,720 --> 00:22:17,100
+الوضع بالنسبة للمريض؟ طبعا أي إنسان يكون فاقد
+
+292
+00:22:17,100 --> 00:22:21,600
+الوعي، معناه أن هناك فيه ارتخاء في عضلات الجسم، وفي
+
+293
+00:22:21,600 --> 00:22:26,440
+أي وضع أنت تضعه، يبقى كما هو، وبالتالي إذا كان 
+
+294
+00:22:26,440 --> 00:22:32,580
+هناك اشتباه في كسور عمود فقري، لا يمكن رفع الذقن
+
+295
+00:22:32,580 --> 00:22:37,200
+لأعلى وخفض الرأس لأسفل، وإنما نستخدم الآلية التي
+
+296
+00:22:37,200 --> 00:22:43,910
+ذكرناها Jaw thrust أو الدفع حتى أتيح الفرصة لدخول
+
+297
+00:22:43,910 --> 00:22:48,790
+الهواء إلى هذا الشخص، هذا بالنسبة للإنسان البالغ
+
+298
+00:22:48,790 --> 00:22:54,750
+إذا كان هناك طفل صغير، أو إذا كان هناك أرضية
+
+299
+00:22:54,750 --> 00:23:00,790
+بالنسبة للطفل الصغير، كما هو مع البالغ، تتم
+
+300
+00:23:00,790 --> 00:23:04,870
+الإجراءات، ونبدأ بتدليك القلب ثم التنفس الصناعي
+
+301
+00:23:04,870 --> 00:23:10,370
+لكن بالنسبة للطفل الصغير، قد نحتاج فقط يد واحدة ولا
+
+302
+00:23:10,370 --> 00:23:15,130
+نحتاج اثنين أو قد نحتاج الثانية، طبعا حسب عمر الطفل، لو
+
+303
+00:23:15,130 --> 00:23:19,790
+ربما يكون هناك أناس آخرون مع المسعف، قد يساعدوا في
+
+304
+00:23:19,790 --> 00:23:26,530
+هذا الموقف، فنفس الفكرة هي ثلاثون ضغط على القلب مع
+
+305
+00:23:26,530 --> 00:23:33,210
+نفسين خلال دقيقتين، أقوم بالمعاينة بدءا من التنفس
+
+306
+00:23:33,210 --> 00:23:39,250
+ثم عضلة القلب، إذا كان هناك تنفس، معناه أن القلب يعمل
+
+307
+00:23:39,540 --> 00:23:44,780
+إذا كان هناك أو إذا لم يكن التنفس موجود، أنا أتأكد
+
+308
+00:23:44,780 --> 00:23:49,380
+القلب يعمل أو لا يعمل، وكما ذكرت إذا كان القلب يعمل
+
+309
+00:23:49,380 --> 00:23:54,180
+لكن التنفس وقف، فأبدأ بالتنفس الصناعي، وطبعا يكون
+
+310
+00:23:54,180 --> 00:23:57,080
+أفضل إذا كان إنسان مساعد، وبالتالي إذا كان هناك
+
+311
+00:23:57,080 --> 00:24:02,240
+مسعفين اثنين، فشخص يقف عند رأس الضحية، وشخص آخر في
+
+312
+00:24:02,240 --> 00:24:07,290
+المقابل عند مقابل الصدر، حتى يكون هناك شخص يضغط على
+
+313
+00:24:07,290 --> 00:24:11,270
+الصدر، وشخص يعطي.. طبعا عمل التنفس الصناعي، ويكون
+
+314
+00:24:11,270 --> 00:24:15,790
+عملية التبادل، حتى طبعا لا يرهق أحدهما، وتكون عملية
+
+315
+00:24:15,790 --> 00:24:20,030
+أكثر يعني إيجابية، وتكون فائدة فيها أكثر، هذا
+
+316
+00:24:20,030 --> 00:24:23,990
+بالنسبة لطبعا السواء البارد أو الطفل الصغير، أما
+
+317
+00:24:23,990 --> 00:24:27,710
+بالنسبة للأطفال الرضع، طبعا الأطفال الرضع لهم
+
+318
+00:24:27,710 --> 00:24:32,330
+معاملة خاصة أو طبعا بعض إجراءات بسيطة مختلفة لهم
+
+319
+00:24:32,330 --> 00:24:37,640
+عاما، أول شيء الطفل الرضيع، حجم الرئتين صغير مقارنة
+
+320
+00:24:37,640 --> 00:24:41,740
+بحجم الرئتين طبعا الإنسان البالغ، العنق صغير
+
+321
+00:24:41,740 --> 00:24:45,500
+مقارنة بالإنسان البالغ، وبالتالي هناك بعض الإجراءات
+
+322
+00:24:45,500 --> 00:24:50,120
+لكن كعدد هو عدد واحد، ثلاثين ضغطه مقابل نفسين، لكن
+
+323
+00:24:50,120 --> 00:24:54,700
+ما يكون واضح أن الطفل الصغير، أنا ممكن أضع بين يديّ
+
+324
+00:24:54,700 --> 00:25:00,860
+بالصورة التالية، أول شيء طبعا بدي أحافظ أن تكون يدي
+
+325
+00:25:01,990 --> 00:25:06,230
+تحمي رأس الطفل، لأن طبعا رأس الطفل عضلة ضعيفة، عنق
+
+326
+00:25:06,230 --> 00:25:10,630
+الطفل عضلة ضعيفة، فأنا أتجنب عملية ثانية لرأس
+
+327
+00:25:10,630 --> 00:25:15,090
+الطفل خوفا من الكسر، إذا كان هناك سطح صلب، طبعا
+
+328
+00:25:15,090 --> 00:25:18,590
+الشيء بساعدني أكثر، لكن ده لما يوجد سطح صلب، وأنا
+
+329
+00:25:18,590 --> 00:25:23,270
+بدي أحاول أن أُقّدر الطفل، فأنا بعمل ضغط أو بعمل دعم
+
+330
+00:25:23,270 --> 00:25:28,710
+لرأس الطفل، وأول شيء أحاول أثناء الطفل شيء بسيط
+
+331
+00:25:29,260 --> 00:25:32,560
+حتى لا تقوم نسبة الثانية كما هي موجودة في البالغين
+
+332
+00:25:32,560 --> 00:25:38,720
+وإدخال الخنصر لاحتمالية أن فيه أي جسم غريب داخل فم
+
+333
+00:25:38,720 --> 00:25:43,480
+الطفل، والمساعد على إخراجه، لأن طبعا لا يمكن إدخاله
+
+334
+00:25:43,480 --> 00:25:47,940
+سواء للبالغ أو للطفل بالطريقة العمودية سواء الخنصر
+
+335
+00:25:47,940 --> 00:25:51,800
+أو السبابة، لأنه أعتقد أن هناك شيء غريب فإنه مساعدة
+
+336
+00:25:51,800 --> 00:25:55,470
+على إدخاله، لأن هنا عملية sweeping أو عملية سحب أي
+
+337
+00:25:55,470 --> 00:25:59,010
+جسم غريب للخارج، وهي طبعا أيضا طريقة تساعد على
+
+338
+00:25:59,010 --> 00:26:03,870
+تحريك عضلة اللسان لإزاحتها أو زحزحتها عن مجرد
+
+339
+00:26:03,870 --> 00:26:09,330
+التنفس، طبعا بالنسبة للطفل، يكون إعطاء النفس قبل
+
+340
+00:26:09,330 --> 00:26:13,290
+تدليك القلب، ليش؟ لأن طبعا.. يعني ال.. ال.. ال
+
+341
+00:26:13,290 --> 00:26:17,690
+.. كمية الأكسجين الموجودة في رئتيه قليلة جدا
+
+342
+00:26:17,690 --> 00:26:20,610
+مقارنة بكمية الأكسجين الموجودة في رئتي البالغ،
+
+343
+00:26:20,610 --> 00:26:24,810
+وهنا نبدأ بالنفسين، نبدأ بالنفسين إذا كان هناك
+
+344
+00:26:24,810 --> 00:26:29,550
+التنفس متوقف، لأن طبعا كما ذكرنا في القانون، أنظر،
+
+345
+00:26:29,550 --> 00:26:34,570
+استمع، استشعر أو تحسس، وبالتالي نبدأ بنفسين ويا
+
+346
+00:26:34,570 --> 00:26:39,290
+حبذا لو كان هناك قطعة قماش أو شاشة شفافة حتى طبعا
+
+347
+00:26:39,290 --> 00:26:42,810
+تساعد عملية عملية دخول الهواء بطريقة آمنة وطريقة
+
+348
+00:26:42,810 --> 00:26:48,570
+صحية أفضل، فنبدأ بنفسين، ومن ثم نبدأ طبعا بعد ذلك
+
+349
+00:26:48,570 --> 00:26:52,450
+نستشعر عملية النبض، وعملية النبض دونها تختلف نوعا ما
+
+350
+00:26:52,450 --> 00:26:55,570
+بالنسبة للبالغين، بالنسبة للبالغين ذكرنا من الشريان
+
+351
+00:26:55,570 --> 00:26:59,390
+السباتي، لكن بالنسبة للأطفال فنحن نذكر من الشريان
+
+352
+00:26:59,390 --> 00:27:04,970
+الإبطي، عنق بالنسبة للأطفال قصير جدا، ولا يكون
+
+353
+00:27:04,970 --> 00:27:09,110
+الشريان السباتي نبضه واضحا، وبالتالي يكون لدينا
+
+354
+00:27:09,110 --> 00:27:13,390
+النبض في الشريان الإبطي هو أوضح وأسلم طريقة، و
+
+355
+00:27:13,390 --> 00:27:17,190
+أفضل طريقة لاستشعار النبض، فالاحتمال هو أن هناك ما في
+
+356
+00:27:17,190 --> 00:27:23,090
+الكبار، إذا كان هناك نفس متوقف أو نفس ضعيف، بأعطي
+
+357
+00:27:23,090 --> 00:27:28,890
+نفسين اختبار، أما إذا كان لا يوجد نفس ولا يوجد نبض
+
+358
+00:27:29,820 --> 00:27:34,160
+فأنا أبدأ بالتنفس الصناعي وتدليك القلب، على عكس
+
+359
+00:27:34,160 --> 00:27:37,660
+البالغين، تدليك القلب والتنفس الصناعي، وهذا طبعا
+
+360
+00:27:37,660 --> 00:27:42,740
+طريقة الحديثة، كنا زمان نبدأ للبالغين والأطفال تنفس
+
+361
+00:27:42,740 --> 00:27:45,260
+الصناعي وتدليك القلب، ده هنا بالنسبة للبالغين
+
+362
+00:27:45,260 --> 00:27:49,880
+تدليك عضلة القلب، ومن ثم التنفس الصناعي، أما بالنسبة
+
+363
+00:27:49,880 --> 00:27:54,160
+للأطفال، التنفس الصناعي ثم تدليك عضلة القلب، وطبعا
+
+364
+00:27:54,160 --> 00:27:58,600
+سواء البالغين أو الأطفال، في حال توقف التنفس وتوقف
+
+365
+00:27:58,600 --> 00:28:02,440
+عضلة القلب، القاعدة تكون بالنسبة للأطفال، بالضغط
+
+366
+00:28:02,440 --> 00:28:07,300
+بإصبعين بين حلمتي الصدر، أصبعين، ثلاثين ضغطه، ما
+
+367
+00:28:07,300 --> 00:28:12,310
+يقارب من اثنين إلى ثلاثة سنتي فقط، نحن اللي بنساعدنا
+
+368
+00:28:12,310 --> 00:28:16,450
+لضخ الدم المؤكسج في القلب أو في البطين الأيمن أو
+
+369
+00:28:16,450 --> 00:28:19,710
+الأيسر، ينتقل للدورة الدموية الصغرى أو الدورة الدموية
+
+370
+00:28:19,710 --> 00:28:24,110
+الكبرى، أو للرئتين أو لباقي الجسم حتى يتم توزيع دم
+
+371
+00:28:24,110 --> 00:28:27,510
+المحمل بالأكسجين، وخاصة إلى الدماغ حتى يقوم الدماغ
+
+372
+00:28:27,510 --> 00:28:32,350
+بالوظيفة الصحيحة له، ويقوم بإصدار الأمر الصحيحة
+
+373
+00:28:32,350 --> 00:28:37,610
+فنبدأ بثلاثين بعد نفسين للطفل، نبدأ بثلاثين ضغط على
+
+374
+00:28:37,610 --> 00:28:43,240
+الصدر، واحد اثنين ثلاثة أربعة خمسة، طبعا تكون الوتيرة
+
+375
+00:28:43,240 --> 00:28:47,480
+يعني منتظمة، لا أقول واحد اثنين ثلاثة لأ، واحد اثنين
+
+376
+00:28:47,480 --> 00:28:51,340
+طبعا هذه إمكانية ليعطي القلب الفرصة لتوزيع الدم
+
+377
+00:28:51,340 --> 00:28:55,500
+على أجزاء الجسم كلها، وتبادل غازات داخل الرئتين
+
+378
+00:28:55,500 --> 00:28:59,440
+طبعا يتم التقييم، إذا كان هنا طبعا بعد دقيقتين أيضا
+
+379
+00:28:59,440 --> 00:29:02,500
+كما هو في البالغين، بعد دقيقتين إذا كان
+
+380
+00:29:05,620 --> 00:29:09,620
+النفس أو النفس ضعيف، نتأكد مرة أخرى من القلب، إذا
+
+381
+00:29:09,620 --> 00:29:13,100
+كان القلب يعمل، نستمر في عملية التنفس اللي هي طبعا
+
+382
+00:29:13,100 --> 00:29:15,320
+يقول لنا هنا ليه ليه ليه ليه ليه ليه ليه ليه
+
+383
+00:29:15,320 --> 00:29:18,180
+ليه ليه ليه ليه ليه ليه ليه ليه ليه ليه
+
+384
+00:29:18,180 --> 00:29:19,860
+ليه ليه ليه ليه ليه ليه ليه ليه ليه ليه
+
+385
+00:29:19,860 --> 00:29:21,720
+ليه ليه ليه ليه ليه ليه ليه ليه ليه ليه
+
+386
+00:29:21,720 --> 00:29:26,650
+ليه ليه ليه ليه ليه، وبالتالي عملية التنفس
+
+387
+00:29:26,650 --> 00:29:31,130
+الصناعي وتدليك القلب هي عملية ضرورية جدا، مهمة في
+
+388
+00:29:31,130 --> 00:29:34,570
+عملية إنقاذ الحياة، طبعا إذا الدماغ تأخر عنه ممكن
+
+389
+00:29:34,570 --> 00:29:39,030
+أن يستمر الدم والأكسجين مقطوع عن الدماغ، مقارنة من
+
+390
+00:29:39,030 --> 00:29:42,410
+أقل من 4 دقائق، لكن إذا تعدّى هذه المرحلة فهو طبعا
+
+391
+00:29:42,410 --> 00:29:46,830
+يعني أن هناك رمزون أخير، بأن هناك خطورة على الدم
+
+392
+00:29:46,830 --> 00:29:50,750
+وتأثيره، وخاصة على المنطقة التي ينقطع فيها الدم المحمل
+
+393
+00:29:50,750 --> 00:29:55,430
+بالأكسجين، لكن إذا تعدّى 6 دقائق فهذه مرحلة خطيرة جدا
+
+394
+00:29:55,430 --> 00:29:59,850
+قد تؤدي إلى وفاة أو موت خلايا الدماغ، وطبعا يصبح
+
+395
+00:29:59,850 --> 00:30:04,970
+الإنسان يعني يعني عايش على اللي هو التنفس الصناعي
+
+396
+00:30:04,970 --> 00:30:08,030
+من خلال الجهاز أو المكينة، عندما كان فيه ventilator
+
+397
+00:30:08,030 --> 00:30:12,850
+وبالتالي موت خلايا الدماغ، طبعا لا يصدر الأوامر، ومن
+
+398
+00:30:12,850 --> 00:30:17,000
+هنا الدقائق الأولى في عملية إنقاذ الحياة، في عملية
+
+399
+00:30:17,000 --> 00:30:20,440
+إدخال الأكسجين، في عملية تدليك القلب، هي أهم دقائق
+
+400
+00:30:20,440 --> 00:30:25,380
+في إنقاذ حياة الضحية، طبعا هذه من ناحية دنيوية،
+
+401
+00:30:25,380 --> 00:30:29,380
+لكن كم الأجر كبير يكون عند الله، إذا احنا ساعدنا
+
+402
+00:30:29,380 --> 00:30:34,540
+هذا الضحية أو هذه الضحية؟ لربما يصادفنا في غير
+
+403
+00:30:34,540 --> 00:30:38,480
+مناسبة، هناك شخص ملقى على الأرض، لكن هذا الشخص لا
+
+404
+00:30:38,480 --> 00:30:43,320
+نعرف مدى الوضع الصحي الموجود لديه، هل هو يتنفس أو
+
+405
+00:30:43,320 --> 00:30:47,360
+لا يتنفس، هل القلب ينبض أو لا ينبض، طبعا من واجبنا
+
+406
+00:30:47,360 --> 00:30:52,560
+يعني كمسعفين أو كمقدمي صحة، أن نتأكد أن هناك إمكانية
+
+407
+00:30:52,560 --> 00:30:57,040
+للمساعدة أو لا، طبعا كبداية هو أمان المكان حتى أقوم
+
+408
+00:30:57,040 --> 00:31:01,640
+بتقديم الخدمة، وحتى لا أؤذي نفسي في حال واجهنا شخص
+
+409
+00:31:01,640 --> 00:31:05,560
+ملقى على الأرض ونريد أن نساعد هذا الشخص، من باب
+
+410
+00:31:05,560 --> 00:31:10,060
+الخدمة الإنسانية، ومن باب طبيعة العمل الإنساني
+
+411
+00:31:10,060 --> 00:31:15,180
+كمسعفين، فإننا نتأكد من أول شيء، الخطورة الموجودة في
+
+412
+00:31:15,180 --> 00:31:18,290
+المكان، إذا كان مكان آمن أو غير آمن، الخطوة الثانية
+
+413
+00:31:18,290 --> 00:31:21,670
+نتأكد من درجة وعي الشخص، هل هو واعي أو غير واعي
+
+414
+00:31:21,670 --> 00:31:25,530
+طبعا بذلك بمناداة الشخص أو هزّه للشخص أو قرصة
+
+415
+00:31:25,530 --> 00:31:28,330
+الشخص بمنطقة معينة، على سبيل المثال من الكتف، إذا
+
+416
+00:31:28,330 --> 00:31:32,430
+كان هناك استجابة، فيختار الشخص الوضع المناسب الذي
+
+417
+00:31:32,430 --> 00:31:36,070
+يُريحه، أما إذا كان لا يوجد استجابة لهذا الشخص، فأنا
+
+418
+00:31:36,070 --> 00:31:40,150
+أقوم باستخدام القوانين الإسعافية الأولية، وهي أنظر،
+
+419
+00:31:40,150 --> 00:31:44,350
+استمع، استشعر، بما أن أنا أنظر لحركة النفس، هل هناك
+
+420
+00:31:44,350 --> 00:31:47,760
+فيه نفس أو ما فيه نفس، هل في حركة صدر أو ما في حركة 
+
+421
+00:31:47,760 --> 00:31:52,680
+صدر انظر للشخص فطبعا استمع له الشخص هناك نفس أو 
+
+422
+00:31:52,680 --> 00:31:57,860
+مافي نفس واستشعر أو تحسس هل هناك في حركة للصدر أم
+
+423
+00:31:57,860 --> 00:32:02,740
+لا، إذا كان هناك في حركة للصدر وفي نفس يعني أنا
+
+424
+00:32:02,740 --> 00:32:06,330
+هستخدمها الآن وضع ليها فاقةطبعا الوضع الإفاقة أنا
+
+425
+00:32:06,330 --> 00:32:12,070
+بستخدمه في حال هناك شخص فاقد للوعي يتنفس والقلب 
+
+426
+00:32:12,070 --> 00:32:17,350
+لديه ينبض وهو كالتالي سأقوم الآن بكيفية التعامل مع
+
+427
+00:32:17,350 --> 00:32:21,250
+هذا شخص فاقد الوعي الذي يتنفس والقلب لديه ينبض في
+
+428
+00:32:21,250 --> 00:32:25,010
+وضعه وضع الإفاقة وهو بالصورة الآن طبعا وضع الإفاقة
+
+429
+00:32:25,010 --> 00:32:28,210
+يساعد على الحفاظ على عملية التنفس بصورة طبيعية
+
+430
+00:32:28,790 --> 00:32:35,490
+الوضع الأول أن أضع هذه اليد باستقامة الجسم واليد
+
+431
+00:32:35,490 --> 00:32:41,310
+الأخرى لأعلى وأقوم بسحب الشخص من الوسط والكتف
+
+432
+00:32:41,310 --> 00:32:46,790
+بصورة آتية وأعمل 
+
+433
+00:32:46,790 --> 00:32:53,150
+على استدارة الوجه طبعا الوضع كالتالي نضع اليد
+
+434
+00:32:53,150 --> 00:32:58,810
+بجوار الجنب أو بجوار الشخص بحد ذاته واليد
+
+435
+00:32:58,810 --> 00:33:05,430
+الأخرى لأعلى وأقوم بسحب من الكتف والوسط لهذا الشخص
+
+436
+00:33:05,430 --> 00:33:11,810
+بالصورة الآتية مع المحافظة على رفع الذقن ووضع
+
+437
+00:33:11,810 --> 00:33:19,440
+الكف أسفل من الخد أما اليد الأخرى فأساعد على وضعها
+
+438
+00:33:19,440 --> 00:33:29,030
+للخلف وهنا اليد إذن الساق والفخذ باتجاه للأمام
+
+439
+00:33:29,030 --> 00:33:35,930
+والكتف مع المرفق للأمام وليكن أسفل الخد حتى
+
+440
+00:33:35,930 --> 00:33:41,050
+يساعد في عملية التنفس وخروج أي جسم غريب للخارج هذه
+
+441
+00:33:41,050 --> 00:33:45,990
+طبعا وضع يبقى فيها الشخص في حال كان فاقدا للوعي
+
+442
+00:33:45,990 --> 00:33:51,050
+يتنفس والقلب ينبض وهذا هو ما يقال له وضع الإفاقة
+
+443
+00:33:51,440 --> 00:33:57,060
+هذا الوضع يا إخوانا هو وضع مهم جدا ويطلق عليه وضع
+
+444
+00:33:57,060 --> 00:34:01,800
+الإفاقة الذي من خلاله نلاحظ أن جزء من الصدر معلق
+
+445
+00:34:01,800 --> 00:34:07,760
+ويساعد في ذلك الكتف مع المرفق للمساعدة على رفع جزء
+
+446
+00:34:07,760 --> 00:34:13,180
+من الصدر الملاحظة الأخرى أن وجه الشخص لجهة جانبية والذقن 
+
+447
+00:34:13,180 --> 00:34:18,640
+لأعلى وهذا مما يسهل من عملية التنفس ولو حصل أن خرج
+
+448
+00:34:18,640 --> 00:34:23,560
+شيء من المعدة إلى الفم معناه الاستفراغ فيكون
+
+449
+00:34:23,560 --> 00:34:28,220
+للخارج أيضا لا يستطيع هذا الشخص سواء القلب إلى
+
+450
+00:34:28,220 --> 00:34:35,180
+اليسار أو إلى اليمين بوجود طبعا القدم والساق السفلى 
+
+451
+00:34:35,180 --> 00:34:40,420
+مع المرفق الأعلى باتجاه واحد ومن ناحية الخلفية هنا
+
+452
+00:34:40,420 --> 00:34:46,800
+طبعا طبعا تمدد لفخذ مع الساق والذراع العلوية فهذا
+
+453
+00:34:46,800 --> 00:34:51,480
+مانع أن ينقلب المريض أو الضحية للخلف أو للأمام
+
+454
+00:34:51,480 --> 00:34:57,100
+وهذا هو وضع آمن جدا في حال كان شخص فاقدا للوعي
+
+455
+00:34:57,100 --> 00:35:02,300
+يتنفس والقلب يديه ينبض شكرا مبارك الله فيكم 
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/NM0Y4v8qYFw_postprocess.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/NM0Y4v8qYFw_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..fe9c6f2a1a265cfee4facacad994af7fb8898f29
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/NM0Y4v8qYFw_postprocess.srt
@@ -0,0 +1,1820 @@
+1
+00:00:05,300 --> 00:00:07,660
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:07,660 --> 00:00:13,140
+وبركاتهحقيقة إن أغلى ما يمتلكه الإنسان هو الحياة
+
+3
+00:00:13,140 --> 00:00:17,340
+والصحة وبالتالي إذا أردنا نتحدث عن الحياة فيجب
+
+4
+00:00:17,340 --> 00:00:21,280
+علينا أن نتحدث كيف ننقض هذه الحياة ونقلل من
+
+5
+00:00:21,280 --> 00:00:25,360
+المضاعفات التي قد تصيب الشخص إذا أثبت هذه الحياة
+
+6
+00:00:25,360 --> 00:00:29,440
+أو أثبت هذه الحياة أي مشكلة صحية وكذلك كيف نحافظ
+
+7
+00:00:29,440 --> 00:00:33,740
+على هذه الحياة ومن هنا يجب علينا أن ندخل إلى مدخل
+
+8
+00:00:33,740 --> 00:00:38,400
+بصير من خلالالشيء المهم قاله وهو الإسعافات الأولية
+
+9
+00:00:38,400 --> 00:00:42,560
+التي من خلالها نحن ننقذ حياة الإنسان ونحافظ عليها
+
+10
+00:00:42,560 --> 00:00:46,980
+ونقلل من المضاعفات التي قد تحدث نتيجة إصابة معينة
+
+11
+00:00:46,980 --> 00:00:51,480
+وقد تكون هذه إصابة وسيطة لكن هناك مشكلة في عملية
+
+12
+00:00:51,480 --> 00:00:55,380
+النقل أو عملية التعامل مع هذه الحالة وبالتالي
+
+13
+00:00:55,380 --> 00:00:58,680
+حينما نتحدث عن الإسعافات الأولية فإننا نبدأ
+
+14
+00:00:58,680 --> 00:01:04,300
+بتعريفها قاله وهيالخدمات المتوفرة كيف نستخدمها و
+
+15
+00:01:04,300 --> 00:01:08,500
+بأقل الإمكانيات و أما بالنسبة للتعريف فهو ابدا
+
+16
+00:01:08,500 --> 00:01:14,300
+القيمة العلمية التي من خلالها أنا استطيع أن أساعد
+
+17
+00:01:14,300 --> 00:01:19,860
+هذا الشخص فهي كيف أمكن حياة الإنسان من خلال تقديم
+
+18
+00:01:19,860 --> 00:01:24,740
+الإسعافات الأولية فهي الرعاية الأولية المقدمة لأي
+
+19
+00:01:24,740 --> 00:01:29,960
+شخص أصيب بحالة أو مرض مفاجئ وبالتاليهذا المرض
+
+20
+00:01:29,960 --> 00:01:35,360
+المفاجئ قد يكون عروضه غير ماضحة على سبيل مثال مرض
+
+21
+00:01:35,360 --> 00:01:39,480
+الضغط أو مرض السكر لكن الاتحاد إذا اتعرض لأي مشكلة
+
+22
+00:01:39,480 --> 00:01:43,840
+صحية أو مشكلة نفسية قد تحدث تطورات خطيرة على حياة
+
+23
+00:01:43,840 --> 00:01:47,260
+هذا الإنسان وبالتالي الرعاية المقدمة لإنقاذ الشخص
+
+24
+00:01:47,260 --> 00:01:50,240
+الذي يصيب حالة المرض المفاجئ اللي هي وصول الخدمة
+
+25
+00:01:50,240 --> 00:01:54,370
+الطبية أو نقله إلى مركز صحي هو ما نريدتوضيحه حول
+
+26
+00:01:54,370 --> 00:01:57,310
+الإسعافات الأولية وبالتالي هناك أهداف أساسية
+
+27
+00:01:57,310 --> 00:02:01,530
+بالنسبالي للإسعافات الأولية وهي إنقاذ حياة المصارق
+
+28
+00:02:01,530 --> 00:02:05,550
+الحفاظ على حياته وتقليل من المضاعفين ولكل علم
+
+29
+00:02:05,550 --> 00:02:11,810
+قوانين مهمة ولكل علم أساسيات مهمة وهنا لدينا من
+
+30
+00:02:11,810 --> 00:02:15,790
+يقدم هذه الخدمة إلى وهو المصعد والذي تنطبق عليه
+
+31
+00:02:15,790 --> 00:02:21,840
+شروط مهمة من خلاليعني يستطيع هذا الإنسان أن يكون
+
+32
+00:02:21,840 --> 00:02:25,920
+ملمب هذه المادة من ناحية علمية وعملية ولديه شهادة
+
+33
+00:02:25,920 --> 00:02:30,080
+معتمدة بها من المركز معتمد به ومن خلالها يستطيع
+
+34
+00:02:30,080 --> 00:02:33,640
+تقديم الخدمة الأولية أو الرعاية الأولية لأي مصاب
+
+35
+00:02:33,640 --> 00:02:38,400
+لذلك فلدينا بعض القوانين التي من خلالها نحن نتعامل
+
+36
+00:02:38,400 --> 00:02:43,220
+مع جميع الضحايا التي قد تكون أصيبات بمشكلة صحية أو
+
+37
+00:02:43,220 --> 00:02:46,520
+مرض مفاجئأول قانون بالنسبة للقوانين الإسعافي
+
+38
+00:02:46,520 --> 00:02:50,960
+الأولى هو انظر فكر اعمل وسنضهم بالتفصيل القانون
+
+39
+00:02:50,960 --> 00:02:56,000
+الثاني انظر استمع استشعر أو تحسس القانون الثالث
+
+40
+00:02:56,000 --> 00:03:00,400
+مجرة التنفس عملية التنفس الدورة قدامه هي أما
+
+41
+00:03:00,400 --> 00:03:06,270
+القانون الرابع فهو CBR أو الإنعاش القلب رعوةلو
+
+42
+00:03:06,270 --> 00:03:10,490
+بدأنا بالقانون الأول وهو كيف أنا أقيم الحالة
+
+43
+00:03:10,490 --> 00:03:15,750
+وبالتالي يجب حينما نواجه أي مشكلة صحية لأي إنسان
+
+44
+00:03:15,750 --> 00:03:19,530
+أو أي إنسان كان واجه مشكلة صحية يجب علينا أن نعلم
+
+45
+00:03:19,530 --> 00:03:25,050
+أن الخطر الواقع على الشخص لا معارض أنفسنا نحن لهذا
+
+46
+00:03:25,050 --> 00:03:28,930
+الخطر وبالتالي هنا قاعدة مهمة أو يعني قاعدة لغوية
+
+47
+00:03:28,930 --> 00:03:33,760
+مهمة هي أن سلامة المصاب من سلامة المكانوليس سلامة
+
+48
+00:03:33,760 --> 00:03:37,640
+المكان من سلامة المصاب بمعنى أنا أهتم بسلامة
+
+49
+00:03:37,640 --> 00:03:41,280
+المصاب وإذا كان المكان آمن فانا أقدم الخدمة
+
+50
+00:03:41,280 --> 00:03:44,240
+الفورية أو الرعاية الفورية لهذا الشخص في نفس
+
+51
+00:03:44,240 --> 00:03:49,320
+المكان لكن إذا كان المكان غير آمن فإن أنا أنقل هذا
+
+52
+00:03:49,320 --> 00:03:53,320
+المصاب إلى مكان آمن حتى أستطيع تقديم الخدمة وهذا
+
+53
+00:03:53,320 --> 00:03:57,960
+ما نحصل به في القانون الأول انظر فكر اعمل وهذا ما
+
+54
+00:03:57,960 --> 00:04:02,620
+يتماشى معاكخطورة المكان، هل هناك خطورة في المكان؟
+
+55
+00:04:02,620 --> 00:04:06,460
+هل هناك خطورة تقع على الضحية أو وقع على الضحية و
+
+56
+00:04:06,460 --> 00:04:09,660
+قد أكون أنا ضحية أخرى على سبيل المثال إذا إنسان
+
+57
+00:04:09,660 --> 00:04:14,400
+كان يستطيع السباحة و رأى غريقا، هل يستطيع مساعدته
+
+58
+00:04:14,400 --> 00:04:18,080
+بالسباحة و يكون ضحية أخرى أو يستخدم وسائل أخرى؟
+
+59
+00:04:18,080 --> 00:04:21,640
+وبالتالي هنا نحن نقول إن قلة الإمكانيات في
+
+60
+00:04:21,640 --> 00:04:25,200
+الإسعافات الأولية لا تعني عدم تقديم الخدمة،
+
+61
+00:04:25,200 --> 00:04:29,610
+وبالتالي نحن في الإسعافات الأوليةنقدم مساعدة بأقل
+
+62
+00:04:29,610 --> 00:04:34,350
+الإمكانيات حتى لو بوسائل بسيطة وهذا ما يهتم به
+
+63
+00:04:34,350 --> 00:04:39,430
+المسحف خلال تقديمه الإسعافات الأولية العام الآخر
+
+64
+00:04:39,430 --> 00:04:41,270
+بعد الظبورة هي هل
+
+65
+00:04:43,820 --> 00:04:47,760
+أو هو واعي أو غير واعي، إذن هو عملية الوعي هل هو
+
+66
+00:04:47,760 --> 00:04:50,500
+واعي ولا غير واعي، سنتقل نهار بالتفسير عن هذه
+
+67
+00:04:50,500 --> 00:04:55,720
+العوامل الجزئية الثانية هي أنا أستطيع أن أنا
+
+68
+00:04:55,720 --> 00:05:00,000
+أستفيد من الناس الموجودين حوليا أو يساعدوني، لأن
+
+69
+00:05:00,000 --> 00:05:04,060
+كل مكان هناك وناس أنا ممكن من صفات المسكمة وصفات
+
+70
+00:05:04,060 --> 00:05:09,800
+المسح أن أنا أسخرهم أو أتعامل معهم حتى يساعدوني،
+
+71
+00:05:09,800 --> 00:05:14,580
+بعد ذلكهل هناك فيه تنفس أو مافيش تنفس؟ لذلك
+
+72
+00:05:14,580 --> 00:05:19,640
+فالقانون الثاني أُنظر، استمع، تحسس أو استشهد، وهذا
+
+73
+00:05:19,640 --> 00:05:23,140
+يعمد على عملية التنفس، هل هذا الشخص يتنفس؟
+
+74
+00:05:26,500 --> 00:05:30,120
+أو داخل مثلا في غيبوبة أو داخل في إغماق، هل هذا
+
+75
+00:05:30,120 --> 00:05:34,180
+الشخص قد بلع شيء معين، هل هذا الشخص لديه تشنجات،
+
+76
+00:05:34,180 --> 00:05:37,120
+هل هذا الشخص لديه صراع؟ ومنهم بتتم عملية التقييم،
+
+77
+00:05:37,120 --> 00:05:42,700
+هي أنظر .. أنظر إلى حركة صدر البحية، استمع هل هناك
+
+78
+00:05:42,700 --> 00:05:48,160
+فيه خروج ودخول هواء، واستشعر أو تحسس يدك على صدر
+
+79
+00:05:48,160 --> 00:05:51,900
+هذا الشخص، هل هناك فيه حركة انخفاض وانبصار ..
+
+80
+00:05:51,900 --> 00:05:56,110
+وانبصار بالنسبة للصدر؟أما بالنسبة للقانون الثالث،
+
+81
+00:05:56,110 --> 00:06:00,670
+وهو مجلة التنفس وعملية التنفس والدور الدموي وهذا
+
+82
+00:06:00,670 --> 00:06:05,230
+طبعا خلال كيفية تقييم الجهاز التنفسي اللي يعمل
+
+83
+00:06:08,530 --> 00:06:13,470
+وما هو التدخلي في هذا المجال؟ وبعد ذلك إذا لم يكن
+
+84
+00:06:13,470 --> 00:06:16,890
+هناك تنفس هل هناك فيه مبض أم لا؟ وبالتالي هذا
+
+85
+00:06:16,890 --> 00:06:20,370
+القانون يعني يدلنا أن بعض الحالات التي قد موجمة
+
+86
+00:06:20,370 --> 00:06:25,590
+إنسان قد يكون لديه مبض ويكون التنفس متوقف بسبب
+
+87
+00:06:25,590 --> 00:06:30,090
+إغلاق مجرى التنفس أو إنسان آخر التنفس متوقف والمبض
+
+88
+00:06:30,090 --> 00:06:32,330
+متوقف أو إنسان آخر
+
+89
+00:06:41,770 --> 00:06:46,790
+أما القانون الرابع إذا لم يكن هناك تنفس ولم يكن
+
+90
+00:06:46,790 --> 00:06:47,250
+هناك او
+
+91
+00:06:51,120 --> 00:06:56,280
+فما يجب علينا هو عملية تدليق عضلة القلب ثم التنفس
+
+92
+00:06:56,280 --> 00:07:00,500
+الاصطناعي إذا كان بالغا اما بالنسبة للأطفال فنبدأ
+
+93
+00:07:00,500 --> 00:07:04,800
+بالتنفس الاصطناعي ومن ثم بعد ذلك نبدأ بتدليق عضلة
+
+94
+00:07:04,800 --> 00:07:08,220
+القلب طبعا هذه أرقام و هذه الكلمات لها معييرها و
+
+95
+00:07:08,220 --> 00:07:12,860
+لها اعتبارات من ناحية رقمية كم مضة كم ضغط على
+
+96
+00:07:12,860 --> 00:07:17,180
+الصدر و أي مكان أنا أضغط به و أيضا كم مرة من
+
+97
+00:07:17,180 --> 00:07:21,060
+التنفسوكم هي المدة التي من خلالها أقوم بعملية
+
+98
+00:07:21,060 --> 00:07:24,500
+التنفس وإلى متى أستمر في عملية التنفس و تدليق
+
+99
+00:07:24,500 --> 00:07:30,380
+القلب هذا ما نراه ان شاء الله في الوقت الآتي من
+
+100
+00:07:30,380 --> 00:07:36,460
+عملية تدليق القلب و التنفس الصناعي سنحاول توضيح
+
+101
+00:07:36,460 --> 00:07:40,220
+بعض الأشياء الخاصة بالمجال العملي من ناحية التنفس
+
+102
+00:07:40,220 --> 00:07:44,200
+الصناعي و تدليق عضلة القلبطبعا هناك بعض الأشياء
+
+103
+00:07:44,200 --> 00:07:49,420
+المهمة اللتي اود ان اوضحها اللي وهي هل المكان آمن
+
+104
+00:07:49,420 --> 00:07:53,300
+او غير آمن وكما ذكرت فإن سلامة المصاب من سلامة
+
+105
+00:07:53,300 --> 00:07:58,420
+المكان وهذا يعني أن هناك إذا كان خطورة على المصحف
+
+106
+00:07:58,420 --> 00:08:04,020
+فيجب أن يستعين بطرق أخرى لمحاولة ان يقاد هذا الشخص
+
+107
+00:08:04,020 --> 00:08:07,860
+من المكان ويخرجه إلى مكان آمن يبقى كبداية حينما
+
+108
+00:08:07,860 --> 00:08:11,290
+أجد أي إنسان موقع على الغرضوليس بالضرورة يكون
+
+109
+00:08:11,290 --> 00:08:17,330
+ميتا، لذلك فانا أحاول أن أستوضح الأمر من خلال أول
+
+110
+00:08:17,330 --> 00:08:22,410
+قانون ألا وهو انظر فكر اعمل بمعنى أطمئن أن هناك هل
+
+111
+00:08:22,410 --> 00:08:26,390
+ليه خطورة أو لا يوجد خطورة، إذا كانوا المكان آمن
+
+112
+00:08:26,390 --> 00:08:30,150
+فأنا أستطيع أقدم هذه الخدمة، إذا كان المكان غير
+
+113
+00:08:30,150 --> 00:08:34,090
+آمن، وهذا ممكن ما نراحده في حالة مثلا بعض الحركات
+
+114
+00:08:34,090 --> 00:08:38,540
+اللي بتحدثفي بعض العمارات أو البيوت السكنية، فإن
+
+115
+00:08:38,540 --> 00:08:42,480
+أول شي يقوم به رجال مقاد هو إخراج الضحية للخارج أو
+
+116
+00:08:42,480 --> 00:08:48,240
+إذا كان هناك مثلا مكان بيه استخدام الفحموحصل هناك
+
+117
+00:08:48,240 --> 00:08:51,560
+تسمم فيتم إخراج الضحية من الخارج حتى يتم إنقاذها
+
+118
+00:08:51,560 --> 00:08:56,240
+يبقى الخطوة الأولى عملية الأمان في المكان الخطوة
+
+119
+00:08:56,240 --> 00:09:00,140
+الثانية مدى وعي الضحية طبعا أي شخص طبعا يعتبر ضحية
+
+120
+00:09:00,140 --> 00:09:02,960
+في الحالة هذه يبقى النقطة التانية ل responsiveness
+
+121
+00:09:02,960 --> 00:09:07,360
+responsiveness على و هي درجة وعي الشخص وكيف أنا
+
+122
+00:09:07,360 --> 00:09:11,660
+أستطيع تحديد درجة وعي الشخص من خلاله أولا يجب
+
+123
+00:09:11,660 --> 00:09:13,360
+علينا عدم هز الشخص
+
+124
+00:09:17,160 --> 00:09:23,040
+واعية بحية طبعا أنا بالمنادة بممكن فرق شحمة الأذن
+
+125
+00:09:23,040 --> 00:09:28,940
+أو ربط على الكتف أو المنادة هل تسمعني؟ أنت بخير؟
+
+126
+00:09:28,940 --> 00:09:33,580
+وهذه هي المصطلحات التي من خلالها أستطيع أن أتأكد
+
+127
+00:09:33,580 --> 00:09:36,300
+أن الشخص واعي أو غير طبعا هناك عدة احتمالات
+
+128
+00:09:36,300 --> 00:09:40,900
+الاحتمال الأول إذا كان الشخص واعي طبعا أي شخص واعي
+
+129
+00:09:40,900 --> 00:09:45,680
+معناه هي اتنفس وبالتالييمكن وضعه في وضع .. طبعا من
+
+130
+00:09:45,680 --> 00:09:48,760
+الإفاقة التي سمته في .. طبعا لقاءات أخرى ان شاء
+
+131
+00:09:48,760 --> 00:09:52,340
+الله تعالى أو حلقة خاصة بيه الاحتمال الثاني إذا
+
+132
+00:09:52,340 --> 00:09:57,540
+كان الشخص غير واعي فهنا يبدو علي أنني أتأكد إذا
+
+133
+00:09:57,540 --> 00:10:03,240
+كان هذا الشخص غير واعي كيف أساعد هذا الشخص مساعدة
+
+134
+00:10:03,240 --> 00:10:07,280
+لهذا الشخص من خلال القانون الثاني اللي ذكرناه اللي
+
+135
+00:10:07,280 --> 00:10:13,380
+هو أنظر، استمع، استشهدطبعا، لكن يجب عليا أتأكد أن
+
+136
+00:10:13,380 --> 00:10:17,160
+هناك لا يوجد كسور أو احتمال كسور في العنق، لأن
+
+137
+00:10:17,160 --> 00:10:21,040
+طبعا يعني أي حركة في العنق إن كان هناك كسور طبعا
+
+138
+00:10:21,040 --> 00:10:26,060
+ربما تكون مضاعفات خطيرة كما تحدثنا من أهداف
+
+139
+00:10:26,060 --> 00:10:29,080
+الإسعاف الأولى هي تقليل المضاعفاتوبالتالي ده لما
+
+140
+00:10:29,080 --> 00:10:33,540
+استجيبي الشخص فأتأكد من خلال طبعا إذا كان ملابس
+
+141
+00:10:33,540 --> 00:10:38,640
+ثقيلة فانا أخفف الملابس حتى أرا حركة الصدر، انخفاض
+
+142
+00:10:38,640 --> 00:10:42,060
+انبساط، يبقى ننظر القانون الأول، القانون الثاني،
+
+143
+00:10:42,060 --> 00:10:47,160
+أنظر إلى حركة الصدر، استمع هل هناك نفس أو مافي نفس
+
+144
+00:10:47,580 --> 00:10:51,920
+أيضًا باللمس على الصدر، هل هناك فيه حركة أو مافيه
+
+145
+00:10:51,920 --> 00:10:54,460
+حركة، وبالتالي في الإسعاف الأول يعني بستخدم
+
+146
+00:10:54,460 --> 00:10:59,960
+الحواس، حسب السبع، حسب اللمس، حسب الشم، طبعًا هذه
+
+147
+00:10:59,960 --> 00:11:04,820
+استخداماتها حسب طبعًا الحالة أو الضحيةإذا إذا كان
+
+148
+00:11:04,820 --> 00:11:09,880
+لا يوجد استجابة، وكان هناك تنفس، والشخص فاقد
+
+149
+00:11:09,880 --> 00:11:13,900
+للوعي، إذا كما هو معلوم علميا، إذا كان الشخص تنفس
+
+150
+00:11:13,900 --> 00:11:18,140
+فالقلب ينبر، وبالتالي فاقد للوعي، أضع فرض الإفراق.
+
+151
+00:11:18,400 --> 00:11:23,430
+إذا كان التنفس ضعيفإذا كان التنفس ضعيف فأنا ببدأ
+
+152
+00:11:23,430 --> 00:11:27,990
+طبعا بالتنفس الاصطناعي، إذا كان التنفس ضعيف أو
+
+153
+00:11:27,990 --> 00:11:33,350
+متوقف فأنا أبدأ بالتنفس الاصطناعي بإعطاء نفسين عبر
+
+154
+00:11:33,350 --> 00:11:40,190
+طبعا من الرئاتين، إعطاء نفس أول وانتظار وملاحظة
+
+155
+00:11:40,190 --> 00:11:44,410
+ارتفاع وخفاض الصدروالانتظار حتى خروج هواء الزفير
+
+156
+00:11:44,410 --> 00:11:48,850
+واعطاء نفس أخر طبعا القانية تقول كالتاني هي رفع
+
+157
+00:11:48,850 --> 00:11:53,230
+الذقن لأعلى طبعا بالصورة هذه مع رفع طبعا خفض الرأس
+
+158
+00:11:53,230 --> 00:11:57,770
+لأسفل طبعا هي كان مصطلح انجليزي طبعا chin lift
+
+159
+00:11:57,770 --> 00:12:03,150
+head tilt بالصورة هذه طبعا اللي برفعها تمام؟ مع
+
+160
+00:12:03,150 --> 00:12:08,750
+ملاحظة قبل اعطاء النفسأدخل الإصبع لتحريك هل إذا
+
+161
+00:12:08,750 --> 00:12:12,850
+كان هناك شيء داخل الفم، طبعا ال-sweathing إذا كان
+
+162
+00:12:12,850 --> 00:12:18,450
+هناك تحريك أو سحب أي شيء غريب داخل الفم، لأنه لو
+
+163
+00:12:18,450 --> 00:12:22,350
+ربما يكون هذا الشيء مع فقدانه، يعني الطحية هو الذي
+
+164
+00:12:22,350 --> 00:12:26,620
+ساعد بإغلاق المشروع التنفسيالناحية الأخرى، لربما
+
+165
+00:12:26,620 --> 00:12:30,260
+يكون الشخص رقبته .. طبعا فيه إمتنان، وبالتالي اللي
+
+166
+00:12:30,260 --> 00:12:33,520
+هنكون .. نتعادل في اللغة العامية، هو بلع لسانه،
+
+167
+00:12:33,520 --> 00:12:36,340
+وطبعا ما بيبلع لسانه، لكن عضلة اللسان تكون عاملة
+
+168
+00:12:36,340 --> 00:12:42,480
+على إغلاق مرجل التنفس لرعنك، ففي أهال عدم الشك في
+
+169
+00:12:42,480 --> 00:12:46,360
+وجود كسور أو التأكد من وجود كسور، فإن انا أطبخ
+
+170
+00:12:46,360 --> 00:12:51,910
+القانونطبعا chill lift , head tilt للأعلى وبالتالي
+
+171
+00:12:51,910 --> 00:12:57,790
+أبدأ بإعطاء النفسين والنفسين هدولة أنا أقولك
+
+172
+00:12:57,790 --> 00:13:03,370
+باعطيهم في حال إن الشخص ما بيتنفس أو النفس ضعيف
+
+173
+00:13:03,370 --> 00:13:08,610
+فأقوم بإعطاء مع إغلاق فتحتي الآن ووضع اليد أسفل
+
+174
+00:13:08,610 --> 00:13:13,970
+الرقبة طبعا اللي ربما البعض يتساءل ليش أنا بستخدم
+
+175
+00:13:13,970 --> 00:13:18,250
+الطريقة هذه لأن إذا احنا يعني حاولنايعني نجرب
+
+176
+00:13:18,250 --> 00:13:21,830
+عملية التنفس في وضع انتقال رموخ يكون عملية التنفس
+
+177
+00:13:21,830 --> 00:13:25,450
+صعبة لكن في وضع رفع الرقص لأعلى فتكون عملية التنفس
+
+178
+00:13:25,450 --> 00:13:29,970
+سهلة وهذا ما يساعدني على إدخال هواء الشيخ بالنسبة
+
+179
+00:13:29,970 --> 00:13:34,590
+للبحير وبالنسبة لي هو هو الزفير إلى داخل القياطين
+
+180
+00:13:34,590 --> 00:13:40,550
+طيب السؤال هنا طالما نتحدث عن هواء الزفير هل هناك
+
+181
+00:13:40,550 --> 00:13:43,510
+نسبة من الوزيجين في هواء الزفير؟ نعم لأن أنا
+
+182
+00:13:43,510 --> 00:13:47,180
+كإنسان عادياستفيد من ال oxygen الموجود في الهواء
+
+183
+00:13:47,180 --> 00:13:52,530
+الجوي والذي تتراول اسمته بين 20 الى 21%فقط استفيد
+
+184
+00:13:52,530 --> 00:13:56,610
+منها 5% إذا نسبة عالية من الأكسجين تخرج من هوا
+
+185
+00:13:56,610 --> 00:14:00,210
+الزفير وهذا ما يساعد الضحية على الاستفادة من
+
+186
+00:14:00,210 --> 00:14:03,910
+الأكسجين الموجود في هوا الزفير نرجع إلى ما بدأنا
+
+187
+00:14:03,910 --> 00:14:08,210
+به وهو عملية التنفس الصناعي بالصورة التالية أفتح
+
+188
+00:14:08,210 --> 00:14:13,830
+الفم مع أخذ هوا شهيق لمل الرئتين ودفعه إلى رئتين
+
+189
+00:14:13,830 --> 00:14:18,230
+الضحية مع ملاحظة حركة صدر الضحية
+
+190
+00:14:24,980 --> 00:14:29,460
+إذا أنا أعطيك نفسين، طبعا بين كل نفس و تاري تقريبا
+
+191
+00:14:29,460 --> 00:14:35,440
+ست ثواني، طبعا هذا شيء مبدأيإذا الشخص استجاب و بدأ
+
+192
+00:14:35,440 --> 00:14:39,820
+يعني استعيد وعيه أو بدأ يكح أو ملاحظات أنه استرد
+
+193
+00:14:39,820 --> 00:14:43,640
+وعيه، طبعا هنقب كل المطمئنين، وإذا كان وعي 100%
+
+194
+00:14:43,640 --> 00:14:47,660
+طبعا بياخد الوضع المناسب له، إذا لازال فاقد الوعي،
+
+195
+00:14:47,660 --> 00:14:51,640
+لكن بدأ تعمل اتنفس تعون، طبعا بضعهم في وضع الفقر
+
+196
+00:14:51,640 --> 00:14:56,990
+طيب، الاحتمال الثاني إذا كان بعد النفسينبعد نفسي
+
+197
+00:14:56,990 --> 00:15:02,070
+لايوجد تنفس و من هنا ابدأ بتحسس و تلمس اللي هو
+
+198
+00:15:02,070 --> 00:15:06,010
+الجهاز الدوري من خلال الشريان السباتي و غالبا عن
+
+199
+00:15:06,010 --> 00:15:07,930
+الشريان السباتي هو موجود
+
+200
+00:15:10,460 --> 00:15:15,520
+موجود طبعا خلف الرقم .. طبعا في مقدمة العنق، في
+
+201
+00:15:15,520 --> 00:15:19,700
+مقدمة العنق، طبعا هنا القصبة الهوائية، طبعا هنا
+
+202
+00:15:19,700 --> 00:15:22,980
+الشريان السباتي الأيمن و هنا الشريان السباتي
+
+203
+00:15:22,980 --> 00:15:27,660
+الأيسر، إذا الشريان السباتي يقون بين الحنجرة وبين
+
+204
+00:15:27,660 --> 00:15:33,630
+عضلة العنق، فأضغط بإصبعية الوصفة والسبابةلمدة عشر
+
+205
+00:15:33,630 --> 00:15:37,530
+ثواني من خمس ثواني إلى عشر ثواني حتى أتأكد إن هناك
+
+206
+00:15:37,530 --> 00:15:41,690
+فيه نبض أو ما فيه نبض إذا كان باحتمال أول إذا كان
+
+207
+00:15:41,690 --> 00:15:46,370
+فيه نبض أستمر فقط بالتنفس الصناعي طبعا يعني البعض
+
+208
+00:15:46,370 --> 00:15:50,690
+هتساءل يعني ليش بعض الناس ممكن يكون هناك توقف أو
+
+209
+00:15:50,690 --> 00:15:54,950
+ضعف في عمل التنفس طبعا أكثر الأشياء التيقد تؤخر
+
+210
+00:15:54,950 --> 00:15:59,530
+عملية التنفس أو تضعف عملية التنفس إما المخدرات أو
+
+211
+00:15:59,530 --> 00:16:02,730
+التسمم بأول أكسيد الكربون اللي ناتج عنه غاز الفحم
+
+212
+00:16:04,130 --> 00:16:07,710
+إذا كان هناك نبض أستمر و لا يوجد تنفس أستمر
+
+213
+00:16:07,710 --> 00:16:12,730
+بالتنفس تقريبا كل 6 ثواني أعطي نفس و أنتظر لحين
+
+214
+00:16:12,730 --> 00:16:17,490
+خروج التنفس .. طبعا الزفير بالنسبة للضحية إذا لا
+
+215
+00:16:17,490 --> 00:16:22,050
+يوجد تنفس و لا يوجد نبض فهنا أبدأ بعمل تدليق القلب
+
+216
+00:16:22,050 --> 00:16:27,820
+مع التنفس الصناعي و تدليق القلبيبدأ بوضع الكفين
+
+217
+00:16:27,820 --> 00:16:34,740
+على منتصف الصدر بمعنى قسم عضمة القص أضع ثلاث أصابع
+
+218
+00:16:34,740 --> 00:16:39,960
+نظريا و أرفع أصبعين و أعلى من عضمة القص تقريبا
+
+219
+00:16:39,960 --> 00:16:44,860
+خمسة صنطي أنا بقضع الكفين .. بقضع الكفين و بضغط
+
+220
+00:16:44,860 --> 00:16:49,080
+طبعا الضغط هنا ما يقارب من أربعة إلى خمسة صنطي
+
+221
+00:16:49,080 --> 00:16:52,600
+أننا هنتحدث عن البالغين لحد الآنمن أربعة إلى خمسة
+
+222
+00:16:52,600 --> 00:16:56,940
+صانطي إلى أسفل طيب ليش أنا بضغط المسافة هذه حتى
+
+223
+00:16:56,940 --> 00:17:02,460
+أصل إلى عضلة القلب طبعا البطين الأيمن و البطين
+
+224
+00:17:02,460 --> 00:17:06,680
+الأيسر حتى يتم ضخ الدم من خلالهما إلى الرئتين و
+
+225
+00:17:06,680 --> 00:17:10,860
+إلى جميع عضاء الجسم طبعا الهواء الموجود داخل
+
+226
+00:17:10,860 --> 00:17:14,520
+الرئتين محمل بالكسوجين آخر نفس أخذه المريضمحمّل
+
+227
+00:17:14,520 --> 00:17:17,120
+المسجين حتى يتم الاستفادة من المسجين الموجود فيه
+
+228
+00:17:17,120 --> 00:17:20,940
+الرئتين وبالتالي تكون هناك دورة دموية كاملة
+
+229
+00:17:20,940 --> 00:17:23,940
+باستخدام الهواء الموجود داخل الرئتين المحمل
+
+230
+00:17:23,940 --> 00:17:28,820
+المسجين فأضغط تلاتين ضغطة طبعا تلاتين ضغطة انا
+
+231
+00:17:28,820 --> 00:17:34,360
+بضغطهم واليد مستقيمة طبعا سنحاول تطبيق هذا على
+
+232
+00:17:34,360 --> 00:17:38,840
+الأرض حالياطبعا الوضع الصحيح بالنسبة للضحية أضع
+
+233
+00:17:38,840 --> 00:17:42,700
+الكتف بالنسبة للضحية بين الرقبتين أو .. طبعا
+
+234
+00:17:42,700 --> 00:17:46,380
+الموصف بين الرقبتين الموصف تكون الكتف حتى يستطيع
+
+235
+00:17:46,380 --> 00:17:50,920
+الضغط على الرئتين وإعطاء النفس للصناعة من هنا نبدأ
+
+236
+00:17:50,920 --> 00:17:56,800
+بالضغط على الرئتين معدل ثلاثين ضغط اليدان مستقيمة
+
+237
+00:17:56,800 --> 00:18:03,420
+لا يمكن مفصل المتحرك هنا إلا مفصل الحوض وبالتالي
+
+238
+00:18:03,800 --> 00:18:08,360
+مضغط بالصورة التالية، بضغط كل الجسم، وبالتالي اضغط
+
+239
+00:18:08,360 --> 00:18:15,840
+واحد، اتنين، تلاتة، اربعة، خمسة، ستة، سبعة،
+
+240
+00:18:15,840 --> 00:18:20,560
+تمانية، تسعة، عشرة، واستمر بالضغط إلى ما يقار من
+
+241
+00:18:20,560 --> 00:18:24,900
+خمس عشر تانية، إذا خلال خمس عشر تانية اضغط ما يقار
+
+242
+00:18:24,900 --> 00:18:29,700
+من ثلاثين ضغطة، ثم انتقل إلى التنفس الاصطناعي،
+
+243
+00:18:29,700 --> 00:18:30,620
+اعطي نفسين
+
+244
+00:18:33,330 --> 00:18:37,710
+أعطي و أنظر إلى حركة الصدر، مع ملاحظة ثاني رفع
+
+245
+00:18:37,710 --> 00:18:42,150
+الدقل مع ثاني الرأس للخلف، طبعا، chin lift، hip
+
+246
+00:18:42,150 --> 00:18:47,510
+tilt، واعطاء النفسين، وألاحظ اعطاء النفس مع حركة
+
+247
+00:18:47,510 --> 00:18:52,260
+الصدرثم أعطي فرصة لخروج النفس الذي دخل على هيئة
+
+248
+00:18:52,260 --> 00:18:56,300
+شهير و من ثم يخرج على هيئة زفير و أعطاه نفس أخر
+
+249
+00:18:56,300 --> 00:19:01,720
+فيكون لدينا نفسين إذا خلال كل دقيقة نعطي ما يقارب
+
+250
+00:19:01,720 --> 00:19:08,120
+من 8 إلى 10 مرات تنفس بمعنى يكون بين كل نفس طبعا
+
+251
+00:19:08,120 --> 00:19:12,540
+خلال الدقيقة الواحدة يكون لدينا ما يقارب من 100
+
+252
+00:19:12,540 --> 00:19:17,880
+إلى 120 ضغطة على الصدروما يقارب من تمانية إلى عشر
+
+253
+00:19:17,880 --> 00:19:22,980
+مرات تجفوس الصناعي طبعا إلى متى أستمر بالعملية
+
+254
+00:19:22,980 --> 00:19:27,800
+هذه؟ أستمر بالعملية هذه إلى حين ضموع علامة الحياة
+
+255
+00:19:27,800 --> 00:19:32,380
+بدا المريض أو الضحية يستعيد وعيد إذا وصلت الخدمة
+
+256
+00:19:32,380 --> 00:19:37,760
+الطبية إذا أنا أجهدكإذا المريض تبدو عليه علامات
+
+257
+00:19:37,760 --> 00:19:42,140
+الموت و لا يستجيب، وهذا يعني إن هناك جسم بارد و لا
+
+258
+00:19:42,140 --> 00:19:45,980
+توجد عليه تغيير في لون البشرة بالنسبة للمريض أو
+
+259
+00:19:45,980 --> 00:19:50,260
+للباحية و بعد ذلك إذا استجاب المريض، فالاحتمال أول
+
+260
+00:19:50,260 --> 00:19:54,580
+إذا استجابه كان واعي، يختار عضالماسبله إذا المريض
+
+261
+00:19:54,580 --> 00:19:59,140
+بدأ يتنفس و القلب ينضج و كيف أعرف ذلك؟ طبعا يكون
+
+262
+00:19:59,140 --> 00:20:06,320
+هناك تقيين بعد تقيقتين الأولينتينمن سماع للنفسو
+
+263
+00:20:06,320 --> 00:20:11,920
+النبض، بداية إذا كان لا يتنفس أنتقل إلى النبض،
+
+264
+00:20:11,920 --> 00:20:16,840
+برضه الإحتمال يكون لدينا، إذا كان القلب بدأ يعمل و
+
+265
+00:20:16,840 --> 00:20:21,200
+التنفس متوقف أستمر بعمله التنفس، إذا لا زال القلب
+
+266
+00:20:21,200 --> 00:20:25,800
+متوقف و التنفس متوقف أستمر في عمله تدليق القلب و
+
+267
+00:20:25,800 --> 00:20:29,960
+عضلة .. تدليق عضلة القلب و التنفس للصناعي و كما
+
+268
+00:20:29,960 --> 00:20:34,040
+أذكرت أستمر لحالة بعين طبعا الظروف اللي أنا ذكرتها
+
+269
+00:20:34,040 --> 00:20:38,380
+أو الحاجات اللي ذكرتهاإذا كان الشخص الاحتمالي لخير
+
+270
+00:20:38,380 --> 00:20:42,080
+بدأ يتنفس و بدأ القلب يعمل و لا يزال فاقد للوعي،
+
+271
+00:20:42,080 --> 00:20:45,940
+طبعا يوضع في وظة الإفاقة، طبعا الإفاقة لديها قلية
+
+272
+00:20:45,940 --> 00:20:50,290
+خاصة سأوضحها بالتفصيل ان شاء الله تعالىبقى ذكرنا
+
+273
+00:20:50,290 --> 00:20:54,910
+أن هناك احتمالية قد يقوم هناك كسور في العنوق احنا
+
+274
+00:20:54,910 --> 00:20:57,570
+تحدثنا في هذا العدد من الكسور في العنوق لكن إذا
+
+275
+00:20:57,570 --> 00:21:01,710
+كان هناك احتمالية لكسور في العنوق طبعا رفع الذقن
+
+276
+00:21:01,710 --> 00:21:06,370
+لأعلى و رفعه ثاني لأصل الخلق هذا خطير جدا في هذا
+
+277
+00:21:06,370 --> 00:21:10,070
+الاشتباه أو طبعا تأكد أن هناك كسور طبعا ولا عامل
+
+278
+00:21:10,070 --> 00:21:17,100
+في ذلك طبعا هناك آلية ليعمل يتسحب الفك لأعلىمع عدم
+
+279
+00:21:17,100 --> 00:21:20,320
+تحريك العنوض إلا شيء بسيط جدا أو عدم تحريكها بطولة
+
+280
+00:21:20,320 --> 00:21:23,920
+أفضل، سحب الفك الأعلى، طبعا الحركة هادى، يعني
+
+281
+00:21:23,920 --> 00:21:26,760
+بالصورة اللى واحدة اللى جينا اوضحها، بالصورة هادى،
+
+282
+00:21:26,760 --> 00:21:31,220
+بقت غط بالصورة هادى، في حال اشتباه أن هناك قصور أو
+
+283
+00:21:31,220 --> 00:21:36,640
+قصور فعلا فيها العنوضفمن الخطأ جدا رفع الذقن لأعلى
+
+284
+00:21:36,640 --> 00:21:42,980
+وتحريق وثني الرأس للخلف لذلك فإننا نستخدم طريقة
+
+285
+00:21:42,980 --> 00:21:48,000
+طبعا هي باللغة العلمية Geo thrust وهذه معناها إن
+
+286
+00:21:48,000 --> 00:21:53,940
+أنا في قاعفي الفقاع الفك أعمل على تحريك .. تحريك
+
+287
+00:21:53,940 --> 00:21:58,920
+الفك وهذه طبعا تحرك معايا عملية قاعدة اللسان أو
+
+288
+00:21:58,920 --> 00:22:04,140
+قاعدة لسان وبالتالي أتيح المجال لدخول الهواء وأبدأ
+
+289
+00:22:04,140 --> 00:22:09,340
+بالتنفس الاصطناعي كما ذكرت طبعا نفسين مقابل ثلاثين
+
+290
+00:22:09,340 --> 00:22:13,720
+ضغط على القلب البعض يتساءلكيف يمكن محافظة على
+
+291
+00:22:13,720 --> 00:22:17,100
+الوضع بالنسبالي المريض؟ طبعا أي إنسان يكون فاقد
+
+292
+00:22:17,100 --> 00:22:21,600
+الوعي، معناه هناك فيه ارتخاء في عضلات الجسم، وفي
+
+293
+00:22:21,600 --> 00:22:26,440
+أي وضع أنت تضعمه، يبقى كما هو، وبالتالي إذا كان
+
+294
+00:22:26,440 --> 00:22:32,580
+هناك اشتباه في كسور نعمود فقري، لا يمكن رفع الدقن
+
+295
+00:22:32,580 --> 00:22:37,200
+لأعلى وخفض الرأس لأسفل، وإنما نستخدم الألية التي
+
+296
+00:22:37,200 --> 00:22:43,910
+ذكرناها Geothrust أو الدقتحتى أتيح الفرصة لدخول
+
+297
+00:22:43,910 --> 00:22:48,790
+الهواء إلى هذا الشخص هذا بالنسبة للإنسان البالغ
+
+298
+00:22:48,790 --> 00:22:54,750
+إذا كان هناك طفل صغير أو إذا كان هناك أرضية
+
+299
+00:22:54,750 --> 00:23:00,790
+بالنسبة للطفل الصغير كما هو مع البالغ تتم
+
+300
+00:23:00,790 --> 00:23:04,870
+الإجراءات و نبدأ بتدليق القلب ثم التنافس الصناعي
+
+301
+00:23:04,870 --> 00:23:10,370
+لكن بالنسبة للطفل الصغير قد نحتاج فقط يد واحدةولا
+
+302
+00:23:10,370 --> 00:23:15,130
+نحتاج بين او قد نحتاج تانية طبعا حسب عمر الطفل لو
+
+303
+00:23:15,130 --> 00:23:19,790
+ربما يكون هناك أناس آخرين مع المصعف قد يساعدوا في
+
+304
+00:23:19,790 --> 00:23:26,530
+هذا الموقف فنفس الفكرة هي ثلاثون ضغط على القلب مع
+
+305
+00:23:26,530 --> 00:23:33,210
+نفسين خلال دقيقتين أقوم بالمعاينة بدءا من التنفس
+
+306
+00:23:33,210 --> 00:23:39,250
+ثم عضلة القلب إذا كان هناك تنفس معناه القلب يعمل
+
+307
+00:23:39,540 --> 00:23:44,780
+إذا كان هناك أو إذا لم يكن التنفس موجود أنا أتأكد
+
+308
+00:23:44,780 --> 00:23:49,380
+القلب يعمل أو لا يعمل وكما ذكرت إذا كان القلب يعمل
+
+309
+00:23:49,380 --> 00:23:54,180
+لكن التنفس وقف فأبدأ بالتنفس الصناعي وطبعا يكون
+
+310
+00:23:54,180 --> 00:23:57,080
+أفضل إذا كان إنسان مساعد وبالتالي إذا كان هناك
+
+311
+00:23:57,080 --> 00:24:02,240
+مساعفين اتنين فشخص يقف عند رأس الضحية وشخص أخر في
+
+312
+00:24:02,240 --> 00:24:07,290
+المقابلعند مقابل الصدر حتى يكون هناك شخص يضغط على
+
+313
+00:24:07,290 --> 00:24:11,270
+الصدر وشخص يعطي .. طبعا عمل التنافس الصناعي ويكون
+
+314
+00:24:11,270 --> 00:24:15,790
+عملية التبادل حتى طبعا لا يرهق أحدهما و تكون عملية
+
+315
+00:24:15,790 --> 00:24:20,030
+أكتر يعني إيجابية و تكون فائدة فيها أكتر هذا
+
+316
+00:24:20,030 --> 00:24:23,990
+بالنسبة لطبعا السواء البارد أو الطفل الصغير أما
+
+317
+00:24:23,990 --> 00:24:27,710
+بالنسبة للأطفال الرُدع طبعا الأطفال الرُدع لهم
+
+318
+00:24:27,710 --> 00:24:32,330
+معاملة خاصة أو طبعا بعض إجراءات بسيطة المختلفة لهم
+
+319
+00:24:32,330 --> 00:24:37,640
+عامةأول شيء الطفل الوضيع حجم الرئاتين صغير مقارنة
+
+320
+00:24:37,640 --> 00:24:41,740
+بحجم الرئاتين طبعا الإنسان البالغ العُنق صغير
+
+321
+00:24:41,740 --> 00:24:45,500
+مقارنة بالإنسان البالغ وبالتالي هناك بعض الإجراءات
+
+322
+00:24:45,500 --> 00:24:50,120
+لكن كعدد هو عدد واحد تلاتين ضابطة مقابل نفسين لكن
+
+323
+00:24:50,120 --> 00:24:54,700
+مايكون واضح أن الطفل الصغير أنا ممكن أضع بين يديا
+
+324
+00:24:54,700 --> 00:25:00,860
+بالصورة التالية أول شيء طبعا بدي أحافظ أن يكون يدي
+
+325
+00:25:01,990 --> 00:25:06,230
+تحمي رأس الطفل، لأن طبعا رأس الطفل عضلة ضعيفة، عنق
+
+326
+00:25:06,230 --> 00:25:10,630
+الطفل عضلة ضعيفة، فأنا أتجنب عملية تانية لرأس
+
+327
+00:25:10,630 --> 00:25:15,090
+الطفل خوفا من الكسول إذا كان هناك سطح صالب، طبعا
+
+328
+00:25:15,090 --> 00:25:18,590
+الشيء بساعدني أكتر، لكن ده لما يوجد سطح صالب و أنا
+
+329
+00:25:18,590 --> 00:25:23,270
+بدي أحاول أن قادر الطفل، فأنا بعمل ضغط أو بعمل دعم
+
+330
+00:25:23,270 --> 00:25:28,710
+لرأس الطفل، و أول شيء أحاول أثناء الطفل شيء بسيط
+
+331
+00:25:29,260 --> 00:25:32,560
+حتى لا تقوم نسبة التانية كما هي موجودة في البارحين
+
+332
+00:25:32,560 --> 00:25:38,720
+وإدخال الخنصر لإحتماليته فيه أي جسم غريب داخل فم
+
+333
+00:25:38,720 --> 00:25:43,480
+الطفل والمساعد على إخراجها لأن طبعا لا يمكن إدخاله
+
+334
+00:25:43,480 --> 00:25:47,940
+سواء للبارح أو للطفل بالطريقة العمودية سواء الخنصر
+
+335
+00:25:47,940 --> 00:25:51,800
+أو السبابة لأنه إعتقد أن هناك شيء غريب فإنه مساعده
+
+336
+00:25:51,800 --> 00:25:55,470
+على إدخاله لأن هنا عملية sweeping أو عملية سحبلأي
+
+337
+00:25:55,470 --> 00:25:59,010
+جسم غريب للخارج وهي طبعا أيضا طريقة تساعد على
+
+338
+00:25:59,010 --> 00:26:03,870
+تحريك عضلة اللسان لأزاحتها أو زهزاحتها عن مجرد
+
+339
+00:26:03,870 --> 00:26:09,330
+التنفس طبعا بالنسبالي للطفل يكون الاعطاء النفسقبل
+
+340
+00:26:09,330 --> 00:26:13,290
+تضييق القلب، ليش؟ لأن طبعا .. يعني ال .. ال .. ال
+
+341
+00:26:13,290 --> 00:26:17,690
+.. كمية الأكسجين الموجودة في أبريقتين قليلة جدا
+
+342
+00:26:17,690 --> 00:26:20,610
+مقارنة بكمية الأكسجين الموجودة في أبريقتين البارق،
+
+343
+00:26:20,610 --> 00:26:24,810
+و هنا نبدأ بالنفسين، نبدأ بالنفسين إذا كان هناك
+
+344
+00:26:24,810 --> 00:26:29,550
+التنفس متوقف، لأن طبعا كما ذكرنا في القانون، أنظر،
+
+345
+00:26:29,550 --> 00:26:34,570
+استمع، استشعرأو تحسسه وبالتالي نبدأ بنفسين ويا
+
+346
+00:26:34,570 --> 00:26:39,290
+حبذا لو كان هناك قطعة تماش أو شاشة بصيفة حتى طبعا
+
+347
+00:26:39,290 --> 00:26:42,810
+تساعد عملية عملية دخول الهواء بطريقة آمنة وطريقة
+
+348
+00:26:42,810 --> 00:26:48,570
+صحية أفضل فنبدأ بنفسين ومن ثم نبدأ طبعا بعد ذلك
+
+349
+00:26:48,570 --> 00:26:52,450
+نستشع عملية النبض وعملية النبض دونها تختلف نوعا ما
+
+350
+00:26:52,450 --> 00:26:55,570
+بالنسبة للبرغين بالنسبة للبرغين ذكرنا من الشريان
+
+351
+00:26:55,570 --> 00:26:59,390
+السفاتي لكن بالنسبة للأطفال فنحن نذكر من الشريان
+
+352
+00:26:59,390 --> 00:27:04,970
+الغبطيالعنق بالنسبة للأطفال قصير جدا ولا يكون
+
+353
+00:27:04,970 --> 00:27:09,110
+الشريان الصباتي نبضه واضحا وبالتالي يكون لدينا
+
+354
+00:27:09,110 --> 00:27:13,390
+النبض في الشريان الإبطي هو أوضح و أسلم طريقة و
+
+355
+00:27:13,390 --> 00:27:17,190
+أفضل طريقة لاستشعار النبض فالاحتمال هو هناك ما في
+
+356
+00:27:17,190 --> 00:27:23,090
+الكبار إذا كان هناك نفس متوقف أو نفس ضعيف باعطي
+
+357
+00:27:23,090 --> 00:27:28,890
+نفسين اختبار أما إذا كان لا يوجد نفس ولا يوجد نبض
+
+358
+00:27:29,820 --> 00:27:34,160
+فانا أبدأ بالتنفس الصناعي و تدليك القلب على عكس
+
+359
+00:27:34,160 --> 00:27:37,660
+البلغين تدليك القلب و التنفس الصناعي و هذا طبعا
+
+360
+00:27:37,660 --> 00:27:42,740
+طريقة الحديثة كنا زمان نبدأ للبلغين و الأطفال تنفس
+
+361
+00:27:42,740 --> 00:27:45,260
+الصناعي و تدليك القلب، ده هنا بالنسبة للبلغين
+
+362
+00:27:45,260 --> 00:27:49,880
+تدليك عضة القلب و من ثم التنفس الصناعي أما بالنسبة
+
+363
+00:27:49,880 --> 00:27:54,160
+للأطفال التنفس الصناعي ثم تدليك عضة القلب و طبعا
+
+364
+00:27:54,160 --> 00:27:58,600
+سواء البلغين أو الأطفال في حال توقف التنفس و توقف
+
+365
+00:27:58,600 --> 00:28:02,440
+عضلة القلبالقالية تكون بالنسبة للأطفال، بالضغط
+
+366
+00:28:02,440 --> 00:28:07,300
+بأصبعين بين حلمتي الصدر، أصبعين، تلاتين ضغطة، ما
+
+367
+00:28:07,300 --> 00:28:12,310
+يقارب من اتنين إلى تلاتة صنتي فقطنحن اللي بنساعدنا
+
+368
+00:28:12,310 --> 00:28:16,450
+لضخ الدم المورور في القلب أو في البطين أيمن أو
+
+369
+00:28:16,450 --> 00:28:19,710
+أيسى ينتقل للدورة الدمون الصغرى أو الدورة الدمون
+
+370
+00:28:19,710 --> 00:28:24,110
+الكبرى أو لرقتين أو باقي جسم حتى يتم توزيع دم
+
+371
+00:28:24,110 --> 00:28:27,510
+المحمل المسجين وخاصة إلى الدماغ حتى يقوم الدماغ
+
+372
+00:28:27,510 --> 00:28:32,350
+بالوظيفة الصحيحة له ويقوم بإصدار الأمر الصحيحة
+
+373
+00:28:32,350 --> 00:28:37,610
+فنبدأ بتلاتين بعد نفسين للطفل نبدأ بتلاتين ضغط على
+
+374
+00:28:37,610 --> 00:28:43,240
+الصدمواحد اتنين تلاتة اربعة خمسة طبعا تكون الوثيرة
+
+375
+00:28:43,240 --> 00:28:47,480
+يعني منطبقة لا اقول واحد اتنين تلاتة لأ واحد اتنين
+
+376
+00:28:47,480 --> 00:28:51,340
+طبعا هذه إمكانية ليعطاء القلب الفرصة لتوزيع الدم
+
+377
+00:28:51,340 --> 00:28:55,500
+على أجزاء الجسم كلها و تبادل غازات داخل الرأتين
+
+378
+00:28:55,500 --> 00:28:59,440
+طبعا يتم التقييم إذا كان هنا طبعا بعد دقيقتين أيضا
+
+379
+00:28:59,440 --> 00:29:02,500
+كما هو في البالغين بعد دقيقتين إذا كان
+
+380
+00:29:05,620 --> 00:29:09,620
+النفس أو النفس ضعيف نتأكد مرة أخرى من القلب إذا
+
+381
+00:29:09,620 --> 00:29:13,100
+كان القلب يعمل نستمر في عملية التنفس اللي هي طبعا
+
+382
+00:29:13,100 --> 00:29:15,320
+يقولنا هنا لإيه لإيه لإيه لإيه لإيه لإيه لإيه لإيه
+
+383
+00:29:15,320 --> 00:29:18,180
+لإيه لإيه لإيه لإيه لإيه لإيه لإيه لإيه لإيه لإيه
+
+384
+00:29:18,180 --> 00:29:19,860
+لإيه لإيه لإيه لإيه لإيه لإيه لإيه لإيه لإيه لإيه
+
+385
+00:29:19,860 --> 00:29:21,720
+لإيه لإيه لإيه لإيه لإيه لإيه لإيه لإيه لإيه لإيه
+
+386
+00:29:21,720 --> 00:29:26,650
+لإيه لإيه لإيه لإيه لإيه لوبالتالي عملية التنفس
+
+387
+00:29:26,650 --> 00:29:31,130
+الصناعي و تبليغ القلب هي عملية ضرورية جدا مهمة في
+
+388
+00:29:31,130 --> 00:29:34,570
+عملية إنقاذ الهيأت طبعا إذا الدماغ تأخر عنه ممكن
+
+389
+00:29:34,570 --> 00:29:39,030
+أن يستمر الدماء ال oxygen مقطع عن الدماغ مقارن من
+
+390
+00:29:39,030 --> 00:29:42,410
+أقل من 4 دقايق لكن إذا اتعدى هذه المرحلة فهو طبعا
+
+391
+00:29:42,410 --> 00:29:46,830
+يعني هناك رمزون أخ حماربأن هناك خطورة على الدماء
+
+392
+00:29:46,830 --> 00:29:50,750
+وتأثير وخاصة على المنطقة التي ينقطعنها الدم المحمل
+
+393
+00:29:50,750 --> 00:29:55,430
+المسجين لكن إذا اتعدى 6 دقائق فهذه مرحلة خطيرة جدا
+
+394
+00:29:55,430 --> 00:29:59,850
+قد تؤدي إلى وفاة أو موت خلايا الدماء وطبعا يصبح
+
+395
+00:29:59,850 --> 00:30:04,970
+الإنسان يعني يعني عايش على اللي هو التنفس الصناعي
+
+396
+00:30:04,970 --> 00:30:08,030
+من خلال الجهاز أو المكينة عندما كان فيه ventilator
+
+397
+00:30:08,030 --> 00:30:12,850
+وبالتالي موت خلايا الدماء طبعا لا يصدر الأوامر ومن
+
+398
+00:30:12,850 --> 00:30:17,000
+هناالدقائق الأولى في عملية إنقاذ الحياة، في عملية
+
+399
+00:30:17,000 --> 00:30:20,440
+إدخال السجين، في عملية تبليغ القلب، هي أهم دقائق
+
+400
+00:30:20,440 --> 00:30:25,380
+في إنقاذ حياة الضحية، طبعا هذه من ناحية دنيوية،
+
+401
+00:30:25,380 --> 00:30:29,380
+لكن كام الأجر كبير يكون عند الله إذا أحنا ساعدنا
+
+402
+00:30:29,380 --> 00:30:34,540
+هذا الضحية أو هذه الضحية؟لربما يصادفنا في غير
+
+403
+00:30:34,540 --> 00:30:38,480
+مناسبة هناك شخص ملقى على الأرض لكن هذا الشخص لا
+
+404
+00:30:38,480 --> 00:30:43,320
+نعرف مدى الوضع الصحي الموجود لديه، هل هو يتنفس أو
+
+405
+00:30:43,320 --> 00:30:47,360
+لا يتنفس، هل القلب ينبض أو لا ينبض، طبعا من واجبنا
+
+406
+00:30:47,360 --> 00:30:52,560
+يعني كمسعفين أو كمقدمي صحة أن نتأكد أن هناكإمكانية
+
+407
+00:30:52,560 --> 00:30:57,040
+للمساعدة أو لا طبعا كبداية هو أمان المكان حتى أقوم
+
+408
+00:30:57,040 --> 00:31:01,640
+بتقديم الخدمة وحتى لا أؤذي نفسي في حال واجهنا شخص
+
+409
+00:31:01,640 --> 00:31:05,560
+ملقى على الأرض ونريد أن نساعد هذا الشخص من باب
+
+410
+00:31:05,560 --> 00:31:10,060
+الخدمة الإنسانية ومن باب طبيعة العمل الإنساني
+
+411
+00:31:10,060 --> 00:31:15,180
+كمسعفين فإننا نتأكد من أول شيء الخطورة الموجودة في
+
+412
+00:31:15,180 --> 00:31:18,290
+المكان إذا كان مكان آمن أو غير آمنالخطوة الثانية
+
+413
+00:31:18,290 --> 00:31:21,670
+نتأكد من درجة وعي الشخص هل هو واعي أو غير واعي
+
+414
+00:31:21,670 --> 00:31:25,530
+طبعا بذلك بمنادات الشخص أو هزكة في الشخص أو قرص
+
+415
+00:31:25,530 --> 00:31:28,330
+الشخص بمنطقة معينة على سبيل المثال من الأدن إذا
+
+416
+00:31:28,330 --> 00:31:32,430
+كان هناك استجابة فيختار الشخص الوضع المناسب الذي
+
+417
+00:31:32,430 --> 00:31:36,070
+يرحيهه أما إذا كان لا يوجد استجابة لهذا الشخص فأنا
+
+418
+00:31:36,070 --> 00:31:40,150
+أقوم باستخدام القوانين الإسعافية الأولية وهي أنظر،
+
+419
+00:31:40,150 --> 00:31:44,350
+استمع، استشعر بما أن أنا أنظر لحركة النفس، هل هناك
+
+420
+00:31:44,350 --> 00:31:47,760
+فيه نفس أو ما فيه نفسقال في حركة صدر او مافي حركة
+
+421
+00:31:47,760 --> 00:31:52,680
+صدر انظر للشخص فطبعا استمع ليه الشخص هناك نفس او
+
+422
+00:31:52,680 --> 00:31:57,860
+مافي نفس واستشعر او تحسس هل هناك في حركة للصدر ام
+
+423
+00:31:57,860 --> 00:32:02,740
+لا، اذا كان هناك في حركة للصدر وفي نفس يعني انا
+
+424
+00:32:02,740 --> 00:32:06,330
+هستخدمها الآن وضع ليها فاقةطبعا الوضع الإفاقة أنا
+
+425
+00:32:06,330 --> 00:32:12,070
+بستخدمه في حال هناك شخص فاقد للوعي يتنفس والقلب
+
+426
+00:32:12,070 --> 00:32:17,350
+لديه ينبض وهو كالتالي سأقوم الآن بكفية التعامل مع
+
+427
+00:32:17,350 --> 00:32:21,250
+هذا شخص فاقد الوعي الذي يتنفس والقلب لديه ينبض في
+
+428
+00:32:21,250 --> 00:32:25,010
+وضعه وضع الإفاقة وهو بالصورة الآن طبعا وضع الإفاقة
+
+429
+00:32:25,010 --> 00:32:28,210
+يساعد على الحفاظ على عملية التنفس بصورة طبيعية
+
+430
+00:32:28,790 --> 00:32:35,490
+الوضع الأول أن أن أضع هذه اليد باستقامة الجسم اليد
+
+431
+00:32:35,490 --> 00:32:41,310
+الأخرى لأعلى وأقوم بسحب الشخص من الوسط والكتف
+
+432
+00:32:41,310 --> 00:32:46,790
+بصورة آتية وأعمل
+
+433
+00:32:46,790 --> 00:32:53,150
+علىعلى استدارة الوجه طبعا الوضع كالتالي نضع اليد
+
+434
+00:32:53,150 --> 00:32:58,810
+بجوار الجنب أو بجوار الشخص بحد ذاته ولا اليد
+
+435
+00:32:58,810 --> 00:33:05,430
+الأخرى لأعلى وأقوم بسحب من الكتف والوسط لهذا الشخص
+
+436
+00:33:05,430 --> 00:33:11,810
+بالصورة القاتية مع المحافظة على رفع الذقن ووضع
+
+437
+00:33:11,810 --> 00:33:19,440
+الكف أسفل من الجد أما اليد الأخرىفاساعد على وضعها
+
+438
+00:33:19,440 --> 00:33:29,030
+للخلف وهنا اليد إذنالساق والفقد باتجاه للأمام
+
+439
+00:33:29,030 --> 00:33:35,930
+والكتف مع المرفق للأمام وليت تكون أسفل الخد حتى
+
+440
+00:33:35,930 --> 00:33:41,050
+يساعد في عملية التنفس وخروج أي جسم غريب للخارج هذه
+
+441
+00:33:41,050 --> 00:33:45,990
+طبعا وضع يبقى فيها الشخص في حال كان فاقدا للوعي
+
+442
+00:33:45,990 --> 00:33:51,050
+يتنفس والقلب ينبض وهذا هو ما يقال له وضع الإفاقة
+
+443
+00:33:51,440 --> 00:33:57,060
+هذا الوضع يا أخوانا هو وضع مهم جدا ويطلق عليه وضع
+
+444
+00:33:57,060 --> 00:34:01,800
+الإفاقة الذي من خلاله نلاحظ أن جزء من الصدر معلق
+
+445
+00:34:01,800 --> 00:34:07,760
+ويساعد في ذلك الكتف مع المرفق للمساعدة على رفع جزء
+
+446
+00:34:07,760 --> 00:34:13,180
+من الصدر الملاحظة الأخرى أن وجه الشخص لإجانبوالذقن
+
+447
+00:34:13,180 --> 00:34:18,640
+لأعلى وهذا مما يسهل من عملية التنفس ولو حصل أن خرج
+
+448
+00:34:18,640 --> 00:34:23,560
+شيء من المعدة إلى الفم معناه الاستفراغ فيكون
+
+449
+00:34:23,560 --> 00:34:28,220
+للخارج أيضا لا يستطيع هذا الشخص سواء القلب إلى
+
+450
+00:34:28,220 --> 00:34:35,180
+اليسار أو إلى اليمين بوجود طبعا القدمالساق السفلى
+
+451
+00:34:35,180 --> 00:34:40,420
+مع المرفق الأعلى باتجاه واحد ومن ناحية الخلفية هنا
+
+452
+00:34:40,420 --> 00:34:46,800
+طبعا طبعا تمدد لفخذ مع الساق و الذراع العلوية فهذا
+
+453
+00:34:46,800 --> 00:34:51,480
+مانع لأن ينقلب المريض أو الضحية للخلف أو للأمام
+
+454
+00:34:51,480 --> 00:34:57,100
+وهذا هو وضع آمن جدا في حال كان شخص فاقدا للوعي
+
+455
+00:34:57,100 --> 00:35:02,300
+يتنفس والقلب يديه ينبض شكرا مبارك الله فيكم
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/NM0Y4v8qYFw_raw.json b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/NM0Y4v8qYFw_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..b4dc37aeca1b444931a6e79ee092906c26a4215f
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/NM0Y4v8qYFw_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 842, "start": 5.3, "end": 8.42, "text": "بسم الله الرحمن الرحيم السلام عليكم ورحمة الله وبركاته", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 21136, 37440, 25894, 24793, 4032, 2288, 35571, 3660, 21984, 4032, 26890, 4117, 9307, 3224], "avg_logprob": -0.055623373637596764, "compression_ratio": 1.3888888888888888, "no_speech_prob": 0.0, "words": [{"start": 5.3, "end": 5.58, "word": "بسم", "probability": 0.91357421875}, {"start": 5.58, "end": 5.68, "word": " الله", "probability": 0.95556640625}, {"start": 5.68, "end": 6.02, "word": " الرحمن", "probability": 0.9778645833333334}, {"start": 6.02, "end": 6.42, "word": " الرحيم", "probability": 0.9930013020833334}, {"start": 6.42, "end": 6.72, "word": " السلام", "probability": 0.842041015625}, {"start": 6.72, "end": 7.04, "word": " عليكم", "probability": 0.917236328125}, {"start": 7.04, "end": 7.44, "word": " ورحمة", "probability": 0.913818359375}, {"start": 7.44, "end": 7.66, "word": 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"end": 2074.5, "word": "الساق", "probability": 0.9705810546875}, {"start": 2074.5, "end": 2075.18, "word": " السفلى", "probability": 0.7797037760416666}, {"start": 2075.18, "end": 2075.92, "word": " مع", "probability": 0.96826171875}, {"start": 2075.92, "end": 2076.68, "word": " المرفق", "probability": 0.9816080729166666}, {"start": 2076.68, "end": 2077.22, "word": " الأعلى", "probability": 0.978515625}, {"start": 2077.22, "end": 2078.0, "word": " باتجاه", "probability": 0.932373046875}, {"start": 2078.0, "end": 2078.36, "word": " واحد", "probability": 0.9931640625}, {"start": 2078.36, "end": 2078.84, "word": " ومن", "probability": 0.8837890625}, {"start": 2078.84, "end": 2079.2, "word": " ناحية", "probability": 0.978515625}, {"start": 2079.2, "end": 2079.92, "word": " الخلفية", "probability": 0.9324544270833334}, {"start": 2079.92, "end": 2080.42, "word": " هنا", "probability": 0.83837890625}, {"start": 2080.42, "end": 2081.12, "word": " طبعا", "probability": 0.927978515625}, {"start": 2081.12, "end": 2081.96, "word": " طبعا", "probability": 0.82684326171875}, {"start": 2081.96, "end": 2082.96, "word": " تمدد", "probability": 0.845703125}, {"start": 2082.96, "end": 2083.64, "word": " لفخذ", "probability": 0.5379638671875}, {"start": 2083.64, "end": 2083.84, "word": " مع", "probability": 0.978515625}, {"start": 2083.84, "end": 2084.4, "word": " الساق", "probability": 0.99560546875}, {"start": 2084.4, "end": 2084.88, "word": " و", "probability": 0.599609375}, {"start": 2084.88, "end": 2085.42, "word": " الذراع", "probability": 0.9046223958333334}, {"start": 2085.42, "end": 2085.98, "word": " العلوية", "probability": 0.9830322265625}, {"start": 2085.98, "end": 2086.8, "word": " فهذا", "probability": 0.9625651041666666}, {"start": 2086.8, "end": 2087.44, "word": " مانع", "probability": 0.9524739583333334}, {"start": 2087.44, "end": 2087.8, "word": " لأن", "probability": 0.864013671875}, {"start": 2087.8, "end": 2088.3, "word": " ينقلب", "probability": 0.98388671875}, {"start": 2088.3, "end": 2089.06, "word": " المريض", "probability": 0.98681640625}, {"start": 2089.06, "end": 2089.42, "word": " أو", "probability": 0.822265625}, {"start": 2089.42, "end": 2089.88, "word": " الضحية", "probability": 0.901611328125}, {"start": 2089.88, "end": 2090.46, "word": " للخلف", "probability": 0.9230143229166666}, {"start": 2090.46, "end": 2090.98, "word": " أو", "probability": 0.88623046875}, {"start": 2090.98, "end": 2091.48, "word": " للأمام", "probability": 0.834228515625}, {"start": 2091.48, "end": 2092.14, "word": " وهذا", "probability": 0.875244140625}, {"start": 2092.14, "end": 2092.32, "word": " هو", "probability": 0.97509765625}, {"start": 2092.32, "end": 2092.56, "word": " وضع", "probability": 0.9928385416666666}, {"start": 2092.56, "end": 2093.1, "word": " آمن", "probability": 0.92919921875}, {"start": 2093.1, "end": 2093.66, "word": " جدا", "probability": 0.98095703125}, {"start": 2093.66, "end": 2094.36, "word": " في", "probability": 0.890625}, {"start": 2094.36, "end": 2094.84, "word": " حال", "probability": 0.996826171875}, {"start": 2094.84, "end": 2095.6, "word": " كان", "probability": 0.99267578125}, {"start": 2095.6, "end": 2095.96, "word": " شخص", "probability": 0.9970703125}, {"start": 2095.96, "end": 2096.54, "word": " فاقدا", "probability": 0.7891845703125}, {"start": 2096.54, "end": 2097.1, "word": " للوعي", "probability": 0.96728515625}, {"start": 2097.1, "end": 2098.34, "word": " يتنفس", "probability": 0.98583984375}, {"start": 2098.34, "end": 2099.1, "word": " والقلب", "probability": 0.8904622395833334}, {"start": 2099.1, "end": 2099.98, "word": " يديه", "probability": 0.8837890625}, {"start": 2099.98, "end": 2100.68, "word": " ينبض", "probability": 0.7611083984375}, {"start": 2100.68, "end": 2101.44, "word": " شكرا", "probability": 0.8924153645833334}, {"start": 2101.44, "end": 2101.8, "word": " مبارك", "probability": 0.8302001953125}, {"start": 2101.8, "end": 2101.92, "word": " الله", "probability": 0.9609375}, {"start": 2101.92, "end": 2102.3, "word": " فيكم", "probability": 0.89453125}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2102.8223125, "duration_after_vad": 2050.8412499999968}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/NM0Y4v8qYFw_raw.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/NM0Y4v8qYFw_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..fe9c6f2a1a265cfee4facacad994af7fb8898f29
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/NM0Y4v8qYFw_raw.srt
@@ -0,0 +1,1820 @@
+1
+00:00:05,300 --> 00:00:07,660
+بسم الله الرحمن الرحيم السلام عليكم ورحمة الله
+
+2
+00:00:07,660 --> 00:00:13,140
+وبركاتهحقيقة إن أغلى ما يمتلكه الإنسان هو الحياة
+
+3
+00:00:13,140 --> 00:00:17,340
+والصحة وبالتالي إذا أردنا نتحدث عن الحياة فيجب
+
+4
+00:00:17,340 --> 00:00:21,280
+علينا أن نتحدث كيف ننقض هذه الحياة ونقلل من
+
+5
+00:00:21,280 --> 00:00:25,360
+المضاعفات التي قد تصيب الشخص إذا أثبت هذه الحياة
+
+6
+00:00:25,360 --> 00:00:29,440
+أو أثبت هذه الحياة أي مشكلة صحية وكذلك كيف نحافظ
+
+7
+00:00:29,440 --> 00:00:33,740
+على هذه الحياة ومن هنا يجب علينا أن ندخل إلى مدخل
+
+8
+00:00:33,740 --> 00:00:38,400
+بصير من خلالالشيء المهم قاله وهو الإسعافات الأولية
+
+9
+00:00:38,400 --> 00:00:42,560
+التي من خلالها نحن ننقذ حياة الإنسان ونحافظ عليها
+
+10
+00:00:42,560 --> 00:00:46,980
+ونقلل من المضاعفات التي قد تحدث نتيجة إصابة معينة
+
+11
+00:00:46,980 --> 00:00:51,480
+وقد تكون هذه إصابة وسيطة لكن هناك مشكلة في عملية
+
+12
+00:00:51,480 --> 00:00:55,380
+النقل أو عملية التعامل مع هذه الحالة وبالتالي
+
+13
+00:00:55,380 --> 00:00:58,680
+حينما نتحدث عن الإسعافات الأولية فإننا نبدأ
+
+14
+00:00:58,680 --> 00:01:04,300
+بتعريفها قاله وهيالخدمات المتوفرة كيف نستخدمها و
+
+15
+00:01:04,300 --> 00:01:08,500
+بأقل الإمكانيات و أما بالنسبة للتعريف فهو ابدا
+
+16
+00:01:08,500 --> 00:01:14,300
+القيمة العلمية التي من خلالها أنا استطيع أن أساعد
+
+17
+00:01:14,300 --> 00:01:19,860
+هذا الشخص فهي كيف أمكن حياة الإنسان من خلال تقديم
+
+18
+00:01:19,860 --> 00:01:24,740
+الإسعافات الأولية فهي الرعاية الأولية المقدمة لأي
+
+19
+00:01:24,740 --> 00:01:29,960
+شخص أصيب بحالة أو مرض مفاجئ وبالتاليهذا المرض
+
+20
+00:01:29,960 --> 00:01:35,360
+المفاجئ قد يكون عروضه غير ماضحة على سبيل مثال مرض
+
+21
+00:01:35,360 --> 00:01:39,480
+الضغط أو مرض السكر لكن الاتحاد إذا اتعرض لأي مشكلة
+
+22
+00:01:39,480 --> 00:01:43,840
+صحية أو مشكلة نفسية قد تحدث تطورات خطيرة على حياة
+
+23
+00:01:43,840 --> 00:01:47,260
+هذا الإنسان وبالتالي الرعاية المقدمة لإنقاذ الشخص
+
+24
+00:01:47,260 --> 00:01:50,240
+الذي يصيب حالة المرض المفاجئ اللي هي وصول الخدمة
+
+25
+00:01:50,240 --> 00:01:54,370
+الطبية أو نقله إلى مركز صحي هو ما نريدتوضيحه حول
+
+26
+00:01:54,370 --> 00:01:57,310
+الإسعافات الأولية وبالتالي هناك أهداف أساسية
+
+27
+00:01:57,310 --> 00:02:01,530
+بالنسبالي للإسعافات الأولية وهي إنقاذ حياة المصارق
+
+28
+00:02:01,530 --> 00:02:05,550
+الحفاظ على حياته وتقليل من المضاعفين ولكل علم
+
+29
+00:02:05,550 --> 00:02:11,810
+قوانين مهمة ولكل علم أساسيات مهمة وهنا لدينا من
+
+30
+00:02:11,810 --> 00:02:15,790
+يقدم هذه الخدمة إلى وهو المصعد والذي تنطبق عليه
+
+31
+00:02:15,790 --> 00:02:21,840
+شروط مهمة من خلاليعني يستطيع هذا الإنسان أن يكون
+
+32
+00:02:21,840 --> 00:02:25,920
+ملمب هذه المادة من ناحية علمية وعملية ولديه شهادة
+
+33
+00:02:25,920 --> 00:02:30,080
+معتمدة بها من المركز معتمد به ومن خلالها يستطيع
+
+34
+00:02:30,080 --> 00:02:33,640
+تقديم الخدمة الأولية أو الرعاية الأولية لأي مصاب
+
+35
+00:02:33,640 --> 00:02:38,400
+لذلك فلدينا بعض القوانين التي من خلالها نحن نتعامل
+
+36
+00:02:38,400 --> 00:02:43,220
+مع جميع الضحايا التي قد تكون أصيبات بمشكلة صحية أو
+
+37
+00:02:43,220 --> 00:02:46,520
+مرض مفاجئأول قانون بالنسبة للقوانين الإسعافي
+
+38
+00:02:46,520 --> 00:02:50,960
+الأولى هو انظر فكر اعمل وسنضهم بالتفصيل القانون
+
+39
+00:02:50,960 --> 00:02:56,000
+الثاني انظر استمع استشعر أو تحسس القانون الثالث
+
+40
+00:02:56,000 --> 00:03:00,400
+مجرة التنفس عملية التنفس الدورة قدامه هي أما
+
+41
+00:03:00,400 --> 00:03:06,270
+القانون الرابع فهو CBR أو الإنعاش القلب رعوةلو
+
+42
+00:03:06,270 --> 00:03:10,490
+بدأنا بالقانون الأول وهو كيف أنا أقيم الحالة
+
+43
+00:03:10,490 --> 00:03:15,750
+وبالتالي يجب حينما نواجه أي مشكلة صحية لأي إنسان
+
+44
+00:03:15,750 --> 00:03:19,530
+أو أي إنسان كان واجه مشكلة صحية يجب علينا أن نعلم
+
+45
+00:03:19,530 --> 00:03:25,050
+أن الخطر الواقع على الشخص لا معارض أنفسنا نحن لهذا
+
+46
+00:03:25,050 --> 00:03:28,930
+الخطر وبالتالي هنا قاعدة مهمة أو يعني قاعدة لغوية
+
+47
+00:03:28,930 --> 00:03:33,760
+مهمة هي أن سلامة المصاب من سلامة المكانوليس سلامة
+
+48
+00:03:33,760 --> 00:03:37,640
+المكان من سلامة المصاب بمعنى أنا أهتم بسلامة
+
+49
+00:03:37,640 --> 00:03:41,280
+المصاب وإذا كان المكان آمن فانا أقدم الخدمة
+
+50
+00:03:41,280 --> 00:03:44,240
+الفورية أو الرعاية الفورية لهذا الشخص في نفس
+
+51
+00:03:44,240 --> 00:03:49,320
+المكان لكن إذا كان المكان غير آمن فإن أنا أنقل هذا
+
+52
+00:03:49,320 --> 00:03:53,320
+المصاب إلى مكان آمن حتى أستطيع تقديم الخدمة وهذا
+
+53
+00:03:53,320 --> 00:03:57,960
+ما نحصل به في القانون الأول انظر فكر اعمل وهذا ما
+
+54
+00:03:57,960 --> 00:04:02,620
+يتماشى معاكخطورة المكان، هل هناك خطورة في المكان؟
+
+55
+00:04:02,620 --> 00:04:06,460
+هل هناك خطورة تقع على الضحية أو وقع على الضحية و
+
+56
+00:04:06,460 --> 00:04:09,660
+قد أكون أنا ضحية أخرى على سبيل المثال إذا إنسان
+
+57
+00:04:09,660 --> 00:04:14,400
+كان يستطيع السباحة و رأى غريقا، هل يستطيع مساعدته
+
+58
+00:04:14,400 --> 00:04:18,080
+بالسباحة و يكون ضحية أخرى أو يستخدم وسائل أخرى؟
+
+59
+00:04:18,080 --> 00:04:21,640
+وبالتالي هنا نحن نقول إن قلة الإمكانيات في
+
+60
+00:04:21,640 --> 00:04:25,200
+الإسعافات الأولية لا تعني عدم تقديم الخدمة،
+
+61
+00:04:25,200 --> 00:04:29,610
+وبالتالي نحن في الإسعافات الأوليةنقدم مساعدة بأقل
+
+62
+00:04:29,610 --> 00:04:34,350
+الإمكانيات حتى لو بوسائل بسيطة وهذا ما يهتم به
+
+63
+00:04:34,350 --> 00:04:39,430
+المسحف خلال تقديمه الإسعافات الأولية العام الآخر
+
+64
+00:04:39,430 --> 00:04:41,270
+بعد الظبورة هي هل
+
+65
+00:04:43,820 --> 00:04:47,760
+أو هو واعي أو غير واعي، إذن هو عملية الوعي هل هو
+
+66
+00:04:47,760 --> 00:04:50,500
+واعي ولا غير واعي، سنتقل نهار بالتفسير عن هذه
+
+67
+00:04:50,500 --> 00:04:55,720
+العوامل الجزئية الثانية هي أنا أستطيع أن أنا
+
+68
+00:04:55,720 --> 00:05:00,000
+أستفيد من الناس الموجودين حوليا أو يساعدوني، لأن
+
+69
+00:05:00,000 --> 00:05:04,060
+كل مكان هناك وناس أنا ممكن من صفات المسكمة وصفات
+
+70
+00:05:04,060 --> 00:05:09,800
+المسح أن أنا أسخرهم أو أتعامل معهم حتى يساعدوني،
+
+71
+00:05:09,800 --> 00:05:14,580
+بعد ذلكهل هناك فيه تنفس أو مافيش تنفس؟ لذلك
+
+72
+00:05:14,580 --> 00:05:19,640
+فالقانون الثاني أُنظر، استمع، تحسس أو استشهد، وهذا
+
+73
+00:05:19,640 --> 00:05:23,140
+يعمد على عملية التنفس، هل هذا الشخص يتنفس؟
+
+74
+00:05:26,500 --> 00:05:30,120
+أو داخل مثلا في غيبوبة أو داخل في إغماق، هل هذا
+
+75
+00:05:30,120 --> 00:05:34,180
+الشخص قد بلع شيء معين، هل هذا الشخص لديه تشنجات،
+
+76
+00:05:34,180 --> 00:05:37,120
+هل هذا الشخص لديه صراع؟ ومنهم بتتم عملية التقييم،
+
+77
+00:05:37,120 --> 00:05:42,700
+هي أنظر .. أنظر إلى حركة صدر البحية، استمع هل هناك
+
+78
+00:05:42,700 --> 00:05:48,160
+فيه خروج ودخول هواء، واستشعر أو تحسس يدك على صدر
+
+79
+00:05:48,160 --> 00:05:51,900
+هذا الشخص، هل هناك فيه حركة انخفاض وانبصار ..
+
+80
+00:05:51,900 --> 00:05:56,110
+وانبصار بالنسبة للصدر؟أما بالنسبة للقانون الثالث،
+
+81
+00:05:56,110 --> 00:06:00,670
+وهو مجلة التنفس وعملية التنفس والدور الدموي وهذا
+
+82
+00:06:00,670 --> 00:06:05,230
+طبعا خلال كيفية تقييم الجهاز التنفسي اللي يعمل
+
+83
+00:06:08,530 --> 00:06:13,470
+وما هو التدخلي في هذا المجال؟ وبعد ذلك إذا لم يكن
+
+84
+00:06:13,470 --> 00:06:16,890
+هناك تنفس هل هناك فيه مبض أم لا؟ وبالتالي هذا
+
+85
+00:06:16,890 --> 00:06:20,370
+القانون يعني يدلنا أن بعض الحالات التي قد موجمة
+
+86
+00:06:20,370 --> 00:06:25,590
+إنسان قد يكون لديه مبض ويكون التنفس متوقف بسبب
+
+87
+00:06:25,590 --> 00:06:30,090
+إغلاق مجرى التنفس أو إنسان آخر التنفس متوقف والمبض
+
+88
+00:06:30,090 --> 00:06:32,330
+متوقف أو إنسان آخر
+
+89
+00:06:41,770 --> 00:06:46,790
+أما القانون الرابع إذا لم يكن هناك تنفس ولم يكن
+
+90
+00:06:46,790 --> 00:06:47,250
+هناك او
+
+91
+00:06:51,120 --> 00:06:56,280
+فما يجب علينا هو عملية تدليق عضلة القلب ثم التنفس
+
+92
+00:06:56,280 --> 00:07:00,500
+الاصطناعي إذا كان بالغا اما بالنسبة للأطفال فنبدأ
+
+93
+00:07:00,500 --> 00:07:04,800
+بالتنفس الاصطناعي ومن ثم بعد ذلك نبدأ بتدليق عضلة
+
+94
+00:07:04,800 --> 00:07:08,220
+القلب طبعا هذه أرقام و هذه الكلمات لها معييرها و
+
+95
+00:07:08,220 --> 00:07:12,860
+لها اعتبارات من ناحية رقمية كم مضة كم ضغط على
+
+96
+00:07:12,860 --> 00:07:17,180
+الصدر و أي مكان أنا أضغط به و أيضا كم مرة من
+
+97
+00:07:17,180 --> 00:07:21,060
+التنفسوكم هي المدة التي من خلالها أقوم بعملية
+
+98
+00:07:21,060 --> 00:07:24,500
+التنفس وإلى متى أستمر في عملية التنفس و تدليق
+
+99
+00:07:24,500 --> 00:07:30,380
+القلب هذا ما نراه ان شاء الله في الوقت الآتي من
+
+100
+00:07:30,380 --> 00:07:36,460
+عملية تدليق القلب و التنفس الصناعي سنحاول توضيح
+
+101
+00:07:36,460 --> 00:07:40,220
+بعض الأشياء الخاصة بالمجال العملي من ناحية التنفس
+
+102
+00:07:40,220 --> 00:07:44,200
+الصناعي و تدليق عضلة القلبطبعا هناك بعض الأشياء
+
+103
+00:07:44,200 --> 00:07:49,420
+المهمة اللتي اود ان اوضحها اللي وهي هل المكان آمن
+
+104
+00:07:49,420 --> 00:07:53,300
+او غير آمن وكما ذكرت فإن سلامة المصاب من سلامة
+
+105
+00:07:53,300 --> 00:07:58,420
+المكان وهذا يعني أن هناك إذا كان خطورة على المصحف
+
+106
+00:07:58,420 --> 00:08:04,020
+فيجب أن يستعين بطرق أخرى لمحاولة ان يقاد هذا الشخص
+
+107
+00:08:04,020 --> 00:08:07,860
+من المكان ويخرجه إلى مكان آمن يبقى كبداية حينما
+
+108
+00:08:07,860 --> 00:08:11,290
+أجد أي إنسان موقع على الغرضوليس بالضرورة يكون
+
+109
+00:08:11,290 --> 00:08:17,330
+ميتا، لذلك فانا أحاول أن أستوضح الأمر من خلال أول
+
+110
+00:08:17,330 --> 00:08:22,410
+قانون ألا وهو انظر فكر اعمل بمعنى أطمئن أن هناك هل
+
+111
+00:08:22,410 --> 00:08:26,390
+ليه خطورة أو لا يوجد خطورة، إذا كانوا المكان آمن
+
+112
+00:08:26,390 --> 00:08:30,150
+فأنا أستطيع أقدم هذه الخدمة، إذا كان المكان غير
+
+113
+00:08:30,150 --> 00:08:34,090
+آمن، وهذا ممكن ما نراحده في حالة مثلا بعض الحركات
+
+114
+00:08:34,090 --> 00:08:38,540
+اللي بتحدثفي بعض العمارات أو البيوت السكنية، فإن
+
+115
+00:08:38,540 --> 00:08:42,480
+أول شي يقوم به رجال مقاد هو إخراج الضحية للخارج أو
+
+116
+00:08:42,480 --> 00:08:48,240
+إذا كان هناك مثلا مكان بيه استخدام الفحموحصل هناك
+
+117
+00:08:48,240 --> 00:08:51,560
+تسمم فيتم إخراج الضحية من الخارج حتى يتم إنقاذها
+
+118
+00:08:51,560 --> 00:08:56,240
+يبقى الخطوة الأولى عملية الأمان في المكان الخطوة
+
+119
+00:08:56,240 --> 00:09:00,140
+الثانية مدى وعي الضحية طبعا أي شخص طبعا يعتبر ضحية
+
+120
+00:09:00,140 --> 00:09:02,960
+في الحالة هذه يبقى النقطة التانية ل responsiveness
+
+121
+00:09:02,960 --> 00:09:07,360
+responsiveness على و هي درجة وعي الشخص وكيف أنا
+
+122
+00:09:07,360 --> 00:09:11,660
+أستطيع تحديد درجة وعي الشخص من خلاله أولا يجب
+
+123
+00:09:11,660 --> 00:09:13,360
+علينا عدم هز الشخص
+
+124
+00:09:17,160 --> 00:09:23,040
+واعية بحية طبعا أنا بالمنادة بممكن فرق شحمة الأذن
+
+125
+00:09:23,040 --> 00:09:28,940
+أو ربط على الكتف أو المنادة هل تسمعني؟ أنت بخير؟
+
+126
+00:09:28,940 --> 00:09:33,580
+وهذه هي المصطلحات التي من خلالها أستطيع أن أتأكد
+
+127
+00:09:33,580 --> 00:09:36,300
+أن الشخص واعي أو غير طبعا هناك عدة احتمالات
+
+128
+00:09:36,300 --> 00:09:40,900
+الاحتمال الأول إذا كان الشخص واعي طبعا أي شخص واعي
+
+129
+00:09:40,900 --> 00:09:45,680
+معناه هي اتنفس وبالتالييمكن وضعه في وضع .. طبعا من
+
+130
+00:09:45,680 --> 00:09:48,760
+الإفاقة التي سمته في .. طبعا لقاءات أخرى ان شاء
+
+131
+00:09:48,760 --> 00:09:52,340
+الله تعالى أو حلقة خاصة بيه الاحتمال الثاني إذا
+
+132
+00:09:52,340 --> 00:09:57,540
+كان الشخص غير واعي فهنا يبدو علي أنني أتأكد إذا
+
+133
+00:09:57,540 --> 00:10:03,240
+كان هذا الشخص غير واعي كيف أساعد هذا الشخص مساعدة
+
+134
+00:10:03,240 --> 00:10:07,280
+لهذا الشخص من خلال القانون الثاني اللي ذكرناه اللي
+
+135
+00:10:07,280 --> 00:10:13,380
+هو أنظر، استمع، استشهدطبعا، لكن يجب عليا أتأكد أن
+
+136
+00:10:13,380 --> 00:10:17,160
+هناك لا يوجد كسور أو احتمال كسور في العنق، لأن
+
+137
+00:10:17,160 --> 00:10:21,040
+طبعا يعني أي حركة في العنق إن كان هناك كسور طبعا
+
+138
+00:10:21,040 --> 00:10:26,060
+ربما تكون مضاعفات خطيرة كما تحدثنا من أهداف
+
+139
+00:10:26,060 --> 00:10:29,080
+الإسعاف الأولى هي تقليل المضاعفاتوبالتالي ده لما
+
+140
+00:10:29,080 --> 00:10:33,540
+استجيبي الشخص فأتأكد من خلال طبعا إذا كان ملابس
+
+141
+00:10:33,540 --> 00:10:38,640
+ثقيلة فانا أخفف الملابس حتى أرا حركة الصدر، انخفاض
+
+142
+00:10:38,640 --> 00:10:42,060
+انبساط، يبقى ننظر القانون الأول، القانون الثاني،
+
+143
+00:10:42,060 --> 00:10:47,160
+أنظر إلى حركة الصدر، استمع هل هناك نفس أو مافي نفس
+
+144
+00:10:47,580 --> 00:10:51,920
+أيضًا باللمس على الصدر، هل هناك فيه حركة أو مافيه
+
+145
+00:10:51,920 --> 00:10:54,460
+حركة، وبالتالي في الإسعاف الأول يعني بستخدم
+
+146
+00:10:54,460 --> 00:10:59,960
+الحواس، حسب السبع، حسب اللمس، حسب الشم، طبعًا هذه
+
+147
+00:10:59,960 --> 00:11:04,820
+استخداماتها حسب طبعًا الحالة أو الضحيةإذا إذا كان
+
+148
+00:11:04,820 --> 00:11:09,880
+لا يوجد استجابة، وكان هناك تنفس، والشخص فاقد
+
+149
+00:11:09,880 --> 00:11:13,900
+للوعي، إذا كما هو معلوم علميا، إذا كان الشخص تنفس
+
+150
+00:11:13,900 --> 00:11:18,140
+فالقلب ينبر، وبالتالي فاقد للوعي، أضع فرض الإفراق.
+
+151
+00:11:18,400 --> 00:11:23,430
+إذا كان التنفس ضعيفإذا كان التنفس ضعيف فأنا ببدأ
+
+152
+00:11:23,430 --> 00:11:27,990
+طبعا بالتنفس الاصطناعي، إذا كان التنفس ضعيف أو
+
+153
+00:11:27,990 --> 00:11:33,350
+متوقف فأنا أبدأ بالتنفس الاصطناعي بإعطاء نفسين عبر
+
+154
+00:11:33,350 --> 00:11:40,190
+طبعا من الرئاتين، إعطاء نفس أول وانتظار وملاحظة
+
+155
+00:11:40,190 --> 00:11:44,410
+ارتفاع وخفاض الصدروالانتظار حتى خروج هواء الزفير
+
+156
+00:11:44,410 --> 00:11:48,850
+واعطاء نفس أخر طبعا القانية تقول كالتاني هي رفع
+
+157
+00:11:48,850 --> 00:11:53,230
+الذقن لأعلى طبعا بالصورة هذه مع رفع طبعا خفض الرأس
+
+158
+00:11:53,230 --> 00:11:57,770
+لأسفل طبعا هي كان مصطلح انجليزي طبعا chin lift
+
+159
+00:11:57,770 --> 00:12:03,150
+head tilt بالصورة هذه طبعا اللي برفعها تمام؟ مع
+
+160
+00:12:03,150 --> 00:12:08,750
+ملاحظة قبل اعطاء النفسأدخل الإصبع لتحريك هل إذا
+
+161
+00:12:08,750 --> 00:12:12,850
+كان هناك شيء داخل الفم، طبعا ال-sweathing إذا كان
+
+162
+00:12:12,850 --> 00:12:18,450
+هناك تحريك أو سحب أي شيء غريب داخل الفم، لأنه لو
+
+163
+00:12:18,450 --> 00:12:22,350
+ربما يكون هذا الشيء مع فقدانه، يعني الطحية هو الذي
+
+164
+00:12:22,350 --> 00:12:26,620
+ساعد بإغلاق المشروع التنفسيالناحية الأخرى، لربما
+
+165
+00:12:26,620 --> 00:12:30,260
+يكون الشخص رقبته .. طبعا فيه إمتنان، وبالتالي اللي
+
+166
+00:12:30,260 --> 00:12:33,520
+هنكون .. نتعادل في اللغة العامية، هو بلع لسانه،
+
+167
+00:12:33,520 --> 00:12:36,340
+وطبعا ما بيبلع لسانه، لكن عضلة اللسان تكون عاملة
+
+168
+00:12:36,340 --> 00:12:42,480
+على إغلاق مرجل التنفس لرعنك، ففي أهال عدم الشك في
+
+169
+00:12:42,480 --> 00:12:46,360
+وجود كسور أو التأكد من وجود كسور، فإن انا أطبخ
+
+170
+00:12:46,360 --> 00:12:51,910
+القانونطبعا chill lift , head tilt للأعلى وبالتالي
+
+171
+00:12:51,910 --> 00:12:57,790
+أبدأ بإعطاء النفسين والنفسين هدولة أنا أقولك
+
+172
+00:12:57,790 --> 00:13:03,370
+باعطيهم في حال إن الشخص ما بيتنفس أو النفس ضعيف
+
+173
+00:13:03,370 --> 00:13:08,610
+فأقوم بإعطاء مع إغلاق فتحتي الآن ووضع اليد أسفل
+
+174
+00:13:08,610 --> 00:13:13,970
+الرقبة طبعا اللي ربما البعض يتساءل ليش أنا بستخدم
+
+175
+00:13:13,970 --> 00:13:18,250
+الطريقة هذه لأن إذا احنا يعني حاولنايعني نجرب
+
+176
+00:13:18,250 --> 00:13:21,830
+عملية التنفس في وضع انتقال رموخ يكون عملية التنفس
+
+177
+00:13:21,830 --> 00:13:25,450
+صعبة لكن في وضع رفع الرقص لأعلى فتكون عملية التنفس
+
+178
+00:13:25,450 --> 00:13:29,970
+سهلة وهذا ما يساعدني على إدخال هواء الشيخ بالنسبة
+
+179
+00:13:29,970 --> 00:13:34,590
+للبحير وبالنسبة لي هو هو الزفير إلى داخل القياطين
+
+180
+00:13:34,590 --> 00:13:40,550
+طيب السؤال هنا طالما نتحدث عن هواء الزفير هل هناك
+
+181
+00:13:40,550 --> 00:13:43,510
+نسبة من الوزيجين في هواء الزفير؟ نعم لأن أنا
+
+182
+00:13:43,510 --> 00:13:47,180
+كإنسان عادياستفيد من ال oxygen الموجود في الهواء
+
+183
+00:13:47,180 --> 00:13:52,530
+الجوي والذي تتراول اسمته بين 20 الى 21%فقط استفيد
+
+184
+00:13:52,530 --> 00:13:56,610
+منها 5% إذا نسبة عالية من الأكسجين تخرج من هوا
+
+185
+00:13:56,610 --> 00:14:00,210
+الزفير وهذا ما يساعد الضحية على الاستفادة من
+
+186
+00:14:00,210 --> 00:14:03,910
+الأكسجين الموجود في هوا الزفير نرجع إلى ما بدأنا
+
+187
+00:14:03,910 --> 00:14:08,210
+به وهو عملية التنفس الصناعي بالصورة التالية أفتح
+
+188
+00:14:08,210 --> 00:14:13,830
+الفم مع أخذ هوا شهيق لمل الرئتين ودفعه إلى رئتين
+
+189
+00:14:13,830 --> 00:14:18,230
+الضحية مع ملاحظة حركة صدر الضحية
+
+190
+00:14:24,980 --> 00:14:29,460
+إذا أنا أعطيك نفسين، طبعا بين كل نفس و تاري تقريبا
+
+191
+00:14:29,460 --> 00:14:35,440
+ست ثواني، طبعا هذا شيء مبدأيإذا الشخص استجاب و بدأ
+
+192
+00:14:35,440 --> 00:14:39,820
+يعني استعيد وعيه أو بدأ يكح أو ملاحظات أنه استرد
+
+193
+00:14:39,820 --> 00:14:43,640
+وعيه، طبعا هنقب كل المطمئنين، وإذا كان وعي 100%
+
+194
+00:14:43,640 --> 00:14:47,660
+طبعا بياخد الوضع المناسب له، إذا لازال فاقد الوعي،
+
+195
+00:14:47,660 --> 00:14:51,640
+لكن بدأ تعمل اتنفس تعون، طبعا بضعهم في وضع الفقر
+
+196
+00:14:51,640 --> 00:14:56,990
+طيب، الاحتمال الثاني إذا كان بعد النفسينبعد نفسي
+
+197
+00:14:56,990 --> 00:15:02,070
+لايوجد تنفس و من هنا ابدأ بتحسس و تلمس اللي هو
+
+198
+00:15:02,070 --> 00:15:06,010
+الجهاز الدوري من خلال الشريان السباتي و غالبا عن
+
+199
+00:15:06,010 --> 00:15:07,930
+الشريان السباتي هو موجود
+
+200
+00:15:10,460 --> 00:15:15,520
+موجود طبعا خلف الرقم .. طبعا في مقدمة العنق، في
+
+201
+00:15:15,520 --> 00:15:19,700
+مقدمة العنق، طبعا هنا القصبة الهوائية، طبعا هنا
+
+202
+00:15:19,700 --> 00:15:22,980
+الشريان السباتي الأيمن و هنا الشريان السباتي
+
+203
+00:15:22,980 --> 00:15:27,660
+الأيسر، إذا الشريان السباتي يقون بين الحنجرة وبين
+
+204
+00:15:27,660 --> 00:15:33,630
+عضلة العنق، فأضغط بإصبعية الوصفة والسبابةلمدة عشر
+
+205
+00:15:33,630 --> 00:15:37,530
+ثواني من خمس ثواني إلى عشر ثواني حتى أتأكد إن هناك
+
+206
+00:15:37,530 --> 00:15:41,690
+فيه نبض أو ما فيه نبض إذا كان باحتمال أول إذا كان
+
+207
+00:15:41,690 --> 00:15:46,370
+فيه نبض أستمر فقط بالتنفس الصناعي طبعا يعني البعض
+
+208
+00:15:46,370 --> 00:15:50,690
+هتساءل يعني ليش بعض الناس ممكن يكون هناك توقف أو
+
+209
+00:15:50,690 --> 00:15:54,950
+ضعف في عمل التنفس طبعا أكثر الأشياء التيقد تؤخر
+
+210
+00:15:54,950 --> 00:15:59,530
+عملية التنفس أو تضعف عملية التنفس إما المخدرات أو
+
+211
+00:15:59,530 --> 00:16:02,730
+التسمم بأول أكسيد الكربون اللي ناتج عنه غاز الفحم
+
+212
+00:16:04,130 --> 00:16:07,710
+إذا كان هناك نبض أستمر و لا يوجد تنفس أستمر
+
+213
+00:16:07,710 --> 00:16:12,730
+بالتنفس تقريبا كل 6 ثواني أعطي نفس و أنتظر لحين
+
+214
+00:16:12,730 --> 00:16:17,490
+خروج التنفس .. طبعا الزفير بالنسبة للضحية إذا لا
+
+215
+00:16:17,490 --> 00:16:22,050
+يوجد تنفس و لا يوجد نبض فهنا أبدأ بعمل تدليق القلب
+
+216
+00:16:22,050 --> 00:16:27,820
+مع التنفس الصناعي و تدليق القلبيبدأ بوضع الكفين
+
+217
+00:16:27,820 --> 00:16:34,740
+على منتصف الصدر بمعنى قسم عضمة القص أضع ثلاث أصابع
+
+218
+00:16:34,740 --> 00:16:39,960
+نظريا و أرفع أصبعين و أعلى من عضمة القص تقريبا
+
+219
+00:16:39,960 --> 00:16:44,860
+خمسة صنطي أنا بقضع الكفين .. بقضع الكفين و بضغط
+
+220
+00:16:44,860 --> 00:16:49,080
+طبعا الضغط هنا ما يقارب من أربعة إلى خمسة صنطي
+
+221
+00:16:49,080 --> 00:16:52,600
+أننا هنتحدث عن البالغين لحد الآنمن أربعة إلى خمسة
+
+222
+00:16:52,600 --> 00:16:56,940
+صانطي إلى أسفل طيب ليش أنا بضغط المسافة هذه حتى
+
+223
+00:16:56,940 --> 00:17:02,460
+أصل إلى عضلة القلب طبعا البطين الأيمن و البطين
+
+224
+00:17:02,460 --> 00:17:06,680
+الأيسر حتى يتم ضخ الدم من خلالهما إلى الرئتين و
+
+225
+00:17:06,680 --> 00:17:10,860
+إلى جميع عضاء الجسم طبعا الهواء الموجود داخل
+
+226
+00:17:10,860 --> 00:17:14,520
+الرئتين محمل بالكسوجين آخر نفس أخذه المريضمحمّل
+
+227
+00:17:14,520 --> 00:17:17,120
+المسجين حتى يتم الاستفادة من المسجين الموجود فيه
+
+228
+00:17:17,120 --> 00:17:20,940
+الرئتين وبالتالي تكون هناك دورة دموية كاملة
+
+229
+00:17:20,940 --> 00:17:23,940
+باستخدام الهواء الموجود داخل الرئتين المحمل
+
+230
+00:17:23,940 --> 00:17:28,820
+المسجين فأضغط تلاتين ضغطة طبعا تلاتين ضغطة انا
+
+231
+00:17:28,820 --> 00:17:34,360
+بضغطهم واليد مستقيمة طبعا سنحاول تطبيق هذا على
+
+232
+00:17:34,360 --> 00:17:38,840
+الأرض حالياطبعا الوضع الصحيح بالنسبة للضحية أضع
+
+233
+00:17:38,840 --> 00:17:42,700
+الكتف بالنسبة للضحية بين الرقبتين أو .. طبعا
+
+234
+00:17:42,700 --> 00:17:46,380
+الموصف بين الرقبتين الموصف تكون الكتف حتى يستطيع
+
+235
+00:17:46,380 --> 00:17:50,920
+الضغط على الرئتين وإعطاء النفس للصناعة من هنا نبدأ
+
+236
+00:17:50,920 --> 00:17:56,800
+بالضغط على الرئتين معدل ثلاثين ضغط اليدان مستقيمة
+
+237
+00:17:56,800 --> 00:18:03,420
+لا يمكن مفصل المتحرك هنا إلا مفصل الحوض وبالتالي
+
+238
+00:18:03,800 --> 00:18:08,360
+مضغط بالصورة التالية، بضغط كل الجسم، وبالتالي اضغط
+
+239
+00:18:08,360 --> 00:18:15,840
+واحد، اتنين، تلاتة، اربعة، خمسة، ستة، سبعة،
+
+240
+00:18:15,840 --> 00:18:20,560
+تمانية، تسعة، عشرة، واستمر بالضغط إلى ما يقار من
+
+241
+00:18:20,560 --> 00:18:24,900
+خمس عشر تانية، إذا خلال خمس عشر تانية اضغط ما يقار
+
+242
+00:18:24,900 --> 00:18:29,700
+من ثلاثين ضغطة، ثم انتقل إلى التنفس الاصطناعي،
+
+243
+00:18:29,700 --> 00:18:30,620
+اعطي نفسين
+
+244
+00:18:33,330 --> 00:18:37,710
+أعطي و أنظر إلى حركة الصدر، مع ملاحظة ثاني رفع
+
+245
+00:18:37,710 --> 00:18:42,150
+الدقل مع ثاني الرأس للخلف، طبعا، chin lift، hip
+
+246
+00:18:42,150 --> 00:18:47,510
+tilt، واعطاء النفسين، وألاحظ اعطاء النفس مع حركة
+
+247
+00:18:47,510 --> 00:18:52,260
+الصدرثم أعطي فرصة لخروج النفس الذي دخل على هيئة
+
+248
+00:18:52,260 --> 00:18:56,300
+شهير و من ثم يخرج على هيئة زفير و أعطاه نفس أخر
+
+249
+00:18:56,300 --> 00:19:01,720
+فيكون لدينا نفسين إذا خلال كل دقيقة نعطي ما يقارب
+
+250
+00:19:01,720 --> 00:19:08,120
+من 8 إلى 10 مرات تنفس بمعنى يكون بين كل نفس طبعا
+
+251
+00:19:08,120 --> 00:19:12,540
+خلال الدقيقة الواحدة يكون لدينا ما يقارب من 100
+
+252
+00:19:12,540 --> 00:19:17,880
+إلى 120 ضغطة على الصدروما يقارب من تمانية إلى عشر
+
+253
+00:19:17,880 --> 00:19:22,980
+مرات تجفوس الصناعي طبعا إلى متى أستمر بالعملية
+
+254
+00:19:22,980 --> 00:19:27,800
+هذه؟ أستمر بالعملية هذه إلى حين ضموع علامة الحياة
+
+255
+00:19:27,800 --> 00:19:32,380
+بدا المريض أو الضحية يستعيد وعيد إذا وصلت الخدمة
+
+256
+00:19:32,380 --> 00:19:37,760
+الطبية إذا أنا أجهدكإذا المريض تبدو عليه علامات
+
+257
+00:19:37,760 --> 00:19:42,140
+الموت و لا يستجيب، وهذا يعني إن هناك جسم بارد و لا
+
+258
+00:19:42,140 --> 00:19:45,980
+توجد عليه تغيير في لون البشرة بالنسبة للمريض أو
+
+259
+00:19:45,980 --> 00:19:50,260
+للباحية و بعد ذلك إذا استجاب المريض، فالاحتمال أول
+
+260
+00:19:50,260 --> 00:19:54,580
+إذا استجابه كان واعي، يختار عضالماسبله إذا المريض
+
+261
+00:19:54,580 --> 00:19:59,140
+بدأ يتنفس و القلب ينضج و كيف أعرف ذلك؟ طبعا يكون
+
+262
+00:19:59,140 --> 00:20:06,320
+هناك تقيين بعد تقيقتين الأولينتينمن سماع للنفسو
+
+263
+00:20:06,320 --> 00:20:11,920
+النبض، بداية إذا كان لا يتنفس أنتقل إلى النبض،
+
+264
+00:20:11,920 --> 00:20:16,840
+برضه الإحتمال يكون لدينا، إذا كان القلب بدأ يعمل و
+
+265
+00:20:16,840 --> 00:20:21,200
+التنفس متوقف أستمر بعمله التنفس، إذا لا زال القلب
+
+266
+00:20:21,200 --> 00:20:25,800
+متوقف و التنفس متوقف أستمر في عمله تدليق القلب و
+
+267
+00:20:25,800 --> 00:20:29,960
+عضلة .. تدليق عضلة القلب و التنفس للصناعي و كما
+
+268
+00:20:29,960 --> 00:20:34,040
+أذكرت أستمر لحالة بعين طبعا الظروف اللي أنا ذكرتها
+
+269
+00:20:34,040 --> 00:20:38,380
+أو الحاجات اللي ذكرتهاإذا كان الشخص الاحتمالي لخير
+
+270
+00:20:38,380 --> 00:20:42,080
+بدأ يتنفس و بدأ القلب يعمل و لا يزال فاقد للوعي،
+
+271
+00:20:42,080 --> 00:20:45,940
+طبعا يوضع في وظة الإفاقة، طبعا الإفاقة لديها قلية
+
+272
+00:20:45,940 --> 00:20:50,290
+خاصة سأوضحها بالتفصيل ان شاء الله تعالىبقى ذكرنا
+
+273
+00:20:50,290 --> 00:20:54,910
+أن هناك احتمالية قد يقوم هناك كسور في العنوق احنا
+
+274
+00:20:54,910 --> 00:20:57,570
+تحدثنا في هذا العدد من الكسور في العنوق لكن إذا
+
+275
+00:20:57,570 --> 00:21:01,710
+كان هناك احتمالية لكسور في العنوق طبعا رفع الذقن
+
+276
+00:21:01,710 --> 00:21:06,370
+لأعلى و رفعه ثاني لأصل الخلق هذا خطير جدا في هذا
+
+277
+00:21:06,370 --> 00:21:10,070
+الاشتباه أو طبعا تأكد أن هناك كسور طبعا ولا عامل
+
+278
+00:21:10,070 --> 00:21:17,100
+في ذلك طبعا هناك آلية ليعمل يتسحب الفك لأعلىمع عدم
+
+279
+00:21:17,100 --> 00:21:20,320
+تحريك العنوض إلا شيء بسيط جدا أو عدم تحريكها بطولة
+
+280
+00:21:20,320 --> 00:21:23,920
+أفضل، سحب الفك الأعلى، طبعا الحركة هادى، يعني
+
+281
+00:21:23,920 --> 00:21:26,760
+بالصورة اللى واحدة اللى جينا اوضحها، بالصورة هادى،
+
+282
+00:21:26,760 --> 00:21:31,220
+بقت غط بالصورة هادى، في حال اشتباه أن هناك قصور أو
+
+283
+00:21:31,220 --> 00:21:36,640
+قصور فعلا فيها العنوضفمن الخطأ جدا رفع الذقن لأعلى
+
+284
+00:21:36,640 --> 00:21:42,980
+وتحريق وثني الرأس للخلف لذلك فإننا نستخدم طريقة
+
+285
+00:21:42,980 --> 00:21:48,000
+طبعا هي باللغة العلمية Geo thrust وهذه معناها إن
+
+286
+00:21:48,000 --> 00:21:53,940
+أنا في قاعفي الفقاع الفك أعمل على تحريك .. تحريك
+
+287
+00:21:53,940 --> 00:21:58,920
+الفك وهذه طبعا تحرك معايا عملية قاعدة اللسان أو
+
+288
+00:21:58,920 --> 00:22:04,140
+قاعدة لسان وبالتالي أتيح المجال لدخول الهواء وأبدأ
+
+289
+00:22:04,140 --> 00:22:09,340
+بالتنفس الاصطناعي كما ذكرت طبعا نفسين مقابل ثلاثين
+
+290
+00:22:09,340 --> 00:22:13,720
+ضغط على القلب البعض يتساءلكيف يمكن محافظة على
+
+291
+00:22:13,720 --> 00:22:17,100
+الوضع بالنسبالي المريض؟ طبعا أي إنسان يكون فاقد
+
+292
+00:22:17,100 --> 00:22:21,600
+الوعي، معناه هناك فيه ارتخاء في عضلات الجسم، وفي
+
+293
+00:22:21,600 --> 00:22:26,440
+أي وضع أنت تضعمه، يبقى كما هو، وبالتالي إذا كان
+
+294
+00:22:26,440 --> 00:22:32,580
+هناك اشتباه في كسور نعمود فقري، لا يمكن رفع الدقن
+
+295
+00:22:32,580 --> 00:22:37,200
+لأعلى وخفض الرأس لأسفل، وإنما نستخدم الألية التي
+
+296
+00:22:37,200 --> 00:22:43,910
+ذكرناها Geothrust أو الدقتحتى أتيح الفرصة لدخول
+
+297
+00:22:43,910 --> 00:22:48,790
+الهواء إلى هذا الشخص هذا بالنسبة للإنسان البالغ
+
+298
+00:22:48,790 --> 00:22:54,750
+إذا كان هناك طفل صغير أو إذا كان هناك أرضية
+
+299
+00:22:54,750 --> 00:23:00,790
+بالنسبة للطفل الصغير كما هو مع البالغ تتم
+
+300
+00:23:00,790 --> 00:23:04,870
+الإجراءات و نبدأ بتدليق القلب ثم التنافس الصناعي
+
+301
+00:23:04,870 --> 00:23:10,370
+لكن بالنسبة للطفل الصغير قد نحتاج فقط يد واحدةولا
+
+302
+00:23:10,370 --> 00:23:15,130
+نحتاج بين او قد نحتاج تانية طبعا حسب عمر الطفل لو
+
+303
+00:23:15,130 --> 00:23:19,790
+ربما يكون هناك أناس آخرين مع المصعف قد يساعدوا في
+
+304
+00:23:19,790 --> 00:23:26,530
+هذا الموقف فنفس الفكرة هي ثلاثون ضغط على القلب مع
+
+305
+00:23:26,530 --> 00:23:33,210
+نفسين خلال دقيقتين أقوم بالمعاينة بدءا من التنفس
+
+306
+00:23:33,210 --> 00:23:39,250
+ثم عضلة القلب إذا كان هناك تنفس معناه القلب يعمل
+
+307
+00:23:39,540 --> 00:23:44,780
+إذا كان هناك أو إذا لم يكن التنفس موجود أنا أتأكد
+
+308
+00:23:44,780 --> 00:23:49,380
+القلب يعمل أو لا يعمل وكما ذكرت إذا كان القلب يعمل
+
+309
+00:23:49,380 --> 00:23:54,180
+لكن التنفس وقف فأبدأ بالتنفس الصناعي وطبعا يكون
+
+310
+00:23:54,180 --> 00:23:57,080
+أفضل إذا كان إنسان مساعد وبالتالي إذا كان هناك
+
+311
+00:23:57,080 --> 00:24:02,240
+مساعفين اتنين فشخص يقف عند رأس الضحية وشخص أخر في
+
+312
+00:24:02,240 --> 00:24:07,290
+المقابلعند مقابل الصدر حتى يكون هناك شخص يضغط على
+
+313
+00:24:07,290 --> 00:24:11,270
+الصدر وشخص يعطي .. طبعا عمل التنافس الصناعي ويكون
+
+314
+00:24:11,270 --> 00:24:15,790
+عملية التبادل حتى طبعا لا يرهق أحدهما و تكون عملية
+
+315
+00:24:15,790 --> 00:24:20,030
+أكتر يعني إيجابية و تكون فائدة فيها أكتر هذا
+
+316
+00:24:20,030 --> 00:24:23,990
+بالنسبة لطبعا السواء البارد أو الطفل الصغير أما
+
+317
+00:24:23,990 --> 00:24:27,710
+بالنسبة للأطفال الرُدع طبعا الأطفال الرُدع لهم
+
+318
+00:24:27,710 --> 00:24:32,330
+معاملة خاصة أو طبعا بعض إجراءات بسيطة المختلفة لهم
+
+319
+00:24:32,330 --> 00:24:37,640
+عامةأول شيء الطفل الوضيع حجم الرئاتين صغير مقارنة
+
+320
+00:24:37,640 --> 00:24:41,740
+بحجم الرئاتين طبعا الإنسان البالغ العُنق صغير
+
+321
+00:24:41,740 --> 00:24:45,500
+مقارنة بالإنسان البالغ وبالتالي هناك بعض الإجراءات
+
+322
+00:24:45,500 --> 00:24:50,120
+لكن كعدد هو عدد واحد تلاتين ضابطة مقابل نفسين لكن
+
+323
+00:24:50,120 --> 00:24:54,700
+مايكون واضح أن الطفل الصغير أنا ممكن أضع بين يديا
+
+324
+00:24:54,700 --> 00:25:00,860
+بالصورة التالية أول شيء طبعا بدي أحافظ أن يكون يدي
+
+325
+00:25:01,990 --> 00:25:06,230
+تحمي رأس الطفل، لأن طبعا رأس الطفل عضلة ضعيفة، عنق
+
+326
+00:25:06,230 --> 00:25:10,630
+الطفل عضلة ضعيفة، فأنا أتجنب عملية تانية لرأس
+
+327
+00:25:10,630 --> 00:25:15,090
+الطفل خوفا من الكسول إذا كان هناك سطح صالب، طبعا
+
+328
+00:25:15,090 --> 00:25:18,590
+الشيء بساعدني أكتر، لكن ده لما يوجد سطح صالب و أنا
+
+329
+00:25:18,590 --> 00:25:23,270
+بدي أحاول أن قادر الطفل، فأنا بعمل ضغط أو بعمل دعم
+
+330
+00:25:23,270 --> 00:25:28,710
+لرأس الطفل، و أول شيء أحاول أثناء الطفل شيء بسيط
+
+331
+00:25:29,260 --> 00:25:32,560
+حتى لا تقوم نسبة التانية كما هي موجودة في البارحين
+
+332
+00:25:32,560 --> 00:25:38,720
+وإدخال الخنصر لإحتماليته فيه أي جسم غريب داخل فم
+
+333
+00:25:38,720 --> 00:25:43,480
+الطفل والمساعد على إخراجها لأن طبعا لا يمكن إدخاله
+
+334
+00:25:43,480 --> 00:25:47,940
+سواء للبارح أو للطفل بالطريقة العمودية سواء الخنصر
+
+335
+00:25:47,940 --> 00:25:51,800
+أو السبابة لأنه إعتقد أن هناك شيء غريب فإنه مساعده
+
+336
+00:25:51,800 --> 00:25:55,470
+على إدخاله لأن هنا عملية sweeping أو عملية سحبلأي
+
+337
+00:25:55,470 --> 00:25:59,010
+جسم غريب للخارج وهي طبعا أيضا طريقة تساعد على
+
+338
+00:25:59,010 --> 00:26:03,870
+تحريك عضلة اللسان لأزاحتها أو زهزاحتها عن مجرد
+
+339
+00:26:03,870 --> 00:26:09,330
+التنفس طبعا بالنسبالي للطفل يكون الاعطاء النفسقبل
+
+340
+00:26:09,330 --> 00:26:13,290
+تضييق القلب، ليش؟ لأن طبعا .. يعني ال .. ال .. ال
+
+341
+00:26:13,290 --> 00:26:17,690
+.. كمية الأكسجين الموجودة في أبريقتين قليلة جدا
+
+342
+00:26:17,690 --> 00:26:20,610
+مقارنة بكمية الأكسجين الموجودة في أبريقتين البارق،
+
+343
+00:26:20,610 --> 00:26:24,810
+و هنا نبدأ بالنفسين، نبدأ بالنفسين إذا كان هناك
+
+344
+00:26:24,810 --> 00:26:29,550
+التنفس متوقف، لأن طبعا كما ذكرنا في القانون، أنظر،
+
+345
+00:26:29,550 --> 00:26:34,570
+استمع، استشعرأو تحسسه وبالتالي نبدأ بنفسين ويا
+
+346
+00:26:34,570 --> 00:26:39,290
+حبذا لو كان هناك قطعة تماش أو شاشة بصيفة حتى طبعا
+
+347
+00:26:39,290 --> 00:26:42,810
+تساعد عملية عملية دخول الهواء بطريقة آمنة وطريقة
+
+348
+00:26:42,810 --> 00:26:48,570
+صحية أفضل فنبدأ بنفسين ومن ثم نبدأ طبعا بعد ذلك
+
+349
+00:26:48,570 --> 00:26:52,450
+نستشع عملية النبض وعملية النبض دونها تختلف نوعا ما
+
+350
+00:26:52,450 --> 00:26:55,570
+بالنسبة للبرغين بالنسبة للبرغين ذكرنا من الشريان
+
+351
+00:26:55,570 --> 00:26:59,390
+السفاتي لكن بالنسبة للأطفال فنحن نذكر من الشريان
+
+352
+00:26:59,390 --> 00:27:04,970
+الغبطيالعنق بالنسبة للأطفال قصير جدا ولا يكون
+
+353
+00:27:04,970 --> 00:27:09,110
+الشريان الصباتي نبضه واضحا وبالتالي يكون لدينا
+
+354
+00:27:09,110 --> 00:27:13,390
+النبض في الشريان الإبطي هو أوضح و أسلم طريقة و
+
+355
+00:27:13,390 --> 00:27:17,190
+أفضل طريقة لاستشعار النبض فالاحتمال هو هناك ما في
+
+356
+00:27:17,190 --> 00:27:23,090
+الكبار إذا كان هناك نفس متوقف أو نفس ضعيف باعطي
+
+357
+00:27:23,090 --> 00:27:28,890
+نفسين اختبار أما إذا كان لا يوجد نفس ولا يوجد نبض
+
+358
+00:27:29,820 --> 00:27:34,160
+فانا أبدأ بالتنفس الصناعي و تدليك القلب على عكس
+
+359
+00:27:34,160 --> 00:27:37,660
+البلغين تدليك القلب و التنفس الصناعي و هذا طبعا
+
+360
+00:27:37,660 --> 00:27:42,740
+طريقة الحديثة كنا زمان نبدأ للبلغين و الأطفال تنفس
+
+361
+00:27:42,740 --> 00:27:45,260
+الصناعي و تدليك القلب، ده هنا بالنسبة للبلغين
+
+362
+00:27:45,260 --> 00:27:49,880
+تدليك عضة القلب و من ثم التنفس الصناعي أما بالنسبة
+
+363
+00:27:49,880 --> 00:27:54,160
+للأطفال التنفس الصناعي ثم تدليك عضة القلب و طبعا
+
+364
+00:27:54,160 --> 00:27:58,600
+سواء البلغين أو الأطفال في حال توقف التنفس و توقف
+
+365
+00:27:58,600 --> 00:28:02,440
+عضلة القلبالقالية تكون بالنسبة للأطفال، بالضغط
+
+366
+00:28:02,440 --> 00:28:07,300
+بأصبعين بين حلمتي الصدر، أصبعين، تلاتين ضغطة، ما
+
+367
+00:28:07,300 --> 00:28:12,310
+يقارب من اتنين إلى تلاتة صنتي فقطنحن اللي بنساعدنا
+
+368
+00:28:12,310 --> 00:28:16,450
+لضخ الدم المورور في القلب أو في البطين أيمن أو
+
+369
+00:28:16,450 --> 00:28:19,710
+أيسى ينتقل للدورة الدمون الصغرى أو الدورة الدمون
+
+370
+00:28:19,710 --> 00:28:24,110
+الكبرى أو لرقتين أو باقي جسم حتى يتم توزيع دم
+
+371
+00:28:24,110 --> 00:28:27,510
+المحمل المسجين وخاصة إلى الدماغ حتى يقوم الدماغ
+
+372
+00:28:27,510 --> 00:28:32,350
+بالوظيفة الصحيحة له ويقوم بإصدار الأمر الصحيحة
+
+373
+00:28:32,350 --> 00:28:37,610
+فنبدأ بتلاتين بعد نفسين للطفل نبدأ بتلاتين ضغط على
+
+374
+00:28:37,610 --> 00:28:43,240
+الصدمواحد اتنين تلاتة اربعة خمسة طبعا تكون الوثيرة
+
+375
+00:28:43,240 --> 00:28:47,480
+يعني منطبقة لا اقول واحد اتنين تلاتة لأ واحد اتنين
+
+376
+00:28:47,480 --> 00:28:51,340
+طبعا هذه إمكانية ليعطاء القلب الفرصة لتوزيع الدم
+
+377
+00:28:51,340 --> 00:28:55,500
+على أجزاء الجسم كلها و تبادل غازات داخل الرأتين
+
+378
+00:28:55,500 --> 00:28:59,440
+طبعا يتم التقييم إذا كان هنا طبعا بعد دقيقتين أيضا
+
+379
+00:28:59,440 --> 00:29:02,500
+كما هو في البالغين بعد دقيقتين إذا كان
+
+380
+00:29:05,620 --> 00:29:09,620
+النفس أو النفس ضعيف نتأكد مرة أخرى من القلب إذا
+
+381
+00:29:09,620 --> 00:29:13,100
+كان القلب يعمل نستمر في عملية التنفس اللي هي طبعا
+
+382
+00:29:13,100 --> 00:29:15,320
+يقولنا هنا لإيه لإيه لإيه لإيه لإيه لإيه لإيه لإيه
+
+383
+00:29:15,320 --> 00:29:18,180
+لإيه لإيه لإيه لإيه لإيه لإيه لإيه لإيه لإيه لإيه
+
+384
+00:29:18,180 --> 00:29:19,860
+لإيه لإيه لإيه لإيه لإيه لإيه لإيه لإيه لإيه لإيه
+
+385
+00:29:19,860 --> 00:29:21,720
+لإيه لإيه لإيه لإيه لإيه لإيه لإيه لإيه لإيه لإيه
+
+386
+00:29:21,720 --> 00:29:26,650
+لإيه لإيه لإيه لإيه لإيه لوبالتالي عملية التنفس
+
+387
+00:29:26,650 --> 00:29:31,130
+الصناعي و تبليغ القلب هي عملية ضرورية جدا مهمة في
+
+388
+00:29:31,130 --> 00:29:34,570
+عملية إنقاذ الهيأت طبعا إذا الدماغ تأخر عنه ممكن
+
+389
+00:29:34,570 --> 00:29:39,030
+أن يستمر الدماء ال oxygen مقطع عن الدماغ مقارن من
+
+390
+00:29:39,030 --> 00:29:42,410
+أقل من 4 دقايق لكن إذا اتعدى هذه المرحلة فهو طبعا
+
+391
+00:29:42,410 --> 00:29:46,830
+يعني هناك رمزون أخ حماربأن هناك خطورة على الدماء
+
+392
+00:29:46,830 --> 00:29:50,750
+وتأثير وخاصة على المنطقة التي ينقطعنها الدم المحمل
+
+393
+00:29:50,750 --> 00:29:55,430
+المسجين لكن إذا اتعدى 6 دقائق فهذه مرحلة خطيرة جدا
+
+394
+00:29:55,430 --> 00:29:59,850
+قد تؤدي إلى وفاة أو موت خلايا الدماء وطبعا يصبح
+
+395
+00:29:59,850 --> 00:30:04,970
+الإنسان يعني يعني عايش على اللي هو التنفس الصناعي
+
+396
+00:30:04,970 --> 00:30:08,030
+من خلال الجهاز أو المكينة عندما كان فيه ventilator
+
+397
+00:30:08,030 --> 00:30:12,850
+وبالتالي موت خلايا الدماء طبعا لا يصدر الأوامر ومن
+
+398
+00:30:12,850 --> 00:30:17,000
+هناالدقائق الأولى في عملية إنقاذ الحياة، في عملية
+
+399
+00:30:17,000 --> 00:30:20,440
+إدخال السجين، في عملية تبليغ القلب، هي أهم دقائق
+
+400
+00:30:20,440 --> 00:30:25,380
+في إنقاذ حياة الضحية، طبعا هذه من ناحية دنيوية،
+
+401
+00:30:25,380 --> 00:30:29,380
+لكن كام الأجر كبير يكون عند الله إذا أحنا ساعدنا
+
+402
+00:30:29,380 --> 00:30:34,540
+هذا الضحية أو هذه الضحية؟لربما يصادفنا في غير
+
+403
+00:30:34,540 --> 00:30:38,480
+مناسبة هناك شخص ملقى على الأرض لكن هذا الشخص لا
+
+404
+00:30:38,480 --> 00:30:43,320
+نعرف مدى الوضع الصحي الموجود لديه، هل هو يتنفس أو
+
+405
+00:30:43,320 --> 00:30:47,360
+لا يتنفس، هل القلب ينبض أو لا ينبض، طبعا من واجبنا
+
+406
+00:30:47,360 --> 00:30:52,560
+يعني كمسعفين أو كمقدمي صحة أن نتأكد أن هناكإمكانية
+
+407
+00:30:52,560 --> 00:30:57,040
+للمساعدة أو لا طبعا كبداية هو أمان المكان حتى أقوم
+
+408
+00:30:57,040 --> 00:31:01,640
+بتقديم الخدمة وحتى لا أؤذي نفسي في حال واجهنا شخص
+
+409
+00:31:01,640 --> 00:31:05,560
+ملقى على الأرض ونريد أن نساعد هذا الشخص من باب
+
+410
+00:31:05,560 --> 00:31:10,060
+الخدمة الإنسانية ومن باب طبيعة العمل الإنساني
+
+411
+00:31:10,060 --> 00:31:15,180
+كمسعفين فإننا نتأكد من أول شيء الخطورة الموجودة في
+
+412
+00:31:15,180 --> 00:31:18,290
+المكان إذا كان مكان آمن أو غير آمنالخطوة الثانية
+
+413
+00:31:18,290 --> 00:31:21,670
+نتأكد من درجة وعي الشخص هل هو واعي أو غير واعي
+
+414
+00:31:21,670 --> 00:31:25,530
+طبعا بذلك بمنادات الشخص أو هزكة في الشخص أو قرص
+
+415
+00:31:25,530 --> 00:31:28,330
+الشخص بمنطقة معينة على سبيل المثال من الأدن إذا
+
+416
+00:31:28,330 --> 00:31:32,430
+كان هناك استجابة فيختار الشخص الوضع المناسب الذي
+
+417
+00:31:32,430 --> 00:31:36,070
+يرحيهه أما إذا كان لا يوجد استجابة لهذا الشخص فأنا
+
+418
+00:31:36,070 --> 00:31:40,150
+أقوم باستخدام القوانين الإسعافية الأولية وهي أنظر،
+
+419
+00:31:40,150 --> 00:31:44,350
+استمع، استشعر بما أن أنا أنظر لحركة النفس، هل هناك
+
+420
+00:31:44,350 --> 00:31:47,760
+فيه نفس أو ما فيه نفسقال في حركة صدر او مافي حركة
+
+421
+00:31:47,760 --> 00:31:52,680
+صدر انظر للشخص فطبعا استمع ليه الشخص هناك نفس او
+
+422
+00:31:52,680 --> 00:31:57,860
+مافي نفس واستشعر او تحسس هل هناك في حركة للصدر ام
+
+423
+00:31:57,860 --> 00:32:02,740
+لا، اذا كان هناك في حركة للصدر وفي نفس يعني انا
+
+424
+00:32:02,740 --> 00:32:06,330
+هستخدمها الآن وضع ليها فاقةطبعا الوضع الإفاقة أنا
+
+425
+00:32:06,330 --> 00:32:12,070
+بستخدمه في حال هناك شخص فاقد للوعي يتنفس والقلب
+
+426
+00:32:12,070 --> 00:32:17,350
+لديه ينبض وهو كالتالي سأقوم الآن بكفية التعامل مع
+
+427
+00:32:17,350 --> 00:32:21,250
+هذا شخص فاقد الوعي الذي يتنفس والقلب لديه ينبض في
+
+428
+00:32:21,250 --> 00:32:25,010
+وضعه وضع الإفاقة وهو بالصورة الآن طبعا وضع الإفاقة
+
+429
+00:32:25,010 --> 00:32:28,210
+يساعد على الحفاظ على عملية التنفس بصورة طبيعية
+
+430
+00:32:28,790 --> 00:32:35,490
+الوضع الأول أن أن أضع هذه اليد باستقامة الجسم اليد
+
+431
+00:32:35,490 --> 00:32:41,310
+الأخرى لأعلى وأقوم بسحب الشخص من الوسط والكتف
+
+432
+00:32:41,310 --> 00:32:46,790
+بصورة آتية وأعمل
+
+433
+00:32:46,790 --> 00:32:53,150
+علىعلى استدارة الوجه طبعا الوضع كالتالي نضع اليد
+
+434
+00:32:53,150 --> 00:32:58,810
+بجوار الجنب أو بجوار الشخص بحد ذاته ولا اليد
+
+435
+00:32:58,810 --> 00:33:05,430
+الأخرى لأعلى وأقوم بسحب من الكتف والوسط لهذا الشخص
+
+436
+00:33:05,430 --> 00:33:11,810
+بالصورة القاتية مع المحافظة على رفع الذقن ووضع
+
+437
+00:33:11,810 --> 00:33:19,440
+الكف أسفل من الجد أما اليد الأخرىفاساعد على وضعها
+
+438
+00:33:19,440 --> 00:33:29,030
+للخلف وهنا اليد إذنالساق والفقد باتجاه للأمام
+
+439
+00:33:29,030 --> 00:33:35,930
+والكتف مع المرفق للأمام وليت تكون أسفل الخد حتى
+
+440
+00:33:35,930 --> 00:33:41,050
+يساعد في عملية التنفس وخروج أي جسم غريب للخارج هذه
+
+441
+00:33:41,050 --> 00:33:45,990
+طبعا وضع يبقى فيها الشخص في حال كان فاقدا للوعي
+
+442
+00:33:45,990 --> 00:33:51,050
+يتنفس والقلب ينبض وهذا هو ما يقال له وضع الإفاقة
+
+443
+00:33:51,440 --> 00:33:57,060
+هذا الوضع يا أخوانا هو وضع مهم جدا ويطلق عليه وضع
+
+444
+00:33:57,060 --> 00:34:01,800
+الإفاقة الذي من خلاله نلاحظ أن جزء من الصدر معلق
+
+445
+00:34:01,800 --> 00:34:07,760
+ويساعد في ذلك الكتف مع المرفق للمساعدة على رفع جزء
+
+446
+00:34:07,760 --> 00:34:13,180
+من الصدر الملاحظة الأخرى أن وجه الشخص لإجانبوالذقن
+
+447
+00:34:13,180 --> 00:34:18,640
+لأعلى وهذا مما يسهل من عملية التنفس ولو حصل أن خرج
+
+448
+00:34:18,640 --> 00:34:23,560
+شيء من المعدة إلى الفم معناه الاستفراغ فيكون
+
+449
+00:34:23,560 --> 00:34:28,220
+للخارج أيضا لا يستطيع هذا الشخص سواء القلب إلى
+
+450
+00:34:28,220 --> 00:34:35,180
+اليسار أو إلى اليمين بوجود طبعا القدمالساق السفلى
+
+451
+00:34:35,180 --> 00:34:40,420
+مع المرفق الأعلى باتجاه واحد ومن ناحية الخلفية هنا
+
+452
+00:34:40,420 --> 00:34:46,800
+طبعا طبعا تمدد لفخذ مع الساق و الذراع العلوية فهذا
+
+453
+00:34:46,800 --> 00:34:51,480
+مانع لأن ينقلب المريض أو الضحية للخلف أو للأمام
+
+454
+00:34:51,480 --> 00:34:57,100
+وهذا هو وضع آمن جدا في حال كان شخص فاقدا للوعي
+
+455
+00:34:57,100 --> 00:35:02,300
+يتنفس والقلب يديه ينبض شكرا مبارك الله فيكم
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/NjDgBF2yS70_postprocess.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/NjDgBF2yS70_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..26deee7c3a7892f65cfa996078a9020bbd02e3f1
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/NjDgBF2yS70_postprocess.srt
@@ -0,0 +1,1356 @@
+1
+00:00:04,890 --> 00:00:07,050
+أعوذ بالله من الشيطان الجيم أحمد الله الرحمن
+
+2
+00:00:07,050 --> 00:00:09,170
+الرحيم والصلاة والسلام علي أشرف المرسلين سيدنا
+
+3
+00:00:09,170 --> 00:00:12,650
+محمد وليه وصحابه السلام طبعا هذه ممكن هتكون أخر
+
+4
+00:00:12,650 --> 00:00:16,410
+محاضرة في الإفطار وان شاء الله الأسبوع القادمة
+
+5
+00:00:16,410 --> 00:00:19,330
+بكون رمضان كل عام انتم بخير ان شاء الله و تعالى
+
+6
+00:00:19,330 --> 00:00:23,160
+طبعا الموضوع اليوم موضوع اللي هو عن الحروقو طبعا
+
+7
+00:00:23,160 --> 00:00:27,560
+يعني احنا اكتر حاجة لما بنسمع كلمة حرق معناها خوف
+
+8
+00:00:27,560 --> 00:00:31,560
+من التشوّه طبعا أحيانا ممكن بصحاب الحروق يعني او
+
+9
+00:00:31,560 --> 00:00:35,780
+بوازي في عنا كمان إصابات حرارية يعني ليس بالضرورة
+
+10
+00:00:35,780 --> 00:00:39,180
+تكون مشكلة جثة حرق لكن ممكن يكون من الإصابات
+
+11
+00:00:39,180 --> 00:00:41,800
+الحرارية اللي هي هنتعرف عليها و نعرف هناك ايه
+
+12
+00:00:41,800 --> 00:00:45,490
+فممكن نتعامل معاهاطبعا يعني ان شاء الله خلال
+
+13
+00:00:45,490 --> 00:00:49,470
+اللقاء أو كمان لقائين هيكون عندنا يعني بعض
+
+14
+00:00:49,470 --> 00:00:53,070
+المعلومات اللي نعرفها مع بعض شو هي أسباب الحروق،
+
+15
+00:00:53,070 --> 00:00:56,310
+درجات الحروق، العوامل بتأثر على خطورة الحرق لإن
+
+16
+00:00:56,310 --> 00:01:00,270
+أحيانا في عوامل مهمة إلها دور كبير في إنه كون في
+
+17
+00:01:00,270 --> 00:01:03,450
+الحرق إما خطير أو الحرق بسيط، إله مضاعفات مالوش
+
+18
+00:01:03,450 --> 00:01:07,590
+مضاعفاتتقدير مساحة الحرق يعني أقول قداش والله هذا
+
+19
+00:01:07,590 --> 00:01:10,890
+من مساحة الجسم وهنا طبعا هناك فيه فرق ما بين مساحة
+
+20
+00:01:10,890 --> 00:01:14,110
+الحرق عند الأطفال و مساحة الحرق عند الأكبار لأنه
+
+21
+00:01:14,110 --> 00:01:18,590
+شيء طبيعي أن جسم الطفل مقارنة كمساحة مقارنة بجسم
+
+22
+00:01:18,590 --> 00:01:22,890
+البالغ تختلف المساحات يعني مثلا طبعا مساحة الصدر
+
+23
+00:01:22,890 --> 00:01:27,510
+مساحة الظهر مساحة الذراع عند الأطفال مختلفة نوعا
+
+24
+00:01:27,510 --> 00:01:30,210
+ما بالنسبة للبالغين وبالتالي احنا فيه قانون نحن
+
+25
+00:01:30,210 --> 00:01:33,340
+بيسميه قانون التسعاتاللي من خلالها هنتعرف جداشنس
+
+26
+00:01:33,340 --> 00:01:37,420
+في المساحة في الطفل، إيش اللي ممكن نفيدنا هذا لأن
+
+27
+00:01:37,420 --> 00:01:41,220
+طبعا في عندنا عملية حساب لمساحة الحرق وعملية تعويض
+
+28
+00:01:41,220 --> 00:01:45,150
+للسوائل اللي بتكون موجودة وبالتاليوحدة الحروق اللي
+
+29
+00:01:45,150 --> 00:01:49,330
+موجودة طبعا في كتير من المستشفيات لها حسابات خاصة
+
+30
+00:01:49,330 --> 00:01:53,910
+لطبعا الخوف منها أكتر شيء لأن في عندنا جروح مفتوحة
+
+31
+00:01:53,910 --> 00:01:56,830
+مش كل الحروق بتام تقطيتها وهو طبعا هنتعرف عليه
+
+32
+00:01:56,830 --> 00:02:00,330
+ونشوف بعض الصور كمان هنتعرف كمان على الإسعافات
+
+33
+00:02:00,330 --> 00:02:03,640
+الأولية للحروق بصفة عامةوالاسعافة الأولى الحروف
+
+34
+00:02:03,640 --> 00:02:07,140
+الكيميائية او الكيميائية لان طبعا كتير ممكن
+
+35
+00:02:07,140 --> 00:02:11,600
+بواجهنا او ممكن نتعرض لبعض أنواع الحروف من النوع
+
+36
+00:02:11,600 --> 00:02:17,220
+الكيميائي سواء القلوي او الحامضي و هنقول ان نستفيد
+
+37
+00:02:17,220 --> 00:02:22,100
+منهم اه لكن في المقابل في قلويات مركزة او احمار
+
+38
+00:02:22,100 --> 00:02:27,630
+مركزة كيف نتعامل معاهاعملية إسعاف الحروق الناتج عن
+
+39
+00:02:27,630 --> 00:02:31,010
+الكهرباء هو طبعا مختلفة نوعا ما عن باج الحروق
+
+40
+00:02:31,010 --> 00:02:35,630
+لأنها تعتبر حروق مختلفة مافيش فيها سوائل لا حامض
+
+41
+00:02:35,630 --> 00:02:41,070
+ولا قلوي ولا فيها ميه ساخنه ولا سوائل ساخنهإيش أهم
+
+42
+00:02:41,070 --> 00:02:44,550
+الاحتياطات اللي لازم ناخدها بالاعتبار بالنسبة
+
+43
+00:02:44,550 --> 00:02:47,810
+للوقاية من الحروق؟ يمكن هذا بيذكرني بحاجة مهمة
+
+44
+00:02:47,810 --> 00:02:52,630
+كتير أنه لما حكينا الأسباب للحوادث ومن ضمن الحوادث
+
+45
+00:02:52,630 --> 00:02:56,190
+التالية طبعا هي الحروق الحروق أحد الأسباب تستدعي
+
+46
+00:02:56,190 --> 00:03:00,590
+تدخل إسعاف أولي وهنجونا دايما هم يعني كان بعض
+
+47
+00:03:00,590 --> 00:03:05,440
+الأسئلة مالجين طبعا عندنا في الامتحانإيش أهم حاجة
+
+48
+00:03:05,440 --> 00:03:08,940
+احنا ممكن يعني نستفيد منها أو نهتم فيها بالنسبة
+
+49
+00:03:08,940 --> 00:03:11,840
+للإسعاف الأولي أو الخدمة اللي نقدمها؟ طبعا أهم
+
+50
+00:03:11,840 --> 00:03:15,720
+حاجة اللي هي عملية إنقاد الضحية أو إنقاد المصابيح
+
+51
+00:03:15,720 --> 00:03:18,600
+اللي هنا وهو طبعا في عندنا تلت أسباب أو تلت أهداف
+
+52
+00:03:18,600 --> 00:03:21,760
+أساسية من هدف الإسعاف الأولي اللي هي عملية إنقاد
+
+53
+00:03:21,760 --> 00:03:26,100
+والحفاظ على الحياة وتقليل المضاعفات طبعا هم كلهم
+
+54
+00:03:26,100 --> 00:03:30,490
+مهمينلكن الأهم في المهم، الأهم الآن قضي الشخص هذا
+
+55
+00:03:30,490 --> 00:03:33,310
+من المكان اللي فيه مشكلة وكمان بعض الأسئلة كانت
+
+56
+00:03:33,310 --> 00:03:36,330
+يعني هل سلامة المصاب هي من سلامة المكان و لا سلامة
+
+57
+00:03:36,330 --> 00:03:38,950
+المكان و لا سلامة المصاب و طبعا ركزنا احنا دائما
+
+58
+00:03:38,950 --> 00:03:43,230
+انا بعتبر المصاب هو الأساس إذا كان في مكان آمن
+
+59
+00:03:43,230 --> 00:03:46,670
+بقدر اقدم فيه الخدمة بقدمها مافيش مكان باخده لمكان
+
+60
+00:03:46,670 --> 00:03:51,810
+آمن لأن انا بهمني ان انا اقدم الخدمة للشخص نفسه مش
+
+61
+00:03:51,810 --> 00:03:55,760
+ان انا ارتب المكانفيه ايضا احنا هنتقل بعد كده
+
+62
+00:03:55,760 --> 00:03:59,320
+للاصابات الحرارية ومن ضمنها طبعا الاجهاد الحراري
+
+63
+00:03:59,320 --> 00:04:04,220
+ايش خصائصه من ايش بينتج وضربة الحرارة او ضربة
+
+64
+00:04:04,220 --> 00:04:09,000
+الشمس وطبعا يعني احنا مابتحصلش عنا كتير لان
+
+65
+00:04:09,000 --> 00:04:12,340
+الحرارة مش الحرارة اللي بتوصل لخمسين وستين بعض
+
+66
+00:04:12,340 --> 00:04:16,900
+البلدان بتوصل لسبعينبالمقابل إليها قرصة البرد أو
+
+67
+00:04:16,900 --> 00:04:20,340
+عضة الثلج وهذه ما تحصل عندنا بالصورة المألوفة في
+
+68
+00:04:20,340 --> 00:04:23,260
+بعض البلدان توصل الحرارة تلاتين و أربعين تحت الصفر
+
+69
+00:04:23,260 --> 00:04:26,040
+وبالتالت طبعا هنا نقيب عندنا سواء من ارتفاع
+
+70
+00:04:26,040 --> 00:04:29,240
+الحرارة أو انخفاض الحرارة لإننا نتكلم عن الحروق
+
+71
+00:04:29,240 --> 00:04:32,980
+الحروق طبعا فيه من أنواع كل حاجة نسمحها بالنسبة
+
+72
+00:04:32,980 --> 00:04:36,760
+للحروق هي يعني لها علاقة بارتفاع الحرارةلكن في
+
+73
+00:04:36,760 --> 00:04:40,740
+المقابل لأن طبعا ما بنلاحظ الوجه الآخر بالنسبة
+
+74
+00:04:40,740 --> 00:04:43,640
+للحروق اللي هو .. و أهم مسبباته اللي هي انخفاض
+
+75
+00:04:43,640 --> 00:04:46,520
+الحرارة لأن طبعا ما بتنخفض الحرارة عندنا يعني لو
+
+76
+00:04:46,520 --> 00:04:49,800
+انخفضت الحرارة احنا ماتوصل تحت الصفر أبدا ات واحد
+
+77
+00:04:49,800 --> 00:04:53,700
+اتنين تلاتة اربعة فوق الصفر لكن درجة التجمد
+
+78
+00:04:53,700 --> 00:04:57,160
+مابنصلها يعني في بلاد تانية بكون عندنا الإصابات
+
+79
+00:04:57,160 --> 00:05:02,060
+هذه واضحة جدا و هي طبعا سموها الحروق الباردةيمكن
+
+80
+00:05:02,060 --> 00:05:06,080
+الأقرب مثال إليها، اللي هي الغازات المضغوطة جدّيش
+
+81
+00:05:06,080 --> 00:05:12,280
+بنلاحظ إنه الدرجة الحرارة بتنخفض حين ضغط الغاز لو
+
+82
+00:05:12,280 --> 00:05:15,960
+أنت مثلا احنا مسكنا حاجة بسيطة جرت الغاز، لما
+
+83
+00:05:15,960 --> 00:05:19,580
+بتنضغط فيها الغاز و تتعبى، تمام؟ بتلاحظ هنا فيها
+
+84
+00:05:19,580 --> 00:05:23,700
+برودة شديدة، تمام؟ في غازات بتكون مضغوطة أكتر، وهي
+
+85
+00:05:23,700 --> 00:05:27,200
+طبعا الغازات يعني ممكن تصل إلى درجة التجمد، وهي
+
+86
+00:05:27,200 --> 00:05:30,410
+طبعا ممكن بتلاحظوا إنه في فصل الشتاءيعني حتى اللي
+
+87
+00:05:30,410 --> 00:05:33,630
+بيشتنتوا في المطابق بتشوفوا أنه الغاز بيكون ضعيف،
+
+88
+00:05:33,630 --> 00:05:36,510
+ده مايوفرش الغاز بيكون ضعيف، ليش؟ لأنه الغاز يعني
+
+89
+00:05:36,510 --> 00:05:39,850
+بنقول قريب للتجمد، فبالتالي ممكن نستخدم تحريك
+
+90
+00:05:39,850 --> 00:05:43,710
+الغاز أو مثلا مياس ساخنة عشان إيش، نخفف أو نرفع من
+
+91
+00:05:43,710 --> 00:05:50,160
+حرارة الغاز هناطيب أجيت لو أحنا قلنا الحرق الحرق
+
+92
+00:05:50,160 --> 00:05:53,660
+أكتر حاجة يعني بهمني أنا أن أعرف وين يعني بحدث
+
+93
+00:05:53,660 --> 00:05:57,840
+الحرق طبعا بحدث الحرق وين؟ في الأنسجة الجلد غالبا
+
+94
+00:05:57,840 --> 00:06:00,880
+لأن طبعا الأنسجة الخارجية واحنا قلنا أن الجلد هو
+
+95
+00:06:00,880 --> 00:06:03,980
+أكبر عضو في جسم الإنسان بياخد من ناحية المساحة
+
+96
+00:06:03,980 --> 00:06:07,440
+طبعا هو مهم لكن فيه أهم طبعا جسم الإنسان كله مهم
+
+97
+00:06:07,440 --> 00:06:11,320
+كل أعضاء الموجودة فيه مهم وانسان ما بيشعر بقيمة أي
+
+98
+00:06:11,320 --> 00:06:15,600
+عضو في جسمه إلا إذا فقد وظيفتهتبقى قد الوطيفة صارت
+
+99
+00:06:15,600 --> 00:06:19,300
+المشكلة هنا، يعني نقول إنسان مثلا تمامت تمام مية
+
+100
+00:06:19,300 --> 00:06:23,800
+في المية و بتنفس طبيعي مية في المية، لكن قد الله
+
+101
+00:06:23,800 --> 00:06:26,700
+شاء إنه صار إن مثلا احنا أتقلص عضلي، بيقول مثلا
+
+102
+00:06:26,700 --> 00:06:29,820
+لفحة هوا، بيقولك أنا والله أصلا تتنفس من ناحيتي،
+
+103
+00:06:29,820 --> 00:06:33,440
+من خسرتي، من صدري، من ناحية هادي، إيه طبعا؟ و من
+
+104
+00:06:33,440 --> 00:06:37,130
+ثمانية ما تتنفس أساساهو نفس الطريق، لكن صار عندنا
+
+105
+00:06:37,130 --> 00:06:40,390
+.. صار عندنا فقدار وظيفة للعضلة نفسها إنها بطلت
+
+106
+00:06:40,390 --> 00:06:42,950
+تشتغل بالصورة الطبيعية و صار فيها تخلص، وبالتالي
+
+107
+00:06:42,950 --> 00:06:46,470
+ما بنشعر بقيمة أي عضو في جسمنا إلا إذا فقدنا
+
+108
+00:06:46,470 --> 00:06:50,450
+وظيفتهوهذا طبعا نتكلم عن الحروق، يعني بيهمنا نتكلم
+
+109
+00:06:50,450 --> 00:06:54,230
+على الجلد، واحنا ذكرنا الجلد قبل كده، ومن خواصه
+
+110
+00:06:54,230 --> 00:06:57,130
+طبعا، ليش نقول والله مثلا الحرج فيه تشوه، تشوه في
+
+111
+00:06:57,130 --> 00:06:59,850
+الجلد نفسه، مابقولش ان التشوه من الداخل، أنا بيهم
+
+112
+00:06:59,850 --> 00:07:03,130
+من الخارج، يعني نجيت اذا كان الجلد مثلا بتركيبته
+
+113
+00:07:03,130 --> 00:07:06,440
+الطبيعية وفي الداخل فيه مشكلة تحت الجلدصح هي ممكن
+
+114
+00:07:06,440 --> 00:07:10,660
+تظهر إليها أعراض، لكن خارجيا مافيش تشوه، لكن لما
+
+115
+00:07:10,660 --> 00:07:13,740
+يكون في الجلد فيه تشوه، مانعش هتظهر، وهي طبعا
+
+116
+00:07:13,740 --> 00:07:17,540
+بتطفو على سطح الميه، الحاجة الظاهرة بالنسبة لمكان
+
+117
+00:07:17,540 --> 00:07:22,150
+الإصابةوهنا احنا طبعا بنعرف الحرق انه إصابة أنسجد
+
+118
+00:07:22,150 --> 00:07:26,650
+الجسم بتلف وضرر وتغير في خواصية وظيفة نتيجة تعرض
+
+119
+00:07:26,650 --> 00:07:29,430
+لحرارة غير طبيعية، يبقى فينا حرارة طبيعية احنا
+
+120
+00:07:29,430 --> 00:07:32,690
+ممكن نتحملها طالما فينا حرارة غير طبيعية، والحرارة
+
+121
+00:07:32,690 --> 00:07:36,050
+الطبيعية هذه تحملها باختلاف من إنسان لإنسان، يعني
+
+122
+00:07:36,050 --> 00:07:38,590
+مثلا انت ممكن تتحمل الميه الساخنة، لكن يجي طفل
+
+123
+00:07:38,590 --> 00:07:43,160
+صغير، بنحرج منهاوبالتالي ممكن تتحمل درجة حرارة
+
+124
+00:07:43,160 --> 00:07:46,780
+بردة طفل صغير مايتحملها وبالتالي هنا تعرض الجسم
+
+125
+00:07:46,780 --> 00:07:52,000
+لحرارة غير قادر على تحملها سواء بارتفاع الحرارة أو
+
+126
+00:07:52,000 --> 00:07:56,000
+بنخفاض الحرارة يمكن بعض الأطفال و يمكن هذا لما نصل
+
+127
+00:07:56,000 --> 00:07:58,640
+لنقطة إليها اللي هي ذوي البشرة البيضة اللي هم
+
+128
+00:07:58,640 --> 00:08:03,930
+قابلية لقرصة البرد أكتر من ذوي البشرة الداكنةهذه
+
+129
+00:08:03,930 --> 00:08:06,370
+طبيعتهم، لأنه مافيش تحمل، لأنه دائما دول بشرة
+
+130
+00:08:06,370 --> 00:08:10,710
+داكنة بتتحملوا الحرارة أكتر، وطبعا شيء واضح، يعني
+
+131
+00:08:10,710 --> 00:08:12,730
+اللي بيعيش مثلا في أفريقيا، الحرارة طول الشمس تصل
+
+132
+00:08:12,730 --> 00:08:15,670
+لـ50 و60، طب ييجي واحد مثلا من أوروبا يعيش في
+
+133
+00:08:15,670 --> 00:08:19,350
+المنطقة هذه، مش هيتحمل، اه، فطبعا احنا منطقتنا هي
+
+134
+00:08:19,350 --> 00:08:21,370
+منطقة الشرق الأوسط، اللي هي منطقة اللي اعتدها
+
+135
+00:08:21,370 --> 00:08:23,870
+للحرارة، لا هي عالية كتير ولا منخفضة كتير
+
+136
+00:08:26,770 --> 00:08:30,730
+طبعا لو جينا هنا للأسباب، طب الأسباب، أنا في عندي
+
+137
+00:08:30,730 --> 00:08:33,850
+أسباب كثيرة، طب الأسباب ممكن تكون عندنا الحرارة
+
+138
+00:08:33,850 --> 00:08:37,490
+الجافة أو الحرارة العالية، والحرارة العالية نقسمها
+
+139
+00:08:37,490 --> 00:08:43,240
+لقسمين، حرارة جافة وحرارة رطبة أو سائلةطب نقص على
+
+140
+00:08:43,240 --> 00:08:47,000
+ذلك أمثلة كثيرة بنسبة ل .. لنوع الحرارة الجافة، في
+
+141
+00:08:47,000 --> 00:08:49,800
+عندنا مثلا طنجرة الكهربا، في عندنا المكوية، في
+
+142
+00:08:49,800 --> 00:08:52,560
+عندنا فرش الغاز، في عندنا الأجسام الساخنة، في
+
+143
+00:08:52,560 --> 00:08:56,600
+عندنا فرن .. فرن .. فرن الغاز، تمام؟ الحاجة الجافة
+
+144
+00:08:56,600 --> 00:09:00,700
+أو طبعا هذه بتعطينا عدم تحمل ل .. للحرارة بحد
+
+145
+00:09:00,700 --> 00:09:04,160
+ذاتها، وبالتالي بينتج عنها المشاكل اللي هي مشاكل
+
+146
+00:09:04,160 --> 00:09:04,520
+الحروب
+
+147
+00:09:08,570 --> 00:09:12,030
+طب نيجي لنوع تاني اللي هي الحرارة الرطبة أو الحروق
+
+148
+00:09:12,030 --> 00:09:15,890
+الناتجة من السوائل السوائل كتيرة و دايما الأخوات
+
+149
+00:09:15,890 --> 00:09:20,090
+اللي بيكونوا عارفين مثلا عندنا الميه المغلية الميه
+
+150
+00:09:20,090 --> 00:09:23,270
+المغلية ولا البخار مين أخطر عندنا طبعا البخار ليش
+
+151
+00:09:25,070 --> 00:09:28,890
+أعلى لأن البخار ما بيغادر مية إلا إذا ارتفعت عن
+
+152
+00:09:28,890 --> 00:09:32,410
+مية إذا درجة حرارة درجة غليان البخار عن مية طب
+
+153
+00:09:32,410 --> 00:09:37,630
+الزيوت أعلى وبالتالي أي سائل يشمل زيوت في الحريق
+
+154
+00:09:37,630 --> 00:09:42,430
+أخطر لما نقول مثلا إن إنسان انحرج من حليب مغليأو
+
+155
+00:09:42,430 --> 00:09:48,790
+سيرج أو سمنة مغلية أو طبعا ميّه مغلية طبعا اللي
+
+156
+00:09:48,790 --> 00:09:52,730
+فيها زيوت وفيها سكريات لأن درجة .. هو بعتمد على
+
+157
+00:09:52,730 --> 00:09:56,690
+درجة السائل يعني لما نقول مثلا الميّه تمام وحاطين
+
+158
+00:09:56,690 --> 00:10:00,520
+فيها سكرأو ميّه عادية، الميّه اللي فيها سُكر،
+
+159
+00:10:00,520 --> 00:10:03,860
+هتاخد واجهة أطول للغليان، لكن الميّه العادية هتاخد
+
+160
+00:10:03,860 --> 00:10:07,540
+واجهة أقل للغليان، وبالتالي التانية فيهم خطورة،
+
+161
+00:10:07,540 --> 00:10:12,160
+لكن لما نقول أنا درجة الغليان للسوائل اللي تشمل
+
+162
+00:10:12,160 --> 00:10:16,120
+زيوت أو دهون أو سكريات أعلى، معناه هتكون في
+
+163
+00:10:16,120 --> 00:10:21,570
+المقابل الحروق أخطرمن بعض الأخطاء اللي بتذكرني في
+
+164
+00:10:21,570 --> 00:10:25,790
+الكلام هذا اللي هي يعني بعض الأخطاء بتصير في داخل
+
+165
+00:10:25,790 --> 00:10:28,950
+الحمام، بالذات احنا بنقول للطفل مثلا روح يتحمم،
+
+166
+00:10:28,950 --> 00:10:33,990
+تمام؟ الحروق الناتجة من حمامات الكهربا أخطر من
+
+167
+00:10:33,990 --> 00:10:40,410
+ناتجة من حمامات الشمس، ليش؟ لأن الناتجة من حمامات
+
+168
+00:10:40,410 --> 00:10:43,670
+الكهربا الميه قريبة جدا، تنزل على طول ساخنةلكن
+
+169
+00:10:43,670 --> 00:10:47,190
+الحمام الشمسي هتنزل تدفع شوية شوية أما الساخنة و
+
+170
+00:10:47,190 --> 00:10:50,850
+حصل يعني كتير حالات و شوفنا حالات من الميه الساخنة
+
+171
+00:10:50,850 --> 00:10:55,430
+في الحمام الكهرة باقي حتى مع ناس كبار مثلا بفتح
+
+172
+00:10:55,430 --> 00:11:00,450
+الدش ولا الميه تنزل ساخنة بصير طبعا حروج عنده طبعا
+
+173
+00:11:00,450 --> 00:11:03,850
+مع الكبار أو مع أطفال وبالتالي هنا بيجي لأحد
+
+174
+00:11:03,850 --> 00:11:07,550
+الأسباب الأساسية اللي هو إيش مش جاهل اللي ماعرف أن
+
+175
+00:11:07,550 --> 00:11:12,110
+هذه الحاجة ساخنة بس بيجي تحت بند الإهماللأن طبعًا
+
+176
+00:11:12,110 --> 00:11:16,290
+إهمالك إنك إنت ما عرفتش حرارة الميّه أو طبعًا بيصي
+
+177
+00:11:16,290 --> 00:11:20,730
+بيجي ممكن يكون جهل للطفل تمام، مع إهمال للأم طبعًا
+
+178
+00:11:20,730 --> 00:11:23,370
+كمان حاجة تانية ممكن نشترك لموضوع تاني اللي ممكن
+
+179
+00:11:23,370 --> 00:11:26,050
+يدخله الموضوع الأختناق، وبالذات طبعًا في فصل
+
+180
+00:11:26,050 --> 00:11:30,430
+الشتاء، من بخار الميّه، وبالذات لمرضى التهابات
+
+181
+00:11:30,430 --> 00:11:33,630
+الجهاز التنفسي أو المرضي اللي عنده أزمة، هذا طبعًا
+
+182
+00:11:33,630 --> 00:11:38,310
+ممكن يساعد، يعمل ضيق، وكتير حصلت حالات وفيات من
+
+183
+00:11:38,310 --> 00:11:43,170
+الإختناق بالصورة هذهنجلها السبب التاني اللي هي
+
+184
+00:11:43,170 --> 00:11:46,670
+البرودة الشديدة، البرودة الشديدة انخفاض الحرارة عن
+
+185
+00:11:46,670 --> 00:11:49,550
+معدلها الطبيعي، واحنا نقول يا أخواتنا ما بيصيرش
+
+186
+00:11:49,550 --> 00:11:54,590
+عنا، لكن أقرب مثل النهانة في فصل الشتاء، اللي هي
+
+187
+00:11:54,590 --> 00:11:59,460
+نقول تورم الأصابعبالذات ده البشرة البيضة تورم
+
+188
+00:11:59,460 --> 00:12:03,300
+أصابع القدمين والكفين وهنا طبعا بصير الألم طب
+
+189
+00:12:03,300 --> 00:12:05,800
+فيقول ليش بصير الألم يا أخواتنا هنا؟ هو ماصار حرق
+
+190
+00:12:05,800 --> 00:12:11,020
+هنا لكن بصير ألم ليش بصير الألم؟ كمية الدم بالضبط
+
+191
+00:12:11,020 --> 00:12:14,200
+كمية الدم وهذا طبعا يمكن أن المرض السكر مش ملحوظة
+
+192
+00:12:14,410 --> 00:12:17,110
+من انه بشعر .. لأنه ما بشعر لأنه طبعا مرض السكر و
+
+193
+00:12:17,110 --> 00:12:20,210
+بأثر على نهايات العصام لكن لما اتكلم على إنسان
+
+194
+00:12:20,210 --> 00:12:24,210
+عادي بيشعر بالألم و بالذات مع قلة الحركة و بالتالت
+
+195
+00:12:24,210 --> 00:12:30,110
+أهم علاماتها انه بيصير انه تورم و انتفاخ و ممكن
+
+196
+00:12:30,110 --> 00:12:34,370
+تغير اللون تمام؟ لكن في الحالة هذه يعني نقول هنا
+
+197
+00:12:34,370 --> 00:12:38,050
+كأس عام أول او السابق الشيء لا يسمح باستخدام الماء
+
+198
+00:12:38,050 --> 00:12:42,280
+الساخنلا يسمح باستخدام الماء الساخن لأنه قد يؤدي
+
+199
+00:12:42,280 --> 00:12:47,620
+إلى انفجارات داخل الأنسجة، اللي هي حاجات منتفخة،
+
+200
+00:12:47,620 --> 00:12:52,100
+تمام؟ واحنا يعني .. يعني بنضحها بميه ساخنة، الميه
+
+201
+00:12:52,100 --> 00:12:57,040
+الساخنة، تمام؟ طبعا الميه الساخنة يعمل تمدد، وطبعا
+
+202
+00:12:57,040 --> 00:13:01,490
+جدار الخلايا رقيقهو ممكن يؤدي إلى انفجارات داخل
+
+203
+00:13:01,490 --> 00:13:05,890
+الفتالي لا يسمح لا يسمح استخدام الماء الساخن
+
+204
+00:13:05,890 --> 00:13:09,230
+كإسعاف أولي في حالات اللي هي الحرارة الحرارة
+
+205
+00:13:09,230 --> 00:13:14,810
+المنخفضة أو قرصة البردالعوامل الكيميائية، طبعا هذه
+
+206
+00:13:14,810 --> 00:13:17,150
+العوامل الكيميائية ممكن نذكر منها اللي هي القلويات
+
+207
+00:13:17,150 --> 00:13:20,210
+والأحماض، يعني كيف اتعامل مع القلوي، كيف اتعامل مع
+
+208
+00:13:20,210 --> 00:13:23,210
+الحامض، وهذا طبعا هناخده كمان بالتفصيل إن شاء الله
+
+209
+00:13:23,210 --> 00:13:28,450
+تعالى، لو كان عندنا مثلا سببه كيميائي سواء حامضي
+
+210
+00:13:28,450 --> 00:13:33,050
+أو قلوي، يمكن هنا المواد الكيميائية يمكن أكتر حاجة
+
+211
+00:13:33,050 --> 00:13:37,500
+مشهورة عندناليه طبعا الصودا الكاوية أو ميط النار
+
+212
+00:13:37,500 --> 00:13:41,000
+اللي هو حامض النيتريك المركز وهذا ممكن تسمع حالات
+
+213
+00:13:41,000 --> 00:13:43,900
+كتيرة ان والله ممكن انسان بدون انتقام من الإنسان
+
+214
+00:13:43,900 --> 00:13:47,160
+بدير عوجبه مثلا ميط نار وهذا حصل .. حصلت كتير
+
+215
+00:13:47,160 --> 00:13:51,120
+بالداخل طبعا اللي هو حامض النيتريك المركز هذه مادة
+
+216
+00:13:51,120 --> 00:13:55,620
+حارقة فمبارك لما يشربها طبعا في منها تسمم وفي منها
+
+217
+00:13:55,620 --> 00:14:02,020
+حروق طبعا داخلية حروق
+
+218
+00:14:02,020 --> 00:14:07,890
+الكهرباالكهرباء طبعا يعني ممكن تعمل حروق وممكن
+
+219
+00:14:07,890 --> 00:14:11,450
+تؤدي إلى توقف عضلة القلب لو كان طبعا تيارة كهربائي
+
+220
+00:14:11,450 --> 00:14:16,330
+قوي أو لفترة زمانية أطول هيكون يعني نتيجة الحرق
+
+221
+00:14:16,330 --> 00:14:22,850
+واضحة على مكان الإصابة ليش ممكن طبعا يعمل سعقات
+
+222
+00:14:22,850 --> 00:14:25,930
+كهربائي أو توقف عضلة القلب؟ لأن القلب يا أخواتنا
+
+223
+00:14:25,930 --> 00:14:29,370
+بيشتغل أو الجسم كله بيشتغل بالكهرباءالكهرباء
+
+224
+00:14:29,370 --> 00:14:32,770
+العصاب يعني لو صار فيها شلل العصاب بتعمل تشغل
+
+225
+00:14:32,770 --> 00:14:36,750
+بالشحنات الكهربائية سواء الصاعدة او الهابطة
+
+226
+00:14:36,750 --> 00:14:40,610
+وبالتالي لما احنا بندخل اليها شحنة كهربية اعلى ما
+
+227
+00:14:40,610 --> 00:14:44,030
+منها هيعمل ايش اختلال وهو طبعا نقطة بتفكرنا لما
+
+228
+00:14:44,030 --> 00:14:46,690
+احنا قلنا في الاسعاف الأولى في حال توقف عدالة
+
+229
+00:14:46,690 --> 00:14:51,370
+القلب كليابعمل تدليق القلب، لكن لو كان القلب يعمل،
+
+230
+00:14:51,370 --> 00:14:53,990
+مابتدخلش فيه، حتى لو كان يعمل إيه شيء بطن،
+
+231
+00:14:53,990 --> 00:14:57,950
+وبالتالي الكهربا هي أحد الأسباب التي تؤدي إلى حروق
+
+232
+00:14:57,950 --> 00:15:01,930
+وجروح في نفس المكان وقد تؤدي إلى توقف عضلة القلب،
+
+233
+00:15:01,930 --> 00:15:06,830
+تاني حاجة أن الكهربا تعمل على تأيين خلايا الدم
+
+234
+00:15:06,830 --> 00:15:09,590
+الحمراء، وبالتالي يقولوا الله بعد ما اتكهرب، صار
+
+235
+00:15:09,590 --> 00:15:13,110
+الدم وصل أربعة جرام ولا خمسة جرامليش؟ لأن صرفينا
+
+236
+00:15:13,110 --> 00:15:15,490
+تأيون لخلايا ده تكسير لخلايا ده من الحمراء اللي
+
+237
+00:15:15,490 --> 00:15:19,250
+تحمل مادة ال hemoglobin وبالتالي هنا قد تؤدي إلى
+
+238
+00:15:19,250 --> 00:15:22,710
+الوفاة كتير من بعض الناس اتكهرب ماتوا وبعض الناس
+
+239
+00:15:22,710 --> 00:15:25,250
+اتكهرب لكن اللي هو نصيب إنه يعيش لإنه يعملوا طبعا
+
+240
+00:15:25,250 --> 00:15:28,230
+تدليق عدد القلب أو تنافس صناعي مع تدليق عدد القلب
+
+241
+00:15:28,230 --> 00:15:30,290
+و اللي هو طبعا نصيب إيش يستمر في الحياة
+
+242
+00:15:33,750 --> 00:15:38,670
+الاشعاعات و طبعا احنا عشنا التجربة هذه و سمعنا عن
+
+243
+00:15:38,670 --> 00:15:42,130
+التجربة هذه التجربة اللي احنا سمعنا فيها اللي هي
+
+244
+00:15:42,130 --> 00:15:45,850
+هيروشيما و نجازاكي كيف اللي طبعا الاشعاع النووي
+
+245
+00:15:45,850 --> 00:15:50,210
+كان مؤثر اليوم لا سمح الله مش هنسمعاللي احنا لو
+
+246
+00:15:50,210 --> 00:15:53,730
+صارت مش هن .. مش هنخبر غيرنا يعني فطبعا اليهم
+
+247
+00:15:53,730 --> 00:15:58,530
+المشكلة اكتر و اخطر و اليهم طبعا في قنابل او اسلحة
+
+248
+00:15:58,530 --> 00:16:03,490
+احدث كتير الهيدروجينية و الدرية و النووية و
+
+249
+00:16:03,490 --> 00:16:06,330
+الكهرومغناطسية يعني هذه مش هنخبر اللي ورانا فيها
+
+250
+00:16:06,330 --> 00:16:11,310
+يعني يعني بعدين مش هيصير الا صراع بال .. بالسيف و
+
+251
+00:16:11,310 --> 00:16:15,520
+المنجلفاحنا الفترة اللي احنا عشناها اللي هي
+
+252
+00:16:15,520 --> 00:16:21,160
+الفسفور الأبيض في حرب الأولى تمام فطبعا في كان
+
+253
+00:16:21,160 --> 00:16:24,960
+اللي هو ال 2008 استخدموا اليهود اللي هو الفسفور
+
+254
+00:16:24,960 --> 00:16:27,760
+الأبيض و احنا طبعا ما كان الخبرة موجودة يعني كان
+
+255
+00:16:27,760 --> 00:16:31,480
+الناس يستخدمه انه طفوه بميه و أي شيء لأ هو كل ما
+
+256
+00:16:31,480 --> 00:16:33,380
+كان .. طبعا هو بتفاعل مع ال oxygen و ال oxygen
+
+257
+00:16:33,380 --> 00:16:36,430
+موجود في الميهفبالتالي بدّوا يعملوا يتخنقوا يعني
+
+258
+00:16:36,430 --> 00:16:39,650
+زي أي كائن حقيقي احنا بدنا نخنقه وبالتالي كان
+
+259
+00:16:39,650 --> 00:16:43,270
+الأصح اننا نغطيه او نطمره بالرمل واحد يقول ممكن
+
+260
+00:16:43,270 --> 00:16:47,070
+يبقى هناك تلوث اه لكن اقل دررين انه يقتل الشخص هذا
+
+261
+00:16:47,070 --> 00:16:53,350
+ولا الجرح يتلوث لو ساقف طبعا اقل درع المفاسد افضل
+
+262
+00:16:53,350 --> 00:16:57,470
+من جلب المنافع وبالتالي كانت التجربة يعني مش بسيطة
+
+263
+00:16:57,710 --> 00:17:01,030
+جدّيش كان لما ييجي ال .. ال .. ال support على
+
+264
+00:17:01,030 --> 00:17:05,530
+أجسام الناس كيف يعمل إلها إذابة، كيف يعمل تدمير،
+
+265
+00:17:05,530 --> 00:17:08,150
+فبالتالي يعني .. يعني ماكننا في الخبرة يعني،
+
+266
+00:17:08,150 --> 00:17:10,570
+وبعدين الحمد لله ربنا يعني وإن شاء الله أيام لا
+
+267
+00:17:10,570 --> 00:17:10,910
+تعود
+
+268
+00:17:17,030 --> 00:17:20,970
+يعني كمان نقول حاجة تانية بالنسبة للإشعاعات يعني
+
+269
+00:17:20,970 --> 00:17:25,750
+صح هي ممكن يكون لها أثر سلبي لكن برضه إلها أثر
+
+270
+00:17:25,750 --> 00:17:29,690
+إيجابي يعني لهم الإشعاعات تستخدم في علاج الأورام و
+
+271
+00:17:29,690 --> 00:17:33,650
+بالذات طبعا الـ U131 لمرضى الغضب الدراقية بعد
+
+272
+00:17:33,650 --> 00:17:38,300
+إزالة الغضب الدراقية بيستخدموهعشان يقتل ما تبقى من
+
+273
+00:17:38,300 --> 00:17:42,720
+خلايا الغدادرقية أو جزيئات الغدادرقية لأن طبعا هو
+
+274
+00:17:42,720 --> 00:17:46,740
+مادة قاتلة صحيح ومادة مشعة وبالتالي ممكن استخدامه
+
+275
+00:17:46,740 --> 00:17:51,020
+إما بالحاجات السلبية كالحروب أو بالحاجات الإيجابية
+
+276
+00:17:51,020 --> 00:17:53,180
+اللي ممكن استخدامها والعلاجات
+
+277
+00:18:00,320 --> 00:18:03,580
+طبعا درجات الحروق ممكن طبعا موضوع كتير يعني مابديش
+
+278
+00:18:03,580 --> 00:18:06,880
+انا اخد فيه تفاصيل كتير لإن بس هناخد اليوم كمقدمة
+
+279
+00:18:06,880 --> 00:18:10,660
+طبعا هاول انهينا ال gate ان شاء الله طبعا درجات
+
+280
+00:18:10,660 --> 00:18:15,460
+الحروق يعني معتمدة على العمق يعني لما اتكلم انا
+
+281
+00:18:15,460 --> 00:18:19,710
+على الدرجة معناها العمقأما يكون سطحي أو عميق
+
+282
+00:18:19,710 --> 00:18:23,530
+وبالتالي أنا أحاسس برضه الكل يستفيد من اللقاء اللي
+
+283
+00:18:23,530 --> 00:18:27,390
+قادم ان شاء الله فالدرجات الموجودة عندنا أربع
+
+284
+00:18:27,390 --> 00:18:32,450
+درجات الأولى وإيش مواصفاتها والتانية إيش مواصفاتها
+
+285
+00:18:32,450 --> 00:18:35,810
+وإيش إسعافة والتالتة إيش مواصفاتها وإسعافة والربع
+
+286
+00:18:35,810 --> 00:18:41,030
+بنكون احنا في مخيلتنا ومعلومناإنه ما بتفق النار
+
+287
+00:18:41,030 --> 00:18:44,270
+إلى الميّه وبالتالي هنا عشان أنا جاب المخود
+
+288
+00:18:44,270 --> 00:18:47,870
+بالتفاصيل كلها لصحيفة الأولية بدنا نكون هارسين و
+
+289
+00:18:47,870 --> 00:18:52,650
+بعاد عن الوصفات الشعبية وصفات الشعبية كتيرة انا
+
+290
+00:18:52,650 --> 00:18:55,470
+يعني كتير من اللقاءات سواء بعملها مثلا في جامعيات
+
+291
+00:18:55,470 --> 00:18:59,450
+أو مدارس أو جامعات وشيء بسمع وصفات يعني لأول مرة
+
+292
+00:18:59,450 --> 00:19:03,470
+بسمعها المعجون الأسنان هذا واضح هذا معروف هذا
+
+293
+00:19:03,470 --> 00:19:07,230
+المعجون الأسنانالقهوة لأ بستخدموها للجروح
+
+294
+00:19:07,230 --> 00:19:10,850
+بستخدموها للجروح لأ قهوة في النزيل بستخدموا العسل
+
+295
+00:19:10,850 --> 00:19:16,010
+بستخدموا الطهين بستخدموا شرايح البطاطا بستخدموا ..
