diff --git a/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/K1f_RkPh9PQ.srt b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/K1f_RkPh9PQ.srt new file mode 100644 index 0000000000000000000000000000000000000000..60c1488ccef45e0cd815f275c8fa8f5dd9f909e9 --- /dev/null +++ b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/K1f_RkPh9PQ.srt @@ -0,0 +1,1659 @@ +1 +00:00:00,940 --> 00:00:04,380 +بسم الله الرحمن الرحيم الحمد لله رب العالمين + +2 +00:00:04,380 --> 00:00:09,400 +والصلاة والسلام على أشرف المرسلين محمد عليه أفضل + +3 +00:00:09,400 --> 00:00:13,080 +الصلاة والسلام، وسيكون حديثنا إن شاء الله + +4 +00:00:13,080 --> 00:00:16,720 +عن physiotherapy and stroke conditions + +5 +00:00:16,720 --> 00:00:23,520 +في البداية خلينا نراجع فقط بعض التعريفات الخاصة بـ + +6 +00:00:23,520 --> 00:00:28,490 +stroke. Stroke is an acute loss of circulation to + +7 +00:00:28,490 --> 00:00:32,490 +an area of the brain with resultant ischemia and loss + +8 +00:00:32,490 --> 00:00:36,190 +of neuronal function. هذا أحد التعريفات عن الـ + +9 +00:00:36,190 --> 00:00:40,970 +stroke، وهو فقدان للدورة الدموية التي تغذي الـ brain. + +10 +00:00:41,340 --> 00:00:44,700 +It's a type of cardiovascular disease as it + +11 +00:00:44,700 --> 00:00:48,840 +affects arteries leading to and within the brain. + +12 +00:00:48,840 --> 00:00:55,360 +يعني هو مشكلة تصيب cardiovascular system، وقد تؤثر + +13 +00:00:55,360 --> 00:01:00,420 +بشكل أساسي أو بشكل رئيسي على الـ arteries في داخل الـ + +14 +00:01:00,420 --> 00:01:03,600 +brain أو الـ arteries التي تؤدي إلى الـ brain. + +15 +00:01:14,140 --> 00:01:19,960 +ممكن يكون السبب عبارة عن blood clotting، انسداد في + +16 +00:01:19,960 --> 00:01:25,670 +الـ artery، أو ممكن أن يحدث burst أو انفجار في هذا + +17 +00:01:25,670 --> 00:01:28,710 +الشريان أو في هذا الـ blood vessel. When that + +18 +00:01:28,710 --> 00:01:32,350 +happens, the affected region in the brain cannot get + +19 +00:01:32,350 --> 00:01:38,340 +the blood or the nutrients it needs, and cannot be + +20 +00:01:38,340 --> 00:01:43,560 +cleared of waste products it has, so it starts to + +21 +00:01:43,560 --> 00:01:47,460 +die. المشكلة تكمن في أنّه إذا انقطع الـ blood supply + +22 +00:01:47,460 --> 00:01:52,760 +نتيجة الانفجار أو نتيجة blood clot، سيتوقف وصول الـ + +23 +00:01:52,760 --> 00:01:58,020 +oxygen، سيتوقف وصول الـ nutrients لهذه المنطقة، طبعاً الـ + +24 +00:01:58,020 --> 00:02:01,940 +nutrients و الـ oxygen التي يحتاجها الجسم و + +25 +00:02:01,940 --> 00:02:07,230 +الخلايا في هذه المنطقة، وبالتالي لن يتمكن الجسم + +26 +00:02:07,230 --> 00:02:12,070 +من التخلص من الـ waste products الناتجة، فتتجمع و + +27 +00:02:12,070 --> 00:02:17,650 +يكون لها تأثير toxic effect على المنطقة، وبالتالي + +28 +00:02:17,650 --> 00:02:22,210 +ممكن أن يكون هذا سبباً أيضاً في ظهور بعض الأعراض. الآن، + +29 +00:02:22,210 --> 00:02:25,570 +يجب أن نلاحظ أن stroke هو أكثر اضطرابات + +30 +00:02:25,570 --> 00:02:30,160 +الأعصاب خطورة neurological disorder في الولايات المتحدة، + +31 +00:02:30,160 --> 00:02:35,060 +حيث يشكل 50% من جميع المرضى الذين يدخلون المستشفيات + +32 +00:02:35,060 --> 00:02:39,060 +لأمراض الأعصاب. لو جئنا + +33 +00:02:39,060 --> 00:02:41,820 +نتطلع على المرضى الذين يدخلون المستشفيات في + +34 +00:02:41,820 --> 00:02:49,150 +أمريكا، والذين يدخلون لأمراض الأعصاب، فإنّ 50% منهم + +35 +00:02:49,150 --> 00:02:53,750 +يدخلون بسبب الجلطة أو ما يتعلق بـ stroke. تسعة من + +36 +00:02:53,750 --> 00:02:57,950 +كل عشرة من ضحايا stroke أكبر من سنّ + +37 +00:02:57,950 --> 00:03:01,810 +الخمسة والخمسين. فوق الخمسة والخمسين. لو جئنا نطلع على + +38 +00:03:01,810 --> 00:03:06,550 +هؤلاء الناس الذين أصيبوا بالجلطات أو بـ stroke، فإنّ + +39 +00:03:06,550 --> 00:03:11,770 +ثلثهم سيشفى تماماً، bone recovery. الثلث الثاني + +40 +00:03:11,770 --> 00:03:16,150 +سيكون لديه إعاقة معتدلة إلى شديدة moderate to severe disability. الثلث + +41 +00:03:16,150 --> 00:03:22,130 +الثالث يموت within a coming year، في غضون سنة بعد + +42 +00:03:22,130 --> 00:03:25,390 +الجلطة أو ما بعد الـ stroke. سنة ما بعد الـ stroke + +43 +00:03:25,390 --> 00:03:31,950 +ممكن أن تؤدي إلى الوفاة. In 10 years, 65% of all + +44 +00:03:31,950 --> 00:03:37,890 +stroke survivors are dead. خلال عشر سنوات، 65% من + +45 +00:03:37,890 --> 00:03:42,710 +الناجين من stroke سيموتون. في المملكة المتحدة، + +46 +00:03:42,710 --> 00:03:46,630 +300 ألف are living with stroke-related disability. + +47 +00:03:46,630 --> 00:03:51,290 +حوالي 300 ألف شخص أو أكثر في المملكة المتحدة، حوالي + +48 +00:03:51,290 --> 00:03:55,950 +300 ألف شخص يعانون من مشاكل وإعاقات لها علاقة + +49 +00:03:55,950 --> 00:03:59,960 +بالجلطات أو بـ stroke. لو جئنا نطلع على موضوع + +50 +00:03:59,960 --> 00:04:03,560 +stroke and bone recovery. Evidence from clinical + +51 +00:04:03,560 --> 00:04:07,200 +trials support that early initiation of therapy + +52 +00:04:07,200 --> 00:04:13,500 +influences the outcome favorably. كلما كان التدخل + +53 +00:04:13,500 --> 00:04:18,400 +العلاجي، التدخل التأهيلي rehabilitation، مبكراً، كلما + +54 +00:04:18,400 --> 00:04:24,580 +كانت النتائج أفضل وأكثر، أيّ أنّها ستكون لمصلحة المريض. + +55 +00:04:31,730 --> 00:04:35,950 +إذا تأخرنا في عملية rehabilitation، فمن المحتمل أن + +56 +00:04:35,950 --> 00:04:40,650 +يُصاب المريض بمضاعفات كان من الممكن تجنبها لو + +57 +00:04:40,650 --> 00:04:45,500 +بدأنا في برنامج التأهيل مبكراً. The course of + +58 +00:04:45,500 --> 00:04:49,360 +motor recovery reaches a plateau after an early + +59 +00:04:49,360 --> 00:04:53,400 +phase of progress, or of progressive + +60 +00:04:53,400 --> 00:04:58,880 +improvement. سنلاحظ أفضل نتائج من التأهيل ومن + +61 +00:04:58,880 --> 00:05:03,740 +التدخل التأهيلي في الحالات التي بدأت برامج التأهيل + +62 +00:05:03,740 --> 00:05:08,200 +معها مبكراً. معظم + +63 +00:05:08,200 --> 00:05:14,260 +التحسين يحدث في الأشهر الثلاثة الأولى، ومعظم التحسين يحدث + +64 +00:05:14,260 --> 00:05:19,000 +بعد خمسة أشهر. سنلاحظ أنّ خلال الأشهر الثلاثة الأولى، + +65 +00:05:19,000 --> 00:05:24,200 +عملية التحسن تكون كبيرة جداً عند مرضى + +66 +00:05:24,200 --> 00:05:28,500 +stroke، وخلال الأشهر الستة الثانية أو الثلاثة + +67 +00:05:28,500 --> 00:05:33,640 +الثانية يكون أقل من الأشهر الثلاثة الأولى. وهذا لا يعني + +68 +00:05:33,640 --> 00:05:38,640 +أنّ عملية التحسن تتوقف، لكنّ الأشهر الثلاثة + +69 +00:05:38,640 --> 00:05:42,200 +الأولى تُسمّى الأشهر الثلاثة الذهبية، والتي + +70 +00:05:42,200 --> 00:05:45,420 +يحدث فيها غالبية motor recovery. و تكون + +71 +00:05:45,420 --> 00:05:50,200 +الفرصة أقل خلال الأشهر الثلاثة التالية. + +72 +00:05:50,200 --> 00:05:56,140 +After six months following onset, بعد ستة أشهر، تبدأ + +73 +00:05:56,140 --> 00:06:03,700 +فرص التحسن بالتناقص بشكل واضح، لكنّ التجارب قد تستمر خلال + +74 +00:06:03,700 --> 00:06:07,380 +فترة أطول، وفي بعض الأشخاص الذين كانوا + +75 +00:06:07,380 --> 00:06:13,600 +يخضعون للعلاج التأهيلي، سنجد أنّ في بعض الحالات، + +76 +00:06:13,600 --> 00:06:18,440 +ممكن أن تستمرّ عملية العلاج وعملية التأهيل لأكثر من + +77 +00:06:18,440 --> 00:06:26,740 +سنة، وقد تستمرّ عملية التأهيل بشكل عامّ لفترة طويلة. فلنقل أنّ + +78 +00:06:26,740 --> 00:06:33,740 +التحسن ليس بنفس الوتيرة مثل الأشهر الثلاثة الأولى أو الأشهر الستة الأولى. + +79 +00:06:33,740 --> 00:06:37,720 +Physiology of stroke recovery. الآن، كلنا نعرف + +80 +00:06:37,720 --> 00:06:44,600 +أنّ في حالات stroke، يكون brain damage موجوداً + +81 +00:06:44,600 --> 00:06:49,660 +ونعلم أنّ خلايا الـ brain لا تتعافى. irreversible. كيف إذن تحصل + +82 +00:06:49,660 --> 00:06:55,200 +عملية التحسن؟ في حال حدوث جلطة، بعد + +83 +00:06:55,200 --> 00:06:59,440 +الجلطة، يوجد كثير من النظريات + +84 +00:06:59,440 --> 00:07:04,940 +التي تفسر ما يحدث في حالات stroke، ولماذا يحدث + +85 +00:07:04,940 --> 00:07:07,600 +recovery. أولاً، خلال الـ early phase + +86 +00:07:07,600 --> 00:07:10,540 +following stroke, there is prompt initial + +87 +00:07:10,540 --> 00:07:14,940 +improvement in function as the pathologic process + +88 +00:07:14,940 --> 00:07:18,720 +in the ischemic penumbra, أو ischemic penumbra + +89 +00:07:18,720 --> 00:07:22,360 +metabolic injury, edema, hemorrhage, and blood + +90 +00:07:22,360 --> 00:07:27,460 +pressure resolve. سنلاحظ أنّ خلال الفترة الأولى من + +91 +00:07:27,460 --> 00:07:33,060 +حدوث الجلطة، تحدث بعض التغيرات في منطقة ischemic + +92 +00:07:33,060 --> 00:07:37,600 +penumbra. سنتحدث عن penumbra بالتفصيل. سنلاحظ أنّ الـ edema و الـ hemorrhage، + +93 +00:07:37,600 --> 00:07:42,040 +و blood pressure، كلّ هذه + +94 +00:07:42,040 --> 00:07:46,420 +العوامل، قد تساعد في عملية التحسن. The later ongoing + +95 +00:07:54,980 --> 00:07:58,860 +improvement in neurological function occurs by a + +96 +00:07:58,860 --> 00:08:02,720 +different set of mechanisms that allow structural + +97 +00:08:02,720 --> 00:08:07,280 +and functional reorganization within the brain. خلال + +98 +00:08:07,280 --> 00:08:13,740 +عملية التحسن، أو خلال عملية التعافي التي تحدث، سنلاحظ + +99 +00:08:13,740 --> 00:08:20,940 +أنّ هناك العديد من النظريات، أو مجموعة من النظريات، تفسر + +100 +00:08:20,940 --> 00:08:27,170 +هذا التحسن الذي يحدث. إحدى هذه النظريات هي + +101 +00:08:27,170 --> 00:08:31,130 +عملية Neuroplasticity التي قد تكون موجودة. + +102 +00:08:31,130 --> 00:08:34,310 +Currently, it's recognized that repeated + +103 +00:08:34,310 --> 00:08:37,370 +participation by patients in active physical + +104 +00:08:37,370 --> 00:08:40,890 +therapeutic programs probably provides a direct + +105 +00:08:40,890 --> 00:08:43,170 +influence on the process of functional + +106 +00:08:44,370 --> 00:08:47,130 +reorganization in the brain and enhances + +107 +00:08:47,130 --> 00:08:51,830 +neurological recovery. سنلاحظ أنّ في عملية + +108 +00:08:51,830 --> 00:08:57,190 +recovery، هناك سبب رئيسي قد يكون الـ + +109 +00:08:57,190 --> 00:09:02,170 +neuroplasticity. سنتحدث عن neuroplasticity بالتفصيل + +110 +00:09:02,170 --> 00:09:07,110 +إن شاء الله. الآن، ننتقل إلى + +111 +00:09:07,110 --> 00:09:11,030 +موضوع ischemic penumbra. أولاً، ischemic + +112 +00:09:11,030 --> 00:09:18,050 +penumbra هي منطقة من الـ brain لها + +113 +00:09:18,050 --> 00:09:24,490 +main blood supply و collateral blood + +114 +00:09:24,490 --> 00:09:30,850 +supply. الآن، لنفترض أنّ هذه المنطقة هي منطقة + +115 +00:09:30,850 --> 00:09:35,170 +penumbra. main blood supply الذي نراه + +116 +00:09:35,170 --> 00:09:41,490 +فيه thrombus في هذه المنطقة. هذه المنطقة + +117 +00:09:41,490 --> 00:09:48,990 +التي تتغذى مباشرة من main blood supply، خلال + +118 +00:09:48,990 --> 00:09:54,990 +دقائق، ستحدث فيها موت الخلايا، death، لأنّها فقدت blood supply آخر + +119 +00:09:54,990 --> 00:10:00,490 +يغذيها، وهو ما يظهر باللون الرمادي الفاتح أو الأبيض. + +120 +00:10:00,490 --> 00:10:04,510 +أما المناطق التي نراها هنا، + +121 +00:10:04,510 --> 00:10:12,970 +ذات اللون الداكن، هذه المناطق تتلقى + +122 +00:10:12,970 --> 00:10:17,330 +blood supply من main blood supply، تتغذى منها + +123 +00:10:17,330 --> 00:10:22,210 +عن طريق filtration، وتتغذى من collateral + +124 +00:10:22,210 --> 00:10:28,810 +blood supply. الآن، حال حدوث stroke، سيتسبب ذلك بـ + +125 +00:10:28,810 --> 00:10:36,650 +death للخلايا الرئيسية، main cells، الموجودة + +126 +00:10:37,540 --> 00:10:43,660 +في هذه المنطقة. هذه الخلايا ستتأثر قليلاً نتيجة قلة blood supply + +127 +00:10:43,660 --> 00:10:49,340 +وبالتالي، ستضعف الحركة، لكنّ بعد فترة، ما زال blood + +128 +00:10:49,340 --> 00:10:52,880 +supply، أو كما قلنا، collateral blood + +129 +00:10:52,880 --> 00:10:59,420 +flow، لا يزال يصلها. جزء من هدف العلاج هو + +130 +00:10:59,420 --> 00:11:03,900 +زيادة collateral blood + +131 +00:11:03,900 --> 00:11:08,460 +supply لهذه المنطقة، وبالتالي زيادة + +132 +00:11:08,460 --> 00:11:14,800 +وظيفتها functionality. إذن، ischemic penumbra، + +133 +00:11:14,800 --> 00:11:19,960 +acute occlusion، كما نرى، هو الانسداد الذي حدث + +134 +00:11:19,960 --> 00:11:24,980 +في main blood supply، سيؤدي إلى مناطق متفاوتة من + +135 +00:11:24,980 --> 00:11:29,060 +ischemia، heterogeneous regions of ischemia. ستكون هناك مناطق + +136 +00:11:31,390 --> 00:11:37,090 +متفاوتة من ischemia. المنطقة البيضاء التي نراها + +137 +00:11:37,090 --> 00:11:42,430 +حدث فيها infarction. المنطقة + +138 +00:11:42,430 --> 00:11:49,650 +ذات اللون الداكن، تأثرت الخلايا فيها قليلاً، لكنها لم تمت. لذلك، + +139 +00:11:49,650 --> 00:11:53,930 +نسميها penumbra. Local flow depends on major + +140 +00:11:58,660 --> 00:12:02,260 +arteries source and any collateral. إذا هذه + +141 +00:12:02,260 --> 00:12:06,720 +المنطقة لها، كما نرى، major blood source، + +142 +00:12:06,720 --> 00:12:10,580 +major blood supply، و collateral blood supply. + +143 +00:12:10,580 --> 00:12:16,460 +Region without flow considered as the core. إذا + +144 +00:12:16,460 --> 00:12:20,400 +هذه المنطقة التي لا تتلقى إلا main blood supply، + +145 +00:12:20,400 --> 00:12:25,000 +تسمّى core area، وسيحدث فيها + +146 +00:12:25,000 --> 00:12:32,250 +infarction. الخلايا في هذه + +147 +00:12:32,250 --> 00:12:37,030 +المنطقة ستموت خلال دقائق. Marginal perfusion، + +148 +00:12:37,030 --> 00:12:40,950 +منطقة penumbra، التي نتحدث عنها، + +149 +00:12:40,950 --> 00:12:45,170 +سيكون فيها blood + +150 +00:12:45,170 --> 00:12:51,210 +supply. Tissues can remain viable + +151 +00:12:51,210 --> 00:12:56,860 +for hours. هذه الخلايا الموجودة على margin، + +152 +00:12:56,860 --> 00:13:02,180 +ستبقى حية لساعات. العلاجات التي نقدمها + +153 +00:13:02,180 --> 00:13:07,060 +للمريض extremely + +154 +00:13:07,060 --> 00:13:11,520 +important. وهذا يوضح أهمية العلاجات التي تزيد blood + +155 +00:13:11,520 --> 00:13:16,540 +supply لهذه المنطقة، لكي يُعاد إحياء الـ viable tissue + +156 +00:13:16,540 --> 00:13:19,940 +الموجودة في penumbra، ونزيد لها blood + +157 +00:13:19,940 --> 00:13:23,620 +supply، لتعود إلى وظيفتها الطبيعية. Mechanisms + +158 +00:13:23,620 --> 00:13:27,280 +of recovery in neurological function. الآن، لو تطلعنا على + +159 +00:13:27,280 --> 00:13:30,720 +الـ mechanisms of recovery للـ + +160 +00:13:30,720 --> 00:13:34,680 +neurological problems التي قد تحدث، أولاً، + +161 +00:13:34,680 --> 00:13:38,400 +First mechanism: Resolution of harmful + +162 +00:13:38,400 --> 00:13:43,930 +local factors. وهي تعتمد على تحسين مستمر عام خلال + +163 +00:13:43,930 --> 00:13:51,510 +الأشهر الثلاثة إلى الستة الأولى. إذا التحسن الذي يحدث خلال + +164 +00:13:51,510 --> 00:13:57,930 +الأشهر الثلاثة إلى الستة الأولى، سببه في الغالب + +165 +00:13:57,930 --> 00:14:04,210 +عملية resolving of harmful local factors. قلنا إنّ خلال الـ stroke، يحدث decrease أو + +166 +00:14:04,210 --> 00:14:09,710 +انقطاع في blood supply لهذه المنطقة، يحدث إفراز toxins، و + +167 +00:14:09,710 --> 00:14:13,550 +يوجد waste products. هذه + +168 +00:14:13,550 --> 00:14:18,850 +الـ toxins و الـ waste products، بعد فترة، تختفي + +169 +00:14:18,850 --> 00:14:23,290 +resolve. وبالتالي، هذا يفسر لماذا قد يحدث + +170 +00:14:23,290 --> 00:14:29,120 +spontaneous recovery. في البداية، it includes + +171 +00:14:32,920 --> 00:14:36,800 +resolution of local edema. طبيعي، أحد الأسباب هو أنّ الـ + +172 +00:14:36,800 --> 00:14:41,520 +local edema التي حدثت في منطقة الـ stroke تبدأ بالاختفاء. + +173 +00:14:41,520 --> 00:14:46,040 +Resorption of local toxins and waste products، كما + +174 +00:14:46,040 --> 00:14:50,840 +قلنا سابقاً. Improve local circulation، تحسنت + +175 +00:14:50,840 --> 00:14:54,440 +الدورة الدموية من خلال الأدوية والعلاجات التي + +176 +00:14:55,220 --> 00:14:58,780 +قدمناها للمريض. And recovery of partially + +177 +00:14:58,780 --> 00:15:04,060 +damaged ischemic neurons. وبالتالي، الـ neurons التي + +178 +00:15:04,060 --> 00:15:09,280 +كانت فيها partial damage بدأت تستعيد عافيتها، وترجع + +179 +00:15:09,280 --> 00:15:13,480 +إلى وضعها الطبيعي. The second mechanism to explain + +180 +00:15:13,480 --> 00:15:17,180 +recovery is neuroplasticity. إذاً، الآلية الأولى هي + +181 +00:15:17,180 --> 00:15:20,960 +عملية resolving of harmful local + +182 +00:15:20,960 --> 00:15:25,380 +factors. الآلية الثانية تتحدث عن الـ + +183 +00:15:25,380 --> 00:15:30,570 +neuroplasticity، وقد تحدث مبكراً أو + +184 +00:15:30,570 --> 00:15:34,230 +متأخراً. قلنا أنّ هذه يجب أن تحدث في الأشهر الثلاثة الأولى، + +185 +00:15:34,230 --> 00:15:38,5 + +223 +00:18:31,740 --> 00:18:35,640 +by several external conditions كتير من الدراسات + +224 +00:18:36,280 --> 00:18:41,340 +بتقول إن عملية التحسن اللي بتصير من خلال الـ + +225 +00:18:41,340 --> 00:18:46,400 +Neuroplasticity بتتأثر بعدة عوامل من ضمنها الـ + +226 +00:18:46,400 --> 00:18:50,320 +Pharmacological factors عوامل بتعلق بالأدوية + +227 +00:18:50,320 --> 00:18:54,030 +والعلاجات اللي بياخدها الـ Physical Rehabilitation + +228 +00:18:54,030 --> 00:18:56,730 +والـ Electrical Stimulation والـ Environmental + +229 +00:18:56,730 --> 00:19:01,030 +Stimulation اللي بيأخدها المريض في أثناء عملية + +230 +00:19:01,030 --> 00:19:06,050 +التأهيل كلها عوامل بتساعد في عملية الـ + +231 +00:19:06,050 --> 00:19:09,010 +Neuroplasticity وكيف ممكن تصير عملية الـ + +232 +00:19:09,010 --> 00:19:12,470 +Neuroplasticity هذا باختصار فيما يتعلق بالـ + +233 +00:19:12,470 --> 00:19:16,190 +Neuroplasticity وكيف الـ Mechanism of Recovery + +234 +00:19:16,190 --> 00:19:21,980 +أفضلًا، الآن هاجي نحكي عن complications of stroke + +235 +00:19:21,980 --> 00:19:28,040 +هلاّ نجي فيه، عندنا إن مرضى الـ stroke نتيجة الوضع + +236 +00:19:28,040 --> 00:19:31,480 +الجديد اللي صار عندهم ممكن يكونوا معرضين لعدد + +237 +00:19:31,480 --> 00:19:35,360 +من الشغلات وعدد complications، البعض منها ممكن يكون + +238 +00:19:35,360 --> 00:19:41,200 +fatal، قاتل، مرضى الـ stroke نتيجة الـ bed-ridden و + +239 +00:19:41,200 --> 00:19:45,910 +الفترة الطويلة اللي بيصير فيها بدون حركة ممكن يصير + +240 +00:19:45,910 --> 00:19:50,250 +في عندهم deep venous thrombosis (DVT)، ممكن يصير في + +241 +00:19:50,250 --> 00:19:53,570 +عندهم pulmonary embolism، وهذه من الشغلات اللي ممكن + +242 +00:19:53,570 --> 00:19:57,930 +تكون قاتلة، ممكن يصير في عندهم dysphagia (difficulty + +243 +00:19:57,930 --> 00:20:01,070 +of swallowing)، ممكن يصير في عندهم aspiration + +244 +00:20:01,070 --> 00:20:05,230 +pneumonia، مشاكل لما يتعلق بالجهاز التنفسي، و + +245 +00:20:05,230 --> 00:20:09,730 +infections، chest infections، ممكن يكون عندهم + +246 +00:20:09,730 --> 00:20:13,150 +psychological problems، depression، ممكن يصير عندهم + +247 +00:20:13,150 --> 00:20:16,610 +hemiplegic painful shoulder، وهذه من المشاكل الـ + +248 +00:20:16,610 --> 00:20:21,790 +common، الـ specific برضه من المشاكل الـ common، و + +249 +00:20:21,790 --> 00:20:25,490 +الموجودة عند مرضى الـ stroke، clinical findings، + +250 +00:20:25,490 --> 00:20:30,670 +patient impairments، a patient who has sustained + +251 +00:20:30,670 --> 00:20:33,630 +a CVA may have a number of different impairments، + +252 +00:20:34,440 --> 00:20:38,300 +الدرجة التي تتعامل بها هذه المعالجة مع احتياجات المريض + +253 +00:20:38,300 --> 00:20:43,680 +تتعامل مع احتياجات المريض، تتعامل مع + +254 +00:20:43,680 --> 00:20:44,000 +احتياجات المريض، تتعامل مع احتياجات المريض، تتعامل + +255 +00:20:44,000 --> 00:20:44,320 +مع احتياجات المريض، تتعامل مع احتياجات المريض، + +256 +00:20:44,320 --> 00:20:45,680 +تتعامل مع احتياجات المريض، تتعامل مع احتياجات + +257 +00:20:45,680 --> 00:20:46,240 +المريض، تتعامل مع احتياجات المريض، تتعامل مع + +258 +00:20:46,240 --> 00:20:46,620 +احتياجات المريض، تتعامل مع احتياجات المريض، تتعامل + +259 +00:20:46,620 --> 00:20:49,180 +مع احتياجات المريض، تتعامل مع احتياجات المريض، + +260 +00:20:49,180 --> 00:20:56,020 +تتعامل + +261 +00:20:56,020 --> 00:21:01,240 +مع احتياجات المريض، تتعامل مع احتياجات المريض، تتع + +262 +00:21:01,470 --> 00:21:05,450 +الـ amount of nervous tissue damage، قداش صار في + +263 +00:21:05,450 --> 00:21:11,970 +عندي خلايا من الـ brain صار فيها damage نتيجة + +264 +00:21:11,970 --> 00:21:18,910 +الجلطة، motor impairments، المشاكل الحركية، طبعًا مش + +265 +00:21:18,910 --> 00:21:21,970 +كل المرضى بيصير، مرضى الـ stroke بيصير عندهم + +266 +00:21:21,970 --> 00:21:26,730 +hemiplegia أو hemiparesis بنفس القدر، لأ، ممكن البعض + +267 +00:21:26,730 --> 00:21:31,300 +منهم يصير في عندهم hemiplegia، أحد الأشياء الأساسية + +268 +00:21:31,300 --> 00:21:36,480 +والأكثر فائدة من جميع الإجراءات المتبعة في + +269 +00:21:36,480 --> 00:21:37,800 +المرضى + +270 +00:21:37,800 --> 00:21:39,400 + +271 +00:21:39,400 --> 00:21:43,760 + +272 +00:21:43,760 --> 00:21:43,920 + +273 +00:21:43,920 --> 00:21:44,940 + +274 +00:21:44,940 --> 00:21:48,260 + +275 +00:21:48,260 --> 00:21:54,000 + +276 +00:21:56,840 --> 00:22:01,960 +وهذه طبعًا إذا كانت الـ motor area، الـ motor cortex + +277 +00:22:01,960 --> 00:22:08,140 +affected بشكل كبير جدًا، سيكون في عندي الـ motor + +278 +00:22:08,140 --> 00:22:16,300 +findings أو الـ motor disability كبيرة حسب درجة الـ + +279 +00:22:16,300 --> 00:22:22,260 +damage اللي موجودة في الـ cortex، ممكن توصل لـ + +280 +00:22:22,260 --> 00:22:27,940 +flaccid muscle tone أو flaccidity، وبعد فترة ممكن + +281 +00:22:27,940 --> 00:22:34,190 +تطور، فلاّسيد، المقصود هنا أنه لا توجد قوة + +282 +00:22:34,190 --> 00:22:38,510 +لتحريك الطرف، ولتحريك المحرك، ستجد أن + +283 +00:22:38,510 --> 00:22:42,630 +المريض في مرحلة الفلّاسيدية لا يستطيع أن يحرك أي طرف + +284 +00:22:42,630 --> 00:22:48,510 +كما نقول بالعامية أنك لو مسكت الطرف وتركته ينزل + +285 +00:22:48,510 --> 00:22:57,910 +مباشرة بدون أي شيء يمنعه من السقوط، يعني ينزل سقوطًا حرًا + +286 +00:22:58,740 --> 00:23:05,960 +الوضع اللازم، أو الوضع المرتبط بالقوة اللازمة هو + +287 +00:23:05,960 --> 00:23:08,440 +الوضع المرتبط بالقوة، المرتبط بالقوة، المرتبط بالقوة + +288 +00:23:08,440 --> 00:23:08,580 +المرتبط بالقوة، المرتبط بالقوة، المرتبط بالقوة + +289 +00:23:08,580 --> 00:23:09,800 +المرتبط بالقوة، المرتبط بالقوة، المرتبط بالقوة + +290 +00:23:09,800 --> 00:23:09,980 +المرتبط بالقوة، المرتبط بالقوة، المرتبط بالقوة + +291 +00:23:09,980 --> 00:23:13,000 +المرتبط بالقوة، المرتبط بالقوة، المرتبط بالقوة + +292 +00:23:13,000 --> 00:23:18,700 +المرتبط، سنجد أن الـ flaccidity هي مرحلة عابرة، بعدها + +293 +00:23:18,700 --> 00:23:24,080 +المريض يبدأ يُكوّن الـ hypertonia والـ spasticity، إذا + +294 +00:23:24,080 --> 00:23:29,780 +قلنا مرحلة الـ spasticity هي المرحلة الأكثر ظهورًا مع + +295 +00:23:29,780 --> 00:23:33,980 +مرضى الـ stroke، في حين أن مرحلة الـ flaccidity هي + +296 +00:23:33,980 --> 00:23:39,640 +مرحلة مبكرة وفي المرحلة الأولى، وبعد ذلك تتطور إلى + +297 +00:23:39,640 --> 00:23:44,530 +الـ spasticity، ولِنجي نتعرف على الـ Spasticity، it is + +298 +00:23:44,530 --> 00:23:48,910 +a motor disorder characterized by exaggerated deep + +299 +00:23:48,910 --> 00:23:53,290 +tendon reflexes and increased muscle tone، هنلاقي + +300 +00:23:53,290 --> 00:23:58,370 +أن الـ Spasticity هي عبارة عن exaggerated deep + +301 +00:23:58,370 --> 00:24:02,230 +tendon reflexes، ممكن نشوفها، ممكن نشوف increase + +302 +00:24:02,230 --> 00:24:03,350 +في الـ muscle tone، + +303 +00:24:06,350 --> 00:24:11,030 +الطبيب يُشخص الـ Spasticity من خلال وجود مقاومة إضافية لحركة + +304 +00:24:11,030 --> 00:24:15,630 +الطرف، يعني كيف أنا ممكن أعرف المريض + +305 +00:24:15,630 --> 00:24:20,870 +بأجي بعمل sudden passive stretch of the limb، حاليًا + +306 +00:24:20,870 --> 00:24:25,730 +صار في عندي أنا نوع من الـ resistance في عملية الـ + +307 +00:24:25,730 --> 00:24:28,590 +movement هذه، أو لعملية الـ stretch اللي عملتها، + +308 +00:24:28,590 --> 00:24:32,530 +hyperreflexia of deep tendon reflexes، كمان ممكن + +309 +00:24:32,530 --> 00:24:36,530 +تكون موجودة في حالة الـ Spasticity، both shrink of the + +310 +00:24:36,530 --> 00:24:39,670 +extremity in flexion or extension، ممكن نتيجة + +311 +00:24:39,670 --> 00:24:43,230 +لـ spasticity الموجودة، يكون المريض يا إما في flexion + +312 +00:24:43,230 --> 00:24:48,210 +attitude أو في extension pattern، contraction of + +313 +00:24:48,210 --> 00:24:52,870 +muscles and stereotypical movement patterns called + +314 +00:24:52,870 --> 00:24:58,870 +synergies، هنلاقي أنه مرضى الـ stroke موجودين في + +315 +00:24:58,870 --> 00:25:03,750 +pattern معيّن، أو في أنماط حركية معيّنة، هذه يسمّوها + +316 +00:25:03,750 --> 00:25:08,590 +الـ synergies، لو جينا نتطلع على الـ spasticity، هناك + +317 +00:25:08,590 --> 00:25:12,950 +العديد من النظريات اللي بتشرح development of + +318 +00:25:12,950 --> 00:25:16,850 +spasticity، theories on the development of spasticity + +319 +00:25:16,850 --> 00:25:22,760 +have been evolving in research، كتابة في مجال تغيير + +320 +00:25:22,760 --> 00:25:26,680 +الحياة الحركية باستمرار، + +321 +00:25:26,680 --> 00:25:31,720 +في دراسات بتوضح الـ spasticity، وشو العوامل اللي ممكن + +322 +00:25:31,720 --> 00:25:38,120 +أنها تزيد الـ spasticity، The classic theory of + +323 +00:25:38,120 --> 00:25:42,880 +spasticity development centers around the idea that + +324 +00:25:42,880 --> 00:25:46,380 +spasticity develops in response to an upper motor + +325 +00:25:46,380 --> 00:25:52,570 +neuron injury، هنلاقي أن الحالات الـ spasticity موجودة + +326 +00:25:52,570 --> 00:25:57,070 +مع حالات الـ Upper Motor Neuron Lesion، هذه + +327 +00:25:57,070 --> 00:26:00,130 +الملاحظة، spasticity تتعامل مع الملاحظة الهرمية + +328 +00:26:00,130 --> 00:26:05,750 +للنظر، والتطور من التحكم بالحركة، + +329 +00:26:20,550 --> 00:26:24,910 +العلماء كانوا قبل ذلك يعتبرون أن الـ Spasticity + +330 +00:26:24,910 --> 00:26:27,630 +تطورت من نشاط فرط التوتر العضلي، من نشاط + +331 +00:26:27,630 --> 00:26:28,450 +فرط التوتر العضلي، من نشاط فرط التوتر العضلي، من نشاط + +332 +00:26:28,450 --> 00:26:30,610 +فرط التوتر العضلي، من نشاط فرط التوتر العضلي، أول + +333 +00:26:30,610 --> 00:26:37,140 +النظريات بتقول إن الـ Spasticity ممكن إنها تكون كُوّنت + +334 +00:26:37,140 --> 00:26:42,080 +من hyper excitability of monosynaptic stretch + +335 +00:26:42,080 --> 00:26:46,180 +reflex، كلنا احنا بنعرف الـ stretch reflex وبنعرف + +336 +00:26:46,180 --> 00:26:50,780 +الـ spinal reflex اللي حكينا عنه في سنة ثانية أيام + +337 +00:26:50,780 --> 00:26:53,860 +الـ human growth and development، this theory is + +338 +00:26:53,860 --> 00:26:55,880 +based on muscle spindle physiology، + +339 +00:27:00,340 --> 00:27:05,460 +أفرانت، أو sensory receptors، alpha motor neuron activity + +340 +00:27:05,460 --> 00:27:11,400 +in the gray matter of the spinal cord، لو جينا نطلع + +341 +00:27:11,400 --> 00:27:16,080 +على أي عضلة، هنلاقي أنه في عندنا two types of + +342 +00:27:16,080 --> 00:27:22,280 +muscle fibers، في عندنا extrafusal fibers اللي هي + +343 +00:27:22,280 --> 00:27:28,100 +موجودة في الشكل، الصورة هذه، وفي عندي الـ Intrafusal + +344 +00:27:28,100 --> 00:27:29,200 +Fibers، + +345 +00:27:32,400 --> 00:27:37,380 +لو جينا نتطلع على الـ Extrafusal fibers هنلاقيها + +346 +00:27:37,380 --> 00:27:42,880 +إنها innervated by alpha motor neurons، alpha + +347 +00:27:42,880 --> 00:27:48,420 +motor neurons، في حين أن الـ Intrafusal parts + +348 +00:27:48,420 --> 00:27:57,460 +متغذّاة، أو innervated by gamma motor neurons، لو جينا + +349 +00:27:57,460 --> 00:28:03,570 +نتطلع على الصورة هذه، شايفين قدامنا طبعًا هذه هي الـ + +350 +00:28:03,570 --> 00:28:08,670 +Extrafusal، وهذه هي الـ Intrafusal fibers، الـ + +351 +00:28:08,670 --> 00:28:13,890 +Extrafusal fibers، هاي الـ motor supply تبعها، الـ + +352 +00:28:13,890 --> 00:28:19,010 +nerve supply تبعها جاي في منطقة نسمّيها الـ alpha + +353 +00:28:19,010 --> 00:28:24,890 +motor neuron، الـ Intrafusal جاي في الـ gamma motor + +354 +00:28:24,890 --> 00:28:31,330 +neuron، center تبعها، هذا طبعًا باختصار، صورة أخرى + +355 +00:28:31,330 --> 00:28:35,550 +بتوضح الـ extrafusal fibers والـ intrafusal + +356 +00:28:35,550 --> 0:28:40,890 +fibers، طبعًا هاي، في عندي أنا الـ alpha motor + +357 +00:28:40,890 --> 00:28:46,990 +neurons وفي عندي الـ gamma motor neurons، زي ما + +358 +00:28:46,990 --> 00:28:50,910 +احنا شايفين، الـ gamma motor neurons هي اللي بتغذّي + +359 +00:28:50,910 --> 00:28:55,190 +الـ intrafusal، والـ alpha motor neurons هي اللي + +360 +00:28:55,190 --> 00:29:01,810 +بتغذّي الـ Extrafusal fibers، خلينا نتعرف على الـ + +361 +00:29:01,810 --> 00:29:06,370 +reflex arc وكيف بتصير الـ development of + +362 +00:29:06,370 --> 00:29:11,370 +spasticity، حسب ما احنا بنعرف الآن، زي ما احنا + +363 +00:29:11,370 --> 00:29:17,530 +شايفين، هاي في عندي أنا الـ spinal segment، هذه + +364 +00:29:17,530 --> 00:29:23,690 +طبعًا spinal segment، موجود فيه عندي posterior horn cell، + +365 +00:29:24,430 --> 00:29:28,770 +وموجود عندي anterior horn cell، نفس الأشياء في + +366 +00:29:28,770 --> 00:29:34,670 +الجهتين، طبعًا موجود فيه عندي هنا الـ interneuron، + +367 +00:29:34,670 --> 00:29:40,470 +وموجود عندي أنا طبعًا زي ما حكينا الـ gamma + +368 +00:29:40,470 --> 00:29:44,550 +motor neuron اللي هي موجودة في الـ intra، بتغذّي الـ + +369 +00:29:44,550 --> 00:29:45,270 +intrafusal، + +370 +00:29:47,790 --> 00:29:52,670 +الـ Extrafusal تتغذّى من خلال الـ alpha motor الـ + +371 +00:29:52,670 --> 00:29:56,570 +neuron، الآن شو اللي بيصير في عملية الـ reflex + +372 +00:29:56,570 --> 00:30:04,010 +activity؟ مجرد ما أعمل stretching للـ Extrafusal + +373 +00:30:04,010 --> 00:30:10,230 +fibers هذه، موجود في عندي أنا Golgi tendon organs، + +374 +00:30:10,230 --> 00:30:17,060 +الـ Golgi tendon organs هذه اللي موجودة زي ما احنا + +375 +00:30:17,060 --> 00:30:23,000 +شايفينها، هذه بيصير لها stimulation مباشرة، مجرد ما + +376 +00:30:23,000 --> 00:30:29,460 +تعمل stimulation على طول بتبعت الـ order تبعها + +377 +00:30:29,460 --> 00:30:35,040 +لمين؟ لـ الـ alpha motor neuron والـ gamma motor + +378 +00:30:35,040 --> 00:30:41,140 +neuron، بيصير فيهم نوع من الـ sudden contraction، من + +379 +00:30:41,140 --> 00:30:46,600 +الـ sudden contraction هذا، الـ contraction طبعًا في + +380 +00:30:46,600 --> 00:30:54,080 +نفس الوقت، جزء من الإشارة العصبية انقسم وخرج من + +381 +00:30:54,080 --> 00:30:58,000 +خلال الـ ascending neurons وراح للـ high centers في + +382 +00:30:58,000 --> 00:31:03,280 +الـ brain، في حال لما يكون في عندي مشكلة في الـ brain، + +383 +00:31:03,280 --> 00:31:07,280 +طبعًا هنا صار في عندي contraction، صار في عندي نوع + +384 +00:31:07,280 --> 00:31:12,810 +من الـ contraction، بتجي الإشارة من الـ upper motor + +385 +00:31:12,810 --> 00:31:15,830 +أو من الـ high center من الـ brain، من الـ motor + +386 +00:31:15,830 --> 00:31:20,670 +cortex وبتعمل inhibition وبتعطي أمر لهذه العضلات + +387 +00:31:20,670 --> 00:31:25,510 +اللي شدت أنه تِرخي، لكن في حالة لما يكون في عندي أنا + +388 +00:31:25,510 --> 00:31:32,150 +damage في الخلايا هذه، ما في شيء يمنع الـ stimulus + +389 +00:31:32,150 --> 00:31:38,220 +الموجودة، ما في شيء يمنع الـ relaxation اللي بيصير، لأ، + +390 +00:31:38,220 --> 00:31:45,600 +بيضل ماشي عندي أنا continuous flexion وبالتالي + +391 +00:31:45,600 --> 00:31:49,900 +هيزيد عندي الـ muscle tone وهيزيد الـ spasticity، + +392 +00:31:53,120 --> 00:31:57,500 +العمل غير المغلق للجامعة، أفرانت، أو الوضع المحرك + +393 +00:31:57,500 --> 00:32:02,200 +يعتمد على استخدام استعمال مستمر للوضع الاّفرانت، + +394 +00:32:02,200 --> 00:32:08,800 +بمعنى، الجهاز العصبي المحرك المسؤول عن بقاء العضلة في + +395 +00:32:08,800 --> 00:32:16,510 +الجهاز العصبي المحرك هو المسؤول عن بقاء العضلة في + +396 +00:32:16,510 --> 00:32:21,910 +continuous contraction وبالتالي هو السبب الرئيسي + +397 +00:32:21,910 --> 00:32:26,730 +في عملية بقاء الـ Spasticity اللي موجودة في العضلة، + +398 +00:32:26,730 --> 00:32:31,690 +لكن لو كان عندي أنا الـ high centers شغّالة، هنلاقي + +399 +00:32:31,690 --> 00:32:36,410 +أنه صار في عندي control في هذه العضلات، وصار فيها + +400 +00:32:36,410 --> 00:32:39,850 +release، in today's view of spasticity، + +401 +00:32:39,850 --> 00:32:44,460 +hypertonicity، أو فرط التوتر العضلي يُعتقد أنه يتطور + +402 +00:32:44,46 + +445 +00:36:07,410 --> 00:36:12,090 +هذه اللي هي هتعمل contraction كثير من fibers + +446 +00:36:12,090 --> 00:36:16,650 +الباحثين والدارسين بيقولوا أن الـStretch reflex + +447 +00:36:16,650 --> 00:36:24,130 +مش بالقوة الكافية عشان يعمل control للـAlpha motor + +448 +00:36:24,130 --> 00:36:28,810 +neuron زي ما إحنا شايفين الـAlpha motor neuron هذه + +449 +00:36:29,390 --> 00:36:33,370 +هذه طبعًا الـstimulus اللي جاءت نتيجة الـstretch + +450 +00:36:33,370 --> 00:36:38,030 +مش بالقدر الكافي إنها تعملها stimulation كلها + +451 +00:36:38,030 --> 00:36:42,210 +hypertonicity or increased muscle tone is believed + +452 +00:36:42,210 --> 00:36:45,830 +to develop from abnormal processing of the + +453 +00:36:45,830 --> 00:36:50,130 +afferent sensory input after stimulus reaches the + +454 +00:36:50,130 --> 00:36:54,580 +spinal cord، إذن، الإسباستيسي هي نتيجة الـ + +455 +00:36:54,580 --> 00:36:59,220 +Stimulation للـAfferent neuron أو للـAfferent + +456 +00:36:59,220 --> 00:37:04,360 +in-butt انتجارين اقترحوا أن الـDefect in + +457 +00:37:04,360 --> 00:37:07,920 +Inhibitory Modulation من مراكز قشرية أعلى + +458 +00:37:07,920 --> 00:37:13,080 +وسائل الـinterneurons تتسبب في وجود + +459 +00:37:13,080 --> 00:37:18,860 +الإسباستيسي ونتيجة الخلل اللي بيكون موجود في الـ + +460 +00:37:18,860 --> 00:37:23,560 +high center مش هيصير في عندك control في هذا الـ + +461 +00:37:23,560 --> 00:37:29,340 +Fibers وبالتالي مش هيكون في عندي أنا لسبة لـ + +462 +00:37:29,340 --> 00:37:33,880 +Flaccidity وبالتالي هيظل عندي لسبة الـSystem الآن + +463 +00:37:33,880 --> 00:37:38,120 +لو جينا نطلع على موضوع الـMuscle Tone وكيف نعمل + +464 +00:37:38,120 --> 00:37:42,380 +assessment للـMuscle Tone هنلاقي أنه الـMuscle + +465 +00:37:42,380 --> 00:37:47,180 +Tone ممكن نقيمه من خلال الـModified Ashworth + +466 +00:37:47,180 --> 00:37:52,800 +Scale، الـModified Ashworth Scale بتكون من تقريباً + +467 +00:37:52,800 --> 00:38:02,240 +من 0 لحد 4، ordinal scale is used مرتبات من 0 لـ4 + +468 +00:38:02,240 --> 00:38:08,060 +score of 0 معناه أنه no increase in muscle tone، و0 + +469 +00:38:08,060 --> 00:38:12,400 +مش معناها flaccidity، 0 معناها أنه normal muscle + +470 +00:38:12,400 --> 00:38:18,540 +tone، في حين أن 4 بتمثل severe hypertonia، وبتُمثل + +471 +00:38:18,540 --> 00:38:23,380 +rigidity، الآن لو جينا نطلع على الـModified Short + +472 +00:38:23,380 --> 00:38:30,320 +Scale ونشوف كل grade بتاعه، هنلاقي أنه في عندنا ستة + +473 +00:38:30,320 --> 00:38:35,140 +grades: صفر، واحد، واحد plus، اتنين، تلاتة، أربعة + +474 +00:38:35,140 --> 00:38:39,720 +الصفر هي الـNormal Muscle Tone أو No Increase + +475 +00:38:39,720 --> 00:38:44,600 +in Muscle Tone، واحد، في عندي slight increase in + +476 +00:38:44,600 --> 00:38:49,470 +muscle tone، وأكثر حاجة manifested by catch and + +477 +00:38:49,470 --> 00:38:53,690 +release لما يجي المريض يمسك شيء ويرخيه طبعًا + +478 +00:38:53,690 --> 00:38:59,890 +هنا بتبين الـdysbiosis، وهنلاقي أنه المريض + +479 +00:38:59,890 --> 00:39:03,790 +اللي بيجي هنا لمصر نقيمه هنلاقي أنه بعض + +480 +00:39:03,790 --> 00:39:07,410 +التقييمات بتقول أن الـpatient can grasp but cannot + +481 +00:39:07,410 --> 00:39:11,130 +release، patient can release but cannot grasp هذه + +482 +00:39:11,130 --> 00:39:15,610 +نتيجة وجود الـslight specificity اللي موجودة، one + +483 +00:39:15,610 --> 00:39:21,530 +plus slight increase in muscle tone manifested by + +484 +00:39:21,530 --> 00:39:26,910 +catch followed by minimal resistance through the + +485 +00:39:26,910 --> 00:39:28,150 +remaining + +486 +00:39:30,010 --> 00:39:34,230 +أو "through the remainder"، "less than half of the + +487 +00:39:34,230 --> 00:39:38,530 +range of motion"، يعني إذا كان المريض "one plus" ما + +488 +00:39:38,530 --> 00:39:42,730 +بييجي يعمل "catch" بيصير فيه نوع من "increase" لـ + +489 +00:39:42,730 --> 00:39:48,790 +"muscle tone" بيصير فيه "resistance" كمان "after" + +490 +00:39:48,790 --> 00:39:53,510 +أو "less than half of the range of motion" أقل من + +491 +00:39:53,510 --> 00:40:00,800 +نص الـ"range of motion"، "two" هنلاقي أنّه أكثر في + +492 +00:40:00,800 --> 00:40:06,860 +المقاومة، ممكن تحصل على مدى الحركة بسهولة في كل مجموعة + +493 +00:40:06,860 --> 00:40:12,360 +محركة، لكن ممكن تحصل على مدى الحركة بسهولة + +494 +00:40:31,970 --> 00:40:37,470 +في عندنا rigidity في الـextremities، وfull + +495 +00:40:37,470 --> 00:40:41,390 +passive range of motion cannot be achieved، هذا + +496 +00:40:41,390 --> 00:40:44,610 +بخصوص الـModified Ashworth Scale diff --git a/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/K1f_RkPh9PQ_postprocess.srt b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/K1f_RkPh9PQ_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..0b8acc757e2875e0a8c45692652244f996ca5eac --- /dev/null +++ b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/K1f_RkPh9PQ_postprocess.srt @@ -0,0 +1,1984 @@ +1 +00:00:00,940 --> 00:00:04,380 +بسم الله الرحمن الرحيم الحمد لله رب العالمين + +2 +00:00:04,380 --> 00:00:09,400 +والصلاة والسلام على أشرخ المرسلين محمد عليه أفضل + +3 +00:00:09,400 --> 00:00:13,080 +الصلاة وأكتر من التسليم حيكون حديثنا ان شاء الله + +4 +00:00:13,080 --> 00:00:16,720 +رب العالمين عن physiotherapy and stroke conditions + +5 +00:00:16,720 --> 00:00:23,520 +في البداية خلينا نراجع بس شوية تعريفات خاصة بال + +6 +00:00:23,520 --> 00:00:28,490 +strokeStroke is an acute loss of circulation to + +7 +00:00:28,490 --> 00:00:32,490 +area of the brain with resultant ischemia and loss + +8 +00:00:32,490 --> 00:00:36,190 +of neuronal function هذا أحد التعريفات عن الـ + +9 +00:00:36,190 --> 00:00:40,970 +stroke هو فقدان للدورة الدموية اللي بتغذي ال brain + +10 +00:00:41,340 --> 00:00:44,700 +It's a type of cardiovascular disease as it + +11 +00:00:44,700 --> 00:00:48,840 +affects arteries leading to and within the brain + +12 +00:00:48,840 --> 00:00:55,360 +يعني هو مشكلة تصيب cardiovascular system ممكن تأثر + +13 +00:00:55,360 --> 00:01:00,420 +بشكل أو تأثر بشكل أساسي على ال arteries في داخل ال + +14 +00:01:00,420 --> 00:01:03,600 +brain أو ال arteries اللي بتقدي إلى ال brain + +15 +00:01:14,140 --> 00:01:19,960 +ممكن يكون السبب وعبارة عن blood clotting سكر + +16 +00:01:19,960 --> 00:01:25,670 +الارترياأو ممكن صار في عندى burst أو انفجار في هذا + +17 +00:01:25,670 --> 00:01:28,710 +الشريان أو في هذا ال blood vessel when that + +18 +00:01:28,710 --> 00:01:32,350 +happens affected region in the brain cannot get + +19 +00:01:32,350 --> 00:01:38,340 +the blood or two nutrients it needsand cannot be + +20 +00:01:38,340 --> 00:01:43,560 +cleared of waste products it has so it start to + +21 +00:01:43,560 --> 00:01:47,460 +die المشكلة تكمن انه اذا انقطع ال blood supply + +22 +00:01:47,460 --> 00:01:52,760 +نتيجة الانفجار او نتيجة blood clot هيبطل يصل ال + +23 +00:01:52,760 --> 00:01:58,020 +oxygen هيبطل يصل ال nutrients لهذه المنطقة طبعا ال + +24 +00:01:58,020 --> 00:02:01,940 +nutrients و ال oxygen اللي بيحتاجهم الجسم و + +25 +00:02:01,940 --> 00:02:07,230 +الخلايا في هذه المنطقة وبالتاليمش هيقدر الجسم + +26 +00:02:07,230 --> 00:02:12,070 +يتخلص من ال waste products اللي ناتجة فبتتجمع و + +27 +00:02:12,070 --> 00:02:17,650 +هيكون لها تأثير toxic effect على المنطقة وبالتالي + +28 +00:02:17,650 --> 00:02:22,210 +ممكن هذا تكون سبب أيضا في ظهور بعض الأعراف الان + +29 +00:02:22,210 --> 00:02:25,570 +نجي نطلع حاجة انه stroke it is the most common + +30 +00:02:25,570 --> 00:02:30,160 +seriousأو neurological disorder in the United + +31 +00:02:30,160 --> 00:02:35,060 +States, comprising 50% of all patients admitted to + +32 +00:02:35,060 --> 00:02:39,060 +the hospital for neurological diseases لو جينا + +33 +00:02:39,060 --> 00:02:41,820 +نتطلع على المرضى اللي بيدخلوا في المستشفيات في + +34 +00:02:41,820 --> 00:02:49,150 +أمريكاوالشخاص اللي بيدخله للاعصاب حلالي 50% منهم + +35 +00:02:49,150 --> 00:02:53,750 +بيدخله بما يخص الجلطة أو ما يخص ال stroke تسعة من + +36 +00:02:53,750 --> 00:02:57,950 +كل عشرة of stroke victims are above the age of + +37 +00:02:57,950 --> 00:03:01,810 +fifty-five فوق الخمسة والخمسين لو جينا نطلع علي + +38 +00:03:01,810 --> 00:03:06,550 +هدول الناس اللي أصيبوا بالجلطاتأو بالـ stroke حلّك + +39 +00:03:06,550 --> 00:03:11,770 +أن تلتهم حيصير في عندهم bone recovery التلت التاني + +40 +00:03:11,770 --> 00:03:16,150 +حيكون في عندهم moderate ل severe disability التلت + +41 +00:03:16,150 --> 00:03:22,130 +التالت يموت within coming year في خلال سنة ما بعد + +42 +00:03:22,130 --> 00:03:25,390 +العملية أو ما بعد ال stroke سنة ما بعد ال stroke + +43 +00:03:25,390 --> 00:03:31,950 +ممكن يكون قدّت إلى الوفاة ال 10 years65% of all + +44 +00:03:31,950 --> 00:03:37,890 +stroke survivors are dead خلال عشر سنوات 65% من ال + +45 +00:03:37,890 --> 00:03:42,710 +stroke survivors هيكونوا توفوا في المملكة المتحدة + +46 +00:03:42,710 --> 00:03:46,630 +300 ألف are living with stroke related disability + +47 +00:03:46,630 --> 00:03:51,290 +حوالي 300 ألف شخص أو أكتر في المملكة المتحدة حوالي + +48 +00:03:51,290 --> 00:03:55,950 +300 ألف شخص يعانوا من مشاكل وإعاقات اللي لها علاقة + +49 +00:03:55,950 --> 00:03:59,960 +بالجلطات أو بال strokeلو جينا نطلع على موضوع + +50 +00:03:59,960 --> 00:04:03,560 +stroke and bone recovery evidence from clinical + +51 +00:04:03,560 --> 00:04:07,200 +trials support that yearly initiation of therapy + +52 +00:04:07,200 --> 00:04:13,500 +influenced the outcome favorably كل ما كان التدخل + +53 +00:04:13,500 --> 00:04:18,400 +العلاجي التدخل ال rehabilitation بشكل مبكر كل ما + +54 +00:04:18,400 --> 00:04:24,580 +كانت النتائج أفضل و أكتر يعني سنقول لمصلحة المريض + +55 +00:04:31,730 --> 00:04:35,950 +إذا اتأخرنا في عملية الـrehabilitation، حلاجي أن + +56 +00:04:35,950 --> 00:04:40,650 +المريض صار فيه عنده مضاعفات، ممكن كان تجاوزها لو + +57 +00:04:40,650 --> 00:04:45,500 +بدأنا في برنامج التأهيل بشكل مبكرThe course of + +58 +00:04:45,500 --> 00:04:49,360 +motor recovery reaches a plateau after an early + +59 +00:04:49,360 --> 00:04:53,400 +phase of progress important أو of progressive + +60 +00:04:53,400 --> 00:04:58,880 +improvement هنلاقي أفضل نتائج من التأهيل ومن + +61 +00:04:58,880 --> 00:05:03,740 +التدخل التأهيل للحالات اللي بدأ معها برامج التأهيل + +62 +00:05:03,740 --> 00:05:08,200 +أو اللي بدأ معها برامج التأهيل بشكل مبكرمعظم + +63 +00:05:08,200 --> 00:05:14,260 +التحسين يحدث في الأول ثلاث أشهر ومعظم التحسين يحدث + +64 +00:05:14,260 --> 00:05:19,000 +بعد خمس أشهر حلاقي أنه خلال التلت شهور الأولى + +65 +00:05:19,000 --> 00:05:24,200 +عملية التحسن بتكون بشكل كبير جدا عند مرضى ال + +66 +00:05:24,200 --> 00:05:28,500 +stroke وخلال الست شهور التانية أو التلت شهور + +67 +00:05:28,500 --> 00:05:33,640 +التانية بيكون أقل من التلت شهور الأولىوهذا لا يعني + +68 +00:05:33,640 --> 00:05:38,640 +انه بتوقف عملية التحسن لكن خلينا نقول ان التلت + +69 +00:05:38,640 --> 00:05:42,200 +شهور الأولى هي بيسموها التلت شهور الذهبية واللي + +70 +00:05:42,200 --> 00:05:45,420 +بيكون غالبية ال motor recovery اللي بيصير فيها + +71 +00:05:45,420 --> 00:05:50,200 +بتكون الفرصة أقل في خلال التلت شهور اللي بعدهم + +72 +00:05:50,200 --> 00:05:56,140 +after six months following onset بعد ست شهور بتبدأ + +73 +00:05:56,140 --> 00:06:03,700 +اتقل فرص التحسن بشكل واضحلكن التجارب قد تستمر خلال + +74 +00:06:03,700 --> 00:06:07,380 +فترة أكتر من الوقت، وفي بعض الأشخاص الذين كانوا + +75 +00:06:07,380 --> 00:06:13,600 +مستخدمين محاولة التحقيق، سنجد أنه في بعض الحالات، + +76 +00:06:13,600 --> 00:06:18,440 +ممكن تستمر عملية العلاج وعملية التأهيل أكتر من + +77 +00:06:18,440 --> 00:06:26,740 +سنة، وممكن تظلها عملية التحقيق عامة طويلة،خلّيني + +78 +00:06:26,740 --> 00:06:33,740 +أقول إن التحسن ليس مثل أول تلت شهور أو أول ست شهور + +79 +00:06:33,740 --> 00:06:37,720 +باثوف السيولوجيا of stroke recovery الان كلنا نعرف + +80 +00:06:37,720 --> 00:06:44,600 +أن في حالات الـ stroke الـ brain damage يكون موجود + +81 +00:06:44,600 --> 00:06:49,660 +ونعرف أن خلايا الـ brain irreversible طب كيف تحصل + +82 +00:06:49,660 --> 00:06:55,200 +عملية التحسن؟في حال ما يصير عندي أنا أو بعد + +83 +00:06:55,200 --> 00:06:59,440 +الجلطان طبعا في هذا الموضوع في كتير من النظريات + +84 +00:06:59,440 --> 00:07:04,940 +بتفسر شو اللي بيصير مع حالات الـ stroke وليش بيصير + +85 +00:07:04,940 --> 00:07:07,600 +الـ recovery أول شيء خلال الـ early phase + +86 +00:07:07,600 --> 00:07:10,540 +following stroke there is prompt initial + +87 +00:07:10,540 --> 00:07:14,940 +improvement in functionas the pathologic process + +88 +00:07:14,940 --> 00:07:18,720 +in the penumbra ischemic أو ischemic penumbra + +89 +00:07:18,720 --> 00:07:22,360 +metabolic injury edema hemorrhage and blood + +90 +00:07:22,360 --> 00:07:27,460 +pressure resolve حلاجي أنه خلال الفترة الأولى من + +91 +00:07:27,460 --> 00:07:33,060 +حدوث الجلطة بصير بعض التغيرات في منطقة ال ischemic + +92 +00:07:33,060 --> 00:07:37,600 +penumbra عندنا هنحكي فيها ال penumbra بشكل من + +93 +00:07:37,600 --> 00:07:42,040 +التفصيل حلاجي أنهالـ Edema و الـ Hemorrhage اللي + +94 +00:07:42,040 --> 00:07:46,420 +كانت في المنطقة الـ Blood Pressure اللي كان كل هذه + +95 +00:07:46,420 --> 00:07:54,980 +عوامل ممكن تساعد في عملية العنك The later ongoing + +96 +00:07:54,980 --> 00:07:58,860 +improvement in neurological function occurs by a + +97 +00:07:58,860 --> 00:08:02,720 +different set of mechanism that allows structural + +98 +00:08:02,720 --> 00:08:07,280 +and functionalreorganization within the brain خلال + +99 +00:08:07,280 --> 00:08:13,740 +عملية التحسن أو خلال عملية التحسن اللي بتصير هلاجي + +100 +00:08:13,740 --> 00:08:20,940 +ان في عندى عدة نظريات أو مجموعة من نظريات بتفسر + +101 +00:08:20,940 --> 00:08:27,170 +هذا التحسن اللي بيصيرمواحدة من هذه النظريات اللي + +102 +00:08:27,170 --> 00:08:31,130 +هي عملية الـ Neuroplasticity اللي ممكن يكون موجودة + +103 +00:08:31,130 --> 00:08:34,310 +Currently, it's recognized that repeated + +104 +00:08:34,310 --> 00:08:37,370 +participation by patients in active physical + +105 +00:08:37,370 --> 00:08:40,890 +therapeutic programs probably provide direct + +106 +00:08:40,890 --> 00:08:43,170 +influence on the process of functional + +107 +00:08:44,370 --> 00:08:47,130 +reorganization in the brain and enhances + +108 +00:08:47,130 --> 00:08:51,830 +neurological recovery حلاجة إنه في عملية الـ + +109 +00:08:51,830 --> 00:08:57,190 +recovery بيكون في عنا أحد الأسباب ممكن يكون الـ + +110 +00:08:57,190 --> 00:09:02,170 +neuroplasticity حنحكي عن الـ neuroplasticity بشيء + +111 +00:09:02,170 --> 00:09:07,110 +من التفصيل إن شاء الله رب العالمين الآن نيجي + +112 +00:09:07,110 --> 00:09:11,030 +لموضوع الـ ischemic penumbra أولا الـ ischemic + +113 +00:09:11,030 --> 00:09:18,050 +penumbra هي عبارة عن منطقةمن الـ brain فيه إلها + +114 +00:09:18,050 --> 00:09:24,490 +main blood supply وفيه إلها collateral blood + +115 +00:09:24,490 --> 00:09:30,850 +supply الآن لو افترضنا إن هذه المنطقة هي هذه منطقة + +116 +00:09:30,850 --> 00:09:35,170 +الـ penumbra ال main blood supply اللي إحنا + +117 +00:09:35,170 --> 00:09:41,490 +شايفينه صار فيه thrombus في المنطقة هذههذه المنطقة + +118 +00:09:41,490 --> 00:09:48,990 +اللي بتتغذى مباشرة من ال main blood supply خلال + +119 +00:09:48,990 --> 00:09:54,990 +دقائق بيكون صار فيها death مايلها blood supply أخر + +120 +00:09:54,990 --> 00:10:00,490 +يغذيها اللي باللون تقريبا الرماد الفاتح أو الأبيض + +121 +00:10:00,490 --> 00:10:04,510 +في حين أن المناطق اللي زي ما احنا شايفينها هذه + +122 +00:10:04,510 --> 00:10:12,970 +اللي باللون الأكثر يعني داكنة قليلاهذه طبعا بتاخد + +123 +00:10:12,970 --> 00:10:17,330 +blood supply من الـ main blood supply تتغذى منها + +124 +00:10:17,330 --> 00:10:22,210 +عن طريق ال filtration و بتتغذى من ال collateral + +125 +00:10:22,210 --> 00:10:28,810 +blood supply الآن أول ما صار ال stroke صار في عندي + +126 +00:10:28,810 --> 00:10:36,650 +death في ال main cells ال main cells اللي موجودة + +127 +00:10:37,540 --> 00:10:43,660 +هذه الخلايا اتأثرت قليلاً نتيجة قلة blood supply + +128 +00:10:43,660 --> 00:10:49,340 +وبالتالي هيضعف الحركة لكن بعد فترة لسه blood + +129 +00:10:49,340 --> 00:10:52,880 +supply الـ margin أو كنا نقول الكلاتر الـ blood + +130 +00:10:52,880 --> 00:10:59,420 +flow لسه لازال بجدّيها جزء من هدف أو هدف من أهداف + +131 +00:10:59,420 --> 00:11:03,900 +العملية العلاجية أن نزودالـ Collateral Blood + +132 +00:11:03,900 --> 00:11:08,460 +Supply لهذه المنطقة وبالتالي بنزود من الـ + +133 +00:11:08,460 --> 00:11:14,800 +Functionality تبعتها إذن الـ Ischemic Menumbra + +134 +00:11:14,800 --> 00:11:19,960 +Acute Occlusion زي ما حشايفين هي الإغلاق اللي صار + +135 +00:11:19,960 --> 00:11:24,980 +في الـ Main Blood Supply حيسووا عندى Heterogeneous + +136 +00:11:24,980 --> 00:11:29,060 +Regions of Ischemia صار فيه عندى مناطق + +137 +00:11:31,390 --> 00:11:37,090 +متفاوتة من الـ ischemia المنطقة البيضة اللي احنا + +138 +00:11:37,090 --> 00:11:42,430 +شايفينها طبعا بيكون صار فيها infarction المنطقة + +139 +00:11:42,430 --> 00:11:49,650 +اللي باللون الداكن هذه طبعا صار فيها اقل يعني اثرت + +140 +00:11:49,650 --> 00:11:53,930 +الخلايا لكن ما ماتت الخلايا اللي موجودة فعشان هيك + +141 +00:11:53,930 --> 00:11:58,660 +بنسميها PenumbraLocal flow depends on major + +142 +00:11:58,660 --> 00:12:02,260 +arteries source and any collateral، إذا هذه + +143 +00:12:02,260 --> 00:12:06,720 +المنطقة فيها إلها، كما نرى، major blood source، + +144 +00:12:06,720 --> 00:12:10,580 +major blood source وفيه collateral blood source + +145 +00:12:10,580 --> 00:12:16,460 +Region without flow considered as the core، إذا + +146 +00:12:16,460 --> 00:12:20,400 +هذه المنطقة اللي ما إلها إلا ال main blood supply، + +147 +00:12:20,400 --> 00:12:25,000 +هذه بيسموها ال core area وبالتالي هيصير فيها + +148 +00:12:25,000 --> 00:12:32,250 +infarctionالخلايا في هذه + +149 +00:12:32,250 --> 00:12:37,030 +المنطقة هتموت خلال دقائق الـ Marginal Perfusion + +150 +00:12:37,030 --> 00:12:40,950 +منطقة الـ Penumbra هذه اللي احنا موجودين فيها و + +151 +00:12:40,950 --> 00:12:45,170 +بنحكي عنها هذه هيصير فيها كلها ترى الـ blood + +152 +00:12:45,170 --> 00:12:51,210 +supply tissues can remain viable + +153 +00:12:51,210 --> 00:12:56,860 +for hours هذه الخلايا اللي على ال marginهنلاقيها + +154 +00:12:56,860 --> 00:13:02,180 +انه دلت حيا ممكن لساعات العلاجات اللي احنا بنعطيها + +155 +00:13:02,180 --> 00:13:07,060 +للمريض is extremely + +156 +00:13:07,060 --> 00:13:11,520 +important وهذا بوضح همية العلاجات اللي بتزود blood + +157 +00:13:11,520 --> 00:13:16,540 +supply لهذا المنطقة عشانالـ Viable tissue اللي دلت + +158 +00:13:16,540 --> 00:13:19,940 +موجودة في الـ Penumbra نعاود نزودلها لـ Blood + +159 +00:13:19,940 --> 00:13:23,620 +supply وترجع للـ Normal function تبعها Mechanisms + +160 +00:13:23,620 --> 00:13:27,280 +of Recovery in Neurological Function إذا نيجي الأن + +161 +00:13:27,280 --> 00:13:30,720 +نتطلع على الـ Mechanism of Recovery للـ + +162 +00:13:30,720 --> 00:13:34,680 +Neurological Problems اللي ممكن تصير أول حاجة + +163 +00:13:34,680 --> 00:13:38,400 +First Mechanism عن طريق Resolution of Harmful + +164 +00:13:38,400 --> 00:13:43,930 +Local Factorsوالتي تعتمد على تحسين مستمر عام في + +165 +00:13:43,930 --> 00:13:51,510 +الأول 3 إلى 6 أشهر إذا التحسن اللي بيصير خلال + +166 +00:13:51,510 --> 00:13:57,930 +الأول 3 إلى 6 شهور في الغالب أحد أسبابه بتكون + +167 +00:13:57,930 --> 00:14:04,210 +عملية الـ Resolving of harmful local factors أحنا + +168 +00:14:04,210 --> 00:14:09,710 +قلنا إن خلال الـ Strokeصار في عندي decrease أو + +169 +00:14:09,710 --> 00:14:13,550 +انقطاع للـ blood supply لهذه المنطقة صار في عندي + +170 +00:14:13,550 --> 00:14:18,850 +toxic أو toxins بتنفرز وفي عندي waste products هذه + +171 +00:14:18,850 --> 00:14:23,290 +ال toxins و ال waste products بعد فترة بيصير لها + +172 +00:14:23,290 --> 00:14:29,120 +عملية resolvingوبالتالي هذه بتوضح ليش ممكن يصير في + +173 +00:14:29,120 --> 00:14:32,920 +عيني spontaneous recovery في أولها it includes + +174 +00:14:32,920 --> 00:14:36,800 +resolution of local edema طبيعي أحد الأسباب أن ال + +175 +00:14:36,800 --> 00:14:41,520 +local edema اللي صارت في منطقة ال stroke بدأت تخف + +176 +00:14:41,520 --> 00:14:46,040 +resorption of local toxins and waste products زي + +177 +00:14:46,040 --> 00:14:50,840 +ما قلنا قبل شوية improve local circulation تحسنت + +178 +00:14:50,840 --> 00:14:54,440 +الدورة الدموية خلال الأدوية والعلاجات اللي احنا + +179 +00:14:55,220 --> 00:14:58,780 +أعطينا أهل المريض and recovery of partially + +180 +00:14:58,780 --> 00:15:04,060 +damaged ischemic neuronوبالتالي الـ neurons اللي + +181 +00:15:04,060 --> 00:15:09,280 +كان فيها partial damage بدت تستعيد عافيتها وترجع + +182 +00:15:09,280 --> 00:15:13,480 +لوضعها الطبيعي الـ second mechanism to explain + +183 +00:15:13,480 --> 00:15:17,180 +recovery is neuroplasticity إذا الميكانيزم الأولى + +184 +00:15:17,180 --> 00:15:20,960 +أنه عملية resolution أو resolving of harmful local + +185 +00:15:20,960 --> 00:15:25,380 +factors النظرية التانية اللي بتحكي عن الـ + +186 +00:15:25,380 --> 00:15:30,570 +neuroplasticity وممكن إنها تاخددورها yearly or + +187 +00:15:30,570 --> 00:15:34,230 +late هذه اللي قلنا هي لازم تكون في أول تلت شهور + +188 +00:15:34,230 --> 00:15:38,590 +لكن هذه ممكن تكون في أول تلت شهور وممكن تستمر ما + +189 +00:15:38,590 --> 00:15:44,370 +بعد التلت شهور brain plasticity it is the ability + +190 +00:15:44,370 --> 00:15:48,370 +of the nervous system to modify its structural and + +191 +00:15:48,370 --> 00:15:52,190 +functional organization إذن ال brain plasticity + +192 +00:15:52,190 --> 00:15:58,280 +قلنا إنه ممكن تكونمبكرا في أول تلات شهور وممكن + +193 +00:15:58,280 --> 00:16:05,460 +تكون تستمر بعد تلات شهور الآن + +194 +00:16:05,460 --> 00:16:10,450 +شو اللي بيصير في عمليةالـ Plasticity و الـ + +195 +00:16:10,450 --> 00:16:14,530 +Neuroplasticity طبعاً في نظرية أو نظرية هذه بتقول + +196 +00:16:14,530 --> 00:16:18,570 +إنه في عندنا collateral sprouting of new synaptic + +197 +00:16:18,570 --> 00:16:24,150 +connections from intact cells to the nervated + +198 +00:16:24,150 --> 00:16:29,010 +region after some or all input has been destroyed + +199 +00:16:29,010 --> 00:16:34,370 +الآن نظرية هذه بتقول إنه في عندي reservoir cells + +200 +00:16:34,370 --> 00:16:39,810 +موجودة في داخل الـ brain خلايا احتياطيةالنتيجة + +201 +00:16:39,810 --> 00:16:45,270 +الجلطة صار في عندي أنا بعض الخلايا اتدمرت لكن الـ + +202 +00:16:45,270 --> 00:16:50,290 +Synapse تبعتها والـ axons المرتبطة فيها لسه intact + +203 +00:16:50,290 --> 00:16:57,670 +الآن في عملية الـ Neuroblastocyte انه تبدأ تتحول + +204 +00:16:57,670 --> 00:17:03,640 +الـ Synapse من الـ dead cellsبتنتقل لمين؟ للـ + +205 +00:17:03,640 --> 00:17:08,340 +Reservoir Cells بتنتقل من الخلايا الميتة إلى + +206 +00:17:08,340 --> 00:17:12,640 +الخلايا الحية الـ Reservoir الاحتياطية اللي موجودة + +207 +00:17:12,640 --> 00:17:20,040 +وهذا بتوضح أهمية عملية التأهيل في خلال الفترة + +208 +00:17:20,040 --> 00:17:24,840 +الأولى وكيف أنه نعمل عملية Re-education لهذه + +209 +00:17:24,840 --> 00:17:32,240 +الخلايا يعني هذه الخلايا بمثابةقرص نظيف فبنبدأ + +210 +00:17:32,240 --> 00:17:36,960 +انعلمه بعد ما ترتبط الـSynapse فيها بنبدأ انعلمه + +211 +00:17:36,960 --> 00:17:40,440 +من خلال الـpassive movement ومن خلال الـre + +212 +00:17:40,440 --> 00:17:43,740 +-education اللي بيكون موجود Unmasking of + +213 +00:17:43,740 --> 00:17:47,540 +previously latent neural functional pathways and + +214 +00:17:47,540 --> 00:17:52,160 +synapses but that can be called upon when dominant + +215 +00:17:52,160 --> 00:17:55,900 +system fails excitability to capture effects of + +216 +00:17:55,900 --> 00:18:00,010 +remaining inputالشغل التاني يقول إن في عندي أنا + +217 +00:18:00,010 --> 00:18:07,650 +بعم الوظائف بعم الخلايا تجبه جاهزة وموجودة + +218 +00:18:07,650 --> 00:18:14,540 +وSynapse جاهزةالآن دوري أنا كعملية تأهيل أن أعملها + +219 +00:18:14,540 --> 00:18:18,920 +Unmasking أبدأ أفعل هذه الخلايا الإحتياطية + +220 +00:18:18,920 --> 00:18:23,460 +والـSynapse اللي موجودة عشان أبدأ أعمل عملية الـRe + +221 +00:18:23,460 --> 00:18:27,880 +-education أو تصير عملية الـRecovery Experimental + +222 +00:18:27,880 --> 00:18:31,740 +evidence indicate that plasticity can be altered + +223 +00:18:31,740 --> 00:18:35,640 +by several external conditions كتير من الدراسات + +224 +00:18:36,280 --> 00:18:41,340 +بتقول إن عملية تحسن اللي بتصير من خلال الـ + +225 +00:18:41,340 --> 00:18:46,400 +Neuroplasticity بتتأثر بعدة عوامل من ضمنها الـ + +226 +00:18:46,400 --> 00:18:50,320 +Pharmacological factors عوامل بتعلق بالأدوية + +227 +00:18:50,320 --> 00:18:54,030 +والعلاجات اللي بياخدهاالـ Physical Rehabilitation + +228 +00:18:54,030 --> 00:18:56,730 +والـ Electrical Stimulation والـ Environmental + +229 +00:18:56,730 --> 00:19:01,030 +Stimulation اللي بيأخدها المريض في أثناء عملية + +230 +00:19:01,030 --> 00:19:06,050 +التأهيل كلها عوامل بتساعد في عملية الـ + +231 +00:19:06,050 --> 00:19:09,010 +Neuroplasticity وكيف ممكن تصير عملية الـ + +232 +00:19:09,010 --> 00:19:12,470 +Neuroplasticity هذا باختصار فيما يتعلق بالـ + +233 +00:19:12,470 --> 00:19:16,190 +Neuroplasticity وكيف الـ Mechanism of Recovery + +234 +00:19:16,190 --> 00:19:21,980 +أفضلالان هاجي نحكي عن complications of stroke + +235 +00:19:21,980 --> 00:19:28,040 +هلاجي فيه عندنا ان مرضى ال stroke نتيجة الوضع + +236 +00:19:28,040 --> 00:19:31,480 +الجديد اللي صار عندهم ممكن يكونوا معرضين لعدد + +237 +00:19:31,480 --> 00:19:35,360 +شغلات وعدد complications البعض منها ممكن يكون + +238 +00:19:35,360 --> 00:19:41,200 +fatal قاتل مرضى ال stroke نتيجة ال bit ridden و + +239 +00:19:41,200 --> 00:19:45,910 +الفترة الطويل اللي بيصير فيهابدون حركة ممكن يصير + +240 +00:19:45,910 --> 00:19:50,250 +في عندهم deep venous thrombosis DVT ممكن يصير في + +241 +00:19:50,250 --> 00:19:53,570 +عندهم pulmonary embolism وهذه من الشغلات اللي ممكن + +242 +00:19:53,570 --> 00:19:57,930 +تكون قاتلة ممكن يصير في عندهم dysphagia difficulty + +243 +00:19:57,930 --> 00:20:01,070 +of swallowing ممكن يصير في عندهم aspiration + +244 +00:20:01,070 --> 00:20:05,230 +pneumonia مشاكل لما يتعلق بالجهاز التنفسي و + +245 +00:20:05,230 --> 00:20:09,730 +infections chest infectionsممكن يكون عندهم + +246 +00:20:09,730 --> 00:20:13,150 +psychological problems، depression ممكن يصير عندهم + +247 +00:20:13,150 --> 00:20:16,610 +hemiplegic painful shoulder وهذه من المشاكل ال + +248 +00:20:16,610 --> 00:20:21,790 +common ال specificity برضه من المشاكل ال common و + +249 +00:20:21,790 --> 00:20:25,490 +الموجودة عند مرضى ال stroke clinical findings + +250 +00:20:25,490 --> 00:20:30,670 +patient impairments a patient who has sustained + +251 +00:20:30,670 --> 00:20:33,630 +cva may have a number of different impairments + +252 +00:20:34,440 --> 00:20:38,300 +الدرجة التي تتعامل هذه التعاملية مع مستخدمات + +253 +00:20:38,300 --> 00:20:43,680 +المريض تتعامل مع مستخدمات المريض تتعامل مع + +254 +00:20:43,680 --> 00:20:44,000 +مستخدمات المريض تتعامل مع مستخدمات المريض تتعامل + +255 +00:20:44,000 --> 00:20:44,320 +مع مستخدمات المريض تتعامل مع مستخدمات المريض + +256 +00:20:44,320 --> 00:20:45,680 +تتعامل مع مستخدمات المريض تتعامل مع مستخدمات + +257 +00:20:45,680 --> 00:20:46,240 +المريض تتعامل مع مستخدمات المريض تتعامل مع + +258 +00:20:46,240 --> 00:20:46,620 +مستخدمات المريض تتعامل مع مستخدمات المريض تتعامل + +259 +00:20:46,620 --> 00:20:49,180 +مع مستخدمات المريض تتعامل مع مستخدمات المريض + +260 +00:20:49,180 --> 00:20:56,020 +تتعامل + +261 +00:20:56,020 --> 00:21:01,240 +مع مستخدمات المريض تتعامل مع مستخدمات المريض تتع + +262 +00:21:01,470 --> 00:21:05,450 +الـ amount of nervous tissue damage قداش صار في + +263 +00:21:05,450 --> 00:21:11,970 +عندى خلايا من ال brain صار فيها damage نتيجة + +264 +00:21:11,970 --> 00:21:18,910 +الجلطة motor impairments المشاكل الحركية طبعا مش + +265 +00:21:18,910 --> 00:21:21,970 +كل المرضى بيصير مرضى ال stroke بيصير عندهم + +266 +00:21:21,970 --> 00:21:26,730 +hemiplegia أو hemiparesis بنفس القدر لأ ممكن البعض + +267 +00:21:26,730 --> 00:21:31,300 +منهم يصير في عندهم hemiplegia«أحد الأشياء الأساسية + +268 +00:21:31,300 --> 00:21:36,480 +والأكثر مفيدة من جميع الانتجارات اللاجئة في + +269 +00:21:36,480 --> 00:21:37,800 +المستخدمين اللاجئين اللاجئين اللاجئين اللاجئين + +270 +00:21:37,800 --> 00:21:39,400 +اللاجئين اللاجئين اللاجئين اللاجئين اللاجئين + +271 +00:21:39,400 --> 00:21:43,760 +اللاجئين اللاجئين اللاجئين اللاجئين اللاجئين + +272 +00:21:43,760 --> 00:21:43,920 +اللاجئين اللاجئين اللاجئين اللاجئين اللاجئين + +273 +00:21:43,920 --> 00:21:44,940 +اللاجئين اللاجئين اللاجئين اللاجئين اللاجئين + +274 +00:21:44,940 --> 00:21:48,260 +اللاجئين اللاجئين اللاجئين اللاجئين اللاجئين + +275 +00:21:48,260 --> 00:21:54,000 +اللاجئين اللاجئين الل + +276 +00:21:56,840 --> 00:22:01,960 +وهذه طبعا إذا كانت الـ motor area الـ motor cortex + +277 +00:22:01,960 --> 00:22:08,140 +affected بشكل كبير جدا، سيكون في عندي ال motor + +278 +00:22:08,140 --> 00:22:16,300 +findings أو ال motor disability كبيرة حسب درجة ال + +279 +00:22:16,300 --> 00:22:22,260 +damage اللي موجودة في ال cortexممكن توصل لـ + +280 +00:22:22,260 --> 00:22:27,940 +flaccid muscle tone أو flaccidity وبعد فترة ممكن + +281 +00:22:27,940 --> 00:22:34,190 +تطور اسم السيستيمفلسد المصاري لم يكن لديه قوة + +282 +00:22:34,190 --> 00:22:38,510 +لتنشيط محرك المصاري و لتنشيط محرك المحرك ستجد أن + +283 +00:22:38,510 --> 00:22:42,630 +المريض في مرحلة الفلسدية لا يستطيع أن يعمل أي محرك + +284 +00:22:42,630 --> 00:22:48,510 +كما نقول بالعامية أن شريطة نمسك الطرف و نرخيب ينزل + +285 +00:22:48,510 --> 00:22:57,910 +مباشرة بدون أي شيء يمنع سقوطه يعني ينزل سقوط حر + +286 +00:22:58,740 --> 00:23:05,960 +الوضع اللازم أو الوضع المرتبط بالقوة اللازمة هو + +287 +00:23:05,960 --> 00:23:08,440 +الوضع المرتبط بالقوة المرتبط بالقوة المرتبط بالقوة + +288 +00:23:08,440 --> 00:23:08,580 +المرتبط بالقوة المرتبط بالقوة المرتبط بالقوة + +289 +00:23:08,580 --> 00:23:09,800 +المرتبط بالقوة المرتبط بالقوة المرتبط بالقوة + +290 +00:23:09,800 --> 00:23:09,980 +المرتبط بالقوة المرتبط بالقوة المرتبط بالقوة + +291 +00:23:09,980 --> 00:23:13,000 +المرتبط بالقوة المرتبط بالقوة المرتبط بالقوة + +292 +00:23:13,000 --> 00:23:18,700 +المرتبطسنجد أن الـ flaccidity هي مرحلة عابرة بعدها + +293 +00:23:18,700 --> 00:23:24,080 +المريض يبدأ يكوّن الـ hypertonia والاسبستيستي إذا + +294 +00:23:24,080 --> 00:23:29,780 +قلنا مرحلة الاسبستيستي هي المرحلة الأكتر ظهورا مع + +295 +00:23:29,780 --> 00:23:33,980 +مرضى الـ stroke في حين أن مرحلة الـ flaccidity هي + +296 +00:23:33,980 --> 00:23:39,640 +مرحلة مبكرة وفي المرحلة الأولى وبعد ذلك تتطور إلى + +297 +00:23:39,640 --> 00:23:44,530 +الاسبستيستيلو جينا نتعرف على الـ Spasticity، it is + +298 +00:23:44,530 --> 00:23:48,910 +a motor disorder characterized by exaggerated deep + +299 +00:23:48,910 --> 00:23:53,290 +tendon reflexes and increased muscle tone هنلاقي + +300 +00:23:53,290 --> 00:23:58,370 +أن الـ Spasticity هي عبارة عن exaggerated deep + +301 +00:23:58,370 --> 00:24:02,230 +tendon reflexes، ممكن نشوفها، ممكن نشوف increase + +302 +00:24:02,230 --> 00:24:03,350 +ال muscle tone + +303 +00:24:06,350 --> 00:24:11,030 +الطبيب بـ Spasticity لديه اضافة مقاومة لتحطيم + +304 +00:24:11,030 --> 00:24:15,630 +المصدر المتواجد يعني كيف انا ممكن اتعرف على المريض + +305 +00:24:15,630 --> 00:24:20,870 +باجي بعمل sudden passive stretch of the limb حاليا + +306 +00:24:20,870 --> 00:24:25,730 +صار في عندي انا نوع من ال resistance في عملية ال + +307 +00:24:25,730 --> 00:24:28,590 +movement هذه او لعملية ال stretch اللي اعملتها + +308 +00:24:28,590 --> 00:24:32,530 +hyperreflexia of deep tender reflexes كمان ممكن + +309 +00:24:32,530 --> 00:24:36,530 +تكون موجودة في حالة Spasticityboth shrink of the + +310 +00:24:36,530 --> 00:24:39,670 +extremity in flexion or extension ممكن نتيجة + +311 +00:24:39,670 --> 00:24:43,230 +لسبسيست الموجود يكون المريض يا إما في flexion + +312 +00:24:43,230 --> 00:24:48,210 +attitude أو في extension pattern contraction of + +313 +00:24:48,210 --> 00:24:52,870 +muscles and stereotypical movement pattern called + +314 +00:24:52,870 --> 00:24:58,870 +synergies حلاجي أنه مرضى ال strokeموجودين في + +315 +00:24:58,870 --> 00:25:03,750 +pattern معين أو في أنماء حركية معينة هذي يسموها + +316 +00:25:03,750 --> 00:25:08,590 +الـ synergies لو جينا نتطلع على الاسباسيستي هناك + +317 +00:25:08,590 --> 00:25:12,950 +العديد من النظريات اللي بتشرح development of + +318 +00:25:12,950 --> 00:25:16,850 +اسباسيستي theories on the development of اسباسيستي + +319 +00:25:16,850 --> 00:25:22,760 +have been evolving a researchكتابة في مجال تغيير + +320 +00:25:22,760 --> 00:25:26,680 +الحياة المحركة باستمرار + +321 +00:25:26,680 --> 00:25:31,720 +في دراسات بتوضح الاسباسيستي وشو العوامل اللي ممكن + +322 +00:25:31,720 --> 00:25:38,120 +انها تتزود الاسباسيستي The classic theory of + +323 +00:25:38,120 --> 00:25:42,880 +asbestos development centers around the idea that + +324 +00:25:42,880 --> 00:25:46,380 +asbestos develops in response to an upper motor + +325 +00:25:46,380 --> 00:25:52,570 +neuron injury حلاقي انهالحالات السبسيستية موجودة + +326 +00:25:52,570 --> 00:25:57,070 +مع حالات الـ Upper Motor Neuron Lesion هذه + +327 +00:25:57,070 --> 00:26:00,130 +الملاحظة السبسيستية تتعامل مع الملاحظة الهيراركية + +328 +00:26:00,130 --> 00:26:05,750 +للنظر والتطور من التحكم والتحرك + +329 +00:26:20,550 --> 00:26:24,910 +التحقيقين كانوا قبل ذلك يعتبرون أن الـSpasticity + +330 +00:26:24,910 --> 00:26:27,630 +تم تطورها من نشطة الهيبرترطيبالية من نشطة + +331 +00:26:27,630 --> 00:26:28,450 +الهيبرترطيبالية من نشطة الهيبرترطيبالية من نشطة + +332 +00:26:28,450 --> 00:26:30,610 +الهيبرترطيبالية من نشطة الهيبرترطيبالية أول + +333 +00:26:30,610 --> 00:26:37,140 +النظريات بتقول إن Spasticityممكن إنها تكون كوّنت + +334 +00:26:37,140 --> 00:26:42,080 +من hyper excitability of monocynaptic stretch + +335 +00:26:42,080 --> 00:26:46,180 +reflex كلنا احنا بنعرف ال stretch reflex و بنعرف + +336 +00:26:46,180 --> 00:26:50,780 +ال spinal reflex اللي حكينا عنه في سنة تانية أيام + +337 +00:26:50,780 --> 00:26:53,860 +ال human growth and development this theory is + +338 +00:26:53,860 --> 00:26:55,880 +based on muscle spindle physiology + +339 +00:27:00,340 --> 00:27:05,460 +أفرانت أو سنسوري ريسيبتورز ألفا موتور نيرون اكتفتي + +340 +00:27:05,460 --> 00:27:11,400 +in the grammeter of the spinal cord لو جينا نبطلع + +341 +00:27:11,400 --> 00:27:16,080 +على أي muscle هلاجي أنه في عندنا two types of + +342 +00:27:16,080 --> 00:27:22,280 +muscle fibers في عندنا extrafusal fibersاللي هي + +343 +00:27:22,280 --> 00:27:28,100 +موجودة في الشكل الصورة هذه وفي عندي الـ Intrafusal + +344 +00:27:28,100 --> 00:27:29,200 +Fibers + +345 +00:27:32,400 --> 00:27:37,380 +لو جينا نتطلع على الـ Extrafusal fibers هلاجيها + +346 +00:27:37,380 --> 00:27:42,880 +إنه هي innervated by Alpha motor neurons Alpha + +347 +00:27:42,880 --> 00:27:48,420 +motor neurons في حين إنه الـ Intrafusal parts + +348 +00:27:48,420 --> 00:27:57,460 +متغدى أو innervated by Gamma motor neuron لو جينا + +349 +00:27:57,460 --> 00:28:03,570 +نتطلع على الصورة هذهشايفين قدامنا طبعا هذه هي الـ + +350 +00:28:03,570 --> 00:28:08,670 +Extrafusal وهذه هي الـ Intrafusal fibers الـ + +351 +00:28:08,670 --> 00:28:13,890 +Extrafusal fibers هاي الـ motor supply تبعها ال + +352 +00:28:13,890 --> 00:28:19,010 +nerve supply تبعها وجاي في منطقة بسموها الـ Alpha + +353 +00:28:19,010 --> 00:28:24,890 +motor neuron الـ Intrafusal جاي في الـ Gamma motor + +354 +00:28:24,890 --> 00:28:31,330 +neuron center تبعها هذا طبعاباختصار صورة أخرى + +355 +00:28:31,330 --> 00:28:35,550 +بتوضح الـ extrafusal fibers و الـ intrafusal + +356 +00:28:35,550 --> 00:28:40,890 +fibers طبعا هاي في عندي أنا الـ Alpha motor + +357 +00:28:40,890 --> 00:28:46,990 +neurons و في عندي الـ Gamma motor neurons زي ما + +358 +00:28:46,990 --> 00:28:50,910 +احنا شايفين الـ Gamma motor neurons هي اللي بتغدي + +359 +00:28:50,910 --> 00:28:55,190 +الـ intrafusal و الـ Alpha motor neurons هي اللي + +360 +00:28:55,190 --> 00:29:01,810 +بتغديالـ Extra Fusel Fibers خلينا نتعرف على الـ + +361 +00:29:01,810 --> 00:29:06,370 +Reflex Arc وكيف بتصير الـ development of + +362 +00:29:06,370 --> 00:29:11,370 +spasticity حسب ما احنا بنعرف الآن زي ما احنا + +363 +00:29:11,370 --> 00:29:17,530 +شايفين، هاي في عندي أنا الـ Spinal Segment هذه + +364 +00:29:17,530 --> 00:29:23,690 +طبعا Spinal Segment موجود في عندي Posterior Horsel + +365 +00:29:24,430 --> 00:29:28,770 +وبينجود عندى anterior horse cell نفس الأشياء في + +366 +00:29:28,770 --> 00:29:34,670 +الجهتين طبعا موجود فيه عندى هنا الـ inter neuron + +367 +00:29:34,670 --> 00:29:40,470 +وفيه موجود عندى أنا طبعا زي ما حكينا الـ gamma + +368 +00:29:40,470 --> 00:29:44,550 +motor neuron اللي هي موجودة في الـ intra بتغذى الـ + +369 +00:29:44,550 --> 00:29:45,270 +intrafusal + +370 +00:29:47,790 --> 00:29:52,670 +الـ Extrafusal تتغذى من خلال الـ Alpha Motor الـ + +371 +00:29:52,670 --> 00:29:56,570 +Neuron الان شو اللي بيصير في عملية الـ Reflex + +372 +00:29:56,570 --> 00:30:04,010 +Activity مجرد أنا أعمل Stretching للـ Extrafusal + +373 +00:30:04,010 --> 00:30:10,230 +Fibers هذه موجود في عندي أنا Golgi Tendon Organs + +374 +00:30:10,230 --> 00:30:17,060 +الـ Golgi Tendon Organs هذه اللي موجودةزي ما احنا + +375 +00:30:17,060 --> 00:30:23,000 +شايفينها هذه بيصير لها stimulation مباشرة مجرد ما + +376 +00:30:23,000 --> 00:30:29,460 +تعمل stimulation على طول بتبعت ال order تبعها + +377 +00:30:29,460 --> 00:30:35,040 +لمين؟ لـ الـ Alpha motor neuron والـ Gamma motor + +378 +00:30:35,040 --> 00:30:41,140 +neuron بيصير فيهم نوع من ال sudden contraction من + +379 +00:30:41,140 --> 00:30:46,600 +ال sudden contraction هذا ال contraction طبعافي + +380 +00:30:46,600 --> 00:30:54,080 +نفس الوقت جزء من الإشارة العصبية انقسمت وطلعت من + +381 +00:30:54,080 --> 00:30:58,000 +خلال الـascending neurons وراحت لل high centers في + +382 +00:30:58,000 --> 00:31:03,280 +الـbrain في حال لما يكون في عندي مشكلة في الـbrain + +383 +00:31:03,280 --> 00:31:07,280 +طبعا هنا صار في عندي contraction صار في عندي نوع + +384 +00:31:07,280 --> 00:31:12,810 +من ال contraction ابتيجي الإشارة منالـ Upper Motor + +385 +00:31:12,810 --> 00:31:15,830 +أو من الـ High Center من الـ Brain من الـ Motor + +386 +00:31:15,830 --> 00:31:20,670 +Cortex وبتعمل Inhibition وبتعطي أمر لهذه العضلات + +387 +00:31:20,670 --> 00:31:25,510 +اللي شدت أنه إرخي لكن في حالة لما يكون في عندي أنا + +388 +00:31:25,510 --> 00:31:32,150 +Damage في الخلايا هذه مافي شيء يمنع الـ Stimulus + +389 +00:31:32,150 --> 00:31:38,220 +موجودة مافي شيء يمنعالـ Relaxation اللي بيصير لأ + +390 +00:31:38,220 --> 00:31:45,600 +بيضلوا ماشي عندى أنا continuous flexion وبالتالي + +391 +00:31:45,600 --> 00:31:49,900 +هيزيد عندى ال muscle tone و هزيد دسبستيك + +392 +00:31:53,120 --> 00:31:57,500 +العمل غير مغلق للجامعة إفرانت أو الوضع المحرك + +393 +00:31:57,500 --> 00:32:02,200 +يعتمد على استخدام استعمال مستمر للوضع الإفرانت + +394 +00:32:02,200 --> 00:32:08,800 +بمتعامل شعار الجسد المحرك للإرشاد الجامعة جامعة + +395 +00:32:08,800 --> 00:32:16,510 +الجسد المحرك هي المسؤولة عن بقاءالعضلة في + +396 +00:32:16,510 --> 00:32:21,910 +continuous contraction وبالتالي هي السبب الرئيسي + +397 +00:32:21,910 --> 00:32:26,730 +في عملية بقاء الـSpasticity اللي موجودة في العضلة + +398 +00:32:26,730 --> 00:32:31,690 +لكن لو كان عندي انا ال high centers شغالة هلاجي + +399 +00:32:31,690 --> 00:32:36,410 +انه صار في عندي control في هذه العضلات وصار فيها + +400 +00:32:36,410 --> 00:32:39,850 +release in today's view of spasticity + +401 +00:32:39,850 --> 00:32:44,460 +hypertonicityأو إزالة حرارة الحرارة يعتقد أن يتطور + +402 +00:32:44,460 --> 00:32:46,220 +من عملية عملية عملية عملية عملية عملية عملية عملية + +403 +00:32:46,220 --> 00:32:47,240 +عملية عملية عملية عملية عملية عملية عملية عملية + +404 +00:32:47,240 --> 00:32:49,600 +عملية عملية عملية عملية عملية عملية عملية عمليةبعد + +405 +00:32:49,600 --> 00:32:53,980 +أن تصل إلى جسد العضلات العضلات العضلات العضلات + +406 +00:32:53,980 --> 00:32:55,360 +العضلات العضلات العضلات العضلات العضلات العضلات + +407 +00:32:55,360 --> 00:32:58,720 +العضلات العضلات العضلات العضلات العضلات العضلات + +408 +00:32:58,720 --> 00:33:01,720 +العضلات العضلات العضلات العضلات العضلات العضلات + +409 +00:33:01,720 --> 00:33:10,080 +العضلات العضلات العضلات العضلات العضلات العضلات + +410 +00:33:10,080 --> 00:33:13,640 +العضلات + +411 +00:33:13,640 --> 00:33:17,380 +العضلات العضلات العضلات العضلات العضلات العضلات + +412 +00:33:17,380 --> 00:33:22,250 +العضلDevelopment of Spacestate زي ما حكينا انه في + +413 +00:33:22,250 --> 00:33:27,750 +الـ Muscle Fibers في عندى انترافيوزل وبتم التحكم + +414 +00:33:27,750 --> 00:33:34,950 +فيها من خلال الـ Gamma Motor Fibers وفي عندى الـ + +415 +00:33:34,950 --> 00:33:39,310 +Extrafusal اللى بتم التحكم فيها من خلال الـ Alpha + +416 +00:33:39,310 --> 00:33:48,890 +Motor Fibers الآن موجود في عندى في نهاياتالعضلة + +417 +00:33:48,890 --> 00:33:51,950 +اللي في الـ tendon في عندي organs حاجة بيسموها الـ + +418 +00:33:51,950 --> 00:33:56,090 +Golgi tendon organs هذول الـ Golgi tendon organs + +419 +00:33:56,090 --> 00:34:02,550 +very sensitive لأي stretch لو أي elongation موجود + +420 +00:34:02,550 --> 00:34:09,390 +في العضلة فعشان هيك أي movement في العضلة هتعمل + +421 +00:34:09,390 --> 00:34:13,350 +stimulation للـ Golgi tendon organs الـ Golgi + +422 +00:34:13,350 --> 00:34:20,040 +tendon organsبتجي طبعا الإشارة من خلال الـ + +423 +00:34:20,040 --> 00:34:23,360 +Afferent الـ Dorsal Root Ganglion والـ Afferent + +424 +00:34:23,360 --> 00:34:27,160 +بتروح من خلال الـ Posterior Horse Cells للـ + +425 +00:34:27,160 --> 00:34:32,160 +Interneuron وفي الـ Interneuron طبعا بتعمل + +426 +00:34:32,160 --> 00:34:39,180 +Stimulation لـ Gamma Motor Fibersبشكل كبير جدا + +427 +00:34:39,180 --> 00:34:43,780 +بتعمل stimulation لها وبالتالي بتخلي العضلة الـ + +428 +00:34:43,780 --> 00:34:48,320 +muscle spindle في contraction وبتعمل some + +429 +00:34:48,320 --> 00:34:55,180 +stimulation للـ alpha motor لكن مش بالقدر الكبير + +430 +00:34:55,180 --> 00:35:00,620 +هلاجي أن الـ gamma motor fibers هي المسؤولة بشكل + +431 +00:35:00,620 --> 00:35:04,960 +كبير جدا عن عملية development of specificity + +432 +00:35:04,960 --> 00:35:12,620 +وcontractionفي حين ان الـ Alpha motor fibers بتعمل + +433 +00:35:12,620 --> 00:35:18,820 +نوع من الـ control في ال contraction وفي حالة ما + +434 +00:35:18,820 --> 00:35:24,780 +يكون في عندي مشكلة انا هيكون هذه الإشارة مش قوية + +435 +00:35:24,780 --> 00:35:28,720 +بالقدر الكافي انها تستثير كل الـ Alpha motor + +436 +00:35:28,720 --> 00:35:35,680 +fibers وبالتالي مش هيصير في عنديالـ Release اللي + +437 +00:35:35,680 --> 00:35:38,920 +في العضلة هتظل العضلة دايما في continuous + +438 +00:35:38,920 --> 00:35:42,860 +contraction خلينا نشوف الكلام اللي حكيناه + +439 +00:35:42,860 --> 00:35:47,220 +Uninterrupted activity of the gamma afferent أو + +440 +00:35:47,220 --> 00:35:50,260 +gamma efferent أو motor system is believed to + +441 +00:35:50,260 --> 00:35:53,840 +account for a continuous activation of the + +442 +00:35:53,840 --> 00:35:57,400 +afferent system by maintaining the muscle spindle + +443 +00:35:57,400 --> 00:36:03,130 +sensitivity to stretch إذن نتيجة الـ stretchingصار + +444 +00:36:03,130 --> 00:36:07,410 +في عندى continuous stimulation في الـGamma motor + +445 +00:36:07,410 --> 00:36:12,090 +fibers هذه اللي هي هتعمل contraction كثير من + +446 +00:36:12,090 --> 00:36:16,650 +الباحثين والدارسين بيقولوا انه الـStretch reflex + +447 +00:36:16,650 --> 00:36:24,130 +مش بالقوة الكافية عشان يعمل control للـAlpha motor + +448 +00:36:24,130 --> 00:36:28,810 +neuron زي ما احنا شايفين الـAlpha motor neuron هذه + +449 +00:36:29,390 --> 00:36:33,370 +هذه طبعاً الـ stimulus اللي أجت نتيجة الـ stretch + +450 +00:36:33,370 --> 00:36:38,030 +مش بالقدر الكافي إنها تعملها stimulation كلها + +451 +00:36:38,030 --> 00:36:42,210 +hypertonicity or increased muscle tone is believed + +452 +00:36:42,210 --> 00:36:45,830 +to develop from abnormal processing of the + +453 +00:36:45,830 --> 00:36:50,130 +afferent sensory input after stimulus reaches the + +454 +00:36:50,130 --> 00:36:54,580 +spinal cord، إذن، الاسبسيستي هي نتيجةالـ + +455 +00:36:54,580 --> 00:36:59,220 +Stimulation للـ Afferent النيرون أو للـ Afferent + +456 +00:36:59,220 --> 00:37:04,360 +in-butt انتجارين اقترحوا ان الـ Defect in + +457 +00:37:04,360 --> 00:37:07,920 +Inhibitory Modulation من مركزات كورتكالية أعلى + +458 +00:37:07,920 --> 00:37:13,080 +وسائل وسائل وسائل الانترنيرونات تتسبب في وجود + +459 +00:37:13,080 --> 00:37:18,860 +الاسباسيستيم ونتيجة الخلل اللي بيكون موجود في الـ + +460 +00:37:18,860 --> 00:37:23,560 +high center مش هيصير في عندك control في هذا الـالـ + +461 +00:37:23,560 --> 00:37:29,340 +Fibers وبالتالي مش هيكون في عندي أنا لسبة لـ + +462 +00:37:29,340 --> 00:37:33,880 +Flaccidity وبالتالي هيظل عندى لسبة الـ System الآن + +463 +00:37:33,880 --> 00:37:38,120 +لو جينا نطلع على موضوع الـ Muscle Tone وكيف نعمل + +464 +00:37:38,120 --> 00:37:42,380 +assessment للـ Muscle Tone هنلاقي أنه الـ Muscle + +465 +00:37:42,380 --> 00:37:47,180 +Tone ممكن نقيمه من خلال الـ Modified Ashworth + +466 +00:37:47,180 --> 00:37:52,800 +Scale الـ Modified Ashworth Scale بتكون منتقريبا + +467 +00:37:52,800 --> 00:38:02,240 +من 0 لحد 4 ordinal in scale is used مرتبات من 0 ل4 + +468 +00:38:02,240 --> 00:38:08,060 +score of 0 معناه انه no increase in muscle tone و0 + +469 +00:38:08,060 --> 00:38:12,400 +مش معناها if lacidity، 0 معناها انه normal muscle + +470 +00:38:12,400 --> 00:38:18,540 +tone في حين ان 4 بتمثل severe hypertonia و بتمثل + +471 +00:38:18,540 --> 00:38:23,380 +rigidityالآن لو دينا نطلع على الـ Modified Short + +472 +00:38:23,380 --> 00:38:30,320 +Scale وشوف كل grade بتاعي، هلاجي أنه في عندنا ستة + +473 +00:38:30,320 --> 00:38:35,140 +grades Zero، واحد، واحد plus، اتنين، تلاتة، اربع + +474 +00:38:35,140 --> 00:38:39,720 +الـ Zero هي الـ Normal Muscle Tone أو No Increase + +475 +00:38:39,720 --> 00:38:44,600 +in Muscle Tone واحد، في عندي slight increase in + +476 +00:38:44,600 --> 00:38:49,470 +muscle toneوأكتر حاجة manifested by catch and + +477 +00:38:49,470 --> 00:38:53,690 +release لما ييجي المريض يبقى يمسك شيء ويرخيه طبعا + +478 +00:38:53,690 --> 00:38:59,890 +هنا بتبين الـdysbiosis وحلاقي أنه المريضوالمريض + +479 +00:38:59,890 --> 00:39:03,790 +اللي بيجي هالى ماليزيا نقيم هلاقي انه بعض + +480 +00:39:03,790 --> 00:39:07,410 +التقييمات بتقول ان ال patient can grasp but cannot + +481 +00:39:07,410 --> 00:39:11,130 +release patient can release but cannot grasp هذه + +482 +00:39:11,130 --> 00:39:15,610 +نتيجة وجود ال slight specificity اللي موجودة one + +483 +00:39:15,610 --> 00:39:21,530 +plus slight increase in muscle tone manifested by + +484 +00:39:21,530 --> 00:39:26,910 +catch followed by minimal resistance through the + +485 +00:39:26,910 --> 00:39:28,150 +remaining + +486 +00:39:30,010 --> 00:39:34,230 +أو «through the remainder» «less than half of the + +487 +00:39:34,230 --> 00:39:38,530 +range of motion» يعني إذا كان المريض «one plus» ما + +488 +00:39:38,530 --> 00:39:42,730 +بدهيجي يعمل «catch» بيصير فيه نوع من «increase» لـ + +489 +00:39:42,730 --> 00:39:48,790 +«muscle tone» بيصير فيه «resistance» كمان «after» + +490 +00:39:48,790 --> 00:39:53,510 +أو «less than half of the range of motion» أقل من + +491 +00:39:53,510 --> 00:40:00,800 +نص الـ«range of motion» «two» هلاجي أنهمرق أكتر في + +492 +00:40:00,800 --> 00:40:06,860 +مزلتونممكن تحصل على مدى الحركة بسهولة في كل مجموعة + +493 +00:40:06,860 --> 00:40:12,360 +محركة لكن ممكن تحصل على مدى الحركة بسهولة + +494 +00:40:31,970 --> 00:40:37,470 +في عندنا rigidity في الـ extremities و full + +495 +00:40:37,470 --> 00:40:41,390 +passive range of motion cannot be achieved هذا + +496 +00:40:41,390 --> 00:40:44,610 +بخصوص الـ Modified Ashworth Scale + diff --git a/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/K1f_RkPh9PQ_raw.json b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/K1f_RkPh9PQ_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..9d8841e42b7698a7538d23f5cbe9e01c35474941 --- /dev/null +++ b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/K1f_RkPh9PQ_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 2390, "start": 0.94, "end": 23.9, "text": "بسم الله الرحمن الرحيم الحمد لله رب العالمين والصلاة والسلام على أشرخ المرسلين محمد عليه أفضل الصلاة وأكتر من التسليم حيكون حديثنا ان شاء الله رب العالمين عن physiotherapy and stroke conditions في البداية خلينا نراجع بس شوية تعريفات خاصة بال stroke", "tokens": 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"end": 1628.82, "word": " cord", "probability": 0.56591796875}, {"start": 1628.82, "end": 1630.52, "word": " لو", "probability": 0.422607421875}, {"start": 1630.52, "end": 1630.8, "word": " جينا", "probability": 0.9560546875}, {"start": 1630.8, "end": 1631.4, "word": " نبطلع", "probability": 0.86875}, {"start": 1631.4, "end": 1631.78, "word": " على", "probability": 0.79736328125}, {"start": 1631.78, "end": 1632.64, "word": " أي", "probability": 0.74853515625}, {"start": 1632.64, "end": 1633.08, "word": " muscle", "probability": 0.433837890625}, {"start": 1633.08, "end": 1634.28, "word": " هلاجي", "probability": 0.53912353515625}, {"start": 1634.28, "end": 1634.58, "word": " أنه", "probability": 0.486083984375}, {"start": 1634.58, "end": 1634.68, "word": " في", "probability": 0.81201171875}, {"start": 1634.68, "end": 1635.04, "word": " عندنا", "probability": 0.789306640625}, {"start": 1635.04, "end": 1635.22, "word": " two", "probability": 0.78955078125}, {"start": 1635.22, "end": 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ordinal in scale is used مرتبات من 0 ل4 score of 0 معناه انه no increase in muscle tone و0 مش معناها if lacidity، 0 معناها انه normal muscle tone في حين ان 4 بتمثل severe hypertonia و بتمثل rigidity", "tokens": [2655, 4587, 16572, 3555, 995, 9154, 1958, 5296, 24401, 1017, 4792, 2071, 294, 4373, 307, 1143, 3714, 43500, 3555, 9307, 9154, 1958, 5296, 19, 6175, 295, 1958, 3714, 3615, 8315, 3224, 16472, 3224, 572, 3488, 294, 8679, 8027, 4032, 15, 37893, 20449, 8315, 11296, 498, 287, 326, 17711, 12399, 1958, 20449, 8315, 11296, 16472, 3224, 2710, 8679, 8027, 8978, 11331, 9957, 16472, 1017, 39894, 2304, 12984, 1211, 8922, 9848, 1756, 654, 4032, 39894, 2304, 12984, 1211, 8329, 17711], "avg_logprob": -0.34731013714512693, "compression_ratio": 1.5026737967914439, "no_speech_prob": 1.3113021850585938e-06, "words": [{"start": 2271.98, "end": 2272.8, "word": "تقريبا", "probability": 0.799658203125}, {"start": 2272.8, "end": 2273.48, "word": " من", "probability": 0.5615234375}, {"start": 2273.48, 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"temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2444.9915625, "duration_after_vad": 2400.266874999993} \ No newline at end of file diff --git a/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/K1f_RkPh9PQ_raw.srt b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/K1f_RkPh9PQ_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..f0e823e65538eed3029b84183e4f1e93ffe77dbc --- /dev/null +++ b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/K1f_RkPh9PQ_raw.srt @@ -0,0 +1,2020 @@ +1 +00:00:00,940 --> 00:00:04,380 +بسم الله الرحمن الرحيم الحمد لله رب العالمين + +2 +00:00:04,380 --> 00:00:09,400 +والصلاة والسلام على أشرخ المرسلين محمد عليه أفضل + +3 +00:00:09,400 --> 00:00:13,080 +الصلاة وأكتر من التسليم حيكون حديثنا ان شاء الله + +4 +00:00:13,080 --> 00:00:16,720 +رب العالمين عن physiotherapy and stroke conditions + +5 +00:00:16,720 --> 00:00:23,520 +في البداية خلينا نراجع بس شوية تعريفات خاصة بال + +6 +00:00:23,520 --> 00:00:28,490 +strokeStroke is an acute loss of circulation to + +7 +00:00:28,490 --> 00:00:32,490 +area of the brain with resultant ischemia and loss + +8 +00:00:32,490 --> 00:00:36,190 +of neuronal function هذا أحد التعريفات عن الـ + +9 +00:00:36,190 --> 00:00:40,970 +stroke هو فقدان للدورة الدموية اللي بتغذي ال brain + +10 +00:00:41,340 --> 00:00:44,700 +It's a type of cardiovascular disease as it + +11 +00:00:44,700 --> 00:00:48,840 +affects arteries leading to and within the brain + +12 +00:00:48,840 --> 00:00:55,360 +يعني هو مشكلة تصيب cardiovascular system ممكن تأثر + +13 +00:00:55,360 --> 00:01:00,420 +بشكل أو تأثر بشكل أساسي على ال arteries في داخل ال + +14 +00:01:00,420 --> 00:01:03,600 +brain أو ال arteries اللي بتقدي إلى ال brain + +15 +00:01:14,140 --> 00:01:19,960 +ممكن يكون السبب وعبارة عن blood clotting سكر + +16 +00:01:19,960 --> 00:01:25,670 +الارترياأو ممكن صار في عندى burst أو انفجار في هذا + +17 +00:01:25,670 --> 00:01:28,710 +الشريان أو في هذا ال blood vessel when that + +18 +00:01:28,710 --> 00:01:32,350 +happens affected region in the brain cannot get + +19 +00:01:32,350 --> 00:01:38,340 +the blood or two nutrients it needsand cannot be + +20 +00:01:38,340 --> 00:01:43,560 +cleared of waste products it has so it start to + +21 +00:01:43,560 --> 00:01:47,460 +die المشكلة تكمن انه اذا انقطع ال blood supply + +22 +00:01:47,460 --> 00:01:52,760 +نتيجة الانفجار او نتيجة blood clot هيبطل يصل ال + +23 +00:01:52,760 --> 00:01:58,020 +oxygen هيبطل يصل ال nutrients لهذه المنطقة طبعا ال + +24 +00:01:58,020 --> 00:02:01,940 +nutrients و ال oxygen اللي بيحتاجهم الجسم و + +25 +00:02:01,940 --> 00:02:07,230 +الخلايا في هذه المنطقة وبالتاليمش هيقدر الجسم + +26 +00:02:07,230 --> 00:02:12,070 +يتخلص من ال waste products اللي ناتجة فبتتجمع و + +27 +00:02:12,070 --> 00:02:17,650 +هيكون لها تأثير toxic effect على المنطقة وبالتالي + +28 +00:02:17,650 --> 00:02:22,210 +ممكن هذا تكون سبب أيضا في ظهور بعض الأعراف الان + +29 +00:02:22,210 --> 00:02:25,570 +نجي نطلع حاجة انه stroke it is the most common + +30 +00:02:25,570 --> 00:02:30,160 +seriousأو neurological disorder in the United + +31 +00:02:30,160 --> 00:02:35,060 +States, comprising 50% of all patients admitted to + +32 +00:02:35,060 --> 00:02:39,060 +the hospital for neurological diseases لو جينا + +33 +00:02:39,060 --> 00:02:41,820 +نتطلع على المرضى اللي بيدخلوا في المستشفيات في + +34 +00:02:41,820 --> 00:02:49,150 +أمريكاوالشخاص اللي بيدخله للاعصاب حلالي 50% منهم + +35 +00:02:49,150 --> 00:02:53,750 +بيدخله بما يخص الجلطة أو ما يخص ال stroke تسعة من + +36 +00:02:53,750 --> 00:02:57,950 +كل عشرة of stroke victims are above the age of + +37 +00:02:57,950 --> 00:03:01,810 +fifty-five فوق الخمسة والخمسين لو جينا نطلع علي + +38 +00:03:01,810 --> 00:03:06,550 +هدول الناس اللي أصيبوا بالجلطاتأو بالـ stroke حلّك + +39 +00:03:06,550 --> 00:03:11,770 +أن تلتهم حيصير في عندهم bone recovery التلت التاني + +40 +00:03:11,770 --> 00:03:16,150 +حيكون في عندهم moderate ل severe disability التلت + +41 +00:03:16,150 --> 00:03:22,130 +التالت يموت within coming year في خلال سنة ما بعد + +42 +00:03:22,130 --> 00:03:25,390 +العملية أو ما بعد ال stroke سنة ما بعد ال stroke + +43 +00:03:25,390 --> 00:03:31,950 +ممكن يكون قدّت إلى الوفاة ال 10 years65% of all + +44 +00:03:31,950 --> 00:03:37,890 +stroke survivors are dead خلال عشر سنوات 65% من ال + +45 +00:03:37,890 --> 00:03:42,710 +stroke survivors هيكونوا توفوا في المملكة المتحدة + +46 +00:03:42,710 --> 00:03:46,630 +300 ألف are living with stroke related disability + +47 +00:03:46,630 --> 00:03:51,290 +حوالي 300 ألف شخص أو أكتر في المملكة المتحدة حوالي + +48 +00:03:51,290 --> 00:03:55,950 +300 ألف شخص يعانوا من مشاكل وإعاقات اللي لها علاقة + +49 +00:03:55,950 --> 00:03:59,960 +بالجلطات أو بال strokeلو جينا نطلع على موضوع + +50 +00:03:59,960 --> 00:04:03,560 +stroke and bone recovery evidence from clinical + +51 +00:04:03,560 --> 00:04:07,200 +trials support that yearly initiation of therapy + +52 +00:04:07,200 --> 00:04:13,500 +influenced the outcome favorably كل ما كان التدخل + +53 +00:04:13,500 --> 00:04:18,400 +العلاجي التدخل ال rehabilitation بشكل مبكر كل ما + +54 +00:04:18,400 --> 00:04:24,580 +كانت النتائج أفضل و أكتر يعني سنقول لمصلحة المريض + +55 +00:04:31,730 --> 00:04:35,950 +إذا اتأخرنا في عملية الـrehabilitation، حلاجي أن + +56 +00:04:35,950 --> 00:04:40,650 +المريض صار فيه عنده مضاعفات، ممكن كان تجاوزها لو + +57 +00:04:40,650 --> 00:04:45,500 +بدأنا في برنامج التأهيل بشكل مبكرThe course of + +58 +00:04:45,500 --> 00:04:49,360 +motor recovery reaches a plateau after an early + +59 +00:04:49,360 --> 00:04:53,400 +phase of progress important أو of progressive + +60 +00:04:53,400 --> 00:04:58,880 +improvement هنلاقي أفضل نتائج من التأهيل ومن + +61 +00:04:58,880 --> 00:05:03,740 +التدخل التأهيل للحالات اللي بدأ معها برامج التأهيل + +62 +00:05:03,740 --> 00:05:08,200 +أو اللي بدأ معها برامج التأهيل بشكل مبكرمعظم + +63 +00:05:08,200 --> 00:05:14,260 +التحسين يحدث في الأول ثلاث أشهر ومعظم التحسين يحدث + +64 +00:05:14,260 --> 00:05:19,000 +بعد خمس أشهر حلاقي أنه خلال التلت شهور الأولى + +65 +00:05:19,000 --> 00:05:24,200 +عملية التحسن بتكون بشكل كبير جدا عند مرضى ال + +66 +00:05:24,200 --> 00:05:28,500 +stroke وخلال الست شهور التانية أو التلت شهور + +67 +00:05:28,500 --> 00:05:33,640 +التانية بيكون أقل من التلت شهور الأولىوهذا لا يعني + +68 +00:05:33,640 --> 00:05:38,640 +انه بتوقف عملية التحسن لكن خلينا نقول ان التلت + +69 +00:05:38,640 --> 00:05:42,200 +شهور الأولى هي بيسموها التلت شهور الذهبية واللي + +70 +00:05:42,200 --> 00:05:45,420 +بيكون غالبية ال motor recovery اللي بيصير فيها + +71 +00:05:45,420 --> 00:05:50,200 +بتكون الفرصة أقل في خلال التلت شهور اللي بعدهم + +72 +00:05:50,200 --> 00:05:56,140 +after six months following onset بعد ست شهور بتبدأ + +73 +00:05:56,140 --> 00:06:03,700 +اتقل فرص التحسن بشكل واضحلكن التجارب قد تستمر خلال + +74 +00:06:03,700 --> 00:06:07,380 +فترة أكتر من الوقت، وفي بعض الأشخاص الذين كانوا + +75 +00:06:07,380 --> 00:06:13,600 +مستخدمين محاولة التحقيق، سنجد أنه في بعض الحالات، + +76 +00:06:13,600 --> 00:06:18,440 +ممكن تستمر عملية العلاج وعملية التأهيل أكتر من + +77 +00:06:18,440 --> 00:06:26,740 +سنة، وممكن تظلها عملية التحقيق عامة طويلة،خلّيني + +78 +00:06:26,740 --> 00:06:33,740 +أقول إن التحسن ليس مثل أول تلت شهور أو أول ست شهور + +79 +00:06:33,740 --> 00:06:37,720 +باثوف السيولوجيا of stroke recovery الان كلنا نعرف + +80 +00:06:37,720 --> 00:06:44,600 +أن في حالات الـ stroke الـ brain damage يكون موجود + +81 +00:06:44,600 --> 00:06:49,660 +ونعرف أن خلايا الـ brain irreversible طب كيف تحصل + +82 +00:06:49,660 --> 00:06:55,200 +عملية التحسن؟في حال ما يصير عندي أنا أو بعد + +83 +00:06:55,200 --> 00:06:59,440 +الجلطان طبعا في هذا الموضوع في كتير من النظريات + +84 +00:06:59,440 --> 00:07:04,940 +بتفسر شو اللي بيصير مع حالات الـ stroke وليش بيصير + +85 +00:07:04,940 --> 00:07:07,600 +الـ recovery أول شيء خلال الـ early phase + +86 +00:07:07,600 --> 00:07:10,540 +following stroke there is prompt initial + +87 +00:07:10,540 --> 00:07:14,940 +improvement in functionas the pathologic process + +88 +00:07:14,940 --> 00:07:18,720 +in the penumbra ischemic أو ischemic penumbra + +89 +00:07:18,720 --> 00:07:22,360 +metabolic injury edema hemorrhage and blood + +90 +00:07:22,360 --> 00:07:27,460 +pressure resolve حلاجي أنه خلال الفترة الأولى من + +91 +00:07:27,460 --> 00:07:33,060 +حدوث الجلطة بصير بعض التغيرات في منطقة ال ischemic + +92 +00:07:33,060 --> 00:07:37,600 +penumbra عندنا هنحكي فيها ال penumbra بشكل من + +93 +00:07:37,600 --> 00:07:42,040 +التفصيل حلاجي أنهالـ Edema و الـ Hemorrhage اللي + +94 +00:07:42,040 --> 00:07:46,420 +كانت في المنطقة الـ Blood Pressure اللي كان كل هذه + +95 +00:07:46,420 --> 00:07:54,980 +عوامل ممكن تساعد في عملية العنك The later ongoing + +96 +00:07:54,980 --> 00:07:58,860 +improvement in neurological function occurs by a + +97 +00:07:58,860 --> 00:08:02,720 +different set of mechanism that allows structural + +98 +00:08:02,720 --> 00:08:07,280 +and functionalreorganization within the brain خلال + +99 +00:08:07,280 --> 00:08:13,740 +عملية التحسن أو خلال عملية التحسن اللي بتصير هلاجي + +100 +00:08:13,740 --> 00:08:20,940 +ان في عندى عدة نظريات أو مجموعة من نظريات بتفسر + +101 +00:08:20,940 --> 00:08:27,170 +هذا التحسن اللي بيصيرمواحدة من هذه النظريات اللي + +102 +00:08:27,170 --> 00:08:31,130 +هي عملية الـ Neuroplasticity اللي ممكن يكون موجودة + +103 +00:08:31,130 --> 00:08:34,310 +Currently, it's recognized that repeated + +104 +00:08:34,310 --> 00:08:37,370 +participation by patients in active physical + +105 +00:08:37,370 --> 00:08:40,890 +therapeutic programs probably provide direct + +106 +00:08:40,890 --> 00:08:43,170 +influence on the process of functional + +107 +00:08:44,370 --> 00:08:47,130 +reorganization in the brain and enhances + +108 +00:08:47,130 --> 00:08:51,830 +neurological recovery حلاجة إنه في عملية الـ + +109 +00:08:51,830 --> 00:08:57,190 +recovery بيكون في عنا أحد الأسباب ممكن يكون الـ + +110 +00:08:57,190 --> 00:09:02,170 +neuroplasticity حنحكي عن الـ neuroplasticity بشيء + +111 +00:09:02,170 --> 00:09:07,110 +من التفصيل إن شاء الله رب العالمين الآن نيجي + +112 +00:09:07,110 --> 00:09:11,030 +لموضوع الـ ischemic penumbra أولا الـ ischemic + +113 +00:09:11,030 --> 00:09:18,050 +penumbra هي عبارة عن منطقةمن الـ brain فيه إلها + +114 +00:09:18,050 --> 00:09:24,490 +main blood supply وفيه إلها collateral blood + +115 +00:09:24,490 --> 00:09:30,850 +supply الآن لو افترضنا إن هذه المنطقة هي هذه منطقة + +116 +00:09:30,850 --> 00:09:35,170 +الـ penumbra ال main blood supply اللي إحنا + +117 +00:09:35,170 --> 00:09:41,490 +شايفينه صار فيه thrombus في المنطقة هذههذه المنطقة + +118 +00:09:41,490 --> 00:09:48,990 +اللي بتتغذى مباشرة من ال main blood supply خلال + +119 +00:09:48,990 --> 00:09:54,990 +دقائق بيكون صار فيها death مايلها blood supply أخر + +120 +00:09:54,990 --> 00:10:00,490 +يغذيها اللي باللون تقريبا الرماد الفاتح أو الأبيض + +121 +00:10:00,490 --> 00:10:04,510 +في حين أن المناطق اللي زي ما احنا شايفينها هذه + +122 +00:10:04,510 --> 00:10:12,970 +اللي باللون الأكثر يعني داكنة قليلاهذه طبعا بتاخد + +123 +00:10:12,970 --> 00:10:17,330 +blood supply من الـ main blood supply تتغذى منها + +124 +00:10:17,330 --> 00:10:22,210 +عن طريق ال filtration و بتتغذى من ال collateral + +125 +00:10:22,210 --> 00:10:28,810 +blood supply الآن أول ما صار ال stroke صار في عندي + +126 +00:10:28,810 --> 00:10:36,650 +death في ال main cells ال main cells اللي موجودة + +127 +00:10:37,540 --> 00:10:43,660 +هذه الخلايا اتأثرت قليلاً نتيجة قلة blood supply + +128 +00:10:43,660 --> 00:10:49,340 +وبالتالي هيضعف الحركة لكن بعد فترة لسه blood + +129 +00:10:49,340 --> 00:10:52,880 +supply الـ margin أو كنا نقول الكلاتر الـ blood + +130 +00:10:52,880 --> 00:10:59,420 +flow لسه لازال بجدّيها جزء من هدف أو هدف من أهداف + +131 +00:10:59,420 --> 00:11:03,900 +العملية العلاجية أن نزودالـ Collateral Blood + +132 +00:11:03,900 --> 00:11:08,460 +Supply لهذه المنطقة وبالتالي بنزود من الـ + +133 +00:11:08,460 --> 00:11:14,800 +Functionality تبعتها إذن الـ Ischemic Menumbra + +134 +00:11:14,800 --> 00:11:19,960 +Acute Occlusion زي ما حشايفين هي الإغلاق اللي صار + +135 +00:11:19,960 --> 00:11:24,980 +في الـ Main Blood Supply حيسووا عندى Heterogeneous + +136 +00:11:24,980 --> 00:11:29,060 +Regions of Ischemia صار فيه عندى مناطق + +137 +00:11:31,390 --> 00:11:37,090 +متفاوتة من الـ ischemia المنطقة البيضة اللي احنا + +138 +00:11:37,090 --> 00:11:42,430 +شايفينها طبعا بيكون صار فيها infarction المنطقة + +139 +00:11:42,430 --> 00:11:49,650 +اللي باللون الداكن هذه طبعا صار فيها اقل يعني اثرت + +140 +00:11:49,650 --> 00:11:53,930 +الخلايا لكن ما ماتت الخلايا اللي موجودة فعشان هيك + +141 +00:11:53,930 --> 00:11:58,660 +بنسميها PenumbraLocal flow depends on major + +142 +00:11:58,660 --> 00:12:02,260 +arteries source and any collateral، إذا هذه + +143 +00:12:02,260 --> 00:12:06,720 +المنطقة فيها إلها، كما نرى، major blood source، + +144 +00:12:06,720 --> 00:12:10,580 +major blood source وفيه collateral blood source + +145 +00:12:10,580 --> 00:12:16,460 +Region without flow considered as the core، إذا + +146 +00:12:16,460 --> 00:12:20,400 +هذه المنطقة اللي ما إلها إلا ال main blood supply، + +147 +00:12:20,400 --> 00:12:25,000 +هذه بيسموها ال core area وبالتالي هيصير فيها + +148 +00:12:25,000 --> 00:12:32,250 +infarctionالخلايا في هذه + +149 +00:12:32,250 --> 00:12:37,030 +المنطقة هتموت خلال دقائق الـ Marginal Perfusion + +150 +00:12:37,030 --> 00:12:40,950 +منطقة الـ Penumbra هذه اللي احنا موجودين فيها و + +151 +00:12:40,950 --> 00:12:45,170 +بنحكي عنها هذه هيصير فيها كلها ترى الـ blood + +152 +00:12:45,170 --> 00:12:51,210 +supply tissues can remain viable + +153 +00:12:51,210 --> 00:12:56,860 +for hours هذه الخلايا اللي على ال marginهنلاقيها + +154 +00:12:56,860 --> 00:13:02,180 +انه دلت حيا ممكن لساعات العلاجات اللي احنا بنعطيها + +155 +00:13:02,180 --> 00:13:07,060 +للمريض is extremely + +156 +00:13:07,060 --> 00:13:11,520 +important وهذا بوضح همية العلاجات اللي بتزود blood + +157 +00:13:11,520 --> 00:13:16,540 +supply لهذا المنطقة عشانالـ Viable tissue اللي دلت + +158 +00:13:16,540 --> 00:13:19,940 +موجودة في الـ Penumbra نعاود نزودلها لـ Blood + +159 +00:13:19,940 --> 00:13:23,620 +supply وترجع للـ Normal function تبعها Mechanisms + +160 +00:13:23,620 --> 00:13:27,280 +of Recovery in Neurological Function إذا نيجي الأن + +161 +00:13:27,280 --> 00:13:30,720 +نتطلع على الـ Mechanism of Recovery للـ + +162 +00:13:30,720 --> 00:13:34,680 +Neurological Problems اللي ممكن تصير أول حاجة + +163 +00:13:34,680 --> 00:13:38,400 +First Mechanism عن طريق Resolution of Harmful + +164 +00:13:38,400 --> 00:13:43,930 +Local Factorsوالتي تعتمد على تحسين مستمر عام في + +165 +00:13:43,930 --> 00:13:51,510 +الأول 3 إلى 6 أشهر إذا التحسن اللي بيصير خلال + +166 +00:13:51,510 --> 00:13:57,930 +الأول 3 إلى 6 شهور في الغالب أحد أسبابه بتكون + +167 +00:13:57,930 --> 00:14:04,210 +عملية الـ Resolving of harmful local factors أحنا + +168 +00:14:04,210 --> 00:14:09,710 +قلنا إن خلال الـ Strokeصار في عندي decrease أو + +169 +00:14:09,710 --> 00:14:13,550 +انقطاع للـ blood supply لهذه المنطقة صار في عندي + +170 +00:14:13,550 --> 00:14:18,850 +toxic أو toxins بتنفرز وفي عندي waste products هذه + +171 +00:14:18,850 --> 00:14:23,290 +ال toxins و ال waste products بعد فترة بيصير لها + +172 +00:14:23,290 --> 00:14:29,120 +عملية resolvingوبالتالي هذه بتوضح ليش ممكن يصير في + +173 +00:14:29,120 --> 00:14:32,920 +عيني spontaneous recovery في أولها it includes + +174 +00:14:32,920 --> 00:14:36,800 +resolution of local edema طبيعي أحد الأسباب أن ال + +175 +00:14:36,800 --> 00:14:41,520 +local edema اللي صارت في منطقة ال stroke بدأت تخف + +176 +00:14:41,520 --> 00:14:46,040 +resorption of local toxins and waste products زي + +177 +00:14:46,040 --> 00:14:50,840 +ما قلنا قبل شوية improve local circulation تحسنت + +178 +00:14:50,840 --> 00:14:54,440 +الدورة الدموية خلال الأدوية والعلاجات اللي احنا + +179 +00:14:55,220 --> 00:14:58,780 +أعطينا أهل المريض and recovery of partially + +180 +00:14:58,780 --> 00:15:04,060 +damaged ischemic neuronوبالتالي الـ neurons اللي + +181 +00:15:04,060 --> 00:15:09,280 +كان فيها partial damage بدت تستعيد عافيتها وترجع + +182 +00:15:09,280 --> 00:15:13,480 +لوضعها الطبيعي الـ second mechanism to explain + +183 +00:15:13,480 --> 00:15:17,180 +recovery is neuroplasticity إذا الميكانيزم الأولى + +184 +00:15:17,180 --> 00:15:20,960 +أنه عملية resolution أو resolving of harmful local + +185 +00:15:20,960 --> 00:15:25,380 +factors النظرية التانية اللي بتحكي عن الـ + +186 +00:15:25,380 --> 00:15:30,570 +neuroplasticity وممكن إنها تاخددورها yearly or + +187 +00:15:30,570 --> 00:15:34,230 +late هذه اللي قلنا هي لازم تكون في أول تلت شهور + +188 +00:15:34,230 --> 00:15:38,590 +لكن هذه ممكن تكون في أول تلت شهور وممكن تستمر ما + +189 +00:15:38,590 --> 00:15:44,370 +بعد التلت شهور brain plasticity it is the ability + +190 +00:15:44,370 --> 00:15:48,370 +of the nervous system to modify its structural and + +191 +00:15:48,370 --> 00:15:52,190 +functional organization إذن ال brain plasticity + +192 +00:15:52,190 --> 00:15:58,280 +قلنا إنه ممكن تكونمبكرا في أول تلات شهور وممكن + +193 +00:15:58,280 --> 00:16:05,460 +تكون تستمر بعد تلات شهور الآن + +194 +00:16:05,460 --> 00:16:10,450 +شو اللي بيصير في عمليةالـ Plasticity و الـ + +195 +00:16:10,450 --> 00:16:14,530 +Neuroplasticity طبعاً في نظرية أو نظرية هذه بتقول + +196 +00:16:14,530 --> 00:16:18,570 +إنه في عندنا collateral sprouting of new synaptic + +197 +00:16:18,570 --> 00:16:24,150 +connections from intact cells to the nervated + +198 +00:16:24,150 --> 00:16:29,010 +region after some or all input has been destroyed + +199 +00:16:29,010 --> 00:16:34,370 +الآن نظرية هذه بتقول إنه في عندي reservoir cells + +200 +00:16:34,370 --> 00:16:39,810 +موجودة في داخل الـ brain خلايا احتياطيةالنتيجة + +201 +00:16:39,810 --> 00:16:45,270 +الجلطة صار في عندي أنا بعض الخلايا اتدمرت لكن الـ + +202 +00:16:45,270 --> 00:16:50,290 +Synapse تبعتها والـ axons المرتبطة فيها لسه intact + +203 +00:16:50,290 --> 00:16:57,670 +الآن في عملية الـ Neuroblastocyte انه تبدأ تتحول + +204 +00:16:57,670 --> 00:17:03,640 +الـ Synapse من الـ dead cellsبتنتقل لمين؟ للـ + +205 +00:17:03,640 --> 00:17:08,340 +Reservoir Cells بتنتقل من الخلايا الميتة إلى + +206 +00:17:08,340 --> 00:17:12,640 +الخلايا الحية الـ Reservoir الاحتياطية اللي موجودة + +207 +00:17:12,640 --> 00:17:20,040 +وهذا بتوضح أهمية عملية التأهيل في خلال الفترة + +208 +00:17:20,040 --> 00:17:24,840 +الأولى وكيف أنه نعمل عملية Re-education لهذه + +209 +00:17:24,840 --> 00:17:32,240 +الخلايا يعني هذه الخلايا بمثابةقرص نظيف فبنبدأ + +210 +00:17:32,240 --> 00:17:36,960 +انعلمه بعد ما ترتبط الـSynapse فيها بنبدأ انعلمه + +211 +00:17:36,960 --> 00:17:40,440 +من خلال الـpassive movement ومن خلال الـre + +212 +00:17:40,440 --> 00:17:43,740 +-education اللي بيكون موجود Unmasking of + +213 +00:17:43,740 --> 00:17:47,540 +previously latent neural functional pathways and + +214 +00:17:47,540 --> 00:17:52,160 +synapses but that can be called upon when dominant + +215 +00:17:52,160 --> 00:17:55,900 +system fails excitability to capture effects of + +216 +00:17:55,900 --> 00:18:00,010 +remaining inputالشغل التاني يقول إن في عندي أنا + +217 +00:18:00,010 --> 00:18:07,650 +بعم الوظائف بعم الخلايا تجبه جاهزة وموجودة + +218 +00:18:07,650 --> 00:18:14,540 +وSynapse جاهزةالآن دوري أنا كعملية تأهيل أن أعملها + +219 +00:18:14,540 --> 00:18:18,920 +Unmasking أبدأ أفعل هذه الخلايا الإحتياطية + +220 +00:18:18,920 --> 00:18:23,460 +والـSynapse اللي موجودة عشان أبدأ أعمل عملية الـRe + +221 +00:18:23,460 --> 00:18:27,880 +-education أو تصير عملية الـRecovery Experimental + +222 +00:18:27,880 --> 00:18:31,740 +evidence indicate that plasticity can be altered + +223 +00:18:31,740 --> 00:18:35,640 +by several external conditions كتير من الدراسات + +224 +00:18:36,280 --> 00:18:41,340 +بتقول إن عملية تحسن اللي بتصير من خلال الـ + +225 +00:18:41,340 --> 00:18:46,400 +Neuroplasticity بتتأثر بعدة عوامل من ضمنها الـ + +226 +00:18:46,400 --> 00:18:50,320 +Pharmacological factors عوامل بتعلق بالأدوية + +227 +00:18:50,320 --> 00:18:54,030 +والعلاجات اللي بياخدهاالـ Physical Rehabilitation + +228 +00:18:54,030 --> 00:18:56,730 +والـ Electrical Stimulation والـ Environmental + +229 +00:18:56,730 --> 00:19:01,030 +Stimulation اللي بيأخدها المريض في أثناء عملية + +230 +00:19:01,030 --> 00:19:06,050 +التأهيل كلها عوامل بتساعد في عملية الـ + +231 +00:19:06,050 --> 00:19:09,010 +Neuroplasticity وكيف ممكن تصير عملية الـ + +232 +00:19:09,010 --> 00:19:12,470 +Neuroplasticity هذا باختصار فيما يتعلق بالـ + +233 +00:19:12,470 --> 00:19:16,190 +Neuroplasticity وكيف الـ Mechanism of Recovery + +234 +00:19:16,190 --> 00:19:21,980 +أفضلالان هاجي نحكي عن complications of stroke + +235 +00:19:21,980 --> 00:19:28,040 +هلاجي فيه عندنا ان مرضى ال stroke نتيجة الوضع + +236 +00:19:28,040 --> 00:19:31,480 +الجديد اللي صار عندهم ممكن يكونوا معرضين لعدد + +237 +00:19:31,480 --> 00:19:35,360 +شغلات وعدد complications البعض منها ممكن يكون + +238 +00:19:35,360 --> 00:19:41,200 +fatal قاتل مرضى ال stroke نتيجة ال bit ridden و + +239 +00:19:41,200 --> 00:19:45,910 +الفترة الطويل اللي بيصير فيهابدون حركة ممكن يصير + +240 +00:19:45,910 --> 00:19:50,250 +في عندهم deep venous thrombosis DVT ممكن يصير في + +241 +00:19:50,250 --> 00:19:53,570 +عندهم pulmonary embolism وهذه من الشغلات اللي ممكن + +242 +00:19:53,570 --> 00:19:57,930 +تكون قاتلة ممكن يصير في عندهم dysphagia difficulty + +243 +00:19:57,930 --> 00:20:01,070 +of swallowing ممكن يصير في عندهم aspiration + +244 +00:20:01,070 --> 00:20:05,230 +pneumonia مشاكل لما يتعلق بالجهاز التنفسي و + +245 +00:20:05,230 --> 00:20:09,730 +infections chest infectionsممكن يكون عندهم + +246 +00:20:09,730 --> 00:20:13,150 +psychological problems، depression ممكن يصير عندهم + +247 +00:20:13,150 --> 00:20:16,610 +hemiplegic painful shoulder وهذه من المشاكل ال + +248 +00:20:16,610 --> 00:20:21,790 +common ال specificity برضه من المشاكل ال common و + +249 +00:20:21,790 --> 00:20:25,490 +الموجودة عند مرضى ال stroke clinical findings + +250 +00:20:25,490 --> 00:20:30,670 +patient impairments a patient who has sustained + +251 +00:20:30,670 --> 00:20:33,630 +cva may have a number of different impairments + +252 +00:20:34,440 --> 00:20:38,300 +الدرجة التي تتعامل هذه التعاملية مع مستخدمات + +253 +00:20:38,300 --> 00:20:43,680 +المريض تتعامل مع مستخدمات المريض تتعامل مع + +254 +00:20:43,680 --> 00:20:44,000 +مستخدمات المريض تتعامل مع مستخدمات المريض تتعامل + +255 +00:20:44,000 --> 00:20:44,320 +مع مستخدمات المريض تتعامل مع مستخدمات المريض + +256 +00:20:44,320 --> 00:20:45,680 +تتعامل مع مستخدمات المريض تتعامل مع مستخدمات + +257 +00:20:45,680 --> 00:20:46,240 +المريض تتعامل مع مستخدمات المريض تتعامل مع + +258 +00:20:46,240 --> 00:20:46,620 +مستخدمات المريض تتعامل مع مستخدمات المريض تتعامل + +259 +00:20:46,620 --> 00:20:49,180 +مع مستخدمات المريض تتعامل مع مستخدمات المريض + +260 +00:20:49,180 --> 00:20:56,020 +تتعامل + +261 +00:20:56,020 --> 00:21:01,240 +مع مستخدمات المريض تتعامل مع مستخدمات المريض تتع + +262 +00:21:01,470 --> 00:21:05,450 +الـ amount of nervous tissue damage قداش صار في + +263 +00:21:05,450 --> 00:21:11,970 +عندى خلايا من ال brain صار فيها damage نتيجة + +264 +00:21:11,970 --> 00:21:18,910 +الجلطة motor impairments المشاكل الحركية طبعا مش + +265 +00:21:18,910 --> 00:21:21,970 +كل المرضى بيصير مرضى ال stroke بيصير عندهم + +266 +00:21:21,970 --> 00:21:26,730 +hemiplegia أو hemiparesis بنفس القدر لأ ممكن البعض + +267 +00:21:26,730 --> 00:21:31,300 +منهم يصير في عندهم hemiplegia«أحد الأشياء الأساسية + +268 +00:21:31,300 --> 00:21:36,480 +والأكثر مفيدة من جميع الانتجارات اللاجئة في + +269 +00:21:36,480 --> 00:21:37,800 +المستخدمين اللاجئين اللاجئين اللاجئين اللاجئين + +270 +00:21:37,800 --> 00:21:39,400 +اللاجئين اللاجئين اللاجئين اللاجئين اللاجئين + +271 +00:21:39,400 --> 00:21:43,760 +اللاجئين اللاجئين اللاجئين اللاجئين اللاجئين + +272 +00:21:43,760 --> 00:21:43,920 +اللاجئين اللاجئين اللاجئين اللاجئين اللاجئين + +273 +00:21:43,920 --> 00:21:43,920 +اللاجئين اللاجئين اللاجئين اللاجئين اللاجئين + +274 +00:21:43,920 --> 00:21:43,920 +اللاجئين اللاجئين اللاجئين اللاجئين اللاجئين + +275 +00:21:43,920 --> 00:21:43,920 +اللاجئين اللاجئين اللاجئين اللاجئين اللاجئين + +276 +00:21:43,920 --> 00:21:44,940 +اللاجئين اللاجئين اللاجئين اللاجئين اللاجئين + +277 +00:21:44,940 --> 00:21:48,260 +اللاجئين اللاجئين اللاجئين اللاجئين اللاجئين + +278 +00:21:48,260 --> 00:21:54,000 +اللاجئين اللاجئين الل + +279 +00:21:56,840 --> 00:22:01,960 +وهذه طبعا إذا كانت الـ motor area الـ motor cortex + +280 +00:22:01,960 --> 00:22:08,140 +affected بشكل كبير جدا، سيكون في عندي ال motor + +281 +00:22:08,140 --> 00:22:16,300 +findings أو ال motor disability كبيرة حسب درجة ال + +282 +00:22:16,300 --> 00:22:22,260 +damage اللي موجودة في ال cortexممكن توصل لـ + +283 +00:22:22,260 --> 00:22:27,940 +flaccid muscle tone أو flaccidity وبعد فترة ممكن + +284 +00:22:27,940 --> 00:22:34,190 +تطور اسم السيستيمفلسد المصاري لم يكن لديه قوة + +285 +00:22:34,190 --> 00:22:38,510 +لتنشيط محرك المصاري و لتنشيط محرك المحرك ستجد أن + +286 +00:22:38,510 --> 00:22:42,630 +المريض في مرحلة الفلسدية لا يستطيع أن يعمل أي محرك + +287 +00:22:42,630 --> 00:22:48,510 +كما نقول بالعامية أن شريطة نمسك الطرف و نرخيب ينزل + +288 +00:22:48,510 --> 00:22:57,910 +مباشرة بدون أي شيء يمنع سقوطه يعني ينزل سقوط حر + +289 +00:22:58,740 --> 00:23:05,960 +الوضع اللازم أو الوضع المرتبط بالقوة اللازمة هو + +290 +00:23:05,960 --> 00:23:08,440 +الوضع المرتبط بالقوة المرتبط بالقوة المرتبط بالقوة + +291 +00:23:08,440 --> 00:23:08,580 +المرتبط بالقوة المرتبط بالقوة المرتبط بالقوة + +292 +00:23:08,580 --> 00:23:09,800 +المرتبط بالقوة المرتبط بالقوة المرتبط بالقوة + +293 +00:23:09,800 --> 00:23:09,800 +المرتبط بالقوة المرتبط بالقوة المرتبط بالقوة + +294 +00:23:09,800 --> 00:23:09,800 +المرتبط بالقوة المرتبط بالقوة المرتبط بالقوة + +295 +00:23:09,800 --> 00:23:09,800 +المرتبط بالقوة المرتبط بالقوة المرتبط بالقوة + +296 +00:23:09,800 --> 00:23:09,980 +المرتبط بالقوة المرتبط بالقوة المرتبط بالقوة + +297 +00:23:09,980 --> 00:23:13,000 +المرتبط بالقوة المرتبط بالقوة المرتبط بالقوة + +298 +00:23:13,000 --> 00:23:18,700 +المرتبطسنجد أن الـ flaccidity هي مرحلة عابرة بعدها + +299 +00:23:18,700 --> 00:23:24,080 +المريض يبدأ يكوّن الـ hypertonia والاسبستيستي إذا + +300 +00:23:24,080 --> 00:23:29,780 +قلنا مرحلة الاسبستيستي هي المرحلة الأكتر ظهورا مع + +301 +00:23:29,780 --> 00:23:33,980 +مرضى الـ stroke في حين أن مرحلة الـ flaccidity هي + +302 +00:23:33,980 --> 00:23:39,640 +مرحلة مبكرة وفي المرحلة الأولى وبعد ذلك تتطور إلى + +303 +00:23:39,640 --> 00:23:44,530 +الاسبستيستيلو جينا نتعرف على الـ Spasticity، it is + +304 +00:23:44,530 --> 00:23:48,910 +a motor disorder characterized by exaggerated deep + +305 +00:23:48,910 --> 00:23:53,290 +tendon reflexes and increased muscle tone هنلاقي + +306 +00:23:53,290 --> 00:23:58,370 +أن الـ Spasticity هي عبارة عن exaggerated deep + +307 +00:23:58,370 --> 00:24:02,230 +tendon reflexes، ممكن نشوفها، ممكن نشوف increase + +308 +00:24:02,230 --> 00:24:03,350 +ال muscle tone + +309 +00:24:06,350 --> 00:24:11,030 +الطبيب بـ Spasticity لديه اضافة مقاومة لتحطيم + +310 +00:24:11,030 --> 00:24:15,630 +المصدر المتواجد يعني كيف انا ممكن اتعرف على المريض + +311 +00:24:15,630 --> 00:24:20,870 +باجي بعمل sudden passive stretch of the limb حاليا + +312 +00:24:20,870 --> 00:24:25,730 +صار في عندي انا نوع من ال resistance في عملية ال + +313 +00:24:25,730 --> 00:24:28,590 +movement هذه او لعملية ال stretch اللي اعملتها + +314 +00:24:28,590 --> 00:24:32,530 +hyperreflexia of deep tender reflexes كمان ممكن + +315 +00:24:32,530 --> 00:24:36,530 +تكون موجودة في حالة Spasticityboth shrink of the + +316 +00:24:36,530 --> 00:24:39,670 +extremity in flexion or extension ممكن نتيجة + +317 +00:24:39,670 --> 00:24:43,230 +لسبسيست الموجود يكون المريض يا إما في flexion + +318 +00:24:43,230 --> 00:24:48,210 +attitude أو في extension pattern contraction of + +319 +00:24:48,210 --> 00:24:52,870 +muscles and stereotypical movement pattern called + +320 +00:24:52,870 --> 00:24:58,870 +synergies حلاجي أنه مرضى ال strokeموجودين في + +321 +00:24:58,870 --> 00:25:03,750 +pattern معين أو في أنماء حركية معينة هذي يسموها + +322 +00:25:03,750 --> 00:25:08,590 +الـ synergies لو جينا نتطلع على الاسباسيستي هناك + +323 +00:25:08,590 --> 00:25:12,950 +العديد من النظريات اللي بتشرح development of + +324 +00:25:12,950 --> 00:25:16,850 +اسباسيستي theories on the development of اسباسيستي + +325 +00:25:16,850 --> 00:25:22,760 +have been evolving a researchكتابة في مجال تغيير + +326 +00:25:22,760 --> 00:25:26,680 +الحياة المحركة باستمرار + +327 +00:25:26,680 --> 00:25:31,720 +في دراسات بتوضح الاسباسيستي وشو العوامل اللي ممكن + +328 +00:25:31,720 --> 00:25:38,120 +انها تتزود الاسباسيستي The classic theory of + +329 +00:25:38,120 --> 00:25:42,880 +asbestos development centers around the idea that + +330 +00:25:42,880 --> 00:25:46,380 +asbestos develops in response to an upper motor + +331 +00:25:46,380 --> 00:25:52,570 +neuron injury حلاقي انهالحالات السبسيستية موجودة + +332 +00:25:52,570 --> 00:25:57,070 +مع حالات الـ Upper Motor Neuron Lesion هذه + +333 +00:25:57,070 --> 00:26:00,130 +الملاحظة السبسيستية تتعامل مع الملاحظة الهيراركية + +334 +00:26:00,130 --> 00:26:05,750 +للنظر والتطور من التحكم والتحرك + +335 +00:26:20,550 --> 00:26:24,910 +التحقيقين كانوا قبل ذلك يعتبرون أن الـSpasticity + +336 +00:26:24,910 --> 00:26:27,630 +تم تطورها من نشطة الهيبرترطيبالية من نشطة + +337 +00:26:27,630 --> 00:26:28,450 +الهيبرترطيبالية من نشطة الهيبرترطيبالية من نشطة + +338 +00:26:28,450 --> 00:26:30,610 +الهيبرترطيبالية من نشطة الهيبرترطيبالية أول + +339 +00:26:30,610 --> 00:26:37,140 +النظريات بتقول إن Spasticityممكن إنها تكون كوّنت + +340 +00:26:37,140 --> 00:26:42,080 +من hyper excitability of monocynaptic stretch + +341 +00:26:42,080 --> 00:26:46,180 +reflex كلنا احنا بنعرف ال stretch reflex و بنعرف + +342 +00:26:46,180 --> 00:26:50,780 +ال spinal reflex اللي حكينا عنه في سنة تانية أيام + +343 +00:26:50,780 --> 00:26:53,860 +ال human growth and development this theory is + +344 +00:26:53,860 --> 00:26:55,880 +based on muscle spindle physiology + +345 +00:27:00,340 --> 00:27:05,460 +أفرانت أو سنسوري ريسيبتورز ألفا موتور نيرون اكتفتي + +346 +00:27:05,460 --> 00:27:11,400 +in the grammeter of the spinal cord لو جينا نبطلع + +347 +00:27:11,400 --> 00:27:16,080 +على أي muscle هلاجي أنه في عندنا two types of + +348 +00:27:16,080 --> 00:27:22,280 +muscle fibers في عندنا extrafusal fibersاللي هي + +349 +00:27:22,280 --> 00:27:28,100 +موجودة في الشكل الصورة هذه وفي عندي الـ Intrafusal + +350 +00:27:28,100 --> 00:27:29,200 +Fibers + +351 +00:27:32,400 --> 00:27:37,380 +لو جينا نتطلع على الـ Extrafusal fibers هلاجيها + +352 +00:27:37,380 --> 00:27:42,880 +إنه هي innervated by Alpha motor neurons Alpha + +353 +00:27:42,880 --> 00:27:48,420 +motor neurons في حين إنه الـ Intrafusal parts + +354 +00:27:48,420 --> 00:27:57,460 +متغدى أو innervated by Gamma motor neuron لو جينا + +355 +00:27:57,460 --> 00:28:03,570 +نتطلع على الصورة هذهشايفين قدامنا طبعا هذه هي الـ + +356 +00:28:03,570 --> 00:28:08,670 +Extrafusal وهذه هي الـ Intrafusal fibers الـ + +357 +00:28:08,670 --> 00:28:13,890 +Extrafusal fibers هاي الـ motor supply تبعها ال + +358 +00:28:13,890 --> 00:28:19,010 +nerve supply تبعها وجاي في منطقة بسموها الـ Alpha + +359 +00:28:19,010 --> 00:28:24,890 +motor neuron الـ Intrafusal جاي في الـ Gamma motor + +360 +00:28:24,890 --> 00:28:31,330 +neuron center تبعها هذا طبعاباختصار صورة أخرى + +361 +00:28:31,330 --> 00:28:35,550 +بتوضح الـ extrafusal fibers و الـ intrafusal + +362 +00:28:35,550 --> 00:28:40,890 +fibers طبعا هاي في عندي أنا الـ Alpha motor + +363 +00:28:40,890 --> 00:28:46,990 +neurons و في عندي الـ Gamma motor neurons زي ما + +364 +00:28:46,990 --> 00:28:50,910 +احنا شايفين الـ Gamma motor neurons هي اللي بتغدي + +365 +00:28:50,910 --> 00:28:55,190 +الـ intrafusal و الـ Alpha motor neurons هي اللي + +366 +00:28:55,190 --> 00:29:01,810 +بتغديالـ Extra Fusel Fibers خلينا نتعرف على الـ + +367 +00:29:01,810 --> 00:29:06,370 +Reflex Arc وكيف بتصير الـ development of + +368 +00:29:06,370 --> 00:29:11,370 +spasticity حسب ما احنا بنعرف الآن زي ما احنا + +369 +00:29:11,370 --> 00:29:17,530 +شايفين، هاي في عندي أنا الـ Spinal Segment هذه + +370 +00:29:17,530 --> 00:29:23,690 +طبعا Spinal Segment موجود في عندي Posterior Horsel + +371 +00:29:24,430 --> 00:29:28,770 +وبينجود عندى anterior horse cell نفس الأشياء في + +372 +00:29:28,770 --> 00:29:34,670 +الجهتين طبعا موجود فيه عندى هنا الـ inter neuron + +373 +00:29:34,670 --> 00:29:40,470 +وفيه موجود عندى أنا طبعا زي ما حكينا الـ gamma + +374 +00:29:40,470 --> 00:29:44,550 +motor neuron اللي هي موجودة في الـ intra بتغذى الـ + +375 +00:29:44,550 --> 00:29:45,270 +intrafusal + +376 +00:29:47,790 --> 00:29:52,670 +الـ Extrafusal تتغذى من خلال الـ Alpha Motor الـ + +377 +00:29:52,670 --> 00:29:56,570 +Neuron الان شو اللي بيصير في عملية الـ Reflex + +378 +00:29:56,570 --> 00:30:04,010 +Activity مجرد أنا أعمل Stretching للـ Extrafusal + +379 +00:30:04,010 --> 00:30:10,230 +Fibers هذه موجود في عندي أنا Golgi Tendon Organs + +380 +00:30:10,230 --> 00:30:17,060 +الـ Golgi Tendon Organs هذه اللي موجودةزي ما احنا + +381 +00:30:17,060 --> 00:30:23,000 +شايفينها هذه بيصير لها stimulation مباشرة مجرد ما + +382 +00:30:23,000 --> 00:30:29,460 +تعمل stimulation على طول بتبعت ال order تبعها + +383 +00:30:29,460 --> 00:30:35,040 +لمين؟ لـ الـ Alpha motor neuron والـ Gamma motor + +384 +00:30:35,040 --> 00:30:41,140 +neuron بيصير فيهم نوع من ال sudden contraction من + +385 +00:30:41,140 --> 00:30:46,600 +ال sudden contraction هذا ال contraction طبعافي + +386 +00:30:46,600 --> 00:30:54,080 +نفس الوقت جزء من الإشارة العصبية انقسمت وطلعت من + +387 +00:30:54,080 --> 00:30:58,000 +خلال الـascending neurons وراحت لل high centers في + +388 +00:30:58,000 --> 00:31:03,280 +الـbrain في حال لما يكون في عندي مشكلة في الـbrain + +389 +00:31:03,280 --> 00:31:07,280 +طبعا هنا صار في عندي contraction صار في عندي نوع + +390 +00:31:07,280 --> 00:31:12,810 +من ال contraction ابتيجي الإشارة منالـ Upper Motor + +391 +00:31:12,810 --> 00:31:15,830 +أو من الـ High Center من الـ Brain من الـ Motor + +392 +00:31:15,830 --> 00:31:20,670 +Cortex وبتعمل Inhibition وبتعطي أمر لهذه العضلات + +393 +00:31:20,670 --> 00:31:25,510 +اللي شدت أنه إرخي لكن في حالة لما يكون في عندي أنا + +394 +00:31:25,510 --> 00:31:32,150 +Damage في الخلايا هذه مافي شيء يمنع الـ Stimulus + +395 +00:31:32,150 --> 00:31:38,220 +موجودة مافي شيء يمنعالـ Relaxation اللي بيصير لأ + +396 +00:31:38,220 --> 00:31:45,600 +بيضلوا ماشي عندى أنا continuous flexion وبالتالي + +397 +00:31:45,600 --> 00:31:49,900 +هيزيد عندى ال muscle tone و هزيد دسبستيك + +398 +00:31:53,120 --> 00:31:57,500 +العمل غير مغلق للجامعة إفرانت أو الوضع المحرك + +399 +00:31:57,500 --> 00:32:02,200 +يعتمد على استخدام استعمال مستمر للوضع الإفرانت + +400 +00:32:02,200 --> 00:32:08,800 +بمتعامل شعار الجسد المحرك للإرشاد الجامعة جامعة + +401 +00:32:08,800 --> 00:32:16,510 +الجسد المحرك هي المسؤولة عن بقاءالعضلة في + +402 +00:32:16,510 --> 00:32:21,910 +continuous contraction وبالتالي هي السبب الرئيسي + +403 +00:32:21,910 --> 00:32:26,730 +في عملية بقاء الـSpasticity اللي موجودة في العضلة + +404 +00:32:26,730 --> 00:32:31,690 +لكن لو كان عندي انا ال high centers شغالة هلاجي + +405 +00:32:31,690 --> 00:32:36,410 +انه صار في عندي control في هذه العضلات وصار فيها + +406 +00:32:36,410 --> 00:32:39,850 +release in today's view of spasticity + +407 +00:32:39,850 --> 00:32:44,460 +hypertonicityأو إزالة حرارة الحرارة يعتقد أن يتطور + +408 +00:32:44,460 --> 00:32:46,220 +من عملية عملية عملية عملية عملية عملية عملية عملية + +409 +00:32:46,220 --> 00:32:47,240 +عملية عملية عملية عملية عملية عملية عملية عملية + +410 +00:32:47,240 --> 00:32:49,600 +عملية عملية عملية عملية عملية عملية عملية عمليةبعد + +411 +00:32:49,600 --> 00:32:53,980 +أن تصل إلى جسد العضلات العضلات العضلات العضلات + +412 +00:32:53,980 --> 00:32:55,360 +العضلات العضلات العضلات العضلات العضلات العضلات + +413 +00:32:55,360 --> 00:32:58,720 +العضلات العضلات العضلات العضلات العضلات العضلات + +414 +00:32:58,720 --> 00:33:01,720 +العضلات العضلات العضلات العضلات العضلات العضلات + +415 +00:33:01,720 --> 00:33:10,080 +العضلات العضلات العضلات العضلات العضلات العضلات + +416 +00:33:10,080 --> 00:33:13,640 +العضلات + +417 +00:33:13,640 --> 00:33:17,380 +العضلات العضلات العضلات العضلات العضلات العضلات + +418 +00:33:17,380 --> 00:33:17,380 +العضلات العضلات العضلات العضلات العضلات العضلات + +419 +00:33:17,380 --> 00:33:17,380 +العضلات العضلات العضلات العضلات العضلات العضلات + +420 +00:33:17,380 --> 00:33:17,380 +العضلات العضلات العضلات العضلات العضلات العضلات + +421 +00:33:17,380 --> 00:33:22,250 +العضلDevelopment of Spacestate زي ما حكينا انه في + +422 +00:33:22,250 --> 00:33:27,750 +الـ Muscle Fibers في عندى انترافيوزل وبتم التحكم + +423 +00:33:27,750 --> 00:33:34,950 +فيها من خلال الـ Gamma Motor Fibers وفي عندى الـ + +424 +00:33:34,950 --> 00:33:39,310 +Extrafusal اللى بتم التحكم فيها من خلال الـ Alpha + +425 +00:33:39,310 --> 00:33:48,890 +Motor Fibers الآن موجود في عندى في نهاياتالعضلة + +426 +00:33:48,890 --> 00:33:51,950 +اللي في الـ tendon في عندي organs حاجة بيسموها الـ + +427 +00:33:51,950 --> 00:33:56,090 +Golgi tendon organs هذول الـ Golgi tendon organs + +428 +00:33:56,090 --> 00:34:02,550 +very sensitive لأي stretch لو أي elongation موجود + +429 +00:34:02,550 --> 00:34:09,390 +في العضلة فعشان هيك أي movement في العضلة هتعمل + +430 +00:34:09,390 --> 00:34:13,350 +stimulation للـ Golgi tendon organs الـ Golgi + +431 +00:34:13,350 --> 00:34:20,040 +tendon organsبتجي طبعا الإشارة من خلال الـ + +432 +00:34:20,040 --> 00:34:23,360 +Afferent الـ Dorsal Root Ganglion والـ Afferent + +433 +00:34:23,360 --> 00:34:27,160 +بتروح من خلال الـ Posterior Horse Cells للـ + +434 +00:34:27,160 --> 00:34:32,160 +Interneuron وفي الـ Interneuron طبعا بتعمل + +435 +00:34:32,160 --> 00:34:39,180 +Stimulation لـ Gamma Motor Fibersبشكل كبير جدا + +436 +00:34:39,180 --> 00:34:43,780 +بتعمل stimulation لها وبالتالي بتخلي العضلة الـ + +437 +00:34:43,780 --> 00:34:48,320 +muscle spindle في contraction وبتعمل some + +438 +00:34:48,320 --> 00:34:55,180 +stimulation للـ alpha motor لكن مش بالقدر الكبير + +439 +00:34:55,180 --> 00:35:00,620 +هلاجي أن الـ gamma motor fibers هي المسؤولة بشكل + +440 +00:35:00,620 --> 00:35:04,960 +كبير جدا عن عملية development of specificity + +441 +00:35:04,960 --> 00:35:12,620 +وcontractionفي حين ان الـ Alpha motor fibers بتعمل + +442 +00:35:12,620 --> 00:35:18,820 +نوع من الـ control في ال contraction وفي حالة ما + +443 +00:35:18,820 --> 00:35:24,780 +يكون في عندي مشكلة انا هيكون هذه الإشارة مش قوية + +444 +00:35:24,780 --> 00:35:28,720 +بالقدر الكافي انها تستثير كل الـ Alpha motor + +445 +00:35:28,720 --> 00:35:35,680 +fibers وبالتالي مش هيصير في عنديالـ Release اللي + +446 +00:35:35,680 --> 00:35:38,920 +في العضلة هتظل العضلة دايما في continuous + +447 +00:35:38,920 --> 00:35:42,860 +contraction خلينا نشوف الكلام اللي حكيناه + +448 +00:35:42,860 --> 00:35:47,220 +Uninterrupted activity of the gamma afferent أو + +449 +00:35:47,220 --> 00:35:50,260 +gamma efferent أو motor system is believed to + +450 +00:35:50,260 --> 00:35:53,840 +account for a continuous activation of the + +451 +00:35:53,840 --> 00:35:57,400 +afferent system by maintaining the muscle spindle + +452 +00:35:57,400 --> 00:36:03,130 +sensitivity to stretch إذن نتيجة الـ stretchingصار + +453 +00:36:03,130 --> 00:36:07,410 +في عندى continuous stimulation في الـGamma motor + +454 +00:36:07,410 --> 00:36:12,090 +fibers هذه اللي هي هتعمل contraction كثير من + +455 +00:36:12,090 --> 00:36:16,650 +الباحثين والدارسين بيقولوا انه الـStretch reflex + +456 +00:36:16,650 --> 00:36:24,130 +مش بالقوة الكافية عشان يعمل control للـAlpha motor + +457 +00:36:24,130 --> 00:36:28,810 +neuron زي ما احنا شايفين الـAlpha motor neuron هذه + +458 +00:36:29,390 --> 00:36:33,370 +هذه طبعاً الـ stimulus اللي أجت نتيجة الـ stretch + +459 +00:36:33,370 --> 00:36:38,030 +مش بالقدر الكافي إنها تعملها stimulation كلها + +460 +00:36:38,030 --> 00:36:42,210 +hypertonicity or increased muscle tone is believed + +461 +00:36:42,210 --> 00:36:45,830 +to develop from abnormal processing of the + +462 +00:36:45,830 --> 00:36:50,130 +afferent sensory input after stimulus reaches the + +463 +00:36:50,130 --> 00:36:54,580 +spinal cord، إذن، الاسبسيستي هي نتيجةالـ + +464 +00:36:54,580 --> 00:36:59,220 +Stimulation للـ Afferent النيرون أو للـ Afferent + +465 +00:36:59,220 --> 00:37:04,360 +in-butt انتجارين اقترحوا ان الـ Defect in + +466 +00:37:04,360 --> 00:37:07,920 +Inhibitory Modulation من مركزات كورتكالية أعلى + +467 +00:37:07,920 --> 00:37:13,080 +وسائل وسائل وسائل الانترنيرونات تتسبب في وجود + +468 +00:37:13,080 --> 00:37:18,860 +الاسباسيستيم ونتيجة الخلل اللي بيكون موجود في الـ + +469 +00:37:18,860 --> 00:37:23,560 +high center مش هيصير في عندك control في هذا الـالـ + +470 +00:37:23,560 --> 00:37:29,340 +Fibers وبالتالي مش هيكون في عندي أنا لسبة لـ + +471 +00:37:29,340 --> 00:37:33,880 +Flaccidity وبالتالي هيظل عندى لسبة الـ System الآن + +472 +00:37:33,880 --> 00:37:38,120 +لو جينا نطلع على موضوع الـ Muscle Tone وكيف نعمل + +473 +00:37:38,120 --> 00:37:42,380 +assessment للـ Muscle Tone هنلاقي أنه الـ Muscle + +474 +00:37:42,380 --> 00:37:47,180 +Tone ممكن نقيمه من خلال الـ Modified Ashworth + +475 +00:37:47,180 --> 00:37:52,800 +Scale الـ Modified Ashworth Scale بتكون منتقريبا + +476 +00:37:52,800 --> 00:38:02,240 +من 0 لحد 4 ordinal in scale is used مرتبات من 0 ل4 + +477 +00:38:02,240 --> 00:38:08,060 +score of 0 معناه انه no increase in muscle tone و0 + +478 +00:38:08,060 --> 00:38:12,400 +مش معناها if lacidity، 0 معناها انه normal muscle + +479 +00:38:12,400 --> 00:38:18,540 +tone في حين ان 4 بتمثل severe hypertonia و بتمثل + +480 +00:38:18,540 --> 00:38:23,380 +rigidityالآن لو دينا نطلع على الـ Modified Short + +481 +00:38:23,380 --> 00:38:30,320 +Scale وشوف كل grade بتاعي، هلاجي أنه في عندنا ستة + +482 +00:38:30,320 --> 00:38:35,140 +grades Zero، واحد، واحد plus، اتنين، تلاتة، اربع + +483 +00:38:35,140 --> 00:38:39,720 +الـ Zero هي الـ Normal Muscle Tone أو No Increase + +484 +00:38:39,720 --> 00:38:44,600 +in Muscle Tone واحد، في عندي slight increase in + +485 +00:38:44,600 --> 00:38:49,470 +muscle toneوأكتر حاجة manifested by catch and + +486 +00:38:49,470 --> 00:38:53,690 +release لما ييجي المريض يبقى يمسك شيء ويرخيه طبعا + +487 +00:38:53,690 --> 00:38:59,890 +هنا بتبين الـdysbiosis وحلاقي أنه المريضوالمريض + +488 +00:38:59,890 --> 00:39:03,790 +اللي بيجي هالى ماليزيا نقيم هلاقي انه بعض + +489 +00:39:03,790 --> 00:39:07,410 +التقييمات بتقول ان ال patient can grasp but cannot + +490 +00:39:07,410 --> 00:39:11,130 +release patient can release but cannot grasp هذه + +491 +00:39:11,130 --> 00:39:15,610 +نتيجة وجود ال slight specificity اللي موجودة one + +492 +00:39:15,610 --> 00:39:21,530 +plus slight increase in muscle tone manifested by + +493 +00:39:21,530 --> 00:39:26,910 +catch followed by minimal resistance through the + +494 +00:39:26,910 --> 00:39:28,150 +remaining + +495 +00:39:30,010 --> 00:39:34,230 +أو «through the remainder» «less than half of the + +496 +00:39:34,230 --> 00:39:38,530 +range of motion» يعني إذا كان المريض «one plus» ما + +497 +00:39:38,530 --> 00:39:42,730 +بدهيجي يعمل «catch» بيصير فيه نوع من «increase» لـ + +498 +00:39:42,730 --> 00:39:48,790 +«muscle tone» بيصير فيه «resistance» كمان «after» + +499 +00:39:48,790 --> 00:39:53,510 +أو «less than half of the range of motion» أقل من + +500 +00:39:53,510 --> 00:40:00,800 +نص الـ«range of motion» «two» هلاجي أنهمرق أكتر في + +501 +00:40:00,800 --> 00:40:06,860 +مزلتونممكن تحصل على مدى الحركة بسهولة في كل مجموعة + +502 +00:40:06,860 --> 00:40:12,360 +محركة لكن ممكن تحصل على مدى الحركة بسهولة + +503 +00:40:31,970 --> 00:40:37,470 +في عندنا rigidity في الـ extremities و full + +504 +00:40:37,470 --> 00:40:41,390 +passive range of motion cannot be achieved هذا + +505 +00:40:41,390 --> 00:40:44,610 +بخصوص الـ Modified Ashworth Scale + diff --git a/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/S-BU2PrJnQ8.srt b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/S-BU2PrJnQ8.srt new file mode 100644 index 0000000000000000000000000000000000000000..2bad37d1dd157254c2b169fae7e52817d07b3022 --- /dev/null +++ b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/S-BU2PrJnQ8.srt @@ -0,0 +1,724 @@ +1 +00:00:02,430 --> 00:00:07,050 +السلام عليكم، هنكمل اليوم في موضوع الـ peripheral + +2 +00:00:07,050 --> 00:00:10,770 +nerve injuries. هناخد مثال للـ peripheral nerve + +3 +00:00:10,770 --> 00:00:16,710 +injuries، البلز بالسي والفشل بالسي، الـ facial nerve + +4 +00:00:16,710 --> 00:00:22,190 +injury، يعتبر من الـ central nervous system injuries + +5 +00:00:22,190 --> 00:00:29,840 +لكن إذا بدنا نقول، ممكن نعتبرها lower motor neuron إذا + +6 +00:00:29,840 --> 00:00:34,060 +كانت تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا + +7 +00:00:34,060 --> 00:00:34,820 +تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا + +8 +00:00:34,820 --> 00:00:34,980 +تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا + +9 +00:00:34,980 --> 00:00:36,320 +تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا + +10 +00:00:43,690 --> 00:00:46,630 +بداية، بيلز بالسي، بيلز بالسي، بيلز بالسي، بيلز بالسي، بيلز بالسي، + +11 +00:00:46,630 --> 00:00:47,090 +بيلز بالسي، بيلز بالسي، بيلز بالسي، بيلز بالسي، بيلز بالسي، + +12 +00:00:47,090 --> 00:00:49,310 +بيلز بالسي، بيلز بالسي، بيلز بالسي، بيلز بالسي، بيلز بالسي، + +13 +00:00:49,310 --> 00:00:56,330 +بيلز بالسي، بيلز بالسي، بيلز بالسي، بيلز بالسي، بيلز بالسي، + +14 +00:00:56,330 --> 00:00:56,910 +بيلز بالسي، بيلز بالسي، بيلز بالسي، بيلز بالسي، بيلز بالسي، + +15 +00:00:56,910 --> 00:00:57,770 +بيلز بالسي، بيلز بالسي، بيلز بالسي، بيلز بالسي، بيلز بالسي، + +16 +00:00:57,770 --> 00:01:07,290 +بيلز بالسي، بيلز بالسي، بيلز بالسي، بيلز بالسي، + +17 +00:01:07,630 --> 00:01:10,990 +اللي بيبدأ ينتج عندي من هذه الـ affection، يا إما + +18 +00:01:10,990 --> 00:01:14,250 +paralysis في الـ musculature of the face، أو + +19 +00:01:14,250 --> 00:01:19,370 +paralysis في الـ musculature of the face. لو جينا + +20 +00:01:19,370 --> 00:01:25,350 +نطلع على الـ facial palsy + +21 +00:01:25,350 --> 00:01:30,490 +which is due to upper motor neuron lesion. + +22 +00:01:44,510 --> 00:01:49,890 +مهم جدا عشان نعرف الـ palsy بالسي والـ facial palsy + +23 +00:01:50,410 --> 00:01:55,170 +بتكتراجع الـ anatomy of the facial nerve. كلنا بنعرف + +24 +00:01:55,170 --> 00:01:58,670 +أنه الـ facial nerve من الـ cranial nerves اللي هو + +25 +00:01:58,670 --> 00:02:02,850 +عبارة عن الـ seventh cranial nerve، originate in the + +26 +00:02:02,850 --> 00:02:15,150 +bones في الـ brain stem، طبعا + +27 +00:02:15,150 --> 00:02:20,370 +في خلال مروره، الـ facial nerve بيمر بمجموعة من الـ + +28 +00:02:20,370 --> 00:02:23,810 +structures: posterior cranial fossa، internal + +29 +00:02:23,810 --> 00:02:28,970 +auditory meatus، temporal bone، stylomastoid + +30 +00:02:28,970 --> 00:02:35,950 +foramen، parotid gland، الـ + +31 +00:02:35,950 --> 00:02:43,440 +terminal motor branch. طبعا الجزء الخارجي، إذا هذا + +32 +00:02:43,440 --> 00:02:48,560 +الجزء في داخل الـ skull (Intracranial). هنا + +33 +00:02:48,560 --> 00:02:56,140 +(Extracranial)، وبينقسم إلى five branches: temporal + +34 +00:02:56,140 --> 00:03:02,440 +branch، zygomatic branch، buccal branch، marginal + +35 +00:03:02,440 --> 00:03:10,430 +mandibular branch، cervical branch. الآن الصورة هذه بتوضح + +36 +00:03:10,430 --> 00:03:15,150 +الـ extra cranial part. طبعا هنا المنطقة اللي بيبدأ + +37 +00:03:15,150 --> 00:03:19,010 +يطلع منها الـ cranial nerve، الـ facial nerve من الـ + +38 +00:03:19,010 --> 00:03:24,890 +cranium، لمنطقة الـ stylomastoid foramen. في هذه + +39 +00:03:24,890 --> 00:03:32,690 +المنطقة، بعد هيك بيبدأ الـ branches تتقسم. طبعا هاي في + +40 +00:03:32,690 --> 00:03:38,830 +عندي الـ temporal branch، زي ما احنا شايفين طبعا في + +41 +00:03:38,830 --> 00:03:43,930 +عندي كمان الـ zygomatic branch. لاحظوا هذا الـ + +42 +00:03:43,930 --> 00:03:51,490 +zygomatic branch، في عندي الـ buccal branch، وفي عندي + +43 +00:03:51,490 --> 00:03:55,390 +الـ mandibular branch، وفي عندي + +44 +00:03:59,250 --> 00:04:03,610 +هذه الـ branches مهم جدا نتعرف عليها في الـ anatomy، لأن في + +45 +00:04:03,610 --> 00:04:07,690 +عملية الـ stimulation اللي احنا بنعملها، الـ electric + +46 +00:04:07,690 --> 00:04:11,710 +stimulation، في طريقة الـ massage اللي احنا بدنا نعملها، + +47 +00:04:11,710 --> 00:04:16,730 +بدنا نعرف الـ anatomy of the facial nerve عشان نعرف + +48 +00:04:16,730 --> 00:04:21,970 +وين نشتغل في أثناء العمل. الـ function of the facial + +49 +00:04:21,970 --> 00:04:25,930 +nerve، طبعا في عندي motor function، ممكن يكون في + +50 +00:04:25,930 --> 00:04:30,190 +عندي sensory function، autonomic، ممكن تكون + +51 +00:04:30,190 --> 00:04:33,970 +parasympathetic، في عندي طبعا parasympathetic + +52 +00:04:33,970 --> 00:04:36,410 +secretory motor to the submandibular gland، + +53 +00:04:36,410 --> 00:04:39,470 +parasympathetic secretory motor to the lacrimal + +54 +00:04:39,470 --> 00:04:43,910 +gland، الـ taste of anterior two thirds of the tongue. + +55 +00:04:44,390 --> 00:04:47,930 +لو جينا نتطلع على الـ pathology ونعرف شو اللي + +56 +00:04:47,930 --> 00:04:52,690 +بيصير في حالة الـ facial nerve injury، ولما بيصير + +57 +00:04:52,690 --> 00:04:56,190 +عندي facial nerve injury، facial nerve palsy، طبعا + +58 +00:04:56,190 --> 00:05:00,210 +ممكن تكون الإصابات، إذا لو جينا نتعرف على الـ + +59 +00:05:00,210 --> 00:05:06,720 +pathology of facial nerve palsy، هنلاقي أنه في عندي + +60 +00:05:06,720 --> 00:05:10,840 +عدة أسباب، ممكن يكون عندي neurapraxia، ممكن يكون + +61 +00:05:10,840 --> 00:05:16,240 +عندي axonotmesis، ممكن يكون عندي neurotmesis، وأسباب + +62 +00:05:16,240 --> 00:05:20,480 +كتير ممكن تكون موجودة. احنا هناخد neurapraxia، شو + +63 +00:05:20,480 --> 00:05:27,520 +اللي بيصير؟ طبعا احنا بنعرف أنه الـ nerve موجود، بيمشي + +64 +00:05:27,520 --> 00:05:29,880 +في داخل قناة، سمّوها + +65 +00:05:35,000 --> 00:05:42,740 +الآن نتيجة أي مشكلة معينة، مثل inflammation أو أي + +66 +00:05:42,740 --> 00:05:49,440 +شيء بيصير، في عندي swelling في داخل القناة، هذا الـ + +67 +00:05:49,440 --> 00:05:54,500 +swelling هذا بيعمل compression على الـ facial nerve + +68 +00:05:54,500 --> 00:05:56,840 +وبيعمل عملية loss + +69 +00:06:02,820 --> 00:06:07,620 +بالتالي بتقل الـ conductivity وبتتوقف، ممكن ينتج عنها + +70 +00:06:07,620 --> 00:06:11,220 +الـ paralysis of the muscles، ممكن ينتج عنها paralysis + +71 +00:06:11,220 --> 00:06:18,940 +of the muscles. الآن عشان نتعرف على الـ facial nerve + +72 +00:06:20,950 --> 00:06:23,930 +والـ origins تبعته، احنا عارفين أن الـ facial nerve + +73 +00:06:23,930 --> 00:06:29,050 +originate from the bones في الـ brain stem، فعندي + +74 +00:06:29,050 --> 00:06:34,910 +أنا مبدأيا بيكون موجود عندي الـ brain، موجود عندي الـ + +75 +00:06:34,910 --> 00:06:40,950 +brain stem، وموجود عندي طبعا الـ face. الآن في عملية + +76 +00:06:40,950 --> 00:06:47,150 +أو عند ما يبدو بيصير، خليني أقول transmission للـ + +77 +00:06:47,150 --> 00:06:55,850 +impulse، هنلاقي أن الـ nerve أو الـ facial nerve الـ + +78 +00:06:55,850 --> 00:07:01,830 +origin تبعه موجود في الـ bones. origin of the facial + +79 +00:07:01,830 --> 00:07:06,750 +nerve موجود في الـ bones اللي من ضمن الـ brain stem + +80 +00:07:06,750 --> 00:07:12,650 +فيه طبعا عند الـ facial nuclei، الـ facial nucleii + +81 +00:07:12,650 --> 00:07:17,170 +اللي موجودة، هذه هنلاقيها بتنقسم إلى جزءين: upper + +82 +00:07:17,170 --> 00:07:22,460 +part و lower part. الـ upper part هو في الغالب مسئول + +83 +00:07:22,460 --> 00:07:28,460 +عن، بيغذي الـ upper face. الـ lower part بيغذي الـ + +84 +00:07:28,460 --> 00:07:36,560 +lower face. الآن لو جينا نتطلع على الـ origin وعلى + +85 +00:07:36,560 --> 00:07:43,320 +الـ pathway of the facial nerve، هنلاقي أنه بياخد من + +86 +00:07:45,440 --> 00:07:50,100 +الـ motor cortex في الـ contralateral side، وبيجي + +87 +00:07:50,100 --> 00:07:59,900 +ينزل على الـ upper part of النواة وبياخد + +88 +00:07:59,900 --> 00:08:05,100 +كمان من + +89 +00:08:05,100 --> 00:08:10,400 +الـ same side (ipsilateral)، وبياخد الـ upper + +90 +00:08:21,700 --> 00:08:29,700 +بتغذي الـ lower portion of the facial nuclei في + +91 +00:08:29,700 --> 00:08:37,440 +الـ contralateral side كمان. + +92 +00:08:37,440 --> 00:08:43,510 +مرة نشوف الجهة الثانية، هذه بتغذي الـ opposite side + +93 +00:08:43,510 --> 00:08:49,650 +في الـ upper nuclei، الـ ipsilateral side في الـ + +94 +00:08:49,650 --> 00:08:57,310 +upper nuclei، الـ lower portion of the facial + +95 +00:08:57,310 --> 00:09:05,450 +nuclei. الآن هذا الجانب هيعمل له nutrition أو + +96 +00:09:05,450 --> 00:09:13,520 +تغذية الـ upper portion، هيعمل للـ upper face، والـ + +97 +00:09:13,520 --> 00:09:18,780 +lower portion هيعملها + +98 +00:09:18,780 --> 00:09:24,040 +للـ lower face. الآن، عند ما بده يصير injury في + +99 +00:09:24,040 --> 00:09:30,160 +إمكانية للـ injury، ممكن إذا + +100 +00:09:30,160 --> 00:09:35,480 +لو صار عندي injury في الـ upper motor neuron lesion + +101 +00:09:35,480 --> 00:09:41,920 +في منطقة الـ bones أو above the bones + +102 +00:09:49,860 --> 00:09:56,700 +الأعراض اللي هتكون موجودة عندي، هتلاقي أنه الـ lower + +103 +00:09:56,700 --> 00:10:06,180 +face في الـ contralateral side، صار في affection في + +104 +00:10:06,180 --> 00:10:13,880 +حين أن الـ upper face لا زال سليم أو تأثر بشيء بسيط + +105 +00:10:13,880 --> 00:10:19,780 +لأنه بياخد من الـ opposite side، بياخد innervation + +106 +00:10:19,780 --> 00:10:28,400 +لو كان الـ injury عندي below the + +107 +00:10:28,400 --> 00:10:35,280 +bones، هيعطيني الـ both upper and lower face at the + +108 +00:10:35,280 --> 00:10:36,420 +same side، أو + +109 +00:10:41,520 --> 00:10:47,000 +مرة ثانية، طبعا هذه الإصابة أو هذه الصورة اللي + +110 +00:10:47,000 --> 00:10:51,760 +قدامنا، اللي قالت لو صارت عندي below the bones + +111 +00:10:51,760 --> 00:10:58,860 +peripheral، هنلاقي أنه، أو lower motor neuron، هنلاقي + +112 +00:10:58,860 --> 00:11:04,420 +أنه الـ upper face و lower face affected. لو كانت الـ + +113 +00:11:04,420 --> 00:11:11,630 +injury عندي upper motor neuron lesion، هنلاقي أن الـ + +114 +00:11:11,630 --> 00:11:15,650 +lower face في الـ opposite side، حين أن الـ upper + +115 +00:11:15,650 --> 00:11:22,670 +face ما تأثرش، لأنه بياخد innervation من الـ same + +116 +00:11:22,670 --> 00:11:29,450 +side، من الـ same side، زي ما احنا شايفين بالطريقة هذه. + +117 +00:11:29,450 --> 00:11:33,330 +الـ + +118 +00:11:33,330 --> 00:11:39,650 +signs والـ symptoms: facial + +119 +00:11:39,650 --> 00:11:45,220 +asymmetry، eyebrow drop، loss of forehead and + +120 +00:11:45,220 --> 00:11:49,680 +nasolabial folds، كل التجاعيد اللي بتكون موجودة في + +121 +00:11:49,680 --> 00:11:55,360 +منطقة الـ nasolabial، في منطقة الـ forehead مش موجودة، + +122 +00:11:55,360 --> 00:11:59,380 +dropping of the corner of the mouth، زي ما احنا + +123 +00:11:59,380 --> 00:12:05,800 +شايفين في الصورة، uncontrolled tearing، + +124 +00:12:07,530 --> 00:12:11,610 +ما بيقدرش يتحكم في الدموع، حاجة اسمها crocodile + +125 +00:12:11,610 --> 00:12:18,070 +tears، دموع التمساح، inability to close eye، بيقدرش + +126 +00:12:18,070 --> 00:12:22,590 +يسكر عينه، lips cannot be held tightly together، + +127 +00:12:22,590 --> 00:12:26,710 +بيقدرش يحط شفايفه على بعض، يسكر، difficulty keeping + +128 +00:12:26,710 --> 00:12:31,250 +food in mouth، حيصير لما يأكل، ينزل الأكل من الجهة + +129 +00:12:31,250 --> 00:12:36,850 +هذه، spillage of the food، facial muscle atrophy، + +130 +00:12:36,850 --> 00:12:42,070 +بيكون بعد فترة من الزمن، ممكن يوصل لمرحلة الـ facial + +131 +00:12:42,070 --> 00:12:47,230 +muscle atrophy، absence of blink and mandibular + +132 +00:12:47,230 --> 00:12:52,170 +reflex، طبعا الـ blink reflex، الـ eye protective أو + +133 +00:12:52,170 --> 00:12:53,850 +protective eye reflex. + +134 +00:12:56,080 --> 00:13:00,920 +الأسباب، الهواء ممكن + +135 +00:13:00,920 --> 00:13:05,420 +تكون أسباب، ايردرافت أو لفحة الهواء، ممكن يكون الـ + +136 +00:13:05,420 --> 00:13:10,620 +Bell’s Palsy، وهذا بيكون facial nerve، هذه في الغالب + +137 +00:13:10,620 --> 00:13:13,700 +ممكن نشوفها في الـ peripheral nerve palsy بالسي. + +138 +00:13:19,280 --> 00:13:23,240 +multiple sclerosis, otitis media, Ramsay Hunt + +139 +00:13:23,240 --> 00:13:27,780 +syndrome, trauma, surgery، كل هذه من الـ causes اللي + +140 +00:13:27,780 --> 00:13:34,500 +ممكن نشوفها احنا في حالات الـ facial palsy، الـ + +141 +00:13:34,500 --> 00:13:41,920 +facial nerve، ممكن يكون نتيجة أو بعد intraoral + +142 +00:13:41,920 --> 00:13:42,720 +surgery. + +143 +00:13:46,100 --> 00:13:50,480 +الـ grading of lower motor neuron weakness، طبعا + +144 +00:13:50,480 --> 00:13:54,040 +ممكن يكون عندي أنا الـ grades اللي أنا بستخدمهم: zero، + +145 +00:13:54,040 --> 00:13:59,320 +trace، fair، normal. الـ zero: no contraction، trace: + +146 +00:13:59,320 --> 00:14:03,600 +minimal contraction، fair: movement with difficulty، + +147 +00:14:03,600 --> 00:14:07,500 +normal: movement with resistance. + +148 +00:14:11,340 --> 00:14:14,560 +لو جينا نتطلع على comparison between upper motor + +149 +00:14:14,560 --> 00:14:19,680 +neuron lesion and lower motor neuron lesion، هنلاقي + +150 +00:14:19,680 --> 00:14:23,200 +أن في الـ upper motor neuron lesion، paralysis of + +151 +00:14:23,200 --> 00:14:26,160 +the muscles of the lower half of the face on the + +152 +00:14:26,160 --> 00:14:29,520 +opposite side، زي ما شوفنا في الصورة، paralysis + +153 +00:14:29,520 --> 00:14:32,960 +involved in the voluntary movement، but spares + +154 +00:14:32,960 --> 00:14:36,820 +emotional and associative movement، hypertonia and + +155 +00:14:36,820 --> 00:14:39,940 +hyperreflexia. في حين أن الـ lower motor neuron + +156 +00:14:39,940 --> 00:14:43,660 +هنلاقي أنه في عنده paralysis: upper and lower face + +157 +00:14:43,660 --> 00:14:50,720 +affecting voluntary and emotional movement، + +158 +00:14:50,720 --> 00:14:55,440 +sympathetic and parasympathetic، hypotonia and + +159 +00:14:55,440 --> 00:14:59,120 +hyporeflexia. + +160 +00:14:59,120 --> 00:15:04,980 +بنحصل 60 إلى 80% من الحالات اللي بيصير في عندهم + +161 +00:15:04,980 --> 00:15:10,690 +complete recovery. العوامل اللي بتأثر في الـ prognostic + +162 +00:15:10,690 --> 00:15:16,850 +factors، كل ما كان الشخص more young، كل ما كان بيحسن + +163 +00:15:16,850 --> 00:15:22,670 +الـ prognosis. incomplete paralysis بتنتقل لتعافى تماما. + +164 +00:15:22,670 --> 00:15:25,590 +الحالات اللي بيكون فيه incomplete paralysis، بيكون الـ + +165 +00:15:25,590 --> 00:15:30,460 +recovery أفضل في الغالب، full recovery. إذا بدأت + +166 +00:15:30,460 --> 00:15:35,940 +العلاج بين يومين و 21 يوم، فإن النتائج مبكرة. لو + +167 +00:15:35,940 --> 00:15:42,380 +بدأنا نشوف النتائج أو بداية العلاج بعد عشر أيام، + +168 +00:15:42,380 --> 00:15:46,940 +تجب أن يكون هناك علاج بشكل منتظم وبشكل + +169 +00:15:46,940 --> 00:15:53,000 +جيد. presence of systemic disease، زي حالات عندما + +170 +00:15:53,000 --> 00:15:56,340 +يكون في بعض المرضى معهم diabetes، مع hypertension، + +171 +00:15:57,420 --> 00:16:03,400 +هذا يزيد الفترة التي سيتعالج فيها وفترة الشفاء، وفي + +172 +00:16:03,400 --> 00:16:10,600 +نفس الوقت، ممكن النتائج لا تكون مرضية للمريض. الـ + +173 +00:16:10,600 --> 00:16:14,940 +management، طبعا في medical management وفي + +174 +00:16:14,940 --> 00:16:19,380 +physiotherapy management. لكن بشكل عام، protocol of + +175 +00:16:19,380 --> 00:16:24,940 +management: نعمل protection للعين، أحيانا ممكن ينعمل + +176 +00:16:24,940 --> 00:16:27,820 +surgery، nerve transplantation، في بعض الحالات، + +177 +00:16:27,820 --> 00:16:34,100 +trigeminal neuralgia، course of steroid، ممكن يكون beneficial في + +178 +00:16:34,100 --> 00:16:40,320 +حالات الـ Bell’s Palsy، Ramsay Hunt syndrome، ممكن ناخد اللي هو + +179 +00:16:40,320 --> 00:16:45,300 +نعطي الـ acyclovir، ممكن + +180 +00:16:45,300 --> 00:16:48,080 +في بعض الحالات، surgical intervention يلزمها، + +181 +00:16:48,080 --> 00:16:52,910 +وينعمل surgical decompression. الـ neuromuscular + diff --git a/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/S-BU2PrJnQ8_postprocess.srt b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/S-BU2PrJnQ8_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..4f41c09b339482d48035bae80202781fa0ca32b4 --- /dev/null +++ b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/S-BU2PrJnQ8_postprocess.srt @@ -0,0 +1,748 @@ +1 +00:00:02,430 --> 00:00:07,050 +السلام عليكم هنكمل اليوم في موضوع ال peripheral + +2 +00:00:07,050 --> 00:00:10,770 +nerve injuries هناخد مثال لل peripheral nerve + +3 +00:00:10,770 --> 00:00:16,710 +injuries البلز بلسي والفشل بلسي ال facial nerve + +4 +00:00:16,710 --> 00:00:22,190 +injury اعتبر من ال central nervous system injuries + +5 +00:00:22,190 --> 00:00:29,840 +لكن اذا بدنا نقولممكن نعتبرها لور موتور نيرون إذا + +6 +00:00:29,840 --> 00:00:34,060 +كانت تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا + +7 +00:00:34,060 --> 00:00:34,820 +تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا + +8 +00:00:34,820 --> 00:00:34,980 +تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا + +9 +00:00:34,980 --> 00:00:36,320 +تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا ت + +10 +00:00:43,690 --> 00:00:46,630 +بداية بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز + +11 +00:00:46,630 --> 00:00:47,090 +بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز + +12 +00:00:47,090 --> 00:00:49,310 +بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز + +13 +00:00:49,310 --> 00:00:56,330 +بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز + +14 +00:00:56,330 --> 00:00:56,910 +بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز + +15 +00:00:56,910 --> 00:00:57,770 +بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز + +16 +00:00:57,770 --> 00:01:07,290 +بيلز بيلز بيلز بيلز بيل + +17 +00:01:07,630 --> 00:01:10,990 +اللي بدى ينتج عندي من هذه ال affection يا اما + +18 +00:01:10,990 --> 00:01:14,250 +paralysis في ال musculature of the face او + +19 +00:01:14,250 --> 00:01:19,370 +paralysis في ال musculature of the face لو جينا + +20 +00:01:19,370 --> 00:01:25,350 +نطلع على ال facial palsy + +21 +00:01:25,350 --> 00:01:30,490 +which is due to upper motor neuron lesion + +22 +00:01:44,510 --> 00:01:49,890 +مهم جدا عشان نعرف ال بالس بالسي و ال facial pulse + +23 +00:01:50,410 --> 00:01:55,170 +بتكتراجع ال anatomy of the facial nerve كلنا بنعرف + +24 +00:01:55,170 --> 00:01:58,670 +انه ال facial nerve من ال cranial nerves اللي هو + +25 +00:01:58,670 --> 00:02:02,850 +عبارة عن ال seventh cranial nerve originate in the + +26 +00:02:02,850 --> 00:02:15,150 +bones في ال brain stem طبعا + +27 +00:02:15,150 --> 00:02:20,370 +في خلال مرورهالـ facial nerve بيمر بمجموعة من الـ + +28 +00:02:20,370 --> 00:02:23,810 +structures posterior cranial fossa internal + +29 +00:02:23,810 --> 00:02:28,970 +oedermitus temporal bone stylum stylo mastoid + +30 +00:02:28,970 --> 00:02:35,950 +foramen barotid gland الـ + +31 +00:02:35,950 --> 00:02:43,440 +terminal motor branch طبعاالجزء الخارجي إذا هذا + +32 +00:02:43,440 --> 00:02:48,560 +الجزء في داخل الـ skull Intracranial هنا + +33 +00:02:48,560 --> 00:02:56,140 +Extracranial وبينقسم إلى five branches تمبرال + +34 +00:02:56,140 --> 00:03:02,440 +برانش زيجوماتيك برانش بكال برانش مارجينال + +35 +00:03:02,440 --> 00:03:10,430 +مانديبلار برانش سيرفيكل برانشالان الصورة هذه بتوضح + +36 +00:03:10,430 --> 00:03:15,150 +ال extra cranial part طبعا هنا المنطقة اللى بيبدأ + +37 +00:03:15,150 --> 00:03:19,010 +يطلع منها ال cranial nerve ال facial nerve من ال + +38 +00:03:19,010 --> 00:03:24,890 +cranium لمنطقة ال stylomostoid foramin في هذه + +39 +00:03:24,890 --> 00:03:32,690 +المنطقة بعد هيك بيبدأ ال branchesتتقسم طبعا هاي في + +40 +00:03:32,690 --> 00:03:38,830 +عندي ال timbral brush زي ما احنا شايفين طبعا في + +41 +00:03:38,830 --> 00:03:43,930 +عندي كمان ال zygomatic brush لاحظوا هذا ال + +42 +00:03:43,930 --> 00:03:51,490 +zygomatic brush في عندي ال buckle brush وفي عندي + +43 +00:03:51,490 --> 00:03:55,390 +ال mandibular brush وفي عندي + +44 +00:03:59,250 --> 00:04:03,610 +هذه البراش مهم جدا نتعرف عليها في الاناتومي لان في + +45 +00:04:03,610 --> 00:04:07,690 +عملية الاستيموليشن اللي احنا بنعملها ال electric + +46 +00:04:07,690 --> 00:04:11,710 +stimulation في طريقة المساج اللي احنا بدنا نعملها + +47 +00:04:11,710 --> 00:04:16,730 +بدنا نعرف anatomy of the facial nerve عشان نعرف + +48 +00:04:16,730 --> 00:04:21,970 +وين نشتغل في أثناء العملالـ function of the facial + +49 +00:04:21,970 --> 00:04:25,930 +nerve طبعا في عندي motor function ممكن يكون في + +50 +00:04:25,930 --> 00:04:30,190 +عندي sensory function autonomic ممكن تكون + +51 +00:04:30,190 --> 00:04:33,970 +parasympathetic في عندي طبعا parasympathetic + +52 +00:04:33,970 --> 00:04:36,410 +secretum motor to the submandibular gland + +53 +00:04:36,410 --> 00:04:39,470 +parasympathetic secretum motor to the lacrimal + +54 +00:04:39,470 --> 00:04:43,910 +gland ال test of anterior two thirds of the tongue + +55 +00:04:44,390 --> 00:04:47,930 +لو جينا نتطلع على ال pathology و نعرف شو اللي + +56 +00:04:47,930 --> 00:04:52,690 +بيصير في حالة ال facial nerve injury و لما بيصير + +57 +00:04:52,690 --> 00:04:56,190 +عندي facial nerve injury facial nerve palsy طبعا + +58 +00:04:56,190 --> 00:05:00,210 +ممكن تكون الإصابات إذا لو جينا نتعرف على ال + +59 +00:05:00,210 --> 00:05:06,720 +pathology of facial nerve palsyهلاجى انه في عندى + +60 +00:05:06,720 --> 00:05:10,840 +عدة اسباب ممكن يكون عندى نيوربراكسيا ممكن يكون + +61 +00:05:10,840 --> 00:05:16,240 +عندى نيوروتميسي ممكن يكون عندى اكسونوتميسي واسباب + +62 +00:05:16,240 --> 00:05:20,480 +كتير ممكن تكون موجودة احنا ناخد نيوربراكسيا شو + +63 +00:05:20,480 --> 00:05:27,520 +اللي بصير طبعا احنا بنعرف انه ال nerve موجود بيمشي + +64 +00:05:27,520 --> 00:05:29,880 +في داخل قناة سموها + +65 +00:05:35,000 --> 00:05:42,740 +الان نتيجة اي مشكلة معينة مثل انفلامشين او اي ان + +66 +00:05:42,740 --> 00:05:49,440 +كان بيصير في عندى swelling في داخل القناع هذا ال + +67 +00:05:49,440 --> 00:05:54,500 +swelling هذا بيعمل compression على ال facial nerve + +68 +00:05:54,500 --> 00:05:56,840 +و بيعمل عملية loss + +69 +00:06:02,820 --> 00:06:07,620 +بالتالي بتقل الconductivity وبتتوقف ممكن ينتج عنها + +70 +00:06:07,620 --> 00:06:11,220 +ال paralysis of the muscles ممكن ينتج عنها باريس + +71 +00:06:11,220 --> 00:06:18,940 +of the muscles الآن عشان نتعرف على ال facial nerve + +72 +00:06:20,950 --> 00:06:23,930 +والـ origins تبعته احنا عارفين ان ال facial nerve + +73 +00:06:23,930 --> 00:06:29,050 +originate from the bones في ال brain stem فعندي + +74 +00:06:29,050 --> 00:06:34,910 +انا مبدأيا بيكون موجود عندي ال brain موجود عندي ال + +75 +00:06:34,910 --> 00:06:40,950 +brain stem وموجود عندي طبعا ال face الآن في عملية + +76 +00:06:40,950 --> 00:06:47,150 +او عند ما يبدو يصير خليني اقول transmission لل + +77 +00:06:47,150 --> 00:06:55,850 +impulse هلاجي انهالـ nerve او ال facial nerve ال + +78 +00:06:55,850 --> 00:07:01,830 +origin تبعه موجود في ال bones origin of the facial + +79 +00:07:01,830 --> 00:07:06,750 +nerve موجود في ال bones اللي من ضمن ال brain stem + +80 +00:07:06,750 --> 00:07:12,650 +فيه طبعا عند ال facial nuclei ال facial نيوكليات + +81 +00:07:12,650 --> 00:07:17,170 +اللي موجودة هذه ملاقيها بتنقسم إلى جزءين upper + +82 +00:07:17,170 --> 00:07:22,460 +part و lower partالـ Upper part هو في الغالب مسئول + +83 +00:07:22,460 --> 00:07:28,460 +عن بيغذي ال upper face ال lower part بيغذي ال + +84 +00:07:28,460 --> 00:07:36,560 +lower face الآن لو جينا نتطلع على ال origin و على + +85 +00:07:36,560 --> 00:07:43,320 +ال pathway of the facial nerve هنلاقي انه بياخد من + +86 +00:07:45,440 --> 00:07:50,100 +الـ motor cortex في الـ contralateral side وبيجي + +87 +00:07:50,100 --> 00:07:59,900 +ينزل على ال upper part of النكليات وبياخد + +88 +00:07:59,900 --> 00:08:05,100 +كمان من + +89 +00:08:05,100 --> 00:08:10,400 +ال same side ابسلاترال وبياخد ال upper + +90 +00:08:21,700 --> 00:08:29,700 +بتغذي الـ lower portion of the facial nucleate في + +91 +00:08:29,700 --> 00:08:37,440 +ال counter lateral side كمان + +92 +00:08:37,440 --> 00:08:43,510 +مرة نشوف الجهة التانية هذه بتغذيالـ Opposite Side + +93 +00:08:43,510 --> 00:08:49,650 +في الـ Upper Nucleate الـ Ipsilateral Side في ال + +94 +00:08:49,650 --> 00:08:57,310 +Upper Nucleate الـ Lower Portion of the Facial + +95 +00:08:57,310 --> 00:09:05,450 +Nucleate الآن هذا الجانب هيعمل ليه Nutrition أو + +96 +00:09:05,450 --> 00:09:13,520 +تخدية ال Upper Portion هيعمل لل Upper Faceو الـ + +97 +00:09:13,520 --> 00:09:18,780 +lower portion هيعملها + +98 +00:09:18,780 --> 00:09:24,040 +ال lower face الان عند ما بده يصير injury في + +99 +00:09:24,040 --> 00:09:30,160 +احتمالية لل injury ممكن اذا + +100 +00:09:30,160 --> 00:09:35,480 +لو صار عندي injury في ال upper motor neuro lesion + +101 +00:09:35,480 --> 00:09:41,920 +في منطقة ال bones او above the bones + +102 +00:09:49,860 --> 00:09:56,700 +العراض اللى هتكون موجودة عندى هتلاقي انه ال lower + +103 +00:09:56,700 --> 00:10:06,180 +face في ال contralateral side صار في affection في + +104 +00:10:06,180 --> 00:10:13,880 +حين انه ال upper faceلازال سليم او تأثر بشيء بسيط + +105 +00:10:13,880 --> 00:10:19,780 +لأنه بياخد من ال opposite side بياخد innervation + +106 +00:10:19,780 --> 00:10:28,400 +لو كان ال injury عندى below the + +107 +00:10:28,400 --> 00:10:35,280 +bones هيعطيني ال both upper and lower face at the + +108 +00:10:35,280 --> 00:10:36,420 +same side او + +109 +00:10:41,520 --> 00:10:47,000 +مرة تانية طبعا هذه الإصابة او هذه الصورة اللى + +110 +00:10:47,000 --> 00:10:51,760 +قدامنا اللى قال لو صارت عندى below the bones + +111 +00:10:51,760 --> 00:10:58,860 +peripheral هلاجى انه او lower motor neuron هلاجى + +112 +00:10:58,860 --> 00:11:04,420 +انه ال upper face و lower face affected لو كانت ال + +113 +00:11:04,420 --> 00:11:11,630 +injury عندى upper motor neuron lesion هلاجى انهالـ + +114 +00:11:11,630 --> 00:11:15,650 +lower face في الـ opposite side دي حين ان ال upper + +115 +00:11:15,650 --> 00:11:22,670 +face ماتأثرش لأنه بياخد innervation من ال same + +116 +00:11:22,670 --> 00:11:29,450 +side من ال same side زي ما احنا شايفين بالطريقة ها + +117 +00:11:29,450 --> 00:11:33,330 +ال + +118 +00:11:33,330 --> 00:11:39,650 +signs و ال symptoms facial + +119 +00:11:39,650 --> 00:11:45,220 +asymmetryeyebrow drop loss of forehead and + +120 +00:11:45,220 --> 00:11:49,680 +nasolabial folds كل التجايد اللي بتكون موجودة في + +121 +00:11:49,680 --> 00:11:55,360 +منطقة ال nasolabial في منطقة ال forehead مش موجودة + +122 +00:11:55,360 --> 00:11:59,380 +dropping of the corner of the mouth زي ما احنا + +123 +00:11:59,380 --> 00:12:05,800 +شايفين في الصورة uncontrolled tearing + +124 +00:12:07,530 --> 00:12:11,610 +ما بيقدرش يتحكم في الدموع حاجة يسموها crocodile + +125 +00:12:11,610 --> 00:12:18,070 +tears دموع التمسيح inability to close eye بيقدرش + +126 +00:12:18,070 --> 00:12:22,590 +يسكر العين lips cannot be held tightly together + +127 +00:12:22,590 --> 00:12:26,710 +بيقدرش يحط شفايفه على بعض يسكر difficulty keeping + +128 +00:12:26,710 --> 00:12:31,250 +food in mouth حيصير لما ياكل ينزل الأكل من الجهة + +129 +00:12:31,250 --> 00:12:36,850 +هذه spillage of the foodfacial muscle atrophy + +130 +00:12:36,850 --> 00:12:42,070 +بيكون بعد فترة من الزمن ممكن يوصل لمرحلة ال facial + +131 +00:12:42,070 --> 00:12:47,230 +muscle atrophy absence of blink and mandibular + +132 +00:12:47,230 --> 00:12:52,170 +reflex طبعا ال blink reflex ال eye protective او + +133 +00:12:52,170 --> 00:12:53,850 +protective eye reflex + +134 +00:12:56,080 --> 00:13:00,920 +الأسباب الهواء ممكن + +135 +00:13:00,920 --> 00:13:05,420 +تكون أسباب ايردرافت أو لفحة الهواء ممكن يكون البرن + +136 +00:13:05,420 --> 00:13:10,620 +ستم ليجنس وهذا بيكون facial nerve هذه في الغالب + +137 +00:13:10,620 --> 00:13:13,700 +ممكن نشوفها في البريفرال نيرف ال بالس بالسي + +138 +00:13:19,280 --> 00:13:23,240 +multiple sclerosis, otitis media, ramsey hand + +139 +00:13:23,240 --> 00:13:27,780 +syndrome, trauma, surgery كل هذه من ال causes اللي + +140 +00:13:27,780 --> 00:13:34,500 +ممكن نشوفها احنا في حالات ال facial palsy ال + +141 +00:13:34,500 --> 00:13:41,920 +facial nerve ممكن يكون نتيجة او بعد intraoral + +142 +00:13:41,920 --> 00:13:42,720 +surgery + +143 +00:13:46,100 --> 00:13:50,480 +الـ grading of lower motor neuron weakness طبعا + +144 +00:13:50,480 --> 00:13:54,040 +ممكن يكون عندي انا ال grade اللي انا بستخدمهم zero + +145 +00:13:54,040 --> 00:13:59,320 +trace fair normal ال zero no contraction trace + +146 +00:13:59,320 --> 00:14:03,600 +minimal contraction fair movement with difficulty + +147 +00:14:03,600 --> 00:14:07,500 +normal movement with resistance + +148 +00:14:11,340 --> 00:14:14,560 +لو جينا نتطلع على comparison between upper motor + +149 +00:14:14,560 --> 00:14:19,680 +neuron lesion and lower motor neuron lesion هنلاقي + +150 +00:14:19,680 --> 00:14:23,200 +ان في ال upper motor neuron lesion paralysis of + +151 +00:14:23,200 --> 00:14:26,160 +the muscles of the lower half of the face on the + +152 +00:14:26,160 --> 00:14:29,520 +opposite side زي ما شوفنا في الصورة paralysis + +153 +00:14:29,520 --> 00:14:32,960 +involved in the voluntary movement but spares + +154 +00:14:32,960 --> 00:14:36,820 +emotional and associative movement, hypertonia and + +155 +00:14:36,820 --> 00:14:39,940 +hyperreflexionفي حين ان الـ lower motor neuron + +156 +00:14:39,940 --> 00:14:43,660 +حلاجي انه في عنده paralysis upper and lower face + +157 +00:14:43,660 --> 00:14:50,720 +affecting voluntary and emotional movement + +158 +00:14:50,720 --> 00:14:55,440 +sympathetic و البرا sympathetic، hypotonic او and + +159 +00:14:55,440 --> 00:14:59,120 +hyporeflexic + +160 +00:14:59,120 --> 00:15:04,980 +برقموزز 60 إلى 80% من الحالات اللي بيصير في عندهم + +161 +00:15:04,980 --> 00:15:10,690 +complete recoveryالعوامل اللي بتأثر البروجنستيك + +162 +00:15:10,690 --> 00:15:16,850 +فاكتورز كل ما كان الشخص more young كل ما كان بيتر + +163 +00:15:16,850 --> 00:15:22,670 +البروجنوز انكمبليت بيراليسيس تنتقل لتعافى تماما + +164 +00:15:22,670 --> 00:15:25,590 +الحالات اللي بيكون فيه اندوبريسيس بيكون ال + +165 +00:15:25,590 --> 00:15:30,460 +recovery أفضل في الغالب full recoveryإذا بدأت + +166 +00:15:30,460 --> 00:15:35,940 +التجارب بين يومين و 21 يوم ، فإن النتائج مبتدئة لو + +167 +00:15:35,940 --> 00:15:42,380 +بدأنا نشوف النتائج أو بداية التجارب بعد عشر أيام + +168 +00:15:42,380 --> 00:15:46,940 +تجبأ في إمكانية ان يكون هناك تجارب بشكل مرضى وبشكل + +169 +00:15:46,940 --> 00:15:53,000 +جيد presence of systematic disease زي حالات عندما + +170 +00:15:53,000 --> 00:15:56,340 +يكون في بعض المرضى معاهم ديابيتس مع hypertension + +171 +00:15:57,420 --> 00:16:03,400 +هذا يزود الفترة التي سيتعالج فيها وفترة الشفاء وفي + +172 +00:16:03,400 --> 00:16:10,600 +نفس الواجهة ممكن النتائج لا تكون مرضية للمريض ال + +173 +00:16:10,600 --> 00:16:14,940 +management طبعا في medical management وفي + +174 +00:16:14,940 --> 00:16:19,380 +physiotherapy management لكن بشكل عام protocol of + +175 +00:16:19,380 --> 00:16:24,940 +management نعمل protection لـ Iأحيانا ممكن ينعمل + +176 +00:16:24,940 --> 00:16:27,820 +surgery nerve transplantation في بعض الحلات + +177 +00:16:27,820 --> 00:16:34,100 +ترايبيز ترابيه course استرويد مست بي beneficial في + +178 +00:16:34,100 --> 00:16:40,320 +حالات ال بالز بالسي رامسيندروم ممكن ناخد اللي هو + +179 +00:16:40,320 --> 00:16:45,300 +نعطي الacyclovir ممكن + +180 +00:16:45,300 --> 00:16:48,080 +في بعض الحلات surgical intervention يلزمها + +181 +00:16:48,080 --> 00:16:52,910 +وينعملوا surgical decompressionالـ neuromuscular + +182 +00:16:52,910 --> 00:16:57,910 +retraining و visual feedback طبعا كفيزو ثرابي + +183 +00:16:57,910 --> 00:17:01,490 +موضوع الفيزو ثرابي assistance و اللي هتركز عليها + +184 +00:17:01,490 --> 00:17:04,110 +ان شاء الله رب العالمين يتركز عليها في الجانب + +185 +00:17:04,110 --> 00:17:08,830 +العملي هيتشمل ال assessment هتشمل الفيزو ثرابي + +186 +00:17:08,830 --> 00:17:12,770 +interventions ايش الوسائل اللي ممكن تتعمل في مجال + +187 +00:17:12,770 --> 00:17:14,750 +العلاج الطبيعي والسلام عليكم + diff --git 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البلز بلسي والفشل بلسي ال facial nerve + +4 +00:00:16,710 --> 00:00:22,190 +injury اعتبر من ال central nervous system injuries + +5 +00:00:22,190 --> 00:00:29,840 +لكن اذا بدنا نقولممكن نعتبرها لور موتور نيرون إذا + +6 +00:00:29,840 --> 00:00:34,060 +كانت تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا + +7 +00:00:34,060 --> 00:00:34,820 +تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا + +8 +00:00:34,820 --> 00:00:34,980 +تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا + +9 +00:00:34,980 --> 00:00:34,980 +تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا + +10 +00:00:34,980 --> 00:00:34,980 +تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا + +11 +00:00:34,980 --> 00:00:36,320 +تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا تقريبا ت + +12 +00:00:43,690 --> 00:00:46,630 +بداية بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز + +13 +00:00:46,630 --> 00:00:47,090 +بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز + +14 +00:00:47,090 --> 00:00:49,310 +بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز + +15 +00:00:49,310 --> 00:00:56,330 +بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز + +16 +00:00:56,330 --> 00:00:56,910 +بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز + +17 +00:00:56,910 --> 00:00:57,770 +بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز + +18 +00:00:57,770 --> 00:00:57,770 +بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز بيلز + +19 +00:00:57,770 --> 00:01:07,290 +بيلز بيلز بيلز بيلز بيل + +20 +00:01:07,630 --> 00:01:10,990 +اللي بدى ينتج عندي من هذه ال affection يا اما + +21 +00:01:10,990 --> 00:01:14,250 +paralysis في ال musculature of the face او + +22 +00:01:14,250 --> 00:01:19,370 +paralysis في ال musculature of the face لو جينا + +23 +00:01:19,370 --> 00:01:25,350 +نطلع على ال facial palsy + +24 +00:01:25,350 --> 00:01:30,490 +which is due to upper motor neuron lesion + +25 +00:01:44,510 --> 00:01:49,890 +مهم جدا عشان نعرف ال بالس بالسي و ال facial pulse + +26 +00:01:50,410 --> 00:01:55,170 +بتكتراجع ال anatomy of the facial nerve كلنا بنعرف + +27 +00:01:55,170 --> 00:01:58,670 +انه ال facial nerve من ال cranial nerves اللي هو + +28 +00:01:58,670 --> 00:02:02,850 +عبارة عن ال seventh cranial nerve originate in the + +29 +00:02:02,850 --> 00:02:15,150 +bones في ال brain stem طبعا + +30 +00:02:15,150 --> 00:02:20,370 +في خلال مرورهالـ facial nerve بيمر بمجموعة من الـ + +31 +00:02:20,370 --> 00:02:23,810 +structures posterior cranial fossa internal + +32 +00:02:23,810 --> 00:02:28,970 +oedermitus temporal bone stylum stylo mastoid + +33 +00:02:28,970 --> 00:02:35,950 +foramen barotid gland الـ + +34 +00:02:35,950 --> 00:02:43,440 +terminal motor branch طبعاالجزء الخارجي إذا هذا + +35 +00:02:43,440 --> 00:02:48,560 +الجزء في داخل الـ skull Intracranial هنا + +36 +00:02:48,560 --> 00:02:56,140 +Extracranial وبينقسم إلى five branches تمبرال + +37 +00:02:56,140 --> 00:03:02,440 +برانش زيجوماتيك برانش بكال برانش مارجينال + +38 +00:03:02,440 --> 00:03:10,430 +مانديبلار برانش سيرفيكل برانشالان الصورة هذه بتوضح + +39 +00:03:10,430 --> 00:03:15,150 +ال extra cranial part طبعا هنا المنطقة اللى بيبدأ + +40 +00:03:15,150 --> 00:03:19,010 +يطلع منها ال cranial nerve ال facial nerve من ال + +41 +00:03:19,010 --> 00:03:24,890 +cranium لمنطقة ال stylomostoid foramin في هذه + +42 +00:03:24,890 --> 00:03:32,690 +المنطقة بعد هيك بيبدأ ال branchesتتقسم طبعا هاي في + +43 +00:03:32,690 --> 00:03:38,830 +عندي ال timbral brush زي ما احنا شايفين طبعا في + +44 +00:03:38,830 --> 00:03:43,930 +عندي كمان ال zygomatic brush لاحظوا هذا ال + +45 +00:03:43,930 --> 00:03:51,490 +zygomatic brush في عندي ال buckle brush وفي عندي + +46 +00:03:51,490 --> 00:03:55,390 +ال mandibular brush وفي عندي + +47 +00:03:59,250 --> 00:04:03,610 +هذه البراش مهم جدا نتعرف عليها في الاناتومي لان في + +48 +00:04:03,610 --> 00:04:07,690 +عملية الاستيموليشن اللي احنا بنعملها ال electric + +49 +00:04:07,690 --> 00:04:11,710 +stimulation في طريقة المساج اللي احنا بدنا نعملها + +50 +00:04:11,710 --> 00:04:16,730 +بدنا نعرف anatomy of the facial nerve عشان نعرف + +51 +00:04:16,730 --> 00:04:21,970 +وين نشتغل في أثناء العملالـ function of the facial + +52 +00:04:21,970 --> 00:04:25,930 +nerve طبعا في عندي motor function ممكن يكون في + +53 +00:04:25,930 --> 00:04:30,190 +عندي sensory function autonomic ممكن تكون + +54 +00:04:30,190 --> 00:04:33,970 +parasympathetic في عندي طبعا parasympathetic + +55 +00:04:33,970 --> 00:04:36,410 +secretum motor to the submandibular gland + +56 +00:04:36,410 --> 00:04:39,470 +parasympathetic secretum motor to the lacrimal + +57 +00:04:39,470 --> 00:04:43,910 +gland ال test of anterior two thirds of the tongue + +58 +00:04:44,390 --> 00:04:47,930 +لو جينا نتطلع على ال pathology و نعرف شو اللي + +59 +00:04:47,930 --> 00:04:52,690 +بيصير في حالة ال facial nerve injury و لما بيصير + +60 +00:04:52,690 --> 00:04:56,190 +عندي facial nerve injury facial nerve palsy طبعا + +61 +00:04:56,190 --> 00:05:00,210 +ممكن تكون الإصابات إذا لو جينا نتعرف على ال + +62 +00:05:00,210 --> 00:05:06,720 +pathology of facial nerve palsyهلاجى انه في عندى + +63 +00:05:06,720 --> 00:05:10,840 +عدة اسباب ممكن يكون عندى نيوربراكسيا ممكن يكون + +64 +00:05:10,840 --> 00:05:16,240 +عندى نيوروتميسي ممكن يكون عندى اكسونوتميسي واسباب + +65 +00:05:16,240 --> 00:05:20,480 +كتير ممكن تكون موجودة احنا ناخد نيوربراكسيا شو + +66 +00:05:20,480 --> 00:05:27,520 +اللي بصير طبعا احنا بنعرف انه ال nerve موجود بيمشي + +67 +00:05:27,520 --> 00:05:29,880 +في داخل قناة سموها + +68 +00:05:35,000 --> 00:05:42,740 +الان نتيجة اي مشكلة معينة مثل انفلامشين او اي ان + +69 +00:05:42,740 --> 00:05:49,440 +كان بيصير في عندى swelling في داخل القناع هذا ال + +70 +00:05:49,440 --> 00:05:54,500 +swelling هذا بيعمل compression على ال facial nerve + +71 +00:05:54,500 --> 00:05:56,840 +و بيعمل عملية loss + +72 +00:06:02,820 --> 00:06:07,620 +بالتالي بتقل الconductivity وبتتوقف ممكن ينتج عنها + +73 +00:06:07,620 --> 00:06:11,220 +ال paralysis of the muscles ممكن ينتج عنها باريس + +74 +00:06:11,220 --> 00:06:18,940 +of the muscles الآن عشان نتعرف على ال facial nerve + +75 +00:06:20,950 --> 00:06:23,930 +والـ origins تبعته احنا عارفين ان ال facial nerve + +76 +00:06:23,930 --> 00:06:29,050 +originate from the bones في ال brain stem فعندي + +77 +00:06:29,050 --> 00:06:34,910 +انا مبدأيا بيكون موجود عندي ال brain موجود عندي ال + +78 +00:06:34,910 --> 00:06:40,950 +brain stem وموجود عندي طبعا ال face الآن في عملية + +79 +00:06:40,950 --> 00:06:47,150 +او عند ما يبدو يصير خليني اقول transmission لل + +80 +00:06:47,150 --> 00:06:55,850 +impulse هلاجي انهالـ nerve او ال facial nerve ال + +81 +00:06:55,850 --> 00:07:01,830 +origin تبعه موجود في ال bones origin of the facial + +82 +00:07:01,830 --> 00:07:06,750 +nerve موجود في ال bones اللي من ضمن ال brain stem + +83 +00:07:06,750 --> 00:07:12,650 +فيه طبعا عند ال facial nuclei ال facial نيوكليات + +84 +00:07:12,650 --> 00:07:17,170 +اللي موجودة هذه ملاقيها بتنقسم إلى جزءين upper + +85 +00:07:17,170 --> 00:07:22,460 +part و lower partالـ Upper part هو في الغالب مسئول + +86 +00:07:22,460 --> 00:07:28,460 +عن بيغذي ال upper face ال lower part بيغذي ال + +87 +00:07:28,460 --> 00:07:36,560 +lower face الآن لو جينا نتطلع على ال origin و على + +88 +00:07:36,560 --> 00:07:43,320 +ال pathway of the facial nerve هنلاقي انه بياخد من + +89 +00:07:45,440 --> 00:07:50,100 +الـ motor cortex في الـ contralateral side وبيجي + +90 +00:07:50,100 --> 00:07:59,900 +ينزل على ال upper part of النكليات وبياخد + +91 +00:07:59,900 --> 00:08:05,100 +كمان من + +92 +00:08:05,100 --> 00:08:10,400 +ال same side ابسلاترال وبياخد ال upper + +93 +00:08:21,700 --> 00:08:29,700 +بتغذي الـ lower portion of the facial nucleate في + +94 +00:08:29,700 --> 00:08:37,440 +ال counter lateral side كمان + +95 +00:08:37,440 --> 00:08:43,510 +مرة نشوف الجهة التانية هذه بتغذيالـ Opposite Side + +96 +00:08:43,510 --> 00:08:49,650 +في الـ Upper Nucleate الـ Ipsilateral Side في ال + +97 +00:08:49,650 --> 00:08:57,310 +Upper Nucleate الـ Lower Portion of the Facial + +98 +00:08:57,310 --> 00:09:05,450 +Nucleate الآن هذا الجانب هيعمل ليه Nutrition أو + +99 +00:09:05,450 --> 00:09:13,520 +تخدية ال Upper Portion هيعمل لل Upper Faceو الـ + +100 +00:09:13,520 --> 00:09:18,780 +lower portion هيعملها + +101 +00:09:18,780 --> 00:09:24,040 +ال lower face الان عند ما بده يصير injury في + +102 +00:09:24,040 --> 00:09:30,160 +احتمالية لل injury ممكن اذا + +103 +00:09:30,160 --> 00:09:35,480 +لو صار عندي injury في ال upper motor neuro lesion + +104 +00:09:35,480 --> 00:09:41,920 +في منطقة ال bones او above the bones + +105 +00:09:49,860 --> 00:09:56,700 +العراض اللى هتكون موجودة عندى هتلاقي انه ال lower + +106 +00:09:56,700 --> 00:10:06,180 +face في ال contralateral side صار في affection في + +107 +00:10:06,180 --> 00:10:13,880 +حين انه ال upper faceلازال سليم او تأثر بشيء بسيط + +108 +00:10:13,880 --> 00:10:19,780 +لأنه بياخد من ال opposite side بياخد innervation + +109 +00:10:19,780 --> 00:10:28,400 +لو كان ال injury عندى below the + +110 +00:10:28,400 --> 00:10:35,280 +bones هيعطيني ال both upper and lower face at the + +111 +00:10:35,280 --> 00:10:36,420 +same side او + +112 +00:10:41,520 --> 00:10:47,000 +مرة تانية طبعا هذه الإصابة او هذه الصورة اللى + +113 +00:10:47,000 --> 00:10:51,760 +قدامنا اللى قال لو صارت عندى below the bones + +114 +00:10:51,760 --> 00:10:58,860 +peripheral هلاجى انه او lower motor neuron هلاجى + +115 +00:10:58,860 --> 00:11:04,420 +انه ال upper face و lower face affected لو كانت ال + +116 +00:11:04,420 --> 00:11:11,630 +injury عندى upper motor neuron lesion هلاجى انهالـ + +117 +00:11:11,630 --> 00:11:15,650 +lower face في الـ opposite side دي حين ان ال upper + +118 +00:11:15,650 --> 00:11:22,670 +face ماتأثرش لأنه بياخد innervation من ال same + +119 +00:11:22,670 --> 00:11:29,450 +side من ال same side زي ما احنا شايفين بالطريقة ها + +120 +00:11:29,450 --> 00:11:33,330 +ال + +121 +00:11:33,330 --> 00:11:39,650 +signs و ال symptoms facial + +122 +00:11:39,650 --> 00:11:45,220 +asymmetryeyebrow drop loss of forehead and + +123 +00:11:45,220 --> 00:11:49,680 +nasolabial folds كل التجايد اللي بتكون موجودة في + +124 +00:11:49,680 --> 00:11:55,360 +منطقة ال nasolabial في منطقة ال forehead مش موجودة + +125 +00:11:55,360 --> 00:11:59,380 +dropping of the corner of the mouth زي ما احنا + +126 +00:11:59,380 --> 00:12:05,800 +شايفين في الصورة uncontrolled tearing + +127 +00:12:07,530 --> 00:12:11,610 +ما بيقدرش يتحكم في الدموع حاجة يسموها crocodile + +128 +00:12:11,610 --> 00:12:18,070 +tears دموع التمسيح inability to close eye بيقدرش + +129 +00:12:18,070 --> 00:12:22,590 +يسكر العين lips cannot be held tightly together + +130 +00:12:22,590 --> 00:12:26,710 +بيقدرش يحط شفايفه على بعض يسكر difficulty keeping + +131 +00:12:26,710 --> 00:12:31,250 +food in mouth حيصير لما ياكل ينزل الأكل من الجهة + +132 +00:12:31,250 --> 00:12:36,850 +هذه spillage of the foodfacial muscle atrophy + +133 +00:12:36,850 --> 00:12:42,070 +بيكون بعد فترة من الزمن ممكن يوصل لمرحلة ال facial + +134 +00:12:42,070 --> 00:12:47,230 +muscle atrophy absence of blink and mandibular + +135 +00:12:47,230 --> 00:12:52,170 +reflex طبعا ال blink reflex ال eye protective او + +136 +00:12:52,170 --> 00:12:53,850 +protective eye reflex + +137 +00:12:56,080 --> 00:13:00,920 +الأسباب الهواء ممكن + +138 +00:13:00,920 --> 00:13:05,420 +تكون أسباب ايردرافت أو لفحة الهواء ممكن يكون البرن + +139 +00:13:05,420 --> 00:13:10,620 +ستم ليجنس وهذا بيكون facial nerve هذه في الغالب + +140 +00:13:10,620 --> 00:13:13,700 +ممكن نشوفها في البريفرال نيرف ال بالس بالسي + +141 +00:13:19,280 --> 00:13:23,240 +multiple sclerosis, otitis media, ramsey hand + +142 +00:13:23,240 --> 00:13:27,780 +syndrome, trauma, surgery كل هذه من ال causes اللي + +143 +00:13:27,780 --> 00:13:34,500 +ممكن نشوفها احنا في حالات ال facial palsy ال + +144 +00:13:34,500 --> 00:13:41,920 +facial nerve ممكن يكون نتيجة او بعد intraoral + +145 +00:13:41,920 --> 00:13:42,720 +surgery + +146 +00:13:46,100 --> 00:13:50,480 +الـ grading of lower motor neuron weakness طبعا + +147 +00:13:50,480 --> 00:13:54,040 +ممكن يكون عندي انا ال grade اللي انا بستخدمهم zero + +148 +00:13:54,040 --> 00:13:59,320 +trace fair normal ال zero no contraction trace + +149 +00:13:59,320 --> 00:14:03,600 +minimal contraction fair movement with difficulty + +150 +00:14:03,600 --> 00:14:07,500 +normal movement with resistance + +151 +00:14:11,340 --> 00:14:14,560 +لو جينا نتطلع على comparison between upper motor + +152 +00:14:14,560 --> 00:14:19,680 +neuron lesion and lower motor neuron lesion هنلاقي + +153 +00:14:19,680 --> 00:14:23,200 +ان في ال upper motor neuron lesion paralysis of + +154 +00:14:23,200 --> 00:14:26,160 +the muscles of the lower half of the face on the + +155 +00:14:26,160 --> 00:14:29,520 +opposite side زي ما شوفنا في الصورة paralysis + +156 +00:14:29,520 --> 00:14:32,960 +involved in the voluntary movement but spares + +157 +00:14:32,960 --> 00:14:36,820 +emotional and associative movement, hypertonia and + +158 +00:14:36,820 --> 00:14:39,940 +hyperreflexionفي حين ان الـ lower motor neuron + +159 +00:14:39,940 --> 00:14:43,660 +حلاجي انه في عنده paralysis upper and lower face + +160 +00:14:43,660 --> 00:14:50,720 +affecting voluntary and emotional movement + +161 +00:14:50,720 --> 00:14:55,440 +sympathetic و البرا sympathetic، hypotonic او and + +162 +00:14:55,440 --> 00:14:59,120 +hyporeflexic + +163 +00:14:59,120 --> 00:15:04,980 +برقموزز 60 إلى 80% من الحالات اللي بيصير في عندهم + +164 +00:15:04,980 --> 00:15:10,690 +complete recoveryالعوامل اللي بتأثر البروجنستيك + +165 +00:15:10,690 --> 00:15:16,850 +فاكتورز كل ما كان الشخص more young كل ما كان بيتر + +166 +00:15:16,850 --> 00:15:22,670 +البروجنوز انكمبليت بيراليسيس تنتقل لتعافى تماما + +167 +00:15:22,670 --> 00:15:25,590 +الحالات اللي بيكون فيه اندوبريسيس بيكون ال + +168 +00:15:25,590 --> 00:15:30,460 +recovery أفضل في الغالب full recoveryإذا بدأت + +169 +00:15:30,460 --> 00:15:35,940 +التجارب بين يومين و 21 يوم ، فإن النتائج مبتدئة لو + +170 +00:15:35,940 --> 00:15:42,380 +بدأنا نشوف النتائج أو بداية التجارب بعد عشر أيام + +171 +00:15:42,380 --> 00:15:46,940 +تجبأ في إمكانية ان يكون هناك تجارب بشكل مرضى وبشكل + +172 +00:15:46,940 --> 00:15:53,000 +جيد presence of systematic disease زي حالات عندما + +173 +00:15:53,000 --> 00:15:56,340 +يكون في بعض المرضى معاهم ديابيتس مع hypertension + +174 +00:15:57,420 --> 00:16:03,400 +هذا يزود الفترة التي سيتعالج فيها وفترة الشفاء وفي + +175 +00:16:03,400 --> 00:16:10,600 +نفس الواجهة ممكن النتائج لا تكون مرضية للمريض ال + +176 +00:16:10,600 --> 00:16:14,940 +management طبعا في medical management وفي + +177 +00:16:14,940 --> 00:16:19,380 +physiotherapy management لكن بشكل عام protocol of + +178 +00:16:19,380 --> 00:16:24,940 +management نعمل protection لـ Iأحيانا ممكن ينعمل + +179 +00:16:24,940 --> 00:16:27,820 +surgery nerve transplantation في بعض الحلات + +180 +00:16:27,820 --> 00:16:34,100 +ترايبيز ترابيه course استرويد مست بي beneficial في + +181 +00:16:34,100 --> 00:16:40,320 +حالات ال بالز بالسي رامسيندروم ممكن ناخد اللي هو + +182 +00:16:40,320 --> 00:16:45,300 +نعطي الacyclovir ممكن + +183 +00:16:45,300 --> 00:16:48,080 +في بعض الحلات surgical intervention يلزمها + +184 +00:16:48,080 --> 00:16:52,910 +وينعملوا surgical decompressionالـ neuromuscular + +185 +00:16:52,910 --> 00:16:57,910 +retraining و visual feedback طبعا كفيزو ثرابي + +186 +00:16:57,910 --> 00:17:01,490 +موضوع الفيزو ثرابي assistance و اللي هتركز عليها + +187 +00:17:01,490 --> 00:17:04,110 +ان شاء الله رب العالمين يتركز عليها في الجانب + +188 +00:17:04,110 --> 00:17:08,830 +العملي هيتشمل ال assessment هتشمل الفيزو ثرابي + +189 +00:17:08,830 --> 00:17:12,770 +interventions ايش الوسائل اللي ممكن تتعمل في مجال + +190 +00:17:12,770 --> 00:17:14,750 +العلاج الطبيعي والسلام عليكم + diff --git a/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/VCgu-eC6aMs.srt b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/VCgu-eC6aMs.srt new file mode 100644 index 0000000000000000000000000000000000000000..5f8a724f7b8e61d48713ed581823c09320b56b64 --- /dev/null +++ b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/VCgu-eC6aMs.srt @@ -0,0 +1,1119 @@ +1 +00:00:00,000 --> 00:00:03,860 +السلام عليكم، هنتكلم اليوم عن الـ peripheral nerve + +2 +00:00:03,860 --> 00:00:10,060 +injury، وهنتكلم عن الـ assessment، عن الـ management + +3 +00:00:10,060 --> 00:00:13,980 +of peripheral nerve injury، هناخد كـ example للـ + +4 +00:00:13,980 --> 00:00:18,280 +peripheral nerve injuries الـ facial palsy أو الـ + +5 +00:00:18,280 --> 00:00:19,200 +Bell's palsy + +6 +00:00:21,830 --> 00:00:25,090 +طبعا حبينا نبدأ في موضوع الـ peripheral nerve + +7 +00:00:25,090 --> 00:00:29,850 +injuries قبل ما نبدأ في موضوع الـ stroke، على أساس + +8 +00:00:29,850 --> 00:00:33,610 +أنه نخلص من الـ peripheral nerve injuries كاملة + +9 +00:00:33,610 --> 00:00:40,070 +بداية، لو جينا نطلع على anatomy of the peripheral + +10 +00:00:40,070 --> 00:00:44,290 +nerve، هنلاقي أن الـ peripheral nerves are made up of + +11 +00:00:44,290 --> 00:00:47,210 +axon and connective tissue + +12 +00:00:50,510 --> 00:00:56,210 +طبعا بيتكون من الـ endoneurium و perineurium و + +13 +00:00:56,210 --> 00:01:02,170 +epineurium، nerve trunk، myelinated fiber و + +14 +00:01:02,170 --> 00:01:09,730 +unmyelinated fiber، طبعا هذا بالمختصر، من إيش بتكون + +15 +00:01:09,730 --> 00:01:15,460 +الـ nerve، وإيش المكونات الأساسية للـ nerve، لو جينا + +16 +00:01:15,460 --> 00:01:21,820 +نتطلع على عملية الـ transmission of impulses، كيف + +17 +00:01:21,820 --> 00:01:28,080 +بتنتقل الإشارات العصبية في الـ axons وفي الـ nerve + +18 +00:01:28,080 --> 00:01:34,930 +بشكل عام، نيجي نطلع يعني هنلاقي أن في عندي نوعين من + +19 +00:01:34,930 --> 00:01:41,430 +الـ nerves أو الـ axons، في نوع myelinated axons وفي + +20 +00:01:41,430 --> 00:01:47,070 +عندي non-myelinated axons، الآن في الـ myelinated + +21 +00:01:47,070 --> 00:01:51,290 +axons أو في الـ myelinated nerves، هنلاقي أن في عندي + +22 +00:01:51,290 --> 00:01:59,130 +الـ myelin sheath، الغشاء اللي مغطي للعصب، هذا بيسموه + +23 +00:01:59,130 --> 00:02:06,290 +الـ myelin sheath، وبيقسم إلى نقاط بحيث أن كل نقطة + +24 +00:02:06,290 --> 00:02:11,810 +موجود فيها أو بين كل نقطة ونقطة حاجة بيسموها node + +25 +00:02:11,810 --> 00:02:18,850 +of Ranvier، أو Ranvier node، اللي موجودة ما بين أو + +26 +00:02:18,850 --> 00:02:23,020 +موجودة في الـ axon، وفيها عند الـ Schwann cells اللي + +27 +00:02:23,020 --> 00:02:26,300 +هي الخلايا المسؤولة عن تكوين الـ myelin sheath اللي + +28 +00:02:26,300 --> 00:02:32,320 +يحيط بالعصب أو يحيط بالـ axon، myelinated nerves + +29 +00:02:32,320 --> 00:02:38,040 +are separated by nodes، مقسمة بالـ nodes اللي + +30 +00:02:38,040 --> 00:02:42,740 +موجودة زي ما شايفين احنا الآن، at these points the + +31 +00:02:42,740 --> 00:02:50,580 +axons are there، هنلاقي أن النقاط هذه هي غير مغطاة + +32 +00:02:50,580 --> 00:02:55,440 +بالـ myelin sheath، في هذه الحالة انتقال الإشارة + +33 +00:02:55,440 --> 00:03:00,140 +العصبية from node of Ranvier to another node of + +34 +00:03:00,140 --> 00:03:07,220 +Ranvier، by jumping from one node of Ranvier to the + +35 +00:03:07,220 --> 00:03:11,960 +next node of Ranvier، وهذه طبعا طريقة انتقال + +36 +00:03:11,960 --> 00:03:18,420 +الإشارة العصبية في الـ myelinated axons، في الـ non + +37 +00:03:18,420 --> 00:03:23,600 +-myelinated axons، مش موجود عندي الـ myelin sheath، مش + +38 +00:03:23,600 --> 00:03:29,160 +موجود عندي الـ Schwann cells، Node of Ranvier، وبالتالي + +39 +00:03:29,160 --> 00:03:33,120 +بتتم عملية انتقال الإشارة العصبية من خلال حاجة + +40 +00:03:33,120 --> 00:03:37,640 +بيسموها saltatory conduction، saltatory conduction + +41 +00:03:37,640 --> 00:03:42,940 +هي عملية انتقال الإشارة العصبية على طول العصب من + +42 +00:03:42,940 --> 00:03:49,360 +خلال alteration of electricity، عملية تبديل الشحنة + +43 +00:03:49,360 --> 00:03:54,600 +الكهربية اللي موجودة في داخل العصب وما بين خارج + +44 +00:03:54,600 --> 00:03:59,270 +العصب، عملية الـ alteration of electric charge + +45 +00:03:59,270 --> 00:04:03,330 +conduction in myelinated nerve is slower and + +46 +00:04:03,330 --> 00:04:07,670 +dependent on the diameter of axon، عملية انتقال + +47 +00:04:07,670 --> 00:04:11,990 +الإشارة العصبية في الـ non-myelinated axon أبطأ + +48 +00:04:11,990 --> 00:04:18,750 +منها في الـ myelinated axon، الآن في عملية الإصابات + +49 +00:04:18,750 --> 00:04:22,630 +اللي ممكن تصير.. ممكن يصير في عندي إصابة في + +50 +00:04:22,630 --> 00:04:26,470 +myelinated axon، ممكن يكون في عندي إصابة في non + +51 +00:04:26,470 --> 00:04:33,730 +-myelinated axon، الآن لو كان عندي nerve injured by + +52 +00:04:33,730 --> 00:04:40,840 +ischemia أو compression أو traction, laceration or + +53 +00:04:40,840 --> 00:04:46,500 +burning، أي كان سبب الإصابة للعصب، damage will + +54 +00:04:46,500 --> 00:04:51,160 +vary، حيصير في عندي تغير في درجة الإصابة in + +55 +00:04:51,160 --> 00:04:54,600 +severity from transient and quickly recoverable + +56 +00:04:55,140 --> 00:04:59,100 +loss of function to complete interruption and + +57 +00:04:59,100 --> 00:05:03,100 +degeneration، ممكن يصير تتراوح الإصابة ما بين شغل + +58 +00:05:03,100 --> 00:05:07,740 +بسيط ويصير spontaneous recovery، وتم عملية الشفاء + +59 +00:05:07,740 --> 00:05:12,500 +بسرعة أو أنه تاخد وقت وتستمر عملية الشفاء لفترة + +60 +00:05:12,500 --> 00:05:16,770 +طويلة، There may be a mixture of types of damage in + +61 +00:05:16,770 --> 00:05:21,230 +various fascicles of a single nerve trunk، وحيكون في + +62 +00:05:21,230 --> 00:05:25,930 +عندي mixture of types of damage، أنواع متعددة + +63 +00:05:25,930 --> 00:05:32,050 +مختلطة، أو مختلطة من طبيعة الإصابات اللي ممكن تصير + +64 +00:05:32,050 --> 00:05:42,050 +في الأعصاب، الآن لو جينا نتطلع على cell body، الـ axon، + +65 +00:05:43,070 --> 00:05:48,410 +myelin sheath، هاي الـ myelin sheath، هذه الـ Schwann + +66 +00:05:48,410 --> 00:05:54,610 +cells اللي موجودة، اللي بتنتج طبقة الـ myelin sheath، عندي + +67 +00:05:54,610 --> 00:06:00,330 +الـ basement membrane، وفيه عندي الـ axon، هذا طبعا في + +68 +00:06:00,330 --> 00:06:07,210 +الـ normal nerve axon، انتقال الإشارة العصبية بيبدأ + +69 +00:06:07,210 --> 00:06:14,680 +من node of Ranvier to another node of Ranvier by + +70 +00:06:14,680 --> 00:06:19,400 +jumping، هذه المنطقة non-myelinated، الفاصلة ما بين + +71 +00:06:19,400 --> 00:06:27,600 +كل جزء أو كل قطعة وقطعة، هذه المنطقة غير مكسوة + +72 +00:06:27,600 --> 00:06:30,340 +بالـ myelin sheath، وبالتالي انتقال الإشارة العصبية + +73 +00:06:30,340 --> 00:06:34,960 +من خلال الـ jumping، في هذه الحالة أسرع، إلا لو صار + +74 +00:06:34,960 --> 00:06:40,300 +عندي compression على الـ axon أو على هذا الـ nerve + +75 +00:06:41,170 --> 00:06:45,970 +هيبدا الشكل عندي زي ما احنا شايفينه بالطريقة هذه + +76 +00:06:45,970 --> 00:06:51,650 +بيقل التغذية تبعته، بيصير فيه atrophy في الـ myelin + +77 +00:06:51,650 --> 00:06:58,150 +sheath، وبالتالي هتبدأ تقل الإشارة العصبية ومرور + +78 +00:06:58,150 --> 00:07:02,930 +الإشارة العصبية لهذا الـ axon أو من خلال هذا الـ + +79 +00:07:02,930 --> 00:07:07,290 +axon، وهذا طبعا إذا كان الـ compression جاي لفترة + +80 +00:07:07,290 --> 00:07:11,180 +طويلة، ممكن يصير في عندي death في الـ myelin sheath + +81 +00:07:11,180 --> 00:07:15,180 +لكن لو كان لفترة بسيطة وصار فيه removal للـ + +82 +00:07:15,180 --> 00:07:22,300 +compression، هتبدأ ترجع الـ impulses بشكل سليم وبشكل + +83 +00:07:22,300 --> 00:07:26,720 +سريع، وهذا زي ما بيصير أنه في خلال فترة الـ + +84 +00:07:26,720 --> 00:07:30,940 +compression، بيصير في عنده interruption في الإشارة + +85 +00:07:30,940 --> 00:07:35,220 +العصبية، وممكن ينتج عنها الـ tingling، الخدران اللي + +86 +00:07:35,220 --> 00:07:37,560 +ممكن يكون موجود أو الـ numbness + +87 +00:07:40,010 --> 00:07:43,890 +الآن في بعض الحالات، طبعا ممكن يصير في عندي sheet + +88 +00:07:43,890 --> 00:07:51,510 +loss، راح كل الـ myelin sheath اللي موجود، وفي هذه + +89 +00:07:51,510 --> 00:07:57,410 +الحالة بطلت تقدر تنتقل الإشارة العصبية من خلال الـ + +90 +00:07:57,410 --> 00:08:03,690 +node of Ranvier to another node of Ranvier، ممكن + +91 +00:08:03,690 --> 00:08:10,120 +في بعض الحالات تستمر الـ compression،صار الـ sheath loss + +92 +00:08:10,120 --> 00:08:15,340 +استمرت المشكلة، بدأ يصير في عندي disconnection + +93 +00:08:15,340 --> 00:08:19,860 +في العصب نفسه، بدأ يصير فيه degeneration أو + +94 +00:08:19,860 --> 00:08:25,140 +disconnection، وبتتبع مرحلة الـ degeneration عملية + +95 +00:08:25,140 --> 00:08:30,920 +التخلص من خلايا العصب الميتة، الآن في عملية الـ + +96 +00:08:30,920 --> 00:08:36,850 +nerve injury and repair، عارفين أن الـ normal axon + +97 +00:08:36,850 --> 00:08:43,530 +and target organ، على سبيل المثال striated muscle + +98 +00:08:43,530 --> 00:08:51,990 +اللي عندي عصب والهدف تبعه العضلة + +99 +00:08:53,500 --> 00:08:56,760 +Following nerve injury, the distal part of the + +100 +00:08:56,760 --> 00:09:01,040 +axon disintegrates and the myelin sheath breaks up + +101 +00:09:01,040 --> 00:09:08,680 +أول ما يصير الإصابة، الجزء البعيد من العصب + +102 +00:09:08,680 --> 00:09:15,750 +بيبدأ يصير فيه disintegration، يفقد اتصاله مع الخلية + +103 +00:09:15,750 --> 00:09:20,930 +العصبية، The nerve cell nucleus become eccentric + +104 +00:09:20,930 --> 00:09:26,410 +and Nissl bodies are sparse، في هذه الحالة تبدأ + +105 +00:09:26,410 --> 00:09:38,080 +الخلية العصبية تنتج بعض أو تتميز بها، تنتج بعض + +106 +00:09:38,080 --> 00:09:41,860 +خلايا الـ Nissl bodies اللي موجودة، the nerve + +107 +00:09:41,860 --> 00:09:45,240 +cell nucleus become eccentric and Nissl + +108 +00:09:45,240 --> 00:09:50,860 +bodies are sparse، هتتبقى الخلية العصبية وفيها الـ + +109 +00:09:50,860 --> 00:09:54,120 +Nissl bodies اللي موجودة in its axon + +110 +00:09:54,120 --> 00:09:58,760 +dendrites grow into the mass of proliferating + +111 +00:09:58,760 --> 00:10:07,320 +Schwann cells، بتبدأ الخلية العصبية تنتج + +112 +00:10:07,320 --> 00:10:11,420 +أو تنمو بعض البراعم من العصب + +113 +00:10:14,250 --> 00:10:19,470 +الـ dendrites، أو الديندرايتس، سيجد طريقه إلى نهاية + +114 +00:10:19,470 --> 00:10:26,990 +القناة العصبية الجديدة اللي بدأ ينبت، هيلاقي مصيره أو + +115 +00:10:26,990 --> 00:10:33,590 +هيفلح طريقه أو يمشي بطريقة باتجاه القناة العصبية + +116 +00:10:33,590 --> 00:10:40,350 +اللي فارغة قدامه، الـ axon سيتنمو بسرعة، سيبدأ الـ + +117 +00:10:40,350 --> 00:10:45,720 +axon، في خلال هذه الفترة بيتم بالتدريج شوي شوي لحد + +118 +00:10:45,720 --> 00:10:51,660 +ما يصير الشفاء الكامل، الآن لو جينا نطلع على الصورة + +119 +00:10:51,660 --> 00:10:56,980 +اللي موجودة قدامنا، في عندنا nerve injury أو nerve + +120 +00:10:56,980 --> 00:11:03,620 +intact، صار في عندي الـ injury، صار في damage للـ + +121 +00:11:03,620 --> 00:11:10,800 +myelin sheath، صار في damage للـ nerve axon، الآن + +122 +00:11:10,800 --> 00:11:19,890 +جات الـ macrophages موجودة وبتبدأ عملية التحلل + +123 +00:11:19,890 --> 00:11:26,730 +صار في انفصال ما بين الخلية العصبية وما بين العضلة + +124 +00:11:26,730 --> 00:11:33,460 +الآن زي ما احنا شايفين انفصلت تماما، الـ function بطل + +125 +00:11:33,460 --> 00:11:38,840 +اتصل الإشارة للخلية العضلية، في خلال هذه المرحلة + +126 +00:11:38,840 --> 00:11:41,720 +الـ Nissl bodies اللي موجودين في داخل الخلية + +127 +00:11:41,720 --> 00:11:48,560 +العصبية بتعمل stimulation للجزء المتبقي من العصب + +128 +00:11:48,560 --> 00:11:53,460 +الـ axon اللي مرتبط بالخلية العصبية وبتبدأ تعمل + +129 +00:11:53,460 --> 00:11:58,040 +عملية الـ dendrites هذه أو الـ tendrils تبدأ تنمو + +130 +00:11:58,040 --> 00:12:02,970 +tendrils هذه هتلاقي قدامها القناة العصبية الـ myelin + +131 +00:12:02,970 --> 00:12:07,870 +sheath أو الـ neurolemmal canal موجود أمامها و + +132 +00:12:07,870 --> 00:12:13,750 +بتبدأ تنمو لحد ما تصل الـ effector organ، العصب أو + +133 +00:12:13,750 --> 00:12:21,590 +العضلة، بعد هيك بيصير عملية الشفاء التام، الآن لو + +134 +00:12:21,590 --> 00:12:26,290 +ما كانش في عندي neurolemmal canal موجودة + +135 +00:12:27,390 --> 00:12:33,370 +ممكن يصير في عند الـ dendrites تنمو مع بعضها وتجي + +136 +00:12:33,370 --> 00:12:39,930 +تحت الجلد وتكون neuroma، تكون neuroma تحت الجلد + +137 +00:12:39,930 --> 00:12:45,010 +pathological processes، الـ causes اللي ممكن يصير + +138 +00:12:45,010 --> 00:12:49,850 +طبعا ممكن damage of the cell body، damage of the + +139 +00:12:49,850 --> 00:12:54,250 +axon، damage of the myelin sheath، connective tissue + +140 +00:12:54,510 --> 00:12:57,330 +ممكن يصير فيها damage، الـ blood supply ممكن يصير + +141 +00:12:57,330 --> 00:13:01,830 +فيه damage، ممكن يصير في كل هدولة أو في جزء منها + +142 +00:13:01,830 --> 00:13:09,230 +عملية الـ damage، عملية الـ recovery بتمر بالمراحل + +143 +00:13:09,230 --> 00:13:13,630 +التالية، الـ Wallerian degeneration، الـ axon + +144 +00:13:13,630 --> 00:13:18,710 +degeneration، الـ demyelination، وبعدين بتتم عملية + +145 +00:13:18,710 --> 00:13:24,970 +الـ regeneration، the nerve injuries type، ممكن يكون في + +146 +00:13:24,970 --> 00:13:29,510 +عندي neuropraxia، ممكن يكون في عندي axonotmesis، + +147 +00:13:29,510 --> 00:13:34,930 +ممكن يكون في عندي neurotmesis، الآن لـ neuropraxia + +148 +00:13:34,930 --> 00:13:40,530 +اللي هي ارتجاج العصب، ممكن + +149 +00:13:40,530 --> 00:13:46,550 +طبعا حسب Seddon's term، الـ neuropraxia تسمح + +150 +00:13:46,550 --> 00:13:51,890 +بـ reversible physiological nerve conduction block + +151 +00:13:51,890 --> 00:13:55,870 +in which there is loss of some types of sensation + +152 +00:13:55,870 --> 00:13:59,750 +and muscle power followed by spontaneous recovery + +153 +00:13:59,750 --> 00:14:04,710 +after a few days or weeks، هي مرحلة بيكون في عندك + +154 +00:14:04,710 --> 00:14:10,190 +compression على الـ nerve، ارتجاج في العصب بشكل عام + +155 +00:14:11,340 --> 00:14:15,700 +هذا الـ compression أو هذا الـ factor عمل + +156 +00:14:15,700 --> 00:14:21,540 +temporary loss of function، لكن مجرد ما يروح الـ + +157 +00:14:21,540 --> 00:14:26,960 +compression هتبدأ الـ function ترجع، it would أو it + +158 +00:14:26,960 --> 00:14:30,600 +is due to mechanical pressure causing segmental + +159 +00:14:30,600 --> 00:14:34,180 +demyelination and it is seen typically in a crutch + +160 +00:14:34,180 --> 00:14:40,630 +palsy، وهذه طبعا بنشوفها في حالات الضغط اللي نتج عن + +161 +00:14:40,630 --> 00:14:45,750 +سوء الاستخدام لـ crutches، سموها crutch palsy + +162 +00:14:45,750 --> 00:14:52,190 +pressure paralysis in states of drunkenness، ممكن + +163 +00:14:52,190 --> 00:14:55,730 +نشوفه في حالات حاجة بيسموها Saturday night + +164 +00:14:55,730 --> 00:15:00,330 +paralysis عند الأجانب أو عند خلينا نقول اللي + +165 +00:15:00,330 --> 00:15:05,410 +بيشربوا الخمور هدول، ممكن نتيجة الشرب الكثير ينام + +166 +00:15:05,410 --> 00:15:08,930 +على الكرسي بطريقة خاطئة، عامل pressure على الـ + +167 +00:15:08,930 --> 00:15:13,910 +axillary nerve، وبالتالي حيصير في عنده نوع من الـ + +168 +00:15:13,910 --> 00:15:19,130 +paralysis، أو في حالات ممكن استخدام الـ tourniquet + +169 +00:15:19,130 --> 00:15:26,590 +بطريقة بيضغط أو بيستخدم الرباط بشكل خاطئ لفترة طويلة + +170 +00:15:26,590 --> 00:15:33,670 +ممكن يعمل damage في العصب، الـ neurotmesis، في هذه + +171 +00:15:33,670 --> 00:15:35,450 +الحالة طبعا الـ neurotmesis + +172 +00:15:46,640 --> 00:15:51,940 +such as may occur in open wounds، في حالات الجروح + +173 +00:15:51,940 --> 00:15:59,240 +الإصابة بتكون مباشرة وبينفصل الـ nerve، الـ axon، الـ + +174 +00:15:59,240 --> 00:16:04,970 +myelin sheath، بيبدأ في تأثير، such as may occur in + +175 +00:16:04,970 --> 00:16:08,070 +open wounds، it is now recognized that severe + +176 +00:16:08,070 --> 00:16:12,750 +degrees of damage may be inflicted without + +177 +00:16:12,750 --> 00:16:17,030 +actually dividing the nerve، بعض الحالات بيكون في + +178 +00:16:17,030 --> 00:16:25,920 +عندي الـ axon فيه إصابة لكن الـ myelin sheath ما في + +179 +00:16:25,920 --> 00:16:30,160 +إصابة، if the injury is more severe, whether the + +180 +00:16:30,160 --> 00:16:34,420 +nerve is in continuity or not, recovery will not + +181 +00:16:34,420 --> 00:16:41,580 +occur، في + +223 +00:20:22,360 --> 00:20:27,860 +للحالة بعد فترة من الزمن، second degree وهي تقريبا + +224 +00:20:27,860 --> 00:20:34,420 +تناسب الـ axonotmesis حسب Sudan's scale axonal + +225 +00:20:34,420 --> 00:20:40,290 +degeneration، حيصير في عندي axonal degeneration بسبب + +226 +00:20:40,290 --> 00:20:43,990 +أن الإندونيوريام محفظ، بسبب أن الإندونيوريام محفظ + +227 +00:20:43,990 --> 00:20:46,230 +محفظ، بسبب أن الإندونيوريام محفظ بسبب أن + +228 +00:20:46,230 --> 00:20:49,190 +الإندونيوريام محفظ، بسبب أن الإندونيوريام محفظ بسبب + +229 +00:20:49,190 --> 00:20:54,530 +أن الإندونيوريام محفظ، بسبب أن الإندونيوريام محفظ + +230 +00:20:54,530 --> 00:20:57,030 +بسبب أن الإندونيوريام محفظ، بسبب أن الإندونيوريام + +231 +00:20:57,030 --> 00:21:00,510 +محفظ، بسبب أن الإندونيوريام محفظ بسبب أن + +232 +00:21:00,510 --> 00:21:04,790 +الإندونيوريام محفظ، بسبب أن الإندونيوريام محفظ + +233 +00:21:07,410 --> 00:21:13,310 +الإندونيوريام مغلق، ولكن شطر البرينيوريام مستقل + +234 +00:21:13,310 --> 00:21:20,330 +والمدفع الداخلي مقفل، فإن فرصة الأكسون تصل لهدفها + +235 +00:21:20,330 --> 00:21:26,900 +جيدة، في احتمالية أنها تصل إلى الـ target تبعها، الـ nerve + +236 +00:21:26,900 --> 00:21:32,120 +dendrites، but fibrosis and cross connection، و + +237 +00:21:32,120 --> 00:21:37,860 +limit recovery، لكن في حالات ممكن يصير في عندي الـ + +238 +00:21:37,860 --> 00:21:41,140 +fibrosis، ممكن يصير في عندي حاجة بيسموها cross + +239 +00:21:41,140 --> 00:21:46,520 +connection، اللي هي تنتج عنها neuroma، هتكون أكثر + +240 +00:21:46,520 --> 00:21:51,000 +المشاكل اللي ممكن نواجهها في هذه الحالة، عشان تصير + +241 +00:21:51,000 --> 00:21:55,210 +عملية الـ Degeneration أو الـ Regeneration، لازم + +242 +00:21:55,210 --> 00:21:58,950 +يصير في عندي Wallerian Degeneration، الـ Wallerian + +243 +00:21:58,950 --> 00:22:02,770 +Degeneration، Distal Axon Degeneration following + +244 +00:22:02,770 --> 00:22:07,110 +suction or severe injury with degeneration of the + +245 +00:22:07,110 --> 00:22:10,630 +myelin sheath، also of the myelin، the process + +246 +00:22:10,630 --> 00:22:14,960 +occurs within seven to ten days of injury، وهذه + +247 +00:22:14,960 --> 00:22:20,540 +المجزرة من الجذب هي الهجوم الاسترخائي الاسترخائي في + +248 +00:22:20,540 --> 00:22:25,240 +هذه الفترة، بيصير عملية الهجوم في الميليين وبيصير + +249 +00:22:25,240 --> 00:22:27,720 +عملية الهجوم للجزمة الدستالية + +250 +00:22:30,080 --> 00:22:35,000 +Axonal Degeneration Distal Degeneration Distal + +251 +00:22:35,000 --> 00:22:40,920 +Degeneration + +252 +00:22:40,920 --> 00:22:42,360 +Distal Distal Distal Distal Distal Distal Distal + +253 +00:22:42,360 --> 00:22:43,220 +Distal Distal Distal Distal Distal Distal Distal + +254 +00:22:43,220 --> 00:22:45,680 +Distal Distal Distal Distal Distal Distal Distal + +255 +00:22:45,680 --> 00:22:50,840 +Distal Distal Distal Distal Distal + +256 +00:22:50,840 --> 00:22:55,480 +د + +257 +00:22:55,510 --> 00:22:59,550 +بعد ذلك، بيصير عملية الـ axonal degeneration في نفس + +258 +00:22:59,550 --> 00:23:05,170 +الوضع، لأن النيورونال، الـ canal بتكون موجودة، الـ basement + +259 +00:23:05,170 --> 00:23:10,410 +membrane تبع الشوان سيلز اللي حكينا عنها موجودة + +260 +00:23:10,410 --> 00:23:16,610 +سليمة، زي ما احنا شايفين، الـ basement membrane هذه + +261 +00:23:16,610 --> 00:23:19,830 +الـ basement membrane هذا موجود سليم، لكن اللي جوا + +262 +00:23:19,830 --> 00:23:23,990 +فيه damage، إذا في عملية الـ recovery، بيصير عملية + +263 +00:23:23,990 --> 00:23:34,150 +growing للـ dendrites لحد ما تصل الهدف الخاص بها + +264 +00:23:34,150 --> 00:23:39,530 +اللي هو عبارة عن العضلات، وبتنمو + +265 +00:23:39,530 --> 00:23:44,990 +تقريبا بمعدل واحد millimeter في اليوم، الـ + +266 +00:23:44,990 --> 00:23:49,750 +Demyelination، إزالة الميالين، إدماج ميلان يحدث بدون + +267 +00:23:49,750 --> 00:23:52,770 +إدماج أكسونال، الوضع الأساسي يؤثر على جسم الشوان + +268 +00:23:52,770 --> 00:24:01,410 +ويسبب فيه علامات تتسلق، أو علامات تتسلق في تدخل، أو + +269 +00:24:01,410 --> 00:24:03,910 +تدخل مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد + +270 +00:24:03,910 --> 00:24:05,250 +مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد + +271 +00:24:05,250 --> 00:24:07,930 +مجلد مجلد مجلد مجلد مجلد + +272 +00:24:11,060 --> 00:24:14,260 +Sensory symptoms، ممكن تكون موجودة، loss of sensation + +273 +00:24:14,260 --> 00:24:18,920 +ممكن تكون numbness، ممكن براستيزيا، ممكن تكون motor + +274 +00:24:18,920 --> 00:24:23,300 +symptoms، paralysis أو غيره، الآن لما بنحكي عن + +275 +00:24:23,300 --> 00:24:27,580 +peripheral nerve injuries، في بعض الـ negative + +276 +00:24:27,580 --> 00:24:32,500 +symptoms، اللي كان لو كانت موجودة، هتعطينا prognosis + +277 +00:24:32,500 --> 00:24:36,600 +bad prognosis للحالة، Large Myelinated Fiber + +278 +00:24:36,600 --> 00:24:41,020 +Disease، Loss of touch and joint position since + +279 +00:24:41,020 --> 00:24:44,260 +proprioception، leading to difficulty + +280 +00:24:44,260 --> 00:24:48,420 +discriminating texture، feet and hand feeling like + +281 +00:24:48,420 --> 00:24:52,680 +cotton wool، gait unsteady through loss of + +282 +00:24:52,680 --> 00:24:58,560 +position sense، أو loss of sense of position، هذي في + +283 +00:24:58,560 --> 00:25:02,060 +الـ large myelinated fibers، هذي عبارة عن negative + +284 +00:25:02,060 --> 00:25:06,510 +symptoms، لو كانت موجودة، لو كان في عندي small + +285 +00:25:06,510 --> 00:25:10,290 +unmyelinated fibers disease، loss of pain and + +286 +00:25:10,290 --> 00:25:14,770 +temperature appreciation، painless burn and trauma + +287 +00:25:14,770 --> 00:25:20,750 +مابيحسش بالألم، مابيحسش، بيتضرب، damage to the + +288 +00:25:20,750 --> 00:25:24,450 +joints، ممكن يصير في عندي حاجة بيسموها Charcot's + +289 +00:25:24,450 --> 00:25:30,390 +joint، resulting in painless deformity، الـ positive + +290 +00:25:30,390 --> 00:25:35,990 +symptoms، إذا كانت هذه الحالات موجودة، هذا معناه إنه + +291 +00:25:35,990 --> 00:25:40,690 +حيصير في عندي بعض التحسن بدرجات متفاوتة في الـ + +292 +00:25:40,690 --> 00:25:44,790 +Large Myelinated Fiber Disease، Cause Parasthesia + +293 +00:25:44,790 --> 00:25:48,970 +إذا بدأ يصير في عنده نوع من الـ Parasthesia، Pins + +294 +00:25:48,970 --> 00:25:54,090 +and Needles، بيحس بنخز في إيديه، معناه إنه في عملية + +295 +00:25:54,090 --> 00:25:59,850 +التحسن، ممكن يصير تحسن، small unmyelinated fiber + +296 +00:25:59,850 --> 00:26:03,670 +disease، produce painful positive symptoms، من هذه + +297 +00:26:03,670 --> 00:26:06,430 +الـ symptoms اللي ممكن تكون positive، burning + +298 +00:26:06,430 --> 00:26:11,390 +sensation، dysthesia، pain on gentle touch، + +299 +00:26:11,610 --> 00:26:16,290 +hyperalgesia، lowered threshold to pain، مجرد أي + +300 +00:26:16,290 --> 00:26:19,590 +إشارة بسيطة ممكن تعمله قلم، hyper + +301 +00:26:21,590 --> 00:26:26,570 +أو hyperpathia، pain threshold is elevated but pain + +302 +00:26:26,570 --> 00:26:35,570 +is excessively felt، طبعا بده إشارة أكبر عشان يستفز + +303 +00:26:35,570 --> 00:26:39,150 +القلم أو عشان يحس بالقلم، pain threshold is + +304 +00:26:39,150 --> 00:26:45,510 +elevated، lightning pains، sudden very severe + +305 +00:26:45,510 --> 00:26:50,310 +shooting pains، which usually suggest a diagnosis + +306 +00:26:50,310 --> 00:26:55,810 +of Tabes Dorsalis، زي في حالات late syphilis، طبعا + +307 +00:26:55,810 --> 00:27:00,850 +هذه كلها عبارة عن علامات جيدة إذا وجدت، ومعناه إنه + +308 +00:27:00,850 --> 00:27:06,890 +حيصير في عند المريض some type of recovery، motor + +309 +00:27:06,890 --> 00:27:09,910 +symptoms، ممكن يكون في عنده weakness، ممكن يكون في + +310 +00:27:09,910 --> 00:27:13,670 +عنده paralysis، ممكن يكون، sometimes can be proximal + +311 +00:27:13,670 --> 00:27:17,590 +difficulty climbing stairs or climbing hair، أو + +312 +00:27:17,590 --> 00:27:25,710 +combing hair، cramps ممكن تكون موجودة، signs of + +313 +00:27:25,710 --> 00:27:27,730 +peripheral neuropathy، sensory + +314 +00:27:30,340 --> 00:27:33,940 +ممكن نعمل light touch، two-point discrimination، + +315 +00:27:33,940 --> 00:27:37,220 +vibration sense، joint position sense + +316 +00:27:40,190 --> 00:27:43,950 +small and myelinated and thinly myelinated sensory + +317 +00:27:43,950 --> 00:27:47,490 +fibers include temperature perception، pain + +318 +00:27:47,490 --> 00:27:53,070 +perception، polyneuropathy، glove and stocking + +319 +00:27:53,070 --> 00:27:58,070 +distribution of sensory loss، joint + +320 +00:27:58,070 --> 00:28:02,810 +position sense is lost، gait is abnormal، sensory + +321 +00:28:02,810 --> 00:28:06,230 +ataxia، Romberg test is positive diff --git a/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/VCgu-eC6aMs_postprocess.srt b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/VCgu-eC6aMs_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..c22f5ce278e220c3cf9a44fb3829f366e3ca68b6 --- /dev/null +++ b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/VCgu-eC6aMs_postprocess.srt @@ -0,0 +1,1284 @@ +1 +00:00:00,000 --> 00:00:03,860 +السلام عليكم، هنتكلم اليوم عن ال peripheral nerve + +2 +00:00:03,860 --> 00:00:10,060 +injury و هنتكلم عن ال assessment، عن ال management + +3 +00:00:10,060 --> 00:00:13,980 +of peripheral nerve injury، هناخد ك example لل + +4 +00:00:13,980 --> 00:00:18,280 +peripheral nerve injuries ال facial palsy أو ال + +5 +00:00:18,280 --> 00:00:19,200 +bills palsy + +6 +00:00:21,830 --> 00:00:25,090 +طبعا حبينا نبدأ في موضوع ال peripheral nerve + +7 +00:00:25,090 --> 00:00:29,850 +injuries قبل ما نبدأ في موضوع ال stroke على أساس + +8 +00:00:29,850 --> 00:00:33,610 +انه نخلص من ال peripheral nerve injuries كاملة + +9 +00:00:33,610 --> 00:00:40,070 +بداية لو جينا نطلع على anatomy of the peripheral + +10 +00:00:40,070 --> 00:00:44,290 +nerve هلاجي ان ال peripheral nerves are made up of + +11 +00:00:44,290 --> 00:00:47,210 +axon and connective tissue + +12 +00:00:50,510 --> 00:00:56,210 +طبعا بيتكون من ال endoneurium و perineurium و + +13 +00:00:56,210 --> 00:01:02,170 +epineurium nerve trunk myelinated fiber و + +14 +00:01:02,170 --> 00:01:09,730 +unmyelinated fiber طبعا هذا بالمختصر من إيش بتكون + +15 +00:01:09,730 --> 00:01:15,460 +ال nerve و إيش المكونات الأساسية للنارالان لو جينا + +16 +00:01:15,460 --> 00:01:21,820 +نتطلع على عملية ال transmission of impulses كيف + +17 +00:01:21,820 --> 00:01:28,080 +بتنتقل الإشارات العصبية في ال axons و في ال nerve + +18 +00:01:28,080 --> 00:01:34,930 +بشكل عامهنيجي نطلع يعني هنلاقي ان في عندي نوعين من + +19 +00:01:34,930 --> 00:01:41,430 +ال nerves او ال axons في نوع myelinated axons وفي + +20 +00:01:41,430 --> 00:01:47,070 +عندي non-myelinated axons الآن في ال myelinated + +21 +00:01:47,070 --> 00:01:51,290 +axons او في ال myelinated nerves هنلاقي ان في عندي + +22 +00:01:51,290 --> 00:01:59,130 +ال myelin sheet الغشاء اللي مغطي للعصبهذا بيسموه + +23 +00:01:59,130 --> 00:02:06,290 +الـ Myelin Sheet و بيقسم إلى نقاط بحيث انه كل نقطة + +24 +00:02:06,290 --> 00:02:11,810 +موجود فيها أو بين كل نقطة و نقطة حاجة بيسموها node + +25 +00:02:11,810 --> 00:02:18,850 +of renvier أو renvier node اللي موجودة مابين أو + +26 +00:02:18,850 --> 00:02:23,020 +موجودة في ال axonوفيها عند الـ Schwann cells اللي + +27 +00:02:23,020 --> 00:02:26,300 +هي الخلايا المسؤولة عن تكوين الـmyelin sheet اللي + +28 +00:02:26,300 --> 00:02:32,320 +يحيط بالعصب أو يحيط بالـ axon myelinated nerves + +29 +00:02:32,320 --> 00:02:38,040 +are separated by nodes مقسمة بالـ nodes اللي + +30 +00:02:38,040 --> 00:02:42,740 +موجودة زي ما شايفين احنا الآن at these points the + +31 +00:02:42,740 --> 00:02:50,580 +axons are there هلاجي ان النقاط هذه هي غيرمغطى + +32 +00:02:50,580 --> 00:02:55,440 +بالـ Myelin Sheath في هذه الحالة انتقال الإشارة + +33 +00:02:55,440 --> 00:03:00,140 +العصبيةfrom node of renvier to another node of + +34 +00:03:00,140 --> 00:03:07,220 +renvier by jumping from one node of renvier to the + +35 +00:03:07,220 --> 00:03:11,960 +next node of renvier وهذه طبعا طريقة انتقال + +36 +00:03:11,960 --> 00:03:18,420 +الإشارة العصبية في الـmyelinated axons في الـnon + +37 +00:03:18,420 --> 00:03:23,600 +-myelinated axons مش موجود عندي الـmyelin sheet مش + +38 +00:03:23,600 --> 00:03:29,160 +موجود عندي الإشوانالـ Node of Renvier وبالتالي + +39 +00:03:29,160 --> 00:03:33,120 +بتتم عملية انتقال الإشارة العصبية من خلال حاجة + +40 +00:03:33,120 --> 00:03:37,640 +بيسموها Saltatory conduction Saltatory conduction + +41 +00:03:37,640 --> 00:03:42,940 +هي عملية انتقال الإشارة العصبية على طول العصب من + +42 +00:03:42,940 --> 00:03:49,360 +خلال alteration of electricity عملية تبديل الشحنة + +43 +00:03:49,360 --> 00:03:54,600 +الكهربية اللي موجودة في داخل العصب وما بين خارج + +44 +00:03:54,600 --> 00:03:59,270 +العصب عمليةالـ alteration of electric charge + +45 +00:03:59,270 --> 00:04:03,330 +conduction in myelinated nerve is slower and + +46 +00:04:03,330 --> 00:04:07,670 +dependent on the diameter of axon عملية انتقال + +47 +00:04:07,670 --> 00:04:11,990 +الإشارة العصبية في الـ non-myelinated axon أبطأ + +48 +00:04:11,990 --> 00:04:18,750 +منها في الـmyelinated axon الآن في عمليةالإصابات + +49 +00:04:18,750 --> 00:04:22,630 +اللي ممكن تصير .. ممكن يصير في عندي إصابة في + +50 +00:04:22,630 --> 00:04:26,470 +myelinated axon ممكن يكون في عندي إصابة في non + +51 +00:04:26,470 --> 00:04:33,730 +-myelinated axon الآن لو كان عندي nerve injured by + +52 +00:04:33,730 --> 00:04:40,840 +ischemia أو compression أو attractionLaceration or + +53 +00:04:40,840 --> 00:04:46,500 +burning أي إن كان سبب الإصابة للعصب damage will + +54 +00:04:46,500 --> 00:04:51,160 +vary حيصير في عندي تغير في درجة الإصابة in + +55 +00:04:51,160 --> 00:04:54,600 +severity from transient and quickly recoverable + +56 +00:04:55,140 --> 00:04:59,100 +Loss of function to complete interruption and + +57 +00:04:59,100 --> 00:05:03,100 +degeneration ممكن يصير تتراوح الإصابة ما بين شغل + +58 +00:05:03,100 --> 00:05:07,740 +بسيط و يصير spontaneous recovery و تم عملية الشفاء + +59 +00:05:07,740 --> 00:05:12,500 +بسرعة أو أنه تاخد وقت و تستمر عملية الشفاء لفترة + +60 +00:05:12,500 --> 00:05:16,770 +طويلةThere may be mixture of types of damage in + +61 +00:05:16,770 --> 00:05:21,230 +various fascicles of single nerve trunk وحيكون في + +62 +00:05:21,230 --> 00:05:25,930 +عندي mixture of types of damage أنواع متعددة + +63 +00:05:25,930 --> 00:05:32,050 +مختلطة أو مختلطة من طبيعة الإصابات اللي ممكن تصير + +64 +00:05:32,050 --> 00:05:42,050 +في الأعصاب الآن لو جينا نتطلع على cell body الaxon + +65 +00:05:43,070 --> 00:05:48,410 +Myelinated Sheet هاي الـ Myelin Sheet هذه الشوانس + +66 +00:05:48,410 --> 00:05:54,610 +اللي موجودة اللي بتنتج طبقة الـ Myelin Sheet عندى + +67 +00:05:54,610 --> 00:06:00,330 +ال basement membrane وفيه عندى ال axon هذا طبعا في + +68 +00:06:00,330 --> 00:06:07,210 +ال normal nerve axon انتقال الإشارة العصبية بيبدأ + +69 +00:06:07,210 --> 00:06:14,680 +من node of renvierto another node of Ranvier by + +70 +00:06:14,680 --> 00:06:19,400 +jumping هذه المنطقة non-myelinated الفاصلة ما بين + +71 +00:06:19,400 --> 00:06:27,600 +كل جزء او كل قطعة وقطعة هذه المنطقة غير مكسوة + +72 +00:06:27,600 --> 00:06:30,340 +بالـmyelin sheath وبالتالي انتقال الإشعار العصبي + +73 +00:06:30,340 --> 00:06:34,960 +من خلال ال jumping في هذه الحالة أسرع الا لو صار + +74 +00:06:34,960 --> 00:06:40,300 +عندي compression على ال axon أو على هذا ال nerve + +75 +00:06:41,170 --> 00:06:45,970 +هيبدأ الشكل عندى زى ما احنا شايفينه بالطريقة هذه + +76 +00:06:45,970 --> 00:06:51,650 +بقل التغذية تبعته بيصير فيه atrophy في الـ Myelin + +77 +00:06:51,650 --> 00:06:58,150 +shape وبالتالي هتبدأ اتقل الإشارة العصبية ومرور + +78 +00:06:58,150 --> 00:07:02,930 +الإشارة العصبية لهذا ال axon أو من خلال هذا ال + +79 +00:07:02,930 --> 00:07:07,290 +axon وهذا طبعا إذا كان ال compression جاعد لفترة + +80 +00:07:07,290 --> 00:07:11,180 +طويلة ممكن يصير في عندى deadفي الـ Myelin Sheath + +81 +00:07:11,180 --> 00:07:15,180 +لكن لو كان لفترة بسيطة وصار فيه removal لل + +82 +00:07:15,180 --> 00:07:22,300 +compression هتبدأ ترجع ال impulses بشكل سليم وبشكل + +83 +00:07:22,300 --> 00:07:26,720 +سريع وهذا زي ما بيصير انه في خلال فترة ال + +84 +00:07:26,720 --> 00:07:30,940 +compression بيصير في عنده interruption في الإشارة + +85 +00:07:30,940 --> 00:07:35,220 +العصبية وممكن ينتج عنها ال tangling الخدلان اللي + +86 +00:07:35,220 --> 00:07:37,560 +ممكن يكون موجود أو ال numbness + +87 +00:07:40,010 --> 00:07:43,890 +الان في بعض الحالات طبعا ممكن يصير في عندى sheet + +88 +00:07:43,890 --> 00:07:51,510 +loss راح كل الـ myelin sheet اللي موجود وفي هذه + +89 +00:07:51,510 --> 00:07:57,410 +الحالة بطلت تقدر تنتج للإشارة العصبية من خلال ال + +90 +00:07:57,410 --> 00:08:03,690 +node of ramfare to another node of ramfare ممكن + +91 +00:08:03,690 --> 00:08:10,120 +بعض الحالات استمر ال completionصار الـ cheat loss + +92 +00:08:10,120 --> 00:08:15,340 +استمرت المشكلة بدأ يصير في عندي disconnection + +93 +00:08:15,340 --> 00:08:19,860 +العصب نفسه بدأ يصير فيه degeneration او + +94 +00:08:19,860 --> 00:08:25,140 +disconnection و بتتبع مرحلة الـ degeneration عملية + +95 +00:08:25,140 --> 00:08:30,920 +التخلص من خلايا العصب الميتة الآن في عملية ال + +96 +00:08:30,920 --> 00:08:36,850 +nerve injury and repairعارفين انه ال normal axon + +97 +00:08:36,850 --> 00:08:43,530 +and target organ ع سبيل المثال estriated muscle + +98 +00:08:43,530 --> 00:08:51,990 +اللي عندى عصب و الهدف تبعه العضلة + +99 +00:08:53,500 --> 00:08:56,760 +Following nerve injury, the distal part of the + +100 +00:08:56,760 --> 00:09:01,040 +axon disintegrates and the myelin sheath breaks up + +101 +00:09:01,040 --> 00:09:08,680 +أول ما يصير الإصابة الجزء البعيد من العصب + +102 +00:09:08,680 --> 00:09:15,750 +بيبدأ يصير فيه disintegrationيفقد اتصاله مع الخلية + +103 +00:09:15,750 --> 00:09:20,930 +العصبية The nerve cell nucleus become eccentric + +104 +00:09:20,930 --> 00:09:26,410 +and nestle bodies are sparse في هذه الحالة تبدأ + +105 +00:09:26,410 --> 00:09:38,080 +الخلية العصبية تنتج بعض أو تتمتن بهابتنتج بعض + +106 +00:09:38,080 --> 00:09:41,860 +خلايا الـ nacelle bodies اللي موجودة the nerve + +107 +00:09:41,860 --> 00:09:45,240 +cell in nucleus become eccentric and nacelle + +108 +00:09:45,240 --> 00:09:50,860 +bodies are sparse هتتبقى الخلية العصبية و فيها ال + +109 +00:09:50,860 --> 00:09:54,120 +nacelle bodies اللي موجودة in your action + +110 +00:09:54,120 --> 00:09:58,760 +dendrites grow into the mass of proliferating + +111 +00:09:58,760 --> 00:10:07,320 +schwann cells بتبدأالخلية العصبية تنتج + +112 +00:10:07,320 --> 00:10:11,420 +أو تنمو بعض البراعم من العصب + +113 +00:10:14,250 --> 00:10:19,470 +الـ Dendrites أو الدندريل سيجد طريقه إلى نهاية + +114 +00:10:19,470 --> 00:10:26,990 +القناع العصب الجديد اللي بدأ ينبت هيلاقي مصيره او + +115 +00:10:26,990 --> 00:10:33,590 +هيفتح طريقه او يمشي بطريقه باتجاه القناع العصبية + +116 +00:10:33,590 --> 00:10:40,350 +اللي فارغة قدامه الـ axon سيتنمو بسرعة سيبدأ ال + +117 +00:10:40,350 --> 00:10:45,720 +axon في خلال هذه الفترة يتمبالتدريجي شوي شوي لحد + +118 +00:10:45,720 --> 00:10:51,660 +ما يصير الشفاء الكامل الان لو جينا نطلع على الصورة + +119 +00:10:51,660 --> 00:10:56,980 +اللي موجودة قدامنا في عندنا nerve injury او nerve + +120 +00:10:56,980 --> 00:11:03,620 +intact صار في عندي ال injury صار في damage ل ال + +121 +00:11:03,620 --> 00:11:10,800 +myelin sheath صار في damage ل ال nerve axon الان + +122 +00:11:10,800 --> 00:11:19,890 +اجت ال macrophagesموجودة وبتبدأ عملية التحلل + +123 +00:11:19,890 --> 00:11:26,730 +صار في انفصال ما بين الخلية العصبية وما بين العضلة + +124 +00:11:26,730 --> 00:11:33,460 +الآن زي ما احنا شايفين انفصلت تماما ال functionبطل + +125 +00:11:33,460 --> 00:11:38,840 +اتصل الإشارة للخلية العضلية في خلال هذه المرحلة + +126 +00:11:38,840 --> 00:11:41,720 +الـ Nestle Buds اللي موجودين في داخل الخلية + +127 +00:11:41,720 --> 00:11:48,560 +العصبية بتعمل stimulation للجزء المتبقي من العصب + +128 +00:11:48,560 --> 00:11:53,460 +الـ Axon اللي مرتبط بالخلية العصبية وبتبدأ تعمل + +129 +00:11:53,460 --> 00:11:58,040 +عملية الـ Dendrites هذه أو الـ Tendrils تبدأ تنمو + +130 +00:11:58,040 --> 00:12:02,970 +تندرلز هذه هتلاقي قدامها القناة العصبيةالـ Myelin + +131 +00:12:02,970 --> 00:12:07,870 +Sheet أو الـ Neuroliminal Canal موجود أمامها و + +132 +00:12:07,870 --> 00:12:13,750 +بتبدأ تنمو لحد ما تصل ال effector organ العصب أو + +133 +00:12:13,750 --> 00:12:21,590 +العضلة بعد هيك بيصير عملية الشفاء التام الآن لو + +134 +00:12:21,590 --> 00:12:26,290 +ماكانش في عندى Neuroliminal Canal موجودة + +135 +00:12:27,390 --> 00:12:33,370 +ممكن يصير في عند ال dendrites تنمو مع بعضها وتجي + +136 +00:12:33,370 --> 00:12:39,930 +تحت الجلد وتكون انيوراما تكون انيوراما تحت الجلد + +137 +00:12:39,930 --> 00:12:45,010 +pathological processes ال cause اللي ممكن يصير + +138 +00:12:45,010 --> 00:12:49,850 +طبعا ممكن damage of the cell body damage of the + +139 +00:12:49,850 --> 00:12:54,250 +axon damage of the myelin sheath connective tissue + +140 +00:12:54,510 --> 00:12:57,330 +ممكن يصير فيها damage ال blood supply ممكن يصير + +141 +00:12:57,330 --> 00:13:01,830 +فيه damage ممكن يصير في كل هدولة أو في جزء منها + +142 +00:13:01,830 --> 00:13:09,230 +عملية ال damage عملية ال recovery بتمر بالمراحل + +143 +00:13:09,230 --> 00:13:13,630 +التالية ال valerian degeneration ال axon + +144 +00:13:13,630 --> 00:13:18,710 +degeneration ال demyelination و بعدين بتتم عملية + +145 +00:13:18,710 --> 00:13:24,970 +ال regeneration ال nerve injuries typeممكن يكون في + +146 +00:13:24,970 --> 00:13:29,510 +عندي Neuropraxia ممكن يكون في عندي Axonic Mises + +147 +00:13:29,510 --> 00:13:34,930 +ممكن يكون في عندي Aneurotesis الآن لـ Neuropraxia + +148 +00:13:34,930 --> 00:13:40,530 +اللي هي ارتجاج العصب ممكن + +149 +00:13:40,530 --> 00:13:46,550 +طبعا حسب Sedans termالنيروبراكسيا تسمح + +150 +00:13:46,550 --> 00:13:51,890 +بـreversible physiological nerve conduction block + +151 +00:13:51,890 --> 00:13:55,870 +in which there is loss of some types of sensation + +152 +00:13:55,870 --> 00:13:59,750 +and muscle power followed by spontaneous recovery + +153 +00:13:59,750 --> 00:14:04,710 +after a few days or weeks هي مرحلة بيكون في عندك + +154 +00:14:04,710 --> 00:14:10,190 +compression على ال nerve ارتجاج في العصب بشكل عام + +155 +00:14:11,340 --> 00:14:15,700 +هذا الـ compression أو هذا الـ factor عمل + +156 +00:14:15,700 --> 00:14:21,540 +temporary loss of function لكن مجرد ما يروح ال + +157 +00:14:21,540 --> 00:14:26,960 +compression هتبدأ ال function ترجع it would أو it + +158 +00:14:26,960 --> 00:14:30,600 +is due to mechanical pressure causing segmental + +159 +00:14:30,600 --> 00:14:34,180 +demyelination and it is seen typically in a crutch + +160 +00:14:34,180 --> 00:14:40,630 +pulse وهذه طبعاً منشوفها حالاتالضغط اللي نتج عن + +161 +00:14:40,630 --> 00:14:45,750 +سوء الاستخدام لـ crutches سموها crutch palsy + +162 +00:14:45,750 --> 00:14:52,190 +pressure paralysis in states of drunknessممكن + +163 +00:14:52,190 --> 00:14:55,730 +نشوفه في حالات حاجة بيسموها Saturday night + +164 +00:14:55,730 --> 00:15:00,330 +paralysis عند الأجانب أو عند خلينا نقول اللي + +165 +00:15:00,330 --> 00:15:05,410 +بيشربوا الخمور هدولة ممكن نتيجة الشرب الكتير ينام + +166 +00:15:05,410 --> 00:15:08,930 +على الكرسي بطريقة خاطئة عامل pressure على ال + +167 +00:15:08,930 --> 00:15:13,910 +axillary nerve وبالتالي حيصير في عنده نوع من ال + +168 +00:15:13,910 --> 00:15:19,130 +paralysisأو في حالات ممكن استخدام الـ tourniquet + +169 +00:15:19,130 --> 00:15:26,590 +بلسي بيضغط أو بيستخدم الرباط بشكل خاطئ لفترة طويلة + +170 +00:15:26,590 --> 00:15:33,670 +ممكن يعمل انديشلال في العصب الـneurotemesis في هذه + +171 +00:15:33,670 --> 00:15:35,450 +الحالة طبعا الـneurotemesis + +172 +00:15:46,640 --> 00:15:51,940 +such as may occur in open wound في حالات الجروح + +173 +00:15:51,940 --> 00:15:59,240 +الإصابة بتكون مباشرة وبينفصل ال nerve ال axon ال + +174 +00:15:59,240 --> 00:16:04,970 +myelin sheet بيبدأ في تأثيرsuch as may occur in + +175 +00:16:04,970 --> 00:16:08,070 +open wounds it is now recognized that severe + +176 +00:16:08,070 --> 00:16:12,750 +degrees of damage may be inflicted without + +177 +00:16:12,750 --> 00:16:17,030 +actually dividing the nerve بعض الحالات بيكون في + +178 +00:16:17,030 --> 00:16:25,920 +عندي ال axon في إصابة لكن ال myelin sheetما في + +179 +00:16:25,920 --> 00:16:30,160 +إصابة if the injury is more severe whether the + +180 +00:16:30,160 --> 00:16:34,420 +nerve is in a continuity or not recovery will not + +181 +00:16:34,420 --> 00:16:41,580 +occur في بعض الحالات Neurotemesis + +182 +00:16:41,580 --> 00:16:47,820 +في هذه الحالة طبعا بيكون في عندي injury وبيكون في + +183 +00:16:47,820 --> 00:16:54,090 +عندي انفصال في كاملالـ axon والـ myelin sheet يعني + +184 +00:16:54,090 --> 00:16:58,710 +بيكون في عندي damage of the axon and myelin sheet + +185 +00:16:58,710 --> 00:17:03,630 +وفي بعض الحالات إذا كانت ال injury is more severe + +186 +00:17:03,630 --> 00:17:09,930 +سواء كان في عندي continuity of the nerve or not + +187 +00:17:09,930 --> 00:17:18,410 +recovery will not occur مش هيصير في عندي تحسن مع + +188 +00:17:18,410 --> 00:17:24,480 +الحالة هذهفي أكسونات ميسيز هناك تنسيق واليريان + +189 +00:17:24,480 --> 00:17:32,120 +ولكن هنا الاندونيورال يتم تدميره على مجموعات + +190 +00:17:32,120 --> 00:17:38,700 +مستوية ويزداد فرسترات لكن في حالة لنيورانت ميسيز + +191 +00:17:38,700 --> 00:17:44,170 +مختلفة عن الأكسونات ميسيزالـ Neurotemesis الـ + +192 +00:17:44,170 --> 00:17:49,350 +nerve axon damaged الـ Neurolimbal كنال damaged + +193 +00:17:49,350 --> 00:17:53,590 +الـ Myelin sheath damaged وبالتالي مش هيصير في + +194 +00:17:53,590 --> 00:17:57,990 +عندي عملية ال recovery بالشكل السليم أو مش هيتم + +195 +00:17:57,990 --> 00:18:02,730 +عملية ال recovery في ال axonotemesis ال + +196 +00:18:02,730 --> 00:18:10,310 +axonotemesis عندي ال injuryفقط في الـ Axon لكن الـ + +197 +00:18:10,310 --> 00:18:13,990 +Neuro لمّا الكنال الـ Myelin sheet intact وبالتالي + +198 +00:18:13,990 --> 00:18:18,930 +عملية الـ Degeneration وعملية الـ Regeneration + +199 +00:18:18,930 --> 00:18:24,590 +هتكون سريعة وحيصير في عندي full recovery في حالات + +200 +00:18:24,590 --> 00:18:28,290 +الـ Axonotemesis لكن حالات الـ Neurotemesis تعتمد + +201 +00:18:28,290 --> 00:18:32,910 +على عدة عواملإذا كان عمل عملية approximation أو + +202 +00:18:32,910 --> 00:18:38,230 +إذا في عوامل أخرى ممكن تعيق وممكن تساعد في عملية + +203 +00:18:38,230 --> 00:18:42,730 +ال motor recovery classifications + +204 +00:18:42,730 --> 00:18:47,030 +of the nerve injury طبعا according to Sedan's + +205 +00:18:47,030 --> 00:18:50,310 +description of the three different types of nerve + +206 +00:18:50,310 --> 00:18:54,130 +injury يا إما بيكون neuropraxia وعرفنا شو لـ + +207 +00:18:54,130 --> 00:18:58,550 +neuropraxia هي عبارة عن ارتجاج في العصب axonotesis + +208 +00:19:00,300 --> 00:19:04,460 +الإنترال أو خلّيني أقول هو فقط الـ axon of the + +209 +00:19:04,460 --> 00:19:09,920 +nerve is injured and damaged, and urethmesis in + +210 +00:19:09,920 --> 00:19:14,120 +axon and the neural canal and sheath are damaged. + +211 +00:19:14,380 --> 00:19:18,640 +Served as useful classification for many years + +212 +00:19:19,210 --> 00:19:22,570 +increasingly however it has been recognized that + +213 +00:19:22,570 --> 00:19:26,970 +many cases fall into an area somewhere between + +214 +00:19:26,970 --> 00:19:30,810 +axonotemesis and neurotemesis therefore following + +215 +00:19:30,810 --> 00:19:34,890 +Sunderland a more practical classification is + +216 +00:19:34,890 --> 00:19:39,470 +offered حسب تصنيف Sunderland إذا كان في بعض الحلات + +217 +00:19:39,470 --> 00:19:45,110 +ما بينطبقش عليهاالـ Neurotraxia أو أكسونات ميسيز + +218 +00:19:45,110 --> 00:19:48,470 +أو نيوروتميسيز ممكن تكون ما بين الأكسونات ميسيز و + +219 +00:19:48,470 --> 00:19:52,250 +نيوروتميسيز ففي هذه الحالة يفضل استخدام ال + +220 +00:19:52,250 --> 00:19:59,270 +thunderland classification اللي يتكون من 3 degrees + +221 +00:20:09,280 --> 00:20:16,340 +في هذه الحالة طبعا بيكون في عندي transient + +222 +00:20:16,340 --> 00:20:22,360 +ischemiaأوروبراكسيا وبيصير في عندي full recovery + +223 +00:20:22,360 --> 00:20:27,860 +للحالة بعد فترة من الزمن second degree وهي تقريبا + +224 +00:20:27,860 --> 00:20:34,420 +تناسب ال axonotmesis حسب sudan's scale axonal + +225 +00:20:34,420 --> 00:20:40,290 +degeneration حيصير في عندي axonal degenerationبسبب + +226 +00:20:40,290 --> 00:20:43,990 +ان الاندنيوريام محفظ بسبب ان الاندنيوريام محفظ + +227 +00:20:43,990 --> 00:20:46,230 +محفظ بسبب ان الاندنيوريام محفظ بسبب ان + +228 +00:20:46,230 --> 00:20:49,190 +الاندنيوريام محفظ بسبب ان الاندنيوريام محفظ بسبب + +229 +00:20:49,190 --> 00:20:54,530 +ان الاندنيوريام محفظ بسبب ان الاندنيوريام محفظ + +230 +00:20:54,530 --> 00:20:57,030 +بسبب ان الاندنيوريام محفظ بسبب ان الاندنيوريام + +231 +00:20:57,030 --> 00:21:00,510 +محفظ بسبب ان الاندنيوريام محفظ بسبب ان + +232 +00:21:00,510 --> 00:21:04,790 +الاندنيوريام محفظ بسبب ان الاندنيوريام محفظ + +233 +00:21:07,410 --> 00:21:13,310 +الإندونيوريام مغلق ولكن شطر البرينيوريام مستقل + +234 +00:21:13,310 --> 00:21:20,330 +والمدفع الداخلي مقفل فإن فرصة أكسون تصل لطلبهم + +235 +00:21:20,330 --> 00:21:26,900 +جيدة في احتمالية أنها تصلللـ target تبعها ال nerve + +236 +00:21:26,900 --> 00:21:32,120 +dendrites but fibrosis and cross connection و + +237 +00:21:32,120 --> 00:21:37,860 +limit recovery لكن في حالات ممكن يصير في عندي ال + +238 +00:21:37,860 --> 00:21:41,140 +fibrosis ممكن يصير في عندي حاجة بيسموها cross + +239 +00:21:41,140 --> 00:21:46,520 +connection اللي هي ننتج عنها in neuroma هتكون أكتر + +240 +00:21:46,520 --> 00:21:51,000 +المشاكل اللي ممكن نواجهها في هذه الحلقة عشان تصير + +241 +00:21:51,000 --> 00:21:55,210 +عمليةالـ Degeneration أو الـ Regeneration لازم + +242 +00:21:55,210 --> 00:21:58,950 +يصير في عندي Valerian Degeneration ال Valerian + +243 +00:21:58,950 --> 00:22:02,770 +Degeneration Distal Axon Degeneration following + +244 +00:22:02,770 --> 00:22:07,110 +suction or severe injury with degeneration of the + +245 +00:22:07,110 --> 00:22:10,630 +myelin sheath also of the myelin the process + +246 +00:22:10,630 --> 00:22:14,960 +occurs within seven to ten days of injuryوهذه + +247 +00:22:14,960 --> 00:22:20,540 +المجزرة من الجذب هي الهجوم الاسترخي الاسترخي في + +248 +00:22:20,540 --> 00:22:25,240 +هذه الفترة بيصير عملية الهجوم في الميليين وبيصير + +249 +00:22:25,240 --> 00:22:27,720 +عملية الهجوم للجزمة الدستالية + +250 +00:22:30,080 --> 00:22:35,000 +أكسيونا الديجنيراشي ديستال الديجنيراتي ديستال + +251 +00:22:35,000 --> 00:22:40,920 +الديجنيراتي + +252 +00:22:40,920 --> 00:22:42,360 +ديستال ديستال ديستال ديستال ديستال ديستال ديستال + +253 +00:22:42,360 --> 00:22:43,220 +ديستال ديستال ديستال ديستال ديستال ديستال ديستال + +254 +00:22:43,220 --> 00:22:45,680 +ديستال ديستال ديستال ديستال ديستال ديستال ديستال + +255 +00:22:45,680 --> 00:22:50,840 +ديستال ديستال ديستال ديستال ديستال + +256 +00:22:50,840 --> 00:22:55,480 +د + +257 +00:22:55,510 --> 00:22:59,550 +بعد ذلك بيصير عملية الـ axonal degeneration في نفس + +258 +00:22:59,550 --> 00:23:05,170 +الوجد لنيورونم الكنال بتكون موجودة ال basement + +259 +00:23:05,170 --> 00:23:10,410 +membrane تبع الشوان سيلفز اللي حكينا عنها موجودة + +260 +00:23:10,410 --> 00:23:16,610 +سليمة زي ما احنا شايفينالـ basement membrane هذه + +261 +00:23:16,610 --> 00:23:19,830 +الـ basement membrane هذا موجود سليم لكن اللي جوا + +262 +00:23:19,830 --> 00:23:23,990 +فيه damage إذا في عملية ال recovery بيصير عملية + +263 +00:23:23,990 --> 00:23:34,150 +growing لل dendrites لحد ما تصل الهدف الخاص بيها + +264 +00:23:34,150 --> 00:23:39,530 +اللي هو عبارة عن العضلات وبتنمو + +265 +00:23:39,530 --> 00:23:44,990 +تقريبا معدله واحد millimeter في اليومالـ + +266 +00:23:44,990 --> 00:23:49,750 +Demyelination، سجمانية إدماج ميلونشيط يحدث بدون + +267 +00:23:49,750 --> 00:23:52,770 +إدماج أكسونال، الوضع الأساسي يؤثر على جسم الشوان + +268 +00:23:52,770 --> 00:24:01,410 +ويسبب فيه ماركات تتسلق أو ماركات تتسلق في تدخل أو + +269 +00:24:01,410 --> 00:24:03,910 +تدخل مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد + +270 +00:24:03,910 --> 00:24:05,250 +مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد + +271 +00:24:05,250 --> 00:24:07,930 +مجلد مجلد مجلد مجلد مجلد + +272 +00:24:11,060 --> 00:24:14,260 +Sensory symptoms ممكن تكون موجود loss of sensation + +273 +00:24:14,260 --> 00:24:18,920 +ممكن تكون numbness ممكن براستيزيا ممكن تكون motor + +274 +00:24:18,920 --> 00:24:23,300 +symptoms paralysis او غيره الآن لما بنحكي عن + +275 +00:24:23,300 --> 00:24:27,580 +peripheral nerve injuries في بعض ال negative + +276 +00:24:27,580 --> 00:24:32,500 +symptoms اللي كان لو كانت موجودة هتعطينا prognosis + +277 +00:24:32,500 --> 00:24:36,600 +bad prognosis للحالة Large Myelinated Fiber + +278 +00:24:36,600 --> 00:24:41,020 +DiseaseLoss of touch and joint position since + +279 +00:24:41,020 --> 00:24:44,260 +probe reception leading to difficulty + +280 +00:24:44,260 --> 00:24:48,420 +discriminating texture, feet and hand feeling like + +281 +00:24:48,420 --> 00:24:52,680 +cotton wool, gait unsteady through loss of + +282 +00:24:52,680 --> 00:24:58,560 +position since أو loss of sense of position هذي في + +283 +00:24:58,560 --> 00:25:02,060 +ال large myelinated fibers هذي عبارة عن negative + +284 +00:25:02,060 --> 00:25:06,510 +symptoms لو كانت موجودةsmall لو كان في عندى small + +285 +00:25:06,510 --> 00:25:10,290 +unmyelinated fibers disease loss of pain and + +286 +00:25:10,290 --> 00:25:14,770 +temperature appreciation painless burn and trauma + +287 +00:25:14,770 --> 00:25:20,750 +مابيحسش بالألم مابيحسش بيتضرب الحروب damage to the + +288 +00:25:20,750 --> 00:25:24,450 +joints ممكن يصير في عندى حاجة بيسموها sharkots + +289 +00:25:24,450 --> 00:25:30,390 +joint resulting in painless deformity ال positive + +290 +00:25:30,390 --> 00:25:35,990 +symptomsإذا كانت هذه الحالات موجودة، هذا معناه إنه + +291 +00:25:35,990 --> 00:25:40,690 +حيصير في عندي بعض التحسن بدرجات متفاوتة في الـ + +292 +00:25:40,690 --> 00:25:44,790 +Large Myelinated Fiber Disease Cause Parasthesia + +293 +00:25:44,790 --> 00:25:48,970 +إذا بدأ يصير في عنده نوع من الـ Parasthesia Pins + +294 +00:25:48,970 --> 00:25:54,090 +and Needles بيحس بنخز في إيديه، معناه إنه في عملية + +295 +00:25:54,090 --> 00:25:59,850 +التحسنممكن يصير تحسن small unmyelinated fiber + +296 +00:25:59,850 --> 00:26:03,670 +disease produce painful positive symptoms من هذه + +297 +00:26:03,670 --> 00:26:06,430 +ال symptoms اللي ممكن تكون positive burning + +298 +00:26:06,430 --> 00:26:11,390 +sensation, dysthesia, pain on gentle touch, + +299 +00:26:11,610 --> 00:26:16,290 +hyperglycemia, lowered threshold to pain مجرد أي + +300 +00:26:16,290 --> 00:26:19,590 +إشارة بسيطة ممكن تعمله قلم hyper + +301 +00:26:21,590 --> 00:26:26,570 +او hyperpathia pain threshold is elevated but pain + +302 +00:26:26,570 --> 00:26:35,570 +is excessively felt طبعا بده إشارة أكبر عشان يستفز + +303 +00:26:35,570 --> 00:26:39,150 +القلم أو عشان يحس بالقلم pain threshold is + +304 +00:26:39,150 --> 00:26:45,510 +elevated lightning painssudden very severe + +305 +00:26:45,510 --> 00:26:50,310 +shooting pains which usually suggest a diagnosis + +306 +00:26:50,310 --> 00:26:55,810 +of Tibes Dorsalis زي في حالات late syphilis طبعا + +307 +00:26:55,810 --> 00:27:00,850 +هذه كلها عبارة عن علامات جيدة إذا وجدت ومعناه إنه + +308 +00:27:00,850 --> 00:27:06,890 +حيصير في عند المريض some type of recoverymotor + +309 +00:27:06,890 --> 00:27:09,910 +symptoms ممكن يكون في عنده weakness ممكن يكون في + +310 +00:27:09,910 --> 00:27:13,670 +عنده paralysis ممكن يكون sometimes can be proximal + +311 +00:27:13,670 --> 00:27:17,590 +difficulty climbing stairs or climbing hair او + +312 +00:27:17,590 --> 00:27:25,710 +combing hair cramps ممكن تكون موجودة signs of + +313 +00:27:25,710 --> 00:27:27,730 +peripheral neuropathy sensory + +314 +00:27:30,340 --> 00:27:33,940 +ممكن نعمل light touch، two point discrimination، + +315 +00:27:33,940 --> 00:27:37,220 +vibration sense، joint position sense + +316 +00:27:40,190 --> 00:27:43,950 +small and myelinated and thinly myelinated sensory + +317 +00:27:43,950 --> 00:27:47,490 +fibers include temperature perception pain + +318 +00:27:47,490 --> 00:27:53,070 +perception polyneuropathy glove and stocking + +319 +00:27:53,070 --> 00:27:58,070 +disruption or distribution of sensory loss joint + +320 +00:27:58,070 --> 00:28:02,810 +position sense is lost gait is abnormal sensory + +321 +00:28:02,810 --> 00:28:06,230 +ataxia romberg test is positive + diff --git a/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/VCgu-eC6aMs_raw.json b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/VCgu-eC6aMs_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..b35cd6675c24e091a4942ddab091b95b2bc1cafa --- /dev/null +++ b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/VCgu-eC6aMs_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 1920, "start": 0.0, "end": 19.2, "text": "السلام عليكم، هنتكلم اليوم عن ال peripheral nerve injury و هنتكلم عن ال assessment، عن ال management of peripheral nerve injury، هناخد ك example لل peripheral nerve injuries ال facial palsy أو ال bills palsy", "tokens": [6027, 3794, 37440, 25894, 24793, 12399, 8032, 29399, 4117, 19528, 45595, 20498, 18871, 2423, 40235, 16355, 10454, 4032, 8032, 29399, 4117, 19528, 18871, 2423, 9687, 12399, 18871, 2423, 4592, 295, 40235, 16355, 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a/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/VCgu-eC6aMs_raw.srt b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/VCgu-eC6aMs_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..c39ff52f8d04871af88874667a334cd03f386066 --- /dev/null +++ b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/VCgu-eC6aMs_raw.srt @@ -0,0 +1,1304 @@ +1 +00:00:00,000 --> 00:00:03,860 +السلام عليكم، هنتكلم اليوم عن ال peripheral nerve + +2 +00:00:03,860 --> 00:00:10,060 +injury و هنتكلم عن ال assessment، عن ال management + +3 +00:00:10,060 --> 00:00:13,980 +of peripheral nerve injury، هناخد ك example لل + +4 +00:00:13,980 --> 00:00:18,280 +peripheral nerve injuries ال facial palsy أو ال + +5 +00:00:18,280 --> 00:00:19,200 +bills palsy + +6 +00:00:21,830 --> 00:00:25,090 +طبعا حبينا نبدأ في موضوع ال peripheral nerve + +7 +00:00:25,090 --> 00:00:29,850 +injuries قبل ما نبدأ في موضوع ال stroke على أساس + +8 +00:00:29,850 --> 00:00:33,610 +انه نخلص من ال peripheral nerve injuries كاملة + +9 +00:00:33,610 --> 00:00:40,070 +بداية لو جينا نطلع على anatomy of the peripheral + +10 +00:00:40,070 --> 00:00:44,290 +nerve هلاجي ان ال peripheral nerves are made up of + +11 +00:00:44,290 --> 00:00:47,210 +axon and connective tissue + +12 +00:00:50,510 --> 00:00:56,210 +طبعا بيتكون من ال endoneurium و perineurium و + +13 +00:00:56,210 --> 00:01:02,170 +epineurium nerve trunk myelinated fiber و + +14 +00:01:02,170 --> 00:01:09,730 +unmyelinated fiber طبعا هذا بالمختصر من إيش بتكون + +15 +00:01:09,730 --> 00:01:15,460 +ال nerve و إيش المكونات الأساسية للنارالان لو جينا + +16 +00:01:15,460 --> 00:01:21,820 +نتطلع على عملية ال transmission of impulses كيف + +17 +00:01:21,820 --> 00:01:28,080 +بتنتقل الإشارات العصبية في ال axons و في ال nerve + +18 +00:01:28,080 --> 00:01:34,930 +بشكل عامهنيجي نطلع يعني هنلاقي ان في عندي نوعين من + +19 +00:01:34,930 --> 00:01:41,430 +ال nerves او ال axons في نوع myelinated axons وفي + +20 +00:01:41,430 --> 00:01:47,070 +عندي non-myelinated axons الآن في ال myelinated + +21 +00:01:47,070 --> 00:01:51,290 +axons او في ال myelinated nerves هنلاقي ان في عندي + +22 +00:01:51,290 --> 00:01:59,130 +ال myelin sheet الغشاء اللي مغطي للعصبهذا بيسموه + +23 +00:01:59,130 --> 00:02:06,290 +الـ Myelin Sheet و بيقسم إلى نقاط بحيث انه كل نقطة + +24 +00:02:06,290 --> 00:02:11,810 +موجود فيها أو بين كل نقطة و نقطة حاجة بيسموها node + +25 +00:02:11,810 --> 00:02:18,850 +of renvier أو renvier node اللي موجودة مابين أو + +26 +00:02:18,850 --> 00:02:23,020 +موجودة في ال axonوفيها عند الـ Schwann cells اللي + +27 +00:02:23,020 --> 00:02:26,300 +هي الخلايا المسؤولة عن تكوين الـmyelin sheet اللي + +28 +00:02:26,300 --> 00:02:32,320 +يحيط بالعصب أو يحيط بالـ axon myelinated nerves + +29 +00:02:32,320 --> 00:02:38,040 +are separated by nodes مقسمة بالـ nodes اللي + +30 +00:02:38,040 --> 00:02:42,740 +موجودة زي ما شايفين احنا الآن at these points the + +31 +00:02:42,740 --> 00:02:50,580 +axons are there هلاجي ان النقاط هذه هي غيرمغطى + +32 +00:02:50,580 --> 00:02:55,440 +بالـ Myelin Sheath في هذه الحالة انتقال الإشارة + +33 +00:02:55,440 --> 00:03:00,140 +العصبيةfrom node of renvier to another node of + +34 +00:03:00,140 --> 00:03:07,220 +renvier by jumping from one node of renvier to the + +35 +00:03:07,220 --> 00:03:11,960 +next node of renvier وهذه طبعا طريقة انتقال + +36 +00:03:11,960 --> 00:03:18,420 +الإشارة العصبية في الـmyelinated axons في الـnon + +37 +00:03:18,420 --> 00:03:23,600 +-myelinated axons مش موجود عندي الـmyelin sheet مش + +38 +00:03:23,600 --> 00:03:29,160 +موجود عندي الإشوانالـ Node of Renvier وبالتالي + +39 +00:03:29,160 --> 00:03:33,120 +بتتم عملية انتقال الإشارة العصبية من خلال حاجة + +40 +00:03:33,120 --> 00:03:37,640 +بيسموها Saltatory conduction Saltatory conduction + +41 +00:03:37,640 --> 00:03:42,940 +هي عملية انتقال الإشارة العصبية على طول العصب من + +42 +00:03:42,940 --> 00:03:49,360 +خلال alteration of electricity عملية تبديل الشحنة + +43 +00:03:49,360 --> 00:03:54,600 +الكهربية اللي موجودة في داخل العصب وما بين خارج + +44 +00:03:54,600 --> 00:03:59,270 +العصب عمليةالـ alteration of electric charge + +45 +00:03:59,270 --> 00:04:03,330 +conduction in myelinated nerve is slower and + +46 +00:04:03,330 --> 00:04:07,670 +dependent on the diameter of axon عملية انتقال + +47 +00:04:07,670 --> 00:04:11,990 +الإشارة العصبية في الـ non-myelinated axon أبطأ + +48 +00:04:11,990 --> 00:04:18,750 +منها في الـmyelinated axon الآن في عمليةالإصابات + +49 +00:04:18,750 --> 00:04:22,630 +اللي ممكن تصير .. ممكن يصير في عندي إصابة في + +50 +00:04:22,630 --> 00:04:26,470 +myelinated axon ممكن يكون في عندي إصابة في non + +51 +00:04:26,470 --> 00:04:33,730 +-myelinated axon الآن لو كان عندي nerve injured by + +52 +00:04:33,730 --> 00:04:40,840 +ischemia أو compression أو attractionLaceration or + +53 +00:04:40,840 --> 00:04:46,500 +burning أي إن كان سبب الإصابة للعصب damage will + +54 +00:04:46,500 --> 00:04:51,160 +vary حيصير في عندي تغير في درجة الإصابة in + +55 +00:04:51,160 --> 00:04:54,600 +severity from transient and quickly recoverable + +56 +00:04:55,140 --> 00:04:59,100 +Loss of function to complete interruption and + +57 +00:04:59,100 --> 00:05:03,100 +degeneration ممكن يصير تتراوح الإصابة ما بين شغل + +58 +00:05:03,100 --> 00:05:07,740 +بسيط و يصير spontaneous recovery و تم عملية الشفاء + +59 +00:05:07,740 --> 00:05:12,500 +بسرعة أو أنه تاخد وقت و تستمر عملية الشفاء لفترة + +60 +00:05:12,500 --> 00:05:16,770 +طويلةThere may be mixture of types of damage in + +61 +00:05:16,770 --> 00:05:21,230 +various fascicles of single nerve trunk وحيكون في + +62 +00:05:21,230 --> 00:05:25,930 +عندي mixture of types of damage أنواع متعددة + +63 +00:05:25,930 --> 00:05:32,050 +مختلطة أو مختلطة من طبيعة الإصابات اللي ممكن تصير + +64 +00:05:32,050 --> 00:05:42,050 +في الأعصاب الآن لو جينا نتطلع على cell body الaxon + +65 +00:05:43,070 --> 00:05:48,410 +Myelinated Sheet هاي الـ Myelin Sheet هذه الشوانس + +66 +00:05:48,410 --> 00:05:54,610 +اللي موجودة اللي بتنتج طبقة الـ Myelin Sheet عندى + +67 +00:05:54,610 --> 00:06:00,330 +ال basement membrane وفيه عندى ال axon هذا طبعا في + +68 +00:06:00,330 --> 00:06:07,210 +ال normal nerve axon انتقال الإشارة العصبية بيبدأ + +69 +00:06:07,210 --> 00:06:14,680 +من node of renvierto another node of Ranvier by + +70 +00:06:14,680 --> 00:06:19,400 +jumping هذه المنطقة non-myelinated الفاصلة ما بين + +71 +00:06:19,400 --> 00:06:27,600 +كل جزء او كل قطعة وقطعة هذه المنطقة غير مكسوة + +72 +00:06:27,600 --> 00:06:30,340 +بالـmyelin sheath وبالتالي انتقال الإشعار العصبي + +73 +00:06:30,340 --> 00:06:34,960 +من خلال ال jumping في هذه الحالة أسرع الا لو صار + +74 +00:06:34,960 --> 00:06:40,300 +عندي compression على ال axon أو على هذا ال nerve + +75 +00:06:41,170 --> 00:06:45,970 +هيبدأ الشكل عندى زى ما احنا شايفينه بالطريقة هذه + +76 +00:06:45,970 --> 00:06:51,650 +بقل التغذية تبعته بيصير فيه atrophy في الـ Myelin + +77 +00:06:51,650 --> 00:06:58,150 +shape وبالتالي هتبدأ اتقل الإشارة العصبية ومرور + +78 +00:06:58,150 --> 00:07:02,930 +الإشارة العصبية لهذا ال axon أو من خلال هذا ال + +79 +00:07:02,930 --> 00:07:07,290 +axon وهذا طبعا إذا كان ال compression جاعد لفترة + +80 +00:07:07,290 --> 00:07:11,180 +طويلة ممكن يصير في عندى deadفي الـ Myelin Sheath + +81 +00:07:11,180 --> 00:07:15,180 +لكن لو كان لفترة بسيطة وصار فيه removal لل + +82 +00:07:15,180 --> 00:07:22,300 +compression هتبدأ ترجع ال impulses بشكل سليم وبشكل + +83 +00:07:22,300 --> 00:07:26,720 +سريع وهذا زي ما بيصير انه في خلال فترة ال + +84 +00:07:26,720 --> 00:07:30,940 +compression بيصير في عنده interruption في الإشارة + +85 +00:07:30,940 --> 00:07:35,220 +العصبية وممكن ينتج عنها ال tangling الخدلان اللي + +86 +00:07:35,220 --> 00:07:37,560 +ممكن يكون موجود أو ال numbness + +87 +00:07:40,010 --> 00:07:43,890 +الان في بعض الحالات طبعا ممكن يصير في عندى sheet + +88 +00:07:43,890 --> 00:07:51,510 +loss راح كل الـ myelin sheet اللي موجود وفي هذه + +89 +00:07:51,510 --> 00:07:57,410 +الحالة بطلت تقدر تنتج للإشارة العصبية من خلال ال + +90 +00:07:57,410 --> 00:08:03,690 +node of ramfare to another node of ramfare ممكن + +91 +00:08:03,690 --> 00:08:10,120 +بعض الحالات استمر ال completionصار الـ cheat loss + +92 +00:08:10,120 --> 00:08:15,340 +استمرت المشكلة بدأ يصير في عندي disconnection + +93 +00:08:15,340 --> 00:08:19,860 +العصب نفسه بدأ يصير فيه degeneration او + +94 +00:08:19,860 --> 00:08:25,140 +disconnection و بتتبع مرحلة الـ degeneration عملية + +95 +00:08:25,140 --> 00:08:30,920 +التخلص من خلايا العصب الميتة الآن في عملية ال + +96 +00:08:30,920 --> 00:08:36,850 +nerve injury and repairعارفين انه ال normal axon + +97 +00:08:36,850 --> 00:08:43,530 +and target organ ع سبيل المثال estriated muscle + +98 +00:08:43,530 --> 00:08:51,990 +اللي عندى عصب و الهدف تبعه العضلة + +99 +00:08:53,500 --> 00:08:56,760 +Following nerve injury, the distal part of the + +100 +00:08:56,760 --> 00:09:01,040 +axon disintegrates and the myelin sheath breaks up + +101 +00:09:01,040 --> 00:09:08,680 +أول ما يصير الإصابة الجزء البعيد من العصب + +102 +00:09:08,680 --> 00:09:15,750 +بيبدأ يصير فيه disintegrationيفقد اتصاله مع الخلية + +103 +00:09:15,750 --> 00:09:20,930 +العصبية The nerve cell nucleus become eccentric + +104 +00:09:20,930 --> 00:09:26,410 +and nestle bodies are