+
+296
+00:19:16,010 --> 00:19:20,870
+اه انا بسمع حاجات شعبية كتيرة بستخدموا الصلصة
+
+297
+00:19:20,870 --> 00:19:26,870
+بستخدموا مية الزتون بستخدموا الملحيعني وصفاتها دي
+
+298
+00:19:26,870 --> 00:19:29,550
+يعني ما بتفيد يعني هتبقى بيقولك أنا والله ممكن
+
+299
+00:19:29,550 --> 00:19:32,230
+استخدم .. عن تجربة بيقولك والله مثلا بعض الأخوات
+
+300
+00:19:32,230 --> 00:19:37,890
+أنا لما انحرجت استخدمت الطحين طب ماشي يعني لو ربما
+
+301
+00:19:37,890 --> 00:19:40,110
+سطفت معاكي أو الطحين كان بارد شوية يعني خفض
+
+302
+00:19:40,110 --> 00:19:42,190
+الحرارة شوية وبالتالي احنا لما نتكلم عن السماعة
+
+303
+00:19:42,190 --> 00:19:45,810
+الأولية طبعا في يعني الضوابط إن أنا كيه بدي أتكلم
+
+304
+00:19:45,810 --> 00:19:49,090
+أو كيه بدي أسحب، تمام؟ لكن أنا بتدهش من ناحية
+
+305
+00:19:49,090 --> 00:19:54,520
+منطقية يعني النار أنت لما تكون شوبانة تشرب ميهعندك
+
+306
+00:19:54,520 --> 00:19:57,860
+نار مولعة، بدّو فيش عليها حليب ولا ميّة زيتون،
+
+307
+00:19:57,860 --> 00:20:01,860
+ميّه، ميّه تمام، يعني أبسط شيء، أبسط شيء اللي هي
+
+308
+00:20:01,860 --> 00:20:04,720
+الميّه العادية، أبسط شيء الميّه العادية، كمان حاجة
+
+309
+00:20:04,720 --> 00:20:07,380
+تانية أخواتنا بنقول إن إحنا بدنا نتجنب الماء
+
+310
+00:20:07,380 --> 00:20:13,500
+المثلج، الماء المثلج مؤلم، والتلج بقلم أكتر،
+
+311
+00:20:13,500 --> 00:20:15,700
+وبالتالي احنا بنتقدم نقول مثلًا ميّه باردة، مافيش
+
+312
+00:20:15,700 --> 00:20:19,440
+عندك ميّه باردة، ميّه حنفيةالمياه الحرفية عادي،
+
+313
+00:20:19,440 --> 00:20:23,100
+مهما تكون مش هتكون ساخنة، مياه عادية الهدف من
+
+314
+00:20:23,100 --> 00:20:29,580
+إسعافي أنا للحروق، إيش هو؟ تخفيض الحرارة، ليش؟
+
+315
+00:20:29,580 --> 00:20:31,680
+عشان أنا مابدأش أخدهم التفاصيل، كانت بس معلومة
+
+316
+00:20:31,680 --> 00:20:35,580
+عامة، ليش أنا بعمل تخفيض الحرارة؟ لأنه أنا بس بدأ
+
+317
+00:20:35,580 --> 00:20:39,680
+أنا أذكركم حاجة مهمة، إن الجلد هو الطبقة الخارجية،
+
+318
+00:20:39,680 --> 00:20:43,000
+بتكون طبعا الأدم أو البشرة، تحت الطبقة، دول رقيقات
+
+319
+00:20:43,000 --> 00:20:45,760
+جدا، تمام؟ تحت الطبقة، لا أعرف إيه حاجة ما نسميها،
+
+320
+00:20:45,760 --> 00:20:49,890
+طبقة دهنيةالطبقة الدهنية اللي هي طبقة تحت الجلد
+
+321
+00:20:49,890 --> 00:20:53,630
+اللي هي طبعا مرض السكر بياخد فيها العلاجة، تمام؟
+
+322
+00:20:53,630 --> 00:20:56,810
+التحت الطبقة الدهنية هي فعلا طبقة العضلات والعظام
+
+323
+00:20:57,910 --> 00:21:00,990
+فالطبقة الدهنية هذه، نرجع لكلامنا في الأول، ان
+
+324
+00:21:00,990 --> 00:21:04,790
+نقول إن احنا الدهون والزيوت والسكريات بتاخد وجهة
+
+325
+00:21:04,790 --> 00:21:08,530
+أطول لما ترت في حرارتها ووجهة أقل لما تنخفض
+
+326
+00:21:08,530 --> 00:21:12,430
+حرارتها وبالتالي أنا لما بدي أخفض الحرارة، بدي أصل
+
+327
+00:21:12,430 --> 00:21:16,090
+للحرارة الكامنة الموجودة في الطبقة الدهنية هذه،
+
+328
+00:21:16,090 --> 00:21:20,300
+أنا ممكن أخفض الحرارة سطحيالكن داخلياً هتظلها
+
+329
+00:21:20,300 --> 00:21:23,560
+موجودة و يظل الألم موجود وبالتالي هنا أنا بركز على
+
+330
+00:21:23,560 --> 00:21:27,440
+فترة زمنية معينة عشان أصل لتخفيد الحرارة للطبقة
+
+331
+00:21:27,440 --> 00:21:30,620
+الداخلية لأن الطبقة الداخلية هتاخد وجهت أطول لأنها
+
+332
+00:21:30,620 --> 00:21:34,400
+طبقة دهنية الطبقة السطحية مش دهنيةوبالتالي أنا
+
+333
+00:21:34,400 --> 00:21:39,400
+بستخدم الوقت الأطول عشان أخفض الحرارة الموجودة في
+
+334
+00:21:39,400 --> 00:21:42,800
+الطبقة الدهنية احنا نحاول نخل الجزئي هذه عساس
+
+335
+00:21:42,800 --> 00:21:45,720
+درجاته كيف أن نعمل إسعافة للقاء القادم ان شاء الله
+
+336
+00:21:45,720 --> 00:21:49,180
+و تكون أول محاضرة عندنا في شهر رمضان المبارك بإذن
+
+337
+00:21:49,180 --> 00:21:52,780
+الله تعالى و كل عام و أنتم بخير و ان شاء الله نكون
+
+338
+00:21:52,780 --> 00:21:55,280
+موفقين في توصيل معلومة انكم مبارك الله فيكم وشكرا
+
+339
+00:21:55,280 --> 00:21:55,680
+جزيلا
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/NjDgBF2yS70_raw.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/NjDgBF2yS70_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..26deee7c3a7892f65cfa996078a9020bbd02e3f1
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/NjDgBF2yS70_raw.srt
@@ -0,0 +1,1356 @@
+1
+00:00:04,890 --> 00:00:07,050
+أعوذ بالله من الشيطان الجيم أحمد الله الرحمن
+
+2
+00:00:07,050 --> 00:00:09,170
+الرحيم والصلاة والسلام علي أشرف المرسلين سيدنا
+
+3
+00:00:09,170 --> 00:00:12,650
+محمد وليه وصحابه السلام طبعا هذه ممكن هتكون أخر
+
+4
+00:00:12,650 --> 00:00:16,410
+محاضرة في الإفطار وان شاء الله الأسبوع القادمة
+
+5
+00:00:16,410 --> 00:00:19,330
+بكون رمضان كل عام انتم بخير ان شاء الله و تعالى
+
+6
+00:00:19,330 --> 00:00:23,160
+طبعا الموضوع اليوم موضوع اللي هو عن الحروقو طبعا
+
+7
+00:00:23,160 --> 00:00:27,560
+يعني احنا اكتر حاجة لما بنسمع كلمة حرق معناها خوف
+
+8
+00:00:27,560 --> 00:00:31,560
+من التشوّه طبعا أحيانا ممكن بصحاب الحروق يعني او
+
+9
+00:00:31,560 --> 00:00:35,780
+بوازي في عنا كمان إصابات حرارية يعني ليس بالضرورة
+
+10
+00:00:35,780 --> 00:00:39,180
+تكون مشكلة جثة حرق لكن ممكن يكون من الإصابات
+
+11
+00:00:39,180 --> 00:00:41,800
+الحرارية اللي هي هنتعرف عليها و نعرف هناك ايه
+
+12
+00:00:41,800 --> 00:00:45,490
+فممكن نتعامل معاهاطبعا يعني ان شاء الله خلال
+
+13
+00:00:45,490 --> 00:00:49,470
+اللقاء أو كمان لقائين هيكون عندنا يعني بعض
+
+14
+00:00:49,470 --> 00:00:53,070
+المعلومات اللي نعرفها مع بعض شو هي أسباب الحروق،
+
+15
+00:00:53,070 --> 00:00:56,310
+درجات الحروق، العوامل بتأثر على خطورة الحرق لإن
+
+16
+00:00:56,310 --> 00:01:00,270
+أحيانا في عوامل مهمة إلها دور كبير في إنه كون في
+
+17
+00:01:00,270 --> 00:01:03,450
+الحرق إما خطير أو الحرق بسيط، إله مضاعفات مالوش
+
+18
+00:01:03,450 --> 00:01:07,590
+مضاعفاتتقدير مساحة الحرق يعني أقول قداش والله هذا
+
+19
+00:01:07,590 --> 00:01:10,890
+من مساحة الجسم وهنا طبعا هناك فيه فرق ما بين مساحة
+
+20
+00:01:10,890 --> 00:01:14,110
+الحرق عند الأطفال و مساحة الحرق عند الأكبار لأنه
+
+21
+00:01:14,110 --> 00:01:18,590
+شيء طبيعي أن جسم الطفل مقارنة كمساحة مقارنة بجسم
+
+22
+00:01:18,590 --> 00:01:22,890
+البالغ تختلف المساحات يعني مثلا طبعا مساحة الصدر
+
+23
+00:01:22,890 --> 00:01:27,510
+مساحة الظهر مساحة الذراع عند الأطفال مختلفة نوعا
+
+24
+00:01:27,510 --> 00:01:30,210
+ما بالنسبة للبالغين وبالتالي احنا فيه قانون نحن
+
+25
+00:01:30,210 --> 00:01:33,340
+بيسميه قانون التسعاتاللي من خلالها هنتعرف جداشنس
+
+26
+00:01:33,340 --> 00:01:37,420
+في المساحة في الطفل، إيش اللي ممكن نفيدنا هذا لأن
+
+27
+00:01:37,420 --> 00:01:41,220
+طبعا في عندنا عملية حساب لمساحة الحرق وعملية تعويض
+
+28
+00:01:41,220 --> 00:01:45,150
+للسوائل اللي بتكون موجودة وبالتاليوحدة الحروق اللي
+
+29
+00:01:45,150 --> 00:01:49,330
+موجودة طبعا في كتير من المستشفيات لها حسابات خاصة
+
+30
+00:01:49,330 --> 00:01:53,910
+لطبعا الخوف منها أكتر شيء لأن في عندنا جروح مفتوحة
+
+31
+00:01:53,910 --> 00:01:56,830
+مش كل الحروق بتام تقطيتها وهو طبعا هنتعرف عليه
+
+32
+00:01:56,830 --> 00:02:00,330
+ونشوف بعض الصور كمان هنتعرف كمان على الإسعافات
+
+33
+00:02:00,330 --> 00:02:03,640
+الأولية للحروق بصفة عامةوالاسعافة الأولى الحروف
+
+34
+00:02:03,640 --> 00:02:07,140
+الكيميائية او الكيميائية لان طبعا كتير ممكن
+
+35
+00:02:07,140 --> 00:02:11,600
+بواجهنا او ممكن نتعرض لبعض أنواع الحروف من النوع
+
+36
+00:02:11,600 --> 00:02:17,220
+الكيميائي سواء القلوي او الحامضي و هنقول ان نستفيد
+
+37
+00:02:17,220 --> 00:02:22,100
+منهم اه لكن في المقابل في قلويات مركزة او احمار
+
+38
+00:02:22,100 --> 00:02:27,630
+مركزة كيف نتعامل معاهاعملية إسعاف الحروق الناتج عن
+
+39
+00:02:27,630 --> 00:02:31,010
+الكهرباء هو طبعا مختلفة نوعا ما عن باج الحروق
+
+40
+00:02:31,010 --> 00:02:35,630
+لأنها تعتبر حروق مختلفة مافيش فيها سوائل لا حامض
+
+41
+00:02:35,630 --> 00:02:41,070
+ولا قلوي ولا فيها ميه ساخنه ولا سوائل ساخنهإيش أهم
+
+42
+00:02:41,070 --> 00:02:44,550
+الاحتياطات اللي لازم ناخدها بالاعتبار بالنسبة
+
+43
+00:02:44,550 --> 00:02:47,810
+للوقاية من الحروق؟ يمكن هذا بيذكرني بحاجة مهمة
+
+44
+00:02:47,810 --> 00:02:52,630
+كتير أنه لما حكينا الأسباب للحوادث ومن ضمن الحوادث
+
+45
+00:02:52,630 --> 00:02:56,190
+التالية طبعا هي الحروق الحروق أحد الأسباب تستدعي
+
+46
+00:02:56,190 --> 00:03:00,590
+تدخل إسعاف أولي وهنجونا دايما هم يعني كان بعض
+
+47
+00:03:00,590 --> 00:03:05,440
+الأسئلة مالجين طبعا عندنا في الامتحانإيش أهم حاجة
+
+48
+00:03:05,440 --> 00:03:08,940
+احنا ممكن يعني نستفيد منها أو نهتم فيها بالنسبة
+
+49
+00:03:08,940 --> 00:03:11,840
+للإسعاف الأولي أو الخدمة اللي نقدمها؟ طبعا أهم
+
+50
+00:03:11,840 --> 00:03:15,720
+حاجة اللي هي عملية إنقاد الضحية أو إنقاد المصابيح
+
+51
+00:03:15,720 --> 00:03:18,600
+اللي هنا وهو طبعا في عندنا تلت أسباب أو تلت أهداف
+
+52
+00:03:18,600 --> 00:03:21,760
+أساسية من هدف الإسعاف الأولي اللي هي عملية إنقاد
+
+53
+00:03:21,760 --> 00:03:26,100
+والحفاظ على الحياة وتقليل المضاعفات طبعا هم كلهم
+
+54
+00:03:26,100 --> 00:03:30,490
+مهمينلكن الأهم في المهم، الأهم الآن قضي الشخص هذا
+
+55
+00:03:30,490 --> 00:03:33,310
+من المكان اللي فيه مشكلة وكمان بعض الأسئلة كانت
+
+56
+00:03:33,310 --> 00:03:36,330
+يعني هل سلامة المصاب هي من سلامة المكان و لا سلامة
+
+57
+00:03:36,330 --> 00:03:38,950
+المكان و لا سلامة المصاب و طبعا ركزنا احنا دائما
+
+58
+00:03:38,950 --> 00:03:43,230
+انا بعتبر المصاب هو الأساس إذا كان في مكان آمن
+
+59
+00:03:43,230 --> 00:03:46,670
+بقدر اقدم فيه الخدمة بقدمها مافيش مكان باخده لمكان
+
+60
+00:03:46,670 --> 00:03:51,810
+آمن لأن انا بهمني ان انا اقدم الخدمة للشخص نفسه مش
+
+61
+00:03:51,810 --> 00:03:55,760
+ان انا ارتب المكانفيه ايضا احنا هنتقل بعد كده
+
+62
+00:03:55,760 --> 00:03:59,320
+للاصابات الحرارية ومن ضمنها طبعا الاجهاد الحراري
+
+63
+00:03:59,320 --> 00:04:04,220
+ايش خصائصه من ايش بينتج وضربة الحرارة او ضربة
+
+64
+00:04:04,220 --> 00:04:09,000
+الشمس وطبعا يعني احنا مابتحصلش عنا كتير لان
+
+65
+00:04:09,000 --> 00:04:12,340
+الحرارة مش الحرارة اللي بتوصل لخمسين وستين بعض
+
+66
+00:04:12,340 --> 00:04:16,900
+البلدان بتوصل لسبعينبالمقابل إليها قرصة البرد أو
+
+67
+00:04:16,900 --> 00:04:20,340
+عضة الثلج وهذه ما تحصل عندنا بالصورة المألوفة في
+
+68
+00:04:20,340 --> 00:04:23,260
+بعض البلدان توصل الحرارة تلاتين و أربعين تحت الصفر
+
+69
+00:04:23,260 --> 00:04:26,040
+وبالتالت طبعا هنا نقيب عندنا سواء من ارتفاع
+
+70
+00:04:26,040 --> 00:04:29,240
+الحرارة أو انخفاض الحرارة لإننا نتكلم عن الحروق
+
+71
+00:04:29,240 --> 00:04:32,980
+الحروق طبعا فيه من أنواع كل حاجة نسمحها بالنسبة
+
+72
+00:04:32,980 --> 00:04:36,760
+للحروق هي يعني لها علاقة بارتفاع الحرارةلكن في
+
+73
+00:04:36,760 --> 00:04:40,740
+المقابل لأن طبعا ما بنلاحظ الوجه الآخر بالنسبة
+
+74
+00:04:40,740 --> 00:04:43,640
+للحروق اللي هو .. و أهم مسبباته اللي هي انخفاض
+
+75
+00:04:43,640 --> 00:04:46,520
+الحرارة لأن طبعا ما بتنخفض الحرارة عندنا يعني لو
+
+76
+00:04:46,520 --> 00:04:49,800
+انخفضت الحرارة احنا ماتوصل تحت الصفر أبدا ات واحد
+
+77
+00:04:49,800 --> 00:04:53,700
+اتنين تلاتة اربعة فوق الصفر لكن درجة التجمد
+
+78
+00:04:53,700 --> 00:04:57,160
+مابنصلها يعني في بلاد تانية بكون عندنا الإصابات
+
+79
+00:04:57,160 --> 00:05:02,060
+هذه واضحة جدا و هي طبعا سموها الحروق الباردةيمكن
+
+80
+00:05:02,060 --> 00:05:06,080
+الأقرب مثال إليها، اللي هي الغازات المضغوطة جدّيش
+
+81
+00:05:06,080 --> 00:05:12,280
+بنلاحظ إنه الدرجة الحرارة بتنخفض حين ضغط الغاز لو
+
+82
+00:05:12,280 --> 00:05:15,960
+أنت مثلا احنا مسكنا حاجة بسيطة جرت الغاز، لما
+
+83
+00:05:15,960 --> 00:05:19,580
+بتنضغط فيها الغاز و تتعبى، تمام؟ بتلاحظ هنا فيها
+
+84
+00:05:19,580 --> 00:05:23,700
+برودة شديدة، تمام؟ في غازات بتكون مضغوطة أكتر، وهي
+
+85
+00:05:23,700 --> 00:05:27,200
+طبعا الغازات يعني ممكن تصل إلى درجة التجمد، وهي
+
+86
+00:05:27,200 --> 00:05:30,410
+طبعا ممكن بتلاحظوا إنه في فصل الشتاءيعني حتى اللي
+
+87
+00:05:30,410 --> 00:05:33,630
+بيشتنتوا في المطابق بتشوفوا أنه الغاز بيكون ضعيف،
+
+88
+00:05:33,630 --> 00:05:36,510
+ده مايوفرش الغاز بيكون ضعيف، ليش؟ لأنه الغاز يعني
+
+89
+00:05:36,510 --> 00:05:39,850
+بنقول قريب للتجمد، فبالتالي ممكن نستخدم تحريك
+
+90
+00:05:39,850 --> 00:05:43,710
+الغاز أو مثلا مياس ساخنة عشان إيش، نخفف أو نرفع من
+
+91
+00:05:43,710 --> 00:05:50,160
+حرارة الغاز هناطيب أجيت لو أحنا قلنا الحرق الحرق
+
+92
+00:05:50,160 --> 00:05:53,660
+أكتر حاجة يعني بهمني أنا أن أعرف وين يعني بحدث
+
+93
+00:05:53,660 --> 00:05:57,840
+الحرق طبعا بحدث الحرق وين؟ في الأنسجة الجلد غالبا
+
+94
+00:05:57,840 --> 00:06:00,880
+لأن طبعا الأنسجة الخارجية واحنا قلنا أن الجلد هو
+
+95
+00:06:00,880 --> 00:06:03,980
+أكبر عضو في جسم الإنسان بياخد من ناحية المساحة
+
+96
+00:06:03,980 --> 00:06:07,440
+طبعا هو مهم لكن فيه أهم طبعا جسم الإنسان كله مهم
+
+97
+00:06:07,440 --> 00:06:11,320
+كل أعضاء الموجودة فيه مهم وانسان ما بيشعر بقيمة أي
+
+98
+00:06:11,320 --> 00:06:15,600
+عضو في جسمه إلا إذا فقد وظيفتهتبقى قد الوطيفة صارت
+
+99
+00:06:15,600 --> 00:06:19,300
+المشكلة هنا، يعني نقول إنسان مثلا تمامت تمام مية
+
+100
+00:06:19,300 --> 00:06:23,800
+في المية و بتنفس طبيعي مية في المية، لكن قد الله
+
+101
+00:06:23,800 --> 00:06:26,700
+شاء إنه صار إن مثلا احنا أتقلص عضلي، بيقول مثلا
+
+102
+00:06:26,700 --> 00:06:29,820
+لفحة هوا، بيقولك أنا والله أصلا تتنفس من ناحيتي،
+
+103
+00:06:29,820 --> 00:06:33,440
+من خسرتي، من صدري، من ناحية هادي، إيه طبعا؟ و من
+
+104
+00:06:33,440 --> 00:06:37,130
+ثمانية ما تتنفس أساساهو نفس الطريق، لكن صار عندنا
+
+105
+00:06:37,130 --> 00:06:40,390
+.. صار عندنا فقدار وظيفة للعضلة نفسها إنها بطلت
+
+106
+00:06:40,390 --> 00:06:42,950
+تشتغل بالصورة الطبيعية و صار فيها تخلص، وبالتالي
+
+107
+00:06:42,950 --> 00:06:46,470
+ما بنشعر بقيمة أي عضو في جسمنا إلا إذا فقدنا
+
+108
+00:06:46,470 --> 00:06:50,450
+وظيفتهوهذا طبعا نتكلم عن الحروق، يعني بيهمنا نتكلم
+
+109
+00:06:50,450 --> 00:06:54,230
+على الجلد، واحنا ذكرنا الجلد قبل كده، ومن خواصه
+
+110
+00:06:54,230 --> 00:06:57,130
+طبعا، ليش نقول والله مثلا الحرج فيه تشوه، تشوه في
+
+111
+00:06:57,130 --> 00:06:59,850
+الجلد نفسه، مابقولش ان التشوه من الداخل، أنا بيهم
+
+112
+00:06:59,850 --> 00:07:03,130
+من الخارج، يعني نجيت اذا كان الجلد مثلا بتركيبته
+
+113
+00:07:03,130 --> 00:07:06,440
+الطبيعية وفي الداخل فيه مشكلة تحت الجلدصح هي ممكن
+
+114
+00:07:06,440 --> 00:07:10,660
+تظهر إليها أعراض، لكن خارجيا مافيش تشوه، لكن لما
+
+115
+00:07:10,660 --> 00:07:13,740
+يكون في الجلد فيه تشوه، مانعش هتظهر، وهي طبعا
+
+116
+00:07:13,740 --> 00:07:17,540
+بتطفو على سطح الميه، الحاجة الظاهرة بالنسبة لمكان
+
+117
+00:07:17,540 --> 00:07:22,150
+الإصابةوهنا احنا طبعا بنعرف الحرق انه إصابة أنسجد
+
+118
+00:07:22,150 --> 00:07:26,650
+الجسم بتلف وضرر وتغير في خواصية وظيفة نتيجة تعرض
+
+119
+00:07:26,650 --> 00:07:29,430
+لحرارة غير طبيعية، يبقى فينا حرارة طبيعية احنا
+
+120
+00:07:29,430 --> 00:07:32,690
+ممكن نتحملها طالما فينا حرارة غير طبيعية، والحرارة
+
+121
+00:07:32,690 --> 00:07:36,050
+الطبيعية هذه تحملها باختلاف من إنسان لإنسان، يعني
+
+122
+00:07:36,050 --> 00:07:38,590
+مثلا انت ممكن تتحمل الميه الساخنة، لكن يجي طفل
+
+123
+00:07:38,590 --> 00:07:43,160
+صغير، بنحرج منهاوبالتالي ممكن تتحمل درجة حرارة
+
+124
+00:07:43,160 --> 00:07:46,780
+بردة طفل صغير مايتحملها وبالتالي هنا تعرض الجسم
+
+125
+00:07:46,780 --> 00:07:52,000
+لحرارة غير قادر على تحملها سواء بارتفاع الحرارة أو
+
+126
+00:07:52,000 --> 00:07:56,000
+بنخفاض الحرارة يمكن بعض الأطفال و يمكن هذا لما نصل
+
+127
+00:07:56,000 --> 00:07:58,640
+لنقطة إليها اللي هي ذوي البشرة البيضة اللي هم
+
+128
+00:07:58,640 --> 00:08:03,930
+قابلية لقرصة البرد أكتر من ذوي البشرة الداكنةهذه
+
+129
+00:08:03,930 --> 00:08:06,370
+طبيعتهم، لأنه مافيش تحمل، لأنه دائما دول بشرة
+
+130
+00:08:06,370 --> 00:08:10,710
+داكنة بتتحملوا الحرارة أكتر، وطبعا شيء واضح، يعني
+
+131
+00:08:10,710 --> 00:08:12,730
+اللي بيعيش مثلا في أفريقيا، الحرارة طول الشمس تصل
+
+132
+00:08:12,730 --> 00:08:15,670
+لـ50 و60، طب ييجي واحد مثلا من أوروبا يعيش في
+
+133
+00:08:15,670 --> 00:08:19,350
+المنطقة هذه، مش هيتحمل، اه، فطبعا احنا منطقتنا هي
+
+134
+00:08:19,350 --> 00:08:21,370
+منطقة الشرق الأوسط، اللي هي منطقة اللي اعتدها
+
+135
+00:08:21,370 --> 00:08:23,870
+للحرارة، لا هي عالية كتير ولا منخفضة كتير
+
+136
+00:08:26,770 --> 00:08:30,730
+طبعا لو جينا هنا للأسباب، طب الأسباب، أنا في عندي
+
+137
+00:08:30,730 --> 00:08:33,850
+أسباب كثيرة، طب الأسباب ممكن تكون عندنا الحرارة
+
+138
+00:08:33,850 --> 00:08:37,490
+الجافة أو الحرارة العالية، والحرارة العالية نقسمها
+
+139
+00:08:37,490 --> 00:08:43,240
+لقسمين، حرارة جافة وحرارة رطبة أو سائلةطب نقص على
+
+140
+00:08:43,240 --> 00:08:47,000
+ذلك أمثلة كثيرة بنسبة ل .. لنوع الحرارة الجافة، في
+
+141
+00:08:47,000 --> 00:08:49,800
+عندنا مثلا طنجرة الكهربا، في عندنا المكوية، في
+
+142
+00:08:49,800 --> 00:08:52,560
+عندنا فرش الغاز، في عندنا الأجسام الساخنة، في
+
+143
+00:08:52,560 --> 00:08:56,600
+عندنا فرن .. فرن .. فرن الغاز، تمام؟ الحاجة الجافة
+
+144
+00:08:56,600 --> 00:09:00,700
+أو طبعا هذه بتعطينا عدم تحمل ل .. للحرارة بحد
+
+145
+00:09:00,700 --> 00:09:04,160
+ذاتها، وبالتالي بينتج عنها المشاكل اللي هي مشاكل
+
+146
+00:09:04,160 --> 00:09:04,520
+الحروب
+
+147
+00:09:08,570 --> 00:09:12,030
+طب نيجي لنوع تاني اللي هي الحرارة الرطبة أو الحروق
+
+148
+00:09:12,030 --> 00:09:15,890
+الناتجة من السوائل السوائل كتيرة و دايما الأخوات
+
+149
+00:09:15,890 --> 00:09:20,090
+اللي بيكونوا عارفين مثلا عندنا الميه المغلية الميه
+
+150
+00:09:20,090 --> 00:09:23,270
+المغلية ولا البخار مين أخطر عندنا طبعا البخار ليش
+
+151
+00:09:25,070 --> 00:09:28,890
+أعلى لأن البخار ما بيغادر مية إلا إذا ارتفعت عن
+
+152
+00:09:28,890 --> 00:09:32,410
+مية إذا درجة حرارة درجة غليان البخار عن مية طب
+
+153
+00:09:32,410 --> 00:09:37,630
+الزيوت أعلى وبالتالي أي سائل يشمل زيوت في الحريق
+
+154
+00:09:37,630 --> 00:09:42,430
+أخطر لما نقول مثلا إن إنسان انحرج من حليب مغليأو
+
+155
+00:09:42,430 --> 00:09:48,790
+سيرج أو سمنة مغلية أو طبعا ميّه مغلية طبعا اللي
+
+156
+00:09:48,790 --> 00:09:52,730
+فيها زيوت وفيها سكريات لأن درجة .. هو بعتمد على
+
+157
+00:09:52,730 --> 00:09:56,690
+درجة السائل يعني لما نقول مثلا الميّه تمام وحاطين
+
+158
+00:09:56,690 --> 00:10:00,520
+فيها سكرأو ميّه عادية، الميّه اللي فيها سُكر،
+
+159
+00:10:00,520 --> 00:10:03,860
+هتاخد واجهة أطول للغليان، لكن الميّه العادية هتاخد
+
+160
+00:10:03,860 --> 00:10:07,540
+واجهة أقل للغليان، وبالتالي التانية فيهم خطورة،
+
+161
+00:10:07,540 --> 00:10:12,160
+لكن لما نقول أنا درجة الغليان للسوائل اللي تشمل
+
+162
+00:10:12,160 --> 00:10:16,120
+زيوت أو دهون أو سكريات أعلى، معناه هتكون في
+
+163
+00:10:16,120 --> 00:10:21,570
+المقابل الحروق أخطرمن بعض الأخطاء اللي بتذكرني في
+
+164
+00:10:21,570 --> 00:10:25,790
+الكلام هذا اللي هي يعني بعض الأخطاء بتصير في داخل
+
+165
+00:10:25,790 --> 00:10:28,950
+الحمام، بالذات احنا بنقول للطفل مثلا روح يتحمم،
+
+166
+00:10:28,950 --> 00:10:33,990
+تمام؟ الحروق الناتجة من حمامات الكهربا أخطر من
+
+167
+00:10:33,990 --> 00:10:40,410
+ناتجة من حمامات الشمس، ليش؟ لأن الناتجة من حمامات
+
+168
+00:10:40,410 --> 00:10:43,670
+الكهربا الميه قريبة جدا، تنزل على طول ساخنةلكن
+
+169
+00:10:43,670 --> 00:10:47,190
+الحمام الشمسي هتنزل تدفع شوية شوية أما الساخنة و
+
+170
+00:10:47,190 --> 00:10:50,850
+حصل يعني كتير حالات و شوفنا حالات من الميه الساخنة
+
+171
+00:10:50,850 --> 00:10:55,430
+في الحمام الكهرة باقي حتى مع ناس كبار مثلا بفتح
+
+172
+00:10:55,430 --> 00:11:00,450
+الدش ولا الميه تنزل ساخنة بصير طبعا حروج عنده طبعا
+
+173
+00:11:00,450 --> 00:11:03,850
+مع الكبار أو مع أطفال وبالتالي هنا بيجي لأحد
+
+174
+00:11:03,850 --> 00:11:07,550
+الأسباب الأساسية اللي هو إيش مش جاهل اللي ماعرف أن
+
+175
+00:11:07,550 --> 00:11:12,110
+هذه الحاجة ساخنة بس بيجي تحت بند الإهماللأن طبعًا
+
+176
+00:11:12,110 --> 00:11:16,290
+إهمالك إنك إنت ما عرفتش حرارة الميّه أو طبعًا بيصي
+
+177
+00:11:16,290 --> 00:11:20,730
+بيجي ممكن يكون جهل للطفل تمام، مع إهمال للأم طبعًا
+
+178
+00:11:20,730 --> 00:11:23,370
+كمان حاجة تانية ممكن نشترك لموضوع تاني اللي ممكن
+
+179
+00:11:23,370 --> 00:11:26,050
+يدخله الموضوع الأختناق، وبالذات طبعًا في فصل
+
+180
+00:11:26,050 --> 00:11:30,430
+الشتاء، من بخار الميّه، وبالذات لمرضى التهابات
+
+181
+00:11:30,430 --> 00:11:33,630
+الجهاز التنفسي أو المرضي اللي عنده أزمة، هذا طبعًا
+
+182
+00:11:33,630 --> 00:11:38,310
+ممكن يساعد، يعمل ضيق، وكتير حصلت حالات وفيات من
+
+183
+00:11:38,310 --> 00:11:43,170
+الإختناق بالصورة هذهنجلها السبب التاني اللي هي
+
+184
+00:11:43,170 --> 00:11:46,670
+البرودة الشديدة، البرودة الشديدة انخفاض الحرارة عن
+
+185
+00:11:46,670 --> 00:11:49,550
+معدلها الطبيعي، واحنا نقول يا أخواتنا ما بيصيرش
+
+186
+00:11:49,550 --> 00:11:54,590
+عنا، لكن أقرب مثل النهانة في فصل الشتاء، اللي هي
+
+187
+00:11:54,590 --> 00:11:59,460
+نقول تورم الأصابعبالذات ده البشرة البيضة تورم
+
+188
+00:11:59,460 --> 00:12:03,300
+أصابع القدمين والكفين وهنا طبعا بصير الألم طب
+
+189
+00:12:03,300 --> 00:12:05,800
+فيقول ليش بصير الألم يا أخواتنا هنا؟ هو ماصار حرق
+
+190
+00:12:05,800 --> 00:12:11,020
+هنا لكن بصير ألم ليش بصير الألم؟ كمية الدم بالضبط
+
+191
+00:12:11,020 --> 00:12:14,200
+كمية الدم وهذا طبعا يمكن أن المرض السكر مش ملحوظة
+
+192
+00:12:14,410 --> 00:12:17,110
+من انه بشعر .. لأنه ما بشعر لأنه طبعا مرض السكر و
+
+193
+00:12:17,110 --> 00:12:20,210
+بأثر على نهايات العصام لكن لما اتكلم على إنسان
+
+194
+00:12:20,210 --> 00:12:24,210
+عادي بيشعر بالألم و بالذات مع قلة الحركة و بالتالت
+
+195
+00:12:24,210 --> 00:12:30,110
+أهم علاماتها انه بيصير انه تورم و انتفاخ و ممكن
+
+196
+00:12:30,110 --> 00:12:34,370
+تغير اللون تمام؟ لكن في الحالة هذه يعني نقول هنا
+
+197
+00:12:34,370 --> 00:12:38,050
+كأس عام أول او السابق الشيء لا يسمح باستخدام الماء
+
+198
+00:12:38,050 --> 00:12:42,280
+الساخنلا يسمح باستخدام الماء الساخن لأنه قد يؤدي
+
+199
+00:12:42,280 --> 00:12:47,620
+إلى انفجارات داخل الأنسجة، اللي هي حاجات منتفخة،
+
+200
+00:12:47,620 --> 00:12:52,100
+تمام؟ واحنا يعني .. يعني بنضحها بميه ساخنة، الميه
+
+201
+00:12:52,100 --> 00:12:57,040
+الساخنة، تمام؟ طبعا الميه الساخنة يعمل تمدد، وطبعا
+
+202
+00:12:57,040 --> 00:13:01,490
+جدار الخلايا رقيقهو ممكن يؤدي إلى انفجارات داخل
+
+203
+00:13:01,490 --> 00:13:05,890
+الفتالي لا يسمح لا يسمح استخدام الماء الساخن
+
+204
+00:13:05,890 --> 00:13:09,230
+كإسعاف أولي في حالات اللي هي الحرارة الحرارة
+
+205
+00:13:09,230 --> 00:13:14,810
+المنخفضة أو قرصة البردالعوامل الكيميائية، طبعا هذه
+
+206
+00:13:14,810 --> 00:13:17,150
+العوامل الكيميائية ممكن نذكر منها اللي هي القلويات
+
+207
+00:13:17,150 --> 00:13:20,210
+والأحماض، يعني كيف اتعامل مع القلوي، كيف اتعامل مع
+
+208
+00:13:20,210 --> 00:13:23,210
+الحامض، وهذا طبعا هناخده كمان بالتفصيل إن شاء الله
+
+209
+00:13:23,210 --> 00:13:28,450
+تعالى، لو كان عندنا مثلا سببه كيميائي سواء حامضي
+
+210
+00:13:28,450 --> 00:13:33,050
+أو قلوي، يمكن هنا المواد الكيميائية يمكن أكتر حاجة
+
+211
+00:13:33,050 --> 00:13:37,500
+مشهورة عندناليه طبعا الصودا الكاوية أو ميط النار
+
+212
+00:13:37,500 --> 00:13:41,000
+اللي هو حامض النيتريك المركز وهذا ممكن تسمع حالات
+
+213
+00:13:41,000 --> 00:13:43,900
+كتيرة ان والله ممكن انسان بدون انتقام من الإنسان
+
+214
+00:13:43,900 --> 00:13:47,160
+بدير عوجبه مثلا ميط نار وهذا حصل .. حصلت كتير
+
+215
+00:13:47,160 --> 00:13:51,120
+بالداخل طبعا اللي هو حامض النيتريك المركز هذه مادة
+
+216
+00:13:51,120 --> 00:13:55,620
+حارقة فمبارك لما يشربها طبعا في منها تسمم وفي منها
+
+217
+00:13:55,620 --> 00:14:02,020
+حروق طبعا داخلية حروق
+
+218
+00:14:02,020 --> 00:14:07,890
+الكهرباالكهرباء طبعا يعني ممكن تعمل حروق وممكن
+
+219
+00:14:07,890 --> 00:14:11,450
+تؤدي إلى توقف عضلة القلب لو كان طبعا تيارة كهربائي
+
+220
+00:14:11,450 --> 00:14:16,330
+قوي أو لفترة زمانية أطول هيكون يعني نتيجة الحرق
+
+221
+00:14:16,330 --> 00:14:22,850
+واضحة على مكان الإصابة ليش ممكن طبعا يعمل سعقات
+
+222
+00:14:22,850 --> 00:14:25,930
+كهربائي أو توقف عضلة القلب؟ لأن القلب يا أخواتنا
+
+223
+00:14:25,930 --> 00:14:29,370
+بيشتغل أو الجسم كله بيشتغل بالكهرباءالكهرباء
+
+224
+00:14:29,370 --> 00:14:32,770
+العصاب يعني لو صار فيها شلل العصاب بتعمل تشغل
+
+225
+00:14:32,770 --> 00:14:36,750
+بالشحنات الكهربائية سواء الصاعدة او الهابطة
+
+226
+00:14:36,750 --> 00:14:40,610
+وبالتالي لما احنا بندخل اليها شحنة كهربية اعلى ما
+
+227
+00:14:40,610 --> 00:14:44,030
+منها هيعمل ايش اختلال وهو طبعا نقطة بتفكرنا لما
+
+228
+00:14:44,030 --> 00:14:46,690
+احنا قلنا في الاسعاف الأولى في حال توقف عدالة
+
+229
+00:14:46,690 --> 00:14:51,370
+القلب كليابعمل تدليق القلب، لكن لو كان القلب يعمل،
+
+230
+00:14:51,370 --> 00:14:53,990
+مابتدخلش فيه، حتى لو كان يعمل إيه شيء بطن،
+
+231
+00:14:53,990 --> 00:14:57,950
+وبالتالي الكهربا هي أحد الأسباب التي تؤدي إلى حروق
+
+232
+00:14:57,950 --> 00:15:01,930
+وجروح في نفس المكان وقد تؤدي إلى توقف عضلة القلب،
+
+233
+00:15:01,930 --> 00:15:06,830
+تاني حاجة أن الكهربا تعمل على تأيين خلايا الدم
+
+234
+00:15:06,830 --> 00:15:09,590
+الحمراء، وبالتالي يقولوا الله بعد ما اتكهرب، صار
+
+235
+00:15:09,590 --> 00:15:13,110
+الدم وصل أربعة جرام ولا خمسة جرامليش؟ لأن صرفينا
+
+236
+00:15:13,110 --> 00:15:15,490
+تأيون لخلايا ده تكسير لخلايا ده من الحمراء اللي
+
+237
+00:15:15,490 --> 00:15:19,250
+تحمل مادة ال hemoglobin وبالتالي هنا قد تؤدي إلى
+
+238
+00:15:19,250 --> 00:15:22,710
+الوفاة كتير من بعض الناس اتكهرب ماتوا وبعض الناس
+
+239
+00:15:22,710 --> 00:15:25,250
+اتكهرب لكن اللي هو نصيب إنه يعيش لإنه يعملوا طبعا
+
+240
+00:15:25,250 --> 00:15:28,230
+تدليق عدد القلب أو تنافس صناعي مع تدليق عدد القلب
+
+241
+00:15:28,230 --> 00:15:30,290
+و اللي هو طبعا نصيب إيش يستمر في الحياة
+
+242
+00:15:33,750 --> 00:15:38,670
+الاشعاعات و طبعا احنا عشنا التجربة هذه و سمعنا عن
+
+243
+00:15:38,670 --> 00:15:42,130
+التجربة هذه التجربة اللي احنا سمعنا فيها اللي هي
+
+244
+00:15:42,130 --> 00:15:45,850
+هيروشيما و نجازاكي كيف اللي طبعا الاشعاع النووي
+
+245
+00:15:45,850 --> 00:15:50,210
+كان مؤثر اليوم لا سمح الله مش هنسمعاللي احنا لو
+
+246
+00:15:50,210 --> 00:15:53,730
+صارت مش هن .. مش هنخبر غيرنا يعني فطبعا اليهم
+
+247
+00:15:53,730 --> 00:15:58,530
+المشكلة اكتر و اخطر و اليهم طبعا في قنابل او اسلحة
+
+248
+00:15:58,530 --> 00:16:03,490
+احدث كتير الهيدروجينية و الدرية و النووية و
+
+249
+00:16:03,490 --> 00:16:06,330
+الكهرومغناطسية يعني هذه مش هنخبر اللي ورانا فيها
+
+250
+00:16:06,330 --> 00:16:11,310
+يعني يعني بعدين مش هيصير الا صراع بال .. بالسيف و
+
+251
+00:16:11,310 --> 00:16:15,520
+المنجلفاحنا الفترة اللي احنا عشناها اللي هي
+
+252
+00:16:15,520 --> 00:16:21,160
+الفسفور الأبيض في حرب الأولى تمام فطبعا في كان
+
+253
+00:16:21,160 --> 00:16:24,960
+اللي هو ال 2008 استخدموا اليهود اللي هو الفسفور
+
+254
+00:16:24,960 --> 00:16:27,760
+الأبيض و احنا طبعا ما كان الخبرة موجودة يعني كان
+
+255
+00:16:27,760 --> 00:16:31,480
+الناس يستخدمه انه طفوه بميه و أي شيء لأ هو كل ما
+
+256
+00:16:31,480 --> 00:16:33,380
+كان .. طبعا هو بتفاعل مع ال oxygen و ال oxygen
+
+257
+00:16:33,380 --> 00:16:36,430
+موجود في الميهفبالتالي بدّوا يعملوا يتخنقوا يعني
+
+258
+00:16:36,430 --> 00:16:39,650
+زي أي كائن حقيقي احنا بدنا نخنقه وبالتالي كان
+
+259
+00:16:39,650 --> 00:16:43,270
+الأصح اننا نغطيه او نطمره بالرمل واحد يقول ممكن
+
+260
+00:16:43,270 --> 00:16:47,070
+يبقى هناك تلوث اه لكن اقل دررين انه يقتل الشخص هذا
+
+261
+00:16:47,070 --> 00:16:53,350
+ولا الجرح يتلوث لو ساقف طبعا اقل درع المفاسد افضل
+
+262
+00:16:53,350 --> 00:16:57,470
+من جلب المنافع وبالتالي كانت التجربة يعني مش بسيطة
+
+263
+00:16:57,710 --> 00:17:01,030
+جدّيش كان لما ييجي ال .. ال .. ال support على
+
+264
+00:17:01,030 --> 00:17:05,530
+أجسام الناس كيف يعمل إلها إذابة، كيف يعمل تدمير،
+
+265
+00:17:05,530 --> 00:17:08,150
+فبالتالي يعني .. يعني ماكننا في الخبرة يعني،
+
+266
+00:17:08,150 --> 00:17:10,570
+وبعدين الحمد لله ربنا يعني وإن شاء الله أيام لا
+
+267
+00:17:10,570 --> 00:17:10,910
+تعود
+
+268
+00:17:17,030 --> 00:17:20,970
+يعني كمان نقول حاجة تانية بالنسبة للإشعاعات يعني
+
+269
+00:17:20,970 --> 00:17:25,750
+صح هي ممكن يكون لها أثر سلبي لكن برضه إلها أثر
+
+270
+00:17:25,750 --> 00:17:29,690
+إيجابي يعني لهم الإشعاعات تستخدم في علاج الأورام و
+
+271
+00:17:29,690 --> 00:17:33,650
+بالذات طبعا الـ U131 لمرضى الغضب الدراقية بعد
+
+272
+00:17:33,650 --> 00:17:38,300
+إزالة الغضب الدراقية بيستخدموهعشان يقتل ما تبقى من
+
+273
+00:17:38,300 --> 00:17:42,720
+خلايا الغدادرقية أو جزيئات الغدادرقية لأن طبعا هو
+
+274
+00:17:42,720 --> 00:17:46,740
+مادة قاتلة صحيح ومادة مشعة وبالتالي ممكن استخدامه
+
+275
+00:17:46,740 --> 00:17:51,020
+إما بالحاجات السلبية كالحروب أو بالحاجات الإيجابية
+
+276
+00:17:51,020 --> 00:17:53,180
+اللي ممكن استخدامها والعلاجات
+
+277
+00:18:00,320 --> 00:18:03,580
+طبعا درجات الحروق ممكن طبعا موضوع كتير يعني مابديش
+
+278
+00:18:03,580 --> 00:18:06,880
+انا اخد فيه تفاصيل كتير لإن بس هناخد اليوم كمقدمة
+
+279
+00:18:06,880 --> 00:18:10,660
+طبعا هاول انهينا ال gate ان شاء الله طبعا درجات
+
+280
+00:18:10,660 --> 00:18:15,460
+الحروق يعني معتمدة على العمق يعني لما اتكلم انا
+
+281
+00:18:15,460 --> 00:18:19,710
+على الدرجة معناها العمقأما يكون سطحي أو عميق
+
+282
+00:18:19,710 --> 00:18:23,530
+وبالتالي أنا أحاسس برضه الكل يستفيد من اللقاء اللي
+
+283
+00:18:23,530 --> 00:18:27,390
+قادم ان شاء الله فالدرجات الموجودة عندنا أربع
+
+284
+00:18:27,390 --> 00:18:32,450
+درجات الأولى وإيش مواصفاتها والتانية إيش مواصفاتها
+
+285
+00:18:32,450 --> 00:18:35,810
+وإيش إسعافة والتالتة إيش مواصفاتها وإسعافة والربع
+
+286
+00:18:35,810 --> 00:18:41,030
+بنكون احنا في مخيلتنا ومعلومناإنه ما بتفق النار
+
+287
+00:18:41,030 --> 00:18:44,270
+إلى الميّه وبالتالي هنا عشان أنا جاب المخود
+
+288
+00:18:44,270 --> 00:18:47,870
+بالتفاصيل كلها لصحيفة الأولية بدنا نكون هارسين و
+
+289
+00:18:47,870 --> 00:18:52,650
+بعاد عن الوصفات الشعبية وصفات الشعبية كتيرة انا
+
+290
+00:18:52,650 --> 00:18:55,470
+يعني كتير من اللقاءات سواء بعملها مثلا في جامعيات
+
+291
+00:18:55,470 --> 00:18:59,450
+أو مدارس أو جامعات وشيء بسمع وصفات يعني لأول مرة
+
+292
+00:18:59,450 --> 00:19:03,470
+بسمعها المعجون الأسنان هذا واضح هذا معروف هذا
+
+293
+00:19:03,470 --> 00:19:07,230
+المعجون الأسنانالقهوة لأ بستخدموها للجروح
+
+294
+00:19:07,230 --> 00:19:10,850
+بستخدموها للجروح لأ قهوة في النزيل بستخدموا العسل
+
+295
+00:19:10,850 --> 00:19:16,010
+بستخدموا الطهين بستخدموا شرايح البطاطا بستخدموا ..
+
+296
+00:19:16,010 --> 00:19:20,870
+اه انا بسمع حاجات شعبية كتيرة بستخدموا الصلصة
+
+297
+00:19:20,870 --> 00:19:26,870
+بستخدموا مية الزتون بستخدموا الملحيعني وصفاتها دي
+
+298
+00:19:26,870 --> 00:19:29,550
+يعني ما بتفيد يعني هتبقى بيقولك أنا والله ممكن
+
+299
+00:19:29,550 --> 00:19:32,230
+استخدم .. عن تجربة بيقولك والله مثلا بعض الأخوات
+
+300
+00:19:32,230 --> 00:19:37,890
+أنا لما انحرجت استخدمت الطحين طب ماشي يعني لو ربما
+
+301
+00:19:37,890 --> 00:19:40,110
+سطفت معاكي أو الطحين كان بارد شوية يعني خفض
+
+302
+00:19:40,110 --> 00:19:42,190
+الحرارة شوية وبالتالي احنا لما نتكلم عن السماعة
+
+303
+00:19:42,190 --> 00:19:45,810
+الأولية طبعا في يعني الضوابط إن أنا كيه بدي أتكلم
+
+304
+00:19:45,810 --> 00:19:49,090
+أو كيه بدي أسحب، تمام؟ لكن أنا بتدهش من ناحية
+
+305
+00:19:49,090 --> 00:19:54,520
+منطقية يعني النار أنت لما تكون شوبانة تشرب ميهعندك
+
+306
+00:19:54,520 --> 00:19:57,860
+نار مولعة، بدّو فيش عليها حليب ولا ميّة زيتون،
+
+307
+00:19:57,860 --> 00:20:01,860
+ميّه، ميّه تمام، يعني أبسط شيء، أبسط شيء اللي هي
+
+308
+00:20:01,860 --> 00:20:04,720
+الميّه العادية، أبسط شيء الميّه العادية، كمان حاجة
+
+309
+00:20:04,720 --> 00:20:07,380
+تانية أخواتنا بنقول إن إحنا بدنا نتجنب الماء
+
+310
+00:20:07,380 --> 00:20:13,500
+المثلج، الماء المثلج مؤلم، والتلج بقلم أكتر،
+
+311
+00:20:13,500 --> 00:20:15,700
+وبالتالي احنا بنتقدم نقول مثلًا ميّه باردة، مافيش
+
+312
+00:20:15,700 --> 00:20:19,440
+عندك ميّه باردة، ميّه حنفيةالمياه الحرفية عادي،
+
+313
+00:20:19,440 --> 00:20:23,100
+مهما تكون مش هتكون ساخنة، مياه عادية الهدف من
+
+314
+00:20:23,100 --> 00:20:29,580
+إسعافي أنا للحروق، إيش هو؟ تخفيض الحرارة، ليش؟
+
+315
+00:20:29,580 --> 00:20:31,680
+عشان أنا مابدأش أخدهم التفاصيل، كانت بس معلومة
+
+316
+00:20:31,680 --> 00:20:35,580
+عامة، ليش أنا بعمل تخفيض الحرارة؟ لأنه أنا بس بدأ
+
+317
+00:20:35,580 --> 00:20:39,680
+أنا أذكركم حاجة مهمة، إن الجلد هو الطبقة الخارجية،
+
+318
+00:20:39,680 --> 00:20:43,000
+بتكون طبعا الأدم أو البشرة، تحت الطبقة، دول رقيقات
+
+319
+00:20:43,000 --> 00:20:45,760
+جدا، تمام؟ تحت الطبقة، لا أعرف إيه حاجة ما نسميها،
+
+320
+00:20:45,760 --> 00:20:49,890
+طبقة دهنيةالطبقة الدهنية اللي هي طبقة تحت الجلد
+
+321
+00:20:49,890 --> 00:20:53,630
+اللي هي طبعا مرض السكر بياخد فيها العلاجة، تمام؟
+
+322
+00:20:53,630 --> 00:20:56,810
+التحت الطبقة الدهنية هي فعلا طبقة العضلات والعظام
+
+323
+00:20:57,910 --> 00:21:00,990
+فالطبقة الدهنية هذه، نرجع لكلامنا في الأول، ان
+
+324
+00:21:00,990 --> 00:21:04,790
+نقول إن احنا الدهون والزيوت والسكريات بتاخد وجهة
+
+325
+00:21:04,790 --> 00:21:08,530
+أطول لما ترت في حرارتها ووجهة أقل لما تنخفض
+
+326
+00:21:08,530 --> 00:21:12,430
+حرارتها وبالتالي أنا لما بدي أخفض الحرارة، بدي أصل
+
+327
+00:21:12,430 --> 00:21:16,090
+للحرارة الكامنة الموجودة في الطبقة الدهنية هذه،
+
+328
+00:21:16,090 --> 00:21:20,300
+أنا ممكن أخفض الحرارة سطحيالكن داخلياً هتظلها
+
+329
+00:21:20,300 --> 00:21:23,560
+موجودة و يظل الألم موجود وبالتالي هنا أنا بركز على
+
+330
+00:21:23,560 --> 00:21:27,440
+فترة زمنية معينة عشان أصل لتخفيد الحرارة للطبقة
+
+331
+00:21:27,440 --> 00:21:30,620
+الداخلية لأن الطبقة الداخلية هتاخد وجهت أطول لأنها
+
+332
+00:21:30,620 --> 00:21:34,400
+طبقة دهنية الطبقة السطحية مش دهنيةوبالتالي أنا
+
+333
+00:21:34,400 --> 00:21:39,400
+بستخدم الوقت الأطول عشان أخفض الحرارة الموجودة في
+
+334
+00:21:39,400 --> 00:21:42,800
+الطبقة الدهنية احنا نحاول نخل الجزئي هذه عساس
+
+335
+00:21:42,800 --> 00:21:45,720
+درجاته كيف أن نعمل إسعافة للقاء القادم ان شاء الله
+
+336
+00:21:45,720 --> 00:21:49,180
+و تكون أول محاضرة عندنا في شهر رمضان المبارك بإذن
+
+337
+00:21:49,180 --> 00:21:52,780
+الله تعالى و كل عام و أنتم بخير و ان شاء الله نكون
+
+338
+00:21:52,780 --> 00:21:55,280
+موفقين في توصيل معلومة انكم مبارك الله فيكم وشكرا
+
+339
+00:21:55,280 --> 00:21:55,680
+جزيلا
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/T0R2srK-xjM.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/T0R2srK-xjM.srt
new file mode 100644
index 0000000000000000000000000000000000000000..77af8e18eafe9a5d14ad98fa75620a08a888b01e
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/T0R2srK-xjM.srt
@@ -0,0 +1,2607 @@
+1
+00:00:05,250 --> 00:00:06,850
+أعوذ بالله من الشيطان الرجيم باسم الله الرحمن
+
+2
+00:00:06,850 --> 00:00:09,430
+الرحيم الصلاة والسلام علي أشرف المرسلين سيدنا محمد
+
+3
+00:00:09,430 --> 00:00:13,470
+وليّه وصحابيه وسلم  طبعًا استكمال الفصول اللي حكينا 
+
+4
+00:00:13,470 --> 00:00:16,050
+فيها بالنسبة للإسعافات الأولية اليوم هنتكلم على
+
+5
+00:00:16,050 --> 00:00:20,750
+فصل مهم جدًا على جهاز مهم جدًا طبعًا هو من أهم أجهزة
+
+6
+00:00:20,750 --> 00:00:24,130
+الجسم على و هو طبعًا الجهاز العصبي والإصابات اللي
+
+7
+00:00:24,130 --> 00:00:27,490
+ممكن تصيبه يعني كبداية إحنا حتى بالمثل البلد بيقول
+
+8
+00:00:27,490 --> 00:00:30,570
+إذا الإصابة بعيدة عن الرأس فهي سليمة مهما كانت
+
+9
+00:00:30,570 --> 00:00:35,920
+يمكن الإنسان يعيش بدون أطراف، ممكن يعيش بدون كلى،
+
+10
+00:00:35,920 --> 00:00:40,100
+ممكن يعيش بربع كبد، لكن بدون دماغ صعب وبالتالي
+
+11
+00:00:40,100 --> 00:00:44,080
+طبعًا إصابات الجهاز العصبي من أصعب الإصابات لإنه
+
+12
+00:00:44,080 --> 00:00:47,920
+بترتب عليها إصابات في أجهزة أخرى، لأن طبعًا هو ال
+
+13
+00:00:47,920 --> 00:00:50,720
+مايستر لجسم الإنسان هو طبعًا الدماغ، إذا وُصيب ال
+
+14
+00:00:50,720 --> 00:00:54,620
+مايستر أو وُصيب السيد، معناه الأعراض، الأفراد، 
+
+15
+00:00:54,620 --> 00:00:57,600
+هيكون أيهم إصابة، يعني هو القائد للجسم، إذا وُصيب،
+
+16
+00:00:57,600 --> 00:01:03,950
+بتم تأثير سلبي على باقي أضاء الجسم، بالتالي يعني
+
+17
+00:01:03,950 --> 00:01:07,330
+إحنا هنتكلم يعني على عناصر كتيرة يعني هذه المكونات
+
+18
+00:01:07,330 --> 00:01:10,170
+اللي هنتكلم عليها مكون الجهاز العصبي وأمراض الجهاز
+
+19
+00:01:10,170 --> 00:01:14,370
+العصبي وطبعًا بعض المشاكل الكبرى مثلًا زي التشنجات
+
+20
+00:01:14,370 --> 00:01:17,450
+والصرع طبعًا إحنا مش هنقدر نستوعب كل محاضرة واحدة
+
+21
+00:01:17,450 --> 00:01:21,390
+لكن إحنا بقول الجهاز العصبي بتفرع لجهاز عصبي مركزي
+
+22
+00:01:21,390 --> 00:01:24,830
+وجهاز عصبي طرفي، طبعًا هو the central nervous system و
+
+23
+00:01:24,830 --> 00:01:27,310
+the peripheral nervous system وبالتالي طبعًا برضه
+
+24
+00:01:27,310 --> 00:01:32,950
+هنتعرف على الجهاز العصبي الطريق المركزي طبعًا هو
+
+25
+00:01:32,950 --> 00:01:36,990
+المخ والحبل الشوكي طبعًا شيء طبيعي أن المخ بنقسم
+
+26
+00:01:36,990 --> 00:01:40,450
+لنصفين والناحية اليمنى بتخدم الجزء الأيسر من
+
+27
+00:01:40,450 --> 00:01:44,090
+الجسم والناحية اليسرى بتخدم طبعًا الجزء الأيمن من 
+
+28
+00:01:44,090 --> 00:01:48,560
+الجسم، طبعًا في عندنا المخيخ وفي عندنا كمان ساق 
+
+29
+00:01:48,560 --> 00:01:52,180
+المخ، الشيء الطبيعي أن نقول كل واحد وظيفته، لكن
+
+30
+00:01:52,180 --> 00:01:54,500
+إحنا مش هنطالبكم بالنسبة للوظائف، اللي طبعًا يعتبر
+
+31
+00:01:54,500 --> 00:01:57,720
+من الـ anatomy أو التشريح بالنسبة للدماغ والوظائف،
+
+32
+00:01:57,720 --> 00:02:00,500
+لكن مجرد بس معرفة أن هذه مكونات الجهاز العصبي
+
+33
+00:02:00,500 --> 00:02:06,880
+المركزي، طبعًا الشيء الطبيعي أنه إذا صار خلل في أي
+
+34
+00:02:06,880 --> 00:02:10,580
+جزء، معناه هيأثر على باقي الأجزاء أو حسب المنطقة
+
+35
+00:02:10,580 --> 00:02:14,620
+اللي قد تكون مصابة، بيجي عندنا طبعًا الحبل الشوكي و
+
+36
+00:02:14,620 --> 00:02:18,560
+الحبل الشوكي طبعًا مبتدئ من ساق المخ اللي هو طبعًا 
+
+37
+00:02:18,560 --> 00:02:22,100
+brain stem لغاية طبعًا نهاية أو قبل نهاية العمود
+
+38
+00:02:22,100 --> 00:02:25,900
+الفقري، العمود الفقري هو فقرات طبعًا بداخله اللي هو
+
+39
+00:02:25,900 --> 00:02:29,520
+النخاع الشوكي، لكن النخاع الشوكي لا يصل إلى نهاية
+
+40
+00:02:29,520 --> 00:02:34,280
+الفقرات كلها، لآخر عند الرابعة طبعًا وبالتالي ما بيصل
+
+41
+00:02:34,280 --> 00:02:37,360
+وبالتالي طبعًا هي منطقة اللي أنت زي ما بتسمعه بيتم 
+
+42
+00:02:37,360 --> 00:02:41,760
+فيها أخذ عينة أو bevel من أسفل لأسفل النخاع الشوكي
+
+43
+00:02:41,760 --> 00:02:45,740
+لو ما فيش منطقة معناه فيه خطورة على النخاع الشوكي
+
+44
+00:02:45,740 --> 00:02:49,280
+وبالتالي بيتم أخذ العينة ما بعد نهاية اللي هو 
+
+45
+00:02:49,280 --> 00:02:53,280
+النخاع الشوكي لأن أي إصابة فيه ما فيش إلها مرض كل 
+
+46
+00:02:53,280 --> 00:02:58,000
+خلايا الجسم إلها تكاثر يعني إلها إعادة بناء، إلها
+
+47
+00:02:58,000 --> 00:03:02,900
+انقسام إلا خلايا الجهاز العصبي وبالتالي طبعًا
+
+48
+00:03:02,900 --> 00:03:06,800
+خلايا الجهاز العصبي إذا أتلفت ما فيش إلها عودة
+
+49
+00:03:06,800 --> 00:03:09,480
+وهو طبعًا شيء طبيعي جدًا لما نقول إحنا إنسان مثلًا
+
+50
+00:03:09,480 --> 00:03:14,640
+عنده الذاكرة وعنده طبعًا الأفكار والتجارب والأشياء
+
+51
+00:03:14,640 --> 00:03:19,780
+دي كلها وصار تدمير في طبعًا صار يعني مسح لجزء من
+
+52
+00:03:19,780 --> 00:03:23,860
+هذه الذاكرة ما بننسى كل شيء، يعني زي ما بيقولوا يا
+
+53
+00:03:23,860 --> 00:03:27,900
+عزيزي صار فرمة لـ الكمبيوتر أو للحاسوب خلاص راح
+
+54
+00:03:27,900 --> 00:03:31,040
+كل المعلومات تمام؟ وبالتالي هذا لو إن الخلايا
+
+55
+00:03:31,040 --> 00:03:34,820
+بتتجدد، معناه إن إحنا هننسى، معناه الخلية طبعًا اللي
+
+56
+00:03:34,820 --> 00:03:37,980
+فيها ذاكرة ولا شيء أو إلها وظيفة معناه هيطلع بلاله 
+
+57
+00:03:37,980 --> 00:03:41,420
+خلية ثانية وهتفقد وظيفتها، وبالتالي من نعم ربنا إن
+
+58
+00:03:41,420 --> 00:03:44,140
+خلايا الجهاز العصبي من حد ما يولد إنسان بعد
+
+59
+00:03:44,140 --> 00:03:48,200
+الولادة ما فيش إلها أي تكاثر أي جزء بتصير له تدمير
+
+60
+00:03:48,200 --> 00:03:52,380
+خلاص عليك، طبعًا أي أجهزة أخرى أو أي خلايا أخرى في
+
+61
+00:03:52,380 --> 00:03:57,000
+جسم الإنسان، طبعًا الوظيفة الأساسية للجهاز طبعًا الحبل
+
+62
+00:03:57,000 --> 00:04:00,880
+الشوكي أنه ينقل إشارات للجهاز العصبي الطرفي إحنا
+
+63
+00:04:00,880 --> 00:04:03,860
+نقدر ناخد بس بعض التفاصيل يعني هي كانت رتوش بسيطة 
+
+64
+00:04:03,860 --> 00:04:06,680
+طبعًا ما بين المخ لأن طبعًا الجهاز العصبي بيعمل 
+
+65
+00:04:06,680 --> 00:04:09,800
+بالإشارات الصاعدة والهابطة طبعًا وطبعًا إشارات 
+
+66
+00:04:09,800 --> 00:04:14,330
+كهربائية، وبالتالي لو إحنا يعني نضرب مثال بسيط جدًا،
+
+67
+00:04:14,330 --> 00:04:18,810
+لو أنت مثلًا طولت الجوع لفترة طويلة، بتحس كأنه فيه
+
+68
+00:04:18,810 --> 00:04:23,630
+نمل أو تنميل في المكان، هذا طبعًا نتيجة الضغط على
+
+69
+00:04:23,630 --> 00:04:26,970
+الجهاز العصبي أو على نهايات العصبية للأطراف أو
+
+70
+00:04:26,970 --> 00:04:30,730
+الجزء المصاب اللي كنت جائع مثلًا لفترة طويلة،
+
+71
+00:04:30,730 --> 00:04:33,250
+وبالتالي بيعمل بالإشارات الكهربائية، بيعمل بإيش
+
+72
+00:04:33,250 --> 00:04:38,510
+بالكهرباء، لو صار أي شلل أو أي خلل في أي منطقة،
+
+73
+00:04:38,510 --> 00:04:41,600
+ما فيش إشارات، طيب ما فيش إشارات معناه هيأثر على
+
+74
+00:04:41,600 --> 00:04:45,460
+المنطقة التالية وهي منطقة العضلات وبالتالي لو صار
+
+75
+00:04:45,460 --> 00:04:48,580
+إصابة في منطقة معينة بالنسبة للدماغ وطبعًا المنطقة 
+
+76
+00:04:48,580 --> 00:04:51,080
+مثلًا من ناحية اليمين أو من ناحية اليسار وهي طبعًا
+
+77
+00:04:51,080 --> 00:04:53,640
+جزء معين مثلًا بأثر على الذراع أو بأثر مثلًا على
+
+78
+00:04:53,640 --> 00:04:57,720
+الفخذ أو على الساق، طبعًا بطل اتصال الإشارة، معناه فيه 
+
+79
+00:04:57,720 --> 00:05:00,580
+... فيه صار دمور لإن ما فيش إلها حركة ونشاط وبالتالي
+
+80
+00:05:00,580 --> 00:05:03,880
+طبعًا الجهاز العصبي من أهم وأخطر الأجهزة داخل جسم
+
+81
+00:05:03,880 --> 00:05:06,420
+الإنسان، بيجي عندنا بعد كده طبعًا الجهاز العصبي 
+
+82
+00:05:06,420 --> 00:05:09,660
+الطرفي، طبعًا في عندنا اللي هو اللي ... اللي لا إرادي 
+
+83
+00:05:09,660 --> 00:05:12,800
+بنقول عنه في عندنا sympathetic أو الـ parasympathetic
+
+84
+00:05:12,800 --> 00:05:16,580
+sympathetic ... طبعًا هو the sympathetic nervous system أو
+
+85
+00:05:16,580 --> 00:05:19,080
+the parasympathetic nervous system هذول طبعًا وظيفتهم
+
+86
+00:05:19,080 --> 00:05:24,340
+باختصار شديد الجهاز الـ sympathetic بيعمل في حالة الخوف
+
+87
+00:05:24,340 --> 00:05:27,920
+والقلق إنه بيزيد عدد ضربات القلب، أنت شوفت منظر لا 
+
+88
+00:05:27,920 --> 00:05:30,620
+إرادي بيصير إيش؟ أنت شوفت منظر إيدك بترتفع على طول
+
+89
+00:05:30,620 --> 00:05:35,240
+أنت شوفت منظر خوف وإشي بتهرب وبالتالي شوفت منظر
+
+90
+00:05:35,240 --> 00:05:39,200
+يعني في وجهك طلع منظر مفاجئ ومخيف بنلاقي إن في 
+
+91
+00:05:39,200 --> 00:05:43,100
+صرعونية زيادة في عدد ضربات القلب، لكن ال ... ال ... ال
+
+92
+00:05:43,100 --> 00:05:46,840
+... بيسموه الـ parasympathetic أو الـ the parasympathetic
+
+93
+00:05:46,840 --> 00:05:51,620
+system بيعمل فوق الراحة، يعني بعود أو برجع الحاجات
+
+94
+00:05:51,620 --> 00:05:54,360
+اللي صار فيها توتر، صار فيها غضب، ليش؟ لوضعها
+
+95
+00:05:54,360 --> 00:05:56,520
+الطبيعي، طبعًا هذه الحاجات طبعًا اللي هو إحنا بيقول
+
+96
+00:05:56,520 --> 00:05:59,610
+عنه الجهاز العصبي اللاإرادي، إحنا ما بنتحكم فيه، لكن 
+
+97
+00:05:59,610 --> 00:06:01,770
+أنا بقول الله بتحكم في إيدي بالعضل أي شيء، لكن 
+
+98
+00:06:01,770 --> 00:06:04,870
+أنا ممكن أتحكم فيها تمام، هذا إرادي، لكن لو واحد
+
+99
+00:06:04,870 --> 00:06:07,730
+مثلًا جاب مية ساخنة أو حاجة أو خزن، بجيب مقاش 
+
+100
+00:06:07,730 --> 00:06:10,850
+مباشرة، أنا ما بشوف إيه، أيبهاري طبعًا يعتبر تحت
+
+101
+00:06:10,850 --> 00:06:13,890
+تأثير الجهاز الـ sympathetic، هو طبعًا لا إرادي، بنعود 
+
+102
+00:06:13,890 --> 00:06:17,210
+ورجع بصورة طبيعية تحت تأثير الـ parasympathetic، طبعًا بس
+
+103
+00:06:17,210 --> 00:06:22,570
+صورة مبسطة، إحنا مش بنغضب إننا ناخد بتفاصيل كلها أو
+
+104
+00:06:22,570 --> 00:06:27,830
+الوظائف كلها، هنتكلم على بعض الأمراض اللي قد تصيب
+
+105
+00:06:27,830 --> 00:06:32,970
+الجهاز العصبي وتتطلب خدمة إسعاف أولي طبعًا يمكن من 
+
+106
+00:06:32,970 --> 00:06:36,990
+أخطر الأمراض كمان اللي هي الغيبوبة، طبعًا الغيبوبة 
+
+107
+00:06:36,990 --> 00:06:40,950
+طبعًا يمكن لما تتكلم على الغيبوبة بيقول لك والله اتدخل
+
+108
+00:06:40,950 --> 00:06:43,570
+في غيبوبة أو بتشبه واحد مش واعدني ولا أنت في 
+
+109
+00:06:43,570 --> 00:06:46,830
+غيبوبة، وليه مش عارف حاجة، معناه طبعًا عدم الإدراك
+
+110
+00:06:46,830 --> 00:06:49,430
+طبعًا هي فقدان الوعي وعدم استجابة للمؤثرات
+
+111
+00:06:49,430 --> 00:06:53,900
+الخارجية، مهما واخذ أوى، عشان هيك بنقول إحنا لما
+
+112
+00:06:53,900 --> 00:06:57,360
+بنجي نقدم خدمة الإسعاف الأولي، بنشوف مدى الوعي، 
+
+113
+00:06:57,360 --> 00:06:59,880
+مدى الوعي، هل هو واعي ولا غير واعي؟ وأول حاجة بنقول
+
+114
+00:06:59,880 --> 00:07:03,340
+إحنا طبعًا سلمت المكان عشان إن كنت طبعًا في أمان
+
+115
+00:07:03,340 --> 00:07:07,880
+للشخص نفسه، بعدين بنقول هل هو واعي ولا لأ؟ هل
+
+116
+00:07:07,880 --> 00:07:11,040
+بيستجيب ولا ما بيستجيبش؟ طبعًا إذا بيستجيب بساعدني،
+
+117
+00:07:11,040 --> 00:07:14,060
+إذا ما بيستجيب أنا بنصير أتصرف حسب إيش الموجود، 
+
+118
+00:07:14,060 --> 00:07:17,920
+يبقى أنا باختصار هو خلل في درجة الوعي، طبعًا يمكن
+
+119
+00:07:17,920 --> 00:07:21,000
+إحنا في الكتاب مش موضحين كتير، لكن أنا بس جبتها
+
+120
+00:07:21,000 --> 00:07:25,920
+يعني كترتيب واضح شوية بالنسبة لدرجات الوعي، قد تكون 
+
+121
+00:07:25,920 --> 00:07:30,400
+من دقائق إلى سنوات، يمكن إحنا مثل بسيط في العصر
+
+122
+00:07:30,400 --> 00:07:34,060
+الحالي اللي دائمًا نذكره هو مثل شارون كم سنة قعد 
+
+123
+00:07:34,060 --> 00:07:38,550
+في غيبوبة، تمام؟ بعدين مات، لكن بيقولوا إحنا حينها
+
+124
+00:07:38,550 --> 00:07:42,370
+قد تكون فترة مؤقتة، طبعًا لها سبب عديد وبالتالي
+
+125
+00:07:42,370 --> 00:07:44,950
+طبعًا ال ... ال ... الدرجة الأولى لا يدرك المصاب ما
+
+126
+00:07:44,950 --> 00:07:47,450
+يحدث حوله تمامًا ولا يتفاعل معه، مع أنه مستخدم، 
+
+127
+00:07:47,450 --> 00:07:51,570
+يعني بيقول لك يعني زي الـ مُبَلَّم، مش واعي، مش مدرك، لا 
+
+128
+00:07:51,570 --> 00:07:55,160
+يستجيب، هذا أبسط، هذا أبسط شيء طبعًا في درجة ثانية
+
+129
+00:07:55,160 --> 00:07:59,300
+نائم ويمكن تقعده ينام فورًا، يعني قاعد نبهتيه بعوض 
+
+130
+00:07:59,300 --> 00:08:03,080
+بيرجع ينام، مش واعي، طبعًا هذا حسب السبب وحسب المسبب
+
+131
+00:08:03,080 --> 00:08:06,060
+طبعًا الدرجة الثالثة نائم ولا يمكن تقعده ولكن
+
+132
+00:08:06,060 --> 00:08:08,440
+يستجيب للمؤثرات المؤلمة، إن نجرسه يعني بيقول إحنا
+
+133
+00:08:08,440 --> 00:08:11,620
+ممكن نجرس الشخص لو إحنا لاجناه أو شكينا فيه إنه 
+
+134
+00:08:11,620 --> 00:08:14,580
+واعي ولا غير واعي، نديّه عالي، ممكن نهزّ كتفه، ممكن 
+
+135
+00:08:14,580 --> 00:08:17,700
+نجرسه، لكن عاسف يكون فيه قلم بسيط إذا ما كانش مستجيب
+
+136
+00:08:17,700 --> 00:08:21,740
+للأشياء الخفيفة، طبعًا آخر شيء اللي هو الدرجة الرابعة 
+
+137
+00:08:21,740 --> 00:08:26,220
+ما فيش استجابة مطلقًا، ما فيش مطلقًا، طبعًا لو جت تعطيه 
+
+138
+00:08:26,220 --> 00:08:29,060
+مش هيستجيب، طبعًا هذه المرحلة هذه الدرجة الرابعة 
+
+139
+00:08:29,060 --> 00:08:34,040
+اللي ممكن يعني يكون فيها لسنوات طويلة، طب وهتسأل 
+
+140
+00:08:34,040 --> 00:08:37,680
+سؤال هل كان أهل الكهف في غيبوبة؟
+
+141
+00:08:41,790 --> 00:08:44,270
+أه ماذا؟ عشان تقول احنا بعض الناس ممكن تقولك طب هي
+
+142
+00:08:44,270 --> 00:08:47,750
+أهل الكفر جعلوا سنوات تمام، لكن ما كانوا في غيبوبة،
+
+143
+00:08:47,750 --> 00:08:51,710
+المال في غيبوبة مستجيبش لأي شيء ولا بتحرك، ربما 
+
+144
+00:08:51,710 --> 00:08:54,010
+يقولوا أنا أقلبهم ده يعني معناه في حركة، في حركة
+
+145
+00:08:54,010 --> 00:08:56,970
+لهم، طبعا هي إرادة ربانية، لكن بالنسبة للغيبوبة
+
+146
+00:08:56,970 --> 00:09:01,490
+مافيش ولا أي استجابة مطلقا لأي صوت، لأي وخز، لأي
+
+147
+00:09:01,490 --> 00:09:05,710
+شيء لو جت تعطيه، مافيش طبعا إيه الاستجابة، تفضلي
+
+148
+00:09:06,580 --> 00:09:09,880
+معنى أي شخص يدخل ويغيبوه ويقول إن هو يعني لا محال
+
+149
+00:09:09,880 --> 00:09:15,270
+أنه هيموت أو في حاجة .. بس يعني ممكن نسبة نادرة في
+
+150
+00:09:15,270 --> 00:09:18,710
+.. في ممكن يستجيب حسب .. أقول الحاجات اللي هنتكلم
+
+151
+00:09:18,710 --> 00:09:22,490
+أسبابها حسب المكان المصاب في الدماغ قد تكون مثلا
+
+152
+00:09:22,490 --> 00:09:27,330
+فترة بسيطة والله كان في غيبوبة وصحي ممكن الـ .. الـ ..
+
+153
+00:09:27,330 --> 00:09:30,770
+المشكلة هي تكون مؤثرة على مركز حساس داخل الجسم
+
+154
+00:09:30,770 --> 00:09:34,770
+الإنسان قد تؤدي إلى الوفاة كمان حسب .. حسب مكان
+
+155
+00:09:34,770 --> 00:09:38,790
+الإصابة يعني ممكن تقعد سنوات ممكن عشر سنين خمسة
+
+156
+00:09:38,790 --> 00:09:41,330
+عشر سنة داخل غيبوبة طبعا .. طبعا احنا مافيش عندنا
+
+157
+00:09:41,330 --> 00:09:45,180
+حاجة اسمها قتل الرحمة، لكن ممكن بلاد ثانية مثلا السويد
+
+158
+00:09:45,180 --> 00:09:48,020
+النرويج اللي هذه طبعا بيسموه قتل الرحيم جال عطف
+
+159
+00:09:48,020 --> 00:09:51,520
+على أياش على الشخص نفسه، لكن طبعا احنا أياش مافيش
+
+160
+00:09:51,520 --> 00:09:54,780
+شانس لها بالنسبة لهم يقولون خلاص بيقولوا لك إن
+
+161
+00:09:54,780 --> 00:09:57,140
+بدنا اللي ما هو على أجهزة واللي حاجة خلاص إنموتوا
+
+162
+00:09:57,140 --> 00:10:00,880
+خلاص عشان يرتاح لكنها طبعا محرمة ولا تقتلوا النفس
+
+163
+00:10:00,880 --> 00:10:05,240
+اللي حرم الله اللي عبالحق حتى لو كان في غيبوبة ما
+
+164
+00:10:05,240 --> 00:10:08,660
+بنقتلش لكن في دول ثانية في عندها حاجة اسمها
+
+165
+00:10:08,660 --> 00:10:12,500
+merciful death أو القتل الرحيم هو طبعا .. بالنسبة
+
+166
+00:10:12,500 --> 00:10:16,560
+.. في الجهاز وش .. زي ما حصل في الكورونا كمان وفضل
+
+167
+00:10:16,560 --> 00:10:21,600
+تقولوا في إيطاليا بدوا ناس عن ناس بس العمر بيعدل،
+
+168
+00:10:21,600 --> 00:10:23,620
+احنا بيقولوا احنا العمر لو داله ميت سنة، هذا خلاص
+
+169
+00:10:23,620 --> 00:10:29,220
+لما ربنا يريد له ميت، يموت ميموت طبعا نتكلم على هنا
+
+170
+00:10:29,220 --> 00:10:32,080
+إيش الأسباب الخلل في درجة الوعي، طبعا بدنا نعرف
+
+171
+00:10:32,080 --> 00:10:36,100
+حاجة مهمة يا أخواتنا إن الـ .. المصدر الأساسي
+
+172
+00:10:36,100 --> 00:10:40,930
+للـ طاقة في الجسم .. للدماغ هو السكر، انقطع السكر طبعا
+
+173
+00:10:40,930 --> 00:10:43,810
+شيء بسيط، في أول يوم وثاني يوم رمضان، بعض الناس
+
+174
+00:10:43,810 --> 00:10:46,730
+تلاقي مثلا تعب شوية أو صار عنده زغلالة، بسبب
+
+175
+00:10:46,730 --> 00:10:49,610
+انخفاض معدل السكر، طبعا احنا فيه إنه احتياطي، طبعا
+
+176
+00:10:49,610 --> 00:10:52,770
+الجسم ربنا أعطاه إمكانية إنه يعمل تخزين للسكر و
+
+177
+00:10:52,770 --> 00:10:55,830
+ليس يعمل تخزين للماء، الماء ما يبقى خزان، لكن السكر
+
+178
+00:10:55,830 --> 00:10:58,330
+طبعا والفيتامينات والعناصر هذه طبعا ممكن أودهم وممكن
+
+179
+00:10:58,330 --> 00:11:02,550
+ممكن تخزينها طبعا بطرق معقدة، لكن إذا قطع هذا المصدر
+
+180
+00:11:02,550 --> 00:11:06,830
+أو قل هذا المصدر، معناه بأثر على وظيفة الدماغ،
+
+181
+00:11:06,830 --> 00:11:10,050
+الدماغ المصدر الأساسي طبعا مصدرين، لكن المصدر
+
+182
+00:11:10,050 --> 00:11:15,550
+الأساسي للدماغ للطاقة هو السكر والأكسجين، السكر
+
+183
+00:11:15,550 --> 00:11:19,210
+والأكسجين، وبالتالي لما الإنسان بيـ .. بيـ .. بيـ ..
+
+184
+00:11:19,210 --> 00:11:23,370
+بيلعب كثير أو بيبدأ المجهود كثير، بيزيد معدل التنفس،
+
+185
+00:11:23,370 --> 00:11:26,530
+عشان ياخد مصدر طاقة، طبعا لإن .. مين بدأت طاقة
+
+186
+00:11:26,530 --> 00:11:30,050
+الجسم والحركة؟ مصدر طاقة اللي هو إيش؟ الأكسجين، يبقى
+
+187
+00:11:30,050 --> 00:11:33,790
+لنا مصدرين، لكن مصدر أساسي هو السكر، أسباب الخلل في
+
+188
+00:11:33,790 --> 00:11:36,470
+درجة الوعي أو الغيبوبة اللي هنتكلمنا عنها إصابات
+
+189
+00:11:36,470 --> 00:11:40,050
+بالمخ مثلا حوادث طرق أو أورام مثلا عنده أورام
+
+190
+00:11:40,050 --> 00:11:43,870
+بالدماغ عفاكم الله جميعا، وطبعا ممكن تأثر على مصدر
+
+191
+00:11:43,870 --> 00:11:47,610
+على كمية الـ oxygen أو كمية السكر اللي ممكن تصل إيش
+
+192
+00:11:47,610 --> 00:11:50,390
+للدماغ، لأن الخلايا السرطانية بتلتهم كمية كبيرة
+
+193
+00:11:50,390 --> 00:11:54,390
+وخاصة السكر وبالتالي مريض السكر مريض طبعا زيادة
+
+194
+00:11:54,390 --> 00:11:58,270
+استهلاك السكر الأبيض كأحد أسباب للأورام وبالتالي
+
+195
+00:11:58,270 --> 00:12:01,730
+اليوم العلاج عساسا من الامتناع عن السكر، اللي
+
+196
+00:12:01,730 --> 00:12:06,070
+بتناوله كمية كبيرة من السكر تقليل أو تخفيف من كمية
+
+197
+00:12:06,070 --> 00:12:10,250
+السكر، طبعا السبب الثاني نقص وصول الدم إلى المخ
+
+198
+00:12:10,250 --> 00:12:14,750
+مثلا جلطة الدماغ واللي هيتكلم عليها طبعا ممكن
+
+199
+00:12:14,750 --> 00:12:18,030
+يكون نزيف فبالتالي ما وصل كمية كبيرة أو مثلا
+
+200
+00:12:18,030 --> 00:12:20,950
+الإنسان عنده ضغط دم لكن صار انفجار في أحد الشرايين
+
+201
+00:12:20,950 --> 00:12:27,380
+وبالتالي ما وصلش الدم المحمل بالسكر كافي للدماغ، طبعا
+
+202
+00:12:27,380 --> 00:12:29,820
+التسبب الثالث نقص الـ oxygen أو السكر، واصل إن في
+
+203
+00:12:29,820 --> 00:12:33,800
+بعض الحالات التسمم مثلا الـ .. من يذكر إن هي التسمم
+
+204
+00:12:33,800 --> 00:12:37,640
+أول أكسيد الكربون غاز الفحم، لأن طبعا هيحل محل
+
+205
+00:12:37,640 --> 00:12:42,560
+اللي هو الـ .. الـ oxygen وبالتالي هيدخل في غيبوبة
+
+206
+00:12:42,560 --> 00:12:45,660
+لأنه هينعس شوية شوية وهيكون مكان الـ oxygen هو
+
+207
+00:12:45,660 --> 00:12:48,740
+أول أكسيد الكربون وهذا غاز قاتل، يبقى برضه أحد
+
+208
+00:12:48,740 --> 00:12:52,830
+الأسباب، طبعا الصرع حيث يوجد نشاط كربي غير طبيعي في
+
+209
+00:12:52,830 --> 00:12:55,290
+الدماغ، مثلا طبعا مرض الصرع هناخده احنا بالتفصيل
+
+210
+00:12:55,290 --> 00:12:58,170
+وطبعا مرض الصرع هو مرض وراثي أو الأسباب الأخرى
+
+211
+00:12:58,170 --> 00:13:01,170
+هناخده لك نقولها إن أحد الأسباب التي قد تؤدي إلى
+
+212
+00:13:01,170 --> 00:13:05,640
+الغيبوبة، طيب تقييم درجة الوعي عند المصاب إنه هل هو
+
+213
+00:13:05,640 --> 00:13:10,180
+واعي ولا مش واعي، بيتنفس، ما بيتنفس، بيستجيب، ما
+
+214
+00:13:10,180 --> 00:13:13,820
+بيستجيب، يعني كلها أسئلة بتتراود لشخص المصاب عشان إنه
+
+215
+00:13:13,820 --> 00:13:16,640
+عساسي يعرف درجة الوعي، ودرجة الوعي طبعا مهمة
+
+216
+00:13:16,640 --> 00:13:21,080
+جدا، إن درجة الوعي بتخليني أقيم الشخص وأخليه
+
+217
+00:13:21,080 --> 00:13:24,580
+يختار الوضع المناسب إذا كان واعي، لكن إذا مش واعي
+
+218
+00:13:24,580 --> 00:13:28,720
+فإن أفضل وضع طبعا لأي إنسان هو وضع الإفاقة، لإنسان
+
+219
+00:13:28,720 --> 00:13:31,960
+بيتنفس وقلب ينبض هو وضع الإفاقة
+
+220
+00:13:38,570 --> 00:13:42,490
+طبعا هنا ببعض الملاحظات كمان إنه أهم شيء احنا زي
+
+221
+00:13:42,490 --> 00:13:47,490
+ما قلنا اللي هي مجرى التنفس تمام عشان أضمن دخول
+
+222
+00:13:47,490 --> 00:13:51,550
+كمية كافية من الـ oxygen للدماغ، وطبعا مهم جدا
+
+223
+00:13:51,550 --> 00:13:55,670
+لكن في حال اشتباه الكسور أنا ما بعمل ثني للعنق
+
+224
+00:13:55,670 --> 00:14:00,090
+الشيء الطبيعي إن عشان أنا أخلي مجرى النفس سالك و
+
+225
+00:14:00,090 --> 00:14:04,290
+كمية هواء تدخل بصورة طبيعية برفع الرأس للخلف، لكن في
+
+226
+00:14:04,290 --> 00:14:08,820
+حال اشتباه للكسور في العنق أنا مابقدرها لكن بقول
+
+227
+00:14:08,820 --> 00:14:12,100
+إيه Jaw thrust طبعا هي من دفع الفك للأمام وفتح
+
+228
+00:14:12,100 --> 00:14:16,420
+الفك عشان سهولة دخول الهواء وها طبعا ممكن بيأثر في
+
+229
+00:14:16,420 --> 00:14:19,180
+حالة طبعا الإنسان فاقد الوعي بيأثر على رفع قاعدة
+
+230
+00:14:19,180 --> 00:14:22,540
+اللسان لأعلى وبالتالي بيكون سهولة في دخول الهواء
+
+231
+00:14:22,540 --> 00:14:26,300
+للداخل، اللي بنعرفه هو إن احنا بنعمل طبعا تفقد ..
+
+232
+00:14:26,300 --> 00:14:28,540
+طبعا أول جهاز اللي احنا بنتفقد اللي هو الجهاز
+
+233
+00:14:28,540 --> 00:14:32,120
+التنفسي، بعدين بنتفقد طالما إنه بيتنفس لكن غير
+
+234
+00:14:32,120 --> 00:14:35,020
+واعي الجهاز الدوري، بعيني إذا كان في مثلا إصابات
+
+235
+00:14:35,020 --> 00:14:38,700
+أخرى، كسور، جروح، عامل التفقد، في النهاية إذا
+
+236
+00:14:38,700 --> 00:14:42,840
+مافيش أي شيء بتستدعي خدمة إسعاف أولي إلا المحافظة
+
+237
+00:14:42,840 --> 00:14:47,200
+على التنفس والجهاز الدوري بأضعف وضع الإفاقة وضع
+
+238
+00:14:47,200 --> 00:14:50,220
+الإفاقة زي ما احنا عارفينه طبعا يوضع أو يستخدم
+
+239
+00:14:50,220 --> 00:14:55,140
+الإنسان فاقد الوعي يتنفس والقلب ينبض، يعني بمعنى
+
+240
+00:14:55,140 --> 00:14:59,600
+ما بنفع نستخدم وضع الإفاقة لإنسان القلب متوقف عنده
+
+241
+00:14:59,600 --> 00:15:03,520
+أو إنسان النفس متوقف عنده، هذا طبعا ضروري جدا عشان
+
+242
+00:15:03,520 --> 00:15:07,580
+أحافظ على مجرد التنفس ولو فيه قيء أو استفراغ طبعا
+
+243
+00:15:07,580 --> 00:15:10,140
+نكون national خالق للخارج زي ما يطلع للصورة اللي
+
+244
+00:15:10,140 --> 00:15:10,960
+احنا أمامنا
+
+245
+00:15:20,380 --> 00:15:24,080
+طبعا أحيانا من بعض الأمثلة اللي احنا بنذكرها دائما
+
+246
+00:15:24,080 --> 00:15:28,080
+هي غيبوبة نقص السكر، يعني أمثلة بسيطة جدا واحنا
+
+247
+00:15:28,080 --> 00:15:31,140
+قلنا يا أخواتنا لإن الدليل على إن هذا الموضوع
+
+248
+00:15:31,140 --> 00:15:36,400
+مهم، قلنا مصدر الطاقة للدماغ هو السكر والأكسجين،
+
+249
+00:15:36,400 --> 00:15:41,090
+لكن السكر هو المصدر الأساسي لأنه بيحطينا طاقة، يعني
+
+250
+00:15:41,090 --> 00:15:44,510
+زي ما بيقول الله مثلا في الشتاء بنحتاج حلويات،
+
+251
+00:15:44,510 --> 00:15:47,750
+بنحتاج سكرات، لأنها تعتبر مصدر للطاقة، وبالتالي
+
+252
+00:15:47,750 --> 00:15:52,070
+هنا في عندنا مرض السكر، يعني مرض السكر خوفه من
+
+253
+00:15:52,070 --> 00:15:58,010
+الزيادة ولا النقصان للسكر؟ زيادة ولا نقصان؟ و ليش؟
+
+254
+00:15:58,010 --> 00:16:02,410
+هنعرف الأسباب جدا، عشان أضربكم على مثل بسيط جدا،
+
+255
+00:16:02,410 --> 00:16:05,470
+وطبعا دائما تتخيلون، زيادة ولا نقصان مين أختار؟
+
+256
+00:16:06,450 --> 00:16:10,170
+نشوف .. نشوف مع بعض و ليش .. نشوف مع بعض ونعرف
+
+257
+00:16:10,170 --> 00:16:12,210
+ليش .. الناس بيقولوا زيادة والناس بيقولوا نقصان ..
+
+258
+00:16:12,210 --> 00:16:16,130
+هنعرف ليش طبعا ..
+
+259
+00:16:16,130 --> 00:16:19,750
+ماشي .. هنتحرف ونشوف الأعراض هذه ونشوف طبعا
+
+260
+00:16:19,750 --> 00:16:23,690
+السبب الأساسي وخليني أتبين احنا مقطع مهم جدا ..
+
+261
+00:16:23,690 --> 00:16:28,650
+إن نقص السكر بيأثر على عمل الدماغ .. طبعا .. نقص
+
+262
+00:16:28,650 --> 00:16:31,370
+السكر بيأثر على عمل الدماغ .. واحنا قلنا المصدر
+
+263
+00:16:31,370 --> 00:16:34,430
+الأساسي لضعف الأكسجين هو السكر .. طبعا
+
+264
+00:16:38,140 --> 00:16:44,060
+اه ماشي دائما كمية المخزون يعني لأ مش الجسد إن
+
+265
+00:16:44,060 --> 00:16:49,030
+فوقي الجسم ما يفرضش فيها مباشرة زي نقول مثلا إنسان
+
+266
+00:16:49,030 --> 00:16:53,370
+صائم عن الطعام وبيأكلش، بيبدأ ياخد تدريجيا، طبعا
+
+267
+00:16:53,370 --> 00:16:57,510
+بيبدأ بالبروتين، عصف، بيبدأ طبعا بالسكر، بعدين
+
+268
+00:16:57,510 --> 00:16:59,890
+بالدهون، بعدين بالبروتين، أخطر حاجة يعني وصلنا
+
+269
+00:16:59,890 --> 00:17:03,450
+لمرحلة الدهون، بالتالي الجسم ما يفرضش وهو طبعا
+
+270
+00:17:03,450 --> 00:17:07,690
+عمل رباني، احنا ما نتدخلش فيه، وطبعا قدرة ربنا إن
+
+271
+00:17:07,690 --> 00:17:10,370
+الجسم بيشتغل لا إرادي في الحاجات هذه، زي إن أنت
+
+272
+00:17:10,370 --> 00:17:13,830
+مثلا تاكل واجبة فيها سكر كثير، يفرض انسولين كثير، و
+
+273
+00:17:13,830 --> 00:17:16,450
+بتحس بالشبع طبعا لإن زيادة الانسولين بحس بالشبع
+
+274
+00:17:16,450 --> 00:17:19,270
+الواحد فيها لكن أنت ما تاكل حاجة فيها فسيخ وما له
+
+275
+00:17:19,270 --> 00:17:22,030
+مش هيفرض كمية كبيرة من الانسولين، تمام؟ بتقول جاي
+
+276
+00:17:22,030 --> 00:17:25,770
+عبالي أكل كمان، دائما لما يكون في عندنا زيادة في معدل
+
+277
+00:17:25,770 --> 00:17:29,210
+الانسولين في الجسم بيشعر بالشبع، أنت لما تاكل جتعة
+
+278
+00:17:29,210 --> 00:17:34,870
+حلوة ولا تاكل مثلا حاجة مالحة، مين تستمر فيه أكثر؟
+
+279
+00:17:34,870 --> 00:17:41,330
+مالح لأن الحلو بيخلص بتشعر بالشبع فيه جتعة جتعتين ..
+
+280
+00:17:41,330 --> 00:17:44,330
+جتعة جطايف ولا تنتين ولا خمسة يعني حسب الموجود 
+
+281
+00:17:44,330 --> 00:17:48,770
+فطبعًا بيتقول وايه خلاص أنا مش قادر لكن حلو أجاسف و
+
+282
+00:17:48,770 --> 00:17:51,770
+مالح وطراش ومخلل.. طراش ومخلل بتضل تأكل فيها
+
+283
+00:17:51,770 --> 00:17:54,090
+لأن ما فيش نسبة أعلى من الأنسولين دايمًا هي القاعدة
+
+284
+00:17:54,090 --> 00:17:56,490
+أن كل ما كان نسبة الأنسولين أعلى كل ما كان شعور
+
+285
+00:17:56,490 --> 00:18:00,550
+بالشبع أسرع نأخذ صورة مبسطة يا إخواننا بالنسبة
+
+286
+00:18:00,550 --> 00:18:05,690
+لغيبوبة زيادة السكر ونقص السكر وكل بند هنوضح ليش
+
+287
+00:18:05,690 --> 00:18:08,690
+البند اللي فطبعًا الفرق الأول نأخذ غيبوبة زيادة 
+
+288
+00:18:08,690 --> 00:18:11,690
+السكر وبالمقابل نقص السكر، ونقسم و نرجّزوا معانا 
+
+289
+00:18:11,690 --> 00:18:15,210
+لأن طبعًا دي أسئلة مهمة كثير في حال غيبوبة زيادة
+
+290
+00:18:15,210 --> 00:18:19,330
+السكر يعني عند السكر كثير السكر كثير يعني معناه 
+
+291
+00:18:19,330 --> 00:18:22,810
+السكر قاعد بيمشي في الدم بصورة كبيرة يعني ما دخلش
+
+292
+00:18:22,810 --> 00:18:27,710
+الخلايا، تمام؟ التنفس سريع وسطحي، ليش؟ لأن السكر
+
+293
+00:18:27,710 --> 00:18:31,470
+ما يتم استهلاكه، هو جوا إحنا أيش مصدر للطاقة،
+
+294
+00:18:31,470 --> 00:18:35,870
+فبنبدل إله عن طريق الأكسجين، وبالتالي المريض يبقى
+
+295
+00:18:35,870 --> 00:18:40,790
+عنده زيادة في السكر، زيادة في السكر بتنفس بسرعة،
+
+296
+00:18:40,790 --> 00:18:44,130
+لأن السكر اللي موجود مش قادر يستفيد منه، وبالتالي
+
+297
+00:18:44,130 --> 00:18:49,410
+بيدور على مصدر ثاني هو إيش؟ الأكسجين بالمقابل
+
+298
+00:18:49,410 --> 00:18:53,390
+التنفس طبيعي لأنه صار استهلاك لكمية كبيرة من السكر
+
+299
+00:18:53,390 --> 00:18:57,670
+يعني مصدر الطاقة أو الطاقة موجودة بجيب طاقة من برا
+
+300
+00:18:57,670 --> 00:19:02,550
+ليش؟ بيكون التنفس طبيعي يبقى في زيادة السكر ما فيش
+
+301
+00:19:02,550 --> 00:19:06,110
+استهلاك للسكر لكن أنا بدي مصدر للطاقة بجيب مصدر
+
+302
+00:19:06,110 --> 00:19:09,030
+آخر اللي هو الأكسجين هذا في زيادة السكر، في نقص
+
+303
+00:19:09,030 --> 00:19:12,530
+السكر تم استهلاك السكر، يعني انحرق السكر، تمام؟
+
+304
+00:19:12,530 --> 00:19:15,750
+داخل الخلايا، أجيب مصدر ثاني من برا، ليش؟ يبقى نفس
+
+305
+00:19:15,750 --> 00:19:20,090
+طبيعي، طبعًا، الفرق الثاني، النبض سريع وضعيف، طالما
+
+306
+00:19:20,090 --> 00:19:23,110
+أن في عندي زيادة في استهلاك .. في التنفس، معناه
+
+307
+00:19:23,110 --> 00:19:25,210
+هيكون عندي زيادة في عدد ضربات القلب، عشان يوزع
+
+308
+00:19:25,210 --> 00:19:29,930
+الأكسجين اللي دخل للجسم تمام؟ أو للرئتين، النبض
+
+309
+00:19:29,930 --> 00:19:35,550
+سريع وقوي، هنا صار..صار عندي طاقة زائدة صانع طاقة
+
+310
+00:19:35,550 --> 00:19:38,930
+زائدة بالنسبة لاستهلاك السكر، يعني صانع طاقة
+
+311
+00:19:38,930 --> 00:19:42,470
+زائدة، ولاحظوا سريع وقوي، يعني..يعني بنبض
+
+312
+00:19:42,470 --> 00:19:45,390
+بقوة، المعنى أن أنت لو وضعنا إيدينا على الشريان،
+
+313
+00:19:45,390 --> 00:19:49,670
+هلاقي إيش ممتلئ، لكن بالنسبة لزيادة السكر، سريع
+
+314
+00:19:49,670 --> 00:19:54,070
+لكن ضعيف، يعني الشريان ضعيف، ما فيش هالقوة للقلب،
+
+315
+00:19:54,070 --> 00:19:58,310
+لأنه جائع بيحاول ياخد كمية طاقة من الخارج، وطبعًا
+
+316
+00:19:58,310 --> 00:20:02,090
+دايمًا طاقة السكر أجدى من طاقة إيش؟ الأكسجين، اللي
+
+317
+00:20:02,090 --> 00:20:06,350
+هو الطب النظر الأساسي هو السكر البند الثالث، راحة
+
+318
+00:20:06,350 --> 00:20:09,710
+الفم تشبه راحة التفاح التالف أو الأسيتون، يعني أنت
+
+319
+00:20:09,710 --> 00:20:12,990
+جيت لو أنت مثلًا أكلت تومة أو بصل أو حاجة وجا واحد
+
+320
+00:20:12,990 --> 00:20:19,070
+جنبيك أو صاحبك جنبيك يسلم عليك أيه؟ ريحة طالعة،
+
+321
+00:20:19,070 --> 00:20:23,290
+تمام؟ ريحة البصل أو شيء وهنا أنت حط مثلًا معلقة
+
+322
+00:20:23,290 --> 00:20:27,450
+سكر أنت ممكن تمولع مثلًا فحم وحط عليها نقطة سكر
+
+323
+00:20:28,210 --> 00:20:30,990
+بتشم الريحة، بتشم الريحة تمام ولا لأ؟ ونفس
+
+324
+00:20:30,990 --> 00:20:35,390
+الحاجة، يعني بخر الفم بيصير ماخد من أثر السكر
+
+325
+00:20:35,390 --> 00:20:40,970
+اللي موجود في الدم، ماخد من أثر السكر اللي موجود
+
+326
+00:20:40,970 --> 00:20:44,570
+في الدم، لأنه مش محروق، تمام؟ لأنه تم استهلاك طاقة
+
+327
+00:20:44,570 --> 00:20:47,870
+من مصدر آخر اللي هو الأكسجين، وبالتالي بيكون زي
+
+328
+00:20:47,870 --> 00:20:50,750
+ريحة التفاحة أو الأسيتون، هذا للي عنده زيادة عالية
+
+329
+00:20:50,750 --> 00:20:53,570
+في السكر، تمام؟ طبعًا في المقابل، اللي عنده حرق في
+
+330
+00:20:53,570 --> 00:20:56,070
+السكر، هذا عادي، لأنه تم استهلاكه
+
+331
+00:20:58,470 --> 00:21:02,930
+الجلد جاف، ما فيش عرق، ما فيش طبعًا..ما فيش أكسجين
+
+332
+00:21:02,930 --> 00:21:06,390
+ينحرق، اللي ما فيش سكر ينحرق، تمام؟ طبعًا يكون إيش
+
+333
+00:21:06,390 --> 00:21:10,710
+الجلد؟ أما بالنسبة للمقابل، نقص السكر مبلل بعرق،
+
+334
+00:21:10,710 --> 00:21:15,090
+لإن في عندي ال..ال..ال..المصنع اللي قاعد
+
+335
+00:21:15,090 --> 00:21:20,690
+بيشتغل ولّب طاقة عالية، وبالتالي صار عندي زيادة في
+
+336
+00:21:20,690 --> 00:21:23,930
+الطاقة، فبدي أتخلص من الطاقة هذه عن طريق إيش
+
+337
+00:21:23,930 --> 00:21:24,530
+التعرق
+
+338
+00:21:28,170 --> 00:21:31,410
+طبعًا هذا غير متوتر بالنسبة لزيادة السكر غير متوتر
+
+339
+00:21:31,410 --> 00:21:35,150
+..أنا جيت بالأخر حجملهم طبعًا المنظر واحد..
+
+340
+00:21:35,150 --> 00:21:38,830
+الغيبوبة نفسه كان متوتر وعصبي..تمام؟ لإن عصبيّة
+
+341
+00:21:38,830 --> 00:21:44,590
+زائدة عنده.. حدقات العين طبيعيتان..بالنسبة
+
+342
+00:21:44,590 --> 00:21:50,330
+لزيادة السكر..نقص السكر متساعتان طبعًا عطش شديد و
+
+343
+00:21:50,330 --> 00:21:54,210
+بدلًا من يقول إحنا مرضى السكر، تبول وعطش و
+
+344
+00:21:54,210 --> 00:21:58,790
+مابين، تمام؟ وبالتالي هنا بسبب إن أنت أكلت قطعة
+
+345
+00:21:58,790 --> 00:22:03,370
+حلو، هتعتشي بسبب إن السكر موجود وهيعدّي على الفم،
+
+346
+00:22:03,370 --> 00:22:06,810
+طبعًا الدم حامل السكر هذا، لأن نسبة الدم، السكر موزع
+
+347
+00:22:06,810 --> 00:22:09,970
+في الدم طبعًا موزعة بنسبة متوسطة في كل أجزاء
+
+348
+00:22:09,970 --> 00:22:12,610
+الجسم، فهيعدّي على اللعاب، هيعدّي على الفم، حاطش
+
+349
+00:22:12,610 --> 00:22:17,670
+عليهش بالعطش، أما بالنسبة لغيبوبة نقص السكر، فقدان
+
+350
+00:22:17,670 --> 00:22:21,580
+وعي يحدث تدريجيًا، بيبدأ شوية شوية بالمجبور أنا
+
+351
+00:22:21,580 --> 00:22:25,120
+هأقول لكوا حاجة بسيطة جدًا عشان أنا أميز هذا عنده يعني
+
+352
+00:22:25,120 --> 00:22:29,280
+نقص السكر أو زيادة السكر أتخيل إنسان عصبي متوتر
+
+353
+00:22:29,280 --> 00:22:36,040
+عينيه بحلقةن تمام وبيقاتل ودي برة فوق هذا نقص
+
+354
+00:22:36,040 --> 00:22:41,400
+السكر نقص السكر، متساع حدقات، متوتر، غير مستقر،
+
+355
+00:22:41,400 --> 00:22:45,940
+جسمه مبلل بالعرق، تمام؟ دي ممكن يرجفه، هذا نقص
+
+356
+00:22:45,940 --> 00:22:49,620
+السكر، يعني تخيل إنسان عصبي هو يقاس عليه حالة نقص
+
+357
+00:22:49,620 --> 00:22:53,780
+السكر، أما إنسان هادي مش متوتر، قاعد كويس، لكن
+
+358
+00:22:53,780 --> 00:22:58,280
+عنده زيادة معدل التنفس، هذا زيادة السكر، تمام؟ طيب
+
+359
+00:22:58,280 --> 00:23:02,500
+إذا أنا ما عرفتش إسعاف أولي، إيش أعطيه، إذا أنا
+
+360
+00:23:02,500 --> 00:23:04,080
+ما كنتش عارف إن هذا زيادة ده ولا نقص
+
+361
+00:23:07,050 --> 00:23:10,850
+نعطيه ولا ما نعطيهوش؟ نعطيه يبقى نسألها حاجة مهمة
+
+362
+00:23:10,850 --> 00:23:15,370
+كثير أن غيبوبة نقص السكر هي أخطر من زيادة السكر،
+
+363
+00:23:15,370 --> 00:23:20,410
+ليش؟ لأن نقص السكر هيأثر على الدماغ، لكن الزيادة
+
+364
+00:23:20,410 --> 00:23:23,570
+مش هتأثر كثير، وكثير الناس بيوصلوا لعندك، والله
+
+365
+00:23:23,570 --> 00:23:28,630
+عنده سكر 500، طبعًا بيقولوا أن عند السكر 50،
+
+366
+00:23:28,630 --> 00:23:29,350
+خطير جدًا
+
+367
+00:23:32,660 --> 00:23:36,200
+الزيادة مش هتأثر زي النقص، فالنقص هنا يا إخواننا
+
+368
+00:23:36,200 --> 00:23:40,100
+هي نقص السكر هو أخطر يجب غيبوبة نقص السكر ويهاري
+
+369
+00:23:40,100 --> 00:23:43,380
+فيها الخوف، فقدان الوعي، يجب فقدان الوعي غالبًا
+
+370
+00:23:43,380 --> 00:23:48,180
+بيجي من غيبوبة نقص السكر أو من نقص السكر، ما فيها،
+
+371
+00:23:48,180 --> 00:23:51,540
+بكون واعي وواعي ما بيرجفش أو شيء، لأن طبعًا الرجفان
+
+372
+00:23:51,540 --> 00:23:55,200
+وطبعًا العرق المبلل وتساع حدقات العين في اللي هي
+
+373
+00:23:55,200 --> 00:23:59,490
+نقص السكر في الحالة دي كلا الحالتين أنت مش عارفها
+
+374
+00:23:59,490 --> 00:24:04,710
+اعطيه أي حاجة حلوة كوب عصير، مش معلقة سكر، طب واحد
+
+375
+00:24:04,710 --> 00:24:08,110
+يقول إحنا بنزود وننقص الحق هنا، لما نزودها ما فيش
+
+376
+00:24:08,110 --> 00:24:10,750
+فيها الخطورة ولا معين النقصان، أما أنا بقول والله
+
+377
+00:24:10,750 --> 00:24:14,070
+طبعًا ممكن نضره، لأ مش هيضره، لكن هيضره إذا استمر
+
+378
+00:24:14,070 --> 00:24:17,890
+في النقصان، وبالتالي لو إحنا أعطيناه، طبعًا بشرط إنه
+
+379
+00:24:17,890 --> 00:24:20,670
+يكون واعي، لو إحنا أعطيناه المعلقة سكر، شوي شوي
+
+380
+00:24:20,670 --> 00:24:24,370
+هترتفع مع معدل السكر وياخد طبعًا إيه ويرتفع، النسبة
+
+381
+00:24:24,370 --> 00:24:27,690
+عشانها إنه تصل إيش للدماغ، لكن إذا كان عنده زيادة،
+
+382
+00:24:27,690 --> 00:24:32,870
+مش هتضره، يبقى في كل الحالات إذا أنت عارف إن هذه أعراض
+
+383
+00:24:32,870 --> 00:24:41,330
+زيادة السكر، ما تعطوهوش، تفضلي، كلامك 
+
+384
+00:24:41,330 --> 00:24:47,170
+صحيح، ما هي نادرة جداً جداً إن تصير، بس لربما تصير،
+
+385
+00:24:47,170 --> 00:24:50,810
+حالات نادرة جداً جداً، هي إحنا كنا نقول عنها صدمة،
+
+386
+00:24:50,810 --> 00:24:56,160
+صدمة زيادة السكر هذه طبعًا غيبوبة زيادة السكر هي
+
+387
+00:24:56,160 --> 00:25:00,140
+الأساس الاسم الصحيح العلمي غيبوبة نقص السكر اللي
+
+388
+00:25:00,140 --> 00:25:02,780
+طبعًا بتعطينا الصورة الواضحة على الغيبوبة لكن عشان
+
+389
+00:25:02,780 --> 00:25:08,940
+المقارنة بين الزيادة والنقصان اندرج الاسم لها هو
+
+390
+00:25:08,940 --> 00:25:11,760
+السكر يا إخواننا بصفة عامة خطير جدًا على كل أجهزة
+
+391
+00:25:11,760 --> 00:25:18,120
+الجسم نأخذ أول جهاز، الجهاز المناعي، الجهاز العصبي،
+
+392
+00:25:18,120 --> 00:25:21,220
+الجهاز البصري طالما نؤثر على الجهاز العصبي، معناه
+
+393
+00:25:21,220 --> 00:25:24,900
+هيؤثر على كل جسم، على الجهاز الدوري، على الإحساس،
+
+394
+00:25:24,900 --> 00:25:30,880
+على الذاكرة على كل أجهزة الجسم، إذا لم ينتظم، في
+
+395
+00:25:30,880 --> 00:25:34,920
+ناس معاهم عشرين سنة السكر، ماشيين كويس، في ناس من
+
+396
+00:25:34,920 --> 00:25:37,280
+سنة زمان بتلاقي والله إيش، بيقول لك بصراحة بطلت
+
+397
+00:25:37,280 --> 00:25:41,480
+أشوفه كويس، أو مثلًا أصيب بالأمراض والمضاعفات،
+
+398
+00:25:41,480 --> 00:25:45,980
+عنده غرغرينة، وماشي بعد ذلك، وبالتالي السكر عدوه
+
+399
+00:25:45,980 --> 00:25:51,280
+عدوه وصديق صديقه، السكر إذا أنت أهملت فيه، طبعًا
+
+400
+00:25:51,280 --> 00:25:58,270
+بتلعب، يعني بترصد إنه إيش، يعني يلدغ بطول، طب مثلًا
+
+401
+00:25:58,270 --> 00:26:00,710
+وضعف المناعة وضعف الدورة الدموية وضعف الإحساس و..
+
+402
+00:26:00,710 --> 00:26:04,970
+بصفة
+
+403
+00:26:04,970 --> 00:26:07,710
+عامة، دايمًا مرض السكر ما له بصيغة المضاعفات عنده
+
+404
+00:26:07,710 --> 00:26:11,910
+من الزيادة، مش من النقصان، لكن النقصان خطورة عشان
+
+405
+00:26:11,910 --> 00:26:14,790
+الدخول في غيبوبة، فالزيادة دايمًا لمرض السكر خطير
+
+406
+00:26:14,790 --> 00:26:18,150
+جداً كمان، يعني مرض السكر بصفة عامة سواء الزايد أو
+
+407
+00:26:18,150 --> 00:26:20,890
+الناقص، فيه خطورة، لكن مين بيقدر المضاعفات أكثر؟
+
+408
+00:26:20,890 --> 00:26:21,670
+طبعًا هو الزيادة
+
+409
+00:26:24,310 --> 00:26:28,090
+نِجي لمشكلة ثانية بالنسبة للجهاز العصبي طبعًا
+
+410
+00:26:28,090 --> 00:26:33,610
+إصابات الرأس حاجة ممكن تقولها ارتجاج المخ طبعًا شيء
+
+411
+00:26:33,610 --> 00:26:36,350
+طبيعي بس علينا نوضح الصورة هذه إن الدماغ يا
+
+412
+00:26:36,350 --> 00:26:42,270
+إخواننا موجود داخل جمجمة وحماية ربانية لوحده طبعًا
+
+413
+00:26:42,270 --> 00:26:46,770
+الأعضاء الحيوية سواء القلب أو الدماغ محميين القلب
+
+414
+00:26:46,770 --> 00:26:51,330
+محمي بالقفص الصدري والدماغ محمي بالجمجمة لكن حول
+
+415
+00:26:51,330 --> 00:26:55,870
+الدماغ فيه ثلاث أغشية طبعًا هي الأم الجافية والأم
+
+416
+00:26:55,870 --> 00:26:58,490
+الحنون والأم العنكبوتية اللي إحنا نسميها طبعًا
+
+417
+00:26:58,490 --> 00:27:02,210
+السحايا اللي هي السحايا طبعًا في سائل أيضًا موجود
+
+418
+00:27:02,210 --> 00:27:07,330
+سائل النخاع الشوكي يعني أنت جيت لو إحنا..لو أنت
+
+419
+00:27:07,330 --> 00:27:13,330
+جبت مثلًا كوباية مية تمام؟ والكباية مليانة وسجدت
+
+420
+00:27:13,330 --> 00:27:19,060
+فيها حجر وكباية ثانية فاضية وسجدت فيها حجرين 
+
+421
+00:27:19,060 --> 00:27:22,360
+الحين اللي تنكسر؟ الأولى ولا الثانية؟ الفاضية، لأن
+
+422
+00:27:22,360 --> 00:27:25,620
+ما فيش حاجة تحمي، لكن الماء هذا هتحمي، وبالتالي هنا
+
+423
+00:27:25,620 --> 00:27:29,360
+ربنا سبحانه وتعالى أوجد السائل هذا حماية لنا، حاجة
+
+424
+00:27:29,360 --> 00:27:35,060
+ثانية، أن الدماغ إحنا ما بنشعرش في ثقله ولا بوزنه،
+
+425
+00:27:35,060 --> 00:27:36,940
+لأن واحد يقول أنا عنده صداع ولا حاجة، ده حاجة
+
+426
+00:27:36,940 --> 00:27:40,740
+ثانية، ليش؟ لأنه مع أي حركة في عنا، يعني غطاء
+
+427
+00:27:40,740 --> 00:27:44,660
+خارجي، حماية للدماغ عشان ما نشعرش بالحركة، طبعا هو
+
+428
+00:27:44,660 --> 00:27:49,320
+سائل، واللي إحنا لو فيه.. لو الدماغ ملاصق للجمجمة،
+
+429
+00:27:49,320 --> 00:27:53,260
+بنشعر أنه ثقيل، لكن سبحان الله أن هذا الدماغ موجود
+
+430
+00:27:53,260 --> 00:27:56,620
+في حماية له، و ثلاث أغشية، وفيهم طبعا السائل،
+
+431
+00:27:56,620 --> 00:27:59,960
+النخاع الشوكي، وطبعا من فضل ربنا كمان علينا، مش بس
+
+432
+00:27:59,960 --> 00:28:04,540
+عشان الوزن، عشان يعني التصدي للضربات الخارجية
+
+433
+00:28:05,780 --> 00:28:08,140
+سبحان الله العظيم يعني ربنا إيه الحكمة في كل شيء
+
+434
+00:28:08,140 --> 00:28:12,540
+لغاية لما يكون الإنسان مثلا في
+
+435
+00:28:12,540 --> 00:28:18,360
+حوله مثلا عجل فيه مية تمام، وجينا نخبطه مش 
+
+436
+00:28:18,360 --> 00:28:21,140
+هيتأثر بالإصابة لكن لابدوا أن العجل إيه الإصابة
+
+437
+00:28:21,140 --> 00:28:24,500
+مباشرة وبالتالي زي ما قلنا اليوم صار عندنا سيارات
+
+438
+00:28:24,500 --> 00:28:27,560
+مثلا كلها الـ air bag لو صار أي حادث عشان إيش تخلّي
+
+439
+00:28:27,560 --> 00:28:31,840
+الإصابة هذه وبالتالي هنطبعا ارتجاج الدماغ، معناه
+
+440
+00:28:31,840 --> 00:28:35,120
+هزة قوية أو ضربة قوية على الرأس عملت اهتزاز
+
+441
+00:28:35,120 --> 00:28:38,520
+الدماغ، إحنا كلنا بنهتزز الدماغ، لكن الضربة أكثر
+
+442
+00:28:38,520 --> 00:28:41,320
+من المعدل الطبيعي اللي ممكن أعيش تكون صورة طبيعية
+
+443
+00:28:41,320 --> 00:28:45,470
+نتحملها وبالتالي قد يقدّموا لاحق يقولوا والله هد
+
+444
+00:28:45,470 --> 00:28:48,110
+عنده ارتجاج في الدماغ، يعني نقول لو ارتجاج في المخ
+
+445
+00:28:48,110 --> 00:28:52,650
+آسف، فقدانه جزئي أو كله للوعي، لأنه صار ضربة على
+
+446
+00:28:52,650 --> 00:28:57,450
+الرأس تمام؟ و أدت إلى اهتزاز بصورة غير طبيعية أو 
+
+447
+00:28:57,450 --> 00:29:00,290
+غير متناسقة، إذ ما قد يؤدي إلى فقدان الوعي جزئي أو
+
+448
+00:29:00,290 --> 00:29:04,650
+كله، اضطراب في الذاكرة يعني فقط مؤقت، وغالب طبعا
+
+449
+00:29:04,650 --> 00:29:08,050
+دايما اللي هو ارتجاج الدماغ أو في المخ بتكون فترة
+
+450
+00:29:08,050 --> 00:29:13,550
+مؤقتة، على أكس طبعا يعني إيش الغيبوبة؟ صداع، دايما
+
+451
+00:29:13,550 --> 00:29:19,010
+إخواننا الصداع، الزغللة في العينين، عدم التوازن،
+
+452
+00:29:19,010 --> 00:29:25,890
+الاستفراغ المستمر، تمام؟ التشوش في الرؤية، تمام؟
+
+453
+00:29:25,890 --> 00:29:29,670
+الرجفة في اليدين، هذه كل إشارات منذرة إن في مشكلة
+
+454
+00:29:29,670 --> 00:29:33,730
+في الدماغ، يعني نقول والله مثلا بعض الناس صهران
+
+455
+00:29:33,730 --> 00:29:39,830
+كتير يقول لك صب عينيهم زغللين وعنده صداع لأن أنت تعبت
+
+456
+00:29:39,830 --> 00:29:42,730
+الدماغ زيادة على المعدل الطبيعي طبعا في أمراض
+
+457
+00:29:42,730 --> 00:29:46,010
+ثانية يقولون أن هذه إشارات علاقة بالجهاز العصبي
+
+458
+00:29:48,820 --> 00:29:53,780
+يعني لما يمشي مثلا واحد السكران تمام مترنح لو صار
+
+459
+00:29:53,780 --> 00:29:57,240
+تأثير وين؟ على الدماغ، لكن الإنسان العادي لو إحنا
+
+460
+00:29:57,240 --> 00:29:59,680
+فجأة لاجينا واحد بيمشي هيك وهيك كان، بيقولوا أنا
+
+461
+00:29:59,680 --> 00:30:02,560
+بصري شماله، في عنده مشكلة في دماغه، يبقى.. ممكن
+
+462
+00:30:02,560 --> 00:30:05,120
+يكون عنده مثلا إصابة، ممكن يكون عنده نزيف أو قيء
+
+463
+00:30:05,120 --> 00:30:08,840
+سواء كثير، الغثيان والقيء، طبعا كل هالخواطر لها
+
+464
+00:30:08,840 --> 00:30:12,180
+علاقة.. دائما الأعراض هذه.. الأعراض هذه لها
+
+465
+00:30:12,180 --> 00:30:16,700
+علاقة بالدماغ، طنين الأذن طبعا عدم التوازن،
+
+466
+00:30:16,700 --> 00:30:21,740
+الترنح، التشويش في الإبصار، رجفة اليدين، تمام؟
+
+467
+00:30:21,740 --> 00:30:25,980
+وإنت بتلاحظ كمان أن مريض السكر حين دي بيرجفهم بسبب
+
+468
+00:30:25,980 --> 00:30:29,460
+زيادة السكر يعني بعض الأشياء ممكن طبعا يكون لها
+
+469
+00:30:29,460 --> 00:30:33,660
+علاقة مباشرة بالنسبة للدماغ كمؤشر وكنذير وبعض
+
+470
+00:30:33,660 --> 00:30:35,600
+الأسباب ممكن يكون.. أو بعض الأعراض ممكن يكون لها
+
+471
+00:30:35,600 --> 00:30:36,400
+إيش أسباب أخرى
+
+472
+00:30:40,200 --> 00:30:44,380
+طبعا دائما إخواننا إحنا بنركز دائما في أي إصابة،
+
+473
+00:30:44,380 --> 00:30:49,440
+لأي إنسان بنركز على التنفس وعلى عمل الجهاز الدوري،
+
+474
+00:30:49,440 --> 00:30:52,840
+طبعا هنا أهم حاجة أنه نركز هل الشخص بيتنفس ولا
+
+475
+00:30:52,840 --> 00:30:56,580
+ما بيتنفسش، طبعا الشيء الطبيعي أنه بعد كده والوعي
+
+476
+00:30:57,060 --> 00:30:59,700
+إذا كان إنسان واعي، إذا كان إنسان واعي بيستجيب
+
+477
+00:30:59,700 --> 00:31:02,820
+إليه، مش واعي، طبعا الأول حاجة بدي أنا أشوف بيتنفس
+
+478
+00:31:02,820 --> 00:31:05,120
+أو لأ، بقول، يعني بدي أشوف واعي ولا غير واعي، شيء
+
+479
+00:31:05,120 --> 00:31:08,360
+طبيعي، طبعا قبل.. بعد ما أتأكد من المكان نفسه،
+
+480
+00:31:08,360 --> 00:31:11,620
+بعد ما أشوف هل تنفس، في تنفس ولا فيش تنفس، في نبض
+
+481
+00:31:11,620 --> 00:31:16,360
+ولا فيش نبض، طبعا إذا إنسان مثلا شكيت أنا في الأمر
+
+482
+00:31:16,360 --> 00:31:21,040
+فيه، لكن.. وفقد وعيه، لكن بيتنفس، والقلب بينبض،
+
+483
+00:31:21,040 --> 00:31:25,800
+نضع بضع الإفاقة، لكن الأفضل يتم طبعا توجيهه
+
+484
+00:31:25,800 --> 00:31:30,310
+للمستشفيات ممكن يكون فيه نزيف بسيط وهو مش مستجيب له،
+
+485
+00:31:30,310 --> 00:31:32,830
+زي نقول مثلا الإنسان عنده نزيف في البطن، نزيف بسيط
+
+486
+00:31:32,830 --> 00:31:36,870
+جدا، نزيف داخلي وأهمله قد يؤدي للوفاة وأنا طبعا
+
+487
+00:31:36,870 --> 00:31:41,930
+إيش؟ غالبا بتتم تصوير أشعة للتأكد إن في مثلا كسور
+
+488
+00:31:41,930 --> 00:31:45,010
+لا سمح الله في الجمجمة أو فيه نزيف أو طبعا أشياء
+
+489
+00:31:45,010 --> 00:31:50,540
+أخرى قد تكون موجودة طب نلاحظ الأشياء هذه وبالتالي
+
+490
+00:31:50,540 --> 00:31:54,100
+أي إنسان مثلا لو صار معه حادث سيارة وحاجة بسأله
+
+491
+00:31:54,100 --> 00:32:02,500
+أسئلة مهمة كثير فقد وعيه، بولّع نفسه، استفرغ، لأن
+
+492
+00:32:02,500 --> 00:32:06,160
+كل هذه إشارات عصبية، الإشارات هذه مش موجودة يعني
+
+493
+00:32:06,160 --> 00:32:08,740
+ما بدأت بمكون سليم إن شاء الله، لكن بيقول لك والله فقد
+
+494
+00:32:08,740 --> 00:32:12,980
+وعيه وعوض صحي ممكن يفقد وعيه مرة ثانية، ده ممكن
+
+495
+00:32:12,980 --> 00:32:16,900
+يكون نظيف أكثر، تمام؟ والله مثلا.. بدأ يستفرغ
+
+496
+00:32:16,900 --> 00:32:20,220
+كثير، ممكن تكون مثلا اللي طبعا هتتكلم عليها اللي
+
+497
+00:32:20,220 --> 00:32:23,080
+هي خبطة الدماغ بعديك هتتكلم عليها أو نظيف ممكن
+
+498
+00:32:23,080 --> 00:32:26,460
+يكون للدماغ، فده ما هي إشارات العصبية، للتأكد منها
+
+499
+00:32:26,460 --> 00:32:30,340
+بيتم طبعا وجوده في المستشفى 24 ساعة، ما وجدت.. ما
+
+500
+00:32:30,340 --> 00:32:32,600
+وجدتش أي إشارة وإشارة ثانية، الله سائل عليه
+
+501
+00:32:36,350 --> 00:32:40,630
+ارتفاع الضغط الدماغي طبعا بيقولوا إحنا في عندنا
+
+502
+00:32:40,630 --> 00:32:44,450
+ضغط شرياني، ضغط الدم، ضغط الدم هو ضغط الدم الشرياني
+
+503
+00:32:44,450 --> 00:32:49,630
+يعني قوة ضغط الدم حين مروره في الشرايين، على جدران
+
+504
+00:32:49,630 --> 00:32:54,230
+الشرايين، طبعا لكن ضغط الدم الدماغي يعني فعلا ضغط
+
+505
+00:32:54,230 --> 00:32:59,230
+إجا غير طبيعي أثر على أنسجة الدماغ، طبعا غالبا
+
+506
+00:32:59,230 --> 00:33:02,350
+ممكن يكون هذا مثلا إصابة أو ممكن يكون ورم، يبقى
+
+507
+00:33:02,350 --> 00:33:06,360
+بالتالي هنفعنا لعدة أسباب تجمع دم واحد مثلا خبط
+
+508
+00:33:06,360 --> 00:33:10,540
+واحد على الجمجمة صار نزيف داخلي في الدماغ وهيقول
+
+509
+00:33:10,540 --> 00:33:13,440
+أنها في الأساس أي إصابة بعيدة عن الرأس فهي سليمة
+
+510
+00:33:13,440 --> 00:33:17,980
+لكن داخل الدماغ فيها مشكلة ممكن بعديها يصاب بالشلل
+
+511
+00:33:17,980 --> 00:33:22,100
+ممكن بعديها يصاب ما بيتكلمش ممكن يصاب بالعمى حسب
+
+512
+00:33:22,100 --> 00:33:25,380
+مكان الإصابة يبقى تجمع دم إيه؟ طب التجمع الدم
+
+513
+00:33:25,380 --> 00:33:29,280
+ممكن.. ممكن يصير.. ممكن يصير نتيجة ارتفاع مرض
+
+514
+00:33:29,280 --> 00:33:33,950
+ضغط دم تمام ومش محافظ على ضغط الدم عنده ففي شرايين
+
+515
+00:33:33,950 --> 00:33:38,950
+ضعيفة ارتفع ضغط الدم يعني بمعنى أنه يعني قوة الدم
+
+516
+00:33:38,950 --> 00:33:42,230
+اللي موجودة في الشرايين بطل جدار الدم الشريان
+
+517
+00:33:42,230 --> 00:33:46,170
+يتحملها فوين في أضعف منطقة ممكن يصير فيها انفجار
+
+518
+00:33:46,170 --> 00:33:49,190
+وبالتالي طبعا بيصير نزيف داخل الدماغ ويودي طبعا
+
+519
+00:33:49,190 --> 00:33:53,470
+نزيف يعني على فترة بسيطة قد يعمل على ضغط على
+
+520
+00:33:53,470 --> 00:33:59,960
+الدماغ وبالتالي بيأثر على عمل وظيفة الدماغ طبعا هنا
+
+521
+00:33:59,960 --> 00:34:02,380
+يعني ممكن تقشي الأسباب يعني حوادث ضرب الدماغ
+
+522
+00:34:02,380 --> 00:34:05,220
+وبالتالي أي إنسان مثلا أو الأورام حفظكم الله طب
+
+523
+00:34:05,220 --> 00:34:07,980
+الأورام طب إن هي السرطانة تمقول عنها أو التهابات
+
+524
+00:34:07,980 --> 00:34:11,900
+وبالتالي حتى التهاب السحايا تعرفينه طبعا بيصير أو
+
+525
+00:34:11,900 --> 00:34:16,020
+عند الأطفال وهذا طبعا بيدخل عن طريق الجهاز التنفسي
+
+526
+00:34:16,590 --> 00:34:20,930
+قد يؤدي إلى التشنجات، ليش؟ صار عندنا ارتفاع، وطبعا
+
+527
+00:34:20,930 --> 00:34:23,890
+دايما فيه التهاب مثلا في السحايا، ودايما الالتهاب يا
+
+528
+00:34:23,890 --> 00:34:27,310
+إخواننا بصاحبه تورم، فهيصير عندنا تورمات داخل
+
+529
+00:34:27,310 --> 00:34:30,070
+الدماغ، مش.. ما أقصدش أنا الورم اللي هو السرطان، لأ
+
+530
+00:34:30,070 --> 00:34:33,630
+تورمات نتيجة.. نتيجة الالتهاب، وبالتالي تضغط على
+
+531
+00:34:33,630 --> 00:34:37,390
+إيش؟ على ال.. الدماغ، وهذا طبعا يؤدي إلى
+
+532
+00:34:37,390 --> 00:34:41,270
+التشنجات، وكثير من بعض الأطفال اللي يصاب بارتهاب
+
+533
+00:34:41,270 --> 00:34:45,750
+السحايا قد يدخل في نوبة تشنجة بسبب ارتفاع الحرارة
+
+534
+00:34:45,750 --> 00:34:49,970
+الشديدة، ليش؟ لأن طبعا في عندنا تورمات داخل الأغشية أو
+
+535
+00:34:49,970 --> 00:34:52,270
+بالأغشية نفسها المحيطة بالدماغ
+
+536
+00:34:56,550 --> 00:35:00,710
+طبعا أهم الأعراض.. يعني دايما الأعراض للجهاز
+
+537
+00:35:00,710 --> 00:35:05,310
+العصبي متشابهة فقد.. ممكن درجة الوعي يعني فقدانها
+
+538
+00:35:05,310 --> 00:35:10,190
+صداع، تنفس بطيء، نبض، لأن طبعا عندي عدم توازن أو
+
+539
+00:35:10,190 --> 00:35:14,000
+عدم إعطاء أوامر طبيعية عدم تساوي بؤبؤ العين طبعا
+
+540
+00:35:14,000 --> 00:35:17,020
+بالتالي لما نتكلم إحنا على بؤبؤ العين فيه تساوي أو
+
+541
+00:35:17,020 --> 00:35:20,180
+فيه طبعا استجابة أو فيش دائما أي إنسان ميت ما فيش
+
+542
+00:35:20,180 --> 00:35:23,480
+استجابة مطلقا بنسبة لبؤبؤ العين طبعا للإشارات
+
+543
+00:35:23,480 --> 00:35:27,180
+الضوئية لكن الإنسان العادي إنسان حي بتلاقي طبعا ضيق
+
+544
+00:35:27,180 --> 00:35:28,100
+في بؤبؤ العين
+
+545
+00:35:31,670 --> 00:35:35,210
+طبعا هنا كاتبين هنا أنه ممكن يكون في عندنا شلل في
+
+546
+00:35:35,210 --> 00:35:39,770
+أحد الجانبين وهذا دائما بعتمد حسب.. يعني هذه
+
+547
+00:35:39,770 --> 00:35:42,270
+الأعراض يا إخواننا مش بالضرورة كلها تكون متواجدة
+
+548
+00:35:42,270 --> 00:35:46,610
+في نفس الشخص قد يكون بعض الأعراض متواجدة طبعا حسب
+
+549
+00:35:46,610 --> 00:35:49,290
+مكان الإصابة ممكن تكون الإصابة بالناحية اليمين أو
+
+550
+00:35:49,290 --> 00:35:53,320
+بالناحية اليسار طبعا حسب مكان الإصابة وزي ما
+
+551
+00:35:53,320 --> 00:35:57,100
+قلنا استفراغ أو رجفة أو عدم توازن هذه كلها من
+
+552
+00:35:57,100 --> 00:36:00,700
+إشارات الجهاز العصبي يعني إحنا ذكرنا بعض الأعراض
+
+553
+00:36:00,700 --> 00:36:04,080
+هذه هلا جنها مشتركة حتى في أمراض أخرى اللي علاقة
+
+554
+00:36:04,080 --> 00:36:10,480
+بالجهاز العصبي أو بخاصة الدماغ طبعا
+
+555
+00:36:10,480 --> 00:36:13,300
+ارتفاع الحرارة اللي أخذناها في الفيديو ممكن تكون ضرورة من
+
+556
+00:36:13,300 --> 00:36:19,300
+أمراض الجهاز العصبي؟ لأ هي أثرت بارتفاع الحرارة
+
+557
+00:36:19,300 --> 00:36:26,240
+أثرت على مركز تنظيم الحرارة أه فلمّا أثرت على مركز
+
+558
+00:36:26,240 --> 00:36:30,800
+تنظيم الحرارة بطل هناك إشارات للجسم أن يتفاعل معها
+
+559
+00:36:30,800 --> 00:36:35,300
+بالتعرق فضلت الحرارة كامنة، ولمّا زادت الحرارة
+
+560
+00:36:35,300 --> 00:36:39,080
+أثرت على الدماغ، حرارة يعني ما فيش حاجة تبريد، 
+
+561
+00:36:39,080 --> 00:36:41,620
+وبالتالي صارت الحرارة ترتفع في الدماغ، والدماغ بطل 
+
+562
+00:36:41,620 --> 00:36:45,040
+يتحملها، بالتالي لو أي إنسان يتعرض لحرارة عالية،
+
+563
+00:36:45,040 --> 00:36:49,000
+بيشعر زي إيش، مش متوازن، مش مستقر، لكن احنا ربنا
+
+564
+00:36:49,000 --> 00:36:52,560
+أعطانا إمكانيات و أعطانا Thermostat لنظم الحرارة،
+
+565
+00:36:52,560 --> 00:36:54,880
+في الجو البارد بيقولون لنا نلبس و نشرب وكذا كذا،
+
+566
+00:36:54,880 --> 00:36:57,120
+في الجو الحار بيقولون و الله مثلا بدّنا ملابس
+
+567
+00:36:57,120 --> 00:37:00,860
+خفيفة ومياه أو .. وتكييف، وطبعا يعني حاجات لا إرادية
+
+568
+00:37:00,860 --> 00:37:05,840
+مش أنا بتحكم فيها ربنا أعطانيها نتحكم فيها طبعا زي
+
+569
+00:37:05,840 --> 00:37:08,260
+ما كنا يا أخواتنا دايما في إصابات الجهاز العصبي
+
+570
+00:37:08,260 --> 00:37:12,220
+بنركز دايما على الجهاز التنفسي و الدورة الدموية و
+
+571
+00:37:12,220 --> 00:37:16,100
+أهم طبعا وضعية اللي هي وضعية الإفاقة في حال إذا
+
+572
+00:37:16,100 --> 00:37:19,960
+كان إن شخص بتنفسش بنعمل تنفس صناعي إذا كان الشخص
+
+573
+00:37:19,960 --> 00:37:25,710
+بتنفس و القلب ينبض و طبعا إيش وضع الإفاقة، طبعا شيء
+
+574
+00:37:25,710 --> 00:37:29,530
+طبيعي أنه الإنسان احنا شاكين أنه واعي ولا غير واعي
+
+575
+00:37:29,530 --> 00:37:33,710
+طبعا يمنع من يعطاه أي شيء ممنوع لأنه ممكن طبعا
+
+576
+00:37:33,710 --> 00:37:37,730
+يصير طبعا اختناق مش هيبلع كويس، وبالتالي طبعا بيكون
+
+577
+00:37:37,730 --> 00:37:42,470
+ممنوع يعطاه أي طعام أو شراب  لكسر 
+
+578
+00:37:42,470 --> 00:37:47,540
+الجمجمة، الجمجمة طبعا هي الغلاف الخارجي العظمي
+
+579
+00:37:47,540 --> 00:37:52,120
+المحيط بالدماغ وبطبعا الجمجمة أيضا محاطة بطبقة
+
+580
+00:37:52,120 --> 00:37:55,820
+جلدية و الطبقة الجلدية أسفلها الشعر طبعا حماية بعد
+
+581
+00:37:55,820 --> 00:37:59,440
+حماية بعد حماية و هذا طبعا من كرم ربنا علينا، وهذا
+
+582
+00:37:59,440 --> 00:38:03,860
+طبعا الجمجمة سميكة وقوية جدا، تمام؟ لكن عند
+
+583
+00:38:03,860 --> 00:38:07,500
+الأطفال تكون ضعيفة وعند الأطفال ما بتكونش مغلقة
+
+584
+00:38:07,500 --> 00:38:11,880
+لغاية طبعا تقريبا سنة .. سنة و نص تقريبا كده، خاصة
+
+585
+00:38:11,880 --> 00:38:14,860
+طبعا احنا في عندنا منطقتين بيكونوا يعني غير
+
+586
+00:38:14,860 --> 00:38:18,980
+مغلقين، في عندنا الخلفية المثلث، تمام؟ واليافوخ
+
+587
+00:38:18,980 --> 00:38:21,880
+الأمامي، هنقول عنه نفوخ طبعا هو .. اه هو يافوخ
+
+588
+00:38:21,880 --> 00:38:25,820
+الأمامي اللي هو شكل معين، تمام؟ هذا طبعا يغلق من
+
+589
+00:38:25,820 --> 00:38:30,100
+خلال سنة لسنة و نص، وبالتالي لو صار عندنا التهاب لو
+
+590
+00:38:30,100 --> 00:38:34,300
+أحد شاف مثلا طفل عنده التهاب سحائي و .. أو طبعا
+
+591
+00:38:34,300 --> 00:38:37,580
+اللي هو يسمونه حمى شوكية لما يروح الطفل مثلا
+
+592
+00:38:37,580 --> 00:38:42,360
+لدكتور الحاجة بيحط إيده عليه فوق إذا في ارتفاع، هذا
+
+593
+00:38:42,360 --> 00:38:47,140
+مؤشر قوي جدا إن هناك التهابات في الأغشية المحيطة
+
+594
+00:38:47,140 --> 00:38:52,060
+بالدماغ، تمام؟ لكن مستوي طبعا ما فيش، وإذا كان ..
+
+595
+00:38:52,060 --> 00:38:56,250
+اه عند الأطفال مش عاملين، مش عندكم، طبعا عند الأطفال
+
+596
+00:38:56,250 --> 00:38:59,150
+لأن طبعا لغاية سنة و نص بعديها طبعا ما فيش إمكانية
+
+597
+00:38:59,150 --> 00:39:03,890
+طبعا كلها بتسكر، وهذا طبعا برضه وجودها فضل من ربنا
+
+598
+00:39:03,890 --> 00:39:07,030
+علينا عشان تسهل عملية الولادة، لو الرأس مغلق
+
+599
+00:39:07,030 --> 00:39:11,730
+ما فيش طبعا نضج للدماغ، ما فيش نضج، ما فيش طبعا كبر في حجم
+
+600
+00:39:11,730 --> 00:39:15,590
+الدماغ، لو كانت من حد الإنسان يولد وهي مغلقة،
+
+601
+00:39:15,590 --> 00:39:18,370
+هيصير عند واحد بيسميها Microcephaly أو رأس صغير
+
+602
+00:39:18,370 --> 00:39:21,790
+فالدماغ مش هيتسع،  الجمال الدماغ بيزيد الحجم ولا
+
+603
+00:39:21,790 --> 00:39:24,850
+يزيد العدد، العدد واحد عشان نكون عارفين، بيزيد
+
+604
+00:39:24,850 --> 00:39:28,530
+الحجم الخلية لكن ما بيزيد عدد الخلايا، يعني قفل
+
+605
+00:39:28,530 --> 00:39:31,870
+اللي بنولد هو اختيار نفس عدد الخلايا، لكن بيصير
+
+606
+00:39:31,870 --> 00:39:37,150
+فيها تلف بعد هيك أو مثلا الشيخوخة أو الخرف أو طبعا
+
+607
+00:39:37,150 --> 00:39:41,140
+الزهايمر، بيصير تلف في الخلايا، اللي ربما ما يكتشفوا
+
+608
+00:39:41,140 --> 00:39:46,460
+له زهرة ممرات تانية أو علاج تاني إن شاء الله، طب أنا
+
+609
+00:39:46,460 --> 00:39:50,080
+لكسر ممكن .. الخطورة في كسر الجمجمة إن العظام لو
+
+610
+00:39:50,080 --> 00:39:53,500
+كسرت .. حاجة ما اسمها Depressed Fracture يعني
+
+611
+00:39:53,500 --> 00:39:57,680
+الكسر للداخل و الخطورة إنه يضغط على أنسجة الدماغ
+
+612
+00:39:58,430 --> 00:40:02,090
+وهي طبعا بغير نزيف يأثر على خلايا الدماغ قد تكون
+
+613
+00:40:02,090 --> 00:40:06,090
+إصابة خطيرة جدا قد يحدث منها الموت أو قد يحدث منها
+
+614
+00:40:06,090 --> 00:40:09,190
+الشلل قد يحدث منها صعوبة في الكلام حسب مكان
+
+615
+00:40:09,190 --> 00:40:12,790
+الإصابة هو بختر .. هو بختر طبعا هنا في خروج سائل
+
+616
+00:40:12,790 --> 00:40:16,470
+مائي وبالتالي لو واحد يقعد ويقول لك والله طلع منه
+
+617
+00:40:16,470 --> 00:40:21,630
+دنه مية هذه قاع الجمجمة إصابة في قاع الجمجمة اللي
+
+618
+00:40:21,630 --> 00:40:23,310
+هو طبعا سائل النخاع الشوكي
+
+619
+00:40:25,890 --> 00:40:29,510
+طبعا هذه خروجها معناه في إسئلة ..وهذه خطيرة جدا،
+
+620
+00:40:29,510 --> 00:40:33,670
+سائل شفاف مدمم، هذه خطيرة، والثالث طبعا اللي
+
+621
+00:40:33,670 --> 00:40:36,470
+بيلاقي ضروري مستشفى، لأن دلوقتي عايشت تحت المتابعة
+
+622
+00:40:38,550 --> 00:40:41,730
+نأتي عشان نختم بالنسبة لكسر الجمجمة، إيش الأعراض؟
+
+623
+00:40:41,730 --> 00:40:45,550
+طبعا جارح وتهتك وطبعا يكون إصابة للداخل، أحيانا
+
+624
+00:40:45,550 --> 00:40:50,170
+يضطروا لإزالتها طبعا مجبرين بعملية جراحية، يعني لو
+
+625
+00:40:50,170 --> 00:40:53,770
+كان في عندنا تفتت في الجمجمة، في عظام الجمجمة آسف،
+
+626
+00:40:53,770 --> 00:40:59,850
+بتتم إزالتها، آه صحيح
+
+627
+00:41:01,810 --> 00:41:04,410
+عشان طبعا الجنود كلهم بيكونوا لابس الخوذة هذه عشان
+
+628
+00:41:04,410 --> 00:41:07,670
+إيش حماية كمان ودايما حتى سائقي الدراجات النارية
+
+629
+00:41:07,670 --> 00:41:12,670
+لازم يكونوا طبعا لابس الخوذة هذه، طبعا أهم الأعراض
+
+630
+00:41:12,670 --> 00:41:15,690
+اللي قلنا آخرها طبعا ممكن يكون دم على بياض العين
+
+631
+00:41:15,690 --> 00:41:19,730
+نتيجة ضربة فعمل نزيف في شرايين الموجودة في العين
+
+632
+00:41:19,730 --> 00:41:24,770
+فنتيجة ضربة قوية ممكن تعمل نزيف لكن أخطر حاجة أن
+
+633
+00:41:24,770 --> 00:41:29,090
+تلاحظ سائل أبيض أو سائل شفاف مدمم يعني طبعا
+
+634
+00:41:29,090 --> 00:41:34,120
+الإصابة بتكون إيش في قاع الجمجمة، طبعا في الحالة دي
+
+635
+00:41:34,120 --> 00:41:36,960
+احنا لو فينا نزيف ولا حاجة، بيكون الشخص نائم على
+
+636
+00:41:36,960 --> 00:41:39,440
+الناحية المصابة اللي بيطلع منها إيش؟ اللي طبعا
+
+637
+00:41:39,440 --> 00:41:44,960
+إصابة الأذن أو ساق الأذن طبعا
+
+638
+00:41:44,960 --> 00:41:47,800
+بعديها لو ترك، اللي طبعا طالما إصابة في الدماغ،
+
+639
+00:41:47,800 --> 00:41:50,860
+هيفقد وعيه تدريجيا، وبالأساس أي إصابة بالرأس
+
+640
+00:41:50,860 --> 00:41:54,000
+مباشرة للمستشفى، بعد طبعا التأكد إنه ما فيش أعراض
+
+641
+00:41:54,000 --> 00:41:55,260
+تانية أو مضاعفات تانية
+
+642
+00:41:57,950 --> 00:42:00,870
+دا ملاحظة يا أخوتي حتى في كل الحوادث المرورية بنركز
+
+643
+00:42:00,870 --> 00:42:04,210
+دايما على اللي هو الجهاز التنفسي وطبعا الواعي أو
+
+644
+00:42:04,210 --> 00:42:06,450
+وعي والواعي طبعا الجهاز التنفسي .. الواعي ..
+
+645
+00:42:06,450 --> 00:42:10,370
+الواعي تماما والجهاز التنفسي وعمل القلب إذا
+
+646
+00:42:10,370 --> 00:42:13,590
+توفروا دول تلات حاجات حتى لو كان فاقد الوعي بيوجه
+
+647
+00:42:13,590 --> 00:42:17,810
+وضع .. وضع لفاقة لكن ده كان واعي حتى لو كان واعي
+
+648
+00:42:17,810 --> 00:42:21,890
+برضه بده مستشفى، بالذات أي إصابة للرأس، لأن قد
+
+649
+00:42:21,890 --> 00:42:23,870
+تؤدي في النهاية إلى الشلل أو إلى الموت
+
+650
+00:42:29,540 --> 00:42:35,620
+طيب نتوقف لسكته دماغية يعني فترة سكوت هنا عشان ن
+
+651
+00:42:35,620 --> 00:42:38,140
+.. نكمل المرة الجاية وإن شاء الله نتمنى السلامة
+
+652
+00:42:38,140 --> 00:42:39,140
+للجميع بإذن الله تعالى
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/T0R2srK-xjM_raw.json b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/T0R2srK-xjM_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..d38af1a09d77e08062cdcc0c874ea6acb981fade
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/T0R2srK-xjM_raw.json
@@ -0,0 +1 @@
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0.9459228515625}, {"start": 2524.07, "end": 2524.21, "word": " أو", "probability": 0.59765625}, {"start": 2524.21, "end": 2524.63, "word": " وعي", "probability": 0.743408203125}, {"start": 2524.63, "end": 2524.71, "word": " و", "probability": 0.84521484375}, {"start": 2524.71, "end": 2524.91, "word": " الواعي", "probability": 0.9476318359375}, {"start": 2524.91, "end": 2525.07, "word": " طبعا", "probability": 0.883056640625}, {"start": 2525.07, "end": 2525.27, "word": " الجهاز", "probability": 0.88525390625}, {"start": 2525.27, "end": 2525.53, "word": " التنفسي", "probability": 0.94384765625}, {"start": 2525.53, "end": 2525.59, "word": " ..", "probability": 0.5458984375}, {"start": 2525.59, "end": 2526.23, "word": " الواعي", "probability": 0.9493408203125}, {"start": 2526.23, "end": 2526.45, "word": " ..", "probability": 0.439208984375}, {"start": 2526.45, "end": 2526.75, "word": " الواعي", "probability": 0.9649658203125}, {"start": 2526.75, "end": 2527.29, "word": " تماما", 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2535.79, "word": " كان", "probability": 0.99560546875}, {"start": 2535.79, "end": 2536.21, "word": " واعي", "probability": 0.966796875}, {"start": 2536.21, "end": 2536.91, "word": " حتى", "probability": 0.833984375}, {"start": 2536.91, "end": 2537.11, "word": " لو", "probability": 0.99755859375}, {"start": 2537.11, "end": 2537.41, "word": " كان", "probability": 0.99658203125}, {"start": 2537.41, "end": 2537.81, "word": " واعي", "probability": 0.96240234375}, {"start": 2537.81, "end": 2538.17, "word": " برضه", "probability": 0.98095703125}, {"start": 2538.17, "end": 2538.41, "word": " بده", "probability": 0.69189453125}, {"start": 2538.41, "end": 2539.45, "word": " مستشفى،", "probability": 0.9202473958333334}, {"start": 2539.45, "end": 2539.77, "word": " بالذات", "probability": 0.8068033854166666}, {"start": 2539.77, "end": 2539.91, "word": " أي", "probability": 0.84814453125}, {"start": 2539.91, "end": 2540.23, "word": " إصابة", "probability": 0.917236328125}, {"start": 2540.23, "end": 2541.35, "word": " للرأس،", "probability": 0.822412109375}, {"start": 2541.35, "end": 2541.49, "word": " لأن", "probability": 0.899658203125}, {"start": 2541.49, "end": 2541.89, "word": " قد", "probability": 0.929931640625}, {"start": 2541.89, "end": 2542.13, "word": " تؤدي", "probability": 0.9033203125}, {"start": 2542.13, "end": 2542.23, "word": " في", "probability": 0.97509765625}, {"start": 2542.23, "end": 2542.43, "word": " النهاية", "probability": 0.8704427083333334}, {"start": 2542.43, "end": 2542.59, "word": " إلى", "probability": 0.8349609375}, {"start": 2542.59, "end": 2542.97, "word": " الشلل", "probability": 0.9835611979166666}, {"start": 2542.97, "end": 2543.35, "word": " أو", "probability": 0.94921875}, {"start": 2543.35, "end": 2543.53, "word": " إلى", "probability": 0.9716796875}, {"start": 2543.53, "end": 2543.87, "word": " الموت", "probability": 0.961669921875}], "temperature": 1.0}, {"id": 111, "seek": 255914, "start": 2549.54, "end": 2559.14, "text": "طيب نتوقف لسكتة دماغية يعني فترة سكوت هنا عشان ن .. نكمل المرة الجاية و ان شاء الله نتمنى السلامة للجميع بإذن الله تعالى", "tokens": [9566, 1829, 3555, 8717, 2655, 30543, 5172, 5296, 3794, 4117, 2655, 3660, 11778, 2304, 5718, 118, 10632, 37495, 22653, 6156, 2655, 25720, 8608, 4117, 35473, 34105, 6225, 8592, 7649, 8717, 4386, 8717, 24793, 1211, 9673, 25720, 25724, 995, 10632, 4032, 16472, 13412, 16606, 21984, 8717, 39237, 1863, 7578, 21136, 37440, 3660, 24976, 7435, 2304, 40228, 4724, 28814, 8848, 1863, 21984, 37279, 6027, 7578], "avg_logprob": -0.1745605410542339, "compression_ratio": 1.5467625899280575, "no_speech_prob": 0.0, "words": [{"start": 2549.54, "end": 2549.8, "word": "طيب", "probability": 0.8094889322916666}, {"start": 2549.8, "end": 2550.24, "word": " نتوقف", "probability": 0.86358642578125}, {"start": 2550.24, "end": 2551.1, "word": " لسكتة", "probability": 0.79892578125}, {"start": 2551.1, "end": 2551.7, "word": " دماغية", "probability": 0.98095703125}, {"start": 2551.7, "end": 2553.42, "word": " يعني", "probability": 0.754150390625}, {"start": 2553.42, "end": 2553.72, "word": " فترة", "probability": 0.97021484375}, {"start": 2553.72, "end": 2554.2, "word": " سكوت", "probability": 0.9459635416666666}, {"start": 2554.2, "end": 2554.52, "word": " هنا", "probability": 0.478515625}, {"start": 2554.52, "end": 2555.52, "word": " عشان", "probability": 0.6841227213541666}, {"start": 2555.52, "end": 2555.62, "word": " ن", "probability": 0.8154296875}, {"start": 2555.62, "end": 2555.8, "word": " ..", "probability": 0.4033203125}, {"start": 2555.8, "end": 2556.46, "word": " نكمل", "probability": 0.9021809895833334}, {"start": 2556.46, "end": 2556.66, "word": " المرة", "probability": 0.9677734375}, {"start": 2556.66, "end": 2556.98, "word": " الجاية", "probability": 0.8795572916666666}, {"start": 2556.98, "end": 2557.1, "word": " و", "probability": 0.80712890625}, {"start": 2557.1, "end": 2557.12, "word": " ان", "probability": 0.6005859375}, {"start": 2557.12, "end": 2557.24, "word": " شاء", "probability": 0.984375}, {"start": 2557.24, "end": 2557.34, "word": " الله", "probability": 0.95361328125}, {"start": 2557.34, "end": 2557.72, "word": " نتمنى", "probability": 0.84765625}, {"start": 2557.72, "end": 2558.14, "word": " السلامة", "probability": 0.9371744791666666}, {"start": 2558.14, "end": 2558.46, "word": " للجميع", "probability": 0.8448486328125}, {"start": 2558.46, "end": 2558.66, "word": " بإذن", "probability": 0.976806640625}, {"start": 2558.66, "end": 2558.78, "word": " الله", "probability": 0.9052734375}, {"start": 2558.78, "end": 2559.14, "word": " تعالى", "probability": 0.9182942708333334}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2559.791, "duration_after_vad": 2457.5506249999903}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/WDnJCu0Syg4.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/WDnJCu0Syg4.srt
new file mode 100644
index 0000000000000000000000000000000000000000..8869bde45a783f9103d581050b7153fd00d0efdc
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/WDnJCu0Syg4.srt
@@ -0,0 +1,2027 @@
+1
+00:00:04,990 --> 00:00:07,190
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:07,190 --> 00:00:10,050
+الرحيم والصلاة والسلام على أشرف المرسلين سيدنا
+
+3
+00:00:10,050 --> 00:00:14,310
+محمد وآله والصحابة وسلم طبعا استكمال لموضوع إصابات
+
+4
+00:00:14,310 --> 00:00:19,410
+الجهاز الدوري، اتكلمنا على مكونات الجهاز الدوري من
+
+5
+00:00:19,410 --> 00:00:22,690
+.. من ناحية طبعا القلب والأوعية الدموية اللي تنقسم 
+
+6
+00:00:22,690 --> 00:00:27,130
+طبعا للشرايين والأوردة والشعيرات الدموية، اليوم إن شاء
+
+7
+00:00:27,130 --> 00:00:30,590
+الله هناخد جزئية بسيطة اللي هي طبعا إيش الإصابات
+
+8
+00:00:30,590 --> 00:00:33,530
+هذه وإيش بنتج عنها؟ ومن ضمن الإصابات هذه، أول حاجة
+
+9
+00:00:33,530 --> 00:00:37,460
+نتكلم على النزيف، طبعا شيء طبيعي أن مسار الدم هو
+
+10
+00:00:37,460 --> 00:00:41,380
+داخل الأوعية الدموية، خروج الدم عن مساره الطبيعي 
+
+11
+00:00:41,380 --> 00:00:46,350
+هنا يعتبر نزيف، بمعنى طالما أن الإنسان داخل جسمه
+
+12
+00:00:46,350 --> 00:00:49,610
+الدم بيسير بالصورة الطبيعية، ما في أي مشكلة، لكن
+
+13
+00:00:49,610 --> 00:00:52,650
+أحيانًا قد يكون هناك بعض المشاكل حتى لو كان الدم
+
+14
+00:00:52,650 --> 00:00:55,830
+بيسير داخل المجاري الطبيعية أو المسالك الطبيعية،
+
+15
+00:00:55,830 --> 00:00:59,090
+لكن هذه ربما تعتبر مشاكل مرضية، لكن نتكلم على
+
+16
+00:00:59,090 --> 00:01:02,490
+أشياء إحنا ممكن يكون إلينا قدرة على التعامل معها 
+
+17
+00:01:02,490 --> 00:01:07,170
+وطبعا إنقاذ حياة المصاب أو الضحية فيها، خروج الدم عن 
+
+18
+00:01:07,170 --> 00:01:11,130
+مساره الطبيعي، بمعنى خروجه من الوريد أو الشريان أو
+
+19
+00:01:11,130 --> 00:01:14,430
+الشعيرة الدموية، اليوم هتكلم على هذه الخصائص اللي 
+
+20
+00:01:14,430 --> 00:01:18,470
+ممكن تكون مميزة سواء للشريان أو الوريد أو الشعيرة
+
+21
+00:01:18,470 --> 00:01:23,550
+الدموية، طبعا يعني كمصطلح نزيف هو يعني خروج الدم من
+
+22
+00:01:23,550 --> 00:01:27,810
+الأوعية الدموية، صفة عامة، لربما يخرج الدم يبقى في 
+
+23
+00:01:27,810 --> 00:01:31,810
+الجسم أو لربما يغادر الجسم، معناه أنه ممكن أنا 
+
+24
+00:01:31,810 --> 00:01:35,450
+أشوفه بعيني أو يبقى داخل طبعا الجسم، ممكن يقول 
+
+25
+00:01:35,450 --> 00:01:38,170
+مثلا أنا عندي نزيف أنا شوفته، يعني معناه أن أنا
+
+26
+00:01:38,170 --> 00:01:42,310
+شوفت الدم خارج الجسم، قد يكون هناك نزيف داخل الجسم
+
+27
+00:01:42,310 --> 00:01:46,490
+لكن أنا ما شوفته، لكن إيش اللي يدللني إن في نزيف؟
+
+28
+00:01:46,490 --> 00:01:48,920
+طبعا في علامات هنتكلم عليها، وبالتالي احنا طبعا 
+
+29
+00:01:48,920 --> 00:01:52,540
+هنبدأ حسب يعني النزيف طبعا ممكن نجسمه من حيث
+
+30
+00:01:52,540 --> 00:01:55,640
+الوعاء النازف، إيش يعني الوعاء النازف؟ من حيث طبعا
+
+31
+00:01:55,640 --> 00:01:59,680
+المكان اللي خرج منه الدم، سواء من الشريان أو
+
+32
+00:01:59,680 --> 00:02:02,880
+الوريد أو الشعيرة الدموية، طبعا في بعض الخصائص
+
+33
+00:02:02,880 --> 00:02:05,480
+اللي احنا قبل كده فرقنا ما بين طبعا النزيف
+
+34
+00:02:05,480 --> 00:02:08,660
+الشرياني أو الوريدي أو الشعيري، لكن اليوم بس أنا
+
+35
+00:02:08,660 --> 00:02:12,000
+للتأكيد أكثر، أنا في عندي النزيف الشرياني، واحنا
+
+36
+00:02:12,000 --> 00:02:16,590
+قلنا مضخة الدم بالنسبة للشريان هو القلب، بمعنى خروج
+
+37
+00:02:16,590 --> 00:02:21,310
+الدم من أي شريان للخارج، معناه هيخرج حسب نبضات
+
+38
+00:02:21,310 --> 00:02:25,190
+القلب، يعني هيخرج بإندفاع، يعني مثلا كل ما يمد
+
+39
+00:02:25,190 --> 00:02:29,590
+القلب، معناه الدم هيطلع بقوة، يعني هيطلع إيش؟ مؤشر
+
+40
+00:02:29,590 --> 00:02:33,030
+أن هذا دم شرياني، وطبعا الناحية الثانية، لو كان
+
+41
+00:02:33,030 --> 00:02:37,290
+الدم لونه قاني أحمر، وردي، هذا برضه يعتبر دم إيش؟
+
+42
+00:02:37,290 --> 00:02:40,710
+شرياني، ليش؟ لأنه محمل بالأكسجين، وهنقول طبعا
+
+43
+00:02:40,710 --> 00:02:44,710
+بصفة عامة إن الشريان تحمل الدم المؤكسج، طيب، لو كان 
+
+44
+00:02:44,710 --> 00:02:49,570
+عندي أنا دم خرج من الوريد، الوريد قلنا ما إله مضخة،
+
+45
+00:02:49,570 --> 00:02:53,070
+هو بقود على المضخة، مضخته طبعا هي الخلايا العضلية،
+
+46
+00:02:53,070 --> 00:02:55,510
+والخلايا العضلية ما فيها عشان ينقل بعضه إنبساط زي
+
+47
+00:02:55,510 --> 00:02:58,870
+عضلة القلب، وبالتالي بيقول إحنا خروج الدم من 
+
+48
+00:02:58,870 --> 00:03:03,840
+الوريد يكون مميز، طبعا أول حاجة باللون بكون داكن لأن 
+
+49
+00:03:03,840 --> 00:03:06,580
+طبعا يحمل نسبة عالية من ثاني أكسيد الكربون لأن 
+
+50
+00:03:06,580 --> 00:03:10,060
+طبعا هيعود إلى القلب، الناحية الثانية، يخرج بنسياب
+
+51
+00:03:10,060 --> 00:03:14,220
+يعني ما بيكون بدفقات زي ما هي موجودة وين في الدم في
+
+52
+00:03:14,220 --> 00:03:18,710
+النزيف الشرياني، وطبعا ميزة النزيف الشرياني خطير لو
+
+53
+00:03:18,710 --> 00:03:22,750
+طبعا يخرج مباشرة من القلب، يعني معناه هيخرج في الدم
+
+54
+00:03:22,750 --> 00:03:26,130
+فيه أكسجين، فيه مواد غذائية لخارج الجسم، وهو طبعا
+
+55
+00:03:26,130 --> 00:03:30,390
+هينقص على الخلايا، وخاصة طبعا خلايا الدماغ، أما
+
+56
+00:03:30,390 --> 00:03:33,770
+بالنسبة للدم طبعا ليش كمان خطير؟ لأنه يخرج بقوة
+
+57
+00:03:33,770 --> 00:03:38,450
+أما بالنسبة للدم الـ .. الوريدي هيخرج ببطء،
+
+58
+00:03:39,050 --> 00:03:42,490
+تمام؟ وهو طبعا مش محمل بالأكسجين الكافي، لكن أي إن 
+
+59
+00:03:42,490 --> 00:03:45,830
+كان برضه فيه خطورة، لكن خطورته لا تصل إلى خطورة
+
+60
+00:03:45,830 --> 00:03:49,390
+الدم الشرياني، من ناحية إنه هيخرج، الدم الشرياني
+
+61
+00:03:49,390 --> 00:03:53,530
+النزيف فيه هيكون بقوة، لكن بالنسبة للنزيف الوريدي 
+
+62
+00:03:53,530 --> 00:03:57,450
+هيكون ببطء، لكن بمعنى هل النزيف الوريدي يهدد الحياة 
+
+63
+00:03:57,450 --> 00:04:00,750
+ولا لا؟ طبعا يهدد الحياة إذا كانت بكمية كبيرة زي
+
+64
+00:04:00,750 --> 00:04:05,420
+ما هنتكلم كمان شوية، حسب برضه الفترة الزمنية، النوع 
+
+65
+00:04:05,420 --> 00:04:09,480
+الثالث اللي هو طبعا حسب اللي هو الشعيري أو الناس
+
+66
+00:04:09,480 --> 00:04:12,400
+في الشعيري وهي طبعا بيكون على هيئة رشح أو قطرات
+
+67
+00:04:12,400 --> 00:04:15,780
+بسيطة، وأنا ممكن أبسط مثال اللي هو طبعا في حالات
+
+68
+00:04:15,780 --> 00:04:21,530
+الجروح السطحية أو الكحطية أو الخدشية، معناه أنه لو 
+
+69
+00:04:21,530 --> 00:04:25,590
+لحد مثلا كان ماشي وزحلج على الأرض خشنة، ما هيش ناعمة،
+
+70
+00:04:25,590 --> 00:04:28,910
+بيصير خدوش، معناه أنه صار عندي تآكل في الطبقة 
+
+71
+00:04:28,910 --> 00:04:32,130
+الخارجية من الجلد، ودايمًا طبعا بنعرف أنه الأوعية
+
+72
+00:04:32,130 --> 00:04:36,450
+الدموية مغطاة بقى الجلد، وطبعا قلنا أن كل خلية من
+
+73
+00:04:36,450 --> 00:04:40,450
+خلايا الجسم لازم يصلها الدم عن طريق الشعيرة الدموية
+
+74
+00:04:40,450 --> 00:04:44,610
+بمعنى أنه هيكون عندي نزيف بسيط جدًا، والنزيف هذا
+
+75
+00:04:44,610 --> 00:04:48,070
+يخرج على هيئة قطرات، يعني نقاط صغيرة، لإنه بيكون
+
+76
+00:04:48,070 --> 00:04:52,210
+طبعا عند مصاحبة خروج لبلازما ما بين الخلايا، وأيضًا 
+
+77
+00:04:52,210 --> 00:04:56,190
+كمان خروج الدم على هيئة نقاط صغيرة، لكن هذا طبعا
+
+78
+00:04:56,190 --> 00:04:58,810
+ما فيش منه خطورة لإنه طبعا بيتجلط، يعني بعد فترة 
+
+79
+00:04:58,810 --> 00:05:02,330
+بسيطة يبقى أسرع وسيلة أو أسرع طريقة إنه يتجلط اللي 
+
+80
+00:05:02,330 --> 00:05:05,870
+هو في النزيف الشعيري، بدي أقول أنا بس حاجة واضحة جدًا
+
+81
+00:05:05,870 --> 00:05:08,650
+إنه كيف بيصير عندنا عملية التجلط، يعني ممكن بس
+
+82
+00:05:08,650 --> 00:05:12,870
+أستبقها شوية إنه أي إنسان بيصير عنده نزيف بنلاحظ 
+
+83
+00:05:12,870 --> 00:05:16,030
+إنه في البداية إيش؟ تنقبض الأوعية الدموية، وهنا
+
+84
+00:05:16,030 --> 00:05:19,930
+هنتكلم عليه إيش التفاعلات اللي بتصير بس عشان إنها
+
+85
+00:05:19,930 --> 00:05:23,690
+موضوعة في الشرح هنا، بعد ما تنقبض الأوعية الدموية
+
+86
+00:05:23,690 --> 00:05:30,160
+تنقبض ليش؟ عشان يقلل كمية النزيف، بعد هيك تتسع نوعًا 
+
+87
+00:05:30,160 --> 00:05:33,400
+ما الأوعية الدموية طبعًا في حالات النزيف، ليش تتسع؟
+
+88
+00:05:33,400 --> 00:05:36,740
+عشان يوصل عندي كمية كبيرة من الدم المحمل بالصفائح
+
+89
+00:05:36,740 --> 00:05:40,360
+الدموية وبعض المواد الكيميائية الكيميائية وبالتالي
+
+90
+00:05:40,360 --> 00:05:45,020
+بيقول إحنا الإنسان بيشعر بالألم بعد الإصابة، مش من .. 
+
+91
+00:05:45,020 --> 00:05:48,320
+مش لحظة الإصابة، بيقولوا والله بردت عليه الضربة أو 
+
+92
+00:05:48,320 --> 00:05:51,060
+بردت عليه الهواية أو بردت عليه طبعا الـ .. الـ ..
+
+93
+00:05:51,060 --> 00:05:53,840
+الحديدة، وبالتالي هنا بيصير إن اتساع في الأوعية
+
+94
+00:05:53,840 --> 00:05:58,540
+الدموية على أساس يوصل عندي دم محمل .. دم محمل
+
+95
+00:05:58,540 --> 00:06:02,740
+بالصفائح الدموية اللي هي هتساعد على إيقاف النزيف، 
+
+96
+00:06:02,740 --> 00:06:06,940
+لكن هذا برضه يعتمد على المكان، لو كان عندي جرح 
+
+97
+00:06:06,940 --> 00:06:11,300
+كبير ما بيتوقف لوحده، طبعا بده إيش؟ أشياء مساعدة، 
+
+98
+00:06:11,300 --> 00:06:14,640
+إحنا بنلاحظ أحيانًا بعض الجروح البسيطة شوية بتجلط 
+
+99
+00:06:14,640 --> 00:06:18,620
+الدم، طبعًا كبداية زي ما قلنا بيصير عندي انقباض في 
+
+100
+00:06:18,620 --> 00:06:21,700
+الأوعية الدموية عشان ننقلل من النزيف، لكن بعد 
+
+101
+00:06:21,700 --> 00:06:25,080
+لحظات بسيطة بيصير عندي اتساع في الأوعية الدموية 
+
+102
+00:06:25,080 --> 00:06:29,090
+وبيقول الإنسان بيشعر بالألم بعد الإصابة، بعد الضربة،
+
+103
+00:06:29,090 --> 00:06:32,830
+تمام؟ ما بيشعر ساعتها مباشرة، ليش؟ لأنه صار عند .. 
+
+104
+00:06:32,830 --> 00:06:37,190
+ورد مع الدم كمية من المواد الكيميائية اللي بتذوب و 
+
+105
+00:06:37,190 --> 00:06:41,610
+طبعا بتنقل أثرها عبر الجهاز العصبي وبالتالي بيصير
+
+106
+00:06:41,610 --> 00:06:44,390
+ردة فعل من ناحية إيش؟ الألم، هذا بس للتوضيح مش
+
+107
+00:06:44,390 --> 00:06:50,550
+أكثر، طيب، نيجي لمن حيث المكان، النزيف من حيث
+
+108
+00:06:50,550 --> 00:06:54,130
+المكان، من حسب أو من حيث طبعا الوعاء، قلنا شعيري 
+
+109
+00:06:54,130 --> 00:06:58,130
+و وريدي و شرياني، نيجي من حيث المكان، طبعًا في
+
+110
+00:06:58,130 --> 00:07:01,690
+عندنا نزيف داخلي ونزيف خارجي، طبعا النزيف الخارجي 
+
+111
+00:07:01,690 --> 00:07:07,600
+اللي أنا بشوف الدم بعيني، برا، يعني خارج الجسم، خارج
+
+112
+00:07:07,600 --> 00:07:10,900
+الجسم، طبعا هنا في عندي كمان نزيف داخلي، النزيف
+
+113
+00:07:10,900 --> 00:07:15,540
+الداخلي احنا غالبًا بنقول عنه مثلا كدمات أو مثلا 
+
+114
+00:07:15,540 --> 00:07:20,660
+نزيف داخل البطن، يعني إنسان مثلا صار معه حادث،
+
+115
+00:07:20,660 --> 00:07:24,640
+إنسان مثلا خبط سيارة، إنسان وجعه من أعلى، وبالتالي
+
+116
+00:07:24,640 --> 00:07:28,420
+في علامات بتميز، طبعًا أول حاجة أنا بدي أقول في
+
+117
+00:07:28,420 --> 00:07:32,530
+عنده نزيف إذا أنا شوفت الدم بعيني، طبعا الحاجة
+
+118
+00:07:32,530 --> 00:07:35,510
+التانية اللي أنا ممكن ما أشوفش الدم فيه، علامات ظاهرة، 
+
+119
+00:07:35,510 --> 00:07:39,250
+العلامات الظاهرة ولما أقول والله مثلا تحت الجلد 
+
+120
+00:07:39,250 --> 00:07:43,410
+صار عندي نزيف والنزيف هذا أنا مش شايف إنه طلع إيش؟ 
+
+121
+00:07:43,410 --> 00:07:47,710
+برا الجسم، وبالتالي ببدأ أقول أنا النزيف لما 
+
+122
+00:07:47,710 --> 00:07:51,410
+ما يخرجش برا الجسم بسميه إيش؟ نزيف داخلي، النزيف
+
+123
+00:07:51,410 --> 00:07:56,150
+الداخلي هذا ممكن يكون مرئي تحت الجلد لكن ما طلع برا،
+
+124
+00:07:57,170 --> 00:08:00,610
+وممكن يكون داخل البطن على سبيل المثال، لكن لما أنا
+
+125
+00:08:00,610 --> 00:08:03,970
+أقول والله مرئي تحت الجلد، معناه فيه نزيف، إيه هذا
+
+126
+00:08:03,970 --> 00:08:07,270
+مؤشر؟ لكن لما يكون داخل البطن، برضه فيه علامات،
+
+127
+00:08:07,270 --> 00:08:11,850
+أهم العلامات هذه إن الشخص لونه باسفر، وهنتكلم ليش
+
+128
+00:08:11,850 --> 00:08:14,890
+طبعا في التفاعلات اللي هتصير بعد هي كده، ثاني حاجة
+
+129
+00:08:14,890 --> 00:08:20,740
+بيزيد عدد ضربات قلبه، بيزيد معدل التنفس، طبعًا بيصير
+
+130
+00:08:20,740 --> 00:08:24,840
+عنده عرق بارد، تمام؟ وقد طبعا يؤدي إلى الوفاة، 
+
+131
+00:08:24,840 --> 00:08:29,440
+يعني نقول مثلا إنسان صار معه حادث، تمام؟ لأ
+
+132
+00:08:29,440 --> 00:08:35,060
+ما بيصير، لأ ما بيصير، طبعا هنا ماشي، هذه كدمة، هذه
+
+133
+00:08:35,060 --> 00:08:37,860
+كدمة طبعا نزيف داخلي، طبعا عشان إحنا نقول إحنا 
+
+134
+00:08:37,860 --> 00:08:42,400
+بعض الناس مثلا يقول .. نقول مثلا صار معه حادث،
+
+135
+00:08:42,400 --> 00:08:45,900
+وجهه عن سطح ما أخدش ولا عطف الكلام هذا، التاني
+
+136
+00:08:45,900 --> 00:08:49,300
+يوم لجوه ميت، طب ليش مات؟ مع أنه مش مبين عليه شيء، 
+
+137
+00:08:49,300 --> 00:08:52,970
+طبعًا نزيف .. طبعا نتيجة نزيف داخلي، النزيف كمان
+
+138
+00:08:52,970 --> 00:08:56,770
+الداخلي ممكن يكون مثلا في الجمجمة مثلا، ضغط الدم ارتفع، 
+
+139
+00:08:56,770 --> 00:09:00,210
+الدم .. ضغط الدم عنده صار نزيف، تمام؟ وبالتالي
+
+140
+00:09:00,210 --> 00:09:02,650
+يعني النزيف أنا أحيانًا ما بشوفه طبعًا بسميه طبعًا
+
+141
+00:09:02,650 --> 00:09:07,170
+نزيف داخلي، لكن بشوف الأثر أو الأعراض الجانبية
+
+142
+00:09:07,170 --> 00:09:09,630
+اللي بتنتج نتيجة طبعًا النزيف هذا، ومن هنا ببدأ
+
+143
+00:09:09,630 --> 00:09:13,390
+أقول طبعًا العلامات الخطيرة لو إنسان مثلًا صار عنده
+
+144
+00:09:13,390 --> 00:09:16,570
+حادث أو صار مثلًا عنده سقوط أو إنسان مثلًا رجع على
+
+145
+00:09:16,570 --> 00:09:20,790
+بطنه الشيء وبدأ يتغير شويّة، بدأ مثلًا يحس حاله أنه
+
+146
+00:09:20,790 --> 00:09:24,130
+تعبان، بدأ أنه مثلًا يصير عنده اصفرار، هذا معناه
+
+147
+00:09:24,130 --> 00:09:28,130
+بالمطلق و بالحتمي أنه في عنده نزيف، اتفضل يا عزيزي
+
+148
+00:09:28,130 --> 00:09:32,850
+تفضل
+
+149
+00:09:32,850 --> 00:09:36,210
+يا عزيزي تفضل
+
+150
+00:09:36,210 --> 00:09:40,190
+يا عزيزي تفضل يا عزيزي تفضل يا عزيزي، لأ طبعًا احنا
+
+151
+00:09:40,190 --> 00:09:44,250
+قلنا المرة الفاتت لو كان عندي أنانازيف مثلًا في
+
+152
+00:09:44,250 --> 00:09:48,010
+منطقة الصدر نتيجة مثلًا إصابة أو مثلًا حادث أو مثلًا
+
+153
+00:09:48,010 --> 00:09:51,570
+طعن أو شيء فاحنا قلنا .. اتكلمنا كيف؟ على طريقة
+
+154
+00:09:51,570 --> 00:09:55,630
+إيقاف الدم إن طبعًا خاصة بالصدر إنه بيكون من ثلاث
+
+155
+00:09:55,630 --> 00:09:59,750
+نواحي، و خاصة ممكن نضع قطعة نايلون عليها، و بتضل 
+
+156
+00:09:59,750 --> 00:10:04,120
+ناحية واحدة، و بننام على ناحية إيش؟  المقابلة، أنبوب
+
+157
+00:10:04,120 --> 00:10:07,400
+هذه ما بتدخلش فيها لإن أنا كمسعف بستخدم أولويات
+
+158
+00:10:07,400 --> 00:10:11,340
+بسيطة، و أشياء بسيطة، لكن لو كان موفر مثلًا سيارة
+
+159
+00:10:11,340 --> 00:10:15,360
+إسعافية و إمكانيات، أه، لكن أنا ما بديش أنا أستخدم 
+
+160
+00:10:15,360 --> 00:10:18,500
+إلا الحاجات اللي بتساعد على إنقاذ حياته و المحافظة
+
+161
+00:10:18,500 --> 00:10:21,740
+عليها لإن أنا إيش هدف الإسعاف الأولي إن أحافظ
+
+162
+00:10:21,740 --> 00:10:24,740
+حياته و إنقاذها، تمام؟ أنا ما بتدعم العملية الجراحية
+
+163
+00:10:24,740 --> 00:10:28,600
+بأشياء مش متوفرة، و أدخل في مشاكل، إحنا دايمًا في
+
+164
+00:10:28,600 --> 00:10:32,860
+الإسعاف الأولي درء المفاسد أفضل من جلب المنافع، إن 
+
+165
+00:10:32,860 --> 00:10:35,020
+أنا هانصحهم و أقولك والله ممكن أخاف يصير عنده 
+
+166
+00:10:35,020 --> 00:10:37,640
+التهاب، لأ ماشي، طب الـ الـ المنفعة الأولى هذا
+
+167
+00:10:37,640 --> 00:10:40,800
+إن أنا أوقف النزيف لأن استمرار النزيف، مثلًا أستخدم 
+
+168
+00:10:40,800 --> 00:10:44,240
+قطعة إجماش نظيفة، أنا ما عنديش حاجة معقمة، لكن نظيفة
+
+169
+00:10:44,240 --> 00:10:47,740
+بتسد الغرض، أساسًا إن أنا أعمل إيقاف للنزيف، ولا
+
+170
+00:10:47,740 --> 00:10:51,480
+أخلي النزيف لما أنتظر قطعة إجماش معقمة، يبقى في
+
+171
+00:10:51,480 --> 00:10:55,080
+عنده أولويات، طبعًا في عنده إيش؟ بيكون أولويات، طب
+
+172
+00:10:55,080 --> 00:10:58,060
+نيجي لقى طبعًا الـ الـ band التالت أو المحور
+
+173
+00:10:58,060 --> 00:11:01,860
+التالت بالنسبة لِنزيف من حيث زمن النزيف يعني وقتاش
+
+174
+00:11:01,860 --> 00:11:05,060
+بيصير عندنا نزيف، طبعًا أول حاجة اللي هو النزيف 
+
+175
+00:11:05,060 --> 00:11:10,520
+الأولي، وهذا طبعًا اللي بيصير مباشرة بعد الإصابة،
+
+176
+00:11:10,520 --> 00:11:15,150
+واحد انجرح، واحد صار عنده قطع، واحد ضرب سكين، واحد
+
+177
+00:11:15,150 --> 00:11:19,070
+ضرب رصاص، نزل الدم هذا يعتبر إيش؟ نزيف أولي،
+
+178
+00:11:19,070 --> 00:11:23,630
+مباشرة، يبقى مباشرة بيصير بعد الحدث مباشرة، بكمية
+
+179
+00:11:23,630 --> 00:11:27,770
+... بكمية قليلة، بكمية كبيرة، طبعًا وريدي، شرياني،
+
+180
+00:11:27,770 --> 00:11:31,810
+يعتبر إيش؟ نزيف أولي، تمام، نيجي للنزيف التفاعلي
+
+181
+00:11:32,460 --> 00:11:36,480
+طبعًا النزيف التفاعلي مثلًا إنسان عمل عملية جراحية
+
+182
+00:11:36,480 --> 00:11:42,160
+تمام؟ و الشخص هذا مثلًا بيقول مثلًا الغرز مش مربوطة
+
+183
+00:11:42,160 --> 00:11:44,480
+كويس، على سبيل المثال، و بالتالي أنتو بتلاحظوا لما
+
+184
+00:11:44,480 --> 00:11:48,180
+إنسان مثلًا بيعمل لواص بيقوله إيش؟ خد حاجة باردة،
+
+185
+00:11:48,180 --> 00:11:52,560
+خد بوزة، إشي بارد، ليش؟ عشان نعمل ضيق في الأوعية
+
+186
+00:11:52,560 --> 00:11:56,090
+الدموية، ضيق في الأوعية الدموية، وبالتالي أي إنسان
+
+187
+00:11:56,090 --> 00:11:58,670
+مثلًا بيدعمل عملية جراحية أو حتى مثلًا بيدخل ع
+
+188
+00:11:58,670 --> 00:12:04,570
+أسنانه، لو كان مثلًا بياخد مواد مسيلة للدم مثلًا زي
+
+189
+00:12:04,570 --> 00:12:09,190
+الـHibarin أو الـBepisprin، طبعًا إذا كان ما ياخد 
+
+190
+00:12:09,190 --> 00:12:14,130
+المادة هذه، معناه هيكون سهولة خروج الدم موفرة،
+
+191
+00:12:14,130 --> 00:12:17,820
+بمعنى إنه هيصير نزيف، وبالتالي هنا أو إنسان مثلًا
+
+192
+00:12:17,820 --> 00:12:21,980
+عنده ارتفاع في ضغط الدم، وبالتالي أي إنسان مثلًا
+
+193
+00:12:21,980 --> 00:12:25,140
+بيدخل عملية جراحية طبعًا بياخدوه طبعًا قياس اللي هي
+
+194
+00:12:25,140 --> 00:12:28,440
+علامات الحياة، ومن ضمنها طبعًا ضغط الدم لو، وطبعًا
+
+195
+00:12:28,440 --> 00:12:31,780
+بيصير هذا كتير لو أي إنسان كان بيدخل ... وبالتالي
+
+196
+00:12:31,780 --> 00:12:35,040
+بيصير تهيأ للمريض لما يدخل مثلًا عملية جراحية، لو أي
+
+197
+00:12:35,040 --> 00:12:38,960
+إنسان بيدخل عملية جراحية وهو مش مهيأ وخايف متوتر
+
+198
+00:12:38,960 --> 00:12:43,040
+إجينا نجيس ضغط الدم، إجينا 180 على 120 ارجع، ما فيش
+
+199
+00:12:43,040 --> 00:12:47,270
+عملية، اتأجلت العملية، اتأجرت العملية، ليش؟ لأن
+
+200
+00:12:47,270 --> 00:12:52,090
+هنا زيادة ضغط الدم معناه فيه احتمالية للنزيف بعد
+
+201
+00:12:52,090 --> 00:12:55,370
+العملية، وبالتالي هذا طبعًا اللي هو النزيف التفاعلي
+
+202
+00:12:55,370 --> 00:12:59,550
+اللي بيحدث بعد العملية الجراحية مثلًا زي إنسان مثلًا
+
+203
+00:12:59,550 --> 00:13:04,910
+غرز مش يعني مش دقيقة في ... في ... طبعًا في عقدها أو
+
+204
+00:13:04,910 --> 00:13:08,880
+مثلًا إنسان بياخد مواد مسيلة، أو إنسان عنده ضغط دم
+
+205
+00:13:08,880 --> 00:13:12,560
+وارتفع ضغط الدم، يبقى دي طبعًا بيصير خلال الأول 24
+
+206
+00:13:12,560 --> 00:13:15,940
+ساعة، وبالتالي هنحن نقول احنا حارسين إن الإنسان
+
+207
+00:13:15,940 --> 00:13:19,340
+اللي بده يعمل عملية جراحية، بدي يكون معروف إيش
+
+208
+00:13:19,340 --> 00:13:23,140
+العلاجات اللي بياخدها، هل عنده ضغط دم ولا ما عندوش،
+
+209
+00:13:23,140 --> 00:13:26,080
+ضغط الدم منتظم ولا مش منتظم، هل بياخد بيبا أسبرين
+
+210
+00:13:26,080 --> 00:13:28,080
+ولا بيخرج، يعني في بعض الناس اللي عندهم طبعًا ضغط
+
+211
+00:13:28,080 --> 00:13:32,010
+الدم، بياخدوا البيبا أسبرين، أو إنسان مثلًا عنده تجلطات
+
+212
+00:13:32,010 --> 00:13:36,030
+مثلًا عنده الدوالي، وطبعًا بياخد مثلًا Heparin أو 
+
+213
+00:13:36,030 --> 00:13:39,150
+سيدة حامل مثلًا بتاخد Heparin، تمام؟ فبالتالي لازم
+
+214
+00:13:39,150 --> 00:13:43,670
+يكون قبل العملية بفترة مش ماخد المواد هذه المسيلة
+
+215
+00:13:43,670 --> 00:13:47,850
+اللي طبعًا بتساعد على سيولة الدم وسهولة اللي هو
+
+216
+00:13:47,850 --> 00:13:49,110
+حدوث النظيفة
+
+217
+00:13:52,120 --> 00:13:55,860
+طيب، بيجي أنا كمان إن هو النزيف الثانوي، يعني هذا
+
+218
+00:13:55,860 --> 00:13:58,780
+بيجي على الهامش، ليس بالضرورة يصيب ... طبعًا النزيف
+
+219
+00:13:58,780 --> 00:14:03,040
+الأولي مباشرة شيء طبيعي، النزيف التفاعلي ممكن أو 
+
+220
+00:14:03,040 --> 00:14:06,900
+ممكن لأ، النزيف الثانوي يعني ما هوأش أساس، يعني
+
+221
+00:14:06,900 --> 00:14:10,000
+نقول مثلًا إنسان عمل عملية جراحية أو ست مثلًا عمل
+
+222
+00:14:10,000 --> 00:14:13,280
+عملية قيصرية، يومين، ثلاثة، أربعة، بدأ يلتئم
+
+223
+00:14:13,280 --> 00:14:17,050
+بالجروح، الغرز مش هتلتئم، لأن طبعًا الجسم ما بِرفض
+
+224
+00:14:17,050 --> 00:14:20,990
+الأشياء هذه كلها، تمام؟ وبالتالي ... بالتالي ممكن
+
+225
+00:14:20,990 --> 00:14:24,870
+يصير التهاب، والتهاب بحد ذاته يعمل ضعف في الأوعية
+
+226
+00:14:24,870 --> 00:14:27,650
+الدموية ويدى إلى نزيف، وهذا طبعًا احنا نسميه اللي هو
+
+227
+00:14:27,650 --> 00:14:31,250
+طبعًا النزيف الثانوي اللي ممكن يكون خلال أسبوع،
+
+228
+00:14:31,250 --> 00:14:35,950
+خلال أربعة أيام، يعني نتيجة التهابات شديدة حدثت في 
+
+229
+00:14:35,950 --> 00:14:40,150
+المنطقة نفسها وأدت إلى ضعف في الأوعية الدموية وعدم
+
+230
+00:14:40,150 --> 00:14:43,330
+التصاق في جدار الجرح، وبالتالي أدت إلى إيش؟ حدوث
+
+231
+00:14:43,330 --> 00:14:43,710
+نزيف
+
+232
+00:14:52,480 --> 00:14:55,440
+طيب، نيجي لأسباب ممكن تؤدي لنزيف، طبعًا هذه أسباب
+
+233
+00:14:55,440 --> 00:15:00,000
+بتكون أسباب عامة، أول سبب طبعًا هو نزيف المرضى لما 
+
+234
+00:15:00,000 --> 00:15:05,100
+نقول والله إنسان مثلًا عنده
+
+235
+00:15:05,100 --> 00:15:10,860
+قرحة معدة أو مثلًا إنسان بيُقيّء دم، بيستفرغ دم، طبعًا
+
+236
+00:15:10,860 --> 00:15:14,920
+هنا الاستفراغ ممكن يكون من ناحيتين، الناحية الأولى
+
+237
+00:15:14,920 --> 00:15:19,060
+أنه ممكن يكون من المريء مثلًا دوالي المريء أو قرحة
+
+238
+00:15:19,060 --> 00:15:23,720
+معدة، طبعًا كل مكان لأعلى كل مكان لون الاستفراغ فيه
+
+239
+00:15:23,720 --> 00:15:29,030
+دم لونه ده وردي أكثر، تمام؟ و بالتالي هنا أو غامق
+
+240
+00:15:29,030 --> 00:15:32,890
+أكثر، لما يكون عندي من المريء أو مثلًا من المعدة
+
+241
+00:15:32,890 --> 00:15:36,250
+بيأكل حاجة، و بالتالي إخواننا هنا بيكونوا حارسين 
+
+242
+00:15:36,250 --> 00:15:39,790
+جدًا حتى في عاداتنا بالنسبة للأكل و الشرب طبعًا
+
+243
+00:15:39,790 --> 00:15:43,030
+المنهي عنه هو تناول الطعام الساخن، طبعًا كان منهي 
+
+244
+00:15:43,030 --> 00:15:46,950
+عنه من قبل ألف وأربعمائة سنة، و علميًا طبعًا بيثبتوا
+
+245
+00:15:46,950 --> 00:15:49,710
+أن تناول الطعام الساخن هو أحد الأسباب تؤدي إلى
+
+246
+00:15:49,710 --> 00:15:54,010
+تآكل في جدار المعدة، ومن هنا طبعًا بنكون حارسين لأن
+
+247
+00:15:54,010 --> 00:15:58,070
+الأكل دافئ لكن ما يكون ساخن كثير، طبعًا اللي بأثر على
+
+248
+00:15:58,070 --> 00:16:02,190
+جدار المعدة أو جدار مُبطّن إيش؟ لأ المعدة، فالأفضل ...
+
+249
+00:16:02,190 --> 00:16:06,590
+الأفضل نبتعد عن الأشياء الساخنة جدًا، و ممكن طبعًا
+
+250
+00:16:06,590 --> 00:16:10,770
+يكون مثلًا عندنا دوالي المريء أو مثلًا قرحة المعدة و
+
+251
+00:16:10,770 --> 00:16:15,850
+بالتالي هنا قد يكون أحد الأسباب، لوحة دوالي المريء
+
+252
+00:16:15,850 --> 00:16:22,000
+زي دوالي الساقين، معناه انتفاخ في الأوردة بتاع المريء،
+
+253
+00:16:22,000 --> 00:16:25,720
+طبعًا لأن قلنا المريء هو نُبوب عضلية، قرحة المعدة هي
+
+254
+00:16:25,720 --> 00:16:29,380
+تآكل في جدار ... في الجدار البطني للمعدة طبعًا نتيجة
+
+255
+00:16:29,380 --> 00:16:32,500
+أسباب كثيرة، بس باختصار أقولك إياهم، ممكن يكون من 
+
+256
+00:16:32,500 --> 00:16:35,500
+التدخين، ممكن يكون من حالة النفسية، ممكن يكون
+
+257
+00:16:35,500 --> 00:16:38,640
+طبيعة الأكل، ممكن يكون تناول بعض الأدوية مثلًا زي
+
+258
+00:16:38,640 --> 00:16:41,940
+الديكلوفين أو الأسبرين بدون طبعًا واجبة غذائية
+
+259
+00:16:41,940 --> 00:16:45,920
+لِطبعًا بيزيد من حموضة المعدة، طبعًا ممكن يكون أسباب
+
+260
+00:16:45,920 --> 00:16:48,980
+مرضية، ممكن مثلًا اللي سمح الله أو ران في المعدة
+
+261
+00:16:49,660 --> 00:16:52,840
+يكبر طبعًا السبب، وبالتالي إخواننا أحد الأسباب
+
+262
+00:16:52,840 --> 00:16:57,320
+لجميع الأمراض، أحد الأسباب لمعظم الأمراض الحالة
+
+263
+00:16:57,320 --> 00:17:01,000
+النفسية و التوتر، أسبوعية، وبالتالي يعني هذا بدرجة عن
+
+264
+00:17:01,000 --> 00:17:02,660
+حديث الرسول صلى الله عليه وسلم، لما قالوا الصحابي
+
+265
+00:17:02,660 --> 00:17:07,320
+أوصاني، قالوا: "لأ تغضب" تكرر تلات مرات، كلمتين صغيرين لأن
+
+266
+00:17:07,320 --> 00:17:12,060
+هذا الغضب بيأثر على كل أجسام الجسم، زي ما قلنا
+
+267
+00:17:12,060 --> 00:17:15,460
+إنسان بتدخل عملية جراحية و غضب و توتر، اتأجلت العملية،
+
+268
+00:17:15,460 --> 00:17:21,570
+حاجة بسيطة جدًا، طيب، طبعًا مرض الاسقربوط أكيد سمعتوا
+
+269
+00:17:21,570 --> 00:17:27,390
+فيه، طبعًا مش بيوقع بيصير نزيف اللثة، وهو طبعًا غالبًا
+
+270
+00:17:27,390 --> 00:17:31,790
+يكون نتيجة نقص فيتامين C أو جيم، الاسقربوط أو
+
+271
+00:17:31,790 --> 00:17:36,510
+scurvy، طبعًا هذا نقصها لأنه بسبب عدم تناول أو نقص
+
+272
+00:17:36,510 --> 00:17:40,450
+فيتامين C أو جيم في وجبات الطعام، وهو طبعًا وين
+
+273
+00:17:40,450 --> 00:17:45,810
+بيحصل أكثر؟ للبحّار لأنه ما بتناول أشياء طازجة لأن
+
+274
+00:17:45,810 --> 00:17:49,030
+السمك مش غني بـvitamin C أو كانت البحرية مش غنية بـ
+
+275
+00:17:49,030 --> 00:17:52,870
+vitamin C، وبالتالي vitamin C الحمد لله موفر عندنا
+
+276
+00:17:52,870 --> 00:17:56,310
+كثير، و غالبًا موجود بالجوافة، الجوافة طبعًا أعلى نسبة
+
+277
+00:17:56,310 --> 00:17:59,350
+فيها أو الحمضيات، طبعًا الجوافة أعلى من الحمضيات
+
+278
+00:17:59,350 --> 00:17:59,630
+كمان
+
+279
+00:18:04,610 --> 00:18:07,710
+طيب النزيف طبعًا التلقائي أو الذاتي زي ما قلنا احنا
+
+280
+00:18:07,710 --> 00:18:10,170
+ممكن طبعًا أحد الأسباب، ممكن تكون تلقائي زي ما قلنا 
+
+281
+00:18:10,170 --> 00:18:16,150
+خلال يعني ضعف في مكان العملية طبعا أو مثلا اللي 
+
+282
+00:18:16,150 --> 00:18:19,870
+بيكون العملية بحد ذاتها ما فيش فيها عوامل تخثر أو
+
+283
+00:18:19,870 --> 00:18:24,370
+ضعف بسبب طبعا مادة مش موجودة يمكن أقرب مثال عندنا
+
+284
+00:18:24,370 --> 00:18:28,290
+هنا مرض الـ hemophilia وطبعا سيولة الدم عند
+
+285
+00:18:28,290 --> 00:18:34,560
+الأطفال الذكور أنتو ما بتصيبكوش الحمد لله أه بس عند
+
+286
+00:18:34,560 --> 00:18:37,560
+طبعا أطفال الذكور وهطبعا في حاجة بيسموها اللي هو
+
+287
+00:18:37,560 --> 00:18:41,700
+نقص الـ cryo أو factor eight أو عامل رقم ثمانية و
+
+288
+00:18:41,700 --> 00:18:44,920
+هطبعا لو صار عنده نزيف ما بتوقفش طبعا بنحاول احنا
+
+289
+00:18:44,920 --> 00:18:49,340
+نعمل إيقاف طبعا صعب أنه يتخثر لكن لو كان كمية يمكن
+
+290
+00:18:49,340 --> 00:18:53,420
+نزيف بسيط ممكن هنتحايل عليه لكن لو كان جرح كبير و
+
+291
+00:18:53,420 --> 00:18:58,040
+نزيف كبير هذا ما بده إلا مستشفى ونقل أحد مكونات
+
+292
+00:18:58,040 --> 00:19:02,000
+الدم اللي هو الـ cryo وطبعا مادة صفراء هذه أو
+
+293
+00:19:02,000 --> 00:19:05,140
+بيسموها factor eight بياخدها حوالي طبعا مية سنتي
+
+294
+00:19:05,140 --> 00:19:13,520
+تمام؟ وبالتالي ... بالتالي ... بالتالي ... بالتالي
+
+295
+00:19:13,520 --> 00:19:17,400
+لازم نقل اللي هو الـ .. الـ .. الـ factor eight هذا
+
+296
+00:19:17,400 --> 00:19:22,460
+لمين؟ للشخص الطفل هذا طبعا كده بيبين عنده ما بيبين
+
+297
+00:19:22,460 --> 00:19:25,120
+عنده نقول والله هذا مبين عليه علامات الـ .. الـ
+
+298
+00:19:25,120 --> 00:19:28,720
+hemophilia لأ بيبين بس ساعة إيش أنه يصير عنده إيش
+
+299
+00:19:28,720 --> 00:19:29,240
+نزيف
+
+300
+00:19:35,130 --> 00:19:38,590
+طيب طبعا الشيء الطبيعي من الأسباب اللي هي الإصابات
+
+301
+00:19:38,590 --> 00:19:42,010
+والجروح الجروح طبعا بأنواع سواء قطعي أو سحجي أو
+
+302
+00:19:42,010 --> 00:19:45,930
+طبعا تهتكي أو أنواع كلها طبعا الإصابات أو الردود
+
+303
+00:19:45,930 --> 00:19:49,050
+اللي ممكن يصير تؤدي طبعا إما لنزيف داخلي أو نزيف
+
+304
+00:19:49,050 --> 00:19:49,450
+خارجي
+
+305
+00:19:54,070 --> 00:19:57,890
+استخدام بعض الأدوية، زي ما ضربنا مثال، طبعا عندنا
+
+306
+00:19:57,890 --> 00:20:00,610
+اللي هو الـ Aspirin أو الهيبارين، طبعا المواد 
+
+307
+00:20:00,610 --> 00:20:03,730
+مسيلة، وهي طبعا تأخذ من ناحية علاجية، مثلا إنسان
+
+308
+00:20:03,730 --> 00:20:07,010
+عنده ضغط دم، تمام؟ فبياخدوا طبعا Aspirin، على أساس
+
+309
+00:20:07,010 --> 00:20:11,270
+ناحية وقائية، أو سيدة مثلا عندها جلطات ويطبعا ممكن
+
+310
+00:20:11,270 --> 00:20:16,330
+تكون عندها أحد أسباب مثلا الإجهاد أو إنسان مثلا 
+
+311
+00:20:16,330 --> 00:20:20,810
+عنده دوالي مثلا الساقين عشان ما يصيرش عندنا جلطات
+
+312
+00:20:20,810 --> 00:20:24,490
+فطبعا بوصفوا إيه طبعا هو الـ laboring عشان يعمل
+
+313
+00:20:24,490 --> 00:20:27,350
+سيولة وما يصيرش جلطات والجلطات هذه ما يتعملش على 
+
+314
+00:20:27,350 --> 00:20:33,410
+إغلاق مراكز حساسة في جسم الإنسان إيش 
+
+315
+00:20:33,410 --> 00:20:39,110
+أهم المضاعفات اللي ممكن تصير لشخص بعد النزيفة؟ طبعا 
+
+316
+00:20:39,110 --> 00:20:42,710
+يعني أول حاجة احنا ممكن نركز عليها طبعا هذا شيء
+
+317
+00:20:42,710 --> 00:20:46,530
+مهم جدا بالنسبة أن .. أن نكون هل النزيف في خطورة
+
+318
+00:20:46,530 --> 00:20:51,310
+ولا ما في خطورة بالنسبة للشخص أول حاجة طالما
+
+319
+00:20:51,310 --> 00:20:56,050
+الإنسان في كمية يعني معروفة وطبعا كمتوسط نقول
+
+320
+00:20:56,050 --> 00:20:59,590
+مثلا خمسة لتر أو خمسة لتر ونص طبعا في .. طبعا في
+
+321
+00:20:59,590 --> 00:21:02,890
+فرق بين حجم الدم عند السيدات وحجم الدم طبعا عند
+
+322
+00:21:02,890 --> 00:21:06,830
+الرجال وهذا طبعا دليل على إن في عندنا قوة الدم عند
+
+323
+00:21:06,830 --> 00:21:10,290
+الرجال أعلى منها عند السيدات بسبب طبعا حجم الدم
+
+324
+00:21:10,290 --> 00:21:13,910
+لكن أحيانا يعني حجم الدم ممكن يكون فيه فقر ليس
+
+325
+00:21:13,910 --> 00:21:18,020
+بالضرورة ارتفاع حجم الدم معناه قوة الدم يعني سنة
+
+326
+00:21:18,020 --> 00:21:21,600
+مثلا بعض الرجال بتلاقي مثلا الدم عنده عشرة أو تسعة
+
+327
+00:21:21,600 --> 00:21:24,920
+كمية الدم أه لكن فيه يكون عندنا عامل آخر اللي هو
+
+328
+00:21:24,920 --> 00:21:28,020
+طبعا الـ hemoglobin اللي هو اللي طبعا بيحمل اللي هو
+
+329
+00:21:28,020 --> 00:21:33,320
+الـ oxygen أحد المضاعفات اللي ممكن تصير هي فقر دم و
+
+330
+00:21:33,320 --> 00:21:38,280
+فقر الدم إيش معناه؟ نقص كمية يعني بالمجمل بالنسبة
+
+331
+00:21:38,280 --> 00:21:42,980
+لحجم الدم، إنسان نزف مثلا نص لتر، مثلا يقول والله
+
+332
+00:21:42,980 --> 00:21:46,380
+إنسان ست بدا طلعت وولد صار معاها نزيف، نجلولها
+
+333
+00:21:46,380 --> 00:21:49,820
+واحدة وواحدتين وتلاتة أو إنسان معاه نزيف داخلي بعد
+
+334
+00:21:49,820 --> 00:21:53,080
+عملية جراحية، نجلوله واحدة وتنتين وتلاتة، ممكن
+
+335
+00:21:53,080 --> 00:21:56,440
+نوصل خمس واحدات، طب الواحدة أربعمية سنتي، دم
+
+336
+00:21:56,440 --> 00:22:00,320
+كامل، دم .. إيش معناه دم كامل؟ يعني بيشمل كل
+
+337
+00:22:00,320 --> 00:22:04,880
+العناصر الموجودة صفائح دم بيضا، دم حمرا
+
+338
+00:22:04,880 --> 00:22:09,640
+طبعا البلازما كل أنواع هذه كلها تمام؟ وطبعا بنتقل
+
+339
+00:22:09,640 --> 00:22:13,680
+للشخص هذا وبالتالي هنا فقر الدم يعني مسمى احنا الـ
+
+340
+00:22:13,680 --> 00:22:16,920
+anemia طبعا الـ anemia مانعياش فقر الدم نتيجة
+
+341
+00:22:16,920 --> 00:22:21,440
+النزيف إنسان مثلا دايما بينزف دايما بينزف معناه
+
+342
+00:22:21,440 --> 00:22:24,540
+أنه أدى إلى فقر الدم طبعا أنا ما بديش أدخل موضوع
+
+343
+00:22:24,540 --> 00:22:27,960
+تاني فقر الدم قد يكون بأسباب تانية فقر الدم ممكن
+
+344
+00:22:27,960 --> 00:22:32,440
+طبعاً اللي هو أسباب تانية أو أمراض دموية أخرى طبعا
+
+345
+00:22:32,440 --> 00:22:36,540
+يعني مثلا تشوهات في خلايا الدم الحمراء أو مثلا 
+
+346
+00:22:36,540 --> 00:22:41,240
+الثلاسيميا أو الأنواع هذه كلها طيب النقطة التانية
+
+347
+00:22:41,240 --> 00:22:44,800
+الصدمة
+
+348
+00:22:44,800 --> 00:22:49,560
+إيش يعني الصدمة بالنسبة للنزيف؟ طبعا غالبا بنتكلم
+
+349
+00:22:49,560 --> 00:22:51,880
+هنا .. طبعا لما .. لما نصل لموضوع الصدمة الصدمة
+
+350
+00:22:51,880 --> 00:22:56,580
+أنواع طبعا حوالي خمس أو ست أنواع من ضمن الأنواع هذه
+
+351
+00:22:56,580 --> 00:23:00,940
+اللي هي الصدمة ناتجة عن فقدان السوائل فقدان
+
+352
+00:23:00,940 --> 00:23:05,320
+السوائل الدم يعتبر سائل الحريق معناه فيه ممكن يكون
+
+353
+00:23:05,320 --> 00:23:08,340
+فينا صدمة ناتجة عن فقدان السوائل القئ والاسهال
+
+354
+00:23:08,340 --> 00:23:11,000
+صدمة ناتجة عن فقدان السوائل لكن لما نركز احنا هنا
+
+355
+00:23:11,000 --> 00:23:15,340
+على الصدمة اللي ناتجة عن فقدان الدم أنت لحظة أي
+
+356
+00:23:15,340 --> 00:23:21,280
+إنسان بيقول لك والله لون أصفر نزف كمية كبيرة طيب، إيش
+
+357
+00:23:21,280 --> 00:23:27,140
+اللي أدى لظهور هذه العلامة؟ طبيعي يا أخواتنا إنه
+
+358
+00:23:27,140 --> 00:23:32,020
+لما إنسان بيصير عنده نزيف، معناه القلب هيزيد عدد
+
+359
+00:23:32,020 --> 00:23:37,530
+ضربات ولا هيظل زي ما هو؟ ليش هيزيد؟ هيعمل طبعا تأقلم
+
+360
+00:23:37,530 --> 00:23:41,970
+مع الوضع الجديد، لأنه مثلا فقر كمية من الدم، طبعا،
+
+361
+00:23:41,970 --> 00:23:46,090
+فطبعا هيسير عدد ضربات القلب يزيد، معدل التنفس
+
+362
+00:23:46,090 --> 00:23:49,690
+برضه هيزيد، طب إيش البيئة دي إنه يصير إن عندنا لون
+
+363
+00:23:49,690 --> 00:23:52,690
+أصفر؟ إنسان مثلا صار عنده نزيف، ليش بيصير اللون
+
+364
+00:23:52,690 --> 00:23:55,930
+أصفر؟ طبعا في حاجة احنا بنسميها مادة الأدرينالين أو
+
+365
+00:23:55,930 --> 00:24:01,940
+الـ adrenaline وطبعا تفرز .. تفرز وإلها وظيفة مهمة
+
+366
+00:24:01,940 --> 00:24:05,940
+إنها بتزود عدد ضربات القلب وتعمل على انقباض
+
+367
+00:24:05,940 --> 00:24:09,520
+الأوعية الدموية الطرفية وبالتالي بيصير عندنا اللون
+
+368
+00:24:09,520 --> 00:24:14,360
+أصفر مع طبعا ظهور عرق بارد طبعا هي بسبب احنا
+
+369
+00:24:14,360 --> 00:24:16,780
+علامات الصدمة .. هنسألها ناخدها بالتفصيل بس
+
+370
+00:24:16,780 --> 00:24:21,060
+بالمعنى إن أنا ممكن ينتج عند شخص اللي فاقد .. اللي
+
+371
+00:24:21,060 --> 00:24:24,160
+طبعا فاقد كمية من الدم اللي هي إيش الصدمة الصدمة
+
+372
+00:24:24,160 --> 00:24:26,780
+نسميها صدمة ناتج عن فقدان السوائل
+
+373
+00:24:30,550 --> 00:24:35,810
+التلوث الميكروبي قد يؤدي إلى التهاب، قد يؤدي إلى
+
+374
+00:24:35,810 --> 00:24:39,610
+التهاب، إذا إيش لم يتم التعامل معاه بصورة جيدة،
+
+375
+00:24:39,610 --> 00:24:44,190
+يعني إنسان مثلا صار عنده نزيف، ترك الجرح مفتوحة،
+
+376
+00:24:44,190 --> 00:24:48,790
+يوم، يومين، بدأ الالتهاب، لأن أول حاجة، طبعا قبل
+
+377
+00:24:48,790 --> 00:24:52,680
+ما يسبق الالتهاب، يسبق عدوى فصار عدوى يعني دخول
+
+378
+00:24:52,680 --> 00:24:57,620
+الميكروبات لتيار الدم أو للجروح وبالتالي صار إيش
+
+379
+00:24:57,620 --> 00:25:02,300
+التهاب؟ إنسان مثلا عمل عملية جراحية تمام وفقد كمية
+
+380
+00:25:02,300 --> 00:25:05,860
+كبيرة من الدم وترك طبعا بدون اعتناء حاسس أن إيش 
+
+381
+00:25:05,860 --> 00:25:13,280
+برضه تلوث الفشل
+
+382
+00:25:13,280 --> 00:25:17,280
+الكلوي هذه نقطة بدنا نجف شوية عندها يعني لأنها 
+
+383
+00:25:17,280 --> 00:25:22,670
+نقطة مهمة كتيرة جيتنا احنا توي ذكرنا إن فيه الصدمة
+
+384
+00:25:22,670 --> 00:25:27,530
+ناتج عن فقدان السوائل من ضمنها القيء والاسهال، من
+
+385
+00:25:27,530 --> 00:25:32,070
+ضمنها الدم، من ضمنها الحروق، طبعا الحروق إلها دور
+
+386
+00:25:32,070 --> 00:25:35,270
+لإن أنت ممكن تفقد كمية كبيرة من طبعا البلازما
+
+387
+00:25:35,270 --> 00:25:39,650
+وخاصة في الدرجة التانية أو قد تكون مثلا درجة تالتة
+
+388
+00:25:39,650 --> 00:25:42,930
+وصار فيها نزيف، طيب إيش دور فشل الكلى بالنسبة
+
+389
+00:25:42,930 --> 00:25:46,270
+لفقدان كمية كبيرة من الدم؟ طبعا الكلية زي ما أنتو
+
+390
+00:25:46,270 --> 00:25:51,280
+عارفين بيضخلها الدم من القلب طيب، عالجيت لما أنا
+
+391
+00:25:51,280 --> 00:25:56,080
+أقول والله إنسان مثلا وصل للكلية كمية قليلة،
+
+392
+00:25:56,080 --> 00:26:00,220
+طبعا؟ معناه مش هتطرد كل السموم اللي موجودة في
+
+393
+00:26:00,220 --> 00:26:03,500
+الجسم لأن كمية الدم قليلة زي ما نقول احنا والله
+
+394
+00:26:03,500 --> 00:26:06,380
+إنسان مثلا بيشربش كمية ميه كبيرة، صار ما عنده
+
+395
+00:26:06,380 --> 00:26:10,020
+حصوات كلى، طبعا؟ إذا طبعا المواد الضارة بتلت في 
+
+396
+00:26:10,020 --> 00:26:15,070
+الجسم وطبعا شوية على شوية إن مثلا بيصير عدم وصول
+
+397
+00:26:15,070 --> 00:26:19,890
+كمية كافية من الدم للكلية يعني عشان احنا نسبق 
+
+398
+00:26:19,890 --> 00:26:25,010
+الأمور بسرعة هيؤدي لفشل كلوي وطبعا خطيرة جدا يعني
+
+399
+00:26:25,010 --> 00:26:29,170
+بيصير مشكلتين إن فقر كمية كبيرة من الدم يمكن
+
+400
+00:26:29,170 --> 00:26:34,200
+تعويضها .. يمكن تعويضها لكن كلها المشكلة إذا صار
+
+401
+00:26:34,200 --> 00:26:37,220
+فشل في الكلية خانة مشكلة، ما يعني من الطريق إيش؟
+
+402
+00:26:37,220 --> 00:26:40,900
+وبالتالي طبعا فقدان كمية كبيرة قد يؤدي إلى فشل
+
+403
+00:26:40,900 --> 00:26:46,620
+كلوي إذا لم يتم إسعاف الشخص أو تعويضه أو تعويضه 
+
+404
+00:26:46,620 --> 00:26:50,060
+حتى بمحلول احنا إذا جيت أي إنسان مثلا بيجي على
+
+405
+00:26:50,060 --> 00:26:53,740
+المستشفى بتركبله مباشرة .. مباشرة بتركب محلول
+
+406
+00:26:53,740 --> 00:26:58,960
+تمام؟ عشان أنا أحافظ على معدل السائل اللي موجود
+
+407
+00:26:58,960 --> 00:27:02,700
+اللي هو طبعا الدم وكمان حاجة تانية إن ممكن أنا
+
+408
+00:27:02,700 --> 00:27:07,040
+أركبله أو أضيف له واحدة أو واحدتين الدم طبعا حسب
+
+409
+00:27:07,040 --> 00:27:09,760
+تمام؟ وبالتالي هذا أحد المضاعفات اللي هو الفشل
+
+410
+00:27:09,760 --> 00:27:13,600
+الكلوي وآخر
+
+411
+00:27:13,600 --> 00:27:17,400
+حاجة طبعا هذه مش مضاعفة هذه الوفاة كمية كبيرة من
+
+412
+00:27:17,400 --> 00:27:21,940
+الدم زي ما قلنا مثلا النزيف الداخلي ما اهتمش .. وحصل
+
+413
+00:27:21,940 --> 00:27:26,320
+حالات .. ما اهتمش ثانية أصبح ميت .. ليش؟ لأنه فقد
+
+414
+00:27:26,320 --> 00:27:29,840
+كمية كبيرة من الدم داخل البطن، البطن صار فيه
+
+415
+00:27:29,840 --> 00:27:33,180
+تيبس، طبعا صار فيه فقدان كبيرة كبيرة وأثرت على 
+
+416
+00:27:33,180 --> 00:27:37,910
+وين؟ على الدماغ وعلى الجهاز التنفسي وعلى الكبد وعلى
+
+417
+00:27:37,910 --> 00:27:41,390
+الكلية معناه ما وصلش كمية كبيرة للأعضاء الحيوية
+
+418
+00:27:41,390 --> 00:27:45,290
+والنتيجة أدت للوفاة وكان سببها سقوط مثلا من السطح
+
+419
+00:27:45,290 --> 00:27:48,570
+أو سقوط أو ضرب مثلا على البطن وكان بإمكانه أنه 
+
+420
+00:27:48,570 --> 00:27:51,790
+يروح المستشفى وبالتالي لو إنسان مثلا صار مع
+
+421
+00:27:51,790 --> 00:27:56,490
+العلامات هذه وبدأ في معاه أي تغير بسيط مش لازم يترك
+
+422
+00:27:56,490 --> 00:28:01,570
+نفسه لازم طبعًا مباشرة للمستشفى لأنه قد يحتاج إلى
+
+423
+00:28:01,570 --> 00:28:06,630
+عملية فتح بطن واستكشاف عشان نشوف وين مكان النزيف
+
+424
+00:28:06,630 --> 00:28:10,250
+هذا وقد يحتاج إلى تعويض واحدة وواحدتين وثلاثة و
+
+425
+00:28:10,250 --> 00:28:16,790
+خمسة لأنه بيكون فاقد كمية كبيرة إيش من الدم فضل
+
+426
+00:28:16,790 --> 00:28:22,670
+إيه؟ يعني ممكن نعمل يعني تصوير معين يكشف سكان
+
+427
+00:28:22,670 --> 00:28:26,590
+الدردير يعني بدل ما إحنا ندخل نعمل عملية جراحية
+
+428
+00:28:26,590 --> 00:28:30,450
+نعمل عملية جراحية ونستكشف ما فيش إيش يكشف لنا مكان
+
+429
+00:28:33,580 --> 00:28:36,560
+طبعًا هذه اللي بنقول عليها العملية بيسموها عملية
+
+430
+00:28:36,560 --> 00:28:41,340
+استكشاف في حال أنه مش معروف مكان النزيف بالضبط لما
+
+431
+00:28:41,340 --> 00:28:44,000
+أقول والله مثلًا إن الإنسان قاعد بيستفرج كمية كبيرة 
+
+432
+00:28:44,000 --> 00:28:48,520
+من الدم سواء إن عرفت مثلًا في الـ .. في الـ .. الـ ..
+
+433
+00:28:48,520 --> 00:28:54,400
+المعدة أو من الكبد أو من الطحال لازم فتح بطن فتح
+
+434
+00:28:54,400 --> 00:28:58,140
+البطن بيسموه عملية استكشاف مثلًا، إنسان على
+
+435
+00:28:58,140 --> 00:29:03,840
+العمليات مثلًا النظامية عنده عملية مثلًا زائدة أو
+
+436
+00:29:03,840 --> 00:29:07,720
+عنده مثلًا عملية قرحة معدة، معروف المكان لكن جاءنا
+
+437
+00:29:07,720 --> 00:29:14,720
+إنسان متعرض لضربة مثلًا على البطن أو مثلًا سقوط أو
+
+438
+00:29:14,720 --> 00:29:19,140
+مثلًا سقوط جسم ثقيل على البطن صار معه أعراض
+
+439
+00:29:19,140 --> 00:29:24,040
+النزيف هنا مش معروف، في الفرصة هذه ما فيش أقول والله
+
+440
+00:29:24,040 --> 00:29:27,040
+أنا مثلًا بدي أعمل من الضروري لعملية الجراحية
+
+441
+00:29:27,040 --> 00:29:31,260
+حتى
+
+442
+00:29:31,260 --> 00:29:36,800
+لو تم توضيحها، لازم يكون عملية البطن، عملية إيقاف 
+
+443
+00:29:36,800 --> 00:29:41,310
+النزيف أه فالأفضل .. الأفضل طبعًا ده بيسموها عملية
+
+444
+00:29:41,310 --> 00:29:44,150
+.. عملية استكشاف إنه في عندنا نزيف لأن أنا مش عارف
+
+445
+00:29:44,150 --> 00:29:47,730
+أين النزيف بالضبط وبدي أنا أتركه كمان لأنه يقول
+
+446
+00:29:47,730 --> 00:29:50,950
+قاعد .. قاعد يه .. قاعد .. كل ما بوب ن تأخر شوية ..
+
+447
+00:29:50,950 --> 00:29:54,530
+شوية .. شوية بركب وحدة الدم بتلاقي برضه لسه الدم
+
+448
+00:29:54,530 --> 00:29:57,790
+ما ارتفعش لأنه بعد ما بركب وحدة الدم بشوف كده نسبة
+
+449
+00:29:57,790 --> 00:30:00,950
+الـ hemoglobin عنده لكن برضه لازال إيش هنخفض يعني
+
+450
+00:30:00,950 --> 00:30:05,090
+زي .. هنقول مثلًا نبوب مثقوب من راكب الدم من هنا
+
+451
+00:30:05,090 --> 00:30:08,350
+بيطلع من ناحية الثانية فلازم طبعًا مباشرة يدخل عملية
+
+452
+00:30:08,350 --> 00:30:13,290
+وهي طبعًا قد يكون مثلًا انفجار مثلًا في الـ بنكرياس أو
+
+453
+00:30:13,290 --> 00:30:18,710
+مثلًا في الكبد طبعًا هذا ممكن يكون لا سمح الله .. لا
+
+454
+00:30:18,710 --> 00:30:22,610
+سمح الله مثلًا في بعض الشرايين اللي بتغذي مثلًا
+
+455
+00:30:22,610 --> 00:30:27,530
+القلب وبالتالي طبعًا لازم يكون العملية هنا هي عملية
+
+456
+00:30:27,530 --> 00:30:30,310
+تدخل سريع لإنقاذ الشخص وتعويضه
+
+457
+00:30:37,020 --> 00:30:45,640
+نعم نعم بصيرش
+
+458
+00:30:45,640 --> 00:30:49,840
+إله أي امتصاص داخلي لأنه يعتبر جسم غريب صار جسم
+
+459
+00:30:49,840 --> 00:30:54,740
+غريب وبالتالي أنا أجيب لك مثال بسيط جدًا لو صار عندنا
+
+460
+00:30:54,740 --> 00:31:01,600
+مثلًا نزيف تحت الجلد هذا دم، مظبوط؟ الدم هدمه وجاب
+
+461
+00:31:01,600 --> 00:31:06,440
+لحظات كأننا كنا نستفيد منه وكأننا ننقل العتاد وال
+
+462
+00:31:06,440 --> 00:31:11,600
+العدالة إيش لخلايا هرجت صار برا مساره الطبيعي في
+
+463
+00:31:11,600 --> 00:31:14,580
+الحالة دي أنا إيش بدي أعمل أول حاجة إيقاف النزيف
+
+464
+00:31:14,580 --> 00:31:19,700
+أنا بستخدم كمادات ماء باردة عشان أوقف النزيف لأن
+
+465
+00:31:19,700 --> 00:31:24,620
+صار يعتبر جسم غريب تمام؟ ثاني يوم بستخدم كمادات
+
+466
+00:31:24,620 --> 00:31:30,560
+ماء دافئة عشان أنا أزيد كمية الدم اللي تصل للمنطقة
+
+467
+00:31:30,560 --> 00:31:37,000
+هذه تمام؟ وتخلص لي من الجسم الغريب هذا يعني أنت 
+
+468
+00:31:37,000 --> 00:31:40,520
+ما تلاحظ مثلًا في الكدمات أول يوم تكون إيش صلبة
+
+469
+00:31:40,520 --> 00:31:44,980
+بعدين شوية شوية ببدأ حجمها يصغر لغاية لما تصل
+
+470
+00:31:44,980 --> 00:31:49,460
+لقشور القشور هذه هي خلايا الدم الحمراء وله طبعًا
+
+471
+00:31:49,460 --> 00:31:54,910
+لون داكن فصار إعادة امتصاص للبلازما الموجودة طبعًا
+
+472
+00:31:54,910 --> 00:31:57,950
+في الدم، تمام؟ الحاجة الجسم بيقدر يستفيد منها،
+
+473
+00:31:57,950 --> 00:32:00,970
+بيعمل إعادة امتصاص لها، لكن هذه الخلايا أصبحت
+
+474
+00:32:00,970 --> 00:32:05,570
+خلايا ميتة، وبالتالي أنا أول يوم بعمل علاقات في
+
+475
+00:32:05,570 --> 00:32:08,790
+النزيف، لكن ثاني يوم بدي أزيد كمية الدم للمنطقة
+
+476
+00:32:08,790 --> 00:32:13,730
+هذه، حتى يصل جنود من الدم بتساعد على كنس وتنظيف
+
+477
+00:32:13,730 --> 00:32:17,030
+المنطقة هذه من الجسم الغريب هذا، تمام؟
+
+478
+00:32:22,850 --> 00:32:29,810
+على المعدة، الحين راح تسيل المعدة تهضمه، هتهضمه، لأ
+
+479
+00:32:29,810 --> 00:32:33,110
+أنا هقول لك حاجة كمان، في حالات مثلًا نزيف المعدة،
+
+480
+00:32:33,110 --> 00:32:35,910
+احنا أنا .. أنا أشيب لكم مثال بسيط جدًا، هلجيت في
+
+481
+00:32:35,910 --> 00:32:41,270
+حالات إن لون الدم، هلجيت أنا أشيب لكم مثال بسيط،
+
+482
+00:32:41,270 --> 00:32:46,990
+استفراغ، استفراغ، دم يعني قيء دموي، معناه نقول
+
+483
+00:32:46,990 --> 00:32:53,020
+مثلًا إيش؟ في نزيف في المعدة ممكن يكون هذا شيء بسيط
+
+484
+00:32:53,020 --> 00:32:59,200
+و تم هضمه ناشي أي .. أجد لما نقول والله مثلًا تحليل
+
+485
+00:32:59,200 --> 00:33:04,500
+براز لما يكون فيه مثلًا دم واضح معناه من الجزء
+
+486
+00:33:04,500 --> 00:33:08,140
+السفلي من القناة الهضمية نزيف مثلًا ممكن نكون من
+
+487
+00:33:08,140 --> 00:33:16,060
+المستقيم لكن لو كان دمه لونه قاتم أو أسود معناه من
+
+488
+00:33:16,060 --> 00:33:21,460
+أعلى الجهاز الهضمي مثلًا قرحة الـ 12 فيها نزيف وطبعًا
+
+489
+00:33:21,460 --> 00:33:24,140
+بيصير مشكلة أو ألم بعد تقريبًا ساعتين ما الإنسان يأكل
+
+490
+00:33:24,140 --> 00:33:29,340
+فيه نزيف، النزيف هذا هيعدي على مرحلة الهضم كلها،
+
+491
+00:33:29,340 --> 00:33:33,500
+تمام؟ إيش اللي بيخلي اللون أسود؟ مادة الحديد، وهذا
+
+492
+00:33:33,500 --> 00:33:36,560
+طبعًا الدليل لما نقول إحنا لأطفال أمهاتهم بيعطوهم
+
+493
+00:33:36,560 --> 00:33:39,740
+شراب الحديد، انتبه هيتغير لون البراز اللون الأسود
+
+494
+00:33:40,310 --> 00:33:43,970
+عشان الحديد لأن هنا ما بيصيرش له استفراغ لكن لو كان
+
+495
+00:33:43,970 --> 00:33:48,130
+في المعدة بيصير له استفراغ بلون الدم لكن لما يعدي
+
+496
+00:33:48,130 --> 00:33:52,050
+مراحل الهضم هيكون لونه أسود لكن لو كان من الجزء
+
+497
+00:33:52,050 --> 00:33:56,350
+السفلي مش هيصير له هضم كامل فهيخرج مع البراز بلون
+
+498
+00:33:56,350 --> 00:33:57,170
+الدم الواضح
+
+499
+00:34:00,440 --> 00:34:04,280
+أكيد لأنه جسم غريب يعتبر، هذا جسم غريب، لكن وجوده
+
+500
+00:34:04,280 --> 00:34:07,220
+معناه ضرر على الجسم، ليش؟ لأن كل مكان فيه نزيف
+
+501
+00:34:07,220 --> 00:34:11,600
+أكثر، والجسم ما يتخلصش منه، وطلع برة، معناه بيكون
+
+502
+00:34:11,600 --> 00:34:13,980
+ضار على الجسم، لأنه يقول مثلًا نزيف داخل البطن،
+
+503
+00:34:13,980 --> 00:34:20,120
+وفقدان كمية كبيرة، وهذا قد يؤدي بالوفاة للشخص هذا
+
+504
+00:34:30,090 --> 00:34:34,810
+طيب بنقول نصل للنقطة هذه لتفاعلات الجسم طبعًا هنريد
+
+505
+00:34:34,810 --> 00:34:39,030
+برضه توضيح الوقت مش هيدركنا إذا في أي سؤال بالنسبة
+
+506
+00:34:39,030 --> 00:34:44,250
+للنقطتين اللي إحنا شرحناهم بارك الله فيكم وشكراً
+
+507
+00:34:44,250 --> 00:34:44,550
+لكم
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/WDnJCu0Syg4_postprocess.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/WDnJCu0Syg4_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..0ae5edf6d3c8694ae2b042fccfb53a443d05f996
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/WDnJCu0Syg4_postprocess.srt
@@ -0,0 +1,2028 @@
+1
+00:00:04,990 --> 00:00:07,190
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:07,190 --> 00:00:10,050
+الرحيم والصلاة والسلام على أشرف المرسلين سيدنا
+
+3
+00:00:10,050 --> 00:00:14,310
+محمد وآله والصحابي وسلم طبعا استكمال لموضوع إصابات
+
+4
+00:00:14,310 --> 00:00:19,410
+الجهاز الدوري اتكلمنا على مكونات الجهاز الدوري من
+
+5
+00:00:19,410 --> 00:00:22,690
+.. من ناحية طبعا القلب والأوعي الدموية اللي تنقسم
+
+6
+00:00:22,690 --> 00:00:27,130
+طبعا للشرايين الأوردة الشعار الدموية اليوم ان شاء
+
+7
+00:00:27,130 --> 00:00:30,590
+الله هناخد جزئية بسيطة اللي هي طبعا إيش الإصابات
+
+8
+00:00:30,590 --> 00:00:33,530
+هذه وإيش بنتج عنها ومن ضمن الإصابات هذه أول حاجة
+
+9
+00:00:33,530 --> 00:00:37,460
+نتكلم على النزيفةطبعا شيء طبيعي أن مسار الدم هو
+
+10
+00:00:37,460 --> 00:00:41,380
+داخل الأوعية الدموية، خروج الدم عن مساره الطبيعي
+
+11
+00:00:41,380 --> 00:00:46,350
+هنا يعتبر نزيف، بمعنى طالما أن الإنسانداخل جسمه
+
+12
+00:00:46,350 --> 00:00:49,610
+الدم بيسير بالصورة الطبيعية مافي أي مشكلة، لكن
+
+13
+00:00:49,610 --> 00:00:52,650
+أحيان قد يكون هناك بعض المشاكل حتى لو كان الدم
+
+14
+00:00:52,650 --> 00:00:55,830
+بيسير داخل المجاري الطبيعية أو المسالك الطبيعية،
+
+15
+00:00:55,830 --> 00:00:59,090
+لكن هذه ربما تعتبر مشاكل مرضية، لكن نتكلم على
+
+16
+00:00:59,090 --> 00:01:02,490
+أشياء إحنا ممكن يكون إلنا قدرة على التعامل معها
+
+17
+00:01:02,490 --> 00:01:07,170
+وطبعا إنقاذ حياة المصاب أو الضحية فيهاخروج الدم عن
+
+18
+00:01:07,170 --> 00:01:11,130
+مساره الطبيعي بمعنى خروجه من الوريد أو الشريان أو
+
+19
+00:01:11,130 --> 00:01:14,430
+الشعير الدموية اليوم هتكلم على هذه الخصائص اللي
+
+20
+00:01:14,430 --> 00:01:18,470
+ممكن تكون مميزة سواء للشريان أو الوريد أو الشعير
+
+21
+00:01:18,470 --> 00:01:23,550
+الدموية طبعا يعني كمصطلح نزيف هو يعني خروج الدم من
+
+22
+00:01:23,550 --> 00:01:27,810
+الأواعد دموية صفة عامةلربما يخرج الدم يبقى في
+
+23
+00:01:27,810 --> 00:01:31,810
+الجسم أو لربما يغادر الجسم، معناه أنه ممكن أنا
+
+24
+00:01:31,810 --> 00:01:35,450
+أشوفه بعيني أو يبقى داخل طبعا الجسم، ممكن يقول
+
+25
+00:01:35,450 --> 00:01:38,170
+مثلا أنا عندى نزيف أنا شوفته، يعني معناه أن أنا
+
+26
+00:01:38,170 --> 00:01:42,310
+شوفت الدم خارج الجسم، قد يكون هناك نزيف داخل الجسم
+
+27
+00:01:42,310 --> 00:01:46,490
+لكن أنا ماشوفته، لكن إيش اللي يدللني إن في نزيف؟
+
+28
+00:01:46,490 --> 00:01:48,920
+طبعا في علامات هنتكلم عليهاوبالتالي احنا طبعا
+
+29
+00:01:48,920 --> 00:01:52,540
+هنبدأ حسب يعني النزيف طبعا ممكن نجسمه من حيث
+
+30
+00:01:52,540 --> 00:01:55,640
+الوعاء النازف، ايش يعني الوعاء النازف؟ من حيث طبعا
+
+31
+00:01:55,640 --> 00:01:59,680
+المكان اللي خرج منه الدم، سواء من الشريان أو
+
+32
+00:01:59,680 --> 00:02:02,880
+الوريد أو الشعيرة الدموية، طبعا في بعض الخصائص
+
+33
+00:02:02,880 --> 00:02:05,480
+اللي احنا قبل كده فرقنا ما بين طبعا النزيف
+
+34
+00:02:05,480 --> 00:02:08,660
+الشرياني أو الوريدي أو الشعيري، لكن اليوم بس أنا
+
+35
+00:02:08,660 --> 00:02:12,000
+للتأكيد أكتر، أنا في عندي النزيف الشرياني، واحنا
+
+36
+00:02:12,000 --> 00:02:16,590
+قلنا مضخة الدم بالنسبة للشرين هو القلب، بمعنىخروج
+
+37
+00:02:16,590 --> 00:02:21,310
+الدم من أي شريان للخارج، معناه هيخرج حسب نبضات
+
+38
+00:02:21,310 --> 00:02:25,190
+القلب، يعني هيخرج بإندفاع، يعني مثلا كل ما يمد
+
+39
+00:02:25,190 --> 00:02:29,590
+القلب، معناه الدم هيطلع بقوة، يعني هيطلع أيش؟ مؤشر
+
+40
+00:02:29,590 --> 00:02:33,030
+أن هذا دم شرياني، وطبعا الناحية التانية، لو كان
+
+41
+00:02:33,030 --> 00:02:37,290
+الدم لونه قاء أحمر وردي، هذا برضه يعتبر دم أيش؟
+
+42
+00:02:37,290 --> 00:02:40,710
+شرياني، ليش؟ لأنه محمل بالأكسجين، وهنقولنا طبعا
+
+43
+00:02:40,710 --> 00:02:44,710
+بصفة عامة إن الشريان تحمل الدم المؤكسجةطيب، لو كان
+
+44
+00:02:44,710 --> 00:02:49,570
+عندى أنا دم خرج من الوريد، الوريد قلنا مايله مضخة،
+
+45
+00:02:49,570 --> 00:02:53,070
+هو بقود على المضخة، مضخته طبعا هي الخلايا الدموية،
+
+46
+00:02:53,070 --> 00:02:55,510
+والخلايا الدموية مافيها عشان ينقل بعضه انبساط زى
+
+47
+00:02:55,510 --> 00:02:58,870
+عضلة القلب، وبالتالي بيقول احنا خروج الدم من
+
+48
+00:02:58,870 --> 00:03:03,840
+الوريد يكون مميزطبعا اول حاجة باللون بكون داكن لان
+
+49
+00:03:03,840 --> 00:03:06,580
+طبعا يحمل نسبة عالية من ثانو اكسيد الكربون لان
+
+50
+00:03:06,580 --> 00:03:10,060
+طبعا هيعود الى القلب الناحية التانية يخرج بنسياب
+
+51
+00:03:10,060 --> 00:03:14,220
+يعني مابكنش بدفقات زي ما هي موجودة وين في الدم في
+
+52
+00:03:14,220 --> 00:03:18,710
+النزيف الشرياني وطبعا ميزة النزيف الشرياني خطيرلو
+
+53
+00:03:18,710 --> 00:03:22,750
+طبعا يخرج مباشرة من القلب يعني معناه هيخرج في الدم
+
+54
+00:03:22,750 --> 00:03:26,130
+فيه أكسجين فيه مواد غذائية لخارج الجسم وهو طبعا
+
+55
+00:03:26,130 --> 00:03:30,390
+هينقص على الخلايا وخاصة طبعا خلايا الدماء أما
+
+56
+00:03:30,390 --> 00:03:33,770
+بالنسبة للدم طبعا ليش كمان خطير؟ لأنه يخرج بقوة
+
+57
+00:03:33,770 --> 00:03:38,450
+أما بالنسبة للدم النظيف ال .. الوريدي هيخرج ببطء
+
+58
+00:03:39,050 --> 00:03:42,490
+تمام؟ و هو طبعا مش محمل بالأكسجين الكافي لكن أي إن
+
+59
+00:03:42,490 --> 00:03:45,830
+كان برضه فيه خطورة لكن خطورته لا تصل إلى خطورة
+
+60
+00:03:45,830 --> 00:03:49,390
+الدم الشرياني من ناحية إنه هيخرج الدم الشرياني
+
+61
+00:03:49,390 --> 00:03:53,530
+النزيف فيه هيكون بقوة لكن بالنسبة للنزيف الوريدي
+
+62
+00:03:53,530 --> 00:03:57,450
+هيكون ببطء لكن بمعنى هل النزيف الوريدي يهدد الحياة
+
+63
+00:03:57,450 --> 00:04:00,750
+ولا لا؟ طبعا يهدد الحياة إذا كانت بكمية كبيرة زي
+
+64
+00:04:00,750 --> 00:04:05,420
+ما هنتكلم كمان شوية حسب برضه الفترة الزمنيةالنوع
+
+65
+00:04:05,420 --> 00:04:09,480
+التالت اللي هو طبعا حسب اللي هو الشعيري أو الناس
+
+66
+00:04:09,480 --> 00:04:12,400
+في الشعيري و هى طبعا بيكون على هيط رشح أو قطرات
+
+67
+00:04:12,400 --> 00:04:15,780
+بسيطة و انا ممكن ابسط مثال اللي هو طبعا في حالات
+
+68
+00:04:15,780 --> 00:04:21,530
+الجروح السحجية او الكحطية او الخدشيةمعناه أنه لو
+
+69
+00:04:21,530 --> 00:04:25,590
+لحد مثلا كان ماشي وزحلج على الأرض خشنة ماهياش نعمة
+
+70
+00:04:25,590 --> 00:04:28,910
+بصير خدوش، معناه أنه صار عندي تآكل في الطبقة
+
+71
+00:04:28,910 --> 00:04:32,130
+الخارجية من الجلد، ودايما طبعا بنا نعرف أنه الأوعي
+
+72
+00:04:32,130 --> 00:04:36,450
+الدموية مغطا بقى الجلد، وطبعا قلنا أن كل خلية من
+
+73
+00:04:36,450 --> 00:04:40,450
+خلايا الجسم لازم يصلها الدمعن طريق الشعيرة الدموية
+
+74
+00:04:40,450 --> 00:04:44,610
+بمعنى إنه هيكون عندى نزيف بسيط جدا والنزيف هذا
+
+75
+00:04:44,610 --> 00:04:48,070
+يخرج على هيئة قطرات يعني نقاط صغيرة لإنه بيكون
+
+76
+00:04:48,070 --> 00:04:52,210
+طبعا عند مصاحبه خروج لبلازمة ما بين الخلايا وأيضا
+
+77
+00:04:52,210 --> 00:04:56,190
+كمان خروج الدم على هيئة نقاط صغيرة لكن هذا طبعا
+
+78
+00:04:56,190 --> 00:04:58,810
+مافيش منه خطورة لإنه طبعا بتجلط يعني بعد فترة
+
+79
+00:04:58,810 --> 00:05:02,330
+بسيطة يبقى أسرع وسيلة أو أسرع طريقة إنه يتجلط اللي
+
+80
+00:05:02,330 --> 00:05:05,870
+هو في النزيف الشعيربدي أقول أنا بس حاجة واضحة جدا
+
+81
+00:05:05,870 --> 00:05:08,650
+إنه كيف بيصير عندنا عملية التجلط يعني ممكن بس
+
+82
+00:05:08,650 --> 00:05:12,870
+أستبقها شوية إنه أي إنسان بيصير عنده نزيف بنلاحظ
+
+83
+00:05:12,870 --> 00:05:16,030
+إنه في البداية إيش؟ تنقبض الأوعية الدموية وهنا
+
+84
+00:05:16,030 --> 00:05:19,930
+هنتكلم عليه إيش التفاعلة اللي بتصير بس عشان إنها
+
+85
+00:05:19,930 --> 00:05:23,690
+موقع في الشرح هنا بعد ما تنقبض الأوعية الدموية
+
+86
+00:05:23,690 --> 00:05:30,160
+تنقبض ليش؟ عشان يقل كمية النزيفبعد هيك تتسع نوعا
+
+87
+00:05:30,160 --> 00:05:33,400
+ما الأوعي الدموية طبعا في حالات النزيف، ليش تتسع؟
+
+88
+00:05:33,400 --> 00:05:36,740
+عشان يصل عند كمية كبيرة من الدم المحمل بالصفائح
+
+89
+00:05:36,740 --> 00:05:40,360
+الدموية وبعض المواد الكيموية الكيموية وبالتالي
+
+90
+00:05:40,360 --> 00:05:45,020
+بيقول احنا الإنسان شعر بالألم بعد الإصابةمش من ..
+
+91
+00:05:45,020 --> 00:05:48,320
+مش لحظة الإصابة، بيقولوا والله بردت عليه الضربة أو
+
+92
+00:05:48,320 --> 00:05:51,060
+بردت عليه الهواية أو بردت عليه طبعا ال .. ال ..
+
+93
+00:05:51,060 --> 00:05:53,840
+الحدد وبالتالي هنا بيصير ان اتساع في الأوعي
+
+94
+00:05:53,840 --> 00:05:58,540
+الدموية على أساس يصل عندي دم محمل .. دم محمل
+
+95
+00:05:58,540 --> 00:06:02,740
+بالصفائح الدموية اللي هي هتساعد على إيقاف النزيم
+
+96
+00:06:02,740 --> 00:06:06,940
+لكن هذا برضه يعتمد على المكان، لو كان عندي جرح
+
+97
+00:06:06,940 --> 00:06:11,300
+كبيرما بتوقف لوحده، طبعا بده إيش؟ أشياء مساعدة،
+
+98
+00:06:11,300 --> 00:06:14,640
+احنا بنلاحظ أحيانا بعض الجروح البسيطة شوية بتجلط
+
+99
+00:06:14,640 --> 00:06:18,620
+الدم، طبعا كبداية زي ما قلنا بصير عندي انقباض في
+
+100
+00:06:18,620 --> 00:06:21,700
+الأوعيات الدموية عشان نتقلل من النزيف، لكن بعد
+
+101
+00:06:21,700 --> 00:06:25,080
+لحظات بسيطة بصير عندي اتساع في الأوعيات الدموية
+
+102
+00:06:25,080 --> 00:06:29,090
+وبيقول الإنسان شعر بالألم بعد الإصابةبعد الضربة،
+
+103
+00:06:29,090 --> 00:06:32,830
+تمام؟ مابشعر ساعتها مباشرة، ليش؟ لأنه صار عند ..
+
+104
+00:06:32,830 --> 00:06:37,190
+ورد مع الدم كمية من المواد الكيميائية اللي بتذوب و
+
+105
+00:06:37,190 --> 00:06:41,610
+طبعا تنقل أثرها عبر الجهاز العصبي وبالتالي بيصير
+
+106
+00:06:41,610 --> 00:06:44,390
+ردة الفعل من ناحية إيش الألم، هذا بس للتوضيح مش
+
+107
+00:06:44,390 --> 00:06:50,550
+أكترطيب، نيجي لمن حيث المكان، النزيف من حيث
+
+108
+00:06:50,550 --> 00:06:54,130
+المكان، من حسب أو من حيث طبعا الوعاء، قولنا شعيري
+
+109
+00:06:54,130 --> 00:06:58,130
+و وريدي و أشري يعني، نيجي من حيث المكان، طبعا في
+
+110
+00:06:58,130 --> 00:07:01,690
+عنا نزيف داخلي و نزيف خارجي، طبعا النزيف الخارجي
+
+111
+00:07:01,690 --> 00:07:07,600
+اللي أنا شوف الدم بعينيا، برا، يعني غاضر الجسمغضب
+
+112
+00:07:07,600 --> 00:07:10,900
+الجسم، طبعا هنا في اندي كمان نزيف داخلي، النزيف
+
+113
+00:07:10,900 --> 00:07:15,540
+الداخلي احنا غالبا بنقول عنه مثلا كدمات أو مثلا
+
+114
+00:07:15,540 --> 00:07:20,660
+نزيف داخل البطن، يعني انسان مثلا صار معاه حادث،
+
+115
+00:07:20,660 --> 00:07:24,640
+انسان مثلا خبط سيارة، انسان واجع من اعلى، وبالتالي
+
+116
+00:07:24,640 --> 00:07:28,420
+في علامات بتميز، طبعا اول حاجة انا بدي اقول في
+
+117
+00:07:28,420 --> 00:07:32,530
+عنده نزيف، اذا انا شوفت الدم بعينياطبعا الحاجة
+
+118
+00:07:32,530 --> 00:07:35,510
+التانية اللي انا ممكن ماشوفش الدم فيه علامات ظاهرة
+
+119
+00:07:35,510 --> 00:07:39,250
+العلامات الظاهرة و لما اقول و الله مثلا تحت الجلد
+
+120
+00:07:39,250 --> 00:07:43,410
+صار عندى نزيف و النزيف هذا انا مش شايف انه طلع ايش
+
+121
+00:07:43,410 --> 00:07:47,710
+برا الجسم و بالتالة بدأ اقول انا النزيف لما
+
+122
+00:07:47,710 --> 00:07:51,410
+مايخرجش برا الجسم بسميه ايش نزيف داخلي النزيف
+
+123
+00:07:51,410 --> 00:07:56,150
+الداخلي هذا ممكن يكون مرئي تحت الجلد لكن ماطلع برا
+
+124
+00:07:57,170 --> 00:08:00,610
+وممكن يكون داخل البطن على سبيل المثال، لكن لما أنا
+
+125
+00:08:00,610 --> 00:08:03,970
+أقول والله مرقي تحت الجلد، معناه فيه نزيف، إيه هذا
+
+126
+00:08:03,970 --> 00:08:07,270
+مؤشر؟ لكن لما يكون داخل البطن، برضه فيه علامات،
+
+127
+00:08:07,270 --> 00:08:11,850
+أهم العلامات هذه إن الشخص لونه باسفر، و هنتكلم ليش
+
+128
+00:08:11,850 --> 00:08:14,890
+طبعا في التفاعلات اللي هتصير بعد هي كده، تاني حاجة
+
+129
+00:08:14,890 --> 00:08:20,740
+بزيد عدد دجاجة خلبه، بزيد معدل التنفس،طبعا بصير
+
+130
+00:08:20,740 --> 00:08:24,840
+عنده عرق بارد تمام؟ و قد طبعا يؤدي إلى الوفاة،
+
+131
+00:08:24,840 --> 00:08:29,440
+يعني نقول مثلا إنسان صار معاه حادث، تمام؟ لأ
+
+132
+00:08:29,440 --> 00:08:35,060
+مابصير، لأ مابصير، طبعا هنا ماشي، هذه كدماتهذه
+
+133
+00:08:35,060 --> 00:08:37,860
+كلمات طبعا نظيفة داخلة، طبعا عشان احنا نقول احنا
+
+134
+00:08:37,860 --> 00:08:42,400
+بعض الناس مثلا يقول .. نقول مثلا صار معاه حادث،
+
+135
+00:08:42,400 --> 00:08:45,900
+وجه عن سطح، ما أخدش ولا أعطف الكلام هذا، التاني
+
+136
+00:08:45,900 --> 00:08:49,300
+يوم لجوه ميت، طب ليش مات؟ مع أنه مش مبين عليه شيء،
+
+137
+00:08:49,300 --> 00:08:52,970
+طبعا نظيفة .. طبعا نتيجة نظيفة داخلةالنزيف كمان
+
+138
+00:08:52,970 --> 00:08:56,770
+الداخلي ممكن يكون مثلا في الجمجمة مثلا لسان رتفع
+
+139
+00:08:56,770 --> 00:09:00,210
+الدم .. ضغط الدم عنده صار نزيف، تمام؟ وبالتالي
+
+140
+00:09:00,210 --> 00:09:02,650
+يعني النزيف انا أحيان ما بشوفه طبعا بسميه طبعا
+
+141
+00:09:02,650 --> 00:09:07,170
+نزيف داخلي، لكن بشوف الأثر أو الأعراض الجانبية
+
+142
+00:09:07,170 --> 00:09:09,630
+اللي بتنتج نتيجة طبعا النزيف هذا، ومن هنا ببدأ
+
+143
+00:09:09,630 --> 00:09:13,390
+اقول طبعاالعلمات الخطيرة لو إنسان مثلا صار عنده
+
+144
+00:09:13,390 --> 00:09:16,570
+حادث أو صار مثلا عنده سقوط أو إنسان مثلا رجع على
+
+145
+00:09:16,570 --> 00:09:20,790
+بطن الشيء وبدأ يتغير شوية، بدأ مثلا يحس حاله أنه
+
+146
+00:09:20,790 --> 00:09:24,130
+تعبان، بدأ أنه مثلا يصير عنده اصفرار، هذا معناه
+
+147
+00:09:24,130 --> 00:09:28,130
+بالمطلق و بالحتمي أنه في عنده نزيف، اتفضل يا عزيزي
+
+148
+00:09:28,130 --> 00:09:32,850
+تفضل
+
+149
+00:09:32,850 --> 00:09:36,210
+يا عزيزي تفضل
+
+150
+00:09:36,210 --> 00:09:40,190
+يا عزيزي تفضل يا عزيزي تفضل يا عزيزيلأ طبعا احنا
+
+151
+00:09:40,190 --> 00:09:44,250
+قولنا المرة الفاتة لو كان عندي أنانازيف مثلا في
+
+152
+00:09:44,250 --> 00:09:48,010
+منطقة الصدر نتيجة مثلا إصابة أو مثلا حادث أو مثلا
+
+153
+00:09:48,010 --> 00:09:51,570
+طعن أو شيء فاحنا قولنا .. اتكلمنا كيف؟ على طريقة
+
+154
+00:09:51,570 --> 00:09:55,630
+إيقاف الدم إن طبعا خاصة بالصدر إنه بيكون من ثلاث
+
+155
+00:09:55,630 --> 00:09:59,750
+نواحي و خاصة ممكن نضع جطعة نايلون عليها و بتضل
+
+156
+00:09:59,750 --> 00:10:04,120
+ناحية واحدة و بنام على ناحية إيش؟ المصابلأ نبيب
+
+157
+00:10:04,120 --> 00:10:07,400
+هذه مابتدخلش فيها لإن أنا كمسعف بستخدم أولويات
+
+158
+00:10:07,400 --> 00:10:11,340
+بسيطة و أشياء بسيطة لكن لو كان موفر مثلا سيارة
+
+159
+00:10:11,340 --> 00:10:15,360
+إسعافية و إمكانيات أه لكن أنا مابديش أنا أستخدم
+
+160
+00:10:15,360 --> 00:10:18,500
+إلا الحاجات اللي بتساعد على إنقاذ حياته و المحافظة
+
+161
+00:10:18,500 --> 00:10:21,740
+عليها لإن أنا إيش هدف الإسعاف الأولي إن أحافظ
+
+162
+00:10:21,740 --> 00:10:24,740
+حياته و انقاذها تمام؟ أنا مابتدعم العملية الجراحية
+
+163
+00:10:24,740 --> 00:10:28,600
+بأشياء مش متوفرة و أدخل في مشاكل إحنا دايما في
+
+164
+00:10:28,600 --> 00:10:32,860
+الإسعاف الأولي درء المفاسط أفضل من جلب المنافعإن
+
+165
+00:10:32,860 --> 00:10:35,020
+أنا هانصحهم و أقولك و الله ممكن أخاف يصير عنده
+
+166
+00:10:35,020 --> 00:10:37,640
+التهاب، لأ ماشي، طب ال .. ال .. المنفعة الأولى هذا
+
+167
+00:10:37,640 --> 00:10:40,800
+إن أنا أوقف النزيف لأن استمرار النزيف، مثلا أستخدم
+
+168
+00:10:40,800 --> 00:10:44,240
+قطرة إجماش نظيفة، أنا ماعنديش حاجة معقمة، لكن نظيف
+
+169
+00:10:44,240 --> 00:10:47,740
+بتسد الغرض، أساسا إن أنا أعمل عيقاف للنزيف، ولا
+
+170
+00:10:47,740 --> 00:10:51,480
+أخلي النزيف لما أنتظر قطرة إجماش معقمة، يبقى في
+
+171
+00:10:51,480 --> 00:10:55,080
+عنده أولويات، طبعا في عنده إيش؟ بيكون أولوياتطب
+
+172
+00:10:55,080 --> 00:10:58,060
+نيجي لقى طبعا ال .. ال band التالت أو المحور
+
+173
+00:10:58,060 --> 00:11:01,860
+التالت بالنسبة لانزيف من حيث زمن النزيف يعني وقتاش
+
+174
+00:11:01,860 --> 00:11:05,060
+بيصير عندنا نزيف طبعا أول حاجة اللي هو النزيف
+
+175
+00:11:05,060 --> 00:11:10,520
+الأولي وهذا طبعا اللي بيصير مباشرة بعد الإصابة،
+
+176
+00:11:10,520 --> 00:11:15,150
+واحد انجرحواحد صار عنده قطع، واحد ضرب سكين، واحد
+
+177
+00:11:15,150 --> 00:11:19,070
+ضرب ارصاص، نزل الدم هذا يعتبر إيش؟ نزيف أولي،
+
+178
+00:11:19,070 --> 00:11:23,630
+مباشرة، يبقى مباشرة بيصير بعد الحدث مباشرة، بكمية
+
+179
+00:11:23,630 --> 00:11:27,770
+.. بكمية قليلة، بكمية كبيرة، طبعا وريدي، شرياني،
+
+180
+00:11:27,770 --> 00:11:31,810
+يعتبر إيش؟ نزيف أولي، تمام، نيجي للنزيف التفاؤلي
+
+181
+00:11:32,460 --> 00:11:36,480
+طبعا النزيف التفاعلي مثلا إنسان عمل عملية جراحية
+
+182
+00:11:36,480 --> 00:11:42,160
+تمام؟ و الشخص هذا مثلا بيقول مثلا الغرز مش مربوطة
+
+183
+00:11:42,160 --> 00:11:44,480
+كويس على سبيل المثال و بالتالي أنتوا بتلاحظوا لما
+
+184
+00:11:44,480 --> 00:11:48,180
+إنسان مثلا بيعمل اللواز بيقوله إيش؟ خد حاجة باردة،
+
+185
+00:11:48,180 --> 00:11:52,560
+خد بوزة، إشي بارد، ليش؟ عشان نعمل ضيق في الأوعية
+
+186
+00:11:52,560 --> 00:11:56,090
+الدمويةضيق في القوية الدموية وبالتالي أي إنسان
+
+187
+00:11:56,090 --> 00:11:58,670
+مثلا بيدعمل عملية جراحية أو حتى مثلا بيدخل ع
+
+188
+00:11:58,670 --> 00:12:04,570
+أسنانه، لو كان مثلا بياخد مواد مسيلة للدم مثلا زي
+
+189
+00:12:04,570 --> 00:12:09,190
+الـHibarin أو الـBepisprin طبعا إذا كان ما ياخد
+
+190
+00:12:09,190 --> 00:12:14,130
+المادة هذه، معناه هيكون سهولة خروج الدم موفرة،
+
+191
+00:12:14,130 --> 00:12:17,820
+بمعنى إنه هيصير نزيفوبالتالي هنا أو إنسان مثلا
+
+192
+00:12:17,820 --> 00:12:21,980
+عنده ارتفاع في ضغط الدم وبالتالي أي إنسان مثلا
+
+193
+00:12:21,980 --> 00:12:25,140
+بيدخل عملية جراحية طبعا بياخدوه طبعا قياس اللي هي
+
+194
+00:12:25,140 --> 00:12:28,440
+علامات الحياة ومن ضمنها طبعا ضغط الدم لو وطبعا
+
+195
+00:12:28,440 --> 00:12:31,780
+بيصير هذا كتير لو أي إنسان كان بيدخل .. وبالتالي
+
+196
+00:12:31,780 --> 00:12:35,040
+بيصير تهيأ للمريض لما يدخل مثلا عملية جراحية لو أي
+
+197
+00:12:35,040 --> 00:12:38,960
+إنسان بيدخل عملية جراحية وهو مش مهيأ وخايف متوتر
+
+198
+00:12:38,960 --> 00:12:43,040
+اجينا نجيس ضغط الدم نجينا 180 على 120 ارجع مافيش
+
+199
+00:12:43,040 --> 00:12:47,270
+عمليةاتكانصرت العملية، اتأجرت العملية، ليش؟ لأن
+
+200
+00:12:47,270 --> 00:12:52,090
+هنا زيارة ضغط الدم معناه فيه احتمالية للنزيف بعد
+
+201
+00:12:52,090 --> 00:12:55,370
+العملية، وبالتالي هذا طبعا اللي هو النزيف التفاعلي
+
+202
+00:12:55,370 --> 00:12:59,550
+اللي بيحدث بعد العملية الجراحية مثلا زي إنسان مثلا
+
+203
+00:12:59,550 --> 00:13:04,910
+غرز مش يعني مش دقيقة في .. في .. طبعا في عقدها أو
+
+204
+00:13:04,910 --> 00:13:08,880
+مثلا إنسان بياخد مواد مسيلةأو إنسان عنده ضغط دم
+
+205
+00:13:08,880 --> 00:13:12,560
+وارتفع ضغط الدم، يبقى دي طبعا بيصير خلال الأول 24
+
+206
+00:13:12,560 --> 00:13:15,940
+ساعة، وبالتالي هنحن نقول إحنا حارسين إن الإنسان
+
+207
+00:13:15,940 --> 00:13:19,340
+اللي بده يعمل عملية جراحية، بدي يكون معروف إيش
+
+208
+00:13:19,340 --> 00:13:23,140
+العلاجات اللي بياخدها، هل عنده ضغط دم ولا ماعندوش،
+
+209
+00:13:23,140 --> 00:13:26,080
+ضغط الدم منتظم ولا مش منتظم، هل بياخد بيبا أسبرين
+
+210
+00:13:26,080 --> 00:13:28,080
+ولا بيخرج، يعني في بعض الناس اللي عندهم طبعا ضغط
+
+211
+00:13:28,080 --> 00:13:32,010
+الدم، بياخد البيبا أسبرينأو إنسان مثلا عنده تجلطات
+
+212
+00:13:32,010 --> 00:13:36,030
+مثلا عنده الدوالي و طبعا بياخد مثلا Heparin أو
+
+213
+00:13:36,030 --> 00:13:39,150
+سيدة حامل مثلا بتاخد Heparin تمام؟ فبالتالي لازم
+
+214
+00:13:39,150 --> 00:13:43,670
+يكون قبل العملية بفترة مش ماخد المواد هذه المسيلة
+
+215
+00:13:43,670 --> 00:13:47,850
+اللي طبعا بتساعد على سيولة الدم وسهولة اللي هو
+
+216
+00:13:47,850 --> 00:13:49,110
+حدوث النظيفة
+
+217
+00:13:52,120 --> 00:13:55,860
+طيب، بيجي أنا كمان إن هو النزيف الثانوي، يعني هذا
+
+218
+00:13:55,860 --> 00:13:58,780
+بيجي على الهامش، ليس بالضرورة يصيب .. طبعا النزيف
+
+219
+00:13:58,780 --> 00:14:03,040
+الأول مباشرة شيء طبيعي، النزيف التفاعلي ممكن أو
+
+220
+00:14:03,040 --> 00:14:06,900
+ممكن لأ، النزيف الثانوي يعني ما هواش أساس، يعني
+
+221
+00:14:06,900 --> 00:14:10,000
+نقول مثلا إنسان عمل عملية جراحية أو ست مثلا عمل
+
+222
+00:14:10,000 --> 00:14:13,280
+عملية قيصرية، يومين، تلاتة، أربعة، بدأ يلتهي
+
+223
+00:14:13,280 --> 00:14:17,050
+بالجروحالغرز مش هتلتقم، لأن طبعا الجسم مابرفض
+
+224
+00:14:17,050 --> 00:14:20,990
+الأشياء هذه كلها، تمام؟ وبالتالي .. بالتالي ممكن
+
+225
+00:14:20,990 --> 00:14:24,870
+يصير التهاب، والالتهاب بحد ذاته يعمل ضعف في الأوعد
+
+226
+00:14:24,870 --> 00:14:27,650
+نموية ويد إلى نزيف، وهذا طبعا احنا نسميه اللي هو
+
+227
+00:14:27,650 --> 00:14:31,250
+طبعا النزيف الثانوي اللي ممكن يكون خلال أسبوع،
+
+228
+00:14:31,250 --> 00:14:35,950
+خلال أربعة أيام، يعني نتيجة التهابات شديدة حدثت في
+
+229
+00:14:35,950 --> 00:14:40,150
+المنطقة نفسها وادت إلى ضعف في الأوعد نموية وعدم
+
+230
+00:14:40,150 --> 00:14:43,330
+التصاق في جدار الجرح، وبالتالي أدت إلى أيش حدوث
+
+231
+00:14:43,330 --> 00:14:43,710
+نزيف
+
+232
+00:14:52,480 --> 00:14:55,440
+طيب نيجي لأسباب ممكن تؤدي لنزيف طبعا هذه أسباب
+
+233
+00:14:55,440 --> 00:15:00,000
+بتكون أسباب عامة أول سبب طبعا هو نزيف المرضي لما
+
+234
+00:15:00,000 --> 00:15:05,100
+نقول والله إنسان مثلا عنده
+
+235
+00:15:05,100 --> 00:15:10,860
+قرحة معدة أو مثلا إنسان بتقيق دم بيستفرق دم طبعا
+
+236
+00:15:10,860 --> 00:15:14,920
+هنا الاستفراق ممكن يكون من ناحيتين الناحية الأولى
+
+237
+00:15:14,920 --> 00:15:19,060
+أنه ممكن يكون من المريق مثلا دوال المريق أو قرحة
+
+238
+00:15:19,060 --> 00:15:23,720
+معدةطبعا كل مكان لأعلى كل مكان لون الاستفراغ فيه
+
+239
+00:15:23,720 --> 00:15:29,030
+دم لونه ده وردي اكترتمام؟ و بالتالي هنا او غامق
+
+240
+00:15:29,030 --> 00:15:32,890
+اكتر لما يكون عندى من المريء او مثلا من المعدة
+
+241
+00:15:32,890 --> 00:15:36,250
+بيأكل حاجة و بالتالي اخواتنا هنا بيكونوا حارسين
+
+242
+00:15:36,250 --> 00:15:39,790
+جدا حتى في عاداتنا بالنسبة للأكل و الشرب طبعا
+
+243
+00:15:39,790 --> 00:15:43,030
+المنهي عنه هو تناول الطعام الساخن طبعا كان منهي
+
+244
+00:15:43,030 --> 00:15:46,950
+عنه من قبل الف اربعمائة سنة و علميا طبعا بيثبتوا
+
+245
+00:15:46,950 --> 00:15:49,710
+ان تناول الطعام الساخن هو احد الأسباب تؤدي الى
+
+246
+00:15:49,710 --> 00:15:54,010
+تأكل في جدار المعدةو من هنا طبعا بنكون حارسين لأن
+
+247
+00:15:54,010 --> 00:15:58,070
+الأكل دافي لكن مايكون ساخن كتير طبعا اللي بأثر على
+
+248
+00:15:58,070 --> 00:16:02,190
+جدار المعدة أو جدار مبطن إيش؟ لأ المعدة فالأفضل ..
+
+249
+00:16:02,190 --> 00:16:06,590
+الأفضل نبتعد على الأشياء الساخنة جدا و ممكن طبعا
+
+250
+00:16:06,590 --> 00:16:10,770
+يكون مثلا عندنا دوالي المريء أو مثلا قرحت المعدة و
+
+251
+00:16:10,770 --> 00:16:15,850
+بالتالي هنا قد يكون أحد الأسباب لوحة دوالي المريء
+
+252
+00:16:15,850 --> 00:16:22,000
+زي دوال الساقن معناه انتفاخ في الأور دهتقل المريء،
+
+253
+00:16:22,000 --> 00:16:25,720
+طبعا لأن قولنا المريء هو نبوب عضلية قرحة المعدة هي
+
+254
+00:16:25,720 --> 00:16:29,380
+تآكل في جدار .. في الجدار البطن للمعدة طبعا نتيجة
+
+255
+00:16:29,380 --> 00:16:32,500
+أسباب كثيرة، بس باختصار أقولك إياهم ممكن يكون من
+
+256
+00:16:32,500 --> 00:16:35,500
+التدخين، ممكن يكون من حالة النفسية، ممكن يكون
+
+257
+00:16:35,500 --> 00:16:38,640
+طبيعة الأكل، ممكن يكون تناول بعض الأدوية مثلا زي
+
+258
+00:16:38,640 --> 00:16:41,940
+الديكلوفين أو الاسبيرين بدون طبعا واجبة غذائية
+
+259
+00:16:41,940 --> 00:16:45,920
+لطبعنا بزيد من حمورة المعدة طبعا ممكن يكون أسباب
+
+260
+00:16:45,920 --> 00:16:48,980
+مرضية، ممكن مثلا اللي سمح الله أو ران في المعدة
+
+261
+00:16:49,660 --> 00:16:52,840
+يكبر طبعاً السبب وبالتالي اخواتنا أحد الأسباب
+
+262
+00:16:52,840 --> 00:16:57,320
+لجميع الأمراض أحد الأسباب لمعظم الأمراض الحالة
+
+263
+00:16:57,320 --> 00:17:01,000
+النفسية والتوتر أسبوية وبالتالي يعني هذا بدرجة عن
+
+264
+00:17:01,000 --> 00:17:02,660
+حديث الرسول صلى الله عليه وسلم لما قالوا الصحابي
+
+265
+00:17:02,660 --> 00:17:07,320
+أوصاني قالوا لأ تغضب تكرر تلت مرة كلمتين صغار لأن
+
+266
+00:17:07,320 --> 00:17:12,060
+هذه الغضب بيأثر على كل أجسام الجسم زي ما قلنا
+
+267
+00:17:12,060 --> 00:17:15,460
+إنسان بتدخل عملية جراحية وغضب وتوتر اتأجلت العملية
+
+268
+00:17:15,460 --> 00:17:21,570
+حاجة بسيطة جدا طيبطبعا مرض الاسقربوت أكيد سمعتوا
+
+269
+00:17:21,570 --> 00:17:27,390
+فيه طبعا مش بيوقع بيصير نزيف اللثة وهو طبعا غالبا
+
+270
+00:17:27,390 --> 00:17:31,790
+يكون نتيجة نقص فيتامين C او جيم الاسقربوت او
+
+271
+00:17:31,790 --> 00:17:36,510
+scurvy طبعا هذا نقصها لأنه بسبب عدم تناول او نقص
+
+272
+00:17:36,510 --> 00:17:40,450
+فيتامين C او جيم في وجبات الطعام وهو طبعا وين
+
+273
+00:17:40,450 --> 00:17:45,810
+بيحصل اكتر؟للبحار لأنه مابتناول أشياء طازجة لأن
+
+274
+00:17:45,810 --> 00:17:49,030
+السمك مش غني ب vitamin C أو كانت البحرية مش غنية ب
+
+275
+00:17:49,030 --> 00:17:52,870
+vitamin C وبالتالي vitamin C الحمد لله موفر عندنا
+
+276
+00:17:52,870 --> 00:17:56,310
+كتير وغالبا موجود بالجوافة الجوافة طبعا أعلى نسبة
+
+277
+00:17:56,310 --> 00:17:59,350
+فيها أو الحمضيات طبعا الجوافة أعلى من الحمضيات
+
+278
+00:17:59,350 --> 00:17:59,630
+كمان
+
+279
+00:18:04,610 --> 00:18:07,710
+طيب النزيف طبعا التلقائي أو الذاتي زي ما قلنا احنا
+
+280
+00:18:07,710 --> 00:18:10,170
+ممكن طبعا أحد الأسباب ممكن تكون تلقائي زي ما قلنا
+
+281
+00:18:10,170 --> 00:18:16,150
+خلال يعني ضعف في مكان العملية طبعا أو مثلا اللي
+
+282
+00:18:16,150 --> 00:18:19,870
+بيكون العملية بحد ذاتها مافيش فيها عوامل تخثر أو
+
+283
+00:18:19,870 --> 00:18:24,370
+ضعف بسبب طبعا مادة مش موجودة يمكن أقرب مثال عندنا
+
+284
+00:18:24,370 --> 00:18:28,290
+هنا مرض ال hemophilia و طبعا سيولة الدم عند
+
+285
+00:18:28,290 --> 00:18:34,560
+الأطفال الذكور انتوا بصيبكوش الحمد للهأه بس عند
+
+286
+00:18:34,560 --> 00:18:37,560
+طبعا أطفال الذكور و هطبعا في حاجة بيسموها اللي هو
+
+287
+00:18:37,560 --> 00:18:41,700
+نقص ال cryo او factor eight او عامل لقم تمانية و
+
+288
+00:18:41,700 --> 00:18:44,920
+هطبعا لو صار عنده نزيف مابتوقفش طبعا بنحاول احنا
+
+289
+00:18:44,920 --> 00:18:49,340
+نعمل اتقاط طبعا صعب انه يتخثر لكن لو كان كمية يمكن
+
+290
+00:18:49,340 --> 00:18:53,420
+نزيف بسيط ممكن هنتحايل عليه لكن لو كان جرح كبير و
+
+291
+00:18:53,420 --> 00:18:58,040
+نزيف كبير هذا مابده الا مستشفى و نقل أحد مكونات
+
+292
+00:18:58,040 --> 00:19:02,000
+الدم اللي هو ال cryo و طبعا مادة صفراء هذهأو
+
+293
+00:19:02,000 --> 00:19:05,140
+بيسموها factor eight بياخدها حوالي طبعا ميت صنطي
+
+294
+00:19:05,140 --> 00:19:13,520
+تمام؟ وبالتالي .. بالتالي .. بالتالي .. بالتالي
+
+295
+00:19:13,520 --> 00:19:17,400
+لازم نقل اللي هو ال .. ال .. ال factor eight هذا
+
+296
+00:19:17,400 --> 00:19:22,460
+لمين؟ للشخص الطفل هذا طبعا كده بيبين عنده ما بيبين
+
+297
+00:19:22,460 --> 00:19:25,120
+عنده نقول والله هذا مبين عليه علامات ال .. ال
+
+298
+00:19:25,120 --> 00:19:28,720
+hemophilia لأ بيبين بس ساعة إيش أنه صير عنده إيش
+
+299
+00:19:28,720 --> 00:19:29,240
+نظيف
+
+300
+00:19:35,130 --> 00:19:38,590
+طيب طبعا الشيء الطبيعي من الأسباب اللي هي الإصابات
+
+301
+00:19:38,590 --> 00:19:42,010
+والجروح الجروح طبعا بأنواع سواء قطعي أو سحجي أو
+
+302
+00:19:42,010 --> 00:19:45,930
+طبعا تهتكي أو أنواع كلها طبعا الإصابات أو الردود
+
+303
+00:19:45,930 --> 00:19:49,050
+اللي ممكن يصير تؤدي طبعا إما لنزيف داخلي أو نزيف
+
+304
+00:19:49,050 --> 00:19:49,450
+خارجي
+
+305
+00:19:54,070 --> 00:19:57,890
+استخدام بعض الأدوية، زي ما ضربنا مثال، طبعا عندنا
+
+306
+00:19:57,890 --> 00:20:00,610
+اللي هو الـ Aspirin أو الهيبرين، طبعا المواد
+
+307
+00:20:00,610 --> 00:20:03,730
+مسيلة، وهي طبعا تأخذ من ناحية علاجية، مثلا إنسان
+
+308
+00:20:03,730 --> 00:20:07,010
+عنده ضغط دم، تمام؟ فبياخدوا طبعا Aspirin، على أساس
+
+309
+00:20:07,010 --> 00:20:11,270
+ناحية وقائية، أو سيدة مثلا عندهاتجلطات ويطبعا ممكن
+
+310
+00:20:11,270 --> 00:20:16,330
+تكون عندها أحد أسباب مثلا الإجهاد أو إنسان مثلا
+
+311
+00:20:16,330 --> 00:20:20,810
+عنده دوالة مثلا الساقين عساس مايصيرش عندنا جلطات
+
+312
+00:20:20,810 --> 00:20:24,490
+فطبعا بوصفوا إيه طبعا هو ال laboring عساس يعمل
+
+313
+00:20:24,490 --> 00:20:27,350
+سيولة ومايصيرش جلطات و الجلطات هذه مايتعملش على
+
+314
+00:20:27,350 --> 00:20:33,410
+إغلاق مراكز حساسة في جسم الإنسان إيش
+
+315
+00:20:33,410 --> 00:20:39,110
+أهم المضاعفات اللي ممكن تصير لشخص بعد النزيفة؟طبعا
+
+316
+00:20:39,110 --> 00:20:42,710
+يعني أول حاجة احنا ممكن نركز عليها طبعا هذه شيء
+
+317
+00:20:42,710 --> 00:20:46,530
+مهم جدا بالنسبة ان .. ان نكون هل النزيف في خطورة
+
+318
+00:20:46,530 --> 00:20:51,310
+ولا مافي خطورة بالنسبة للشخص أول حاجة طالما
+
+319
+00:20:51,310 --> 00:20:56,050
+الإنسان في كمية يعني معروفة و طبعا كمتوسط نقول
+
+320
+00:20:56,050 --> 00:20:59,590
+مثلا خمسة لتر أو خمسة لتر و نص طبعا في .. طبعا في
+
+321
+00:20:59,590 --> 00:21:02,890
+فرق بين حجم الدم عند السيدات و حجم الدم طبعا عند
+
+322
+00:21:02,890 --> 00:21:06,830
+الرجالوهذا طبعا دليل على إن في عندنا قوة الدم عند
+
+323
+00:21:06,830 --> 00:21:10,290
+الرجال أعلى منها عند السيدات بسبب طبعا حجم الدم
+
+324
+00:21:10,290 --> 00:21:13,910
+لكن أحيانا يعني حجم الدم ممكن يكون فيه فقر ليس
+
+325
+00:21:13,910 --> 00:21:18,020
+بالضرورة ارتفاع حجم الدم معناه قوة الدميعني سنة
+
+326
+00:21:18,020 --> 00:21:21,600
+مثلا بعض الرجال بتلاقي مثلا الدم عنده عشرة أو تسعة
+
+327
+00:21:21,600 --> 00:21:24,920
+كمية الدم أه لكن فيه يكون عندنا عامل آخر اللي هو
+
+328
+00:21:24,920 --> 00:21:28,020
+طبعا ال hemoglobin اللي هو اللي طبعا بيحمل اللي هو
+
+329
+00:21:28,020 --> 00:21:33,320
+ال oxygen أحد المضاعفات اللي ممكن تصير هي فقر دم و
+
+330
+00:21:33,320 --> 00:21:38,280
+فقر الدم إيش معناه؟نقص كمية يعني بالمجمل بالنسبة
+
+331
+00:21:38,280 --> 00:21:42,980
+لحجم الدم، إنسان نزف مثلا نص لتر، مثلا يقول والله
+
+332
+00:21:42,980 --> 00:21:46,380
+إنسان ست بدا طلعت وولد صار معاها نزيف، نجلولها
+
+333
+00:21:46,380 --> 00:21:49,820
+واحدة وواحدتين وتلاتة أو إنسان معاه نزيف داخلي بعد
+
+334
+00:21:49,820 --> 00:21:53,080
+عملية جراحية، نجلوله واحدة وتنتين وتلاتة، ممكن
+
+335
+00:21:53,080 --> 00:21:56,440
+نوصل خمس واحدات، طب الواحدة اربعمية سانتي، دم
+
+336
+00:21:56,440 --> 00:22:00,320
+كامل، دم .. إيش معناه دم كامل؟ يعني بيشمل كل
+
+337
+00:22:00,320 --> 00:22:04,880
+العناصرالموجودة صفايع كورة دم بيضا كورة دم حمرا
+
+338
+00:22:04,880 --> 00:22:09,640
+طبعا البلازما كل انواع هذه كلها تمام؟ و طبعا بنتقل
+
+339
+00:22:09,640 --> 00:22:13,680
+للشخص هذا وبالتالي هنا فقر الدم يعني مسمى احنا ال
+
+340
+00:22:13,680 --> 00:22:16,920
+anemia طبعا ال anemia مانعياش فقر الدم نتيجة
+
+341
+00:22:16,920 --> 00:22:21,440
+النزيف انسان مثلا دايما بينزف دايما بينزف معناه
+
+342
+00:22:21,440 --> 00:22:24,540
+أنه أدى إلى فقر الدم طبعا أنا مابديش أدخل موضوع
+
+343
+00:22:24,540 --> 00:22:27,960
+تاني فقر الدم قد يكون بأسباب تانيةفقر الدم ممكن
+
+344
+00:22:27,960 --> 00:22:32,440
+طبعاً اللي هو أسباب تانية أو أمراض دموية أخرى طبعا
+
+345
+00:22:32,440 --> 00:22:36,540
+يعني مثلا تشوهات في خلايا الدم الحمرة أو مثلا
+
+346
+00:22:36,540 --> 00:22:41,240
+الثلاثيميا أو الأنواع هذه كلها طيب النقطة التانية
+
+347
+00:22:41,240 --> 00:22:44,800
+الصدمة
+
+348
+00:22:44,800 --> 00:22:49,560
+إيش يعني الصدمة بالنسبة للنزيف؟ طبعا غالبا بنتكلم
+
+349
+00:22:49,560 --> 00:22:51,880
+هنا .. طبعا لما .. لما نصل لموضوع الصدمة الصدمة
+
+350
+00:22:51,880 --> 00:22:56,580
+أنواعطبعا حوالي خمس أو ست أنواع من ضمن الأنواع هذه
+
+351
+00:22:56,580 --> 00:23:00,940
+اللي هي الصدمة ناتجة عن فقدان السوائل فقدان
+
+352
+00:23:00,940 --> 00:23:05,320
+السوائل الدم يعتبر سائل الحريق معناه فيه ممكن يكون
+
+353
+00:23:05,320 --> 00:23:08,340
+فينا صدمة ناتجة عن فقدان السوائل القئوة والاسهال
+
+354
+00:23:08,340 --> 00:23:11,000
+صدمة ناتجة عن فقدان السوائل لكن لما نركز احنا هنا
+
+355
+00:23:11,000 --> 00:23:15,340
+على الصدمة اللي ناتجة عن فقدان الدم انت لحظة أي
+
+356
+00:23:15,340 --> 00:23:21,280
+إنسان بيقولك والله لون أصفر نزف كمية كبيرةطيب، إيش
+
+357
+00:23:21,280 --> 00:23:27,140
+اللي أدى لظهور هذه العلامة؟ طبيعي يا أخواتنا إنه
+
+358
+00:23:27,140 --> 00:23:32,020
+لما إنسان بيصير عنده نزيف، معناه القلب هيزيد عدد
+
+359
+00:23:32,020 --> 00:23:37,530
+دجاته ولا هيظل زي ما هو؟ليش هزيد؟ هيعمل طبعا تأقلم
+
+360
+00:23:37,530 --> 00:23:41,970
+مع الوضع الجديد، لأنه مثلا فقر كمية من الدم، طبعا،
+
+361
+00:23:41,970 --> 00:23:46,090
+فطبعا هسير عدد درجات الدم للقلب يزيد، معدل التنفس
+
+362
+00:23:46,090 --> 00:23:49,690
+برضه هزيد، طب إيش البيئات دي إنه صير إن عندنا لون
+
+363
+00:23:49,690 --> 00:23:52,690
+أصفر؟ إنسان مثلا صار عنده نزيف، ليش بيصير اللون
+
+364
+00:23:52,690 --> 00:23:55,930
+أصفر؟ طبعا في حاجة احنا بسميها مادة الابنفرين أو
+
+365
+00:23:55,930 --> 00:24:01,940
+ال adrenalineوطبعا تفرز .. تفرز وإلها وظيفة مهمة
+
+366
+00:24:01,940 --> 00:24:05,940
+إنها بتزود عدد دجات القلب و تعمل على انقباض
+
+367
+00:24:05,940 --> 00:24:09,520
+الأوعية الدموية الطرفية وبالتالي بيصير عنا اللون
+
+368
+00:24:09,520 --> 00:24:14,360
+أصفر مع طبعا ظهور عرق بارد طبعا هي بسبب أحنا
+
+369
+00:24:14,360 --> 00:24:16,780
+علامات الصدمة .. هنسألها ناخدها بالتفصيل بس
+
+370
+00:24:16,780 --> 00:24:21,060
+بالمعنى إن أنا ممكن ينتج عند شخص اللي فاقد .. اللي
+
+371
+00:24:21,060 --> 00:24:24,160
+طبعا فاقد كمية من الدم اللي هي إيش الصدمة الصدمة
+
+372
+00:24:24,160 --> 00:24:26,780
+نسميها صدمة ناتج عن فقدان السوائل
+
+373
+00:24:30,550 --> 00:24:35,810
+التلوث الميكروبي قد يؤدي إلى التهاب، قد يؤدي إلى
+
+374
+00:24:35,810 --> 00:24:39,610
+التهاب، إذا إيش لم يتم التعامل معاه بصورة جيدة،
+
+375
+00:24:39,610 --> 00:24:44,190
+يعني إنسان مثلا صار عنده نزيف، ترك الجرح مفتوحة،
+
+376
+00:24:44,190 --> 00:24:48,790
+يوم، يومين، بدأ الالتهاب، لأن أول حاجة، طبعا قبل
+
+377
+00:24:48,790 --> 00:24:52,680
+ما يسبق الالتهاب، يسبق عدوةفصار عدوى يعني دخول
+
+378
+00:24:52,680 --> 00:24:57,620
+الميكروبات لتيار الدم او للجروح وبالتالي صار ايش
+
+379
+00:24:57,620 --> 00:25:02,300
+التام؟ انسان مثلا عمل عملية جراحية تمام وفقد كمية
+
+380
+00:25:02,300 --> 00:25:05,860
+كبيرة من الدم و ترك طبعا بدون اعتناء حاسس ان ايش
+
+381
+00:25:05,860 --> 00:25:13,280
+برضه تلوث الفشل
+
+382
+00:25:13,280 --> 00:25:17,280
+الكلوي هذا نقطة بدنا نجف شوية عندها يعني لأنها
+
+383
+00:25:17,280 --> 00:25:22,670
+نقطة مهمة كتيرهجيتنا احنا توي ذكرنا ان فيه الصدمة
+
+384
+00:25:22,670 --> 00:25:27,530
+ناتج عن فقدان السوائلمن ضمنها القيق والاسهال، من
+
+385
+00:25:27,530 --> 00:25:32,070
+ضمنها الدم، من ضمنها الحروق، طبعا الحروق إلها دور
+
+386
+00:25:32,070 --> 00:25:35,270
+لإن انت ممكن تفقد كمية كبيرة من طبعا البلازمة
+
+387
+00:25:35,270 --> 00:25:39,650
+وخاصة في الدرجة التانية أو قد تكون مثلا درجة تالتة
+
+388
+00:25:39,650 --> 00:25:42,930
+وصار فيها نزيف، طيب إيش دور فشل الكلو بالنسبة
+
+389
+00:25:42,930 --> 00:25:46,270
+لفقدان كمية كبيرة من الدم؟ طبعا الكلية زي ما انتوا
+
+390
+00:25:46,270 --> 00:25:51,280
+عارفين يضخلها الدم من القلبطيب، عالجيت لما أنا
+
+391
+00:25:51,280 --> 00:25:56,080
+أقول والله إنسان مثلا وصل للكيلية كمية قليلة،
+
+392
+00:25:56,080 --> 00:26:00,220
+طبعا؟ معناها مش هتطرد كل السموم اللي موجودة في
+
+393
+00:26:00,220 --> 00:26:03,500
+الجسم لأن كمية الدم قليلة زي ما نقول احنا والله
+
+394
+00:26:03,500 --> 00:26:06,380
+إنسان مثلا بيشربش كمية ميه كبيرة، صار ما عنده
+
+395
+00:26:06,380 --> 00:26:10,020
+حصاوى كيلة، طبعا؟ إذا طبعا المواد الضارة دلت في
+
+396
+00:26:10,020 --> 00:26:15,070
+الجسمو طبعا شوية على شوية ان مثلا بصير عدم وصول
+
+397
+00:26:15,070 --> 00:26:19,890
+كمية كافية من الدم للكلية يعني عشان احنا نسبق
+
+398
+00:26:19,890 --> 00:26:25,010
+الأمور بسرعة هيؤدي لفشل كلوي و طبعا خطيرة جدا يعني
+
+399
+00:26:25,010 --> 00:26:29,170
+بصير مشكلتين ان فخر كمية كبيرة من الدم يمكن
+
+400
+00:26:29,170 --> 00:26:34,200
+تعويضها .. يمكن تعويضها لكن كلها المشكلةإذا سعر
+
+401
+00:26:34,200 --> 00:26:37,220
+فشل في الكلية خانة مشكلة، ماعنى من الطريق إيش؟
+
+402
+00:26:37,220 --> 00:26:40,900
+وبالتالي طبعا فقدان كمية كبيرة قد يؤدي إلى فشل
+
+403
+00:26:40,900 --> 00:26:46,620
+كلوي إذا لم يتم إسعاف الشخص أو تعويضه أو تعويضه
+
+404
+00:26:46,620 --> 00:26:50,060
+حتى بمحلولأحنا إذا جيت أي إنسان مثلا بيجي على
+
+405
+00:26:50,060 --> 00:26:53,740
+المستشفى بتركبله مباشرة .. مباشرة بتركب محلول
+
+406
+00:26:53,740 --> 00:26:58,960
+تمام؟ عشان أنا أحافظ على معدل السائل اللي موجود
+
+407
+00:26:58,960 --> 00:27:02,700
+اللي هو طبعا الدم وكمان حاجة تانية إن ممكن أنا
+
+408
+00:27:02,700 --> 00:27:07,040
+أركبله أو أضيفله واحدة أو واحدتين الدم طبعا حسب
+
+409
+00:27:07,040 --> 00:27:09,760
+تمام؟ وبالتالي هذا أحد المضاعفات اللي هو الفشل
+
+410
+00:27:09,760 --> 00:27:13,600
+الكلوان أخر
+
+411
+00:27:13,600 --> 00:27:17,400
+حاجة طبعا هذه مش مضاعفة هذه الوفاةكمية كبيرة من
+
+412
+00:27:17,400 --> 00:27:21,940
+الدم زى ما قلنا مثلا النظيف الداخلي ماهتمش .. وحصل
+
+413
+00:27:21,940 --> 00:27:26,320
+حالات .. ماهتمش تانيه مصبح ميت .. ليش؟ لأنه فقد
+
+414
+00:27:26,320 --> 00:27:29,840
+كمية كبيرة من الدم داخل البطن، البطن صار فيه
+
+415
+00:27:29,840 --> 00:27:33,180
+تيبوس، طبعا صار فيه فقدان كبيرة كبيرة وأثرت على
+
+416
+00:27:33,180 --> 00:27:37,910
+وين؟ على الدماغوعلى الجهاز التنفسي وعلى الكبد وعلى
+
+417
+00:27:37,910 --> 00:27:41,390
+الكيليا معناه ماوصلش كمية كبيرة للأعضاء الحيوية
+
+418
+00:27:41,390 --> 00:27:45,290
+والنتيجة أدت للوفاة وكان سببها سقوط مثلا من السطح
+
+419
+00:27:45,290 --> 00:27:48,570
+أو سقوط أو ضرب مثلا على البطن وكان بإمكانه أنه
+
+420
+00:27:48,570 --> 00:27:51,790
+يروح المستشفى وبالتالي لو إنسان مثلا صار مع
+
+421
+00:27:51,790 --> 00:27:56,490
+العلمات هذه وبدأ في معاه أي تغير بسيط مش لازم يترك
+
+422
+00:27:56,490 --> 00:28:01,570
+نفسه لازم طبعا مباشرة للمستشفى لأنه قد يحتاج إلى
+
+423
+00:28:01,570 --> 00:28:06,630
+عملية فتح بطناو استكشاف عشان نشوف وين مكان النزيف
+
+424
+00:28:06,630 --> 00:28:10,250
+هذا و قد يحتاج الى تعويض واحدة و واحدتين و تلاتة و
+
+425
+00:28:10,250 --> 00:28:16,790
+خمسة لإنه بيكون فاقد كمية كبيرة إيش من الدم فضل
+
+426
+00:28:16,790 --> 00:28:22,670
+إيه؟ يعني ممكن اشهد يعني تصوير معين يكشف سكان
+
+427
+00:28:22,670 --> 00:28:26,590
+الدردير يعني بدل ما إحنا ندخل نعمل عملية جرحيمة
+
+428
+00:28:26,590 --> 00:28:30,450
+نعمل عملية رحيلة و نستكشف مافيش إش يكشفنا مكان
+
+429
+00:28:33,580 --> 00:28:36,560
+طبعا هذه اللي بنقول عليها العملية بيسموها عملية
+
+430
+00:28:36,560 --> 00:28:41,340
+استكشاف في حال انه مش معروف مكان النزيف بالضبط لما
+
+431
+00:28:41,340 --> 00:28:44,000
+أقول والله مثلا إن الإنسان قاعد بيستفرج كمية كبيرة
+
+432
+00:28:44,000 --> 00:28:48,520
+من الدم سواء إن عرفت مثلا في ال .. في ال .. ال ..
+
+433
+00:28:48,520 --> 00:28:54,400
+المعدة أو من الكبد أو من الطحال لازم فاتح بطن ففتح
+
+434
+00:28:54,400 --> 00:28:58,140
+البطن بيسموه عملية استكشافمثلًا، إنسان على
+
+435
+00:28:58,140 --> 00:29:03,840
+العمليات مثلًا النظامية عنده عملية مثلًا زائدة أو
+
+436
+00:29:03,840 --> 00:29:07,720
+عنده مثلًا عملية قرحت معدة، معروف المكان لكن جاءنا
+
+437
+00:29:07,720 --> 00:29:14,720
+إنسان متعرض لضربة مثلًا على البطن أو مثلًا سقوط أو
+
+438
+00:29:14,720 --> 00:29:19,140
+مثلًا سقوط جسم ثقيل على البطن صار معاه أعراض
+
+439
+00:29:19,140 --> 00:29:24,040
+النزيفهنا مش معروف، في الفرصة هذه مافيش أقول والله
+
+440
+00:29:24,040 --> 00:29:27,040
+أنا مثلا بدي أعمل من ضارج الأفضل لعملية الجراحية
+
+441
+00:29:27,040 --> 00:29:31,260
+حتى
+
+442
+00:29:31,260 --> 00:29:36,800
+لو تم توضيحها، لازم يكون عملية البطن، عملية إيقاف
+
+443
+00:29:36,800 --> 00:29:41,310
+النظيفةأه فالأفضل .. الأفضل طبعا ده بيسموها عملية
+
+444
+00:29:41,310 --> 00:29:44,150
+.. عملية استكشاف إنه في عندنا نزيف لإن أنا مش عارف
+
+445
+00:29:44,150 --> 00:29:47,730
+أين نزيف بالضبط و بديش أنا أتركه كمان لإنه يقول
+
+446
+00:29:47,730 --> 00:29:50,950
+جاعد .. جاعد يه .. جاعد .. كل ما بوب أتأخر شوية ..
+
+447
+00:29:50,950 --> 00:29:54,530
+شوية .. شوية بتركب وحدة الدم بتلاقي برضه لسه الدم
+
+448
+00:29:54,530 --> 00:29:57,790
+مارتفعش لإنه بعد ما بركب وحدة الدم بشوف كده نسبة
+
+449
+00:29:57,790 --> 00:30:00,950
+ال hemoglobin عنده لكن برضه لازال إيش هنخفض يعني
+
+450
+00:30:00,950 --> 00:30:05,090
+زي .. هنقول مثلا نبوب مثقوبمن راكب الدم من هنا
+
+451
+00:30:05,090 --> 00:30:08,350
+بطلع من ناحية التانية فلازم طبعا مباشرة يدخل عملية
+
+452
+00:30:08,350 --> 00:30:13,290
+وهي طبعا قد يكون مثلا انفجار مثلا في ال بنكرياس أو
+
+453
+00:30:13,290 --> 00:30:18,710
+مثلا في الكبد طبعا هذا ممكن يكون لا سمح الله .. لا
+
+454
+00:30:18,710 --> 00:30:22,610
+سمح الله مثلا في بعض الشرايين اللي بتغذي مثلا
+
+455
+00:30:22,610 --> 00:30:27,530
+القلب وبالتالي طبعا لازم يكون العملية هنا هي عملية
+
+456
+00:30:27,530 --> 00:30:30,310
+تدخل سريع لإنقاذ الشخص و اتعاوضه
+
+457
+00:30:37,020 --> 00:30:45,640
+نعم نعم بصيرش
+
+458
+00:30:45,640 --> 00:30:49,840
+إله أي امتصاص داخل لإنه يعتبر جسم غريب صار جسم
+
+459
+00:30:49,840 --> 00:30:54,740
+غريب وبالتالي أنا أجيبلك مثال بسيط جدا لو صار عنا
+
+460
+00:30:54,740 --> 00:31:01,600
+مثلا نظيف تحت الجلد هذا دم، مظبوط؟الدم هدتها و جاب
+
+461
+00:31:01,600 --> 00:31:06,440
+للحظات كأننا كنا نستفيد منه و كأن ننقل العتاد و
+
+462
+00:31:06,440 --> 00:31:11,600
+العدالة أيش لخلايا هرجت صار برا مساره الطبيعي في
+
+463
+00:31:11,600 --> 00:31:14,580
+الحالة ده أنا إيش بدي أعمل أول حاجة إيقاف النزيف
+
+464
+00:31:14,580 --> 00:31:19,700
+أنا بستخدم كمادات ميه باردة عشان أوقف النزيف لإن
+
+465
+00:31:19,700 --> 00:31:24,620
+صار يعتبر جسم غريب تمام؟ تاني يوم بستخدم كمادات
+
+466
+00:31:24,620 --> 00:31:30,560
+ميه دافيةعشان انا ازود كمية الدم اللي تصل للمنطقة
+
+467
+00:31:30,560 --> 00:31:37,000
+هذه تمام؟ و تخلصلي من الجسم الغريب هذا يعني انت
+
+468
+00:31:37,000 --> 00:31:40,520
+ماتلاحظ مثلا في الكدمات اول يوم تكون ايش صلبة
+
+469
+00:31:40,520 --> 00:31:44,980
+بعدين شوية شوية ببدأ حجمها يصغر لغاية لما تصل
+
+470
+00:31:44,980 --> 00:31:49,460
+لقشور القشور هذه هي خلايا الدم الحمراء وله طبعا
+
+471
+00:31:49,460 --> 00:31:54,910
+كون داكن فصار إعادة انتصاص للبلازمةالموجودة طبعاً
+
+472
+00:31:54,910 --> 00:31:57,950
+في الدم، تمام؟ الحاجة الجسم بيقدر يستفيد منها،
+
+473
+00:31:57,950 --> 00:32:00,970
+بيعمل إعادة من تصخص إلها، لكن هذه الخلايا أصبحت
+
+474
+00:32:00,970 --> 00:32:05,570
+خلايا ميتة، وبالتالي أنا أول يوم بعمل علقاء في
+
+475
+00:32:05,570 --> 00:32:08,790
+النزيف، لكن تاني يوم بدي أزود كمية الدم للمنطقة
+
+476
+00:32:08,790 --> 00:32:13,730
+هذه، حتى يصل جنود من الدم بتساعد على كنس وتنظيف
+
+477
+00:32:13,730 --> 00:32:17,030
+المنطقة هذه من الجسم الغريب هذا، تمام؟
+
+478
+00:32:22,850 --> 00:32:29,810
+ع المعدة، الحين راح تسيل المعدة تهضمه، هتهضمه، لأ
+
+479
+00:32:29,810 --> 00:32:33,110
+أنا هقولك حاجة كمان، في حالات مثلا نزيف المعدة،
+
+480
+00:32:33,110 --> 00:32:35,910
+احنا انا .. انا اشيبلكم مثال بسيط جدا، هلجيت في
+
+481
+00:32:35,910 --> 00:32:41,270
+حالات ان كون الدم، هجيت انا اشيبلكم مثال بسيط،
+
+482
+00:32:41,270 --> 00:32:46,990
+استفراغ، استفراغ، دم يعني قيء مدمم، معناه نقول
+
+483
+00:32:46,990 --> 00:32:53,020
+مثلا إيش؟ في نزيف في المعدةممكن يكون هذا شيء بسيط
+
+484
+00:32:53,020 --> 00:32:59,200
+و تم هضمه ناشي اي .. أجد لما نقول والله مثلا تحليل
+
+485
+00:32:59,200 --> 00:33:04,500
+بوراز لما يكون في مثلا دم واضح معناه من الجزء
+
+486
+00:33:04,500 --> 00:33:08,140
+السفلي من القناة الهضمية نزيف مثلا ممكن نكون من
+
+487
+00:33:08,140 --> 00:33:16,060
+المستقيم لكن لو كان دملونه قاتم أو أسود معناه من
+
+488
+00:33:16,060 --> 00:33:21,460
+أعلى الجهازات مثلا قرحة الـ 12 فيها نزيف وطبعا
+
+489
+00:33:21,460 --> 00:33:24,140
+بيصير مشكلة أو ألم بعد تقريبا ساعتين ما لسان يأكل
+
+490
+00:33:24,140 --> 00:33:29,340
+فيه نزيف، النزيف هذا هيعدي على مرحلة الهضم كلها،
+
+491
+00:33:29,340 --> 00:33:33,500
+تمام؟ إيش اللي بيخلي اللون أسود؟ مادة الحديد، وهذا
+
+492
+00:33:33,500 --> 00:33:36,560
+طبعا الدليل لما نقول إحنا لأطفال أمهاتهم بيعطوهم
+
+493
+00:33:36,560 --> 00:33:39,740
+شراب الحديد، انتبه هيتغير لون البرازل اللون الأسود
+
+494
+00:33:40,310 --> 00:33:43,970
+عشان الحديد لأن هنا مابيصيرش له استفراغ لكن لو كان
+
+495
+00:33:43,970 --> 00:33:48,130
+في المعدة بيصير له استفراغ بلون الدم لكن لما يعدي
+
+496
+00:33:48,130 --> 00:33:52,050
+مراحل الهضم هيكون لون أسود لكن لو كان من الجزء
+
+497
+00:33:52,050 --> 00:33:56,350
+السفلي مش هيصير له هضم كامل فهيخرج مع البراز بلون
+
+498
+00:33:56,350 --> 00:33:57,170
+الدم الواضح
+
+499
+00:34:00,440 --> 00:34:04,280
+أكيد لأنه جسم غريب يعتبر، هذا جسم غريب، لكن وجوده
+
+500
+00:34:04,280 --> 00:34:07,220
+معناه ضرر على الجسم، ليش؟ لأن كل مكان فيه نزيف
+
+501
+00:34:07,220 --> 00:34:11,600
+أكتر، والجسم ما تتخلصش منه، وطلع برا، معناه بيكون
+
+502
+00:34:11,600 --> 00:34:13,980
+عبيع على الجسم، لإنه يقول مثلا نزيف داخل البطن،
+
+503
+00:34:13,980 --> 00:34:20,120
+وفقدان كمية كبيرة، وهذا قد يؤدي بالوفاة للشخص هذا
+
+504
+00:34:30,090 --> 00:34:34,810
+طيب بنقول نصل للنقطة هذه لتفاعلات الجسم طبعا هنريد
+
+505
+00:34:34,810 --> 00:34:39,030
+برضه توضيح الوقت مش هيدركنا إذا في أي سؤال بالنسبة
+
+506
+00:34:39,030 --> 00:34:44,250
+للنقطين اللي احنا شرحناهم بارك الله فيكم و شكرا
+
+507
+00:34:44,250 --> 00:34:44,550
+لكم
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/_PdTjhSAHSI.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/_PdTjhSAHSI.srt
new file mode 100644
index 0000000000000000000000000000000000000000..7b36db24374712eb4a952ee135e0c4b99ab63733
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/_PdTjhSAHSI.srt
@@ -0,0 +1,2215 @@
+1
+00:00:05,160 --> 00:00:06,840
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:06,840 --> 00:00:09,140
+الرحيم والصلاة والسلام وعلى أشرف المرسلين سيدنا 
+
+3
+00:00:09,140 --> 00:00:11,960
+محمد صلى الله عليه وسلم اليوم إن شاء الله هنتكلم على 
+
+4
+00:00:11,960 --> 00:00:16,580
+موضوع العلاقة بالجروح وكيف هنا نسعى في الجروح طبعًا
+
+5
+00:00:16,580 --> 00:00:19,920
+شيء طبيعي أن أنا لما بدي أسعى في أي شيء أقل حاجة
+
+6
+00:00:19,920 --> 00:00:23,940
+أن أنا بدي أقلل المضاعفات اللي ممكن تكون، يعني بمعنى
+
+7
+00:00:23,940 --> 00:00:26,960
+أنه مثلًا قاعد تدرك الجلب المنافع أفضل من جلب
+
+8
+00:00:26,960 --> 00:00:30,000
+المنافع .. درء المفاسد أفضل من جلب المنافع 
+
+9
+00:00:30,000 --> 00:00:33,080
+وبالتالي هنا يعني ما بيجوز في الحد أن أقول والله
+
+10
+00:00:33,080 --> 00:00:37,340
+ما فيش عندي حاجة معقمة يكبر أنا مش لازم أسعف الجروح
+
+11
+00:00:37,340 --> 00:00:40,660
+أو ما فيش عندي حاجة مطهر مثلًا مش لازم أنا أنظف
+
+12
+00:00:40,660 --> 00:00:43,750
+الجروح، لأ طبعًا في، يعني إمكانيات، وقلنا كمان
+
+13
+00:00:43,750 --> 00:00:47,190
+كأساس إنه في الإسعاف الأولي يعني قلة الإمكانيات لا
+
+14
+00:00:47,190 --> 00:00:50,230
+تعني عدم تقديم الخدمة، بمعنى أن الإسعاف الأولي
+
+15
+00:00:50,230 --> 00:00:53,270
+دايمًا فيه البدائل، ده ما نقول زي الصيدلية
+
+16
+00:00:53,270 --> 00:00:55,410
+العربية، في عندنا البديل، ما فيش نقول والله هذا مش
+
+17
+00:00:55,410 --> 00:00:58,410
+موجود، لأ، في عندنا البديل اللي ممكن إحنا من خلاله
+
+18
+00:00:58,410 --> 00:01:02,570
+نقدر نساعد الشخص هذا، نقدر نقلل مضاعفاته، نقدر
+
+19
+00:01:02,570 --> 00:01:07,250
+طبعًا نخفف الألم الموجودة، نقدر نطمن الشخص هذا،
+
+20
+00:01:07,250 --> 00:01:11,660
+وبالتالي يا أخواتنا، أن أنا بدي أستخدم أي وسيلة مع
+
+21
+00:01:11,660 --> 00:01:14,360
+أي شخص طبعًا بتعتمد حسب الحالة الموجودة اليوم
+
+22
+00:01:14,360 --> 00:01:18,460
+هنتكلم على موضوع زي ما قلنا علاقة بالجروح والنزيف 
+
+23
+00:01:18,460 --> 00:01:22,760
+والغطاء، وهو طبعًا الغيار والربط، شيء طبيعي يعني من
+
+24
+00:01:22,760 --> 00:01:25,500
+ناحية مصطلح ومن ناحية طبعًا لغوية، الغيار طبعًا هي
+
+25
+00:01:25,500 --> 00:01:28,940
+تغيير الشيء أو استبداله بشيء آخر، لكن المقصود عنها
+
+26
+00:01:28,940 --> 00:01:32,280
+طبعًا هي الغيارات المستخدمة في إيقاف النزيف أو
+
+27
+00:01:32,280 --> 00:01:35,940
+طبعًا في، طبعًا إيه الهدف الآخر هنتكلم عنها، وفيه إنه
+
+28
+00:01:35,940 --> 00:01:38,800
+طبعًا الجزء الآخر هو الأربطة، طبعًا الأربطة في عندنا 
+
+29
+00:01:38,800 --> 00:01:41,940
+أنواع منها، طبعًا في خلال الشرح إن شاء الله هيكون 
+
+30
+00:01:41,940 --> 00:01:45,820
+معنا فيديو بسيط كيف ممكن نتعلم القليل من ربط الأربطة
+
+31
+00:01:45,820 --> 00:01:49,140
+وخاصة الرباط المثلث، يمكن طبعًا هذه أشياء بسيطة
+
+32
+00:01:49,140 --> 00:01:55,060
+جدًا، طبعًا لغاية وصول سيارة الإسعاف أو لغاية طبعًا 
+
+33
+00:01:55,060 --> 00:01:59,000
+أو مساعدة نقل الشخص المصاب للمستشفى، طبعًا من خلال
+
+34
+00:01:59,000 --> 00:02:01,880
+اللقاء اليوم إن شاء الله هنتعرف على وظيفة الغيار
+
+35
+00:02:01,880 --> 00:02:04,980
+وكيفية استخدام الغيار، إيش وظيفة الأربطة وإيش هي
+
+36
+00:02:04,980 --> 00:02:09,120
+الأربطة استخدامات، إرشادات هامة حول الأربطة، إيش
+
+37
+00:02:09,120 --> 00:02:11,420
+أنواع الأربطة، ونتعرف على بعض الأربطة هذه إن شاء 
+
+38
+00:02:11,420 --> 00:02:17,120
+الله، طبعًا الغيار هو كمصطلح يعني الغيار الغطاء
+
+39
+00:02:17,120 --> 00:02:20,780
+الواقي الذي تغطي به الجروح، وطبعًا إحنا يعني من
+
+40
+00:02:20,780 --> 00:02:27,570
+الأساس بيقول لا تستخدم القطن كغيار، أما يستخدم كـ
+
+41
+00:02:27,570 --> 00:02:31,010
+Sandwich يعني المعنى أن يكون داخل الشاش في قطعة
+
+42
+00:02:31,010 --> 00:02:34,910
+من القطن، تساعد على الامتصاص، كما هو الغطاء الواقي
+
+43
+00:02:34,910 --> 00:02:37,410
+الذي يتغطى به الجروح، يفضل يكون معقمًا إلا في حالة
+
+44
+00:02:37,410 --> 00:02:40,490
+طارئة، فيمكن ساعات بغير نظيف ما أمكن، وبالتالي إذا 
+
+45
+00:02:40,490 --> 00:02:44,750
+ما عندي أنا غيار معقم، شاش معقم أو قطعة قماش 
+
+46
+00:02:44,750 --> 00:02:48,990
+معقمة، أنا بستخدم قطعة قماش نظيفة، لأن أنا ما بنتظر 
+
+47
+00:02:48,990 --> 00:02:52,750
+أن يبقى ينزف الشخص لغاية لما ألاقي غيار معقم
+
+48
+00:02:52,750 --> 00:02:56,520
+وبالتالي بستخدم قطعة قماش نظيفة، واحد يسأل طب هنا
+
+49
+00:02:56,520 --> 00:02:59,300
+يعني ممكن .. ممكن يصير مثلا التهابات أو ممكن
+
+50
+00:02:59,300 --> 00:03:03,500
+يصير عدوى؟ ماشي، بس قد إيه الخطورة؟ هل في احتمال شيء
+
+51
+00:03:03,500 --> 00:03:06,580
+ممكن اه وممكن لا؟ ولا احتمال شيء واقعي اللي هو 
+
+52
+00:03:06,580 --> 00:03:10,280
+النزيف؟ طبعًا الخطورة أكثر بتكون في حال استمرار
+
+53
+00:03:10,280 --> 00:03:13,580
+النزيف، لكن الخطورة أقل في شيء، احتمال أن يكون أو 
+
+54
+00:03:13,580 --> 00:03:18,630
+ما يكون، إيش وظيفة الغيار؟ طبعًا الوظيفة مهمة جدًا أن 
+
+55
+00:03:18,630 --> 00:03:21,750
+ليش بضع الغيار على الجرح أو الوظيفة، المساعدة في
+
+56
+00:03:21,750 --> 00:03:24,990
+إيقاف النزيف وامتصاص الدم، هذا الشيء الطبيعي وإحنا
+
+57
+00:03:24,990 --> 00:03:27,510
+حكينا المرة الفاتت حتى لو كان أنا عندي مثلًا قطعة
+
+58
+00:03:27,510 --> 00:03:32,690
+قماش أو قطعة شاش معقمة أو نظيفة، ولو أنا لاحظت،
+
+59
+00:03:32,690 --> 00:03:36,300
+بأكد مرتين، لو لاحظت أن فيها دم، امتلأت قطعة بالدم
+
+60
+00:03:36,300 --> 00:03:39,860
+ما بشيلها، أنا بضع قطعة قماش فوقها عشان لو أنا
+
+61
+00:03:39,860 --> 00:03:43,300
+شيلتها كل ما بده ينزل نزيف، بده أشيلها، معناه هيظل
+
+62
+00:03:43,300 --> 00:03:47,380
+النزيف مستمر، وبالتالي أنا بضع قطعة قماش فوقها عشان
+
+63
+00:03:47,380 --> 00:03:51,880
+تساعد على إيقاف النزيف، الوظيفة الثانية امتصاص
+
+64
+00:03:51,880 --> 00:03:55,380
+إفرازات الجسم، يعني أحيانًا ممكن في حال الغيار طبعًا
+
+65
+00:03:55,380 --> 00:03:58,220
+إحنا بنتكلم صفة عامة صار عندنا .. كان عندنا جروح
+
+66
+00:03:58,220 --> 00:04:02,360
+ما لها ملتهب مثلًا، كان عندنا جروح مثلًا في صديد، كان
+
+67
+00:04:02,360 --> 00:04:05,020
+عندنا مثلًا في حروق، وبالتالي عندنا بنتكلم عن الحروق
+
+68
+00:04:05,020 --> 00:04:09,800
+برضه ممكن نستخدم الشاش أو قطعة قماش نظيفة بعد أنا
+
+69
+00:04:09,800 --> 00:04:13,200
+ما أقدم خدمة الإسعاف الأولي وتخفيف الألم، أنا 
+
+70
+00:04:13,200 --> 00:04:16,360
+المصاب باستخدام الماء الجاري، أنا بأستخدم بعدها 
+
+71
+00:04:16,360 --> 00:04:21,310
+اللي هي قطعة قماش نظيفة أو قطعة قماش معقمة إن وجدت
+
+72
+00:04:21,310 --> 00:04:25,510
+وبالتالي هنصير عندنا امتصاص للإفرازات اللي بتكون من 
+
+73
+00:04:25,510 --> 00:04:28,890
+الجرح نفسه، وبالتالي لما أقول أنا والله مثلًا إنسان 
+
+74
+00:04:28,890 --> 00:04:33,570
+عنده حروق أو عنده مثلًا جرح ملتهب ومش موضوع عليه
+
+75
+00:04:33,570 --> 00:04:36,730
+مثلًا قطعة قماش نظيفة أو قطعة قماش معقمة أو شاش
+
+76
+00:04:36,730 --> 00:04:40,670
+معقم، طبعًا الإفرازات هذه كلها مين اللي هيمتصها؟
+
+77
+00:04:40,670 --> 00:04:47,060
+طبعًا ملابس الشخص، رقم ثلاثة، حماية الجرح أو الجسم من
+
+78
+00:04:47,060 --> 00:04:50,700
+تأثيرات الخارجية، وهذا طبعًا شيء طبيعي جدًا نتوقع أن
+
+79
+00:04:50,700 --> 00:04:55,760
+إنسان مثلًا عنده حروق أو إنسان مثلًا عنده جرح سحجي 
+
+80
+00:04:55,760 --> 00:05:00,090
+أو كشط، وهذا طبعًا صار عن نهايات الأعصاب مكشوفة مثلًا 
+
+81
+00:05:00,090 --> 00:05:03,330
+ممكن يكون فيه عُرّاج، ممكن يكون مثلًا فيه تيار هواء
+
+82
+00:05:03,330 --> 00:05:07,170
+.. تيار هواء قوي، تيار هواء بارد أو تيار هواء دافي،
+
+83
+00:05:07,170 --> 00:05:09,810
+أيًّا كان، خاصة طبعًا تيار الهواء البارد، طبعًا
+
+84
+00:05:09,810 --> 00:05:13,030
+هذه طالما إن صارت إن نهايات الأعصاب مكشوفة، طبعًا
+
+85
+00:05:13,030 --> 00:05:15,990
+بيصير ألم، مين اللي هيخفف الألم هذا؟ اللي طبعًا 
+
+86
+00:05:15,990 --> 00:05:17,770
+استخدام، اللي غيرت
+
+87
+00:05:20,250 --> 00:05:23,790
+رقم أربعة حماية الجرح من التلوث وزي ما إحنا قلنا
+
+88
+00:05:23,790 --> 00:05:27,490
+طبعًا الاحتمال أن أنا لما أستخدم الغيار النظيف أو
+
+89
+00:05:27,490 --> 00:05:30,330
+إن وجد الغيار المعقم، طبعًا يعني ممكن ما يكونش عندنا
+
+90
+00:05:30,330 --> 00:05:34,150
+غيار معقم، ممكن عندنا فقط غيار نظيف فأنا بأستخدمه
+
+91
+00:05:34,150 --> 00:05:38,390
+احتياطًا من تلوث الجرح، ممكن طبعًا الجرح هذا يكون جرح
+
+92
+00:05:38,390 --> 00:05:41,130
+سحجي، واحد يقول والله هذا طبعًا جرح بسيط وما فيش منه
+
+93
+00:05:41,130 --> 00:05:47,040
+خوف، لأ، الخوف موجود طالما أن هناك أي مكان صار فيه
+
+94
+00:05:47,040 --> 00:05:51,940
+خدش أو صار فيه جرح معناه صار عرضة للجو الخارجي
+
+95
+00:05:51,940 --> 00:05:57,660
+إحنا ربنا يعني منحنا الجلد هو طبعًا جسم دفاعي أكبر 
+
+96
+00:05:57,660 --> 00:06:00,840
+عضو في جسم الإنسان من ناحية المساحة، هو بيغطي الجسم 
+
+97
+00:06:00,840 --> 00:06:04,840
+كله وبالتالي يعتبر واقي من دخول البكتيريا
+
+98
+00:06:04,840 --> 00:06:09,420
+والميكروبات، أي مكان بيصير فيه خدش أو عدم تواصُل في
+
+99
+00:06:09,420 --> 00:06:13,500
+الجلد بخلاف، طبعًا الفتحات الطبيعية، معناه بيكون
+
+100
+00:06:13,500 --> 00:06:17,320
+معرض، وأي مكان بيكون فيه نزيف أو بيكون فيه دم،
+
+101
+00:06:17,320 --> 00:06:23,260
+معناه فيه جو ملائم وتربة خصبة لتكاثر الميكروبات،
+
+102
+00:06:23,260 --> 00:06:27,200
+وبالتالي بيقولوا إحنا لما نستخدم الغيار سواء
+
+103
+00:06:27,200 --> 00:06:31,460
+المعقم أو النظيف، هيعتبر حماية للجروح، وكثير إحنا
+
+104
+00:06:31,460 --> 00:06:35,920
+بنلاحظ إن أي جروح، أي عملية لازم تتم استخدام الشاش
+
+105
+00:06:35,920 --> 00:06:38,520
+المعقّم لها، لكن إذا ما كان عندنا الشاش المعقّم
+
+106
+00:06:38,520 --> 00:06:43,540
+فبتم استخدام الشاش النظيف، وبالتالي حماية الجروح
+
+107
+00:06:43,540 --> 00:06:49,140
+تعتبر من استخدام الشاش المعقّم أو الشاش النظيف
+
+108
+00:06:49,140 --> 00:06:53,540
+هي وسيلة لتقليل فرصة العدوى لهذا الجرح
+
+109
+00:06:57,520 --> 00:07:03,560
+ماشي، أحيانًا مثلًا في حالات طبعًا الحروق أو مثلًا في
+
+110
+00:07:03,560 --> 00:07:07,980
+حالات بعض الجروح إحنا ممكن نستخدم بعض الأدوية
+
+111
+00:07:07,980 --> 00:07:12,660
+عليها مثلًا الـ Cream أو Vaseline أو مراهم آسف أو 
+
+112
+00:07:12,660 --> 00:07:17,040
+بودرة، طبعًا هذه المواد اللي أنا بأستخدمها إذا ما
+
+113
+00:07:17,040 --> 00:07:21,880
+استخدمت قطعة شاش أو قطعة قماش نظيفة فوق المادة
+
+114
+00:07:21,880 --> 00:07:26,290
+هذه، معناها إيش؟ طبعًا يكون أثرها موجود على 
+
+115
+00:07:26,290 --> 00:07:29,390
+الملابس، وبالتالي إن بأستخدم الشاش أو القماش
+
+116
+00:07:29,390 --> 00:07:33,750
+النظيف أو الشاش المعقم حفاظًا على هذه المادة
+
+117
+00:07:33,750 --> 00:07:38,790
+اللي هي أساسًا تقلل من فرصة دخول الميكروبات لجسم
+
+118
+00:07:38,790 --> 00:07:41,690
+الإنسان، ممكن يكون مضاد حيوي، ممكن يكون بناءً
+
+119
+00:07:41,690 --> 00:07:45,870
+تجميلي لحفظ عليه، ممكن يكون بعد عملية جراحية، ممكن 
+
+120
+00:07:45,870 --> 00:07:50,350
+يكون بعد الحروق، وبالتالي طبعًا حفاظًا على المواد 
+
+121
+00:07:50,350 --> 00:07:52,590
+المساعدة على شفاء الجرح.
+
+122
+00:07:58,030 --> 00:08:01,450
+طبعًا يعني استخدام الغيار شيء طبيعي أن أنا لما
+
+123
+00:08:01,450 --> 00:08:04,030
+أريد استخدام الغيار وقطعة القماش لازم يكون فيها
+
+124
+00:08:04,030 --> 00:08:09,030
+شيء زائد، المعنى إنه يعني أكبر من مساحة الجروح، طبعًا
+
+125
+00:08:09,030 --> 00:08:13,130
+.. طبعًا يكون لها الأساس العلمي إنه كل مكان الجروح
+
+126
+00:08:13,130 --> 00:08:18,090
+مغطى بمساحة زائدة عن حجمه الطبيعي، يكون فيه فرصة 
+
+127
+00:08:18,720 --> 00:08:22,880
+لعدم دخول الـ Microbot، الشيء الطبيعي المهم جدًا يا
+
+128
+00:08:22,880 --> 00:08:26,700
+أخواتنا أنه لازم يكون الحواف مغطية للجرح، الشيء
+
+129
+00:08:26,700 --> 00:08:30,920
+الطبيعي واللي إحنا بنعرفه كل مكان هناك فيه رطوبة
+
+130
+00:08:30,920 --> 00:08:36,250
+في الجرح، كل مكان فيه خطورة، طبعًا رطوبة خارجية ..
+
+131
+00:08:36,250 --> 00:08:38,570
+رطوبة خارجية، لأن إحنا قلنا واحد يقول طبعًا ممكن
+
+132
+00:08:38,570 --> 00:08:41,910
+يكون الجرح رطب بسبب مثلًا الدم .. بسبب مثلًا
+
+133
+00:08:41,910 --> 00:08:45,590
+الإفرازات .. هذا شيء داخلي، لكن أنا بتكلم على الشيء
+
+134
+00:08:45,590 --> 00:08:50,930
+الخارجي، مثلًا إنسان موضوع عنده جروح وموضوع عليه 
+
+135
+00:08:50,930 --> 00:08:54,390
+مثلًا شاش أو قطعة قماش معقمة ويجي عليه مية أو يجي
+
+136
+00:08:54,390 --> 00:08:58,610
+عليه عرق أو طبعًا أي حاجة خارجية، هذا يعتبر مدخل
+
+137
+00:08:58,610 --> 00:09:05,150
+للـ بكتيريا، مدخل للفيروسات، مدخل للميكروبات الضارة،
+
+138
+00:09:05,150 --> 00:09:10,750
+وبالتالي، لازم يكون الغيار جاف، خاصة من الخارج، من 
+
+139
+00:09:10,750 --> 00:09:15,170
+الداخل، اللي هو بساعد على امتصاص الإفرازات، تمام؟
+
+140
+00:09:15,170 --> 00:09:19,470
+وبالتالي، يعني إن هنا صورة واضحة إنه يعتبر الغيار 
+
+141
+00:09:19,470 --> 00:09:24,190
+كأحد وظائفه إن هو مؤشر هل الجروح التئمت بصورة
+
+142
+00:09:24,190 --> 00:09:27,870
+طبيعية أو لم تلتئم كيف أنا بقول التئمت أو لم تلتئم؟
+
+143
+00:09:27,870 --> 00:09:33,070
+في حال إن مكان العملية أو مكان الجروح جاف بدون أي
+
+144
+00:09:33,070 --> 00:09:37,090
+إفرازات وبدون أي التصاقات على مكان الجروح معناه
+
+145
+00:09:37,090 --> 00:09:40,160
+الجروح التئمت يعني واحد مثلا عامل عملية جرح أو ست
+
+146
+00:09:40,160 --> 00:09:43,400
+عامل عملية جرح هي مثلا قيصرية وكل مرة طبعا الجرح
+
+147
+00:09:43,400 --> 00:09:47,760
+فيه رطوبة ومرة عن مرة صار يطلع رائحة كريهة، مرة عن
+
+148
+00:09:47,760 --> 00:09:50,780
+مرة مثلا صار فيه إفرازات أو صديد، معناه الجرح
+
+149
+00:09:50,780 --> 00:09:56,090
+ملتهب وبالتالي لما أتكلم على إنه من وظائف الغيار
+
+150
+00:09:56,090 --> 00:10:01,550
+إنه يعتبر مؤشر إنه هل الجروح نظيفة أو غير نظيفة، هل
+
+151
+00:10:01,550 --> 00:10:05,490
+الجروح التئمت أو لم تلتئم، يبقى هو يعتبر مؤشر أيضًا
+
+152
+00:10:05,490 --> 00:10:09,470
+إنه فيه التئام طبيعي للجروح أو لا أو احنا طبعا
+
+153
+00:10:09,470 --> 00:10:12,370
+بنذكركم مرة ثانية إنه بالنسبة للالتئام الجروح اللي
+
+154
+00:10:12,370 --> 00:10:14,970
+كنا فيه إن الالتئام القصد الأول والالتئام القصد
+
+155
+00:10:14,970 --> 00:10:17,990
+الثاني اللي طبعا الالتئام القصد الأول التئام جروح
+
+156
+00:10:17,990 --> 00:10:21,690
+طبيعي بدون أي مضاعفات لكن لو حصل مضاعفات يعتبر
+
+157
+00:10:21,690 --> 00:10:27,870
+الالتئام القصد الثاني الملاحظة
+
+158
+00:10:27,870 --> 00:10:32,050
+الثانية هنا لا يلف أي شيء ضاغط على الأطراف هذا 
+
+159
+00:10:32,050 --> 00:10:35,550
+طبعا نقطة مهمة كتير ليش احنا ما بنضع الربطات الضاغطة
+
+160
+00:10:35,550 --> 00:10:41,870
+على الأطراف مثلا إنسان عنده صار في الأصابع أو مثلا
+
+161
+00:10:41,870 --> 00:10:45,450
+في صبع القدمين أو الكفين صار جروح ما بنستخدم
+
+162
+00:10:45,450 --> 00:10:46,550
+الأربطة الضاغطة
+
+163
+00:10:49,200 --> 00:10:55,620
+لن تعمل على إعاقة تيار الدم أما مثلا في الذراع في
+
+164
+00:10:55,620 --> 00:10:59,860
+الساعد في العضلات بالفخد لأن طبعا مساحة كبيرة وعنا
+
+165
+00:10:59,860 --> 00:11:03,940
+طبعا في عندنا شرايين وأوردة داخلية أما بالنسبة
+
+166
+00:11:03,940 --> 00:11:07,980
+للأطراف طبعا معظمها سطحي أو ممكن استخدام الرباط
+
+167
+00:11:07,980 --> 00:11:12,580
+الضاغط يعمل على إعاقة الدورة الدموية وبالتالي أنا
+
+168
+00:11:12,580 --> 00:11:16,280
+ما بدي أدخل في مشكلة إنه بعد ما استخدم الغيار أو
+
+169
+00:11:16,280 --> 00:11:21,840
+بعد ما استخدم الأربطة هذه تعمل مشكلة بمعنى إعاقة
+
+170
+00:11:21,840 --> 00:11:29,380
+الدورة الدموية عن الأطراف هذه الملاحظة
+
+171
+00:11:29,380 --> 00:11:33,220
+الثانية إنه يجب ترك الأطراف مكشوفة
+
+172
+00:11:38,430 --> 00:11:45,090
+أيضًا الأطراف مؤشر على طريقة استخدام الغيار بطريقة
+
+173
+00:11:45,090 --> 00:11:50,450
+صحيحة أو غير صحيحة كيف؟ إن في حال استخدام مثلًا
+
+174
+00:11:50,450 --> 00:11:54,490
+الشاشة أو الغيار أو الرباط الضغط زي ما اتكلمنا عليه
+
+175
+00:11:54,490 --> 00:11:59,490
+بعد شوية بطريقة خاطئة بمعنى زيادة الضغط على مكان
+
+176
+00:11:59,490 --> 00:12:03,650
+الجروح المؤشر عن طريق أطرافه وبالتالي لما نعمل
+
+177
+00:12:03,650 --> 00:12:07,750
+غيار على الكف مثلًا أو القدم يجب ترك الأصابع
+
+178
+00:12:07,750 --> 00:12:13,860
+مكشوفة يبقى تعتبر مؤشر، هل هناك تنميل، هناك خدران،
+
+179
+00:12:13,860 --> 00:12:17,960
+هناك ازرقاق، هناك ألم، يبقى تعتبر مؤشر، لأنه دائما
+
+180
+00:12:17,960 --> 00:12:22,700
+نهايات الأعصاب بالأطراف طبعا هي مؤشر صحيح و دليل
+
+181
+00:12:22,700 --> 00:12:27,000
+على إن هناك فيه إمكانية لضغط على الأوعية الدموية
+
+182
+00:12:27,000 --> 00:12:31,180
+والأعصاب أم لا، لو كانت طبعا الأطراف بلونها
+
+183
+00:12:31,180 --> 00:12:34,720
+الطبيعي، مافيش تنميل، مافيش خدران، مافيش ازرقاق،
+
+184
+00:12:34,720 --> 00:12:35,980
+يبقى أنا ماشي بالصورة الصحية
+
+185
+00:12:41,160 --> 00:12:44,320
+نيجي عشان احنا نثبت الغيار هذا بدنا الأربطة
+
+186
+00:12:44,320 --> 00:12:48,320
+الأربطة طبعا هي الأشياء المستخدمة فوق الغيار
+
+187
+00:12:48,320 --> 00:12:51,080
+للتثبيت طبعا هي ما يوضع فوق الغيار اللي ساعد على
+
+188
+00:12:51,080 --> 00:12:54,940
+تثبيته في مكانه فوق الجراح ويكون من الشاشة أو
+
+189
+00:12:54,940 --> 00:12:58,640
+القماش يعني ممكن برضه في حال الإسعاف الأولي ممكن
+
+190
+00:12:58,640 --> 00:13:02,180
+نستخدم قطعة قماش نظيفة وأستخدم فوق قطعة القماش
+
+191
+00:13:02,180 --> 00:13:05,980
+هذه واحد يقول ممكن نستخدم البلاستر تمام؟ لكن أحيان
+
+192
+00:13:05,980 --> 00:13:09,220
+ما بنستخدم البلاستر في كل الأماكن طبعا ممكن أما
+
+193
+00:13:09,220 --> 00:13:12,300
+أقول والله مثلا اللي .. اللي عندي مش موجود لـ
+
+194
+00:13:12,300 --> 00:13:16,900
+Plaster وعندي قطعة قماش نظيفة أخرى فبالتالي ومش
+
+195
+00:13:16,900 --> 00:13:19,440
+بالضرورة كمان يكون عندنا ملاحظة يا إخواننا ليس
+
+196
+00:13:19,440 --> 00:13:24,620
+بالضرورة يكون الأربطة معقمة، طبعا؟ مش بالضرورة،
+
+197
+00:13:24,620 --> 00:13:28,380
+نظيفة، لكن الـ .. الغيارات الأفضل تكون معقمة، وإلا
+
+198
+00:13:28,380 --> 00:13:32,240
+ما يوجد معقمة فممكن تكون عيش نظيفة، ولا يشترط أن
+
+199
+00:13:32,240 --> 00:13:34,960
+يكون معقم، لأنه مش هيكون ملامس .. ليش .. لأنه مش
+
+200
+00:13:34,960 --> 00:13:40,680
+هيكون ملامس مباشرة للجروح طبعا وظائف الأربطة زي ما
+
+201
+00:13:40,680 --> 00:13:44,240
+كنا وظائف الغيارات طبعا إجبارا من هنا نقول نقطة أن
+
+202
+00:13:44,240 --> 00:13:48,620
+وظائف الأربطة لا تستخدم في امتصاص إفرازات الجرح
+
+203
+00:13:48,620 --> 00:13:52,720
+هي لتثبيت الغيار في مكانه، بأول حاجة تثبيت الغيارات
+
+204
+00:13:52,720 --> 00:13:55,260
+في مكانها، الغيارة هنا هي قطعة القماش أو الشاشة
+
+205
+00:13:55,260 --> 00:13:59,500
+اللي استخدمناها، الضغط على غيارات الجرح ممكن يساعد
+
+206
+00:13:59,500 --> 00:14:04,160
+على وقف النزيف يعني لما أنا بستخدم الأربطة، احنا
+
+207
+00:14:04,160 --> 00:14:07,440
+قلنا الطريقة الأولى لوقف النزيف اللي هي الضغط
+
+208
+00:14:07,440 --> 00:14:10,980
+المباشر، فأنا بستخدم قطنة القماش وفوق الرباط هذا
+
+209
+00:14:10,980 --> 00:14:15,150
+يبقى كأن أنا عايش ضغط على مكان الجرح اللي أنا
+
+210
+00:14:15,150 --> 00:14:18,330
+بثبت بعض أجزاء الجسم كما في الكسور وهذا طبعا
+
+211
+00:14:18,330 --> 00:14:21,410
+هناخده بالتفصيل، إن أنا بستخدمها وليس بالضرورة
+
+212
+00:14:21,410 --> 00:14:25,310
+تكون معقمة، أنا بستخدمها في حال كان عندي كسر مثلا
+
+213
+00:14:25,310 --> 00:14:28,490
+واستخدمت جبيرة سواء الجسم نفسه، زي ما بنتكلم بعد
+
+214
+00:14:28,490 --> 00:14:31,570
+هي كان، أو استخدمت جبيرة خارجية، فهنا كده بنثبت
+
+215
+00:14:31,570 --> 00:14:35,010
+الساق، طبعا الساق السليمة مع الساق المكسورة أو
+
+216
+00:14:35,010 --> 00:14:38,890
+الجبيرة الخشبية أو المعدنية حماية للجزء المكسور
+
+217
+00:14:38,890 --> 00:14:42,210
+فبستخدم الأربطة اللي بتثبت طبعا الأربطة يعني هذه
+
+218
+00:14:42,210 --> 00:14:45,090
+طبعا جاي معانا بالتفصيل للموضوع لكن بتكلم الأربطة
+
+219
+00:14:45,090 --> 00:14:50,450
+ممكن تكون رباط عادي أحذية أو ممكن تكون مثلا إجرافة
+
+220
+00:14:50,450 --> 00:14:54,150
+أو ممكن تكون قطعة قماش عادية أو حبل أو أي شيء
+
+221
+00:14:54,150 --> 00:14:58,050
+وبالتالي طبعا هي ليس بالضرورة تكون بمواصفات ثابتة
+
+222
+00:14:58,050 --> 00:14:58,770
+في كل الأحوال
+
+223
+00:15:02,340 --> 00:15:05,040
+المساعد بتثبيت بعض المفاصل وهو شيء طبيعي أنت بتشوف
+
+224
+00:15:05,040 --> 00:15:06,780
+لما الإنسان يكون والله بيقولك أنا عندي مشكلة
+
+225
+00:15:06,780 --> 00:15:11,480
+بالمفصل بيستخدمه مثلا رباط ضغط على سبيل المثال أو
+
+226
+00:15:11,480 --> 00:15:15,120
+أربطة عادية لتخفيف الألم طبعا الأربطة اللي تستخدم
+
+227
+00:15:15,120 --> 00:15:17,640
+في تخفيف الألم يا إخواننا من أن نكون عارفين أنها
+
+228
+00:15:17,640 --> 00:15:20,820
+تستخدم فقط في النهار ما تستخدم في الليل لأن طبعا
+
+229
+00:15:20,820 --> 00:15:23,680
+في النهار في حركة وفي تنشيط للدورة الدموية لكن في
+
+230
+00:15:23,680 --> 00:15:27,360
+الليل لا تستخدم لأن مافي عندنا حركة زي نقول مثلا
+
+231
+00:15:27,360 --> 00:15:31,360
+الماشي الماشي وهذا طبعا بيضعف الدورة الدموية
+
+232
+00:15:36,190 --> 00:15:39,250
+وقف النزيف زي ما قلنا في الجروح البترية الجروح
+
+233
+00:15:39,250 --> 00:15:43,950
+البترية هي يعني better جزء من الجسم طبعا طريق يعني
+
+234
+00:15:43,950 --> 00:15:48,970
+غير مباشرة وطبعا شيء مهم جدا أن أنا في عندي كمية
+
+235
+00:15:48,970 --> 00:15:53,350
+كبيرة أو فرصة كبيرة للنزيف وبالتالي بستخدم رباط
+
+236
+00:15:53,350 --> 00:15:58,380
+ضغط لأن الرباط الشاشة العادي ما بيضغط لف لف أما
+
+237
+00:15:58,380 --> 00:16:02,960
+الرباط الضاغط يعني هو مادة مطاطية فأنا بأشد الرباط
+
+238
+00:16:02,960 --> 00:16:06,100
+الضاغط وفي نفس الوقت المادة المطاطية هي بتساعد
+
+239
+00:16:06,100 --> 00:16:09,920
+على تثبيت الغيار في مكانه يبقى في حال الجروح
+
+240
+00:16:09,920 --> 00:16:14,020
+البترية حكينا عنها قبل كده بستخدم الأربطة الضاغطة
+
+241
+00:16:14,020 --> 00:16:18,840
+لتثبيت الغيار أو قطعة القماش فوق اللي هو المنطقة
+
+242
+00:16:18,840 --> 00:16:25,000
+اللي فيها بتر منع سريان المواد السامة واحنا بيقولنا
+
+243
+00:16:25,000 --> 00:16:28,620
+يا إخواننا لو أي انسان أصيب مثلا بلدغة أو عقرب
+
+244
+00:16:28,620 --> 00:16:32,660
+بنعمل عقدة أو ربطة أعلى من مكان الإصابة تقريبا 10
+
+245
+00:16:32,660 --> 00:16:36,300
+سنتي مش ممكن أنا أظل امسك المكان المصاب فأنا ممكن
+
+246
+00:16:36,300 --> 00:16:42,220
+استخدم رباط عادي حبل يعني رباط أحذية جرافة قطعة
+
+247
+00:16:42,220 --> 00:16:47,160
+قماش أساس تساعد على إيقاف سريان السم طبعا يكون
+
+248
+00:16:47,160 --> 00:16:53,330
+دائما الرباط أقرب للجسم من اللي هو إيش؟ مكان اللسعة،
+
+249
+00:16:53,330 --> 00:16:57,130
+يبقى أقرب للجسم، مش بعدها، اللي بيكون قبل مكان
+
+250
+00:16:57,130 --> 00:17:00,150
+الإصابة، لأنه .. لأنه غالبا مين اللي هيرجع ليه
+
+251
+00:17:00,150 --> 00:17:03,210
+مرة ثانية؟ عن طريق الأوردة، وها طبعا الخوف، هنا كم
+
+252
+00:17:03,210 --> 00:17:07,490
+طبعا بالتفصيل إنه بيكون أقرب للجسم أو قبل مكان
+
+253
+00:17:07,490 --> 00:17:08,070
+اللسعة
+
+254
+00:17:14,230 --> 00:17:19,290
+طبعا بعض الإشارات العامة طبعا اختيار رباط مناسب
+
+255
+00:17:19,290 --> 00:17:23,490
+للمكان زي مثلا رباط عادي مثلا لسريان السم أو شيء واستخدام طبعا
+
+256
+00:17:23,490 --> 00:17:26,830
+استخدام طبعا رباط ضغط مثلا في حال آلام المفاصل أو
+
+257
+00:17:26,830 --> 00:17:28,530
+استخدام اللي هو الجروح البترية
+
+258
+00:17:31,230 --> 00:17:34,910
+الوضع المريح لمكان الإصابة وللمصاب بمعنى أنا ما
+
+259
+00:17:34,910 --> 00:17:39,690
+بكون زي ما قلنا أن يكون عند ضغط شديد أو زيادة عن
+
+260
+00:17:39,690 --> 00:17:44,390
+الطبيعي لأن طبعا زيادة الضغط هتعمل يعني حبس للدورة
+
+261
+00:17:44,390 --> 00:17:47,850
+الدموية وضغط على الأعصاب وبالتالي بدل ما يكون أنا
+
+262
+00:17:47,850 --> 00:17:50,930
+قرحت الشخص هذا وعملت إيقاف للنزيف هكون عملت صح
+
+263
+00:17:50,930 --> 00:17:54,250
+إيقاف للنزيف لكن في نفس الوقت عملت تعب وألم
+
+264
+00:17:54,250 --> 00:17:55,230
+للضحية
+
+265
+00:17:59,530 --> 00:18:04,150
+الرباط طبعا يلف من الداخل إلى الخارج أو من أسفل
+
+266
+00:18:04,150 --> 00:18:08,390
+إلى أعلى، بتجول ملاحظة دائما لما تستخدم أي رباط
+
+267
+00:18:08,390 --> 00:18:13,710
+استخدمي من الخارج للداخل، يعني من الأضيق للأوسع،
+
+268
+00:18:13,710 --> 00:18:18,630
+من عن الأضيق الأطراف، الأوسع الذراع، فدايما في كل
+
+269
+00:18:18,630 --> 00:18:21,650
+حالات الأربطة، أنت بتلاحظ بعض الحالات مثلًا، مجلة
+
+270
+00:18:21,650 --> 00:18:24,770
+كلها راحت على مركز وعملت غيار، طلع برة، حرك إيده
+
+271
+00:18:24,770 --> 00:18:28,130
+اللي هو الرباط واجع أو الغيار واجع، في الحالة
+
+272
+00:18:28,130 --> 00:18:32,350
+الدائمة نخليها كقاعدة استخدام الأربطة من الأضيق
+
+273
+00:18:32,350 --> 00:18:37,290
+للأوسع أو من الأبعد للأقرب ليش؟ لأن الحلقة الصغيرة
+
+274
+00:18:37,290 --> 00:18:41,190
+هتيجي فوق حلقة كبيرة والحلقة الكبيرة هتيجي فوق إيش
+
+275
+00:18:41,190 --> 00:18:45,570
+أكبر لكن لو احنا عملنا العكس، هكون أسهل إن الغيار
+
+276
+00:18:45,570 --> 00:18:50,330
+طبعا يعني يترك مكانه، لكن لما أقول أنا من الأصغر
+
+277
+00:18:50,330 --> 00:18:53,670
+للأكبر، معناه الحلقة الكبيرة هتغطي الحلقة الصغيرة،
+
+278
+00:18:53,670 --> 00:18:56,790
+أو الأكبر هتغطي أي حلقة أكبر منها، وبالتالي خذوها
+
+279
+00:18:56,790 --> 00:19:00,210
+كقاعدة دائما، من الخارج للداخل أو من الأبعد
+
+280
+00:19:00,210 --> 00:19:03,950
+للأقرب، في كل حالة الغيارة تبصف عامة، هدي عايش 
+
+281
+00:19:03,950 --> 00:19:09,970
+كقاعدة عامة طبعًا هنا كملاحظة إنه ما بدناش نكون
+
+282
+00:19:09,970 --> 00:19:12,890
+مشدودين زيادة عن اللازم، طبعًا من اللي بيعطيني
+
+283
+00:19:12,890 --> 00:19:16,710
+المؤشر إنه فيه زيادة في الشد؟ الأطراف، الأطراف، هي 
+
+284
+00:19:16,710 --> 00:19:19,150
+طبعًا المؤشر هذا، عايزين نقول دايمًا نقول نخلي نهايات
+
+285
+00:19:19,150 --> 00:19:22,530
+الأطراف مكشوفة، لأن طبعًا هي المؤشر، فيه ازرقاق،
+
+286
+00:19:22,530 --> 00:19:25,790
+فيه ألم، فيه تنميل، فيه خدران، فيه طبعًا التغيير
+
+287
+00:19:25,790 --> 00:19:30,030
+في اللون، ازرقاق هذا مؤشر إنه أنا ضغطت زيادة على
+
+288
+00:19:30,030 --> 00:19:32,790
+مكاني، طبعًا هل أتركه؟ طبعًا لا، لأنه ما بدنا ندخل 
+
+289
+00:19:32,790 --> 00:19:35,850
+في مشكلة ثانية واحتباس الدم في المنطقة هذه ويتغير
+
+290
+00:19:35,850 --> 00:19:39,350
+اللون لأن طبعًا تغيير اللون معناه فيه زيادة في
+
+291
+00:19:39,350 --> 00:19:43,170
+الألم وطبعًا الشيء الطبيعي نقول احنا مثلًا نقص أي
+
+292
+00:19:43,170 --> 00:19:46,870
+منطقة عنها الدم المغذي طبعًا بيحمل أكسجين
+
+293
+00:19:46,870 --> 00:19:49,710
+والمغذيات طبعًا يؤدي إلى الألم وطبعًا الشيء اللي
+
+294
+00:19:49,710 --> 00:19:51,930
+نلاحظه احنا في وجه الخصوص طبعًا في فترة البرد
+
+295
+00:19:51,930 --> 00:19:55,750
+الشديد الأطراف كل ما كانت فزرقاق كل ما كان فيه ألم
+
+296
+00:19:55,750 --> 00:20:00,050
+أكثر بسبب نقص وصول كمية الدم الكافية يعني أي منطقة 
+
+297
+00:20:01,180 --> 00:20:05,100
+ما بيصلها الدم بكمية كافية وأنا بدي أذكركم في 
+
+298
+00:20:05,100 --> 00:20:08,340
+حاجة كمان مهمة كثير لما ذكرنا النوبات القلبية وإن
+
+299
+00:20:08,340 --> 00:20:12,100
+فيه الذبحة الصدرية أو الجلطة القلبية طبعًا بيصير الألم
+
+300
+00:20:12,100 --> 00:20:16,920
+نتيجة مجهود في حال الذبحة الصدرية بسبب ضيق الأوعية
+
+301
+00:20:16,920 --> 00:20:20,700
+الدموية أو الشرايين التاجية بيقل الدم المغذي فأي
+
+302
+00:20:20,700 --> 00:20:27,720
+منطقة ما بيصلها الدم بكمية كافية حامل معه الموارد
+
+303
+00:20:27,720 --> 00:20:32,810
+التغذوية والأكسجين بيصير ألم واحنا إن شاء الله كل 
+
+304
+00:20:32,810 --> 00:20:35,490
+عام بتبقى مقبلين على رمضان بتلاحظ أول يوم يكون
+
+305
+00:20:35,490 --> 00:20:41,230
+فيه صداع بسبب نقص كمية السكر اللي بتصل للدماغ هو
+
+306
+00:20:41,230 --> 00:20:45,210
+أول .. طبعًا وصل الدم صح اه لكن وصل .. ما فيش الكمية
+
+307
+00:20:45,210 --> 00:20:50,350
+الكافية من السكر وعشان كقاعدة أي منطقة ما بيصلها 
+
+308
+00:20:50,350 --> 00:20:55,170
+الدم محمل بالأكسجين والمواد الغذائية بيصير فيها
+
+309
+00:20:55,170 --> 00:20:58,910
+الألم ومؤشر علينا وطبعًا في أول يوم في رمضان بيصير
+
+310
+00:20:58,910 --> 00:20:59,530
+المشكلة هذه
+
+311
+00:21:04,610 --> 00:21:09,250
+ماشي، ماشي، أو احنا ما هو بيصير طبعًا ايش؟ تكيف،
+
+312
+00:21:09,250 --> 00:21:12,350
+بيصير تكيف، بيصير الإنسان أوي طبعًا دايمًا كل بداية
+
+313
+00:21:12,350 --> 00:21:16,770
+صعبة، فأول يوم وبالبداية طبعًا للناس مثلًا المتعودين 
+
+314
+00:21:16,770 --> 00:21:20,210
+يأكلوا مثلًا كثير وشيء، طبعًا هينخفض السكر، لكن يوم
+
+315
+00:21:20,210 --> 00:21:23,110
+علي يوم بيصير شيء طبيعي، متعود، طبعًا هذا بيكون سهل 
+
+316
+00:21:23,110 --> 00:21:25,990
+جداً عن الناس المتعودين على الصيام، لأنه شيء طبيعي،
+
+317
+00:21:25,990 --> 00:21:30,530
+روتين، لكن المش متعود، بيصير حاجة ثانية، إن شاء 
+
+318
+00:21:30,530 --> 00:21:34,580
+الله ربنا يتقبل يا رب طبعًا .. اه زي ما كنا نايد مرة
+
+319
+00:21:34,580 --> 00:21:37,620
+ثانية نترك نهاية الأعضاء الأصابع مكشوفة وقلنا ايش
+
+320
+00:21:37,620 --> 00:21:42,160
+طبعًا السبب في ذلك طبعًا ملاحظة شيء طبيعي لا يلف
+
+321
+00:21:42,160 --> 00:21:48,960
+الأربطة أو العنق يعني واحد جالس مثلاً بدون عصا يدهلق
+
+322
+00:21:48,960 --> 00:21:53,540
+فيه طبعًا جذب سيء يعني والربط ليه؟ طبعًا من
+
+323
+00:21:53,540 --> 00:21:58,880
+المحاذير يعني طبعًا العقدة يعني بالنسبة للرأس 
+
+324
+00:21:58,880 --> 00:22:01,820
+الصويشي بتكون على أحد الجانبين أفضل وليس خلف
+
+325
+00:22:01,820 --> 00:22:05,940
+الرأس طبعًا ده شيء ملحوظ جدا طبعًا هي بتثبت الجبيرة
+
+326
+00:22:05,940 --> 00:22:08,440
+أكثر احنا هنجي كمان شوية هنعدي وهنشوف طبعًا صورة
+
+327
+00:22:08,440 --> 00:22:10,500
+طبيعية أفضل وأقوى المعلومة 
+
+328
+00:22:13,090 --> 00:22:15,930
+الأربطة طبعًا الأربطة اللي هو أولًا الرباط الشاشي
+
+329
+00:22:15,930 --> 00:22:18,330
+العادي أو الخمسة سنتي طبعًا فيهم اللي بيبدا خمسة
+
+330
+00:22:18,330 --> 00:22:22,450
+سنتي سبعة سنتي ونصف عشرة سنتي طبعًا هذه كلها وبدنا
+
+331
+00:22:22,450 --> 00:22:27,110
+نكون ملاحظين عندنا كل مكان الرباط أعرض كل مكان بيغطي
+
+332
+00:22:27,110 --> 00:22:31,130
+المكان أكثر لكن اختيار .. اختيار الرباط الشاشي حسب
+
+333
+00:22:31,130 --> 00:22:33,470
+المكان يعني لا يعقل أن أنا أستخدم وأقول الله مثلاً
+
+334
+00:22:33,470 --> 00:22:38,050
+بإبدأ أستخدم رباط شاش عشرة سنتي لإصبع مثلاً حجم
+
+335
+00:22:38,050 --> 00:22:42,030
+اثنين سنتي أو ثلاثة سنتي فطبعًا حسب ايش .. بس اختيار
+
+336
+00:22:42,400 --> 00:22:46,640
+اختيار الشاش هذا بناءً على مكان الإصابة اللي أنا 
+
+337
+00:22:46,640 --> 00:22:49,460
+بدي أستخدمه فيه أو المكان اللي أنا بدي أغطيه
+
+338
+00:22:49,460 --> 00:22:51,360
+الجبيرة الموجود مسبقًا
+
+339
+00:22:54,500 --> 00:22:57,620
+طبعًا فيه عندنا الرباط المثلث والرباط المثلث هو نصف 
+
+340
+00:22:57,620 --> 00:23:02,760
+منديل أو نصف حطة يعني بشكل مثلث وطبعًا .. يعني قاعدة
+
+341
+00:23:02,760 --> 00:23:05,640
+نشوف فيديو بسيط جدا كيف استخدامه وطبعًا الرباط
+
+342
+00:23:05,640 --> 00:23:08,880
+المثلث يستخدم في أكثر من طريقة في حالات الكسور
+
+343
+00:23:08,880 --> 00:23:13,320
+مثلًا للساعد في حالات مثلاً إصابات الرأس في حالات 
+
+344
+00:23:13,320 --> 00:23:16,780
+إصابات الأذن طبعًا كيف نستخدمه؟ طبعًا في عندنا آلية
+
+345
+00:23:16,780 --> 00:23:21,320
+لاستخدامه هذا هو الرباط المثلث والرباط المثلث طبعًا
+
+346
+00:23:21,320 --> 00:23:24,460
+احنا معنا فيديو صغير بس من الأنواع عشان جبنا 
+
+347
+00:23:24,460 --> 00:23:27,600
+ناخد الجزء العامل فيه فيه عندنا رباط مثلث وعندنا 
+
+348
+00:23:27,600 --> 00:23:31,640
+رباط مستعرض رباط المستعرض وهو طبعًا رباط المستعرض
+
+349
+00:23:31,640 --> 00:23:35,180
+أحيانًا يستخدم في عمليات الجراحية للبطن تمام؟
+
+350
+00:23:35,180 --> 00:23:40,300
+ويستخدم أيضًا رباط المستعرض أو الرباط الضغط العريض
+
+351
+00:23:40,300 --> 00:23:44,620
+لما إنسان مثلاً يكون عامل عملية جراحية أو مثلاً تسديد
+
+352
+00:23:44,620 --> 00:23:50,170
+بعد الولادة عشان طبعًا ايش؟ يحافظ على الأحشاء بعض
+
+353
+00:23:50,170 --> 00:23:54,230
+الناس مثلًا يعني بيكون عامل عملية جراحية طبعًا بتم 
+
+354
+00:23:54,230 --> 00:23:58,830
+ارشاده عدم السعال أو عدم الضغط عشان إنه ما يزيد 
+
+355
+00:23:58,830 --> 00:24:02,310
+الضغط من الخارج ويعمل فتح لإياش للغرز وبالتالي 
+
+356
+00:24:02,310 --> 00:24:06,670
+طبعًا اللي بيكون إياش مساعد للتثبيت في عندنا
+
+357
+00:24:06,670 --> 00:24:09,490
+الرباط الأخير اللي هو الرباط الضغط واحنا بنقول عنه
+
+358
+00:24:09,490 --> 00:24:15,830
+المشد والمشد هذا بيستخدمه في حالات كثيرة يعني 
+
+359
+00:24:15,830 --> 00:24:19,870
+بيستخدموه في ناحية تجميلية مثلاً بالأفراح والستات 
+
+360
+00:24:19,870 --> 00:24:23,690
+بيعرفوا الأشياء ده أو بيستخدموه بعد عملية جراحية 
+
+361
+00:24:23,690 --> 00:24:28,370
+تمام؟ طبعًا لأنه ضغط واللي بنلاحظه بالنسبة للرباط 
+
+362
+00:24:28,370 --> 00:24:32,730
+الضغط أو المستعرض بيكون فيه قطعتين معدنيتين عشان ..
+
+363
+00:24:32,730 --> 00:24:35,970
+عشان طبعًا ما يلفش على بعضهم وطبعًا دلوقت عيش بالصورة
+
+364
+00:24:35,970 --> 00:24:40,220
+العادية هذه طبعًا صور لبعض الرباط نيجي هنا يا 
+
+365
+00:24:40,220 --> 00:24:44,000
+أخواتنا بس نشوف طبعًا الرباط طبعًا استخدام الرباط
+
+366
+00:24:44,000 --> 00:24:48,240
+المثلث الرباط المثلث زي ما قلنا احنا له قاعدة و
+
+367
+00:24:48,240 --> 00:24:53,200
+ذراعين طبعًا فدائمًا القاعدة بتكون في متساوي
+
+368
+00:24:53,200 --> 00:24:58,100
+الساقين القاعدة أكبر القاعدة أكبر لكن لما يكون 
+
+369
+00:24:58,100 --> 00:25:02,100
+متساوي الأضلاع بيكون الزاوية كلها ستين درجة صح ولا
+
+370
+00:25:02,100 --> 00:25:07,440
+لا لكن لما يكون متساوي الساقين بتكون الزاوية خمسة
+
+371
+00:25:07,440 --> 00:25:09,780
+وأربعين غالب .. غالبًا أنا خمسة وأربعين طب احنا 
+
+372
+00:25:09,780 --> 00:25:12,360
+جينا بدنا نشوف طبعًا .. يعني .. أنا .. يعني هذا
+
+373
+00:25:12,360 --> 00:25:14,660
+الشيء اللي أنت قدامكم هنشوفه رجيتها عامل بال ..
+
+374
+00:25:14,660 --> 00:25:18,760
+بالفيديو وطبعًا الفيديو هذا طبعًا هنا هيكون عندنا
+
+375
+00:25:18,760 --> 00:25:22,400
+الفيديو بسيط كيف هنستخدم الرباط الضغط .. الرباط
+
+376
+00:25:22,400 --> 00:25:32,400
+المثلث آسف .. نعم نستخدم
+
+377
+00:25:32,400 --> 00:25:33,260
+الرباط المثلث
+
+378
+00:25:39,770 --> 00:25:46,310
+تثبيت الكسر العظم متثبت فيه مفاصل المرفق والكتف
+
+379
+00:25:46,310 --> 00:25:49,870
+تثبيت مفصل المرفق مثل ما أخذناها من شوية عن طريق 
+
+380
+00:25:49,870 --> 00:25:54,110
+العلقة البسيطة باستخدام الرباط المثلثة وتثبيت مفصل 
+
+381
+00:25:54,110 --> 00:25:57,290
+الكتف بتكون باستخدام العلقة المعاكسة كمان باستخدام
+
+382
+00:25:57,290 --> 00:26:02,130
+الرباط المثلثة هنبدأ هلأ بتثبيت مفصل المرفق 
+
+383
+00:26:02,130 --> 00:26:05,610
+باستخدام العلقة البسيطة طب هاي كله هنشرحه بعدين
+
+384
+00:26:05,610 --> 00:26:09,990
+بالتقسيم نفس الطريقة اللي أخذها أحمد شوية طبعًا 
+
+385
+00:26:09,990 --> 00:26:19,070
+نثبت الكسر مثل ما هو نقول
+
+386
+00:26:19,070 --> 00:26:23,210
+ملاحظة مهمة جدا يا اخواتنا إن في حال الرباط المثلث
+
+387
+00:26:23,210 --> 00:26:29,570
+دائمًا بيكون طرف المثلث عند الكوع رأس المثلث بيكون 
+
+388
+00:26:29,570 --> 00:26:33,110
+عند الكوع زي ما أنتم شايفين هنا طبعًا هذا هي 
+
+389
+00:26:33,110 --> 00:26:38,130
+القاعدة المثلث طبعًا أما رأس المثلث ايش عند الكوع 
+
+390
+00:26:38,130 --> 00:26:45,790
+نثبت 
+
+391
+00:26:45,790 --> 00:26:50,190
+الكسر مثل ما لاقينه طبعًا بنحاول نرد الكسر لمكانه 
+
+392
+00:26:50,190 --> 00:26:52,910
+زي ما العقدة بتكون على حد الجهد هذا بيحتاج لطبيب
+
+393
+00:26:52,910 --> 00:26:58,860
+هو يرد الكسر لمكانه احنا مسافرين بنسبت  نسبّب كسر مثل
+
+394
+00:26:58,860 --> 00:27:15,040
+ما لاقينا هاي
+
+395
+00:27:15,040 --> 00:27:19,900
+العلقة البسيطة سببت لنا في مفصل المرفق هلا بحتاج 
+
+396
+00:27:19,900 --> 00:27:26,260
+تثبيت مفصل الكتف كمان باستخدام رباط مثلث الطريقة 
+
+397
+00:27:26,260 --> 00:27:33,360
+اسمها طريقة العلقة المعاكسة طرف 
+
+398
+00:27:33,360 --> 00:27:41,380
+المثلث العريض طرف 
+
+399
+00:27:41,380 --> 00:27:50,740
+المثلث العريض على رأس الكتف من هون بعدين
+
+400
+00:27:50,740 --> 00:27:52,260
+نمده لتحت 
+
+401
+00:28:08,700 --> 00:28:13,080
+لا نفس الشيء كمان هنا إذا ما عنا دبوس نثبت دبوس
+
+402
+00:28:13,080 --> 00:28:27,760
+ما عندنا دبوس نعمل لفة من تحت اسمها عقدة زي زي طبعًا
+
+403
+00:28:27,760 --> 00:28:30,040
+هذه الحاجات اللي بيبقى فيها جماليه من هنا بيبقى
+
+404
+00:28:30,040 --> 00:28:33,140
+طبعًا هناك اللي ندلها والمنظر يعني مش مفروض
+
+405
+00:28:42,280 --> 00:28:45,100
+اللي هناخدها طبعًا في موضوع خاص بالنسبة لإصابة جهاز
+
+406
+00:28:45,100 --> 00:28:49,520
+الهيكل الحركي طبعًا هذا الشيء هناخده أكثر لكن بعض
+
+407
+00:28:49,520 --> 00:28:52,440
+الواحد احنا بدنا نقول كيف بتم استخدام الرباط
+
+408
+00:28:52,440 --> 00:28:56,200
+المثلث يبقى الرباط المثلث شيء مهم جدًا ويكون عندي 
+
+409
+00:28:56,200 --> 00:29:01,580
+يعني سواء قطعة قماش مربعة مقطوعة لنصفين أو مثلًا عندي
+
+410
+00:29:01,580 --> 00:29:06,700
+منديل أو مثلًا عندي مثلث بطبيعة الحال فممكن أستخدمه
+
+411
+00:29:06,700 --> 00:29:07,220
+في الحالة هذه
+
+412
+00:29:20,300 --> 00:29:25,320
+هذا الشيء اللي احنا حكينا فيه بالنسبة لربط الذراع
+
+413
+00:29:25,320 --> 00:29:28,420
+يوضع أحد أطراف زي ما قلت هنا الربط المثلث فوق
+
+414
+00:29:28,420 --> 00:29:31,640
+الكتف السليم ويترك الطرف المقابل يتدلق زي ما قلنا 
+
+415
+00:29:31,640 --> 00:29:35,200
+على أساس إنه طبعًا بدخل دائمًا الطرف بدكون رأس 
+
+416
+00:29:35,200 --> 00:29:39,340
+المثلث للكوع بدخل أو طرف أو الطرف هنا عند العنق و
+
+417
+00:29:39,340 --> 00:29:41,940
+الطرف الثاني على عنق من ناحية الثانية لكن بتم
+
+418
+00:29:41,940 --> 00:29:45,960
+الربط أما على اليمين أو على اليسار ما أربط أنا خلف
+
+419
+00:29:45,960 --> 00:29:51,830
+الرقبة ليه؟ بسبب فقراء .. الضغط على فقرات العنق أما
+
+420
+00:29:51,830 --> 00:29:54,410
+هنا في عندنا عضلات ما فيش مشكلة وبالتالي دايمًا هذه 
+
+421
+00:29:54,410 --> 00:29:58,430
+الشباب طبعا هو يلف حول الطرف المصاب ويعاد طبعا في
+
+422
+00:29:58,430 --> 00:30:01,110
+الكتف، الكتف في الطرف المصاب ثم يروح الطرفان على
+
+423
+00:30:01,110 --> 00:30:05,450
+جانب العنق وبالتالي هنا ما بنربط الربط أو العجدة
+
+424
+00:30:05,450 --> 00:30:08,030
+بتكون على خلف العنق إلا بتكون على الجانبين طبعا
+
+425
+00:30:08,030 --> 00:30:11,230
+لأنه بيكون العضلة، والعضلة بتتحمل أكثر أيش أو مثلا
+
+426
+00:30:11,230 --> 00:30:13,430
+أرحم شوية من الضغط على العظام
+
+427
+00:30:17,030 --> 00:30:19,350
+طبعا في عندنا أربطة الرأس طبعا يعني أربطة الرأس
+
+428
+00:30:19,350 --> 00:30:21,330
+ممكن هي جريبة من الشاشية اللي كانوا يستخدموها
+
+429
+00:30:21,330 --> 00:30:27,010
+الستات الكبار طبعا هي مثقية أيضا مثلث طبعا القاعدة
+
+430
+00:30:27,010 --> 00:30:31,430
+بتكون من أيش؟ من الأمام تمام؟ وطبعا الرأس المثلث
+
+431
+00:30:31,430 --> 00:30:34,090
+بيكون من الخلف، طب نكون عند الطرفين هنا، بنلف
+
+432
+00:30:34,090 --> 00:30:37,730
+الطرف والطرف الثاني وبنعمل عقدة من الأمام و
+
+433
+00:30:37,730 --> 00:30:41,790
+القاعدة بتاعة المثلث بنجيبها أيش؟ طريقة عكسية، هاي
+
+434
+00:30:41,790 --> 00:30:44,130
+طبعا نفس اللي كانوا يستخدموا الستات العجاز أو
+
+435
+00:30:44,130 --> 00:30:47,050
+طبعا لـ .. يعني حاجة واضحة أنا بقول لك والله عند
+
+436
+00:30:47,050 --> 00:30:49,570
+الصداع ولا حاجة بتستخدمها، لكن احنا بقول مثلا في
+
+437
+00:30:49,570 --> 00:30:52,290
+قصابات الرأس برضه ممكن تستخدم رباط المثلث
+
+438
+00:30:55,590 --> 00:30:58,710
+طبعا رباط الأذن أو جانب لجه نفس الفكرة للرأس.. نفس
+
+439
+00:30:58,710 --> 00:31:01,950
+فكرة استخدام رباط المثلث للرأس لأن طبعا طبعا جزء
+
+440
+00:31:01,950 --> 00:31:02,830
+أيضًا من الرأس؟
+
+441
+00:31:07,390 --> 00:31:11,490
+رباط الكوع أو الركبة طبعا هذا شيء مهم جدا أن في
+
+442
+00:31:11,490 --> 00:31:16,070
+حال الكوع أو الركبة بحاول أنا أعمل تثبيت لكن بيضل
+
+443
+00:31:16,070 --> 00:31:18,110
+عندي الـ .. يعني الـ .. الوضع اللي .. اللي بيقولوا
+
+444
+00:31:18,110 --> 00:31:21,910
+احنا الوضع الـ .. الوظيفي للعضو طبعا ما في واحد
+
+445
+00:31:21,910 --> 00:31:26,350
+ماشي بالشارع ودي هيك مشددين، كل احنا لو طلعنا عن
+
+446
+00:31:26,350 --> 00:31:31,050
+نفسنا بتلاقي فيه إيه؟ زاوية بسيطة ما ممشيش احنا يا 
+
+447
+00:31:31,050 --> 00:31:33,790
+عياش الأوضاع باستقامة، الزاوية البسيطة إيش؟ هي
+
+448
+00:31:33,790 --> 00:31:37,310
+طبيعي، إن جيت الأصابع ما ماشيش هم بالصورة هذه، بكون 
+
+449
+00:31:37,310 --> 00:31:40,450
+فيها انثناء بسيط، يعني هذا الوضع الوظيفي بالنسبة
+
+450
+00:31:40,450 --> 00:31:43,830
+ليا يا عياش، للعضو، وبالتالي بالتثبيت بحاول أنا مثلا
+
+451
+00:31:43,830 --> 00:31:47,230
+أخلي زاوية بسيطة موجودة، لأن هو طبعا هذا الوضع
+
+452
+00:31:47,230 --> 00:31:50,810
+المريح للشخص، هو طبعا فكرة التثبيت اللي هي إصابات
+
+453
+00:31:50,810 --> 00:31:52,310
+الكوع أو الركبة
+
+454
+00:31:56,070 --> 00:31:58,810
+طبعا في عندنا أربطة ثانية طبعا يسميها الرباط
+
+455
+00:31:58,810 --> 00:32:02,930
+الحلزوني المغلق، وزي ما قلنا بنستخدمه في حال تثبيت
+
+456
+00:32:02,930 --> 00:32:06,430
+الكسور أو تثبيت الجروح آسف أو الغيارات على الجروح
+
+457
+00:32:06,430 --> 00:32:10,590
+نفسها إن ببدأ من الطرف الأبعد للطرف الأقرب على
+
+458
+00:32:10,590 --> 00:32:14,850
+أساس يكون فيه تثبيت للرباط بحد ذاته، لكن إذا
+
+459
+00:32:14,850 --> 00:32:18,710
+استخدمت أنا العكس من الطرف الأوسع للأضيق أو من
+
+460
+00:32:18,710 --> 00:32:22,250
+الأقرب للأبعد طبعا هذا بيكون في سهولة أن الجرح
+
+461
+00:32:22,250 --> 00:32:25,520
+طبعا اللي غير ما يستمر في مكانه، في عيني طراب
+
+462
+00:32:25,520 --> 00:32:28,900
+أحيانا النوع الثاني اللي هو الرباط الحلزوني الرباط
+
+463
+00:32:28,900 --> 00:32:33,300
+الحلزوني يعني مش متناسق 100% زي الرباط اللي هو
+
+464
+00:32:33,300 --> 00:32:37,540
+المغلق، الرباط المغلق فوق بعض تمام لكن الحلزوني
+
+465
+00:32:37,540 --> 00:32:41,780
+طبعا لولبي لولبي ما بيكون مغطي كل منطقة وطبعا
+
+466
+00:32:41,780 --> 00:32:45,240
+استخدم يعني أحيانا في تثبيت الغيارات، الحروق يعني
+
+467
+00:32:45,240 --> 00:32:47,940
+لو وضعنا غيار أنا ما بديش الناحية الجمالية هنا بس
+
+468
+00:32:47,940 --> 00:32:51,200
+مجرد أن أثبت الغيار فيما كانوا، الحاجة الثانية 
+
+469
+00:32:51,200 --> 00:32:53,800
+تثبيت الجبيرة المؤقتة زي ما قلنا مثلا إن الإنسان
+
+470
+00:32:53,800 --> 00:32:56,900
+عنده كسر فأنا بستخدم الجبيرة، ببدأ أثبت الجبيرة
+
+471
+00:32:56,900 --> 00:33:00,720
+هذه، ما بعملهاش ديكور وكلها تكون مغطية، بس مجرد أيش
+
+472
+00:33:00,720 --> 00:33:05,360
+عملية التثبيت، ربط
+
+473
+00:33:05,360 --> 00:33:07,480
+مؤقت نفس الوجه الثاني يعتبر لأنه على أساس أنه
+
+474
+00:33:07,480 --> 00:33:10,340
+لغاية وصوله إلى المستشفى أو طبعا وصوله بسيارة
+
+475
+00:33:10,340 --> 00:33:15,250
+الإسعاف، في حال أنا عندي بعض الأربطة البسيطة فأنا
+
+476
+00:33:15,250 --> 00:33:19,090
+يعني الوظيفة إليه أساسا تثبيت الغيار يعني ممكن
+
+477
+00:33:19,090 --> 00:33:23,510
+أستخدمه لحين وصلت لساعات أو ما فيش عندي كمية كافية
+
+478
+00:33:23,510 --> 00:33:27,970
+من الأربطة الحلزوني طبعا المغلقة فبستخدم الرباط
+
+479
+00:33:27,970 --> 00:33:32,430
+الحلزوني، لو نستخدم مثلا الرباط اللي هو الحلزوني في
+
+480
+00:33:32,430 --> 00:33:35,790
+حال أو في وضع الرباط المغلق مش هيكفي فبالتالي أنا
+
+481
+00:33:35,790 --> 00:33:38,350
+ما أستخدمه عشان يغطيلي أكبر مساحة
+
+482
+00:33:41,180 --> 00:33:43,780
+طبعا رباط الكاحل أو احنا يا إخواننا بنسميه اللي هو
+
+483
+00:33:43,780 --> 00:33:48,280
+رباط شكل ثمانية، رباط شكل ثمانية وهذا دائما رباط
+
+484
+00:33:48,280 --> 00:33:53,500
+شكل ثمانية يستخدم في المفاصل، ليش؟ طبعا أنا بستخدم
+
+485
+00:33:53,500 --> 00:33:56,980
+ودائما بنبدأ من الأبعد للأقرب حتى في الرباط شكل
+
+486
+00:33:56,980 --> 00:34:00,840
+ثمانية اللي هو رباط المفاصل، رباط المفاصل بأبدأ من
+
+487
+00:34:00,840 --> 00:34:05,320
+الأبعد للأقرب تمام؟ لكن في منطقة المفصل بحد ذاتها
+
+488
+00:34:05,320 --> 00:34:10,060
+من الداخل بتكون ضيقة المسافة ومن الخارج تكون أوسع
+
+489
+00:34:11,050 --> 00:34:13,690
+وبالتالي بيعطينا زي شكل ثمانية بالإنجليزية مش
+
+490
+00:34:13,690 --> 00:34:16,650
+ثمانية بالعربية، ثمانية بالإنجليزية بدخلها من هنا
+
+491
+00:34:16,650 --> 00:34:20,010
+بوضعها هنا ثانية وبرجع من هنا ثانية على ناحية هذه
+
+492
+00:34:20,010 --> 00:34:23,090
+بصير عندي كإني عامل أنا ثمانية، شكل ثمانية
+
+493
+00:34:23,090 --> 00:34:26,290
+بالإنجليزية، وهو طبعا دائما أفضل للمفصل، لأن لو أنا
+
+494
+00:34:26,290 --> 00:34:31,070
+عملت رباط مغلق ما هنا مش هاجدر حركة المفصل لكن في
+
+495
+00:34:31,070 --> 00:34:34,250
+شكل ثمانية في حركة بيكون للمفصل وهذا أصحى
+
+496
+00:34:34,250 --> 00:34:37,570
+وبالتالي نقول احنا بعض الناس اللي مثلا عنده غيار
+
+497
+00:34:37,570 --> 00:34:42,270
+أو عنده مثلا جروح وعمل رباط مغلق من السهل أنه يفك
+
+498
+00:34:42,270 --> 00:34:46,070
+.. ممكن يظل ثابت لكن ما يكونش فيه حركة، ممكن فيه
+
+499
+00:34:46,070 --> 00:34:49,210
+ألم، لكن لما يكون في عندي أنا رباط على شكل ثمانية
+
+500
+00:34:49,210 --> 00:34:53,510
+بالإنكليزية، ممكن يكون في حركة أفضل وتثبيت للغيار
+
+501
+00:34:53,510 --> 00:34:57,630
+في مكانه، ممكن أقول والله مثلا الغيار المغلق مثبت
+
+502
+00:34:57,630 --> 00:35:01,190
+أه، لكن ما فيش فيه حركة، لكن الغيار رقم ثمانية أو
+
+503
+00:35:01,190 --> 00:35:04,370
+على شكل ثمانية، ممكن فيه تثبيت وفي نفس الوقت في
+
+504
+00:35:04,370 --> 00:35:05,390
+حركة للمفصل
+
+505
+00:35:08,390 --> 00:35:11,010
+طبعا الرباط الضغط زي ما قلنا إخواننا اللي هو اللي
+
+506
+00:35:11,010 --> 00:35:14,490
+مستخدمه قلنا في الجروح البترية طبعا فيه إنهاء
+
+507
+00:35:14,490 --> 00:35:16,710
+اللي هو حاجة مسميها اللي هو الـ tourniquet الـ
+
+508
+00:35:16,710 --> 00:35:20,550
+tourniquet اللي عملية المفتاح يعني مثلا قلنا
+
+509
+00:35:20,550 --> 00:35:24,510
+الرباط الضغط تمام لكن أنا علشان أزيد عشان أزيد
+
+510
+00:35:25,320 --> 00:35:29,300
+الضغط على النزيف أنا بيبني هنا ضغط بزيادة في
+
+511
+00:35:29,300 --> 00:35:32,440
+الجروح البترية أنا بيبني الضغط بزيادة وبالتالي هنا
+
+512
+00:35:32,440 --> 00:35:36,280
+لو شوفنا الصورة هذه طبعا هي مثلا بتر طبعا هنا في
+
+513
+00:35:36,280 --> 00:35:40,740
+عندنا بتر طبعا لا سمح الله، بنيجي احنا نعمل هاي الرباط
+
+514
+00:35:40,740 --> 00:35:44,480
+هذا طبعا الرباط الضغط، طبعا هنشوف الصورة هذه كمان
+
+515
+00:35:45,160 --> 00:35:48,920
+هنا عندنا الرباط الضاغط، طبعا هنا احنا قلنا أحد
+
+516
+00:35:48,920 --> 00:35:53,420
+طرق إيقاف النزيف هو الضغط على الشريان المغذي فأنا
+
+517
+00:35:53,420 --> 00:35:56,920
+استخدمت هنا دائما في الجروح البترية بستخدم رباط
+
+518
+00:35:56,920 --> 00:36:00,480
+ضغط يعني رباط مطاطي طبعا هنا أنا بدي عشان أساعد
+
+519
+00:36:00,480 --> 00:36:04,360
+المنطقة بستخدم اللي هو عملية المفتاح أو الربط عن
+
+520
+00:36:04,360 --> 00:36:08,660
+طريق المفتاح أو بالإنجليزية يسموه تورنيكيت، وطبعا حتى
+
+521
+00:36:08,660 --> 00:36:12,100
+اسم الـ tourniquet اللي هي جطة الجماش اللي بستخدمها
+
+522
+00:36:12,350 --> 00:36:15,810
+ممكن تكون مثلا جطة يعني زي مثلا لكشاط، تمام؟
+
+523
+00:36:15,810 --> 00:36:19,450
+فبستخدموها أحيانا الوسيلة هذه لعملية سحب الدم، طبعا
+
+524
+00:36:19,450 --> 00:36:21,250
+في الظروف العادية، اللي بيشتغل في المختبرات،
+
+525
+00:36:21,250 --> 00:36:24,710
+ما يعرف الشيء هذا، الحالة الثانية .. الطريقة الثانية
+
+526
+00:36:24,710 --> 00:36:28,070
+.. هي في عندي .. مثلا .. هي بيه .. هي أنا بدأت
+
+527
+00:36:28,070 --> 00:36:33,190
+أعمل .. ببدأ أجيب مثلا جلم أو مثلا جطعة خشبية .. أه
+
+528
+00:36:33,190 --> 00:36:35,730
+.. أه .. عساس أن أنا أربط فيها وأبدأ أشيك زي إيش
+
+529
+00:36:35,730 --> 00:36:38,250
+.. زي المفتاح .. كل ما أنا أعص بزيادة .. كل ما
+
+530
+00:36:38,250 --> 00:36:40,970
+بضغط بزيادة .. طبعا هذا ضبط الضغط إخواننا نكون
+
+531
+00:36:40,970 --> 00:36:44,370
+عارفين من خمس عشرة إلى عشرين دقيقة .. لأن أنا بـ .. أنا
+
+532
+00:36:44,370 --> 00:36:48,920
+بدي برضه أخلي الأنفجة برضه حية .. فأنا لفترة بسيطة
+
+533
+00:36:48,920 --> 00:36:51,520
+لفترة بسيطة احنا .. احنا بنسبة يعني نقول مثلا
+
+534
+00:36:51,520 --> 00:36:55,660
+عندنا في غزة، أقرب أبعد مسافة عشر دقائق تلت ساعة
+
+535
+00:36:55,660 --> 00:36:58,940
+أو ربع، سنكون وصل إلى المستشفى يعني واحنا في بلاد
+
+536
+00:36:58,940 --> 00:37:02,640
+فيها أماكن بعيدة فبصير عندنا .. بصير عندنا فك يعني
+
+537
+00:37:02,640 --> 00:37:05,720
+مثلا بعد العشرين دقيقة دقيقة واحدة وبعود أيش مربط
+
+538
+00:37:05,720 --> 00:37:09,780
+مرة يعني يبقى التالي هنا هي .. بدأت التانية هيعملت
+
+539
+00:37:09,780 --> 00:37:13,320
+أنا ربط على جطعة الخشبية أو .. أو جلم أو أي وسيلة
+
+540
+00:37:13,320 --> 00:37:17,680
+هنا بعمل عملية أيش؟ زي ما أنا قاعد بقايش بحص بزيادة
+
+541
+00:37:17,680 --> 00:37:21,260
+مثلا زي مثلا رأس جدة الغاز أو شيء أنا قاعد بتغطيها
+
+542
+00:37:21,260 --> 00:37:25,180
+في عندي الـ .. الآخر شيء هنا بعمل كمان عقدة فوق
+
+543
+00:37:25,180 --> 00:37:25,600
+الخشبة
+
+544
+00:37:41,940 --> 00:37:46,180
+عشان أنا لو أنا مثلا عملت العقدة تمام هاي مثلا
+
+545
+00:37:46,180 --> 00:37:49,740
+جطرة الجماش أنا عملت العقدة تحت لما أنا بدي لف
+
+546
+00:37:49,740 --> 00:37:52,780
+هطلع الجطرة الجماش أو الجلم، لكن أنا بعمل عقدة
+
+547
+00:37:52,780 --> 00:37:56,360
+فوقها وببدأش لف فيها وهذا طبعا بساعد على تثبيت
+
+548
+00:37:57,230 --> 00:38:00,170
+التثبيت الـ .. الغيار الـ .. الرباط في مكانه وفي
+
+549
+00:38:00,170 --> 00:38:04,150
+نفس الوقت بيعمل على قطع أو إبعاد .. إبعاد الدورة
+
+550
+00:38:04,150 --> 00:38:07,530
+الدموية في المنطقة هذه وهذا اللي بيسهل على عملية
+
+551
+00:38:07,530 --> 00:38:11,470
+إيقاف النزيف، صورة صحيحة طبعا هذه الخطوات اللي هبقى
+
+552
+00:38:11,470 --> 00:38:14,290
+نحكي فيها، هيك بمجرد أنهينا موضوع الغيار و
+
+553
+00:38:14,290 --> 00:38:17,470
+الأربطة، إذا في أي سؤال أو استفسار نتمنى من الله
+
+554
+00:38:17,470 --> 00:38:18,610
+السلام لجميع، بارك الله
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/_PdTjhSAHSI_postprocess.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/_PdTjhSAHSI_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..f570fa281ae191b6624c7d1cf64788b3789a66cb
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/_PdTjhSAHSI_postprocess.srt
@@ -0,0 +1,2216 @@
+1
+00:00:05,160 --> 00:00:06,840
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:06,840 --> 00:00:09,140
+الرحيم والصلاة والسلام وعلى أشرف المرسلين سيدنا
+
+3
+00:00:09,140 --> 00:00:11,960
+محمد وقاله وصحبه وسلم اليوم ان شاء الله هنتكلم على
+
+4
+00:00:11,960 --> 00:00:16,580
+موضوع العلاقة بالجروح وكيف هنا نسعى في الجروح طبعا
+
+5
+00:00:16,580 --> 00:00:19,920
+شيء طبيعي ان انا لما بدي اسعى في اي شيء اقل حاجة
+
+6
+00:00:19,920 --> 00:00:23,940
+ان انا بدي اقل المضاعفات اللي ممكن تكونيعني بمعنى
+
+7
+00:00:23,940 --> 00:00:26,960
+انه مثلا قاعد تدرق الجلب المنافع افضل من جلب
+
+8
+00:00:26,960 --> 00:00:30,000
+المنافع .. درق المفاسب افضل من جلب المنافع
+
+9
+00:00:30,000 --> 00:00:33,080
+وبالتالي هانا يعني ما بيجه في الحد ان اقول والله
+
+10
+00:00:33,080 --> 00:00:37,340
+مافيش عندى حاجة معقمة يكبر انا مش لازم اسعف الجروح
+
+11
+00:00:37,340 --> 00:00:40,660
+او مافيش عندى حاجة مطهر مثلا مش لازم انا انظف
+
+12
+00:00:40,660 --> 00:00:43,750
+الجروح لأ طبعا في انيعني إمكانيات، وقلنا كمان
+
+13
+00:00:43,750 --> 00:00:47,190
+كأساس إنه في الإسعاف الأولي يعني قلة الإمكانيات لا
+
+14
+00:00:47,190 --> 00:00:50,230
+تعني عدم تقديم الخدمة، بمعنى إن الإسعاف الأولي
+
+15
+00:00:50,230 --> 00:00:53,270
+دايماً فيه البدائل، ده ما نقول زي الصيدلية
+
+16
+00:00:53,270 --> 00:00:55,410
+العربية، في عندنا البديل، مافيش نقول والله هذا مش
+
+17
+00:00:55,410 --> 00:00:58,410
+موجود، لأ، في عندنا البديل اللي ممكن إحنا من خلاله
+
+18
+00:00:58,410 --> 00:01:02,570
+نقدر نساعد الشخص هذا، نقدر نقل المضاعفاته، نقدر
+
+19
+00:01:02,570 --> 00:01:07,250
+طبعاً نخفف الألم الموجودة، نقدر نطمن الشخص هذا،
+
+20
+00:01:07,250 --> 00:01:11,660
+وبالتالي يا أخواتنا،إن أنا بدي أستخدم أي وسيلة مع
+
+21
+00:01:11,660 --> 00:01:14,360
+أي شخص طبعًا بتعتمد حسب الحالة الموجودة اليوم
+
+22
+00:01:14,360 --> 00:01:18,460
+هنتكلم على موضوع زي ما قلنا علاقة بالجروح والأنزفة
+
+23
+00:01:18,460 --> 00:01:22,760
+على و هو طبعًا الغيرات والاربطان شيء طبيعي يعني من
+
+24
+00:01:22,760 --> 00:01:25,500
+ناحية مصطلح و من ناحية طبعًا لغوية الغيار طبعًا هي
+
+25
+00:01:25,500 --> 00:01:28,940
+تغيير الشيء أو استبداله بشيء آخر لكن المقصود عنها
+
+26
+00:01:28,940 --> 00:01:32,280
+طبعًا هي الغيرات المستخدمة في إيقاف النزيف أو
+
+27
+00:01:32,280 --> 00:01:35,940
+طبعًا في طبعًا إيه الهدف أخر هنتكلم عنهاوفيه إنه
+
+28
+00:01:35,940 --> 00:01:38,800
+طبعا الجزء الأخر هو الأربطة، طبعا الأربطة في عنا
+
+29
+00:01:38,800 --> 00:01:41,940
+أنواع منها، طبعا في خلال الشرح إن شاء الله هيكون
+
+30
+00:01:41,940 --> 00:01:45,820
+معنا فيديو بسيط كيف ممكن نتعلم القليل تربط الأربطة
+
+31
+00:01:45,820 --> 00:01:49,140
+وخاصة الرباط المثلث، يمكن طبعا هذا أشياء بسيطة
+
+32
+00:01:49,140 --> 00:01:55,060
+جدا، طبعا لغاية وصول سيارة السيارة أو لغاية طبعا
+
+33
+00:01:55,060 --> 00:01:59,000
+أو مساعدة نقل الشخص المصاب للمستشفىطبعا من خلال
+
+34
+00:01:59,000 --> 00:02:01,880
+اللقاء اليوم ان شاء الله هنتعرف على وظيفة الغيار
+
+35
+00:02:01,880 --> 00:02:04,980
+وكيفية استخدام الغيار ايش وظيفة الأربطة وإيش هي
+
+36
+00:02:04,980 --> 00:02:09,120
+الأربطة استخدامات إرشادات حامة حول الأربطة إيش
+
+37
+00:02:09,120 --> 00:02:11,420
+أنواع الأربطة وأنثى على بعض الأربطة هذه ان شاء
+
+38
+00:02:11,420 --> 00:02:17,120
+الله طبعا الغيار هو كمصطلح يعني الغيار الغطاء
+
+39
+00:02:17,120 --> 00:02:20,780
+الواقي الذي تغطي به الجروح وطبعا احنا يعني من
+
+40
+00:02:20,780 --> 00:02:27,570
+الأساس بيقول لا تستخدم القطن كغيارأما يستخدم كـ
+
+41
+00:02:27,570 --> 00:02:31,010
+Sandwich يعني المعنى أن يكون داخل الشاشة في جطعة
+
+42
+00:02:31,010 --> 00:02:34,910
+من القطن تساعد على الامتصاص كما هو الغطاء الواقعي
+
+43
+00:02:34,910 --> 00:02:37,410
+اللي يتغطى بالجروح يفضل يكون معقما إلا في حالة
+
+44
+00:02:37,410 --> 00:02:40,490
+طارق فيمكن ساعات بغير نظيف ما أمكن وبالتالي إذا
+
+45
+00:02:40,490 --> 00:02:44,750
+ماعندي أنا غيار معقّم، شاش معقّم أو جطعة جماش
+
+46
+00:02:44,750 --> 00:02:48,990
+معقّم أنا بستخدم قطعة جماش نظيفة لأنه أنا مابنتظر
+
+47
+00:02:48,990 --> 00:02:52,750
+أن يبقى ينزف الشخص لغاية لما ألاقي غيار معقّم
+
+48
+00:02:52,750 --> 00:02:56,520
+وبالتالي بستخدم قطعة جماش نظيفةواحد تسأل طب هنا
+
+49
+00:02:56,520 --> 00:02:59,300
+يعني ممكن .. ممكن يصيروا مثلا التهابات أو ممكن
+
+50
+00:02:59,300 --> 00:03:03,500
+يصير عدوى؟ ماشي، بس قداش الخطورة هل في احتمال شيء
+
+51
+00:03:03,500 --> 00:03:06,580
+ممكن اه و ممكن لا؟ ولا احتمال شيء واقعي اللي هو
+
+52
+00:03:06,580 --> 00:03:10,280
+النزيف؟ طبعا الخطورة أكتر بتكون في حال استمرار
+
+53
+00:03:10,280 --> 00:03:13,580
+النزيف، لكن الخطورة أقل في شيء احتمال ان يكون او
+
+54
+00:03:13,580 --> 00:03:18,630
+ما يكونإيش وظيفة الغيار؟ طبعا الوظيفة مهمة جدا أن
+
+55
+00:03:18,630 --> 00:03:21,750
+ليش بضع الغيار على الجرح أو الوظيفة المساعدة في
+
+56
+00:03:21,750 --> 00:03:24,990
+إيقاف النزيف وانتصاص الدم، هذا الشيء الطبيعي وحنا
+
+57
+00:03:24,990 --> 00:03:27,510
+حاكينا المرة الفاتة حتى لو كان أنا عند مثلا قطعة
+
+58
+00:03:27,510 --> 00:03:32,690
+جماش أو قطعة شاشة معقمة أو نظيفة، ولو أنا لاحظت،
+
+59
+00:03:32,690 --> 00:03:36,300
+بأكد مرتين، لو لاحظت أن فيها دمواطلخت طاقة بالدم
+
+60
+00:03:36,300 --> 00:03:39,860
+مابشيلها، أنا بضع جتة إجماش فوقها عشان لو أنا
+
+61
+00:03:39,860 --> 00:03:43,300
+شلتها كل ما بده ينزل نزيف، بده أشيلها، معناه هيضل
+
+62
+00:03:43,300 --> 00:03:47,380
+النزيف مستمر وبالتالي أنا بضع جتة إجماش فوقها عشان
+
+63
+00:03:47,380 --> 00:03:51,880
+تساعد على إيقاف النزيفالوظيفة التانية امتصاص
+
+64
+00:03:51,880 --> 00:03:55,380
+إفرازات الجسم يعني أحيانا ممكن في حال الغيار طبعا
+
+65
+00:03:55,380 --> 00:03:58,220
+احنا بنتكلم صفة عامة صار عندنا .. كان عندنا جروح
+
+66
+00:03:58,220 --> 00:04:02,360
+مال ملتهب مثلا، كان عندنا جروح مثلا في صديد، كان
+
+67
+00:04:02,360 --> 00:04:05,020
+عندنا مثلا في حروق وبالتالي عندنا بنتكلم عن الحروق
+
+68
+00:04:05,020 --> 00:04:09,800
+برضه ممكن نستخدم الشاشة أو جطة جماش نظيفة بعد أنا
+
+69
+00:04:09,800 --> 00:04:13,200
+ما أقدم خدمة الإسعاف الأولي وتخفيف الألم، أنا
+
+70
+00:04:13,200 --> 00:04:16,360
+المصاب باستخدام الماء الجاري أنا باستخدم بعدها
+
+71
+00:04:16,360 --> 00:04:21,310
+اللي هي جطة جماش نظيفةأو قطعة قماش معقمة إن وجدت
+
+72
+00:04:21,310 --> 00:04:25,510
+وبالتالي هنصير عنا امتصاص للإفرازات اللي بتكون من
+
+73
+00:04:25,510 --> 00:04:28,890
+الجرح نفسه وبالتالي لما أقول أنا والله مثلا إنسان
+
+74
+00:04:28,890 --> 00:04:33,570
+عنده حروق أو عنده مثلا جرح ملتهب ومش موضوع عليه
+
+75
+00:04:33,570 --> 00:04:36,730
+مثلا قطعة جماش نظيفة أو قطعة جماش معقمة أو شاشة
+
+76
+00:04:36,730 --> 00:04:40,670
+معقمة طبعا الإفرازات هذه كلها مين اللي هيمتصها؟
+
+77
+00:04:40,670 --> 00:04:47,060
+طبعا ملابس الشخصرقم تلاتة حماية الجرح أو الجسم من
+
+78
+00:04:47,060 --> 00:04:50,700
+أثرات الخارجية وهذا طبعا شيء طبيعي جدا نتوقع أن
+
+79
+00:04:50,700 --> 00:04:55,760
+إنسان مثلا عنده حروق أو إنسان مثلا عنده جرح سحجي
+
+80
+00:04:55,760 --> 00:05:00,090
+أو كشطي وهذا طبعا صار عنه نهاية العصاب مكشوفةمثلًا
+
+81
+00:05:00,090 --> 00:05:03,330
+ممكن يكون فيه عراج، ممكن يكون مثلًا فيه طيار هوا
+
+82
+00:05:03,330 --> 00:05:07,170
+.. طيار هوا قوي، طيار هوا بارد أو طيار هوا دافي،
+
+83
+00:05:07,170 --> 00:05:09,810
+أي إن كان، خاصة طبعًا الطيار الهوا البارد، طبعًا
+
+84
+00:05:09,810 --> 00:05:13,030
+هذه طالما إن صارت إن نهيات الأعصاب مكشوفة، طبعًا
+
+85
+00:05:13,030 --> 00:05:15,990
+بصير ألم، مين اللي هيجلل الألم هذا؟ اللي طبعًا
+
+86
+00:05:15,990 --> 00:05:17,770
+استخدام، اللي غيرت
+
+87
+00:05:20,250 --> 00:05:23,790
+رقم أربعة حماية الجرح من التلوث وزي ما احنا قلنا
+
+88
+00:05:23,790 --> 00:05:27,490
+طبعا الاحتمال ان انا لما استخدم الغيار النظيف او
+
+89
+00:05:27,490 --> 00:05:30,330
+ان وجد الغيار معقّم طبعا يعني ممكن مايكونش عنا
+
+90
+00:05:30,330 --> 00:05:34,150
+غيار معقّم ممكن عنا فقط غيار نظيف فانا بستخدمه
+
+91
+00:05:34,150 --> 00:05:38,390
+احتياطا من تلوث الجرح ممكن طبعا الجرح هذا يكون جرح
+
+92
+00:05:38,390 --> 00:05:41,130
+سحجي واحد يقول والله هذا طبعا جرح بسيط ومفيش منه
+
+93
+00:05:41,130 --> 00:05:47,040
+خوف لأ الخوف موجود طالما ان هناك اي مكانصار فيه
+
+94
+00:05:47,040 --> 00:05:51,940
+خدش أو صار فيه جرح معناه صار عرضة للجو الخارجي
+
+95
+00:05:51,940 --> 00:05:57,660
+احنا ربنا يعني منحنا الجلد هو طبعا جسم دفاعي أكبر
+
+96
+00:05:57,660 --> 00:06:00,840
+عضو في جسم الإنسان من ناحية المساحة هو بيغطي الجسم
+
+97
+00:06:00,840 --> 00:06:04,840
+كله وبالتالي يعتبر واقي من دخول البكتيريا
+
+98
+00:06:04,840 --> 00:06:09,420
+والميكروبات أي مكان بيصير فيه خدش أو عدم تواصل في
+
+99
+00:06:09,420 --> 00:06:13,500
+الجلد بخلافالطبعًا الفتحات الطبيعية معناه بيكون
+
+100
+00:06:13,500 --> 00:06:17,320
+معرض، وأي مكان بيكون فيه نزيف أو بيكون فيه دم،
+
+101
+00:06:17,320 --> 00:06:23,260
+معناه فيه جو ملائم وطربة خصبة لتكاثر الميكروبات،
+
+102
+00:06:23,260 --> 00:06:27,200
+وبالتالي بيقولوا إحنا لما نستخدم الغيار سواء
+
+103
+00:06:27,200 --> 00:06:31,460
+المعقم أو النظيف، هريعتبر حماية للجروح، وكتير إحنا
+
+104
+00:06:31,460 --> 00:06:35,920
+بنلاحظ إن أي جروحأي عملية لازم تتم استخدام الشاشة
+
+105
+00:06:35,920 --> 00:06:38,520
+المعقّمة لها لكن إذا ما كان عندنا الشاشة المعقّمة
+
+106
+00:06:38,520 --> 00:06:43,540
+فبتم استخدام الشاشة النظيف وبالتالي حماية الجروح
+
+107
+00:06:43,540 --> 00:06:49,140
+تعتبر من استخدام الشاشة المعقّمة أو الشاشة النظيف
+
+108
+00:06:49,140 --> 00:06:53,540
+هي وسيلة لتقليل فرصة العدوى لهذا الجرح
+
+109
+00:06:57,520 --> 00:07:03,560
+ماشي احيانا مثلا في حالات طبعا الحروق او مثلا في
+
+110
+00:07:03,560 --> 00:07:07,980
+حالات بعض الجروح احنا ممكن نستخدم بعض الأدوية
+
+111
+00:07:07,980 --> 00:07:12,660
+عليها مثلا ال cream او Vaseline او مراهم اسف او
+
+112
+00:07:12,660 --> 00:07:17,040
+بودرة طبعا هذه المواد اللي انا بستخدمها اذا ما
+
+113
+00:07:17,040 --> 00:07:21,880
+استخدمت جطعة شاشة او جطعة جماش نظيفة فوق المادة
+
+114
+00:07:21,880 --> 00:07:26,290
+هذه معناها ايش؟طبعاً يكون أثر هوي موجود على
+
+115
+00:07:26,290 --> 00:07:29,390
+الملابس وبالتالي إن بستخدم الشاشة أو الجماش
+
+116
+00:07:29,390 --> 00:07:33,750
+اللينظيف أو الشاشة المعقّم حفاظاً على هذه المادة
+
+117
+00:07:33,750 --> 00:07:38,790
+اللي هي أساساً تقلل من فرصة دخول الميكروبات لجسم
+
+118
+00:07:38,790 --> 00:07:41,690
+الإنسان، ممكن يكون مضاد حيوي، ممكن يكون بناهم
+
+119
+00:07:41,690 --> 00:07:45,870
+تجميل لحفظ عليه، ممكن يكون بعد عملية جراحية، ممكن
+
+120
+00:07:45,870 --> 00:07:50,350
+يكون بعد الحروق، وبالتالي طبعاً حفاظاً على المواد
+
+121
+00:07:50,350 --> 00:07:52,590
+المساعدة على شفاء الجرعى
+
+122
+00:07:58,030 --> 00:08:01,450
+طبعاً يعني استخدام الغيار شيء طبيعي ان انا لما
+
+123
+00:08:01,450 --> 00:08:04,030
+اريد استخدام الغيار وجيطة الجماش لازم يكون فيها
+
+124
+00:08:04,030 --> 00:08:09,030
+شيء زائد المعنى انه يعني أكبر من مساحة الجروح طبعا
+
+125
+00:08:09,030 --> 00:08:13,130
+.. طبعا يكون لها الأساس العلمي انه كل مكان الجروح
+
+126
+00:08:13,130 --> 00:08:18,090
+مغطى بمساحة زائدة عن حجمه الطبيعي يكون فيه فرصة
+
+127
+00:08:18,720 --> 00:08:22,880
+لعدم دخول الـ Microbot الشيء الطبيعي المهم جدا يا
+
+128
+00:08:22,880 --> 00:08:26,700
+أخواتنا أنه لازم يكون الحواف مغطية للجرح الشيء
+
+129
+00:08:26,700 --> 00:08:30,920
+الطبيعي و اللي احنا بنعرفه كل مكان هناك فيه رطوبة
+
+130
+00:08:30,920 --> 00:08:36,250
+في الجرح كل مكان فيه خطورةطبعا رطوبة خارجية ..
+
+131
+00:08:36,250 --> 00:08:38,570
+رطوبة خارجية لإن احنا جولنا واحد يقول طبعا ممكن
+
+132
+00:08:38,570 --> 00:08:41,910
+يكون الجرح رطب بسبب مثلا الدم .. بسبب مثلا
+
+133
+00:08:41,910 --> 00:08:45,590
+الإفرازات .. هذا شيء داخلي لكن أنا بتكلم على الشيء
+
+134
+00:08:45,590 --> 00:08:50,930
+الخارجي مثلا إنسان موضوع عنده جروح وموضوع عليه
+
+135
+00:08:50,930 --> 00:08:54,390
+مثلا شاشة أو جيتا دجماش معقمة ويجي عليه ميه أو يجي
+
+136
+00:08:54,390 --> 00:08:58,610
+عليه عرق أو طبعا أي حاجة خارجية هذا يعتبر مدخل
+
+137
+00:08:58,610 --> 00:09:05,150
+للبكتيريامدخل للفيروسات، مدخل للميكروبات الضارة،
+
+138
+00:09:05,150 --> 00:09:10,750
+وبالتالي، لازم يكون الغيار جاف، خاصة من الخارج، من
+
+139
+00:09:10,750 --> 00:09:15,170
+الداخل، اللي هو بساعد على امتصاص الإفرازات، تمام؟
+
+140
+00:09:15,170 --> 00:09:19,470
+وبالتالي، يعني إن هنا صورة واضحةإنه يعتبر الغيار
+
+141
+00:09:19,470 --> 00:09:24,190
+كأحد وظائفه إن هو مؤشر هل الجروح التأم بصورة
+
+142
+00:09:24,190 --> 00:09:27,870
+طبيعية أو لم يتأم كيف أنا بقول التأم أو لم يتأم؟
+
+143
+00:09:27,870 --> 00:09:33,070
+في حال إن مكان العملية أو مكان الجروح جاف بدون أي
+
+144
+00:09:33,070 --> 00:09:37,090
+إفرازات و بدون أي التصاقات على مكان الجروح معناه
+
+145
+00:09:37,090 --> 00:09:40,160
+الجروح التأميعني واحد مثلا عامل عملية جرح أو ست
+
+146
+00:09:40,160 --> 00:09:43,400
+عامل عملية جرح هي مثلا قيصرية و كل مرة طبعا الجرح
+
+147
+00:09:43,400 --> 00:09:47,760
+في رطوبة و مرة عن مرة صار طلع رائحة كريهة، مرة عن
+
+148
+00:09:47,760 --> 00:09:50,780
+مرة مثلا صار فيه إفرازات أو صديد، معناه الجرح
+
+149
+00:09:50,780 --> 00:09:56,090
+ملتهموبالتالي لما أتكلم على إنه من وظائف الغيار
+
+150
+00:09:56,090 --> 00:10:01,550
+إنه يعتبر مؤشر إنه هل الجروح نظيف أو غير نظيف، هل
+
+151
+00:10:01,550 --> 00:10:05,490
+الجروح التأم أو لم يلتأم، يبقى هو يعتبر مؤشر أيضًا
+
+152
+00:10:05,490 --> 00:10:09,470
+إنه فيه التأام طبيعي للجروح أو لأو احنا طبعا
+
+153
+00:10:09,470 --> 00:10:12,370
+بنذكركم مرة تانية انه بالنسبة للتقام الجروح اللي
+
+154
+00:10:12,370 --> 00:10:14,970
+كنا فيه ان التقام القصد الأول و التقام القصد
+
+155
+00:10:14,970 --> 00:10:17,990
+الثاني اللي طبعا التقام القصد الأول التقام جروح
+
+156
+00:10:17,990 --> 00:10:21,690
+طبيعي بدون أي مضاعفات لكن لو حصل مضاعفات يعتبر
+
+157
+00:10:21,690 --> 00:10:27,870
+التقام القصد الثاني الملاحظة
+
+158
+00:10:27,870 --> 00:10:32,050
+التانية هنا لا يلف أي شيء ضاغط على الأطراف هذا
+
+159
+00:10:32,050 --> 00:10:35,550
+طبعا نقطة مهمة كتير ليش احنا مابنضع الربطات الضاغط
+
+160
+00:10:35,550 --> 00:10:41,870
+على الأطرافمثلا إنسان عنده صار في الأصابع أو مثلا
+
+161
+00:10:41,870 --> 00:10:45,450
+في صبع القدمين أو الكفين صار جروح ما بنستخدم
+
+162
+00:10:45,450 --> 00:10:46,550
+الأربطة الضاغطة
+
+163
+00:10:49,200 --> 00:10:55,620
+لن تعمل على إعاقة تيار الدم اما مثلا في الذراع في
+
+164
+00:10:55,620 --> 00:10:59,860
+الساعد في العضوات بالفخد لأن طبعا مساحة كبيرة وعنا
+
+165
+00:10:59,860 --> 00:11:03,940
+طبعا في عنا شرايين وأورداء داخلية لأما بالنسبة
+
+166
+00:11:03,940 --> 00:11:07,980
+للأطراف طبعا معظمها سطحي أو ممكن استخدام الرباط
+
+167
+00:11:07,980 --> 00:11:12,580
+الضاغط يعمل على إعاقةالدورة الدموية وبالتالي أنا
+
+168
+00:11:12,580 --> 00:11:16,280
+ما بدي أدخل في مشكلة أنه بعد ما استخدم الغيار أو
+
+169
+00:11:16,280 --> 00:11:21,840
+بعد ما استخدم الأربط هذه تعمل مشكلة بمعنى إعاقة
+
+170
+00:11:21,840 --> 00:11:29,380
+الدورة الدموية عن الأطراف هذه الملاحظة
+
+171
+00:11:29,380 --> 00:11:33,220
+التانية أنه يجب ترك الأطراف مكشوفة
+
+172
+00:11:38,430 --> 00:11:45,090
+أيضًا الإطراف مؤشر على طريقة استخدام الغيار بطريقة
+
+173
+00:11:45,090 --> 00:11:50,450
+صحيحة أو غير صحيحة كيف؟ إن في حال استخداممثلًا
+
+174
+00:11:50,450 --> 00:11:54,490
+الشاشة أو الغيار أو الرباط الضغط زي ما اتكلم عليه
+
+175
+00:11:54,490 --> 00:11:59,490
+بعد شوية بطريقة خاطئة بمعنى زيادة الضغط على مكان
+
+176
+00:11:59,490 --> 00:12:03,650
+الجروح المؤشر عنها نالية أطرافه وبالتالي لما نعمل
+
+177
+00:12:03,650 --> 00:12:07,750
+غيار على الكف مثلًا أو القدم يجب ترك الأصابع
+
+178
+00:12:07,750 --> 00:12:13,860
+مكشوفةيبقى تعتبر مؤشر، هل هناك تنميل، هناك خدلان،
+
+179
+00:12:13,860 --> 00:12:17,960
+هناك إذرقاق، هناك ألم، يبقى تعتبر مؤشر، لأنه دايما
+
+180
+00:12:17,960 --> 00:12:22,700
+نهايات الأعصاب بالأطراف طبعا هي مؤشر صحيح وبدللي
+
+181
+00:12:22,700 --> 00:12:27,000
+على إن هناك فيه إمكانية لضغط على الأوعية الدموية
+
+182
+00:12:27,000 --> 00:12:31,180
+والأعصاب أم لا، لو كانت طبعا الأطراف بلونها
+
+183
+00:12:31,180 --> 00:12:34,720
+الطبيعي، مافيش تنميل، مافيش خدلان، مافيش إذرقاق،
+
+184
+00:12:34,720 --> 00:12:35,980
+يبقى أنا ماشي بالصورة الصحية
+
+185
+00:12:41,160 --> 00:12:44,320
+نيجي عشان احنا نثبت الغيار هذا بدنا الأربطة
+
+186
+00:12:44,320 --> 00:12:48,320
+الأربطة طبعا هي الأشياء المستخدمة فوق الغيار
+
+187
+00:12:48,320 --> 00:12:51,080
+للتثبيت طبعا هي ما يوضع فوق الغيار اللي ساعد على
+
+188
+00:12:51,080 --> 00:12:54,940
+تثبيته في مكانه فوق الجراح و يكون من الشاشة أو
+
+189
+00:12:54,940 --> 00:12:58,640
+القماش يعني ممكن برضه في حال الاسعاف الأولي ممكن
+
+190
+00:12:58,640 --> 00:13:02,180
+نستخدم جطعة جماش نظيفة و أستخدم فوق جطعة الجماش
+
+191
+00:13:02,180 --> 00:13:05,980
+هذه واحد يقول ممكن نستخدم البلاستر تمام؟ لكن أحيان
+
+192
+00:13:05,980 --> 00:13:09,220
+ما بنستخدم البلاستر في كل الأماكنطبعا ممكن أما
+
+193
+00:13:09,220 --> 00:13:12,300
+أقول والله مثلا اللي .. اللي عندي مش موجود لـ
+
+194
+00:13:12,300 --> 00:13:16,900
+Plaster وعندي جطعة جماش نظيفة أخرى فبالتالي ومش
+
+195
+00:13:16,900 --> 00:13:19,440
+بالضرورة كمان يكون عندنا ملاحظ يا إخواتنا ليس
+
+196
+00:13:19,440 --> 00:13:24,620
+بالضرورة يكون الأربطها معقمة، طبعا؟ مش بالضرورة،
+
+197
+00:13:24,620 --> 00:13:28,380
+نظيفة، لكن ال .. الغيرات الأفضل تكون معقمة، وإلا
+
+198
+00:13:28,380 --> 00:13:32,240
+مايوجد معقمة فممكن تكون عيش نظيفة، ولا يشترط أن
+
+199
+00:13:32,240 --> 00:13:34,960
+يكون معقم، لأنه مش هيكون ملامس .. ليش .. لأنه مش
+
+200
+00:13:34,960 --> 00:13:40,680
+هيكون ملامس مباشرة للجروحطبعا الوظائف الأربط زي ما
+
+201
+00:13:40,680 --> 00:13:44,240
+كنا وظائف الغيارات طبعا إجبار من هنا نقول نقطة أن
+
+202
+00:13:44,240 --> 00:13:48,620
+الوظائف الأربط لا تستخدم في امتصاص إفرازات الجرح
+
+203
+00:13:48,620 --> 00:13:52,720
+هي لتثبيت الغيار في وجهك، بأول حاجة تثبيت الغيارات
+
+204
+00:13:52,720 --> 00:13:55,260
+في مكانها، الغيارة هنا هي جطعة الجماش أو الشاشة
+
+205
+00:13:55,260 --> 00:13:59,500
+اللي استخدمناها، الضغط على غيارات الجرح ممكن يساعد
+
+206
+00:13:59,500 --> 00:14:04,160
+على وقف النزيفةيعني لما أنا بستخدم الأربطة، احنا
+
+207
+00:14:04,160 --> 00:14:07,440
+قولنا الطريقة الأولى لقاف النزيف اللي هي الضغط
+
+208
+00:14:07,440 --> 00:14:10,980
+المباشر، فانا بستخدم جطنة الجماش و فوق الرباط هذا
+
+209
+00:14:10,980 --> 00:14:15,150
+يبقى كأن أنا عايش ضغط على مكان الجراحاللي أنا
+
+210
+00:14:15,150 --> 00:14:18,330
+بتثبيت بعض أجزاء الجسم كما في الكسور وهذا طبعا
+
+211
+00:14:18,330 --> 00:14:21,410
+هناخده بالتفصيل، إن أنا بستخدمها وليس بالضرورة
+
+212
+00:14:21,410 --> 00:14:25,310
+تكون معقمة، أنا بستخدمها في حال كان عندي كسر مثلا
+
+213
+00:14:25,310 --> 00:14:28,490
+واستخدمت جبيرة سواء الجسم نفسه، زي ما بنتكلم بعد
+
+214
+00:14:28,490 --> 00:14:31,570
+هي كان، أو استخدامت جبيرة خارجية، فهنا كده بنثبت
+
+215
+00:14:31,570 --> 00:14:35,010
+السواق، طبعا الساق السليمة مع الساق المكسورة أو
+
+216
+00:14:35,010 --> 00:14:38,890
+الجبيرة الخشبية أو المعدنيةحماية للجزء المكسور
+
+217
+00:14:38,890 --> 00:14:42,210
+فبستخدم الأربطة اللي بتثبيت طبعا الأربطة يعني هذه
+
+218
+00:14:42,210 --> 00:14:45,090
+طبعا جاي معانا بالتفصيل للموضوع لكن بتكلم الأربطة
+
+219
+00:14:45,090 --> 00:14:50,450
+ممكن تكون رباط عادي أحذية أو ممكن تكون مثلا إجرافة
+
+220
+00:14:50,450 --> 00:14:54,150
+أو ممكن تكون جطع تجماش عادية أو حبل أو أي شيء
+
+221
+00:14:54,150 --> 00:14:58,050
+وبالتالي طبعا هي ليس بالضرورة تكون بمواصفات ثابتة
+
+222
+00:14:58,050 --> 00:14:58,770
+في كل الأحوال
+
+223
+00:15:02,340 --> 00:15:05,040
+المساعد بتثبيت بعض المفاصل وهو شئ طبيعي أنت بتشوف
+
+224
+00:15:05,040 --> 00:15:06,780
+لما الإنسان يكون و الله بيقولك أنا عند مشكلة
+
+225
+00:15:06,780 --> 00:15:11,480
+بالمفصل بيستخدمه مثلا رباط ضغط على سبيل المثال أو
+
+226
+00:15:11,480 --> 00:15:15,120
+أربطة عادية لتخفيف الألم طبعا الأربطة اللي تستخدم
+
+227
+00:15:15,120 --> 00:15:17,640
+في تخفيف الألم يا أخواتنا من أن نكون عارفين أنها
+
+228
+00:15:17,640 --> 00:15:20,820
+تستخدم فقط في النهار ما تستخدم في الليل لأن طبعا
+
+229
+00:15:20,820 --> 00:15:23,680
+في النهار في حركة وفي تنشط للدورة الدموية لكن في
+
+230
+00:15:23,680 --> 00:15:27,360
+الليل لا تستخدم لأن مافي عندنا حركة زي نقول مثلا
+
+231
+00:15:27,360 --> 00:15:31,360
+الماشي الماشي وهذا طبعا بيضعف الدورة الدموية
+
+232
+00:15:36,190 --> 00:15:39,250
+وقف النزيف زي ما قلنا في الجروح البطرية الجروح
+
+233
+00:15:39,250 --> 00:15:43,950
+البطرية هي يعني better جزء من الجسم طبعا طريق يعني
+
+234
+00:15:43,950 --> 00:15:48,970
+غير مباشرة وطبعا شيء مهم جدا ان انا في عندى كمية
+
+235
+00:15:48,970 --> 00:15:53,350
+كبيرة او فرصة كبيرة للنزيف وبالتالي بستخدم رباط
+
+236
+00:15:53,350 --> 00:15:58,380
+ضغط لان الرباط الشاشة العادى ما بضغطبلف لف أما
+
+237
+00:15:58,380 --> 00:16:02,960
+الرباط الضاغط يعني هو مادة مطاطية فأنا بأشد الرباط
+
+238
+00:16:02,960 --> 00:16:06,100
+الضاغط و في نفس لوجهة المادة المطاطية هي بتساعد
+
+239
+00:16:06,100 --> 00:16:09,920
+على تثبيت الغيار في مكانه يبقى في حال الجروح
+
+240
+00:16:09,920 --> 00:16:14,020
+البترية حكينا عنها قبل كده بستخدم الأربط الضاغطة
+
+241
+00:16:14,020 --> 00:16:18,840
+لتثبيت الغيار أو قطعة الجماش فوق اللي هو المنطقة
+
+242
+00:16:18,840 --> 00:16:25,000
+اللي فيها بترمن سريان المواد السامة و احنا بيقولنا
+
+243
+00:16:25,000 --> 00:16:28,620
+يا اخواتنا لو اي انسان أصيب مثلا بلد غهية او عجرب
+
+244
+00:16:28,620 --> 00:16:32,660
+بنعمل عقدة او ربطة اعلى من مكان الإصابة تقريبا 10
+
+245
+00:16:32,660 --> 00:16:36,300
+سانتي مش ممكن انا اظل امسك المكان المصاب فانا ممكن
+
+246
+00:16:36,300 --> 00:16:42,220
+استخدم رباط عادي حبل يعني رباط احذية جرافة جطة
+
+247
+00:16:42,220 --> 00:16:47,160
+جماش اساس تساعد على ايقاف سريان السمن طبعا يكون
+
+248
+00:16:47,160 --> 00:16:53,330
+دايما الربط اقرب للجسممن اللي هو أيش؟ مكان اللتغة،
+
+249
+00:16:53,330 --> 00:16:57,130
+يبقى أقرب للجسم، مش بعدها، اللي بيكون قبل مكان
+
+250
+00:16:57,130 --> 00:17:00,150
+الإصابة، لأنه .. لأنه غالباً مين اللي هيرجع ليه
+
+251
+00:17:00,150 --> 00:17:03,210
+مرة تانية؟ عن طريق الأوردة، وها طبعا الخوف، هناكم
+
+252
+00:17:03,210 --> 00:17:07,490
+طبعا بالتفصيل إنه بيكون أقرب للجسم أو قبل مكان
+
+253
+00:17:07,490 --> 00:17:08,070
+اللتغة
+
+254
+00:17:14,230 --> 00:17:19,290
+طبعاً بعض الإشارات العامة طبعا اختيار رباط المناسب
+
+255
+00:17:19,290 --> 00:17:23,490
+للمكان زي مثلا رباط عادي مثلا لسران السم أو شي و
+
+256
+00:17:23,490 --> 00:17:26,830
+استخدام طبعا رباط ضغط مثلا في حال ألام المفاصل أو
+
+257
+00:17:26,830 --> 00:17:28,530
+استخدام اللي هو الجروح البترية
+
+258
+00:17:31,230 --> 00:17:34,910
+الوضع المريح لمكان الإصابة وللمصاب بمعنى أنا ما
+
+259
+00:17:34,910 --> 00:17:39,690
+بكون زي ما قلنا أن يكون عند ضغط شديد أو زيادة عن
+
+260
+00:17:39,690 --> 00:17:44,390
+الطبيعي لأن طبعا زيادة الضغط هتعمل يعني حبس للدورة
+
+261
+00:17:44,390 --> 00:17:47,850
+الدموية وضغط على الأعصاب وبالتالي بدل ما يكون أنا
+
+262
+00:17:47,850 --> 00:17:50,930
+قرحت الشخص هذا وعملت إيقاف للنظيف هكون عملت صح
+
+263
+00:17:50,930 --> 00:17:54,250
+إيقاف للنظيف لكن في نفس الوجه تعملت تعب وألم
+
+264
+00:17:54,250 --> 00:17:55,230
+لالضحية
+
+265
+00:17:59,530 --> 00:18:04,150
+الرباط طبعًا يلف من الداخل إلى الخارج أو من أسفل
+
+266
+00:18:04,150 --> 00:18:08,390
+إلى أعلى، بتجول ملاحظة دايما لما تستخدم أي رباط
+
+267
+00:18:08,390 --> 00:18:13,710
+استخدمي من الخارج للداخل، يعني من الأضيق للأوسع،
+
+268
+00:18:13,710 --> 00:18:18,630
+من عن الأضيق الأطراف، الأوسع الذراع، فدايما في كل
+
+269
+00:18:18,630 --> 00:18:21,650
+حالات الأربطة، أنت بتلاحظ بعض الحالات مثلًا، مجلة
+
+270
+00:18:21,650 --> 00:18:24,770
+كلها راحت على مركز وعملت غيار، طلع برا، حرك إيده
+
+271
+00:18:24,770 --> 00:18:28,130
+اللي هو الرباط واجع أو الغيار واجع،في الحالة
+
+272
+00:18:28,130 --> 00:18:32,350
+الدائمة نخلوها كقاعدة استخدام الأربطة من الأضيق
+
+273
+00:18:32,350 --> 00:18:37,290
+للأوسع أو من الأبعد للأقرب ليش؟ لأن الحلقة الصغيرة
+
+274
+00:18:37,290 --> 00:18:41,190
+هيجي فوق حلقة كبيرة والحلقة الكبيرة هيجي فوق أيش
+
+275
+00:18:41,190 --> 00:18:45,570
+أكبرلكن لو احنا عملنا العكس، هكون أسهل إن الغيار
+
+276
+00:18:45,570 --> 00:18:50,330
+طبعا يعني يترك مكانه، لكن لما أقول أنا من الأصغر
+
+277
+00:18:50,330 --> 00:18:53,670
+للأكبر، معناه الحلقة الكبيرة هتغطي الحلقة الصغيرة،
+
+278
+00:18:53,670 --> 00:18:56,790
+أو الأكبر هتغطي أي حلقة أكبر منها، وبالتالي خدوها
+
+279
+00:18:56,790 --> 00:19:00,210
+كقاعدة دايما، من الخارج للداخل أو من الأبعد
+
+280
+00:19:00,210 --> 00:19:03,950
+للأقرب، في كل حالة الغيارة تبصف عامة، هدي عايش
+
+281
+00:19:03,950 --> 00:19:09,970
+كقاعدة عامةطبعًا هنا كملاحظة إنه مابدناش أكون
+
+282
+00:19:09,970 --> 00:19:12,890
+مشدود زيادة عن الأقوى، طبعًا مين اللي بيعطيني
+
+283
+00:19:12,890 --> 00:19:16,710
+المؤشر إنه فيه زيادة في الشد؟ الأطراف، الأطلاف، هي
+
+284
+00:19:16,710 --> 00:19:19,150
+طبعًا المؤشر هذا، عايز نقول دايما نقول نخلي نهايات
+
+285
+00:19:19,150 --> 00:19:22,530
+الأطراف مكشوفة، لإن طبعًا هي المؤشر، فيه إزرقاق،
+
+286
+00:19:22,530 --> 00:19:25,790
+فيه ألم، فيه تنميل، فيه خدلان، فيه طبعًا التغيير
+
+287
+00:19:25,790 --> 00:19:30,030
+في اللون، إزرقاق هذا مؤشر إنه أنا ضغط زيادة على
+
+288
+00:19:30,030 --> 00:19:32,790
+مكاني، طبعًا هل أتركه؟ طبعًا لألأنه ما بديش ندخل
+
+289
+00:19:32,790 --> 00:19:35,850
+مشكلة تانية واحتباس الدم في المنطقى هالى ويتغير
+
+290
+00:19:35,850 --> 00:19:39,350
+اللون لأن طبعا تغيير اللون معناه فيه زيادة من
+
+291
+00:19:39,350 --> 00:19:43,170
+الألم وطبعا الشيء الطبيعي نقول احنا مثلا نقص أي
+
+292
+00:19:43,170 --> 00:19:46,870
+منطقة عنها الدم المغذي طبعا بيحمل أكسجين
+
+293
+00:19:46,870 --> 00:19:49,710
+والمدغذئية طبعا يؤدي إلى الألم وطبعا الشيء اللي
+
+294
+00:19:49,710 --> 00:19:51,930
+نلاحظه احنا في وجه الادارة طبعا في فترة البرد
+
+295
+00:19:51,930 --> 00:19:55,750
+الشديد الأطراف كل ما كانت فزرقاق كل ما كان فيه ألم
+
+296
+00:19:55,750 --> 00:20:00,050
+أكتر بسبب نقص وصول كمية الدم الكافية يعني أي منطقة
+
+297
+00:20:01,180 --> 00:20:05,100
+ما بيصلها الدم بكمية كافية وانا بدي أذكركوا في
+
+298
+00:20:05,100 --> 00:20:08,340
+حاجة كمان مهمة كتير لما ذكرنا النوبات القلبية وإن
+
+299
+00:20:08,340 --> 00:20:12,100
+في الذبح الصدرية أو الجلط القلبية طبعا بيصير الألم
+
+300
+00:20:12,100 --> 00:20:16,920
+نتيجة مجهود في حال الذبح الصدرية بسبب ضيق الأوعي
+
+301
+00:20:16,920 --> 00:20:20,700
+الدموية أو الشرايين التاجية بقل الدم المغذي فأي
+
+302
+00:20:20,700 --> 00:20:27,720
+منطقة ما بيصلها الدم بكمية كافية حامل معه الموارد
+
+303
+00:20:27,720 --> 00:20:32,810
+التغذوية والأكسجينبصير ألم و احنا ان شاء الله كل
+
+304
+00:20:32,810 --> 00:20:35,490
+عام تبخير مقبلينا على رمضان بتلاحظ أول يوم يكون
+
+305
+00:20:35,490 --> 00:20:41,230
+فيه صداع بسبب نقص كمية السكر اللي بتصل للدمغ هو
+
+306
+00:20:41,230 --> 00:20:45,210
+أول .. طبعا وصل الدم صح أه لكن وصل .. مافيش الكمية
+
+307
+00:20:45,210 --> 00:20:50,350
+الكافية من السكر و عشان كقاعدة أي منطقة ما بيصلها
+
+308
+00:20:50,350 --> 00:20:55,170
+الدم محمل بالأكسجين و المواد الغذائية بيصير فيها
+
+309
+00:20:55,170 --> 00:20:58,910
+الألم ومؤشر علينا و طبعا في أول يوم في رمضان بيصير
+
+310
+00:20:58,910 --> 00:20:59,530
+المشكلة هذه
+
+311
+00:21:04,610 --> 00:21:09,250
+ماشي، ماشي، او احنا ما هو بيصير طبعا إيش؟ تكيّف،
+
+312
+00:21:09,250 --> 00:21:12,350
+بيصير تكيّف، بيصير إنسان أوي طبعا دايما كل بداية
+
+313
+00:21:12,350 --> 00:21:16,770
+صعبة، فأول يوم و بالداية طبعا للناس مثلا المتعودين
+
+314
+00:21:16,770 --> 00:21:20,210
+يأكلوا مثلا كتير و إشي، طبعا هينخفض السكر، لكن يوم
+
+315
+00:21:20,210 --> 00:21:23,110
+علي يوم بيصير شيء طبيعي، متعود، طبعا هذا بيكون سهل
+
+316
+00:21:23,110 --> 00:21:25,990
+جدا عن الناس المتعودين على الصيام، لأنه شيء طبيعي،
+
+317
+00:21:25,990 --> 00:21:30,530
+روتين، لكن المش متعود، بيصير حاجة تانية، ان شاء
+
+318
+00:21:30,530 --> 00:21:34,580
+الله ربنا يتقبل يا ربطبعا .. اه زي ما كنا نايد مرة
+
+319
+00:21:34,580 --> 00:21:37,620
+تانية نترك نهاية الأعصاء الأصابع مكشوفة وقلنا إيش
+
+320
+00:21:37,620 --> 00:21:42,160
+طبعا السبب في ذلك طبعا ملاحظة شيء طبيعي لا يلف
+
+321
+00:21:42,160 --> 00:21:48,960
+الأربطة أو العنق يعني واحد جولة مثلا بدون قصب يدلق
+
+322
+00:21:48,960 --> 00:21:53,540
+فيه طبعا جذب سيء يعني و الروبوت ليه؟ طبعا من
+
+323
+00:21:53,540 --> 00:21:58,880
+المحذورات يعنيطبعا العقدة يعني بالنسبة للرأس
+
+324
+00:21:58,880 --> 00:22:01,820
+الصويشي بتكون على أحد الجانبين أفضل و ليس خلف
+
+325
+00:22:01,820 --> 00:22:05,940
+الرأس طبعا ده شيء ملاحظ جدا طبعا هي بتثبت الغيار
+
+326
+00:22:05,940 --> 00:22:08,440
+أكتر احنا هنجيت كمان شوية هنعدي و هنشوف طبعا صورة
+
+327
+00:22:08,440 --> 00:22:10,500
+طبيعية أفضل وأقوى المعلومة
+
+328
+00:22:13,090 --> 00:22:15,930
+الاربطة طبعا الاربطة اللي هو أولا الرباط الشاشي
+
+329
+00:22:15,930 --> 00:22:18,330
+العادى أو الخمسة صنطي طبعا فيهم اللي بيدا خمسة
+
+330
+00:22:18,330 --> 00:22:22,450
+صنطي سبعة صنطي و نص عشرة صنطي طبعا هذه كلها و بدنا
+
+331
+00:22:22,450 --> 00:22:27,110
+نكون ملاحظة عنا كل مكان الرباط أعرض كل مكان بيغطي
+
+332
+00:22:27,110 --> 00:22:31,130
+المكان أكتر لكن اختيار .. اختيار الرباط الشاشي حسب
+
+333
+00:22:31,130 --> 00:22:33,470
+المكان يعني لايعقن أن انا أستخدم و أقول الله مثلا
+
+334
+00:22:33,470 --> 00:22:38,050
+بيدا أستخدم رباط شاش عشرة صنطي لأصبع مثلا حجم
+
+335
+00:22:38,050 --> 00:22:42,030
+اتنين صنطي أو تلت صنطي فطبعا حسب إيش .. بس اختيار
+
+336
+00:22:42,400 --> 00:22:46,640
+اختيار الشاشة هذا بناءً على مكان الإصابة اللي أنا
+
+337
+00:22:46,640 --> 00:22:49,460
+بدي استخدمه فيه أو المكان اللي أنا بدي أغطيه
+
+338
+00:22:49,460 --> 00:22:51,360
+الغيار الموجود مسبقًا
+
+339
+00:22:54,500 --> 00:22:57,620
+طبعا فيه عندنا الرباط المثلث والرباط المثلث هو نص
+
+340
+00:22:57,620 --> 00:23:02,760
+منديل أو نص حطة يعني بشكل مثلث وطبعا .. يعني قاعد
+
+341
+00:23:02,760 --> 00:23:05,640
+نشوف فيديو بسيط جدا كيف استخدامه وطبعا الرباط
+
+342
+00:23:05,640 --> 00:23:08,880
+المثلث يستخدم في أكتر من طريقة في حالات الكسور
+
+343
+00:23:08,880 --> 00:23:13,320
+مثلا للساعد في حالات مثلا إصابات الرأس في حالات
+
+344
+00:23:13,320 --> 00:23:16,780
+إصابات الأذن طبعا كيف نستخدمه؟ طبعا في عندنا آلية
+
+345
+00:23:16,780 --> 00:23:21,320
+لإستخدامه هذا هو الرباط المثلثوالرباط المثلث طبعا
+
+346
+00:23:21,320 --> 00:23:24,460
+احنا معانا فيديو صغير بس من الأنواع عشان جابنا
+
+347
+00:23:24,460 --> 00:23:27,600
+ناخد الجزء العامل فيه فيه عندنا رباط مثلث وعندنا
+
+348
+00:23:27,600 --> 00:23:31,640
+رباط مستعرض رباط المستعرض وهو طبعا رباط المستعرض
+
+349
+00:23:31,640 --> 00:23:35,180
+أحيان يستخدم في عمليات الجراحية للبطن تمام؟
+
+350
+00:23:35,180 --> 00:23:40,300
+ويستخدم أيضا رباط المستعرض أو الرباط الضغط العريض
+
+351
+00:23:40,300 --> 00:23:44,620
+لما إنسان مثلا يكون عامل عملية جراحية أو مثلا تسيد
+
+352
+00:23:44,620 --> 00:23:50,170
+بعد الولادة عساس طبعا إيش؟ يحافظ على الأحشاةبعض
+
+353
+00:23:50,170 --> 00:23:54,230
+الناس مثلًا يعني بيكون عامل عملية جراحية طبعًا بتم
+
+354
+00:23:54,230 --> 00:23:58,830
+إرشاده عدم السعال أو عدم الضغط عساس إنه ما يزيد
+
+355
+00:23:58,830 --> 00:24:02,310
+الضغط من الخارج ويعمل فتح لإياش للغرز وبالتالي
+
+356
+00:24:02,310 --> 00:24:06,670
+طبعًا اللي بيكون إياش مساعد للتثبيت في عندنا
+
+357
+00:24:06,670 --> 00:24:09,490
+الرباط الأخير اللي هو الرباط الضغط واحنا بقول عنه
+
+358
+00:24:09,490 --> 00:24:15,830
+المشد والمشد هذا بيستخدمه في حالات كتيرةيعني
+
+359
+00:24:15,830 --> 00:24:19,870
+بيستخدموه في ناحية تجميلية مثلا بالأفراح و الستات
+
+360
+00:24:19,870 --> 00:24:23,690
+بيعرفوا الاشياء ده أو بيستخدموه بعد عملية جراحية
+
+361
+00:24:23,690 --> 00:24:28,370
+تمام؟ طبعا لأنه ضغط و اللي بنلاحظه بالنسبة للرباط
+
+362
+00:24:28,370 --> 00:24:32,730
+الضغط او المستعرض بيكون فيه جطرتين معدنيات عشان ..
+
+363
+00:24:32,730 --> 00:24:35,970
+عشان طبعا مايلفش على بعضهم و طبعا دلوا عيش بالصورة
+
+364
+00:24:35,970 --> 00:24:40,220
+العاديةهذه طبعا صور لبعض الرباط نيجي هنا يا
+
+365
+00:24:40,220 --> 00:24:44,000
+أخواتنا بس نشوف طبعا الرباط طبعا استخدام الرباط
+
+366
+00:24:44,000 --> 00:24:48,240
+المثلث الرباط المثلث زي ما قلنا احنا له قاعدة و
+
+367
+00:24:48,240 --> 00:24:53,200
+ذراعين طبعا فدائما القاعدة بتكون في المتساوي
+
+368
+00:24:53,200 --> 00:24:58,100
+الساقين القاعدة أكبر القاعدة أكبر لكن لما يكون
+
+369
+00:24:58,100 --> 00:25:02,100
+متساوي الأضلع يكون الزاوية كلها ستين درجة صح ولا
+
+370
+00:25:02,100 --> 00:25:07,440
+لأ لكن لما يكون متساوي الساقين بتكون الزاويةخمسة
+
+371
+00:25:07,440 --> 00:25:09,780
+واربعين غالب .. غالب انا خمسة واربعين طب احنا
+
+372
+00:25:09,780 --> 00:25:12,360
+جيتنا بدنا نشوف طبعا .. يعني .. انا .. يعني هذا
+
+373
+00:25:12,360 --> 00:25:14,660
+الشي اللي انت قدامكوا هنشوفه رجيتها عاملا بال ..
+
+374
+00:25:14,660 --> 00:25:18,760
+بالفيديو و طبعا الفيديو هذا طبعا هنا هيكون عندنا
+
+375
+00:25:18,760 --> 00:25:22,400
+الفيديو بسيط كيف هنستخدم الرباط الضغط .. الرباط
+
+376
+00:25:22,400 --> 00:25:32,400
+المثلث آسف .. نعم استخدم
+
+377
+00:25:32,400 --> 00:25:33,260
+الرباط المثلث
+
+378
+00:25:39,770 --> 00:25:46,310
+تثبيت الكسر العضول متثبت فيه مفاصل المرفق والكتف
+
+379
+00:25:46,310 --> 00:25:49,870
+تثبيت مفصل المرفق مثل ما أخدناها من شويهي عن طريق
+
+380
+00:25:49,870 --> 00:25:54,110
+العلقة البسيطة باستخدام الرباط المثلثة وتثبيت مفصل
+
+381
+00:25:54,110 --> 00:25:57,290
+الكتف بتكون باستخدام العلقة المعاكسة كمان باستخدام
+
+382
+00:25:57,290 --> 00:26:02,130
+الرباط المثلثة هنبدأ هلأ بتثبيت مفصل المرفق
+
+383
+00:26:02,130 --> 00:26:05,610
+باستخدام العلقة البسيطةطب هاي كله هنشرحه بعدين
+
+384
+00:26:05,610 --> 00:26:09,990
+بالتقسيم نفس الطريقة اللي اخدها احمد شويه طبعا
+
+385
+00:26:09,990 --> 00:26:19,070
+نثبت الكسر مثل ما هو نقول
+
+386
+00:26:19,070 --> 00:26:23,210
+ملاحظة مهمة جدا يا اخواتنا ان في حال الرباط المثلث
+
+387
+00:26:23,210 --> 00:26:29,570
+دايما بكون طرف المثلث عند الكوعةرأس المثلث بيكون
+
+388
+00:26:29,570 --> 00:26:33,110
+عند الكوعة زى ما انتوا شايفين هنا طبعا هذا هى
+
+389
+00:26:33,110 --> 00:26:38,130
+القاعدة المثلث طبعا اما رأس المثلث ايش عند الكوعة
+
+390
+00:26:38,130 --> 00:26:45,790
+نصب
+
+391
+00:26:45,790 --> 00:26:50,190
+الكسر مثل ما لاقيناه طبعا بنحاول نرد الكسر لمكانه
+
+392
+00:26:50,190 --> 00:26:52,910
+زى ما العقدة بيكون على حد الجهد هذا بيحتاج لطبيب
+
+393
+00:26:52,910 --> 00:26:58,860
+هو يرد الكسر لمكانه احنا مسافين بسبنسبّت كسر مثل
+
+394
+00:26:58,860 --> 00:27:15,040
+ما لاقينا هاي
+
+395
+00:27:15,040 --> 00:27:19,900
+العلقة البسيطة سبّتنا فيها مفصل المرفق هلا بحتاجة
+
+396
+00:27:19,900 --> 00:27:26,260
+تسبيت مفصل الكتف كمان باستخدام ريباط مسلسلالطريقة
+
+397
+00:27:26,260 --> 00:27:33,360
+اسمها طريقة العلاقة المعاكسة طرف
+
+398
+00:27:33,360 --> 00:27:41,380
+المثلث العريض طرف
+
+399
+00:27:41,380 --> 00:27:50,740
+المثلث العريض على رأس الكتف من هون بعدين
+
+400
+00:27:50,740 --> 00:27:52,260
+نمده لتحت
+
+401
+00:28:08,700 --> 00:28:13,080
+اللأ نفس الشيء كمان هنا إذا ماعناه دبوس نثبت دبوس
+
+402
+00:28:13,080 --> 00:28:27,760
+ماعناه دبوس نعمل لفة من تحت اسمها عقدة زي زي طبعا
+
+403
+00:28:27,760 --> 00:28:30,040
+هذه الحاجات اللي بيبقى فيها جمالية من هنا بيبقى
+
+404
+00:28:30,040 --> 00:28:33,140
+طبعا هناك اللي ندلها و المنظر يعني مش مفروض
+
+405
+00:28:42,280 --> 00:28:45,100
+اللي هناخدها طبعا في موضوع خاص بالنسبة لإصابة جهاز
+
+406
+00:28:45,100 --> 00:28:49,520
+الهيكل الحركي طبعا هذا الشيء هناخده أكتر لكن بعض
+
+407
+00:28:49,520 --> 00:28:52,440
+الواحدة احنا بدنا نقول كيف بتم استخدام الرباط
+
+408
+00:28:52,440 --> 00:28:56,200
+المثلث يبقى الرباط المثلث شيء مهم جدا ويكون عندي
+
+409
+00:28:56,200 --> 00:29:01,580
+يعني سواء جطعة جماش مربع مالها نصين او مثلا عندي
+
+410
+00:29:01,580 --> 00:29:06,700
+منديل او مثلا عندي مثلث بطبيعة الحال فممكن استخدمه
+
+411
+00:29:06,700 --> 00:29:07,220
+الحالة هذه
+
+412
+00:29:20,300 --> 00:29:25,320
+هذا الشيء اللي احنا حكينا فيه بالنسبة للربط الذراع
+
+413
+00:29:25,320 --> 00:29:28,420
+يوضع أحد أطراف زي ما قلته هنا الربط المثلث فوق
+
+414
+00:29:28,420 --> 00:29:31,640
+الكتف السليم و يترك الطرف المقابل يتدلق زي ما قلنا
+
+415
+00:29:31,640 --> 00:29:35,200
+على اساس انه طبعا بدخل دايما الطرف بدكون رأس
+
+416
+00:29:35,200 --> 00:29:39,340
+المثلث للكون بدخل أو طرف أو الطرف هنا عند العنق و
+
+417
+00:29:39,340 --> 00:29:41,940
+الطرف الثاني على عنق من ناحية التانية لكن بتم
+
+418
+00:29:41,940 --> 00:29:45,960
+الربط اما على اليمين او على اليسار مابربط انا خلف
+
+419
+00:29:45,960 --> 00:29:51,830
+الرقب ليشبسبب فقراء .. الضغط على فقرات العنق أما
+
+420
+00:29:51,830 --> 00:29:54,410
+هنا في عينا عضلات مافي مشكلة وبالتالي دايما هذه
+
+421
+00:29:54,410 --> 00:29:58,430
+الشباب طبعا هو يلف حول الطرف المصاب ويعاد طبعا في
+
+422
+00:29:58,430 --> 00:30:01,110
+الكتف الكتف في الطرف المصاب ثم يروح الطرفان على
+
+423
+00:30:01,110 --> 00:30:05,450
+جانب العنق وبالتالي هنا ما بنربط الربط أو العجدة
+
+424
+00:30:05,450 --> 00:30:08,030
+بتكون على خلف العنق إلا بتكون على الجانبين طبعا
+
+425
+00:30:08,030 --> 00:30:11,230
+لأنه بيكون العضلة و العضلة بتتحمل أكتر ايش أو مثلا
+
+426
+00:30:11,230 --> 00:30:13,430
+أرحم شوية من الضغط على العظام
+
+427
+00:30:17,030 --> 00:30:19,350
+طبعا في عندنا أربطة الرأس طبعا يعني أربطة الرأس
+
+428
+00:30:19,350 --> 00:30:21,330
+ممكن هي جريبة من الشاشية اللي كانوا يستخدموها
+
+429
+00:30:21,330 --> 00:30:27,010
+الستات الكبار طبعا هي مثقية أيضا مثلث طبعا القاعدة
+
+430
+00:30:27,010 --> 00:30:31,430
+بتكون من أيش؟ من الأمامتمام؟ و طبعا الرأس المثلث
+
+431
+00:30:31,430 --> 00:30:34,090
+بيكون من الخلف، طب نكون عند الطرفين هنا، بنلف
+
+432
+00:30:34,090 --> 00:30:37,730
+الطرف و الطرف التاني و بنعمل عقدة من الأمام و
+
+433
+00:30:37,730 --> 00:30:41,790
+القاعدة بتاعة المثلث بنجيبها إيش؟ طريقة عكسية، هاي
+
+434
+00:30:41,790 --> 00:30:44,130
+طبعا نفسي اللي كانوا يستخدموا الستات العجاز أو
+
+435
+00:30:44,130 --> 00:30:47,050
+طبعا ل .. يعني حاجة واضحة أنا بقولك و الله عند
+
+436
+00:30:47,050 --> 00:30:49,570
+الصداع و لا حاجة بتستخدمها، لكن احنا بقول مثلا في
+
+437
+00:30:49,570 --> 00:30:52,290
+قصابات الرأس برضه ممكن تستخدم رباط المثلث
+
+438
+00:30:55,590 --> 00:30:58,710
+طبعا رباط الأذن أو جانب لجه نفس الفكرة لرأس .. نفس
+
+439
+00:30:58,710 --> 00:31:01,950
+فكرة استخدام رباط المثلث للرأس لان طبعا طبعا جزء
+
+440
+00:31:01,950 --> 00:31:02,830
+إيش من الرأس؟
+
+441
+00:31:07,390 --> 00:31:11,490
+رباط الكوا او الركبة طبعا هذا شيء مهم جدا ان في
+
+442
+00:31:11,490 --> 00:31:16,070
+حال الكوا او الركبة بحاول انا اعمل تثبيت لكن بيضل
+
+443
+00:31:16,070 --> 00:31:18,110
+عندى ال .. يعني ال .. الوضع اللي .. اللي بيقولوا
+
+444
+00:31:18,110 --> 00:31:21,910
+احنا الوضع ال .. الوظيفي للعضو طبعا مافي واحد
+
+445
+00:31:21,910 --> 00:31:26,350
+مامشي بالشارع ودي هيك مشددين، كل احنا لو طلعنا عن
+
+446
+00:31:26,350 --> 00:31:31,050
+نفسنا بتلاقي فيه ايه؟ زاوية بسيطةما ممشيش احنا يا
+
+447
+00:31:31,050 --> 00:31:33,790
+عياش الأوضاع باستقامة، الزاوية البسيطة هيشيه
+
+448
+00:31:33,790 --> 00:31:37,310
+طبيعي، إن جيت الأصابع مامشيش هم بالصورة هذه، بكون
+
+449
+00:31:37,310 --> 00:31:40,450
+فيها انتقاء بسيط، يعني هذا الوضع الوظيفي بالنسبة
+
+450
+00:31:40,450 --> 00:31:43,830
+ليا عياش، للعضو، وبالتالي بالتثبيت بحاول أنا مثلا
+
+451
+00:31:43,830 --> 00:31:47,230
+أخلي زاوية بسيطة موجودة، لإن هو طبعا هذا الوضع
+
+452
+00:31:47,230 --> 00:31:50,810
+المريح للشخص، هو طبعا فكرة التثبيت اللي هي إصابات
+
+453
+00:31:50,810 --> 00:31:52,310
+الكوة أو الركبة
+
+454
+00:31:56,070 --> 00:31:58,810
+طبعاً في عندنا أربطة تانية طبعاً يسميها الرباط
+
+455
+00:31:58,810 --> 00:32:02,930
+الحلزوني المغلق وزي ما قلنا بنستخدمه في حال تثبيت
+
+456
+00:32:02,930 --> 00:32:06,430
+الكسور أو تثبيت الجروح آسف أو الغيرات على الجروح
+
+457
+00:32:06,430 --> 00:32:10,590
+نفسها إن ببدأ من الطرف الأبعد للطرف الأقرب على
+
+458
+00:32:10,590 --> 00:32:14,850
+أساس يكون فيه تثبيت للرباط بحد ذاته لكن إذا
+
+459
+00:32:14,850 --> 00:32:18,710
+استخدمت أنا العكس من الطرف الأوسع للأضيق أو من
+
+460
+00:32:18,710 --> 00:32:22,250
+الأقرب للأبعد طبعاً هذا بيكون في سهولة إن الجرح
+
+461
+00:32:22,250 --> 00:32:25,520
+طبعاً اللي غير ما يستمر في مكانهفي عيني طراب
+
+462
+00:32:25,520 --> 00:32:28,900
+أحيانا النوع التاني اللي هو الرباط الحلزوني الرباط
+
+463
+00:32:28,900 --> 00:32:33,300
+الحلزوني يعني مش متناسق 100% زي الرباط اللي هو
+
+464
+00:32:33,300 --> 00:32:37,540
+المغلق الرباط المغلق فوق بعض تمام لكن الحلزوني
+
+465
+00:32:37,540 --> 00:32:41,780
+طبعا لولبي لولبي ما بيكون مغطي كل منطقة و طبعا
+
+466
+00:32:41,780 --> 00:32:45,240
+استخدم يعني أحيانا في تثبيت الغيارات الحروق يعني
+
+467
+00:32:45,240 --> 00:32:47,940
+لو وضعنا غيار أنا مابديش الناحية الجمالية هنا بس
+
+468
+00:32:47,940 --> 00:32:51,200
+مجرد أن أثبت الغيار في ما كانواالحاجة التانية
+
+469
+00:32:51,200 --> 00:32:53,800
+تثبيت الجبار المؤقتة زي ما قلنا مثلا إن الإنسان
+
+470
+00:32:53,800 --> 00:32:56,900
+عنده كسر فأنا بستخدم الجبيرة، بدأ أثبت الجبيرة
+
+471
+00:32:56,900 --> 00:33:00,720
+هذه، مابعملهاش decor وكلها تكون مغطية، بس مجرد إيش
+
+472
+00:33:00,720 --> 00:33:05,360
+عملية التثبيت ربط
+
+473
+00:33:05,360 --> 00:33:07,480
+مؤقت نفس الوجه التاني يعتبر لأنه على أساس أنه
+
+474
+00:33:07,480 --> 00:33:10,340
+لغاية وصوله إلى المستشفى أو طبعا وصوله سيارة
+
+475
+00:33:10,340 --> 00:33:15,250
+الإسعاففي حال أنا عندي بعض الأربطة البسيطة فانا
+
+476
+00:33:15,250 --> 00:33:19,090
+يعني الوظيفة إليها أساسا تثبيت الغيار يعني ممكن
+
+477
+00:33:19,090 --> 00:33:23,510
+أستخدمه لحين وصلت لساعات أو مافيش عندي كمية كافية
+
+478
+00:33:23,510 --> 00:33:27,970
+من الأربطة الحلزوني طبعا المغلقة فبستخدم الرباط
+
+479
+00:33:27,970 --> 00:33:32,430
+الحلزوني لو نستخدم مثلا الرباط اللي هو الحلزوني في
+
+480
+00:33:32,430 --> 00:33:35,790
+حال أو في وضع الرباط المغلق مش هيكفي فبالتالي أنا
+
+481
+00:33:35,790 --> 00:33:38,350
+ماستخدمه عشان يغطيلي أكبر مساحة
+
+482
+00:33:41,180 --> 00:33:43,780
+طبعا رباط الكاحل او احنا يا اخواتنا بنسميه اللي هو
+
+483
+00:33:43,780 --> 00:33:48,280
+رباط شكل تمانية رباط شكل تمانية وهذا دايما رباط
+
+484
+00:33:48,280 --> 00:33:53,500
+شكل تمانية يستخدم في المفاصل ليش؟ طبعا انا بستخدم
+
+485
+00:33:53,500 --> 00:33:56,980
+و دايما بنبدأ من الأبعد للأقرب حتى في الرباط شكل
+
+486
+00:33:56,980 --> 00:34:00,840
+تمانية اللي هو رباط المفاصل رباط المفاصل بابدأ من
+
+487
+00:34:00,840 --> 00:34:05,320
+الأبعد للأقرب تمام؟ لكن في منطقة المفصل بحد ذاتها
+
+488
+00:34:05,320 --> 00:34:10,060
+من الداخل بتكون ضيقة المسافة و من الخارج تكون أوسع
+
+489
+00:34:11,050 --> 00:34:13,690
+وبالتالي بيعطينا زي شكل تمانية بالإنجليزي مش
+
+490
+00:34:13,690 --> 00:34:16,650
+تمانية بالعربي تمانية بالإنجليزي بدخلها من هنا
+
+491
+00:34:16,650 --> 00:34:20,010
+بوضعها هنا تانية و برجع من هنا تانية على ناحية هذه
+
+492
+00:34:20,010 --> 00:34:23,090
+بصير عندي كإني عامل انا تمانية شكل تمانية
+
+493
+00:34:23,090 --> 00:34:26,290
+بالإنجليزي وهو طبعا دايما أفضل للمفصل لأن لو أنا
+
+494
+00:34:26,290 --> 00:34:31,070
+عملت رباط مغلق ماهنا مش هاجدر حركة المفصل لكن في
+
+495
+00:34:31,070 --> 00:34:34,250
+شكل تمانية في حركة بيكون للمفصل وهذا الأصحى
+
+496
+00:34:34,250 --> 00:34:37,570
+وبالتالي نقول احنا بعض الناس اللي مثلا عنده غيار
+
+497
+00:34:37,570 --> 00:34:42,270
+أو عنده مثلا جروح وعمل رباطمغلق من السهل أنه يفك
+
+498
+00:34:42,270 --> 00:34:46,070
+.. ممكن يظل ثابت لكن مايكونش فيه حركة، ممكن فيه
+
+499
+00:34:46,070 --> 00:34:49,210
+ألم، لكن لما يكون في عندي أنا رباط على شكل ثمانية
+
+500
+00:34:49,210 --> 00:34:53,510
+بالإنقليزي، ممكن يكون في حركة أفضل و تثبيت للغيار
+
+501
+00:34:53,510 --> 00:34:57,630
+في مكانه، ممكن أقول والله مثلا الغيار المغلق مثبت
+
+502
+00:34:57,630 --> 00:35:01,190
+أه، لكن مافيش فيه حركة، لكن الغيار رقم ثمانية أو
+
+503
+00:35:01,190 --> 00:35:04,370
+على شكل تمانية، ممكن فيه تثبيت وفي نفس اللغة في
+
+504
+00:35:04,370 --> 00:35:05,390
+حركة للمفصل
+
+505
+00:35:08,390 --> 00:35:11,010
+طبعا الرباط الضغط زي ما قلنا أخواتنا اللي هو اللي
+
+506
+00:35:11,010 --> 00:35:14,490
+مستخدمه قلنا في الجروح الباترية طبعا فيه إنهانة
+
+507
+00:35:14,490 --> 00:35:16,710
+اللي هو حاجة مسميها اللي هو ال tourniquet ال
+
+508
+00:35:16,710 --> 00:35:20,550
+tourniquet اللي عملية المفتاح يعني مثلا قلنا
+
+509
+00:35:20,550 --> 00:35:24,510
+الرباط الضغط تمام لكن أنا علشان أزيد عشان أزيد
+
+510
+00:35:25,320 --> 00:35:29,300
+الضغط على النزيف انا بيبني هنا ضغط بزيادة في
+
+511
+00:35:29,300 --> 00:35:32,440
+الجروح البترية انا بيبني الضغط بزيادة وبالتالي هنا
+
+512
+00:35:32,440 --> 00:35:36,280
+لو شوفنا الصورة هذه طبعا هي مثلا بتر طبعا هنا في
+
+513
+00:35:36,280 --> 00:35:40,740
+عنا بتر طبعا لا سمح الله ابنج احنا نعمل هاي الرباط
+
+514
+00:35:40,740 --> 00:35:44,480
+هذا طبعا الرباط الضغط طبعا هنشوف الصورة هذه كمان
+
+515
+00:35:45,160 --> 00:35:48,920
+هنا عندنا الرباط الضاغط طبعا هنا احنا قولنا احد
+
+516
+00:35:48,920 --> 00:35:53,420
+طرق ايقاف النزيف هو الضغط على الشرير المغذي فانا
+
+517
+00:35:53,420 --> 00:35:56,920
+استخدمت هنا دائما في الجروح البطارية بستخدم رباط
+
+518
+00:35:56,920 --> 00:36:00,480
+ضغط يعني رباط مطاطي طبعا هنا انا بدي عشان اساعد
+
+519
+00:36:00,480 --> 00:36:04,360
+المنطقة بستخدم اللي هو عملية المفتاح او الربط عن
+
+520
+00:36:04,360 --> 00:36:08,660
+طريق المفتاح او بالانجليزي يسموه تورنكيت وطبعا حتى
+
+521
+00:36:08,660 --> 00:36:12,100
+اسم ال تورنكيت اللي هي جطة الجماش اللي بستخدمها
+
+522
+00:36:12,350 --> 00:36:15,810
+ممكن تكون مثلا جطة يعني زي مثلا لكشاط، تمام؟
+
+523
+00:36:15,810 --> 00:36:19,450
+فبستخدموا أحيان الوسيلة هذه لعملية سحب الدم، طبعا
+
+524
+00:36:19,450 --> 00:36:21,250
+في الظروف العادية، اللي بيشتغل في المختبرات،
+
+525
+00:36:21,250 --> 00:36:24,710
+مايعرف الشيء هذاالحالة التانية .. الطريقة التانية
+
+526
+00:36:24,710 --> 00:36:28,070
+.. هي في عندي .. مثلا .. هي بيه .. هي أنا بدأت
+
+527
+00:36:28,070 --> 00:36:33,190
+أعمل .. بدأ أجيب مثلا جلم أو مثلا جطعة خشبية .. أه
+
+528
+00:36:33,190 --> 00:36:35,730
+.. أه .. عساس أن أنا أربط فيها و أبدأ أشيك زي إيش
+
+529
+00:36:35,730 --> 00:36:38,250
+.. زي المفتاح .. كل ما أنا أعص بزيادة .. كل ما
+
+530
+00:36:38,250 --> 00:36:40,970
+بضغط بزيادة .. طبعا هذا ضبط الضغط أخواتنا نكون
+
+531
+00:36:40,970 --> 00:36:44,370
+عارفين من خمساش لعشرين دقيقة .. لأن أنا ب .. أنا
+
+532
+00:36:44,370 --> 00:36:48,920
+بدي برضه أخلي الأنفجة برضه حية ..فأنا لفترة بسيطة
+
+533
+00:36:48,920 --> 00:36:51,520
+لفترة بسيطة احنا .. احنا بنسبة يعني نقول مثلا
+
+534
+00:36:51,520 --> 00:36:55,660
+عندنا في غزهانة أقرب أبعد مسافة عشر دقيقة تلت ساعة
+
+535
+00:36:55,660 --> 00:36:58,940
+أو ربع سنكون وصل إلى المستشفى يعني و احنا في بلاد
+
+536
+00:36:58,940 --> 00:37:02,640
+فيها أماكن بعيدة فبصير عندنا .. بصير عندنا فك يعني
+
+537
+00:37:02,640 --> 00:37:05,720
+مثلا بعد العشرين دقيقة دقيقة واحدة و بعود إيش مربط
+
+538
+00:37:05,720 --> 00:37:09,780
+مرة يعني يبقى التالي هنا هي .. بدأت التانية هيعملت
+
+539
+00:37:09,780 --> 00:37:13,320
+أنا ربط على جطع الخشبية أو .. أو جلم أو أي وسيلة
+
+540
+00:37:13,320 --> 00:37:17,680
+هنا بعمل عملية إيش؟زي ما انا قاعد بقايش بحص بزيادة
+
+541
+00:37:17,680 --> 00:37:21,260
+مثلا زي مثلا رأس جدة الغاز او شي انا قاعد بتغطيها
+
+542
+00:37:21,260 --> 00:37:25,180
+في عندي ال .. الاخر شي هنا بعمل كمان عقدة فوق
+
+543
+00:37:25,180 --> 00:37:25,600
+الخشبة
+
+544
+00:37:41,940 --> 00:37:46,180
+عشان انا لو انا مثلا عملت العجدة تمام هاي مثلا
+
+545
+00:37:46,180 --> 00:37:49,740
+جطرة الجماش انا عملت العجدة تحت لما انا بدى لف
+
+546
+00:37:49,740 --> 00:37:52,780
+هطلع الجطرة الجماش او الجلم لكن انا بعمل عجدة
+
+547
+00:37:52,780 --> 00:37:56,360
+فوقها وببدأيش اللوف فيها وهذا طبعا بساعد على تثبيت
+
+548
+00:37:57,230 --> 00:38:00,170
+التثبيت ال .. الغيار ال .. الرباط في مكانه و في
+
+549
+00:38:00,170 --> 00:38:04,150
+نفس الوقت بيعمل على قطع او إبعاف .. إبعاف الدورة
+
+550
+00:38:04,150 --> 00:38:07,530
+الدموية في المنطقة هذه وهذا اللي بيسهل على عملية
+
+551
+00:38:07,530 --> 00:38:11,470
+إيقاف النزيف صورة صحيحة طبعا هذه الخطوات اللي هبقى
+
+552
+00:38:11,470 --> 00:38:14,290
+نحكي فيها، هيك بمجرد أنهينا موضوع الغيار و
+
+553
+00:38:14,290 --> 00:38:17,470
+الأربطة، إذا في أي سؤال أو استفسار، نتمنى من الله
+
+554
+00:38:17,470 --> 00:38:18,610
+السلام لجميع، بارك الله
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/aZRf-nzxqZE_raw.json b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/aZRf-nzxqZE_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..47ee99f911b0a8abcd0bb7214c8fc4a15a7bf9af
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/aZRf-nzxqZE_raw.json
@@ -0,0 +1 @@
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{"start": 297.71, "end": 298.17, "word": " الضغط", "probability": 0.9744873046875}, {"start": 298.17, "end": 298.39, "word": " على", "probability": 0.86865234375}, {"start": 298.39, "end": 299.43, "word": " الشريان", "probability": 0.9083658854166666}, {"start": 299.43, "end": 300.01, "word": " حتى", "probability": 0.953369140625}, {"start": 300.01, "end": 300.51, "word": " أقل", "probability": 0.9713541666666666}, {"start": 300.51, "end": 300.93, "word": " من", "probability": 0.748046875}, {"start": 300.93, "end": 302.21, "word": " كمية", "probability": 0.78076171875}, {"start": 302.21, "end": 302.89, "word": " الدم", "probability": 0.976806640625}, {"start": 302.89, "end": 303.47, "word": " النازف", "probability": 0.7759602864583334}, {"start": 303.47, "end": 303.83, "word": " في", "probability": 0.95703125}, {"start": 303.83, "end": 304.11, "word": " هذه", "probability": 0.982421875}, {"start": 304.11, "end": 304.69, "word": " المنطقة", "probability": 0.99365234375}, {"start": 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النزيف طبعا بربط الجرح بربط الجرح بقطعة أو شاش طبي أو غير طبي طبعا هذا يساعدني في الحد طبعا من إيقاف النزيف لأن طبعا أهمية الشاش هي الضغط أو الحفاظ على قطعة القماش أو الشاش المعقم أو الشاش النظيف في مكان الإصابة", "tokens": [3555, 6027, 9566, 46152, 9154, 3224, 4724, 11242, 17082, 9566, 15844, 9673, 1863, 9566, 28671, 9673, 17082, 8848, 10632, 46740, 24192, 4386, 46740, 15730, 25724, 2288, 5016, 11331, 49975, 34051, 12174, 20292, 1211, 8717, 11622, 33911, 4032, 27842, 38637, 2304, 5551, 4587, 20498, 4724, 25513, 9566, 28239, 11622, 33911, 23032, 3555, 3615, 995, 4724, 25513, 9566, 25724, 2288, 5016, 4724, 25513, 9566, 25724, 2288, 5016, 4724, 47432, 27884, 34051, 13412, 33599, 23032, 21292, 34051, 32771, 13546, 23032, 21292, 23032, 3555, 3615, 995, 23758, 7251, 3794, 995, 22488, 22653, 8978, 21542, 3215, 23032, 3555, 3615, 995, 9154, 11933, 1829, 4587, 31845, 28239, 11622, 33911, 5296, 33456, 23032, 3555, 3615, 995, 5551, 16095, 10632, 25124, 33599, 39896, 6024, 114, 17082, 9566, 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لأن ربما يكون هناك جرح مفتوح كبير ويحتاج إلى غراز بكمية كبيرة هذا بالنسبة للتعامل مع اللي هو النزيف طبعاً مع النزيف وكيفي اتقافه من خلال الطرق الثلاثة", "tokens": [3224, 8315, 23032, 3555, 3615, 995, 14111, 23758, 44049, 38207, 11933, 3794, 3615, 31845, 5551, 12610, 1829, 5296, 19528, 5016, 31845, 19913, 3660, 15844, 6024, 118, 1829, 9640, 8978, 3714, 41361, 3224, 4032, 9566, 3555, 3615, 995, 14111, 9154, 38637, 2304, 11933, 15730, 25961, 25724, 2288, 5016, 9122, 3555, 13546, 23032, 3555, 3615, 995, 14111, 2423, 7649, 9566, 15040, 4587, 30731, 9673, 14851, 8592, 5172, 7578, 34051, 5551, 4587, 25513, 3714, 31747, 11622, 20328, 5016, 1829, 24976, 2655, 3615, 10943, 1211, 5296, 33456, 12602, 3555, 15042, 7251, 30544, 34105, 4117, 10874, 2288, 5016, 3714, 5172, 2655, 2407, 5016, 9122, 3555, 13546, 4032, 1829, 33753, 26108, 30731, 32771, 2288, 31377, 4724, 24793, 10632, 9122, 3555, 48923, 23758, 20666, 1863, 35457, 3660, 24976, 2655, 3615, 10943, 1211, 20449, 13672, 1829, 31439, 28239, 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{"start": 463.99, "end": 464.55, "word": " مقدمة", "probability": 0.9908854166666666}, {"start": 464.55, "end": 465.85, "word": " الأنف،", "probability": 0.9041748046875}, {"start": 465.85, "end": 466.61, "word": " والنظر", "probability": 0.82989501953125}, {"start": 466.61, "end": 466.85, "word": " إلى", "probability": 0.95263671875}, {"start": 466.85, "end": 467.41, "word": " الأمام", "probability": 0.95166015625}, {"start": 467.41, "end": 467.79, "word": " أو", "probability": 0.92041015625}, {"start": 467.79, "end": 468.33, "word": " لأسفل،", "probability": 0.935302734375}, {"start": 468.33, "end": 468.47, "word": " لكن", "probability": 0.9853515625}, {"start": 468.47, "end": 468.91, "word": " الأفضل", "probability": 0.9935302734375}, {"start": 468.91, "end": 469.71, "word": " الجلوس", "probability": 0.9713541666666666}, {"start": 469.71, "end": 470.49, "word": " بالصورة", "probability": 0.9862060546875}, {"start": 470.49, "end": 471.87, "word": " المراحبة", "probability": 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إذا كان النزيف من الداخل وانحنا نضغط والنزيف يعني ليس من مقدمة الأنف فإننا نضغط على مقدمة الأنف", "tokens": [2304, 43020, 44713, 9778, 3215, 10943, 12174, 9566, 27884, 9154, 25062, 2304, 33599, 9673, 26890, 3215, 34051, 12174, 9566, 27884, 16712, 1211, 7435, 3714, 46538, 2407, 11296, 20666, 8592, 33599, 3660, 5551, 3615, 23942, 25724, 3555, 3224, 3660, 11331, 49975, 7251, 4587, 1211, 1211, 9154, 9122, 2304, 10632, 32748, 2304, 28239, 31377, 1211, 30731, 9154, 9566, 28671, 16247, 1863, 5172, 3660, 34105, 21136, 33604, 6027, 29739, 3615, 11242, 7251, 2655, 3794, 16606, 1211, 11933, 15730, 25961, 28239, 11622, 33911, 9154, 32748, 47283, 1211, 4032, 7649, 5016, 8315, 8717, 11242, 17082, 9566, 4032, 6027, 1863, 11622, 33911, 37495, 22653, 32239, 3794, 9154, 3714, 28543, 46007, 16247, 1863, 5172, 6156, 28814, 1863, 8315, 8717, 11242, 17082, 9566, 15844, 3714, 28543, 46007, 16247, 1863, 5172], "avg_logprob": -0.09362296857000367, "compression_ratio": 1.9864253393665159, "no_speech_prob": 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{"start": 508.96, "end": 510.26, "word": " الضغط", "probability": 0.8111572265625}, {"start": 510.26, "end": 510.46, "word": " على", "probability": 0.9296875}, {"start": 510.46, "end": 510.88, "word": " مقدمة", "probability": 0.9860026041666666}, {"start": 510.88, "end": 511.2, "word": " الأنف", "probability": 0.9912109375}, {"start": 511.2, "end": 511.64, "word": " إذا", "probability": 0.968017578125}, {"start": 511.64, "end": 511.84, "word": " كان", "probability": 0.998046875}, {"start": 511.84, "end": 512.4, "word": " مباشرة", "probability": 0.98193359375}, {"start": 512.4, "end": 512.64, "word": " على", "probability": 0.9453125}, {"start": 512.64, "end": 513.08, "word": " النزيف", "probability": 0.955078125}, {"start": 513.08, "end": 513.9, "word": " أو", "probability": 0.95361328125}, {"start": 513.9, "end": 514.16, "word": " إذا", "probability": 0.97021484375}, {"start": 514.16, "end": 514.48, "word": " كان", "probability": 0.98876953125}, {"start": 514.48, "end": 514.9, "word": 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"seek": 77094, "start": 754.16, "end": 770.94, "text": "طبعا يبقى هيضل الهواء داخل الرئاتين، مافيش توزيع، وبالتالي يجب أن يكون عندنا قلب ينضد، إذا كان القلب لا ينضد، احنا متدخل في تدليق عضلة القلب، طبعا؟ وبالتالي يجب أن يكون عندنا أولويات المجرة فاتح، يدخل هواء محمل بالكسوجين", "tokens": [9566, 3555, 3615, 995, 7251, 3555, 4587, 7578, 39896, 11242, 1211, 2423, 3224, 2407, 16606, 11778, 47283, 1211, 34892, 19986, 9307, 9957, 12399, 19446, 41185, 8592, 33427, 11622, 40228, 12399, 46599, 6027, 2655, 6027, 1829, 7251, 7435, 3555, 14739, 7251, 30544, 43242, 8315, 12174, 46152, 7251, 1863, 11242, 3215, 12399, 11933, 15730, 25961, 25062, 46152, 20193, 7251, 1863, 11242, 3215, 12399, 1975, 5016, 8315, 44650, 3215, 9778, 1211, 8978, 6055, 3215, 20292, 4587, 6225, 11242, 37977, 25062, 46152, 12399, 23032, 3555, 3615, 995, 22807, 46599, 6027, 2655, 6027, 1829, 7251, 7435, 3555, 14739, 7251, 30544, 43242, 8315, 5551, 12610, 45865, 9307, 9673, 7435, 25720, 6156, 9307, 5016, 12399, 7251, 3215, 9778, 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0.6507161458333334}, {"start": 2488.92, "end": 2489.06, "word": " الله", "probability": 0.92431640625}, {"start": 2489.06, "end": 2489.62, "word": " تعالى", "probability": 0.9627278645833334}, {"start": 2489.62, "end": 2490.04, "word": " و", "probability": 0.9521484375}, {"start": 2490.04, "end": 2490.22, "word": " يهيأنا", "probability": 0.5591796875}, {"start": 2490.22, "end": 2490.5, "word": " تماما", "probability": 0.8133138020833334}, {"start": 2490.5, "end": 2490.54, "word": " و", "probability": 0.1788330078125}, {"start": 2490.54, "end": 2490.7, "word": " طبعا", "probability": 0.84857177734375}, {"start": 2490.7, "end": 2491.0, "word": " السلام", "probability": 0.94921875}, {"start": 2491.0, "end": 2491.1, "word": " على", "probability": 0.368408203125}, {"start": 2491.1, "end": 2491.46, "word": " الجميع", "probability": 0.9710286458333334}, {"start": 2491.46, "end": 2492.12, "word": " بارك", "probability": 0.6612141927083334}, {"start": 2492.12, "end": 2492.22, "word": " الله", 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\ No newline at end of file
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/bGgeX6yoYjE_raw.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/bGgeX6yoYjE_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..7e60673e4f2b92e6ef465567c0d23dc4297ad8dd
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/bGgeX6yoYjE_raw.srt
@@ -0,0 +1,2372 @@
+1
+00:00:05,040 --> 00:00:07,040
+بسم الله الرحمن الرحيم والصلاة والسلام علي أشرف
+
+2
+00:00:07,040 --> 00:00:10,980
+المسلمين سيدنا محمد وأليه وصحفيه وسلم طبعا استكمال
+
+3
+00:00:10,980 --> 00:00:14,420
+للموضوع السابق نتكلم اليوم ان شاء الله على وسائل
+
+4
+00:00:14,420 --> 00:00:19,120
+انقاذ الحياة احنا حكينا يعني في السابق جديش مهم ان
+
+5
+00:00:19,120 --> 00:00:22,740
+انا اطمن على الشخص من ناحية ان هل في عنده نفس او
+
+6
+00:00:22,740 --> 00:00:26,040
+ماعندهش نفس هل في عنده نبض او ماعندهش نبض وبالتالي
+
+7
+00:00:26,040 --> 00:00:28,840
+طبعا بتستدعي الأمر حسب الحالة اللي موجودة عندى اذا
+
+8
+00:00:28,840 --> 00:00:32,610
+كان الشخص واعي او غير واعيطبعًا شيء ضروري جدًا
+
+9
+00:00:32,610 --> 00:00:34,810
+طبعًا و ساعة إنقاذ الحياة مهمة كتير و أنا كيف بدي
+
+10
+00:00:34,810 --> 00:00:37,570
+أتعامل مع إنسان هذا لإنقاذ حياته؟ و أحنا قلنا أحد
+
+11
+00:00:37,570 --> 00:00:40,590
+الأسباب الأساسية أو الأهداف الأساسية للإسعاف
+
+12
+00:00:40,590 --> 00:00:43,890
+الأولى اللي هي إنقاذ حياة الضحية و من ثم طبعًا
+
+13
+00:00:43,890 --> 00:00:47,290
+المحافظة عليها إذا أنا إنقذت الشخص هذا بعدين هنكون
+
+14
+00:00:47,290 --> 00:00:51,210
+أتصرف حسب الحالة الموجودة عنده طبعًا من أولويات إن
+
+15
+00:00:51,210 --> 00:00:54,190
+أنا ممكن أتعامل معاها اللي هو طبعًا الجهاز التنفسي
+
+16
+00:00:54,190 --> 00:00:59,920
+بعد ما أطمن في خطر أو مافيش خطر علي أنا كمسعفطبعا،
+
+17
+00:00:59,920 --> 00:01:03,820
+ان شاء الله اليوم يعني خلال المحاضرة، يعني هنتكلم
+
+18
+00:01:03,820 --> 00:01:07,520
+ونشوف طبعا كيف نحافظ على التنفس والدورة الدموية،
+
+19
+00:01:07,520 --> 00:01:10,280
+إذا كان الشخص عنده نفس أو ماعندهوش نفس، وحنا خدنا
+
+20
+00:01:10,280 --> 00:01:13,120
+المرة فاترة قاعدة إنه لا يمكن يكون الشخص عنده
+
+21
+00:01:13,120 --> 00:01:16,060
+القلب متوقف ويتنفس، لكن ممكن طبعا يكون العكس.
+
+22
+00:01:16,920 --> 00:01:19,480
+أولويات مقاد الحياة، مين أولى؟ طبعا عندنا دايما
+
+23
+00:01:19,480 --> 00:01:23,020
+كلهم مهمين، الإنسان كل أجزته مهمة، لكن في أولويات
+
+24
+00:01:23,020 --> 00:01:26,510
+مين الأهم من مين؟طبعا كمان إن عاش القلب رياتين في
+
+25
+00:01:26,510 --> 00:01:29,670
+البالغين و هاد مهم كتير و بالمناسبة طبعا في احنا
+
+26
+00:01:29,670 --> 00:01:33,710
+حلقة كاملة هتنزل على اليوتيوب بطبعا تطبيق عملي
+
+27
+00:01:33,710 --> 00:01:37,570
+احنا طبعا نفذتها في مختبر الجامعة مع زميلنا و
+
+28
+00:01:37,570 --> 00:01:39,630
+هطبعا هتلاقوا ان شاء الله اليوم أخونا هينزلها على
+
+29
+00:01:39,630 --> 00:01:43,170
+الصفحة أو على اليوتيوب هتلاقوا بالتفصيل أكتر لأنه
+
+30
+00:01:43,170 --> 00:01:45,450
+مش هقدر نفذها هنا عاملا فالتالي احنا استبقنا
+
+31
+00:01:45,450 --> 00:01:48,350
+الأحداث و نفذناها عاملا و ان شاء الله بعد انتهاء
+
+32
+00:01:48,350 --> 00:01:52,430
+اللقاء هذا هينزل أخونا على الصفحةكيفية انعاش
+
+33
+00:01:52,430 --> 00:01:55,410
+القلب؟ كيف انا اعمل .. كيف انا اضغط على القلب؟ كيف
+
+34
+00:01:55,410 --> 00:01:58,890
+اتعامل مع القلب في حال طبعا التوقف؟ كيفية التنافس
+
+35
+00:01:58,890 --> 00:02:02,630
+الاصطناعي؟طبعا لاحظوا أن هنا فيه أولويات القلب و
+
+36
+00:02:02,630 --> 00:02:04,510
+لا التنافس والصناعة و لا التنافس والصناعة و لا
+
+37
+00:02:04,510 --> 00:02:07,610
+القلب طبعا حسب إذا كان طفل أو إذا كان بالغ طبعا
+
+38
+00:02:07,610 --> 00:02:11,190
+فيه أولويات مين جابل مين و ليش طبعا وضع الإفاقة
+
+39
+00:02:11,190 --> 00:02:15,030
+برضه فيه عندنا حلقة كاملة أو طبعا تسجيل برضه لوضع
+
+40
+00:02:15,030 --> 00:02:18,490
+الإفاقة سجلناها بالمختبر عشان نشوف كيف احنا ممكن
+
+41
+00:02:18,490 --> 00:02:21,450
+نستخدم وضع الإفاقة و خلال الشرح ان شاء الله هتكلم
+
+42
+00:02:21,450 --> 00:02:24,730
+واجتيش أنا ممكن أستخدم وضع الإفاقة لأنه لايصلح
+
+43
+00:02:24,730 --> 00:02:27,010
+طبعا استخدم وضع الإفاقة في بعض الحالات و لايصلح أن
+
+44
+00:02:27,010 --> 00:02:33,320
+أستانعاش القلب و الرئتين في الأطفال طبعا الانسان
+
+45
+00:02:33,320 --> 00:02:36,480
+موجود عنده قلب و الطفل عنده قلب و البالغ عنده قلب
+
+46
+00:02:36,480 --> 00:02:40,440
+لكن أنا مع مين أبدأ؟ كم مرة أعطي نفس؟ كم مرة أضغط
+
+47
+00:02:40,440 --> 00:02:43,300
+على الصدر؟ طبعا ان شاء الله خلال لقائنا اليوم
+
+48
+00:02:43,300 --> 00:02:49,440
+هنتعرف على أشياء هذه كلها طيب نيجي أول حاجة أهمية
+
+49
+00:02:49,440 --> 00:02:53,120
+ال oxygen للبقاء على قيد الحياة شئ طبيعي أن احنا
+
+50
+00:02:53,120 --> 00:02:58,930
+كلنا بنتنفس هواءلكن الهواء هذا فيه غازات كتيرة أهم
+
+51
+00:02:58,930 --> 00:03:03,470
+عنصر من عناصر الهواء هذا طبعا الـ Oxygen طبعا
+
+52
+00:03:03,470 --> 00:03:07,730
+النسبة الموجودة تقريبا .. تقريبا كام نسبة تقريبا
+
+53
+00:03:07,730 --> 00:03:11,610
+عندنا Oxygen في الهواء الجوي؟ طبعا بتفوت بسيط،
+
+54
+00:03:11,610 --> 00:03:16,610
+نقول تقريبا خمس الهواء الجوي، تمام؟ لكن هذه طبعا
+
+55
+00:03:16,610 --> 00:03:20,270
+متوسط، لكن لابد بهم تكون أكتر أو أقل نوعا ما، يعني
+
+56
+00:03:20,270 --> 00:03:25,660
+نقول مثلا في المناطق الصناعيةفمنطقة صينية بتقل و
+
+57
+00:03:25,660 --> 00:03:31,780
+أعلى كأنما يصعدوا في السماء برضه بتقل وبالتالي لما
+
+58
+00:03:31,780 --> 00:03:35,000
+نقول احنا الناس احنا شئ طبيعي .. بس بدربط معلومة
+
+59
+00:03:35,000 --> 00:03:38,260
+بسيطة .. يمكن هذه طبعا خارج المحاضرة لما نقول
+
+60
+00:03:38,260 --> 00:03:41,180
+الناس العاديين اللي احنا على ساطة الأرض طبعا في
+
+61
+00:03:41,180 --> 00:03:43,940
+السهول الساحلية عايشين نقول المتوسط مثلا اللي
+
+62
+00:03:43,940 --> 00:03:45,900
+مجلوبين عندنا طبعا برضه فيه نسبة بين الرجال
+
+63
+00:03:45,900 --> 00:03:49,040
+والسيدات لما نقول احنا مثلا من 12 ل 14 سيدات مثلا
+
+64
+00:03:49,040 --> 00:03:52,720
+نقول 14 ل 16 لرجال تمام؟لكن الإنسان اللي مابيعيش
+
+65
+00:03:52,720 --> 00:03:56,140
+في المناطق الجبلية، هل النسبة هارد بتزيد ولا بتجل
+
+66
+00:03:56,140 --> 00:04:01,320
+المعدل الهموجلبين؟ بيزيد، بيزيد، بيزيد، بيزيد،
+
+67
+00:04:01,320 --> 00:04:06,040
+بيزيد،
+
+68
+00:04:06,040 --> 00:04:08,620
+بيزيد، بيزيد، بيزيد، بيزيد، بيزيد، بيزيد، بيزيد،
+
+69
+00:04:08,620 --> 00:04:12,940
+بيزيد، بيزيد، بيزيد، بيزيد، بيزيد، بيزيد، بيزيد،
+
+70
+00:04:12,940 --> 00:04:13,940
+بيزيد، بيزيد، بيزيد، بيزيد، بيزيد، بيزيد، بيزيد،
+
+71
+00:04:13,940 --> 00:04:13,940
+بيزيد، بيزيد، بيزيد، بيزيد، بيزيد، بيزيد، بيزيد،
+
+72
+00:04:13,940 --> 00:04:18,460
+بيزيد، بيزيد، بيلأنه كل ما بنطلع فوق، الضغط رح
+
+73
+00:04:18,460 --> 00:04:22,720
+يزيد عندنا، هيزيد عندنا نسبة الدم، لإنه إحنا بدنا
+
+74
+00:04:22,720 --> 00:04:26,320
+كمية السجين أكبر، كمية السجين لما نطلع هيتجل،
+
+75
+00:04:26,320 --> 00:04:30,490
+هيصير عندنا .. هم الجلوبين هصير عندناينور عليك
+
+76
+00:04:30,490 --> 00:04:32,570
+صحيحة وبالتالي يا أخواتنا كل ما احنا طلعنا لأعلى
+
+77
+00:04:32,570 --> 00:04:35,330
+نسبة الهيموجلبين بتوصل لعشرين و أكتر من عشرين هذا
+
+78
+00:04:35,330 --> 00:04:38,750
+شيء طبيعي لكن الإنسان عادي على سهل الساحلي مش
+
+79
+00:04:38,750 --> 00:04:41,550
+طبيعي ممكن يكون مرضى وبالتالي طبعا كل ما الإنسان
+
+80
+00:04:41,550 --> 00:04:45,610
+ارتفع لأعلى بتقل نسبة ال oxygen وبالتالي بده أشياء
+
+81
+00:04:45,610 --> 00:04:49,370
+تحمل oxygen زيادة طبعا هي أيش ال hemoglobin هذي بس
+
+82
+00:04:49,370 --> 00:04:51,310
+النقطة وبالتالي احنا ال hemoglobin طيب ال
+
+83
+00:04:51,310 --> 00:04:54,130
+hemoglobin ال oxygen اللي احنا بناخده معلومة من
+
+84
+00:04:54,130 --> 00:04:58,990
+السابقة قلنا 21% تقريبا جدش احنا ممكن نستفيد منها
+
+85
+00:05:01,990 --> 00:05:06,030
+وقداش ممكن نطلع احنا مسمع ان في عندنا شهيق الزفير
+
+86
+00:05:06,030 --> 00:05:09,510
+تمام؟ اه هناخده بالتفصيل بس في محاضرة القادمة لكن
+
+87
+00:05:09,510 --> 00:05:12,970
+معلومة صغيرة في الشهيق انا باخد الهوة المحمل ب
+
+88
+00:05:12,970 --> 00:05:17,310
+Oxygen يعني بالسفينة نلقياش ال Oxygen بطلع .. اه
+
+89
+00:05:17,310 --> 00:05:20,170
+هذا المعلومة اللي معروفة عند الجميع لكن هل الزفير
+
+90
+00:05:20,170 --> 00:05:24,720
+محتويش على Oxygen؟الدليل على ذلك أننا بنعمل احنا
+
+91
+00:05:24,720 --> 00:05:28,760
+تنفس الصناعي، لو الشهيق .. لو الزفير بس فقط بيحتوي
+
+92
+00:05:28,760 --> 00:05:32,020
+على Thanos Carbon، معناه هيموت الشخص اللي بعمله
+
+93
+00:05:32,020 --> 00:05:36,140
+تنفس الصناعي، وبالتالي يحتوي نسبة عالية، أعلى من
+
+94
+00:05:36,140 --> 00:05:39,600
+نسبة الشهيق .. اللي .. اللي باخد أنا بالشهيق،
+
+95
+00:05:39,600 --> 00:05:42,340
+تقريبا اللي باخد في الهواء الشهيق، ال Oxygen موجود
+
+96
+00:05:42,340 --> 00:05:46,380
+في الهواء أثناء عمل الشهيق تقريبا 5%، يعني ليش
+
+97
+00:05:46,380 --> 00:05:53,250
+ماطلع؟ 16%يعني النسبة أعلى من اللي أنا باخدها،
+
+98
+00:05:53,250 --> 00:05:57,330
+يعني هرق بدلي على إنه أنا ممكن أنقد إنسان آخر من
+
+99
+00:05:57,330 --> 00:06:01,290
+الزفير اللي إلي و الشيخ بالنسبة إلهوبالتالي طبعا
+
+100
+00:06:01,290 --> 00:06:04,850
+نسبة الشهيق .. لأن نسبة الهواء الكسوجين أنا بستفيد
+
+101
+00:06:04,850 --> 00:06:07,950
+منه في عملية الشهيق فقط 5% طبعا هذا يجي حاجة معانا
+
+102
+00:06:07,950 --> 00:06:10,550
+في إصابات جالسة نفسي بالتفصيل أكتر، طيب إذا أنا
+
+103
+00:06:10,550 --> 00:06:13,910
+بقول قداش أهمية الكسوجين للإنسان على قد الحياة،
+
+104
+00:06:13,910 --> 00:06:18,350
+ليش بقول أهمية الكسوجين؟ لأن طبعا احزان بيغذيلي و
+
+105
+00:06:18,350 --> 00:06:23,870
+بيدعملي أكبر و أهم .. بيقول أهم عضو في جسم الإنسان
+
+106
+00:06:23,870 --> 00:06:28,860
+وهو الدماغالدماغ يحتمل لفترة .. دقائق .. بنقول
+
+107
+00:06:28,860 --> 00:06:32,840
+أربع دقائق بنقص ال oxygen لكن بعد هيك .. بيصير ..
+
+108
+00:06:32,840 --> 00:06:37,220
+ممكن يصير خلر فاحنا عندنا مصدرين للطاقة في الدماغ،
+
+109
+00:06:37,220 --> 00:06:41,660
+ال glucose و ال oxygen، ال oxygen في حالة اختناق
+
+110
+00:06:42,530 --> 00:06:46,350
+طبعا ممكن يفقد وعيه أو يؤدي لمشاكل، لـ Glucose لو
+
+111
+00:06:46,350 --> 00:06:49,210
+احنا مثلا كنا مش ماكلين أو اول يوم مثلا في الصيام
+
+112
+00:06:49,210 --> 00:06:52,630
+عندنا، بلحظة الإنسان بدأ يعني يحس حرف زغل الأول
+
+113
+00:06:52,630 --> 00:06:55,550
+شيء، يبقى أن هذين المصدرين إذا بنقص و التالي و
+
+114
+00:06:55,550 --> 00:06:59,450
+بالتاليلما يقول بنقص السكر عند الإنسان و بالذات
+
+115
+00:06:59,450 --> 00:07:03,890
+مريض السكر وهو طبعا فيه خطور أكتر على حياته إذا
+
+116
+00:07:03,890 --> 00:07:07,410
+كان نقص المعدد، إذا كان نقص المعدد، إذا كان نقص
+
+117
+00:07:07,410 --> 00:07:07,750
+المعدد، إذا كان نقص المعدد، إذا كان نقص المعدد،
+
+118
+00:07:07,750 --> 00:07:08,030
+إذا كان نقص المعدد، إذا كان نقص المعدد، إذا كان
+
+119
+00:07:08,030 --> 00:07:08,030
+نقص المعدد، إذا كان نقص المعدد، إذا كان نقص
+
+120
+00:07:08,030 --> 00:07:08,090
+المعدد، إذا كان نقص المعدد، إذا كان نقص المعدد،
+
+121
+00:07:08,090 --> 00:07:14,150
+إذا كان نقص المعدد، إذا كان نقص المعدد، إذا
+
+122
+00:07:14,150 --> 00:07:18,530
+كان نقص المعدد، إذا كان نقص المعدد، إذا كان نقص
+
+123
+00:07:18,530 --> 00:07:23,770
+المعدد، إذا
+
+124
+00:07:23,770 --> 00:07:29,030
+كان نقص المعدد، إمغلق، لكن في مرخل تاني، في مرخل
+
+125
+00:07:29,030 --> 00:07:32,610
+تاني، لكن لما الإنسان يكون فاقد وعيه ورقة
+
+126
+00:07:32,610 --> 00:07:39,840
+بطماطمية، مش هيدخل الهواءلأنه بحال أي عملية من
+
+127
+00:07:39,840 --> 00:07:45,400
+عملية الجسم فيها تشنج فيها سرع فيها مثلا فقدان
+
+128
+00:07:45,400 --> 00:07:49,700
+للوعي طبعا في التشنج والسرع فيها تيبس لكن بيقول أن
+
+129
+00:07:49,700 --> 00:07:52,740
+في حال فقدان الوعي فيها ارتخاء في العضلات كلها ومن
+
+130
+00:07:52,740 --> 00:07:56,140
+ضمن العضلات هذه عضلة اللسان اللي هنقول بلع لسانه
+
+131
+00:07:56,140 --> 00:07:59,840
+وما يبلع لسان طبعا هروكوا طبعا شوية صورة هذه قاعدة
+
+132
+00:07:59,840 --> 00:08:05,010
+اللسان بتعمل وفيها ارتخاء للخلفوهذه الخروج مهمة
+
+133
+00:08:05,010 --> 00:08:08,650
+كتير لما بدنا نعمل احنا تنفس صناعي لإنسان فاقد
+
+134
+00:08:08,650 --> 00:08:12,390
+الوعي كيف انا بده احرك القاعدة هذه طبعا هاخد
+
+135
+00:08:12,390 --> 00:08:15,830
+الكاميرا بالتفصيل انا عند قاعدة اللسان هنا تعمل
+
+136
+00:08:15,830 --> 00:08:20,090
+على اغلاقالحنجرة مجرة التنفس تاني يقول احنا بالع
+
+137
+00:08:20,090 --> 00:08:23,070
+لسانه مافيش حد بيلبلع لسانه لكن هو علميا يقول احنا
+
+138
+00:08:23,070 --> 00:08:26,610
+ايش بالع لسانه بالع لسانه المعنى هي سقوط اللسان
+
+139
+00:08:26,610 --> 00:08:31,330
+للخلف وعمل اغلاق على مجرة التنفس يقبل لازم يكون
+
+140
+00:08:31,330 --> 00:08:34,710
+عنده مجرة التنفس فاتح احنا يمكن انسان يكون ماكل
+
+141
+00:08:34,710 --> 00:08:38,930
+وفقد رعيه يقبل اكل هذا برضه ايش ممكن يعمل على
+
+142
+00:08:38,930 --> 00:08:43,000
+اغلاق مجرة التنفس ممكن يكون عنده نزيفممكن يكون
+
+143
+00:08:43,000 --> 00:08:46,880
+مشاكل تانية وبالتالي هذه لازم يتأكد منها قبل ما
+
+144
+00:08:46,880 --> 00:08:49,840
+اعمل انا تنفس الصناعي و لا انا لو بد اعمل تنفس
+
+145
+00:08:49,840 --> 00:08:54,620
+الصناعي معناه الطريق مغلق ع الفاضي طيب النقطة
+
+146
+00:08:54,620 --> 00:08:58,580
+التانية يدخل الهواء معه الأكسجين إلى رتينه من ثم
+
+147
+00:08:58,580 --> 00:09:02,840
+إلى الدم طيب ممكن طبعا زي ما نعرف هنا ان في عندي
+
+148
+00:09:02,840 --> 00:09:06,620
+أنا منطقة البلعوم البلعوم مشترك للطعام والشراب
+
+149
+00:09:06,620 --> 00:09:12,260
+والهواءهار طبعا إيش؟ تفريع نقول عنها أو مثلا شبكة
+
+150
+00:09:12,260 --> 00:09:17,420
+من خلالها بتوزع .. كل حاجة لها مدخل خاص طبعا
+
+151
+00:09:17,420 --> 00:09:21,020
+الرئتين مدخلهم القصب الهوائية اللي هو دخول الهواء
+
+152
+00:09:21,020 --> 00:09:27,240
+طيب و المريء؟طعم الشراب طب هال جيتها يترى لو احنا
+
+153
+00:09:27,240 --> 00:09:32,600
+جفنا .. اتخيلنا انه جطعة مثلا بذرة صغيرة او ترمسة
+
+154
+00:09:32,600 --> 00:09:36,600
+صغيرة او فسجة صغيرة او اكل او ميه اجى بدي يدخلها
+
+155
+00:09:36,600 --> 00:09:44,660
+الحنجرة بعدى؟ لأ مابعديش لان احنا فعلا هنا امان ان
+
+156
+00:09:44,660 --> 00:09:49,780
+هو ايش لساق المزمارهذه اجسام غريبة لكن يا ترى لو
+
+157
+00:09:49,780 --> 00:09:55,240
+.. طبعا لو دخل هواء محمل بغازات سامة بسمح ولا ما
+
+158
+00:09:55,240 --> 00:10:01,500
+بسمح؟ طبعا هنا فيه اعتبارات قد يشعر بها ومن خلالها
+
+159
+00:10:01,500 --> 00:10:06,500
+بيدأ السؤال لكن بعض الغازات السامة لا لون ولا ريحة
+
+160
+00:10:06,500 --> 00:10:10,020
+لما نقول احنا عندنا ثاني اكسيد الكربون او القطران
+
+161
+00:10:10,020 --> 00:10:12,780
+او ال .. طبعا لو نود .. لو نولد مثلا الكوشوك او شي
+
+162
+00:10:12,780 --> 00:10:18,520
+.. بيه دخان صح؟ ممكن احنا نستنشقه بسهولة؟بنجحجح،
+
+163
+00:10:18,520 --> 00:10:22,320
+بنشعر، تمام؟ يبقى احنا أدركنا فيها، لكن لو قولنا
+
+164
+00:10:22,320 --> 00:10:26,780
+انت جاعة تتدفي و بتعمل كستنة على الفحم، اه،
+
+165
+00:10:26,780 --> 00:10:31,100
+بتتنفسي ولا ما بتتنفسي؟ بتشعري ولا ما بتشعري
+
+166
+00:10:31,100 --> 00:10:36,460
+بضايق؟ بضايق؟
+
+167
+00:10:36,460 --> 00:10:44,800
+ولا بعد فترة و جيزة؟ تشعريش؟ انا بتكلم عنهمهناه
+
+168
+00:10:44,800 --> 00:10:47,320
+اللي بنقول احنا اخواتنا عشان نقول احنا بده يدخل
+
+169
+00:10:47,320 --> 00:10:52,810
+الهواء محمل بالاكسجين لأنه اي هواء تانيمش محمل
+
+170
+00:10:52,810 --> 00:10:57,290
+بالأكسجين أو في كمية أكسجين قليلة قد يدخل لكن قد
+
+171
+00:10:57,290 --> 00:11:00,270
+يكون هناك من المبيهات اللي هي السعال لكن في بعض
+
+172
+00:11:00,270 --> 00:11:04,230
+الغازات يعني تتخ .. ت .. يعني بيقولوا إحنا بتدخل
+
+173
+00:11:04,230 --> 00:11:08,590
+على .. بصمت أول أكسجين الكربون و هذا غاز سام قاتل
+
+174
+00:11:08,590 --> 00:11:11,110
+means to يعني بيقولوا إحنا لما واحد بيقول والله
+
+175
+00:11:11,110 --> 00:11:14,730
+مثلا الفحم أخد الأكسجين تمام؟ لكن بيقولوا إحنا هنا
+
+176
+00:11:14,730 --> 00:11:19,210
+استهلاكنا لأول أكسجين الكربون هيحل محل الأكسجين
+
+177
+00:11:19,210 --> 00:11:22,610
+وبالتالي بيبدأ الإنسان ينعسو بيصير زي .. زي ما
+
+178
+00:11:22,610 --> 00:11:26,790
+يقولنا شبه تخدير للدماغ، متى ما نعس طيب هو نايم،
+
+179
+00:11:26,790 --> 00:11:30,490
+هيظل يتنفس ولا اه؟ هيظل .. هيظل ياخد ايش؟ اول
+
+180
+00:11:30,490 --> 00:11:35,450
+اكسيد الكربون وقد تنتهي حياته، بالتالي هنا يجب
+
+181
+00:11:35,450 --> 00:11:39,070
+لازم عشان انا اضمن طبعا الاستمرارية في الحياة،
+
+182
+00:11:39,070 --> 00:11:44,060
+الهواء اللي داخل لا الرئتين يكون فيه اكسوجينطب
+
+183
+00:11:44,060 --> 00:11:46,020
+الهواء اللي داخل في غرفة .. اللي هو الغرفة اللي
+
+184
+00:11:46,020 --> 00:11:48,820
+موجودة فيها فحم فيها أكسجين وأوه أكسجين الكربون
+
+185
+00:11:48,820 --> 00:11:52,580
+لكن أوه أكسجين الكربون هيحل محل الأكسجين على أيش؟
+
+186
+00:11:52,580 --> 00:11:55,500
+عليهم مجلومين وبالتالي هانا الخطورة .. هانا
+
+187
+00:11:55,500 --> 00:11:58,360
+الخطورة يجب لازم يكون الهواء عشان استمرارية الحياة
+
+188
+00:11:58,360 --> 00:12:03,080
+يدخل للريقتين محمل بأكسجين وهذا اللي هيلزمنا لما
+
+189
+00:12:03,080 --> 00:12:08,780
+نعمل احنا تنفس إصطناعي محمل بالأكسجين من الزفير
+
+190
+00:12:08,780 --> 00:12:13,200
+اللي أنا بزفره في ريقتين الضحية تمام؟
+
+191
+00:12:15,430 --> 00:12:18,230
+طيب بعد كده يدور الدم في اللعبة الدموية حتى يصل
+
+192
+00:12:18,230 --> 00:12:20,790
+وما يحمله من ال oxygen إلى كل خلايا الجسم، إيش
+
+193
+00:12:20,790 --> 00:12:24,330
+بقى؟ القالية التانية أن يكون القلب شغال، يعني اذا
+
+194
+00:12:24,330 --> 00:12:27,990
+أنا مثلا عملت تنفس صناعي، لا ينسى أن القلب متوقف،
+
+195
+00:12:27,990 --> 00:12:32,910
+بتضال أعمل لبكرة لبعد سبوع، واش الفاية ده؟ المضخة
+
+196
+00:12:32,910 --> 00:12:37,940
+مش شغالةطبعا يبقى هيضل الهواء داخل الرئاتين، مافيش
+
+197
+00:12:37,940 --> 00:12:40,900
+توزيع، وبالتالي يجب أن يكون عندنا قلب ينضد، إذا
+
+198
+00:12:40,900 --> 00:12:45,260
+كان القلب لا ينضد، احنا متدخل في تدليق عضلة القلب،
+
+199
+00:12:45,260 --> 00:12:48,060
+طبعا؟ وبالتالي يجب أن يكون عندنا أولويات المجرة
+
+200
+00:12:48,060 --> 00:12:52,800
+فاتح، يدخل هواء محمل بالكسوجينوالـ Oxygen هذا
+
+201
+00:12:52,800 --> 00:12:58,580
+يُحمل على الدم حتى يوزّع لكل أجزاء الجسم من خلال
+
+202
+00:12:58,580 --> 00:13:03,200
+القلب الذي ينبض إما طبيعيا أو إصطناعيا، طبعا؟ طيب،
+
+203
+00:13:03,200 --> 00:13:05,560
+ما هي أولويات المستخدم في الحالة هذه؟ إيش
+
+204
+00:13:05,560 --> 00:13:10,030
+الأولويات اللي عندنا هنا؟أيوة، يبقى هام حاجة عشان
+
+205
+00:13:10,030 --> 00:13:13,990
+أنا بدأ أدخل الهواء المحمل بالـ Oxygen يكون مدخل
+
+206
+00:13:13,990 --> 00:13:17,050
+الهواء أيش، فاعتها، مدخل الهواء مغلق، مابقدرش،
+
+207
+00:13:17,050 --> 00:13:19,670
+يعني نقول مثلا إحنا عندنا إنسان فاقد الوعي، تمام؟
+
+208
+00:13:19,670 --> 00:13:22,890
+وراجل بيبقى ماتنية، وانا بيدعمله تنفسي أصطناعي،
+
+209
+00:13:22,890 --> 00:13:27,510
+مافي، لأ لأ زي ما هو جزانة، مافيش، طيب، واحد مثلا
+
+210
+00:13:27,510 --> 00:13:30,830
+بالع لسانه أو مثلا عنده طعام في الفم، تمام؟ وانا
+
+211
+00:13:30,830 --> 00:13:35,340
+مادخلتش أصبعي أن أسحب الطعام هادة، وبدفع الهواءمش
+
+212
+00:13:35,340 --> 00:13:38,340
+هيكون مدخل، يبقى أنا لازم أكون عندى إيش أهم حاجة
+
+213
+00:13:38,340 --> 00:13:42,060
+مدخل عشان أتمكن من الدخول .. أتمكن الهواء من
+
+214
+00:13:42,060 --> 00:13:46,420
+الدخول اللي هو الهواء المحمل والـ Oxygen طيب
+
+215
+00:13:47,800 --> 00:13:50,580
+هذه طبعا النقطة اللى حكيناها جداش احنا ممكن نستفيد
+
+216
+00:13:50,580 --> 00:13:54,220
+من ال oxygen ليه ال 21% اللى موجود في الهواء كله
+
+217
+00:13:54,220 --> 00:13:59,180
+وانا بستفيد منه 5% و بطلع تقريبا 16% وهي طبعا نسبة
+
+218
+00:13:59,180 --> 00:14:03,180
+يعني قادرة على انعاش شخص آخر، تمام؟ إذن هذه عملية
+
+219
+00:14:03,180 --> 00:14:07,900
+إيش؟ التنفس، و التنفس زي ما قلنا شهيق و زفير، كلنا
+
+220
+00:14:07,900 --> 00:14:13,340
+شهيق و زفير، احنا مش عارفش بالتنفس، نتنفس عادي و
+
+221
+00:14:13,340 --> 00:14:18,010
+من حكم ربنا و كرم ربنا علينا إن الهواء ببلاششوف
+
+222
+00:14:18,010 --> 00:14:20,750
+قداش واحد لما يكون مثلا في العناية المركزة قداش
+
+223
+00:14:20,750 --> 00:14:26,310
+بيعطيه Oxygen قداش بكلف لأن الهواء مافيش كائن حي
+
+224
+00:14:26,310 --> 00:14:32,070
+على وجه البسيطة بيستغني عنه الميه موجودة لكن فيها
+
+225
+00:14:32,070 --> 00:14:37,630
+تكلفة عشان نطلعها لكن الهواء مجانا الميه يعني ممكن
+
+226
+00:14:37,630 --> 00:14:40,030
+انت لو مشربتيش طول النهار إلا كباية واحدة بتعيش
+
+227
+00:14:40,030 --> 00:14:45,150
+ولا بتموتي لكن الهواءوهذا من فضل ربنا علينا إن
+
+228
+00:14:45,150 --> 00:14:48,010
+الهواء مجانا، مش معبّق بكياس، والله أنا بقدر أروح
+
+229
+00:14:48,010 --> 00:14:51,530
+أشتري هواء، لكن اللي عنده مشكلة، بيعرف جيمة كرم
+
+230
+00:14:51,530 --> 00:14:55,870
+ربنا عليه لما كانت نفس طبيعي بدون مدفع مصاري، مرض
+
+231
+00:14:55,870 --> 00:14:59,770
+الأزمة، بدفع أمواله كله، بس عشان ياخد شوية هواء،
+
+232
+00:14:59,770 --> 00:15:01,750
+وهذا الحمد لله ربنا يعلم كرم ربنا علينا، إذا
+
+233
+00:15:01,750 --> 00:15:04,350
+بالتالي لما يدخل الهواء، المحمل الوكسوجين، هيحمل
+
+234
+00:15:04,350 --> 00:15:08,090
+علىده طبعا هتم تبادل الغازات في الحواصلات الهوائية
+
+235
+00:15:08,090 --> 00:15:12,030
+وبالتالي هيدخل ال oxygen ويطلب ثانو ال oxygen
+
+236
+00:15:12,030 --> 00:15:15,910
+الكربون وبالتالي طبعا هي تستمر العملية من أول
+
+237
+00:15:15,910 --> 00:15:22,670
+لجديد طبعا نقول القليل هذه ببساطة يا أخواتناكيف أن
+
+238
+00:15:22,670 --> 00:15:29,050
+الهواء بيطرق الأكسجين و بنتقل لكل إجزاء الجسم؟
+
+239
+00:15:29,050 --> 00:15:31,950
+طبعا شيء طبيعي بس ناخد من ناحية تشرحية بسيطة القلب
+
+240
+00:15:31,950 --> 00:15:36,190
+عندنا في طبعا ناحية يسرى و ناحية يمنى، الناحية
+
+241
+00:15:36,190 --> 00:15:40,560
+اليسرى هي اللي فيها الدم المؤكسجالناحية اليمنى
+
+242
+00:15:40,560 --> 00:15:44,740
+فيها الدم الغير مؤكسجة طبعا طيب كيف بيصل عندى
+
+243
+00:15:44,740 --> 00:15:47,940
+الناحية اليمنى إلها الدم والناحية اليسرى بيصل إلها
+
+244
+00:15:47,940 --> 00:15:50,680
+الدم طبعا احنا فيه نقول احنا فيه عندنا دورة دموية
+
+245
+00:15:50,680 --> 00:15:54,460
+.. دموية صغيرة ودورة دموية كبرى الدورة الدموية
+
+246
+00:15:54,460 --> 00:15:58,680
+الصغيرة من القلب للريقتين طبعا الدورة الدموية
+
+247
+00:15:58,680 --> 00:16:05,680
+الكبرى من القلب لكل أجزاء الجسم هلاقيتها كل وريد
+
+248
+00:16:05,680 --> 00:16:10,350
+.. طبعا أي وعاء دمه يخرج من القلب هو شريانوأي أدم
+
+249
+00:16:10,350 --> 00:16:14,510
+يدخل القلب هو وريد اللي بنعرفه احنا عندنا ان
+
+250
+00:16:14,510 --> 00:16:19,370
+الشرايين تحمل دم مؤكسج والأوردة تحمل دم غير مؤكسج
+
+251
+00:16:19,370 --> 00:16:23,050
+طيب هلجيت احنا نبدأ شوية شوية نبدأ بدخول الدم
+
+252
+00:16:23,050 --> 00:16:27,590
+المؤكسج للقلب عشان نرجع للدم الغير مؤكسج من
+
+253
+00:16:27,590 --> 00:16:31,210
+الرئاتين احنا قلنا فيها هو الصلاة الهوائية تمام؟
+
+254
+00:16:31,210 --> 00:16:36,690
+بيصل الي عبر الأوردة الرئاوية الأربعة لوين؟
+
+255
+00:16:36,690 --> 00:16:41,800
+للناحية اليسرىللأذين الأيصر يبقى هنا أوردة هي
+
+256
+00:16:41,800 --> 00:16:45,680
+مستثناء من الدم الغير مؤكسج يعني هي فقط اللي بتحمل
+
+257
+00:16:45,680 --> 00:16:49,280
+دم مؤكسج يبقى بتجيب للدم المؤكسج بعد ما الناس
+
+258
+00:16:49,280 --> 00:16:53,340
+انشقت وصار تبدو الغازات في الحويصلات هيتجمع الدم
+
+259
+00:16:53,340 --> 00:16:56,380
+من ناحية اليمنى و اليسرة لأوردة الرئوية الأربعة
+
+260
+00:16:56,380 --> 00:17:00,840
+نية من اليمين و اتنية من اليسار هيصلوا لوين؟ على
+
+261
+00:17:00,840 --> 00:17:06,080
+الأذين الأيصر وهذا طبعا بداية إيش اللي هو الأكسجين
+
+262
+00:17:06,080 --> 00:17:11,870
+أو الدم المؤكسجمن الأدين الأيسر هينتقل لمين؟
+
+263
+00:17:11,870 --> 00:17:17,530
+للبطين الأيسر طبعا عبر الصمام الثنائي نتخيل احنا
+
+264
+00:17:17,530 --> 00:17:21,030
+واحدة واحدة من البطين .. من الأدين الأيسر هينتقل
+
+265
+00:17:21,030 --> 00:17:26,030
+للبطين الأيسر طيب البطين الأيسر يبقى نصر عندنا
+
+266
+00:17:26,030 --> 00:17:31,360
+الشق الأيسر فين؟ إيش فيه؟دم و أكساج، تمام؟ الدم و
+
+267
+00:17:31,360 --> 00:17:34,720
+الأكساج هذا هينطلق من الشريان الأوروطي أو الأبهر
+
+268
+00:17:34,720 --> 00:17:38,080
+طبعا للجزء العلوي و للجزء السفلي، احنا مش هناخد
+
+269
+00:17:38,080 --> 00:17:40,580
+تفاصيل لإنه هيجينا بالتفاصيل أكتر، يتبع هينتقل
+
+270
+00:17:40,580 --> 00:17:43,360
+للجزء العلوي و الجزء السفلي هاي مسميهنا دورة دموية
+
+271
+00:17:43,360 --> 00:17:49,000
+كبرى، تمام؟ طبعا بعد ما انتقل، هيترك الغذاء و
+
+272
+00:17:49,000 --> 00:17:53,030
+هيترك الوكسوجين للخلايا كلها، و الخلايا هتعيشهتترك
+
+273
+00:17:53,030 --> 00:17:56,770
+الفضلات اللي من ضمنها ثانثية الكربون، تمام؟ هتعود
+
+274
+00:17:56,770 --> 00:18:01,810
+هذه كلها المحملة بالدم الغير مؤكسجعبر الوريد
+
+275
+00:18:01,810 --> 00:18:05,610
+الأجوى في العلوي والوريد الأجوى في السفلي للناحية
+
+276
+00:18:05,610 --> 00:18:11,450
+اليمنى، لوين؟ للبطاين الأيمن، للأذين الأيمن،
+
+277
+00:18:11,450 --> 00:18:14,650
+الأذين الأيمن، تمام؟ الأذين الأيمن عبر الصمام
+
+278
+00:18:14,650 --> 00:18:19,730
+الثلاثي، هيضخ الدم لوين؟ للبطاين الأيمن، اللاحظ
+
+279
+00:18:19,730 --> 00:18:22,950
+هنا أن الجدار البطاين الأيمن أقل سماكة من جدار
+
+280
+00:18:22,950 --> 00:18:26,780
+البطاين الأيسرلأن هالدورة دموية صغيرة اللي هيتقضع
+
+281
+00:18:26,780 --> 00:18:30,220
+دي هيضخ الدم لوين للريقتين، طبعا؟ يبقى بعد ميجة
+
+282
+00:18:30,220 --> 00:18:34,880
+الدم الغير مؤكسج عبر ال .. ال .. الوريد الأجه في
+
+283
+00:18:34,880 --> 00:18:38,560
+العلوي والوريد الأجه في السفلي للأذين الأيمن ومن
+
+284
+00:18:38,560 --> 00:18:43,640
+ثم عبر الصمام الثلاثي للبطين الأيمن هيضخ الدم لوين
+
+285
+00:18:45,170 --> 00:18:47,870
+للشريان طبعا لوين؟ الشريان اللي ايه اوي؟ وهذا
+
+286
+00:18:47,870 --> 00:18:51,610
+الشريان اللي بيحمل دم غير مؤكسج، مستثنى هنا، يبقى
+
+287
+00:18:51,610 --> 00:18:54,650
+فينا إستثنائين هنا، الأور دراوية الأربعة بتحمل
+
+288
+00:18:54,650 --> 00:18:58,550
+مؤكسج والشريان اللي ايه اوي؟يكبر شريان قريئة ويكبر
+
+289
+00:18:58,550 --> 00:19:02,130
+وين هيروح؟ عريطة وهكذا تكون عندنا دورة دموية صغرى
+
+290
+00:19:02,130 --> 00:19:06,630
+ودورة دموية كبرى وهي مستمرة بمعنى ان الدم بيمشي في
+
+291
+00:19:06,630 --> 00:19:10,950
+الوريد وبيمشي في الشريان الشريان بيمشي لغاية لما
+
+292
+00:19:10,950 --> 00:19:15,030
+يصل لأقل لأصغر خلية وينتهي بالشعير الدموية يكبر
+
+293
+00:19:15,030 --> 00:19:17,850
+الشريان ينتهي بالشعير الدموية والوريد يبدأ من
+
+294
+00:19:17,850 --> 00:19:21,250
+الشعير الدموية طبعا داخل الخلية وبالتالي هي دورة
+
+295
+00:19:21,250 --> 00:19:26,160
+دموية صغرى ودورة دموية كبرى كيف الدم ينتقلمن ..
+
+296
+00:19:26,160 --> 00:19:28,140
+يعني شوية الهواء اللي باخدها دي اللي فيه Oxygen
+
+297
+00:19:28,140 --> 00:19:32,040
+كيف بصير اللي هي فلترة و كيف أنا بأطرد Fan-Oxidary
+
+298
+00:19:32,040 --> 00:19:35,800
+Carbon اللي هو دار طبعا مابناش ننسى أنه دار دو
+
+299
+00:19:35,800 --> 00:19:39,360
+هواء الزفير فيه Oxygen اللي من خلاله أنا ممكن أنقذ
+
+300
+00:19:39,360 --> 00:19:44,140
+حياة إنسان يعني هذا بالنسبة ببساطة للدورة الدموية
+
+301
+00:19:44,140 --> 00:19:46,080
+الصغرى و الدورة الدموية الكبرى
+
+302
+00:19:49,230 --> 00:19:52,810
+طبعا هي صورة بس مبسطة لكيف أن الدم ينتقل و ده ما
+
+303
+00:19:52,810 --> 00:19:55,570
+زي ما نعرفه هنا الدم اللون أحمر اللي فيها طبعا
+
+304
+00:19:55,570 --> 00:19:59,650
+اللي هي ال oxygen و طبعا ناحية اليسرة دورة دموية
+
+305
+00:19:59,650 --> 00:20:05,070
+كبرى تمام هنا و طبعا زي ما نقول احنا في أنها
+
+306
+00:20:05,070 --> 00:20:09,210
+الدورة الدموية الكبرى اللي بتنتقل من القلب لكل
+
+307
+00:20:09,210 --> 00:20:12,470
+أجزاء الجسم تمام الدورة الدموية طبعا الصغرى من
+
+308
+00:20:12,470 --> 00:20:17,490
+القلب لمين للرئتين تمام و طبعا في كل الكائنات
+
+309
+00:20:17,490 --> 00:20:22,140
+الحيةطبعا بالنسبة للإنسان بتتكلم .. بتتكلم كإنسان
+
+310
+00:20:22,140 --> 00:20:26,060
+إن هاد الدورة دموية إذا فيها مشكلة أو انسداد في أي
+
+311
+00:20:26,060 --> 00:20:31,840
+مكان معناها مش هتمشي بصورة طبيعية الملاحظة ده أنا
+
+312
+00:20:31,840 --> 00:20:40,940
+كمان أقول حاجة إن في عندنا ..
+
+313
+00:20:40,940 --> 00:20:45,840
+إن في عندنا يا أخواتنا هان طبعا اللي بنلاحظ إن
+
+314
+00:20:45,840 --> 00:20:52,710
+الجدار الأيصربالنسبة للبطين أسمك من الجدار الأيمن
+
+315
+00:20:52,710 --> 00:20:58,470
+لإنه هيضخ لجميع أجزاء الجسم، ده معناه؟ هذه طبعا
+
+316
+00:20:58,470 --> 00:21:01,570
+نقطة مهمة كتير حابينا نقولها كيف أنه الدم اللي
+
+317
+00:21:01,570 --> 00:21:04,650
+احنا بناخده بنستفيد منه، يجب لازم يكون عندنا مدخل
+
+318
+00:21:04,650 --> 00:21:09,120
+لكسجينتمام؟ اللي هو مدخل الهواء و طبعا ال Oxygen
+
+319
+00:21:09,120 --> 00:21:12,480
+بحددته المحمم على الهواء و الدورة الدموية يبقى
+
+320
+00:21:12,480 --> 00:21:15,320
+لازم يكون ايش؟ مافيش مشاكل لا في المدخل ولا في
+
+321
+00:21:15,320 --> 00:21:18,860
+الهواء اللي بيدخل لل Oxygen للجسم ولا في القلب
+
+322
+00:21:18,860 --> 00:21:21,760
+لأنه ممكن يكون خلل في الوسط ايش خلل في الوسط؟
+
+323
+00:21:21,760 --> 00:21:25,960
+المدخل تمام تمام القلب تمام تمام عملية التنفس تمام
+
+324
+00:21:25,960 --> 00:21:29,340
+تمام لكن الهواء اللي دخل زي ما ذكرنا مثال أو
+
+325
+00:21:29,340 --> 00:21:32,380
+Oxygen Carbon هان الخلليبقى لازم يكون العناصر
+
+326
+00:21:32,380 --> 00:21:35,620
+التالتة هارياش متكاملة، طيب، واحد يقول إنسان فقد
+
+327
+00:21:35,620 --> 00:21:39,260
+الوعي، مش بالضروري ما يتنفسش كويس، ممكن يكون بتنفس
+
+328
+00:21:39,260 --> 00:21:43,560
+كويس، لكن فقد الوعي، في غيبوبة مثلا، تمام؟ و معناه
+
+329
+00:21:43,560 --> 00:21:47,600
+بالتفصيل كمان، ممكن عنده داخل في غيبوبة، نفسه كويس
+
+330
+00:21:48,520 --> 00:21:52,500
+الهواء اللي بياخده كويس تمام؟ القلب بيشغل كويس بس
+
+331
+00:21:52,500 --> 00:21:55,580
+فقد الوعي وهو طبعا يعني بعض الحالات اللي بعد هيك
+
+332
+00:21:55,580 --> 00:21:58,480
+هنذكركوا فيها و تتذكروا المعلومة هذه ان في حالات
+
+333
+00:21:58,480 --> 00:22:01,860
+تنفس الاصطناعي ان اكتر الناس اللي بياخدوا معانا
+
+334
+00:22:01,860 --> 00:22:06,280
+وجهة أطول عشان يستعيدوا نفسهم حالتين الحالة الأولى
+
+335
+00:22:06,280 --> 00:22:13,500
+تسمم بأول اكسيد الكربون الحالتان المخدراتلأنه احنا
+
+336
+00:22:13,500 --> 00:22:17,420
+قلنا هالتين تمتين بياخدوا نواجة أطول عشان يستعيد
+
+337
+00:22:17,420 --> 00:22:21,520
+المريض أو الضحية نفسه، التسمم بأول أكسيد الكربون
+
+338
+00:22:21,520 --> 00:22:25,900
+والمخدرات، طبعا المخدرات بيأثر على الدماغ مباشرة
+
+339
+00:22:25,900 --> 00:22:30,200
+وأول أكسيد الكربون عبال ما احنا انحل الأكسوجين محل
+
+340
+00:22:30,200 --> 00:22:33,000
+أول أكسيد الكربون فهياخد مع نواجة شوية، تمام؟
+
+341
+00:22:40,340 --> 00:22:43,120
+طيب أولوية إنقاذ الحياة لإنسان طبعا الهدف منها
+
+342
+00:22:43,120 --> 00:22:46,400
+اللي هي وصول ال Oxygen هذي طبعا شيء طبيعي جدا أني
+
+343
+00:22:46,400 --> 00:22:49,140
+لما بعمل تنفس الصناعي معناه أنا بدي أدفع ال Oxygen
+
+344
+00:22:49,140 --> 00:22:54,400
+المظفور لرئتين عساس إنه ينقذ حياة الشخص استمرت
+
+345
+00:22:54,400 --> 00:22:56,480
+أعملت طبعا .. يعني هذه الأشياء كلها استمرت أعملت
+
+346
+00:22:56,480 --> 00:22:59,480
+تنفس استمرت أعملت الدورة الدموية لغاية طبعا لما
+
+347
+00:22:59,480 --> 00:23:03,020
+يصلني طبعا سيارة إسعاف واحنا قلنا يا أخواتنا بنذكر
+
+348
+00:23:03,020 --> 00:23:06,300
+مرة تانية إن أنا طبعا ممكن أستمر في التنفس الصناعي
+
+349
+00:23:06,300 --> 00:23:10,360
+أو تودليك القلبطبعاً لوقت محدد ولمقتله حدد أو
+
+350
+00:23:10,360 --> 00:23:16,140
+لفترة محددة لحين أن أنا مثلا أتعب كتير أو مافيش
+
+351
+00:23:16,140 --> 00:23:20,200
+عليه علامات حياة أو ايجي حد مثلا يساعدني تمام؟ أو
+
+352
+00:23:20,200 --> 00:23:23,240
+مثلا وصلت سيارة الإسعاف يعني لو مكون أنا بعمل
+
+353
+00:23:23,240 --> 00:23:25,940
+تنافس صناعة و تلقى القلب مابستمر على طول إذا في
+
+354
+00:23:25,940 --> 00:23:29,940
+علاقة علامات الحياة أه لكن إذا مثلا قلو نص ساعة أو
+
+355
+00:23:29,940 --> 00:23:35,160
+أكتر طبعا صعب أنه إيش أستمر فيهاميجي هنا يا
+
+356
+00:23:35,160 --> 00:23:37,840
+اخواتنا بالنسبة لطبعا عندنا في البالغين و الرد
+
+357
+00:23:37,840 --> 00:23:41,960
+اوليهم القادة الحياة طبعا هنا الملاهرة مع مين احنا
+
+358
+00:23:41,960 --> 00:23:47,120
+بنبدأ بالنسبة لتدليق القلب و التنفس الاصطناعي بدنا
+
+359
+00:23:47,120 --> 00:23:50,600
+نقول حاجة مهمة كتير يا اخواتنا في حال ان انا لاحظت
+
+360
+00:23:50,600 --> 00:23:56,520
+انسان بتنفس ضعيف او نفسه متوقف بأعمل تنفس اصطناعي
+
+361
+00:23:58,290 --> 00:24:04,130
+المراحظة التانية في حال القلب متوقف بأعمل تدليق
+
+362
+00:24:04,130 --> 00:24:08,030
+للقلب، لكن إذا كان القلب ليعمل حتى لو كان ضعيف، ما
+
+363
+00:24:08,030 --> 00:24:12,610
+بأعمل تدليق للقلبهذه مهمين جدا عشان احنا لما نبدأ
+
+364
+00:24:12,610 --> 00:24:15,690
+في عمل تنفس الصناعي أو تدليك القلب نعرف إن إذا كان
+
+365
+00:24:15,690 --> 00:24:21,750
+الشخص نفسه ضعيف أو متوقف، نعمل تنفس الصناعي، إذا
+
+366
+00:24:21,750 --> 00:24:26,570
+كان القلب ينبض ولو ضعيف، ما ندخلش في تدليك القلب،
+
+367
+00:24:26,570 --> 00:24:30,070
+لكن إذا كان القلب متوقف، ها نحن أيش من الدخل في
+
+368
+00:24:30,070 --> 00:24:30,690
+تدليك القلب
+
+369
+00:24:34,890 --> 00:24:39,810
+هنا الملاحظة في البالغين و في الردع احنا ممكن نسأل
+
+370
+00:24:39,810 --> 00:24:44,350
+سؤال نقول مع مين احنا بنبدأ و ليش بنبدأ بالنسبة
+
+371
+00:24:44,350 --> 00:24:49,130
+للبالغين نبدأ بالتنفس الاصطناعي في حال القلب متوقف
+
+372
+00:24:49,130 --> 00:24:53,610
+و النفس متوقف انا ممكن اتكلم على ان انا ممكن اعطي
+
+373
+00:24:53,610 --> 00:24:59,390
+تنفس اصطناعي و القلب يعمل تمام؟ احنا قلنا لو انسان
+
+374
+00:25:00,260 --> 00:25:04,420
+اتسمم بأول أكسيد الكربون ليس بالضرورة توقف القلب
+
+375
+00:25:04,420 --> 00:25:09,680
+إلا في المراحل الأخيرة لكن ممكن يكون الشخص هذا بدى
+
+376
+00:25:09,680 --> 00:25:14,660
+نفسه يضعف ففي الحالة ده بستمر فقط بالتنافس
+
+377
+00:25:14,660 --> 00:25:18,460
+الاصطناعي تقريبا كل خمس ثواني أو ست ثواني بعطي نفس
+
+378
+00:25:18,460 --> 00:25:24,140
+بعطي نفس لغاية إيش لما يرجع مرة تانية طيب نعم كل
+
+379
+00:25:24,140 --> 00:25:27,580
+خمسة أشهر تقطة نفسك؟ لأ لأ لأ ده حتى .. هنغير
+
+380
+00:25:27,580 --> 00:25:32,600
+المعلومة اللي جات إن شاء اللهفي حال إن النفس متوقف
+
+381
+00:25:32,600 --> 00:25:37,960
+والقلب متوقف والمثال اللي عندنا بالغ والمثال
+
+382
+00:25:37,960 --> 00:25:43,960
+التاني طفل مع مين أنا أبدأ؟ أنا جد طبعا هاخدك
+
+383
+00:25:43,960 --> 00:25:48,500
+بالتفصيل أكتر بس أنا بقول سؤال بسيط في حال النفس
+
+384
+00:25:48,500 --> 00:25:54,880
+متوقف والقلب متوقفبالنسبة للبالغين أبدأ العملية
+
+385
+00:25:54,880 --> 00:25:59,500
+بالتنفس الاصطناعي ولا تدليق القلب؟ وهذا السؤال
+
+386
+00:25:59,500 --> 00:26:03,920
+سواء للطفل و البالغ مع مين أبدأ بالنسبة للبالغين و
+
+387
+00:26:03,920 --> 00:26:09,300
+ليش؟ في البالغين بتبدأ بالقلب لإنه سبب توقف القلب
+
+388
+00:26:09,300 --> 00:26:13,840
+مش النفس لكن بالأطفال .. صح بحكي؟ أنا بسمعك أيه؟
+
+389
+00:26:13,840 --> 00:26:18,500
+بالأطفال بتبدأ بالتنفس لإنه غالبا عندهم خلل
+
+390
+00:26:18,500 --> 00:26:19,780
+بالتنفس هو السبب
+
+391
+00:26:25,980 --> 00:26:31,200
+هلجيت يا أخواتنا؟ أنا حكيت طبعا في آخر مرحلة اللي
+
+392
+00:26:31,200 --> 00:26:34,200
+هي القانون الرابع ده أنتوا فاكرينه بالنسبة لطبعا
+
+393
+00:26:34,200 --> 00:26:37,060
+القوانين الإسعافي الأولي اللي هو طبعا الـCPR في
+
+394
+00:26:37,060 --> 00:26:41,200
+حال أنا يعني اتأكدت أن القلب متوقف والنفس متوقف
+
+395
+00:26:41,200 --> 00:26:44,820
+لأن أحيانا ممكن فقط أستمر بس في التنافس الصناعي في
+
+396
+00:26:44,820 --> 00:26:48,460
+حال كون إيش القلب يعمل احنا قلنا ممكن فقط نستمر في
+
+397
+00:26:48,460 --> 00:26:51,930
+التنافس الصناعي إذا كان التنافس ضعيف أو متوقفلكن
+
+398
+00:26:51,930 --> 00:26:55,250
+القلب بيعمل، لكن بيقول انا اعطيته اول نفسيا على
+
+399
+00:26:55,250 --> 00:26:59,610
+سبيل المثال تمام و فحصت لاجئة النبض تشغال او بيعمل
+
+400
+00:26:59,610 --> 00:27:03,500
+و باستمر في النفسطبعا؟ لكن لما بيقول في حال القلب
+
+401
+00:27:03,500 --> 00:27:07,500
+متوقف والنفس متوقف ناخد ال .. ال .. ليش السبب؟
+
+402
+00:27:07,500 --> 00:27:12,480
+أولا نبدأ بالنسبة للبالغين تدليق عضلة القلب لإنه
+
+403
+00:27:12,480 --> 00:27:16,060
+إذا ما كانش .. إذا ماكان جلبه متوقف مش هيت نفس بس
+
+404
+00:27:16,060 --> 00:27:21,600
+ممكن يكون متوقف بس إنه .. ممكن يكون .. ممكن يكون
+
+405
+00:27:21,600 --> 00:27:25,080
+يعني إنه جلبه ببط بس مختنين لا احنا بيقولنا
+
+406
+00:27:25,080 --> 00:27:27,800
+التانية متوقفين ات .. اتأكدنا اتأكدنا التانية
+
+407
+00:27:27,800 --> 00:27:28,380
+متوقفين
+
+408
+00:27:32,690 --> 00:27:36,170
+وانا قضيته نفس، ال mainly من كده يضخم، هو المضخم
+
+409
+00:27:36,170 --> 00:27:42,410
+اللي حكيها دي متوقف متوقفة؟ طيب انا اوضحكوا ونرجي
+
+410
+00:27:42,410 --> 00:27:44,750
+على المعلومة اللي حكيناها المرة الفاتة لما قولنا
+
+411
+00:27:44,750 --> 00:27:49,590
+عدد دجاة القلب يتناسى .. عدد مرات التنفس يتناسى
+
+412
+00:27:49,590 --> 00:27:55,430
+بعكسي مع العمر، صح؟ صح يعني حجم الرئة بيصغر و لا
+
+413
+00:27:55,430 --> 00:28:00,680
+بيكبر لما يكبر الإنسان؟حجم الرئة، بيكبر حجم الرئة،
+
+414
+00:28:00,680 --> 00:28:04,860
+معناه هيستوعب كمية الهواء أكتر، تمام؟ يعني آخر نفس
+
+415
+00:28:04,860 --> 00:28:08,600
+بياخده الإنسان قبل ما يتوقف نفسه، بيكون محمل
+
+416
+00:28:08,600 --> 00:28:12,560
+بالإكسجين، وين موجود؟ في الرئة، يعني فيه إنك شوية
+
+417
+00:28:12,560 --> 00:28:16,420
+هواء فيها إكسجين، تمام؟ يعني مقارنة بالطفل، كمية
+
+418
+00:28:16,420 --> 00:28:20,440
+الهواء المحمل بالإكسجين، بالبالغين أكبر منهافي
+
+419
+00:28:20,440 --> 00:28:24,740
+الأطفال وبالتالي انا قاعد بدى استغل كمية الهواء
+
+420
+00:28:24,740 --> 00:28:27,920
+اللى موجودة في الرئتين اللى موجودة في البالغين
+
+421
+00:28:27,920 --> 00:28:32,440
+اللى محملة بالاكسجين فانا ببدأ بضخ الهواء اللى
+
+422
+00:28:32,440 --> 00:28:35,900
+موجود في الرئتين بضغط على الصدر تمام انا جيت لما
+
+423
+00:28:35,900 --> 00:28:40,680
+أنا بضغط على القلب تمام عشان الدم يصل للرئتين تمام
+
+424
+00:28:40,680 --> 00:28:44,060
+و الدم اللى بيصل للرئتين عشان يصير فيه تبادل غازات
+
+425
+00:28:44,060 --> 00:28:48,780
+مع الحواصلات الهوائية لو ان انا فيه عندى هواءمحمل
+
+426
+00:28:48,780 --> 00:28:53,560
+بالكسوجين عشان انا اخلص الجديد نقول مثلا و نبدأ
+
+427
+00:28:53,560 --> 00:28:58,880
+بالجديد يجب في البالغين انا بأضغط بداية او بعمل
+
+428
+00:28:58,880 --> 00:29:03,860
+تبليغ للقلب ليش؟ طبيعي ان انا اضغط في البالغين
+
+429
+00:29:03,860 --> 00:29:07,100
+تمام؟ قبل النفس في حال ال CPR
+
+430
+00:29:10,990 --> 00:29:15,450
+أنا بتكلمش يا بنات على أنه بس فقط تنفس الصناعي أنا
+
+431
+00:29:15,450 --> 00:29:20,670
+بتكلم على أنه في توقف التنفس و توقف القلب في
+
+432
+00:29:20,670 --> 00:29:26,730
+البالغين بابدأ بالقلب تلاتين ضغطة تلاتين ضغطة كنا
+
+433
+00:29:26,730 --> 00:29:32,150
+زمان جول خمستعش بتكلم لمسعف واحد تمام؟ أنا هبسطلك
+
+434
+00:29:32,150 --> 00:29:36,070
+شوية شوية في البالغين إذا نبدأ بالضغط على الصدر
+
+435
+00:29:36,070 --> 00:29:38,170
+قبل إعطاء نفسين
+
+436
+00:29:41,220 --> 00:29:46,860
+بالنسبة للأطفال العكس، بنبدأ أول مرة خمس مرات
+
+437
+00:29:46,860 --> 00:29:51,580
+للأطفال، بعدين النفس مش كمية حجم الهواء الموجود في
+
+438
+00:29:51,580 --> 00:29:56,460
+الرئتين، بس أجد تجوف الفم، ليش؟ لأن إذا أنا اعطيت
+
+439
+00:29:56,460 --> 00:30:00,980
+كمية هواء كبيرة، هيصير عندي نزيفة أقل حاجة، وانا
+
+440
+00:30:00,980 --> 00:30:04,720
+مابدأ أدخل مشكلة تانية، وبالتالي أنا برمج، بس أجد،
+
+441
+00:30:04,720 --> 00:30:09,480
+لأن رئته صغيرة، وبالتالي أنا باعطي خمس مرات،كبداية
+
+442
+00:30:09,480 --> 00:30:14,600
+لكن بعد هي كده هيكون عندي تلاتين ضغطة مقابل
+
+443
+00:30:14,600 --> 00:30:19,180
+النفسين يبقى انا اوجزهم شوية في حال البالغين بابدأ
+
+444
+00:30:19,180 --> 00:30:23,500
+في التدليق في انعاش الرئي القلب رئوي تلاتين ضغطة
+
+445
+00:30:23,500 --> 00:30:28,400
+على الصدر مقابل النفسين تمام؟ اما في البالغين
+
+446
+00:30:28,400 --> 00:30:34,280
+فابدأ انا بالتنفس الاصطناعي ومن ثم الضغط على القلب
+
+447
+00:30:35,490 --> 00:30:38,690
+وقلنا ليش؟ لأن الهواء المحمّل بالوسيجين في
+
+448
+00:30:38,690 --> 00:30:42,170
+البالغين في كمية كافية مويل فرقتين لكن في الأطفال
+
+449
+00:30:42,170 --> 00:30:48,510
+كمية هواء صغيرة تمام؟ وقلنا طبعا .. عشان أوضح نقطة
+
+450
+00:30:48,510 --> 00:30:53,990
+تانية بالنسبة للبالغين لما أنا بأبدأ طبعا هم
+
+451
+00:30:53,990 --> 00:30:59,270
+يسميها نفختين اختبار في البالغين طبعا قبل ما أعمل
+
+452
+00:30:59,270 --> 00:31:06,490
+تدليق للقلب تمام؟ أنا أوضحها باسم شويه شويهلأ،
+
+453
+00:31:06,490 --> 00:31:09,070
+دقيقة واحدة، أنا عشان أوضح الصورة هذه كويسة، في
+
+454
+00:31:09,070 --> 00:31:11,870
+البالغين، لما أنا باهش بلاقي إنسان، احنا قولنا إيش
+
+455
+00:31:11,870 --> 00:31:16,770
+أول ما بنعمل؟ بنتأكد من النفس، صح ولا أه؟ بجيش على
+
+456
+00:31:16,770 --> 00:31:20,330
+القلب مباشرة، تمام؟ يبقى إذا أنا تأكدت منه، وقلنا
+
+457
+00:31:20,330 --> 00:31:25,250
+القانون التاني، انظر، استمع، استشعر، يبقى بدي ناجة
+
+458
+00:31:25,250 --> 00:31:30,490
+بالـCPR، يبقى أنا إذا تأكدت إن النفس متوقف أو
+
+459
+00:31:30,490 --> 00:31:37,090
+ضعيف، باعطي نفسينبعد النفسين بقى السمع إذا كان
+
+460
+00:31:37,090 --> 00:31:41,410
+مافيش نفس يعني لازال متوقف بنتقل للدورة الدموية
+
+461
+00:31:41,410 --> 00:31:47,240
+تمام؟يبقى انا وش ايه؟ بتأكد من النفس، إذا كان
+
+462
+00:31:47,240 --> 00:31:52,880
+النفس ضعيف أو متوقف بقعطي نفسين، وبأفحص، يعني بسمع
+
+463
+00:31:52,880 --> 00:31:55,960
+و بشوف إيدي على الصدر في حركة ولا مافيش حركة، طبعا
+
+464
+00:31:55,960 --> 00:31:59,880
+بين كل نفس و التاني بقعطي فرصة إن النفس اللي دخلته
+
+465
+00:31:59,880 --> 00:32:05,200
+أنا يطلع، عشان تتبادل للغازات، تمام؟إذا أنا أتأكدت
+
+466
+00:32:05,200 --> 00:32:09,460
+إن النفس هذا اللي أنا أعطيته مانعاشش الشخص هذا وما
+
+467
+00:32:09,460 --> 00:32:15,920
+استردش وعيه بانتقل لوين لفحص الدورة الدموية، إذا
+
+468
+00:32:15,920 --> 00:32:21,320
+كانت الدورة الدموية متوقفة بأبدأها بتبليك القلب
+
+469
+00:32:21,320 --> 00:32:28,100
+طيب أما بالنسبة للأطفال بنبدأ كبداية خمس مرات هوا
+
+470
+00:32:28,810 --> 00:32:32,490
+وهنقول نقلانها كمية هوى صغيرة، إذا الشخص، إذا
+
+471
+00:32:32,490 --> 00:32:35,710
+الطفل هذا استعاد وعيه، تمام، إذا الطفل، نتكلم عن
+
+472
+00:32:35,710 --> 00:32:38,810
+أطفال، إذا استعاد وعيه ونفسه، كان ب .. ليش أنتقل
+
+473
+00:32:38,810 --> 00:32:42,690
+للقلب؟ ولا بفحص القلب؟ لأن أي إنسان بتنفس معناه
+
+474
+00:32:42,690 --> 00:32:46,410
+إيش؟ القلب ينجد، تمام، وبالتالي .. لكن إذا الطفل
+
+475
+00:32:46,410 --> 00:32:52,290
+لازال متوقف نفسه، بأنتقل، إن استشعر النبض هو من
+
+476
+00:32:52,290 --> 00:32:58,260
+تحت الإبطوفي حال انه كان القلب متوقف والنفس متوقف
+
+477
+00:32:58,260 --> 00:33:03,600
+بابدأ بالنفس تمام؟ لأنه حجم الرئيس صغير
+
+478
+00:33:16,260 --> 00:33:19,600
+لأ هي مرحلة الـCPR أو الإنعاش القلب رئوي يعني
+
+479
+00:33:19,600 --> 00:33:22,400
+التنتين أنا بشتغل مع بعض فيهم وقولنا يا أخواتنا
+
+480
+00:33:22,400 --> 00:33:27,140
+نفسين مقابل تلاتين ضغطة تمام؟ بتقول كمان نقطة حاجة
+
+481
+00:33:27,140 --> 00:33:31,460
+تاني مهمة أنه لو ربما يكون في شخص آخر بساعد انا
+
+482
+00:33:31,460 --> 00:33:35,620
+بتكلم له مصعف واحد انا هتكلم على الأولوية الطريقة
+
+483
+00:33:35,620 --> 00:33:38,800
+هذه المهمة لانها مهمة كيف انا انافذها إذا كان مصعف
+
+484
+00:33:38,800 --> 00:33:47,100
+واحد نفسين مقابل تلاتين وإذا كانوا مصعفينبرضه
+
+485
+00:33:47,100 --> 00:33:52,040
+نفسين مقابل تلتين في البالغين أما بالنسبة للأطفال
+
+486
+00:33:52,040 --> 00:33:57,140
+نفسين نفسين مقابل خمس عشر بس بنلاحظ أنه بالنسبة
+
+487
+00:33:57,140 --> 00:34:00,960
+للأطفال أنا ما بضغط بيها جدا طبعا عشان الصورة بس
+
+488
+00:34:00,960 --> 00:34:09,560
+بالأصبعين عشان .. عشان الطفل حجمه صغير و عضمه لين
+
+489
+00:34:09,560 --> 00:34:12,980
+مقارنة بالبالغين يعني أعرف أنه لو أنا بدأت أضغط
+
+490
+00:34:12,980 --> 00:34:17,350
+على الطفل ممكن أخليه زي اللي رغيه في الخبزلأنه عضم
+
+491
+00:34:17,350 --> 00:34:21,670
+لين و لأ أنا بستخدم هذه مع الكبار و مقدّيه صاحبة
+
+492
+00:34:21,670 --> 00:34:25,770
+كسور طبعا مافيش مشكلة المهم طبعا أنا أسهل للضغط
+
+493
+00:34:25,770 --> 00:34:28,330
+على القلب عشان أمزع الدورة الدموية لكل أجزاء الجسم
+
+494
+00:34:28,330 --> 00:34:33,250
+طيب
+
+495
+00:34:33,250 --> 00:34:36,990
+بما نقول هنا كيف أنا بدي أخلي مجرم الهواء فاتح
+
+496
+00:34:36,990 --> 00:34:40,390
+فضلا .. فضلا .. نسمع يا بنات
+
+497
+00:34:43,280 --> 00:34:46,260
+أحنا هناخدها تقريبا إذا الحاجة ناشية اللي يوم نكمل
+
+498
+00:34:46,260 --> 00:34:49,620
+نكمل لقاعتها لكن هناخدها مبدأيا و كيف هنفذها عاملا
+
+499
+00:34:49,620 --> 00:34:52,440
+بس بنستوعبها شوية شوية زي ما قلنا الدورة الدموية
+
+500
+00:34:52,440 --> 00:34:56,540
+اتفضلي او اشتغل مستقبوه و بعدين بنرجع الراس لورا
+
+501
+00:34:56,540 --> 00:34:59,240
+من طريق .. نحط إنا عند الداجين و بنرجع لورا و
+
+502
+00:34:59,240 --> 00:35:03,420
+بعدين بنفكر الآن و بعدين ندخل اللي هو اللي هو عظمه
+
+503
+00:35:03,420 --> 00:35:05,540
+.. نفكر الآن في نفس الايه اللي يحط نظره على رأسك؟
+
+504
+00:35:05,930 --> 00:35:10,170
+تمام .. بدنا نقول حاجة مهمة يا أخواتنا في حال أن
+
+505
+00:35:10,170 --> 00:35:13,890
+أنا بدأ أتأكد من مجرد تنفس بدأ انا .. زي ما قلت في
+
+506
+00:35:13,890 --> 00:35:18,290
+الأول في حاجة ذكرناها حرف ال deal و ال danger
+
+507
+00:35:18,290 --> 00:35:22,690
+الخطورة علي أنا أو على المسعد أو على طبعا الأبضحية
+
+508
+00:35:22,690 --> 00:35:27,310
+الخطورة هنا بالنسبة للأبضحية أنه قد يكون هناك كسور
+
+509
+00:35:27,310 --> 00:35:31,250
+في العنق أو إشتباه و هذا المشكلة طب كيف أنا بدأ
+
+510
+00:35:31,250 --> 00:35:36,210
+أعرف أنه عنده كسور أو إشتباهمين بيقول ليه؟ مين
+
+511
+00:35:36,210 --> 00:35:39,910
+بيعرفني ايه؟
+
+512
+00:35:39,910 --> 00:35:45,770
+مش شرطمكان الإصابة وطريقة الإصابة اللي يصيب ..
+
+513
+00:35:45,770 --> 00:35:48,970
+مثلا واحد وجع .. واحد وجع مثلا عن سطح و جيت ..
+
+514
+00:35:48,970 --> 00:35:52,570
+لجيت رجله ثم اتنية كده او واحد مثلا خبطت سيارة و
+
+515
+00:35:52,570 --> 00:35:55,230
+انتوا هاد طبعا شيء بتلاحظه مهم جدا انه لماتيش
+
+516
+00:35:55,230 --> 00:35:57,850
+سيارة الإسهاب يلابسوا إيش اللي هو ال neck cooler
+
+517
+00:35:57,850 --> 00:36:02,190
+ال neck cooler طبعا هي اما .. اما .. طبعا fever او
+
+518
+00:36:02,190 --> 00:36:06,550
+جطنية اجماش هذا طبعا ليش لدعم العنق هو طبعا مش
+
+519
+00:36:06,550 --> 00:36:11,170
+متأكدين لكن احتياطا او اشتباه ان يكون طبعا ليش فيه
+
+520
+00:36:11,170 --> 00:36:11,670
+النقصون
+
+521
+00:36:15,070 --> 00:36:18,930
+مظبوط ما نجيك في الكلام و ليش جاي نهان احنا طبعا
+
+522
+00:36:18,930 --> 00:36:23,290
+هنتكلم لإن اللقاء مش هيسيفنا إن هي للاخر لكن بتكلم
+
+523
+00:36:23,290 --> 00:36:27,270
+أنا مبدئيا انا كيف بدي انا أعمل أو أخلى مجرى الهوى
+
+524
+00:36:27,270 --> 00:36:33,290
+فاتح طبعا كبداية .. كبداية احنا قلنا لدرجة الواعي
+
+525
+00:36:33,290 --> 00:36:38,910
+مهمة جدا إذا كان استجاب إلي كان بها أي واحد بستجيب
+
+526
+00:36:38,910 --> 00:36:43,810
+بنقش بتكلمماديش أستجيب بالإشارة انا، إذا كان
+
+527
+00:36:43,810 --> 00:36:48,050
+استجيب بالإشارة ممكن يكون عنده إغلاق ماهيش احنا ..
+
+528
+00:36:48,050 --> 00:36:51,660
+ماهيش جاي نبهو؟أحنا قلنا أول حاجة الـD، وبعدين
+
+529
+00:36:51,660 --> 00:36:54,720
+الـResponse يعني الخطر، وبعدين طبعا مدى الاستجابة
+
+530
+00:36:54,720 --> 00:36:57,940
+إذا كان الشخص سهر بيستجيب بعد ما نبقته وجرسته،
+
+531
+00:36:57,940 --> 00:37:00,780
+تمام؟ يمكن يكون ماخد مخد، لكن بدأ يتنقل، يعني في
+
+532
+00:37:00,780 --> 00:37:04,560
+نفس عنده، يقول خلاص، أنا بضع في الحالة هذه وضع
+
+533
+00:37:04,560 --> 00:37:10,120
+الإفاقة، يبقى الاحتمال الأول إنه استجاب إلي، تمام؟
+
+534
+00:37:10,120 --> 00:37:13,540
+الوضع الأول، عشان ناخد بعض الاحتمالات استجاب إلي،
+
+535
+00:37:13,540 --> 00:37:18,340
+واتكلم، معناه القلب ينبض، ولا؟ طبعا بيختار وضع
+
+536
+00:37:18,340 --> 00:37:24,560
+اللي هو قدريةالاحتمال التاني ما استجابش اليه و
+
+537
+00:37:24,560 --> 00:37:28,740
+القلب ينبض و التنفس ينبض احنا بيقولوا الاساس النفس
+
+538
+00:37:28,740 --> 00:37:33,960
+يعمل و القلب ينبض بضعه في وضع الإفاقة و هنشوف وضع
+
+539
+00:37:33,960 --> 00:37:37,940
+الإفاقة ده كيف كمان هنسوي .. تمام؟ الاحتمال التالت
+
+540
+00:37:37,940 --> 00:37:42,680
+الاحتمال التالت إذا مافيش نفس زي ما انا أقول الطوب
+
+541
+00:37:42,680 --> 00:37:47,540
+نقي نفسين بعد تسليق مثلك الهواءتمام؟ ومافيش مبض
+
+542
+00:37:47,540 --> 00:37:51,660
+ببدأ بعملت اللي هو الـCPR طيب أنا كيف بدي أعمل
+
+543
+00:37:51,660 --> 00:37:56,120
+أخلي مجلة الهواء فاتحة أول حاجة بعد ما اتأكدت أنا
+
+544
+00:37:56,120 --> 00:37:59,540
+من ما كان خطورة و ال .. طبعا و ال .. و ال response
+
+545
+00:37:59,540 --> 00:38:03,990
+أو مثلا الاستجابة مافيش كل هذه تمام بقاجي اناطبعا
+
+546
+00:38:03,990 --> 00:38:10,390
+أصبعي بطريقة خطافية بدخل داخل الفم لكن انا .. او
+
+547
+00:38:10,390 --> 00:38:13,470
+طبعا ده اخد الاحتمالين الاحتمال اول مافيش كسور او
+
+548
+00:38:13,470 --> 00:38:17,350
+اشتبه كسور عشان اخد الاحتمالين ايدي بضعها تحت
+
+549
+00:38:17,350 --> 00:38:23,650
+العنق تمام؟ و الرأس طبعا الجبهة للخلف تمام؟ و الفك
+
+550
+00:38:23,650 --> 00:38:27,470
+ب .. طبعا .. طبعا الذقن بتكون لأعلى و الجبهة للخلف
+
+551
+00:38:27,470 --> 00:38:30,170
+مع فتح الفم طبعا هذا بيسميه هنا head tilt chin
+
+552
+00:38:30,170 --> 00:38:35,680
+lift ان الرأس طبعا الذقن لأعلىوالجبهة للخلف، ليش
+
+553
+00:38:35,680 --> 00:38:38,460
+بعمل الطريقة هذه؟ طبعا كونوا بيبقى انا بتكلم في
+
+554
+00:38:38,460 --> 00:38:43,840
+حال مافيش اشتباه حتى كسور لأن مجرم الهوا يكون فاتح
+
+555
+00:38:43,840 --> 00:38:46,980
+أو سالك أفضل وبالتالي بعد هيك انا بدخل أصبعي
+
+556
+00:38:46,980 --> 00:38:50,880
+بطريقة خطافية عشان إذا في أي حاجة موجودة في الفم
+
+557
+00:38:50,880 --> 00:38:57,170
+أسحبها أو انا بحرك قاعدة اللسانبالظبط، هي بهذه
+
+558
+00:38:57,170 --> 00:39:00,650
+الطريقة أنا كده بدي استخدمها بالنسبة للبالغين، لكن
+
+559
+00:39:00,650 --> 00:39:06,030
+بالنسبة للأطفال، ما بتمرجبت الطفل كتير، خوفه من
+
+560
+00:39:06,030 --> 00:39:10,390
+الكسور، بالتالي بس ميل بسيط، لأن إذا أنا بتمرجبت
+
+561
+00:39:10,390 --> 00:39:14,590
+الطفل، ممكن كده فيها كسور، اتاهم؟ طيب، في حال،
+
+562
+00:39:14,590 --> 00:39:19,830
+لاحظين انتوا هنا يا أخواتنا، شايفين هنا؟طبعا ها
+
+563
+00:39:19,830 --> 00:39:24,350
+نحنا عندنا هاي ها دي كيف انا الذقن لاعلى و الجبهة
+
+564
+00:39:24,350 --> 00:39:30,070
+للخلف طبعا هذا هيخلي مسلك الهوى فاتح تمام؟ لاحظين
+
+565
+00:39:30,070 --> 00:39:36,130
+ايش الخطوة اللي بعديها؟ بديوا يستمعبسمع و بشوف و
+
+566
+00:39:36,130 --> 00:39:39,670
+بتلمس الصدر فيه حركة ولا مافيش حركة لان قولنا أهم
+
+567
+00:39:39,670 --> 00:39:43,930
+حاجة ان انا اخلى الناس لكلامه فاتح طبعا في حال ان
+
+568
+00:39:43,930 --> 00:39:49,110
+الإنسان طبعا فاقد الوعي هاي الإلسان اللي عمل إغلاق
+
+569
+00:39:49,110 --> 00:39:54,490
+اللي همقول عيش بلع لسانه طبعا لكن مع الحركةبتكون
+
+570
+00:39:54,490 --> 00:39:57,350
+.. بيصيح عملية سحب لللسان طبعا احنا بيسميها head
+
+571
+00:39:57,350 --> 00:40:01,650
+tilt طبعا هي tilt للخلف chin lift لأعلى يعني رفع
+
+572
+00:40:01,650 --> 00:40:06,730
+الذقن لأعلى و جعل الخل .. طبعا جبها للخلف هذا طبعا
+
+573
+00:40:06,730 --> 00:40:09,490
+الطريقة اللي من خلالها اذا انا اتأكدت ان مافيش
+
+574
+00:40:09,490 --> 00:40:15,710
+الناقصود طيب في حال انه الطريقة
+
+575
+00:40:15,710 --> 00:40:19,490
+التانية اشتباه عشان لحد ده .. عشان نتوقف و نكمل
+
+576
+00:40:19,490 --> 00:40:25,530
+المراجعه ان شاء الله اشتباهكسور أو كسور تمام؟ طبعا
+
+577
+00:40:25,530 --> 00:40:30,100
+هذه لاحظين خلال وقتنا هنا الرقبة زي ما هيباتنهاش
+
+578
+00:40:30,100 --> 00:40:34,000
+لأن بخاف يكون فيها كسور وقلنا أحيانًا مكون يعني من
+
+579
+00:40:34,000 --> 00:40:37,120
+أهداف الاسعاف اللي هو تقليل المضاعفات لأن ممكن
+
+580
+00:40:37,120 --> 00:40:40,180
+المضاعفات نفسها هي هذه حركة رقبة هي تؤدي لشلال
+
+581
+00:40:40,180 --> 00:40:45,700
+أفهم؟ وبالتالي هنا بأمسك الذقن بالصورة هذه طبعًا
+
+582
+00:40:45,700 --> 00:40:50,820
+الأصبع تحت الفك وبأسحب الفك يعني كده أنا في حالة
+
+583
+00:40:50,820 --> 00:40:55,840
+هذا الأصبع هيدفعلي قاعدة اللسان لأعلى للأمامالأصبع
+
+584
+00:40:55,840 --> 00:40:59,640
+الكبير طبعاً إبهام للأمام و بفتح الفك يعني معناه
+
+585
+00:40:59,640 --> 00:41:03,100
+أنا صح ماعملش اغلاق .. ماعملش طبعا .. طبعا التساعة
+
+586
+00:41:03,100 --> 00:41:08,060
+كله لكن أعمل زحزح على اللسان لمجرح هواط وبالتالي
+
+587
+00:41:08,060 --> 00:41:12,100
+قاعد الأصبع الإبهام طبعا عند .. طبعا نهاية الفك
+
+588
+00:41:12,100 --> 00:41:16,860
+السفلي بأدفع قاعد اللسان مع فتح الفك طبعا هي
+
+589
+00:41:16,860 --> 00:41:19,500
+الصورة هذه اللي أحنا شايفينها وبالتالي أنا بأضمن
+
+590
+00:41:19,500 --> 00:41:24,800
+مسلك حتى لو ضيق لدخول الهواءطبعا كيفية اننا نعمل
+
+591
+00:41:24,800 --> 00:41:28,160
+كيف انا ادفع الهواء و كم ضغطة هناخد ان شاء الله
+
+592
+00:41:28,160 --> 00:41:30,700
+المرة الجاية بإن الله تعالى و يهيأنا تماما و طبعا
+
+593
+00:41:30,700 --> 00:41:32,540
+السلام على الجميع بارك الله فيكم
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/eUKY0DDrYwU.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/eUKY0DDrYwU.srt
new file mode 100644
index 0000000000000000000000000000000000000000..17c67a99cc62e68a430018df8393ee50a1242e01
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/eUKY0DDrYwU.srt
@@ -0,0 +1,2175 @@
+1
+00:00:05,160 --> 00:00:06,760
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:06,760 --> 00:00:11,100
+الرحيم يعني  تكلّمنا على مشاكل الجهاز التنفسي 
+
+3
+00:00:11,100 --> 00:00:16,160
+وإصابات الجهاز التنفسي طبعًا يمكن حسب ترتيبنا
+
+4
+00:00:16,160 --> 00:00:19,780
+للأولويات اللي احنا بنهتم فيها كيف أن ننقذ إنسانًا
+
+5
+00:00:19,780 --> 00:00:23,920
+غالباً احنا بداية بِنَهتم في الجهاز التنفسي وبالتالي
+
+6
+00:00:23,920 --> 00:00:27,700
+ننتقل بعد ذلك إلى الجهاز الدوري لأن طبعًا الجهاز
+
+7
+00:00:27,700 --> 00:00:32,580
+التنفسي والجهاز الدوري مترابطان مع بعض يعني ممكن
+
+8
+00:00:32,580 --> 00:00:35,420
+شيء يؤثر على الجهاز التنفسي بنفس الوقت يؤثر على 
+
+9
+00:00:35,420 --> 00:00:38,680
+الجهاز الدوري لكن أحيانًا يعني ليس بالضرورة تأثير
+
+10
+00:00:38,680 --> 00:00:42,980
+جهاز التنفسي يكون مصاحبًا 100% للجهاز الدوري وممكن
+
+11
+00:00:42,980 --> 00:00:46,900
+هذا كمثال بسيط للإنسان اللي بيستنشق أول أكسيد
+
+12
+00:00:46,900 --> 00:00:49,960
+الكربون طبعًا هو غاز سام أو مثلًا بياخد المخدرات
+
+13
+00:00:49,960 --> 00:00:53,620
+لكن بعض الحالات يعني أحيانًا بيكون مرتبط الجهاز 
+
+14
+00:00:53,620 --> 00:00:57,700
+التنفسي بالجهاز الدوري على سبيل المثال أنه مثلًا في
+
+15
+00:00:57,700 --> 00:01:02,290
+عندنا خوف في عندنا يعني توتر طبعًا 
+
+16
+00:01:02,290 --> 00:01:04,290
+الأخرى بتكون مترابطة مع بعض اليوم إن شاء الله
+
+17
+00:01:04,290 --> 00:01:07,510
+هنتكلم على إصابات اللي هو الجهاز الدوري طبعًا لو
+
+18
+00:01:07,510 --> 00:01:10,570
+احنا نقصد بالجهاز الدوري طبعًا جهاز الدوران يعني
+
+19
+00:01:10,570 --> 00:01:14,570
+بمصطلح آخر ممكن نقول عنه طبعًا جهاز الدوران أو طبعًا
+
+20
+00:01:14,570 --> 00:01:18,550
+هو اللي ينقسم للقلب وطبعًا ما يخرج من القلب ويدخل 
+
+21
+00:01:18,550 --> 00:01:21,810
+أو يعود إلى القلب طبعًا كبداية يعني هذه الأجهزة اللي
+
+22
+00:01:21,810 --> 00:01:24,130
+احنا أو النقاط الأساسية اللي احنا نتكلم
+
+23
+00:01:24,130 --> 00:01:27,070
+عليها بالتفصيل إن شاء الله، هنتكلم عن القلب،
+
+24
+00:01:27,070 --> 00:01:30,430
+هنتكلم عن الأوعية الدموية، وأهم طبعًا الشرايين
+
+25
+00:01:30,430 --> 00:01:34,190
+والأوردة، وإيش الإصابات، وأسباب الإصابات طبعًا وعلى 
+
+26
+00:01:34,190 --> 00:01:37,450
+النزيف، وطرق إيقاف النزيف، وطرق إسعاف النزيف، طبعًا 
+
+27
+00:01:37,450 --> 00:01:39,710
+هذا خلال الفصل هذا كله إن شاء الله تعالى، وخلال
+
+28
+00:01:39,710 --> 00:01:43,210
+طبعًا الباب هذا كله، احنا يعني كبداية هنتكلم على
+
+29
+00:01:44,240 --> 00:01:47,160
+طبعًا بعدين هنتكلم على بعض الأزمات أو المشاكل بتصيب
+
+30
+00:01:47,160 --> 00:01:51,520
+الجهاز التنفسي الدوري يعني هذه طبعًا صورة بسيطة جدًا
+
+31
+00:01:51,520 --> 00:01:55,860
+بتبين لي اللي هو طبعًا الجهاز الدوري وطبعًا بداية
+
+32
+00:01:55,860 --> 00:02:00,660
+تكون من المضخة والمضخة دي يعني لازم تكون العبء
+
+33
+00:02:00,660 --> 00:02:05,440
+اللي واقع عليها بحجمها بمعنى أن الطفل الصغير القلب
+
+34
+00:02:05,440 --> 00:02:09,020
+عنده يعني يختلف عن قلب الإنسان البالغ يعني هي 
+
+35
+00:02:09,020 --> 00:02:14,460
+علميًا بحجم قبضة اليد لكن حجم قبضة اليد هذه مناسب 
+
+36
+00:02:14,460 --> 00:02:17,720
+لإنسان عادي بالمعايير الطبيعية، بالأوزان الطبيعية، 
+
+37
+00:02:17,720 --> 00:02:21,940
+لكن لما نزيد، ونزيد العبء على المضخة هذه، هينعكس، 
+
+38
+00:02:21,940 --> 00:02:25,680
+يعني نقول احنا مثال بسيط جداً، عندنا مثلًا موتور 
+
+39
+00:02:25,680 --> 00:02:29,040
+مياه، بدخّل مياه مثلًا للطابق الأول أو للطابق الثاني،
+
+40
+00:02:29,040 --> 00:02:32,530
+كل ما زادت المسافة طبعًا بيزيد العبء أكثر لو كان فيه 
+
+41
+00:02:32,530 --> 00:02:35,190
+هناك تسديدة في القنابيب برضه هيزيد العبء أكثر
+
+42
+00:02:35,190 --> 00:02:38,330
+وبالتالي المضخة هذه بتتأثر بعوامل يعني هي 
+
+43
+00:02:38,330 --> 00:02:41,370
+ممكن تكون من ناحية علمية أو هناك ممكن تكون بعض
+
+44
+00:02:41,370 --> 00:02:45,010
+المشاكل المرضية لكن هنتكلم بصفة عامة طالما أنه 
+
+45
+00:02:45,010 --> 00:02:49,300
+القنابيب هذه أو الطرق اللي بيسير 
+
+46
+00:02:49,300 --> 00:02:52,460
+فيها الدم سليمة بدون أي مشاكل ما فيش عبء على 
+
+47
+00:02:52,460 --> 00:02:56,360
+القلب، لكن لما يكون عندي في الطريق في انسداد في
+
+48
+00:02:56,360 --> 00:03:00,960
+جلطات في تسديدة معناه هيرجع له تأثير سلبي على القلب،
+
+49
+00:03:00,960 --> 00:03:06,450
+القلب يعني كبداية بنقول احنا في جميعنا احنا موقعه في
+
+50
+00:03:06,450 --> 00:03:09,770
+منتصف الصدر يميل إلى اليسار، يعني الثلث تقريبًا في
+
+51
+00:03:09,770 --> 00:03:12,630
+المنتصف والثلثين إلى اليسار، هذا شيء طبيعي، لكن
+
+52
+00:03:12,630 --> 00:03:16,270
+أحيانًا قد يكون القلب معاكسًا، وطبعًا سُمّي اللي هو 
+
+53
+00:03:16,270 --> 00:03:19,890
+Dextrocardia، يعني القلب إلى ناحية اليمين، وهو
+
+54
+00:03:19,890 --> 00:03:23,210
+طبعًا ممكن يكون مصاحبًا لبعض التشوهات الخلقية، مثلًا
+
+55
+00:03:23,210 --> 00:03:26,950
+قصر بعض الأصابع، الحجم، طبعًا هذه أشياء ..
+
+56
+00:03:26,950 --> 00:03:30,110
+واحنا شفنا ناس كثير، يعني ناس كبار في الـ 
+
+57
+00:03:30,110 --> 00:03:34,980
+Dextrocardia أو القلب إلى ناحية اليمين طبعًا القلب
+
+58
+00:03:34,980 --> 00:03:39,020
+مكوّن من أربع غرف زي ما أنتم عارفين طبعًا ناحية
+
+59
+00:03:39,020 --> 00:03:41,920
+يمنى وناحية يسرى والناحية اليمنى مكوّنة من جزئين
+
+60
+00:03:41,920 --> 00:03:47,320
+طبعًا البطين والأذين ودايمًا البطين جداره أسمك من
+
+61
+00:03:47,320 --> 00:03:52,060
+الأذين والبطين الأيسر جداره أسمك من البطين الأيمن
+
+62
+00:03:52,060 --> 00:03:56,240
+لأن طبعًا بحجم العبء اللي واقع عليه نحو دخول الدم 
+
+63
+00:03:56,550 --> 00:04:00,530
+طبعًا لأطراف الجسم كلها من أعلى .. طبعًا من الرأس
+
+64
+00:04:00,530 --> 00:04:03,850
+إلى القدمين أما البطين الأيمن فطبعًا بضخ الدم
+
+65
+00:04:03,850 --> 00:04:08,490
+لمسافة قريبة هي الرئتين وبالتالي احنا لما نقول بين 
+
+66
+00:04:08,490 --> 00:04:12,090
+الصمامات بين القلب طبعًا داخل القلب الغرف هذه فيها 
+
+67
+00:04:12,090 --> 00:04:15,670
+الصمامات الصمامات تسمح بدخول الدم و دخول الدم لكن
+
+68
+00:04:15,670 --> 00:04:18,670
+لا تسمح بالعودة حسب اتجاه الدم يعني هنا مثلًا في 
+
+69
+00:04:18,670 --> 00:04:22,110
+عندنا الصمام الثنائي .. طبعًا على الناحية اليسرى ما 
+
+70
+00:04:22,110 --> 00:04:25,550
+بين الأذين الأيسر والبطين الأيسر يسمح بدخول الدم
+
+71
+00:04:25,550 --> 00:04:28,970
+ولا يسمح بالعودة طبعًا من ناحية
+
+72
+00:04:28,970 --> 00:04:32,370
+اليسرى في عندنا الصمام الثلاثي طبعًا بين اللي هو ..
+
+73
+00:04:32,370 --> 00:04:35,990
+طبعًا الصفة عامة يعني ناحية تشريحية أن 
+
+74
+00:04:35,990 --> 00:04:39,700
+الصمام بيتجه باتجاه واحد لما يقول الصمام الثنائي
+
+75
+00:04:39,700 --> 00:04:42,740
+معناه عايش لأسفل من الصمام .. طبعًا من الشريان .. من
+
+76
+00:04:42,740 --> 00:04:46,780
+الأذين الأيمن للبطين الأيمن طبعًا كان بعض الناس .. 
+
+77
+00:04:46,780 --> 00:04:50,380
+ممكن هذه بس يعني نقطة على الهامش أن الناس اللي
+
+78
+00:04:50,380 --> 00:04:56,080
+بتكرر عندهم التهابات اللوزتين الخوف أنه يصير مشكلة 
+
+79
+00:04:56,080 --> 00:04:59,860
+في الصمام الثنائي وهنا بيقول الحين طبعًا استئصال
+
+80
+00:04:59,860 --> 00:05:04,040
+اللوزتين في ناحية إيجابية صح هو طبعًا اللوزتان ضرورية 
+
+81
+00:05:04,040 --> 00:05:07,480
+جداً للجسم مفيد لكن طبعًا درء المفاسد أفضل من جلب 
+
+82
+00:05:07,480 --> 00:05:10,700
+المنافع، المنفعة منها طبعًا اللوزتان هي Filter أو
+
+83
+00:05:10,700 --> 00:05:13,720
+مصفاية لكن في المقابل بيكون مشكلة على القلوب 
+
+84
+00:05:13,720 --> 00:05:17,180
+وبالتالي تكرار الالتهاب أكثر من خمس ست مرات سنويًا 
+
+85
+00:05:17,180 --> 00:05:21,080
+يفضل إزالته أفضل طبعًا زي ما احنا لاحظين 
+
+86
+00:05:21,080 --> 00:05:24,740
+الناحية اليسرى بتوزّع الدم اللي هو المؤكسج اللي فيه 
+
+87
+00:05:24,740 --> 00:05:28,080
+طبعًا أكسجين والناحية اليمنى بتوزّع الدم اللي هو 
+
+88
+00:05:28,080 --> 00:05:31,780
+حامل لثاني أكسيد الكربون وقلنا يا أخواتنا أنه 
+
+89
+00:05:31,780 --> 00:05:36,480
+الإنسان لما بيطرد ثاني أكسيد الكربون في الزفير أيضًا
+
+90
+00:05:36,480 --> 00:05:40,240
+بيكون محمل بالأكسجين لكن الأساس أنه نأخذ الهواء
+
+91
+00:05:40,240 --> 00:05:44,640
+المحمل بالأكسجين عشان نستفيد منه وكل الجسم يستفيد
+
+92
+00:05:44,640 --> 00:05:44,920
+منه
+
+93
+00:05:49,330 --> 00:05:52,630
+طيب الأوعية الدموية اللي هي طبعًا ما نقصد فيها
+
+94
+00:05:52,630 --> 00:05:56,990
+الشرايين والأوردة طبعًا هي كلّه بالنسبة للشرايين طبعًا
+
+95
+00:05:56,990 --> 00:06:03,010
+الشرايين هي أوعية دموية مرنة يعني قابلة للتمدد وهي 
+
+96
+00:06:03,010 --> 00:06:08,110
+طبعًا نوعًا ما سميكة وهي معظمها غائر معظمها غائر وهي 
+
+97
+00:06:08,110 --> 00:06:13,790
+طبعًا بفضل ربنا علينا لأنها بتحمل دم فيه قوة أكثر
+
+98
+00:06:13,790 --> 00:06:17,370
+من الدم الوريدي لأن طبعًا هي قادمة من القلب يعني 
+
+99
+00:06:17,370 --> 00:06:22,210
+قادمة من المضخة وبالتالي طبعًا بيكون عندنا قوة الدم 
+
+100
+00:06:22,210 --> 00:06:28,890
+أقوى من اللي عادة للقلب مرة ثانية طبعًا هنا هنا
+
+101
+00:06:28,890 --> 00:06:33,470
+يمكن ملاحظة بسيطة لما يقول الإنسان والله عنده ضغط
+
+102
+00:06:33,470 --> 00:06:37,540
+دم طبعًا احنا فيه أنواع مرضية أو ردود شريانية  هنا ضغط 
+
+103
+00:06:37,540 --> 00:06:41,280
+الدم طبعًا يعني معلومة إضافية واحنا ضغط الدم 
+
+104
+00:06:41,280 --> 00:06:45,700
+الشرياني ضغط الدم الشرياني، لو واحد بيكون مريض ضغط
+
+105
+00:06:45,700 --> 00:06:49,640
+هو اسمه ضغط الدم الشرياني لأنه طبعًا يعني بيعبّر
+
+106
+00:06:49,640 --> 00:06:52,480
+عن قوة اللي بيلاقيها الدم أثناء مروره عبر
+
+107
+00:06:52,480 --> 00:06:55,140
+الشرايين وبالتالي هم بيقولوا يا صار عندنا مثلًا تصلب
+
+108
+00:06:55,140 --> 00:06:58,320
+شرايين صار عندنا مثلًا تراكم الكوليسترول صار عندنا تراكم 
+
+109
+00:06:58,320 --> 00:07:01,600
+الدهون، وبالتالي طبعًا اللي مقصود فيه، لا معلومة
+
+110
+00:07:01,600 --> 00:07:05,440
+هامشية، ضغط الدم هو اللي مقصود فيه ضغط دم شرياني 
+
+111
+00:07:05,440 --> 00:07:09,280
+وليس ضغط الدم الوريدي وبالتالي لما أنا أبدأ أعرف إنسان
+
+112
+00:07:09,280 --> 00:07:12,020
+عنده ضغط دم معناه أن فيه مشكلة إيش؟ في الشريان،
+
+113
+00:07:12,020 --> 00:07:16,740
+إما .. إما بيكون مشكلة في القلب لإنه مش لاقي طبعًا 
+
+114
+00:07:16,740 --> 00:07:20,180
+طريق مناسب لإنه يضخ الدم أو المشكلة طبعًا تكون في 
+
+115
+00:07:20,180 --> 00:07:22,680
+الشريان بحد ذاته لأن طبعًا يكون فيه ضيق فيها
+
+116
+00:07:25,730 --> 00:07:28,070
+طبعًا في عندي كمان الشعيرات الدموية .. طبعًا
+
+117
+00:07:28,070 --> 00:07:31,490
+الشعيرات الدموية هي حلقة وصل .. طبعًا هنكون بتفصيل
+
+118
+00:07:31,490 --> 00:07:34,970
+أكثر وخصائصهم .. هي حلقة وصل ما بين الشريان و
+
+119
+00:07:34,970 --> 00:07:39,650
+الوريد .. بمعنى أن كل شريان ينتهي بشعيرة دموية و
+
+120
+00:07:39,650 --> 00:07:42,490
+تبدأ .. ويبدأ الوريد بشعيرة دموية .. يعني إيش .. 
+
+121
+00:07:42,490 --> 00:07:47,190
+طبعًا كل خلية في الجسم لازم يصلها الدم يعني
+
+122
+00:07:47,190 --> 00:07:51,110
+هنا احنا بنشبه الشعيرات الدموية بنقول زي كوز الذرة
+
+123
+00:07:51,110 --> 00:07:55,810
+طبعًا كوز الذرة يعني طبعًا في الذرة حبوب الذرة تمام 
+
+124
+00:07:55,810 --> 00:07:59,070
+كل حبة من حبوب الذرة هذه فيها اللي هي طبعًا الشعيرة
+
+125
+00:07:59,070 --> 00:08:02,410
+هذه اللي احنا بنقولها يعني نقول شعيرة دموية تمام كل
+
+126
+00:08:02,410 --> 00:08:05,910
+حبة ما بيصلها شعيرة من هذه طبعًا اللي هو الخاص بكوز
+
+127
+00:08:05,910 --> 00:08:09,670
+الذرة معناها بتموت نفس الفكرة لأي خلية في جسم 
+
+128
+00:08:09,670 --> 00:08:12,990
+الإنسان ما بيصلها الدم، معناها تكون ميتة وهذا طبعًا
+
+129
+00:08:12,990 --> 00:08:17,070
+نقول أن مثلًا لبعض الناس عندهم مثلًا مرض سكر أو مثلًا
+
+130
+00:08:17,070 --> 00:08:20,770
+الجلطة القلبية، معناه الدم ما وصل للمنطقة أي منطقة
+
+131
+00:08:20,770 --> 00:08:25,050
+لا يصلها الدم، طبعًا الموت وارد لها وهذا طبعًا
+
+132
+00:08:25,050 --> 00:08:28,170
+بيذكرنا لما هنقول لما كنا نعمل الـCPR أو التّنفس
+
+133
+00:08:28,170 --> 00:08:31,790
+الصناعي أو التدليك للقلب خوفًا من موت خلايا الدمار،
+
+134
+00:08:31,790 --> 00:08:35,440
+وبالتالي أي خلية ينقطع عنها الدم لفترة طويلة تؤدي
+
+135
+00:08:35,440 --> 00:08:39,740
+للوفاة طبعًا لكن أكثر خلايا حساسة جدًا طبعًا هي
+
+136
+00:08:39,740 --> 00:08:40,240
+الدماغ
+
+137
+00:08:42,850 --> 00:08:44,810
+طبعًا أول هذه هي طبعًا هذه الصورة جئنا نكون 
+
+138
+00:08:44,810 --> 00:08:47,630
+بالتفصيل شوية زي ما احنا شايفين أخواتنا هاي طبعًا 
+
+139
+00:08:47,630 --> 00:08:52,670
+زي ما حكينا هاي القلب وهي طبعًا الناحية 
+
+140
+00:08:52,670 --> 00:08:55,870
+التشريحية طبعًا هنا في عندنا دورة دموية صغيرة و
+
+141
+00:08:55,870 --> 00:08:59,030
+دورة دموية كبرى بس لتوضيح شيء بسيط الدورة الدموية
+
+142
+00:08:59,030 --> 00:09:03,390
+الصغيرة هي تنطلق من الأذين الأيمن إلى كل أجزاء
+
+143
+00:09:03,390 --> 00:09:07,110
+الجسم يعني من أعلى الرأس إلى أخمص القدم هذه الدورة
+
+144
+00:09:07,110 --> 00:09:12,630
+الدموية الكبرى وغالبا هي بتحمل دم مؤكسج دم مؤكسد
+
+145
+00:09:12,630 --> 00:09:16,310
+الدورة الدموية الصغيرة من الناحية اليمنى يعني
+
+146
+00:09:16,310 --> 00:09:21,950
+البطين الأيمن إلى الرئتين إلى الرئتين طبعا احنا
+
+147
+00:09:21,950 --> 00:09:26,990
+يعني الشيء المهم عندي جدا اللي بدنا نثبته أنه هذا
+
+148
+00:09:26,990 --> 00:09:31,450
+السبب لأن الناحية اليسرى البطين الأيسر أسمك من
+
+149
+00:09:31,450 --> 00:09:35,510
+الناحية اليمنى لأن طبعا بضخ دم لمسافة أبعد
+
+150
+00:09:35,510 --> 00:09:41,180
+وبالتالي عضلة القلب طبعا جدارها مش كل واحد، حتى بين
+
+151
+00:09:41,180 --> 00:09:44,420
+الأذين والأذين الأيمن والأيسر وما بين البطين
+
+152
+00:09:44,420 --> 00:09:49,760
+الأيمن والبطين الأيسر، البطين الأيسر هو أسمك من 
+
+153
+00:09:49,760 --> 00:09:54,920
+البطين الأيمن، طبعا بحكم أن المسافة اللي بضخها
+
+154
+00:09:54,920 --> 00:09:59,980
+لمسافة بعيدة طبعا الدورة الدموية الصغير زي ما قلنا
+
+155
+00:09:59,980 --> 00:10:02,720
+للرئتين ليش؟ عشان يترود الـ Oxygen الـ
+
+156
+00:10:02,720 --> 00:10:05,440
+Thanoxid الكربون اللي إيجاه من فضلات الخلايا
+
+157
+00:10:05,440 --> 00:10:10,380
+وبالتالي بيتم تحميله بصير تبادل الغازات عبر إيش؟
+
+158
+00:10:10,380 --> 00:10:13,240
+الرئتين عبر حوائط الأسناخ الهوائية وهنا بدأت أذكر
+
+159
+00:10:13,240 --> 00:10:16,400
+كمان نقطة تانية أنه ليش بنتقل Thanoxid الكربون
+
+160
+00:10:16,400 --> 00:10:20,040
+للرئتين وما بنتقلش من الرئتين لـ  لطبعا لداخل
+
+161
+00:10:20,040 --> 00:10:23,880
+الجسم بسبب حكم ضغط الـ ضغط الـ طبعا الغازات
+
+162
+00:10:23,880 --> 00:10:27,380
+لأن التركيز أكتر وين في الـ بالنسبة لـ Thanoxid
+
+163
+00:10:27,380 --> 00:10:32,170
+الكربون؟ في الخلايا اللي جاي طبعا الدم المحمل من
+
+164
+00:10:32,170 --> 00:10:35,630
+الخلايا الجسم وبالتالي طبعا حاجة نسميها filtration
+
+165
+00:10:35,630 --> 00:10:39,650
+اللي طبعا ضغط الغازات تنتقل من أعلى أو من ضغط
+
+166
+00:10:39,650 --> 00:10:44,010
+العالي طبعا ضغط العالي هنا موجود وين؟ في الـ 
+
+167
+00:10:44,010 --> 00:10:49,710
+وين؟ بالنسبة لثاني أكسيد الكربون طبعا هو جاي من
+
+168
+00:10:49,710 --> 00:10:54,170
+ناحية اليمنى طبعا؟ جاي من ناحية اليمنى طبعا؟ وهنا
+
+169
+00:10:54,170 --> 00:10:58,210
+طبعا ناحية اليمنى بتحمل دم غير مؤكسج يعني في ثاني
+
+170
+00:10:58,210 --> 00:11:00,610
+أكسيد الكربون يعني نسبة ثاني أكسيد الكربون وين
+
+171
+00:11:00,610 --> 00:11:04,230
+أعلى وبالتالي انتقل للرئتين طيب الأكسجين في
+
+172
+00:11:04,230 --> 00:11:08,210
+الرئتين أعلى فهو ينتقل طبعا إيش؟ داخل طبعا
+
+173
+00:11:08,210 --> 00:11:12,110
+الحويصلات إلى طبعا الأوردة الرئوية الأربع اللي طبعا
+
+174
+00:11:12,110 --> 00:11:18,530
+بتنقل دم مؤكسج إلى الناحية اليسرى طبعا طبعا أنا
+
+175
+00:11:18,530 --> 00:11:22,890
+بدي أوضح مسألة بسيطة الدورة الدموية الكبرى هي
+
+176
+00:11:22,890 --> 00:11:28,140
+بتوزع الدم المؤكسج لكل أجزاء الجسم تمام؟ وبعود ..
+
+177
+00:11:28,140 --> 00:11:34,540
+بعود لمين؟ للناحية اليمنى عبر الوريد الأجوف في
+
+178
+00:11:34,540 --> 00:11:37,940
+الصافي عبر الوريد الأجوف العلوي والاجوف
+
+179
+00:11:37,940 --> 00:11:43,540
+في السفلي يبهدوا أو رد تدخل إلى الناحية اليمنى
+
+180
+00:11:43,540 --> 00:11:49,300
+محملة محملة بثاني أكسيد الكربون، بثاني أكسيد
+
+181
+00:11:49,300 --> 00:11:53,740
+الكربون، تمام؟ إذا أنا برضه نقطة واضحة إنه برجع
+
+182
+00:11:53,740 --> 00:11:58,640
+للدم بعد ما يتوزع على كل أجزاء الجسم عبر وريدين،
+
+183
+00:11:58,640 --> 00:12:02,180
+وريد أجوف علوي ووريد أجوف سفلي، وها طبعا أكون
+
+184
+00:12:02,180 --> 00:12:06,420
+حامل دم غير مؤكسج، يعني إذا أنا غني بثاني أكسيد
+
+185
+00:12:06,420 --> 00:12:10,820
+الكربون، يرجع إلى الناحية اليمنى، فاهم؟ الناحية
+
+186
+00:12:10,820 --> 00:12:16,340
+اليمنى أين هتضخه؟ للرئتين هذه طبعا هذه الدورة
+
+187
+00:12:16,340 --> 00:12:20,980
+الدموية الصغيرة بتاخد الدم من الرئتين من ناحية
+
+188
+00:12:20,980 --> 00:12:27,480
+اليمنى وبتدخلين للوريد طبعا عبر الشريان الرئوي عبر
+
+189
+00:12:27,480 --> 00:12:30,660
+الشريان الرئوي، هذا هو الشريان الوحيد بتذكر فيه
+
+190
+00:12:30,660 --> 00:12:34,750
+مرة تانية هو ده حمل دم غير مؤكسج لأن كل الشريان
+
+191
+00:12:34,750 --> 00:12:38,410
+كلها تحمل دم مؤكسج ما عدا الشريان الرئوي طيب
+
+192
+00:12:38,410 --> 00:12:42,130
+بروح الشريان بيحمل الدم اللي محمل بـ ثاني أكسيد
+
+193
+00:12:42,130 --> 00:12:47,530
+الكربون من الناحية اليمنى يعني من البطين الأيمن لـ
+
+194
+00:12:47,530 --> 00:12:52,630
+الرئتين تمام بيترك ثاني أكسيد الكربون و بيتحمل
+
+195
+00:12:52,630 --> 00:12:56,390
+الدم بالأكسجين بيرجع مرة ثانية بهاد الدورة الدموية
+
+196
+00:12:56,390 --> 00:13:00,090
+الصغرى بيرجع مرة ثانية عبر الأوردة الرئوية الأربع
+
+197
+00:13:00,740 --> 00:13:04,100
+تمام؟ وهذا طبعا يدخل القلب يعني كل وعاء دمه يدخل
+
+198
+00:13:04,100 --> 00:13:08,020
+القلب هو وريد وكل وعاء دمه يدخل .. يخرج من القلب
+
+199
+00:13:08,020 --> 00:13:13,200
+هو شريان ترجع .. يرجع الدم المؤكسج اللي حمّل الـ
+
+200
+00:13:13,200 --> 00:13:16,900
+Oxygen الـ Oxygen المركز اللي هو قلنا بيدخل إلينا
+
+201
+00:13:16,900 --> 00:13:21,260
+عبر طبعا الشهيق اللي في نسبة هواء الجو تقريبا 21%
+
+202
+00:13:21,260 --> 00:13:25,240
+أو 21% الهواء الجوي يحمل عبر الأوردة الرئوية
+
+203
+00:13:25,240 --> 00:13:31,870
+الأربعة لوين؟ للناحية اليسرى للناحية اليسرى وهذه
+
+204
+00:13:31,870 --> 00:13:36,450
+الأوردة شاذين عن كل الأوردة لأنهم بيحملوا دم مؤكسج
+
+205
+00:13:36,450 --> 00:13:40,410
+تمام؟ هذه طبعا بعض الحاجات الشاذة من خلال طبعا
+
+206
+00:13:40,410 --> 00:13:43,630
+اللي منقصدهم بالأوردة والشراين هذه طبعا الدورة
+
+207
+00:13:43,630 --> 00:13:45,350
+الدموية الصغرى والدورة الدموية الكبرى
+
+208
+00:13:48,090 --> 00:13:50,830
+طبعا هنا ناخذ بعض الخصائص اللي .. طبعا أحيانا ممكن
+
+209
+00:13:50,830 --> 00:13:54,950
+نتوقع كأسئلة .. بعض الخصائص اللي لها علاقة بالشريان
+
+210
+00:13:54,950 --> 00:13:58,370
+.. أول حاجة الشريان أو جدرانه أنسجة عضلية قوية ..
+
+211
+00:13:58,370 --> 00:14:02,530
+وقلنا ليش؟ عضلية قوية لأن بتتحمل انقباض القلب
+
+212
+00:14:02,530 --> 00:14:07,090
+.. لأن راجعة القلب لما ينقبض هيضخ الدم لو احنا جينا
+
+213
+00:14:07,090 --> 00:14:11,810
+عنا مثلا حنفية ميه وعنا مثلا خرطوم والخرطوم رقيق
+
+214
+00:14:11,810 --> 00:14:17,590
+وفتحنا الميه بقوة ممكن ينفجر لكن بالتالي عشان الدم
+
+215
+00:14:17,590 --> 00:14:22,430
+ينقبض أو يأتي من القلب تمام؟ والقلب مضخة ويأتي من
+
+216
+00:14:22,430 --> 00:14:25,690
+الناحية اليسرى طبعا هي أقوى من الناحية اليمنى
+
+217
+00:14:25,690 --> 00:14:29,650
+بالتالي يجب أن يكون عضلات قوية عضلات طبعا الشراين
+
+218
+00:14:29,650 --> 00:14:34,230
+قوية الخاصية الثانية تحمل القلب طبعا الدم القلب إلى
+
+219
+00:14:34,230 --> 00:14:39,350
+جميع أجزاء الجسم يبقى لازم كل خلية يصلها دم مؤكسج
+
+220
+00:14:39,350 --> 00:14:43,550
+أي خلية ما بيصلها دم مؤكسج نهايتها الموت وأنا مثال
+
+221
+00:14:43,550 --> 00:14:48,770
+بسيط احنا قلنا مرض السكر لأنه ما بيصل الدم للأطراف
+
+222
+00:14:48,770 --> 00:14:52,010
+بصورة طبيعية في النهاية حصل لمرحلة يعيش الغرغرينة
+
+223
+00:14:55,720 --> 00:15:00,220
+النقطة الثالثة يصل الدم إلى جميع الشرايين من البطين
+
+224
+00:15:00,220 --> 00:15:03,700
+الأيسر عدا الشريان الرئوي يبقى هنا في عندنا طريقين
+
+225
+00:15:03,700 --> 00:15:07,880
+يعني في عندنا مخرجين للدم مخرج من الناحية اليسرى
+
+226
+00:15:07,880 --> 00:15:12,500
+اللي هو عبر إيش الشريان الأورطي ومخرج من الناحية
+
+227
+00:15:12,500 --> 00:15:17,260
+اليمنى الشريان الرئوي لكن هذا بيحمل دم مؤكسج
+
+228
+00:15:17,260 --> 00:15:21,250
+الأورطي والرئوي يحمل دم غير مؤكسج، لكن الاثنين
+
+229
+00:15:21,250 --> 00:15:26,050
+يعتبروا شرايين اللي بتبع القاعدة الأساسية أن الدم
+
+230
+00:15:26,050 --> 00:15:31,290
+يحمل أكسجين هو الشريان الأورطي، لكن الشريان
+
+231
+00:15:31,290 --> 00:15:34,990
+الرئوي شاد عن القاعدة ويحمل دم غير مؤكسج
+
+232
+00:15:43,020 --> 00:15:48,060
+جميع الشرايين تحمل دم أحمر اللون ومؤكسج يعني وردي و
+
+233
+00:15:48,060 --> 00:15:53,560
+ليس قاني لأن كل ما زاد لون الدم أو غامق أكتر معناه
+
+234
+00:15:53,560 --> 00:15:58,180
+بيحمل غالبا ثاني أكسيد الكربون لكن بيكون الدم وردي،
+
+235
+00:15:58,180 --> 00:16:02,760
+اللون فاتح شوية لإنه فيه أكسجين، لأ فيه أكسجين،
+
+236
+00:16:02,760 --> 00:16:05,840
+طبعا عدا الدم عدا الشريان الرئوي، يعني كل
+
+237
+00:16:05,840 --> 00:16:11,100
+الشرايين تحمل دم ومؤكسج ما عدا الشريان الرئوي لإنه
+
+238
+00:16:11,100 --> 00:16:14,920
+ينتقل من ناحية اليمنى إلى الرئتين عشان يطرد ثاني
+
+239
+00:16:14,920 --> 00:16:20,900
+أكسيد الكربون، طبعا الشريان الرئوي والشريان
+
+240
+00:16:20,900 --> 00:16:24,990
+الأورطي اندفاع الدم فيهم في نفس الوقت بمعنى
+
+241
+00:16:24,990 --> 00:16:28,150
+مابنقولش والله النصف اليمين هتضخ الدم وتنتظر
+
+242
+00:16:28,150 --> 00:16:31,270
+النصف الأيسر، لأ، الاثنين بينضخوا إيش مع بعض في
+
+243
+00:16:31,270 --> 00:16:36,150
+نفس الوقت طبعا الشريان فيه نبض، والدليل على ذلك
+
+244
+00:16:36,150 --> 00:16:39,470
+احنا قلنا في حال إن أنا أستكشف النبض عن طفل تحت
+
+245
+00:16:39,470 --> 00:16:43,410
+القلب أو عند إنسان بالغ طبعا من الشريان السباتي،
+
+246
+00:16:43,410 --> 00:16:48,850
+الوريد مافيه نبض وبالتالي لأنه الأوردة الشرايين آسف
+
+247
+00:16:48,850 --> 00:16:53,330
+فيها خطورة للنزيف الشديد فمن حكمة ربنا معظمها
+
+248
+00:16:53,330 --> 00:16:58,210
+غائرة والأماكن اللي فيها شرايين سطحية احنا مستغلها
+
+249
+00:16:58,210 --> 00:17:02,740
+غالبا في تخفيض الحرارة مثلًا زي ما قلنا في الرقبة
+
+250
+00:17:02,740 --> 00:17:07,080
+أو تحت الإبط أو منطقة الفخذ أو منطقة الرسغ أو خلف
+
+251
+00:17:07,080 --> 00:17:11,560
+الركبة هذه فيها شرايين ظاهرة طيب هل هناك فرق إن
+
+252
+00:17:11,560 --> 00:17:14,760
+أقول والله بدي أنا أستشعر النبض من الرقبة أو أقول
+
+253
+00:17:14,760 --> 00:17:19,060
+عدد دقات القلب من الرقبة مختلفة عن القدم؟ واحدة
+
+254
+00:17:19,060 --> 00:17:24,340
+لأن كله نفس الاندفاع ونفس القوة أوضح
+
+255
+00:17:25,130 --> 00:17:27,770
+عشان .. نعم لأنه طبعا أقرب وبالتالي هم يقولوا في
+
+256
+00:17:27,770 --> 00:17:30,630
+حالات الإسعاف الأولى ابعدوا عن الأطراف لإنه مش
+
+257
+00:17:30,630 --> 00:17:34,850
+هتشعر بالنبض فدائما جرب على شريان قريب شريان واضح
+
+258
+00:17:34,850 --> 00:17:38,870
+لأن دائما وغالبا هذا حتى انت لاحظي لما اتكلم على
+
+259
+00:17:38,870 --> 00:17:42,530
+موضوع الصدمة وموضوع الغماء هلاحظ إنه أحيانا لما
+
+260
+00:17:42,530 --> 00:17:46,050
+جينا واحد مثلا حتى في حالات الإسعاف ييجي مثلا واحد
+
+261
+00:17:46,050 --> 00:17:51,960
+على الاستقبال مباشرة بتم تركيب وريد محلول لأن
+
+262
+00:17:51,960 --> 00:17:55,380
+بعديها هتصير غائرة مش هتكون واضحة لأن طبعا هذا
+
+263
+00:17:55,380 --> 00:17:58,500
+هنتكلم في إيش بيصير معاها بالنسبة لحالات النزيف
+
+264
+00:17:58,500 --> 00:18:01,640
+لأن طبعا بيصير انقباض وطبعا صعوبة إن أنا أجي إيش
+
+265
+00:18:01,640 --> 00:18:06,340
+وريد بعد ذلك، يبقى فيها إيش نبض تكون عميقة عن
+
+266
+00:18:06,340 --> 00:18:09,280
+السطح، وهذا من فضل ربنا عليه، لو كل الشرايين
+
+267
+00:18:09,280 --> 00:18:14,340
+واضحة، لو أي خدش فيها نزيف قوي، هذو الأوردة،
+
+268
+00:18:14,340 --> 00:18:20,010
+الأوردة يعني إن هيك هيك أحسن حاجة عشان للوريد لكن
+
+269
+00:18:20,010 --> 00:18:23,390
+نرفع يدنا فوق، بروح، لأن طبعا يكون سهولة لعودة
+
+270
+00:18:23,390 --> 00:18:28,390
+الدم في
+
+271
+00:18:28,390 --> 00:18:32,730
+حال حدوث قطع في أحد الشرايين، الدم ينزف من الجروح
+
+272
+00:18:32,730 --> 00:18:37,030
+على شكل نبضات، يعني بيقول بنشف، تنشيب، تمام؟،
+
+273
+00:18:37,030 --> 00:18:42,550
+بيطلع القوة، طبعا النبضات هذه حسب انقباض القلب،
+
+274
+00:18:42,550 --> 00:18:45,070
+يعني كل ما ينقبض القلب، هتطلع، لأن طبعا القلب لا
+
+275
+00:18:45,070 --> 00:18:50,850
+يتوقف، وهيقولنا عدد دقات القلب تقريبا من ستين إلى
+
+276
+00:18:50,850 --> 00:18:53,810
+مية .. اه وبالتالي طبعا حسب المجهود .. وكأو ..
+
+277
+00:18:53,810 --> 00:18:58,850
+طبعا النزيف أخطر في حال أن يكون إنسان خايف أو كان
+
+278
+00:18:58,850 --> 00:19:03,010
+بيبدل مجهود .. ليش؟
+
+279
+00:19:03,010 --> 00:19:07,110
+لأن القلب بيعمل بسرعة .. وبالتالي طبعا يكون الخوف
+
+280
+00:19:07,110 --> 00:19:10,190
+أكتر في حال الخوف .. طبعا النزيف أشد وأخطر في حال 
+
+281
+00:19:10,190 --> 00:19:15,520
+يكون خائف الإنسان أو بيبدل إيش .. مجهود طبعا نزيفها
+
+282
+00:19:15,520 --> 00:19:20,180
+هنا خطير جدا ليش؟ لأنه يندفع بقوة لأن طبعا جايش من
+
+283
+00:19:20,180 --> 00:19:24,500
+المضخة مباشرة طبعا
+
+284
+00:19:24,500 --> 00:19:27,040
+بس الصورة لأننا نستشعر ما بده احنا أخذناها قبل
+
+285
+00:19:27,040 --> 00:19:32,940
+هيكة ننتقل للأوردة الأوردة طبعا هي أنبوب يعني
+
+286
+00:19:32,940 --> 00:19:39,060
+ينتقل فيها الدم وهي طبعا أنبوب أقل سماكة من و أقل
+
+287
+00:19:39,060 --> 00:19:43,970
+قوة من الشرايين لأنه ما فيش عليها يقع عبء ما فيش
+
+288
+00:19:43,970 --> 00:19:47,030
+مضخات، ما في مضخات إلها اللي طبعا يقع عليها علاء
+
+289
+00:19:47,030 --> 00:19:49,750
+الأوردة، يعني البعض احنا لو ناخدها علميا مضخة
+
+290
+00:19:49,750 --> 00:19:53,670
+الأوردة هي الخلايا، مضخة الأوردة هي الخلايا، و
+
+291
+00:19:53,670 --> 00:19:57,450
+الخلايا ما فيها قوة زي القلب، وبالتالي طبعا الأوردة
+
+292
+00:19:57,450 --> 00:20:03,840
+أقل قوة و أقل صلابة و أقل طبعا ليونة من الشريان طبعا
+
+293
+00:20:03,840 --> 00:20:06,580
+تقوم الأوردة بنقل الدم من مختلف أعضاء الجسم إلى
+
+294
+00:20:06,580 --> 00:20:09,980
+القلب وتصب في الأذين الأيمن عدا الأوردة اللي هو
+
+295
+00:20:09,980 --> 00:20:13,020
+تصب في الأذين الأيسر وهي طبعا حالة شاذة ده كمان
+
+296
+00:20:13,020 --> 00:20:19,700
+زي ما قلنا الأوردة الرئوية تحمل الدم المؤكسج من
+
+297
+00:20:19,700 --> 00:20:26,120
+الرئتين إلى الناحية اليسرى الناحية اليسرى تمام؟ طب
+
+298
+00:20:26,120 --> 00:20:28,560
+مين بيحمل الدم غير مؤكسج مرة تانية للناحية اليمنى؟
+
+299
+00:20:28,560 --> 00:20:31,200
+الوريد الأجوف العلوي والوريد الأجوف السفلي
+
+300
+00:20:31,200 --> 00:20:35,900
+وهو طبعا بيحمل دم غير مؤكسج، يبقى ده طبعا حالة
+
+301
+00:20:35,900 --> 00:20:40,980
+شاذة كمان إن الأوردة تحمل دم غير مؤكسج عدا الأوردة
+
+302
+00:20:40,980 --> 00:20:44,720
+الرئوية الأربعة اللي هي بتمثل جزء من الدورة
+
+303
+00:20:44,720 --> 00:20:45,880
+الدموية الصغرى
+
+304
+00:20:48,560 --> 00:20:52,260
+جميع الأوردة تحمل دم غير مؤكسج، يعني غير نقي، يعني
+
+305
+00:20:52,260 --> 00:20:54,760
+فيه ثاني أكسيد الكربون، ودائما يا أخوات لما نقول
+
+306
+00:20:54,760 --> 00:20:57,000
+احنا مؤكسج وغير مؤكسج، المقصود فيه أكسجين وثاني
+
+307
+00:20:57,000 --> 00:21:00,000
+أكسيد الكربون، طبعا هو فيه فضلات أخرى، لكن أهم
+
+308
+00:21:00,000 --> 00:21:02,720
+حاجة هو البهادة في حياة الإنسان هو طبعا ثاني أكسيد
+
+309
+00:21:02,720 --> 00:21:08,710
+الكربون، طبعا عدا الأوردة الرئوية الأربعة يكون نزيف
+
+310
+00:21:08,710 --> 00:21:13,370
+فيها بنسياب مش على هاي الدفقات أو نبضات لإنه ما فيش
+
+311
+00:21:13,370 --> 00:21:16,990
+مضخة لإنه مش جاي من القلب ما فيش مضخة لإنه بالتالي
+
+312
+00:21:16,990 --> 00:21:22,710
+في نزيف طبعا بخرج بنسياب وقوة النزيف أقل من قوته
+
+313
+00:21:22,710 --> 00:21:27,170
+إيش في الشرياني طبعا أقل خطورة زي ما قلنا من
+
+314
+00:21:27,170 --> 00:21:32,130
+الشريان يكون غالبا سطحي كلنا فيه لو اطلعتوا
+
+315
+00:21:32,130 --> 00:21:35,630
+فيديوكم بتكون إيش واضحة هنا الشريان طبعا واضحة إلا
+
+316
+00:21:35,630 --> 00:21:39,410
+عند البدينين ممكن تكون غائرة شوية ليش؟ بالسبب طبعا
+
+317
+00:21:39,410 --> 00:21:42,530
+حكم الطبقة الدهنية اللي ممكن طبعا تتغطى فيها و
+
+318
+00:21:42,530 --> 00:21:46,810
+أثناء الخوف و القلق و التوتر طبعا ما بتكون واضحة و
+
+319
+00:21:46,810 --> 00:21:51,610
+طبعا له سبب معين هنتكلم فيه إن شاء الله لا يوجد بها
+
+320
+00:21:51,610 --> 00:21:56,550
+نبض عكس الشريان بالظبط الشريان جاي من المضخة فيه
+
+321
+00:21:56,550 --> 00:22:00,210
+نبض لكن هذه ما فيها مضخة وبالتالي طبعا ما فيه أيش نبض
+
+322
+00:22:00,210 --> 00:22:05,950
+جدارها رقيق وهو طبعا أسهل اللي راح نستخدمه في حالة
+
+323
+00:22:05,950 --> 00:22:10,290
+طبعا إعطاء المحاليل الوريدية هنقول محاليل وريدية
+
+324
+00:22:10,290 --> 00:22:15,430
+وليست شريانية لأن طبعا هترجع للقلب .. هترجع للقلب و
+
+325
+00:22:15,430 --> 00:22:18,770
+القلب يدخل للجسم ويصير لها معاملة وبالتالي هنا
+
+326
+00:22:18,770 --> 00:22:22,870
+بده إنسان لما بده يعطي الـ .. الـ .. الوريد أو محلول
+
+327
+00:22:22,870 --> 00:22:26,970
+في الوريد يكون عنده خبرة إنه يعرف الوريد طبعا شيء
+
+328
+00:22:26,970 --> 00:22:30,770
+بالخبرة بيصير كل الأوردة أو معظم الأوردة ده سطحية
+
+329
+00:22:30,770 --> 00:22:33,630
+طبعا في غائرة وبالتالي نقول حاجة كمان مهمة يا
+
+330
+00:22:33,630 --> 00:22:38,250
+أخواتنا ما فيش وريد اللي أقبله شريان ما فيش وريد اللي
+
+331
+00:22:38,250 --> 00:22:41,990
+أقبله شريان ومن هنا احنا بنقول كمان في عندنا أوردة
+
+332
+00:22:41,990 --> 00:22:47,390
+ظاهرة وأوردة غائرة وفي عندنا شريان بسيط ظاهرة
+
+333
+00:22:47,390 --> 00:22:53,090
+ومعظمها غائرة بمعنى إنه في عندنا الحركة باتجاهين لكن
+
+334
+00:22:53,090 --> 00:22:56,890
+الاتجاهين ما بتوقفهم هذا دورة دموية كاملة طبعا الدم
+
+335
+00:22:56,890 --> 00:22:59,890
+ماشي في الشريان وبالمقابل يكون ماشي بالوريد الدم
+
+336
+00:22:59,890 --> 00:23:03,470
+يحمل .. طبعا الشريان فيه دم مؤكسج الوريد فيه دم غير
+
+337
+00:23:03,470 --> 00:23:07,810
+مؤكسج بمعنى ما يمشي الدم لوحده في الشريان وما
+
+338
+00:23:07,810 --> 00:23:10,590
+بيمشي الدم لوحده إيش في الوريد، إذا توقف عمل القلب،
+
+339
+00:23:10,590 --> 00:23:12,770
+هتوقف عليه إيش، على الناحية الثانية، على الناحية
+
+340
+00:23:12,770 --> 00:23:19,610
+الثانية الشعيرات الدموية من اسمها طبعا هي أوعية
+
+341
+00:23:19,610 --> 00:23:23,630
+دموية لكن بحجم الشعرة وأضيق من الشعرة، ليش؟ عشان
+
+342
+00:23:23,630 --> 00:23:27,530
+طبعا تدخل للخلية، لأن لازم كل خلية يصل إليها
+
+343
+00:23:27,530 --> 00:23:30,790
+تغذية، أي خلية ما بيصل إليها تغذية ولا أكسجين،
+
+344
+00:23:30,790 --> 00:23:33,350
+معناها ميتة، وده ليه إننا طبعا نقول إنه إيش الغرغر
+
+345
+00:23:33,350 --> 00:23:38,650
+هنا طبعا تصل بين الشريان والوريد يعني هي الشريان
+
+346
+00:23:38,650 --> 00:23:42,810
+ينتهي بشعيرة دموية طبعا الشريان طبعا سميك يصغر
+
+347
+00:23:42,810 --> 00:23:45,970
+فيصغر فيصغر فيصغر لغاية لما يعني إيه يصل يعني في
+
+348
+00:23:45,970 --> 00:23:49,150
+التفريعات البسيطة هذه لغاية لما يصل بحجم الخلية
+
+349
+00:23:49,150 --> 00:23:53,350
+طبعا وطالما إنه يدخل في الخلية اللي هي حجمها
+
+350
+00:23:53,350 --> 00:23:56,590
+صغير بقى لازم يكون أصغر من الخلية وبالتالي طبعا
+
+351
+00:23:56,590 --> 00:23:59,030
+بعد ما يترك اللي هو طبعا الأكسجين والمواد
+
+352
+00:23:59,030 --> 00:24:03,340
+التغذوية هيرتد اللي هو المواد الضارة والفضلات
+
+353
+00:24:03,340 --> 00:24:07,340
+والفضلات عبر الشعيرة الثانية يعني المعنى الشريان
+
+354
+00:24:07,340 --> 00:24:12,060
+ينتهي بشعيرة والوريد يبدأ بشعيرة لأن طبعا المدخل
+
+355
+00:24:12,060 --> 00:24:18,380
+شعيرة والمخرج برضه إيش شعيرة طبعا
+
+356
+00:24:18,380 --> 00:24:23,540
+تنقل الأكسجين وتنقل الفضلات من اثنين يعني بمعنى
+
+357
+00:24:23,540 --> 00:24:28,500
+تنقل دم مؤكسج وغير مؤكسج طبعا خاصية فيها تنقل دم
+
+358
+00:24:28,500 --> 00:24:29,940
+مؤكسج وغير مؤكسج
+
+359
+00:24:33,200 --> 00:24:36,580
+طبعا نزيف فيه يا أخواتنا رشح، يعني زي نقاط بسيطة،
+
+360
+00:24:36,580 --> 00:24:39,460
+وهذا طبعا دليل لو احنا نذكر بالنسبة للجروح، طبعا
+
+361
+00:24:39,460 --> 00:24:42,420
+فيه عندنا الجرح السطحي، يعني مثلا بسيط جدا أو
+
+362
+00:24:42,420 --> 00:24:45,840
+الكحتي أو طبعا لو واحد مثلا وجه على الأرض، ونقول
+
+363
+00:24:45,840 --> 00:24:50,580
+مثلا سحقت رجله أو أي حاجة، بناجي فيه خدش،الخدش هنا
+
+364
+00:24:50,580 --> 00:24:55,200
+فيه بعض نقاط الدم هذا طبعا هو نزيف شعيري طبعا هنا
+
+365
+00:24:55,200 --> 00:24:58,460
+سهل جدا يتوقف على أكس طبعا نزيف طبعا اللي هو
+
+366
+00:24:58,460 --> 00:25:03,100
+الشرياني أو الوريدي لكن فرصة أن يتلوث إذا لم يتم
+
+367
+00:25:03,100 --> 00:25:09,980
+طبعا إسعافه ممكن طبعا يكون إيش ورده كبيرة لا 
+
+368
+00:25:09,980 --> 00:25:12,900
+يعتبر نزيف الشعيري خطير لأن طبعا حاجة سطحية حاجة
+
+369
+00:25:12,900 --> 00:25:16,120
+سطحية جدا ما فيش منها خطورة نقول الله فيها خطورة من
+
+370
+00:25:16,120 --> 00:25:19,340
+النزيف أو نزيف طبعا يكون كمية الدم الورد فيه كبيرة
+
+371
+00:25:21,030 --> 00:25:24,270
+يتوقف هذا النزيف طبعا تلقائيا، ليش؟ لأنه يصير
+
+372
+00:25:24,270 --> 00:25:27,150
+انقباض عندنا في الشعيرة الدموية وبتوقف النزيف
+
+373
+00:25:27,150 --> 00:25:31,450
+تلقائيا، لكن لازم يتم تطهيره بمحلول ملح أو أي مادة
+
+374
+00:25:31,450 --> 00:25:36,710
+مطهرة أخرى، والأفضل أنا .. أنا جابت وفصلتها لكوا
+
+375
+00:25:36,710 --> 00:25:39,530
+بالتفاصيل، انت موجود عندكوا في الكتاب، اه و هدول
+
+376
+00:25:39,530 --> 00:25:40,470
+كمان ضروريين جدا
+
+377
+00:25:43,500 --> 00:25:47,440
+طبعا منتشرة في جميع أنحاء الجسم وقلنا لازم كل خلية
+
+378
+00:25:47,440 --> 00:25:51,200
+تكون إيه إيش إيصالها شعيرة دموية، لا يوجد بها نبض
+
+379
+00:25:51,200 --> 00:25:54,020
+زي الأوردة، أرضًا لا يوجد بها نبض
+
+380
+00:26:02,220 --> 00:26:06,240
+أهم الشرايين اللي موجودة في الجسم وأهمها وأكبرها
+
+381
+00:26:06,240 --> 00:26:10,000
+طبعا هو أب كل الشرايين الشريان الأورطي أو الأبهر
+
+382
+00:26:10,000 --> 00:26:16,550
+وهذا طبعا كل الشرايين لازم تتفرعوا منه على الشريان
+
+383
+00:26:16,550 --> 00:26:19,530
+.. الشريان .. طبعا الشريان الرئوي لأنه يخرج من
+
+384
+00:26:19,530 --> 00:26:23,530
+الناحية اليمنى أما الشريان الأورطي أو الأبهر يخرج
+
+385
+00:26:23,530 --> 00:26:27,230
+من ناحية اليسرى طبعا الشريان لما بيخرج .. الشريان
+
+386
+00:26:27,230 --> 00:26:29,910
+الأورطي لازم يغذي طبعا الجزء العلوي والجزء
+
+387
+00:26:29,910 --> 00:26:34,070
+السفلي طبعا بعد خروجه من الـ .. من القلب، من الناحية
+
+388
+00:26:34,070 --> 00:26:37,530
+اليسرى، طبعا فيه زي انحناء أو طبعا يعني تحدب عشان
+
+389
+00:26:37,530 --> 00:26:41,610
+يغذي الجزء السفلي، البطن وطبعا متجه طبعا للحوض
+
+390
+00:26:41,610 --> 00:26:44,690
+وطبعا الجزء السفلي، الأطراف السفلية وفي عندنا طبعا
+
+391
+00:26:44,690 --> 00:26:49,170
+جزء آخر ينطلق إلى أعلى، طبعا هو في عندنا شريان
+
+392
+00:26:49,170 --> 00:26:53,390
+سباتي أيمن وأيسر، تمام؟ والشريان السباتي بحد
+
+393
+00:26:53,390 --> 00:26:57,620
+ذاته في عندنا خارجي وفي عندنا داخلي عشان نعرف، لكن
+
+394
+00:26:57,620 --> 00:27:00,300
+هذا طبعا شريان خارجي اللي أنا من خلاله بستشعر فيه
+
+395
+00:27:00,300 --> 00:27:03,920
+نبض أو ما فيش نبض، بمعنى إنه هذا هيغذي اللي هو إيش؟
+
+396
+00:27:03,920 --> 00:27:07,820
+الرأس، هيغذي طبعا الرأس، وبالتام وإحنا يعني أهم
+
+397
+00:27:07,820 --> 00:27:11,740
+شريان، أهم شريان وأكبر شريان عندنا هو مصدر توزيع
+
+398
+00:27:11,740 --> 00:27:14,880
+الشريان أو توفيات الشريان طبعا هو الشريان الأورطي
+
+399
+00:27:14,880 --> 00:27:18,570
+أو الأبهر، فيعني الشريان التاجي الشريان التاجي هذا
+
+400
+00:27:18,570 --> 00:27:23,070
+اللي طبعا بيخرج منه تشوف لحظة، الدم موجود في
+
+401
+00:27:23,070 --> 00:27:26,590
+القلب، والقلب هو اللي بيتحكم بالدم، لكن بياخد نصيبه
+
+402
+00:27:26,590 --> 00:27:31,030
+زيه زي أي خلية، بمعنى إن ده القلب تعب أكثر هياخد
+
+403
+00:27:31,030 --> 00:27:36,510
+أكثر إذا ما تعبش، هياخد نصيبه العادي، تمام؟ اشتغل
+
+404
+00:27:36,510 --> 00:27:39,710
+زيادة، هياخد دم زيادة، ما اشتغلش، هياخد نصيبه زي أي
+
+405
+00:27:39,710 --> 00:27:42,210
+خلية ثانية، وبالتالي، بيبقوا هنا احنا الشرايين
+
+406
+00:27:42,210 --> 00:27:45,550
+التاجية، وكلمة التاجية هي coronary artery
+
+407
+00:27:45,550 --> 00:27:48,590
+بالإنكليزي، طبعا بالمناسبة، طبعا الـCorona هي
+
+408
+00:27:48,590 --> 00:27:53,310
+الفيروس التاجي، طبعا مرض الـCorona جاي من
+
+409
+00:27:53,310 --> 00:27:57,910
+coronary، هو تاجي، عاملة زي التاج على القلب، وطبعا
+
+410
+00:27:57,910 --> 00:28:02,790
+اسمها شرايين تاجية، تمام؟ هذه الشرايين التاجية بتغذي
+
+411
+00:28:02,790 --> 00:28:05,630
+القلب من الخارج بمعنى إن القلب لا يتغذى من الداخل
+
+412
+00:28:05,630 --> 00:28:10,590
+مع إن كل الدم موجود فيه لكن يتغذى من الخارج طبعا
+
+413
+00:28:10,590 --> 00:28:14,050
+يعني كمعلومة كمية الدم اللي موجودة في القلب تقريبا
+
+414
+00:28:14,050 --> 00:28:18,990
+70 سنتي 70 سنتي اللي في البطين الأيمن والأيسر بتدخله
+
+415
+00:28:18,990 --> 00:28:24,030
+كل مرة البهانة عندنا الشرايين التاجية تغذي عضلة
+
+416
+00:28:24,030 --> 00:28:30,250
+القلب، طبعا شرايين مشكلة لو صار فيها انسداد، هتؤدي
+
+417
+00:28:30,250 --> 00:28:35,890
+إلى الجلطة القلبية، هذه مشكلة أو الدبحة الصدرية،
+
+418
+00:28:35,890 --> 00:28:40,150
+هذا طبعا هناخده بالتفصيل، بس إيش؟ للمعرفة الشرايين
+
+419
+00:28:40,150 --> 00:28:44,530
+السباتي، أيمن وايسر، الإنسان نصين بناخد الناحية
+
+420
+00:28:44,530 --> 00:28:48,130
+اليمين والناحية اليسار، الشريان السباتي الأيمن 
+
+421
+00:28:48,130 --> 00:28:51,650
+والشريان السباتي الأيسر، بمعنى إنه إذا في عندنا
+
+422
+00:28:51,650 --> 00:28:54,090
+نظر في اليمين، معناه في اليسار، ما بديش يقولوا الله
+
+423
+00:28:54,090 --> 00:28:56,610
+ما بديشوا بس في اليمين أو في اليسار، لا الناحيتين
+
+424
+00:28:56,610 --> 00:29:01,450
+طبعا ما بيكون فيهم إيش، شريان، نظر، الشريان العضدي،
+
+425
+00:29:01,450 --> 00:29:06,400
+العضدي، من عضض، طبعا هي العضد احنا قلنا هذا
+
+426
+00:29:06,400 --> 00:29:09,780
+الشريان اللي من خلاله أنا بستشعر النبض عند الأطفال
+
+427
+00:29:09,780 --> 00:29:13,980
+تمام؟ لما في عندنا شريان عضدي وهو طبعا ينطلق من
+
+428
+00:29:13,980 --> 00:29:19,420
+تحت الإبط تمام؟ عشان يغذي أطراف الأصابع يعني
+
+429
+00:29:19,420 --> 00:29:22,820
+طبعا كلها وبالتالي الشريان يا أخواتنا في عندنا
+
+430
+00:29:22,820 --> 00:29:26,940
+شرايين رئيسية وفي تفريعات من الشرايين هذه وفي طبعا
+
+431
+00:29:26,940 --> 00:29:29,820
+أجزاء من التفريعات لغاية لما نصل للشعيرات الدموية
+
+432
+00:29:29,820 --> 00:29:32,900
+اللي بتغذي كل خلية من خلايا الجسم
+
+433
+00:29:36,890 --> 00:29:41,270
+الشريان الفخذي وهذا طبعا خطير جدا الشريان الفخذي
+
+434
+00:29:41,270 --> 00:29:45,990
+خطير جدا وهذا اللي .. زي ما بتعرفوا هو بيغذي
+
+435
+00:29:45,990 --> 00:29:49,370
+الأطراف السفلية اللي هو باختصار احنا قلنا مكان
+
+436
+00:29:49,370 --> 00:29:54,410
+تخفيض الحرارة مكان جرح الخوف عند الأطفال لو صار
+
+437
+00:29:54,410 --> 00:29:58,130
+فيه نزيف هذا خطير ليش؟ لأنه يأتي من القلب مباشرة
+
+438
+00:29:58,130 --> 00:30:04,640
+ولو صار فيه عندنا نزيف خطورته قاتلة لأنه جاي مباشرة
+
+439
+00:30:04,640 --> 00:30:08,820
+من القلب، بعد ما .. طبعا القلب فيه طبعا تحدب إلى
+
+440
+00:30:08,820 --> 00:30:12,660
+الشريان الأبهر ومن ثم إلى الشريان الفخذي الأيمن و
+
+441
+00:30:12,660 --> 00:30:16,840
+الفخذي الأيسر وبالنتيجة ده خطير جدا، نزيفه خطير جدا،
+
+442
+00:30:16,840 --> 00:30:19,200
+هو المكان نفسه، احنا قلنا بعض الشرايين السطحية،
+
+443
+00:30:19,200 --> 00:30:22,100
+هذا من ضمن الشرايين السطحية اللي ممكن احنا نعمل
+
+444
+00:30:22,100 --> 00:30:27,720
+تخفيض للحرارة عند الأطفال فيها طيب،
+
+445
+00:30:27,720 --> 00:30:33,300
+نأتي لبعض الأوردة، في عندي أنا الوريد الوداجي لما
+
+446
+00:30:33,300 --> 00:30:39,420
+نقول والله إنسان غضبان تمام وبيقاتل أو شي بنلاحظ
+
+447
+00:30:39,420 --> 00:30:46,600
+إنه انتفخت الأوداج الأوردة طبعا هي مقابل للشريان
+
+448
+00:30:46,600 --> 00:30:51,020
+السباتي لما واحد .. لما واحد بيكون بيقاتل أو شي
+
+449
+00:30:51,020 --> 00:30:54,880
+بنقول انتفخت أوداجه طبعا الأوداج اللي هو طبعا
+
+450
+00:30:54,880 --> 00:30:59,340
+ناحية اليمين وناحية اليسرى أو لو أنت واقف قدام
+
+451
+00:30:59,340 --> 00:31:05,900
+المرايا وكتمت نفسك هتنتفخ الأوداج لو أنت قدامك و
+
+452
+00:31:05,900 --> 00:31:11,140
+اتغطى على نفسك شوية هتلاقي هنا في أوردة تنتفخ
+
+453
+00:31:11,140 --> 00:31:16,260
+أوردة طبعا هذا اللي هو الوريد الأيمن والأيسر هو
+
+454
+00:31:16,260 --> 00:31:22,660
+اللي بيحمل الدم من الدماغ عشان إيش يتصل بالوريد
+
+455
+00:31:22,660 --> 00:31:26,060
+الأجوف في العلوي ويضخ الدم للناحية اليمنى
+
+456
+00:31:31,840 --> 00:31:37,160
+الوريد الصافن الأنسي الكبير وهذا طبعا الوريد اللي
+
+457
+00:31:37,160 --> 00:31:41,780
+بيصير فيه الدوالي اللي بيصير فيه الدوالي وهذا طبعا
+
+458
+00:31:41,780 --> 00:31:46,940
+هو اسمه باللغة العربية طبعا هنا الوريد هذا هو اللي
+
+459
+00:31:46,940 --> 00:31:51,320
+بيصير فيه الدوالي والدوالي طبعا غالبا ممكن تكون عند
+
+460
+00:31:51,320 --> 00:31:54,760
+السيدات الحوامل بسبب طبعا زيادة حجم الرحم أو عند
+
+461
+00:31:54,760 --> 00:31:58,770
+الإنسان طبيعة عمله هو الوقوف مثلا شرطي طول النهار واقف
+
+462
+00:31:58,770 --> 00:32:01,330
+وبالتالي لأن طبعا بيصير .. لأن بيصير عنده احتباس
+
+463
+00:32:01,330 --> 00:32:05,130
+للدم أو طبعا تراكم لكمية الدم وعدم صعودها طبعا
+
+464
+00:32:05,130 --> 00:32:09,690
+بسهولة إلى القلب عبر الأوردة وبالتالي الدوالي لا
+
+465
+00:32:09,690 --> 00:32:14,750
+تحصل إلا في الأوردة تحصل .. ليش؟ لأن ما في مضخة
+
+466
+00:32:14,750 --> 00:32:21,210
+المضخة اللي موجودة .. موجودة في القلب وبالتالي في
+
+467
+00:32:21,210 --> 00:32:25,480
+قدرة أن تدفع الدم عبر الشرايين لكن الأوردة ما فيها،
+
+468
+00:32:25,480 --> 00:32:29,760
+ما فيها وبالتالي طبعا دائما بنلاقي الدوالي غالبا
+
+469
+00:32:29,760 --> 00:32:33,400
+في الأوردة في الأطراف السفلية ولا توجد في الأطراف
+
+470
+00:32:33,400 --> 00:32:37,750
+العلوية لأن أطراف العلوية فيها حركة، لكن أطراف
+
+471
+00:32:37,750 --> 00:32:41,430
+السفلية صعب إنه إيش الدم يطلع مرة ثانية للقلب،
+
+472
+00:32:41,430 --> 00:32:45,850
+وبالتالي طبعا هذا القلب، هذا الوريد من منتصف طبعا
+
+473
+00:32:45,850 --> 00:32:49,690
+من أخمص القدم إلى منتصف الفخذ، وبالتالي هذا المكان
+
+474
+00:32:49,690 --> 00:32:52,870
+اللي احنا بنشوفه الأوردة أو الدوالي عند بعض الناس،
+
+475
+00:32:52,870 --> 00:32:55,910
+سواء السيدات الحوامل أو بعض الناس اللي طبيعة عملهم
+
+476
+00:32:55,910 --> 00:32:57,390
+في الوقوف
+
+477
+00:33:02,070 --> 00:33:06,710
+هدف الوريد آه آه هو يتسبب طبعا للدوالي الوريد ..
+
+478
+00:33:06,710 --> 00:33:10,330
+طبعا الدوالي .. الدوالي قد تؤدي لجلطات إيش معنى
+
+479
+00:33:10,330 --> 00:33:13,670
+جلطات؟ اللي هو طبعا انسلاخ جزء من جدار الوريد أو
+
+480
+00:33:13,670 --> 00:33:16,250
+طبعا الترسبات الموجودة في الوريد وتمشي مع تيار
+
+481
+00:33:16,250 --> 00:33:20,450
+الدم طبعا تمشي في الوعاء الواسع لكن كل ما ضاق
+
+482
+00:33:20,450 --> 00:33:23,570
+الوعاء ممكن تعمل إغلاق لغاية لما تصل .. لغاية طبعا
+
+483
+00:33:23,570 --> 00:33:26,470
+لما تصل لمنطقة ضيقة وتعمل إغلاق فيها وبالتالي
+
+484
+00:33:26,470 --> 00:33:29,990
+طبعا الخوف من الجلطات .. من ال .. ال .. ال ..
+
+485
+00:33:29,990 --> 00:33:35,880
+الدوالي وارد جدا طبعا هنا كعملية بيتم سحب ال ..
+
+486
+00:33:35,880 --> 00:33:39,200
+الوريد اللي صار فيه اللي هو طبعا .. طبعا تسحب إيش
+
+487
+00:33:39,200 --> 00:33:42,400
+الحالة بعدين لأن في عندنا أوردة فرعية بتقدر نفس
+
+488
+00:33:42,400 --> 00:33:48,620
+القيمة ونفس المهمة نعم
+
+489
+00:33:48,620 --> 00:33:51,100
+نسمع السؤال لو سمحت .. نسمع لو سمحت .. فضلها
+
+490
+00:33:53,840 --> 00:33:56,400
+طبعا ليش بيصير خلال ما احنا قلنا طبيعة الحالة ..
+
+491
+00:33:56,400 --> 00:33:59,400
+هذه الجهة احنا قلنا للسيدة الحامل ال .. الرحم مش ما
+
+492
+00:33:59,400 --> 00:34:02,380
+بيعمل ضغط من البداية .. طبعا .. كل ما كبر حجم
+
+493
+00:34:02,380 --> 00:34:05,380
+الرحم بتضغط .. يعني مثلا جهة الدم هيمشي بسهولة
+
+494
+00:34:05,380 --> 00:34:07,800
+من الأوردة .. الوريد طبعا الصافن الأنسي الكبير
+
+495
+00:34:07,800 --> 00:34:11,140
+هينتقل عبر له طبعا ال .. الوريد الأجوف في السفلي
+
+496
+00:34:11,140 --> 00:34:13,540
+.. طبعا .. طبعا بضخه في الوريد الأجوف في السفلي
+
+497
+00:34:13,540 --> 00:34:17,340
+عشان ينتقل للناحية اليمنى .. لكن لما نأتي للوريد
+
+498
+00:34:17,340 --> 00:34:21,730
+هذا في عليه ضغط معناه هيبطئ، هتبطأ حركة الدم بطء
+
+499
+00:34:21,730 --> 00:34:25,410
+حركة الدم هذه معناه ترسيب مواد دهنية اللي ماشية في
+
+500
+00:34:25,410 --> 00:34:29,730
+الدم على الجدران لما يصير عندنا ترسيب، هيصير ضيق و
+
+501
+00:34:29,730 --> 00:34:31,670
+هيصير ضعف على الأوردة طبعا دائما إخواتنا اللي
+
+502
+00:34:31,670 --> 00:34:34,650
+ما نعرف حاجة إنه حتى الأوردة وش رايين فيها الصمامات
+
+503
+00:34:34,650 --> 00:34:38,710
+الداخلية طبعا باتجاه واحد لكن لما يصير عندي عرقلة
+
+504
+00:34:38,710 --> 00:34:42,450
+معناه الصمامات هذه هيصير ثقل عليها وهيصير عرقلة عليها
+
+505
+00:34:42,450 --> 00:34:46,050
+معناه هيصير فيها ضعف معناه إيش هيصير عندي لو الوريد
+
+506
+00:34:46,050 --> 00:34:51,090
+شكله؟ هيتسع الوريد هيتسع وهذا معناه الدوالي لكن في
+
+507
+00:34:51,090 --> 00:34:54,650
+الشريان ما بيصير وهنا طبعا نقول احنا الدوالي بيصير
+
+508
+00:34:54,650 --> 00:34:58,330
+عند السيدة الحامل أو إنسان واقف طبعا أو طبيعة
+
+509
+00:34:58,330 --> 00:35:01,430
+عمله لوقفة طويلة أو ساعات وبالتالي احنا إيش المنصح
+
+510
+00:35:01,430 --> 00:35:04,470
+للسيدة الحامل أن لما تنام ترفع القدمين ثلاثين
+
+511
+00:35:04,470 --> 00:35:08,050
+سنتي أو أربعين سنتي عشان سهولة عودة الدم مرة
+
+512
+00:35:08,050 --> 00:35:12,350
+ثانية للقلب الأملاح
+
+513
+00:35:12,350 --> 00:35:17,320
+لا الأملاح لا أو لا قَبض إِقْتِ الدم غير الدوالي، ضغط
+
+514
+00:35:17,320 --> 00:35:20,480
+الدم يا أخوات، احنا قلنا، أنا قلتها من البداية، ضغط
+
+515
+00:35:20,480 --> 00:35:24,660
+الدم شرياني وليست وريدي، الدوالي وريدي وليس
+
+516
+00:35:24,660 --> 00:35:33,140
+شرياني، لا،
+
+517
+00:35:33,140 --> 00:35:35,020
+هذه حاجة ثانية، هذه حاجة عند الرجال، مش عند
+
+518
+00:35:35,020 --> 00:35:39,030
+السيدات لأ عشان احنا نكون واضحين الدوالي قولنا يا
+
+519
+00:35:39,030 --> 00:35:43,290
+أخواتنا الدوالي .. الدوالي بتصيب الأوردة ولا
+
+520
+00:35:43,290 --> 00:35:47,430
+تصيب الشرايين ضغط الدم يصيب الشرايين ما .. ما بيصيب
+
+521
+00:35:47,430 --> 00:35:50,750
+الأوردة تمام؟ أما هذه الدوالي بتصير .. طبعا
+
+522
+00:35:50,750 --> 00:35:53,590
+بالطرف السفلي ما لها ولا لها .. لكن هي بتنفج عن
+
+523
+00:35:53,590 --> 00:35:57,550
+الحمل عن ثقل .. عن ثقل .. عن كبر حجم الرحم لأنه
+
+524
+00:35:57,550 --> 00:36:02,210
+بيتغطى على الممر اللي طبعا ..ممكن تظلها تكرار
+
+525
+00:36:02,210 --> 00:36:05,690
+الحمل بيؤدي إلى زيادتها وبروزها وأحياناً طب تكون
+
+526
+00:36:05,690 --> 00:36:10,450
+واضحة جدا قد ت .. طبعا تتطور أو ممكن تصير مثلا خوف
+
+527
+00:36:10,450 --> 00:36:14,970
+من الجلطات، خوف من التهابات، ما هو طبعا ممكن نعمل
+
+528
+00:36:14,970 --> 00:36:18,990
+عملية جراحية فيها، تمام؟ إذا كانت واضحة، لكن أحيان
+
+529
+00:36:18,990 --> 00:36:21,890
+إذا كانت منتشرة في كل الطرف السفلي، طبعا صعب
+
+530
+00:36:21,890 --> 00:36:26,530
+تنعمل، وبالتالي هنا خطورة النزيف فيها وارد وقت
+
+531
+00:36:26,530 --> 00:36:30,670
+النظيف وارد بسبب طبعا رقة الجدار لأن كل ما اتسعت
+
+532
+00:36:30,670 --> 00:36:34,510
+أكثر كل ما كان الجدار أرق أكثر وقت ما فيها خطورة
+
+533
+00:36:34,510 --> 00:36:37,890
+أكثر فيه إن الوريد الثاني اللي هو طبعا الوريد
+
+534
+00:36:37,890 --> 00:36:41,370
+الأجوف في السفلي طبعا الصافن الأنسي الصغير وهو
+
+535
+00:36:41,370 --> 00:36:44,770
+طبعا .. هذا طبعا ال .. الوريد الصافن الأنسي الكبير
+
+536
+00:36:44,770 --> 00:36:47,390
+داخلياً يعني الدوالي غالباً ما بتكون مش من الداخل
+
+537
+00:36:47,390 --> 00:36:50,930
+ما بتكون من الخارج أما بالنسبة للوريد الأنسي الصافن
+
+538
+00:36:50,930 --> 00:36:55,210
+الصغير هو بياخد دم من الناحية الخارجية لغاية
+
+539
+00:36:55,210 --> 00:36:59,910
+منتصف اللي هي طبعا اللي هي عضلة السمانة طبعا هي في
+
+540
+00:36:59,910 --> 00:37:03,800
+الساق وبالتالي طبعا الخطورة اللي بيصير فيها الدوالي
+
+541
+00:37:03,800 --> 00:37:08,480
+غالبا في الوريد الصافن الأنسي الكبير هو الموضوع
+
+542
+00:37:08,480 --> 00:37:12,720
+كبير يعني ما قدرش نخلصه طبعا في لقاء أو اثنين فنجي
+
+543
+00:37:12,720 --> 00:37:16,380
+لإصابة الجهاز .. إصابة الجهاز الدوري ونكمل إن شاء
+
+544
+00:37:16,380 --> 00:37:18,040
+الله المرة الجاية الرابعة بإذن الله تعالى
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/eUKY0DDrYwU_raw.json b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/eUKY0DDrYwU_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..12a7f6849318d719b80fa1cdbb4848d43e030881
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/eUKY0DDrYwU_raw.json
@@ -0,0 +1 @@
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6027, 1829, 23032, 3555, 3615, 995, 33962, 9566, 13063, 3660, 13672, 7578, 4724, 1829, 9381, 13546, 8978, 11296, 32748, 2407, 6027, 32771, 6027, 3555, 995, 8978, 2423, 13063, 25708, 31767, 31845, 1863, 2423, 7649, 3794, 1829, 33251, 3555, 13546, 31439, 9673, 2407, 11242, 45367, 9122, 3555, 13546, 37495, 22653, 19446, 28543, 2288, 8592, 8717, 9778, 1211, 9381, 3224, 23032, 3555, 3615, 995, 8978, 5296, 4587, 16606, 1975, 2407, 1975, 2655, 1863, 9957, 6156, 1863, 7435, 5172, 5296, 28814, 9381, 16758, 3660, 25724, 3224, 31377, 4386, 11933, 9381, 16758, 3660, 25724, 3224, 31377, 32748, 13063, 1829, 4032, 1863, 24793, 1211, 16472, 13412, 16606, 21984, 9673, 25720, 25724, 995, 10632, 16247, 25513, 27884, 4724, 28814, 8848, 1863, 21984, 37279, 6027, 7578], "avg_logprob": -0.12506352328672643, "compression_ratio": 2.0, "no_speech_prob": 1.1324882507324219e-06, "words": [{"start": 2221.0, "end": 2221.56, "word": "وبالتالي", "probability": 0.91337890625}, {"start": 2221.56, "end": 2221.92, "word": " طبعا", "probability": 0.9344482421875}, {"start": 2221.92, "end": 2222.66, "word": " الخطورة", "probability": 0.97216796875}, {"start": 2222.66, "end": 2223.08, "word": " اللى", "probability": 0.80908203125}, {"start": 2223.08, "end": 2223.32, "word": " بيصير", "probability": 0.941650390625}, {"start": 2223.32, "end": 2223.5, "word": " فيها", "probability": 0.92529296875}, {"start": 2223.5, "end": 2223.8, "word": " الدوال", "probability": 0.7991536458333334}, {"start": 2223.8, "end": 2224.36, "word": " غالبا", "probability": 0.96533203125}, {"start": 2224.36, "end": 2224.66, "word": " في", "probability": 0.7744140625}, {"start": 2224.66, "end": 2225.06, "word": " الوريد", "probability": 0.94873046875}, {"start": 2225.06, "end": 2225.54, "word": " الصافن", "probability": 0.6998697916666666}, {"start": 2225.54, "end": 2226.1, "word": " الانسي", "probability": 0.7783203125}, {"start": 2226.1, "end": 2226.72, "word": " الكبير", "probability": 0.9674479166666666}, {"start": 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{"start": 2232.72, "end": 2233.56, "word": " لإصابة", "probability": 0.856640625}, {"start": 2233.56, "end": 2234.1, "word": " الجهاز", "probability": 0.9287109375}, {"start": 2234.1, "end": 2234.24, "word": " ..", "probability": 0.60693359375}, {"start": 2234.24, "end": 2234.58, "word": " إصابة", "probability": 0.923583984375}, {"start": 2234.58, "end": 2234.86, "word": " الجهاز", "probability": 0.9720052083333334}, {"start": 2234.86, "end": 2235.36, "word": " الدوري", "probability": 0.9495442708333334}, {"start": 2235.36, "end": 2236.16, "word": " ونكمل", "probability": 0.88232421875}, {"start": 2236.16, "end": 2236.26, "word": " ان", "probability": 0.73193359375}, {"start": 2236.26, "end": 2236.38, "word": " شاء", "probability": 0.961181640625}, {"start": 2236.38, "end": 2236.44, "word": " الله", "probability": 0.95654296875}, {"start": 2236.44, "end": 2236.72, "word": " المرة", "probability": 0.8369140625}, {"start": 2236.72, "end": 2236.9, "word": " الجاية", "probability": 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\ No newline at end of file
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/eUKY0DDrYwU_raw.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/eUKY0DDrYwU_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..86b72017a8bf887bf535ce4412cbb4473c851585
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/eUKY0DDrYwU_raw.srt
@@ -0,0 +1,2176 @@
+1
+00:00:05,160 --> 00:00:06,760
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:06,760 --> 00:00:11,100
+الرحيم يعني اتكلمنا على مشاكل الجهاز التنفسي
+
+3
+00:00:11,100 --> 00:00:16,160
+واصابات الجهاز التنفسي طبعا يمكن حسب ترتيبنا
+
+4
+00:00:16,160 --> 00:00:19,780
+للأولويات اللي احنا بنهتم فيها كيف ان نأنقذ إنسان
+
+5
+00:00:19,780 --> 00:00:23,920
+غالبا احنا بداية بنتم في الجهاز التنفسي وبالتالي
+
+6
+00:00:23,920 --> 00:00:27,700
+ننتقل بعد ذلك إلى الجهاز الدوري لأن طبعا الجهاز
+
+7
+00:00:27,700 --> 00:00:32,580
+التنفسي و الجهاز الدوري متراوقين مع بعض يعنيممكن
+
+8
+00:00:32,580 --> 00:00:35,420
+شيء يؤثر على الجهاز التنفسي بنفس الوقت يؤثر على
+
+9
+00:00:35,420 --> 00:00:38,680
+الجهاز الدوري لكن أحيانا يعني ليس بالضرورة تأثر
+
+10
+00:00:38,680 --> 00:00:42,980
+جهاز التنفسي يكون مصاحبه 100% الجهاز الدوري وممكن
+
+11
+00:00:42,980 --> 00:00:46,900
+هذا كمثال بسيط للإنسان اللي بيستنشق أول أكسيد
+
+12
+00:00:46,900 --> 00:00:49,960
+الكربون طبعا هو غاز السام أو مثلا بياخد المخدرات
+
+13
+00:00:49,960 --> 00:00:53,620
+لكن بعض الحالات يعني أحيانا بيكون مرتبط الجهاز
+
+14
+00:00:53,620 --> 00:00:57,700
+التنفسي بالجهاز الدوري على سبيل المثال أنه مثلا في
+
+15
+00:00:57,700 --> 00:01:02,290
+عندنا Jerry في عندناخوف في عندنا يعني توتر طبعا
+
+16
+00:01:02,290 --> 00:01:04,290
+التانية بتكون مترابطة من بعض اليوم ان شاء الله
+
+17
+00:01:04,290 --> 00:01:07,510
+هنتكلم على إصابات اللي هو الجهاز الدوري طبعا لو
+
+18
+00:01:07,510 --> 00:01:10,570
+احنا نقصد بالجهاز الدوري طبعا جهاز الدوران يعني
+
+19
+00:01:10,570 --> 00:01:14,570
+بمصطلح آخر ممكن نقول عنه طبعا جهاز الدوران أو طبعا
+
+20
+00:01:14,570 --> 00:01:18,550
+هو اللي ينقسم القلب وطبعا ما يخرج من القلب ويدخل
+
+21
+00:01:18,550 --> 00:01:21,810
+أو يعود إلى القلبطبعا كبداية يعني هذه الأجهزة اللي
+
+22
+00:01:21,810 --> 00:01:24,130
+احنا أو ال .. ال .. النقاط الأساسي اللي احنا نتكلم
+
+23
+00:01:24,130 --> 00:01:27,070
+عليها بالتفصيل ان شاء الله، هنتكلم عن القلب،
+
+24
+00:01:27,070 --> 00:01:30,430
+هنتكلم عن الأوعي الدموية، وأهم طبعا الشرين
+
+25
+00:01:30,430 --> 00:01:34,190
+والأوردة، وإيش الإصابات، وأسباب الإصابات طبعا وعلى
+
+26
+00:01:34,190 --> 00:01:37,450
+النزيف، وطرق إيقاف النزيف، وطرق إسعاف النزيف، طبعا
+
+27
+00:01:37,450 --> 00:01:39,710
+هذا خلال الفصل هذا كله ان شاء الله تعالى، وخلال
+
+28
+00:01:39,710 --> 00:01:43,210
+طبعا الباب هذا كله، احنا يعني كبداية هنتكلم على
+
+29
+00:01:44,240 --> 00:01:47,160
+طبعا بعدين هتتكلم على بعض الأزمات أو المشاكل بتصيب
+
+30
+00:01:47,160 --> 00:01:51,520
+الجهاز التنفسي الدوري يعني هذه طبعا صورة بسيطة جدا
+
+31
+00:01:51,520 --> 00:01:55,860
+بتبين لي اللي هو طبعا الجهاز الدوري و طبعا بداية
+
+32
+00:01:55,860 --> 00:02:00,660
+تكون من المضخة و المضخة دي يعني لازم تكون العبء
+
+33
+00:02:00,660 --> 00:02:05,440
+اللي واقع عليها بحجمها بمعنى أن الطفل الصغير القلب
+
+34
+00:02:05,440 --> 00:02:09,020
+عنده يعني يختلف عن قلب الإنسان البالغ يعني هي
+
+35
+00:02:09,020 --> 00:02:14,460
+كعلميا بحجم قبضة اليدلكن حجم قبضة اليد هذه مناسبة
+
+36
+00:02:14,460 --> 00:02:17,720
+لإنسان عادي بالمعايير الطبيعية، بالأوزان الطبيعية،
+
+37
+00:02:17,720 --> 00:02:21,940
+لكن لما زيد، وزيد العبء على المضخة هذه، هينعكس،
+
+38
+00:02:21,940 --> 00:02:25,680
+يعني نقول احنا مثال بسيط جدا، عندنا مثلا متور
+
+39
+00:02:25,680 --> 00:02:29,040
+مياه، بدخ مياه مثلا للطابق الأول أو للطابق التاني،
+
+40
+00:02:29,040 --> 00:02:32,530
+كل ما زادت المسافة طبعا بزيد العبء أكترلو كان فيه
+
+41
+00:02:32,530 --> 00:02:35,190
+هناك تسديد في القنابيب برضه هيزيد العيب أكتر
+
+42
+00:02:35,190 --> 00:02:38,330
+وبالتالي المضخة هذه بتتأثر بعيدة عوامل يعني هي
+
+43
+00:02:38,330 --> 00:02:41,370
+ممكن تكون من ناحية علمية أو هناك ممكن تكون بعض
+
+44
+00:02:41,370 --> 00:02:45,010
+المشاكل المرضية لكن هنتكلم بصفة عامة طالما أنه
+
+45
+00:02:45,010 --> 00:02:49,300
+القنابيب هذه أو ال .. ال .. ال ..الطرق اللي بيسير
+
+46
+00:02:49,300 --> 00:02:52,460
+فيها الدم سليمة بدون أي مشاكل مافيش اعبئة على
+
+47
+00:02:52,460 --> 00:02:56,360
+القلب، لكن لما يكون عندى في الطريق في انسداد في
+
+48
+00:02:56,360 --> 00:03:00,960
+جلطات في تسديد معناه هاركله بناكس سلبيا على القلب،
+
+49
+00:03:00,960 --> 00:03:06,450
+القلب يعني كبدأة بنقول احنا في جميعنا احناموقعه في
+
+50
+00:03:06,450 --> 00:03:09,770
+منتصف الصدر يميل إلى اليسار، يعني التلت تقريبًا في
+
+51
+00:03:09,770 --> 00:03:12,630
+المنتصف والتلتين إلى اليسار، هذا شيء طبيعي، لكن
+
+52
+00:03:12,630 --> 00:03:16,270
+أحيانًا قد يكون القلب معاكس، وطبعًا سموه اللي هو
+
+53
+00:03:16,270 --> 00:03:19,890
+Dextrocardia، يعني القلب إلى ناحية اليمين، وهو
+
+54
+00:03:19,890 --> 00:03:23,210
+طبعًا ممكن يكون مصاحب بعض التشوهات الخلقية، مثلًا
+
+55
+00:03:23,210 --> 00:03:26,950
+زيارة بعض الأصابع القصر، الحجم، طبعًا هذه أشياء ..
+
+56
+00:03:26,950 --> 00:03:30,110
+وإحنا شفنا ناس كتير، يعني ناس كبار في الـ
+
+57
+00:03:30,110 --> 00:03:34,980
+Dextrocardia أو القلب إلى ناحية اليمينطبعا القلب
+
+58
+00:03:34,980 --> 00:03:39,020
+مكوّن من أربع غرف زي ما انتوا عارفين طبعا ناحية
+
+59
+00:03:39,020 --> 00:03:41,920
+يمنى و ناحية يسرى و الناحية اليمنى مكوّنة من جزئين
+
+60
+00:03:41,920 --> 00:03:47,320
+طبعا البطين و الأذين و دايما البطين جداره أسمك من
+
+61
+00:03:47,320 --> 00:03:52,060
+الأذين و البطين الأيسر جداره أسمك من البطين الأيسر
+
+62
+00:03:52,060 --> 00:03:56,240
+لإن طبعا بحجم العبء اللى واقع عليه نحو دخل الدم
+
+63
+00:03:56,550 --> 00:04:00,530
+طبعا الأطراف الجسم كلها من أعلى .. طبعا من الرأس
+
+64
+00:04:00,530 --> 00:04:03,850
+إلى القدمين أما البطين الأيمن فطبعا بضخ الدم
+
+65
+00:04:03,850 --> 00:04:08,490
+لمسافة قريبة هي الرئتين وبالتالي احنا لما نقول بين
+
+66
+00:04:08,490 --> 00:04:12,090
+الصماء بين القلب طبعا داخل القلب الغرف هذه فيها
+
+67
+00:04:12,090 --> 00:04:15,670
+الصماماتالصمامات تسمح بدخول القلب و دخول الدم لكن
+
+68
+00:04:15,670 --> 00:04:18,670
+لا تسمح بالعودة حسب اتجاه الدم يعني هنا مثلا في
+
+69
+00:04:18,670 --> 00:04:22,110
+عين الصمام الثنائي .. طبعا على الناحية اليسرى ما
+
+70
+00:04:22,110 --> 00:04:25,550
+بين الأذين الأيسر و البطين الأيسر يسمح بدخول الدم
+
+71
+00:04:25,550 --> 00:04:28,970
+و لا يسمح بالعودة طبعا ال .. ال .. ال .. من ناحية
+
+72
+00:04:28,970 --> 00:04:32,370
+اليسرى في عين الصمام الثلاثي طبعا بين اللي هو ..
+
+73
+00:04:32,370 --> 00:04:35,990
+طبعا ال .. ال .. الصفة عامة يعني ناحية تشريحية أن
+
+74
+00:04:35,990 --> 00:04:39,700
+الصمام بتجه باتجاه واحدلما يقول الصمام الثنائي
+
+75
+00:04:39,700 --> 00:04:42,740
+معناه عايش لأسفل من الصمام .. طبعا من الشريق .. من
+
+76
+00:04:42,740 --> 00:04:46,780
+الأذين الأيصر للبطاين الأيصر طبعا كان بعض الناس ..
+
+77
+00:04:46,780 --> 00:04:50,380
+ممكن هذه بس يعني نقطة على الهامش أنه الناس اللي
+
+78
+00:04:50,380 --> 00:04:56,080
+بتكرر عندهم التهابات اللوزتين الخوف أنه صير مشكلة
+
+79
+00:04:56,080 --> 00:04:59,860
+في الصمام الثنائيوهنا بيقول الحين طبعا استقصاء
+
+80
+00:04:59,860 --> 00:05:04,040
+اللواز في ناحية إيجابية صح هو طبعا اللواز ضرورية
+
+81
+00:05:04,040 --> 00:05:07,480
+جدا للجسم مفيد لكن طبعا درع المفاسق أفضل من جلب
+
+82
+00:05:07,480 --> 00:05:10,700
+المنافع المنفع عنها طبعا اللواز هي filter أو
+
+83
+00:05:10,700 --> 00:05:13,720
+مصفاية لكن في المقابل بيكون مشكلة على القلوب
+
+84
+00:05:13,720 --> 00:05:17,180
+وبالتالي تكرار التهابة أكتر من خمس ست مرات سنويا
+
+85
+00:05:17,180 --> 00:05:21,080
+يفضل إزالة التهاب أفضلطبعا زي ما احنا لاحظين
+
+86
+00:05:21,080 --> 00:05:24,740
+الناحية اليسرى بتوزع الدم اللي هو المؤكسج اللي فيه
+
+87
+00:05:24,740 --> 00:05:28,080
+طبعا أكسجين والناحية اليمنى بتوزع الدم اللي هو
+
+88
+00:05:28,080 --> 00:05:31,780
+حامل لثانوكسيد الكربون وقولنا يا أخواتنا إنه
+
+89
+00:05:31,780 --> 00:05:36,480
+الإنسان لما بيطرد ثانوكسيد الهوائش الزفير أيضا
+
+90
+00:05:36,480 --> 00:05:40,240
+بيكون محمل بالأكسجين لكن الأساس إنه ناخد الهواء
+
+91
+00:05:40,240 --> 00:05:44,640
+المحمل بالأكسجين عشان نستفيد منه وكل الجسم يستفيد
+
+92
+00:05:44,640 --> 00:05:44,920
+منه
+
+93
+00:05:49,330 --> 00:05:52,630
+طيب الأوعية الدموية اللى هى طبعا ما نقصد فيها
+
+94
+00:05:52,630 --> 00:05:56,990
+الشراين و الأوردة طبعا هى كله بالنسبة للشراين طبعا
+
+95
+00:05:56,990 --> 00:06:03,010
+الشراين هى أوعية دموية مرنة يعنى قابلة للتمدد و هى
+
+96
+00:06:03,010 --> 00:06:08,110
+طبعا نوعا ما سميكة و هى معظمها غائرمعظمها غائر وهي
+
+97
+00:06:08,110 --> 00:06:13,790
+طبعا بفضل ربنا علينا لأنها بتحمل دم فيه قوة أكتر
+
+98
+00:06:13,790 --> 00:06:17,370
+من الدم الوريدي لأن طبعا هي قادمة من القلب يعني
+
+99
+00:06:17,370 --> 00:06:22,210
+قادمة من المضخة وبالتالي طبعا بيكون عندنا قوة الدم
+
+100
+00:06:22,210 --> 00:06:28,890
+أقوى من اللي عادة للقلب مرة تانية طبعا هنا هنا
+
+101
+00:06:28,890 --> 00:06:33,470
+يمكن ملاحظة بسيطة لما يقول الإنسان والله عنده ضغط
+
+102
+00:06:33,470 --> 00:06:37,540
+دمطبعا احنا فيه انواع نموية او ردوشريان هانا ضغط
+
+103
+00:06:37,540 --> 00:06:41,280
+الدم طبعا يعني معلومة يضافية و احنا ضغط الدم
+
+104
+00:06:41,280 --> 00:06:45,700
+الشريانيضغط الدم الشرياني، لو واحد بيكون مريض ضغط
+
+105
+00:06:45,700 --> 00:06:49,640
+هو اسمه ضغط الدم الشرياني لأنه طبعا يعني بيعبّر
+
+106
+00:06:49,640 --> 00:06:52,480
+عنق القوة اللي بيلاقيها الدم أثناء مروره عبر
+
+107
+00:06:52,480 --> 00:06:55,140
+الشراين وبالتالي هم بيقولوا يا صارعنة مثلا تصلب
+
+108
+00:06:55,140 --> 00:06:58,320
+شراين صارعنة مثلا تراكم الكوليسترورا، صارعنة تراكم
+
+109
+00:06:58,320 --> 00:07:01,600
+الدهون، وبالتالي طبعا اللي مقصود فيه، لا معلومة
+
+110
+00:07:01,600 --> 00:07:05,440
+هامشية، ضغط الدم هو اللي مقصود فيه ضغط دم شرياني
+
+111
+00:07:05,440 --> 00:07:09,280
+وليس ضغط الدم وريدهبالتالي لما أنا بدأ أعرف إنسان
+
+112
+00:07:09,280 --> 00:07:12,020
+عنده ضخ الدم، معناه إن فيه مشكلة إيش؟ في الشرين،
+
+113
+00:07:12,020 --> 00:07:16,740
+إما .. إما بكون مشكلة في القلب لإنه مش لاجي طبعا
+
+114
+00:07:16,740 --> 00:07:20,180
+طريق مناسب لإنه ضخ الدم أو المشكلة طبعا تكون في
+
+115
+00:07:20,180 --> 00:07:22,680
+الشرين بحد ذاتها لإن طبعا يكون فيه ضيق فيها
+
+116
+00:07:25,730 --> 00:07:28,070
+طبعاً في عندى كمان الشعيرات الدموية .. طبعا
+
+117
+00:07:28,070 --> 00:07:31,490
+الشعيرات الدموية هي حلقة وصل .. طبعا هنكون بتفصيل
+
+118
+00:07:31,490 --> 00:07:34,970
+جيتا واش خصائصهم .. هي حلقة وصل ما بين الشريان و
+
+119
+00:07:34,970 --> 00:07:39,650
+الوريد .. بمعنى إن كل شريان ينتهي بشعيرة دموية و
+
+120
+00:07:39,650 --> 00:07:42,490
+تبدأ .. و يبدأ الوريد بشعيرة دموية .. يعني إيش ..
+
+121
+00:07:42,490 --> 00:07:47,190
+طبعا ال .. كل خلية في الجسملازم يصلها الدم يعني
+
+122
+00:07:47,190 --> 00:07:51,110
+هنا احنا بنشبه الشعيرات دموية بنقول زي كوز الدره
+
+123
+00:07:51,110 --> 00:07:55,810
+طبعا كوز الدره يعني طبعا في الدره حبوب الدره تمام
+
+124
+00:07:55,810 --> 00:07:59,070
+كل حبة من حبوب الدره هذه فيها اللي طبعا هي الشعرة
+
+125
+00:07:59,070 --> 00:08:02,410
+هذه اللي احنا بقولها يعني نقول شعيرة دموية تمام كل
+
+126
+00:08:02,410 --> 00:08:05,910
+حبة ما بيصلها شعرة من هذه طبعا اللي هو الخاص بكوز
+
+127
+00:08:05,910 --> 00:08:09,670
+الدره معناها بتموتو نفس الفكرة لأي خلية في جسم
+
+128
+00:08:09,670 --> 00:08:12,990
+الإنسان ما بيصلها الدم، معناها تكون ميتة وهذا طبعا
+
+129
+00:08:12,990 --> 00:08:17,070
+نقول أن مثلا لبعض الناس عندهم مثلا مرض سكر أو مثلا
+
+130
+00:08:17,070 --> 00:08:20,770
+الجلطة القلبية، معناه الدم ما وصل للمنطقة أي منطقة
+
+131
+00:08:20,770 --> 00:08:25,050
+لا يصلها الدم، طبعا الموت وارد إلها وهذا طبعا
+
+132
+00:08:25,050 --> 00:08:28,170
+بتذكرنا لما هنقول لما كنا نعمل الـCPR أو التنافس
+
+133
+00:08:28,170 --> 00:08:31,790
+الصناعي أو التدريج للقلب خوفا من موت خلايا الدمار،
+
+134
+00:08:31,790 --> 00:08:35,440
+بالتالي أي خلية ينقطع عنها الدم لفترة طويلةتؤدي
+
+135
+00:08:35,440 --> 00:08:39,740
+للوفاة طبعا لكن اكثر خلايا حساسة جدا طبعا هي
+
+136
+00:08:39,740 --> 00:08:40,240
+الدماغ
+
+137
+00:08:42,850 --> 00:08:44,810
+طبعا الأول ده هي طبعا هذه الصورة جيتنا نكون
+
+138
+00:08:44,810 --> 00:08:47,630
+بالتفصيل شوية زي ما احنا شايفين أخواتنا هاي طبعا
+
+139
+00:08:47,630 --> 00:08:52,670
+زي ما حكينا هاي القلب وهي طبعا ال .. ال .. ناحية
+
+140
+00:08:52,670 --> 00:08:55,870
+التشريحية طبعا هنا في عندنا دورة دموية صغيرة و
+
+141
+00:08:55,870 --> 00:08:59,030
+دورة دموية كبرى بس لتوضيح شيء بسيط الدورة الدموية
+
+142
+00:08:59,030 --> 00:09:03,390
+الصغيرة هي تنطلق من الأذين الأيصر إلى كل أجزاء
+
+143
+00:09:03,390 --> 00:09:07,110
+الجسم يعني من أعلى الرأس إلى أخمص القدم هذه الدورة
+
+144
+00:09:07,110 --> 00:09:12,630
+الدموية الكبرى وغالبا هي بتحمل دم مؤكسجدم مؤكسل
+
+145
+00:09:12,630 --> 00:09:16,310
+الدورة الدموية الصغيرة من الناحية اليمنى يعني
+
+146
+00:09:16,310 --> 00:09:21,950
+البطين الايمن الى الرئتين الى الرئتين طبعا احنا
+
+147
+00:09:21,950 --> 00:09:26,990
+يعني الشيء المهم عندي جدا اللي بدنا نثبته انه هذا
+
+148
+00:09:26,990 --> 00:09:31,450
+السبب لان الناحية اليسرى البطين الايصر اسمك من
+
+149
+00:09:31,450 --> 00:09:35,510
+الناحية اليمنى لان طبعا بضخ دم لمسافة أبعد
+
+150
+00:09:35,510 --> 00:09:41,180
+وبالتالي عضلة القلبطبعا جدارها مش كل واحد، حتى بين
+
+151
+00:09:41,180 --> 00:09:44,420
+الأذين والأذين الأيمن والأيسر وما بين البطين
+
+152
+00:09:44,420 --> 00:09:49,760
+الأيمن والبطين الأيسر، البطين الأيسر هو أسمك من
+
+153
+00:09:49,760 --> 00:09:54,920
+البطين الأيمن، طبعا بحكم أن المسافة اللي بدخها
+
+154
+00:09:54,920 --> 00:09:59,980
+لمسافة بعيدةطبعا الدور الدموعي الصغير زي ما قلنا
+
+155
+00:09:59,980 --> 00:10:02,720
+للرئتين ليش؟ عشان يترود ال .. ال Oxygen .. ال
+
+156
+00:10:02,720 --> 00:10:05,440
+Thanoxid الكربون اللي إيجا من فضلات الخلايا
+
+157
+00:10:05,440 --> 00:10:10,380
+وبالتالي بيتم تحميله بصير تبادل الغازات عبر إيش؟
+
+158
+00:10:10,380 --> 00:10:13,240
+الرئتين عبر حوائز الصلاة الهوائية وهنا بدأ أذكر
+
+159
+00:10:13,240 --> 00:10:16,400
+كمان نقطة تانية أنه ليش بنتقل Thanoxid الكربون
+
+160
+00:10:16,400 --> 00:10:20,040
+للرئتين ومابنتقلش من الرئتين ل .. لطبعا لداخل
+
+161
+00:10:20,040 --> 00:10:23,880
+الجسم بسبب حكم ضغط ال .. ضغط ال .. طبعا الغازات
+
+162
+00:10:23,880 --> 00:10:27,380
+لأن التركيز أكتر وين في ال .. بالنسبة لThanoxid
+
+163
+00:10:27,380 --> 00:10:32,170
+الكربون؟في الخلايا اللي جاي طبعا الدم المحمل من
+
+164
+00:10:32,170 --> 00:10:35,630
+الخلايا الجسم وبالتالي طبعا حاجة نسميها filtration
+
+165
+00:10:35,630 --> 00:10:39,650
+اللي طبعا ضغط الغازات تنتقل من أعلى أو من ضغط
+
+166
+00:10:39,650 --> 00:10:44,010
+العالي طبعا ضغط العالي هان موجود وين؟ في ال ..
+
+167
+00:10:44,010 --> 00:10:49,710
+وين؟ بالنسبة لثانو أكسيد الكربون طبعا هو جاي من
+
+168
+00:10:49,710 --> 00:10:54,170
+ناحية اليمنى طبعا؟ جاي من ناحية اليمنى طبعا؟ وهان
+
+169
+00:10:54,170 --> 00:10:58,210
+طبعا ناحية اليمنى بتحمل دم غير مؤكسجيعني في ثاني
+
+170
+00:10:58,210 --> 00:11:00,610
+اكسجين الكربون يعني نسبة ثاني اكسجين الكربون وين
+
+171
+00:11:00,610 --> 00:11:04,230
+أعلى وبالتالي انتقل للريقتين طيب الأكسجين في
+
+172
+00:11:04,230 --> 00:11:08,210
+الريقتين أعلى فهو ينتقل طبعا إيش؟ داخل طبعا
+
+173
+00:11:08,210 --> 00:11:12,110
+الحواصلات إلى طبعا الأورد الرئوية الأربع اللي طبعا
+
+174
+00:11:12,110 --> 00:11:18,530
+بتنقل دم مؤكسج إلى الناحية اليسرى طبعا طبعا أنا
+
+175
+00:11:18,530 --> 00:11:22,890
+بدي أوضح مسحاجي بسيطة الدورة الدموية الكبرى هي
+
+176
+00:11:22,890 --> 00:11:28,140
+بتوزع الدم المؤكسج لكل أجزاء الجسمتمام؟ وبعود ..
+
+177
+00:11:28,140 --> 00:11:34,540
+بعود لمين؟ لإناحية اليمنى عبر الوليد الأجوى في
+
+178
+00:11:34,540 --> 00:11:37,940
+الصافي عبر الطمأن الوليد الوجه في العلوي و الأجوى
+
+179
+00:11:37,940 --> 00:11:43,540
+في السفلي يبهدوا أو رد تدخل إلى إناحية اليمنى
+
+180
+00:11:43,540 --> 00:11:49,300
+محملةمحملة بثاني أكسيد الكربون، بثاني أكسيد
+
+181
+00:11:49,300 --> 00:11:53,740
+الكربون، تمام؟ إذا أنا برضه نقطة واضحة إنه برجع
+
+182
+00:11:53,740 --> 00:11:58,640
+للدم بعد ما يتوزع على كل أجزاء الجسم عبر وردين،
+
+183
+00:11:58,640 --> 00:12:02,180
+وريد أجواف عُلوي ووريد أجواف سُفلي، وها طبعا أكون
+
+184
+00:12:02,180 --> 00:12:06,420
+حامل دم غير مؤكسج، يعني إذا أنا غني بثاني أكسيد
+
+185
+00:12:06,420 --> 00:12:10,820
+الكربون، يرجع إلى الناحية اليمنى، فاهم؟ الناحية
+
+186
+00:12:10,820 --> 00:12:16,340
+اليمنى أين هتضخه؟للريقتين هذه طبعا هذه الدورة
+
+187
+00:12:16,340 --> 00:12:20,980
+الدموية الصغيرة بتاخد الدم من الريقتين من ناحية
+
+188
+00:12:20,980 --> 00:12:27,480
+اليمنى وبتدخلين للوريق طبعا عبر الشريان الرئوي عبر
+
+189
+00:12:27,480 --> 00:12:30,660
+الشريان الرئوي، هذا هو الشريان الوحيد بتذكر فيه
+
+190
+00:12:30,660 --> 00:12:34,750
+مرة تانية هو ده حمل دم غير مؤكسجلأن كل الشريان
+
+191
+00:12:34,750 --> 00:12:38,410
+كلها تحمل دم و أكسج ما يعادى الشريان الرئوي طيب
+
+192
+00:12:38,410 --> 00:12:42,130
+بروح الشريان بيحمل الدم اللى محمل ب ثانى أكسيد
+
+193
+00:12:42,130 --> 00:12:47,530
+الكربون من الناحية اليمنى يعني من البطين الأيمن لأ
+
+194
+00:12:47,530 --> 00:12:52,630
+الرئتين تمام بيترك ثانى أكسيد الكربون و بيتحمل
+
+195
+00:12:52,630 --> 00:12:56,390
+الدم بالأكسجين بيرجع مرة تانى بهاد الدورة الدموية
+
+196
+00:12:56,390 --> 00:13:00,090
+الصغرى بيرجع مرة تانى عبر الأورد الرئوية الأربعة
+
+197
+00:13:00,740 --> 00:13:04,100
+تمام؟ وهذا طبعا تدخل القلب يعني كل وعاء دمه يدخل
+
+198
+00:13:04,100 --> 00:13:08,020
+القلب هو وريد وكل وعاء دمه يدخل .. يأخر من القلب
+
+199
+00:13:08,020 --> 00:13:13,200
+هو شريان ترجع .. يرجع الدم المؤكسج اللي حمّل ال
+
+200
+00:13:13,200 --> 00:13:16,900
+oxygen ال oxygen المركز اللي هو قلنا بيدخل إلينا
+
+201
+00:13:16,900 --> 00:13:21,260
+عبر طبعا الشهيق اللي في نسبة هواء الجو تقريبا 21%
+
+202
+00:13:21,260 --> 00:13:25,240
+أو 5 الهواء الجوي يحمل عبر الأوردة الرئاوية
+
+203
+00:13:25,240 --> 00:13:31,870
+الأربعة لوين؟ للناحية اليسرىلناحية اليسرى وهذه
+
+204
+00:13:31,870 --> 00:13:36,450
+الأوردة شاذين عن كل الأوردة لأنهم بيحملوا دم مؤكسج
+
+205
+00:13:36,450 --> 00:13:40,410
+تمام؟ هذه طبعا بعض الحاجات الشاذة من خلال طبعا
+
+206
+00:13:40,410 --> 00:13:43,630
+اللي منقصدهم بالأوردة والشراين هذه طبعا الدورة
+
+207
+00:13:43,630 --> 00:13:45,350
+الدموية الصغرى والدورة الدموية الكبرى
+
+208
+00:13:48,090 --> 00:13:50,830
+طبعا هنا ناخد بعض الخصائص اللي .. طبعا أحيانا ممكن
+
+209
+00:13:50,830 --> 00:13:54,950
+نتوقع كأسئلة .. بعض الخصائص اللي لها علاقة بالشرين
+
+210
+00:13:54,950 --> 00:13:58,370
+.. أول حاجة الشرين أو عياذات أنفجة عضلية قوية ..
+
+211
+00:13:58,370 --> 00:14:02,530
+وقلنا ليش؟ عضلية قوية لإن بنت تتحمل انقباض القلب
+
+212
+00:14:02,530 --> 00:14:07,090
+.. لإن راجتها القلب لما انقبضهيضخ الدم لو احنا جيت
+
+213
+00:14:07,090 --> 00:14:11,810
+عنا مثلا حنافية ميه وعنا مثلا بربيش والبربيش رقيق
+
+214
+00:14:11,810 --> 00:14:17,590
+وفتحنا الميه بقوة ممكن انفجر لكن بالتالي عشان الدم
+
+215
+00:14:17,590 --> 00:14:22,430
+ينقبض او يأتي من القلب تمام؟ و القلب مضخه ويأتي من
+
+216
+00:14:22,430 --> 00:14:25,690
+الناحية اليسرة طبعا هي اقوى من الناحية اليمنى
+
+217
+00:14:25,690 --> 00:14:29,650
+بالتالي يجب ان يكون عضلات قوية عضلات طبعا الشراين
+
+218
+00:14:29,650 --> 00:14:34,230
+قوية الخاصية التانيةتحمل القلب طبعا الدم القلب إلى
+
+219
+00:14:34,230 --> 00:14:39,350
+جميع أجزاء الجسم يبقى لازم كل خلية يصلها دم مؤكسج
+
+220
+00:14:39,350 --> 00:14:43,550
+أي خلية ما بيصلها دم مؤكسج نهيتها الموت وانا مثال
+
+221
+00:14:43,550 --> 00:14:48,770
+بسيط احنا قلنا مرض السكر لأنه ما بيصل الدم للأطراف
+
+222
+00:14:48,770 --> 00:14:52,010
+بصورة طبيعية في النهاية حصل لمرحلة يعيش الغرغرينة
+
+223
+00:14:55,720 --> 00:15:00,220
+النقطة التالتة يصل الدم إلى جميع الشريين من البطين
+
+224
+00:15:00,220 --> 00:15:03,700
+الأيصر عدق الشريان الرئوي يبقى هنا في عندنا طريقين
+
+225
+00:15:03,700 --> 00:15:07,880
+يعني في عندنا مخرجين للدم مخرج من الناحية اليسرة
+
+226
+00:15:07,880 --> 00:15:12,500
+اللي هو عبر إيش الشريان الأورطي ومخرج من الناحية
+
+227
+00:15:12,500 --> 00:15:17,260
+اليمنه الشريان الرئوي لكن هذا بيحمل دم مؤكسج
+
+228
+00:15:17,260 --> 00:15:21,250
+الأورطةوالريئوي يحمل دم غير موكساجي، لكن اتنين
+
+229
+00:15:21,250 --> 00:15:26,050
+يعتبروا شريين اللي بتبع القاعدة الأساسية أن الدم
+
+230
+00:15:26,050 --> 00:15:31,290
+يحمل أكسجين هو الشريان الأورطي، لكن الشريان
+
+231
+00:15:31,290 --> 00:15:34,990
+الريئوي شاد عن القاعدة ويحمل دم غير موكساجي
+
+232
+00:15:43,020 --> 00:15:48,060
+جميع الشريط تحمل دم أحمر اللون و أكسج يعني وردي و
+
+233
+00:15:48,060 --> 00:15:53,560
+ليس قاني لأن كل ما زاد لون الدم أو غيمج أكتر معناه
+
+234
+00:15:53,560 --> 00:15:58,180
+بيحمل غالبا ثانوكسيد الكربونلكن بيكون الدم وردي،
+
+235
+00:15:58,180 --> 00:16:02,760
+اللون فاتح شوية لإنه فيه اكسجين، لأ فيه اكسجين،
+
+236
+00:16:02,760 --> 00:16:05,840
+طبعا عداء الدم عداء الشريان الرئوي، يعني كل
+
+237
+00:16:05,840 --> 00:16:11,100
+الشراين تحمل دم و أكسج ما عدا الشريان الرئوي لإنه
+
+238
+00:16:11,100 --> 00:16:14,920
+ينتقل من ناحية اليمنى إلى الرئتين عشان يطرد ثانو
+
+239
+00:16:14,920 --> 00:16:20,900
+أكسجة الكربون، طبعا الشريان الرئوي و الشريان
+
+240
+00:16:20,900 --> 00:16:24,990
+الأوروطي اندفاع الدم فيهم في نفس الوجدبمعنى
+
+241
+00:16:24,990 --> 00:16:28,150
+مابنقولش والله النحل اليمنى هتضخ الدم و تنتظر
+
+242
+00:16:28,150 --> 00:16:31,270
+النحل اليسرى، لأ، الاتنين مينضخوا إيش مع بعض في
+
+243
+00:16:31,270 --> 00:16:36,150
+نفس الوجد طبعا الشريان فيه نبض، و الدليل علي ذلك
+
+244
+00:16:36,150 --> 00:16:39,470
+احنا قولنا في حال ان انا استكشف النبض عن طفل تحت
+
+245
+00:16:39,470 --> 00:16:43,410
+القبط أو عند إنسان بالغ طبعا من الشريان السباتي،
+
+246
+00:16:43,410 --> 00:16:48,850
+الوليد مافيه نبضوبالتالي لأنه الأوردة الشرايين آسف
+
+247
+00:16:48,850 --> 00:16:53,330
+فيها خطورة للنزيف الشديد فمن حكمة ربنا معظمها
+
+248
+00:16:53,330 --> 00:16:58,210
+غائرة والاماكن اللي فيها شرايين سطحية احنا مستغلها
+
+249
+00:16:58,210 --> 00:17:02,740
+غالبا في تخفيض الحرارةمثلًا زي ما قلنا في الرجبة
+
+250
+00:17:02,740 --> 00:17:07,080
+أو تحت الإبط أو منطقة الفخد أو منطقة الحوت أو خلف
+
+251
+00:17:07,080 --> 00:17:11,560
+الركبة هذه فيها شرائين ظاهرة طيب هل هناك فرق إن
+
+252
+00:17:11,560 --> 00:17:14,760
+أقول والله بدي أنا أستشعر النبض من الرجبة أو أقول
+
+253
+00:17:14,760 --> 00:17:19,060
+عدد دجات القلب من الرجبة مختلفة عن القدم؟ واحدة
+
+254
+00:17:19,060 --> 00:17:24,340
+لأن كله نفس الاندفاع ونفس القوة أوضح
+
+255
+00:17:25,130 --> 00:17:27,770
+عشان .. نعم لأنه طبعا أقرب والتالي هم يقولوا في
+
+256
+00:17:27,770 --> 00:17:30,630
+حالات الإسعاف الأولى ابعدوا عن الأطراف لإنه مش
+
+257
+00:17:30,630 --> 00:17:34,850
+هتشعر بالنبض فدائما جرب على شريان جريب شريان واضح
+
+258
+00:17:34,850 --> 00:17:38,870
+لأن دائما وغالبا هذا حتى انت لاحظي لما اتكلم على
+
+259
+00:17:38,870 --> 00:17:42,530
+موضوع الصدمة وموضوع الغماق هلاحظ إنه أحيانا لما
+
+260
+00:17:42,530 --> 00:17:46,050
+جينا واحد مثلا حتى في حالات الإسعاف ييجي مثلا واحد
+
+261
+00:17:46,050 --> 00:17:51,960
+على الاستجبال مباشرة بتم تركيب وريد محلوللأن
+
+262
+00:17:51,960 --> 00:17:55,380
+بعديها هتصير غائرة مش هتكون واضحة لإن طبعا هذا
+
+263
+00:17:55,380 --> 00:17:58,500
+هنتكلم في إيش بيصير معاها بالنسبة لحالات النزيف
+
+264
+00:17:58,500 --> 00:18:01,640
+لإن طبعا بيصير انقباض و طبعا صعوبة إن أنا أجي إيش
+
+265
+00:18:01,640 --> 00:18:06,340
+وريد بعد ذلك، يبقى فيها إيش نبض تكون عميقة عن
+
+266
+00:18:06,340 --> 00:18:09,280
+السطح، وهذا من فضل ربنا عليه، لو كل الأشراين
+
+267
+00:18:09,280 --> 00:18:14,340
+واضحة، لو أي خدش فيها نزيف قوي، هذو الأوردة،
+
+268
+00:18:14,340 --> 00:18:20,010
+الأوردة يعني إن هيكدهيكده أحسن حاجة عشان للوريدلكن
+
+269
+00:18:20,010 --> 00:18:23,390
+نرفع يدنا فوق، بروح، لأن طبعا يكون سهولة لعودة
+
+270
+00:18:23,390 --> 00:18:28,390
+الدم في
+
+271
+00:18:28,390 --> 00:18:32,730
+حال حدوث قطع في أحد الشرايين، الدم ينزف من الجروح
+
+272
+00:18:32,730 --> 00:18:37,030
+على شكل نبضات، يعني بيقول بنشف، تنشيب، تمام؟،
+
+273
+00:18:37,030 --> 00:18:42,550
+بيطلع القوة، طبعا النبضات هذه حسب انقباض القلب،
+
+274
+00:18:42,550 --> 00:18:45,070
+يعني كل ما ينقبض القلب، هتطلع، لأن طبعا القلب لا
+
+275
+00:18:45,070 --> 00:18:50,850
+يتوقف، وهيقولنا عدد دجات القلبتقريبا من ستين إلى
+
+276
+00:18:50,850 --> 00:18:53,810
+مية .. اه وبالتالي طبعا حسب المجهود .. وكأو ..
+
+277
+00:18:53,810 --> 00:18:58,850
+طبعا نزيف أخطر في حال أن يكون إنسان خايف أو كان
+
+278
+00:18:58,850 --> 00:19:03,010
+بيبدل مجهود .. ليش؟
+
+279
+00:19:03,010 --> 00:19:07,110
+لأن القلب بيعمل بسرعة .. وبالتالي طبعا يكون الخوف
+
+280
+00:19:07,110 --> 00:19:10,190
+أكتر في حال الخوف .. طبعا نزيف أشد و أخطر في حال
+
+281
+00:19:10,190 --> 00:19:15,520
+يكون خايف الإنسان أو بيبدل إيش .. مجهودطبعا نزيفها
+
+282
+00:19:15,520 --> 00:19:20,180
+هنا خطير جدا ليش؟ لأنه يندفع بقوة لأن طبعا جائش من
+
+283
+00:19:20,180 --> 00:19:24,500
+المضخة مباشرة طبعا
+
+284
+00:19:24,500 --> 00:19:27,040
+بس الصورة لإننا نستشعر ما بده احنا أخدناها قبل
+
+285
+00:19:27,040 --> 00:19:32,940
+هيكة ننتقل للأوردة الأوردة طبعا هي أنبيب يعني
+
+286
+00:19:32,940 --> 00:19:39,060
+ينتقل فيها الدم وهي طبعا أنبيب أقل ثماكة من و أقل
+
+287
+00:19:39,060 --> 00:19:43,970
+قوة من الشراين لأنه مافيش عليها يقع عبءمافيش
+
+288
+00:19:43,970 --> 00:19:47,030
+مضخات، مافي مضخات إلها اللي طبعا يقع عليها علاء
+
+289
+00:19:47,030 --> 00:19:49,750
+الأوردة، يعني البعض احنا لو ناخدها علميا مضخة
+
+290
+00:19:49,750 --> 00:19:53,670
+الأوردة هي الخلايا، مضخة الأوردة هي الخلايا، و
+
+291
+00:19:53,670 --> 00:19:57,450
+الخلايا مافيها قوة زي القلب، وبالتالي طبعا الأوردة
+
+292
+00:19:57,450 --> 00:20:03,840
+أقل قوة و أقل صلاة و أقل طبعا ليونة من الشريينطبعا
+
+293
+00:20:03,840 --> 00:20:06,580
+تقوم الأورده بنقل الدم المختلف أعضاء الجسم إلى
+
+294
+00:20:06,580 --> 00:20:09,980
+القلب وتصوب في الأذين الأيمن عدا الأورده اللي هو
+
+295
+00:20:09,980 --> 00:20:13,020
+تصوب في الأذين الأيصر وهي طبعا حالة الشاد ده كمان
+
+296
+00:20:13,020 --> 00:20:19,700
+زي ما قلنا الأورده الرئوية تحمل الدم المؤكسج من
+
+297
+00:20:19,700 --> 00:20:26,120
+الرئتين إلى الناحية اليسرةالناحية اليسرى تمام؟ طب
+
+298
+00:20:26,120 --> 00:20:28,560
+مين بيحمل الدم عيد مرة تانية للناحية اليمنى؟
+
+299
+00:20:28,560 --> 00:20:31,200
+الوريد الأجوى في العلوي والوريد الأجوى في السفلي
+
+300
+00:20:31,200 --> 00:20:35,900
+وهو طبعا بيحمل دم غير مؤكسج، يبقى هد طبعا حالة
+
+301
+00:20:35,900 --> 00:20:40,980
+شاذة كمان إن الأوردة تحمل دم غير مؤكسج عدا الأوردة
+
+302
+00:20:40,980 --> 00:20:44,720
+الرئاوية الأربعة اللي هي بتمثل جزء من الدورة
+
+303
+00:20:44,720 --> 00:20:45,880
+الدموية الصغراء
+
+304
+00:20:48,560 --> 00:20:52,260
+جميع الأورد تحمل دم غير مؤكسج، يعني غير نقي، يعني
+
+305
+00:20:52,260 --> 00:20:54,760
+فيه ثانو أكسيد الكربون، ودائما يا أخوات لما نقول
+
+306
+00:20:54,760 --> 00:20:57,000
+احنا مؤكسج وغير مؤكسج، المقصود فيه أكسجين وثانو
+
+307
+00:20:57,000 --> 00:21:00,000
+أكسيد الكربون، طبعا هو فيه فضلات أخرى، لكن أهم
+
+308
+00:21:00,000 --> 00:21:02,720
+حاجة هو البهادة في حياة الإنسان هو طبعا ثانو أكسيد
+
+309
+00:21:02,720 --> 00:21:08,710
+الكربون، طبعا عدى الأورد الرئاوية الأربعةيكون نزيف
+
+310
+00:21:08,710 --> 00:21:13,370
+فيها بنسياب مش على هاي الدفقات أو نبضات لإنه مافيش
+
+311
+00:21:13,370 --> 00:21:16,990
+مضخة لإنه مش جاي من القلب مافيش مضخة لإنه بالتالي
+
+312
+00:21:16,990 --> 00:21:22,710
+في نزيف طبعا بخرج بنسياب وقوة النزيف أقل من قوته
+
+313
+00:21:22,710 --> 00:21:27,170
+إيش في الشرياني طبعا أقل خطورة زي ما قلنا من
+
+314
+00:21:27,170 --> 00:21:32,130
+الشريانيتكون غالبا سطحية كلنا فيه لو اطلعتوا
+
+315
+00:21:32,130 --> 00:21:35,630
+فيديوكم بتكون إيش واضحة هنا الشرين طبعا واضحة إلا
+
+316
+00:21:35,630 --> 00:21:39,410
+عند البدينين ممكن تكون غائرة شوية ليش؟ بالسبب طبعا
+
+317
+00:21:39,410 --> 00:21:42,530
+حكم الطبقة الدهنية اللي ممكن طبعا اتغطي فيها و
+
+318
+00:21:42,530 --> 00:21:46,810
+أثناء الخوف و القلق و التوتر طبعا ما بتكون واضحة و
+
+319
+00:21:46,810 --> 00:21:51,610
+طبعا له سبب معين هنتكلم فيه إن شاء الله لاوجد بها
+
+320
+00:21:51,610 --> 00:21:56,550
+نبض عكس الشريان بالظبط الشريان جاي من المضخةفيه
+
+321
+00:21:56,550 --> 00:22:00,210
+نبض لكن هذه مافيها مضخ وبالتالي طبعا مافيه أيش نبض
+
+322
+00:22:00,210 --> 00:22:05,950
+جدارها رقيق وهو طبعا أسهل اللي راح نستخدمه في حالة
+
+323
+00:22:05,950 --> 00:22:10,290
+طبعا إعطاء المحالي الوريدية همقول محالي وريدية
+
+324
+00:22:10,290 --> 00:22:15,430
+وليست شريانيةلأن طبعا هترجع القلب .. هترجع القلب و
+
+325
+00:22:15,430 --> 00:22:18,770
+القلب يدخل الجسم و يصير لها معاملة وبالتالي هنا
+
+326
+00:22:18,770 --> 00:22:22,870
+بده إنسان لما بده يعطي ال .. ال .. الوريد او محلول
+
+327
+00:22:22,870 --> 00:22:26,970
+في الوريد يكون عنده خبرة انه يعرف الوريد طبعا شيء
+
+328
+00:22:26,970 --> 00:22:30,770
+بالخبرة بيصير كل الأورد أو معظم الأورد ده سطحية
+
+329
+00:22:30,770 --> 00:22:33,630
+طبعا في غائرة و بالتالي نقول حاجة كمان مهمة يا
+
+330
+00:22:33,630 --> 00:22:38,250
+أخواتنا مافيش وريد اللي أقبله شريانمافيش وريد اللي
+
+331
+00:22:38,250 --> 00:22:41,990
+أجباله شريان ومن هنا احنا بنقول كمان في عنا أوردة
+
+332
+00:22:41,990 --> 00:22:47,390
+ظاهرة وأوردة غائرة وفي عنا شريان بسيطة ظاهرة
+
+333
+00:22:47,390 --> 00:22:53,090
+ومعظمها غائرة بمعنى إنه في عنا الحركة باتجاهين لكن
+
+334
+00:22:53,090 --> 00:22:56,890
+الاتجاهين مابتوقفهم هذا دورة دموية كاملة طبعا الدم
+
+335
+00:22:56,890 --> 00:22:59,890
+ماشي في الشريان وبالمقابل يكون ماشي بالوريد الدم
+
+336
+00:22:59,890 --> 00:23:03,470
+يحمل .. طبعا الشريان في دم مؤكسج الوريد في دم غير
+
+337
+00:23:03,470 --> 00:23:07,810
+مؤكسج بمعنىما بيمشي الدم لوحده في الشريان وما
+
+338
+00:23:07,810 --> 00:23:10,590
+بيمشي الدم لوحده أيش في الولد، إذا توقف عمل القلب،
+
+339
+00:23:10,590 --> 00:23:12,770
+هتوقف عليه أيش، على الناحية تانية، على الناحية
+
+340
+00:23:12,770 --> 00:23:19,610
+تانية الشعيرات الدموية من اسمها طبعا هي أوعية
+
+341
+00:23:19,610 --> 00:23:23,630
+دموية لكن بحجم الشعرة وأضاق من الشعرة، ليش؟ عشان
+
+342
+00:23:23,630 --> 00:23:27,530
+طبعا تدخل الخلية، لأن لازم كل خلية يصل إليها
+
+343
+00:23:27,530 --> 00:23:30,790
+تغذية، أي خلية ما بيصل إليها تغذية ولا أكسجين،
+
+344
+00:23:30,790 --> 00:23:33,350
+معناها ميتة، وده ليه أننا طبعا نقول إنه أيش الغرغر
+
+345
+00:23:33,350 --> 00:23:38,650
+هناطبعًا تصل بين الشريان وردي يعني هي الشريان
+
+346
+00:23:38,650 --> 00:23:42,810
+ينتهي بشعية لدموية طبعًا الشريان طبعًا سميك يصغر
+
+347
+00:23:42,810 --> 00:23:45,970
+فيصغر فيصغر فيصغر لغاية لما يعني إيه صال يعني في
+
+348
+00:23:45,970 --> 00:23:49,150
+التفريعات البسيطة هذه لغاية لما يصل بحجم الخلية
+
+349
+00:23:49,150 --> 00:23:53,350
+طبعًا وطالما أنه يدخل في الخلية اللي هي حجمها
+
+350
+00:23:53,350 --> 00:23:56,590
+صغيرك بقى لازم يكون أصغر من الخلية وبالتالي طبعًا
+
+351
+00:23:56,590 --> 00:23:59,030
+بعد ما يترك اللي هو طبعًا نوكسوجين والمواد
+
+352
+00:23:59,030 --> 00:24:03,340
+التخذوية هيترداللي هو المواد الدالة والدار
+
+353
+00:24:03,340 --> 00:24:07,340
+والفضلات عبر الشعيرة التانية يعني المعنى الشريان
+
+354
+00:24:07,340 --> 00:24:12,060
+ينتهي بشعيرة والوريد يبدأ بشعيرة لأن طبعا المدخل
+
+355
+00:24:12,060 --> 00:24:18,380
+شعيرة والمخرج برضه أيش شعيرة طبعا
+
+356
+00:24:18,380 --> 00:24:23,540
+تنقل الأكسجين وتنقل الفضلات من أهتين يعني بمعنى
+
+357
+00:24:23,540 --> 00:24:28,500
+تنقل دم مؤكسج وغير مؤكسج طبعا خاصية فيها تنقل دم
+
+358
+00:24:28,500 --> 00:24:29,940
+مؤكسج وغير مؤكسج
+
+359
+00:24:33,200 --> 00:24:36,580
+طبعا نزيف فيه يا أخواتنا رشح، يعني زي نقاط بسيطة،
+
+360
+00:24:36,580 --> 00:24:39,460
+وهذا طبعا دليل لو احنا نذكر بالنسبة للجروح، طبعا
+
+361
+00:24:39,460 --> 00:24:42,420
+فيه عندنا الجرح السحجي، يعني مثلا بسيط جدا أو
+
+362
+00:24:42,420 --> 00:24:45,840
+الكحتي أو طبعا لو واحد مثلا وجه على الأرض، ونقول
+
+363
+00:24:45,840 --> 00:24:50,580
+مثلا سحقت رجله او أيه دوشي، بناجي فيه خدشالخدش هنا
+
+364
+00:24:50,580 --> 00:24:55,200
+في بعض نقاط الدم هذا طبعا هي نزيف و شعيري طبعا هنا
+
+365
+00:24:55,200 --> 00:24:58,460
+سهل جدا يتوقف على أكس طبعا نزيف طبعا اللي هو
+
+366
+00:24:58,460 --> 00:25:03,100
+الشرياني أو الوريدي لكن فرصة أن يتلوث إذا لم يتم
+
+367
+00:25:03,100 --> 00:25:09,980
+طبعا إسعافه ممكن طبعا يكون أيش وردة كبيرة لا
+
+368
+00:25:09,980 --> 00:25:12,900
+يعتبر نزيف الشعيري خطير لأن طبعا حاجة سطحية حاجة
+
+369
+00:25:12,900 --> 00:25:16,120
+سطحية جدا مافيش منها خطورة نقول الله فيها خطورة من
+
+370
+00:25:16,120 --> 00:25:19,340
+النزيف أو نزيف طبعا يكون كمية الدم الورد فيه كبيرة
+
+371
+00:25:21,030 --> 00:25:24,270
+يتوقف هذا النزيف طبعا تلقائيا، ليش؟ لأنه يصير
+
+372
+00:25:24,270 --> 00:25:27,150
+انقباض عندنا في الشعيرة الدموية وبتوقف النزيف
+
+373
+00:25:27,150 --> 00:25:31,450
+تلقائيا، لكن لازم تم تطهيره بمحلول ملح أو أي مادة
+
+374
+00:25:31,450 --> 00:25:36,710
+متاهرة أخرى، والأفضل أنا .. أنا جابت وفصلتها لكوا
+
+375
+00:25:36,710 --> 00:25:39,530
+بالتفاصيل، انت موجود عندكوا في الكتاب، اه و هدولة
+
+376
+00:25:39,530 --> 00:25:40,470
+كمان ضررين جدا
+
+377
+00:25:43,500 --> 00:25:47,440
+طبعا منتشرة في جميع انحاء الجسم وقلنا لازم كل خلية
+
+378
+00:25:47,440 --> 00:25:51,200
+تكون إيه إيش إيصالها شعيرة دموية، لا يوجد بها نبض
+
+379
+00:25:51,200 --> 00:25:54,020
+زي الأوردة، أرضا لا يوجد بها نبض
+
+380
+00:26:02,220 --> 00:26:06,240
+أهم الشراين اللي موجودة في الجسم و أهمها و أكبرها
+
+381
+00:26:06,240 --> 00:26:10,000
+طبعا هو أب كل الشراين الشريان الأوروتي أو الأبهر
+
+382
+00:26:10,000 --> 00:26:16,550
+وهذا طبعا كل الشراين لازم يتفرعوا منه علىالشريان
+
+383
+00:26:16,550 --> 00:26:19,530
+.. الشريان .. طبعا الشريان الرئوي لأنه يخرج من
+
+384
+00:26:19,530 --> 00:26:23,530
+الناحية اليمنى أما الشريان الأوروطي أو الأبهر يخرج
+
+385
+00:26:23,530 --> 00:26:27,230
+من ناحية اليسرى طبعا الشريان لما بيخرج .. الشريان
+
+386
+00:26:27,230 --> 00:26:29,910
+الأوروطي لازم يغذي طبعا الجزء العلوي و الجزء
+
+387
+00:26:29,910 --> 00:26:34,070
+السفلي طبعا بعد خروجهمن ال .. من القلب، من الناحية
+
+388
+00:26:34,070 --> 00:26:37,530
+اليسرى، طبعا فيه زي أرش أو طبعا يعني تحدب عشان
+
+389
+00:26:37,530 --> 00:26:41,610
+يغذي الجزء السفلي، البطن وطبعا ماتجة طبعا الحوض
+
+390
+00:26:41,610 --> 00:26:44,690
+وطبعا الجزء السفلي، الأطراف السفلية وفي عندنا طبعا
+
+391
+00:26:44,690 --> 00:26:49,170
+جزء آخر ينطلق إلى أعلى، طبعا هو في عندنا شريان
+
+392
+00:26:49,170 --> 00:26:53,390
+سباتي أيمان وأيصار، تمام؟ والشريان السباتي بحد
+
+393
+00:26:53,390 --> 00:26:57,620
+ذاته في عندنا خارجي وفي عندنا داخليعشان نعرف، لكن
+
+394
+00:26:57,620 --> 00:27:00,300
+هذا طبعًا شريان خارجي اللي أنا من خلاله بستشعر فيه
+
+395
+00:27:00,300 --> 00:27:03,920
+نبد أو فيش نبد، بمعنى إنه هذا هيغذي اللي هو إيش؟
+
+396
+00:27:03,920 --> 00:27:07,820
+الرأس، هيغذي طبعًا الرأس، وبالتام وإحنا يعني أهم
+
+397
+00:27:07,820 --> 00:27:11,740
+شريان، أهم شريان وأكبر شريان عنا هو مصدر توزيع
+
+398
+00:27:11,740 --> 00:27:14,880
+الشريان أو توفيات الشريان طبعًا هو الشريان الأورطة
+
+399
+00:27:14,880 --> 00:27:18,570
+أو الأبهر، فيعنى الشريان التاجيالشنان التاجي هذا
+
+400
+00:27:18,570 --> 00:27:23,070
+اللي طبعا بيخرج منه تشوف لحظه، الدم موجود في
+
+401
+00:27:23,070 --> 00:27:26,590
+القلب، والقلب هو اللي بتخ الدم، لكن بياخد نصيبه
+
+402
+00:27:26,590 --> 00:27:31,030
+زيه زي أي خلية، بمعنى إن ده القلب تعب أكتر هياخد
+
+403
+00:27:31,030 --> 00:27:36,510
+أكترإذا ما تعبش، هياخد نصيبه العادى، تمام؟ اشتغل
+
+404
+00:27:36,510 --> 00:27:39,710
+زيادة، هياخد دم زيادة، مااشتغلش، هياخد نصيبه زي أي
+
+405
+00:27:39,710 --> 00:27:42,210
+خلية تانية، وبالتالي، بيبقوا هنا أحنا الشرايين
+
+406
+00:27:42,210 --> 00:27:45,550
+التاجية، وكلمة التاجية هي coronary artery
+
+407
+00:27:45,550 --> 00:27:48,590
+بالإنقليزي، طبعا بالمناسبة، طبعا الـCorona هي
+
+408
+00:27:48,590 --> 00:27:53,310
+الفيروس التاجي، طبعا مرض الـCorona جاي من
+
+409
+00:27:53,310 --> 00:27:57,910
+coronary، هو تاجي، عاملة زي التاج على القلب، وطبعا
+
+410
+00:27:57,910 --> 00:28:02,790
+اسمها شرايين تاجية، تمام؟هذه الشرين التاجية بتغذي
+
+411
+00:28:02,790 --> 00:28:05,630
+القلب من الخارج بمعنى ان القلب لا يتغذى من الداخل
+
+412
+00:28:05,630 --> 00:28:10,590
+مع ان كل الدم موجود فيه لكن يتغذى من الخارج طبعا
+
+413
+00:28:10,590 --> 00:28:14,050
+يعني كمعلومة كمية الدم اللي موجودة في القلب تقريبا
+
+414
+00:28:14,050 --> 00:28:18,990
+70 سانتي 70 سانتي اللي في البطين أيمن وأيسر بتدخها
+
+415
+00:28:18,990 --> 00:28:24,030
+كل مرةالبهانة عندنا الشرايين التاجية تغذي عضلة
+
+416
+00:28:24,030 --> 00:28:30,250
+القلب، طبعا شرايين مشكلة لو صار فيها انسداد، هتؤدي
+
+417
+00:28:30,250 --> 00:28:35,890
+إلى الجلطة القلبية، هذه مشكلة أو الدبحة الصدرية،
+
+418
+00:28:35,890 --> 00:28:40,150
+هذا طبعا هناخده بالتفصيل، بس إيش؟ للمعرفة الشرايين
+
+419
+00:28:40,150 --> 00:28:44,530
+السباتي، أيمن وايسر، الإنسان نصينبناخد الناحي
+
+420
+00:28:44,530 --> 00:28:48,130
+اليمين والناحي اليسار، الشريان السباية الأيمن
+
+421
+00:28:48,130 --> 00:28:51,650
+والشريان السباية الأيسر، بمعنى إنه إذا في عندنا
+
+422
+00:28:51,650 --> 00:28:54,090
+نضر في اليمين، معناه في اليسار، مابديش يقولوا الله
+
+423
+00:28:54,090 --> 00:28:56,610
+مابديشوا بس في اليمين أو في اليسار، لأ الناحيتين
+
+424
+00:28:56,610 --> 00:29:01,450
+طبعا مابكون فيهم إيش، شريان، نضر، الشريان العضضي،
+
+425
+00:29:01,450 --> 00:29:06,400
+العضضي، من عضض، طبعا هي العضضو احنا قلنا هذا
+
+426
+00:29:06,400 --> 00:29:09,780
+الشريان اللي من خلاله انا بستشعر النبض عند الأطفال
+
+427
+00:29:09,780 --> 00:29:13,980
+تمام؟ لما في عندنا شريان عضودي و هو طبعا ينطلق من
+
+428
+00:29:13,980 --> 00:29:19,420
+تحت القبض تمام؟ عساسي ان يغذي أطراف الأصابع يعني
+
+429
+00:29:19,420 --> 00:29:22,820
+طبعا كلها و بالتالي الشريين يا أخواتنا في عندنا
+
+430
+00:29:22,820 --> 00:29:26,940
+شريين رئيسية وفي تفريعات من الشريين هذه وفي طبعا
+
+431
+00:29:26,940 --> 00:29:29,820
+أجزاء من التفريعات لغاية لما نصل للشعير الدموية
+
+432
+00:29:29,820 --> 00:29:32,900
+اللي بتغذي كل خلية من خلع الجسم
+
+433
+00:29:36,890 --> 00:29:41,270
+الشريان الفخدي وهذا طبعا خطير جدا الشريان الفخدي
+
+434
+00:29:41,270 --> 00:29:45,990
+خطير جدا وهذا اللي .. زي ما بتعرفوا هرب يغذي
+
+435
+00:29:45,990 --> 00:29:49,370
+الأطراف السفلية اللي هو باختصار احنا قولنا مكان
+
+436
+00:29:49,370 --> 00:29:54,410
+تخفيض الحرارة مكان جطع الخوف عند الأطفال لو صار
+
+437
+00:29:54,410 --> 00:29:58,130
+فيه نزيف هذا خطير ليش؟ لأنه يأتي من القلب مباشرة
+
+438
+00:29:58,130 --> 00:30:04,640
+ولو صار فيه عندنا نزيف خطورته قاتلةلأنه جاي مباشرة
+
+439
+00:30:04,640 --> 00:30:08,820
+من القلب، بعد ما .. طبعا القلب فيه طبعا تحدب إلى
+
+440
+00:30:08,820 --> 00:30:12,660
+الشريان البطني و من ثم إلى الشريان الفخذ الأيمن و
+
+441
+00:30:12,660 --> 00:30:16,840
+الفخذ الأيصر و بالتهل ده خطير جدا، نزيفه خطير جدا،
+
+442
+00:30:16,840 --> 00:30:19,200
+هو المكان نفسه، احنا قولنا بعض الشريان السطحية،
+
+443
+00:30:19,200 --> 00:30:22,100
+هذا من ضمن الشريان السطحية اللي ممكن احنا نعمل
+
+444
+00:30:22,100 --> 00:30:27,720
+تخفيد للحرارة عند الأطفال فيها طيب،
+
+445
+00:30:27,720 --> 00:30:33,300
+نجي بعض الأوردة، في عندي أنا الوريد الوداجيلمّا
+
+446
+00:30:33,300 --> 00:30:39,420
+نقول والله إنسان غضبان تمام و بيقاتل أوشي بنلاحظ
+
+447
+00:30:39,420 --> 00:30:46,600
+إنه انتفخت الأوداج الأورده طبعا هي مقابل للشريان
+
+448
+00:30:46,600 --> 00:30:51,020
+السباتي لما واحد .. لما واحد بيكون بيقاتل أوشي
+
+449
+00:30:51,020 --> 00:30:54,880
+بنقول فانتفخت أوداجه طبعا الأوداج اللي هو طبعا
+
+450
+00:30:54,880 --> 00:30:59,340
+ناحية اليمنى و ناحية أسره أو لو أنت موجفت قدام
+
+451
+00:30:59,340 --> 00:31:05,900
+المرايا و كتمت نفسكتنتفخ الأوداج لو انت قدامك و
+
+452
+00:31:05,900 --> 00:31:11,140
+اتغطى على نفسك شوية هتلاقي هنا في أورداء تنتفخ
+
+453
+00:31:11,140 --> 00:31:16,260
+أورداء طبعا هذا اللي هو الوريد الأيمن والأيسر هو
+
+454
+00:31:16,260 --> 00:31:22,660
+اللي بيحمل الدم من الدماغ عشان إيش يتصل للوريد
+
+455
+00:31:22,660 --> 00:31:26,060
+الأجوه في العلوي و يضخ الدم للناحية اليمنها
+
+456
+00:31:31,840 --> 00:31:37,160
+الوريد الصافن الانسي الكبير وهذا طبعا الوريد اللي
+
+457
+00:31:37,160 --> 00:31:41,780
+بيصير فيه الدوالي اللي بيصير فيه الدوالي وهذا طبعا
+
+458
+00:31:41,780 --> 00:31:46,940
+هو اسمه باللغة العربية طبعا هنا الوريد هذا هو اللي
+
+459
+00:31:46,940 --> 00:31:51,320
+بيصير فيه الدوالي والدوالي طبعا غالب ممكن تكون عند
+
+460
+00:31:51,320 --> 00:31:54,760
+السيدات الحوامل بسبب طبعا ثقة الحجم الرحم أو عند
+
+461
+00:31:54,760 --> 00:31:58,770
+الإنسانطبيعة عمله هو الوقوف مثلا شرطي تنهار واقف
+
+462
+00:31:58,770 --> 00:32:01,330
+وبالتالي لإن طبعا بيصير .. لإن بيصير عنده احتباس
+
+463
+00:32:01,330 --> 00:32:05,130
+للدم أو طبعا تراكم لكمية الدم وعدم صعودها طبعا
+
+464
+00:32:05,130 --> 00:32:09,690
+بسهولة إلى القلب عبر الأوردة وبالتالي الدوالي لا
+
+465
+00:32:09,690 --> 00:32:14,750
+تحصل إلا في الأوردة تحصل .. ليش؟ لإن مافي مضخة
+
+466
+00:32:14,750 --> 00:32:21,210
+المضخة اللي موجودة .. موجودة في القلب وبالتالي في
+
+467
+00:32:21,210 --> 00:32:25,480
+قدرة أن تدفع الدم عبر الشراينلكن الأوردة ما فيها،
+
+468
+00:32:25,480 --> 00:32:29,760
+ما فيها وبالتالي طبعا دايما بنلاقي الدوالي غالبا
+
+469
+00:32:29,760 --> 00:32:33,400
+في الأوردة في الأطراف السفلية ولا توجد في الأطراف
+
+470
+00:32:33,400 --> 00:32:37,750
+العلويةلأن أطراف العلوية فيها حركة، لكن أطراف
+
+471
+00:32:37,750 --> 00:32:41,430
+السفلية صعب إنه إياش الدم يطلع مرة تانية للقلب،
+
+472
+00:32:41,430 --> 00:32:45,850
+وبالتالي طبعا هذا القلب، هذا الوريد من منتصف طبعا
+
+473
+00:32:45,850 --> 00:32:49,690
+من أخمص القدم إلى منتصف الفقد، وبالتالي هذا المكان
+
+474
+00:32:49,690 --> 00:32:52,870
+اللي احنا بتشوفه الأوردة أو الدوالي عند بعض الناس،
+
+475
+00:32:52,870 --> 00:32:55,910
+سواء السيدات الحوامل أو بعض الناس اللي طبيعة عملهم
+
+476
+00:32:55,910 --> 00:32:57,390
+في القلقوفة
+
+477
+00:33:02,070 --> 00:33:06,710
+هدف الوريد اه اه هو تسبب طبعا للدوالي الوريد ..
+
+478
+00:33:06,710 --> 00:33:10,330
+طبعا الدوالي .. الدوالي قد تؤدي لجلطات ايش معنى
+
+479
+00:33:10,330 --> 00:33:13,670
+جلطات؟ اللي هو طبعا انسلاق جزء من جدار الوريد أو
+
+480
+00:33:13,670 --> 00:33:16,250
+طبعا الترسبات الموجودة في الوريد و تمشي مع تيار
+
+481
+00:33:16,250 --> 00:33:20,450
+الدم طبعا تمشي في الوعاء الواسع لكن كل ما اضياق
+
+482
+00:33:20,450 --> 00:33:23,570
+الوعاء ممكن تعمل إغلاق لغاية لما تصل .. لغاية طبعا
+
+483
+00:33:23,570 --> 00:33:26,470
+لما تصل لمنطقة ضيقة و تعمل إغلاق فيها وبالتالي
+
+484
+00:33:26,470 --> 00:33:29,990
+طبعا الخوف من الجلطات .. من ال .. ال .. ال ..
+
+485
+00:33:29,990 --> 00:33:35,880
+الدوالي وارد جداطبعا هنا كعملية بتم سحب ال ..
+
+486
+00:33:35,880 --> 00:33:39,200
+الوريد اللي صار فيه اللي هو طبعا .. طبعا تسحب ايش
+
+487
+00:33:39,200 --> 00:33:42,400
+الحال بعدين لأن في عندنا أوردة فرعية بتقدر نفس
+
+488
+00:33:42,400 --> 00:33:48,620
+القيمة و نفس المهمة نعم
+
+489
+00:33:48,620 --> 00:33:51,100
+نسمع السؤال لو سمحت .. نسمع لو سمحت .. فضلها
+
+490
+00:33:53,840 --> 00:33:56,400
+طبعا ليش بيصير خلال ما احنا قلنا طبيعة الحالة ..
+
+491
+00:33:56,400 --> 00:33:59,400
+هالجيتا احنا قلنا للسيدة الحامل ال .. الرحم مش ما
+
+492
+00:33:59,400 --> 00:34:02,380
+بيعمل دولة من البداية .. طبعا .. كل ما كبر حجم
+
+493
+00:34:02,380 --> 00:34:05,380
+الرحم بتضغط .. يعني مثلا الجيتا الدم هيمشي بسهولة
+
+494
+00:34:05,380 --> 00:34:07,800
+من الأور ده .. الوريد طبعا الصفر الإنس الكبير
+
+495
+00:34:07,800 --> 00:34:11,140
+هينتقل عبر له طبعا ال .. الوريد الأجوة في السفلي
+
+496
+00:34:11,140 --> 00:34:13,540
+.. طبعا .. طبعا بضخه في الوريد الأجوة في السفلي
+
+497
+00:34:13,540 --> 00:34:17,340
+عشان ينتقل للناحية اليمنى .. لكن لما ناجي الوريد
+
+498
+00:34:17,340 --> 00:34:21,730
+هذا في عليه ضغطمعناه هيبطأ، هتبطأ حركة الدم بطأ
+
+499
+00:34:21,730 --> 00:34:25,410
+حركة الدم هذه معناه ترسيب مواد دهنية اللي ماشية في
+
+500
+00:34:25,410 --> 00:34:29,730
+الدم على الجدران لما يصير عندنا ترسيب، هصير ضيق و
+
+501
+00:34:29,730 --> 00:34:31,670
+هصير ضعف على الأورطة طبعا دايما إخواتنا اللي
+
+502
+00:34:31,670 --> 00:34:34,650
+مانعرف حاجة إنه حتى الأور ده وش رايين فيها الصممات
+
+503
+00:34:34,650 --> 00:34:38,710
+الداخلية طبعا باتجاه واحد لكن لما يصير عندي عبق
+
+504
+00:34:38,710 --> 00:34:42,450
+معناه الصممات هذه هصير ثقل عليها و هيصير عبق عليها
+
+505
+00:34:42,450 --> 00:34:46,050
+معناه هصير فيها ضعف معناه إيش هيصير عندي لو الوريد
+
+506
+00:34:46,050 --> 00:34:51,090
+شكله؟ هيتتسعالورد هيتسه و هذا معناه الدوالي لكن في
+
+507
+00:34:51,090 --> 00:34:54,650
+الشريعة ما بيصير وهنا طبعا نقول احنا الدوالي بيصير
+
+508
+00:34:54,650 --> 00:34:58,330
+عند السيدة الحامل او انسان واجفته طبعا او طبيب
+
+509
+00:34:58,330 --> 00:35:01,430
+عمله لوقفة طويلة او ساعات وبالتالي احنا ايش المنصح
+
+510
+00:35:01,430 --> 00:35:04,470
+للسيدة الحامل ان لما تنام ترفع القدمين تلاتين
+
+511
+00:35:04,470 --> 00:35:08,050
+سانتي او اربعين سانتي عشان سهولة عولة الدم مرة
+
+512
+00:35:08,050 --> 00:35:12,350
+تانية للقلب الاملاح
+
+513
+00:35:12,350 --> 00:35:17,320
+لا الاملاح الا او لا قبض اقت الدمغير الدوالي، ضغط
+
+514
+00:35:17,320 --> 00:35:20,480
+الدم يا أخوات، نحنا قلنا، أنا دوبة من البداية، ضغط
+
+515
+00:35:20,480 --> 00:35:24,660
+الدم شرياني وليست وريدي، الدوالي وريدي وليس
+
+516
+00:35:24,660 --> 00:35:33,140
+شرياني، لأ،
+
+517
+00:35:33,140 --> 00:35:35,020
+هذه حاجة تانية، هذه حاجة عند الرجال، مش عند
+
+518
+00:35:35,020 --> 00:35:39,030
+السيداتلأ عشان احنا نكون واضحين الدوالي قولنا يا
+
+519
+00:35:39,030 --> 00:35:43,290
+أخواتنا الدوالي .. الدوالي بتصيب الأور ده و لا
+
+520
+00:35:43,290 --> 00:35:47,430
+تصيب الشراين ضغط الدم يصيب الشراين ما .. ما بيصيب
+
+521
+00:35:47,430 --> 00:35:50,750
+الأور ده تمام؟ أما هذه الدوالي بتصير .. طبعا
+
+522
+00:35:50,750 --> 00:35:53,590
+بالطرف السفلية مايلها ولا لها .. لكن هي بتنفج عن
+
+523
+00:35:53,590 --> 00:35:57,550
+الحمل عن ثقل .. عن ثقل .. عن كبر حجم الرحم لأنه
+
+524
+00:35:57,550 --> 00:36:02,210
+بيتغط على الممر اللي طبعا ..ممكن تظلها تكرار
+
+525
+00:36:02,210 --> 00:36:05,690
+الحميل بيؤدي إلى زيادتها وبروزها و أحيان طب تكون
+
+526
+00:36:05,690 --> 00:36:10,450
+واضحة جدا قد ت .. طبعا تتطر أو ممكن تصير مثلا خوف
+
+527
+00:36:10,450 --> 00:36:14,970
+من الجلطات، خوف من التهابات، ما هو طبعا ممكن نعمل
+
+528
+00:36:14,970 --> 00:36:18,990
+عملية جراحية فيها، تمام؟ إذا كانت واضحة، لكن أحيان
+
+529
+00:36:18,990 --> 00:36:21,890
+إذا كانت منتشرة في كل الطرف السفلي، طبعا صعب
+
+530
+00:36:21,890 --> 00:36:26,530
+تنعمل، وبالتالي هنا خطورة النزيف فيها واردوقت
+
+531
+00:36:26,530 --> 00:36:30,670
+النظيفة وارد بسبب طبعا رقة الجدار لان كل ما اتسعت
+
+532
+00:36:30,670 --> 00:36:34,510
+اكتر كل ما كان الجدار ارقوا اكتر وقت ما فيها خطورة
+
+533
+00:36:34,510 --> 00:36:37,890
+اكترفيه إن الوريد التاني اللي هو طبعا الوريد
+
+534
+00:36:37,890 --> 00:36:41,370
+الأجواء في السفل طبعا الصافن الانسي الصغير وهو
+
+535
+00:36:41,370 --> 00:36:44,770
+طبعا .. هذا طبعا ال .. الوريد الصافن الانسي الكبير
+
+536
+00:36:44,770 --> 00:36:47,390
+داخليا يعني الدوالي الغالب مابتكون مش من الداخل
+
+537
+00:36:47,390 --> 00:36:50,930
+مابتكون من الخارج أما بالنسبة للوريد الانسي الصافن
+
+538
+00:36:50,930 --> 00:36:55,210
+الصغير هو بياخد مدم من الناحية الخارجية لغاية
+
+539
+00:36:55,210 --> 00:36:59,910
+منتصف اللي هي طبعا اللي هي عضلة السمانة طبعا هي في
+
+540
+00:36:59,910 --> 00:37:03,800
+الساقوبالتالي طبعا الخطورة اللى بيصير فيها الدوال
+
+541
+00:37:03,800 --> 00:37:08,480
+غالبا في الوريد الصافن الانسي الكبير هو الموضوع
+
+542
+00:37:08,480 --> 00:37:12,720
+كبير يعني ماقدرش نخلصه طبعا في لقاء او اتنين فنجف
+
+543
+00:37:12,720 --> 00:37:16,380
+لإصابة الجهاز .. إصابة الجهاز الدوري ونكمل ان شاء
+
+544
+00:37:16,380 --> 00:37:18,040
+الله المرة الجاية الأربعة بإذن الله تعالى
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/h6c2Uhi_jDA.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/h6c2Uhi_jDA.srt
new file mode 100644
index 0000000000000000000000000000000000000000..643f7dc306ea5908e660a543f51a3daccf1a607a
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/h6c2Uhi_jDA.srt
@@ -0,0 +1,1754 @@
+1
+00:00:05,080 --> 00:00:06,780
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:06,780 --> 00:00:09,420
+الرحيم الصلاة والسلام على شرف المرسلين سيدنا محمد 
+
+3
+00:00:09,420 --> 00:00:14,020
+وليه وصحابه وسلم  تكلّمنا قبل كده على موضوع الجروح
+
+4
+00:00:14,020 --> 00:00:16,660
+وأنواع الجروح وكيف .. وكيفية طبعا إسعاف الجروح
+
+5
+00:00:16,660 --> 00:00:20,280
+طبعا اللي تكلّمنا على أن فينا عدة أنواع من الجروح 
+
+6
+00:00:20,280 --> 00:00:23,560
+كيف بتم إسعافها، اليوم هناخد طبعا يعني بعض أنواع
+
+7
+00:00:23,560 --> 00:00:26,480
+من الجروح، يمكن بعض أنواع الجروح هي المؤذية نوعا 
+
+8
+00:00:26,480 --> 00:00:30,460
+ما، حتى للعين بتكون مؤذية اللي طبعاً جروح البترية
+
+9
+00:00:30,460 --> 00:00:34,000
+أو طبعاً يكون فيها بتر مثلا أصابع أو حتى ونكون
+
+10
+00:00:34,000 --> 00:00:37,280
+مثلا حتى السن بحد ذاته ممكن يكون له تساقط وبالتالي
+
+11
+00:00:37,280 --> 00:00:41,720
+لما أتكلم على الحالة هذه أهم حاجة أنا بدي ما أفقد
+
+12
+00:00:41,720 --> 00:00:44,600
+العضو طبعاً وهذا بيعتمد على جداش برضه قدرة
+
+13
+00:00:44,600 --> 00:00:47,940
+الخدمات الصحية اللي ممكن تقدم للعضو هذا وقدرة
+
+14
+00:00:47,940 --> 00:00:51,000
+إعادته إلى مكانه الطبيعي وهل في إمكانية إعادة
+
+15
+00:00:51,000 --> 00:00:55,120
+العضو هذا طبعاً بطريقة جراحية لكن احنا كطريقة
+
+16
+00:00:55,120 --> 00:00:58,830
+مبدئية عشان أن أنا أحافظ على العضو هذا أول شي احافظ 
+
+17
+00:00:58,830 --> 00:01:02,050
+عليه من الجفاف وأحافظ عليه من التلوث لأن طبعا لو 
+
+18
+00:01:02,050 --> 00:01:05,170
+كان عندي جفاف معناه طبعا فيه ضيق بالأوعية الدموية و
+
+19
+00:01:05,170 --> 00:01:08,210
+فيه خسارة للعضو هذا نفسه وبالتالي هنا يعني أنا 
+
+20
+00:01:08,210 --> 00:01:12,710
+ممكن احافظ على العضو هذا زي ما احنا كاتبين هنا كيس 
+
+21
+00:01:12,710 --> 00:01:15,650
+محلول ملحي مش ضروري من الصيدلية لو كان الكيس محلول
+
+22
+00:01:15,650 --> 00:01:19,270
+ملحي تركيز خفيف يعني ممكن نعمله من البيت لكن أفضل 
+
+23
+00:01:19,270 --> 00:01:21,930
+لو كان من الصيدلية بكون أفضل أن طبعا هو محلول ملح
+
+24
+00:01:21,930 --> 00:01:24,690
+اللي هو تسعة من المائة في المائة أنا طبعا احنا
+
+25
+00:01:24,690 --> 00:01:29,920
+بنسميه الـ saline أو المحلول متعو هاد طبعا يوضع
+
+26
+00:01:29,920 --> 00:01:33,300
+العضو فيه ومن خارج طبعا يوضع قطع ثلج حفاظا عليه 
+
+27
+00:01:33,300 --> 00:01:36,860
+عشان طبعا حماية العضو هذا من التلوث وبنفسي لو
+
+28
+00:01:36,860 --> 00:01:40,480
+وجدت حماية على رطوبة العضو هذا أن ما يحدث له جفاف
+
+29
+00:01:40,480 --> 00:01:44,850
+طبعا كل مكان وجدت أسرع كل مكان أفضل يعني جميعا مثلا 
+
+30
+00:01:44,850 --> 00:01:49,390
+بعض الحالات إنسان مثلا حدث معين سقط السن طبعا سقط 
+
+31
+00:01:49,390 --> 00:01:53,130
+بطريقة غير طبيعية مش أنه خلاص صار السن مثلا سن 
+
+32
+00:01:53,130 --> 00:01:56,250
+لبني وجماعة سن طبعا دائم لأ كل مثلا نتيجة حدث
+
+33
+00:01:56,250 --> 00:02:01,070
+طبعا ممكن وضع السن اللي سقط نفس الطريقة أو ممكن
+
+34
+00:02:01,070 --> 00:02:04,710
+وضعه في حليب والحليب طبعا مباشر على طبيب الأسنان
+
+35
+00:02:04,710 --> 00:02:08,770
+حتى يتم إعادة زراعته وحصل حالات كتيرة حدثت من 
+
+36
+00:02:08,770 --> 00:02:10,870
+النوع هذا وتم إعادة زراعتها
+
+37
+00:02:17,820 --> 00:02:20,840
+طبعا زي ما احنا كاتبين نقطة الأخيرة ليس بالضرورة
+
+38
+00:02:20,840 --> 00:02:23,800
+أن آخذ والله العضو أقضي لأغسل في العضو نفسه عشان
+
+39
+00:02:23,800 --> 00:02:28,200
+عملية تنظيف أو تعقيم أو تطهير أنا مجرد عملية غسل
+
+40
+00:02:28,200 --> 00:02:31,160
+سريع جداً وأضعه في محلول ملح ومتابعة من الخارج
+
+41
+00:02:31,160 --> 00:02:34,080
+طبعا قطعة ثلج عشان أن احافظ على الحرارة واحافظ على
+
+42
+00:02:34,080 --> 00:02:39,190
+رطوبته وطبعا يتم إرساله مع الشخص مع ملاحظة أنه
+
+43
+00:02:39,190 --> 00:02:42,410
+الجرح المبتور أنا بدي أتعامل معه عشان إيقاف 
+
+44
+00:02:42,410 --> 00:02:46,030
+النزيف، يبقى أنا بتعامل بطريقتين، مع الجرح النزف و
+
+45
+00:02:46,030 --> 00:02:50,490
+مع العضو المفقود عشان يتم إعادته، يمكن طبعا إذا
+
+46
+00:02:50,490 --> 00:02:53,690
+احنا أسرعنا في الوقت بتكون فرصة أكبر لإعادة الجروح
+
+47
+00:02:53,690 --> 00:03:01,270
+جراحياً، للعضو المبتور جراحياً، هذه بعض طبعا الصور،
+
+48
+00:03:01,270 --> 00:03:05,050
+طبعا صح مؤذية للعين، لكن وإحنا تحصل ممكن طبعا 
+
+49
+00:03:05,050 --> 00:03:06,470
+إعادتها مرة أخرى 
+
+50
+00:03:10,330 --> 00:03:13,770
+طبعا ممكن زي ما اتكلم احنا هنا يعني إسعاف الجروح
+
+51
+00:03:13,770 --> 00:03:17,610
+المفتوحة اللي هي عشان لو كان في عندي جروح طبعا لو 
+
+52
+00:03:17,610 --> 00:03:21,270
+في نزيف عملية إيقاف النزيف وأولى طرق إيقاف النزيف
+
+53
+00:03:21,270 --> 00:03:24,890
+اللي هي الضغط المباشر على مكان الجروح بعدين رفع 
+
+54
+00:03:24,890 --> 00:03:28,970
+العضو المصاب تمام بعدين الضغط على الشريان المغذي و
+
+55
+00:03:28,970 --> 00:03:32,870
+آخر طريقة طبعا طريقة اللي هي الرباط الضغط في حال
+
+56
+00:03:32,870 --> 00:03:36,970
+الجروح البترية وحنقول طبعا ممكن تكون فترة الضغط
+
+57
+00:03:36,970 --> 00:03:41,210
+على الجروح النازف في حالات الجروح البترية تقريباً 
+
+58
+00:03:41,210 --> 00:03:45,030
+لا تزيد عن عشرين دقيقة حتى لا أقطع الدم كلياً على
+
+59
+00:03:45,030 --> 00:03:48,790
+المنطقة لكن احنا المسافة ما بين أي مكان بيصير فيه
+
+60
+00:03:48,790 --> 00:03:52,610
+عندنا حادث لوصوله لمستشفى يعني لا تتعدى خمس عشر
+
+61
+00:03:52,610 --> 00:03:58,440
+دقيقة أو أقل طبعا هنا بعض الملاحظات يعني عدم غسل
+
+62
+00:03:58,440 --> 00:04:00,920
+الجروح لأن طبعا زيادة غسل الجروح معناها زيادة
+
+63
+00:04:00,920 --> 00:04:03,380
+النزيف وبالتالي احنا ذكرنا أن لو كان عندنا جروح و
+
+64
+00:04:03,380 --> 00:04:06,800
+وضعنا عليه قطعة قماش وطبعا صار فيها دم أنا
+
+65
+00:04:06,800 --> 00:04:10,520
+ما بشيلها بل أنا بضع قطعة قماش ثانية حتى لا يتجدد 
+
+66
+00:04:10,520 --> 00:04:15,580
+النزيف مرة أخرى طبعا احنا يعني النقطة الأخيرة
+
+67
+00:04:15,580 --> 00:04:19,520
+ذاكرينها الصدمة ممكن توجد الصدمة وزي ما اتكلمنا
+
+68
+00:04:19,520 --> 00:04:22,820
+الصدمة الها أنواع الصدمة اللي موجودة في الحالة هذه
+
+69
+00:04:22,820 --> 00:04:26,340
+هي صدمة من النوعين لكن النوع الأكثر يعني
+
+70
+00:04:26,340 --> 00:04:30,520
+الاحتمالية هو الصدمة الناتجة عن فقدان السوائل لأي
+
+71
+00:04:30,520 --> 00:04:35,720
+دم طبعا الصدمة الناتجة عن شدة النزيف النوع الثاني
+
+72
+00:04:35,720 --> 00:04:38,240
+اللي قد يحدث هو الصدمة نتيجة الألم، بالذات لما
+
+73
+00:04:38,240 --> 00:04:41,780
+يكون في عندي إصابة بالأطراف أو طبعا قاطع بالأطراف
+
+74
+00:04:41,780 --> 00:04:44,820
+أو ببتر بالأطراف، يبقى هنا الاحتمالية الأولى
+
+75
+00:04:44,820 --> 00:04:50,120
+بالنسبة للصدمة اللي هي الناتجة عن فقدان الدم كمية
+
+76
+00:04:50,120 --> 00:04:50,520
+كبيرة
+
+77
+00:05:02,890 --> 00:05:06,470
+طبعا هنا بدنا نؤكد لإخواننا حاجة أنه صح أنا بنظف 
+
+78
+00:05:06,470 --> 00:05:10,490
+الجرح لكن ما بستمر في عملية غسل الجرح لأن غسل 
+
+79
+00:05:10,490 --> 00:05:14,990
+الجرح معناها استمرار للنزيف فأنا ممكن أطهر الجرح
+
+80
+00:05:14,990 --> 00:05:18,170
+بمحلول مطهر ما في عندنا محلول مطهر محلول ماء وملح
+
+81
+00:05:18,170 --> 00:05:21,890
+أنا ممكن أستخدمه من البيت ما بضل أغسل الجرح ممكن 
+
+82
+00:05:21,890 --> 00:05:26,350
+أستخدم تجفيف الجرح واستخدام أي مادة مطهرة مثلا زي 
+
+83
+00:05:26,350 --> 00:05:31,660
+الـ بودين وبالتالي وضع القطعة القماش أو الشاش على
+
+84
+00:05:31,660 --> 00:05:36,420
+مكان الجرح هي بتساعد أساسا على توقف النزيف وعدم
+
+85
+00:05:36,420 --> 00:05:42,120
+دخول الشخص بحالة من الصدمة نتيجة .. نتيجة طبعا
+
+86
+00:05:42,120 --> 00:05:43,700
+فقدان كمية كبيرة من الدم
+
+87
+00:05:48,330 --> 00:05:52,710
+طبعا بعض العلامات اللي ممكن تستوجب يعني الإحالة إلى
+
+88
+00:05:52,710 --> 00:05:56,270
+المستشفى أو طبعا يعني ترحيل الشخص إلى المستشفى
+
+89
+00:05:56,270 --> 00:05:59,630
+اللي هي استمرار النزيف، لكن لو كان يعني نزيف بسيط
+
+90
+00:05:59,630 --> 00:06:03,450
+فاحنا ممكن .. ممكن نعالج الحالة أو نتعامل مع
+
+91
+00:06:03,450 --> 00:06:06,830
+الحالة داخل البيت أو نفس مكان الحادث، لكن لو استمر 
+
+92
+00:06:06,830 --> 00:06:10,190
+النزيف لفترة طويلة طبعا من الحالات اللي ممكن تستمر 
+
+93
+00:06:10,190 --> 00:06:12,870
+النزيف ممكن يكون نزيف داخلي زي ما قلنا ممكن يكون
+
+94
+00:06:12,870 --> 00:06:16,150
+نزيف داخل البطن ايش العلامات اللي احنا ممكن نخاف
+
+95
+00:06:16,150 --> 00:06:20,010
+منها ونحولها للمستشفى اللي طبعا زيادة عدد ضربات
+
+96
+00:06:20,010 --> 00:06:24,350
+القلب اصفرار أو شحوب في الوجه زيادة معدل التنفس
+
+97
+00:06:24,350 --> 00:06:28,650
+أحياناً ممكن الشخص يبدأ عنده غثيان أو قيء ممكن
+
+98
+00:06:28,650 --> 00:06:33,950
+طبعا عدم توازن دوخة ممكن البطن يبدأ ينتفخ طبعا هذه
+
+99
+00:06:33,950 --> 00:06:37,310
+حالات خطيرة ويجب طبعا تحويل الشخص إلى المستشفى 
+
+100
+00:06:37,310 --> 00:06:37,810
+مباشرة
+
+101
+00:06:40,900 --> 00:06:44,340
+لو كان مثلا سيدة حامل لديها نزيف طبعا هذا الأفضل 
+
+102
+00:06:44,340 --> 00:06:48,160
+خوفا طبعا على حياة الجنين فبتتم طبعا تحويلها 
+
+103
+00:06:48,160 --> 00:06:50,700
+للمستشفى من باب الاحتياط اللي ربما يكون نتيجة مجهود
+
+104
+00:06:50,700 --> 00:06:55,120
+أو نتيجة بعض الالتهابات لكن احتياطاً هي بكون يعني ..
+
+105
+00:06:55,120 --> 00:06:58,500
+وتحويلها للمستشفى أفضل لأن طبعا هذا لا يتم إلا 
+
+106
+00:06:58,500 --> 00:07:04,270
+طبعا في أقسام الولادة أو نساء والولادة خروج دم من 
+
+107
+00:07:04,270 --> 00:07:08,890
+فتحات الجسم مثلا نزيف مثلا أنفه هنتكلمنا ممكن هيتم
+
+108
+00:07:08,890 --> 00:07:11,990
+معالجته في البيت لكن عندنا نزيف مثلا نتيجة إصابة 
+
+109
+00:07:11,990 --> 00:07:15,210
+من الأذن أو نتيجة طبق ضرب على الأذن أو حادث للأذن
+
+110
+00:07:15,210 --> 00:07:19,350
+مع خروج دم في سائل أبيض أو سائل شفاف طبعا هذا خطير
+
+111
+00:07:19,350 --> 00:07:22,910
+جداً ويجب تحويله إلى المستشفى لأن طبعا نكون خوف من 
+
+112
+00:07:22,910 --> 00:07:26,950
+نتيجة الإصابة لقاعدة الجمجمة أو السائل المحيط
+
+113
+00:07:26,950 --> 00:07:29,330
+بالنخاع الشوكي أو الجهاز العصبي
+
+114
+00:07:33,530 --> 00:07:38,130
+مش هتكلم الجزئية الأخيرة ايش ممكن يصير من مضاعفات
+
+115
+00:07:38,130 --> 00:07:42,110
+الجروح أول حاجة طبعا النزيف وطبعا خطير جداً يعني 
+
+116
+00:07:42,110 --> 00:07:47,930
+هو طبعا مضاعفات قد تؤدي بحياة الشخص يعني ممكن نقول
+
+117
+00:07:47,930 --> 00:07:52,430
+احنا كقاعدة نزيف شديد لفترة قصيرة خطير نزيف بطيء
+
+118
+00:07:52,430 --> 00:07:55,510
+لفترة طويلة أيضاً خطير يعني مثلا كان عندنا بعض
+
+119
+00:07:55,510 --> 00:07:58,890
+حالات اللي ممكن تموت من النزيف ويقولك والله مات من 
+
+120
+00:07:58,890 --> 00:08:02,070
+النزيف ليش؟ لأن سيارة الإسعاف ما قدرت تصل إليه طبعا 
+
+121
+00:08:02,070 --> 00:08:05,290
+بسبب الظروف والاحتلال ومثلا يكون في حالة حرب
+
+122
+00:08:05,290 --> 00:08:10,090
+ما قدروا يصلوا إليه فطبعا كانت كمية النزيف قليلة لكن 
+
+123
+00:08:10,090 --> 00:08:14,350
+المدة أو الفترة الزمنية طويلة وبالتالي فقد كمية 
+
+124
+00:08:14,350 --> 00:08:17,910
+كبيرة وبالتالي أدى إلى توقف عضلة القلب وبنهاية
+
+125
+00:08:17,910 --> 00:08:24,830
+أدى إلى الوفاة المشكلة الثانية تلف الأنسجة طبعا حسب
+
+126
+00:08:24,830 --> 00:08:27,830
+طبعا تلف الأنسجة طبعا حسب الإصابة ممكن يكون عنده 
+
+127
+00:08:27,830 --> 00:08:32,510
+مثلا جريح طعني أو جريح مثلا تهتكي فكل ما كان من
+
+128
+00:08:32,510 --> 00:08:35,790
+الجروح الخطيرة ما بتتكلم على جريح السحجي طبعا هان
+
+129
+00:08:35,790 --> 00:08:39,010
+تلف الأنسجة لأ هان مافي تلف أنسجة لكن لما أتكلم
+
+130
+00:08:39,010 --> 00:08:43,710
+على جروح طعنية ممكن أدت إلى تلف أنسجة في الداخل
+
+131
+00:08:43,710 --> 00:08:48,810
+الكبد القلب طبعا إصابات قاتلة أو مثلا الجروح
+
+132
+00:08:48,810 --> 00:08:53,920
+التهتكية طبعا يعني نتيجة جسم ثقيل أو آلة حادة 
+
+133
+00:08:53,920 --> 00:08:57,480
+مالهاش حواف منتظمة وقدت إلى طبعا تمزق أنسجة كبيرة
+
+134
+00:08:57,480 --> 00:09:01,000
+من الجسم وهذا طبعا وبرضه نقول كمان حسب مكان
+
+135
+00:09:01,000 --> 00:09:05,900
+الإصابة التهابات 
+
+136
+00:09:05,900 --> 00:09:11,500
+الشديدة في حال عدم الاهتمام في الجرح بعناية الجرح
+
+137
+00:09:11,500 --> 00:09:17,330
+وتركه مثلا وجع الأرض أو مثلا قطعة معدنية فيها صدأ
+
+138
+00:09:17,330 --> 00:09:24,430
+أو مثلا آلة ملوثة أو قطعة .. قطعة زجاج ملوثة
+
+139
+00:09:24,430 --> 00:09:28,150
+وبالتالي عدم الاهتمام فيه بعد يوم أو يومين بعد ما
+
+140
+00:09:28,150 --> 00:09:32,330
+دخل الميكروب للجسم قد تحدث له العدوى أو الالتهابات
+
+141
+00:09:32,330 --> 00:09:35,230
+لأن طبعا دائما تجيء الالتهابات بعد دخول الميكروبات
+
+142
+00:09:35,230 --> 00:09:38,710
+الممرضة لمكان الإصابة لأن طبعا صار عندنا جزء من
+
+143
+00:09:38,710 --> 00:09:41,510
+المشكلة وبالتالي خبرنا بيقول كل ما كان هناك
+
+144
+00:09:41,510 --> 00:09:45,810
+إمكانية لوجود كمية من الدم خارج مسارها الطبيعي كل
+
+145
+00:09:45,810 --> 00:09:51,370
+ما كانت الفرصة في التلوث أكبر لأن طبعا هو جو مناسب 
+
+146
+00:09:51,370 --> 00:09:55,290
+أو جو خصب أو أرض خصبة لتكاثر الميكروبات وخاصة
+
+147
+00:09:55,290 --> 00:09:56,010
+البكتيريا
+
+148
+00:10:02,130 --> 00:10:05,370
+طبعا هذه يعني ممكن صورة مبسطة أنه طبعا ال ..
+
+149
+00:10:05,370 --> 00:10:11,250
+الالتهاب بنتج عنه الصديد .. الصديد لو اتكلمنا إيش
+
+150
+00:10:11,250 --> 00:10:18,290
+محتوياته؟ الصديد إيش محتوياته؟ طبعا
+
+151
+00:10:21,350 --> 00:10:27,630
+خلايا ميتة أنسجة متهتكة تمام؟ اه والمسبب اللي هو ال
+
+152
+00:10:27,630 --> 00:10:31,130
+microbe  وبالإضافة طبعا بالنسبة للصديد وبالتالي لو مثلا
+
+153
+00:10:31,130 --> 00:10:35,090
+صار عندنا عملية زراعة أو نحن بيقول مثلا عندنا
+
+154
+00:10:35,090 --> 00:10:38,510
+مزرعة معناه يبقى يعرف نوع الـ microbe اللي موجود
+
+155
+00:10:38,510 --> 00:10:43,970
+يبقى الصديد مكون من خلايا ميتة كرات دم بيضاء
+
+156
+00:10:43,970 --> 00:10:49,130
+ميتة وطبعا هو المسبب الـ microbe وغالبا بكون
+
+157
+00:10:49,130 --> 00:10:49,690
+بكتيريا
+
+158
+00:10:53,110 --> 00:10:55,870
+طبعا أهم أعراض الالتهاب دي احنا كنا عارفين، ربما
+
+159
+00:10:55,870 --> 00:11:00,630
+دخلنا في النقاط هذه، طبعا أعراض موضعية، طبعا من
+
+160
+00:11:00,630 --> 00:11:03,110
+ضمن الأعراض الموضعية اللي هو الانتفاخ، الورم،
+
+161
+00:11:03,110 --> 00:11:06,650
+الإحمرار، السخونة، وهذا طبعا نتيجة لما نقول احنا و
+
+162
+00:11:06,650 --> 00:11:10,230
+بالله في عندنا، بدأ في عندنا علامات التهاب، يعني في
+
+163
+00:11:10,230 --> 00:11:14,570
+عندنا احمرار، احمرار ليش بيصير؟ وورم ليش بيصير؟
+
+164
+00:11:14,570 --> 00:11:19,050
+وسخونة ليش بتصير؟ بسبب ورود كمية كبيرة من الدم
+
+165
+00:11:19,050 --> 00:11:23,270
+ لمنطقة الالتهاب علشان يحمل كمية كبيرة من خلايا
+
+166
+00:11:23,270 --> 00:11:28,650
+الدم البيضاء عشان كجسم دفاعي ضد الميكروب قد ينجح و
+
+167
+00:11:28,650 --> 00:11:33,270
+قد يفشل، قد ينجح بالتخلص من الميكروب و قد يفشل و
+
+168
+00:11:33,270 --> 00:11:36,470
+يزيد طبعا مشكلة المرض، طبعا الالتهاب بالتالي يحتاج
+
+169
+00:11:36,470 --> 00:11:40,650
+إلى مضادات حيوية إضافة إلى عملية غيار على مكان
+
+170
+00:11:40,650 --> 00:11:41,750
+الجرح الملتهب
+
+171
+00:11:44,750 --> 00:11:49,010
+ما ننساش كمان أنه في عندنا ارتفاع درجة حرارة الجسم
+
+172
+00:11:49,010 --> 00:11:52,370
+و دائما نعرف يا أخواتنا أن ارتفاع درجة الحرارة هي
+
+173
+00:11:52,370 --> 00:11:56,610
+وسيلة دفاعية ضد الميكروب قد تنجح و قد تفشل لكنها
+
+174
+00:11:56,610 --> 00:12:00,170
+طبعا وسيلة من الجسم اللي ربنا أوجدها إلينا كمؤشر
+
+175
+00:12:00,170 --> 00:12:04,010
+أنه في شيء غير طبيعي داخل جسم الإنسان طبعا
+
+176
+00:12:04,010 --> 00:12:09,110
+حيانا ممكن يكون مصاحب ألم لالتهاب، الألم ليش؟ ألم
+
+177
+00:12:09,110 --> 00:12:12,910
+خفاق، ليش؟ لأن نتيجة الالتهاب الصديدي بحد ذاته
+
+178
+00:12:12,910 --> 00:12:15,870
+بتضغط على نهايات الأعصاب، يعني انا بقولك والله أنا
+
+179
+00:12:15,870 --> 00:12:21,720
+بأشعر أن أنا الأصبع بينبض، تمام؟ بسبب الضغط على على
+
+180
+00:12:21,720 --> 00:12:25,820
+الشريان فالألم موجود طبعا نتيجة ضغط على نهاية
+
+181
+00:12:25,820 --> 00:12:30,840
+الأعصاب وعندنا الألم هنا كمان نتيجة ضغط على الشريان
+
+182
+00:12:30,840 --> 00:12:34,720
+فأنا بشعر بالنبضة بسبب الضغط على الشريان أنا صار
+
+183
+00:12:34,720 --> 00:12:38,700
+ضيق عندي بالشريان بسبب حجم طبعا الجزء الملتهب أما
+
+184
+00:12:38,700 --> 00:12:43,160
+الألم بسبب طبعا الضغط على اللي هو نهاية الأعصاب و
+
+185
+00:12:43,160 --> 00:12:45,840
+احنا قلنا في البداية بالنسبة للجروح لما بيصير
+
+186
+00:12:45,840 --> 00:12:48,520
+عندنا جروح بيصير عندنا اتساع في الأوعية الدموية
+
+187
+00:12:48,520 --> 00:12:51,840
+تمام وبعد ذلك بيصير .. آسف بيصير ضيق في الأوعية
+
+188
+00:12:51,840 --> 00:12:55,140
+الدموية وبعد ذلك بيصير عندنا اتساع لورود كمية
+
+189
+00:12:55,140 --> 00:12:58,460
+كبيرة من الدم والخلايا البيضاء وأيضا في عندنا
+
+190
+00:12:58,460 --> 00:13:01,720
+مواد كيميائية وبالتالي يقولوا والله بعد ما برض عليه
+
+191
+00:13:01,720 --> 00:13:04,660
+الجروح بدأ يشعر بالألم في البداية ما شعر فيه بالألم
+
+192
+00:13:04,660 --> 00:13:09,350
+عشان طبعا ايش محاولة من الجسم أن يعمل شبكة لإيقاف
+
+193
+00:13:09,350 --> 00:13:12,550
+النزيف لكن ممكن يكون جرح كبير ويفشل في الحالة
+
+194
+00:13:12,550 --> 00:13:14,930
+هذه فبالتالي بحتاج لأشياء مساعدة خارجية
+
+195
+00:13:17,390 --> 00:13:20,750
+طبعا أعراض عامة، في عندنا درجة الحرارة بترتفع،
+
+196
+00:13:20,750 --> 00:13:25,970
+زغللة، صداع، ضعف الشهية، غثيان، طبعا غثيان، قيء،
+
+197
+00:13:25,970 --> 00:13:29,610
+طبعا كل أعراض يعني نتيجة .. طبعا دي أعراض عامة
+
+198
+00:13:29,610 --> 00:13:32,830
+للجسم كل، تمام؟ واحد عمل عملية جراحية والتهاب
+
+199
+00:13:32,830 --> 00:13:35,830
+العملية عنده بالنسبة له، بيقولك عنده صداع، شهيته
+
+200
+00:13:35,830 --> 00:13:40,550
+ضعيفة، صار عنده زغللة، غير متوازن، ارتفعت حرارته 
+
+201
+00:13:40,550 --> 00:13:44,270
+بشدة، لكن الأعراض الموضعية هي ألم، هي طبعا احمرار
+
+202
+00:13:44,270 --> 00:13:46,990
+وورم وسخونة في نفس المكان
+
+203
+00:13:50,540 --> 00:13:54,680
+طبعا أهم أن الـ الـ الالتهابات البكتيرية هذه
+
+204
+00:13:54,680 --> 00:13:57,520
+طبعا فينا التهاب مايكروبي طبعا حسب لأن فينا
+
+205
+00:13:57,520 --> 00:14:00,820
+ميكروبات ضارة وفينا ميكروبات نافعة، احنا لما
+
+206
+00:14:00,820 --> 00:14:03,280
+نتكلم عن البكتيريا فينا برضه بكتيريا ضارة و
+
+207
+00:14:03,280 --> 00:14:05,880
+بكتيريا نافعة، احنا في أجسامنا فيه بكتيريا لكن
+
+208
+00:14:05,880 --> 00:14:09,580
+نافعة، لكن لما نتكلم على أجسام أو على بكتيريا ضارة
+
+209
+00:14:09,580 --> 00:14:14,840
+معناها هي المسببة للأمراض طبعا الأنواع الكثيرة من
+
+210
+00:14:14,840 --> 00:14:18,300
+البكتيريا واحنا يعني لما نتكلم على أنواع كثيرة
+
+211
+00:14:18,300 --> 00:14:22,440
+معناه في فرصة لدخول بكتيريا في حال لها مدخل على
+
+212
+00:14:22,440 --> 00:14:27,120
+عكس الفتحات الطبيعية للجسم لو صار مدخل غير مدخل
+
+213
+00:14:27,120 --> 00:14:29,920
+الطبيعي مثل الأنف والأذن والعين، هذه فيها طرق
+
+214
+00:14:29,920 --> 00:14:34,440
+حماية، لكن لو صار عندنا خدش أو تهتك أو نزيف أو جرح
+
+215
+00:14:34,440 --> 00:14:38,240
+معناه دخول الميكروبات في الحالة هذه هي فرصة لإحداث
+
+216
+00:14:38,240 --> 00:14:42,510
+الالتهابات طبعا فيه عندنا أول مرض طبعا مرض الـ
+
+217
+00:14:42,510 --> 00:14:46,990
+tetanus هو طبعا كان زمان منتشر كثيرا اليوم الحمد لله
+
+218
+00:14:46,990 --> 00:14:51,210
+يعني قل انتشاره بسبب نسبة التطعيم العالية يعني
+
+219
+00:14:51,210 --> 00:14:54,530
+معظم نقول القطاع معظمه نقول مثلًا ما نقول مئة في
+
+220
+00:14:54,530 --> 00:14:58,010
+المئة تسعة وتسعين وتسعة من عشرة مطعمين بل
+
+221
+00:14:58,010 --> 00:15:00,810
+الغالبية العظمى مطعمين ضد التيتانوس، سواء طبعا
+
+222
+00:15:00,810 --> 00:15:04,690
+الأطفال أو سيدات الحوامل، زمان ما كانش طبعا مستطاعين
+
+223
+00:15:04,690 --> 00:15:09,630
+بالصورة هذه، يعني حتى كانت مشاكل لما النساء مثلا
+
+224
+00:15:09,630 --> 00:15:13,190
+بيولدوا ما كانوا مطعمين، فكان طبعا يصير عندهم مرض
+
+225
+00:15:13,190 --> 00:15:16,670
+التيتانوس، لأن هذا طبعا التيتانوس بكتيريا لاهوائية،
+
+226
+00:15:16,670 --> 00:15:20,520
+المسبب يقولون بكتيريا لاهوائية Clostridium Tetani
+
+227
+00:15:20,520 --> 00:15:24,320
+وهي طبعا تعيش بالتربة تعيش مثلًا في الحقول تعيش
+
+228
+00:15:24,320 --> 00:15:27,780
+مثلًا في مرابض الخيول وبالتالي هنا هي بكتيريا لاهوائية
+
+229
+00:15:27,780 --> 00:15:31,200
+فطبعا لما كانت مثلًا الست ولد أو ما كانش فعلا
+
+230
+00:15:31,200 --> 00:15:34,620
+انتظام في التلقيح وتطعيم كانت الفرصة أو استخدام
+
+231
+00:15:34,620 --> 00:15:38,280
+أدوات ملوثة أو غير نظيفة كانت الفرصة للإصابة
+
+232
+00:15:38,280 --> 00:15:42,460
+بالمرض هذا عالية جدا وكان طبعا المرض قاتلا عند الكلام
+
+233
+00:15:42,460 --> 00:15:48,000
+عن أعراضه بمعنى أن مسبب هذا المرض هي بكتيريا
+
+234
+00:15:48,000 --> 00:15:52,720
+لاهوائية اليوم معظمهم تم تطعيمهم سواء في جرعة أولى ولا
+
+235
+00:15:52,720 --> 00:15:58,400
+تطعيم عادي أو حتى بتم إعادة جرعة تنشيطية لصف
+
+236
+00:15:58,400 --> 00:16:01,460
+ثاني ابتدائي اللي هي الـ DT أو طبعا دفتيريا
+
+237
+00:16:01,460 --> 00:16:04,960
+والتيتانوس هي تعتبر جرعة تنشيطية زي ما احنا بناخد
+
+238
+00:16:04,960 --> 00:16:08,100
+مثلًا جرعة طبعا الكورونا الجرعة الأولى والثانية
+
+239
+00:16:08,100 --> 00:16:11,640
+والثالثة طبعا جرعة إيش تنشيطية أو تحفيزية لإجسام
+
+240
+00:16:11,640 --> 00:16:17,040
+المنعية الموجودة طبعا هنا الأعراض تبدأ فيها أن
+
+241
+00:16:17,040 --> 00:16:20,200
+ارتفاع حرارة طبعا دائما نعرف أين في عندنا بداية
+
+242
+00:16:20,200 --> 00:16:22,740
+ارتفاع بالحرارة يجب أن في عندنا مشكلة غير طبيعية
+
+243
+00:16:22,740 --> 00:16:26,960
+في احتمال اللي هو العدوى غالبًا طبعا ممكن يكون طبعا
+
+244
+00:16:26,960 --> 00:16:30,680
+ارتفاع الحرارة عشان ما نظلمش أن كله عدوى ممكن يكون
+
+245
+00:16:30,680 --> 00:16:35,270
+جفاف مثلًا إنسان ماشي مشوار بعيد أو مثلًا يعني مش
+
+246
+00:16:35,270 --> 00:16:38,230
+شارب ماء كثيرا طبعا بيحصل عندنا جفاف بسبب نقص
+
+247
+00:16:38,230 --> 00:16:41,550
+السوائل، تمام؟ لكن احنا نتكلم هنا عشان أنه في
+
+248
+00:16:41,550 --> 00:16:44,690
+عندنا عدوى ودخول ميكروب فبالتالي أول حاجة بيصير
+
+249
+00:16:44,690 --> 00:16:47,530
+عندنا ارتفاع بالحرارة كمؤشر وبيصير عندنا ألم في
+
+250
+00:16:47,530 --> 00:16:50,950
+عضلات الظهر، يبقى هنا طبعا هذه من الأعراض لأن طبعا
+
+251
+00:16:50,950 --> 00:16:54,570
+الـ الـ الـ الـ البكتيريا هذه بتصيب الجهاز
+
+252
+00:16:54,570 --> 00:16:58,710
+العصبي وبالتالي هنا طبعا هيكون عندنا كبداية أو
+
+253
+00:16:58,710 --> 00:17:02,630
+كمؤشر أنه في عندنا ألم طبعا إيه في العضلة طبعا
+
+254
+00:17:02,630 --> 00:17:07,010
+المصاب بيبدأ عنده صعوبة، بالذات طبعا للرضاعة،
+
+255
+00:17:07,010 --> 00:17:09,430
+الكلام على أطفال الرضاعة بيصير عنده صعوبة في
+
+256
+00:17:09,430 --> 00:17:12,690
+الرضاعة، يعني بيصير عنده تقلص عضلات الفكين، يعني
+
+257
+00:17:12,690 --> 00:17:18,030
+أول علامة مميزة للتيتانوس هي تقلص في عضلات الفكين،
+
+258
+00:17:18,030 --> 00:17:20,950
+لأنه ما بيقدرش يفتح فمه كويس عشان يرضع، وبالتالي
+
+259
+00:17:20,950 --> 00:17:24,990
+احنا بسميه الكزازة لأن طبعا بسبب صورة نشوف طبعا جاءت
+
+260
+00:17:24,990 --> 00:17:28,370
+صورة ونريكوا إياها هو زي ما باين كأنه مكشر لكن
+
+261
+00:17:28,370 --> 00:17:32,790
+هذا بسبب تيبس في عضلة الفكين وهو أول علامة مميزة
+
+262
+00:17:32,790 --> 00:17:36,910
+لها طبعا بعد هيك تنتقل التيبس هذا أو التقلص هذا
+
+263
+00:17:36,910 --> 00:17:40,450
+أنه بيصير عنده صعوبة أنه يفتح عينيه في الضوء و
+
+264
+00:17:40,450 --> 00:17:44,390
+بيصير عند العضلة أيضا تقلص في عضلة الذقن بيصير
+
+265
+00:17:44,390 --> 00:17:50,460
+تقوس في عضلة الذقن طبعا نشوف بعض الصور هنا يعني
+
+266
+00:17:50,460 --> 00:17:54,380
+الخطورة فيه إنه أيضا بيصير عندنا تيبس في عضلات
+
+267
+00:17:54,380 --> 00:17:57,780
+الجاذب التنفسوي خطيرة جدا، بمعنى أنه ما بيصيرش
+
+268
+00:17:57,780 --> 00:18:00,880
+عندنا لا تساع أفقية ولا تساع رأسية، وبالتالي يؤدي إلى
+
+269
+00:18:00,880 --> 00:18:03,620
+الوفاة، وهي طبعا أخطر شيء بالنسبة له الموضوع اللي
+
+270
+00:18:03,620 --> 00:18:08,050
+هو التتنوس أو الكزاز طبعا لاحظين هنا بيصير أن الظهر
+
+271
+00:18:08,050 --> 00:18:12,770
+مقعر في تحدب بسبب طبعا .. دائما التقلص معناه قصر
+
+272
+00:18:12,770 --> 00:18:16,590
+حجم .. حجم إيش العضلة، طبعا إن الصورة هنا واضحة،
+
+273
+00:18:16,590 --> 00:18:20,730
+هتلاحظين هنا، أول علامة مميزة اللي هي تيبس في عضلة
+
+274
+00:18:20,730 --> 00:18:25,010
+الفكين، بنتقل بعد ذلك للرقبة أو الظهر وباقي الجسم،
+
+275
+00:18:25,010 --> 00:18:29,430
+لكن أول علامة اللي هي إيش تيبس في عضلات الفكين و
+
+276
+00:18:29,430 --> 00:18:32,750
+بيبطل الطفل يرضع وطالما بيبطل الطفل يرضع مناعته
+
+277
+00:18:32,750 --> 00:18:36,050
+تقل مناعته يعني طبعا أسباب بتؤدي لأسباب أخرى وهاي
+
+278
+00:18:36,050 --> 00:18:39,730
+طبعا الصورة هذه هي طبعا أنه تيبس وأيضا فيه أنه
+
+279
+00:18:39,730 --> 00:18:46,950
+إيش تقوس في عضلات اللي هو الذقن طبعا عندنا هنا
+
+280
+00:18:46,950 --> 00:18:50,170
+يعني بصفة عامة نتكلم عنه اللي هو احنا عندنا علاج 
+
+281
+00:18:50,170 --> 00:18:53,770
+وقاية العلاج ووقاية اللي هو التطعيم .. تطعيم ضد
+
+282
+00:18:53,770 --> 00:18:57,400
+التيتانوس يعني حتى إحنا اليوم إن لما الطفل مثلًا
+
+283
+00:18:57,400 --> 00:18:59,360
+بيروح طبعًا للتطعيم .. أنا ما بنحكيش ناخد .. ناخد 
+
+284
+00:18:59,360 --> 00:19:02,780
+تفاصيل كتيرة، طبعًا التطعيم من نوعين، فيه إنه طبعًا
+
+285
+00:19:02,780 --> 00:19:05,900
+التطعيم السلبي والتطعيم الإيجابي، لكن بقول إحنا
+
+286
+00:19:05,900 --> 00:19:11,380
+ببساطة الطفل لما بيتم تطعيمه للتيتانوس، تمام؟ هو هيكتسب
+
+287
+00:19:11,380 --> 00:19:16,030
+المناعة ليش؟ لأن الجسم هيكون أجسامًا مناعية ضد اللي هو
+
+288
+00:19:16,030 --> 00:19:20,630
+المسبب طبعًا التطعيمات أنواع اللي كانت بيخص بالنسبة
+
+289
+00:19:20,630 --> 00:19:25,250
+لتطعيم التيتانوس هو بيأخذ سموم المسبب، السموم وليس
+
+290
+00:19:25,250 --> 00:19:28,010
+البكتيريا طبعًا التيتانوس توكسويد اللي هو سموم
+
+291
+00:19:28,010 --> 00:19:30,870
+البكتيريا المسببة أنواع تانية من بعض التطعيمات 
+
+292
+00:19:30,870 --> 00:19:35,310
+بتأخذ البكتيريا أو الفيروس بحد ذاته سواء مضعف أو
+
+293
+00:19:35,310 --> 00:19:40,910
+ميت تمام؟ لأن التيتانوس هي سموم البكتيريا المسببة
+
+294
+00:19:40,910 --> 00:19:49,950
+عشان الجسم يكون لها أجسامًا مناعية اليوم 
+
+295
+00:19:49,950 --> 00:19:53,890
+إحنا بنلاحظ لو إنسان طبعًا بيأخذ سموم لكن في الحالة
+
+296
+00:19:53,890 --> 00:19:57,030
+إحنا يعني زمان كان في حاجة بيسموها تيتانوجلوبين
+
+297
+00:19:57,030 --> 00:20:01,590
+تيتانوجلوبين يعني هي أجسامًا مناعية جاهزة بمعنى لو
+
+298
+00:20:01,590 --> 00:20:05,410
+إنسان مثلًا طبعًا قبل كده قبل سنوات نقول عشرين أو
+
+299
+00:20:05,410 --> 00:20:10,330
+ثلاثين سنة كانت تتقلبين موجودة وتتقلبين هنا معناها
+
+300
+00:20:10,330 --> 00:20:13,990
+إن أنا بعطي الشخص اللي مثلًا إن جرح بجطعة معدنية
+
+301
+00:20:13,990 --> 00:20:17,330
+مصدية أو مثلًا ملوثة أو مثلًا قاعد بيشتغل في
+
+302
+00:20:17,330 --> 00:20:20,230
+الزراعة أو مثلًا في مال الحيوانات عزكم الله وطبعًا
+
+303
+00:20:20,230 --> 00:20:23,710
+في عنده جرح إحنا بنعطيه أجسامًا مناعية جاهزة عشان يصير
+
+304
+00:20:23,710 --> 00:20:27,230
+مقاوم للميكروب مباشرة لكن أنا لما بعطي ناحية
+
+305
+00:20:27,230 --> 00:20:32,000
+وقائية أنا بعطي الـTetanus Toxoid أو سموم التيتانوس 
+
+306
+00:20:32,000 --> 00:20:36,600
+عشان الجسم يكون أجسامًا مناعية لو أصيب فيه بقى بتكون
+
+307
+00:20:36,600 --> 00:20:39,540
+موجودة، وبالتالي إحنا اليوم لو أي إنسان مثلًا راح
+
+308
+00:20:39,540 --> 00:20:41,900
+على المستشفى، لأن معظمهم بيقولوا إن إحنا مطعمين،
+
+309
+00:20:41,900 --> 00:20:45,180
+فبيعطوه طبعًا Tetanus Toxoid بس من باب الوقاية، أما
+
+310
+00:20:45,180 --> 00:20:48,100
+أساسًا الأجسام المناعية موجودة داخل جسم كل شخص
+
+311
+00:20:48,100 --> 00:20:48,380
+فينا
+312
+00:20:53,360 --> 00:20:57,640
+نيجي لمرض التاني اللي هو الغرغرينة، الغرغرينة 
+
+313
+00:20:57,640 --> 00:21:01,620
+تعني الموت يعني موت العضو المصاب وغالباً يمكن
+
+314
+00:21:01,620 --> 00:21:06,910
+الغرغرينة بتكون أكثر شيء مع مرض السكري بسبب ضعف
+
+315
+00:21:06,910 --> 00:21:11,230
+الدورة الدموية وهنقولنا دائمًا أي منطقة ما بيصلها
+
+316
+00:21:11,230 --> 00:21:14,370
+الدم بطريقة صحية وما بيصلها التغذية والأكسجين
+
+317
+00:21:14,370 --> 00:21:19,690
+بتموت تمام؟ وهو طبعًا دائمًا من مضاعفات مرض السكري 
+
+318
+00:21:19,690 --> 00:21:22,890
+طبعًا ومرض السكري بيأثر على أجهزة كتيرة في الجسم من 
+
+319
+00:21:22,890 --> 00:21:25,930
+ضمن الجهاز العصبي، الجهاز الدوري، طبعًا الجهاز
+
+320
+00:21:25,930 --> 00:21:30,390
+البولي، الجهاز التناسلي، الجهاز المناعي، كل أجهزة
+
+321
+00:21:30,390 --> 00:21:35,320
+الجسم إذا لم يتم تنظيم طبعًا السكر في الدم هيكون
+
+322
+00:21:35,320 --> 00:21:39,620
+مضاعفات خطيرة، ممكن تؤدي لفقدان البصر، ضعف
+
+323
+00:21:39,620 --> 00:21:42,440
+المناعة، إنه ما يتعرضش، وبالتالي نبقى ممكن نقول و
+
+324
+00:21:42,440 --> 00:21:45,900
+الله يطيب لفئات اللي هي المستهدفة، من ضمنها المرضى
+
+325
+00:21:45,900 --> 00:21:49,780
+المزمنين ومن ضمنهم اللي هو مريض السكري طبعًا هذه 
+
+326
+00:21:49,780 --> 00:21:54,280
+أيضًا مسببها طبعًا اللي هي أيضًا بكتيريا لاهوائية،
+
+327
+00:21:54,280 --> 00:21:57,340
+هاي طبعًا اسمها الـClostridium والشاي وهي طبعًا 
+
+328
+00:21:57,340 --> 00:22:02,080
+أيضًا لاهوائية وهي طبعًا ميزتها إنها بتفرز إنزيمات
+
+329
+00:22:02,080 --> 00:22:07,160
+والإنزيمات هذه بتعمل على طبعًا تحليل الأوعية الدموية
+
+330
+00:22:07,160 --> 00:22:12,260
+والأنسجة وبتطلع رائحة كريهة تؤدي طبعًا طالما إن في 
+
+331
+00:22:12,260 --> 00:22:15,880
+عندي عدم وصول كمية كافية من الدم معناها في ازرقاق و
+
+332
+00:22:15,880 --> 00:22:20,130
+بعد الازرقاق حيصير سواد معناها منطقة ميتة الحل في
+
+333
+00:22:20,130 --> 00:22:26,430
+الحالة هذه البتر، البتر الجراحي لكن نقول إحنا طبعًا
+
+334
+00:22:26,430 --> 00:22:30,410
+هي رائحة كريهة جدًا لأن هي البكتيريا هذه بتفرز
+
+335
+00:22:30,410 --> 00:22:35,010
+إنزيم ورائحة كريهة جدًا بسبب تحلل وتعفن المنطقة 
+
+336
+00:22:35,010 --> 00:22:41,310
+المصابة بتروح طبعًا عملية البتر بيصير الجزء الميت مع
+
+337
+00:22:41,310 --> 00:22:46,370
+جزء حي احتياطًا عشان إن ما ينتقل لكن ممكن تعادل 
+
+338
+00:22:46,370 --> 00:22:49,970
+عملية مرة واثنين لسبب طبعًا عدم تنظيم السكر وفي
+
+339
+00:22:49,970 --> 00:22:52,790
+البداية بيقولوا إحنا مريض السكري وأكثر ناس عرضة
+
+340
+00:22:52,790 --> 00:22:58,720
+للغرغرينة بسبب عدم انتظامهم على العلاج أو على 
+
+341
+00:22:58,720 --> 00:23:06,040
+الريجيم، الغذاء أو على النشاط أو قربهم من التوترات
+
+342
+00:23:06,040 --> 00:23:10,640
+والمشاكل النفسية طبعًا بيزيد المشكلة أكثر فيعني بعد
+
+343
+00:23:10,640 --> 00:23:14,800
+ما العضل يموت تيجي هذه البكتيريا تتعمل على اتفاق
+
+344
+00:23:14,800 --> 00:23:20,110
+الإنسان؟ لأ، قبل ما يعضوا، هي بتبدأ بحال.. إحنا 
+
+345
+00:23:20,110 --> 00:23:23,030
+ليش بنقول إحنا كل ما كان عضو ضعيف الدورة الدموية
+
+346
+00:23:23,030 --> 00:23:27,350
+موجودة فيه، بكون فيه فرصة لموته، تمام؟ فهذه طبعًا
+
+347
+00:23:27,350 --> 00:23:31,090
+الـbacteria موجودة، وعشان نقول إحنا الشخص اللي
+
+348
+00:23:31,090 --> 00:23:35,190
+عنده مرض سكري، يعني غالبًا لازم يلبس الجوارب، لأنه
+
+349
+00:23:35,190 --> 00:23:38,090
+ممكن يكون عنده إحساس قليل جدًا، ممكن ينجرح
+
+350
+00:23:38,090 --> 00:23:43,570
+وما يشعرش، وبسبب ضعف الدورة الدموية، طبعًا تقدّم 
+
+351
+00:23:43,570 --> 00:23:47,090
+كبداية كتحضير لموت الخلية لكن بيساعد المشكلة أكثر
+
+352
+00:23:47,090 --> 00:23:51,010
+وأكثر إن الدم لما مثلًا مش بس عجد تغذية الدم في 
+
+353
+00:23:51,010 --> 00:23:54,650
+خلايا دم بيضاء وخلايا الدم البيضاء هي جسم دفاعي
+
+354
+00:23:54,650 --> 00:23:59,090
+فطبعًا الجث.. الجنود ما وصله معناها العدو هيدخل وهي
+
+355
+00:23:59,090 --> 00:24:02,850
+طبعًا فرصة إنه نعطي الفرصة أو إمكانية للميكروبات
+
+356
+00:24:02,850 --> 00:24:05,810
+الخارجية ومن دون.. ممكن يكون طبعًا ليس بالضرورة
+
+357
+00:24:05,810 --> 00:24:08,090
+مثلًا الغرغرينة فقط لكن إيه الغرغرينة؟ إيه أخطر شيء
+
+358
+00:24:08,090 --> 00:24:10,510
+بالنسبة لمرض السكري ممكن تبقى.. ممكن يكون إنه 
+
+359
+00:24:10,510 --> 00:24:15,630
+التهاب تؤدي للغرغرينة لكن تؤدي إلى تأجيل الالتئام
+
+360
+00:24:15,630 --> 00:24:18,350
+يعني يأخذ مثلًا بدل ما يكون عليه أسبوع ممكن يكون
+
+361
+00:24:18,350 --> 00:24:21,890
+شهر وشهرين ليش؟ لأنه ضعف الدورة الدموية وضعف
+
+362
+00:24:21,890 --> 00:24:25,230
+المناعة وضعف التئام وبالتالي مريض السكري ممكن
+
+363
+00:24:25,230 --> 00:24:28,970
+ينجرح ورجله شردان وما يشعرش فيها وبالتالي طبعًا إيش
+
+364
+00:24:28,970 --> 00:24:32,810
+بيضل عنده إيش من باب الوقاية مريض السكري هو في خطر
+
+365
+00:24:32,810 --> 00:24:37,510
+إذا ما اهتمش بمعدل السكر عنده طبعًا.. طبعًا سهولة
+
+366
+00:24:37,510 --> 00:24:39,970
+الميكروبات أو دخول الجسم أسرع وأسرع تفضل 
+
+367
+00:24:44,310 --> 00:24:46,850
+منخفض وراح نأخده معانا اللي هو غير ونقص السكر، راح
+
+368
+00:24:46,850 --> 00:24:49,070
+نأخذه بالتفصيل إن شاء الله، بس اللي هي طبعًا الخفاض
+
+369
+00:24:49,070 --> 00:24:52,210
+أخطر، لأن طبعًا الخفاض على الدماغ أكثر حاجة هو اللي
+
+370
+00:24:52,210 --> 00:24:56,630
+بيأثر طب يا دكتور تلاقي غرغرينتك، إيش هو السبب هي؟ يعني
+
+371
+00:24:56,630 --> 00:25:03,100
+لما يكون مثلًا دماغ حاجة كبيرة أو عاملة؟ لأ آه، ضعف
+
+372
+00:25:03,100 --> 00:25:07,860
+الدورة الدموية، ضعف.. ضعف الدورة الدموية جرح كبير
+
+373
+00:25:07,860 --> 00:25:10,980
+ممكن يصير التهاب عادي، تمام؟ وطالما إن في عندنا
+
+374
+00:25:10,980 --> 00:25:14,440
+مناعة وفي عندنا وقاية وفي عندنا تغذية جيدة وفي 
+
+375
+00:25:14,440 --> 00:25:18,720
+عندنا غيار معقم، بيكون الفرصة أفضل لل علاء، 
+
+376
+00:25:18,720 --> 00:25:23,220
+للالتئام، لكن مريض السكري على عكس شخص ثاني، مريض
+
+377
+00:25:23,220 --> 00:25:25,720
+السكري في عنده دورة دموية ضعيفة، لكن إذا تكلم
+
+378
+00:25:25,720 --> 00:25:28,720
+بالمقارنة مع شخص ثاني، دورة دموية قوية، تمام؟ 
+
+379
+00:25:28,720 --> 00:25:31,260
+وعنده مناعة قوية، فهذا بيساعد على التخلص من
+
+380
+00:25:31,260 --> 00:25:34,510
+الميكروب لكن لما يكون في عندي أنا أسباب أو أرضية
+
+381
+00:25:34,510 --> 00:25:41,030
+خصبة، لو دخول الخلايا، البكتيريا المسببة للغرغرينة
+
+382
+00:25:41,030 --> 00:25:44,750
+مع عوامل أخرى، ضعف الدورة الدموية، ضعف الإحساس
+
+383
+00:25:44,750 --> 00:25:49,360
+بالمرض، بالألم، طبعًا ضعف التغذية، تمام؟ وضعف
+
+384
+00:25:49,360 --> 00:25:52,700
+المناعة هيبقى بيكون هي لفرصة أكثر، يبقى طبعًا مش بس 
+
+385
+00:25:52,700 --> 00:25:56,140
+أجد انخفاض السكر، لأ في عوامل تانية بتساعد على
+
+386
+00:25:56,140 --> 00:26:00,260
+دخول الميكروبات وتكون مسببة للغرغرينة، لكن أهم
+
+387
+00:26:00,260 --> 00:26:03,160
+أكثر حاجة بالنسبة للغرغرينة اللي هي عند مريض
+
+388
+00:26:03,160 --> 00:26:06,940
+السكري، أكثر شيء، ممكن طبعًا يكون مع شخص ثاني، مثلًا 
+
+389
+00:26:06,940 --> 00:26:11,200
+شخص ثاني انجرح، تمام؟ مش جرح، كان مثلًا حتى يعني..
+
+390
+00:26:11,200 --> 00:26:17,260
+يعني كثير شيء عظيم بيصير، إحنا بيقولنا يا إخوانا
+
+391
+00:26:17,260 --> 00:26:21,380
+ليس بالضروري، لكن النسبة الأعلى للغرغرينة عند مرضى
+
+392
+00:26:21,380 --> 00:26:25,900
+السكري، لكن ممكن يصير عند ناس آخرين، طبعًا، يعني 
+
+393
+00:26:25,900 --> 00:26:30,500
+نقول مثلًا صار عندنا ضعف في الدورة الدموية أو مثلًا صار
+
+394
+00:26:30,500 --> 00:26:32,880
+احتباس في الدورة الدموية، طبعًا هالكابي دايم يقول يا
+
+395
+00:26:32,880 --> 00:26:36,220
+إخوان، دايم بيصير تغيير اللون للون الأزرق معاناة 
+
+396
+00:26:36,220 --> 00:26:38,260
+فيها يعني زيادة في الـOxygen.. الـOxygen Carbon
+
+397
+00:26:38,260 --> 00:26:41,240
+ونقص في الـOxygen يعني نقول مثلًا صار ضيق في 
+
+398
+00:26:41,240 --> 00:26:44,660
+الدورة الدموية لكن لو استمرت لفترة طويلة وعنا
+
+399
+00:26:44,660 --> 00:26:47,920
+أسباب أخرى مساعدة مثلًا ضعف الدورة الدموية، ضعف 
+
+400
+00:26:47,920 --> 00:26:51,780
+التغذية، ضعف المناعة، هذا قد يؤدي لأ اللي هي
+
+401
+00:26:51,780 --> 00:26:55,660
+الغرغرينة كمان مثلًا جروح التهب ونسيناه وقد يعدي
+
+402
+00:26:55,660 --> 00:26:58,080
+كمان طبعًا هذه الشريحة اللي كانت الشريحة الأخيرة
+
+403
+00:26:58,080 --> 00:27:01,500
+بنسمع إذا في أي سؤال أو استفسار عن الموضوع اللي هو
+
+404
+00:27:01,500 --> 00:27:05,320
+الجروح وكيف إسعافها وبالنسبة لمضاعفاتها وكيف
+
+405
+00:27:05,320 --> 00:27:08,580
+إحنا ممكن نتعامل معها، فضلي أنت لو كان في غرغرينة
+
+406
+00:27:08,580 --> 00:27:13,420
+وبعضه يعني هو ميت نعم، آه فإن الأردن بيساعد 
+
+407
+00:27:13,420 --> 00:27:16,600
+المريض لإن هو مش بس يبقى تلبس بالبراد كوي
+
+408
+00:27:16,600 --> 00:27:21,230
+الغرغرينة، بيسئ لأن ما تشوف البراد طبعًا..
+
+409
+00:27:21,230 --> 00:27:24,710
+هلجيتها.. بنتكلم بالنسبة للغرغرين يا إخوانا في
+
+410
+00:27:24,710 --> 00:27:29,470
+حال إنه صار الحل حال جراحي ما فيش مفرد لأن بقدرش
+
+411
+00:27:29,470 --> 00:27:33,250
+أنا أُعيد الدورة الدموية لجزء ميت فالجزء الميت بيتم 
+
+412
+00:27:33,250 --> 00:27:38,010
+استئصاله، وإضافة إلى ذلك خوفًا.. خوفًا من انتقال
+
+413
+00:27:38,010 --> 00:27:45,050
+الغرغرين لجزء حي بيتم استئصال جزء حي إضافي طبعًا
+
+414
+00:27:45,050 --> 00:27:49,710
+.. طبيعي.. ممكن طبعًا يكون إذا كان مثلًا بتر بتر 
+
+415
+00:27:49,710 --> 00:27:53,070
+مثلًا الأصبع تخدير موضعي، لكن إذا كان بتر مثلًا
+
+416
+00:27:53,070 --> 00:27:56,650
+الذراع، الساق، وغالبًا بخيط من ما نكون ملاحظين إن
+
+417
+00:27:56,650 --> 00:27:59,910
+الدم الغرغرينة بتيجي غالبًا في أطراف السفلية، بسبب
+
+418
+00:27:59,910 --> 00:28:04,370
+ضعف الدورة الدموية وضعف النشاط وضعف الحركة وياما
+
+419
+00:28:04,370 --> 00:28:08,210
+ناس كثير طبعًا اللي بيساعد كمان أكثر وأكثر عند بعض
+
+420
+00:28:08,210 --> 00:28:10,990
+الناس مثلًا المدخنين لما بيعمل ضيق في الأوعية 
+
+421
+00:28:10,990 --> 00:28:14,610
+الدموية وطبعا يعني هاري بيزيد الطين بله لأن هاري
+
+422
+00:28:14,610 --> 00:28:18,130
+بيساعد على ضيق الأوعية الدموية ومشاكل أخرى طبعا
+
+423
+00:28:18,130 --> 00:28:21,270
+لربما يمكن مرض السكر وغالبا الأمراض المزمنة يكون
+
+424
+00:28:21,270 --> 00:28:24,830
+مصاحبة أمراض أخرى لأنه قد يكون أحد أسباب مرض السكر
+
+425
+00:28:24,830 --> 00:28:28,940
+مثلا زيادة السمنة أو الغضب، والغضب يؤدي إلى أمراض
+
+426
+00:28:28,940 --> 00:28:32,500
+للقلب أو ضعف المناعة وبالتالي قد يكون بداء المرض
+
+427
+00:28:32,500 --> 00:28:36,080
+ممكن يكون عنده اثنين لكن بقول احنا عشان الموضوع
+
+428
+00:28:36,080 --> 00:28:40,060
+طبعا ما بنحبش نطلع برا كتير أنه بالنسبة لمرض السكر
+
+429
+00:28:40,060 --> 00:28:43,140
+اللي هو طبعا قد يصاحبه اللي هي الغير غيرنا السكر
+
+430
+00:28:43,140 --> 00:28:48,540
+عدو وصديق، صاحب صاحبه وعدو عدوه، أهمله يبلدق،
+
+431
+00:28:48,540 --> 00:28:55,640
+برحمة طبعا هو يتلصّص بصاحبه إذا أهمل فيه، لكن هو زي
+
+432
+00:28:55,640 --> 00:28:58,520
+الحامل وديع إذا كان ماشي معاه كويس، ناس عندهم
+
+433
+00:28:58,520 --> 00:29:01,580
+عشرون سنة وأكثر وعندهم مرض سكر، ناس سنتين أو
+
+434
+00:29:01,580 --> 00:29:04,100
+ثلاثة بيقولك والله صار عنده بتر، صار عنده غرغرينة،
+
+435
+00:29:04,100 --> 00:29:07,900
+أهمل، مهتمش، وبالتالي طبعا كل المرضى المزمنين
+
+436
+00:29:07,900 --> 00:29:12,060
+بيكون عندهم اهتمام بأربعة محاور، المحور النفسي،
+
+437
+00:29:12,060 --> 00:29:16,960
+التغذوي، العلاجي، الحركة والنشاط، بعيش حياة كويسة
+
+438
+00:29:18,020 --> 00:29:21,300
+وأقلها وأتوكى شكرا ومبارك الله فيك وربنا
+
+439
+00:29:21,300 --> 00:29:21,600
+يحفظكم 
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/h6c2Uhi_jDA_postprocess.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/h6c2Uhi_jDA_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..78c1eb65d9b89d233dfaade1ba0f2f82e8a01c15
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/h6c2Uhi_jDA_postprocess.srt
@@ -0,0 +1,1756 @@
+1
+00:00:05,080 --> 00:00:06,780
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:06,780 --> 00:00:09,420
+الرحيم الصلاة والسلام على شرف المرسلين سيدنا محمد
+
+3
+00:00:09,420 --> 00:00:14,020
+وليه وصحابه وسلم اتكلمنا قبل كده على موضوع الجروح
+
+4
+00:00:14,020 --> 00:00:16,660
+وانواع الجروح وكيف .. وكيفية طبعا اسعاف الجروح
+
+5
+00:00:16,660 --> 00:00:20,280
+طبعا اللي اتكلمنا على ان فينا عدة أنواع من الجروح
+
+6
+00:00:20,280 --> 00:00:23,560
+كيف بتم اسعافها، اليوم هناخد طبعا يعني بعض أنواع
+
+7
+00:00:23,560 --> 00:00:26,480
+من الجروح، يمكن بعض أنواع الجروح هي المؤذية نوعا
+
+8
+00:00:26,480 --> 00:00:30,460
+ما، حتى للعين بتكون مؤذيةاللي طبعاً جروح البترية
+
+9
+00:00:30,460 --> 00:00:34,000
+أو طبعاً يكون فيها بتر مثلا أصابع أو حتى و نكون
+
+10
+00:00:34,000 --> 00:00:37,280
+مثلا حتى السن بحد ذات ممكن يكون له تساقط وبالتالي
+
+11
+00:00:37,280 --> 00:00:41,720
+لما اتكلم على الحالة هذه أهم حاجة أنا بدي ما أفقد
+
+12
+00:00:41,720 --> 00:00:44,600
+العضو طبعاً و هذا بيعتمد على جداش برضه قدرة
+
+13
+00:00:44,600 --> 00:00:47,940
+الخدمات الصحية اللي ممكن تقدم للعضو هذا و قدرة
+
+14
+00:00:47,940 --> 00:00:51,000
+إعادته إلى مكانه الطبيعي و هل في إمكانية إعادة
+
+15
+00:00:51,000 --> 00:00:55,120
+العضو هذا طبعاً بطريقة جراحية لكن احنا كطريقة
+
+16
+00:00:55,120 --> 00:00:58,830
+مبدئية عشان أن أنا حافظ على العضو هذاأول شي احافظ
+
+17
+00:00:58,830 --> 00:01:02,050
+عليه من الجفاف و احافظ عليه من التلوث لإن طبعا لو
+
+18
+00:01:02,050 --> 00:01:05,170
+كان عندى جفاف معناه طبعا فيه ضيق بالأوعي الدموية و
+
+19
+00:01:05,170 --> 00:01:08,210
+فيه خسرانة للعضو هذا نفسه وبالتالي هنا يعني انا
+
+20
+00:01:08,210 --> 00:01:12,710
+ممكن احافظ على العضو هذا زي ما احنا كاتبين هنا كيس
+
+21
+00:01:12,710 --> 00:01:15,650
+محلول ملحي مش ضرور من الصيدلية لو كان الكيس محلول
+
+22
+00:01:15,650 --> 00:01:19,270
+ملحي تركيز خفيف يعني ممكن نعمله من البيت لكن افضل
+
+23
+00:01:19,270 --> 00:01:21,930
+لو كان من الصيدلية بكون افضل ان طبعا هو محلول ملح
+
+24
+00:01:21,930 --> 00:01:24,690
+اللي هو تسعة من المية في المية انا طبعا احنا
+
+25
+00:01:24,690 --> 00:01:29,920
+بنسميه ال saline او المحلول متعو هاد طبعا يوضع
+
+26
+00:01:29,920 --> 00:01:33,300
+العضو فيه و من خارج طبعا يدوع قطع تلج حفاظا عليه
+
+27
+00:01:33,300 --> 00:01:36,860
+عساس طبعا حماية العضو هذا من التلوت و بنفسي لو
+
+28
+00:01:36,860 --> 00:01:40,480
+وجدت حماية على رطوبة العضو هذا ان ما يحدث له جفاف
+
+29
+00:01:40,480 --> 00:01:44,850
+طبعا كل مكان وجدت أسرعكل مكان أفضل يعني جميعا مثلا
+
+30
+00:01:44,850 --> 00:01:49,390
+بعض الحالات انسان مثلا حدث معين سقط السن طبعا سقط
+
+31
+00:01:49,390 --> 00:01:53,130
+بطريقة غير طبيعية مش انه خلاص صار السن مثلا سن
+
+32
+00:01:53,130 --> 00:01:56,250
+لبني و جماعة سن طبعا دائم لأ كل مثلا نتيجة حدث
+
+33
+00:01:56,250 --> 00:02:01,070
+طبعا ممكن وضع السن اللي سقط نفس الطريقة أو ممكن
+
+34
+00:02:01,070 --> 00:02:04,710
+وضعه في حليب و الحليب طبعا مباشر على طبيب الأسنان
+
+35
+00:02:04,710 --> 00:02:08,770
+حتى يتم إعادة زراعته و حصل حالات كتيرة حدثت من
+
+36
+00:02:08,770 --> 00:02:10,870
+النوع هذا و تم إعادة زراعتها
+
+37
+00:02:17,820 --> 00:02:20,840
+طبعا زي ما احنا كاتبين نقطة الأخيرة ليس بالضرورة
+
+38
+00:02:20,840 --> 00:02:23,800
+ان اخد والله العضو اقضى لأغسل في العضو نفسه عساس
+
+39
+00:02:23,800 --> 00:02:28,200
+عملية تنظيف او تعقيم او تطيلة انا مجرد عملية غسل
+
+40
+00:02:28,200 --> 00:02:31,160
+سريع جدا و اضعه في محلول مليح ومتالي من الخارج
+
+41
+00:02:31,160 --> 00:02:34,080
+طبعا قطعة تلج عساس ان احافظ على الحرارة وحافظ على
+
+42
+00:02:34,080 --> 00:02:39,190
+رطوبته وطبعا يتم إرساله مع الشخص مع ملاحظةإنه
+
+43
+00:02:39,190 --> 00:02:42,410
+الجرح المبتور أنا بدي أتعامل معاه عساس إيقاف
+
+44
+00:02:42,410 --> 00:02:46,030
+النزيف، يبقى أنا بتعامل بطريقتين، مع الجرح النزف و
+
+45
+00:02:46,030 --> 00:02:50,490
+مع العضو المفقود عساس إتم إعادته، يمكن طبعا إذا
+
+46
+00:02:50,490 --> 00:02:53,690
+أحنا أسرعنا في الوقت بتكون فرصة أكبر لإعادة الجروح
+
+47
+00:02:53,690 --> 00:03:01,270
+جراحيا، للعضو المبتور جراحيا، هذه بعض طبعا الصور،
+
+48
+00:03:01,270 --> 00:03:05,050
+طبعا صح مؤذية للعين، لكن وإحنا تحصل ممكن طبعا
+
+49
+00:03:05,050 --> 00:03:06,470
+إعادتها مرة أخرى
+
+50
+00:03:10,330 --> 00:03:13,770
+طبعا ممكن زي ما اتكلم احنا هنا يعني إسعاف الجروح
+
+51
+00:03:13,770 --> 00:03:17,610
+المفتوحة اللي هي عساس لو كان في عندي جروح طبعا لو
+
+52
+00:03:17,610 --> 00:03:21,270
+في نزيف عملية إيقاف النزيف و أولى طرق إيقاف النزيف
+
+53
+00:03:21,270 --> 00:03:24,890
+اللي هي الدغط المباشر على مكان الجروح بعدين رفع
+
+54
+00:03:24,890 --> 00:03:28,970
+العضو المصاب تمام بعدين الدغط على الشرير المغذي و
+
+55
+00:03:28,970 --> 00:03:32,870
+أخر طريقة طبعا طريقة اللي هيالرباط الضغط في حال
+
+56
+00:03:32,870 --> 00:03:36,970
+الجروح البترية وحنقول طبعا ممكن تكون فترة الضغط
+
+57
+00:03:36,970 --> 00:03:41,210
+على الجروح النازف في حالات الجروح البترية تقريبا
+
+58
+00:03:41,210 --> 00:03:45,030
+لا تزيد عن عشرين دقيقة حتى لا أقطع الدم كليا على
+
+59
+00:03:45,030 --> 00:03:48,790
+المنطقة لكن احنا المسافة ما بين أي مكان بيصير فيه
+
+60
+00:03:48,790 --> 00:03:52,610
+عندنا حادث لوصوله لمستشفى يعني لا تتعدى خمس عشر
+
+61
+00:03:52,610 --> 00:03:58,440
+دقيقة أو أقلطبعا هنا بعض الملاحظات يعني عدم غسل
+
+62
+00:03:58,440 --> 00:04:00,920
+الجروح لإن طبعا زيادة غسل الجروح معناها زيادة
+
+63
+00:04:00,920 --> 00:04:03,380
+النزيف و بالتالة احنا ذكرنا ان لو كان عندنا جروح و
+
+64
+00:04:03,380 --> 00:04:06,800
+وضعنا عليه قطعة قماش و طبعا صار فيها دم انا
+
+65
+00:04:06,800 --> 00:04:10,520
+مابشيلها بل انا بضع قطعة جماش تانية حتى لا يتجدد
+
+66
+00:04:10,520 --> 00:04:15,580
+النزيف مرة أخرىطبعا احنا يعني النقطة الأخيرة
+
+67
+00:04:15,580 --> 00:04:19,520
+ذاكرينها الصدمة ممكن توجد الصدمة و زي ما اتكلمنا
+
+68
+00:04:19,520 --> 00:04:22,820
+الصدمة إلها أنواع الصدمة اللي موجودة في الحالة هذه
+
+69
+00:04:22,820 --> 00:04:26,340
+هي صدمة من النوعين لكن النوع الأكثر يعني
+
+70
+00:04:26,340 --> 00:04:30,520
+الاحتمالية هو الصدمة الناتجة عن فقدان السواء لأي
+
+71
+00:04:30,520 --> 00:04:35,720
+دم طبعا الصدمة الناتجة عن شدة النزيفةالنوع التاني
+
+72
+00:04:35,720 --> 00:04:38,240
+اللي قد يحدث هو الصدمة نتيجة الألم، بالذات لما
+
+73
+00:04:38,240 --> 00:04:41,780
+يكون في عينا إصابة بالأطراف أو طبعا قاطع بالأطراف
+
+74
+00:04:41,780 --> 00:04:44,820
+أو باتر بالأطراف، يبقى هنا الاحتمالية الأولى
+
+75
+00:04:44,820 --> 00:04:50,120
+بالنسبة للصدمة اللي هي الناتجة عن فقدان الذنب كمية
+
+76
+00:04:50,120 --> 00:04:50,520
+كبيرة
+
+77
+00:05:02,890 --> 00:05:06,470
+طبعا هنا بدنا نأكد أخواتنا حاجة أنه صح أنا بنظف
+
+78
+00:05:06,470 --> 00:05:10,490
+الجرح لكن ما بستمر في عملية غسل الجرح لأن غسل
+
+79
+00:05:10,490 --> 00:05:14,990
+الجرح معناها استمرار للنزيف فانا ممكن أطاهر الجرح
+
+80
+00:05:14,990 --> 00:05:18,170
+محلول مطاهر مافيش عنا محلول مطاهر محلول مايومالح
+
+81
+00:05:18,170 --> 00:05:21,890
+أنا ممكن أستخدمه من البيت ما بضل أغسل الجرح ممكن
+
+82
+00:05:21,890 --> 00:05:26,350
+أستخدم تجفيف الجرح واستخدام أي مادة مطاهرة مثلا زي
+
+83
+00:05:26,350 --> 00:05:31,660
+البولدينوبالتالي وضع القطعة الجماش أو الشاشة على
+
+84
+00:05:31,660 --> 00:05:36,420
+مكان الجرحى هي بتساعد أساسا على توقف النزيف وعدم
+
+85
+00:05:36,420 --> 00:05:42,120
+دخول الشخص بحالة من الصدمة نتيجة .. نتيجة طبعا
+
+86
+00:05:42,120 --> 00:05:43,700
+فقدان كمية كبيرة من الدم
+
+87
+00:05:48,330 --> 00:05:52,710
+طبعا بعض العلمات اللي ممكن تستوجب يعني الإحالة إلى
+
+88
+00:05:52,710 --> 00:05:56,270
+المستشفى أو طبعا يعني ترحيل الشخص إلى المستشفى
+
+89
+00:05:56,270 --> 00:05:59,630
+اللي هي استمرار النزيف، لكن لو كان يعني نزيف بسيط
+
+90
+00:05:59,630 --> 00:06:03,450
+فاحنا ممكن .. ممكن نعامل الحالة أو نتعامل مع
+
+91
+00:06:03,450 --> 00:06:06,830
+الحالة داخل البيت أو نفس مكان الحدد، لكن لو استمر
+
+92
+00:06:06,830 --> 00:06:10,190
+النزيف لفترة طويلةطبعا من الحالات اللي ممكن تستمر
+
+93
+00:06:10,190 --> 00:06:12,870
+النزيف ممكن يكون نزيف داخلي زي ما قلنا ممكن يكون
+
+94
+00:06:12,870 --> 00:06:16,150
+نزيف داخل البطن ايش العلمات اللي احنا ممكن نخاف
+
+95
+00:06:16,150 --> 00:06:20,010
+منها و نحولها لالمستشفى اللي طبعا زيارة عداجات
+
+96
+00:06:20,010 --> 00:06:24,350
+القلب اسفرار او شحوب في الوجه زيارة معدل التنفس
+
+97
+00:06:24,350 --> 00:06:28,650
+احيانا ممكن الشخص يبدأ عنده غثيان او قياء ممكن
+
+98
+00:06:28,650 --> 00:06:33,950
+طبعا عدم توازن دوخة ممكن البطن يبدأ ينتفخ طبعا هذه
+
+99
+00:06:33,950 --> 00:06:37,310
+حالات خطيرة و يجب طبعا تحويل الشخص الى المستشفى
+
+100
+00:06:37,310 --> 00:06:37,810
+مباشرة
+
+101
+00:06:40,900 --> 00:06:44,340
+لو كان مثلا سيدة حامل لديها نزيف طبعا هذا الأفضل
+
+102
+00:06:44,340 --> 00:06:48,160
+خوفا طبعا على حياة الجنين فبتم طبعا تحويلها
+
+103
+00:06:48,160 --> 00:06:50,700
+لمستشفى من باب الاحتياط اللي ربما يكون نتيجة مجهود
+
+104
+00:06:50,700 --> 00:06:55,120
+أو نتيجة بعض الاتهابات لكن احتياطا هي بكون يعني ..
+
+105
+00:06:55,120 --> 00:06:58,500
+و تحويلها لمستشفى أفضل لأن طبعا هذا لا يتم إلا
+
+106
+00:06:58,500 --> 00:07:04,270
+طبعا في أقسام الولادة أو نساء الولادةخروج دم من
+
+107
+00:07:04,270 --> 00:07:08,890
+فتحات الجسم مثلا نزيف مثلا أنفه هنتكلمنا ممكن هيتم
+
+108
+00:07:08,890 --> 00:07:11,990
+معالجته في البيت لكن عندنا نزيف مثلا نتيجة إصابة
+
+109
+00:07:11,990 --> 00:07:15,210
+من الأذن أو نتيجة طبق ضرب على الأذن أو حادث للأذن
+
+110
+00:07:15,210 --> 00:07:19,350
+مع خروج دم في سائل أبيض أو سائل شفاف طبعا هذا خطير
+
+111
+00:07:19,350 --> 00:07:22,910
+جدا و يجب تحويله إلى المستشفى لأن طبعا نكون خوف من
+
+112
+00:07:22,910 --> 00:07:26,950
+نتيجة الإصابة لقاعدة الجمجمة أو السائل المحيط
+
+113
+00:07:26,950 --> 00:07:29,330
+بالنخاع الشوكي أو الجهاز العصبي
+
+114
+00:07:33,530 --> 00:07:38,130
+مش هتكلم الجزئية الأخيرة إيش ممكن يصير من مضاعفات
+
+115
+00:07:38,130 --> 00:07:42,110
+الجروح أول حاجة طبعا النزيف و طبعا خطير جدا يعني
+
+116
+00:07:42,110 --> 00:07:47,930
+هو طبعا مضاعفات قد تؤدي بحياة الشخص يعني ممكن نقول
+
+117
+00:07:47,930 --> 00:07:52,430
+احنا كقاعدة نزيف شديد لفترة قصيرة خطيرةنزيف بطيء
+
+118
+00:07:52,430 --> 00:07:55,510
+لفترة طويلة أيضا خطير يعني مثلا كان عندنا بعض
+
+119
+00:07:55,510 --> 00:07:58,890
+حالات اللي ممكن تموت من النزيف ويقولك والله مات من
+
+120
+00:07:58,890 --> 00:08:02,070
+النزيف ليش؟ لأن سيارة الإسعاف ماقدرت تصل إله طبعا
+
+121
+00:08:02,070 --> 00:08:05,290
+بسبب الظروف و الاحتلال ومثلا يكون في حالة حرب
+
+122
+00:08:05,290 --> 00:08:10,090
+ماقدروا يصل إله فطبعا كانت كمية النزيف قليلة لكن
+
+123
+00:08:10,090 --> 00:08:14,350
+الوجد أو الفترة الزمنية طويلة وبالتالي فقد كمية
+
+124
+00:08:14,350 --> 00:08:17,910
+كبيرة وبالتالي أدى إلى توقف عضلة القلب وبالنهاية
+
+125
+00:08:17,910 --> 00:08:24,830
+أدى إلى الوفاةالمشكلة التانية تلف الأنسجة طبعا حسب
+
+126
+00:08:24,830 --> 00:08:27,830
+طبعا تلف الأنسجة طبعا حسب الإصابة ممكن يكون عنده
+
+127
+00:08:27,830 --> 00:08:32,510
+مثلا جريح طعني أو جريح مثلا تهتكي فكل ما كان من
+
+128
+00:08:32,510 --> 00:08:35,790
+الجروح الخطيرة ما بتتكلم على جريح السحجي طبعا هان
+
+129
+00:08:35,790 --> 00:08:39,010
+تلف الأنسجة لأ هان مافي تلف أنسجة لكن لما اتكلم
+
+130
+00:08:39,010 --> 00:08:43,710
+على جروح طعنية ممكن أدت إلى تلف أنسجة في الداخل
+
+131
+00:08:43,710 --> 00:08:48,810
+الكبد القلب طبعا إصابات قاتلة أو مثلا الجروح
+
+132
+00:08:48,810 --> 00:08:53,920
+التهتكيةطبعا يعني نتيجة جسم ثقيل أو آلة حادة
+
+133
+00:08:53,920 --> 00:08:57,480
+مالهاش حواف منتظمة و قدت إلى طبعا تمزق أنسجة كبيرة
+
+134
+00:08:57,480 --> 00:09:01,000
+من الجسم وهذا طبعا و برضه نقول كمان حسب مكان
+
+135
+00:09:01,000 --> 00:09:05,900
+الإصابة التهابات
+
+136
+00:09:05,900 --> 00:09:11,500
+الشديدة في حال عدم الاحتمام في الجرح بعناية الجرح
+
+137
+00:09:11,500 --> 00:09:17,330
+و تركهمثلا وجع الأرض أو مثلا قطعة معدنية فيها صدى
+
+138
+00:09:17,330 --> 00:09:24,430
+أو مثلا آلة ملوثة أو قطعة .. قطعة زجاج ملوثة
+
+139
+00:09:24,430 --> 00:09:28,150
+وبالتالي عدم الاهتمام فيه بعد يوم أو يومين بعد ما
+
+140
+00:09:28,150 --> 00:09:32,330
+دخل الميكروب للجسم قد تحدث ليه العدوى أو الاتهابات
+
+141
+00:09:32,330 --> 00:09:35,230
+لأن طبعا دايما يجين الاتهاباتبعد دخول الميكروبات
+
+142
+00:09:35,230 --> 00:09:38,710
+الممرضة لمكان الإصابة لأن طبعا صار عندنا جزء من
+
+143
+00:09:38,710 --> 00:09:41,510
+المشكلة وبالتالي خبرنا بيقول كل ما كان هناك
+
+144
+00:09:41,510 --> 00:09:45,810
+إمكانية لوجود كمية من الدم خارج مسارها الطبيعي كل
+
+145
+00:09:45,810 --> 00:09:51,370
+ما كانت الفرصة في التلوث أكبر لأن طبعا هو جو مناسب
+
+146
+00:09:51,370 --> 00:09:55,290
+أو جو خصب أو أرض خصبة لتكاثر الميكروبات وخاصة
+
+147
+00:09:55,290 --> 00:09:56,010
+البكتيريا
+
+148
+00:10:02,130 --> 00:10:05,370
+طبعا هذه يعني ممكن صورة مبسطة أنه طبعا ال ..
+
+149
+00:10:05,370 --> 00:10:11,250
+الاتهاد بنتج عنه الصديد .. الصديد لو اتكلمنا إيش
+
+150
+00:10:11,250 --> 00:10:18,290
+محتوياته؟ الصديد إيش محتوياته؟ طبعا
+
+151
+00:10:21,350 --> 00:10:27,630
+ميتة أنسجة متهتكة تمام؟ اه والمسبب اللي هو ال
+
+152
+00:10:27,630 --> 00:10:31,130
+microbe يبهان طبعا بالنسبة للصديد وبالتالي لو مثلا
+
+153
+00:10:31,130 --> 00:10:35,090
+صار عندنا عملية زراعة او نحن بيقول مثلا عندنا
+
+154
+00:10:35,090 --> 00:10:38,510
+مزرعة معناه يبقى يعرف نوع ال microbe اللي موجود
+
+155
+00:10:38,510 --> 00:10:43,970
+يبقى الصديد مكوّن من خلايا ميتة كورات دم بيضاء
+
+156
+00:10:43,970 --> 00:10:49,130
+ميتة وطبعا هو المسبب ال microbe وغالبا بكون
+
+157
+00:10:49,130 --> 00:10:49,690
+بكتيريا
+
+158
+00:10:53,110 --> 00:10:55,870
+طبعا أهم أعراض الالتهاب دي احنا كنا عارفين، ربما
+
+159
+00:10:55,870 --> 00:11:00,630
+دخلنا في النقاط هذه، طبعا أعراض موضعية، طبعا من
+
+160
+00:11:00,630 --> 00:11:03,110
+ضمن الأعراض الموضعية اللي هو الانتفاخ، الورم،
+
+161
+00:11:03,110 --> 00:11:06,650
+الإحمرار، السخونة، وهذا طبعا نتيجة لما نقول احنا و
+
+162
+00:11:06,650 --> 00:11:10,230
+الله في عندنا، بدأ في عندنا علامات التهاب، يعني في
+
+163
+00:11:10,230 --> 00:11:14,570
+عندنا إحمرار، إحمرار ليش بيصير؟ وورم ليش بيصير؟
+
+164
+00:11:14,570 --> 00:11:19,050
+وسخونة ليش بتصير؟بسبب ورود كمية كبيرة من الدم
+
+165
+00:11:19,050 --> 00:11:23,270
+لمنطقة الالتهاب علشان يحمل كمية كبيرة من خلايا
+
+166
+00:11:23,270 --> 00:11:28,650
+الدم البيضاء عساس كجسم دفاعي ضد الميكروب قد ينجح و
+
+167
+00:11:28,650 --> 00:11:33,270
+قد يفشل، قد ينجح بالتخلص من الميكروب و قد يفشل و
+
+168
+00:11:33,270 --> 00:11:36,470
+يزيد طبعا مشكلة المرض، طبعا الالتهاب بالتالي يحتاج
+
+169
+00:11:36,470 --> 00:11:40,650
+إلى مضادات حيوية إضافة إلى عملية غيار على مكان
+
+170
+00:11:40,650 --> 00:11:41,750
+الجرح الملتهب
+
+171
+00:11:44,750 --> 00:11:49,010
+ما ننساش كمان أنه في عندنا ارتفاع درجة حرارة الجسم
+
+172
+00:11:49,010 --> 00:11:52,370
+و دايما نعرف يا أخواتنا أن ارتفاع درجة الحرارة هي
+
+173
+00:11:52,370 --> 00:11:56,610
+وسيلة دفاعية ضد الميكروبط قد تنجح و قد تفشل لكنها
+
+174
+00:11:56,610 --> 00:12:00,170
+طبعا وسيلة من الجسم اللي ربنا أوجدها إلينا كمؤشر
+
+175
+00:12:00,170 --> 00:12:04,010
+أنه في غير إشي غير طبيعي داخل جسم الإنسانطبعا
+
+176
+00:12:04,010 --> 00:12:09,110
+حيانا ممكن يكون مصاحب ألم لالتهاب، الألم ليش؟ ألم
+
+177
+00:12:09,110 --> 00:12:12,910
+خفاق، ليش؟ لأن نتيجة الاتهاب الصديدي بحد ذاته
+
+178
+00:12:12,910 --> 00:12:15,870
+بتضغط على نهايات الأعصاب، يعني انا بقولك والله أنا
+
+179
+00:12:15,870 --> 00:12:21,720
+بأشعر أن أنا الأصبع بينبض، تمام؟ بسبب الضغط علىعلى
+
+180
+00:12:21,720 --> 00:12:25,820
+الشريان فالألم موجود طبعا نتيجة ضغط على نهاية
+
+181
+00:12:25,820 --> 00:12:30,840
+العصاب وعنا الألم هنا كمان نتيجة ضغط على الشريان
+
+182
+00:12:30,840 --> 00:12:34,720
+فانا بشعر بالنبضة بسبب الضغط على الشريان أنا صار
+
+183
+00:12:34,720 --> 00:12:38,700
+ضيق عندى بالشريان بسبب حجم طبعا الجزء الملتهب أما
+
+184
+00:12:38,700 --> 00:12:43,160
+الألم بسبب طبعا الضغط على اللى هو نهاية العصابو
+
+185
+00:12:43,160 --> 00:12:45,840
+احنا قلنا في البداية بالنسبة للجروح لما بيصير
+
+186
+00:12:45,840 --> 00:12:48,520
+عندنا جروح بيصير عندنا اتساع في الأواعي الدموية
+
+187
+00:12:48,520 --> 00:12:51,840
+تمام و بعد ذلك بيصير .. آسف بيصير ضيق في الأواعي
+
+188
+00:12:51,840 --> 00:12:55,140
+الدموية و بعد ذلك بيصير عندنا اتساع لورود كمية
+
+189
+00:12:55,140 --> 00:12:58,460
+كبيرة من الدم و الخلايا البيضاء و أيضا في عندنا
+
+190
+00:12:58,460 --> 00:13:01,720
+مواد كيموية و بالتالي يقولوا والله بعد ما برض عليه
+
+191
+00:13:01,720 --> 00:13:04,660
+الجروح بدأ يشعر بالألم في البداية ماشعر فيه الألم
+
+192
+00:13:04,660 --> 00:13:09,350
+عساس طبعا ايش محاولة من الجسم ان يعمل شبكةلإيقاف
+
+193
+00:13:09,350 --> 00:13:12,550
+النزيف لكن ممكن يكون جرح كبير ويفشل في الحالة
+
+194
+00:13:12,550 --> 00:13:14,930
+هاليفا بحتاج لأشياء مساعد خارجية
+
+195
+00:13:17,390 --> 00:13:20,750
+طبعا أعراض عامة، في عندنا درجة الحرارة بترتفع،
+
+196
+00:13:20,750 --> 00:13:25,970
+زغللة، صداع، ضعف الشهية، غائق، طبعا غثيان، قائق،
+
+197
+00:13:25,970 --> 00:13:29,610
+طبعا كل أعراض يعني نتيجة .. طبعا دي أعراض عامة
+
+198
+00:13:29,610 --> 00:13:32,830
+للجسم كل، تمام؟ واحد عمل عملية جراحية و التهبط
+
+199
+00:13:32,830 --> 00:13:35,830
+العملية عنده بالنسباله، بيقولك عنده صداع، شهيته
+
+200
+00:13:35,830 --> 00:13:40,550
+ضعيفة، صار عنده زغللة، غير متوازن، ارتفع حرارة
+
+201
+00:13:40,550 --> 00:13:44,270
+شديد، لكن الأعراض الموضعية هي ألم، هي طبعا حمرار
+
+202
+00:13:44,270 --> 00:13:46,990
+وورم وسخونة في نفس المكان
+
+203
+00:13:50,540 --> 00:13:54,680
+طبعا أهم ان ال .. ال .. التهابات البكتيرية هذه
+
+204
+00:13:54,680 --> 00:13:57,520
+طبعا فينا التهاب مايكروبي طبعا حسب لإن فينا
+
+205
+00:13:57,520 --> 00:14:00,820
+مايكروبات ضارة و فينا مايكروبات نافعة، احنا لما
+
+206
+00:14:00,820 --> 00:14:03,280
+نتكلم عن البكتيريا فينا برضه بكتيريا ضارة و
+
+207
+00:14:03,280 --> 00:14:05,880
+بكتيريا نافعة، احنا في أجسامنا فيه بكتيريا لكن
+
+208
+00:14:05,880 --> 00:14:09,580
+نافعة، لكن لما نتكلم على أجسام أو على بكتيريا ضارة
+
+209
+00:14:09,580 --> 00:14:14,840
+معناها هي المسببة للأمراضطبعا الأنواع الكتيرة من
+
+210
+00:14:14,840 --> 00:14:18,300
+البكتيريا و احنا يعني لما نتكلم على أنواع كتيرة
+
+211
+00:14:18,300 --> 00:14:22,440
+معناه في فرصة لدخول بكتيريا في حال إلها مدخل على
+
+212
+00:14:22,440 --> 00:14:27,120
+عكس الفتحات الطبيعية للجسم لو صار مدخل غير مدخل
+
+213
+00:14:27,120 --> 00:14:29,920
+الطبيعي مثلا الأنف الأدن والعين، هذه فيها طرق
+
+214
+00:14:29,920 --> 00:14:34,440
+حماية، لكن لو صار عندنا خدش أو تهتو أو نزيف أو جرح
+
+215
+00:14:34,440 --> 00:14:38,240
+معناه دخول الميكروبات في الحالة هذه هي فرصة لإحداث
+
+216
+00:14:38,240 --> 00:14:42,510
+الالتهابطبعا فيه عندنا أول مرض طبعا مرض الـ
+
+217
+00:14:42,510 --> 00:14:46,990
+tetanus هو طبعا كان زمان متشر كتير اليوم الحمد لله
+
+218
+00:14:46,990 --> 00:14:51,210
+يعني قل انتشاره بسبب نسبة التطعيم العالية يعني
+
+219
+00:14:51,210 --> 00:14:54,530
+معظم نقول القطاع معظمه نقول مثلا ما نقول مية في
+
+220
+00:14:54,530 --> 00:14:58,010
+الميجول تسعة وتسعين وتسعة من عشرة مطعمينبل
+
+221
+00:14:58,010 --> 00:15:00,810
+الغالبية العظمى مطعمين ضد التيتانوس، سواء طبعا
+
+222
+00:15:00,810 --> 00:15:04,690
+الأطفال أو سيدات الحوامل، زمان ماكنش طبعا مستطعين
+
+223
+00:15:04,690 --> 00:15:09,630
+بالصورة هذه، يعني حتى كانت مشاكل لما الستات مثلا
+
+224
+00:15:09,630 --> 00:15:13,190
+بيولدوا ما كانوا مطعمين، فكان طبعا يصير عندهم مرض
+
+225
+00:15:13,190 --> 00:15:16,670
+التيتانوس، لأن هذا طبعا التيتانوس بكتيريا لا هوية،
+
+226
+00:15:16,670 --> 00:15:20,520
+المسبب يقولون بكتيريا لا هويةClostridium Tetani
+
+227
+00:15:20,520 --> 00:15:24,320
+وهي طبعا تعيش بالتربة تعيش مثلا في الحقول تعيش
+
+228
+00:15:24,320 --> 00:15:27,780
+مثلا في مرابض الخيول وبالتالي هانا هي بكتيريا لا
+
+229
+00:15:27,780 --> 00:15:31,200
+هوائية فطبعا لما كانت مثلا الست ولد أو ماكانش فعلا
+
+230
+00:15:31,200 --> 00:15:34,620
+انتظام في التجدر وتطعيم كانت الفرصة أو استخدام
+
+231
+00:15:34,620 --> 00:15:38,280
+ألوات ملوثة أو غير نظيفة كانت الفرصة للإصابة
+
+232
+00:15:38,280 --> 00:15:42,460
+بالمرض هذا عالية جدا وكان طبعا المرض قاتل عندكلم
+
+233
+00:15:42,460 --> 00:15:48,000
+عن أعراضهبمعنى إن مسبب هذا المرض هي بكتيريا
+
+234
+00:15:48,000 --> 00:15:52,720
+لاهوائية اليوم المعظم تم تطعيمهم سواء في جد ولا
+
+235
+00:15:52,720 --> 00:15:58,400
+تطعيم العادي أو حتى بتم إعادة جرعة تنشيطية لصف
+
+236
+00:15:58,400 --> 00:16:01,460
+تاني ابتدائي اللي هي الـ DT أو طبعا دفتيرا
+
+237
+00:16:01,460 --> 00:16:04,960
+والتيتانوس هي تعتبر جرعة تنشيطية زي ما احنا بناخد
+
+238
+00:16:04,960 --> 00:16:08,100
+مثلا جرعة طبعا الكورونا الجرعة الأولى والتانية
+
+239
+00:16:08,100 --> 00:16:11,640
+والتالتة طبعا جرعة إيش تنشيطية أو تحفيزية لإجسام
+
+240
+00:16:11,640 --> 00:16:17,040
+المنعية الموجودةطبعا هنا الأعراض تبدأ فيها ان
+
+241
+00:16:17,040 --> 00:16:20,200
+ارتفاع حرارة طبعا دايما نعرف وين في عندنا بداية
+
+242
+00:16:20,200 --> 00:16:22,740
+ارتفاع بالحرارة يجب ان في عندنا مشكلة غير طبيعية
+
+243
+00:16:22,740 --> 00:16:26,960
+في احتمال اللي هو العدوى غالبا طبعا ممكن يكون طبعا
+
+244
+00:16:26,960 --> 00:16:30,680
+ارتفاع الحرارة عشان ما نظلمش ان كله عدوى ممكن يكون
+
+245
+00:16:30,680 --> 00:16:35,270
+جفافمثلا إنسان ماشي مشوار بعيد أو مثلا يعني مش
+
+246
+00:16:35,270 --> 00:16:38,230
+شارب ميه كتير طبعا بيحصل عندنا جهاز بسبب نقص
+
+247
+00:16:38,230 --> 00:16:41,550
+السوائل، تمام؟ لكن احنا نتكلم هنا عساس انه في
+
+248
+00:16:41,550 --> 00:16:44,690
+عندنا عدوى ودخول مايكروبت فبالتالي أول حاجة بيصير
+
+249
+00:16:44,690 --> 00:16:47,530
+عندنا ارتفاع بالحرارة كمؤشر و بيصير عندنا ألم في
+
+250
+00:16:47,530 --> 00:16:50,950
+عضلات الظهر، يبقى هنا طبعا هذه من الأعراض لأن طبعا
+
+251
+00:16:50,950 --> 00:16:54,570
+ال .. ال .. ال .. ال .. البكتيري هذه بتصيب الجهاز
+
+252
+00:16:54,570 --> 00:16:58,710
+العصبيوبالتالي هانا طبعاً هيكون عندنا كبداية أو
+
+253
+00:16:58,710 --> 00:17:02,630
+كمؤشر أنه في عندنا ألم طبعاً أيه في العضلة طبعاً
+
+254
+00:17:02,630 --> 00:17:07,010
+المصاب بيبدأ عنده صعوبه، بالذات طبعاً للردع،
+
+255
+00:17:07,010 --> 00:17:09,430
+الكلام على أطفال الردع بيصير عنده صعوبة في
+
+256
+00:17:09,430 --> 00:17:12,690
+الرضاعة، يعني بيصير عنده تقلص عضلات الفكين، يعني
+
+257
+00:17:12,690 --> 00:17:18,030
+أول علامة مميزة للتيتانوس هي تقلص في عضلات الفكين،
+
+258
+00:17:18,030 --> 00:17:20,950
+لأنه مابقدرش يفتح تمه كويس عشان يرضع، وبالتالي
+
+259
+00:17:20,950 --> 00:17:24,990
+احنا بسميه الكزازةلأن طبعا بسبب صورة نشوف طبعا جات
+
+260
+00:17:24,990 --> 00:17:28,370
+صورة و نريكوا إياها هو زي ما باين كأنه مكشر لكن
+
+261
+00:17:28,370 --> 00:17:32,790
+هذا بسبب تيبّس في عضلة الفكين وهو أول علامة مميزة
+
+262
+00:17:32,790 --> 00:17:36,910
+لها طبعا بعد هيك تنتقل التيبس هذا أو التقلص هذا
+
+263
+00:17:36,910 --> 00:17:40,450
+أنه بيصير عنده صعوبة أنه يفتح عينيه في الضوء و
+
+264
+00:17:40,450 --> 00:17:44,390
+بيصير عند العضلة أيضا تقلص في عضلة الذهب بيصير
+
+265
+00:17:44,390 --> 00:17:50,460
+تقوس في عضلة الذهب طبعا نشوف بعض الصور هنايعني
+
+266
+00:17:50,460 --> 00:17:54,380
+الخطورة فيه إنه أيضا بيصير عندنا تيبّس في عضلات
+
+267
+00:17:54,380 --> 00:17:57,780
+الجاذب التنفسوي خطيرة جدا، بمعنى إنه ما بيصيرش
+
+268
+00:17:57,780 --> 00:18:00,880
+عندنا لا تساع أفق ولا تساع رأسي، وبالتالي يؤدي إلى
+
+269
+00:18:00,880 --> 00:18:03,620
+الوفاة، وهي طبعا أخطر شئ بالنسبة له الموضوع اللي
+
+270
+00:18:03,620 --> 00:18:08,050
+هو التتنوس أو الكزازطبعا لاحظين هنا بصير أن الظهر
+
+271
+00:18:08,050 --> 00:18:12,770
+مقعر في تحدب بسبب طبعا .. دايما التقلط معناه قصر
+
+272
+00:18:12,770 --> 00:18:16,590
+حجم .. حجم إيش العضلة، طبعا إن صورة هنا واضحة،
+
+273
+00:18:16,590 --> 00:18:20,730
+هتلاحظين هنا، أول علامة مميزة اللي هي تيبص في عضلة
+
+274
+00:18:20,730 --> 00:18:25,010
+الفكين، بنتقل بعد ذلك للرقب أو الظهر وباقي الجسم،
+
+275
+00:18:25,010 --> 00:18:29,430
+لكن أول علامة اللي هي إيشتيبس في عضلات الفكين و
+
+276
+00:18:29,430 --> 00:18:32,750
+بيبطل الطفل يرضع و طالما بيبطل الطفل يرضع مناعة
+
+277
+00:18:32,750 --> 00:18:36,050
+تقل منعته يعني طبعا أسباب بتأدي لأسباب أخرى و هاي
+
+278
+00:18:36,050 --> 00:18:39,730
+طبعا الصورة هادي هي طبعا أنه تيبس و أيضا فيه أنه
+
+279
+00:18:39,730 --> 00:18:46,950
+أيش تقوس في عضلات اللي هو الذهب طبعا عندنا هنا
+
+280
+00:18:46,950 --> 00:18:50,170
+يعني بصفة عامة نتكلم عنه اللي هو احنا عندنا علاج
+
+281
+00:18:50,170 --> 00:18:53,770
+وقائه العلاج و وقائه اللي هو التطعيم .. تطعيم ضد
+
+282
+00:18:53,770 --> 00:18:57,400
+التتانوسيعني حتى احنا اليوم انها لما الطفل مثلا
+
+283
+00:18:57,400 --> 00:18:59,360
+بروح طبعا التطعيم .. انا مابناش ناخد .. ناخد
+
+284
+00:18:59,360 --> 00:19:02,780
+تفاصيل كتيرة، طبعا التطعيم من أنوعين، فيه انه طبعا
+
+285
+00:19:02,780 --> 00:19:05,900
+التطعيم السلبي و التطعيم الإيجابي، لكن بقول احنا
+
+286
+00:19:05,900 --> 00:19:11,380
+ببساطة الطفل لما بتم تطعيمه لتتنس، تمام؟ هو هيكتسب
+
+287
+00:19:11,380 --> 00:19:16,030
+المناعةليش؟ لأن الجسم هيكون أجسام منعية ضد اللي هو
+
+288
+00:19:16,030 --> 00:19:20,630
+المسبب طبعا التطعيمات أنواع اللي كانت بيخص بالنسبة
+
+289
+00:19:20,630 --> 00:19:25,250
+لتطعيم التيتانوس هو يأخذ سموم المسبب السموم وليس
+
+290
+00:19:25,250 --> 00:19:28,010
+البكتيريا طبعا تيتانوس تكسويد اللي هو سموم
+
+291
+00:19:28,010 --> 00:19:30,870
+البكتيريا المسببة أنواع تانية من بعض التطعيمات
+
+292
+00:19:30,870 --> 00:19:35,310
+تأخذ البكتيريا أو الفيروس بحد ذاته سواء مضعف أو
+
+293
+00:19:35,310 --> 00:19:40,910
+ميتتمام؟ لأن التيتانوس هي سموم البكتيريا المسببة
+
+294
+00:19:40,910 --> 00:19:49,950
+عشان الجسم مكوّن إلها أجسام منعية اليوم
+
+295
+00:19:49,950 --> 00:19:53,890
+إحنا بنلاحظ لو إنسان طبعا بياخد سموم لكن في الحالة
+
+296
+00:19:53,890 --> 00:19:57,030
+إحنا يعني زمان كان في حاجة بيسموها تيتاجلوبين
+
+297
+00:19:57,030 --> 00:20:01,590
+تيتاجلوبين يعني هي أجسام المنعية الجاهزةبمعنى لو
+
+298
+00:20:01,590 --> 00:20:05,410
+إنسان مثلًا طبعًا قبل كده قبل سنوات نقول عشرين أو
+
+299
+00:20:05,410 --> 00:20:10,330
+تلاتين سنة كانت تتقلبين موجود وتتقلبين هنا معناه
+
+300
+00:20:10,330 --> 00:20:13,990
+أنه أنا بتعطي الشخص اللي مثلًا ان جرح بجطعة معدنية
+
+301
+00:20:13,990 --> 00:20:17,330
+مصدية أو مثلًا ملوثة أو مثلًا قاعد بشتغل في
+
+302
+00:20:17,330 --> 00:20:20,230
+الزراعة أو مثلًا في مال الحيوانات عزكم الله وطبعًا
+
+303
+00:20:20,230 --> 00:20:23,710
+في عنده جرح احنا بنعطيه جسام منعية جاهزة عشان يصير
+
+304
+00:20:23,710 --> 00:20:27,230
+مقاوم للميكروب مباشرة لكن أنا لما بعطي ناحية
+
+305
+00:20:27,230 --> 00:20:32,000
+وقائيةأنا بعطي الـTetanus Oxide أو سموم التتانوس
+
+306
+00:20:32,000 --> 00:20:36,600
+عشان الجسم يكون أجسام مناعية لو أصيفيهم بقى بتكون
+
+307
+00:20:36,600 --> 00:20:39,540
+موجودة، وبالتالي احنا اليوم لو أي إنسان مثلا راح
+
+308
+00:20:39,540 --> 00:20:41,900
+على المستشفى، لأن معظمه بيقول إن احنا مطعم،
+
+309
+00:20:41,900 --> 00:20:45,180
+فبيعطوه طبعا Tetanus Oxide بس من باب الوقاية، أما
+
+310
+00:20:45,180 --> 00:20:48,100
+أساساً الأجسام المناعية موجودة داخل جسم كل شخص
+
+311
+00:20:48,100 --> 00:20:48,380
+فينا
+
+312
+00:20:53,360 --> 00:20:57,640
+نيجيلا المرض التاني اللي هو الغرغرينة، الغرغرينة
+
+313
+00:20:57,640 --> 00:21:01,620
+تعني الموت يعني موت العضو المصاب و غالبا يمكن
+
+314
+00:21:01,620 --> 00:21:06,910
+الغرغرينة بتكون أكثر شيء مع مرض السكربسبب ضعف
+
+315
+00:21:06,910 --> 00:21:11,230
+الدورة الدموية و هنقولنا دايما اي منطقة ما بيصلها
+
+316
+00:21:11,230 --> 00:21:14,370
+الدم بطريقة صحية و ما بيصلها التغذية و الاكسجين
+
+317
+00:21:14,370 --> 00:21:19,690
+تموت تمام؟ وهو طبعا دايما من مضاعفات مرض السكر
+
+318
+00:21:19,690 --> 00:21:22,890
+طبعا و مرض السكر بيأثر على أجهزة كتيرة في الجسم من
+
+319
+00:21:22,890 --> 00:21:25,930
+ضمن الجهاز العصبي، الجهاز الدوري، طبعا الجهاز
+
+320
+00:21:25,930 --> 00:21:30,390
+البوري، الجهاز التناسلي، الجهاز المناعي، كل أجهزة
+
+321
+00:21:30,390 --> 00:21:35,320
+الجسم إذا لم يتم تنظيمطبعا السكر في الدم هيكون
+
+322
+00:21:35,320 --> 00:21:39,620
+مضاعفات خطيرة، ممكن تؤدي لفقدان البصر، ضعف
+
+323
+00:21:39,620 --> 00:21:42,440
+المناعة، إنه مايتعرضيش، وبالتالي نبقى ممكن نقول و
+
+324
+00:21:42,440 --> 00:21:45,900
+الله تطيب لفئات اللي هي المستهدفة، من ضمنها المرضى
+
+325
+00:21:45,900 --> 00:21:49,780
+المزمنين ومن ضمنهم اللي هو مريض السكرفطبعا هذه
+
+326
+00:21:49,780 --> 00:21:54,280
+أيضا مسببها طبعا اللي هي أيضا بكتيرا لا هوائية،
+
+327
+00:21:54,280 --> 00:21:57,340
+هاي طبعا اسمها الـcholestridium والشاي وهي طبعا
+
+328
+00:21:57,340 --> 00:22:02,080
+أيضا لا هوائية وهي طبعا ميزتها إنها بتفرز إنزيمات
+
+329
+00:22:02,080 --> 00:22:07,160
+والإنزيمات هذه بتعمل على طبعا تحلل الأوعية الدموية
+
+330
+00:22:07,160 --> 00:22:12,260
+والأنسجة وبتطلع رائحة كريهة تؤدي طبعا طالما إن في
+
+331
+00:22:12,260 --> 00:22:15,880
+عندي عدم وصول كمية كافية من الدم معناه في إزرقاق و
+
+332
+00:22:15,880 --> 00:22:20,130
+بعد الإزرقاق حيصير سواد معناه منطقة ميتةالحل في
+
+333
+00:22:20,130 --> 00:22:26,430
+الحالة هذه البتر البتر الجراحي لكن نقول احنا طبعا
+
+334
+00:22:26,430 --> 00:22:30,410
+هي رائحة كريهة جدا لان هي البكتيريا هذه بتفرز
+
+335
+00:22:30,410 --> 00:22:35,010
+انزيم و رائحة كريهة جدا بسبب تحلل و تعفن المنطقة
+
+336
+00:22:35,010 --> 00:22:41,310
+المصعبةبتروح طبعا عملية البتر بيصير الجزء الميت مع
+
+337
+00:22:41,310 --> 00:22:46,370
+جزء حي احتياطا عساس انش ما ينتقل لكن ممكن تعادل
+
+338
+00:22:46,370 --> 00:22:49,970
+عملية مرة و اتنين لسبب طبعا عدم تنظيم السكر و في
+
+339
+00:22:49,970 --> 00:22:52,790
+البداية بيقولوا احنا مريض السكر و اكتر ناس عرضة
+
+340
+00:22:52,790 --> 00:22:58,720
+للغرغرينة بسبب عدم انتظامه على العلاجأو على
+
+341
+00:22:58,720 --> 00:23:06,040
+الريجيم الغذاء أو على النشاط أو قربه من التوترات
+
+342
+00:23:06,040 --> 00:23:10,640
+والمشاكل النفسية طبعا بزيد المشكلة أكتر فيعني بعد
+
+343
+00:23:10,640 --> 00:23:14,800
+ما العضل يموت تيجي هذه البكتيريا تتعمل على إتفاق
+
+344
+00:23:14,800 --> 00:23:20,110
+الإنسان؟لأ، قبل ما يعضوا، هي بتبدأ بحال .. احنا
+
+345
+00:23:20,110 --> 00:23:23,030
+ليش بنقول احنا كل ما كان عضو ضعيف الدورة الدموية
+
+346
+00:23:23,030 --> 00:23:27,350
+موجودة فيه، بكون فيه فرصة لموته، تمام؟ فهذه طبعا
+
+347
+00:23:27,350 --> 00:23:31,090
+الـ bacteria موجودة، وعشان نقول احنا الشخص اللي
+
+348
+00:23:31,090 --> 00:23:35,190
+عنده مرض سكر، يعني غالبا لازم يلبس الجرابين، لأنه
+
+349
+00:23:35,190 --> 00:23:38,090
+ممكن يكون عنده إحساس قليل جدا، ممكن ينجرح
+
+350
+00:23:38,090 --> 00:23:43,570
+ومايشعرش، وبسبب ضعف الدورة الدموية،طبعا تقدّي
+
+351
+00:23:43,570 --> 00:23:47,090
+كبداية كتحضير لموت الخلية لكن بيساعد المشكلة أكتر
+
+352
+00:23:47,090 --> 00:23:51,010
+و أكتر أن الدم لما مثلا مش بس ع جد تغذية الدم في
+
+353
+00:23:51,010 --> 00:23:54,650
+خلايا دم بيضا و خلايا الدم البيضا هي جسم دفاعي
+
+354
+00:23:54,650 --> 00:23:59,090
+فطبعا الجث .. الجنود ما وصله معناه العدو هيدخل وهي
+
+355
+00:23:59,090 --> 00:24:02,850
+طبعا فرصة أنه نعطي الفرصة أو إمكانية لالميكروبات
+
+356
+00:24:02,850 --> 00:24:05,810
+الخارجية و من دون .. ممكن يكون طبعا ليس بالضرورة
+
+357
+00:24:05,810 --> 00:24:08,090
+مثلا الغررينة فقط لكن إيه الغررينة؟ إيه أخطر شيء
+
+358
+00:24:08,090 --> 00:24:10,510
+بالنسبة لمرض السُكّار ممكن تبقى .. ممكن يكون إنه
+
+359
+00:24:10,510 --> 00:24:15,630
+التلا تؤدي للغيرغينية لكن تؤدي إلى تأجيل الألتئام
+
+360
+00:24:15,630 --> 00:24:18,350
+يعني أخد مثلا بدل ما يكون عليه السموة ممكن يكون
+
+361
+00:24:18,350 --> 00:24:21,890
+شهر وشهرين ليش؟ لأنه ضعف الدورة الدموية وضعف
+
+362
+00:24:21,890 --> 00:24:25,230
+المناعة وضعف التخزيه وبالتالي مريض السكر ممكن
+
+363
+00:24:25,230 --> 00:24:28,970
+ينجرح ورجل شردان ومايشعرش فيها وبالتالي طبعا أيش
+
+364
+00:24:28,970 --> 00:24:32,810
+بيضل عنده أيش من باب اللقاية مريض السكر هو في خطر
+
+365
+00:24:32,810 --> 00:24:37,510
+إذا مااهتمش بمعدل السكر عنده طبعا .. طبعا سهولة
+
+366
+00:24:37,510 --> 00:24:39,970
+الميكروبات أو دخول الجسم أسرع واسرع تفضل
+
+367
+00:24:44,310 --> 00:24:46,850
+منخفض و رح ناخده معانا اللي هو غير و نقص السكر، رح
+
+368
+00:24:46,850 --> 00:24:49,070
+ناخده بالتفصيل ان شاء الله، بس اللي هي طبعا الخفاض
+
+369
+00:24:49,070 --> 00:24:52,210
+أخطر، لأن طبعا الخفاض على الدماغ أكتر حاجة هو اللي
+
+370
+00:24:52,210 --> 00:24:56,630
+بأثر طب يا دكتور تلقى غنينك، إيش هو السبب هى؟ يعني
+
+371
+00:24:56,630 --> 00:25:03,100
+لما يكون مثلا دماغ حاجة كبيرة أو عاملة؟ لأأه، ضعف
+
+372
+00:25:03,100 --> 00:25:07,860
+الدورة الدموية، ضعف .. ضعف الدورة الدموية جرح كبير
+
+373
+00:25:07,860 --> 00:25:10,980
+ممكن يصير اتهاب عادي، تمام؟ وطالما أن في عندنا
+
+374
+00:25:10,980 --> 00:25:14,440
+مناعة وفي عندنا وقاعة وفي عندنا تغذية جيدة وفي
+
+375
+00:25:14,440 --> 00:25:18,720
+عندنا غيار معقّم، بيكون الفرصة أفضل للعلاء،
+
+376
+00:25:18,720 --> 00:25:23,220
+للالتئام، لكن مريض السكر على عكس شخص تاني، مريض
+
+377
+00:25:23,220 --> 00:25:25,720
+السكر في عنده دورة دموية ضعيفة، لكن إذا اتكلم
+
+378
+00:25:25,720 --> 00:25:28,720
+بالمقارنة مع شخص تاني، دورة دموية قوية، تمام؟
+
+379
+00:25:28,720 --> 00:25:31,260
+وعنده مناعة قوية، فهذا بيساعد على التخلص من
+
+380
+00:25:31,260 --> 00:25:34,510
+الميكروبلكن لما يكون في عندي أنا أسباب أو أرضية
+
+381
+00:25:34,510 --> 00:25:41,030
+خصمة، لو دخول الخلايا، البكتيريا المسببة للغرغرينة
+
+382
+00:25:41,030 --> 00:25:44,750
+مع عوامل أخرى، ضعف الدورة الدموية، ضعف الإحساس
+
+383
+00:25:44,750 --> 00:25:49,360
+بالمرض، بالألم، طبعا ضعف التخدية، تمام؟وضعف
+
+384
+00:25:49,360 --> 00:25:52,700
+المناعة هيبقى بيكون هي لفرصة أكتر، يبقى طبعا مش بس
+
+385
+00:25:52,700 --> 00:25:56,140
+أجد انخفاض السكر، لأ في عوامل تانية بتساعد على
+
+386
+00:25:56,140 --> 00:26:00,260
+دخول الميكروبات و تكون مسببة للغرغرينة، لكن أهم
+
+387
+00:26:00,260 --> 00:26:03,160
+أكتر حاجة بالنسبة للغرغرينة اللي هي عند مريض
+
+388
+00:26:03,160 --> 00:26:06,940
+السكر، أكتر شيء، ممكن طبعا يكون مع شخص تاني، مثلا
+
+389
+00:26:06,940 --> 00:26:11,200
+شخص تاني انجرح، تمام؟ مش جرح، كان مثلا حتى يعني ..
+
+390
+00:26:11,200 --> 00:26:17,260
+يعني كتير إشي عظيمبصير، احنا بيقولنا يا أخواتنا
+
+391
+00:26:17,260 --> 00:26:21,380
+ليس بالضروري، لكن النسبة الأعلى للغرغرينة عند مرضى
+
+392
+00:26:21,380 --> 00:26:25,900
+السكر، لكن ممكن يصير عند ناس آخرين، طبعا، يعني
+
+393
+00:26:25,900 --> 00:26:30,500
+نقول مثلا صار عندنا ضعف في الدموية أو مثلا صار
+
+394
+00:26:30,500 --> 00:26:32,880
+احتباس في الدموية، طبعا هالكابي دايم يقول يا
+
+395
+00:26:32,880 --> 00:26:36,220
+أخوان، دايما بيصير تغيير اللون لللون الأزرقمعاناة
+
+396
+00:26:36,220 --> 00:26:38,260
+فيها يعني زيادة في الـ Oxygen .. الـ Oxygen Carbon
+
+397
+00:26:38,260 --> 00:26:41,240
+ونقص في الـ Oxygen يعني نقول مثلا صار ضيق في
+
+398
+00:26:41,240 --> 00:26:44,660
+الدورة الدموية لكن لو استمرت لفترة طويلة وعنا
+
+399
+00:26:44,660 --> 00:26:47,920
+أسباب أخرى مساعدة مثلا ضعف الدورة الدموية، ضعف
+
+400
+00:26:47,920 --> 00:26:51,780
+التخذية، ضعف المناعة، هذا قد يؤديلأ اللي هي
+
+401
+00:26:51,780 --> 00:26:55,660
+الغرغرينة كمان مثلا جروح التهب و نسيناه و قد يعدي
+
+402
+00:26:55,660 --> 00:26:58,080
+كمان طبعا هذه الشريحة اللي كانت الشريحة الأخيرة
+
+403
+00:26:58,080 --> 00:27:01,500
+بنسمع اذا في أي سؤال أو استفسار عن الموضوع اللي هو
+
+404
+00:27:01,500 --> 00:27:05,320
+الجروح و كيف اسعافها و بالنسبة لمضاعفاتها و كيف
+
+405
+00:27:05,320 --> 00:27:08,580
+احنا ممكن نتعامل معاها، فضلي انت لو كان في غرغرينة
+
+406
+00:27:08,580 --> 00:27:13,420
+و بعضه يعني هو ميت نعم، اه فإن الأردن بيساعد
+
+407
+00:27:13,420 --> 00:27:16,600
+المريض لإن هو مش بس يبقى تلبس بالبرادر كوي
+
+408
+00:27:16,600 --> 00:27:21,230
+الغرغرينة، بيسي لأنه ما تشوف البرادرطبعا ..
+
+409
+00:27:21,230 --> 00:27:24,710
+هلجيتها .. بنتكلم بالنسبة للغرغرين يا أخواتنا في
+
+410
+00:27:24,710 --> 00:27:29,470
+حال أنه صار الحل حال جراحي مافيش مفرد لإن بقدرش
+
+411
+00:27:29,470 --> 00:27:33,250
+أنا أعيد الدورة الدموية لجزء ميت فالجزء الميت بيتم
+
+412
+00:27:33,250 --> 00:27:38,010
+استقصاله واضف إلى ذلك خوفا .. خوفا من انتقال
+
+413
+00:27:38,010 --> 00:27:45,050
+الغرغرين لجزء حي بيتم استقصال جزء حي إضافي طبعا
+
+414
+00:27:45,050 --> 00:27:49,710
+.. طبيعي .. ممكن طبعا يكون إذا كان مثلا باتربطر
+
+415
+00:27:49,710 --> 00:27:53,070
+مثلًا الأصبع تخدير موضعه، لكن إذا كان بطر مثلًا
+
+416
+00:27:53,070 --> 00:27:56,650
+الذراع، الساق، وغالبًا يخبط من ما نكون ملاحظين إن
+
+417
+00:27:56,650 --> 00:27:59,910
+الدم الغرغرينة بتيجي غالبًا في أطراف السفلية، بسبب
+
+418
+00:27:59,910 --> 00:28:04,370
+ضعف الدورة الدمويةوضعف النشاط وضعف الحركة وياما
+
+419
+00:28:04,370 --> 00:28:08,210
+ناس كتير طبعا اللي بيساعد كمان أكتر و أكتر عند بعض
+
+420
+00:28:08,210 --> 00:28:10,990
+الناس مثلا المدخنين لما بيعمل ضيق في الأواعي
+
+421
+00:28:10,990 --> 00:28:14,610
+الدموية وطبعا يعني هاري بيزيد الطين بله لإن هاري
+
+422
+00:28:14,610 --> 00:28:18,130
+بيساعد على ضيق الأواع الدموية ومشاكل أخرى طبعا
+
+423
+00:28:18,130 --> 00:28:21,270
+لربما يمكن مرض السكر وغالبا المرض المزمنين يكون
+
+424
+00:28:21,270 --> 00:28:24,830
+مصاحب أمراض أخرى لأنه قد يكون أحد أسباب مرض السكر
+
+425
+00:28:24,830 --> 00:28:28,940
+مثلا زيادة السمنةأو الغضب، والغضب هيؤدي إلى أمراض
+
+426
+00:28:28,940 --> 00:28:32,500
+للقلب أو ضعف المناعة وبالتالي قد يكون بدل المرض
+
+427
+00:28:32,500 --> 00:28:36,080
+ممكن يكون عنده اتنين لكن بقول احنا عشان الموضوع
+
+428
+00:28:36,080 --> 00:28:40,060
+طبعا مابناش نطلع برا كتير انه بالنسبة لمرض السكر
+
+429
+00:28:40,060 --> 00:28:43,140
+اللي هو طبعا قد يصاحبه اللي هي الغير غيرينا السكر
+
+430
+00:28:43,140 --> 00:28:48,540
+عدو وصديق، صاحب صاحبه وعدو عدوه، اهمل فيه بلدق،
+
+431
+00:28:48,540 --> 00:28:55,640
+برحمشطبعا هو يتلصد بصاحبه إذا أهمل فيه، لكن هو زي
+
+432
+00:28:55,640 --> 00:28:58,520
+الحامل وديع إذا كان ماشي معاه كويس، ناس عندهم
+
+433
+00:28:58,520 --> 00:29:01,580
+عشرين سنة و أكتر و عندهم مرض سُكر، ناس سنتين أو
+
+434
+00:29:01,580 --> 00:29:04,100
+تلاتة بيقولك والله صار عنده بتر، صار عنده غرغرينة،
+
+435
+00:29:04,100 --> 00:29:07,900
+أهمل، مهتمش، وبالتالي طبعا كل المرضى المزمنين
+
+436
+00:29:07,900 --> 00:29:12,060
+بيكون عندهم اهتمام بأربع محاور، المحور النفسي،
+
+437
+00:29:12,060 --> 00:29:16,960
+التخذوي، العلاجي، الحركة و النشاط، بعيش حياة كويسة
+
+438
+00:29:18,020 --> 00:29:21,300
+و أقلها و اتوكى شكرا و مبارك الله فيك و ربنا
+
+439
+00:29:21,300 --> 00:29:21,600
+نحفظكم
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/h6c2Uhi_jDA_raw.json b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/h6c2Uhi_jDA_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..daefba3bba57a19827abb321cf2f25c92e6f2a0c
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/h6c2Uhi_jDA_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 2786, "start": 5.08, "end": 27.86, "text": "أعوذ بالله من الشيطان الرجيم بسم الله الرحمن الرحيم الصلاة والسلام على شرف المرسلين سيدنا محمد وليه وصحابه وسلم اتكلمنا قبل كده على موضوع الجروح وانواع الجروح وكيف .. وكيفية طبعا اسعاف الجروح طبعا اللي اتكلمنا على ان فينا عدة أنواع من الجروح كيف بتم اسعافها، اليوم هناخد طبعا يعني بعض أنواع من الجروح، يمكن بعض أنواع الجروح هي المؤذية نوعا ما، حتى للعين بتكون مؤذية", "tokens": [10721, 3615, 2407, 8848, 20666, 43761, 9154, 25124, 1829, 9566, 7649, 34892, 7435, 32640, 4724, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 31767, 15040, 3660, 16070, 3794, 37440, 15844, 13412, 28480, 9673, 2288, 3794, 1211, 9957, 8608, 25708, 8315, 3714, 35571, 3215, 4032, 20292, 3224, 4032, 9381, 5016, 16758, 3224, 46952, 19528, 1975, 2655, 4117, 19528, 8315, 12174, 36150, 9122, 3215, 3224, 15844, 3714, 2407, 11242, 45367, 25724, 32887, 5016, 4032, 7649, 14407, 3615, 25724, 32887, 5016, 4032, 4117, 33911, 4386, 4032, 4117, 33911, 10632, 23032, 3555, 3615, 995, 24525, 3615, 31845, 25724, 32887, 5016, 23032, 3555, 3615, 995, 13672, 1829, 1975, 2655, 4117, 19528, 8315, 15844, 16472, 8978, 8315, 6225, 41891, 14739, 14407, 3615, 9154, 25724, 32887, 5016, 9122, 33911, 4724, 39237, 24525, 3615, 31845, 11296, 12399, 45595, 20498, 8032, 1863, 47283, 3215, 23032, 3555, 3615, 995, 37495, 22653, 45030, 11242, 14739, 14407, 3615, 9154, 25724, 32887, 5016, 12399, 7251, 43020, 45030, 11242, 14739, 14407, 3615, 25724, 32887, 5016, 39896, 9673, 33604, 8848, 10632, 8717, 45367, 995, 19446, 12399, 11331, 49975, 24976, 3615, 9957, 39894, 30544, 3714, 33604, 8848, 10632], "avg_logprob": -0.1093750022799591, "compression_ratio": 2.351063829787234, "no_speech_prob": 0.0, "words": [{"start": 5.08, "end": 5.4, "word": "أعوذ", "probability": 0.8475341796875}, {"start": 5.4, "end": 5.58, "word": " بالله", "probability": 0.982421875}, {"start": 5.58, "end": 5.7, "word": " من", "probability": 0.98095703125}, {"start": 5.7, "end": 5.94, "word": " الشيطان", "probability": 0.9791259765625}, {"start": 5.94, "end": 6.14, "word": " الرجيم", "probability": 0.9412434895833334}, {"start": 6.14, "end": 6.34, "word": " بسم", "probability": 0.78466796875}, {"start": 6.34, "end": 6.48, "word": " الله", "probability": 0.9580078125}, {"start": 6.48, "end": 6.78, "word": " الرحمن", "probability": 0.9734700520833334}, {"start": 6.78, "end": 7.1, "word": " الرحيم", "probability": 0.9939778645833334}, {"start": 7.1, "end": 7.42, "word": " الصلاة", "probability": 0.771240234375}, {"start": 7.42, "end": 7.76, "word": " والسلام", "probability": 0.9225260416666666}, {"start": 7.76, "end": 7.92, "word": " على", "probability": 0.335205078125}, {"start": 7.92, "end": 8.24, "word": " شرف", "probability": 0.936767578125}, {"start": 8.24, "end": 8.74, "word": " المرسلين", "probability": 0.9869140625}, {"start": 8.74, "end": 9.08, "word": " سيدنا", "probability": 0.97998046875}, {"start": 9.08, "end": 9.42, "word": " محمد", "probability": 0.9918619791666666}, {"start": 9.42, "end": 9.68, "word": " وليه", "probability": 0.8917643229166666}, {"start": 9.68, "end": 10.02, "word": " وصحابه", "probability": 0.8328125}, {"start": 10.02, "end": 10.48, "word": " وسلم", "probability": 0.942138671875}, {"start": 10.48, "end": 11.74, "word": " اتكلمنا", "probability": 0.93994140625}, {"start": 11.74, "end": 12.34, "word": " قبل", "probability": 0.84716796875}, {"start": 12.34, "end": 12.68, "word": " كده", "probability": 0.9876302083333334}, {"start": 12.68, "end": 12.9, "word": " على", "probability": 0.80859375}, {"start": 12.9, "end": 13.52, "word": " موضوع", "probability": 0.996337890625}, {"start": 13.52, "end": 14.02, "word": " الجروح", "probability": 0.9498697916666666}, {"start": 14.02, "end": 14.38, "word": " وانواع", "probability": 0.8680419921875}, {"start": 14.38, "end": 14.84, "word": " الجروح", "probability": 0.9723307291666666}, {"start": 14.84, "end": 15.14, "word": " وكيف", "probability": 0.7364095052083334}, 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28242, 9673, 43042, 7578, 9673, 11622, 27842, 9957, 4724, 1829, 30544, 43242, 16095, 1975, 3224, 39237, 10943, 4724, 10721, 25513, 3615, 3714, 5016, 995, 13063, 12399, 9673, 5016, 13063, 28239, 36178, 1829, 12399, 16712, 9778, 8848, 45865, 12399, 18863, 1211, 26108, 1829, 12399, 21542, 31747, 3660, 4032, 28239, 8592, 41193, 12399, 45030, 1829, 8592, 11331, 25528, 3660, 9122, 45865, 3794, 3660], "avg_logprob": -0.1536885265444146, "compression_ratio": 2.02, "no_speech_prob": 5.960464477539062e-07, "words": [{"start": 1730.18, "end": 1730.54, "word": "طبعا", "probability": 0.92529296875}, {"start": 1730.54, "end": 1730.84, "word": " هو", "probability": 0.82958984375}, {"start": 1730.84, "end": 1732.6, "word": " يتلصد", "probability": 0.72333984375}, {"start": 1732.6, "end": 1733.18, "word": " بصاحبه", "probability": 0.96806640625}, {"start": 1733.18, "end": 1733.5, "word": " إذا", "probability": 0.981201171875}, {"start": 1733.5, "end": 1733.98, "word": " أهمل", "probability": 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1746.62, "word": " وبالتالي", "probability": 0.864453125}, {"start": 1746.62, "end": 1746.88, "word": " طبعا", "probability": 0.9830322265625}, {"start": 1746.88, "end": 1747.08, "word": " كل", "probability": 0.9814453125}, {"start": 1747.08, "end": 1747.4, "word": " المرضى", "probability": 0.8035481770833334}, {"start": 1747.4, "end": 1747.9, "word": " المزمنين", "probability": 0.8994140625}, {"start": 1747.9, "end": 1749.06, "word": " بيكون", "probability": 0.667236328125}, {"start": 1749.06, "end": 1749.32, "word": " عندهم", "probability": 0.906982421875}, {"start": 1749.32, "end": 1749.7, "word": " اهتمام", "probability": 0.9205322265625}, {"start": 1749.7, "end": 1750.0, "word": " بأربع", "probability": 0.83740234375}, {"start": 1750.0, "end": 1750.72, "word": " محاور،", "probability": 0.9541015625}, {"start": 1750.72, "end": 1751.14, "word": " المحور", "probability": 0.9737955729166666}, {"start": 1751.14, "end": 1752.06, "word": " النفسي،", "probability": 0.947265625}, {"start": 1752.06, "end": 1753.38, "word": " التخذوي،", "probability": 0.8537109375}, {"start": 1753.38, "end": 1754.5, "word": " العلاجي،", "probability": 0.9236328125}, {"start": 1754.5, "end": 1754.92, "word": " الحركة", "probability": 0.9632161458333334}, {"start": 1754.92, "end": 1755.04, "word": " و", "probability": 0.5439453125}, {"start": 1755.04, "end": 1756.04, "word": " النشاط،", "probability": 0.93310546875}, {"start": 1756.04, "end": 1756.32, "word": " بعيش", "probability": 0.8580729166666666}, {"start": 1756.32, "end": 1756.52, "word": " حياة", "probability": 0.9949544270833334}, {"start": 1756.52, "end": 1756.96, "word": " كويسة", "probability": 0.9957275390625}], "temperature": 1.0}, {"id": 75, "seek": 176160, "start": 1758.02, "end": 1761.6, "text": "و أقلها و اتوكى شكرا و مبارك الله فيك و ربنا نحفظكم", "tokens": [2407, 5551, 4587, 1211, 11296, 4032, 1975, 2655, 2407, 4117, 7578, 13412, 4117, 23557, 4032, 3714, 3555, 9640, 4117, 21984, 8978, 4117, 4032, 12602, 3555, 8315, 8717, 5016, 5172, 19913, 24793], "avg_logprob": -0.3513183491304517, "compression_ratio": 1.1818181818181819, "no_speech_prob": 0.0, "words": [{"start": 1758.02, "end": 1758.18, "word": "و", "probability": 0.384033203125}, {"start": 1758.18, "end": 1758.52, "word": " أقلها", "probability": 0.64373779296875}, {"start": 1758.52, "end": 1758.6, "word": " و", "probability": 0.69140625}, {"start": 1758.6, "end": 1759.08, "word": " اتوكى", "probability": 0.674951171875}, {"start": 1759.08, "end": 1760.28, "word": " شكرا", "probability": 0.8611653645833334}, {"start": 1760.28, "end": 1760.38, "word": " و", "probability": 0.428955078125}, {"start": 1760.38, "end": 1760.56, "word": " مبارك", "probability": 0.910888671875}, {"start": 1760.56, "end": 1760.68, "word": " الله", "probability": 0.703125}, {"start": 1760.68, "end": 1761.0, "word": " فيك", "probability": 0.9609375}, {"start": 1761.0, "end": 1761.06, "word": " و", "probability": 0.853515625}, {"start": 1761.06, "end": 1761.3, "word": " ربنا", 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\ No newline at end of file
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/h6c2Uhi_jDA_raw.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/h6c2Uhi_jDA_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..78c1eb65d9b89d233dfaade1ba0f2f82e8a01c15
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/h6c2Uhi_jDA_raw.srt
@@ -0,0 +1,1756 @@
+1
+00:00:05,080 --> 00:00:06,780
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:06,780 --> 00:00:09,420
+الرحيم الصلاة والسلام على شرف المرسلين سيدنا محمد
+
+3
+00:00:09,420 --> 00:00:14,020
+وليه وصحابه وسلم اتكلمنا قبل كده على موضوع الجروح
+
+4
+00:00:14,020 --> 00:00:16,660
+وانواع الجروح وكيف .. وكيفية طبعا اسعاف الجروح
+
+5
+00:00:16,660 --> 00:00:20,280
+طبعا اللي اتكلمنا على ان فينا عدة أنواع من الجروح
+
+6
+00:00:20,280 --> 00:00:23,560
+كيف بتم اسعافها، اليوم هناخد طبعا يعني بعض أنواع
+
+7
+00:00:23,560 --> 00:00:26,480
+من الجروح، يمكن بعض أنواع الجروح هي المؤذية نوعا
+
+8
+00:00:26,480 --> 00:00:30,460
+ما، حتى للعين بتكون مؤذيةاللي طبعاً جروح البترية
+
+9
+00:00:30,460 --> 00:00:34,000
+أو طبعاً يكون فيها بتر مثلا أصابع أو حتى و نكون
+
+10
+00:00:34,000 --> 00:00:37,280
+مثلا حتى السن بحد ذات ممكن يكون له تساقط وبالتالي
+
+11
+00:00:37,280 --> 00:00:41,720
+لما اتكلم على الحالة هذه أهم حاجة أنا بدي ما أفقد
+
+12
+00:00:41,720 --> 00:00:44,600
+العضو طبعاً و هذا بيعتمد على جداش برضه قدرة
+
+13
+00:00:44,600 --> 00:00:47,940
+الخدمات الصحية اللي ممكن تقدم للعضو هذا و قدرة
+
+14
+00:00:47,940 --> 00:00:51,000
+إعادته إلى مكانه الطبيعي و هل في إمكانية إعادة
+
+15
+00:00:51,000 --> 00:00:55,120
+العضو هذا طبعاً بطريقة جراحية لكن احنا كطريقة
+
+16
+00:00:55,120 --> 00:00:58,830
+مبدئية عشان أن أنا حافظ على العضو هذاأول شي احافظ
+
+17
+00:00:58,830 --> 00:01:02,050
+عليه من الجفاف و احافظ عليه من التلوث لإن طبعا لو
+
+18
+00:01:02,050 --> 00:01:05,170
+كان عندى جفاف معناه طبعا فيه ضيق بالأوعي الدموية و
+
+19
+00:01:05,170 --> 00:01:08,210
+فيه خسرانة للعضو هذا نفسه وبالتالي هنا يعني انا
+
+20
+00:01:08,210 --> 00:01:12,710
+ممكن احافظ على العضو هذا زي ما احنا كاتبين هنا كيس
+
+21
+00:01:12,710 --> 00:01:15,650
+محلول ملحي مش ضرور من الصيدلية لو كان الكيس محلول
+
+22
+00:01:15,650 --> 00:01:19,270
+ملحي تركيز خفيف يعني ممكن نعمله من البيت لكن افضل
+
+23
+00:01:19,270 --> 00:01:21,930
+لو كان من الصيدلية بكون افضل ان طبعا هو محلول ملح
+
+24
+00:01:21,930 --> 00:01:24,690
+اللي هو تسعة من المية في المية انا طبعا احنا
+
+25
+00:01:24,690 --> 00:01:29,920
+بنسميه ال saline او المحلول متعو هاد طبعا يوضع
+
+26
+00:01:29,920 --> 00:01:33,300
+العضو فيه و من خارج طبعا يدوع قطع تلج حفاظا عليه
+
+27
+00:01:33,300 --> 00:01:36,860
+عساس طبعا حماية العضو هذا من التلوت و بنفسي لو
+
+28
+00:01:36,860 --> 00:01:40,480
+وجدت حماية على رطوبة العضو هذا ان ما يحدث له جفاف
+
+29
+00:01:40,480 --> 00:01:44,850
+طبعا كل مكان وجدت أسرعكل مكان أفضل يعني جميعا مثلا
+
+30
+00:01:44,850 --> 00:01:49,390
+بعض الحالات انسان مثلا حدث معين سقط السن طبعا سقط
+
+31
+00:01:49,390 --> 00:01:53,130
+بطريقة غير طبيعية مش انه خلاص صار السن مثلا سن
+
+32
+00:01:53,130 --> 00:01:56,250
+لبني و جماعة سن طبعا دائم لأ كل مثلا نتيجة حدث
+
+33
+00:01:56,250 --> 00:02:01,070
+طبعا ممكن وضع السن اللي سقط نفس الطريقة أو ممكن
+
+34
+00:02:01,070 --> 00:02:04,710
+وضعه في حليب و الحليب طبعا مباشر على طبيب الأسنان
+
+35
+00:02:04,710 --> 00:02:08,770
+حتى يتم إعادة زراعته و حصل حالات كتيرة حدثت من
+
+36
+00:02:08,770 --> 00:02:10,870
+النوع هذا و تم إعادة زراعتها
+
+37
+00:02:17,820 --> 00:02:20,840
+طبعا زي ما احنا كاتبين نقطة الأخيرة ليس بالضرورة
+
+38
+00:02:20,840 --> 00:02:23,800
+ان اخد والله العضو اقضى لأغسل في العضو نفسه عساس
+
+39
+00:02:23,800 --> 00:02:28,200
+عملية تنظيف او تعقيم او تطيلة انا مجرد عملية غسل
+
+40
+00:02:28,200 --> 00:02:31,160
+سريع جدا و اضعه في محلول مليح ومتالي من الخارج
+
+41
+00:02:31,160 --> 00:02:34,080
+طبعا قطعة تلج عساس ان احافظ على الحرارة وحافظ على
+
+42
+00:02:34,080 --> 00:02:39,190
+رطوبته وطبعا يتم إرساله مع الشخص مع ملاحظةإنه
+
+43
+00:02:39,190 --> 00:02:42,410
+الجرح المبتور أنا بدي أتعامل معاه عساس إيقاف
+
+44
+00:02:42,410 --> 00:02:46,030
+النزيف، يبقى أنا بتعامل بطريقتين، مع الجرح النزف و
+
+45
+00:02:46,030 --> 00:02:50,490
+مع العضو المفقود عساس إتم إعادته، يمكن طبعا إذا
+
+46
+00:02:50,490 --> 00:02:53,690
+أحنا أسرعنا في الوقت بتكون فرصة أكبر لإعادة الجروح
+
+47
+00:02:53,690 --> 00:03:01,270
+جراحيا، للعضو المبتور جراحيا، هذه بعض طبعا الصور،
+
+48
+00:03:01,270 --> 00:03:05,050
+طبعا صح مؤذية للعين، لكن وإحنا تحصل ممكن طبعا
+
+49
+00:03:05,050 --> 00:03:06,470
+إعادتها مرة أخرى
+
+50
+00:03:10,330 --> 00:03:13,770
+طبعا ممكن زي ما اتكلم احنا هنا يعني إسعاف الجروح
+
+51
+00:03:13,770 --> 00:03:17,610
+المفتوحة اللي هي عساس لو كان في عندي جروح طبعا لو
+
+52
+00:03:17,610 --> 00:03:21,270
+في نزيف عملية إيقاف النزيف و أولى طرق إيقاف النزيف
+
+53
+00:03:21,270 --> 00:03:24,890
+اللي هي الدغط المباشر على مكان الجروح بعدين رفع
+
+54
+00:03:24,890 --> 00:03:28,970
+العضو المصاب تمام بعدين الدغط على الشرير المغذي و
+
+55
+00:03:28,970 --> 00:03:32,870
+أخر طريقة طبعا طريقة اللي هيالرباط الضغط في حال
+
+56
+00:03:32,870 --> 00:03:36,970
+الجروح البترية وحنقول طبعا ممكن تكون فترة الضغط
+
+57
+00:03:36,970 --> 00:03:41,210
+على الجروح النازف في حالات الجروح البترية تقريبا
+
+58
+00:03:41,210 --> 00:03:45,030
+لا تزيد عن عشرين دقيقة حتى لا أقطع الدم كليا على
+
+59
+00:03:45,030 --> 00:03:48,790
+المنطقة لكن احنا المسافة ما بين أي مكان بيصير فيه
+
+60
+00:03:48,790 --> 00:03:52,610
+عندنا حادث لوصوله لمستشفى يعني لا تتعدى خمس عشر
+
+61
+00:03:52,610 --> 00:03:58,440
+دقيقة أو أقلطبعا هنا بعض الملاحظات يعني عدم غسل
+
+62
+00:03:58,440 --> 00:04:00,920
+الجروح لإن طبعا زيادة غسل الجروح معناها زيادة
+
+63
+00:04:00,920 --> 00:04:03,380
+النزيف و بالتالة احنا ذكرنا ان لو كان عندنا جروح و
+
+64
+00:04:03,380 --> 00:04:06,800
+وضعنا عليه قطعة قماش و طبعا صار فيها دم انا
+
+65
+00:04:06,800 --> 00:04:10,520
+مابشيلها بل انا بضع قطعة جماش تانية حتى لا يتجدد
+
+66
+00:04:10,520 --> 00:04:15,580
+النزيف مرة أخرىطبعا احنا يعني النقطة الأخيرة
+
+67
+00:04:15,580 --> 00:04:19,520
+ذاكرينها الصدمة ممكن توجد الصدمة و زي ما اتكلمنا
+
+68
+00:04:19,520 --> 00:04:22,820
+الصدمة إلها أنواع الصدمة اللي موجودة في الحالة هذه
+
+69
+00:04:22,820 --> 00:04:26,340
+هي صدمة من النوعين لكن النوع الأكثر يعني
+
+70
+00:04:26,340 --> 00:04:30,520
+الاحتمالية هو الصدمة الناتجة عن فقدان السواء لأي
+
+71
+00:04:30,520 --> 00:04:35,720
+دم طبعا الصدمة الناتجة عن شدة النزيفةالنوع التاني
+
+72
+00:04:35,720 --> 00:04:38,240
+اللي قد يحدث هو الصدمة نتيجة الألم، بالذات لما
+
+73
+00:04:38,240 --> 00:04:41,780
+يكون في عينا إصابة بالأطراف أو طبعا قاطع بالأطراف
+
+74
+00:04:41,780 --> 00:04:44,820
+أو باتر بالأطراف، يبقى هنا الاحتمالية الأولى
+
+75
+00:04:44,820 --> 00:04:50,120
+بالنسبة للصدمة اللي هي الناتجة عن فقدان الذنب كمية
+
+76
+00:04:50,120 --> 00:04:50,520
+كبيرة
+
+77
+00:05:02,890 --> 00:05:06,470
+طبعا هنا بدنا نأكد أخواتنا حاجة أنه صح أنا بنظف
+
+78
+00:05:06,470 --> 00:05:10,490
+الجرح لكن ما بستمر في عملية غسل الجرح لأن غسل
+
+79
+00:05:10,490 --> 00:05:14,990
+الجرح معناها استمرار للنزيف فانا ممكن أطاهر الجرح
+
+80
+00:05:14,990 --> 00:05:18,170
+محلول مطاهر مافيش عنا محلول مطاهر محلول مايومالح
+
+81
+00:05:18,170 --> 00:05:21,890
+أنا ممكن أستخدمه من البيت ما بضل أغسل الجرح ممكن
+
+82
+00:05:21,890 --> 00:05:26,350
+أستخدم تجفيف الجرح واستخدام أي مادة مطاهرة مثلا زي
+
+83
+00:05:26,350 --> 00:05:31,660
+البولدينوبالتالي وضع القطعة الجماش أو الشاشة على
+
+84
+00:05:31,660 --> 00:05:36,420
+مكان الجرحى هي بتساعد أساسا على توقف النزيف وعدم
+
+85
+00:05:36,420 --> 00:05:42,120
+دخول الشخص بحالة من الصدمة نتيجة .. نتيجة طبعا
+
+86
+00:05:42,120 --> 00:05:43,700
+فقدان كمية كبيرة من الدم
+
+87
+00:05:48,330 --> 00:05:52,710
+طبعا بعض العلمات اللي ممكن تستوجب يعني الإحالة إلى
+
+88
+00:05:52,710 --> 00:05:56,270
+المستشفى أو طبعا يعني ترحيل الشخص إلى المستشفى
+
+89
+00:05:56,270 --> 00:05:59,630
+اللي هي استمرار النزيف، لكن لو كان يعني نزيف بسيط
+
+90
+00:05:59,630 --> 00:06:03,450
+فاحنا ممكن .. ممكن نعامل الحالة أو نتعامل مع
+
+91
+00:06:03,450 --> 00:06:06,830
+الحالة داخل البيت أو نفس مكان الحدد، لكن لو استمر
+
+92
+00:06:06,830 --> 00:06:10,190
+النزيف لفترة طويلةطبعا من الحالات اللي ممكن تستمر
+
+93
+00:06:10,190 --> 00:06:12,870
+النزيف ممكن يكون نزيف داخلي زي ما قلنا ممكن يكون
+
+94
+00:06:12,870 --> 00:06:16,150
+نزيف داخل البطن ايش العلمات اللي احنا ممكن نخاف
+
+95
+00:06:16,150 --> 00:06:20,010
+منها و نحولها لالمستشفى اللي طبعا زيارة عداجات
+
+96
+00:06:20,010 --> 00:06:24,350
+القلب اسفرار او شحوب في الوجه زيارة معدل التنفس
+
+97
+00:06:24,350 --> 00:06:28,650
+احيانا ممكن الشخص يبدأ عنده غثيان او قياء ممكن
+
+98
+00:06:28,650 --> 00:06:33,950
+طبعا عدم توازن دوخة ممكن البطن يبدأ ينتفخ طبعا هذه
+
+99
+00:06:33,950 --> 00:06:37,310
+حالات خطيرة و يجب طبعا تحويل الشخص الى المستشفى
+
+100
+00:06:37,310 --> 00:06:37,810
+مباشرة
+
+101
+00:06:40,900 --> 00:06:44,340
+لو كان مثلا سيدة حامل لديها نزيف طبعا هذا الأفضل
+
+102
+00:06:44,340 --> 00:06:48,160
+خوفا طبعا على حياة الجنين فبتم طبعا تحويلها
+
+103
+00:06:48,160 --> 00:06:50,700
+لمستشفى من باب الاحتياط اللي ربما يكون نتيجة مجهود
+
+104
+00:06:50,700 --> 00:06:55,120
+أو نتيجة بعض الاتهابات لكن احتياطا هي بكون يعني ..
+
+105
+00:06:55,120 --> 00:06:58,500
+و تحويلها لمستشفى أفضل لأن طبعا هذا لا يتم إلا
+
+106
+00:06:58,500 --> 00:07:04,270
+طبعا في أقسام الولادة أو نساء الولادةخروج دم من
+
+107
+00:07:04,270 --> 00:07:08,890
+فتحات الجسم مثلا نزيف مثلا أنفه هنتكلمنا ممكن هيتم
+
+108
+00:07:08,890 --> 00:07:11,990
+معالجته في البيت لكن عندنا نزيف مثلا نتيجة إصابة
+
+109
+00:07:11,990 --> 00:07:15,210
+من الأذن أو نتيجة طبق ضرب على الأذن أو حادث للأذن
+
+110
+00:07:15,210 --> 00:07:19,350
+مع خروج دم في سائل أبيض أو سائل شفاف طبعا هذا خطير
+
+111
+00:07:19,350 --> 00:07:22,910
+جدا و يجب تحويله إلى المستشفى لأن طبعا نكون خوف من
+
+112
+00:07:22,910 --> 00:07:26,950
+نتيجة الإصابة لقاعدة الجمجمة أو السائل المحيط
+
+113
+00:07:26,950 --> 00:07:29,330
+بالنخاع الشوكي أو الجهاز العصبي
+
+114
+00:07:33,530 --> 00:07:38,130
+مش هتكلم الجزئية الأخيرة إيش ممكن يصير من مضاعفات
+
+115
+00:07:38,130 --> 00:07:42,110
+الجروح أول حاجة طبعا النزيف و طبعا خطير جدا يعني
+
+116
+00:07:42,110 --> 00:07:47,930
+هو طبعا مضاعفات قد تؤدي بحياة الشخص يعني ممكن نقول
+
+117
+00:07:47,930 --> 00:07:52,430
+احنا كقاعدة نزيف شديد لفترة قصيرة خطيرةنزيف بطيء
+
+118
+00:07:52,430 --> 00:07:55,510
+لفترة طويلة أيضا خطير يعني مثلا كان عندنا بعض
+
+119
+00:07:55,510 --> 00:07:58,890
+حالات اللي ممكن تموت من النزيف ويقولك والله مات من
+
+120
+00:07:58,890 --> 00:08:02,070
+النزيف ليش؟ لأن سيارة الإسعاف ماقدرت تصل إله طبعا
+
+121
+00:08:02,070 --> 00:08:05,290
+بسبب الظروف و الاحتلال ومثلا يكون في حالة حرب
+
+122
+00:08:05,290 --> 00:08:10,090
+ماقدروا يصل إله فطبعا كانت كمية النزيف قليلة لكن
+
+123
+00:08:10,090 --> 00:08:14,350
+الوجد أو الفترة الزمنية طويلة وبالتالي فقد كمية
+
+124
+00:08:14,350 --> 00:08:17,910
+كبيرة وبالتالي أدى إلى توقف عضلة القلب وبالنهاية
+
+125
+00:08:17,910 --> 00:08:24,830
+أدى إلى الوفاةالمشكلة التانية تلف الأنسجة طبعا حسب
+
+126
+00:08:24,830 --> 00:08:27,830
+طبعا تلف الأنسجة طبعا حسب الإصابة ممكن يكون عنده
+
+127
+00:08:27,830 --> 00:08:32,510
+مثلا جريح طعني أو جريح مثلا تهتكي فكل ما كان من
+
+128
+00:08:32,510 --> 00:08:35,790
+الجروح الخطيرة ما بتتكلم على جريح السحجي طبعا هان
+
+129
+00:08:35,790 --> 00:08:39,010
+تلف الأنسجة لأ هان مافي تلف أنسجة لكن لما اتكلم
+
+130
+00:08:39,010 --> 00:08:43,710
+على جروح طعنية ممكن أدت إلى تلف أنسجة في الداخل
+
+131
+00:08:43,710 --> 00:08:48,810
+الكبد القلب طبعا إصابات قاتلة أو مثلا الجروح
+
+132
+00:08:48,810 --> 00:08:53,920
+التهتكيةطبعا يعني نتيجة جسم ثقيل أو آلة حادة
+
+133
+00:08:53,920 --> 00:08:57,480
+مالهاش حواف منتظمة و قدت إلى طبعا تمزق أنسجة كبيرة
+
+134
+00:08:57,480 --> 00:09:01,000
+من الجسم وهذا طبعا و برضه نقول كمان حسب مكان
+
+135
+00:09:01,000 --> 00:09:05,900
+الإصابة التهابات
+
+136
+00:09:05,900 --> 00:09:11,500
+الشديدة في حال عدم الاحتمام في الجرح بعناية الجرح
+
+137
+00:09:11,500 --> 00:09:17,330
+و تركهمثلا وجع الأرض أو مثلا قطعة معدنية فيها صدى
+
+138
+00:09:17,330 --> 00:09:24,430
+أو مثلا آلة ملوثة أو قطعة .. قطعة زجاج ملوثة
+
+139
+00:09:24,430 --> 00:09:28,150
+وبالتالي عدم الاهتمام فيه بعد يوم أو يومين بعد ما
+
+140
+00:09:28,150 --> 00:09:32,330
+دخل الميكروب للجسم قد تحدث ليه العدوى أو الاتهابات
+
+141
+00:09:32,330 --> 00:09:35,230
+لأن طبعا دايما يجين الاتهاباتبعد دخول الميكروبات
+
+142
+00:09:35,230 --> 00:09:38,710
+الممرضة لمكان الإصابة لأن طبعا صار عندنا جزء من
+
+143
+00:09:38,710 --> 00:09:41,510
+المشكلة وبالتالي خبرنا بيقول كل ما كان هناك
+
+144
+00:09:41,510 --> 00:09:45,810
+إمكانية لوجود كمية من الدم خارج مسارها الطبيعي كل
+
+145
+00:09:45,810 --> 00:09:51,370
+ما كانت الفرصة في التلوث أكبر لأن طبعا هو جو مناسب
+
+146
+00:09:51,370 --> 00:09:55,290
+أو جو خصب أو أرض خصبة لتكاثر الميكروبات وخاصة
+
+147
+00:09:55,290 --> 00:09:56,010
+البكتيريا
+
+148
+00:10:02,130 --> 00:10:05,370
+طبعا هذه يعني ممكن صورة مبسطة أنه طبعا ال ..
+
+149
+00:10:05,370 --> 00:10:11,250
+الاتهاد بنتج عنه الصديد .. الصديد لو اتكلمنا إيش
+
+150
+00:10:11,250 --> 00:10:18,290
+محتوياته؟ الصديد إيش محتوياته؟ طبعا
+
+151
+00:10:21,350 --> 00:10:27,630
+ميتة أنسجة متهتكة تمام؟ اه والمسبب اللي هو ال
+
+152
+00:10:27,630 --> 00:10:31,130
+microbe يبهان طبعا بالنسبة للصديد وبالتالي لو مثلا
+
+153
+00:10:31,130 --> 00:10:35,090
+صار عندنا عملية زراعة او نحن بيقول مثلا عندنا
+
+154
+00:10:35,090 --> 00:10:38,510
+مزرعة معناه يبقى يعرف نوع ال microbe اللي موجود
+
+155
+00:10:38,510 --> 00:10:43,970
+يبقى الصديد مكوّن من خلايا ميتة كورات دم بيضاء
+
+156
+00:10:43,970 --> 00:10:49,130
+ميتة وطبعا هو المسبب ال microbe وغالبا بكون
+
+157
+00:10:49,130 --> 00:10:49,690
+بكتيريا
+
+158
+00:10:53,110 --> 00:10:55,870
+طبعا أهم أعراض الالتهاب دي احنا كنا عارفين، ربما
+
+159
+00:10:55,870 --> 00:11:00,630
+دخلنا في النقاط هذه، طبعا أعراض موضعية، طبعا من
+
+160
+00:11:00,630 --> 00:11:03,110
+ضمن الأعراض الموضعية اللي هو الانتفاخ، الورم،
+
+161
+00:11:03,110 --> 00:11:06,650
+الإحمرار، السخونة، وهذا طبعا نتيجة لما نقول احنا و
+
+162
+00:11:06,650 --> 00:11:10,230
+الله في عندنا، بدأ في عندنا علامات التهاب، يعني في
+
+163
+00:11:10,230 --> 00:11:14,570
+عندنا إحمرار، إحمرار ليش بيصير؟ وورم ليش بيصير؟
+
+164
+00:11:14,570 --> 00:11:19,050
+وسخونة ليش بتصير؟بسبب ورود كمية كبيرة من الدم
+
+165
+00:11:19,050 --> 00:11:23,270
+لمنطقة الالتهاب علشان يحمل كمية كبيرة من خلايا
+
+166
+00:11:23,270 --> 00:11:28,650
+الدم البيضاء عساس كجسم دفاعي ضد الميكروب قد ينجح و
+
+167
+00:11:28,650 --> 00:11:33,270
+قد يفشل، قد ينجح بالتخلص من الميكروب و قد يفشل و
+
+168
+00:11:33,270 --> 00:11:36,470
+يزيد طبعا مشكلة المرض، طبعا الالتهاب بالتالي يحتاج
+
+169
+00:11:36,470 --> 00:11:40,650
+إلى مضادات حيوية إضافة إلى عملية غيار على مكان
+
+170
+00:11:40,650 --> 00:11:41,750
+الجرح الملتهب
+
+171
+00:11:44,750 --> 00:11:49,010
+ما ننساش كمان أنه في عندنا ارتفاع درجة حرارة الجسم
+
+172
+00:11:49,010 --> 00:11:52,370
+و دايما نعرف يا أخواتنا أن ارتفاع درجة الحرارة هي
+
+173
+00:11:52,370 --> 00:11:56,610
+وسيلة دفاعية ضد الميكروبط قد تنجح و قد تفشل لكنها
+
+174
+00:11:56,610 --> 00:12:00,170
+طبعا وسيلة من الجسم اللي ربنا أوجدها إلينا كمؤشر
+
+175
+00:12:00,170 --> 00:12:04,010
+أنه في غير إشي غير طبيعي داخل جسم الإنسانطبعا
+
+176
+00:12:04,010 --> 00:12:09,110
+حيانا ممكن يكون مصاحب ألم لالتهاب، الألم ليش؟ ألم
+
+177
+00:12:09,110 --> 00:12:12,910
+خفاق، ليش؟ لأن نتيجة الاتهاب الصديدي بحد ذاته
+
+178
+00:12:12,910 --> 00:12:15,870
+بتضغط على نهايات الأعصاب، يعني انا بقولك والله أنا
+
+179
+00:12:15,870 --> 00:12:21,720
+بأشعر أن أنا الأصبع بينبض، تمام؟ بسبب الضغط علىعلى
+
+180
+00:12:21,720 --> 00:12:25,820
+الشريان فالألم موجود طبعا نتيجة ضغط على نهاية
+
+181
+00:12:25,820 --> 00:12:30,840
+العصاب وعنا الألم هنا كمان نتيجة ضغط على الشريان
+
+182
+00:12:30,840 --> 00:12:34,720
+فانا بشعر بالنبضة بسبب الضغط على الشريان أنا صار
+
+183
+00:12:34,720 --> 00:12:38,700
+ضيق عندى بالشريان بسبب حجم طبعا الجزء الملتهب أما
+
+184
+00:12:38,700 --> 00:12:43,160
+الألم بسبب طبعا الضغط على اللى هو نهاية العصابو
+
+185
+00:12:43,160 --> 00:12:45,840
+احنا قلنا في البداية بالنسبة للجروح لما بيصير
+
+186
+00:12:45,840 --> 00:12:48,520
+عندنا جروح بيصير عندنا اتساع في الأواعي الدموية
+
+187
+00:12:48,520 --> 00:12:51,840
+تمام و بعد ذلك بيصير .. آسف بيصير ضيق في الأواعي
+
+188
+00:12:51,840 --> 00:12:55,140
+الدموية و بعد ذلك بيصير عندنا اتساع لورود كمية
+
+189
+00:12:55,140 --> 00:12:58,460
+كبيرة من الدم و الخلايا البيضاء و أيضا في عندنا
+
+190
+00:12:58,460 --> 00:13:01,720
+مواد كيموية و بالتالي يقولوا والله بعد ما برض عليه
+
+191
+00:13:01,720 --> 00:13:04,660
+الجروح بدأ يشعر بالألم في البداية ماشعر فيه الألم
+
+192
+00:13:04,660 --> 00:13:09,350
+عساس طبعا ايش محاولة من الجسم ان يعمل شبكةلإيقاف
+
+193
+00:13:09,350 --> 00:13:12,550
+النزيف لكن ممكن يكون جرح كبير ويفشل في الحالة
+
+194
+00:13:12,550 --> 00:13:14,930
+هاليفا بحتاج لأشياء مساعد خارجية
+
+195
+00:13:17,390 --> 00:13:20,750
+طبعا أعراض عامة، في عندنا درجة الحرارة بترتفع،
+
+196
+00:13:20,750 --> 00:13:25,970
+زغللة، صداع، ضعف الشهية، غائق، طبعا غثيان، قائق،
+
+197
+00:13:25,970 --> 00:13:29,610
+طبعا كل أعراض يعني نتيجة .. طبعا دي أعراض عامة
+
+198
+00:13:29,610 --> 00:13:32,830
+للجسم كل، تمام؟ واحد عمل عملية جراحية و التهبط
+
+199
+00:13:32,830 --> 00:13:35,830
+العملية عنده بالنسباله، بيقولك عنده صداع، شهيته
+
+200
+00:13:35,830 --> 00:13:40,550
+ضعيفة، صار عنده زغللة، غير متوازن، ارتفع حرارة
+
+201
+00:13:40,550 --> 00:13:44,270
+شديد، لكن الأعراض الموضعية هي ألم، هي طبعا حمرار
+
+202
+00:13:44,270 --> 00:13:46,990
+وورم وسخونة في نفس المكان
+
+203
+00:13:50,540 --> 00:13:54,680
+طبعا أهم ان ال .. ال .. التهابات البكتيرية هذه
+
+204
+00:13:54,680 --> 00:13:57,520
+طبعا فينا التهاب مايكروبي طبعا حسب لإن فينا
+
+205
+00:13:57,520 --> 00:14:00,820
+مايكروبات ضارة و فينا مايكروبات نافعة، احنا لما
+
+206
+00:14:00,820 --> 00:14:03,280
+نتكلم عن البكتيريا فينا برضه بكتيريا ضارة و
+
+207
+00:14:03,280 --> 00:14:05,880
+بكتيريا نافعة، احنا في أجسامنا فيه بكتيريا لكن
+
+208
+00:14:05,880 --> 00:14:09,580
+نافعة، لكن لما نتكلم على أجسام أو على بكتيريا ضارة
+
+209
+00:14:09,580 --> 00:14:14,840
+معناها هي المسببة للأمراضطبعا الأنواع الكتيرة من
+
+210
+00:14:14,840 --> 00:14:18,300
+البكتيريا و احنا يعني لما نتكلم على أنواع كتيرة
+
+211
+00:14:18,300 --> 00:14:22,440
+معناه في فرصة لدخول بكتيريا في حال إلها مدخل على
+
+212
+00:14:22,440 --> 00:14:27,120
+عكس الفتحات الطبيعية للجسم لو صار مدخل غير مدخل
+
+213
+00:14:27,120 --> 00:14:29,920
+الطبيعي مثلا الأنف الأدن والعين، هذه فيها طرق
+
+214
+00:14:29,920 --> 00:14:34,440
+حماية، لكن لو صار عندنا خدش أو تهتو أو نزيف أو جرح
+
+215
+00:14:34,440 --> 00:14:38,240
+معناه دخول الميكروبات في الحالة هذه هي فرصة لإحداث
+
+216
+00:14:38,240 --> 00:14:42,510
+الالتهابطبعا فيه عندنا أول مرض طبعا مرض الـ
+
+217
+00:14:42,510 --> 00:14:46,990
+tetanus هو طبعا كان زمان متشر كتير اليوم الحمد لله
+
+218
+00:14:46,990 --> 00:14:51,210
+يعني قل انتشاره بسبب نسبة التطعيم العالية يعني
+
+219
+00:14:51,210 --> 00:14:54,530
+معظم نقول القطاع معظمه نقول مثلا ما نقول مية في
+
+220
+00:14:54,530 --> 00:14:58,010
+الميجول تسعة وتسعين وتسعة من عشرة مطعمينبل
+
+221
+00:14:58,010 --> 00:15:00,810
+الغالبية العظمى مطعمين ضد التيتانوس، سواء طبعا
+
+222
+00:15:00,810 --> 00:15:04,690
+الأطفال أو سيدات الحوامل، زمان ماكنش طبعا مستطعين
+
+223
+00:15:04,690 --> 00:15:09,630
+بالصورة هذه، يعني حتى كانت مشاكل لما الستات مثلا
+
+224
+00:15:09,630 --> 00:15:13,190
+بيولدوا ما كانوا مطعمين، فكان طبعا يصير عندهم مرض
+
+225
+00:15:13,190 --> 00:15:16,670
+التيتانوس، لأن هذا طبعا التيتانوس بكتيريا لا هوية،
+
+226
+00:15:16,670 --> 00:15:20,520
+المسبب يقولون بكتيريا لا هويةClostridium Tetani
+
+227
+00:15:20,520 --> 00:15:24,320
+وهي طبعا تعيش بالتربة تعيش مثلا في الحقول تعيش
+
+228
+00:15:24,320 --> 00:15:27,780
+مثلا في مرابض الخيول وبالتالي هانا هي بكتيريا لا
+
+229
+00:15:27,780 --> 00:15:31,200
+هوائية فطبعا لما كانت مثلا الست ولد أو ماكانش فعلا
+
+230
+00:15:31,200 --> 00:15:34,620
+انتظام في التجدر وتطعيم كانت الفرصة أو استخدام
+
+231
+00:15:34,620 --> 00:15:38,280
+ألوات ملوثة أو غير نظيفة كانت الفرصة للإصابة
+
+232
+00:15:38,280 --> 00:15:42,460
+بالمرض هذا عالية جدا وكان طبعا المرض قاتل عندكلم
+
+233
+00:15:42,460 --> 00:15:48,000
+عن أعراضهبمعنى إن مسبب هذا المرض هي بكتيريا
+
+234
+00:15:48,000 --> 00:15:52,720
+لاهوائية اليوم المعظم تم تطعيمهم سواء في جد ولا
+
+235
+00:15:52,720 --> 00:15:58,400
+تطعيم العادي أو حتى بتم إعادة جرعة تنشيطية لصف
+
+236
+00:15:58,400 --> 00:16:01,460
+تاني ابتدائي اللي هي الـ DT أو طبعا دفتيرا
+
+237
+00:16:01,460 --> 00:16:04,960
+والتيتانوس هي تعتبر جرعة تنشيطية زي ما احنا بناخد
+
+238
+00:16:04,960 --> 00:16:08,100
+مثلا جرعة طبعا الكورونا الجرعة الأولى والتانية
+
+239
+00:16:08,100 --> 00:16:11,640
+والتالتة طبعا جرعة إيش تنشيطية أو تحفيزية لإجسام
+
+240
+00:16:11,640 --> 00:16:17,040
+المنعية الموجودةطبعا هنا الأعراض تبدأ فيها ان
+
+241
+00:16:17,040 --> 00:16:20,200
+ارتفاع حرارة طبعا دايما نعرف وين في عندنا بداية
+
+242
+00:16:20,200 --> 00:16:22,740
+ارتفاع بالحرارة يجب ان في عندنا مشكلة غير طبيعية
+
+243
+00:16:22,740 --> 00:16:26,960
+في احتمال اللي هو العدوى غالبا طبعا ممكن يكون طبعا
+
+244
+00:16:26,960 --> 00:16:30,680
+ارتفاع الحرارة عشان ما نظلمش ان كله عدوى ممكن يكون
+
+245
+00:16:30,680 --> 00:16:35,270
+جفافمثلا إنسان ماشي مشوار بعيد أو مثلا يعني مش
+
+246
+00:16:35,270 --> 00:16:38,230
+شارب ميه كتير طبعا بيحصل عندنا جهاز بسبب نقص
+
+247
+00:16:38,230 --> 00:16:41,550
+السوائل، تمام؟ لكن احنا نتكلم هنا عساس انه في
+
+248
+00:16:41,550 --> 00:16:44,690
+عندنا عدوى ودخول مايكروبت فبالتالي أول حاجة بيصير
+
+249
+00:16:44,690 --> 00:16:47,530
+عندنا ارتفاع بالحرارة كمؤشر و بيصير عندنا ألم في
+
+250
+00:16:47,530 --> 00:16:50,950
+عضلات الظهر، يبقى هنا طبعا هذه من الأعراض لأن طبعا
+
+251
+00:16:50,950 --> 00:16:54,570
+ال .. ال .. ال .. ال .. البكتيري هذه بتصيب الجهاز
+
+252
+00:16:54,570 --> 00:16:58,710
+العصبيوبالتالي هانا طبعاً هيكون عندنا كبداية أو
+
+253
+00:16:58,710 --> 00:17:02,630
+كمؤشر أنه في عندنا ألم طبعاً أيه في العضلة طبعاً
+
+254
+00:17:02,630 --> 00:17:07,010
+المصاب بيبدأ عنده صعوبه، بالذات طبعاً للردع،
+
+255
+00:17:07,010 --> 00:17:09,430
+الكلام على أطفال الردع بيصير عنده صعوبة في
+
+256
+00:17:09,430 --> 00:17:12,690
+الرضاعة، يعني بيصير عنده تقلص عضلات الفكين، يعني
+
+257
+00:17:12,690 --> 00:17:18,030
+أول علامة مميزة للتيتانوس هي تقلص في عضلات الفكين،
+
+258
+00:17:18,030 --> 00:17:20,950
+لأنه مابقدرش يفتح تمه كويس عشان يرضع، وبالتالي
+
+259
+00:17:20,950 --> 00:17:24,990
+احنا بسميه الكزازةلأن طبعا بسبب صورة نشوف طبعا جات
+
+260
+00:17:24,990 --> 00:17:28,370
+صورة و نريكوا إياها هو زي ما باين كأنه مكشر لكن
+
+261
+00:17:28,370 --> 00:17:32,790
+هذا بسبب تيبّس في عضلة الفكين وهو أول علامة مميزة
+
+262
+00:17:32,790 --> 00:17:36,910
+لها طبعا بعد هيك تنتقل التيبس هذا أو التقلص هذا
+
+263
+00:17:36,910 --> 00:17:40,450
+أنه بيصير عنده صعوبة أنه يفتح عينيه في الضوء و
+
+264
+00:17:40,450 --> 00:17:44,390
+بيصير عند العضلة أيضا تقلص في عضلة الذهب بيصير
+
+265
+00:17:44,390 --> 00:17:50,460
+تقوس في عضلة الذهب طبعا نشوف بعض الصور هنايعني
+
+266
+00:17:50,460 --> 00:17:54,380
+الخطورة فيه إنه أيضا بيصير عندنا تيبّس في عضلات
+
+267
+00:17:54,380 --> 00:17:57,780
+الجاذب التنفسوي خطيرة جدا، بمعنى إنه ما بيصيرش
+
+268
+00:17:57,780 --> 00:18:00,880
+عندنا لا تساع أفق ولا تساع رأسي، وبالتالي يؤدي إلى
+
+269
+00:18:00,880 --> 00:18:03,620
+الوفاة، وهي طبعا أخطر شئ بالنسبة له الموضوع اللي
+
+270
+00:18:03,620 --> 00:18:08,050
+هو التتنوس أو الكزازطبعا لاحظين هنا بصير أن الظهر
+
+271
+00:18:08,050 --> 00:18:12,770
+مقعر في تحدب بسبب طبعا .. دايما التقلط معناه قصر
+
+272
+00:18:12,770 --> 00:18:16,590
+حجم .. حجم إيش العضلة، طبعا إن صورة هنا واضحة،
+
+273
+00:18:16,590 --> 00:18:20,730
+هتلاحظين هنا، أول علامة مميزة اللي هي تيبص في عضلة
+
+274
+00:18:20,730 --> 00:18:25,010
+الفكين، بنتقل بعد ذلك للرقب أو الظهر وباقي الجسم،
+
+275
+00:18:25,010 --> 00:18:29,430
+لكن أول علامة اللي هي إيشتيبس في عضلات الفكين و
+
+276
+00:18:29,430 --> 00:18:32,750
+بيبطل الطفل يرضع و طالما بيبطل الطفل يرضع مناعة
+
+277
+00:18:32,750 --> 00:18:36,050
+تقل منعته يعني طبعا أسباب بتأدي لأسباب أخرى و هاي
+
+278
+00:18:36,050 --> 00:18:39,730
+طبعا الصورة هادي هي طبعا أنه تيبس و أيضا فيه أنه
+
+279
+00:18:39,730 --> 00:18:46,950
+أيش تقوس في عضلات اللي هو الذهب طبعا عندنا هنا
+
+280
+00:18:46,950 --> 00:18:50,170
+يعني بصفة عامة نتكلم عنه اللي هو احنا عندنا علاج
+
+281
+00:18:50,170 --> 00:18:53,770
+وقائه العلاج و وقائه اللي هو التطعيم .. تطعيم ضد
+
+282
+00:18:53,770 --> 00:18:57,400
+التتانوسيعني حتى احنا اليوم انها لما الطفل مثلا
+
+283
+00:18:57,400 --> 00:18:59,360
+بروح طبعا التطعيم .. انا مابناش ناخد .. ناخد
+
+284
+00:18:59,360 --> 00:19:02,780
+تفاصيل كتيرة، طبعا التطعيم من أنوعين، فيه انه طبعا
+
+285
+00:19:02,780 --> 00:19:05,900
+التطعيم السلبي و التطعيم الإيجابي، لكن بقول احنا
+
+286
+00:19:05,900 --> 00:19:11,380
+ببساطة الطفل لما بتم تطعيمه لتتنس، تمام؟ هو هيكتسب
+
+287
+00:19:11,380 --> 00:19:16,030
+المناعةليش؟ لأن الجسم هيكون أجسام منعية ضد اللي هو
+
+288
+00:19:16,030 --> 00:19:20,630
+المسبب طبعا التطعيمات أنواع اللي كانت بيخص بالنسبة
+
+289
+00:19:20,630 --> 00:19:25,250
+لتطعيم التيتانوس هو يأخذ سموم المسبب السموم وليس
+
+290
+00:19:25,250 --> 00:19:28,010
+البكتيريا طبعا تيتانوس تكسويد اللي هو سموم
+
+291
+00:19:28,010 --> 00:19:30,870
+البكتيريا المسببة أنواع تانية من بعض التطعيمات
+
+292
+00:19:30,870 --> 00:19:35,310
+تأخذ البكتيريا أو الفيروس بحد ذاته سواء مضعف أو
+
+293
+00:19:35,310 --> 00:19:40,910
+ميتتمام؟ لأن التيتانوس هي سموم البكتيريا المسببة
+
+294
+00:19:40,910 --> 00:19:49,950
+عشان الجسم مكوّن إلها أجسام منعية اليوم
+
+295
+00:19:49,950 --> 00:19:53,890
+إحنا بنلاحظ لو إنسان طبعا بياخد سموم لكن في الحالة
+
+296
+00:19:53,890 --> 00:19:57,030
+إحنا يعني زمان كان في حاجة بيسموها تيتاجلوبين
+
+297
+00:19:57,030 --> 00:20:01,590
+تيتاجلوبين يعني هي أجسام المنعية الجاهزةبمعنى لو
+
+298
+00:20:01,590 --> 00:20:05,410
+إنسان مثلًا طبعًا قبل كده قبل سنوات نقول عشرين أو
+
+299
+00:20:05,410 --> 00:20:10,330
+تلاتين سنة كانت تتقلبين موجود وتتقلبين هنا معناه
+
+300
+00:20:10,330 --> 00:20:13,990
+أنه أنا بتعطي الشخص اللي مثلًا ان جرح بجطعة معدنية
+
+301
+00:20:13,990 --> 00:20:17,330
+مصدية أو مثلًا ملوثة أو مثلًا قاعد بشتغل في
+
+302
+00:20:17,330 --> 00:20:20,230
+الزراعة أو مثلًا في مال الحيوانات عزكم الله وطبعًا
+
+303
+00:20:20,230 --> 00:20:23,710
+في عنده جرح احنا بنعطيه جسام منعية جاهزة عشان يصير
+
+304
+00:20:23,710 --> 00:20:27,230
+مقاوم للميكروب مباشرة لكن أنا لما بعطي ناحية
+
+305
+00:20:27,230 --> 00:20:32,000
+وقائيةأنا بعطي الـTetanus Oxide أو سموم التتانوس
+
+306
+00:20:32,000 --> 00:20:36,600
+عشان الجسم يكون أجسام مناعية لو أصيفيهم بقى بتكون
+
+307
+00:20:36,600 --> 00:20:39,540
+موجودة، وبالتالي احنا اليوم لو أي إنسان مثلا راح
+
+308
+00:20:39,540 --> 00:20:41,900
+على المستشفى، لأن معظمه بيقول إن احنا مطعم،
+
+309
+00:20:41,900 --> 00:20:45,180
+فبيعطوه طبعا Tetanus Oxide بس من باب الوقاية، أما
+
+310
+00:20:45,180 --> 00:20:48,100
+أساساً الأجسام المناعية موجودة داخل جسم كل شخص
+
+311
+00:20:48,100 --> 00:20:48,380
+فينا
+
+312
+00:20:53,360 --> 00:20:57,640
+نيجيلا المرض التاني اللي هو الغرغرينة، الغرغرينة
+
+313
+00:20:57,640 --> 00:21:01,620
+تعني الموت يعني موت العضو المصاب و غالبا يمكن
+
+314
+00:21:01,620 --> 00:21:06,910
+الغرغرينة بتكون أكثر شيء مع مرض السكربسبب ضعف
+
+315
+00:21:06,910 --> 00:21:11,230
+الدورة الدموية و هنقولنا دايما اي منطقة ما بيصلها
+
+316
+00:21:11,230 --> 00:21:14,370
+الدم بطريقة صحية و ما بيصلها التغذية و الاكسجين
+
+317
+00:21:14,370 --> 00:21:19,690
+تموت تمام؟ وهو طبعا دايما من مضاعفات مرض السكر
+
+318
+00:21:19,690 --> 00:21:22,890
+طبعا و مرض السكر بيأثر على أجهزة كتيرة في الجسم من
+
+319
+00:21:22,890 --> 00:21:25,930
+ضمن الجهاز العصبي، الجهاز الدوري، طبعا الجهاز
+
+320
+00:21:25,930 --> 00:21:30,390
+البوري، الجهاز التناسلي، الجهاز المناعي، كل أجهزة
+
+321
+00:21:30,390 --> 00:21:35,320
+الجسم إذا لم يتم تنظيمطبعا السكر في الدم هيكون
+
+322
+00:21:35,320 --> 00:21:39,620
+مضاعفات خطيرة، ممكن تؤدي لفقدان البصر، ضعف
+
+323
+00:21:39,620 --> 00:21:42,440
+المناعة، إنه مايتعرضيش، وبالتالي نبقى ممكن نقول و
+
+324
+00:21:42,440 --> 00:21:45,900
+الله تطيب لفئات اللي هي المستهدفة، من ضمنها المرضى
+
+325
+00:21:45,900 --> 00:21:49,780
+المزمنين ومن ضمنهم اللي هو مريض السكرفطبعا هذه
+
+326
+00:21:49,780 --> 00:21:54,280
+أيضا مسببها طبعا اللي هي أيضا بكتيرا لا هوائية،
+
+327
+00:21:54,280 --> 00:21:57,340
+هاي طبعا اسمها الـcholestridium والشاي وهي طبعا
+
+328
+00:21:57,340 --> 00:22:02,080
+أيضا لا هوائية وهي طبعا ميزتها إنها بتفرز إنزيمات
+
+329
+00:22:02,080 --> 00:22:07,160
+والإنزيمات هذه بتعمل على طبعا تحلل الأوعية الدموية
+
+330
+00:22:07,160 --> 00:22:12,260
+والأنسجة وبتطلع رائحة كريهة تؤدي طبعا طالما إن في
+
+331
+00:22:12,260 --> 00:22:15,880
+عندي عدم وصول كمية كافية من الدم معناه في إزرقاق و
+
+332
+00:22:15,880 --> 00:22:20,130
+بعد الإزرقاق حيصير سواد معناه منطقة ميتةالحل في
+
+333
+00:22:20,130 --> 00:22:26,430
+الحالة هذه البتر البتر الجراحي لكن نقول احنا طبعا
+
+334
+00:22:26,430 --> 00:22:30,410
+هي رائحة كريهة جدا لان هي البكتيريا هذه بتفرز
+
+335
+00:22:30,410 --> 00:22:35,010
+انزيم و رائحة كريهة جدا بسبب تحلل و تعفن المنطقة
+
+336
+00:22:35,010 --> 00:22:41,310
+المصعبةبتروح طبعا عملية البتر بيصير الجزء الميت مع
+
+337
+00:22:41,310 --> 00:22:46,370
+جزء حي احتياطا عساس انش ما ينتقل لكن ممكن تعادل
+
+338
+00:22:46,370 --> 00:22:49,970
+عملية مرة و اتنين لسبب طبعا عدم تنظيم السكر و في
+
+339
+00:22:49,970 --> 00:22:52,790
+البداية بيقولوا احنا مريض السكر و اكتر ناس عرضة
+
+340
+00:22:52,790 --> 00:22:58,720
+للغرغرينة بسبب عدم انتظامه على العلاجأو على
+
+341
+00:22:58,720 --> 00:23:06,040
+الريجيم الغذاء أو على النشاط أو قربه من التوترات
+
+342
+00:23:06,040 --> 00:23:10,640
+والمشاكل النفسية طبعا بزيد المشكلة أكتر فيعني بعد
+
+343
+00:23:10,640 --> 00:23:14,800
+ما العضل يموت تيجي هذه البكتيريا تتعمل على إتفاق
+
+344
+00:23:14,800 --> 00:23:20,110
+الإنسان؟لأ، قبل ما يعضوا، هي بتبدأ بحال .. احنا
+
+345
+00:23:20,110 --> 00:23:23,030
+ليش بنقول احنا كل ما كان عضو ضعيف الدورة الدموية
+
+346
+00:23:23,030 --> 00:23:27,350
+موجودة فيه، بكون فيه فرصة لموته، تمام؟ فهذه طبعا
+
+347
+00:23:27,350 --> 00:23:31,090
+الـ bacteria موجودة، وعشان نقول احنا الشخص اللي
+
+348
+00:23:31,090 --> 00:23:35,190
+عنده مرض سكر، يعني غالبا لازم يلبس الجرابين، لأنه
+
+349
+00:23:35,190 --> 00:23:38,090
+ممكن يكون عنده إحساس قليل جدا، ممكن ينجرح
+
+350
+00:23:38,090 --> 00:23:43,570
+ومايشعرش، وبسبب ضعف الدورة الدموية،طبعا تقدّي
+
+351
+00:23:43,570 --> 00:23:47,090
+كبداية كتحضير لموت الخلية لكن بيساعد المشكلة أكتر
+
+352
+00:23:47,090 --> 00:23:51,010
+و أكتر أن الدم لما مثلا مش بس ع جد تغذية الدم في
+
+353
+00:23:51,010 --> 00:23:54,650
+خلايا دم بيضا و خلايا الدم البيضا هي جسم دفاعي
+
+354
+00:23:54,650 --> 00:23:59,090
+فطبعا الجث .. الجنود ما وصله معناه العدو هيدخل وهي
+
+355
+00:23:59,090 --> 00:24:02,850
+طبعا فرصة أنه نعطي الفرصة أو إمكانية لالميكروبات
+
+356
+00:24:02,850 --> 00:24:05,810
+الخارجية و من دون .. ممكن يكون طبعا ليس بالضرورة
+
+357
+00:24:05,810 --> 00:24:08,090
+مثلا الغررينة فقط لكن إيه الغررينة؟ إيه أخطر شيء
+
+358
+00:24:08,090 --> 00:24:10,510
+بالنسبة لمرض السُكّار ممكن تبقى .. ممكن يكون إنه
+
+359
+00:24:10,510 --> 00:24:15,630
+التلا تؤدي للغيرغينية لكن تؤدي إلى تأجيل الألتئام
+
+360
+00:24:15,630 --> 00:24:18,350
+يعني أخد مثلا بدل ما يكون عليه السموة ممكن يكون
+
+361
+00:24:18,350 --> 00:24:21,890
+شهر وشهرين ليش؟ لأنه ضعف الدورة الدموية وضعف
+
+362
+00:24:21,890 --> 00:24:25,230
+المناعة وضعف التخزيه وبالتالي مريض السكر ممكن
+
+363
+00:24:25,230 --> 00:24:28,970
+ينجرح ورجل شردان ومايشعرش فيها وبالتالي طبعا أيش
+
+364
+00:24:28,970 --> 00:24:32,810
+بيضل عنده أيش من باب اللقاية مريض السكر هو في خطر
+
+365
+00:24:32,810 --> 00:24:37,510
+إذا مااهتمش بمعدل السكر عنده طبعا .. طبعا سهولة
+
+366
+00:24:37,510 --> 00:24:39,970
+الميكروبات أو دخول الجسم أسرع واسرع تفضل
+
+367
+00:24:44,310 --> 00:24:46,850
+منخفض و رح ناخده معانا اللي هو غير و نقص السكر، رح
+
+368
+00:24:46,850 --> 00:24:49,070
+ناخده بالتفصيل ان شاء الله، بس اللي هي طبعا الخفاض
+
+369
+00:24:49,070 --> 00:24:52,210
+أخطر، لأن طبعا الخفاض على الدماغ أكتر حاجة هو اللي
+
+370
+00:24:52,210 --> 00:24:56,630
+بأثر طب يا دكتور تلقى غنينك، إيش هو السبب هى؟ يعني
+
+371
+00:24:56,630 --> 00:25:03,100
+لما يكون مثلا دماغ حاجة كبيرة أو عاملة؟ لأأه، ضعف
+
+372
+00:25:03,100 --> 00:25:07,860
+الدورة الدموية، ضعف .. ضعف الدورة الدموية جرح كبير
+
+373
+00:25:07,860 --> 00:25:10,980
+ممكن يصير اتهاب عادي، تمام؟ وطالما أن في عندنا
+
+374
+00:25:10,980 --> 00:25:14,440
+مناعة وفي عندنا وقاعة وفي عندنا تغذية جيدة وفي
+
+375
+00:25:14,440 --> 00:25:18,720
+عندنا غيار معقّم، بيكون الفرصة أفضل للعلاء،
+
+376
+00:25:18,720 --> 00:25:23,220
+للالتئام، لكن مريض السكر على عكس شخص تاني، مريض
+
+377
+00:25:23,220 --> 00:25:25,720
+السكر في عنده دورة دموية ضعيفة، لكن إذا اتكلم
+
+378
+00:25:25,720 --> 00:25:28,720
+بالمقارنة مع شخص تاني، دورة دموية قوية، تمام؟
+
+379
+00:25:28,720 --> 00:25:31,260
+وعنده مناعة قوية، فهذا بيساعد على التخلص من
+
+380
+00:25:31,260 --> 00:25:34,510
+الميكروبلكن لما يكون في عندي أنا أسباب أو أرضية
+
+381
+00:25:34,510 --> 00:25:41,030
+خصمة، لو دخول الخلايا، البكتيريا المسببة للغرغرينة
+
+382
+00:25:41,030 --> 00:25:44,750
+مع عوامل أخرى، ضعف الدورة الدموية، ضعف الإحساس
+
+383
+00:25:44,750 --> 00:25:49,360
+بالمرض، بالألم، طبعا ضعف التخدية، تمام؟وضعف
+
+384
+00:25:49,360 --> 00:25:52,700
+المناعة هيبقى بيكون هي لفرصة أكتر، يبقى طبعا مش بس
+
+385
+00:25:52,700 --> 00:25:56,140
+أجد انخفاض السكر، لأ في عوامل تانية بتساعد على
+
+386
+00:25:56,140 --> 00:26:00,260
+دخول الميكروبات و تكون مسببة للغرغرينة، لكن أهم
+
+387
+00:26:00,260 --> 00:26:03,160
+أكتر حاجة بالنسبة للغرغرينة اللي هي عند مريض
+
+388
+00:26:03,160 --> 00:26:06,940
+السكر، أكتر شيء، ممكن طبعا يكون مع شخص تاني، مثلا
+
+389
+00:26:06,940 --> 00:26:11,200
+شخص تاني انجرح، تمام؟ مش جرح، كان مثلا حتى يعني ..
+
+390
+00:26:11,200 --> 00:26:17,260
+يعني كتير إشي عظيمبصير، احنا بيقولنا يا أخواتنا
+
+391
+00:26:17,260 --> 00:26:21,380
+ليس بالضروري، لكن النسبة الأعلى للغرغرينة عند مرضى
+
+392
+00:26:21,380 --> 00:26:25,900
+السكر، لكن ممكن يصير عند ناس آخرين، طبعا، يعني
+
+393
+00:26:25,900 --> 00:26:30,500
+نقول مثلا صار عندنا ضعف في الدموية أو مثلا صار
+
+394
+00:26:30,500 --> 00:26:32,880
+احتباس في الدموية، طبعا هالكابي دايم يقول يا
+
+395
+00:26:32,880 --> 00:26:36,220
+أخوان، دايما بيصير تغيير اللون لللون الأزرقمعاناة
+
+396
+00:26:36,220 --> 00:26:38,260
+فيها يعني زيادة في الـ Oxygen .. الـ Oxygen Carbon
+
+397
+00:26:38,260 --> 00:26:41,240
+ونقص في الـ Oxygen يعني نقول مثلا صار ضيق في
+
+398
+00:26:41,240 --> 00:26:44,660
+الدورة الدموية لكن لو استمرت لفترة طويلة وعنا
+
+399
+00:26:44,660 --> 00:26:47,920
+أسباب أخرى مساعدة مثلا ضعف الدورة الدموية، ضعف
+
+400
+00:26:47,920 --> 00:26:51,780
+التخذية، ضعف المناعة، هذا قد يؤديلأ اللي هي
+
+401
+00:26:51,780 --> 00:26:55,660
+الغرغرينة كمان مثلا جروح التهب و نسيناه و قد يعدي
+
+402
+00:26:55,660 --> 00:26:58,080
+كمان طبعا هذه الشريحة اللي كانت الشريحة الأخيرة
+
+403
+00:26:58,080 --> 00:27:01,500
+بنسمع اذا في أي سؤال أو استفسار عن الموضوع اللي هو
+
+404
+00:27:01,500 --> 00:27:05,320
+الجروح و كيف اسعافها و بالنسبة لمضاعفاتها و كيف
+
+405
+00:27:05,320 --> 00:27:08,580
+احنا ممكن نتعامل معاها، فضلي انت لو كان في غرغرينة
+
+406
+00:27:08,580 --> 00:27:13,420
+و بعضه يعني هو ميت نعم، اه فإن الأردن بيساعد
+
+407
+00:27:13,420 --> 00:27:16,600
+المريض لإن هو مش بس يبقى تلبس بالبرادر كوي
+
+408
+00:27:16,600 --> 00:27:21,230
+الغرغرينة، بيسي لأنه ما تشوف البرادرطبعا ..
+
+409
+00:27:21,230 --> 00:27:24,710
+هلجيتها .. بنتكلم بالنسبة للغرغرين يا أخواتنا في
+
+410
+00:27:24,710 --> 00:27:29,470
+حال أنه صار الحل حال جراحي مافيش مفرد لإن بقدرش
+
+411
+00:27:29,470 --> 00:27:33,250
+أنا أعيد الدورة الدموية لجزء ميت فالجزء الميت بيتم
+
+412
+00:27:33,250 --> 00:27:38,010
+استقصاله واضف إلى ذلك خوفا .. خوفا من انتقال
+
+413
+00:27:38,010 --> 00:27:45,050
+الغرغرين لجزء حي بيتم استقصال جزء حي إضافي طبعا
+
+414
+00:27:45,050 --> 00:27:49,710
+.. طبيعي .. ممكن طبعا يكون إذا كان مثلا باتربطر
+
+415
+00:27:49,710 --> 00:27:53,070
+مثلًا الأصبع تخدير موضعه، لكن إذا كان بطر مثلًا
+
+416
+00:27:53,070 --> 00:27:56,650
+الذراع، الساق، وغالبًا يخبط من ما نكون ملاحظين إن
+
+417
+00:27:56,650 --> 00:27:59,910
+الدم الغرغرينة بتيجي غالبًا في أطراف السفلية، بسبب
+
+418
+00:27:59,910 --> 00:28:04,370
+ضعف الدورة الدمويةوضعف النشاط وضعف الحركة وياما
+
+419
+00:28:04,370 --> 00:28:08,210
+ناس كتير طبعا اللي بيساعد كمان أكتر و أكتر عند بعض
+
+420
+00:28:08,210 --> 00:28:10,990
+الناس مثلا المدخنين لما بيعمل ضيق في الأواعي
+
+421
+00:28:10,990 --> 00:28:14,610
+الدموية وطبعا يعني هاري بيزيد الطين بله لإن هاري
+
+422
+00:28:14,610 --> 00:28:18,130
+بيساعد على ضيق الأواع الدموية ومشاكل أخرى طبعا
+
+423
+00:28:18,130 --> 00:28:21,270
+لربما يمكن مرض السكر وغالبا المرض المزمنين يكون
+
+424
+00:28:21,270 --> 00:28:24,830
+مصاحب أمراض أخرى لأنه قد يكون أحد أسباب مرض السكر
+
+425
+00:28:24,830 --> 00:28:28,940
+مثلا زيادة السمنةأو الغضب، والغضب هيؤدي إلى أمراض
+
+426
+00:28:28,940 --> 00:28:32,500
+للقلب أو ضعف المناعة وبالتالي قد يكون بدل المرض
+
+427
+00:28:32,500 --> 00:28:36,080
+ممكن يكون عنده اتنين لكن بقول احنا عشان الموضوع
+
+428
+00:28:36,080 --> 00:28:40,060
+طبعا مابناش نطلع برا كتير انه بالنسبة لمرض السكر
+
+429
+00:28:40,060 --> 00:28:43,140
+اللي هو طبعا قد يصاحبه اللي هي الغير غيرينا السكر
+
+430
+00:28:43,140 --> 00:28:48,540
+عدو وصديق، صاحب صاحبه وعدو عدوه، اهمل فيه بلدق،
+
+431
+00:28:48,540 --> 00:28:55,640
+برحمشطبعا هو يتلصد بصاحبه إذا أهمل فيه، لكن هو زي
+
+432
+00:28:55,640 --> 00:28:58,520
+الحامل وديع إذا كان ماشي معاه كويس، ناس عندهم
+
+433
+00:28:58,520 --> 00:29:01,580
+عشرين سنة و أكتر و عندهم مرض سُكر، ناس سنتين أو
+
+434
+00:29:01,580 --> 00:29:04,100
+تلاتة بيقولك والله صار عنده بتر، صار عنده غرغرينة،
+
+435
+00:29:04,100 --> 00:29:07,900
+أهمل، مهتمش، وبالتالي طبعا كل المرضى المزمنين
+
+436
+00:29:07,900 --> 00:29:12,060
+بيكون عندهم اهتمام بأربع محاور، المحور النفسي،
+
+437
+00:29:12,060 --> 00:29:16,960
+التخذوي، العلاجي، الحركة و النشاط، بعيش حياة كويسة
+
+438
+00:29:18,020 --> 00:29:21,300
+و أقلها و اتوكى شكرا و مبارك الله فيك و ربنا
+
+439
+00:29:21,300 --> 00:29:21,600
+نحفظكم
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/irf9wpoWcZE_postprocess.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/irf9wpoWcZE_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..5c6055d5c535cff40d68b561b507c8ec3c4d38b3
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/irf9wpoWcZE_postprocess.srt
@@ -0,0 +1,1932 @@
+1
+00:00:05,210 --> 00:00:06,950
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:06,950 --> 00:00:09,450
+الرحيم والصلاة والسلام على أشرف المرسلين سيدنا
+
+3
+00:00:09,450 --> 00:00:13,290
+محمد ولي وصحابيه وسلم استكمالا للموضوع السابق حول
+
+4
+00:00:13,290 --> 00:00:17,110
+التسمم ومادة السمة وطرق التعامل وطرق دخول هذه
+
+5
+00:00:17,110 --> 00:00:21,710
+المادة وكيفية إسعافها سنتقل للطريقة الثانية عن
+
+6
+00:00:21,710 --> 00:00:25,190
+طريق دخول مادة السمة اللي هي تسمم عن طريق الجلب أو
+
+7
+00:00:25,190 --> 00:00:31,000
+المنامةطبعا يعني لربما يكون هناك دخول مادة سامة عن
+
+8
+00:00:31,000 --> 00:00:34,520
+طريق الجلد خاصة مثلا المواد الكيموية المحرشة أو
+
+9
+00:00:34,520 --> 00:00:38,600
+بعض الناس حينما يقومون برش الأشجار ويتطير هذه
+
+10
+00:00:38,600 --> 00:00:44,340
+المواد المستخدمة في رش الأشجار أو المواد الحشريةعن
+
+11
+00:00:44,340 --> 00:00:47,600
+طريق الجلد أو امتصاص الجلد وطبعا لرموك هناك بعض
+
+12
+00:00:47,600 --> 00:00:50,960
+المواد الأخرى التي تسبب بعض الكائنات البحرية
+
+13
+00:00:50,960 --> 00:00:54,900
+كقندين البحر سواء الأزرق أو الأبيض طبعا ال .. هذا
+
+14
+00:00:54,900 --> 00:00:59,120
+شيء مهم جدا وطبعا خطير يعني قد يكون هناك مادة سامة
+
+15
+00:00:59,120 --> 00:01:04,440
+دخلت إلى جسم الإنسان أو قد يكون أثر موضوعيا شبيه
+
+16
+00:01:04,440 --> 00:01:06,680
+بالحروق الشديدة أو حروق الدرجة الثانية
+
+17
+00:01:09,290 --> 00:01:12,790
+طبعا أهم الأعراض طبعا ظهور إحكا و أحمرار طبعا حسب
+
+18
+00:01:12,790 --> 00:01:17,210
+تركيز المادة التي دخلت جسم الإنسان طفح جلدي في
+
+19
+00:01:17,210 --> 00:01:21,590
+منطقة الملامسة هو طبعا شيء واضح جدا بخاصة مع
+
+20
+00:01:21,590 --> 00:01:25,490
+قناديل البهر قد يكون هناك صداع و ارتفاع في درجة
+
+21
+00:01:25,490 --> 00:01:28,850
+الحرارة وقولنا طبعا درجة الحرارة أو جسم يقوم برفع
+
+22
+00:01:28,850 --> 00:01:33,270
+درجة حرارة نفسه محاولة منه للتخلص من المادة المسبب
+
+23
+00:01:33,270 --> 00:01:38,590
+أو تخفيف أثرهاطبعا رخويات الماء مثلا زي قنديل
+
+24
+00:01:38,590 --> 00:01:43,130
+البحر يعني تستخدم ..يعني إلها أثر سلبي وطبعا يكون
+
+25
+00:01:43,130 --> 00:01:47,190
+إلها ألام شديدة جدا إذا لامست الجلد وقد تؤدي إلى
+
+26
+00:01:47,190 --> 00:01:51,670
+حروق أو شبيه بالحروق أو قد تؤدي إلى نوع من نوع
+
+27
+00:01:51,670 --> 00:01:54,990
+التسمم خاصة عن طريق امتصاص في الجلد وبالتالي هنا
+
+28
+00:01:54,990 --> 00:02:00,410
+كإسعاف أولي يجب استخدام الماء البارد لتخفيف الأثر
+
+29
+00:02:00,410 --> 00:02:05,870
+السلبي لهذه الكائن البحريومن ثم إذا كانت منتشرة
+
+30
+00:02:05,870 --> 00:02:10,130
+بأكتر من مكان جسم يجب تحويلها إلى المستشفى طبعا من
+
+31
+00:02:10,130 --> 00:02:14,010
+أهم الأعراض التي قد تصاحب طبعا رخوية الماء إحساس
+
+32
+00:02:14,010 --> 00:02:18,710
+تنميل وهو طبعا تنميل معناه أثر أثرت المادة أو مثلا
+
+33
+00:02:18,710 --> 00:02:23,850
+اللعاب هذا القنديل أثر على الجهاز العصبي ومن هناك
+
+34
+00:02:23,850 --> 00:02:28,350
+يشعر بتنميل سواء في الأطراف أو في المكان الذي أصاب
+
+35
+00:02:28,350 --> 00:02:34,000
+هذا اللعابحرقة شديدة في الجلد كما ذكرت هناك قد
+
+36
+00:02:34,000 --> 00:02:38,140
+تكون شبيهة بحروق الدرجة الثانية و يظهر طفح جلدي أو
+
+37
+00:02:38,140 --> 00:02:44,820
+يظهر حتى فقاقي يعنيضعف العضلات وهي طبعا شيء مؤثر
+
+38
+00:02:44,820 --> 00:02:49,860
+إيجابي أو مؤثر سلبي نتيجة اللعاب الذي أثر على
+
+39
+00:02:49,860 --> 00:02:53,020
+الأعصاب وبالتالي أثر على العضلات أو قد يؤدي إلى
+
+40
+00:02:53,020 --> 00:02:58,380
+شلل في بعض عضلات الجسم إذا كان المادة المتعرضة
+
+41
+00:02:58,380 --> 00:03:03,320
+لقنديل البحر بأكثر من مكان أو أكثر من قنديل لمس
+
+42
+00:03:03,320 --> 00:03:04,780
+هذا الجسم
+
+43
+00:03:07,870 --> 00:03:10,730
+زيادة في إفراز اللعاب و طبعا هذا زيادة في إفراز
+
+44
+00:03:10,730 --> 00:03:14,690
+اللعاب له تأثير سلبي على الجهاز التنفسي لأن طبعا
+
+45
+00:03:14,690 --> 00:03:18,590
+لو ربما يكون هناك زيادة في المواد داخل القصب
+
+46
+00:03:18,590 --> 00:03:21,230
+اللوائية و بالتالي يؤثر على عملية التنفس
+
+47
+00:03:25,010 --> 00:03:28,070
+طبعا يعني الإسعاف الأولى يعني دايما في كل الحالات
+
+48
+00:03:28,070 --> 00:03:31,290
+إذا أحنا عرفنا السبب بتكون الطريق أسهل للإسعاف
+
+49
+00:03:31,290 --> 00:03:35,010
+الأولى طبعا أهم شيء في التعامل مع حالات الإسعاف
+
+50
+00:03:35,010 --> 00:03:38,830
+الأولى يعني طالما أن المادة موجودة على الجلد يجب
+
+51
+00:03:38,830 --> 00:03:43,670
+علينا تغيير الملابس واستخدام دش من الماء العادي أو
+
+52
+00:03:43,670 --> 00:03:48,070
+البارد لتخليص الجسم أو تقليل أثر المادة السامة هذه
+
+53
+00:03:48,070 --> 00:03:53,740
+على طبعا جسم الإنسانطبعا أفضل استخدام الماء العادي
+
+54
+00:03:53,740 --> 00:03:57,360
+و لا يستخدم الماء الملح لو كان على البحر مثلا أفضل
+
+55
+00:03:57,360 --> 00:04:01,960
+لكن هنا الأساس منها هي إزالة الأثر يعني بعض الناس
+
+56
+00:04:01,960 --> 00:04:05,860
+مثلا اللي بيجون مثلا في حال رش الأشجار و التعرض
+
+57
+00:04:05,860 --> 00:04:12,220
+للمواد المستخدمة أو البلدة الحشريةالأساس تغيير
+
+58
+00:04:12,220 --> 00:04:15,780
+الملابس أو استخدام ملابس لا تسمح بدخول المواد
+
+59
+00:04:15,780 --> 00:04:19,360
+السامة هذه أو المواد المستخدمة في رش الأشجار كملب
+
+60
+00:04:19,360 --> 00:04:24,240
+مثلا من النيلون واستخدام طبعا النظارات والكمامة
+
+61
+00:04:24,240 --> 00:04:27,880
+المناسبة لتقليل دخول المادة السامة هذه للجسم
+
+62
+00:04:33,070 --> 00:04:36,670
+طبعا بعد ذلك ممكن استخدام بعض المواد المهدئة مثلا
+
+63
+00:04:36,670 --> 00:04:40,750
+كرامين لوشن أو طبعا بعض المستحلبات لتخفيف الأثر
+
+64
+00:04:40,750 --> 00:04:45,410
+لكن بالمجمل وصوله للمستشفى أفضل لكن طبعا إجراءات
+
+65
+00:04:45,410 --> 00:04:49,450
+فقط في حال أو مكان حدث لتقليل الألم أو المضاعفات
+
+66
+00:04:49,450 --> 00:04:50,690
+التي قد تصاحبهم
+
+67
+00:04:54,970 --> 00:04:58,630
+طبعاً لربما تكون المواد السامة دي وصلت إلى العين
+
+68
+00:04:58,630 --> 00:05:03,250
+فالأفضل في حالة العين هي غسل العين تحت ماء جاري
+
+69
+00:05:03,250 --> 00:05:08,850
+حتى يتم تقليل أثر الدار لهذه المادة وبالتالي تكون
+
+70
+00:05:08,850 --> 00:05:12,930
+نتيجة أكتر إيجابية إذا تركت العين و تم الذهاب
+
+71
+00:05:12,930 --> 00:05:17,130
+الشخص إلى المستشفى فيكون أثر المادة سلبي أكتر على
+
+72
+00:05:17,130 --> 00:05:22,520
+العين في حال نقلها مباشرةأما إذا تم التعامل معها
+
+73
+00:05:22,520 --> 00:05:26,040
+وغسيلها فتكون طبعا نتيجة أكتر إيجابية لذلك يجب
+
+74
+00:05:26,040 --> 00:05:33,040
+علينا غسل العين قبل نقله إلى المستشفى هذه
+
+75
+00:05:33,040 --> 00:05:36,940
+بعض الصور الكاركاتيرية للتوضيح أنه يعني صور معبرة
+
+76
+00:05:37,480 --> 00:05:42,460
+إن أنا بدأ أقوم بطبعا بأثار مادة السامة و أغسلها و
+
+77
+00:05:42,460 --> 00:05:45,100
+طبعا شيء مهم جدا إن إذا كان الإنسان بتعامل مع بعض
+
+78
+00:05:45,100 --> 00:05:49,360
+المواد السامة يجب أغسل أيدي قبل ملامس الجسم و
+
+79
+00:05:49,360 --> 00:05:54,900
+التخلص من المواد السامة هناك بعض الطرق المهمة جدا
+
+80
+00:05:54,900 --> 00:06:01,740
+متابعتها و هي دائما نتابع التنفس و عمل القلب طبعا
+
+81
+00:06:01,740 --> 00:06:06,790
+شيء مهم جدا لو يكون هذه المادةتم طبعا ملامسة الجسم
+
+82
+00:06:06,790 --> 00:06:11,290
+و تم إختراق الجلد وصلت إلى الدورة الدومية و قد
+
+83
+00:06:11,290 --> 00:06:15,230
+يكون لها الأثر السلبي على الجهاز التنفسي وبالتالي
+
+84
+00:06:15,230 --> 00:06:19,790
+متابعة أي ضحية من أهم شيء في متابعته اللي هو
+
+85
+00:06:19,790 --> 00:06:22,450
+متابعة أو مراقبة الجهاز التنفسي
+
+86
+00:06:27,800 --> 00:06:33,360
+نأتي لطريقة أخرى وهي طبعا طريقة منتشرة جدا وطريقة
+
+87
+00:06:33,360 --> 00:06:37,340
+يعني اللي ربما تكون خاصة في الشتاء أكتر من الصيف
+
+88
+00:06:37,340 --> 00:06:40,120
+أو بعض .. طب ممكن تكون على مدار العالم لكن بعض
+
+89
+00:06:40,120 --> 00:06:45,400
+الأماكن تكون فيها في فصل الشتاء أكتر وهي عن طريق
+
+90
+00:06:45,400 --> 00:06:49,830
+استنشاق الغازاتطبعا ليست محددة في وقت معين لكن
+
+91
+00:06:49,830 --> 00:06:53,190
+لربما بعض الأحداث أو الحوادث تكون منتشرة في الشتاء
+
+92
+00:06:53,190 --> 00:06:57,130
+أكتر من غيرها طبعا ممكن من أشهرها اللي طبعا غاز
+
+93
+00:06:57,130 --> 00:07:02,590
+أول أكسيد الكربون طبعا هو غاز قاتل لأن طبعا ليس له
+
+94
+00:07:02,590 --> 00:07:06,010
+لون أو رائحة و هذا هو اللي طبعا بركز أنه في الشتاء
+
+95
+00:07:06,010 --> 00:07:10,590
+أكتر بسبب استخدام الناس للفحم و استنشاقهم أو
+
+96
+00:07:10,590 --> 00:07:14,270
+التنفيئة و بالتالي يكون هناك استنشاق لغاز أول
+
+97
+00:07:14,270 --> 00:07:17,580
+أكسيد الكربوناللي بحلم يحل الأكسجين و بالتالي يكون
+
+98
+00:07:17,580 --> 00:07:22,560
+خاطير جدا على اللي هو الجهاز العصبي لأنه يعمل على
+
+99
+00:07:22,560 --> 00:07:28,780
+إبطاء أو تثبيت مركز التنفس و تكون نتيجة خاطيرة جدا
+
+100
+00:07:28,780 --> 00:07:33,980
+قد تؤدي للوفاء و هناك حالات كثيرة سجلت بالموت أو
+
+101
+00:07:33,980 --> 00:07:37,490
+من الموت من استنشاق أول أكسيد الكربونهناك أيضًا
+
+102
+00:07:37,490 --> 00:07:40,930
+بعض الغاز المبيضات الحشرية أو مثلًا بعض .. بعض
+
+103
+00:07:40,930 --> 00:07:44,770
+السيدات هنا استخدام بعض المنظفات أو خلق المنظفات
+
+104
+00:07:44,770 --> 00:07:48,950
+مع بعض ترى طبعًا يتساعد منها بعض الأبخرة وخاصة ..
+
+105
+00:07:48,950 --> 00:07:54,630
+وخاصة إذا الأم مثلًا أركنت المهمةالى بنت الصغيرة
+
+106
+00:07:54,630 --> 00:07:57,870
+وبالتالي تكون هناك خطورة جدا للطفلة الصغيرة لا
+
+107
+00:07:57,870 --> 00:08:02,330
+تعرف كيف تتعامل وبالتالي هناك تحذير من استخدام او
+
+108
+00:08:02,330 --> 00:08:07,150
+خلط المواعي المنظفات مع بعضها و استمرار في عملية
+
+109
+00:08:07,150 --> 00:08:11,250
+التنظيف إذا كان ولابد فوضع الماء المواعي الهادي
+
+110
+00:08:11,250 --> 00:08:16,450
+المنظفة وتركها وبعد ذلك عملية تنظيفهاأيضًا هناك
+
+111
+00:08:16,450 --> 00:08:19,710
+بعض المواد المستخدمة مثلًا في الحروب أو مثلًا في
+
+112
+00:08:19,710 --> 00:08:22,930
+عمل .. في ال .. تستخدم مثلًا جنود في عملية القنع
+
+113
+00:08:22,930 --> 00:08:28,710
+مثلًا استخدام غاز مُسيل للدموع، غاز الأعصاب، هناك
+
+114
+00:08:28,710 --> 00:08:32,470
+بعض الغازات أو بعض الغازات اللي هيكون لها أثر سلبي
+
+115
+00:08:32,470 --> 00:08:36,630
+على خلايا الدم الحمراءعلى خلايا الدم الحمراء أو
+
+116
+00:08:36,630 --> 00:08:40,590
+تقوم .. أو تقوم بتكسير خلايا الدم الحمراء وبالتالي
+
+117
+00:08:40,590 --> 00:08:46,390
+هناك بعض الغازات المستخدمة واحنا قد تعرضنا لهذه ..
+
+118
+00:08:46,390 --> 00:08:50,030
+لكثير من هذه الغازات في .. سواء طبعا مسارات العودة
+
+119
+00:08:50,030 --> 00:08:54,810
+أو ما قبلها لكن الأفضل .. الأفضل في الحالة هذه عدم
+
+120
+00:08:54,810 --> 00:09:00,170
+مواجهة طبعا الغازات مباشرة وإنما السير بعكس اتجاه
+
+121
+00:09:00,170 --> 00:09:06,940
+الريح حتى لا يكون تأثير سلبي على الجسمطبعا لو كان
+
+122
+00:09:06,940 --> 00:09:09,040
+هناك غازات أخرى كان غاز الفلفل أيضا
+
+123
+00:09:13,580 --> 00:09:16,800
+طبعا من ضمن الأعراض هي سعال شديد مع غثيان وقيق
+
+124
+00:09:16,800 --> 00:09:20,920
+وطبعا يكون الأثر السلبي يعني نتيجة دخول هذه المادة
+
+125
+00:09:20,920 --> 00:09:25,200
+وقلنا ممكن يكون أثر سلبي على الجهاز العصبي
+
+126
+00:09:25,200 --> 00:09:29,240
+وبالتالي تظهر هذه العلمات وقلنا احنا من بعض
+
+127
+00:09:29,240 --> 00:09:32,480
+العلمات التي تكون واضحة انها ولاقة بالجهاز العصبي
+
+128
+00:09:32,480 --> 00:09:37,380
+ليها دوار او غثيان او قيق كمؤشر ان هناك مشكلة أثرت
+
+129
+00:09:37,380 --> 00:09:38,280
+على الجهاز العصبي
+
+130
+00:09:41,680 --> 00:09:45,920
+طبعا العرض الآخر ألم في الأنف والحلق والصدر نتيجة
+
+131
+00:09:45,920 --> 00:09:49,080
+دخول هذه المادة لو طبعا يكون أثر المادة حارق جدا
+
+132
+00:09:49,080 --> 00:09:52,660
+كما مثلا في غاز النشادر أو مثلا أبخرة المواد
+
+133
+00:09:52,660 --> 00:09:56,640
+التنظيف التي تكون داخل الحمامات أو مثلا الغازات
+
+134
+00:09:56,640 --> 00:09:59,960
+المستخدمة كغاز مسيل الدموع أو غاز الفلفل أو غاز
+
+135
+00:09:59,960 --> 00:10:05,060
+العصاب طبعا يكون الأثر سلبي جدا على ال .. على
+
+136
+00:10:05,060 --> 00:10:08,600
+الضحية لكن هناك بعض الضحايا يكون لهم تأثير سلبي
+
+137
+00:10:08,600 --> 00:10:14,560
+أكترمثلا مريض الأزمة أو السيدة الحامل أو الأطفال
+
+138
+00:10:14,560 --> 00:10:18,960
+أو كبار السن فتكون نتيجة خطيرة جدا، قد تكون لها
+
+139
+00:10:18,960 --> 00:10:22,240
+مضاعفات مثلا عملية الإجهاد أو يكون هناك مثلا عملية
+
+140
+00:10:22,240 --> 00:10:25,760
+اختناق أو تصل إلى درجة الوفاة، ده كان بتركيز كبير
+
+141
+00:10:25,760 --> 00:10:30,780
+جدافطبعا العرض التالت طبعا هو صعوبة في التنفس مع
+
+142
+00:10:30,780 --> 00:10:34,280
+شعور بالاختناق نتيجة إحلال طبعا أو أكسيد الكربون
+
+143
+00:10:34,280 --> 00:10:38,020
+المحال للأكسيجين أو مواد أخرى إن طبعا شيء طبيعي إن
+
+144
+00:10:38,020 --> 00:10:40,880
+الإنسان يستقبل الهواء الهواء طبعا محمل الأكسيجين
+
+145
+00:10:40,880 --> 00:10:44,600
+لكن في حال استقبال الهواء المحمل بغير الأكسيجين
+
+146
+00:10:44,600 --> 00:10:47,760
+معناه هيكون طبعا ردة فعل الإنسان هي السعال أو
+
+147
+00:10:47,760 --> 00:10:52,190
+الاضيق أو الاختناقلكن هناك بعض الغازات زي أول
+
+148
+00:10:52,190 --> 00:10:54,790
+أكسيد الكربون لا لون ولا ريحة، هناك بعض الغازات
+
+149
+00:10:54,790 --> 00:10:58,210
+مثلا زي ثاني أكسيد الكربون أو الأبخرة الصاعدة من
+
+150
+00:10:58,210 --> 00:11:02,650
+مواد التنظيف يكون الإحساس فيها و الشعور فيها فتكون
+
+151
+00:11:02,650 --> 00:11:07,110
+ردة فعل هي عملية طبعا السعال أو ضيق بالتنفس
+
+152
+00:11:07,110 --> 00:11:11,430
+وبالتالي حسب المادة الداخلة جسم الإنسان أو الغاز
+
+153
+00:11:11,430 --> 00:11:17,340
+الداخل جسم الإنسانالصداع طبعا هو شيء طبيعي جدا لو
+
+154
+00:11:17,340 --> 00:11:20,820
+احنا اتعرضنا لغاز او لثانو كيسير الكربون حتى اللي
+
+155
+00:11:20,820 --> 00:11:24,840
+طبعا غاز الحطب نفسه طبعا له لون و له ريحة فبالنسان
+
+156
+00:11:24,840 --> 00:11:29,080
+بيشعر بالصداع نتيجة نقص الاكسجين وهو طبعا كمؤشر
+
+157
+00:11:29,080 --> 00:11:32,560
+الصداع احد العالمات العصبية اللتي تنتج عن جهاز
+
+158
+00:11:32,560 --> 00:11:36,080
+العصبي الصداع او الدوخة او الدوار او الطنين او
+
+159
+00:11:36,080 --> 00:11:39,440
+علامة التوازن هي طبعا علامات منذرة ان هناك مشكلة
+
+160
+00:11:39,440 --> 00:11:40,780
+اثرت عليها الجهاز العصبي
+
+161
+00:11:43,990 --> 00:11:46,930
+طبعا الإحساس بالضعف الشديد مع وجود رغبة في النعاس
+
+162
+00:11:46,930 --> 00:11:50,030
+لدى المصاب وهذا طبعا شيء واضح جدا مع غاز أول أكسيد
+
+163
+00:11:50,030 --> 00:11:53,470
+الكربون واحنا قلنا إن إنسان بنصنع نشيخ أول أكسيد
+
+164
+00:11:53,470 --> 00:11:58,390
+الكربون ويشعر بالنعاس ويبدأ بالاستمرار في استنشاق
+
+165
+00:11:58,390 --> 00:12:02,190
+غاز أكسيد الكربون وهذا يكون له تأثير سلبي على
+
+166
+00:12:02,190 --> 00:12:06,850
+الدماغ لأنه يعتبر كمخدرفيشعر بالنعاس و يستمر في
+
+167
+00:12:06,850 --> 00:12:12,090
+الاستنشاق و بالتالي يحل محل الاكسجين محله يكون اول
+
+168
+00:12:12,090 --> 00:12:15,630
+اكسيد الكربون و تكون نتيجة خطيرة قد تكون نتيجة
+
+169
+00:12:15,630 --> 00:12:16,190
+الوفاة
+
+170
+00:12:20,140 --> 00:12:24,960
+طبعا يميل الجلد للزرقة بسبب نقص ال Oxygen طبعا
+
+171
+00:12:24,960 --> 00:12:28,140
+يعني كل ما كان كمية كافية Oxygen كل ما كان الجسم
+
+172
+00:12:28,140 --> 00:12:32,460
+وردي لكن كل ما كان كمية أقل من ال Oxygen أو زيادة
+
+173
+00:12:32,460 --> 00:12:36,200
+في ثانو أكسيد الكربون فيكون الجسم طبعا خاصة
+
+174
+00:12:36,200 --> 00:12:40,300
+الأطراف والشفاة والأذنين يكون اللون مائلا إلى
+
+175
+00:12:40,300 --> 00:12:45,660
+الأزرقاء بسبب كمية ثانو أكسيد الكربون كل ما كانت
+
+176
+00:12:45,660 --> 00:12:48,080
+الكمية أكبر كل ما كانت الخطورة أكثر
+
+177
+00:12:51,570 --> 00:12:55,210
+طبعا هنا يكون النبض سريع وضعيف زي ما قلنا أن الجسم
+
+178
+00:12:55,210 --> 00:12:58,710
+بده يحاول .. القلب يحاول أنه يزود عدد الدجات ..
+
+179
+00:12:58,710 --> 00:13:03,730
+الدجات أو النبضات حتى يصل بدم المحمل ببقايا
+
+180
+00:13:03,730 --> 00:13:06,510
+الأكسجين أو ما تبقى من الأكسجين إلى الخلايا كلها
+
+181
+00:13:06,510 --> 00:13:10,870
+لكن في النهاية قد يفشل وفشله هنا زي ما قلنا احنا
+
+182
+00:13:10,870 --> 00:13:16,690
+توقف التنفس كما في حال أو أبسيد الكربون هذا خطير
+
+183
+00:13:16,690 --> 00:13:21,690
+جداأيضا هناك بعض المواد التي تؤثر على الجهاز
+
+184
+00:13:21,690 --> 00:13:25,970
+التنفسي ممكن يكون عن طريق الاستنشاق وممكن طبعا عن
+
+185
+00:13:25,970 --> 00:13:30,770
+طريق الأبخرة زي ما اتكلمنا المتساعدة من المنظفات
+
+186
+00:13:30,770 --> 00:13:33,990
+اللتي تحدث داخل البيوت ودا يأتي طبعا عن طريق الجهل
+
+187
+00:13:33,990 --> 00:13:36,910
+وخلق المواد المنظفة مع بعضها البعض
+
+188
+00:13:42,080 --> 00:13:45,680
+طبعا تغير في درجة الوعي كل ما كان الفترة الزمنية
+
+189
+00:13:45,680 --> 00:13:49,160
+اتعرض لأكتر وكل ما كان تركيز المادة أكتر وكل ما
+
+190
+00:13:49,160 --> 00:13:54,200
+كان درجة الوعي أقلو هذا كل ما الإنسان دخل درجة
+
+191
+00:13:54,200 --> 00:13:57,600
+واعية أقل، معناه يكون .. حيكون عرضة للتعرض
+
+192
+00:13:57,600 --> 00:14:00,800
+للاستنشاق أكتر و بالتالي تكون النتيجة أكتر، يعني
+
+193
+00:14:00,800 --> 00:14:05,240
+ممكن الإنسان يستنشق و تكون له آخر أنفاس باستنشاقه،
+
+194
+00:14:05,240 --> 00:14:08,780
+لكن حسب الفترة الزمنية، ما بقول فترة بسيطة، إنه
+
+195
+00:14:08,780 --> 00:14:12,520
+تقدر الوفاة، لكن كل ما كانت الفترة الزمنية أطول كل
+
+196
+00:14:12,520 --> 00:14:13,540
+ما كانت الخطورة أكثر
+
+197
+00:14:17,960 --> 00:14:20,540
+طبعا شيء طبيعي جدا و بديعي جدا يعني ببعض الغازات
+
+198
+00:14:20,540 --> 00:14:23,500
+أن نتكلم سواء طبعا غازات الأعصاب أو غازات المستيل
+
+199
+00:14:23,500 --> 00:14:27,740
+الدموع أو غاز أو إكسيد الكربون هي إبعاد الشخص طب
+
+200
+00:14:27,740 --> 00:14:31,120
+هاتكلم في حالتين تانتين بسيطة جدا أول إكسيد
+
+201
+00:14:31,120 --> 00:14:34,040
+الكربون طبعا هو غاز الفحم احنا قلنا سلامة المصاب
+
+202
+00:14:34,040 --> 00:14:38,280
+من سلامة المكان فالطريقة الأولى هي إخراج الشخص من
+
+203
+00:14:38,280 --> 00:14:41,920
+المكان نفسه خارج الغرفة نفسها اللي موجود فيها
+
+204
+00:14:41,920 --> 00:14:46,400
+الفحموإعطاء إذا كان يتنفس يستمر التنفس لكن إذا كان
+
+205
+00:14:46,400 --> 00:14:50,560
+التنفس ضعيف فبإمكان إعطاء تنفس الصناعة طبعا وقتين
+
+206
+00:14:50,560 --> 00:14:53,160
+ممكن يكون التنفس ضعيف أو كده وقتين ممكن يكون
+
+207
+00:14:53,160 --> 00:14:56,960
+التنفس متوقف كل ما كان فترة زمنية أطول كل ما كان
+
+208
+00:14:56,960 --> 00:15:01,060
+أثر تأثير سلبي على عدد مرات التنفس لكن إذا أحنا
+
+209
+00:15:01,060 --> 00:15:05,280
+يعني سارعنا في البداية وأخرجنا الشخص هو مجرد أنه
+
+210
+00:15:05,280 --> 00:15:09,260
+تعرض للهواء الخارجي الغني بلوكسيجين طبعا يستمر
+
+211
+00:15:09,260 --> 00:15:12,730
+ويعمل تنفس ويستعيد عيوب 100%الحالة الثانية في حال
+
+212
+00:15:12,730 --> 00:15:16,930
+مثلا غاز الأعصاب أو غاز نفسي للدموع الشيء الصحيح
+
+213
+00:15:16,930 --> 00:15:22,810
+جدا أن الإنسان يعني يكون في مكان قريب من الأرض لأن
+
+214
+00:15:22,810 --> 00:15:26,710
+طبعا الغازات تتصعد لأعلى وطبعا لا يسير عكس اتجاه
+
+215
+00:15:26,710 --> 00:15:29,790
+الهواء لأن طبعا عكس اتجاه الهواء هيكون فيه عمل
+
+216
+00:15:29,790 --> 00:15:33,490
+تسنشق أكتر وبالتالي تجيه يسير باتجاه الهواء حتى
+
+217
+00:15:33,490 --> 00:15:39,450
+يكون الهواء من الخلفو هي تكون كمية الغاز المستنشغ
+
+218
+00:15:39,450 --> 00:15:44,210
+أقل ممكن استخدام مثلا فوطة مبللة بالماء او مثلا
+
+219
+00:15:44,210 --> 00:15:47,510
+الكربونا طبعا تشاهد على ان اتصار تجارب الحاجات هذه
+
+220
+00:15:47,510 --> 00:15:52,530
+حتى يقل او يكون تأثير المادة الحارقة هذه طبعا معظم
+
+221
+00:15:52,530 --> 00:15:55,470
+الغازات اللي بيستخدموها لها أثر حارق على الجهاز
+
+222
+00:15:55,470 --> 00:15:58,970
+التنفسي طبعا بقل تأثيرها باستخدام المادة الحارقة
+
+223
+00:15:58,970 --> 00:16:04,040
+هذه الفوطة الرطبة هذه مع الكربوناهو طبعا بالنسبة
+
+224
+00:16:04,040 --> 00:16:09,160
+لكيف نتعامل مع الشخص اللي صار عنده مثلا .. ممكن
+
+225
+00:16:09,160 --> 00:16:14,980
+يكون عنده مثلا تسمم او مثلا استنشاق غاز الطهي او
+
+226
+00:16:14,980 --> 00:16:18,240
+بتجازي تمام؟ وهو طبعا اهم شيء اهم شيء اللي هي عملة
+
+227
+00:16:18,240 --> 00:16:22,980
+اغلاق المصدر اغلاق المصدر حتى يكون في امان طبعا و
+
+228
+00:16:22,980 --> 00:16:28,400
+أيضا خوفا منحروق بالملاحظة على المناسبة ان احنا
+
+229
+00:16:28,400 --> 00:16:32,640
+بدنا نشوف لو كان عندنا يعني احنا شمينا ريحة غاز من
+
+230
+00:16:32,640 --> 00:16:37,100
+الخطأ جدا نستخدم الإضاءة لان طبعا يكون هناك شرارة
+
+231
+00:16:37,100 --> 00:16:40,900
+طبعا يصير مشكلة الحرق بيكون مشكلة وحصلت مشكلة
+
+232
+00:16:40,900 --> 00:16:44,840
+تانية وبالتالي اخراج الشخص هذا او عملية اغفال طبعا
+
+233
+00:16:44,840 --> 00:16:48,280
+ال استوانة الغاز هو الطريقة الأولى والتعامل مع
+
+234
+00:16:48,280 --> 00:16:53,010
+الشخص هو الطريقة الثانيةطبعاً بالتعامل مع الشخص
+
+235
+00:16:53,010 --> 00:16:58,350
+وكل الحالات اللي بتتعامل معها يجب معرفة الأعراض أو
+
+236
+00:16:58,350 --> 00:17:01,950
+متابعة العلامات الحيوية وخاصة التنفس
+
+237
+00:17:06,250 --> 00:17:11,550
+طبعا بس الصورة موضحة على القاتل الصامت طبعا هو غاز
+
+238
+00:17:11,550 --> 00:17:15,470
+سام جدا غاز او اكسيد الكربون لا لون ولا ريحة وهدى
+
+239
+00:17:15,470 --> 00:17:19,230
+طبعا خطورته اما اول .. اما ثاني اكسيد الكربون فيه
+
+240
+00:17:19,230 --> 00:17:22,130
+لون وريحة اما اول اكسيد الكربون طبعا لا لون ولا
+
+241
+00:17:22,130 --> 00:17:22,510
+ريحة
+
+242
+00:17:27,350 --> 00:17:31,150
+الطريقة طبعا تحدثنا عن طريق البلع، تحدثنا عن طريق
+
+243
+00:17:31,150 --> 00:17:33,630
+الجلد، تحدثنا عن طريق الاستنشاق، الطريقة الأخيرة
+
+244
+00:17:33,630 --> 00:17:37,550
+هي طريقة التسمم عن طريق الحقب، و احنا جونا لربما
+
+245
+00:17:37,550 --> 00:17:40,810
+يكون بقصد أو بدون قصد إذا كان في الأدوية، لكن
+
+246
+00:17:40,810 --> 00:17:44,290
+لربما تكون المادة السامة داخل جسم الإنسان عن طريق
+
+247
+00:17:44,290 --> 00:17:47,870
+مثلا لدغ الأفاعي أو العقارب، طبعا الأفاعي بصفة
+
+248
+00:17:47,870 --> 00:17:52,570
+عامة، هتكلم عنا كيف هنتعامل معاها، طبعا الأعراض
+
+249
+00:17:52,570 --> 00:17:57,610
+اللي ممكن تكون هتيجي طبعا من الفرجالنحلة والدبور
+
+250
+00:17:57,610 --> 00:18:02,650
+ليست لدغة، لسعة، ولا تعتبر سامة، لكن تؤدي إلى
+
+251
+00:18:02,650 --> 00:18:08,090
+حساسية، أما بالنسبة للحية أو الثعبان والعقرب هي
+
+252
+00:18:08,090 --> 00:18:16,350
+لدغة أو عضة، النحلة والدبور حساسية الجسم إلها
+
+253
+00:18:17,160 --> 00:18:20,280
+حساسية، مثلا انت انسان بتحسس مثلا من الحليب، من
+
+254
+00:18:20,280 --> 00:18:23,080
+الشوكولات أو أي شيء، تمام؟ يا هي ليست بالمادة
+
+255
+00:18:23,080 --> 00:18:27,840
+السامة، أما بالنسبة للادرق الثعابين والعقارب تفرز
+
+256
+00:18:27,840 --> 00:18:33,620
+مادة سامة، لأن طبعا معروف عنا أن النحلة حياتها
+
+257
+00:18:33,620 --> 00:18:37,200
+بلسعة واحدة، طبعا هي زي الخطاف، طبعا في نهاية
+
+258
+00:18:37,200 --> 00:18:40,200
+التفيذ هي الخطاف، بتدخل جسم الإنسان، ولمّا بنتيجي
+
+259
+00:18:40,200 --> 00:18:45,000
+تسحبها، أحشاها بتطلقش، تخرج معاها، بتموتهي مفيدة
+
+260
+00:18:45,000 --> 00:18:47,640
+أه، احنا بنتكلم بس لإن بعض الناس عندهم حساسية، لكن
+
+261
+00:18:47,640 --> 00:18:50,780
+مش تسمهم، وحتى في حد يسموها سم النحل، أنا ماعرف
+
+262
+00:18:50,780 --> 00:18:54,320
+ايش نقول بالتفاصيل يعني، لكن بنتكلم احنا النحلة لا
+
+263
+00:18:54,320 --> 00:18:58,860
+تعتبر زي مثلا ال .. الثعبان أو العجرب، النحل، لكن
+
+264
+00:18:58,860 --> 00:19:02,120
+طبعا بختلف، بعض الناس يعني بتعامل مع النحل خلاص،
+
+265
+00:19:02,120 --> 00:19:05,680
+ممكن طبعا يعني لسه أو تنتهي و تتعودلكن بعض الناس
+
+266
+00:19:05,680 --> 00:19:08,640
+وانا منهم عندنا حسية ليش؟ للنحل، بتلاقي الجسم
+
+267
+00:19:08,640 --> 00:19:13,440
+بيلتسع، الجسم طبعا بتورم، كردت فعل، بعض الناس
+
+268
+00:19:13,440 --> 00:19:16,600
+عندهم مسح حساسية لبعض الأدوية، طبعا؟ وبالتالي
+
+269
+00:19:16,600 --> 00:19:22,200
+هنتكلم عن موضوع خاص بالنسبة للحيات أو الثعابين،
+
+270
+00:19:22,200 --> 00:19:24,500
+احنا اليوم في أنواع كتيرة موجودة في الحيات، طبعا
+
+271
+00:19:24,500 --> 00:19:29,330
+الحياة بحد ذاتها لا تلتغ إلا إذا أوذيتيعني مش فيه
+
+272
+00:19:29,330 --> 00:19:33,850
+ماشية بتبتدغ لأ، إذا الإنسان مثلا بالخطأ بتأذي،
+
+273
+00:19:33,850 --> 00:19:38,690
+لكن هي مسيرة، المعنى مش هتأذي إنسان نايم، هتقول
+
+274
+00:19:38,690 --> 00:19:43,450
+لأ، فهي ماشية، لكن في عنا شيء آخر كمان هو العجرب،
+
+275
+00:19:43,450 --> 00:19:46,370
+والعجرب طبعا أنواع، في أصفر، في أصمر، في كموني
+
+276
+00:19:46,370 --> 00:19:50,330
+ومشابه دلوقتي، وهي اللي طبعا تكون العجرب اللي
+
+277
+00:19:50,330 --> 00:19:56,570
+لدغهاأخطر من الحيّة وطبعا بتكون غالبا متشرة في
+
+278
+00:19:56,570 --> 00:20:00,130
+الصحاري و المناطق الخالية طبعا داخل المدن قليل جدا
+
+279
+00:20:00,130 --> 00:20:04,550
+نلاقيها وبالتالي هنا انا بتكلم على المكان مثلا
+
+280
+00:20:04,550 --> 00:20:08,870
+للحيّة هتكلم .. هنخص بالنسبة للحيّة هلاقي مثلا في
+
+281
+00:20:08,870 --> 00:20:13,050
+وخز وغالبا فينا بينها جيت هنعرض صورة نشوف إيش
+
+282
+00:20:13,050 --> 00:20:17,290
+الفرق بين الحيّة في عندنا حيّة سامة وحيّة غير سامة
+
+283
+00:20:17,290 --> 00:20:21,080
+طبعا خطورة الحيّة وين؟ في الرأسيبقى وين السام
+
+284
+00:20:21,080 --> 00:20:25,360
+بيكون موجود؟ في الرأس، يبقى السام باقي الجسم مافي
+
+285
+00:20:25,360 --> 00:20:29,700
+.. وانتوا زي ما تسمعوا بيأكلوا لحم الحية، طبعا
+
+286
+00:20:29,700 --> 00:20:33,860
+بالنسبالهم، اذا نتكلم عن الخطورة في رأس الحية، إذا
+
+287
+00:20:33,860 --> 00:20:37,960
+رأس الحية تم إصابته وضربه أو ختله، خلاص راحة، لما
+
+288
+00:20:37,960 --> 00:20:42,280
+باقي الحية لو انجرح، هتمرجعأه وبالتالي هاناخواتنا
+
+289
+00:20:42,280 --> 00:20:45,300
+الحية بحد ذاتها السامة هجيت هنعرض الصورة بس نتكلم
+
+290
+00:20:45,300 --> 00:20:48,760
+عن الأعراض أنه في نفس المكان بيكون ألم موضع وزرقاق
+
+291
+00:20:48,760 --> 00:20:53,140
+ويكون فيه أنانابين هاني طبعا الصورة هتكون أوضح لنا
+
+292
+00:20:53,140 --> 00:20:57,800
+طبعا العلمات العامة في غثيان في دوار لإن طبعا
+
+293
+00:20:57,800 --> 00:21:01,540
+السام في دخول الجسم بيعمل تكسير أو ميوع في الدم
+
+294
+00:21:01,540 --> 00:21:05,740
+وبالتالي بيصير الدم غير قادر أن ينجو الأكسجين
+
+295
+00:21:05,740 --> 00:21:09,650
+وتؤدي إلى الوفاةوبالتالي بنلاحظ أن المعدل
+
+296
+00:21:09,650 --> 00:21:13,750
+الهيموجلبين خفض جدا لأن صار عندنا ميوعى السم هو
+
+297
+00:21:13,750 --> 00:21:17,490
+مادة بروتينية زمان كانوا يقولوا هيبقوا يشفطوا السم
+
+298
+00:21:17,490 --> 00:21:21,610
+لكن الخوف من شفط السم أن يكون مثلا فيه جرع أو هاجة
+
+299
+00:21:21,610 --> 00:21:24,970
+خطورة السم اللي ناتج من الحياة اللي موجود في رأس
+
+300
+00:21:24,970 --> 00:21:30,880
+الحياة في غدا في رأس الحياة ويتقوم طبعا بضخالسم
+
+301
+00:21:30,880 --> 00:21:36,220
+عبر النابين .. النابين المجوفين لجسم الإنسان ونهر
+
+302
+00:21:36,220 --> 00:21:41,240
+الخطورة أما إذا السم وصل إلى المعدة مافيش خوف لأن
+
+303
+00:21:41,240 --> 00:21:44,320
+حامض المعدة ونزيمات المعدة تقوم على تكسير وانه
+
+304
+00:21:44,320 --> 00:21:47,920
+مادة بروتينية وشيء طبيعي ان المواد البوتينية تتكسر
+
+305
+00:21:47,920 --> 00:21:52,800
+لكن السم مادة بروتينية ويستخدم في العلاج يعني لاحظ
+
+306
+00:21:52,800 --> 00:21:56,380
+انه حتى في الصيدلة شعار السم الحي طبعا كانوا
+
+307
+00:21:56,380 --> 00:22:02,290
+يستخرجوا الثم منها كعساس علاجلكن لما وصل الدم، هان
+
+308
+00:22:02,290 --> 00:22:06,170
+الخطورة، أما وصوله للمعدة، وإنت لو حتى تم بلع
+
+309
+00:22:06,170 --> 00:22:10,210
+السم، في بعض الناس ما كانت متشفط أو امتصاص للمكان،
+
+310
+00:22:10,210 --> 00:22:13,270
+مافيش خوف، لكن الخوف أن يكون مثلا فيه جرح، فيه سن
+
+311
+00:22:13,270 --> 00:22:16,990
+مخلوع، فيه مكان في وصول المادة السامة هذه للدم،
+
+312
+00:22:16,990 --> 00:22:21,180
+هذا الخوف منهوبالتالي هنا يعني يؤدي طبعًا إلى ضعف
+
+313
+00:22:21,180 --> 00:22:23,560
+العضلات لأنه طبعًا بأثر أيضًا على الجهاز العصبي
+
+314
+00:22:23,560 --> 00:22:27,140
+وممكن يعمل channel في الجهاز العصبي وبيعمل أيضًا
+
+315
+00:22:27,140 --> 00:22:30,220
+ميوعات على الدم لأنه بيعمل تكسير في خلايا الدم
+
+316
+00:22:30,220 --> 00:22:34,660
+الحمراء وبالتالي بقل نسبة الـ Oxygen المحمول وخاصة
+
+317
+00:22:34,660 --> 00:22:43,240
+للجهاز العصبي قد تؤدي للرفع طبعًا
+
+318
+00:22:43,240 --> 00:22:47,130
+يعني الإعراض هذه يا أخواتناأحنا ممكن نلاحظها عند
+
+319
+00:22:47,130 --> 00:22:49,510
+بعض الأنواع، لكن مش كل الأنواع، مثلا بعض الأنواع
+
+320
+00:22:49,510 --> 00:22:52,470
+إلا إذا لدغت، بعض الأنواع مثلا تقذف السم مثلا زي
+
+321
+00:22:52,470 --> 00:22:57,250
+الكوبرا، طبعا هذا الخوف دخول الشخص هذا في صدمة
+
+322
+00:22:57,250 --> 00:23:02,590
+تسممية، نتيجة دخول المادة السامة للجسم، طبعا
+
+323
+00:23:02,590 --> 00:23:07,890
+الصدمة بصفة عامة الأعراضطبعا الشحوب وعدم التوازن
+
+324
+00:23:07,890 --> 00:23:13,970
+واستفراج طبعا وزيارة في عدد جات القلب وزيارة في
+
+325
+00:23:13,970 --> 00:23:17,190
+معدل التنفس هذه أراضيع عامة بالنسبة للصدمة لكن
+
+326
+00:23:17,190 --> 00:23:22,230
+الصدمة الناتجة من سم الحياة هي الصدمة التسمومية زي
+
+327
+00:23:22,230 --> 00:23:26,110
+دخول مادة سامة للجسم برضه نقول صدمة تسمومية مثلا
+
+328
+00:23:26,110 --> 00:23:31,270
+بعض الالتهابات داخل جسم الإنسان مثلا ال mycteria
+
+329
+00:23:31,270 --> 00:23:34,800
+أو الفيروسات تنتج بعض السموموبنقول هو الله عنده
+
+330
+00:23:34,800 --> 00:23:38,640
+تسمم في الدم فطبعا يؤدي إلى أيضا إيش؟ اللي هي
+
+331
+00:23:38,640 --> 00:23:43,860
+العراض الخاصة بالصدمة القريبة من العراض الناتجة من
+
+332
+00:23:43,860 --> 00:23:47,780
+سم الحياة
+
+333
+00:23:47,780 --> 00:23:50,380
+طبعا بعد الصورة واضحة يا أخواتنا نشوف بعد الصورة
+
+334
+00:23:50,380 --> 00:23:53,660
+هذه طبعا هنا في عندنا فرق ما بين الحياة السامة
+
+335
+00:23:53,660 --> 00:23:59,000
+والحياة غير سامةالحية السامة لها نابين و راحظوا أن
+
+336
+00:23:59,000 --> 00:24:03,960
+رأسي خماتنا هنا ماخد زي شكل مثلث من أعلى، تمام؟
+
+337
+00:24:03,960 --> 00:24:09,200
+لكن هذا إيش محدب، هذا محدب، هنا طبعا في صف أسنان
+
+338
+00:24:09,200 --> 00:24:15,980
+بدون أنياب، هنا في أسنان مع نابين، النابين طبعا
+
+339
+00:24:15,980 --> 00:24:20,400
+لداخل عشان إيش لو غرزت في جسم الإنسان طبعا صعب إن
+
+340
+00:24:20,400 --> 00:24:25,020
+الإنسان يجيبهم، وبالتالي هنا الحية بتلدغ و بتضخ
+
+341
+00:24:25,020 --> 00:24:29,040
+السم و بتهرببعدين طبعا تصير مشاكل ممكن طبعا
+
+342
+00:24:29,040 --> 00:24:32,780
+الإنسان يموت منها إذا ما تم إسعافه لكن يعني بدنا
+
+343
+00:24:32,780 --> 00:24:36,660
+نقول اللي لاحظين هنا إن هذه السامة الحية السامة
+
+344
+00:24:36,660 --> 00:24:39,900
+طبعا من منطقة السم بس لمنطقة الرأس الجسم مافي سم
+
+345
+00:24:39,900 --> 00:24:44,520
+وهي طبعا حية إيش غير سامة اللي بلعوا فيها لكن هي
+
+346
+00:24:44,520 --> 00:24:47,520
+لربما بعض الناس من المنظر نفسه هو بطبعا ممكن إيش
+
+347
+00:24:47,520 --> 00:24:53,880
+في خوف عنده طبعا
+
+348
+00:24:53,880 --> 00:24:59,210
+هنا لاحظين هنا هذه حية غير سامةأسنان مافيش أنياب
+
+349
+00:24:59,210 --> 00:25:06,410
+صحيا متنزيف لكن غير سامة لأ لكن ممكن يكون خطورة من
+
+350
+00:25:06,410 --> 00:25:11,250
+التلوث للجروح نفسه إذا أهملوا وبالتالي هنا هريحية
+
+351
+00:25:11,250 --> 00:25:17,380
+غير سامةطب هنجي يعني الشيء البسيط جدا بدي أن أجزهم
+
+352
+00:25:17,380 --> 00:25:22,140
+بالنسبة لإسعاف الأولى لالثعبان الهدف من الإسعاف
+
+353
+00:25:22,140 --> 00:25:27,180
+الأولى للالة الثعبان هو تقليل من فرصة وصول السم
+
+354
+00:25:27,180 --> 00:25:32,300
+للجسم أو نقله للقلب ومن ثم ضخه لكل أجزاء الجسم
+
+355
+00:25:32,300 --> 00:25:39,040
+وبالتالي همشي طمأنة الشخصوطبعا شيء مهم جدا وضروري
+
+356
+00:25:39,040 --> 00:25:43,900
+جدا الطمأنة تاني حاجة ان انا زي ما قلت قبل كده في
+
+357
+00:25:43,900 --> 00:25:47,040
+حالات انا برفع المكان اللي المصاب لأعلى مستوى
+
+358
+00:25:47,040 --> 00:25:51,700
+القلب وفي أدنى مستوى القلب في حال نزيف وحال الحروق
+
+359
+00:25:51,700 --> 00:25:55,850
+أعلى من مستوى القلبحتى أقل من التورم في الحروق
+
+360
+00:25:55,850 --> 00:26:00,750
+والنزيف أقل .. أو كمية وصول الدم في النزيف لكن
+
+361
+00:26:00,750 --> 00:26:06,770
+بالنسبة للادغة أنا بكون أدنى من مستوى القلب حتى
+
+362
+00:26:06,770 --> 00:26:10,870
+أبطئ من وصول الدورة الدموية للقلب تمام؟ وبالتالي
+
+363
+00:26:10,870 --> 00:26:13,910
+هنا هي الحالة الوحيدة اللي بستخدم فيها أن الجسم
+
+364
+00:26:13,910 --> 00:26:18,690
+الملدوغ بيكون أدنى من مستوى إيش القلب تاني حاجة
+
+365
+00:26:19,850 --> 00:26:26,450
+بنعمل ربطة أو طبعا لفاف أعلى من مكان الإصابةأنا
+
+366
+00:26:26,450 --> 00:26:29,270
+بدي أحاول مثلا المكان الإصابة أعلى تقريبًا عشرة
+
+367
+00:26:29,270 --> 00:26:32,730
+سنتي خمس عشر سنتي لإحتمال المنطج هذه الجدد طبعًا
+
+368
+00:26:32,730 --> 00:26:35,550
+مباشرة بعد اللضغط لإن بعد نص ساعة يكون خلاص يعني
+
+369
+00:26:35,550 --> 00:26:38,830
+الأمور طبعًا انتشرت السم في الجسم كله وبالتالي
+
+370
+00:26:38,830 --> 00:26:42,950
+بيقول هنا بعد الإصابة بتقريبًا عشرة خمس عشر سنتي
+
+371
+00:26:42,950 --> 00:26:48,350
+بعمل عقدة أو ربطة عشان أعمل اتحجز للدم عشان أحجز
+
+372
+00:26:48,350 --> 00:26:52,510
+المادة أو السم في المنطج هذه فقطتاني حاجة بدي
+
+373
+00:26:52,510 --> 00:26:55,830
+استخدم .. بدي استخدم كم .. إذا كان عند مياه باردة
+
+374
+00:26:55,830 --> 00:26:59,790
+بستخدمها عشان أعمل تضييق في الأواعد نموية ممكن
+
+375
+00:26:59,790 --> 00:27:03,590
+أعمل فتحة ما بين النابين زمان كنا بيقول عملية
+
+376
+00:27:03,590 --> 00:27:07,260
+انتصاص، اللي احنا بيقول اليوم عملية تعصيرعلى اساس
+
+377
+00:27:07,260 --> 00:27:10,260
+إذا كان المادة اللي سام موجود في المنطقة هذه عملية
+
+378
+00:27:10,260 --> 00:27:14,360
+إخراج السم من المنطقة هذه بعملية التعصير بعد ما
+
+379
+00:27:14,360 --> 00:27:17,580
+أعمل عملية هذه بعمل عملية غسيل بميه و صابون أو
+
+380
+00:27:17,580 --> 00:27:21,720
+مطهر لتقليل فرصة دخوله الميكروبات بعد الفتحة اللي
+
+381
+00:27:21,720 --> 00:27:26,300
+أنا فتحتها طبعا بالمجمل بدي أن أكون مراقب للشخص
+
+382
+00:27:26,300 --> 00:27:30,700
+هذا من ناحية التنفس لأنه قد يصل إلى صدمة سمومية
+
+383
+00:27:30,700 --> 00:27:33,850
+إذا كان له فترة لكن احنا بيقول بالمحاولةيعني
+
+384
+00:27:33,850 --> 00:27:38,150
+كإسعاف أولي، لكن الأفضل، الأفضل عساس إن أنا أضمن
+
+385
+00:27:38,150 --> 00:27:42,230
+مساعدة الشخص هذا عدم نقله للمستشفى مباشرة إلا بعد
+
+386
+00:27:42,230 --> 00:27:46,950
+ربطه، طبعا هذه مش هتاخد وجهة طويل، لكن إذا أنا
+
+387
+00:27:46,950 --> 00:27:50,530
+تركت كما هي، معناه أعطت أنا سام فرصة لنتاج الإياش
+
+388
+00:27:50,530 --> 00:27:54,350
+للجسم كله، وبالتالي هنا من ملاحظاتنا اللي بدنا
+
+389
+00:27:54,350 --> 00:27:58,610
+نلاحظها، نفس ودجاة القلب، لأن الشخص هذا إذا دخل في
+
+390
+00:27:58,610 --> 00:28:02,550
+صدمة، معناه مش هيكون مساعد،معناه هيغلب، لكن إذا
+
+391
+00:28:02,550 --> 00:28:05,450
+احنا من البداية طمأن الحالة النفسية له دور كبير،
+
+392
+00:28:05,450 --> 00:28:07,730
+ملاحظة التنفس له دور كبير، ملاحظة عدد درجات القلب
+
+393
+00:28:07,730 --> 00:28:11,010
+أيضا له دور كبير، لكن بالمجمل بعد الإجارة التالية،
+
+394
+00:28:11,010 --> 00:28:14,290
+بده عملية نقل للمستشفى، اللي في حاجة بيسموها ال
+
+395
+00:28:14,290 --> 00:28:19,310
+antidote أو طبعا ال muscle ضد الحية أو ضد سم الحية
+
+396
+00:28:19,310 --> 00:28:22,170
+أو ضد العجربفي كل الحالتين طبعا هو موجود في
+
+397
+00:28:22,170 --> 00:28:25,850
+المستشفى بقلل من تأثير المادة السامة أو السمحة
+
+398
+00:28:25,850 --> 00:28:29,470
+ذاته طبعا أنه مادة بروتينية طبعا في أمصال جاهزة في
+
+399
+00:28:29,470 --> 00:28:33,510
+المستشفى سواء للعقرب أو للحية وبالتالي يتم نقله
+
+400
+00:28:33,510 --> 00:28:35,950
+للمستشفى لإعطاه هذا إيش المصل
+
+401
+00:28:39,490 --> 00:28:42,930
+طبعا قلنا بنركز على الميه الباردة او الثلج طبعا
+
+402
+00:28:42,930 --> 00:28:47,110
+ميه باردة افضل ليش هنستخدم تلج لكن تلج مع شاشة اه
+
+403
+00:28:47,110 --> 00:28:51,450
+ممكن بس استخدمها لتضييق الاوعي الدموية وتقليل فرصة
+
+404
+00:28:51,450 --> 00:28:55,750
+لوصول الدم او انتشار للجسم كله طبعا كلها طبعا اللي
+
+405
+00:28:55,750 --> 00:28:57,850
+هي ادوار مترابطة مع بعض
+
+406
+00:29:02,370 --> 00:29:05,110
+طبعا كوقاية من التسمم، لو احنا بنتكلم كوقاية من
+
+407
+00:29:05,110 --> 00:29:07,410
+التسمم، اول حاجة .. طب احنا بيقولنا أحد الأسباب
+
+408
+00:29:07,410 --> 00:29:11,050
+التسمم اللي هي الجهل و الإهمال، طبعا الجهل بيوضع
+
+409
+00:29:11,050 --> 00:29:14,910
+طبعا الأدوية تحت إيدين الأطفال و ده كتير بيصيرإن
+
+410
+00:29:14,910 --> 00:29:17,970
+الطفل مثلا في عنده شريط أدوية أمه جابه شريط أدوية
+
+411
+00:29:17,970 --> 00:29:21,730
+فاحنا قولنا قرص و قرصين مش هيقدم مش هيموت لكن اللي
+
+412
+00:29:21,730 --> 00:29:24,830
+بياخد كمية كبيرة طبعا هيبقى جاهل لكن و لو ربما
+
+413
+00:29:24,830 --> 00:29:28,810
+يكون مثلا طريق قصد طبعا هو عن طريق الانتحار لإن
+
+414
+00:29:28,810 --> 00:29:31,330
+جوا نحن بالنسبة كوقاية ابعادها عن طريق أيدي
+
+415
+00:29:31,330 --> 00:29:34,750
+الأطفال وضحها طبعا في أماكن بعيدة عن دين الأطفال
+
+416
+00:29:34,750 --> 00:29:39,390
+وضع المواد المنظفة طبعا في أماكنها الخاصة عدم
+
+417
+00:29:39,390 --> 00:29:42,860
+استخدام المواد اللي كانت تستخدم في مواد كيمويةمثلا
+
+418
+00:29:42,860 --> 00:29:46,120
+الشرب مرة تانية لإن طبعا يكون إلي أثار مثلا وخاصة
+
+419
+00:29:46,120 --> 00:29:48,600
+البلاستيكية طبعا دايما أخطر شيء هي المواد
+
+420
+00:29:48,600 --> 00:29:52,980
+البلاستيكية طبعا ويقايا بنسبة الأطفال على أساس إن
+
+421
+00:29:52,980 --> 00:29:55,820
+مايكون تحت إيديهم أي شيء طبعا ولاحظ إن الأدوية
+
+422
+00:29:55,820 --> 00:29:59,560
+اللي فيها خطورة ومثلا مبيدات الأشجار وشيء فيها
+
+423
+00:29:59,560 --> 00:30:03,420
+علامة الجمجمة طبعا هو ده خطير وطبعا فيه خطورة أو
+
+424
+00:30:03,420 --> 00:30:06,780
+مثلا خطر التسمم وبالتالي إحنا من الوقاية طبعا
+
+425
+00:30:06,780 --> 00:30:10,100
+وقاية خير وممكن تطار علاج وبالتالي إذا حرصنا يكون
+
+426
+00:30:10,100 --> 00:30:13,460
+الأشياء هذه في مكانها الصحيةفي مكان بعيد عندنا
+
+427
+00:30:13,460 --> 00:30:18,040
+أطفال، في مكان إن أنا ماعملش خلط ما بين الموظفات،
+
+428
+00:30:18,040 --> 00:30:21,920
+داخل الحمام، هذا يمكن أقلل، وبالتالي طبعاً يمكن
+
+429
+00:30:21,920 --> 00:30:26,180
+الناس الأكثر مسئولية الأم في الحالة هذه، داخل
+
+430
+00:30:26,180 --> 00:30:30,730
+البيوتداخليهم طبعا هي الأم وضع الأشياء في أماكنها،
+
+431
+00:30:30,730 --> 00:30:35,030
+عدم خلق المواد المنظفة مع بعضها، ابعاد طبعا المواء
+
+432
+00:30:35,030 --> 00:30:38,970
+العلاجات كلها بعيدا عن متناول أيدي الأطفال، هكذا
+
+433
+00:30:38,970 --> 00:30:42,570
+نكون احنا طبعا وصلنا للوقاة اللي احنا من خلالها،
+
+434
+00:30:42,570 --> 00:30:47,530
+ان نتجنب الطرق الحادةطبعا في حاجة ممكن مرة واحدة
+
+435
+00:30:47,530 --> 00:30:50,190
+احنا اتعرضنا اليها اللي هي الفسفور الأبيض في الحرب
+
+436
+00:30:50,190 --> 00:30:54,290
+2008 وان شاء الله ما تعدش بالمرة طبعا يعني كبداية
+
+437
+00:30:54,290 --> 00:30:59,510
+ماكنش عندنا الفرصة او مثلا الأفكار المناسبة او
+
+438
+00:30:59,510 --> 00:31:03,490
+المعلومات الكافية عن الفسفور طبعا الفسفور الأبيض
+
+439
+00:31:03,490 --> 00:31:06,710
+هو يتفاعل مع الأكسجين و بزيد اشتعال بالأكسجين و
+
+440
+00:31:06,710 --> 00:31:09,910
+الميه طبعا كان استخدام الميه طبعا زي حروق عادية او
+
+441
+00:31:09,910 --> 00:31:13,030
+المواد المسببة بالحروق العادية و تم اطفاء لكن هذا
+
+442
+00:31:13,030 --> 00:31:16,490
+لأ بالماء بزيدطبعا الماء هو موجود في إيش؟ الأكسجين
+
+443
+00:31:16,490 --> 00:31:21,310
+و بالتالي طبعا ماكنتش الفكرة واضحة طبعا الأخطر شئ
+
+444
+00:31:21,310 --> 00:31:26,030
+بالنسبة للفسولة الأبيض أنه طبعا بيأثر على الجهاز
+
+445
+00:31:26,030 --> 00:31:29,510
+التنفسي و بيأثر على الجلد و خطير جدا بيعمل إذابة
+
+446
+00:31:29,510 --> 00:31:33,430
+لطبقات الجلد و جديش احنا كنا نشوف صور مشوهة من
+
+447
+00:31:33,430 --> 00:31:37,930
+الإصابة بطبعا غاز الفسولة الأبيض مع أنه ممنوع
+
+448
+00:31:37,930 --> 00:31:38,570
+دوليا طبعا
+
+449
+00:31:42,010 --> 00:31:45,250
+طبعا هان زي ما احنا قلنا يعني استخدام صابت مثلا
+
+450
+00:31:45,250 --> 00:31:47,950
+على سبيل المثال حسب المكان مثلا مجرد استنشاط
+
+451
+00:31:47,950 --> 00:31:51,810
+استخدام كمانات ماء مبلة مرتبة عشان اقلل لأنه بصير
+
+452
+00:31:51,810 --> 00:31:55,890
+التفاعل خارجي مش هكون طبعا ايش داخلي مع ضرورة طبعا
+
+453
+00:31:55,890 --> 00:31:59,510
+إعطاء كمية من ال oxygen إذا كان هناك متوفر استوان
+
+454
+00:31:59,510 --> 00:32:02,270
+ال oxygen أو certain أسعار إعطاء كمية من ال oxygen
+
+455
+00:32:02,270 --> 00:32:06,130
+اللي طبعا هيكون عملية طبعا الاختناق واردة في
+
+456
+00:32:06,130 --> 00:32:09,190
+الحالة هذه فالأفضل إعطاء ال oxygen مية في المية
+
+457
+00:32:09,190 --> 00:32:15,040
+لتعويض النخصالموجود داخل الجهاز الدوري طبعا إصابات
+
+458
+00:32:15,040 --> 00:32:17,960
+العيون لو كان مثلا في مواد لاسقة أو عدسات لاسقة
+
+459
+00:32:17,960 --> 00:32:22,280
+طبعا الأفضل هي عملية غسيل محلول ملحي غسيل محلول
+
+460
+00:32:22,280 --> 00:32:27,340
+ملحي عساس طبعا أقل من الأثر أو طبعا استخدام كمدات
+
+461
+00:32:27,340 --> 00:32:31,820
+مبللة بالماء على العين وإخراجه من نفس المكان نقول
+
+462
+00:32:31,820 --> 00:32:34,140
+هنا سلامة المصاب من سلامة المكان
+
+463
+00:32:37,750 --> 00:32:41,050
+طبعا بالنسبة للجلد طبعا هي أخر حاجة بالنسبة للجلد
+
+464
+00:32:41,050 --> 00:32:45,950
+احنا قلنا عملية يعني ما بستخدم غسيل بالميه طبعا
+
+465
+00:32:45,950 --> 00:32:49,730
+لكن انا لو في طبعا أحيانا ممكن يكون بعض الأجزاء
+
+466
+00:32:49,730 --> 00:32:52,910
+الموجودة على الجلد طبعا إزالتها إذا كان أم كان
+
+467
+00:32:52,910 --> 00:32:55,570
+أفضل من وجودها لأن طبعا من وجودها بنعمل اختراق
+
+468
+00:32:55,570 --> 00:32:59,110
+أكتر .. أكتر داخل الجلد و إذا .. و إذا بقى لطبقات
+
+469
+00:32:59,110 --> 00:33:02,350
+الجلد وبالتالي طبعا بيكون خطورة أكتراستخدام بعض
+
+470
+00:33:02,350 --> 00:33:06,410
+المطهرات مثلا على المكان نفسه ممكن استخدم بعض
+
+471
+00:33:06,410 --> 00:33:12,830
+الكريمات الملطفة او مثلا لو انا استخدمت بعض مثلا
+
+472
+00:33:12,830 --> 00:33:16,050
+الفازلين او مثلا المواد المستخدمة في الحروق مع
+
+473
+00:33:16,050 --> 00:33:19,950
+طغطة المكان طبعا هذا كأي سعاف أولي لكن الأساس يتم
+
+474
+00:33:19,950 --> 00:33:23,290
+نقله للمستشفى لأن بعد هيك ممكن احتاج نقل مثلا
+
+475
+00:33:23,290 --> 00:33:27,030
+محلول احتاج مثلاأدوية عن طريق الوريد أو يحتاج بعض
+
+476
+00:33:27,030 --> 00:33:30,050
+المسكنات وكتابة بيقول ان احنا يعني حافظنا على
+
+477
+00:33:30,050 --> 00:33:33,030
+الشخص هذا وعملنا السحافي الأولى وتم نقله ايش
+
+478
+00:33:33,030 --> 00:33:37,790
+للمستشفى بسلامه عمال بيكتبها بيقول نقطة هذه انه
+
+479
+00:33:37,790 --> 00:33:41,150
+يعني ختمها ميسك ان شاء الله واحنا ختمنا بالنسبة
+
+480
+00:33:41,150 --> 00:33:45,770
+للجزء التانى بالنسبة للفسفو إلى تسمم اتكلمنا في
+
+481
+00:33:45,770 --> 00:33:50,660
+جزء اول و كمان جزء ا التانىطبعا اتمنى السلام الله
+
+482
+00:33:50,660 --> 00:33:54,480
+للجميع و اكتبنكم انهينا الفصل العاشر بالنسبة
+
+483
+00:33:54,480 --> 00:33:57,940
+للاسعافات الأولية شكرا و بارك الله فيكم
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/k85UFSYtgvE.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/k85UFSYtgvE.srt
new file mode 100644
index 0000000000000000000000000000000000000000..f7a9e2b034cc5ecf5c5be6336dca00098d75558c
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/k85UFSYtgvE.srt
@@ -0,0 +1,1171 @@
+1
+00:00:05,160 --> 00:00:06,840
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:06,840 --> 00:00:09,420
+الرحيم والصلاة والسلام وعلى أشرف المرسلين سيدنا
+
+3
+00:00:09,420 --> 00:00:13,060
+محمد وليه وصحابه وسلم  استكمالًا لسلسلة اللقاءات
+
+4
+00:00:13,060 --> 00:00:16,060
+الخاصة بالجهاز الهيكل الحركي أو إصابات الجهاز
+
+5
+00:00:16,060 --> 00:00:19,480
+الهيكل الحركي في حال الإسعافات الأولية طب اتكلمنا 
+
+6
+00:00:19,480 --> 00:00:22,900
+على الكسور بأنواعها وكيف إسعافها هنتكلم اليوم على
+
+7
+00:00:22,900 --> 00:00:26,460
+إصابات المفاصل لأن قلنا طبعًا الجهاز الهيكل الحركي 
+
+8
+00:00:26,460 --> 00:00:31,080
+يتكون من ثلاثة أجزاء أساسية اللي هو الهيكل العظمي
+
+9
+00:00:31,080 --> 00:00:35,150
+والمفاصل والعضلات طب أنا بتكلم على المفاصل يعني
+
+10
+00:00:35,150 --> 00:00:40,170
+بالمختصر أن في هناك مشكلة في وضع أو في مكان التقاء
+
+11
+00:00:40,170 --> 00:00:44,510
+نهايتي عظمتين على بعض وهو المفصل طب المفاصل اتكلمنا
+
+12
+00:00:44,510 --> 00:00:47,790
+أن طبعًا فينا مفاصل ثابتة ومفاصل متحركة ومحدودة
+
+13
+00:00:47,790 --> 00:00:51,480
+الحركة وفينا مفاصل واسعة الحركة لكن اليوم هنتكلم
+
+14
+00:00:51,480 --> 00:00:55,980
+على إصابات اللي بتتطلب خدمة إسعاف أولي ولا هنتكلم
+
+15
+00:00:55,980 --> 00:01:00,020
+على الحالات المرضية طبعًا المفصلة المحدثة تصيب
+
+16
+00:01:00,020 --> 00:01:03,860
+بعض المشاكل المرضية اللي بتحتاج لعلاجات هنتكلم،
+
+17
+00:01:03,860 --> 00:01:09,280
+هنتكلم على كيفية التعامل مع إصابة المفصل في حال
+
+18
+00:01:09,280 --> 00:01:12,760
+وقوع أي حادث وكيف أنا بتصرف معاه كإسعاف أولي
+
+19
+00:01:12,760 --> 00:01:17,020
+طبعًا الإصابة الأولى اللي هي الـ  وثي أو اللي أو
+
+20
+00:01:17,020 --> 00:01:20,980
+الجزع يقولوا والله إيده ملوية أو رجله ملوية أو
+
+21
+00:01:20,980 --> 00:01:24,480
+مقصوعة، إيش المقصود فيها؟ وطبعًا غالبًا يكون مصيبة
+
+22
+00:01:24,480 --> 00:01:28,460
+عند الأطفال لما إحنا بنحملهم بطريقة خاطئة، طبعًا؟
+
+23
+00:01:28,460 --> 00:01:33,160
+أو مثلًا إنسان وقع على المفصل وصار في له أو وثي أو
+
+24
+00:01:33,160 --> 00:01:37,500
+جزع، إما وثي أو جزع أو له أو قصع، هذه طبعًا كلها
+
+25
+00:01:37,500 --> 00:01:42,510
+بتعني نفس المعلومة أو العبارة خروج الأوجه
+
+26
+00:01:42,510 --> 00:01:47,170
+المتقابلة من نهايتي العظمتين، طبعًا نهايتي العظمتين
+
+27
+00:01:47,170 --> 00:01:52,150
+بتكونان للمفصل، خروج إحدى العظمتين وعودتها، مع أنه
+
+28
+00:01:52,150 --> 00:01:55,110
+صار شد زائد عليها على المفصل نفسه وحد ذاته، لكن
+
+29
+00:01:55,110 --> 00:01:58,770
+العظمة رجعت لمكانها، طبعًا شيء طبيعي لما يصير أن شد
+
+30
+00:01:58,770 --> 00:02:01,760
+زائد على المفصل، المفصل طبعًا بحيث فيه أربطة و
+
+31
+00:02:01,760 --> 00:02:04,000
+أحيانًا طبعًا في عندنا رباط الصليب مثلًا مثلًا
+
+32
+00:02:04,000 --> 00:02:08,640
+في مفصل الركبة وعندنا أربطة خارجية فزيادة الشد عليها
+
+33
+00:02:08,640 --> 00:02:12,620
+الأربطة هذه وعودة المفصل أو عودة العظمة إلى ما هي
+
+34
+00:02:12,620 --> 00:02:17,420
+لتكون المفصل كما كان في السابق هذا يسمى هو الـ  وثي أو
+
+35
+00:02:17,420 --> 00:02:21,040
+الوثي أو الجزع طب هل يصاحب ألم؟ فعلًا يصاحب ألم
+
+36
+00:02:21,040 --> 00:02:27,380
+وبالتالي هنا لما نقول الألم والورم وطبعًا أحيانًا
+
+37
+00:02:27,380 --> 00:02:30,840
+... أحيانًا لما نتكلم إحنا على الألم ... الألم حسب
+
+38
+00:02:30,840 --> 00:02:35,180
+القوة التي وقعت على المفصل بحد ذاته طبعًا هل هذا
+
+39
+00:02:35,180 --> 00:02:37,540
+يحتاج لجراحة؟ طبعًا لا يحتاج إيش العلاج اللي
+
+40
+00:02:37,540 --> 00:02:41,500
+بيتعامل معاه؟ طبعًا هو الراحة لا يحتاج إلا لبعض
+
+41
+00:02:41,500 --> 00:02:45,320
+مسكنات والراحة بمعنى أنه إحنا نقول المفصل هذا
+
+42
+00:02:45,320 --> 00:02:48,960
+كعساس ... طبعًا نرجع لوضع طبيعي هو أساسًا نرجع لوضع
+
+43
+00:02:48,960 --> 00:02:52,560
+طبيعي لكن بقى إيش؟ اللي هو الألم ... الألم بيحتاج
+
+44
+00:02:52,560 --> 00:02:57,630
+لراحة ولا بعض المسكنات أحيانًا نحتاج إذا كان هناك
+
+45
+00:02:57,630 --> 00:03:02,770
+انتفاخ بسيط إذا كان انتفاخ بسيط طبعًا انتفاخ بده
+
+46
+00:03:02,770 --> 00:03:06,250
+فرق ما بينه وإذا كان عندي كسر إحنا بنتكلم على مفصل
+
+47
+00:03:06,250 --> 00:03:10,690
+المفصل طبعًا خروج وعودة المفصل كما هو أنا بس بحتاج
+
+48
+00:03:10,690 --> 00:03:15,570
+راحة وبعض المسكنات، تمام؟ لو كان فيه ألم، لو كان فيه
+
+49
+00:03:15,570 --> 00:03:19,370
+ورم، ممكن يستخدم كمادات ماء باردة، وده ممكن إحنا
+
+50
+00:03:19,370 --> 00:03:23,570
+نستخدم الثلج مباشرة لا نستخدم، نتكلم عليها كمادات
+
+51
+00:03:23,570 --> 00:03:28,270
+ماء باردة، بمعنى أنه لا يُعتبر طبعًا الـ وثي والجزع
+
+52
+00:03:28,270 --> 00:03:32,270
+فيه مضاعفات، يعني ما بيحصلش فيه تشوه، زي إحنا
+
+53
+00:03:32,270 --> 00:03:36,290
+هنتكلم على حالة ثانية، اللي هي خلع المفصل، بالنسبة
+
+54
+00:03:36,290 --> 00:03:41,960
+لخلع المفصل، اللي هي خروج العظمة من مكانها أو نهاية
+
+55
+00:03:41,960 --> 00:03:45,740
+العظمة من مكانها يعني نذكر كماشي ثانية أحيانًا ممكن
+
+56
+00:03:45,740 --> 00:03:49,140
+يكون أكثر من عظمتين بالكونولي مفصل ليس بالضروري
+
+57
+00:03:49,140 --> 00:03:51,980
+فقط عظمتين ممكن يكون أكثر من عظمتين مثلًا عظمتين
+
+58
+00:03:51,980 --> 00:03:56,920
+طبعًا المرفق عظمتين ولا أكثر؟ طبعًا أكثر، يعني في عند
+
+59
+00:03:56,920 --> 00:04:00,960
+الساعد عظمتين والعظم ... عظمة واحدة، يعني بقى ممكن
+
+60
+00:04:00,960 --> 00:04:04,780
+المفصل يكون من عظمتين أو أكثر من العظمتين، كمان
+
+61
+00:04:04,780 --> 00:04:07,260
+مثلًا عندنا المفصل الركبة، في عندنا عظمتين في الساق
+
+62
+00:04:07,260 --> 00:04:10,520
+وعظمة بالفخد، وبالتالي هنخرج إحدى العظمتين هذه من
+
+63
+00:04:10,520 --> 00:04:15,910
+مكانها وعدم عودتها، هذا يسمى الخلع والخلع هذا فيه
+
+64
+00:04:15,910 --> 00:04:19,650
+تشوه، يعني في حاجات ملحوظة، في حاجات ملحوظة، في
+
+65
+00:04:19,650 --> 00:04:22,610
+حاجات واضحة، أحيانًا يكون الخلع مثلًا مثال عيننا
+
+66
+00:04:22,610 --> 00:04:26,350
+واضح خلّع الولادة، أثناء الولادة، تمام؟ وهو طبعًا
+
+67
+00:04:26,350 --> 00:04:30,030
+دائمًا خلّع الولادة وغالبًا بيترك أثر حتى لما يكبر
+
+68
+00:04:30,030 --> 00:04:33,470
+الإنسان، حتى لو عمل علاج طبيعي، برضه بيظل إيش
+
+69
+00:04:33,470 --> 00:04:37,360
+الأثر موجود، أحيانًا يكون الخلع في مفصل الفك، يعني
+
+70
+00:04:37,360 --> 00:04:41,860
+مثلًا إنسان فتحت فمه مسافة كبيرة وبدء يضحك وحاجة
+
+71
+00:04:41,860 --> 00:04:46,020
+وما قدرش يرجع الفك كما هو وبالتالي أنا بحتاج لـ
+
+72
+00:04:46,020 --> 00:04:51,400
+إعادة وقلم شديد بمعنى إن الخلع خروج العظمة من
+
+73
+00:04:51,400 --> 00:04:56,500
+مكانها وعدم عودتها طبعًا العظمة وين؟ اللي هي موجودة
+
+74
+00:04:56,500 --> 00:05:00,600
+بالمفصل لكن لما أتكلم أنا انفصال العظمة الواحدة
+
+75
+00:05:00,600 --> 00:05:06,360
+لجزئين هذا كسر أما الخلع أو الجزع عظمة المفصل،
+
+76
+00:05:06,360 --> 00:05:10,300
+نهاية عظمة المفصل، أما عظمة واحدة انفصال لجزئين،
+
+77
+00:05:10,300 --> 00:05:13,640
+هذه يُعتبر كسر، تمام؟ وبالتالي هنا، يمكن أن نذكر
+
+78
+00:05:13,640 --> 00:05:17,440
+هنا، اللي عظيمة صورة إنها واضحة إن كيف خروج هاي
+
+79
+00:05:17,440 --> 00:05:21,560
+مفصل كتف، هذه طبعًا غالبًا ما يصير خلعة الولادة، غالبًا
+
+80
+00:05:21,560 --> 00:05:24,320
+خلعة الولادة بيترك أثر حتى لو نعمله إيش، علاج
+
+81
+00:05:24,320 --> 00:05:27,920
+طبيعي طبعًا هنا أهم الأعراض في عندنا ورم في عندنا
+
+82
+00:05:27,920 --> 00:05:31,460
+ألم في عندنا تشوه في عندنا فقدان العضو لو أضفناه
+
+83
+00:05:31,460 --> 00:05:36,080
+100% وبالتالي هنا لما بيتكلم على الخلع معناه أنا
+
+84
+00:05:36,080 --> 00:05:40,200
+في عندي مشكلة بالعظمة بحد ذاتها اللي موجودة
+
+85
+00:05:40,200 --> 00:05:46,910
+بالمفصل خرجت أحيانًا بتتم إعادتها بعملية جراحية أو
+
+86
+00:05:46,910 --> 00:05:51,050
+بتتم إعادتها ببعض المسكنات، بمعنى لو خليناها كما هي،
+
+87
+00:05:51,050 --> 00:05:54,870
+هيظل العضو فاقد وظيفته مع وجود الألم الشديد، طبعًا
+
+88
+00:05:54,870 --> 00:05:58,630
+في الحالة هذه، لا يسمح لنا بإعادتها، لأننا نخاف
+
+89
+00:05:58,630 --> 00:06:02,030
+يكون فيه كسور متاعي طبعًا إيش احتمال إنه يكون فيه
+
+90
+00:06:02,030 --> 00:06:05,750
+كسور فأنا إيش بساوي في الحالة هذه عملية تثبيت
+
+91
+00:06:05,750 --> 00:06:10,410
+للمفصل اللي فيه كسور أو خلع وأحيانًا ممكن أستخدم
+
+92
+00:06:10,410 --> 00:06:13,870
+كمادات برضه ورايا مرة ثانية كمادات الماء البارد حتى
+
+93
+00:06:13,870 --> 00:06:17,150
+لو كان فيه نزيف أو ورم أقل من فرصة النزيف ولو
+
+94
+00:06:17,150 --> 00:06:21,390
+موجود طبعًا بحتاج أيضًا لمسكن طبعًا عندنا بعض الصور
+
+95
+00:06:21,390 --> 00:06:26,070
+لاحظين هذه بعض الصور طبعًا واضحة طبعًا يعني الوقوع
+
+96
+00:06:26,070 --> 00:06:31,870
+صار عندنا هي هي تشوه هي كل هذه خلوع هي تخلع طبعًا
+
+97
+00:06:31,870 --> 00:06:35,750
+بالأشعة كيف ببين، هي كيف ببين هنا، هي خلع، لاحظوا
+
+98
+00:06:35,750 --> 00:06:41,190
+أنه هنا مش كسر، هنا انفصال وجهتي العظمتين أو نهيتي
+
+99
+00:06:41,190 --> 00:06:45,790
+العظمتين المتصلات مع بعض تكون مفصل من مكانهم، وعدم
+
+100
+00:06:45,790 --> 00:06:51,040
+عودتها، هي كمان خلع يبقى هنا الخلع بيختلف عن الـ  Lie
+
+101
+00:06:51,040 --> 00:06:56,160
+بأنه خروج نهاية العظمة مع عدم عودتها أما بالنسبة
+
+102
+00:06:56,160 --> 00:06:59,580
+للـ Lie أو الجزع خروجها وعودتها
+
+103
+00:07:03,020 --> 00:07:06,220
+آه طبعًا، طبعًا فيه تشوه، لكن بالنسبة لي للـ Lie
+
+104
+00:07:06,220 --> 00:07:10,120
+ما فيش تشوه، لكن فيه ألم، لكن الخلع فيه تشوه،
+
+105
+00:07:10,120 --> 00:07:13,560
+واحتمال آه فيه ألم شديد طبعًا، ألم شديد طبعًا،
+
+106
+00:07:13,560 --> 00:07:18,120
+طبعًا غالبًا بستخدمه ليه كمسكن موضعي أو طبعًا ممكن
+
+107
+00:07:18,120 --> 00:07:22,160
+لو إنسان بتحمل، ممكن طبعًا يعني طبعًا هتشغل للطبيب
+
+108
+00:07:22,160 --> 00:07:25,380
+العظام، إنه يعيدها لمكانها، بعدين ممكن يصير
+
+109
+00:07:25,380 --> 00:07:28,660
+عملية تصوير أشعة، حتى نتأكد إن مكان العظمة كما هي
+
+110
+00:07:28,660 --> 00:07:29,020
+أو لا،
+
+111
+00:07:33,560 --> 00:07:37,160
+نأتي لمشكلة ثانية للجزء الثالث بالنسبة للجهاز
+
+112
+00:07:37,160 --> 00:07:41,320
+الهيكلي الحركي الخاص بالعضلات طبعًا يا إخوتنا هنا
+
+113
+00:07:41,320 --> 00:07:44,860
+فيه بأن نقول ثلاثة مصطلحات في إنها وهذه طبعًا
+
+114
+00:07:44,860 --> 00:07:54,290
+معروفين شد وتقلص وتمزق شد وتقلص وتمزق طبعًا فيه
+
+115
+00:07:54,290 --> 00:07:57,410
+فروقات ما بينهم فيه طبعًا نفس المصطلح وفيه
+
+116
+00:07:57,410 --> 00:08:00,910
+باختلافه لما نقول التقلص لعضلة لما نقول والله مثلًا
+
+117
+00:08:00,910 --> 00:08:07,430
+هذا نزل يسبح وصار معه شد عضلي أو صار معه استف أو
+
+118
+00:08:07,430 --> 00:08:11,350
+واحد مثلًا راح يلعب تمارين لأول يوم ويقولك تاني يوم
+
+119
+00:08:11,350 --> 00:08:15,670
+ما قدرش ينزل يلعب مرة ثانية أو أنت مثلًا جئت تشتغلي
+
+120
+00:08:15,670 --> 00:08:19,030
+عندك مناسبة أو حاجة تعبتي أكثر لما جئت صار إيدك مثلًا
+
+121
+00:08:19,030 --> 00:08:24,590
+انكمشت شوية واتقلصت طبعًا شيء لما أقوله والله في حال
+
+122
+00:08:24,590 --> 00:08:29,490
+الشد العضلي يعني إحنا بيقول حاجة شدناها يعني صار
+
+123
+00:08:29,490 --> 00:08:33,880
+فيها تمزق الشد معناه صار في تمزق مثلًا إن جوا
+
+124
+00:08:33,880 --> 00:08:37,620
+الإنسان بيلاعب لأول يوم في النادي وصار مثلًا عنده
+
+125
+00:08:37,620 --> 00:08:42,280
+يعني قوة أخرى مثلًا بده يشد مثلًا الـ ... الـ ...
+
+126
+00:08:42,280 --> 00:08:45,200
+الذنبُرك أو الحديد أو ما شابه دالي معناه في قوة
+
+127
+00:08:45,200 --> 00:08:48,660
+مبذولة على عضلة طبعًا قوة العضلية الموجودة داخل جسم
+
+128
+00:08:48,660 --> 00:08:54,300
+الإنسان أو مثلًا لعبة شد الحبل طبعًا ماشي طبعًا زيادة
+
+129
+00:08:54,300 --> 00:08:58,880
+الحمل الزائد على العضلة لأن في ... في ... في ... وضع
+
+130
+00:08:58,880 --> 00:09:01,940
+أنها لا تتحمل هذا الشد طبعًا العضلة بحد ذاتها إحنا
+
+131
+00:09:01,940 --> 00:09:08,360
+قلنا ألياف بروتينية مختلفة الطول والشكل الشد معناه
+
+132
+00:09:08,360 --> 00:09:12,980
+صار حمل زائد على العضلة نفسها وأدى لتمزقها هذا
+
+133
+00:09:12,980 --> 00:09:19,400
+بالنسبة لي للشد أما التقلص إحنا قلنا في عندنا شد
+
+134
+00:09:19,400 --> 00:09:26,920
+وفي عندنا تقلص وإيش كمان؟ في عندنا شد عضلي وتقلص
+
+135
+00:09:26,920 --> 00:09:27,220
+عضلي
+
+136
+00:09:31,060 --> 00:09:38,420
+لأ، في عندنا تقلص عضلي، وفي عندنا تمزق، وفي عندنا
+
+137
+00:09:38,420 --> 00:09:47,040
+إيش؟ الشد، الشد هو تمزق، التقلص، التقلص لأ، التقلص
+
+138
+00:09:47,040 --> 00:09:52,900
+إنكماش العضلة بدون تمزق، التقلص إنكماش العضلة بدون
+
+139
+00:09:52,900 --> 00:09:57,450
+تمزق، لكن أحيانًا بعض الحالات بيصير معها تقلص في
+
+140
+00:09:57,450 --> 00:10:01,690
+العضلة مثلًا من ناحية مرضية زي مثلًا نخص عنصر الـ 
+
+141
+00:10:01,690 --> 00:10:05,310
+calcium طبعا ده مشكلة عند بعض الناس اللي عندهم
+
+142
+00:10:05,310 --> 00:10:08,820
+مشكلة مثلا في قدرة الغدة الدرقيةوطبعا صار مثلا إزالة 
+
+143
+00:10:08,820 --> 00:10:11,640
+للباراثيرويد طبعا اللي تتحكم في كمية الكالسيوم في
+
+144
+00:10:11,640 --> 00:10:14,240
+جسم الإنسان وطبعا تسميها .. بتصير .. مصطلح له
+
+145
+00:10:14,240 --> 00:10:19,260
+تيتاني بتصير العضلة الـ .. أيش .. تنكمش يعني بقصر حجم
+
+146
+00:10:19,260 --> 00:10:23,560
+العضلة تقلص العضلة هو قصر في حجم العضلة طبعا ممكن
+
+147
+00:10:23,560 --> 00:10:27,120
+يكون نتيجة مجهود ولاحنا بنتكلم فيه أو نتيجة نقص
+
+148
+00:10:27,120 --> 00:10:31,180
+عنصر الكالسيوم هذه حاجة مرضية لإن احنا بنتكلم عنه
+
+149
+00:10:31,180 --> 00:10:37,650
+اللي هو إيش تمزق والتقلص والشد، يبقى التقلص مش هو
+
+150
+00:10:37,650 --> 00:10:42,250
+الشد، بمعنى لو إنسان نزل يسبح، مانقولش صار معاه شد
+
+151
+00:10:42,250 --> 00:10:50,190
+عضلي، صار تقلص عضلي، تقلص عضلي، التمزق هو الشد،
+
+152
+00:10:50,190 --> 00:10:54,010
+نتيجة التعب الشديد، وبالتالي لما تلاحظوا انتوا لما
+
+153
+00:10:54,010 --> 00:10:57,410
+إنسان بدي يسبح أو بدي ألعب مباراة، بيقولك عملية
+
+154
+00:10:57,410 --> 00:11:03,080
+إحماء،عشان يهيئ العضلة لتحمل المجهود اللي هيقع
+
+155
+00:11:03,080 --> 00:11:06,920
+عليها و بعد طبعا نقول احنا من الناس اللي بيخلطوا إن لو
+
+156
+00:11:06,920 --> 00:11:10,300
+أي إنسان يقولك والله صار عنه شد عضلي الشد العضلي
+
+157
+00:11:10,300 --> 00:11:13,500
+نتيجة المجهود لكن لما أنا بدي أخد المفهوم العلمي
+
+158
+00:11:13,500 --> 00:11:17,850
+للشد العضلي هو تمزق في أوتار العضلة نفسها أو ألياف
+
+159
+00:11:17,850 --> 00:11:21,870
+العضلة لكن التقلص هو قصر في حجمها يعني لما تقول
+
+160
+00:11:21,870 --> 00:11:26,010
+أنا والله نزل أسبح صار معاه تقلص عضلي مش شد عضلي
+
+161
+00:11:26,010 --> 00:11:31,030
+إنت قاعدة تشتغل تعبت شوية صار تقلص عضلي وأحياناً
+
+162
+00:11:31,030 --> 00:11:35,670
+بتلاقي العضلة الإيد صارت إيش ترجف والدليل على ذلك
+
+163
+00:11:35,670 --> 00:11:39,110
+يعني كان مثال بسيط اللي بيصير إن التشنجات الناتجة
+
+164
+00:11:39,110 --> 00:11:43,890
+عن ارتفاع الحرارة أو من الصرع لأنه صار عنده إيش؟
+
+165
+00:11:43,890 --> 00:11:47,650
+انقباض في العضلة نفسها، أه صار انقباض في العضلة
+
+166
+00:11:47,650 --> 00:11:52,230
+نفسها، إيه؟ بعملية الانقباض هي عملية تقلص، طيب، لو
+
+167
+00:11:52,230 --> 00:11:55,070
+أنا بدأ أقول، لو سألنا سؤال أو طرحنا سؤال بسيط
+
+168
+00:11:55,070 --> 00:12:00,090
+جدا، في حال الشد العضلي أو بين جثينه هو التمزق، و
+
+169
+00:12:00,090 --> 00:12:05,630
+بالمقابل التقلص، أي حالة أنا ممكن أعمل فيها تدليك؟
+
+170
+00:12:05,630 --> 00:12:10,090
+تقلص، ليش؟ انقبض في العضلة، طيب ليش معمل بالتمزق؟
+
+171
+00:12:11,720 --> 00:12:15,560
+لأن بالظبط أنا بدي أعمل عملية فرد للعضلة في حال
+
+172
+00:12:15,560 --> 00:12:20,220
+التقلص، بدي أعمل فرد للعضلة في حال التقلص، لكن في
+
+173
+00:12:20,220 --> 00:12:24,640
+حال التمزق لا يسمح باستخدام التدليك، لأن التدليك
+
+174
+00:12:24,640 --> 00:12:27,620
+اللي أنا بستخدمه، معناه هيزيد المشكلة أكثر، لكن في
+
+175
+00:12:27,620 --> 00:12:31,700
+حال التقلص بعمل تدليك خفيف، التدليك الخفيف هيعمل
+
+176
+00:12:31,700 --> 00:12:35,160
+عملية إحماء للعضلة، زي ما احنا قلنا إن الإنسان بدي
+
+177
+00:12:35,160 --> 00:12:38,020
+نزل يلعب كورة، بدي أعمل عملية إحماء، يعني تهيئة
+
+178
+00:12:38,020 --> 00:12:41,800
+العضلة،لكن أنا لما أكون إنسان يعني تقلص طبعا كم
+
+179
+00:12:41,800 --> 00:12:45,660
+ممكن يكون عملية تدليك، ممكن بالحركة نفسها أو تدليك
+
+180
+00:12:45,660 --> 00:12:49,420
+مكانه، لكن التدليك ممكن يكون خفيف، التدليك المقصود
+
+181
+00:12:49,420 --> 00:12:53,640
+في أخواتنا عملية طاقة للعضلة بحد ذاتها وعملية
+
+182
+00:12:53,640 --> 00:12:57,890
+مساعدتها بفردها عشان ترجع تعيش للوضع الطبيعي نشوف
+
+183
+00:12:57,890 --> 00:13:00,010
+احنا إيش كاتبين هنا بالنسبة للشد العضلي تمزق
+
+184
+00:13:00,010 --> 00:13:04,390
+العضلات أو أوتارها بسبب شد غير عادي وهنضرب لنا مثال
+
+185
+00:13:04,390 --> 00:13:08,290
+بسيط جدا أن الشد الغير عادي مثلا لإنسان راح يلعب
+
+186
+00:13:08,290 --> 00:13:11,670
+في أحد النوادي طبعا أول يوم ما شاء الله يعني مبسوط
+
+187
+00:13:11,670 --> 00:13:15,770
+على نفسه لكن ثاني يوم مش قادر يروح ثاني يوم مش
+
+188
+00:13:15,770 --> 00:13:18,990
+قادر يروح وبالتالي هنقول عنه التمزق العضلي لكن
+
+189
+00:13:18,990 --> 00:13:23,430
+بقولش اللي نازل يسبح صار معاه شد صار معاه تقلص
+
+190
+00:13:23,430 --> 00:13:28,560
+عضلي طبعا أهم حاجة زي ما قلنا بدنا نستخدم طبعا
+
+191
+00:13:28,560 --> 00:13:31,560
+الراحة واللي ملاحظوا مثلا ثاني يوم مش قادر يروح
+
+192
+00:13:31,560 --> 00:13:35,740
+بنقول طبعا ريح حالك شوية خد بعض المسكنات على أساس
+
+193
+00:13:35,740 --> 00:13:40,380
+أن الحركة هذه أو الراحة هذه هتعيد الأوتار أو طبعا
+
+194
+00:13:40,380 --> 00:13:46,120
+الألياف كما هي بالصورة الطبيعية طيب قلنا هل نستخدم
+
+195
+00:13:46,120 --> 00:13:48,760
+كمادات مياه باردة؟ ليش ما نستخدم كمادات مياه
+
+196
+00:13:48,760 --> 00:13:53,990
+دافئة؟ خوفًا من وجود نزيف ويزيد وبالتالي هم
+
+197
+00:13:53,990 --> 00:13:58,390
+يُستخدمون كمادات الماء الباردة طبعا
+
+198
+00:13:58,390 --> 00:14:01,730
+لما يكون في عندي أنا احتمالية لوجود ورم أو
+
+199
+00:14:01,730 --> 00:14:04,810
+احتمالية لوجود سخونة أو احتمالية لوجود مثلا
+
+200
+00:14:04,810 --> 00:14:08,510
+ازرقاق أو احمرار بستخدم داخلي كمادات الماء الباردة
+
+201
+00:14:08,510 --> 00:14:11,710
+خوفًا من وجود نزيف وأنا أزيد النزيف باستخدامي كمادات
+
+202
+00:14:11,710 --> 00:14:18,010
+الماء الدافئة طبعا هذا هنا protocol هنا بروتوكول
+
+203
+00:14:18,010 --> 00:14:22,330
+عندنا بيشمل طبعا التعامل مع الكسور والكدمات
+
+204
+00:14:22,330 --> 00:14:25,730
+وإصابات الهيكل العامة لابد من  إسراح المصاب هذا
+
+205
+00:14:25,730 --> 00:14:28,350
+طبعا شيء طبيعي على أساس أن عملية الإسراح بتساعد
+
+206
+00:14:28,350 --> 00:14:33,330
+على طبعا المساعدة في أخذ الوضع المناسب سواء
+
+207
+00:14:33,330 --> 00:14:37,110
+العظام المكسورة أو العضلات المتقلصة أو المفاصل
+
+208
+00:14:37,110 --> 00:14:41,850
+المجزوعة أو المخلوعة لا يطلع المصاب أي شيء عن طريق
+
+209
+00:14:41,850 --> 00:14:47,360
+الفم في حال وجود كسور ليش خوفا من الاستفراغ النقطة
+
+210
+00:14:47,360 --> 00:14:50,020
+الثالثة لابد من السيطرة على النزيف و هنقولنا قبل
+
+211
+00:14:50,020 --> 00:14:52,880
+كده إذا كان عندي نزيف وإذا كان عندي كسر مثلا في
+
+212
+00:14:52,880 --> 00:14:56,080
+حالات الكسور المفتوحة أنا بعمل على إيقاف النزيف و
+
+213
+00:14:56,080 --> 00:15:03,080
+من ثم بعمل على تثبيت الكسر في حال وجود كسور عمون
+
+214
+00:15:03,080 --> 00:15:09,020
+فقري أو اشتباه، لا يسمح بتحريك المصاب إلا في حال
+
+215
+00:15:09,020 --> 00:15:12,640
+وجود أربعة أشخاص على الأقل عشان يقولوا إيش لما
+
+216
+00:15:12,640 --> 00:15:17,420
+كان صلب ما يكونش فيه تجويف تؤثر على مفاصل أو على
+
+217
+00:15:17,420 --> 00:15:18,480
+فقرات العمود الفقري
+
+218
+00:15:22,300 --> 00:15:25,340
+في حال إصابات المفصل، لا يتم وضع العضو في وضع
+
+219
+00:15:25,340 --> 00:15:29,660
+مستقيم، طب هكذا؟ لأ، يوضع في الوضع الوظيفي، مثلا،
+
+220
+00:15:29,660 --> 00:15:32,340
+إنسان صار عنده كسور في المرفق أو مثلا صار عنده
+
+221
+00:15:32,340 --> 00:15:35,940
+كسر في اليد أو لي أو جزئية، ما بعمل استقامة للمفصل، لأ،
+
+222
+00:15:35,940 --> 00:15:38,840
+الوضع الطبيعي حتى بصورة هذه، في تقوس بسيط أو في
+
+223
+00:15:38,840 --> 00:15:42,820
+زاوية، ما يُمكنش طبعا بصورة مستقيمة، مثلا كف بصورة
+
+224
+00:15:42,820 --> 00:15:46,780
+هذه، ما يُمكنش بصورة مستقيمة، لكن في إيش تقوس بسيط أو
+
+225
+00:15:46,780 --> 00:15:47,520
+انحناءة بسيطة
+
+226
+00:15:50,150 --> 00:15:52,990
+لا تُعادل عظام المكسورة زي ما حكينا إلى وضعها
+
+227
+00:15:52,990 --> 00:15:55,730
+الطبيعي مش أنا بقول والله بدي أعيد العظم
+
+228
+00:15:55,730 --> 00:16:00,430
+المكسور لأ اتركها كما هي كمادات الثلج تُستخدم لحد
+
+229
+00:16:00,430 --> 00:16:03,910
+من نزيف وزي ما قلنا في حال الورم أو شبه الورم أو
+
+230
+00:16:03,910 --> 00:16:07,510
+السخونة أو طبعا بستخدم كمادات الماء الباردة أو
+
+231
+00:16:07,510 --> 00:16:13,370
+الثلج لكن الثلج مباشرة لأ كمادات ايه نعم؟ وسادة أو
+
+232
+00:16:13,370 --> 00:16:15,970
+جبيرة تُدعم الكسر زي ما قلنا باستخدام الـ هدف
+
+233
+00:16:15,970 --> 00:16:19,530
+الأساسي من الجبيرة أي كانت هو المحافظة على
+
+234
+00:16:19,530 --> 00:16:25,330
+تثبيت الكسر في مكانه وتقليل الألم فضل ايه؟ أنت
+
+235
+00:16:25,330 --> 00:16:28,630
+محتاجش مانفعش السدس مباشرة، محتاجش مطلش ده ما
+
+236
+00:16:28,630 --> 00:16:33,070
+بيقولولنا محتاج كمدات أخرى ومحتاج شمس ومحتاجش ..
+
+237
+00:16:34,810 --> 00:16:38,110
+ماشي أنا بدي أجيب لك مثال بسيط جدا عشان تقول لي و
+
+238
+00:16:38,110 --> 00:16:42,190
+ممكن أو مش ممكن هجيت لو أنت عندك ثلاجة في البيت و
+
+239
+00:16:42,190 --> 00:16:46,330
+فيها جوال بتلج ايه المسك اللي جالب؟ بلزج؟ لأ مش
+
+240
+00:16:46,330 --> 00:16:50,570
+بلزج لأ لأ مش .. تتحمليه؟ بتفضريش؟ معناه أنه صار
+
+241
+00:16:50,570 --> 00:16:54,230
+عندي أثر الحرارة المخفضة من الثلج أثرت على الأعصاب
+
+242
+00:16:54,230 --> 00:16:57,310
+وعلى الدورة الدموية طبعا أساسها هنا أن أي منطقة
+
+243
+00:16:57,310 --> 00:17:00,690
+ما بتصلهاش الدورة الدموية بصورة كافية بصير فيها ألم
+
+244
+00:17:01,410 --> 00:17:05,010
+وبصير تغير في اللون والدنيا عادالك في الجو الشتاء
+
+245
+00:17:05,010 --> 00:17:10,090
+كده بصير عندنا أطراف زرقاء تمام؟ طب المنطقة اللي
+
+246
+00:17:10,090 --> 00:17:13,950
+ما بيصلهاش دم ما بيصلهاش ألم فيها ألم وبالتالي أنا ما بديش
+
+247
+00:17:13,950 --> 00:17:18,270
+أزيد الألم بدي أخفف الألم الهدف من استخدام الكمدات
+
+248
+00:17:18,270 --> 00:17:22,130
+حتى لو في نزيف أقلل مش هأخفف الألم الكمدات الثانية
+
+249
+00:17:22,130 --> 00:17:26,580
+مش هأخفف الألم هتبع نقاف النزيف لو فيه نزيف لكن لما
+
+250
+00:17:26,580 --> 00:17:30,680
+أنا بدي أقول والله الثلج بيوقف النزيف وبيعمل ضيق
+
+251
+00:17:30,680 --> 00:17:34,820
+في الأوعية الدموية لكن في المقابل هيزود الألم فلما
+
+252
+00:17:34,820 --> 00:17:38,940
+أنا أستخدم كمادات ماء باردة أو ثلج طبعا المشكلة أن
+
+253
+00:17:38,940 --> 00:17:41,260
+أنت لو مسكت قطعة الثلج هتلاقي إيديك كلها صارت بيضاء
+
+254
+00:17:41,260 --> 00:17:43,560
+مش بس عجيبني أن أنا بيضاء صارت بيضاء طبعا لأن صار
+
+255
+00:17:43,560 --> 00:17:45,540
+عندهم انقباض في الأوعية الدموية أو ضيق في الأوعية
+
+256
+00:17:45,540 --> 00:17:50,400
+الدموية لكن بالمقابل الألم ما نتيجته كده تتحمليه لما
+
+257
+00:17:50,400 --> 00:17:53,400
+أستخدم كمادات ماء باردة، فيه إمكانية للتحمل،
+
+258
+00:17:53,400 --> 00:17:56,280
+والهدف الأساسي الثاني لها ضيق في الأوعية الدموية،
+
+259
+00:17:56,280 --> 00:17:58,240
+حتى لو فيه نزيف، أخفف النزيف.
+
+260
+00:18:01,520 --> 00:18:03,540
+طبعا عندنا إحكام الجبيرة، هالجزء المصاب، احنا
+
+261
+00:18:03,540 --> 00:18:07,400
+قلنا في عندنا إمكانية للتأكد أن هناك سرايا للدور
+
+262
+00:18:07,400 --> 00:18:10,920
+الدموية لما أنا بستخدم الجبيرة براقب طبعا الأطراف
+
+263
+00:18:10,920 --> 00:18:14,580
+المكشوفة حتى راقب الدورة الدموية إن أمكن طبعا يتم
+
+264
+00:18:14,580 --> 00:18:19,380
+رفع الجزء المصاب قليلًا، إن أمكن، قولوا بأركوا، وليس
+
+265
+00:18:19,380 --> 00:18:23,950
+في كل حالة الكسور، إن أمكن، إن أمكن رفعته لكن
+
+266
+00:18:23,950 --> 00:18:26,050
+ما فيش إمكانية، والله بقوله أنا ما .. لو احنا فيه
+
+267
+00:18:26,050 --> 00:18:28,450
+هنا طريقة عشان أقل من وصول الدم للمكان
+
+268
+00:18:28,450 --> 00:18:32,010
+النازف، لازم أرفع العضو المصاب، طب ورفع العضو
+
+269
+00:18:32,010 --> 00:18:34,670
+المصاب ممكن يكون فيه تحريك للكسر، بقول إن احنا إن
+
+270
+00:18:34,670 --> 00:18:38,670
+أمكن، وليس في كل الحالات، تمام؟ انتبه لنقطة هذه،
+
+271
+00:18:38,670 --> 00:18:42,770
+مراقبة العلامات الحيوية طبعا شيء، طبعا الطاقة
+
+272
+00:18:42,770 --> 00:18:46,850
+المسكن، ibuprofen، أشياء بسيطة جدا، حتى تساعد على
+
+273
+00:18:46,850 --> 00:18:49,550
+تخفيف الألم، لنقول لنا أحد المضاعفات اللي ممكن تكون
+
+274
+00:18:49,550 --> 00:18:56,460
+ناتجة من الكسور هي الصدمة العصبية نتيجة طبعا الألم
+
+275
+00:18:56,460 --> 00:19:01,450
+الشديد الإنسان ممكن إيش ما يتعاملوش طبعا هذه الجزئية
+
+276
+00:19:01,450 --> 00:19:06,550
+بيكون هنا فيها اللي هو الجزء الـ 11 بالنسبة
+
+277
+00:19:06,550 --> 00:19:10,690
+لإصابات المفاصل أو الجهاز الهيكلي الحركي هناخد بعد
+
+278
+00:19:10,690 --> 00:19:14,990
+هيك جزئية بسيطة كيف عملية النقل وليس بالضرورة
+
+279
+00:19:14,990 --> 00:19:19,010
+النقل لإنسان مكسور، النقل لإنسان فقد وعيه، النقل
+
+280
+00:19:19,010 --> 00:19:23,130
+لصفة عامة، لإنسان مثلا، إنسان كبير في العمر، إنسان 
+
+281
+00:19:23,130 --> 00:19:25,730
+صار عنده مثلا كسور وأنا برضه بدي أنقله، طبعًا فيه
+
+282
+00:19:25,730 --> 00:19:28,310
+إنقالية للنقل،ودائمًا يا أخي وقتنا بدنا نعرف حاجة
+
+283
+00:19:28,310 --> 00:19:31,530
+مهمة جدًا إنه أحيانًا بتكون المضاعفات الناتجة من
+
+284
+00:19:31,530 --> 00:19:36,210
+النقل الخاطئ أخطر من الإصابة بحد ذاتها وطبعًا
+
+285
+00:19:36,210 --> 00:19:40,150
+الكثير بيقولك والله نجله خطأ فصار عنده شلل طبعًا
+
+286
+00:19:40,150 --> 00:19:45,030
+حسب حسب المكان اللي ممكن أنا أتعامل معاه إذا كان
+
+287
+00:19:45,030 --> 00:19:47,990
+الشخص هذا فاقع الوعي إذا كان عنده مثلا مكان ديج
+
+288
+00:19:47,990 --> 00:19:52,170
+إذا كان عند الشخص هذا مثلا عنده إشتباه إشتباه كسور
+
+289
+00:19:52,170 --> 00:19:55,150
+أو كسر في العنق كيف أنا بدي أنقله إحنا ممكن
+
+290
+00:19:55,150 --> 00:19:58,500
+ننقله مثلا على ست .. مثلا ست أشخاص لكن إحنا
+
+291
+00:19:58,500 --> 00:20:01,640
+وضعناه مثلا علي فرشة أو مرتبة لكن المرتبة هي
+
+292
+00:20:01,640 --> 00:20:04,400
+الـSphinx وطرية، معناه طبعا أيه؟ فيه مشكلة، شكرا،
+
+293
+00:20:04,400 --> 00:20:05,200
+أتمنى لك التوفيق 
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/kyGf7zSUOBk_raw.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/kyGf7zSUOBk_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..c37a59b7953c23418fcbc55681c1dc0fae5c5880
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/kyGf7zSUOBk_raw.srt
@@ -0,0 +1,1928 @@
+1
+00:00:05,090 --> 00:00:07,130
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:07,130 --> 00:00:09,650
+الرحيم والصلاة والسلام على أشرف المرسلين سيدنا
+
+3
+00:00:09,650 --> 00:00:15,070
+محمد أليه وصحابه وسلم نستكمل اليوم أحد مواضيع
+
+4
+00:00:15,070 --> 00:00:18,730
+الإسعاف الأولى وهو حول كيفية التعامل مع حالات
+
+5
+00:00:18,730 --> 00:00:24,390
+التسمم وكيفية إسعافها والطرق المناسبة لذلك أضيف
+
+6
+00:00:24,390 --> 00:00:28,870
+إلى ذلك سنتعرف على طرق دخول السم لجسم الإنسان
+
+7
+00:00:28,870 --> 00:00:36,610
+والأثر السلبي الذي ينتج عن هذا السمبداية تعريف
+
+8
+00:00:36,610 --> 00:00:42,930
+مصطلح التسمم هو أي ضرر ينتج من ملامسة أو استنشاق
+
+9
+00:00:42,930 --> 00:00:47,150
+أو دخول مادة ضارة سواء صلبة أو غازية أو سائلة لجسم
+
+10
+00:00:47,150 --> 00:00:53,480
+الإنسان بمعنى أن المادة السامةقد تكون على أشكال
+
+11
+00:00:53,480 --> 00:00:59,120
+متعددة سواء صلبة أو سائلة أو غازية و تدخل الجسم
+
+12
+00:00:59,120 --> 00:01:05,280
+بعدة طرق أو عدة مداخل من ضمنها الفم أي الابتلاع أو
+
+13
+00:01:05,280 --> 00:01:10,000
+عن طريق الجهاز التنفسي أو عن طريق الملامسة عن طريق
+
+14
+00:01:10,000 --> 00:01:14,720
+الجلد أو طريقة أخرى عن طريق الحقن سواء عن طريق
+
+15
+00:01:14,720 --> 00:01:23,770
+الوريد أو حتى من لدغات الثعابينلذلك فأي ضرر ينتج
+
+16
+00:01:23,770 --> 00:01:28,650
+معناه يسبقه مادة دخلت وهذه المادة أدت إلى ضرر سلبي
+
+17
+00:01:28,650 --> 00:01:33,210
+على جسم الإنسان وهناك تكون نتائج خطيرة قد تؤدي إلى
+
+18
+00:01:33,210 --> 00:01:37,530
+الوفع لذلك فالمادة السامة يختلف تأثيرها من مادة
+
+19
+00:01:37,530 --> 00:01:45,760
+إلى أخرى وتؤدي إلىلربما إلى تلف أو شلل أو عمل غير
+
+20
+00:01:45,760 --> 00:01:51,780
+مناسب لوظائف الحيوية للأعضاء الحيوية خاصة داخل جسم
+
+21
+00:01:51,780 --> 00:01:55,940
+الإنسان كالقلب والجهاز التنفسي وعلى رأس القائمة
+
+22
+00:01:55,940 --> 00:02:01,320
+الجهاز العصبي لربما تكون المادة السامة داخل جسم
+
+23
+00:02:01,320 --> 00:02:06,020
+الإنسان لكن بكمية قليلة جدا وهناك مفضل الله تعالى
+
+24
+00:02:06,920 --> 00:02:10,760
+طرق تساعد جسم الإنسان على التخلص من هذه المواد
+
+25
+00:02:10,760 --> 00:02:16,460
+السامة مثل الكبد والكلة لكن لو كانت هذه المادة
+
+26
+00:02:16,460 --> 00:02:21,640
+بكمية قليلة لكن لفترة طويلة فهذا قد يحدث الأثر
+
+27
+00:02:21,640 --> 00:02:25,500
+السلبي الدار الذي قد يؤدي الوفاة كما حدث في بعض
+
+28
+00:02:25,500 --> 00:02:29,500
+حالة المسجلة تاريخيا بعد كمية قليلة وادت الوفاة في
+
+29
+00:02:29,500 --> 00:02:34,490
+النهايةلكن إذا كانت الكمية قليلة و لفترة قصيرة
+
+30
+00:02:34,490 --> 00:02:39,110
+فبإمكان الجسم إذا كانت المادة تأثيرها ضعيف التخلص
+
+31
+00:02:39,110 --> 00:02:44,030
+منها اللي ربما يعني خلال الشرح سيتضح لنا كثير من
+
+32
+00:02:44,030 --> 00:02:48,170
+بعض الحالات العملية التي قد نواجهها خلال حياتنا
+
+33
+00:02:48,170 --> 00:02:52,010
+وكيف يمكن التعامل معها على أرض الحدث
+
+34
+00:02:57,610 --> 00:03:03,290
+طبعا كما ذكرت أن هناك أربع طرق لدخول المواد السامة
+
+35
+00:03:03,290 --> 00:03:06,830
+لجسم الإنسان الطريقة الأولى عن طريق البلع وهذه
+
+36
+00:03:06,830 --> 00:03:10,450
+طبعا خاصة تكون منتشرة لدى الأطفال ولو ربما تكون
+
+37
+00:03:10,450 --> 00:03:15,610
+هذه الطريقة بقصد أو بدون قصد بدون قصد طبعا لدى
+
+38
+00:03:15,610 --> 00:03:19,990
+الأطفال أو بالخطأ لدى الكبار أو بطريق القصد أي عن
+
+39
+00:03:19,990 --> 00:03:24,090
+طريق الانتحار وهذا قد يحدث وهذا طبعا مخالف الشريعة
+
+40
+00:03:24,090 --> 00:03:30,310
+الدينيةأو الإسلامية وهذا من حالات قتل النفس أو
+
+41
+00:03:30,310 --> 00:03:37,270
+ازهاقها طبعا هذه الطريقة قد تؤدي الشخص إلى الوفاة
+
+42
+00:03:37,270 --> 00:03:40,570
+وهذا طبعا احدى الطرق الطريقة الثانية عن طريق
+
+43
+00:03:40,570 --> 00:03:46,830
+الجهاز التنفسي هو دخول المواد الضارةبتم استنشاقها
+
+44
+00:03:46,830 --> 00:03:51,850
+عن طريق الجهاز التنفسي قد تؤثر هنا ملاحظة مهمة جدا
+
+45
+00:03:51,850 --> 00:03:57,710
+أن المادة السامة ليس بالضرورة يكون أثرها فقط في
+
+46
+00:03:57,710 --> 00:04:02,650
+المدخل ولكن لربما يكون أثرها أبعد من المدخل لربما
+
+47
+00:04:02,650 --> 00:04:06,470
+يكون هناك استنشاق بعض الغازات الضارة ويكون أثرها
+
+48
+00:04:06,470 --> 00:04:12,360
+مثلا على الجهاز العصبي أو على القلب أوكذلك الحال
+
+49
+00:04:12,360 --> 00:04:16,560
+في حال الإبتلاع قد يكون أثر على الجهاز الهضمي أو
+
+50
+00:04:16,560 --> 00:04:20,860
+قد يكون أثر على الجهاز العصبي أو الجهاز التنفسي أو
+
+51
+00:04:20,860 --> 00:04:24,500
+أجهزة أخرى داخل جسم الإنسان لذا فالأثر السلبي الذي
+
+52
+00:04:24,500 --> 00:04:29,200
+ينتج من المادة السامة هذه المادة الضارة ليس
+
+53
+00:04:29,200 --> 00:04:33,100
+بالضرورة يكون فقط في المدخل وإنما يكون ممكن في
+
+54
+00:04:33,100 --> 00:04:38,290
+المدخل أو ممكن في أماكن أخرىالطريقة الثالثة هي عن
+
+55
+00:04:38,290 --> 00:04:43,970
+طريق الحقن مثل مثلًا لدغ الثعابين لدغ العقارب أو
+
+56
+00:04:43,970 --> 00:04:48,690
+قد يكون بطريقة القصد طريقة مثلًا القتل مثلًا عن
+
+57
+00:04:48,690 --> 00:04:54,090
+طريق الوريد أو عن طريق مثلًا القصد أيضًا بين
+
+58
+00:04:54,090 --> 00:04:58,170
+المخدئين المدمنين يتعاطى جرعة كبيرة من المواد
+
+59
+00:04:58,170 --> 00:05:02,650
+المخدرة بقصد الانتحار أضف إلى ذلك كثير من المواد
+
+60
+00:05:02,650 --> 00:05:07,440
+المخدرة التي لها تأثير سلبيالطريقة الرابعة عن طريق
+
+61
+00:05:07,440 --> 00:05:11,080
+الجلد وهي عن طريق الامتصاص وهذا طبعا غالبا تكون
+
+62
+00:05:11,080 --> 00:05:14,760
+للتعرض لفترة طويلة لمادة يسهر الامتصاص عن طريق
+
+63
+00:05:14,760 --> 00:05:18,380
+الجلد وبالتالي يكون أثرها ليس فقط على الجلد لربما
+
+64
+00:05:18,380 --> 00:05:21,740
+يكون أثر على الجلد لكن ربما يكون أيضا الأثر في
+
+65
+00:05:21,740 --> 00:05:24,000
+أماكن أخرى داخل جسم الإنسان
+
+66
+00:05:28,540 --> 00:05:32,980
+كيف تعمل هذه المواد السامة أو هذا السم؟ أولا
+
+67
+00:05:32,980 --> 00:05:39,580
+التأثير موضوي مثلا لو تخيلنا إنسان تناول كمية من
+
+68
+00:05:39,580 --> 00:05:44,980
+المواد السامة بدون قصد مثلا طفل صغير تناول بالخطأ
+
+69
+00:05:44,980 --> 00:05:51,780
+يعني مادة لها ضرر كبير فبنلاحظ تظهر بعض العالمات
+
+70
+00:05:51,780 --> 00:05:56,200
+كالقيئ والاسهال والمغسططبعا كل ما كانت المادة
+
+71
+00:05:56,200 --> 00:05:59,980
+سميتها شديدة كل ما كان الأعراض أشد وأشد
+
+72
+00:06:02,610 --> 00:06:06,410
+ممكن كما تحدثت أن تكون الأثر على الجهاز العصبي
+
+73
+00:06:06,410 --> 00:06:10,450
+وبالتالي لا يمكن أن تكون أثر .. لا يمكن أن يكون
+
+74
+00:06:10,450 --> 00:06:15,110
+أثر المادة فقط على نفس المكان لكن ربما يتعدى أو
+
+75
+00:06:15,110 --> 00:06:19,010
+يتخطى مكان الدخول ويكون له الأثر على أجهزة أخرى
+
+76
+00:06:19,010 --> 00:06:22,930
+وخاصة أهم جهاز في جسم الإنسان ألا وهو الجهاز
+
+77
+00:06:22,930 --> 00:06:28,710
+العصبي الذي يؤثربالمقابل على أجهزة أخرى داخل جسم
+
+78
+00:06:28,710 --> 00:06:32,330
+الإنسان، الجهاز التنفسي و الجهاز الدوري و العاملة
+
+79
+00:06:32,330 --> 00:06:38,410
+الحوية داخل جسم الإنسانطريقة الثالثة التي قد تؤدي
+
+80
+00:06:38,410 --> 00:06:43,850
+إلى الخطر هي إحلال المادة السامة كما في غاز أول
+
+81
+00:06:43,850 --> 00:06:48,770
+أكسيد الكربون كما سنتحدث عنه بعد قليل محل الأكسجين
+
+82
+00:06:48,770 --> 00:06:52,510
+طبيعة الحال الجسم يستغل الأكسجين ويستفيد من
+
+83
+00:06:52,510 --> 00:06:59,210
+الأكسجين في حال طبعا كمصدر لطاقة وضرر جدا للدماغ
+
+84
+00:06:59,480 --> 00:07:05,260
+لكن إذا حل محله غاز آخر كأول أكسيد الكربون فهذا
+
+85
+00:07:05,260 --> 00:07:10,920
+يعتبر غاز قاتل وبالتالي هذه طريقة أخرى لتأثير مادة
+
+86
+00:07:10,920 --> 00:07:17,000
+السماء بإحلالها محل الأكسجين الطريقة
+
+87
+00:07:17,000 --> 00:07:22,750
+الرابعة هيالتأثير الموضعي كمان أو أيضا في نفس
+
+88
+00:07:22,750 --> 00:07:26,810
+المكان مثلا كما يحدث في .. كحروق بالنسبة لل ..
+
+89
+00:07:26,810 --> 00:07:32,070
+الغازات بالنسبة للمواد المحرشة كالكاز والترابنتين
+
+90
+00:07:32,070 --> 00:07:36,740
+والكلور المركزو طبعا الحمد لله تريك او ميت النار و
+
+91
+00:07:36,740 --> 00:07:42,440
+هتبعا يكون الأثر موضعي واضح في مكان دخول المادة
+
+92
+00:07:42,440 --> 00:07:47,120
+السامة مثلا على الفم، في المعدة، في المريق أو حتى
+
+93
+00:07:47,120 --> 00:07:52,440
+لو ربما يكون هناك أثر آخر من تطير الأبخرة حتى على
+
+94
+00:07:52,440 --> 00:07:52,980
+العيون
+
+95
+00:07:58,080 --> 00:08:01,580
+أنواع السموم طبعا السموم ممكن تكون طبيعية ممكن
+
+96
+00:08:01,580 --> 00:08:06,180
+تكون مصنعة طبعا السموم المصنعة من صناعة الإنسان
+
+97
+00:08:06,180 --> 00:08:11,860
+مثلا المواد الكيموية القلويات المركزة الأحماض
+
+98
+00:08:11,860 --> 00:08:16,080
+المركزة أيضا الأدوية الأدوية طبعا هي من صناعة
+
+99
+00:08:16,080 --> 00:08:22,320
+الإنسان وهنا طبعا كقاعدة يعني صيدلانيةتقول طبعا كل
+
+100
+00:08:22,320 --> 00:08:27,240
+علاج كيميائي هو سم وليس كل سم علاج وبالتالي قد
+
+101
+00:08:27,240 --> 00:08:32,920
+يحدث سوء تناول الأدوية وها طبعا بزيادة كمية العلاج
+
+102
+00:08:32,920 --> 00:08:38,220
+أو زيادة الفترة الزمنية وهنا يؤدي ذلك إلى تركيز
+
+103
+00:08:38,220 --> 00:08:42,520
+المادة السامة الموجودة داخل هذه المادة العلاجية في
+
+104
+00:08:42,520 --> 00:08:47,960
+جسم الإنسان ويكون أثرها دار وكبير جدا على الكبدأو
+
+105
+00:08:47,960 --> 00:08:51,900
+كمثال آخر يعني عن طريق الانتحار هو تناول كمية
+
+106
+00:08:51,900 --> 00:08:55,620
+كبيرة مثلا من المهدئات أو المنومات أو بعض المواد
+
+107
+00:08:55,620 --> 00:08:59,780
+الأخرى وبالتالي يكون لها أثر الدار خاصة على مركز
+
+108
+00:08:59,780 --> 00:09:04,540
+التنفس وفي النهاية يتوقف مركز التنفس يكون النسبة
+
+109
+00:09:04,540 --> 00:09:09,300
+النتيجة هي الوفاة وهذا يعتبر من بعض السموم
+
+110
+00:09:09,300 --> 00:09:13,620
+المتناولة أو المصنعة من صناعة الإنسان السموم
+
+111
+00:09:13,620 --> 00:09:18,690
+الطبيعيةهناك بعض طبعا النباتات السامة و هناك بعض
+
+112
+00:09:18,690 --> 00:09:23,490
+طبعا الفطريات السامة و طبعا تنتج سموم خطيرة على
+
+113
+00:09:23,490 --> 00:09:26,590
+جسم الإنسان مثلا كالفطر الأسود أو مثلا بعض أنواع
+
+114
+00:09:26,590 --> 00:09:31,130
+البكتيريا التي تنتج مواد سامة مثلا البكتيريا
+
+115
+00:09:31,130 --> 00:09:35,290
+التيتانوس أو Clostridium Tetani طبعا و هذه طبعا
+
+116
+00:09:35,290 --> 00:09:41,630
+إلها أثر خطير جدا أو مثلا كما نقول في حل الغرغرينة
+
+117
+00:09:41,630 --> 00:09:45,270
+هناك طبعا بكتيريا تفرز مواد سامة خطيرة على جسم
+
+118
+00:09:45,270 --> 00:09:45,450
+الإنسان
+
+119
+00:09:54,320 --> 00:09:57,500
+كيفية تشخيص حالات التسمم؟
+
+120
+00:10:00,090 --> 00:10:03,230
+طبعا ال .. ال .. ال band الأول هو ظروف الحادث و
+
+121
+00:10:03,230 --> 00:10:07,250
+فحص المكان بمعنى أن هناك مجموعة من الأشخاص تظهر
+
+122
+00:10:07,250 --> 00:10:12,310
+عليهم بعض العالمات المتقاربة، دليل أنهم تناولوا
+
+123
+00:10:12,310 --> 00:10:15,890
+شيء محدد أو معين في نفس الوقت و ظهرت عليهم
+
+124
+00:10:15,890 --> 00:10:20,430
+العالمات كمان، ظروف الحادث هوووجود عدد من الأشخاص
+
+125
+00:10:20,430 --> 00:10:27,050
+تظهر عليهم أو إشارة أخرى وجود مثلا شخص دخل في حالة
+
+126
+00:10:27,050 --> 00:10:32,730
+تسمم وبجانبه مثلا قارورة أو أشيطة دوائية طبعا هذه
+
+127
+00:10:32,730 --> 00:10:36,810
+لربما تكون مؤشر فعلا أنه بقصد الانتحار أو لربما
+
+128
+00:10:36,810 --> 00:10:42,870
+تكون جريمة جنائية طبعا بقصد قتل شخص معين ووضع بعض
+
+129
+00:10:42,870 --> 00:10:47,750
+الأشيطة الدوائية بجانبهحتى تكون علامات الجريمة غير
+
+130
+00:10:47,750 --> 00:10:51,470
+واضحة و أيضًا وجود بعض الأثار بالنسبة للمواد
+
+131
+00:10:51,470 --> 00:10:57,790
+السامة كقرورة أو مثلًا بعض الأوعية التي كان يحتفظ
+
+132
+00:10:57,790 --> 00:11:00,850
+فيها المواد مثلًا التي لها أثر سلبي على جسم
+
+133
+00:11:00,850 --> 00:11:04,630
+الإنسان وبالتالي طبعًا، ظروف الحالة، ثم مكان، فحص
+
+134
+00:11:04,630 --> 00:11:08,470
+المكان هو ضروري جدًا للتعرف لربما تكون المرحلة تصل
+
+135
+00:11:08,470 --> 00:11:12,290
+إلى مرحلة جنائية ويكون هناك فيها الطب الجنائي له
+
+136
+00:11:12,290 --> 00:11:18,080
+دور كبير في هذا التقييمالعلامات المرضية يعني كما
+
+137
+00:11:18,080 --> 00:11:22,440
+تحدثنا يعني علامة مرضية مثلا خاصة بالجهاز الهضمى
+
+138
+00:11:22,440 --> 00:11:27,300
+كالقيق والمغس والاسهال ووجود حروق حول الفم أو
+
+139
+00:11:27,300 --> 00:11:30,560
+التلبك المعوي والألم الشديدة وهو طبعا دليل أنه
+
+140
+00:11:30,560 --> 00:11:36,860
+دخول مادةغير صالح على الاستعمال و هذه المادة يتظهر
+
+141
+00:11:36,860 --> 00:11:40,320
+على الجسم أعراضها من خلال أعراض المغس و القئو
+
+142
+00:11:40,320 --> 00:11:45,100
+للسال أي بمعنى الجسم يلفظها أو يريد إخراجها و
+
+143
+00:11:45,100 --> 00:11:48,580
+وجودها يكون له أثر دار على جسم الإنسان لكن هناك
+
+144
+00:11:48,580 --> 00:11:52,600
+بعض المواد قد يتم امتصاصها ولا تظهر هذه العلامات
+
+145
+00:11:52,600 --> 00:11:53,460
+على الشخص
+
+146
+00:11:56,070 --> 00:11:59,690
+العلامات التنفسية التي لها علاقة بالجهاز التنفسي
+
+147
+00:11:59,690 --> 00:12:06,050
+وهي غالبا تكون نتيجة نقص ال oxygen في الدم أو ربما
+
+148
+00:12:06,050 --> 00:12:11,070
+نتيجة تناول بعض المواد المخدرة التي تؤثر إما ..
+
+149
+00:12:11,070 --> 00:12:15,710
+طبعا تؤثر علىعدد مرات التنفس بالإبطاء بمعنى تقليل
+
+150
+00:12:15,710 --> 00:12:19,290
+على المرات التنفس أو ملاحظ أخرى هناك أذرقاق في
+
+151
+00:12:19,290 --> 00:12:23,770
+الشفاه أو ضيق في التنفس وهو طبعا يكون له تأثير
+
+152
+00:12:23,770 --> 00:12:27,470
+سلبي من المادة الدرّة التي تناولها الإنسان التي
+
+153
+00:12:27,470 --> 00:12:30,390
+يكون لها الأثر ليس على المكان نفسه أو مثلا ليس على
+
+154
+00:12:30,390 --> 00:12:33,360
+الجهاز التنفسي فقطوإنما أثر على الجهاز العصبي
+
+155
+00:12:33,360 --> 00:12:37,720
+وبالمردود العكسي أثر على الجهاز التنفسي أو لربما
+
+156
+00:12:37,720 --> 00:12:41,620
+المادة بحد ذاتها تكون تأثيرها مباشرة على الجهاز
+
+157
+00:12:41,620 --> 00:12:46,940
+التنفسي وفي النتيجة يقل معدل الأكسجين وهذا يعطينا
+
+158
+00:12:46,940 --> 00:12:51,520
+صورة واضحة من الإزرقاق على الأطراف والشفتين نتيجة
+
+159
+00:12:51,520 --> 00:12:52,400
+نقص الأكسجين
+
+160
+00:12:55,670 --> 00:12:58,890
+الأعراض العصبية كما تحدثنا قبل ذلك هناك أعراض
+
+161
+00:12:58,890 --> 00:13:05,010
+مميزة أو خاصة بالجهاز العصبي مثل دوخة، دوار، صداع،
+
+162
+00:13:05,010 --> 00:13:09,250
+زغللة في العينين، عدم توازن، فقدان للتوازن، تأثير
+
+163
+00:13:09,250 --> 00:13:13,450
+بالذاكرة، الطنين، هذه طبعا كلها أعراض جانبية تحدث
+
+164
+00:13:13,450 --> 00:13:19,500
+نتيجة الموادالسبب ماله تدخل على جسم الإنسان أو قد
+
+165
+00:13:19,500 --> 00:13:23,240
+تصل في النهاية إلى ضرر الغيموبة وهذا طبعا تكون
+
+166
+00:13:23,240 --> 00:13:27,400
+تخطينا المراحل البسيطة إلى مراحل خطيرة قد تؤدي
+
+167
+00:13:27,400 --> 00:13:33,250
+بحياة الإنسان إلى الوفاةبعض الأدوية يكون لها تأثير
+
+168
+00:13:33,250 --> 00:13:37,670
+يعني كما في بعض المخدرات يكون لها تأثير سلبي على
+
+169
+00:13:37,670 --> 00:13:41,070
+الجهاز العصبي وتنتج الأعراض أو تظهر أعراض على هيئة
+
+170
+00:13:41,070 --> 00:13:46,310
+تشنجات وهو طبعا إما بزيادة الجرعة الدوائية أو إما
+
+171
+00:13:46,310 --> 00:13:51,170
+فقدان الكمية التي يتناولها الشخص فتظهر أعراض
+
+172
+00:13:51,170 --> 00:13:55,930
+جانبية سواء بزيادة الجرعة الدوائية المخدرة أو ب ..
+
+173
+00:13:55,930 --> 00:13:59,070
+أو طبعا بنقص الكمية التي يتناولها .. التي يعتاد
+
+174
+00:13:59,070 --> 00:14:00,530
+عليها هذا الشخص
+
+175
+00:14:04,680 --> 00:14:08,100
+أعراض عامة طبعا يعني ممكن يكون فيه طفح جلدي، ممكن
+
+176
+00:14:08,100 --> 00:14:11,560
+فيه حمران، ممكن فيه حكاف، ممكن يكون فيه هرش، طبعا
+
+177
+00:14:11,560 --> 00:14:15,220
+هناك تفاوت ما بين طبعا إنسان لإنسان آخر أو قدر
+
+178
+00:14:15,220 --> 00:14:21,350
+التحمل الإنسان على مقارنة بإنسان آخرممكن يكون هناك
+
+179
+00:14:21,350 --> 00:14:26,410
+طبعا هزاة عام، ضعف شديد، احمرار، حكاة، هرش،
+
+180
+00:14:26,410 --> 00:14:30,170
+ارتكارية، طبعا هناك ألم شديد أيضا ممكن يكون في
+
+181
+00:14:30,170 --> 00:14:33,550
+المفاصل، في العضلات، وبالتالي هي تعتبر أعراض عامة
+
+182
+00:14:33,550 --> 00:14:36,690
+وليست موضية كباقي الأعراض المذكورة أعلى
+
+183
+00:14:43,780 --> 00:14:47,940
+طبعا بالنسبة للصحافات الأولية لل .. للحالات التسمم
+
+184
+00:14:47,940 --> 00:14:52,260
+يعني ينبغي علينا أن نعرف بعض الأشياء المهمة حتى
+
+185
+00:14:52,260 --> 00:14:56,820
+يعني تكون الصورة واضحة لل .. للإنقاذ الشخص أو
+
+186
+00:14:56,820 --> 00:15:01,680
+حمايته أو طبعا تقنيم خدمتهأجاب علينا يعني معرفة
+
+187
+00:15:01,680 --> 00:15:05,420
+إجابة أسئلة محددة السؤال الأول ما هي المادة
+
+188
+00:15:05,420 --> 00:15:08,340
+السامة؟ هل هي المادة السامة دخلت عن طريق
+
+189
+00:15:08,340 --> 00:15:12,540
+الاستنشاق؟ هل هي المادة السامة سائلة؟ هل هي المادة
+
+190
+00:15:12,540 --> 00:15:16,680
+السامة صلبة؟ هل هي مادة غازية؟ هل هي المادة السامة
+
+191
+00:15:16,680 --> 00:15:19,700
+عن طريق الحقن؟ وهكذا طبعا بعض الأسئلة حتى تكون
+
+192
+00:15:19,700 --> 00:15:24,460
+فرصة الإنقاذ أو فرصة تقديم الإسعاف الأولي أفضل من
+
+193
+00:15:24,460 --> 00:15:28,140
+عدم المعرفةالكمية التي تناولها الشخص، لربما تكون
+
+194
+00:15:28,140 --> 00:15:31,700
+كمية بسيطة جدا أو لربما تكون كمية كبيرة، فكل ما
+
+195
+00:15:31,700 --> 00:15:35,180
+كانت الكمية أكبر، كل ما كان خطورة أكثر على الشخص
+
+196
+00:15:35,180 --> 00:15:36,580
+وخاصة لدى الأطفال
+
+197
+00:15:40,610 --> 00:15:44,370
+المدة الزمنية هو طبعا نقطة مهمة جدا لتعرف على
+
+198
+00:15:44,370 --> 00:15:49,710
+الدخول المادة وكم استغرقت داخل جسم الإنسان لأن كل
+
+199
+00:15:49,710 --> 00:15:53,510
+ما كانت الفترة الزمنية أطول كل ما كانت ضرر أكتر أو
+
+200
+00:15:53,510 --> 00:15:57,490
+لربما يعني يكون صعب في إسعاف الشخص هذا لكن كل ما
+
+201
+00:15:57,490 --> 00:16:01,800
+كانت الفترة الزمنيةقليلة جدا، طبعا هناك بعض الطرق
+
+202
+00:16:01,800 --> 00:16:05,560
+اللي كنت أتحدث عنها، سواء طبعا في التسمم عن طريق
+
+203
+00:16:05,560 --> 00:16:09,600
+البلع أو التسمم عن طريق التنفس أو الجلد التنفسي أو
+
+204
+00:16:09,600 --> 00:16:12,660
+عن طريق مثلا الجلد أو الامتصاص، لكن كل ما كانت
+
+205
+00:16:12,660 --> 00:16:16,200
+الفترة الزمنية أطول، كل ما كانت الخطورة أكتر
+
+206
+00:16:16,200 --> 00:16:20,420
+والنتيجة السلبية أكتر على حياة الإنسان أو قد تؤدي
+
+207
+00:16:20,420 --> 00:16:21,260
+إلى الوفاة
+
+208
+00:16:26,160 --> 00:16:29,980
+طبعا هنا يعني دور المسعف مهم جدا من حال طمأنة
+
+209
+00:16:29,980 --> 00:16:34,220
+المصاب يعني طبعا دايما ال .. ال .. في حال تقديم أي
+
+210
+00:16:34,220 --> 00:16:37,580
+خدمة إسعاف أولى يجب أن يكون المسعف قادر على
+
+211
+00:16:37,580 --> 00:16:40,660
+الطمأنة وهي طبعا أحد أسباب .. أحد شروط المسعف أو
+
+212
+00:16:40,660 --> 00:16:44,260
+أحد صفات المسعف يكون قادر على الطمأنة بمعنى أن هو
+
+213
+00:16:44,260 --> 00:16:48,230
+المسعف لا يكون مرتبكلأن طبعا التباكو بزيد المشكلة
+
+214
+00:16:48,230 --> 00:16:53,750
+على المريض أو على الضحية لكن الطمأنة ضررية جدا لأن
+
+215
+00:16:53,750 --> 00:16:58,070
+طبعا ربما الطمأنة تساعد في تقليل التوتر اللي طبعا
+
+216
+00:16:58,070 --> 00:17:01,710
+وجود التوتر قد يعيق عملية الإسحاب في الأولين أو قد
+
+217
+00:17:01,710 --> 00:17:05,270
+يزيد من عامل مثلا عدد دجاجات القلب أو تفرز بعض
+
+218
+00:17:05,270 --> 00:17:07,950
+الانزيمات أو مثلا زي ال adrenaline وهو طبعا قد
+
+219
+00:17:07,950 --> 00:17:14,990
+يكون معيق لعملية الإسحابطبعا في حال معرفة الشخص هل
+
+220
+00:17:14,990 --> 00:17:18,050
+هو واعي ولا غير واعي، كم الكيمية التي تناولها، ما
+
+221
+00:17:18,050 --> 00:17:21,370
+هي الكيمية التي تناولها، هل هي عن طريق الفهم، هي
+
+222
+00:17:21,370 --> 00:17:24,730
+عن طريق الحقن، طبعا هذه تكون أسئلة من خلال الشخص
+
+223
+00:17:24,730 --> 00:17:28,190
+قبل أن يفقد وعيه، لأن بعد ذلك إذا فقد وعيه طبعا
+
+224
+00:17:28,190 --> 00:17:33,410
+يعني يكون الدور المهم و الأساسي للمسعف هو معرفة
+
+225
+00:17:33,410 --> 00:17:35,610
+دخول هذه المادة لجسم الإنسان
+
+226
+00:17:38,200 --> 00:17:41,500
+طبعا التبليغ مباشرة وهذا طبعا يعني شيء طبيعي جدا
+
+227
+00:17:41,500 --> 00:17:43,840
+في حالة الإسعاف الأولي لإن أنا بكون في مكان الحدث
+
+228
+00:17:43,840 --> 00:17:47,780
+و باستعين بأحد الأشخاص للتبليغ لإحضار سيارة
+
+229
+00:17:47,780 --> 00:17:52,480
+الإسعاف أو طبعا للتبليغ بوجود هناك حالة من تسمم
+
+230
+00:17:52,480 --> 00:17:55,700
+الاربون تكون هذه الحالة هي حالة جنائية حتى تكون
+
+231
+00:17:55,700 --> 00:18:01,570
+الصورة واضحة أكتر في الحماية لهذا الشخصطبعا نبعد
+
+232
+00:18:01,570 --> 00:18:05,350
+المادة السامة عن المحتاجين من وجود .. عدم وجود خطر
+
+233
+00:18:05,350 --> 00:18:10,410
+وهذا يعني لربما يكون مثلا المكان نفسه غير آمن
+
+234
+00:18:10,410 --> 00:18:14,170
+للشخص، احنا ذكرنا قبل ذلك أن سلامة الشخص أو سلامة
+
+235
+00:18:14,170 --> 00:18:17,150
+المصاب من سلامة المكان لربما يكون مثلا شخص في مكان
+
+236
+00:18:17,150 --> 00:18:21,960
+مغلق و هناك مواد سامة موجودةفبهمني أنا سلامة
+
+237
+00:18:21,960 --> 00:18:25,640
+المصاب بإخراج هذا الشخص المصاب أو الضحية من هذا
+
+238
+00:18:25,640 --> 00:18:31,000
+المكان حتى أمن طريقة لإسعافيه وطريقة لحتى ممكن
+
+239
+00:18:31,000 --> 00:18:32,800
+يحتاج عمل تنفس الصناعيم
+
+240
+00:18:36,570 --> 00:18:39,990
+طبعا عملية إبطال مفعول ما تبقى في الجسم إن أمكن
+
+241
+00:18:39,990 --> 00:18:43,530
+وهي طبعا يعني سنتحدث عنها بالمعادلة في حالة طبعا
+
+242
+00:18:43,530 --> 00:18:48,710
+خاصة الإبتلاع لكن هناك بعض الأدوية في حال تناول أي
+
+243
+00:18:48,710 --> 00:18:52,330
+إنسان عن طريق الحقين أو بعض الأدوية عن طريق مثلا
+
+244
+00:18:52,330 --> 00:18:55,890
+الفم هذه طبعا تكون موجودة في المستشفيات أو في
+
+245
+00:18:55,890 --> 00:18:59,430
+سيارة الإسعاف لطبعا هي تسمى ال antidote للمادة
+
+246
+00:18:59,430 --> 00:19:02,890
+المسببة أو العلاج اللي أخده المريض هذا أو الضحية
+
+247
+00:19:03,160 --> 00:19:07,680
+وبالتالي حتى يقل تأثير هذه المادة و أعيد و أكرر
+
+248
+00:19:07,680 --> 00:19:11,060
+مرة ثانية كل ما كانت المادة داخل جسم الإنسان في
+
+249
+00:19:11,060 --> 00:19:14,640
+فترة قصيرة كل ما كانت النتيجة إيجابية أكثر لكن كل
+
+250
+00:19:14,640 --> 00:19:17,280
+ما كانت الفترة الزمنية أطول كل ما كانت النتيجة
+
+251
+00:19:17,280 --> 00:19:20,060
+سلبية أو نتيجة إيجابية تكون قليلة جدا
+
+252
+00:19:24,170 --> 00:19:28,350
+طبعا إذا كان المصاب فاقد الوعي يعني .. يعني يكون
+
+253
+00:19:28,350 --> 00:19:33,670
+دور المصعف هنا أكتر تعقيدا بتفقد الشخص من حال هل
+
+254
+00:19:33,670 --> 00:19:37,670
+هناك نفس من حال هل هناك نبض وبالتالي إذا لم يكن
+
+255
+00:19:37,670 --> 00:19:41,930
+هناك نفس فيقوم المصعب بإعطاء التنفس للصناعيم إذا
+
+256
+00:19:41,930 --> 00:19:44,870
+لم يكن هناك نبض يقوم المصعب بتدليق القلب مع التنفس
+
+257
+00:19:44,870 --> 00:19:50,030
+للصناعيم لذلك كلما كان الشخص لديه الوعي وهو طبعا
+
+258
+00:19:50,030 --> 00:19:52,830
+نقطة مهمة جدا يجب على المصعب أن يتأكد من وعي
+
+259
+00:19:52,830 --> 00:19:57,700
+المصابأي مصاب أو أي ضحية يكون واعي يكون مساعدا
+
+260
+00:19:57,700 --> 00:20:07,080
+أكتر للمسعف من أي شخص آخر غير واعي طبعا
+
+261
+00:20:07,080 --> 00:20:11,020
+سنتناول الطريقة الأولى وهي التسمم بالابتلاء أو عن
+
+262
+00:20:11,020 --> 00:20:15,520
+طريق الفم وخاصة يعني تكون إما بقصد أو بدون قصد
+
+263
+00:20:15,520 --> 00:20:20,520
+طبعا بدون قصد يعني عن طريق الخطأ وطبعا يعني كما
+
+264
+00:20:20,520 --> 00:20:25,220
+ذكرنا قبل ذلك أن أحد الأسبابالتي تؤدي إلى الحوادث
+
+265
+00:20:25,220 --> 00:20:29,140
+هو الجهل، والجهل هنا في حال طبعا جهل الأطفال
+
+266
+00:20:29,140 --> 00:20:33,460
+باستخدام يعني زجاجات موجود فيها مواد كيموية أو
+
+267
+00:20:33,460 --> 00:20:38,420
+مثلا علب أدوية أو مثلا أشرتة أدوية يعني طبعا كما
+
+268
+00:20:38,420 --> 00:20:41,380
+في السكاكر عند الأطفال أو الحلويات لدى أطفال فهي
+
+269
+00:20:41,380 --> 00:20:45,900
+طبعا شبهة بأشرتة الأدويةأو لربما يكون بالخطأ إنسان
+
+270
+00:20:45,900 --> 00:20:51,340
+يعني قام يتناول الماء على سبيل المثال، لكن هناك
+
+271
+00:20:51,340 --> 00:20:55,000
+زجاجة قريبة من زجاجة الماء أو شبيهة فيها، موجود
+
+272
+00:20:55,000 --> 00:20:59,560
+فيها مواد مثلا حارقة، مثلا الكلور أو التنار، لكن
+
+273
+00:20:59,560 --> 00:21:04,700
+لربما الشخص لما انتبه و أخد هذه المادة بطريق الخطأ
+
+274
+00:21:04,700 --> 00:21:06,040
+و أدى إلى التسمم
+
+275
+00:21:10,450 --> 00:21:14,690
+طبعا بنؤكد مرة أخرى أن ليس بالضرورة يكون أثر
+
+276
+00:21:14,690 --> 00:21:18,390
+المادة السامة فقط على الجهاز ال .. ال .. الهضمي
+
+277
+00:21:18,390 --> 00:21:22,510
+لأن انت تتحدث عنه عن طريق الإبتلاء لكن ربما يمتد
+
+278
+00:21:22,510 --> 00:21:26,330
+إلى ما بعد الجهاز الهضمي و يكون تأثير كما في
+
+279
+00:21:26,330 --> 00:21:31,470
+المخدرات على الجهاز العصبي أو يكون تأثير على الكبد
+
+280
+00:21:31,470 --> 00:21:35,360
+وبالتالي تكون نتيجة سلبيةما هي العوامل التي تؤدي
+
+281
+00:21:35,360 --> 00:21:38,840
+إلى التسمم؟ المواد التي تؤدي إلى التسمم يعني بعض
+
+282
+00:21:38,840 --> 00:21:43,120
+الأمثلة مثلا المواد المحرشة مثلا المشتقات البترول،
+
+283
+00:21:43,120 --> 00:21:47,180
+انترابنتينة، انترالكلور، حمض النيتريك، المبنية
+
+284
+00:21:47,180 --> 00:21:51,080
+الحشرية، الأطعمة الفاسدة وخاصة في أجواء الصيف لأن
+
+285
+00:21:51,080 --> 00:21:54,040
+طبعا تكون التبريد أو السمرار طيار كهربائي غير
+
+286
+00:21:54,040 --> 00:22:00,380
+مستمر وبالتاليعدم وضع الأطعمة في الثلاجة يكون خطير
+
+287
+00:22:00,380 --> 00:22:04,180
+جدا لأن بعض الأسئلة .. الأطعمة تفسد بسرعة و خاصة
+
+288
+00:22:04,180 --> 00:22:07,480
+مشتقات الألبان وبالتالي تكون نتيجة سلبية إذا
+
+289
+00:22:07,480 --> 00:22:11,660
+يتناولها الإنسان بعض المواد الأخرى التي تكون أو
+
+290
+00:22:11,660 --> 00:22:16,840
+تعطي أثر سلبي عندما يتناول الإنسان بكمية كبيرةطبعا
+
+291
+00:22:16,840 --> 00:22:19,780
+لماذا ذكرنا بكمية كبيرة؟ لأن الإنسان يعني ربنا
+
+292
+00:22:19,780 --> 00:22:23,360
+أعطاه إمكانية للتعامل مع بعض السموم التي تدخل جسم
+
+293
+00:22:23,360 --> 00:22:26,940
+الإنسان وخاصة الموجودة في الأدوية إذا كانت كمية
+
+294
+00:22:26,940 --> 00:22:30,420
+قليلة، لكن إذا كانت كمية كبيرة فيكون أثر سلبي، و
+
+295
+00:22:30,420 --> 00:22:33,520
+التاني هناك بعض الأدوية إذا أخذت كمية كبيرة و هذا
+
+296
+00:22:33,520 --> 00:22:37,360
+ما يسمى طبعا سوء استخدام الأدوية أو عن طريق القصد
+
+297
+00:22:37,360 --> 00:22:40,880
+بقصد الانتحار فطبعا تكون نتيجة سلبية و قد تؤدي
+
+298
+00:22:40,880 --> 00:22:46,050
+الوفاة و هناك حالات كثيرة مسجلةبالانتحار عن طريق
+
+299
+00:22:46,050 --> 00:22:51,230
+تناول الأدوية المخدرة أو المهدئة أو الملومات طبعا
+
+300
+00:22:51,230 --> 00:22:54,970
+أعلى بسبب المثال أن أدوية الجهاز العصبي طبعا هذه
+
+301
+00:22:54,970 --> 00:22:58,510
+خاصة جدا تؤثر على الجهاز العصبي مباشرة يمكن يكون
+
+302
+00:22:58,510 --> 00:23:02,830
+تناولها عن طريق الإبتلاع لكن زيادة الكمية يكون
+
+303
+00:23:02,830 --> 00:23:06,630
+فيها أكتر أكتر على الجهاز العصبي المسكنات ومرضوطات
+
+304
+00:23:06,630 --> 00:23:11,150
+الحمة مثلا وطبعا هذه برضه تعتبر مواد لها تأثير
+
+305
+00:23:11,150 --> 00:23:15,540
+سلبي إذا أخذت بكمية كبيرةأدوية الجهاز الدوري و هذا
+
+306
+00:23:15,540 --> 00:23:19,100
+طبعا جهاز أمراض الحساسية الأدوية المخفضة للسكر و
+
+307
+00:23:19,100 --> 00:23:23,500
+منع الحمل بالمجمل .. بالمجمل الأدوية بصفة عامة إذا
+
+308
+00:23:23,500 --> 00:23:27,800
+أخذت بكمية كبيرة يكون لها أثر سلبي و هذا نؤكد مرة
+
+309
+00:23:27,800 --> 00:23:33,420
+أخرى هو سوء استخدام الأدوية و هذا نقطة خطيرة جدا
+
+310
+00:23:33,420 --> 00:23:37,620
+في حال إن الإنسان يستمر بتناول علاج لفترة طويلة
+
+311
+00:23:37,830 --> 00:23:42,770
+لربما قد لا يصل إلى مرحلة التسمم السريعة، لكن
+
+312
+00:23:42,770 --> 00:23:45,690
+لربما يصل إلى مرحلة تلف بعض الأعضاء داخل جسم
+
+313
+00:23:45,690 --> 00:23:49,430
+الإنسان، كما في الكبد أو الكلة، حتى ما أبسط أنواع
+
+314
+00:23:49,430 --> 00:23:53,370
+المسكنات، حتى الأكمل إذا استمر لفترة طويلة، يكون
+
+315
+00:23:53,370 --> 00:23:57,410
+له الأثر السلبي على الكلة، وبالتالي تحديد الفترة
+
+316
+00:23:57,410 --> 00:24:02,290
+الزمنية لتناول علاج ضروري جدا، يعني حتى إذا استمر
+
+317
+00:24:02,290 --> 00:24:06,370
+الأثار والأعراض المرضية موجودة، يجب مراجعة الطبيب
+
+318
+00:24:10,070 --> 00:24:13,830
+طبعا العراض واضحة يعني خاصة إليها علاقة بالجهاز
+
+319
+00:24:13,830 --> 00:24:18,830
+الهضمي كعراض مثلا القيق والغثيان والإسهال وطبعا
+
+320
+00:24:18,830 --> 00:24:24,130
+لربما يكون أثار أخرى قد تشارك الجهاز الهضمي كما
+
+321
+00:24:24,130 --> 00:24:28,070
+تنتقل الأثار المادة السامة هذه إلى الجهاز العصبي
+
+322
+00:24:28,070 --> 00:24:33,020
+ويكون طبعا نتجتها تأثير على باقي أجزاء الجسمطبعا
+
+323
+00:24:33,020 --> 00:24:35,980
+يعني كشيء بسيط جدا، هي عملية طبعا الإسعاف الأولي،
+
+324
+00:24:35,980 --> 00:24:39,920
+طبعا الترتيب نقل المستشفى، لكن هناك أحيانا يعني
+
+325
+00:24:39,920 --> 00:24:44,920
+ممكن يكون بعض الأشياء ملحوظة وممكن باستطاعتنا
+
+326
+00:24:44,920 --> 00:24:49,210
+تقديمها للشخص قبل نقله للمستشفىيعني على اسم المثال
+
+327
+00:24:49,210 --> 00:24:53,610
+يعني إذا تناول المصاب مادة قلوية يعني ممكن طبعا
+
+328
+00:24:53,610 --> 00:24:57,110
+غسل أو مادة حمضية يجب غسل الوجه طبعا و الفم طبعا
+
+329
+00:24:57,110 --> 00:25:01,630
+في أقرب وقت ممكن بعد التناول المادة هذه تخفيف
+
+330
+00:25:01,630 --> 00:25:05,770
+المادة الحارقة بإعطاء الماء أو الحليبالبدور المائو
+
+331
+00:25:05,770 --> 00:25:09,950
+لحليب هو تخفيف و تقليل من الامتصاص و مساعدة في
+
+332
+00:25:09,950 --> 00:25:14,110
+إخراج المادة هذه عن طريق الجهاز الهضمى في حال مثلا
+
+333
+00:25:14,110 --> 00:25:17,270
+تسموا بالمواد المحرشة مثلا زي القوات البترولية
+
+334
+00:25:17,270 --> 00:25:21,850
+مثلا الكاز ال .. البنزين أو ما شبه ذلك المواد كلها
+
+335
+00:25:21,850 --> 00:25:26,630
+أيضا بتم إعطاء اللي هو زيت الزتون أو بياض البيض
+
+336
+00:25:26,630 --> 00:25:30,440
+بالمجمل في هذه النقطتين يعني الممكن إجمالهمفي حال
+
+337
+00:25:30,440 --> 00:25:33,840
+التناول المواد المحرشة الكلور المركز او مثلا
+
+338
+00:25:33,840 --> 00:25:37,460
+الترابانتينا او ماء النار طب الحمد النيتريك او
+
+339
+00:25:37,460 --> 00:25:41,800
+البنزين يبدأ الانسان بإعطاء الحليب اذا لم يكن هناك
+
+340
+00:25:41,800 --> 00:25:47,300
+حليب طب الحليب سائل و يجب اللي يكون ساخنا بارد اذا
+
+341
+00:25:47,300 --> 00:25:52,340
+لم يكن هناك حليب فبإمكان اعطاء زيت الزيتون او بياض
+
+342
+00:25:52,340 --> 00:25:56,070
+البيضإذا لم تكن هذه الأجابة موجودة فاضع في الإيمان
+
+343
+00:25:56,070 --> 00:25:59,830
+اعطاه كمية من الماء حتى يقل تأثير هذه المادة أو
+
+344
+00:25:59,830 --> 00:26:05,950
+تخفيفها لكن بعد ذلك يجب تحويل المصاب أو الضحية إلى
+
+345
+00:26:05,950 --> 00:26:09,930
+المستشفى لأنه لربما يحتاج إلى طرق أخرى أو بعض
+
+346
+00:26:09,930 --> 00:26:10,870
+الأدوية الأخرى
+
+347
+00:26:14,180 --> 00:26:20,240
+طبعا بعض المواد يعني ممكن استخدام طرق بسيطة جدا
+
+348
+00:26:20,240 --> 00:26:23,960
+لإخراجها بشرط أن لا تكون مواد محرشة كالبنزين
+
+349
+00:26:23,960 --> 00:26:26,900
+والتنار والترابنتينة لأن طبعا هذه يكون لها أثر
+
+350
+00:26:26,900 --> 00:26:30,920
+حارق أثناء دخولها وأثناء خروجها وبالتالي أنا
+
+351
+00:26:30,920 --> 00:26:38,230
+أستخدم عملية طبعا التقيقفي حال المواد التي لا يكون
+
+352
+00:26:38,230 --> 00:26:43,150
+لها أثر حارق أنا لا أريد دخول المادة بأثر سلبي
+
+353
+00:26:43,150 --> 00:26:47,250
+وخروجها أيضا بأثر سلبي أي أثر حارق وبالتالي
+
+354
+00:26:47,250 --> 00:26:50,470
+استخدام عملية التقيق في بعض المواد مثلا كالأطعمة
+
+355
+00:26:50,470 --> 00:26:56,220
+الفاسدةلكن هذه طريقة استخدامها باعدة طرق او عملت
+
+356
+00:26:56,220 --> 00:27:00,180
+الاستفراق باعدة طرق اما عن طريق طبعا الإصبع او عن
+
+357
+00:27:00,180 --> 00:27:05,780
+طريق طبعا التناول كمية من الماء المملح بتركيز عالي
+
+358
+00:27:06,240 --> 00:27:09,000
+لكن هذه الطريقة صعبة جدا تناولها في حالات أو
+
+359
+00:27:09,000 --> 00:27:11,780
+استخدامها في حالات مثلا الغماء أو التشنجات لأنها
+
+360
+00:27:11,780 --> 00:27:15,520
+طبعا غير مساعدة وخوف منها طبعا اللي هو دخول المادة
+
+361
+00:27:15,520 --> 00:27:19,160
+السامة لأرئتين طبعا عدم القدرة على البلعب لربما
+
+362
+00:27:19,160 --> 00:27:24,500
+بعض المواد قد تؤدي إلى اتشلل في منطق مثلا اعلى
+
+363
+00:27:24,500 --> 00:27:29,060
+الجهاز الهضمىو خاصة البلعب طبعا و كما ذكرنا أن
+
+364
+00:27:29,060 --> 00:27:32,680
+المواد الكيموية لا يستخدم فيها عملية الاستفراغ لأن
+
+365
+00:27:32,680 --> 00:27:35,220
+طبعا لها أثر ضار أما بالنسبة للمواد الكيموية كما
+
+366
+00:27:35,220 --> 00:27:38,460
+ذكرنا استخدام الحليب أو زيت الزيتون أو بيض البيض
+
+367
+00:27:38,460 --> 00:27:42,500
+أو الماء الطريقة الخامسة عملية غسيل المعدة وهي
+
+368
+00:27:42,500 --> 00:27:46,040
+طبعا لا تحدث إلا في المستشفى بشرط أن لا تكون
+
+369
+00:27:46,040 --> 00:27:50,100
+المادة قد مضى عليها من 3 إلى 4 ساعاتلأن بعد ذلك
+
+370
+00:27:50,100 --> 00:27:54,400
+تكون نتيجة ليست بالإيجابية ولا تكون لها فائدة
+
+371
+00:27:54,400 --> 00:27:58,180
+للمدى قد تم امتصاصها لكن بالمجمل هذه الحالات
+
+372
+00:27:58,180 --> 00:28:03,140
+يلزمها مستشفى إذا عدت فترة زمنية كبيرة أو طويلة
+
+373
+00:28:03,140 --> 00:28:07,260
+على الشخص لأن طبعا لو ربما يكون التأثير سلبي وضار
+
+374
+00:28:07,260 --> 00:28:09,480
+جدا وقد يصل إلى درجة الموت
+
+375
+00:28:12,170 --> 00:28:15,470
+لكن يوم نعلجه إليه طبعا في حالات طبعا اللي هو غسيل
+
+376
+00:28:15,470 --> 00:28:18,510
+المعدة في حاجات مثلا غيبوبة و التشنج و الأطفال و
+
+377
+00:28:18,510 --> 00:28:21,570
+سيدات الحوامل و مرض القلب ده طبعا ليكون له تأثير
+
+378
+00:28:21,570 --> 00:28:26,630
+سلبي ولا يساعد الضحية من الحالات هذه في عملية غسيل
+
+379
+00:28:26,630 --> 00:28:30,730
+المعدة طبعا غسيل المعدة بالمناسبة هي إدخال محلول
+
+380
+00:28:30,730 --> 00:28:35,270
+ملحي داخل المعدة و إخراجه مرة أخرى عن طريق الأنف
+
+381
+00:28:35,270 --> 00:28:39,070
+حتى نصل إلى المادة المسببة الموجودة داخل المعدة
+
+382
+00:28:39,070 --> 00:28:44,870
+لكن إذا كان المعدةفارغة بمعنى بعد أربع ساعات فتكون
+
+383
+00:28:44,870 --> 00:28:48,830
+نتيجة غير مشدية وبالتالي يجب أن يكون غسيل المعدة
+
+384
+00:28:48,830 --> 00:28:49,890
+أقل من أربع ساعات
+
+385
+00:28:55,250 --> 00:28:58,990
+طبعا ايضا لا يستخدم غسيل المعدة في حال المواد
+
+386
+00:28:58,990 --> 00:29:03,230
+المحرشة لان انا لا اريد اخراجها و اثر سلبي لها لكن
+
+387
+00:29:03,230 --> 00:29:06,470
+كما ذكرت ممكن اعطاه الحليب و طبعا اعطاه بعض
+
+388
+00:29:06,470 --> 00:29:09,750
+الأدوية عن طريق الوريد لكن هذا يكون في المستشفى
+
+389
+00:29:09,750 --> 00:29:14,330
+لتقليل مثلا زي cortisol لتقليل اثر الدار على الجسم
+
+390
+00:29:15,910 --> 00:29:20,190
+بعض المواد أو المستخدم وبعض الطرقية يعني إذا شعرنا
+
+391
+00:29:20,190 --> 00:29:24,330
+إن هذه المادة ليست قاتلة أو ليست درجة سمية عالية
+
+392
+00:29:24,330 --> 00:29:29,470
+جدا فاستخدام بعض الملينات لزيارة الحركة الدودية في
+
+393
+00:29:29,470 --> 00:29:35,030
+الأمعام و لزيارة إخراج المادة السامة بزيارة الحركة
+
+394
+00:29:35,030 --> 00:29:39,250
+الدودية في الأمعام و التخلص منها عن طريق المستقيم
+
+395
+00:29:39,250 --> 00:29:43,990
+أما إذا كانت المادة خطيرة جدا فهذه الطريقة غير
+
+396
+00:29:43,990 --> 00:29:44,530
+مجدية
+
+397
+00:29:51,520 --> 00:29:55,740
+التسمم الغذائي طبعا من المصطلح نفسه تسمم غذائي أي
+
+398
+00:29:55,740 --> 00:30:01,820
+تناول إنسان مادة غذائية لكن هذه المادة أصبحت فاسدة
+
+399
+00:30:01,820 --> 00:30:06,880
+و فساد هذه المادة يحدد أثر أثر سلبي على الجسم
+
+400
+00:30:06,880 --> 00:30:11,120
+وبالتالي تكون نتيجة سلبية قد يظهر عليها أعراض من
+
+401
+00:30:11,120 --> 00:30:17,510
+قيق استفراج ألم في البطن تلبكلربما يكون لها أثر
+
+402
+00:30:17,510 --> 00:30:20,810
+أيضًا على الجهاز العصبي إذا كانت من بعض المواد
+
+403
+00:30:20,810 --> 00:30:23,710
+التي تؤثر على الجهاز العصبي، لأنه ليس بالضرورة كل
+
+404
+00:30:23,710 --> 00:30:26,610
+المواد التي تدخل عن طريق الفم يكون لها أثر على
+
+405
+00:30:26,610 --> 00:30:31,030
+الجهاز العصبي، لكن لربما يكون فقط أثرها موضعي وعلى
+
+406
+00:30:31,030 --> 00:30:35,360
+الجهاز الغضبي اللي دخلت منهو طبعا يعني كثير قد
+
+407
+00:30:35,360 --> 00:30:40,200
+تحدث بين الأطفال خاصة تناول أطفال أي أشياء موجودة
+
+408
+00:30:40,200 --> 00:30:45,680
+مثلا و بالذات الأطفال الذين يعني يبدؤون بالمشي أو
+
+409
+00:30:45,680 --> 00:30:52,160
+الزحف فأي شيء يتناوله يدخل إلى الفم و هناك خطر إما
+
+410
+00:30:52,160 --> 00:30:57,370
+بالاختناق أو بالتسمميعني بعض الموضوع الغذائية
+
+411
+00:30:57,370 --> 00:31:01,010
+اللتي يتناول الإنسان قد تؤدي لقيء و قد تؤدي أيضًا
+
+412
+00:31:01,010 --> 00:31:04,690
+إلى الإسهال طبعًا عملية القيء و الإسهال هذه يعني
+
+413
+00:31:04,690 --> 00:31:10,810
+رحمة من ربنا بإخراج المادة الضارة التي تؤثر سلبيًا
+
+414
+00:31:10,810 --> 00:31:15,210
+على جسم الإنسان وهذه طبعًا آلية الإنسان نفسه لا
+
+415
+00:31:15,210 --> 00:31:19,270
+يتحكم بها وإنما الجسم نفسه هو اللي يتحكم بيها وهي
+
+416
+00:31:19,270 --> 00:31:23,040
+طبعًا من نعم ربنا عليناحتى لا تكون المادة موجودة و
+
+417
+00:31:23,040 --> 00:31:30,180
+يكون لها أثر ضار على حياة الإنسان بعض
+
+418
+00:31:30,180 --> 00:31:33,900
+المواد يعني قد تحدث ارتفاع أيضا في درجة الحرارة و
+
+419
+00:31:33,900 --> 00:31:36,840
+طبعا بعض المواد الضارة و بعض المواد اللتي تكون
+
+420
+00:31:36,840 --> 00:31:40,220
+فاسدة جدا و ارتفاع درجة الحرارة هي وسيلة من جسم
+
+421
+00:31:40,220 --> 00:31:46,020
+الإنسان للدفاع عن نفسه بمحاولته قتل الميكروب او
+
+422
+00:31:46,020 --> 00:31:49,140
+قتل المادة السامة او تخفيف المادة السامة
+
+423
+00:31:53,390 --> 00:31:57,630
+طبعا الأعراض لربما لا تحدث مباشرة، لربما تحدث بعد
+
+424
+00:31:57,630 --> 00:32:01,310
+ساعة، ساعتين، أربع ساعات، و هنا طبعا نقول إحنا
+
+425
+00:32:01,310 --> 00:32:06,330
+خلال الأول 24 ساعة، إذا لم يكن هناك أثر سلبية و
+
+426
+00:32:06,330 --> 00:32:10,170
+تخلصنا منها، و يكون الإنسان بسلام و أمان، لكن إذا
+
+427
+00:32:10,170 --> 00:32:14,330
+ترك الإنسان بدون متابعة، لربما تكون المادة دي تعمل
+
+428
+00:32:14,330 --> 00:32:17,970
+تدريجيا و يكون إليها أثر الدار على حياة الإنسان
+
+429
+00:32:22,260 --> 00:32:26,120
+طبعا يعني الصحافة الأول اللي تسموه الغذائي يعني
+
+430
+00:32:26,120 --> 00:32:29,980
+أول حاجة بده يكون عندنا متابعة لأطفال الردع،
+
+431
+00:32:29,980 --> 00:32:34,760
+متابعة للأطفال بذحف جديد، طبعا متابعة في .. في
+
+432
+00:32:34,760 --> 00:32:39,910
+الحفاظ على الأغذية، طبعا يعني حفظ الأغذية جيداطبعا
+
+433
+00:32:39,910 --> 00:32:43,510
+التأكد من توريخ المعلبات، طبعا توريخ المعلبات يعني
+
+434
+00:32:43,510 --> 00:32:49,050
+مهم جدا كتير، طبعا يعني تكون الأخذية في شكل يعني
+
+435
+00:32:49,050 --> 00:32:53,170
+صحي حتى يتم تقديمه وتجنب اللي هي المواد السامة
+
+436
+00:32:53,170 --> 00:32:56,670
+التي قد تكون بعض المواد أو الأطعمة الفاسدة التي
+
+437
+00:32:56,670 --> 00:32:57,950
+تدخل جسم الإنسان
+
+438
+00:33:00,790 --> 00:33:05,310
+طبعا شيء طبيعي جدا بعد الإسعاف الأولى لشخص هذا إذا
+
+439
+00:33:05,310 --> 00:33:08,630
+كان يعاني من إسهال أو قيق و تخلص من هذه المادة
+
+440
+00:33:08,630 --> 00:33:13,510
+طبعا لا يُعطى مباشرة أي أغذية صلبة لكن يتم
+
+441
+00:33:13,510 --> 00:33:17,070
+الانتظار بعد ربع ساعة و أشياء بسيطة جدا سهلة
+
+442
+00:33:17,070 --> 00:33:21,430
+الانتصاص حتى يتم تعويض ما تم التخلص منه أو
+
+443
+00:33:21,430 --> 00:33:25,630
+الاستفراغ الذي حدث حتى يتم إعادة توازن لأملاح
+
+444
+00:33:25,630 --> 00:33:31,020
+المعادن داخل جسم الإنسانطبعا خير شيء أو أفضل شيء
+
+445
+00:33:31,020 --> 00:33:36,480
+هو طبعا الشورع بقى طبعا بدنا نقول نقطة مهمة جدا
+
+446
+00:33:36,480 --> 00:33:41,240
+كتير هنا في بعض الحالات أنه تناول إنسان أي مادة
+
+447
+00:33:41,240 --> 00:33:44,860
+ضارة أو شيء و حصل عنده قيأه و إسهال هناك مفهوم
+
+448
+00:33:44,860 --> 00:33:49,400
+خاطئ عند بعض الناس أنه تناول بعض الأدوية لتوقف أو
+
+449
+00:33:49,400 --> 00:33:52,770
+لإيقاف عملية القيأ و الإسهالطبعا ده مفهوم خاطئ
+
+450
+00:33:52,770 --> 00:33:58,170
+بمعنى أنه كلما طرد الجسم المادة الضارة دي و أثرها
+
+451
+00:33:58,170 --> 00:34:03,010
+كل مكان إيجابيا أكتر بعكس لو أخذ مواد أو أدوية
+
+452
+00:34:03,010 --> 00:34:06,790
+لعملية إيقاف الإسهال أو القيق فستبقى المادة داخل
+
+453
+00:34:06,790 --> 00:34:10,790
+جسم الإسهال و يكون أثر أكتر خطورة و يزيد المرض
+
+454
+00:34:10,790 --> 00:34:14,530
+أكتر و الدرر أكتر وبالتاليطرد المادة هذه من جسم
+
+455
+00:34:14,530 --> 00:34:19,650
+السان هو فيه نتيجة إيجابية أكتر من إبقائها مع
+
+456
+00:34:19,650 --> 00:34:24,310
+تناول بعض الأدوية التي تستخدم لإيقاف الإسال أو
+
+457
+00:34:24,310 --> 00:34:29,410
+القياءة طبعا
+
+458
+00:34:29,410 --> 00:34:32,670
+هناك قد يكون بعض تسمم الدوائل مثلا أو الكيميائي
+
+459
+00:34:32,670 --> 00:34:36,730
+طبعا يعني أسئلة بسيطة جدا يعني إذا كان شخص واعي أو
+
+460
+00:34:36,730 --> 00:34:40,350
+غير واعي طبعا معرفة المادة التي تتناولها وتحديدها
+
+461
+00:34:40,350 --> 00:34:44,620
+كما ذكرنا قبل ذلكوبالتالي يعني التأكد لأن بعض
+
+462
+00:34:44,620 --> 00:34:49,220
+الأدوية قد يكون لتأثير سلبي على التنفس أو قد تبطئ
+
+463
+00:34:49,220 --> 00:34:52,620
+عملية التنفس وبالتالي إذا كان الشخص لديه نفس ضعيف
+
+464
+00:34:52,620 --> 00:34:57,260
+فنقوم بإعطاء التنفس الصناعي وطبعا بالمجمل نتأكد من
+
+465
+00:34:57,260 --> 00:35:02,540
+علامة الحياة سواء التنفس أو اللي هو دقات القلب إذا
+
+466
+00:35:02,540 --> 00:35:06,280
+كان الشخص فاقد وعي ولكنه تنفس و القلب ينبض فقالي
+
+467
+00:35:06,280 --> 00:35:10,140
+بنستخدم وضع لفاقة للمحافظة على الدورة الدموية
+
+468
+00:35:10,140 --> 00:35:15,740
+والتنفسإذا كان هناك بعض المواد يعني تم ضبطها في
+
+469
+00:35:15,740 --> 00:35:19,880
+مكان حادث طبعا تم أخذها للمستشفى لتقييم المادة أو
+
+470
+00:35:19,880 --> 00:35:26,160
+يعطي العلاج المناسبكما ذكرت طبعا لا يجبر الإنسان
+
+471
+00:35:26,160 --> 00:35:31,260
+على إعطاء أو أخذ مواد أو أدوية ممكن أن تؤثر على
+
+472
+00:35:31,260 --> 00:35:35,120
+عملية طبعا القيئة والاسهال أو لا يجبر على إعطاء
+
+473
+00:35:35,120 --> 00:35:40,620
+مثلا شوربات أو أغذية إذا كان لازال في عملية طبعا
+
+474
+00:35:40,620 --> 00:35:46,260
+الاستفراغ لطبعا وجود مادة مهيجةأما إذا كان و لابد
+
+475
+00:35:46,260 --> 00:35:50,300
+طبعا بعد عملية الاستفراغ ممكن يعطاه بعض السوائل أو
+
+476
+00:35:50,300 --> 00:35:55,020
+الشوربات بكمية قليل جدا حتى لا تقوم المعدة بمفض ما
+
+477
+00:35:55,020 --> 00:36:01,870
+هو النغذية دخل عليها من جديدنتوقف هنا حتى نكمل في
+
+478
+00:36:01,870 --> 00:36:06,810
+لقاء آخر حول موضوع التسمم، لذلك تحدثنا عن طرق
+
+479
+00:36:06,810 --> 00:36:10,350
+التسمم و ذكرنا أربع طرق و تناولنا طريقة واحدة
+
+480
+00:36:10,350 --> 00:36:14,090
+منها، ألا وهي الطريق عن طريق الإبتلاء، سنكمل في
+
+481
+00:36:14,090 --> 00:36:17,870
+لقاء آخر حول الطرق الثلاث المتبقية، شكرا مبارك
+
+482
+00:36:17,870 --> 00:36:18,350
+الله فيكم
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/l5JyLkoAQZg_postprocess.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/l5JyLkoAQZg_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..58eafd720347b703112926f86dfba75159dac318
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/l5JyLkoAQZg_postprocess.srt
@@ -0,0 +1,1000 @@
+1
+00:00:05,470 --> 00:00:08,450
+بسم الله الرحمن الرحيم سنتحدث اليوم إن شاء الله عن
+
+2
+00:00:08,450 --> 00:00:11,290
+الجهاز الهيكلي الحركي وأهم شيء في الجهاز الهيكلي
+
+3
+00:00:11,290 --> 00:00:14,890
+الحركي هو موضوع الكسور يعني كبداية الجهاز الهيكلي
+
+4
+00:00:14,890 --> 00:00:18,590
+الحركي يتكون من ثلاث أجزاء أساسية على و هي العظام
+
+5
+00:00:18,590 --> 00:00:23,490
+والمفاصل و العضلات يعني سنركز شيء يعني بالتفصيل
+
+6
+00:00:23,490 --> 00:00:29,810
+أكتر بالنسبة للعظام وأهم شيء هو قليلالتعامل مع
+
+7
+00:00:29,810 --> 00:00:32,290
+الكسور لأنا أتحدث هنا عن أمراض بالنسبة للجهاز
+
+8
+00:00:32,290 --> 00:00:36,370
+الهيكل الحركي وإنما كيفية إسعاف الحوادث التي قد
+
+9
+00:00:36,370 --> 00:00:39,630
+تصيب أو تؤثر على الجهاز الهيكل الحركي ومن ضمنها
+
+10
+00:00:39,630 --> 00:00:44,770
+الكسور سنتعرف حاليا كيفية التعامل مع الكسور وما هي
+
+11
+00:00:44,770 --> 00:00:48,790
+الأعراض البدائية أو البسيطة التي من خلالها يمكن أن
+
+12
+00:00:48,790 --> 00:00:53,020
+نشك أو نظن أن هناك كسر يعني كبدايةالكسر هو انفصال
+
+13
+00:00:53,020 --> 00:00:56,140
+عظمتين إما انفصال كليا أو انفصال جزئيا لو ربما
+
+14
+00:00:56,140 --> 00:01:00,140
+يكون هناك كسر بسيط و تبقى العظم كما هي و يكون هناك
+
+15
+00:01:00,140 --> 00:01:05,000
+شرخ ما بين العظمتين و يكون هناك اتصال ما بين
+
+16
+00:01:05,000 --> 00:01:08,620
+العظمتين أو لو ربما يكون هناك انفصال و يكون طبعا
+
+17
+00:01:08,620 --> 00:01:13,800
+كسر تفتتي أو يكون كسر مضاعف من خروج العظم خارج جسم
+
+18
+00:01:14,160 --> 00:01:18,920
+يعني كقواعد أساسية يُقيا طبعا يمنع منعا باتا إعادة
+
+19
+00:01:18,920 --> 00:01:22,520
+العظام إلى وضعها الطبيعي في حالة الكسور ويمنع منعا
+
+20
+00:01:22,520 --> 00:01:27,380
+باتا الضغط على الكسور لتقويمهاأهم شيء بالنسبة
+
+21
+00:01:27,380 --> 00:01:32,120
+للكسور هي المحافظة على الكسر كما هو مع عدم تقويمه
+
+22
+00:01:32,120 --> 00:01:37,020
+أو تعديله أو إعادته للوضع الطبيعي وبالتالي أهم شيء
+
+23
+00:01:37,020 --> 00:01:42,620
+هي كيفية التعامل من خلال التثبيت واستخدام المثبتات
+
+24
+00:01:42,620 --> 00:01:46,440
+أو استخدام الجبائر بسيطة طبعا كقاعدة أساسية في حال
+
+25
+00:01:46,440 --> 00:01:51,580
+الإسعاف الأولي قلناإن قلة الإمكانيات لا تمنع تقديم
+
+26
+00:01:51,580 --> 00:01:56,240
+الخدمة ومن هنا نستعين بأشياء بسيطة جدا للحفاظ على
+
+27
+00:01:56,240 --> 00:02:01,440
+سلامة الشخص وتقليل المضاعفات وأيضا الوقاية من
+
+28
+00:02:01,440 --> 00:02:06,540
+مشاكل قد تحدث في حال النقل الخاطئ أو تقويم الخاطئ
+
+29
+00:02:06,960 --> 00:02:10,840
+لذلك فإننا قد نستعين بقطعة خشبية، بقطعة معدنية،
+
+30
+00:02:10,840 --> 00:02:17,020
+بكتاب، بمنديل، بأربطة، بأحزمة حتى نساعد على تثبيت
+
+31
+00:02:17,020 --> 00:02:21,060
+الكسر الملاحظة الثانية أنه يجب في حال تثبيت الكسور
+
+32
+00:02:21,060 --> 00:02:25,380
+عدم الضغط على مكان الكسر في حال التثبيت وإنما بعد
+
+33
+00:02:25,380 --> 00:02:29,900
+الكسر وقبل الكسر أيضًا الملاحظة الأخرىهي أن يشمل
+
+34
+00:02:29,900 --> 00:02:34,040
+أو تشمل الجبيرة مفصل قبل ومفصل بعد يعني على سبيل
+
+35
+00:02:34,040 --> 00:02:38,020
+المثال إذا كان هناك كسر في الساعد فيجب أن يشمل
+
+36
+00:02:38,020 --> 00:02:43,340
+الجبيرة مفصل الرسغ ومفصل طبعا الكون وهو طبعا شيء
+
+37
+00:02:43,340 --> 00:02:48,020
+مهم أو مفصل المرفق وهو طبعا شيء مهم جدا لذلك نركز
+
+38
+00:02:48,020 --> 00:02:51,840
+على هذه النقطة لأن في حال تحريك المفصل قبل أو مفصل
+
+39
+00:02:51,840 --> 00:02:57,090
+بعد فهناك طبعا يكون في حركة للكسرأيضًا أي شيء يكون
+
+40
+00:02:57,090 --> 00:03:00,830
+موجود على الكسور كبداية نحافظ، اللي ربما يكون هناك
+
+41
+00:03:00,830 --> 00:03:05,110
+نزيف، فنعمل كبداية على إيقاف النزيف، لذلك سنقوم
+
+42
+00:03:05,110 --> 00:03:09,770
+حاليًا بالتمثيل عمليًا في كيفية إسعاف شخص قد أصيب
+
+43
+00:03:09,770 --> 00:03:13,350
+بكسور في الأطراف العلوية ومن ثم ننتقل إلى الأطراف
+
+44
+00:03:13,350 --> 00:03:16,410
+السفلية، لكن هنا نقطة مهمة جدًا، اللي ربما يكون
+
+45
+00:03:16,410 --> 00:03:20,190
+هناك كسر مفتوح وكسر مغلقالكسر المفتوح نراه بعيننا
+
+46
+00:03:20,190 --> 00:03:23,510
+وقد يكون مصاحب .. وغالبا يكون مصاحبا للنزيف لأن
+
+47
+00:03:23,510 --> 00:03:26,270
+طبعا يكون اختراق العظام للجلد أو نفس الجلد
+
+48
+00:03:26,270 --> 00:03:29,550
+الخارجية ومن ضمن طبعا العضلات أما الكسر المغلق
+
+49
+00:03:29,550 --> 00:03:36,860
+فيتمملاحظته من خلال إحمرار ورم سخونة ألم تشوه طبعا
+
+50
+00:03:36,860 --> 00:03:40,920
+يعني عدم قدرة الشخص لأداء وظيفته في هذا العضو
+
+51
+00:03:40,920 --> 00:03:44,600
+وبالتالي في حالة كسور مغلقة الأعلامات الخارجية
+
+52
+00:03:44,600 --> 00:03:48,440
+التي تدلنا أما في الكسور المفتوحة فيصاحبه نظيف
+
+53
+00:03:48,440 --> 00:03:52,700
+وكسر سنبدأ حاليا في بعض الإجراءات البسيطة والتعامل
+
+54
+00:03:52,700 --> 00:03:57,660
+مع حالات كسور في الأطراف العلوية على سبيل المثال
+
+55
+00:03:57,660 --> 00:04:05,270
+لدينا الساعدوالعضد وعظام الكتف أو عظمة الطرقوة
+
+56
+00:04:05,270 --> 00:04:10,270
+وطبعا لوحة الكتف سنبدأ تدرجيا بالتعامل مع عظمة
+
+57
+00:04:10,270 --> 00:04:15,150
+عظمة في حال الكثور وهنا نتحدث عن إسعاف أولي وليس
+
+58
+00:04:15,150 --> 00:04:20,190
+علاج طبعا هذا شيء مهم جداوكل ما ساعدت في تثبيت
+
+59
+00:04:20,190 --> 00:04:24,170
+الكسر كل ما قلت المضاعفات وقل الألم لأن طبعا لربما
+
+60
+00:04:24,170 --> 00:04:28,270
+يكون أهم شيء في حال تثبيت الكسر تجنب الشخص من
+
+61
+00:04:28,270 --> 00:04:31,730
+الصدمة الناتجة عن الألم ألا وهي الصدمة العصبية
+
+62
+00:04:31,730 --> 00:04:38,550
+لذلك لربما يكون مؤشر ليهكمسعف في تحديد لمكان الكسر
+
+63
+00:04:38,550 --> 00:04:44,130
+يعني تجاه اليد يساعدني على توضيح مكان الكسر إذا
+
+64
+00:04:44,130 --> 00:04:49,690
+كان الضحية يده بالصورة التالية ويضع يده الأخرى في
+
+65
+00:04:49,690 --> 00:04:55,110
+دعم الطرف المكسور فنلاحظ أن هناك كسور في الساعد
+
+66
+00:04:55,110 --> 00:04:59,510
+أما إذا كان يده لأعلى فكل ما ارتفعت اليد كل مكان
+
+67
+00:04:59,510 --> 00:05:03,220
+الكسر لأعلىكلما ارتفعت لأعلى كلما كان الكسر لأعلى
+
+68
+00:05:03,220 --> 00:05:07,920
+وبالتالي هذا مؤشر حتى أنا كمسعف مبدأيًا أقيم مكان
+
+69
+00:05:07,920 --> 00:05:14,080
+الكسور لنبدأ حاليًا بكسور طبعًا الساعد طبعًا وقلنا
+
+70
+00:05:14,080 --> 00:05:18,660
+احنا كبداية لازم أغطي مفصل بعيد ومفصل قبل طبعًا
+
+71
+00:05:18,660 --> 00:05:21,960
+احنا قلنا ممكن نستفيد بشيء بسيط جدا أنا يعني في
+
+72
+00:05:21,960 --> 00:05:25,830
+عندىالكتاب ممكن أستفيد فيه، هذا تعتبر جبيرة، أي
+
+73
+00:05:25,830 --> 00:05:28,470
+قطعة معدنية تعتبر جبيرة، أي قطعة خشبية تعتبر
+
+74
+00:05:28,470 --> 00:05:32,070
+جبيرة، وبالتالي أساعد لربما، لا سمح الله هناك كسر
+
+75
+00:05:32,070 --> 00:05:35,870
+فيه، أساعد، والعلمات التي اتحدثت عنها، من إحمرار،
+
+76
+00:05:35,870 --> 00:05:39,870
+من ورم، من سخونة، من ألم، من تشوه، هذا ما يدل لي
+
+77
+00:05:39,870 --> 00:05:44,830
+أن هناك طبعا فيه كسور، ونحذر من إعادة تقويم أو
+
+78
+00:05:44,830 --> 00:05:49,270
+تقييم الكسرلوضعه الطبيعي أو إعادته لوضعه الطبيعي
+
+79
+00:05:49,270 --> 00:05:53,270
+يعني على اسم المثال لدينا كسر بيه طبعاً للساعد
+
+80
+00:05:53,270 --> 00:06:01,550
+فكوسيلة بسيطة أضع هذه الجابيرة طبعا ألاحظ هنا
+
+81
+00:06:01,550 --> 00:06:06,940
+الجابيرة تغطي مفصل بعد وهو طبعا مفصل الرسلواضع
+
+82
+00:06:06,940 --> 00:06:11,260
+بالصورة التالية عساس إن أنا أستفيد هكذا طبعا أنا
+
+83
+00:06:11,260 --> 00:06:16,140
+أعمل التثبيت لمفصل بعيد بالنسبة للكسور طبعا أستفيد
+
+84
+00:06:16,140 --> 00:06:20,300
+أو أستعين بأي أشياء بسيطة سواء أربطها، سواء طبعا
+
+85
+00:06:20,300 --> 00:06:23,880
+رابطات ضاغطة أو .. أو طبعا مشد أو يعني لو كان لو
+
+86
+00:06:23,880 --> 00:06:28,320
+ربما حتى قطعة قماشية يعني حتى تساعدني في تثبيت
+
+87
+00:06:28,320 --> 00:06:33,880
+الكسرحتى أقوم بتثبيت الكسر و تثبيت مفصل بعيد و
+
+88
+00:06:33,880 --> 00:06:36,440
+مفصل قبل طبعا على سبيل المثال افترض هذه قطعة
+
+89
+00:06:36,440 --> 00:06:41,220
+قماشية عادية و ليست طبية فانا اعمل على ادخالها
+
+90
+00:06:41,220 --> 00:06:47,240
+أسفل الجبيرة وبالتالي أقوم بالربط هذا الجزء
+
+91
+00:06:57,520 --> 00:07:02,060
+وهي حبة ده لو كان الجزء طبعا اللي بها يشمل هذا
+
+92
+00:07:02,060 --> 00:07:08,480
+الجزء الملفوف أو المنبوط نفترض
+
+93
+00:07:08,480 --> 00:07:12,180
+الكسر في المنتصف فانا لأضغط على مكان منتصف وحاول
+
+94
+00:07:12,180 --> 00:07:21,390
+أبعد الربط إلى الجزء بعد الكسر بالصورة التاليةهذا
+
+95
+00:07:21,390 --> 00:07:26,550
+بالصورة هذه أنا بكون ثبتت المفصل البعد بيبقى عليا
+
+96
+00:07:26,550 --> 00:07:30,590
+طبعا المفصل اللي هو القبل اللي هو مفصل الكؤو أو
+
+97
+00:07:30,590 --> 00:07:38,870
+مفصل المرفق بالتالي أقوم بعملية تثبيت للكسر أو
+
+98
+00:07:38,870 --> 00:07:44,530
+المفصل البعد باستخدام الرباط المثلث الصورة التالية
+
+99
+00:07:47,200 --> 00:07:53,100
+أحاول أن يقف المريض معي مساندا يدهو بالطرف و
+
+100
+00:07:53,100 --> 00:07:57,580
+أستخدم الرباط المثلث طبعا يعني هناك ملاحظة يعني
+
+101
+00:07:57,580 --> 00:08:02,140
+الرباط المثلث ممكن يكون حط و منديل قطعة كماش مربعة
+
+102
+00:08:02,140 --> 00:08:06,060
+و أثنية على الطرفين تكون مثلثة أو تأخذ شكل مثلث
+
+103
+00:08:06,060 --> 00:08:10,960
+وبالتاليدايماً حين استخدامي للرباط المثلث يكون رأس
+
+104
+00:08:10,960 --> 00:08:18,640
+المثلث عند المرفق أو للداخل فاضع جزء من الرباط
+
+105
+00:08:18,640 --> 00:08:23,320
+المثلث بالصورة الآتية تمام
+
+106
+00:08:23,320 --> 00:08:28,750
+والمريد نفسه يساعدني بتقريب اليد المكسورةبالصورة
+
+107
+00:08:28,750 --> 00:08:34,890
+الآتية وأضع وأعمل عنق وأعمل ربطة على العنق ويجب أن
+
+108
+00:08:34,890 --> 00:08:40,230
+تكون الربطة على الجنب ولا تكون على الخلف حتى لا
+
+109
+00:08:40,230 --> 00:08:44,410
+نضغط على العمود الفقري بالصورة الآتية
+
+110
+00:08:47,900 --> 00:08:51,960
+طبعا هذه وسيلة ان انا من خلالها انا بدي احاول ..
+
+111
+00:08:51,960 --> 00:08:56,400
+طبعا هذا الجزء ممكن انا بمنديق بدبوس ب .. ممكن
+
+112
+00:08:56,400 --> 00:09:00,960
+اعمل عقدة بسيطة لتثبيت الكسر او لتثبيت الجزء
+
+113
+00:09:00,960 --> 00:09:05,960
+المتدلي بالنسبة للرباط المثلث هي ناحية جمالية اكثر
+
+114
+00:09:05,960 --> 00:09:13,070
+ومن ثم ممكن استخدم رباط مثلث اخر للمساعدةعلى
+
+115
+00:09:13,070 --> 00:09:18,130
+التثبيت لأن طبعا هنا أنا ثبتت مفصل بعيد مفصل الرسغ
+
+116
+00:09:18,130 --> 00:09:21,970
+وهنا طبعا مفصل قبل هو مفصل المرفق وبالتالي هنا
+
+117
+00:09:21,970 --> 00:09:27,050
+يكون الشخص لو ترك يده تكون معلقة وهذا طبعا التعليق
+
+118
+00:09:27,050 --> 00:09:32,950
+يكون حماية للكسر الموجود هنا ممكن ممكن أستخدم مثلث
+
+119
+00:09:32,950 --> 00:09:37,410
+آخر أو بدونه طبعا هذا يرجعالشخص نفسه يمكن
+
+120
+00:09:37,410 --> 00:09:41,350
+استخدامنا لل .. لل .. للرباط المثلث الآخر أو ممكن
+
+121
+00:09:41,350 --> 00:09:45,670
+استخدم رباط يعني مستعرض أو رباط عريض على أساس إن
+
+122
+00:09:45,670 --> 00:09:51,090
+أثبت الكسر طبعا تحت الإبط و من خلف الشخص عساس يكون
+
+123
+00:09:51,090 --> 00:09:54,970
+عندهاناطبعا يعني أشياء يعني كل مكان فيها استخدام
+
+124
+00:09:54,970 --> 00:09:59,150
+لل .. لل .. للأربطات وبالصورة التالية طبعا هنا
+
+125
+00:09:59,150 --> 00:10:04,430
+يكون دعم أكتر هذا شيء إضافي للجزء الخلفي بالنسبة
+
+126
+00:10:04,430 --> 00:10:08,670
+للكسر وبالتالي يكون ثباتة الكسر هذا بالنسبة لكسور
+
+127
+00:10:08,670 --> 00:10:13,430
+السعد سنتحدث الآن في حال أن هناك كان كسر في الجزء
+
+128
+00:10:13,430 --> 00:10:15,250
+الأعلى ألا وهو العضد
+
+129
+00:10:21,980 --> 00:10:27,120
+طبعا هنا نفترض ان هناك الكسر في منطقة العضد هذا
+
+130
+00:10:27,120 --> 00:10:28,820
+بالنسبة لمنطقة الساعد
+
+131
+00:10:33,520 --> 00:10:37,580
+ذكرنا أن ربما يكون الكسر في الجزء الأعلى فيكون
+
+132
+00:10:37,580 --> 00:10:42,060
+طبعا يد الشخص بتجه إلى الأعلى من هنا استخدم أيضا
+
+133
+00:10:42,060 --> 00:10:45,600
+رباط مثلث ممكن استخدم رباطين مثلث أو رباط مثلث
+
+134
+00:10:45,600 --> 00:10:49,920
+ورباط طبعا مستعرض طبعا بالصورة الآتية يعني أنا في
+
+135
+00:10:49,920 --> 00:10:53,360
+حال استخدام الرباط مثلث زي ما قلنا أن الرباط
+
+136
+00:10:53,360 --> 00:10:57,940
+المثلث لازم يكون طبعا رأس المثلث للخارج بالنسبة
+
+137
+00:10:57,940 --> 00:11:05,050
+للضحية أو بالنسبة للكسر بالصورة الآتيةطبعا المريض
+
+138
+00:11:05,050 --> 00:11:09,030
+يساعدني ممكن يساعدني او يساعد عساس انه يمسك اللي
+
+139
+00:11:09,030 --> 00:11:10,410
+هو الجزء اللي المكسور
+
+140
+00:11:14,510 --> 00:11:18,610
+طبعا بنتحدث على حاجة مهمة أنا كبداية ممكن أستخدم
+
+141
+00:11:18,610 --> 00:11:23,370
+الرباط المثلث بتثبيت الجزء السليم ومن بعد ذلك
+
+142
+00:11:23,370 --> 00:11:27,630
+أستخدم لتثبيت الجزء المكسور بمعنى أثبت مفصل بعد
+
+143
+00:11:27,630 --> 00:11:33,250
+مفصل المرفق و أثبت طبعا مفصل قبله مفصل الكتف و من
+
+144
+00:11:33,250 --> 00:11:37,030
+هنا أستخدم الرباط المثلث العادي كما استخدمته في
+
+145
+00:11:37,030 --> 00:11:42,650
+كسور الساعد حتى يثبت الجزء الأبعد كسور الآتية
+
+146
+00:11:51,140 --> 00:11:55,100
+أستخدم رباط مثلث آخر، طبعا هذه هي ناحية تجميلية،
+
+147
+00:11:55,100 --> 00:11:58,560
+إذا الكسر هنا ثبت المفصل الأبعد اللي هو مفصل
+
+148
+00:11:58,560 --> 00:12:02,920
+المرفق، يبقى علي مفصل الكتل، طبعا اللي هي الكتف
+
+149
+00:12:02,920 --> 00:12:05,960
+اللي هو السور القاتية، وزي ما ذكرنا أنه رأس المثلث
+
+150
+00:12:05,960 --> 00:12:10,560
+يكون للخارج، السور القاتية، طبعا هذا الرباط أو
+
+151
+00:12:10,560 --> 00:12:14,180
+المثلث طبعا بقربطه من تحت إبط الشخص، من ناحية
+
+152
+00:12:14,180 --> 00:12:17,080
+السليمة وليست المصابة
+
+153
+00:12:22,800 --> 00:12:26,700
+طب هنا بتضلها ناحية جمالية اكتر و اعمل عقدة هنا
+
+154
+00:12:26,700 --> 00:12:28,440
+للتثبيت
+
+155
+00:12:33,840 --> 00:12:37,900
+هنا نكون قد دعمنا الجزء المكسور الجزء اللي طبعا
+
+156
+00:12:37,900 --> 00:12:43,320
+المفصل القابلي أو المفصل البعدي هنا تكون الشخص
+
+157
+00:12:43,320 --> 00:12:46,860
+يعني ثابت بالنسبة للكسر ثبتنا المفصل البعد و
+
+158
+00:12:46,860 --> 00:12:50,740
+المفصل القابل هذا بالنسبة لكسور اللي هي العضد و
+
+159
+00:12:50,740 --> 00:12:55,690
+بتحدثنا قبل بالنسبة لكسور السعربنتحدث الآن على
+
+160
+00:12:55,690 --> 00:13:00,710
+كسور عضمة الترقوة أو عضمة اللوح، الكتف، طبعا ال ..
+
+161
+00:13:00,710 --> 00:13:03,230
+ال .. ال .. حسب الإصابة وحسب ما كان إصابة، قلنا
+
+162
+00:13:03,230 --> 00:13:07,770
+احنا ممكن نتحمل أو نستخدم الرباط المثلة، فرضا أنه
+
+163
+00:13:07,770 --> 00:13:11,730
+كان عندنا كسر في عضمة الترقوة أو لوحة الكتف، طبعا
+
+164
+00:13:11,730 --> 00:13:16,080
+هذا شيء مهم جدا، اللاحق انهالشخص تتجه يده لمسك
+
+165
+00:13:16,080 --> 00:13:20,220
+الطرف آخر ومسك الطرف الآخر السليم حتى يدعم المفصل
+
+166
+00:13:20,220 --> 00:13:24,460
+ما بعد طبعا الطرف المكسور طبعا يكون مرتبط في الجزء
+
+167
+00:13:24,460 --> 00:13:28,740
+العلوي ويكون مدعوم طبعا باتجاه العرق لذلك فإن أنا
+
+168
+00:13:28,740 --> 00:13:35,000
+في هذه الحالة أحاول طبعا تثبيت المفصل الموجود أو
+
+169
+00:13:35,000 --> 00:13:38,340
+طبعا الكسر الموجود باستخدام أيضا الرباط المثلث
+
+170
+00:13:42,440 --> 00:13:47,680
+و هنا أستخدم طبعا أكون بعيد عن الكسر لربما ..
+
+171
+00:13:47,680 --> 00:13:51,540
+لربما أكون كسر في المنطقة هذه .. المنطقة عظمة طبعا
+
+172
+00:13:51,540 --> 00:13:55,580
+اللوح و أنا أحاول أن أكون بعيد عن الكسر بحد ذاته
+
+173
+00:13:55,580 --> 00:14:06,080
+فأعمل على هذه الجزء البسيط لصورة
+
+174
+00:14:06,080 --> 00:14:06,480
+التالية
+
+175
+00:14:09,650 --> 00:14:20,830
+هكذا أكون ثبتت أنا الكسر من الخلف إذن
+
+176
+00:14:20,830 --> 00:14:25,230
+الكسر هنا مكشوف لكن هو مثبت بالنسبة للرباط المثلث
+
+177
+00:14:25,230 --> 00:14:31,670
+ممكن أيضا نستخدم رباط مثلث آخر أو رباط مستعرض كما
+
+178
+00:14:31,670 --> 00:14:37,670
+ذكرنا لكن ممكن طبعا الشخص يساعدني وبالتالي
+
+179
+00:15:04,090 --> 00:15:08,870
+طبعًا هنا لو لاحظنا نلاحظ أن الجزء المكسور هو
+
+180
+00:15:08,870 --> 00:15:14,030
+طبعًا مثبت بربطين رباط مثلث من الوسط أو طبعًا على
+
+181
+00:15:14,030 --> 00:15:19,690
+العضوط من ناحية المصابة وأيضًا رباط آخر حول العنق
+
+182
+00:15:19,690 --> 00:15:24,390
+وبالتالي نكون ثبتنا هذا الجزء سواء برباط مثلث
+
+183
+00:15:24,390 --> 00:15:29,070
+مستعرض أو مستعرض أو رباط مثلث آخر قد ثبت ليه إيش
+
+184
+00:15:29,070 --> 00:15:33,040
+العضوططبعا هذا في حال كسور اللي هو الأطراف العلوية
+
+185
+00:15:33,040 --> 00:15:37,760
+لكن يحذر هريق الشخص إذا كان هناك كسور في عضمة
+
+186
+00:15:37,760 --> 00:15:41,920
+العنق يبقى على الأرض كما هو و تثبيت إذا كان هناك
+
+187
+00:15:41,920 --> 00:15:44,840
+يعني قطعة خماش من اليمين أو اليسار وعدم تحريك
+
+188
+00:15:44,840 --> 00:15:47,820
+العنق وأيضا إذا كان هناك كسور في العمود الفقري
+
+189
+00:15:47,820 --> 00:15:53,300
+يمنع تحريك الشخص طبعا ووضعه في مكانه أو نقله من
+
+190
+00:15:53,300 --> 00:15:57,040
+خلال طبعا ست أشخاص أو أربع أشخاص إلى طبعا سطح صلب
+
+191
+00:15:57,040 --> 00:16:01,190
+أو لحين وصول صبع صغير تسعةأما بالنسبة للكسور أطراف
+
+192
+00:16:01,190 --> 00:16:06,910
+السفلية طبعا أيضا لربما يعتبر الشخص الطرف السليم
+
+193
+00:16:06,910 --> 00:16:11,470
+عنده هو جبيرة مقارنة بالطرف المكسور وبالتالي لو
+
+194
+00:16:11,470 --> 00:16:16,960
+فرضنا هناك كسر إما في الساقأو في الفخد فإن أنا
+
+195
+00:16:16,960 --> 00:16:23,300
+أحرك الطرف السليم باتجاه الطرف المصاب ولو لاحظنا
+
+196
+00:16:23,300 --> 00:16:28,240
+في الدمية القاتية نفترض هي طبعا دمية طفل صغير طبعا
+
+197
+00:16:28,240 --> 00:16:32,060
+الصغير أو الكبير نفس الشيء لو كان لديه كسوء مثلا
+
+198
+00:16:32,060 --> 00:16:36,720
+في منطقة الساق فاني أحرك الساق السليمة باتجاه
+
+199
+00:16:36,720 --> 00:16:42,420
+المصابة وأربطهما معاها مع ملاحظة عدم مربط أو وجود
+
+200
+00:16:42,420 --> 00:16:48,380
+الأربطة على مكان الكسرأما بعد أو قبل بالنسبة للكسر
+
+201
+00:16:48,380 --> 00:16:53,400
+مع ملاحظة تثبيت المفصل بالمنطقة السليمة مع السليمة
+
+202
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+وعدم الضغط على مكان الكسر الملاحظة الأخرى من خلال
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+203
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+التعامل مع الشخص هناك فراغات و تجويف بين الساقين و
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+204
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+الفخذين فأنا أقوم بعملة حشو لأقمشها أو أربطها أو
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+أي قطعة قماش أخرى حتى تساعد على ملء هذه التجويف
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+وعدم تحريك الكسورلربما يعني أمكن أستخدم قطعة قماش
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+207
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+أو قطعة معدنية أو طبعا قطعة خشبية ممكن أضعها على
+
+208
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+مكان الكسر فأضع قطعة من الخارج وقطعة من الداخل ومن
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+209
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+ثم استخدام الأربطة للتثبيت مع ملاحظة الابتعاد عن
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+210
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+مكان الكسر حتى لا يتحرك الكسرطبعا إذا كان الكسر في
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+211
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+منطقة العضو في منطقة الفخد فيتستمر الجبيرة إلى
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+212
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+أعلى .. إلى أعلى طبعا مفصل الحوض و مفصل البعد هو
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+213
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+طبعا مفصل الركبة وكون ثبتت طبعا اللي هو المكان
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+214
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+المكسون وبالتالي لربما لا يكون لدي إمكانيات وإنما
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+215
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+وجود الجسم بحد ذاته يعتبر جبيرة أما إذا توفر لدي
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+216
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+إمكانيات بسيطة كقطعة خشبية أو قطعة معدنية فانا
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+217
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+أستخدمها في تثبيت الأطراف السفليةهذا يعني شرح بسيط
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+218
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+جداً بنسبة ما يخص طبعاً الكسور تحدثنا بالنسبة
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+219
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+للجهاز الهيكل الحركي هناك بعض المشاكل التي قد تصيب
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+220
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+الجزء آخر على و هو المفاصل والعظام طبعاً في حال
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+221
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+صابت العظام طبعاً المفاصل لربما يكون هناك لي أو
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+222
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+جزع أو وثي أو طبعاً مشكلة أخرى على و هي الخلع
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+223
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+طبعاً بحد ذاته اللي أو الجسع أو الجزعهو خروج
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+224
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+المفصل وعودته وهي طبعا لا يحتاج إلا لراحة وبعض
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+225
+00:18:39,430 --> 00:18:43,790
+المسكنات أما بالنسبة للخالع هو خروج المفصل وعدم
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+226
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+عودتهوهو طبعا أحيانا ممكن ندل إلى تشوهات كمثلا
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+227
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+مفاصل الأصابع أو مفاصل الفقر وهو طبعا يحتاج أحيانا
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+228
+00:18:52,580 --> 00:18:58,680
+إلى مخدر موضعي وطبعا يحتاج إلى مستشفى ونحن في
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+229
+00:18:58,680 --> 00:19:02,620
+الحالة هذه لا نحاول إعادة المفصل إلى وضعيه الطبيعي
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+230
+00:19:02,620 --> 00:19:06,180
+حتى لا يقدر المريض أو لا ندخل في مضاعفات بعد ذلك
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+بالنسبة بعض مشاكل العضلات قد يكون هناك تمزق وقد
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+يكون تقلص وبالتالي التمزق هو تشقق في العضلات في
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+الأنتجة اللي فيها بالنسبة للعضلات وهذه طبعا تحتاج
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+234
+00:19:20,380 --> 00:19:24,860
+إلى كمدات ماء بارد وعدم استخدام كمدات الماء الدافئ
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+235
+00:19:24,860 --> 00:19:30,250
+في أول يوم مع استخدام بعض المسكناتولا يسمح بعملية
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+التدليق أما بالنسبة للتقلصات العضلية تكون فيها
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+237
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+انقباض في العضلات وهنا يمكن أن نستخدم كمدات الماء
+
+238
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+الدافئ مع عملية تدليق خفيف وهذا طبعا لتنشيط الدورة
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+00:19:43,690 --> 00:19:48,110
+الدمويةوعملية فرد العضلات وبالتالي الملاحظ أن
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+240
+00:19:48,110 --> 00:19:52,430
+البعض في حال الشد العضلي هو طبعا ممكن مصطلح لدينا
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+241
+00:19:52,430 --> 00:19:55,330
+أن التقلص العضلي أو الشد العضلي كمصطلح واحد لكن
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+242
+00:19:55,330 --> 00:19:59,650
+الفرق بسيط جدا في حال التمزق العضلي هو أيضا الشد
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+243
+00:19:59,650 --> 00:20:02,570
+العضلي وهناك تمزقات في العضلات نتيجة مجهود كبيرة
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+244
+00:20:02,570 --> 00:20:06,070
+على العضلة أما في حال التقلص العضلي فهو انكماش في
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+245
+00:20:06,070 --> 00:20:09,860
+العضلةفي الحالة الأولى في حال الشد نستخدم كمدات
+
+246
+00:20:09,860 --> 00:20:14,400
+ماء بارد ولا نستخدم الثلج مباشرة على الجسم مع عدم
+
+247
+00:20:14,400 --> 00:20:17,940
+التدليق أما في الحالة الثانية في عملية التقلص
+
+248
+00:20:17,940 --> 00:20:22,700
+فنستخدم كمدات الماء الدافئ مع عملية تدليق خفيف
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+249
+00:20:22,700 --> 00:20:26,900
+لتنشيط العضلة ونتمنى السلامة للجميع وبارك الله
+
+250
+00:20:26,900 --> 00:20:27,340
+فيكم
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/l5JyLkoAQZg_raw.json b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/l5JyLkoAQZg_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..59d4097c181fbcff7c13bdb7e1d17cb8ba5e4bab
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/l5JyLkoAQZg_raw.json
@@ -0,0 +1 @@
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للجزء الخلفي بالنسبة للكسر وبالتالي يكون ثباتة الكسر هذا بالنسبة لكسور السعد سنتحدث الآن في حال أن هناك كان كسر في الجزء الأعلى ألا وهو العضد", "tokens": [9566, 3555, 3615, 995, 37495, 22653, 5551, 8592, 1829, 16606, 37495, 22653, 28242, 3714, 41361, 8978, 11296, 44713, 9778, 3215, 10943, 24976, 4386, 24976, 4386, 24976, 10721, 25513, 9566, 9307, 46599, 6027, 9381, 13063, 3660, 16712, 6027, 10632, 23032, 3555, 3615, 995, 34105, 7251, 30544, 11778, 25957, 5551, 4117, 2655, 2288, 23758, 44049, 38207, 11933, 11242, 31845, 1829, 24976, 7435, 11622, 38207, 33962, 1211, 41185, 20666, 1863, 35457, 3660, 5296, 23275, 3794, 2288, 46599, 6027, 2655, 6027, 1829, 7251, 30544, 38637, 3555, 9307, 3660, 33251, 3794, 2288, 23758, 20666, 1863, 35457, 3660, 5296, 4117, 3794, 13063, 21136, 22488, 8608, 29399, 24401, 12984, 6024, 48506, 8978, 11331, 6027, 14739, 34105, 4117, 25961, 9122, 3794, 2288, 8978, 25724, 11622, 38207, 16247, 3615, 23942, 5551, 15040, 37037, 2407, 18863, 11242, 3215], 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"word": " نستخدم", "probability": 0.974609375}, {"start": 1209.34, "end": 1209.86, "word": " كمدات", "probability": 0.797607421875}, {"start": 1209.86, "end": 1210.42, "word": " ماء", "probability": 0.98779296875}, {"start": 1210.42, "end": 1211.0, "word": " بارد", "probability": 0.9920247395833334}, {"start": 1211.0, "end": 1211.44, "word": " ولا", "probability": 0.79052734375}, {"start": 1211.44, "end": 1211.88, "word": " نستخدم", "probability": 0.995849609375}, {"start": 1211.88, "end": 1212.34, "word": " الثلج", "probability": 0.9676513671875}, {"start": 1212.34, "end": 1212.86, "word": " مباشرة", "probability": 0.9288330078125}, {"start": 1212.86, "end": 1212.98, "word": " على", "probability": 0.798828125}, {"start": 1212.98, "end": 1213.32, "word": " الجسم", "probability": 0.9873046875}, {"start": 1213.32, "end": 1213.98, "word": " مع", "probability": 0.939453125}, {"start": 1213.98, "end": 1214.4, "word": " عدم", "probability": 0.9814453125}, {"start": 1214.4, "end": 1215.14, "word": " التدليق", "probability": 0.8831787109375}, {"start": 1215.14, "end": 1215.56, "word": " أما", "probability": 0.92041015625}, {"start": 1215.56, "end": 1215.74, "word": " في", "probability": 0.990234375}, {"start": 1215.74, "end": 1216.1, "word": " الحالة", "probability": 0.9591471354166666}, {"start": 1216.1, "end": 1216.5, "word": " الثانية", "probability": 0.8765869140625}, {"start": 1216.5, "end": 1216.7, "word": " في", "probability": 0.9619140625}, {"start": 1216.7, "end": 1217.06, "word": " عملية", "probability": 0.9881184895833334}, {"start": 1217.06, "end": 1217.94, "word": " التقلص", "probability": 0.986083984375}, {"start": 1217.94, "end": 1218.82, "word": " فنستخدم", "probability": 0.98125}, {"start": 1218.82, "end": 1219.4, "word": " كمدات", "probability": 0.98046875}, {"start": 1219.4, "end": 1219.92, "word": " الماء", "probability": 0.988037109375}, {"start": 1219.92, "end": 1220.9, "word": " الدافئ", "probability": 0.8092447916666666}, {"start": 1220.9, "end": 1221.44, "word": " مع", "probability": 0.9931640625}, {"start": 1221.44, "end": 1221.88, "word": " عملية", "probability": 0.9781901041666666}, {"start": 1221.88, "end": 1222.24, "word": " تدليق", "probability": 0.9886474609375}, {"start": 1222.24, "end": 1222.7, "word": " خفيف", "probability": 0.9720052083333334}, {"start": 1222.7, "end": 1223.4, "word": " لتنشيط", "probability": 0.97314453125}, {"start": 1223.4, "end": 1223.82, "word": " العضلة", "probability": 0.9318033854166666}, {"start": 1223.82, "end": 1224.62, "word": " ونتمنى", "probability": 0.9471435546875}, {"start": 1224.62, "end": 1225.26, "word": " السلامة", "probability": 0.9729817708333334}, {"start": 1225.26, "end": 1226.28, "word": " للجميع", "probability": 0.9674072265625}, {"start": 1226.28, "end": 1226.76, "word": " وبارك", "probability": 0.8213704427083334}, {"start": 1226.76, "end": 1226.9, "word": " الله", "probability": 0.94873046875}, {"start": 1226.9, "end": 1227.34, "word": " فيكم", "probability": 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\ No newline at end of file
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/l5JyLkoAQZg_raw.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/l5JyLkoAQZg_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..58eafd720347b703112926f86dfba75159dac318
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/l5JyLkoAQZg_raw.srt
@@ -0,0 +1,1000 @@
+1
+00:00:05,470 --> 00:00:08,450
+بسم الله الرحمن الرحيم سنتحدث اليوم إن شاء الله عن
+
+2
+00:00:08,450 --> 00:00:11,290
+الجهاز الهيكلي الحركي وأهم شيء في الجهاز الهيكلي
+
+3
+00:00:11,290 --> 00:00:14,890
+الحركي هو موضوع الكسور يعني كبداية الجهاز الهيكلي
+
+4
+00:00:14,890 --> 00:00:18,590
+الحركي يتكون من ثلاث أجزاء أساسية على و هي العظام
+
+5
+00:00:18,590 --> 00:00:23,490
+والمفاصل و العضلات يعني سنركز شيء يعني بالتفصيل
+
+6
+00:00:23,490 --> 00:00:29,810
+أكتر بالنسبة للعظام وأهم شيء هو قليلالتعامل مع
+
+7
+00:00:29,810 --> 00:00:32,290
+الكسور لأنا أتحدث هنا عن أمراض بالنسبة للجهاز
+
+8
+00:00:32,290 --> 00:00:36,370
+الهيكل الحركي وإنما كيفية إسعاف الحوادث التي قد
+
+9
+00:00:36,370 --> 00:00:39,630
+تصيب أو تؤثر على الجهاز الهيكل الحركي ومن ضمنها
+
+10
+00:00:39,630 --> 00:00:44,770
+الكسور سنتعرف حاليا كيفية التعامل مع الكسور وما هي
+
+11
+00:00:44,770 --> 00:00:48,790
+الأعراض البدائية أو البسيطة التي من خلالها يمكن أن
+
+12
+00:00:48,790 --> 00:00:53,020
+نشك أو نظن أن هناك كسر يعني كبدايةالكسر هو انفصال
+
+13
+00:00:53,020 --> 00:00:56,140
+عظمتين إما انفصال كليا أو انفصال جزئيا لو ربما
+
+14
+00:00:56,140 --> 00:01:00,140
+يكون هناك كسر بسيط و تبقى العظم كما هي و يكون هناك
+
+15
+00:01:00,140 --> 00:01:05,000
+شرخ ما بين العظمتين و يكون هناك اتصال ما بين
+
+16
+00:01:05,000 --> 00:01:08,620
+العظمتين أو لو ربما يكون هناك انفصال و يكون طبعا
+
+17
+00:01:08,620 --> 00:01:13,800
+كسر تفتتي أو يكون كسر مضاعف من خروج العظم خارج جسم
+
+18
+00:01:14,160 --> 00:01:18,920
+يعني كقواعد أساسية يُقيا طبعا يمنع منعا باتا إعادة
+
+19
+00:01:18,920 --> 00:01:22,520
+العظام إلى وضعها الطبيعي في حالة الكسور ويمنع منعا
+
+20
+00:01:22,520 --> 00:01:27,380
+باتا الضغط على الكسور لتقويمهاأهم شيء بالنسبة
+
+21
+00:01:27,380 --> 00:01:32,120
+للكسور هي المحافظة على الكسر كما هو مع عدم تقويمه
+
+22
+00:01:32,120 --> 00:01:37,020
+أو تعديله أو إعادته للوضع الطبيعي وبالتالي أهم شيء
+
+23
+00:01:37,020 --> 00:01:42,620
+هي كيفية التعامل من خلال التثبيت واستخدام المثبتات
+
+24
+00:01:42,620 --> 00:01:46,440
+أو استخدام الجبائر بسيطة طبعا كقاعدة أساسية في حال
+
+25
+00:01:46,440 --> 00:01:51,580
+الإسعاف الأولي قلناإن قلة الإمكانيات لا تمنع تقديم
+
+26
+00:01:51,580 --> 00:01:56,240
+الخدمة ومن هنا نستعين بأشياء بسيطة جدا للحفاظ على
+
+27
+00:01:56,240 --> 00:02:01,440
+سلامة الشخص وتقليل المضاعفات وأيضا الوقاية من
+
+28
+00:02:01,440 --> 00:02:06,540
+مشاكل قد تحدث في حال النقل الخاطئ أو تقويم الخاطئ
+
+29
+00:02:06,960 --> 00:02:10,840
+لذلك فإننا قد نستعين بقطعة خشبية، بقطعة معدنية،
+
+30
+00:02:10,840 --> 00:02:17,020
+بكتاب، بمنديل، بأربطة، بأحزمة حتى نساعد على تثبيت
+
+31
+00:02:17,020 --> 00:02:21,060
+الكسر الملاحظة الثانية أنه يجب في حال تثبيت الكسور
+
+32
+00:02:21,060 --> 00:02:25,380
+عدم الضغط على مكان الكسر في حال التثبيت وإنما بعد
+
+33
+00:02:25,380 --> 00:02:29,900
+الكسر وقبل الكسر أيضًا الملاحظة الأخرىهي أن يشمل
+
+34
+00:02:29,900 --> 00:02:34,040
+أو تشمل الجبيرة مفصل قبل ومفصل بعد يعني على سبيل
+
+35
+00:02:34,040 --> 00:02:38,020
+المثال إذا كان هناك كسر في الساعد فيجب أن يشمل
+
+36
+00:02:38,020 --> 00:02:43,340
+الجبيرة مفصل الرسغ ومفصل طبعا الكون وهو طبعا شيء
+
+37
+00:02:43,340 --> 00:02:48,020
+مهم أو مفصل المرفق وهو طبعا شيء مهم جدا لذلك نركز
+
+38
+00:02:48,020 --> 00:02:51,840
+على هذه النقطة لأن في حال تحريك المفصل قبل أو مفصل
+
+39
+00:02:51,840 --> 00:02:57,090
+بعد فهناك طبعا يكون في حركة للكسرأيضًا أي شيء يكون
+
+40
+00:02:57,090 --> 00:03:00,830
+موجود على الكسور كبداية نحافظ، اللي ربما يكون هناك
+
+41
+00:03:00,830 --> 00:03:05,110
+نزيف، فنعمل كبداية على إيقاف النزيف، لذلك سنقوم
+
+42
+00:03:05,110 --> 00:03:09,770
+حاليًا بالتمثيل عمليًا في كيفية إسعاف شخص قد أصيب
+
+43
+00:03:09,770 --> 00:03:13,350
+بكسور في الأطراف العلوية ومن ثم ننتقل إلى الأطراف
+
+44
+00:03:13,350 --> 00:03:16,410
+السفلية، لكن هنا نقطة مهمة جدًا، اللي ربما يكون
+
+45
+00:03:16,410 --> 00:03:20,190
+هناك كسر مفتوح وكسر مغلقالكسر المفتوح نراه بعيننا
+
+46
+00:03:20,190 --> 00:03:23,510
+وقد يكون مصاحب .. وغالبا يكون مصاحبا للنزيف لأن
+
+47
+00:03:23,510 --> 00:03:26,270
+طبعا يكون اختراق العظام للجلد أو نفس الجلد
+
+48
+00:03:26,270 --> 00:03:29,550
+الخارجية ومن ضمن طبعا العضلات أما الكسر المغلق
+
+49
+00:03:29,550 --> 00:03:36,860
+فيتمملاحظته من خلال إحمرار ورم سخونة ألم تشوه طبعا
+
+50
+00:03:36,860 --> 00:03:40,920
+يعني عدم قدرة الشخص لأداء وظيفته في هذا العضو
+
+51
+00:03:40,920 --> 00:03:44,600
+وبالتالي في حالة كسور مغلقة الأعلامات الخارجية
+
+52
+00:03:44,600 --> 00:03:48,440
+التي تدلنا أما في الكسور المفتوحة فيصاحبه نظيف
+
+53
+00:03:48,440 --> 00:03:52,700
+وكسر سنبدأ حاليا في بعض الإجراءات البسيطة والتعامل
+
+54
+00:03:52,700 --> 00:03:57,660
+مع حالات كسور في الأطراف العلوية على سبيل المثال
+
+55
+00:03:57,660 --> 00:04:05,270
+لدينا الساعدوالعضد وعظام الكتف أو عظمة الطرقوة
+
+56
+00:04:05,270 --> 00:04:10,270
+وطبعا لوحة الكتف سنبدأ تدرجيا بالتعامل مع عظمة
+
+57
+00:04:10,270 --> 00:04:15,150
+عظمة في حال الكثور وهنا نتحدث عن إسعاف أولي وليس
+
+58
+00:04:15,150 --> 00:04:20,190
+علاج طبعا هذا شيء مهم جداوكل ما ساعدت في تثبيت
+
+59
+00:04:20,190 --> 00:04:24,170
+الكسر كل ما قلت المضاعفات وقل الألم لأن طبعا لربما
+
+60
+00:04:24,170 --> 00:04:28,270
+يكون أهم شيء في حال تثبيت الكسر تجنب الشخص من
+
+61
+00:04:28,270 --> 00:04:31,730
+الصدمة الناتجة عن الألم ألا وهي الصدمة العصبية
+
+62
+00:04:31,730 --> 00:04:38,550
+لذلك لربما يكون مؤشر ليهكمسعف في تحديد لمكان الكسر
+
+63
+00:04:38,550 --> 00:04:44,130
+يعني تجاه اليد يساعدني على توضيح مكان الكسر إذا
+
+64
+00:04:44,130 --> 00:04:49,690
+كان الضحية يده بالصورة التالية ويضع يده الأخرى في
+
+65
+00:04:49,690 --> 00:04:55,110
+دعم الطرف المكسور فنلاحظ أن هناك كسور في الساعد
+
+66
+00:04:55,110 --> 00:04:59,510
+أما إذا كان يده لأعلى فكل ما ارتفعت اليد كل مكان
+
+67
+00:04:59,510 --> 00:05:03,220
+الكسر لأعلىكلما ارتفعت لأعلى كلما كان الكسر لأعلى
+
+68
+00:05:03,220 --> 00:05:07,920
+وبالتالي هذا مؤشر حتى أنا كمسعف مبدأيًا أقيم مكان
+
+69
+00:05:07,920 --> 00:05:14,080
+الكسور لنبدأ حاليًا بكسور طبعًا الساعد طبعًا وقلنا
+
+70
+00:05:14,080 --> 00:05:18,660
+احنا كبداية لازم أغطي مفصل بعيد ومفصل قبل طبعًا
+
+71
+00:05:18,660 --> 00:05:21,960
+احنا قلنا ممكن نستفيد بشيء بسيط جدا أنا يعني في
+
+72
+00:05:21,960 --> 00:05:25,830
+عندىالكتاب ممكن أستفيد فيه، هذا تعتبر جبيرة، أي
+
+73
+00:05:25,830 --> 00:05:28,470
+قطعة معدنية تعتبر جبيرة، أي قطعة خشبية تعتبر
+
+74
+00:05:28,470 --> 00:05:32,070
+جبيرة، وبالتالي أساعد لربما، لا سمح الله هناك كسر
+
+75
+00:05:32,070 --> 00:05:35,870
+فيه، أساعد، والعلمات التي اتحدثت عنها، من إحمرار،
+
+76
+00:05:35,870 --> 00:05:39,870
+من ورم، من سخونة، من ألم، من تشوه، هذا ما يدل لي
+
+77
+00:05:39,870 --> 00:05:44,830
+أن هناك طبعا فيه كسور، ونحذر من إعادة تقويم أو
+
+78
+00:05:44,830 --> 00:05:49,270
+تقييم الكسرلوضعه الطبيعي أو إعادته لوضعه الطبيعي
+
+79
+00:05:49,270 --> 00:05:53,270
+يعني على اسم المثال لدينا كسر بيه طبعاً للساعد
+
+80
+00:05:53,270 --> 00:06:01,550
+فكوسيلة بسيطة أضع هذه الجابيرة طبعا ألاحظ هنا
+
+81
+00:06:01,550 --> 00:06:06,940
+الجابيرة تغطي مفصل بعد وهو طبعا مفصل الرسلواضع
+
+82
+00:06:06,940 --> 00:06:11,260
+بالصورة التالية عساس إن أنا أستفيد هكذا طبعا أنا
+
+83
+00:06:11,260 --> 00:06:16,140
+أعمل التثبيت لمفصل بعيد بالنسبة للكسور طبعا أستفيد
+
+84
+00:06:16,140 --> 00:06:20,300
+أو أستعين بأي أشياء بسيطة سواء أربطها، سواء طبعا
+
+85
+00:06:20,300 --> 00:06:23,880
+رابطات ضاغطة أو .. أو طبعا مشد أو يعني لو كان لو
+
+86
+00:06:23,880 --> 00:06:28,320
+ربما حتى قطعة قماشية يعني حتى تساعدني في تثبيت
+
+87
+00:06:28,320 --> 00:06:33,880
+الكسرحتى أقوم بتثبيت الكسر و تثبيت مفصل بعيد و
+
+88
+00:06:33,880 --> 00:06:36,440
+مفصل قبل طبعا على سبيل المثال افترض هذه قطعة
+
+89
+00:06:36,440 --> 00:06:41,220
+قماشية عادية و ليست طبية فانا اعمل على ادخالها
+
+90
+00:06:41,220 --> 00:06:47,240
+أسفل الجبيرة وبالتالي أقوم بالربط هذا الجزء
+
+91
+00:06:57,520 --> 00:07:02,060
+وهي حبة ده لو كان الجزء طبعا اللي بها يشمل هذا
+
+92
+00:07:02,060 --> 00:07:08,480
+الجزء الملفوف أو المنبوط نفترض
+
+93
+00:07:08,480 --> 00:07:12,180
+الكسر في المنتصف فانا لأضغط على مكان منتصف وحاول
+
+94
+00:07:12,180 --> 00:07:21,390
+أبعد الربط إلى الجزء بعد الكسر بالصورة التاليةهذا
+
+95
+00:07:21,390 --> 00:07:26,550
+بالصورة هذه أنا بكون ثبتت المفصل البعد بيبقى عليا
+
+96
+00:07:26,550 --> 00:07:30,590
+طبعا المفصل اللي هو القبل اللي هو مفصل الكؤو أو
+
+97
+00:07:30,590 --> 00:07:38,870
+مفصل المرفق بالتالي أقوم بعملية تثبيت للكسر أو
+
+98
+00:07:38,870 --> 00:07:44,530
+المفصل البعد باستخدام الرباط المثلث الصورة التالية
+
+99
+00:07:47,200 --> 00:07:53,100
+أحاول أن يقف المريض معي مساندا يدهو بالطرف و
+
+100
+00:07:53,100 --> 00:07:57,580
+أستخدم الرباط المثلث طبعا يعني هناك ملاحظة يعني
+
+101
+00:07:57,580 --> 00:08:02,140
+الرباط المثلث ممكن يكون حط و منديل قطعة كماش مربعة
+
+102
+00:08:02,140 --> 00:08:06,060
+و أثنية على الطرفين تكون مثلثة أو تأخذ شكل مثلث
+
+103
+00:08:06,060 --> 00:08:10,960
+وبالتاليدايماً حين استخدامي للرباط المثلث يكون رأس
+
+104
+00:08:10,960 --> 00:08:18,640
+المثلث عند المرفق أو للداخل فاضع جزء من الرباط
+
+105
+00:08:18,640 --> 00:08:23,320
+المثلث بالصورة الآتية تمام
+
+106
+00:08:23,320 --> 00:08:28,750
+والمريد نفسه يساعدني بتقريب اليد المكسورةبالصورة
+
+107
+00:08:28,750 --> 00:08:34,890
+الآتية وأضع وأعمل عنق وأعمل ربطة على العنق ويجب أن
+
+108
+00:08:34,890 --> 00:08:40,230
+تكون الربطة على الجنب ولا تكون على الخلف حتى لا
+
+109
+00:08:40,230 --> 00:08:44,410
+نضغط على العمود الفقري بالصورة الآتية
+
+110
+00:08:47,900 --> 00:08:51,960
+طبعا هذه وسيلة ان انا من خلالها انا بدي احاول ..
+
+111
+00:08:51,960 --> 00:08:56,400
+طبعا هذا الجزء ممكن انا بمنديق بدبوس ب .. ممكن
+
+112
+00:08:56,400 --> 00:09:00,960
+اعمل عقدة بسيطة لتثبيت الكسر او لتثبيت الجزء
+
+113
+00:09:00,960 --> 00:09:05,960
+المتدلي بالنسبة للرباط المثلث هي ناحية جمالية اكثر
+
+114
+00:09:05,960 --> 00:09:13,070
+ومن ثم ممكن استخدم رباط مثلث اخر للمساعدةعلى
+
+115
+00:09:13,070 --> 00:09:18,130
+التثبيت لأن طبعا هنا أنا ثبتت مفصل بعيد مفصل الرسغ
+
+116
+00:09:18,130 --> 00:09:21,970
+وهنا طبعا مفصل قبل هو مفصل المرفق وبالتالي هنا
+
+117
+00:09:21,970 --> 00:09:27,050
+يكون الشخص لو ترك يده تكون معلقة وهذا طبعا التعليق
+
+118
+00:09:27,050 --> 00:09:32,950
+يكون حماية للكسر الموجود هنا ممكن ممكن أستخدم مثلث
+
+119
+00:09:32,950 --> 00:09:37,410
+آخر أو بدونه طبعا هذا يرجعالشخص نفسه يمكن
+
+120
+00:09:37,410 --> 00:09:41,350
+استخدامنا لل .. لل .. للرباط المثلث الآخر أو ممكن
+
+121
+00:09:41,350 --> 00:09:45,670
+استخدم رباط يعني مستعرض أو رباط عريض على أساس إن
+
+122
+00:09:45,670 --> 00:09:51,090
+أثبت الكسر طبعا تحت الإبط و من خلف الشخص عساس يكون
+
+123
+00:09:51,090 --> 00:09:54,970
+عندهاناطبعا يعني أشياء يعني كل مكان فيها استخدام
+
+124
+00:09:54,970 --> 00:09:59,150
+لل .. لل .. للأربطات وبالصورة التالية طبعا هنا
+
+125
+00:09:59,150 --> 00:10:04,430
+يكون دعم أكتر هذا شيء إضافي للجزء الخلفي بالنسبة
+
+126
+00:10:04,430 --> 00:10:08,670
+للكسر وبالتالي يكون ثباتة الكسر هذا بالنسبة لكسور
+
+127
+00:10:08,670 --> 00:10:13,430
+السعد سنتحدث الآن في حال أن هناك كان كسر في الجزء
+
+128
+00:10:13,430 --> 00:10:15,250
+الأعلى ألا وهو العضد
+
+129
+00:10:21,980 --> 00:10:27,120
+طبعا هنا نفترض ان هناك الكسر في منطقة العضد هذا
+
+130
+00:10:27,120 --> 00:10:28,820
+بالنسبة لمنطقة الساعد
+
+131
+00:10:33,520 --> 00:10:37,580
+ذكرنا أن ربما يكون الكسر في الجزء الأعلى فيكون
+
+132
+00:10:37,580 --> 00:10:42,060
+طبعا يد الشخص بتجه إلى الأعلى من هنا استخدم أيضا
+
+133
+00:10:42,060 --> 00:10:45,600
+رباط مثلث ممكن استخدم رباطين مثلث أو رباط مثلث
+
+134
+00:10:45,600 --> 00:10:49,920
+ورباط طبعا مستعرض طبعا بالصورة الآتية يعني أنا في
+
+135
+00:10:49,920 --> 00:10:53,360
+حال استخدام الرباط مثلث زي ما قلنا أن الرباط
+
+136
+00:10:53,360 --> 00:10:57,940
+المثلث لازم يكون طبعا رأس المثلث للخارج بالنسبة
+
+137
+00:10:57,940 --> 00:11:05,050
+للضحية أو بالنسبة للكسر بالصورة الآتيةطبعا المريض
+
+138
+00:11:05,050 --> 00:11:09,030
+يساعدني ممكن يساعدني او يساعد عساس انه يمسك اللي
+
+139
+00:11:09,030 --> 00:11:10,410
+هو الجزء اللي المكسور
+
+140
+00:11:14,510 --> 00:11:18,610
+طبعا بنتحدث على حاجة مهمة أنا كبداية ممكن أستخدم
+
+141
+00:11:18,610 --> 00:11:23,370
+الرباط المثلث بتثبيت الجزء السليم ومن بعد ذلك
+
+142
+00:11:23,370 --> 00:11:27,630
+أستخدم لتثبيت الجزء المكسور بمعنى أثبت مفصل بعد
+
+143
+00:11:27,630 --> 00:11:33,250
+مفصل المرفق و أثبت طبعا مفصل قبله مفصل الكتف و من
+
+144
+00:11:33,250 --> 00:11:37,030
+هنا أستخدم الرباط المثلث العادي كما استخدمته في
+
+145
+00:11:37,030 --> 00:11:42,650
+كسور الساعد حتى يثبت الجزء الأبعد كسور الآتية
+
+146
+00:11:51,140 --> 00:11:55,100
+أستخدم رباط مثلث آخر، طبعا هذه هي ناحية تجميلية،
+
+147
+00:11:55,100 --> 00:11:58,560
+إذا الكسر هنا ثبت المفصل الأبعد اللي هو مفصل
+
+148
+00:11:58,560 --> 00:12:02,920
+المرفق، يبقى علي مفصل الكتل، طبعا اللي هي الكتف
+
+149
+00:12:02,920 --> 00:12:05,960
+اللي هو السور القاتية، وزي ما ذكرنا أنه رأس المثلث
+
+150
+00:12:05,960 --> 00:12:10,560
+يكون للخارج، السور القاتية، طبعا هذا الرباط أو
+
+151
+00:12:10,560 --> 00:12:14,180
+المثلث طبعا بقربطه من تحت إبط الشخص، من ناحية
+
+152
+00:12:14,180 --> 00:12:17,080
+السليمة وليست المصابة
+
+153
+00:12:22,800 --> 00:12:26,700
+طب هنا بتضلها ناحية جمالية اكتر و اعمل عقدة هنا
+
+154
+00:12:26,700 --> 00:12:28,440
+للتثبيت
+
+155
+00:12:33,840 --> 00:12:37,900
+هنا نكون قد دعمنا الجزء المكسور الجزء اللي طبعا
+
+156
+00:12:37,900 --> 00:12:43,320
+المفصل القابلي أو المفصل البعدي هنا تكون الشخص
+
+157
+00:12:43,320 --> 00:12:46,860
+يعني ثابت بالنسبة للكسر ثبتنا المفصل البعد و
+
+158
+00:12:46,860 --> 00:12:50,740
+المفصل القابل هذا بالنسبة لكسور اللي هي العضد و
+
+159
+00:12:50,740 --> 00:12:55,690
+بتحدثنا قبل بالنسبة لكسور السعربنتحدث الآن على
+
+160
+00:12:55,690 --> 00:13:00,710
+كسور عضمة الترقوة أو عضمة اللوح، الكتف، طبعا ال ..
+
+161
+00:13:00,710 --> 00:13:03,230
+ال .. ال .. حسب الإصابة وحسب ما كان إصابة، قلنا
+
+162
+00:13:03,230 --> 00:13:07,770
+احنا ممكن نتحمل أو نستخدم الرباط المثلة، فرضا أنه
+
+163
+00:13:07,770 --> 00:13:11,730
+كان عندنا كسر في عضمة الترقوة أو لوحة الكتف، طبعا
+
+164
+00:13:11,730 --> 00:13:16,080
+هذا شيء مهم جدا، اللاحق انهالشخص تتجه يده لمسك
+
+165
+00:13:16,080 --> 00:13:20,220
+الطرف آخر ومسك الطرف الآخر السليم حتى يدعم المفصل
+
+166
+00:13:20,220 --> 00:13:24,460
+ما بعد طبعا الطرف المكسور طبعا يكون مرتبط في الجزء
+
+167
+00:13:24,460 --> 00:13:28,740
+العلوي ويكون مدعوم طبعا باتجاه العرق لذلك فإن أنا
+
+168
+00:13:28,740 --> 00:13:35,000
+في هذه الحالة أحاول طبعا تثبيت المفصل الموجود أو
+
+169
+00:13:35,000 --> 00:13:38,340
+طبعا الكسر الموجود باستخدام أيضا الرباط المثلث
+
+170
+00:13:42,440 --> 00:13:47,680
+و هنا أستخدم طبعا أكون بعيد عن الكسر لربما ..
+
+171
+00:13:47,680 --> 00:13:51,540
+لربما أكون كسر في المنطقة هذه .. المنطقة عظمة طبعا
+
+172
+00:13:51,540 --> 00:13:55,580
+اللوح و أنا أحاول أن أكون بعيد عن الكسر بحد ذاته
+
+173
+00:13:55,580 --> 00:14:06,080
+فأعمل على هذه الجزء البسيط لصورة
+
+174
+00:14:06,080 --> 00:14:06,480
+التالية
+
+175
+00:14:09,650 --> 00:14:20,830
+هكذا أكون ثبتت أنا الكسر من الخلف إذن
+
+176
+00:14:20,830 --> 00:14:25,230
+الكسر هنا مكشوف لكن هو مثبت بالنسبة للرباط المثلث
+
+177
+00:14:25,230 --> 00:14:31,670
+ممكن أيضا نستخدم رباط مثلث آخر أو رباط مستعرض كما
+
+178
+00:14:31,670 --> 00:14:37,670
+ذكرنا لكن ممكن طبعا الشخص يساعدني وبالتالي
+
+179
+00:15:04,090 --> 00:15:08,870
+طبعًا هنا لو لاحظنا نلاحظ أن الجزء المكسور هو
+
+180
+00:15:08,870 --> 00:15:14,030
+طبعًا مثبت بربطين رباط مثلث من الوسط أو طبعًا على
+
+181
+00:15:14,030 --> 00:15:19,690
+العضوط من ناحية المصابة وأيضًا رباط آخر حول العنق
+
+182
+00:15:19,690 --> 00:15:24,390
+وبالتالي نكون ثبتنا هذا الجزء سواء برباط مثلث
+
+183
+00:15:24,390 --> 00:15:29,070
+مستعرض أو مستعرض أو رباط مثلث آخر قد ثبت ليه إيش
+
+184
+00:15:29,070 --> 00:15:33,040
+العضوططبعا هذا في حال كسور اللي هو الأطراف العلوية
+
+185
+00:15:33,040 --> 00:15:37,760
+لكن يحذر هريق الشخص إذا كان هناك كسور في عضمة
+
+186
+00:15:37,760 --> 00:15:41,920
+العنق يبقى على الأرض كما هو و تثبيت إذا كان هناك
+
+187
+00:15:41,920 --> 00:15:44,840
+يعني قطعة خماش من اليمين أو اليسار وعدم تحريك
+
+188
+00:15:44,840 --> 00:15:47,820
+العنق وأيضا إذا كان هناك كسور في العمود الفقري
+
+189
+00:15:47,820 --> 00:15:53,300
+يمنع تحريك الشخص طبعا ووضعه في مكانه أو نقله من
+
+190
+00:15:53,300 --> 00:15:57,040
+خلال طبعا ست أشخاص أو أربع أشخاص إلى طبعا سطح صلب
+
+191
+00:15:57,040 --> 00:16:01,190
+أو لحين وصول صبع صغير تسعةأما بالنسبة للكسور أطراف
+
+192
+00:16:01,190 --> 00:16:06,910
+السفلية طبعا أيضا لربما يعتبر الشخص الطرف السليم
+
+193
+00:16:06,910 --> 00:16:11,470
+عنده هو جبيرة مقارنة بالطرف المكسور وبالتالي لو
+
+194
+00:16:11,470 --> 00:16:16,960
+فرضنا هناك كسر إما في الساقأو في الفخد فإن أنا
+
+195
+00:16:16,960 --> 00:16:23,300
+أحرك الطرف السليم باتجاه الطرف المصاب ولو لاحظنا
+
+196
+00:16:23,300 --> 00:16:28,240
+في الدمية القاتية نفترض هي طبعا دمية طفل صغير طبعا
+
+197
+00:16:28,240 --> 00:16:32,060
+الصغير أو الكبير نفس الشيء لو كان لديه كسوء مثلا
+
+198
+00:16:32,060 --> 00:16:36,720
+في منطقة الساق فاني أحرك الساق السليمة باتجاه
+
+199
+00:16:36,720 --> 00:16:42,420
+المصابة وأربطهما معاها مع ملاحظة عدم مربط أو وجود
+
+200
+00:16:42,420 --> 00:16:48,380
+الأربطة على مكان الكسرأما بعد أو قبل بالنسبة للكسر
+
+201
+00:16:48,380 --> 00:16:53,400
+مع ملاحظة تثبيت المفصل بالمنطقة السليمة مع السليمة
+
+202
+00:16:53,400 --> 00:16:58,040
+وعدم الضغط على مكان الكسر الملاحظة الأخرى من خلال
+
+203
+00:16:58,040 --> 00:17:03,620
+التعامل مع الشخص هناك فراغات و تجويف بين الساقين و
+
+204
+00:17:03,620 --> 00:17:08,440
+الفخذين فأنا أقوم بعملة حشو لأقمشها أو أربطها أو
+
+205
+00:17:08,440 --> 00:17:12,580
+أي قطعة قماش أخرى حتى تساعد على ملء هذه التجويف
+
+206
+00:17:12,580 --> 00:17:19,060
+وعدم تحريك الكسورلربما يعني أمكن أستخدم قطعة قماش
+
+207
+00:17:19,060 --> 00:17:23,580
+أو قطعة معدنية أو طبعا قطعة خشبية ممكن أضعها على
+
+208
+00:17:23,580 --> 00:17:28,320
+مكان الكسر فأضع قطعة من الخارج وقطعة من الداخل ومن
+
+209
+00:17:28,320 --> 00:17:32,140
+ثم استخدام الأربطة للتثبيت مع ملاحظة الابتعاد عن
+
+210
+00:17:32,140 --> 00:17:37,300
+مكان الكسر حتى لا يتحرك الكسرطبعا إذا كان الكسر في
+
+211
+00:17:37,300 --> 00:17:41,620
+منطقة العضو في منطقة الفخد فيتستمر الجبيرة إلى
+
+212
+00:17:41,620 --> 00:17:46,880
+أعلى .. إلى أعلى طبعا مفصل الحوض و مفصل البعد هو
+
+213
+00:17:46,880 --> 00:17:50,320
+طبعا مفصل الركبة وكون ثبتت طبعا اللي هو المكان
+
+214
+00:17:50,320 --> 00:17:55,040
+المكسون وبالتالي لربما لا يكون لدي إمكانيات وإنما
+
+215
+00:17:55,040 --> 00:17:58,540
+وجود الجسم بحد ذاته يعتبر جبيرة أما إذا توفر لدي
+
+216
+00:17:58,540 --> 00:18:02,980
+إمكانيات بسيطة كقطعة خشبية أو قطعة معدنية فانا
+
+217
+00:18:02,980 --> 00:18:07,070
+أستخدمها في تثبيت الأطراف السفليةهذا يعني شرح بسيط
+
+218
+00:18:07,070 --> 00:18:12,470
+جداً بنسبة ما يخص طبعاً الكسور تحدثنا بالنسبة
+
+219
+00:18:12,470 --> 00:18:15,910
+للجهاز الهيكل الحركي هناك بعض المشاكل التي قد تصيب
+
+220
+00:18:15,910 --> 00:18:21,230
+الجزء آخر على و هو المفاصل والعظام طبعاً في حال
+
+221
+00:18:21,230 --> 00:18:26,170
+صابت العظام طبعاً المفاصل لربما يكون هناك لي أو
+
+222
+00:18:26,170 --> 00:18:30,270
+جزع أو وثي أو طبعاً مشكلة أخرى على و هي الخلع
+
+223
+00:18:30,270 --> 00:18:35,490
+طبعاً بحد ذاته اللي أو الجسع أو الجزعهو خروج
+
+224
+00:18:35,490 --> 00:18:39,430
+المفصل وعودته وهي طبعا لا يحتاج إلا لراحة وبعض
+
+225
+00:18:39,430 --> 00:18:43,790
+المسكنات أما بالنسبة للخالع هو خروج المفصل وعدم
+
+226
+00:18:43,790 --> 00:18:47,740
+عودتهوهو طبعا أحيانا ممكن ندل إلى تشوهات كمثلا
+
+227
+00:18:47,740 --> 00:18:52,580
+مفاصل الأصابع أو مفاصل الفقر وهو طبعا يحتاج أحيانا
+
+228
+00:18:52,580 --> 00:18:58,680
+إلى مخدر موضعي وطبعا يحتاج إلى مستشفى ونحن في
+
+229
+00:18:58,680 --> 00:19:02,620
+الحالة هذه لا نحاول إعادة المفصل إلى وضعيه الطبيعي
+
+230
+00:19:02,620 --> 00:19:06,180
+حتى لا يقدر المريض أو لا ندخل في مضاعفات بعد ذلك
+
+231
+00:19:07,500 --> 00:19:12,560
+بالنسبة بعض مشاكل العضلات قد يكون هناك تمزق وقد
+
+232
+00:19:12,560 --> 00:19:16,520
+يكون تقلص وبالتالي التمزق هو تشقق في العضلات في
+
+233
+00:19:16,520 --> 00:19:20,380
+الأنتجة اللي فيها بالنسبة للعضلات وهذه طبعا تحتاج
+
+234
+00:19:20,380 --> 00:19:24,860
+إلى كمدات ماء بارد وعدم استخدام كمدات الماء الدافئ
+
+235
+00:19:24,860 --> 00:19:30,250
+في أول يوم مع استخدام بعض المسكناتولا يسمح بعملية
+
+236
+00:19:30,250 --> 00:19:35,230
+التدليق أما بالنسبة للتقلصات العضلية تكون فيها
+
+237
+00:19:35,230 --> 00:19:39,490
+انقباض في العضلات وهنا يمكن أن نستخدم كمدات الماء
+
+238
+00:19:39,490 --> 00:19:43,690
+الدافئ مع عملية تدليق خفيف وهذا طبعا لتنشيط الدورة
+
+239
+00:19:43,690 --> 00:19:48,110
+الدمويةوعملية فرد العضلات وبالتالي الملاحظ أن
+
+240
+00:19:48,110 --> 00:19:52,430
+البعض في حال الشد العضلي هو طبعا ممكن مصطلح لدينا
+
+241
+00:19:52,430 --> 00:19:55,330
+أن التقلص العضلي أو الشد العضلي كمصطلح واحد لكن
+
+242
+00:19:55,330 --> 00:19:59,650
+الفرق بسيط جدا في حال التمزق العضلي هو أيضا الشد
+
+243
+00:19:59,650 --> 00:20:02,570
+العضلي وهناك تمزقات في العضلات نتيجة مجهود كبيرة
+
+244
+00:20:02,570 --> 00:20:06,070
+على العضلة أما في حال التقلص العضلي فهو انكماش في
+
+245
+00:20:06,070 --> 00:20:09,860
+العضلةفي الحالة الأولى في حال الشد نستخدم كمدات
+
+246
+00:20:09,860 --> 00:20:14,400
+ماء بارد ولا نستخدم الثلج مباشرة على الجسم مع عدم
+
+247
+00:20:14,400 --> 00:20:17,940
+التدليق أما في الحالة الثانية في عملية التقلص
+
+248
+00:20:17,940 --> 00:20:22,700
+فنستخدم كمدات الماء الدافئ مع عملية تدليق خفيف
+
+249
+00:20:22,700 --> 00:20:26,900
+لتنشيط العضلة ونتمنى السلامة للجميع وبارك الله
+
+250
+00:20:26,900 --> 00:20:27,340
+فيكم
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/qMS92FxS0L0.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/qMS92FxS0L0.srt
new file mode 100644
index 0000000000000000000000000000000000000000..7ea7f2557a1cb80ed046e81017934d6e9bf13f85
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/qMS92FxS0L0.srt
@@ -0,0 +1,2423 @@
+1
+00:00:05,200 --> 00:00:08,620
+بسم الله الرحمن الرحيم يعني اليوم هنكمل جزء ثاني
+
+2
+00:00:08,620 --> 00:00:11,620
+من المبادئ الأولية للإسعاف الأولي حكينا الملوثات
+
+3
+00:00:11,620 --> 00:00:15,860
+على بعض القوانين، بعض الأساس، إيش المهام اللي ممكن
+
+4
+00:00:15,860 --> 00:00:20,060
+نقوم فيها المسعف، إيش الأسباب المؤدية للحوادث،
+
+5
+00:00:20,060 --> 00:00:23,550
+اليوم هنتكلم على عملية التقييم، وطبعاً عملية
+
+6
+00:00:23,550 --> 00:00:27,670
+التقييم مهمة كثير يعني الأهم فالمهم، من الأول أن
+
+7
+00:00:27,670 --> 00:00:30,910
+أنا أقدم الخدمة، هل الشخص عنده جروح بسيطة ولا
+
+8
+00:00:30,910 --> 00:00:34,910
+الشخص عنده اختناق، هل الشخص مثلاً عنده مثلاً صدمة
+
+9
+00:00:34,910 --> 00:00:38,570
+وتوقف في عضلة القلب ولا شخص مثلاً بيتنفس تمام تمام
+
+10
+00:00:38,570 --> 00:00:41,770
+بس مجرد عنده إغماء بسيط، طبعاً هذه من خلال هي
+
+11
+00:00:41,770 --> 00:00:44,710
+التقييم أما التقييم الأول للمصابين لمعرفة الحالات
+
+12
+00:00:44,710 --> 00:00:48,650
+مين اللي بحتاج للخدمة أو للرعاية الأولية أولاً ثانياً
+
+13
+00:00:48,650 --> 00:00:52,870
+حاجة درجة الوعي يعني إحنا كلنا كبداية حكينا أن
+
+14
+00:00:52,870 --> 00:00:56,310
+الخطورة ضرورية جداً أن أتعرف هل في خطورة عليّ ولا
+
+15
+00:00:56,310 --> 00:01:00,130
+مافيش لأن ما بنفع أن أنا أقدم خدمة لمكان في خطورة
+
+16
+00:01:00,130 --> 00:01:03,940
+على نفسي ثاني حاجة أنا طبعاً قلنا الـ danger طبعاً حرف
+
+17
+00:01:03,940 --> 00:01:06,100
+الـ D ثاني حاجة اللي هو الـ response الـ response
+
+18
+00:01:06,100 --> 00:01:09,940
+ماذا استجاب الشخص إذا كان الشخص هذا واعي ولا غير
+
+19
+00:01:09,940 --> 00:01:13,420
+واعي و قلنا إنه ممكن أتعرف على درجة الوعي من خلال
+
+20
+00:01:13,420 --> 00:01:16,800
+أن أنا دي باسمه من خلال مثلاً أفرك وشحمة الأذن من
+
+21
+00:01:16,800 --> 00:01:21,480
+خلال هز الكتف لكن يحذر تماماً إنه هز الشخص مباشرة
+
+22
+00:01:21,480 --> 00:01:27,040
+لأنه قد يكون لديه كسور تمام؟ النقطة الثانية وأنت
+
+23
+00:01:27,040 --> 00:01:30,020
+لاحظين هنا أنا قاعد بقى أنادي عليه بالصورة فحص
+
+24
+00:01:30,020 --> 00:01:33,610
+مجرى الهواء والجهاز التنفسي يمكن هذا الشخص إذا أنا
+
+25
+00:01:33,610 --> 00:01:36,990
+ناديت عليه واستجاب لي واتكلم خلاص مافيش خوف لكن
+
+26
+00:01:36,990 --> 00:01:40,750
+إذا أنا ناديت عليه وطبعاً هزيت الكتف أو شحمة الأذن
+
+27
+00:01:40,750 --> 00:01:42,790
+وجرست يعني بالطريقة
+
+28
+00:01:42,790 --> 00:01:45,270
+ومااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااااا
+
+29
+00:01:58,850 --> 00:02:02,330
+ممكن مجرد أن أحرك العنق أو ممكن أن أدخل الأصبع
+
+30
+00:02:02,330 --> 00:02:07,670
+بطريقة خاطفة إذا في أي جسم غريب أو الإنسان فاقد
+
+31
+00:02:07,670 --> 00:02:10,750
+وعي وإحنا قلنا أي إنسان بيكون فاقد وعيه بيكون
+
+32
+00:02:10,750 --> 00:02:13,790
+ارتخاء في كل عضلات الجسم ومن ضمنها عضلة اللسان
+
+33
+00:02:13,790 --> 00:02:16,870
+بالمثل البالي يقول يبلع اللسان، هو ما بيبلع اللسان
+
+34
+00:02:16,870 --> 00:02:20,290
+زي ما حكينا لكن بيعمل إغلاق للحنجرة مجرد أن أحرك
+
+35
+00:02:20,290 --> 00:02:23,590
+العنق في حال عدم اشتباه بكسر العنق أو كسور
+
+36
+00:02:23,590 --> 00:02:27,600
+العنق في الأوضاع الطبيعية. طيب، النقطة الثالثة،
+
+37
+00:02:27,600 --> 00:02:30,940
+بعد ما أنا أتأكد أنه مجرد تنفس فاتح، بقى أستمع،
+
+38
+00:02:30,940 --> 00:02:33,680
+وهنا بجينا القانون الثاني اللي إحنا قلنا انظر،
+
+39
+00:02:33,680 --> 00:02:38,300
+استمع، تحسس أو استشعر، أن أنا بأسمع وبتطلع على
+
+40
+00:02:38,300 --> 00:02:41,420
+حركة الصدر وأضف إلى ذلك، ممكن أنا أضع اليد على
+
+41
+00:02:41,420 --> 00:02:45,560
+الصدر نفسه، حتى أشوف أنه في نفس ولا مافيش نفس،
+
+42
+00:02:45,560 --> 00:02:47,820
+واحد يقول ممكن يكون لابس ملابس، مش لابس ملابس، لكن
+
+43
+00:02:47,820 --> 00:02:50,280
+هذه إحنا بنقول إحنا تخفيف الملابس في الحالة هذه
+
+44
+00:02:50,280 --> 00:02:56,910
+لتوضيح المشهد أمامنا، في حال أنه كان يتنفس إلى حل،
+
+45
+00:02:56,910 --> 00:02:59,650
+في حال أنه ما كانش يتنفس إلى حل، في حال أنه كان
+
+46
+00:02:59,650 --> 00:03:02,730
+يتنفس ضعيف برضه إلى حل، وهذا هنقشه خلال اللقاءات
+
+47
+00:03:02,730 --> 00:03:07,010
+إن شاء الله القادمة النقطة الثانية ليه فحص القلب و
+
+48
+00:03:07,010 --> 00:03:10,530
+قدرته على العمل، وقلنا إحنا فحص النبض من خلال
+
+49
+00:03:10,530 --> 00:03:15,350
+الشريان السباتي، ببعد عن الشريان الرسغ، بالنسبة
+
+50
+00:03:15,350 --> 00:03:18,390
+لحالات الإسعاف الأولي، أما بالنسبة للطفل ببعد عن
+
+51
+00:03:18,390 --> 00:03:21,090
+العنق وباجل اللي هو طبعاً الشريان الإبطي
+
+52
+00:03:25,520 --> 00:03:29,100
+هذه طبعاً الصورة واضحة لشريان السباتي أنا كيف ممكن
+
+53
+00:03:29,100 --> 00:03:33,300
+أستشعر أنه بعد هي كباقي للحاجات اللي فيها خطورة
+
+54
+00:03:33,300 --> 00:03:36,200
+لكن أقلها من اختناق يعني نقول مثلاً إنسان عنده
+
+55
+00:03:36,200 --> 00:03:39,680
+نزيف ونزيف بسيط وإنسان مختنق مين الأولي؟ طبعاً اللي
+
+56
+00:03:39,680 --> 00:03:43,780
+عنده إيش؟ اختناق عنده اختناق لأن طبعاً الاختناق
+
+57
+00:03:43,780 --> 00:03:47,560
+أثره مش .. بس مش على جد أنه بيتنفسش الخطورة هنا أنه
+
+58
+00:03:47,560 --> 00:03:50,780
+مافيش عندنا كمية كافية من الـ oxygen تصل لوين؟ للدماغ
+
+59
+00:03:50,780 --> 00:03:53,980
+وطالما أن الدماغ ما وصلش له كمية كافية من الـ oxygen
+
+60
+00:03:53,980 --> 00:03:58,200
+معناه الجسم كله مش هيشتغل بصورة طبيعية لأنه مين
+
+61
+00:03:58,200 --> 00:04:01,660
+بيقبل الأوامر؟ الدماغ وطالما المشكلة في الدماغ منها
+
+62
+00:04:01,660 --> 00:04:05,680
+تنعكس على كل أجزاء الجسم يعني حتى في المثل البلدي
+
+63
+00:04:05,680 --> 00:04:09,930
+إذا الإصابة بعيدة عن الرأس هي سليمة ومن ضمن طبعاً
+
+64
+00:04:09,930 --> 00:04:12,790
+الأسباب هنقولش هنأصيب الرأس هنختنق و in that
+
+65
+00:04:12,790 --> 00:04:15,750
+معناه هيأثر عليهش على الدماغ اللي موجود إيش في
+
+66
+00:04:15,750 --> 00:04:19,870
+الرأس فحص الجسم المصاب من أي كسورة .. بلاحظين
+
+67
+00:04:19,870 --> 00:04:23,230
+خواتنا هنعيش من الأهم كلهم مهمين وكلهم بحتاجوا
+
+68
+00:04:23,230 --> 00:04:26,930
+إيش لخدمة إسعاف أولي لكن الأهم فالمهم
+
+69
+00:04:30,200 --> 00:04:32,920
+طبعاً أولويات الإسعاف الأولي طبعاً اللي هي التقديم
+
+70
+00:04:32,920 --> 00:04:35,580
+المبدأي وطبعاً تاكل وتنفس يعني هدول الحاجات إحنا
+
+71
+00:04:35,580 --> 00:04:42,780
+بنعيدها بس للشريحة السابقة فحص
+
+72
+00:04:42,780 --> 00:04:48,620
+الحالات معنى أن أنا أفحص الشخص ككل أهم الأجهزة
+
+73
+00:04:48,620 --> 00:04:52,080
+اللي أنا باهتم فيها الجهاز التنفسي بعد ما أفحص
+
+74
+00:04:52,080 --> 00:04:55,120
+الجهاز التنفسي بنتقل للأجهزة الأخرى يعني عند
+
+75
+00:04:55,120 --> 00:04:58,940
+الجهاز التنفسي الجهاز الدوري إذا في كسور إذا في
+
+76
+00:04:58,940 --> 00:05:03,860
+لدغات إذا في انزلاقات إذا أنا ببدأ بالأهم كل
+
+77
+00:05:03,860 --> 00:05:09,160
+الأجهزة مهمة لكن مين بمثل خطورة أكثر؟ طبعاً الجهاز
+
+78
+00:05:09,160 --> 00:05:12,340
+التنفسي طبعاً بعض الأجهزة الحيوية الموجودة داخل جسم
+
+79
+00:05:12,340 --> 00:05:15,420
+الإنسان اللي هو الجهاز التنفسي تلاحظين طبعاً الصورة
+
+80
+00:05:15,420 --> 00:05:18,780
+هنا طبعاً الجهاز التنفسي اللي من خلاله لو بدأ يدخل
+
+81
+00:05:18,780 --> 00:05:23,380
+الهواء محمل بأكسجين للدم أو للرئتين ومن ثم طبعاً
+
+82
+00:05:23,380 --> 00:05:25,980
+الجهاز الدوري الأجهزة الحيوية الثانية اللي هو طبعاً
+
+83
+00:05:25,980 --> 00:05:30,080
+الجهاز الدوري القلب وطبعاً كله هناخده بالتفصيل بس
+
+84
+00:05:30,080 --> 00:05:32,160
+هذه طبعاً كلها في المبادئ الأولية الأساسية
+
+85
+00:05:34,650 --> 00:05:37,910
+طبعاً هنا قلنا كيف ممكن .. وهنا يا إخواتنا يعني أنا
+
+86
+00:05:37,910 --> 00:05:43,770
+بدي أقول حاجة مهمة في حال سماع النفس لازم أكون أنا
+
+87
+00:05:43,770 --> 00:05:48,990
+أستخدم البصر يعني بقى أسمع وبقى أشوف في حال جس
+
+88
+00:05:48,990 --> 00:05:54,970
+النبض أو تفحص النبض بده لا يقل عن عشر ثواني ليش؟
+
+89
+00:05:54,970 --> 00:05:57,970
+لأن أنا لما بدي أمسك وأستشعر النبض بدي أكون مرتبك
+
+90
+00:05:57,970 --> 00:06:02,550
+نوعاً ما أو يعني .. يعني .. يعني .. بكونش متأكد من
+
+91
+00:06:02,550 --> 00:06:06,850
+أنه فيه نبض أو لأ وكمان يحذر استخدام الإبهام لأنه
+
+92
+00:06:06,850 --> 00:06:11,710
+فيه نبض وبالتالي نقول إحنا نستشعر النبض لمدة عشر
+
+93
+00:06:11,710 --> 00:06:15,410
+ثواني أقل شيء عشان نتأكد أنه فيه نبض أو ليس كمان
+
+94
+00:06:15,410 --> 00:06:19,250
+حاجة ثانية أن أنا أعرف المكان يمكن لربما واحد مش
+
+95
+00:06:19,250 --> 00:06:22,230
+عارف بالضبط مكان اللي هو الشريان السباتي لأ إحنا
+
+96
+00:06:22,230 --> 00:06:25,910
+جينا في المنتصف زي ما جينا بالصورة من منتصف العين
+
+97
+00:06:25,910 --> 00:06:29,950
+أو بين الحنجرة وعضلة يمكن واحد مثلاً يضع يده وخدوا
+
+98
+00:06:29,950 --> 00:06:33,880
+بالكم لازم يكون الأصابع بالعرض لأن لو حطيناها بالطول
+
+99
+00:06:33,880 --> 00:06:37,760
+كذا، ممكن تكون بعيد عن الجهاز، عن الشريان السباتي،
+
+100
+00:06:37,760 --> 00:06:41,760
+ومش هتستشعر لو ضليت لبكرة، وبالتالي لما أنا أكون
+
+101
+00:06:41,760 --> 00:06:45,720
+بالعرض عاملها كذا، يعني ممكن أكون تحت الأصبع، طبعاً
+
+102
+00:06:45,720 --> 00:06:49,180
+السبابة أو الوسطى أو الخنصر، وبالتالي هنا ممكن
+
+103
+00:06:49,180 --> 00:06:52,580
+أستشعر تحت أحد الأصابع، ممكن أضغط، ممكنش طبعاً شيء
+
+104
+00:06:52,580 --> 00:06:56,200
+سطحي، لأن ممكن لو ما استشعرتش، أضغط شوية صغيرة،
+
+105
+00:06:56,200 --> 00:06:58,840
+طبعاً إيش للتأكد من وجود نبض أو مافيه نبض؟
+
+106
+00:07:01,820 --> 00:07:05,300
+طبعاً هذه صورة بالنسبة للبالغين وصورة بالنسبة
+
+107
+00:07:05,300 --> 00:07:12,500
+للأطفال طيب
+
+108
+00:07:12,500 --> 00:07:17,640
+إخواتنا هنا فينا أربع حالات طبعاً هذا كاجتهاد شخصي
+
+109
+00:07:17,640 --> 00:07:25,040
+أنه أنا بتعرف الحالة هذه أنا ممكن أواجهها ولا مش
+
+110
+00:07:25,040 --> 00:07:29,540
+ممكن؟ بمعنى أن أنا الشخص اللي أمامي يعني علمياً
+
+111
+00:07:29,540 --> 00:07:33,760
+ممكن أتعامل معه في الوضع اللي هو فيه والأجهزة
+
+112
+00:07:33,760 --> 00:07:37,680
+اللي موجودة قد تعمل أو لا تعمل أو بعض الحالات اللي
+
+113
+00:07:37,680 --> 00:07:42,540
+موجودة ممكن ما تكونش موجودة يعني كيف؟ طبعاً هدول يا
+
+114
+00:07:42,540 --> 00:07:47,100
+إخواتنا أشخاص فاقدي الوعي حديثاً يعني مالوش نص ساعة
+
+115
+00:07:47,100 --> 00:07:51,070
+يعني أنت فجأة أوي على الأرض، تمام؟ طيب، هل الشخص
+
+116
+00:07:51,070 --> 00:07:55,170
+الأول، شخص فاقد الوعي، لا يتنفس وقلبه يعمل؟ يعني،
+
+117
+00:07:55,170 --> 00:07:57,110
+يا جزاها، ده إحنا ممكن نلاقيه خلال الحلقات اللي
+
+118
+00:07:57,110 --> 00:08:01,190
+بنشوفها، بنصادفها؟ ما عشان شخص فاقد الوعي، لا يتنفس
+
+119
+00:08:01,190 --> 00:08:06,710
+وقلبه متوقف؟ شخص فاقد الوعي، ماتناشّه .. طبعاً،
+
+120
+00:08:06,710 --> 00:08:11,280
+دايماً، إخواتنا، ما نحكم على أي ضحية إنه ميت okay،
+
+121
+00:08:11,280 --> 00:08:16,900
+هنناقش مع بعض، دايماً إحنا بيقولنا فقد واعي حديثاً،
+
+122
+00:08:16,900 --> 00:08:20,680
+وقع الأرض، وبالتالي أنا ما بِحكم على الشخص أنه
+
+123
+00:08:20,680 --> 00:08:25,620
+ميت، إلا بعد الفحص، أكثر من الحالات بتكون وقعه
+
+124
+00:08:25,620 --> 00:08:29,370
+الأرض وبنعمل إجراءات معاه، بتعرفوا إيش إيش؟ بتصحى،
+
+125
+00:08:29,370 --> 00:08:33,390
+بتوقع، لكن أنا ما بقدر أقول عنه ميت مباشرة، ممكن
+
+126
+00:08:33,390 --> 00:08:36,350
+حالات كثير وبنستخدم معاها طبعاً الضغط على الصدر و
+
+127
+00:08:36,350 --> 00:08:39,170
+بنستخدم طبعاً الـ defibrillator وبنستخدم طبعاً ال
+
+128
+00:08:39,170 --> 00:08:43,210
+DC shock، وبتموت، لكن مش مباشرة أقول الله يجعله
+
+129
+00:08:43,210 --> 00:08:47,050
+يتخلص مات، لأ، ما بنفع، طبعاً إحنا الحالة الثالثة
+
+130
+00:08:47,050 --> 00:08:49,290
+بيقولوا إحنا ممكن ننجحها وما بنرجعها، الحالة
+
+131
+00:08:49,290 --> 00:08:52,070
+الثالثة بيقولوا أن شخص فاقد الوعي يتنفس وقلبه
+
+132
+00:08:52,070 --> 00:08:56,160
+يعمل، فاقد الوعي أكثر ملاهد مثلاً عشان نقول إحنا
+
+133
+00:08:56,160 --> 00:09:00,260
+بنقول بيتنفس وقلبه ينبض وفاقد الوعي بده يلزمّه
+
+134
+00:09:00,260 --> 00:09:03,520
+طبعاً وضع الإفاقة اللي هنشوفه بعد هيك طيب شخص فاقد
+
+135
+00:09:03,520 --> 00:09:09,620
+الوعي يتنفس وقلبه متوقف ماشي مين الحالة اللي
+
+136
+00:09:09,620 --> 00:09:16,040
+إحنا ممكن ما نجيها على أرض الواقع؟ تمام؟
+
+137
+00:09:16,040 --> 00:09:19,160
+يبقى الحالة الأولى شخص فاقد الوعي لا يتنفس وقلبه
+
+138
+00:09:19,160 --> 00:09:22,480
+.. إيه معناه؟ أنه في عنده إغلاق تمام؟ واحد فاقد
+
+139
+00:09:22,480 --> 00:09:26,080
+الوعي بياكل .. تمام؟ صار عنده تشنج .. صار عنده
+
+140
+00:09:26,080 --> 00:09:30,120
+صرع .. وقع الأرض .. الأكل في تمه عمل يقلق لمجرد 
+
+141
+00:09:30,120 --> 00:09:33,660
+التنفس .. لكن القلب ما توقف .. تمام؟ طيب الشخص
+
+142
+00:09:33,660 --> 00:09:37,360
+الثاني فاقد الوعي اللي لا يتنفس و قلبه متوقف ..شيء
+
+143
+00:09:37,360 --> 00:09:40,800
+طبيعي .. القلب توقف .. التنفس توقف ..شيء طبيعي
+
+144
+00:09:40,800 --> 00:09:45,580
+هذا .. طيب شخص فاقد الوعي يتنفس و قلبه يعمل ..
+
+145
+00:09:45,580 --> 00:09:49,940
+واحد مثلا عنده انخفاض في سكر .. بيتنفس و القلب ينبض،
+
+146
+00:09:49,940 --> 00:09:54,820
+لا يفقد وعيه، تمام؟ لكن مستحيل ألاقي إنسان مثلا 
+
+147
+00:09:54,820 --> 00:09:59,180
+بيتنفس و القلب متوقف، ما تصيرش هذه، وبالتالي أنا 
+
+148
+00:09:59,180 --> 00:10:04,220
+الشيء اللي بيتوقعه أنه ممكن ما يتنفسش و القلب لا ينبض،
+
+149
+00:10:04,220 --> 00:10:09,980
+ممكن بيتنفس و القلب ينبض، ممكن لا يتنفس و القلب ينبض
+
+150
+00:10:10,740 --> 00:10:14,460
+لكن الحالة الرابعة إن أقول والله بيتنفس .. بيتنفس و
+
+151
+00:10:14,460 --> 00:10:19,400
+القلب متوقف طبعا ليه لا .. تمام؟ بالمجمل ما بدي
+
+152
+00:10:19,400 --> 00:10:22,920
+أحكم على الشخص إنه ميت من أول كلمة أو من أول منظر
+
+153
+00:10:31,220 --> 00:10:34,800
+طب إذا أخذنا جهازين الجهاز الأول التنفسي والجهاز
+
+154
+00:10:34,800 --> 00:10:39,340
+الدوري طبعا والجهاز العصبي وهذا اللي بيعطيني إشارة
+
+155
+00:10:39,340 --> 00:10:42,200
+إنه فيه وعي ولا ما فيش وعي الجهاز العصبي يطلع
+
+156
+00:10:42,200 --> 00:10:46,040
+المتمثل بالجهاز العصبي المركزي أساسا اللي هو المخ
+
+157
+00:10:46,040 --> 00:10:51,580
+والمخيخ لكن أنا بنتكلم هنا إن درجة الوعي من خلال
+
+158
+00:10:51,580 --> 00:10:57,670
+تقييمي للجهاز العصبي مثلا إنسان مثلا شرب خمرة أو
+
+159
+00:10:57,670 --> 00:11:01,510
+ماخذ كمية عالية من الكحول تمام؟ أو إنسان مثلا أخذ
+
+160
+00:11:01,510 --> 00:11:05,590
+ضربة على الرأس أو صار معه حادث، هتأثر على درجة
+
+161
+00:11:05,590 --> 00:11:08,230
+الوعي، وبدعم أن أنا عملت تقييم، وبالتالي اللي 
+
+162
+00:11:08,230 --> 00:11:11,490
+ما بيديش بدي أجي أشوف الشخص، أقول إن أول حاجة الـ deal
+
+163
+00:11:11,490 --> 00:11:15,670
+هو الـ danger، بعدين response هل في استجابة ولا
+
+164
+00:11:15,670 --> 00:11:18,670
+ما فيش استجابة؟ إذا الشخص كان عنده استجابة،
+
+165
+00:11:18,670 --> 00:11:22,410
+هيساعدني كثير، إذا ما عنده استجابة، ببدأ أنا أجهد
+
+166
+00:11:22,410 --> 00:11:26,390
+بمعلوماتي، كيف أنا أستنبط وين المشكلة اللي موجودة
+
+167
+00:11:26,390 --> 00:11:31,610
+عند الشخص هذا؟الجهاز الهيكلي طبعا بيدلني وها طبعا 
+
+168
+00:11:31,610 --> 00:11:34,290
+هناخد بالتفصيل اسم الجهاز الهيكلي الحركي لكن احنا
+
+169
+00:11:34,290 --> 00:11:39,050
+بنخص هنا اللي هو علاقة اللي كسر في تقديم الخدمة
+
+170
+00:11:39,050 --> 00:11:43,130
+بعد ما أتفقّد الشخص قولنا من الجهاز التنفسي والجهاز
+
+171
+00:11:43,130 --> 00:11:47,090
+طبعا الدوري وطبعا الجهاز العصبي الجهاز الهيكلي في
+
+172
+00:11:47,090 --> 00:11:50,130
+كسور ولا ما فيش كسور؟ طيب إذا في كسور أنا إيش دوري
+
+173
+00:11:50,130 --> 00:11:54,250
+فيها؟ إذا في ردود أنا إيش دوري فيها؟ إذا في انزلاق
+
+174
+00:11:54,250 --> 00:11:56,930
+غضروفي دوري فيها إذا في خلع دوري فيها طبعا هذه
+
+175
+00:11:56,930 --> 00:11:59,750
+كلها المواضيع بناخدها بالتفصيل طبعا مع الجهاز
+
+176
+00:11:59,750 --> 00:12:04,630
+الهيكلي الحركي بالتالي
+
+177
+00:12:04,630 --> 00:12:08,750
+احنا ذكرنا قبل كده أحيانا بتكون الأخطاء الناتجة
+
+178
+00:12:08,750 --> 00:12:13,170
+والشلل الناتج نتيجة النقل الخاطئ أو تحريك المصاب
+
+179
+00:12:13,170 --> 00:12:15,990
+واحد عنده اشتباه في كسر عينيك مش مشكلة أحرك رأسه 
+
+180
+00:12:15,990 --> 00:12:19,930
+عشان يتنفس ماشي التنفس مهم لكن برضه الكسر في
+
+181
+00:12:19,930 --> 00:12:24,160
+الحالة هذه هيؤدي إلى خطورة يبقى في عندنا طرق ثانية
+
+182
+00:12:24,160 --> 00:12:26,600
+هنتعرف عليها كيف هو احنا ممكن نفتح فك الـ
+
+183
+00:12:26,600 --> 00:12:30,220
+الضحية طب يقول لك أنا واحد منهم بني  يتنفس؟ بني 
+
+184
+00:12:30,220 --> 00:12:32,840
+يتنفس اه، لكن ليس بالضرورة أن أنا أحرك الرأس
+
+185
+00:12:32,840 --> 00:12:36,100
+للخلف، في عندنا طرق ثانية هنتعرف عليها إن شاء الله
+
+186
+00:12:36,100 --> 00:12:40,560
+ننتقل إلى اللي هي العلامات الحيوية، إيش يعني
+
+187
+00:12:40,560 --> 00:12:45,940
+العلامات الحيوية اللي بتدل أن في حياة ولّا ما فيش
+
+188
+00:12:45,940 --> 00:12:50,500
+حياة؟ بالدليل اللي معدّلها طبيعي ولّا غير طبيعي؟ نقول
+
+189
+00:12:50,500 --> 00:12:55,220
+احنا علامات حيوية يعني إن هذا الشخص حي أو غير حي،
+
+190
+00:12:55,220 --> 00:12:57,860
+لو فقد واحدة من العلامات هذه أو اتغيرت علامة من
+
+191
+00:12:57,860 --> 00:13:01,180
+العلامات هذه، بقول إن في عنده مشكلة، إذا أنا
+
+192
+00:13:01,180 --> 00:13:04,880
+ما أعرفش المعدل الطبيعي لها، ما أقدرش أقول أنا هل هي
+
+193
+00:13:04,880 --> 00:13:08,080
+طبيعية ولا غير طبيعية، من ضمن العلامات الحيوية هذه
+
+194
+00:13:09,040 --> 00:13:12,780
+طب أول حاجة درجة الوعي، درجة الوعي، هل هو معي ولا 
+
+195
+00:13:12,780 --> 00:13:16,440
+غير معي، برد ولا ما بردش، العلامة الحيوية هذا، بتكلم
+
+196
+00:13:16,440 --> 00:13:19,960
+ولا ما يتكلمش، طبعا أنا بعرف من خلال تقييمي
+
+197
+00:13:19,960 --> 00:13:24,720
+و مناداته، النبض، النبض اللي هو عدد ضربات القلب في
+
+198
+00:13:24,720 --> 00:13:29,150
+الدقيقة الواحدة وليس في الساعة تجربة كم مرة بينبض
+
+199
+00:13:29,150 --> 00:13:32,870
+عند الشخص العادي وقت الراحة أخذوا بالكم عدد ضربات 
+
+200
+00:13:32,870 --> 00:13:37,510
+القلب في الدقيقة الواحدة وقت الراحة وهذا طبعا في
+
+201
+00:13:37,510 --> 00:13:47,350
+عندنا رقم من 70 إلى 100 لأ هو العلم هو طبعا 
+
+202
+00:13:47,350 --> 00:13:51,230
+بعض الكتب بتقول من 60 إلى 80 و بعض بتقول من 60 إلى 100
+
+203
+00:13:51,230 --> 00:13:57,150
+وقت الراحة وقت الراحة بمعنى أنه ما أقدرش أقول عند رقم
+
+204
+00:13:57,150 --> 00:14:00,170
+ثابت نقول والله السبعين هو العدد النبضات في
+
+205
+00:14:00,170 --> 00:14:03,570
+الدقيقة الواحدة لأن في عندنا عوامل في عندنا عوامل بنية
+
+206
+00:14:03,570 --> 00:14:07,210
+الجسم في عندنا طول الجسم في عندنا وزن الجسم في عندنا
+
+207
+00:14:07,210 --> 00:14:11,150
+ذكاء بياخد علاجات في عندنا ذكاء طبعا هنتكلم يا
+
+208
+00:14:11,150 --> 00:14:14,670
+أخواتنا وقت الراحة هنتكلمش هو معصم ولو زعلان لأ
+
+209
+00:14:14,670 --> 00:14:18,170
+هيختلف لأن طبعا إفراز الهرمونات هتأثر و بالذات
+
+210
+00:14:18,170 --> 00:14:22,570
+الأدرينالين هيزوّد طبعا ضربات القلب لكن هذا
+
+211
+00:14:22,570 --> 00:14:26,950
+للبالغين، طب بالنسبة للأطفال، بيزيد أم ينقص؟ بيزيد،
+
+212
+00:14:26,950 --> 00:14:34,110
+بيزيد، بيزيد، بيزيد، بيزيد، بيزيد، بيزيد، بيزيد، بيزيد،
+
+213
+00:14:34,110 --> 00:14:34,290
+بيزيد، بيزيد، بيزيد، بيزيد، بيزيد، بيزيد، بيزيد، بيزيد،
+
+214
+00:14:34,290 --> 00:14:36,910
+بيزيد، بيزيد، بيزيد، بيزيد، بيزيد، بيزيد، بيزيد، بيزيد،
+
+215
+00:14:36,910 --> 00:14:37,470
+بيزيد، بيزيد، بيزيد، بيزيد، بيزيد، بيزيد، بيزيد، بيزيد،
+
+216
+00:14:37,470 --> 00:14:47,830
+بيزيد، بيزيد، بيزيد، بيزيد، بيزيد، بيزيد، بيزيد، بطيب
+
+217
+00:14:47,830 --> 00:14:51,470
+بدنا نقول احنا يا أخواتنا أنا بجيب لكم مثال بسيط
+
+218
+00:14:51,470 --> 00:14:57,550
+جدا أجيتا لو كان عندنا ترس صغير ترس اللي هو اللي
+
+219
+00:14:57,550 --> 00:15:03,970
+بيمشي على الجنزير دراجة نفسها ترس صغير و ترس كبير
+
+220
+00:15:03,970 --> 00:15:11,010
+أجيتا اللفة من الترس الكبير ممكن تعادل أربع لفات أو
+
+221
+00:15:11,010 --> 00:15:16,330
+ثلاث لفات، من الصغير، تمام؟ اللفة هذه عشان تمشي مثلا 
+
+222
+00:15:16,330 --> 00:15:20,750
+الدراجة، تمام؟ طب هذا الترس الكبير لف لفة واحدة، و
+
+223
+00:15:20,750 --> 00:15:25,410
+الترس الصغير ثلاث أو أربع لفات، تمام؟ واحدة، لأ مش
+
+224
+00:15:25,410 --> 00:15:30,310
+نفس الشيء، هذا القلب، القلب ينبض من ستين إلى 
+
+225
+00:15:30,310 --> 00:15:34,410
+مية، هيدخّل الدم اللي موجود في الجسم لكل أجزاء
+
+226
+00:15:34,410 --> 00:15:38,550
+الجسم، بما فيه من القدم لأعلى الرأس، و الطفل نفس
+
+227
+00:15:38,550 --> 00:15:43,990
+الشيء لكن لما يكون عندي القلب كبير كمية الدم اللي
+
+228
+00:15:43,990 --> 00:15:47,710
+هتندفع ماشي بحجم قبضة تقريبا حجم الدم اللي موجود
+
+229
+00:15:47,710 --> 00:15:50,990
+في الـ .. هو تقريبا سبعين milliliter تقريبا سبعين
+
+230
+00:15:50,990 --> 00:15:57,390
+للبالغ طيب الطفل الصغير قلبه صغير تمام كمية الدم 
+
+231
+00:15:57,390 --> 00:16:02,570
+اللي هتخرج من القلب هتكون صغيرة طيب نتكلم هنا كمية
+
+232
+00:16:02,570 --> 00:16:09,310
+صغيرة معناه بده إيش يزود عدد النبضات أو عدد الضخات
+
+233
+00:16:09,310 --> 00:16:12,970
+وبالتالي نقول أن الطفل كل ما زاد .. كل ما الإنسان
+
+234
+00:16:12,970 --> 00:16:17,070
+يكبر في العمر كل ما زاد عدد النبضات لأن القلب يكبر
+
+235
+00:16:17,070 --> 00:16:21,330
+طبعا لكن يكبر إلى حد معين عشان من .. طبعا من عوامل
+
+236
+00:16:21,330 --> 00:16:25,690
+النمو والتطور للإنسان لكن الطفل الصغير نقول مثلا
+
+237
+00:16:25,690 --> 00:16:30,370
+الطفل أبو سنة ممكن نلاحظ عنده مثلا عدد النبضات من
+
+238
+00:16:30,370 --> 00:16:33,890
+مائة وعشرين لمائة وأربعين طبعا طبعا الجنين
+
+239
+00:16:36,350 --> 00:16:39,890
+الجنين كم مرة أجل ولا أكثر؟ بناء على الكلام اللي
+
+240
+00:16:39,890 --> 00:16:43,310
+احنا حكيناه، هيكون أكثر، هيكون أكثر، وبالتالي لما
+
+241
+00:16:43,310 --> 00:16:47,030
+تسمعي .. لما الستات مثلا تفحص لب دب لب دب لب دب،
+
+242
+00:16:47,030 --> 00:16:51,850
+بتلاقيه سريع، سريع، وكل ما صغر حجم القلب، كل ما
+
+243
+00:16:51,850 --> 00:16:55,430
+زاد عدده النبضات، يعني العصفور الصغير، لو تمسك أنت
+
+244
+00:16:55,430 --> 00:16:59,350
+على العصفور الصغير، هتلاقيه سريع، إذا أنا عدد 
+
+245
+00:16:59,350 --> 00:17:04,900
+النبضات يتناسب تناسب عكسي مع الحجم، مع حجم القلب، مع
+
+246
+00:17:04,900 --> 00:17:08,040
+حجم القلب، يعني بنتكلم بصورة عادية، تمام؟ وبالتالي
+
+247
+00:17:08,040 --> 00:17:11,220
+هنا كل ما كبر الإنسان في العمر، كل ما زاد عدد ضربات
+
+248
+00:17:11,220 --> 00:17:15,800
+القلب، هنا طبعا في عندنا استثناء، الناس الرياضيين، 
+
+249
+00:17:15,800 --> 00:17:20,720
+عدد ضربات القلب أقل، لأن إنسان عضلة القلب قوية
+
+250
+00:17:20,720 --> 00:17:25,360
+جدا وفيها انقباض أكثر بالنسبة لحجم كمية الدم،
+
+251
+00:17:25,360 --> 00:17:30,540
+يعني ممكن نوصل خمسة وخمسين، ستين، سبعين، تمام؟ حتى
+
+252
+00:17:30,540 --> 00:17:33,160
+لو كان شاب ..يعني نقول الشاب ممكن يوصل مثلا من
+
+253
+00:17:33,160 --> 00:17:39,880
+ستين إلى مية .. طيب .. الكبير في العمر .. هيبطئ
+
+254
+00:17:39,880 --> 00:17:43,700
+.. لأن عضلة القلب هتضعف .. وبالتالي طبعا احنا نوضحها
+
+255
+00:17:43,700 --> 00:17:47,400
+بصورة أن إنسان البالغ العادي في وضع الراحة من
+
+256
+00:17:47,400 --> 00:17:52,260
+ستين إلى مية لما بيكبر، بيوصل لمرحلة الشيخوخة،
+
+257
+00:17:52,260 --> 00:17:56,060
+هيقل، ممكن يوصل طبعا من خمسين إلى سبعين، تمام؟
+
+258
+00:17:56,060 --> 00:18:00,520
+الإنسان الرياضي، برضه هيقل، لأن عضلة القلب قوية،
+
+259
+00:18:00,520 --> 00:18:05,160
+تمام؟ الطفل الصغير والجنين، كل ما قل العمر، كل ما
+
+260
+00:18:05,160 --> 00:18:08,040
+زاد عدد الضربات، واضحة أنا؟ مش عشانه في مرحلة نمو
+
+261
+00:18:08,040 --> 00:18:11,080
+تطور، ولا أنه مجهود، احنا بنقول وقت من بداية
+
+262
+00:18:11,080 --> 00:18:12,940
+كلامنا، وقت الراحة، تمام؟
+
+263
+00:18:16,450 --> 00:18:20,050
+يبقى هنا هنعطينا بعض أرقام طبعا هنا البالغين بعض
+
+264
+00:18:20,050 --> 00:18:22,250
+الكتب اللي احنا قلنا من ستين لمية و بعض بيقول من
+
+265
+00:18:22,250 --> 00:18:26,170
+ستين لتمانين بمعنى أنه ما فيش عندي رقم ثابت يعني لو
+
+266
+00:18:26,170 --> 00:18:30,470
+أنت مثلا قاعدة شوف .. لكن في بعض العوامل تؤثر لما
+
+267
+00:18:30,470 --> 00:18:33,750
+يكون مثلا الإنسان ارتعب أو خاف أو أخذ بعض علاجات
+
+268
+00:18:33,750 --> 00:18:39,690
+حيُتأثر، حيزيد، تمام؟ هذا طبعا نقطة بالنسبة للرياضي
+
+269
+00:18:39,690 --> 00:18:39,850
+يعني
+
+270
+00:18:44,900 --> 00:18:49,500
+هنا استثناءات أو حالات واجتيش بيزيد النبض، في الخوف
+
+271
+00:18:49,500 --> 00:18:55,700
+بيزيد النبض، تمام؟ و وقت الامتحان بيزيد النبض صح ولا
+
+272
+00:18:55,700 --> 00:19:02,860
+.. وقت النتيجة بيزيد النبض .. وقت الصعود على الدرج
+
+273
+00:19:02,860 --> 00:19:06,680
+بيزيد النبض .. بعض العلاجات بيزيد النبض .. التوتر و
+
+274
+00:19:06,680 --> 00:19:10,900
+الخوف و الجلك بيزيد النبض .. في حال الالتهابات بيزيد
+
+275
+00:19:10,900 --> 00:19:15,080
+النبض .. في حال ارتفاع الحرارة بيزيد النبض .. طبعا
+
+276
+00:19:15,080 --> 00:19:18,420
+كلها إلى أسبابها .. هنتكلم بصفة عامة على الحالات
+
+277
+00:19:18,420 --> 00:19:23,760
+اللي بيزيد النبض الصدمة طبعا يعني هذه من علاماتها أن
+
+278
+00:19:23,760 --> 00:19:29,100
+أنت فجأة مثلا تعرضت لموجة في خوف وجهك هيصفر، ده ما
+
+279
+00:19:29,100 --> 00:19:32,980
+هناخد بالتفصيل احنا، وجهك هيصفر تمام، هيزيد عدد ضربات
+
+280
+00:19:32,980 --> 00:19:36,560
+القلب، هيزيد معدل التنفس وغالبا زيادة معدل التنفس 
+
+281
+00:19:36,560 --> 00:19:42,240
+بتابعه أو طبعًا بواطبه كمان اللي هو إيش زيادة في
+
+282
+00:19:42,240 --> 00:19:43,460
+معدل التنفس 
+
+283
+00:19:45,750 --> 00:19:49,950
+الالتهابات طبعًا ممكن احنا طبعًا كل جزئية من جزئية
+
+284
+00:19:49,950 --> 00:19:53,510
+هذه يعني بتحتاج تفصيل لكن احنا بقول هذه يعني أشياء 
+
+285
+00:19:53,510 --> 00:19:58,330
+بسيطة بتؤدي إلى زيادة عدد القلب مثلًا اللي بيكون عنده
+
+286
+00:19:58,330 --> 00:20:04,010
+التهابات شديدة ليش بيزيد عدد القلب؟ و ليش الدم بيندفع
+
+287
+00:20:04,010 --> 00:20:08,010
+أكثر؟ ليش بيزيد عدد القلب؟ لأنه عشان يوصل كمية أكبر
+
+288
+00:20:08,010 --> 00:20:12,040
+لمحاربة الميكروب تمام؟ ليش .. ليش .. ليش الإنسان
+
+289
+00:20:12,040 --> 00:20:14,960
+مثلًا لما ترتفع حرارته بيزيد عدد دقات القلب عنده؟
+
+290
+00:20:14,960 --> 00:20:17,680
+تلاحظوا أي إنسان بيكون ساخن كثير، بيزداد معدل 
+
+291
+00:20:17,680 --> 00:20:22,460
+النبض، لأنه بده طاقة أكثر، لأنه حرارة ساخنة، جسم
+
+292
+00:20:22,460 --> 00:20:25,860
+ساخن، ومصدر للطاقة عندنا إيش؟ الأكسوجين، وعشان
+
+293
+00:20:25,860 --> 00:20:28,400
+ناخد الأكسوجين أكثر، بنرجع دقات القلب أكثر،
+
+294
+00:20:28,400 --> 00:20:31,080
+فبيزيد معدل إيش؟ التنفس أكثر، عشان ناخد إيش كمية
+
+295
+00:20:31,080 --> 00:20:33,950
+أكبر من الأكسوجين التمرين الرياضي المجهودي، يعني
+
+296
+00:20:33,950 --> 00:20:37,310
+المجهود البدني، ارتفاع الحرارة و ارتفاع الحرارة زي ما
+
+297
+00:20:37,310 --> 00:20:41,090
+حكينا، طيب، النزيف الداخلي و الخارجي قد إيه زيادة 
+
+298
+00:20:41,090 --> 00:20:45,030
+النبض؟ طب هذا ما بديش آخده بالتفصيل فيه لأنه هيجينا 
+
+299
+00:20:45,030 --> 00:20:49,450
+يوم معين كيف نحكي بالنزيف اللي قاعد جاي إن شاء
+
+300
+00:20:49,450 --> 00:20:53,030
+الله أو اللي بعده النزيف وكيف ممكن يؤدي لزيادة عدد
+
+301
+00:20:53,030 --> 00:20:56,650
+دقات القلب و ليش يؤدي إليه بس خليني احنا ناخد هنا نقطة 
+
+302
+00:20:56,650 --> 00:21:01,550
+مهمة أنه الزيادة .. النزيف الداخلي و الخارجي بأدي
+
+303
+00:21:01,550 --> 00:21:05,790
+لزيادة عدد دقات القلب فاحنا ناخدها كمعلومة عامة
+
+304
+00:21:05,790 --> 00:21:07,750
+لكن هنصل إليها بالتفصيل أكثر إن شاء الله 
+
+305
+00:21:11,730 --> 00:21:14,590
+طبعًا في حالات الصدمة و النزيف الشديد يكون النبض
+
+306
+00:21:14,590 --> 00:21:18,370
+ضعيفًا وقد يكون محسوس من غير .. من الشريان النبض
+
+307
+00:21:18,370 --> 00:21:23,530
+ضعيف اه لكن سريع إيش يعني ضعيف؟ بمعنى أنه احنا لو
+
+308
+00:21:23,530 --> 00:21:27,270
+أي انسان فيه نضغط على أحد الشرايين هيجيجيه مقاومة
+
+309
+00:21:27,270 --> 00:21:31,630
+يعني الشريان ممتلئ بالدم لكن في حال الصدمة و النزيف 
+
+310
+00:21:31,630 --> 00:21:37,430
+فقد كمية من الدم وبالتالي الدم ماشي اه و سريع اه
+
+311
+00:21:37,430 --> 00:21:42,580
+لكن مش ممتلئ احنا خدناها على علتها المعلومة هذه لكن
+
+312
+00:21:42,580 --> 00:21:46,100
+لإن احنا هنصل بالتوضيح أكثر في حال النزيف و كيف
+
+313
+00:21:46,100 --> 00:21:49,700
+نعرف إنه قوي أو ضعيف و في حال الصدمة يعني هنا عندنا
+
+314
+00:21:49,700 --> 00:21:54,200
+معلومة واضحة إن في حال الصدمة و حال النزيف الداخلي
+
+315
+00:21:54,200 --> 00:22:00,140
+و الخارجي يكون سريع لكن ضعيف ضعيف يعني غير ممتلئ
+
+316
+00:22:00,140 --> 00:22:03,640
+غير ممتلئ طبعًا عدد الدقات ممكن تكون أكثر من 100
+
+317
+00:22:03,640 --> 00:22:09,290
+تمام يعني أنا أجيب مثال بسيط ثاني لو جينا إنسان بيلعب
+
+318
+00:22:09,290 --> 00:22:15,430
+تمارين رياضية و مجهود طبعًا هيعد الـ 100 لكن لو جينا
+
+319
+00:22:15,430 --> 00:22:20,830
+نستشعر النبض مليان ممتلئ نشعر إنه شريان ممتلئ طب 
+
+320
+00:22:20,830 --> 00:22:25,030
+لكن إنسان عنده نزيف أو عنده صدمة لأنه فقد كمية من 
+
+321
+00:22:25,030 --> 00:22:32,630
+الدم بنلاحظ إنه سريع لكن ضعيف اه ضعيف غير ممتلئ لأن
+
+322
+00:22:32,630 --> 00:22:35,750
+فيه إنّه قوي و فيه إنّه ضعيف، فيه إنّه سريع و فيه إنّه
+
+323
+00:22:35,750 --> 00:22:39,710
+بطيء، هو سريع لكن ضعيف، لكن في الإنسان العادي اللي
+
+324
+00:22:39,710 --> 00:22:43,370
+أخذ .. اللي بيلعب تمارين رياضية سريع و قوي في نفس
+
+325
+00:22:43,370 --> 00:22:43,750
+الوقت 
+
+326
+00:22:47,840 --> 00:22:51,060
+طيب العامل الثالث أو الجهة الثالثة هو التنفس طبعًا
+
+327
+00:22:51,060 --> 00:22:54,020
+هو دخول و خروج الهواء برضه معانا موضوع مستقل
+
+328
+00:22:54,020 --> 00:22:57,220
+بذاته ليه عاملين الشهيق و الزفير الشهيق يحمل طبعًا ال
+
+329
+00:22:57,220 --> 00:22:59,920
+الأكسجين الـ .. الـ .. الـ .. الهواء المحمل و الأكسجين
+
+330
+00:22:59,920 --> 00:23:05,120
+و الزفير طبعًا طبعًا الت .. التنفس برضه عندنا قسمين
+
+331
+00:23:05,120 --> 00:23:08,820
+داخلي و خارجي خنن طبعًا كرؤوس أقلام هنا لكن الداخلي
+
+332
+00:23:08,820 --> 00:23:13,720
+هنتعرف عليه و الخارجي برحلة ثانية معدل التنفس طبعًا 
+
+333
+00:23:13,720 --> 00:23:17,280
+.. هنا طبعًا عند الأطفال و عند البالغين، لاحظوا أن
+
+334
+00:23:17,280 --> 00:23:21,400
+عند البالغين نفس الحاجة أقل من الأطفال، ليش؟ نرجع
+
+335
+00:23:21,400 --> 00:23:29,800
+لِمرجع التفسير اللي حكيناه في الأول، ليش؟ العلاقة 
+
+336
+00:23:29,800 --> 00:23:36,210
+بالحجم، ما لهوش هنا تنفس احنا نقول حجم الرئتين .. حجم
+
+337
+00:23:36,210 --> 00:23:41,470
+الرئتين .. لأن الرئة للطفل صغيرة و الرئة للبالغ 
+
+338
+00:23:41,470 --> 00:23:45,230
+كبيرة يعني معنى النفس اللي أنت بتاخده مقابل تقريبًا
+
+339
+00:23:45,230 --> 00:23:48,910
+خمس .. خمس مرات بالنسبة ليش للطفل .. للطفل
+
+340
+00:23:48,910 --> 00:23:52,750
+وبالتالي بتلاحظ الطفل دائماً بيلفظ كثير طبعًا هو ده
+
+341
+00:23:52,750 --> 00:23:56,650
+طبيعي لكن لما بيظهر ضلي حاجة بيلفظ بزيادة وبالتالي
+
+342
+00:23:56,650 --> 00:24:00,730
+بيقول احنا حجم الرئتين يتناسب تناسب عكسي مع عدد
+
+343
+00:24:00,730 --> 00:24:05,750
+المرات معنى كل ما زاد الحجم كل ما قل عدد مرات 
+
+344
+00:24:05,750 --> 00:24:11,670
+التنفس في وضع طبيعي كل ما صغر الحجم كل ما زاد عدد 
+
+345
+00:24:11,670 --> 00:24:14,270
+.. يعني نقول مثلًا البالغ احنا عندنا هنا من ستة عشر
+
+346
+00:24:14,270 --> 00:24:17,430
+لعشرين مرة زيّكوا من ستة عشر لعشرين مرة طيب الطفل 
+
+347
+00:24:17,430 --> 00:24:19,710
+أول سنة و سنتين؟ من خمسة و عشرين لخمسة و ثلاثين
+
+348
+00:24:19,710 --> 00:24:25,050
+طيب الجنين؟ أكثر كده تقريبًا؟ يعني فوقنا بقى خمسة و
+
+349
+00:24:25,050 --> 00:24:27,850
+خمسة لعشرين لخمسة و خمسة لعشرين لخمسة و خمسة و
+
+350
+00:24:27,850 --> 00:24:32,870
+خمسة لعشرين لخمسة و خمسة و خمسة و خمن أربعين لخمسة
+
+351
+00:24:32,870 --> 00:24:45,290
+و أربعين من أربعين لمية اللي أخت بتقول مفيش
+
+352
+00:24:45,290 --> 00:24:51,470
+نفس بياخد الأكسجين جاهز عن طريق الماكن فيه
+
+353
+00:24:54,940 --> 00:24:58,780
+فما يعني احنا .. فدائمًا .. صح بتنسى .. يعني عادل
+
+354
+00:24:58,780 --> 00:25:02,260
+مرة التنفس بتنسى بتنسوا بعكسي مع حجم الرئة، كل ما
+
+355
+00:25:02,260 --> 00:25:06,080
+قلّ الحجم بيزيد العدد، لكن عمرنا ما روحنا نقول الله
+
+356
+00:25:06,080 --> 00:25:11,340
+الأم رايحة تفحص نفس الجنين، تبحث نبض الجنين، نبض 
+
+357
+00:25:11,340 --> 00:25:14,620
+الجنين وليس نفس الجنين، لأن لو أنت نفس حيان خانق
+
+358
+00:25:14,620 --> 00:25:18,670
+و يموت، لأن هو .. هو وجود في المية طبعًا .. أو طبعًا
+
+359
+00:25:18,670 --> 00:25:22,690
+احنا بيقولوا احنا الجنين بياخد النفس من وين؟ عن
+
+360
+00:25:22,690 --> 00:25:26,850
+طريق طبعًا هو المشيمة أو الحبل السري طبعًا؟ لأن طبعًا 
+
+361
+00:25:26,850 --> 00:25:29,950
+مافيش جنين و وريد واحد طبعًا الدورة مختلطة هنا لكن
+
+362
+00:25:29,950 --> 00:25:33,790
+بيقولوا احنا مجملًا أنه بياخد الدم الأكسجين عن
+
+363
+00:25:33,790 --> 00:25:37,770
+طريق الأم يبقى مافيش نفس عن طريق الجهاز التنفسي 
+
+364
+00:25:37,770 --> 00:25:41,570
+لكن في نفس بياخد الأكسجين من الأم ولا ضروري جداً
+
+365
+00:25:41,570 --> 00:25:45,950
+إذا كان بياخد الأكسجين، هيموت، تمام؟ فنتبه
+
+366
+00:25:45,950 --> 00:25:52,910
+للنقطة هذه الحرارة، حرارة الجسم طبعًا هي طبعًا .. و
+
+367
+00:25:52,910 --> 00:25:56,530
+يمكن أفضل أو أشهر حاجة اللي هي الميزان الزئبقي، و
+
+368
+00:25:56,530 --> 00:25:59,710
+هذا طبعًا .. و .. و بالضرورة أن كل بيت يكون فيه
+
+369
+00:25:59,710 --> 00:26:03,190
+ميزان زئبقي، ضروري جدًا عشان نعرف الحرارة، لأن طبعًا
+
+370
+00:26:03,190 --> 00:26:06,490
+بالحرارة يتمدد الزئبق، و بالبرودة ينكمش إيش
+
+371
+00:26:06,490 --> 00:26:08,950
+الزئبق، و هذا طبعًا شيء طبيعي عشان نعرف حرارة الجسم
+
+372
+00:26:11,030 --> 00:26:15,130
+طبعًا هنا في عيننا أكثر من مكان لقياس الحرارة ليش
+
+373
+00:26:15,130 --> 00:26:19,290
+احنا بنختار الأماكن هذه مثلًا عن طريق الفم طبعًا ..
+
+374
+00:26:19,290 --> 00:26:22,630
+طبعًا في عيننا أكثر من طريقة ليش احنا بنختار
+
+375
+00:26:22,630 --> 00:26:27,030
+الأماكن هذه لأن
+
+376
+00:26:27,030 --> 00:26:30,470
+.. لأ الأماكن أخواتنا خدوا بالكم الأماكن اللي أنا
+
+377
+00:26:30,470 --> 00:26:35,930
+بختار فيها قياس الحرارة فيها شرايين واضحة فيها شرايين
+
+378
+00:26:35,930 --> 00:26:42,180
+.. تحت اللسان فيه شرايين تحت الإبط فيه شرايين .. فأنا 
+
+379
+00:26:42,180 --> 00:26:46,000
+بختار مناطق فيها شرايين .. ليش؟ طب ليش أنا ما اخترتش
+
+380
+00:26:46,000 --> 00:26:51,830
+مثلًا السطح اليد؟ هذه أولى ده هذه أولى ده، لأ هلجيت 
+
+381
+00:26:51,830 --> 00:26:56,850
+احنا لما بنختار مكان يعني مثلًا أنا بده أقول والله 
+
+382
+00:26:56,850 --> 00:27:01,010
+مثلًا هذا الشخص جاي من الخارج و الدنيا بتشتي بتبين
+
+383
+00:27:01,010 --> 00:27:04,430
+عليه علامة الشتاء ولا لا؟ بتبين وبالتالي أنا بدي
+
+384
+00:27:04,430 --> 00:27:09,630
+مرسال يشوف لي الحرارة من الداخلية و يوصلها لي لسطح
+
+385
+00:27:09,630 --> 00:27:13,830
+الجلد في عنده تحت اللسان و في عنده طبعًا تحت الإبط 
+
+386
+00:27:13,830 --> 00:27:17,990
+هذه بتاخد الدم من وين؟ من الداخل لأن طبعًا الشرايين
+
+387
+00:27:17,990 --> 00:27:23,040
+يا أخواتنا الشرايين بعد ذاتها ماشية و الدم من أين
+
+388
+00:27:23,040 --> 00:27:27,300
+بنطلق؟ من القلب و بدخل أين؟ لكل أجزاء الجسم والأعضاء
+
+389
+00:27:27,300 --> 00:27:31,100
+ده من الخارج للداخل يعني الدم اللي جت لما ينطلق من 
+
+390
+00:27:31,100 --> 00:27:35,980
+داخل الجسم هيحمل معه حرارة الجسم تمام؟ لما أنا
+
+391
+00:27:35,980 --> 00:27:40,700
+أقول والله في عندي أنا مثلًا جت الحرارة تحت الإبط
+
+392
+00:27:40,700 --> 00:27:44,700
+يعني في عنديش دي أنا جاية من أين؟ من الداخل تمام؟ 
+
+393
+00:27:44,700 --> 00:27:48,730
+وبالتالي أنا لما أضع ميزان الحرارة تحت الإبط الدم
+
+394
+00:27:48,730 --> 00:27:52,890
+ماشي و جاي من وين؟ من الداخل يعني هيقول لي حرارة
+
+395
+00:27:52,890 --> 00:27:56,010
+الجسم عايش من الداخل و هيعرفني تمام؟ وبالتالي أنا
+
+396
+00:27:56,010 --> 00:28:00,070
+بختار أماكن فيها شرايين الأماكن هذه فيها شرايين
+
+397
+00:28:00,070 --> 00:28:04,770
+واضحة و سطحية لأن معظم الشرايين بعيدة عن الجلد و
+
+398
+00:28:04,770 --> 00:28:07,730
+طبعًا فاضل ربنا عشان لو صار أي نزيف ما يكونش نزيف
+
+399
+00:28:07,730 --> 00:28:11,170
+خطير وبالتالي أنا .. يعني لما أختار أنا مثلًا عن
+
+400
+00:28:11,170 --> 00:28:14,150
+طريق الفم، لكن في محاذير، هل كل الحياة أنا ممكن 
+
+401
+00:28:14,150 --> 00:28:17,570
+أختار معها عن طريق الفم؟ لأ، طبعًا لأ، طبعًا عن طريق
+
+402
+00:28:17,570 --> 00:28:20,750
+الفم تتم ذلك إذا كان أنف الشخص غير مصاب بانسداد أو
+
+403
+00:28:20,750 --> 00:28:25,570
+نزيف، يعني أنف سالك، مافيش زكام، طب ليش مافيش زكام
+
+404
+00:28:25,570 --> 00:28:31,920
+و أختار .. لأن لو كان مزكم، مش هيتنفس و لما يكون
+
+405
+00:28:31,920 --> 00:28:35,400
+واحد مذكّم، بيتنفس من وين؟ من الفم، فهذا طبعًا
+
+406
+00:28:35,400 --> 00:28:39,340
+بختارهوش، طيب، لو كان عنده نزيف مثلًا، برضه بختارهوش، 
+
+407
+00:28:39,340 --> 00:28:44,640
+طيب، كانش .. إذا كان الشخص يقدّن، بختارهوش، تمام؟ إذا 
+
+408
+00:28:44,640 --> 00:28:47,020
+كان الشخص غير مصاب بالتهاب أو قرحة أو حروق
+
+409
+00:28:47,020 --> 00:28:51,500
+بالأنف أو الفم، بالفم آسف، تمام؟ لأن ما أقدر أحطها
+
+410
+00:28:52,200 --> 00:28:54,640
+لأن إذا كان عنده عملية جراحية أو تنظيف أو حاجة،
+
+411
+00:28:54,640 --> 00:28:58,880
+ما أقدر استخدمها، طيب، لما يتناول الشخص قبلها شيء 
+
+412
+00:28:58,880 --> 00:29:02,520
+بارد أو ساخن، لأن البارد هيخفض الحرارة، و الساخن
+
+413
+00:29:02,520 --> 00:29:05,780
+هيرفعها، وبالتالي نقول أجل الحاجة بده نص ساعة،
+
+414
+00:29:05,780 --> 00:29:10,900
+جابن وبعد، عشان ما يأثرش على حرارة إيش الفم المدرسة
+
+415
+00:29:10,900 --> 00:29:13,460
+المطلوبة طبعًا تجربة نقول احنا من تلت دقات لخمس
+
+416
+00:29:13,460 --> 00:29:17,520
+دقات لكن مجملًا لو كان تلت دقات بكفي حرارة طبيعية
+
+417
+00:29:17,520 --> 00:29:21,540
+للإنسان في جو الصيف و جو الشتاء في الخريف و في
+
+418
+00:29:21,540 --> 00:29:26,980
+الربيع من 36 و 6 من 10 لـ 37 و 2 من 10 بمعنى أن 
+
+419
+00:29:26,980 --> 00:29:30,140
+مافيش عنده رقم 100% لكن لما تلاقيه مزايا الحرارة
+
+420
+00:29:30,140 --> 00:29:34,420
+بيكون الكاتب 37 و عليها إشارة حمراء طبعًا يعني لو 
+
+421
+00:29:34,420 --> 00:29:40,490
+كانت مثلاً 36 و 8 من 10 طبيعي 37.2 طبيعي لكن إذا
+
+422
+00:29:40,490 --> 00:29:45,970
+بدأت تزيد في اشتباه أنه مثلاً طبعاً ممكن تزيد ممكن
+
+423
+00:29:45,970 --> 00:29:49,810
+تزيد مؤقتاً إذا كان مثلاً بلعب تمارين رياضية أو مثلاً
+
+424
+00:29:49,810 --> 00:29:54,010
+مجهود أو عصبية أو شيء لكن بعدين هترجع في وضع عادي
+
+425
+00:29:54,010 --> 00:29:57,590
+هنتكلم عن حرارة يا أخواتنا في وقت الراحة وقت 
+
+426
+00:29:57,590 --> 00:30:01,290
+الطبيعي إنه لو زادت طبعاً في خوف أن يكون في زيادة
+
+427
+00:30:01,290 --> 00:30:03,410
+أيش في التهاب أو مشكلة يعني
+
+428
+00:30:06,600 --> 00:30:10,960
+طب عن طريق الإبط نفس الفكرة من ثلاثة إلى خمس درجات
+
+429
+00:30:10,960 --> 00:30:15,680
+لكن بنزود نصف درجة يعني لو كانت مثلاً يجب الطريقة
+
+430
+00:30:15,680 --> 00:30:17,900
+اللي أنا بأعتمدها أو الحرب بأعتمدها طريق الفم
+
+431
+00:30:17,900 --> 00:30:21,560
+لكنها يمكن في محاذير أو ممنوعات أن أستخدم طريقة
+
+432
+00:30:21,560 --> 00:30:25,260
+أيش الفم مثلاً طفل أقل من سنة بأستخدم عن طريق الفم
+
+433
+00:30:25,260 --> 00:30:28,760
+طبعاً لأ لأنه ما بنستخدمهاش مع الإنسان فقد الوعي
+
+434
+00:30:28,760 --> 00:30:33,240
+ما بنستخدمهاش إنسان طفل صغير ما بنستخدموش تمام؟
+
+435
+00:30:34,060 --> 00:30:38,080
+وبالتالي لما أنا أستخدم الحرارة عن طريق الإبط بأزود
+
+436
+00:30:38,080 --> 00:30:41,180
+نصف درجة يعني لو كانت سبعة و ثلاثين عن طريق الإبط
+
+437
+00:30:41,180 --> 00:30:44,630
+يعني سبعة و ثلاثين ونصف يعني أن الإنسان عنده حرارة لو
+
+438
+00:30:44,630 --> 00:30:47,850
+كانت سبعة .. ستة و ثلاثين ونصف عن طريق الإبط يعني
+
+439
+00:30:47,850 --> 00:30:51,250
+سبعة و ثلاثين طبيعي معدل طبيعي تمام؟ لو كانت مثلاً
+
+440
+00:30:51,250 --> 00:30:55,110
+خمسة و ثلاثين ونصف بتصير ستة و ثلاثين يعني بدي
+
+441
+00:30:55,110 --> 00:30:59,210
+أقول في فرق ما بين الإبط و ما بين الفم نصف درجة
+
+442
+00:30:59,210 --> 00:31:03,430
+الإبط ينقص عن الفم نصف درجة يعني إذا احنا جسناها
+
+443
+00:31:03,430 --> 00:31:06,170
+بدنا نزود إيش؟ نصف درجة .. نصف درجة
+
+444
+00:31:09,610 --> 00:31:12,930
+طبعاً طريق الشرج ممكن أكثر حالة أو أكثر شيء احنا
+
+445
+00:31:12,930 --> 00:31:18,050
+مستخدمينه عن طريق الإبط ليش؟ أول حاجة آمنة من .. من
+
+446
+00:31:18,050 --> 00:31:21,830
+نقل الميكروبات من الإنسان لإنسان لأن طبعاً بتم
+
+447
+00:31:21,830 --> 00:31:26,030
+تعقيمها بالكحول تمام؟ كمان حاجة ثانية إن أنا
+
+448
+00:31:26,030 --> 00:31:29,670
+الممكن للطفل الصغير ولا الإنسان ولا المسن ولا
+
+449
+00:31:29,670 --> 00:31:33,010
+البالغة أستخدم إيش؟ عن طريق إيش؟ الإبط وطبعاً
+
+450
+00:31:33,010 --> 00:31:35,730
+الطريق المتعرف عليها حتى في البيوت أو في
+
+451
+00:31:35,730 --> 00:31:40,290
+المستشفيات لكن لما أنا أستخدمها عن طريق الإبط مش
+
+452
+00:31:40,290 --> 00:31:44,710
+لازم أستخدمها و أنا بأعمل كمادات و الكمادات موجودة زي
+
+453
+00:31:44,710 --> 00:31:47,770
+ما قلنا ممكن ياخد مشروب ساخن أو بارد عن طريق الفم
+
+454
+00:31:47,770 --> 00:31:51,670
+الكمادات هذه برضه إيش؟ هتخفض الحرارة لازم يكون
+
+455
+00:31:51,670 --> 00:31:55,750
+الإبط جاف كمان حاجة ثانية أن يكون ميزان الحرارة
+
+456
+00:31:55,750 --> 00:31:59,190
+على الجلد مباشرة لأن في بعض الأمهات مثلاً بتحط
+
+457
+00:31:59,190 --> 00:32:02,700
+ميزان الحرارة ممكن يكون نفس من الشجة الثانية لأ،
+
+458
+00:32:02,700 --> 00:32:06,140
+بيكون في منتصف الإبط، ليش منتصف الإبط؟ لأنه
+
+459
+00:32:06,140 --> 00:32:10,000
+الشريان، عشان نأخذ حرارة إيش الشريان أو نتعرف على
+
+460
+00:32:10,000 --> 00:32:14,100
+الحرارة، لكن لا يسمح بأخذ الحرارة أثناء عمل
+
+461
+00:32:14,100 --> 00:32:17,880
+الكمادات، إذا كانت الكمادات موجودة والإبط مبلل، لازم
+
+462
+00:32:17,880 --> 00:32:21,340
+يكون إيش جاف، لأن هذا هيأثر إيش على القرار، طيب،
+
+463
+00:32:21,340 --> 00:32:26,720
+بالنسبة للشرج، طبعاً، بتزيد، بتزيد نصف درجة، بتزيد
+
+464
+00:32:26,720 --> 00:32:31,970
+نصف، يعني لو كانت معينة 38، هتكون 37.5 يعني الفرق
+
+465
+00:32:31,970 --> 00:32:36,090
+ما بين الإبط والشرج الشرج درجة كاملة درجة كاملة
+
+466
+00:32:36,090 --> 00:32:40,750
+يعني اللي بنفهمه الإبط الفهم الأساسي إذا أخذنا
+
+467
+00:32:40,750 --> 00:32:44,490
+الإبط بنزود نصف درجة عن طريق الشرج بننقص نصف درجة
+
+468
+00:32:48,430 --> 00:32:51,550
+طبعاً الأشكال هذه هي بعض الموازين المعروفة سواء الـ 
+
+469
+00:32:51,550 --> 00:32:56,610
+Digital أو طبعاً الكيميائي أو طبعاً الزئبقي أو طبعاً
+
+470
+00:32:56,610 --> 00:32:59,350
+الـ Infrared أو الشعة تحت الحمراء لكن احنا بيقول
+
+471
+00:32:59,350 --> 00:33:03,550
+عشان احنا نتعامل مع إسعافات أولية أبسطها لنا ميزان
+
+472
+00:33:03,550 --> 00:33:08,090
+الزئبقي وفي نظره هو أدقها كمان للبيوت لكن في
+
+473
+00:33:08,090 --> 00:33:10,830
+المستشفى ممكن نستخدم طبعاً الـ Infrared ده
+
+474
+00:33:10,830 --> 00:33:14,310
+ونحطه لأذنها ده ثلاث ثواني يكفي بيعطيني قراءة لكن
+
+475
+00:33:14,310 --> 00:33:18,670
+مش متوفر في كل بيت فلأفضل ميزان الزئبق لكن يكون
+
+476
+00:33:18,670 --> 00:33:21,550
+احنا حريصين اللي ما يكونش تحت أيدين الأطفال لأن
+
+477
+00:33:21,550 --> 00:33:25,450
+الزئبق مادة سامة تمام ويكون بعيد عن الذهب اللي
+
+478
+00:33:25,450 --> 00:33:35,710
+موجود في البيت أه لأنه بيغير لون الذهب تمام طبعاً
+
+479
+00:33:35,710 --> 00:33:39,390
+هذه بعض الإجراءات طبعاً هنا اللي عنده ممكنية يشتريه
+
+480
+00:33:39,390 --> 00:33:44,010
+ما عندهوش أبو الخمس شكل هذا ميزان الزئبق بكون متوفر
+
+481
+00:33:44,800 --> 00:33:50,960
+لا يا رجالي ما بلزمكوش نعم ما بلزمش لأنه احنا بكافرنا لو
+
+482
+00:33:50,960 --> 00:33:53,700
+أنت عرفت الحرارة عن طريق ميزان الزئبق ممتاز نور
+
+483
+00:33:53,700 --> 00:33:58,520
+على نور بعدين لو هذا خرب فاش اللي تصليه عندك يعني
+
+484
+00:33:58,520 --> 00:34:02,040
+أنك تصليحه بحقه يعني فميزان الزئبق لو انكسر مش
+
+485
+00:34:02,040 --> 00:34:04,680
+مشكلة بيجيب غيره بس المهم كن بعيد عن أيدين الأطفال
+
+486
+00:34:04,680 --> 00:34:05,500
+أهم حاجة
+
+487
+00:34:10,040 --> 00:34:14,400
+طيب هذا بالنسبة لبعض الأجهزة الحيوية طبعاً نتكلم على
+
+488
+00:34:14,400 --> 00:34:19,140
+حقيبة الإسعاف الأولية أو صندوق الإسعاف الأولية أو
+
+489
+00:34:19,140 --> 00:34:22,880
+يعني المصطلح عندكم طبعاً شيء طبيعي أن يكون موجود في
+
+490
+00:34:22,880 --> 00:34:26,950
+كل بيت أو معظم البيوت وطبعاً بالزمان أنتو شايفين
+
+491
+00:34:26,950 --> 00:34:31,970
+في عندنا شاشة و شريط لاصق طبعاً لربما هذه مش كلها
+
+492
+00:34:31,970 --> 00:34:34,510
+أنا بأستخدمها في نفس الحالات يعني في بعضها بأستخدم
+
+493
+00:34:34,510 --> 00:34:37,850
+بعض الحالات و بعضها لأ عندنا شاشة معقمة شريط لاصق
+
+494
+00:34:37,850 --> 00:34:41,770
+ضمادة طبعاً اللي هو الـ blaster الصغير رباط ضاغط
+
+495
+00:34:41,770 --> 00:34:49,510
+ملاقط واحد يقول ملاقط لإيش غير الشاشة واحد رباط
+
+496
+00:34:49,510 --> 00:34:54,150
+عقربة خيط ملاقط بلجة صغيرة
+
+497
+00:34:57,380 --> 00:35:00,360
+لسلية، لأ مثلاً في .. في الأذن حاجة .. في الأذن
+
+498
+00:35:00,360 --> 00:35:04,200
+حاجة و أنا بدي أطلعها .. اه مثلاً في حاجة جسم غريب
+
+499
+00:35:04,200 --> 00:35:08,160
+بدي أطلعه تمام؟ صابون .. طبعاً التعقيم في الأديان
+
+500
+00:35:08,160 --> 00:35:12,160
+.. اه طبعاً مطهر الجروح كمان عشان أنا أنظف
+
+501
+00:35:12,160 --> 00:35:15,200
+المكان نفسه، احنا قلنا ما بنفعش نظل أبصر في الجروح
+
+502
+00:35:15,200 --> 00:35:21,620
+لأن أنا ممكن أطهر المكان .. الجروح مطهرك طبعاً طيب
+
+503
+00:35:21,620 --> 00:35:25,700
+ماشي بكتات تبريد سريع ليش ممكن تستخدمها؟ في حال
+
+504
+00:35:25,700 --> 00:35:28,400
+الكدمات .. في حال الكدمات .. في حال الكدمات طبعاً
+
+505
+00:35:28,400 --> 00:35:32,360
+قفازات طبية عشان أنا أعزل بيني و ما بين طبعاً هو
+
+506
+00:35:32,360 --> 00:35:36,430
+الشخص نفسه الضوء أو المصباح أو الكشاف أو حاجة اليوم
+
+507
+00:35:36,430 --> 00:35:39,810
+صار ال .. ال .. الجوال طبعاً كشاف اه .. اه فطبعاً ..
+
+508
+00:35:39,810 --> 00:35:44,470
+اه لا إيش .. لأ ده تحت الكهربا بقى ممكن تشوفي ..
+
+509
+00:35:44,470 --> 00:35:49,650
+طبعاً .. في الأذن ممكن تشوفي .. طبعاً .. اه أنبوب
+
+510
+00:35:49,650 --> 00:35:53,330
+تنفس طبعاً هذا أنبوب عشان أن في حالات أن .. اه ..
+
+511
+00:35:53,330 --> 00:35:56,590
+بدنا نعمل CPR أو شيء طبعاً هذا للمتخصصين أكثر شوية
+
+512
+00:35:56,590 --> 00:36:00,400
+لأن احنا متعاملين مع أبسط الأشياء طبعاً فدائماً هنقول
+
+513
+00:36:00,400 --> 00:36:03,660
+أن الأشياء البسيطة اللي موجودة في البيت بتساعدني
+
+514
+00:36:03,660 --> 00:36:07,580
+على تقليل المضاعفات اللي قد تحدث أو تنتج من إصابة
+
+515
+00:36:07,580 --> 00:36:11,440
+بسيطة يعني واحد مثلاً دخل في أذنه مثلاً جطنة ولا
+
+516
+00:36:11,440 --> 00:36:15,900
+حاجة طبعاً طلعة صغيرة ما بديش أجيب النكاشة نفسها و
+
+517
+00:36:15,900 --> 00:36:20,540
+أسحبها لكن إيش بتساعدني؟ الضوء طبعاً رفع الأذن
+
+518
+00:36:20,540 --> 00:36:24,840
+للأطفال لأسف أسفل للبالغ طبعاً لأعلى و للخلف طبعاً هذه
+
+519
+00:36:24,840 --> 00:36:30,520
+إجراءات بسيطة جداً لكن بيسهل علي المهمة نيجي آخر
+
+520
+00:36:30,520 --> 00:36:36,600
+جزئية اللي هي التطهير و التعقيم طبعاً دائماً التعقيم
+
+521
+00:36:36,600 --> 00:36:44,100
+هو تعقيم الشيء من كل الكائنات الحية الموجودة
+
+522
+00:36:44,100 --> 00:36:49,420
+و الدقيقة بالذات الضارة و النافعة فيها ضار و نافع
+
+523
+00:36:49,420 --> 00:36:55,080
+كله طبعاً التعقيم هنا أفضل وسيلة عندنا طريقة اللي
+
+524
+00:36:55,080 --> 00:37:00,370
+هي اللي هو البخار المضغوط وأقرب مثل بسيط عندنا هنا
+
+525
+00:37:00,370 --> 00:37:08,330
+طنجرة الضغط لأن ليش؟ لأن طنجرة الضغط فيها ماء مغلي
+
+526
+00:37:08,330 --> 00:37:13,790
+أكثر من 100 متواصل تجارب من 120 وأكثر وبالتالي
+
+527
+00:37:13,790 --> 00:37:17,130
+عندنا إمكانية لقتل الميكروبات وهي طبعاً الفكرة اللي
+
+528
+00:37:17,130 --> 00:37:21,230
+تم إنشاء الـ autoclave أو الأجهزة التعقيم بناء
+
+529
+00:37:21,230 --> 00:37:27,470
+عليها لأن طبعاً الماء لما بتطير صار بخار لما تطير
+
+530
+00:37:27,470 --> 00:37:31,670
+صارت حرارته أكثر من مية، تمام؟ وبالتالي لو كان
+
+531
+00:37:31,670 --> 00:37:35,790
+مضغوط، الحرارة زادت، بالتالي بساعدها لقتل
+
+532
+00:37:35,790 --> 00:37:38,710
+الميكروبات، يبقى التعقيم هو قتل جميع أنواع
+
+533
+00:37:38,710 --> 00:37:40,730
+الميكروبات، الضار و النافع
+
+534
+00:37:45,480 --> 00:37:49,660
+طبعاً في عندنا طرق تعقيم حديثة و طرق جديدة الطرق
+
+535
+00:37:49,660 --> 00:37:54,680
+القديمة اللي هي الغليان ممكن تستخدم لليوم يعني زمان
+
+536
+00:37:54,680 --> 00:37:58,060
+ما كانت السيرنجات هذه البلاستيكية اللي هي تستخدم
+
+537
+00:37:58,060 --> 00:38:03,000
+لمرة واحدة كان سيرنجات زجاج يعني حقن زجاجية تمام
+
+538
+00:38:03,000 --> 00:38:06,300
+بتم غليها لمدة نصف ساعة واحنا اليوم بصير أن مثلاً
+
+539
+00:38:06,300 --> 00:38:09,500
+يعني لما أنت تطبخ الطبخة لمدة نصف ساعة بالغليان
+
+540
+00:38:10,140 --> 00:38:14,160
+تقتل الميكروبات صح ولا خطأ؟ في عندنا كمان حاجة
+
+541
+00:38:14,160 --> 00:38:18,000
+ثانية اللي هي الحرارة الجافة زي الكي كي الملابس
+
+542
+00:38:18,000 --> 00:38:22,180
+لما يكون هنا أطفال مثلاً عندهم بعض الأمراض الجلدية
+
+543
+00:38:22,180 --> 00:38:26,320
+أو مثلاً ال .. ال .. الديدان الدبوسية يقولوا اغلي
+
+544
+00:38:26,320 --> 00:38:30,360
+الملابس و كويهم طبعاً بتساعد على قتل الميكروبات
+
+545
+00:38:30,360 --> 00:38:33,800
+ثاني كمان حاجة ثانية اللي احنا بنذكرها اللي هي
+
+546
+00:38:33,800 --> 00:38:37,790
+البخار المضغوط اللي طبعاً مثال عنه إيش .. هو طبعاً
+
+547
+00:38:37,790 --> 00:38:43,370
+أفضل طريقة لقتل الميكروبات، طريقة إيش؟ التعقيم،
+
+548
+00:38:43,370 --> 00:38:47,110
+جات الغليان الحليب كيبت باستر بالغليان، بالغليان
+
+549
+00:38:47,110 --> 00:38:51,840
+طبعاً درجة حرارة معينة، بالغليان التطهير طبعاً هنا
+
+550
+00:38:51,840 --> 00:38:55,280
+طبعاً هي العمل على خلوة مادة أو أداء أو مكان
+
+551
+00:38:55,280 --> 00:38:59,980
+الأجسام المجهرية أو الضارة يعني هنا بقتل أو بحد من
+
+552
+00:38:59,980 --> 00:39:04,280
+نمو أو انتشار الميكروبات الضارة بحد منها لكن بيظل
+
+553
+00:39:04,280 --> 00:39:07,220
+أثر بسيط لميكروبات أخرى ممكن تكون نافعة طبعاً من
+
+554
+00:39:07,220 --> 00:39:11,380
+ضمن طرق التطهير عندنا اللي هو احنا بيقول إنسان طهر
+
+555
+00:39:11,380 --> 00:39:16,540
+الجروح بمحلول ملحي مسح الغرز .. الغرز بكحول ..
+
+556
+00:39:16,540 --> 00:39:20,600
+تمام؟ لما جيت احنا كنا في الكورونا و لازلنا .. هاي
+
+557
+00:39:20,600 --> 00:39:25,080
+الجل .. يعني هذا الجل مثلاً فيه كحول لتطهير الأيدي
+
+558
+00:39:25,080 --> 00:39:29,340
+.. تمام؟ فاحنا أحياناً فينا مطهرات للأيدي و فينا
+
+559
+00:39:29,340 --> 00:39:33,440
+مطهرات لل .. يعني لل .. للخلايا الحية و فينا
+
+560
+00:39:33,440 --> 00:39:38,840
+للجماد تمام فأنا ممكن أستخدم طبعاً هنا جل الكحول 
+
+561
+00:39:38,840 --> 00:39:43,340
+المعقم هذا هو طبعا كمثال 7% ليش ما نستخدمش 90% لما
+
+562
+00:39:43,340 --> 00:39:48,320
+بتطير بسرعة؟ بتطير بسرعة فأنا بستخدم الكحول 70% أو 
+
+563
+00:39:48,320 --> 00:39:51,780
+مثلا الـ Dettol لتطهير الأيدي أكثر لما في الكورونا
+
+564
+00:39:51,780 --> 00:39:54,940
+تمسك أي حد و بتسلم عليه إيش بتعقم إيديك أو بتطهر
+
+565
+00:39:54,940 --> 00:39:57,940
+إيديك، هذه عملية تطهير وليست تعقيم لقتل 
+
+566
+00:39:57,940 --> 00:40:01,500
+الميكروبات احتياطا، فبالتالي يعني أنا بكون طهّرت
+
+567
+00:40:01,500 --> 00:40:04,320
+الميكروبات، لما نستخدم لتطهير الأرضيات بنستخدم
+
+568
+00:40:04,320 --> 00:40:08,480
+مثلا الـ Dettol أو بعضها، نستخدم لتطهير الجروح
+
+569
+00:40:08,480 --> 00:40:12,650
+بنستخدم مثلا محلول ملحي، طبعا هذه هي طرق التطهير هي
+
+570
+00:40:12,650 --> 00:40:16,950
+قتل... الحد من نشاط أو نمو الميكروبات، لما بالنسبة
+
+571
+00:40:16,950 --> 00:40:20,830
+للتعقيم فهو قتل جميع أنواع الميكروبات سواء الدارة
+
+572
+00:40:20,830 --> 00:40:27,150
+أو الهائمة، أخر 
+
+573
+00:40:27,150 --> 00:40:31,350
+شريحة يا أخواتنا، هنا طبعا هنا أنتم ممكن الأطفال 
+
+574
+00:40:31,350 --> 00:40:35,590
+يتعرضوا إليها وحتى الكبار، لتخفيض الحرارة فينا خمس
+
+575
+00:40:35,590 --> 00:40:40,460
+مناطق، المنطق الأولى حول العنق اللي احنا قلنا
+
+576
+00:40:40,460 --> 00:40:45,620
+بنستخدم مناطق أو وسيلة نقول لي الدم من الداخل
+
+577
+00:40:45,620 --> 00:40:50,280
+للخارج، وأنا بدي أخفض الدم اللي ماشي طيب يبقى أنا
+
+578
+00:40:50,280 --> 00:40:54,860
+عندي العنق، في شرايين سباتية يمنى ويسرى، تحت القبتين
+
+579
+00:40:54,860 --> 00:41:00,360
+أنا طبعا هأذكرهم عشان أقول القليل هم المرفقين من
+
+580
+00:41:00,360 --> 00:41:06,420
+الداخل، منطقة الحفاظة للأطفال، خلف الركبتين، طبعا
+
+581
+00:41:06,420 --> 00:41:12,880
+عندنا هي خمس مناطق، منطقة التّمين، تلاتة، منطقة الإحفاظة
+
+582
+00:41:12,880 --> 00:41:16,560
+خلف الركبة، هي خمسة، ليش أنا بستخدم المناطق هذه؟ كل 
+
+583
+00:41:16,560 --> 00:41:20,500
+المناطق اللي أنا ذكرتها فيها شرايين سطحية، بمعنى إن
+
+584
+00:41:20,500 --> 00:41:24,940
+أنا لما بدي أحط الكمادة على منطقة العنق، الدم ماشي
+
+585
+00:41:24,940 --> 00:41:28,600
+صح ولا لا؟ جاي من القلب لكن جاي معاه الحرارة
+
+586
+00:41:28,600 --> 00:41:33,060
+وبالتالي لما أنا بخفض الحرارة عند العنق هتصل 
+
+587
+00:41:33,060 --> 00:41:37,450
+الدماغ نفسها قبل التّقفيد ولا بعد التّقفيد؟ واحد بعد
+
+588
+00:41:37,450 --> 00:41:40,690
+التّقفيد أقل، وبالتالي باستخدام نفسي بقى أنا بخفض
+
+589
+00:41:40,690 --> 00:41:45,750
+الحرارة على الدماغ من خلال الكمّادات على العنق، و كذا
+
+590
+00:41:45,750 --> 00:41:50,450
+كذلك باقي المناطق اللي أنا ذكرتها زي عملية محطات
+
+591
+00:41:50,450 --> 00:41:55,710
+استئصال للحرارة، أنا بخفض الحرارة هنا، بستمر طبعا مش
+
+592
+00:41:55,710 --> 00:41:59,970
+مرة واثنين، بستمر في تقفيد الحرارة، إذا أنا بستخدم
+
+593
+00:41:59,970 --> 00:42:01,290
+الكمّادات هذه لتقفيدها 
+
+594
+00:42:04,570 --> 00:42:10,410
+طبعا هي أسلوب تخفيف، لكن ما هيش الأساس، الأساس...
+
+595
+00:42:10,410 --> 00:42:14,090
+الأساس وين؟ المناطق اللي أنا ذكرتها، أما بالنسبة
+
+596
+00:42:14,090 --> 00:42:18,830
+للجبهة بس مجرد التّلطيف، لكن ما هيش... يعني ما أقدرش
+
+597
+00:42:18,830 --> 00:42:21,790
+أقول والله أنك تخفض حرارة الإنسان بس مجرد الجبهة
+
+598
+00:42:21,790 --> 00:42:25,910
+لأ، المناطق اللي احنا ذكرناها، طبعا مع ملاحظة فرد 
+
+599
+00:42:25,910 --> 00:42:32,280
+الذراعين والسّاقين عشان يزيد المساحة المعرضة، وزيد
+
+600
+00:42:32,280 --> 00:42:36,200
+طبعا عملية التّبخير نفسها، نقول طبعا مواضيع خاصة
+
+601
+00:42:36,200 --> 00:42:39,020
+كثير أو متخصصة بالنسبة لفقدان الحرارة، نقول هذه 
+
+602
+00:42:39,020 --> 00:42:42,100
+المناطق الأساسية اللي أنا ممكن أستخدمها في تخفيض
+
+603
+00:42:42,100 --> 00:42:46,520
+الحرارة، أضف إلى ذلك زيادة شرب المياه، تمام، مع تخفيف 
+
+604
+00:42:46,520 --> 00:42:50,240
+الملابس، هذا بالنسبة لموضوع اللي هو كيف أنا أخفض
+
+605
+00:42:50,240 --> 00:42:54,340
+الحرارة سواء عند الطفل أو عند البالغ، تمام، شكرا و
+
+606
+00:42:54,340 --> 00:42:55,960
+بارك الله فيكم وربنا يعطيكم ألف عافية
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/rrpXPvSc2XY_postprocess.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/rrpXPvSc2XY_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..1bfbf0518e39f576a8987d9fcab99bd032bbe7f5
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/rrpXPvSc2XY_postprocess.srt
@@ -0,0 +1,212 @@
+1
+00:00:05,230 --> 00:00:10,130
+من بعض مشاكل الجهاز العصبي هو ما يطلق عليه الصدمة
+
+2
+00:00:10,130 --> 00:00:15,030
+وهي عدم قيام الأجهزة الحيوية بوظيفتها الطبيعية
+
+3
+00:00:15,030 --> 00:00:20,530
+وبالتالي لا يصل الدم بكمية كافية إلى الدمار أسباب
+
+4
+00:00:20,530 --> 00:00:23,970
+عديدة من الصدمة تؤدي إلى الصدمة لربما تكون أسباب
+
+5
+00:00:23,970 --> 00:00:30,870
+بسيطة وبالرغم من بساطة السبب قد يكون النتيجة حتمية
+
+6
+00:00:30,870 --> 00:00:35,520
+قاتلةمن ضمن هذه الأسباب قد يكون هناك أنواع عديدة
+
+7
+00:00:35,520 --> 00:00:41,020
+منها النزيف منها الإسهال والقائد الشديد منها طبعا
+
+8
+00:00:41,020 --> 00:00:46,340
+تعرض للكهرباء منها التسمم منها للمادة السمية أو
+
+9
+00:00:46,340 --> 00:00:51,400
+مادة تحسوسيةطبعًا أنواع عديدة من أنواع الصدمة على
+
+10
+00:00:51,400 --> 00:00:56,140
+سبيل المثال النزيف الصدمة التحسوسية أو الصدمة
+
+11
+00:00:56,140 --> 00:01:00,400
+القلبية أو الصدمة العصبية إنسان اتعرض لضربة قوية
+
+12
+00:01:00,400 --> 00:01:03,940
+وأثرت عليه وعدم تحمل هذه الصدمة أو صدمة نفسية
+
+13
+00:01:03,940 --> 00:01:07,800
+وبالتالي الهدف الأساسي في هذه الحالة هي السماع
+
+14
+00:01:07,800 --> 00:01:11,960
+لوصول كمية كافية من الدم المحمل بالأكسجين إلى
+
+15
+00:01:11,960 --> 00:01:17,320
+الدماء وبالتالي نلاحظأن هناك وضع معين للصدمة من
+
+16
+00:01:17,320 --> 00:01:20,160
+خلال هذا الوضع يجب علينا أن نحافظ أو هذا الوضع
+
+17
+00:01:20,160 --> 00:01:23,860
+يساعدنا في المحافظة على تالت أشياء مهمة جدا الشيء
+
+18
+00:01:23,860 --> 00:01:27,240
+الأول المهم هو توفير كمية كافية من الـ Oxygen
+
+19
+00:01:27,240 --> 00:01:32,440
+لداخل جسم الإنسان الهدف التاني هو الحفاظ على حرارة
+
+20
+00:01:32,440 --> 00:01:36,980
+الشخص الهدف التالت هو توفير كمية كافية من الدم
+
+21
+00:01:36,980 --> 00:01:40,620
+الذي سيحمل الـ Oxygen ويندفع به أو ينطلق به إلى
+
+22
+00:01:40,620 --> 00:01:45,470
+الدماءإذن فحين مساعدة شخص يعني بدأت عليه أعراض
+
+23
+00:01:45,470 --> 00:01:49,090
+الصدمة ومن ضمن هذه الأعراض هي أسفرار زيادة في عدد
+
+24
+00:01:49,090 --> 00:01:53,910
+جات القلب زيادة في معدل التنفس طبعا عرق بارد لربما
+
+25
+00:01:53,910 --> 00:01:58,070
+يفقد الشخص وعيه ويقع على أرض لكن حين ما نلاحظ هذه
+
+26
+00:01:58,070 --> 00:02:01,550
+الأعراض يجب علينا وضع الشخص في وضع الاستلقاء
+
+27
+00:02:01,550 --> 00:02:05,240
+والمحافظةعلى التلتة هداف أساسية اللي احنا ذكرناها
+
+28
+00:02:05,240 --> 00:02:10,700
+أول هدف حافظ على توفير كمية دم كافية إلى القلب حتى
+
+29
+00:02:10,700 --> 00:02:17,460
+يضخها للدماغ ومن هنا نرفع الساقين السفليين أعلى من
+
+30
+00:02:17,460 --> 00:02:21,480
+الجسم ما يقارب من تلاتين درجة إذا هذا الهدف الأول
+
+31
+00:02:21,480 --> 00:02:25,080
+تحقيق تجميع كمية كافية من الدم من أطراف السفلية
+
+32
+00:02:25,080 --> 00:02:31,000
+إلى القلب الهدف التاني من خلال هذه العمليةيجب علي
+
+33
+00:02:31,000 --> 00:02:37,640
+أن أضع الشخص لناحية ويكون الذقن لأعلى حتى أساعد
+
+34
+00:02:37,640 --> 00:02:41,280
+على دخول الهواء للجسم وتوفير كمية كافية من الـ
+
+35
+00:02:41,280 --> 00:02:44,360
+Oxygen ولو كان هناك استفراغ يكون الاستفراغ للخارج
+
+36
+00:02:44,360 --> 00:02:49,480
+الهدف الثالث هو المحافظة على حرارة الجسم من خلال
+
+37
+00:02:49,480 --> 00:02:55,440
+تغطية الشخص بملاية، منديل، شرشة، في أي ما يتوفرحتى
+
+38
+00:02:55,440 --> 00:02:58,780
+أو حافظ على حرارة الجسم طبعا البعض يتساءل ليش احنا
+
+39
+00:02:58,780 --> 00:03:03,420
+ممكن نحافظ على حرارة الشخص لأن طبعا فقدان كمية من
+
+40
+00:03:03,420 --> 00:03:07,620
+الحرارة أو التعرق معناه استهلاك كمية كبيرة من الـ
+
+41
+00:03:07,620 --> 00:03:11,720
+Oxygen واحنا في حاجة للـ Oxygen اللازم للدمان طبعا
+
+42
+00:03:11,720 --> 00:03:17,720
+هنا هو وضع مهم جدا في حال إنسان فقد وعيه أو إنسان
+
+43
+00:03:17,720 --> 00:03:23,260
+بدأت عليه أعراض الصدمة فيوجد في الوضع الآتي وهذا
+
+44
+00:03:23,260 --> 00:03:29,090
+هو وضع الصدمةرفع الساقين تغطية الشخص الضحية، رفع
+
+45
+00:03:29,090 --> 00:03:33,810
+الذقن لأعلى والوجه لناحية حتى يكون هناك سهولة في
+
+46
+00:03:33,810 --> 00:03:37,830
+الاستفراغ إذا حصل وسهولة في دخول الهواء داخل
+
+47
+00:03:37,830 --> 00:03:41,770
+الرئتين ويتم الاستفادة من الـ Oxygen المحمل على
+
+48
+00:03:41,770 --> 00:03:45,370
+الهواء هذا هو الوضع المناسب في حال الصدمة أو
+
+49
+00:03:45,370 --> 00:03:50,880
+الإغماءإذن في هذا الوضع نحافظ على حياة الشخص
+
+50
+00:03:50,880 --> 00:03:55,180
+وبعدها غالبا وفي معظم الحالات يبدأ الشخص
+
+51
+00:03:55,180 --> 00:04:00,960
+بالاستعادة لوعيه بسبب وجود كمية دم كافية وصلت من
+
+52
+00:04:00,960 --> 00:04:04,720
+القلب إلى الدماغ وهذا الدم محمل بوكسجين وهو مصدر
+
+53
+00:04:04,720 --> 00:04:09,320
+الطاقة للدماغ حتى يستعيد عيومه شكرا وبرك الله فيكم
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/rrpXPvSc2XY_raw.json b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/rrpXPvSc2XY_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..f527d13ea00ded22d4b5e8b790b65ac0df4b9539
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/rrpXPvSc2XY_raw.json
@@ -0,0 +1 @@
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39184, 16489, 8647, 9673, 35571, 1211, 15844, 2423, 3224, 2407, 16606, 23758, 31439, 2423, 2407, 11242, 3615, 9673, 8315, 35457, 8978, 11331, 6027, 31767, 40448, 3660, 34051, 33688, 17082, 2304, 16606], "avg_logprob": -0.10075430995945273, "compression_ratio": 1.8482142857142858, "no_speech_prob": 7.146596908569336e-05, "words": [{"start": 204.93, "end": 205.27, "word": "رفع", "probability": 0.94287109375}, {"start": 205.27, "end": 205.89, "word": " الساقين", "probability": 0.982421875}, {"start": 205.89, "end": 206.95, "word": " تغطية", "probability": 0.9683837890625}, {"start": 206.95, "end": 207.39, "word": " الشخص", "probability": 0.990234375}, {"start": 207.39, "end": 208.75, "word": " الضحية،", "probability": 0.804443359375}, {"start": 208.75, "end": 209.09, "word": " رفع", "probability": 0.9777018229166666}, {"start": 209.09, "end": 209.63, "word": " الذقن", "probability": 0.9744466145833334}, {"start": 209.63, "end": 210.17, "word": " لأعلى", "probability": 0.9534912109375}, {"start": 210.17, "end": 211.51, "word": " والوجه", "probability": 0.8465169270833334}, {"start": 211.51, "end": 212.11, "word": " لناحية", "probability": 0.9439697265625}, {"start": 212.11, "end": 212.77, "word": " حتى", "probability": 0.70556640625}, {"start": 212.77, "end": 213.01, "word": " يكون", "probability": 0.9794921875}, {"start": 213.01, "end": 213.33, "word": " هناك", "probability": 0.98193359375}, {"start": 213.33, "end": 213.67, "word": " سهولة", "probability": 0.997314453125}, {"start": 213.67, "end": 213.81, "word": " في", "probability": 0.97216796875}, {"start": 213.81, "end": 214.51, "word": " الاستفراغ", "probability": 0.837841796875}, {"start": 214.51, "end": 214.71, "word": " إذا", "probability": 0.94921875}, {"start": 214.71, "end": 215.11, "word": " حصل", "probability": 0.994140625}, {"start": 215.11, "end": 216.09, "word": " وسهولة", "probability": 0.9278564453125}, {"start": 216.09, "end": 216.19, "word": " في", "probability": 0.98095703125}, {"start": 216.19, "end": 216.49, "word": " دخول", "probability": 0.99560546875}, {"start": 216.49, "end": 217.01, "word": " الهواء", "probability": 0.9339599609375}, {"start": 217.01, "end": 217.83, "word": " داخل", "probability": 0.974609375}, {"start": 217.83, "end": 218.41, "word": " الرئتين", "probability": 0.7984619140625}, {"start": 218.41, "end": 218.95, "word": " ويتم", "probability": 0.9562174479166666}, {"start": 218.95, "end": 219.73, "word": " الاستفادة", "probability": 0.98818359375}, {"start": 219.73, "end": 220.17, "word": " من", "probability": 0.99560546875}, {"start": 220.17, "end": 220.27, "word": " الـ", "probability": 0.741455078125}, {"start": 220.27, "end": 220.57, "word": " Oxygen", "probability": 0.5206146240234375}, {"start": 220.57, "end": 221.29, "word": " المحمل", "probability": 0.9169921875}, {"start": 221.29, "end": 221.77, "word": " على", "probability": 0.83740234375}, {"start": 221.77, "end": 222.05, "word": " الهواء", "probability": 0.875732421875}, {"start": 222.05, "end": 222.37, "word": " هذا", "probability": 0.65966796875}, {"start": 222.37, "end": 222.55, "word": " هو", "probability": 0.9892578125}, {"start": 222.55, "end": 222.77, "word": " الوضع", "probability": 0.9879150390625}, {"start": 222.77, "end": 223.35, "word": " المناسب", "probability": 0.9967447916666666}, {"start": 223.35, "end": 223.73, "word": " في", "probability": 0.9912109375}, {"start": 223.73, "end": 224.11, "word": " حال", "probability": 0.9931640625}, {"start": 224.11, "end": 225.05, "word": " الصدمة", "probability": 0.97705078125}, {"start": 225.05, "end": 225.37, "word": " أو", "probability": 0.9482421875}, {"start": 225.37, "end": 226.09, "word": " الإغماء", "probability": 0.84228515625}], "temperature": 1.0}, {"id": 10, "seek": 24932, "start": 227.1, "end": 249.32, "text": "إذن في هذا الوضع نحافظ على حياة الشخص وبعدها غالبا وفي معظم الحالات يبدأ الشخص بالاستعادة لوعيه بسبب وجود كمية دم كافية وصلت من القلب إلى الدماغ وهذا الدم محمل بوكسجين وهو مصدر الطاقة للدماغ حتى يستعيد عيومه شكرا وبرك الله فيكم", "tokens": [28814, 8848, 1863, 8978, 23758, 2423, 2407, 11242, 3615, 8717, 5016, 31845, 19913, 15844, 11331, 25528, 3660, 25124, 9778, 9381, 46599, 22488, 11296, 32771, 6027, 3555, 995, 4032, 41185, 20449, 19913, 2304, 21542, 6027, 9307, 7251, 44510, 10721, 25124, 9778, 9381, 20666, 995, 14851, 3615, 18513, 3660, 5296, 45367, 1829, 3224, 4724, 35457, 3555, 49610, 23328, 9122, 2304, 10632, 11778, 2304, 9122, 31845, 10632, 4032, 36520, 2655, 9154, 25062, 46152, 30731, 32748, 2304, 5718, 118, 37037, 15730, 32748, 2304, 3714, 35571, 1211, 4724, 2407, 4117, 3794, 7435, 9957, 37037, 2407, 3714, 9381, 3215, 2288, 41950, 995, 28671, 24976, 40448, 5718, 118, 11331, 49975, 7251, 14851, 3615, 25708, 6225, 1829, 20498, 3224, 13412, 4117, 23557, 4032, 26890, 4117, 21984, 8978, 24793], "avg_logprob": -0.08593749655179742, "compression_ratio": 1.84375, "no_speech_prob": 1.4126300811767578e-05, "words": [{"start": 227.1, "end": 227.58, "word": "إذن", "probability": 0.6879069010416666}, {"start": 227.58, "end": 227.92, "word": " في", "probability": 0.8154296875}, {"start": 227.92, "end": 228.22, "word": " هذا", "probability": 0.97119140625}, {"start": 228.22, "end": 228.64, "word": " الوضع", "probability": 0.9951171875}, {"start": 228.64, "end": 229.26, "word": " نحافظ", "probability": 0.975341796875}, {"start": 229.26, "end": 229.54, "word": " على", "probability": 0.9296875}, {"start": 229.54, "end": 230.24, "word": " حياة", "probability": 0.9749348958333334}, {"start": 230.24, "end": 230.88, "word": " الشخص", "probability": 0.9910481770833334}, {"start": 230.88, "end": 231.96, "word": " وبعدها", "probability": 0.8836263020833334}, {"start": 231.96, "end": 233.14, "word": " غالبا", "probability": 0.88671875}, {"start": 233.14, "end": 233.36, "word": " وفي", "probability": 0.918212890625}, {"start": 233.36, "end": 233.72, "word": " معظم", "probability": 0.99658203125}, {"start": 233.72, "end": 234.24, "word": " الحالات", "probability": 0.9534505208333334}, {"start": 234.24, "end": 234.78, "word": " يبدأ", "probability": 0.9889322916666666}, {"start": 234.78, "end": 235.18, "word": " الشخص", "probability": 0.9788411458333334}, {"start": 235.18, "end": 236.52, "word": " بالاستعادة", "probability": 0.9676920572916666}, {"start": 236.52, "end": 237.28, "word": " لوعيه", "probability": 0.86767578125}, {"start": 237.28, "end": 238.14, "word": " بسبب", "probability": 0.9951171875}, {"start": 238.14, "end": 238.7, "word": " وجود", "probability": 0.995849609375}, {"start": 238.7, "end": 239.34, "word": " كمية", "probability": 0.99462890625}, {"start": 239.34, "end": 239.6, "word": " دم", "probability": 0.966552734375}, {"start": 239.6, "end": 240.16, "word": " كافية", "probability": 0.9954427083333334}, {"start": 240.16, "end": 240.84, "word": " وصلت", "probability": 0.9827473958333334}, {"start": 240.84, "end": 240.96, "word": " من", "probability": 0.99560546875}, {"start": 240.96, "end": 241.38, "word": " القلب", "probability": 0.9951171875}, {"start": 241.38, "end": 241.86, "word": " إلى", "probability": 0.9267578125}, {"start": 241.86, "end": 242.46, "word": " الدماغ", "probability": 0.942626953125}, {"start": 242.46, "end": 242.86, "word": " وهذا", "probability": 0.885009765625}, {"start": 242.86, "end": 243.08, "word": " الدم", "probability": 0.9638671875}, {"start": 243.08, "end": 243.46, "word": " محمل", "probability": 0.9586588541666666}, {"start": 243.46, "end": 243.9, "word": " بوكسجين", "probability": 0.803466796875}, {"start": 243.9, "end": 244.36, "word": " وهو", "probability": 0.8310546875}, {"start": 244.36, "end": 244.72, "word": " مصدر", "probability": 0.9979248046875}, {"start": 244.72, "end": 245.24, "word": " الطاقة", "probability": 0.9869791666666666}, {"start": 245.24, "end": 246.48, "word": " للدماغ", "probability": 0.8677978515625}, {"start": 246.48, "end": 246.78, "word": " حتى", "probability": 0.92724609375}, {"start": 246.78, "end": 247.22, "word": " يستعيد", "probability": 0.9625244140625}, {"start": 247.22, "end": 247.84, "word": " عيومه", "probability": 0.7432861328125}, {"start": 247.84, "end": 248.3, "word": " شكرا", "probability": 0.8772786458333334}, {"start": 248.3, "end": 248.82, "word": " وبرك", "probability": 0.8134765625}, {"start": 248.82, "end": 248.96, "word": " الله", "probability": 0.94287109375}, {"start": 248.96, "end": 249.32, "word": " فيكم", "probability": 0.927490234375}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 249.359125, "duration_after_vad": 243.5975}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/rrpXPvSc2XY_raw.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/rrpXPvSc2XY_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..1bfbf0518e39f576a8987d9fcab99bd032bbe7f5
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/rrpXPvSc2XY_raw.srt
@@ -0,0 +1,212 @@
+1
+00:00:05,230 --> 00:00:10,130
+من بعض مشاكل الجهاز العصبي هو ما يطلق عليه الصدمة
+
+2
+00:00:10,130 --> 00:00:15,030
+وهي عدم قيام الأجهزة الحيوية بوظيفتها الطبيعية
+
+3
+00:00:15,030 --> 00:00:20,530
+وبالتالي لا يصل الدم بكمية كافية إلى الدمار أسباب
+
+4
+00:00:20,530 --> 00:00:23,970
+عديدة من الصدمة تؤدي إلى الصدمة لربما تكون أسباب
+
+5
+00:00:23,970 --> 00:00:30,870
+بسيطة وبالرغم من بساطة السبب قد يكون النتيجة حتمية
+
+6
+00:00:30,870 --> 00:00:35,520
+قاتلةمن ضمن هذه الأسباب قد يكون هناك أنواع عديدة
+
+7
+00:00:35,520 --> 00:00:41,020
+منها النزيف منها الإسهال والقائد الشديد منها طبعا
+
+8
+00:00:41,020 --> 00:00:46,340
+تعرض للكهرباء منها التسمم منها للمادة السمية أو
+
+9
+00:00:46,340 --> 00:00:51,400
+مادة تحسوسيةطبعًا أنواع عديدة من أنواع الصدمة على
+
+10
+00:00:51,400 --> 00:00:56,140
+سبيل المثال النزيف الصدمة التحسوسية أو الصدمة
+
+11
+00:00:56,140 --> 00:01:00,400
+القلبية أو الصدمة العصبية إنسان اتعرض لضربة قوية
+
+12
+00:01:00,400 --> 00:01:03,940
+وأثرت عليه وعدم تحمل هذه الصدمة أو صدمة نفسية
+
+13
+00:01:03,940 --> 00:01:07,800
+وبالتالي الهدف الأساسي في هذه الحالة هي السماع
+
+14
+00:01:07,800 --> 00:01:11,960
+لوصول كمية كافية من الدم المحمل بالأكسجين إلى
+
+15
+00:01:11,960 --> 00:01:17,320
+الدماء وبالتالي نلاحظأن هناك وضع معين للصدمة من
+
+16
+00:01:17,320 --> 00:01:20,160
+خلال هذا الوضع يجب علينا أن نحافظ أو هذا الوضع
+
+17
+00:01:20,160 --> 00:01:23,860
+يساعدنا في المحافظة على تالت أشياء مهمة جدا الشيء
+
+18
+00:01:23,860 --> 00:01:27,240
+الأول المهم هو توفير كمية كافية من الـ Oxygen
+
+19
+00:01:27,240 --> 00:01:32,440
+لداخل جسم الإنسان الهدف التاني هو الحفاظ على حرارة
+
+20
+00:01:32,440 --> 00:01:36,980
+الشخص الهدف التالت هو توفير كمية كافية من الدم
+
+21
+00:01:36,980 --> 00:01:40,620
+الذي سيحمل الـ Oxygen ويندفع به أو ينطلق به إلى
+
+22
+00:01:40,620 --> 00:01:45,470
+الدماءإذن فحين مساعدة شخص يعني بدأت عليه أعراض
+
+23
+00:01:45,470 --> 00:01:49,090
+الصدمة ومن ضمن هذه الأعراض هي أسفرار زيادة في عدد
+
+24
+00:01:49,090 --> 00:01:53,910
+جات القلب زيادة في معدل التنفس طبعا عرق بارد لربما
+
+25
+00:01:53,910 --> 00:01:58,070
+يفقد الشخص وعيه ويقع على أرض لكن حين ما نلاحظ هذه
+
+26
+00:01:58,070 --> 00:02:01,550
+الأعراض يجب علينا وضع الشخص في وضع الاستلقاء
+
+27
+00:02:01,550 --> 00:02:05,240
+والمحافظةعلى التلتة هداف أساسية اللي احنا ذكرناها
+
+28
+00:02:05,240 --> 00:02:10,700
+أول هدف حافظ على توفير كمية دم كافية إلى القلب حتى
+
+29
+00:02:10,700 --> 00:02:17,460
+يضخها للدماغ ومن هنا نرفع الساقين السفليين أعلى من
+
+30
+00:02:17,460 --> 00:02:21,480
+الجسم ما يقارب من تلاتين درجة إذا هذا الهدف الأول
+
+31
+00:02:21,480 --> 00:02:25,080
+تحقيق تجميع كمية كافية من الدم من أطراف السفلية
+
+32
+00:02:25,080 --> 00:02:31,000
+إلى القلب الهدف التاني من خلال هذه العمليةيجب علي
+
+33
+00:02:31,000 --> 00:02:37,640
+أن أضع الشخص لناحية ويكون الذقن لأعلى حتى أساعد
+
+34
+00:02:37,640 --> 00:02:41,280
+على دخول الهواء للجسم وتوفير كمية كافية من الـ
+
+35
+00:02:41,280 --> 00:02:44,360
+Oxygen ولو كان هناك استفراغ يكون الاستفراغ للخارج
+
+36
+00:02:44,360 --> 00:02:49,480
+الهدف الثالث هو المحافظة على حرارة الجسم من خلال
+
+37
+00:02:49,480 --> 00:02:55,440
+تغطية الشخص بملاية، منديل، شرشة، في أي ما يتوفرحتى
+
+38
+00:02:55,440 --> 00:02:58,780
+أو حافظ على حرارة الجسم طبعا البعض يتساءل ليش احنا
+
+39
+00:02:58,780 --> 00:03:03,420
+ممكن نحافظ على حرارة الشخص لأن طبعا فقدان كمية من
+
+40
+00:03:03,420 --> 00:03:07,620
+الحرارة أو التعرق معناه استهلاك كمية كبيرة من الـ
+
+41
+00:03:07,620 --> 00:03:11,720
+Oxygen واحنا في حاجة للـ Oxygen اللازم للدمان طبعا
+
+42
+00:03:11,720 --> 00:03:17,720
+هنا هو وضع مهم جدا في حال إنسان فقد وعيه أو إنسان
+
+43
+00:03:17,720 --> 00:03:23,260
+بدأت عليه أعراض الصدمة فيوجد في الوضع الآتي وهذا
+
+44
+00:03:23,260 --> 00:03:29,090
+هو وضع الصدمةرفع الساقين تغطية الشخص الضحية، رفع
+
+45
+00:03:29,090 --> 00:03:33,810
+الذقن لأعلى والوجه لناحية حتى يكون هناك سهولة في
+
+46
+00:03:33,810 --> 00:03:37,830
+الاستفراغ إذا حصل وسهولة في دخول الهواء داخل
+
+47
+00:03:37,830 --> 00:03:41,770
+الرئتين ويتم الاستفادة من الـ Oxygen المحمل على
+
+48
+00:03:41,770 --> 00:03:45,370
+الهواء هذا هو الوضع المناسب في حال الصدمة أو
+
+49
+00:03:45,370 --> 00:03:50,880
+الإغماءإذن في هذا الوضع نحافظ على حياة الشخص
+
+50
+00:03:50,880 --> 00:03:55,180
+وبعدها غالبا وفي معظم الحالات يبدأ الشخص
+
+51
+00:03:55,180 --> 00:04:00,960
+بالاستعادة لوعيه بسبب وجود كمية دم كافية وصلت من
+
+52
+00:04:00,960 --> 00:04:04,720
+القلب إلى الدماغ وهذا الدم محمل بوكسجين وهو مصدر
+
+53
+00:04:04,720 --> 00:04:09,320
+الطاقة للدماغ حتى يستعيد عيومه شكرا وبرك الله فيكم
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/sb5JcicdQkU.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/sb5JcicdQkU.srt
new file mode 100644
index 0000000000000000000000000000000000000000..5f3a22c408498f0f4e4d9f7f1e847112b9ff07c4
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/sb5JcicdQkU.srt
@@ -0,0 +1,2413 @@
+1
+00:00:05,060 --> 00:00:06,920
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:06,920 --> 00:00:09,060
+الرحيم والصلاة والسلام على أشرف المرسلين سيدنا
+
+3
+00:00:09,060 --> 00:00:12,540
+محمد وليه وصحابيه والسلام طبعًا عن استكمال المواضيع
+
+4
+00:00:12,540 --> 00:00:15,880
+اللي احنا حاكيناها وخصصنا المرة الفاتت بالنسبة لل
+
+5
+00:00:15,880 --> 00:00:20,520
+CBR ووضع طبعًا الإفاقة طبعًا لا أكيد الفيديوهات
+
+6
+00:00:20,520 --> 00:00:23,760
+موجودة حسب الموقع الموجود على الصفحة جاتنا عرضًا أن 
+
+7
+00:00:23,760 --> 00:00:27,440
+شاء الله طبعًا الحب يستزيد، ممكن طبعًا في مصادر
+
+8
+00:00:27,440 --> 00:00:30,680
+خارجية ثانية، لكن بيقول احنا أيًا كان احنا يعني
+
+9
+00:00:30,680 --> 00:00:35,280
+كمقرر أو كمساق بنحب نوصل المعلومة البسيطة اللي
+
+10
+00:00:35,280 --> 00:00:39,320
+احنا من خلالها نقدر نمشي في حياتنا، احنا يعني بعد
+
+11
+00:00:39,320 --> 00:00:43,140
+ما ننتهي من الكورس مش هتطلعوا أخصائيين إسعاف أولي لكن
+
+12
+00:00:43,140 --> 00:00:45,880
+بالإمكان احنا مبادئ أساسية كيف أنا أسعى في نفسي؟ 
+
+13
+00:00:45,880 --> 00:00:48,900
+كيف لو صار عندي اختناق؟ كيف لو صار مثلًا واحد قلبه
+
+14
+00:00:48,900 --> 00:00:52,100
+توقف؟ كيف لو صار مثلًا بدأ أقل حاجة أسلك مسلك
+
+15
+00:00:52,100 --> 00:00:55,240
+الهواء؟ إيش الأولويات اللي أنا أبدأ فيها؟ لا يُعقل
+
+16
+00:00:55,240 --> 00:00:58,000
+أن يكون مثلًا في عندي مكان وفيه خطورة أنا أصيب ضحية
+
+17
+00:00:58,000 --> 00:01:00,860
+ثانية؟ وبالتالي طبعًا يعني الأشياء الأساسية احنا
+
+18
+00:01:01,630 --> 00:01:05,390
+بدنا ندرسها مع بعض لكن طبعًا اللي حابب يستزيد ممكن
+
+19
+00:01:05,390 --> 00:01:07,910
+يصل إلى درجة الدكتوراه طبعًا في الإسعافات الأولية طبعًا
+
+20
+00:01:07,910 --> 00:01:11,410
+زيها .. زي أي مادة ثانية لأنها طبعًا بتدرس حاجات
+
+21
+00:01:11,410 --> 00:01:15,370
+دقيقة جدًا وقلنا يا أخواتنا كمان أنه الوقت مهم جدا
+
+22
+00:01:15,370 --> 00:01:20,080
+في الإسعاف الأول، دقائق ثواني مهمة جدا، واخطر حاجة
+
+23
+00:01:20,080 --> 00:01:22,940
+تكلمنا عليها أنه اخطر شيء أنه ممكن يتأثر طبعًا هو
+
+24
+00:01:22,940 --> 00:01:26,220
+الجهاز العصبي فاليوم هناخد طبعًا حاجة بسيطة من بعض
+
+25
+00:01:26,220 --> 00:01:29,380
+الأجهزة اللي هي طبعًا الجهاز التنفسي أو صباط الجهاز
+
+26
+00:01:29,380 --> 00:01:32,700
+التنفسي طبعًا الأهداف العامة يعني مكونات الجهاز
+
+27
+00:01:32,700 --> 00:01:35,880
+التنفسي أول حاجة احنا كلنا بنعرف واخدنا في الأنتام
+
+28
+00:01:35,880 --> 00:01:39,990
+أو في التشريح في مادة العلوم أو حتى في الابتدائي من
+
+29
+00:01:39,990 --> 00:01:43,050
+إيش بتكون الجهاز التنفسي؟ طبعًا في عندنا جهاز تنفسي 
+
+30
+00:01:43,050 --> 00:01:46,270
+علوي وجهاز تنفسي سفلي وبالتالي احنا اليوم حتى لما
+
+31
+00:01:46,270 --> 00:01:48,630
+بنلاحظ أنه بيقول لك والله التهابات الجهاز التنفسي
+
+32
+00:01:48,630 --> 00:01:52,010
+العلوي حتى لما يصير التهابات وخاصة في فصل الشتاء
+
+33
+00:01:52,010 --> 00:01:55,450
+أو التهابات الجهاز التنفسي السفلي فطبعًا غالبًا بيصير
+
+34
+00:01:55,450 --> 00:01:58,810
+التهابات الجهاز التنفسي العلوي وممكن تنتقل إلى
+
+35
+00:01:58,810 --> 00:02:01,670
+الجهاز السفلي لو قلنا طبعًا الجهاز التنفسي العلوي
+
+36
+00:02:01,670 --> 00:02:07,280
+يتكون من؟ الـ  البلعوم .. البلعوم .. طبعًا البلعوم 
+
+37
+00:02:07,280 --> 00:02:10,620
+هو مشترك زي ما قلنا احنا وممر مشترك وتحويله
+
+38
+00:02:10,620 --> 00:02:14,380
+مشتركة طبعًا للـ الـ الـ الـ الهواء و
+
+39
+00:02:14,380 --> 00:02:17,500
+للطعام والشرب وبالتالي طبعًا هذا .. وربنا
+
+40
+00:02:17,500 --> 00:02:20,720
+يمنّ علينا أنه صح الأنف جزء من الجهاز التنفسي و
+
+41
+00:02:20,720 --> 00:02:23,460
+مدخل الجهاز التنفسي لكن ربما بعض الناس يصاب
+
+42
+00:02:23,460 --> 00:02:26,560
+بالذُكام أو يصيب عنده مشكلة فطبعًا في مدخل ثاني
+
+43
+00:02:26,560 --> 00:02:30,920
+فالطعام .. فالماء .. طبعًا الفم يصلح للطعام والشرب
+
+44
+00:02:30,920 --> 00:02:35,670
+والتنفس  اهلما احنا نقول ورا مثلًا إنسان طبعًا لو
+
+45
+00:02:35,670 --> 00:02:38,570
+كان عنده مثلًا نزيف الأنف أو شيء، طبعًا ساكر الأنف
+
+46
+00:02:38,570 --> 00:02:41,650
+عنده، طبعًا فيه مشقشق، فيه مدخل ثاني للهواء، و
+
+47
+00:02:41,650 --> 00:02:44,330
+بالتالي طبعًا هنا اللي هي جزئية الجهاز التنفس
+
+48
+00:02:44,330 --> 00:02:48,170
+العلوي، أنف، ممكن بعض بيضيف إليها الفم، وبالتالي
+
+49
+00:02:48,170 --> 00:02:52,010
+طبعًا بيجي عندنا البلعوم، و ايه؟ الحنجرة لأن طبعًا هذا
+
+50
+00:02:52,010 --> 00:02:55,310
+الخارجي يعني اللي احنا بنشوفه طبعًا والقصبة
+
+51
+00:02:55,310 --> 00:02:58,670
+الهوائية موجودة طبعًا لكن لما اتكلم على الحاجات
+
+52
+00:02:58,670 --> 00:03:01,430
+الداخلية طيب مالجهة السنابوس السفلي طبعًا القصبة
+
+53
+00:03:01,430 --> 00:03:07,270
+الهوائية تتشعب إلى شعب الهوائية طبعًا والشعيبات و
+
+54
+00:03:07,270 --> 00:03:10,170
+في النهاية تصل .. نصل إلى حاجة بيسموها ليها الحويصلات
+
+55
+00:03:10,170 --> 00:03:13,070
+الهوائية أو كلغة عربية في الصحاب بيسموها
+
+56
+00:03:13,070 --> 00:03:17,310
+أسناخ بس لو عديت على الكلمة طبعًا القصبة الهوائية
+
+57
+00:03:17,310 --> 00:03:21,140
+برضه لها مصطلح ثاني بيسموها الرغامي، طبعًا بعضنا
+
+58
+00:03:21,140 --> 00:03:24,340
+لكن احنا بتعامل عنها على أساس إن القصبة الهوائية وطبعًا
+
+59
+00:03:24,340 --> 00:03:27,800
+هو الرئتين وما تحتويه من شعب وشعيبات هوائية و
+
+60
+00:03:27,800 --> 00:03:31,160
+بالتالي تنتهي في اللي هي الهوائية الصناعية الهوائية
+
+61
+00:03:31,160 --> 00:03:36,380
+طبعًا هي يعني القصبة الهوائية وظيفتها تبادل الغازات
+
+62
+00:03:36,380 --> 00:03:40,280
+بداخلها، طبعًا؟ طيب، العملية اللي بتصير، يعني إحنا
+
+63
+00:03:40,280 --> 00:03:42,760
+بنعرف إنه في عندنا يعني حاجات بيسموها 
+
+64
+00:03:42,760 --> 00:03:46,360
+infiltration، طبعًا بالانتشار وحاجات طبعًا بضغط
+
+65
+00:03:46,360 --> 00:03:48,880
+أسموزي، لكن بنسبة لـ طبعًا ضغط أسموزي بالنسبة
+
+66
+00:03:48,880 --> 00:03:52,880
+للغازات، للسوائل الأسيب، أما بالنسبة للغازات طبعًا
+
+67
+00:03:52,880 --> 00:03:56,080
+infiltration أو بالإيش، بالانتشار، بمعنى وين في
+
+68
+00:03:56,080 --> 00:03:59,660
+ضغط أكثر تركيز ينتقل للأقل تركيز، عندنا مثلًا
+
+69
+00:03:59,660 --> 00:04:02,960
+الهواء اللي إحنا بنتنفسه، بيكون أكثر تركيز
+
+70
+00:04:02,960 --> 00:04:07,090
+بالإكسجين من الهواء اللي هيخرج .. الهواء اللي هيخرج
+
+71
+00:04:07,090 --> 00:04:09,970
+هيكون فيه ثاني أكسيد الكربون أكثر تركيز من الهواء
+
+72
+00:04:09,970 --> 00:04:12,930
+اللي .. طيب واحد دي يتساءل ما هو هيطلع عندنا 16%؟
+
+73
+00:04:12,930 --> 00:04:17,690
+ماشي مين الـ 16 أكثر؟ الـ 21% ولا الـ 16%؟ طبعًا الـ 16
+
+74
+00:04:17,690 --> 00:04:20,850
+اللي هي ما .. ما عيش .. ما عيش الشهيق وبالتالي
+
+75
+00:04:20,850 --> 00:04:23,170
+بيصير تبادل الغازات اللي هي داخل الحويصلات الهوائية
+
+76
+00:04:23,170 --> 00:04:25,610
+الهوائية وطبعًا هنا ما بننساش نرجع مرة ثانية لما قلنا
+
+77
+00:04:25,610 --> 00:04:28,030
+الدورة الدموية الصغرى والكبرى طبعًا هنا جزء من
+
+78
+00:04:28,030 --> 00:04:31,130
+الدورة الدموية الصغرى اللي من خلالها بيجي الدم
+
+79
+00:04:31,130 --> 00:04:35,030
+المحمل بثاني أكسيد الكربون من الناحية اليمنى للقلب
+
+80
+00:04:35,030 --> 00:04:41,070
+للرئتين عشان يتحمل بالأكسجين ويطرد ثاني أكسيد
+
+81
+00:04:41,070 --> 00:04:44,430
+الكربون ويعود مرة ثانية عبر الأوردة الرئوية الأربعة
+
+82
+00:04:44,430 --> 00:04:48,250
+للناحية اليسرى فطبعًا هذا اللي هو جزء من الجهاز
+
+83
+00:04:48,250 --> 00:04:50,150
+التنفسي اللي هو السفلي
+
+84
+00:04:53,240 --> 00:04:58,420
+لأ السفلي لإنه بيصير التبادل وين؟ في السفلي طيب
+
+85
+00:04:58,420 --> 00:05:01,360
+التنفس الطبيعي والتنفس الصناعي  إيش ممكن إحنا نقصد
+
+86
+00:05:01,360 --> 00:05:09,110
+فيهم؟ نيجي للتنفس الطبيعي طبعًا شهيق وزفير ولا في حد
+
+87
+00:05:09,110 --> 00:05:13,490
+عنده عملية ثانية؟ بس عمليتين شهيق وزفير ولازم
+
+88
+00:05:13,490 --> 00:05:18,290
+يكون فيه راحة ما بين الاثنين لو أنت جربت مثلًا حاجة
+
+89
+00:05:18,290 --> 00:05:24,510
+بسيطة جدا حاول تلهث بسرعة تمام؟ أو دلوقتي انفخي عشان
+
+90
+00:05:24,510 --> 00:05:31,840
+تطلعي الزفير بزيادة إيش بنشعر؟ بندوخ نشعر بندوخ ليش؟
+
+91
+00:05:31,840 --> 00:05:34,900
+لأنه نقص معدل الـ oxygen أنت جاي تجيب مركزك دلوقتي
+
+92
+00:05:34,900 --> 00:05:36,140
+انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ
+
+93
+00:05:36,140 --> 00:05:36,400
+انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ
+
+94
+00:05:36,400 --> 00:05:36,440
+انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ
+
+95
+00:05:36,440 --> 00:05:36,600
+انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ
+
+96
+00:05:36,600 --> 00:05:37,200
+انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ
+
+97
+00:05:37,200 --> 00:05:37,280
+انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ
+
+98
+00:05:37,280 --> 00:05:41,840
+انفخ
+
+99
+00:05:42,070 --> 00:05:45,210
+وبالتالي الإنسان إيش بيحس إنه ضايق طيب لما الإنسان
+
+100
+00:05:45,210 --> 00:05:50,170
+بيكون تعبان وبيلهث بيقدر يتكلم؟ لأ لإنه بده مصدر
+
+101
+00:05:50,170 --> 00:05:52,690
+للطاقة للـ oxygen عشان يشغل الدماغ والدماغ طبعًا
+
+102
+00:05:52,690 --> 00:05:55,110
+ليه يشغل إيش؟ بالصورة الطبيعية وبالتالي طبعًا عملية
+
+103
+00:05:55,110 --> 00:05:58,930
+الشهيق والزفير هي عملية طبيعية وهذه النقطة اللي
+
+104
+00:05:58,930 --> 00:06:02,910
+حكينا فيها قلنا حتى في التنفس الصناعي أنت بتعمل
+
+105
+00:06:02,910 --> 00:06:06,810
+شهيق وبتنتظر لغاية ما المريض ما يطلع الزفير ما بنفع
+
+106
+00:06:06,810 --> 00:06:12,620
+ذلك .. ذلك تنفخ ورا بعض أنت هتتعب وهو مش هيبقى
+
+107
+00:06:12,620 --> 00:06:15,800
+بالتالي لازم يكون فيه فترة راحة ما بين الشهيق
+
+108
+00:06:15,800 --> 00:06:19,100
+والزفير فترة الراحة هذه طبعًا بيصير خلالها تبادل
+
+109
+00:06:19,100 --> 00:06:22,300
+الغازات وبالتالي يعني بيقول احنا لما الإنسان في
+
+110
+00:06:22,300 --> 00:06:25,820
+وضع طبيعي معدل التنفس العادي بيقولنا يختلف من
+
+111
+00:06:25,820 --> 00:06:30,700
+الأطفال للكبار كل ما زاد حجم الرئة كل ما زاد عدد
+
+112
+00:06:30,700 --> 00:06:35,700
+مرات التنفس الطفل عدد مرات التنفس عنده أقل منها
+
+113
+00:06:35,700 --> 00:06:41,520
+للبالغ بسبب صغر حجم الرئتين طيب التنفس الاصطناعي
+
+114
+00:06:41,520 --> 00:06:45,280
+اللي هو إدخال وليس دخول لأن دخول هواء بصورة
+
+115
+00:06:45,280 --> 00:06:50,740
+طبيعية لكن إدخال شيء اصطناعي هواء محمل بالـ Oxygen
+
+116
+00:06:50,740 --> 00:06:56,880
+إلى رئتي شخص يحتاجهما وقد يكون من إنسان أو من
+
+117
+00:06:56,880 --> 00:07:01,260
+جهاز من إنسان أو جهاز اللي أنت بتقوله والله على
+
+118
+00:07:01,260 --> 00:07:03,940
+ماكينة التنفس على ماكينة الـ oxygen على ماكينة طبعًا
+
+119
+00:07:03,940 --> 00:07:06,980
+جهاز تنفس اصطناعي على الـ ventilator وبالتالي قد
+
+120
+00:07:06,980 --> 00:07:11,580
+يكون من إنسان مثلًا أي إسعافي أولي أو جهاز تنفس
+
+121
+00:07:11,580 --> 00:07:14,680
+اصطناعي وفي كتير من الناس عايش فقط على التنفس
+
+122
+00:07:14,680 --> 00:07:19,280
+الاصطناعي طبعًا .. طبعًا .. لأ غير مريض الربو، لأ ما
+
+123
+00:07:19,280 --> 00:07:22,820
+أقصد مريض الربو، مثلًا اللي دخل في غيبوبة، مثلًا
+
+124
+00:07:22,820 --> 00:07:26,000
+حتى مريض الكورونا، لأن طبعًا .. إيش؟ بقولها .. لأن
+
+125
+00:07:26,000 --> 00:07:27,840
+في العناية .. في العناية معناها بدو إيش؟
+
+126
+00:07:27,840 --> 00:07:31,460
+أكسجين، لأن معناها نسبة أكسجين قليلة جدًا، أقل من
+
+127
+00:07:31,460 --> 00:07:34,200
+المعدل الطبيعي، ما بتكفي احتياجاته، وطالما أنها ما
+
+128
+00:07:34,200 --> 00:07:38,160
+بتكفي احتياجاته، معناها مش هتأثر سلبيا على الدماغ
+
+129
+00:07:38,730 --> 00:07:41,110
+أما بيقول .. ما بيقول مريض الربو، لأ مريض الربو
+
+130
+00:07:41,110 --> 00:07:44,530
+معناه طبعًا بيكون فيه ضيق عنده في القصبات الهوائية
+
+131
+00:07:44,530 --> 00:07:47,090
+أو طبعًا في الشعب الهوائية، بالتالي لما بياخد علاجات
+
+132
+00:07:47,090 --> 00:07:50,470
+بيصير توسيع لها، طبعًا؟ ما بيحتاجي طبعًا اللي هو
+
+133
+00:07:50,470 --> 00:07:53,250
+الجهاز، لكن بنتكلم عن إنسان، مركز مثلًا عنده
+
+134
+00:07:53,250 --> 00:07:56,970
+إصابات، هنتكلم عليها في المركز نفسه اللي بتحكم في
+
+135
+00:07:56,970 --> 00:08:01,120
+عملية إيش؟ التنفس، اللي هي الشهيق والزفير يبقى هنا
+
+136
+00:08:01,120 --> 00:08:04,740
+التنفس الصناعي عملة إدخال هواء محمل بالأكسجين
+
+137
+00:08:04,740 --> 00:08:10,060
+لرئتي شخص يحتاجه طبعًا هنا إصابات الجهاز التنفسي
+
+138
+00:08:10,060 --> 00:08:14,240
+طبعًا هنا هناخدهم بالتفصيل واحدة واحدة إن شاء الله
+
+139
+00:08:17,860 --> 00:08:22,020
+طبعًا عندنا فيه ستة هناخد ثلاثة اليوم هنكمل اللقاء
+
+140
+00:08:22,020 --> 00:08:24,480
+القادم إن شاء الله مع في عندنا تدريب عملي احنا 
+
+141
+00:08:24,480 --> 00:08:27,620
+برضه نفذناه في الجامعة هنا عشان نشوف وطبعا مهم
+
+142
+00:08:27,620 --> 00:08:32,000
+جدا أن هي عملت الاختناق كيف أن أنا أسعف إنسان إذا
+
+143
+00:08:32,000 --> 00:08:34,480
+كان معايا حد أو إذا أنا كنت لوحدي
+
+144
+00:08:40,610 --> 00:08:43,390
+إجباري أن نبدأ بإصابات الجهاز التنفسي، زي ما نقول
+
+145
+00:08:43,390 --> 00:08:46,070
+مثلا إصابات الجهاز الهضمي، إصابات الجهاز العصبي،
+
+146
+00:08:46,070 --> 00:08:50,190
+إصابات الجهاز الهيكلي العظمي، إجباري أي إصابة أو
+
+147
+00:08:50,190 --> 00:08:53,270
+مرض يؤدي إلى خلل في عملية التنفس الطبيعي أو 
+
+148
+00:08:53,270 --> 00:08:56,750
+توقفها، فتصبح كمية الأكسجين الداخل للجسم غير كافية
+
+149
+00:08:56,750 --> 00:09:01,670
+لاستمرار الحياة أي إصابة، إنسان مثلا أخذ طعن سكين،
+
+150
+00:09:01,670 --> 00:09:05,350
+إنسان مثلا وجه على صدره حجر، إنسان مثلا صار عنده
+
+151
+00:09:05,350 --> 00:09:09,210
+مشكلة في منطقة .. إنسان صار عنده مثلا حروق، فأكثر
+
+152
+00:09:09,210 --> 00:09:11,550
+حاجة إحنا دائما عشان نتذكر لما نتكلم عن الحروق،
+
+153
+00:09:11,550 --> 00:09:13,550
+أكثر حاجة إحنا بنخاف منها من الاختناق لأنه بيصير
+
+154
+00:09:13,550 --> 00:09:16,550
+تضخم في مدخل .. في الأنف وفي الفم وبالتالي بيكون
+
+155
+00:09:16,550 --> 00:09:20,750
+في عندنا صعوبة وهنا طبعا مشكلة ثانية من مخاطر الحروق
+
+156
+00:09:20,750 --> 00:09:23,910
+لأنه .. عشان هيك بنقول إحنا لما نتكلم عن م .. م ..
+
+157
+00:09:23,910 --> 00:09:29,360
+فصل الحروق، هنقول أخطر حاجة لو نبطل إيش يقدر ياخد هو
+
+158
+00:09:29,360 --> 00:09:34,100
+شهيق أو زفير وهذا بالنسبة لكثير من الناس بالنسبة ل .. طيب
+
+159
+00:09:34,100 --> 00:09:36,840
+مكونات الجهاز التنفسي يعني طبعا صورة بسيطة زي ما
+
+160
+00:09:36,840 --> 00:09:40,000
+حكينا فيها هذه طبعا صورة بتوضح لنا الجهاز العلوي
+
+161
+00:09:40,000 --> 00:09:45,240
+والجهاز طبعا السفلي اللي حكيناها قبل شوية وهنا
+
+162
+00:09:45,240 --> 00:09:46,100
+طبعا اللي هي
+
+163
+00:09:49,710 --> 00:09:56,050
+أنا طبعا هذه صورة بسيطة جدا، طبعا هنا الرئتين هي
+
+164
+00:09:56,050 --> 00:10:00,190
+إسفنجية يعني معناها تنتفخ، تنكمش، في اللي هو طبعا
+
+165
+00:10:00,190 --> 00:10:05,770
+أسفل الرئتين في عندنا الحجاب، الحاجز هو طبعا برضه
+
+166
+00:10:05,770 --> 00:10:09,030
+جهاز عضلي لأن هو جينا نتكلم على إيش طبيعته وإيش
+
+167
+00:10:09,030 --> 00:10:14,150
+أثره طبعا كيف هنا يعني نتعرف على قصور التنفس اللي 
+
+168
+00:10:14,150 --> 00:10:16,910
+جاتنا نذكرها إن شاء الله لكن هذه طبعا صورة موضحة
+
+169
+00:10:16,910 --> 00:10:19,950
+بسيطة جدا بالنسبة للجهاز العلوي التنفس العلوي
+
+170
+00:10:19,950 --> 00:10:23,970
+والجهاز طبعا الحنجرة تسمى هي طبعا صندوق الصوت
+
+171
+00:10:25,080 --> 00:10:29,060
+صندوق الصوت وبالتالي يعني في فرق ما بين صوت السيدة
+
+172
+00:10:29,060 --> 00:10:32,520
+وصوت الرجل طبعا كل ما كان فيه بروز أكثر فيه خشونة
+
+173
+00:10:32,520 --> 00:10:36,200
+أكثر طبعا أنا لما أقول إحنا مثلا إنسان وصل مرحلة
+
+174
+00:10:36,200 --> 00:10:39,120
+البلوغ صوت الرجل طبعا يكون أخشن فيه خشونة أكثر
+
+175
+00:10:39,120 --> 00:10:43,120
+لكن من فضل الله أن صوت المرأة ما بيصلش صوت الرجل
+
+176
+00:10:43,120 --> 00:10:46,240
+وهذه نعمة كبيرة .. نعمة كبيرة من ربنا أنه ما بيصلش
+
+177
+00:10:46,240 --> 00:10:52,060
+ولا كان المشكلة دي طبعا الحنجرة هذه طبعا بيغطيها
+
+178
+00:10:52,060 --> 00:10:55,570
+اللي هو لسان المزمار تمام؟ فبالتالي إحنا لما
+
+179
+00:10:55,570 --> 00:10:59,050
+بنتكلم لسان المزمار فاتح، لكن لما بنأكل وبنشرب
+
+180
+00:10:59,050 --> 00:11:02,330
+طبعا بيصير فيه إغلاق، هذا طبعا شيء طبيعي عشان نقول
+
+181
+00:11:02,330 --> 00:11:08,310
+إحنا لما الإنسان يده يأكل ما يدققش كثيرًا بسم الله أفضل
+
+182
+00:11:08,310 --> 00:11:11,590
+لأنه مضحك كثير ممكن ياخد شهقة والشهقة هي تدخل
+
+183
+00:11:11,590 --> 00:11:15,330
+إيش؟ تؤدي لاختناق أو طبعا دخول جسم غريب داخله،
+
+184
+00:11:15,330 --> 00:11:17,010
+الرحاءين الهواء إحنا هنتكلم عنه بالتفصيل أكثر وأكثر،
+
+185
+00:11:17,010 --> 00:11:19,970
+وبالتالي هان يا أخواتنا صندوق الصوت أو
+
+186
+00:11:19,970 --> 00:11:23,330
+بيسموه طبعا .. أو طبعا هي الحنجرة، وهي طبعا البروز
+
+187
+00:11:23,330 --> 00:11:27,620
+هنا، ولما تكون بروز أكثر، اللي بيسموها تفاحة آدم
+
+188
+00:11:27,620 --> 00:11:31,880
+مافيش تفاحة حوة لأ طبعا ما هي آدم طبعا ما هي غالبا
+
+189
+00:11:31,880 --> 00:11:35,020
+أساس بتؤدي لخشونة الصوت كل ما كانت بارزة أكثر
+
+190
+00:11:35,020 --> 00:11:38,260
+بيكون فيه خشونة أكثر في الصوت طبعا الجهاز التنفسي
+
+191
+00:11:38,260 --> 00:11:41,440
+السفلي طبعا هو داخل الصدر وزي ما قلنا الرئتين و
+
+192
+00:11:41,440 --> 00:11:44,960
+داخلهم اللي هو الشعب ودايما اللي .. اللي .. لما
+
+193
+00:11:44,960 --> 00:11:47,820
+اتكلمنا المرة الفاتت على التنفس الصناعي بقولنا لو
+
+194
+00:11:47,820 --> 00:11:50,740
+كان مثلا جسم غريب وإحنا مش قادرين نطلعه ممكن ندفع
+
+195
+00:11:50,740 --> 00:11:54,320
+بالجسم الغريب للداخل وغالبا طبعا هو بيميل للناحية
+
+196
+00:11:54,320 --> 00:11:58,990
+اليمنى لو طبعا ميل أسهل طبعا في الناحية التشريحية
+
+197
+00:11:58,990 --> 00:12:02,290
+الميل للناحية اليمنى في الرئة اليمنى أسهل منه
+
+198
+00:12:02,290 --> 00:12:05,910
+للناحية أيش اليسرى وبالتالي غالبا لو كان اندفاع
+
+199
+00:12:05,910 --> 00:12:09,950
+جسم غريب بقوة من الخارج هيكون طبعا للناحية اليمنى
+
+200
+00:12:09,950 --> 00:12:14,310
+والهدف منه اللي هي فتح مسلك الهواء يعني المرفق
+
+201
+00:12:14,310 --> 00:12:17,810
+أخت بتسأل بتقول إحنا لو إحنا حاولنا ندفع ممكن ندفع
+
+202
+00:12:17,810 --> 00:12:21,760
+الجسم الغريب للداخل طبعا أقل الضررين أن أدفع الجسم
+
+203
+00:12:21,760 --> 00:12:26,120
+الغريب بس مجرد أن أخلي مسلك الهواء يكون فاتح وبعدين
+
+204
+00:12:26,120 --> 00:12:28,340
+بعدين طبعا بيكون مستشفى، أنا هم إليها أنا أقول طب
+
+205
+00:12:28,340 --> 00:12:31,140
+يصير التهاب، التهاب، ما يلتهاب؟ لا، ما بخاف من الحاجة
+
+206
+00:12:31,140 --> 00:12:33,880
+هذه، أنا بخاف من الثلاث دقائق أو الأربع أو الخمس
+
+207
+00:12:33,880 --> 00:12:36,780
+زي اللي تخنق الشخص وتموته، لكن لو دخل جسم غريب
+
+208
+00:12:36,780 --> 00:12:40,750
+للرئتين تعمل ممكن يلاقي أحيانا في أحيان بعض الأطفال
+
+209
+00:12:40,750 --> 00:12:45,250
+بلع بذرة ولا حاجة وزرعت جوه وحصل وتنشال يعني
+
+210
+00:12:45,250 --> 00:12:48,250
+هذا مش خطورة لما يقول والله دخلنا الجسم الغريب
+
+211
+00:12:48,250 --> 00:12:55,570
+للداخل عشان ننقذ إيش حياة الشخص طبعا
+
+212
+00:12:55,570 --> 00:12:58,430
+آخر حاجة نقول إحنا تنتهي الشعيبات الهوائية
+
+213
+00:12:58,430 --> 00:13:00,270
+بالهوائية الصلاة اللي ما نجلناش الأسنان
+
+214
+00:13:04,790 --> 00:13:07,690
+نيجي يا أخواتنا هنا للتنفس الطبيعي والتنفس
+
+215
+00:13:07,690 --> 00:13:13,250
+الاصطناعي، نسأل سؤال بسيط جدا، أيه ما فيها مجهود؟
+
+216
+00:13:13,250 --> 00:13:15,870
+الشهيق أم الزفير؟
+
+217
+00:13:19,720 --> 00:13:29,720
+فيها مجهود اللغة بتقول التنهيدة الشهيق ولا الزفير؟
+
+218
+00:13:29,720 --> 00:13:41,400
+اللغة
+
+219
+00:13:41,400 --> 00:13:46,120
+بتقول الزفير لأن بتطلع التنهيدة والتنهيدة فيها
+
+220
+00:13:46,120 --> 00:13:51,490
+راحة يعني ما فيش فيها مجهود بالتالي طبعا هو الشهيق
+
+221
+00:13:51,490 --> 00:13:55,490
+هو فيه المجهود بيقولك يعني .. بيقولك بيجاهد عشان
+
+222
+00:13:55,490 --> 00:14:01,130
+ياخد نفس مش عشان يطلع نفس بيجاهد .. بيجاهد عشان
+
+223
+00:14:01,130 --> 00:14:06,890
+ياخد نفس بيجاهد عشان ياخد نفس لكن لما يطلع الهواء
+
+224
+00:14:06,890 --> 00:14:10,150
+سهل وبالتالي هنا كيف بتصير الأقاليم؟ يعني هنا طبعا
+
+225
+00:14:10,150 --> 00:14:13,090
+بالنسبة للشهيق والزفير طبعا إخواتنا عشان نقول إحنا
+
+226
+00:14:13,090 --> 00:14:17,510
+العملية ببساطة جدا طبعا فيها مجهود اللي هي عملية
+
+227
+00:14:17,510 --> 00:14:26,770
+الشهيق إحنا متعودين وما نكتشف نشعر فيها .. طبعا إحنا
+
+228
+00:14:26,770 --> 00:14:30,090
+بنفرح لما الطفل يعيط يعني .. يعني عشان .. عشان
+
+229
+00:14:30,090 --> 00:14:34,690
+نطمن على الإنسان بيجي يعيط ع الدنيا تمام؟ وهذا
+
+230
+00:14:34,690 --> 00:14:40,610
+بيطمن الأهل أنه بعيط لكن لو أجي ساكت فيه مشكلة مسدودة
+
+231
+00:14:40,610 --> 00:14:43,450
+بنخليه يعيط غصب عنه وهو جاي للدنيا ما شاء الله
+
+232
+00:14:43,450 --> 00:14:48,250
+عشان يعيش يسعى فيها فاللي بنقولها يا أخواتنا أن في
+
+233
+00:14:48,250 --> 00:14:52,370
+عملية الشهيق فيها مجهود عشان نبسطها بصورة بسيطة
+
+234
+00:14:52,370 --> 00:14:56,810
+جدا هلجت إحنا قولنا وقتاش إحنا ممكن نشعر الأخت قالت
+
+235
+00:14:56,810 --> 00:14:59,710
+ما بشعرش فيها صح إن كنا بنتنفس وطبعا مجانا اللي هو
+
+236
+00:14:59,710 --> 00:15:03,730
+مجانا لكن وقتاش إحنا ممكن نشعر فيها لو أي إنسان
+
+237
+00:15:03,730 --> 00:15:07,510
+لا مش اللي أنهيت لا برضه بنتنفس لو ولا بتعب برضه
+
+238
+00:15:07,510 --> 00:15:12,970
+بنتنفس لا لما يصير عند إنسان أي تقلص عضلي في منطقة
+
+239
+00:15:12,970 --> 00:15:16,710
+الصدر بقولك والله بتنفس من .. أنت بتنفس من ناحية
+
+240
+00:15:16,710 --> 00:15:22,510
+هذه؟ ما تتنفس من ناحية هذه كمان فلما يصير تقلص عضلي
+
+241
+00:15:22,510 --> 00:15:27,350
+بيصير .. بيشعر أنه بيتنفس ما هي لفحة الهواء .. أنا
+
+242
+00:15:27,350 --> 00:15:30,650
+بتكلم بساطة هي تقلص عضلي .. لفحة الهواء .. تمام؟
+
+243
+00:15:30,650 --> 00:15:33,230
+بقولك والله حاسس بتنفس من ناحية .. من خسرته .. من
+
+244
+00:15:33,230 --> 00:15:36,450
+ناحية هذه طب ليش أنت ما كنتش بتنفس يعني من الأول؟
+
+245
+00:15:36,450 --> 00:15:41,070
+ومازلتش بتنفس كثير من ناحية الثانية؟ وبالتالي أنا
+
+246
+00:15:41,070 --> 00:15:44,370
+.. عشان أنا أصلا مرحلة واحدة .. قمت واحدة أن اللي
+
+247
+00:15:44,370 --> 00:15:50,170
+بيساعد عملية الشهيق هي العضلات من ناحية أفقية ومن
+
+248
+00:15:50,170 --> 00:15:55,850
+ناحية رأسية الناحية الأفقية لما تنقبض عضلات القفص
+
+249
+00:15:55,850 --> 00:15:59,730
+الصدري وبالتالي لما إحنا بنقول ماخذ لفحة أو تقلص
+
+250
+00:15:59,730 --> 00:16:03,410
+عضلي معناه أن أنا قاعد بضغط على العضلة وبأبذل وبـ
+
+251
+00:16:03,410 --> 00:16:06,370
+بخليها تبذل مجهود أكثر بشعر أن أنا بتنفس من
+
+252
+00:16:06,370 --> 00:16:10,150
+الناحية هذه أو من ناحية اليسار لكن في وضع طبيعي ما
+
+253
+00:16:10,150 --> 00:16:14,650
+بنشعر للأمور طبيعية فالإنسان ما بيشعرش بقيمة العضو
+
+254
+00:16:14,650 --> 00:16:18,930
+لنفسة أو لجسده إلا إذا أصيب يعني واحد .. هي .. كلنا
+
+255
+00:16:18,930 --> 00:16:21,630
+تمام تمام .. طب بيصيبوا شوية صداع .. بيقولوا لك
+
+256
+00:16:21,630 --> 00:16:25,110
+أندي صداع .. تمام .. زغلي لاتق .. معناها أنه من
+
+257
+00:16:25,110 --> 00:16:27,770
+فضل ربنا الأمور ماشية مية في المية .. لكن أحيانا
+
+258
+00:16:27,770 --> 00:16:31,850
+إحنا ممكن نتعبها .. طبعا سوء التصرف .. فاللي بدنا
+
+259
+00:16:31,850 --> 00:16:36,250
+نسأله هنا أن التوسع الأفقي والتوسع الرأسي ..
+
+260
+00:16:36,250 --> 00:16:41,110
+التوسع الأفقي بيصير بانقباض عضلات القفص الصدري يعني
+
+261
+00:16:41,110 --> 00:16:45,510
+تتكمش تتقلص بصورة طبيعية لكن ما بنحسش أنه في ألم لأن
+
+262
+00:16:45,510 --> 00:16:50,290
+طبعا أمور طبيعية إيه بقى الاتساع الأفقي بيصير اتساع
+
+263
+00:16:50,290 --> 00:16:55,850
+تمام لما تتسع يبقى صار عندنا مساحة في وين؟ في
+
+264
+00:16:55,850 --> 00:17:00,110
+الرئتين وبصير عندنا أيضا انقباض من ناحية رأسية اللي
+
+265
+00:17:00,110 --> 00:17:04,770
+هي بالحجاب الحاجز طبعا الحجاب الحاجز طبيعته أنه
+
+266
+00:17:04,770 --> 00:17:10,100
+مقوس عضلة تمام؟ يعني وضع ارتخاء لكن لما تصبح عندك
+
+267
+00:17:10,100 --> 00:17:14,580
+انقباض معناه هتنقبض لأسفل معناه انقباض العضلة قصر
+
+268
+00:17:14,580 --> 00:17:18,480
+حجمها وبالتالي هتتقلص عضلة الحجاب الحاجز .. عضلة
+
+269
+00:17:18,480 --> 00:17:22,320
+.. لما تتقلص عضلة الحجاب الحاجز إيش معناها؟ لأسفل
+
+270
+00:17:22,320 --> 00:17:29,360
+يعني بصغر حجمها وهذا إيش هيزيد؟ التوسع الرأسي يبقى
+
+271
+00:17:29,360 --> 00:17:33,360
+صار عندنا اتساع من ناحية أفقية بانقباض عضلات القفص
+
+272
+00:17:33,360 --> 00:17:38,890
+الصدري وناحية رأسية بانقباض عضلة الحجاب الحاجز
+
+273
+00:17:38,890 --> 00:17:44,910
+وبالتالي يكون سهل للهواء أن يعدي للرئتين طيب نسأل
+
+274
+00:17:44,910 --> 00:17:50,830
+سؤال بسيط ثاني الهواء له ضغط ضغط الهواء الجوي
+
+275
+00:17:50,830 --> 00:17:58,410
+مساوي أقل من أكثر من ضغط الهواء داخل الرئتين
+
+276
+00:18:07,730 --> 00:18:13,610
+أكثر من ولا أقل من ولا يساوي؟ أقل من أقل بالشغل
+
+277
+00:18:13,610 --> 00:18:19,270
+أقل بقت الهواء بالداخل يعني أقل بقت الهواء بالداخل
+
+278
+00:18:19,270 --> 00:18:21,690
+عن بقت الجو يفيده الهواء الأساسي طب ماشي من
+
+279
+00:18:21,690 --> 00:18:26,070
+الموجين السؤال للأخوات لو كان يساوي معناها الغازات
+
+280
+00:18:26,070 --> 00:18:28,090
+مش هتعدي تمام؟ 
+
+281
+00:18:30,800 --> 00:18:34,380
+أيه؟ وهذا يُسهّل عملية دخول الهواء وبالتالي ضغط
+
+282
+00:18:34,380 --> 00:18:38,260
+الهواء الجوي أعلى منه داخل الرئتين وأنا بفضل ربنا 
+
+283
+00:18:38,260 --> 00:18:42,960
+عليه أن نسهّل دخول الهواء لو كان ضغط الهواء الذي
+
+284
+00:18:42,960 --> 00:18:46,260
+.. الذي .. الذي نريدنا داخل الرئتين أعلى من ضغط 
+
+285
+00:18:46,260 --> 00:18:50,400
+الهواء خارج الرئتين لن .. لن نستطيع أخذ نفس
+
+286
+00:18:51,430 --> 00:18:56,330
+وبالتالي ضغط الهواء أعلى في الهواء الجوي منه داخل 
+
+287
+00:18:56,330 --> 00:18:59,370
+الرئتين وهذا طبعًا يُسهّل عملية الدخول صار استنشاق 
+
+288
+00:18:59,370 --> 00:19:03,870
+الهواء بسهولة لكن لو العكس مشكلة وهذا أيضًا من 
+
+289
+00:19:03,870 --> 00:19:07,110
+فضل ربنا علينا أن الهواء الداخل الخارجي ضغطه أعلى 
+
+290
+00:19:07,110 --> 00:19:12,990
+من ما موجود داخل الرئتين، أه لتسهيل طبعًا أنا بس 
+
+291
+00:19:12,990 --> 00:19:17,610
+أُفسّر الصورة أوضح شويّة لتوضيح أكثر وبالتالي هنا دخول
+
+292
+00:19:17,610 --> 00:19:22,730
+الهواء داخل الرئتين أسهل من طبعًا بده مجهود، طب
+
+293
+00:19:22,730 --> 00:19:26,010
+هانتوا احنا جالسين أنتم تقولون أن الهواء سهل
+
+294
+00:19:26,010 --> 00:19:30,130
+ماشي بس سهل وقت إيش لما صار الاستنشاق، طب في حالة
+
+295
+00:19:30,130 --> 00:19:34,710
+الزفير بيصير العكس، بيصير ارتخاء في عضلات القفص
+
+296
+00:19:34,710 --> 00:19:38,890
+الصدري و ارتخاء طبعًا بيصير ضيق من ناحية أفقية تمام
+
+297
+00:19:38,890 --> 00:19:44,370
+و الحجاب الحاجز طبعًا بيصير ارتخاء أيضًا فبدفع الذي 
+
+298
+00:19:44,370 --> 00:19:48,110
+هو إيش الهواء للخارج وبالتالي بيصير لنا ضيق من
+
+299
+00:19:48,110 --> 00:19:53,550
+ناحية رأسية، بل الذي فيه مجهود هي الشهيق، تمام؟ 
+
+300
+00:19:53,550 --> 00:19:56,910
+وبالتالي احنا بنقول بيجاهد عشان يأخذ الهواء طبعًا
+
+301
+00:19:56,910 --> 00:19:59,370
+عشان يأخذ نفسه لكن لما يطلع، ليها واحد مثلًا بتنهد 
+
+302
+00:20:01,010 --> 00:20:03,150
+برتاح، طالع الهواء إيش مرة ثانية، برتاح لأن
+
+303
+00:20:03,150 --> 00:20:05,730
+طبعًا ما فيش فيه مجهود، لكن المجهود لما أخذ الهواء
+
+304
+00:20:05,730 --> 00:20:10,350
+فالذي بتنهد معناه إيش فيه راحة لأنه بتطلع الهواء
+
+305
+00:20:10,350 --> 00:20:17,610
+بدون مجهود طبعًا
+306
+00:20:17,610 --> 00:20:19,930
+الهدف كله مع التنفس الطبيعي الذي احنا بنتنفسه كله
+
+307
+00:20:19,930 --> 00:20:23,810
+دخول الأكسجين الذي هو ضمن الغازات التي موجودة التي
+
+308
+00:20:23,810 --> 00:20:28,910
+تمثل 21% من ضمن الغازات الموجودة في غازات الهواء
+
+309
+00:20:28,910 --> 00:20:29,890
+الجو الذي احنا بنتنفسه
+310
+00:20:37,290 --> 00:20:39,510
+طبعًا زي ما قلنا التنفس الصناعي عملية إدخال هو
+
+311
+00:20:39,510 --> 00:20:43,290
+الهواء والـ oxygen من رئتيه مصدع أو جهاز طبعًا إلا
+
+312
+00:20:43,290 --> 00:20:46,190
+جهاز تنفس الإنسان قد توقف واحنا طبعًا ذكرنا هنا ك
+
+313
+00:20:46,190 --> 00:20:50,290
+.. كأسعاف أولية، دايمًا بنقول من رئتيه مصدع ودايمًا
+
+314
+00:20:50,290 --> 00:20:54,650
+هنا بنقول احنا للإنسان البالغ من الرئتين لكن للطفل
+
+315
+00:20:54,650 --> 00:21:03,230
+بس عنده تجويف في إيش الفم نعم كيف
+
+316
+00:21:03,230 --> 00:21:08,680
+بتم عملية التحكم بعملية التنفس؟ في معنا مراكز في
+
+317
+00:21:08,680 --> 00:21:13,020
+الدماغ واحنا قلنا المرة الفاتتة أن أكثر حالتين
+
+318
+00:21:13,020 --> 00:21:19,440
+بتأخر معانا في استعادة التنفس اللي هو المخدرات و
+
+319
+00:21:19,440 --> 00:21:23,900
+التسمم أو الـ Oxidic Carbon وذكرنا أن لما انسان 
+
+320
+00:21:23,900 --> 00:21:27,560
+بيكون قاعد بتدفع وبيشوه الكستنة وما شاء الله ومبسوط
+
+321
+00:21:27,560 --> 00:21:30,600
+مبسوط بيأكل الكستنة شوية شوية بيحس حاله أنه نعسان
+
+322
+00:21:31,140 --> 00:21:34,960
+ليش؟ لأنه بدأ يحل محل الأكسجين الكربون محل للأكسجين
+
+323
+00:21:34,960 --> 00:21:38,820
+وبدأ تخدير لمركز التنفس في الدماغ وبالتالي بيبدأ
+
+324
+00:21:38,820 --> 00:21:41,760
+ياشي ينعسى وبهنا بيصير عنده مشكلة في التنفس وبالتالي استعادة
+
+325
+00:21:41,760 --> 00:21:45,640
+التنفس الطبيعي لإنسان متسمم بأوسل الكربون طبعًا 
+
+326
+00:21:45,640 --> 00:21:49,040
+بيأخذ وجهة أطول، الذي بيأخذ المخدرات طبعًا زيادة
+
+327
+00:21:49,040 --> 00:21:51,580
+الجرعة بتأثر، وبالذي بيقول لك والله انتحار،
+
+328
+00:21:51,580 --> 00:21:55,100
+انتحار بكمية زائدة من المخدرات أو بدون انتحار من 
+
+329
+00:21:55,100 --> 00:21:58,480
+المخدرات لأنه طبعًا تأثر على مركز التنفس وبالتالي
+
+330
+00:21:58,480 --> 00:22:02,860
+بتعمل، كل ما زادت كمية المخدرات كل ما قل عدد 
+
+331
+00:22:02,860 --> 00:22:05,780
+مرات التنفس لأنه بتأثر على مركز التنفس وزادت أكثر 
+
+332
+00:22:05,780 --> 00:22:08,800
+قد تؤدي للانتحار ليه؟ أو للموت ليش؟ لأنه توقف
+
+333
+00:22:08,800 --> 00:22:13,300
+التنفس،ان توقف التنفس وبالتالي هدول أكثر اثنين
+
+334
+00:22:13,300 --> 00:22:17,840
+ممكن يغلبونا شوية عشان عملية استعادة التنفس لإنسان 
+
+335
+00:22:17,840 --> 00:22:21,100
+متسمم بأوسد الكربون أو متناول مخدرات
+
+336
+00:22:31,790 --> 00:22:34,950
+الإصابات طبعًا لها أسباب هناخد واحدة واحدة وناخدها
+
+337
+00:22:34,950 --> 00:22:37,310
+بالتفصيل إن شاء الله طبعًا في عندنا ست أسباب أساسية
+
+338
+00:22:37,310 --> 00:22:40,350
+لغرب أن يكون هناك أسباب أخرى لكن هناخد يعني اللي
+
+339
+00:22:40,350 --> 00:22:46,750
+مقدر نشرحه اليوم ونكمل إن شاء الله المراجعة، نيجي
+
+340
+00:22:46,750 --> 00:22:50,050
+لنقص الأكسجين في الدم أو نقص الأكسجة وليس الأكسدة
+
+341
+00:22:50,050 --> 00:22:54,730
+ده في فرق طبعًا بالأكسجة والأكسدة ده طبعًا الأكسجة
+
+342
+00:22:54,730 --> 00:22:57,630
+ده نص ده لكن هذه الأكسجة جاي من الأكسجين 
+
+343
+00:23:01,720 --> 00:23:05,140
+طبعًا أهم أعراض لها بنلاحظ طبعًا نقص الـXG، نقص
+
+344
+00:23:05,140 --> 00:23:07,540
+الأكسجة يعني زيادة عدم مراد التنفس لما يقول 
+
+345
+00:23:07,540 --> 00:23:10,580
+الإنسان والله مثلًا بيجري وبيلع أشياء، صار نقص و 
+
+346
+00:23:10,580 --> 00:23:13,700
+بده زيادة طبعًا عملية التعويض في زيادة عدم مراد
+
+347
+00:23:13,700 --> 00:23:16,780
+التنفس، هذا من ناحية طبيعية لكن لما يكون عندنا
+
+348
+00:23:16,780 --> 00:23:19,700
+مشكلة مرضية مثلًا يعني أحد المريض أزمة ممكن طبعًا 
+
+349
+00:23:19,700 --> 00:23:22,690
+يكون عنده ضيق أو زيادة طبعًا المخاط داخل الرئتين 
+
+350
+00:23:22,690 --> 00:23:25,570
+أو زيادة طبعًا إفرازية الـ acid، acid داخل الرئتين
+
+351
+00:23:25,570 --> 00:23:29,430
+وبالتالي هنا أو تقلص في عضلات المحيطة بالـ .. بالـ
+
+352
+00:23:29,430 --> 00:23:32,270
+.. بالـ .. بالقصبة الهوائية وبالتالي طبعًا يصير ضيق
+
+353
+00:23:32,270 --> 00:23:35,370
+مجاري الهواء وهذا طبعًا نقص الـ oxygen صعوبة في 
+
+354
+00:23:35,370 --> 00:23:38,650
+الكلام، العلامات، تعال يقول لواحد هو جاي بالنهاية
+
+355
+00:23:38,650 --> 00:23:43,770
+أتكلم يحكي لي قصتك، أشكي بالإشارة بس يأخذ نفس حتى لو
+
+356
+00:23:43,770 --> 00:23:47,270
+يقول لك بالإشارة، بطل طبعًا نتكلم أصلًا العالم ..
+
+357
+00:23:47,270 --> 00:23:51,120
+العلامة الثالثة، التوتر الشديد وعدم الراحة، هجي 
+
+358
+00:23:51,120 --> 00:23:56,400
+تلاحظ أي إنسان عنده مثلًا أزمة أو شيء، بعصب، لأن
+
+359
+00:23:56,400 --> 00:24:00,520
+طبعًا نقص الأكسجين بضايق، أنت هجي تحط، عفوا يعني 
+
+360
+00:24:00,520 --> 00:24:05,820
+جيبي كيسنان وحطي على رأسك وقربتي شويّة، بتتفاجئي، 
+
+361
+00:24:05,820 --> 00:24:09,000
+سبحان الله يعني هذا يعني من كرم ربنا هذه النعم، 
+
+362
+00:24:09,000 --> 00:24:11,380
+احنا ما بنعرفها إلا إذا وجعت طبعًا المشكلة،
+
+363
+00:24:11,380 --> 00:24:15,570
+وبالتالي طبعًا التوتر الشديد وعدم الراحة، لمّا يكون
+
+364
+00:24:15,570 --> 00:24:19,790
+واحد مثلًا مضايق مخنوق يعني حتى حيانا، أحيانًا
+
+365
+00:24:19,790 --> 00:24:24,110
+ممكن يكون يعني ما فيش نقص Oxygen لكن مشكلة نفسية،
+
+366
+00:24:24,110 --> 00:24:25,990
+وإذا كان مضايق مخنوق ما فيش حاجة مسكرة، ما فيش
+
+367
+00:24:25,990 --> 00:24:29,410
+مسلك الهواء لكن نفسيًا ممكن طبعًا وهذا طبعًا له 
+
+368
+00:24:29,410 --> 00:24:32,850
+تأثير سلبي على الدماغ، زرقة في الجلد وأطرافه خاصة 
+
+369
+00:24:32,850 --> 00:24:36,330
+الشفاة والأضافر والأذنين طبعًا نتيجة نقص الـ
+
+370
+00:24:36,330 --> 00:24:40,070
+Oxygen وزيادة Thanosid Carbon طبعًا بتحول إيش؟ ممكن
+
+371
+00:24:40,070 --> 00:24:44,130
+هذا طبعًا نقص الـ Oxygen بنلاحظها في الشتاء عند بعض
+
+372
+00:24:44,130 --> 00:24:48,150
+الأطفال بيقول لك أيديه ورجليه زرق أصابيعه زرق ليش؟
+
+373
+00:24:48,150 --> 00:24:52,090
+أو عند مرضى السكر بسبب طبعًا ضعف الدورة الدموية
+
+374
+00:24:52,090 --> 00:24:55,410
+التي تصل للمنطقة هذه لأنه ما بيصل كمية كافية لكن
+
+375
+00:24:55,410 --> 00:24:58,450
+تعالى إن ده فيه شوية خلاص ترجع الأمور تمام تمام
+
+376
+00:24:58,450 --> 00:25:01,530
+وبالتالي هنا يعني من فضل ربنا الإنسان العادي ما
+
+377
+00:25:01,530 --> 00:25:05,130
+بيشعر بمشكلة هذه مرضى السكر بيشعروا فيها لأن طبعًا نقص 
+
+378
+00:25:05,130 --> 00:25:09,550
+الـ oxygen أو نقص الدم المحمل بالـ oxygen معناه طبعًا
+
+379
+00:25:09,550 --> 00:25:13,750
+في مشكلة لحياة اللي هي الخلايا التي ما بيصلها فأي
+
+380
+00:25:13,750 --> 00:25:17,270
+خلية ما بيصلهاش دم محمل بالـ oxygen معرضة للخطر و
+
+381
+00:25:17,270 --> 00:25:19,670
+طبعًا تشوفوا عن مرض السكر لما يقولوا لك والله وصل
+
+382
+00:25:19,670 --> 00:25:23,690
+لمرحلة البتر، الغرغرينة، اه الغرغرينة طبعًا 
+
+383
+00:25:23,690 --> 00:25:27,190
+زرقة، يمكن طبعًا تكون في جو بارد لكن لما تكون من 
+
+384
+00:25:27,190 --> 00:25:31,930
+ناحية مرضية طبعًا هتبقى لها علاج، صداع، نقص الـ oxygen
+
+385
+00:25:31,930 --> 00:25:36,310
+يؤدي لصداع وهنا يعني نقول مثلًا في الأجواء الباردة
+
+386
+00:25:36,310 --> 00:25:39,230
+ولا حاجة طبعًا الصداع له أسباب كثيرة من ضمنها
+
+387
+00:25:39,230 --> 00:25:42,590
+مثلًا البرد الشديد من نزلة العينين أو يعني 
+
+388
+00:25:42,590 --> 00:25:46,590
+الأسنان طبعًا الناحية العصبية الصرع لكن أحيانًا أيضًا 
+
+389
+00:25:46,590 --> 00:25:49,850
+نقص الـ oxygen أيضًا يؤدي إليه للصداع لما نقول 
+
+390
+00:25:49,850 --> 00:25:52,590
+والله إنسان مثلًا تعبان وحاجة يعني بدل المشكلة
+
+391
+00:25:52,590 --> 00:25:55,270
+نقول لإخواننا خلاص عندي صداع وتعبت ومش قادر أكمل
+
+392
+00:25:55,840 --> 00:25:58,980
+لأن طبعًا ما وصل كمية كافية وبيبدأ طبعًا بيكون لو كان
+
+393
+00:25:58,980 --> 00:26:02,000
+مترابط مع يعني المشاكل في الدورة الدموية طبعًا بيزيد
+
+394
+00:26:02,000 --> 00:26:06,320
+المشكلة أكثر وأكثر، غثيان
+
+395
+00:26:06,320 --> 00:26:09,560
+وقد يحدث الاستفراغ، شيء طبيعي لأنه طالما واحنا 
+
+396
+00:26:09,560 --> 00:26:13,400
+قلنا يا إخواننا شيء مهم جدًا أن مصدر الطاقة للدماغ
+
+397
+00:26:13,400 --> 00:26:16,740
+الذي هو الـ oxygen والـ glucose وطالما أنه أنا
+
+398
+00:26:16,740 --> 00:26:22,230
+ما وصلش كمية كافية فهيأثر على طبيعة عمل الدماغ، و
+
+399
+00:26:22,230 --> 00:26:25,050
+دايمًا نقول حاجة مهمة كثير يا إخواننا الصداع،
+
+400
+00:26:25,050 --> 00:26:29,990
+الزغللة عدم الاتزان الغثيان عدم التوازن الدخة،
+
+401
+00:26:29,990 --> 00:26:35,010
+هذه كلها علامات تصدر عن الدماغ أنه فيه مشكلة، أنه 
+
+402
+00:26:35,010 --> 00:26:38,910
+الحاجز، أنه في عندي مشكلة، زغللة عينينا، بقول لك 
+
+403
+00:26:38,910 --> 00:26:41,970
+أنا حاسس حالي ضايق، ما بقولش واحد والله رجله بتوجعه
+
+404
+00:26:41,970 --> 00:26:44,730
+حاسس حاله ضايق لأ يبقى في عندنا مشكلة إيش، في 
+
+405
+00:26:44,730 --> 00:26:50,570
+الدماغ، سبب مثلًا ارتفاع ضغط الدم، سبب مثلًا نقص 
+
+406
+00:26:50,570 --> 00:26:55,530
+السكر، سبب مثلًا عنده مثلًا اتصار نزيف في الدماغ،
+
+407
+00:26:55,530 --> 00:26:58,450
+أخد ضربة، طبعًا هذا يعني من بعض المشاكل التي ممكن
+
+408
+00:26:58,450 --> 00:27:01,930
+تؤدي طبعًا إلى العلامات المنذرة أنه في مشكلة في 
+
+409
+00:27:01,930 --> 00:27:08,830
+الدماغ، طبعًا هذه طبعًا طالما أنه ما فيش تدخل قد تؤدي 
+
+410
+00:27:08,830 --> 00:27:13,610
+إلى الوفاة، هذه طبعًا أول علامة التي حكيناها 
+
+411
+00:27:13,610 --> 00:27:15,950
+المرة الفاتتة، أي إنسان بيكون مخنوق، إيه ده طبعًا 
+
+412
+00:27:15,950 --> 00:27:18,350
+إيش؟ عرق بطول مباشرة طبعًا لا إرادة، إذا بيقول 
+
+413
+00:27:18,350 --> 00:27:21,070
+أحد والله عنده صداع وحط إيده، عرق بسهولة، معناه 
+
+414
+00:27:21,070 --> 00:27:23,690
+ما في صداع بالإشارة، وليه طبعًا ما في نفسد، ما حد
+
+415
+00:27:23,690 --> 00:27:26,650
+من الإنسان الذي يحس حاله مخنوق؟ طبعًا قد يكون سبب 
+
+416
+00:27:26,650 --> 00:27:29,530
+يعني نفسي أو قد يكون طبعًا عضوي هذا طبعًا اللي 
+
+417
+00:27:29,530 --> 00:27:31,910
+هنتكلم عليه اللي قاله اللي جاي إن شاء الله لكن قد 
+
+418
+00:27:31,910 --> 00:27:35,670
+يكون نفسي ما فيش Incident بالمرة لكن طبعًا نتقل من 
+
+419
+00:27:35,670 --> 00:27:39,710
+مكان لمكان طبعًا الناحية النفسية لها دور كبير،
+
+420
+00:27:39,710 --> 00:27:42,690
+لكن احنا لما نتكلم في الاختناق هناخد بالتفصيل أكثر
+
+421
+00:27:42,690 --> 00:27:50,610
+إن شاء الله طبعا إيش أسباب نقص ال oxygen أو ال
+
+422
+00:27:50,610 --> 00:27:53,430
+oxygen، قلنا عدم وصول كمية كافية من الدم إلى نقص
+
+423
+00:27:53,430 --> 00:27:55,410
+ال oxygen، نقص ال oxygen في الهواء الجوي زي ما 
+
+424
+00:27:55,410 --> 00:28:00,590
+يقول كل ما ارتفعنا لأعلى تمام؟ ولو احنا كنا في 
+
+425
+00:28:00,590 --> 00:28:03,550
+مكان ملوث في .. طبعا بـ .. سان وكسيد الكربون أو 
+
+426
+00:28:03,550 --> 00:28:07,470
+بالغازات يعني كده مثلا تعالى و العيلك شوية حطب وقف
+
+427
+00:28:07,470 --> 00:28:11,170
+في جنبهم عينكها يحمره و بناخرك مش هتقدر تنفسي و
+
+428
+00:28:11,170 --> 00:28:15,710
+هتشرضي أو مثلا زي مكان اليهود مثلا يضربون اللي هو
+
+429
+00:28:15,710 --> 00:28:19,870
+أيّاش غاز مصير للدموع و غازات أخرى معناه طبعا النقص
+
+430
+00:28:19,870 --> 00:28:22,830
+اللي هو ال oxygen في الهواء اللي جوا إغلاق طريق
+
+431
+00:28:22,830 --> 00:28:27,230
+الهواء طبعا بجسم غريب مثلا ممكن يكون اختناق صناعي
+
+432
+00:28:27,230 --> 00:28:30,750
+.. صناعي .. صناعي أو طبيعي، يعني الصناعي واحد
+
+433
+00:28:30,750 --> 00:28:36,570
+بيدخلوا بواحد، طبيعي إن واحد بياكل الشردك طبعا،
+
+434
+00:28:36,570 --> 00:28:38,910
+يعني حاجة لا إرادية
+
+435
+00:28:41,820 --> 00:28:44,640
+أسباب لها علاقة بالقفص الصدري، مثلا ضربة على القفص
+
+436
+00:28:44,640 --> 00:28:48,540
+الصدري، صار ضغط على القفص الصدري، واحد مثلا رجع
+
+437
+00:28:48,540 --> 00:28:50,940
+عليه سيارة وضغط على القفص الصدري، مش هيقدر طبعا
+
+438
+00:28:50,940 --> 00:28:54,480
+يأخذ أو مثلا التهابات شديدة بالقفص الصدري،
+
+439
+00:28:54,480 --> 00:28:57,340
+التهابات مش هيقدر برضه ياخد، مثلا يعني مرض الأزمة
+
+440
+00:28:57,340 --> 00:28:58,400
+اللي علاقة بالقفص الصدري
+
+441
+00:29:01,350 --> 00:29:04,670
+قصور في عمل الرئتين التهابات شديدة وكتير يبقى
+
+442
+00:29:04,670 --> 00:29:07,550
+الله يبقى عنده التهابات شديدة زي مثلا نقول مريض
+
+443
+00:29:07,550 --> 00:29:10,090
+الكورونا نأخذ مثال ثاني كمان طبعا التهابات الشديدة
+
+444
+00:29:10,090 --> 00:29:14,050
+بتؤدي لنقص عمل التنفس أو صعب عمل التنفس وبالتالي
+
+445
+00:29:14,050 --> 00:29:18,010
+يدخلوا لإنه إله علاج وإله طبعا يحتاج ال oxygen طبعا
+
+446
+00:29:18,010 --> 00:29:20,090
+أحيان ممكن يدخلوا النبوب طبعا داخل الرئتين عشان
+
+447
+00:29:20,090 --> 00:29:23,030
+يصل ال oxygen أو عن طريق ال mask طبعا حسب الحالة
+
+448
+00:29:23,030 --> 00:29:26,370
+وطبعا يعني لازم يتم معالجة السبب إذا كان مثلا
+
+449
+00:29:26,370 --> 00:29:30,420
+الالتهابات شديدة أما نقول والله إنسان عادي ندخله
+
+450
+00:29:30,420 --> 00:29:34,020
+نبوب؟ لا لا ما يحتاجه إلا ده كان طبعا فيه سبب
+
+451
+00:29:34,020 --> 00:29:39,060
+الصباط الجهاز العصبي يعني مثلا وجيت .. وبالتالي
+
+452
+00:29:39,060 --> 00:29:42,860
+هنقول احنا لما حكينا أنه أول أربع دقائق يعني ممكن
+
+453
+00:29:42,860 --> 00:29:45,500
+يتحمل الدماغ لكن من أربع دقائق لست دقائق طبعا فيه
+
+454
+00:29:45,500 --> 00:29:49,580
+خطورة و رمزون برتقالي أو أصفر لكن بعد كده أي منطقة
+
+455
+00:29:49,580 --> 00:29:54,660
+ما بيصلهاش طبعا ال oxygen طبعا موت وخوف أن يكون
+
+456
+00:29:54,660 --> 00:29:57,400
+مثلا مركز التنفس قد يؤدي إلى الوفاة
+
+457
+00:30:02,640 --> 00:30:04,960
+التسمم ببعض الغازات زي ما قلنا طبعا أولا أكسيد
+
+458
+00:30:04,960 --> 00:30:10,520
+الكربون هآر طبعا زيادة الفترة الزمنية بالتسمم كل ما
+
+459
+00:30:10,520 --> 00:30:13,620
+تزيد الفترة الزمنية أكثر .. كل ما كانت أكثر كل ما
+
+460
+00:30:13,620 --> 00:30:16,160
+كانت خطورة أكثر وأنا بالناس اللي نقول جدّيش أنتو
+
+461
+00:30:16,160 --> 00:30:19,880
+سمعتوا ناس كبار وصغار ماتوا فبتدفق بيكون آخر تدفق
+
+462
+00:30:19,880 --> 00:30:24,320
+عيلة في الحياة يعني لما يكون زوجة .. زوج وزوج
+
+463
+00:30:24,320 --> 00:30:27,620
+تكون أريح يعني أقلّوا كثير خاصة بيكونوا ده قاعدين مع 
+
+464
+00:30:27,620 --> 00:30:30,780
+بعض اختيارية مع بعض هيكر وبتدفوا عمره تسعين سنة
+
+465
+00:30:30,780 --> 00:30:33,800
+خمسة وثمانية سنة وكل سنة بنسمع بقولك والله لقوا
+
+466
+00:30:33,800 --> 00:30:41,120
+ميتين فـ .. رايحوا بعض آه
+
+467
+00:30:41,120 --> 00:30:45,180
+مش واحد يظل يعني والتاني مفتنان مع بعض مفتنان مع 
+
+468
+00:30:45,180 --> 00:30:53,000
+بعض محدش بيزعلوا الثاني مفاجئين مع بعض بعزّوا
+
+469
+00:30:53,000 --> 00:30:56,770
+بعض بيلتجوا مع بعض فالتالي الـ .. الـ .. الـ .. hand
+
+470
+00:30:56,770 --> 00:31:02,150
+الاختناق يعني إسعافه سهل، إسعافه سهل إذا تم اللحاق
+
+471
+00:31:02,150 --> 00:31:08,610
+بالشخص، لكن إذا ترك الله يرحمه، الله يرحمه، رحمنا
+
+472
+00:31:08,610 --> 00:31:14,130
+جميعا يا رب رحمته قصور الدورة الدموية، إيش يعني 
+
+473
+00:31:14,130 --> 00:31:16,410
+قصور الدورة الدموية؟ معناه القلب لا يضخ بكمية
+
+474
+00:31:16,410 --> 00:31:21,160
+كافية تمام؟ أو توقف الدورة الدموية، طالما أنه
+
+475
+00:31:21,160 --> 00:31:24,160
+ما يضخ بكمية كافية، مع أنه مش هيحمل أكسوجين كافي
+
+476
+00:31:24,160 --> 00:31:27,160
+لكل خلايا الجسم، وبالتالي هيطبعا أدى إليها قصور،
+
+477
+00:31:27,160 --> 00:31:29,680
+وغالبا نقول مثلا والله .. نقول والله مثلا سناني
+
+478
+00:31:29,680 --> 00:31:32,800
+أتوقف في القلب، وأدأله، فليش؟ ما فيش طبعا دم محمل
+
+479
+00:31:32,800 --> 00:31:35,540
+و أكسوجين يصل إليه إيش إلى الدماء، هو طبعا توقف
+
+480
+00:31:35,540 --> 00:31:38,860
+الوجاية، ولما احنا نعمل استعادة لعمل القلب، قد
+
+481
+00:31:38,860 --> 00:31:42,380
+يستعيد وعيه ويستعيد حياته، إذا كان له نصيب، لكن
+
+482
+00:31:42,380 --> 00:31:44,060
+احنا بالمحاولة نقول ممكن إيش
+
+483
+00:31:50,060 --> 00:31:55,420
+بدنا نشوف بس الفيديو الصغير هنا عشان نشوف كيف عملت
+
+484
+00:31:55,420 --> 00:32:04,520
+إيه الإغلاق قبل ما نتكلم طبعا
+
+485
+00:32:04,520 --> 00:32:05,460
+كيف عملت البلع
+
+486
+00:32:38,950 --> 00:32:42,930
+إيه اللي بدنا نقوله؟ طبعا .. وبالتالي احنا قلنا
+
+487
+00:32:42,930 --> 00:32:46,490
+في حال إن أنا بأساعد إنسان على التنفس برفع الرأس
+
+488
+00:32:46,490 --> 00:32:49,890
+للخلف والذقن لأعلى عشان نفسي لهو أيّاش مدخل أيّاش
+
+489
+00:32:49,890 --> 00:32:53,850
+للحنجرة طبعا الأمام اللي هي الحنجرة بنقول حاجة
+
+490
+00:32:53,850 --> 00:32:58,770
+كمان مهمة كثير إن احنا الحنجرة هي حلقات غضروفية
+
+491
+00:32:58,770 --> 00:33:04,270
+تمام؟ غير كاملة عاملة زي حرف ال C زي الهلال اللي
+
+492
+00:33:04,270 --> 00:33:09,880
+وراها اللي هو المريء هو أنبوب عضلي مش غضروفي، عضلة،
+
+493
+00:33:09,880 --> 00:33:13,580
+بمعنى عنده قدرة على التمدد وبالتالي، هذه نقطة عشان
+
+494
+00:33:13,580 --> 00:33:16,940
+نهتم فيها شوية في حال الاختناق إن لما الإنسان
+
+495
+00:33:16,940 --> 00:33:20,860
+بياكل وبياكل بسرعة، يقولك والله وقفاله زي اللجمة
+
+496
+00:33:20,860 --> 00:33:25,220
+في الزور، معناه بتكون في المريء، لكن احنا شعرنا 
+
+497
+00:33:25,220 --> 00:33:29,040
+بصعوبة بالنفس، لكن متكلم، بمعنى الإنسان لما يكون
+
+498
+00:33:29,040 --> 00:33:33,480
+عنده جسم غريق، جسم كبير، طعام أو شيء، واقف في
+
+499
+00:33:33,480 --> 00:33:37,360
+البلعوم، في المريء، معناه ضغط على ..القصب اللي هو
+
+500
+00:33:37,360 --> 00:33:40,640
+إيه من الخلف وبنشعر طبعا بضيق لكن فيه إمكانية
+
+501
+00:33:40,640 --> 00:33:44,920
+الكلام يمنعش لأن صندوق الصوت ما تأثرش ما دخل جسم
+
+502
+00:33:44,920 --> 00:33:48,400
+غريب منه لأن صار فينا كلام وبالتالي هال اللي مقول
+
+503
+00:33:48,400 --> 00:33:53,980
+احنا ممكن نشرب فيه ماء أما لو كان في الحنجرة زي ما 
+
+504
+00:33:53,980 --> 00:33:57,400
+اتكلمنا في الموضوع إن شاء الله طبعا لا، بس هذا البيت
+
+505
+00:33:57,400 --> 00:34:00,380
+.. أنا أوضح الصورة هذه إن الأكل لما بيعدّي بيجي
+
+506
+00:34:00,380 --> 00:34:03,180
+مباشرة واحنا .. يعني ربنا خالقه سبحانه وتعالى إن
+
+507
+00:34:03,180 --> 00:34:06,080
+الأكل طبعا جاي احنا بزاوية كده، تمام؟ الأسهل
+
+508
+00:34:06,080 --> 00:34:10,820
+الـ دخول للمريء مش لإيش لقصة بلعومية في حالة الأكل لكن 
+
+509
+00:34:10,820 --> 00:34:14,040
+لو أنا بدي أتعامل مع الـ قصة بلعومية بأرفع الذقن
+
+510
+00:34:14,040 --> 00:34:17,840
+الأعلى عشان أقول إنش أسهل لـ دخول للرئتين طبعا
+
+511
+00:34:17,840 --> 00:34:21,500
+الأسباب اللي هي دخول جسم غريب مع الشهيق زي الطعام
+
+512
+00:34:21,500 --> 00:34:24,500
+والشراب طبعا هي أسباب إغلاق الهواء يعني أنت برؤية
+
+513
+00:34:24,500 --> 00:34:28,640
+جسم غريب الحاجات الثانية مثلا إغلاق مجرد هو
+
+514
+00:34:28,640 --> 00:34:30,700
+باللسان في المريض فاقد الوعي واحنا بقول إنّه بقول
+
+515
+00:34:30,700 --> 00:34:34,080
+بالع اللسان طبعا ما بيبلع اللسان لأن طبعا بيصير
+
+516
+00:34:34,080 --> 00:34:36,920
+عندنا ارتخاء في عضلة اللسان أو قاعدة اللسان
+
+517
+00:34:36,920 --> 00:34:40,760
+وبالتالي احنا لما قلنا المرة الفاتتة أنا الأساس
+
+518
+00:34:40,760 --> 00:34:44,720
+منها إن أرفع الرأس للخلف لكي يكون سهل دخول الهواء
+
+519
+00:34:44,720 --> 00:34:50,560
+لكن لما قلنا في حال اشتباه في كسور العنق فأنا بعمل
+
+520
+00:34:50,560 --> 00:34:55,080
+هي jaw thrust لدفع قاعدة اللسان وبالتالي هنقول
+
+521
+00:34:55,080 --> 00:34:58,420
+ما فيش حد بيبلع لسانه لأن قاعدة اللسان هي اللي
+
+522
+00:34:58,420 --> 00:35:00,020
+بتعمل على إغلاق مجرى الهواء
+
+523
+00:35:03,320 --> 00:35:07,140
+هكذا أنت ما كنتش هكذا لا تتفرجي على الفيديو و
+
+524
+00:35:07,140 --> 00:35:14,420
+تشوفيه وعرضناه ونفذناه يعني تلاتة
+
+525
+00:35:14,420 --> 00:35:17,700
+إغلاق مجرى الهواء بالدم أو القيء أو الماء زي الواحد
+
+526
+00:35:17,700 --> 00:35:23,680
+الغريق كيف هنتعامل معه طبعا هنشوف مضاعفات
+
+527
+00:35:23,680 --> 00:35:28,260
+هنتكلم 
+
+528
+00:35:28,260 --> 00:35:31,140
+عليها حاضر بس خليها معانا في العظام عشان مانشي
+
+529
+00:35:31,140 --> 00:35:39,060
+نشطتما و بالاش تطجي رقبتك و تضال عناحي إذا
+
+530
+00:35:39,060 --> 00:35:42,900
+أول حد .. أو حد ثاني يطجيلك رقبتك يكون مغلول منك
+
+531
+00:35:42,900 --> 00:35:49,240
+طيب السابق هنتكلم و نتجلجيش السبب الرابع هي تورمات
+
+532
+00:35:49,240 --> 00:35:52,700
+أخواتنا وهذا غالب من الحروق كما هتكلمنا هنا
+
+533
+00:35:52,700 --> 00:35:55,420
+الخطورة في الحرق اللي هو انسداد أو ضيق في مجرى 
+
+534
+00:35:55,420 --> 00:36:00,360
+الهواء لأن أي واحد بتنفس مثلا الهواء ساخن كثير أو
+
+535
+00:36:00,360 --> 00:36:03,200
+مثلا صار عنده حروق معناه فيه تضخم ودائما الحروق
+
+536
+00:36:03,200 --> 00:36:07,980
+بصحبها إيش تضخم في الخلايا طيب رقم خمسة الصباط
+
+537
+00:36:07,980 --> 00:36:13,840
+الوجه والفقري كسر أو نزيف أو .. وبالتالي طبعا ..
+
+538
+00:36:13,840 --> 00:36:18,120
+لأنه مدخل للهواء إيش داخل الرئتين الربو الشعبي
+
+539
+00:36:18,120 --> 00:36:21,360
+اللي هي الأزمة الأزمة ونقول يا أخواتنا يعني ليش
+
+540
+00:36:21,360 --> 00:36:24,280
+بعض الناس مثلا مريض الأزمة بتحسوه أو بتلاحظوه إنّه
+
+541
+00:36:24,280 --> 00:36:29,280
+مخنوق ثلاث حاجات أساسية بالنسبة لمرض الأزمة وطبعا ممكن
+
+542
+00:36:29,280 --> 00:36:35,660
+يكون أزمة نتيجة تحسسه لشيء معين مثلا ناحية عصبية
+
+543
+00:36:35,660 --> 00:36:40,000
+الـ .. الـ .. الـ .. البرد طبعا تحسسه لـ .. لـ .. لـ ..
+
+544
+00:36:40,000 --> 00:36:42,880
+لـ .. لـ .. لـ .. لـ .. لـ .. لـ مكونات بسيطة مثلا
+
+545
+00:36:42,880 --> 00:36:47,800
+لرائحة معينة طبعا أسباب كثيرة لكن بيقول أنا بيصير
+
+546
+00:36:47,800 --> 00:36:50,780
+.. ليش بيصير الضيق النفسي هذا؟ ثلاث أشياء أساسية
+
+547
+00:36:50,780 --> 00:36:53,660
+بالنسبة للأزمة وعشان بيقولوا احنا بنعطيه ال
+
+548
+00:36:53,660 --> 00:36:57,160
+ventilation عساس مصي على الشعب الهوائية الناحية
+
+549
+00:36:57,160 --> 00:37:01,620
+الأولى تقلص في عضلات القصبة الهوائية ولما تتقلص
+
+550
+00:37:01,620 --> 00:37:07,240
+بتضيق مجرى الهواء زيادة إفرازات الخلايا الموجودة
+
+551
+00:37:07,240 --> 00:37:10,560
+داخل اللي هي القصبة الهوائية يعني زيادة .. لما يكون
+
+552
+00:37:10,560 --> 00:37:14,140
+حاجة سائلة بزيادة معناه أيضا هتضيق اللي هي القصبة
+
+553
+00:37:14,140 --> 00:37:18,100
+الهوائية تمام؟ إذا الحاجة الأولى ضيق .. ضيق من
+
+554
+00:37:18,100 --> 00:37:22,580
+ناحية السائل أو الإفرازات الخلايا الداخلية طبعا
+
+555
+00:37:22,580 --> 00:37:27,180
+تقلص العضلات تضخم في خلايا اللي هو الجهاز النفسي
+
+556
+00:37:27,180 --> 00:37:31,860
+الداخلي بالتالي صار كلها تجتمع مع بعض أدت لديق
+
+557
+00:37:31,860 --> 00:37:35,080
+فمجرد إنّه ياخد هال Ventolin اللي هي العشرة صنط
+
+558
+00:37:35,080 --> 00:37:38,320
+هادي عن طريق الوريد أو عن طريق البخاخة بيصير اتساع
+
+559
+00:37:39,360 --> 00:37:42,400
+تمام؟ وبالتالي دائما مرضى الأزمة بتلاحظوا معاها
+
+560
+00:37:42,400 --> 00:37:44,960
+البخاخة طبعا هي وال ventilator أساسا هي مش موسّع
+
+561
+00:37:44,960 --> 00:37:48,220
+على الشعب الهوائي وهذا طبعا يعني الشيء اللي بيصير
+
+562
+00:37:48,220 --> 00:37:52,740
+.. بعض الناس إذا اتعصب، إذا اتشم ريحة معينة،
+
+563
+00:37:52,740 --> 00:37:55,540
+بيصيروا معاها المشكلة هذه، لكن لما تقول انبعاث .. ب
+
+564
+00:37:55,540 --> 00:37:58,400
+.. بنفرجها بين التهابات الجهاز التنفسي، لأن
+
+565
+00:37:58,400 --> 00:38:03,640
+التهابات فيها التهاب إما فيروسي أو بكتيري، بختلف،
+
+566
+00:38:03,640 --> 00:38:07,620
+الضغط على الرقبة من الخارج، الشنق أو الخنق يبقى
+
+567
+00:38:07,620 --> 00:38:11,140
+مقصود أو غير مقصود، ممكن يكون مقصود هو نفسه يعني
+
+568
+00:38:11,140 --> 00:38:14,640
+قصده، آه طبعا بدّه يشنج نفسه أو ينتحر، هو طبعا
+
+569
+00:38:14,640 --> 00:38:18,420
+حرام شرعًا يعني، أو واحد بدّه يقتل واحد، بخنقه، آه
+
+570
+00:38:18,420 --> 00:38:22,940
+ممكن يخنقه عن طريق مخدة وخلاص يعني، مش ضروري يعني
+
+571
+00:38:28,500 --> 00:38:31,380
+بتلاقي عظمة كبيرة انحشرت في البلعوم زي ما تـأوي
+
+572
+00:38:31,380 --> 00:38:35,460
+اتكلمنا، أكلتي بسرعة وما .. ما .. ما دغدغتيش الأكل
+
+573
+00:38:35,460 --> 00:38:39,520
+كويس، بدّك تـلـاحـضه لهم، وواقف وين؟ في المريء، في
+
+574
+00:38:39,520 --> 00:38:41,660
+المريء، زي ما يقولون زي اللزمة في الزهر، وهان
+
+575
+00:38:41,660 --> 00:38:47,340
+طبعا بالذنب هشرب ميّه، بالذنب، بالذنب هشرب ميّه، لأ،
+
+576
+00:38:47,340 --> 00:38:50,080
+هريكة بتختلف، الدغري هنتكلم عليها بالتفصيل، اللي
+
+577
+00:38:50,080 --> 00:38:55,690
+هي طبعا للشرج،  أهل حكيناها كمان؟ طيب الأعراض اللي
+
+578
+00:38:55,690 --> 00:38:58,350
+بـتـصير مثلاً زرقة في الأطراف، النتيجة طبعًا ناقصة إن
+
+579
+00:38:58,350 --> 00:39:03,630
+شاء الله طبعًا الأعراض هي يعني نقص الأكسجة أو
+
+580
+00:39:03,630 --> 00:39:06,030
+الإغلاق مع أنها برضه مافيش أكسجين كمان وبالتالي
+
+581
+00:39:06,030 --> 00:39:09,330
+طبعا زرقة في الأطراف، صعوبة في التنفس والكلام،
+
+582
+00:39:09,330 --> 00:39:13,450
+ارتفاع طبعا أحيانًا لما يكون عندي إغلاق كلي وإغلاق
+
+583
+00:39:13,450 --> 00:39:17,690
+جزئي، إغلاق جزئي ممكن يطلع أصوات، لكن كلي مافيش،
+
+584
+00:39:17,690 --> 00:39:22,590
+مسكرة يعني نقول مثلاً الطفل الصغير أخر حبة عنب مسكرة،
+
+585
+00:39:22,590 --> 00:39:26,110
+على أخر بيقولوا مثلاً خد جـشرة مثلاً درة، درة فشار 
+
+586
+00:39:26,110 --> 00:39:29,390
+ولا شيء، اللي ما فيه جزء، لكن حبة العناب هتسكر،
+
+587
+00:39:29,390 --> 00:39:34,090
+هتسكر العناب كلها، ارتفاع صوت التنفس، لأنه بيجاهد 
+
+588
+00:39:34,090 --> 00:39:38,410
+بدّه ياخد نفس، احمرار الوجه وانتفاخه، لأن ده ما بيقولنا
+
+589
+00:39:38,410 --> 00:39:42,990
+يا أهل شق العصبية يمسك المصاب رقبته، وهذا شيء
+
+590
+00:39:42,990 --> 00:39:46,270
+طبيعي واضح، طبعا أي إنسان بيحس بحاجة مخنوق بيمسك
+
+591
+00:39:46,270 --> 00:39:50,270
+هذا شيء لا إرادي، بتـتحرك فتحات .. بتتحرك فتحات
+
+592
+00:39:50,270 --> 00:39:54,690
+الأنف، يعني معناه بزيادة فتحات للأنف عشان ياخذ هواء،
+
+593
+00:39:54,690 --> 00:39:57,650
+هذا شيء طبيعي، ما فيش واحد بزيادة فتحات الأنف عنده
+
+594
+00:39:57,650 --> 00:40:02,170
+وجهة الراحة، إلا لما يتعب، إلا لما يتعب، فهم، سؤال 
+
+595
+00:40:02,170 --> 00:40:04,810
+جاهز مستمر، طب مضلّ يـسـعّوا، يـسـعّوا، يعسسوا إن لو في
+
+596
+00:40:04,810 --> 00:40:08,630
+حاجة غريبة يقولوا إيش يطلعها، نعم، طبعًا دور مصعفان 
+
+597
+00:40:08,630 --> 00:40:11,930
+اللي هو يعني إنه يبحث عن السبب إذا كان في جسم غريب
+
+598
+00:40:11,930 --> 00:40:15,670
+يحاول يطلعه وإذا كان طبعًا يعني في مكان مختنق فيه
+
+599
+00:40:15,670 --> 00:40:19,870
+ينقضّوا من المكان هذا نفسه، إذا كان أحيانًا يكون زي
+
+600
+00:40:19,870 --> 00:40:23,350
+ما قلنا يا إخواننا يعني نضيق نفسنا من ناحية نفسية،
+
+601
+00:40:23,350 --> 00:40:26,390
+طبعا هو بدّه يدور على السبب اللي فيه، طبعا نتمنى أنه
+
+602
+00:40:26,390 --> 00:40:28,790
+من الله أنه يكون السلام عليكم جميعًا، ما أحد يعدي
+
+603
+00:40:28,790 --> 00:40:32,690
+في أزمة لا اختناق لا نفسية ولا جسدية، نكمل إن شاء 
+
+604
+00:40:32,690 --> 00:40:34,750
+الله لقاء القادة، الله يعطيكم ألف عافية يا ربنا
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/sb5JcicdQkU_raw.json b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/sb5JcicdQkU_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..4dc04f506828eec123dbd0a8b446a5d6d9f05e79
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/sb5JcicdQkU_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 2412, "start": 5.06, "end": 24.12, "text": "أعوذ بالله من الشيطان الرجيم بسم الله الرحمن الرحيم والصلاة والسلام على أشرف المرسلين سيدنا محمد وليه وصحابيه والسلام طبعا عن استكمال المواضيع اللي احنا حاكيناها وخصصنا المرة الفاتة بالنسبة لل CBR ووضع طبعا الإفاقة طبعا لات أكيد الفيديوهات موجودة حسب الموقع الموجود على الصفحة جاتنا عرضه ان شاء الله", "tokens": [10721, 3615, 2407, 8848, 20666, 43761, 9154, 25124, 1829, 9566, 7649, 34892, 7435, 32640, 4724, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 16070, 9381, 15040, 3660, 16070, 3794, 37440, 15844, 5551, 8592, 28480, 9673, 2288, 3794, 1211, 9957, 8608, 25708, 8315, 3714, 35571, 3215, 4032, 20292, 3224, 4032, 9381, 5016, 16758, 1829, 3224, 16070, 3794, 37440, 23032, 3555, 3615, 995, 18871, 44713, 24793, 6027, 9673, 2407, 46958, 40228, 13672, 1829, 1975, 5016, 8315, 11331, 995, 4117, 1829, 8315, 11296, 4032, 9778, 9381, 9381, 8315, 9673, 25720, 27188, 9307, 3660, 20666, 1863, 35457, 3660, 24976, 383, 11609, 4032, 2407, 11242, 3615, 23032, 3555, 3615, 995, 33688, 5172, 995, 28671, 23032, 3555, 3615, 995, 5296, 9307, 5551, 4117, 25708, 27188, 1829, 16254, 2407, 3224, 9307, 3714, 29245, 23328, 3660, 11331, 35457, 9673, 30543, 3615, 9673, 29245, 23328, 15844, 31767, 5172, 5016, 3660, 10874, 9307, 8315, 6225, 43042, 3224, 16472, 13412, 16606, 21984], "avg_logprob": -0.1568667705317861, "compression_ratio": 2.0839694656488548, "no_speech_prob": 4.172325134277344e-07, "words": [{"start": 5.06, "end": 5.4, "word": "أعوذ", "probability": 0.6383056640625}, {"start": 5.4, "end": 5.56, "word": " بالله", "probability": 0.9873046875}, {"start": 5.56, "end": 5.66, "word": " من", "probability": 0.958984375}, {"start": 5.66, "end": 5.92, "word": " الشيطان", "probability": 0.8785400390625}, {"start": 5.92, "end": 6.2, "word": " الرجيم", "probability": 0.9280598958333334}, {"start": 6.2, "end": 6.44, "word": " بسم", "probability": 0.751953125}, {"start": 6.44, "end": 6.6, "word": " الله", 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\ No newline at end of file
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/sb5JcicdQkU_raw.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/sb5JcicdQkU_raw.srt
new file mode 100644
index 0000000000000000000000000000000000000000..01c1a203acbce9dbd530d5b9f2f5f1481f1330bb
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/sb5JcicdQkU_raw.srt
@@ -0,0 +1,2416 @@
+1
+00:00:05,060 --> 00:00:06,920
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:06,920 --> 00:00:09,060
+الرحيم والصلاة والسلام على أشرف المرسلين سيدنا
+
+3
+00:00:09,060 --> 00:00:12,540
+محمد وليه وصحابيه والسلام طبعا عن استكمال المواضيع
+
+4
+00:00:12,540 --> 00:00:15,880
+اللي احنا حاكيناها وخصصنا المرة الفاتة بالنسبة لل
+
+5
+00:00:15,880 --> 00:00:20,520
+CBR ووضع طبعا الإفاقة طبعا لات أكيد الفيديوهات
+
+6
+00:00:20,520 --> 00:00:23,760
+موجودة حسب الموقع الموجود على الصفحة جاتنا عرضه ان
+
+7
+00:00:23,760 --> 00:00:27,440
+شاء اللهطبعا الحب يستزيد، ممكن طبعا في مصادر
+
+8
+00:00:27,440 --> 00:00:30,680
+خارجية تانية، لكن بيقول احنا أيا كان احنا يعني
+
+9
+00:00:30,680 --> 00:00:35,280
+كمقرر أو كمساقب نحب نوصل المعلومة البسيطة اللي
+
+10
+00:00:35,280 --> 00:00:39,320
+احنا من خلالها نقدر نمشي في حياتنا، احنا يعني بعد
+
+11
+00:00:39,320 --> 00:00:43,140
+ما احترمنا الكوروكومش هتطلع أخصائيين اسعاف أولىلكن
+
+12
+00:00:43,140 --> 00:00:45,880
+بالإمكان أحنا مبادئ أساسية كيف أنا أسعى في نفسي؟
+
+13
+00:00:45,880 --> 00:00:48,900
+كيف لو صار عندى اختناق؟ كيف لو صار مثلا واحد قلبه
+
+14
+00:00:48,900 --> 00:00:52,100
+توقف؟ كيف لو صار مثلا بدأ أقل حاجة أسلك مسلك
+
+15
+00:00:52,100 --> 00:00:55,240
+الهواء؟ إيش الأولويات اللي أنا أبدأ فيها؟ لا يُعقل
+
+16
+00:00:55,240 --> 00:00:58,000
+أن يكون مثلا في عندي مكان وفيه خطورة أنا أصيب ضحية
+
+17
+00:00:58,000 --> 00:01:00,860
+تانية؟ وبالتالي طبعا يعني الأشياء الأساسية احنا
+
+18
+00:01:01,630 --> 00:01:05,390
+بدنا ندرسها مع بعض لكن طبعا اللي حابب يستزيد ممكن
+
+19
+00:01:05,390 --> 00:01:07,910
+يصلى درجة الدكتوراه طبعا في الإسعافات الأولية طبعا
+
+20
+00:01:07,910 --> 00:01:11,410
+زيها .. زي أي مادة تانية لأنها طبعا بتدرس حاجات
+
+21
+00:01:11,410 --> 00:01:15,370
+دقيقة جدا وقلنا يا أخواتنا كمان أنه الوجد مهم جدا
+
+22
+00:01:15,370 --> 00:01:20,080
+في الإسعاف الأوليدقائق ثواني مهمة جدا و اخطر حاجة
+
+23
+00:01:20,080 --> 00:01:22,940
+اتكلمنا عليها انه اخطر شيء انه ممكن يتأثر طبعا هو
+
+24
+00:01:22,940 --> 00:01:26,220
+الجهاز العصبر فاليوم هناخد طبعا حاجة بسيطة من بعض
+
+25
+00:01:26,220 --> 00:01:29,380
+الأجهزة اللي هي طبعا الجهاز التنفسي او صباط الجهاز
+
+26
+00:01:29,380 --> 00:01:32,700
+التنفسي طبعا الاهداف العامة يعني مكونات الجهاز
+
+27
+00:01:32,700 --> 00:01:35,880
+التنفسي اول حاجة احنا كلنا بنعرف واخدنا في الانتمة
+
+28
+00:01:35,880 --> 00:01:39,990
+او في التشريحفي مادة العلوم أو حتى في الابتدائي من
+
+29
+00:01:39,990 --> 00:01:43,050
+أيش بتكون الجهاز التنفسي؟ طبعا في عندنا جهاز تنفسه
+
+30
+00:01:43,050 --> 00:01:46,270
+علوي وجهاز تنفسي سفلي وبالتالي احنا اليوم حتى لما
+
+31
+00:01:46,270 --> 00:01:48,630
+بنلاحظ انه بيقولك والله التهابات الجهاز التنفسي
+
+32
+00:01:48,630 --> 00:01:52,010
+العلوي حتى لما صيرنا التهابات وخاصة في فصل الشتاء
+
+33
+00:01:52,010 --> 00:01:55,450
+او التهابات الجهاز التنفسي السفلي فطبعا غالبا بصير
+
+34
+00:01:55,450 --> 00:01:58,810
+التهابات الجهاز التنفسي علوي وممكن تنتقل الى
+
+35
+00:01:58,810 --> 00:02:01,670
+الجهاز السفلي لو قلنا طبعا الجهاز التنفسي العلوي
+
+36
+00:02:01,670 --> 00:02:07,280
+يتكون من؟الـ F البلعوم .. البلعوم .. طبعا البلعوم
+
+37
+00:02:07,280 --> 00:02:10,620
+هو مشترك زي ما قلنا أحنا و ممر مشترك و تحويله
+
+38
+00:02:10,620 --> 00:02:14,380
+مشتركة طبعا لل .. ال .. ال .. ال .. الهواء و
+
+39
+00:02:14,380 --> 00:02:17,500
+للطعام و الشرب و بالتالي طبعا هذا .. و ربنا
+
+40
+00:02:17,500 --> 00:02:20,720
+يمنكرمه علينا أنه صح الأنف جزء من الجهاز التنفسي و
+
+41
+00:02:20,720 --> 00:02:23,460
+مدخل الجهاز التنفسي لكن ربما بعض الناس يصاب
+
+42
+00:02:23,460 --> 00:02:26,560
+بالذكام أو صي عنده مشكلة فطبعا في مدخل تاني
+
+43
+00:02:26,560 --> 00:02:30,920
+فالطعام .. فالما .. طبعا الفم يصلح للطعام و الشرب
+
+44
+00:02:30,920 --> 00:02:35,670
+و التنفس اهلما احنا نقول ورا مثلا إنسان طبعا لو
+
+45
+00:02:35,670 --> 00:02:38,570
+كان عنده مثلا نزيف الأنف أوشي، طبعا ساكر الأنف
+
+46
+00:02:38,570 --> 00:02:41,650
+عنده، طبعا فيه مشقش، فيه مدخل تاني للهوا، و
+
+47
+00:02:41,650 --> 00:02:44,330
+بالتالي طبعا هنا اللي هي جزئية الجهاز التنفس
+
+48
+00:02:44,330 --> 00:02:48,170
+العلوي، أنف، ممكن بعض بضيف إليها الفم، و بالتالي
+
+49
+00:02:48,170 --> 00:02:52,010
+طبعا بيجي عنا البلعوم، ويه؟الحنجرة لأن طبعا هذا
+
+50
+00:02:52,010 --> 00:02:55,310
+الخارجي يعني اللي احنا بنشوفه طبعا والقصبة
+
+51
+00:02:55,310 --> 00:02:58,670
+الهوائية موجودة طبعا لكن لما اتكلم على الحاجات
+
+52
+00:02:58,670 --> 00:03:01,430
+الداخلية طب مالجهة السنافوس السفلي طبعا القصبة
+
+53
+00:03:01,430 --> 00:03:07,270
+الهوائية تتشعب الى شعب الهوائية طبعا و الشعيبات و
+
+54
+00:03:07,270 --> 00:03:10,170
+في النهاية تصل .. نصل الى حاجة بيسموها ليها الحووي
+
+55
+00:03:10,170 --> 00:03:13,070
+صلاة الهوائية او كلغة عربية في الصحاب بيسموها
+
+56
+00:03:13,070 --> 00:03:17,310
+أسناخ بس لو عدت علي الكلمة طبعا القصبة الهوائية
+
+57
+00:03:17,310 --> 00:03:21,140
+برضه لها مصطلح تاني بيسموها الرغاميأه طبعا بعضنا
+
+58
+00:03:21,140 --> 00:03:24,340
+لكن احنا بتدول عنا عساس ان القصب الهوائية و طبعا
+
+59
+00:03:24,340 --> 00:03:27,800
+هو الارئتين و ماتحتويه من شعب و شعبية هوية و
+
+60
+00:03:27,800 --> 00:03:31,160
+بالتالي تنتهي في اللي هي الهوائية الصناعة الهوائية
+
+61
+00:03:31,160 --> 00:03:36,380
+طبعا هي يعني القصب الهوائية وظيفتهاتبادل الغازات
+
+62
+00:03:36,380 --> 00:03:40,280
+بداخلها، طبعا؟ طيب، القالية اللي بتصير، يعني إحنا
+
+63
+00:03:40,280 --> 00:03:42,760
+بنعرف إنه في عندنا يعني حاجات بيسموها
+
+64
+00:03:42,760 --> 00:03:46,360
+infiltration، طبعا بالانتشار و حاجات طبعا بضغط
+
+65
+00:03:46,360 --> 00:03:48,880
+أسموزي، لكن بنسبة ل .. طبعا ضغط أسموزي بالنسبة
+
+66
+00:03:48,880 --> 00:03:52,880
+للغازات، للسواي الأسيب، أما بالنسبة للغازات طبعا
+
+67
+00:03:52,880 --> 00:03:56,080
+infiltration أو بالإيش، بالانتشار، بمعنى وين في
+
+68
+00:03:56,080 --> 00:03:59,660
+ضغط أكتر تركيز ينتقل للأقل تركيز، عندنا مثلا
+
+69
+00:03:59,660 --> 00:04:02,960
+الهواء اللي إحنا بنتنفسه، بكون أكتر تركيز
+
+70
+00:04:02,960 --> 00:04:07,090
+بالإكسجين منالهواء اللي هيخرج .. الهواء اللي هيخرج
+
+71
+00:04:07,090 --> 00:04:09,970
+هيكون في ثانو أكسيد الكربون أكتر تركيز من الهواء
+
+72
+00:04:09,970 --> 00:04:12,930
+اللي .. طيب واحد دي أتساءل ما هو هيطلع عندنا 16%؟
+
+73
+00:04:12,930 --> 00:04:17,690
+ماشي مين ال 16 أكتر؟ ال 21% ولا ال 16%؟ طبعا ال 16
+
+74
+00:04:17,690 --> 00:04:20,850
+اللي هي ما .. ماعياش .. ماعياش الشهيقوبالتالي
+
+75
+00:04:20,850 --> 00:04:23,170
+بيصير تبادل الغازيات اللي هي داخل الحوائي صلة
+
+76
+00:04:23,170 --> 00:04:25,610
+الهوائية وطبعا هنا مابناش نرجع مرة تاني لما قولنا
+
+77
+00:04:25,610 --> 00:04:28,030
+الدورة الدموية الصغره والكبره طبعا هنا جزء من
+
+78
+00:04:28,030 --> 00:04:31,130
+الدورة الدموية الصغره اللي من خلالها بيجي الدم
+
+79
+00:04:31,130 --> 00:04:35,030
+المحمل بثاني أكسيد الكربون من الناحية اليمنى للقلب
+
+80
+00:04:35,030 --> 00:04:41,070
+للرئتين عشان يتحمل بالأكسوجين ويطرد ثاني أكسيد
+
+81
+00:04:41,070 --> 00:04:44,430
+الكربون ويعود مرة تانية عبر الأوردراوية الأربعة
+
+82
+00:04:44,430 --> 00:04:48,250
+للناحية اليسره فطبعا هذا اللي هو جزء من الجهاز
+
+83
+00:04:48,250 --> 00:04:50,150
+التنفسي اللي هو السفلي
+
+84
+00:04:53,240 --> 00:04:58,420
+لأ السفلي لإنه بيصير التبادل وين في السفلي طيب
+
+85
+00:04:58,420 --> 00:05:01,360
+التنفس الطبيعي و التنفس الصناعي شه ممكن احنا نقصد
+
+86
+00:05:01,360 --> 00:05:09,110
+فيهم نيجي التنفس الطبيعي طبعا شهيق و زفيرولا في حد
+
+87
+00:05:09,110 --> 00:05:13,490
+عنده عملية تانية؟ بس عمليتين شهيق و زفير و لازم
+
+88
+00:05:13,490 --> 00:05:18,290
+يكون فيه راحة ما بين التنتين لو انت جرب مثلا حاجة
+
+89
+00:05:18,290 --> 00:05:24,510
+بسيطة جدا حاول تلهت بسرعة تمام؟ او دل انفخي عشان
+
+90
+00:05:24,510 --> 00:05:31,840
+تطلع الزفير بزيادة ايش بنشعر؟بندوخ نشهر بندوخ ليش؟
+
+91
+00:05:31,840 --> 00:05:34,900
+لأنه نقص معدل ال oxygen انت جاي تجيب مركزك دلوقتي
+
+92
+00:05:34,900 --> 00:05:36,140
+انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ
+
+93
+00:05:36,140 --> 00:05:36,400
+انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ
+
+94
+00:05:36,400 --> 00:05:36,440
+انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ
+
+95
+00:05:36,440 --> 00:05:36,600
+انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ
+
+96
+00:05:36,600 --> 00:05:37,200
+انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ
+
+97
+00:05:37,200 --> 00:05:37,280
+انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ انفخ
+
+98
+00:05:37,280 --> 00:05:41,840
+انف
+
+99
+00:05:42,070 --> 00:05:45,210
+وبالتالي الإنسان إيش بيحس إنه ضايق طيب لما الإنسان
+
+100
+00:05:45,210 --> 00:05:50,170
+بيكون تعبان وبيلهت بيقدر يتكلم؟ لأ لإنه بده مصدر
+
+101
+00:05:50,170 --> 00:05:52,690
+للطاقة للوكسوجين عشان يشغل الدماغ و الدماغ طبعا
+
+102
+00:05:52,690 --> 00:05:55,110
+ليه يشغل إيش؟ بالصورة الطبيعية وبالتالي طبعا عملية
+
+103
+00:05:55,110 --> 00:05:58,930
+الشهيق والزفير هي عملية طبيعية وهذه النقطة اللي
+
+104
+00:05:58,930 --> 00:06:02,910
+حكينا فيها قولنا حتى في التنفس الصناعي أنت بتحت
+
+105
+00:06:02,910 --> 00:06:06,810
+شهيق وبتنتظر لغاية المريض ما يطلع الزفير ما بنفع
+
+106
+00:06:06,810 --> 00:06:12,620
+دلك .. دلك تنفخ ورا بعض أنت هتتعب وهو مش هيبقى
+
+107
+00:06:12,620 --> 00:06:15,800
+بالتالي لازم يكون فيه فترة راحة ما بين الشايق
+
+108
+00:06:15,800 --> 00:06:19,100
+والزفير فترة الراحة هذه طبعا بيصير خلالها تبادل
+
+109
+00:06:19,100 --> 00:06:22,300
+الغازات وبالتالي يعني بيقول احنا لما الإنسان في
+
+110
+00:06:22,300 --> 00:06:25,820
+وضع طبيعي معدلوا التنفس العادي بيقولنا يختلف من
+
+111
+00:06:25,820 --> 00:06:30,700
+الأطفال للكبار كل ما زال حجم الرئة كل ما جال عدد
+
+112
+00:06:30,700 --> 00:06:35,700
+مرات التنفس الطفل عدد مرات التنفس عنده أقل منها
+
+113
+00:06:35,700 --> 00:06:41,520
+للبالغ بسبب صغر حجم الرئتينطيب التنافس الاصطناعي
+
+114
+00:06:41,520 --> 00:06:45,280
+اللي هو إدخال و ليس دخول لأن دخول هواء بصورة
+
+115
+00:06:45,280 --> 00:06:50,740
+طبيعية لكن إدخال شيء اصطناعي هواء محمل بال Oxygen
+
+116
+00:06:50,740 --> 00:06:56,880
+إلى رئتي شخص بحاجة لهما و قد يكون من إنسان أو من
+
+117
+00:06:56,880 --> 00:07:01,260
+جهازمن إنسان أو جهاز اللي انت بتقولك والله على
+
+118
+00:07:01,260 --> 00:07:03,940
+مكينة التنفس على مكينة ال اكسوجين على مكينة طبعا
+
+119
+00:07:03,940 --> 00:07:06,980
+جهاز تنفس إصطناعي على ال ventilator وبالتالي قد
+
+120
+00:07:06,980 --> 00:07:11,580
+يكون من إنسان مثلا أي سعافي أولي أو جهاز تنفس
+
+121
+00:07:11,580 --> 00:07:14,680
+إصطناعي وفي كتير من الناس عايش فقط على التنفس
+
+122
+00:07:14,680 --> 00:07:19,280
+الإصطناعيطبعا .. طبعا .. لأ غير مريض الأزمة، لأ ما
+
+123
+00:07:19,280 --> 00:07:22,820
+بقصد مريض الأزمة، مثلا اللي دخل في غيبوبة، مثلا
+
+124
+00:07:22,820 --> 00:07:26,000
+حتى مريض الكورونا، لأن طبعا .. إيش؟ بقولها .. لأن
+
+125
+00:07:26,000 --> 00:07:27,840
+في الجهة .. في العناية، في العناية معناها بدو إيش؟
+
+126
+00:07:27,840 --> 00:07:31,460
+أكسوجين، لأن معناها نسبة أكسوجين قليلة جدا، أقل من
+
+127
+00:07:31,460 --> 00:07:34,200
+المعدل الطبيعي، ما بتكفي إحتياجاته، وطالما أنها ما
+
+128
+00:07:34,200 --> 00:07:38,160
+بتكفي إحتياجاته، معناها مش هتأثر سلبيا على الدماغ
+
+129
+00:07:38,730 --> 00:07:41,110
+أما بيقول .. ما بيقول مريض الأزمة، لأ مريض الأزمة
+
+130
+00:07:41,110 --> 00:07:44,530
+معناه طبعا بيكون فيه ضيق عنده في الهواصلة الهوائية
+
+131
+00:07:44,530 --> 00:07:47,090
+أو طبعا في الشعب اللهوية، بالتالة لما بياخد علاجات
+
+132
+00:07:47,090 --> 00:07:50,470
+بصير توسيع لها، طبعا؟ ما بيحتاجي طبعا اللي هو
+
+133
+00:07:50,470 --> 00:07:53,250
+الجهاز، لكن بنتكلم عن إنسان، مركز مثلا عنده
+
+134
+00:07:53,250 --> 00:07:56,970
+أصابات، هنتكلم عليها في المركز نفسه اللي بتحكم في
+
+135
+00:07:56,970 --> 00:08:01,120
+عملية أيش؟ التنفس، اللي هي الشهيق والزافيريبقى هنا
+
+136
+00:08:01,120 --> 00:08:04,740
+التنفس الصناعي عملت إدخال هواء محمل بالأكسجين
+
+137
+00:08:04,740 --> 00:08:10,060
+لرعتيق شخص بيحتاجه طبعا هنا إصابات الجهاز التنفسي
+
+138
+00:08:10,060 --> 00:08:14,240
+طبعا هنا هناخدهم بالتفصيل واحدة واحدة ان شاء الله
+
+139
+00:08:17,860 --> 00:08:22,020
+طبعا عندنا فيه ستة هناخد تلاتة اليوم هنكمل اللقاء
+
+140
+00:08:22,020 --> 00:08:24,480
+القادم ان شاء الله مع في عندنا تدريب عاملي احنا
+
+141
+00:08:24,480 --> 00:08:27,620
+برضه نفذناه في الجامعة هنا عشان نشوف و طبعا مهم
+
+142
+00:08:27,620 --> 00:08:32,000
+جدا ان هي عملت الاختناق كيف ان انا اسعف انسان اذا
+
+143
+00:08:32,000 --> 00:08:34,480
+كان معايا حد او اذا انا كنت لوحدي
+
+144
+00:08:40,610 --> 00:08:43,390
+إجبارها نبدأ بإصابات الجهاز التنفسي، زي ما نقول
+
+145
+00:08:43,390 --> 00:08:46,070
+مثلا إصابات الجهاز الهضمي، إصابات الجهاز العصبي،
+
+146
+00:08:46,070 --> 00:08:50,190
+إصابات الجهاز الهيكلي العظمي، إجبارها أي إصابة أو
+
+147
+00:08:50,190 --> 00:08:53,270
+مرض يؤدي إلى خلل في عملية التنفس الطبيعي أو
+
+148
+00:08:53,270 --> 00:08:56,750
+توقفها، فتصبح كمية الأكسجين الداخل لجسم غير كافي
+
+149
+00:08:56,750 --> 00:09:01,670
+لاستمرار الحياةأي إصابة، إنسان مثلا أخد طعن سكين،
+
+150
+00:09:01,670 --> 00:09:05,350
+إنسان مثلا وجه على صدره حجر، إنسان مثلا صار عنده
+
+151
+00:09:05,350 --> 00:09:09,210
+مشكلة في منطقة .. إنسان صار عنده مثلا حروق، فأكتر
+
+152
+00:09:09,210 --> 00:09:11,550
+حاجة أحنا دايما عشان نتذكر لما نتكلم عن الحروق،
+
+153
+00:09:11,550 --> 00:09:13,550
+أكتر حاجة أحنا بنخاف منها من الاختناق لإنه بيصير
+
+154
+00:09:13,550 --> 00:09:16,550
+تضخم في مدخل .. في الأنف وفي الفم وبالتالي بيكون
+
+155
+00:09:16,550 --> 00:09:20,750
+في عنا صعوبة وهنا طبعا مشكلة تانية من مخاطر الحروق
+
+156
+00:09:20,750 --> 00:09:23,910
+لإنه .. عشان هيك بنقول احنا لما نتكلم عن م .. م ..
+
+157
+00:09:23,910 --> 00:09:29,360
+فصل الحروق، هنقول أخطر حاجلو نبطل إيش يقدر ياخد هو
+
+158
+00:09:29,360 --> 00:09:34,100
+شهيق أو زفيف وهذا بالنسبة كتاريب بالنسبة ل .. طيب
+
+159
+00:09:34,100 --> 00:09:36,840
+مكونات الجهاز التنفسي يعني طبعا صورة بسيطة زي ما
+
+160
+00:09:36,840 --> 00:09:40,000
+حكينا فيها هذه طبعا صورة بتوضح لنا الجهاز العلوي
+
+161
+00:09:40,000 --> 00:09:45,240
+والجهاز طبعا السفلي اللي حكيناها قبل شوية وهنا
+
+162
+00:09:45,240 --> 00:09:46,100
+طبعا اللي هي
+
+163
+00:09:49,710 --> 00:09:56,050
+أنا طبعا هذه صورة بسيطة جدا، طبعا هنا الرقاتين هي
+
+164
+00:09:56,050 --> 00:10:00,190
+أسفنجية يعني معناها تنتفخ، تنكمش، في اللي هو طبعا
+
+165
+00:10:00,190 --> 00:10:05,770
+أسفل الرقاتين في عنا الحجاب، الحاجز هو طبعا برضه
+
+166
+00:10:05,770 --> 00:10:09,030
+جهاز عضلي لإن هو جيتها تتكلم على إيش طبيعته وإيش
+
+167
+00:10:09,030 --> 00:10:14,150
+أثرهطبعا كيف هنا يعني نتعرف على قليل التنفس اللي
+
+168
+00:10:14,150 --> 00:10:16,910
+جاتنا نذكرها ان شاء الله لكن هذه طبعا صورة موضحة
+
+169
+00:10:16,910 --> 00:10:19,950
+بسيطة جدا بالنسبة للجهاز العلوي التنفس العلوي
+
+170
+00:10:19,950 --> 00:10:23,970
+والجاسوب طبعا الحنجرة تسمى هي طبعا صندوق الصوت
+
+171
+00:10:25,080 --> 00:10:29,060
+صندوق الصوت وبالتالي يعني في فرق ما بين صوت السيدة
+
+172
+00:10:29,060 --> 00:10:32,520
+وصوت الراجل طبعا كل ما كان فيه بوروز أكتر فيه خشون
+
+173
+00:10:32,520 --> 00:10:36,200
+أكتر طبعا انا لما اقول احنا مثلا إنساني صلى مرحلة
+
+174
+00:10:36,200 --> 00:10:39,120
+ال blue صوت الراجل طبعا يكون أخشا فيه خشون أكتر
+
+175
+00:10:39,120 --> 00:10:43,120
+لكن من فضل الله إن صوت المرأة ما بيصلى صوت الراجل
+
+176
+00:10:43,120 --> 00:10:46,240
+وهذه نعمة كبيرة .. نعمة كبيرة من ربنا إنه ما بيصلى
+
+177
+00:10:46,240 --> 00:10:52,060
+و لا كان المشكلة دي طبعا الحنجرة هذه طبعا بيغطيها
+
+178
+00:10:52,060 --> 00:10:55,570
+اللي هو ليسان المزمارتمام؟ فبالتالي احنا لما
+
+179
+00:10:55,570 --> 00:10:59,050
+بنتكلم لسان المزمار فاتح، لكن لما بنأكل و بنشرب
+
+180
+00:10:59,050 --> 00:11:02,330
+طبعا بيصير فيه إغلاق، هذا طبعا شيء طبيعي عشان نقول
+
+181
+00:11:02,330 --> 00:11:08,310
+احنا لما الإنسان يده ياكل مايدحقش كتيريبتسم أفضله
+
+182
+00:11:08,310 --> 00:11:11,590
+لأنه مضحك كتير ممكن ياخد شهجة و الشهجة هي تدخل
+
+183
+00:11:11,590 --> 00:11:15,330
+إيش؟ تأدي لاختناق أو طبعا دخول جسم غريب داخله،
+
+184
+00:11:15,330 --> 00:11:17,010
+الرابعين الهار احنا هنتكلم عنه بالتفصيل أكتر و
+
+185
+00:11:17,010 --> 00:11:19,970
+أكتر، و بالتالي هان يا أخواتنا صندوق الصوت أو
+
+186
+00:11:19,970 --> 00:11:23,330
+بيسموه طبعا .. أو طبعا هي الحنجرة، و هي طبعا البرز
+
+187
+00:11:23,330 --> 00:11:27,620
+هنا، و لما تكون برزة أكتر، اللي بيسموهاتفاحة آدم
+
+188
+00:11:27,620 --> 00:11:31,880
+مافيش تفاحة حوة لأ طبعا ما هي آدم طبعا ما هي غالبا
+
+189
+00:11:31,880 --> 00:11:35,020
+أساس بتقدي لخشونة الصوت كل ما كانت بارزة أكتر
+
+190
+00:11:35,020 --> 00:11:38,260
+بيكون فيه خشونة أكتر في الصوت طبعا الجهاز التنفسي
+
+191
+00:11:38,260 --> 00:11:41,440
+السفلي طبعا هو داخل الصدر و زي ما قلنا الرئتين و
+
+192
+00:11:41,440 --> 00:11:44,960
+داخلهم اللي هو الشعب و دايما اللي .. اللي .. لما
+
+193
+00:11:44,960 --> 00:11:47,820
+اتكلمنا المرة الفاتة على التنفس الصناعي بقولنا لو
+
+194
+00:11:47,820 --> 00:11:50,740
+كان مثلا جسم غريب و احنا مش قادرين نطلعه ممكن ندفع
+
+195
+00:11:50,740 --> 00:11:54,320
+بالجسم الغريب للداخل و غالبا طبعا هو بيميل للناحية
+
+196
+00:11:54,320 --> 00:11:58,990
+اليمنىلو طبعا ميل أسهل طبعا في الناحية التشريحية
+
+197
+00:11:58,990 --> 00:12:02,290
+الميل للناحية اليمنى في الرقى اليمنى أسهل منه
+
+198
+00:12:02,290 --> 00:12:05,910
+للناحية أياش اليسرى وبالتالي غالبا لو كان اندفاع
+
+199
+00:12:05,910 --> 00:12:09,950
+جسم غريب بقوة من الخارج هيكون طبعا للناحية اليمنى
+
+200
+00:12:09,950 --> 00:12:14,310
+والهدف منه اللي هي فتح مسلك الهواء يعني المرفقة
+
+201
+00:12:14,310 --> 00:12:17,810
+أخت بتسأل بتقول احنا لو احنا حاولنا ندفع ممكن ندفع
+
+202
+00:12:17,810 --> 00:12:21,760
+الجسم الغريب لداخلطبعا أقل الدررين إن أدفع الجسم
+
+203
+00:12:21,760 --> 00:12:26,120
+الغريب بس مجرد إن أخليش مسلك الهواء يكون فاتح و
+
+204
+00:12:26,120 --> 00:12:28,340
+بعدين طبعا بكون مستشفى، أنا هام إليها أنا أقول طب
+
+205
+00:12:28,340 --> 00:12:31,140
+يصير تهب، تهب، ما يلتهاب؟ لأ، ما بخاف من الحاجة
+
+206
+00:12:31,140 --> 00:12:33,880
+هذه، أنا بخاف من التلت دقيقة أو الأربعة أو الأخمس
+
+207
+00:12:33,880 --> 00:12:36,780
+زيي اللي تخنج الشخص و تموته، لكن لو دخل جسم غريب
+
+208
+00:12:36,780 --> 00:12:40,750
+للرئتينتعمل ممكن يلاقي أحيان في أحيان بعض الأطفال
+
+209
+00:12:40,750 --> 00:12:45,250
+بلع بذرة ولا حاجة و زرعت جوا و حصل و تنشال يعني
+
+210
+00:12:45,250 --> 00:12:48,250
+هذا مش خطورة لما يقول والله دخلنا الجسم الغريب
+
+211
+00:12:48,250 --> 00:12:55,570
+للداخل عشان ننقض إيش حياة الشخص طبعا
+
+212
+00:12:55,570 --> 00:12:58,430
+أخر حاجة نقول احنا تنتهي الشعيبات الهوائية
+
+213
+00:12:58,430 --> 00:13:00,270
+بالهوائي الصلاة اللي نجلناش الأسنان
+
+214
+00:13:04,790 --> 00:13:07,690
+نيجي يا أخواتنا هنا للتنفس الطبيعي والتنفس
+
+215
+00:13:07,690 --> 00:13:13,250
+الاصطناعي، نسأل سؤال بسيط جدا، أيه ما فيها مجهود؟
+
+216
+00:13:13,250 --> 00:13:15,870
+الشهيق أم الزفير؟
+
+217
+00:13:19,720 --> 00:13:29,720
+فيها مجهود لغة بتقول التنتين الشهيق ولا الزفير؟
+
+218
+00:13:29,720 --> 00:13:41,400
+لغة
+
+219
+00:13:41,400 --> 00:13:46,120
+بتقول الزفير لإن بتطلع التنهيدة و التنهيدة فيها
+
+220
+00:13:46,120 --> 00:13:51,490
+راحة يعني مافيش فيها مجهودبالتالي طبعا هو الشهيق
+
+221
+00:13:51,490 --> 00:13:55,490
+هو في المجهود بيقولك يعني .. بيقولك بيجاهد عشان
+
+222
+00:13:55,490 --> 00:14:01,130
+ياخد نفس مش عشان يطلع نفس بيجاهد .. بيجاهد عشان
+
+223
+00:14:01,130 --> 00:14:06,890
+ياخد نفس بيجاهد عشان ياخد نفس لكن لما يطلع الهواء
+
+224
+00:14:06,890 --> 00:14:10,150
+سهل وبالتالي هنا كيف بتصير الأقالي؟ يعني هنا طبعا
+
+225
+00:14:10,150 --> 00:14:13,090
+بالنسبة للشهيق والزفير طبعا إخواتنا عشان نقول احنا
+
+226
+00:14:13,090 --> 00:14:17,510
+العملية ببساطة جدا طبعا فيها مجهود اللي هي عملية
+
+227
+00:14:17,510 --> 00:14:26,770
+الشهيقاحنا متعودين وماكتشف نشعر فيها .. طبعا احنا
+
+228
+00:14:26,770 --> 00:14:30,090
+بنفرح لما الطفل يعيط يعني .. يعني عشان .. عشان
+
+229
+00:14:30,090 --> 00:14:34,690
+نطمن على الإنسان بيجي بعيط ع الدنيا تمام؟ و هذا
+
+230
+00:14:34,690 --> 00:14:40,610
+بطمن الأهل أنه بعيط لكن لو أجي ساكت في مشكلة مسددة
+
+231
+00:14:40,610 --> 00:14:43,450
+بنخليه يعيط غصب عنه و هو جاي للدنيا ما شاء الله
+
+232
+00:14:43,450 --> 00:14:48,250
+عشان يعيش يسعى فيها فاللي بنقولها يا أخواتناإن في
+
+233
+00:14:48,250 --> 00:14:52,370
+عملية الشهيق فيها مجهود عشان نبسطها بصورة بسيطة
+
+234
+00:14:52,370 --> 00:14:56,810
+جدا هلجيت احنا قولنا وقتاشي ممكن نشعر الأخت قالت
+
+235
+00:14:56,810 --> 00:14:59,710
+مابشعرش فيها صح إن كنا بنتنفس وطبعا مجانا اللي هو
+
+236
+00:14:59,710 --> 00:15:03,730
+مجانا لكن وقتاشي احنا ممكن نشعر فيها لو أي إنسان
+
+237
+00:15:03,730 --> 00:15:07,510
+لأ مش اللي انهيت لأ برضه بنتنفس لو ولا بتعب برضه
+
+238
+00:15:07,510 --> 00:15:12,970
+بنتنفس لأ لما يصير عند إنسان أي تقلص عضلي في منطقة
+
+239
+00:15:12,970 --> 00:15:16,710
+الصدر بقولك والله بتنفس من .. أنت بتنفس من ناحية
+
+240
+00:15:16,710 --> 00:15:22,510
+هذه؟ما تتنفس من ناحية هذه كمان فلما يصير تقلص عضلي
+
+241
+00:15:22,510 --> 00:15:27,350
+بصير .. بشعر أنه بتنفس ما هي لفحة الهواء .. انا
+
+242
+00:15:27,350 --> 00:15:30,650
+بتكلم بساطة هي تقلص عضلي .. لفحة الهواء .. تمام؟
+
+243
+00:15:30,650 --> 00:15:33,230
+بقولك والله حاسب اتنفس من ناحية .. من خسرتي .. من
+
+244
+00:15:33,230 --> 00:15:36,450
+ناحية هذه طب ليش انت ماكنتش تتنفس يعني من أول؟
+
+245
+00:15:36,450 --> 00:15:41,070
+ومازلتش تتنفس كتير من ناحية التانية؟ وبالتالي انا
+
+246
+00:15:41,070 --> 00:15:44,370
+.. عشان انا اصلا مرحلة واحدة .. قمت واحدة أن اللي
+
+247
+00:15:44,370 --> 00:15:50,170
+بيساعد عملية الشهيق هي عضلاتمن ناحية أفقية و من
+
+248
+00:15:50,170 --> 00:15:55,850
+ناحية رأسية الناحية الأفقية لما تنقبض عضلات القفص
+
+249
+00:15:55,850 --> 00:15:59,730
+الصدري وبالتالي لما احنا بنقول ماخد لفحتة أو تقلص
+
+250
+00:15:59,730 --> 00:16:03,410
+عضلي معناه ان انا قاعد بضغط على العضلة و بأبذل و
+
+251
+00:16:03,410 --> 00:16:06,370
+بخلها تبذل مجهود اكتر باشعر ان انا بتنفس من
+
+252
+00:16:06,370 --> 00:16:10,150
+الناحية هذه او من ناحية اليسار لكن في وضع طبيعي ما
+
+253
+00:16:10,150 --> 00:16:14,650
+بنشعر للأمور طبيعية فالانسان مابشعرش قيمة العضو
+
+254
+00:16:14,650 --> 00:16:18,930
+لنفسه او لجسده الا اذا اصيبيعني واحد .. هي .. كلنا
+
+255
+00:16:18,930 --> 00:16:21,630
+تمام تمام .. طب بيصيبوا شوية صداع .. بيقولوا لك
+
+256
+00:16:21,630 --> 00:16:25,110
+أندي صداع .. تمام .. زغلى لاتق .. معناها أنه من
+
+257
+00:16:25,110 --> 00:16:27,770
+فضل ربنا الأمور ماشية مية في المية .. لكن أحيانا
+
+258
+00:16:27,770 --> 00:16:31,850
+احنا ممكن نتعبها .. طبعا سوء التصرف .. فاللي بدنا
+
+259
+00:16:31,850 --> 00:16:36,250
+نسأله هنا أنه التوسع الأفقي والتوسع الرأسي ..
+
+260
+00:16:36,250 --> 00:16:41,110
+التوسع الأفقي بيصير بانقباض عضلات القفص الصدرييعني
+
+261
+00:16:41,110 --> 00:16:45,510
+تمكمش تتقلق بصورة طبيعية لكن مابنش أنه في ألم لإن
+
+262
+00:16:45,510 --> 00:16:50,290
+طبعا أمور طبيعية إيه بقى الاتساع أفقي بصير اتساع
+
+263
+00:16:50,290 --> 00:16:55,850
+تمام لما تتسع يبقى صار عند مساحة في وين؟ في
+
+264
+00:16:55,850 --> 00:17:00,110
+الرئتين و بصير عند أيضا انقباض من ناحية رأسية اللي
+
+265
+00:17:00,110 --> 00:17:04,770
+هي بالحجاب الحاجز طبعا الحجاب الحاجز طبيعته انه
+
+266
+00:17:04,770 --> 00:17:10,100
+مقوس عضلةتمام؟ يعني وضع ارتخاء لكن لما تصبح عندك
+
+267
+00:17:10,100 --> 00:17:14,580
+انقباض معناه هتنقبض لأسفل معناه انقباض العضلة قصر
+
+268
+00:17:14,580 --> 00:17:18,480
+حجمها وبالتالي هتتقلص عضلة الحجاب الحاجز .. عضلة
+
+269
+00:17:18,480 --> 00:17:22,320
+.. لما تتقلص عضلة الحجاب الحاجز إيش معناها؟ لأسفل
+
+270
+00:17:22,320 --> 00:17:29,360
+يعني بصغر حجمها وهذا إيش هيزيد؟ التوسع الرأسي يبقى
+
+271
+00:17:29,360 --> 00:17:33,360
+صار عين اتساع من ناحية أفقية بانقباض عضلات القفص
+
+272
+00:17:33,360 --> 00:17:38,890
+الصدري وناحية رأسيةبانقباض عضلة الحجاب الحاجز
+
+273
+00:17:38,890 --> 00:17:44,910
+وبالتالي يكون سهل للهواء ان يعديش للرئتين طيب نسأل
+
+274
+00:17:44,910 --> 00:17:50,830
+سؤال بسيط تاني الهواء له ضغط ضغط الهواء الجوي
+
+275
+00:17:50,830 --> 00:17:58,410
+مساوي اقل من اكتر من ضغط الهواء داخل الرئتين
+
+276
+00:18:07,730 --> 00:18:13,610
+أكتر من و لا أقل من و لا يساوي؟ أقل من أقل بالشغل
+
+277
+00:18:13,610 --> 00:18:19,270
+أقل بقت الهواء بالداخل يعني أقل بقت الهواء بالداخل
+
+278
+00:18:19,270 --> 00:18:21,690
+عن بقت الجو يفيده الهواء الاساسي طب ماشي من
+
+279
+00:18:21,690 --> 00:18:26,070
+الموجين السؤال للأخوات لو كان يساوي معناها الغازات
+
+280
+00:18:26,070 --> 00:18:28,090
+مش هتعدي تمام؟
+
+281
+00:18:30,800 --> 00:18:34,380
+أيه؟ وهذا بسهّل عملية دخول الهواء وبالتالي ضغط
+
+282
+00:18:34,380 --> 00:18:38,260
+الهواء الجو أعلى منه داخل الرئتين وانا بفضل ربنا
+
+283
+00:18:38,260 --> 00:18:42,960
+عليه أنه نسهل دخول الهواء لو كان ضغط الهواء اللي
+
+284
+00:18:42,960 --> 00:18:46,260
+.. اللي .. اللي بدنا يحنا داخل الرئتين أعلى من ضغط
+
+285
+00:18:46,260 --> 00:18:50,400
+الهواء خارج الرئتين مش هن .. مش هنقدر ناخد نفس
+
+286
+00:18:51,430 --> 00:18:56,330
+وبالتالي ضغط الهواء أعلى في الهواء الجوي منه داخل
+
+287
+00:18:56,330 --> 00:18:59,370
+الرئتين وهذا طبعا بسهل عملية الدخول صار اتساء
+
+288
+00:18:59,370 --> 00:19:03,870
+الهواء دخل بسهولة لكن لو العكس مشكلة وهذا برضه من
+
+289
+00:19:03,870 --> 00:19:07,110
+فضل ربنا علينا أن الهواء الدائل الخارجي ضغطه أعلى
+
+290
+00:19:07,110 --> 00:19:12,990
+من ما موجود داخل إيش الرئتينأه لتسهيل طبعا انا بس
+
+291
+00:19:12,990 --> 00:19:17,610
+بفسر صورة أوضح شوية لتوضيح أكتر وبالتالي هنا دخول
+
+292
+00:19:17,610 --> 00:19:22,730
+الهواء داخل الرئتين أسهل من طبعا بده مجهود طب
+
+293
+00:19:22,730 --> 00:19:26,010
+هانتوا احنا جاعدين انتوا بتقولوا انه الهواء سهل
+
+294
+00:19:26,010 --> 00:19:30,130
+ماشي بس سهل وقت إيش لما صار التساع طب في حالة
+
+295
+00:19:30,130 --> 00:19:34,710
+الزفير بيصير العكسبصير ارتخاء في عضلات القفص
+
+296
+00:19:34,710 --> 00:19:38,890
+الصدري و ارتخاء طبعا بيصير ضيق من ناحية أفقية تمام
+
+297
+00:19:38,890 --> 00:19:44,370
+و الحجاب الحاجز طبعا بيصير ارتخاء ايضا فبدفع اللي
+
+298
+00:19:44,370 --> 00:19:48,110
+هو إيش الهواء للخارج وبالتالي بيصير لنا ضيق من
+
+299
+00:19:48,110 --> 00:19:53,550
+ناحية رأسية بل اللي فيها مجهود هي الشهيقة تمام؟
+
+300
+00:19:53,550 --> 00:19:56,910
+وبالتالي احنا بيقول بيجاهد عشان ياخد الهواء طبعا
+
+301
+00:19:56,910 --> 00:19:59,370
+عشان ياخد نفسه لكن لما يطلع ليها واحد مثلا بتنهد
+
+302
+00:20:01,010 --> 00:20:03,150
+برتاح .. طالع الهواء أيش مرة تانية .. برتاح لأن
+
+303
+00:20:03,150 --> 00:20:05,730
+طبعا مافيش فيه مجهود لكن المجهود لما أخد الهواء
+
+304
+00:20:05,730 --> 00:20:10,350
+فاللي بتنهد معناه أيش فيه راحة لإنه بتطلع الهواء
+
+305
+00:20:10,350 --> 00:20:17,610
+بدون مجهود طبعا
+
+306
+00:20:17,610 --> 00:20:19,930
+الهدف كله مع التنفس الطبيعي اللي احنا بنتنفسه كله
+
+307
+00:20:19,930 --> 00:20:23,810
+دخل الأكسجين اللي هو ضمن الغازات اللي موجودة اللي
+
+308
+00:20:23,810 --> 00:20:28,910
+بتمثل 21% من ضمن الغازات الموجودة في غازات الهواء
+
+309
+00:20:28,910 --> 00:20:29,890
+الجو اللي احنا بنتنفسه
+
+310
+00:20:37,290 --> 00:20:39,510
+طبعا زى ما قلنا التنفس الصناعي عملية إدخال هو
+
+311
+00:20:39,510 --> 00:20:43,290
+المحمل و السجين من رئتيه مصعف أو جهاز طبعا إلا
+
+312
+00:20:43,290 --> 00:20:46,190
+جهاز تنفس الإنسان قد توقف و احنا طبعا ذكرنا هنا ك
+
+313
+00:20:46,190 --> 00:20:50,290
+.. كاسعاف أولى دايما بنقول من رئتيه مصعف و دايما
+
+314
+00:20:50,290 --> 00:20:54,650
+هنا بنقول احنا للإنسان البالغ من الرئتين لكن للطفل
+
+315
+00:20:54,650 --> 00:21:03,230
+بس عجب تجويه في إيش الفهمة نعم كيف
+
+316
+00:21:03,230 --> 00:21:08,680
+بتم عملية التحكم بعملية التنفس؟في معنا مراكز في
+
+317
+00:21:08,680 --> 00:21:13,020
+الدماغ و احنا قولنا المرة الفاتتة ان اكتر حالتين
+
+318
+00:21:13,020 --> 00:21:19,440
+بتأخر معانا في استعادة التنفس اللي هو المخدرات و
+
+319
+00:21:19,440 --> 00:21:23,900
+التسمم أو ال Oxidic Carbon و ذكرنا انه لما انسان
+
+320
+00:21:23,900 --> 00:21:27,560
+بيكون قاعد بتدفع و بيشوه الكستنة و ما شاء الله و
+
+321
+00:21:27,560 --> 00:21:30,600
+مبسوط بيأكل الكستنة شوية شوية بيحس حاله انه نعسان
+
+322
+00:21:31,140 --> 00:21:34,960
+ليش؟ لأنه بدأ يحل أول أكسجين الكربون محال للأكسجين
+
+323
+00:21:34,960 --> 00:21:38,820
+وبدأ تخدير لمركز التنفس في الدماغ وبالتالي بيبدأ
+
+324
+00:21:38,820 --> 00:21:41,760
+ياشي إنعسى وبهنا بيصير عامل تنفس وبالتالي استعادة
+
+325
+00:21:41,760 --> 00:21:45,640
+التنفس الطبيعي لإنسان متسمن بأوسل الكربون طبعا
+
+326
+00:21:45,640 --> 00:21:49,040
+ياخد وجهة أطولاللي بياخد المخدرات طبعا زيادة
+
+327
+00:21:49,040 --> 00:21:51,580
+الجرعة بتأثر .. و بالتي بيقولك والله انتحار ..
+
+328
+00:21:51,580 --> 00:21:55,100
+انتحار بكمية زائدة من المخدرات أو بدون انتحار من
+
+329
+00:21:55,100 --> 00:21:58,480
+المخدرات لأنه طبعا اتأثر على مركز التنفس وبالتالي
+
+330
+00:21:58,480 --> 00:22:02,860
+بتعمل .. كل ما زادت كمية المخدرات كل ما قل عدد
+
+331
+00:22:02,860 --> 00:22:05,780
+مرات التنفس لإنه بتأثر على مركز التنفس وزادت أكتر
+
+332
+00:22:05,780 --> 00:22:08,800
+قد تؤدي الانتحار ليه؟ أو للموت ليش؟ لأنه اتوقف
+
+333
+00:22:08,800 --> 00:22:13,300
+التنفسان توقف التنفس وبالتالي هدول اكتر اتنتين
+
+334
+00:22:13,300 --> 00:22:17,840
+ممكن يغلبونا شوية عشان عملية استعارة التنفس لإنسان
+
+335
+00:22:17,840 --> 00:22:21,100
+متسمم باوسد كربون او متناول مخدرات
+
+336
+00:22:31,790 --> 00:22:34,950
+الاصابات طبعا لها أسباب هناخد واحدة واحدة و ناخدها
+
+337
+00:22:34,950 --> 00:22:37,310
+بالتفصيل ان شاء الله طبعا في عندنا ست أسباب أساسية
+
+338
+00:22:37,310 --> 00:22:40,350
+لغرب أن يكون هناك أسباب أخرى لكن هناخد يعني اللي
+
+339
+00:22:40,350 --> 00:22:46,750
+مقدر نشرحه اليوم و نكمل ان شاء الله المراجعة نيجي
+
+340
+00:22:46,750 --> 00:22:50,050
+نقص الأكسجين في الدم أو نقص الأكسجة و ليس الأكسجة
+
+341
+00:22:50,050 --> 00:22:54,730
+ده في فرق طبعا بالأكسجة و الأكسجة ده طبعا الأكسجة
+
+342
+00:22:54,730 --> 00:22:57,630
+ده نص ده لكن هذه الأكسجة جاي من الأكسجين
+
+343
+00:23:01,720 --> 00:23:05,140
+طبعا أهم أعراض إلها .. بنلاحظ طبعا نقص ال XG، نقص
+
+344
+00:23:05,140 --> 00:23:07,540
+الأكسجا، يعني زيارة عدم مراد التنفس، لما يقول
+
+345
+00:23:07,540 --> 00:23:10,580
+الإنسان و الله مثلا بيجري و بيلع واشي، صار نقص و
+
+346
+00:23:10,580 --> 00:23:13,700
+بده زيادة، طبعا عملية التعويض في زيارة عدم مراد
+
+347
+00:23:13,700 --> 00:23:16,780
+التنفس، هذا من ناحية طبيعية، لكن لما يكون عندنا
+
+348
+00:23:16,780 --> 00:23:19,700
+مشكلة مرضية مثلا، يعني أحد المريض أزمة، ممكن طبعا
+
+349
+00:23:19,700 --> 00:23:22,690
+يكون عنده ضيقاو زيادة طبعا المخاطر داخل الرئاتين
+
+350
+00:23:22,690 --> 00:23:25,570
+او زيادة طبعا افرازية acid .. acid داخل الرئاتين
+
+351
+00:23:25,570 --> 00:23:29,430
+وبالتالي هنا او تقلص في عضلات المحيطة بال .. بال
+
+352
+00:23:29,430 --> 00:23:32,270
+.. بال .. بالقصبة اللوائية وبالتالي طبعا يصير ضيق
+
+353
+00:23:32,270 --> 00:23:35,370
+مجلة الهواء وهذا طبعا نقص ال oxygen صعوبة في
+
+354
+00:23:35,370 --> 00:23:38,650
+الكلام العلامات تعالى يقول لواحد هو جاي بالنهاية
+
+355
+00:23:38,650 --> 00:23:43,770
+اتكلم يحكيلي قصتك اشكي بالإشارة بس ياخد نفس حتى لو
+
+356
+00:23:43,770 --> 00:23:47,270
+يقولك بالإشارة بطل طبعا نتكلم اصلا العالم ..
+
+357
+00:23:47,270 --> 00:23:51,120
+العلامة التالتةالتوتر الشديد وعدم الراحة، هجي
+
+358
+00:23:51,120 --> 00:23:56,400
+تلاحظ أي إنسان عنده مثلا أزمة أو شيء، بعصب، لأن
+
+359
+00:23:56,400 --> 00:24:00,520
+طبعا نقص الأكسجين بضايق، انت هجي تحط .. عفوا يعني
+
+360
+00:24:00,520 --> 00:24:05,820
+جيبي كيسنان وحطي على راسك وقربتي شوية، بتفافجي،
+
+361
+00:24:05,820 --> 00:24:09,000
+سبحان الله، يعني هذا يعني من كرم ربنا هذا النعم،
+
+362
+00:24:09,000 --> 00:24:11,380
+احنا مابنشعرفيها إلا إذا وجعت طبعا المشكلة،
+
+363
+00:24:11,380 --> 00:24:15,570
+وبالتالي طبعا التوتر الشديد وعدم الراحةلمّا يكون
+
+364
+00:24:15,570 --> 00:24:19,790
+واحد مثلا مضايق، مخنوق، يعني حتى حيانا .. أحيانا
+
+365
+00:24:19,790 --> 00:24:24,110
+ممكن يكون يعني مافيش نقص Oxygen لكن مشكلة نفسية،
+
+366
+00:24:24,110 --> 00:24:25,990
+وإذا كان مضايق، مخنوق، مافيش حاجة مسكرة، مافيش
+
+367
+00:24:25,990 --> 00:24:29,410
+مسلك الهوا، لكن نفسيا ممكن طبعا .. وهذا طبعا له
+
+368
+00:24:29,410 --> 00:24:32,850
+تأثير سلبي على الدماغ، زرقة في الجلد و أطرافه خاصة
+
+369
+00:24:32,850 --> 00:24:36,330
+الشفاه والأضافة و الأذنين، طبعا نتيجة نقص ال
+
+370
+00:24:36,330 --> 00:24:40,070
+Oxygen وزيادة Thanosid Carbon طبعا بتحول إيش؟ ممكن
+
+371
+00:24:40,070 --> 00:24:44,130
+هذا طبعا نقص ال Oxygenبنلاحظها في الشتاء عند بعض
+
+372
+00:24:44,130 --> 00:24:48,150
+الأطفال، بيقولك أديه ورجليه زرق، أصابيه زرق، ليش؟
+
+373
+00:24:48,150 --> 00:24:52,090
+أو عند مرضى السكر، بسبب طبعا ضعف الدورة الدموية
+
+374
+00:24:52,090 --> 00:24:55,410
+اللي بتصل للمنطق هذه، لأنه ما بيصل كمية كافية، لكن
+
+375
+00:24:55,410 --> 00:24:58,450
+تعالى إن ده فيه شوية، خلاص ترجع الأمور تمام تمام،
+
+376
+00:24:58,450 --> 00:25:01,530
+وبالتالي هنا يعني من فضل ربنا الإنسان العادي ما
+
+377
+00:25:01,530 --> 00:25:05,130
+بيشعر بمشكلة هذه، مرض السكر مشعر فيهالأن طبعا نقص
+
+378
+00:25:05,130 --> 00:25:09,550
+ال oxygen أو نقص الدم المحمل بال oxygen معناه طبعا
+
+379
+00:25:09,550 --> 00:25:13,750
+في مشكلة لحياة اللي هي الخلايا اللي ما بيصلها فأي
+
+380
+00:25:13,750 --> 00:25:17,270
+خلية ما بيصلهااش دم محمل بال oxygen معرضة للخطر و
+
+381
+00:25:17,270 --> 00:25:19,670
+طبعا تشوفوا عن مرض السكر لما يقولوا لك والله وصل
+
+382
+00:25:19,670 --> 00:25:23,690
+لمرحلة البتر .. الغرارينة .. اه الغرارينة طبعا
+
+383
+00:25:23,690 --> 00:25:27,190
+زرقا يمكن طبعا تكون في جو بارد لكن لما تكون من
+
+384
+00:25:27,190 --> 00:25:31,930
+ناحية مرضية طبعا هتبيدها علاجصداع، نقص الوكسوجين
+
+385
+00:25:31,930 --> 00:25:36,310
+يؤدي لصداع، وهنا يعني نقول مثلا في الأجواء الباردة
+
+386
+00:25:36,310 --> 00:25:39,230
+ولا حاجة، طبعا الصداع له أسباب كتيرة، من ضمنها
+
+387
+00:25:39,230 --> 00:25:42,590
+مثلا البرد الشديد من نزغلة العينين أو يعني
+
+388
+00:25:42,590 --> 00:25:46,590
+الأسنان، طبعا الناحل عصبي الصارش، لكن أحيانا برضه
+
+389
+00:25:46,590 --> 00:25:49,850
+نقص الوكسوجين أيضا يؤدي إليه للصداع، لما نقول
+
+390
+00:25:49,850 --> 00:25:52,590
+والله إنسان مثلا تعبان وحاجة، يعني بدل المشكلة
+
+391
+00:25:52,590 --> 00:25:55,270
+نقول اخواننا خلاص عندي صداع واتعبته ومش قادر أكمل
+
+392
+00:25:55,840 --> 00:25:58,980
+لأن طبعا ماوصل كمية كافية وبيبدأ طبعا بكون لو كان
+
+393
+00:25:58,980 --> 00:26:02,000
+مترابط مع يعني المشاكل في الدورة الدموية طبعا بزيد
+
+394
+00:26:02,000 --> 00:26:06,320
+المشكلة أكتر و أكتر غثيان
+
+395
+00:26:06,320 --> 00:26:09,560
+و قد يحدث الاستفراغ شيء طبيعي لأنه طالما و احنا
+
+396
+00:26:09,560 --> 00:26:13,400
+قلنا يا أخواتنا شيء مهم جدا أن مصدر الطاقة للدماغ
+
+397
+00:26:13,400 --> 00:26:16,740
+اللي هو ال oxygen و ال glucose و طالما أنه أنا
+
+398
+00:26:16,740 --> 00:26:22,230
+ماوصلش كمية كافية فهيأثر على طبيعة عملالدماغ، و
+
+399
+00:26:22,230 --> 00:26:25,050
+دايما نقول حاجة مهمة كتير يا أخواتنا الصداع،
+
+400
+00:26:25,050 --> 00:26:29,990
+الزغللة، عدم الاتزان، الغثيان، عدم التوازن، الدخة،
+
+401
+00:26:29,990 --> 00:26:35,010
+هذه كلها علامات تصدر عن الدماغ إنه فيه مشكلةإنه
+
+402
+00:26:35,010 --> 00:26:38,910
+الحاجوني، إنه في عندى مشكلة، زغللت عينينا، بقولك
+
+403
+00:26:38,910 --> 00:26:41,970
+أنا حاسس حالي ضايق، مابقولش واحد والله رجله بتجعه
+
+404
+00:26:41,970 --> 00:26:44,730
+حاسس حاله ضايق، لأ يبقى في عندنا مشكلة أيش، في
+
+405
+00:26:44,730 --> 00:26:50,570
+الدماغ، سبب مثلا ارتفاع ضغط الدمعة، سبب مثلا نقص
+
+406
+00:26:50,570 --> 00:26:55,530
+السكر، سبب مثلا عنده مثلا اتصار نزيف في الدماغ،
+
+407
+00:26:55,530 --> 00:26:58,450
+أخد ضربة، طبعا هذا يعني من بعض المشاكل اللي ممكن
+
+408
+00:26:58,450 --> 00:27:01,930
+تؤدي طبعا إلى العلمات المنذرة إنه في مشكلة في
+
+409
+00:27:01,930 --> 00:27:08,830
+الدماغطبعا هذه طبعا طالما أنه مافيش تدخل قد تؤدي
+
+410
+00:27:08,830 --> 00:27:13,610
+ash إلى الوفاةهذه طبعا أول علامة اللي حكيناها
+
+411
+00:27:13,610 --> 00:27:15,950
+المرة الفاتة، أي إنسان بيكون مخنوج، إيه ده طبعا
+
+412
+00:27:15,950 --> 00:27:18,350
+إيش؟ عرق بطول، مباشرة، طبعا لأ إرادة، إذا بيقول
+
+413
+00:27:18,350 --> 00:27:21,070
+أحد والله عنده صداع وحط إيديه، عرق سهولة، معناه
+
+414
+00:27:21,070 --> 00:27:23,690
+مافيه صداع، بالإشارة، وليه طبعا مافيه نفسد، ماحد
+
+415
+00:27:23,690 --> 00:27:26,650
+من الإنسان اللي يحس حاله مخنوج؟ طبعا، قد يكون سبب
+
+416
+00:27:26,650 --> 00:27:29,530
+يعني نفسي أو قد يكون طبعا عضوي، هذا طبعا اللي
+
+417
+00:27:29,530 --> 00:27:31,910
+هنتكلم عليه اللي قال اللي جاي إن شاء الله، لكن قد
+
+418
+00:27:31,910 --> 00:27:35,670
+يكون نفسي، مافيش incident بالمرةلكن طبعا نتقل من
+
+419
+00:27:35,670 --> 00:27:39,710
+مكان لمكان، طبعا الناحية النفسية إلها دور كبير،
+
+420
+00:27:39,710 --> 00:27:42,690
+لكن احنا لما نتكلم في الاختناق هناخد بالتفصيل أكتر
+
+421
+00:27:42,690 --> 00:27:50,610
+ان شاء الله طبعا إيش أسباب نقص ال oxygen أو ال
+
+422
+00:27:50,610 --> 00:27:53,430
+oxygen، قولنا أعدم وصول كمية كافية من الدم إلى نقص
+
+423
+00:27:53,430 --> 00:27:55,410
+ال oxygen، نقص ال oxygen في الهواء الجوي زي ما
+
+424
+00:27:55,410 --> 00:28:00,590
+يقول كل ما ارتفعنا لأعلىتمام؟ و لو احنا كنا فى
+
+425
+00:28:00,590 --> 00:28:03,550
+مكان ملوث فى .. طبعا ب .. سان وكسيد الكربون او
+
+426
+00:28:03,550 --> 00:28:07,470
+بالغازات يعنى كده مثلا تعالى و العيلك شوية حطب وقف
+
+427
+00:28:07,470 --> 00:28:11,170
+فى جنبهم عينكها يحمره و بناخرك مش هتقدر تنفسي و
+
+428
+00:28:11,170 --> 00:28:15,710
+هتشرضي او مثلا زى مكان اليهود مثلا يضربون اللى هو
+
+429
+00:28:15,710 --> 00:28:19,870
+أياش غاز مصير للدموع و غازات أخرى معناه طبعا النقص
+
+430
+00:28:19,870 --> 00:28:22,830
+اللى هو ال oxygen فى الهواء اللى جوا اغلاق طريق
+
+431
+00:28:22,830 --> 00:28:27,230
+الهواء طبعا بجسم غريب مثلاممكن يكون اختناق صناعي
+
+432
+00:28:27,230 --> 00:28:30,750
+.. صناعي .. صناعي أو طبيعي، يعني الصناعي واحد
+
+433
+00:28:30,750 --> 00:28:36,570
+بيدخلوا بواحد، طبيعي ان واحد بياكل الشردك طبعا،
+
+434
+00:28:36,570 --> 00:28:38,910
+يعني حاجة لا إيرادية
+
+435
+00:28:41,820 --> 00:28:44,640
+أسباب لها علاقة بالقفص صدري، مثلا ضربة على القفص
+
+436
+00:28:44,640 --> 00:28:48,540
+الصدري، صار ضغط على القفص الصدري، واحد مثلا رجع
+
+437
+00:28:48,540 --> 00:28:50,940
+عليه سيارة وضغط على القفص الصدري، مش هيقدر طبعا
+
+438
+00:28:50,940 --> 00:28:54,480
+ياخد أو مثلا التهابات شديدة بالقفص الصدري،
+
+439
+00:28:54,480 --> 00:28:57,340
+التهابات مش هيقدر برضه ياخد، مثلا يعني مرض الأزمة
+
+440
+00:28:57,340 --> 00:28:58,400
+اللي علاقة بالقفص الصدري
+
+441
+00:29:01,350 --> 00:29:04,670
+قصور في عمل الرئاتين التهيبات شديدة وكتير يبقى
+
+442
+00:29:04,670 --> 00:29:07,550
+الله يبقى عنده التهيبات شديدة زي مثلا نقول مريض
+
+443
+00:29:07,550 --> 00:29:10,090
+الكورونا ناخد مثال تاني كمان طبعا التهيبات الشديدة
+
+444
+00:29:10,090 --> 00:29:14,050
+بتأدي ونقص عمل التنفس أو صعب عمل التنفس وبالتالي
+
+445
+00:29:14,050 --> 00:29:18,010
+دخلوا لإنه إله علاج وإله طبعا بحتاج ال oxygen طبعا
+
+446
+00:29:18,010 --> 00:29:20,090
+أحيان ممكن يدخلوا النبوب طبعا داخل الرئاتين عشان
+
+447
+00:29:20,090 --> 00:29:23,030
+يوصل ال oxygen أو عن طريق ال mask طبعا حسب الحالة
+
+448
+00:29:23,030 --> 00:29:26,370
+وطبعا يعني لازم تم معالجة السبب إذا كان مثلا
+
+449
+00:29:26,370 --> 00:29:30,420
+التهيبات شديدة أما نقول والله إنسان عاديبندخله
+
+450
+00:29:30,420 --> 00:29:34,020
+نبوب؟ لأ لأ مابحتاجه إلا ده كان طبعا فيه سبب
+
+451
+00:29:34,020 --> 00:29:39,060
+الصباط الجهاز العصبي يعني مثلا و جيت .. و بالتالي
+
+452
+00:29:39,060 --> 00:29:42,860
+همقول احنا لما حكينا أنه أول أربع دقائق يعني ممكن
+
+453
+00:29:42,860 --> 00:29:45,500
+يتحمل الدماغ لكن من أربع دقائق لست دقائق طبعا فيه
+
+454
+00:29:45,500 --> 00:29:49,580
+خطورة و رمزون برتقالي أو أصفر لكن بعد كده أي منطقة
+
+455
+00:29:49,580 --> 00:29:54,660
+ما بيصلهاشي طبعا ال oxygen طبعا موت وخوف أن يكون
+
+456
+00:29:54,660 --> 00:29:57,400
+مثلا مركز التنفس قد يؤديش إلى الوفاة
+
+457
+00:30:02,640 --> 00:30:04,960
+التسمم بعض الغازات زي ما قولنا طبعا أولا أكسيد
+
+458
+00:30:04,960 --> 00:30:10,520
+الكربونهار طبعا زيارة الفترة الزمنية بالتسمم كل ما
+
+459
+00:30:10,520 --> 00:30:13,620
+زيارة الفترة الزمنية أكتر .. كل ما كانت أكتر كل ما
+
+460
+00:30:13,620 --> 00:30:16,160
+كان خطورة أكتر و أنا بالناس اللي نقول جديش انتوا
+
+461
+00:30:16,160 --> 00:30:19,880
+سمعتوا ناس كبار و صغار ماتوا فبتدفق بيكون أخر تدفق
+
+462
+00:30:19,880 --> 00:30:24,320
+عيله في الحياة يعني لما يكون زوجة .. زوج و زوج
+
+463
+00:30:24,320 --> 00:30:27,620
+تكون أريح يعنيأقلوا كتير خاصة بيكونوا ده قاعدين مع
+
+464
+00:30:27,620 --> 00:30:30,780
+بعض اختيارية مع بعض هيكر و بتدفوا عمره تسعين سنة
+
+465
+00:30:30,780 --> 00:30:33,800
+خمسة و تمانية سنة و كل سنة بنسمع بقولك والله لقوا
+
+466
+00:30:33,800 --> 00:30:41,120
+ميتين ف .. رايحوا بعض اه
+
+467
+00:30:41,120 --> 00:30:45,180
+مش واحد يظل يعني و التاني مفتنان مع بعض مفتنان مع
+
+468
+00:30:45,180 --> 00:30:53,000
+بعض محدش بيزعلوا التاني مفاجين مع بعض بعزوا
+
+469
+00:30:53,000 --> 00:30:56,770
+بعض بيلتجوا مع بعضفالتالي ال .. ال .. ال .. hand
+
+470
+00:30:56,770 --> 00:31:02,150
+الاختناق يعني اسعافه سهل، اسعافه سهل إذا تم اللحاق
+
+471
+00:31:02,150 --> 00:31:08,610
+بالشخص، لكن إذا ترك الله يرحمه، الله يرحمه، رحمنا
+
+472
+00:31:08,610 --> 00:31:14,130
+جميعا يا رب رحمته قصوف الدورة الدموية، إيش يعني
+
+473
+00:31:14,130 --> 00:31:16,410
+قصوف الدورة الدموية؟ معناه القلب لا يضخ بكمية
+
+474
+00:31:16,410 --> 00:31:21,160
+كافيةتمام؟ أو توقف الدورة الدموية، طالما أنه
+
+475
+00:31:21,160 --> 00:31:24,160
+مابضخش بكمية كافية، مع أنه مش هيحمل أكسوجين كافي
+
+476
+00:31:24,160 --> 00:31:27,160
+لكل خلايا الجسم، وبالتالي هيطبعا أدى إليها قصور،
+
+477
+00:31:27,160 --> 00:31:29,680
+وغالبا نقول مثلا و الله .. نقول و الله مثلا سناني
+
+478
+00:31:29,680 --> 00:31:32,800
+أتوقف في القلب، و أدأله، فليش؟ مافيش طبعا دم محمل
+
+479
+00:31:32,800 --> 00:31:35,540
+و أكسوجين يصل إليه إيش إلى الدماء، هو طبعا توقف
+
+480
+00:31:35,540 --> 00:31:38,860
+الوجاية، ولمّا احنا نعمل استعادة لعمل القلب، قد
+
+481
+00:31:38,860 --> 00:31:42,380
+يستعيد وعيه ويستعيد حياته، إذا كان له نصيب، لكن
+
+482
+00:31:42,380 --> 00:31:44,060
+احنا بالمحاول نقول ممكن إيش
+
+483
+00:31:50,060 --> 00:31:55,420
+بدنا نشوف بس الفيديو الصغير هنا عشان نشوف كيف عملت
+
+484
+00:31:55,420 --> 00:32:04,520
+إيه الإغلاق قبل ما نتكلم طبعا
+
+485
+00:32:04,520 --> 00:32:05,460
+كيف عملت البلع
+
+486
+00:32:38,950 --> 00:32:42,930
+ايه اللي بدنا نقوله؟ طبعا .. وبالتالي احنا قولنا
+
+487
+00:32:42,930 --> 00:32:46,490
+في حال ان انا بنساعد انسان على التنفس برفع الرأس
+
+488
+00:32:46,490 --> 00:32:49,890
+للخلف و الذقن لأعلى عشان نفسي لهو اياش مدخل اياش
+
+489
+00:32:49,890 --> 00:32:53,850
+للحنجرة طبعا الأمام اللي هي الحنجرة بنقول حاجة
+
+490
+00:32:53,850 --> 00:32:58,770
+كمان مهمة كتير انه احنا الحنجرة هي حلقات غضروفية
+
+491
+00:32:58,770 --> 00:33:04,270
+تمام؟ غير كاملة عاملة زي حرف ال C زي الهلال اللي
+
+492
+00:33:04,270 --> 00:33:09,880
+وراها اللي هو المريء هو انبوب عضليمش غضروفي، عضلة،
+
+493
+00:33:09,880 --> 00:33:13,580
+بمعنى عنده قدرة على التمدد وبالتالي، هذا نقطة عشان
+
+494
+00:33:13,580 --> 00:33:16,940
+هنهتم فيها شوية في حال الاختناق إنه لما الإنسان
+
+495
+00:33:16,940 --> 00:33:20,860
+بياكل وبياكل بسرعة، يقولك والله وقفاله زي اللجمة
+
+496
+00:33:20,860 --> 00:33:25,220
+في الزهر، معناه بتكون في المريق، لكن احنا شعرنا
+
+497
+00:33:25,220 --> 00:33:29,040
+بصعوبة بالنفس، لكن متكلم، بمعنى الإنسان لما يكون
+
+498
+00:33:29,040 --> 00:33:33,480
+عنده جسم غريق، جسم كبير، طعام أو شيء، واقف في
+
+499
+00:33:33,480 --> 00:33:37,360
+البلعوم، في المريق، معناه ضغط على ..القصب اللي هو
+
+500
+00:33:37,360 --> 00:33:40,640
+إيه من الخلف و بنشعر طبعا بضيق لكن فيه إمكانية
+
+501
+00:33:40,640 --> 00:33:44,920
+الكلام يمنعش لإن صندوق الصوت ماتأثرش مادخل جسم
+
+502
+00:33:44,920 --> 00:33:48,400
+غريب منه لإن صار فينا كلام وبالتالي هال اللي مقول
+
+503
+00:33:48,400 --> 00:33:53,980
+احنا ممكن نشرب فيها ميهأما لو كان في الحنجرة زي ما
+
+504
+00:33:53,980 --> 00:33:57,400
+اتكلم في الموضوع ان شاء الله طبعا لأ، بس هذا البيت
+
+505
+00:33:57,400 --> 00:34:00,380
+.. انا اوضح الصورة هذه أنه الأكل لما بيعدّي بيجي
+
+506
+00:34:00,380 --> 00:34:03,180
+مباشرة و احنا .. يعني ربنا خلاجه سبحانه وتعالى أنه
+
+507
+00:34:03,180 --> 00:34:06,080
+الأكل طبعا جاي احنا بزاوية كده، تمام؟ الأسهل
+
+508
+00:34:06,080 --> 00:34:10,820
+الدخول للمريءمش لإيش لقصة بلوئية في حالة الأكل لكن
+
+509
+00:34:10,820 --> 00:34:14,040
+لو أنا بدي أتعامل معي القصة بلوئية بارفع الذقن
+
+510
+00:34:14,040 --> 00:34:17,840
+الأعلى عشان أقول إنش أسهل لدخول للريعتين طبعا
+
+511
+00:34:17,840 --> 00:34:21,500
+الأسباب اللي هي دخول جسم غريب مع الشهيق زي الطعام
+
+512
+00:34:21,500 --> 00:34:24,500
+والشراب طبعا هي أسباب إغلاق الهوا يعني انت برؤيه
+
+513
+00:34:24,500 --> 00:34:28,640
+جسم غريب الحاجات التانية مثلا إغلاق مجرد هو
+
+514
+00:34:28,640 --> 00:34:30,700
+باللسان في المرض فاقد الوعي وحنا بقول إنها بقول
+
+515
+00:34:30,700 --> 00:34:34,080
+بالع اللسان طبعا ما بيبالع اللسانلأن طبعا بيصير
+
+516
+00:34:34,080 --> 00:34:36,920
+عندنا ارتخاء في عضلة اللسان او قاعدة اللسان
+
+517
+00:34:36,920 --> 00:34:40,760
+وبالتالي احنا لما قلنا المرة الفاتتة انا الاساس
+
+518
+00:34:40,760 --> 00:34:44,720
+منها ان ارفع الرأس للخلف لكي يكون سهل دخول الهواء
+
+519
+00:34:44,720 --> 00:34:50,560
+لكن لما قلنا في حال اشتباه في كسور العنق فانا بعمل
+
+520
+00:34:50,560 --> 00:34:55,080
+هي geothrust ليدفع قاعدة اللسان وبالتالي هنقول
+
+521
+00:34:55,080 --> 00:34:58,420
+مافيش حد بيبلع لسانه لأن قاعدة اللسان هي اللي
+
+522
+00:34:58,420 --> 00:35:00,020
+بتعمل على إغلاق مجرم الهواء
+
+523
+00:35:03,320 --> 00:35:07,140
+هكذا انت ماكنتش هكذا لأ تتفرجي على الفيديو و
+
+524
+00:35:07,140 --> 00:35:14,420
+تشوفيه و عرضناه و نفذناه يعني تلاتة
+
+525
+00:35:14,420 --> 00:35:17,700
+اغلاق مجمع الهوا بالدم او القيق او الماء زي الواحد
+
+526
+00:35:17,700 --> 00:35:23,680
+الغريق كيف هنتعامل معاه طبعا هنشوف مضاعفات
+
+527
+00:35:23,680 --> 00:35:28,260
+هتكلم
+
+528
+00:35:28,260 --> 00:35:31,140
+عليها حاضر بس خليها معانا في العظام عشان ماناشي
+
+529
+00:35:31,140 --> 00:35:39,060
+انشطتماوبالاش تطجي رجبتك و تضال عناحي اذا
+
+530
+00:35:39,060 --> 00:35:42,900
+اول حد .. او حد تاني يطجيلك رجبتك يكون مغلول منك
+
+531
+00:35:42,900 --> 00:35:49,240
+طيب السابق هنتكلم و تجلجيش السبب الرابع هي تورومات
+
+532
+00:35:49,240 --> 00:35:52,700
+أخواتنا وهذا غالب من الحروق كما هتكلمنا هنا
+
+533
+00:35:52,700 --> 00:35:55,420
+الخطورة في الحرق اللي هو انسداد او ضيق في مجلة
+
+534
+00:35:55,420 --> 00:36:00,360
+الهواءلأن أي واحد بتنفس مثلا الهواء ساخن كتير أو
+
+535
+00:36:00,360 --> 00:36:03,200
+مثلا صار عنده حروق معناه فيه تضخم و دائما الحروق
+
+536
+00:36:03,200 --> 00:36:07,980
+بصحيبها إيش تضخم في الخلايا طيب رقم خمسة الصباط
+
+537
+00:36:07,980 --> 00:36:13,840
+الوجه و الصفلي كسر أو نظيف أو .. و بالتالة طبعا ..
+
+538
+00:36:13,840 --> 00:36:18,120
+لأنه مدخل للهواء إيش داخل الرئاتين الرابو الشعبي
+
+539
+00:36:18,120 --> 00:36:21,360
+اللي هي الأزمة الأزمة و نقول يا أخواتنا يعني ليش
+
+540
+00:36:21,360 --> 00:36:24,280
+بعض الناس مثلا مريض الأزمة بتحسوه أو بتلاحظوه أنه
+
+541
+00:36:24,280 --> 00:36:29,280
+مخنوق تلت حاجات أساسيةبنسبة لمرض الأزمة وطبعا ممكن
+
+542
+00:36:29,280 --> 00:36:35,660
+يكون أزمة نتيجة تحسسه لشيء معين مثلا ناحية عصبية
+
+543
+00:36:35,660 --> 00:36:40,000
+ال .. ال .. ال .. البرد طبعا تحسسه ل .. ل .. ل ..
+
+544
+00:36:40,000 --> 00:36:42,880
+ل .. ل .. ل .. ل .. ل .. ل مكونات بسيطة مثلا
+
+545
+00:36:42,880 --> 00:36:47,800
+لرايحة معينة طبعا أسباب كتيرة لكن بيقول انا بيصير
+
+546
+00:36:47,800 --> 00:36:50,780
+.. ليش بيصير الديق النفس هذا؟ تلت أشياء أساسية
+
+547
+00:36:50,780 --> 00:36:53,660
+بالنسبة للأزمة وعشان بيقولوا احنا بيعطيه ال
+
+548
+00:36:53,660 --> 00:36:57,160
+ventilation عساس مصي على الشعب الهوائيالناحية
+
+549
+00:36:57,160 --> 00:37:01,620
+الأولى تقلص في عضلات القصب الهوائية و لما تتقلص
+
+550
+00:37:01,620 --> 00:37:07,240
+بتضيق مجرم الهواء زيارة إفرازات الخلايا الموجودة
+
+551
+00:37:07,240 --> 00:37:10,560
+داخل اللي هي القصب الهوائية يعني زيارة .. لما يكون
+
+552
+00:37:10,560 --> 00:37:14,140
+حاجة سائلة بزيادة معناه أيضا هتضيق اللي هي القصب
+
+553
+00:37:14,140 --> 00:37:18,100
+الهوائية تمام؟ إذا الحاجة الأولى ضيق .. ضيق من
+
+554
+00:37:18,100 --> 00:37:22,580
+ناحية السائل أو الإفرازات الخلايا الداخليةطبعا
+
+555
+00:37:22,580 --> 00:37:27,180
+تقلص العضلات تضخم في خلايا اللى هو الجهاز النفسي
+
+556
+00:37:27,180 --> 00:37:31,860
+الداخلي بالتالي صار كلها تجتمع مع بعض أدت لديق
+
+557
+00:37:31,860 --> 00:37:35,080
+فمجرد أنه ياخد هال Ventolin اللى هي العشرة صنط
+
+558
+00:37:35,080 --> 00:37:38,320
+هادى عن طريق الوريد أو عن طريق البخاخة بصير اتساع
+
+559
+00:37:39,360 --> 00:37:42,400
+تمام؟ وبالتالي دايما مرضى الأزمة بتلاحظوا معاها
+
+560
+00:37:42,400 --> 00:37:44,960
+البخاخة طبعا هي و ال ventilator أساسا هي مش موسّي
+
+561
+00:37:44,960 --> 00:37:48,220
+على الشعب الهوائي وهذا طبعا يعني الشيء اللي بيصير
+
+562
+00:37:48,220 --> 00:37:52,740
+.. بعض الناس إذا اتعصب، إذا اتشام ريحة معينة،
+
+563
+00:37:52,740 --> 00:37:55,540
+بيصيروا معاها المشكلة هذه، لكن لما تقول أنبعث .. ب
+
+564
+00:37:55,540 --> 00:37:58,400
+.. بنفرجها بين التهابات الجهاز التنفسي، لإن
+
+565
+00:37:58,400 --> 00:38:03,640
+التهابات فيها التهاب إما فيروسي أو بكتيري، بختلفة،
+
+566
+00:38:03,640 --> 00:38:07,620
+الضغط على الرقم من الخارج، الشنق أو الخنقيبقى
+
+567
+00:38:07,620 --> 00:38:11,140
+مقصود أو غير مقصود، ممكن يكون مقصود هو نفسه يعني
+
+568
+00:38:11,140 --> 00:38:14,640
+قصده، اه طبعا بديه يشنج نفسه أو ينتحر، هو طبعا
+
+569
+00:38:14,640 --> 00:38:18,420
+حرام شرع يعني، او واحد بديه يقتل واحد، بخنجه، اه
+
+570
+00:38:18,420 --> 00:38:22,940
+ممكن يخنجه عن طريق مخدة و خلاص يعني، مش ضروري يعني
+
+571
+00:38:28,500 --> 00:38:31,380
+بتلاقي عيسام كبيرة انحشر في البلعوم زي ما تاوي
+
+572
+00:38:31,380 --> 00:38:35,460
+اتكلمنا، أكلتي بسرعة وما .. ما .. ما دغتيش الأكل
+
+573
+00:38:35,460 --> 00:38:39,520
+كويس، بديك تلاهجة لهم، و واقفت وين؟ في المريق، في
+
+574
+00:38:39,520 --> 00:38:41,660
+المريق، زي ما يقولون زي اللجمة في الزهر، و هان
+
+575
+00:38:41,660 --> 00:38:47,340
+طبعا بالذنب هشرب ميه، بالذنب، بالذنب هشرب ميه، لأ،
+
+576
+00:38:47,340 --> 00:38:50,080
+هريكة بتختلف، الدغرب هنتكلم عليها بالتفصيل، اللي
+
+577
+00:38:50,080 --> 00:38:55,690
+هي طبعا للشرجاهل حاكناها كمان؟ طيب الأعراض اللي
+
+578
+00:38:55,690 --> 00:38:58,350
+بصي مثلا زرقة في الأطراف، النتيجة طبعا ناقصة إن
+
+579
+00:38:58,350 --> 00:39:03,630
+شاء الله طبعا الأعراض هي يعني ناقص الأكسجة أو
+
+580
+00:39:03,630 --> 00:39:06,030
+الإغلاق مع أنها برضه مافيش أكسجين كمان وبالتالي
+
+581
+00:39:06,030 --> 00:39:09,330
+طبعا زرقة في الأطراف، صعوبة في التنفس والكلام،
+
+582
+00:39:09,330 --> 00:39:13,450
+ارتفاع طبعا أحيانا لما يكون عندى إغلاق كلي وإغلاق
+
+583
+00:39:13,450 --> 00:39:17,690
+جزئي، إغلاق جزئي ممكن يطلع أصوات، لكن كلي مافيش،
+
+584
+00:39:17,690 --> 00:39:22,590
+مسكرة يعني نقول مثلا الطفل الصغير أخر حبة عنبسكرت،
+
+585
+00:39:22,590 --> 00:39:26,110
+على أكسر بيقولوا مثلا خد جشرة مثلا دره، دره فشار
+
+586
+00:39:26,110 --> 00:39:29,390
+ولا شيء، اللي مافيه جزء، لكن حبة العناب هتسكر،
+
+587
+00:39:29,390 --> 00:39:34,090
+هتسكر العناب كلها، ارتفاع صوت التنفس، لإنه بجاهد
+
+588
+00:39:34,090 --> 00:39:38,410
+بدي أخد نفس، أحمر روجه وانتفاخه، لإن ده ما بيقولنا
+
+589
+00:39:38,410 --> 00:39:42,990
+يا أهل شقم العصبيةيمسك المصاب رجبته، وهذا شيء
+
+590
+00:39:42,990 --> 00:39:46,270
+طبيعي واضح، طبعا أي إنسان بيحس حاجة مخنوق بيمسك
+
+591
+00:39:46,270 --> 00:39:50,270
+هذا شيء لا إرادة، تتحرك فتحايل .. تتحرك فتحات
+
+592
+00:39:50,270 --> 00:39:54,690
+الأنف، يعني معناه بزياد فتحات للأنف عشان ياخد هوا،
+
+593
+00:39:54,690 --> 00:39:57,650
+هذا شيء طبيعي، مافيش واحد بزياد فتحات الأنف عنده
+
+594
+00:39:57,650 --> 00:40:02,170
+وجهة الراحة، إلا لما يتعب، إلا لما يتعب، فهم، سؤال
+
+595
+00:40:02,170 --> 00:40:04,810
+جاه مستمر، طب مضل يسعوا، يسعوا، يعسسوا إن لو في
+
+596
+00:40:04,810 --> 00:40:08,630
+حاجة غريبة يقولوا إيش يطلعها، نعمطبعا دور مصعفان
+
+597
+00:40:08,630 --> 00:40:11,930
+اللي هو يعني انه يبحث عن السبب إذا كان في جسم غريب
+
+598
+00:40:11,930 --> 00:40:15,670
+يحاول يطلع و إذا كان طبعا يعني في مكان مختنق فيه
+
+599
+00:40:15,670 --> 00:40:19,870
+ينقضوا من المكان هذا نفسه، إذا كان أحيانا يكون زي
+
+600
+00:40:19,870 --> 00:40:23,350
+ما قلنا يا أخواتنا يعني نضيق نفسنا من ناحية نفسية،
+
+601
+00:40:23,350 --> 00:40:26,390
+طبعا هو بده يدور عن السبب اللي فيه، طبعا نتمنى أنه
+
+602
+00:40:26,390 --> 00:40:28,790
+من الله أنه يكون السلام عليكم جميعا، ما أحد يعدي
+
+603
+00:40:28,790 --> 00:40:32,690
+في أزمة لا اختناق لا نفسية ولا جسدية، نكمل ان شاء
+
+604
+00:40:32,690 --> 00:40:34,750
+الله لقاء القادة، الله يعطيكوا ألف عافية يا ربنا
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/uWVMmvpMgfA_raw.json b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/uWVMmvpMgfA_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..3b256500000f582dcd8e6feda42ca11d0af6af85
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/uWVMmvpMgfA_raw.json
@@ -0,0 +1 @@
+{"segments": [{"id": 1, "seek": 1043, "start": 5.11, "end": 10.43, "text": "طيب عوض بالله من الشيطان الرجيم بسم الله الرحمن الرحيم .. نكمل يا أخواتنا على الموضوع", "tokens": [9566, 1829, 3555, 6225, 2407, 11242, 20666, 43761, 9154, 25124, 1829, 9566, 7649, 34892, 7435, 32640, 4724, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 4386, 8717, 24793, 1211, 35186, 5551, 9778, 2407, 9307, 8315, 15844, 9673, 2407, 11242, 45367], "avg_logprob": -0.1287157070345995, "compression_ratio": 1.4854368932038835, "no_speech_prob": 0.0, "words": [{"start": 5.11, "end": 5.41, "word": "طيب", "probability": 0.966796875}, {"start": 5.41, "end": 5.59, "word": " عوض", "probability": 0.7781575520833334}, {"start": 5.59, "end": 5.79, "word": " بالله", "probability": 0.58349609375}, {"start": 5.79, "end": 5.87, "word": " من", "probability": 0.85693359375}, {"start": 5.87, "end": 6.13, "word": " الشيطان", "probability": 0.8782958984375}, {"start": 6.13, "end": 6.51, "word": " الرجيم", "probability": 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خطورة ع حياته لكن ال .. ال .. أحيانا بيصير عندنا ردد فعل طبعا لا إرادي بمعنى إنه ربنا سبحانه وتعالى أعطى الجسم التحكم بنفسه، بذاته طبعا بحدود معينة ولا درجة معينة", "tokens": [9566, 3555, 3615, 995, 11933, 9381, 16758, 9307, 25724, 3224, 31377, 32748, 13063, 1829, 5296, 33456, 3224, 23032, 3555, 3615, 995, 8717, 19913, 23557, 5296, 10721, 16095, 36081, 3224, 4032, 9566, 3555, 3615, 995, 9673, 2407, 11242, 45367, 23758, 3714, 16095, 9122, 2655, 13546, 36145, 3224, 33688, 1863, 3794, 7649, 3714, 5172, 28543, 9122, 2304, 10632, 9122, 3555, 48923, 9154, 32748, 2304, 20449, 8315, 3224, 8978, 3224, 16490, 9566, 13063, 3660, 6225, 11331, 1829, 9307, 3224, 44381, 2423, 4386, 2423, 4386, 5551, 5016, 1829, 7649, 995, 4724, 1829, 9381, 13546, 43242, 8315, 12602, 3215, 3215, 6156, 30241, 23032, 3555, 3615, 995, 20193, 11933, 2288, 18513, 1829, 4724, 2304, 3615, 1863, 7578, 36145, 3224, 12602, 3555, 8315, 8608, 49628, 7649, 3224, 34683, 3615, 6027, 7578, 5551, 3615, 9566, 7578, 25724, 38251, 16712, 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إيش", "probability": 0.7631022135416666}, {"start": 2594.88, "end": 2598.76, "word": " أخرى", "probability": 0.9676106770833334}, {"start": 2598.76, "end": 2607.58, "word": " يعني", "probability": 0.8916015625}, {"start": 2607.58, "end": 2608.1, "word": " نجي", "probability": 0.5432942708333334}, {"start": 2608.1, "end": 2608.2, "word": " في", "probability": 0.36279296875}, {"start": 2608.2, "end": 2608.54, "word": " النقطة", "probability": 0.97705078125}, {"start": 2608.54, "end": 2609.06, "word": " هذه،", "probability": 0.51220703125}, {"start": 2609.06, "end": 2609.14, "word": " ان", "probability": 0.70849609375}, {"start": 2609.14, "end": 2609.24, "word": " شاء", "probability": 0.97119140625}, {"start": 2609.24, "end": 2609.38, "word": " الله", "probability": 0.94775390625}, {"start": 2609.38, "end": 2609.56, "word": " يا", "probability": 0.61767578125}, {"start": 2609.56, "end": 2609.74, "word": " ربنا", "probability": 0.9884440104166666}, {"start": 2609.74, "end": 2610.04, "word": " ماتعكوا", "probability": 0.6868408203125}, {"start": 2610.04, "end": 2610.36, "word": " بالصلاة", "probability": 0.867919921875}, {"start": 2610.36, "end": 2610.96, "word": " والعافية", "probability": 0.82525634765625}, {"start": 2610.96, "end": 2611.14, "word": " يا", "probability": 0.98876953125}, {"start": 2611.14, "end": 2611.26, "word": " ربنا", "probability": 0.9676106770833334}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2611.38575, "duration_after_vad": 2523.0087499999954}
\ No newline at end of file
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/zGBcDv4x9Qw_postprocess.srt b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/zGBcDv4x9Qw_postprocess.srt
new file mode 100644
index 0000000000000000000000000000000000000000..9f68689b1c0f69ab5bb8381d059dbfc6217b2411
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/zGBcDv4x9Qw_postprocess.srt
@@ -0,0 +1,2076 @@
+1
+00:00:05,210 --> 00:00:06,870
+أعوذ بالله من الشيطان الرجيم بسم الله الرحمن
+
+2
+00:00:06,870 --> 00:00:09,870
+الرحيم يعني بداية كل عام انتم بخير مرتين نقول
+
+3
+00:00:09,870 --> 00:00:13,010
+حكينا المرة الفاتة على جزء من نسبة للأسهفات
+
+4
+00:00:13,010 --> 00:00:17,050
+الأولية الخاص بالحروق طبعا الحروق يعني مشكلة خطيرة
+
+5
+00:00:17,050 --> 00:00:20,250
+جدا لو احنا اتكلمنا عنها اول شيء احنا بفكر فيه
+
+6
+00:00:20,250 --> 00:00:23,390
+طبعا ان هي التشوهات واش ممكن نجعلها من مضاعفات
+
+7
+00:00:23,390 --> 00:00:26,590
+طبعا حكينا على تعريف الحروق وطبعا قلنا اسباب
+
+8
+00:00:26,590 --> 00:00:30,290
+الحروق طبعا منها الحرارة العالية طبعا تنقسم لأنواع
+
+9
+00:00:30,460 --> 00:00:33,220
+وعنا البرود الشديدة يمكن هذا بيصيرش عنا كتير لكن
+
+10
+00:00:33,220 --> 00:00:37,320
+في بعض البلاد بيصير بسبب طبعا خفاض الحرارة في عنا
+
+11
+00:00:37,320 --> 00:00:39,780
+طبعا المواد الكيموية و الكهربا و الإشعاعات زي ما
+
+12
+00:00:39,780 --> 00:00:44,140
+حصل عنا في الحرب على غزة 2008 طبعا اللي هو الفسفور
+
+13
+00:00:44,140 --> 00:00:49,200
+الأبيض طبعا هذه أسباب كتيرة طبعا اليوم هتكلم على
+
+14
+00:00:49,200 --> 00:00:52,640
+درجات الحروق لأن طبعا الحروق لها درجات لما أنا
+
+15
+00:00:52,640 --> 00:00:55,580
+بتكلم على درجة الحروق باعني اللي هو العمقيعني
+
+16
+00:00:55,580 --> 00:00:59,100
+العمق هو ال .. ال .. المجسود فيه الدرجة يعني كل
+
+17
+00:00:59,100 --> 00:01:03,080
+مكانك عمق و كل مكان طبعا الدرجة وبالتالي احنا
+
+18
+00:01:03,080 --> 00:01:06,260
+هنبدأ في اللي هي الدرجة الأولى و الدرجة الأولى هي
+
+19
+00:01:06,260 --> 00:01:11,100
+طبعا إصابة الطبقة العلي .. العليا من الجلب طبعا
+
+20
+00:01:11,100 --> 00:01:13,680
+الجلب فيه عندنا طبقتين إذا انتوا فاكرين في عندنا
+
+21
+00:01:13,680 --> 00:01:16,380
+البشرة و في عندنا الأدمان طبعا هذا إصابة الطبقة
+
+22
+00:01:16,380 --> 00:01:20,200
+العليا من الجلب يبقى مافي تدمير لكن تعرض الطبقة
+
+23
+00:01:20,200 --> 00:01:23,280
+هذه للحرارة العالية بيحصل عنه طبعا بعض الأعراض
+
+24
+00:01:23,280 --> 00:01:27,010
+اللي هتكلم عليهااللي بنقوله احنا الحروق الدرجة
+
+25
+00:01:27,010 --> 00:01:30,710
+الأولى من أبسط الحروق اللى قد تصيب بعض الناس لكن
+
+26
+00:01:30,710 --> 00:01:34,590
+قد يصاب بها البعض و قد لا يصاب معناه أن مثلا أطفال
+
+27
+00:01:34,590 --> 00:01:38,350
+ما بتتحملش الحرارة أو الميه اللى بتتحملها بالتالي
+
+28
+00:01:38,350 --> 00:01:41,990
+طبعا ممكن يكون جسمه قابل للاصابة بحروق الدرجة
+
+29
+00:01:41,990 --> 00:01:47,090
+الأولى طبعا الحروق هذه مايلها أي مضاعفات تخوف منها
+
+30
+00:01:47,090 --> 00:01:52,250
+يمكن هذه الحروقيعني أكتر الشيء احنا بنعليجها طبعا
+
+31
+00:01:52,250 --> 00:01:58,370
+داخل البيت طبعا يعني أهم حاجة أهم نقطة بحوار
+
+32
+00:01:58,370 --> 00:02:01,610
+القدرة الأولى أنها مابيصيرش فيها تشوه ليش؟ لأنها
+
+33
+00:02:01,610 --> 00:02:04,310
+مابتصل للطبقة القاعدية وحنقول إن الطبقة القاعدية
+
+34
+00:02:04,310 --> 00:02:08,450
+أهم طبقة لإعادة تكوين الجسم بالصورة الطبيعية إذا
+
+35
+00:02:08,450 --> 00:02:11,650
+تم تدمير للطبقة القاعدية بيصير عندنا تكوين
+
+36
+00:02:11,650 --> 00:02:16,940
+أنسجاليفيةوطبعا معناه تشوه في الجلب وعشانك طبعا
+
+37
+00:02:16,940 --> 00:02:21,880
+الدرجة الأولى مافيها أي تشوه مطلقا بل برجع الجلد
+
+38
+00:02:21,880 --> 00:02:25,340
+إلى وضعه الطبيعي كما كان مع استخدام بعض المسكنات
+
+39
+00:02:27,250 --> 00:02:32,230
+طبعا ما يميزها إحمرار طبعا ليش الإحمرار؟ بسبب تعرض
+
+40
+00:02:32,230 --> 00:02:36,350
+المنطقة لدرجة حالي .. لدرجة حرارة عالية وصار عندنا
+
+41
+00:02:36,350 --> 00:02:38,970
+اتساع شديد في الأوعي الدموية يعني أي إنسان ممكن
+
+42
+00:02:38,970 --> 00:02:41,950
+يكون بيمشي في الحر بنلاقي وجه صار محمر شوية بسبب
+
+43
+00:02:41,950 --> 00:02:45,210
+طبعا التساع لكن هذه الحرارة أعلى فبصير عندنا زيادة
+
+44
+00:02:45,210 --> 00:02:49,370
+في إحمرار المنطقة بسبب تدفق كمية كبيرة من الدم
+
+45
+00:02:49,370 --> 00:02:53,690
+طبعا تغير اللون مؤقتا بعد هيك طبعا تدرجيا برجع
+
+46
+00:02:53,690 --> 00:02:58,370
+لللون الطبيعيتورن بسيط، مافيه منه خوف، يعني
+
+47
+00:02:58,370 --> 00:03:01,310
+بالمجمل حروق الدرجة الأولى، مافيه منها أي خوف ولا
+
+48
+00:03:01,310 --> 00:03:06,390
+أي مضاعفات ولا تشوه، فيها ألم، طب ليش الألم هنا؟
+
+49
+00:03:06,390 --> 00:03:10,050
+ليش الألم؟ لأن نهايات الأعصاب اتعرضت لحرارة أعلى
+
+50
+00:03:10,050 --> 00:03:12,570
+من الشيء أو الحرارة اللي هي قادرة تتحملله أو
+
+51
+00:03:12,570 --> 00:03:17,370
+تتعرضت له، تمام؟ سواء طبعا بالبرودة أو بالحرارة،
+
+52
+00:03:17,370 --> 00:03:19,830
+بالبرودة أو بالحرارة، والدليل على ذلك، لو أنت
+
+53
+00:03:19,830 --> 00:03:23,780
+مسيكت مثلا جتع التلج لفترة بسيطة، هيصير فيه ألملكن
+
+54
+00:03:23,780 --> 00:03:26,720
+بيصير اللون باهت لإن صار عندنا كماش في الأواعي
+
+55
+00:03:26,720 --> 00:03:29,280
+الدموية، لكن العكس بالنسبة لرتفاع الحرارة اللي
+
+56
+00:03:29,280 --> 00:03:32,800
+احنا ممكن نتعرضت إلها، بيصير حمرار مع ألم، لأن
+
+57
+00:03:32,800 --> 00:03:37,320
+طبعا نهايات الأعصاب هي يعني زي قرون لاستعشعار اللي
+
+58
+00:03:37,320 --> 00:03:40,980
+ممكن من خلالها ندرك هل في حرارة أو مافي حرارة،
+
+59
+00:03:40,980 --> 00:03:43,320
+وبالتالي طبعا يكون الألم، لكن الألم احنا كون
+
+60
+00:03:43,320 --> 00:03:46,240
+جادرين عليهطبعا ممكن من الأبسط أشياء اللي هممكن
+
+61
+00:03:46,240 --> 00:03:48,900
+نتعامل معاها، اللي هي حروق الدرجة الأولى، وطبعا من
+
+62
+00:03:48,900 --> 00:03:52,300
+خصائصها أنها لا تترك أي أثر، يعني مالهاش مضاعفات،
+
+63
+00:03:52,300 --> 00:03:55,540
+ومافيش من أي خوف، طبعا في أي منطقة من مناطق الجسم
+
+64
+00:03:57,310 --> 00:04:01,730
+زي مثلا بيصير عندنا حروق درجة أولى وقد تنتقل إلى
+
+65
+00:04:01,730 --> 00:04:05,510
+حروق درجة ثانية كل ما كانت الحرارة أعلى يعني إنسان
+
+66
+00:04:05,510 --> 00:04:08,370
+مثلا بيروح على البحر بيكون لبس مثلا فلينة ولا حاجة
+
+67
+00:04:08,370 --> 00:04:11,990
+بيجي شكل الفلينة مفصل لتفصيل عليه ليه فتبع أنه
+
+68
+00:04:11,990 --> 00:04:15,700
+يتعرض لحرارة الشمس؟طبعا احنا مانعش نتكلم على
+
+69
+00:04:15,700 --> 00:04:18,480
+المضاعفات و مخاطر حرارة الشمس و فوائد برضه حرارة
+
+70
+00:04:18,480 --> 00:04:21,560
+الشمس لكن بيقول احنا من أحد الأسباب اللي ممكن
+
+71
+00:04:21,560 --> 00:04:25,220
+الإنسان يتعرض إلها أو مخاطرها ليه ضربة الشمس و
+
+72
+00:04:25,220 --> 00:04:28,300
+طبعا هيجي لإلها بالتفصيل كلام أو حروخ الدرجة
+
+73
+00:04:28,300 --> 00:04:34,430
+الأولىطيب نجي لحروق الدرجة الثانية يعني الدرجة
+
+74
+00:04:34,430 --> 00:04:38,430
+أعمق و احنا قولنا كل ما انا ذكر الدرجة معناه بيزيد
+
+75
+00:04:38,430 --> 00:04:43,090
+العمق أكتر وبالتالي هذا بتأثرلي على طبقة .. طبقة
+
+76
+00:04:43,090 --> 00:04:46,970
+البشر و طبقة الأدمى كليا و هنا طبعا بيصير عندي
+
+77
+00:04:46,970 --> 00:04:52,350
+تدمير للطبقتين هدولة و بالتالي بيصير عندي ظهور
+
+78
+00:04:52,350 --> 00:04:58,920
+اللي هي التجمعات مائيةتمام؟ وهذه التجمعات المائية
+
+79
+00:04:58,920 --> 00:05:03,460
+بتكون موجود فيها البلازمة، طبعا هي السوائد، تمام؟
+
+80
+00:05:03,460 --> 00:05:06,420
+احنا بيقول هنا يعني ال .. ال .. الاشياء دي اللي
+
+81
+00:05:06,420 --> 00:05:10,520
+ممكن يكون فيها قلم أشد، ليش صار عندى القلم أشد في
+
+82
+00:05:10,520 --> 00:05:13,180
+ال .. في ال .. في ضروري أحرق الدرجة الثانية؟ لأنه
+
+83
+00:05:13,180 --> 00:05:18,510
+صار عندى تكشفوانسلاخ لمنطقة الجلب وظهور وبروز
+
+84
+00:05:18,510 --> 00:05:22,090
+نهايات الأعصاب وبالتالي صارت معرضة للجو الخارجي
+
+85
+00:05:22,090 --> 00:05:26,810
+طبعا ما هي نهايات الأعصاب موجودة اه طب ليش مايكونش
+
+86
+00:05:26,810 --> 00:05:30,290
+فيه قلم لإن فيه طبقة حامية يعني الجدار الخارجي
+
+87
+00:05:30,290 --> 00:05:35,510
+بالنسبة للجلد هو بيقلل من الأثر الخارجي السلبي على
+
+88
+00:05:35,510 --> 00:05:39,600
+نهايات الأعصاب لكن لما يكون معرضة مباشرةللجو
+
+89
+00:05:39,600 --> 00:05:43,700
+الخارجي طبعا بكون الألم أكثر وبالتالي لو أي إنسان
+
+90
+00:05:43,700 --> 00:05:46,440
+مثلا كان عنده حروق من حروق الدرجة الثانية، هيكون
+
+91
+00:05:46,440 --> 00:05:51,040
+عنده الألم أشد، وسبب الألم أشد، لأنه صار عندي تكشف
+
+92
+00:05:51,040 --> 00:05:52,340
+لنهايات العصاب
+
+93
+00:05:57,710 --> 00:06:01,070
+طبعا أكيد بيكون عنده ألم و حمرار الفقاقية اللي
+
+94
+00:06:01,070 --> 00:06:04,830
+احنا قلنا عليها هذه ممتالها بسائل البلازمة و طبعا
+
+95
+00:06:04,830 --> 00:06:10,330
+مهم جدا إذا لم تكن يعني المنسالقة لوحدها أنا
+
+96
+00:06:10,330 --> 00:06:14,210
+بتركها كما هي و طبعا من أهم النقاط ليش بنخليها زي
+
+97
+00:06:14,210 --> 00:06:18,990
+ما هي؟ ليش مابنعملش فقائلها؟ لتلت أسباب أساسية
+
+98
+00:06:18,990 --> 00:06:25,800
+السبب الأول طبعا تقليل فرصة العدوىالسبب التاني
+
+99
+00:06:25,800 --> 00:06:30,320
+تقليل فرصة الألم لأنه حصير أنهيات العصاب مكشوفة
+
+100
+00:06:30,320 --> 00:06:35,280
+السبب التالت أن هذه البلازمة بيصير لها إعادة
+
+101
+00:06:35,280 --> 00:06:40,480
+امتصاص من خلايا الجسم والاستفادة منها وبالتالي كل
+
+102
+00:06:40,480 --> 00:06:44,460
+ما كانت مغلقة الفقاقية هذه معناه في حماية أكتر لأن
+
+103
+00:06:44,460 --> 00:06:48,860
+الجلد معناه موجود والطبقة الواقعة معناها موجودة
+
+104
+00:06:48,860 --> 00:06:51,220
+وفرصة العدوى بتكون إيش أقل
+
+105
+00:06:54,310 --> 00:06:58,830
+طبعا الصورة واضحة بالنسبة لحروق الدرجة الثانية،
+
+106
+00:06:58,830 --> 00:07:03,370
+هذه الفقاقيع وهي طبعا مغلقة، في الحالة هذه .. في
+
+107
+00:07:03,370 --> 00:07:08,330
+الحالة هذه كاسعاف أولي لا يسمح بنزع الفقاقيع،
+
+108
+00:07:08,330 --> 00:07:11,790
+تركها على ما هي، ليش؟ لأن إذا أنا نزعتها، معناه في
+
+109
+00:07:11,790 --> 00:07:15,470
+فرصة لدخول الميكروبات و العدوى، بعدين التلوث، لكن
+
+110
+00:07:15,470 --> 00:07:18,290
+إذا أنا خلت زي ما هي، معناه الجلد كما هو مغلق
+
+111
+00:07:18,290 --> 00:07:20,550
+ومافي فرصة لدخول إيش؟ الميكروبات
+
+112
+00:07:22,950 --> 00:07:26,210
+طيب، نيجي للدرجة الأعمق، لو احنا قولنا سؤال بسيط
+
+113
+00:07:26,210 --> 00:07:32,610
+جدا، هل الدرجة الثالثة أكثر ألم ولا أقل ألم؟
+
+114
+00:07:32,610 --> 00:07:39,130
+ولماذا؟ ولماذا؟ أقل ألم لأن الخرج يعني بخترق
+
+115
+00:07:39,130 --> 00:07:42,450
+الطبقة اللي .. اللي فيها الأعصاب، فالإنسان ما بشعب
+
+116
+00:07:42,450 --> 00:07:45,930
+يعني هي الأعصاب هي .. يعني مافيش فيها ألم؟ فيها
+
+117
+00:07:45,930 --> 00:07:49,250
+ألم بسبب .. ليش؟ طب من وين بيجي الألم؟ مدام ..
+
+118
+00:07:49,250 --> 00:07:49,650
+تفضلي
+
+119
+00:07:58,910 --> 00:08:04,070
+وهذا السبب بالألم الألم
+
+120
+00:08:04,070 --> 00:08:07,650
+من الحواف بكون أكتر شيء أما من مكان الحرق اللي هو
+
+121
+00:08:07,650 --> 00:08:10,810
+الحرق الدرجة الثانية الثالثة اللي طبعا بيعمل تدمير
+
+122
+00:08:10,810 --> 00:08:14,730
+للطبقة طبقة الجلد اللي هي البشرة و الأدمة وطبقة
+
+123
+00:08:14,730 --> 00:08:19,150
+الدهنية وقد يصل إلى العضلات معناه إيش صار تدمير
+
+124
+00:08:19,150 --> 00:08:22,610
+لنهايات الأعصابوطالما انه صار تدمير نهائية العصاب
+
+125
+00:08:22,610 --> 00:08:26,310
+معناه طبعا المرسل لأن في عندي ألم و مافيش ألم مش
+
+126
+00:08:26,310 --> 00:08:29,890
+موجود وبالتالي يكون الألم أقل يعني ألم الدرجة
+
+127
+00:08:29,890 --> 00:08:33,490
+الثانية أكثر من ألم الدرجة الثالثة و الدرجة
+
+128
+00:08:33,490 --> 00:08:36,710
+الثالثة فيها ألم لكن الألم غالب يكون من الحواف
+
+129
+00:08:36,710 --> 00:08:39,690
+اللي هو الحرق لأنه ممكن يكون عنده حروق من الدرجة
+
+130
+00:08:39,690 --> 00:08:43,150
+الثالثة بمعنى أن حروق الدرجة الثانية تشمل حروق
+
+131
+00:08:43,150 --> 00:08:47,690
+الأولىالأولى تشمل نفسها، حروق الدرجة الثالثة تشمل
+
+132
+00:08:47,690 --> 00:08:51,370
+التانية والأولى، لكن إيش؟ على الحواف، لكن أساسا
+
+133
+00:08:51,370 --> 00:08:55,330
+الخطورة في مركز الإصابة أو مركز الحرق وهنا بيصير
+
+134
+00:08:55,330 --> 00:08:58,450
+تدمير وطالما أنه صار أنا عندى تدمير في المنطقة
+
+135
+00:08:58,450 --> 00:09:02,650
+هذه، معناه صار فيه تشوه، معناه إيش صار فيه تشوه؟
+
+136
+00:09:02,650 --> 00:09:05,950
+أما بالنسبة لحروق الدرجة الثانية، بيصير إعادة
+
+137
+00:09:05,950 --> 00:09:11,480
+لبناء الأنسجة، لكن بدون تشوه، بيصير تلوينهنا نفرج،
+
+138
+00:09:11,480 --> 00:09:13,860
+في الحروق الدرية الأولى مافيش أي أثر، الحروق
+
+139
+00:09:13,860 --> 00:09:18,100
+الدرية الثانية بيصير تلوين ولا تحتاج إلى تجميل،
+
+140
+00:09:18,100 --> 00:09:22,020
+تحتاج إلى كريمات و مراهم للتجميل، يعني لتفتيح
+
+141
+00:09:22,020 --> 00:09:27,020
+البشرة، لإن بس بيصير عند إيش اللون داكن نوعا ماأما
+
+142
+00:09:27,020 --> 00:09:30,480
+حروق الدرجة الثالثة فتحتاج إلى عملية ترقيع أو
+
+143
+00:09:30,480 --> 00:09:34,420
+عملية تجميل بسبب تدمير الطبقة القاعدية وأيضا
+
+144
+00:09:34,420 --> 00:09:37,400
+الطبقة الدهنية وهنا بالظبط بالظبط عملية تجميل
+
+145
+00:09:37,400 --> 00:09:40,380
+وترقيع ومن هنا طبعا يصير التشوّق والخوف أكتر من
+
+146
+00:09:40,380 --> 00:09:43,620
+اللي هو حروق الدرجة الثالثة من ناحية الالتهاب، من
+
+147
+00:09:43,620 --> 00:09:48,100
+ناحية النزيف، من ناحية فرصة إمكانية تدمير المنطقة
+
+148
+00:09:48,100 --> 00:09:49,640
+وتحتاج إلى تجميل
+
+149
+00:09:59,550 --> 00:10:03,230
+طبعا هذه غالبا يا أخواتنا بيكون كمية النزيف فيها
+
+150
+00:10:03,230 --> 00:10:08,250
+أشد لإن صار عنده تدمير لأوعية دموية لنهيات عصاب
+
+151
+00:10:08,250 --> 00:10:12,130
+لأنسجة لخلايا اللي بيصارت كلها مكشوفة أو مفتوحة
+
+152
+00:10:12,130 --> 00:10:16,130
+وبإمكانية حصول كمية من الدم وعشان يقولوا احنا من
+
+153
+00:10:16,130 --> 00:10:20,010
+أخطر الأشياء اللي ممكن تصاحب نحن نتكلم عن الصدمة
+
+154
+00:10:20,010 --> 00:10:23,950
+من أكتر الأشواء الأشياء اللي ممكن موجودة في الحروق
+
+155
+00:10:23,950 --> 00:10:28,750
+نوعين من الصدمة صدمة ناتجة عن الألم الشديدو صدمة
+
+156
+00:10:28,750 --> 00:10:31,710
+ناتجة عن فقدان السوائل إذا كان طبعا مساحة كبيرة
+
+157
+00:10:31,710 --> 00:10:35,270
+وبالتالي أي إنسان بروح بث على المستشفى غالبا و
+
+158
+00:10:35,270 --> 00:10:40,650
+كبداية بيعطوه مسكن خوفا من أنه يدخل في الصدمة احنا
+
+159
+00:10:40,650 --> 00:10:43,230
+ممكن نصير نعالج الصدمة و لنعالج الحروق وبالتالي
+
+160
+00:10:43,230 --> 00:10:47,110
+الحروق ممكن يصاحبها نوعين من الصدمة صدمة ناتجة ..
+
+161
+00:10:47,110 --> 00:10:52,170
+صدمة عصبية ناتجة عن الألم الشديد و صدمة ناتجة عن
+
+162
+00:10:52,170 --> 00:10:54,530
+فقدان كمية كبيرة من السوائل إذا كان في تدمير
+
+163
+00:10:54,530 --> 00:10:56,410
+لمساحة كبيرة من العنسجة
+
+164
+00:10:59,140 --> 00:11:03,240
+طبعا هذه صورة لحروق الدرجة الثالثة كيف بيصير عندنا
+
+165
+00:11:03,240 --> 00:11:07,880
+تدمير تمام؟ تدمير و طبعا بتغير اللون الطبقة الأولى
+
+166
+00:11:07,880 --> 00:11:10,500
+و الطبقة التانية و وصلت للعضلات و هذه طبعا مشكلة
+
+167
+00:11:10,500 --> 00:11:15,560
+خطيرة جدا هذه حقيقة موجودة و كتير بيصير و يعني
+
+168
+00:11:15,560 --> 00:11:18,480
+ممكن انتوا سمعتوا انا او شفتوها لما الأم بتترك
+
+169
+00:11:18,480 --> 00:11:21,520
+تنجرة الكهربا و بيجي ابنها بيحط يدي على التنجرة
+
+170
+00:11:22,120 --> 00:11:27,180
+وحصلت حقائق مسجلة بيجي ابنها لإن الحرارة مش مبينة
+
+171
+00:11:27,180 --> 00:11:29,600
+في الطنجرة بيجي بيحط إيديه على الطنجرة وحصلتوا
+
+172
+00:11:29,600 --> 00:11:32,940
+حقائق مسجلة كتير فهنكون حرصين للحاجة دي وطبعا
+
+173
+00:11:32,940 --> 00:11:39,220
+بيجتمع اللي هو عامل الجهل وعامل الاهمال مع بعض
+
+174
+00:11:39,220 --> 00:11:43,780
+التانية حروق
+
+175
+00:11:43,780 --> 00:11:47,660
+الدرجة الرابعة يعني هي .. يعني الأمل فيها ضعيف جدا
+
+176
+00:11:48,460 --> 00:11:52,620
+لأن طبعا تصل إلى التفحم وهي طبعا خطيرة جدا جدا
+
+177
+00:11:52,620 --> 00:11:56,980
+لأنه طبعا بتدمر الطبقات كلها وخاص يا أخواتنا أخطر
+
+178
+00:11:56,980 --> 00:11:59,800
+شيء طبعا في بعض المناطق اللي هتكلم عليها احنا ..
+
+179
+00:11:59,800 --> 00:12:03,500
+بعض المناطق خطيرة جدا إذا أصيبك بالحرقة لكن لما
+
+180
+00:12:03,500 --> 00:12:07,360
+نقول .. نقول مثلا حروق في الوجه أو حروق مثلا في
+
+181
+00:12:07,360 --> 00:12:12,200
+العنق، هذه خطيرة ليش هذه خطيرة؟ ليش خطيرة أخطر من
+
+182
+00:12:12,200 --> 00:12:16,950
+غيرها؟ طبعا احنا .. عشان الجهاز التنفسيلأن طبعا
+
+183
+00:12:16,950 --> 00:12:21,190
+دائما يا أخواتنا في حالات الحروق بدنا نعرف إنه
+
+184
+00:12:21,190 --> 00:12:27,250
+ممكن يصاحب تورموالتورم هذا ممكن يعمل إغلاق لمجرى
+
+185
+00:12:27,250 --> 00:12:30,870
+التنفس وهنا بيصير كتير من بعض الأخطاء اللي بيصير
+
+186
+00:12:30,870 --> 00:12:35,590
+في البيوت إن مثلا ال M .. وطبعا برضه حالات مسجلة،
+
+187
+00:12:35,590 --> 00:12:40,010
+بيكون مثلا الفرن الغاز انطفى، تمام؟ أو مش مطفي،
+
+188
+00:12:40,010 --> 00:12:44,610
+مولع، بتروح مثلا بنت أولاد الصغير، بفتح باب الغاز
+
+189
+00:12:44,610 --> 00:12:48,690
+مرة واحدة، هيطلع هوا ساخن، الهوا الساخن هيأدي
+
+190
+00:12:48,690 --> 00:12:53,130
+لحروقحروق هتكون في الجهاز التنفسي و هتكون طبعا فيه
+
+191
+00:12:53,130 --> 00:12:55,830
+صعوبة و بالتالي نكون احنا حارسين ان الأشياء اللي
+
+192
+00:12:55,830 --> 00:13:00,470
+فيها خطر قد يصيب الكبار من الخطر نجنب الأطفال
+
+193
+00:13:00,470 --> 00:13:04,210
+التعرض له و خاصة بعض الناس تقول لأبنها و لا بنتها
+
+194
+00:13:04,210 --> 00:13:06,970
+روح يشوف في فرن الغاز حط مثلا طبخة و لا واجبة و لا
+
+195
+00:13:06,970 --> 00:13:10,350
+حاجة شوف ايه مولع و لا .. مش مولع ممكن كل فترة
+
+196
+00:13:10,350 --> 00:13:14,430
+مطفييجي الوالد من نفسه يولعه فممكن يعمل إيش حروق
+
+197
+00:13:14,430 --> 00:13:17,770
+لإن طبعا الغاز موجود داخل الفرن و تولع مرة واحدة
+
+198
+00:13:17,770 --> 00:13:20,730
+وهو طبعا يصير حتى مع الأكبر اللي لما تيجي تولع فرن
+
+199
+00:13:20,730 --> 00:13:24,710
+الغاز بتفتح كمية كبيرة من الغاز و تستخدم الجداحة
+
+200
+00:13:24,710 --> 00:13:28,290
+بتولع طبعا كله وهذا حصل برضه مهدم الأخطاء الكبيرة
+
+201
+00:13:28,290 --> 00:13:32,950
+اللي بنحاول نتجنب .. نتجنبها فضلا
+
+202
+00:13:36,950 --> 00:13:40,590
+لأ، لأ مش حروق درجة الرابعة، لكن اللي بيقول بيأدي
+
+203
+00:13:40,590 --> 00:13:43,490
+إلى ضيق في مجلة التنفس لإنه بيعمل تورم، بيعمل
+
+204
+00:13:43,490 --> 00:13:46,330
+تورم، لكن حروق الدرجة الرابعة يكون معرض لحرارة
+
+205
+00:13:46,330 --> 00:13:50,270
+عالية جدا وفي أكثر من المنطقة، تمام؟ بدأ كمان أذكر
+
+206
+00:13:50,270 --> 00:13:55,110
+إن كان حاجة خاصة لكوا أنتوا اللي هي حاولوا تكونوا
+
+207
+00:13:55,110 --> 00:13:59,290
+حارسين في التعامل مع طنجرات الضغط، هذه خطيرة جدا
+
+208
+00:13:59,290 --> 00:14:05,230
+جدا جدا وحصل حالات اتسجلتاتسجلت و طبعا ستات حاولوا
+
+209
+00:14:05,230 --> 00:14:08,530
+إنه مستعلوا في طنجرة الضغط و حصل و طنجرة تتضغط
+
+210
+00:14:08,530 --> 00:14:13,110
+طبعا لإنها مضغوطة و بخار مضغوط تمام أعلى من مية
+
+211
+00:14:13,110 --> 00:14:16,730
+فتحت الطنجرة إيجا عوجها و صدرها و يعني منطقة كبيرة
+
+212
+00:14:16,730 --> 00:14:20,350
+كمان و أثرت فيها و مع إنها ال بدكورة كنت أن معاها
+
+213
+00:14:20,350 --> 00:14:25,070
+أعطي دور لكن هي ماهتمتش للمحاضرة فطبعا الإهمال أدى
+
+214
+00:14:25,070 --> 00:14:26,010
+لأ المشكلة يعني
+
+215
+00:14:28,880 --> 00:14:32,520
+طبعا هنا اللي بنصحى اللي هي درجة التفحم يعني درجة
+
+216
+00:14:32,520 --> 00:14:36,240
+موت الأنسجة وهذا طبعا شايفين قداش؟ هذا جزء خلايا
+
+217
+00:14:36,240 --> 00:14:39,940
+ميتة كلها دى، لكن لو هذا الحرق في منطقة ال .. ال
+
+218
+00:14:39,940 --> 00:14:44,420
+.. الوجه، منطقة العنق، أخطر بكتير، لأن دايما أي
+
+219
+00:14:44,420 --> 00:14:48,380
+منطقة بعيدة عن ال .. الوجه والعنق فيها أقل ضرر لأن
+
+220
+00:14:48,380 --> 00:14:52,180
+هم مافي جهاز تنفسي إلا في منطقة الوجه والعنق
+
+221
+00:14:55,840 --> 00:15:00,240
+طيب حلقيت أخواتنا بنتكلم على خمس حاجات مهمة جدا
+
+222
+00:15:00,240 --> 00:15:05,260
+اللي هي بتأثر على مدى خطورة الحرق يعني كل مكان
+
+223
+00:15:05,260 --> 00:15:10,080
+العامل هذا موجود كل مكان الخطورة أكتر أول حاجة في
+
+224
+00:15:10,080 --> 00:15:14,420
+أنا عندي مساحة الحرق يعني كل ما كانت المساحة أكتر
+
+225
+00:15:14,420 --> 00:15:18,980
+كل مكان .. أه لكن هذا العامل لوحده لا يكفي ممكن
+
+226
+00:15:18,980 --> 00:15:22,940
+يكون مساحة درجة أولىلو اخرت مثلا الذراع كله درجة
+
+227
+00:15:22,940 --> 00:15:27,200
+أولى، مافيش خطورة، لكن إذا ارتبط مع عام الآخر أو
+
+228
+00:15:27,200 --> 00:15:29,660
+تقاطع مع عام الآخر، ممكن تكون خطورة عيشها شده،
+
+229
+00:15:29,660 --> 00:15:33,160
+طبعا هيتقاطع مع العمق، والعمق احنا قلنا يعيش
+
+230
+00:15:33,160 --> 00:15:37,500
+الدرجة، يعني لو كان عندى مساحة كبيرة مع درجة
+
+231
+00:15:37,500 --> 00:15:42,900
+تالتة، خطير جدابمعنى كل ما التقى أكتر من عامل
+
+232
+00:15:42,900 --> 00:15:45,640
+بيكون خطورة إيه أشد لكن هذه العوامل الصحية العامة
+
+233
+00:15:45,640 --> 00:15:48,960
+هي اللي بتأثر على خطورة الحرب والنتيجة السيئة اللي
+
+234
+00:15:48,960 --> 00:15:53,920
+قد تنطبق أو تكون متوقعة بالنسبة للحروب العامل
+
+235
+00:15:53,920 --> 00:15:58,510
+التالف مكان الحرقمكان الحرق هو في عنا بعض المناطق
+
+236
+00:15:58,510 --> 00:16:03,770
+يعني غالبا احنا بكون وجوب ارسال الشخص المحروق
+
+237
+00:16:03,770 --> 00:16:08,330
+للمستشفى ضروري جدا من ضمن الأماكن هذه منطقة الوجه
+
+238
+00:16:08,330 --> 00:16:12,710
+والعنق وهذا خوفه من الجهاد التنفسي تمام حاجة تانية
+
+239
+00:16:12,710 --> 00:16:18,490
+الكفين والقدمين لأن هنا ليش في منطقة هذه احنا
+
+240
+00:16:18,490 --> 00:16:22,290
+بنخافليش من الخافة الكفين و القدمين؟ مع أن ممكن
+
+241
+00:16:22,290 --> 00:16:25,950
+تكون مساحة قليل يعني مساحة الكف مساحة الفخد مساحة
+
+242
+00:16:25,950 --> 00:16:34,210
+الذراع هي أقل لكن ليش فيها خطورة أكتر؟ لأ و بتحتاج
+
+243
+00:16:34,210 --> 00:16:38,190
+لمستشفى؟
+
+244
+00:16:38,190 --> 00:16:44,250
+لأ مع كل جسم فيه عصابة لأ
+
+245
+00:16:44,250 --> 00:16:53,590
+بنجرب شوية المفاصلالذراع كله في مفصل واحد، تمام؟
+
+246
+00:16:53,590 --> 00:16:56,510
+والمفصل هذا لو صار فيه تشوّه عن المفصل الكبير، لكن
+
+247
+00:16:56,510 --> 00:17:00,910
+لأنها كونها مفاصل صغيرة، لو صار فيها كرمشة، لو صار
+
+248
+00:17:00,910 --> 00:17:04,110
+فيها تشوّه، طبعا نسميها contraction، معناه أنه صار
+
+249
+00:17:04,110 --> 00:17:07,010
+فيه .. يعني التشوّف المفصل هذا نفسه وصار فيه
+
+250
+00:17:07,010 --> 00:17:09,770
+تيابوس، معناه الإيدة أحنا أساسا يعني كل شغلنا
+
+251
+00:17:09,770 --> 00:17:13,190
+بالإيدينفلو صار فيها تهيب بسيط وبالتالي ..
+
+252
+00:17:13,190 --> 00:17:16,130
+وبالتالي هدولة ضرور جدا للمستشفى لأنه غالبا
+
+253
+00:17:16,130 --> 00:17:19,670
+هيحتاجوا لعلاج طبيعي ودائما أي إنسان بيكون عنده
+
+254
+00:17:19,670 --> 00:17:22,750
+حروق في القدمين وكافين بيكون له يعني ال .. ال ..
+
+255
+00:17:22,750 --> 00:17:26,630
+العلاج الطبيعي ضروري عشان مايصيرش تشوه، لو صار
+
+256
+00:17:26,630 --> 00:17:29,850
+تشوه قصرة العضلات، بعدين بيبدو عمليات تجميل و لا
+
+257
+00:17:29,850 --> 00:17:32,510
+.. هو مش هيموت، ومش .. بس يديه مش هيقدر يستخدم
+
+258
+00:17:32,510 --> 00:17:35,710
+الصورة الطبيعية، وبالتالي طبعا الوجه، العنق،
+
+259
+00:17:35,710 --> 00:17:38,810
+الكافين، القدمين، هدولة من أهم المناطق اللي احنا
+
+260
+00:17:38,810 --> 00:17:44,900
+بنخافعمر المصاب، لما أقول عمر المصاب، يعني أقول
+
+261
+00:17:44,900 --> 00:17:49,200
+عمر الطفل الصغير ولا شاب ولا اختيار، طبعا مين
+
+262
+00:17:49,200 --> 00:17:53,660
+اختار فيهم؟ الطفل الصغير و الكبار السن، أول حاجة
+
+263
+00:17:53,660 --> 00:17:57,220
+أنه مساحة الطفل الصغيرة، تمام؟ و المناعة ضعيفة،
+
+264
+00:17:57,220 --> 00:18:00,160
+بنسبة للكبير السن، الطبق الدهني رقيق، لأنه جلد و
+
+265
+00:18:00,160 --> 00:18:04,160
+عظم، يعني مش هيتحمل، أه؟ و بالتاني حاجة، برضه
+
+266
+00:18:04,160 --> 00:18:08,370
+المناعة ضعيفةالتالت حاجة بصفة عامة الأجهزة عنده
+
+267
+00:18:08,370 --> 00:18:12,230
+ضعيفة للمناعة لكن بالنسبة للإنسان البالغ طبعا فيه
+
+268
+00:18:12,230 --> 00:18:15,330
+قدرة التحمل أكتر و بالرغم أنه برضه عليه خطورة لكن
+
+269
+00:18:15,330 --> 00:18:18,990
+دائما بنقول احنا العمر له تأثير بالنسبة للحرق لما
+
+270
+00:18:18,990 --> 00:18:23,310
+نقول والله مثلا طفل أصيب بالذراع كله تمام بالنسبة
+
+271
+00:18:23,310 --> 00:18:26,950
+له يعني جد أصبع بالنسبة للإنسان البالغ وهنا طبعا
+
+272
+00:18:26,950 --> 00:18:29,050
+نقول العمر برضه إيش له تأثير وجود
+
+273
+00:18:34,200 --> 00:18:37,460
+ماشي بس لما يكون فيه تشوه الطب بيضل صحي الخلق
+
+274
+00:18:37,460 --> 00:18:40,040
+الجسم هيكبر لكن بيضل الأثر و كتير من الأطفال
+
+275
+00:18:40,040 --> 00:18:44,320
+الصغار انحرجوا و انعمل إليهم عملية تجميل لو كبر و
+
+276
+00:18:44,320 --> 00:18:46,540
+كان مثلا حروق درجة ثالث وما انعملش إليه عملية
+
+277
+00:18:46,540 --> 00:18:51,590
+تجميل بيضل أثر الحرق موجود لإن فيه تشوهبتطلع، احنا
+
+278
+00:18:51,590 --> 00:18:54,050
+قولنا الدرجة التالتة بتحتاج تجميل، لكن الدرجة
+
+279
+00:18:54,050 --> 00:18:57,050
+التانية مابتحتاج تجميل، لكن تحتاج عمليات تفتيح
+
+280
+00:18:57,050 --> 00:19:01,010
+للبشر .. كريمات و مراهم تفتيح للبشر أكتر من عملية
+
+281
+00:19:01,010 --> 00:19:04,430
+التجميل أخر جزء و أخر عامل وجود أمراض، أمراض زي
+
+282
+00:19:04,430 --> 00:19:07,670
+إيش مثلا الأمراض المزمنين، مثلا مرض السكر على سبيل
+
+283
+00:19:07,670 --> 00:19:11,910
+المثال أو ضعف المناعة عند إنسان، لو أصيب، معناه في
+
+284
+00:19:11,910 --> 00:19:16,140
+تأخير في فترة الشفاءهو طبعا شيء جدا مش بس عجزة
+
+285
+00:19:16,140 --> 00:19:19,580
+الحروق، حتى لو أصيب أي إنسان بأي التهاب، معناه فيه
+
+286
+00:19:19,580 --> 00:19:23,500
+تأخير على مرحلة الشفاء، فهذه العوامل هي الضرورية
+
+287
+00:19:23,500 --> 00:19:27,820
+جدا اللي من خلالها قد تكون نتيجة سيئة إذا أصيب أي
+
+288
+00:19:27,820 --> 00:19:28,980
+إنسان بالحرق
+
+289
+00:19:32,680 --> 00:19:35,320
+طيب نيجي هنا لنسبة .. هذه نسبة ضرورية جدا و
+
+290
+00:19:35,320 --> 00:19:39,220
+تحفظوها لأن طبعا غالبا يعني احنا نسأل .. نسأل فيها
+
+291
+00:19:39,220 --> 00:19:42,600
+النسب ضرورية جدا طبعا أنا جايبها صورة مختلفة شويه
+
+292
+00:19:42,600 --> 00:19:45,980
+عن الكتاب لإن هو شايفها أوضح شويه بالنسبة للنسب
+
+293
+00:19:45,980 --> 00:19:50,260
+يعني لو بدنا نجسمها طبعا هنسميها .. هنسميها قانون
+
+294
+00:19:50,260 --> 00:19:54,200
+التسعات لإن كل جزء واحد بنجسمه لتسعة في المية
+
+295
+00:19:54,200 --> 00:20:00,110
+قانون التسعاتنحفظه جسم نحنا كله 100%، تمام؟ لكن
+
+296
+00:20:00,110 --> 00:20:01,910
+المنطقة .. و هذا طبعا ليش قانون التسعات احنا
+
+297
+00:20:01,910 --> 00:20:06,150
+بنوضحهم؟ لإن في المستشفى بلزمهم عشان تحديد كمية
+
+298
+00:20:06,150 --> 00:20:09,330
+اللي هي السواء اللي بديوا يحتاجها المريض، لإن طبعا
+
+299
+00:20:09,330 --> 00:20:12,490
+و هذا القانون يا أخواتنا للكبارأحنا باهيمنا
+
+300
+00:20:12,490 --> 00:20:14,650
+الكبار، مابناش ندخل القانون .. القانون الأطفال
+
+301
+00:20:14,650 --> 00:20:19,290
+بيختلف، ليش؟ لأنه نسبة مثلا نقول مثلا الدراع،
+
+302
+00:20:19,290 --> 00:20:22,610
+العدد والساعد بال .. بالنسبة للإنسان البالغ مختلفة
+
+303
+00:20:22,610 --> 00:20:25,690
+عن الطفل الصغير، فاحنا خلينا بس نركز على الكبار
+
+304
+00:20:25,690 --> 00:20:29,390
+ومابناش طبعا نعمل لخمة كتيرة بالنسبة للأطفال
+
+305
+00:20:29,390 --> 00:20:32,890
+والكبار، نيجي نجسم القانون هذا وهذا ضرر أن نحفظه،
+
+306
+00:20:32,890 --> 00:20:37,880
+لأن احنا غالبا نجيب أسئلة فيهالرقبة والرأس، الرأس
+
+307
+00:20:37,880 --> 00:20:44,820
+والرقبة بمثل 9% من الجسم كله، تمام؟ مقدمة الصدر 9
+
+308
+00:20:44,820 --> 00:20:51,320
+%، يبقى الصدر والبطن 18%، يعني بنقول إحنا الجذع
+
+309
+00:20:51,320 --> 00:20:56,110
+الأمامي 18%تمام؟ يعني إذا أحنا سمعت في امتحان كلمة
+
+310
+00:20:56,110 --> 00:21:01,210
+الجذع الأمامي معناها 18 لكن لو جولنا الصدر لحال 9
+
+311
+00:21:01,210 --> 00:21:07,270
+والبطن 9 الجذع بيشمل الصدر و البطن تمام؟ طب الجذع
+
+312
+00:21:07,270 --> 00:21:12,910
+الخلفي اللي هو إيش منطقة الظهر تمام؟مؤخرة الصدر
+
+313
+00:21:12,910 --> 00:21:17,670
+ومؤخرة البطن هي تمانية تسعة وتسعة يعني ما نهيش
+
+314
+00:21:17,670 --> 00:21:23,570
+الذهب ككل لو قلنا كم كلمة الذهب لحالة لا مقدمة ولا
+
+315
+00:21:23,570 --> 00:21:27,870
+مؤخرة تمانت عشر يعني الجذع الأمامي تمانت عشر
+
+316
+00:21:28,740 --> 00:21:32,980
+والجدعي الخلفي 18 لكن لو احنا جزقناه وفصلنا كان
+
+317
+00:21:32,980 --> 00:21:39,020
+كلام أدق شوية منطقة الصدر 9 والبطن 9 الصدر من اعلى
+
+318
+00:21:39,020 --> 00:21:44,780
+.. ال .. ال .. الظهر من اعلى 9 ومن أسفل 9 يعني انا
+
+319
+00:21:44,780 --> 00:21:48,920
+جي الصدر عندي جديش 18 و18 تمام؟ بيجي عندي اليد ..
+
+320
+00:21:48,920 --> 00:21:51,820
+طبعا كلمة اليد هي يعني اللي بتدرس اللغة العربية
+
+321
+00:21:51,820 --> 00:21:56,340
+كلمة اليد تطلق على الذراع كله تمام؟ اه من .. بس
+
+322
+00:21:56,340 --> 00:22:00,600
+احنا بقول اليد هي كف .. هذه كفيبقى اليد تشمل الكف
+
+323
+00:22:00,600 --> 00:22:05,640
+والعضو والساعد والعضوض لكن يقول هنا اليد المقصود
+
+324
+00:22:05,640 --> 00:22:09,580
+فيها اللي هو الذراع اليد المقصود فيها الذراع أو
+
+325
+00:22:09,580 --> 00:22:13,860
+الطرف الأيمن أو الطرف الأيسر عشان نكون عارفين يعني
+
+326
+00:22:13,860 --> 00:22:19,930
+غالبا المقصود باليد مش هاديلغويا او باللغة العامية
+
+327
+00:22:19,930 --> 00:22:24,810
+نقول يد هذه لكن هي لغة تشمل الساعد و العضد و الكف
+
+328
+00:22:24,810 --> 00:22:32,150
+هذه تسمى 9% يبقى الذراع الأيمن و الذراع الأيسار 18
+
+329
+00:22:32,150 --> 00:22:37,650
+% طيب منطقة الفخذ طبعا الجبهانة فيه عندى انا الفخذ
+
+330
+00:22:37,650 --> 00:22:44,210
+و الساق يبقى الفخذ لوحده 9 و الساق 9 طيب اللي لما
+
+331
+00:22:44,210 --> 00:22:50,830
+أقول الطرف السفلي الأيمن 18الطرف السفلي الطرف
+
+332
+00:22:50,830 --> 00:22:57,210
+السفلي و الطرف العلوي طبعا عندى 18 الطرف السفلي 18
+
+333
+00:22:57,210 --> 00:23:05,230
+لكن الطرف العلوي 9 طبعا اذا فاخد ل 1 9 و الساق 9
+
+334
+00:23:05,230 --> 00:23:10,610
+لكن الطرف السفلي كله 18 طبعا عندى الناحية 18 و 18
+
+335
+00:23:10,610 --> 00:23:15,910
+منطقة العانة طبعا 1% و هي كان ابن شمال عندنا 100%
+
+336
+00:23:16,780 --> 00:23:20,360
+يعني لو جاءنا احنا كنسبة حسابية لو ذكرنا مثلا
+
+337
+00:23:20,360 --> 00:23:29,060
+الذراع كلها تمام مثلا الفخد لوحدها تسعة لكن الساق
+
+338
+00:23:29,060 --> 00:23:35,760
+مع الفخد تمانتعش الطرف السفلي تمانتعش الطرف العلوي
+
+339
+00:23:35,760 --> 00:23:42,210
+تمانتعشتسعة، تمام؟ الصدر لوحده تسعة، البطن تسعة،
+
+340
+00:23:42,210 --> 00:23:44,630
+هذه أرقام .. طب احنا مانجيبش كسور، مانجيب أرقام
+
+341
+00:23:44,630 --> 00:23:47,730
+صحية غالبا في كل الحالات، تمام؟ هذا اسمه قانون
+
+342
+00:23:47,730 --> 00:23:52,430
+التسعات طب
+
+343
+00:23:52,430 --> 00:23:57,670
+إيش أكتر حاجة منتوقع بالنسبة للحروق؟ حاجات كتيرة،
+
+344
+00:23:57,670 --> 00:24:00,270
+من ضمن الحاجات الكتيرة قبل ما نذكرها، يمكن بعض
+
+345
+00:24:00,270 --> 00:24:03,150
+الناس أكتر حاجة .. وقلنا لكوا سؤال، أكتر حاجة أنت
+
+346
+00:24:03,150 --> 00:24:07,420
+ممكن تتوقعيها في الحروق؟التشوه وهذا طبعا بيصير عند
+
+347
+00:24:07,420 --> 00:24:11,580
+بعض الناس كتير خوف من .. مجرد انه حرج بتخيل التشوه
+
+348
+00:24:11,580 --> 00:24:16,940
+الاش بديه يصير تلفوا التشوه طبعا تدمير للانسجة
+
+349
+00:24:16,940 --> 00:24:22,360
+اختناق نتيجة طبعا استنشاق غازات حارقة مش سامة
+
+350
+00:24:22,360 --> 00:24:26,120
+غازات حارقة زي ما قلنا في فرن الغاز وهذا طبعا خطير
+
+351
+00:24:26,120 --> 00:24:30,500
+جدا وبالتالي بدناش يكون عندنا أهمال مع جه الأطفال
+
+352
+00:24:30,500 --> 00:24:33,280
+يلدقوا مع بعض والطفل هو يتحمل المسؤالين يفتح الفرن
+
+353
+00:24:33,280 --> 00:24:35,080
+أو يطلع الصينية أو ما شبه ذلك
+
+354
+00:24:38,500 --> 00:24:41,440
+الصدمة زي ما حكينا طوى في أن النوع اللي يقولناه
+
+355
+00:24:41,440 --> 00:24:45,100
+الصدمة صدمة عصبية وصدمة ناتج عن فقدان السواي الأود
+
+356
+00:24:45,100 --> 00:24:51,000
+أو الدموية قد يحدث هناك تسمم بسبب دخول مواد يعني
+
+357
+00:24:51,000 --> 00:24:55,160
+من خارج جسم مع الحرق لداخل جسم وانتقال أو خاصة في
+
+358
+00:24:55,160 --> 00:24:58,180
+حروق الدرجة الثالثة عبر طيار الدم وانت مستقل أيش
+
+359
+00:24:58,180 --> 00:25:04,820
+التسمم والالتهابات إذا لم يتم علاج الحروق في نفس
+
+360
+00:25:04,820 --> 00:25:06,920
+المكان أو طبعا بالصورة الصحيحة
+
+361
+00:25:09,890 --> 00:25:13,910
+نقاط مهمة جدا هذه، أول حاجة لا تحاول إزالة أي شيء
+
+362
+00:25:13,910 --> 00:25:17,510
+مرتصق بالمنطقة المحروقة، حتى لو كان ملابس، خليه زي
+
+363
+00:25:17,510 --> 00:25:20,570
+ما هو، ليش؟ لأن إزالتها معناها هيزيد المشكلة أكتر
+
+364
+00:25:20,570 --> 00:25:26,010
+النقطة التانية، مابناش نضع أي شيء خاص للوصفات
+
+365
+00:25:26,010 --> 00:25:29,610
+الشعبية، وهو طبعا الوصفات الشعبية، يمكن بعضكم
+
+366
+00:25:29,610 --> 00:25:32,690
+بيسمع أو ما بيسمع بالنسبة للوصفات الشعبية، في
+
+367
+00:25:32,690 --> 00:25:36,710
+عندنا معجول الأسنانفي عندنا الملح، في عندنا
+
+368
+00:25:36,710 --> 00:25:41,650
+الطحين، الكلور، شرايح البطاطا، الصلصة، مية الزتون،
+
+369
+00:25:41,650 --> 00:25:46,050
+لا نحن بنسمع من الناس، يعني حسب تجربة نهد بنسمع من
+
+370
+00:25:46,050 --> 00:25:53,070
+الناس طبعا كلها مش لازمة، اه بقولش مية الزتون انا،
+
+371
+00:25:53,070 --> 00:25:58,130
+مية الزتون مش محلول الملح، محلول الصلصةفهذا طبعا
+
+372
+00:25:58,130 --> 00:26:00,090
+أشياء مش لازمة جدا، هذا طبعا الأخطاء اللي احنا
+
+373
+00:26:00,090 --> 00:26:02,630
+مابدنا إياها، اللي هي الوصفات الشعبية عدم
+
+374
+00:26:02,630 --> 00:26:07,690
+استخدامها، نقطة التالتة، لا تضع قطن، القطن لأنه
+
+375
+00:26:07,690 --> 00:26:11,490
+بيوبر وبيلتسق باله، حتى على الجروح، حتى على الجروح
+
+376
+00:26:11,490 --> 00:26:14,670
+مابنستخدمش قطن، أما ممكن نستخدم ساندويش ليه شاش في
+
+377
+00:26:14,670 --> 00:26:19,570
+داخله قطن، نهر استخدم الشريط اللاصق، يعني
+
+378
+00:26:19,570 --> 00:26:22,390
+الـblaster، لأنه خاصة حتى لو كان حروق الدرجة
+
+379
+00:26:22,390 --> 00:26:25,710
+الأولى، لما ننزعه، حيكون طبعا فيه الألم، حيكون فيه
+
+380
+00:26:25,710 --> 00:26:30,320
+الألم صحيحو هنجب طبعا لها تفقق الفقاقية خاصة
+
+381
+00:26:30,320 --> 00:26:36,260
+موجودة وين حروق الدرجة التانية التانية التانية
+
+382
+00:26:36,260 --> 00:26:40,640
+الفققية في الدرجة التانية بعدين طبعا بنهيي الشخص
+
+383
+00:26:40,640 --> 00:26:43,440
+اللي هناك للمستشفى لكن هناك بعض الحروق ممكن
+
+384
+00:26:43,440 --> 00:26:45,700
+نعليجها في البيت مثلا حروق الدرجة الأولى لكن ده
+
+385
+00:26:45,700 --> 00:26:48,660
+كان حروق خطيرة مثلا من الدرجة التانية مثلا من
+
+386
+00:26:48,660 --> 00:26:52,000
+منطقة الوجه أو منطقة مثلا الكافين وقدامين هاي طبعا
+
+387
+00:26:52,000 --> 00:26:52,960
+بلزمها المستشفى
+
+388
+00:26:56,100 --> 00:26:58,800
+ماشي أنا جيت .. انا جايكي بالاسعاف الأول لكل درجة
+
+389
+00:26:58,800 --> 00:27:00,780
+.. انا جايكي بالاسعاف الأول لكل درجة
+
+390
+00:27:04,490 --> 00:27:08,210
+طيب، حاجاتها، هنتكلم لإسعاف أولي لكل درجة، طبعا
+
+391
+00:27:08,210 --> 00:27:10,590
+باختصار بسيط جدا، بس راجزوا اللي معانا لإن طبعا
+
+392
+00:27:10,590 --> 00:27:14,130
+مهم جدا، نجري بالنسبة لحروق الدرجة الأولى، دايما
+
+393
+00:27:14,130 --> 00:27:18,490
+أخواتنا ما بتفق النار إلا الميه، فدايما نستخدم
+
+394
+00:27:18,490 --> 00:27:23,410
+احنا الميه، والميه بتكون تحت ماء جاري من عشر دقايق
+
+395
+00:27:23,410 --> 00:27:26,090
+إلى ربع ساعة، طب ليش احنا بيقولوا ما نغسلنا غسل و
+
+396
+00:27:26,090 --> 00:27:26,890
+برا و خلصنا؟
+
+397
+00:27:31,130 --> 00:27:34,850
+لأ، لأنه أنا بدي أصل للمنطقة الداخلية اللي هي
+
+398
+00:27:34,850 --> 00:27:38,350
+حرارتها عالية، لكن لو أنا .. أنا خفطت الحرارة
+
+399
+00:27:38,350 --> 00:27:41,970
+الخارجية، بعد شوية الحرارة موجودة بالداخل،
+
+400
+00:27:41,970 --> 00:27:43,970
+وبالتالي بيبقى الألم موجود، وبالتالي أنا بستخدم
+
+401
+00:27:43,970 --> 00:27:48,550
+الميه باردة، تمام؟ نبع عن التلج، نبع عن التلج،
+
+402
+00:27:48,550 --> 00:27:53,080
+تمام؟ما بدنا تكون من تلج، ميا باردة آه، تلج لأ،
+
+403
+00:27:53,080 --> 00:27:56,040
+لإن التلج بقلم، وبالتالي نقول من خمس .. من عشر
+
+404
+00:27:56,040 --> 00:27:58,620
+دقيقة إلى ربع ساعة بتاعة الماء الجارية وما تكونش
+
+405
+00:27:58,620 --> 00:28:02,980
+الميا جاوية، لإن قوة الميا قد تقلم، أمام؟ فإن احنا
+
+406
+00:28:02,980 --> 00:28:05,820
+ميا جارية من عشر دقيقة إلى ربع ساعة، ممكن نقول
+
+407
+00:28:05,820 --> 00:28:08,400
+طوال حد مافيش عنده ميا أنا، أجيب سطل أحط .. أحطي
+
+408
+00:28:08,400 --> 00:28:11,440
+المكان في السطل، مافيش مشكلة، بتكون سطل ميا، أمام؟
+
+409
+00:28:11,440 --> 00:28:14,560
+مش مجرد أني أغسل هو أجيب ملأ خلق، مش .. ما .. ما
+
+410
+00:28:14,560 --> 00:28:20,760
+بظبططبعا إذا كان من من واحد مراقبة اللي هو التنفس
+
+411
+00:28:20,760 --> 00:28:24,980
+لإن احنا قلنا قد يكون هناك تضخم في المنطقة نفسها
+
+412
+00:28:24,980 --> 00:28:29,160
+بسبب أثر الحر العالية طيب نطرح سؤال بسيط قبل أن
+
+413
+00:28:29,160 --> 00:28:33,560
+نكمل في حالة العضو المحروق بيكون رفع العضو لأعلى و
+
+414
+00:28:33,560 --> 00:28:37,620
+للأسفل حروق
+
+415
+00:28:38,750 --> 00:28:41,550
+مثلا في الذراع في الذراع في الذراع مثلا في الذراع
+
+416
+00:28:41,550 --> 00:28:45,150
+في حالات حروق مثلا الذراع نرفع المكان لأعلى ولا
+
+417
+00:28:45,150 --> 00:28:48,510
+لأسفل بالنسبة لمستوى القلب أنا بقول رفع أعلى من
+
+418
+00:28:48,510 --> 00:28:52,650
+مستوى القلب و لا أدنى من مستوى القلب و لماذا؟ أعلى
+
+419
+00:28:52,650 --> 00:28:57,510
+ولا الأسفل أتفضلي
+
+420
+00:28:57,510 --> 00:28:58,070
+تمام
+
+421
+00:29:14,890 --> 00:29:32,530
+نعم فضلا نعم نعم
+
+422
+00:29:32,530 --> 00:29:35,410
+نعم نعم نعم نعم نعم نعم نعم نعم نعم نعم نعم نعم
+
+423
+00:29:35,410 --> 00:29:35,430
+نعم نعم نعم نعم نعم نعم نعم نعم نعم نعم نعم نعم
+
+424
+00:29:35,430 --> 00:29:35,830
+نعم نعم نعم نعم نعم نعم نعم نعم نعم نعم نعم نعم
+
+425
+00:29:35,830 --> 00:29:35,850
+نعم نعم نعم نعم نعم نعم نعم نعم نعم نعم نعم نعم
+
+426
+00:29:35,850 --> 00:29:36,150
+نعم نعم نعم نعم نعم نعم نعم نعم نعم نعم نعم نعم
+
+427
+00:29:36,150 --> 00:29:36,170
+نعم نعم نعم نعم نعم نعم نعم نعم نعم نعم نعم نعم
+
+428
+00:29:36,170 --> 00:29:38,240
+نعم نعم نعم نعم نعم نعم نعم نعم نعم نعم نعم نذكرنا
+
+429
+00:29:38,240 --> 00:29:43,680
+في عندنا جروح تسمم لدغ حية، تمام؟ وفي عندنا حروق،
+
+430
+00:29:43,680 --> 00:29:47,140
+في حال الجروح قلنا لأعلى، ليش؟ عشان الدم مايزدش،
+
+431
+00:29:47,140 --> 00:29:52,060
+تمام؟ في حال تسمم الحية، لدغ الحية، لأسفل، عشان
+
+432
+00:29:52,060 --> 00:29:55,680
+نبطّ من حركة الدموية لأعلى، في حال الحروق، احنا
+
+433
+00:29:55,680 --> 00:30:00,220
+عاملا بنتكلم ونقول قد يكون مساحب ورم، الورم، انا
+
+434
+00:30:00,220 --> 00:30:03,810
+اجيبكوا مثل بسيط جدا، هاي دي مثلا بالصورة هذهالدم
+
+435
+00:30:03,810 --> 00:30:07,350
+طبعا أسهل اللي في النزول لأسفل لكن انا لو رفعت
+
+436
+00:30:07,350 --> 00:30:11,770
+اليد الأعلى بيختفي وبالتالي انا عشان اجلل الورم
+
+437
+00:30:11,770 --> 00:30:16,190
+اجيت مثال بسيط السيدة الحامل لما بيصير تورم في
+
+438
+00:30:16,190 --> 00:30:22,600
+رجليها ايش بيقولها؟ ليش؟ عشان تخف الورموبالتالي
+
+439
+00:30:22,600 --> 00:30:27,080
+دايما في حالات الحروق الرافع أعلى من مستوى القلب،
+
+440
+00:30:27,080 --> 00:30:31,400
+عشان أقلل من فرصة التورم، فاضحة؟ أعلى من مستوى
+
+441
+00:30:31,400 --> 00:30:34,160
+القلب، أه، لأنه احنا قلنا ليش بيصير عندك اقتناخ،
+
+442
+00:30:34,160 --> 00:30:39,210
+لأنه بيصير تورمفأنا لو في عندى حرق تمام بصير
+
+443
+00:30:39,210 --> 00:30:43,050
+انتفاخات حوالين وتورم فأنا عشان أقل الفرصة هذه
+
+444
+00:30:43,050 --> 00:30:47,370
+بكون أعلى من مستوى القلب عشان أسهل من عودة السوائل
+
+445
+00:30:47,370 --> 00:30:53,170
+وعودة الدم للقلب لأنه تراكم أو ركود السوائل معناه
+
+446
+00:30:53,170 --> 00:30:57,470
+انتفاخفانا بقلل من فرصة الانتفاخ هذه على إنها تعود
+
+447
+00:30:57,470 --> 00:31:00,870
+للقلب بصورة أسهل، تمام؟ يبقى لأعلى في حالة الجروح
+
+448
+00:31:00,870 --> 00:31:06,770
+وحالة الحروق، لأسفل في حالة لدغ الحي أو التسمم،
+
+449
+00:31:06,770 --> 00:31:09,690
+طبعا أعلى ولادنا يعني من مستوى القلب، أعلى من
+
+450
+00:31:09,690 --> 00:31:14,730
+مستوى القلب أو أدنى من مستوى القلب طبعا دي كان
+
+451
+00:31:14,730 --> 00:31:17,910
+يعني في ملابس بإزالتها، لكن إذا كانت مرتسقة، ممنوع
+
+452
+00:31:17,910 --> 00:31:23,020
+انزينها، زي ما قلنا أحناطبعا بعد ما ان الحروق ده
+
+453
+00:31:23,020 --> 00:31:27,160
+جتهب نغسلها ممكن نعمل تجفيفها إذا في عندنا مسكن
+
+454
+00:31:27,160 --> 00:31:31,180
+بنعطيه للشخص عن طريق الفم، تمام؟ أو إذا كان في
+
+455
+00:31:31,180 --> 00:31:34,160
+عندنا كريم، و الكريم هذا من باب الاحتياط، احنا
+
+456
+00:31:34,160 --> 00:31:37,740
+ممكن نستخدمه، لكن هي لأن المكان مغلق، مافيش فرصة
+
+457
+00:31:37,740 --> 00:31:43,300
+للتلوث، تمام؟ مافيه مفروض، بس من باب الاحتياططبعا
+
+458
+00:31:43,300 --> 00:31:47,300
+ما بتحتاجش الى مستشفى طبعا خالي بقى نكون فى البيت
+
+459
+00:31:47,300 --> 00:31:51,560
+هو طبعا بس مراقبة للشخص هذا نفسه مافيش اي مضاعفات
+
+460
+00:31:51,560 --> 00:31:58,260
+ولا خطورة زى اي درجة يعنى طب
+
+461
+00:31:58,260 --> 00:32:01,980
+هاي بعض الصور عساس ان ممكن نستخدمها ممكن نلفها
+
+462
+00:32:01,980 --> 00:32:03,660
+عساس انه من باب الاحتياط
+
+463
+00:32:09,110 --> 00:32:11,690
+إن هنخلص بس الإسعاف الأول إيه اللي هو؟ مع الساسينة
+
+464
+00:32:11,690 --> 00:32:15,170
+إن شاء الله نجي حرق الدرجة الثانية نفس الفكرة لكن
+
+465
+00:32:15,170 --> 00:32:18,830
+هنا مع عدم نزع الفقاقيع اللي اللي بيخلي الفقاقيع
+
+466
+00:32:18,830 --> 00:32:22,450
+زي ما هي مع عدم نزعها برضه مية جارية من عشر دقايق
+
+467
+00:32:22,450 --> 00:32:27,230
+لربع ساعة وهو طبعا ضرر جدا لكن هنا بيقول يعني حاجة
+
+468
+00:32:27,230 --> 00:32:33,520
+مهمة جداإنه بعد ما نجفف بستخدم .. ممكن أستخدم
+
+469
+00:32:33,520 --> 00:32:37,520
+محلول ملح، تمام؟ يعني هنا براودني فكرة إن بعض
+
+470
+00:32:37,520 --> 00:32:40,300
+الناس بيقولك أنا بتستخدم العسل، العسل أخافتنا
+
+471
+00:32:40,300 --> 00:32:43,840
+يستخدم كعلاج وليس يستخدم إسعاف أولي، يعني قلنا في
+
+472
+00:32:43,840 --> 00:32:47,300
+الإسعاف الأولي بدنا مية جارية من عشرة .. لأ مش
+
+473
+00:32:47,300 --> 00:32:50,990
+هيحرج، مش هنفكرةبدي أنا مية جارية من عشر دقيقة
+
+474
+00:32:50,990 --> 00:32:55,550
+لربع ساعة، تمام؟ ما تكونش متلجة، تكون باردة، تمام؟
+
+475
+00:32:55,550 --> 00:32:58,930
+مافيش باردة مية عادية، من عشر لربع ساعة و أضبحنا
+
+476
+00:32:58,930 --> 00:33:02,830
+الصورة هذه و عدم نزع الفقاقية، بعد تجفيف المنطقة
+
+477
+00:33:02,830 --> 00:33:06,790
+بستخدم إذا كان عندي cream مضاد حيوي أو مراهم مضاد
+
+478
+00:33:06,790 --> 00:33:12,380
+حيوي أو مراهم للحروق، بستخدم آهباستخدم .. بعد ما
+
+479
+00:33:12,380 --> 00:33:16,940
+استخدم الميّه باجفف و بأضع الـ cream للحروق أو
+
+480
+00:33:16,940 --> 00:33:22,120
+مضاد حيوي عشان أقلل فرصة التلوث مع لف المنطقة
+
+481
+00:33:22,120 --> 00:33:27,080
+بصورة طبيعية و رفعها لأعلى لأن فرصة طبعا التورم
+
+482
+00:33:27,080 --> 00:33:32,940
+هنا أكتر من حروق الدرجة الأولى، تمام؟
+
+483
+00:33:32,940 --> 00:33:36,520
+طبعا
+
+484
+00:33:36,520 --> 00:33:38,460
+من الملاحظة أننا ماستخدمش بعض الوصفات اللي احنا
+
+485
+00:33:38,460 --> 00:33:39,820
+قلنا عليها الوصفات الشعبية
+
+486
+00:33:43,680 --> 00:33:50,500
+حروق الدرجة التالتة طبعا هنا ممكن يكون يعني الخطر
+
+487
+00:33:50,500 --> 00:33:55,180
+أكتر لكن الألم أقل فرصة التلوث أكتر فرصة .. فرصة
+
+488
+00:33:55,180 --> 00:33:58,680
+النزيف أكتر وبالتالي هذه برضه استخدامة زي الدرجة
+
+489
+00:33:58,680 --> 00:34:03,180
+التانية لكن هذا لا يحبذ استخدام الماء البارد لأن
+
+490
+00:34:03,180 --> 00:34:06,900
+طبعا هذه مناطق مفتوحة والخوف طبعا من خفاة ضغط الدم
+
+491
+00:34:06,900 --> 00:34:10,190
+في المنطقة نفسهافالماء العادي أفضل، يعني بنستخدم
+
+492
+00:34:10,190 --> 00:34:14,130
+الميّه الباردة مع الأولى و الثانية، لكن لا يستخدم
+
+493
+00:34:14,130 --> 00:34:17,490
+الماء البارد مع الثالثة، تمام؟ طبعا إذا في عندنا
+
+494
+00:34:17,490 --> 00:34:20,590
+خاتم في إسورة بتم إزالتها، أحر يقولك اللي إيه
+
+495
+00:34:20,590 --> 00:34:23,910
+انتفقت؟ جُس الإسورة، مش مشكلة، جُس الخاتم، مش
+
+496
+00:34:23,910 --> 00:34:31,110
+مشكلة، لأن ليش؟ ليش؟لأنه بتعمل الظبط وانا بده أجلل
+
+497
+00:34:31,110 --> 00:34:34,090
+الورام واحنا بيقول عمال احنا نرفع العضو أعلى من
+
+498
+00:34:34,090 --> 00:34:36,510
+السوء القلب لإن إذا دلت موجودة مثلا الاسرورة ولا
+
+499
+00:34:36,510 --> 00:34:40,830
+الخاتم هسير انتفاخات شديدة كمان هضيف ملاحظة جدا
+
+500
+00:34:40,830 --> 00:34:45,270
+إنه في حال مثلا إذا إجا شخص على المستشفى وعنده
+
+501
+00:34:45,270 --> 00:34:47,690
+انتفاخات إيش بيساوي فغيركم؟ لو كان في اسرورة
+
+502
+00:34:47,690 --> 00:34:50,330
+بيشيلوها؟ لو كان في ساعة بيشيلوها؟ إيش بيعملون؟
+
+503
+00:34:50,330 --> 00:34:55,890
+بيعملوا فتحات بسيطة فتحات بسيطة في الجلد مش عميقة
+
+504
+00:34:58,120 --> 00:35:06,180
+أه يعني نقول شطب شطب شطب تمام فتحات بسيطة ليش؟ لأ
+
+505
+00:35:06,180 --> 00:35:09,300
+لأ مافيش دوة لأ مش ده لأن الجلد بحد ذاته احنا
+
+506
+00:35:09,300 --> 00:35:12,840
+عارفينه مطاطي تمام انت عندك هال .. هال football
+
+507
+00:35:12,840 --> 00:35:16,580
+ولا هال .. البلونة بتنفخيها بتنفخيها لحد معين
+
+508
+00:35:16,580 --> 00:35:21,740
+الجلد هذا تمدد لكن في انتفخات شديدة تحته فالجلد
+
+509
+00:35:21,740 --> 00:35:25,100
+هذا لما بتمدد والورم موجود معناه بيعمل على الضغط
+
+510
+00:35:25,100 --> 00:35:28,530
+.. بيعمل ضغط على الدورة الدمويةفلما نعمل احنا
+
+511
+00:35:28,530 --> 00:35:33,010
+فتحات بسيطة، بنجلل الضغط على الدور الدموية، هذا
+
+512
+00:35:33,010 --> 00:35:35,190
+طبعا داخل المستشفى، مش .. مش أن أنت تعملي أنت،
+
+513
+00:35:35,190 --> 00:35:37,750
+اللي أنت مزعج عن أيدي الشخص دلوقتي، هذا طبعا هذا
+
+514
+00:35:37,750 --> 00:35:40,810
+بيصير داخل المستشفى عشان يجلل الضغط، لما تكون أيدي
+
+515
+00:35:40,810 --> 00:35:44,130
+مثلا ملتفقة بصورة عالية، عشان طبعا يجلل الضغط على
+
+516
+00:35:44,130 --> 00:35:44,870
+إلواء الدموية
+
+517
+00:35:48,760 --> 00:35:52,620
+نصل الحروق الكيموية للمرة الجاية ان شاء الله و
+
+518
+00:35:52,620 --> 00:35:55,280
+ربنا يعطيكوا العافية و ربنا يعافيكوا و مايعرضكوا
+
+519
+00:35:55,280 --> 00:35:57,860
+لأي حرق بإذن الله تعالى شكرا و بركة الله فيكم
+
diff --git a/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/zGBcDv4x9Qw_raw.json b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/zGBcDv4x9Qw_raw.json
new file mode 100644
index 0000000000000000000000000000000000000000..fee6c4e7971b64c514d39c208a3458ea63a21c26
--- /dev/null
+++ b/PL9fwy3NUQKwbs5iCdNevE7eKvPQcWdrWJ/zGBcDv4x9Qw_raw.json
@@ -0,0 +1 @@
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