sparse في هذه الحالة تبدأ + +105 +00:09:26,410 --> 00:09:38,080 +الخلية العصبية تنتج بعض أو تتمتن بهابتنتج بعض + +106 +00:09:38,080 --> 00:09:41,860 +خلايا الـ nacelle bodies اللي موجودة the nerve + +107 +00:09:41,860 --> 00:09:45,240 +cell in nucleus become eccentric and nacelle + +108 +00:09:45,240 --> 00:09:50,860 +bodies are sparse هتتبقى الخلية العصبية و فيها ال + +109 +00:09:50,860 --> 00:09:54,120 +nacelle bodies اللي موجودة in your action + +110 +00:09:54,120 --> 00:09:58,760 +dendrites grow into the mass of proliferating + +111 +00:09:58,760 --> 00:10:07,320 +schwann cells بتبدأالخلية العصبية تنتج + +112 +00:10:07,320 --> 00:10:11,420 +أو تنمو بعض البراعم من العصب + +113 +00:10:14,250 --> 00:10:19,470 +الـ Dendrites أو الدندريل سيجد طريقه إلى نهاية + +114 +00:10:19,470 --> 00:10:26,990 +القناع العصب الجديد اللي بدأ ينبت هيلاقي مصيره او + +115 +00:10:26,990 --> 00:10:33,590 +هيفتح طريقه او يمشي بطريقه باتجاه القناع العصبية + +116 +00:10:33,590 --> 00:10:40,350 +اللي فارغة قدامه الـ axon سيتنمو بسرعة سيبدأ ال + +117 +00:10:40,350 --> 00:10:45,720 +axon في خلال هذه الفترة يتمبالتدريجي شوي شوي لحد + +118 +00:10:45,720 --> 00:10:51,660 +ما يصير الشفاء الكامل الان لو جينا نطلع على الصورة + +119 +00:10:51,660 --> 00:10:56,980 +اللي موجودة قدامنا في عندنا nerve injury او nerve + +120 +00:10:56,980 --> 00:11:03,620 +intact صار في عندي ال injury صار في damage ل ال + +121 +00:11:03,620 --> 00:11:10,800 +myelin sheath صار في damage ل ال nerve axon الان + +122 +00:11:10,800 --> 00:11:19,890 +اجت ال macrophagesموجودة وبتبدأ عملية التحلل + +123 +00:11:19,890 --> 00:11:26,730 +صار في انفصال ما بين الخلية العصبية وما بين العضلة + +124 +00:11:26,730 --> 00:11:33,460 +الآن زي ما احنا شايفين انفصلت تماما ال functionبطل + +125 +00:11:33,460 --> 00:11:38,840 +اتصل الإشارة للخلية العضلية في خلال هذه المرحلة + +126 +00:11:38,840 --> 00:11:41,720 +الـ Nestle Buds اللي موجودين في داخل الخلية + +127 +00:11:41,720 --> 00:11:48,560 +العصبية بتعمل stimulation للجزء المتبقي من العصب + +128 +00:11:48,560 --> 00:11:53,460 +الـ Axon اللي مرتبط بالخلية العصبية وبتبدأ تعمل + +129 +00:11:53,460 --> 00:11:58,040 +عملية الـ Dendrites هذه أو الـ Tendrils تبدأ تنمو + +130 +00:11:58,040 --> 00:12:02,970 +تندرلز هذه هتلاقي قدامها القناة العصبيةالـ Myelin + +131 +00:12:02,970 --> 00:12:07,870 +Sheet أو الـ Neuroliminal Canal موجود أمامها و + +132 +00:12:07,870 --> 00:12:13,750 +بتبدأ تنمو لحد ما تصل ال effector organ العصب أو + +133 +00:12:13,750 --> 00:12:21,590 +العضلة بعد هيك بيصير عملية الشفاء التام الآن لو + +134 +00:12:21,590 --> 00:12:26,290 +ماكانش في عندى Neuroliminal Canal موجودة + +135 +00:12:27,390 --> 00:12:33,370 +ممكن يصير في عند ال dendrites تنمو مع بعضها وتجي + +136 +00:12:33,370 --> 00:12:39,930 +تحت الجلد وتكون انيوراما تكون انيوراما تحت الجلد + +137 +00:12:39,930 --> 00:12:45,010 +pathological processes ال cause اللي ممكن يصير + +138 +00:12:45,010 --> 00:12:49,850 +طبعا ممكن damage of the cell body damage of the + +139 +00:12:49,850 --> 00:12:54,250 +axon damage of the myelin sheath connective tissue + +140 +00:12:54,510 --> 00:12:57,330 +ممكن يصير فيها damage ال blood supply ممكن يصير + +141 +00:12:57,330 --> 00:13:01,830 +فيه damage ممكن يصير في كل هدولة أو في جزء منها + +142 +00:13:01,830 --> 00:13:09,230 +عملية ال damage عملية ال recovery بتمر بالمراحل + +143 +00:13:09,230 --> 00:13:13,630 +التالية ال valerian degeneration ال axon + +144 +00:13:13,630 --> 00:13:18,710 +degeneration ال demyelination و بعدين بتتم عملية + +145 +00:13:18,710 --> 00:13:24,970 +ال regeneration ال nerve injuries typeممكن يكون في + +146 +00:13:24,970 --> 00:13:29,510 +عندي Neuropraxia ممكن يكون في عندي Axonic Mises + +147 +00:13:29,510 --> 00:13:34,930 +ممكن يكون في عندي Aneurotesis الآن لـ Neuropraxia + +148 +00:13:34,930 --> 00:13:40,530 +اللي هي ارتجاج العصب ممكن + +149 +00:13:40,530 --> 00:13:46,550 +طبعا حسب Sedans termالنيروبراكسيا تسمح + +150 +00:13:46,550 --> 00:13:51,890 +بـreversible physiological nerve conduction block + +151 +00:13:51,890 --> 00:13:55,870 +in which there is loss of some types of sensation + +152 +00:13:55,870 --> 00:13:59,750 +and muscle power followed by spontaneous recovery + +153 +00:13:59,750 --> 00:14:04,710 +after a few days or weeks هي مرحلة بيكون في عندك + +154 +00:14:04,710 --> 00:14:10,190 +compression على ال nerve ارتجاج في العصب بشكل عام + +155 +00:14:11,340 --> 00:14:15,700 +هذا الـ compression أو هذا الـ factor عمل + +156 +00:14:15,700 --> 00:14:21,540 +temporary loss of function لكن مجرد ما يروح ال + +157 +00:14:21,540 --> 00:14:26,960 +compression هتبدأ ال function ترجع it would أو it + +158 +00:14:26,960 --> 00:14:30,600 +is due to mechanical pressure causing segmental + +159 +00:14:30,600 --> 00:14:34,180 +demyelination and it is seen typically in a crutch + +160 +00:14:34,180 --> 00:14:40,630 +pulse وهذه طبعاً منشوفها حالاتالضغط اللي نتج عن + +161 +00:14:40,630 --> 00:14:45,750 +سوء الاستخدام لـ crutches سموها crutch palsy + +162 +00:14:45,750 --> 00:14:52,190 +pressure paralysis in states of drunknessممكن + +163 +00:14:52,190 --> 00:14:55,730 +نشوفه في حالات حاجة بيسموها Saturday night + +164 +00:14:55,730 --> 00:15:00,330 +paralysis عند الأجانب أو عند خلينا نقول اللي + +165 +00:15:00,330 --> 00:15:05,410 +بيشربوا الخمور هدولة ممكن نتيجة الشرب الكتير ينام + +166 +00:15:05,410 --> 00:15:08,930 +على الكرسي بطريقة خاطئة عامل pressure على ال + +167 +00:15:08,930 --> 00:15:13,910 +axillary nerve وبالتالي حيصير في عنده نوع من ال + +168 +00:15:13,910 --> 00:15:19,130 +paralysisأو في حالات ممكن استخدام الـ tourniquet + +169 +00:15:19,130 --> 00:15:26,590 +بلسي بيضغط أو بيستخدم الرباط بشكل خاطئ لفترة طويلة + +170 +00:15:26,590 --> 00:15:33,670 +ممكن يعمل انديشلال في العصب الـneurotemesis في هذه + +171 +00:15:33,670 --> 00:15:35,450 +الحالة طبعا الـneurotemesis + +172 +00:15:46,640 --> 00:15:51,940 +such as may occur in open wound في حالات الجروح + +173 +00:15:51,940 --> 00:15:59,240 +الإصابة بتكون مباشرة وبينفصل ال nerve ال axon ال + +174 +00:15:59,240 --> 00:16:04,970 +myelin sheet بيبدأ في تأثيرsuch as may occur in + +175 +00:16:04,970 --> 00:16:08,070 +open wounds it is now recognized that severe + +176 +00:16:08,070 --> 00:16:12,750 +degrees of damage may be inflicted without + +177 +00:16:12,750 --> 00:16:17,030 +actually dividing the nerve بعض الحالات بيكون في + +178 +00:16:17,030 --> 00:16:25,920 +عندي ال axon في إصابة لكن ال myelin sheetما في + +179 +00:16:25,920 --> 00:16:30,160 +إصابة if the injury is more severe whether the + +180 +00:16:30,160 --> 00:16:34,420 +nerve is in a continuity or not recovery will not + +181 +00:16:34,420 --> 00:16:41,580 +occur في بعض الحالات Neurotemesis + +182 +00:16:41,580 --> 00:16:47,820 +في هذه الحالة طبعا بيكون في عندي injury وبيكون في + +183 +00:16:47,820 --> 00:16:54,090 +عندي انفصال في كاملالـ axon والـ myelin sheet يعني + +184 +00:16:54,090 --> 00:16:58,710 +بيكون في عندي damage of the axon and myelin sheet + +185 +00:16:58,710 --> 00:17:03,630 +وفي بعض الحالات إذا كانت ال injury is more severe + +186 +00:17:03,630 --> 00:17:09,930 +سواء كان في عندي continuity of the nerve or not + +187 +00:17:09,930 --> 00:17:18,410 +recovery will not occur مش هيصير في عندي تحسن مع + +188 +00:17:18,410 --> 00:17:24,480 +الحالة هذهفي أكسونات ميسيز هناك تنسيق واليريان + +189 +00:17:24,480 --> 00:17:32,120 +ولكن هنا الاندونيورال يتم تدميره على مجموعات + +190 +00:17:32,120 --> 00:17:38,700 +مستوية ويزداد فرسترات لكن في حالة لنيورانت ميسيز + +191 +00:17:38,700 --> 00:17:44,170 +مختلفة عن الأكسونات ميسيزالـ Neurotemesis الـ + +192 +00:17:44,170 --> 00:17:49,350 +nerve axon damaged الـ Neurolimbal كنال damaged + +193 +00:17:49,350 --> 00:17:53,590 +الـ Myelin sheath damaged وبالتالي مش هيصير في + +194 +00:17:53,590 --> 00:17:57,990 +عندي عملية ال recovery بالشكل السليم أو مش هيتم + +195 +00:17:57,990 --> 00:18:02,730 +عملية ال recovery في ال axonotemesis ال + +196 +00:18:02,730 --> 00:18:10,310 +axonotemesis عندي ال injuryفقط في الـ Axon لكن الـ + +197 +00:18:10,310 --> 00:18:13,990 +Neuro لمّا الكنال الـ Myelin sheet intact وبالتالي + +198 +00:18:13,990 --> 00:18:18,930 +عملية الـ Degeneration وعملية الـ Regeneration + +199 +00:18:18,930 --> 00:18:24,590 +هتكون سريعة وحيصير في عندي full recovery في حالات + +200 +00:18:24,590 --> 00:18:28,290 +الـ Axonotemesis لكن حالات الـ Neurotemesis تعتمد + +201 +00:18:28,290 --> 00:18:32,910 +على عدة عواملإذا كان عمل عملية approximation أو + +202 +00:18:32,910 --> 00:18:38,230 +إذا في عوامل أخرى ممكن تعيق وممكن تساعد في عملية + +203 +00:18:38,230 --> 00:18:42,730 +ال motor recovery classifications + +204 +00:18:42,730 --> 00:18:47,030 +of the nerve injury طبعا according to Sedan's + +205 +00:18:47,030 --> 00:18:50,310 +description of the three different types of nerve + +206 +00:18:50,310 --> 00:18:54,130 +injury يا إما بيكون neuropraxia وعرفنا شو لـ + +207 +00:18:54,130 --> 00:18:58,550 +neuropraxia هي عبارة عن ارتجاج في العصب axonotesis + +208 +00:19:00,300 --> 00:19:04,460 +الإنترال أو خلّيني أقول هو فقط الـ axon of the + +209 +00:19:04,460 --> 00:19:09,920 +nerve is injured and damaged, and urethmesis in + +210 +00:19:09,920 --> 00:19:14,120 +axon and the neural canal and sheath are damaged. + +211 +00:19:14,380 --> 00:19:18,640 +Served as useful classification for many years + +212 +00:19:19,210 --> 00:19:22,570 +increasingly however it has been recognized that + +213 +00:19:22,570 --> 00:19:26,970 +many cases fall into an area somewhere between + +214 +00:19:26,970 --> 00:19:30,810 +axonotemesis and neurotemesis therefore following + +215 +00:19:30,810 --> 00:19:34,890 +Sunderland a more practical classification is + +216 +00:19:34,890 --> 00:19:39,470 +offered حسب تصنيف Sunderland إذا كان في بعض الحلات + +217 +00:19:39,470 --> 00:19:45,110 +ما بينطبقش عليهاالـ Neurotraxia أو أكسونات ميسيز + +218 +00:19:45,110 --> 00:19:48,470 +أو نيوروتميسيز ممكن تكون ما بين الأكسونات ميسيز و + +219 +00:19:48,470 --> 00:19:52,250 +نيوروتميسيز ففي هذه الحالة يفضل استخدام ال + +220 +00:19:52,250 --> 00:19:59,270 +thunderland classification اللي يتكون من 3 degrees + +221 +00:20:09,280 --> 00:20:16,340 +في هذه الحالة طبعا بيكون في عندي transient + +222 +00:20:16,340 --> 00:20:22,360 +ischemiaأوروبراكسيا وبيصير في عندي full recovery + +223 +00:20:22,360 --> 00:20:27,860 +للحالة بعد فترة من الزمن second degree وهي تقريبا + +224 +00:20:27,860 --> 00:20:34,420 +تناسب ال axonotmesis حسب sudan's scale axonal + +225 +00:20:34,420 --> 00:20:40,290 +degeneration حيصير في عندي axonal degenerationبسبب + +226 +00:20:40,290 --> 00:20:43,990 +ان الاندنيوريام محفظ بسبب ان الاندنيوريام محفظ + +227 +00:20:43,990 --> 00:20:43,990 +بسبب ان الاندنيوريام محفظ بسبب ان الاندنيوريام + +228 +00:20:43,990 --> 00:20:46,230 +محفظ بسبب ان الاندنيوريام محفظ بسبب ان + +229 +00:20:46,230 --> 00:20:49,190 +الاندنيوريام محفظ بسبب ان الاندنيوريام محفظ بسبب + +230 +00:20:49,190 --> 00:20:54,530 +ان الاندنيوريام محفظ بسبب ان الاندنيوريام محفظ + +231 +00:20:54,530 --> 00:20:57,030 +بسبب ان الاندنيوريام محفظ بسبب ان الاندنيوريام + +232 +00:20:57,030 --> 00:21:00,510 +محفظ بسبب ان الاندنيوريام محفظ بسبب ان + +233 +00:21:00,510 --> 00:21:04,790 +الاندنيوريام محفظ بسبب ان الاندنيوريام محفظ + +234 +00:21:07,410 --> 00:21:13,310 +الإندونيوريام مغلق ولكن شطر البرينيوريام مستقل + +235 +00:21:13,310 --> 00:21:20,330 +والمدفع الداخلي مقفل فإن فرصة أكسون تصل لطلبهم + +236 +00:21:20,330 --> 00:21:26,900 +جيدة في احتمالية أنها تصلللـ target تبعها ال nerve + +237 +00:21:26,900 --> 00:21:32,120 +dendrites but fibrosis and cross connection و + +238 +00:21:32,120 --> 00:21:37,860 +limit recovery لكن في حالات ممكن يصير في عندي ال + +239 +00:21:37,860 --> 00:21:41,140 +fibrosis ممكن يصير في عندي حاجة بيسموها cross + +240 +00:21:41,140 --> 00:21:46,520 +connection اللي هي ننتج عنها in neuroma هتكون أكتر + +241 +00:21:46,520 --> 00:21:51,000 +المشاكل اللي ممكن نواجهها في هذه الحلقة عشان تصير + +242 +00:21:51,000 --> 00:21:55,210 +عمليةالـ Degeneration أو الـ Regeneration لازم + +243 +00:21:55,210 --> 00:21:58,950 +يصير في عندي Valerian Degeneration ال Valerian + +244 +00:21:58,950 --> 00:22:02,770 +Degeneration Distal Axon Degeneration following + +245 +00:22:02,770 --> 00:22:07,110 +suction or severe injury with degeneration of the + +246 +00:22:07,110 --> 00:22:10,630 +myelin sheath also of the myelin the process + +247 +00:22:10,630 --> 00:22:14,960 +occurs within seven to ten days of injuryوهذه + +248 +00:22:14,960 --> 00:22:20,540 +المجزرة من الجذب هي الهجوم الاسترخي الاسترخي في + +249 +00:22:20,540 --> 00:22:25,240 +هذه الفترة بيصير عملية الهجوم في الميليين وبيصير + +250 +00:22:25,240 --> 00:22:27,720 +عملية الهجوم للجزمة الدستالية + +251 +00:22:30,080 --> 00:22:35,000 +أكسيونا الديجنيراشي ديستال الديجنيراتي ديستال + +252 +00:22:35,000 --> 00:22:40,920 +الديجنيراتي + +253 +00:22:40,920 --> 00:22:42,360 +ديستال ديستال ديستال ديستال ديستال ديستال ديستال + +254 +00:22:42,360 --> 00:22:43,220 +ديستال ديستال ديستال ديستال ديستال ديستال ديستال + +255 +00:22:43,220 --> 00:22:45,680 +ديستال ديستال ديستال ديستال ديستال ديستال ديستال + +256 +00:22:45,680 --> 00:22:45,680 +ديستال ديستال ديستال ديستال ديستال ديستال ديستال + +257 +00:22:45,680 --> 00:22:45,680 +ديستال ديستال ديستال ديستال ديستال ديستال ديستال + +258 +00:22:45,680 --> 00:22:45,680 +ديستال ديستال ديستال ديستال ديستال ديستال ديستال + +259 +00:22:45,680 --> 00:22:50,840 +ديستال ديستال ديستال ديستال ديستال + +260 +00:22:50,840 --> 00:22:55,480 +د + +261 +00:22:55,510 --> 00:22:59,550 +بعد ذلك بيصير عملية الـ axonal degeneration في نفس + +262 +00:22:59,550 --> 00:23:05,170 +الوجد لنيورونم الكنال بتكون موجودة ال basement + +263 +00:23:05,170 --> 00:23:10,410 +membrane تبع الشوان سيلفز اللي حكينا عنها موجودة + +264 +00:23:10,410 --> 00:23:16,610 +سليمة زي ما احنا شايفينالـ basement membrane هذه + +265 +00:23:16,610 --> 00:23:19,830 +الـ basement membrane هذا موجود سليم لكن اللي جوا + +266 +00:23:19,830 --> 00:23:23,990 +فيه damage إذا في عملية ال recovery بيصير عملية + +267 +00:23:23,990 --> 00:23:34,150 +growing لل dendrites لحد ما تصل الهدف الخاص بيها + +268 +00:23:34,150 --> 00:23:39,530 +اللي هو عبارة عن العضلات وبتنمو + +269 +00:23:39,530 --> 00:23:44,990 +تقريبا معدله واحد millimeter في اليومالـ + +270 +00:23:44,990 --> 00:23:49,750 +Demyelination، سجمانية إدماج ميلونشيط يحدث بدون + +271 +00:23:49,750 --> 00:23:52,770 +إدماج أكسونال، الوضع الأساسي يؤثر على جسم الشوان + +272 +00:23:52,770 --> 00:24:01,410 +ويسبب فيه ماركات تتسلق أو ماركات تتسلق في تدخل أو + +273 +00:24:01,410 --> 00:24:03,910 +تدخل مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد + +274 +00:24:03,910 --> 00:24:03,910 +مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد + +275 +00:24:03,910 --> 00:24:05,250 +مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد مجلد + +276 +00:24:05,250 --> 00:24:07,930 +مجلد مجلد مجلد مجلد مجلد + +277 +00:24:11,060 --> 00:24:14,260 +Sensory symptoms ممكن تكون موجود loss of sensation + +278 +00:24:14,260 --> 00:24:18,920 +ممكن تكون numbness ممكن براستيزيا ممكن تكون motor + +279 +00:24:18,920 --> 00:24:23,300 +symptoms paralysis او غيره الآن لما بنحكي عن + +280 +00:24:23,300 --> 00:24:27,580 +peripheral nerve injuries في بعض ال negative + +281 +00:24:27,580 --> 00:24:32,500 +symptoms اللي كان لو كانت موجودة هتعطينا prognosis + +282 +00:24:32,500 --> 00:24:36,600 +bad prognosis للحالة Large Myelinated Fiber + +283 +00:24:36,600 --> 00:24:41,020 +DiseaseLoss of touch and joint position since + +284 +00:24:41,020 --> 00:24:44,260 +probe reception leading to difficulty + +285 +00:24:44,260 --> 00:24:48,420 +discriminating texture, feet and hand feeling like + +286 +00:24:48,420 --> 00:24:52,680 +cotton wool, gait unsteady through loss of + +287 +00:24:52,680 --> 00:24:58,560 +position since أو loss of sense of position هذي في + +288 +00:24:58,560 --> 00:25:02,060 +ال large myelinated fibers هذي عبارة عن negative + +289 +00:25:02,060 --> 00:25:06,510 +symptoms لو كانت موجودةsmall لو كان في عندى small + +290 +00:25:06,510 --> 00:25:10,290 +unmyelinated fibers disease loss of pain and + +291 +00:25:10,290 --> 00:25:14,770 +temperature appreciation painless burn and trauma + +292 +00:25:14,770 --> 00:25:20,750 +مابيحسش بالألم مابيحسش بيتضرب الحروب damage to the + +293 +00:25:20,750 --> 00:25:24,450 +joints ممكن يصير في عندى حاجة بيسموها sharkots + +294 +00:25:24,450 --> 00:25:30,390 +joint resulting in painless deformity ال positive + +295 +00:25:30,390 --> 00:25:35,990 +symptomsإذا كانت هذه الحالات موجودة، هذا معناه إنه + +296 +00:25:35,990 --> 00:25:40,690 +حيصير في عندي بعض التحسن بدرجات متفاوتة في الـ + +297 +00:25:40,690 --> 00:25:44,790 +Large Myelinated Fiber Disease Cause Parasthesia + +298 +00:25:44,790 --> 00:25:48,970 +إذا بدأ يصير في عنده نوع من الـ Parasthesia Pins + +299 +00:25:48,970 --> 00:25:54,090 +and Needles بيحس بنخز في إيديه، معناه إنه في عملية + +300 +00:25:54,090 --> 00:25:59,850 +التحسنممكن يصير تحسن small unmyelinated fiber + +301 +00:25:59,850 --> 00:26:03,670 +disease produce painful positive symptoms من هذه + +302 +00:26:03,670 --> 00:26:06,430 +ال symptoms اللي ممكن تكون positive burning + +303 +00:26:06,430 --> 00:26:11,390 +sensation, dysthesia, pain on gentle touch, + +304 +00:26:11,610 --> 00:26:16,290 +hyperglycemia, lowered threshold to pain مجرد أي + +305 +00:26:16,290 --> 00:26:19,590 +إشارة بسيطة ممكن تعمله قلم hyper + +306 +00:26:21,590 --> 00:26:26,570 +او hyperpathia pain threshold is elevated but pain + +307 +00:26:26,570 --> 00:26:35,570 +is excessively felt طبعا بده إشارة أكبر عشان يستفز + +308 +00:26:35,570 --> 00:26:39,150 +القلم أو عشان يحس بالقلم pain threshold is + +309 +00:26:39,150 --> 00:26:45,510 +elevated lightning painssudden very severe + +310 +00:26:45,510 --> 00:26:50,310 +shooting pains which usually suggest a diagnosis + +311 +00:26:50,310 --> 00:26:55,810 +of Tibes Dorsalis زي في حالات late syphilis طبعا + +312 +00:26:55,810 --> 00:27:00,850 +هذه كلها عبارة عن علامات جيدة إذا وجدت ومعناه إنه + +313 +00:27:00,850 --> 00:27:06,890 +حيصير في عند المريض some type of recoverymotor + +314 +00:27:06,890 --> 00:27:09,910 +symptoms ممكن يكون في عنده weakness ممكن يكون في + +315 +00:27:09,910 --> 00:27:13,670 +عنده paralysis ممكن يكون sometimes can be proximal + +316 +00:27:13,670 --> 00:27:17,590 +difficulty climbing stairs or climbing hair او + +317 +00:27:17,590 --> 00:27:25,710 +combing hair cramps ممكن تكون موجودة signs of + +318 +00:27:25,710 --> 00:27:27,730 +peripheral neuropathy sensory + +319 +00:27:30,340 --> 00:27:33,940 +ممكن نعمل light touch، two point discrimination، + +320 +00:27:33,940 --> 00:27:37,220 +vibration sense، joint position sense + +321 +00:27:40,190 --> 00:27:43,950 +small and myelinated and thinly myelinated sensory + +322 +00:27:43,950 --> 00:27:47,490 +fibers include temperature perception pain + +323 +00:27:47,490 --> 00:27:53,070 +perception polyneuropathy glove and stocking + +324 +00:27:53,070 --> 00:27:58,070 +disruption or distribution of sensory loss joint + +325 +00:27:58,070 --> 00:28:02,810 +position sense is lost gait is abnormal sensory + +326 +00:28:02,810 --> 00:28:06,230 +ataxia romberg test is positive + diff --git a/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/jV8m3Irr-Ho.srt b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/jV8m3Irr-Ho.srt new file mode 100644 index 0000000000000000000000000000000000000000..5393d346f097aa8253602b191f68d8848f57df64 --- /dev/null +++ b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/jV8m3Irr-Ho.srt @@ -0,0 +1,2157 @@ +1 +00:00:00,000 --> 00:00:04,060 +السلام عليكم، هنبدأ نتكلم إن شاء الله بالله + +2 +00:00:04,060 --> 00:00:08,380 +العالمين اليوم عن الـ assessment of neurological + +3 +00:00:08,380 --> 00:00:13,200 +condition، و assessment as physiotherapist + +4 +00:00:15,730 --> 00:00:19,790 +الآن مهم جداً أن نحنا كـ physiotherapist عند ما نبدأ + +5 +00:00:19,790 --> 00:00:24,470 +نعمل الـ assessment بتاعتنا نكون عارفين التشخيص، the + +6 +00:00:24,470 --> 00:00:27,990 +onset of a neurological disease أو a neurological + +7 +00:00:27,990 --> 00:00:32,090 +condition as a result of disease or trauma has + +8 +00:00:32,090 --> 00:00:37,750 +devastating effect not only on the patient but + +9 +00:00:37,750 --> 00:00:42,630 +also on the family. هذا مهم جداً لنا قبل ما نبدأ نعمل + +10 +00:00:42,630 --> 00:00:48,210 +أي assessment، نعرف أن الحالة اللي نتجت عن إصابة في + +11 +00:00:48,210 --> 00:00:52,750 +جهاز العصب سواء كانت trauma أو disease أو غيره + +12 +00:00:52,750 --> 00:00:58,170 +تأثيرها مش فقط على المريض، كمان بيكون على الـ + +13 +00:00:58,170 --> 00:01:03,240 +family. وفي عملية الـ assessment احنا ما بنقيم المريض + +14 +00:01:03,240 --> 00:01:08,740 +فقط، لا، بنقيم كمان البيئة المحيطة به ونشوف + +15 +00:01:08,740 --> 00:01:12,020 +كيف الـ social condition تبعته. هذا من ضمن الـ + +16 +00:01:12,020 --> 00:01:15,600 +assessment. It is essential that any approach to + +17 +00:01:15,600 --> 00:01:18,440 +management encompasses the needs of the patient + +18 +00:01:18,440 --> 00:01:23,280 +and significant others. عشان هيك أي طريقة علاجية أو + +19 +00:01:23,280 --> 00:01:30,480 +أي أسلوب علاجي نتبعه لازم يركز على المريض، ولازم + +20 +00:01:30,480 --> 00:01:37,640 +يركز كمان على الـ family، significant others. Many + +21 +00:01:37,640 --> 00:01:40,580 +neurological conditions are progressive and + +22 +00:01:40,580 --> 00:01:45,660 +longstanding and result in some element of + +23 +00:01:45,660 --> 00:01:50,060 +residual impairment. Many neurological conditions + +24 +00:01:50,060 --> 00:01:53,240 +are progressive and longstanding and result in + +25 +00:01:53,240 --> 00:01:57,420 +some element of residual impairment. كثير من + +26 +00:01:57,420 --> 00:02:02,780 +الحالات اللي بتنتج عن أمراض عصبية أو الحالات اللي + +27 +00:02:02,780 --> 00:02:07,460 +ناتجة عن الأمراض العصبية أو عن إصابات الجهاز العصب + +28 +00:02:07,460 --> 00:02:15,480 +المركزي هي حالات تستمر لفترات طويلة، والإعاقة + +29 +00:02:15,480 --> 00:02:23,960 +ناتجة عنها. كمان ممكن تظلها مستمرة لفترات طويلة. There + +30 +00:02:23,960 --> 00:02:26,720 +are many challenges in the rehabilitation process + +31 +00:02:26,720 --> 00:02:30,460 +from diagnosis to discharge. كثير من الـ + +32 +00:02:30,460 --> 00:02:33,200 +rehabilitation، أو من الـ challenges اللي بتواجهنا + +33 +00:02:33,200 --> 00:02:38,600 +كأخصائي علاج طبيعي، و rehabilitation specialist، في + +34 +00:02:38,600 --> 00:02:44,740 +عملية التشخيص، في عملية العلاج لحد الـ discharge. + +35 +00:02:44,740 --> 00:02:50,260 +كمان بتواجهنا العديد من التحديات، لأنه زي ما حكينا أن + +36 +00:02:50,260 --> 00:02:54,900 +الحالة هذه، أو الإصابة في الجهاز العصبي المركزي هي + +37 +00:02:54,900 --> 00:02:58,220 +تأخذ أو تستغرق فترة طويلة. + +38 +00:03:09,760 --> 00:03:19,430 +الطبيعة الإصابة والمرض اللي في الجهاز العصبي، أنه + +39 +00:03:19,430 --> 00:03:24,010 +بيستغرق وقت طويل، ويمكن في فترة طويلة. هذا بيطلب + +40 +00:03:24,010 --> 00:03:27,450 +من أخصائيين العلاج الطبيعي، وأخصائيين الـ + +41 +00:03:27,450 --> 00:03:31,290 +rehabilitation specialists اللي بيشتغلوا مع + +42 +00:03:31,290 --> 00:03:34,850 +الحالات هذه، أنهم يكونوا في عملية الـ rehabilitation + +43 +00:03:34,850 --> 00:03:42,890 +لسنوات طويلة. A neurological examination is the + +44 +00:03:42,890 --> 00:03:47,530 +assessment of sensory. معاملة نيورولوجيكية، ومعاملة + +45 +00:03:47,530 --> 00:03:52,530 +موتورية، رسبونسية، وخاصة معاملة ريفليكسية، للتأكد من وجود + +46 +00:03:52,530 --> 00:03:57,710 +نظام نيورولوجيكي. خلال عملية الـ neurological + +47 +00:03:57,710 --> 00:04:01,190 +examination اللي احنا بنعملها، بنعمل assessment + +48 +00:04:01,190 --> 00:04:06,490 +للسينسوري، والموتورية، رسبونسية اللي بتكون موجودة عند + +49 +00:04:06,490 --> 00:04:20,280 +المريض، بنعمل assessment للرفلكسية، لتحديد إذا كان + +50 +00:04:20,280 --> 00:04:27,040 +فيه أي خلل أو أي مشكلة في الجهاز العصبي. هذا يتضمن + +51 +00:04:27,040 --> 00:04:31,700 +بشكل عام، التجارب الفيزيائية، والتحقق من قصة المريض + +52 +00:04:31,700 --> 00:04:36,880 +بواسطة تاريخه الطبي، ولكن ليس تحقيق أكثر مثل الـ + +53 +00:04:36,880 --> 00:04:42,070 +neuroimaging. خلال عملية الـ assessment تبعتنا، نركز + +54 +00:04:42,070 --> 00:04:48,170 +على الـ physical examination بشكل أساسي، وبنعمل كمان + +55 +00:04:48,170 --> 00:04:53,430 +نراجع إيش فيه عند المريض، بعض الـ medical history أو + +56 +00:04:53,430 --> 00:04:55,950 +الـ medical history اللي بيكون موجود عند المريض. + +57 +00:04:58,000 --> 00:05:02,240 +ما نغوصش كثير في الـ investigations زي الـ CT و MRI + +58 +00:05:02,240 --> 00:05:07,020 +بشكل كبير جداً، لا، احنا بيكفينا بس تكون الـ result + +59 +00:05:07,020 --> 00:05:12,320 +تبع الـ CT أو الـ MRI أو أي investigations إن عملت. + +60 +00:05:12,320 --> 00:05:17,100 +It can be used both as a screening tool and as an + +61 +00:05:17,100 --> 00:05:21,740 +investigative tool. الـ neurological assessment اللي + +62 +00:05:21,740 --> 00:05:27,590 +احنا بنقوم فيها ممكن تكون screening، وممكن تكون + +63 +00:05:27,590 --> 00:05:31,650 +investigative. Screening أنه نستكشف شو عند الحالة + +64 +00:05:31,650 --> 00:05:38,250 +بسرعة، و investigative بشكل دقيق عشان نصل للمشكلة + +65 +00:05:38,250 --> 00:05:43,530 +اللي موجودة عند المريض بشيء من التفصيل، ونبدأ نعمل + +66 +00:05:43,530 --> 00:05:49,370 +تدخلاتنا العلاجية. الآن احنا كـ physiotherapist + +67 +00:05:49,370 --> 00:05:55,030 +نشتغل في مجال الـ rehabilitation، وخصوصاً مع حالات الـ + +68 +00:05:55,030 --> 00:05:58,690 +neurological conditions. بعض المصطلحات اللي + +69 +00:05:58,690 --> 00:06:04,990 +بتواجهنا خلال شغلنا، من ضمن هذه المصطلحات فيه عندنا + +70 +00:06:04,990 --> 00:06:14,490 +مصطلح مثلاً alert، alert، awake، looks about. وهذا طبعاً + +71 +00:06:14,490 --> 00:06:20,840 +اللي احنا بنقول عنها أن المريض متيقظ، بينظر حوله، + +72 +00:06:20,840 --> 00:06:25,160 +responds in a meaningful manner to verbal + +73 +00:06:25,160 --> 00:06:30,240 +instructions or gestures. كمان استجاباته بشكل + +74 +00:06:30,240 --> 00:06:37,660 +موضوعي، وبشكل ملائم للـ stimulation + +75 +00:06:37,660 --> 00:06:44,950 +اللي احنا بنعملها. إذا الاستجابات مناسبة وملائمة + +76 +00:06:44,950 --> 00:06:51,770 +للمؤثرات، والتأثيرات اللي بنعملها على المريض سواء + +77 +00:06:51,770 --> 00:06:56,090 +كانت verbal instructions أو حتى مجرد تعابير في + +78 +00:06:56,090 --> 00:07:03,240 +الوجه. إذن alert، المريض صاحي، متيقظ، بيفهم كل شيء + +79 +00:07:03,240 --> 00:07:08,220 +تقريباً حواليه، بشكل مناسب، وبشكل ملائم، سواء كان عن + +80 +00:07:08,220 --> 00:07:13,640 +طريق instructions أو عن طريق gestures، تعابير الوجه. + +81 +00:07:13,640 --> 00:07:20,220 +المصطلح الثاني اللي ممكن نشوفه drowsy، وفي هذه + +82 +00:07:20,220 --> 00:07:26,100 +الحالة، أو drowsy patient، oriented when awake but if + +83 +00:07:26,100 --> 00:07:32,780 +left alone will sleep. يعني المريض لو جئنا عليه و + +84 +00:07:32,780 --> 00:07:38,840 +اتكلمنا معه، بيفتح عينه، وبستجيب بشكل سليم، لو سبناه + +85 +00:07:38,840 --> 00:07:45,680 +لوحده على طول بيغمض عينيه وبينام. من + +86 +00:07:45,680 --> 00:07:49,420 +المصطلحات اللي بتكون موجودة كمان، خصوصاً مع حالات + +87 +00:07:49,420 --> 00:07:52,300 +traumatic brain injuries، الـ confused. + +88 +00:07:54,910 --> 00:08:00,470 +confused، كترجمة عربية مرتبك، لكن خلّيني نفهم شو + +89 +00:08:00,470 --> 00:08:07,290 +المكونات. لما أقول أنا عندي الـ patient confused، أول + +90 +00:08:07,290 --> 00:08:11,070 +شيء في الـ confusion، المريض disoriented to the time، + +91 +00:08:11,650 --> 00:08:17,250 +الوقت، غير مدرك للوقت. يعني لو جيت أسأله عن الوقت + +92 +00:08:17,250 --> 00:08:21,110 +اللي موجود فيه الآن، الصبح ولا المغرب، ممكن + +93 +00:08:21,110 --> 00:08:26,850 +ما يجاوبش بشكل دقيق. الـ place، أنت وين موجود الآن؟ في + +94 +00:08:26,850 --> 00:08:31,190 +البيت أو في المستشفى؟ برضه ممكن تكون إجابته غير + +95 +00:08:31,190 --> 00:08:38,000 +مناسبة. أيضاً، الوصول للشخص، لا يعرف الأشخاص اللي + +96 +00:08:38,000 --> 00:08:41,400 +حواليه. يعني احنا كـ physiotherapist، أو خليني نقول + +97 +00:08:41,400 --> 00:08:46,020 +كناس أو كـ medical staff أو medical team، نجيب نسأله + +98 +00:08:46,020 --> 00:08:50,740 +احنا مين؟ مين أنا؟ اللي بيكون لابس الكوت الأبيض، + +99 +00:08:50,740 --> 00:08:58,750 +لابِس الـ medical uniform، الـ Z الطبي. مفترض أن يقول + +100 +00:08:58,750 --> 00:09:04,590 +الطبيب، الممرض، العلاج الطبيعي، أيًّا كانت الإجابة في + +101 +00:09:04,590 --> 00:09:11,950 +هذا المدّى مقبولة. Memory difficulty is common. ما + +102 +00:09:11,950 --> 00:09:16,770 +يميز هذه الفترة من الـ confusion، أنه يكون عنده + +103 +00:09:16,770 --> 00:09:23,150 +صعوبة في التذكر، يعني ينسى كثيراً. Also, he has + +104 +00:09:23,150 --> 00:09:28,290 +difficulty with commands. ما بيفهم الأوامر بالشكل + +105 +00:09:28,290 --> 00:09:33,590 +السليم، أو خلينا نقول إذا فهم الأمر، ما بيطبّقوش كامل. + +106 +00:09:33,590 --> 00:09:37,010 +Exhibits + +107 +00:09:37,010 --> 00:09:41,090 +alteration in perception of stimuli. May be + +108 +00:09:41,090 --> 00:09:46,710 +agitated. كمان فيه عنده تفاوت + +109 +00:09:47,540 --> 00:09:52,460 +في استقبال الإشارات، أو في استقبال المنبهات. يعني + +110 +00:09:52,460 --> 00:09:57,880 +مرة ممكن أنا أقول له كيف حالك، أو أتكلّم معه بشكل يرد + +111 +00:09:57,880 --> 00:10:04,700 +عليّ بإجابة منطقية، وسليمة جداً. مرة أخرى، ممكن نفس الـ + +112 +00:10:04,700 --> 00:10:10,200 +stimulus اللي أنا عملتها، ألاقي ردّة الفعل مختلفة + +113 +00:10:10,200 --> 00:10:14,570 +بشكل كبير جداً. وممكن في هذه الحالة يكون فيه عندي نوع + +114 +00:10:14,570 --> 00:10:19,750 +من الـ agitation، الهيجان أو التهيج اللي بيكون موجود + +115 +00:10:19,750 --> 00:10:23,770 +عند المريض. Stuporous. + +116 +00:10:23,770 --> 00:10:30,510 +وهذه مرحلة تتميز أن المريض بيكون فيها generally + +117 +00:10:30,510 --> 00:10:37,910 +unresponsive except to vigorous stimuli. لو جيت أنا + +118 +00:10:37,910 --> 00:10:44,720 +عند المريض، وعملت له بعض الـ mild stimulus و + +119 +00:10:44,720 --> 00:10:49,560 +moderate stimulus، لن يكون فيه إجابة أو استجابة من + +120 +00:10:49,560 --> 00:10:54,940 +قبل المريض. لكن لو عملت vigorous stimulus، ممكن صوت + +121 +00:10:54,940 --> 00:10:59,800 +عالي، ممكن قرصة، جسدية بشكل كبير جداً. ممكن في هذه + +122 +00:10:59,800 --> 00:11:03,380 +الحالة يحصل عنده stimulation. هذه بيسموها + +123 +00:11:03,380 --> 00:11:08,620 +Stuporous. May make attempt at verbalization to + +124 +00:11:08,620 --> 00:11:13,750 +vigorous repeated stimuli. ممكن في بعض الحالة كمان + +125 +00:11:13,750 --> 00:11:19,310 +أنه يطلع بعض الأصوات كاستجابة أو كردّة فعل للـ + +126 +00:11:19,310 --> 00:11:25,210 +vigorous stimuli اللي احنا عملناها. Open eyes to + +127 +00:11:25,210 --> 00:11:30,910 +deep pain. وممكن كمان ما يميز هذه المرحلة أنه أنا + +128 +00:11:30,910 --> 00:11:35,250 +لما أعمل deep painful stimuli، المريض بعد ما بيكون + +129 +00:11:35,250 --> 00:11:40,760 +مغمض عينيه في هذه الفترة، أو نتيجة الـ stimulus اللي + +130 +00:11:40,760 --> 00:11:49,240 +عملتها، بيبدأ يفتح عينيه. Comatose. طبعاً المريض لما + +131 +00:11:49,240 --> 00:11:52,840 +بنقول comatose، معناه أنه complete loss of + +132 +00:11:52,840 --> 00:11:58,440 +consciousness. ما في أي استجابة، unarousable and + +133 +00:11:58,440 --> 00:12:04,020 +unresponsive. Comatose، unarousable and unresponsive. + +134 +00:12:04,760 --> 00:12:11,460 +ما فيه أي استجابة من المريض، أو للـ stimulation اللي + +135 +00:12:11,460 --> 00:12:16,840 +بنعملها. Some localization or movement may be + +136 +00:12:16,840 --> 00:12:21,180 +acceptable within the comatose category. بعض + +137 +00:12:21,180 --> 00:12:28,560 +الحركات ممكن تكون يعني مقبولة، أو أنه حتى وإن كان + +138 +00:12:28,560 --> 00:12:33,120 +المريض بيعمل بعض الحركات، as a result of a stimulus، + +139 +00:12:33,120 --> 00:12:39,520 +لا يزال يسمى comatose، depending on the coma to coma + +140 +00:12:39,520 --> 00:12:45,980 +definition. حسب تعريفنا للغيبوبة أو الكوما. Light + +141 +00:12:45,980 --> 00:12:50,460 +coma to deep coma. وطبعاً فيه عندنا أقسام للكوما، ممكن + +142 +00:12:50,460 --> 00:12:54,340 +تكون light coma، وممكن تكون فيه عندي deep coma. + +143 +00:12:58,220 --> 00:13:06,840 +وفي حالات الـ deep coma، الـ + +144 +00:13:06,840 --> 00:13:11,060 +مريض + +145 +00:13:11,060 --> 00:13:16,080 +مش هيقدر يفتح عينه، أو مش هيفتح عينه استجابة للمنبه + +146 +00:13:16,080 --> 00:13:21,300 +اللي احنا عملناه. من المصطلحات اللي بتكون موجودة + +147 +00:13:21,300 --> 00:13:25,500 +طبعاً، فيه عندنا مصطلح myoclonus. هي عبارة عن jerky + +148 +00:13:25,500 --> 00:13:31,580 +movements which are tend to occur more randomly + +149 +00:13:31,580 --> 00:13:33,940 +throughout the body. + +150 +00:13:37,570 --> 00:13:42,530 +عشوائية، بيقوم فيها المريض بشكل لا إرادي في كل + +151 +00:13:42,530 --> 00:13:45,930 +أنحاء الجسم. ممكن تكون في الـ upper limbs، ممكن تكون + +152 +00:13:45,930 --> 00:13:50,350 +في الـ lower limbs، حسب الحالة. فيه عندنا كمان مصطلح + +153 +00:13:50,350 --> 00:13:56,680 +آخر يسمّونه بالاسم. The movements are large and + +154 +00:13:56,680 --> 00:14:01,080 +sudden and can affect one side of the body. + +155 +00:14:01,080 --> 00:14:08,560 +الـ باليسمس هي عبارة عن حركات فجائية، وكبيرة، وممكن + +156 +00:14:08,560 --> 00:14:14,930 +تأثّر على one side of the body، half side of the body. + +157 +00:14:14,930 --> 00:14:18,910 +وفي هذه الحالة يسمّونها hemibalismus. يعني ممكن تكون + +158 +00:14:18,910 --> 00:14:23,130 +في الأطراف الأربعة، وممكن تكون في side واحد of the + +159 +00:14:23,130 --> 00:14:28,530 +body. وفي هذه الحالة يسمّونها hemibalismus. Tremor. + +160 +00:14:28,530 --> 00:14:33,070 +These are fine, rapidly escalating, unwanted + +161 +00:14:33,070 --> 00:14:41,370 +movements. عبارة عن حركات بسيطة، أو دعنا نقول دقيقة، + +162 +00:14:41,370 --> 00:14:48,570 +fine، سريعة، متذبذبة، أو خلينا نقول فيها نوع من الرجفة + +163 +00:14:48,570 --> 00:14:52,450 +أو tremors. These are fine, rapidly escalating + +164 +00:14:52,450 --> 00:14:57,510 +unwanted movements. هي حركات سريعة، منتظمة، خلينا نقول + +165 +00:14:57,510 --> 00:15:02,930 +أحياناً بتكون، وغير مرغوب فيها. ما بيقدر المريض خلينا + +166 +00:15:02,930 --> 00:15:08,910 +نقول أنه يوقفها أو يسيطر عليها. في بعض الحالات هي + +167 +00:15:08,910 --> 00:15:15,270 +حركات إرادية، منتظمة، وحركات دقيقة. Disturbances in + +168 +00:15:15,270 --> 00:15:20,070 +muscle tone. ممكن يكون فيه عندي تغيرات في الـ muscle + +169 +00:15:20,070 --> 00:15:24,930 +tone. ممكن يكون فيه عندي sensory disturbances، تغيرات + +170 +00:15:24,930 --> 00:15:29,970 +في الإحساس. الآن لو جينا نطلع بشكل سريع شو الفرق ما + +171 +00:15:29,970 --> 00:15:30,270 +بين + +172 +00:15:36,570 --> 00:15:44,730 +الناس اللي نايمين، بيصير فيه عندهم استجابة للحركات + +173 +00:15:44,730 --> 00:15:50,090 +أو للمثيرات اللي غير متعود عليها. يعني لو صار أنه + +174 +00:15:50,090 --> 00:15:57,410 +عند شخص نايم، وجيت أنا فجأة أعمل صوت عالي، عنده لكن + +175 +00:15:57,410 --> 00:16:01,470 +لو كان هذا الصوت صوت متعود عليه، يعني في البيت أو + +176 +00:16:01,470 --> 00:16:06,690 +غيره، ممكن ما يصحاش له. Sleeping persons are + +177 +00:16:06,690 --> 00:16:11,310 +capable of mental activities، الـ dreams. الأشخاص + +178 +00:16:11,310 --> 00:16:14,590 +اللي بيكونوا في مرحلة نوم بيكون عندهم brain + +179 +00:16:14,590 --> 00:16:19,070 +activities، الناتج عن الأحلام اللي بتكون موجودة. + +180 +00:16:19,070 --> 00:16:22,330 +Sleeping persons can be raised to normal + +181 +00:16:22,330 --> 00:16:28,140 +consciousness. هؤلاء الأشخاص مجرد أن نصحيهم، ونعمل + +182 +00 + +223 +00:20:30,300 --> 00:20:35,220 +أمر على هذه الشغلات بشيء سريع مع شيء من التخصيص و + +224 +00:20:35,220 --> 00:20:38,780 +التفصيل. أيّها physiotherapist للموتور و ال sensory + +225 +00:20:38,780 --> 00:20:43,060 +و ال coordination و ال reflexes لكن ال cranial + +226 +00:20:43,060 --> 00:20:46,080 +nerves طبعاً فيه أية لها specialized test ممكن + +227 +00:20:46,080 --> 00:20:51,000 +أعمله. cranial nerve فيه أية لها specialized test + +228 +00:20:51,000 --> 00:20:55,900 +ممكن ينعمل. لكن أنا بالنسبة لي كفيزيوثيرابيست ممكن في + +229 +00:20:55,900 --> 00:20:59,300 +بعض الحالات ال referral، nerve injury زي في حالات ال + +230 +00:20:59,300 --> 00:21:03,860 +facial nerve injury، أعمل facial nerve assessment + +231 +00:21:03,860 --> 00:21:09,720 +بشيء من التفصيل و detailed examination of facial + +232 +00:21:09,720 --> 00:21:15,390 +nerve. لكن بشكل عام، وبشكل سريع، ممكن أنا ما أطرق لهذه + +233 +00:21:15,390 --> 00:21:18,450 +ال assessment التابعة لي لأن أنا ك physiotherapist ممكن + +234 +00:21:18,450 --> 00:21:23,610 +أركز على ال motor، sensory، coordination. في حين أنّه + +235 +00:21:23,610 --> 00:21:29,310 +cranial nerves، mental status، ممكن أعرج عليها في + +236 +00:21:29,310 --> 00:21:35,080 +بعض الحالات، وخصوصاً لما بنكون شغالين ضمن ال + +237 +00:21:35,080 --> 00:21:38,660 +rehabilitation team. clinical features of damage to + +238 +00:21:38,660 --> 00:21:40,880 +the nervous system أو to the central nervous + +239 +00:21:40,880 --> 00:21:43,740 +system. إذا ال clinical features of the central + +240 +00:21:43,740 --> 00:21:50,100 +nervous system damage بتختلف، وفي عندي أنا varying + +241 +00:21:50,100 --> 00:21:57,020 +features. بيعتمد على عدة شغلات. أول حاجة، ال site of + +242 +00:21:57,020 --> 00:22:02,080 +injury، المكان اللي صار فيه الإصابة. يعني لما بحكي + +243 +00:22:02,080 --> 00:22:05,960 +أنا على إصابة في ال brain، غير عن لما بحكي عن إصابة + +244 +00:22:05,960 --> 00:22:10,980 +في ال spinal cord. لما بحكي في ال spinal cord، لما + +245 +00:22:10,980 --> 00:22:15,080 +يكون في عندي إصابة في منطقة ال cervical area، غير + +246 +00:22:15,080 --> 00:22:18,480 +لما بحكي عن إصابة في منطقة ال thoracic أو ال lumbar. ال extent + +247 +00:22:18,480 --> 00:22:20,180 +لأي مدى صار ضرر على + +248 +00:22:22,620 --> 00:22:27,940 + سبيل المثال، منطقة في الـ brain، الـ focal area أو + +249 +00:22:27,940 --> 00:22:33,040 +الـ localized area، صار فيها injury، غير لما يكون في + +250 +00:22:33,040 --> 00:22:38,240 +عندي diffuse area، صار فيها injury. لا يوجد اثنين + +251 +00:22:38,240 --> 00:22:43,400 +مستخدمين مختلفين في الاختصارات الكلينيكية، حتى لو + +252 +00:22:43,400 --> 00:22:47,260 +كانوا لديهم نفس ال diagnosis. + +253 +00:22:47,260 --> 00:22:49,240 +كانوا لديهم نفس ال diagnosis. + +254 +00:22:54,120 --> 00:22:59,760 +مهم جداً لنا أنْ نَعرف أنْ ما في اثنين مريضين لهم + +255 +00:22:59,760 --> 00:23:06,180 +نفس الأعراض، حتى وإن كانوا بنفس التشخيص، نفس مكان + +256 +00:23:06,180 --> 00:23:11,820 +الإصابة، نفس مستوى الإصابة، نفس severity of the injury. + +257 +00:23:11,820 --> 00:23:19,620 +لكن في عندي بعض ال general clinical features اللي + +258 +00:23:19,620 --> 00:23:24,980 +بتكون موجودة. بعض هذه ال features، ممكن يكون في عندك + +259 +00:23:24,980 --> 00:23:29,140 +cognitive و emotional changes، ما يتعلق بال + +260 +00:23:29,140 --> 00:23:33,920 +cognitive function، physical dysfunction. وهذا طبعاً + +261 +00:23:33,920 --> 00:23:39,980 +بيصير فيه تفاوت ما بين الإصابات، ما بينها وبين + +262 +00:23:39,980 --> 00:23:44,380 +بعضها البعض، in coordination of the movement. + +263 +00:23:54,080 --> 00:23:58,820 +التاكسيا. الانفجار. الانفجار. + +264 +00:24:00,500 --> 00:24:05,900 +Dystonia، previously known as athetosis. الحركات + +265 +00:24:05,900 --> 00:24:09,940 +الأثيتوزيس، اللي هي حركات لا إرادية في ال upper + +266 +00:24:09,940 --> 00:24:16,240 +limbs. يعني إحنا بنحكي على مجموعة من ال signs و ال + +267 +00:24:16,240 --> 00:24:20,100 +symptoms، أو مجموعة من ال features اللي ممكن نشوفها + +268 +00:24:20,100 --> 00:24:26,260 +في إصابات ال central nervous system. Perceptual + +269 +00:24:26,260 --> 00:24:31,750 +disturbances. بعض الحالات ممكن يصير فيه عنده في ال + +270 +00:24:31,750 --> 00:24:35,750 +perception، استقبال الإشارات، ممكن يصير فيه عنده + +271 +00:24:35,750 --> 00:24:42,130 +visual disturbances. إذا صار في عندي لمركز النظر + +272 +00:24:42,130 --> 00:24:45,510 +injury، ممكن يصير في عندي visual disturbances. + +273 +00:24:45,510 --> 00:24:49,970 +auditory. لو صار في عندي مشكلة في ال auditory + +274 +00:24:49,970 --> 00:24:52,890 +centers، في ال high center في ال brain، أو في ال + +275 +00:24:52,890 --> 00:24:58,550 +cortex. communication disturbances. إذا حصل في مركز + +276 +00:24:58,550 --> 00:25:02,610 +الـ speech، مركز السمع، مركز ال cognition، الفهم، + +277 +00:25:02,610 --> 00:25:05,690 +كل هذه ممكن تأثر على عملية الـ communication. + +278 +00:25:05,690 --> 00:25:10,150 +autonomic disturbances. إذا حصل في عندي الـ + +279 +00:25:10,150 --> 00:25:13,030 +autonomic nervous system affection، ممكن يحصل في + +280 +00:25:13,030 --> 00:25:17,230 +عندي في الـ autonomic function زي الـ bowel + +281 +00:25:17,230 --> 00:25:22,070 +bladder functions، ممكن يكون فيها بعض الـ affection. + +282 +00:25:23,740 --> 00:25:27,800 +كامثلة على الـ disturbances اللي ممكن تصير في + +283 +00:25:27,800 --> 00:25:31,880 +الجسم، as a result of central nervous system + +284 +00:25:31,880 --> 00:25:35,840 +injuries. neurological + +285 +00:25:35,840 --> 00:25:40,220 +assessment. شو تعريفها؟ عشان نفهم احنا الآن + +286 +00:25:40,220 --> 00:25:44,980 +neurological assessment، بنكون عارفين أنّه it's an + +287 +00:25:44,980 --> 00:25:53,700 +ongoing process. هي عملية مستمرة ما بتنتهي. بالجلسة + +288 +00:25:53,700 --> 00:26:00,320 +الأولى، وهي + +289 +00:26:00,320 --> 00:26:09,920 +جزء أساسي من عملية العلاج. كل عملية علاج + +290 +00:26:09,920 --> 00:26:18,150 +تبدأ بـ assessment. كل جلسة علاجية إحنا بنعملها لازم + +291 +00:26:18,150 --> 00:26:22,250 +نعمل في بدايتها assessment، عشان نشوف شو صار عند + +292 +00:26:22,250 --> 00:26:26,590 +المريض، ولوين وصلت الحالة تبع المريض، عشان أبدأ + +293 +00:26:26,590 --> 00:26:30,930 +أختار الشيء المناسب للمريض. assessment of a + +294 +00:26:30,930 --> 00:26:35,430 +neurological patient is a complex, multifaceted, and + +295 +00:26:35,430 --> 00:26:40,710 +contains many interrelated elements. يعني عملية ال + +296 +00:26:40,710 --> 00:26:45,820 +assessment هي عملية مستمرة، زي ما حكينا. الـ assessment لها + +297 +00:26:45,820 --> 00:26:52,640 +عدة أوجه ومعقدة، من ناحية أن كل شيء مبني على الآخر. + +298 +00:26:52,640 --> 00:27:06,620 +ما بقدر أهمل أي part of the assessment، لأنّها + +299 +00:27:06,620 --> 00:27:11,200 +متداخلة مع بعضها البعض. عشان أفحصها لازم أفحصها + +300 +00:27:11,200 --> 00:27:17,840 +كلها مع بعض.عادةً، يحدث التجارب على عدد مرات مع + +301 +00:27:17,840 --> 00:27:22,800 +المستخدم، لأن تحميل تجارب كثيرة في محاولة واحدة يكون + +302 +00:27:22,800 --> 00:27:29,340 +عادةً مزعج للمستخدم. مهم جداً أننا نعرف أننا لما بدي + +303 +00:27:29,340 --> 00:27:34,040 +أعمل تجارب، ما بقدر أعمل التجارب في مرة واحدة، عشان + +304 +00:27:34,040 --> 00:27:38,640 +هيك ممكن أنا يكون يأخذ تجارب كثيرة معايا. two + +305 +00:27:38,640 --> 00:27:43,130 +sessions، three sessions، وممكن أكثر، وممكن أقل، لأنّ + +306 +00:27:43,130 --> 00:27:48,830 +حالة المريض لا يستطيع أن يتحمل أن أعمله ال full + +307 +00:27:48,830 --> 00:27:53,730 +assessment في one session، بيتعب، وإذا صار تعب، + +308 +00:27:53,730 --> 00:28:01,370 +ستصير الاستجابات مش دقيقة، ومش كما يجب، في عملية ال + +309 +00:28:01,370 --> 00:28:05,380 +assessment. Gathering the necessary information over + +310 +00:28:05,380 --> 00:28:08,620 +longer periods of time often gives a much more + +311 +00:28:08,620 --> 00:28:11,820 +accurate picture of the patient's strength and + +312 +00:28:11,820 --> 00:28:16,880 +difficulties. عملية الـ assessment اللي بتاخد معايا + +313 +00:28:16,880 --> 00:28:23,600 +عدة جلسات بتكون أدق، لأنّ أنا جمعت المعلومات على + +314 +00:28:23,600 --> 00:28:30,590 +فترات طويلة، وهذه طبعاً الفترات الطويلة. إذا عملية جمع + +315 +00:28:30,590 --> 00:28:36,250 +البيانات على مدى جلسات متواصلة تعطيني فرصة أن آخذ + +316 +00:28:36,250 --> 00:28:41,870 +صورة صحيحة عن حالة المريض، عن قوة العضلات، عن + +317 +00:28:41,870 --> 00:28:44,970 +الصعوبات اللي بواجهها المريض. + +318 +00:28:48,440 --> 00:28:51,660 +عشان أعمل neurological assessment، فيه لازم يكون في + +319 +00:28:51,660 --> 00:28:56,260 +عندي، توفر عندي العناصر التالية، لازم أعمل + +320 +00:28:56,260 --> 00:29:01,400 +interview، لازم أكون أنا قعدت مع المريض، في بعض + +321 +00:29:01,400 --> 00:29:05,560 +الحالات، ال family أو ال relatives اللي موجودين مع + +322 +00:29:05,560 --> 00:29:10,560 +المريض. لازم أنا أشوف ال level of consciousness عند + +323 +00:29:10,560 --> 00:29:16,230 +المريض. لازم أشوف، bibliary assessment. Cranial nerve + +324 +00:29:16,230 --> 00:29:21,750 +testing. Vital signs. Motor function. Sensory + +325 +00:29:21,750 --> 00:29:26,290 +function. Tone. Cerebral function. وزي ما حكينا من + +326 +00:29:26,290 --> 00:29:30,990 +البداية، أنّه إحنا ك فيزيوثيرابيست بنمر على بعض + +327 +00:29:30,990 --> 00:29:36,870 +الشغلات هنا مرور، لكن هنا ممكن أنّه إحنا نفصل بشكل + +328 +00:29:36,870 --> 00:29:40,990 +كبير جداً فيما يتعلق بعملنا في ال motor و ال + +329 +00:29:40,990 --> 00:29:45,370 +sensory و ال tone و ال functional assessment، في + +330 +00:29:45,370 --> 00:29:47,810 +عملية ال interview with the patient اللي إحنا + +331 +00:29:47,810 --> 00:29:51,940 +بنسميها clinical interview. as in all assessments + +332 +00:29:51,940 --> 00:29:56,000 +obtaining through subjective history is very + +333 +00:29:56,000 --> 00:30:01,400 +important. هي عبارة عن subjective data. أنا بسمع + +334 +00:30:01,400 --> 00:30:05,980 +للمريض أو ال relatives، وبأخذ منها معلومات مهمة + +335 +00:30:05,980 --> 00:30:11,200 +جداً. this can come from a variety of sources. مصدر + +336 +00:30:11,200 --> 00:30:15,060 +المعلومات اللي أنا بدي آخذ منها ال subjective data + +337 +00:30:15,060 --> 00:30:19,940 +ممكن تكون متعددة، زي ما حكينا، ممكن آخذ من ال medical + +338 +00:30:19,940 --> 00:30:23,620 +notes، وخصوصاً إذا أنا كنت بشتغل في + +339 +00:30:23,620 --> 00:30:27,880 +rehabilitation hospital، وتم تقييم المريض، والمريض + +340 +00:30:27,880 --> 00:30:33,260 +محول من مستشفى آخر، فأنا ممكن آخذ ال medical notes + +341 +00:30:33,260 --> 00:30:37,320 +شو كتبوا الزملاء اللي موجودين، أو من ال nursing + +342 +00:30:37,320 --> 00:30:44,900 +notes. من المريض، ممكن آخذ من ال relatives، carers، + +343 +00:30:44,900 --> 00:30:48,660 +الناس اللي بيهتموا بالمريض. هذا ممكن في بعض الحالات + +344 +00:30:48,660 --> 00:30:56,140 +يكون هذا المريض في مركز رعايته، وفي أشخاص هم اللي + +345 +00:30:56,140 --> 00:30:59,660 +بيقوموا على رعايتهم، فهذول هم يبدوا يكونوا مصدر + +346 +00:30:59,660 --> 00:31:05,120 +المعلومات. المقابلة الأولى يمكن أن تكون مهمة للغاية، + +347 +00:31:05,120 --> 00:31:09,220 +ليس فقط لجمع المعلومات، ولكن أيضاً لأن هذا هو + +348 +00:31:09,220 --> 00:31:12,960 +المكان الذي يبدأ فيه بناء rapport مع المستخدم، + +349 +00:31:12,960 --> 00:31:20,960 +ومُهادِرته. وفي هذه الحالة نقول المقابلة الأولى هي جزء + +350 +00:31:20,960 --> 00:31:25,120 +مهم من عملية العلاج، ليس فقط لأننا بنجمع فيها + +351 +00:31:25,120 --> 00:31:30,600 +معلومات، لأن كمان من خلال اللقاء الأول أنا بدأت + +352 +00:31:30,600 --> 00:31:35,010 +أُكوّن علاقة. عندما أُقبِل من المريض، وبدأ يتقبلني + +353 +00:31:35,010 --> 00:31:40,850 +كمعالج له. المريض في هذه الحالة، واللقاء الأول، إذا + +354 +00:31:40,850 --> 00:31:44,990 +المريض تقبلني فيه، هيتقبلني فيه مابعده، لكن إذا + +355 +00:31:44,990 --> 00:31:49,110 +اللقاء الأول كان فيه صعوبة في تقبل ال therapist من + +356 +00:31:49,110 --> 00:31:53,230 +جهة المريض، هيكون فيه مشكلة في باقي الجلسات على + +357 +00:31:53,230 --> 00:31:58,360 +المدى البعيد. بأخذ في ال interview أو الشغلات اللي أنا + +358 +00:31:58,360 --> 00:32:01,340 +بدي أركز عليها في ال interview، طبعاً في عندي ال + +359 +00:32:01,340 --> 00:32:05,340 +gathering information أو gathering data، ممكن تكون + +360 +00:32:05,340 --> 00:32:09,500 +ال data هذه subjective، وممكن تكون objective، about + +361 +00:32:09,500 --> 00:32:13,640 +the patient’s previous، present health states. بدي + +362 +00:32:13,640 --> 00:32:17,020 +أشوف شو في عنده أمراض، شو في عنده أمراض سابقة، شو + +363 +00:32:17,020 --> 00:32:21,680 +اتعرض لحالات. ومهم جداً كمان أنْ أسأل عن ال + +364 +00:32:21,680 --> 00:32:26,240 +functional condition، previous functional status. + +365 +00:32:26,240 --> 00:32:32,340 +أنا ك physiotherapist بدي أركز على شو كان المستوى + +366 +00:32:32,340 --> 00:32:37,580 +الوظيفي للمريض، كان بيمشي كيف؟ كان وضعه كيف قبل + +367 +00:32:37,580 --> 00:32:43,210 +ما يصير معاه الحالة أو الإصابة الجديدة. provide + +368 +00:32:43,210 --> 00:32:47,850 +information to patients and family. وهم جداً أنّه + +369 +00:32:47,850 --> 00:32:52,010 +إحنا في عملية ال interview كمان بنقدم معلومات، و + +370 +00:32:52,010 --> 00:32:56,170 +بنشرح للمريض والعائلة تبعته، شو المرض اللي موجود، و + +371 +00:32:56,170 --> 00:33:01,290 +شو هيكون هدفنا من عملية العلاج، وشو نلزمني في + +372 +00:33:01,290 --> 00:33:06,450 +عملية العلاج. clarify information. بعض المعلومات + +373 +00:33:06,450 --> 00:33:12,030 +اللي بتكون خاطئة عند المريض، ممكن أنّه إحنا نوضحها من + +374 +00:33:12,030 --> 00:33:17,250 +خلال عملية ال interview الأولى. make appropriate + +375 +00:33:17,250 --> 00:33:22,470 +reference. في بعض الحالات، أنّه أنا بيلزمني أنْ أحول + +376 +00:33:22,470 --> 00:33:29,890 +المريض لجهة أخرى، عشان آخذ أكثر بيانات، آخذ دقة في + +377 +00:33:29,890 --> 00:33:33,610 +البيانات اللي موجودة عنده. ممكن أحوله لطبيب آخر، + +378 +00:33:33,610 --> 00:33:39,190 +لتخصص آخر، حسب الحالة اللي موجودة عنده. Develop a good + +379 +00:33:39,190 --> 00:33:42,770 +working relationship with both the patient and the + +380 +00:33:42,770 --> 00:33:47,710 +family. كمان اللقاء الأول، قلنا أنّه بتكون أو بساعد + +381 +00:33:47,710 --> 00:33:52,050 +في بناء علاقة جيدة ما بين ال therapist وما بين + +382 +00:33:52,050 --> 00:33:56,850 +المريض وعائلته. Initiate the development of + +383 +00:33:56,850 --> 00:34:01,110 +written plan of care which is patient specific. + +384 +00:34:01,110 --> 00:34:12,090 +عملية بناء الخطة العلاجية الخاصة بهذا المريض. هذه + +385 +00:34:12,090 --> 00:34:17,710 +العناصر اللي إحنا حكيناها في ال interview. الآن لما + +386 +00:34:17,710 --> 00:34:21,690 +بدنا نحكي وإحنا بنعمل ال interview، وفي عندنا + +387 +00:34:21,690 --> 00:34:25,170 +ال history اللي إحنا بناخده من خلال ال interview. + +388 +00:34:25,170 --> 00:34:29,250 +شو بدي أسأل في ال history؟ شو الشغلات اللي أنا بدي + +389 +00:34:29,250 --> 00:34:33,940 +أركز عليها عندما أسأل ال history؟ ما بدي أخلّي المريض + +390 +00:34:33,940 --> 00:34:39,820 +يحكي لي بيانات ومعلومات ما بتلزمني كثير، وفي نفس + +391 +00:34:39,820 --> 00:34:44,440 +الوقت، بدي أحافظ على أنْ أنا ما أُملّ المريض في أثناء + +392 +00:34:44,440 --> 00:34:50,220 +الكلام، لكن بدي أحاول آخذ ال chief complaint، الشكوى + +393 +00:34:50,220 --> 00:34:56,400 +الرئيسية مع المريض. history of present illness. متى + +394 +00:34:56,400 --> 00:35:03,360 +بدأت الحالة؟ مع المريض حالياً، اللي موجود الآن، لسبب + +395 +00:35:03,360 --> 00:35:08,340 +دخوله للمستشفى. past medical history، بدي أسأل عنها + +396 +00:35:08,340 --> 00:35:13,900 +كمان، وهذه طبعاً تشمل شو فيه عنده illnesses سابقة، + +397 +00:35:13,900 --> 00:35:19,580 +سواء كان ديابيتس، هايبرتنشن، أيّ كان. إذا كان في + +398 +00:35:19,580 --> 00:35:22,920 +عنده بعض ال medications، أشوف شو بياخذ medications، + +399 +00:35:22,920 --> 00:35:27,190 +لأنّ في بعض ال medications بتأثر على ال level of + +400 +00:35:27,190 --> 00:35:29,990 +consciousness، بتأثر على ال level of concentration، + +401 +00:35:29,990 --> 00:35:34,170 +وبالتالي بدي أعرف شو اللي موجود عند المريض من + +402 +00: + +445 +00:39:21,750 --> 00:39:27,110 +بيرعاه، و من بيقدم له خدمات اجتماعية؟ خلّنا نقول كيف + +446 +00:39:27,110 --> 00:39:30,670 +عايش على إيش؟ بيعتمد شو الـ social support اللي + +447 +00:39:30,670 --> 00:39:35,530 +بياخذه؟ إذا كان موجود، لأن بعد ما خلصنا الـ history + +448 +00:39:35,530 --> 00:39:38,810 +بدنا نبدأ في عملية الـ clinical examination + +449 +00:39:38,810 --> 00:39:43,490 +الـ clinical examination، بدنا نكون عارفين أنّه الهدف الرئيسي للـ + +450 +00:39:43,490 --> 00:39:45,830 +clinical examination هي gathering + +451 +00:39:45,830 --> 00:39:46,810 +information. + +452 +00:39:52,670 --> 00:40:01,670 +هدفنا الرئيسي نعرف شو مستوى الـ movements، و شو مستوى + +453 +00:40:01,670 --> 00:40:04,650 +الـ function اللي موجود عند المريض. + +454 +00:40:07,000 --> 00:40:12,540 +التجارب السريرية تعمل من خلال مجموعة، وتركز على + +455 +00:40:12,540 --> 00:40:19,660 +مستوى ما قبل مستوى عملية الطب، و عملية الـ ADLs، الآن طبيعة + +456 +00:40:19,660 --> 00:40:24,560 +الـ examination، إذا نحن بنحكي على physical + +457 +00:40:24,560 --> 00:40:28,640 +examination، ممكن أنا كـ physiotherapist أقوم بها + +458 +00:40:28,640 --> 00:40:32,600 +لوحدي، و ممكن أكون ضمن فريق، إذا كنت... بالذات إذا + +459 +00:40:32,600 --> 00:40:36,040 +كنت أنا بقى أشتغل في rehabilitation hospital، كلّ + +460 +00:40:36,040 --> 00:40:39,700 +الشغل هذا بدّه يكون ضمن الفريق: physician and the + +461 +00:40:39,700 --> 00:40:43,480 +physiotherapist can observe the patient، طبيب و + +462 +00:40:43,480 --> 00:40:48,470 +physiotherapist بيبدأوا يلاحظوا المريض كيف هو بيمشي + +463 +00:40:48,470 --> 00:40:53,510 +في أوضاع مختلفة، شو الصعوبات اللي بيواجهها؟ إذا + +464 +00:40:53,510 --> 00:40:57,770 +كان بيقدر يمشي، بيقدرش يمشي، كل هذه الأمور ممكن + +465 +00:40:57,770 --> 00:41:02,370 +أنها تنعمل ضمن الفريق، occupational therapist + +466 +00:41:02,370 --> 00:41:06,470 +assists the patient performance of activity of + +467 +00:41:06,470 --> 00:41:10,230 +daily living. كمان مهم جداً الـ occupational + +468 +00:41:10,230 --> 00:41:14,310 +therapist، شو التدخلات اللي بيعملها عشان يساعد + +469 +00:41:14,310 --> 00:41:19,610 +المريض في أداء... على سبيل المثال، الـ Rehabilitation + +470 +00:41:19,610 --> 00:41:25,730 +nurses assist the safety and judgment of patients + +471 +00:41:25,730 --> 00:41:35,590 +while inside the hospital. المدى، الأمان، والحكم على + +472 +00:41:35,590 --> 00:41:40,670 +الأشياء من قبل المريض، كيف بتصرف المريض؟ و هل هو آمن؟ + +473 +00:41:40,670 --> 00:41:45,390 +المريض أنّه يعمل هذه الشيء لوحده، ولا بلزمه مساعدة؟ + +474 +00:41:46,220 --> 00:41:52,900 +Speech Therapist بيساعد في عملية الـ language and + +475 +00:41:52,900 --> 00:41:56,500 +through specific communication skills. و بيساعدنا في + +476 +00:41:56,500 --> 00:42:01,840 +اتباع طريقة للـ communication مع هذا المريض، على + +477 +00:42:01,840 --> 00:42:07,740 +سبيل المثال، بعض الحالات بنلاقي أنّه المريض بيقرأ، لكن + +478 +00:42:07,740 --> 00:42:14,600 +بيقدرش يتكلم، فممكن الـ speech therapist يجد لنا طريقة + +479 +00:42:14,600 --> 00:42:20,500 +للتواصل معه، بحيث أنّه يسهل عملية التواصل. ممكن يحطّ + +480 +00:42:20,500 --> 00:42:24,160 +عند المريض حاجة يسمّوها communication board، بحيث أن + +481 +00:42:24,160 --> 00:42:29,900 +هذا الـ board، أو هذه الورقة، موجود فيها بعض الـ + +482 +00:42:29,900 --> 00:42:33,700 +functions الأساسية اللي بتكون موجودة، أو بيحتاجها + +483 +00:42:33,700 --> 00:42:36,900 +المريض: بدي أكل، بدي أشرب، على سبيل المثال، بدي أجلب + +484 +00:42:36,900 --> 00:42:41,380 +على اليمين، بدي أجلب على الشمال، بدي أجلس، فعلى سبيل + +485 +00:42:41,380 --> 00:42:46,460 +المثال، بيصير المريض، أنّه لما بدّه يطلب أي خدمة، الـ + +486 +00:42:46,460 --> 00:42:51,060 +therapist أو الـ nurse، بس يورجيه الـ communication + +487 +00:42:51,060 --> 00:42:55,350 +board هذا، و المريض يفتح الشيء اللي يريده، الشيء الـ + +488 +00:42:55,350 --> 00:42:57,670 +order اللي يريده. + +489 +00:42:57,670 --> 00:42:58,710 +(Repeated text removed) + +490 +00:42:58,710 --> 00:42:58,730 +(Repeated text removed) + +491 +00:42:58,730 --> 00:42:58,830 +(Repeated text removed) + +492 +00:42:58,830 --> 00:42:58,870 +(Repeated text removed) + +493 +00:42:58,870 --> 00:43:00,770 +(Repeated text removed) + +494 +00:43:00,770 --> 00:43:08,750 +(Repeated text removed) + +495 +00:43:08,750 --> 00:43:15,270 +اللي يمن خلال التعامل مع المريض و العائلة، تقدر + +496 +00:43:15,270 --> 00:43:17,750 +(Repeated text removed) + +497 +00:43:17,750 --> 00:43:20,910 +(Repeated text removed) + +498 +00:43:20,910 --> 00:43:21,750 +(Repeated text removed) + +499 +00:43:21,750 --> 00:43:21,910 +(Repeated text removed) + +500 +00:43:21,910 --> 00:43:22,650 +(Repeated text removed) + +501 +00:43:22,650 --> 00:43:27,230 +(Repeated text removed) + +502 +00:43:27,230 --> 00:43:38,850 +(Repeated text removed) + +503 +00:43:39,100 --> 00:43:44,280 +هو الـ team، بيشتغل سواء كان فيزيو ثيرابيست، + +504 +00:43:44,280 --> 00:43:52,280 +فيزيشان، نرس، أكيوبايشنال ثيرابيست، social worker، + +505 +00:43:52,280 --> 00:43:56,760 +الـ psychologist، كلّ هذول بدهم يكونوا مع بعض، أو كلّ + +506 +00:43:56,760 --> 00:44:01,040 +واحدة على حدة، لكن مهم جداً لهم عملية الـ meeting بعد + +507 +00:44:01,040 --> 00:44:07,240 +نهاية الـ neurological examination اللي + +508 +00:44:07,240 --> 00:44:15,620 +إحنا بدنا نعملها، و نشوف مريضنا وين وصل فيها. الهدف + +509 +00:44:15,620 --> 00:44:19,560 +الرئيسي للتجارب النيورولوجية هي: تلاتراليزيشن و لوكاليزيشن. + +510 +00:44:19,560 --> 00:44:20,900 +(Repeated text removed) + +511 +00:44:20,900 --> 00:44:23,480 +(Repeated text removed) + +512 +00:44:23,480 --> 00:44:29,600 +(Repeated text removed) + +513 +00:44:29,600 --> 00:44:33,620 +(Repeated text removed) + +514 +00:44:33,620 --> 00:44:35,600 +(Repeated text removed) + +515 +00:44:35,600 --> 00:44:40,800 +(Repeated text removed) + +516 +00:44:40,800 --> 00:44:44,680 +حالة المريض من ناحية عقلية، من ناحية الـ cognition، من + +517 +00:44:44,680 --> 00:44:50,460 +ناحية level of consciousness، الـ cranial nerve + +518 +00:44:50,460 --> 00:44:57,180 +assessment، الـ reflexes، الـ deep tendon reflexes، الـ + +519 +00:44:57,180 --> 00:45:00,200 +motor function. + +520 +00:45:00,770 --> 00:45:05,330 +sensory function، cerebellar function. كمان مرّة، زي ما + +521 +00:45:05,330 --> 00:45:08,990 +حكينا، أنّه إحنا كـ physiotherapist، في بعض الشغلات، إحنا + +522 +00:45:08,990 --> 00:45:14,930 +بنمرّ عليها مرور، في شغلات بنركّز عليها بشكل أسرع، أو + +523 +00:45:14,930 --> 00:45:21,110 +بنركّز عليها بشكل مفصل مع المريض. فعالية الـ + +524 +00:45:21,110 --> 00:45:24,710 +assessment. كمان ممكن إحنا نشوف functional + +525 +00:45:24,710 --> 00:45:29,470 +assessment، و هذه طبعاً بنعمل assessment لبعض الـ + +526 +00:45:29,470 --> 00:45:34,090 +activities، الـ normal daily routine، شو الشغلات اللي + +527 +00:45:34,090 --> 00:45:38,730 +بيقوم فيها المريض بشكل يومي، الـ employment، الـ + +528 +00:45:38,730 --> 00:45:44,010 +leisure activities، أوقات الفراغ، طبيعة عمله، شو + +529 +00:45:44,010 --> 00:45:50,750 +بيعمل، أو كيف بتدبّر فيه أثناء الحالة المرضية، أو شو + +530 +00:45:50,750 --> 00:45:55,250 +بدّه يعمل في عمله في المستقبل. هذه كلّها شغلات بدنا + +531 +00:45:55,250 --> 00:46:01,830 +نقيمها، عشان بناءً عليها نقدر نحطّ الـ plan of action + +532 +00:46:01,830 --> 00:46:07,870 +كـ physiotherapist، و كـ rehabilitation team، بنقيم الـ + +533 +00:46:07,870 --> 00:46:11,790 +mobility، و إحنا كـ physiotherapist بنركّز على الـ + +534 +00:46:11,790 --> 00:46:17,130 +general mobility، كيف مشاكله العامة في التحرّك، الـ + +535 +00:46:17,130 --> 00:46:25,070 +indoor mobility، بنشوفها outdoor، steps، كيف بيخطو + +536 +00:46:25,070 --> 00:46:29,580 +بعض الخطوات، الـ upstairs و downstairs، كيف بيطلع + +537 +00:46:29,580 --> 00:46:35,640 +الدرج و بينزل الدرج، الـ falls، بعض... إذا كان في خطر + +538 +00:46:35,640 --> 00:46:39,080 +أنّه يحصل عنده falling في أثناء أداء هذه الـ + +539 +00:46:39,080 --> 00:46:45,980 +activity، الـ personal care، و هذا طبعاً بتشمل الـ + +540 +00:46:45,980 --> 00:46:53,710 +activities of daily living، كيف بيقدر يستخدم، يغسل + +541 +00:46:53,710 --> 00:46:59,830 +وجهه، يغسل يديه، الـ dressing، يلبس، الـ continence، + +542 +00:46:59,830 --> 00:47:06,030 +هل في عنده تحكّم في عمليات الإخراج، سواء كان urine + +543 +00:47:06,030 --> 00:47:09,150 +continence أو bowel continence. + +544 +00:47:13,160 --> 00:47:16,620 +بعض الشغلات الأخرى اللي إحنا بنعملها assessment: الـ + +545 +00:47:16,620 --> 00:47:19,940 +vision، لأنّه مهم جداً، إيه... لأنّه أنا أشوف كيف المريض + +546 +00:47:19,940 --> 00:47:24,660 +بيشوف، ولا ما بيشوفش، إذا كان في صعوبة في النظر، بناءً + +547 +00:47:24,660 --> 00:47:29,940 +عليها، سنضع الخطط العلاجية، ستساعد في عملية الـ + +548 +00:47:29,940 --> 00:47:34,640 +communication. كمان الـ hearing، برضه نفس الشيء، لأنّه + +549 +00:47:34,640 --> 00:47:38,340 +أنا بدي أعطي instructions، فبالتالي مهم جداً للمريض + +550 +00:47:38,340 --> 00:47:43,440 +أن يكون بيسمع، عشان يفهم الـ instructions، عشان يبدأ + +551 +00:47:43,440 --> 00:47:48,940 +يطبّق هذه الـ instructions. الـ swallowing، البلع، و كيف + +552 +00:47:48,940 --> 00:47:54,190 +البلع موجود عنده؟ هل في مشاكل؟ مش مشاكل... أيّ حالة + +553 +00:47:54,190 --> 00:47:58,670 +العضلات، في عنده fatigue easily fatigue ولا لأ؟ الـ + +554 +00:47:58,670 --> 00:48:04,030 +pain، هل + +555 +00:48:04,030 --> 00:48:09,110 +المريض بيشكوا من ألم في أثناء عمل الـ activities + +556 +00:48:09,110 --> 00:48:13,450 +ولا في أثناء الـ rest؟ perception of own problems، + +557 +00:48:13,450 --> 00:48:19,610 +main concern، شو وجهة نظر المريض كمان عن مشاكله؟ شو + +558 +00:48:19,610 --> 00:48:23,640 +إهتمامات المريض في مشاكله؟ يعني أنا بدي مريض + +559 +00:48:23,640 --> 00:48:29,680 +مثلاً بدّه يمشي، هو هذا هدف عنده، هو أنّه يرجع على + +560 +00:48:29,680 --> 00:48:34,520 +شغله، فأنا بدي أبدأ أوّفق بين الـ main concern of the + +561 +00:48:34,520 --> 00:48:38,140 +patient، و ما بين الـ concern of the therapist، عشان + +562 +00:48:38,140 --> 00:48:42,700 +يبدأ يحقّق العلاج، أو الهدف من العلاج تبعه. + +563 +00:48:42,700 --> 00:48:48,260 +expectations of treatment، لوين بدّه يوصل من الـ + +564 +00:48:48,260 --> 00:48:52,220 +treatment، و هذا مهم جداً في عملية الـ goal setting، + +565 +00:48:52,220 --> 00:48:58,220 +سنحكي عنها لاحقاً إن شاء الله رب العالمين. هيكون + +566 +00:48:58,220 --> 00:49:02,780 +فيها طبعاً شو المريض بيتوقّع من العلاج، و شو أنا بقدر + +567 +00:49:02,780 --> 00:49:08,120 +أقدّم للمريض في العملية العلاجية. كما بدنا نعمل + +568 +00:49:08,120 --> 00:49:10,880 +assessment للـ posture و الـ balance، نشوف الـ + +569 +00:49:10,880 --> 00:49:15,300 +alignment، إذا كان في عنده neglect، و خصوصاً مع مرضى + +570 +00:49:15,300 --> 00:49:22,700 +الـ stroke، الجلطة الدماغية. هل نصف الـ body، half of + +571 +00:49:22,700 --> 00:49:27,280 +the body، حاجة بيسمّوها hemineglect، مهمل جزء من + +572 +00:49:27,280 --> 00:49:33,840 +الجسم، أو نصف الجسم، أو لأ؟ sitting balance، توازن في + +573 +00:49:33,840 --> 00:49:39,010 +أثناء الجلوس، standing balance، الـ voluntary + +574 +00:49:39,010 --> 00:49:43,870 +movement، range of motion، strength، endurance، + +575 +00:49:43,870 --> 00:49:49,640 +coordination، finger to nose test، heel to shin test، rapidly + +576 +00:49:49,640 --> 00:49:53,180 +alternating movements، كلّ هذه الحركات إحنا بنعملها + +577 +00:49:53,180 --> 00:49:59,440 +عشان نركّز، أو نشوف شو في عند المريض بعض المشاكل + +578 +00:49:59,440 --> 00:50:05,200 +اللي ممكن إحنا نساعده في حالها، و نبدأ نحطّ خطّة + +579 +00:50:05,200 --> 00:50:10,460 +علاجية مناسبة للمشاكل اللي موجودة عند المريض. + +580 +00:50:15,260 --> 00:50:22,240 +عند المريض حركات لا إرادية: ترمر، كولوناس، كوريا، + +581 +00:50:22,240 --> 00:50:24,160 +associated reactions. + +582 +00:50:31,790 --> 00:50:35,570 +شو الـ tone الموجود عند المريض؟ هل في عنده + +583 +00:50:35,570 --> 00:50:39,630 +flaccidity، ولا spasticity؟ و إذا كان في + +584 +00:50:39,630 --> 00:50:42,810 +spasticity، أيّ نوع من الـ spasticity؟ هل هي clasp + +585 +00:50:42,810 --> 00:50:48,170 +knife، ولا rigidity، cogwheel، أو lead pipe؟ كلّ هذه + +586 +00:50:48,170 --> 00:50:56,310 +طبعاً هنجيها بشيء من التفصيل لقدام. الـ reflexes، دي + +587 +00:50:56,310 --> 00:51:02,310 +deep tendon reflexes، طبعاً مجموعة أكثر من deep tendon reflex + +588 +00:51:02,310 --> 00:51:05,930 +اللي إحنا بنعملها، فحص الـ biceps reflex، و triceps + +589 +00:51:05,930 --> 00:51:11,930 +reflex، الـ knee، و الـ ankle reflex، و الـ plantar + +590 +00:51:11,930 --> 00:51:16,210 +response، الـ بابنسكي sign، هذا طبعاً الشغلات اللي إحنا + +591 +00:51:16,210 --> 00:51:20,990 +بنفحصها، و بنعملها assessment كـ physiotherapist. + +592 +00:51:23,400 --> 00:51:27,680 +Sensory Assessment، تشمل: light touch، pin prick، + +593 +00:51:27,680 --> 00:51:30,800 +two-point discrimination، vibration sense، أو sense + +594 +00:51:30,800 --> 00:51:34,700 +of vibration، joint position، أو sense of position + +595 +00:51:34,700 --> 00:51:38,660 +of the joint، الـ temperature، vision and hearing، + +596 +00:51:38,660 --> 00:51:44,460 +الـ temperature طبعاً عن طريق أنبوبتين، اختبار... واحد + +597 +00:51:44,460 --> 00:51:48,840 +بنحط فيه ماء بارد، و الآخر ماء ساخن، أو دافئ، و نبدأ + +598 +00:51:48,840 --> 00:51:53,880 +نحطّهم على الـ areas اللي إحنا بنعملها assessment of + +599 +00:51:53,880 --> 00:51:58,520 +temperature. functional activities، تشمل الـ bed + +600 +00:51:58,520 --> 00:52:02,340 +mobility، الـ rolling للـ both sides، sitting، + +601 +00:52:02,340 --> 00:52:06,140 +moving in the bed، بشكل عام، الـ sitting balance، + +602 +00:52:06,140 --> 00:52:13,540 +التوازن في أثناء الجلوس، الانتقال من السرير للكرسي + +603 +00:52:13,540 --> 00:52:18,740 +المتحرّك، أو بالعكس، الانتقال من الكرسي للحمام، + +604 +00:52:18,740 --> 00:52:25,100 +للكوليت، أو بالعكس، للسيارة، حسب حالة المريض، و مش + +605 +00:52:25,100 --> 00:52:30,530 +بلزم فيها عملية الـ transfer assessment. الـ upper + +606 +00:52:30,530 --> 00:52:33,230 +limb function، ماذا يقدر يعمل في الـ upper limb + +607 +00:52:33,230 --> 00:52:39,850 +functions؟ الـ mobility stairs up and down stairs، + +608 +00:52:39,850 --> 00:52:44,350 +الـ gait، في عملية الـ assessment of gait، نشوف الـ + +609 +00:52:44,350 --> 00:52:48,430 +pattern، نشوف الـ distance و الـ velocity، ماذا + +610 +00:52:48,430 --> 00:52:53,540 +يستخدم walking aids؟ ماذا يستخدم orthosis؟ أيش الـ + +611 +00:52:53,540 --> 00:52:57,180 +assistance اللي بيحتاجها في أثناء المشي؟ كيف الـ + +612 +00:52:57,180 --> 00:53:00,320 +cognitive status؟ كيف الـ attention؟ كيف الـ + +613 +00:53:00,320 --> 00:53:03,560 +orientation و الـ memory؟ هذه من الشغلات اللي إحنا + +614 +00:53:03,560 --> 00:53:09,580 +بدنا نعملها assessment. كمان problem + +615 +00:53:09,580 --> 00:53:14,020 +listing، prioritizing the problems. إذن، أوّل شيء بعد + +616 +00:53:14,020 --> 00:53:17,980 +ما أنا عملت الـ data collection، أو gathering + +617 +00:53:17,980 --> 00:53:22,240 +information، أو الـ data gathering، بدي أعمل عملية + +618 +00:53:22,240 --> 00:53:26,560 +problem listing، أبدأ كلّ المشاكل اللي أنا حطيتها + +619 +00:53:26,560 --> 00:53:31,780 +أبدأ أحطّها، أو طلعت بيها، أبدأ أحطّها في قائمة واحدة. + +620 +00:53:31,780 --> 00:53:35,760 +بعد هيك، القائمة اللي أنا طلعت بيها هذه، بدي أبدأ + +621 +00:53:35,760 --> 00:53:39,140 +أعمل prioritizing، أشوف مين الأولويات في هذه + +622 +00:53:39,140 --> 00:53:42,800 +المشاكل، و أبدأ أشتغل فيها أول بأول. diff --git a/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/jV8m3Irr-Ho_postprocess.srt b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/jV8m3Irr-Ho_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..83ff861eece6f3572bbf1f41260abfc3873b0b99 --- /dev/null +++ b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/jV8m3Irr-Ho_postprocess.srt @@ -0,0 +1,2488 @@ +1 +00:00:00,000 --> 00:00:04,060 +السلام عليكم هنبدأ نتكلم ان شاء الله بالرب + +2 +00:00:04,060 --> 00:00:08,380 +العالمين اليوم عن ال assessment of neurological + +3 +00:00:08,380 --> 00:00:13,200 +condition و assessment as physiotherapist + +4 +00:00:15,730 --> 00:00:19,790 +الان مهم جدا ان احنا ك physiotherapist عند ما نبدأ + +5 +00:00:19,790 --> 00:00:24,470 +نعمل ال assessment بتاعتنا نكون عارفين التشخيص the + +6 +00:00:24,470 --> 00:00:27,990 +onset of a neurological disease او a neurological + +7 +00:00:27,990 --> 00:00:32,090 +condition as a result of disease or trauma has + +8 +00:00:32,090 --> 00:00:37,750 +devastating effect not only on the patient but + +9 +00:00:37,750 --> 00:00:42,630 +also in the familyهذا مهم جدا لنا قبل ما نبدأ نعمل + +10 +00:00:42,630 --> 00:00:48,210 +أي assessment نعرف إن الحالة اللي نتجت عن إصابة في + +11 +00:00:48,210 --> 00:00:52,750 +جهاز العصب سواء كانت trauma أو disease أو غيره + +12 +00:00:52,750 --> 00:00:58,170 +تأثيرها مش فقط على المريض، كمان بدي يكون على ال + +13 +00:00:58,170 --> 00:01:03,240 +familyوفي عملية ال assessment احنا ما بنقيم المريض + +14 +00:01:03,240 --> 00:01:08,740 +فقط لغير لأ بنقيم كمان البيئة المحيطة بيه ونشوف + +15 +00:01:08,740 --> 00:01:12,020 +كيف ال social condition تبعته هذا من ضمن ال + +16 +00:01:12,020 --> 00:01:15,600 +assessment it is essential that any approach to + +17 +00:01:15,600 --> 00:01:18,440 +management encompasses the needs of the patient + +18 +00:01:18,440 --> 00:01:23,280 +and significant others عشان هيك اي طريقة علاجية او + +19 +00:01:23,280 --> 00:01:30,480 +اي أسلوب علاجيبنتابعه لازم يركز على المريض و لازم + +20 +00:01:30,480 --> 00:01:37,640 +يركز كمان على ال family significant others many + +21 +00:01:37,640 --> 00:01:40,580 +neurological conditions are progressive and + +22 +00:01:40,580 --> 00:01:45,660 +longstanding and result in some element of + +23 +00:01:45,660 --> 00:01:50,060 +residual impairmentmany neurological conditions + +24 +00:01:50,060 --> 00:01:53,240 +are progressive and longstanding and result in + +25 +00:01:53,240 --> 00:01:57,420 +some element of residual impairment كتير من + +26 +00:01:57,420 --> 00:02:02,780 +الحالات اللي بتنتج عن أمراض عصبية أو الحالات اللي + +27 +00:02:02,780 --> 00:02:07,460 +ناتجة عن الأمراض العصبية أو عن إصابات الجهاز العصب + +28 +00:02:07,460 --> 00:02:15,480 +المركزي هي حالات تستمر لفترات طويلة والإعاقل + +29 +00:02:15,480 --> 00:02:23,960 +ناتج عنهاكمان ممكن تظلها مستمرة لفترات طويلة there + +30 +00:02:23,960 --> 00:02:26,720 +are many challenges in the rehabilitation process + +31 +00:02:26,720 --> 00:02:30,460 +from diagnosis to discharge كتير من ال + +32 +00:02:30,460 --> 00:02:33,200 +rehabilitation أو من ال challenges اللي بتواجهنا + +33 +00:02:33,200 --> 00:02:38,600 +كاخصائي علاج طبيعي و rehabilitation specialistفى + +34 +00:02:38,600 --> 00:02:44,740 +عملية التشخيص فى عملية العلاج لحد ال discharge + +35 +00:02:44,740 --> 00:02:50,260 +كمان بتواجهنا عديد التحديات لأنه زى ما حكينا أن + +36 +00:02:50,260 --> 00:02:54,900 +الحالة هذه أو الإصابة في الجهاز العصبي المركزى هي + +37 +00:02:54,900 --> 00:02:58,220 +تأخذ أو تستغرق فترة طويلة + +38 +00:03:09,760 --> 00:03:19,430 +الطبيعة الإصابة والمرض اللي في الجهاز العصبيإنه + +39 +00:03:19,430 --> 00:03:24,010 +بيستغرق وقت طويل و بيمكن في فترة طويلة هذا بتطلب + +40 +00:03:24,010 --> 00:03:27,450 +من أخصائيين العلاج الطبيعي و أخصائيين ال + +41 +00:03:27,450 --> 00:03:31,290 +rehabilitation specialists اللي بيشتغلوا مع + +42 +00:03:31,290 --> 00:03:34,850 +الحالات هذه إنهم يكونوا في عملية ال rehabilitation + +43 +00:03:34,850 --> 00:03:42,890 +لسنوات طويلة a neurological examination is the + +44 +00:03:42,890 --> 00:03:47,530 +assessment of sensoryمعاملة نيروزيكية ومعاملة + +45 +00:03:47,530 --> 00:03:52,530 +موتوريسبونسية وخاصة معاملة رفليكسيه لتتأكد من وجود + +46 +00:03:52,530 --> 00:03:57,710 +نظام نيروزيكي خلال عملية الـ neurological + +47 +00:03:57,710 --> 00:04:01,190 +examination اللي احنا بنعملها بنعمل assessment + +48 +00:04:01,190 --> 00:04:06,490 +للسينسوري والموتوريسبونسيه اللي بتكون موجودة عند + +49 +00:04:06,490 --> 00:04:20,280 +المريض بنعمل assessment للرفليكسيهلتحدد إذا كان + +50 +00:04:20,280 --> 00:04:27,040 +فيه أي خلل أو أي مشكلة في الجهاز العصبي هذا يتضمن + +51 +00:04:27,040 --> 00:04:31,700 +بشكل عام التجارب الفيزيقية والتحقق من قصة المستشفى + +52 +00:04:31,700 --> 00:04:36,880 +بقصة مدرسة طبيعية ولكن ليس تحقيق أكتر مثل الـ + +53 +00:04:36,880 --> 00:04:42,070 +neuroimagingخلال عملية ال assessment تبعتنا نركز + +54 +00:04:42,070 --> 00:04:48,170 +على ال physical examination بشكل أساسي وبنعمل كمان + +55 +00:04:48,170 --> 00:04:53,430 +نراجع ايش في عند المريض بعض ال medical history أو + +56 +00:04:53,430 --> 00:04:55,950 +ال medical history اللي بيكون موجود عند المريض + +57 +00:04:58,000 --> 00:05:02,240 +منخوضش كتير في ال investigations زي ال CT و MRI + +58 +00:05:02,240 --> 00:05:07,020 +بشكل كبير جدا لأ احنا بيكفينا بس تكون ال result + +59 +00:05:07,020 --> 00:05:12,320 +تبع ال CT او ال MRI او اي investigations ان عملت + +60 +00:05:12,320 --> 00:05:17,100 +it can be used both as a screening tool and as an + +61 +00:05:17,100 --> 00:05:21,740 +investigative tool ال neurological assessment اللي + +62 +00:05:21,740 --> 00:05:27,590 +احنا بنقوم فيهاممكن تكون screening و ممكن تكون + +63 +00:05:27,590 --> 00:05:31,650 +investigative screening انه نستكشف شو عند الحالة + +64 +00:05:31,650 --> 00:05:38,250 +بسرعة و investigative بشكل دقيق عشان نصل للمشكلة + +65 +00:05:38,250 --> 00:05:43,530 +اللى موجودة عند المريض بشيء من التفصيل و نبدأ نعمل + +66 +00:05:43,530 --> 00:05:49,370 +تدخلاتنا العلاجية الان احنا ك physiotherapist + +67 +00:05:49,370 --> 00:05:55,030 +نشتغل في مجال ال rehabilitationو خصوصا مع حالات ال + +68 +00:05:55,030 --> 00:05:58,690 +neurological conditions بعض المصطلحات اللى + +69 +00:05:58,690 --> 00:06:04,990 +بتواجهنا خلال شغلنا من ضمن هذه المصطلحات فى عندنا + +70 +00:06:04,990 --> 00:06:14,490 +مصطلح مثلا alert alert awake locks about وهذا طبعا + +71 +00:06:14,490 --> 00:06:20,840 +اللى احنا بنقول عنها ان المريض متيقظبينظر حوله + +72 +00:06:20,840 --> 00:06:25,160 +respond in a meaningful manner to verbal + +73 +00:06:25,160 --> 00:06:30,240 +instructions or gestures كمان استجاباته بشكل + +74 +00:06:30,240 --> 00:06:37,660 +موضوعي وبشكل ملائم لل stimulation + +75 +00:06:37,660 --> 00:06:44,950 +اللي احنا بنعملها، اذا الاستجاباتمناسبة وملائمة + +76 +00:06:44,950 --> 00:06:51,770 +للمؤثرات والتأثيرات اللى بنعملها على المريض سواء + +77 +00:06:51,770 --> 00:06:56,090 +كانت verbal instructions أو حتى مجرد تعابير في + +78 +00:06:56,090 --> 00:07:03,240 +الوجه اذن alert المريض صاحي متيقظبيفهم كل شي + +79 +00:07:03,240 --> 00:07:08,220 +تقريبا حواليه بشكل مناسب وبشكل ملائم سواء كان عن + +80 +00:07:08,220 --> 00:07:13,640 +طريق instructions أو عن طريق gestures تعابير الوجه + +81 +00:07:13,640 --> 00:07:20,220 +المصطلح التاني اللي ممكن نشوفه drowsy وفي هذه + +82 +00:07:20,220 --> 00:07:26,100 +الحالة او دروسي patient oriented when awake but if + +83 +00:07:26,100 --> 00:07:32,780 +left alone will sleep يعنيالمريض لو جئنا عليه و + +84 +00:07:32,780 --> 00:07:38,840 +اتكلمنا معاه بيفتة عينه وبستجيب بشكل سليم لو سبناه + +85 +00:07:38,840 --> 00:07:45,680 +لوحده على طول بيغمض عيناه وبنام من + +86 +00:07:45,680 --> 00:07:49,420 +المصطلحات اللي بتكون موجودة كمان خصوصا مع حالات + +87 +00:07:49,420 --> 00:07:52,300 +traumatic brain injuries ال confused + +88 +00:07:54,910 --> 00:08:00,470 +confused كترجمة عربية مرتبك لكن خلّيني نفهم شو + +89 +00:08:00,470 --> 00:08:07,290 +المكونات لما اقول انا عندي ال patient confused اول + +90 +00:08:07,290 --> 00:08:11,070 +شئ في ال confusion المريض disoriented to the time + +91 +00:08:11,650 --> 00:08:17,250 +الوقت غير مدرك للوقت يعني لو جيت اسأله عن الوقت + +92 +00:08:17,250 --> 00:08:21,110 +اللي موجود في احنا الآن الصبح ولا المغرب ممكن + +93 +00:08:21,110 --> 00:08:26,850 +مايجاوبش بشكل دقيق ال place انت وين موجود الآن في + +94 +00:08:26,850 --> 00:08:31,190 +البيت او في المستشفى برضه ممكن تكون إجابته غير + +95 +00:08:31,190 --> 00:08:38,000 +مناسبةأيضًا الوصول للشخص لايعرف الأشخاص اللي + +96 +00:08:38,000 --> 00:08:41,400 +حواليه، يعني احنا كphysiotherapist أو خليني نقول + +97 +00:08:41,400 --> 00:08:46,020 +كناس او ك medical staff أو medical team نجيب نسأله + +98 +00:08:46,020 --> 00:08:50,740 +احنا مين؟ مين انا؟ اللي بكون لابس الكورة الأبيض، + +99 +00:08:50,740 --> 00:08:58,750 +لابس ال medical uniform ال Z الطبيمفترض أن يقول + +100 +00:08:58,750 --> 00:09:04,590 +الطبيب الممرض للعلاج الطبيعي أيا كانت الإجابة في + +101 +00:09:04,590 --> 00:09:11,950 +هذا المدمار مقبولة memory difficulty is common ما + +102 +00:09:11,950 --> 00:09:16,770 +يميز هذه الفترة من ال confusion أنه يكون عنده + +103 +00:09:16,770 --> 00:09:23,150 +صعوبة في التذكر يعني ينسى كثيرAlso he has + +104 +00:09:23,150 --> 00:09:28,290 +difficulty with commands ما بيفهم الأوامر بالشكل + +105 +00:09:28,290 --> 00:09:33,590 +السليم او خلينا نقول اذا فهم الأمر بطبقوش كامل + +106 +00:09:33,590 --> 00:09:37,010 +Exhibits + +107 +00:09:37,010 --> 00:09:41,090 +alteration in perception of stimuli may be + +108 +00:09:41,090 --> 00:09:46,710 +agitated كمان في عنده تفاوت + +109 +00:09:47,540 --> 00:09:52,460 +في استقبال الإشارات أو في استقبال المنبهات يعني + +110 +00:09:52,460 --> 00:09:57,880 +مرة ممكن انا اقوله كيف حالك او اتكلم معاه بشكل يرد + +111 +00:09:57,880 --> 00:10:04,700 +علي بإجابة منطقية وسليمة جدا مرة أخرى ممكن نفس ال + +112 +00:10:04,700 --> 00:10:10,200 +stimulus اللي انا عملتها الاقي ردة الفعل مختلفة + +113 +00:10:10,200 --> 00:10:14,570 +بشكل كبير جداو ممكن في هذه الحالة يكون في عندي نوع + +114 +00:10:14,570 --> 00:10:19,750 +من ال agitation الهيجان او التهيج اللي بيكون موجود + +115 +00:10:19,750 --> 00:10:23,770 +عند المريض Stubors + +116 +00:10:23,770 --> 00:10:30,510 +وهذه مرحلة تتميز ان المريض بيكون فيها generally + +117 +00:10:30,510 --> 00:10:37,910 +unresponsive except to vigorous stimuli لو جيت انا + +118 +00:10:37,910 --> 00:10:44,720 +عند المريض وعملت له بعضالـ mild stimulus و + +119 +00:10:44,720 --> 00:10:49,560 +moderate stimulus لن يكون فيها إجابة أو استجابة من + +120 +00:10:49,560 --> 00:10:54,940 +قبل المريض لكن لو عملت vigorous stimulus ممكن صوت + +121 +00:10:54,940 --> 00:10:59,800 +عالي ممكن جرسة جوية بشكل كبير جدا ممكن في هذه + +122 +00:10:59,800 --> 00:11:03,380 +الحالة يحصل فيه عنده stimulation هذه بيسموها + +123 +00:11:03,380 --> 00:11:08,620 +Stubors may make attempt at verbalization to + +124 +00:11:08,620 --> 00:11:13,750 +vigorous repeated stimuliممكن في بعض الحالة كمان + +125 +00:11:13,750 --> 00:11:19,310 +انه يطلع بعض الأصوات كاستجابة او كردت فعل لل + +126 +00:11:19,310 --> 00:11:25,210 +vigorous stimuli اللي احنا عملناها open eyes to + +127 +00:11:25,210 --> 00:11:30,910 +deep pain وممكن كمان ما يميز هذه المرحلة انه انا + +128 +00:11:30,910 --> 00:11:35,250 +لما اعمل deep painful stimuli المريض بعد ما بيكون + +129 +00:11:35,250 --> 00:11:40,760 +مغمض عينيا في هذه الفترةأو نتيجة ال stimulus اللي + +130 +00:11:40,760 --> 00:11:49,240 +عملتها بيبدأ يفتح عينيه كوماتوز طبعا المريض لما + +131 +00:11:49,240 --> 00:11:52,840 +بنقول كوماتوز معناه انه complete loss of + +132 +00:11:52,840 --> 00:11:58,440 +consciousness مافي اي استجابة unarousable and + +133 +00:11:58,440 --> 00:12:04,020 +unresponsive كوماتوز unarousable and unresponsive + +134 +00:12:04,760 --> 00:12:11,460 +ما في اي استجابة للمريض او لل stimulation اللى + +135 +00:12:11,460 --> 00:12:16,840 +بنعملها some localization or movement may be + +136 +00:12:16,840 --> 00:12:21,180 +acceptable within the comatose category بعض + +137 +00:12:21,180 --> 00:12:28,560 +الحركات ممكن تكون يعني مقبولة او انهحتى وإن كان + +138 +00:12:28,560 --> 00:12:33,120 +المريض بيعمل بعض الحركات as a result of a stimulus + +139 +00:12:33,120 --> 00:12:39,520 +لازال يسمى كوماتوز depending on the coma to coma + +140 +00:12:39,520 --> 00:12:45,980 +definition حسب تعريفنا للغيبوبة أو الكومة light + +141 +00:12:45,980 --> 00:12:50,460 +coma to deep coma وطبعا في عندنا أقسام الكومة ممكن + +142 +00:12:50,460 --> 00:12:54,340 +تكون light coma وممكن تكون في عندي deep coma + +143 +00:12:58,220 --> 00:13:06,840 +وفي حالات ال deep coma ال + +144 +00:13:06,840 --> 00:13:11,060 +مريض + +145 +00:13:11,060 --> 00:13:16,080 +مش هيقدر يفتح عينه او مش هيفتح عينه استجابة للقلم + +146 +00:13:16,080 --> 00:13:21,300 +اللي احنا عملناهمن المصطلحات اللي بتكون موجودة + +147 +00:13:21,300 --> 00:13:25,500 +طبعا في عنا مصطلح مساميه Korea هي عبارة عن jerky + +148 +00:13:25,500 --> 00:13:31,580 +movements which are tend to occur more randomly + +149 +00:13:31,580 --> 00:13:33,940 +throughout the body + +150 +00:13:37,570 --> 00:13:42,530 +عشوائية بيقوم فيها المريض بشكل لا إرادة في كل + +151 +00:13:42,530 --> 00:13:45,930 +أنحاء الجسم ممكن تكون في ال upper limbs ممكن تكون + +152 +00:13:45,930 --> 00:13:50,350 +في ال lower limbs حسب الحالة في عندنا كمان مصطلح + +153 +00:13:50,350 --> 00:13:56,680 +آخر يسموه balasmusThe movements are large and + +154 +00:13:56,680 --> 00:14:01,080 +sudden and can affect one side of the body + +155 +00:14:01,080 --> 00:14:08,560 +الباليسمس هي عبارة عن حركات فجائية و كبيرة و ممكن + +156 +00:14:08,560 --> 00:14:14,930 +تأثر على one side of the bodyhalf side of the body + +157 +00:14:14,930 --> 00:14:18,910 +وفي هذه الحالة يسمونها hemipalismus يعني ممكن تكون + +158 +00:14:18,910 --> 00:14:23,130 +في الأطراف الأربعة وممكن تكون في side واحد of the + +159 +00:14:23,130 --> 00:14:28,530 +body وفي هذه الحالة يسمونها hemipalismus tremor + +160 +00:14:28,530 --> 00:14:33,070 +these are fine rapidly escalating unwanted + +161 +00:14:33,070 --> 00:14:41,370 +movement عبارة عن حركات بسيطة أو دعنا نقولدقيقة + +162 +00:14:41,370 --> 00:14:48,570 +fine سريعة متذبذب او خلنا نقول فيها نوع من الرجفة + +163 +00:14:48,570 --> 00:14:52,450 +او tremors these are fine rapidly escalating + +164 +00:14:52,450 --> 00:14:57,510 +unwanted movement هي حركات سريعة منتظمة خلنا نقول + +165 +00:14:57,510 --> 00:15:02,930 +احيانا بتكون وغير مرغوب فيها ما بقدر المريض خلنا + +166 +00:15:02,930 --> 00:15:08,910 +نقول انه يوقفها او يسيطر عليها في بعض الحالات هي + +167 +00:15:08,910 --> 00:15:15,270 +حركاتلأيراضية منتظمة وحركات دقيقة disturbances in + +168 +00:15:15,270 --> 00:15:20,070 +muscle tone ممكن يكون في عندي تغيرات في ال muscle + +169 +00:15:20,070 --> 00:15:24,930 +tone ممكن يكون في عندي sensory disturbances تغيرات + +170 +00:15:24,930 --> 00:15:29,970 +في الإحساس الان لو جينا نطلع بشكل سريع شو الفرق ما + +171 +00:15:29,970 --> 00:15:30,270 +بين + +172 +00:15:36,570 --> 00:15:44,730 +الناس اللي نايمين بيصير في عندهم استجابة للحركات + +173 +00:15:44,730 --> 00:15:50,090 +او للمثيرات اللي غير متعود عليها يعني لو صار انه + +174 +00:15:50,090 --> 00:15:57,410 +عند شخص نايم و جيت انا فجأة اعمل صوت عاليعنده لكن + +175 +00:15:57,410 --> 00:16:01,470 +لو كان هذا الصوت صوت متعود عليه يعني في البيت أو + +176 +00:16:01,470 --> 00:16:06,690 +غيره أو غيره ممكن مايصحاش له sleeping persons are + +177 +00:16:06,690 --> 00:16:11,310 +capable of mental activities ال dreams الأشخاص + +178 +00:16:11,310 --> 00:16:14,590 +اللي بيكون في مرحلة نوم بيكون عندهم brain + +179 +00:16:14,590 --> 00:16:19,070 +activities الناتج عن الأحلام اللي بتكون موجودة + +180 +00:16:19,070 --> 00:16:22,330 +sleeping persons can be raised to normal + +181 +00:16:22,330 --> 00:16:28,140 +consciousnessهؤلاء الأشخاص مجرد أن نصحيهم و نعمل + +182 +00:16:28,140 --> 00:16:32,460 +له مستميراشين يرجعون للمستوى الطبيعي من ال + +183 +00:16:32,460 --> 00:16:37,430 +consciousnessCerebral oxygen uptake does not + +184 +00:16:37,430 --> 00:16:42,550 +decrease during sleep as it is often does in coma + +185 +00:16:42,550 --> 00:16:47,930 +كمان نقطة مهمة جدا مستويات ال oxygen اللي + +186 +00:16:47,930 --> 00:16:54,330 +بيستهلكها الجسم أثناء النوم مابتتغيرش عن فترة + +187 +00:16:54,330 --> 00:17:01,500 +الصحيةلكن في حالات الكومة ممكن تقل كمية الأكسجين + +188 +00:17:01,500 --> 00:17:05,280 +اللى بيستهلكها الجسم special states of altered + +189 +00:17:05,280 --> 00:17:10,520 +levels of consciousness as بعض الحالات اللى بيكون + +190 +00:17:10,520 --> 00:17:17,700 +في عندنا او مصاحب يصاحبهاتغيرات في ال level of + +191 +00:17:17,700 --> 00:17:20,760 +consciousness حالات ال brain death and a + +192 +00:17:20,760 --> 00:17:24,820 +reversible loss of cortical and brainstem activity + +193 +00:17:24,820 --> 00:17:29,920 +مافيش امكانية ان ترجع هنا الخلايا تشتغل تاني ال + +194 +00:17:29,920 --> 00:17:34,340 +cortex و brainstem activity مابتقدر ترجع تاني اذا + +195 +00:17:34,340 --> 00:17:39,040 +حصل عند ال brain death persistent vegetative state + +196 +00:17:39,040 --> 00:17:42,920 +شو المقصود persistent vegetative state + +197 +00:17:54,200 --> 00:18:00,000 +بعض الحالات اللي بيصير في عندها brain injury أو + +198 +00:18:00,000 --> 00:18:04,960 +سواء كانت traumatic أو نتيجة disease بيخشوا في + +199 +00:18:04,960 --> 00:18:12,190 +مرحلة من الكومةالكومة أو هذا التغير مابصير عليها + +200 +00:18:12,190 --> 00:18:19,130 +تغير مابصحصح المريض بيظل فترة طويلة بنفس الحالة من + +201 +00:18:19,130 --> 00:18:22,970 +ال loss of consciousness ففي هذه الحالة بيسموها + +202 +00:18:22,970 --> 00:18:27,670 +chronic herb resistant vegetative state يعني ممكن + +203 +00:18:27,670 --> 00:18:33,010 +المريض بعد ما كان deep coma بعد ما كان المريض deep + +204 +00:18:33,010 --> 00:18:39,220 +comaصار في عنده بعض التحسن لكن مش تحسن كبير صار في + +205 +00:18:39,220 --> 00:18:44,480 +عنده استجابة لـ severe painful stimuli وهذا التحسن + +206 +00:18:44,480 --> 00:18:47,440 +في الـ severe painful stimuli الاستجابة لـ severe + +207 +00:18:47,440 --> 00:18:51,800 +painful stimuli دلت على ما هي عليه ماتغيرتش ولا + +208 +00:18:51,800 --> 00:18:55,960 +اتحسنت ففي هذه الحالة بيصير اسمه بـ resistant + +209 +00:18:55,960 --> 00:18:57,960 +vegetative state + +210 +00:19:14,560 --> 00:19:20,740 +في مصطلح كمان حاجة بيسموها locked in syndrome وهذا + +211 +00:19:20,740 --> 00:19:26,680 +يصاحبها paralysis of the muscles شلل كامل في + +212 +00:19:26,680 --> 00:19:31,560 +العضلات وبتشمل العضلات الإيرادية + +213 +00:19:36,350 --> 00:19:42,890 +لكن بيكون فيه عندي الـ Conscious full و ال + +214 +00:19:42,890 --> 00:19:48,510 +cognition fullلكن اهم شغل موجود عندى انه ال + +215 +00:19:48,510 --> 00:19:53,530 +voluntary muscles are paralyzed six subsets of the + +216 +00:19:53,530 --> 00:19:57,770 +neuro exam الان عشان انا اعمل neurological + +217 +00:19:57,770 --> 00:20:03,190 +examination في ست مكونات رئيسية انا بدي اعملها + +218 +00:20:03,190 --> 00:20:07,990 +assessment و اعملها examination اولا بدي افحص ال + +219 +00:20:07,990 --> 00:20:15,320 +mental statusبدي افحص ال cranial nerves بدي افحص + +220 +00:20:15,320 --> 00:20:20,940 +ال motor بدي افحص ال sensory function بدي افحص ال + +221 +00:20:20,940 --> 00:20:25,280 +coordination و ال reflexesأنا ك physiotherapist + +222 +00:20:25,280 --> 00:20:30,300 +ممكن انا ما اتطرق لك كل هدول بشكل مفصل ممكن انا + +223 +00:20:30,300 --> 00:20:35,220 +امر على هذه الشغلات بشيء سريع مع شيء من التخصيص و + +224 +00:20:35,220 --> 00:20:38,780 +التفصيل ايه ك physiotherapist للموتور و ال sensory + +225 +00:20:38,780 --> 00:20:43,060 +و ال coordination و ال reflexes لكن ال cranial + +226 +00:20:43,060 --> 00:20:46,080 +nerves طبعا فيه ايه لها specialized test ممكن + +227 +00:20:46,080 --> 00:20:51,000 +اعمله cranial nerve فيه ايه لها specialized test + +228 +00:20:51,000 --> 00:20:55,900 +ممكن ينعمللكن أنا بالنسبة لي كفيزوفرابيست ممكن في + +229 +00:20:55,900 --> 00:20:59,300 +بعض الحلات الريفرال نيرب انجري زي في حلات ال + +230 +00:20:59,300 --> 00:21:03,860 +facial nerve injury أعمل facial nerve assessment + +231 +00:21:03,860 --> 00:21:09,720 +بشيء من التفصيل و detailed examination of facial + +232 +00:21:09,720 --> 00:21:15,390 +nerveلكن بشكل عام بشكل سريع ممكن انا مابطرق لهذه + +233 +00:21:15,390 --> 00:21:18,450 +ال assessment تبعتي لأن انا ك physiotherapist ممكن + +234 +00:21:18,450 --> 00:21:23,610 +اركز على ال motor sensory coordination في حين انه + +235 +00:21:23,610 --> 00:21:29,310 +cranial nerves mental status ممكن اعرج عليها في + +236 +00:21:29,310 --> 00:21:35,080 +بعض الحالاتوخصوصا لما بنكون شغال ضمن ال + +237 +00:21:35,080 --> 00:21:38,660 +rehabilitation team clinical features of damage to + +238 +00:21:38,660 --> 00:21:40,880 +the nervous system او to the central nervous + +239 +00:21:40,880 --> 00:21:43,740 +system اذا ال clinical features of the central + +240 +00:21:43,740 --> 00:21:50,100 +nervous system damage بتختلف وفي عندى انا varying + +241 +00:21:50,100 --> 00:21:57,020 +featuresبيعتمد على عدة شغلات أول حاجة ال site of + +242 +00:21:57,020 --> 00:22:02,080 +injury المكان اللي صار فيه الإصابة يعني لما بحكي + +243 +00:22:02,080 --> 00:22:05,960 +أنا على إصابة في ال brain غير عن لما بحكي عن إصابة + +244 +00:22:05,960 --> 00:22:10,980 +في ال spinal cord لما بحكي في ال spinal cord لما + +245 +00:22:10,980 --> 00:22:15,080 +يكون في عندي إصابة في منطقة ال cervical area غير + +246 +00:22:15,080 --> 00:22:18,480 +لما بحكي عن إصابة في منطقة ال thoracic أو اللمبر + +247 +00:22:18,480 --> 00:22:20,180 +ال extent + +248 +00:22:22,620 --> 00:22:27,940 +لأي مدى صارت ضرر على + +249 +00:22:27,940 --> 00:22:33,040 +سبيل المثال منطقة في الـ brain الـ focal area او + +250 +00:22:33,040 --> 00:22:38,240 +الـ localized area صار فيها injury غير لما يكون في + +251 +00:22:38,240 --> 00:22:43,400 +عندي diffuse area صار فيها injury لا يوجد اثنين + +252 +00:22:43,400 --> 00:22:47,260 +مستخدمين مختلفين في الاختصارات الكلينيكية حتى لو + +253 +00:22:47,260 --> 00:22:49,240 +كانوا لديهم نفس الdiagnosis + +254 +00:22:54,120 --> 00:22:59,760 +مهم جدا لنا ان احنا نعرف ان مافي اتنين مرضى لهم + +255 +00:22:59,760 --> 00:23:06,180 +نفس الأعراض حتى وان كانوا بنفس التشخيص نفس مكان + +256 +00:23:06,180 --> 00:23:11,820 +إصابة نفس مستوى الإصابة نفس severity of the injury + +257 +00:23:11,820 --> 00:23:19,620 +لكن في عند بعضالـ general clinical features اللي + +258 +00:23:19,620 --> 00:23:24,980 +بتكون موجودة بعض هذه ال features ممكن يكون في عندك + +259 +00:23:24,980 --> 00:23:29,140 +cognitive و emotional changes ما يتعلق بال + +260 +00:23:29,140 --> 00:23:33,920 +cognitive function physical dysfunction وهذا طبعا + +261 +00:23:33,920 --> 00:23:39,980 +بيصير فيها تفاوت ما بين الإصابات ما بينها وبين + +262 +00:23:39,980 --> 00:23:44,380 +بعضها البعض in coordination of the movement + +263 +00:23:54,080 --> 00:23:58,820 +التاكسيا الانفجار الانفجار + +264 +00:24:00,500 --> 00:24:05,900 +Dystonia previously known as athetosis الحركات + +265 +00:24:05,900 --> 00:24:09,940 +الأثيتوزيس اللي هي حركات لا إرادية في ال upper + +266 +00:24:09,940 --> 00:24:16,240 +limbs يعني إحنا بنحكي على مجموعة من ال signs و ال + +267 +00:24:16,240 --> 00:24:20,100 +symptoms أو مجموعة من ال features اللي ممكن نشوفها + +268 +00:24:20,100 --> 00:24:26,260 +في إصابات ال central nervous system Perceptual + +269 +00:24:26,260 --> 00:24:31,750 +disturbancesبعض الحالات ممكن يصير فيه عنده في ال + +270 +00:24:31,750 --> 00:24:35,750 +perception استقبال الإشارات ممكن يصير فيه عنده + +271 +00:24:35,750 --> 00:24:42,130 +visual disturbances إذا صار في عندي لمركز النظر + +272 +00:24:42,130 --> 00:24:45,510 +injury ممكن يصير في عندي visual disturbances + +273 +00:24:45,510 --> 00:24:49,970 +auditory لو صار في عندي مشكلة في ال auditory + +274 +00:24:49,970 --> 00:24:52,890 +centers في ال high center في ال brain أو في ال + +275 +00:24:52,890 --> 00:24:58,550 +cortexcommunication disturbances إذا حصل في مركز + +276 +00:24:58,550 --> 00:25:02,610 +الـ speech، مركز السمع، مركز ال cognition، الفهم، + +277 +00:25:02,610 --> 00:25:05,690 +كل هذه ممكن تأثر على عملية الـ communication + +278 +00:25:05,690 --> 00:25:10,150 +autonomic disturbances إذا حصل في عندي الـ + +279 +00:25:10,150 --> 00:25:13,030 +autonomic nervous system affection ممكن يحصل في + +280 +00:25:13,030 --> 00:25:17,230 +عندي في الـ autonomic function زي الـ bowel + +281 +00:25:17,230 --> 00:25:22,070 +bladder functions ممكن يكون فيها بعض الـ affection + +282 +00:25:23,740 --> 00:25:27,800 +كامثلة على الـ disturbances اللي ممكن تصير في + +283 +00:25:27,800 --> 00:25:31,880 +الجسم as a result of central nervous system + +284 +00:25:31,880 --> 00:25:35,840 +injuries neurological + +285 +00:25:35,840 --> 00:25:40,220 +assessment شو تعريفها؟ عشان نفهم احنا الان + +286 +00:25:40,220 --> 00:25:44,980 +neurological assessment بنكون عارفين انه it's an + +287 +00:25:44,980 --> 00:25:53,700 +ongoing process هي عملية مستمرة ما بتنتهيبالجلس + +288 +00:25:53,700 --> 00:26:00,320 +الأولى وهي + +289 +00:26:00,320 --> 00:26:09,920 +جزء أساسي من عملية العلاج كل عملية علاج + +290 +00:26:09,920 --> 00:26:18,150 +تبدأ بـ Assessmentكل جلسة علاجية احنا بنعملها لازم + +291 +00:26:18,150 --> 00:26:22,250 +نعمل في بدايتها assessment عشان نشوف شو صار عند + +292 +00:26:22,250 --> 00:26:26,590 +المريض و لوين وصلت الحالة تبعت المريض عشان ابدأ + +293 +00:26:26,590 --> 00:26:30,930 +اختار الشيء المناسب للمريض assessment of a + +294 +00:26:30,930 --> 00:26:35,430 +neurological patient is a complex multifaceted and + +295 +00:26:35,430 --> 00:26:40,710 +contains many interrelated elements يعني عملية ال + +296 +00:26:40,710 --> 00:26:45,820 +assessment هي عملية مستمرة زي ما حكيناالـ M لها + +297 +00:26:45,820 --> 00:26:52,640 +عدة أوجه ومعقدة من ناحية ان كل شيء مبني على الآخر + +298 +00:26:52,640 --> 00:27:06,620 +مابقدر اهمل اي part of the assessment انصار + +299 +00:27:06,620 --> 00:27:11,200 +متداخلة مع بعضها البعض عشان افحصها لازم افحصها + +300 +00:27:11,200 --> 00:27:17,840 +كلها مع بعضعادةً يحدث التجارب على عدد مرات مع + +301 +00:27:17,840 --> 00:27:22,800 +المستخدم لأن تحميل تجارب كامة في محاولة واحدة يكون + +302 +00:27:22,800 --> 00:27:29,340 +عادةً مزعج للمستخدم مهم جدا أننا نعرف أننا لما بدي + +303 +00:27:29,340 --> 00:27:34,040 +أعمل تجارب ما بقدر أعمل تجارب في مرات واحد عشان + +304 +00:27:34,040 --> 00:27:38,640 +هيك ممكن انا يكون تاخد تجارب كامة معايا two + +305 +00:27:38,640 --> 00:27:43,130 +sessions three sessions وممكن أكتر وممكن أقللأن + +306 +00:27:43,130 --> 00:27:48,830 +حالة المريض لا يستطيع أن يتحمل أن أعمله الـ full + +307 +00:27:48,830 --> 00:27:53,730 +assessment في one session، بيتعب، وإذا صار تعب، + +308 +00:27:53,730 --> 00:28:01,370 +سيصير الاستجابات مش دقيقة ومش كما يجب في عملية ال + +309 +00:28:01,370 --> 00:28:05,380 +assessmentGathering the necessary information over + +310 +00:28:05,380 --> 00:28:08,620 +longer periods of time often gives a much more + +311 +00:28:08,620 --> 00:28:11,820 +accurate picture of the patient's strength and + +312 +00:28:11,820 --> 00:28:16,880 +difficulties عملية الـ Assessment اللي بتاخد معايا + +313 +00:28:16,880 --> 00:28:23,600 +عدة جلسات بتكون أدق لأنه أنا جمعت المعلومات على + +314 +00:28:23,600 --> 00:28:30,590 +فترات طويلة وهذه طبعا الفترات الطويلةإذا عملية جمع + +315 +00:28:30,590 --> 00:28:36,250 +البيانات على مدى جلسات متواصلة تعطيني فرصة أن أخد + +316 +00:28:36,250 --> 00:28:41,870 +صورة صحيحة عن حالة المريض عن قوة العضلات عن + +317 +00:28:41,870 --> 00:28:44,970 +الصعوبات اللي بواجهها المريض + +318 +00:28:48,440 --> 00:28:51,660 +عشان اعمل neurological assessment فيه لازم يكون في + +319 +00:28:51,660 --> 00:28:56,260 +عندى التوفر عندى العناصر التالية لازم اعمل + +320 +00:28:56,260 --> 00:29:01,400 +interview لازم اكون انا قعدت مع المريض في بعض + +321 +00:29:01,400 --> 00:29:05,560 +الحالات ال family او ال relatives اللى موجودين مع + +322 +00:29:05,560 --> 00:29:10,560 +المريض لازم انا اشوف ال level of consciousness عند + +323 +00:29:10,560 --> 00:29:16,230 +المريض لازم اشوف bibliary assessmentCranial nerve + +324 +00:29:16,230 --> 00:29:21,750 +testing Vital signs Motor function Sensory + +325 +00:29:21,750 --> 00:29:26,290 +function Tone Cerebral function وزي ما حكينا من + +326 +00:29:26,290 --> 00:29:30,990 +البداية انه احنا ك فيزيو ثيرابستبنمر على بعض + +327 +00:29:30,990 --> 00:29:36,870 +الشغلات هنا مرور لكن هنا ممكن انه احنا نفصل بشكل + +328 +00:29:36,870 --> 00:29:40,990 +كبير جدا فيما يتعلق بعملنا في ال motor و ال + +329 +00:29:40,990 --> 00:29:45,370 +sensory و ال tone و ال functional assessment في + +330 +00:29:45,370 --> 00:29:47,810 +عملية ال interview with the patient اللي احنا + +331 +00:29:47,810 --> 00:29:51,940 +بنسميها clinical interviewas in all assessments + +332 +00:29:51,940 --> 00:29:56,000 +obtaining through subjective history is very + +333 +00:29:56,000 --> 00:30:01,400 +important هي عبارة عن subjective data انا باسمع + +334 +00:30:01,400 --> 00:30:05,980 +للمريض او ال relatives و باخد منها معلومات مهمة + +335 +00:30:05,980 --> 00:30:11,200 +جدا this can come from a variety of sourcesمصدر + +336 +00:30:11,200 --> 00:30:15,060 +المعلومات اللي انا بدي اخد منها ال subjective data + +337 +00:30:15,060 --> 00:30:19,940 +ممكن تكون متعدد زي ما حكينا ممكن اخد من ال medical + +338 +00:30:19,940 --> 00:30:23,620 +notes و خصوصا اذا انا كنت بقى اشتغل في + +339 +00:30:23,620 --> 00:30:27,880 +rehabilitation hospital و تم تقييم المريض و المريض + +340 +00:30:27,880 --> 00:30:33,260 +محول من مستشفى اخر فانا ممكن اخد ال medical notes + +341 +00:30:33,260 --> 00:30:37,320 +شو كتبوا الزملاء اللي موجودين او من ال nursing + +342 +00:30:37,320 --> 00:30:44,900 +notesمن المريض ممكن اخد من ال relatives carers + +343 +00:30:44,900 --> 00:30:48,660 +الناس اللي بيعتنوا بالمريض هذا ممكن في بعض الحالات + +344 +00:30:48,660 --> 00:30:56,140 +يكون هذا المريض في مركز رعايته وفي أشخاصهم اللي + +345 +00:30:56,140 --> 00:30:59,660 +بيقوموا على رعايتهم فهذولا هم يبدوا يكونوا مصدر + +346 +00:30:59,660 --> 00:31:05,120 +المعلوماتالمقابلة الأولى يمكن أن تكون مهمة للغاية + +347 +00:31:05,120 --> 00:31:09,220 +ليس فقط لجمع المعلومات ولكن أيضًا لأن هذا هو + +348 +00:31:09,220 --> 00:31:12,960 +المكان الذي يبدأ استخدام رابورت مع المستخدم + +349 +00:31:12,960 --> 00:31:20,960 +ومهاجره وفي هذه الحالة نقول المقابلة الأولى هي جزء + +350 +00:31:20,960 --> 00:31:25,120 +مهم من عملية العلاج ليس فقط لأننا بجمع فيها + +351 +00:31:25,120 --> 00:31:30,600 +معلومات لأن كمان من خلال اللقاء الأول أنا بدأت + +352 +00:31:30,600 --> 00:31:35,010 +أكون علاقةعندما اتقبلت مع المريض و بدأ يتقبلني + +353 +00:31:35,010 --> 00:31:40,850 +كمعالج له المريض في هذه الحالة و اللقاء الأول إذا + +354 +00:31:40,850 --> 00:31:44,990 +المريض تقبلني فيه هيتقبلني فيه مابعده لكن إذا + +355 +00:31:44,990 --> 00:31:49,110 +اللقاء الأول كان فيه صعوبة في تقبل ال therapist من + +356 +00:31:49,110 --> 00:31:53,230 +جهة المريض هيكون فيه مشكلة في باقي الجلسات على + +357 +00:31:53,230 --> 00:31:58,360 +المدى البعيدباخد في ال interview او شغلات اللي انا + +358 +00:31:58,360 --> 00:32:01,340 +بدي اركز عليها في ال interview طبعا في عندي ال + +359 +00:32:01,340 --> 00:32:05,340 +gathering information أو gathering data ممكن تكون + +360 +00:32:05,340 --> 00:32:09,500 +ال data هذه subjective و ممكن تكون objective about + +361 +00:32:09,500 --> 00:32:13,640 +the patients previous present health states بدي + +362 +00:32:13,640 --> 00:32:17,020 +اشوف شو في عنده أمراض شو في عنده أمراض سابقة شو + +363 +00:32:17,020 --> 00:32:21,680 +اتعرض لحالاتو مهم جدا كمان ان انا اسأل عن ال + +364 +00:32:21,680 --> 00:32:26,240 +functional condition previous functional status + +365 +00:32:26,240 --> 00:32:32,340 +انا ك physiotherapist بدي اركز على شو كان المستوى + +366 +00:32:32,340 --> 00:32:37,580 +الوظيفي للمريض كان بيمشي بيمشيش كيف كان وضعه قبل + +367 +00:32:37,580 --> 00:32:43,210 +ما يصير معاه الحالة او الإصابة الجديدةprovide + +368 +00:32:43,210 --> 00:32:47,850 +information to patients and family وهم جدا انه + +369 +00:32:47,850 --> 00:32:52,010 +احنا في عملية ال interview كمان بنقدم معلومات و + +370 +00:32:52,010 --> 00:32:56,170 +بنشرح للمريض و العائلة تبعته شو المرض اللي موجود و + +371 +00:32:56,170 --> 00:33:01,290 +شو هيكون هدفنا من عملية العلاج و شو بلزمنا في + +372 +00:33:01,290 --> 00:33:06,450 +عملية العلاج clarify information بعض المعلومات + +373 +00:33:06,450 --> 00:33:12,030 +اللي بتكون خاطئةعند المريض ممكن انه احنا نوضحها من + +374 +00:33:12,030 --> 00:33:17,250 +خلال عملية ال interview الأولى make appropriate + +375 +00:33:17,250 --> 00:33:22,470 +reference في بعض الحالات انه انا بلزمني انه احول + +376 +00:33:22,470 --> 00:33:29,890 +المريض لجهة اخرى عشان اخد اكتر بيانات اخد دقة في + +377 +00:33:29,890 --> 00:33:33,610 +البيانات اللي موجودة عنده ممكن احوله لطبيب اخر + +378 +00:33:33,610 --> 00:33:39,190 +لتخصص اخر حسب الحال اللي موجود عندهDevelop a good + +379 +00:33:39,190 --> 00:33:42,770 +working relationship with both the patient and the + +380 +00:33:42,770 --> 00:33:47,710 +family.كمان اللقاء الأول قلنا أنه بتكون أو بساعد + +381 +00:33:47,710 --> 00:33:52,050 +في بناء علاقة جيدة ما بين ال therapist و ما بين + +382 +00:33:52,050 --> 00:33:56,850 +المريض و عائلته.Initiate the development of + +383 +00:33:56,850 --> 00:34:01,110 +written plan of care which is patient specific + +384 +00:34:01,110 --> 00:34:12,090 +عمليةبناء الخطة العلاجية الخاصة بهذا المريض هذه + +385 +00:34:12,090 --> 00:34:17,710 +العناصر اللي احنا حكيناها في ال interview الان لما + +386 +00:34:17,710 --> 00:34:21,690 +بدانيكي نحكي و احنا بنعمل ال interview و في عندنا + +387 +00:34:21,690 --> 00:34:25,170 +ال history اللي احنا بناخده من خلال ال interview + +388 +00:34:25,170 --> 00:34:29,250 +شو بدي اسألك ال history؟ شو الشغلات اللي انا بدي + +389 +00:34:29,250 --> 00:34:33,940 +اركز عليها عندما اسأل ال history؟ما بدي اخل المريض + +390 +00:34:33,940 --> 00:34:39,820 +يحكي لي بيانات ومعلومات ما بتلزمني كتير وفي نفس + +391 +00:34:39,820 --> 00:34:44,440 +الوقت بدي احافظ على ان انا ما اصد المريض في أثناء + +392 +00:34:44,440 --> 00:34:50,220 +الكلام لكن بدي احاول اخد ال chief complaint الشكوه + +393 +00:34:50,220 --> 00:34:56,400 +الرئيسية مع المريض history of present illness متى + +394 +00:34:56,400 --> 00:35:03,360 +بدأت الحالة؟مع المريض الحالي اللى موجود الآن لسبب + +395 +00:35:03,360 --> 00:35:08,340 +دخوله للمستشفى باست medical history بدي اسأل عنها + +396 +00:35:08,340 --> 00:35:13,900 +كمان وهذه طبعا تشمل شو في عنده illnesses سابقة + +397 +00:35:13,900 --> 00:35:19,580 +سواء كان ديابيتا، سايبرتنشن، اي ان كان اذا كان في + +398 +00:35:19,580 --> 00:35:22,920 +عنده بعض ال medications اشوف شو باخد medications + +399 +00:35:22,920 --> 00:35:27,190 +لأن في بعض ال medications بتأثر علىالـ level of + +400 +00:35:27,190 --> 00:35:29,990 +consciousness بتأثر على ال level of concentration + +401 +00:35:29,990 --> 00:35:34,170 +وبالتالي بدي أعرف شو اللي موجود عند المريض من + +402 +00:35:34,170 --> 00:35:40,370 +علاجات بياخدهم hospitalization and surgery جداش + +403 +00:35:40,370 --> 00:35:46,230 +قعد في المستشفيات إذا تعمله خليني نقول جداش الفترة + +404 +00:35:46,230 --> 00:35:49,950 +اللي قضوها في المستشفى إذا كان استدعى الأمر مبيت + +405 +00:35:49,950 --> 00:35:54,940 +في المستشفىسيرجيري ايش فيه عمليات جراحية عاملة + +406 +00:35:54,940 --> 00:36:00,560 +الارجيس ايش في عنده حساسية سواء كانت حساسية للدواء + +407 +00:36:00,560 --> 00:36:04,640 +الحساسية لبعض المواد الموجودة كل أنواع الحساسية + +408 +00:36:04,640 --> 00:36:09,100 +اذا في عنده اي نوع من الحساسية بدنا نكون واضحين + +409 +00:36:09,100 --> 00:36:14,260 +ونكتب عنا في ال history من ضمن ال history اللي + +410 +00:36:14,260 --> 00:36:20,130 +بيكون موجود كمان بدنا نحكي عن ال family historyمع + +411 +00:36:20,130 --> 00:36:25,710 +مين عايش؟ كيف عايش؟ الوضع اللى موجود في مين الشخص + +412 +00:36:25,710 --> 00:36:30,510 +اللى بيقوم برعايته ال social history الوضع + +413 +00:36:30,510 --> 00:36:35,990 +الاجتماعى وخصوصا ما يتعلق بالعمل مصدر الرزق اذا + +414 +00:36:35,990 --> 00:36:41,770 +كان هو هذا مصدر الدخل الوحيد للأسرة فبدنا نعرف كيف + +415 +00:36:41,770 --> 00:36:44,370 +ممكن ان هم يدبروا حالهم + +416 +00:36:47,130 --> 00:36:50,870 +المعلومات اللي احنا بناخدها هنا ممكن نحولهم على ال + +417 +00:36:50,870 --> 00:36:54,990 +social workers عشان يساعدهم ويساعدوا الأسرة في هذا + +418 +00:36:54,990 --> 00:37:02,770 +الجانب Review of systems بنراجع أجهزة الجسم بشكل + +419 +00:37:02,770 --> 00:37:07,590 +عام يعني خلينا نقول ال central nervous system ال + +420 +00:37:07,590 --> 00:37:13,310 +skin progression of the conditionكيف وصلت اتطورت + +421 +00:37:13,310 --> 00:37:18,430 +الحالة history of present condition وخلال ال + +422 +00:37:18,430 --> 00:37:22,010 +history of present condition نعرف progression of + +423 +00:37:22,010 --> 00:37:25,270 +the condition كيف اتطورت الحالة وكيف وصلت للوضع + +424 +00:37:25,270 --> 00:37:31,690 +اللي موجود فيه اليوم date of onsetof signs and + +425 +00:37:31,690 --> 00:37:36,150 +symptoms متى بدت تظهر العلامات اللى موجودة حاليا + +426 +00:37:36,150 --> 00:37:40,450 +ال clinical features medical management شو العلاج + +427 +00:37:40,450 --> 00:37:46,590 +الطبي اللى بياخده medical observations other + +428 +00:37:46,590 --> 00:37:50,910 +managements previous therapy شوفي أخد علاجات سابقة + +429 +00:37:50,910 --> 00:37:54,650 +فيزي ثرابي أو أي ان كان نوع العلاج اللى أخده قبل + +430 +00:37:54,650 --> 00:38:02,690 +هيكسؤال عن نتائج الفحوصات اللي انعملت سواء كانت x + +431 +00:38:02,690 --> 00:38:09,330 +-ray او CT MRI او بعض blood test حسب الحالة باس + +432 +00:38:09,330 --> 00:38:10,250 +medical history + +433 +00:38:16,980 --> 00:38:23,100 +مزمنة مزمنة مزمنة مزمنة مزمنة مزمنة مزمنة مزمنة + +434 +00:38:23,100 --> 00:38:29,580 +مزمنة مزمنة + +435 +00:38:29,580 --> 00:38:38,550 +مزمنة مزمنةعكا كيز أو ووكار أو ويلت شيرز تكنولوجي + +436 +00:38:38,550 --> 00:38:43,350 +ديبندنسي ايش بيعتمد ممكن يكون بيعتمد على سماعات في + +437 +00:38:43,350 --> 00:38:47,790 +السماع او اي ان كان الأدوات المساعدة اللي بيحتاجها + +438 +00:38:47,790 --> 00:38:52,730 +في حياتهPrevious surgeries ايش في عنده عملية + +439 +00:38:52,730 --> 00:38:57,370 +جراحية سابقة ايش عنده drug history او خلينا نقول + +440 +00:38:57,370 --> 00:39:01,050 +medication او medicine history التاريخ العلاج ايش + +441 +00:39:01,050 --> 00:39:05,470 +بياخد علاجات قبل هيك social history social + +442 +00:39:05,470 --> 00:39:09,430 +situation وضعه الاجتماعي متزوج اعزف جد ايش في عنده + +443 +00:39:09,430 --> 00:39:16,310 +ولاد ال family supportكيف عايش ضمن أسرة ولا لأ مين + +444 +00:39:16,310 --> 00:39:21,750 +بيعول بيه accommodation social service supportمين + +445 +00:39:21,750 --> 00:39:27,110 +بيرعاه و مين بيقدمله خدمات اجتماعية خلنا نقول كيف + +446 +00:39:27,110 --> 00:39:30,670 +عايشه على ايش بيعتمد شو ال social support اللي + +447 +00:39:30,670 --> 00:39:35,530 +بياخده اذا كان موجود لان بعد ما خلصنا ال history + +448 +00:39:35,530 --> 00:39:38,810 +بدنا نبدأ في عملية ال examination ال clinical + +449 +00:39:38,810 --> 00:39:43,490 +examination بدنا نكون عارفين انه الهدف الرئيسي لل + +450 +00:39:43,490 --> 00:39:45,830 +examination clinical examination هي gathering + +451 +00:39:45,830 --> 00:39:46,810 +information + +452 +00:39:52,670 --> 00:40:01,670 +هدفنا الرئيسي نعرف شو مستوى ال movements وشو مستوى + +453 +00:40:01,670 --> 00:40:04,650 +ال function اللي موجود عند المرض + +454 +00:40:07,000 --> 00:40:12,540 +التجارب التجارية تعمل من خلال مجموعه وتركز على + +455 +00:40:12,540 --> 00:40:19,660 +مستوى قبل مستوى عملية الطب والعملية ADLالان طبيعة + +456 +00:40:19,660 --> 00:40:24,560 +ال examination اذا احنا بنحكي على physical + +457 +00:40:24,560 --> 00:40:28,640 +examination ممكن انا ك physiotherapist اقوم بيها + +458 +00:40:28,640 --> 00:40:32,600 +لوحدى و ممكن اكون ضمن فريق اذا كنت .. بالذات اذا + +459 +00:40:32,600 --> 00:40:36,040 +كنت انا بقى اشتغل في rehabilitation hospital كل + +460 +00:40:36,040 --> 00:40:39,700 +الشغل هذا بدي يكون ضمن الفريق physician and the + +461 +00:40:39,700 --> 00:40:43,480 +physiotherapist can observe the patient طبيب و + +462 +00:40:43,480 --> 00:40:48,470 +physiotherapist بيبدوا يلاحظوا المريضكيف هو بيمشي + +463 +00:40:48,470 --> 00:40:53,510 +في أوضاع مختلفة، شو الصعوبات اللي بيواجهها، إذا + +464 +00:40:53,510 --> 00:40:57,770 +كان بيقدر يمشي، بيقدرش يمشي، كل هذه الأمور ممكن + +465 +00:40:57,770 --> 00:41:02,370 +إنها تنعمل ضمن الفريق occupational therapist + +466 +00:41:02,370 --> 00:41:06,470 +assists the patient performance of activity of + +467 +00:41:06,470 --> 00:41:10,230 +daily living كمان مهم جدا ال occupational + +468 +00:41:10,230 --> 00:41:14,310 +therapist شو التدخلات اللي بيعملها عشان يساعد + +469 +00:41:14,310 --> 00:41:19,610 +المريض في أداءعلى سبيل المثال الـ Rehabilitation + +470 +00:41:19,610 --> 00:41:25,730 +nurses assist the safety and judgment of patients + +471 +00:41:25,730 --> 00:41:35,590 +while inside the hospital المدى الأمان و الحكم على + +472 +00:41:35,590 --> 00:41:40,670 +الأشياء من قبل المريض كيف بتصرف المريض و هل هو آمن + +473 +00:41:40,670 --> 00:41:45,390 +المريض انه يعمل هذه الشيء لوحده ولا بلزمه مساعدة + +474 +00:41:46,220 --> 00:41:52,900 +Speech Therapist بيساعد في عملية ال language and + +475 +00:41:52,900 --> 00:41:56,500 +through specific communication skills وبساعدنا في + +476 +00:41:56,500 --> 00:42:01,840 +اتباع طريقة لل communication مع هذا المريض على + +477 +00:42:01,840 --> 00:42:07,740 +سبيل المثال بعض الحالات بنلاقي ان المريض بيقرألكن + +478 +00:42:07,740 --> 00:42:14,600 +بيقدرش يتكلم فممكن ال speech therapist يجدنا طريقة + +479 +00:42:14,600 --> 00:42:20,500 +للتواصل معاه بحيث انه يسهل عملية التواصل ممكن يحط + +480 +00:42:20,500 --> 00:42:24,160 +عند المريض حاجة يسموها communication board بحيث ان + +481 +00:42:24,160 --> 00:42:29,900 +هذا ال board او هذه الورقةموجود فيها بعض ال + +482 +00:42:29,900 --> 00:42:33,700 +functions الأساسية اللى بتكون موجودة أو بيحتاجها + +483 +00:42:33,700 --> 00:42:36,900 +المريض بدي أكل بدي أشرب على سبيل المثال بدي أجلب + +484 +00:42:36,900 --> 00:42:41,380 +على اليمين بدي أجلب على الشمال بدي أجعد فعلى سبيل + +485 +00:42:41,380 --> 00:42:46,460 +المثال بصير المريض أنه لما بدي يطلب أي خدمة ال + +486 +00:42:46,460 --> 00:42:51,060 +therapist أو ال nurse بس يورجي ال communication + +487 +00:42:51,060 --> 00:42:55,350 +board هذاوالمريض يفتح الشيء اللي يريده الشيء الـ + +488 +00:42:55,350 --> 00:42:57,670 +order اللي يريده الشيء اللي يريده الشيء اللي يريده + +489 +00:42:57,670 --> 00:42:58,710 +الشيء اللي يريده الشيء اللي يريده الشيء اللي يريده + +490 +00:42:58,710 --> 00:42:58,730 +الشيء اللي يريده الشيء اللي يريده الشيء اللي يريده + +491 +00:42:58,730 --> 00:42:58,830 +الشيء اللي يريده الشيء اللي يريده الشيء اللي يريده + +492 +00:42:58,830 --> 00:42:58,870 +الشيء اللي يريده الشيء اللي يريده الشيء اللي يريده + +493 +00:42:58,870 --> 00:43:00,770 +الشيء اللي يريده الشيء اللي يريده الشيء اللي يريده + +494 +00:43:00,770 --> 00:43:08,750 +الشيء اللي يريده الشيء + +495 +00:43:08,750 --> 00:43:15,270 +اللي يمن خلال التعامل مع المريض والعائلة تقدر تقدر + +496 +00:43:15,270 --> 00:43:17,750 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +497 +00:43:17,750 --> 00:43:20,910 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +498 +00:43:20,910 --> 00:43:21,750 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +499 +00:43:21,750 --> 00:43:21,910 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +500 +00:43:21,910 --> 00:43:22,650 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +501 +00:43:22,650 --> 00:43:27,230 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +502 +00:43:27,230 --> 00:43:38,850 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر ت + +503 +00:43:39,100 --> 00:43:44,280 +هو الـ T mark بيشتغل سواء كان فيزي ثيرابيست، + +504 +00:43:44,280 --> 00:43:52,280 +فيزيشن، نارس، كيبشانال ثيرابيست، social worker، + +505 +00:43:52,280 --> 00:43:56,760 +الpsychologist كل هدولة بدهم يكونوا مع بعض أو كل + +506 +00:43:56,760 --> 00:44:01,040 +واحدة على حدة لكن مهم جدا لهم عملية ال meeting بعد + +507 +00:44:01,040 --> 00:44:07,240 +نهاية الاسسمة الـ neurological examination اللي + +508 +00:44:07,240 --> 00:44:15,620 +احنا بدناهبنعملها ونشوف مريضنا وين موصل فيها الهدف + +509 +00:44:15,620 --> 00:44:19,560 +الرئيسي للتجارب النيورو هي تلاتراليزي و تلوكاليزي + +510 +00:44:19,560 --> 00:44:20,900 +الهدف الرئيسي للتجارب النيورو هي تلاتراليزي و + +511 +00:44:20,900 --> 00:44:23,480 +تلوكاليزي الهدف للتجارب النيورو هي تلاتراليزي و + +512 +00:44:23,480 --> 00:44:29,600 +تلوكاليزي الهدف للتجارب النيورو هي تلاتراليزي + +513 +00:44:29,600 --> 00:44:33,620 +و تلوكاليزي الهدف للتجارب النيورو هي تلاتراليزي + +514 +00:44:33,620 --> 00:44:35,600 +الهدف للتجارب النيورو هي تلاتراليزي الهدف للتجارب + +515 +00:44:35,600 --> 00:44:40,800 +النيورو هي تلاتراليزي الهدفالـ mental status كيف + +516 +00:44:40,800 --> 00:44:44,680 +حالة المريض من ناحية عقلية من ناحية cognition من + +517 +00:44:44,680 --> 00:44:50,460 +ناحية level of consciousness ال cranial nerve + +518 +00:44:50,460 --> 00:44:57,180 +assessment ال reflexes ال deep tendal reflexes ال + +519 +00:44:57,180 --> 00:45:00,200 +motor function + +520 +00:45:00,770 --> 00:45:05,330 +سنسورى فانكشن سيرابيلار فانكشن كمان مرة زى ما + +521 +00:45:05,330 --> 00:45:08,990 +حكينا انه احنا كفيزيو ثيرابيست في بعض الشغلات هم + +522 +00:45:08,990 --> 00:45:14,930 +بنمر عليها مرور في شغلات بنركز عليها بشكل أسرع أو + +523 +00:45:14,930 --> 00:45:21,110 +بنركز عليها بشكل مفصل مع المريض فعالية ال + +524 +00:45:21,110 --> 00:45:24,710 +assessment كمان ممكن احنا نشوف functional + +525 +00:45:24,710 --> 00:45:29,470 +assessmentوهذه طبعا بنعمل assessment لبعض ال + +526 +00:45:29,470 --> 00:45:34,090 +activities ال normal daily routine شو الشغلات اللى + +527 +00:45:34,090 --> 00:45:38,730 +بيقوم فيها المريض بشكل يومي ال employment ال + +528 +00:45:38,730 --> 00:45:44,010 +leisure activities اوقات الفراغ طبيعة عمله شو + +529 +00:45:44,010 --> 00:45:50,750 +بيعمل او كيف بتدبر فيه اثناء الحالة المرضية او شو + +530 +00:45:50,750 --> 00:45:55,250 +بدى يعمل فيه عمله في المستقبل هذه كلها شغلات بدنا + +531 +00:45:55,250 --> 00:46:01,830 +نقيمهاعشان بناء عليها نقدر نحط ال plan of action + +532 +00:46:01,830 --> 00:46:07,870 +كفيزو ثيرابيست و ك rehabilitation team بنقيم ال + +533 +00:46:07,870 --> 00:46:11,790 +mobility و احنا كفيزو ثيرابيست بنركز على ال + +534 +00:46:11,790 --> 00:46:17,130 +mobility general كيف مشاكل عام تجوم تتحرك ال + +535 +00:46:17,130 --> 00:46:25,070 +mobility indoors بنشوفها outdoors steps كيف يخطو + +536 +00:46:25,070 --> 00:46:29,580 +بعض الخطواتالـ Upstairs و Downstairs كيف بيطلع + +537 +00:46:29,580 --> 00:46:35,640 +الدرج و بينزل الدرج الـ Falls بعض إذا كان في خطر + +538 +00:46:35,640 --> 00:46:39,080 +أن يحصل في عنده falling في أثناء أداء هذه ال + +539 +00:46:39,080 --> 00:46:45,980 +activity الـ Personal care وهذا طبعا بتشمل ال + +540 +00:46:45,980 --> 00:46:53,710 +activity of daily livingكيف بيقدر يستخدم يغسل + +541 +00:46:53,710 --> 00:46:59,830 +وجهه، يغسل إيدي، ال dressing، يلبس ال continents، + +542 +00:46:59,830 --> 00:47:06,030 +هل في عنده تحكم في عمليات الإخراج سواء كان urine + +543 +00:47:06,030 --> 00:47:09,150 +continents أو bowel continents + +544 +00:47:13,160 --> 00:47:16,620 +بعض الشغلات الأخرى اللي احنا بنعملها assessment ال + +545 +00:47:16,620 --> 00:47:19,940 +vision لإنه مهم جدا إيه لإنه انا أشوف كيف المريض + +546 +00:47:19,940 --> 00:47:24,660 +بيشوف ولا ما بيشوفش إذا كان في صعوبة في النظربناء + +547 +00:47:24,660 --> 00:47:29,940 +عليها ستضع الخطط العلاجية ستساعد في عملية ال + +548 +00:47:29,940 --> 00:47:34,640 +communication كمان ال hearing برضه نفس الشيء لأنه + +549 +00:47:34,640 --> 00:47:38,340 +انا بدي اعطي instructions فبالتالي مهم جدا للمرض + +550 +00:47:38,340 --> 00:47:43,440 +ان يكون بيسمع عشان يفهم ال instructions عشان يبدأ + +551 +00:47:43,440 --> 00:47:48,940 +يطبق هذه ال instructions ال swallowing البلع و كيف + +552 +00:47:48,940 --> 00:47:54,190 +البلع موجود عنده هل في مشاكل مش مشاكلأي حالة + +553 +00:47:54,190 --> 00:47:58,670 +العضلات في عنده fatigue easily fatigue ولا لأ ال + +554 +00:47:58,670 --> 00:48:04,030 +pain هل + +555 +00:48:04,030 --> 00:48:09,110 +المريض بيشكوا من قلم في أثناء عمل ال activities + +556 +00:48:09,110 --> 00:48:13,450 +ولا في أثناء ال rest perception of own problems + +557 +00:48:13,450 --> 00:48:19,610 +main concern شو وجهة نظر المريض كمان عن مشاكله شو + +558 +00:48:19,610 --> 00:48:23,640 +اكتراحتمامات المريض في مشاكله يعني انا بدي مريض + +559 +00:48:23,640 --> 00:48:29,680 +مثلا بديه يمشي هو هام هدف عنده هو انه يرجع على + +560 +00:48:29,680 --> 00:48:34,520 +شغله فانا بدي ابدأ اوفق بين ال main concern of the + +561 +00:48:34,520 --> 00:48:38,140 +patient وما بين ال concern of the therapist عشان + +562 +00:48:38,140 --> 00:48:42,700 +يبدأ يحقق العلاج او الهدف من العلاج تبعه + +563 +00:48:42,700 --> 00:48:48,260 +expectations of treatmentلوين بده يصل من ال + +564 +00:48:48,260 --> 00:48:52,220 +treatment وهذا مهم جدا في عملية ال goal setting + +565 +00:48:52,220 --> 00:48:58,220 +سنحكي عنها لاحقا ان شاء الله رب العالمين هيكون + +566 +00:48:58,220 --> 00:49:02,780 +فيها طبعا شو المريض بيتوقع من العلاج وشو انا بقدر + +567 +00:49:02,780 --> 00:49:08,120 +اقدم للمريض في عملية العلاجيةكما بدنا نعمل + +568 +00:49:08,120 --> 00:49:10,880 +assessment لـ posture و ال balance نشوف ال + +569 +00:49:10,880 --> 00:49:15,300 +alignment إذا كان في عنده neglect و خصوصا مع مرضى + +570 +00:49:15,300 --> 00:49:22,700 +ال stroke الجلطة الدماغية هل نصف ال body half of + +571 +00:49:22,700 --> 00:49:27,280 +the body حاجة بيسموها hemineglect مهمل جزء من + +572 +00:49:27,280 --> 00:49:33,840 +الجسم أو نصف الجسم أو لأ sitting balance توازن في + +573 +00:49:33,840 --> 00:49:39,010 +أثناء الجلوس standing balanceالـ voluntary + +574 +00:49:39,010 --> 00:49:43,870 +movement، range of motion، strength، endurance، + +575 +00:49:43,870 --> 00:49:49,640 +coordinationفينجر تو نوز تست هيل تو شين تست رابدلي + +576 +00:49:49,640 --> 00:49:53,180 +alternating movements كل هذه حركات احنا بنعملها + +577 +00:49:53,180 --> 00:49:59,440 +عشان نركز أو نشوف شو في عند المريض بعض المشاكل + +578 +00:49:59,440 --> 00:50:05,200 +اللي ممكن احنا نساعده في حالها ونبدأ نحط خطة + +579 +00:50:05,200 --> 00:50:10,460 +علاجية مناسبة للمشاكل اللي موجودة عند المريض + +580 +00:50:15,260 --> 00:50:22,240 +عند المريض حركات لا إرادية ترمش كولناس كوريا + +581 +00:50:22,240 --> 00:50:24,160 +associated reactions + +582 +00:50:31,790 --> 00:50:35,570 +شو ال tone الموجود عند المريض هل في عنده + +583 +00:50:35,570 --> 00:50:39,630 +flaccidity و لا specificity و اذا كان في + +584 +00:50:39,630 --> 00:50:42,810 +specificity اي نوع من ال specificity هل هي class + +585 +00:50:42,810 --> 00:50:48,170 +knife و لا rigidity , cogwheel او lead pipe كل هذه + +586 +00:50:48,170 --> 00:50:56,310 +طبعا هنجيها بشيء من التفصيل لقدام ال reflexes دي + +587 +00:50:56,310 --> 00:51:02,310 +بتندر reflexesطبعا مجموعة اكتر deep tender reflex + +588 +00:51:02,310 --> 00:51:05,930 +اللي احنا بنعملها فحص ال biceps reflex و triceps + +589 +00:51:05,930 --> 00:51:11,930 +reflex ال knee و ال ankle reflex و ال plantar + +590 +00:51:11,930 --> 00:51:16,210 +response البابنسكي sign هاد طبعا الشغلات اللي احنا + +591 +00:51:16,210 --> 00:51:20,990 +بنفحصها و بنعملها assessment ك physiotherapist + +592 +00:51:23,400 --> 00:51:27,680 +Sensory Assessment تشمل light touch، pin prick، + +593 +00:51:27,680 --> 00:51:30,800 +two point discrimination، vibration sense أو sense + +594 +00:51:30,800 --> 00:51:34,700 +of vibration، joint position أو sense of position + +595 +00:51:34,700 --> 00:51:38,660 +of the joint، ال temperature، vision and hearing، + +596 +00:51:38,660 --> 00:51:44,460 +ال temperature طبعا عن طريق انبوبتين اختبارالواحد + +597 +00:51:44,460 --> 00:51:48,840 +بنحط فيها ماء بارد والاخر ماء ساخن أو دافع ونبدأ + +598 +00:51:48,840 --> 00:51:53,880 +نحطهم على ال areas اللي احنا بنعملها assessment of + +599 +00:51:53,880 --> 00:51:58,520 +temperature functional activities تشمل ال bed + +600 +00:51:58,520 --> 00:52:02,340 +mobilities ال rolling لل both sides، sitting، + +601 +00:52:02,340 --> 00:52:06,140 +moving in the bed بشكل عامالـ sitting balance + +602 +00:52:06,140 --> 00:52:13,540 +التوازن في أثناء الجلوس الانتقال من السرير للكرسي + +603 +00:52:13,540 --> 00:52:18,740 +المتحرك أو بالعكس الانتقال من الكرسي للحمام + +604 +00:52:18,740 --> 00:52:25,100 +للكوليت أو بالعكس للسيارة حسب حالة المريض و مش + +605 +00:52:25,100 --> 00:52:30,530 +بلزم فيها عملية ال transfer assessmentالـ Upper + +606 +00:52:30,530 --> 00:52:33,230 +Limb Function ماذا يقدر يعمل في الـ Upper Limb + +607 +00:52:33,230 --> 00:52:39,850 +Functions؟ الـ Mobility Stairs Up and Down Stairs + +608 +00:52:39,850 --> 00:52:44,350 +الـ Gate في عملية الـ Assessment of Gate نشوف الـ + +609 +00:52:44,350 --> 00:52:48,430 +Pattern نشوف الـ Distance و الـ Velocity ماذا + +610 +00:52:48,430 --> 00:52:53,540 +يستخدم Walking aids؟ ماذا يستخدم Orthosis؟أيش الـ + +611 +00:52:53,540 --> 00:52:57,180 +assistance اللي بيحتاجها في أثناء المشي كيف الـ + +612 +00:52:57,180 --> 00:53:00,320 +cognitive status كيف ال attention كيف ال + +613 +00:53:00,320 --> 00:53:03,560 +orientation و ال memory هذه من الشغلات اللي احنا + +614 +00:53:03,560 --> 00:53:09,580 +بدنا نعملها assessment كمان problem + +615 +00:53:09,580 --> 00:53:14,020 +listing prioritizing the problem إذن أول شيء بعد + +616 +00:53:14,020 --> 00:53:17,980 +ما أنا عملت ال data collection أو gathering + +617 +00:53:17,980 --> 00:53:22,240 +informationأو الـ Data Gathering بدي أعمل عملية + +618 +00:53:22,240 --> 00:53:26,560 +Problem Listing أبدأ كل المشاكل اللي أنا حطيتها + +619 +00:53:26,560 --> 00:53:31,780 +أبدأ أحطها أو طلعت بيها أبدأ أحطها في قائمة واحدة + +620 +00:53:31,780 --> 00:53:35,760 +بعد هيك القائمة اللي أنا طلعت بيها هذه بدي أبدأ + +621 +00:53:35,760 --> 00:53:39,140 +أعمل Prioritizing أشوف مين الأولويات في هذه + +622 +00:53:39,140 --> 00:53:42,800 +المشاكل و أبدأ أشتغل فيها أول بأول + diff --git a/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/jV8m3Irr-Ho_raw.json b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/jV8m3Irr-Ho_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..9d1bea714e346cb8de49db02fe495de221c60470 --- 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neurological conditions بعض المصطلحات اللى بتواجهنا خلال شغلنا من ضمن هذه المصطلحات فى عندنا مصطلح مثلا alert alert awake locks about وهذا طبعا اللى احنا بنقول عنها ان المريض متيقظ", "tokens": [2407, 16490, 9381, 2407, 9381, 995, 20449, 11331, 6027, 9307, 2423, 48185, 4487, 45030, 11242, 9673, 9381, 9566, 1211, 5016, 9307, 13672, 7578, 39894, 2407, 26108, 3224, 8315, 16490, 1211, 6027, 13412, 17082, 1211, 8315, 9154, 48812, 27842, 29538, 9673, 9381, 9566, 1211, 5016, 9307, 6156, 7578, 43242, 8315, 3714, 9381, 9566, 1211, 5016, 50113, 15040, 9615, 9615, 15994, 20703, 466, 37037, 15730, 23032, 3555, 3615, 995, 13672, 7578, 1975, 5016, 8315, 44945, 39648, 18871, 11296, 16472, 9673, 16572, 11242, 44650, 1829, 4587, 19913], "avg_logprob": -0.18731618348289938, "compression_ratio": 1.6111111111111112, "no_speech_prob": 4.76837158203125e-07, "words": [{"start": 352.91, "end": 353.11, "word": "و", "probability": 0.74755859375}, {"start": 353.11, "end": 353.81, "word": " خصوصا", "probability": 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سليم لو سبناه لوحده على طول بيغمض عيناه وبنام من المصطلحات اللي بتكون موجودة كمان خصوصا مع حالات traumatic brain injuries ال confused", "tokens": [45340, 16572, 11242, 45164, 10874, 19986, 8315, 47356, 4032, 1975, 2655, 4117, 19528, 8315, 20449, 40294, 4724, 33911, 2655, 3660, 6225, 9957, 3224, 46599, 14851, 7435, 1829, 3555, 4724, 8592, 28820, 8608, 20292, 2304, 45164, 8608, 3555, 8315, 3224, 45164, 24401, 3224, 15844, 23032, 12610, 4724, 1829, 17082, 2304, 11242, 6225, 9957, 40294, 46599, 8315, 2304, 9154, 9673, 9381, 9566, 1211, 5016, 9307, 13672, 1829, 39894, 30544, 3714, 29245, 23328, 3660, 9122, 2304, 7649, 16490, 9381, 2407, 9381, 995, 20449, 11331, 6027, 9307, 26456, 3567, 14799, 2423, 9019], "avg_logprob": -0.26562500267886047, "compression_ratio": 1.605, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 449.8, "end": 450.48, "word": "المريض", "probability": 0.7197265625}, {"start": 450.48, "end": 450.92, "word": " لو", "probability": 0.30810546875}, {"start": 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"probability": 0.888427734375}, {"start": 690.69, "end": 690.91, "word": " انا", "probability": 0.87744140625}, {"start": 690.91, "end": 691.15, "word": " لما", "probability": 0.963623046875}, {"start": 691.15, "end": 691.65, "word": " اعمل", "probability": 0.9658203125}, {"start": 691.65, "end": 692.01, "word": " deep", "probability": 0.86572265625}, {"start": 692.01, "end": 692.67, "word": " painful", "probability": 0.94873046875}, {"start": 692.67, "end": 693.43, "word": " stimuli", "probability": 0.90869140625}, {"start": 693.43, "end": 694.37, "word": " المريض", "probability": 0.9571940104166666}, {"start": 694.37, "end": 694.65, "word": " بعد", "probability": 0.9697265625}, {"start": 694.65, "end": 694.79, "word": " ما", "probability": 0.931640625}, {"start": 694.79, "end": 695.25, "word": " بيكون", "probability": 0.82275390625}, {"start": 695.25, "end": 696.09, "word": " مغمض", "probability": 0.9820556640625}, {"start": 696.09, "end": 696.41, "word": " عينيا", "probability": 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within the comatose category بعض الحركات ممكن تكون يعني مقبولة او انه", "tokens": [15042, 8978, 1975, 1829, 44713, 7435, 16758, 3660, 5296, 19528, 16572, 11242, 1975, 2407, 24976, 37405, 13672, 7578, 44945, 25957, 1211, 11296, 512, 2654, 2144, 420, 3963, 815, 312, 15513, 1951, 264, 395, 267, 541, 7719, 45030, 11242, 21542, 31747, 9307, 3714, 43020, 6055, 30544, 37495, 22653, 3714, 4587, 3555, 12610, 3660, 1975, 2407, 16472, 3224], "avg_logprob": -0.25013706976907296, "compression_ratio": 1.3277777777777777, "no_speech_prob": 4.76837158203125e-07, "words": [{"start": 724.76, "end": 725.08, "word": "ما", "probability": 0.44970703125}, {"start": 725.08, "end": 725.36, "word": " في", "probability": 0.446044921875}, {"start": 725.36, "end": 725.84, "word": " اي", "probability": 0.805908203125}, {"start": 725.84, "end": 727.48, "word": " استجابة", "probability": 0.9671630859375}, {"start": 727.48, "end": 729.14, "word": " للمريض", "probability": 0.8670654296875}, {"start": 729.14, "end": 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33, "seek": 79814, "start": 778.22, "end": 798.14, "text": "وفي حالات ال deep coma ال مريض مش هيقدر يفتح عينه او مش هيفتح عينه استجابة للقلم اللي احنا عملناه", "tokens": [2407, 41185, 11331, 6027, 9307, 2423, 2452, 35106, 2423, 3714, 16572, 11242, 37893, 39896, 28543, 2288, 7251, 5172, 2655, 5016, 6225, 9957, 3224, 1975, 2407, 37893, 39896, 5172, 2655, 5016, 6225, 9957, 3224, 44713, 7435, 16758, 3660, 24976, 4587, 19528, 13672, 1829, 1975, 5016, 8315, 6225, 42213, 8315, 3224], "avg_logprob": -0.2570312625169754, "compression_ratio": 1.4273504273504274, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 778.22, "end": 779.28, "word": "وفي", "probability": 0.2642822265625}, {"start": 779.28, "end": 779.84, "word": " حالات", "probability": 0.9728190104166666}, {"start": 779.84, "end": 779.96, "word": " ال", "probability": 0.34033203125}, {"start": 779.96, "end": 780.12, "word": " deep", "probability": 0.48291015625}, {"start": 780.12, "end": 780.56, "word": " coma", 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"end": 2068.61, "word": " الشغلات", "probability": 0.9256591796875}, {"start": 2068.61, "end": 2068.79, "word": " اللي", "probability": 0.97021484375}, {"start": 2068.79, "end": 2068.99, "word": " انا", "probability": 0.91015625}, {"start": 2068.99, "end": 2069.25, "word": " بدي", "probability": 0.8720703125}, {"start": 2069.25, "end": 2069.79, "word": " اركز", "probability": 0.9329427083333334}, {"start": 2069.79, "end": 2070.35, "word": " عليها", "probability": 0.99462890625}, {"start": 2070.35, "end": 2070.85, "word": " عندما", "probability": 0.892333984375}, {"start": 2070.85, "end": 2071.45, "word": " اسأل", "probability": 0.9366861979166666}, {"start": 2071.45, "end": 2071.75, "word": " ال", "probability": 0.97509765625}, {"start": 2071.75, "end": 2072.35, "word": " history؟", "probability": 0.879150390625}], "temperature": 1.0}, {"id": 87, "seek": 209798, "start": 2072.52, "end": 2097.98, "text": "ما بدي اخل المريض يحكي لي بيانات ومعلومات ما بتلزمني كتير وفي نفس الوقت بدي احافظ على ان انا ما اصد المريض في أثناء الكلام لكن بدي احاول اخد ال chief complaint الشكوه الرئيسية مع المريض history of present illness متى بدأت الحالة؟", "tokens": [15042, 4724, 16254, 1975, 9778, 1211, 9673, 16572, 11242, 7251, 5016, 4117, 1829, 32239, 4724, 1829, 7649, 9307, 4032, 2304, 30241, 20498, 9307, 19446, 39894, 1211, 11622, 2304, 22653, 9122, 2655, 13546, 4032, 41185, 8717, 36178, 2423, 30543, 2655, 4724, 16254, 1975, 5016, 31845, 19913, 15844, 16472, 1975, 8315, 19446, 1975, 9381, 3215, 9673, 16572, 11242, 8978, 5551, 12984, 1863, 16606, 2423, 28820, 10943, 44381, 4724, 16254, 1975, 5016, 995, 12610, 1975, 9778, 3215, 2423, 9588, 20100, 25124, 4117, 2407, 3224, 34892, 19986, 1829, 3794, 10632, 20449, 9673, 16572, 11242, 2503, 295, 1974, 10152, 44650, 7578, 47525, 10721, 2655, 21542, 6027, 3660, 22807], "avg_logprob": -0.1888521584467246, "compression_ratio": 1.676991150442478, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2072.52, "end": 2072.84, "word": "ما", 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"language_probability": 1.0, "duration": 3223.2315625, "duration_after_vad": 3139.2390937499868} \ No newline at end of file diff --git a/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/jV8m3Irr-Ho_raw.srt b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/jV8m3Irr-Ho_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..e75e30394db68973e9753737b1b8e589d1d2a75f --- /dev/null +++ b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/jV8m3Irr-Ho_raw.srt @@ -0,0 +1,2492 @@ +1 +00:00:00,000 --> 00:00:04,060 +السلام عليكم هنبدأ نتكلم ان شاء الله بالرب + +2 +00:00:04,060 --> 00:00:08,380 +العالمين اليوم عن ال assessment of neurological + +3 +00:00:08,380 --> 00:00:13,200 +condition و assessment as physiotherapist + +4 +00:00:15,730 --> 00:00:19,790 +الان مهم جدا ان احنا ك physiotherapist عند ما نبدأ + +5 +00:00:19,790 --> 00:00:24,470 +نعمل ال assessment بتاعتنا نكون عارفين التشخيص the + +6 +00:00:24,470 --> 00:00:27,990 +onset of a neurological disease او a neurological + +7 +00:00:27,990 --> 00:00:32,090 +condition as a result of disease or trauma has + +8 +00:00:32,090 --> 00:00:37,750 +devastating effect not only on the patient but + +9 +00:00:37,750 --> 00:00:42,630 +also in the familyهذا مهم جدا لنا قبل ما نبدأ نعمل + +10 +00:00:42,630 --> 00:00:48,210 +أي assessment نعرف إن الحالة اللي نتجت عن إصابة في + +11 +00:00:48,210 --> 00:00:52,750 +جهاز العصب سواء كانت trauma أو disease أو غيره + +12 +00:00:52,750 --> 00:00:58,170 +تأثيرها مش فقط على المريض، كمان بدي يكون على ال + +13 +00:00:58,170 --> 00:01:03,240 +familyوفي عملية ال assessment احنا ما بنقيم المريض + +14 +00:01:03,240 --> 00:01:08,740 +فقط لغير لأ بنقيم كمان البيئة المحيطة بيه ونشوف + +15 +00:01:08,740 --> 00:01:12,020 +كيف ال social condition تبعته هذا من ضمن ال + +16 +00:01:12,020 --> 00:01:15,600 +assessment it is essential that any approach to + +17 +00:01:15,600 --> 00:01:18,440 +management encompasses the needs of the patient + +18 +00:01:18,440 --> 00:01:23,280 +and significant others عشان هيك اي طريقة علاجية او + +19 +00:01:23,280 --> 00:01:30,480 +اي أسلوب علاجيبنتابعه لازم يركز على المريض و لازم + +20 +00:01:30,480 --> 00:01:37,640 +يركز كمان على ال family significant others many + +21 +00:01:37,640 --> 00:01:40,580 +neurological conditions are progressive and + +22 +00:01:40,580 --> 00:01:45,660 +longstanding and result in some element of + +23 +00:01:45,660 --> 00:01:50,060 +residual impairmentmany neurological conditions + +24 +00:01:50,060 --> 00:01:53,240 +are progressive and longstanding and result in + +25 +00:01:53,240 --> 00:01:57,420 +some element of residual impairment كتير من + +26 +00:01:57,420 --> 00:02:02,780 +الحالات اللي بتنتج عن أمراض عصبية أو الحالات اللي + +27 +00:02:02,780 --> 00:02:07,460 +ناتجة عن الأمراض العصبية أو عن إصابات الجهاز العصب + +28 +00:02:07,460 --> 00:02:15,480 +المركزي هي حالات تستمر لفترات طويلة والإعاقل + +29 +00:02:15,480 --> 00:02:23,960 +ناتج عنهاكمان ممكن تظلها مستمرة لفترات طويلة there + +30 +00:02:23,960 --> 00:02:26,720 +are many challenges in the rehabilitation process + +31 +00:02:26,720 --> 00:02:30,460 +from diagnosis to discharge كتير من ال + +32 +00:02:30,460 --> 00:02:33,200 +rehabilitation أو من ال challenges اللي بتواجهنا + +33 +00:02:33,200 --> 00:02:38,600 +كاخصائي علاج طبيعي و rehabilitation specialistفى + +34 +00:02:38,600 --> 00:02:44,740 +عملية التشخيص فى عملية العلاج لحد ال discharge + +35 +00:02:44,740 --> 00:02:50,260 +كمان بتواجهنا عديد التحديات لأنه زى ما حكينا أن + +36 +00:02:50,260 --> 00:02:54,900 +الحالة هذه أو الإصابة في الجهاز العصبي المركزى هي + +37 +00:02:54,900 --> 00:02:58,220 +تأخذ أو تستغرق فترة طويلة + +38 +00:03:09,760 --> 00:03:19,430 +الطبيعة الإصابة والمرض اللي في الجهاز العصبيإنه + +39 +00:03:19,430 --> 00:03:24,010 +بيستغرق وقت طويل و بيمكن في فترة طويلة هذا بتطلب + +40 +00:03:24,010 --> 00:03:27,450 +من أخصائيين العلاج الطبيعي و أخصائيين ال + +41 +00:03:27,450 --> 00:03:31,290 +rehabilitation specialists اللي بيشتغلوا مع + +42 +00:03:31,290 --> 00:03:34,850 +الحالات هذه إنهم يكونوا في عملية ال rehabilitation + +43 +00:03:34,850 --> 00:03:42,890 +لسنوات طويلة a neurological examination is the + +44 +00:03:42,890 --> 00:03:47,530 +assessment of sensoryمعاملة نيروزيكية ومعاملة + +45 +00:03:47,530 --> 00:03:52,530 +موتوريسبونسية وخاصة معاملة رفليكسيه لتتأكد من وجود + +46 +00:03:52,530 --> 00:03:57,710 +نظام نيروزيكي خلال عملية الـ neurological + +47 +00:03:57,710 --> 00:04:01,190 +examination اللي احنا بنعملها بنعمل assessment + +48 +00:04:01,190 --> 00:04:06,490 +للسينسوري والموتوريسبونسيه اللي بتكون موجودة عند + +49 +00:04:06,490 --> 00:04:20,280 +المريض بنعمل assessment للرفليكسيهلتحدد إذا كان + +50 +00:04:20,280 --> 00:04:27,040 +فيه أي خلل أو أي مشكلة في الجهاز العصبي هذا يتضمن + +51 +00:04:27,040 --> 00:04:31,700 +بشكل عام التجارب الفيزيقية والتحقق من قصة المستشفى + +52 +00:04:31,700 --> 00:04:36,880 +بقصة مدرسة طبيعية ولكن ليس تحقيق أكتر مثل الـ + +53 +00:04:36,880 --> 00:04:42,070 +neuroimagingخلال عملية ال assessment تبعتنا نركز + +54 +00:04:42,070 --> 00:04:48,170 +على ال physical examination بشكل أساسي وبنعمل كمان + +55 +00:04:48,170 --> 00:04:53,430 +نراجع ايش في عند المريض بعض ال medical history أو + +56 +00:04:53,430 --> 00:04:55,950 +ال medical history اللي بيكون موجود عند المريض + +57 +00:04:58,000 --> 00:05:02,240 +منخوضش كتير في ال investigations زي ال CT و MRI + +58 +00:05:02,240 --> 00:05:07,020 +بشكل كبير جدا لأ احنا بيكفينا بس تكون ال result + +59 +00:05:07,020 --> 00:05:12,320 +تبع ال CT او ال MRI او اي investigations ان عملت + +60 +00:05:12,320 --> 00:05:17,100 +it can be used both as a screening tool and as an + +61 +00:05:17,100 --> 00:05:21,740 +investigative tool ال neurological assessment اللي + +62 +00:05:21,740 --> 00:05:27,590 +احنا بنقوم فيهاممكن تكون screening و ممكن تكون + +63 +00:05:27,590 --> 00:05:31,650 +investigative screening انه نستكشف شو عند الحالة + +64 +00:05:31,650 --> 00:05:38,250 +بسرعة و investigative بشكل دقيق عشان نصل للمشكلة + +65 +00:05:38,250 --> 00:05:43,530 +اللى موجودة عند المريض بشيء من التفصيل و نبدأ نعمل + +66 +00:05:43,530 --> 00:05:49,370 +تدخلاتنا العلاجية الان احنا ك physiotherapist + +67 +00:05:49,370 --> 00:05:55,030 +نشتغل في مجال ال rehabilitationو خصوصا مع حالات ال + +68 +00:05:55,030 --> 00:05:58,690 +neurological conditions بعض المصطلحات اللى + +69 +00:05:58,690 --> 00:06:04,990 +بتواجهنا خلال شغلنا من ضمن هذه المصطلحات فى عندنا + +70 +00:06:04,990 --> 00:06:14,490 +مصطلح مثلا alert alert awake locks about وهذا طبعا + +71 +00:06:14,490 --> 00:06:20,840 +اللى احنا بنقول عنها ان المريض متيقظبينظر حوله + +72 +00:06:20,840 --> 00:06:25,160 +respond in a meaningful manner to verbal + +73 +00:06:25,160 --> 00:06:30,240 +instructions or gestures كمان استجاباته بشكل + +74 +00:06:30,240 --> 00:06:37,660 +موضوعي وبشكل ملائم لل stimulation + +75 +00:06:37,660 --> 00:06:44,950 +اللي احنا بنعملها، اذا الاستجاباتمناسبة وملائمة + +76 +00:06:44,950 --> 00:06:51,770 +للمؤثرات والتأثيرات اللى بنعملها على المريض سواء + +77 +00:06:51,770 --> 00:06:56,090 +كانت verbal instructions أو حتى مجرد تعابير في + +78 +00:06:56,090 --> 00:07:03,240 +الوجه اذن alert المريض صاحي متيقظبيفهم كل شي + +79 +00:07:03,240 --> 00:07:08,220 +تقريبا حواليه بشكل مناسب وبشكل ملائم سواء كان عن + +80 +00:07:08,220 --> 00:07:13,640 +طريق instructions أو عن طريق gestures تعابير الوجه + +81 +00:07:13,640 --> 00:07:20,220 +المصطلح التاني اللي ممكن نشوفه drowsy وفي هذه + +82 +00:07:20,220 --> 00:07:26,100 +الحالة او دروسي patient oriented when awake but if + +83 +00:07:26,100 --> 00:07:32,780 +left alone will sleep يعنيالمريض لو جئنا عليه و + +84 +00:07:32,780 --> 00:07:38,840 +اتكلمنا معاه بيفتة عينه وبستجيب بشكل سليم لو سبناه + +85 +00:07:38,840 --> 00:07:45,680 +لوحده على طول بيغمض عيناه وبنام من + +86 +00:07:45,680 --> 00:07:49,420 +المصطلحات اللي بتكون موجودة كمان خصوصا مع حالات + +87 +00:07:49,420 --> 00:07:52,300 +traumatic brain injuries ال confused + +88 +00:07:54,910 --> 00:08:00,470 +confused كترجمة عربية مرتبك لكن خلّيني نفهم شو + +89 +00:08:00,470 --> 00:08:07,290 +المكونات لما اقول انا عندي ال patient confused اول + +90 +00:08:07,290 --> 00:08:11,070 +شئ في ال confusion المريض disoriented to the time + +91 +00:08:11,650 --> 00:08:17,250 +الوقت غير مدرك للوقت يعني لو جيت اسأله عن الوقت + +92 +00:08:17,250 --> 00:08:21,110 +اللي موجود في احنا الآن الصبح ولا المغرب ممكن + +93 +00:08:21,110 --> 00:08:26,850 +مايجاوبش بشكل دقيق ال place انت وين موجود الآن في + +94 +00:08:26,850 --> 00:08:31,190 +البيت او في المستشفى برضه ممكن تكون إجابته غير + +95 +00:08:31,190 --> 00:08:38,000 +مناسبةأيضًا الوصول للشخص لايعرف الأشخاص اللي + +96 +00:08:38,000 --> 00:08:41,400 +حواليه، يعني احنا كphysiotherapist أو خليني نقول + +97 +00:08:41,400 --> 00:08:46,020 +كناس او ك medical staff أو medical team نجيب نسأله + +98 +00:08:46,020 --> 00:08:50,740 +احنا مين؟ مين انا؟ اللي بكون لابس الكورة الأبيض، + +99 +00:08:50,740 --> 00:08:58,750 +لابس ال medical uniform ال Z الطبيمفترض أن يقول + +100 +00:08:58,750 --> 00:09:04,590 +الطبيب الممرض للعلاج الطبيعي أيا كانت الإجابة في + +101 +00:09:04,590 --> 00:09:11,950 +هذا المدمار مقبولة memory difficulty is common ما + +102 +00:09:11,950 --> 00:09:16,770 +يميز هذه الفترة من ال confusion أنه يكون عنده + +103 +00:09:16,770 --> 00:09:23,150 +صعوبة في التذكر يعني ينسى كثيرAlso he has + +104 +00:09:23,150 --> 00:09:28,290 +difficulty with commands ما بيفهم الأوامر بالشكل + +105 +00:09:28,290 --> 00:09:33,590 +السليم او خلينا نقول اذا فهم الأمر بطبقوش كامل + +106 +00:09:33,590 --> 00:09:37,010 +Exhibits + +107 +00:09:37,010 --> 00:09:41,090 +alteration in perception of stimuli may be + +108 +00:09:41,090 --> 00:09:46,710 +agitated كمان في عنده تفاوت + +109 +00:09:47,540 --> 00:09:52,460 +في استقبال الإشارات أو في استقبال المنبهات يعني + +110 +00:09:52,460 --> 00:09:57,880 +مرة ممكن انا اقوله كيف حالك او اتكلم معاه بشكل يرد + +111 +00:09:57,880 --> 00:10:04,700 +علي بإجابة منطقية وسليمة جدا مرة أخرى ممكن نفس ال + +112 +00:10:04,700 --> 00:10:10,200 +stimulus اللي انا عملتها الاقي ردة الفعل مختلفة + +113 +00:10:10,200 --> 00:10:14,570 +بشكل كبير جداو ممكن في هذه الحالة يكون في عندي نوع + +114 +00:10:14,570 --> 00:10:19,750 +من ال agitation الهيجان او التهيج اللي بيكون موجود + +115 +00:10:19,750 --> 00:10:23,770 +عند المريض Stubors + +116 +00:10:23,770 --> 00:10:30,510 +وهذه مرحلة تتميز ان المريض بيكون فيها generally + +117 +00:10:30,510 --> 00:10:37,910 +unresponsive except to vigorous stimuli لو جيت انا + +118 +00:10:37,910 --> 00:10:44,720 +عند المريض وعملت له بعضالـ mild stimulus و + +119 +00:10:44,720 --> 00:10:49,560 +moderate stimulus لن يكون فيها إجابة أو استجابة من + +120 +00:10:49,560 --> 00:10:54,940 +قبل المريض لكن لو عملت vigorous stimulus ممكن صوت + +121 +00:10:54,940 --> 00:10:59,800 +عالي ممكن جرسة جوية بشكل كبير جدا ممكن في هذه + +122 +00:10:59,800 --> 00:11:03,380 +الحالة يحصل فيه عنده stimulation هذه بيسموها + +123 +00:11:03,380 --> 00:11:08,620 +Stubors may make attempt at verbalization to + +124 +00:11:08,620 --> 00:11:13,750 +vigorous repeated stimuliممكن في بعض الحالة كمان + +125 +00:11:13,750 --> 00:11:19,310 +انه يطلع بعض الأصوات كاستجابة او كردت فعل لل + +126 +00:11:19,310 --> 00:11:25,210 +vigorous stimuli اللي احنا عملناها open eyes to + +127 +00:11:25,210 --> 00:11:30,910 +deep pain وممكن كمان ما يميز هذه المرحلة انه انا + +128 +00:11:30,910 --> 00:11:35,250 +لما اعمل deep painful stimuli المريض بعد ما بيكون + +129 +00:11:35,250 --> 00:11:40,760 +مغمض عينيا في هذه الفترةأو نتيجة ال stimulus اللي + +130 +00:11:40,760 --> 00:11:49,240 +عملتها بيبدأ يفتح عينيه كوماتوز طبعا المريض لما + +131 +00:11:49,240 --> 00:11:52,840 +بنقول كوماتوز معناه انه complete loss of + +132 +00:11:52,840 --> 00:11:58,440 +consciousness مافي اي استجابة unarousable and + +133 +00:11:58,440 --> 00:12:04,020 +unresponsive كوماتوز unarousable and unresponsive + +134 +00:12:04,760 --> 00:12:11,460 +ما في اي استجابة للمريض او لل stimulation اللى + +135 +00:12:11,460 --> 00:12:16,840 +بنعملها some localization or movement may be + +136 +00:12:16,840 --> 00:12:21,180 +acceptable within the comatose category بعض + +137 +00:12:21,180 --> 00:12:28,560 +الحركات ممكن تكون يعني مقبولة او انهحتى وإن كان + +138 +00:12:28,560 --> 00:12:33,120 +المريض بيعمل بعض الحركات as a result of a stimulus + +139 +00:12:33,120 --> 00:12:39,520 +لازال يسمى كوماتوز depending on the coma to coma + +140 +00:12:39,520 --> 00:12:45,980 +definition حسب تعريفنا للغيبوبة أو الكومة light + +141 +00:12:45,980 --> 00:12:50,460 +coma to deep coma وطبعا في عندنا أقسام الكومة ممكن + +142 +00:12:50,460 --> 00:12:54,340 +تكون light coma وممكن تكون في عندي deep coma + +143 +00:12:58,220 --> 00:13:06,840 +وفي حالات ال deep coma ال + +144 +00:13:06,840 --> 00:13:11,060 +مريض + +145 +00:13:11,060 --> 00:13:16,080 +مش هيقدر يفتح عينه او مش هيفتح عينه استجابة للقلم + +146 +00:13:16,080 --> 00:13:21,300 +اللي احنا عملناهمن المصطلحات اللي بتكون موجودة + +147 +00:13:21,300 --> 00:13:25,500 +طبعا في عنا مصطلح مساميه Korea هي عبارة عن jerky + +148 +00:13:25,500 --> 00:13:31,580 +movements which are tend to occur more randomly + +149 +00:13:31,580 --> 00:13:33,940 +throughout the body + +150 +00:13:37,570 --> 00:13:42,530 +عشوائية بيقوم فيها المريض بشكل لا إرادة في كل + +151 +00:13:42,530 --> 00:13:45,930 +أنحاء الجسم ممكن تكون في ال upper limbs ممكن تكون + +152 +00:13:45,930 --> 00:13:50,350 +في ال lower limbs حسب الحالة في عندنا كمان مصطلح + +153 +00:13:50,350 --> 00:13:56,680 +آخر يسموه balasmusThe movements are large and + +154 +00:13:56,680 --> 00:14:01,080 +sudden and can affect one side of the body + +155 +00:14:01,080 --> 00:14:08,560 +الباليسمس هي عبارة عن حركات فجائية و كبيرة و ممكن + +156 +00:14:08,560 --> 00:14:14,930 +تأثر على one side of the bodyhalf side of the body + +157 +00:14:14,930 --> 00:14:18,910 +وفي هذه الحالة يسمونها hemipalismus يعني ممكن تكون + +158 +00:14:18,910 --> 00:14:23,130 +في الأطراف الأربعة وممكن تكون في side واحد of the + +159 +00:14:23,130 --> 00:14:28,530 +body وفي هذه الحالة يسمونها hemipalismus tremor + +160 +00:14:28,530 --> 00:14:33,070 +these are fine rapidly escalating unwanted + +161 +00:14:33,070 --> 00:14:41,370 +movement عبارة عن حركات بسيطة أو دعنا نقولدقيقة + +162 +00:14:41,370 --> 00:14:48,570 +fine سريعة متذبذب او خلنا نقول فيها نوع من الرجفة + +163 +00:14:48,570 --> 00:14:52,450 +او tremors these are fine rapidly escalating + +164 +00:14:52,450 --> 00:14:57,510 +unwanted movement هي حركات سريعة منتظمة خلنا نقول + +165 +00:14:57,510 --> 00:15:02,930 +احيانا بتكون وغير مرغوب فيها ما بقدر المريض خلنا + +166 +00:15:02,930 --> 00:15:08,910 +نقول انه يوقفها او يسيطر عليها في بعض الحالات هي + +167 +00:15:08,910 --> 00:15:15,270 +حركاتلأيراضية منتظمة وحركات دقيقة disturbances in + +168 +00:15:15,270 --> 00:15:20,070 +muscle tone ممكن يكون في عندي تغيرات في ال muscle + +169 +00:15:20,070 --> 00:15:24,930 +tone ممكن يكون في عندي sensory disturbances تغيرات + +170 +00:15:24,930 --> 00:15:29,970 +في الإحساس الان لو جينا نطلع بشكل سريع شو الفرق ما + +171 +00:15:29,970 --> 00:15:30,270 +بين + +172 +00:15:36,570 --> 00:15:44,730 +الناس اللي نايمين بيصير في عندهم استجابة للحركات + +173 +00:15:44,730 --> 00:15:50,090 +او للمثيرات اللي غير متعود عليها يعني لو صار انه + +174 +00:15:50,090 --> 00:15:57,410 +عند شخص نايم و جيت انا فجأة اعمل صوت عاليعنده لكن + +175 +00:15:57,410 --> 00:16:01,470 +لو كان هذا الصوت صوت متعود عليه يعني في البيت أو + +176 +00:16:01,470 --> 00:16:06,690 +غيره أو غيره ممكن مايصحاش له sleeping persons are + +177 +00:16:06,690 --> 00:16:11,310 +capable of mental activities ال dreams الأشخاص + +178 +00:16:11,310 --> 00:16:14,590 +اللي بيكون في مرحلة نوم بيكون عندهم brain + +179 +00:16:14,590 --> 00:16:19,070 +activities الناتج عن الأحلام اللي بتكون موجودة + +180 +00:16:19,070 --> 00:16:22,330 +sleeping persons can be raised to normal + +181 +00:16:22,330 --> 00:16:28,140 +consciousnessهؤلاء الأشخاص مجرد أن نصحيهم و نعمل + +182 +00:16:28,140 --> 00:16:32,460 +له مستميراشين يرجعون للمستوى الطبيعي من ال + +183 +00:16:32,460 --> 00:16:37,430 +consciousnessCerebral oxygen uptake does not + +184 +00:16:37,430 --> 00:16:42,550 +decrease during sleep as it is often does in coma + +185 +00:16:42,550 --> 00:16:47,930 +كمان نقطة مهمة جدا مستويات ال oxygen اللي + +186 +00:16:47,930 --> 00:16:54,330 +بيستهلكها الجسم أثناء النوم مابتتغيرش عن فترة + +187 +00:16:54,330 --> 00:17:01,500 +الصحيةلكن في حالات الكومة ممكن تقل كمية الأكسجين + +188 +00:17:01,500 --> 00:17:05,280 +اللى بيستهلكها الجسم special states of altered + +189 +00:17:05,280 --> 00:17:10,520 +levels of consciousness as بعض الحالات اللى بيكون + +190 +00:17:10,520 --> 00:17:17,700 +في عندنا او مصاحب يصاحبهاتغيرات في ال level of + +191 +00:17:17,700 --> 00:17:20,760 +consciousness حالات ال brain death and a + +192 +00:17:20,760 --> 00:17:24,820 +reversible loss of cortical and brainstem activity + +193 +00:17:24,820 --> 00:17:29,920 +مافيش امكانية ان ترجع هنا الخلايا تشتغل تاني ال + +194 +00:17:29,920 --> 00:17:34,340 +cortex و brainstem activity مابتقدر ترجع تاني اذا + +195 +00:17:34,340 --> 00:17:39,040 +حصل عند ال brain death persistent vegetative state + +196 +00:17:39,040 --> 00:17:42,920 +شو المقصود persistent vegetative state + +197 +00:17:54,200 --> 00:18:00,000 +بعض الحالات اللي بيصير في عندها brain injury أو + +198 +00:18:00,000 --> 00:18:04,960 +سواء كانت traumatic أو نتيجة disease بيخشوا في + +199 +00:18:04,960 --> 00:18:12,190 +مرحلة من الكومةالكومة أو هذا التغير مابصير عليها + +200 +00:18:12,190 --> 00:18:19,130 +تغير مابصحصح المريض بيظل فترة طويلة بنفس الحالة من + +201 +00:18:19,130 --> 00:18:22,970 +ال loss of consciousness ففي هذه الحالة بيسموها + +202 +00:18:22,970 --> 00:18:27,670 +chronic herb resistant vegetative state يعني ممكن + +203 +00:18:27,670 --> 00:18:33,010 +المريض بعد ما كان deep coma بعد ما كان المريض deep + +204 +00:18:33,010 --> 00:18:39,220 +comaصار في عنده بعض التحسن لكن مش تحسن كبير صار في + +205 +00:18:39,220 --> 00:18:44,480 +عنده استجابة لـ severe painful stimuli وهذا التحسن + +206 +00:18:44,480 --> 00:18:47,440 +في الـ severe painful stimuli الاستجابة لـ severe + +207 +00:18:47,440 --> 00:18:51,800 +painful stimuli دلت على ما هي عليه ماتغيرتش ولا + +208 +00:18:51,800 --> 00:18:55,960 +اتحسنت ففي هذه الحالة بيصير اسمه بـ resistant + +209 +00:18:55,960 --> 00:18:57,960 +vegetative state + +210 +00:19:14,560 --> 00:19:20,740 +في مصطلح كمان حاجة بيسموها locked in syndrome وهذا + +211 +00:19:20,740 --> 00:19:26,680 +يصاحبها paralysis of the muscles شلل كامل في + +212 +00:19:26,680 --> 00:19:31,560 +العضلات وبتشمل العضلات الإيرادية + +213 +00:19:36,350 --> 00:19:42,890 +لكن بيكون فيه عندي الـ Conscious full و ال + +214 +00:19:42,890 --> 00:19:48,510 +cognition fullلكن اهم شغل موجود عندى انه ال + +215 +00:19:48,510 --> 00:19:53,530 +voluntary muscles are paralyzed six subsets of the + +216 +00:19:53,530 --> 00:19:57,770 +neuro exam الان عشان انا اعمل neurological + +217 +00:19:57,770 --> 00:20:03,190 +examination في ست مكونات رئيسية انا بدي اعملها + +218 +00:20:03,190 --> 00:20:07,990 +assessment و اعملها examination اولا بدي افحص ال + +219 +00:20:07,990 --> 00:20:15,320 +mental statusبدي افحص ال cranial nerves بدي افحص + +220 +00:20:15,320 --> 00:20:20,940 +ال motor بدي افحص ال sensory function بدي افحص ال + +221 +00:20:20,940 --> 00:20:25,280 +coordination و ال reflexesأنا ك physiotherapist + +222 +00:20:25,280 --> 00:20:30,300 +ممكن انا ما اتطرق لك كل هدول بشكل مفصل ممكن انا + +223 +00:20:30,300 --> 00:20:35,220 +امر على هذه الشغلات بشيء سريع مع شيء من التخصيص و + +224 +00:20:35,220 --> 00:20:38,780 +التفصيل ايه ك physiotherapist للموتور و ال sensory + +225 +00:20:38,780 --> 00:20:43,060 +و ال coordination و ال reflexes لكن ال cranial + +226 +00:20:43,060 --> 00:20:46,080 +nerves طبعا فيه ايه لها specialized test ممكن + +227 +00:20:46,080 --> 00:20:51,000 +اعمله cranial nerve فيه ايه لها specialized test + +228 +00:20:51,000 --> 00:20:55,900 +ممكن ينعمللكن أنا بالنسبة لي كفيزوفرابيست ممكن في + +229 +00:20:55,900 --> 00:20:59,300 +بعض الحلات الريفرال نيرب انجري زي في حلات ال + +230 +00:20:59,300 --> 00:21:03,860 +facial nerve injury أعمل facial nerve assessment + +231 +00:21:03,860 --> 00:21:09,720 +بشيء من التفصيل و detailed examination of facial + +232 +00:21:09,720 --> 00:21:15,390 +nerveلكن بشكل عام بشكل سريع ممكن انا مابطرق لهذه + +233 +00:21:15,390 --> 00:21:18,450 +ال assessment تبعتي لأن انا ك physiotherapist ممكن + +234 +00:21:18,450 --> 00:21:23,610 +اركز على ال motor sensory coordination في حين انه + +235 +00:21:23,610 --> 00:21:29,310 +cranial nerves mental status ممكن اعرج عليها في + +236 +00:21:29,310 --> 00:21:35,080 +بعض الحالاتوخصوصا لما بنكون شغال ضمن ال + +237 +00:21:35,080 --> 00:21:38,660 +rehabilitation team clinical features of damage to + +238 +00:21:38,660 --> 00:21:40,880 +the nervous system او to the central nervous + +239 +00:21:40,880 --> 00:21:43,740 +system اذا ال clinical features of the central + +240 +00:21:43,740 --> 00:21:50,100 +nervous system damage بتختلف وفي عندى انا varying + +241 +00:21:50,100 --> 00:21:57,020 +featuresبيعتمد على عدة شغلات أول حاجة ال site of + +242 +00:21:57,020 --> 00:22:02,080 +injury المكان اللي صار فيه الإصابة يعني لما بحكي + +243 +00:22:02,080 --> 00:22:05,960 +أنا على إصابة في ال brain غير عن لما بحكي عن إصابة + +244 +00:22:05,960 --> 00:22:10,980 +في ال spinal cord لما بحكي في ال spinal cord لما + +245 +00:22:10,980 --> 00:22:15,080 +يكون في عندي إصابة في منطقة ال cervical area غير + +246 +00:22:15,080 --> 00:22:18,480 +لما بحكي عن إصابة في منطقة ال thoracic أو اللمبر + +247 +00:22:18,480 --> 00:22:20,180 +ال extent + +248 +00:22:22,620 --> 00:22:27,940 +لأي مدى صارت ضرر على + +249 +00:22:27,940 --> 00:22:33,040 +سبيل المثال منطقة في الـ brain الـ focal area او + +250 +00:22:33,040 --> 00:22:38,240 +الـ localized area صار فيها injury غير لما يكون في + +251 +00:22:38,240 --> 00:22:43,400 +عندي diffuse area صار فيها injury لا يوجد اثنين + +252 +00:22:43,400 --> 00:22:47,260 +مستخدمين مختلفين في الاختصارات الكلينيكية حتى لو + +253 +00:22:47,260 --> 00:22:49,240 +كانوا لديهم نفس الdiagnosis + +254 +00:22:54,120 --> 00:22:59,760 +مهم جدا لنا ان احنا نعرف ان مافي اتنين مرضى لهم + +255 +00:22:59,760 --> 00:23:06,180 +نفس الأعراض حتى وان كانوا بنفس التشخيص نفس مكان + +256 +00:23:06,180 --> 00:23:11,820 +إصابة نفس مستوى الإصابة نفس severity of the injury + +257 +00:23:11,820 --> 00:23:19,620 +لكن في عند بعضالـ general clinical features اللي + +258 +00:23:19,620 --> 00:23:24,980 +بتكون موجودة بعض هذه ال features ممكن يكون في عندك + +259 +00:23:24,980 --> 00:23:29,140 +cognitive و emotional changes ما يتعلق بال + +260 +00:23:29,140 --> 00:23:33,920 +cognitive function physical dysfunction وهذا طبعا + +261 +00:23:33,920 --> 00:23:39,980 +بيصير فيها تفاوت ما بين الإصابات ما بينها وبين + +262 +00:23:39,980 --> 00:23:44,380 +بعضها البعض in coordination of the movement + +263 +00:23:54,080 --> 00:23:58,820 +التاكسيا الانفجار الانفجار + +264 +00:24:00,500 --> 00:24:05,900 +Dystonia previously known as athetosis الحركات + +265 +00:24:05,900 --> 00:24:09,940 +الأثيتوزيس اللي هي حركات لا إرادية في ال upper + +266 +00:24:09,940 --> 00:24:16,240 +limbs يعني إحنا بنحكي على مجموعة من ال signs و ال + +267 +00:24:16,240 --> 00:24:20,100 +symptoms أو مجموعة من ال features اللي ممكن نشوفها + +268 +00:24:20,100 --> 00:24:26,260 +في إصابات ال central nervous system Perceptual + +269 +00:24:26,260 --> 00:24:31,750 +disturbancesبعض الحالات ممكن يصير فيه عنده في ال + +270 +00:24:31,750 --> 00:24:35,750 +perception استقبال الإشارات ممكن يصير فيه عنده + +271 +00:24:35,750 --> 00:24:42,130 +visual disturbances إذا صار في عندي لمركز النظر + +272 +00:24:42,130 --> 00:24:45,510 +injury ممكن يصير في عندي visual disturbances + +273 +00:24:45,510 --> 00:24:49,970 +auditory لو صار في عندي مشكلة في ال auditory + +274 +00:24:49,970 --> 00:24:52,890 +centers في ال high center في ال brain أو في ال + +275 +00:24:52,890 --> 00:24:58,550 +cortexcommunication disturbances إذا حصل في مركز + +276 +00:24:58,550 --> 00:25:02,610 +الـ speech، مركز السمع، مركز ال cognition، الفهم، + +277 +00:25:02,610 --> 00:25:05,690 +كل هذه ممكن تأثر على عملية الـ communication + +278 +00:25:05,690 --> 00:25:10,150 +autonomic disturbances إذا حصل في عندي الـ + +279 +00:25:10,150 --> 00:25:13,030 +autonomic nervous system affection ممكن يحصل في + +280 +00:25:13,030 --> 00:25:17,230 +عندي في الـ autonomic function زي الـ bowel + +281 +00:25:17,230 --> 00:25:22,070 +bladder functions ممكن يكون فيها بعض الـ affection + +282 +00:25:23,740 --> 00:25:27,800 +كامثلة على الـ disturbances اللي ممكن تصير في + +283 +00:25:27,800 --> 00:25:31,880 +الجسم as a result of central nervous system + +284 +00:25:31,880 --> 00:25:35,840 +injuries neurological + +285 +00:25:35,840 --> 00:25:40,220 +assessment شو تعريفها؟ عشان نفهم احنا الان + +286 +00:25:40,220 --> 00:25:44,980 +neurological assessment بنكون عارفين انه it's an + +287 +00:25:44,980 --> 00:25:53,700 +ongoing process هي عملية مستمرة ما بتنتهيبالجلس + +288 +00:25:53,700 --> 00:26:00,320 +الأولى وهي + +289 +00:26:00,320 --> 00:26:09,920 +جزء أساسي من عملية العلاج كل عملية علاج + +290 +00:26:09,920 --> 00:26:18,150 +تبدأ بـ Assessmentكل جلسة علاجية احنا بنعملها لازم + +291 +00:26:18,150 --> 00:26:22,250 +نعمل في بدايتها assessment عشان نشوف شو صار عند + +292 +00:26:22,250 --> 00:26:26,590 +المريض و لوين وصلت الحالة تبعت المريض عشان ابدأ + +293 +00:26:26,590 --> 00:26:30,930 +اختار الشيء المناسب للمريض assessment of a + +294 +00:26:30,930 --> 00:26:35,430 +neurological patient is a complex multifaceted and + +295 +00:26:35,430 --> 00:26:40,710 +contains many interrelated elements يعني عملية ال + +296 +00:26:40,710 --> 00:26:45,820 +assessment هي عملية مستمرة زي ما حكيناالـ M لها + +297 +00:26:45,820 --> 00:26:52,640 +عدة أوجه ومعقدة من ناحية ان كل شيء مبني على الآخر + +298 +00:26:52,640 --> 00:27:06,620 +مابقدر اهمل اي part of the assessment انصار + +299 +00:27:06,620 --> 00:27:11,200 +متداخلة مع بعضها البعض عشان افحصها لازم افحصها + +300 +00:27:11,200 --> 00:27:17,840 +كلها مع بعضعادةً يحدث التجارب على عدد مرات مع + +301 +00:27:17,840 --> 00:27:22,800 +المستخدم لأن تحميل تجارب كامة في محاولة واحدة يكون + +302 +00:27:22,800 --> 00:27:29,340 +عادةً مزعج للمستخدم مهم جدا أننا نعرف أننا لما بدي + +303 +00:27:29,340 --> 00:27:34,040 +أعمل تجارب ما بقدر أعمل تجارب في مرات واحد عشان + +304 +00:27:34,040 --> 00:27:38,640 +هيك ممكن انا يكون تاخد تجارب كامة معايا two + +305 +00:27:38,640 --> 00:27:43,130 +sessions three sessions وممكن أكتر وممكن أقللأن + +306 +00:27:43,130 --> 00:27:48,830 +حالة المريض لا يستطيع أن يتحمل أن أعمله الـ full + +307 +00:27:48,830 --> 00:27:53,730 +assessment في one session، بيتعب، وإذا صار تعب، + +308 +00:27:53,730 --> 00:28:01,370 +سيصير الاستجابات مش دقيقة ومش كما يجب في عملية ال + +309 +00:28:01,370 --> 00:28:05,380 +assessmentGathering the necessary information over + +310 +00:28:05,380 --> 00:28:08,620 +longer periods of time often gives a much more + +311 +00:28:08,620 --> 00:28:11,820 +accurate picture of the patient's strength and + +312 +00:28:11,820 --> 00:28:16,880 +difficulties عملية الـ Assessment اللي بتاخد معايا + +313 +00:28:16,880 --> 00:28:23,600 +عدة جلسات بتكون أدق لأنه أنا جمعت المعلومات على + +314 +00:28:23,600 --> 00:28:30,590 +فترات طويلة وهذه طبعا الفترات الطويلةإذا عملية جمع + +315 +00:28:30,590 --> 00:28:36,250 +البيانات على مدى جلسات متواصلة تعطيني فرصة أن أخد + +316 +00:28:36,250 --> 00:28:41,870 +صورة صحيحة عن حالة المريض عن قوة العضلات عن + +317 +00:28:41,870 --> 00:28:44,970 +الصعوبات اللي بواجهها المريض + +318 +00:28:48,440 --> 00:28:51,660 +عشان اعمل neurological assessment فيه لازم يكون في + +319 +00:28:51,660 --> 00:28:56,260 +عندى التوفر عندى العناصر التالية لازم اعمل + +320 +00:28:56,260 --> 00:29:01,400 +interview لازم اكون انا قعدت مع المريض في بعض + +321 +00:29:01,400 --> 00:29:05,560 +الحالات ال family او ال relatives اللى موجودين مع + +322 +00:29:05,560 --> 00:29:10,560 +المريض لازم انا اشوف ال level of consciousness عند + +323 +00:29:10,560 --> 00:29:16,230 +المريض لازم اشوف bibliary assessmentCranial nerve + +324 +00:29:16,230 --> 00:29:21,750 +testing Vital signs Motor function Sensory + +325 +00:29:21,750 --> 00:29:26,290 +function Tone Cerebral function وزي ما حكينا من + +326 +00:29:26,290 --> 00:29:30,990 +البداية انه احنا ك فيزيو ثيرابستبنمر على بعض + +327 +00:29:30,990 --> 00:29:36,870 +الشغلات هنا مرور لكن هنا ممكن انه احنا نفصل بشكل + +328 +00:29:36,870 --> 00:29:40,990 +كبير جدا فيما يتعلق بعملنا في ال motor و ال + +329 +00:29:40,990 --> 00:29:45,370 +sensory و ال tone و ال functional assessment في + +330 +00:29:45,370 --> 00:29:47,810 +عملية ال interview with the patient اللي احنا + +331 +00:29:47,810 --> 00:29:51,940 +بنسميها clinical interviewas in all assessments + +332 +00:29:51,940 --> 00:29:56,000 +obtaining through subjective history is very + +333 +00:29:56,000 --> 00:30:01,400 +important هي عبارة عن subjective data انا باسمع + +334 +00:30:01,400 --> 00:30:05,980 +للمريض او ال relatives و باخد منها معلومات مهمة + +335 +00:30:05,980 --> 00:30:11,200 +جدا this can come from a variety of sourcesمصدر + +336 +00:30:11,200 --> 00:30:15,060 +المعلومات اللي انا بدي اخد منها ال subjective data + +337 +00:30:15,060 --> 00:30:19,940 +ممكن تكون متعدد زي ما حكينا ممكن اخد من ال medical + +338 +00:30:19,940 --> 00:30:23,620 +notes و خصوصا اذا انا كنت بقى اشتغل في + +339 +00:30:23,620 --> 00:30:27,880 +rehabilitation hospital و تم تقييم المريض و المريض + +340 +00:30:27,880 --> 00:30:33,260 +محول من مستشفى اخر فانا ممكن اخد ال medical notes + +341 +00:30:33,260 --> 00:30:37,320 +شو كتبوا الزملاء اللي موجودين او من ال nursing + +342 +00:30:37,320 --> 00:30:44,900 +notesمن المريض ممكن اخد من ال relatives carers + +343 +00:30:44,900 --> 00:30:48,660 +الناس اللي بيعتنوا بالمريض هذا ممكن في بعض الحالات + +344 +00:30:48,660 --> 00:30:56,140 +يكون هذا المريض في مركز رعايته وفي أشخاصهم اللي + +345 +00:30:56,140 --> 00:30:59,660 +بيقوموا على رعايتهم فهذولا هم يبدوا يكونوا مصدر + +346 +00:30:59,660 --> 00:31:05,120 +المعلوماتالمقابلة الأولى يمكن أن تكون مهمة للغاية + +347 +00:31:05,120 --> 00:31:09,220 +ليس فقط لجمع المعلومات ولكن أيضًا لأن هذا هو + +348 +00:31:09,220 --> 00:31:12,960 +المكان الذي يبدأ استخدام رابورت مع المستخدم + +349 +00:31:12,960 --> 00:31:20,960 +ومهاجره وفي هذه الحالة نقول المقابلة الأولى هي جزء + +350 +00:31:20,960 --> 00:31:25,120 +مهم من عملية العلاج ليس فقط لأننا بجمع فيها + +351 +00:31:25,120 --> 00:31:30,600 +معلومات لأن كمان من خلال اللقاء الأول أنا بدأت + +352 +00:31:30,600 --> 00:31:35,010 +أكون علاقةعندما اتقبلت مع المريض و بدأ يتقبلني + +353 +00:31:35,010 --> 00:31:40,850 +كمعالج له المريض في هذه الحالة و اللقاء الأول إذا + +354 +00:31:40,850 --> 00:31:44,990 +المريض تقبلني فيه هيتقبلني فيه مابعده لكن إذا + +355 +00:31:44,990 --> 00:31:49,110 +اللقاء الأول كان فيه صعوبة في تقبل ال therapist من + +356 +00:31:49,110 --> 00:31:53,230 +جهة المريض هيكون فيه مشكلة في باقي الجلسات على + +357 +00:31:53,230 --> 00:31:58,360 +المدى البعيدباخد في ال interview او شغلات اللي انا + +358 +00:31:58,360 --> 00:32:01,340 +بدي اركز عليها في ال interview طبعا في عندي ال + +359 +00:32:01,340 --> 00:32:05,340 +gathering information أو gathering data ممكن تكون + +360 +00:32:05,340 --> 00:32:09,500 +ال data هذه subjective و ممكن تكون objective about + +361 +00:32:09,500 --> 00:32:13,640 +the patients previous present health states بدي + +362 +00:32:13,640 --> 00:32:17,020 +اشوف شو في عنده أمراض شو في عنده أمراض سابقة شو + +363 +00:32:17,020 --> 00:32:21,680 +اتعرض لحالاتو مهم جدا كمان ان انا اسأل عن ال + +364 +00:32:21,680 --> 00:32:26,240 +functional condition previous functional status + +365 +00:32:26,240 --> 00:32:32,340 +انا ك physiotherapist بدي اركز على شو كان المستوى + +366 +00:32:32,340 --> 00:32:37,580 +الوظيفي للمريض كان بيمشي بيمشيش كيف كان وضعه قبل + +367 +00:32:37,580 --> 00:32:43,210 +ما يصير معاه الحالة او الإصابة الجديدةprovide + +368 +00:32:43,210 --> 00:32:47,850 +information to patients and family وهم جدا انه + +369 +00:32:47,850 --> 00:32:52,010 +احنا في عملية ال interview كمان بنقدم معلومات و + +370 +00:32:52,010 --> 00:32:56,170 +بنشرح للمريض و العائلة تبعته شو المرض اللي موجود و + +371 +00:32:56,170 --> 00:33:01,290 +شو هيكون هدفنا من عملية العلاج و شو بلزمنا في + +372 +00:33:01,290 --> 00:33:06,450 +عملية العلاج clarify information بعض المعلومات + +373 +00:33:06,450 --> 00:33:12,030 +اللي بتكون خاطئةعند المريض ممكن انه احنا نوضحها من + +374 +00:33:12,030 --> 00:33:17,250 +خلال عملية ال interview الأولى make appropriate + +375 +00:33:17,250 --> 00:33:22,470 +reference في بعض الحالات انه انا بلزمني انه احول + +376 +00:33:22,470 --> 00:33:29,890 +المريض لجهة اخرى عشان اخد اكتر بيانات اخد دقة في + +377 +00:33:29,890 --> 00:33:33,610 +البيانات اللي موجودة عنده ممكن احوله لطبيب اخر + +378 +00:33:33,610 --> 00:33:39,190 +لتخصص اخر حسب الحال اللي موجود عندهDevelop a good + +379 +00:33:39,190 --> 00:33:42,770 +working relationship with both the patient and the + +380 +00:33:42,770 --> 00:33:47,710 +family.كمان اللقاء الأول قلنا أنه بتكون أو بساعد + +381 +00:33:47,710 --> 00:33:52,050 +في بناء علاقة جيدة ما بين ال therapist و ما بين + +382 +00:33:52,050 --> 00:33:56,850 +المريض و عائلته.Initiate the development of + +383 +00:33:56,850 --> 00:34:01,110 +written plan of care which is patient specific + +384 +00:34:01,110 --> 00:34:12,090 +عمليةبناء الخطة العلاجية الخاصة بهذا المريض هذه + +385 +00:34:12,090 --> 00:34:17,710 +العناصر اللي احنا حكيناها في ال interview الان لما + +386 +00:34:17,710 --> 00:34:21,690 +بدانيكي نحكي و احنا بنعمل ال interview و في عندنا + +387 +00:34:21,690 --> 00:34:25,170 +ال history اللي احنا بناخده من خلال ال interview + +388 +00:34:25,170 --> 00:34:29,250 +شو بدي اسألك ال history؟ شو الشغلات اللي انا بدي + +389 +00:34:29,250 --> 00:34:33,940 +اركز عليها عندما اسأل ال history؟ما بدي اخل المريض + +390 +00:34:33,940 --> 00:34:39,820 +يحكي لي بيانات ومعلومات ما بتلزمني كتير وفي نفس + +391 +00:34:39,820 --> 00:34:44,440 +الوقت بدي احافظ على ان انا ما اصد المريض في أثناء + +392 +00:34:44,440 --> 00:34:50,220 +الكلام لكن بدي احاول اخد ال chief complaint الشكوه + +393 +00:34:50,220 --> 00:34:56,400 +الرئيسية مع المريض history of present illness متى + +394 +00:34:56,400 --> 00:35:03,360 +بدأت الحالة؟مع المريض الحالي اللى موجود الآن لسبب + +395 +00:35:03,360 --> 00:35:08,340 +دخوله للمستشفى باست medical history بدي اسأل عنها + +396 +00:35:08,340 --> 00:35:13,900 +كمان وهذه طبعا تشمل شو في عنده illnesses سابقة + +397 +00:35:13,900 --> 00:35:19,580 +سواء كان ديابيتا، سايبرتنشن، اي ان كان اذا كان في + +398 +00:35:19,580 --> 00:35:22,920 +عنده بعض ال medications اشوف شو باخد medications + +399 +00:35:22,920 --> 00:35:27,190 +لأن في بعض ال medications بتأثر علىالـ level of + +400 +00:35:27,190 --> 00:35:29,990 +consciousness بتأثر على ال level of concentration + +401 +00:35:29,990 --> 00:35:34,170 +وبالتالي بدي أعرف شو اللي موجود عند المريض من + +402 +00:35:34,170 --> 00:35:40,370 +علاجات بياخدهم hospitalization and surgery جداش + +403 +00:35:40,370 --> 00:35:46,230 +قعد في المستشفيات إذا تعمله خليني نقول جداش الفترة + +404 +00:35:46,230 --> 00:35:49,950 +اللي قضوها في المستشفى إذا كان استدعى الأمر مبيت + +405 +00:35:49,950 --> 00:35:54,940 +في المستشفىسيرجيري ايش فيه عمليات جراحية عاملة + +406 +00:35:54,940 --> 00:36:00,560 +الارجيس ايش في عنده حساسية سواء كانت حساسية للدواء + +407 +00:36:00,560 --> 00:36:04,640 +الحساسية لبعض المواد الموجودة كل أنواع الحساسية + +408 +00:36:04,640 --> 00:36:09,100 +اذا في عنده اي نوع من الحساسية بدنا نكون واضحين + +409 +00:36:09,100 --> 00:36:14,260 +ونكتب عنا في ال history من ضمن ال history اللي + +410 +00:36:14,260 --> 00:36:20,130 +بيكون موجود كمان بدنا نحكي عن ال family historyمع + +411 +00:36:20,130 --> 00:36:25,710 +مين عايش؟ كيف عايش؟ الوضع اللى موجود في مين الشخص + +412 +00:36:25,710 --> 00:36:30,510 +اللى بيقوم برعايته ال social history الوضع + +413 +00:36:30,510 --> 00:36:35,990 +الاجتماعى وخصوصا ما يتعلق بالعمل مصدر الرزق اذا + +414 +00:36:35,990 --> 00:36:41,770 +كان هو هذا مصدر الدخل الوحيد للأسرة فبدنا نعرف كيف + +415 +00:36:41,770 --> 00:36:44,370 +ممكن ان هم يدبروا حالهم + +416 +00:36:47,130 --> 00:36:50,870 +المعلومات اللي احنا بناخدها هنا ممكن نحولهم على ال + +417 +00:36:50,870 --> 00:36:54,990 +social workers عشان يساعدهم ويساعدوا الأسرة في هذا + +418 +00:36:54,990 --> 00:37:02,770 +الجانب Review of systems بنراجع أجهزة الجسم بشكل + +419 +00:37:02,770 --> 00:37:07,590 +عام يعني خلينا نقول ال central nervous system ال + +420 +00:37:07,590 --> 00:37:13,310 +skin progression of the conditionكيف وصلت اتطورت + +421 +00:37:13,310 --> 00:37:18,430 +الحالة history of present condition وخلال ال + +422 +00:37:18,430 --> 00:37:22,010 +history of present condition نعرف progression of + +423 +00:37:22,010 --> 00:37:25,270 +the condition كيف اتطورت الحالة وكيف وصلت للوضع + +424 +00:37:25,270 --> 00:37:31,690 +اللي موجود فيه اليوم date of onsetof signs and + +425 +00:37:31,690 --> 00:37:36,150 +symptoms متى بدت تظهر العلامات اللى موجودة حاليا + +426 +00:37:36,150 --> 00:37:40,450 +ال clinical features medical management شو العلاج + +427 +00:37:40,450 --> 00:37:46,590 +الطبي اللى بياخده medical observations other + +428 +00:37:46,590 --> 00:37:50,910 +managements previous therapy شوفي أخد علاجات سابقة + +429 +00:37:50,910 --> 00:37:54,650 +فيزي ثرابي أو أي ان كان نوع العلاج اللى أخده قبل + +430 +00:37:54,650 --> 00:38:02,690 +هيكسؤال عن نتائج الفحوصات اللي انعملت سواء كانت x + +431 +00:38:02,690 --> 00:38:09,330 +-ray او CT MRI او بعض blood test حسب الحالة باس + +432 +00:38:09,330 --> 00:38:10,250 +medical history + +433 +00:38:16,980 --> 00:38:23,100 +مزمنة مزمنة مزمنة مزمنة مزمنة مزمنة مزمنة مزمنة + +434 +00:38:23,100 --> 00:38:29,580 +مزمنة مزمنة + +435 +00:38:29,580 --> 00:38:38,550 +مزمنة مزمنةعكا كيز أو ووكار أو ويلت شيرز تكنولوجي + +436 +00:38:38,550 --> 00:38:43,350 +ديبندنسي ايش بيعتمد ممكن يكون بيعتمد على سماعات في + +437 +00:38:43,350 --> 00:38:47,790 +السماع او اي ان كان الأدوات المساعدة اللي بيحتاجها + +438 +00:38:47,790 --> 00:38:52,730 +في حياتهPrevious surgeries ايش في عنده عملية + +439 +00:38:52,730 --> 00:38:57,370 +جراحية سابقة ايش عنده drug history او خلينا نقول + +440 +00:38:57,370 --> 00:39:01,050 +medication او medicine history التاريخ العلاج ايش + +441 +00:39:01,050 --> 00:39:05,470 +بياخد علاجات قبل هيك social history social + +442 +00:39:05,470 --> 00:39:09,430 +situation وضعه الاجتماعي متزوج اعزف جد ايش في عنده + +443 +00:39:09,430 --> 00:39:16,310 +ولاد ال family supportكيف عايش ضمن أسرة ولا لأ مين + +444 +00:39:16,310 --> 00:39:21,750 +بيعول بيه accommodation social service supportمين + +445 +00:39:21,750 --> 00:39:27,110 +بيرعاه و مين بيقدمله خدمات اجتماعية خلنا نقول كيف + +446 +00:39:27,110 --> 00:39:30,670 +عايشه على ايش بيعتمد شو ال social support اللي + +447 +00:39:30,670 --> 00:39:35,530 +بياخده اذا كان موجود لان بعد ما خلصنا ال history + +448 +00:39:35,530 --> 00:39:38,810 +بدنا نبدأ في عملية ال examination ال clinical + +449 +00:39:38,810 --> 00:39:43,490 +examination بدنا نكون عارفين انه الهدف الرئيسي لل + +450 +00:39:43,490 --> 00:39:45,830 +examination clinical examination هي gathering + +451 +00:39:45,830 --> 00:39:46,810 +information + +452 +00:39:52,670 --> 00:40:01,670 +هدفنا الرئيسي نعرف شو مستوى ال movements وشو مستوى + +453 +00:40:01,670 --> 00:40:04,650 +ال function اللي موجود عند المرض + +454 +00:40:07,000 --> 00:40:12,540 +التجارب التجارية تعمل من خلال مجموعه وتركز على + +455 +00:40:12,540 --> 00:40:19,660 +مستوى قبل مستوى عملية الطب والعملية ADLالان طبيعة + +456 +00:40:19,660 --> 00:40:24,560 +ال examination اذا احنا بنحكي على physical + +457 +00:40:24,560 --> 00:40:28,640 +examination ممكن انا ك physiotherapist اقوم بيها + +458 +00:40:28,640 --> 00:40:32,600 +لوحدى و ممكن اكون ضمن فريق اذا كنت .. بالذات اذا + +459 +00:40:32,600 --> 00:40:36,040 +كنت انا بقى اشتغل في rehabilitation hospital كل + +460 +00:40:36,040 --> 00:40:39,700 +الشغل هذا بدي يكون ضمن الفريق physician and the + +461 +00:40:39,700 --> 00:40:43,480 +physiotherapist can observe the patient طبيب و + +462 +00:40:43,480 --> 00:40:48,470 +physiotherapist بيبدوا يلاحظوا المريضكيف هو بيمشي + +463 +00:40:48,470 --> 00:40:53,510 +في أوضاع مختلفة، شو الصعوبات اللي بيواجهها، إذا + +464 +00:40:53,510 --> 00:40:57,770 +كان بيقدر يمشي، بيقدرش يمشي، كل هذه الأمور ممكن + +465 +00:40:57,770 --> 00:41:02,370 +إنها تنعمل ضمن الفريق occupational therapist + +466 +00:41:02,370 --> 00:41:06,470 +assists the patient performance of activity of + +467 +00:41:06,470 --> 00:41:10,230 +daily living كمان مهم جدا ال occupational + +468 +00:41:10,230 --> 00:41:14,310 +therapist شو التدخلات اللي بيعملها عشان يساعد + +469 +00:41:14,310 --> 00:41:19,610 +المريض في أداءعلى سبيل المثال الـ Rehabilitation + +470 +00:41:19,610 --> 00:41:25,730 +nurses assist the safety and judgment of patients + +471 +00:41:25,730 --> 00:41:35,590 +while inside the hospital المدى الأمان و الحكم على + +472 +00:41:35,590 --> 00:41:40,670 +الأشياء من قبل المريض كيف بتصرف المريض و هل هو آمن + +473 +00:41:40,670 --> 00:41:45,390 +المريض انه يعمل هذه الشيء لوحده ولا بلزمه مساعدة + +474 +00:41:46,220 --> 00:41:52,900 +Speech Therapist بيساعد في عملية ال language and + +475 +00:41:52,900 --> 00:41:56,500 +through specific communication skills وبساعدنا في + +476 +00:41:56,500 --> 00:42:01,840 +اتباع طريقة لل communication مع هذا المريض على + +477 +00:42:01,840 --> 00:42:07,740 +سبيل المثال بعض الحالات بنلاقي ان المريض بيقرألكن + +478 +00:42:07,740 --> 00:42:14,600 +بيقدرش يتكلم فممكن ال speech therapist يجدنا طريقة + +479 +00:42:14,600 --> 00:42:20,500 +للتواصل معاه بحيث انه يسهل عملية التواصل ممكن يحط + +480 +00:42:20,500 --> 00:42:24,160 +عند المريض حاجة يسموها communication board بحيث ان + +481 +00:42:24,160 --> 00:42:29,900 +هذا ال board او هذه الورقةموجود فيها بعض ال + +482 +00:42:29,900 --> 00:42:33,700 +functions الأساسية اللى بتكون موجودة أو بيحتاجها + +483 +00:42:33,700 --> 00:42:36,900 +المريض بدي أكل بدي أشرب على سبيل المثال بدي أجلب + +484 +00:42:36,900 --> 00:42:41,380 +على اليمين بدي أجلب على الشمال بدي أجعد فعلى سبيل + +485 +00:42:41,380 --> 00:42:46,460 +المثال بصير المريض أنه لما بدي يطلب أي خدمة ال + +486 +00:42:46,460 --> 00:42:51,060 +therapist أو ال nurse بس يورجي ال communication + +487 +00:42:51,060 --> 00:42:55,350 +board هذاوالمريض يفتح الشيء اللي يريده الشيء الـ + +488 +00:42:55,350 --> 00:42:57,670 +order اللي يريده الشيء اللي يريده الشيء اللي يريده + +489 +00:42:57,670 --> 00:42:58,710 +الشيء اللي يريده الشيء اللي يريده الشيء اللي يريده + +490 +00:42:58,710 --> 00:42:58,730 +الشيء اللي يريده الشيء اللي يريده الشيء اللي يريده + +491 +00:42:58,730 --> 00:42:58,730 +الشيء اللي يريده الشيء اللي يريده الشيء اللي يريده + +492 +00:42:58,730 --> 00:42:58,830 +الشيء اللي يريده الشيء اللي يريده الشيء اللي يريده + +493 +00:42:58,830 --> 00:42:58,870 +الشيء اللي يريده الشيء اللي يريده الشيء اللي يريده + +494 +00:42:58,870 --> 00:43:00,770 +الشيء اللي يريده الشيء اللي يريده الشيء اللي يريده + +495 +00:43:00,770 --> 00:43:08,750 +الشيء اللي يريده الشيء + +496 +00:43:08,750 --> 00:43:15,270 +اللي يمن خلال التعامل مع المريض والعائلة تقدر تقدر + +497 +00:43:15,270 --> 00:43:17,750 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +498 +00:43:17,750 --> 00:43:20,910 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +499 +00:43:20,910 --> 00:43:21,750 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +500 +00:43:21,750 --> 00:43:21,910 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +501 +00:43:21,910 --> 00:43:22,650 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +502 +00:43:22,650 --> 00:43:27,230 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر تقدر + +503 +00:43:27,230 --> 00:43:38,850 +تقدر تقدر تقدر تقدر تقدر تقدر تقدر ت + +504 +00:43:39,100 --> 00:43:44,280 +هو الـ T mark بيشتغل سواء كان فيزي ثيرابيست، + +505 +00:43:44,280 --> 00:43:52,280 +فيزيشن، نارس، كيبشانال ثيرابيست، social worker، + +506 +00:43:52,280 --> 00:43:56,760 +الpsychologist كل هدولة بدهم يكونوا مع بعض أو كل + +507 +00:43:56,760 --> 00:44:01,040 +واحدة على حدة لكن مهم جدا لهم عملية ال meeting بعد + +508 +00:44:01,040 --> 00:44:07,240 +نهاية الاسسمة الـ neurological examination اللي + +509 +00:44:07,240 --> 00:44:15,620 +احنا بدناهبنعملها ونشوف مريضنا وين موصل فيها الهدف + +510 +00:44:15,620 --> 00:44:19,560 +الرئيسي للتجارب النيورو هي تلاتراليزي و تلوكاليزي + +511 +00:44:19,560 --> 00:44:20,900 +الهدف الرئيسي للتجارب النيورو هي تلاتراليزي و + +512 +00:44:20,900 --> 00:44:23,480 +تلوكاليزي الهدف للتجارب النيورو هي تلاتراليزي و + +513 +00:44:23,480 --> 00:44:29,600 +تلوكاليزي الهدف للتجارب النيورو هي تلاتراليزي + +514 +00:44:29,600 --> 00:44:33,620 +و تلوكاليزي الهدف للتجارب النيورو هي تلاتراليزي + +515 +00:44:33,620 --> 00:44:35,600 +الهدف للتجارب النيورو هي تلاتراليزي الهدف للتجارب + +516 +00:44:35,600 --> 00:44:40,800 +النيورو هي تلاتراليزي الهدفالـ mental status كيف + +517 +00:44:40,800 --> 00:44:44,680 +حالة المريض من ناحية عقلية من ناحية cognition من + +518 +00:44:44,680 --> 00:44:50,460 +ناحية level of consciousness ال cranial nerve + +519 +00:44:50,460 --> 00:44:57,180 +assessment ال reflexes ال deep tendal reflexes ال + +520 +00:44:57,180 --> 00:45:00,200 +motor function + +521 +00:45:00,770 --> 00:45:05,330 +سنسورى فانكشن سيرابيلار فانكشن كمان مرة زى ما + +522 +00:45:05,330 --> 00:45:08,990 +حكينا انه احنا كفيزيو ثيرابيست في بعض الشغلات هم + +523 +00:45:08,990 --> 00:45:14,930 +بنمر عليها مرور في شغلات بنركز عليها بشكل أسرع أو + +524 +00:45:14,930 --> 00:45:21,110 +بنركز عليها بشكل مفصل مع المريض فعالية ال + +525 +00:45:21,110 --> 00:45:24,710 +assessment كمان ممكن احنا نشوف functional + +526 +00:45:24,710 --> 00:45:29,470 +assessmentوهذه طبعا بنعمل assessment لبعض ال + +527 +00:45:29,470 --> 00:45:34,090 +activities ال normal daily routine شو الشغلات اللى + +528 +00:45:34,090 --> 00:45:38,730 +بيقوم فيها المريض بشكل يومي ال employment ال + +529 +00:45:38,730 --> 00:45:44,010 +leisure activities اوقات الفراغ طبيعة عمله شو + +530 +00:45:44,010 --> 00:45:50,750 +بيعمل او كيف بتدبر فيه اثناء الحالة المرضية او شو + +531 +00:45:50,750 --> 00:45:55,250 +بدى يعمل فيه عمله في المستقبل هذه كلها شغلات بدنا + +532 +00:45:55,250 --> 00:46:01,830 +نقيمهاعشان بناء عليها نقدر نحط ال plan of action + +533 +00:46:01,830 --> 00:46:07,870 +كفيزو ثيرابيست و ك rehabilitation team بنقيم ال + +534 +00:46:07,870 --> 00:46:11,790 +mobility و احنا كفيزو ثيرابيست بنركز على ال + +535 +00:46:11,790 --> 00:46:17,130 +mobility general كيف مشاكل عام تجوم تتحرك ال + +536 +00:46:17,130 --> 00:46:25,070 +mobility indoors بنشوفها outdoors steps كيف يخطو + +537 +00:46:25,070 --> 00:46:29,580 +بعض الخطواتالـ Upstairs و Downstairs كيف بيطلع + +538 +00:46:29,580 --> 00:46:35,640 +الدرج و بينزل الدرج الـ Falls بعض إذا كان في خطر + +539 +00:46:35,640 --> 00:46:39,080 +أن يحصل في عنده falling في أثناء أداء هذه ال + +540 +00:46:39,080 --> 00:46:45,980 +activity الـ Personal care وهذا طبعا بتشمل ال + +541 +00:46:45,980 --> 00:46:53,710 +activity of daily livingكيف بيقدر يستخدم يغسل + +542 +00:46:53,710 --> 00:46:59,830 +وجهه، يغسل إيدي، ال dressing، يلبس ال continents، + +543 +00:46:59,830 --> 00:47:06,030 +هل في عنده تحكم في عمليات الإخراج سواء كان urine + +544 +00:47:06,030 --> 00:47:09,150 +continents أو bowel continents + +545 +00:47:13,160 --> 00:47:16,620 +بعض الشغلات الأخرى اللي احنا بنعملها assessment ال + +546 +00:47:16,620 --> 00:47:19,940 +vision لإنه مهم جدا إيه لإنه انا أشوف كيف المريض + +547 +00:47:19,940 --> 00:47:24,660 +بيشوف ولا ما بيشوفش إذا كان في صعوبة في النظربناء + +548 +00:47:24,660 --> 00:47:29,940 +عليها ستضع الخطط العلاجية ستساعد في عملية ال + +549 +00:47:29,940 --> 00:47:34,640 +communication كمان ال hearing برضه نفس الشيء لأنه + +550 +00:47:34,640 --> 00:47:38,340 +انا بدي اعطي instructions فبالتالي مهم جدا للمرض + +551 +00:47:38,340 --> 00:47:43,440 +ان يكون بيسمع عشان يفهم ال instructions عشان يبدأ + +552 +00:47:43,440 --> 00:47:48,940 +يطبق هذه ال instructions ال swallowing البلع و كيف + +553 +00:47:48,940 --> 00:47:54,190 +البلع موجود عنده هل في مشاكل مش مشاكلأي حالة + +554 +00:47:54,190 --> 00:47:58,670 +العضلات في عنده fatigue easily fatigue ولا لأ ال + +555 +00:47:58,670 --> 00:48:04,030 +pain هل + +556 +00:48:04,030 --> 00:48:09,110 +المريض بيشكوا من قلم في أثناء عمل ال activities + +557 +00:48:09,110 --> 00:48:13,450 +ولا في أثناء ال rest perception of own problems + +558 +00:48:13,450 --> 00:48:19,610 +main concern شو وجهة نظر المريض كمان عن مشاكله شو + +559 +00:48:19,610 --> 00:48:23,640 +اكتراحتمامات المريض في مشاكله يعني انا بدي مريض + +560 +00:48:23,640 --> 00:48:29,680 +مثلا بديه يمشي هو هام هدف عنده هو انه يرجع على + +561 +00:48:29,680 --> 00:48:34,520 +شغله فانا بدي ابدأ اوفق بين ال main concern of the + +562 +00:48:34,520 --> 00:48:38,140 +patient وما بين ال concern of the therapist عشان + +563 +00:48:38,140 --> 00:48:42,700 +يبدأ يحقق العلاج او الهدف من العلاج تبعه + +564 +00:48:42,700 --> 00:48:48,260 +expectations of treatmentلوين بده يصل من ال + +565 +00:48:48,260 --> 00:48:52,220 +treatment وهذا مهم جدا في عملية ال goal setting + +566 +00:48:52,220 --> 00:48:58,220 +سنحكي عنها لاحقا ان شاء الله رب العالمين هيكون + +567 +00:48:58,220 --> 00:49:02,780 +فيها طبعا شو المريض بيتوقع من العلاج وشو انا بقدر + +568 +00:49:02,780 --> 00:49:08,120 +اقدم للمريض في عملية العلاجيةكما بدنا نعمل + +569 +00:49:08,120 --> 00:49:10,880 +assessment لـ posture و ال balance نشوف ال + +570 +00:49:10,880 --> 00:49:15,300 +alignment إذا كان في عنده neglect و خصوصا مع مرضى + +571 +00:49:15,300 --> 00:49:22,700 +ال stroke الجلطة الدماغية هل نصف ال body half of + +572 +00:49:22,700 --> 00:49:27,280 +the body حاجة بيسموها hemineglect مهمل جزء من + +573 +00:49:27,280 --> 00:49:33,840 +الجسم أو نصف الجسم أو لأ sitting balance توازن في + +574 +00:49:33,840 --> 00:49:39,010 +أثناء الجلوس standing balanceالـ voluntary + +575 +00:49:39,010 --> 00:49:43,870 +movement، range of motion، strength، endurance، + +576 +00:49:43,870 --> 00:49:49,640 +coordinationفينجر تو نوز تست هيل تو شين تست رابدلي + +577 +00:49:49,640 --> 00:49:53,180 +alternating movements كل هذه حركات احنا بنعملها + +578 +00:49:53,180 --> 00:49:59,440 +عشان نركز أو نشوف شو في عند المريض بعض المشاكل + +579 +00:49:59,440 --> 00:50:05,200 +اللي ممكن احنا نساعده في حالها ونبدأ نحط خطة + +580 +00:50:05,200 --> 00:50:10,460 +علاجية مناسبة للمشاكل اللي موجودة عند المريض + +581 +00:50:15,260 --> 00:50:22,240 +عند المريض حركات لا إرادية ترمش كولناس كوريا + +582 +00:50:22,240 --> 00:50:24,160 +associated reactions + +583 +00:50:31,790 --> 00:50:35,570 +شو ال tone الموجود عند المريض هل في عنده + +584 +00:50:35,570 --> 00:50:39,630 +flaccidity و لا specificity و اذا كان في + +585 +00:50:39,630 --> 00:50:42,810 +specificity اي نوع من ال specificity هل هي class + +586 +00:50:42,810 --> 00:50:48,170 +knife و لا rigidity , cogwheel او lead pipe كل هذه + +587 +00:50:48,170 --> 00:50:56,310 +طبعا هنجيها بشيء من التفصيل لقدام ال reflexes دي + +588 +00:50:56,310 --> 00:51:02,310 +بتندر reflexesطبعا مجموعة اكتر deep tender reflex + +589 +00:51:02,310 --> 00:51:05,930 +اللي احنا بنعملها فحص ال biceps reflex و triceps + +590 +00:51:05,930 --> 00:51:11,930 +reflex ال knee و ال ankle reflex و ال plantar + +591 +00:51:11,930 --> 00:51:16,210 +response البابنسكي sign هاد طبعا الشغلات اللي احنا + +592 +00:51:16,210 --> 00:51:20,990 +بنفحصها و بنعملها assessment ك physiotherapist + +593 +00:51:23,400 --> 00:51:27,680 +Sensory Assessment تشمل light touch، pin prick، + +594 +00:51:27,680 --> 00:51:30,800 +two point discrimination، vibration sense أو sense + +595 +00:51:30,800 --> 00:51:34,700 +of vibration، joint position أو sense of position + +596 +00:51:34,700 --> 00:51:38,660 +of the joint، ال temperature، vision and hearing، + +597 +00:51:38,660 --> 00:51:44,460 +ال temperature طبعا عن طريق انبوبتين اختبارالواحد + +598 +00:51:44,460 --> 00:51:48,840 +بنحط فيها ماء بارد والاخر ماء ساخن أو دافع ونبدأ + +599 +00:51:48,840 --> 00:51:53,880 +نحطهم على ال areas اللي احنا بنعملها assessment of + +600 +00:51:53,880 --> 00:51:58,520 +temperature functional activities تشمل ال bed + +601 +00:51:58,520 --> 00:52:02,340 +mobilities ال rolling لل both sides، sitting، + +602 +00:52:02,340 --> 00:52:06,140 +moving in the bed بشكل عامالـ sitting balance + +603 +00:52:06,140 --> 00:52:13,540 +التوازن في أثناء الجلوس الانتقال من السرير للكرسي + +604 +00:52:13,540 --> 00:52:18,740 +المتحرك أو بالعكس الانتقال من الكرسي للحمام + +605 +00:52:18,740 --> 00:52:25,100 +للكوليت أو بالعكس للسيارة حسب حالة المريض و مش + +606 +00:52:25,100 --> 00:52:30,530 +بلزم فيها عملية ال transfer assessmentالـ Upper + +607 +00:52:30,530 --> 00:52:33,230 +Limb Function ماذا يقدر يعمل في الـ Upper Limb + +608 +00:52:33,230 --> 00:52:39,850 +Functions؟ الـ Mobility Stairs Up and Down Stairs + +609 +00:52:39,850 --> 00:52:44,350 +الـ Gate في عملية الـ Assessment of Gate نشوف الـ + +610 +00:52:44,350 --> 00:52:48,430 +Pattern نشوف الـ Distance و الـ Velocity ماذا + +611 +00:52:48,430 --> 00:52:53,540 +يستخدم Walking aids؟ ماذا يستخدم Orthosis؟أيش الـ + +612 +00:52:53,540 --> 00:52:57,180 +assistance اللي بيحتاجها في أثناء المشي كيف الـ + +613 +00:52:57,180 --> 00:53:00,320 +cognitive status كيف ال attention كيف ال + +614 +00:53:00,320 --> 00:53:03,560 +orientation و ال memory هذه من الشغلات اللي احنا + +615 +00:53:03,560 --> 00:53:09,580 +بدنا نعملها assessment كمان problem + +616 +00:53:09,580 --> 00:53:14,020 +listing prioritizing the problem إذن أول شيء بعد + +617 +00:53:14,020 --> 00:53:17,980 +ما أنا عملت ال data collection أو gathering + +618 +00:53:17,980 --> 00:53:22,240 +informationأو الـ Data Gathering بدي أعمل عملية + +619 +00:53:22,240 --> 00:53:26,560 +Problem Listing أبدأ كل المشاكل اللي أنا حطيتها + +620 +00:53:26,560 --> 00:53:31,780 +أبدأ أحطها أو طلعت بيها أبدأ أحطها في قائمة واحدة + +621 +00:53:31,780 --> 00:53:35,760 +بعد هيك القائمة اللي أنا طلعت بيها هذه بدي أبدأ + +622 +00:53:35,760 --> 00:53:39,140 +أعمل Prioritizing أشوف مين الأولويات في هذه + +623 +00:53:39,140 --> 00:53:42,800 +المشاكل و أبدأ أشتغل فيها أول بأول + diff --git a/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/wJ44fz0-dnU.srt b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/wJ44fz0-dnU.srt new file mode 100644 index 0000000000000000000000000000000000000000..0ad0b970b162dcee306161fe85320dd82a1b1bc8 --- /dev/null +++ b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/wJ44fz0-dnU.srt @@ -0,0 +1,1014 @@ +1 +00:00:00,000 --> 00:00:03,120 +نكمل في موضوع الـ neurological assessment، ونبدأ + +2 +00:00:03,120 --> 00:00:06,740 +الآن في عملية الـ goal setting، المهم جدًا أنّه في + +3 +00:00:06,740 --> 00:00:10,520 +عملية الـ rehabilitation؛ لأنّ إذا عملنا عملية goal + +4 +00:00:10,520 --> 00:00:16,220 +setting بشكلٍ سليم، وحطينا خططًا بشكلٍ سليم، هيكون + +5 +00:00:16,220 --> 00:00:22,720 +عندنا نتائج بشكلٍ واضحٍ وملموسة بشكلٍ كويس جدًا، عشان + +6 +00:00:22,720 --> 00:00:28,600 +هيك احنا بنقول أنّ الـ goal setting في جلسة ممكن تعمل + +7 +00:00:28,600 --> 00:00:35,020 +مع المريض، مع الـ other rehabilitation staff، تسمى + +8 +00:00:35,020 --> 00:00:39,380 +جلسة الـ goal setting، بحيث أنّ كل واحدٍ من الناس + +9 +00:00:39,380 --> 00:00:43,480 +اللي اشتغلوا مع المريض، عملوا assessment، عملوا + +10 +00:00:43,480 --> 00:00:48,400 +gathering information، بدأوا الآن المعلومات اللي + +11 +00:00:48,400 --> 00:00:52,680 +أخدوها، بدهم يشوفوا مين الـ priority بالنسبة للـ + +12 +00:00:52,680 --> 00:00:58,420 +problem list اللي طلعت عند المريض، وبناءً عليها تبدأ + +13 +00:00:58,420 --> 00:01:05,840 +عملية وضع الأهداف، عملية وضع الأهداف زي ما قلنا أنّها + +14 +00:01:05,840 --> 00:01:11,560 +هي عمليةٌ أو تحتاج مهارةً، يعني عمليةٌ تحتاج مهارةً + +15 +00:01:11,560 --> 00:01:17,360 +وأنا كـ physiotherapist، عشان أقدر أحط أهدافًا تناسب + +16 +00:01:18,060 --> 00:01:23,380 +مشاكل المريض، بدي أنا أكون عامل detailed assessment، + +17 +00:01:23,380 --> 00:01:28,480 +وفي نفس الوقت، بدي أكون عارف شو احتياجات المريض من + +18 +00:01:28,480 --> 00:01:33,220 +أين، بدي أعرف احتياجات المريض، لازم أنا أكون عملت + +19 +00:01:33,220 --> 00:01:36,800 +interview مع المريض، وعملت assessment بشكلٍ كويس، + +20 +00:01:36,800 --> 00:01:41,420 +وطبقت الـ gathering information اللي كانت في + +21 +00:01:41,420 --> 00:01:45,950 +المرحلة الأولى بشكلٍ سليم، it is one of the skills + +22 +00:01:45,950 --> 00:01:49,790 +that specifically characterizes professional + +23 +00:01:49,790 --> 00:01:54,110 +working in rehabilitation، هذا ما يميز الناس اللي + +24 +00:01:54,110 --> 00:02:00,310 +بتشتغل بشكلٍ مهني في مجال الـ rehabilitation، only by + +25 +00:02:00,310 --> 00:02:03,370 +setting the anticipated outcome in addition to the + +26 +00:02:03,370 --> 00:02:07,470 +actual goal، it is possible to determine whether + +27 +00:02:07,470 --> 00:02:14,890 +the goal has been met or not، الآن كمان بوضع الأهداف + +28 +00:02:14,890 --> 00:02:22,730 +بشكلٍ سليم، بقدر أعرف هل أنا حققت الهدف اللي أنا + +29 +00:02:22,730 --> 00:02:28,030 +وضعته في عملية العلاج، ولا أنا ما حققت الهدف، إذا + +30 +00:02:28,030 --> 00:02:33,750 +الأهداف، عملية وضع الأهداف بتساعدني في تقييمي للخطة + +31 +00:02:33,750 --> 00:02:38,610 +العلاجية اللي أنا بتبعها، it is an active patient + +32 +00:02:38,610 --> 00:02:42,710 +therapist relationship، عملية الـ goal setting هي + +33 +00:02:42,710 --> 00:02:47,690 +مبنية على العلاقة ما بين الـ therapist وما بين + +34 +00:02:47,690 --> 00:02:52,570 +المريض، الـ therapist في هذه الحالة لازم يكون مشاركًا + +35 +00:02:52,570 --> 00:02:57,650 +رئيسيًا في عملية وضع الأهداف، لأنّه هو اللي بتخصّه هذه + +36 +00:02:57,650 --> 00:03:05,030 +الأهداف، وعشان أنا أقدر أطلع بشيء يناسب المريض، وفي + +37 +00:03:05,030 --> 00:03:09,960 +نفس الوقت بيرغب فيه المريض، كثير من الحالات على سبيل + +38 +00:03:09,960 --> 00:03:14,940 +المثال، كنا بنشتغل معاها، أنّ أنا كـ physiotherapist + +39 +00:03:14,940 --> 00:03:19,620 +ما أطلعت المريض على أهدافي، المريض في عنده أهداف + +40 +00:03:19,620 --> 00:03:26,000 +خاصة به، أنا أهدافي على سبيل المثال، لو كان المريض + +41 +00:03:26,000 --> 00:03:29,700 +أصيب في الحبل الشوكي، أهدافي أنّ أنا أخلّي المريض + +42 +00:03:29,700 --> 00:03:34,180 +independent على wheelchair، لكن المريض لما اجى عندي + +43 +00:03:34,180 --> 00:03:36,340 +كان في عنده هدف أنّ هو يكون + +44 +00:03:38,980 --> 00:03:42,880 +بعد ما خلصنا فترة العلاج، المريض حاسس حاله أنّ لم + +45 +00:03:42,880 --> 00:03:47,780 +يتحسن، ولم يحقق الهدف اللي بده، يعني، لأنّه جاي بسبب + +46 +00:03:47,780 --> 00:03:52,680 +أنّه بده يمشي، في حين أنّ الـ therapist بيعتبر نفسه أنّ + +47 +00:03:52,680 --> 00:03:57,240 +هو حقق الأهداف، وفي هذه الحالة طبعًا هيكون فيه + +48 +00:03:57,240 --> 00:04:00,400 +conflict ما بين الـ therapist وما بين الـ patient، + +49 +00:04:02,880 --> 00:04:06,620 +Incorporating opportunities for feedback whereby + +50 +00:04:06,620 --> 00:04:09,840 +patients take as much responsibility as possible + +51 +00:04:09,840 --> 00:04:14,320 +for developing their own goals، لما بنعمل عملية الـ + +52 +00:04:14,320 --> 00:04:19,500 +goal setting، بدي يكون المريض موجود معانا، بناخد + +53 +00:04:19,500 --> 00:04:24,300 +منّه feedback بشكلٍ كويس، وفي نفس الوقت، المريض، + +54 +00:04:24,300 --> 00:04:29,220 +بيحدد شو اللي بيلزمه، شو الأهداف اللي لازمة بشكلٍ + +55 +00:04:29,220 --> 00:04:34,650 +أكثر من غيرها، بإمكانه أن يساعد في تجارب التعامل + +56 +00:04:34,650 --> 00:04:40,530 +ويؤكد أنّ هذا مرتبط بالطب، يحتاج إلى مصالحٍ ومجتمعٍ + +57 +00:04:40,530 --> 00:04:47,730 +إذا أنا وضعت الأهداف بشكلٍ سليم، رح أحط خطةً علاجيةً + +58 +00:04:47,730 --> 00:04:52,290 +لتحقيق الأهداف، وفي نفس الوقت بكون عارف أنّ هذه + +59 +00:04:52,290 --> 00:04:57,510 +الأهداف تلبي حاجة المريض، الآن نيجي في عملية الـ + +60 +00:04:57,510 --> 00:05:02,530 +goal setting meeting، في عند بعض الـ barriers، هذه + +61 +00:05:02,530 --> 00:05:09,990 +المعيقات الممكن تكون موجودة، وتعوق عملية وضع + +62 +00:05:09,990 --> 00:05:16,230 +الأهداف، وبالتالي تعيق الـ plan of intervention، + +63 +00:05:16,230 --> 00:05:21,010 +وبالتالي تعيق عملية الـ rehabilitation كاملةً، + +64 +00:05:25,870 --> 00:05:31,710 +to accept patients’ goals، ممكن يكون عنده بعض المشاكل + +65 +00:05:31,710 --> 00:05:36,670 +أو بعض العوائق، أنّ المعالج أو أخصائي العلاج الطبيعي + +66 +00:05:36,670 --> 00:05:42,390 +ما فيه عنده استعداد أنّه يقبل، ويأخذ أهداف المريض + +67 +00:05:42,390 --> 00:05:46,910 +ويشتغل عليها، وهذا مشكلة من المشاكل، لأنّه قلنا لازم + +68 +00:05:46,910 --> 00:05:51,170 +يكون في توافق ما بين أهداف الـ therapist وأهداف + +69 +00:05:51,170 --> 00:05:58,880 +المريض، in a study by Russell، هو ذكر عائقًا آخر في + +70 +00:05:58,880 --> 00:06:07,600 +دراسةٍ عملت في 1999، ذكرت عائقًا آخر غير العائق اللي + +71 +00:06:07,600 --> 00:06:10,300 +موجود قدامنا اللي هو الـ patient أو الـ therapist + +72 +00:06:10,300 --> 00:06:18,800 +not accepting the patient’s goal، أول هذه العوائق أو + +73 +00:06:18,800 --> 00:06:26,230 +المشاكل أو الحواجز، مهارات المريض كانت مختلفة من + +74 +00:06:26,230 --> 00:06:39,490 +مهارات الـ therapist، المريض لم + +75 +00:06:39,490 --> 00:06:44,010 +يشغل + +76 +00:06:44,010 --> 00:06:44,510 +مهارات الـ therapist بشكلٍ أكثر، + +77 +00:06:49,080 --> 00:06:55,460 +المريض لم يشارك بشكلٍ فعالٍ في عملية وضع الأهداف، + +78 +00:06:55,460 --> 00:07:01,280 +وبالتالي هو يعتبر أنّ الأهداف هذه ليس له، في حين أنّه + +79 +00:07:01,280 --> 00:07:06,620 +لو أُشْرِكَ في وضع الأهداف، فبيكون يتبنى هذه الأهداف + +80 +00:07:06,620 --> 00:07:12,560 +ويساعدني في تحقيقها أو الوصول إليها، والهدف لم يكن + +81 +00:07:12,560 --> 00:07:15,880 +مُقَيَّسًا، ولم يكن مُقَيَّسًا، + +82 +00:07:37,220 --> 00:07:42,620 +على سبيل المثال، لو جيت أنا قُلت من ضمن الأهداف + +83 +00:07:42,620 --> 00:07:47,380 +تبعيتي to improve the patient’s condition، طب شو أنا + +84 +00:07:47,380 --> 00:07:50,800 +بدي أحسّن في حالة المريض، أعمل improving للـ patient’s + +85 +00:07:50,800 --> 00:07:54,900 +condition، بدي أزيد المشي، بدي أزيد الـ general + +86 +00:07:54,900 --> 00:07:59,890 +health، بدي أزيد، أحسّن الـ respiration، في هذه الحالة + +87 +00:07:59,890 --> 00:08:06,490 +ما في عندي مقياس أقدر أقيّس الـ general condition أو + +88 +00:08:06,490 --> 00:08:11,570 +الـ patient’s condition، وهذه ستكون عندي مشكلة في + +89 +00:08:11,570 --> 00:08:17,370 +عملية setting the plan of treatment، + +90 +00:08:20,480 --> 00:08:25,060 +بشكلٍ سليم، في عندي بعض الـ guidelines اللي أنا بدي + +91 +00:08:25,060 --> 00:08:28,480 +آخذ بالي منها في عملية الـ goal setting، أول حاجة + +92 +00:08:28,480 --> 00:08:32,040 +involve the patient early in the process of goal + +93 +00:08:32,040 --> 00:08:37,520 +setting and goal revision، وهذه بتتم من خلال + +94 +00:08:37,520 --> 00:08:41,580 +meeting، goal setting meeting with the patient، نيجي + +95 +00:08:41,580 --> 00:08:45,300 +ونقول للمريض، أنّه بناءً على التقييم اللي كان موجود + +96 +00:08:45,300 --> 00:08:51,190 +معاك، في عندك المشاكل واحد، اثنين، ثلاثة، أنّ هي أكثر + +97 +00:08:51,190 --> 00:08:58,590 +مشكلة بتأرقك، أو أنّ هي أكثر مشكلة عندها تهمّك أكثر، + +98 +00:08:58,590 --> 00:09:04,330 +فبيبدأ نعمل prioritizing، في هذه الحالة، بعد هيك + +99 +00:09:04,330 --> 00:09:08,050 +نقوله، أنّ لو كان المريض على سبيل المثال، spinal + +100 +00:09:08,050 --> 00:09:13,040 +cord injury، والـ Complete Spinal Cord Injury، لن + +101 +00:09:13,040 --> 00:09:17,500 +يرجع للمشي، ويقول أنّ أنا من ضمن الأهداف تبعي أنّ + +102 +00:09:17,500 --> 00:09:22,720 +أنا بدي أرجع أِمشي، لكن هذا الهدف غير واقعي، وغير + +103 +00:09:22,720 --> 00:09:26,800 +منطقي، ولا يمكن تحقيقه، فبنبدأ نعمل عملية + +104 +00:09:26,800 --> 00:09:31,060 +bargaining، مساومات مع الأهداف، ونبدأ نقوله أنّ احنا + +105 +00:09:31,060 --> 00:09:38,080 +بنخليك تستقل في حياتك، وتتحرك، وتعيش حياتك، وتعمل + +106 +00:09:38,080 --> 00:09:44,100 +نشاطاتك، لكن مش بالمشي، ممكن أنّ احنا نخليك تعملها على + +107 +00:09:44,100 --> 00:09:49,880 +الكرسي المتحرك، وأيش بيصير، تحسن، بعد هيك ممكن ننتقل + +108 +00:09:49,880 --> 00:09:53,420 +له، لكن مبدئيًا، بالحال اللي موجود فيها اليوم، أنتَ + +109 +00:09:53,420 --> 00:09:59,300 +الأفضل استخدام الكرسي المتحرك، وهدفنا هيكون تدريبك + +110 +00:09:59,300 --> 00:10:04,720 +على استخدام الكرسي المتحرك، Respect the patient’s + +111 +00:10:04,720 --> 00:10:08,700 +preferences as long as there are no safety + +112 +00:10:08,700 --> 00:10:15,760 +concerns، كمان بدي أحترم رغبات المريض، وشو اللي بده + +113 +00:10:15,760 --> 00:10:21,100 +إيّاه المريض، لكن في نفس الوقت ما يكون هذه الرغبات + +114 +00:10:21,100 --> 00:10:27,080 +بتأثّر على الـ safety، وده يكون منطقيًا، Inform the + +115 +00:10:27,080 --> 00:10:31,470 +patient about possible anticipated needs، بقول له شو + +116 +00:10:31,470 --> 00:10:35,870 +بيلزِمْنا احنا عشان نصل للهدف اللي قلنا عنه، هيكون في + +117 +00:10:35,870 --> 00:10:39,250 +عندنا كرسي متحرك، والكرسي المتحرك، وبمواصفات، وكده، + +118 +00:10:39,250 --> 00:10:45,010 +كده، بيلزمنا، كده بيلزمنا، كل الاحتياجات اللي أنا بيلزمني + +119 +00:10:45,010 --> 00:10:49,290 +في عملية الوصول للهدف هذا، بدي أقولها للمريض عشان + +120 +00:10:49,290 --> 00:10:55,960 +يساعدني في تحقيقها وتوفيرها، negotiate goals with + +121 +00:10:55,960 --> 00:11:01,600 +the patient and restructure when necessary، الأهداف + +122 +00:11:01,600 --> 00:11:06,280 +اللي أنا وضعتها، بدي أحكيها للمريض، وبدنا نبدأ + +123 +00:11:06,280 --> 00:11:12,220 +نتناقش احنا وياها، إذا كان في بعض الأهداف مش + +124 +00:11:12,220 --> 00:11:19,080 +كثير بتلقى اهتمام المريض، ممكن أنا أعيد صياغتها بشيء + +125 +00:11:19,080 --> 00:11:27,900 +يناسب اهتمام المريض، على سبيل المثال، هل تريد أن تبقى + +126 +00:11:27,900 --> 00:11:34,680 +في المنزل نفسه؟ نعم أو لا؟ لكن أين تفضل أن تبقى؟ + +127 +00:11:34,680 --> 00:11:40,200 +يعني لو أنا جيت أقول للمريض على موضوع أنّه أنا + +128 +00:11:40,200 --> 00:11:46,940 +البيت تبعه مش مناسب، فأنا ما بجوز أقول له أنّه أنتَ بدك + +129 +00:11:46,940 --> 00:11:50,580 +تبقى في بيتك ولا لأ؟ لأ، بقول له: وين بتفضل أنّ أنتَ + +130 +00:11:50,580 --> 00:11:51,600 +تكون؟ + +131 +00:12:04,640 --> 00:12:10,320 +بدي أحاول أنّ أكون لغتي في الحوار والتواصل مع + +132 +00:12:10,320 --> 00:12:16,220 +المريض واضحة، وفي نفس الوقت، بديّها تكون طريقتي في + +133 +00:12:16,220 --> 00:12:24,610 +الأسئلة، وفي طرح المعلومات، أو أترك + +134 +00:12:24,610 --> 00:12:31,950 +مجالًا للمريض أن يحكي، وأترك مجالًا للمريض أن يحكي، + +135 +00:12:34,180 --> 00:12:37,280 +Encourage the patient to consider the values of + +136 +00:12:37,280 --> 00:12:41,040 +his or her own society and the impact of the + +137 +00:12:41,040 --> 00:12:46,400 +decision upon family، كمان بدنا نحترم القيم اللي + +138 +00:12:46,400 --> 00:12:51,600 +عايش فيها المريض في مجتمعه، ونساعده في اتخاذ قراراتٍ + +139 +00:12:51,600 --> 00:12:54,560 +تتماشى مع هذه القيم، + +140 +00:12:57,720 --> 00:13:01,880 +في عملية الـ goal setting، مهم جدًا أنّ الـ goals + +141 +00:13:01,880 --> 00:13:08,560 +تكون لها بعض المواصفات، وعشان نعرف المواصفات تبع الـ + +142 +00:13:08,560 --> 00:13:12,020 +goals characteristics أو a good goal، نكون عارفين + +143 +00:13:12,020 --> 00:13:17,700 +أنّها تجمعها كلمة واحدة هي كلمة SMART، شو مقصود بـ + +144 +00:13:17,700 --> 00:13:26,310 +SMART؟ هي عبارة عن الـ S specific، الـ M measurable، + +145 +00:13:26,310 --> 00:13:33,110 +ممكن قياسها، الـ A activity related، أو في بعضها + +146 +00:13:33,110 --> 00:13:40,430 +ممكن يقول لك achievable، ممكن تحقيقها، الـ R realistic، + +147 +00:13:40,430 --> 00:13:43,950 +واقعية، وبالتالي يمكن تحقيقها، + +148 +00:13:46,000 --> 00:13:52,880 +الـ T time specific، ما بنفع أحط goals يكون مفتوح، + +149 +00:13:52,880 --> 00:14:00,060 +وما له سقف، لازم يكون في عندي محدّد بسقف، لو جينا + +150 +00:14:00,060 --> 00:14:05,280 +specific goals، وضربنا مثلًا على specific goal بنقول + +151 +00:14:05,280 --> 00:14:11,520 +أنّه to make أو to enable the patient to walk 10 + +152 +00:14:11,520 --> 00:14:12,820 +meters، + +153 +00:14:15,680 --> 00:14:19,240 +الآن، لما قُلت enable the patient to walk 10 meters، + +154 +00:14:19,240 --> 00:14:27,580 +هو specific، المشي 10 meters، measurable، بحدد خلينا + +155 +00:14:27,580 --> 00:14:34,420 +نقول المسافة، activity related، بستفيد منه في عمليات + +156 +00:14:34,420 --> 00:14:38,600 +المشي، في داخل البيت، في خارج البيت، إذا هو له علاقة + +157 +00:14:38,600 --> 00:14:43,930 +بالـ activity، realistic، واقعي، ممكن تحقيقه، بالنسبة + +158 +00:14:43,930 --> 00:14:51,550 +للمريض، الآن، الوقت المحدد، لكي يسمح للطبيب بالمشي 10 + +159 +00:14:51,550 --> 00:14:59,130 +متر، على محافظة عادية، في 10 أيام، أو في نهاية + +160 +00:14:59,130 --> 00:15:06,890 +أسبوعين، في نهاية الأسبوعين، أصبح لديّ أسبوعان محددان، + +161 +00:15:06,890 --> 00:15:13,240 +الوقت، خليت الـ goal هذا مواصفاته أنّه SMART، SMART، + +162 +00:15:13,240 --> 00:15:19,260 +specific، كان محدّد أنّ أنا بدي المريض يمشي عشرة أمتار، + +163 +00:15:19,260 --> 00:15:23,620 +measurable، ممكن قياسه، المسافة اللي أنا حددتها، + +164 +00:15:23,620 --> 00:15:26,660 +activity related، له علاقة بالـ functions، وبالـ + +165 +00:15:26,660 --> 00:15:30,420 +activity، والمشي بيستفيد منه المريض في كل شيء، + +166 +00:15:30,420 --> 00:15:34,440 +realistic، واقعي، ممكن تحقيق هذا الهدف بالنسبة + +167 +00:15:34,440 --> 00:15:41,900 +لقدرات المريض، time specific، بنهاية أسبوعين، + +168 +00:15:41,900 --> 00:15:50,080 +بيوصل هذا الهدف، Outcome + +169 +00:15:50,080 --> 00:15:55,020 +Measures and Goal Settings، في مجال التأهيل و + +170 +00:15:55,020 --> 00:16:00,800 +العلاج الطبيعي، مهم جدًا يكون لديه Outcome Measures، + +171 +00:16:00,800 --> 00:16:06,920 +مقاييس، عشان أقيّس الشغل اللي أنا حققته مع المريض، + +172 +00:16:08,220 --> 00:16:13,600 +عند إكمال التحديات، يجب أن تكون المشكلة اكتشافًا + +173 +00:16:13,600 --> 00:16:16,700 +باستخدام عملية تفكير، عملية تفكير، عملية تفكير، عملية + +174 +00:16:16,700 --> 00:16:24,580 +تفكير، عملية تفكير، عملية تفكير، عملية تفكير، + +175 +00:16:24,580 --> 00:16:28,680 +عملية تفكير، عملية تفكير، عملية تفكير، عملية تفكير، + +176 +00:16:28,680 --> 00:16:31,460 +عملية تفكير، عملية تفكير، عملية تفكير، عملية تفكير، + +177 +00:16:31, + +223 +00:21:23,280 --> 00:21:27,580 +status at initial assessment to obtain a baseline + +224 +00:21:27,580 --> 00:21:35,390 +of a treatment وهذه طبعا لما أنا بستخدم من البداية + +225 +00:21:35,390 --> 00:21:39,630 +أجاني المريض لما عملت assessment للمشي، وجدت أن + +226 +00:21:39,630 --> 00:21:45,450 +المريض يمشي يده بس خطوتين، إذا the patient can walk + +227 +00:21:45,450 --> 00:21:50,410 +on initial assessment only two meters with great + +228 +00:21:50,410 --> 00:21:54,090 +assistance, with the assistance of two persons، أي أن + +229 +00:21:54,090 --> 00:21:59,570 +كان الأداء، فصار عندي أساس وضعته في ال + +230 +00:21:59,570 --> 00:22:00,690 +assessment الخاصة بي + +231 +00:22:06,570 --> 00:22:12,790 +تساعدني هذه المعلومات لأرى إلى أين وصل المريض أثناء + +232 +00:22:12,790 --> 00:22:17,930 +العلاج، فأبدأ بقول أنه after two weeks the patient + +233 +00:22:17,930 --> 00:22:25,790 +can walk 10 meters. الآن المريض يمشي عشرة أمتار، + +234 +00:22:25,790 --> 00:22:28,890 +وكان في البداية، في ال assessment، يمشي two meters، + +235 +00:22:28,890 --> 00:22:34,230 +الآن يمشي عشرة أمتار، إذاً قاست لي التحسن الموجود، + +236 +00:22:34,230 --> 00:22:39,690 +to enable clinicians to compare scores of + +237 +00:22:39,690 --> 00:22:43,090 +patients with the same diagnosis to evaluate + +238 +00:22:43,090 --> 00:22:47,870 +predictive factors for recovery and hospital stay. + +239 +00:22:47,870 --> 00:22:52,630 +كما تساعد هذه الاختصاصيين في هذا المجال أن + +240 +00:22:52,630 --> 00:22:58,250 +يقارنوا العوامل المؤثرة في عملية ال recovery + +241 +00:22:58,250 --> 00:23:07,370 +وعملية المكوث في المستشفى، خصوصاً بين المرضى من نفس + +242 +00:23:07,370 --> 00:23:14,970 +التشخيص، يعني تستخدم كمادة لتطوير الخدمات، ولعملية + +243 +00:23:14,970 --> 00:23:22,190 +البحث العلمي. تساعد الخطة العلاجية في تصميم وتحسين + +244 +00:23:22,190 --> 00:23:29,450 +خطة التعامل، بتساعد الخطة العلاجية أن يطور من خطته + +245 +00:23:29,450 --> 00:23:33,410 +العلاجية، ويرجع الخطة الموجودة. المريض سيتحسن + +246 +00:23:33,410 --> 00:23:41,250 +إذا استمررنا فيها، طورناها، زدنا عليها. المريض لم يظهر أي + +247 +00:23:41,250 --> 00:23:45,570 +تحسن، فما هو الخلل؟ هل الخلل في تطبيق الخطة العلاجية؟ + +248 +00:23:45,570 --> 00:23:49,880 +أم الخطة العلاجية غير مناسبة لهذا المريض؟ وبالتالي + +249 +00:23:49,880 --> 00:23:57,300 +يتم مراجعة الخطة بشكل مناسب. أو to predict the + +250 +00:23:57,300 --> 00:24:02,300 +eventual outcome of therapy in relation to + +251 +00:24:02,300 --> 00:24:07,820 +function. كما لأقدر أعرف ما الذي سيحدث، وما + +252 +00:24:07,820 --> 00:24:12,560 +الهدف الذي نريد الوصول إليه بناء على العلاج الذي + +253 +00:24:12,560 --> 00:24:16,180 +نستخدمه، أو نضعه، بناء على الخطة العلاجية + +254 +00:24:16,180 --> 00:24:17,460 +التي وضعناها للمريض. + +255 +00:24:28,790 --> 00:24:34,870 +على سبيل المثال، لدينا مقياس Fem Scale Functional + +256 +00:24:34,870 --> 00:24:38,920 +Independence Measure. يُسأل المريض هذا المقياس، ويتكون من + +257 +00:24:38,920 --> 00:24:44,760 +126 نقطة. عندما أقول أن المريض، درجته + +258 +00:24:44,760 --> 00:24:51,040 +120، أعرف أنه مستقل، بينما لو كانت 18، فإن + +259 +00:24:51,040 --> 00:24:56,240 +درجته ستكون severe أو completely + +260 +00:24:56,240 --> 00:25:00,900 +dependent in all activity. إذاً، هذا المقياس مجرد + +261 +00:25:00,900 --> 00:25:05,540 +رقم يُخبرني، هل المريض مستقل أو + +262 +00:25:05,540 --> 00:25:16,420 +غير مستقل. الخبراء الذين يعملون في + +263 +00:25:16,420 --> 00:25:24,800 +التأهيل، وفي مجال التأهيل وغيرهم، يحددون وقتاً للأهداف + +264 +00:25:24,800 --> 00:25:32,150 +التي يريدون تحقيقها، وتساعدهم في تحديد هذا الوقت، ومتى + +265 +00:25:32,150 --> 00:25:38,350 +يمكن تحقيق هذه الأهداف، ومدى حاجتها للوقت، تساعدهم + +266 +00:25:38,350 --> 00:25:44,310 +في تحديد الـ Appropriate Placement of Discharge. + +267 +00:25:44,310 --> 00:25:49,210 +يحدد الوقت، يساعد المعالجين على تحديد الوقت + +268 +00:25:49,210 --> 00:25:54,130 +المناسب للخروج، to predict the type of care and + +269 +00:25:54,130 --> 00:25:57,970 +support patient needs from others. كما، ما يحتاجه المريض، + +270 +00:25:57,970 --> 00:26:02,750 +تساعدنا لتحديد احتياجات المريض من + +271 +00:26:02,750 --> 00:26:08,030 +الرعاية من الآخرين، من other professionals، to enhance + +272 +00:26:08,030 --> 00:26:12,930 +communication among professionals. تساعد في إيجاد + +273 +00:26:12,930 --> 00:26:17,910 +آلية تواصل، ولغة مشتركة بين الأخصائيين الذين + +274 +00:26:17,910 --> 00:26:22,520 +يعملون في هذا المجال، to establish an evidence + +275 +00:26:22,520 --> 00:26:27,600 +-based effectiveness of treatment. تساعد في البحث + +276 +00:26:27,600 --> 00:26:32,620 +العلمي، ووضع الطرق الأكثر فعالية التي يمكن أن تكون + +277 +00:26:32,620 --> 00:26:38,940 +فعالة في عملية الـ management. purchaser of services + +278 +00:26:38,940 --> 00:26:42,920 +need to know which clinical input is effective + +279 +00:26:42,920 --> 00:26:48,120 +before they invest. وهذا طبعاً الناس المستثمرين، + +280 +00:26:48,120 --> 00:26:53,810 +ومشتري الخدمات، تعطيهم فكرة عن الأدوات التي نستخدمها، وما النتائج التي يريدون الاستفادة منها + +281 +00:26:53,810 --> 00:26:59,790 +من الخدمات، أو من الوسائل التي نستخدمها في + +282 +00:26:59,790 --> 00:27:04,070 +العلاج. إذاً، في عملية تحديد الأهداف، يمكن تقسيم الـ + +283 +00:27:04,070 --> 00:27:08,740 +goals إلى أهداف طويلة الأمد، وأهداف قصيرة الأمد. الآن + +284 +00:27:08,740 --> 00:27:12,860 +لدينا بعض الأهداف القصيرة كأمثلة للأهداف القصيرة: + +285 +00:27:12,860 --> 00:27:19,160 +to improve muscular strength أو motor control، لكن + +286 +00:27:19,160 --> 00:27:25,280 +يجب أن أُحددها بزمن، وتكون محددة زمنياً. بعد + +287 +00:27:32,610 --> 00:27:34,890 +ذلك، نقوم بإعادة تأهيل الـ fine motor control، هذه + +288 +00:27:34,890 --> 00:27:42,070 +محددة بوظيفة، طبعاً هذه أمثلة لبعض الأهداف + +289 +00:27:42,070 --> 00:27:46,030 +التي يمكننا الاستفادة منها في صياغة أهدافنا في + +290 +00:27:46,030 --> 00:27:51,150 +عمليات العلاج، لكن يجب أن نكون فيها أكثر تحديداً، + +291 +00:27:51,150 --> 00:27:54,750 +بالتحديد + +292 +00:27:54,750 --> 00:27:58,410 +الوقت، وتحديد الوظيفة، وتكون هذه الأهداف مرتبطة + +293 +00:27:58,410 --> 00:28:03,280 +بالوظيفة التي يؤديها المريض. الـ long term + +294 +00:28:03,280 --> 00:28:10,180 +goals، طبعاً تكون أوسع وأشمل قليلاً، وللوصول + +295 +00:28:10,180 --> 00:28:16,100 +إلى الهدف الرئيسي، الهدف الرئيسي طويل الأمد، يجب أن أُقسّمه + +296 +00:28:16,100 --> 00:28:21,650 +إلى أجزاء للوصول إلى هذا الهدف. بالتالي، الـ plan of + +297 +00:28:21,650 --> 00:28:27,430 +treatment تختلف حسب التشخيص، وحسب الحالة، وحسب + +298 +00:28:27,430 --> 00:28:33,230 +ما هو متوفر عند المريض، وعند المعالج من + +299 +00:28:33,230 --> 00:28:37,250 +إمكانيات، وحسب التشخيص الأساسي. diff --git a/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/wJ44fz0-dnU_postprocess.srt b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/wJ44fz0-dnU_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..f9c9a63e99b30dc4c8733e764a8ae90e0a21a68a --- /dev/null +++ b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/wJ44fz0-dnU_postprocess.srt @@ -0,0 +1,1200 @@ +1 +00:00:00,000 --> 00:00:03,120 +نكمل في موضوع الـ neurological assessment و نبدأ + +2 +00:00:03,120 --> 00:00:06,740 +الآن في عملية ال goal setting المهم جدا انه في + +3 +00:00:06,740 --> 00:00:10,520 +عملية ال rehabilitation لان اذا عملنا عملية goal + +4 +00:00:10,520 --> 00:00:16,220 +setting بشكل سليم و حطينا خطط بشكل سليم هيكون + +5 +00:00:16,220 --> 00:00:22,720 +عندنا نتائج بشكل واضح و ملموسة بشكل كويس جدا عشان + +6 +00:00:22,720 --> 00:00:28,600 +هيك احنا بنقول ان ال goal settingفي جلسة ممكن تعمل + +7 +00:00:28,600 --> 00:00:35,020 +مع المريض مع الـ other rehabilitation staff تسمى + +8 +00:00:35,020 --> 00:00:39,380 +جلسة الـ goal setting بحيث ان كل واحد من الناس + +9 +00:00:39,380 --> 00:00:43,480 +اللي اشتغلوا مع المريض عملوا assessment عملوا + +10 +00:00:43,480 --> 00:00:48,400 +gathering information بدوا الآن المعلومات اللي + +11 +00:00:48,400 --> 00:00:52,680 +أخدوها بدهم يشوفوا مين ال priority بالنسبة لل + +12 +00:00:52,680 --> 00:00:58,420 +problem list اللي طلعت عند المريضوبناء عليها تبدأ + +13 +00:00:58,420 --> 00:01:05,840 +عملية وضع الأهداف عملية وضع الأهداف زي ما قلنا انه + +14 +00:01:05,840 --> 00:01:11,560 +هي عملية او تحتاج مهارة يعني عملية تحتاج مهارة + +15 +00:01:11,560 --> 00:01:17,360 +وانا ك physiotherapist عشان اقدر احط اهداف تناسب + +16 +00:01:18,060 --> 00:01:23,380 +مشاكل المريض بدي انا اكون عامل detailed assessment + +17 +00:01:23,380 --> 00:01:28,480 +وفي نفس الوقت بدي اكون عارف شو احتياجات المريض من + +18 +00:01:28,480 --> 00:01:33,220 +اين بدي اعرف احتياجات المريض لازم انا اكون عملت + +19 +00:01:33,220 --> 00:01:36,800 +interview مع المريض وعملت assessment بشكل كويس + +20 +00:01:36,800 --> 00:01:41,420 +وطبقت ال gathering information اللي كانت في + +21 +00:01:41,420 --> 00:01:45,950 +المرحلة الأولى بشكل سليمit is one of the skills + +22 +00:01:45,950 --> 00:01:49,790 +that specifically characterizes professional + +23 +00:01:49,790 --> 00:01:54,110 +working in rehabilitation هذا ما يميز الناس اللي + +24 +00:01:54,110 --> 00:02:00,310 +بتشتغل بشكل مهني في مجال ال rehabilitation only by + +25 +00:02:00,310 --> 00:02:03,370 +setting the anticipated outcome in addition to the + +26 +00:02:03,370 --> 00:02:07,470 +actual goal it is possible to determine whether + +27 +00:02:07,470 --> 00:02:14,890 +the goal has been met or notالان كمان بوضع الاهداف + +28 +00:02:14,890 --> 00:02:22,730 +بشكل سليم بقدر اعرف هل انا حققت الهدف اللي انا + +29 +00:02:22,730 --> 00:02:28,030 +وضعته في عملية العلاج ولا انا ماحققت الهدف اذا + +30 +00:02:28,030 --> 00:02:33,750 +الاهداف عملية وضع الاهداف بتساعدني في تقييمي للخطة + +31 +00:02:33,750 --> 00:02:38,610 +العلاجية اللي انا بتبعها it is an active patient + +32 +00:02:38,610 --> 00:02:42,710 +therapist relationshipعملية ال goal setting هي + +33 +00:02:42,710 --> 00:02:47,690 +مبنية على العلاقة ما بين ال therapist وما بين + +34 +00:02:47,690 --> 00:02:52,570 +المريض ال therapist في هذه الحالة لازم يكون مشارك + +35 +00:02:52,570 --> 00:02:57,650 +رئيسي في عملية وضع الأهداف لأن هو اللي بتخصه هذه + +36 +00:02:57,650 --> 00:03:05,030 +الأهداف وعشان انا اقدر اطلع بشيء يناسب المريض وفي + +37 +00:03:05,030 --> 00:03:09,960 +نفس الوقت بيرغب فيه المريضكثير من الحالات على سبيل + +38 +00:03:09,960 --> 00:03:14,940 +المثال كنا بنشتغل معاها انه انا ك physiotherapist + +39 +00:03:14,940 --> 00:03:19,620 +ما اطلعت المريض على اهدافي المريض في عنده اهداف + +40 +00:03:19,620 --> 00:03:26,000 +خاصة بي انا اهدافي على سبيل المثال لو كان المريض + +41 +00:03:26,000 --> 00:03:29,700 +اصاب في الحبل الشوكي اهدافي انه انا اخل المريض + +42 +00:03:29,700 --> 00:03:34,180 +independent على wheelchair لكن المريض لما اجى عندى + +43 +00:03:34,180 --> 00:03:36,340 +كان في عنده هدف ان هو يكون + +44 +00:03:38,980 --> 00:03:42,880 +بعد ما خلصنا فترة العلاج المريض حاسس حاله انه لم + +45 +00:03:42,880 --> 00:03:47,780 +يتحسن ولم يحقق الهدف اللي بده يعني لأنه جاي بسبب + +46 +00:03:47,780 --> 00:03:52,680 +انه بده يمشي في حين ان ال therapist بعتبر نفسه ان + +47 +00:03:52,680 --> 00:03:57,240 +هو حقق الأهداف وفي هذه الحالة طبعا هيكون فيه + +48 +00:03:57,240 --> 00:04:00,400 +conflict ما بين ال therapist و ما بين ال patient + +49 +00:04:02,880 --> 00:04:06,620 +Incorporating opportunities for feedback whereby + +50 +00:04:06,620 --> 00:04:09,840 +patients take as much responsibility as possible + +51 +00:04:09,840 --> 00:04:14,320 +for developing their own goals لما بنعمل عملية الـ + +52 +00:04:14,320 --> 00:04:19,500 +goal setting، بدي يكون المريض موجود معانا، بناخد + +53 +00:04:19,500 --> 00:04:24,300 +منه feedback بشكل كويس، وفي نفس الوجهة المريض، + +54 +00:04:24,300 --> 00:04:29,220 +بيحدد شو اللي بلزمه، شو الأهداف اللي لازمة بشكل + +55 +00:04:29,220 --> 00:04:34,650 +ملح أكتر من غيرهابإمكانه أن يساعد في تجارب التعامل + +56 +00:04:34,650 --> 00:04:40,530 +ويأكول أن هذا مرتبط بالطب يحتاج إلى مصالح ومجتمع + +57 +00:04:40,530 --> 00:04:47,730 +إذا أنا وضعت الأهداف بشكل سليم هحط خطة علاجية + +58 +00:04:47,730 --> 00:04:52,290 +لتحقيق الأهداف وفي نفس الوقت بكون عارف أن هذه + +59 +00:04:52,290 --> 00:04:57,510 +الأهداف تلبي حاجة المريض الآن نيجي في عملية ال + +60 +00:04:57,510 --> 00:05:02,530 +goal setting meeting في عند بعض ال barriersهذه + +61 +00:05:02,530 --> 00:05:09,990 +المعيقات الممكن تكون موجودة وتعيق عملية موضع + +62 +00:05:09,990 --> 00:05:16,230 +الأهداف وبالتالي تعيق ال plan of intervention + +63 +00:05:16,230 --> 00:05:21,010 +وبالتالي تعيق عملية ال rehabilitation كاملة + +64 +00:05:25,870 --> 00:05:31,710 +to accept patients goal ممكن يكون عنده بعض المشاكل + +65 +00:05:31,710 --> 00:05:36,670 +أو بعض العوائق ان المعالج او أخصائي العلاج الطبيعي + +66 +00:05:36,670 --> 00:05:42,390 +مافي عنده استعداد انه يقبل وياخد اهداف المريض + +67 +00:05:42,390 --> 00:05:46,910 +ويشتغل عليها وهذا مشكلة من المشاكل لان قلنا لازم + +68 +00:05:46,910 --> 00:05:51,170 +يكون في توافق ما بين اهداف ال therapist واهداف + +69 +00:05:51,170 --> 00:05:58,880 +المريض in a study by Russellهو ذكر عائق أخرى في + +70 +00:05:58,880 --> 00:06:07,600 +دراسة عملت في 1999 ذكرت عائق أخرى غير العائق اللي + +71 +00:06:07,600 --> 00:06:10,300 +موجود قدامنا اللي هو ال patient أو ال therapist + +72 +00:06:10,300 --> 00:06:18,800 +not accepting the patient goal أول هذه العائق أو + +73 +00:06:18,800 --> 00:06:26,230 +المشاكل أو الحواجزمهارات المريض كانت مختلفة من + +74 +00:06:26,230 --> 00:06:39,490 +مهارات الترابست المريض لم + +75 +00:06:39,490 --> 00:06:44,010 +يشغل + +76 +00:06:44,010 --> 00:06:44,510 +مهارات الترابست بشكل اكتر + +77 +00:06:49,080 --> 00:06:55,460 +المريض لم يشارك بشكل فعال في عملية وضع الأهداف + +78 +00:06:55,460 --> 00:07:01,280 +وبالتالي هو يعتبر أن الأهداف هذه ليس له في حين أنه + +79 +00:07:01,280 --> 00:07:06,620 +لو أشركت في وضع الأهداف فهيكون يتبنى هذه الأهداف + +80 +00:07:06,620 --> 00:07:12,560 +ويساعدني في تحقيقها أو الوصول إليهاوالهدف لم يكن + +81 +00:07:12,560 --> 00:07:15,880 +مظهرًا، ولم يكن مظهرًا + +82 +00:07:37,220 --> 00:07:42,620 +على سبيل المثال لو جيت انا جولت من ضمن الأهداف + +83 +00:07:42,620 --> 00:07:47,380 +تبعتي to improve the patient condition طب شو انا + +84 +00:07:47,380 --> 00:07:50,800 +بدي احسن في حالة المريض اعمل improving لل patient + +85 +00:07:50,800 --> 00:07:54,900 +condition بدي ازود المشي بدي ازود ال general + +86 +00:07:54,900 --> 00:07:59,890 +health بدي ازود احسن ال respirationففي هذه الحالة + +87 +00:07:59,890 --> 00:08:06,490 +مافي عندي مقياس أقدر أجيس الـ general condition أو + +88 +00:08:06,490 --> 00:08:11,570 +ال patient condition وهذه ستكون عندي مشكلة في + +89 +00:08:11,570 --> 00:08:17,370 +عملية setting the plan of treatment + +90 +00:08:20,480 --> 00:08:25,060 +بشكل سليم فى عندى بعض الـ guidelines اللى انا بدي + +91 +00:08:25,060 --> 00:08:28,480 +اخد بالي منها فى عملية الـ goal setting أول حاجة + +92 +00:08:28,480 --> 00:08:32,040 +involve the patient yearly in the process of goal + +93 +00:08:32,040 --> 00:08:37,520 +setting and goal revision وهذه بتتم من خلال + +94 +00:08:37,520 --> 00:08:41,580 +meeting goal setting meeting with the patient نيجى + +95 +00:08:41,580 --> 00:08:45,300 +ونقول للمريض انه بناء على التقييم اللى كان موجود + +96 +00:08:45,300 --> 00:08:51,190 +معاكفي عندك المشاكل واحد اتنين تلاتة ان هي اكتر + +97 +00:08:51,190 --> 00:08:58,590 +مشكلة بتأرقك او ان هي اكتر مشكلة عندها تهمك اكتر + +98 +00:08:58,590 --> 00:09:04,330 +فبيبدأ نعمل prioritizing في هذه الحالة بعد هيك + +99 +00:09:04,330 --> 00:09:08,050 +نقوله انه لو كان المريض على سبيل المثال spinal + +100 +00:09:08,050 --> 00:09:13,040 +cord injuryو الـ Complete Spinal Cord Injury لن + +101 +00:09:13,040 --> 00:09:17,500 +يرجع للمشي و يقول ان انا من ضمن الأهداف تبعتي ان + +102 +00:09:17,500 --> 00:09:22,720 +انا بدي ارجع امشي لكن هذا الهدف غير واقعي و غير + +103 +00:09:22,720 --> 00:09:26,800 +منطقي و لا يمكن تحقيقه فبنبدأ نعمل عملية + +104 +00:09:26,800 --> 00:09:31,060 +bargaining مساوة مع الأهداف و نبدأ نقوله ان احنا + +105 +00:09:31,060 --> 00:09:38,080 +بنخليك تستقل في حياتك و تتحرك وتعيش حياتك و تعمل + +106 +00:09:38,080 --> 00:09:44,100 +نشاطاتك لكن مش بالمشيممكن ان احنا نخليك تعملها على + +107 +00:09:44,100 --> 00:09:49,880 +الكرسي المتحرك و ايش بيصير تحسن بعد هيك ممكن ننتقل + +108 +00:09:49,880 --> 00:09:53,420 +له لكن مبدأيا بالحال اللي موجود فيها اليوم انت + +109 +00:09:53,420 --> 00:09:59,300 +الأفضل استخدام الكرسي المتحرك و هدفنا هيكون تدريبك + +110 +00:09:59,300 --> 00:10:04,720 +على استخدام الكرسي المتحركRespect the patient + +111 +00:10:04,720 --> 00:10:08,700 +preferences as long as there are no safety + +112 +00:10:08,700 --> 00:10:15,760 +concerns كمان بدي أحترم رغبات المريض وشو اللي بده + +113 +00:10:15,760 --> 00:10:21,100 +إيا المريض لكن في نفس الوقت مايكون هذه الرغبات + +114 +00:10:21,100 --> 00:10:27,080 +بتأثر على ال safety وده تكون منطقية Inform the + +115 +00:10:27,080 --> 00:10:31,470 +patient about possible anticipated needsبقول له شو + +116 +00:10:31,470 --> 00:10:35,870 +بلزمنا احنا عشان نصل للهدف اللى قلنا عنه هيكون في + +117 +00:10:35,870 --> 00:10:39,250 +عندنا كرسي متحرك و الكرسي المتحرك و بمواصفات و كده + +118 +00:10:39,250 --> 00:10:45,010 +كده بلزمنا كده بلزمنا كل احتياجات اللى انا بتلزمني + +119 +00:10:45,010 --> 00:10:49,290 +في عملية الوصول للهدف هذا بدي اقولها للمريض عشان + +120 +00:10:49,290 --> 00:10:55,960 +يساعدني في تحقيقها و توفيرهاnegotiate goals with + +121 +00:10:55,960 --> 00:11:01,600 +the patient and restructure when necessary الأهداف + +122 +00:11:01,600 --> 00:11:06,280 +اللي أنا مضعتها بدي أحكيها للمريض وبدنا نبدأ + +123 +00:11:06,280 --> 00:11:12,220 +نتناقش احنا ويا فيها إذا كان في بعض الأهداف مش + +124 +00:11:12,220 --> 00:11:19,080 +كتير تلقى اهتمام المريض ممكن أنا أعيد صياغتها بشيء + +125 +00:11:19,080 --> 00:11:27,900 +يناسب اهتمام المريضعلى سبيل المثال هل تريد أن تبقى + +126 +00:11:27,900 --> 00:11:34,680 +في المنزل نفسه؟ نعم أو لا؟ لكن أين تفضل أن تبقى؟ + +127 +00:11:34,680 --> 00:11:40,200 +يعني لو أنا جيت أقول للمريض على موضوع أنه أنا + +128 +00:11:40,200 --> 00:11:46,940 +البيت تبعه مش مناسب فأنا بجيش أقوله أنه أنت بدك + +129 +00:11:46,940 --> 00:11:50,580 +تبقى في بيتك ولا لأ؟ لأ بقوله وين بتفضل أنه أنت + +130 +00:11:50,580 --> 00:11:51,600 +كون؟ + +131 +00:12:04,640 --> 00:12:10,320 +بدي احاول ان اكون لغتي في الحوار و التواصل مع + +132 +00:12:10,320 --> 00:12:16,220 +المريض واضحة وفي نفس الوقت بدليش تكون طريقتي في + +133 +00:12:16,220 --> 00:12:24,610 +الأسئلة و في طرح المعلوماتأو اترك + +134 +00:12:24,610 --> 00:12:31,950 +مجال للمريض ان يحكي و اترك مجال للمريض ان يحكي + +135 +00:12:34,180 --> 00:12:37,280 +Encourage the patient to consider the values of + +136 +00:12:37,280 --> 00:12:41,040 +his or her own society and the impact of the + +137 +00:12:41,040 --> 00:12:46,400 +decision upon family كمان بدنا نحترم القيم اللي + +138 +00:12:46,400 --> 00:12:51,600 +عايش فيها المريض في مجتمعه ونساعده في اتخاذ قرارات + +139 +00:12:51,600 --> 00:12:54,560 +تتماشى مع هذه القيم + +140 +00:12:57,720 --> 00:13:01,880 +في عملية الـ goal setting مهم جدًا أن الـ goals + +141 +00:13:01,880 --> 00:13:08,560 +تكون لها بعض المواصفات وعشان نعرف المواصفات تبع ال + +142 +00:13:08,560 --> 00:13:12,020 +goals characteristics أو a good goal نكون عارفين + +143 +00:13:12,020 --> 00:13:17,700 +أنها تجمعها كلمة واحدة هي كلمة smart شو مقصود ب + +144 +00:13:17,700 --> 00:13:26,310 +smart؟هي عبارة عن الـ S specific الـ M measurable + +145 +00:13:26,310 --> 00:13:33,110 +ممكن قياسها الـ A activity related أو في بعضها + +146 +00:13:33,110 --> 00:13:40,430 +ممكن يقولك achievable ممكن تحقيقها الـ R realistic + +147 +00:13:40,430 --> 00:13:43,950 +واقعية وبالتالي يمكن تحقيقها + +148 +00:13:46,000 --> 00:13:52,880 +التي تايم specific ما بنفع احط goals يكون مفتوح + +149 +00:13:52,880 --> 00:14:00,060 +وماقله ثقف لازم يكون في عندى محدد بثقف لو جينا + +150 +00:14:00,060 --> 00:14:05,280 +specific goals وضربنا مثل على specific goal بنقول + +151 +00:14:05,280 --> 00:14:11,520 +انه to make او to enable the patient walk 10 + +152 +00:14:11,520 --> 00:14:12,820 +meters + +153 +00:14:15,680 --> 00:14:19,240 +الان لما قلت enable the patient to walk 10 meters + +154 +00:14:19,240 --> 00:14:27,580 +هو specific المشي 10 meters measurable بحدد خليني + +155 +00:14:27,580 --> 00:14:34,420 +نقول المسافة activity related بستفيد منه في عمليات + +156 +00:14:34,420 --> 00:14:38,600 +المشي في داخل البيت في خارج البيت إذا هو إيه علاقة + +157 +00:14:38,600 --> 00:14:43,930 +بال activity رياليستيك واقع ممكن تحقيقهبالنسبة + +158 +00:14:43,930 --> 00:14:51,550 +للمريض الان الوقت المحدد لكي يسمح للطبيب بمشي 10 + +159 +00:14:51,550 --> 00:14:59,130 +متر على محافظة عادية في 10 أيام او في نهاية + +160 +00:14:59,130 --> 00:15:06,890 +أسبوعين في نهاية الأسبوعين اصبح لدي 2 أسبوع محدد + +161 +00:15:06,890 --> 00:15:13,240 +الوقتخلّيت الـ goal هذا مواصفاته انه smart smart + +162 +00:15:13,240 --> 00:15:19,260 +specific كان محدد انه انا بدي المريض يمشي عشرة متر + +163 +00:15:19,260 --> 00:15:23,620 +measurable ممكن قياسه المسافة اللي انا حددتها + +164 +00:15:23,620 --> 00:15:26,660 +activity related له علاقة بال functions و بال + +165 +00:15:26,660 --> 00:15:30,420 +activity و المشي بيستفيد منه المريض في كل شيء + +166 +00:15:30,420 --> 00:15:34,440 +realistic واقعي ممكن تحقيق هذا الهدف بالنسبة + +167 +00:15:34,440 --> 00:15:41,900 +لقدرات المريض time specificبنهاية أسبوعين + +168 +00:15:41,900 --> 00:15:50,080 +بيوصل هذا الهدف Outcome + +169 +00:15:50,080 --> 00:15:55,020 +Measures and Goal Settings في مجال التأهيل و + +170 +00:15:55,020 --> 00:16:00,800 +العلاج الطبيعي مهم جدا يكون لديه Outcome Measures + +171 +00:16:00,800 --> 00:16:06,920 +مقاييس عشان اتقيس الشغل اللي انا حققته مع المريض + +172 +00:16:08,220 --> 00:16:13,600 +عند إكمال التحديات، يجب أن يكون المشكلة اكتشافًا + +173 +00:16:13,600 --> 00:16:16,700 +باستخدام عملية تفكير عملية تفكير عملية تفكير عملية + +174 +00:16:16,700 --> 00:16:24,580 +تفكير عملية تفكير عملية تفكير عملية تفكير + +175 +00:16:24,580 --> 00:16:28,680 +عملية تفكير عملية تفكير عملية تفكير عملية تفكير + +176 +00:16:28,680 --> 00:16:31,460 +عملية تفكير عملية تفكير عملية تفكير عملية تفكير + +177 +00:16:31,460 --> 00:16:37,080 +عمل + +178 +00:16:37,260 --> 00:16:53,900 +Timescales ممكن + +179 +00:16:53,900 --> 00:17:01,000 +تجهيزها مع + +180 +00:17:01,000 --> 00:17:03,160 +المريض و مع العائلة + +181 +00:17:08,260 --> 00:17:13,580 +الأهداف التي وضعتها بيتم نقشتها مع كل أطراف اللي + +182 +00:17:13,580 --> 00:17:21,820 +لها علاقة مع المريض سواء كان المريض العائلة ال جهة + +183 +00:17:21,820 --> 00:17:26,980 +اللي بدها تموّل و تغطي مصاريف العلاج والتأهيل لأنه + +184 +00:17:26,980 --> 00:17:31,240 +ممكن يلزم بعض الأدوات اللي بنحتاجها في عملية ال + +185 +00:17:31,240 --> 00:17:31,640 +rehabilitation + +186 +00:17:36,830 --> 00:17:43,810 +عشان هيك تكون عملية التأهيل واضحة لدى الجميع + +187 +00:17:59,530 --> 00:18:06,850 +إذا كانت هذه المرحلة مش محددةومش عارف المريض إلى + +188 +00:18:06,850 --> 00:18:10,990 +أين يصل ومش عارفين الأهل شو اللي بدهم إياه وشو + +189 +00:18:10,990 --> 00:18:14,670 +اللي احنا بدنا نصل إله هذه طبعا هتعمل نوع من + +190 +00:18:14,670 --> 00:18:21,670 +الإحباط وهتعيق الوصول للأهداف measuring outcomes + +191 +00:18:21,670 --> 00:18:27,610 +of intervention عشان أنا أجيس ال outcome تبعي + +192 +00:18:27,610 --> 00:18:33,450 +measurement is the use of standard quantifiedبدي + +193 +00:18:33,450 --> 00:18:39,690 +استخدم أدوات قياس للملاحظات + +194 +00:18:39,690 --> 00:18:45,490 +يعني بدي أشوف المريض بيمشي عشر دقائق بيمشي عشرة + +195 +00:18:45,490 --> 00:18:53,270 +متر إذا في عندي quantifying standard scales + +196 +00:18:58,550 --> 00:19:01,570 +أداء الـ scale اللي بدي استخدمه الـ tool اللي بدي + +197 +00:19:01,570 --> 00:19:04,990 +استخدمها is the technique used to quantify that + +198 +00:19:04,990 --> 00:19:09,370 +observation يعني أنا بدي استخدم على سبيل المثال + +199 +00:19:09,370 --> 00:19:16,430 +المتر لقياس الوزن + +200 +00:19:16,430 --> 00:19:21,220 +طبعا هذه ال tool غير مناسبةلكن انا ممكن استخدم + +201 +00:19:21,220 --> 00:19:26,780 +الميزان لقياس الوزن استخدم المتر لقياس المسافة + +202 +00:19:26,780 --> 00:19:33,180 +اللى بده يمشيها outcome is the result obtained in + +203 +00:19:33,180 --> 00:19:36,520 +using such instrument or tool ال outcome الان + +204 +00:19:36,520 --> 00:19:45,080 +نتيجة نهائية المريض مشى عشرة متر الان المشي هي + +205 +00:19:45,080 --> 00:19:51,170 +عشرة متر عملت quantifyingالان المسافة اللى قطعها + +206 +00:19:51,170 --> 00:19:57,550 +على الأرض او غير المتر هي التول ال outcome النتيجة + +207 +00:19:57,550 --> 00:20:02,050 +النهائية ان ال patient can walk 10 meters ال + +208 +00:20:02,050 --> 00:20:08,330 +outcome measures لازم يكون فيها بعض المواصفات + +209 +00:20:08,330 --> 00:20:13,510 +بتكون sensitive بحيث + +210 +00:20:13,510 --> 00:20:21,650 +انه هي تحدد detect the true findingsبتحدد ليه ال + +211 +00:20:21,650 --> 00:20:27,830 +findings اللي موجودة عند المريض specific اتحدد ال + +212 +00:20:27,830 --> 00:20:32,170 +false findings ايش فيه شغلات خطأ عند المريض بتكون + +213 +00:20:32,170 --> 00:20:38,530 +valid صالحة للاستخدام في هذه الحالة reliable + +214 +00:20:38,530 --> 00:20:44,150 +حقيقية تعطيني دراسة واقعية appropriate for the + +215 +00:20:44,150 --> 00:20:45,250 +problem + +216 +00:20:48,820 --> 00:20:53,560 +أوريليابل ثابتة يعني كل مرة بستخدمها بتعطيني + +217 +00:20:53,560 --> 00:20:59,000 +النتائج بشكل سليم مش كل مرة تعطيني قراءة مختلفة + +218 +00:20:59,000 --> 00:21:03,020 +appropriate for the problem مناسبة للمشكلة + +219 +00:21:03,020 --> 00:21:08,360 +الموجودة feasibility of use and utility بتكون سهلة + +220 +00:21:08,360 --> 00:21:14,060 +الاستخدام ومتوفرة uses and benefits of outcome + +221 +00:21:14,060 --> 00:21:20,300 +measures شو الاستخدامات؟الـ outcome measures وشو + +222 +00:21:20,300 --> 00:21:23,280 +بستفيد منها؟ to describe the patient functional + +223 +00:21:23,280 --> 00:21:27,580 +status at initial assessment to obtain a baseline + +224 +00:21:27,580 --> 00:21:35,390 +of a treatmentوهذه طبعا لما انا بستخدم من البداية + +225 +00:21:35,390 --> 00:21:39,630 +أجاني المريض لما عملت assessment للمشي لجيت ان + +226 +00:21:39,630 --> 00:21:45,450 +المريض بيمشي يده بس خطوطين اذا ال patient can walk + +227 +00:21:45,450 --> 00:21:50,410 +on initial assessment only two meters with great + +228 +00:21:50,410 --> 00:21:54,090 +assistance with assistance of two persons اي ان + +229 +00:21:54,090 --> 00:21:59,570 +كان الأداء فانا صار في عندي أساس حطيته في ال + +230 +00:21:59,570 --> 00:22:00,690 +assessment تبعتي + +231 +00:22:06,570 --> 00:22:12,790 +بتساعدني هذه الأداء أشوف لوين وصل المريض في أثناء + +232 +00:22:12,790 --> 00:22:17,930 +العلاج فببدأ أقول أنه after two weeks the patient + +233 +00:22:17,930 --> 00:22:25,790 +can walk 10 metersالان المريض صار يمشي عشرة متر + +234 +00:22:25,790 --> 00:22:28,890 +كان في الأول في ال assessment كان بيمشي two meters + +235 +00:22:28,890 --> 00:22:34,230 +الان صار يمشي عشرة متر إذا قاستلي التحسن اللي + +236 +00:22:34,230 --> 00:22:39,690 +موجود to enable clinicians to compare scores of + +237 +00:22:39,690 --> 00:22:43,090 +patients with the same diagnosis to evaluate + +238 +00:22:43,090 --> 00:22:47,870 +predictive factors for recovery and hospital stay + +239 +00:22:47,870 --> 00:22:52,630 +كمان بتساعد الناس الاختصاصيين في هذا المجالإنه + +240 +00:22:52,630 --> 00:22:58,250 +يقارنوا شو العوامل اللي بتأثر في عملية ال recovery + +241 +00:22:58,250 --> 00:23:07,370 +وعملية المكوث في المستشفى خصوصا بين المرضى من نفس + +242 +00:23:07,370 --> 00:23:14,970 +التشخيص يعني تستخدم كمادة لتطوير الخدمات و لعملية + +243 +00:23:14,970 --> 00:23:22,190 +البحث العلميلتساعد الخطة العلاجية في تصميم و تحسين + +244 +00:23:22,190 --> 00:23:29,450 +خطة التعامل بتساعد الخطة العلاجية انه يطور من خطته + +245 +00:23:29,450 --> 00:23:33,410 +العلاجية ويراجع الخطة اللي موجودة المريض هتتحسن + +246 +00:23:33,410 --> 00:23:41,250 +إذا نستمر فيها نطور نزيد عليها المريض لم يظهر اي + +247 +00:23:41,250 --> 00:23:45,570 +تحسن شو الخلل؟ هل الخلل في تطبيق الخطة العلاجية؟ + +248 +00:23:45,570 --> 00:23:49,880 +هل الخطة العلاجية؟غير مناسب لهذا المريض وبالتالي + +249 +00:23:49,880 --> 00:23:57,300 +بتم مراجعة للخطة بشكل مناسبأو to predict the + +250 +00:23:57,300 --> 00:24:02,300 +eventual outcome of therapy in relation to + +251 +00:24:02,300 --> 00:24:07,820 +function كمان عشان أقدر أعرف شو اللي بده يصير، شو + +252 +00:24:07,820 --> 00:24:12,560 +الهدف اللي احنا بدنا نصل إليه بناء على العلاج اللي + +253 +00:24:12,560 --> 00:24:16,180 +احنا بنستخدمه أو بنحطه بناء على الخطة العلاجية + +254 +00:24:16,180 --> 00:24:17,460 +اللي احنا وضعناها للمريض + +255 +00:24:28,790 --> 00:24:34,870 +على سبيل المثال، في عندنا الـ Fem Scale Functional + +256 +00:24:34,870 --> 00:24:38,920 +Independence Measureلما يقول للمريض هذا بيتكون من + +257 +00:24:38,920 --> 00:24:44,760 +126 نقطة لما انا اقول انه المريض ال score تبعته + +258 +00:24:44,760 --> 00:24:51,040 +120 بعرف انه independent في حين انه لو كان 18 ال + +259 +00:24:51,040 --> 00:24:56,240 +score تبعته هيكون عندي severe او completely + +260 +00:24:56,240 --> 00:25:00,900 +dependent in all activity اذا هذا ال scale مجرد + +261 +00:25:00,900 --> 00:25:05,540 +رقم تعرفني للمريض انه هل هو independent او + +262 +00:25:05,540 --> 00:25:16,420 +independentالشباب اللي بيعمل + +263 +00:25:16,420 --> 00:25:24,800 +التأهيب في مجال التأهيب و غيرهم يحددوا وقت للأهداف + +264 +00:25:24,800 --> 00:25:32,150 +اللي بدهم يحققوهاوتساعدهم في تحديد هذا الوقت ومتى + +265 +00:25:32,150 --> 00:25:38,350 +ممكن أن تتحقق هذه الأهداف جدّاش بدها وقت لتساعدهم + +266 +00:25:38,350 --> 00:25:44,310 +في تحديد الـ Appropriate Placement of Discharge + +267 +00:25:44,310 --> 00:25:49,210 +بتحدد الوقت بتساعد ال therapist أنهم يحددوا الوقت + +268 +00:25:49,210 --> 00:25:54,130 +المناسب للخروجto predict the type of care and + +269 +00:25:54,130 --> 00:25:57,970 +support patient need from others كمان، شو المريض + +270 +00:25:57,970 --> 00:26:02,750 +بيحتاج، بتساعدنا إنه نحدد احتياجات المريض من + +271 +00:26:02,750 --> 00:26:08,030 +الرعاية من ال other professionals to enhance + +272 +00:26:08,030 --> 00:26:12,930 +communication among professionals بتساعد في إيجاد + +273 +00:26:12,930 --> 00:26:17,910 +آلية تواصل ولغة مشتركة ما بين الأخصائيين اللي + +274 +00:26:17,910 --> 00:26:22,520 +بيشتغلوا في هذا المجالto establish an evidence + +275 +00:26:22,520 --> 00:26:27,600 +-based effectiveness of treatment بتساعد في البحث + +276 +00:26:27,600 --> 00:26:32,620 +العلمي ووضع شو أكتر الطرق اللي ممكن أنها تكون + +277 +00:26:32,620 --> 00:26:38,940 +فعالة في عملية ال management purchaser of services + +278 +00:26:38,940 --> 00:26:42,920 +need to know which clinical input is effective + +279 +00:26:42,920 --> 00:26:48,120 +before they invest وهذا طبعا الناس المستثمرين + +280 +00:26:48,120 --> 00:26:53,810 +ومشتري الخدماتتعطيهم فكرة عن الأدوات اللي احنا + +281 +00:26:53,810 --> 00:26:59,790 +بنستخدمها وشو ناتج اللي هم بدهم يستفيدوا من + +282 +00:26:59,790 --> 00:27:04,070 +الخدمات أو من الوسائل اللي احنا بنستخدمها في + +283 +00:27:04,070 --> 00:27:08,740 +العلاجإذا في عملية الـ goal settings ممكن تقسم ال + +284 +00:27:08,740 --> 00:27:12,860 +goals لـ long term goals و short term goals الآن + +285 +00:27:12,860 --> 00:27:19,160 +في عندي بعض الأهداف القصيرة كأمثلة للأهداف القصيرة + +286 +00:27:19,160 --> 00:27:25,280 +to improve muscular strength أو motor control لكن + +287 +00:27:25,280 --> 00:27:32,610 +بلزمني أن أحددها بال time و بيكون time limitedبعد + +288 +00:27:32,610 --> 00:27:34,890 +ذلك تقوم بإعادة محادثة الـ fine motor control هذه + +289 +00:27:34,890 --> 00:27:42,070 +محددة بـ function طبعا هذه أمثلة لبعض ال goals + +290 +00:27:42,070 --> 00:27:46,030 +اللي احنا ممكن نستفيد منها في صياغة أهدافنا في + +291 +00:27:46,030 --> 00:27:51,150 +عمليات العلاج لكن بدنا نكون فيها نوع من التحديد + +292 +00:27:51,150 --> 00:27:54,750 +لتحديد + +293 +00:27:54,750 --> 00:27:58,410 +الوقت وتحديد ال function وتكون هذه الأهداف علاقة + +294 +00:27:58,410 --> 00:28:03,280 +بال function اللي يقدّيها المريضالـ long term + +295 +00:28:03,280 --> 00:28:10,180 +goals طبعاً بتكون أعم وأعم و أشمل شوية و عشان أصل + +296 +00:28:10,180 --> 00:28:16,100 +أنا ال main goal ال main long term goal بدي أعمله + +297 +00:28:16,100 --> 00:28:21,650 +تجزئة عشان أصل لهذا الهدفبالتالي الـ plan of + +298 +00:28:21,650 --> 00:28:27,430 +treatment تختلف حسب ال diagnoses وحسب الحالة وحسب + +299 +00:28:27,430 --> 00:28:33,230 +ما هو الموجود عند 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اللي بتخصه هذه الأهداف وعشان انا اقدر اطلع بشيء يناسب المريض وفي نفس الوقت بيرغب فيه المريض", "tokens": [3615, 42213, 10632, 2423, 3387, 3287, 39896, 3714, 3555, 1863, 10632, 15844, 18863, 15040, 28671, 19446, 49374, 2423, 19830, 4032, 15042, 49374, 9673, 16572, 11242, 2423, 19830, 8978, 29538, 21542, 6027, 3660, 5296, 31377, 2304, 7251, 30544, 37893, 9640, 4117, 12602, 19986, 1829, 3794, 1829, 8978, 6225, 42213, 10632, 4032, 11242, 3615, 16247, 3224, 28259, 5172, 5296, 33456, 31439, 13672, 1829, 39894, 9778, 9381, 3224, 29538, 16247, 3224, 28259, 5172, 4032, 3615, 8592, 7649, 1975, 8315, 1975, 28543, 2288, 1975, 9566, 1211, 3615, 4724, 8592, 1829, 38207, 7251, 8315, 35457, 9673, 16572, 11242, 4032, 41185, 8717, 36178, 2423, 30543, 2655, 4724, 13546, 17082, 3555, 8978, 3224, 9673, 16572, 11242], "avg_logprob": -0.1170454580675472, "compression_ratio": 1.8209606986899562, "no_speech_prob": 1.6689300537109375e-05, "words": [{"start": 160.67, "end": 161.31, "word": "عملية", "probability": 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على اهدافي المريض في عنده اهداف خاصة بي انا اهدافي على سبيل المثال لو كان المريض اصاب في الحبل الشوكي اهدافي انه انا اخل المريض independent على wheelchair لكن المريض لما اجى عندى كان في عنده هدف ان هو يكون", "tokens": [4117, 12984, 13546, 9154, 21542, 6027, 9307, 15844, 8608, 21292, 1211, 9673, 12984, 6027, 9122, 8315, 44945, 8592, 2655, 17082, 1211, 20449, 995, 11296, 16472, 3224, 1975, 8315, 9122, 21265, 20194, 468, 19446, 1975, 9566, 1211, 34268, 9673, 16572, 11242, 15844, 1975, 3224, 28259, 41185, 9673, 16572, 11242, 8978, 43242, 3224, 1975, 3224, 28259, 5172, 16490, 33546, 3660, 4724, 1829, 1975, 8315, 1975, 3224, 28259, 41185, 15844, 8608, 21292, 1211, 9673, 12984, 6027, 45164, 25961, 9673, 16572, 11242, 1975, 9381, 16758, 8978, 21542, 36150, 25124, 2407, 4117, 1829, 1975, 3224, 28259, 41185, 16472, 3224, 1975, 8315, 1975, 9778, 1211, 9673, 16572, 11242, 6695, 15844, 22945, 44381, 9673, 16572, 11242, 5296, 15042, 1975, 7435, 7578, 43242, 7578, 25961, 8978, 43242, 3224, 8032, 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outcome is the result obtained in using such instrument or tool ال outcome الان نتيجة نهائية المريض مشى عشرة متر الان المشي هي عشرة متر عملت quantifying", "tokens": [1211, 19452, 1975, 8315, 3714, 43020, 44713, 9778, 40448, 9673, 1829, 11622, 7649, 5296, 38436, 32277, 2423, 2407, 11622, 1863, 44713, 9778, 40448, 9673, 2655, 2288, 5296, 38436, 32277, 9673, 3794, 31845, 3660, 13672, 7578, 47525, 3224, 7251, 2304, 8592, 1829, 11296, 9700, 307, 264, 1874, 14879, 294, 1228, 1270, 7198, 420, 2290, 2423, 9700, 2423, 7649, 8717, 31371, 7435, 3660, 8717, 3224, 16373, 10632, 9673, 16572, 11242, 37893, 7578, 6225, 8592, 25720, 44650, 2288, 2423, 7649, 9673, 8592, 1829, 39896, 6225, 8592, 25720, 44650, 2288, 6225, 42213, 2655, 4426, 5489], "avg_logprob": -0.17314877652603647, "compression_ratio": 1.7259615384615385, "no_speech_prob": 4.76837158203125e-07, "words": [{"start": 1159.8, "end": 1160.2, "word": "لكن", "probability": 0.55438232421875}, {"start": 1160.2, "end": 1160.38, "word": " انا", 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1186.28, "word": " عشرة", "probability": 0.9637044270833334}, {"start": 1186.28, "end": 1186.74, "word": " متر", "probability": 0.982666015625}, {"start": 1186.74, "end": 1187.38, "word": " عملت", "probability": 0.8968098958333334}, {"start": 1187.38, "end": 1188.38, "word": " quantifying", "probability": 0.965087890625}], "temperature": 1.0}, {"id": 47, "seek": 121825, "start": 1189.21, "end": 1218.25, "text": "الان المسافة اللى قطعها على الأرض او غير المتر هي التول ال outcome النتيجة النهائية ان ال patient can walk 10 meters ال outcome measures لازم يكون فيها بعض المواصفات بتكون sensitive بحيث انه هي تحدد detect the true findings", "tokens": [6027, 7649, 9673, 3794, 31845, 3660, 13672, 7578, 12174, 9566, 3615, 11296, 15844, 16247, 43042, 1975, 2407, 32771, 13546, 9673, 2655, 2288, 39896, 16712, 12610, 2423, 9700, 28239, 31371, 7435, 3660, 28239, 3224, 16373, 10632, 16472, 2423, 4537, 393, 1792, 1266, 8146, 2423, 9700, 8000, 5296, 31377, 2304, 7251, 30544, 8978, 11296, 45030, 11242, 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a/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/wJ44fz0-dnU_raw.srt b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/wJ44fz0-dnU_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..9e6896b81326269be6c455d3015a838c0060000b --- /dev/null +++ b/PL9fwy3NUQKwZYtvfa-aNXW71Gm0Id72La/wJ44fz0-dnU_raw.srt @@ -0,0 +1,1212 @@ +1 +00:00:00,000 --> 00:00:03,120 +نكمل في موضوع الـ neurological assessment و نبدأ + +2 +00:00:03,120 --> 00:00:06,740 +الآن في عملية ال goal setting المهم جدا انه في + +3 +00:00:06,740 --> 00:00:10,520 +عملية ال rehabilitation لان اذا عملنا عملية goal + +4 +00:00:10,520 --> 00:00:16,220 +setting بشكل سليم و حطينا خطط بشكل سليم هيكون + +5 +00:00:16,220 --> 00:00:22,720 +عندنا نتائج بشكل واضح و ملموسة بشكل كويس جدا عشان + +6 +00:00:22,720 --> 00:00:28,600 +هيك احنا بنقول ان ال goal settingفي جلسة ممكن تعمل + +7 +00:00:28,600 --> 00:00:35,020 +مع المريض مع الـ other rehabilitation staff تسمى + +8 +00:00:35,020 --> 00:00:39,380 +جلسة الـ goal setting بحيث ان كل واحد من الناس + +9 +00:00:39,380 --> 00:00:43,480 +اللي اشتغلوا مع المريض عملوا assessment عملوا + +10 +00:00:43,480 --> 00:00:48,400 +gathering information بدوا الآن المعلومات اللي + +11 +00:00:48,400 --> 00:00:52,680 +أخدوها بدهم يشوفوا مين ال priority بالنسبة لل + +12 +00:00:52,680 --> 00:00:58,420 +problem list اللي طلعت عند المريضوبناء عليها تبدأ + +13 +00:00:58,420 --> 00:01:05,840 +عملية وضع الأهداف عملية وضع الأهداف زي ما قلنا انه + +14 +00:01:05,840 --> 00:01:11,560 +هي عملية او تحتاج مهارة يعني عملية تحتاج مهارة + +15 +00:01:11,560 --> 00:01:17,360 +وانا ك physiotherapist عشان اقدر احط اهداف تناسب + +16 +00:01:18,060 --> 00:01:23,380 +مشاكل المريض بدي انا اكون عامل detailed assessment + +17 +00:01:23,380 --> 00:01:28,480 +وفي نفس الوقت بدي اكون عارف شو احتياجات المريض من + +18 +00:01:28,480 --> 00:01:33,220 +اين بدي اعرف احتياجات المريض لازم انا اكون عملت + +19 +00:01:33,220 --> 00:01:36,800 +interview مع المريض وعملت assessment بشكل كويس + +20 +00:01:36,800 --> 00:01:41,420 +وطبقت ال gathering information اللي كانت في + +21 +00:01:41,420 --> 00:01:45,950 +المرحلة الأولى بشكل سليمit is one of the skills + +22 +00:01:45,950 --> 00:01:49,790 +that specifically characterizes professional + +23 +00:01:49,790 --> 00:01:54,110 +working in rehabilitation هذا ما يميز الناس اللي + +24 +00:01:54,110 --> 00:02:00,310 +بتشتغل بشكل مهني في مجال ال rehabilitation only by + +25 +00:02:00,310 --> 00:02:03,370 +setting the anticipated outcome in addition to the + +26 +00:02:03,370 --> 00:02:07,470 +actual goal it is possible to determine whether + +27 +00:02:07,470 --> 00:02:14,890 +the goal has been met or notالان كمان بوضع الاهداف + +28 +00:02:14,890 --> 00:02:22,730 +بشكل سليم بقدر اعرف هل انا حققت الهدف اللي انا + +29 +00:02:22,730 --> 00:02:28,030 +وضعته في عملية العلاج ولا انا ماحققت الهدف اذا + +30 +00:02:28,030 --> 00:02:33,750 +الاهداف عملية وضع الاهداف بتساعدني في تقييمي للخطة + +31 +00:02:33,750 --> 00:02:38,610 +العلاجية اللي انا بتبعها it is an active patient + +32 +00:02:38,610 --> 00:02:42,710 +therapist relationshipعملية ال goal setting هي + +33 +00:02:42,710 --> 00:02:47,690 +مبنية على العلاقة ما بين ال therapist وما بين + +34 +00:02:47,690 --> 00:02:52,570 +المريض ال therapist في هذه الحالة لازم يكون مشارك + +35 +00:02:52,570 --> 00:02:57,650 +رئيسي في عملية وضع الأهداف لأن هو اللي بتخصه هذه + +36 +00:02:57,650 --> 00:03:05,030 +الأهداف وعشان انا اقدر اطلع بشيء يناسب المريض وفي + +37 +00:03:05,030 --> 00:03:09,960 +نفس الوقت بيرغب فيه المريضكثير من الحالات على سبيل + +38 +00:03:09,960 --> 00:03:14,940 +المثال كنا بنشتغل معاها انه انا ك physiotherapist + +39 +00:03:14,940 --> 00:03:19,620 +ما اطلعت المريض على اهدافي المريض في عنده اهداف + +40 +00:03:19,620 --> 00:03:26,000 +خاصة بي انا اهدافي على سبيل المثال لو كان المريض + +41 +00:03:26,000 --> 00:03:29,700 +اصاب في الحبل الشوكي اهدافي انه انا اخل المريض + +42 +00:03:29,700 --> 00:03:34,180 +independent على wheelchair لكن المريض لما اجى عندى + +43 +00:03:34,180 --> 00:03:36,340 +كان في عنده هدف ان هو يكون + +44 +00:03:38,980 --> 00:03:42,880 +بعد ما خلصنا فترة العلاج المريض حاسس حاله انه لم + +45 +00:03:42,880 --> 00:03:47,780 +يتحسن ولم يحقق الهدف اللي بده يعني لأنه جاي بسبب + +46 +00:03:47,780 --> 00:03:52,680 +انه بده يمشي في حين ان ال therapist بعتبر نفسه ان + +47 +00:03:52,680 --> 00:03:57,240 +هو حقق الأهداف وفي هذه الحالة طبعا هيكون فيه + +48 +00:03:57,240 --> 00:04:00,400 +conflict ما بين ال therapist و ما بين ال patient + +49 +00:04:02,880 --> 00:04:06,620 +Incorporating opportunities for feedback whereby + +50 +00:04:06,620 --> 00:04:09,840 +patients take as much responsibility as possible + +51 +00:04:09,840 --> 00:04:14,320 +for developing their own goals لما بنعمل عملية الـ + +52 +00:04:14,320 --> 00:04:19,500 +goal setting، بدي يكون المريض موجود معانا، بناخد + +53 +00:04:19,500 --> 00:04:24,300 +منه feedback بشكل كويس، وفي نفس الوجهة المريض، + +54 +00:04:24,300 --> 00:04:29,220 +بيحدد شو اللي بلزمه، شو الأهداف اللي لازمة بشكل + +55 +00:04:29,220 --> 00:04:34,650 +ملح أكتر من غيرهابإمكانه أن يساعد في تجارب التعامل + +56 +00:04:34,650 --> 00:04:40,530 +ويأكول أن هذا مرتبط بالطب يحتاج إلى مصالح ومجتمع + +57 +00:04:40,530 --> 00:04:47,730 +إذا أنا وضعت الأهداف بشكل سليم هحط خطة علاجية + +58 +00:04:47,730 --> 00:04:52,290 +لتحقيق الأهداف وفي نفس الوقت بكون عارف أن هذه + +59 +00:04:52,290 --> 00:04:57,510 +الأهداف تلبي حاجة المريض الآن نيجي في عملية ال + +60 +00:04:57,510 --> 00:05:02,530 +goal setting meeting في عند بعض ال barriersهذه + +61 +00:05:02,530 --> 00:05:09,990 +المعيقات الممكن تكون موجودة وتعيق عملية موضع + +62 +00:05:09,990 --> 00:05:16,230 +الأهداف وبالتالي تعيق ال plan of intervention + +63 +00:05:16,230 --> 00:05:21,010 +وبالتالي تعيق عملية ال rehabilitation كاملة + +64 +00:05:25,870 --> 00:05:31,710 +to accept patients goal ممكن يكون عنده بعض المشاكل + +65 +00:05:31,710 --> 00:05:36,670 +أو بعض العوائق ان المعالج او أخصائي العلاج الطبيعي + +66 +00:05:36,670 --> 00:05:42,390 +مافي عنده استعداد انه يقبل وياخد اهداف المريض + +67 +00:05:42,390 --> 00:05:46,910 +ويشتغل عليها وهذا مشكلة من المشاكل لان قلنا لازم + +68 +00:05:46,910 --> 00:05:51,170 +يكون في توافق ما بين اهداف ال therapist واهداف + +69 +00:05:51,170 --> 00:05:58,880 +المريض in a study by Russellهو ذكر عائق أخرى في + +70 +00:05:58,880 --> 00:06:07,600 +دراسة عملت في 1999 ذكرت عائق أخرى غير العائق اللي + +71 +00:06:07,600 --> 00:06:10,300 +موجود قدامنا اللي هو ال patient أو ال therapist + +72 +00:06:10,300 --> 00:06:18,800 +not accepting the patient goal أول هذه العائق أو + +73 +00:06:18,800 --> 00:06:26,230 +المشاكل أو الحواجزمهارات المريض كانت مختلفة من + +74 +00:06:26,230 --> 00:06:39,490 +مهارات الترابست المريض لم + +75 +00:06:39,490 --> 00:06:44,010 +يشغل + +76 +00:06:44,010 --> 00:06:44,510 +مهارات الترابست بشكل اكتر + +77 +00:06:49,080 --> 00:06:55,460 +المريض لم يشارك بشكل فعال في عملية وضع الأهداف + +78 +00:06:55,460 --> 00:07:01,280 +وبالتالي هو يعتبر أن الأهداف هذه ليس له في حين أنه + +79 +00:07:01,280 --> 00:07:06,620 +لو أشركت في وضع الأهداف فهيكون يتبنى هذه الأهداف + +80 +00:07:06,620 --> 00:07:12,560 +ويساعدني في تحقيقها أو الوصول إليهاوالهدف لم يكن + +81 +00:07:12,560 --> 00:07:15,880 +مظهرًا، ولم يكن مظهرًا + +82 +00:07:37,220 --> 00:07:42,620 +على سبيل المثال لو جيت انا جولت من ضمن الأهداف + +83 +00:07:42,620 --> 00:07:47,380 +تبعتي to improve the patient condition طب شو انا + +84 +00:07:47,380 --> 00:07:50,800 +بدي احسن في حالة المريض اعمل improving لل patient + +85 +00:07:50,800 --> 00:07:54,900 +condition بدي ازود المشي بدي ازود ال general + +86 +00:07:54,900 --> 00:07:59,890 +health بدي ازود احسن ال respirationففي هذه الحالة + +87 +00:07:59,890 --> 00:08:06,490 +مافي عندي مقياس أقدر أجيس الـ general condition أو + +88 +00:08:06,490 --> 00:08:11,570 +ال patient condition وهذه ستكون عندي مشكلة في + +89 +00:08:11,570 --> 00:08:17,370 +عملية setting the plan of treatment + +90 +00:08:20,480 --> 00:08:25,060 +بشكل سليم فى عندى بعض الـ guidelines اللى انا بدي + +91 +00:08:25,060 --> 00:08:28,480 +اخد بالي منها فى عملية الـ goal setting أول حاجة + +92 +00:08:28,480 --> 00:08:32,040 +involve the patient yearly in the process of goal + +93 +00:08:32,040 --> 00:08:37,520 +setting and goal revision وهذه بتتم من خلال + +94 +00:08:37,520 --> 00:08:41,580 +meeting goal setting meeting with the patient نيجى + +95 +00:08:41,580 --> 00:08:45,300 +ونقول للمريض انه بناء على التقييم اللى كان موجود + +96 +00:08:45,300 --> 00:08:51,190 +معاكفي عندك المشاكل واحد اتنين تلاتة ان هي اكتر + +97 +00:08:51,190 --> 00:08:58,590 +مشكلة بتأرقك او ان هي اكتر مشكلة عندها تهمك اكتر + +98 +00:08:58,590 --> 00:09:04,330 +فبيبدأ نعمل prioritizing في هذه الحالة بعد هيك + +99 +00:09:04,330 --> 00:09:08,050 +نقوله انه لو كان المريض على سبيل المثال spinal + +100 +00:09:08,050 --> 00:09:13,040 +cord injuryو الـ Complete Spinal Cord Injury لن + +101 +00:09:13,040 --> 00:09:17,500 +يرجع للمشي و يقول ان انا من ضمن الأهداف تبعتي ان + +102 +00:09:17,500 --> 00:09:22,720 +انا بدي ارجع امشي لكن هذا الهدف غير واقعي و غير + +103 +00:09:22,720 --> 00:09:26,800 +منطقي و لا يمكن تحقيقه فبنبدأ نعمل عملية + +104 +00:09:26,800 --> 00:09:31,060 +bargaining مساوة مع الأهداف و نبدأ نقوله ان احنا + +105 +00:09:31,060 --> 00:09:38,080 +بنخليك تستقل في حياتك و تتحرك وتعيش حياتك و تعمل + +106 +00:09:38,080 --> 00:09:44,100 +نشاطاتك لكن مش بالمشيممكن ان احنا نخليك تعملها على + +107 +00:09:44,100 --> 00:09:49,880 +الكرسي المتحرك و ايش بيصير تحسن بعد هيك ممكن ننتقل + +108 +00:09:49,880 --> 00:09:53,420 +له لكن مبدأيا بالحال اللي موجود فيها اليوم انت + +109 +00:09:53,420 --> 00:09:59,300 +الأفضل استخدام الكرسي المتحرك و هدفنا هيكون تدريبك + +110 +00:09:59,300 --> 00:10:04,720 +على استخدام الكرسي المتحركRespect the patient + +111 +00:10:04,720 --> 00:10:08,700 +preferences as long as there are no safety + +112 +00:10:08,700 --> 00:10:15,760 +concerns كمان بدي أحترم رغبات المريض وشو اللي بده + +113 +00:10:15,760 --> 00:10:21,100 +إيا المريض لكن في نفس الوقت مايكون هذه الرغبات + +114 +00:10:21,100 --> 00:10:27,080 +بتأثر على ال safety وده تكون منطقية Inform the + +115 +00:10:27,080 --> 00:10:31,470 +patient about possible anticipated needsبقول له شو + +116 +00:10:31,470 --> 00:10:35,870 +بلزمنا احنا عشان نصل للهدف اللى قلنا عنه هيكون في + +117 +00:10:35,870 --> 00:10:39,250 +عندنا كرسي متحرك و الكرسي المتحرك و بمواصفات و كده + +118 +00:10:39,250 --> 00:10:45,010 +كده بلزمنا كده بلزمنا كل احتياجات اللى انا بتلزمني + +119 +00:10:45,010 --> 00:10:49,290 +في عملية الوصول للهدف هذا بدي اقولها للمريض عشان + +120 +00:10:49,290 --> 00:10:55,960 +يساعدني في تحقيقها و توفيرهاnegotiate goals with + +121 +00:10:55,960 --> 00:11:01,600 +the patient and restructure when necessary الأهداف + +122 +00:11:01,600 --> 00:11:06,280 +اللي أنا مضعتها بدي أحكيها للمريض وبدنا نبدأ + +123 +00:11:06,280 --> 00:11:12,220 +نتناقش احنا ويا فيها إذا كان في بعض الأهداف مش + +124 +00:11:12,220 --> 00:11:19,080 +كتير تلقى اهتمام المريض ممكن أنا أعيد صياغتها بشيء + +125 +00:11:19,080 --> 00:11:27,900 +يناسب اهتمام المريضعلى سبيل المثال هل تريد أن تبقى + +126 +00:11:27,900 --> 00:11:34,680 +في المنزل نفسه؟ نعم أو لا؟ لكن أين تفضل أن تبقى؟ + +127 +00:11:34,680 --> 00:11:40,200 +يعني لو أنا جيت أقول للمريض على موضوع أنه أنا + +128 +00:11:40,200 --> 00:11:46,940 +البيت تبعه مش مناسب فأنا بجيش أقوله أنه أنت بدك + +129 +00:11:46,940 --> 00:11:50,580 +تبقى في بيتك ولا لأ؟ لأ بقوله وين بتفضل أنه أنت + +130 +00:11:50,580 --> 00:11:51,600 +كون؟ + +131 +00:12:04,640 --> 00:12:10,320 +بدي احاول ان اكون لغتي في الحوار و التواصل مع + +132 +00:12:10,320 --> 00:12:16,220 +المريض واضحة وفي نفس الوقت بدليش تكون طريقتي في + +133 +00:12:16,220 --> 00:12:24,610 +الأسئلة و في طرح المعلوماتأو اترك + +134 +00:12:24,610 --> 00:12:31,950 +مجال للمريض ان يحكي و اترك مجال للمريض ان يحكي + +135 +00:12:34,180 --> 00:12:37,280 +Encourage the patient to consider the values of + +136 +00:12:37,280 --> 00:12:41,040 +his or her own society and the impact of the + +137 +00:12:41,040 --> 00:12:46,400 +decision upon family كمان بدنا نحترم القيم اللي + +138 +00:12:46,400 --> 00:12:51,600 +عايش فيها المريض في مجتمعه ونساعده في اتخاذ قرارات + +139 +00:12:51,600 --> 00:12:54,560 +تتماشى مع هذه القيم + +140 +00:12:57,720 --> 00:13:01,880 +في عملية الـ goal setting مهم جدًا أن الـ goals + +141 +00:13:01,880 --> 00:13:08,560 +تكون لها بعض المواصفات وعشان نعرف المواصفات تبع ال + +142 +00:13:08,560 --> 00:13:12,020 +goals characteristics أو a good goal نكون عارفين + +143 +00:13:12,020 --> 00:13:17,700 +أنها تجمعها كلمة واحدة هي كلمة smart شو مقصود ب + +144 +00:13:17,700 --> 00:13:26,310 +smart؟هي عبارة عن الـ S specific الـ M measurable + +145 +00:13:26,310 --> 00:13:33,110 +ممكن قياسها الـ A activity related أو في بعضها + +146 +00:13:33,110 --> 00:13:40,430 +ممكن يقولك achievable ممكن تحقيقها الـ R realistic + +147 +00:13:40,430 --> 00:13:43,950 +واقعية وبالتالي يمكن تحقيقها + +148 +00:13:46,000 --> 00:13:52,880 +التي تايم specific ما بنفع احط goals يكون مفتوح + +149 +00:13:52,880 --> 00:14:00,060 +وماقله ثقف لازم يكون في عندى محدد بثقف لو جينا + +150 +00:14:00,060 --> 00:14:05,280 +specific goals وضربنا مثل على specific goal بنقول + +151 +00:14:05,280 --> 00:14:11,520 +انه to make او to enable the patient walk 10 + +152 +00:14:11,520 --> 00:14:12,820 +meters + +153 +00:14:15,680 --> 00:14:19,240 +الان لما قلت enable the patient to walk 10 meters + +154 +00:14:19,240 --> 00:14:27,580 +هو specific المشي 10 meters measurable بحدد خليني + +155 +00:14:27,580 --> 00:14:34,420 +نقول المسافة activity related بستفيد منه في عمليات + +156 +00:14:34,420 --> 00:14:38,600 +المشي في داخل البيت في خارج البيت إذا هو إيه علاقة + +157 +00:14:38,600 --> 00:14:43,930 +بال activity رياليستيك واقع ممكن تحقيقهبالنسبة + +158 +00:14:43,930 --> 00:14:51,550 +للمريض الان الوقت المحدد لكي يسمح للطبيب بمشي 10 + +159 +00:14:51,550 --> 00:14:59,130 +متر على محافظة عادية في 10 أيام او في نهاية + +160 +00:14:59,130 --> 00:15:06,890 +أسبوعين في نهاية الأسبوعين اصبح لدي 2 أسبوع محدد + +161 +00:15:06,890 --> 00:15:13,240 +الوقتخلّيت الـ goal هذا مواصفاته انه smart smart + +162 +00:15:13,240 --> 00:15:19,260 +specific كان محدد انه انا بدي المريض يمشي عشرة متر + +163 +00:15:19,260 --> 00:15:23,620 +measurable ممكن قياسه المسافة اللي انا حددتها + +164 +00:15:23,620 --> 00:15:26,660 +activity related له علاقة بال functions و بال + +165 +00:15:26,660 --> 00:15:30,420 +activity و المشي بيستفيد منه المريض في كل شيء + +166 +00:15:30,420 --> 00:15:34,440 +realistic واقعي ممكن تحقيق هذا الهدف بالنسبة + +167 +00:15:34,440 --> 00:15:41,900 +لقدرات المريض time specificبنهاية أسبوعين + +168 +00:15:41,900 --> 00:15:50,080 +بيوصل هذا الهدف Outcome + +169 +00:15:50,080 --> 00:15:55,020 +Measures and Goal Settings في مجال التأهيل و + +170 +00:15:55,020 --> 00:16:00,800 +العلاج الطبيعي مهم جدا يكون لديه Outcome Measures + +171 +00:16:00,800 --> 00:16:06,920 +مقاييس عشان اتقيس الشغل اللي انا حققته مع المريض + +172 +00:16:08,220 --> 00:16:13,600 +عند إكمال التحديات، يجب أن يكون المشكلة اكتشافًا + +173 +00:16:13,600 --> 00:16:16,700 +باستخدام عملية تفكير عملية تفكير عملية تفكير عملية + +174 +00:16:16,700 --> 00:16:24,580 +تفكير عملية تفكير عملية تفكير عملية تفكير + +175 +00:16:24,580 --> 00:16:28,680 +عملية تفكير عملية تفكير عملية تفكير عملية تفكير + +176 +00:16:28,680 --> 00:16:28,680 +عملية تفكير عملية تفكير عملية تفكير عملية تفكير + +177 +00:16:28,680 --> 00:16:28,680 +عملية تفكير عملية تفكير عملية تفكير عملية تفكير + +178 +00:16:28,680 --> 00:16:28,680 +عملية تفكير عملية تفكير عملية تفكير عملية تفكير + +179 +00:16:28,680 --> 00:16:31,460 +عملية تفكير عملية تفكير عملية تفكير عملية تفكير + +180 +00:16:31,460 --> 00:16:37,080 +عمل + +181 +00:16:37,260 --> 00:16:53,900 +Timescales ممكن + +182 +00:16:53,900 --> 00:17:01,000 +تجهيزها مع + +183 +00:17:01,000 --> 00:17:03,160 +المريض و مع العائلة + +184 +00:17:08,260 --> 00:17:13,580 +الأهداف التي وضعتها بيتم نقشتها مع كل أطراف اللي + +185 +00:17:13,580 --> 00:17:21,820 +لها علاقة مع المريض سواء كان المريض العائلة ال جهة + +186 +00:17:21,820 --> 00:17:26,980 +اللي بدها تموّل و تغطي مصاريف العلاج والتأهيل لأنه + +187 +00:17:26,980 --> 00:17:31,240 +ممكن يلزم بعض الأدوات اللي بنحتاجها في عملية ال + +188 +00:17:31,240 --> 00:17:31,640 +rehabilitation + +189 +00:17:36,830 --> 00:17:43,810 +عشان هيك تكون عملية التأهيل واضحة لدى الجميع + +190 +00:17:59,530 --> 00:18:06,850 +إذا كانت هذه المرحلة مش محددةومش عارف المريض إلى + +191 +00:18:06,850 --> 00:18:10,990 +أين يصل ومش عارفين الأهل شو اللي بدهم إياه وشو + +192 +00:18:10,990 --> 00:18:14,670 +اللي احنا بدنا نصل إله هذه طبعا هتعمل نوع من + +193 +00:18:14,670 --> 00:18:21,670 +الإحباط وهتعيق الوصول للأهداف measuring outcomes + +194 +00:18:21,670 --> 00:18:27,610 +of intervention عشان أنا أجيس ال outcome تبعي + +195 +00:18:27,610 --> 00:18:33,450 +measurement is the use of standard quantifiedبدي + +196 +00:18:33,450 --> 00:18:39,690 +استخدم أدوات قياس للملاحظات + +197 +00:18:39,690 --> 00:18:45,490 +يعني بدي أشوف المريض بيمشي عشر دقائق بيمشي عشرة + +198 +00:18:45,490 --> 00:18:53,270 +متر إذا في عندي quantifying standard scales + +199 +00:18:58,550 --> 00:19:01,570 +أداء الـ scale اللي بدي استخدمه الـ tool اللي بدي + +200 +00:19:01,570 --> 00:19:04,990 +استخدمها is the technique used to quantify that + +201 +00:19:04,990 --> 00:19:09,370 +observation يعني أنا بدي استخدم على سبيل المثال + +202 +00:19:09,370 --> 00:19:16,430 +المتر لقياس الوزن + +203 +00:19:16,430 --> 00:19:21,220 +طبعا هذه ال tool غير مناسبةلكن انا ممكن استخدم + +204 +00:19:21,220 --> 00:19:26,780 +الميزان لقياس الوزن استخدم المتر لقياس المسافة + +205 +00:19:26,780 --> 00:19:33,180 +اللى بده يمشيها outcome is the result obtained in + +206 +00:19:33,180 --> 00:19:36,520 +using such instrument or tool ال outcome الان + +207 +00:19:36,520 --> 00:19:45,080 +نتيجة نهائية المريض مشى عشرة متر الان المشي هي + +208 +00:19:45,080 --> 00:19:51,170 +عشرة متر عملت quantifyingالان المسافة اللى قطعها + +209 +00:19:51,170 --> 00:19:57,550 +على الأرض او غير المتر هي التول ال outcome النتيجة + +210 +00:19:57,550 --> 00:20:02,050 +النهائية ان ال patient can walk 10 meters ال + +211 +00:20:02,050 --> 00:20:08,330 +outcome measures لازم يكون فيها بعض المواصفات + +212 +00:20:08,330 --> 00:20:13,510 +بتكون sensitive بحيث + +213 +00:20:13,510 --> 00:20:21,650 +انه هي تحدد detect the true findingsبتحدد ليه ال + +214 +00:20:21,650 --> 00:20:27,830 +findings اللي موجودة عند المريض specific اتحدد ال + +215 +00:20:27,830 --> 00:20:32,170 +false findings ايش فيه شغلات خطأ عند المريض بتكون + +216 +00:20:32,170 --> 00:20:38,530 +valid صالحة للاستخدام في هذه الحالة reliable + +217 +00:20:38,530 --> 00:20:44,150 +حقيقية تعطيني دراسة واقعية appropriate for the + +218 +00:20:44,150 --> 00:20:45,250 +problem + +219 +00:20:48,820 --> 00:20:53,560 +أوريليابل ثابتة يعني كل مرة بستخدمها بتعطيني + +220 +00:20:53,560 --> 00:20:59,000 +النتائج بشكل سليم مش كل مرة تعطيني قراءة مختلفة + +221 +00:20:59,000 --> 00:21:03,020 +appropriate for the problem مناسبة للمشكلة + +222 +00:21:03,020 --> 00:21:08,360 +الموجودة feasibility of use and utility بتكون سهلة + +223 +00:21:08,360 --> 00:21:14,060 +الاستخدام ومتوفرة uses and benefits of outcome + +224 +00:21:14,060 --> 00:21:20,300 +measures شو الاستخدامات؟الـ outcome measures وشو + +225 +00:21:20,300 --> 00:21:23,280 +بستفيد منها؟ to describe the patient functional + +226 +00:21:23,280 --> 00:21:27,580 +status at initial assessment to obtain a baseline + +227 +00:21:27,580 --> 00:21:35,390 +of a treatmentوهذه طبعا لما انا بستخدم من البداية + +228 +00:21:35,390 --> 00:21:39,630 +أجاني المريض لما عملت assessment للمشي لجيت ان + +229 +00:21:39,630 --> 00:21:45,450 +المريض بيمشي يده بس خطوطين اذا ال patient can walk + +230 +00:21:45,450 --> 00:21:50,410 +on initial assessment only two meters with great + +231 +00:21:50,410 --> 00:21:54,090 +assistance with assistance of two persons اي ان + +232 +00:21:54,090 --> 00:21:59,570 +كان الأداء فانا صار في عندي أساس حطيته في ال + +233 +00:21:59,570 --> 00:22:00,690 +assessment تبعتي + +234 +00:22:06,570 --> 00:22:12,790 +بتساعدني هذه الأداء أشوف لوين وصل المريض في أثناء + +235 +00:22:12,790 --> 00:22:17,930 +العلاج فببدأ أقول أنه after two weeks the patient + +236 +00:22:17,930 --> 00:22:25,790 +can walk 10 metersالان المريض صار يمشي عشرة متر + +237 +00:22:25,790 --> 00:22:28,890 +كان في الأول في ال assessment كان بيمشي two meters + +238 +00:22:28,890 --> 00:22:34,230 +الان صار يمشي عشرة متر إذا قاستلي التحسن اللي + +239 +00:22:34,230 --> 00:22:39,690 +موجود to enable clinicians to compare scores of + +240 +00:22:39,690 --> 00:22:43,090 +patients with the same diagnosis to evaluate + +241 +00:22:43,090 --> 00:22:47,870 +predictive factors for recovery and hospital stay + +242 +00:22:47,870 --> 00:22:52,630 +كمان بتساعد الناس الاختصاصيين في هذا المجالإنه + +243 +00:22:52,630 --> 00:22:58,250 +يقارنوا شو العوامل اللي بتأثر في عملية ال recovery + +244 +00:22:58,250 --> 00:23:07,370 +وعملية المكوث في المستشفى خصوصا بين المرضى من نفس + +245 +00:23:07,370 --> 00:23:14,970 +التشخيص يعني تستخدم كمادة لتطوير الخدمات و لعملية + +246 +00:23:14,970 --> 00:23:22,190 +البحث العلميلتساعد الخطة العلاجية في تصميم و تحسين + +247 +00:23:22,190 --> 00:23:29,450 +خطة التعامل بتساعد الخطة العلاجية انه يطور من خطته + +248 +00:23:29,450 --> 00:23:33,410 +العلاجية ويراجع الخطة اللي موجودة المريض هتتحسن + +249 +00:23:33,410 --> 00:23:41,250 +إذا نستمر فيها نطور نزيد عليها المريض لم يظهر اي + +250 +00:23:41,250 --> 00:23:45,570 +تحسن شو الخلل؟ هل الخلل في تطبيق الخطة العلاجية؟ + +251 +00:23:45,570 --> 00:23:49,880 +هل الخطة العلاجية؟غير مناسب لهذا المريض وبالتالي + +252 +00:23:49,880 --> 00:23:57,300 +بتم مراجعة للخطة بشكل مناسبأو to predict the + +253 +00:23:57,300 --> 00:24:02,300 +eventual outcome of therapy in relation to + +254 +00:24:02,300 --> 00:24:07,820 +function كمان عشان أقدر أعرف شو اللي بده يصير، شو + +255 +00:24:07,820 --> 00:24:12,560 +الهدف اللي احنا بدنا نصل إليه بناء على العلاج اللي + +256 +00:24:12,560 --> 00:24:16,180 +احنا بنستخدمه أو بنحطه بناء على الخطة العلاجية + +257 +00:24:16,180 --> 00:24:17,460 +اللي احنا وضعناها للمريض + +258 +00:24:28,790 --> 00:24:34,870 +على سبيل المثال، في عندنا الـ Fem Scale Functional + +259 +00:24:34,870 --> 00:24:38,920 +Independence Measureلما يقول للمريض هذا بيتكون من + +260 +00:24:38,920 --> 00:24:44,760 +126 نقطة لما انا اقول انه المريض ال score تبعته + +261 +00:24:44,760 --> 00:24:51,040 +120 بعرف انه independent في حين انه لو كان 18 ال + +262 +00:24:51,040 --> 00:24:56,240 +score تبعته هيكون عندي severe او completely + +263 +00:24:56,240 --> 00:25:00,900 +dependent in all activity اذا هذا ال scale مجرد + +264 +00:25:00,900 --> 00:25:05,540 +رقم تعرفني للمريض انه هل هو independent او + +265 +00:25:05,540 --> 00:25:16,420 +independentالشباب اللي بيعمل + +266 +00:25:16,420 --> 00:25:24,800 +التأهيب في مجال التأهيب و غيرهم يحددوا وقت للأهداف + +267 +00:25:24,800 --> 00:25:32,150 +اللي بدهم يحققوهاوتساعدهم في تحديد هذا الوقت ومتى + +268 +00:25:32,150 --> 00:25:38,350 +ممكن أن تتحقق هذه الأهداف جدّاش بدها وقت لتساعدهم + +269 +00:25:38,350 --> 00:25:44,310 +في تحديد الـ Appropriate Placement of Discharge + +270 +00:25:44,310 --> 00:25:49,210 +بتحدد الوقت بتساعد ال therapist أنهم يحددوا الوقت + +271 +00:25:49,210 --> 00:25:54,130 +المناسب للخروجto predict the type of care and + +272 +00:25:54,130 --> 00:25:57,970 +support patient need from others كمان، شو المريض + +273 +00:25:57,970 --> 00:26:02,750 +بيحتاج، بتساعدنا إنه نحدد احتياجات المريض من + +274 +00:26:02,750 --> 00:26:08,030 +الرعاية من ال other professionals to enhance + +275 +00:26:08,030 --> 00:26:12,930 +communication among professionals بتساعد في إيجاد + +276 +00:26:12,930 --> 00:26:17,910 +آلية تواصل ولغة مشتركة ما بين الأخصائيين اللي + +277 +00:26:17,910 --> 00:26:22,520 +بيشتغلوا في هذا المجالto establish an evidence + +278 +00:26:22,520 --> 00:26:27,600 +-based effectiveness of treatment بتساعد في البحث + +279 +00:26:27,600 --> 00:26:32,620 +العلمي ووضع شو أكتر الطرق اللي ممكن أنها تكون + +280 +00:26:32,620 --> 00:26:38,940 +فعالة في عملية ال management purchaser of services + +281 +00:26:38,940 --> 00:26:42,920 +need to know which clinical input is effective + +282 +00:26:42,920 --> 00:26:48,120 +before they invest وهذا طبعا الناس المستثمرين + +283 +00:26:48,120 --> 00:26:53,810 +ومشتري الخدماتتعطيهم فكرة عن الأدوات اللي احنا + +284 +00:26:53,810 --> 00:26:59,790 +بنستخدمها وشو ناتج اللي هم بدهم يستفيدوا من + +285 +00:26:59,790 --> 00:27:04,070 +الخدمات أو من الوسائل اللي احنا بنستخدمها في + +286 +00:27:04,070 --> 00:27:08,740 +العلاجإذا في عملية الـ goal settings ممكن تقسم ال + +287 +00:27:08,740 --> 00:27:12,860 +goals لـ long term goals و short term goals الآن + +288 +00:27:12,860 --> 00:27:19,160 +في عندي بعض الأهداف القصيرة كأمثلة للأهداف القصيرة + +289 +00:27:19,160 --> 00:27:25,280 +to improve muscular strength أو motor control لكن + +290 +00:27:25,280 --> 00:27:32,610 +بلزمني أن أحددها بال time و بيكون time limitedبعد + +291 +00:27:32,610 --> 00:27:34,890 +ذلك تقوم بإعادة محادثة الـ fine motor control هذه + +292 +00:27:34,890 --> 00:27:42,070 +محددة بـ function طبعا هذه أمثلة لبعض ال goals + +293 +00:27:42,070 --> 00:27:46,030 +اللي احنا ممكن نستفيد منها في صياغة أهدافنا في + +294 +00:27:46,030 --> 00:27:51,150 +عمليات العلاج لكن بدنا نكون فيها نوع من التحديد + +295 +00:27:51,150 --> 00:27:54,750 +لتحديد + +296 +00:27:54,750 --> 00:27:58,410 +الوقت وتحديد ال function وتكون هذه الأهداف علاقة + +297 +00:27:58,410 --> 00:28:03,280 +بال function اللي يقدّيها المريضالـ long term + +298 +00:28:03,280 --> 00:28:10,180 +goals طبعاً بتكون أعم وأعم و أشمل شوية و عشان أصل + +299 +00:28:10,180 --> 00:28:16,100 +أنا ال main goal ال main long term goal بدي أعمله + +300 +00:28:16,100 --> 00:28:21,650 +تجزئة عشان أصل لهذا الهدفبالتالي الـ plan of + +301 +00:28:21,650 --> 00:28:27,430 +treatment تختلف حسب ال diagnoses وحسب الحالة وحسب + +302 +00:28:27,430 --> 00:28:33,230 +ما هو الموجود عند المريض وعند ال therapist من + +303 +00:28:33,230 --> 00:28:37,250 +انكانيات وحسب التشخيص أساسي + diff --git 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{"start": 208.07, "end": 208.93, "word": " ال", "probability": 0.64892578125}, {"start": 208.93, "end": 209.25, "word": " piltic", "probability": 0.2814737955729167}, {"start": 209.25, "end": 209.81, "word": " girdle", "probability": 0.873046875}, {"start": 209.81, "end": 210.35, "word": " لل", "probability": 0.91943359375}, {"start": 210.35, "end": 210.85, "word": " lower", "probability": 0.63623046875}, {"start": 210.85, "end": 211.43, "word": " limb", "probability": 0.8603515625}], "temperature": 1.0}, {"id": 10, "seek": 23139, "start": 212.47, "end": 231.39, "text": "articulated هنا هشوف التمافصل اللى موجود عندى فى عندي تمافصل خاص بال upper limb زى ما انتوا شايفين هاد ال ribs وهد عضمة القص وهنا الترقوة وهي اللى هي لهيوميرس الآن هشوف التركيبة اللى موجودة في ال upper limb", "tokens": [446, 299, 6987, 34105, 8032, 8592, 38688, 16712, 15042, 5172, 36520, 13672, 7578, 3714, 29245, 23328, 43242, 7578, 6156, 7578, 18871, 16254, 46811, 31845, 36520, 16490, 33546, 20666, 6597, 30390, 30767, 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الآن", "probability": 0.6241455078125}, {"start": 227.29, "end": 227.83, "word": " هشوف", "probability": 0.99462890625}, {"start": 227.83, "end": 228.49, "word": " التركيبة", "probability": 0.9332275390625}, {"start": 228.49, "end": 229.55, "word": " اللى", "probability": 0.739501953125}, {"start": 229.55, "end": 230.17, "word": " موجودة", "probability": 0.8941650390625}, {"start": 230.17, "end": 230.55, "word": " في", "probability": 0.765625}, {"start": 230.55, "end": 230.83, "word": " ال", "probability": 0.48583984375}, {"start": 230.83, "end": 231.05, "word": " upper", "probability": 0.75048828125}, {"start": 231.05, "end": 231.39, "word": " limb", "probability": 0.9111328125}], "temperature": 1.0}, {"id": 11, "seek": 25958, "start": 231.96, "end": 259.58, "text": "الأبندكيولر سكيلاتون لل upper extremities تحتوي على الـ balls المكوّنة لل shoulder تمام؟ اللي هي بتشمل ال shoulder girdle، upper arm، lower arm، و ال wrist، و ال hand، و ال shoulder girdle إذن ال upper بتشمل من البداية shoulder joint لـhumerus بسميها ال upper arm", "tokens": [6027, 10721, 3555, 41260, 4117, 1829, 12610, 2288, 8608, 4117, 26895, 9307, 11536, 24976, 6597, 4040, 1088, 6055, 33753, 45865, 15844, 2423, 39184, 9803, 9673, 4117, 2407, 11703, 1863, 3660, 24976, 7948, 46811, 10943, 22807, 13672, 1829, 39896, 39894, 8592, 42213, 2423, 7948, 48219, 306, 12399, 6597, 3726, 12399, 3126, 3726, 12399, 4032, 2423, 15043, 12399, 4032, 2423, 1011, 12399, 4032, 2423, 7948, 48219, 306, 11933, 8848, 1863, 2423, 6597, 39894, 8592, 42213, 9154, 29739, 28259, 10632, 7948, 7225, 5296, 39184, 71, 15583, 301, 4724, 38251, 1829, 11296, 2423, 6597, 3726], "avg_logprob": -0.3906249951409257, "compression_ratio": 1.6944444444444444, "no_speech_prob": 0.0, "words": [{"start": 231.96, "end": 232.82, "word": "الأبندكيولر", "probability": 0.5170135498046875}, {"start": 232.82, "end": 233.42, "word": " سكيلاتون", "probability": 0.70625}, {"start": 233.42, "end": 234.06, "word": " لل", "probability": 0.75048828125}, 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{"start": 255.7, "end": 256.36, "word": " joint", "probability": 0.9345703125}, {"start": 256.36, "end": 257.72, "word": " لـhumerus", "probability": 0.498828125}, {"start": 257.72, "end": 258.76, "word": " بسميها", "probability": 0.9327392578125}, {"start": 258.76, "end": 258.92, "word": " ال", "probability": 0.9365234375}, {"start": 258.92, "end": 259.1, "word": " upper", "probability": 0.84814453125}, {"start": 259.1, "end": 259.58, "word": " arm", "probability": 0.89697265625}], "temperature": 1.0}, {"id": 12, "seek": 28639, "start": 261.05, "end": 286.39, "text": "الـ Radius والقلنة اللي هي السواعد الـ Forearm وكذلك ال hand إذا هذا كله باعتبره ال upper bones أو ال upper extremities الأجزاء العلوية اللي هي بتشمل shoulder girdle upper arm lower arm hand and wrist joint شو هو ال shoulder girdle؟", "tokens": [6027, 39184, 9654, 4872, 16070, 4587, 1211, 1863, 3660, 13672, 1829, 39896, 21136, 14407, 22488, 2423, 39184, 9018, 4452, 4032, 4117, 8848, 23275, 2423, 1011, 11933, 15730, 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{"start": 265.33, "end": 266.05, "word": " Forearm", "probability": 0.6552734375}, {"start": 266.05, "end": 267.19, "word": " وكذلك", "probability": 0.8809814453125}, {"start": 267.19, "end": 267.85, "word": " ال", "probability": 0.95654296875}, {"start": 267.85, "end": 268.27, "word": " hand", "probability": 0.285400390625}, {"start": 268.27, "end": 268.97, "word": " إذا", "probability": 0.6767578125}, {"start": 268.97, "end": 269.23, "word": " هذا", "probability": 0.666015625}, {"start": 269.23, "end": 269.91, "word": " كله", "probability": 0.98779296875}, {"start": 269.91, "end": 270.91, "word": " باعتبره", "probability": 0.89736328125}, {"start": 270.91, "end": 271.39, "word": " ال", "probability": 0.734375}, {"start": 271.39, "end": 271.63, "word": " upper", "probability": 0.49072265625}, {"start": 271.63, "end": 272.13, "word": " bones", "probability": 0.83056640625}, {"start": 272.13, "end": 272.39, "word": " أو", "probability": 0.8564453125}, {"start": 272.39, "end": 272.55, 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الأكروميون هي عبارة عن نتوء عضمي موجود في الاسكابيولا اللي هي هذه لوحة الكتف بسميه", "tokens": [35, 328, 270, 379, 13672, 1829, 34105, 3714, 1829, 16254, 6027, 1829, 37037, 8315, 11778, 1829, 11622, 36081, 6027, 1829, 3714, 1829, 16254, 6027, 1829, 6156, 6027, 14851, 2288, 1863, 2407, 9122, 15040, 41185, 4117, 12610, 995, 12602, 7435, 34268, 5551, 15042, 11778, 1829, 11622, 36081, 6027, 1829, 6156, 2655, 43500, 3555, 9566, 20666, 5551, 37983, 20498, 1829, 11536, 13672, 1829, 39896, 3714, 29245, 23328, 3660, 34105, 16247, 37983, 20498, 1829, 11536, 39896, 6225, 3555, 9640, 3660, 18871, 8717, 2655, 2407, 38207, 6225, 11242, 2304, 1829, 3714, 29245, 23328, 8978, 2423, 32277, 4117, 16758, 1829, 12610, 995, 13672, 1829, 39896, 29538, 45164, 5016, 3660, 33251, 2655, 5172, 4724, 38251, 1829, 3224], "avg_logprob": -0.2455357156161751, "compression_ratio": 1.927461139896373, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 460.28, "end": 460.88, "word": "Digitally", "probability": 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"seek": 56963, "start": 540.49, "end": 569.63, "text": "بيصير عندي clavicular sternum أو sternoclavicular joint أما ال digital فهي بترتبط مع ال acromion تمام؟ ال acromion اللي هي بيصير عندنا acromioclavicular joint هيك أنا بمسكهم عشان أنا ألخصهم مع بعض إذا ال clavicle هاي الترقوة لما أنا بدي أثبتها على نفسي بدي أوجدها بهذا الشكل okay؟", "tokens": [3555, 1829, 9381, 13546, 18871, 16254, 596, 706, 14646, 38312, 449, 34051, 38312, 905, 36243, 14646, 7225, 5551, 15042, 2423, 4562, 6156, 3224, 1829, 39894, 43500, 3555, 9566, 20449, 2423, 696, 4397, 313, 46811, 10943, 22807, 2423, 696, 4397, 313, 13672, 1829, 39896, 4724, 1829, 9381, 13546, 43242, 8315, 696, 4397, 72, 905, 36243, 14646, 7225, 39896, 4117, 41850, 4724, 2304, 3794, 4117, 16095, 6225, 8592, 7649, 41850, 5551, 1211, 9778, 9381, 16095, 20449, 45030, 11242, 11933, 15730, 2423, 596, 706, 3520, 8032, 47302, 16712, 2288, 4587, 2407, 3660, 5296, 15042, 41850, 4724, 16254, 5551, 12984, 3555, 2655, 11296, 15844, 8717, 36178, 1829, 4724, 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بسميه اللي هو Sternoclavicular Joint، هيك بيكون أنا ربطت عضمة ال clavicle مع ال axial skeleton", "tokens": [8297, 12399, 36938, 20449, 2423, 5097, 4397, 313, 12399, 4724, 38251, 1829, 3224, 5097, 4397, 72, 905, 36243, 14646, 37866, 12399, 21932, 379, 34051, 1205, 2270, 20449, 2423, 33539, 77, 449, 12399, 4724, 38251, 1829, 3224, 13672, 1829, 31439, 39538, 905, 36243, 14646, 37866, 12399, 39896, 4117, 4724, 1829, 30544, 41850, 12602, 3555, 9566, 2655, 6225, 11242, 46007, 2423, 596, 706, 3520, 20449, 2423, 46851, 25204], "avg_logprob": -0.3213619420777506, "compression_ratio": 1.4764705882352942, "no_speech_prob": 0.0, "words": [{"start": 598.99, "end": 599.91, "word": "Okay،", "probability": 0.4342041015625}, {"start": 599.91, "end": 600.31, "word": " digitally", "probability": 0.482421875}, {"start": 600.31, "end": 600.79, "word": " مع", "probability": 0.9697265625}, {"start": 600.79, "end": 600.93, "word": " ال", "probability": 0.78759765625}, {"start": 600.93, "end": 601.93, "word": 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"temperature": 1.0}, {"id": 57, "seek": 124110, "start": 1230.17, "end": 1241.11, "text": "تمام؟ هذا بالنسبة لليهيوميرس خليني أشوف اللي هو تركيبتها الآن هذه ليهيوميرس اللي موجودة عليه", "tokens": [39237, 10943, 22807, 23758, 20666, 1863, 35457, 3660, 5296, 20292, 3224, 1829, 20498, 13546, 3794, 16490, 1211, 9957, 1829, 5551, 8592, 38688, 13672, 1829, 31439, 6055, 31747, 1829, 3555, 2655, 11296, 6024, 48506, 29538, 32239, 3224, 1829, 20498, 13546, 3794, 13672, 1829, 3714, 29245, 23328, 3660, 47356], "avg_logprob": -0.25195311320324737, "compression_ratio": 1.5178571428571428, "no_speech_prob": 0.0, "words": [{"start": 1230.17, "end": 1230.89, "word": "تمام؟", "probability": 0.4989420572916667}, {"start": 1230.89, "end": 1231.25, "word": " هذا", "probability": 0.84228515625}, {"start": 1231.25, "end": 1231.81, "word": " بالنسبة", "probability": 0.9749755859375}, {"start": 1231.81, "end": 1232.99, "word": " لليهيوميرس", "probability": 0.6553780691964286}, {"start": 1232.99, "end": 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العضمة", "probability": 0.9873046875}, {"start": 1461.6, "end": 1462.34, "word": " الأسمك", "probability": 0.8006591796875}, {"start": 1462.34, "end": 1462.68, "word": " و", "probability": 0.54931640625}, {"start": 1462.68, "end": 1463.22, "word": " الأسمن", "probability": 0.8662109375}, {"start": 1463.22, "end": 1463.76, "word": " و", "probability": 0.8154296875}, {"start": 1463.76, "end": 1464.06, "word": " جاية", "probability": 0.9503580729166666}, {"start": 1464.06, "end": 1464.46, "word": " ناحية", "probability": 0.9845377604166666}, {"start": 1464.46, "end": 1465.04, "word": " الإصبع", "probability": 0.93505859375}, {"start": 1465.04, "end": 1465.62, "word": " الكبير", "probability": 0.9847005208333334}, {"start": 1465.62, "end": 1466.58, "word": " R", "probability": 0.8046875}, {"start": 1466.58, "end": 1466.94, "word": " مع", "probability": 0.95263671875}, {"start": 1466.94, "end": 1467.42, "word": " R", "probability": 0.96533203125}, {"start": 1467.42, "end": 1467.7, "word": " 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100644 index 0000000000000000000000000000000000000000..4f2813ea0d9af4ff49e7805576d3e8183a855752 --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/1wBC9g7oJR4_raw.srt @@ -0,0 +1,1644 @@ +1 +00:00:04,910 --> 00:00:07,710 +بسم الله الرحمن الرحيم والصلاة والسلام على أشرف + +2 +00:00:07,710 --> 00:00:10,790 +الأنبياء والمرسلين اليوم ان شاء الله رب العالمين + +3 +00:00:10,790 --> 00:00:15,010 +مكملة معاكم chapter ال bones هدخل في skeletal + +4 +00:00:15,010 --> 00:00:20,070 +system تلاتة ال part الأول و الفيديو رقم 11 + +5 +00:00:20,070 --> 00:00:24,810 +اتكلمنا في الفيديوهات السابقة عنالـ skeletal + +6 +00:00:24,810 --> 00:00:30,190 +system الـ axion اللي هو يشمل ال head و ال + +7 +00:00:30,190 --> 00:00:35,290 +vertebral column و ال ribs اليوم بإذن الله سأتحدث + +8 +00:00:35,290 --> 00:00:38,450 +في هذا الشبتر عن ال abdicular system او ال + +9 +00:00:38,450 --> 00:00:43,170 +abdicular skeletons اللي بيشمل ال upper limb و ال + +10 +00:00:43,170 --> 00:00:48,140 +lower limb نبدأ بسم الله و على بركة اللهشو هو ال + +11 +00:00:48,140 --> 00:00:52,540 +abdicular skeletons ال abdicular skeletons في عندي + +12 +00:00:52,540 --> 00:00:56,080 +ال pictorial girdles و ال pelvic girdles ال + +13 +00:00:56,080 --> 00:01:01,700 +pictorial girdles وهو ما يسمى بالحزام الصدري تمام + +14 +00:01:01,700 --> 00:01:07,500 +و ال pelvic girdle ما يسمى بالحزام الحوضي خليني + +15 +00:01:07,500 --> 00:01:12,780 +أشوف ليش حزام صدري و ليش حزام حوضي الآن عشان ترتبط + +16 +00:01:13,520 --> 00:01:18,920 +هذه العضمة اللي هي ما تسمى بالـ humerus في الجذع + +17 +00:01:18,920 --> 00:01:23,540 +اللي هو الـ axial skeletal system لازم يكون في + +18 +00:01:23,540 --> 00:01:29,840 +حاجة اسمها أربطة تسمى بالحزام الصدريكذلك الحال + +19 +00:01:29,840 --> 00:01:35,140 +للأجزاء السفلية يجب أن يكون هناك ارتباط لعدمة + +20 +00:01:35,140 --> 00:01:39,840 +الفيمر وهي عدمة الساق في ارتباطها بالحوض إذا + +21 +00:01:39,840 --> 00:01:44,540 +الأحزمة هي عبارة عن الروابط التي تربط الحزام + +22 +00:01:44,540 --> 00:01:50,740 +الصدري للأجزاء العلوية والأجزاء الحوضية أو الأجزاء + +23 +00:01:50,740 --> 00:01:56,190 +السفلية بالحوضالـ pectoral girdles attach the + +24 +00:01:56,190 --> 00:02:00,750 +upper limbs to the trunk ارتباط الأجزاء العلوية مع + +25 +00:02:00,750 --> 00:02:05,030 +ال trunk أما ال pelvic girdle فهو ما يربط ال lower + +26 +00:02:05,030 --> 00:02:09,290 +limbs ب ال trunk نفس الكلام حكينا ان ال lower + +27 +00:02:09,290 --> 00:02:13,330 +limbs ممكن انا اختصرها ب double L و هنا upper + +28 +00:02:13,330 --> 00:02:17,340 +limbsإذن ارتباط ال upper limbs مع ال trunk بعرفه + +29 +00:02:17,340 --> 00:02:21,240 +على إنه عبارة عن ال pectoral girdles أما ال pelvic + +30 +00:02:21,240 --> 00:02:24,840 +girdles فهو عبارة عن ال lower limb مع ال trunk + +31 +00:02:24,840 --> 00:02:29,460 +Upper and lowered limbs differ in functions but + +32 +00:02:29,460 --> 00:02:35,050 +same and share structural of the planeالأجزاء + +33 +00:02:35,050 --> 00:02:40,410 +العلوية تتشابه تماما بالوظيفة مع الأجزاء السفلية + +34 +00:02:40,410 --> 00:02:45,270 +ويعني نفس التركيب، لو قلنا هنا في عندي مفصل الكتف + +35 +00:02:45,270 --> 00:02:49,030 +مقابل منه هيكون في الأجزاء السفلية مفصل الفخد أو + +36 +00:02:49,030 --> 00:02:53,730 +ما يسمى بالhip، joint الكوع يقابله تماما ال knee + +37 +00:02:53,730 --> 00:02:58,470 +joint أو مفصل الركبة كذلك الرسغ فيقابله تماما ال + +38 +00:02:58,470 --> 00:03:02,150 +foot أو ال ankle joint إذا ال upper and lower + +39 +00:03:02,150 --> 00:03:07,230 +systemأو lower limbs differ in function بيختلفوا + +40 +00:03:07,230 --> 00:03:11,910 +صحيح في وظائفهم بإيدي أنا ممكن أقدر أكل أشرب أكتب + +41 +00:03:11,910 --> 00:03:16,950 +و بقدمي أستطيع التنقل و المشي ولكن يشتركوا بنفس + +42 +00:03:16,950 --> 00:03:23,030 +التركيبة أو نفس المهام ان هم كلهما في التركيبة أو + +43 +00:03:23,030 --> 00:03:26,790 +على خط مستوى التركيب نفسه إذا ال pictorial girdles + +44 +00:03:26,790 --> 00:03:31,430 +لل upper limb و ال piltic girdle لل lower limb + +45 +00:03:32,470 --> 00:03:36,950 +articulated هنا هشوف التمافصل اللى موجود عندى فى + +46 +00:03:36,950 --> 00:03:40,490 +عندي تمافصل خاص بال upper limb زى ما انتوا شايفين + +47 +00:03:40,490 --> 00:03:45,530 +هاد ال ribs وهد عضمة القص وهنا الترقوة وهي اللى هي + +48 +00:03:45,530 --> 00:03:50,830 +لهيوميرس الآن هشوف التركيبة اللى موجودة في ال + +49 +00:03:50,830 --> 00:03:54,500 +upper limbالأبندكيولر سكيلاتون لل upper + +50 +00:03:54,500 --> 00:03:59,080 +extremities تحتوي على الـ balls المكوّنة لل + +51 +00:03:59,080 --> 00:04:04,640 +shoulder تمام؟ اللي هي بتشمل ال shoulder girdle، + +52 +00:04:04,640 --> 00:04:09,560 +upper arm، lower arm، و ال wrist، و ال hand، و ال + +53 +00:04:09,560 --> 00:04:14,980 +shoulder girdle إذن ال upper بتشمل من البداية + +54 +00:04:14,980 --> 00:04:21,810 +shoulder joint لـhumerus بسميها ال upper armالـ + +55 +00:04:21,810 --> 00:04:27,190 +Radius والقلنة اللي هي السواعد الـ Forearm وكذلك + +56 +00:04:27,190 --> 00:04:32,550 +ال hand إذا هذا كله باعتبره ال upper bones أو ال + +57 +00:04:32,550 --> 00:04:36,970 +upper extremities الأجزاء العلوية اللي هي بتشمل + +58 +00:04:36,970 --> 00:04:43,250 +shoulder girdle upper arm lower arm hand and wrist + +59 +00:04:43,250 --> 00:04:48,560 +joint شو هو ال shoulder girdle؟الحزام الكتفي أو + +60 +00:04:48,560 --> 00:04:53,340 +الحزام الصدري made up of scapula and clavicle + +61 +00:04:53,340 --> 00:04:59,180 +يحتوي على لوحة الكتفاللي أنا ممكن أسميها مع الـ + +62 +00:04:59,180 --> 00:05:02,620 +clavicle اللي اسمها باللغة العربية الترقوة اللي هي + +63 +00:05:02,620 --> 00:05:07,820 +هذه الحاجة هذه اسمها الـ scapula و هعرف كيف أركبها + +64 +00:05:07,820 --> 00:05:11,960 +إذا كانت لمنطقة ال right أو منطقة ال left الآن هذه + +65 +00:05:11,960 --> 00:05:16,660 +تركبتها هنا إذا فهي ال scapula ال right ليش؟ لأنه + +66 +00:05:16,660 --> 00:05:21,400 +هتيجي هنا فيها اللي هي ال humerus هذه العظمة هتركب + +67 +00:05:21,400 --> 00:05:25,560 +فيها هنا تمام؟ هذه لوحة الكتف ال scapula هحكي على + +68 +00:05:25,560 --> 00:05:31,600 +أجزاءهاأتكلم على الـ clavicle اللي هي عضمة الترقوة + +69 +00:05:31,600 --> 00:05:35,800 +اللي موجودة هنا، تمام؟ الترقوة هي العضمة الوحيدة + +70 +00:05:35,800 --> 00:05:39,460 +اللي بتكون أو هي العضمة اللي بتوصل ال upper arms + +71 +00:05:39,460 --> 00:05:43,940 +مع ال skeletal أو ال axial skeleton، هنتكلم عليها + +72 +00:05:44,620 --> 00:05:48,800 +الان هذه الـ scabula في منها إذا شوية بنرجع + +73 +00:05:48,800 --> 00:05:54,380 +للشباتر الأولانية بنحكي هذا الـ medial border هذا + +74 +00:05:54,380 --> 00:05:59,600 +إيش اسمه؟ medial border لقربه من ال midline ولكن + +75 +00:05:59,600 --> 00:06:03,900 +هذا ال lateral أو ال digital border اللي هو away + +76 +00:06:03,900 --> 00:06:08,940 +from، بعيد عن ال midline اتفقنا؟ هذه ال scabula + +77 +00:06:09,310 --> 00:06:13,290 +بنجي نشوف شو يعني ال clavicle ال clavicle forms + +78 +00:06:13,290 --> 00:06:17,550 +only a bony joint with a trunk that is a + +79 +00:06:17,550 --> 00:06:24,250 +sternoclavicular joint الأن عندي ال clavicle بهذا + +80 +00:06:24,250 --> 00:06:30,570 +الموقع اتصال عضمتين مع بعضهم البعضبسمي الـ joint + +81 +00:06:30,570 --> 00:06:36,570 +باسمهم اتصال الـ clavicle مع عضمة القص اللى هى + +82 +00:06:36,570 --> 00:06:41,710 +اسمها الـ sternum تمام؟ هى clavicle و هى sternum + +83 +00:06:41,710 --> 00:06:48,790 +بسميه sternoclavicular jointتمام؟ إذن اتصال + +84 +00:06:48,790 --> 00:06:52,190 +العظمتين مع بعضهم البعض الـ joint بسميه من نفس + +85 +00:06:52,190 --> 00:06:56,790 +اسمهم sternoclavicular joint أو clavicular sternal + +86 +00:06:56,790 --> 00:07:01,870 +joint تمام؟ إذن اتصال الـ clavicle اللي هي عبارة + +87 +00:07:01,870 --> 00:07:05,910 +عن هذه العضمة الصغيرة اللي على شكل الـ S shape هي + +88 +00:07:05,910 --> 00:07:10,990 +عبارة عن الترقوة اتصالها هنا بشكل مباشر مع الـ + +89 +00:07:10,990 --> 00:07:16,480 +sternum اللي هي ما يسمى بعضمة القصة بسميهأو + +90 +00:07:16,480 --> 00:07:21,960 +Clavicular Joint اتفقنا؟ هذا المسمى تبعه at its + +91 +00:07:21,960 --> 00:07:26,260 +distal end لكلافيكال articulated with a chromium + +92 +00:07:26,260 --> 00:07:31,940 +process تتصل في ال media ليه؟ الآن احنا أخدنا هذا + +93 +00:07:31,940 --> 00:07:36,000 +ال midline هاي ال midline بيجي كده تمام؟ هذا ال + +94 +00:07:36,000 --> 00:07:40,060 +midline media ليه؟ هاي موقع لكلافيكال media ليه؟ + +95 +00:07:40,280 --> 00:07:45,440 +Digitally اللي هنا ميديالي وهنا ديزيتالي ميديالي + +96 +00:07:45,440 --> 00:07:50,080 +فالسترنو كلافيكولا رجعت أما ديزيتالي فترتبط بال + +97 +00:07:50,080 --> 00:07:54,460 +أكروميون اللي هي موجودة هنا الأكروميون هي عبارة عن + +98 +00:07:54,460 --> 00:07:57,900 +نتوء عضمي موجود في الاسكابيولا اللي هي هذه لوحة + +99 +00:07:57,900 --> 00:08:04,200 +الكتف بسميهClavicular joint Acromioclavicular + +100 +00:08:04,200 --> 00:08:09,540 +joint اذا هنا انا بدقيق على حاجتين في عندي digital + +101 +00:08:09,540 --> 00:08:14,320 +end وفي عندي proximal end ال digital end او + +102 +00:08:14,320 --> 00:08:18,140 +النهاية القريبة النهاية اللي هي ال digital end + +103 +00:08:18,140 --> 00:08:22,560 +طبعا ال clavicle articulated with acromioparesis + +104 +00:08:22,560 --> 00:08:28,100 +لكنproximally مع الستيرنم، and digitally مع ال + +105 +00:08:28,100 --> 00:08:33,240 +أكروميون بحكي إنه في عندنا في ال digital عشان احنا + +106 +00:08:33,240 --> 00:08:40,420 +ما نغلطش فيها ترتبط في إشي و في ال proximalبترتبط + +107 +00:08:40,420 --> 00:08:46,200 +في إشي لو أنا قولت proximal بين قوسين medially نفس + +108 +00:08:46,200 --> 00:08:51,180 +الكلام digitally اللي هي laterally بين قوسين نفس + +109 +00:08:51,180 --> 00:08:55,900 +الكلام هترتبط ال clavicle medially with the + +110 +00:08:55,900 --> 00:09:02,070 +sternum مع عدمة ال sternumبيصير عندي clavicular + +111 +00:09:02,070 --> 00:09:06,550 +sternum أو sternoclavicular joint أما ال digital + +112 +00:09:06,550 --> 00:09:13,850 +فهي بترتبط مع ال acromion تمام؟ ال acromion اللي + +113 +00:09:13,850 --> 00:09:18,030 +هي بيصير عندنا acromioclavicular joint هيك أنا + +114 +00:09:18,030 --> 00:09:23,910 +بمسكهم عشان أنا ألخصهم مع بعض إذا ال clavicle هاي + +115 +00:09:23,910 --> 00:09:27,490 +الترقوة لما أنا بدي أثبتها على نفسي بدي أوجدها + +116 +00:09:27,490 --> 00:09:32,060 +بهذا الشكل okay؟اتصالها هنا مع الـ sternum + +117 +00:09:32,060 --> 00:09:36,000 +medially لأن قريبا من ال media ال line بسميها + +118 +00:09:36,000 --> 00:09:42,900 +sternoclavicular joint واتصالها هنا مع ال Acromion + +119 +00:09:42,900 --> 00:09:46,580 +النتوء العضمي اللي موجود في ال scabula بسمي + +120 +00:09:46,580 --> 00:09:51,840 +Acromioclavicular joint + +121 +00:09:51,840 --> 00:09:56,580 +تمام؟ هذا بالنسبة لكلافيكل وأنا أجيت اختصرتها + +122 +00:09:56,580 --> 00:10:00,930 +بالنقطتين اللي موجودين هناOkay، digitally مع ال + +123 +00:10:00,930 --> 00:10:04,810 +Acromion، بسميه Acromioclavicular Joint، + +124 +00:10:04,810 --> 00:10:09,010 +proximally أو medially مع ال Sternum، بسميه اللي + +125 +00:10:09,010 --> 00:10:14,810 +هو Sternoclavicular Joint، هيك بيكون أنا ربطت عضمة + +126 +00:10:14,810 --> 00:10:21,170 +ال clavicle مع ال axial skeletonالـ Pectoral + +127 +00:10:21,170 --> 00:10:27,790 +Girdles أو ما يسمى بالحزام الصدري يتكوّن من إيش؟ + +128 +00:10:27,790 --> 00:10:32,030 +من الـ clavicle و أنا كنت هبحكي عليها لسه قبل شوية + +129 +00:10:32,930 --> 00:10:36,550 +الـ clavicles اللي هي الترقوة الـ scapula هي عبارة + +130 +00:10:36,550 --> 00:10:41,950 +عن لوحة الكتف وتعمل support لل upper limbs يعني + +131 +00:10:41,950 --> 00:10:47,590 +بتربط أو بتدعم الأطراف العلوية تمام؟ خلّينا نشوف + +132 +00:10:47,590 --> 00:10:51,430 +شو هي ال clavicles ال clavicles articulated within + +133 +00:10:51,430 --> 00:10:57,310 +menibrium and articulated with scapula ما مسحت + +134 +00:10:57,310 --> 00:11:02,830 +اللي هنا عشان أنا إيش أحدد عليهحكينا تتمفصل مع الـ + +135 +00:11:02,830 --> 00:11:06,290 +sternum تمام؟ + +136 +00:11:07,050 --> 00:11:10,730 +Proximally عشان اتكولني الـ sternoclavicular joint + +137 +00:11:10,730 --> 00:11:16,030 +في منطقة اسمها هنا الـ Maniprium الـ Maniprium هي + +138 +00:11:16,030 --> 00:11:19,970 +عبارة عن مقبض السيف الأن هذه عضمة القص اللي انتوا + +139 +00:11:19,970 --> 00:11:25,470 +شايفينها أمامكم تمام هذه العضمة في من فوق حاجة + +140 +00:11:25,470 --> 00:11:29,510 +اسمها الـ Maniprium هذا الجزء من هنا لهنا اسمه ال + +141 +00:11:29,510 --> 00:11:33,930 +body و تحت هذه اللي عاملة زي ال sharp point أو زي + +142 +00:11:33,930 --> 00:11:38,940 +السهم اسمها الـ X-foid processالان الـ clavicle + +143 +00:11:38,940 --> 00:11:43,500 +تتمفصل مع الـ menibrium في حالة بنسميها + +144 +00:11:43,500 --> 00:11:49,600 +sternoclavicular joint تتمفصل digitally مع ال + +145 +00:11:49,600 --> 00:11:54,740 +Acromion process في حاجة اسمها Acromioclavicular + +146 +00:11:54,740 --> 00:11:59,240 +joint هنا digitally و هنا medially برجع بحدد هنا + +147 +00:11:59,240 --> 00:12:04,580 +medially و هنا digitallyأذن articulated with + +148 +00:12:04,580 --> 00:12:07,980 +Meniprean اللي هو مقبض السيف اللي موجود في + +149 +00:12:07,980 --> 00:12:13,800 +الستيرنم تمام؟ اللي هي عدمة القاس and articulated + +150 +00:12:13,800 --> 00:12:18,840 +with scabula في منطقة الـachrome universes باجي + +151 +00:12:18,840 --> 00:12:23,400 +أنا عشان إيش؟ أخلي الإش مرتب عندى؟ وبحكي هنا + +152 +00:12:23,400 --> 00:12:27,640 +proximally articulated with Meniprean مع الستيرنم + +153 +00:12:27,640 --> 00:12:28,540 +proximally + +154 +00:12:30,890 --> 00:12:35,230 +و Articulated with a Chrome Unit Process Digitally + +155 +00:12:37,390 --> 00:12:43,070 +Okay تتمفصل الـ clavicle proximally with sternum + +156 +00:12:43,070 --> 00:12:47,930 +تمام هاي sternoclavicular joint and digitally with + +157 +00:12:47,930 --> 00:12:50,930 +acromion process بسميها الـ acromioclavicular + +158 +00:12:50,930 --> 00:12:55,890 +joint بالمناسبة أي كسر في هذه العضمة ما بنقدر + +159 +00:12:55,890 --> 00:12:59,910 +نعمله جبس و ما بنقدر نثبته فقط التثبيت بوجود ال + +160 +00:12:59,910 --> 00:13:04,500 +strap و بحطه على شكل ال 8 figure في هذا الشكلوفي + +161 +00:13:04,500 --> 00:13:09,000 +عندنا حالات كتير بتصير لاللي هو الكسور بنشوف ال + +162 +00:13:09,000 --> 00:13:15,640 +slide اللي بعدها ال scapula عندي two scapula في + +163 +00:13:15,640 --> 00:13:19,920 +الجسم في عندي ال right زي ما انتوا شايفين عليها + +164 +00:13:19,920 --> 00:13:25,160 +هذا ال right وهذه ال left الآن ال scapula هي ما + +165 +00:13:25,160 --> 00:13:29,160 +يسمى بلوحة الكتف باللغة العربية اللي هي هذه اللي + +166 +00:13:29,160 --> 00:13:34,560 +موجودة معايافي الـ scapula في حاجة اسمها spine و + +167 +00:13:34,560 --> 00:13:39,180 +بالتعليم الوجاهي انا اعطيتها للطالبات و شافوها ال + +168 +00:13:39,180 --> 00:13:43,640 +spine في ال bone marking هي عبارة عن sharp حاجة + +169 +00:13:43,640 --> 00:13:51,280 +حادة تمام فيها spineفيها Supraspinous فُسّة + +170 +00:13:51,280 --> 00:13:55,460 +والفُسّة هي عبارة عن shallow depression انخفاض + +171 +00:13:55,460 --> 00:13:59,300 +بطيء أو انخفاض سطحي بنسميه وأخدناه في الـ bone + +172 +00:13:59,300 --> 00:14:03,980 +marking هنا اللي فوق هذا اسمه Supraspinous process + +173 +00:14:04,410 --> 00:14:12,030 +منها مباشرة انفرا لانه حكينا عكس سبرا علوي عكس + +174 +00:14:12,030 --> 00:14:16,070 +سفلي إذا في عندي سبرا في عندي انفرا + +175 +00:14:20,760 --> 00:14:26,220 +فوق Spinal Sebrosis تحت Infra Spinal Sebrosis ال + +176 +00:14:26,220 --> 00:14:30,320 +Acromion اللي برت علينا هذه الكلمة قبل كده هي + +177 +00:14:30,320 --> 00:14:33,860 +عبارة عن منطقة ال articulation with the clavicle + +178 +00:14:33,860 --> 00:14:39,620 +تمام؟ لما حكينا مع ال clavicle اتصالها مع الترقوة + +179 +00:14:39,620 --> 00:14:45,820 +بيعطيني حاجة اسمها Acromioclavicular jointاتفقنا + +180 +00:14:45,820 --> 00:14:50,320 +هيك؟ مش صح، هيك الـbones بتكون موجودة هنا، هي يعني + +181 +00:14:50,320 --> 00:14:53,980 +للـright، هجيبها هنا عليّ و أحكي + +182 +00:14:53,980 --> 00:14:58,700 +الـacromioclavicular joint الـcrocoid process هي + +183 +00:14:58,700 --> 00:15:05,280 +عبارة عن نتوء عضمي هي موجود هنا، أجي أشوفه على + +184 +00:15:05,280 --> 00:15:11,080 +الـskeleton تبعيهذه الأكروميون اللى فوق متصلة + +185 +00:15:11,080 --> 00:15:16,440 +تماما بالـ clavicle تحت هنا هذا اسم اللى موجود هنا + +186 +00:15:16,440 --> 00:15:20,960 +أبعد إيدي شوية هنا هذا اسم الكوروكايد بروسيز هذه + +187 +00:15:20,960 --> 00:15:25,600 +الكوروكايد بروسيز هي عبارة عن نتوء عضمي بارز في + +188 +00:15:25,600 --> 00:15:29,820 +عندنا ال glenoid cavity ال glenoid cavity هو عبارة + +189 +00:15:29,820 --> 00:15:36,470 +عنهذا الاشي اللي هيتمفصل فيه الـ Humerus هو عبارة + +190 +00:15:36,470 --> 00:15:42,490 +عن تجويف اللي هتدخل فيه الـ Head of Humerus تمام؟ + +191 +00:15:42,490 --> 00:15:47,630 +هذا اسمه الـ Glenoid Cavity تيجي بتلتثق فيه بهذا + +192 +00:15:47,630 --> 00:15:52,650 +الشكل إذن، الـ Glenoid Cavity هي عبارة عن تجويف + +193 +00:15:52,650 --> 00:15:59,230 +لدخول الـ Head of Humerus داخله الآن + +194 +00:16:00,000 --> 00:16:05,140 +بنحكي تكوين الـ scapula لوحة الكتف، في عندي spine, + +195 +00:16:05,660 --> 00:16:11,200 +supraspinous, infraspinouschrome unibraces تتمفصل + +196 +00:16:11,200 --> 00:16:17,680 +digitally with clavicle and coracoid braces و ال + +197 +00:16:17,680 --> 00:16:22,300 +glenoid cavity اللي هو عبارة عن التجويف اللي موجود + +198 +00:16:22,300 --> 00:16:26,540 +لالتصاق طبعا ال head of the humerus هذه الرسومات + +199 +00:16:26,540 --> 00:16:31,400 +للتوضيح لأي حد ما كان شايف معانا بالفيديو ممكن + +200 +00:16:31,400 --> 00:16:38,180 +يرجع لل slides اتفقنا ال upper limbsاليوم عندي + +201 +00:16:38,180 --> 00:16:43,940 +الجزء العلوي في الجسم يحتوي على ثلاثين عضمة تمام؟ + +202 +00:16:43,940 --> 00:16:48,420 +تلاتين يعني تلاتين على ال right تلاتين على ال left + +203 +00:16:48,420 --> 00:16:55,600 +هيوميراس radius والقلنة هي تلاتة وفي عندي تمان + +204 +00:16:55,600 --> 00:17:02,520 +صفوف هذه ال hand موجودة تمانية وهنا خمسة وخمسة + +205 +00:17:02,520 --> 00:17:10,370 +عشرة وتحت كمان كامما عدى ال ثمب اللى فيه اللى هو + +206 +00:17:10,370 --> 00:17:16,810 +عضم تان وحنشوف هيكملوا تلاتين عضمة موجودين معنا، + +207 +00:17:16,810 --> 00:17:21,470 +اذا تلاتين عضمة موجودين لكل upper limbs يعني + +208 +00:17:21,470 --> 00:17:26,870 +للتانين معايا ستينgrouped في ال arm ممكن انا + +209 +00:17:26,870 --> 00:17:33,430 +اشوفهم معايا في ال arms تمام و ال furry arms اللي + +210 +00:17:33,430 --> 00:17:37,990 +هي لو انا نفس الاشي سميتها هنا ال arm هي عبارة عن + +211 +00:17:37,990 --> 00:17:45,590 +ال upper او ما يسمى بال upper arm و ال furry arm + +212 +00:17:45,590 --> 00:17:52,850 +هي نفسها ال lower arm و ال hand اللي هي طبعا ال + +213 +00:17:52,850 --> 00:17:58,410 +wrist jointتلاتين حكي هنا right تلاتين left يعني + +214 +00:17:58,410 --> 00:18:02,870 +لكل جسم الإنسان تلاتين زائد تلاتين هنا في منطقة ال + +215 +00:18:02,870 --> 00:18:09,990 +right و هنا في منطقة ال left okay خليني أشوف هيو + +216 +00:18:09,990 --> 00:18:17,880 +ميرس هي عبارة عن هاي هذه هيو ميرسradius العضمة + +217 +00:18:17,880 --> 00:18:24,100 +السميكة والتخينة القلنة العضمة الرفيعة اللي هي + +218 +00:18:24,100 --> 00:18:29,240 +عبارة عن العضمة اللي موجودة داخل الـ medially + +219 +00:18:29,240 --> 00:18:36,720 +carbals bone اللي هي السلامياتو الـ metacarpals و + +220 +00:18:36,720 --> 00:18:42,020 +الأصابع اللي موجودة تمام؟ هذه آخر الشيء ال total + +221 +00:18:42,020 --> 00:18:48,680 +تبعنا هنعده تلت يعني okay خلينا نشوفهم واحدة واحدة + +222 +00:18:48,680 --> 00:18:52,630 +ال humorous شو هي ال humorous؟هي عبارة عن هذه + +223 +00:18:52,630 --> 00:18:56,210 +العضمة الوحيدة اللي هي انا لو اجيت وحاطيتها على + +224 +00:18:56,210 --> 00:19:00,850 +ايدي هذه الندفة العضد هي عبارة عن عضمة طويلة + +225 +00:19:00,850 --> 00:19:07,080 +بصنفها من الـ long bones في ال upper armتتمفصل مع + +226 +00:19:07,080 --> 00:19:12,000 +الـ scabula في الـ glenoid فُسّة أو الـ glenoid + +227 +00:19:12,000 --> 00:19:17,480 +cavity مع الـ scabula و digitally من تحت مع الـ + +228 +00:19:17,480 --> 00:19:23,020 +radius و القلنة عشان يشكلوا مفصل الـ elbow joint + +229 +00:19:23,020 --> 00:19:28,570 +أو ما يسمى بالكواعبإذن تتمفصل الـHumerus + +230 +00:19:28,570 --> 00:19:32,490 +proximally قريب لأنه من الـ midline زي ما أنتوا + +231 +00:19:32,490 --> 00:19:38,250 +شايفينه على اللي هو الـ skeleton هنا موجود + +232 +00:19:39,800 --> 00:19:43,640 +Proximally مع الـGlenoid فُسّة هذا الـhead of the + +233 +00:19:43,640 --> 00:19:48,740 +humerus أما Digitally فبتتمفصل مع القلن والرديوس + +234 +00:19:48,740 --> 00:19:53,460 +اللي هو عشان يتكون ال elbow joint اللي هو مفصل + +235 +00:19:53,460 --> 00:19:59,280 +الكُع باعتبرها من العظام الطويلة الموجودة في جسم + +236 +00:19:59,280 --> 00:20:04,360 +الإنسان وانا صنفتها عظام طويلةإذن هي عبارة عن long + +237 +00:20:04,360 --> 00:20:09,060 +bones that are articulated proximally with glenoid + +238 +00:20:09,060 --> 00:20:12,940 +فُسّة الموجودة في الاسكابولا طبعا وين موجود ال + +239 +00:20:12,940 --> 00:20:17,240 +glenoid فُسّة؟ في الاسكابولا and digitally with + +240 +00:20:17,240 --> 00:20:24,780 +radius and قلنة و بتتمفصل في اللي هو النهاية مع ال + +241 +00:20:24,780 --> 00:20:30,890 +radius و القلنة عشان يتمثل الكوع و مفصل الكوعتمام؟ + +242 +00:20:30,890 --> 00:20:36,810 +هذا بالنسبة لليهيوميرس خليني أشوف اللي هو تركيبتها + +243 +00:20:36,810 --> 00:20:43,460 +الآن هذه ليهيوميرس اللي موجودة عليهفي عندي ال head + +244 +00:20:43,460 --> 00:20:48,320 +أخدنا يعني هنا بس مراجعة شوية bone marking هاي ال + +245 +00:20:48,320 --> 00:20:52,420 +head اللي هي عبارة عن رأس العضمة وحكينا كل رأس + +246 +00:20:52,420 --> 00:20:57,700 +بيجلس على عنق رقيقة أو أضيق من ال head ال neck of + +247 +00:20:57,700 --> 00:21:01,860 +the humerus في عندنا tubercle أخدنا شو يعني + +248 +00:21:01,860 --> 00:21:06,360 +tubercle؟في عندنا greater tubercle وفي عندنا + +249 +00:21:06,360 --> 00:21:10,100 +lesser tubercle ال greater هو عبارة عن نتوء عضمي + +250 +00:21:10,100 --> 00:21:14,720 +بارز كبير around the draft ال tubercle و ال lesser + +251 +00:21:14,720 --> 00:21:19,060 +اللي أصغر منه في عندنا ال anatomical neck و ال + +252 +00:21:19,060 --> 00:21:23,700 +surgical neck هي عبارة عن رقبة وهمية surgical neck + +253 +00:21:24,990 --> 00:21:29,670 +تمام؟ في عندي حاجة اسمها أيضا الـ deltoid process + +254 +00:21:29,670 --> 00:21:34,590 +لإنه هذه اللي موجودة في ال shaft في ساق العضمة الـ + +255 +00:21:34,590 --> 00:21:39,310 +deltoid process هذا الـ deltoid process بتتصل فيه + +256 +00:21:39,310 --> 00:21:43,450 +أو بيكون insertion ل الـ deltoid muscles اللي هي + +257 +00:21:43,450 --> 00:21:47,910 +العضلة اللي بتكون موجودة هنا عند الرياضيين تمام؟ + +258 +00:21:48,160 --> 00:21:54,080 +الـ Capitulum موجودة هنا في نهاية العضمة اللي هو + +259 +00:21:54,080 --> 00:21:57,740 +Digitally، Capitulum، فيه كمان Medially، + +260 +00:21:57,740 --> 00:22:01,320 +الأتروكليا، هذا بالصور ممكن تشوفوا معاكم أوضح في + +261 +00:22:01,320 --> 00:22:06,540 +الـ Slides، القرنويد فسة أماميةوالـolocranium هذه + +262 +00:22:06,540 --> 00:22:10,820 +الحفرة اللي موجودة في الخلف ما بعرف مش كتير يمكن + +263 +00:22:10,820 --> 00:22:14,340 +يكون واضح مع التصوير لكن اللي هي الصور موجودة + +264 +00:22:14,340 --> 00:22:18,340 +واضحة تماما معاكم هنا الـchronoid طبعا + +265 +00:22:18,340 --> 00:22:22,020 +الolocranium نفسه أو التجويف الolocranium هو عبارة + +266 +00:22:22,020 --> 00:22:25,910 +عن التجويف ال posterior خلفيوالـ Coronoid هي + +267 +00:22:25,910 --> 00:22:30,410 +التجويف الأمامي وفي الـ Capitulium والكروكايد اللي + +268 +00:22:30,410 --> 00:22:35,770 +موجودين عندنا إذا عندي ما يقارب عشرة نتوئات عضمية + +269 +00:22:35,770 --> 00:22:41,280 +موجودين على الهيوميراس الـ Headالـ Tubercle في + +270 +00:22:41,280 --> 00:22:44,840 +منها Greater و في منها Lesser الـ Deltoid Process + +271 +00:22:44,840 --> 00:22:49,040 +اللي هي موجودة في الـ shaft تبع الهيوميراس في عند + +272 +00:22:49,040 --> 00:22:52,360 +الالوكرانيو نفسها اللي هي في الـ posterior aspect + +273 +00:22:52,360 --> 00:22:56,660 +الكوركايد موجودة في الانتريور الكابتليان + +274 +00:22:56,660 --> 00:23:02,020 +والكوركايدالـ Neck في منها Sergical وفي منها + +275 +00:23:02,020 --> 00:23:08,220 +الهيوميراس الاناتوميكال الطبيعية هذه مكونات + +276 +00:23:08,220 --> 00:23:11,800 +الهيوميراس زي ما انتوا شايفين بالرسمات التحديد + +277 +00:23:11,800 --> 00:23:17,860 +كتير بتكون واضحة معاكم في الكتاب نشوف ال radius شو + +278 +00:23:17,860 --> 00:23:22,380 +يعني عضمة ال radius حكية ال radius هي عبارة عن أحد + +279 +00:23:22,380 --> 00:23:30,430 +عظام الـforearmكلمة Radius تبدأ بحرف ال R اتفقنا؟ + +280 +00:23:30,430 --> 00:23:34,210 +فعشان أنا دائما ما ألخبط فيها هل هي Medially ولا + +281 +00:23:34,210 --> 00:23:41,550 +Laterally معناته Radius حرف ال R فهي Laterally + +282 +00:23:41,550 --> 00:23:42,850 +تمام؟ + +283 +00:23:45,090 --> 00:23:50,250 +فهي موجودة جنب الإصبع الكبير يعني في ال anatomical + +284 +00:23:50,250 --> 00:23:54,330 +position لما أنا بدي أجي أحدد على نفسي واقفة بهذا + +285 +00:23:54,330 --> 00:23:59,850 +الاشي هي ال radius جاياني في منطقة اللاطل إذا جنب + +286 +00:23:59,850 --> 00:24:04,580 +الإصبع الكبير فهيdigitally مش على الـ medial لأ + +287 +00:24:04,580 --> 00:24:07,900 +جاية على الـ lateral aspect الـ medial اللي هي + +288 +00:24:07,900 --> 00:24:12,840 +القلنة جاية جريبة من جسم الإنسان حكينا القلنة هي + +289 +00:24:12,840 --> 00:24:17,380 +عبارة عن العضمة النحيفة اللي دايما بتحب تتدلل ما + +290 +00:24:17,380 --> 00:24:21,600 +بدها تكون في الواجهة و ال radius طبعا هي العضمة + +291 +00:24:21,600 --> 00:24:27,420 +الأسمك و الأسمن و جاية ناحية الإصبع الكبير R مع R + +292 +00:24:27,420 --> 00:24:33,640 +مع R هيك أنا بعرفهم و بميزهمradius مع ال laterally + +293 +00:24:33,640 --> 00:24:41,020 +مع الإصبع الكبير خليني أخد مميزات ال radius هي + +294 +00:24:41,020 --> 00:24:45,060 +عبارة عن أحد العظام الطويلة نفس الكلام مازلنا + +295 +00:24:45,060 --> 00:24:51,220 +مكملينموجودة ناحية الـ Thumb أو ما يسمى بالإصبع + +296 +00:24:51,220 --> 00:24:58,780 +الكبير من الـ Forearm Articulated تمفصلها بيجي يا + +297 +00:24:58,780 --> 00:25:04,280 +طلاب الأعزاء بالنسبة لاللي هو proximally with + +298 +00:25:04,280 --> 00:25:08,660 +Capitulum تبعت مين ال Capitulum أخدناها في نهيه من + +299 +00:25:08,660 --> 00:25:16,130 +أسand radial notch of ulna كمان لها ملقط مع الألنة + +300 +00:25:16,130 --> 00:25:21,010 +ما بدها تنفصل عن توقامها لأ في ملقط مع الألنة + +301 +00:25:21,010 --> 00:25:26,490 +موجود and articulated digitally with the scaphoid + +302 +00:25:26,490 --> 00:25:31,170 +and the lunate مع ال wrist joint هذه الأيد تبعتنا + +303 +00:25:31,170 --> 00:25:35,670 +تمام و هذه ال radius باجي و أنا حاطاها بهذا الشكل + +304 +00:25:36,330 --> 00:25:41,090 +بتتمفصل مع الإصبع الكبير في واحدة من الثمان عضمات + +305 +00:25:41,090 --> 00:25:44,370 +اللي أنا حكيتهم على صفين ورا بعض اسمها الـ + +306 +00:25:44,370 --> 00:25:50,510 +Scaphoid جنبها اليونيت Scaphoid and اليونيت Carpal + +307 +00:25:50,510 --> 00:25:55,110 +bones اسمه الـ Carpal bones عظام السلاميات اليد + +308 +00:25:55,110 --> 00:26:00,450 +With head of ألنة أيضا مع اللي هو رأس الألنة + +309 +00:26:00,450 --> 00:26:02,270 +أوضحها + +310 +00:26:03,790 --> 00:26:08,590 +هذه ال radius تمام العضمة السميكة تتصل براكسيمالي + +311 +00:26:08,590 --> 00:26:13,750 +مع الكابتليام الكابتليام موجود في الهيوميراس احنا + +312 +00:26:13,750 --> 00:26:17,710 +أخدناها براكسيمالي لأن هي قريبة من الجسم digitally + +313 +00:26:17,710 --> 00:26:23,230 +مع ال scafoide اللي هي والليليونات اللي هي عبارة + +314 +00:26:23,230 --> 00:26:26,550 +عن التمن عضمات في ال carpal bones هذه ال carpal + +315 +00:26:26,550 --> 00:26:30,010 +bones موجودة هنا هي ال carpal bones اللي هم صفين + +316 +00:26:30,010 --> 00:26:34,820 +من العظامunate and discafied ناحية الـ main طبعا + +317 +00:26:34,820 --> 00:26:37,660 +احنا كله بنحكي عن ال radius ناحية ال big thumb ال + +318 +00:26:37,660 --> 00:26:42,660 +laterally ايضا بتتمفصل مع ال ulna في ملقط اسمه + +319 +00:26:42,660 --> 00:26:47,480 +radial notch اللي هو ملقط مع ال ulna ما بيصير اللي + +320 +00:26:47,480 --> 00:26:50,940 +هم العظمتين اتنتين افصلهم عن بعض لأ لازم يكوّنوا + +321 +00:26:50,940 --> 00:26:55,890 +مع بعض مفصل يسمى radial ulnar jointradio قلنر مع + +322 +00:26:55,890 --> 00:27:00,090 +ال radius اللي هو بيكون ال radius مع القلنر تمام؟ + +323 +00:27:00,090 --> 00:27:04,630 +هذه ال radius و القلنر هم عبارة عن إيش؟ العضمتين + +324 +00:27:04,630 --> 00:27:08,530 +تبعين ال furry arm كل عضمة بدنا نعرف مع مين + +325 +00:27:08,530 --> 00:27:14,910 +بتتمفصل proximally و مع مين بتتمفصل digitally نشوف + +326 +00:27:14,910 --> 00:27:21,200 +أختها وتوقمها اللي هينفسها ال radius طبعا + +327 +00:27:21,200 --> 00:27:25,760 +laterally forearm of bone رجع حكالنا نفس الكلام + +328 +00:27:25,760 --> 00:27:31,040 +تحتوي على ال lateral forearm لأنها بتكون جامب ال + +329 +00:27:31,040 --> 00:27:36,420 +thumb و بتكون laterallyالها head، الها radial + +330 +00:27:36,420 --> 00:27:40,280 +tuberosity، الها styloid process ال styloid + +331 +00:27:40,280 --> 00:27:44,120 +process هي الحفة اللي بتكون موجودة تحت، اللي قريبة + +332 +00:27:44,120 --> 00:27:50,180 +من اللي هو ال scapioid اللي موجودة، إذا هذه العظمة + +333 +00:27:50,180 --> 00:27:54,660 +تبعتنا، هي ال styloid process اللي موجودة هنا، + +334 +00:27:54,660 --> 00:27:58,780 +تمام؟ هذه اللي هي النتوء العظمي اللي بارز، اللي + +335 +00:27:58,780 --> 00:28:01,400 +بيرتبط مباشرة مع العظام + +336 +00:28:04,450 --> 00:28:09,270 +القلنة اتكلمنا عن ال radius عن أحد التواقم هتحدث + +337 +00:28:09,270 --> 00:28:14,770 +عن التوقم الآخر حكينا ال radius laterally وجاياني + +338 +00:28:14,770 --> 00:28:17,010 +في الوضع ال anatomical position وأنا واقفة بهذا + +339 +00:28:17,010 --> 00:28:22,310 +الشكل جاياني في الجانب لكن اللي جاية في الحضن لجوة + +340 +00:28:22,310 --> 00:28:27,070 +ال media ال aspect هي عبارة عن القلنة عضمة رقيقة + +341 +00:28:27,070 --> 00:28:33,620 +ورفيعة مش زي ال radiuslong bone أيضا موجودة ناحية + +342 +00:28:33,620 --> 00:28:36,560 +ال little finger و لو حد حكالنا إنها موجودة + +343 +00:28:36,560 --> 00:28:39,160 +medially بدل ال little finger فهو صحيح الكلام + +344 +00:28:39,160 --> 00:28:44,880 +تمام؟ إذن medially من ال forearm نفس الكلام لو + +345 +00:28:44,880 --> 00:28:51,150 +حكينا mediallyOkay؟ Articulated مع مين؟ مع + +346 +00:28:51,150 --> 00:28:55,510 +الـHumulus والRadius، طبعاً توقمها الـRadius، + +347 +00:28:55,510 --> 00:28:59,130 +حدالها ملتصقة معاه، والتنتين مع بعضهم بتعلجوا في + +348 +00:28:59,130 --> 00:29:02,790 +الـHumulus من فوق، هذه الوضع، هذه لحالها المفصل + +349 +00:29:02,790 --> 00:29:06,030 +اللي أنا جزقته، التنتين هيشبكوا مع بعض بـRadial + +350 +00:29:06,030 --> 00:29:12,420 +Narjointاتفقنا؟ و هيتصلوا مع ال radius هذا كله + +351 +00:29:12,420 --> 00:29:17,280 +proximally لكن digitally من تحت في حاجة اسمها + +352 +00:29:17,280 --> 00:29:22,360 +fibrocartilaginous disk ما بتتصل مباشرة مع الـ + +353 +00:29:22,360 --> 00:29:29,280 +Carb البون لأ، في شيط أبيض أو نسيج أبيض بسميه + +354 +00:29:29,280 --> 00:29:33,340 +fibrocartilaginous joint أو Carb cartilaginous + +355 +00:29:33,340 --> 00:29:39,260 +diskاللي هو من هذه الناحية، هذه إصبعي الصغير وهذه + +356 +00:29:39,260 --> 00:29:44,920 +الناحية هنا، تمام؟ إذا الألنة هي عبارة عن عضمة + +357 +00:29:44,920 --> 00:29:52,010 +طويلة تتمفصل في الـproximal فوق مع الـhumerusتوقم + +358 +00:29:52,010 --> 00:29:57,190 +روحها اللي هي قاش ال radius موقعها medialy في هذه + +359 +00:29:57,190 --> 00:30:03,070 +النتفة هي أرفع و أرق من ال radius أيضا تتمفصل + +360 +00:30:03,070 --> 00:30:08,310 +digitally with fibro cartilaginous بنجزقها الكلمة + +361 +00:30:08,310 --> 00:30:13,190 +fibro من ال fiber تمام؟ و ال cartilage لحاله إذا + +362 +00:30:13,190 --> 00:30:19,280 +هو عبارة عن مفصل fibro cartilaginous disk تمام؟هذا + +363 +00:30:19,280 --> 00:30:23,580 +بالنسبة للألنة هيك بيكون أنا خلصت الـclavicle + +364 +00:30:23,580 --> 00:30:29,580 +والسكابيولا واليوميراس وال radius والألنة حاجة + +365 +00:30:29,580 --> 00:30:36,580 +أشوف اللي هي الألنة تفاصيلها الدقيقة تحتوي الألنة + +366 +00:30:36,580 --> 00:30:41,100 +على أي + +367 +00:30:41,100 --> 00:30:45,720 +long bone اللي لها head ولها neckأيضاً إلها + +368 +00:30:45,720 --> 00:30:50,720 +medially free arm of bone فيه لتروكليا نوتش اللي + +369 +00:30:50,720 --> 00:30:55,100 +هو عبارة عن الملقط اللي بيوصلها مع ال radius + +370 +00:30:55,100 --> 00:30:59,340 +ألوكرانيون اللي هي الحفرة هذه اللي موجودة وان شاء + +371 +00:30:59,340 --> 00:31:03,680 +الله هيمر عليكم اللي هو هذا العظيم موجودة هنا في + +372 +00:31:03,680 --> 00:31:07,100 +ال posterior حاجة اسمها ال ألوكرانيون عشان أنا لما + +373 +00:31:07,100 --> 00:31:11,950 +أجي أسكر كوعي بهذا الشكلتدخل اللي هي النهاية أو + +374 +00:31:11,950 --> 00:31:15,730 +الـ head في هذه الحفرة أو هذه الـ cavity اللي + +375 +00:31:15,730 --> 00:31:19,610 +موجودة تمام؟ في ال quaternion أما ال quaternoid + +376 +00:31:19,610 --> 00:31:22,930 +process اللي هي موجودة anteriorly ال styloid + +377 +00:31:22,930 --> 00:31:28,470 +process اللي هي النهاية العضمية تبعت القلنة إذا في + +378 +00:31:28,470 --> 00:31:31,970 +عندي two styloid process في واحدة في ال radius و + +379 +00:31:31,970 --> 00:31:35,380 +واحدة في القلنةفي الـelectronion لما أنا بغلق + +380 +00:31:35,380 --> 00:31:38,040 +الكوع تماما زي ما انتوا إذا واضحة الكاميرا معانا + +381 +00:31:38,040 --> 00:31:42,200 +بنشوف اللي هو، لاحظوا هي أنا هيكا posteriorly، هذه + +382 +00:31:42,200 --> 00:31:46,500 +الإيد من ورا، هنا في عندي اللي هو الـcavities، لما + +383 +00:31:46,500 --> 00:31:51,020 +أجي أغلق الكوع، أمده بهذا الشكل، بترجع اللي هي + +384 +00:31:51,020 --> 00:31:55,600 +الـhead في قلنا، داخل اللي هو الـelectronion، ال + +385 +00:31:55,600 --> 00:31:59,270 +process اللي موجود posteriorlyأما اللي موجودة + +386 +00:31:59,270 --> 00:32:03,050 +anteriorly فهو الـ crocoid أو الـ cronoid process + +387 +00:32:03,050 --> 00:32:08,510 +اللي هو لما بعمل flexion أو بتني الإيد بهذا الشكل. + +388 +00:32:10,270 --> 00:32:15,310 +هيك بيكون أنا خلصت الألنة، أشوف اللي هو ال rest و + +389 +00:32:15,310 --> 00:32:20,650 +ال carbon هنا. الآن حكينا واحد هي ميرس، اتنين + +390 +00:32:21,420 --> 00:32:27,140 +النورادياس حاجة أشوف اللي هم ستة عشر الـ Carbal + +391 +00:32:27,140 --> 00:32:32,560 +bone عشرة الميتا Carbal والفلانجيز تمانية وعشرين + +392 +00:32:32,560 --> 00:32:38,200 +لإنه حكينا ال thumb فيه بس عقلتي من الإصبع وصلنا + +393 +00:32:38,200 --> 00:32:44,500 +لل wrist and hand اللي هو اليد و العظام المكونالها + +394 +00:32:44,500 --> 00:32:52,310 +ال Carbal bone ستة عشر عضمة تمانيةright و تمانية + +395 +00:32:52,310 --> 00:32:59,810 +left Trapezoid كبيت سكفايد سكفايد بس عشان انا + +396 +00:32:59,810 --> 00:33:05,530 +اخليكم متذكرينها اتمفصلت مع ال radius pisiform and + +397 +00:33:05,530 --> 00:33:09,890 +traquetrium و الهمت و اليونيت لأن اسمها دي ما بدنا + +398 +00:33:09,890 --> 00:33:14,170 +نحفظها فقط انه تعرف ان هي عبارة عن صفين + +399 +00:33:25,360 --> 00:33:30,000 +أيضا الفلانجيز اللي هم الأصابع اللي هنا من هاي + +400 +00:33:30,000 --> 00:33:34,680 +أربعة في تلاتة اتنعاش وتنتين هاي أربعة عاشر عندنا + +401 +00:33:34,680 --> 00:33:42,810 +أربعة عاشرright و 14 left إذا صار العدد لو أخدنا + +402 +00:33:42,810 --> 00:33:46,970 +اليمين لحال مع ال humerus والقلن وال radius بيصير + +403 +00:33:46,970 --> 00:33:55,250 +اليمين تلاتين و اليسار أيضا تلاتين كلهم مع بعضهم + +404 +00:33:55,250 --> 00:34:00,510 +بيصيروا ستين عضمة تقريبا خليني أوجزهم هنا اللي هو + +405 +00:34:00,510 --> 00:34:09,410 +بدنا نحكي ال rightتلاتين و ال lift تلاتين طبعا لكل + +406 +00:34:09,410 --> 00:34:16,310 +ال upper arm يميرس مع القلن و ال radius تماموالـ + +407 +00:34:16,310 --> 00:34:20,570 +Lift اللي هو نفس الكلام الـHumerus الناوراديس + +408 +00:34:20,570 --> 00:34:23,810 +Carpel Metacarpal Phalanges بيصيروا تلاتين و + +409 +00:34:23,810 --> 00:34:29,710 +تلاتين ال total لل upper arms كامل ستين عضمة وبهيك + +410 +00:34:29,710 --> 00:34:35,030 +بيكون أنا خلصت معاكم video رقم 11 يعطيكوا ألف + +411 +00:34:35,030 --> 00:34:38,810 +عافية لنا لقاء في video رقم 12 بإذن الله تعالى + diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/24ozpLPDrMs.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/24ozpLPDrMs.srt new file mode 100644 index 0000000000000000000000000000000000000000..48d3da6725718b8b01c5589bf5c1331a1cf883d3 --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/24ozpLPDrMs.srt @@ -0,0 +1,1791 @@ +1 +00:00:05,090 --> 00:00:07,810 +بسم الله الرحمن الرحيم والصلاة والسلام على أشرف + +2 +00:00:07,810 --> 00:00:12,610 +الأنبياء والمرسلين، مكملة معاكم، ماقمة قصة قسم اللي + +3 +00:00:12,610 --> 00:00:17,830 +هو مادة التشريح للمستوى الأول. تحدثنا في هذا + +4 +00:00:17,830 --> 00:00:21,730 +المساق على عدة من الشباتر، ابتداءً بـ chapter + +5 +00:00:21,730 --> 00:00:26,930 +introduction، ونهاية في فيديو رقم 15، اللي هو + +6 +00:00:26,930 --> 00:00:31,890 +chapter muscular system. اليوم، عشان نرضي جميع الناس + +7 +00:00:31,890 --> 00:00:35,840 +اللي هيتخصص معانا في كل الأقسام، سواء اللي بدهم + +8 +00:00:35,840 --> 00:00:38,120 +يروحوا على التحاليل أو اللي بدهم يروحوا على + +9 +00:00:38,120 --> 00:00:42,000 +البصريات أو الناس اللي هتتخصص معانا في قسم العلاج + +10 +00:00:42,000 --> 00:00:47,920 +الطبيعي، وكمان الناس اللي هتُحوّل لكلية الطب. نتحدث في + +11 +00:00:47,920 --> 00:00:53,240 +هذا الفيديو عن مجموعة من المعلومات للـ blood و الـ + +12 +00:00:53,240 --> 00:00:57,040 +cardiovascular system، اللي هو خاص بطلبتنا في + +13 +00:00:57,040 --> 00:01:01,080 +التحاليل. كمان نفس الشيء، بدي أحكي على موضوع خاص + +14 +00:01:01,080 --> 00:01:05,760 +بأخصائي البصريات، اللي هو الـ chapter الجاي، chapter + +15 +00:01:05,760 --> 00:01:12,130 +الـ I. نبدأ بدايةً بالـ blood. الـ blood هو عبارة عن شيء أو + +16 +00:01:12,130 --> 00:01:17,510 +قسم خاص بالـ connective tissue، زي ما حكينا في فصل + +17 +00:01:17,510 --> 00:01:21,310 +الـ tissue، أن الـ blood و الـ lymph أنا بعتبرهم أجزاء + +18 +00:01:21,310 --> 00:01:26,870 +أساسية من اللي هو، طبعاً زي ما حكينا زمان، blood and + +19 +00:01:26,870 --> 00:01:31,160 +lymph. وأعتقد أن هذا أُجيبَ لكم في الامتحان. هو عبارة عن + +20 +00:01:31,160 --> 00:01:36,480 +connective tissue، تمام؟ إذًا يحتوي على الخلايا، + +21 +00:01:36,480 --> 00:01:40,580 +أيضاً يحتوي على الـ liquid اللي هي substance، يحتوي + +22 +00:01:40,580 --> 00:01:45,320 +على مادة قشية، هنعرف شو التركيبة الكيميائية تبعته، + +23 +00:01:45,320 --> 00:01:48,360 +أيضاً يحتوي على مواد تحتوي على dissolved protein + +24 +00:01:48,360 --> 00:01:56,050 +fibers، وحوالي هو أسمك أو أكثف من الماء بأربع مرات، + +25 +00:01:56,050 --> 00:02:00,490 +تمام؟ إذًا بنحكي على نوع من أنواع اللي كنت بتفتشه، + +26 +00:02:00,490 --> 00:02:04,750 +هو الـ blood، وهو عبارة عن في السماكة أو في الكثافة + +27 +00:02:04,940 --> 00:02:08,820 +بأكثر بأربع مرات من الماء. Liquid substance called + +28 +00:02:08,820 --> 00:02:12,760 +plasma، اللي هي المادة القشية اللون، والـ + +29 +00:02:12,760 --> 00:02:16,420 +temperature تبعته أو درجة الحرارة تبعته حوالي درجة + +30 +00:02:16,420 --> 00:02:19,400 +مئوية واحدة higher than measured by body + +31 +00:02:19,400 --> 00:02:22,640 +temperatures. كلنا بنعرف أن درجة حرارة جسم الإنسان + +32 +00:02:22,640 --> 00:02:28,400 +37 درجة مئوية، فبالتالي هو أعلى بدرجة واحدة، + +33 +00:02:28,400 --> 00:02:34,460 +وهي عبارة عن 38. هذا بالنسبة للمعلومات الـ general في + +34 +00:02:34,460 --> 00:02:38,780 +الـ blood. الـ blood volume تختلف حسب الأشكال وحسب + +35 +00:02:38,780 --> 00:02:42,620 +أحجام الإنسان. بحكي على حجم الدم عند الـ body عند + +36 +00:02:42,620 --> 00:02:46,580 +الأطفال، الـ children، يختلف عن حجم الدم عند البالغين. + +37 +00:02:46,580 --> 00:02:50,940 +أيضاً يختلف حسب الـ fluid concentration، يختلف حسب الـ + +38 +00:02:50,940 --> 00:02:55,300 +electrolytes، كمية تركيز الأملاح. يختلف حسب وجود الـ + +39 +00:02:55,300 --> 00:02:58,460 +adipose tissue، يعني الناس السمينة بتكون عندها كمية + +40 +00:02:58,460 --> 00:03:03,180 +الدم أو حجم الدم يختلف تماماً عن الناس اللي هم + +41 +00:03:03,180 --> 00:03:07,320 +عندهم a device. بيشكل حوالي ثمانية في المئة + +42 +00:03:07,320 --> 00:03:13,040 +من وزن جسم الإنسان، ويشكل حوالي خمسة لترات من اللي + +43 +00:03:13,040 --> 00:03:17,120 +هو حجم الجسم. الآن هذا الجهاز زي ما أنتم شايفينه + +44 +00:03:17,120 --> 00:03:22,300 +هنا على الـ LCD تبعنا، هو جهاز الطرد المركزي، وهو + +45 +00:03:22,300 --> 00:03:27,840 +عبارة عن إيش؟ بيحلل الدم إلى ثلاث أجزاء رئيسية، زي + +46 +00:03:27,840 --> 00:03:30,060 +ما أنتم شايفين هنا في الـ test tube، هذه أنبوبة + +47 +00:03:30,060 --> 00:03:33,680 +الاختبار، اسمها الـ test tube. باجي أنا باخد العينة + +48 +00:03:33,680 --> 00:03:38,440 +من المريض تبعي، وبحط اللي هو كمية الدم المناسبة في + +49 +00:03:38,440 --> 00:03:42,370 +هذه الـ test tube. هنجد أو هلاقي أن الدم ينقسم إلى + +50 +00:03:42,370 --> 00:03:46,250 +ثلاث طبقات أساسية. هاي الـ cellular component، وفي + +51 +00:03:46,250 --> 00:03:49,910 +عندنا الطبقة بسميها طبقة الـ buffy coat، اللي هو + +52 +00:03:49,910 --> 00:03:54,090 +سائل قشدي اللون، اللي هو عبارة عن البلازما. كل هذه + +53 +00:03:54,090 --> 00:03:57,250 +الاشياء اللي أنا حكيت عنه كمقدمة، هتكلم عليه واحدة + +54 +00:03:57,250 --> 00:04:00,390 +واحدة. إذًا الـ whole blood consists of liquid + +55 +00:04:00,390 --> 00:04:02,850 +substance and cellular components. الـ liquid + +56 +00:04:02,850 --> 00:04:06,450 +substance هو عبارة عن السائل القشدي، والـ cellular هو + +57 +00:04:06,450 --> 00:04:13,130 +عبارة عن الخلايا. نشوف شو هو، عندنا حاجة اسمها + +58 +00:04:13,130 --> 00:04:17,770 +الاريثروسايت، أو ما يسمى بالـ RBCs، واحنا حكينا أن الـ + +59 +00:04:17,770 --> 00:04:22,690 +RBCs هي عبارة عن اختصار لـ red blood cells، بختصرها + +60 +00:04:22,690 --> 00:04:26,810 +بالـ RBCs. مش غلط لو أنا أخصائي علاج طبيعي أو أخصائي + +61 +00:04:26,810 --> 00:04:30,690 +بصريات، كنت عارف هذه الاختصارات، وعارف هذه الحاجات. + +62 +00:04:31,230 --> 00:04:35,690 +بتشكل لي الطبقة السفلى من الـ centrifuged blood، + +63 +00:04:35,690 --> 00:04:41,570 +typically make up حوالي 44%. بهمني كثير هنا الأرقام، + +64 +00:04:41,570 --> 00:04:46,050 +إنه أنا أكون عارفة إياها. هذه الـ 44%. إذًا الـ cellular + +65 +00:04:46,050 --> 00:04:53,550 +أو الـ RBCs بتشكل حوالي 44% من اللي هو الدم اللي + +66 +00:04:53,550 --> 00:04:58,340 +أنا عملت له centrifugation، تمام؟ الـ buffy coat اللي + +67 +00:04:58,340 --> 00:05:03,820 +هي الطبقة الوسطى اللي موجودة هنا، هذه الطبقة طبعاً + +68 +00:05:03,820 --> 00:05:07,820 +اللي موجودة هنا هي عبارة عن مادة أو طبقة لونها + +69 +00:05:07,820 --> 00:05:12,400 +grey، make up middle layer، بتشكل الطبقة الوسطى، + +70 +00:05:12,400 --> 00:05:18,940 +thin، خفيفة جداً، slightly white to grey، أبيض مائل + +71 +00:05:18,940 --> 00:05:24,280 +إلى الـ grey اللي هو الرمادي. تتكون من حاجة اسمها + +72 +00:05:24,280 --> 00:05:30,640 +الليكوسايتس. وكلمة ليكو هي عبارة عن أبيض. كلمة ليكو + +73 +00:05:30,640 --> 00:05:38,480 +باللاتينية تعني اللي هو أبيض، white blood cells، اللي + +74 +00:05:38,480 --> 00:05:42,000 +هو أنا بختصرها بالـ WBC. + +75 +00:06:04,970 --> 00:06:10,870 +عندي قدام إذا أربعة وأربعين، وهنا عندي واحد، صار + +76 +00:06:10,870 --> 00:06:18,150 +المجموع خمسة وأربعين، تمام. هشوف الطبقة العليا اللي + +77 +00:06:18,150 --> 00:06:23,430 +هي طبقة البلازما. طبقة البلازما هي عبارة عن سائل قشدي + +78 +00:06:23,430 --> 00:06:27,830 +اللون، زي ما بنعرف. يحتوي على خمسة وخمسين في المئة + +79 +00:06:27,830 --> 00:06:34,350 +من العينة اللي اتاخدت عندي. إذًا هنا خمسة وخمسين، تمام. + +80 +00:06:34,350 --> 00:06:38,550 +هذه الجزئية خمسة وخمسين، وخمسة وأربعين، بيطلع + +81 +00:06:38,550 --> 00:06:43,270 +الناتج عندي اللي هو مئة في المئة. أربعة وأربعين + +82 +00:06:43,270 --> 00:06:47,270 +RBCs، واحد من الـ middle layer أو الـ buffy coat، و + +83 +00:06:47,270 --> 00:06:51,670 +خمسة وخمسين من البلازما، اللي هي السائل القشدي اللون. + +84 +00:06:51,670 --> 00:06:56,050 +طبعاً اللي هو الـ top layers أو الطبقة العليا من + +85 +00:06:56,050 --> 00:07:00,590 +اللي هي العينة اللي أنا أخدتها. إذًا تركيبة الدم + +86 +00:07:00,590 --> 00:07:05,880 +يحتوي على RBCs، buffy coats، والبلازما، اللي هي بتكون في + +87 +00:07:05,880 --> 00:07:10,480 +الـ top. تحت، لأن الـ RBCs نوعاً ما ثقيلة، فبالتالي هي + +88 +00:07:10,480 --> 00:07:14,540 +بتكون في الطبقة السفلى. بعدين فينا الـ buffy coat اللي هي + +89 +00:07:14,540 --> 00:07:19,180 +الطبقة المتوسطة، المائلة للرمادي الأبيض اللون، ومن + +90 +00:07:19,180 --> 00:07:23,020 +ثم السائل القشدي اللي هو مائل على اصفرار، خليني أحكي + +91 +00:07:23,020 --> 00:07:28,670 +بيكون في الـ top layers، تمام؟ الآن شو تركيبة اللي هو + +92 +00:07:28,670 --> 00:07:33,110 +الـ blood؟ حكينا كلمة erythro باللاتينية هي عبارة عن + +93 +00:07:33,110 --> 00:07:36,830 +red. يعني أنا اليوم لما بحكي في الـ Latin words، + +94 +00:07:36,830 --> 00:07:40,550 +حكينا فيها، عندنا كثير مصطلحات في الـ Anatomy ممكن + +95 +00:07:40,550 --> 00:07:46,510 +نستخدمها في اللي هو شباتر النهاردة. كلمة erythro تعني + +96 +00:07:46,510 --> 00:07:47,290 +red. + +97 +00:07:55,410 --> 00:08:01,610 +أو العناصر المكوّنة. إذًا لما أجي أنا أسألك شو تعريف + +98 +00:08:01,610 --> 00:08:07,090 +الـ formed elements، هي عبارة عن erythrocytes، تمام. الـ + +99 +00:08:07,090 --> 00:08:13,170 +RBCs زائد الـ buffy coat اللي هي الطبقة السفلى + +100 +00:08:13,170 --> 00:08:15,270 +تمام، طبقة + +101 +00:08:17,270 --> 00:08:23,170 +سفلى زائد الطبقة الوسطى، فهي بتعطينا الـ formed + +102 +00:08:23,170 --> 00:08:28,390 +elements، وأنا هنا مهم جداً أعرف شو هي الـ formed + +103 +00:08:28,390 --> 00:08:32,310 +elements. إذًا تعريفنا للـ formed elements هي عبارة عن + +104 +00:08:32,310 --> 00:08:36,250 +الاريثروسايت أو الـ RBCs بشكل عام، زائد الـ buffy + +105 +00:08:36,250 --> 00:08:42,370 +coat. طبعاً اسمها الـ formed elements، اللي هي العناصر + +106 +00:08:42,370 --> 00:08:47,190 +المكونة. هلأ الـ formed elements زائد البلازما + +107 +00:08:47,190 --> 00:08:51,930 +بتعطينا عينة الدم كاملة. يعني واحد زائد اثنين، خليني + +108 +00:08:51,930 --> 00:08:56,830 +أسمّيهم أنا هنا واحد زائد اثنين. واحد زائد اثنين + +109 +00:08:56,830 --> 00:09:00,610 +هيعطينا اللي هو الـ formed elements، تمام، اللي هي + +110 +00:09:00,610 --> 00:09:04,310 +عينة الدم الكاملة. لما بدي أحكي الـ whole blood، + +111 +00:09:07,740 --> 00:09:15,860 +هتعطيني الـ formed elements زائد + +112 +00:09:15,860 --> 00:09:20,280 +الـ formed elements زائد مين؟ زائد اللي هي + +113 +00:09:20,280 --> 00:09:27,840 +البلازما، okay. هاي بتعطيني عينة الدم الكاملة، زي ما + +114 +00:09:27,840 --> 00:09:32,920 +أنتم شايفينها هنا في هاي الـ slide. شو وظائف الدم؟ + +115 +00:09:32,920 --> 00:09:37,630 +وظائف الدم عندي حوالي خمس وظائف أساسية. اليوم أنا + +116 +00:09:37,630 --> 00:09:42,350 +بيقوم الدم بعمليات متعددة، ومهم جداً أن أنا أعرفها. + +117 +00:09:42,350 --> 00:09:46,550 +بيعمل عملية transportation، أول وظيفة ليه، اللي هي + +118 +00:09:46,550 --> 00:09:51,170 +عملية النقل. هينقل مين؟ ويجيب مين؟ ويودي مين؟ مهم جداً + +119 +00:09:51,170 --> 00:09:56,620 +أن أنا أعرف أن الدم هو عبارة عن وسيلة نقل للـ + +120 +00:09:56,620 --> 00:10:01,000 +oxygen and carbon dioxide، اللي هي مهمة لنقل عملية + +121 +00:10:01,000 --> 00:10:05,880 +الأكسجين، وكذلك ثاني أكسيد الكربون. يعمل على + +122 +00:10:05,880 --> 00:10:09,240 +transport للـ nutrient elements components through + +123 +00:10:09,240 --> 00:10:14,020 +the body، خلال الجسم. الآن كنا حكينا في chapter واحد + +124 +00:10:14,020 --> 00:10:18,200 +عن اللي هي الاريثروسايت أو خلايا الدم الحمراء، الـ + +125 +00:10:18,200 --> 00:10:24,400 +RBCs. تفتقد إلى النواة. ليه؟ حكينا تفتقد للنواة وذلك + +126 +00:10:24,400 --> 00:10:29,140 +لحتى يسمح لها هذا الشكل أو هذا التركيب، سبحان الله، + +127 +00:10:29,140 --> 00:10:35,500 +يحمل أكبر كمية من الـ oxygen أو الدم المؤكسد، تمام؟ + +128 +00:10:35,500 --> 00:10:39,300 +إذًا الاريثروسايت carry oxygen from lung to body + +129 +00:10:39,300 --> 00:10:44,200 +cells. وين الـ exchange of gases بيصير؟ في الـ lungs، + +130 +00:10:44,200 --> 00:10:48,880 +مكان تبادل الغازات بيكون في داخل الرئتين. فبالتالي + +131 +00:10:48,880 --> 00:10:53,360 +هذه الاريثروسايت أو هذه الخلايا اللي هي الـ RBCs، + +132 +00:10:53,360 --> 00:10:59,640 +تعمل على نقل أو تحمل الأكسجين من الرئتين إلى + +133 +00:10:59,640 --> 00:11:06,600 +باقي أجزاء الجسم، وتحمل معها أيضاً transport للـ CO2، + +134 +00:11:06,600 --> 00:11:13,440 +ثاني أكسيد الكربون، تعود إلى الرئة، ثم تتطرد عن طريق + +135 +00:11:13,440 --> 00:11:18,620 +الرئة. إذًا مكان + +136 +00:11:18,620 --> 00:11:23,830 +تبادل الغازات يتم داخل الرئتين. البلازما أو الـ blood + +137 +00:11:23,830 --> 00:11:28,910 +plasma أيضاً تعمل على نقل الهرمونات اللي إحنا حكينا + +138 +00:11:28,910 --> 00:11:35,290 +عليهم، وتعمل أيضاً على نقل الـ nutrition أو المواد + +139 +00:11:35,290 --> 00:11:36,050 +الغذائية. + +140 +00:11:38,670 --> 00:11:43,170 +الـ gastrointestinal tract اللي هي، بتم امتصاص + +141 +00:11:43,170 --> 00:11:47,310 +المواد الغذائية. أو الـ gastrointestinal اللي هي + +142 +00:11:47,310 --> 00:11:52,870 +المعدي المعوي، القناة المعوية، و ثم بتم + +143 +00:11:52,870 --> 00:11:58,700 +امتصاصه عن طريق المعدي المعوي. طبعاً gastrointestinal + +144 +00:11:58,700 --> 00:12:02,700 +tract hormones secreted by endocrine + +145 +00:12:02,700 --> 00:12:07,240 +organs to the target cells. وبتم نقل اللي هو الـ + +146 +00:12:07,240 --> 00:12:12,280 +hormones. gastrointestinal اللي البلازما تعمل على + +147 +00:12:12,280 --> 00:12:17,430 +إيش؟ نقل الـ waste product. أيضاً الـ plasma لها وظيفة + +148 +00:12:17,430 --> 00:12:20,890 +ثالثة، تعمل على نقل الـ nitrogen، تعمل على نقل الـ + +149 +00:12:20,890 --> 00:12:25,210 +hormones، تعمل على نقل الـ waste product اللي هو زي + +150 +00:12:25,210 --> 00:12:30,690 +بعض المواد الضارة للجسم. على سبيل المثال، بتم طردها + +151 +00:12:30,690 --> 00:12:34,190 +زي الأملاح مثلاً، بتم طردها عن طريق اللي هو الـ + +152 +00:12:34,190 --> 00:12:38,520 +kidneys، where this waste product are removed. إذًا + +153 +00:12:38,520 --> 00:12:41,880 +إعرفنا كيف أنه ممكن يكون في عندنا عملية + +154 +00:12:41,880 --> 00:12:46,860 +transportation by blood، عن طريق الـ RBCs وعن طريق + +155 +00:12:46,860 --> 00:12:54,180 +اللي هو الـ plasma تبع الدم. الوظيفة الثانية للّي هو + +156 +00:12:54,180 --> 00:12:58,760 +الـ blood، اللي هي regulation of body temperature، + +157 +00:12:58,760 --> 00:13:03,720 +تنظيم درجة الحرارة. الآن كلنا بنعرف أن الإنسان من + +158 +00:13:03,720 --> 00:13:08,200 +ذوات الدم الحار، فبالتالي بيتكيف مع البيئة المحيطة + +159 +00:13:08,200 --> 00:13:12,320 +فيه. ما بيصير أن الدم تبعنا يجمد في ظروف + +160 +00:13:12,320 --> 00:13:15,870 +مثلاً، أو درجة الحرارة المتدنية. لأ، بتبقى عملية الـ + +161 +00:13:15,870 --> 00:13:19,490 +hematostasis، أو عملية الثبات في درجة الحرارة ثابتة، + +162 +00:13:19,490 --> 00:13:24,710 +سواء في الحر أو في البرد. فبالتالي وظيفة الدم يحافظ + +163 +00:13:24,710 --> 00:13:29,030 +على اللي هو الثدييات أو الكائنات الحية ذوات الدم + +164 +00:13:29,030 --> 00:13:34,830 +الحار، في المحافظة على ثباتية درجة حرارة الجسم، إن + +165 +00:13:34,830 --> 00:13:38,250 +لم يحدث أي شيء pathologically regulated للـ body + +166 +00:13:38,250 --> 00:13:43,170 +temperature. تعمل البلازما على امتصاص and + +167 +00:13:43,170 --> 00:13:49,090 +distributing للحرارة خلال الجسم. كيف بيصير اليوم في + +168 +00:13:49,090 --> 00:13:51,950 +حالة البرد الشديد هذا اللي إحنا فيه في شهر اثنا عشر، + +169 +00:13:51,950 --> 00:13:57,310 +شهر واحد، بيصير في عندي blood vessels dilatation، + +170 +00:13:57,310 --> 00:14:03,790 +توسع. dilatation تعني توسع للأوعية الدموية. هذا الـ + +171 +00:14:03,790 --> 00:14:08,850 +dilatation بيؤدي لإيش؟ بيؤدي إلى أنه يعمل distribute، + +172 +00:14:08,850 --> 00:14:13,370 +توزيع للحرارة خلال الـ interdermal systems، اللي + +173 +00:14:13,370 --> 00:14:19,250 +هي خلال الجلد. هنا يعمل على توزيع وانتشار اللي هي + +174 +00:14:19,250 --> 00:1 + +223 +00:18:13,820 --> 00:18:18,800 +fluid levels الآن الدم بيحافظ ليه على مستوى الـ + +224 +00:18:18,800 --> 00:18:24,960 +هو أن يكون وضع الـ fluid موجود بشكل طبيعي و normal + +225 +00:18:24,960 --> 00:18:29,380 +في جسم الإنسان، اليوم أنا إذا أكلت على سبيل المثال + +226 +00:18:29,380 --> 00:18:35,490 +ملح كثيرًا، وصار في عندي ورم في الـ peripheral سواء + +227 +00:18:35,490 --> 00:18:39,590 +في الـ hand أو في الـ foot، معناه الكلام أن أنا لازم + +228 +00:18:39,590 --> 00:18:44,570 +أعرف أن أنا في عندي مشكلة في مستوى تخزين الفلوت + +229 +00:18:44,570 --> 00:18:48,550 +داخل جسمي، هذا ليه؟ لأنه ممكن يديلي هذا الشيء + +230 +00:18:48,550 --> 00:18:51,990 +لارتفاع الـ blood pressure، اليوم الـ blood pressure + +231 +00:18:51,990 --> 00:18:57,590 +هو عبارة عن الضغط الدم، الـ normal من ضغط الدم 120 + +232 +00:18:57,590 --> 00:19:03,360 +على 80، تمام، الـ blood pressure هو عبارة عن ضغط الدم + +233 +00:19:03,360 --> 00:19:08,980 +هنا هأتحدث على نقطة مهمة جدًا، الـ normal هذا تبعنا + +234 +00:19:08,980 --> 00:19:13,340 +ضغط الدم، أنه يكون 120 على 80، لو زاد 10 كده و 10 + +235 +00:19:13,340 --> 00:19:18,820 +كده بنعتبره normal، ولكن أنا بأخليه على خط الخطر أو + +236 +00:19:18,820 --> 00:19:24,230 +risk area بنسميها، إذا كان في عندي increasing للـ + +237 +00:19:24,230 --> 00:19:28,270 +blood pressure، معناه الكلام أنه هذا هيؤدي لي مشاكل + +238 +00:19:28,270 --> 00:19:33,230 +عديدة، خلينا نشوف وظيفة الدم، إنه يحافظ لي على مستوى + +239 +00:19:33,230 --> 00:19:38,050 +ثابت من اللي هو الـ fluid liquid، الـ liquid اللي + +240 +00:19:38,050 --> 00:19:40,990 +موجود داخل الجسم، ليه؟ لأنه بيحافظ على الـ + +241 +00:19:40,990 --> 00:19:44,900 +cardiovascular system يشتغل بشكل Normal، to prevent + +242 +00:19:44,900 --> 00:19:48,640 +blood losses، حتى أنا أمنع أي فقدان لهذه السوائل + +243 +00:19:48,640 --> 00:19:52,640 +لازم يكون في عندي توازن ما بين الـ blood plasma و + +244 +00:19:52,640 --> 00:19:55,460 +الـ interstitial fluid، توازن ما بين الـ plasma + +245 +00:19:55,460 --> 00:20:00,720 +الدموية و الـ interstitial fluid، if too much، إذا + +246 +00:20:00,720 --> 00:20:05,100 +كانت أعلى من الوضع الأساسي أو الوضع الـ normal + +247 +00:20:05,100 --> 00:20:09,890 +معناه الكلام أنه بيدي يصير في عندي high blood + +248 +00:20:09,890 --> 00:20:14,170 +pressure، أنه أنا عندي ضغط الدم عالي، فبالتالي بأحكي + +249 +00:20:14,170 --> 00:20:18,370 +لهذه set أو هذا الحاج الذي أكل كمية كبيرة من الـ .. + +250 +00:20:18,370 --> 00:20:22,210 +على سبيل المثال high salt، طبعًا اللي هو زي المخللات + +251 +00:20:22,210 --> 00:20:25,350 +و الأمور التي زي high، بتلاقي أنه صار في عنده تورم + +252 +00:20:25,350 --> 00:20:29,950 +في القدمين و اليدين، فبيصير في عندنا accumulation و + +253 +00:20:29,950 --> 00:20:34,340 +swelling اللي هو في الـ peripheral، معناته الكلام أن + +254 +00:20:34,340 --> 00:20:38,720 +أنا صار في عندي increasing أو عدم اتزان في الـ + +255 +00:20:38,720 --> 00:20:43,960 +blood في اللي هو الـ fluid constant، if too much + +256 +00:20:43,960 --> 00:20:47,840 +fluid escapes، إذا كان في عندي فقدان للـ + +257 +00:20:47,840 --> 00:20:51,000 +interstitial fluid، بدي يكون في الـ blood stream + +258 +00:20:51,000 --> 00:20:55,760 +enters to the tissue، الـ blood pressure drops، عكس أن + +259 +00:20:55,760 --> 00:20:59,960 +يكون عندي أعلى، high blood pressure، في عندي حاجة + +260 +00:20:59,960 --> 00:21:04,120 +اسمها low blood pressure، أقل من الطبيعي، يعني أقل + +261 +00:21:04,120 --> 00:21:08,040 +من هذا الشيء أو هذا المقياس الذي أنا حطيته، إذا + +262 +00:21:08,040 --> 00:21:14,320 +كان أعلى، معناته بيكون في عندي تورم، طبعًا في كل + +263 +00:21:14,320 --> 00:21:19,320 +الحالتين هو شيء pathologically، مش ممكن أن هو الشخص + +264 +00:21:19,320 --> 00:21:23,140 +يكون في الوضع السليم سواء خفض الضغط أو عالي الضغط + +265 +00:21:23,140 --> 00:21:26,520 +في كل الحالتين هو شيء pathologically، to maintain + +266 +00:21:26,520 --> 00:21:29,840 +الـ balance fluid exchange، لازم أكون أنا عايشة + +267 +00:21:29,840 --> 00:21:33,400 +بحالة من التوازن، between blood and interstitial + +268 +00:21:33,400 --> 00:21:37,100 +fluids، البلد contain components زي الـ salt and + +269 +00:21:37,100 --> 00:21:41,550 +البروتين، عشان أنا أمنع غروب أو أمنع ضياع أي + +270 +00:21:41,550 --> 00:21:44,970 +components، أنا بحاجة إليها، اليوم أنا لما يزيد عندي + +271 +00:21:44,970 --> 00:21:47,950 +الضغط، فمعناته أن الـ interstitial fluid هتتجمع كلها + +272 +00:21:47,950 --> 00:21:51,550 +بعيدًا عن الأساس و بعيدًا عن مكانها الطبيعي، فبالتالي + +273 +00:21:51,550 --> 00:21:55,410 +هذا الشيء pathologically مش صحيح، Okay، إذا أربع + +274 +00:21:55,410 --> 00:22:00,510 +وظائف لحد الآن أخذنا في اللي هو الـ blood، الـ + +275 +00:22:00,510 --> 00:22:03,570 +functions of a blood، الوظيفة الرابعة، الخامسة + +276 +00:22:03,570 --> 00:22:07,850 +والأخيرة، اللي هي عبارة عن الـ protection، الدم يحتوي + +277 +00:22:07,850 --> 00:22:11,830 +على الـ white blood cells أو ما يسمى بالـ leukocytes + +278 +00:22:11,830 --> 00:22:16,650 +ليكو، حكينا white باللاتيني، فالـ leukocytes هي + +279 +00:22:16,650 --> 00:22:22,750 +عبارة عن خلايا الدم البيضاء التي تهاجم، واللي احنا + +280 +00:22:22,750 --> 00:22:27,890 +طبعًا في ظل COVID-19، نعتمد على الـ Immunity System + +281 +00:22:27,890 --> 00:22:32,010 +تبعنا ومناعتنا داخل الجسم، الـ Immunity System هذا + +282 +00:22:32,010 --> 00:22:35,770 +اللي هو بيكون في الـ lycosides أو الـ white blood + +283 +00:22:35,770 --> 00:22:41,750 +cells، Grade Agonist، طبعًا بتساعد في مهاجمة اللي هي + +284 +00:22:41,750 --> 00:22:45,390 +الفيروس، وزي ما بتعرفوا اللي هو الفيروس كورونا اللي + +285 +00:22:45,390 --> 00:22:50,610 +موجود، يعتمد على قوة المناعة لدى الشخص، By mounting + +286 +00:22:50,610 --> 00:22:54,410 +of immunity response، للـ pathogen، of an antigen is + +287 +00:22:54,410 --> 00:22:57,900 +found، البلازما تعمل على نقل الـ Antibodies اللي + +288 +00:22:57,900 --> 00:23:01,640 +موجودة، which are molecules that immobilize antigen + +289 +00:23:01,640 --> 00:23:05,340 +until leukocyte can completely kill or remove + +290 +00:23:05,340 --> 00:23:09,480 +antigens، بتحاول دائمًا هذه الـ leukocytes بكل + +291 +00:23:09,480 --> 00:23:14,230 +أنواعها، سواء المحببة أو غير المحببة، هناخد عن أنواع + +292 +00:23:14,230 --> 00:23:17,810 +الـ Leukocyte ونشوفها، فبالتالي هي بتهاجم هذا الـ + +293 +00:23:17,810 --> 00:23:23,250 +pathogen عن طريق اللي هو محاصرتة ومن ثم ابتلاعه + +294 +00:23:23,250 --> 00:23:26,930 +وابتلاعه، فبالتالي بيكون هذا إذا كان أنا عندي الـ + +295 +00:23:26,930 --> 00:23:30,670 +immune system أو الـ leukocyte قوية جدًا، في حالة أن + +296 +00:23:30,670 --> 00:23:34,390 +أنا عندي الـ immunity system ضعيفة، هذا يمكن الفيروس + +297 +00:23:34,390 --> 00:23:37,290 +زي ما أنتم بتشوفوا الآن حاليًا، في عندنا ناس على + +298 +00:23:37,290 --> 00:23:41,470 +سبيل المثال قوتها المناعية عالية جدًا، لم يستطع + +299 +00:23:41,470 --> 00:23:45,390 +الفيروس اللي هو الهجوم عليها، ولكن في حالة أن الـ + +300 +00:23:45,390 --> 00:23:48,930 +immunity system ضعيفة، واللي هو جهاز المناعي ضعيف + +301 +00:23:48,930 --> 00:23:53,650 +بيهاجمه اللي هو الفيروس و بيتمكن منه + +302 +00:23:56,500 --> 00:24:00,640 +الـ platelets and blood proteins، الصفائح الدموية + +303 +00:24:00,640 --> 00:24:05,700 +Coagulation، وظيفتها تعمل على التجلطات، اليوم ما + +304 +00:24:05,700 --> 00:24:09,300 +بيصير، أنا لو صار في عندي أي wound أو أي جروح داخل + +305 +00:24:09,300 --> 00:24:13,540 +يدي، هنا أن يبقى الدم ينزف إلى حد بيتصفى في جسمي، + +306 +00:24:13,540 --> 00:24:17,180 +لأ، في عندي معامل الـ Coagulation اللي هو معامل + +307 +00:24:17,180 --> 00:24:21,060 +تجلط أو تخثر الدم، بيقوم بيحمي العملية اللي هي حاجة + +308 +00:24:21,060 --> 00:24:25,700 +اسمها الـ platelets أو الصفائح الدموية، تمام؟ هذه + +309 +00:24:25,700 --> 00:24:32,220 +الصفائح الدموية تحتوي على عوامل الخثرة، تمنع الـ + +310 +00:24:32,220 --> 00:24:36,480 +blood losses by forming blood clots، اللي هي تجلط + +311 +00:24:36,480 --> 00:24:41,380 +الدم، to damage vessels، لأي wound، أنا صار عندي لازم + +312 +00:24:41,380 --> 00:24:45,460 +يصير فيه عندي blood clots اللي هي الـ blood الـ .. + +313 +00:24:46,360 --> 00:24:51,500 +بنسميها منع اللي هو هروب الدم خارج الجسم، بيصير في + +314 +00:24:51,500 --> 00:24:55,660 +عندي عملية اسمها الـ coagulation اللي هي عملية + +315 +00:24:55,660 --> 00:25:01,100 +التجلط اللي بتصير، لأن مرضى الثلاسيميا كنت أتحدث عن + +316 +00:25:01,100 --> 00:25:03,480 +مرضى الثلاسيميا اللي هم بيصير في عندهم تكسر في + +317 +00:25:03,480 --> 00:25:06,940 +الدم، فبالتالي ما في عندهم الـ coagulation أو ما في + +318 +00:25:06,940 --> 00:25:10,320 +عندهم اللي هو التخثر الدموي، فبالتالي أي wound + +319 +00:25:10,320 --> 00:25:14,520 +عندهم بيصير فيه اللي هو bleeding، نظيف، لازم يروح + +320 +00:25:14,520 --> 00:25:18,500 +وياخد إبرة عشان تعمل blood clotting اللي هو أو + +321 +00:25:18,500 --> 00:25:23,700 +coagulation للدم، تجلط للدم، حتى أنه ما يسمح بخروج + +322 +00:25:23,700 --> 00:25:28,620 +اللي هو الـ blood ده خارج الجسم، هذا بيقوم بوظيفته + +323 +00:25:28,620 --> 00:25:32,440 +الـ blood and blood protein and الـ platelets اللي + +324 +00:25:32,440 --> 00:25:38,330 +هي الصفائح الدموية، هرجع هنا وأحكي على موضوع اللي + +325 +00:25:38,330 --> 00:25:41,670 +هو الـ components تبعت البلازما، احنا كده حكينا على + +326 +00:25:41,670 --> 00:25:45,370 +كل الـ components في الـ blood، ابتداءً بالـ erythrocytes + +327 +00:25:45,370 --> 00:25:49,410 +والـ leukocytes والـ platelets، هأتكلم عن السائل + +328 +00:25:49,410 --> 00:25:53,090 +القشدي اللون، هذا السائل القشدي اللون هو عبارة عن next + +329 +00:25:53,090 --> 00:25:58,050 +من الـ water، الذائب فيه كمية من الـ protein وبعض + +330 +00:25:58,050 --> 00:26:04,950 +الأملاح، اسمه البلازما، ولما بشيل الـ protein من اللي + +331 +00:26:04,950 --> 00:26:09,490 +هو الـ plasma، بسمي هذا السائل بالـ serum، muscle + +332 +00:26:09,490 --> 00:26:13,550 +باللغة العربية اسمه المصل، تمام؟ إذا التعريف لـ + +333 +00:26:13,550 --> 00:26:18,960 +المصل هو عبارة عن إيش؟ إزالة الـ protein من سائل + +334 +00:26:18,960 --> 00:26:22,720 +اللي هو البلازما، طبعًا هذا بيهمنا في قسم الحروق + +335 +00:26:22,720 --> 00:26:26,400 +يعني when the proteins are moved from the plasma + +336 +00:26:26,400 --> 00:26:30,040 +the remaining fluid is termed serum، اللي احنا + +337 +00:26:30,040 --> 00:26:34,320 +بنسميه المصل باللغة العربية، هذه الـ water + +338 +00:26:34,320 --> 00:26:42,280 +بتشكل حوالي 92% من إجمالي وزن البلازما، الـ water + +339 +00:26:42,280 --> 00:26:45,320 +facilitated the transport of material in the + +340 +00:26:45,320 --> 00:26:50,860 +plasma، تمام، بتشكل كمية كبيرة من وزن البلازما الماء + +341 +00:26:50,860 --> 00:26:55,260 +سبحان الله، كميته عالية جدًا في كل شيء، لـ transport للـ + +342 +00:26:55,260 --> 00:26:58,640 +organic and inorganic molecules، شو وظيفة البلازما؟ + +343 +00:26:58,640 --> 00:27:02,980 +تعمل على نقل المواد العضوية وغير العضوية من الـ + +344 +00:27:02,980 --> 00:27:10,430 +elements and heat، لاحظوا تركيبة اللي هو البلازما، 98 + +345 +00:27:10,430 --> 00:27:15,970 +water، بلازما بروتين 7%، ومن ضمنها نوع من أنواع + +346 +00:27:15,970 --> 00:27:19,750 +البروتين اللي بيعمل على الـ coagulation أيضًا، other + +347 +00:27:19,750 --> 00:27:24,070 +solids، اللي هي بعض الأملاح، بتشكل 1%، فبالتالي هيك + +348 +00:27:24,070 --> 00:27:29,730 +تحت بيكون في عندي 100%، تمام، هاي تركيبة البلازما + +349 +00:27:29,730 --> 00:27:36,850 +خليني أشوف شو أنواع ومكونات البلازما أيضًا اللي هي + +350 +00:27:38,420 --> 00:27:42,670 +أنواع الـ protein اللي موجود أو الذائب فيها، حوالي في + +351 +00:27:42,670 --> 00:27:47,290 +عندي 7% من البلازما اللي هو بيكون في عندنا بروتين + +352 +00:27:47,290 --> 00:27:52,610 +6 ل 8 جرام من البروتين، volume لكل 100 ملي متر، شو + +353 +00:27:52,610 --> 00:27:55,810 +أنواع البروتين؟ في عندي الـ albumins، في عندي الـ + +354 +00:27:55,810 --> 00:27:59,050 +globulins، في عندي الـ fibrinogens والـ regulatory + +355 +00:27:59,050 --> 00:28:02,910 +proteins، هذه أنواع البروتينات in general اللي + +356 +00:28:02,910 --> 00:28:10,110 +موجودة داخل البلازما، مهمتها مهمة جدًا، لإنه بتحافظ + +357 +00:28:10,110 --> 00:28:14,530 +على اللي هو بعض الوظائف الخاصة، على سبيل المثال الـ + +358 +00:28:14,530 --> 00:28:18,110 +fibrinogens خاص بعملية الـ coagulation أو خاص + +359 +00:28:18,110 --> 00:28:22,770 +بعملية التجلط، لحد هنا أنا كيفياكم هذه المعلومات، ما + +360 +00:28:22,770 --> 00:28:27,540 +بدنا نأخذ في تفاصيل، شو الفرق ما بين الـ plasma and + +361 +00:28:27,540 --> 00:28:32,400 +interstitial fluid؟ الفرق ما بين الـ plasma والسائل + +362 +00:28:32,400 --> 00:28:36,500 +البيني ما بين الخلايا، كنت أتحدث أنا في الـ tissue عن + +363 +00:28:36,500 --> 00:28:40,580 +أن كل خلية والأخرى، هذه الخلايا التي موجودة، في + +364 +00:28:40,580 --> 00:28:44,900 +هنا عندي سائل اسمه interstitial fluid، الخلايا ما + +365 +00:28:44,900 --> 00:28:47,880 +بتكون متصلة مع بعضها البعض، لأ، هنا في حاجة اسمها + +366 +00:28:47,880 --> 00:28:52,200 +interstitial fluid، الآن الفرق ما بينهم أن البلازما + +367 +00:28:52,200 --> 00:28:56,620 +تحتوي على كمية أكبر من الأكسجين الذائب فيها، يعني + +368 +00:28:56,620 --> 00:29:01,520 +more dissolved protein و more dissolved oxygen + +369 +00:29:01,520 --> 00:29:05,480 +أو they are diffused out into the tissue، الـ dissolved + +370 +00:29:05,480 --> 00:29:09,520 +protein too big across، اللي هو طبعًا كبيرة زي + +371 +00:29:09,520 --> 00:29:12,820 +الألبومين، الجلوبيولين، الألفا والبيتا والجاما + +372 +00:29:12,820 --> 00:29:17,940 +والفيبرينوجين، هيكونوا أنواع البروتين الذائبة داخل + +373 +00:29:17,940 --> 00:29:22,590 +البلازما، Similar concentration، اللي هو نفس التركيز + +374 +00:29:22,590 --> 00:29:27,070 +في الـ salts and small molecules، أما الـ large + +375 +00:29:27,070 --> 00:29:30,790 +molecules زي الأكسجين والبروتين، فليست لازم تحتوي + +376 +00:29:30,790 --> 00:29:36,570 +على كمية أكبر، أو اللي هو الـ Similar Concentration + +377 +00:29:36,570 --> 00:29:40,390 +لـ Small Components أو Small Molecules مع الـ Salts + +378 +00:29:40,390 --> 00:29:43,750 +إذا، بأجمل وأختصر، الفرق ما بين البلازما و الـ + +379 +00:29:43,750 --> 00:29:48,010 +Interstitial Fluid أن البلازما تحتوي على كمية أكبر + +380 +00:29:48,010 --> 00:29:53,510 +من البروتين والأكسجين، وكمية أقل، وكميات متشابهة + +381 +00:29:53,510 --> 00:29:56,550 +مع الـ Interstitial Fluid في الـ Salts والـ Small + +382 +00:29:56,550 --> 00:30:00,150 +Molecules، هذا الفرق ما بين البلازما و الـ + +383 +00:30:00,150 --> 00:30:05,760 +Interstitial Fluid، بعض العناصر أو بعض الأملاح الـ + +384 +00:30:05,760 --> 00:30:09,660 +electrolytes، الأملاح المعدنية الموجودة داخل اللي + +385 +00:30:09,660 --> 00:30:16,500 +هو الدم، زي الـ ash، الـ Absorbed Form من الانتساين أو + +386 +00:30:16,500 --> 00:30:19,620 +Release by Product Cellular Metabolism، خلال عمليات + +387 +00:30:19,620 --> 00:30:23,440 +الأيض، في عندي الصوديوم، البوتاسيوم، الكالسيوم، + +388 +00:30:23,440 --> 00:30:27,600 +هذا كله موجود داخل الدم، المغنيسيوم، الكلوريد، + +389 +00:30:27,600 --> 00:30:31,740 +البايكربونات، الفوسفات، السلفات، and الصوديوم والكلوريد طبعًا + +390 +00:30:31,740 --> 00:30:36,360 +هو our most abundant، طبعًا ملح الطعام اللي هو + +391 +00:30:36,360 --> 00:30:43,320 +الصوديوم والكلوريد، NaCl، هو أكثرها وفرة، تمام، في + +392 +00:30:43,320 --> 00:30:46,900 +اللي هو البلازما، الـ electrolytes، يعني اللي موجودة + +393 +00:30:46,900 --> 00:30:53,320 +في الدم، الـ formed elements، هنرجع نحكي على بعض اللي + +394 +00:30:53,320 --> 00:31:01,110 +هو الخصائص اللي موجودة عندنا، بتشكل الـ RBCs 99% من + +395 +00:31:01,110 --> 00:31:06,930 +الـ formed elements، + +445 +00:35:16,290 --> 00:35:19,970 +بتم استبدالها اللي هو لإنه حكينا الـ life cycle + +446 +00:35:19,970 --> 00:35:25,690 +تبعتها تتغير كل 120 يوم، أخدنا كمان إن الـ RBCs + +447 +00:35:25,690 --> 00:35:31,510 +تفتقد إلى نواة، وهذا مما يعطيها خاصية وميزة إن هي + +448 +00:35:31,510 --> 00:35:36,390 +تحمل أكبر كمية من الأكسجين لعملية التبادل، تعمل على + +449 +00:35:36,390 --> 00:35:40,930 +نقل اللي هو Transport للـ Oxygen and Carbon Dioxide + +450 +00:35:40,930 --> 00:35:45,290 +to and from the tissues and the lungs. Lack of nuclear + +451 +00:35:45,290 --> 00:35:49,650 +تفتقد إلى النواة، هذا بيخليها تحمل أكبر كمية من + +452 +00:35:49,650 --> 00:35:53,850 +اللي هو الـ gas exchange، فبالتالي هذا بيخليها أكثر + +453 +00:35:53,850 --> 00:36:01,430 +فعالية وأفضل في اللي هو العمل. + +454 +00:36:03,360 --> 00:36:08,860 +كل Erythrocytes تمتلك حوالي 280 مليون مولوكيولز + +455 +00:36:08,860 --> 00:36:13,860 +تحتوي على الـ Red Pigment أو الصبغة الحمراء + +456 +00:36:13,860 --> 00:36:19,020 +الغامقة اللي بنشوفها في داخل عينة الدم، ليش ناتجة + +457 +00:36:19,020 --> 00:36:22,860 +عن البروتين اسمه الـ Hemoglobin، يعمل على نقل + +458 +00:36:22,860 --> 00:36:27,740 +transport للأكسجين، نقل اللي هو الأكسجين، وكذلك + +459 +00:36:27,740 --> 00:36:32,240 +ثاني أكسيد الكربون، and responsible مسئولة عن + +460 +00:36:32,240 --> 00:36:37,560 +اغمقاق أو اللي هو اللون الأحمر الفاقع، خليني أحكي + +461 +00:36:37,560 --> 00:36:41,580 +للـ colors of arterial blood، في عندنا دم موجود في الـ + +462 +00:36:41,580 --> 00:36:45,160 +artery و دم موجود في الـ vein، يعني دم موجود في + +463 +00:36:45,160 --> 00:36:49,000 +الشريان، وفي عندنا دم موجود في الوريد، الآن الـ + +464 +00:36:49,000 --> 00:36:54,240 +hemoglobin اللي يحتوي على اللي هو مو أكسجين، بيكون + +465 +00:36:54,240 --> 00:36:59,020 +دي blood color can be perceived أو ممكن حفظها داخل + +466 +00:36:59,020 --> 00:37:04,200 +اللي هو الـ vein بلون أزرق غامق، يعني اللي هو blue + +467 +00:37:04,200 --> 00:37:08,160 +because the blood مو أكسجين أو لا يحتوي على كمية + +468 +00:37:08,160 --> 00:37:13,820 +من الأكسجين، فبالتالي باين تحت subcutaneous layer + +469 +00:37:13,820 --> 00:37:19,130 +أو ما يسمى بيه اللي هو تحت الجلد، تمام؟ هذا بالنسبة + +470 +00:37:19,130 --> 00:37:22,650 +للي هو الـإريثروسايت أو الـ hemoglobin اللي موجود + +471 +00:37:22,650 --> 00:37:27,250 +الـإريثروسايت linked في cycle زي ما حكينا اللي هو لا + +472 +00:37:27,250 --> 00:37:32,050 +تحتوي على قضيات sustained، life life span تبعتها كل + +473 +00:37:32,050 --> 00:37:37,360 +120 يوم، يعني كل تلت شهور تقريبا، كل أربع شهور + +474 +00:37:37,360 --> 00:37:41,340 +فبالتالي دي ناخد بالنا من الرقم اللي موجود، daily + +475 +00:37:41,340 --> 00:37:46,260 +حوالي 1% من الـ oldest RBCs can be removed، ممكن أنا + +476 +00:37:46,260 --> 00:37:51,880 +أزيلها، اللي انزلّت أو هلكت، حطمت، المقبرة، حكينا + +477 +00:37:51,880 --> 00:37:56,200 +تبعت اللي هو تحطيم الـ RBCs هي في الـ spleen and liver + +478 +00:37:56,200 --> 00:38:01,220 +اللي هو في الطحال والكبد، ممكن أنا أستفيد من بعض + +479 +00:38:01,220 --> 00:38:04,260 +العناصر أو بعض الـ components، أنه أنا أحتفظ فيها + +480 +00:38:04,260 --> 00:38:08,000 +على سبيل المثال، هذه شوية protein أنا بدي أخبيها، صح؟ + +481 +00:38:08,000 --> 00:38:12,580 +اتكسرت عندي الخلية، ولكن فيها أشياء يعني ممكن أنه + +482 +00:38:12,580 --> 00:38:16,560 +أنا أحتفظ فيها، وبعض الأشياء لأ، خلاص روحي على الـ + +483 +00:38:16,560 --> 00:38:20,600 +waste product، ما بدنا إياها، فبالتالي ممكن أنا أضيعها. + +484 +00:38:20,600 --> 00:38:26,060 +شو أنواع أو شو هي فئات الدم اللي أنا ممكن أعرفها؟ + +485 +00:38:27,380 --> 00:38:32,240 +بيعتمد حسب البروتين الموجود في الـ RBCs، تمام؟ في + +486 +00:38:32,240 --> 00:38:38,300 +غشاء الخلية، جروبات الدم أربعة، في عندنا ناس تحمل دم + +487 +00:38:38,300 --> 00:38:45,180 +فئة A، ناس تحمل دم فئة B، ناس تحمل دم فئة AB، وناس + +488 +00:38:45,180 --> 00:38:52,340 +تحمل فئة الدم O، الناس اللي بتحمل فئة الدم O هذه + +489 +00:38:52,340 --> 00:38:54,600 +بسميها universal + +490 +00:38:56,700 --> 00:39:05,100 +Donor، معطي عام، تمام؟ بيعطي كل الفئات، ولكن الناس + +491 +00:39:05,100 --> 00:39:13,100 +اللي تحمل دم AB أو فئة الـAB هي universal recipient + +492 +00:39:13,100 --> 00:39:20,240 +تمام؟ أو اللي هي مستقبل عام، الـ A,B blood types + +493 +00:39:20,240 --> 00:39:25,780 +type A يحتوي على A surface antigen، B يحتوي + +494 +00:39:25,780 --> 00:39:30,460 +على الـ B surface antigen، أما A,B فيحتوي على + +495 +00:39:30,460 --> 00:39:36,050 +اللي هو both، يا إما A يا إما B surface antigen، الـ + +496 +00:39:36,050 --> 00:39:41,330 +O لا يحتوي على لا A ولا B antigen، فبالتالي + +497 +00:39:41,330 --> 00:39:48,190 +الـ O بعتبره معطي عام، بيعطي كل فئات الدم، ولكن لا + +498 +00:39:48,190 --> 00:39:56,310 +يستقبل إلا من نفسه، إلا AB اللي هو مستقبل عام، تمام؟ + +499 +00:39:56,990 --> 00:40:01,830 +هذا بالنسبة لمجموعات الدم، خليني أشوف اللي هو الـ + +500 +00:40:01,830 --> 00:40:04,630 +blood types، الـ antibodies أو اللي هو الـ agglutinins + +501 +00:40:04,630 --> 00:40:09,430 +that surface antigen in plasma، الـ ABO group has + +502 +00:40:09,430 --> 00:40:15,510 +anti-A and anti-B antibodies، لأنه AB group لحالها + +503 +00:40:15,510 --> 00:40:20,930 +فبالتالي A يحتوي على antibody اللي هو Anti-B، أما B + +504 +00:40:20,930 --> 00:40:28,060 +فيحتوي على Anti-A، وAB neither Anti-A nor Anti-B. Type O + +505 +00:40:28,060 --> 00:40:31,580 +يحتوي على both Anti-A and + +506 +00:40:31,580 --> 00:40:37,080 +Anti-B antibodies، هذا بالنسبة ل ... اللي هو فئات الدم + +507 +00:40:37,080 --> 00:40:40,340 +الأربعة، عرفنا مين الـ Antigen تبعها، عرفنا مين + +508 +00:40:40,340 --> 00:40:44,040 +الـ Antibodies، عرفنا كمان مين المعطي العام ومين + +509 +00:40:44,040 --> 00:40:50,090 +المستقبل العام، هنتكلم عن الـ white blood cells اللي + +510 +00:40:50,090 --> 00:40:54,830 +هي خلايا الدم البيضاء، بسميها الـ leucocytes، عشان + +511 +00:40:54,830 --> 00:40:59,510 +كده حكيت، leukemia تعني cancer in the blood أو اللي هو + +512 +00:40:59,510 --> 00:41:04,590 +سرطان الدم، من اسمها، من الـ leuco (white)، وظيفتها الـ + +513 +00:41:04,590 --> 00:41:08,090 +function تبعتها protect against diseases، طبعا بتساهم + +514 +00:41:08,090 --> 00:41:13,210 +معايا في الـ immune system، interleukins and colony + +515 +00:41:13,210 --> 00:41:16,930 +stimulating factors stimulate development، وظيفتها + +516 +00:41:16,930 --> 00:41:23,570 +تهاجم وتبتلع الأجسام الغريبة، بالنسبة لأنواعها في + +517 +00:41:23,570 --> 00:41:31,170 +عندي حاجة اسمها granulocytes، خلايا محببة، يعني لو + +518 +00:41:31,170 --> 00:41:34,270 +أنا شفتها على الـ microscope بلاقي فيها على شكل + +519 +00:41:34,270 --> 00:41:38,790 +حبيبات، granules، حكينا إيه لما بتسبق + +520 +00:41:38,790 --> 00:41:44,730 +المعلومة معناته إيه؟ بتنفيها، غير محببة ما بلاقيهاش + +521 +00:41:44,730 --> 00:41:49,750 +تحت الـ microscope فيها أي شيء من اللي هو الحبيبات. + +522 +00:41:49,750 --> 00:41:56,050 +مين عندي الخلايا المحببة؟ neutrophils، eosinophils، و basophils + +523 +00:41:57,240 --> 00:42:02,700 +neutrophils معادلة أو اللي هو تعادل في الحموضة، eosinophils + +524 +00:42:02,700 --> 00:42:10,120 +قاعدي، و basophils حمضي، تمام؟ إذا الـ neutrophils، و الـ eosinophils + +525 +00:42:10,120 --> 00:42:14,040 +و الـ basophils خلايا granular، تحتوي على خلايا + +526 +00:42:14,040 --> 00:42:17,980 +granular، خلايا محببة، أما الـ lymphocytes + +527 +00:42:17,980 --> 00:42:22,560 +و الـ monocytes المسؤولين عن مهاجمة اللي هو + +528 +00:42:22,560 --> 00:42:27,850 +الـ pathogens، فهي خلايا غير محببة، تمام؟ هي خلايا + +529 +00:42:27,850 --> 00:42:33,110 +لا وجود للحبيبات داخلها، هذا بالنسبة للـ white blood + +530 +00:42:33,110 --> 00:42:37,810 +cells، الـ platelets هحكي عليها كمان حاجات كنا احنا + +531 +00:42:37,810 --> 00:42:43,260 +اتكلمنا عنها، مسؤولة عن تجلط الدم، كنا بنحكي على الـ + +532 +00:42:43,260 --> 00:42:47,480 +blood coagulation أو عملية اللي هو تخثر الدم، هي + +533 +00:42:47,480 --> 00:42:52,100 +طبعا من عند الله سبحانه وتعالى، regularly من بين + +534 +00:42:52,100 --> 00:42:55,600 +released as similar fragments، بتساعد في إغلاق الـ + +535 +00:42:55,600 --> 00:42:59,160 +arterial bleeding أو الـ venous bleeding، حوالي اتنين + +536 +00:42:59,160 --> 00:43:03,260 +micrometer في الـ diameter تبعتها، sometimes بسميها + +537 +00:43:03,260 --> 00:43:08,180 +thrombocytes، كلمة thrombocytes تعني خثرة دموية، okay. + +538 +00:43:08,180 --> 00:43:12,760 +continuously produced by red bone marrow، بتتم + +539 +00:43:12,760 --> 00:43:17,100 +اللي هو إنتاجها عن طريق اللي هو نخاع العظم الأحمر، by + +540 +00:43:17,100 --> 00:43:22,880 +cells اسمها megakaryocytes، إذا + +541 +00:43:22,880 --> 00:43:26,980 +بتتم إنتاج الـ platelets عن طريق النخاع الأحمر، في + +542 +00:43:26,980 --> 00:43:34,190 +خلايا اسمها megakaryocytes، طبعا عرفنا وين خلايا دم + +543 +00:43:34,190 --> 00:43:39,170 +الأحمر أو نخاع العظم الأحمر بتكون موجودة، بهيك يعطيكم + +544 +00:43:39,170 --> 00:43:43,370 +العافية، بيكون خلصنا chapter لـ blood، نلتقي بإذن + +545 +00:43:43,370 --> 00:43:46,290 +الله تعالى في chapter قادم، يعطيكم الفعالية. + diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/24ozpLPDrMs_postprocess.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/24ozpLPDrMs_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..75e44c34df568777406f2689a36860b14b8b6e3d --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/24ozpLPDrMs_postprocess.srt @@ -0,0 +1,2180 @@ +1 +00:00:05,090 --> 00:00:07,810 +بسم الله الرحمن الرحيم والصلاة والسلام على أشرف + +2 +00:00:07,810 --> 00:00:12,610 +الأنبياء والمرسلين مكملة معاكم ماقمة قصة قسم اللي + +3 +00:00:12,610 --> 00:00:17,830 +هو مادة التشريح للمستوى الأول اتحدثنا في هذا + +4 +00:00:17,830 --> 00:00:21,730 +المساقع على عدة من الشباتر ابتداء ب chapter + +5 +00:00:21,730 --> 00:00:26,930 +introduction و نهاية في فيديو رقم 15 اللي هو + +6 +00:00:26,930 --> 00:00:31,890 +chapter muscular system اليوم عشان نرضي جميع الناس + +7 +00:00:31,890 --> 00:00:35,840 +اللي هيتخصص معانا في كل الأقسامسواء اللي بدهم + +8 +00:00:35,840 --> 00:00:38,120 +يروحوا على التحاليل أو اللي بدهم يروحوا على + +9 +00:00:38,120 --> 00:00:42,000 +البصريات أو الناس اللي هتتخصص عنا في قسم العلاج + +10 +00:00:42,000 --> 00:00:47,920 +الطبيعي وكمان الناس اللي هتحول لكلية الطبهنتحدث في + +11 +00:00:47,920 --> 00:00:53,240 +هذا الفيديو عن مجموعة من المعلومات لل blood و ال + +12 +00:00:53,240 --> 00:00:57,040 +cardiovascular system اللي هو خاص بطلبتنا في + +13 +00:00:57,040 --> 00:01:01,080 +التحاليل كمان نفس الاشي بدي أحكي على موضوع خاص + +14 +00:01:01,080 --> 00:01:05,760 +بأخصائي البصريات اللي هو ال chapter الجاي chapter + +15 +00:01:05,760 --> 00:01:12,130 +ال I نبدأ بداية ل bloodال blood هو عبارة عن إشي أو + +16 +00:01:12,130 --> 00:01:17,510 +قسم خاص بال connective tissue زي ما حكينا في فصل + +17 +00:01:17,510 --> 00:01:21,310 +ال tissue أن ال blood و ال lymph أنا بعتبرهم أجزاء + +18 +00:01:21,310 --> 00:01:26,870 +أساسية من اللي هو طبعا زي ما حكينا زمان blood and + +19 +00:01:26,870 --> 00:01:31,160 +lymphوأعتقد هذا إيجاكم في الامتحان هو عبارة عن + +20 +00:01:31,160 --> 00:01:36,480 +connective tissue تمام؟ إذا يحتوي على الخلايا، + +21 +00:01:36,480 --> 00:01:40,580 +أيضا يحتوي على ال liquid اللي هي substance، يحتوي + +22 +00:01:40,580 --> 00:01:45,320 +على مادة قشية، هنعرف شو التركيبة الكيميائية تبعته، + +23 +00:01:45,320 --> 00:01:48,360 +أيضا يحتوي على مواد تحتوي على dissolve protein + +24 +00:01:48,360 --> 00:01:56,050 +fibersو حوالي هو أسمك أو أكثف من الماء باربع مرات، + +25 +00:01:56,050 --> 00:02:00,490 +تمام؟ إذا بنحكي على نوع من أنواع اللي كنت بتفتشه + +26 +00:02:00,490 --> 00:02:04,750 +هو ال blood وهو عبارة عن في السماكة أو في الكثافة + +27 +00:02:04,940 --> 00:02:08,820 +بأكثر بأربع مرات من الماء Liquid Substance called + +28 +00:02:08,820 --> 00:02:12,760 +Plasma اللي هي المادة القشية اللون و ال + +29 +00:02:12,760 --> 00:02:16,420 +temperature تبعته أو درجة الحرارة تبعته حوالي واحد + +30 +00:02:16,420 --> 00:02:19,400 +centigrade higher than measured by body + +31 +00:02:19,400 --> 00:02:22,640 +temperatures كلنا بنعرف أن درجة حرارة جسم الإنسان + +32 +00:02:22,640 --> 00:02:28,400 +37 درجة centigrade فبالتالي هو أعلى بدرجة واحدة + +33 +00:02:28,400 --> 00:02:34,460 +وهي عبارة عن 38 هذا بالنسبة للمعلومات ال generalفي + +34 +00:02:34,460 --> 00:02:38,780 +ال blood ال blood volume تختلف حسب الأشكال وحسب + +35 +00:02:38,780 --> 00:02:42,620 +أحجام الإنسان بحكي على حجم الدم عند ال body عند + +36 +00:02:42,620 --> 00:02:46,580 +الأطفال ال children يختلف عن حجم الدم عند البالغين + +37 +00:02:46,580 --> 00:02:50,940 +أيضا يختلف حسب ال fluid concentration يختلف حسب ال + +38 +00:02:50,940 --> 00:02:55,300 +electrolytes كمية تركيز الأملاح يختلف حسب وجود ال + +39 +00:02:55,300 --> 00:02:58,460 +adipose tissue يعني الناس الفاتية بتكون عندها كمية + +40 +00:02:58,460 --> 00:03:03,180 +الدم أو حجم الدم يختلف تماما عن الناس اللي همما + +41 +00:03:03,180 --> 00:03:07,320 +عندهم a device تشوف بيشكل حوالي تمانية في المياه + +42 +00:03:07,320 --> 00:03:13,040 +من وزن جسم الإنسان و يشكل حوالي خمسة لتر من اللي + +43 +00:03:13,040 --> 00:03:17,120 +هو حجم الجسم الآن هذا الجهاز زي ما انتوا شايفينه + +44 +00:03:17,120 --> 00:03:22,300 +هنا على ال LCD تبعنا هو جهاز الترب المركزي وهو + +45 +00:03:22,300 --> 00:03:27,840 +عبارة عن إيش؟بيحلمني الدم إلى ثلاث أجزاء رئيسية زي + +46 +00:03:27,840 --> 00:03:30,060 +ما انتوا شايفين هنا في ال test tube هذه أنبوبة + +47 +00:03:30,060 --> 00:03:33,680 +الاختبار اسمها ال test tube باجي انا باخد العينة + +48 +00:03:33,680 --> 00:03:38,440 +من المريض تبعي و بحط اللي هو كمية الدم المناسبة في + +49 +00:03:38,440 --> 00:03:42,370 +هذه ال test tubeهنجد أو هلاجي أن الدم ينقسم إلى + +50 +00:03:42,370 --> 00:03:46,250 +ثلاث طبقات أساسية هاي ال cellular component وفي + +51 +00:03:46,250 --> 00:03:49,910 +عندنا الطبقة بسميها طبقة ال buffy ويفع اللي هو + +52 +00:03:49,910 --> 00:03:54,090 +سائل قش اللون اللي هو عبارة عن البلازمة كل هذه + +53 +00:03:54,090 --> 00:03:57,250 +الاشي اللي أنا حكيته عنه كمقدمة هتكلم عليه واحدة + +54 +00:03:57,250 --> 00:04:00,390 +واحدة إذا ال whole blood consist of liquid + +55 +00:04:00,390 --> 00:04:02,850 +substance and cellular components ال liquid + +56 +00:04:02,850 --> 00:04:06,450 +substance هو عبارة عن السائل القشي والcellular هو + +57 +00:04:06,450 --> 00:04:13,130 +عبارة عن الخلاياهنشوف شو هو، عنا حاجة اسمها + +58 +00:04:13,130 --> 00:04:17,770 +الاريثروسايت أو ما يسمى بال RBCs واحنا حكينا ان ال + +59 +00:04:17,770 --> 00:04:22,690 +RBCs هي عبارة عن اختصار لل blood supply بختصرها + +60 +00:04:22,690 --> 00:04:26,810 +بال RBCs مش غلط لو أنا أخصائي علاج طبيعي أو أخصائي + +61 +00:04:26,810 --> 00:04:30,690 +بصريات كنت عارف هذه الاختصارات وعارف هذه الحاجات + +62 +00:04:31,230 --> 00:04:35,690 +بتشكللي الطبقة السفلة من الـ centivirated blood + +63 +00:04:35,690 --> 00:04:41,570 +typically make up حوالي 44% بهمني كتير هنا الأرقام + +64 +00:04:41,570 --> 00:04:46,050 +إنه أنا أكون عارفةها هذه الاسم 44 إذا الcellular + +65 +00:04:46,050 --> 00:04:53,550 +أو ال RBCS بتشكل حوالي 44% من اللي هو الدم اللي + +66 +00:04:53,550 --> 00:04:58,340 +أنا عملتله centivirating تمام؟الـ puffy coats اللي + +67 +00:04:58,340 --> 00:05:03,820 +هي الطبقة الوسطى اللي موجودة هنا، هذه الطبقة طبعا + +68 +00:05:03,820 --> 00:05:07,820 +اللي موجودة هنا هي عبارة عن مادة أو طبقة لونها + +69 +00:05:07,820 --> 00:05:12,400 +grey make up middle layer بتشكل الطبقة الوسطى، + +70 +00:05:12,400 --> 00:05:18,940 +thin، خفيفة جدا، slightly white to greyأبيض مائل + +71 +00:05:18,940 --> 00:05:24,280 +إلى الـ grey اللي هو الرمادي تتكون من حاجة اسمها + +72 +00:05:24,280 --> 00:05:30,640 +ليكوسايتس وكلمة ليكو هي عبارة عن أبيض كلمة ليكو + +73 +00:05:30,640 --> 00:05:38,480 +باللاتيني تعني اللي هو أبيضwhite blood cells اللي + +74 +00:05:38,480 --> 00:05:42,000 +هو انا باختصرها بال WBC + +75 +00:06:04,970 --> 00:06:10,870 +عينت قدام اذا اربعة وأربعين وهنا عندي واحد صار + +76 +00:06:10,870 --> 00:06:18,150 +المجموع خمسة وأربعين تمام هشوف الطبقة العليا اللي + +77 +00:06:18,150 --> 00:06:23,430 +هي طبقة البلازمة طبقة البلازمة هي عبارة عن سائل قش + +78 +00:06:23,430 --> 00:06:27,830 +اللون زي ما بنعرف يحتوي على خمسة وخمسين في المية + +79 +00:06:27,830 --> 00:06:34,350 +من العينة اللي اتاخدت عندي اذا هنا خمسة وخمسينتمام + +80 +00:06:34,350 --> 00:06:38,550 +هذه الجزئية خمسة و خمسين و خمسة و أربعين بيطلع + +81 +00:06:38,550 --> 00:06:43,270 +الناتج عندى اللى هو مية في المية أربع و ألبعين + +82 +00:06:43,270 --> 00:06:47,270 +RBCs واحد من ال middle layer أو ال buffer coats و + +83 +00:06:47,270 --> 00:06:51,670 +خمسة و خمسين من البلازما اللى هى السائل القش اللون + +84 +00:06:51,670 --> 00:06:56,050 +طبعا اللى هو ال top layers أو الطبقة العليا من + +85 +00:06:56,050 --> 00:07:00,590 +اللى هى العينة اللى أنا أخدتها اذا تركيبة الدم + +86 +00:07:00,590 --> 00:07:05,880 +يحتوي على RBCsبافي كوتس والبلازمة اللي هي بتكون في + +87 +00:07:05,880 --> 00:07:10,480 +ال top تحت لإن ال RBC's نوعا ما ثقيلة فبالتالي هي + +88 +00:07:10,480 --> 00:07:14,540 +بتكون في الطبقة السفلة بعدين فينا ال buffy اللي هي + +89 +00:07:14,540 --> 00:07:19,180 +الطبقة المتوسطة المائلة الرمادي الأبيض اللون ومن + +90 +00:07:19,180 --> 00:07:23,020 +ثم السائل القشي اللي هو مائل على إسفرار خليني أحكي + +91 +00:07:23,020 --> 00:07:28,670 +بيكون في ال top layers تمام؟الان شو تركبت اللي هو + +92 +00:07:28,670 --> 00:07:33,110 +ال blood؟ حكينا كلمة erythro باللاتيني هي عبارة عن + +93 +00:07:33,110 --> 00:07:36,830 +red يعني انا اليوم لما بحكي في ال Latin words + +94 +00:07:36,830 --> 00:07:40,550 +حكينا فيها عندنا كتير مصطلحات في ال Anatomy ممكن + +95 +00:07:40,550 --> 00:07:46,510 +نستخدمها في اللي هو شباتر نهارد كلمة erythro تعني + +96 +00:07:46,510 --> 00:07:47,290 +red + +97 +00:07:55,410 --> 00:08:01,610 +أو العناصر المكوّنة إذا لما أجي أنا أسألك شو تعريف + +98 +00:08:01,610 --> 00:08:07,090 +الformed elements هي عبارة عن erythrocytes تمام ال + +99 +00:08:07,090 --> 00:08:13,170 +RBCs زائد ال buffy codes اللي هي الطبقة السفلة + +100 +00:08:13,170 --> 00:08:15,270 +تمام طبقة + +101 +00:08:17,270 --> 00:08:23,170 +سفلة زاد الطبقة المسطة فهي بتعطينا الformed + +102 +00:08:23,170 --> 00:08:28,390 +elements و انا هنا مهم جدا اعرف شو هي الformed + +103 +00:08:28,390 --> 00:08:32,310 +elements اذا تعريفنا للformed elements هي عبارة عن + +104 +00:08:32,310 --> 00:08:36,250 +الاريثروسايت او ال RBCs بشكل عام زاد ال buffy + +105 +00:08:36,250 --> 00:08:42,370 +codesطبعا اسمها ال formed elements اللي هي العناصر + +106 +00:08:42,370 --> 00:08:47,190 +المكوناة هلأ ال formed elements زائد البلازمة + +107 +00:08:47,190 --> 00:08:51,930 +تعطينا عينة الدم كامل يعني واحد زائد اتنين خليني + +108 +00:08:51,930 --> 00:08:56,830 +اسمهم انا هنا واحد زائد اتنين واحد زائد اتنين + +109 +00:08:56,830 --> 00:09:00,610 +هيعطينا اللي هو ال formed elements تمام اللي هي + +110 +00:09:00,610 --> 00:09:04,310 +عينة الدم الكاملة لما بدي احكي ال whole blood + +111 +00:09:07,740 --> 00:09:15,860 +هتعطيني الـ Formed elements زائد + +112 +00:09:15,860 --> 00:09:20,280 +الـ Formed elements زائد مين زائد اللي هي + +113 +00:09:20,280 --> 00:09:27,840 +اللبلازمة okay هاي بتعطيني عينة الدم الكاملة زي ما + +114 +00:09:27,840 --> 00:09:32,920 +انتوا شايفينها هنا في هاي ال slide شو وظائف الدم؟ + +115 +00:09:32,920 --> 00:09:37,630 +وظائف الدم عندي حوالي خمس وظائف أساسيةاليوم انا + +116 +00:09:37,630 --> 00:09:42,350 +بيقوم الدم بعمليات متعددة ومهم جدا ان انا اعرفها + +117 +00:09:42,350 --> 00:09:46,550 +بيعمل عملية transportation اول وظيفة ليله اللي هي + +118 +00:09:46,550 --> 00:09:51,170 +عملية النقل هينقل مين ويجيب مين ويودي مين مهم جدا + +119 +00:09:51,170 --> 00:09:56,620 +ان انا اعرف ان الدم هو عبارة عن وسيلةتنقل للـ + +120 +00:09:56,620 --> 00:10:01,000 +Oxygen and Carbon Dioxide اللي هي مهم لنقل عملية + +121 +00:10:01,000 --> 00:10:05,880 +الأكسوجين و كذلك ثاني أكسيد الكربون يعمل على + +122 +00:10:05,880 --> 00:10:09,240 +transport ل ال nuance element components through + +123 +00:10:09,240 --> 00:10:14,020 +the body خلال الجسم الآن كنا حكينا في chapter واحد + +124 +00:10:14,020 --> 00:10:18,200 +عن اللي هي الاريثروسايت أو خلايا الدم الحمراء ال + +125 +00:10:18,200 --> 00:10:24,400 +RBCs تفتقد إلى النواةليه؟ حكينا تفتقد للنوات و ذلك + +126 +00:10:24,400 --> 00:10:29,140 +لحتى يسمح لها هذا الشكل أو هذا التركيب سبحان الله + +127 +00:10:29,140 --> 00:10:35,500 +بيحمل أكبر كمية من ال oxygen أو الدم المؤكسد تمام؟ + +128 +00:10:35,500 --> 00:10:39,300 +إذا الاريثمو ساعت carry oxygen from lung body + +129 +00:10:39,300 --> 00:10:44,200 +cells وين ال exchange of gases ساعت؟ في ال lungs + +130 +00:10:44,200 --> 00:10:48,880 +مكان تبادل الغازات بيكون في داخل الرئتينفبالتالي + +131 +00:10:48,880 --> 00:10:53,360 +هذه الاريثروسايت أو هذه الخلايا اللي هي الاربسيز + +132 +00:10:53,360 --> 00:10:59,640 +تعمل على نقل أو تحمل الأكسوجين من الريقتين إلى + +133 +00:10:59,640 --> 00:11:06,600 +باقي أجزاء الجسم وتحمل معها أيضًا transport لـCO2 + +134 +00:11:06,600 --> 00:11:13,440 +ثاني أكسيد الكربون تعود إلى الجذب ثم تتطرد عن طريق + +135 +00:11:13,440 --> 00:11:18,620 +الجذب إذا مكان + +136 +00:11:18,620 --> 00:11:23,830 +تبادل الغازات يتم داخل الرئتينالبلازمة او ال blood + +137 +00:11:23,830 --> 00:11:28,910 +plasma ايضا تعمل على نقل الهرمونات اللي احنا حكينا + +138 +00:11:28,910 --> 00:11:35,290 +عليهم وتعمل ايضا على نقل ال nutrition او المواد + +139 +00:11:35,290 --> 00:11:36,050 +الغذائية + +140 +00:11:38,670 --> 00:11:43,170 +الـ gastric intestine اللي هي tract بتم امتصاص + +141 +00:11:43,170 --> 00:11:47,310 +المواد الغذائية او ال gastric intestine اللي هي + +142 +00:11:47,310 --> 00:11:52,870 +المعدي المعوي القناة المعيدية المعوية و ثم بتم + +143 +00:11:52,870 --> 00:11:58,700 +امتصاصه عن طريق المعديالمعوي طبعا gastric + +144 +00:11:58,700 --> 00:12:02,700 +intestine attract hormones secreted by endocrine + +145 +00:12:02,700 --> 00:12:07,240 +organs to the target cells وبتم نقل اللي هو ال + +146 +00:12:07,240 --> 00:12:12,280 +hormone gastric intestine اللي بلازمة تعمل على + +147 +00:12:12,280 --> 00:12:17,430 +إيش؟ نقل ال wasted productأيضا ال plasma لها وظيفة + +148 +00:12:17,430 --> 00:12:20,890 +ثالثة تعمل على نقل ال nitrogen تعمل على نقل ال + +149 +00:12:20,890 --> 00:12:25,210 +hormones تعمل على نقل ال waste product اللي هو زي + +150 +00:12:25,210 --> 00:12:30,690 +بعض المواد الدرب الجسم على سبيل المثال بتم طردها + +151 +00:12:30,690 --> 00:12:34,190 +زي الأملح مثلا بتم طردها عن طريق اللي هو ال + +152 +00:12:34,190 --> 00:12:38,520 +kidneys where this waste product are removedإذا + +153 +00:12:38,520 --> 00:12:41,880 +اعرفنا كيف أنه ممكن يكون في عنا عملية + +154 +00:12:41,880 --> 00:12:46,860 +transportation by blood عن طريق ال RBCs وعن طريق + +155 +00:12:46,860 --> 00:12:54,180 +اللي هو ال plasma تبع الدمالوظيفة الثانية لاللي هو + +156 +00:12:54,180 --> 00:12:58,760 +ال blood اللي هي regulation of body temperatures + +157 +00:12:58,760 --> 00:13:03,720 +تنظيم درجة الحرارة الآن كلنا بنعرف أن الإنسان من + +158 +00:13:03,720 --> 00:13:08,200 +ذوات الدم الحار فبالتالي بتكيف مع البيئة المحيطة + +159 +00:13:08,200 --> 00:13:12,320 +فيه ما بيصير أن الدم تبعنا يجمد في ذلها الظروف + +160 +00:13:12,320 --> 00:13:15,870 +مثلا أو درجة الحرارة المتدنية لأتبقى عملية الـ + +161 +00:13:15,870 --> 00:13:19,490 +hematostasis أو عملية الثبات في درجة الحرارة ثابتة + +162 +00:13:19,490 --> 00:13:24,710 +سواء في الحر أو في البد فبالتالي وظيفة الدم يحافظ + +163 +00:13:24,710 --> 00:13:29,030 +على اللي هو الثديات أو الكائنات الحية ذوات الدم + +164 +00:13:29,030 --> 00:13:34,830 +الحار في المحافظة على ثباتية درجة حرارة الجسم إن + +165 +00:13:34,830 --> 00:13:38,250 +لم يحدث أي شيء pathologicallyregulated لل body + +166 +00:13:38,250 --> 00:13:43,170 +temperatures تعمل البلازمة على انتصاصand + +167 +00:13:43,170 --> 00:13:49,090 +distributing لل heat خلال الجسم كيف بيصير اليوم في + +168 +00:13:49,090 --> 00:13:51,950 +حالة البرد الشديد هذا اللي احنا فيه في شهر اتناشر + +169 +00:13:51,950 --> 00:13:57,310 +شهر واحد بيصير في عندي blood vessels dilatation + +170 +00:13:57,310 --> 00:14:03,790 +توسع dilatation تعني توسع للأوعية الدموية هذا ال + +171 +00:14:03,790 --> 00:14:08,850 +dilatation بيقدي لإيش؟بيقدّي إلى أنه يعمل ديسبت + +172 +00:14:08,850 --> 00:14:13,370 +توزيع للحرارة خلال الـ Inter-dermal systems اللي + +173 +00:14:13,370 --> 00:14:19,250 +هي خلال الجلد هنا يعمل على توزيع وانتشار اللي هي + +174 +00:14:19,250 --> 00:14:23,090 +الحرارة هذا في حالة البرد اللي هي ال calling أما + +175 +00:14:23,090 --> 00:14:27,610 +في حالة اللي هي الجسم بحاجة لإنه يحافظ على درجة + +176 +00:14:27,610 --> 00:14:31,990 +الحرارة بنلاقي إن ال blood vessels الأوعية الدموية + +177 +00:14:31,990 --> 00:14:35,910 +تعمل vasoconstrictionكلمة vase construction يعني + +178 +00:14:35,910 --> 00:14:40,990 +تضييق للأوعية الدموية إذا أنا في كلا الحالتين + +179 +00:14:40,990 --> 00:14:46,130 +بيشتغل الجسم عندي حالة البرد الشديد وحالة اللي هو + +180 +00:14:46,130 --> 00:14:49,990 +أنا بدي أحافظ على درجة الحرارة الآن كمان في ال + +181 +00:14:49,990 --> 00:14:52,830 +shop بنلاقي إنه إحنا بيصير في عنا عملية التعرق + +182 +00:14:52,830 --> 00:14:56,750 +هاينة هي إلا عبارة عن عملية التلطيف لأجل إن يصير + +183 +00:14:56,750 --> 00:15:00,350 +في توازن بين الحرارة الخارجية و الحرارة الداخلية + +184 +00:15:00,850 --> 00:15:04,830 +إذا في اللي هو الـ conserval heating أنه أنا بدي + +185 +00:15:04,830 --> 00:15:07,750 +أحافظ على الحرارة، ما بدي أضيع عندي اللي هي الطاقة + +186 +00:15:07,750 --> 00:15:11,270 +الحرارية اللي موجودة في جسمي، احنا بيعز شهر واحد، + +187 +00:15:11,270 --> 00:15:14,210 +لأ فبالتالي بعمل vasoconstriction أو الجسم بيعمل + +188 +00:15:14,210 --> 00:15:18,390 +vasoconstriction يعني بتنقض ال blood vessels اللي + +189 +00:15:18,390 --> 00:15:24,380 +هي الأوعي الدموية and warm للبلدis shunted وبيبعث + +190 +00:15:24,380 --> 00:15:27,980 +اللي هو ال brain ان انت يا الاوعية الدموية حافظي + +191 +00:15:27,980 --> 00:15:32,960 +على كمية الحرارة من انها تنتشر او تتوزع خارج الجسم + +192 +00:15:32,960 --> 00:15:36,420 +هذا كله بإرادة الله سبحانه وتعالى الوظيفة التانية + +193 +00:15:36,420 --> 00:15:39,940 +اللي انا حكيت عليها اللي هي ال blood او ال + +194 +00:15:39,940 --> 00:15:44,730 +regulation temperatures لل bodyالوظيفة الثالثة + +195 +00:15:44,730 --> 00:15:50,530 +اللي هي أنه في عندي التنظيم للبيئاتش بتعرفوا كلمة + +196 +00:15:50,530 --> 00:15:54,950 +البيئاتش هو عبارة عن معامل الحموضة معامل الحموضة + +197 +00:15:54,950 --> 00:15:59,270 +كيف أنا بدي أعرفه؟ الآن في عندنا اللي هو درجة + +198 +00:15:59,270 --> 00:16:03,130 +الحموضة لأي إشي مهم جدا أن أنا أعرفها في عندنا ال + +199 +00:16:03,130 --> 00:16:05,510 +orange وفي عندنا ال alkaline اللي هو عبارة عن + +200 +00:16:05,510 --> 00:16:11,140 +القاعد اللي هو ال milk أو الحليببقيسه على عبارة عن + +201 +00:16:11,140 --> 00:16:21,740 +خط الأعداد من واحد لسبعة تمام + +202 +00:16:21,740 --> 00:16:26,140 +الـ pH بقيسه هي إما ال alkaline أو ال acidic أو + +203 +00:16:26,140 --> 00:16:30,720 +اللي هو ال orange juice الـ pH الطبيعي أو معانا + +204 +00:16:30,720 --> 00:16:34,700 +الحموض الطبيعي عند سبعة يعني نقطة الصفر تبعتنا من + +205 +00:16:34,700 --> 00:16:40,090 +سبعةإذا كان acid-fluid فمعناته هو من 0 ل7 بيكون + +206 +00:16:40,090 --> 00:16:47,690 +حامض تمام؟ هي هنا السبعة و كده راح أمشي لـ 0 و هنا + +207 +00:16:47,690 --> 00:16:58,190 +راح أمشي لـ 14 من 0 ل7 هذا بسميه acidتمام؟ حمضي + +208 +00:16:58,190 --> 00:17:03,310 +أما من سبعة إلى أربعة عاش فهو alkaline يعني هو + +209 +00:17:03,310 --> 00:17:10,230 +عبارة عن قاعدي يعني حليب أو ما يسمى بالملك طبعا و + +210 +00:17:10,230 --> 00:17:16,530 +هنا orangeاللي هو عصير البرتقال الحامض فبالتالي + +211 +00:17:16,530 --> 00:17:21,090 +أنا هنا بيحافظ .. يجب أن يحافظ الدم على معامل ثابت + +212 +00:17:21,090 --> 00:17:26,450 +حامض ثابت يعني ما يكون لا عالي و لا يكون قليل لأنه + +213 +00:17:26,450 --> 00:17:30,690 +هيك بيدر الجسم و بيأدي لمشاكل ال blood plasma + +214 +00:17:30,690 --> 00:17:33,710 +تحتوي على compounds زي ال ions that make + +215 +00:17:33,710 --> 00:17:37,650 +distributing خلال ال among tissue اللي هي الأنسجة + +216 +00:17:37,650 --> 00:17:40,990 +البينية ال interstitial fluidto maintain normal + +217 +00:17:40,990 --> 00:17:47,870 +tissue of pH تمام اللي هو بيحافظ على معامل الحموضة + +218 +00:17:47,870 --> 00:17:53,790 +ال blood plasma تبعنا 7.4 يعني هنا مائل إلى القاعد + +219 +00:17:53,790 --> 00:17:57,230 +قليلا من ال pH required to normal cellular + +220 +00:17:57,230 --> 00:18:01,690 +function حتى تؤدي خلايا الجسم وظيفتها بشكل ممتاز + +221 +00:18:01,690 --> 00:18:09,260 +فهيكون من 7 إلى 4 point7.4 من 10 اللي هو محتاجه + +222 +00:18:09,260 --> 00:18:13,820 +احنا في الجسم الوظيفة الرابعة انه بيحافظ على ال + +223 +00:18:13,820 --> 00:18:18,800 +fluid levels الان الدم بيحافظ ليه على مستوى اللي + +224 +00:18:18,800 --> 00:18:24,960 +هو ان يكون وضع ال fluid موجود بشكل طبيعي و normal + +225 +00:18:24,960 --> 00:18:29,380 +في جسم الإنسان اليوم انا اذا أكلت على سبيل المثال + +226 +00:18:29,380 --> 00:18:35,490 +أملح كتيرةو صار في عندي ورم في ال peripheral سواء + +227 +00:18:35,490 --> 00:18:39,590 +في ال hand او في ال foot معناه الكلام ان انا لازم + +228 +00:18:39,590 --> 00:18:44,570 +اعرف ان انا في عندي مشكلة في مستوى تخزين الفوت + +229 +00:18:44,570 --> 00:18:48,550 +داخل جسمي هذا ليه؟ لإنه ممكن يديلي هذا الاشي + +230 +00:18:48,550 --> 00:18:51,990 +لارتفاع ال blood pressure اليوم ال blood pressure + +231 +00:18:51,990 --> 00:18:57,590 +هو عبارة عن الضغط الدم ال normal من ضغط الدم 120 + +232 +00:18:57,590 --> 00:19:03,360 +على 80تمام ال blood pressure هو عبارة عن ضغط الدم + +233 +00:19:03,360 --> 00:19:08,980 +هنا هتحدث على نقطة مهمة جدا ال normal هذا تبعنا + +234 +00:19:08,980 --> 00:19:13,340 +ضغط الدم أنه يكون 120 على 80 لو زاد 10 كده و 10 + +235 +00:19:13,340 --> 00:19:18,820 +كده بنعتبره normal ولكن أنا بخليه على خط الخطر أو + +236 +00:19:18,820 --> 00:19:24,230 +risk area بنسميهاإذا كان في عندي increasing ل ال + +237 +00:19:24,230 --> 00:19:28,270 +blood pressure معناة الكلام إنه هذا هيأدي لي مشاكل + +238 +00:19:28,270 --> 00:19:33,230 +عديدة، خمنا نشوف وظيفة الدم إنه يحافظلي على مستوى + +239 +00:19:33,230 --> 00:19:38,050 +ثابت من اللي هو ال fluid liquid، ال liquid اللي + +240 +00:19:38,050 --> 00:19:40,990 +موجود داخل الجسم، ليه؟ لأنه بيحافظ على ال + +241 +00:19:40,990 --> 00:19:44,900 +cardiovascular system يشتغل بشكل نحنto prevent + +242 +00:19:44,900 --> 00:19:48,640 +blood losses حتى أنا أمنع أي فقدان لهذه السوائل + +243 +00:19:48,640 --> 00:19:52,640 +لازم يكون في عندي توازن ما بين ال blood plasma و + +244 +00:19:52,640 --> 00:19:55,460 +ال interstitial fluid توازن ما بين ال plasma + +245 +00:19:55,460 --> 00:20:00,720 +الدموية و ال interstitial fluid if too much إذا + +246 +00:20:00,720 --> 00:20:05,100 +كانت أعلى من الوضع الأساسي أو الوضع ال normal + +247 +00:20:05,100 --> 00:20:09,890 +معناة الكلام أنهبدي يصير في عندي high blood + +248 +00:20:09,890 --> 00:20:14,170 +pressure انه انا عندي ضغط الدم عالي فبالتالي بحكي + +249 +00:20:14,170 --> 00:20:18,370 +لهذه set أو هذا الحاج اللي أكل كمية كبيرة من ال .. + +250 +00:20:18,370 --> 00:20:22,210 +على سبيل المثال high salt طبعا اللي هو زي المخللات + +251 +00:20:22,210 --> 00:20:25,350 +و الأمور اللي زي high بتلاقي انه صار في عنده تورن + +252 +00:20:25,350 --> 00:20:29,950 +في القدمين و اليدين فبيصير في عندنا accumulation و + +253 +00:20:29,950 --> 00:20:34,340 +swelling اللي هو في ال peripheralمعناته الكلام انه + +254 +00:20:34,340 --> 00:20:38,720 +انا صار في عندي increasing او عدم اتزان في ال + +255 +00:20:38,720 --> 00:20:43,960 +blood في اللي هو ال fluid constant if too much + +256 +00:20:43,960 --> 00:20:47,840 +fluid escapes اذا كان في عندي فقدان لل + +257 +00:20:47,840 --> 00:20:51,000 +interstitial fluid بدي يكون في ال blood stream + +258 +00:20:51,000 --> 00:20:55,760 +enters to the tissue ال blood pressure dropsعكس أن + +259 +00:20:55,760 --> 00:20:59,960 +يكون عندي أعلى high blood pressure، في عندي حاجة + +260 +00:20:59,960 --> 00:21:04,120 +اسمها low blood pressure، أقل من الطبيعي، يعني أقل + +261 +00:21:04,120 --> 00:21:08,040 +من هذا الاشي أو هذا المعلامة اللي أنا حطيتها، إذا + +262 +00:21:08,040 --> 00:21:14,320 +كان أعلى، معناته بيكون في عندي تورمطبعا في كل + +263 +00:21:14,320 --> 00:21:19,320 +الحالتين هو اشي pathologically مش ممكن ان هو الشخص + +264 +00:21:19,320 --> 00:21:23,140 +يكون في الوضع السليم سواء خفض الضغط او عالي الضغط + +265 +00:21:23,140 --> 00:21:26,520 +في كل الحالتين هو اشي pathologically to maintain + +266 +00:21:26,520 --> 00:21:29,840 +ال balance fluid exchange لازم اكون انا عايشة + +267 +00:21:29,840 --> 00:21:33,400 +بحالة من التوازن between blood and interstitial + +268 +00:21:33,400 --> 00:21:37,100 +fluids البلد contain components زي ال salt and + +269 +00:21:37,100 --> 00:21:41,550 +البروتينعشان أنا أنع غروب أو أنع ضياع أي + +270 +00:21:41,550 --> 00:21:44,970 +components أنا بحاجة إله اليوم أنا لما يزيد عندي + +271 +00:21:44,970 --> 00:21:47,950 +الضغط فمعناته أن ال interstitial fluid هتتجمع كلها + +272 +00:21:47,950 --> 00:21:51,550 +بعيدة عن الأساس و بعيدة عن مكانها الطبيعي فبالتالي + +273 +00:21:51,550 --> 00:21:55,410 +هذا الاشي pathologically مش صحيحOkay إذا أربع + +274 +00:21:55,410 --> 00:22:00,510 +وظائف لحد الآن أخدنا في اللي هو ال blood ال + +275 +00:22:00,510 --> 00:22:03,570 +functions of a blood الوظيفة الرابعة الخامسة + +276 +00:22:03,570 --> 00:22:07,850 +والأخيرة اللي هي عبارة عن ال protection الدم يحتوي + +277 +00:22:07,850 --> 00:22:11,830 +على ال white blood cells أو ما يسمى بال leukocytes + +278 +00:22:11,830 --> 00:22:16,650 +ليكو حاكينا white باللاتيني فال leukocytes هي + +279 +00:22:16,650 --> 00:22:22,750 +عبارة عنخلايا الدم البيضاء التي تهاجم واللي احنا + +280 +00:22:22,750 --> 00:22:27,890 +طبعا في ضل COVID-19 نعتمد على ال Immunity System + +281 +00:22:27,890 --> 00:22:32,010 +تبعنا ومناعتنا داخل الجسم ال Immunity System هذا + +282 +00:22:32,010 --> 00:22:35,770 +اللي هو بيكون في ال lycosides أو ال white blood + +283 +00:22:35,770 --> 00:22:41,750 +cellsGrade Agonist طبعا بتساعد في مهاجمات اللي هي + +284 +00:22:41,750 --> 00:22:45,390 +الفيروس وزي ما بتعرفوا اللي هو الفيروس كورونا اللي + +285 +00:22:45,390 --> 00:22:50,610 +موجود يعتمد على قوة المناعة لدى الشخص By mounting + +286 +00:22:50,610 --> 00:22:54,410 +of immunity response لال pathogen of an antigen is + +287 +00:22:54,410 --> 00:22:57,900 +foundالبلازمة تعمل على نقل الـ Antibodies اللي + +288 +00:22:57,900 --> 00:23:01,640 +موجودة which are molecules that immobilize antigen + +289 +00:23:01,640 --> 00:23:05,340 +until leukocyte can completely kill or remove + +290 +00:23:05,340 --> 00:23:09,480 +antigens، بتحاول دائما هذه الـ leukocytes بكل + +291 +00:23:09,480 --> 00:23:14,230 +أنواعهاسواء المحببة أو غير المحببة، هناخد عن أنواع + +292 +00:23:14,230 --> 00:23:17,810 +الـ Leukocyte ونشوفها، فبالتالي هي بتهاجم هذا ال + +293 +00:23:17,810 --> 00:23:23,250 +pathogen عن طريق اللي هو محصلته ومن ثم التهمه + +294 +00:23:23,250 --> 00:23:26,930 +وابتلاعه، فبالتالي بيكون هذا إذا كان أنا عندي ال + +295 +00:23:26,930 --> 00:23:30,670 +immune system أو ال leukocyte قوية جدافي حالة انه + +296 +00:23:30,670 --> 00:23:34,390 +انا عندى ال immunity system ضعيفة هذا يمكن الفيروس + +297 +00:23:34,390 --> 00:23:37,290 +زى ما انتوا بتشوفوا الآن حاليا في عندنا ناس على + +298 +00:23:37,290 --> 00:23:41,470 +سبيل المثال قوتها المناعية عالية جدا لم يستطع + +299 +00:23:41,470 --> 00:23:45,390 +الفيروس اللى هو الهجوم عليها ولكن في حالة انه ال + +300 +00:23:45,390 --> 00:23:48,930 +immunity system ضعيفة و اللى هو جهاز المناعي ضعيف + +301 +00:23:48,930 --> 00:23:53,650 +بيهاجمه اللى هو الفيروس و بيتمكن منه + +302 +00:23:56,500 --> 00:24:00,640 +الـ Blades and blood proteins الصفائح الدموية + +303 +00:24:00,640 --> 00:24:05,700 +Coagulation وظيفتها تعمل على التجلطات اليوم ما + +304 +00:24:05,700 --> 00:24:09,300 +بيصير انا لو صار في عندي اي واند او اي جروح داخل + +305 +00:24:09,300 --> 00:24:13,540 +ايدي هنا انه يبقى الدم ينزف الى حد بيتصفى في جسمى، + +306 +00:24:13,540 --> 00:24:17,180 +لأ في عندي معامل الـ Coagulation اللي هو معامل + +307 +00:24:17,180 --> 00:24:21,060 +تجلط او تخثر الدم بيقوم بيحيي العملية اللي هي حاجة + +308 +00:24:21,060 --> 00:24:25,700 +اسمها الـ Bladlets أو الصفائح الدمويةتمام؟ هذه + +309 +00:24:25,700 --> 00:24:32,220 +الصفائح الدموية تحتوي على عوامل الخسرة تمنع ال + +310 +00:24:32,220 --> 00:24:36,480 +blood losses by forming blood clots اللي هي تجلط + +311 +00:24:36,480 --> 00:24:41,380 +الدم to damage vessels لأي wound أنا صار عندى لازم + +312 +00:24:41,380 --> 00:24:45,460 +يصير فيه عندى blood clots اللي هي ال blood ال .. + +313 +00:24:46,360 --> 00:24:51,500 +بنسميها منع اللي هو هروب الدم خارج الجسم بيصير في + +314 +00:24:51,500 --> 00:24:55,660 +عندي عملية اسمها ال coagulation اللي هي عملية + +315 +00:24:55,660 --> 00:25:01,100 +التجلط اللي بتصير لأن مرضى الثلاثيميا كنت أتحدث عن + +316 +00:25:01,100 --> 00:25:03,480 +مرضى الثلاثيميا اللي هم بيصير في عندهم تكسر في + +317 +00:25:03,480 --> 00:25:06,940 +الدم فبالتالي مافي عندهم ال coagulation أو مافي + +318 +00:25:06,940 --> 00:25:10,320 +عندهم اللي هو التخثر الدموي فبالتالي أي round + +319 +00:25:10,320 --> 00:25:14,520 +عندهمبيصير فيه اللي هو bleeding نظيف لازم يروح + +320 +00:25:14,520 --> 00:25:18,500 +وياخده إبرة عشان تعمل blood clotting اللي هو أو + +321 +00:25:18,500 --> 00:25:23,700 +coagulation للبلد تجلط للدم حتى انه مايسمح لخروج + +322 +00:25:23,700 --> 00:25:28,620 +اللي هو ال blood ده خارج الجسم هذا بيقوم بوظيفته + +323 +00:25:28,620 --> 00:25:32,440 +ال blood and blood protein and الblatulence اللي + +324 +00:25:32,440 --> 00:25:38,330 +هي الصفائح الدمويةهرجع هنا و احكي على موضوع اللي + +325 +00:25:38,330 --> 00:25:41,670 +هو ال components تبعت البلازما احنا كده حكينا على + +326 +00:25:41,670 --> 00:25:45,370 +كل ال components في ال blood ابتداء بال الاثرو + +327 +00:25:45,370 --> 00:25:49,410 +سايتس الليكو سايتس و البلاتلات هتكلم عن السائل + +328 +00:25:49,410 --> 00:25:53,090 +القش اللون هذا السائل القش اللون هو عبارة عن نكست + +329 +00:25:53,090 --> 00:25:58,050 +من ال water الذائب فيه كمية من ال protein و بعض + +330 +00:25:58,050 --> 00:26:04,950 +الأملح اسمه البلازماو لما بشيل ال protein من اللي + +331 +00:26:04,950 --> 00:26:09,490 +هو ال plasma بسمي هذا السائل بال serum muscle + +332 +00:26:09,490 --> 00:26:13,550 +باللغة العربية اسمه muscle تمام؟ إذا التعريف ل + +333 +00:26:13,550 --> 00:26:18,960 +muscle هو عبارة عن إيش؟ إزالة ال proteinمن سائل + +334 +00:26:18,960 --> 00:26:22,720 +اللي هو البلازما طبعا هذا بيهمنا في قسم الحروق + +335 +00:26:22,720 --> 00:26:26,400 +يعني when the proteins are moved from the plasma + +336 +00:26:26,400 --> 00:26:30,040 +the remaining fluid is turned serum اللي احنا + +337 +00:26:30,040 --> 00:26:34,320 +بنسميه ال muscles باللغة العربية هذه ال water + +338 +00:26:34,320 --> 00:26:42,280 +بتشكل حوالي 92% من إجمالي وزن البلازما ال water + +339 +00:26:42,280 --> 00:26:45,320 +facilitated the transport of material in the + +340 +00:26:45,320 --> 00:26:50,860 +plasmaتمام بتشكل كمية كبيرة من وزن البلازما الماء + +341 +00:26:50,860 --> 00:26:55,260 +سبحان الله كميته عالية جدا في كل شئ ل transport لل + +342 +00:26:55,260 --> 00:26:58,640 +organic and inorganic molecules شو وظيفة البلازما + +343 +00:26:58,640 --> 00:27:02,980 +تعمل على نقل المواد العضوية وغير العضوية من ال + +344 +00:27:02,980 --> 00:27:10,430 +elements and heat لاحظوا تركيبة اللي هوالبلازمة 98 + +345 +00:27:10,430 --> 00:27:15,970 +water بلازمة بروتين 7% ومن ضمنها نوع من أنواع + +346 +00:27:15,970 --> 00:27:19,750 +البروتين اللي بيعمل على ال coagulation ايضا other + +347 +00:27:19,750 --> 00:27:24,070 +solids اللي هي بعض الأملح بتشكل 1% فبالتالي هيك + +348 +00:27:24,070 --> 00:27:29,730 +تحت بيكون في عندي 100% تمام هاي تركيبة البلازمة + +349 +00:27:29,730 --> 00:27:36,850 +خليني هشوف شو أنواع ومكونات البلازمة أيضا اللي هي + +350 +00:27:38,420 --> 00:27:42,670 +أنواع ال protein اللي موجود أو الذائب فيهاحوالي في + +351 +00:27:42,670 --> 00:27:47,290 +عندي 7% من البلازمة اللي هو بيكون في عندنا بروتين + +352 +00:27:47,290 --> 00:27:52,610 +6 ل 8 جرام من البروتين volume لكل 100 ميلي متر شو + +353 +00:27:52,610 --> 00:27:55,810 +أنواع البروتين؟ في عند ال albumins، في عند ال + +354 +00:27:55,810 --> 00:27:59,050 +globins، في عند ال fibrogens و ال regulatory + +355 +00:27:59,050 --> 00:28:02,910 +proteins هذه أنواع البروتينات in general اللي + +356 +00:28:02,910 --> 00:28:10,110 +موجودة داخل البلازمة مهمتها مهمة جدا لإنهبتحافظ + +357 +00:28:10,110 --> 00:28:14,530 +على اللي هو بعض الوظائف الخاصة على سبيل المثال ال + +358 +00:28:14,530 --> 00:28:18,110 +fiber genes خاص بعملية ال coagulation أو خاص + +359 +00:28:18,110 --> 00:28:22,770 +بعملية التجلط لحد هنا أنا كيفياكم هذه المعلومات ما + +360 +00:28:22,770 --> 00:28:27,540 +بدنا نخود في تفاصيلشو الفرق ما بين ال plasma and + +361 +00:28:27,540 --> 00:28:32,400 +interstitial fluid؟ الفرق ما بين ال plasma والسائل + +362 +00:28:32,400 --> 00:28:36,500 +البيني ما بين الخلايا كنت حدثت انا في ال tissue عن + +363 +00:28:36,500 --> 00:28:40,580 +ان كل خلية و الأخرى، هذه الخلايا اللي موجودة، في + +364 +00:28:40,580 --> 00:28:44,900 +هنا عندي سائل اسمه interstitial fluid، الخلايا ما + +365 +00:28:44,900 --> 00:28:47,880 +بتكون متصقة مع بعضها البعض، لأ هنا في حاجة اسمها + +366 +00:28:47,880 --> 00:28:52,200 +interstitial fluidالان الفرق ما بينهم أن البلازمة + +367 +00:28:52,200 --> 00:28:56,620 +تحتوي على كمية أكبر من الأكسجين الذائب فيها يعني + +368 +00:28:56,620 --> 00:29:01,520 +more dissolved protein و more dissolved oxygen + +369 +00:29:01,520 --> 00:29:05,480 +أوتوا diffused out into the tissue ال dissolved + +370 +00:29:05,480 --> 00:29:09,520 +protein too big across اللي هو طبعا كبس زي + +371 +00:29:09,520 --> 00:29:12,820 +الألبومين، الجلوبومين، الألفة والبيتا والجامعة + +372 +00:29:12,820 --> 00:29:17,940 +والفيبرونجين هيكونها أنواع البروتين الذائبة داخل + +373 +00:29:17,940 --> 00:29:22,590 +البلازمةSimilar concentration اللي هو نفس التركيبة + +374 +00:29:22,590 --> 00:29:27,070 +في ال salts and small molecules أما ال large + +375 +00:29:27,070 --> 00:29:30,790 +molecules زي الأكسجين و البروتين فليب لازم تحتوي + +376 +00:29:30,790 --> 00:29:36,570 +على كمية أكبرأو اللي هو الـ Similar Concentration + +377 +00:29:36,570 --> 00:29:40,390 +ل Small Components أو Small Molecules مع الـ Salts + +378 +00:29:40,390 --> 00:29:43,750 +إذا أجمل وأختصر الفرق ما بين البلازما و ال + +379 +00:29:43,750 --> 00:29:48,010 +Interstitial Fluid أن البلازما تحتوي على كمية أكبر + +380 +00:29:48,010 --> 00:29:53,510 +من البروتين و الأكسجين و كمية أقل و كميات متشابهة + +381 +00:29:53,510 --> 00:29:56,550 +مع ال Interstitial Fluid في ال Salts و ال Small + +382 +00:29:56,550 --> 00:30:00,150 +Molecules هذا الفرق ما بين البلازما و ال + +383 +00:30:00,150 --> 00:30:05,760 +Interstitial Fluidبعض العناصر أو بعض الأملاح الـ + +384 +00:30:05,760 --> 00:30:09,660 +electrolytes الأملاح المعدنية الموجودة داخل اللي + +385 +00:30:09,660 --> 00:30:16,500 +هو الدم زي ashالـ Absorbed Form من الانتساين أو + +386 +00:30:16,500 --> 00:30:19,620 +Release by Product Cellular Metabolism خلال عمليات + +387 +00:30:19,620 --> 00:30:23,440 +الأيضة، في عند السوديوم، البوتاسيوم، الكالسيوم، + +388 +00:30:23,440 --> 00:30:27,600 +هذا كله موجود داخل الدم، المجنيسيوم، كلورايد، + +389 +00:30:27,600 --> 00:30:31,740 +بايكربونيت، فوسفات، سالفات and سوديوم كلورايد طبعا + +390 +00:30:31,740 --> 00:30:36,360 +هو our most abundant طبعا ملح الطعام اللي هو + +391 +00:30:36,360 --> 00:30:43,320 +Sodium and Chloride NACL هو أكثرها وفرة تمام في + +392 +00:30:43,320 --> 00:30:46,900 +اللي هو البلازمة ال electrolytes يعني اللي موجودة + +393 +00:30:46,900 --> 00:30:53,320 +في الدم الformed elements هنرجع نحكي على بعض اللي + +394 +00:30:53,320 --> 00:31:01,110 +هو الخصائص اللي موجودة عندنابتشكل ال RBCs 99% من + +395 +00:31:01,110 --> 00:31:06,930 +الformed elements تمام؟ اللي هي ال RBCs بتشكل + +396 +00:31:06,930 --> 00:31:12,610 +حوالي 99% وظيفة ال RBCs أو وظيفة كرهيات الدم + +397 +00:31:12,610 --> 00:31:18,010 +الحمراء تعمل على transport ل respiratory gases in + +398 +00:31:18,010 --> 00:31:25,260 +the bloodنقل اللي هو ال oxygen طبعا وحكينا محطة + +399 +00:31:25,260 --> 00:31:28,900 +تبادل الغازات بتكون في ال lungs فبالتالي بتنقله + +400 +00:31:28,900 --> 00:31:36,360 +داخل ال blood ليكوسايتس اللي هي ما يسمى ب ال white + +401 +00:31:36,360 --> 00:31:42,260 +blood cells تعرفوا في عندنا حاجة اسمها ال leukemia + +402 +00:31:43,670 --> 00:31:47,050 +هذه ال leukemia هي عبارة عن ال cancer أو ال blood + +403 +00:31:47,050 --> 00:31:51,830 +cancer كيميا أو اللي هو سلطان الدم بنسميه عفنا + +404 +00:31:51,830 --> 00:31:56,490 +الله و إياكم منه leukemia تمام؟ أي حاجة بنضيف لها + +405 +00:31:56,490 --> 00:32:01,670 +أومة أو إمة معناته هي cancer أو بنسميه tumor في + +406 +00:32:01,670 --> 00:32:05,670 +الدم ليش؟ لأن ال leukemia بياخدها من ال leukocytes + +407 +00:32:05,670 --> 00:32:13,600 +بتشكل لواحد في المياه من المياه من الشو وظيفة ال + +408 +00:32:13,600 --> 00:32:16,620 +white blood cells؟ هي عبارة عن defense mechanism + +409 +00:32:16,620 --> 00:32:22,560 +يعني مهمة جدا في اللي هو الحفاظ ومهاجمة اللي هو ال + +410 +00:32:22,560 --> 00:32:27,500 +pathogens أو ما يسمى فيه اللي هو ال .. بعض + +411 +00:32:27,500 --> 00:32:30,580 +الفيروسات أو البكتيريا اللي بتهاجم جسم الإنسان + +412 +00:32:32,320 --> 00:32:35,600 +تلاتة من الformed elements اللي هي عبارة عن ال + +413 +00:32:35,600 --> 00:32:42,460 +blatlets أو ما يسمى بالصفائح الدموية بتشكل 1% من + +414 +00:32:42,460 --> 00:32:46,180 +الformed elements بتساعد في ال blood clotting اللي + +415 +00:32:46,180 --> 00:32:51,880 +هي عبارة عن تجلط الدم بيقوم فيه اللي هي الصفائح + +416 +00:32:51,880 --> 00:32:56,830 +الدموية هذه وظيفة اللي هي ال blatletsاريثرو سايتس + +417 +00:32:56,830 --> 00:33:01,030 +هي عبارة عن ال RBCs ليكو سايتس هي عبارة عن ال + +418 +00:33:01,030 --> 00:33:04,670 +white blood cells و ال bloodlets اللي هي الصفائح + +419 +00:33:04,670 --> 00:33:08,850 +الدموية التلاتة مع بعض هدولة هما اسمهم formed + +420 +00:33:08,850 --> 00:33:13,510 +elementsشو الـ hematocriate؟ الـ hematocriate هي + +421 +00:33:13,510 --> 00:33:17,950 +عبارة عن نسبة الكريات الحمراء أو كريات الدم + +422 +00:33:17,950 --> 00:33:22,770 +الحمراء داخل الدم ال percentage of erythrocytes in + +423 +00:33:22,770 --> 00:33:28,750 +the blood بيختلف حسب الحجم والشكل واللون وكذلك حسب + +424 +00:33:28,750 --> 00:33:34,270 +الأعراق والأجناز يعني القضاء القميل بشكل من 42% ل + +425 +00:33:34,270 --> 00:33:40,910 +56%أما الفينيل فهي أقل تمانية و تلاتين لست و + +426 +00:33:40,910 --> 00:33:46,990 +أربعين في المية نسبة وجود كريات الدم الحمراء تمام + +427 +00:33:46,990 --> 00:33:53,730 +الأطفال عندهم الهيموتكاريات أعلى أو أيضا يختلف من + +428 +00:33:53,730 --> 00:33:58,850 +حدا إلى حد آخر يعني البلغين بيكون لهم نسبة معينة و + +429 +00:33:58,850 --> 00:34:03,370 +الأطفال كمان نسبة معينة ال altitude كان affected + +430 +00:34:03,370 --> 00:34:08,340 +فيه الهيموتكارياتوجود الشخص أيضًا في مكان مرتفع + +431 +00:34:08,340 --> 00:34:13,760 +بيأثر على نسبة الهيموتكريات ال body compensated by + +432 +00:34:13,760 --> 00:34:18,240 +making more erythrocytes تمام؟ بيأثرلي على نسبة + +433 +00:34:18,240 --> 00:34:23,400 +اللي هو ال RBCs داخل ال blood more erythrocytes + +434 +00:34:23,880 --> 00:34:28,840 +أكثر RBC بتكون موجودة carry more oxygen to that + +435 +00:34:28,840 --> 00:34:33,420 +issue طبعا إشي طبيعي إذا كان عندى في المعركة عدد + +436 +00:34:33,420 --> 00:34:37,220 +الجنود كتير فمعناته هيكون عدد المحاربين اللي هم أو + +437 +00:34:37,220 --> 00:34:41,040 +عدد المقاتلين لحماية الوطن كتيرإذن الـ more + +438 +00:34:41,040 --> 00:34:43,940 +erythrocytes in blood can carry more أكسيجين + +439 +00:34:43,940 --> 00:34:47,820 +فبالتالي أفضل للجسم كل ما كانت نسبة اللي هو ال + +440 +00:34:47,820 --> 00:34:50,940 +hematocriate hemato باللاتيني تعني blood و create + +441 +00:34:50,940 --> 00:34:55,140 +اللي هو ال hematocriate اللي هو نسبة وجود ال + +442 +00:34:55,140 --> 00:35:01,340 +erythrocytes أو ال RBCs داخل البلد ال erythrocytes + +443 +00:35:01,340 --> 00:35:09,250 +هنحكي على ال RBCs الآن خلايا الدم الحمراءالناضجة + +444 +00:35:09,250 --> 00:35:16,290 +ال mature منها بتعيش حوالي 120 يوم وبعد ال 120 يوم + +445 +00:35:16,290 --> 00:35:19,970 +بتم استبدالها اللي هو لإنه حكينا ال life cycle + +446 +00:35:19,970 --> 00:35:25,690 +تبعتها تتغير كل 120 يوم أخدنا كمان إن ال RBCs + +447 +00:35:25,690 --> 00:35:31,510 +تفتقد إلى نواة وهذا مما يعطيها خاصية وميزة إن هي + +448 +00:35:31,510 --> 00:35:36,390 +تحمل أكبر كمية من الأكسجين لعملية التبادلتعمل على + +449 +00:35:36,390 --> 00:35:40,930 +نقل اللي هو Transport لل Oxygen and Carbon Dioxide + +450 +00:35:40,930 --> 00:35:45,290 +to and from tissue on the lung Lack of nuclear + +451 +00:35:45,290 --> 00:35:49,650 +تفتقد إلى النواة هذا بيخليها تحمل أكبر كمية من + +452 +00:35:49,650 --> 00:35:53,850 +اللي هو ال gas exchange فبالتالي هذا بيخليها أكثر + +453 +00:35:53,850 --> 00:36:01,430 +فعالية وأفضل في اللي هو العمل + +454 +00:36:03,360 --> 00:36:08,860 +كل Erythrocytes تمتلك حوالي 280 مليون مولوكيولز + +455 +00:36:08,860 --> 00:36:13,860 +تحتوي على الـ Red Pigment أو الصبغة الحمراء + +456 +00:36:13,860 --> 00:36:19,020 +الغامقة اللي بنشوفها في داخل عينة الدم ليش ناتجة + +457 +00:36:19,020 --> 00:36:22,860 +عن البروتين اسمه الـ Hemoglobinيعمل على نقل + +458 +00:36:22,860 --> 00:36:27,740 +transport للأكسجين نقل اللي هو الأكسجين و كذلك + +459 +00:36:27,740 --> 00:36:32,240 +ثاني أكسيد الكربون and responsible مسئولة عن + +460 +00:36:32,240 --> 00:36:37,560 +اغمقاق أو اللي هو اللون الأحمر الفاقع خليني أحكي + +461 +00:36:37,560 --> 00:36:41,580 +لل colors of atrial blood في عندنا دم موجود في ال + +462 +00:36:41,580 --> 00:36:45,160 +atrial و دم موجود في ال vein يعني دم موجود في + +463 +00:36:45,160 --> 00:36:49,000 +الشريان و في عندنا دم موجود في الوريدالان ال + +464 +00:36:49,000 --> 00:36:54,240 +hemoglobin اللي يحتوي على اللي هو مو أكسوجين بيكون + +465 +00:36:54,240 --> 00:36:59,020 +دي blood color can be perceived أو ممكن حفظه داخل + +466 +00:36:59,020 --> 00:37:04,200 +اللي هو ال vein بلون أزرق مغمق يعني اللي هو blue + +467 +00:37:04,200 --> 00:37:08,160 +because the blood مو أكسوجين أو لا يحتوي على كمية + +468 +00:37:08,160 --> 00:37:13,820 +من الأكسوجين فبالتالي باجيه تحت subcutaneous layer + +469 +00:37:13,820 --> 00:37:19,130 +أو ما يسمى بيه اللي هو تحت الجلدتمام؟ هذا بالنسبة + +470 +00:37:19,130 --> 00:37:22,650 +لاللي هو الاريثروسايت أو ال homoglobin اللي موجود + +471 +00:37:22,650 --> 00:37:27,250 +الاريثروسايت liked في cycle زي ما حكينا اللي هو لا + +472 +00:37:27,250 --> 00:37:32,050 +تحتوي على قضيات sustained life life span تبعتها كل + +473 +00:37:32,050 --> 00:37:37,360 +120 يوم يعني كل تلت شهور تقريبالأ كل 4 شهور + +474 +00:37:37,360 --> 00:37:41,340 +فبالتالي دي ناخد بالنا من الرقم اللي موجود daily + +475 +00:37:41,340 --> 00:37:46,260 +حوالي 1% من ال oldest RBCs can be removed ممكن أنا + +476 +00:37:46,260 --> 00:37:51,880 +أزيله الأنهي اللي انزلت أو هيلت حطمت المقبرة حكينا + +477 +00:37:51,880 --> 00:37:56,200 +تبعت اللي هو تحطيم ال RBCs هي في السبلين and liver + +478 +00:37:56,200 --> 00:38:01,220 +اللي هو في التحال و الكبدممكن أنا أستفيد من بعض + +479 +00:38:01,220 --> 00:38:04,260 +العناصر أو بعض ال components أنه أنا أحتفظ فيها + +480 +00:38:04,260 --> 00:38:08,000 +على سبيل المثال هذه شوية protein أنا بدي أخبيها صح + +481 +00:38:08,000 --> 00:38:12,580 +اتكسرت عندي الخلية ولكن فيها أشياء يعني ممكن أنه + +482 +00:38:12,580 --> 00:38:16,560 +أنا أحتفظ فيها وبعض الأشياء لأ خلاص روحي على ال + +483 +00:38:16,560 --> 00:38:20,600 +waste product ما بدنياها فبالتالي ممكن أنا أضيعها + +484 +00:38:20,600 --> 00:38:26,060 +شو أنواع أو شو هي فئات الدم اللي أنا ممكن أعرفها؟ + +485 +00:38:27,380 --> 00:38:32,240 +بيعتمد حسب البروتين الموجود في ال RBCs تمام؟ في + +486 +00:38:32,240 --> 00:38:38,300 +غشاء الخلية جروبات الدم أربعة في عندنا ناس تحمل دم + +487 +00:38:38,300 --> 00:38:45,180 +فئة A ناس تحمل دم فئة B ناس تحمل دم فئة AB و ناس + +488 +00:38:45,180 --> 00:38:52,340 +تحمل فئة الدم O الناس اللي بتحمل فئة الدم O هذه + +489 +00:38:52,340 --> 00:38:54,600 +بسميها column + +490 +00:38:56,700 --> 00:39:05,100 +Donor، معطي عام، تمام؟ بيعطي كل الفئات، ولكن الناس + +491 +00:39:05,100 --> 00:39:13,100 +اللي تحمل دم AB أو فئة الـABهي common receptant + +492 +00:39:13,100 --> 00:39:20,240 +تمام؟ أو اللي هي مستقبل عام ال A,B blood types + +493 +00:39:20,240 --> 00:39:25,780 +type A يحتوي على A surface من الانتيجين B يحتوي + +494 +00:39:25,780 --> 00:39:30,460 +على ال B surface of انتيجين أما A,B فيحتوي على + +495 +00:39:30,460 --> 00:39:36,050 +اللي هو both يا إما A يا إما B انتيجين surfaceالـ + +496 +00:39:36,050 --> 00:39:41,330 +O لا يحتوي على لا إذا لا A ولا B أنتجين فبالتالي + +497 +00:39:41,330 --> 00:39:48,190 +الـ O بعتبره معطي عام بيعطي كل فئات الدم ولكن لا + +498 +00:39:48,190 --> 00:39:56,310 +يستقبل إلا من نفسه ألا AB اللي هو مستقبل تمام؟ + +499 +00:39:56,990 --> 00:40:01,830 +هذا بالنسبة لمجموعات قدام خليني أشوف اللي هو ال + +500 +00:40:01,830 --> 00:40:04,630 +blood types ال antibodies أو اللي هو الagulants + +501 +00:40:04,630 --> 00:40:09,430 +that surface antigen R-plasma ال ABO group has + +502 +00:40:09,430 --> 00:40:15,510 +anti A and antibodies B لأنه AB group لحالها + +503 +00:40:15,510 --> 00:40:20,930 +فبالتالي A يحتوي على انتجين اللي هو Anti B أما B + +504 +00:40:20,930 --> 00:40:28,060 +فيحتوي على A وABNeither Anti-A nor Anti-B. Type O + +505 +00:40:28,060 --> 00:40:31,580 +يحتوي على both Anti-Gene أو Antibodies A and + +506 +00:40:31,580 --> 00:40:37,080 +Antibodies O هذا بالنسبة ل .. اللي هو فئات الدم + +507 +00:40:37,080 --> 00:40:40,340 +الأربعة، عرفنا مين ال Anti-Gene تبعها، عرفنا مين + +508 +00:40:40,340 --> 00:40:44,040 +ال Antibodies، عرفنا كمان مين المؤت العام ومين + +509 +00:40:44,040 --> 00:40:50,090 +المستقبل العامهتكلم عن ال white blood cells اللي + +510 +00:40:50,090 --> 00:40:54,830 +هي خلايا الدم البيضاء بسميها ال leucocytes عشان + +511 +00:40:54,830 --> 00:40:59,510 +كده حكيت leukemia تعني cancer in blood أو اللي هو + +512 +00:40:59,510 --> 00:41:04,590 +سرطان الدم من اسمها من ال leuco whiteوظيفتها الـ + +513 +00:41:04,590 --> 00:41:08,090 +function تبعتها protect للأجنس disease طبعا بتساهم + +514 +00:41:08,090 --> 00:41:13,210 +معايا في ال immunity system interleukins and colon + +515 +00:41:13,210 --> 00:41:16,930 +stimulating factor stimulation development وظيفتها + +516 +00:41:16,930 --> 00:41:23,570 +تهاجم وتبتلع الأجسام الغريبة بالنسبة لأنواعها في + +517 +00:41:23,570 --> 00:41:31,170 +عندي حاجة اسمها granulocytes خنايةمحببة يعني لو + +518 +00:41:31,170 --> 00:41:34,270 +أنا شفتها على ال microscope بلاقي فيها على شكل + +519 +00:41:34,270 --> 00:41:38,790 +حجوب ال granulate sites حكينا إيه لما بتسبق + +520 +00:41:38,790 --> 00:41:44,730 +المعلومة معناته إيه؟ بتنفيها غير محببة ما بلاقيها + +521 +00:41:44,730 --> 00:41:49,750 +تحت ال microscope فيها أي شيء من اللي هو الحبيبات + +522 +00:41:49,750 --> 00:41:56,050 +مين عند الخلايا المحببة؟ Nitrophils إيزو و بايزو + +523 +00:41:57,240 --> 00:42:02,700 +Nitro معادلة أو اللي هو تعادل في الحموضة إيزو + +524 +00:42:02,700 --> 00:42:10,120 +قاعدي وبيزو حمضي تمام؟ إذا الـNitro والإيزو + +525 +00:42:10,120 --> 00:42:14,040 +والبيزو خلايا granulate-site تحتوي على خلايا + +526 +00:42:14,040 --> 00:42:17,980 +granulate-site خلايا محببة أما الـlymphocytes + +527 +00:42:17,980 --> 00:42:22,560 +والـmonocytes المسؤولين عن مهاجمة اللي هو + +528 +00:42:22,560 --> 00:42:27,850 +الـpathogenes فهي خلايا غير محببةتمام؟ هي خلايا + +529 +00:42:27,850 --> 00:42:33,110 +لاوجود للحبيبات داخلها هذا بالنسبة لل white blood + +530 +00:42:33,110 --> 00:42:37,810 +cells البليتليتز هحكي عليها كمان حاجات كنا احنا + +531 +00:42:37,810 --> 00:42:43,260 +اتكلمنا عنهاسؤولة عن تجلط الدم كنا بنحكي على ال + +532 +00:42:43,260 --> 00:42:47,480 +blood coagulation أو عملية اللي هو تخثر الدم هي + +533 +00:42:47,480 --> 00:42:52,100 +طبعا منها من الله سبحانه وتعالى Regular من بين + +534 +00:42:52,100 --> 00:42:55,600 +enclosed ل similar fragments بتساعد في إغلاق ال + +535 +00:42:55,600 --> 00:42:59,160 +atrial bleeding أو ال vein bleeding حوالي اتنين + +536 +00:42:59,160 --> 00:43:03,260 +micrometers في ال diameter تبعتها sometimes بسميها + +537 +00:43:03,260 --> 00:43:08,180 +thrombo كلمة thrombo تعني خسرة دمويةOkay + +538 +00:43:08,180 --> 00:43:12,760 +continuously produced by red bone marrow بتمنوا + +539 +00:43:12,760 --> 00:43:17,100 +اللي هو إنتاجها عن طريق اللي هو نخاء الأحمر by + +540 +00:43:17,100 --> 00:43:22,880 +cells اسمها ميجا و بجسم الكلمة keratocyte إذا + +541 +00:43:22,880 --> 00:43:26,980 +بتمنوا إنتاج ال platelets عن طريق النخاء الأحمر في + +542 +00:43:26,980 --> 00:43:34,190 +خلايا اسمها ميجا كريتوسايتطبعا عرفنا وين خلايا دم + +543 +00:43:34,190 --> 00:43:39,170 +الأحمر أو نخايا الأحمر بتكون موجودة ابهيك يعطيكوا + +544 +00:43:39,170 --> 00:43:43,370 +العافية بيكون خلصنا chapter ل blood نلتقي بإذن + +545 +00:43:43,370 --> 00:43:46,290 +الله تعالى في chapter قادم بيعطيكوا الفعالية + diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/24ozpLPDrMs_raw.json b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/24ozpLPDrMs_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..559bfaf5597674e4090d62fb5823f75aaf15c278 --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/24ozpLPDrMs_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 3457, "start": 5.09, "end": 34.57, "text": "بسم الله الرحمن الرحيم 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هي عبارة عن erythrocytes تمام ال RBCs زائد ال buffy codes اللي هي الطبقة السفلة تمام طبقة", "tokens": [10721, 2407, 18863, 1863, 33546, 2288, 9673, 4117, 2407, 11703, 1863, 3660, 11933, 15730, 5296, 15042, 5551, 7435, 1829, 41850, 5551, 3794, 10721, 23275, 13412, 2407, 37279, 16572, 5172, 2423, 22892, 4959, 39896, 6225, 3555, 9640, 3660, 18871, 1189, 88, 392, 340, 1344, 7269, 46811, 10943, 2423, 497, 7869, 82, 30767, 16373, 3215, 2423, 9204, 88, 14211, 13672, 1829, 39896, 41950, 3555, 28671, 21136, 5172, 37977, 46811, 10943, 23032, 3555, 28671], "avg_logprob": -0.2953559011220932, "compression_ratio": 1.3854748603351956, "no_speech_prob": 1.9609928131103516e-05, "words": [{"start": 475.41, "end": 476.61, "word": "أو", "probability": 0.421356201171875}, {"start": 476.61, "end": 477.81, "word": " العناصر", "probability": 0.8448486328125}, {"start": 477.81, "end": 478.77, "word": " المكوّنة", "probability": 0.8141682942708334}, {"start": 478.77, "end": 479.43, "word": " إذا", 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ال coagulation اللي هي عملية التجلط اللي بتصير لأن مرضى الثلاثيميا كنت أتحدث عن مرضى الثلاثيميا اللي هم بيصير في عندهم تكسر في الدم فبالتالي مافي عندهم ال coagulation أو مافي عندهم اللي هو التخثر الدموي فبالتالي أي round عندهم", "tokens": [3555, 1863, 38251, 1829, 11296, 9154, 3615, 13672, 1829, 31439, 8032, 32887, 3555, 32748, 2304, 16490, 9640, 7435, 25724, 38251, 4724, 1829, 9381, 13546, 8978, 18871, 16254, 6225, 42213, 10632, 24525, 2304, 11296, 2423, 598, 559, 2776, 13672, 1829, 39896, 6225, 42213, 10632, 16712, 7435, 1211, 9566, 13672, 1829, 39894, 9381, 13546, 5296, 33456, 3714, 43042, 7578, 6024, 104, 1211, 5718, 104, 32640, 25528, 9122, 29399, 5551, 2655, 24401, 12984, 18871, 3714, 43042, 7578, 6024, 104, 1211, 5718, 104, 32640, 25528, 13672, 1829, 8032, 2304, 4724, 1829, 9381, 13546, 8978, 43242, 16095, 6055, 4117, 3794, 2288, 8978, 32748, 2304, 6156, 3555, 6027, 2655, 6027, 1829, 19446, 41185, 43242, 16095, 2423, 598, 559, 2776, 34051, 19446, 41185, 43242, 16095, 13672, 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blood and blood protein and الblatulence اللي هي الصفائح الدموية", "tokens": [3555, 1829, 9381, 13546, 8978, 3224, 13672, 1829, 31439, 19312, 8717, 19913, 33911, 5296, 31377, 2304, 7251, 32887, 5016, 4032, 1829, 47283, 3215, 3224, 11933, 3555, 25720, 6225, 8592, 7649, 6055, 25957, 1211, 3390, 48587, 783, 13672, 1829, 31439, 34051, 598, 559, 2776, 24976, 3555, 1211, 3215, 6055, 7435, 1211, 9566, 24976, 40448, 11331, 49975, 16472, 3224, 19446, 1829, 38251, 5016, 5296, 34740, 29245, 13672, 1829, 31439, 2423, 3390, 11778, 3224, 16490, 9640, 7435, 25724, 38251, 23758, 4724, 1829, 4587, 20498, 4724, 2407, 19913, 33911, 47395, 2423, 3390, 293, 3390, 7944, 293, 2423, 5199, 267, 425, 655, 13672, 1829, 39896, 31767, 5172, 16373, 5016, 32748, 2304, 2407, 10632], "avg_logprob": -0.18291284020887602, "compression_ratio": 1.6666666666666667, "no_speech_prob": 6.556510925292969e-07, "words": [{"start": 1511.04, "end": 1511.66, "word": "بيصير", "probability": 0.7493896484375}, {"start": 1511.66, 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و البلاتلات هتكلم عن السائل القش اللون هذا السائل القش اللون هو عبارة عن نكست من ال water الذائب فيه كمية من ال protein و بعض الأملح اسمه البلازما", "tokens": [3224, 47341, 3615, 34105, 4032, 1975, 5016, 4117, 1829, 15844, 3714, 2407, 11242, 45367, 13672, 1829, 31439, 2423, 6677, 6055, 3555, 34268, 29739, 1211, 31377, 15042, 1975, 5016, 8315, 9122, 3215, 3224, 11331, 4117, 1829, 8315, 15844, 28242, 2423, 6677, 8978, 2423, 3390, 48127, 2655, 3215, 16606, 20666, 2423, 5718, 104, 32887, 8608, 995, 36081, 3794, 2423, 20292, 4117, 2407, 8608, 995, 36081, 3794, 4032, 29739, 1211, 9307, 1211, 9307, 8032, 2655, 4117, 19528, 18871, 21136, 16373, 1211, 25062, 8592, 13672, 11536, 23758, 21136, 16373, 1211, 25062, 8592, 13672, 11536, 31439, 6225, 3555, 9640, 3660, 18871, 8717, 4117, 14851, 9154, 2423, 1281, 32545, 16373, 3555, 8978, 3224, 9122, 2304, 10632, 9154, 2423, 7944, 4032, 45030, 11242, 16247, 42213, 5016, 24525, 2304, 3224, 29739, 1211, 31377, 15042], "avg_logprob": -0.212598427308826, 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طبعا هو our most abundant طبعا ملح الطعام اللي هو Sodium and Chloride NA", "tokens": [6027, 39184, 5813, 284, 2883, 10126, 9154, 2423, 7649, 2655, 3794, 995, 9957, 34051, 34278, 538, 22005, 28859, 1040, 6377, 14923, 1434, 16490, 1211, 6027, 6225, 2304, 20292, 9307, 16247, 1829, 11242, 3660, 12399, 8978, 43242, 21136, 23328, 1829, 20498, 12399, 29739, 35473, 32277, 1829, 20498, 12399, 33251, 6027, 3794, 1829, 20498, 12399, 23758, 28242, 3224, 3714, 29245, 23328, 11778, 47283, 1211, 32748, 2304, 12399, 9673, 7435, 22653, 3794, 1829, 20498, 12399, 9122, 1211, 13063, 995, 25708, 12399, 4724, 47302, 4117, 25513, 11536, 36081, 12399, 6156, 41779, 5172, 9307, 12399, 8608, 6027, 5172, 9307, 293, 8608, 23328, 1829, 20498, 9122, 1211, 13063, 995, 25708, 23032, 3555, 3615, 995, 31439, 527, 881, 30657, 23032, 3555, 3615, 995, 3714, 1211, 5016, 41950, 3615, 10943, 13672, 1829, 31439, 42059, 2197, 293, 761, 6746, 482, 16585], "avg_logprob": -0.24999999820737911, "compression_ratio": 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"probability": 0.94140625}, {"start": 2226.92, "end": 2227.48, "word": " يحتوي", "probability": 0.97216796875}, {"start": 2227.48, "end": 2227.7, "word": " على", "probability": 0.90087890625}, {"start": 2227.7, "end": 2228.16, "word": " كمية", "probability": 0.9972330729166666}, {"start": 2228.16, "end": 2228.34, "word": " من", "probability": 0.974609375}, {"start": 2228.34, "end": 2228.94, "word": " الأكسوجين", "probability": 0.9259765625}, {"start": 2228.94, "end": 2229.7, "word": " فبالتالي", "probability": 0.97900390625}, {"start": 2229.7, "end": 2230.52, "word": " باجيه", "probability": 0.67791748046875}, {"start": 2230.52, "end": 2232.28, "word": " تحت", "probability": 0.755126953125}, {"start": 2232.28, "end": 2232.98, "word": " subcutaneous", "probability": 0.736572265625}, {"start": 2232.98, "end": 2233.82, "word": " layer", "probability": 0.9306640625}, {"start": 2233.82, "end": 2234.46, "word": " أو", "probability": 0.62451171875}, {"start": 2234.46, "end": 2234.58, "word": 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Type O يحتوي على both Anti-Gene أو Antibodies A and Antibodies O هذا بالنسبة ل .. اللي هو فئات الدم الأربعة، عرفنا مين ال Anti-Gene تبعها، عرفنا مين ال Antibodies، عرفنا كمان مين المؤت العام ومين المستقبل العام", "tokens": [15496, 1839, 27757, 12, 32, 6051, 27757, 12, 33, 13, 15576, 422, 7251, 33753, 45865, 15844, 1293, 27757, 12, 38, 1450, 34051, 5130, 897, 6087, 316, 293, 5130, 897, 6087, 422, 23758, 20666, 1863, 35457, 3660, 5296, 4386, 13672, 1829, 31439, 6156, 19986, 9307, 32748, 2304, 16247, 25513, 27884, 12399, 6225, 28480, 8315, 3714, 9957, 2423, 27757, 12, 38, 1450, 6055, 3555, 3615, 11296, 12399, 6225, 28480, 8315, 3714, 9957, 2423, 5130, 897, 6087, 12399, 6225, 28480, 8315, 9122, 2304, 7649, 3714, 9957, 9673, 33604, 2655, 18863, 10943, 4032, 2304, 9957, 9673, 14851, 4587, 36150, 18863, 10943], "avg_logprob": -0.19308035851133112, "compression_ratio": 1.7128712871287128, "no_speech_prob": 9.953975677490234e-06, "words": [{"start": 2424.04, "end": 2424.64, "word": "Neither", 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blood أو اللي هو سرطان الدم من اسمها من ال leuco white", "tokens": [3224, 2655, 4117, 19528, 18871, 2423, 2418, 3390, 5438, 13672, 1829, 39896, 16490, 15040, 25528, 32748, 2304, 2423, 21292, 11242, 16606, 4724, 38251, 1829, 11296, 2423, 476, 1311, 905, 43673, 6225, 8592, 7649, 9122, 3215, 3224, 11331, 4117, 36081, 45970, 29958, 37279, 22653, 5592, 294, 3390, 34051, 13672, 1829, 31439, 8608, 2288, 9566, 7649, 32748, 2304, 9154, 24525, 2304, 11296, 9154, 2423, 476, 84, 1291, 2418], "avg_logprob": -0.1872667959376947, "compression_ratio": 1.4911242603550297, "no_speech_prob": 5.364418029785156e-07, "words": [{"start": 2447.31, "end": 2447.63, "word": "هتكلم", "probability": 0.8065185546875}, {"start": 2447.63, "end": 2447.97, "word": " عن", "probability": 0.98583984375}, {"start": 2447.97, "end": 2448.73, "word": " ال", "probability": 0.96826171875}, {"start": 2448.73, "end": 2449.07, "word": " white", "probability": 0.62158203125}, {"start": 2449.07, "end": 2449.37, "word": " blood", 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00:00:21,730 +المساقع على عدة من الشباتر ابتداء ب chapter + +5 +00:00:21,730 --> 00:00:26,930 +introduction و نهاية في فيديو رقم 15 اللي هو + +6 +00:00:26,930 --> 00:00:31,890 +chapter muscular system اليوم عشان نرضي جميع الناس + +7 +00:00:31,890 --> 00:00:35,840 +اللي هيتخصص معانا في كل الأقسامسواء اللي بدهم + +8 +00:00:35,840 --> 00:00:38,120 +يروحوا على التحاليل أو اللي بدهم يروحوا على + +9 +00:00:38,120 --> 00:00:42,000 +البصريات أو الناس اللي هتتخصص عنا في قسم العلاج + +10 +00:00:42,000 --> 00:00:47,920 +الطبيعي وكمان الناس اللي هتحول لكلية الطبهنتحدث في + +11 +00:00:47,920 --> 00:00:53,240 +هذا الفيديو عن مجموعة من المعلومات لل blood و ال + +12 +00:00:53,240 --> 00:00:57,040 +cardiovascular system اللي هو خاص بطلبتنا في + +13 +00:00:57,040 --> 00:01:01,080 +التحاليل كمان نفس الاشي بدي أحكي على موضوع خاص + +14 +00:01:01,080 --> 00:01:05,760 +بأخصائي البصريات اللي هو ال chapter الجاي chapter + +15 +00:01:05,760 --> 00:01:12,130 +ال I نبدأ بداية ل bloodال blood هو عبارة عن إشي أو + +16 +00:01:12,130 --> 00:01:17,510 +قسم خاص بال connective tissue زي ما حكينا في فصل + +17 +00:01:17,510 --> 00:01:21,310 +ال tissue أن ال blood و ال lymph أنا بعتبرهم أجزاء + +18 +00:01:21,310 --> 00:01:26,870 +أساسية من اللي هو طبعا زي ما حكينا زمان blood and + +19 +00:01:26,870 --> 00:01:31,160 +lymphوأعتقد هذا إيجاكم في الامتحان هو عبارة عن + +20 +00:01:31,160 --> 00:01:36,480 +connective tissue تمام؟ إذا يحتوي على الخلايا، + +21 +00:01:36,480 --> 00:01:40,580 +أيضا يحتوي على ال liquid اللي هي substance، يحتوي + +22 +00:01:40,580 --> 00:01:45,320 +على مادة قشية، هنعرف شو التركيبة الكيميائية تبعته، + +23 +00:01:45,320 --> 00:01:48,360 +أيضا يحتوي على مواد تحتوي على dissolve protein + +24 +00:01:48,360 --> 00:01:56,050 +fibersو حوالي هو أسمك أو أكثف من الماء باربع مرات، + +25 +00:01:56,050 --> 00:02:00,490 +تمام؟ إذا بنحكي على نوع من أنواع اللي كنت بتفتشه + +26 +00:02:00,490 --> 00:02:04,750 +هو ال blood وهو عبارة عن في السماكة أو في الكثافة + +27 +00:02:04,940 --> 00:02:08,820 +بأكثر بأربع مرات من الماء Liquid Substance called + +28 +00:02:08,820 --> 00:02:12,760 +Plasma اللي هي المادة القشية اللون و ال + +29 +00:02:12,760 --> 00:02:16,420 +temperature تبعته أو درجة الحرارة تبعته حوالي واحد + +30 +00:02:16,420 --> 00:02:19,400 +centigrade higher than measured by body + +31 +00:02:19,400 --> 00:02:22,640 +temperatures كلنا بنعرف أن درجة حرارة جسم الإنسان + +32 +00:02:22,640 --> 00:02:28,400 +37 درجة centigrade فبالتالي هو أعلى بدرجة واحدة + +33 +00:02:28,400 --> 00:02:34,460 +وهي عبارة عن 38 هذا بالنسبة للمعلومات ال generalفي + +34 +00:02:34,460 --> 00:02:38,780 +ال blood ال blood volume تختلف حسب الأشكال وحسب + +35 +00:02:38,780 --> 00:02:42,620 +أحجام الإنسان بحكي على حجم الدم عند ال body عند + +36 +00:02:42,620 --> 00:02:46,580 +الأطفال ال children يختلف عن حجم الدم عند البالغين + +37 +00:02:46,580 --> 00:02:50,940 +أيضا يختلف حسب ال fluid concentration يختلف حسب ال + +38 +00:02:50,940 --> 00:02:55,300 +electrolytes كمية تركيز الأملاح يختلف حسب وجود ال + +39 +00:02:55,300 --> 00:02:58,460 +adipose tissue يعني الناس الفاتية بتكون عندها كمية + +40 +00:02:58,460 --> 00:03:03,180 +الدم أو حجم الدم يختلف تماما عن الناس اللي همما + +41 +00:03:03,180 --> 00:03:07,320 +عندهم a device تشوف بيشكل حوالي تمانية في المياه + +42 +00:03:07,320 --> 00:03:13,040 +من وزن جسم الإنسان و يشكل حوالي خمسة لتر من اللي + +43 +00:03:13,040 --> 00:03:17,120 +هو حجم الجسم الآن هذا الجهاز زي ما انتوا شايفينه + +44 +00:03:17,120 --> 00:03:22,300 +هنا على ال LCD تبعنا هو جهاز الترب المركزي وهو + +45 +00:03:22,300 --> 00:03:27,840 +عبارة عن إيش؟بيحلمني الدم إلى ثلاث أجزاء رئيسية زي + +46 +00:03:27,840 --> 00:03:30,060 +ما انتوا شايفين هنا في ال test tube هذه أنبوبة + +47 +00:03:30,060 --> 00:03:33,680 +الاختبار اسمها ال test tube باجي انا باخد العينة + +48 +00:03:33,680 --> 00:03:38,440 +من المريض تبعي و بحط اللي هو كمية الدم المناسبة في + +49 +00:03:38,440 --> 00:03:42,370 +هذه ال test tubeهنجد أو هلاجي أن الدم ينقسم إلى + +50 +00:03:42,370 --> 00:03:46,250 +ثلاث طبقات أساسية هاي ال cellular component وفي + +51 +00:03:46,250 --> 00:03:49,910 +عندنا الطبقة بسميها طبقة ال buffy ويفع اللي هو + +52 +00:03:49,910 --> 00:03:54,090 +سائل قش اللون اللي هو عبارة عن البلازمة كل هذه + +53 +00:03:54,090 --> 00:03:57,250 +الاشي اللي أنا حكيته عنه كمقدمة هتكلم عليه واحدة + +54 +00:03:57,250 --> 00:04:00,390 +واحدة إذا ال whole blood consist of liquid + +55 +00:04:00,390 --> 00:04:02,850 +substance and cellular components ال liquid + +56 +00:04:02,850 --> 00:04:06,450 +substance هو عبارة عن السائل القشي والcellular هو + +57 +00:04:06,450 --> 00:04:13,130 +عبارة عن الخلاياهنشوف شو هو، عنا حاجة اسمها + +58 +00:04:13,130 --> 00:04:17,770 +الاريثروسايت أو ما يسمى بال RBCs واحنا حكينا ان ال + +59 +00:04:17,770 --> 00:04:22,690 +RBCs هي عبارة عن اختصار لل blood supply بختصرها + +60 +00:04:22,690 --> 00:04:26,810 +بال RBCs مش غلط لو أنا أخصائي علاج طبيعي أو أخصائي + +61 +00:04:26,810 --> 00:04:30,690 +بصريات كنت عارف هذه الاختصارات وعارف هذه الحاجات + +62 +00:04:31,230 --> 00:04:35,690 +بتشكللي الطبقة السفلة من الـ centivirated blood + +63 +00:04:35,690 --> 00:04:41,570 +typically make up حوالي 44% بهمني كتير هنا الأرقام + +64 +00:04:41,570 --> 00:04:46,050 +إنه أنا أكون عارفةها هذه الاسم 44 إذا الcellular + +65 +00:04:46,050 --> 00:04:53,550 +أو ال RBCS بتشكل حوالي 44% من اللي هو الدم اللي + +66 +00:04:53,550 --> 00:04:58,340 +أنا عملتله centivirating تمام؟الـ puffy coats اللي + +67 +00:04:58,340 --> 00:05:03,820 +هي الطبقة الوسطى اللي موجودة هنا، هذه الطبقة طبعا + +68 +00:05:03,820 --> 00:05:07,820 +اللي موجودة هنا هي عبارة عن مادة أو طبقة لونها + +69 +00:05:07,820 --> 00:05:12,400 +grey make up middle layer بتشكل الطبقة الوسطى، + +70 +00:05:12,400 --> 00:05:18,940 +thin، خفيفة جدا، slightly white to greyأبيض مائل + +71 +00:05:18,940 --> 00:05:24,280 +إلى الـ grey اللي هو الرمادي تتكون من حاجة اسمها + +72 +00:05:24,280 --> 00:05:30,640 +ليكوسايتس وكلمة ليكو هي عبارة عن أبيض كلمة ليكو + +73 +00:05:30,640 --> 00:05:38,480 +باللاتيني تعني اللي هو أبيضwhite blood cells اللي + +74 +00:05:38,480 --> 00:05:42,000 +هو انا باختصرها بال WBC + +75 +00:06:04,970 --> 00:06:10,870 +عينت قدام اذا اربعة وأربعين وهنا عندي واحد صار + +76 +00:06:10,870 --> 00:06:18,150 +المجموع خمسة وأربعين تمام هشوف الطبقة العليا اللي + +77 +00:06:18,150 --> 00:06:23,430 +هي طبقة البلازمة طبقة البلازمة هي عبارة عن سائل قش + +78 +00:06:23,430 --> 00:06:27,830 +اللون زي ما بنعرف يحتوي على خمسة وخمسين في المية + +79 +00:06:27,830 --> 00:06:34,350 +من العينة اللي اتاخدت عندي اذا هنا خمسة وخمسينتمام + +80 +00:06:34,350 --> 00:06:38,550 +هذه الجزئية خمسة و خمسين و خمسة و أربعين بيطلع + +81 +00:06:38,550 --> 00:06:43,270 +الناتج عندى اللى هو مية في المية أربع و ألبعين + +82 +00:06:43,270 --> 00:06:47,270 +RBCs واحد من ال middle layer أو ال buffer coats و + +83 +00:06:47,270 --> 00:06:51,670 +خمسة و خمسين من البلازما اللى هى السائل القش اللون + +84 +00:06:51,670 --> 00:06:56,050 +طبعا اللى هو ال top layers أو الطبقة العليا من + +85 +00:06:56,050 --> 00:07:00,590 +اللى هى العينة اللى أنا أخدتها اذا تركيبة الدم + +86 +00:07:00,590 --> 00:07:05,880 +يحتوي على RBCsبافي كوتس والبلازمة اللي هي بتكون في + +87 +00:07:05,880 --> 00:07:10,480 +ال top تحت لإن ال RBC's نوعا ما ثقيلة فبالتالي هي + +88 +00:07:10,480 --> 00:07:14,540 +بتكون في الطبقة السفلة بعدين فينا ال buffy اللي هي + +89 +00:07:14,540 --> 00:07:19,180 +الطبقة المتوسطة المائلة الرمادي الأبيض اللون ومن + +90 +00:07:19,180 --> 00:07:23,020 +ثم السائل القشي اللي هو مائل على إسفرار خليني أحكي + +91 +00:07:23,020 --> 00:07:28,670 +بيكون في ال top layers تمام؟الان شو تركبت اللي هو + +92 +00:07:28,670 --> 00:07:33,110 +ال blood؟ حكينا كلمة erythro باللاتيني هي عبارة عن + +93 +00:07:33,110 --> 00:07:36,830 +red يعني انا اليوم لما بحكي في ال Latin words + +94 +00:07:36,830 --> 00:07:40,550 +حكينا فيها عندنا كتير مصطلحات في ال Anatomy ممكن + +95 +00:07:40,550 --> 00:07:46,510 +نستخدمها في اللي هو شباتر نهارد كلمة erythro تعني + +96 +00:07:46,510 --> 00:07:47,290 +red + +97 +00:07:55,410 --> 00:08:01,610 +أو العناصر المكوّنة إذا لما أجي أنا أسألك شو تعريف + +98 +00:08:01,610 --> 00:08:07,090 +الformed elements هي عبارة عن erythrocytes تمام ال + +99 +00:08:07,090 --> 00:08:13,170 +RBCs زائد ال buffy codes اللي هي الطبقة السفلة + +100 +00:08:13,170 --> 00:08:15,270 +تمام طبقة + +101 +00:08:17,270 --> 00:08:23,170 +سفلة زاد الطبقة المسطة فهي بتعطينا الformed + +102 +00:08:23,170 --> 00:08:28,390 +elements و انا هنا مهم جدا اعرف شو هي الformed + +103 +00:08:28,390 --> 00:08:32,310 +elements اذا تعريفنا للformed elements هي عبارة عن + +104 +00:08:32,310 --> 00:08:36,250 +الاريثروسايت او ال RBCs بشكل عام زاد ال buffy + +105 +00:08:36,250 --> 00:08:42,370 +codesطبعا اسمها ال formed elements اللي هي العناصر + +106 +00:08:42,370 --> 00:08:47,190 +المكوناة هلأ ال formed elements زائد البلازمة + +107 +00:08:47,190 --> 00:08:51,930 +تعطينا عينة الدم كامل يعني واحد زائد اتنين خليني + +108 +00:08:51,930 --> 00:08:56,830 +اسمهم انا هنا واحد زائد اتنين واحد زائد اتنين + +109 +00:08:56,830 --> 00:09:00,610 +هيعطينا اللي هو ال formed elements تمام اللي هي + +110 +00:09:00,610 --> 00:09:04,310 +عينة الدم الكاملة لما بدي احكي ال whole blood + +111 +00:09:07,740 --> 00:09:15,860 +هتعطيني الـ Formed elements زائد + +112 +00:09:15,860 --> 00:09:20,280 +الـ Formed elements زائد مين زائد اللي هي + +113 +00:09:20,280 --> 00:09:27,840 +اللبلازمة okay هاي بتعطيني عينة الدم الكاملة زي ما + +114 +00:09:27,840 --> 00:09:32,920 +انتوا شايفينها هنا في هاي ال slide شو وظائف الدم؟ + +115 +00:09:32,920 --> 00:09:37,630 +وظائف الدم عندي حوالي خمس وظائف أساسيةاليوم انا + +116 +00:09:37,630 --> 00:09:42,350 +بيقوم الدم بعمليات متعددة ومهم جدا ان انا اعرفها + +117 +00:09:42,350 --> 00:09:46,550 +بيعمل عملية transportation اول وظيفة ليله اللي هي + +118 +00:09:46,550 --> 00:09:51,170 +عملية النقل هينقل مين ويجيب مين ويودي مين مهم جدا + +119 +00:09:51,170 --> 00:09:56,620 +ان انا اعرف ان الدم هو عبارة عن وسيلةتنقل للـ + +120 +00:09:56,620 --> 00:10:01,000 +Oxygen and Carbon Dioxide اللي هي مهم لنقل عملية + +121 +00:10:01,000 --> 00:10:05,880 +الأكسوجين و كذلك ثاني أكسيد الكربون يعمل على + +122 +00:10:05,880 --> 00:10:09,240 +transport ل ال nuance element components through + +123 +00:10:09,240 --> 00:10:14,020 +the body خلال الجسم الآن كنا حكينا في chapter واحد + +124 +00:10:14,020 --> 00:10:18,200 +عن اللي هي الاريثروسايت أو خلايا الدم الحمراء ال + +125 +00:10:18,200 --> 00:10:24,400 +RBCs تفتقد إلى النواةليه؟ حكينا تفتقد للنوات و ذلك + +126 +00:10:24,400 --> 00:10:29,140 +لحتى يسمح لها هذا الشكل أو هذا التركيب سبحان الله + +127 +00:10:29,140 --> 00:10:35,500 +بيحمل أكبر كمية من ال oxygen أو الدم المؤكسد تمام؟ + +128 +00:10:35,500 --> 00:10:39,300 +إذا الاريثمو ساعت carry oxygen from lung body + +129 +00:10:39,300 --> 00:10:44,200 +cells وين ال exchange of gases ساعت؟ في ال lungs + +130 +00:10:44,200 --> 00:10:48,880 +مكان تبادل الغازات بيكون في داخل الرئتينفبالتالي + +131 +00:10:48,880 --> 00:10:53,360 +هذه الاريثروسايت أو هذه الخلايا اللي هي الاربسيز + +132 +00:10:53,360 --> 00:10:59,640 +تعمل على نقل أو تحمل الأكسوجين من الريقتين إلى + +133 +00:10:59,640 --> 00:11:06,600 +باقي أجزاء الجسم وتحمل معها أيضًا transport لـCO2 + +134 +00:11:06,600 --> 00:11:13,440 +ثاني أكسيد الكربون تعود إلى الجذب ثم تتطرد عن طريق + +135 +00:11:13,440 --> 00:11:18,620 +الجذب إذا مكان + +136 +00:11:18,620 --> 00:11:23,830 +تبادل الغازات يتم داخل الرئتينالبلازمة او ال blood + +137 +00:11:23,830 --> 00:11:28,910 +plasma ايضا تعمل على نقل الهرمونات اللي احنا حكينا + +138 +00:11:28,910 --> 00:11:35,290 +عليهم وتعمل ايضا على نقل ال nutrition او المواد + +139 +00:11:35,290 --> 00:11:36,050 +الغذائية + +140 +00:11:38,670 --> 00:11:43,170 +الـ gastric intestine اللي هي tract بتم امتصاص + +141 +00:11:43,170 --> 00:11:47,310 +المواد الغذائية او ال gastric intestine اللي هي + +142 +00:11:47,310 --> 00:11:52,870 +المعدي المعوي القناة المعيدية المعوية و ثم بتم + +143 +00:11:52,870 --> 00:11:58,700 +امتصاصه عن طريق المعديالمعوي طبعا gastric + +144 +00:11:58,700 --> 00:12:02,700 +intestine attract hormones secreted by endocrine + +145 +00:12:02,700 --> 00:12:07,240 +organs to the target cells وبتم نقل اللي هو ال + +146 +00:12:07,240 --> 00:12:12,280 +hormone gastric intestine اللي بلازمة تعمل على + +147 +00:12:12,280 --> 00:12:17,430 +إيش؟ نقل ال wasted productأيضا ال plasma لها وظيفة + +148 +00:12:17,430 --> 00:12:20,890 +ثالثة تعمل على نقل ال nitrogen تعمل على نقل ال + +149 +00:12:20,890 --> 00:12:25,210 +hormones تعمل على نقل ال waste product اللي هو زي + +150 +00:12:25,210 --> 00:12:30,690 +بعض المواد الدرب الجسم على سبيل المثال بتم طردها + +151 +00:12:30,690 --> 00:12:34,190 +زي الأملح مثلا بتم طردها عن طريق اللي هو ال + +152 +00:12:34,190 --> 00:12:38,520 +kidneys where this waste product are removedإذا + +153 +00:12:38,520 --> 00:12:41,880 +اعرفنا كيف أنه ممكن يكون في عنا عملية + +154 +00:12:41,880 --> 00:12:46,860 +transportation by blood عن طريق ال RBCs وعن طريق + +155 +00:12:46,860 --> 00:12:54,180 +اللي هو ال plasma تبع الدمالوظيفة الثانية لاللي هو + +156 +00:12:54,180 --> 00:12:58,760 +ال blood اللي هي regulation of body temperatures + +157 +00:12:58,760 --> 00:13:03,720 +تنظيم درجة الحرارة الآن كلنا بنعرف أن الإنسان من + +158 +00:13:03,720 --> 00:13:08,200 +ذوات الدم الحار فبالتالي بتكيف مع البيئة المحيطة + +159 +00:13:08,200 --> 00:13:12,320 +فيه ما بيصير أن الدم تبعنا يجمد في ذلها الظروف + +160 +00:13:12,320 --> 00:13:15,870 +مثلا أو درجة الحرارة المتدنية لأتبقى عملية الـ + +161 +00:13:15,870 --> 00:13:19,490 +hematostasis أو عملية الثبات في درجة الحرارة ثابتة + +162 +00:13:19,490 --> 00:13:24,710 +سواء في الحر أو في البد فبالتالي وظيفة الدم يحافظ + +163 +00:13:24,710 --> 00:13:29,030 +على اللي هو الثديات أو الكائنات الحية ذوات الدم + +164 +00:13:29,030 --> 00:13:34,830 +الحار في المحافظة على ثباتية درجة حرارة الجسم إن + +165 +00:13:34,830 --> 00:13:38,250 +لم يحدث أي شيء pathologicallyregulated لل body + +166 +00:13:38,250 --> 00:13:43,170 +temperatures تعمل البلازمة على انتصاصand + +167 +00:13:43,170 --> 00:13:49,090 +distributing لل heat خلال الجسم كيف بيصير اليوم في + +168 +00:13:49,090 --> 00:13:51,950 +حالة البرد الشديد هذا اللي احنا فيه في شهر اتناشر + +169 +00:13:51,950 --> 00:13:57,310 +شهر واحد بيصير في عندي blood vessels dilatation + +170 +00:13:57,310 --> 00:14:03,790 +توسع dilatation تعني توسع للأوعية الدموية هذا ال + +171 +00:14:03,790 --> 00:14:08,850 +dilatation بيقدي لإيش؟بيقدّي إلى أنه يعمل ديسبت + +172 +00:14:08,850 --> 00:14:13,370 +توزيع للحرارة خلال الـ Inter-dermal systems اللي + +173 +00:14:13,370 --> 00:14:19,250 +هي خلال الجلد هنا يعمل على توزيع وانتشار اللي هي + +174 +00:14:19,250 --> 00:14:23,090 +الحرارة هذا في حالة البرد اللي هي ال calling أما + +175 +00:14:23,090 --> 00:14:27,610 +في حالة اللي هي الجسم بحاجة لإنه يحافظ على درجة + +176 +00:14:27,610 --> 00:14:31,990 +الحرارة بنلاقي إن ال blood vessels الأوعية الدموية + +177 +00:14:31,990 --> 00:14:35,910 +تعمل vasoconstrictionكلمة vase construction يعني + +178 +00:14:35,910 --> 00:14:40,990 +تضييق للأوعية الدموية إذا أنا في كلا الحالتين + +179 +00:14:40,990 --> 00:14:46,130 +بيشتغل الجسم عندي حالة البرد الشديد وحالة اللي هو + +180 +00:14:46,130 --> 00:14:49,990 +أنا بدي أحافظ على درجة الحرارة الآن كمان في ال + +181 +00:14:49,990 --> 00:14:52,830 +shop بنلاقي إنه إحنا بيصير في عنا عملية التعرق + +182 +00:14:52,830 --> 00:14:56,750 +هاينة هي إلا عبارة عن عملية التلطيف لأجل إن يصير + +183 +00:14:56,750 --> 00:15:00,350 +في توازن بين الحرارة الخارجية و الحرارة الداخلية + +184 +00:15:00,850 --> 00:15:04,830 +إذا في اللي هو الـ conserval heating أنه أنا بدي + +185 +00:15:04,830 --> 00:15:07,750 +أحافظ على الحرارة، ما بدي أضيع عندي اللي هي الطاقة + +186 +00:15:07,750 --> 00:15:11,270 +الحرارية اللي موجودة في جسمي، احنا بيعز شهر واحد، + +187 +00:15:11,270 --> 00:15:14,210 +لأ فبالتالي بعمل vasoconstriction أو الجسم بيعمل + +188 +00:15:14,210 --> 00:15:18,390 +vasoconstriction يعني بتنقض ال blood vessels اللي + +189 +00:15:18,390 --> 00:15:24,380 +هي الأوعي الدموية and warm للبلدis shunted وبيبعث + +190 +00:15:24,380 --> 00:15:27,980 +اللي هو ال brain ان انت يا الاوعية الدموية حافظي + +191 +00:15:27,980 --> 00:15:32,960 +على كمية الحرارة من انها تنتشر او تتوزع خارج الجسم + +192 +00:15:32,960 --> 00:15:36,420 +هذا كله بإرادة الله سبحانه وتعالى الوظيفة التانية + +193 +00:15:36,420 --> 00:15:39,940 +اللي انا حكيت عليها اللي هي ال blood او ال + +194 +00:15:39,940 --> 00:15:44,730 +regulation temperatures لل bodyالوظيفة الثالثة + +195 +00:15:44,730 --> 00:15:50,530 +اللي هي أنه في عندي التنظيم للبيئاتش بتعرفوا كلمة + +196 +00:15:50,530 --> 00:15:54,950 +البيئاتش هو عبارة عن معامل الحموضة معامل الحموضة + +197 +00:15:54,950 --> 00:15:59,270 +كيف أنا بدي أعرفه؟ الآن في عندنا اللي هو درجة + +198 +00:15:59,270 --> 00:16:03,130 +الحموضة لأي إشي مهم جدا أن أنا أعرفها في عندنا ال + +199 +00:16:03,130 --> 00:16:05,510 +orange وفي عندنا ال alkaline اللي هو عبارة عن + +200 +00:16:05,510 --> 00:16:11,140 +القاعد اللي هو ال milk أو الحليببقيسه على عبارة عن + +201 +00:16:11,140 --> 00:16:21,740 +خط الأعداد من واحد لسبعة تمام + +202 +00:16:21,740 --> 00:16:26,140 +الـ pH بقيسه هي إما ال alkaline أو ال acidic أو + +203 +00:16:26,140 --> 00:16:30,720 +اللي هو ال orange juice الـ pH الطبيعي أو معانا + +204 +00:16:30,720 --> 00:16:34,700 +الحموض الطبيعي عند سبعة يعني نقطة الصفر تبعتنا من + +205 +00:16:34,700 --> 00:16:40,090 +سبعةإذا كان acid-fluid فمعناته هو من 0 ل7 بيكون + +206 +00:16:40,090 --> 00:16:47,690 +حامض تمام؟ هي هنا السبعة و كده راح أمشي لـ 0 و هنا + +207 +00:16:47,690 --> 00:16:58,190 +راح أمشي لـ 14 من 0 ل7 هذا بسميه acidتمام؟ حمضي + +208 +00:16:58,190 --> 00:17:03,310 +أما من سبعة إلى أربعة عاش فهو alkaline يعني هو + +209 +00:17:03,310 --> 00:17:10,230 +عبارة عن قاعدي يعني حليب أو ما يسمى بالملك طبعا و + +210 +00:17:10,230 --> 00:17:16,530 +هنا orangeاللي هو عصير البرتقال الحامض فبالتالي + +211 +00:17:16,530 --> 00:17:21,090 +أنا هنا بيحافظ .. يجب أن يحافظ الدم على معامل ثابت + +212 +00:17:21,090 --> 00:17:26,450 +حامض ثابت يعني ما يكون لا عالي و لا يكون قليل لأنه + +213 +00:17:26,450 --> 00:17:30,690 +هيك بيدر الجسم و بيأدي لمشاكل ال blood plasma + +214 +00:17:30,690 --> 00:17:33,710 +تحتوي على compounds زي ال ions that make + +215 +00:17:33,710 --> 00:17:37,650 +distributing خلال ال among tissue اللي هي الأنسجة + +216 +00:17:37,650 --> 00:17:40,990 +البينية ال interstitial fluidto maintain normal + +217 +00:17:40,990 --> 00:17:47,870 +tissue of pH تمام اللي هو بيحافظ على معامل الحموضة + +218 +00:17:47,870 --> 00:17:53,790 +ال blood plasma تبعنا 7.4 يعني هنا مائل إلى القاعد + +219 +00:17:53,790 --> 00:17:57,230 +قليلا من ال pH required to normal cellular + +220 +00:17:57,230 --> 00:18:01,690 +function حتى تؤدي خلايا الجسم وظيفتها بشكل ممتاز + +221 +00:18:01,690 --> 00:18:09,260 +فهيكون من 7 إلى 4 point7.4 من 10 اللي هو محتاجه + +222 +00:18:09,260 --> 00:18:13,820 +احنا في الجسم الوظيفة الرابعة انه بيحافظ على ال + +223 +00:18:13,820 --> 00:18:18,800 +fluid levels الان الدم بيحافظ ليه على مستوى اللي + +224 +00:18:18,800 --> 00:18:24,960 +هو ان يكون وضع ال fluid موجود بشكل طبيعي و normal + +225 +00:18:24,960 --> 00:18:29,380 +في جسم الإنسان اليوم انا اذا أكلت على سبيل المثال + +226 +00:18:29,380 --> 00:18:35,490 +أملح كتيرةو صار في عندي ورم في ال peripheral سواء + +227 +00:18:35,490 --> 00:18:39,590 +في ال hand او في ال foot معناه الكلام ان انا لازم + +228 +00:18:39,590 --> 00:18:44,570 +اعرف ان انا في عندي مشكلة في مستوى تخزين الفوت + +229 +00:18:44,570 --> 00:18:48,550 +داخل جسمي هذا ليه؟ لإنه ممكن يديلي هذا الاشي + +230 +00:18:48,550 --> 00:18:51,990 +لارتفاع ال blood pressure اليوم ال blood pressure + +231 +00:18:51,990 --> 00:18:57,590 +هو عبارة عن الضغط الدم ال normal من ضغط الدم 120 + +232 +00:18:57,590 --> 00:19:03,360 +على 80تمام ال blood pressure هو عبارة عن ضغط الدم + +233 +00:19:03,360 --> 00:19:08,980 +هنا هتحدث على نقطة مهمة جدا ال normal هذا تبعنا + +234 +00:19:08,980 --> 00:19:13,340 +ضغط الدم أنه يكون 120 على 80 لو زاد 10 كده و 10 + +235 +00:19:13,340 --> 00:19:18,820 +كده بنعتبره normal ولكن أنا بخليه على خط الخطر أو + +236 +00:19:18,820 --> 00:19:24,230 +risk area بنسميهاإذا كان في عندي increasing ل ال + +237 +00:19:24,230 --> 00:19:28,270 +blood pressure معناة الكلام إنه هذا هيأدي لي مشاكل + +238 +00:19:28,270 --> 00:19:33,230 +عديدة، خمنا نشوف وظيفة الدم إنه يحافظلي على مستوى + +239 +00:19:33,230 --> 00:19:38,050 +ثابت من اللي هو ال fluid liquid، ال liquid اللي + +240 +00:19:38,050 --> 00:19:40,990 +موجود داخل الجسم، ليه؟ لأنه بيحافظ على ال + +241 +00:19:40,990 --> 00:19:44,900 +cardiovascular system يشتغل بشكل نحنto prevent + +242 +00:19:44,900 --> 00:19:48,640 +blood losses حتى أنا أمنع أي فقدان لهذه السوائل + +243 +00:19:48,640 --> 00:19:52,640 +لازم يكون في عندي توازن ما بين ال blood plasma و + +244 +00:19:52,640 --> 00:19:55,460 +ال interstitial fluid توازن ما بين ال plasma + +245 +00:19:55,460 --> 00:20:00,720 +الدموية و ال interstitial fluid if too much إذا + +246 +00:20:00,720 --> 00:20:05,100 +كانت أعلى من الوضع الأساسي أو الوضع ال normal + +247 +00:20:05,100 --> 00:20:09,890 +معناة الكلام أنهبدي يصير في عندي high blood + +248 +00:20:09,890 --> 00:20:14,170 +pressure انه انا عندي ضغط الدم عالي فبالتالي بحكي + +249 +00:20:14,170 --> 00:20:18,370 +لهذه set أو هذا الحاج اللي أكل كمية كبيرة من ال .. + +250 +00:20:18,370 --> 00:20:22,210 +على سبيل المثال high salt طبعا اللي هو زي المخللات + +251 +00:20:22,210 --> 00:20:25,350 +و الأمور اللي زي high بتلاقي انه صار في عنده تورن + +252 +00:20:25,350 --> 00:20:29,950 +في القدمين و اليدين فبيصير في عندنا accumulation و + +253 +00:20:29,950 --> 00:20:34,340 +swelling اللي هو في ال peripheralمعناته الكلام انه + +254 +00:20:34,340 --> 00:20:38,720 +انا صار في عندي increasing او عدم اتزان في ال + +255 +00:20:38,720 --> 00:20:43,960 +blood في اللي هو ال fluid constant if too much + +256 +00:20:43,960 --> 00:20:47,840 +fluid escapes اذا كان في عندي فقدان لل + +257 +00:20:47,840 --> 00:20:51,000 +interstitial fluid بدي يكون في ال blood stream + +258 +00:20:51,000 --> 00:20:55,760 +enters to the tissue ال blood pressure dropsعكس أن + +259 +00:20:55,760 --> 00:20:59,960 +يكون عندي أعلى high blood pressure، في عندي حاجة + +260 +00:20:59,960 --> 00:21:04,120 +اسمها low blood pressure، أقل من الطبيعي، يعني أقل + +261 +00:21:04,120 --> 00:21:08,040 +من هذا الاشي أو هذا المعلامة اللي أنا حطيتها، إذا + +262 +00:21:08,040 --> 00:21:14,320 +كان أعلى، معناته بيكون في عندي تورمطبعا في كل + +263 +00:21:14,320 --> 00:21:19,320 +الحالتين هو اشي pathologically مش ممكن ان هو الشخص + +264 +00:21:19,320 --> 00:21:23,140 +يكون في الوضع السليم سواء خفض الضغط او عالي الضغط + +265 +00:21:23,140 --> 00:21:26,520 +في كل الحالتين هو اشي pathologically to maintain + +266 +00:21:26,520 --> 00:21:29,840 +ال balance fluid exchange لازم اكون انا عايشة + +267 +00:21:29,840 --> 00:21:33,400 +بحالة من التوازن between blood and interstitial + +268 +00:21:33,400 --> 00:21:37,100 +fluids البلد contain components زي ال salt and + +269 +00:21:37,100 --> 00:21:41,550 +البروتينعشان أنا أنع غروب أو أنع ضياع أي + +270 +00:21:41,550 --> 00:21:44,970 +components أنا بحاجة إله اليوم أنا لما يزيد عندي + +271 +00:21:44,970 --> 00:21:47,950 +الضغط فمعناته أن ال interstitial fluid هتتجمع كلها + +272 +00:21:47,950 --> 00:21:51,550 +بعيدة عن الأساس و بعيدة عن مكانها الطبيعي فبالتالي + +273 +00:21:51,550 --> 00:21:55,410 +هذا الاشي pathologically مش صحيحOkay إذا أربع + +274 +00:21:55,410 --> 00:22:00,510 +وظائف لحد الآن أخدنا في اللي هو ال blood ال + +275 +00:22:00,510 --> 00:22:03,570 +functions of a blood الوظيفة الرابعة الخامسة + +276 +00:22:03,570 --> 00:22:07,850 +والأخيرة اللي هي عبارة عن ال protection الدم يحتوي + +277 +00:22:07,850 --> 00:22:11,830 +على ال white blood cells أو ما يسمى بال leukocytes + +278 +00:22:11,830 --> 00:22:16,650 +ليكو حاكينا white باللاتيني فال leukocytes هي + +279 +00:22:16,650 --> 00:22:22,750 +عبارة عنخلايا الدم البيضاء التي تهاجم واللي احنا + +280 +00:22:22,750 --> 00:22:27,890 +طبعا في ضل COVID-19 نعتمد على ال Immunity System + +281 +00:22:27,890 --> 00:22:32,010 +تبعنا ومناعتنا داخل الجسم ال Immunity System هذا + +282 +00:22:32,010 --> 00:22:35,770 +اللي هو بيكون في ال lycosides أو ال white blood + +283 +00:22:35,770 --> 00:22:41,750 +cellsGrade Agonist طبعا بتساعد في مهاجمات اللي هي + +284 +00:22:41,750 --> 00:22:45,390 +الفيروس وزي ما بتعرفوا اللي هو الفيروس كورونا اللي + +285 +00:22:45,390 --> 00:22:50,610 +موجود يعتمد على قوة المناعة لدى الشخص By mounting + +286 +00:22:50,610 --> 00:22:54,410 +of immunity response لال pathogen of an antigen is + +287 +00:22:54,410 --> 00:22:57,900 +foundالبلازمة تعمل على نقل الـ Antibodies اللي + +288 +00:22:57,900 --> 00:23:01,640 +موجودة which are molecules that immobilize antigen + +289 +00:23:01,640 --> 00:23:05,340 +until leukocyte can completely kill or remove + +290 +00:23:05,340 --> 00:23:09,480 +antigens، بتحاول دائما هذه الـ leukocytes بكل + +291 +00:23:09,480 --> 00:23:14,230 +أنواعهاسواء المحببة أو غير المحببة، هناخد عن أنواع + +292 +00:23:14,230 --> 00:23:17,810 +الـ Leukocyte ونشوفها، فبالتالي هي بتهاجم هذا ال + +293 +00:23:17,810 --> 00:23:23,250 +pathogen عن طريق اللي هو محصلته ومن ثم التهمه + +294 +00:23:23,250 --> 00:23:26,930 +وابتلاعه، فبالتالي بيكون هذا إذا كان أنا عندي ال + +295 +00:23:26,930 --> 00:23:30,670 +immune system أو ال leukocyte قوية جدافي حالة انه + +296 +00:23:30,670 --> 00:23:34,390 +انا عندى ال immunity system ضعيفة هذا يمكن الفيروس + +297 +00:23:34,390 --> 00:23:37,290 +زى ما انتوا بتشوفوا الآن حاليا في عندنا ناس على + +298 +00:23:37,290 --> 00:23:41,470 +سبيل المثال قوتها المناعية عالية جدا لم يستطع + +299 +00:23:41,470 --> 00:23:45,390 +الفيروس اللى هو الهجوم عليها ولكن في حالة انه ال + +300 +00:23:45,390 --> 00:23:48,930 +immunity system ضعيفة و اللى هو جهاز المناعي ضعيف + +301 +00:23:48,930 --> 00:23:53,650 +بيهاجمه اللى هو الفيروس و بيتمكن منه + +302 +00:23:56,500 --> 00:24:00,640 +الـ Blades and blood proteins الصفائح الدموية + +303 +00:24:00,640 --> 00:24:05,700 +Coagulation وظيفتها تعمل على التجلطات اليوم ما + +304 +00:24:05,700 --> 00:24:09,300 +بيصير انا لو صار في عندي اي واند او اي جروح داخل + +305 +00:24:09,300 --> 00:24:13,540 +ايدي هنا انه يبقى الدم ينزف الى حد بيتصفى في جسمى، + +306 +00:24:13,540 --> 00:24:17,180 +لأ في عندي معامل الـ Coagulation اللي هو معامل + +307 +00:24:17,180 --> 00:24:21,060 +تجلط او تخثر الدم بيقوم بيحيي العملية اللي هي حاجة + +308 +00:24:21,060 --> 00:24:25,700 +اسمها الـ Bladlets أو الصفائح الدمويةتمام؟ هذه + +309 +00:24:25,700 --> 00:24:32,220 +الصفائح الدموية تحتوي على عوامل الخسرة تمنع ال + +310 +00:24:32,220 --> 00:24:36,480 +blood losses by forming blood clots اللي هي تجلط + +311 +00:24:36,480 --> 00:24:41,380 +الدم to damage vessels لأي wound أنا صار عندى لازم + +312 +00:24:41,380 --> 00:24:45,460 +يصير فيه عندى blood clots اللي هي ال blood ال .. + +313 +00:24:46,360 --> 00:24:51,500 +بنسميها منع اللي هو هروب الدم خارج الجسم بيصير في + +314 +00:24:51,500 --> 00:24:55,660 +عندي عملية اسمها ال coagulation اللي هي عملية + +315 +00:24:55,660 --> 00:25:01,100 +التجلط اللي بتصير لأن مرضى الثلاثيميا كنت أتحدث عن + +316 +00:25:01,100 --> 00:25:03,480 +مرضى الثلاثيميا اللي هم بيصير في عندهم تكسر في + +317 +00:25:03,480 --> 00:25:06,940 +الدم فبالتالي مافي عندهم ال coagulation أو مافي + +318 +00:25:06,940 --> 00:25:10,320 +عندهم اللي هو التخثر الدموي فبالتالي أي round + +319 +00:25:10,320 --> 00:25:14,520 +عندهمبيصير فيه اللي هو bleeding نظيف لازم يروح + +320 +00:25:14,520 --> 00:25:18,500 +وياخده إبرة عشان تعمل blood clotting اللي هو أو + +321 +00:25:18,500 --> 00:25:23,700 +coagulation للبلد تجلط للدم حتى انه مايسمح لخروج + +322 +00:25:23,700 --> 00:25:28,620 +اللي هو ال blood ده خارج الجسم هذا بيقوم بوظيفته + +323 +00:25:28,620 --> 00:25:32,440 +ال blood and blood protein and الblatulence اللي + +324 +00:25:32,440 --> 00:25:38,330 +هي الصفائح الدمويةهرجع هنا و احكي على موضوع اللي + +325 +00:25:38,330 --> 00:25:41,670 +هو ال components تبعت البلازما احنا كده حكينا على + +326 +00:25:41,670 --> 00:25:45,370 +كل ال components في ال blood ابتداء بال الاثرو + +327 +00:25:45,370 --> 00:25:49,410 +سايتس الليكو سايتس و البلاتلات هتكلم عن السائل + +328 +00:25:49,410 --> 00:25:53,090 +القش اللون هذا السائل القش اللون هو عبارة عن نكست + +329 +00:25:53,090 --> 00:25:58,050 +من ال water الذائب فيه كمية من ال protein و بعض + +330 +00:25:58,050 --> 00:26:04,950 +الأملح اسمه البلازماو لما بشيل ال protein من اللي + +331 +00:26:04,950 --> 00:26:09,490 +هو ال plasma بسمي هذا السائل بال serum muscle + +332 +00:26:09,490 --> 00:26:13,550 +باللغة العربية اسمه muscle تمام؟ إذا التعريف ل + +333 +00:26:13,550 --> 00:26:18,960 +muscle هو عبارة عن إيش؟ إزالة ال proteinمن سائل + +334 +00:26:18,960 --> 00:26:22,720 +اللي هو البلازما طبعا هذا بيهمنا في قسم الحروق + +335 +00:26:22,720 --> 00:26:26,400 +يعني when the proteins are moved from the plasma + +336 +00:26:26,400 --> 00:26:30,040 +the remaining fluid is turned serum اللي احنا + +337 +00:26:30,040 --> 00:26:34,320 +بنسميه ال muscles باللغة العربية هذه ال water + +338 +00:26:34,320 --> 00:26:42,280 +بتشكل حوالي 92% من إجمالي وزن البلازما ال water + +339 +00:26:42,280 --> 00:26:45,320 +facilitated the transport of material in the + +340 +00:26:45,320 --> 00:26:50,860 +plasmaتمام بتشكل كمية كبيرة من وزن البلازما الماء + +341 +00:26:50,860 --> 00:26:55,260 +سبحان الله كميته عالية جدا في كل شئ ل transport لل + +342 +00:26:55,260 --> 00:26:58,640 +organic and inorganic molecules شو وظيفة البلازما + +343 +00:26:58,640 --> 00:27:02,980 +تعمل على نقل المواد العضوية وغير العضوية من ال + +344 +00:27:02,980 --> 00:27:10,430 +elements and heat لاحظوا تركيبة اللي هوالبلازمة 98 + +345 +00:27:10,430 --> 00:27:15,970 +water بلازمة بروتين 7% ومن ضمنها نوع من أنواع + +346 +00:27:15,970 --> 00:27:19,750 +البروتين اللي بيعمل على ال coagulation ايضا other + +347 +00:27:19,750 --> 00:27:24,070 +solids اللي هي بعض الأملح بتشكل 1% فبالتالي هيك + +348 +00:27:24,070 --> 00:27:29,730 +تحت بيكون في عندي 100% تمام هاي تركيبة البلازمة + +349 +00:27:29,730 --> 00:27:36,850 +خليني هشوف شو أنواع ومكونات البلازمة أيضا اللي هي + +350 +00:27:38,420 --> 00:27:42,670 +أنواع ال protein اللي موجود أو الذائب فيهاحوالي في + +351 +00:27:42,670 --> 00:27:47,290 +عندي 7% من البلازمة اللي هو بيكون في عندنا بروتين + +352 +00:27:47,290 --> 00:27:52,610 +6 ل 8 جرام من البروتين volume لكل 100 ميلي متر شو + +353 +00:27:52,610 --> 00:27:55,810 +أنواع البروتين؟ في عند ال albumins، في عند ال + +354 +00:27:55,810 --> 00:27:59,050 +globins، في عند ال fibrogens و ال regulatory + +355 +00:27:59,050 --> 00:28:02,910 +proteins هذه أنواع البروتينات in general اللي + +356 +00:28:02,910 --> 00:28:10,110 +موجودة داخل البلازمة مهمتها مهمة جدا لإنهبتحافظ + +357 +00:28:10,110 --> 00:28:14,530 +على اللي هو بعض الوظائف الخاصة على سبيل المثال ال + +358 +00:28:14,530 --> 00:28:18,110 +fiber genes خاص بعملية ال coagulation أو خاص + +359 +00:28:18,110 --> 00:28:22,770 +بعملية التجلط لحد هنا أنا كيفياكم هذه المعلومات ما + +360 +00:28:22,770 --> 00:28:27,540 +بدنا نخود في تفاصيلشو الفرق ما بين ال plasma and + +361 +00:28:27,540 --> 00:28:32,400 +interstitial fluid؟ الفرق ما بين ال plasma والسائل + +362 +00:28:32,400 --> 00:28:36,500 +البيني ما بين الخلايا كنت حدثت انا في ال tissue عن + +363 +00:28:36,500 --> 00:28:40,580 +ان كل خلية و الأخرى، هذه الخلايا اللي موجودة، في + +364 +00:28:40,580 --> 00:28:44,900 +هنا عندي سائل اسمه interstitial fluid، الخلايا ما + +365 +00:28:44,900 --> 00:28:47,880 +بتكون متصقة مع بعضها البعض، لأ هنا في حاجة اسمها + +366 +00:28:47,880 --> 00:28:52,200 +interstitial fluidالان الفرق ما بينهم أن البلازمة + +367 +00:28:52,200 --> 00:28:56,620 +تحتوي على كمية أكبر من الأكسجين الذائب فيها يعني + +368 +00:28:56,620 --> 00:29:01,520 +more dissolved protein و more dissolved oxygen + +369 +00:29:01,520 --> 00:29:05,480 +أوتوا diffused out into the tissue ال dissolved + +370 +00:29:05,480 --> 00:29:09,520 +protein too big across اللي هو طبعا كبس زي + +371 +00:29:09,520 --> 00:29:12,820 +الألبومين، الجلوبومين، الألفة والبيتا والجامعة + +372 +00:29:12,820 --> 00:29:17,940 +والفيبرونجين هيكونها أنواع البروتين الذائبة داخل + +373 +00:29:17,940 --> 00:29:22,590 +البلازمةSimilar concentration اللي هو نفس التركيبة + +374 +00:29:22,590 --> 00:29:27,070 +في ال salts and small molecules أما ال large + +375 +00:29:27,070 --> 00:29:30,790 +molecules زي الأكسجين و البروتين فليب لازم تحتوي + +376 +00:29:30,790 --> 00:29:36,570 +على كمية أكبرأو اللي هو الـ Similar Concentration + +377 +00:29:36,570 --> 00:29:40,390 +ل Small Components أو Small Molecules مع الـ Salts + +378 +00:29:40,390 --> 00:29:43,750 +إذا أجمل وأختصر الفرق ما بين البلازما و ال + +379 +00:29:43,750 --> 00:29:48,010 +Interstitial Fluid أن البلازما تحتوي على كمية أكبر + +380 +00:29:48,010 --> 00:29:53,510 +من البروتين و الأكسجين و كمية أقل و كميات متشابهة + +381 +00:29:53,510 --> 00:29:56,550 +مع ال Interstitial Fluid في ال Salts و ال Small + +382 +00:29:56,550 --> 00:30:00,150 +Molecules هذا الفرق ما بين البلازما و ال + +383 +00:30:00,150 --> 00:30:05,760 +Interstitial Fluidبعض العناصر أو بعض الأملاح الـ + +384 +00:30:05,760 --> 00:30:09,660 +electrolytes الأملاح المعدنية الموجودة داخل اللي + +385 +00:30:09,660 --> 00:30:16,500 +هو الدم زي ashالـ Absorbed Form من الانتساين أو + +386 +00:30:16,500 --> 00:30:19,620 +Release by Product Cellular Metabolism خلال عمليات + +387 +00:30:19,620 --> 00:30:23,440 +الأيضة، في عند السوديوم، البوتاسيوم، الكالسيوم، + +388 +00:30:23,440 --> 00:30:27,600 +هذا كله موجود داخل الدم، المجنيسيوم، كلورايد، + +389 +00:30:27,600 --> 00:30:31,740 +بايكربونيت، فوسفات، سالفات and سوديوم كلورايد طبعا + +390 +00:30:31,740 --> 00:30:36,360 +هو our most abundant طبعا ملح الطعام اللي هو + +391 +00:30:36,360 --> 00:30:43,320 +Sodium and Chloride NACL هو أكثرها وفرة تمام في + +392 +00:30:43,320 --> 00:30:46,900 +اللي هو البلازمة ال electrolytes يعني اللي موجودة + +393 +00:30:46,900 --> 00:30:53,320 +في الدم الformed elements هنرجع نحكي على بعض اللي + +394 +00:30:53,320 --> 00:31:01,110 +هو الخصائص اللي موجودة عندنابتشكل ال RBCs 99% من + +395 +00:31:01,110 --> 00:31:06,930 +الformed elements تمام؟ اللي هي ال RBCs بتشكل + +396 +00:31:06,930 --> 00:31:12,610 +حوالي 99% وظيفة ال RBCs أو وظيفة كرهيات الدم + +397 +00:31:12,610 --> 00:31:18,010 +الحمراء تعمل على transport ل respiratory gases in + +398 +00:31:18,010 --> 00:31:25,260 +the bloodنقل اللي هو ال oxygen طبعا وحكينا محطة + +399 +00:31:25,260 --> 00:31:28,900 +تبادل الغازات بتكون في ال lungs فبالتالي بتنقله + +400 +00:31:28,900 --> 00:31:36,360 +داخل ال blood ليكوسايتس اللي هي ما يسمى ب ال white + +401 +00:31:36,360 --> 00:31:42,260 +blood cells تعرفوا في عندنا حاجة اسمها ال leukemia + +402 +00:31:43,670 --> 00:31:47,050 +هذه ال leukemia هي عبارة عن ال cancer أو ال blood + +403 +00:31:47,050 --> 00:31:51,830 +cancer كيميا أو اللي هو سلطان الدم بنسميه عفنا + +404 +00:31:51,830 --> 00:31:56,490 +الله و إياكم منه leukemia تمام؟ أي حاجة بنضيف لها + +405 +00:31:56,490 --> 00:32:01,670 +أومة أو إمة معناته هي cancer أو بنسميه tumor في + +406 +00:32:01,670 --> 00:32:05,670 +الدم ليش؟ لأن ال leukemia بياخدها من ال leukocytes + +407 +00:32:05,670 --> 00:32:13,600 +بتشكل لواحد في المياه من المياه من الشو وظيفة ال + +408 +00:32:13,600 --> 00:32:16,620 +white blood cells؟ هي عبارة عن defense mechanism + +409 +00:32:16,620 --> 00:32:22,560 +يعني مهمة جدا في اللي هو الحفاظ ومهاجمة اللي هو ال + +410 +00:32:22,560 --> 00:32:27,500 +pathogens أو ما يسمى فيه اللي هو ال .. بعض + +411 +00:32:27,500 --> 00:32:30,580 +الفيروسات أو البكتيريا اللي بتهاجم جسم الإنسان + +412 +00:32:32,320 --> 00:32:35,600 +تلاتة من الformed elements اللي هي عبارة عن ال + +413 +00:32:35,600 --> 00:32:42,460 +blatlets أو ما يسمى بالصفائح الدموية بتشكل 1% من + +414 +00:32:42,460 --> 00:32:46,180 +الformed elements بتساعد في ال blood clotting اللي + +415 +00:32:46,180 --> 00:32:51,880 +هي عبارة عن تجلط الدم بيقوم فيه اللي هي الصفائح + +416 +00:32:51,880 --> 00:32:56,830 +الدموية هذه وظيفة اللي هي ال blatletsاريثرو سايتس + +417 +00:32:56,830 --> 00:33:01,030 +هي عبارة عن ال RBCs ليكو سايتس هي عبارة عن ال + +418 +00:33:01,030 --> 00:33:04,670 +white blood cells و ال bloodlets اللي هي الصفائح + +419 +00:33:04,670 --> 00:33:08,850 +الدموية التلاتة مع بعض هدولة هما اسمهم formed + +420 +00:33:08,850 --> 00:33:13,510 +elementsشو الـ hematocriate؟ الـ hematocriate هي + +421 +00:33:13,510 --> 00:33:17,950 +عبارة عن نسبة الكريات الحمراء أو كريات الدم + +422 +00:33:17,950 --> 00:33:22,770 +الحمراء داخل الدم ال percentage of erythrocytes in + +423 +00:33:22,770 --> 00:33:28,750 +the blood بيختلف حسب الحجم والشكل واللون وكذلك حسب + +424 +00:33:28,750 --> 00:33:34,270 +الأعراق والأجناز يعني القضاء القميل بشكل من 42% ل + +425 +00:33:34,270 --> 00:33:40,910 +56%أما الفينيل فهي أقل تمانية و تلاتين لست و + +426 +00:33:40,910 --> 00:33:46,990 +أربعين في المية نسبة وجود كريات الدم الحمراء تمام + +427 +00:33:46,990 --> 00:33:53,730 +الأطفال عندهم الهيموتكاريات أعلى أو أيضا يختلف من + +428 +00:33:53,730 --> 00:33:58,850 +حدا إلى حد آخر يعني البلغين بيكون لهم نسبة معينة و + +429 +00:33:58,850 --> 00:34:03,370 +الأطفال كمان نسبة معينة ال altitude كان affected + +430 +00:34:03,370 --> 00:34:08,340 +فيه الهيموتكارياتوجود الشخص أيضًا في مكان مرتفع + +431 +00:34:08,340 --> 00:34:13,760 +بيأثر على نسبة الهيموتكريات ال body compensated by + +432 +00:34:13,760 --> 00:34:18,240 +making more erythrocytes تمام؟ بيأثرلي على نسبة + +433 +00:34:18,240 --> 00:34:23,400 +اللي هو ال RBCs داخل ال blood more erythrocytes + +434 +00:34:23,880 --> 00:34:28,840 +أكثر RBC بتكون موجودة carry more oxygen to that + +435 +00:34:28,840 --> 00:34:33,420 +issue طبعا إشي طبيعي إذا كان عندى في المعركة عدد + +436 +00:34:33,420 --> 00:34:37,220 +الجنود كتير فمعناته هيكون عدد المحاربين اللي هم أو + +437 +00:34:37,220 --> 00:34:41,040 +عدد المقاتلين لحماية الوطن كتيرإذن الـ more + +438 +00:34:41,040 --> 00:34:43,940 +erythrocytes in blood can carry more أكسيجين + +439 +00:34:43,940 --> 00:34:47,820 +فبالتالي أفضل للجسم كل ما كانت نسبة اللي هو ال + +440 +00:34:47,820 --> 00:34:50,940 +hematocriate hemato باللاتيني تعني blood و create + +441 +00:34:50,940 --> 00:34:55,140 +اللي هو ال hematocriate اللي هو نسبة وجود ال + +442 +00:34:55,140 --> 00:35:01,340 +erythrocytes أو ال RBCs داخل البلد ال erythrocytes + +443 +00:35:01,340 --> 00:35:09,250 +هنحكي على ال RBCs الآن خلايا الدم الحمراءالناضجة + +444 +00:35:09,250 --> 00:35:16,290 +ال mature منها بتعيش حوالي 120 يوم وبعد ال 120 يوم + +445 +00:35:16,290 --> 00:35:19,970 +بتم استبدالها اللي هو لإنه حكينا ال life cycle + +446 +00:35:19,970 --> 00:35:25,690 +تبعتها تتغير كل 120 يوم أخدنا كمان إن ال RBCs + +447 +00:35:25,690 --> 00:35:31,510 +تفتقد إلى نواة وهذا مما يعطيها خاصية وميزة إن هي + +448 +00:35:31,510 --> 00:35:36,390 +تحمل أكبر كمية من الأكسجين لعملية التبادلتعمل على + +449 +00:35:36,390 --> 00:35:40,930 +نقل اللي هو Transport لل Oxygen and Carbon Dioxide + +450 +00:35:40,930 --> 00:35:45,290 +to and from tissue on the lung Lack of nuclear + +451 +00:35:45,290 --> 00:35:49,650 +تفتقد إلى النواة هذا بيخليها تحمل أكبر كمية من + +452 +00:35:49,650 --> 00:35:53,850 +اللي هو ال gas exchange فبالتالي هذا بيخليها أكثر + +453 +00:35:53,850 --> 00:36:01,430 +فعالية وأفضل في اللي هو العمل + +454 +00:36:03,360 --> 00:36:08,860 +كل Erythrocytes تمتلك حوالي 280 مليون مولوكيولز + +455 +00:36:08,860 --> 00:36:13,860 +تحتوي على الـ Red Pigment أو الصبغة الحمراء + +456 +00:36:13,860 --> 00:36:19,020 +الغامقة اللي بنشوفها في داخل عينة الدم ليش ناتجة + +457 +00:36:19,020 --> 00:36:22,860 +عن البروتين اسمه الـ Hemoglobinيعمل على نقل + +458 +00:36:22,860 --> 00:36:27,740 +transport للأكسجين نقل اللي هو الأكسجين و كذلك + +459 +00:36:27,740 --> 00:36:32,240 +ثاني أكسيد الكربون and responsible مسئولة عن + +460 +00:36:32,240 --> 00:36:37,560 +اغمقاق أو اللي هو اللون الأحمر الفاقع خليني أحكي + +461 +00:36:37,560 --> 00:36:41,580 +لل colors of atrial blood في عندنا دم موجود في ال + +462 +00:36:41,580 --> 00:36:45,160 +atrial و دم موجود في ال vein يعني دم موجود في + +463 +00:36:45,160 --> 00:36:49,000 +الشريان و في عندنا دم موجود في الوريدالان ال + +464 +00:36:49,000 --> 00:36:54,240 +hemoglobin اللي يحتوي على اللي هو مو أكسوجين بيكون + +465 +00:36:54,240 --> 00:36:59,020 +دي blood color can be perceived أو ممكن حفظه داخل + +466 +00:36:59,020 --> 00:37:04,200 +اللي هو ال vein بلون أزرق مغمق يعني اللي هو blue + +467 +00:37:04,200 --> 00:37:08,160 +because the blood مو أكسوجين أو لا يحتوي على كمية + +468 +00:37:08,160 --> 00:37:13,820 +من الأكسوجين فبالتالي باجيه تحت subcutaneous layer + +469 +00:37:13,820 --> 00:37:19,130 +أو ما يسمى بيه اللي هو تحت الجلدتمام؟ هذا بالنسبة + +470 +00:37:19,130 --> 00:37:22,650 +لاللي هو الاريثروسايت أو ال homoglobin اللي موجود + +471 +00:37:22,650 --> 00:37:27,250 +الاريثروسايت liked في cycle زي ما حكينا اللي هو لا + +472 +00:37:27,250 --> 00:37:32,050 +تحتوي على قضيات sustained life life span تبعتها كل + +473 +00:37:32,050 --> 00:37:37,360 +120 يوم يعني كل تلت شهور تقريبالأ كل 4 شهور + +474 +00:37:37,360 --> 00:37:41,340 +فبالتالي دي ناخد بالنا من الرقم اللي موجود daily + +475 +00:37:41,340 --> 00:37:46,260 +حوالي 1% من ال oldest RBCs can be removed ممكن أنا + +476 +00:37:46,260 --> 00:37:51,880 +أزيله الأنهي اللي انزلت أو هيلت حطمت المقبرة حكينا + +477 +00:37:51,880 --> 00:37:56,200 +تبعت اللي هو تحطيم ال RBCs هي في السبلين and liver + +478 +00:37:56,200 --> 00:38:01,220 +اللي هو في التحال و الكبدممكن أنا أستفيد من بعض + +479 +00:38:01,220 --> 00:38:04,260 +العناصر أو بعض ال components أنه أنا أحتفظ فيها + +480 +00:38:04,260 --> 00:38:08,000 +على سبيل المثال هذه شوية protein أنا بدي أخبيها صح + +481 +00:38:08,000 --> 00:38:12,580 +اتكسرت عندي الخلية ولكن فيها أشياء يعني ممكن أنه + +482 +00:38:12,580 --> 00:38:16,560 +أنا أحتفظ فيها وبعض الأشياء لأ خلاص روحي على ال + +483 +00:38:16,560 --> 00:38:20,600 +waste product ما بدنياها فبالتالي ممكن أنا أضيعها + +484 +00:38:20,600 --> 00:38:26,060 +شو أنواع أو شو هي فئات الدم اللي أنا ممكن أعرفها؟ + +485 +00:38:27,380 --> 00:38:32,240 +بيعتمد حسب البروتين الموجود في ال RBCs تمام؟ في + +486 +00:38:32,240 --> 00:38:38,300 +غشاء الخلية جروبات الدم أربعة في عندنا ناس تحمل دم + +487 +00:38:38,300 --> 00:38:45,180 +فئة A ناس تحمل دم فئة B ناس تحمل دم فئة AB و ناس + +488 +00:38:45,180 --> 00:38:52,340 +تحمل فئة الدم O الناس اللي بتحمل فئة الدم O هذه + +489 +00:38:52,340 --> 00:38:54,600 +بسميها column + +490 +00:38:56,700 --> 00:39:05,100 +Donor، معطي عام، تمام؟ بيعطي كل الفئات، ولكن الناس + +491 +00:39:05,100 --> 00:39:13,100 +اللي تحمل دم AB أو فئة الـABهي common receptant + +492 +00:39:13,100 --> 00:39:20,240 +تمام؟ أو اللي هي مستقبل عام ال A,B blood types + +493 +00:39:20,240 --> 00:39:25,780 +type A يحتوي على A surface من الانتيجين B يحتوي + +494 +00:39:25,780 --> 00:39:30,460 +على ال B surface of انتيجين أما A,B فيحتوي على + +495 +00:39:30,460 --> 00:39:36,050 +اللي هو both يا إما A يا إما B انتيجين surfaceالـ + +496 +00:39:36,050 --> 00:39:41,330 +O لا يحتوي على لا إذا لا A ولا B أنتجين فبالتالي + +497 +00:39:41,330 --> 00:39:48,190 +الـ O بعتبره معطي عام بيعطي كل فئات الدم ولكن لا + +498 +00:39:48,190 --> 00:39:56,310 +يستقبل إلا من نفسه ألا AB اللي هو مستقبل تمام؟ + +499 +00:39:56,990 --> 00:40:01,830 +هذا بالنسبة لمجموعات قدام خليني أشوف اللي هو ال + +500 +00:40:01,830 --> 00:40:04,630 +blood types ال antibodies أو اللي هو الagulants + +501 +00:40:04,630 --> 00:40:09,430 +that surface antigen R-plasma ال ABO group has + +502 +00:40:09,430 --> 00:40:15,510 +anti A and antibodies B لأنه AB group لحالها + +503 +00:40:15,510 --> 00:40:20,930 +فبالتالي A يحتوي على انتجين اللي هو Anti B أما B + +504 +00:40:20,930 --> 00:40:28,060 +فيحتوي على A وABNeither Anti-A nor Anti-B. Type O + +505 +00:40:28,060 --> 00:40:31,580 +يحتوي على both Anti-Gene أو Antibodies A and + +506 +00:40:31,580 --> 00:40:37,080 +Antibodies O هذا بالنسبة ل .. اللي هو فئات الدم + +507 +00:40:37,080 --> 00:40:40,340 +الأربعة، عرفنا مين ال Anti-Gene تبعها، عرفنا مين + +508 +00:40:40,340 --> 00:40:44,040 +ال Antibodies، عرفنا كمان مين المؤت العام ومين + +509 +00:40:44,040 --> 00:40:50,090 +المستقبل العامهتكلم عن ال white blood cells اللي + +510 +00:40:50,090 --> 00:40:54,830 +هي خلايا الدم البيضاء بسميها ال leucocytes عشان + +511 +00:40:54,830 --> 00:40:59,510 +كده حكيت leukemia تعني cancer in blood أو اللي هو + +512 +00:40:59,510 --> 00:41:04,590 +سرطان الدم من اسمها من ال leuco whiteوظيفتها الـ + +513 +00:41:04,590 --> 00:41:08,090 +function تبعتها protect للأجنس disease طبعا بتساهم + +514 +00:41:08,090 --> 00:41:13,210 +معايا في ال immunity system interleukins and colon + +515 +00:41:13,210 --> 00:41:16,930 +stimulating factor stimulation development وظيفتها + +516 +00:41:16,930 --> 00:41:23,570 +تهاجم وتبتلع الأجسام الغريبة بالنسبة لأنواعها في + +517 +00:41:23,570 --> 00:41:31,170 +عندي حاجة اسمها granulocytes خنايةمحببة يعني لو + +518 +00:41:31,170 --> 00:41:34,270 +أنا شفتها على ال microscope بلاقي فيها على شكل + +519 +00:41:34,270 --> 00:41:38,790 +حجوب ال granulate sites حكينا إيه لما بتسبق + +520 +00:41:38,790 --> 00:41:44,730 +المعلومة معناته إيه؟ بتنفيها غير محببة ما بلاقيها + +521 +00:41:44,730 --> 00:41:49,750 +تحت ال microscope فيها أي شيء من اللي هو الحبيبات + +522 +00:41:49,750 --> 00:41:56,050 +مين عند الخلايا المحببة؟ Nitrophils إيزو و بايزو + +523 +00:41:57,240 --> 00:42:02,700 +Nitro معادلة أو اللي هو تعادل في الحموضة إيزو + +524 +00:42:02,700 --> 00:42:10,120 +قاعدي وبيزو حمضي تمام؟ إذا الـNitro والإيزو + +525 +00:42:10,120 --> 00:42:14,040 +والبيزو خلايا granulate-site تحتوي على خلايا + +526 +00:42:14,040 --> 00:42:17,980 +granulate-site خلايا محببة أما الـlymphocytes + +527 +00:42:17,980 --> 00:42:22,560 +والـmonocytes المسؤولين عن مهاجمة اللي هو + +528 +00:42:22,560 --> 00:42:27,850 +الـpathogenes فهي خلايا غير محببةتمام؟ هي خلايا + +529 +00:42:27,850 --> 00:42:33,110 +لاوجود للحبيبات داخلها هذا بالنسبة لل white blood + +530 +00:42:33,110 --> 00:42:37,810 +cells البليتليتز هحكي عليها كمان حاجات كنا احنا + +531 +00:42:37,810 --> 00:42:43,260 +اتكلمنا عنهاسؤولة عن تجلط الدم كنا بنحكي على ال + +532 +00:42:43,260 --> 00:42:47,480 +blood coagulation أو عملية اللي هو تخثر الدم هي + +533 +00:42:47,480 --> 00:42:52,100 +طبعا منها من الله سبحانه وتعالى Regular من بين + +534 +00:42:52,100 --> 00:42:55,600 +enclosed ل similar fragments بتساعد في إغلاق ال + +535 +00:42:55,600 --> 00:42:59,160 +atrial bleeding أو ال vein bleeding حوالي اتنين + +536 +00:42:59,160 --> 00:43:03,260 +micrometers في ال diameter تبعتها sometimes بسميها + +537 +00:43:03,260 --> 00:43:08,180 +thrombo كلمة thrombo تعني خسرة دمويةOkay + +538 +00:43:08,180 --> 00:43:12,760 +continuously produced by red bone marrow بتمنوا + +539 +00:43:12,760 --> 00:43:17,100 +اللي هو إنتاجها عن طريق اللي هو نخاء الأحمر by + +540 +00:43:17,100 --> 00:43:22,880 +cells اسمها ميجا و بجسم الكلمة keratocyte إذا + +541 +00:43:22,880 --> 00:43:26,980 +بتمنوا إنتاج ال platelets عن طريق النخاء الأحمر في + +542 +00:43:26,980 --> 00:43:34,190 +خلايا اسمها ميجا كريتوسايتطبعا عرفنا وين خلايا دم + +543 +00:43:34,190 --> 00:43:39,170 +الأحمر أو نخايا الأحمر بتكون موجودة ابهيك يعطيكوا + +544 +00:43:39,170 --> 00:43:43,370 +العافية بيكون خلصنا chapter ل blood نلتقي بإذن + +545 +00:43:43,370 --> 00:43:46,290 +الله تعالى في chapter قادم بيعطيكوا الفعالية + diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/2yML5eRtGRE.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/2yML5eRtGRE.srt new file mode 100644 index 0000000000000000000000000000000000000000..0e396e97aa73adaee9e0e36e7cafd4ab9b4543ea --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/2yML5eRtGRE.srt @@ -0,0 +1,2420 @@ +1 +00:00:05,300 --> 00:00:08,200 +بسم الله الرحمن الرحيم والصلاة والسلام على أشرف + +2 +00:00:08,200 --> 00:00:12,040 +الأنبياء والمرسلين، طلابي طالبات الأعزاء، أهلاً وسهلاً + +3 +00:00:12,040 --> 00:00:16,420 +بكم مرة أخرى في الجزء الأخير في الفصل + +4 +00:00:16,420 --> 00:00:21,040 +nervous system 2، إن شاء الله رب العالمين، اليوم بدي + +5 +00:00:21,040 --> 00:00:25,280 +أتحدث عن الدماغ، عن التشريح تبع الدماغ، شو + +6 +00:00:25,280 --> 00:00:29,640 +أقسامه، سأتحدث أيضاً عن الحبل الشوكي، وشو هي + +7 +00:00:29,640 --> 00:00:34,380 +تقسيماته، وإن شاء الله رب العالمين نبدأ على بركة + +8 +00:00:34,380 --> 00:00:40,170 +الله، في محاضرات الـ nervous system، أول شيء احنا + +9 +00:00:40,170 --> 00:00:44,870 +حكينا في المحاضرة السابقة عن الخلية العصبية، + +10 +00:00:44,870 --> 00:00:49,250 +أقسامها، شو مكوناتها، حكينا على الـ central nervous + +11 +00:00:49,250 --> 00:00:53,570 +system الذي يحتوي على، اللي هو الدماغ والحبل + +12 +00:00:53,570 --> 00:00:57,750 +الشوكي، هذه الحبل الشوكي، لو إحنا قربنا الكاميرا شوي + +13 +00:00:57,750 --> 00:01:02,230 +هنشوف هذه بعض الخيوط الرفيعة، هي الأعصاب الشوكية + +14 +00:01:02,600 --> 00:01:08,080 +التي تكون طالعة من الحبل الشوكي، ومتفرعة، وبتتم + +15 +00:01:08,080 --> 00:01:11,860 +حماية، اللي هو الـ central nervous system، عن طريق الـ + +16 +00:01:11,860 --> 00:01:15,320 +skull bone، التي أخذناها في محاضرة الـ skeletal + +17 +00:01:15,320 --> 00:01:19,420 +system 2، أيضاً بتتم حماية الحبل الشوكي عن طريق الـ + +18 +00:01:19,420 --> 00:01:22,660 +vertebral column، سأحكي شوية معلومات على طول في الـ + +19 +00:01:22,660 --> 00:01:26,840 +introduction، التي هي من أقسام وأجزاء الدماغ، + +20 +00:01:26,840 --> 00:01:31,820 +ممكن أسميه حسب العظم أو حسب الجمجمة، سبقتنا على + +21 +00:01:31,820 --> 00:01:35,440 +سبيل المثال، هذه العظم الجبهي، الصدغي، + +22 +00:01:35,440 --> 00:01:40,040 +الجداري، القذالي، القاعدة في، أخذنا كمان في + +23 +00:01:40,040 --> 00:01:47,320 +اللي هو الـ bull marking، في عندي هنا الـ oval أو + +24 +00:01:47,320 --> 00:01:50,580 +اللي هو circular أو الـ rounded openings، التي هي + +25 +00:01:50,580 --> 00:01:54,060 +الفتحة الموجودة هنا، اسمها فتحة الـ magnum + +26 +00:01:54,060 --> 00:01:57,200 +foramen، هذه بس مراجعة سريعة للي إحنا أخذناهم + +27 +00:01:57,200 --> 00:02:01,460 +الحاجات، هذه الـ magnum foramen، بيطلع منها اللي هو + +28 +00:02:01,460 --> 00:02:05,560 +الحبل الشوكي، وبينزل في الـ vertebral column، التي + +29 +00:02:05,560 --> 00:02:10,750 +هو مستضيفه، وبينتهي لحد lumbar 2، إذا الحبل الشوكي + +30 +00:02:10,750 --> 00:02:15,390 +يبدأ من الـ magnum foramen، وبينزل انزالاً، وينتهي + +31 +00:02:15,390 --> 00:02:20,830 +لحدّ لمبري اثنين، بعد هيك بيصير في عندي ضفائر عصبية، + +32 +00:02:20,830 --> 00:02:25,950 +نبدأ في محاضرتنا اليوم، سأتكلم عن تركيبة أو ما هو + +33 +00:02:25,950 --> 00:02:30,590 +الدماغ، اليوم، في الأشخاص البالغين، الدماغ يزن حوالي + +34 +00:02:30,590 --> 00:02:37,240 +1.3 كيلوغرام، يعني تقريباً ثلاثة pounds، الآن + +35 +00:02:37,240 --> 00:02:42,600 +بدي أحكي أنه الدماغ لا يرتبط بحجم كبر الرأس، + +36 +00:02:42,600 --> 00:02:47,420 +على سبيل المثال، عند بعض العائلات، تتميز بكبر حجم + +37 +00:02:47,420 --> 00:02:51,060 +الرأس، يعني القطر تبع الرأس بيكون واسع، قطر + +38 +00:02:51,060 --> 00:02:54,820 +الرأس كبير، فبالتالي إحنا ما بنقول، على سبيل المثال، + +39 +00:02:54,820 --> 00:03:00,160 +العائلة الفلانية ذكية وممتازين طلابها وكذا، وذلك + +40 +00:03:00,160 --> 00:03:06,140 +لأن رؤوسهم حجمها كبير، هذا الشيء علمياً مش صحيح، الآن + +41 +00:03:06,140 --> 00:03:09,700 +يرتبط كبر حجم الرأس بعدد الـ synapse، بعدد + +42 +00:03:09,700 --> 00:03:14,200 +التلافيف الموجودة في الدماغ، يعني حجم الدماغ + +43 +00:03:14,200 --> 00:03:17,340 +size is not directly correlated with intelligence، + +44 +00:03:17,340 --> 00:03:22,730 +للعلاقة حجم الدماغ باللي هو الذكاء، it's + +45 +00:03:22,730 --> 00:03:25,750 +not physically size of the brain that determine + +46 +00:03:25,750 --> 00:03:30,310 +intelligence، لا يمكن أنه أنا أحدد حجم اللي هو أو + +47 +00:03:30,310 --> 00:03:35,490 +أصف الشخص هذا بأنه ذكي بناءً على حجم الرأس، it's + +48 +00:03:35,490 --> 00:03:39,410 +related to the number of active synapse، هذا له + +49 +00:03:39,410 --> 00:03:43,850 +علاقة بالـ active synapse أو التلافيف التي تكون + +50 +00:03:43,850 --> 00:03:49,720 +موجودة داخل الدماغ، شو وظائف الدماغ؟ أكرم الله + +51 +00:03:49,720 --> 00:03:53,960 +سبحانه وتعالى الإنسان وبني آدم بالدماغ، طبعاً ليش؟ + +52 +00:03:53,960 --> 00:03:57,820 +لأن الدماغ بيقدم وظائف متعددة، أولها بيعمل تفسير + +53 +00:03:57,820 --> 00:04:01,540 +للإحاسيس، interprets the sensation، determines the + +54 +00:04:01,540 --> 00:04:06,220 +perception، يصف الشعور، يصف كل الإحاسيس والتفكير + +55 +00:04:06,220 --> 00:04:10,980 +الذي جوانا، هذا ناتج عن الدماغ، stores memory، يخزن + +56 +00:04:10,980 --> 00:04:15,820 +الذاكرة، اليوم على سبيل المثال أنا تعاملت مع حريق + +57 +00:04:15,820 --> 00:04:19,640 +كذا وكذا، قمت بالهروب من المكان، فبالتالي الدماغ + +58 +00:04:19,640 --> 00:04:25,200 +يخزن هذا الحدث، ومن ثم نستفيد منه في مواقف أخرى، + +59 +00:04:25,200 --> 00:04:28,860 +reasoning، التفكير والأحداث، وتحليل المعطيات، هذا + +60 +00:04:28,860 --> 00:04:33,360 +مش موجود عند باقي الكائنات، موجود عند الإنسان، أيضاً + +61 +00:04:33,360 --> 00:04:37,260 +make decision، أنا اليوم كنت على مستوى قادر أن آخذ + +62 +00:04:37,260 --> 00:04:41,140 +قراراً، على سبيل المثال، في محاضرة أو ما فيش محاضرة، + +63 +00:04:41,140 --> 00:04:45,550 +بناءً على سلامة الدماغ، coordinated for the muscular + +64 +00:04:45,550 --> 00:04:50,030 +system، حكينا العضلات بتشتغل إذا كان في لها سيال + +65 +00:04:50,030 --> 00:04:53,750 +عصبي، معناه الكلام بيوصل in pulses، وبيسافر in + +66 +00:04:53,750 --> 00:04:57,730 +pulses أخرى، إذا في عندي neuromuscular coordinated، + +67 +00:04:57,730 --> 00:05:02,090 +تنسيق عصبي عضلي، أيضاً في عندي regulated for the + +68 +00:05:02,090 --> 00:05:06,790 +visceral activity، بيعمل تنظيم لإيه؟ هو نشاطات + +69 +00:05:06,790 --> 00:05:10,330 +الأحشاء الداخلية، أنت عليك يا أمعاء، على سبيل المثال، + +70 +00:05:10,330 --> 00:05:14,230 +امتصاص الماء، أنت علاقة كبيرة، إفراز الهرمون، + +71 +00:05:14,230 --> 00:05:17,310 +فبالتالي الجهاز العصبي أو الدماغ هو الـ + +72 +00:05:17,310 --> 00:05:19,390 +central nervous، هو من الـ central nervous system، + +73 +00:05:19,390 --> 00:05:24,230 +بيشتغل مع اللي هو الـ endocrine system، أيضاً بيحدد + +74 +00:05:24,230 --> 00:05:28,210 +الشخصية، هذا الدماغ له دور فعال في تحديد الـ + +75 +00:05:28,210 --> 00:05:31,890 +personality، هذه الوظائف هي إجمالي ما يقوم + +76 +00:05:31,890 --> 00:05:36,230 +به الدماغ، تمام؟ اللي هو حكينا عنه، الـ central + +77 +00:05:36,230 --> 00:05:40,820 +nervous system، شو محتويات الدماغ؟ محتويات الدماغ + +78 +00:05:40,820 --> 00:05:45,040 +أربعة أجزاء رئيسية، في عندي حاجة اسمها المخ + +79 +00:05:45,040 --> 00:05:49,360 +في حاجة اسمها جذع الدماغ، في حاجة اسمها الـ + +80 +00:05:49,360 --> 00:05:53,780 +cerebellum، في حاجة اسمها الدماغ البيني + +81 +00:05:53,780 --> 00:05:58,140 +الآن، المخ، أو ما يسمى بالمخ، هو أكبر جزء + +82 +00:05:58,140 --> 00:06:03,580 +موجود في الدماغ، المخ وهو الجزء الأكبر، جذع الدماغ + +83 +00:06:03,580 --> 00:06:10,160 +جذع الدماغ، هو عبارة عن ايش؟جزئية تقع أمام المخيخ + +84 +00:06:10,160 --> 00:06:15,040 +وتتصل مباشرة بالحبل الشوكي، المخيخ يقع خلف + +85 +00:06:15,040 --> 00:06:21,240 +الدماغ، تمام، خلف جذع الدماغ، ومسؤول عن التوازن، متى + +86 +00:06:21,240 --> 00:06:25,400 +بشوف، مسؤول عن الـ balance، + +87 +00:06:25,400 --> 00:06:33,380 +مسؤول عن الاتزان في اللي هو جسم الإنسان، الـ + +88 +00:06:33,380 --> 00:06:38,260 +dicephalon، اللي هو عبارة عن، الدماغ البيني، هو عبارة + +89 +00:06:38,260 --> 00:06:42,700 +عن الدماغ البيني، يقع في الـ oxalate أو في قاعدة الـ + +90 +00:06:42,700 --> 00:06:48,220 +base of skull، يقع في اللي هي قاعدة الدماغ، هذه بعض + +91 +00:06:48,220 --> 00:06:52,640 +التعريفات البسيطة لأجزاء الدماغ، بعيد وأكرر، أجزاء + +92 +00:06:52,640 --> 00:06:55,660 +الدماغ هي: المخيخ، المخ، جذع الدماغ، + +93 +00:06:55,660 --> 00:07:00,470 +المخيخ، وكذلك الدماغ البيني، خليني أشوف في + +94 +00:07:00,470 --> 00:07:04,430 +هذه التركيبة، في عندنا بعض الصور الموجودة زي ما + +95 +00:07:04,430 --> 00:07:09,490 +حكيت لكم، اللي هو تركيبة الدماغ نفسها بتكون موجودة، + +96 +00:07:09,490 --> 00:07:14,170 +نشوف الصور الأخرى، الآن المخ، أو ما يسمى بالـ + +97 +00:07:14,170 --> 00:07:18,270 +brain major area، اللي هو المخ، ينقسم إلى + +98 +00:07:18,270 --> 00:07:23,110 +نصفين، أو ينقسم إلى نصفين أساسيين، هذول + +99 +00:07:23,110 --> 00:07:27,700 +النصفين الأساسيين، نقسمهم إلى right and left، آجي + +100 +00:07:27,700 --> 00:07:35,420 +أشوفهم أنا على الصورة، عندي، وسأقسم الدماغ هذا + +101 +00:07:35,420 --> 00:07:40,980 +الدماغ هنا، سأحكي، هذا الدماغ، سأقسمه إلى نصفين، في + +102 +00:07:40,980 --> 00:07:45,880 +عندي المنطقة الـ right، وفي عندنا المنطقة الـ left + +103 +00:07:45,880 --> 00:07:50,600 +من الدماغ، إذا ينقسم المخ، ينقسم إلى + +104 +00:07:50,600 --> 00:07:56,000 +right and left hemispheres، كلمة hemispheres تعني + +105 +00:07:56,000 --> 00:08:02,120 +هنا لوحدها نصف، و spheres تعني circular، كروي أو + +106 +00:08:02,120 --> 00:08:07,960 +دائري، إذا هنا كروي أو دائري، إذا انقسم الدماغ إلى + +107 +00:08:07,960 --> 00:08:17,420 +نصفين كرويين أو دائريين، each + +108 +00:08:17,420 --> 00:08:22,180 +hemispheres have two or have into five functional + +109 +00:08:22,180 --> 00:08:27,500 +areas called lobes، كل hemisphere لوحده يحتوي على + +110 +00:08:27,500 --> 00:08:32,700 +خمسة أجزاء رئيسية، تمام، هذه الأجزاء الرئيسية اللي + +111 +00:08:32,700 --> 00:08:37,000 +هي هنا، هذه التي سأقسمها، الـ right تنقسم إلى خمسة + +112 +00:08:37,000 --> 00:08:42,380 +واحد، اثنين، ثلاثة، أربعة، وهنا خلينا رقم خمسة، five + +113 +00:08:42,380 --> 00:08:49,450 +lobes، إذا تنقسم كل five lobes، ينقسم كل hemisphere + +114 +00:08:49,450 --> 00:08:55,410 +الـ right لخمسة lobes، والـ left كذلك ينقسم إلى الـ left + +115 +00:08:55,410 --> 00:09:01,770 +و الـ right، تمام، هنا اللي هو المخ ينقسم إلى + +116 +00:09:01,770 --> 00:09:07,290 +right وإلى left، الـ right ينقسم إلى five lobes، و + +117 +00:09:07,290 --> 00:09:15,170 +اللي هو الـ left ينقسم إلى five lobes، يعني كل + +118 +00:09:15,170 --> 00:09:21,510 +مخ يحتوي على ten lobes، عشرة أجزاء من الـ lobes، + +119 +00:09:21,510 --> 00:09:24,290 +أو الـ functional lobes، + +120 +00:09:28,350 --> 00:09:32,550 +outer surface of adult brain، أسميها الـ gray، و + +121 +00:09:32,550 --> 00:09:37,170 +اللي هي الطبقة أو التلافيف الداخلية الموجودة، أو + +122 +00:09:37,170 --> 00:09:42,830 +المعرضة في الدماغ خارجياً، بتكون اسمها gray، المادة + +123 +00:09:42,830 --> 00:09:47,530 +الرمادية أو الطبقة الرمادية داخل الدماغ، أما التي + +124 +00:09:47,530 --> 00:09:52,530 +تكون ما بين هذه التلافيف أو ما بين هذه التجاويف هي + +125 +00:09:52,530 --> 00:09:57,190 +عبارة عن المادة الـ shallow، السطحية، depression، + +126 +00:09:57,190 --> 00:10:01,330 +أسميها الـ sulcus أو الـ sulci، سنشوفها في الصورة + +127 +00:10:01,330 --> 00:10:06,630 +التالية، ونشوف الدماغ مرتبط بـ twelve + +128 +00:10:06,630 --> 00:10:10,990 +pairs of cranial nerve، حكينا سابقاً أن في عندي اثني عشر + +129 +00:10:10,990 --> 00:10:17,970 +pairs من الأعصاب الشوكية، وفي عندنا اثنا عشر + +130 +00:10:17,970 --> 00:10:24,920 +pairs من الأعصاب القحفية، تمام، هذه الأعصاب القحفية + +131 +00:10:24,920 --> 00:10:28,700 +originated from the brain، إذا الدماغ مرتبط بـ + +132 +00:10:28,700 --> 00:10:35,240 +twelve pairs of cranial nerve، تمام، هذه هي + +133 +00:10:35,240 --> 00:10:39,500 +عبارة عن ايش؟ التلافيف، + +134 +00:10:39,500 --> 00:10:44,900 +الموجودة داخل الدماغ، خليني أوريكم الـ gray area + +135 +00:10:44,900 --> 00:10:48,260 +و الـ sulcus area، الآن زي ما أنتم شايفين في هذه + +136 +00:10:48,260 --> 00:10:53,440 +الرسمة، هي عبارة عن الدماغ، هذا الدماغ هو عبارة + +137 +00:10:53,440 --> 00:10:59,340 +عن مجموعة من التلافيف، أو مجموعة من الأنسجة العصبية، + +138 +00:10:59,340 --> 00:11:03,980 +الآن زي ما أنتم شايفين هذه الـ gray أو هذه الأجزاء + +139 +00:11:03,980 --> 00:11:07,180 +التي هنا محيطة، هي عبارة عن المادة الرمادية، تمام، + +140 +00:11:07,180 --> 00:11:11,070 +المادة الرمادية، أما التي بينهم، بين هذه + +141 +00:11:11,070 --> 00:11:14,990 +التعروجات، الانخفاضات السطحية، هي عبارة عن الـ + +142 +00:11:14,990 --> 00:11:19,770 +white matter أو ما يسمى بالـ sulcus، تمام؟ هيك بيكون + +143 +00:11:19,770 --> 00:11:24,610 +عرفنا التركيبة الأساسية للمخ، خليني أكمل + +144 +00:11:24,610 --> 00:11:30,250 +باقي أجزاء المخ والدماغ كاملة، ونشوف شو بيجي علينا، + +145 +00:11:30,250 --> 00:11:35,610 +أخذنا المخ، سآخذ الفصوص، واسمائها، حكيت لكم أنه + +146 +00:11:35,610 --> 00:11:42,440 +سأسمي، بعض، التي هي، سأسمي بعض الأسماء أو بعض + +147 +00:11:42,440 --> 00:11:46,680 +الأنسجة العصبية للدماغ، هذه التركيبة ككل هي تركيبة + +148 +00:11:46,680 --> 00:11:51,780 +الدماغ، هذا الشيء أو هذه المقدمة أسميها + +149 +00:11:51,780 --> 00:11:55,820 +الـ frontal lobes، إحنا حكينا كل hemisphere يحتوي + +150 +00:11:55,820 --> 00:12:00,880 +على five lobes، هذه الـ five lobes هي: واحد، اثنين، + +151 +00:12:00,880 --> 00:12:06,710 +ثلاثة، أربعة، خمسة، الفص الجبهي هو عبارة عن الناصية أو + +152 +00:12:06,710 --> 00:12:10,870 +النسيج الأمامي، الـ frontal lobe، أيضاً في عندي + +153 +00:12:10,870 --> 00:12:14,630 +الجداري، هذا الجداري، اللي هو الجانبي، في + +154 +00:12:14,630 --> 00:12:18,610 +عندنا هنا الصدغي، من اسم العظمة، الـ scalpon + +155 +00:12:18,610 --> 00:12:23,130 +الذي أنا حكيت عليه، إذا الجبهي، الجداري، + +156 +00:12:23,130 --> 00:12:28,030 +الصدغي، والقشري، هي عبارة عن المادة أو الطبقة + +157 +00:12:28,030 --> 00:12:34,480 +العازلة التي تفصل كل، العازلة تفصل كل lobe عن + +158 +00:12:34,480 --> 00:12:39,180 +الآخر، أيضاً في عندي حاجة تحت في قاع الجمجمة، اسمها + +159 +00:12:39,180 --> 00:12:43,500 +الـ occipital lobes، الآن بنحكي على الـ occipital + +160 +00:12:43,500 --> 00:12:47,200 +lobes، التي هي عبارة عن الشيء الموجود في قاع + +161 +00:12:47,200 --> 00:12:50,940 +الجمجمة، هذه الـ lobes التي هنا، بنخاف لما الطفل + +162 +00:12:50,940 --> 00:12:55,760 +الصغير بيوجع على رأسه، خصوصاً من تحت، من هنا، بنخاف + +163 +00:12:55,760 --> 00:13:00,630 +أنه يصير في عنده loss of vision، فقدان للبصر، إذا + +164 +00:13:00,630 --> 00:13:05,810 +الجبهي مسؤول عن الذاكرة، مسؤول عن الأحداث، + +165 +00:13:05,810 --> 00:13:10,730 +مسؤول، اللي هي نسميها الناصية، أو ما يسمى الجهاز + +166 +00:13:10,730 --> 00:13:14,450 +الأمامي، الجهاز، اللي هو التفكير، إذا الـ frontal + +167 +00:13:14,450 --> 00:13:18,510 +lobe، في عندنا الـ parietal lobe، الـ temporal، الـ + +168 +00:13:18,510 --> 00:13:22,930 +occipital، والمنطقة العازلة هي المنطقة الخامسة، + +169 +00:13:22,930 --> 00:13:26,910 +هذه الـ five lobes واسمائهم، تمام؟ زي ما في عندنا + +170 +00:13:26,910 --> 00:13:32,050 +في الـ right، في عندنا في الـ left lobes، الآن سنتقل + +171 +00:13:32,050 --> 00:13:35,810 +للجزء الثاني، اللي هو اسمه جذع الدماغ، + +172 +00:13:35,810 --> 00:13:41,990 +جذع الدماغ هو عبارة عن ايش؟ ثلاثة أجزاء رئيسية، جذع + +173 +00:13:41,990 --> 00:13:47, + +223 +00:17:38,650 --> 00:17:44,180 +لاستقبال اللي هي الومضات العصبية الحسية، يستقبل كل + +224 +00:17:44,180 --> 00:17:49,380 +اللي هو الأحاسيس، ويستقبل كل الـ sensory impulses ما + +225 +00:17:49,380 --> 00:17:54,080 +عدا الشم. ليه؟ في وين بتتم استقبالهم؟ في الثلمس + +226 +00:17:54,080 --> 00:18:00,160 +تمام؟ إذا بتتم استقبال كل الـ sensory impulses في + +227 +00:18:00,160 --> 00:18:06,010 +الثلمس ما عدا الشم. تمام؟ والشم اللي هو ليش + +228 +00:18:06,010 --> 00:18:09,110 +معدى الشم؟ الشم إلها خاصية مميزة فيها + +229 +00:18:09,110 --> 00:18:12,630 +بتكون موجودة، أو الـ sensory receptors تبعتها، أو الـ + +230 +00:18:12,630 --> 00:18:17,690 +sensory impulses في مكان آخر. canons impulses to + +231 +00:18:17,690 --> 00:18:20,570 +appropriate part of cerebral cortex for + +232 +00:18:20,570 --> 00:18:25,170 +interpretations. طبعا في عندنا قنوات خاصة للاستقبال + +233 +00:18:25,170 --> 00:18:28,770 +للـ impulses، واحنا حكينا العملية كيف بتتم. بتتم + +234 +00:18:28,770 --> 00:18:32,050 +استقبال الـ impulses، بعدين الـ interpretations بيصير + +235 +00:18:32,050 --> 00:18:35,790 +في الـ brain، بعدين بتم اللي هو sending لـ الـ + +236 +00:18:35,790 --> 00:18:38,350 +effectors أو الـ muscle أو الـ gland حسب ما حكينا + +237 +00:18:38,350 --> 00:18:42,870 +عليها المحاضرة اللي فاتت. ارفع ايدك، أو انه حركها، أو + +238 +00:18:42,870 --> 00:18:49,370 +انه للـ glands افرزي كذا أو اعملي كذا. الآن + +239 +00:18:49,370 --> 00:18:52,950 +الجزئية الثانية من الـ diencephalon اللي هي تحتوي + +240 +00:18:52,950 --> 00:18:56,610 +على الـ hypothalamus. الـ hypothalamus أو ما يسمى + +241 +00:18:56,610 --> 00:19:03,310 +باللي هو تحت المهاد. hypo معناتها تحت، و hyper معناتها + +242 +00:19:03,310 --> 00:19:08,210 +أعلى أو فوق. هتعدي معانا كمان شوية. hypo وعكسها + +243 +00:19:08,210 --> 00:19:14,970 +مباشرة حاجة اسمها hyper. هنا أكثر أو أعلى، وهنا أقل + +244 +00:19:14,970 --> 00:19:20,950 +وأسفل. تمام؟ Hypothalamus وظيفتها المحافظة على + +245 +00:19:20,950 --> 00:19:24,630 +الهيموستازيس. هذه حالة الثبات اللي احنا فيها من + +246 +00:19:24,630 --> 00:19:28,630 +اللي هو المميزات اللي الإنسان أو جسم الإنسان بيتصف + +247 +00:19:28,630 --> 00:19:33,950 +فيها. هي عبارة عن الهيموستازيس، من تين للهيموستازيس + +248 +00:19:33,950 --> 00:19:37,810 +اللي هو حالة ثبات الدم، by regulation of visceral + +249 +00:19:37,810 --> 00:19:43,470 +activities. طبعا بتنظيمها، لـ اللي هيتنظيم الحركات أو + +250 +00:19:43,470 --> 00:19:48,650 +اللي هو نشاط الأشياء اللي بتكون. طبعا visual links + +251 +00:19:48,650 --> 00:19:52,090 +للـ nervous and endocrine system. طبعا الـ + +252 +00:19:52,090 --> 00:19:56,890 +hypothalamus تعمل عبارة عن وسيط يصل ما بين جهازين + +253 +00:19:56,890 --> 00:20:00,950 +أو systems. two systems work together with + +254 +00:20:00,950 --> 00:20:04,350 +together. اللي هو الـ nervous system مع الـ endocrine + +255 +00:20:04,350 --> 00:20:08,530 +system.الجزئية الثالثة هي عبارة عن الـ limbic system + +256 +00:20:08,530 --> 00:20:12,370 +الجهاز الشعوري. الجهاز الشعوري موجود في الـ + +257 +00:20:12,370 --> 00:20:15,610 +diencephalon. وظيفته بيعمل control للـ emotions، + +258 +00:20:15,610 --> 00:20:18,990 +produce feelings، interprets الـ sensory impulses، + +259 +00:20:18,990 --> 00:20:22,330 +مسؤول عن كل الأحاسيس هذه اللي موجودة جواتنا، + +260 +00:20:22,330 --> 00:20:27,630 +العواطف، الإحساس مثلا، واللي هو تفسير الحواس، أو + +261 +00:20:27,630 --> 00:20:31,730 +تفسير الأمور الحسية. إذا الـ diencephalon يحتوي على + +262 +00:20:31,730 --> 00:20:35,250 +الـ thalamus، الـ hypothalamus، والـ limbic system. + +263 +00:20:35,250 --> 00:20:39,190 +هاي من القواعد أو من الأجزاء الأساسية للـ + +264 +00:20:39,190 --> 00:20:44,870 +diencephalon. هذه الـ slide هتلخص العشر slides اللي + +265 +00:20:44,870 --> 00:20:51,660 +أنا حكيتها قبل شوية. الـ cerebrum. الـ diencephalon يحتوي + +266 +00:20:51,660 --> 00:20:53,620 +على الـ thalamus، والـ hypothalamus، والـ limbic + +267 +00:20:53,620 --> 00:20:59,180 +system. البونز و الميدولا أوبلونجاتا، واللي هم الـ brain + +268 +00:20:59,180 --> 00:21:03,280 +stem. وفي عندي الـ cerebellum. هو بيعمل + +269 +00:21:03,280 --> 00:21:06,500 +coordination. وطالما أنا حكيت coordination معناته + +270 +00:21:06,500 --> 00:21:07,980 +إيه؟ علاقة بالـ balance. + +271 +00:21:11,210 --> 00:21:16,630 +هي هي عبارة عن الصورة واضحة لأجزاء الدماغ، يحتوي + +272 +00:21:16,630 --> 00:21:20,790 +الدماغ على الـ cerebrum، cerebellum، الـ brainstem، و + +273 +00:21:20,790 --> 00:21:24,870 +الـ diencephalon. هي عبارة عن revision للعشر slides + +274 +00:21:24,870 --> 00:21:29,460 +اللي فاتت. الـ cranial nerve. حكيت في أنا عندي اثنا عشر + +275 +00:21:29,460 --> 00:21:33,380 +زوج من الأعصاب الدماغية، أو الأعصاب اللي هي + +276 +00:21:33,380 --> 00:21:36,620 +originated from the brain. في عندنا الـ olfactory + +277 +00:21:36,620 --> 00:21:40,680 +اللي هو عبارة عن العصب الأول من الـ cranial، مسؤول + +278 +00:21:40,680 --> 00:21:48,430 +الـ olfactory nerve عن اللي هي حاسة الشم. تمام؟ الـ + +279 +00:21:48,430 --> 00:21:53,310 +optic، من اسمه optic، مسؤول عن الرؤية والبصر. + +280 +00:21:53,310 --> 00:21:57,010 +oculomotor، و trochlear، و trigeminal اللي هو العصب + +281 +00:21:57,010 --> 00:22:01,350 +الخامس، والـ abducens العصب السادس. الـ facial nerve أنا + +282 +00:22:01,350 --> 00:22:05,090 +بهمني هنا الـ facial nerve ليه؟ عشان أنا بدي ارجع + +283 +00:22:05,090 --> 00:22:09,010 +لمعلومة كنت شرحتها في الـ chapter السابق اللي هو + +284 +00:22:09,010 --> 00:22:18,150 +حكيت انه الـ nerve ينقسم إلى الـ sensory، motor، و + +285 +00:22:18,150 --> 00:22:24,170 +mixed. تمام؟ خاص الـ nerve يا إما بيكون sensory، يا + +286 +00:22:24,170 --> 00:22:27,910 +إما بيكون motor، يا إما بيكون mixed. الآن الـ facial + +287 +00:22:27,910 --> 00:22:33,030 +nerve اللي هو أحد عصاب اللي هو الـ cranial nerve + +288 +00:22:33,030 --> 00:22:37,130 +العصب السابع. هذا الـ facial nerve عبارة عن mixed، + +289 +00:22:37,130 --> 00:22:42,770 +يعني sensory و motor. ناخد مميزات الـ sensory والـ + +290 +00:22:42,770 --> 00:22:46,470 +motor. بينما العصب الثامن اللي هو الـ + +291 +00:22:46,470 --> 00:22:50,970 +vestibulocochlear، اللي هو مسؤول عن الاتزان، مسؤول + +292 +00:22:50,970 --> 00:22:54,910 +عن الـ equilibrium والـ balance، هو عبارة عن sensory، + +293 +00:22:54,910 --> 00:22:58,790 +عصب له علاقة بالإحساس أو الحس فقط. sensory + +294 +00:22:58,790 --> 00:23:01,530 +information. في عندنا الـ hypoglossal، في عندنا الـ + +295 +00:23:01,530 --> 00:23:05,410 +vagus اللي هو الحائر، بنسميه العصب العاشر، أو العصب + +296 +00:23:05,410 --> 00:23:08,830 +الحائر. أيضا في عندنا الـ accessory، مسؤول عن البلع. + +297 +00:23:10,370 --> 00:23:13,910 +العصب الثاني عشر، اللي هو عبارة عن العصب الثاني عشر. + +298 +00:23:13,910 --> 00:23:18,930 +تمام؟ هيك بيكون هاي هي عبارة عن الاثنا عشر زوج من + +299 +00:23:18,930 --> 00:23:22,910 +الأعصاب الدماغية، أو اللي هي originated from the + +300 +00:23:22,910 --> 00:23:27,780 +brain. optic, oculomotor, trochlear, trigeminal, + +301 +00:23:27,900 --> 00:23:30,940 +abducens, facial nerve، وزي اللي أنا حكيت لكم + +302 +00:23:30,940 --> 00:23:35,600 +ممكن اقسمها إلى S أو M أو Mix. Sensory، Motor، Mixed. + +303 +00:23:35,600 --> 00:23:39,900 +تمام. الـ mix بتكون ماخدة اللي هي صفات أو خواص الـ + +304 +00:23:39,900 --> 00:23:46,110 +sensory والموتور. الآن في عندنا الـ meninges. كل حاجة + +305 +00:23:46,110 --> 00:23:50,890 +ربنا بيحميها، فما بالكم بعمدة الجسم، الـ brain؟ بيتم + +306 +00:23:50,890 --> 00:23:56,870 +حمايته عن طريق أغشية وغلافات. هذه الغلافات بتمتد من + +307 +00:23:56,870 --> 00:24:02,510 +الـ brain من داخل الدماغ، وتمتد إلى الـ vertebral + +308 +00:24:02,510 --> 00:24:08,950 +column. تمام؟ يعني الغطاء أو الغشاء المغطي للـ brain + +309 +00:24:08,950 --> 00:24:14,130 +هو نفس الغطاء الممتد للـ spinal cord اللي موجود داخل + +310 +00:24:14,130 --> 00:24:17,790 +الـ vertebral column. في عندي الـ meninges، أو ما يسمى + +311 +00:24:17,790 --> 00:24:23,750 +بالأغشية. ثلاث أجزاء أساسية منها. أول شيء اللي هي + +312 +00:24:23,750 --> 00:24:28,170 +dura mater. الأم الجافية، بعيدة. سميناها جافية باللغة + +313 +00:24:28,170 --> 00:24:33,010 +العربية عشانها بعيدة خالص عن الدماغ. في عندنا الـ + +314 +00:24:33,010 --> 00:24:38,010 +arachnoid mater، أو ما تسمى بالشبكة العنكبوتية. الـ + +315 +00:24:38,010 --> 00:24:42,310 +web-like. وفي عندنا اللي قريبة من الدماغ، اسمها الـ + +316 +00:24:42,310 --> 00:24:46,180 +pia mater. الأم الحنونة. طالما هي pia mater معناته + +317 +00:24:46,180 --> 00:24:51,500 +حنونة، يعني تحتضن الدماغ إلى الداخل. إذا لما أجي + +318 +00:24:51,500 --> 00:24:56,480 +أنا أصنفهم أو أقسمهم from outer to inner، من + +319 +00:24:56,480 --> 00:25:01,600 +الخارج إلى الداخل، هحكي dura mater، arachnoid، + +320 +00:25:01,600 --> 00:25:06,940 +pia mater. تمام. أما لو أنا طلبت أن أنا أقسمهم أو + +321 +00:25:06,940 --> 00:25:11,620 +أصنفهم from inner to outer، معناه الكلام هيكون by + +322 +00:25:11,620 --> 00:25:17,280 +pia mater، arachnoid، dura mater. إذا السهم جاي هيك، إذا أنا حكيت من + +323 +00:25:17,280 --> 00:25:26,020 +الـ outer للـ inner. outer to inner. الأم الجافية. تمام. + +324 +00:25:26,020 --> 00:25:33,760 +هذه بسميها الأم الجافية، هنا العنكبوتية، وهنا + +325 +00:25:33,760 --> 00:25:40,080 +الحنونة. تمام؟ إذا هاي الـ meninges هي surrounding + +326 +00:25:40,080 --> 00:25:43,460 +للـ central nervous system as a whole. يعني للـ brain + +327 +00:25:43,460 --> 00:25:49,320 +والـ spinal cord. there are three protect، أو there + +328 +00:25:49,320 --> 00:25:51,620 +are protective للـ central nervous system. there are + +329 +00:25:51,620 --> 00:25:56,540 +three layers. dura mater هي الأم الجافية، تحتوي على + +330 +00:25:56,540 --> 00:26:02,140 +outer and tough tissues. خشن. لإيش؟ لأي شيء ممكن + +331 +00:26:02,140 --> 00:26:05,960 +يهاجم الدماغ، هي بتحمي الدماغ، فبالتالي لازم كل شيء + +332 +00:26:05,960 --> 00:26:10,480 +بيكون برة، أو إنه للحماية لازم يكون tough and + +333 +00:26:10,480 --> 00:26:14,700 +outer. أما الـ arachnoid فهي عبارة عن الـ web-like، أو + +334 +00:26:14,700 --> 00:26:18,580 +الشبكة العنكبوتية. بيتكون thin، أقل سماكة. أما الـ + +335 +00:26:18,580 --> 00:26:22,660 +pia mater فهي الأم الحنونة، هتكون very thin، وبعدين + +336 +00:26:22,660 --> 00:26:27,500 +inner، في الداخل. إذا تقسيمها من الـ outer للـ inner + +337 +00:26:27,500 --> 00:26:32,080 +هأحكي dura mater، arachnoid، وpia mater، والعكس + +338 +00:26:32,080 --> 00:26:38,100 +صحيح. تمام؟ نيجي نشوف الكرينال، اللي نقلل الـ spinal + +339 +00:26:38,100 --> 00:26:42,260 +meninges. زي ما أنا حكيت لكم، هي نفسهم، فقط إن هم + +340 +00:26:42,260 --> 00:26:49,620 +ممتدين داخل الـ spinal nerve. الـ spinal meninges هي + +341 +00:26:49,620 --> 00:26:54,100 +عبارة عن إيش؟ there are three membranes surrounded + +342 +00:26:54,100 --> 00:27:00,290 +all central nervous system. ثلاث طبقات بتغطي الـ + +343 +00:27:00,290 --> 00:27:03,070 +central nervous system كامل، سواء الـ brain أو الـ + +344 +00:27:03,070 --> 00:27:06,650 +spinal cord. الـ dura mater tough mother، و strong + +345 +00:27:06,650 --> 00:27:11,890 +بتكون، لأنها الأم الجافية، يعني هي حاططينها من + +346 +00:27:11,890 --> 00:27:16,740 +برة، هتحميه ولكن برة، لازم تكون قوية. الـ arachnoid + +347 +00:27:16,740 --> 00:27:21,420 +تمام. الـ arachnoid من جيز spidery looking، على شكل + +348 +00:27:21,420 --> 00:27:25,800 +الشبكة العنكبوتية. خطوط كثيرة، تحتوي على blood + +349 +00:27:25,800 --> 00:27:29,420 +vessels، والـ nutrition، والـ lymph supply، وكل هذه + +350 +00:27:29,420 --> 00:27:34,660 +الأمور بتمد الدماغ بالغذاء. هذه الشبكة العنكبوتية. + +351 +00:27:34,660 --> 00:27:41,340 +تمام. الـ subarachnoid تحتها. sub يعني arachnoid في + +352 +00:27:41,340 --> 00:27:45,280 +subarachnoid. وحكينا كلمة sub تعني تحت. الـ + +353 +00:27:45,280 --> 00:27:48,460 +subarachnoid space اللي هو الفراغ اللي موجود تحت + +354 +00:27:48,460 --> 00:27:55,020 +الشبكة العنكبوتية. الـ pia mater هي الأم الجافية. + +355 +00:27:55,820 --> 00:28:01,600 +delicate membrane. تمام. غشاء رقيق. very thin. طبعا + +356 +00:28:01,600 --> 00:28:06,260 +adheres tightly to the surface of spinal cord. + +357 +00:28:06,260 --> 00:28:11,880 +بيغطي مباشرة أو بيلتصق مباشرة بالـ spinal cord اللي + +358 +00:28:11,880 --> 00:28:16,910 +هو الحبل الشوكي. ما احنا جينا شوفنا هنا في المقطع + +359 +00:28:16,910 --> 00:28:22,390 +العرضي تبعنا، هشوف عندي اللي هو هذا الشيء. هاي طبعا + +360 +00:28:22,390 --> 00:28:26,030 +أي vertebra موجودة عندي، زي ما أنتم شايفينها في + +361 +00:28:26,030 --> 00:28:29,250 +عنا الـ arachnoid اللي هي موجودة هنا. في عندنا بداية + +362 +00:28:29,250 --> 00:28:33,550 +اللي هي اللي برة بتكون الـ dura mater. أما الداخلية + +363 +00:28:33,550 --> 00:28:36,910 +تكون ملتصقة تماما بالـ spinal cord، فهي الـ pia mater. + +364 +00:28:36,910 --> 00:28:40,130 +واللي موجود هنا، لو تحت المجهر شوية، شوفناها + +365 +00:28:40,130 --> 00:28:43,310 +هلاقيها الـ arachnoid، الـ web-like. + +366 +00:28:47,000 --> 00:28:51,420 +تمام؟ شو هي التجاويف؟ أو شو هي الـ ventricles اللي + +367 +00:28:51,420 --> 00:28:55,760 +موجودة عندنا في الدماغ؟ في عندي four ventricles، + +368 +00:28:55,760 --> 00:28:59,540 +أربعة تجاويف، هذه التجاويف بتوضحها الصورة اللي موجودة + +369 +00:28:59,540 --> 00:29:05,140 +هنا، في عندي تجاويف مع بعضها البعض، وفي تجاويف بتكون + +370 +00:29:05,140 --> 00:29:11,120 +كل حجرة أو كل تجاوف لوحده. الآن interconnected with + +371 +00:29:11,120 --> 00:29:16,220 +together. بتكون مرتبطة مع بعضها البعض داخل الـ + +372 +00:29:16,220 --> 00:29:19,060 +cerebral hemispheres. مش احنا حكينا إن أنا في عندي + +373 +00:29:19,060 --> 00:29:23,300 +hemispheres و brain stem. في عندي اللي هو المخ، + +374 +00:29:23,300 --> 00:29:28,220 +وجذع الدماغ. هلأ هذه التجاويف أو هذه الحجرات بتكون + +375 +00:29:28,220 --> 00:29:31,800 +مفتوحة على بعضها البعض. يعني إذا أنا قسمت هذا + +376 +00:29:31,800 --> 00:29:37,400 +المربع بهذا الشكل، لازم يكون يفتح من كل الجهات، حتى + +377 +00:29:37,400 --> 00:29:41,660 +إنه السائل الشوكي أو سائل النخاع الشوكي يقدر يطلع + +378 +00:29:41,660 --> 00:29:45,120 +من هنا ويدخل هنا، ويطلع كمان من هنا ويطلع هنا. + +379 +00:29:45,120 --> 00:29:49,140 +إذاً هذه التجاويف بتكون عبارة عن حجرات داخل الدماغ + +380 +00:29:49,140 --> 00:29:53,200 +مفتوحة على بعضها البعض، لانتقال الغذاء، لانتقال الـ + +381 +00:29:53,200 --> 00:29:58,600 +blood supply، كل هذه الأمور لازم تكون موجودة مع + +382 +00:29:58,600 --> 00:30:03,290 +بعضها البعض. تتمتع بالـ cerebrospinal fluid اللي أنا + +383 +00:30:03,290 --> 00:30:08,210 +كنت حكيت عليه في المحاضرة السابقة، اللي هو الـ CSF. + +384 +00:30:08,210 --> 00:30:16,150 +إذا ينتقل الـ CSF إلى داخل هاي الحجرات. تمام؟ تحتوي + +385 +00:30:16,150 --> 00:30:20,890 +أيضا على الـ central canal of spinal cord. القناة + +386 +00:30:20,890 --> 00:30:24,750 +الرئيسية اللي بتمد أو هتصب داخل الـ spinal cord. + +387 +00:30:25,870 --> 00:30:30,650 +الأكبر ventricle موجود هو في الـ cerebrum، في داخل + +388 +00:30:30,650 --> 00:30:36,570 +الدماغ. تمام؟ والـ laterally اللي أنا هجي أجسمهم الـ + +389 +00:30:36,570 --> 00:30:39,910 +laterally، والثالث، والرابع، والـ cerebral. الـ + +390 +00:30:39,910 --> 00:30:43,230 +lateral ventricle في منه right و left. يعني الـ + +391 +00:30:43,230 --> 00:30:47,350 +lateral هنا في منه right وleft. الـ third + +392 +00:30:47,350 --> 00:30:51,170 +ventricle موجود في الـ diencephalon اللي هو الدماغ + +393 +00:30:51,170 --> 00:30:55,690 +البيني. تماما بين الـ right و left ventricle اللي + +394 +00:30:55,690 --> 00:30:58,750 +احنا... أو الـ right و left thalamus اللي احنا + +395 +00:30:58 + +445 +00:34:44,680 --> 00:34:48,520 +أو حركة هيك ممكن تؤدي ل complete paralysis شلل + +446 +00:34:48,520 --> 00:34:53,670 +تام لهذه المنطقة باستخدام سحب العينة أو Lumbar + +447 +00:34:53,670 --> 00:34:58,210 +punctures اللي هو LB، هاي الـ LB للـ clinical + +448 +00:34:58,210 --> 00:35:02,810 +examination في CSF أو Administration of Radiopaque Dyes + +449 +00:35:02,810 --> 00:35:06,450 +Drugs أو أنه أنا ممكن أُعطيها في حالات + +450 +00:35:06,450 --> 00:35:09,830 +السيزيريا، الستات اللي بياخدوا اللي هو الـ binge + +451 +00:35:09,830 --> 00:35:14,090 +الموضعي، يعني خليني أحكي من هنا and below عن طريق + +452 +00:35:14,090 --> 00:35:18,550 +اللي هو هاي المنطقة. However، مصري قبل dual for + +453 +00:35:18,550 --> 00:35:24,280 +anaesthesia اللي هو التخدير الموضعي. وين بتم؟ هذا + +454 +00:35:24,280 --> 00:35:29,080 +التخدير الموضعي بتم في الـ epidural زي ما في عندنا + +455 +00:35:29,080 --> 00:35:33,360 +spinal ديورة، في عندنا حاجة اسمها epidural وحكاية epidural + +456 +00:35:33,360 --> 00:35:40,100 +معناتها فوقها و spinal معناتها تحت، تمام؟ الآن الـ + +457 +00:35:40,100 --> 00:35:42,400 +number of functions هي ده أو الـ number of functions اللي + +458 +00:35:42,400 --> 00:35:48,800 +هو بتم أخذه ما بين الـ ثلاثة والـ أربعة + +459 +00:35:50,010 --> 00:35:55,770 +الثلاثة والأربعة هي عبارة عن إيش؟ Lumbar ثلاثة Lumbar + +460 +00:35:55,770 --> 00:36:00,640 +أربعة. أجي أعد الآن. إذا رجعنا للـ skeletal system + +461 +00:36:00,640 --> 00:36:04,680 +اللي حكينا عليه قبل المحاضرات هاي، اللي هو عند الـ + +462 +00:36:04,680 --> 00:36:09,920 +iliac crest، في عندي L4، تمام؟ من فوق منها في L3 بهذه + +463 +00:36:09,920 --> 00:36:15,240 +المنطقة تحديدا، ما بين L3 و L4 بتم سحب اللي هو عينة + +464 +00:36:15,240 --> 00:36:22,980 +CSF، تمام؟ لفحص تبعنا هذا، اللي هو عبارة عن إيش؟ الـ + +465 +00:36:22,980 --> 00:36:30,770 +lumbar punctures، تمام؟ خليني أبدأ بالـ spinal cord + +466 +00:36:30,770 --> 00:36:34,790 +بهيك بكون احنا خلصنا بالـ lumbar punctures، أخدنا الـ + +467 +00:36:34,790 --> 00:36:39,610 +brain والـ anatomy تبع الـ brain. خليني أبدأ في الـ + +468 +00:36:39,610 --> 00:36:45,610 +anatomy تبع الـ spinal cord. انتهينا من شرح التركيبة + +469 +00:36:45,610 --> 00:36:50,470 +أو الوضع التشريحي للدماغ، تركيبة الدماغ التشريحية. + +470 +00:36:50,470 --> 00:36:55,810 +هنتقل للـ part الثاني من الـ CNS اللي هو spinal cord + +471 +00:36:56,260 --> 00:37:01,120 +زي ما أنتو شايفين في هذه الصورة، نهاية المدولة + +472 +00:37:01,120 --> 00:37:07,120 +oblongata اللي كانت من تركيبة الدماغ، ابتدأ اللي هو + +473 +00:37:07,120 --> 00:37:12,880 +خروج الـ spinal cord من الـ magnum foramen أو الـ + +474 +00:37:12,880 --> 00:37:18,120 +foramen magnum، اللي هو بدأ من هنا ودخل هنا على الـ + +475 +00:37:18,120 --> 00:37:25,000 +cervical bone اللي هم C7 ونزل على thoracic 12، + +476 +00:37:25,000 --> 00:37:33,440 +نزل على lumbar 5، نزل، لأ هو هينتهي بـ L2، تمام؟ + +477 +00:37:34,250 --> 00:37:39,810 +ينتهي الـ spinal cord بـ L2 وهنا تحت بتبقى + +478 +00:37:39,810 --> 00:37:45,310 +اللي هي بعض اللي هي الضفائر العضلية أو العصبية + +479 +00:37:45,310 --> 00:37:51,070 +خليني أشوف، تمام؟ الـ spinal cord هو عبارة عن الـ + +480 +00:37:51,070 --> 00:37:54,630 +second part من الـ central nervous system، بيربط ما + +481 +00:37:54,630 --> 00:38:00,610 +بين الـ brain and body، بيحاول أن هو بعض الأحيان يشيل + +482 +00:38:00,610 --> 00:38:05,490 +بعض المهام عن الـ brain، على سبيل المثال، مش كل مشكلة + +483 +00:38:05,490 --> 00:38:10,510 +بدي يقوم بحلها الـ brain، لأ، ممكن الـ spinal cord يقوم + +484 +00:38:10,510 --> 00:38:14,670 +بحل بعض المشاكل، فبالتالي هو has some functional + +485 +00:38:14,670 --> 00:38:19,290 +independency للـ brain. The spinal cord and spinal + +486 +00:38:19,290 --> 00:38:25,080 +nerves serve to function. بيشتغل وظيفتين اللي هما + +487 +00:38:25,080 --> 00:38:30,320 +pathway للـ sensory and motor impulses، عبارة عن + +488 +00:38:30,320 --> 00:38:35,460 +pathway، عبارة عن بوابة أو طريق لاستقبال وإرسال الـ + +489 +00:38:35,460 --> 00:38:38,760 +sensory والـ motor impulses. أيضا مسؤولة عن الـ + +490 +00:38:38,760 --> 00:38:44,500 +reflexes، وهي المناعكسات العصبية في جسمنا، مناعكسات + +491 +00:38:45,580 --> 00:38:51,340 +عصبية، تمام؟ مسؤولة عن، مسؤولة اللي هي مسؤولة عنهم الـ + +492 +00:38:51,340 --> 00:38:57,160 +spinal cord والـ spinal nerves، تمام؟ إذا وظائف الـ + +493 +00:38:57,160 --> 00:39:01,420 +spinal cord هو عبارة عن الرابط ما بين الـ brain مع + +494 +00:39:01,420 --> 00:39:04,980 +كل الجسم لإنه بيطلع من هنا الـ spinal cord وبيطلع + +495 +00:39:04,980 --> 00:39:09,060 +منه التفرعات اللي هي يمينا ويسارا من الـ spinal + +496 +00:39:09,060 --> 00:39:14,570 +nerves، بيقوم في بعض المهام اللي هي ما بيخلي الدماغ + +497 +00:39:14,570 --> 00:39:19,690 +طبعا يشترك فيها، بيريحه شوية وبيشتغل عنه، طبعا + +498 +00:39:19,690 --> 00:39:23,210 +وظائف الـ spinal cord والـ spinal nerve، أنه pathway + +499 +00:39:23,210 --> 00:39:28,250 +للـ sensory and motor impulses، أيضا بيشارك وبيكون + +500 +00:39:28,250 --> 00:39:33,670 +مسؤول في الـ reflexes. شو تركيبة الـ structural تبع + +501 +00:39:33,670 --> 00:39:38,750 +الـ spinal cord؟ الـ adult spinal cord طوله حوالي من + +502 +00:39:38,750 --> 00:39:47,570 +42 إلى 45 سم، يعني أقل من متر في الطول. أما بالنسبة + +503 +00:39:47,570 --> 00:39:52,740 +في مقطع عرضي له، cross sectional، طبعا roughly + +504 +00:39:52,740 --> 00:39:56,200 +cylindrical، بيكون cylindrical اللي هو استوانية + +505 +00:39:56,200 --> 00:40:00,940 +slightly flattened in both posterior and anterior + +506 +00:40:00,940 --> 00:40:04,840 +لو جبنا له مقطع عرضي بهذا الشكل، بلاقيها + +507 +00:40:04,840 --> 00:40:10,140 +cylindrical، هنا استوانية الشكل، ومن الأمام والخلف + +508 +00:40:10,140 --> 00:40:17,460 +بيكون flattened، مسطحة من الأمام والخلف. الـ + +509 +00:40:17,460 --> 00:40:18,660 +external surface + +510 +00:40:22,170 --> 00:40:28,290 +اللي هو السطح الخارجي تبعه، فيه عنده منخفضين، الأول + +511 +00:40:28,290 --> 00:40:34,230 +اسمه posterior والثاني اسمه ventral، خلفي وأمامي. الـ + +512 +00:40:34,230 --> 00:40:37,530 +posterior، أي شيء posterior أنا دائما بسميه posterior + +513 +00:40:37,530 --> 00:40:40,910 +لما كنا بناخد في الـ anatomical position، كنت بحكي + +514 +00:40:40,910 --> 00:40:44,810 +على هذا الشيء اللي هو بطن اليد وهذا الجهة + +515 +00:40:44,810 --> 00:40:51,050 +الأمامية، بسميها ventral أو ما يسمى بـ anterior + +516 +00:40:51,050 --> 00:40:58,790 +تمام؟ أما اللي هي الـ back وظهر اليد، بسميها dorsal + +517 +00:40:58,790 --> 00:41:04,070 +الـ dorsal تعني الـ median sulcus، أما الـ ventral فهي + +518 +00:41:04,070 --> 00:41:08,210 +تعني الـ median fissures أو ما يسمى بالوسط أو الـ + +519 +00:41:08,210 --> 00:41:12,010 +fissures هي عبارة عن السطح تبعها للـ spinal cord + +520 +00:41:12,010 --> 00:41:18,550 +تمام؟ الـ regions للـ spinal cord، طبعا الـ cervical + +521 +00:41:18,550 --> 00:41:23,150 +region. هنا أنا حاطيته سؤال، أنه احنا حكينا كل nerve + +522 +00:41:23,150 --> 00:41:26,730 +بيطلع حسب الفقرة و بسميه حسب الفقرة اللي هو طالع + +523 +00:41:26,730 --> 00:41:30,570 +منها. إذا طالع من C3، معناته هو طالع ما بين C3 و + +524 +00:41:30,570 --> 00:41:35,030 +C4. إذا طالع من C4، معناته طالع من C4 وC5 ما بينهم + +525 +00:41:36,000 --> 00:41:38,900 +الـ cervical region is continuous with medulla + +526 +00:41:38,900 --> 00:41:42,400 +oblongata، طبعا لإنه ما فيش شيء قبل الـ cervical فيه + +527 +00:41:42,400 --> 00:41:45,840 +مدولة oblongata، نهاية الـ brain وبداية الـ spinal cord + +528 +00:41:45,840 --> 00:41:51,080 +Contains neurons whose axons form cervical spinal + +529 +00:41:51,080 --> 00:41:55,300 +nerves. ثمانية. احنا كنا بنعرف إن الـ spinal vertebra + +530 +00:41:55,300 --> 00:41:59,080 +أو الـ cervical vertebra هي سبعة، هنا صاروا + +531 +00:41:59,080 --> 00:42:04,280 +ثمانية. هأجيب على هذا السؤال لاحقا في اللي هي باقي + +532 +00:42:04,280 --> 00:42:08,880 +الأسئلة. C ثمانية، خليني أعدهم مع بعض أنا وإياكم. الـ + +533 +00:42:08,880 --> 00:42:15,340 +spinal nerves: هحكي C ثمانية، ثوراسيك + +534 +00:42:15,340 --> 00:42:23,020 +اثنا عشر، لمبر خمسة، وساكارل خمسة، وكوكسيال واحد. + +535 +00:42:23,020 --> 00:42:28,120 +ثمانية، واثنا عشر، وعشرة، وثلاثون، وواحد، وثلاثون + +536 +00:42:28,120 --> 00:42:31,380 +spinal nerve + +537 +00:42:32,460 --> 00:42:37,380 +طبعا هذا بيطلع عندي واحد وثلاثين زوج من الأعصاب + +538 +00:42:37,380 --> 00:42:43,280 +في الـ right وواحد وثلاثين من الأعصاب في الـ left + +539 +00:42:43,280 --> 00:42:50,100 +تمام؟ تركيبة الـ spinal cord هو أصغر من الـ vertebral + +540 +00:42:50,100 --> 00:42:54,480 +column. زي ما حكيت لكم، أنه هنا بيمتد من المدولة + +541 +00:42:54,480 --> 00:43:00,180 +oblongata وبينزل على L2 وبينتهي عند L2، بينما يبقى + +542 +00:43:00,180 --> 00:43:05,200 +الـ vertebral column ممتد لعند الكوكسيال تحت، طبعا + +543 +00:43:05,200 --> 00:43:08,060 +مهرن بالساكروم، مهرن بالكوكسيال، فبالتالي الـ + +544 +00:43:08,060 --> 00:43:13,630 +vertebral column أطول من الـ spinal cord. يحتوي على + +545 +00:43:13,630 --> 00:43:19,050 +ثلاثة أجزاء رئيسية، أولها بالترتيب، وهنا بحكي أنا من + +546 +00:43:19,050 --> 00:43:24,670 +الأعلى إلى الأسفل، حاجة اسمها الحبل الشوكي المخروطي + +547 +00:43:24,670 --> 00:43:28,210 +Conus Medullaris. شو يعني الـ Conus Medullaris؟ + +548 +00:43:32,590 --> 00:43:37,950 +The tapered inferior end of spinal cord. تيجي بعد اللي + +549 +00:43:37,950 --> 00:43:44,120 +هو نهاية الـ spinal cord. marks the official end of + +550 +00:43:44,120 --> 00:43:49,820 +spinal cord. بعدها بيجي الـ + +551 +00:43:49,820 --> 00:43:56,440 +بينتهي الـ spinal cord هنا، بيجي مع بعض الـ spinal + +552 +00:43:56,440 --> 00:44:00,320 +nerves. في عندي اللي هي الضفيرة العضلية أو الضفيرة + +553 +00:44:00,320 --> 00:44:04,380 +العصبية. احنا بسميها Cauda Equina، زي ذيل الفرس. ليش + +554 +00:44:04,380 --> 00:44:09,490 +سميناها Cauda Equina؟ أو سميناها ذيل الفرس؟ تعرفوا لما + +555 +00:44:09,490 --> 00:44:15,710 +نربط شعر البنت الصغيرة على شكل حزمة و..وبينزل + +556 +00:44:15,710 --> 00:44:20,830 +الشعر هيك، فبالتالي بيكون تحت الـ spinal أو تحت + +557 +00:44:20,830 --> 00:44:26,270 +الـ conus، هيك الشعر بيكون زي ذيل الفرس. يعني هذه الـ + +558 +00:44:26,270 --> 00:44:31,510 +nerves أو هذه الأعصاب بتكون مالها؟ متباعدة عن بعضها + +559 +00:44:31,510 --> 00:44:38,090 +البعض، على شكل اللي هو ذيل الفرس. الآن هذا الـ Filum + +560 +00:44:38,090 --> 00:44:41,670 +terminale، inferior to the conus + +561 +00:44:41,670 --> 00:44:46,270 +medullaris، هي عبارة عن جذور لأعصاب من group + +562 +00:44:46,270 --> 00:44:50,650 +of axon that project inferiorly من الـ spinal cord + +563 +00:44:50,650 --> 00:44:55,110 +بتنزل لتحت، يعني ما بعد الاثنين، في عندنا الضفيرة + +564 +00:44:55,110 --> 00:45:01,210 +العصبية، تمام؟ اللي على شكل الـ Cauda Equina. بقيت منها + +565 +00:45:01,210 --> 00:45:06,210 +مباشرة، يعني إذا أنا اجيت حكيت تقسيمتهم في التشريح + +566 +00:45:06,210 --> 00:45:14,070 +من الأعلى، superior to inferior، تمام؟ هيكون conus + +567 +00:45:14,070 --> 00:45:18,410 +medullaris، Cauda equina، filum terminale. كلمة الـ + +568 +00:45:18,410 --> 00:45:23,950 +terminal تعني ملاقي أو اللي هو آخر شيء بتكون + +569 +00:45:23,950 --> 00:45:30,070 +موجودة داخل، or within Cauda equina. thin strand من الـ + +570 +00:45:30,070 --> 00:45:35,910 +biomatter. هي عبارة عن حاجة بتكون thin وخفيفة جدا + +571 +00:45:35,910 --> 00:45:41,670 +من الـ biomatter. طبعا اللي هي الأم الحنونة بتساعد + +572 +00:45:41,670 --> 00:45:46,430 +في تثبيت الكودة أو الكونة، اسمها filum terminale، اللي هو + +573 +00:45:46,430 --> 00:45:47,750 +أعلى شيء + +574 +00:45:50,710 --> 00:45:56,190 +Helps in fixation للـ conus medullaris. هاي الثلاث أقسام + +575 +00:45:56,190 --> 00:46:00,630 +أساسية، بعد انتهاء اللي هو الـ spinal cord في + +576 +00:46:00,630 --> 00:46:07,290 +الاثنين، تمام؟ هي عبارة عن conus medullaris، Cauda equina + +577 +00:46:07,290 --> 00:46:12,170 +والـ filum terminale. نيجي للأقسام اللي قسمناها قبل + +578 +00:46:12,170 --> 00:46:22,100 +شوية. الـ cervical بيمتد إلى ثمانية C ثمانية، where + +579 +00:46:22,100 --> 00:46:25,880 +contains neurons whose axons from cervical spinal nerve + +580 +00:46:25,880 --> 00:46:30,840 +ثمانية. الـ thoracic region attached للـ thoracic وبينتد لـ + +581 +00:46:30,840 --> 00:46:36,120 +12 thoracic spinal nerve. 12. الـ lumbar بدي + +582 +00:46:36,120 --> 00:46:40,800 +يكون contains neurons that lumbar spinal nerve خمسة + +583 +00:46:40,800 --> 00:46:45,080 +والـ sacral. الـ lumbar أو الـ sacral spinal nerve + +584 +00:46:45,080 --> 00:46:50,390 +خمسة. الـ coccygeal بيطلع منها one pair of coccygeal + +585 +00:46:50,390 --> 00:46:54,650 +spinal nerves arises from this region. يعني منطقة الـ + +586 +00:46:54,650 --> 00:46:57,050 +coccygeal اللي أنا كنت أحكي عليها زمان. هنا أربعة + +587 +00:46:57,050 --> 00:47:04,930 +عظمات بيطلع منها عصب واحد فقط. ثمانية، واثنا عشر، وعشرة + +588 +00:47:04,930 --> 00:47:09,470 +وعشرة وواحد بيعطيني واحد وثلاثين زوج من الأعصاب + +589 +00:47:09,470 --> 00:47:14,330 +شيء منهم على الـ right وشيء بيغذي الـ left. ليه بيطلع + +590 +00:47:14,330 --> 00:47:21,910 +لنا C8؟ هذا سؤال متروك لحضراتكم للإجابة عليه، تمام؟ + +591 +00:47:21,910 --> 00:47:25,870 +هذه الصورة ممكن تساعدكم شوية. شوفوا هنا C1 كيف + +592 +00:47:25,870 --> 00:47:32,740 +طالع ومن أي vertebra طالع، يعني من أعلى vertebra 1 + +593 +00:47:32,740 --> 00:47:38,100 +أو الـ C1 بيطلع كمان عصب ومن تحتها كمان عصب، هذه + +594 +00:47:38,100 --> 00:47:43,620 +الإجابة، فبالتالي الفقرة رقم C1 ماخدة عصبين وباقيها 6، فبالتالي 2 و6 بيعطينا 8 للـ cervical + +595 +00:47:43,620 --> 00:47:49,220 +nerves اللي موجودين، تمام؟ هذه الرسمة الثانية كمان + +596 +00:47:49,220 --> 00:47:55,230 +موضحة إلينا الأشياء. الـ spinal nerve واحد وثلاثون + +597 +00:47:55,230 --> 00:48:00,110 +زوج من الأعصاب اللي موجودين. لو شفناهم على الـ + +598 +00:48:00,110 --> 00:48:03,950 +spinal أو الـ vertebral column، هنا في الرسمة هذه + +599 +00:48:03,950 --> 00:48:07,930 +الأحبال اللي هنا شبهلنا إياها هي بالـ cervical + +600 +00:48:07,930 --> 00:48:10,870 +spinal nerve واحد وثلاثين. ما فوق C1 بيطلع عصب و + +601 +00:48:10,870 --> 00:48:17,110 +تحتها عصب. هاي 1 2 3 4 5 6 7، هاي اللي هي السابعة + +602 +00:48:17,110 --> 00:48:22,410 +فبالتالي بناجي عندي ثمانية من هذه الأسلاك أو هي + +603 +00:48:22,410 --> 00:48:26,610 +اللي عم سميها spinal nerve، فعشان كده بسميها C + +604 +00:48:26,610 --> 00:48:29,970 +ثمانية. each spinal nerve is mixed، وأنا حكيت mixed + +605 +00:48:29,970 --> 00:48:37,400 +يعني بتاخد خاصية الـ sensory والـ motor. thousands + +606 +00:48:37,400 --> 00:48:42,840 +from motor and sensory axons. الـ sensory originated + +607 +00:48:42,840 --> 00:48:46,960 +from receptors، طبعا هيستقبل المستقبلات الحسية، أما + +608 +00:48:46,960 --> 00:48:51,520 +الـ motor originated from spinal cord، تمام؟ إذا كل + +609 +00:48:51,520 --> 00:48:57,460 +spinal cord أو كل spinal nerve، آسفة، هما mixed + +610 +00:48:57,460 --> 00:49:01,040 +sensory and motor. أما الـ cranial nerve لأ، في منها + +611 +00:49:01,040 --> 00:49:06,100 +الـ sensory، في منها الـ motor، في منها الـ mixed، طبعا + +612 +00:49:06,100 --> 00:49:10,480 +يحتوي على receptors والـ muscle glands. الـ anterior + +613 +00:49:10,480 --> 00:49:16,330 +root أو الجذر الأمامي اللي أنا حكيت عليه قبل شوية + +614 +00:49:16,330 --> 00:49:20,210 +اللي هو الـ ventral، وفيه أن الـ posterior root اللي + +615 +00:49:20,210 --> 00:49:24,010 +هي الـ dorsal، طبعا intervertebral foramen اللي + +616 +00 + +667 +00:53:14,400 --> 00:53:17,400 +and left side of the body, the nerve blocks then + +668 +00:53:17,400 --> 00:53:21,900 +split into multiple names of nerve. ممكن أقسمها حسب + +669 +00:53:21,900 --> 00:53:26,520 +وين ما هي موجودة في عندي للـ cervical الدفيرة + +670 +00:53:26,520 --> 00:53:31,620 +العصبية العَقْدية لأن جاها من الـ cervical الـ brachial + +671 +00:53:31,620 --> 00:53:38,140 +العددية من العدد الـ lumber اللي هي من منطقة الـ + +672 +00:53:38,140 --> 00:53:42,760 +lumber area العجزية و الـ sacral القطنية. I have + +673 +00:53:42,760 --> 00:53:46,220 +four lumbar plexuses: cervical, + +674 +00:53:47,900 --> 00:53:53,300 +brachial, lumbar و sacral. إذا عندي أربع ضفائر + +675 +00:53:53,300 --> 00:53:58,580 +عصبية موجودة في جسم الإنسان اللي هو تمتد فيما بعد + +676 +00:53:58,580 --> 00:54:04,980 +اللي هو لتغذية الجسم. Reflexes هو آخر شيء هتكلم عليه + +677 +00:54:04,980 --> 00:54:08,040 +في هذه المحاضرة. الـ reflexes اللي هي عبارة عن + +678 +00:54:08,040 --> 00:54:13,080 +المناعكسات العصبية، هذه المناعكسات العصبية هي + +679 +00:54:13,080 --> 00:54:17,520 +عبارة عن شيء fast، stereotypical، بتكون موجودة في + +680 +00:54:17,520 --> 00:54:20,810 +الـ right زي إن هي موجودة في الـ left، inborn، موجودة + +681 +00:54:20,810 --> 00:54:26,350 +من الولادة، protective action لحماية أو لسلامة الـ + +682 +00:54:26,350 --> 00:54:29,850 +central nervous system. يعني على سبيل المثال إذا + +683 +00:54:29,850 --> 00:54:32,590 +أنا جيت قلت على أي reflex موجود عند الجنين أو + +684 +00:54:32,590 --> 00:54:36,670 +المولود. على سبيل المثال، لما بعد السنة بتعرف + +685 +00:54:36,670 --> 00:54:42,330 +المواليد كلهم عندنا بيبقوا مغلقين أيديهم. لو استمر هذا + +686 +00:54:42,330 --> 00:54:45,810 +الشيء لَبْعَد السنة، معناته أنا بدي أعرف إن في عندي + +687 +00:54:45,810 --> 00:54:49,140 +مشكلة بالـ central nervous system. بنطلب من الأم أنها + +688 +00:54:49,140 --> 00:54:54,040 +فورًا تتحول لدكتور أعصاب. سلامة الـ reflexes تعني + +689 +00:54:54,040 --> 00:54:59,700 +سلامة الـ central nervous system في الـ spinal cord + +690 +00:54:59,700 --> 00:55:03,320 +and brainstem. معناه الكلام إن هي هذه الـ reflex + +691 +00:55:03,320 --> 00:55:06,520 +بتحدث على مستوى الـ central nervous system في + +692 +00:55:06,520 --> 00:55:11,000 +منطقتين بالتحديد هما الـ spinal cord و الـ brainstem. + +693 +00:55:11,000 --> 00:55:15,120 +may be either monosynaptic أو polysynaptic. احنا + +694 +00:55:15,120 --> 00:55:18,240 +حكينا اللي هي multi-synaptic أو polysynaptic. + +695 +00:55:18,240 --> 00:55:23,700 +بتحدث على صعيد اللي هو أحادية القطب أو اللي هي + +696 +00:55:23,700 --> 00:55:29,680 +polysynaptic. لأن إحنا بالـ reflexes بحاجة لإيش؟ أي + +697 +00:55:29,680 --> 00:55:34,140 +reflexes؟ بحاجة لإني أنا أعمله تحفيز. باجي أنا بدي + +698 +00:55:34,140 --> 00:55:37,560 +أفحص الـ reflexes. لو جبت الـ foot تبعت اللي هو الـ + +699 +00:55:37,560 --> 00:55:41,220 +newborn و أجيت أنا بالجلم على طول عملت خط صغير، + +700 +00:55:41,220 --> 00:55:45,700 +إذا أنا حفظت وجبت مثير لهذا الشيء، على طول الـ big + +701 +00:55:45,700 --> 00:55:50,200 +toe هيصير في reflection. sensory information relay، + +702 +00:55:50,200 --> 00:55:54,190 +بدي يصير في عندي نقل للومضة العصبية الحسية العنانية + +703 +00:55:54,190 --> 00:55:58,330 +بتتم على صعيد الـ central nervous system وتحديدًا في + +704 +00:55:58,330 --> 00:56:01,890 +الـ spinal cord مع الـ brainstem. بيصير في عندنا + +705 +00:56:01,890 --> 00:56:06,970 +activation لـ motor response. هنا في sensory و الـ + +706 +00:56:06,970 --> 00:56:10,770 +sensory رد عليها الدماغ بـ motor response to + +707 +00:56:10,770 --> 00:56:14,270 +peripheral effectors. قد لإنه حكينا الإصبع الكبير + +708 +00:56:14,270 --> 00:56:18,230 +في هذا اللي هو الـ Babinski reflex. قد لإنه يصير في + +709 +00:56:18,230 --> 00:56:25,030 +عندنا انثناء في الإصبع الكبير. اتفقنا؟ هذا الشيء اللي + +710 +00:56:25,030 --> 00:56:31,610 +هو بيحتاجه الـ reflexes: مثير، استجابة، إرسال ومضة + +711 +00:56:31,610 --> 00:56:36,750 +عصبية حسية، معالجة مركزية في الدماغ، إرسال ومضة + +712 +00:56:36,750 --> 00:56:42,610 +حركية، تفعيل لحركة في الـ effectors. زي أي نهاية كل + +713 +00:56:42,610 --> 00:56:45,870 +chapter لازم يكون في عندنا clinical pictures، صورة + +714 +00:56:45,870 --> 00:56:51,690 +طبية لأمراض طبية. هنا هتكلم على ثلاث أمراض على السريع + +715 +00:56:51,690 --> 00:56:55,470 +اللي هم عبارة عن إيش؟ إيش هيصيب الـ brain وإيش + +716 +00:56:55,470 --> 00:57:02,870 +هيتدخل منذ الولادة. conclusion: ارتجاج في الدماغ + +717 +00:57:02,870 --> 00:57:08,750 +حادث سير حدث مع أحد اللي هم الشباب، صار في عندي + +718 +00:57:08,750 --> 00:57:13,170 +ارتجاج في الدماغ، بسميه brain jarred against + +719 +00:57:13,170 --> 00:57:18,510 +cranium، ارتطم الدماغ في جدران الـ skull. loss of + +720 +00:57:18,510 --> 00:57:23,690 +consciousness، فقدان للوعي، temporary loss of memory، + +721 +00:57:23,690 --> 00:57:30,590 +فقدان للذاكرة، هلوسة دماغية، صداع. اللي هو recovery + +722 +00:57:30,590 --> 00:57:33,990 +usually complete. بيصير عملية الشفاء إذا كانت اللي + +723 +00:57:33,990 --> 00:57:38,770 +هي الإصابة مش كبيرة أو الرجة في الدماغ مش قوية + +724 +00:57:38,770 --> 00:57:43,230 +جدا. اللي أما يسمى بالـ cerebral palsy أو ما يسمى + +725 +00:57:43,230 --> 00:57:46,330 +بالشلل الدماغي. هو عبارة عن الـ CP. + +726 +00:57:49,350 --> 00:57:52,430 +الـ motor environment. بيصير شلل دماغي، نقص في + +727 +00:57:52,430 --> 00:57:57,370 +أكسجين الواصل لدماغ الجنين، بديه ينتج عنه motor + +728 +00:57:57,370 --> 00:58:02,210 +environment at birth caused by blocked cerebral + +729 +00:58:02,210 --> 00:58:06,610 +blood vessels خلال الـ development أو خلال الولادة. + +730 +00:58:06,610 --> 00:58:13,710 +بديه يصير بعض التشنجات، تمام؟ سلوبات أقل + +731 +00:58:13,710 --> 00:58:21,030 +ممكن يصير مع هذا الطفل. okay. هذا الـ CP. الثالث أو ما + +732 +00:58:21,030 --> 00:58:26,430 +يسمى بـ cerebrovascular accident أو ما يسمى + +733 +00:58:26,430 --> 00:58:31,670 +بالـ CVA. هي عبارة عن الجلطة الدماغية، الآن الجلطة + +734 +00:58:31,670 --> 00:58:35,310 +الدماغية بتصير داخل الدماغ نفسه، بسميها الـ stroke. + +735 +00:58:36,120 --> 00:58:40,900 +هي عبارة عن hemorrhagic، زيادة في النزف الدموي + +736 +00:58:40,900 --> 00:58:43,680 +الحاصل في داخل أحد الشرايين الموجودة في الـ brain + +737 +00:58:43,680 --> 00:58:48,720 +أو ischemic. ischemic تعني قلة في الـ blood supply. + +738 +00:58:48,720 --> 00:58:52,480 +يعني على سبيل المثال زي حوض الزراعة هذا تبعنا إذا + +739 +00:58:52,480 --> 00:58:56,260 +أنا غرقتة بالمياه كثير كثير بيموت وإذا أنا قطعت عنه + +740 +00:58:56,260 --> 00:59:00,460 +الماء كمان بيموت. معنى الكلام أسباب جلطة دماغية يا + +741 +00:59:00,460 --> 00:59:06,320 +إما hemorrhagic نزيف أو ischemic فقدان للتروية + +742 +00:59:06,320 --> 00:59:11,880 +الدموية. كلا الأحوال الدماغ يتضرر وإحنا حكينا أي + +743 +00:59:11,880 --> 00:59:15,080 +إصابة للـ brain أو أي إصابة للـ nerves in general + +744 +00:59:15,080 --> 00:59:19,780 +معناته هي irreversible، ما بيتنشأ خلية عصبية أخرى. + +745 +00:59:19,780 --> 00:59:25,660 +فبالتالي ممكن يحدث عندي right hemiplegia، شلل نصفي + +746 +00:59:25,660 --> 00:59:31,420 +أيمن، أو left hemiplegia، شلل طولي نصفي أيسر. + +747 +00:59:31,420 --> 00:59:37,020 +تمام؟ في كل الأحوال، أو ممكن يحدث double إذا لا سمح + +748 +00:59:37,020 --> 00:59:40,120 +الله كانت الإصابة شديدة. أول مرة حدث في الـ right + +749 +00:59:40,120 --> 00:59:45,080 +ممكن يحدث في الـ left. طبعًا في داخل الـ brain. + +750 +00:59:45,080 --> 00:59:48,900 +بالتلاتة clinical pictures هدول اللي أنا حكيت + +751 +00:59:48,900 --> 00:59:55,210 +عليهم. الـ concussion، و الـ cerebral palsy، و الـ CVA. بيكون + +752 +00:59:55,210 --> 00:59:58,750 +أنا ختمت الـ nervous system. إحنا أخدنا فيه + +753 +00:59:58,750 --> 01:00:04,370 +chapterين، وألقاكم بإذن الله تعالى في محاضرة قادمة + +754 +01:00:04,370 --> 01:00:05,630 +على بركة الله. diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/2yML5eRtGRE_postprocess.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/2yML5eRtGRE_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..66e84af310ef331ff511961e42b4aaf7d0aafd20 --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/2yML5eRtGRE_postprocess.srt @@ -0,0 +1,3016 @@ +1 +00:00:05,300 --> 00:00:08,200 +بسم الله الرحمن الرحيم والصلاة والسلام علي أشرف + +2 +00:00:08,200 --> 00:00:12,040 +الأنبياء والمرسلين طلابي طالبات الأعزاء أهلا وسهلا + +3 +00:00:12,040 --> 00:00:16,420 +فيكم كمان مرة في ال part الأخير في ال chapter + +4 +00:00:16,420 --> 00:00:21,040 +nervous system 2 ان شاء الله رب العالمين اليوم بدي + +5 +00:00:21,040 --> 00:00:25,280 +أتحدث عن ال brain عن ال anatomy تبع ال brain شو + +6 +00:00:25,280 --> 00:00:29,640 +أقسامه هتحدث أيضا عن ال spinal cord وشو هي + +7 +00:00:29,640 --> 00:00:34,380 +تقسيماته وان شاء الله رب العالمين نبدأ على بركة + +8 +00:00:34,380 --> 00:00:40,170 +اللهفي محاضرات ال nervous system أول إشي احنا + +9 +00:00:40,170 --> 00:00:44,870 +حكينا في المحاضرة السابقة عن الخلية العصبية + +10 +00:00:44,870 --> 00:00:49,250 +أقسامها شو مكوناتها حكينا على ال central nervous + +11 +00:00:49,250 --> 00:00:53,570 +system اللي يحتوي على اللي هو ال brain and spinal + +12 +00:00:53,570 --> 00:00:57,750 +cord هاي ال spinal cord لو احنا قربنا الكاميرا شوي + +13 +00:00:57,750 --> 00:01:02,230 +هنشوف هاي بعض الخيوط الرفيعة هي ال spinal nerve + +14 +00:01:02,600 --> 00:01:08,080 +اللي بتكون طالعة من ال spinal cord ومتفرعة و بتتم + +15 +00:01:08,080 --> 00:01:11,860 +حماية اللي هو ال central nervous system عن طريق ال + +16 +00:01:11,860 --> 00:01:15,320 +skull bone اللي هي أخدناها في محاضرة skeletal + +17 +00:01:15,320 --> 00:01:19,420 +system 2 أيضا بتتم حماية ال spinal cord عن طريق ال + +18 +00:01:19,420 --> 00:01:22,660 +vertebral columnهحكي شوية معلومات على طول في ال + +19 +00:01:22,660 --> 00:01:26,840 +introduction اللي هي من أقسام و أجزاء ال brain + +20 +00:01:26,840 --> 00:01:31,820 +ممكن أسميه حسب ال bone أو حسب ال skull سبعتنا على + +21 +00:01:31,820 --> 00:01:35,440 +سبيل المثال هاي ال frontal bone، temporal، + +22 +00:01:35,440 --> 00:01:40,040 +parietal، ال occipital القاعدة في أخدنا كمان في + +23 +00:01:40,040 --> 00:01:47,320 +اللي هو الال bull marking في عندى هنا ال oval او + +24 +00:01:47,320 --> 00:01:50,580 +اللى هو circular او ال rounded openings اللى هى + +25 +00:01:50,580 --> 00:01:54,060 +الفتحة اللى موجودة هنا اسمها فتحة ال magnum + +26 +00:01:54,060 --> 00:01:57,200 +foramen هدى بس مراجعة سريعة للي احنا أخدناهم + +27 +00:01:57,200 --> 00:02:01,460 +الحاجات هدى ال magnum foramen بيطلع منها اللى هو + +28 +00:02:01,460 --> 00:02:05,560 +ال spinal cord وبينزل فى ال vertebral column اللى + +29 +00:02:05,560 --> 00:02:10,750 +هو مستضيفه وبينتهى لحد lumbar 2إذا ال spinal cord + +30 +00:02:10,750 --> 00:02:15,390 +بيبتدأ من ال magnum foramen وبنزل انزول وبينتهي + +31 +00:02:15,390 --> 00:02:20,830 +لحد لمبر اتنين بعد هيك بيصير في عندي دفائر عصبية + +32 +00:02:20,830 --> 00:02:25,950 +نبدأ في محاضرتنا اليوم هتكلم عن تركيبة او ما هو + +33 +00:02:25,950 --> 00:02:30,590 +الدماغ اليوم في الأشخاص البالغين الدماغ يزن حوالي + +34 +00:02:30,590 --> 00:02:37,240 +1.3 من عشرة كيلو جرام يعني تقريبا تلاتة poundsالان + +35 +00:02:37,240 --> 00:02:42,600 +بدي احكي على انه الدماغ لا يرتبط بحجم كبر الرأس + +36 +00:02:42,600 --> 00:02:47,420 +على سبيل المثال عند بعض العائلات تمتاز بكبر حجم + +37 +00:02:47,420 --> 00:02:51,060 +الرأس يعني ال diameter تبع الرأس بكون واسع قطر + +38 +00:02:51,060 --> 00:02:54,820 +الرأس كبير فبالتالي احنا ما بنقول على سبيل المثال + +39 +00:02:54,820 --> 00:03:00,160 +العائلة الفلانية ذكية وممتازين طلبتها وكذا وذلك + +40 +00:03:00,160 --> 00:03:06,140 +لأن رؤوسهم حجمها كبير هذا الاشي علميا مش صحيحالأن + +41 +00:03:06,140 --> 00:03:09,700 +يرتبط كبير حجم الرأس بعدد الـ synapse، بعدد + +42 +00:03:09,700 --> 00:03:14,200 +التلافيف اللي موجودة في ال brain يعني ال brain + +43 +00:03:14,200 --> 00:03:17,340 +size is not directly correlated with intelligence + +44 +00:03:17,340 --> 00:03:22,730 +لعلاقة ال brain size باللي هو ال intelligenceit's + +45 +00:03:22,730 --> 00:03:25,750 +not physically size of the brain that determine + +46 +00:03:25,750 --> 00:03:30,310 +intelligence لا يمكن أنه أنا أحدد حجم اللي هو أو + +47 +00:03:30,310 --> 00:03:35,490 +أصف الشخص هذا بإنه ذكي بناء على حجم الرأس it's + +48 +00:03:35,490 --> 00:03:39,410 +related to the number of active synapse هذا له + +49 +00:03:39,410 --> 00:03:43,850 +علاقة بال active synapse أو التلافيف اللي بتكون + +50 +00:03:43,850 --> 00:03:49,720 +موجودة داخل ال brainشو وظائف الدماغ؟ أكرم الله + +51 +00:03:49,720 --> 00:03:53,960 +سبحانه وتعالى الإنسان و بني آدم بالدماغ طبعا ليش؟ + +52 +00:03:53,960 --> 00:03:57,820 +لإن الدماغ بيقدّي وظائف متعددة أولها بيعمل تفسير + +53 +00:03:57,820 --> 00:04:01,540 +للإحاسيس interprets the sensation determines the + +54 +00:04:01,540 --> 00:04:06,220 +perception بيصف الشعور بيصف كل الأحاسيس و التفكير + +55 +00:04:06,220 --> 00:04:10,980 +اللي جوانا هذا ناتج عن الدماغ stores memory بيخزن + +56 +00:04:10,980 --> 00:04:15,820 +الذاكرة اليوم على سبيل المثال أنا تعاملت مع حريق + +57 +00:04:15,820 --> 00:04:19,640 +كده و كدهقمت بالهروب من المكان فبالتالي الدماغ + +58 +00:04:19,640 --> 00:04:25,200 +بيخزن هذا الحدث و من ثم نستفيد منه في مواقف أخرى + +59 +00:04:25,200 --> 00:04:28,860 +reasoning التفكير و الأحداث و تحليل المعطيات هذا + +60 +00:04:28,860 --> 00:04:33,360 +مش موجود عند باقي الكائنات موجود عند الإنسان ايضا + +61 +00:04:33,360 --> 00:04:37,260 +make decision انا اليوم كنت على مستوى قادر ان اخد + +62 +00:04:37,260 --> 00:04:41,140 +قرار على سبيل المثال في محاضرة او مافيش محاضرة + +63 +00:04:41,140 --> 00:04:45,550 +بناء على سلامة الدماغcoordinated for the muscular + +64 +00:04:45,550 --> 00:04:50,030 +system حكينا العضلات بتشتغل إذا كان في إلها سيال + +65 +00:04:50,030 --> 00:04:53,750 +عصبي معناه الكلام توصل in pulses و بتسافر in + +66 +00:04:53,750 --> 00:04:57,730 +pulses أخرى إذا في عندي neuromuscular coordinated + +67 +00:04:57,730 --> 00:05:02,090 +تنسيق عصبي عضلي أيضا في عندي regulated for the + +68 +00:05:02,090 --> 00:05:06,790 +visceral activity بيعمل تنظيم لإيه هو نشاطات + +69 +00:05:06,790 --> 00:05:10,330 +الأحشاء الداخلية انت عليك يا أمعاء على سبيل المثال + +70 +00:05:10,330 --> 00:05:14,230 +امتصاصال waters انت علاقة كبيرة إفراز ال hormone + +71 +00:05:14,230 --> 00:05:17,310 +فبالتالي ال nervous system أو ال brain هو ال + +72 +00:05:17,310 --> 00:05:19,390 +central nervous هو من ال central nervous system + +73 +00:05:19,390 --> 00:05:24,230 +بيشتغل مع اللي هو ال endocrine system أيضا بيحدد + +74 +00:05:24,230 --> 00:05:28,210 +الشخصية هذا الدماغ له دور فعال في تحديد ال + +75 +00:05:28,210 --> 00:05:31,890 +personality هذه ال functions هي إجمالي ما يقوم + +76 +00:05:31,890 --> 00:05:36,230 +بيها الدماغ تمام؟ اللي هو حكينا عنه central + +77 +00:05:36,230 --> 00:05:40,820 +nervous systemشو محتويات الدماغ؟ محتويات الدماغ + +78 +00:05:40,820 --> 00:05:45,040 +أربع أجزاء رئيسية فى عندي حاجة اسمها ال cerebrum + +79 +00:05:45,040 --> 00:05:49,360 +فى حاجة اسمها ال brainstem فى حاجة اسمها ال + +80 +00:05:49,360 --> 00:05:53,780 +cerebellum دابل ال U M فى حاجة اسمها ال dicephalon + +81 +00:05:53,780 --> 00:05:58,140 +الآن ال cerebrum أو ما يسمى بالمخ هو أكبر جزء + +82 +00:05:58,140 --> 00:06:03,580 +موجود في الدماغ المخ وهو الجزء الأكبر ال brainstem + +83 +00:06:03,580 --> 00:06:10,160 +جذع الدماغ هو عبارة عن إيش؟جزئية بتقع أمام المخيخ + +84 +00:06:10,160 --> 00:06:15,040 +وتتصل مباشرة بالحبل الشوكي ال cerebellum يقع خلف + +85 +00:06:15,040 --> 00:06:21,240 +الدماغ تمام خلف جذع الدماغ ومسؤول عن التوازن امتى + +86 +00:06:21,240 --> 00:06:25,400 +بشوف double L معناه الكلام هو مسؤول عن ال balance + +87 +00:06:25,400 --> 00:06:33,380 +مسؤول عن الاتزان فياللي هو جسم الإنسان ال + +88 +00:06:33,380 --> 00:06:38,260 +dicephalons اللي هو عبارة عن dicephalon هي عبارة + +89 +00:06:38,260 --> 00:06:42,700 +عن الدماغ البيني يقع في ال oxalate أو في قاعدة ال + +90 +00:06:42,700 --> 00:06:48,220 +base of skull يقع في اللي هي قاعدة الدماغ هذه بعض + +91 +00:06:48,220 --> 00:06:52,640 +التعريف البسيطة لأجزاء الدماغ بعيد و بكرر أجزاء + +92 +00:06:52,640 --> 00:06:55,660 +الدماغ هي ال cerebellum ال cerebrum ال brain stem + +93 +00:06:55,660 --> 00:07:00,470 +ال cerebellum و كذلك ال dicephalonخليني أشوف في + +94 +00:07:00,470 --> 00:07:04,430 +هذه التركيبة فى عندنا بعض الصور اللى موجودة زى ما + +95 +00:07:04,430 --> 00:07:09,490 +حكيتلكم اللى هو تركيبة الدماغ نفسها بتكون موجودة + +96 +00:07:09,490 --> 00:07:14,170 +نشوف الصور الأخرى الآن ال cerebrum أو ما يسمى بال + +97 +00:07:14,170 --> 00:07:18,270 +brain major area اللى هو الcerebrum المخ ينقسم إلى + +98 +00:07:18,270 --> 00:07:23,110 +two hemispheres أو ينقسم إلى نصفين أساسيين هدول + +99 +00:07:23,110 --> 00:07:27,700 +النصفين الأساسيين بقسمهم إلى right and leftأجى + +100 +00:07:27,700 --> 00:07:35,420 +أشوفهم أنا على السطورة عندي و هقسم الدماغ هذا + +101 +00:07:35,420 --> 00:07:40,980 +الدماغ هنا هحكي هذا ال brain هقسمه إلى نصفين في + +102 +00:07:40,980 --> 00:07:45,880 +عندى المنطقة ال right و في عندنا المنطقة ال left + +103 +00:07:45,880 --> 00:07:50,600 +من الدماغ إذا ينقسم ال cerebrum المخ ينقسم إلى + +104 +00:07:50,600 --> 00:07:56,000 +right and lefthemispheres كلمة hemispheres تعني + +105 +00:07:56,000 --> 00:08:02,120 +هنا لوحدها نص و spheres تعني circular كراوي او + +106 +00:08:02,120 --> 00:08:07,960 +دائري اذا هنا كراوي او دائري اذا انقسم الدماغ الى + +107 +00:08:07,960 --> 00:08:17,420 +نصفين كراويين او دائريين each + +108 +00:08:17,420 --> 00:08:22,180 +hemispheres have twoor have into five functional + +109 +00:08:22,180 --> 00:08:27,500 +area called loops كل hemispheres لوحده يحتوي على + +110 +00:08:27,500 --> 00:08:32,700 +خمسة أجزاء رئيسية تمام هذه الأجزاء الرئيسية اللي + +111 +00:08:32,700 --> 00:08:37,000 +هي هنا هذه اللي انا هقسمها ال right تنقسم إلى خمسة + +112 +00:08:37,000 --> 00:08:42,380 +واحد اتنين تلاتة اربعة و هنا خلينا رقم خمسة five + +113 +00:08:42,380 --> 00:08:49,450 +loops اذا تنقسم كلfive loops ينقسم كل hemispheres + +114 +00:08:49,450 --> 00:08:55,410 +ال right لخمس loops و ال left كذلك ينقسم إلى left + +115 +00:08:55,410 --> 00:09:01,770 +و right تمام هنا اللي هو ال cerebrum ينقسم إلى + +116 +00:09:01,770 --> 00:09:07,290 +right و إلى left ال right ينقسم إلى five loops و + +117 +00:09:07,290 --> 00:09:15,170 +اللي هو الleft انقسم الى five loops يعني كل + +118 +00:09:15,170 --> 00:09:21,510 +سيريبران يحتوي على ten loops عشر أجزاء من ال loops + +119 +00:09:21,510 --> 00:09:24,290 +أو ال functional loops + +120 +00:09:28,350 --> 00:09:32,550 +outer surface of adult brain بسميها الـ gray و + +121 +00:09:32,550 --> 00:09:37,170 +اللي هي الطبقة أو التلافيف الداخلية اللي موجودة أو + +122 +00:09:37,170 --> 00:09:42,830 +المعرضة في ال brain خارجيا بتكون اسمها gray المادة + +123 +00:09:42,830 --> 00:09:47,530 +الرمادية أو الطبقة الرمادية داخل الدماغ أما اللي + +124 +00:09:47,530 --> 00:09:52,530 +بتكون ما بين هذه التلافيف أو ما بين هذه التجاوف هي + +125 +00:09:52,530 --> 00:09:57,190 +عبارة عن المادة ال shallow السطحيةdepression + +126 +00:09:57,190 --> 00:10:01,330 +بسميها الـ sulcus أو الـ sulci حنشوفها في الصورة + +127 +00:10:01,330 --> 00:10:06,630 +التالية و اشوف ال brain associated with twelve + +128 +00:10:06,630 --> 00:10:10,990 +pairs of cranial nerve حكينا سابقا ان في عندي واحد + +129 +00:10:10,990 --> 00:10:17,970 +و تلاتين pairs من ال spinal nerve و في عنا اتناشر + +130 +00:10:17,970 --> 00:10:24,920 +pairs من ال cranial nerveتمام هاي ال cranial nerve + +131 +00:10:24,920 --> 00:10:28,700 +originated from the brain إذا ال brain associated + +132 +00:10:28,700 --> 00:10:35,240 +with twelve pairs of cranial nerve تمام هذه هي + +133 +00:10:35,240 --> 00:10:39,500 +عبارة عن إيش التلافيف + +134 +00:10:39,500 --> 00:10:44,900 +اللي موجودة داخل الدماغ خليني أوريكم ال grey area + +135 +00:10:44,900 --> 00:10:48,260 +و ال sulcus areaالان زي ما انتوا شايفين في هذه + +136 +00:10:48,260 --> 00:10:53,440 +الرسمة هي عبارة عن ال brain هذا ال brain هو عبارة + +137 +00:10:53,440 --> 00:10:59,340 +عن مجموعة من التلافيف أو مجموعة من الأنسجة العصبية + +138 +00:10:59,340 --> 00:11:03,980 +الآن زي ما انتوا شايفين هاي ال grey أو هاي الأجزاء + +139 +00:11:03,980 --> 00:11:07,180 +اللي هنا محيطة هي عبارة عن ال grey matter تمام + +140 +00:11:07,180 --> 00:11:11,070 +المادة الرماديةأما اللي ما بينهم، ما بين هذه + +141 +00:11:11,070 --> 00:11:14,990 +التعروجات، الانخفاضات المستوية هي عبارة عن ال + +142 +00:11:14,990 --> 00:11:19,770 +white motor أو ما يسمى بالـ sulcus تمام؟ هيك بيكون + +143 +00:11:19,770 --> 00:11:24,610 +عرفنا التركيبة الأساسية لل cerebrum خليني أكمل + +144 +00:11:24,610 --> 00:11:30,250 +باقي أجزاء المخ والدماغ كاملة و نشوف شو بيجي علينا + +145 +00:11:30,250 --> 00:11:35,610 +أخدنا ال cerebrum هاخد اللبس و أسماءها حكيتلكم أنه + +146 +00:11:35,610 --> 00:11:42,440 +أنا هسميبعض اللي هي حسمي بعض الأسماء أو بعض + +147 +00:11:42,440 --> 00:11:46,680 +الأنسجة العصبية للدماغ هذه التركيبة ككل هي تركيبة + +148 +00:11:46,680 --> 00:11:51,780 +الدماغ هذا الاشي أو هذه المقدمة هي الناصية بسميها + +149 +00:11:51,780 --> 00:11:55,820 +ال frontal loops احنا حكينا كل hemispheres يحتوي + +150 +00:11:55,820 --> 00:12:00,880 +على five loops هذه ال five loops هي واحد اتنين + +151 +00:12:00,880 --> 00:12:06,710 +تلاتة اربعة خمسة ال frontal هي عبارة عنالناصي أو + +152 +00:12:06,710 --> 00:12:10,870 +النسيج الأمامي ال frontal lobe أيضا في عندي + +153 +00:12:10,870 --> 00:12:14,630 +البرايتل هذا البرايتل اللوب اللي هو الجانبي في + +154 +00:12:14,630 --> 00:12:18,610 +عندنا هنا ال temporal من اسم العضمة ال scalpon + +155 +00:12:18,610 --> 00:12:23,130 +اللي أنا حكيت عليه إذا ال frontal البرايتل ال + +156 +00:12:23,130 --> 00:12:28,030 +temporal و ال insula هي عبارة عن المادة أو الطبقة + +157 +00:12:28,030 --> 00:12:34,480 +العازلة اللي بتفصل كلالعازلة بتفصل كل loops عن + +158 +00:12:34,480 --> 00:12:39,180 +الآخر ايضا في عندي حاجة تحت في قاع الجمجمة اسمها + +159 +00:12:39,180 --> 00:12:43,500 +ال occipital loops الان بنحكي على ال occipital + +160 +00:12:43,500 --> 00:12:47,200 +loops اللي هي عبارة عن الاشي اللي موجود في قاع + +161 +00:12:47,200 --> 00:12:50,940 +الجمجمة هذا ال loops اللي هنا بنخاف لما الطفل + +162 +00:12:50,940 --> 00:12:55,760 +الصغير بيوجع على راسه خصوصا من تحت من هنا بنخاف + +163 +00:12:55,760 --> 00:13:00,630 +انه يصير في عنده losses of vision فقدام للبصرإذا + +164 +00:13:00,630 --> 00:13:05,810 +ال frontal مسئول عن الذاكرة، مسئول عن الأحداث، + +165 +00:13:05,810 --> 00:13:10,730 +مسئول اللي هي بنسميها الناصية أو ما يسمى الجهاز + +166 +00:13:10,730 --> 00:13:14,450 +الأمامي، الجهاز اللي هو التفكير إذا ال frontal + +167 +00:13:14,450 --> 00:13:18,510 +loop في عندنا ال bright loop، ال temporal، ال + +168 +00:13:18,510 --> 00:13:22,930 +occipital، و المنطقة العازلة هي المنطقة الخامسة، + +169 +00:13:22,930 --> 00:13:26,910 +هاي ال five loops و أسماءهم، تمام؟ زي ما في عندنا + +170 +00:13:26,910 --> 00:13:32,050 +في ال right، في عندنا في ال left loopsالان هنتقل + +171 +00:13:32,050 --> 00:13:35,810 +للجزء التانى اللى هو اسمه ال brain stem جذع الدماغ + +172 +00:13:35,810 --> 00:13:41,990 +جذع الدماغ هو عبارة عن ايش؟ ثلاث أجزاء رئيسية جذع + +173 +00:13:41,990 --> 00:13:47,830 +الدماغ يحتوي على المد brain الدماغ الأوسط تمام؟ + +174 +00:13:48,880 --> 00:13:54,620 +الدماغ الأوسط البونز القنطرة أو القنيطرة بنسميها + +175 +00:13:54,620 --> 00:14:00,180 +اللي هي الجسر اللي هيعد منه و المدلة ابلونجاتا + +176 +00:14:00,180 --> 00:14:04,580 +اللي هي عبارة عن هذا الجزء اللي هو نهاية ال brain + +177 +00:14:04,580 --> 00:14:10,200 +و بداية ال spinal cord تمام؟ إذا يحتوي ال brain + +178 +00:14:10,200 --> 00:14:16,170 +stem على ثلاث أجزاء رئيسية هي عبارة عنأول اشي + +179 +00:14:16,170 --> 00:14:20,030 +هنحكي عنها ال midbrain الدماغ المتوسط ومن ثم ال + +180 +00:14:20,030 --> 00:14:22,990 +bones اللى هى القنطرة او القنايطرة اللى بيعدي منها + +181 +00:14:22,990 --> 00:14:26,610 +ال limb pulses و المدلة بلونجاته هى الجزء اللى + +182 +00:14:26,610 --> 00:14:30,990 +بيكون فى نهاية ال brain و بعده مباشرة بيتصل ل + +183 +00:14:30,990 --> 00:14:36,530 +spinal cord هى أجزاء ال brainstemخليني أشوف + +184 +00:14:36,530 --> 00:14:43,530 +السربلم وهو ما يسمى بالمخيخ حكينا السربلم في حاجات + +185 +00:14:43,530 --> 00:14:49,590 +كتيرة مسؤولة عندنا عن اللي هو الاتزانما هو موقع + +186 +00:14:49,590 --> 00:14:56,510 +السيريبلام؟ يقع السيريبلام في قاع + +187 +00:14:56,510 --> 00:15:01,650 +الجمجمة posterior to the bulls and مضالة بلونجاته + +188 +00:15:01,650 --> 00:15:08,150 +المنطقة الجغرافية هي عبارة عن منطقة تقع في قاع + +189 +00:15:08,150 --> 00:15:13,470 +الجمجمة الأكسابت لوبس posterior to the bulls and + +190 +00:15:13,470 --> 00:15:16,210 +مضالة بلونجاتهو احنا حكينا ان البونز و المضلة + +191 +00:15:16,210 --> 00:15:21,060 +بلونجاتا هي أحد أجزاء لبراين ال stemtwo + +192 +00:15:21,060 --> 00:15:25,520 +hemispheres يحتوي على جزئين أساسيين اللى هى ال + +193 +00:15:25,520 --> 00:15:30,340 +verm و ال arbora و ال veta ال verm connected لل + +194 +00:15:30,340 --> 00:15:34,220 +hemispheres طبعا و يحتوي على قشرة الدماغ اللى هى + +195 +00:15:34,220 --> 00:15:37,740 +عبارة عن ال grameter ال verm connected لل + +196 +00:15:37,740 --> 00:15:41,780 +hemispheres يصل ال two hemispheres في بعضهم البعض + +197 +00:15:41,780 --> 00:15:46,600 +تمام و قشرة الدماغ و المادة او ال grameters اللى + +198 +00:15:46,600 --> 00:15:51,170 +هى المادة الغامقة اللى احنا شوفناهاالاربوفيتا هي + +199 +00:15:51,170 --> 00:15:54,130 +عبارة عن ال white matter زي ما حكينا فيه مادة + +200 +00:15:54,130 --> 00:15:58,110 +غامقة او المادة الرمادية فيه عند المادة البيضاء او + +201 +00:15:58,110 --> 00:16:01,270 +المادة الفاتحة coordinated ل ال skeletal muscles + +202 +00:16:01,270 --> 00:16:07,030 +انا كنت دائما بحكي فيه عند meuromuscular + +203 +00:16:07,030 --> 00:16:11,450 +system + +204 +00:16:11,450 --> 00:16:16,230 +او coordinationهذا ال coordination هو عبارة عن + +205 +00:16:16,230 --> 00:16:20,550 +تنسيق العصبي العضلي بما أنه في عندي تنسيق عصبي + +206 +00:16:20,550 --> 00:16:24,750 +عضلي مافي أي عضلة بتشتغل كده عشوائي فبالتالي هيكون + +207 +00:16:24,750 --> 00:16:29,470 +في عندي اللي هو توازن هيكون في عندي good postural + +208 +00:16:29,470 --> 00:16:32,510 +هذا ال postural أو هذا القوام اللي أنتوا شايفينه + +209 +00:16:32,510 --> 00:16:36,730 +هو جاي بناء على إيش أنه أنا في عندي تناسق عصبي + +210 +00:16:36,730 --> 00:16:41,740 +عضليتمام؟ فبالتالي في عندي توازن هيك بيكون أخدنا + +211 +00:16:41,740 --> 00:16:48,440 +السيربلة وهو مسئول عن ال .. مسئول عن الاتزان برجع + +212 +00:16:48,440 --> 00:16:53,400 +كمان مرة و بحكيها أن السيربلة له علاقة في ال + +213 +00:16:53,400 --> 00:17:01,470 +balance أو ما يسمى بالاتزان تمام؟هتكلم عنه الجزئية + +214 +00:17:01,470 --> 00:17:04,930 +الرابعة حكينا ع ال cerebrum ع ال cerebellum هتكلم + +215 +00:17:04,930 --> 00:17:07,710 +ان شاء الله رب العالمين ع ال dicephalon اللي هو + +216 +00:17:07,710 --> 00:17:13,710 +عبارة عن الدماغ البيني وهو عبارة عن جزئين أساسيين + +217 +00:17:13,710 --> 00:17:17,590 +موجودين أو ينقسم إلى جزئين أساسيين اللي هي ال + +218 +00:17:17,590 --> 00:17:21,510 +thalamus و ال hypothalamus المهاد و ما تحت المهاد + +219 +00:17:21,510 --> 00:17:25,110 +باللغة العربية هتلاقوهاالـ Thalamus هي عبارة عن + +220 +00:17:25,110 --> 00:17:30,310 +البوابة الأساسية لاستقبال واستقطاب أي impulses + +221 +00:17:30,310 --> 00:17:33,430 +sensory impulses heading to the cerebral cortex + +222 +00:17:33,430 --> 00:17:38,650 +تمام؟ إذن هي عبارة عن البوابة لاستقبال الحاسيس + +223 +00:17:38,650 --> 00:17:44,180 +لاستقبال اللي هي الومضات العصبية الحسيةيستقبل كل + +224 +00:17:44,180 --> 00:17:49,380 +اللي هو الأحاسيس ويستقبل كل ال sensory impulses ما + +225 +00:17:49,380 --> 00:17:54,080 +عدا لسمل ليه؟ في وين بتتم استقبالهم؟ في الثلمس + +226 +00:17:54,080 --> 00:18:00,160 +تمام؟ إذا بتتم استقبال كل ال sensory impulses في + +227 +00:18:00,160 --> 00:18:06,010 +الثلمس ما عدا لسملتمام؟ و ال smell اللي هو ليش + +228 +00:18:06,010 --> 00:18:09,110 +معدى ال smell؟ ال smell إلها خاصية مميزة فيها + +229 +00:18:09,110 --> 00:18:12,630 +بتكون موجودة أو ال sensory receptors تبعتها أو ال + +230 +00:18:12,630 --> 00:18:17,690 +sensory impulses في مكان آخر canons impulses to + +231 +00:18:17,690 --> 00:18:20,570 +appropriate part of cerebral cortex for + +232 +00:18:20,570 --> 00:18:25,170 +interpretations طبعا في عندنا قنوات خاصة للاستقبال + +233 +00:18:25,170 --> 00:18:28,770 +لل impulses و احنا حكينا العملية كيف بتتمبتم + +234 +00:18:28,770 --> 00:18:32,050 +استقبال ال impulses بعدين ال interpretations بيصير + +235 +00:18:32,050 --> 00:18:35,790 +في ال brain بعدين بتم اللي هو sending ل ال + +236 +00:18:35,790 --> 00:18:38,350 +effectors أو ال muscle أو ال gland حسب ما حكينا + +237 +00:18:38,350 --> 00:18:42,870 +عليها المحاضرة اللي فاتت ارفع ايدك او انه حركها او + +238 +00:18:42,870 --> 00:18:49,370 +انه لل glands افرزي افرزي كذا او اعملي كذاالأنة + +239 +00:18:49,370 --> 00:18:52,950 +الجزئية التانية من ال dicephalons اللي هي تحتوي + +240 +00:18:52,950 --> 00:18:56,610 +على ال hypothalamus ال hypothalamus أو ما يسمى + +241 +00:18:56,610 --> 00:19:03,310 +بالي هو تحت المهاد hypo معناتها تحت وhyper معناتها + +242 +00:19:03,310 --> 00:19:08,210 +أعلى أو فوق هتعدي معانا كمان شوية hypo وعكسها + +243 +00:19:08,210 --> 00:19:14,970 +مباشرة حاجة اسمها hyper هنا أكثر أو أعلى وهنا أقل + +244 +00:19:14,970 --> 00:19:20,950 +وأسفل تمام؟Hybophylamous وظيفتها المحافظة على + +245 +00:19:20,950 --> 00:19:24,630 +الهيموتستايسز هذه حالة الثبات اللي احنا فيها من + +246 +00:19:24,630 --> 00:19:28,630 +اللي هو المميزات اللي الإنسان أو جسم الإنسان بتصف + +247 +00:19:28,630 --> 00:19:33,950 +فيها هي عبارة عن الهيموتستايسز من تين للهيموستايسز + +248 +00:19:33,950 --> 00:19:37,810 +اللي هو حالة ثبات الدم by regulation of visceral + +249 +00:19:37,810 --> 00:19:43,470 +activities طبعا بتنظيمها لاللي هيتنظيم الحركات أو + +250 +00:19:43,470 --> 00:19:48,650 +اللي هو نشاط الأشياء اللي بتكون طبعا visual links + +251 +00:19:48,650 --> 00:19:52,090 +لل nervous and endocrine system طبعا ال + +252 +00:19:52,090 --> 00:19:56,890 +hypothalamus تعمل عبارة عن وسيط يصل ما بين جهازين + +253 +00:19:56,890 --> 00:20:00,950 +او systems two systems with together work with + +254 +00:20:00,950 --> 00:20:04,350 +together اللي هو ال nervous system مع ال endocrine + +255 +00:20:04,350 --> 00:20:08,530 +systemالجزئية التالتة هي عبارة عن ال limbic system + +256 +00:20:08,530 --> 00:20:12,370 +الجهاز الشعوري الجهاز الشعوري موجود في ال + +257 +00:20:12,370 --> 00:20:15,610 +dicephalon وظيفته بيعمل control لل emotions + +258 +00:20:15,610 --> 00:20:18,990 +produce feelings interprets ال sensory impulses + +259 +00:20:18,990 --> 00:20:22,330 +مسئول عن كل الأحاسيس هذه اللي موجودة جواتنا + +260 +00:20:22,330 --> 00:20:27,630 +العواطف الإحساس مثلا و اللي هو تفسير الحواس أو + +261 +00:20:27,630 --> 00:20:31,730 +تفسير الأمور الحسيةإذا الـ Dicephalons يحتوي على + +262 +00:20:31,730 --> 00:20:35,250 +الـ thalamus الـ hypothalamus و ال limbic system + +263 +00:20:35,250 --> 00:20:39,190 +هاي من القواعد أو من الأجزاء الأساسية لل + +264 +00:20:39,190 --> 00:20:44,870 +Dicephalon هذه ال slide هتلخص العشر slides اللي + +265 +00:20:44,870 --> 00:20:51,660 +أنا حكيتها قبل شوية ال cerebraالـ Dicephalon يحتوي + +266 +00:20:51,660 --> 00:20:53,620 +على الـ thalamus و الـ hypothalamus و ال limbic + +267 +00:20:53,620 --> 00:20:59,180 +system البوز و المدلة بلونجاتا وس اللي هم ال brain + +268 +00:20:59,180 --> 00:21:03,280 +stem و في عندي ال cerebellum هيو بيعمل + +269 +00:21:03,280 --> 00:21:06,500 +coordination و طالما أنا حكيت coordination معناته + +270 +00:21:06,500 --> 00:21:07,980 +إيه علاقة بال balance + +271 +00:21:11,210 --> 00:21:16,630 +هي هي عبارة عن الصورة واضحة لأجزاء الدماغ، يحتوي + +272 +00:21:16,630 --> 00:21:20,790 +الدماغ على ال cerebrum، cerebellum، ال brainstem و + +273 +00:21:20,790 --> 00:21:24,870 +ال dicephalons، هي عبارة عن revision للعشر slides + +274 +00:21:24,870 --> 00:21:29,460 +اللي فاتت، ال cranial nerveحكيت في أنا عندي اثناشر + +275 +00:21:29,460 --> 00:21:33,380 +زوج من الأعصاب الدماغية أو الأعصاب اللي هي + +276 +00:21:33,380 --> 00:21:36,620 +originated from the brain في عندنا الolivatory + +277 +00:21:36,620 --> 00:21:40,680 +اللي هو عبارة عن العصب الأول من ال cranial مسؤول + +278 +00:21:40,680 --> 00:21:48,430 +الolivatory nerve عن اللي هي حاسة الشمتمام؟ ال + +279 +00:21:48,430 --> 00:21:53,310 +optic من اسمه optic مسئول عن الرؤية و البصر + +280 +00:21:53,310 --> 00:21:57,010 +oecomotor وtrachea وtrigeminal اللي هو العصب + +281 +00:21:57,010 --> 00:22:01,350 +الخامس و الabdus العصب السادس ال facial nerve انا + +282 +00:22:01,350 --> 00:22:05,090 +بهمني هنا ال facial nerve ليه؟ عشان انا بدي ارجع + +283 +00:22:05,090 --> 00:22:09,010 +لمعلومة كنت شرحتها في ال chapter السابق اللي هو + +284 +00:22:09,010 --> 00:22:18,150 +حكيت انه ال nerve ينقسم إلى ال sensorymotor و + +285 +00:22:18,150 --> 00:22:24,170 +mixed تمام؟ خاص ال nerve يا إما بيكون sensory يا + +286 +00:22:24,170 --> 00:22:27,910 +إما بيكون motor يا إما بيكون mixed الآن ال facial + +287 +00:22:27,910 --> 00:22:33,030 +nerve اللي هو أحد عصاب اللي هو ال cranial nerve + +288 +00:22:33,030 --> 00:22:37,130 +العصب السابع هذا ال facial nerve عبارة عن mixed + +289 +00:22:37,130 --> 00:22:42,770 +يعني sensory و motor ناخد مميزات ال sensory و ال + +290 +00:22:42,770 --> 00:22:46,470 +motorبينما العصب الثامن اللي هو ال + +291 +00:22:46,470 --> 00:22:50,970 +vestibulocochlear اللي هو مسؤول عن الإتزان مسؤول + +292 +00:22:50,970 --> 00:22:54,910 +عن ال equilibrium و ال balance هو عبارة عن sensory + +293 +00:22:54,910 --> 00:22:58,790 +عصب له علاقة بالإحساس أو الحس فقط sensory + +294 +00:22:58,790 --> 00:23:01,530 +information في عندنا ال hypoglossal في عندنا ال + +295 +00:23:01,530 --> 00:23:05,410 +Vegas اللي هو الحائر بنسميه العصب العاشر أو العصب + +296 +00:23:05,410 --> 00:23:08,830 +الحائر أيضا في عندنا ال accessory مسؤول عن البلع + +297 +00:23:10,370 --> 00:23:13,910 +العصاب الاتناشي اللي هو عبارة عن العصاب الاتناش + +298 +00:23:13,910 --> 00:23:18,930 +تمام؟ هيك بيكون هاي هي عبارة عن الاتناشر زوج من + +299 +00:23:18,930 --> 00:23:22,910 +الأعصاب الدماغية أو اللي هي originated from the + +300 +00:23:22,910 --> 00:23:27,780 +brainsoptic, ocleomotor, trochlear, trigeminal, + +301 +00:23:27,900 --> 00:23:30,940 +appendectal, facial nerve وزي اللي انا حكيتلكم + +302 +00:23:30,940 --> 00:23:35,600 +ممكن اقسمها الى S او M او Mix Sensory Motor Mixed + +303 +00:23:35,600 --> 00:23:39,900 +تمام ال mix بتكون ماخدة اللي هي صفات او خواص ال + +304 +00:23:39,900 --> 00:23:46,110 +sensory و الموتور الآن في عند ال meningesكل حاجة + +305 +00:23:46,110 --> 00:23:50,890 +ربنا بيحميها فما بالكم بعمدة الجسم ال brain بيتم + +306 +00:23:50,890 --> 00:23:56,870 +حمايته عن طريق أغشية وغلافات هذه الغلافات بتمتد من + +307 +00:23:56,870 --> 00:24:02,510 +ال brain من داخل الدماغ وتمتد إلى ال vertebral + +308 +00:24:02,510 --> 00:24:08,950 +column تمام؟ يعني الغطاء أو الغشاء المغطي لل brain + +309 +00:24:08,950 --> 00:24:14,130 +هو نفس الغطاء الممتد ل spinal cord اللي موجود داخل + +310 +00:24:14,130 --> 00:24:17,790 +ال vertebral columnفي عندي ال meninges أو ما يسمى + +311 +00:24:17,790 --> 00:24:23,750 +بالأغشية ثلاث أجزاء أساسية منها أول إشي اللي هي + +312 +00:24:23,750 --> 00:24:28,170 +deurameter الأم الجافية بعيدة سميناها جافية باللغة + +313 +00:24:28,170 --> 00:24:33,010 +العربية عشانها بعيدة خالص عن الدماغ في عندنا ال + +314 +00:24:33,010 --> 00:24:38,010 +arachnoid meter أو ما تسمى بالشبكة العنكبوتية ال + +315 +00:24:38,010 --> 00:24:42,310 +web-like وفي عندنا اللي قريبة من الدماغ اسمها ال + +316 +00:24:42,310 --> 00:24:46,180 +biometer الأم الحنونةطالما هي biometer معناته + +317 +00:24:46,180 --> 00:24:51,500 +امحنونة يعني تحتضن الدماغ إلى الداخل، اذا لما اجي + +318 +00:24:51,500 --> 00:24:56,480 +انا اصنفهم او اقسمهم from outer to inner، من + +319 +00:24:56,480 --> 00:25:01,600 +الخارج إلى الداخل، هحكي diuremeter، arachnoid، + +320 +00:25:01,600 --> 00:25:06,940 +biometerتمام اما لو انا طلبت ان انا اقسمهم او + +321 +00:25:06,940 --> 00:25:11,620 +اصنفهم from inner to outer معناه الكلام هيكون by + +322 +00:25:11,620 --> 00:25:17,280 +arachnoid dura اذا السهم جاي هيك اذا انا حكيت من + +323 +00:25:17,280 --> 00:25:26,020 +ال outer ال inner outer to inner الأم الجافية تمام + +324 +00:25:26,020 --> 00:25:33,760 +هذه بسميها الأم الجافية هنا العنكبوتيةو هنا + +325 +00:25:33,760 --> 00:25:40,080 +الحنونة تمام؟ إذا هاي ال meninges هي surrounding + +326 +00:25:40,080 --> 00:25:43,460 +لل central nervous system as a whole يعني لل brain + +327 +00:25:43,460 --> 00:25:49,320 +و ال spinal cordthere are three protect أو there + +328 +00:25:49,320 --> 00:25:51,620 +are protect لل central nervous system there are + +329 +00:25:51,620 --> 00:25:56,540 +three layers ديورامتر هي الأم الجافية تحتوي على + +330 +00:25:56,540 --> 00:26:02,140 +outer and tough tissues خشن لإيش لأي إشي ممكن + +331 +00:26:02,140 --> 00:26:05,960 +يهاجم الدماغ هي بتحمي الدماغ فبالتالي لازم كل إشي + +332 +00:26:05,960 --> 00:26:10,480 +بيكون برات أو إنه للحماية لازم يكون tough and + +333 +00:26:10,480 --> 00:26:14,700 +outerأما ال arachnoid فهي عبارة عن ال web-like أو + +334 +00:26:14,700 --> 00:26:18,580 +الشبكة العنكبوتية بيتكون thin أقل سماكة أما ال + +335 +00:26:18,580 --> 00:26:22,660 +biomotor فهي الأم الحنونة هتكون very thin و بعدين + +336 +00:26:22,660 --> 00:26:27,500 +inner في الداخل إذا تقسيمها من ال outer لل inner + +337 +00:26:27,500 --> 00:26:32,080 +هأحكي deurometer, arachnoid و biomotor و العكس + +338 +00:26:32,080 --> 00:26:38,100 +صحيح تمام؟ نيجي نشوف الكرينيا اللي نقلال spinal + +339 +00:26:38,100 --> 00:26:42,260 +meninges زي ما أنا حكيتلكم هي نفسهم فقط إن هم + +340 +00:26:42,260 --> 00:26:49,620 +منتدين داخل ال spinal nerve ال spinal meninges هي + +341 +00:26:49,620 --> 00:26:54,100 +عبارة عن إيش؟ there are three membranes surrounded + +342 +00:26:54,100 --> 00:27:00,290 +all central nervous system، ثلاثةطبقات بتغطي ال + +343 +00:27:00,290 --> 00:27:03,070 +central nervous system كامل سواء ال brain أو ال + +344 +00:27:03,070 --> 00:27:06,650 +spinal cord، ال diuremator tough mother و strong + +345 +00:27:06,650 --> 00:27:11,890 +بتكون لإنها الأم الجافية، يعني هي حطحيت فيه من + +346 +00:27:11,890 --> 00:27:16,740 +برا، هتحميه ولكن برا، لازم تكون قويةال arachnoid + +347 +00:27:16,740 --> 00:27:21,420 +تمام ال arachnoid من جيز spidery locking على شكل + +348 +00:27:21,420 --> 00:27:25,800 +الشبكة العنكبوتية خطوط كثيرة تحتوي على blood + +349 +00:27:25,800 --> 00:27:29,420 +vessels و ال nutrition و ال lymph supply و كل هذه + +350 +00:27:29,420 --> 00:27:34,660 +الأمور بتمد الدماغ بالغذاء هذه الشبكة العنكبوتية + +351 +00:27:34,660 --> 00:27:41,340 +تمامالsubarachnoid تحتها sub يعني arachnoid في + +352 +00:27:41,340 --> 00:27:45,280 +subarachnoid وحكينا كلمة sub تعني تحت ال + +353 +00:27:45,280 --> 00:27:48,460 +subarachnoid space اللي هو الفراغ اللي موجود تحت + +354 +00:27:48,460 --> 00:27:55,020 +الشبكة العنكبوتية ال diameter هي الأم الجافية + +355 +00:27:55,820 --> 00:28:01,600 +delicate membrane تمام غيشة رقيق very thin طبعا + +356 +00:28:01,600 --> 00:28:06,260 +adheres tightly to the surface of spinal cord + +357 +00:28:06,260 --> 00:28:11,880 +بيغطي مباشرة أو بيلتصق مباشرة بال spinal cord اللي + +358 +00:28:11,880 --> 00:28:16,910 +هو الحبل الشوكيزي ما احنا جينا شوفنا هنا في المقطع + +359 +00:28:16,910 --> 00:28:22,390 +العرضي تبعنا هشوف عندي اللي هو هذا الاشي هاي طبعا + +360 +00:28:22,390 --> 00:28:26,030 +اي vertebra موجودة عندي زي ما انتوا شايفينها في + +361 +00:28:26,030 --> 00:28:29,250 +عنا ال arachnoid اللي هي موجودة هنا في عنا بداية + +362 +00:28:29,250 --> 00:28:33,550 +اللي هي اللي برا بتكون ال diuremeter اما الداخلية + +363 +00:28:33,550 --> 00:28:36,910 +تكون ملتصقة تماما بال spinal cord فهي ال biometer + +364 +00:28:36,910 --> 00:28:40,130 +و اللي موجود هنا لو تحت المجهر شوية شوفناها + +365 +00:28:40,130 --> 00:28:43,310 +هلاجيها ال arachnoid ال web-like + +366 +00:28:47,000 --> 00:28:51,420 +تمام؟ شو هي التجاوف؟ أو شو هي ال ventricles اللي + +367 +00:28:51,420 --> 00:28:55,760 +موجودة عندنا في الدماغ؟ في عندي fourth ventricles، + +368 +00:28:55,760 --> 00:28:59,540 +أربع تجاوف، هذه التجاوف بتوضحها الصورة اللي موجودة + +369 +00:28:59,540 --> 00:29:05,140 +هنا، في عندي تجاوف مع بعضها البعض، وفي تجاوف بتكون + +370 +00:29:05,140 --> 00:29:11,120 +كل حجرة أو كل تجاوف لوحدهالان interconnected with + +371 +00:29:11,120 --> 00:29:16,220 +together بتكون مرتبطة مع بعضها البعض داخل ال + +372 +00:29:16,220 --> 00:29:19,060 +cerebral hemispheres مش احنا حكينا ان انا في عندي + +373 +00:29:19,060 --> 00:29:23,300 +hemispheres and brain stem في عندي اللي هو المخ + +374 +00:29:23,300 --> 00:29:28,220 +وجذع الدماغ هلأ هذه التجاويف أو هذه الحجورات بتكون + +375 +00:29:28,220 --> 00:29:31,800 +مفتوحة على بعضها البعض يعني إذا أنا قسمت هذا + +376 +00:29:31,800 --> 00:29:37,400 +المربع بهذا الشكل لازم يكون يفتح من كل الجهاتحتى + +377 +00:29:37,400 --> 00:29:41,660 +إنه السائل الشوكي أو سائل النخاع الشوكي يقدر يطلع + +378 +00:29:41,660 --> 00:29:45,120 +من هنا و يدخل هنا و يطلع كمان من هنا و يطلع هنا، + +379 +00:29:45,120 --> 00:29:49,140 +إذاً هذه التجاوف بتكون عبارة عن حجورات داخل الدماغ + +380 +00:29:49,140 --> 00:29:53,200 +مفتوحة على بعضها البعض، لانتقال الغذاء، لانتقال ال + +381 +00:29:53,200 --> 00:29:58,600 +blood supply، كل هذه الأمور لازم تكون موجودة مع + +382 +00:29:58,600 --> 00:30:03,290 +بعضها البعضتمتمع بالـ cerebrospinal fluid اللي أنا + +383 +00:30:03,290 --> 00:30:08,210 +كنت حكيت عليه في المحاضرة السابقة اللي هو ال CSF + +384 +00:30:08,210 --> 00:30:16,150 +إذا ينتقل ال CSF إلى داخل هاي الحجرات تمام؟ تحتوي + +385 +00:30:16,150 --> 00:30:20,890 +أيضا على ال central canal of spinal cord القناع + +386 +00:30:20,890 --> 00:30:24,750 +الرئيسي اللي بتمد أو هتصب داخل ال spinal cord + +387 +00:30:25,870 --> 00:30:30,650 +الأكبر ventricle موجود هو في ال cerebrum في داخل + +388 +00:30:30,650 --> 00:30:36,570 +الدماغ تمام؟ و ال laterally اللي أنا هجي أجسمهم ال + +389 +00:30:36,570 --> 00:30:39,910 +laterally و ال third و ال fourth و ال cerebral ال + +390 +00:30:39,910 --> 00:30:43,230 +lateral ventricle في منه right and left يعني ال + +391 +00:30:43,230 --> 00:30:47,350 +lateral هنا في منه right and leftالـ third + +392 +00:30:47,350 --> 00:30:51,170 +ventricle موجود في الـ dicephalon اللي هو الدماغ + +393 +00:30:51,170 --> 00:30:55,690 +البيني تماما بين ال right and left ventricle اللي + +394 +00:30:55,690 --> 00:30:58,750 +احنا .. او ال right and left thalamus اللي احنا + +395 +00:30:58,750 --> 00:31:05,410 +أخدناها ال fourth موجود في البستبون تمام؟ و ال + +396 +00:31:05,410 --> 00:31:09,550 +cerebral educated في ال third and fourth ventricle + +397 +00:31:09,550 --> 00:31:13,710 +الصورة هنا بتوضحلنا هذا الاشي تماما إذا في عندي + +398 +00:31:13,710 --> 00:31:18,370 +لاترال منه third قوةright و left ال third + +399 +00:31:18,370 --> 00:31:21,130 +ventricle بيكون موجود في ال dicephalon اللي هو + +400 +00:31:21,130 --> 00:31:25,810 +عبارة عن الدماغ البيني و كذلك ال fourth موجود في + +401 +00:31:25,810 --> 00:31:30,110 +ال bust bones او ما يسمى خلف القنطرة او القنيطرة + +402 +00:31:30,110 --> 00:31:33,550 +ال cerebral adducts هي موجود ما بين التالت و + +403 +00:31:33,550 --> 00:31:38,770 +الرابع ventricles هى عبارة عن التجاوف المترابطة او + +404 +00:31:38,770 --> 00:31:43,170 +الحجورات المترابطة داخل الدماغ طبعا هذه الحجورات + +405 +00:31:43,170 --> 00:31:47,480 +بيتم انتقال فيها السائلأو بيغري من خلال هالسائل + +406 +00:31:47,480 --> 00:31:52,560 +نخاع الشوكي اللي هو CSF داخل حجولات الدماء وأيضا + +407 +00:31:52,560 --> 00:31:59,440 +بيصب في ال central canal ل ال spinal cord شو + +408 +00:31:59,440 --> 00:32:05,180 +هو اللي هو ال spinal أو cerebrospinal fluid CSF هو + +409 +00:32:05,180 --> 00:32:11,420 +عبارة عن سائل واضح صافي اللون بيتم إفرازه من ال + +410 +00:32:11,420 --> 00:32:16,470 +choroid plexus من المشيمة الدباغيةتمام؟ ليش هذا + +411 +00:32:16,470 --> 00:32:20,150 +السائل الدماغي بتم إفرازه خلق الله سبحانه وتعالى + +412 +00:32:20,150 --> 00:32:24,710 +إلنا لإنه يعمل circulating داخل ال ventricles اللي + +413 +00:32:24,710 --> 00:32:28,350 +أنا حكيت عليهم قبل شوية في ال central canal ال + +414 +00:32:28,350 --> 00:32:32,390 +spinal cord بيصوب و بعدين في ال subarachnoid space + +415 +00:32:32,390 --> 00:32:37,980 +completely يعني بعبارة عن دورةغذائية كاملة من + +416 +00:32:37,980 --> 00:32:43,480 +الدماغ لـ spinal cord هتنزل طبعا clear liquid + +417 +00:32:43,480 --> 00:32:49,560 +نيترتيف اللي هو عبارة عن اشي غذائي ايضا بيساعد في + +418 +00:32:49,560 --> 00:32:53,180 +ال stabilization او بيساعد في اللي هو constant + +419 +00:32:53,180 --> 00:32:58,280 +concentration اللي هي تركيز ال CNS كاملا ان ما + +420 +00:32:58,280 --> 00:33:01,960 +بيكون في ions عالية او في على سبيل المثال زي ما + +421 +00:33:01,960 --> 00:33:04,620 +بتعرفوا في ال brain في عنا شحنات كهربائية positive + +422 +00:33:04,620 --> 00:33:08,110 +و negativeفإنه لازم هذا الاشي يكون في مرحلة من + +423 +00:33:08,110 --> 00:33:12,270 +التوازن و الثبات أيضًا ال Formula تبعته linked ما + +424 +00:33:12,270 --> 00:33:16,030 +بين ال ventricles بيدخل زي ما كنت أنا شرحها هنا في + +425 +00:33:16,030 --> 00:33:19,530 +داخل هذا المربع ال intraventricles أو التجاوف اللي + +426 +00:33:19,530 --> 00:33:24,010 +موجودة بتربط ما بين الثالث والرابع طبعًا اللي هو + +427 +00:33:24,010 --> 00:33:27,150 +بيجري من خلالها داخل ال ventricles في ال brain و + +428 +00:33:27,150 --> 00:33:31,990 +بيصب في ال spinal cord أو في داخل ال central canal + +429 +00:33:31,990 --> 00:33:38,160 +لل spinal cordهذا هو عبارة عن إيش CSF أو ما يسمى + +430 +00:33:38,160 --> 00:33:42,580 +بسائل النخاع الشوكي هلأ هذا سائل النخاع الشوكي مهم + +431 +00:33:42,580 --> 00:33:46,660 +جدا و هتكلم عليه في ال spinal cord كيف أنا لازم + +432 +00:33:46,660 --> 00:33:49,960 +أعرف بالتحديد كيف ممكن أاخد أو أسحب ال lumber + +433 +00:33:49,960 --> 00:33:53,620 +punctures أو ما يسمى بالعينة اللي هي لفحص ال + +434 +00:33:53,620 --> 00:33:58,800 +meningites وحكينا أي إشي بينتهي ب-ITIS هو عبارة عن + +435 +00:33:58,800 --> 00:34:03,320 +ال inflammation تمام؟أي عدوة بتصيب الطفل اللي سمح + +436 +00:34:03,320 --> 00:34:07,500 +الله أو بتصيب الكبير هي ال meningites أو الاتهاب + +437 +00:34:07,500 --> 00:34:11,400 +السحاية أو الحوم الشوكية زي ما بيصيب الأطفال أيضا + +438 +00:34:11,400 --> 00:34:14,800 +بيصيب الأكبر، هاخد العينة و هحكي عن ال number + +439 +00:34:14,800 --> 00:34:16,660 +punctures ان شاء الله رب العالمين + +440 +00:34:19,240 --> 00:34:23,060 +هنا بنحكي على ال lumber punctures اللي أنا بحكي + +441 +00:34:23,060 --> 00:34:27,020 +عليها شايفين كيف هنا وضعية الطفل أو وضعية هذا + +442 +00:34:27,020 --> 00:34:32,440 +الشخص ب friction اللي هي أو شكل السيح تمام؟ وإيجى + +443 +00:34:32,440 --> 00:34:36,960 +حط ال needle الدكتور هناما بتم سحب العينة من سائل + +444 +00:34:36,960 --> 00:34:44,680 +ال CSF يعني لأي حد لازم دكتور متخصص لإن حركة هيك + +445 +00:34:44,680 --> 00:34:48,520 +أو حركة هيك ممكن تؤدي ل completely paralysis شلال + +446 +00:34:48,520 --> 00:34:53,670 +تام لهذه المنطقةباستخدم سحب العينة أو Lumbar + +447 +00:34:53,670 --> 00:34:58,210 +punctures اللي هو LB، هاي ال LB لل clinical + +448 +00:34:58,210 --> 00:35:02,810 +examination في CSF أو Administration Radiobic Days + +449 +00:35:02,810 --> 00:35:06,450 +Drugs أو أنه أنا ممكن أقعطي فيها في حالات + +450 +00:35:06,450 --> 00:35:09,830 +السيزيريا، الستات اللي بياخدوا اللي هو ال binge + +451 +00:35:09,830 --> 00:35:14,090 +الموضعي يعني خليني أحكي من هنا and below عن طريق + +452 +00:35:14,090 --> 00:35:18,550 +اللي هو هاي المنطقةHowever مصري قبل dual for + +453 +00:35:18,550 --> 00:35:24,280 +anaesthesia اللي هو التخدير الموضوعيوين بتم؟ هذا + +454 +00:35:24,280 --> 00:35:29,080 +التخدير الموضوعي بتم في ال اب ديورة زي ما في عندنا + +455 +00:35:29,080 --> 00:35:33,360 +سب ديورة، في عندنا حاجة اسمها اب ديورة وحكاية اب + +456 +00:35:33,360 --> 00:35:40,100 +معناتها فوقها و سب معناتها تحت تمام؟ الآن ال + +457 +00:35:40,100 --> 00:35:42,400 +number functions هي ده أو ال number functions اللي + +458 +00:35:42,400 --> 00:35:48,800 +هو بتم أخده ما بين ال تلاتة والاربعة + +459 +00:35:50,010 --> 00:35:55,770 +التلاتة الأربعة هي عبارة عن إيش لامبر تلاتة لامبر + +460 +00:35:55,770 --> 00:36:00,640 +أربعة أجي أعدالآن إذا رجعنا لـ skeletal system + +461 +00:36:00,640 --> 00:36:04,680 +اللي حكينا عليه قبل المحاضرات هاي اللي هو عند الـ + +462 +00:36:04,680 --> 00:36:09,920 +iliac crest في عندي L4 تمام من فوق منها في L3 بهذه + +463 +00:36:09,920 --> 00:36:15,240 +المنطقة تحديدا ما بين L3 و L4 بتم سحب اللي هو عينة + +464 +00:36:15,240 --> 00:36:22,980 +CSF تمام لفحص تبعنا هذا اللي هو عبارة عن إيش ال + +465 +00:36:22,980 --> 00:36:30,770 +lumber punctures تمامخليني أبدأ بال spinal cord + +466 +00:36:30,770 --> 00:36:34,790 +بهيك بكون احنا خلصنا بال lumbar punctures أخدنا ال + +467 +00:36:34,790 --> 00:36:39,610 +brain و ال anatomy تبع ال brain خليني أبدأ في ال + +468 +00:36:39,610 --> 00:36:45,610 +anatomy تبع ال spinal cord انتهينا من شرح التركيبة + +469 +00:36:45,610 --> 00:36:50,470 +أو الوضع التشريحي للدماغ تركيبة الدماغ التشريحية + +470 +00:36:50,470 --> 00:36:55,810 +هنتقل لل part التاني من ال CNS اللي هو spinal cord + +471 +00:36:56,260 --> 00:37:01,120 +زي ما انتوا شايفين في هذه الصورة، نهاية المدلة + +472 +00:37:01,120 --> 00:37:07,120 +بلونجاتا اللى كانت من تركيبة الدماغ ابتدأ اللى هو + +473 +00:37:07,120 --> 00:37:12,880 +خروج الـ spinal cord من الـ magnum foramen أو الـ + +474 +00:37:12,880 --> 00:37:18,120 +foramen magnumاللي هو بدأ من هنا و دخلي هنا على ال + +475 +00:37:18,120 --> 00:37:25,000 +cervical bone اللي هم C7 و نزل على thoracic 12، + +476 +00:37:25,000 --> 00:37:33,440 +نزل على lumbar 5، نزل، لأ هو هينتهي بقل 2، تمام؟ + +477 +00:37:34,250 --> 00:37:39,810 +ينتهي ال spinal cord بيقل اتنين و هنا تحت بتبقى + +478 +00:37:39,810 --> 00:37:45,310 +اللي هي بعض اللي هي الضفائر العضلية او العصبية + +479 +00:37:45,310 --> 00:37:51,070 +خليني اشوف تمام ال spinal cord هو عبارة عن ال + +480 +00:37:51,070 --> 00:37:54,630 +second part من ال central nervous system بيربط ما + +481 +00:37:54,630 --> 00:38:00,610 +بين ال brain and bodyبيحاول ان هو بعض الأحيان يشيل + +482 +00:38:00,610 --> 00:38:05,490 +بعض المهام عن لبراين على سبيل المثال مش كل مشكلة + +483 +00:38:05,490 --> 00:38:10,510 +بدي يقوم بحلها لبراين لأ ممكن ال spinal cord يقوم + +484 +00:38:10,510 --> 00:38:14,670 +بحل بعض المشاكل فبالتالي هو اكسبت some functional + +485 +00:38:14,670 --> 00:38:19,290 +independency ل لبراين ال spinal cord and spinal + +486 +00:38:19,290 --> 00:38:25,080 +nerveservice to function بيشتغل وظيفتين اللي هما + +487 +00:38:25,080 --> 00:38:30,320 +pathway لل sensory and motor impulses عبارة عن + +488 +00:38:30,320 --> 00:38:35,460 +pathway عبارة عن بوابة أو طريق لاستقبال و إرسال ال + +489 +00:38:35,460 --> 00:38:38,760 +sensory و ال motor impulses أيضا مسؤولة عن ال + +490 +00:38:38,760 --> 00:38:44,500 +reflexes وهي المناعكسات العصبية في جسمنا مناعكسات + +491 +00:38:45,580 --> 00:38:51,340 +عصبية تمام مسئولة عن مسئولة اللي هي مسئولة عنهم ال + +492 +00:38:51,340 --> 00:38:57,160 +spinal cord و ال spinal nerves تمام إذا وظائف ال + +493 +00:38:57,160 --> 00:39:01,420 +spinal cord هو عبارة عن الرابط ما بين ال brain مع + +494 +00:39:01,420 --> 00:39:04,980 +كل الجسم لإنه بيطلع من هنا ال spinal cord و بيطلع + +495 +00:39:04,980 --> 00:39:09,060 +منه التفرعات اللي هي يمينا و يسارا من ال spinal + +496 +00:39:09,060 --> 00:39:14,570 +nerveبيقوم في بعض المهام اللي هي ما بيخلي الدماغ + +497 +00:39:14,570 --> 00:39:19,690 +طبعا يشترك فيها، بيريحوا شوي وبيشتغل عنه طبعا + +498 +00:39:19,690 --> 00:39:23,210 +وظائف ال spinal cord و ال spinal nerve انه pathway + +499 +00:39:23,210 --> 00:39:28,250 +لل sensory and motor impulses أيضا بيشارك و بيكون + +500 +00:39:28,250 --> 00:39:33,670 +مسئول في ال reflexes شو تركيبت ال structural تبع + +501 +00:39:33,670 --> 00:39:38,750 +ال spinal cord؟ال adult spinal cord طوله حوالي من + +502 +00:39:38,750 --> 00:39:47,570 +42 إلى 45 cm يعني أقل من متر في الطول أما بالنسبة + +503 +00:39:47,570 --> 00:39:52,740 +في مقطع عرضي لإله cross sectionalطبعا roughly + +504 +00:39:52,740 --> 00:39:56,200 +cylindrical بيكون cylindrical اللي هو استوانية + +505 +00:39:56,200 --> 00:40:00,940 +slightly flattened in both posterior and anterior + +506 +00:40:00,940 --> 00:40:04,840 +لو جيبنا له مقطع عرضي بهذا الشكل بلاقيها + +507 +00:40:04,840 --> 00:40:10,140 +cylindrical هنا استوانية الشكل و من الأمام و الخلف + +508 +00:40:10,140 --> 00:40:17,460 +بيكون flattened مسطحة من الأمام و الخلف ال + +509 +00:40:17,460 --> 00:40:18,660 +external surface + +510 +00:40:22,170 --> 00:40:28,290 +اللي هو السطح الخارجي تبعه فيه عنده منخفضين الأول + +511 +00:40:28,290 --> 00:40:34,230 +اسمه Darzel والتاني اسمه Ventral خلفي و أمامي ال + +512 +00:40:34,230 --> 00:40:37,530 +posterior أي إشي posterior أنا دائما بسميه Darzel + +513 +00:40:37,530 --> 00:40:40,910 +لما كنا بناخد في ال anatomical position كنت بحكي + +514 +00:40:40,910 --> 00:40:44,810 +على هذا الإشي اللي هو بطن اليد و هذا الجهة + +515 +00:40:44,810 --> 00:40:51,050 +الأمامية بسميهاventral أو ما يسمى بـ anterior + +516 +00:40:51,050 --> 00:40:58,790 +تمام؟ أما اللي هي ال back وظهر اليد بسميها dorsal + +517 +00:40:58,790 --> 00:41:04,070 +ال dorsal تعني ال median sulcus أما ال ventral فهي + +518 +00:41:04,070 --> 00:41:08,210 +تعني ال median fissures أو ما يسمى بالوسط أو ال + +519 +00:41:08,210 --> 00:41:12,010 +fissures هي عبارة عن السطح تبعها لل spinal cord + +520 +00:41:12,010 --> 00:41:18,550 +تمام؟ال regions لل spinal cord طبعا ال cervical + +521 +00:41:18,550 --> 00:41:23,150 +region هنا انا حاطيته سؤال انه احنا حكينا كل nerve + +522 +00:41:23,150 --> 00:41:26,730 +بيطلع حسب الفقرة و بسميه حسب الفقرة اللي هو طالع + +523 +00:41:26,730 --> 00:41:30,570 +منها اذا طالعني من C3 معناته هو طالع ما بين C3 و + +524 +00:41:30,570 --> 00:41:35,030 +C4 اذا طالع من C4 معناته طالع من C4 و C5 ما بينهم + +525 +00:41:36,000 --> 00:41:38,900 +الـ cervical region continuous with medulla + +526 +00:41:38,900 --> 00:41:42,400 +blongata طبعا لإنه مافيش إشي قبل الـ cervical فيه + +527 +00:41:42,400 --> 00:41:45,840 +مدلّة بلنجاتة نهاية ال brain ومداية ال spinal cord + +528 +00:41:45,840 --> 00:41:51,080 +Contains a neuron whose axon from cervical spinal + +529 +00:41:51,080 --> 00:41:55,300 +nerve تمانية إحنا كنا بنعرف إن ال spinal vertebra + +530 +00:41:55,300 --> 00:41:59,080 +أو ال cervical vertebra هي يبقى عن سبعة هنا صاروا + +531 +00:41:59,080 --> 00:42:04,280 +تمانية هأجيب على هذا السؤال لاحقا في اللي هي باقى + +532 +00:42:04,280 --> 00:42:08,880 +الأسئلةC تمانية خليني أعدهم مع بعض أنا و إياكم ال + +533 +00:42:08,880 --> 00:42:15,340 +spinal nerve هحكي C تمانية ثورسك + +534 +00:42:15,340 --> 00:42:23,020 +ماشي لمبر خمسة و ساكرل خمسة و الكوكسيال واحد + +535 +00:42:23,020 --> 00:42:28,120 +تمانية و اتناشر عشرين و عشرة تلاتين واحد و تلاتين + +536 +00:42:28,120 --> 00:42:31,380 +spinal nerve + +537 +00:42:32,460 --> 00:42:37,380 +طبعا هذه بيطلع عندي واحد و ثلاثين زوج من الأعصاب + +538 +00:42:37,380 --> 00:42:43,280 +في ال right و واحد و تلاتين من الأعصاب في ال left + +539 +00:42:43,280 --> 00:42:50,100 +تمام؟تركيبة ال spinal cord هو أصغر من ال vertebral + +540 +00:42:50,100 --> 00:42:54,480 +column زي ما حكيتلكم أنه هنا بيمتد من المدلة + +541 +00:42:54,480 --> 00:43:00,180 +بلونجاتا وبينزل على L2 وبينتهي عند L2 بينما يبقى + +542 +00:43:00,180 --> 00:43:05,200 +ال vertebral column ممتد لعند الكوكسيال تحت طبعا + +543 +00:43:05,200 --> 00:43:08,060 +مهرن بالساكره مهرن بالكوكسيال فبالتالي ال + +544 +00:43:08,060 --> 00:43:13,630 +vertebral column أطول من ال spinal cordيحتوي على + +545 +00:43:13,630 --> 00:43:19,050 +ثلاث أجزاء رئيسية أولها بالترتيب و هنا بحكي أنا من + +546 +00:43:19,050 --> 00:43:24,670 +الأعلى إلى الأسفل حاجة اسمها الحبل الشوكي المخروطي + +547 +00:43:24,670 --> 00:43:28,210 +Conus Medullaris شو يعني الـ Conus Medullaris? + +548 +00:43:32,590 --> 00:43:37,950 +Tabard inferior end of spinal cord تيجي بعد اللي + +549 +00:43:37,950 --> 00:43:44,120 +هو نهاية ال spinal cordmarks official end of + +550 +00:43:44,120 --> 00:43:49,820 +spinal cord rubber لأنه أنا حكيت على الاتنين + +551 +00:43:49,820 --> 00:43:56,440 +بينتهي ال spinal cord هنا بيجي مع بعض ال spinal + +552 +00:43:56,440 --> 00:44:00,320 +cord في عندي اللي هي الضفيرة العضضية أو الضفيرة + +553 +00:44:00,320 --> 00:44:04,380 +العصبية احنا بسميها الكوداكوينة زي الفرس ليش + +554 +00:44:04,380 --> 00:44:09,490 +سمناها كوداكوينة؟أو سمناها ذيل الفرس تعرفوا لما + +555 +00:44:09,490 --> 00:44:15,710 +نربط شعر البنت الصغيرة على شكل حزمة و .. و بينزل + +556 +00:44:15,710 --> 00:44:20,830 +الشعر بجي هك فبالتالي بيكون تحت ال spinal أو تحت + +557 +00:44:20,830 --> 00:44:26,270 +القمين هيك الشعر بيكون زي ذيل الفرس يعني هذه ال + +558 +00:44:26,270 --> 00:44:31,510 +nerves أو هذه الأعصاب بتكون مالها متباعدة عن بعضها + +559 +00:44:31,510 --> 00:44:38,090 +البعض على شكل اللي هو ذيل الفرسالان هذا الفلستقع + +560 +00:44:38,090 --> 00:44:41,670 +تحت الkonus medullaris inferior to the konus + +561 +00:44:41,670 --> 00:44:46,270 +medullaris هي عبارة عن جذور لأعصاب من ال group + +562 +00:44:46,270 --> 00:44:50,650 +axon that project inferiorly من ال spinal cord + +563 +00:44:50,650 --> 00:44:55,110 +بتنزل لتحت يعني ما بعد الاتنين في عندنا الضفيرة + +564 +00:44:55,110 --> 00:45:01,210 +العصبية تمام؟ اللي على شكل الكوداكوينةبقيت منها + +565 +00:45:01,210 --> 00:45:06,210 +مباشرة يعني اذا انا اجيت حكيت تقسيمتهم في التشريح + +566 +00:45:06,210 --> 00:45:14,070 +من الأعلى superior to inferior تمام؟ هيكون conos + +567 +00:45:14,070 --> 00:45:18,410 +modulares, codaquina فينا من ال terminal كلمة ال + +568 +00:45:18,410 --> 00:45:23,950 +terminal تعني ملاقي او اللي هو اخر الاشي بتكون + +569 +00:45:23,950 --> 00:45:30,070 +موجودة داخل او within codaquinathin strand من ال + +570 +00:45:30,070 --> 00:45:35,910 +biomatter هي عبارة عن حاجة بتكون thin وخفيفة جدا + +571 +00:45:35,910 --> 00:45:41,670 +من ال biomatter طبعا اللي هي الأم الحنونة بتساعد + +572 +00:45:41,670 --> 00:45:46,430 +في تثبيت الكودة أو الكونة اسمها دولارز اللي هو + +573 +00:45:46,430 --> 00:45:47,750 +أعلى إشي + +574 +00:45:50,710 --> 00:45:56,190 +Helps to fixation للكونس مدولارز هاي الثلاث أقسام + +575 +00:45:56,190 --> 00:46:00,630 +أساسية بعد انتهاء اللي هو ال spinal cord في + +576 +00:46:00,630 --> 00:46:07,290 +الاتنين تمام؟ هي عبارة عن كونس مدولارز كوداكوينا + +577 +00:46:07,290 --> 00:46:12,170 +والفلم terminalis نجل الأقسام اللي قسمناها قبل + +578 +00:46:12,170 --> 00:46:22,100 +شوية cervical بيمتد إلى تمانية C تمانيةwhere + +579 +00:46:22,100 --> 00:46:25,880 +contains لنيرو هو axon from cervical spinal nerve + +580 +00:46:25,880 --> 00:46:30,840 +تمانية ال thoracic region attached لثورسك وبينتد ل + +581 +00:46:30,840 --> 00:46:36,120 +12 thoracic nerve spinal nerve 12 ال lumber بدي + +582 +00:46:36,120 --> 00:46:40,800 +يكون contains نيرون that lumber spinal nerve خمسة + +583 +00:46:40,800 --> 00:46:45,080 +و ال sacral ال lumber أو ال sacral spinal nerve + +584 +00:46:45,080 --> 00:46:50,390 +خمسة ال coaxial بيطلع منها onePairs of coaxial + +585 +00:46:50,390 --> 00:46:54,650 +spinal layer arises from this region يعني منطقة ال + +586 +00:46:54,650 --> 00:46:57,050 +coaxial اللي أنا كنت أحكي عليها زمان هنا أربع + +587 +00:46:57,050 --> 00:47:04,930 +عضمات بيطلع منها عصب واحد فقطتمانية و اتناش و عشرة + +588 +00:47:04,930 --> 00:47:09,470 +و عشرة و واحد بيعطيني واحد و ثلاثين زوج من الأعصاب + +589 +00:47:09,470 --> 00:47:14,330 +إشي منهم ع ال right و إشي بيغذي ال left ليه بيطلع + +590 +00:47:14,330 --> 00:47:21,910 +لنا C8؟ هذا سؤال متروك لحضراتكم للإجابة عليه تمام؟ + +591 +00:47:21,910 --> 00:47:25,870 +هذه الصورة ممكن تساعدكم شويفي شوفوا هنا C1 كيف + +592 +00:47:25,870 --> 00:47:32,740 +طالع و من أي vertebra طالع يعني من أعلىVertebra 1 + +593 +00:47:32,740 --> 00:47:38,100 +أو الـ C1 بيطلع كمان عصب و من تحتها كمان عصب، هذه + +594 +00:47:38,100 --> 00:47:43,620 +الإجابة فبالتالي 1 الفقرة رقم C1 ماخدة عصبين و + +595 +00:47:43,620 --> 00:47:49,220 +باقيها 6 فبالتالي 2 و 6 بيعطينا 8 لل cervical + +596 +00:47:49,220 --> 00:47:55,230 +nerve اللي موجودين، تمام؟هذه الرسمة التانية كمان + +597 +00:47:55,230 --> 00:48:00,110 +موضحة إلينا الأشياء ال spinal nerve واحد و ثلاثين + +598 +00:48:00,110 --> 00:48:03,950 +زوج من الأعصاب اللي موجودين لو شفناهم على ال + +599 +00:48:03,950 --> 00:48:07,930 +spinal أو ال vertebral colon هنا في الرسمة هذه + +600 +00:48:07,930 --> 00:48:10,870 +الأحبال اللي هنا شبهلنا إياها هي بال cervical + +601 +00:48:10,870 --> 00:48:17,110 +spinal nerve واحد و ثلاثينما فوق C1 بيطلع عصب و + +602 +00:48:17,110 --> 00:48:22,410 +تحتها عصب هاي 1 2 3 4 5 6 7 هاي اللي هي السابعة + +603 +00:48:22,410 --> 00:48:26,610 +فبالتالي بناجي عندى تمانية من هذه الأسلاك أو هي + +604 +00:48:26,610 --> 00:48:29,970 +اللى عم سميها spinal nerve فعشان كده بسميها C + +605 +00:48:29,970 --> 00:48:37,400 +تمانية each spinal nerve mixedو أنا حكيت mixed + +606 +00:48:37,400 --> 00:48:42,840 +يعني بتاخد خاصية ال sensory و ال motor thousand + +607 +00:48:42,840 --> 00:48:46,960 +from motor and sensory axon ال sensory originated + +608 +00:48:46,960 --> 00:48:51,520 +from receptors طبعا هيستقبل المستقبلات الحسية أما + +609 +00:48:51,520 --> 00:48:57,460 +ال motor originated from spinal cordتمام؟ إذا كل + +610 +00:48:57,460 --> 00:49:01,040 +spinal cord أو كل spinal nerve أسفة هما mixed + +611 +00:49:01,040 --> 00:49:06,100 +sensory and motor أما ال cranial nerve لأ في منها + +612 +00:49:06,100 --> 00:49:10,480 +ال sensory في منها ال motor في منها ال mixed طبعا + +613 +00:49:10,480 --> 00:49:16,330 +يحتوي على receptors و ال muscle glandال anterior + +614 +00:49:16,330 --> 00:49:20,210 +rot أو الجذر الأمامي اللي أنا حكيت عليه قبل شوية + +615 +00:49:20,210 --> 00:49:24,010 +اللي هو ال ventral وفيه أن ال posterior rot اللي + +616 +00:49:24,010 --> 00:49:27,030 +هي ال dorsal طبعا intervertebral foramen اللي + +617 +00:49:27,030 --> 00:49:30,710 +بيطلعوا من داخل ال intervertebral foramen أو اللي + +618 +00:49:30,710 --> 00:49:35,870 +هي الفقرة فيها intervertebral foramen بتكون موجودة + +619 +00:49:36,040 --> 00:49:40,180 +become spinal nerve طبعا بيطلع هذا ال spinal nerve + +620 +00:49:40,180 --> 00:49:45,580 +وكل spinal nerve مسئول حسب أو بيغذي المنطقة اللي + +621 +00:49:45,580 --> 00:49:49,700 +بيكون طالع عليها ال spinal nerve associated with + +622 +00:49:49,700 --> 00:49:53,600 +the vertebra of same number يعني إذا قلت أنا في + +623 +00:49:53,600 --> 00:49:59,830 +عندي ضغط على العصباللي هو C8 C7 معناته هو طالع من + +624 +00:49:59,830 --> 00:50:05,930 +بين C8 و C7 إذا قلت في عندي ضغط على العصب اللي + +625 +00:50:05,930 --> 00:50:10,010 +طالع من L4 L5 فمعناته هو العصب اللي طالع ما بين + +626 +00:50:10,010 --> 00:50:17,150 +الفقرة L4 و L5 كل واحد بسميه حسب المنطقة اللي هو + +627 +00:50:17,150 --> 00:50:24,810 +طالع منها الـ + +628 +00:50:24,810 --> 00:50:30,170 +Dermatomeكلمة درماتوم بتعني اللي هو عبارة عن + +629 +00:50:30,170 --> 00:50:33,910 +الخريطة اللي بتم تغذية العصب منها على سبيل المثال + +630 +00:50:33,910 --> 00:50:38,310 +اليوم هاي المنطقة أو الـDorsal Hand بتم تغذية + +631 +00:50:38,310 --> 00:50:46,680 +العصب منها تغذية العصب منها اللي هو في C6 أو C7حسب + +632 +00:50:46,680 --> 00:50:51,080 +كل منطقة بتم تغذيتها إذا هي عبارة عن dermatome هي + +633 +00:50:51,080 --> 00:50:54,940 +عبارة عن specific segment من ال skin بتم تغذيتها + +634 +00:50:54,940 --> 00:51:00,700 +بال single spinal nerve بتغذيتها بعصب واحد فقط all + +635 +00:51:00,700 --> 00:51:04,120 +spinal nerve innovated segment of skin and + +636 +00:51:04,120 --> 00:51:07,680 +associated with dermatome ما عدا C1 ما بيغذيهم + +637 +00:51:07,680 --> 00:51:11,120 +تمام احنا حكينا في بداية الشبات في chapter + +638 +00:51:11,120 --> 00:51:17,160 +introduction من C1 إلى C4هي عبارة عن إيش بيغذى ال + +639 +00:51:17,160 --> 00:51:21,940 +vital organs اللي + +640 +00:51:21,940 --> 00:51:25,280 +هم زي ال heart زي ال lungs زي هذه الأمور فبالتالي + +641 +00:51:25,280 --> 00:51:29,940 +أي إصابة لو حكينا مثلا في falling down لعامل من + +642 +00:51:29,940 --> 00:51:33,180 +الطابق الخامس أو السابع و صار في cutting لل spinal + +643 +00:51:33,180 --> 00:51:37,080 +nerve ال spinal cord هذا في مصيبة هنا بيصير عندنا + +644 +00:51:37,080 --> 00:51:42,580 +ليه؟ لأنه أي إصابةما بعدها بيصير في عندي + +645 +00:51:42,580 --> 00:51:46,320 +completely paralysis أو شلل تام فبالتالي احنا + +646 +00:51:46,320 --> 00:51:50,960 +بنخاف من الإصابات اللي بتكون من C1 ل C4 لإنه كل ما + +647 +00:51:50,960 --> 00:51:54,900 +عيت فوق كل ما غذت ال vital organs اللي هي الأعضاء + +648 +00:51:54,900 --> 00:51:58,430 +المهمة زي ال lung ال hearts هذه الأمورالـ + +649 +00:51:58,430 --> 00:52:02,430 +Dermatome map هي عبارة عن sensory segment لل skin + +650 +00:52:02,430 --> 00:52:06,490 +body associated with spinal nerve بعض اللي هي طبعا + +651 +00:52:06,490 --> 00:52:10,570 +خريطة أو خريطة الجسم اللي بتتم تغذية المكان + +652 +00:52:10,570 --> 00:52:14,070 +الفلاني على سبيل المثال من كذا بتجينا على سبيل + +653 +00:52:14,070 --> 00:52:17,310 +المثال الحالة بتقول أنا عندي فقدان للإحساس أو عندي + +654 +00:52:17,310 --> 00:52:23,520 +تنميل أو خذلان في الجهة الأماميةمن اللي هي ال + +655 +00:52:23,520 --> 00:52:26,360 +quadriceps أو الفخدة فبتاع اللي بعرف انه انا في + +656 +00:52:26,360 --> 00:52:29,740 +عندي compression على ال nerve كذا في عندي طبعا هذا + +657 +00:52:29,740 --> 00:52:35,960 +الاشي بيبين اكتر من ال MRI و ال CT هاي هي ال + +658 +00:52:35,960 --> 00:52:40,560 +dermatome هذه الصورة زي ما انتوا شايفينها عندنا + +659 +00:52:40,560 --> 00:52:43,860 +بالفيزيotherapy لازم هذا كله يكون محفوظ شوفوا C1, + +660 +00:52:44,020 --> 00:52:48,460 +C2, C3, C4 ايش بيغذي في ال anterior view و ال + +661 +00:52:48,460 --> 00:52:49,860 +posterior view + +662 +00:52:52,010 --> 00:52:56,470 +الـ nerve blockages أو ما يسمى بالظفائر العصبية هي + +663 +00:52:56,470 --> 00:53:01,030 +عبارة عن إيش؟ Network interweaving anterior remae + +664 +00:53:01,030 --> 00:53:05,470 +of spinal nerve هي عبارة عن مجموعة متشابكة من + +665 +00:53:05,470 --> 00:53:09,890 +الياف أو اللي هو الـ anterior remae أو الأقسام + +666 +00:53:09,890 --> 00:53:14,400 +الأمامية للأعصابو ال nerve blocks بتكون both right + +667 +00:53:14,400 --> 00:53:17,400 +and left side of the body ال nerve blocks then + +668 +00:53:17,400 --> 00:53:21,900 +split into multiple names of nerve ممكن أقسمها حسب + +669 +00:53:21,900 --> 00:53:26,520 +وين ما هي موجودة في عندي لل cervical الدفيرة + +670 +00:53:26,520 --> 00:53:31,620 +العصبية العوقية لإن جاها من ال cervical الbrachial + +671 +00:53:31,620 --> 00:53:38,140 +العددية من العددو ال lumber اللي هي من منطقة ال + +672 +00:53:38,140 --> 00:53:42,760 +lumber area العجزية و ال sacral القطنية I have + +673 +00:53:42,760 --> 00:53:46,220 +four lumbers I have four plexus, cervical, + +674 +00:53:47,900 --> 00:53:53,300 +brachial, lumber و sacral اذا عندي أربع ضفائر + +675 +00:53:53,300 --> 00:53:58,580 +عصبية موجودة في جسم الإنسان اللي هو تمتد فيما بعد + +676 +00:53:58,580 --> 00:54:04,980 +اللي هو لتغذية الجسم Reflexesهو آخر إشي هتكلم عليه + +677 +00:54:04,980 --> 00:54:08,040 +في هذه المحاضرة ال reflexes اللي هي عبارة عن + +678 +00:54:08,040 --> 00:54:13,080 +المناعكسات العصبية، هذه المناعكسات العصبية هي + +679 +00:54:13,080 --> 00:54:17,520 +عبارة عن إشي fast، stereotypical، بتكون موجودة في + +680 +00:54:17,520 --> 00:54:20,810 +ال right زي ان هي موجودة في ال leftinborn موجودة + +681 +00:54:20,810 --> 00:54:26,350 +من الولادة protective action لحماية او لسلامة ال + +682 +00:54:26,350 --> 00:54:29,850 +central nervous system يعني على سبيل المثال اذا + +683 +00:54:29,850 --> 00:54:32,590 +انا اجيت قلت على اي reflex موجود عند الجنين او + +684 +00:54:32,590 --> 00:54:36,670 +المولود على سبيل المثال لما بعد السنة بتعرف + +685 +00:54:36,670 --> 00:54:42,330 +الموليد كلهم عنا بيبقوا مغلقين ايدهم لو استمر هذا + +686 +00:54:42,330 --> 00:54:45,810 +الاشي لبعد السنة معناته انا بدي اعرف ان في عندي + +687 +00:54:45,810 --> 00:54:49,140 +مشكلة بال central nervous systemبنطلب من الأم أنها + +688 +00:54:49,140 --> 00:54:54,040 +فورا تتحول لدكتور أعصاب سلامة ال reflexes تعني + +689 +00:54:54,040 --> 00:54:59,700 +سلامة ال central nervous systemفي ال spinal cord + +690 +00:54:59,700 --> 00:55:03,320 +and brainstem معناة الكلام أن هي هذه ال reflex + +691 +00:55:03,320 --> 00:55:06,520 +بتحدث على مستوى ال central nervous system في + +692 +00:55:06,520 --> 00:55:11,000 +منطقتين بالتحديد هما ال spinal cord و ال brainstem + +693 +00:55:11,000 --> 00:55:15,120 +may either monocynabetic أو polycynabetic احنا + +694 +00:55:15,120 --> 00:55:18,240 +حكينا اللي هي multi-cynabetic أو polycynabetic + +695 +00:55:18,240 --> 00:55:23,700 +بتحدث على صعيد اللي هو أحدية القطب أو اللي هي + +696 +00:55:23,700 --> 00:55:29,680 +polycynabeticلأن إحنا بال reflexes بحاجة لإيش؟ أي + +697 +00:55:29,680 --> 00:55:34,140 +reflexes؟ بحاجة لإنه أنا أعمله تحفيز باجي أنا بدي + +698 +00:55:34,140 --> 00:55:37,560 +أفحص ال reflexes لو أجيبنا ال foot تبعت اللي هو ال + +699 +00:55:37,560 --> 00:55:41,220 +newborn و أجيت أنا بالجلم على طول عملت خط صغير، + +700 +00:55:41,220 --> 00:55:45,700 +إذا أنا حفظت وجبت مثير لهذا الاشي، على طول ال big + +701 +00:55:45,700 --> 00:55:50,200 +two هيصير في reflection sensory information relay، + +702 +00:55:50,200 --> 00:55:54,190 +بدي يصير في عندي نقل للومضة العصبية الحسيةالعنانية + +703 +00:55:54,190 --> 00:55:58,330 +بتتم على صعيد ال central nervous system وتحديدا في + +704 +00:55:58,330 --> 00:56:01,890 +ال spinal cord مع ال brainstem بيصير في عنا + +705 +00:56:01,890 --> 00:56:06,970 +activation ل motor response هنا في sensory و ال + +706 +00:56:06,970 --> 00:56:10,770 +sensory رد عليها الدماغ ب motor response to + +707 +00:56:10,770 --> 00:56:14,270 +peripheral effectors قد لإنه حكينا الإصبع الكبير + +708 +00:56:14,270 --> 00:56:18,230 +في هذا اللي هو الpavinsky reflex قد لإنه يصير في + +709 +00:56:18,230 --> 00:56:25,030 +عنا انثناء في الإصبع الكبير اتفقنا؟هذا الاشي اللي + +710 +00:56:25,030 --> 00:56:31,610 +هو بيحتاجه ال reflexes مثير استجابة ارسال ومضة + +711 +00:56:31,610 --> 00:56:36,750 +عصبية حسية معالجة مركزية في الدماغ ارسال ومضة + +712 +00:56:36,750 --> 00:56:42,610 +حركية تفعيل لحركة في ال effectors زي أي نهاية كل + +713 +00:56:42,610 --> 00:56:45,870 +شبتر لازم يكون في عندنا clinical pictures صورة + +714 +00:56:45,870 --> 00:56:51,690 +طبية لأمراض طبيةهنا هتكلم على ثلاث أمراض ع السريع + +715 +00:56:51,690 --> 00:56:55,470 +اللي هم عبارة عن إيش إيش هيصيب ال brain و إيش + +716 +00:56:55,470 --> 00:57:02,870 +هيتدخل منذ الولادة conclusion ارتجاج في الدماغ + +717 +00:57:02,870 --> 00:57:08,750 +حادث سير حدث مع أحد اللي هم الشباب صار في عندي + +718 +00:57:08,750 --> 00:57:13,170 +ارتجاج في الدماغ بسميه brain jarred against + +719 +00:57:13,170 --> 00:57:18,510 +cranium ارتطم الدماغ في جدران ال skullloss of + +720 +00:57:18,510 --> 00:57:23,690 +consciousness فقدان للوعي temporary loss of memory + +721 +00:57:23,690 --> 00:57:30,590 +فقدان للذاكرة هلوسة دماغية صداع اللي هو recovery + +722 +00:57:30,590 --> 00:57:33,990 +usually complete بيصير عملية الشفاء إذا كانت اللي + +723 +00:57:33,990 --> 00:57:38,770 +هي الإصابة مش كبيرة أو الرجة في الدماغ مش عارية + +724 +00:57:38,770 --> 00:57:43,230 +جدا اللي أما يسمى بال cerebral palsy أو ما يسمى + +725 +00:57:43,230 --> 00:57:46,330 +بالشنن الدماغي هو عبارة عن ال CB + +726 +00:57:49,350 --> 00:57:52,430 +ال motor environment بيصير شلل دماغي نقص في + +727 +00:57:52,430 --> 00:57:57,370 +أكسوجين الواصل لدماغ الجنين بديه ينتج عنه motor + +728 +00:57:57,370 --> 00:58:02,210 +environment at birth caused by blocked cerebral + +729 +00:58:02,210 --> 00:58:06,610 +blood vessels خلال ال development أو خلال الولادة + +730 +00:58:06,610 --> 00:58:13,710 +بديه يصير scissors بعض التشنجات تمام؟ سلوبات أقل + +731 +00:58:13,710 --> 00:58:21,030 +ممكن يصير مع هذا الطفل okay هذا ال CBالthird أو ما + +732 +00:58:21,030 --> 00:58:26,430 +يسمى بـ cerebrovascular accident أو ما يسمى + +733 +00:58:26,430 --> 00:58:31,670 +بالـCVA هي عبارة عن الجلطة الدماغية، الآن الجلطة + +734 +00:58:31,670 --> 00:58:35,310 +الدماغية بتصير داخل الدماغ نفسه، بسميها ال stroke + +735 +00:58:36,120 --> 00:58:40,900 +هي عبارة عن hemorrhagic زيادة في النزف الدموي + +736 +00:58:40,900 --> 00:58:43,680 +الحاصل في داخل أحد الشرايون الموجودة في ال brain + +737 +00:58:43,680 --> 00:58:48,720 +أو ischemic ischemic تعني قلة في ال blood supply + +738 +00:58:48,720 --> 00:58:52,480 +يعني على سبيل المثال زي حوض الزراعة هذا تبعنا إذا + +739 +00:58:52,480 --> 00:58:56,260 +أنا غرجته بالميه كتير كتير بيموت وإذا أنا قطعت عنه + +740 +00:58:56,260 --> 00:59:00,460 +الميه كمان بيموت معنات الكلام أسباب جلطة دماغية يا + +741 +00:59:00,460 --> 00:59:06,320 +إما hemorrhagic نظيف أو ischemic فقدانللتروية + +742 +00:59:06,320 --> 00:59:11,880 +الدموية كلا الأحوال الدماغ تضرر واحنا حكينا أي + +743 +00:59:11,880 --> 00:59:15,080 +إصابة لل brain أو أي إصابة لل nerves in general + +744 +00:59:15,080 --> 00:59:19,780 +معناته هي irreversible ما بيتنشأ خلية عصبية أخرى + +745 +00:59:19,780 --> 00:59:25,660 +فبالتالي ممكن يحدث عندي right hemiplegia شلال نصفي + +746 +00:59:25,660 --> 00:59:31,420 +طولي أيمن أو left hemiplegia شلال طولي نصفي أيسر + +747 +00:59:31,420 --> 00:59:37,020 +تمام؟في كل الأحوال أو ممكن يحدث double إذا لا سمح + +748 +00:59:37,020 --> 00:59:40,120 +الله كانت الإصابة شديدة أول مرة حدث في ال right + +749 +00:59:40,120 --> 00:59:45,080 +ممكن يحدث في ال left طبعا في داخل ال brain + +750 +00:59:45,080 --> 00:59:48,900 +بالتلاتة clinical pictures هدول اللي أنا حكيت + +751 +00:59:48,900 --> 00:59:55,210 +عليهم ال conclusion و ال cerebral palsy و CVAبيكون + +752 +00:59:55,210 --> 00:59:58,750 +أنا ختمت ال nervous system احنا أخدنا فيه + +753 +00:59:58,750 --> 01:00:04,370 +chapterين و ألقاكم بإذن الله تعالى في محاضرة قادمة + +754 +01:00:04,370 --> 01:00:05,630 +على بركة الله + diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/2yML5eRtGRE_raw.json b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/2yML5eRtGRE_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..0c2f82f20eb086ba29e0c72339c4bff8cd706850 --- /dev/null +++ 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"end": 2121.91, "text": "However مصري قبل dual for anaesthesia اللي هو التخدير الموضوعي", "tokens": [6462, 1054, 3714, 9381, 16572, 12174, 3555, 1211, 11848, 337, 34178, 377, 42464, 13672, 1829, 31439, 16712, 9778, 3215, 13546, 9673, 2407, 11242, 45367, 1829], "avg_logprob": -0.2902644184919504, "compression_ratio": 1.0, "no_speech_prob": 0.0, "words": [{"start": 2115.85, "end": 2116.39, "word": "However", "probability": 0.78955078125}, {"start": 2116.39, "end": 2116.83, "word": " مصري", "probability": 0.8772786458333334}, {"start": 2116.83, "end": 2117.07, "word": " قبل", "probability": 0.4912516276041667}, {"start": 2117.07, "end": 2117.51, "word": " dual", "probability": 0.23828125}, {"start": 2117.51, "end": 2118.55, "word": " for", "probability": 0.9091796875}, {"start": 2118.55, "end": 2119.61, "word": " anaesthesia", "probability": 0.7666015625}, {"start": 2119.61, "end": 2119.95, "word": " اللي", "probability": 0.75341796875}, {"start": 2119.95, "end": 2120.19, "word": " هو", 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cord هو عبارة عن الرابط ما بين ال brain مع كل الجسم لإنه بيطلع من هنا ال spinal cord و بيطلع منه التفرعات اللي هي يمينا و يسارا من ال spinal nerve", "tokens": [3615, 9381, 3555, 10632, 46811, 10943, 47524, 19986, 12610, 3660, 18871, 47524, 19986, 12610, 3660, 13672, 1829, 39896, 47524, 19986, 12610, 3660, 18871, 16095, 2423, 28022, 12250, 4032, 2423, 28022, 23078, 46811, 10943, 11933, 15730, 4032, 19913, 16373, 5172, 2423, 28022, 12250, 31439, 6225, 3555, 9640, 3660, 18871, 34892, 16758, 9566, 19446, 49374, 2423, 3567, 20449, 28242, 25724, 38251, 5296, 28814, 1863, 3224, 4724, 1829, 9566, 1211, 3615, 9154, 34105, 2423, 28022, 12250, 4032, 4724, 1829, 9566, 1211, 3615, 9154, 3224, 16712, 5172, 2288, 3615, 9307, 13672, 1829, 39896, 7251, 2304, 9957, 995, 4032, 7251, 3794, 9640, 995, 9154, 2423, 28022, 16355], "avg_logprob": -0.11976638580988912, "compression_ratio": 2.0307692307692307, "no_speech_prob": 7.748603820800781e-06, "words": [{"start": 2325.58, "end": 2326.38, "word": "عصبية", 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posterior أنا دائما بسميه Darzel لما كنا بناخد في ال anatomical position كنت بحكي على هذا الإشي اللي هو بطن اليد و هذا الجهة الأمامية بسميها", "tokens": [6027, 20292, 31439, 21136, 9566, 5016, 33962, 9640, 7435, 1829, 6055, 3555, 3615, 3224, 8978, 3224, 43242, 3224, 9154, 9778, 5172, 11242, 9957, 16247, 12610, 24525, 2304, 3224, 7803, 12971, 16070, 2655, 7649, 1829, 24525, 2304, 3224, 28290, 2155, 16490, 46538, 1829, 4032, 5551, 2304, 10943, 1829, 2423, 33529, 36632, 11933, 8592, 1829, 33529, 41850, 11778, 16373, 15042, 4724, 38251, 1829, 3224, 7803, 12971, 5296, 15042, 9122, 8315, 44945, 47283, 3215, 8978, 2423, 21618, 298, 804, 2535, 9122, 29399, 4724, 5016, 4117, 1829, 15844, 23758, 33688, 8592, 1829, 13672, 1829, 31439, 4724, 9566, 1863, 2423, 25708, 4032, 23758, 2423, 7435, 3224, 3660, 16247, 2304, 10943, 10632, 4724, 38251, 1829, 11296], "avg_logprob": -0.18890765470427437, "compression_ratio": 1.7415254237288136, "no_speech_prob": 3.3855438232421875e-05, "words": [{"start": 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"probability": 0.8902994791666666}, {"start": 2436.69, "end": 2437.17, "word": " بسميه", "probability": 0.9788818359375}, {"start": 2437.17, "end": 2437.53, "word": " Darzel", "probability": 0.88232421875}, {"start": 2437.53, "end": 2438.31, "word": " لما", "probability": 0.91650390625}, {"start": 2438.31, "end": 2438.57, "word": " كنا", "probability": 0.994140625}, {"start": 2438.57, "end": 2439.03, "word": " بناخد", "probability": 0.9630533854166666}, {"start": 2439.03, "end": 2439.15, "word": " في", "probability": 0.953125}, {"start": 2439.15, "end": 2439.19, "word": " ال", "probability": 0.84765625}, {"start": 2439.19, "end": 2439.57, "word": " anatomical", "probability": 0.8118489583333334}, {"start": 2439.57, "end": 2440.11, "word": " position", "probability": 0.9560546875}, {"start": 2440.11, "end": 2440.49, "word": " كنت", "probability": 0.978515625}, {"start": 2440.49, "end": 2440.91, "word": " بحكي", "probability": 0.9847412109375}, {"start": 2440.91, "end": 2441.07, "word": " على", "probability": 0.89013671875}, {"start": 2441.07, "end": 2441.47, "word": " هذا", "probability": 0.9365234375}, {"start": 2441.47, "end": 2442.27, "word": " الإشي", "probability": 0.8971354166666666}, {"start": 2442.27, "end": 2442.59, "word": " اللي", "probability": 0.958740234375}, {"start": 2442.59, "end": 2442.85, "word": " هو", "probability": 0.99072265625}, {"start": 2442.85, "end": 2443.23, "word": " بطن", "probability": 0.9796549479166666}, {"start": 2443.23, "end": 2443.67, "word": " اليد", "probability": 0.749755859375}, {"start": 2443.67, "end": 2443.99, "word": " و", "probability": 0.76025390625}, {"start": 2443.99, "end": 2444.49, "word": " هذا", "probability": 0.77685546875}, {"start": 2444.49, "end": 2444.81, "word": " الجهة", "probability": 0.5517578125}, {"start": 2444.81, "end": 2445.39, "word": " الأمامية", "probability": 0.90380859375}, {"start": 2445.39, "end": 2446.65, "word": " بسميها", "probability": 0.9765625}], "temperature": 1.0}, {"id": 104, "seek": 247405, "start": 2447.21, "end": 2474.05, "text": "ventral أو ما يسمى بـ anterior تمام؟ أما اللي هي ال back وظهر اليد بسميها dorsal ال dorsal تعني ال median sulcus أما ال ventral فهي تعني ال median fissures أو ما يسمى بالوسط أو ال fissures هي عبارة عن السطح تبعها لل spinal cord تمام؟", "tokens": [2475, 2155, 34051, 19446, 7251, 38251, 7578, 4724, 39184, 22272, 46811, 10943, 22807, 5551, 15042, 13672, 1829, 39896, 2423, 646, 4032, 19913, 3224, 2288, 2423, 25708, 4724, 38251, 1829, 11296, 274, 830, 304, 2423, 274, 830, 304, 37279, 22653, 2423, 26779, 17603, 1149, 5551, 15042, 2423, 6931, 2155, 6156, 3224, 1829, 37279, 22653, 2423, 26779, 283, 891, 1303, 34051, 19446, 7251, 38251, 7578, 20666, 41779, 9566, 34051, 2423, 283, 891, 1303, 39896, 6225, 3555, 9640, 3660, 18871, 21136, 9566, 5016, 6055, 3555, 3615, 11296, 24976, 28022, 12250, 46811, 10943, 22807], "avg_logprob": -0.17754120649872246, "compression_ratio": 1.7564766839378239, "no_speech_prob": 6.020069122314453e-06, "words": [{"start": 2447.21, "end": 2448.03, "word": "ventral", "probability": 0.84326171875}, {"start": 2448.03, "end": 2448.63, "word": " أو", "probability": 0.58154296875}, {"start": 2448.63, "end": 2448.79, "word": " ما", "probability": 0.90966796875}, {"start": 2448.79, "end": 2449.63, "word": " يسمى", "probability": 0.9814453125}, {"start": 2449.63, "end": 2450.35, "word": " بـ", "probability": 0.572265625}, {"start": 2450.35, "end": 2451.05, "word": " anterior", "probability": 0.7041015625}, {"start": 2451.05, "end": 2452.65, "word": " تمام؟", "probability": 0.5965169270833334}, {"start": 2452.65, "end": 2453.11, "word": " أما", "probability": 0.89990234375}, {"start": 2453.11, "end": 2453.55, "word": " اللي", "probability": 0.84716796875}, {"start": 2453.55, "end": 2453.97, "word": " هي", "probability": 0.9560546875}, {"start": 2453.97, "end": 2454.59, "word": " ال", "probability": 0.95751953125}, {"start": 2454.59, "end": 2455.09, "word": " back", "probability": 0.76708984375}, {"start": 2455.09, "end": 2456.73, "word": " وظهر", "probability": 0.767486572265625}, {"start": 2456.73, "end": 2457.17, "word": " اليد", "probability": 0.5186767578125}, {"start": 2457.17, "end": 2458.03, "word": " بسميها", "probability": 0.9730224609375}, {"start": 2458.03, "end": 2458.79, "word": " dorsal", "probability": 0.8065592447916666}, {"start": 2458.79, "end": 2459.57, "word": " ال", "probability": 0.884765625}, {"start": 2459.57, "end": 2460.07, "word": " dorsal", "probability": 0.785400390625}, {"start": 2460.07, "end": 2460.45, "word": " تعني", "probability": 0.9052734375}, {"start": 2460.45, "end": 2460.59, "word": " ال", "probability": 0.95068359375}, {"start": 2460.59, "end": 2460.91, "word": " median", "probability": 0.673828125}, {"start": 2460.91, "end": 2461.63, "word": " sulcus", "probability": 0.93359375}, {"start": 2461.63, "end": 2462.57, "word": " أما", "probability": 0.93603515625}, {"start": 2462.57, "end": 2462.87, "word": " ال", "probability": 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"probability": 0.7373046875}, {"start": 2548.74, "end": 2551.38, "word": " nerve", "probability": 0.94970703125}], "temperature": 1.0}, {"id": 108, "seek": 256448, "start": 2552.46, "end": 2564.48, "text": "طبعا هذه بيطلع عندي واحد و ثلاثين زوج من الأعصاب في ال right و واحد و تلاتين من الأعصاب في ال left تمام؟", "tokens": [9566, 3555, 3615, 995, 29538, 4724, 1829, 9566, 1211, 3615, 18871, 16254, 36764, 24401, 4032, 38637, 1211, 5718, 104, 9957, 30767, 29245, 9154, 16247, 3615, 9381, 16758, 8978, 2423, 558, 4032, 36764, 24401, 4032, 6055, 1211, 9307, 9957, 9154, 16247, 3615, 9381, 16758, 8978, 2423, 1411, 46811, 10943, 22807], "avg_logprob": -0.1351562476158142, "compression_ratio": 1.475, "no_speech_prob": 8.940696716308594e-07, "words": [{"start": 2552.46, "end": 2553.3, "word": "طبعا", "probability": 0.967041015625}, {"start": 2553.3, "end": 2553.98, "word": " هذه", "probability": 0.317626953125}, {"start": 2553.98, "end": 2554.94, "word": " بيطلع", "probability": 0.978515625}, {"start": 2554.94, "end": 2555.26, "word": " عندي", "probability": 0.756103515625}, {"start": 2555.26, "end": 2555.6, "word": " واحد", "probability": 0.77880859375}, {"start": 2555.6, "end": 2555.68, "word": " و", "probability": 0.87060546875}, {"start": 2555.68, "end": 2556.1, "word": " ثلاثين", "probability": 0.856640625}, {"start": 2556.1, "end": 2556.48, "word": " زوج", "probability": 0.98291015625}, {"start": 2556.48, "end": 2556.66, "word": " من", "probability": 0.9912109375}, {"start": 2556.66, "end": 2557.38, "word": " الأعصاب", "probability": 0.9610595703125}, {"start": 2557.38, "end": 2558.26, "word": " في", "probability": 0.95361328125}, {"start": 2558.26, "end": 2558.64, "word": " ال", "probability": 0.9521484375}, {"start": 2558.64, "end": 2559.12, "word": " right", "probability": 0.90380859375}, {"start": 2559.12, "end": 2559.74, "word": " و", "probability": 0.89501953125}, {"start": 2559.74, "end": 2560.1, "word": " واحد", "probability": 0.86083984375}, {"start": 2560.1, "end": 2560.2, "word": " و", "probability": 0.98291015625}, {"start": 2560.2, "end": 2560.82, "word": " تلاتين", "probability": 0.9002685546875}, {"start": 2560.82, "end": 2561.42, "word": " من", "probability": 0.98876953125}, {"start": 2561.42, "end": 2562.1, "word": " الأعصاب", "probability": 0.9873046875}, {"start": 2562.1, "end": 2562.42, "word": " في", "probability": 0.96240234375}, {"start": 2562.42, "end": 2562.92, "word": " ال", "probability": 0.900390625}, {"start": 2562.92, "end": 2563.28, "word": " left", "probability": 0.962890625}, {"start": 2563.28, "end": 2564.48, "word": " تمام؟", "probability": 0.830078125}], "temperature": 1.0}, {"id": 109, "seek": 259158, "start": 2566.16, "end": 2591.58, "text": "تركيبة ال spinal cord هو أصغر من ال vertebral column زي ما حكيتلكم أنه هنا بيمتد من المدلة بلونجاتا وبينزل على L2 وبينتهي عند L2 بينما يبقى ال vertebral column ممتد لعند الكوكسيال تحت طبعا مهرن بالساكره مهرن بالكوكسيال فبالتالي ال vertebral column أطول من ال spinal cord", 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"word": " L2", "probability": 0.975830078125}, {"start": 2578.92, "end": 2579.68, "word": " بينما", "probability": 0.968017578125}, {"start": 2579.68, "end": 2580.18, "word": " يبقى", "probability": 0.9912109375}, {"start": 2580.18, "end": 2580.3, "word": " ال", "probability": 0.9921875}, {"start": 2580.3, "end": 2580.86, "word": " vertebral", "probability": 0.90771484375}, {"start": 2580.86, "end": 2581.36, "word": " column", "probability": 0.755859375}, {"start": 2581.36, "end": 2582.06, "word": " ممتد", "probability": 0.9833984375}, {"start": 2582.06, "end": 2582.44, "word": " لعند", "probability": 0.9127604166666666}, {"start": 2582.44, "end": 2583.12, "word": " الكوكسيال", "probability": 0.8150227864583334}, {"start": 2583.12, "end": 2584.54, "word": " تحت", "probability": 0.961669921875}, {"start": 2584.54, "end": 2585.2, "word": " طبعا", "probability": 0.917724609375}, {"start": 2585.2, "end": 2585.6, "word": " مهرن", "probability": 0.6033935546875}, {"start": 2585.6, "end": 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اللي", "probability": 0.891357421875}, {"start": 2738.47, "end": 2738.73, "word": " هي", "probability": 0.8486328125}, {"start": 2738.73, "end": 2739.17, "word": " الأم", "probability": 0.894775390625}, {"start": 2739.17, "end": 2740.09, "word": " الحنونة", "probability": 0.93359375}, {"start": 2740.09, "end": 2741.67, "word": " بتساعد", "probability": 0.974365234375}, {"start": 2741.67, "end": 2741.95, "word": " في", "probability": 0.95458984375}, {"start": 2741.95, "end": 2742.81, "word": " تثبيت", "probability": 0.9840087890625}, {"start": 2742.81, "end": 2743.83, "word": " الكودة", "probability": 0.7242024739583334}, {"start": 2743.83, "end": 2744.29, "word": " أو", "probability": 0.71826171875}, {"start": 2744.29, "end": 2744.79, "word": " الكونة", "probability": 0.573486328125}, {"start": 2744.79, "end": 2744.99, "word": " اسمها", "probability": 0.7916666666666666}, {"start": 2744.99, "end": 2745.59, "word": " دولارز", "probability": 0.761016845703125}, {"start": 2745.59, "end": 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contains نيرون that lumber spinal nerve خمسة و ال sacral ال lumber أو ال sacral spinal nerve خمسة ال coaxial بيطلع منها one", "tokens": [1992, 8306, 5296, 1863, 13546, 2407, 31439, 6360, 266, 490, 49883, 28022, 16355, 46811, 7649, 10632, 2423, 11588, 326, 299, 4458, 8570, 5296, 12984, 13063, 3794, 4117, 4032, 21292, 29399, 3215, 5296, 2272, 11588, 326, 299, 16355, 28022, 16355, 2272, 2423, 41686, 47525, 1829, 7251, 30544, 8306, 8717, 13546, 11536, 300, 41686, 28022, 16355, 16490, 2304, 3794, 3660, 4032, 2423, 4899, 2155, 2423, 41686, 34051, 2423, 4899, 2155, 28022, 16355, 16490, 2304, 3794, 3660, 2423, 598, 2797, 831, 4724, 1829, 9566, 1211, 3615, 9154, 11296, 472], "avg_logprob": -0.35757902778428174, "compression_ratio": 1.6971153846153846, "no_speech_prob": 8.344650268554688e-07, "words": [{"start": 2781.56, "end": 2782.1, "word": "where", "probability": 0.24853515625}, {"start": 2782.1, "end": 2783.2, "word": " contains", "probability": 0.389892578125}, {"start": 2783.2, "end": 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118, "seek": 282087, "start": 2809.23, "end": 2820.87, "text": "Pairs of coaxial spinal layer arises from this region يعني منطقة ال coaxial اللي أنا كنت أحكي عليها زمان هنا أربع عضمات بيطلع منها عصب واحد فقط", "tokens": [47, 4094, 295, 598, 2797, 831, 28022, 4583, 27388, 490, 341, 4458, 37495, 22653, 9154, 9566, 28671, 2423, 598, 2797, 831, 13672, 1829, 41850, 9122, 29399, 5551, 5016, 4117, 1829, 25894, 11296, 30767, 2304, 7649, 34105, 5551, 25513, 3615, 6225, 11242, 2304, 9307, 4724, 1829, 9566, 1211, 3615, 9154, 11296, 6225, 9381, 3555, 36764, 24401, 6156, 47432], "avg_logprob": -0.1889816776945673, "compression_ratio": 1.2839506172839505, "no_speech_prob": 1.8477439880371094e-06, "words": [{"start": 2809.23, "end": 2809.77, "word": "Pairs", "probability": 0.52130126953125}, {"start": 2809.77, "end": 2810.01, "word": " of", "probability": 0.9765625}, {"start": 2810.01, "end": 2810.39, "word": " coaxial", "probability": 0.6691487630208334}, {"start": 2810.39, "end": 2810.79, "word": " 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الرحيم والصلاة والسلام علي أشرف + +2 +00:00:08,200 --> 00:00:12,040 +الأنبياء والمرسلين طلابي طالبات الأعزاء أهلا وسهلا + +3 +00:00:12,040 --> 00:00:16,420 +فيكم كمان مرة في ال part الأخير في ال chapter + +4 +00:00:16,420 --> 00:00:21,040 +nervous system 2 ان شاء الله رب العالمين اليوم بدي + +5 +00:00:21,040 --> 00:00:25,280 +أتحدث عن ال brain عن ال anatomy تبع ال brain شو + +6 +00:00:25,280 --> 00:00:29,640 +أقسامه هتحدث أيضا عن ال spinal cord وشو هي + +7 +00:00:29,640 --> 00:00:34,380 +تقسيماته وان شاء الله رب العالمين نبدأ على بركة + +8 +00:00:34,380 --> 00:00:40,170 +اللهفي محاضرات ال nervous system أول إشي احنا + +9 +00:00:40,170 --> 00:00:44,870 +حكينا في المحاضرة السابقة عن الخلية العصبية + +10 +00:00:44,870 --> 00:00:49,250 +أقسامها شو مكوناتها حكينا على ال central nervous + +11 +00:00:49,250 --> 00:00:53,570 +system اللي يحتوي على اللي هو ال brain and spinal + +12 +00:00:53,570 --> 00:00:57,750 +cord هاي ال spinal cord لو احنا قربنا الكاميرا شوي + +13 +00:00:57,750 --> 00:01:02,230 +هنشوف هاي بعض الخيوط الرفيعة هي ال spinal nerve + +14 +00:01:02,600 --> 00:01:08,080 +اللي بتكون طالعة من ال spinal cord ومتفرعة و بتتم + +15 +00:01:08,080 --> 00:01:11,860 +حماية اللي هو ال central nervous system عن طريق ال + +16 +00:01:11,860 --> 00:01:15,320 +skull bone اللي هي أخدناها في محاضرة skeletal + +17 +00:01:15,320 --> 00:01:19,420 +system 2 أيضا بتتم حماية ال spinal cord عن طريق ال + +18 +00:01:19,420 --> 00:01:22,660 +vertebral columnهحكي شوية معلومات على طول في ال + +19 +00:01:22,660 --> 00:01:26,840 +introduction اللي هي من أقسام و أجزاء ال brain + +20 +00:01:26,840 --> 00:01:31,820 +ممكن أسميه حسب ال bone أو حسب ال skull سبعتنا على + +21 +00:01:31,820 --> 00:01:35,440 +سبيل المثال هاي ال frontal bone، temporal، + +22 +00:01:35,440 --> 00:01:40,040 +parietal، ال occipital القاعدة في أخدنا كمان في + +23 +00:01:40,040 --> 00:01:47,320 +اللي هو الال bull marking في عندى هنا ال oval او + +24 +00:01:47,320 --> 00:01:50,580 +اللى هو circular او ال rounded openings اللى هى + +25 +00:01:50,580 --> 00:01:54,060 +الفتحة اللى موجودة هنا اسمها فتحة ال magnum + +26 +00:01:54,060 --> 00:01:57,200 +foramen هدى بس مراجعة سريعة للي احنا أخدناهم + +27 +00:01:57,200 --> 00:02:01,460 +الحاجات هدى ال magnum foramen بيطلع منها اللى هو + +28 +00:02:01,460 --> 00:02:05,560 +ال spinal cord وبينزل فى ال vertebral column اللى + +29 +00:02:05,560 --> 00:02:10,750 +هو مستضيفه وبينتهى لحد lumbar 2إذا ال spinal cord + +30 +00:02:10,750 --> 00:02:15,390 +بيبتدأ من ال magnum foramen وبنزل انزول وبينتهي + +31 +00:02:15,390 --> 00:02:20,830 +لحد لمبر اتنين بعد هيك بيصير في عندي دفائر عصبية + +32 +00:02:20,830 --> 00:02:25,950 +نبدأ في محاضرتنا اليوم هتكلم عن تركيبة او ما هو + +33 +00:02:25,950 --> 00:02:30,590 +الدماغ اليوم في الأشخاص البالغين الدماغ يزن حوالي + +34 +00:02:30,590 --> 00:02:37,240 +1.3 من عشرة كيلو جرام يعني تقريبا تلاتة poundsالان + +35 +00:02:37,240 --> 00:02:42,600 +بدي احكي على انه الدماغ لا يرتبط بحجم كبر الرأس + +36 +00:02:42,600 --> 00:02:47,420 +على سبيل المثال عند بعض العائلات تمتاز بكبر حجم + +37 +00:02:47,420 --> 00:02:51,060 +الرأس يعني ال diameter تبع الرأس بكون واسع قطر + +38 +00:02:51,060 --> 00:02:54,820 +الرأس كبير فبالتالي احنا ما بنقول على سبيل المثال + +39 +00:02:54,820 --> 00:03:00,160 +العائلة الفلانية ذكية وممتازين طلبتها وكذا وذلك + +40 +00:03:00,160 --> 00:03:06,140 +لأن رؤوسهم حجمها كبير هذا الاشي علميا مش صحيحالأن + +41 +00:03:06,140 --> 00:03:09,700 +يرتبط كبير حجم الرأس بعدد الـ synapse، بعدد + +42 +00:03:09,700 --> 00:03:14,200 +التلافيف اللي موجودة في ال brain يعني ال brain + +43 +00:03:14,200 --> 00:03:17,340 +size is not directly correlated with intelligence + +44 +00:03:17,340 --> 00:03:22,730 +لعلاقة ال brain size باللي هو ال intelligenceit's + +45 +00:03:22,730 --> 00:03:25,750 +not physically size of the brain that determine + +46 +00:03:25,750 --> 00:03:30,310 +intelligence لا يمكن أنه أنا أحدد حجم اللي هو أو + +47 +00:03:30,310 --> 00:03:35,490 +أصف الشخص هذا بإنه ذكي بناء على حجم الرأس it's + +48 +00:03:35,490 --> 00:03:39,410 +related to the number of active synapse هذا له + +49 +00:03:39,410 --> 00:03:43,850 +علاقة بال active synapse أو التلافيف اللي بتكون + +50 +00:03:43,850 --> 00:03:49,720 +موجودة داخل ال brainشو وظائف الدماغ؟ أكرم الله + +51 +00:03:49,720 --> 00:03:53,960 +سبحانه وتعالى الإنسان و بني آدم بالدماغ طبعا ليش؟ + +52 +00:03:53,960 --> 00:03:57,820 +لإن الدماغ بيقدّي وظائف متعددة أولها بيعمل تفسير + +53 +00:03:57,820 --> 00:04:01,540 +للإحاسيس interprets the sensation determines the + +54 +00:04:01,540 --> 00:04:06,220 +perception بيصف الشعور بيصف كل الأحاسيس و التفكير + +55 +00:04:06,220 --> 00:04:10,980 +اللي جوانا هذا ناتج عن الدماغ stores memory بيخزن + +56 +00:04:10,980 --> 00:04:15,820 +الذاكرة اليوم على سبيل المثال أنا تعاملت مع حريق + +57 +00:04:15,820 --> 00:04:19,640 +كده و كدهقمت بالهروب من المكان فبالتالي الدماغ + +58 +00:04:19,640 --> 00:04:25,200 +بيخزن هذا الحدث و من ثم نستفيد منه في مواقف أخرى + +59 +00:04:25,200 --> 00:04:28,860 +reasoning التفكير و الأحداث و تحليل المعطيات هذا + +60 +00:04:28,860 --> 00:04:33,360 +مش موجود عند باقي الكائنات موجود عند الإنسان ايضا + +61 +00:04:33,360 --> 00:04:37,260 +make decision انا اليوم كنت على مستوى قادر ان اخد + +62 +00:04:37,260 --> 00:04:41,140 +قرار على سبيل المثال في محاضرة او مافيش محاضرة + +63 +00:04:41,140 --> 00:04:45,550 +بناء على سلامة الدماغcoordinated for the muscular + +64 +00:04:45,550 --> 00:04:50,030 +system حكينا العضلات بتشتغل إذا كان في إلها سيال + +65 +00:04:50,030 --> 00:04:53,750 +عصبي معناه الكلام توصل in pulses و بتسافر in + +66 +00:04:53,750 --> 00:04:57,730 +pulses أخرى إذا في عندي neuromuscular coordinated + +67 +00:04:57,730 --> 00:05:02,090 +تنسيق عصبي عضلي أيضا في عندي regulated for the + +68 +00:05:02,090 --> 00:05:06,790 +visceral activity بيعمل تنظيم لإيه هو نشاطات + +69 +00:05:06,790 --> 00:05:10,330 +الأحشاء الداخلية انت عليك يا أمعاء على سبيل المثال + +70 +00:05:10,330 --> 00:05:14,230 +امتصاصال waters انت علاقة كبيرة إفراز ال hormone + +71 +00:05:14,230 --> 00:05:17,310 +فبالتالي ال nervous system أو ال brain هو ال + +72 +00:05:17,310 --> 00:05:19,390 +central nervous هو من ال central nervous system + +73 +00:05:19,390 --> 00:05:24,230 +بيشتغل مع اللي هو ال endocrine system أيضا بيحدد + +74 +00:05:24,230 --> 00:05:28,210 +الشخصية هذا الدماغ له دور فعال في تحديد ال + +75 +00:05:28,210 --> 00:05:31,890 +personality هذه ال functions هي إجمالي ما يقوم + +76 +00:05:31,890 --> 00:05:36,230 +بيها الدماغ تمام؟ اللي هو حكينا عنه central + +77 +00:05:36,230 --> 00:05:40,820 +nervous systemشو محتويات الدماغ؟ محتويات الدماغ + +78 +00:05:40,820 --> 00:05:45,040 +أربع أجزاء رئيسية فى عندي حاجة اسمها ال cerebrum + +79 +00:05:45,040 --> 00:05:49,360 +فى حاجة اسمها ال brainstem فى حاجة اسمها ال + +80 +00:05:49,360 --> 00:05:53,780 +cerebellum دابل ال U M فى حاجة اسمها ال dicephalon + +81 +00:05:53,780 --> 00:05:58,140 +الآن ال cerebrum أو ما يسمى بالمخ هو أكبر جزء + +82 +00:05:58,140 --> 00:06:03,580 +موجود في الدماغ المخ وهو الجزء الأكبر ال brainstem + +83 +00:06:03,580 --> 00:06:10,160 +جذع الدماغ هو عبارة عن إيش؟جزئية بتقع أمام المخيخ + +84 +00:06:10,160 --> 00:06:15,040 +وتتصل مباشرة بالحبل الشوكي ال cerebellum يقع خلف + +85 +00:06:15,040 --> 00:06:21,240 +الدماغ تمام خلف جذع الدماغ ومسؤول عن التوازن امتى + +86 +00:06:21,240 --> 00:06:25,400 +بشوف double L معناه الكلام هو مسؤول عن ال balance + +87 +00:06:25,400 --> 00:06:33,380 +مسؤول عن الاتزان فياللي هو جسم الإنسان ال + +88 +00:06:33,380 --> 00:06:38,260 +dicephalons اللي هو عبارة عن dicephalon هي عبارة + +89 +00:06:38,260 --> 00:06:42,700 +عن الدماغ البيني يقع في ال oxalate أو في قاعدة ال + +90 +00:06:42,700 --> 00:06:48,220 +base of skull يقع في اللي هي قاعدة الدماغ هذه بعض + +91 +00:06:48,220 --> 00:06:52,640 +التعريف البسيطة لأجزاء الدماغ بعيد و بكرر أجزاء + +92 +00:06:52,640 --> 00:06:55,660 +الدماغ هي ال cerebellum ال cerebrum ال brain stem + +93 +00:06:55,660 --> 00:07:00,470 +ال cerebellum و كذلك ال dicephalonخليني أشوف في + +94 +00:07:00,470 --> 00:07:04,430 +هذه التركيبة فى عندنا بعض الصور اللى موجودة زى ما + +95 +00:07:04,430 --> 00:07:09,490 +حكيتلكم اللى هو تركيبة الدماغ نفسها بتكون موجودة + +96 +00:07:09,490 --> 00:07:14,170 +نشوف الصور الأخرى الآن ال cerebrum أو ما يسمى بال + +97 +00:07:14,170 --> 00:07:18,270 +brain major area اللى هو الcerebrum المخ ينقسم إلى + +98 +00:07:18,270 --> 00:07:23,110 +two hemispheres أو ينقسم إلى نصفين أساسيين هدول + +99 +00:07:23,110 --> 00:07:27,700 +النصفين الأساسيين بقسمهم إلى right and leftأجى + +100 +00:07:27,700 --> 00:07:35,420 +أشوفهم أنا على السطورة عندي و هقسم الدماغ هذا + +101 +00:07:35,420 --> 00:07:40,980 +الدماغ هنا هحكي هذا ال brain هقسمه إلى نصفين في + +102 +00:07:40,980 --> 00:07:45,880 +عندى المنطقة ال right و في عندنا المنطقة ال left + +103 +00:07:45,880 --> 00:07:50,600 +من الدماغ إذا ينقسم ال cerebrum المخ ينقسم إلى + +104 +00:07:50,600 --> 00:07:56,000 +right and lefthemispheres كلمة hemispheres تعني + +105 +00:07:56,000 --> 00:08:02,120 +هنا لوحدها نص و spheres تعني circular كراوي او + +106 +00:08:02,120 --> 00:08:07,960 +دائري اذا هنا كراوي او دائري اذا انقسم الدماغ الى + +107 +00:08:07,960 --> 00:08:17,420 +نصفين كراويين او دائريين each + +108 +00:08:17,420 --> 00:08:22,180 +hemispheres have twoor have into five functional + +109 +00:08:22,180 --> 00:08:27,500 +area called loops كل hemispheres لوحده يحتوي على + +110 +00:08:27,500 --> 00:08:32,700 +خمسة أجزاء رئيسية تمام هذه الأجزاء الرئيسية اللي + +111 +00:08:32,700 --> 00:08:37,000 +هي هنا هذه اللي انا هقسمها ال right تنقسم إلى خمسة + +112 +00:08:37,000 --> 00:08:42,380 +واحد اتنين تلاتة اربعة و هنا خلينا رقم خمسة five + +113 +00:08:42,380 --> 00:08:49,450 +loops اذا تنقسم كلfive loops ينقسم كل hemispheres + +114 +00:08:49,450 --> 00:08:55,410 +ال right لخمس loops و ال left كذلك ينقسم إلى left + +115 +00:08:55,410 --> 00:09:01,770 +و right تمام هنا اللي هو ال cerebrum ينقسم إلى + +116 +00:09:01,770 --> 00:09:07,290 +right و إلى left ال right ينقسم إلى five loops و + +117 +00:09:07,290 --> 00:09:15,170 +اللي هو الleft انقسم الى five loops يعني كل + +118 +00:09:15,170 --> 00:09:21,510 +سيريبران يحتوي على ten loops عشر أجزاء من ال loops + +119 +00:09:21,510 --> 00:09:24,290 +أو ال functional loops + +120 +00:09:28,350 --> 00:09:32,550 +outer surface of adult brain بسميها الـ gray و + +121 +00:09:32,550 --> 00:09:37,170 +اللي هي الطبقة أو التلافيف الداخلية اللي موجودة أو + +122 +00:09:37,170 --> 00:09:42,830 +المعرضة في ال brain خارجيا بتكون اسمها gray المادة + +123 +00:09:42,830 --> 00:09:47,530 +الرمادية أو الطبقة الرمادية داخل الدماغ أما اللي + +124 +00:09:47,530 --> 00:09:52,530 +بتكون ما بين هذه التلافيف أو ما بين هذه التجاوف هي + +125 +00:09:52,530 --> 00:09:57,190 +عبارة عن المادة ال shallow السطحيةdepression + +126 +00:09:57,190 --> 00:10:01,330 +بسميها الـ sulcus أو الـ sulci حنشوفها في الصورة + +127 +00:10:01,330 --> 00:10:06,630 +التالية و اشوف ال brain associated with twelve + +128 +00:10:06,630 --> 00:10:10,990 +pairs of cranial nerve حكينا سابقا ان في عندي واحد + +129 +00:10:10,990 --> 00:10:17,970 +و تلاتين pairs من ال spinal nerve و في عنا اتناشر + +130 +00:10:17,970 --> 00:10:24,920 +pairs من ال cranial nerveتمام هاي ال cranial nerve + +131 +00:10:24,920 --> 00:10:28,700 +originated from the brain إذا ال brain associated + +132 +00:10:28,700 --> 00:10:35,240 +with twelve pairs of cranial nerve تمام هذه هي + +133 +00:10:35,240 --> 00:10:39,500 +عبارة عن إيش التلافيف + +134 +00:10:39,500 --> 00:10:44,900 +اللي موجودة داخل الدماغ خليني أوريكم ال grey area + +135 +00:10:44,900 --> 00:10:48,260 +و ال sulcus areaالان زي ما انتوا شايفين في هذه + +136 +00:10:48,260 --> 00:10:53,440 +الرسمة هي عبارة عن ال brain هذا ال brain هو عبارة + +137 +00:10:53,440 --> 00:10:59,340 +عن مجموعة من التلافيف أو مجموعة من الأنسجة العصبية + +138 +00:10:59,340 --> 00:11:03,980 +الآن زي ما انتوا شايفين هاي ال grey أو هاي الأجزاء + +139 +00:11:03,980 --> 00:11:07,180 +اللي هنا محيطة هي عبارة عن ال grey matter تمام + +140 +00:11:07,180 --> 00:11:11,070 +المادة الرماديةأما اللي ما بينهم، ما بين هذه + +141 +00:11:11,070 --> 00:11:14,990 +التعروجات، الانخفاضات المستوية هي عبارة عن ال + +142 +00:11:14,990 --> 00:11:19,770 +white motor أو ما يسمى بالـ sulcus تمام؟ هيك بيكون + +143 +00:11:19,770 --> 00:11:24,610 +عرفنا التركيبة الأساسية لل cerebrum خليني أكمل + +144 +00:11:24,610 --> 00:11:30,250 +باقي أجزاء المخ والدماغ كاملة و نشوف شو بيجي علينا + +145 +00:11:30,250 --> 00:11:35,610 +أخدنا ال cerebrum هاخد اللبس و أسماءها حكيتلكم أنه + +146 +00:11:35,610 --> 00:11:42,440 +أنا هسميبعض اللي هي حسمي بعض الأسماء أو بعض + +147 +00:11:42,440 --> 00:11:46,680 +الأنسجة العصبية للدماغ هذه التركيبة ككل هي تركيبة + +148 +00:11:46,680 --> 00:11:51,780 +الدماغ هذا الاشي أو هذه المقدمة هي الناصية بسميها + +149 +00:11:51,780 --> 00:11:55,820 +ال frontal loops احنا حكينا كل hemispheres يحتوي + +150 +00:11:55,820 --> 00:12:00,880 +على five loops هذه ال five loops هي واحد اتنين + +151 +00:12:00,880 --> 00:12:06,710 +تلاتة اربعة خمسة ال frontal هي عبارة عنالناصي أو + +152 +00:12:06,710 --> 00:12:10,870 +النسيج الأمامي ال frontal lobe أيضا في عندي + +153 +00:12:10,870 --> 00:12:14,630 +البرايتل هذا البرايتل اللوب اللي هو الجانبي في + +154 +00:12:14,630 --> 00:12:18,610 +عندنا هنا ال temporal من اسم العضمة ال scalpon + +155 +00:12:18,610 --> 00:12:23,130 +اللي أنا حكيت عليه إذا ال frontal البرايتل ال + +156 +00:12:23,130 --> 00:12:28,030 +temporal و ال insula هي عبارة عن المادة أو الطبقة + +157 +00:12:28,030 --> 00:12:34,480 +العازلة اللي بتفصل كلالعازلة بتفصل كل loops عن + +158 +00:12:34,480 --> 00:12:39,180 +الآخر ايضا في عندي حاجة تحت في قاع الجمجمة اسمها + +159 +00:12:39,180 --> 00:12:43,500 +ال occipital loops الان بنحكي على ال occipital + +160 +00:12:43,500 --> 00:12:47,200 +loops اللي هي عبارة عن الاشي اللي موجود في قاع + +161 +00:12:47,200 --> 00:12:50,940 +الجمجمة هذا ال loops اللي هنا بنخاف لما الطفل + +162 +00:12:50,940 --> 00:12:55,760 +الصغير بيوجع على راسه خصوصا من تحت من هنا بنخاف + +163 +00:12:55,760 --> 00:13:00,630 +انه يصير في عنده losses of vision فقدام للبصرإذا + +164 +00:13:00,630 --> 00:13:05,810 +ال frontal مسئول عن الذاكرة، مسئول عن الأحداث، + +165 +00:13:05,810 --> 00:13:10,730 +مسئول اللي هي بنسميها الناصية أو ما يسمى الجهاز + +166 +00:13:10,730 --> 00:13:14,450 +الأمامي، الجهاز اللي هو التفكير إذا ال frontal + +167 +00:13:14,450 --> 00:13:18,510 +loop في عندنا ال bright loop، ال temporal، ال + +168 +00:13:18,510 --> 00:13:22,930 +occipital، و المنطقة العازلة هي المنطقة الخامسة، + +169 +00:13:22,930 --> 00:13:26,910 +هاي ال five loops و أسماءهم، تمام؟ زي ما في عندنا + +170 +00:13:26,910 --> 00:13:32,050 +في ال right، في عندنا في ال left loopsالان هنتقل + +171 +00:13:32,050 --> 00:13:35,810 +للجزء التانى اللى هو اسمه ال brain stem جذع الدماغ + +172 +00:13:35,810 --> 00:13:41,990 +جذع الدماغ هو عبارة عن ايش؟ ثلاث أجزاء رئيسية جذع + +173 +00:13:41,990 --> 00:13:47,830 +الدماغ يحتوي على المد brain الدماغ الأوسط تمام؟ + +174 +00:13:48,880 --> 00:13:54,620 +الدماغ الأوسط البونز القنطرة أو القنيطرة بنسميها + +175 +00:13:54,620 --> 00:14:00,180 +اللي هي الجسر اللي هيعد منه و المدلة ابلونجاتا + +176 +00:14:00,180 --> 00:14:04,580 +اللي هي عبارة عن هذا الجزء اللي هو نهاية ال brain + +177 +00:14:04,580 --> 00:14:10,200 +و بداية ال spinal cord تمام؟ إذا يحتوي ال brain + +178 +00:14:10,200 --> 00:14:16,170 +stem على ثلاث أجزاء رئيسية هي عبارة عنأول اشي + +179 +00:14:16,170 --> 00:14:20,030 +هنحكي عنها ال midbrain الدماغ المتوسط ومن ثم ال + +180 +00:14:20,030 --> 00:14:22,990 +bones اللى هى القنطرة او القنايطرة اللى بيعدي منها + +181 +00:14:22,990 --> 00:14:26,610 +ال limb pulses و المدلة بلونجاته هى الجزء اللى + +182 +00:14:26,610 --> 00:14:30,990 +بيكون فى نهاية ال brain و بعده مباشرة بيتصل ل + +183 +00:14:30,990 --> 00:14:36,530 +spinal cord هى أجزاء ال brainstemخليني أشوف + +184 +00:14:36,530 --> 00:14:43,530 +السربلم وهو ما يسمى بالمخيخ حكينا السربلم في حاجات + +185 +00:14:43,530 --> 00:14:49,590 +كتيرة مسؤولة عندنا عن اللي هو الاتزانما هو موقع + +186 +00:14:49,590 --> 00:14:56,510 +السيريبلام؟ يقع السيريبلام في قاع + +187 +00:14:56,510 --> 00:15:01,650 +الجمجمة posterior to the bulls and مضالة بلونجاته + +188 +00:15:01,650 --> 00:15:08,150 +المنطقة الجغرافية هي عبارة عن منطقة تقع في قاع + +189 +00:15:08,150 --> 00:15:13,470 +الجمجمة الأكسابت لوبس posterior to the bulls and + +190 +00:15:13,470 --> 00:15:16,210 +مضالة بلونجاتهو احنا حكينا ان البونز و المضلة + +191 +00:15:16,210 --> 00:15:21,060 +بلونجاتا هي أحد أجزاء لبراين ال stemtwo + +192 +00:15:21,060 --> 00:15:25,520 +hemispheres يحتوي على جزئين أساسيين اللى هى ال + +193 +00:15:25,520 --> 00:15:30,340 +verm و ال arbora و ال veta ال verm connected لل + +194 +00:15:30,340 --> 00:15:34,220 +hemispheres طبعا و يحتوي على قشرة الدماغ اللى هى + +195 +00:15:34,220 --> 00:15:37,740 +عبارة عن ال grameter ال verm connected لل + +196 +00:15:37,740 --> 00:15:41,780 +hemispheres يصل ال two hemispheres في بعضهم البعض + +197 +00:15:41,780 --> 00:15:46,600 +تمام و قشرة الدماغ و المادة او ال grameters اللى + +198 +00:15:46,600 --> 00:15:51,170 +هى المادة الغامقة اللى احنا شوفناهاالاربوفيتا هي + +199 +00:15:51,170 --> 00:15:54,130 +عبارة عن ال white matter زي ما حكينا فيه مادة + +200 +00:15:54,130 --> 00:15:58,110 +غامقة او المادة الرمادية فيه عند المادة البيضاء او + +201 +00:15:58,110 --> 00:16:01,270 +المادة الفاتحة coordinated ل ال skeletal muscles + +202 +00:16:01,270 --> 00:16:07,030 +انا كنت دائما بحكي فيه عند meuromuscular + +203 +00:16:07,030 --> 00:16:11,450 +system + +204 +00:16:11,450 --> 00:16:16,230 +او coordinationهذا ال coordination هو عبارة عن + +205 +00:16:16,230 --> 00:16:20,550 +تنسيق العصبي العضلي بما أنه في عندي تنسيق عصبي + +206 +00:16:20,550 --> 00:16:24,750 +عضلي مافي أي عضلة بتشتغل كده عشوائي فبالتالي هيكون + +207 +00:16:24,750 --> 00:16:29,470 +في عندي اللي هو توازن هيكون في عندي good postural + +208 +00:16:29,470 --> 00:16:32,510 +هذا ال postural أو هذا القوام اللي أنتوا شايفينه + +209 +00:16:32,510 --> 00:16:36,730 +هو جاي بناء على إيش أنه أنا في عندي تناسق عصبي + +210 +00:16:36,730 --> 00:16:41,740 +عضليتمام؟ فبالتالي في عندي توازن هيك بيكون أخدنا + +211 +00:16:41,740 --> 00:16:48,440 +السيربلة وهو مسئول عن ال .. مسئول عن الاتزان برجع + +212 +00:16:48,440 --> 00:16:53,400 +كمان مرة و بحكيها أن السيربلة له علاقة في ال + +213 +00:16:53,400 --> 00:17:01,470 +balance أو ما يسمى بالاتزان تمام؟هتكلم عنه الجزئية + +214 +00:17:01,470 --> 00:17:04,930 +الرابعة حكينا ع ال cerebrum ع ال cerebellum هتكلم + +215 +00:17:04,930 --> 00:17:07,710 +ان شاء الله رب العالمين ع ال dicephalon اللي هو + +216 +00:17:07,710 --> 00:17:13,710 +عبارة عن الدماغ البيني وهو عبارة عن جزئين أساسيين + +217 +00:17:13,710 --> 00:17:17,590 +موجودين أو ينقسم إلى جزئين أساسيين اللي هي ال + +218 +00:17:17,590 --> 00:17:21,510 +thalamus و ال hypothalamus المهاد و ما تحت المهاد + +219 +00:17:21,510 --> 00:17:25,110 +باللغة العربية هتلاقوهاالـ Thalamus هي عبارة عن + +220 +00:17:25,110 --> 00:17:30,310 +البوابة الأساسية لاستقبال واستقطاب أي impulses + +221 +00:17:30,310 --> 00:17:33,430 +sensory impulses heading to the cerebral cortex + +222 +00:17:33,430 --> 00:17:38,650 +تمام؟ إذن هي عبارة عن البوابة لاستقبال الحاسيس + +223 +00:17:38,650 --> 00:17:44,180 +لاستقبال اللي هي الومضات العصبية الحسيةيستقبل كل + +224 +00:17:44,180 --> 00:17:49,380 +اللي هو الأحاسيس ويستقبل كل ال sensory impulses ما + +225 +00:17:49,380 --> 00:17:54,080 +عدا لسمل ليه؟ في وين بتتم استقبالهم؟ في الثلمس + +226 +00:17:54,080 --> 00:18:00,160 +تمام؟ إذا بتتم استقبال كل ال sensory impulses في + +227 +00:18:00,160 --> 00:18:06,010 +الثلمس ما عدا لسملتمام؟ و ال smell اللي هو ليش + +228 +00:18:06,010 --> 00:18:09,110 +معدى ال smell؟ ال smell إلها خاصية مميزة فيها + +229 +00:18:09,110 --> 00:18:12,630 +بتكون موجودة أو ال sensory receptors تبعتها أو ال + +230 +00:18:12,630 --> 00:18:17,690 +sensory impulses في مكان آخر canons impulses to + +231 +00:18:17,690 --> 00:18:20,570 +appropriate part of cerebral cortex for + +232 +00:18:20,570 --> 00:18:25,170 +interpretations طبعا في عندنا قنوات خاصة للاستقبال + +233 +00:18:25,170 --> 00:18:28,770 +لل impulses و احنا حكينا العملية كيف بتتمبتم + +234 +00:18:28,770 --> 00:18:32,050 +استقبال ال impulses بعدين ال interpretations بيصير + +235 +00:18:32,050 --> 00:18:35,790 +في ال brain بعدين بتم اللي هو sending ل ال + +236 +00:18:35,790 --> 00:18:38,350 +effectors أو ال muscle أو ال gland حسب ما حكينا + +237 +00:18:38,350 --> 00:18:42,870 +عليها المحاضرة اللي فاتت ارفع ايدك او انه حركها او + +238 +00:18:42,870 --> 00:18:49,370 +انه لل glands افرزي افرزي كذا او اعملي كذاالأنة + +239 +00:18:49,370 --> 00:18:52,950 +الجزئية التانية من ال dicephalons اللي هي تحتوي + +240 +00:18:52,950 --> 00:18:56,610 +على ال hypothalamus ال hypothalamus أو ما يسمى + +241 +00:18:56,610 --> 00:19:03,310 +بالي هو تحت المهاد hypo معناتها تحت وhyper معناتها + +242 +00:19:03,310 --> 00:19:08,210 +أعلى أو فوق هتعدي معانا كمان شوية hypo وعكسها + +243 +00:19:08,210 --> 00:19:14,970 +مباشرة حاجة اسمها hyper هنا أكثر أو أعلى وهنا أقل + +244 +00:19:14,970 --> 00:19:20,950 +وأسفل تمام؟Hybophylamous وظيفتها المحافظة على + +245 +00:19:20,950 --> 00:19:24,630 +الهيموتستايسز هذه حالة الثبات اللي احنا فيها من + +246 +00:19:24,630 --> 00:19:28,630 +اللي هو المميزات اللي الإنسان أو جسم الإنسان بتصف + +247 +00:19:28,630 --> 00:19:33,950 +فيها هي عبارة عن الهيموتستايسز من تين للهيموستايسز + +248 +00:19:33,950 --> 00:19:37,810 +اللي هو حالة ثبات الدم by regulation of visceral + +249 +00:19:37,810 --> 00:19:43,470 +activities طبعا بتنظيمها لاللي هيتنظيم الحركات أو + +250 +00:19:43,470 --> 00:19:48,650 +اللي هو نشاط الأشياء اللي بتكون طبعا visual links + +251 +00:19:48,650 --> 00:19:52,090 +لل nervous and endocrine system طبعا ال + +252 +00:19:52,090 --> 00:19:56,890 +hypothalamus تعمل عبارة عن وسيط يصل ما بين جهازين + +253 +00:19:56,890 --> 00:20:00,950 +او systems two systems with together work with + +254 +00:20:00,950 --> 00:20:04,350 +together اللي هو ال nervous system مع ال endocrine + +255 +00:20:04,350 --> 00:20:08,530 +systemالجزئية التالتة هي عبارة عن ال limbic system + +256 +00:20:08,530 --> 00:20:12,370 +الجهاز الشعوري الجهاز الشعوري موجود في ال + +257 +00:20:12,370 --> 00:20:15,610 +dicephalon وظيفته بيعمل control لل emotions + +258 +00:20:15,610 --> 00:20:18,990 +produce feelings interprets ال sensory impulses + +259 +00:20:18,990 --> 00:20:22,330 +مسئول عن كل الأحاسيس هذه اللي موجودة جواتنا + +260 +00:20:22,330 --> 00:20:27,630 +العواطف الإحساس مثلا و اللي هو تفسير الحواس أو + +261 +00:20:27,630 --> 00:20:31,730 +تفسير الأمور الحسيةإذا الـ Dicephalons يحتوي على + +262 +00:20:31,730 --> 00:20:35,250 +الـ thalamus الـ hypothalamus و ال limbic system + +263 +00:20:35,250 --> 00:20:39,190 +هاي من القواعد أو من الأجزاء الأساسية لل + +264 +00:20:39,190 --> 00:20:44,870 +Dicephalon هذه ال slide هتلخص العشر slides اللي + +265 +00:20:44,870 --> 00:20:51,660 +أنا حكيتها قبل شوية ال cerebraالـ Dicephalon يحتوي + +266 +00:20:51,660 --> 00:20:53,620 +على الـ thalamus و الـ hypothalamus و ال limbic + +267 +00:20:53,620 --> 00:20:59,180 +system البوز و المدلة بلونجاتا وس اللي هم ال brain + +268 +00:20:59,180 --> 00:21:03,280 +stem و في عندي ال cerebellum هيو بيعمل + +269 +00:21:03,280 --> 00:21:06,500 +coordination و طالما أنا حكيت coordination معناته + +270 +00:21:06,500 --> 00:21:07,980 +إيه علاقة بال balance + +271 +00:21:11,210 --> 00:21:16,630 +هي هي عبارة عن الصورة واضحة لأجزاء الدماغ، يحتوي + +272 +00:21:16,630 --> 00:21:20,790 +الدماغ على ال cerebrum، cerebellum، ال brainstem و + +273 +00:21:20,790 --> 00:21:24,870 +ال dicephalons، هي عبارة عن revision للعشر slides + +274 +00:21:24,870 --> 00:21:29,460 +اللي فاتت، ال cranial nerveحكيت في أنا عندي اثناشر + +275 +00:21:29,460 --> 00:21:33,380 +زوج من الأعصاب الدماغية أو الأعصاب اللي هي + +276 +00:21:33,380 --> 00:21:36,620 +originated from the brain في عندنا الolivatory + +277 +00:21:36,620 --> 00:21:40,680 +اللي هو عبارة عن العصب الأول من ال cranial مسؤول + +278 +00:21:40,680 --> 00:21:48,430 +الolivatory nerve عن اللي هي حاسة الشمتمام؟ ال + +279 +00:21:48,430 --> 00:21:53,310 +optic من اسمه optic مسئول عن الرؤية و البصر + +280 +00:21:53,310 --> 00:21:57,010 +oecomotor وtrachea وtrigeminal اللي هو العصب + +281 +00:21:57,010 --> 00:22:01,350 +الخامس و الabdus العصب السادس ال facial nerve انا + +282 +00:22:01,350 --> 00:22:05,090 +بهمني هنا ال facial nerve ليه؟ عشان انا بدي ارجع + +283 +00:22:05,090 --> 00:22:09,010 +لمعلومة كنت شرحتها في ال chapter السابق اللي هو + +284 +00:22:09,010 --> 00:22:18,150 +حكيت انه ال nerve ينقسم إلى ال sensorymotor و + +285 +00:22:18,150 --> 00:22:24,170 +mixed تمام؟ خاص ال nerve يا إما بيكون sensory يا + +286 +00:22:24,170 --> 00:22:27,910 +إما بيكون motor يا إما بيكون mixed الآن ال facial + +287 +00:22:27,910 --> 00:22:33,030 +nerve اللي هو أحد عصاب اللي هو ال cranial nerve + +288 +00:22:33,030 --> 00:22:37,130 +العصب السابع هذا ال facial nerve عبارة عن mixed + +289 +00:22:37,130 --> 00:22:42,770 +يعني sensory و motor ناخد مميزات ال sensory و ال + +290 +00:22:42,770 --> 00:22:46,470 +motorبينما العصب الثامن اللي هو ال + +291 +00:22:46,470 --> 00:22:50,970 +vestibulocochlear اللي هو مسؤول عن الإتزان مسؤول + +292 +00:22:50,970 --> 00:22:54,910 +عن ال equilibrium و ال balance هو عبارة عن sensory + +293 +00:22:54,910 --> 00:22:58,790 +عصب له علاقة بالإحساس أو الحس فقط sensory + +294 +00:22:58,790 --> 00:23:01,530 +information في عندنا ال hypoglossal في عندنا ال + +295 +00:23:01,530 --> 00:23:05,410 +Vegas اللي هو الحائر بنسميه العصب العاشر أو العصب + +296 +00:23:05,410 --> 00:23:08,830 +الحائر أيضا في عندنا ال accessory مسؤول عن البلع + +297 +00:23:10,370 --> 00:23:13,910 +العصاب الاتناشي اللي هو عبارة عن العصاب الاتناش + +298 +00:23:13,910 --> 00:23:18,930 +تمام؟ هيك بيكون هاي هي عبارة عن الاتناشر زوج من + +299 +00:23:18,930 --> 00:23:22,910 +الأعصاب الدماغية أو اللي هي originated from the + +300 +00:23:22,910 --> 00:23:27,780 +brainsoptic, ocleomotor, trochlear, trigeminal, + +301 +00:23:27,900 --> 00:23:30,940 +appendectal, facial nerve وزي اللي انا حكيتلكم + +302 +00:23:30,940 --> 00:23:35,600 +ممكن اقسمها الى S او M او Mix Sensory Motor Mixed + +303 +00:23:35,600 --> 00:23:39,900 +تمام ال mix بتكون ماخدة اللي هي صفات او خواص ال + +304 +00:23:39,900 --> 00:23:46,110 +sensory و الموتور الآن في عند ال meningesكل حاجة + +305 +00:23:46,110 --> 00:23:50,890 +ربنا بيحميها فما بالكم بعمدة الجسم ال brain بيتم + +306 +00:23:50,890 --> 00:23:56,870 +حمايته عن طريق أغشية وغلافات هذه الغلافات بتمتد من + +307 +00:23:56,870 --> 00:24:02,510 +ال brain من داخل الدماغ وتمتد إلى ال vertebral + +308 +00:24:02,510 --> 00:24:08,950 +column تمام؟ يعني الغطاء أو الغشاء المغطي لل brain + +309 +00:24:08,950 --> 00:24:14,130 +هو نفس الغطاء الممتد ل spinal cord اللي موجود داخل + +310 +00:24:14,130 --> 00:24:17,790 +ال vertebral columnفي عندي ال meninges أو ما يسمى + +311 +00:24:17,790 --> 00:24:23,750 +بالأغشية ثلاث أجزاء أساسية منها أول إشي اللي هي + +312 +00:24:23,750 --> 00:24:28,170 +deurameter الأم الجافية بعيدة سميناها جافية باللغة + +313 +00:24:28,170 --> 00:24:33,010 +العربية عشانها بعيدة خالص عن الدماغ في عندنا ال + +314 +00:24:33,010 --> 00:24:38,010 +arachnoid meter أو ما تسمى بالشبكة العنكبوتية ال + +315 +00:24:38,010 --> 00:24:42,310 +web-like وفي عندنا اللي قريبة من الدماغ اسمها ال + +316 +00:24:42,310 --> 00:24:46,180 +biometer الأم الحنونةطالما هي biometer معناته + +317 +00:24:46,180 --> 00:24:51,500 +امحنونة يعني تحتضن الدماغ إلى الداخل، اذا لما اجي + +318 +00:24:51,500 --> 00:24:56,480 +انا اصنفهم او اقسمهم from outer to inner، من + +319 +00:24:56,480 --> 00:25:01,600 +الخارج إلى الداخل، هحكي diuremeter، arachnoid، + +320 +00:25:01,600 --> 00:25:06,940 +biometerتمام اما لو انا طلبت ان انا اقسمهم او + +321 +00:25:06,940 --> 00:25:11,620 +اصنفهم from inner to outer معناه الكلام هيكون by + +322 +00:25:11,620 --> 00:25:17,280 +arachnoid dura اذا السهم جاي هيك اذا انا حكيت من + +323 +00:25:17,280 --> 00:25:26,020 +ال outer ال inner outer to inner الأم الجافية تمام + +324 +00:25:26,020 --> 00:25:33,760 +هذه بسميها الأم الجافية هنا العنكبوتيةو هنا + +325 +00:25:33,760 --> 00:25:40,080 +الحنونة تمام؟ إذا هاي ال meninges هي surrounding + +326 +00:25:40,080 --> 00:25:43,460 +لل central nervous system as a whole يعني لل brain + +327 +00:25:43,460 --> 00:25:49,320 +و ال spinal cordthere are three protect أو there + +328 +00:25:49,320 --> 00:25:51,620 +are protect لل central nervous system there are + +329 +00:25:51,620 --> 00:25:56,540 +three layers ديورامتر هي الأم الجافية تحتوي على + +330 +00:25:56,540 --> 00:26:02,140 +outer and tough tissues خشن لإيش لأي إشي ممكن + +331 +00:26:02,140 --> 00:26:05,960 +يهاجم الدماغ هي بتحمي الدماغ فبالتالي لازم كل إشي + +332 +00:26:05,960 --> 00:26:10,480 +بيكون برات أو إنه للحماية لازم يكون tough and + +333 +00:26:10,480 --> 00:26:14,700 +outerأما ال arachnoid فهي عبارة عن ال web-like أو + +334 +00:26:14,700 --> 00:26:18,580 +الشبكة العنكبوتية بيتكون thin أقل سماكة أما ال + +335 +00:26:18,580 --> 00:26:22,660 +biomotor فهي الأم الحنونة هتكون very thin و بعدين + +336 +00:26:22,660 --> 00:26:27,500 +inner في الداخل إذا تقسيمها من ال outer لل inner + +337 +00:26:27,500 --> 00:26:32,080 +هأحكي deurometer, arachnoid و biomotor و العكس + +338 +00:26:32,080 --> 00:26:38,100 +صحيح تمام؟ نيجي نشوف الكرينيا اللي نقلال spinal + +339 +00:26:38,100 --> 00:26:42,260 +meninges زي ما أنا حكيتلكم هي نفسهم فقط إن هم + +340 +00:26:42,260 --> 00:26:49,620 +منتدين داخل ال spinal nerve ال spinal meninges هي + +341 +00:26:49,620 --> 00:26:54,100 +عبارة عن إيش؟ there are three membranes surrounded + +342 +00:26:54,100 --> 00:27:00,290 +all central nervous system، ثلاثةطبقات بتغطي ال + +343 +00:27:00,290 --> 00:27:03,070 +central nervous system كامل سواء ال brain أو ال + +344 +00:27:03,070 --> 00:27:06,650 +spinal cord، ال diuremator tough mother و strong + +345 +00:27:06,650 --> 00:27:11,890 +بتكون لإنها الأم الجافية، يعني هي حطحيت فيه من + +346 +00:27:11,890 --> 00:27:16,740 +برا، هتحميه ولكن برا، لازم تكون قويةال arachnoid + +347 +00:27:16,740 --> 00:27:21,420 +تمام ال arachnoid من جيز spidery locking على شكل + +348 +00:27:21,420 --> 00:27:25,800 +الشبكة العنكبوتية خطوط كثيرة تحتوي على blood + +349 +00:27:25,800 --> 00:27:29,420 +vessels و ال nutrition و ال lymph supply و كل هذه + +350 +00:27:29,420 --> 00:27:34,660 +الأمور بتمد الدماغ بالغذاء هذه الشبكة العنكبوتية + +351 +00:27:34,660 --> 00:27:41,340 +تمامالsubarachnoid تحتها sub يعني arachnoid في + +352 +00:27:41,340 --> 00:27:45,280 +subarachnoid وحكينا كلمة sub تعني تحت ال + +353 +00:27:45,280 --> 00:27:48,460 +subarachnoid space اللي هو الفراغ اللي موجود تحت + +354 +00:27:48,460 --> 00:27:55,020 +الشبكة العنكبوتية ال diameter هي الأم الجافية + +355 +00:27:55,820 --> 00:28:01,600 +delicate membrane تمام غيشة رقيق very thin طبعا + +356 +00:28:01,600 --> 00:28:06,260 +adheres tightly to the surface of spinal cord + +357 +00:28:06,260 --> 00:28:11,880 +بيغطي مباشرة أو بيلتصق مباشرة بال spinal cord اللي + +358 +00:28:11,880 --> 00:28:16,910 +هو الحبل الشوكيزي ما احنا جينا شوفنا هنا في المقطع + +359 +00:28:16,910 --> 00:28:22,390 +العرضي تبعنا هشوف عندي اللي هو هذا الاشي هاي طبعا + +360 +00:28:22,390 --> 00:28:26,030 +اي vertebra موجودة عندي زي ما انتوا شايفينها في + +361 +00:28:26,030 --> 00:28:29,250 +عنا ال arachnoid اللي هي موجودة هنا في عنا بداية + +362 +00:28:29,250 --> 00:28:33,550 +اللي هي اللي برا بتكون ال diuremeter اما الداخلية + +363 +00:28:33,550 --> 00:28:36,910 +تكون ملتصقة تماما بال spinal cord فهي ال biometer + +364 +00:28:36,910 --> 00:28:40,130 +و اللي موجود هنا لو تحت المجهر شوية شوفناها + +365 +00:28:40,130 --> 00:28:43,310 +هلاجيها ال arachnoid ال web-like + +366 +00:28:47,000 --> 00:28:51,420 +تمام؟ شو هي التجاوف؟ أو شو هي ال ventricles اللي + +367 +00:28:51,420 --> 00:28:55,760 +موجودة عندنا في الدماغ؟ في عندي fourth ventricles، + +368 +00:28:55,760 --> 00:28:59,540 +أربع تجاوف، هذه التجاوف بتوضحها الصورة اللي موجودة + +369 +00:28:59,540 --> 00:29:05,140 +هنا، في عندي تجاوف مع بعضها البعض، وفي تجاوف بتكون + +370 +00:29:05,140 --> 00:29:11,120 +كل حجرة أو كل تجاوف لوحدهالان interconnected with + +371 +00:29:11,120 --> 00:29:16,220 +together بتكون مرتبطة مع بعضها البعض داخل ال + +372 +00:29:16,220 --> 00:29:19,060 +cerebral hemispheres مش احنا حكينا ان انا في عندي + +373 +00:29:19,060 --> 00:29:23,300 +hemispheres and brain stem في عندي اللي هو المخ + +374 +00:29:23,300 --> 00:29:28,220 +وجذع الدماغ هلأ هذه التجاويف أو هذه الحجورات بتكون + +375 +00:29:28,220 --> 00:29:31,800 +مفتوحة على بعضها البعض يعني إذا أنا قسمت هذا + +376 +00:29:31,800 --> 00:29:37,400 +المربع بهذا الشكل لازم يكون يفتح من كل الجهاتحتى + +377 +00:29:37,400 --> 00:29:41,660 +إنه السائل الشوكي أو سائل النخاع الشوكي يقدر يطلع + +378 +00:29:41,660 --> 00:29:45,120 +من هنا و يدخل هنا و يطلع كمان من هنا و يطلع هنا، + +379 +00:29:45,120 --> 00:29:49,140 +إذاً هذه التجاوف بتكون عبارة عن حجورات داخل الدماغ + +380 +00:29:49,140 --> 00:29:53,200 +مفتوحة على بعضها البعض، لانتقال الغذاء، لانتقال ال + +381 +00:29:53,200 --> 00:29:58,600 +blood supply، كل هذه الأمور لازم تكون موجودة مع + +382 +00:29:58,600 --> 00:30:03,290 +بعضها البعضتمتمع بالـ cerebrospinal fluid اللي أنا + +383 +00:30:03,290 --> 00:30:08,210 +كنت حكيت عليه في المحاضرة السابقة اللي هو ال CSF + +384 +00:30:08,210 --> 00:30:16,150 +إذا ينتقل ال CSF إلى داخل هاي الحجرات تمام؟ تحتوي + +385 +00:30:16,150 --> 00:30:20,890 +أيضا على ال central canal of spinal cord القناع + +386 +00:30:20,890 --> 00:30:24,750 +الرئيسي اللي بتمد أو هتصب داخل ال spinal cord + +387 +00:30:25,870 --> 00:30:30,650 +الأكبر ventricle موجود هو في ال cerebrum في داخل + +388 +00:30:30,650 --> 00:30:36,570 +الدماغ تمام؟ و ال laterally اللي أنا هجي أجسمهم ال + +389 +00:30:36,570 --> 00:30:39,910 +laterally و ال third و ال fourth و ال cerebral ال + +390 +00:30:39,910 --> 00:30:43,230 +lateral ventricle في منه right and left يعني ال + +391 +00:30:43,230 --> 00:30:47,350 +lateral هنا في منه right and leftالـ third + +392 +00:30:47,350 --> 00:30:51,170 +ventricle موجود في الـ dicephalon اللي هو الدماغ + +393 +00:30:51,170 --> 00:30:55,690 +البيني تماما بين ال right and left ventricle اللي + +394 +00:30:55,690 --> 00:30:58,750 +احنا .. او ال right and left thalamus اللي احنا + +395 +00:30:58,750 --> 00:31:05,410 +أخدناها ال fourth موجود في البستبون تمام؟ و ال + +396 +00:31:05,410 --> 00:31:09,550 +cerebral educated في ال third and fourth ventricle + +397 +00:31:09,550 --> 00:31:13,710 +الصورة هنا بتوضحلنا هذا الاشي تماما إذا في عندي + +398 +00:31:13,710 --> 00:31:18,370 +لاترال منه third قوةright و left ال third + +399 +00:31:18,370 --> 00:31:21,130 +ventricle بيكون موجود في ال dicephalon اللي هو + +400 +00:31:21,130 --> 00:31:25,810 +عبارة عن الدماغ البيني و كذلك ال fourth موجود في + +401 +00:31:25,810 --> 00:31:30,110 +ال bust bones او ما يسمى خلف القنطرة او القنيطرة + +402 +00:31:30,110 --> 00:31:33,550 +ال cerebral adducts هي موجود ما بين التالت و + +403 +00:31:33,550 --> 00:31:38,770 +الرابع ventricles هى عبارة عن التجاوف المترابطة او + +404 +00:31:38,770 --> 00:31:43,170 +الحجورات المترابطة داخل الدماغ طبعا هذه الحجورات + +405 +00:31:43,170 --> 00:31:47,480 +بيتم انتقال فيها السائلأو بيغري من خلال هالسائل + +406 +00:31:47,480 --> 00:31:52,560 +نخاع الشوكي اللي هو CSF داخل حجولات الدماء وأيضا + +407 +00:31:52,560 --> 00:31:59,440 +بيصب في ال central canal ل ال spinal cord شو + +408 +00:31:59,440 --> 00:32:05,180 +هو اللي هو ال spinal أو cerebrospinal fluid CSF هو + +409 +00:32:05,180 --> 00:32:11,420 +عبارة عن سائل واضح صافي اللون بيتم إفرازه من ال + +410 +00:32:11,420 --> 00:32:16,470 +choroid plexus من المشيمة الدباغيةتمام؟ ليش هذا + +411 +00:32:16,470 --> 00:32:20,150 +السائل الدماغي بتم إفرازه خلق الله سبحانه وتعالى + +412 +00:32:20,150 --> 00:32:24,710 +إلنا لإنه يعمل circulating داخل ال ventricles اللي + +413 +00:32:24,710 --> 00:32:28,350 +أنا حكيت عليهم قبل شوية في ال central canal ال + +414 +00:32:28,350 --> 00:32:32,390 +spinal cord بيصوب و بعدين في ال subarachnoid space + +415 +00:32:32,390 --> 00:32:37,980 +completely يعني بعبارة عن دورةغذائية كاملة من + +416 +00:32:37,980 --> 00:32:43,480 +الدماغ لـ spinal cord هتنزل طبعا clear liquid + +417 +00:32:43,480 --> 00:32:49,560 +نيترتيف اللي هو عبارة عن اشي غذائي ايضا بيساعد في + +418 +00:32:49,560 --> 00:32:53,180 +ال stabilization او بيساعد في اللي هو constant + +419 +00:32:53,180 --> 00:32:58,280 +concentration اللي هي تركيز ال CNS كاملا ان ما + +420 +00:32:58,280 --> 00:33:01,960 +بيكون في ions عالية او في على سبيل المثال زي ما + +421 +00:33:01,960 --> 00:33:04,620 +بتعرفوا في ال brain في عنا شحنات كهربائية positive + +422 +00:33:04,620 --> 00:33:08,110 +و negativeفإنه لازم هذا الاشي يكون في مرحلة من + +423 +00:33:08,110 --> 00:33:12,270 +التوازن و الثبات أيضًا ال Formula تبعته linked ما + +424 +00:33:12,270 --> 00:33:16,030 +بين ال ventricles بيدخل زي ما كنت أنا شرحها هنا في + +425 +00:33:16,030 --> 00:33:19,530 +داخل هذا المربع ال intraventricles أو التجاوف اللي + +426 +00:33:19,530 --> 00:33:24,010 +موجودة بتربط ما بين الثالث والرابع طبعًا اللي هو + +427 +00:33:24,010 --> 00:33:27,150 +بيجري من خلالها داخل ال ventricles في ال brain و + +428 +00:33:27,150 --> 00:33:31,990 +بيصب في ال spinal cord أو في داخل ال central canal + +429 +00:33:31,990 --> 00:33:38,160 +لل spinal cordهذا هو عبارة عن إيش CSF أو ما يسمى + +430 +00:33:38,160 --> 00:33:42,580 +بسائل النخاع الشوكي هلأ هذا سائل النخاع الشوكي مهم + +431 +00:33:42,580 --> 00:33:46,660 +جدا و هتكلم عليه في ال spinal cord كيف أنا لازم + +432 +00:33:46,660 --> 00:33:49,960 +أعرف بالتحديد كيف ممكن أاخد أو أسحب ال lumber + +433 +00:33:49,960 --> 00:33:53,620 +punctures أو ما يسمى بالعينة اللي هي لفحص ال + +434 +00:33:53,620 --> 00:33:58,800 +meningites وحكينا أي إشي بينتهي ب-ITIS هو عبارة عن + +435 +00:33:58,800 --> 00:34:03,320 +ال inflammation تمام؟أي عدوة بتصيب الطفل اللي سمح + +436 +00:34:03,320 --> 00:34:07,500 +الله أو بتصيب الكبير هي ال meningites أو الاتهاب + +437 +00:34:07,500 --> 00:34:11,400 +السحاية أو الحوم الشوكية زي ما بيصيب الأطفال أيضا + +438 +00:34:11,400 --> 00:34:14,800 +بيصيب الأكبر، هاخد العينة و هحكي عن ال number + +439 +00:34:14,800 --> 00:34:16,660 +punctures ان شاء الله رب العالمين + +440 +00:34:19,240 --> 00:34:23,060 +هنا بنحكي على ال lumber punctures اللي أنا بحكي + +441 +00:34:23,060 --> 00:34:27,020 +عليها شايفين كيف هنا وضعية الطفل أو وضعية هذا + +442 +00:34:27,020 --> 00:34:32,440 +الشخص ب friction اللي هي أو شكل السيح تمام؟ وإيجى + +443 +00:34:32,440 --> 00:34:36,960 +حط ال needle الدكتور هناما بتم سحب العينة من سائل + +444 +00:34:36,960 --> 00:34:44,680 +ال CSF يعني لأي حد لازم دكتور متخصص لإن حركة هيك + +445 +00:34:44,680 --> 00:34:48,520 +أو حركة هيك ممكن تؤدي ل completely paralysis شلال + +446 +00:34:48,520 --> 00:34:53,670 +تام لهذه المنطقةباستخدم سحب العينة أو Lumbar + +447 +00:34:53,670 --> 00:34:58,210 +punctures اللي هو LB، هاي ال LB لل clinical + +448 +00:34:58,210 --> 00:35:02,810 +examination في CSF أو Administration Radiobic Days + +449 +00:35:02,810 --> 00:35:06,450 +Drugs أو أنه أنا ممكن أقعطي فيها في حالات + +450 +00:35:06,450 --> 00:35:09,830 +السيزيريا، الستات اللي بياخدوا اللي هو ال binge + +451 +00:35:09,830 --> 00:35:14,090 +الموضعي يعني خليني أحكي من هنا and below عن طريق + +452 +00:35:14,090 --> 00:35:18,550 +اللي هو هاي المنطقةHowever مصري قبل dual for + +453 +00:35:18,550 --> 00:35:24,280 +anaesthesia اللي هو التخدير الموضوعيوين بتم؟ هذا + +454 +00:35:24,280 --> 00:35:29,080 +التخدير الموضوعي بتم في ال اب ديورة زي ما في عندنا + +455 +00:35:29,080 --> 00:35:33,360 +سب ديورة، في عندنا حاجة اسمها اب ديورة وحكاية اب + +456 +00:35:33,360 --> 00:35:40,100 +معناتها فوقها و سب معناتها تحت تمام؟ الآن ال + +457 +00:35:40,100 --> 00:35:42,400 +number functions هي ده أو ال number functions اللي + +458 +00:35:42,400 --> 00:35:48,800 +هو بتم أخده ما بين ال تلاتة والاربعة + +459 +00:35:50,010 --> 00:35:55,770 +التلاتة الأربعة هي عبارة عن إيش لامبر تلاتة لامبر + +460 +00:35:55,770 --> 00:36:00,640 +أربعة أجي أعدالآن إذا رجعنا لـ skeletal system + +461 +00:36:00,640 --> 00:36:04,680 +اللي حكينا عليه قبل المحاضرات هاي اللي هو عند الـ + +462 +00:36:04,680 --> 00:36:09,920 +iliac crest في عندي L4 تمام من فوق منها في L3 بهذه + +463 +00:36:09,920 --> 00:36:15,240 +المنطقة تحديدا ما بين L3 و L4 بتم سحب اللي هو عينة + +464 +00:36:15,240 --> 00:36:22,980 +CSF تمام لفحص تبعنا هذا اللي هو عبارة عن إيش ال + +465 +00:36:22,980 --> 00:36:30,770 +lumber punctures تمامخليني أبدأ بال spinal cord + +466 +00:36:30,770 --> 00:36:34,790 +بهيك بكون احنا خلصنا بال lumbar punctures أخدنا ال + +467 +00:36:34,790 --> 00:36:39,610 +brain و ال anatomy تبع ال brain خليني أبدأ في ال + +468 +00:36:39,610 --> 00:36:45,610 +anatomy تبع ال spinal cord انتهينا من شرح التركيبة + +469 +00:36:45,610 --> 00:36:50,470 +أو الوضع التشريحي للدماغ تركيبة الدماغ التشريحية + +470 +00:36:50,470 --> 00:36:55,810 +هنتقل لل part التاني من ال CNS اللي هو spinal cord + +471 +00:36:56,260 --> 00:37:01,120 +زي ما انتوا شايفين في هذه الصورة، نهاية المدلة + +472 +00:37:01,120 --> 00:37:07,120 +بلونجاتا اللى كانت من تركيبة الدماغ ابتدأ اللى هو + +473 +00:37:07,120 --> 00:37:12,880 +خروج الـ spinal cord من الـ magnum foramen أو الـ + +474 +00:37:12,880 --> 00:37:18,120 +foramen magnumاللي هو بدأ من هنا و دخلي هنا على ال + +475 +00:37:18,120 --> 00:37:25,000 +cervical bone اللي هم C7 و نزل على thoracic 12، + +476 +00:37:25,000 --> 00:37:33,440 +نزل على lumbar 5، نزل، لأ هو هينتهي بقل 2، تمام؟ + +477 +00:37:34,250 --> 00:37:39,810 +ينتهي ال spinal cord بيقل اتنين و هنا تحت بتبقى + +478 +00:37:39,810 --> 00:37:45,310 +اللي هي بعض اللي هي الضفائر العضلية او العصبية + +479 +00:37:45,310 --> 00:37:51,070 +خليني اشوف تمام ال spinal cord هو عبارة عن ال + +480 +00:37:51,070 --> 00:37:54,630 +second part من ال central nervous system بيربط ما + +481 +00:37:54,630 --> 00:38:00,610 +بين ال brain and bodyبيحاول ان هو بعض الأحيان يشيل + +482 +00:38:00,610 --> 00:38:05,490 +بعض المهام عن لبراين على سبيل المثال مش كل مشكلة + +483 +00:38:05,490 --> 00:38:10,510 +بدي يقوم بحلها لبراين لأ ممكن ال spinal cord يقوم + +484 +00:38:10,510 --> 00:38:14,670 +بحل بعض المشاكل فبالتالي هو اكسبت some functional + +485 +00:38:14,670 --> 00:38:19,290 +independency ل لبراين ال spinal cord and spinal + +486 +00:38:19,290 --> 00:38:25,080 +nerveservice to function بيشتغل وظيفتين اللي هما + +487 +00:38:25,080 --> 00:38:30,320 +pathway لل sensory and motor impulses عبارة عن + +488 +00:38:30,320 --> 00:38:35,460 +pathway عبارة عن بوابة أو طريق لاستقبال و إرسال ال + +489 +00:38:35,460 --> 00:38:38,760 +sensory و ال motor impulses أيضا مسؤولة عن ال + +490 +00:38:38,760 --> 00:38:44,500 +reflexes وهي المناعكسات العصبية في جسمنا مناعكسات + +491 +00:38:45,580 --> 00:38:51,340 +عصبية تمام مسئولة عن مسئولة اللي هي مسئولة عنهم ال + +492 +00:38:51,340 --> 00:38:57,160 +spinal cord و ال spinal nerves تمام إذا وظائف ال + +493 +00:38:57,160 --> 00:39:01,420 +spinal cord هو عبارة عن الرابط ما بين ال brain مع + +494 +00:39:01,420 --> 00:39:04,980 +كل الجسم لإنه بيطلع من هنا ال spinal cord و بيطلع + +495 +00:39:04,980 --> 00:39:09,060 +منه التفرعات اللي هي يمينا و يسارا من ال spinal + +496 +00:39:09,060 --> 00:39:14,570 +nerveبيقوم في بعض المهام اللي هي ما بيخلي الدماغ + +497 +00:39:14,570 --> 00:39:19,690 +طبعا يشترك فيها، بيريحوا شوي وبيشتغل عنه طبعا + +498 +00:39:19,690 --> 00:39:23,210 +وظائف ال spinal cord و ال spinal nerve انه pathway + +499 +00:39:23,210 --> 00:39:28,250 +لل sensory and motor impulses أيضا بيشارك و بيكون + +500 +00:39:28,250 --> 00:39:33,670 +مسئول في ال reflexes شو تركيبت ال structural تبع + +501 +00:39:33,670 --> 00:39:38,750 +ال spinal cord؟ال adult spinal cord طوله حوالي من + +502 +00:39:38,750 --> 00:39:47,570 +42 إلى 45 cm يعني أقل من متر في الطول أما بالنسبة + +503 +00:39:47,570 --> 00:39:52,740 +في مقطع عرضي لإله cross sectionalطبعا roughly + +504 +00:39:52,740 --> 00:39:56,200 +cylindrical بيكون cylindrical اللي هو استوانية + +505 +00:39:56,200 --> 00:40:00,940 +slightly flattened in both posterior and anterior + +506 +00:40:00,940 --> 00:40:04,840 +لو جيبنا له مقطع عرضي بهذا الشكل بلاقيها + +507 +00:40:04,840 --> 00:40:10,140 +cylindrical هنا استوانية الشكل و من الأمام و الخلف + +508 +00:40:10,140 --> 00:40:17,460 +بيكون flattened مسطحة من الأمام و الخلف ال + +509 +00:40:17,460 --> 00:40:18,660 +external surface + +510 +00:40:22,170 --> 00:40:28,290 +اللي هو السطح الخارجي تبعه فيه عنده منخفضين الأول + +511 +00:40:28,290 --> 00:40:34,230 +اسمه Darzel والتاني اسمه Ventral خلفي و أمامي ال + +512 +00:40:34,230 --> 00:40:37,530 +posterior أي إشي posterior أنا دائما بسميه Darzel + +513 +00:40:37,530 --> 00:40:40,910 +لما كنا بناخد في ال anatomical position كنت بحكي + +514 +00:40:40,910 --> 00:40:44,810 +على هذا الإشي اللي هو بطن اليد و هذا الجهة + +515 +00:40:44,810 --> 00:40:51,050 +الأمامية بسميهاventral أو ما يسمى بـ anterior + +516 +00:40:51,050 --> 00:40:58,790 +تمام؟ أما اللي هي ال back وظهر اليد بسميها dorsal + +517 +00:40:58,790 --> 00:41:04,070 +ال dorsal تعني ال median sulcus أما ال ventral فهي + +518 +00:41:04,070 --> 00:41:08,210 +تعني ال median fissures أو ما يسمى بالوسط أو ال + +519 +00:41:08,210 --> 00:41:12,010 +fissures هي عبارة عن السطح تبعها لل spinal cord + +520 +00:41:12,010 --> 00:41:18,550 +تمام؟ال regions لل spinal cord طبعا ال cervical + +521 +00:41:18,550 --> 00:41:23,150 +region هنا انا حاطيته سؤال انه احنا حكينا كل nerve + +522 +00:41:23,150 --> 00:41:26,730 +بيطلع حسب الفقرة و بسميه حسب الفقرة اللي هو طالع + +523 +00:41:26,730 --> 00:41:30,570 +منها اذا طالعني من C3 معناته هو طالع ما بين C3 و + +524 +00:41:30,570 --> 00:41:35,030 +C4 اذا طالع من C4 معناته طالع من C4 و C5 ما بينهم + +525 +00:41:36,000 --> 00:41:38,900 +الـ cervical region continuous with medulla + +526 +00:41:38,900 --> 00:41:42,400 +blongata طبعا لإنه مافيش إشي قبل الـ cervical فيه + +527 +00:41:42,400 --> 00:41:45,840 +مدلّة بلنجاتة نهاية ال brain ومداية ال spinal cord + +528 +00:41:45,840 --> 00:41:51,080 +Contains a neuron whose axon from cervical spinal + +529 +00:41:51,080 --> 00:41:55,300 +nerve تمانية إحنا كنا بنعرف إن ال spinal vertebra + +530 +00:41:55,300 --> 00:41:59,080 +أو ال cervical vertebra هي يبقى عن سبعة هنا صاروا + +531 +00:41:59,080 --> 00:42:04,280 +تمانية هأجيب على هذا السؤال لاحقا في اللي هي باقى + +532 +00:42:04,280 --> 00:42:08,880 +الأسئلةC تمانية خليني أعدهم مع بعض أنا و إياكم ال + +533 +00:42:08,880 --> 00:42:15,340 +spinal nerve هحكي C تمانية ثورسك + +534 +00:42:15,340 --> 00:42:23,020 +ماشي لمبر خمسة و ساكرل خمسة و الكوكسيال واحد + +535 +00:42:23,020 --> 00:42:28,120 +تمانية و اتناشر عشرين و عشرة تلاتين واحد و تلاتين + +536 +00:42:28,120 --> 00:42:31,380 +spinal nerve + +537 +00:42:32,460 --> 00:42:37,380 +طبعا هذه بيطلع عندي واحد و ثلاثين زوج من الأعصاب + +538 +00:42:37,380 --> 00:42:43,280 +في ال right و واحد و تلاتين من الأعصاب في ال left + +539 +00:42:43,280 --> 00:42:50,100 +تمام؟تركيبة ال spinal cord هو أصغر من ال vertebral + +540 +00:42:50,100 --> 00:42:54,480 +column زي ما حكيتلكم أنه هنا بيمتد من المدلة + +541 +00:42:54,480 --> 00:43:00,180 +بلونجاتا وبينزل على L2 وبينتهي عند L2 بينما يبقى + +542 +00:43:00,180 --> 00:43:05,200 +ال vertebral column ممتد لعند الكوكسيال تحت طبعا + +543 +00:43:05,200 --> 00:43:08,060 +مهرن بالساكره مهرن بالكوكسيال فبالتالي ال + +544 +00:43:08,060 --> 00:43:13,630 +vertebral column أطول من ال spinal cordيحتوي على + +545 +00:43:13,630 --> 00:43:19,050 +ثلاث أجزاء رئيسية أولها بالترتيب و هنا بحكي أنا من + +546 +00:43:19,050 --> 00:43:24,670 +الأعلى إلى الأسفل حاجة اسمها الحبل الشوكي المخروطي + +547 +00:43:24,670 --> 00:43:28,210 +Conus Medullaris شو يعني الـ Conus Medullaris? + +548 +00:43:32,590 --> 00:43:37,950 +Tabard inferior end of spinal cord تيجي بعد اللي + +549 +00:43:37,950 --> 00:43:44,120 +هو نهاية ال spinal cordmarks official end of + +550 +00:43:44,120 --> 00:43:49,820 +spinal cord rubber لأنه أنا حكيت على الاتنين + +551 +00:43:49,820 --> 00:43:56,440 +بينتهي ال spinal cord هنا بيجي مع بعض ال spinal + +552 +00:43:56,440 --> 00:44:00,320 +cord في عندي اللي هي الضفيرة العضضية أو الضفيرة + +553 +00:44:00,320 --> 00:44:04,380 +العصبية احنا بسميها الكوداكوينة زي الفرس ليش + +554 +00:44:04,380 --> 00:44:09,490 +سمناها كوداكوينة؟أو سمناها ذيل الفرس تعرفوا لما + +555 +00:44:09,490 --> 00:44:15,710 +نربط شعر البنت الصغيرة على شكل حزمة و .. و بينزل + +556 +00:44:15,710 --> 00:44:20,830 +الشعر بجي هك فبالتالي بيكون تحت ال spinal أو تحت + +557 +00:44:20,830 --> 00:44:26,270 +القمين هيك الشعر بيكون زي ذيل الفرس يعني هذه ال + +558 +00:44:26,270 --> 00:44:31,510 +nerves أو هذه الأعصاب بتكون مالها متباعدة عن بعضها + +559 +00:44:31,510 --> 00:44:38,090 +البعض على شكل اللي هو ذيل الفرسالان هذا الفلستقع + +560 +00:44:38,090 --> 00:44:41,670 +تحت الkonus medullaris inferior to the konus + +561 +00:44:41,670 --> 00:44:46,270 +medullaris هي عبارة عن جذور لأعصاب من ال group + +562 +00:44:46,270 --> 00:44:50,650 +axon that project inferiorly من ال spinal cord + +563 +00:44:50,650 --> 00:44:55,110 +بتنزل لتحت يعني ما بعد الاتنين في عندنا الضفيرة + +564 +00:44:55,110 --> 00:45:01,210 +العصبية تمام؟ اللي على شكل الكوداكوينةبقيت منها + +565 +00:45:01,210 --> 00:45:06,210 +مباشرة يعني اذا انا اجيت حكيت تقسيمتهم في التشريح + +566 +00:45:06,210 --> 00:45:14,070 +من الأعلى superior to inferior تمام؟ هيكون conos + +567 +00:45:14,070 --> 00:45:18,410 +modulares, codaquina فينا من ال terminal كلمة ال + +568 +00:45:18,410 --> 00:45:23,950 +terminal تعني ملاقي او اللي هو اخر الاشي بتكون + +569 +00:45:23,950 --> 00:45:30,070 +موجودة داخل او within codaquinathin strand من ال + +570 +00:45:30,070 --> 00:45:35,910 +biomatter هي عبارة عن حاجة بتكون thin وخفيفة جدا + +571 +00:45:35,910 --> 00:45:41,670 +من ال biomatter طبعا اللي هي الأم الحنونة بتساعد + +572 +00:45:41,670 --> 00:45:46,430 +في تثبيت الكودة أو الكونة اسمها دولارز اللي هو + +573 +00:45:46,430 --> 00:45:47,750 +أعلى إشي + +574 +00:45:50,710 --> 00:45:56,190 +Helps to fixation للكونس مدولارز هاي الثلاث أقسام + +575 +00:45:56,190 --> 00:46:00,630 +أساسية بعد انتهاء اللي هو ال spinal cord في + +576 +00:46:00,630 --> 00:46:07,290 +الاتنين تمام؟ هي عبارة عن كونس مدولارز كوداكوينا + +577 +00:46:07,290 --> 00:46:12,170 +والفلم terminalis نجل الأقسام اللي قسمناها قبل + +578 +00:46:12,170 --> 00:46:22,100 +شوية cervical بيمتد إلى تمانية C تمانيةwhere + +579 +00:46:22,100 --> 00:46:25,880 +contains لنيرو هو axon from cervical spinal nerve + +580 +00:46:25,880 --> 00:46:30,840 +تمانية ال thoracic region attached لثورسك وبينتد ل + +581 +00:46:30,840 --> 00:46:36,120 +12 thoracic nerve spinal nerve 12 ال lumber بدي + +582 +00:46:36,120 --> 00:46:40,800 +يكون contains نيرون that lumber spinal nerve خمسة + +583 +00:46:40,800 --> 00:46:45,080 +و ال sacral ال lumber أو ال sacral spinal nerve + +584 +00:46:45,080 --> 00:46:50,390 +خمسة ال coaxial بيطلع منها onePairs of coaxial + +585 +00:46:50,390 --> 00:46:54,650 +spinal layer arises from this region يعني منطقة ال + +586 +00:46:54,650 --> 00:46:57,050 +coaxial اللي أنا كنت أحكي عليها زمان هنا أربع + +587 +00:46:57,050 --> 00:47:04,930 +عضمات بيطلع منها عصب واحد فقطتمانية و اتناش و عشرة + +588 +00:47:04,930 --> 00:47:09,470 +و عشرة و واحد بيعطيني واحد و ثلاثين زوج من الأعصاب + +589 +00:47:09,470 --> 00:47:14,330 +إشي منهم ع ال right و إشي بيغذي ال left ليه بيطلع + +590 +00:47:14,330 --> 00:47:21,910 +لنا C8؟ هذا سؤال متروك لحضراتكم للإجابة عليه تمام؟ + +591 +00:47:21,910 --> 00:47:25,870 +هذه الصورة ممكن تساعدكم شويفي شوفوا هنا C1 كيف + +592 +00:47:25,870 --> 00:47:32,740 +طالع و من أي vertebra طالع يعني من أعلىVertebra 1 + +593 +00:47:32,740 --> 00:47:38,100 +أو الـ C1 بيطلع كمان عصب و من تحتها كمان عصب، هذه + +594 +00:47:38,100 --> 00:47:43,620 +الإجابة فبالتالي 1 الفقرة رقم C1 ماخدة عصبين و + +595 +00:47:43,620 --> 00:47:49,220 +باقيها 6 فبالتالي 2 و 6 بيعطينا 8 لل cervical + +596 +00:47:49,220 --> 00:47:55,230 +nerve اللي موجودين، تمام؟هذه الرسمة التانية كمان + +597 +00:47:55,230 --> 00:48:00,110 +موضحة إلينا الأشياء ال spinal nerve واحد و ثلاثين + +598 +00:48:00,110 --> 00:48:03,950 +زوج من الأعصاب اللي موجودين لو شفناهم على ال + +599 +00:48:03,950 --> 00:48:07,930 +spinal أو ال vertebral colon هنا في الرسمة هذه + +600 +00:48:07,930 --> 00:48:10,870 +الأحبال اللي هنا شبهلنا إياها هي بال cervical + +601 +00:48:10,870 --> 00:48:17,110 +spinal nerve واحد و ثلاثينما فوق C1 بيطلع عصب و + +602 +00:48:17,110 --> 00:48:22,410 +تحتها عصب هاي 1 2 3 4 5 6 7 هاي اللي هي السابعة + +603 +00:48:22,410 --> 00:48:26,610 +فبالتالي بناجي عندى تمانية من هذه الأسلاك أو هي + +604 +00:48:26,610 --> 00:48:29,970 +اللى عم سميها spinal nerve فعشان كده بسميها C + +605 +00:48:29,970 --> 00:48:37,400 +تمانية each spinal nerve mixedو أنا حكيت mixed + +606 +00:48:37,400 --> 00:48:42,840 +يعني بتاخد خاصية ال sensory و ال motor thousand + +607 +00:48:42,840 --> 00:48:46,960 +from motor and sensory axon ال sensory originated + +608 +00:48:46,960 --> 00:48:51,520 +from receptors طبعا هيستقبل المستقبلات الحسية أما + +609 +00:48:51,520 --> 00:48:57,460 +ال motor originated from spinal cordتمام؟ إذا كل + +610 +00:48:57,460 --> 00:49:01,040 +spinal cord أو كل spinal nerve أسفة هما mixed + +611 +00:49:01,040 --> 00:49:06,100 +sensory and motor أما ال cranial nerve لأ في منها + +612 +00:49:06,100 --> 00:49:10,480 +ال sensory في منها ال motor في منها ال mixed طبعا + +613 +00:49:10,480 --> 00:49:16,330 +يحتوي على receptors و ال muscle glandال anterior + +614 +00:49:16,330 --> 00:49:20,210 +rot أو الجذر الأمامي اللي أنا حكيت عليه قبل شوية + +615 +00:49:20,210 --> 00:49:24,010 +اللي هو ال ventral وفيه أن ال posterior rot اللي + +616 +00:49:24,010 --> 00:49:27,030 +هي ال dorsal طبعا intervertebral foramen اللي + +617 +00:49:27,030 --> 00:49:30,710 +بيطلعوا من داخل ال intervertebral foramen أو اللي + +618 +00:49:30,710 --> 00:49:35,870 +هي الفقرة فيها intervertebral foramen بتكون موجودة + +619 +00:49:36,040 --> 00:49:40,180 +become spinal nerve طبعا بيطلع هذا ال spinal nerve + +620 +00:49:40,180 --> 00:49:45,580 +وكل spinal nerve مسئول حسب أو بيغذي المنطقة اللي + +621 +00:49:45,580 --> 00:49:49,700 +بيكون طالع عليها ال spinal nerve associated with + +622 +00:49:49,700 --> 00:49:53,600 +the vertebra of same number يعني إذا قلت أنا في + +623 +00:49:53,600 --> 00:49:59,830 +عندي ضغط على العصباللي هو C8 C7 معناته هو طالع من + +624 +00:49:59,830 --> 00:50:05,930 +بين C8 و C7 إذا قلت في عندي ضغط على العصب اللي + +625 +00:50:05,930 --> 00:50:10,010 +طالع من L4 L5 فمعناته هو العصب اللي طالع ما بين + +626 +00:50:10,010 --> 00:50:17,150 +الفقرة L4 و L5 كل واحد بسميه حسب المنطقة اللي هو + +627 +00:50:17,150 --> 00:50:24,810 +طالع منها الـ + +628 +00:50:24,810 --> 00:50:30,170 +Dermatomeكلمة درماتوم بتعني اللي هو عبارة عن + +629 +00:50:30,170 --> 00:50:33,910 +الخريطة اللي بتم تغذية العصب منها على سبيل المثال + +630 +00:50:33,910 --> 00:50:38,310 +اليوم هاي المنطقة أو الـDorsal Hand بتم تغذية + +631 +00:50:38,310 --> 00:50:46,680 +العصب منها تغذية العصب منها اللي هو في C6 أو C7حسب + +632 +00:50:46,680 --> 00:50:51,080 +كل منطقة بتم تغذيتها إذا هي عبارة عن dermatome هي + +633 +00:50:51,080 --> 00:50:54,940 +عبارة عن specific segment من ال skin بتم تغذيتها + +634 +00:50:54,940 --> 00:51:00,700 +بال single spinal nerve بتغذيتها بعصب واحد فقط all + +635 +00:51:00,700 --> 00:51:04,120 +spinal nerve innovated segment of skin and + +636 +00:51:04,120 --> 00:51:07,680 +associated with dermatome ما عدا C1 ما بيغذيهم + +637 +00:51:07,680 --> 00:51:11,120 +تمام احنا حكينا في بداية الشبات في chapter + +638 +00:51:11,120 --> 00:51:17,160 +introduction من C1 إلى C4هي عبارة عن إيش بيغذى ال + +639 +00:51:17,160 --> 00:51:21,940 +vital organs اللي + +640 +00:51:21,940 --> 00:51:25,280 +هم زي ال heart زي ال lungs زي هذه الأمور فبالتالي + +641 +00:51:25,280 --> 00:51:29,940 +أي إصابة لو حكينا مثلا في falling down لعامل من + +642 +00:51:29,940 --> 00:51:33,180 +الطابق الخامس أو السابع و صار في cutting لل spinal + +643 +00:51:33,180 --> 00:51:37,080 +nerve ال spinal cord هذا في مصيبة هنا بيصير عندنا + +644 +00:51:37,080 --> 00:51:42,580 +ليه؟ لأنه أي إصابةما بعدها بيصير في عندي + +645 +00:51:42,580 --> 00:51:46,320 +completely paralysis أو شلل تام فبالتالي احنا + +646 +00:51:46,320 --> 00:51:50,960 +بنخاف من الإصابات اللي بتكون من C1 ل C4 لإنه كل ما + +647 +00:51:50,960 --> 00:51:54,900 +عيت فوق كل ما غذت ال vital organs اللي هي الأعضاء + +648 +00:51:54,900 --> 00:51:58,430 +المهمة زي ال lung ال hearts هذه الأمورالـ + +649 +00:51:58,430 --> 00:52:02,430 +Dermatome map هي عبارة عن sensory segment لل skin + +650 +00:52:02,430 --> 00:52:06,490 +body associated with spinal nerve بعض اللي هي طبعا + +651 +00:52:06,490 --> 00:52:10,570 +خريطة أو خريطة الجسم اللي بتتم تغذية المكان + +652 +00:52:10,570 --> 00:52:14,070 +الفلاني على سبيل المثال من كذا بتجينا على سبيل + +653 +00:52:14,070 --> 00:52:17,310 +المثال الحالة بتقول أنا عندي فقدان للإحساس أو عندي + +654 +00:52:17,310 --> 00:52:23,520 +تنميل أو خذلان في الجهة الأماميةمن اللي هي ال + +655 +00:52:23,520 --> 00:52:26,360 +quadriceps أو الفخدة فبتاع اللي بعرف انه انا في + +656 +00:52:26,360 --> 00:52:29,740 +عندي compression على ال nerve كذا في عندي طبعا هذا + +657 +00:52:29,740 --> 00:52:35,960 +الاشي بيبين اكتر من ال MRI و ال CT هاي هي ال + +658 +00:52:35,960 --> 00:52:40,560 +dermatome هذه الصورة زي ما انتوا شايفينها عندنا + +659 +00:52:40,560 --> 00:52:43,860 +بالفيزيotherapy لازم هذا كله يكون محفوظ شوفوا C1, + +660 +00:52:44,020 --> 00:52:48,460 +C2, C3, C4 ايش بيغذي في ال anterior view و ال + +661 +00:52:48,460 --> 00:52:49,860 +posterior view + +662 +00:52:52,010 --> 00:52:56,470 +الـ nerve blockages أو ما يسمى بالظفائر العصبية هي + +663 +00:52:56,470 --> 00:53:01,030 +عبارة عن إيش؟ Network interweaving anterior remae + +664 +00:53:01,030 --> 00:53:05,470 +of spinal nerve هي عبارة عن مجموعة متشابكة من + +665 +00:53:05,470 --> 00:53:09,890 +الياف أو اللي هو الـ anterior remae أو الأقسام + +666 +00:53:09,890 --> 00:53:14,400 +الأمامية للأعصابو ال nerve blocks بتكون both right + +667 +00:53:14,400 --> 00:53:17,400 +and left side of the body ال nerve blocks then + +668 +00:53:17,400 --> 00:53:21,900 +split into multiple names of nerve ممكن أقسمها حسب + +669 +00:53:21,900 --> 00:53:26,520 +وين ما هي موجودة في عندي لل cervical الدفيرة + +670 +00:53:26,520 --> 00:53:31,620 +العصبية العوقية لإن جاها من ال cervical الbrachial + +671 +00:53:31,620 --> 00:53:38,140 +العددية من العددو ال lumber اللي هي من منطقة ال + +672 +00:53:38,140 --> 00:53:42,760 +lumber area العجزية و ال sacral القطنية I have + +673 +00:53:42,760 --> 00:53:46,220 +four lumbers I have four plexus, cervical, + +674 +00:53:47,900 --> 00:53:53,300 +brachial, lumber و sacral اذا عندي أربع ضفائر + +675 +00:53:53,300 --> 00:53:58,580 +عصبية موجودة في جسم الإنسان اللي هو تمتد فيما بعد + +676 +00:53:58,580 --> 00:54:04,980 +اللي هو لتغذية الجسم Reflexesهو آخر إشي هتكلم عليه + +677 +00:54:04,980 --> 00:54:08,040 +في هذه المحاضرة ال reflexes اللي هي عبارة عن + +678 +00:54:08,040 --> 00:54:13,080 +المناعكسات العصبية، هذه المناعكسات العصبية هي + +679 +00:54:13,080 --> 00:54:17,520 +عبارة عن إشي fast، stereotypical، بتكون موجودة في + +680 +00:54:17,520 --> 00:54:20,810 +ال right زي ان هي موجودة في ال leftinborn موجودة + +681 +00:54:20,810 --> 00:54:26,350 +من الولادة protective action لحماية او لسلامة ال + +682 +00:54:26,350 --> 00:54:29,850 +central nervous system يعني على سبيل المثال اذا + +683 +00:54:29,850 --> 00:54:32,590 +انا اجيت قلت على اي reflex موجود عند الجنين او + +684 +00:54:32,590 --> 00:54:36,670 +المولود على سبيل المثال لما بعد السنة بتعرف + +685 +00:54:36,670 --> 00:54:42,330 +الموليد كلهم عنا بيبقوا مغلقين ايدهم لو استمر هذا + +686 +00:54:42,330 --> 00:54:45,810 +الاشي لبعد السنة معناته انا بدي اعرف ان في عندي + +687 +00:54:45,810 --> 00:54:49,140 +مشكلة بال central nervous systemبنطلب من الأم أنها + +688 +00:54:49,140 --> 00:54:54,040 +فورا تتحول لدكتور أعصاب سلامة ال reflexes تعني + +689 +00:54:54,040 --> 00:54:59,700 +سلامة ال central nervous systemفي ال spinal cord + +690 +00:54:59,700 --> 00:55:03,320 +and brainstem معناة الكلام أن هي هذه ال reflex + +691 +00:55:03,320 --> 00:55:06,520 +بتحدث على مستوى ال central nervous system في + +692 +00:55:06,520 --> 00:55:11,000 +منطقتين بالتحديد هما ال spinal cord و ال brainstem + +693 +00:55:11,000 --> 00:55:15,120 +may either monocynabetic أو polycynabetic احنا + +694 +00:55:15,120 --> 00:55:18,240 +حكينا اللي هي multi-cynabetic أو polycynabetic + +695 +00:55:18,240 --> 00:55:23,700 +بتحدث على صعيد اللي هو أحدية القطب أو اللي هي + +696 +00:55:23,700 --> 00:55:29,680 +polycynabeticلأن إحنا بال reflexes بحاجة لإيش؟ أي + +697 +00:55:29,680 --> 00:55:34,140 +reflexes؟ بحاجة لإنه أنا أعمله تحفيز باجي أنا بدي + +698 +00:55:34,140 --> 00:55:37,560 +أفحص ال reflexes لو أجيبنا ال foot تبعت اللي هو ال + +699 +00:55:37,560 --> 00:55:41,220 +newborn و أجيت أنا بالجلم على طول عملت خط صغير، + +700 +00:55:41,220 --> 00:55:45,700 +إذا أنا حفظت وجبت مثير لهذا الاشي، على طول ال big + +701 +00:55:45,700 --> 00:55:50,200 +two هيصير في reflection sensory information relay، + +702 +00:55:50,200 --> 00:55:54,190 +بدي يصير في عندي نقل للومضة العصبية الحسيةالعنانية + +703 +00:55:54,190 --> 00:55:58,330 +بتتم على صعيد ال central nervous system وتحديدا في + +704 +00:55:58,330 --> 00:56:01,890 +ال spinal cord مع ال brainstem بيصير في عنا + +705 +00:56:01,890 --> 00:56:06,970 +activation ل motor response هنا في sensory و ال + +706 +00:56:06,970 --> 00:56:10,770 +sensory رد عليها الدماغ ب motor response to + +707 +00:56:10,770 --> 00:56:14,270 +peripheral effectors قد لإنه حكينا الإصبع الكبير + +708 +00:56:14,270 --> 00:56:18,230 +في هذا اللي هو الpavinsky reflex قد لإنه يصير في + +709 +00:56:18,230 --> 00:56:25,030 +عنا انثناء في الإصبع الكبير اتفقنا؟هذا الاشي اللي + +710 +00:56:25,030 --> 00:56:31,610 +هو بيحتاجه ال reflexes مثير استجابة ارسال ومضة + +711 +00:56:31,610 --> 00:56:36,750 +عصبية حسية معالجة مركزية في الدماغ ارسال ومضة + +712 +00:56:36,750 --> 00:56:42,610 +حركية تفعيل لحركة في ال effectors زي أي نهاية كل + +713 +00:56:42,610 --> 00:56:45,870 +شبتر لازم يكون في عندنا clinical pictures صورة + +714 +00:56:45,870 --> 00:56:51,690 +طبية لأمراض طبيةهنا هتكلم على ثلاث أمراض ع السريع + +715 +00:56:51,690 --> 00:56:55,470 +اللي هم عبارة عن إيش إيش هيصيب ال brain و إيش + +716 +00:56:55,470 --> 00:57:02,870 +هيتدخل منذ الولادة conclusion ارتجاج في الدماغ + +717 +00:57:02,870 --> 00:57:08,750 +حادث سير حدث مع أحد اللي هم الشباب صار في عندي + +718 +00:57:08,750 --> 00:57:13,170 +ارتجاج في الدماغ بسميه brain jarred against + +719 +00:57:13,170 --> 00:57:18,510 +cranium ارتطم الدماغ في جدران ال skullloss of + +720 +00:57:18,510 --> 00:57:23,690 +consciousness فقدان للوعي temporary loss of memory + +721 +00:57:23,690 --> 00:57:30,590 +فقدان للذاكرة هلوسة دماغية صداع اللي هو recovery + +722 +00:57:30,590 --> 00:57:33,990 +usually complete بيصير عملية الشفاء إذا كانت اللي + +723 +00:57:33,990 --> 00:57:38,770 +هي الإصابة مش كبيرة أو الرجة في الدماغ مش عارية + +724 +00:57:38,770 --> 00:57:43,230 +جدا اللي أما يسمى بال cerebral palsy أو ما يسمى + +725 +00:57:43,230 --> 00:57:46,330 +بالشنن الدماغي هو عبارة عن ال CB + +726 +00:57:49,350 --> 00:57:52,430 +ال motor environment بيصير شلل دماغي نقص في + +727 +00:57:52,430 --> 00:57:57,370 +أكسوجين الواصل لدماغ الجنين بديه ينتج عنه motor + +728 +00:57:57,370 --> 00:58:02,210 +environment at birth caused by blocked cerebral + +729 +00:58:02,210 --> 00:58:06,610 +blood vessels خلال ال development أو خلال الولادة + +730 +00:58:06,610 --> 00:58:13,710 +بديه يصير scissors بعض التشنجات تمام؟ سلوبات أقل + +731 +00:58:13,710 --> 00:58:21,030 +ممكن يصير مع هذا الطفل okay هذا ال CBالthird أو ما + +732 +00:58:21,030 --> 00:58:26,430 +يسمى بـ cerebrovascular accident أو ما يسمى + +733 +00:58:26,430 --> 00:58:31,670 +بالـCVA هي عبارة عن الجلطة الدماغية، الآن الجلطة + +734 +00:58:31,670 --> 00:58:35,310 +الدماغية بتصير داخل الدماغ نفسه، بسميها ال stroke + +735 +00:58:36,120 --> 00:58:40,900 +هي عبارة عن hemorrhagic زيادة في النزف الدموي + +736 +00:58:40,900 --> 00:58:43,680 +الحاصل في داخل أحد الشرايون الموجودة في ال brain + +737 +00:58:43,680 --> 00:58:48,720 +أو ischemic ischemic تعني قلة في ال blood supply + +738 +00:58:48,720 --> 00:58:52,480 +يعني على سبيل المثال زي حوض الزراعة هذا تبعنا إذا + +739 +00:58:52,480 --> 00:58:56,260 +أنا غرجته بالميه كتير كتير بيموت وإذا أنا قطعت عنه + +740 +00:58:56,260 --> 00:59:00,460 +الميه كمان بيموت معنات الكلام أسباب جلطة دماغية يا + +741 +00:59:00,460 --> 00:59:06,320 +إما hemorrhagic نظيف أو ischemic فقدانللتروية + +742 +00:59:06,320 --> 00:59:11,880 +الدموية كلا الأحوال الدماغ تضرر واحنا حكينا أي + +743 +00:59:11,880 --> 00:59:15,080 +إصابة لل brain أو أي إصابة لل nerves in general + +744 +00:59:15,080 --> 00:59:19,780 +معناته هي irreversible ما بيتنشأ خلية عصبية أخرى + +745 +00:59:19,780 --> 00:59:25,660 +فبالتالي ممكن يحدث عندي right hemiplegia شلال نصفي + +746 +00:59:25,660 --> 00:59:31,420 +طولي أيمن أو left hemiplegia شلال طولي نصفي أيسر + +747 +00:59:31,420 --> 00:59:37,020 +تمام؟في كل الأحوال أو ممكن يحدث double إذا لا سمح + +748 +00:59:37,020 --> 00:59:40,120 +الله كانت الإصابة شديدة أول مرة حدث في ال right + +749 +00:59:40,120 --> 00:59:45,080 +ممكن يحدث في ال left طبعا في داخل ال brain + +750 +00:59:45,080 --> 00:59:48,900 +بالتلاتة clinical pictures هدول اللي أنا حكيت + +751 +00:59:48,900 --> 00:59:55,210 +عليهم ال conclusion و ال cerebral palsy و CVAبيكون + +752 +00:59:55,210 --> 00:59:58,750 +أنا ختمت ال nervous system احنا أخدنا فيه + +753 +00:59:58,750 --> 01:00:04,370 +chapterين و ألقاكم بإذن الله تعالى في محاضرة قادمة + +754 +01:00:04,370 --> 01:00:05,630 +على بركة الله + diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/A3SqVvhBCzo_raw.json b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/A3SqVvhBCzo_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..c83197769ce239c5a894dea064b78b628f5d4730 --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/A3SqVvhBCzo_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 2931, "start": 0.91, "end": 29.31, "text": "السلام علي أشرف الأنبياء والمرسلين محمد أنا عليها أفضل الصلاة وأتم التفكير نتكمل معاكم بإذن الله تعالى في chapter 2 وهو عبارة عن ال body tissue أي أنسجة الجسم وهو عبارة عن ثلاث أجزاء قمت بتقسيم ال 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" زي", "probability": 0.88232421875}, {"start": 782.0, "end": 782.64, "word": " حكينا", "probability": 0.9755859375}, {"start": 782.64, "end": 782.86, "word": " blood", "probability": 0.448486328125}, {"start": 782.86, "end": 783.56, "word": " vessels", "probability": 0.84130859375}, {"start": 783.56, "end": 784.98, "word": " الأنابيب", "probability": 0.974853515625}, {"start": 784.98, "end": 786.02, "word": " الكلوية", "probability": 0.822509765625}, {"start": 786.02, "end": 786.18, "word": " على", "probability": 0.94091796875}, {"start": 786.18, "end": 786.48, "word": " سبيل", "probability": 0.97900390625}, {"start": 786.48, "end": 787.02, "word": " المثال", "probability": 0.990234375}, {"start": 787.02, "end": 787.7, "word": " كل", "probability": 0.87744140625}, {"start": 787.7, "end": 788.06, "word": " هذه", "probability": 0.52734375}, {"start": 788.06, "end": 788.7, "word": " الشغلات", "probability": 0.970947265625}, {"start": 788.7, "end": 789.58, "word": " عبارة", "probability": 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"end": 834.55, "text": "Evascular أحد ميزاتها والميز الخالص أو السادسة هي عبارة عن إنه إشي Evascular يعني لو جيت أنا بالمشرة و شرطت ال Epithelium تشو مابلاجي فيه blood مابلاجي فيه دم ليه؟ لإنه غير", "tokens": [36, 85, 22084, 5551, 24401, 3714, 1829, 11622, 9307, 11296, 16070, 2304, 1829, 11622, 33962, 6027, 9381, 34051, 21136, 18513, 3794, 3660, 39896, 6225, 3555, 9640, 3660, 18871, 36145, 3224, 11933, 8592, 1829, 5689, 22084, 37495, 22653, 45164, 10874, 36081, 41850, 20666, 2304, 8592, 25720, 4032, 13412, 2288, 9566, 2655, 2423, 9970, 355, 338, 2197, 6055, 8592, 2407, 19446, 36150, 26108, 1829, 8978, 3224, 3390, 19446, 36150, 26108, 1829, 8978, 3224, 11778, 2304, 32239, 3224, 22807, 5296, 28814, 1863, 3224, 32771, 13546], "avg_logprob": -0.24679969161389823, "compression_ratio": 1.5469613259668509, "no_speech_prob": 2.205371856689453e-06, "words": [{"start": 818.6299999999999, "end": 819.5899999999999, "word": "Evascular", "probability": 0.5735270182291666}, {"start": 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اندربلنا من هذه الشغل هنا الأنوية مرتبة بشكل مستوي على نفس الاستواء وقريبة من ال base، membrane", "tokens": [2655, 7435, 9957, 1829, 20666, 39184, 2074, 293, 7908, 34105, 12399, 3714, 43020, 5551, 5016, 4117, 1829, 2423, 38251, 20666, 12, 3474, 335, 6470, 44381, 6055, 33753, 45865, 15844, 4414, 8608, 1211, 9154, 33962, 15040, 25528, 12399, 39896, 4117, 4724, 1829, 9381, 13546, 18863, 3555, 9640, 3660, 16490, 41193, 19986, 3660, 12399, 16472, 3215, 25513, 1211, 8315, 9154, 29538, 25124, 17082, 1211, 34105, 16247, 1863, 2407, 10632, 3714, 43500, 49401, 4724, 8592, 28820, 3714, 14851, 45865, 15844, 8717, 36178, 42963, 14851, 2407, 16606, 4032, 4587, 16572, 49401, 9154, 2423, 3096, 12399, 19651], "avg_logprob": -0.23588710318329514, "compression_ratio": 1.5394736842105263, "no_speech_prob": 0.0, "words": [{"start": 1441.78, "end": 1442.26, "word": "تجيني", "probability": 0.7032470703125}, {"start": 1442.26, "end": 1442.52, "word": " بالـ", "probability": 0.74072265625}, {"start": 1442.52, 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في مساق علم التشريح للمستوى الأول + +5 +00:00:22,790 --> 00:00:27,710 +من طلبة كلية العلوم الصحية بإذن الله تعالى سأتحدث + +6 +00:00:27,710 --> 00:00:31,330 +في هذه المحاضرة عن ما هو الـ Anatomy وما تعريفه وما + +7 +00:00:31,330 --> 00:00:36,840 +هي أنواعه سأقوم بإذن الله تعالى الآن بالبداية في + +8 +00:00:36,840 --> 00:00:41,340 +chapter اللي هو الأول، شو يعني الـ Anatomy؟ الـ + +9 +00:00:41,340 --> 00:00:46,280 +Anatomy هي عبارة عن كلمة يونانية، Greek، تُكتب + +10 +00:00:46,280 --> 00:00:49,520 +أو dissect، يعني معناها الكلام: شيء أنا بدي أفصله، + +11 +00:00:49,520 --> 00:00:53,580 +معناته تعريفها اللي هو عبارة عن العلم اللي بيدرس + +12 +00:00:53,580 --> 00:00:58,140 +التركيبة تبع الـ body، الـ kinds، شو أنواعها؟ اللي هي + +13 +00:00:58,140 --> 00:01:01,360 +Gross Anatomy, Microscopic Anatomy و Developmental + +14 +00:01:01,360 --> 00:01:06,680 +Anatomy و Comparative Anatomy. إذاً عندي تعريف الـ + +15 +00:01:06,680 --> 00:01:10,760 +Anatomy هو عبارة عن كلمة يونانية، الـ science that + +16 +00:01:10,760 --> 00:01:13,180 +deals with the structure of the body، هو العلم اللي + +17 +00:01:13,180 --> 00:01:17,690 +بيدرس التركيبة اللي موجودة في جسم الإنسان. أنواعه في + +18 +00:01:17,690 --> 00:01:20,130 +عندي Gross Anatomy, Microscopic Anatomy و + +19 +00:01:20,130 --> 00:01:23,830 +Developmental Anatomy و Comparative Anatomy. خليني + +20 +00:01:23,830 --> 00:01:27,050 +أشوف شو يعني الـ Gross Anatomy. كلمة Gross Anatomy + +21 +00:01:27,050 --> 00:01:31,350 +تعني study of structure with naked eye. كل شيء أنا + +22 +00:01:31,350 --> 00:01:34,650 +بدي أدرسه بشوفه بالعين المجردة، يعني على سبيل + +23 +00:01:34,650 --> 00:01:37,950 +المثال أنا بقدر أشوف الإيد، بقدر أشوف البطن، بقدر + +24 +00:01:37,950 --> 00:01:41,420 +أشوفه، لكن اللي تحته ما بقدر أشوفه، فبالتالي أنا هنا + +25 +00:01:41,420 --> 00:01:45,380 +الـ gross anatomy راح أقسمه إلى subtitle أو أقسام + +26 +00:01:45,380 --> 00:01:50,240 +ما تحتها تندرج تحت اللي هي الـ gross anatomy + +27 +00:01:50,240 --> 00:01:53,740 +regional and systemic. الـ regional إقليمي أو منطقي + +28 +00:01:53,740 --> 00:01:57,240 +أو جغرافي، الـ body studied by region. إذا هو + +29 +00:01:57,240 --> 00:02:01,820 +عبارة عن دراسة الجسم في مناطق محددة ومعينة، أما الـ + +30 +00:02:01,820 --> 00:02:04,960 +systematic، الـ body studied by system، اللي هو system + +31 +00:02:04,960 --> 00:02:06,800 +by system، يعني بدي أدرس اليوم الـ respiratory + +32 +00:02:06,800 --> 00:02:09,900 +system أو الـ digestive system، الجهاز التنفسي + +33 +00:02:09,900 --> 00:02:13,560 +والجهاز الهضمي. إذاً تعريفنا لكلمة gross anatomy + +34 +00:02:13,560 --> 00:02:17,240 +معناته هو العلم اللي بيدرس… علم تشريح الإنسان اللي + +35 +00:02:17,240 --> 00:02:20,060 +بدرسه بالعين المجردة، يعني حاجة كبيرة، حاجة بتكون أنا + +36 +00:02:20,060 --> 00:02:23,690 +شايفها بعيني. خليني أشوف العكس تماماً، الـ + +37 +00:02:23,690 --> 00:02:27,090 +Microscopic Anatomy. الـ Microscopic Anatomy، الـ + +38 +00:02:27,090 --> 00:02:29,910 +definition تبعته اللي هو عبارة عن الـ study + +39 +00:02:29,910 --> 00:02:32,570 +of structures under microscope. الحاجات اللي أنا + +40 +00:02:32,570 --> 00:02:36,750 +ما قدرت أشوفها بالعين المجردة، هشوفها باللي هو الـ + +41 +00:02:36,750 --> 00:02:39,950 +microscope. أنواعها: في عندنا الـ cytology، في عندنا + +42 +00:02:39,950 --> 00:02:43,510 +الـ histology، في عندنا الـ organology. الآن، الأنواع + +43 +00:02:43,510 --> 00:02:47,210 +هذه اللي أنا هشرحها واحدة واحدة. الـ site، دي الخلية، + +44 +00:02:47,210 --> 00:02:51,590 +site تعني هنا، لما نشوف كلمة site، تعني باللاتيني + +45 +00:02:51,590 --> 00:02:55,090 +cell. لوجي هو عبارة عن العلم، معناته الكلام: إن أنا + +46 +00:02:55,090 --> 00:02:58,550 +بدي أحكي: علم الخلية. إذاً the study of cells، هي + +47 +00:02:58,550 --> 00:03:01,730 +عبارة عن العلم اللي بيدرس الخلايا. إذاً cytology + +48 +00:03:01,730 --> 00:03:06,290 +باللاتيني تعني خلية، وlogy العلم. إذا هو العلم اللي + +49 +00:03:06,290 --> 00:03:10,850 +بيدرس الخلية. histology، هستو لحالها تعني: تشوف، أي + +50 +00:03:10,850 --> 00:03:15,170 +أنسجة. باللاتيني، logy هو العلم. إذاً the study of + +51 +00:03:15,170 --> 00:03:19,870 +تشريح، إذا دراسة علم الأنسجة. organology هي عبارة عن + +52 +00:03:19,870 --> 00:03:23,770 +العلم اللي بيدرس اللي هو الـ organs والأعضاء + +53 +00:03:23,770 --> 00:03:26,530 +اللي موجودة فيه. الآن أنا بالـ second type of + +54 +00:03:26,530 --> 00:03:29,450 +anatomy، أخذنا الـ gross anatomy، أخذنا الـ + +55 +00:03:29,450 --> 00:03:32,110 +microscopic anatomy. خليني أحكي على الـ + +56 +00:03:32,110 --> 00:03:35,310 +developmental anatomy. هو النوع الثالث، الـ + +57 +00:03:35,310 --> 00:03:37,870 +developmental anatomy، معناته: study of anatomical + +58 +00:03:37,870 --> 00:03:41,890 +change in life cycle. إذا هو عبارة عن التغيرات اللي + +59 +00:03:41,890 --> 00:03:45,610 +بتصير خلال دورة الحياة، من لحظة الإخصاب إلى + +60 +00:03:45,610 --> 00:03:49,230 +لحظة الممات. إذا معناته الحكي: أنا بدرس كل التغيرات + +61 +00:03:49,230 --> 00:03:52,490 +في النمو والتطور اللي صارت لهذا الطفل من البداية + +62 +00:03:52,490 --> 00:03:56,960 +وحتى الممات. بنقسم تحته subtitles اللي هم الـ + +63 +00:03:56,960 --> 00:04:00,300 +embryology و الـ postnatal. هنا بدي آخذ بالي إن أنا + +64 +00:04:00,300 --> 00:04:03,380 +هذه الكلمة كبيرة، معناته أنا راح أقسمها قسمين، يعني + +65 +00:04:03,380 --> 00:04:06,620 +على سبيل المثال، embryo لحالها، fetus معناته + +66 +00:04:06,620 --> 00:04:11,240 +جنين، logy علم، إذا هنا هي معناته: علم الأجنة. the + +67 +00:04:11,240 --> 00:04:14,480 +study of prenatal development، معناته هنا أنا بحكي + +68 +00:04:14,480 --> 00:04:18,320 +على prenatal، حاجة ما قبل الميلاد، لساته جنين. أنا + +69 +00:04:18,320 --> 00:04:22,200 +بحكي على الـ study، العلم اللي بيدرس before birth. أما + +70 +00:04:22,200 --> 00:04:25,500 +الـ post-natal development اللي هو عبارة عن ما بعد + +71 +00:04:25,500 --> 00:04:29,580 +الولادة. تختلف عن هاي تماماً. هنا في عندنا pre-natal + +72 +00:04:29,580 --> 00:04:32,820 +وهنا عندنا post-natal. الـ post-natal هنا في حرف الـ + +73 +00:04:32,820 --> 00:04:36,840 +T، وهنا الـ after birth. معناته الـ T معناته أنا بحكي + +74 +00:04:36,840 --> 00:04:41,560 +post مع after، بتيجي pre مع before. إذا في عندي + +75 +00:04:41,560 --> 00:04:44,040 +نوعين من الـ developmental anatomy اللي هم الـ + +76 +00:04:44,040 --> 00:04:47,780 +embryology و الـ post-natal. آجي للنوع الرابع + +77 +00:04:47,780 --> 00:04:51,790 +والأخير اللي هو ما يسمى بالـ comparative anatomy، الـ + +78 +00:04:51,790 --> 00:04:54,670 +comparative anatomy هو عبارة عن التشريح المقارن، + +79 +00:04:54,670 --> 00:04:58,470 +معناته الكلام: التشريح المقارن هو الـ comparison لـ الـ + +80 +00:04:58,470 --> 00:05:00,770 +structural ما بين الـ organism، إنه أنا بدي أقارن + +81 +00:05:00,770 --> 00:05:03,210 +هاي الـ organism مع بعضها البعض. أنواع هالـ + +82 +00:05:03,210 --> 00:05:06,030 +vertebrate، الـ comparison of structural among + +83 +00:05:06,030 --> 00:05:08,910 +vertebrate classes. يعني على سبيل المثال، هاي + +84 +00:05:08,910 --> 00:05:12,210 +الفقاريات وهاد اللي لا فقاريات، هاد إلها مميزاتها + +85 +00:05:12,210 --> 00:05:15,790 +وهاد إلها خصائصها. إذا خليني أعمل summary لكل اللي + +86 +00:05:15,790 --> 00:05:20,180 +أنا شرحته، حكيت على اللي هو تعريف الـ anatomy، حكيت على + +87 +00:05:20,180 --> 00:05:23,120 +الـ أربعة kinds اللي موجودة عندنا، أو الـ أربعة types + +88 +00:05:23,120 --> 00:05:25,960 +اللي موجودة عندنا في الـ anatomy، وتحتها في الـ + +89 +00:05:25,960 --> 00:05:31,420 +subtitles. باجي أنا كطالب، بحط ورقة وقلم وبعمل اللي + +90 +00:05:31,420 --> 00:05:36,700 +هو graphs، طبعاً رسومات، حتى أنا أسَهّل على حالي لدراسة + +91 +00:05:36,700 --> 00:05:41,940 +هذا. أفضل طريقة لشرح أو لحفظ الـ anatomy. آجي أحكي + +92 +00:05:41,940 --> 00:05:46,110 +شوية عن physiology. الآن، حكيت أنا في بداية المحاضرة + +93 +00:05:46,110 --> 00:05:48,830 +إن أنا ممكن أدرس الـ physiology و الـ anatomy مع + +94 +00:05:48,830 --> 00:05:52,650 +بعض، ولكن بعض الكتب الحديثة فصلت هذا علم وهذا علم، + +95 +00:05:52,650 --> 00:05:56,550 +ولكن كلاهما نفس الشيء بيكونوا، بعض الأحيان في بعض + +96 +00:05:56,550 --> 00:06:00,330 +كتب بنحكي: هذا كتاب anatomy and physiology، ما في + +97 +00:06:00,330 --> 00:06:04,410 +مجال إنه أنا أفصلهم عن بعض. الآن الكلمة اللي أخذنا + +98 +00:06:04,410 --> 00:06:07,470 +الـ Anatomy هي عبارة عن الـ structural of the body، + +99 +00:06:07,470 --> 00:06:12,410 +تركيبة الجسم، ولكن الـ physiology هي عبارة عن دراسة + +100 +00:06:12,410 --> 00:06:15,950 +الـ function. أخذنا إن الجهاز التنفسي يتكون من + +101 +00:06:15,950 --> 00:06:19,870 +الرئتين والقصبة الهوائية، لكن كيف بدها تشتغل + +102 +00:06:19,870 --> 00:06:25,200 +الرئتين؟ هذا اللي بيدرسه علم الـ physiology. The + +103 +00:06:25,200 --> 00:06:28,240 +function of body structural، اللي هو دراسة المظيفة + +104 +00:06:28,240 --> 00:06:31,340 +تبع التركيب الجسم، لكن الـ structural و الـ function + +105 +00:06:31,340 --> 00:06:34,300 +cannot be completely separated. أنا مستحيل أفصلهم + +106 +00:06:34,300 --> 00:06:38,160 +عن بعض، يعني الـ Anatomy والفيسيولوجي لا يمكن فصلهم + +107 +00:06:38,160 --> 00:06:41,880 +كذلك، الـ structural and functional لا يمكن فصلهما. + +108 +00:06:42,150 --> 00:06:45,450 +الآن، الـ form له علاقة مباشرة بالـ function، على سبيل + +109 +00:06:45,450 --> 00:06:49,430 +المثال، شكل الرئتين مناسب جداً لوظيفتهما في عملية + +110 +00:06:49,430 --> 00:06:53,450 +تبادل الغازات، تمام؟ أيضاً، وظيفة الكلى مباشرة تماماً + +111 +00:06:53,450 --> 00:06:56,590 +شكلها، لأنها تعمل على تصفية الدم وتنقية الجسم من + +112 +00:06:56,590 --> 00:07:01,170 +السموم. هذا بالنسبة للـ physiology. هحكي على حاجة مهمة + +113 +00:07:01,170 --> 00:07:04,610 +جداً، اللي هو الـ Structural Level Organization، شو + +114 +00:07:04,610 --> 00:07:06,670 +يعني الـ Structural Level Organization؟ من وين بده + +115 +00:07:06,670 --> 00:07:09,010 +يبدأ الإنسان؟ زي ما أنتم شايفين، هذا الـ slide كتير + +116 +00:07:09,010 --> 00:07:13,590 +كتير، ولكن خليني أنا أبسطها. باجي برسم، عندي لو أنه + +117 +00:07:13,590 --> 00:07:17,450 +أنا موجود، عندي اليوم في الصبورة، في عندي حاجة اللي + +118 +00:07:17,450 --> 00:07:21,650 +هو الهرم، برسمها، أسفل شيء، هحطه، أو اللي هو بيكون على + +119 +00:07:21,650 --> 00:07:24,410 +القاعدة، الـ atom، اللي هي الذرة. بتعرفوا أن أصل + +120 +00:07:24,410 --> 00:07:28,290 +الدنيا كلها ذرات. معناته، بتتكون الذرة من الكربون + +121 +00:07:28,290 --> 00:07:32,630 +والهيدروجين والأكسجين. اتحاد ذرتين أو أكثر بيعطينا + +122 +00:07:32,630 --> 00:07:36,550 +حاجة اسمها الـ molecules، الجزيء. تعرف الجزيء على أنه + +123 +00:07:36,550 --> 00:07:39,890 +أي particle composed of two or more giant atoms. + +124 +00:07:39,890 --> 00:07:43,110 +هو عبارة عن ارتباط ذرتين أو أكثر، اتنين هيدروجين مع + +125 +00:07:43,110 --> 00:07:47,130 +واحدة أكسجين بتعطينا ماء. واتحاد molecules أو + +126 +00:07:47,130 --> 00:07:51,410 +اتنين، اتحاد + +127 +00:07:51,920 --> 00:07:57,120 +الاتحاد two molecules أو أكثر، هذا بيعطيني الـ macro + +128 +00:07:57,120 --> 00:07:59,540 +molecules، زي الكربوهيدرات و الـ lipid و الـ protein. + +129 +00:07:59,540 --> 00:08:03,440 +إذاً الـ macro molecules is defined as large + +130 +00:08:03,440 --> 00:08:08,360 +molecules. طبعاً اتحاد macro، كلمة macro لحالها تطلع + +131 +00:08:08,360 --> 00:08:11,640 +بالأعزاء، معناته: large، حاجة كبيرة. إذا أنا جمعت بالـ + +132 +00:08:11,640 --> 00:08:16,040 +O هنا، combined together، بيصير macro molecules. الـ + +133 +00:08:16,040 --> 00:08:18,000 +macro لحالها كبيرة، و الـ molecules هي أبداً عن + +134 +00:08:18,000 --> 00:08:21,470 +الجزيء. الـ Organelles هي عبارة عن الـ cell + +135 +00:08:21,470 --> 00:08:24,650 +membrane و الـ nucleus و الـ ribosome، تمام؟ اللي + +136 +00:08:24,650 --> 00:08:27,430 +إيش هم العضيات؟ الـ Organelles هي عبارة عن الـ + +137 +00:08:27,430 --> 00:08:31,610 +small organs اللي بتشكل الخلية. مجموعة من الميكرو ومن + +138 +00:08:31,610 --> 00:08:34,850 +الماكرو موليكولز كوّنت لي الـ cell membrane، غشاء + +139 +00:08:34,850 --> 00:08:37,550 +الخلية، كوّنت لي الـ ribosomes، الميتوكندرية، وكل هذه + +140 +00:08:37,550 --> 00:08:41,750 +الشغلات بتؤدي وظيفة معينة. إذن، خليني أعمل summarize + +141 +00:08:41,750 --> 00:08:46,270 +لهذه الشريحة، بحكي: في البداية، بحط الـ atom، مجموعة من + +142 +00:08:46,270 --> 00:08:49,350 +الـ atom شكلت لي الموليكولز، مجموعة من الموليكولز + +143 +00:08:49,350 --> 00:08:52,690 +عملت لي الماكرو موليكولز، مجموعة من الماكرو + +144 +00:08:52,690 --> 00:08:56,450 +موليكولز عملت لي الـ organelles اللي موجودة عندي. + +145 +00:08:56,540 --> 00:09:00,080 +مجموعة من الـ Organelles شكلت الخلية في النهاية. + +146 +00:09:00,080 --> 00:09:02,880 +أنا عندي الـ nucleus وعندي الـ ribosomes وعندي + +147 +00:09:02,880 --> 00:09:06,880 +الميتوكوندريا وعندي مكونات الخلية، أعطتني بالآخر + +148 +00:09:06,880 --> 00:09:10,000 +خلية، وكلنا بنعرف تعريف الخلية هي عبارة عن الـ + +149 +00:09:10,000 --> 00:09:13,140 +Basic Unit of Structural and Function، هي وحدة بناء + +150 +00:09:13,140 --> 00:09:17,820 +الكائن الحي وظيفياً وتركيبياً. لـ Level Organism طبعاً + +151 +00:09:17,820 --> 00:09:21,760 +كل خلية من الخلايا إلها صفاتها الخاصة فيها. هنا + +152 +00:09:21,760 --> 00:09:25,620 +جايب لي مثال، على سبيل المثال، إن هو الـ Red Blood + +153 +00:09:25,620 --> 00:09:30,080 +Cell، A-nucleated. لما بنقول كلمة الـ A بتسبق اللي هي + +154 +00:09:30,080 --> 00:09:33,940 +الكلمة، معناته بتنفيها. إذا هي عبارة عن خلية + +155 +00:09:33,940 --> 00:09:38,520 +الآنوية، لأن هذا التركيب أو هذا الشكل بيعطيها قابلية + +156 +00:09:38,520 --> 00:09:42,080 +أكبر وأسرع لنقل الـ Oxygen في الدم، وهذا الشيء بدي إياه. مجموعة من الخلايا أعطتني حاجة اسمها + +157 +00:09:42,080 --> 00:09:46,760 +الـ Tissues، هات. شو هي؟ عبارة عن الأنسجة. بتعرف في + +158 +00:09:50,210 --> 00:09:52,830 +عندنا أربعة أنواع من الأنسجة، في عندنا النسيج الطلائي + +159 +00:09:52,830 --> 00:09:56,610 +أو النسيج الحرشفي، الـ connective اللي هو الضام، و + +160 +00:09:56,610 --> 00:09:59,730 +الـ muscles العضلات، و الـ nervous system. الـ Tissue + +161 +00:09:59,730 --> 00:10:02,750 +is defined as a group of similar cells that + +162 +00:10:02,750 --> 00:10:07,190 +performs a specialized function. مجموعة من الخلايا + +163 +00:10:07,190 --> 00:10:10,510 +كوّنت لي الـ Tissue، هذه الـ Tissue قدّمت وظيفة معينة. + +164 +00:10:10,510 --> 00:10:14,070 +Two or more tissues بتتحد مع بعض، نسيج أو اثنين، + +165 +00:10:14,070 --> 00:10:17,810 +بيعطونا حاجة اسمها الـ organs. الـ organs هي عبارة + +166 +00:10:17,810 --> 00:10:20,870 +عن الأعضاء، على سبيل المثال، الـ skin، و الـ heart، و الـ + +167 +00:10:20,870 --> 00:10:25,960 +brain، القلب، والجلد، اللي هو الدماغ. مجموعة من الـ + +168 +00:10:25,960 --> 00:10:29,100 +organs، defined as a structural unit consist of + +169 +00:10:29,100 --> 00:10:31,340 +a group of tissues that perform specialized + +170 +00:10:31,340 --> 00:10:35,920 +function. رجوع من الأنسجة كوّنت لي اللي هو عضو، القلب + +171 +00:10:35,920 --> 00:10:40,870 +على سبيل المثال، بأدي وظيفة اللي هي ضخ دم للجسم، تمام؟ + +172 +00:10:40,870 --> 00:10:45,170 +مجموعة من الـ organs، أو اتحاد الـ organs، هذه الجهاز، + +173 +00:10:45,170 --> 00:10:49,450 +اللي هو القلب والرئتين والأشياء هذه كلها عملت لي + +174 +00:10:49,450 --> 00:10:53,030 +system، عملت لي نظام موجود عندي في جسم الإنسان، على + +175 +00:10:53,030 --> 00:10:5 + +223 +00:13:42,960 --> 00:13:45,600 +الـ Vital Organs اللي موجودة عندي، زي القلب + +224 +00:13:45,600 --> 00:13:50,340 +والدماغ وهذه الأمور، أيضًا بيؤدي إلى الحركة والتكوين + +225 +00:13:50,340 --> 00:13:53,480 +كريات الدم أيضًا خلال اللي هو الـ Red Bone Marrow + +226 +00:13:53,480 --> 00:13:57,240 +المخاع الأحمر، بتم إنتاج خلايا الدم أيضًا، هو عبارة + +227 +00:13:57,240 --> 00:14:01,300 +عن مصنع لـ Calcium والـ S4 اللي موجود + +228 +00:14:01,300 --> 00:14:05,220 +داخل الـ Bone، هذه كبحكي عليها كلية من هنا الحزام + +229 +00:14:05,220 --> 00:14:09,520 +الصدري، ومكونات الـ Upper Arm، وتحت هنا عندي اللي + +230 +00:14:09,520 --> 00:14:13,820 +هي الحزام الحوضي اللي موجود هنا، واللي هي الـ + +231 +00:14:13,820 --> 00:14:18,350 +Lower Limb، طبعًا أحكي على أخوه تمامًا، أو توأمه، خليني + +232 +00:14:18,350 --> 00:14:21,710 +أحكي اللي هو الـ muscular system، يحتوي على سلسلة الـ + +233 +00:14:21,710 --> 00:14:24,830 +muscles، في عندي عضلات موجودة في الجسم، العضلة لها + +234 +00:14:24,830 --> 00:14:30,010 +نقطة بداية، ولها نقطة نهاية، إذا العضلة عشان يصير + +235 +00:14:30,010 --> 00:14:33,430 +لها عملية الانقباض والانبساط، لازم يكون لها نقطة + +236 +00:14:33,430 --> 00:14:37,410 +بداية ونقطة نهاية، أيضًا بتكون مصاحبة بـ connective + +237 +00:14:37,410 --> 00:14:40,670 +tissue، أنسجة داعمة، ما بيصير العضلة تكون موجودة هيك و + +238 +00:14:40,670 --> 00:14:43,480 +خلاص، لازم يكون لها فيه نقاط ارتباط ونقاط قوة + +239 +00:14:43,480 --> 00:14:47,240 +فبالتالي ترتبط عن طريق الأوتار اللي موجودة + +240 +00:14:47,240 --> 00:14:51,280 +من الـ connective tissue، النسيج الداعم، شو وظيفة الـ + +241 +00:14:51,280 --> 00:14:53,900 +muscular system؟ وظيفته الـ locomotion، + +242 +00:14:53,900 --> 00:14:57,480 +manipulation، و environment، و facial expression أيضًا + +243 +00:14:57,480 --> 00:15:01,000 +و الـ maintain للـ posture، وبنتج الطاقة الحرارية، خليني + +244 +00:15:01,000 --> 00:15:04,180 +أشوف الـ locomotion في الحركة، الـ manipulation خلال + +245 +00:15:04,180 --> 00:15:06,900 +أو اللي هو الحركة خلال البيئة، والـ environment + +246 +00:15:06,900 --> 00:15:09,970 +اللي موجودة عندك اليوم، إذا أنا كنت happy أو كنت sad + +247 +00:15:09,970 --> 00:15:13,330 +بيبين على وجهي، ليش؟ من الـ facial expression، من + +248 +00:15:13,330 --> 00:15:17,010 +العضلات اللي موجودة، إذا هي عملية سهلة للتواصل مع + +249 +00:15:17,010 --> 00:15:21,030 +الناس الثانية، بيحافظ لي على الـ posture اللي هو + +250 +00:15:21,030 --> 00:15:24,330 +الوقوف، بيحافظ على الوقوف، بتعرفه مثلًا لما بتكون + +251 +00:15:24,330 --> 00:15:28,110 +العضلات سليمة وكويسة، وانتِ بخير؟ أو أنتَ بخير، بتلاقي + +252 +00:15:28,110 --> 00:15:32,830 +إنكِ أنتِ بقوام جيد وسليم، Producing للحرارة، بينتج هذا + +253 +00:15:32,830 --> 00:15:36,330 +اللي هو الـ muscular system، اللي بينتج الطاقة + +254 +00:15:36,330 --> 00:15:40,290 +الحرارية اللي بتُنْبَعِث وتُدْفَق، اللي هو أنا محتاجة + +255 +00:15:40,290 --> 00:15:43,890 +لجسمي، أحكي على الـ system اللي هو الـ circulatory + +256 +00:15:43,890 --> 00:15:46,350 +system، يحتوي الـ circulatory system على جهازين + +257 +00:15:46,350 --> 00:15:50,990 +رئيسيين، Cardiovascular، لاحظوا أنا كيف قسمتها، Cardio + +258 +00:15:50,990 --> 00:15:54,210 +لحال، و Vascular لحال، هنا بحكي على الـ heart، وهنا + +259 +00:15:54,210 --> 00:15:57,610 +بحكي على الشرايين والأوردة، إذا الـ cardiovascular + +260 +00:15:57,610 --> 00:16:00,770 +system، والجهاز الآخر اللي هو الـ lymphatic system + +261 +00:16:00,770 --> 00:16:04,210 +شو وظيفة الـ circulatory أو الجهاز الدوري؟ + +262 +00:16:04,210 --> 00:16:07,990 +وظيفته بيعمل transportation، عملية نقل للمواد + +263 +00:16:07,990 --> 00:16:13,290 +خلال الجسم، من وإلى البيئة الداخلية والخارجية، كيف + +264 +00:16:13,290 --> 00:16:16,670 +يعني؟ ممكن أنا بدي أعطي للبيئة الداخلية لجسم الإنسان + +265 +00:16:16,670 --> 00:16:19,900 +أعطيه علاج عن طريق الـ cannula، أو عن طريق اللي هي + +266 +00:16:19,900 --> 00:16:22,980 +الإبرة اللي بتتم إدخالها، وعن طريقها بتتم عملية العلاج + +267 +00:16:22,980 --> 00:16:27,520 +داخل الجسم، اللي هو الـ intravenous، إذا عملية نقل + +268 +00:16:27,520 --> 00:16:31,040 +الأغذية والمواد، سواء كانت علاج أو أغذية + +269 +00:16:31,040 --> 00:16:34,180 +أو كل اللي بيتم، اللي هو عن طريق اللي هو الـ + +270 +00:16:34,180 --> 00:16:37,740 +cardiovascular system، عن طريق الوريد اللي موجود + +271 +00:16:37,740 --> 00:16:42,280 +عندي داخل الجسم، إذا هحكي عن الـ cardiovascular system + +272 +00:16:42,280 --> 00:16:45,080 +بيحتوي على، زي ما قسمنا الكلمة، Cardio لحال + +273 +00:16:45,080 --> 00:16:49,530 +و Vascular لحال، الـ Heart والـ Vessels، تمامًا، وظيفته + +274 +00:16:49,530 --> 00:16:53,210 +بيعمل transportation للـ blood، أيضًا نقل، عملية + +275 +00:16:53,210 --> 00:16:56,570 +نقل اللي هو مكونات الدم، والدم بيحتوي زي ما أنتم + +276 +00:16:56,570 --> 00:16:59,670 +عارفين على أكسجين وثاني أكسيد الكربون، أيضًا blood + +277 +00:16:59,670 --> 00:17:03,670 +composed of plasma and cells، يحتوي على الدم على + +278 +00:17:03,670 --> 00:17:07,070 +اللي هو البلازما، اللي هو السائل القشري، + +279 +00:17:07,070 --> 00:17:10,870 +وكذلك الخلايا، اللي هي زي كريات الدم الحمراء + +280 +00:17:10,870 --> 00:17:14,650 +وكريات الدم البيضاء، وصفائح الدموية، الباقي كامل + +281 +00:17:14,650 --> 00:17:18,930 +هيكون بإذن الله تعالى عن الـ blood ومكوناته وأنواعه + +282 +00:17:19,330 --> 00:17:23,110 +هحكي على الجهاز الليمفاوي، اللي هو التوأم تبع الـ + +283 +00:17:23,110 --> 00:17:26,270 +cardiovascular system، يحتوي على الـ lymphatic + +284 +00:17:26,270 --> 00:17:30,490 +organs، الأعضاء الليمفاوية زي الطحال، العقد + +285 +00:17:30,490 --> 00:17:33,970 +الليمفاوية، والغدة التيموسية، الـ lymphatic vessels + +286 +00:17:33,970 --> 00:17:37,620 +اللي هي الأوعية الليمفاوية، وظيفتها تعمل على الـ + +287 +00:17:37,620 --> 00:17:40,540 +transportation للـ lymph، الـ lymph that drains from + +288 +00:17:40,540 --> 00:17:43,580 +the tissue fluid، بتم استخراج اللي هو السائل + +289 +00:17:43,580 --> 00:17:47,500 +الليمفاوي، تجميعه، وأيضًا يستضيف اللي هو الـ white + +290 +00:17:47,500 --> 00:17:50,560 +blood cells، الجهاز الليمفاوي وظيفته أنه بيحسن + +291 +00:17:50,560 --> 00:17:53,640 +المناعة، أنه بيطرد الأجسام الغريبة داخل الجسم + +292 +00:17:53,640 --> 00:17:57,640 +بيطردها إلى الخارج، تمام؟ إذا يستضيف اللي هو الـ + +293 +00:17:57,640 --> 00:18:03,660 +white blood cells، أجينا للجهاز اللي هو حامي الجسم + +294 +00:18:03,660 --> 00:18:07,680 +اللي هو اسمه الـ Defense system، طبعًا، أو جهاز الدفاع عن + +295 +00:18:07,680 --> 00:18:10,480 +الجسم، الـ Immunity System، اللي احنا حاليًا عشان + +296 +00:18:10,480 --> 00:18:15,200 +COVID-19، لازم نهتم فيه ونحافظ على مناعة أجسامنا + +297 +00:18:15,200 --> 00:18:18,960 +يحتوي الـ Immunity System أو جهاز المناعة على الـ + +298 +00:18:18,960 --> 00:18:22,220 +Immune organs، اللي فيه الطحال، الغدة التيموسية في الـ + +299 +00:18:22,220 --> 00:18:25,200 +Thymus، الغدة الزعترية، أيضًا الـ White Blood Cells + +300 +00:18:25,200 --> 00:18:29,500 +اللي أنا بكرة هختصرها بالـ WBC، اللمفوسايتس اللي هي + +301 +00:18:32,500 --> 00:18:37,460 +الخلايا الليمفاوية، الـ Macrophages اللي هي عبارة عن + +302 +00:18:37,460 --> 00:18:41,220 +الخلايا + +303 +00:18:41,220 --> 00:18:45,400 +البالعة، خليني أحكي، أو الخلايا البالعة، macro لحالها + +304 +00:18:45,400 --> 00:18:49,120 +تختلف عن micro، micro اللي بالـ i بتكون صغيرة، أما + +305 +00:18:49,120 --> 00:18:52,520 +هنا macro كبيرة، فمعناته هي عبارة عن الخلايا + +306 +00:18:52,520 --> 00:18:57,510 +البالعة، وظيفتها Defense and Immunity Response، الـ + +307 +00:18:57,510 --> 00:19:00,870 +Immune Response، يعني جهاز المناعة، تمام؟ هذا اللي + +308 +00:19:00,870 --> 00:19:05,370 +هو جهاز المناعة، خليني أشوف الـ Nervous System، هذا + +309 +00:19:05,370 --> 00:19:10,110 +الجهاز اللي هو الأعظم والأهم في جسم الإنسان، باجي + +310 +00:19:10,110 --> 00:19:13,070 +أنا بحكي الـ Nervous System، يحتوي على قسمين + +311 +00:19:13,070 --> 00:19:17,730 +أساسيين، Central Nervous System، وبختصرها الـ CNS، و + +312 +00:19:17,730 --> 00:19:21,250 +الـ Peripheral Nervous System، وبختصرها الـ PNS، الـ + +313 +00:19:21,250 --> 00:19:24,230 +CNS يحتوي على الـ brain والـ spinal cord، طبعًا + +314 +00:19:24,230 --> 00:19:28,850 +نخاع شوكي، ونفس الشيء بعمل التقسيمات التابعة للـ + +315 +00:19:28,850 --> 00:19:31,350 +peripheral nervous system، أو الأعصاب الطرفية + +316 +00:19:31,350 --> 00:19:34,850 +تحتوي على الـ nerves والـ sense receptors، تمام؟ شو + +317 +00:19:34,850 --> 00:19:38,290 +وظيفته؟ الـ nervous system هذا بشتغل معايا مع + +318 +00:19:38,290 --> 00:19:41,880 +الـ endocrine system، اللي هو جهاز، أو الغدد الصماء + +319 +00:19:41,880 --> 00:19:46,340 +ما بيصير أنه أنا أشتغل وأنا ما عندي دماغ، أو أشتغل + +320 +00:19:46,340 --> 00:19:48,840 +مين بده يعطي السيالات العصبية؟ مين بده يرسل لي + +321 +00:19:48,840 --> 00:19:53,040 +الإشارة؟ أرفع إيدي، أنه في خطر هنا؟ لأ، لازم يكون في عندي + +322 +00:19:53,040 --> 00:19:56,660 +سلامة اللي هو جسم الإنسان، بسلامة الـ Nervous + +323 +00:19:56,660 --> 00:20:00,390 +System، وظيفته بيعمل Control System، fast and hard + +324 +00:20:00,390 --> 00:20:03,910 +worker، طبعًا على طول مستجيب، سريع response للـ + +325 +00:20:03,910 --> 00:20:06,710 +external and internal environment، لو انخفض جسمي من + +326 +00:20:06,710 --> 00:20:10,090 +حرارة خارجية، بتبقى فمّك أنتِ مبردة على حالك، لو انخفض + +327 +00:20:10,090 --> 00:20:13,710 +جسمي من مشاكل داخلية، على سبيل المثال في عنده التهاب + +328 +00:20:13,710 --> 00:20:17,070 +في الزائدة الدودية، على طول بتبين الأعراض، أنه شيلوا + +329 +00:20:17,070 --> 00:20:20,290 +هذا الـ organ، فيه مشكلة، إذا الـ nervous system هو + +330 +00:20:20,290 --> 00:20:24,330 +عبارة عن جهاز عظيم، جهاز كبير، مهم جدًا في جسم + +331 +00:20:24,330 --> 00:20:28,780 +الإنسان، The Endocrine System، يحتوي على + +332 +00:20:28,780 --> 00:20:32,360 +الغدد، هذه الغدد، إيش وظيفتها؟ تفرز الهرمونات، على + +333 +00:20:32,360 --> 00:20:36,520 +سبيل المثال، سلامة الهرمونات، أو سلامة الغدد، بسلامة + +334 +00:20:36,520 --> 00:20:40,200 +إفرازها للهرمونات، البروستاتا، الغدة النخامية، وكذلك + +335 +00:20:40,200 --> 00:20:43,840 +البنكرياس، والغدة الدرقية، يعمل على + +336 +00:20:43,840 --> 00:20:46,660 +الـ control system of growth and chemical، تمام، + +337 +00:20:46,660 --> 00:20:50,980 +بيظبط لي، على سبيل المثال، الهرمونات، لازم يكون إفرازها + +338 +00:20:50,980 --> 00:20:55,240 +بشكل سليم، ليست عالية جدًا، وليست منخفضة، فبالتالي + +339 +00:20:55,240 --> 00:20:59,580 +تنظيمها بيؤدي إلى اللي هو سلامة الجسم للإنسان، بيعني الـ + +340 +00:20:59,580 --> 00:21:01,640 +regulation للـ processes زي الـ growth والـ reproduction + +341 +00:21:01,640 --> 00:21:06,210 +والـ nutrition use، زي ما حكيت لكم، هرمون النمو لو كان + +342 +00:21:06,210 --> 00:21:10,510 +عالي جدًا بيؤدي للعمالقة، ولو كان مش موجود أو منخفض + +343 +00:21:10,510 --> 00:21:14,550 +بيؤدي للقزم، فبالتالي، سلامة الهرمونات تشتغل مع + +344 +00:21:14,550 --> 00:21:19,090 +اللي هو الـ Nervous System اللي موجود عندنا، عندنا + +345 +00:21:19,090 --> 00:21:22,130 +الجهاز المهم، اللي هو الـ respiratory system، أو ما + +346 +00:21:22,130 --> 00:21:26,550 +يسمى بالجهاز التنفسي، يحتوي زي ما أنتم شايفين على + +347 +00:21:26,550 --> 00:21:31,290 +الرئتين، الرئة اليمنى والرئة اليسرى، الـ right lung + +348 +00:21:31,290 --> 00:21:34,530 +اللي هي تحتوي على three lobes، ثلاثة أجزاء رئيسية + +349 +00:21:34,820 --> 00:21:38,760 +والـ left lung تحتوي على two lobes، نظرًا لوجود اللي + +350 +00:21:38,760 --> 00:21:42,500 +هو الـ heart، تحتوي أيضًا على الـ tubing، بعض القنابيب + +351 +00:21:42,500 --> 00:21:46,120 +زي القصبة الهوائية، والبرونكس، والشعب الهوائية + +352 +00:21:46,120 --> 00:21:49,720 +اللي موجودة عندنا، الـ larynx، الحنجرة، لها علاقة بالـ + +353 +00:21:49,720 --> 00:21:53,420 +vocal cords، اللي هو الأحبال الصوتية، الآن الـ + +354 +00:21:53,420 --> 00:21:57,430 +function تبعتها، شو وظيفة الجهاز التنفسي؟ عملية + +355 +00:21:57,430 --> 00:22:02,010 +التبادل للغازات، هنا بيتم أخذ الأكسجين، وطرد ثاني + +356 +00:22:02,010 --> 00:22:06,650 +أكسيد الكربون، اللي هو ما بين الدم والهواء الجوي + +357 +00:22:06,650 --> 00:22:09,930 +إذا، exchange للـ respiratory gases، الأكسجين و + +358 +00:22:09,930 --> 00:22:14,130 +ثاني أكسيد الكربون، ما بين الـ blood والـ atmosphere، أيضًا + +359 +00:22:14,130 --> 00:22:18,030 +اللي هو الـ voice production، إنتاج الصوت، اللي موجود + +360 +00:22:18,030 --> 00:22:22,290 +الجهاز الآخر اللي هو عبارة عن الـ digestive system + +361 +00:22:22,290 --> 00:22:27,200 +يحتوي على قناتين رئيسيتين، حاجة elementary، مستحيل + +362 +00:22:27,200 --> 00:22:31,600 +أستغنى عنها، وحاجة وجودها أو عدمها ما بيأثر، أولًا إيش الـ Elementary Canals، أو القناة الهضمية + +363 +00:22:31,600 --> 00:22:34,280 +الأساسية؟ تبدأ بالفم، ومرورا بالـ pharynx، البلعوم، و + +364 +00:22:34,280 --> 00:22:39,760 +الـ Esophagus، المريء، اللي أنتم شايفينه، والـ + +365 +00:22:39,760 --> 00:22:43,380 +Stomach، المعدة، والـ Small Intestine، والـ Large Intestine، + +366 +00:22:43,380 --> 00:22:46,700 +أمعاء دقيقة وأمعاء غليظة، أما الـ Accessory اللي + +367 +00:22:46,700 --> 00:22:50,180 +هي على سبيل المثال، بعض الأحيان بتلاقي استئصال جزء + +368 +00:22:50,180 --> 00:22:52,920 +من الـ Liver، الكبد، أو الـ Salivary glands، الغدد + +369 +00:22:52,920 --> 00:22:55,840 +اللعابية، أو البنكرياس، فيها مشكلة بروحها، أنا شايعة + +370 +00:22:55,840 --> 00:22:59,160 +جزء منها كثير بتشوفها ناس، طبعًا، أيضًا من غير المرارة + +371 +00:22:59,160 --> 00:23:02,880 +اللي هو الـ Gall Bladder، معناته الكلام اللي أنا فيه + +372 +00:23:02,880 --> 00:23:06,260 +أستغنى عن جزء بسيط منها اللي موجود عندي هنا، شو + +373 +00:23:06,260 --> 00:23:10,340 +وظيفة الجهاز الهضمي؟ يعمل على تكسير الطعام وتقطيعه + +374 +00:23:10,340 --> 00:23:15,080 +حتى يسهل امتصاصه، نمتص الأشياء المفيدة لنا، الحديد + +375 +00:23:15,080 --> 00:23:20,120 +والزنك، والفسفور، والكالسيوم، ونطرد اللي هو eliminate + +376 +00:23:20,120 --> 00:23:23,960 +الـ waste products، عن طريق اللي هو الـ rectum أو عن + +377 +00:23:23,960 --> 00:23:28,060 +طريق اللي هي المستقيم اللي موجود عندنا، هذا الـ + +378 +00:23:28,060 --> 00:23:31,820 +digestive system، خليني أحكي عن الـ urinary + +380 +00:23:40,790 --> 00:23:44,890 +اليوريناري، يحتوي على الـ kidneys، اللي هم الكليتين + +381 +00:23:44,890 --> 00:23:48,810 +زي ما حكيت، بيشبه حبة الفاصوليا، أيضًا يحتوي على + +382 +00:23:48,810 --> 00:23:53,810 +الحالبين، حالب في اليمين وحالب في اليسار، ويجتمعان + +383 +00:23:53,810 --> 00:23:58,550 +ليفرغوا ما فيهما داخل اللي هو الـ Urinary Bladder + +384 +00:23:58,550 --> 00:24:02,790 +اللي هي المثانة البولية، وأيضًا يخرج اللي هو عن طريق + +385 +00:24:02,790 --> 00:24:07,050 +الـ urethra، المجرى البولي، شو وظيفة الجهاز البولي؟ + +386 +00:24:07,050 --> 00:24:10,630 +وظيفته أنه بيعمل elimination للفضلات، بيطلع اللي هو + +387 +00:24:10,630 --> 00:24:14,970 +الـ Nitrogen من الدم، يعني بيزيل الفضلات خارج الجسم + +388 +00:24:15,160 --> 00:24:19,080 +بيعمل معادلة للقاعدة الحمضية الموجودة داخل جسم + +389 +00:24:19,080 --> 00:24:23,540 +الإنسان، أي مشكلة بتؤدي لتورم وانتفاخ القدمين + +390 +00:24:23,540 --> 00:24:27,920 +واليدين، إذا بيعمل عملية exchange ما بين الـ + +391 +00:24:27,920 --> 00:24:30,500 +blood والـ external environment، بيعمل regulation + +392 +00:24:30,500 --> 00:24:34,040 +للـ water والأملاح، الـ electrolyte، base and acid + +393 +00:24:34,040 --> 00:24:39,620 +balance، تمام؟ هذا اللي بيعملوا الجهاز الـ urinary + +394 +00:24:39,620 --> 00:24:42,960 +system، الجهاز الآخر معانا اللي هو الـ \ No newline at end of file diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/E5ZN2COQhJM_postprocess.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/E5ZN2COQhJM_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..e59bbca74bd66db75cdfb507893067166b72614a --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/E5ZN2COQhJM_postprocess.srt @@ -0,0 +1,1628 @@ +1 +00:00:06,170 --> 00:00:08,910 +بسم الله الرحمن الرحيم والصلاة والسلام على أشرف + +2 +00:00:08,910 --> 00:00:11,770 +الأنبياء والمرسلين محمدا عليها أفضل الصلاة و أتم + +3 +00:00:11,770 --> 00:00:17,810 +التسليم سأبدأ بإذن الله تعالى اليوم في شرح اللي هو + +4 +00:00:17,810 --> 00:00:22,790 +المحاضرة الأولى في مساقة علم التشريح للمستوى الأول + +5 +00:00:22,790 --> 00:00:27,710 +من طلبة كلية العلوم الصحية بإذن الله تعالى سأتحدث + +6 +00:00:27,710 --> 00:00:31,330 +في هذه المحاضرة عن ما هو ال Anatomy وما تعريفه وما + +7 +00:00:31,330 --> 00:00:36,840 +هي أنواعه سأقوم بإذن الله تعالى الآنبالبداية في + +8 +00:00:36,840 --> 00:00:41,340 +chapter اللي هو الأول شو يعني ال Anatomy؟ ال + +9 +00:00:41,340 --> 00:00:46,280 +Anatomy هي عبارة عن كلمة يونانية تعني Greek تُكتَب + +10 +00:00:46,280 --> 00:00:49,520 +أو dissect يعني معناة الكلام إشي أنا بدي أفصله + +11 +00:00:49,520 --> 00:00:53,580 +معناته تعريفها اللي هو عبارة عن العلم اللي بيدرس + +12 +00:00:53,580 --> 00:00:58,140 +التركيبة تبع ال body ال kinds شو أنواعها؟اللي هي + +13 +00:00:58,140 --> 00:01:01,360 +Gross Anatomy, Microscopic Anatomy و Developmental + +14 +00:01:01,360 --> 00:01:06,680 +Anatomy و Comparative Anatomy إذا عندي تعريف ال + +15 +00:01:06,680 --> 00:01:10,760 +Anatomy هو عبارة عن كلمة يونانية ال science that + +16 +00:01:10,760 --> 00:01:13,180 +deals with the structure of the body هو العلم اللي + +17 +00:01:13,180 --> 00:01:17,690 +بتدرسالتركيبة اللى موجودة فى جسم الإنسان أنواعه فى + +18 +00:01:17,690 --> 00:01:20,130 +عناع Gross Anatomy و Microscopic Anatomy و + +19 +00:01:20,130 --> 00:01:23,830 +Developmental Anatomy و Comparative Anatomy خلينى + +20 +00:01:23,830 --> 00:01:27,050 +أشوف شو يعني ل Gross Anatomy كلمة Gross Anatomy + +21 +00:01:27,050 --> 00:01:31,350 +تعني study of structural with naked eye كل إشي أنا + +22 +00:01:31,350 --> 00:01:34,650 +بدي أدرسه بشوفه بالعين المجردة يعني على سبيل + +23 +00:01:34,650 --> 00:01:37,950 +المثال أنا بقدر أشوف الإيد بقدر أشوف البطن بقدر + +24 +00:01:37,950 --> 00:01:41,420 +أشوفه لكن اللى تحتهم مابقدر أشوفهفبالتالي أنا هنا + +25 +00:01:41,420 --> 00:01:45,380 +ال gross anatomy راح أقسمه إلى subtitle أو أقسام + +26 +00:01:45,380 --> 00:01:50,240 +ما تحت تندرج ما تحت اللي هي ال gross anatomy + +27 +00:01:50,240 --> 00:01:53,740 +regional and systemic ال regional إقليمي أو منطقي + +28 +00:01:53,740 --> 00:01:57,240 +أو جغرافي ال body studied with by region إذا هو + +29 +00:01:57,240 --> 00:02:01,820 +عبارة عن دراسة الجسم في مناطق محددة و معينة أما ال + +30 +00:02:01,820 --> 00:02:04,960 +systematic ال body studied by systemاللي هو system + +31 +00:02:04,960 --> 00:02:06,800 +by system يعني بدي أدرس اليوم ال respiratory + +32 +00:02:06,800 --> 00:02:09,900 +system أو ال digestive system الجهاز التنفسي + +33 +00:02:09,900 --> 00:02:13,560 +والجهاز الهضمي إذا تعريفنا لكلمة gross anatomy + +34 +00:02:13,560 --> 00:02:17,240 +معناته هو العلم اللي بدرس .. علم تشرح الإنسان اللي + +35 +00:02:17,240 --> 00:02:20,060 +بدرسه بالعين المجرد يعني حاجة كبيرة حاجة بتكون أنا + +36 +00:02:20,060 --> 00:02:23,690 +شايفاها بعينيخلّيني أشوف العكس تماما الـ + +37 +00:02:23,690 --> 00:02:27,090 +Microscopic Anatomy الـ Microscopic Anatomy الـ + +38 +00:02:27,090 --> 00:02:29,910 +definition تبعته اللي هو عبارة عن ال study + +39 +00:02:29,910 --> 00:02:32,570 +structures under microscope الحاجات اللي أنا + +40 +00:02:32,570 --> 00:02:36,750 +ماقدرت أشوفها بالعين المجردة هشوفها باللي هو ال + +41 +00:02:36,750 --> 00:02:39,950 +microscope أنواعها في عندنا ال cytology في عندنا + +42 +00:02:39,950 --> 00:02:43,510 +ال histology في عندنا ال organology الأن الأنواع + +43 +00:02:43,510 --> 00:02:47,210 +هذه اللي أنا هشرحها واحدة واحدة ال site دي الخلية + +44 +00:02:47,210 --> 00:02:51,590 +site تعني هنا لما نشوف كلمة siteتعني باللاتيني + +45 +00:02:51,590 --> 00:02:55,090 +cell لوجي هو عبارة عن العلم معناه الكلام ان انا + +46 +00:02:55,090 --> 00:02:58,550 +بدي احكي علم الخلية اذا the study of cells هي + +47 +00:02:58,550 --> 00:03:01,730 +عبارة عن العلم اللي بدرس الخلايا اذا cytology + +48 +00:03:01,730 --> 00:03:06,290 +باللاتيني تعني خلية وlogy العلم اذا هو العلم اللي + +49 +00:03:06,290 --> 00:03:10,850 +بدرس الخلية histology هستو لحالها تعني تشوف اي + +50 +00:03:10,850 --> 00:03:15,170 +انسجة باللاتيني logy هو العلم اذا the study of + +51 +00:03:15,170 --> 00:03:19,870 +تشوفإذا دراسة علم الأنسجة organology هي عبارة عن + +52 +00:03:19,870 --> 00:03:23,770 +العلم اللي بتمن دراسة اللي هو ال organs و الأعضاء + +53 +00:03:23,770 --> 00:03:26,530 +اللي موجودة فيه الآن أنا بال second type of + +54 +00:03:26,530 --> 00:03:29,450 +anatomy أخدنا ال gross anatomy أخدنا ال + +55 +00:03:29,450 --> 00:03:32,110 +microscopic anatomy خليني أحكي على ال + +56 +00:03:32,110 --> 00:03:35,310 +developmental anatomy هو النوع التالت ال + +57 +00:03:35,310 --> 00:03:37,870 +developmental anatomy معناته study of anatomical + +58 +00:03:37,870 --> 00:03:41,890 +change in life cycleإذا هو عبارة عن التغيرات اللى + +59 +00:03:41,890 --> 00:03:45,610 +بتصير خلال دورة الحياة كان من لحظة الإخصاب إلى + +60 +00:03:45,610 --> 00:03:49,230 +لحظة الممات، إذا معناته الحكي أنا بدرس كل التغيرات + +61 +00:03:49,230 --> 00:03:52,490 +في النموم و التطور اللى صارت لهذا الطفل من البداية + +62 +00:03:52,490 --> 00:03:56,960 +وحتى الممات، بنقسم تحته subtitlesاللي هم ال + +63 +00:03:56,960 --> 00:04:00,300 +embryology و ال postnatal هنا بدي اخد بالي ان انا + +64 +00:04:00,300 --> 00:04:03,380 +هذه الكلمة كبيرة معناته انا راح اقسمها قسمين يعني + +65 +00:04:03,380 --> 00:04:06,620 +على سبيل المثال embryo لحالها fetus معناته + +66 +00:04:06,620 --> 00:04:11,240 +جنين،logy علم، اذا هنا هي معناتها علم الأجنة the + +67 +00:04:11,240 --> 00:04:14,480 +study of prenatal development معناته هنا انا بحكي + +68 +00:04:14,480 --> 00:04:18,320 +على prenatal حاجة ما قبل الميلاد لساته جنين انا + +69 +00:04:18,320 --> 00:04:22,200 +بحكي على ال study العلم اللي بدرس before birthأما + +70 +00:04:22,200 --> 00:04:25,500 +ال post-natal development اللي هو عبارة عن ما بعد + +71 +00:04:25,500 --> 00:04:29,580 +الولادة تختلف عن هاي تماما هنا في عندنا pre-natal + +72 +00:04:29,580 --> 00:04:32,820 +و هنا عندنا post-natal ال post-natal هنا في حرف ال + +73 +00:04:32,820 --> 00:04:36,840 +T و هنا ال after birth معناته ال T معناته أنا بحكي + +74 +00:04:36,840 --> 00:04:41,560 +post مع after بتيجي pre مع before اذا في عندي + +75 +00:04:41,560 --> 00:04:44,040 +نوعين من ال developmental anatomy اللي هم ال + +76 +00:04:44,040 --> 00:04:47,780 +embryology و ال post-natal اجي للنوع الرابع + +77 +00:04:47,780 --> 00:04:51,790 +والاخير اللي هو ما يسمى بال comparative anatomyال + +78 +00:04:51,790 --> 00:04:54,670 +comparative anatomy هو عبارة عن التشريح المقارن + +79 +00:04:54,670 --> 00:04:58,470 +معناة الكلام التشريح المقارن هو ال comparison ل ال + +80 +00:04:58,470 --> 00:05:00,770 +structural ما بين ال organism انه انا بدي اقارن + +81 +00:05:00,770 --> 00:05:03,210 +هاي ال organism مع بعضها البعض انواع هال + +82 +00:05:03,210 --> 00:05:06,030 +vertebrate ال comparison of structural among + +83 +00:05:06,030 --> 00:05:08,910 +vertebrate classes يعني على سبيل المثال هاي + +84 +00:05:08,910 --> 00:05:12,210 +الفقاريات و هاد اللي لا فقاريات هاد إلها مميزاتها + +85 +00:05:12,210 --> 00:05:15,790 +و هاد إلها خصائصها إذا خليني أعمل summary لكل اللي + +86 +00:05:15,790 --> 00:05:20,180 +أنا شرحتهحكيت على اللى هو تعريف الاناتومي حكيت على + +87 +00:05:20,180 --> 00:05:23,120 +الاربعة kinds اللى موجودة عندنا او الاربعة types + +88 +00:05:23,120 --> 00:05:25,960 +اللى موجودة عندنا في الاناتومي وتحتهم في ال + +89 +00:05:25,960 --> 00:05:31,420 +subtitles باجى انا كطالب بحط ورقة وقلم وبعمل اللى + +90 +00:05:31,420 --> 00:05:36,700 +هو graphs طبعا رسومات حتى انا اسهل على حالى لدراسة + +91 +00:05:36,700 --> 00:05:41,940 +هذا افضل طريقة لشرح او لحفظ الاناتومي اجى احكى + +92 +00:05:41,940 --> 00:05:46,110 +شوية عن physiologyالان حكيت انا في بداية المحاضرة + +93 +00:05:46,110 --> 00:05:48,830 +انه انا ممكن ادرس ال physiology و ال anatomy مع + +94 +00:05:48,830 --> 00:05:52,650 +بعض ولكن بعض الكتب الحديثة فصلت هذا علم و هذا علم + +95 +00:05:52,650 --> 00:05:56,550 +ولكن كلا هما نفس الاشي بيكونوا بعض الأحيان في بعض + +96 +00:05:56,550 --> 00:06:00,330 +كتب بنحكي هذا كتاب anatomy and physiology مافي + +97 +00:06:00,330 --> 00:06:04,410 +مجال انه انا افصلهم عن بعضالان الكلمة اللى أخدنا + +98 +00:06:04,410 --> 00:06:07,470 +ال Anatomy هي عبارة عن ال structural of the body + +99 +00:06:07,470 --> 00:06:12,410 +تركيبة الجسم ولكن ال physiology هي عبارة عن دراسة + +100 +00:06:12,410 --> 00:06:15,950 +ال function أخدنا أن الجهاز التنفسي يتكون من + +101 +00:06:15,950 --> 00:06:19,870 +الرئتين والقصابة الهوائية لكن كيف بدها تشتغل + +102 +00:06:19,870 --> 00:06:25,200 +الرئتين هذا اللى بدرسها علم ال physiologyThe + +103 +00:06:25,200 --> 00:06:28,240 +function of body structural اللي هو دراسة المظيفة + +104 +00:06:28,240 --> 00:06:31,340 +تبع التركيب الجسم لكن ال structural و ال function + +105 +00:06:31,340 --> 00:06:34,300 +cannot be completely separated أنا مستحيل أفصلهم + +106 +00:06:34,300 --> 00:06:38,160 +عن بعض يعني ال Anatomy و الفيسيولوجي لا يمكن فصلهم + +107 +00:06:38,160 --> 00:06:41,880 +كذلك ال structural and functional لا يمكن فصلهما + +108 +00:06:42,150 --> 00:06:45,450 +الان ال form له علاقة مباشرة بال function على سبيل + +109 +00:06:45,450 --> 00:06:49,430 +المثال شكل الرئتين مناسب جدا لوظيفتهم في عملية + +110 +00:06:49,430 --> 00:06:53,450 +تبادل الغازات تمام؟ أيضا وظيفة الكلا مباشرة تماما + +111 +00:06:53,450 --> 00:06:56,590 +شكلها لإنها تعمل على تصفية الدم وتنقية الجسم من + +112 +00:06:56,590 --> 00:07:01,170 +السموم هذا بالنسبة لل physiologyهحكي على حاجة مهمة + +113 +00:07:01,170 --> 00:07:04,610 +جدا اللي هو الـ Structural Level Organization شو + +114 +00:07:04,610 --> 00:07:06,670 +يعني الـ Structural Level Organization؟ من وين بده + +115 +00:07:06,670 --> 00:07:09,010 +يبدأ الإنسان؟ زي ما انده شايفين هذا ال slide كتير + +116 +00:07:09,010 --> 00:07:13,590 +كتير ولكن خليني أنا أبسطها باجي برسم عندي لو أنه + +117 +00:07:13,590 --> 00:07:17,450 +أنا موجود عندي اليوم في الصبورة في عندي حاجة اللي + +118 +00:07:17,450 --> 00:07:21,650 +هو الهرم برسمها أسفل إشي هحطه أو اللي هو بيكون على + +119 +00:07:21,650 --> 00:07:24,410 +القاعدة ال atom اللي هي الذررة بتعرفوا أن أصل + +120 +00:07:24,410 --> 00:07:28,290 +الدنيا كلها ذراتمعناته بيتكون الذرع من الكربون + +121 +00:07:28,290 --> 00:07:32,630 +والهيدروجين والأكسوجين اتحاد ذرتين أو أكتر بيعطينا + +122 +00:07:32,630 --> 00:07:36,550 +حاجة اسمها ال molecules الجزيء تعرف الجزيء على انه + +123 +00:07:36,550 --> 00:07:39,890 +ايش particle composed of two or more giant atoms + +124 +00:07:39,890 --> 00:07:43,110 +هو عبارة عن ارتباط ذرتين او أكتر اتنين هيدروجين مع + +125 +00:07:43,110 --> 00:07:47,130 +واحدة أكسوجين بتعطينا ماء واتحاد molecules او + +126 +00:07:47,130 --> 00:07:51,410 +اتنين اتحاد + +127 +00:07:51,920 --> 00:07:57,120 +الاتحاد two molecules او اكثر هذا بيعطيني ال macro + +128 +00:07:57,120 --> 00:07:59,540 +molecules زي الكربوهيدرات و ال lipid و ال protein + +129 +00:07:59,540 --> 00:08:03,440 +إذا ال macro molecules is defined as large + +130 +00:08:03,440 --> 00:08:08,360 +molecules طبعا اتحاد macro كلمة macro لحالها يطلع + +131 +00:08:08,360 --> 00:08:11,640 +بالأعزاء معناتها large حاجة كبيرة إذا أنا جمشت بال + +132 +00:08:11,640 --> 00:08:16,040 +O هنا combined together بيصير macro molecules ال + +133 +00:08:16,040 --> 00:08:18,000 +macro لحالها كبيرة و ال molecules هي أبدا عن + +134 +00:08:18,000 --> 00:08:21,470 +الجزية ال organالـ Organelles هي عبارة عن الـ cell + +135 +00:08:21,470 --> 00:08:24,650 +membrane و الـ nucleus و الـ ribosome تمام؟ اللي + +136 +00:08:24,650 --> 00:08:27,430 +إيش هم العضيات؟ الـ Organelles هي عبارة عن الـ + +137 +00:08:27,430 --> 00:08:31,610 +small organs اللي بتشكل الخليةمجموعة من الميك و من + +138 +00:08:31,610 --> 00:08:34,850 +الماكرو مولوكيولز كوّنتني الـ cell membrane غشاء + +139 +00:08:34,850 --> 00:08:37,550 +الخلية كوّنتني الـ ribosomes الميتوكندرية و كل هذه + +140 +00:08:37,550 --> 00:08:41,750 +الشغلات بتؤدي وظيفة معينة إذن خليني أعمل summarize + +141 +00:08:41,750 --> 00:08:46,270 +لهذه الشريحة بحكي في البداية بحط ال atom مجموعة من + +142 +00:08:46,270 --> 00:08:49,350 +ال atom شكلتلي المولوكيولز مجموعة من المولوكيولز + +143 +00:08:49,350 --> 00:08:52,690 +عملتلي الماكرو مولوكيولز مجموعة من الماكرو + +144 +00:08:52,690 --> 00:08:56,450 +مولوكيولز عملتلي ال organelles اللي موجودة عندي + +145 +00:08:56,540 --> 00:09:00,080 +مجموعة من الـ Organelles شكلت الخلية في النهاية + +146 +00:09:00,080 --> 00:09:02,880 +أنا عندي الـ nucleus وعندي الـ ribosomes وعندي + +147 +00:09:02,880 --> 00:09:06,880 +الميتوكندرية وعندي مكونات الخلية أعطتني بالآخر + +148 +00:09:06,880 --> 00:09:10,000 +خلية وكلنا بنعرف تعريف الخلية هي عبارة عن الـ + +149 +00:09:10,000 --> 00:09:13,140 +Basic Unit of Structural and Function هي وحدة بناء + +150 +00:09:13,140 --> 00:09:17,820 +الكائن الحي وظيفيا وتركيبيا لـ Level Organism طبعا + +151 +00:09:17,820 --> 00:09:21,760 +كل خلية من الخلايا إلها صفاتها الخاصة فيها هنا + +152 +00:09:21,760 --> 00:09:25,620 +جايبني مثال على سبيل المثال أن هو الـ Red Blood + +153 +00:09:25,620 --> 00:09:30,080 +CellA-nucleated لما بنقول كلمة الـ A بتسبق اللي هي + +154 +00:09:30,080 --> 00:09:33,940 +الكلمة معناته بتنفيها، إذا هي عبارة عن عزيمة + +155 +00:09:33,940 --> 00:09:38,520 +النواء لإن هذا التركيب أو هذا الشكل بيعطيها قابلية + +156 +00:09:38,520 --> 00:09:42,080 +أكبر وأسرع لنقل الـ Oxygen في الدم، و أنا هذا + +157 +00:09:42,080 --> 00:09:46,760 +الاشي بديها، مجموعة من الخلايا أعطتني حاجة اسمها + +158 +00:09:46,760 --> 00:09:50,210 +الـ Tissueهات شو هي عبارة عن الأنسجة، بتعرف في + +159 +00:09:50,210 --> 00:09:52,830 +عندنا أربع نوع من الأنسجة، في عندنا النسيج الطلائي + +160 +00:09:52,830 --> 00:09:56,610 +أو النسيج الحرشفي، ال connective اللي هو الضامب و + +161 +00:09:56,610 --> 00:09:59,730 +ال muscles العضلات و ال nervous systemالـ Tissue + +162 +00:09:59,730 --> 00:10:02,750 +is defined as a group of similar cells that + +163 +00:10:02,750 --> 00:10:07,190 +performs a specialized function مجموعة من الخلايا + +164 +00:10:07,190 --> 00:10:10,510 +كوّنات للـ Tissue، هذه الـ Tissue قدّت وظيفة معينة + +165 +00:10:10,510 --> 00:10:14,070 +Two or more tissue بتحدوا مع بعض، نسيج أو اتنين، + +166 +00:10:14,070 --> 00:10:17,810 +بيعطونها حاجة اسمها ال organs ال organs هي عبارة + +167 +00:10:17,810 --> 00:10:20,870 +عن الأعضاء على سبيل المثال ال skin وال heart وال + +168 +00:10:20,870 --> 00:10:25,960 +brainالقلب والجلد اللي هو الدماغ مجموعة من ال + +169 +00:10:25,960 --> 00:10:29,100 +organs defined as a structural connect consist of + +170 +00:10:29,100 --> 00:10:31,340 +a group to show that performance specialized + +171 +00:10:31,340 --> 00:10:35,920 +function رجوع من الأنسجة كوّنتلي اللي هو عضو القلب + +172 +00:10:35,920 --> 00:10:40,870 +على سبيل المثالأدى وظيفة اللي هي ضخ دم للجسم تمام؟ + +173 +00:10:40,870 --> 00:10:45,170 +مجموعة من ال organs أو اتحاد ال organs هذه الجهاز + +174 +00:10:45,170 --> 00:10:49,450 +اللي هو القلب و الرئتين والاشياء هذه كلها عملتلي + +175 +00:10:49,450 --> 00:10:53,030 +system عملتلي نظام موجود عندي في جسم الإنسان على + +176 +00:10:53,030 --> 00:10:56,410 +خبير المثال زي اللي هو الـ Integumentary هنشوفكم + +177 +00:10:56,410 --> 00:10:58,510 +كمان شوية الأجهزة اللي موجودة معانا وشو ال + +178 +00:10:58,510 --> 00:11:01,550 +function تبعتهمالان اللي هو system defined as a + +179 +00:11:01,550 --> 00:11:04,170 +group of organs that act together كاسم في light + +180 +00:11:04,170 --> 00:11:08,410 +function مجموعة من ال system هذه هتعطينا ل human + +181 +00:11:08,410 --> 00:11:12,070 +organism هتعطينا لإنسان بشكل كامل متكامل تبارك + +182 +00:11:12,070 --> 00:11:16,430 +الخالق عز وجل في خلقه إذا ال organism is composed + +183 +00:11:16,430 --> 00:11:19,610 +of أو complex level لل organization defined + +184 +00:11:19,610 --> 00:11:23,450 +individual living things عطتنا حاجة اسمها ل human + +185 +00:11:23,450 --> 00:11:27,450 +organism طبعا هذا اللي هركزنيأو هذا الـ Haram اللي + +186 +00:11:27,450 --> 00:11:31,330 +أنا حكيت عليه طبعاً بيختلف حسب ال population ال + +187 +00:11:31,330 --> 00:11:35,450 +communities الأعراق والأجناس وكل هذه الحاجات خليني + +188 +00:11:35,450 --> 00:11:38,810 +أعمل summary لتلت ال slides اللي فاتوا حكينا بيبدأ + +189 +00:11:38,810 --> 00:11:42,190 +الإنسان أول إشي بالأتم مجموعة من الأتم بتطلعلي على + +190 +00:11:42,190 --> 00:11:45,150 +ال molecules مجموعة من ال molecules بتعطلني ال + +191 +00:11:45,150 --> 00:11:49,430 +macromoleculesوبعد الـ macromolecules، مجموعة من + +192 +00:11:49,430 --> 00:11:52,250 +الـ macromolecules بتعطيني الـ organelles اللي هي + +193 +00:11:52,250 --> 00:11:56,350 +العضيات ومجموعة من العضيات باطلع أنا كل مالي من + +194 +00:11:56,350 --> 00:11:59,510 +الـ Zero واطلع على فوق، على اللي هو التواضق + +195 +00:11:59,510 --> 00:12:03,450 +العليا، مجموعة من ال organelles بتعطيني الخلية + +196 +00:12:03,450 --> 00:12:07,230 +الخليةأو السلم ومجموعة من الخلايا بتعطيني الـ + +197 +00:12:07,230 --> 00:12:11,010 +tissue المعينة أو الأنسجة المعينة مجموعة من + +198 +00:12:11,010 --> 00:12:15,630 +الأنسجة بتعطيني ال organs و ال organs باتحادها مع + +199 +00:12:15,630 --> 00:12:18,770 +بعضها لبعض بتعطيني ال systemواتحاد ال systems + +200 +00:12:18,770 --> 00:12:23,670 +بيشكلك الآخر اللي هو الإنسان البشري تمام؟ هاي تلك + +201 +00:12:23,670 --> 00:12:26,190 +ال slides اللي انتوا شايفينهم مليانين هيك احنا + +202 +00:12:26,190 --> 00:12:30,650 +شرحناهم و بيكون لخصناهم ابدأ الآن بإذن الله تعالى + +203 +00:12:30,650 --> 00:12:34,110 +في حاجة تانية اللي هي ال system اللي موجودة داخل + +204 +00:12:34,110 --> 00:12:37,190 +الجسم ال body system في عندي حوالي 11 body system + +205 +00:12:37,190 --> 00:12:40,630 +أنا موجودين عندى هشرح عليهم و هحكي على ال function + +206 +00:12:40,630 --> 00:12:45,940 +تبعت كل واحد فيهمنبدأ أول حاجة بجهاز الـ + +207 +00:12:45,940 --> 00:12:48,680 +Intergumentary System، يحتوي على الـ Skin والـ + +208 +00:12:48,680 --> 00:12:52,580 +Hair والـ Nail، إذا الجهاز الذي يغطي جسم الإنسان، + +209 +00:12:52,580 --> 00:12:55,680 +تمام؟ وظيفته External Covering، حماية خارجية و + +210 +00:12:55,680 --> 00:12:58,780 +Protection، بيكوّن Vitamin D، أيضًا بيعمل لـ + +211 +00:12:58,780 --> 00:13:01,860 +Location اللي هو الـ Sense Receptors، لما أجي أسلم + +212 +00:13:01,860 --> 00:13:05,320 +على حدا، بحس بيه، لأنه ليش الاحتصاف موجود أو + +213 +00:13:05,320 --> 00:13:08,980 +المستقبلات الحسية موجودة عندي في الجلد، تمام؟ + +214 +00:13:09,730 --> 00:13:12,210 +الجهاز التاني اللي هو الـ skeletal system هذا + +215 +00:13:12,210 --> 00:13:15,890 +الجهاز اللي هو الجهاز العضمي أو الهيكلي موجود + +216 +00:13:15,890 --> 00:13:19,930 +عندنا على الأغلب دائما بيكون مشابه أو مشابك يشتبك + +217 +00:13:19,930 --> 00:13:23,530 +تماما مع اللي هو ال muscle أي العضلات يحتوي على + +218 +00:13:23,530 --> 00:13:27,650 +البول وال joint adjacent cartilage وظيفته بيعمل + +219 +00:13:27,650 --> 00:13:31,990 +support، protection، movement، blood production و + +220 +00:13:31,990 --> 00:13:35,340 +ال mineral storage supportلو ما الجهاز العطبي هذا + +221 +00:13:35,340 --> 00:13:37,800 +كان أنا ما لجيت حالي واقف بهذه الدعامة أو بهذا + +222 +00:13:37,800 --> 00:13:42,960 +الشكل، لو ما الجهاز العطبي ما لجيت حالي أنا حامية + +223 +00:13:42,960 --> 00:13:45,600 +الـ Vital Organs اللي موجودة عندي، زي القلب + +224 +00:13:45,600 --> 00:13:50,340 +والدماغ وهذه الأمور، أيضًا بيأديلي الحركةتكوين + +225 +00:13:50,340 --> 00:13:53,480 +كوريات الدم أيضًا خلال اللي هو الـ Red Bone Marrow + +226 +00:13:53,480 --> 00:13:57,240 +المخاع الأحمر بتم إنتاج خلايا الدم أيضًا هو عبارة + +227 +00:13:57,240 --> 00:14:01,300 +عن مصنع لاللي هو الـ Calcium و الـ S4 اللي موجود + +228 +00:14:01,300 --> 00:14:05,220 +داخل الـ Bone هذه كبحكي عليها كلية من هنا الحزام + +229 +00:14:05,220 --> 00:14:09,520 +الصدري و مكونات الـ Upper Arm و تحت هنا عندي اللي + +230 +00:14:09,520 --> 00:14:13,820 +هي الحزام الحوبي اللي موجود هنا و اللي هي الـ + +231 +00:14:13,820 --> 00:14:18,350 +Lower Limb طبعًاأحكي على أخوه تماما أو توأمه خليني + +232 +00:14:18,350 --> 00:14:21,710 +أحكي اللي هو الـ muscular system يحتوي على سكلة ال + +233 +00:14:21,710 --> 00:14:24,830 +muscles في عند عضلات موجودة في الجسم العضلة لها + +234 +00:14:24,830 --> 00:14:30,010 +نقطة بداية و لها نقطة نهاية إذا العضلة عشان يصير + +235 +00:14:30,010 --> 00:14:33,430 +لها عملية الإنقباض والانبساط لازم يكون لها نقطة + +236 +00:14:33,430 --> 00:14:37,410 +بداية و نقطة نهاية أيضا بتكون مصاحبة ب connective + +237 +00:14:37,410 --> 00:14:40,670 +tissue أنسجة دامة مابيصير العضلة تكون موجودة هيك و + +238 +00:14:40,670 --> 00:14:43,480 +خلاصلازم يكون لها فيه نقاط ارتباط ونقاط قوة + +239 +00:14:43,480 --> 00:14:47,240 +فبالتالي ترتبط عن طريقة تندن الأوثار اللي موجودة + +240 +00:14:47,240 --> 00:14:51,280 +من ال connective tissue النسيج الدعم شو وظيفة ال + +241 +00:14:51,280 --> 00:14:53,900 +muscular system؟ وظيفته ال locomotion، + +242 +00:14:53,900 --> 00:14:57,480 +manipulation، environment و facial expression أيضا + +243 +00:14:57,480 --> 00:15:01,000 +و ال maintain البشرال وبنتج للطاقة الحرارية خليني + +244 +00:15:01,000 --> 00:15:04,180 +أشوف ال locomotion في الحركة ال manipulation خلال + +245 +00:15:04,180 --> 00:15:06,900 +أو اللي هو الحركة خلال البيئة و ال environment + +246 +00:15:06,900 --> 00:15:09,970 +اللي موجودة عندكاليوم إذا أنا كنت happy أو كنت sad + +247 +00:15:09,970 --> 00:15:13,330 +بيبين على وجهي ليش من ال facial expression من + +248 +00:15:13,330 --> 00:15:17,010 +العضلات اللي موجودة، إذا هي عملية سهلة للتواصل مع + +249 +00:15:17,010 --> 00:15:21,030 +الناس التانية، بيحافظني على ال postural اللي هو + +250 +00:15:21,030 --> 00:15:24,330 +القوان، بيحافظ على القوان، بتعرفه مثلا لما بتكون + +251 +00:15:24,330 --> 00:15:28,110 +العضلات سليمة وكويسة وانتي بخير؟أو انت بخير بتلاقي + +252 +00:15:28,110 --> 00:15:32,830 +ان انت بقوام جيد وسليم Producing للهيت بينتج هذا + +253 +00:15:32,830 --> 00:15:36,330 +اللي هو ال muscular system اللي بينتج للطاقة + +254 +00:15:36,330 --> 00:15:40,290 +الحرارية اللي بتنبني و بتدفق اللي هو أنا محتاجة + +255 +00:15:40,290 --> 00:15:43,890 +لجسمي احكي على ال system اللي هو ال circulatory + +256 +00:15:43,890 --> 00:15:46,350 +system يحتوي ال circulatory system على جهازين + +257 +00:15:46,350 --> 00:15:50,990 +أدنيةCardiovascular لاحظوا أنا كيف قسمتها Cardio + +258 +00:15:50,990 --> 00:15:54,210 +لحال و Vascular لحال هنا بحكي على ال heart و هنا + +259 +00:15:54,210 --> 00:15:57,610 +بحكي على الشرايين و الأورده إذا ال cardiovascular + +260 +00:15:57,610 --> 00:16:00,770 +system و الجهاد الآخر اللي هو ال lymphatic system + +261 +00:16:00,770 --> 00:16:04,210 +شو موظيفة ال circulatory أو الجهاد الدوراني؟ + +262 +00:16:04,210 --> 00:16:07,990 +وظيفته بيعمل transportation عملية نقل للمaterial + +263 +00:16:07,990 --> 00:16:13,290 +خلال الجسم من و إلى البيئة الداخلية و الخارجية كيف + +264 +00:16:13,290 --> 00:16:16,670 +يعني؟ ممكن أنا بدي أعطي للبيئة الداخل جسم الإنسان + +265 +00:16:16,670 --> 00:16:19,900 +أعطيه علاجعن طريق الـ cannula أو عن طريق اللي هي + +266 +00:16:19,900 --> 00:16:22,980 +الإبرة اللي بتتم إدخالها وعن طريقها بتتم العلاج + +267 +00:16:22,980 --> 00:16:27,520 +داخل الجسم اللي هو المريد التبعي، إذا عملية نقل + +268 +00:16:27,520 --> 00:16:31,040 +الأغذية والـ material سواء كانت العلاج أو الأغذية + +269 +00:16:31,040 --> 00:16:34,180 +أو كل اللي بيتم اللي هو عن طريق اللي هو ال + +270 +00:16:34,180 --> 00:16:37,740 +cardiovascular system عن طريق الوريد اللي موجود + +271 +00:16:37,740 --> 00:16:42,280 +عندى داخل الجسم، إذا هحكي عن cardiovascular system + +272 +00:16:42,280 --> 00:16:45,080 +بيحتوي على زي ما قسمنا الكلمة cardio لحال + +273 +00:16:45,080 --> 00:16:49,530 +وvascular لحالالـ Heart والـ Gazelle تمامًاوظيفته + +274 +00:16:49,530 --> 00:16:53,210 +بيعمل transportation للـ blood، أيضًا نقل عملية + +275 +00:16:53,210 --> 00:16:56,570 +نقل اللي هو مكوّن الدم، والدم بيحتوي زي ما انتوا + +276 +00:16:56,570 --> 00:16:59,670 +عارفين على أكسجين وثاني أكسيد الكربون، أيضًا blood + +277 +00:16:59,670 --> 00:17:03,670 +composed of plasma and zinc، يحتوي على الدم على + +278 +00:17:03,670 --> 00:17:07,070 +اللي هو البلازمة، اللي هو السائل القش اللوني، + +279 +00:17:07,070 --> 00:17:10,870 +وكذلك الخلايا اللي هي زي كوريات الدم الحمراء + +280 +00:17:10,870 --> 00:17:14,650 +وكوريات الدم البيضاء وصفائح الدموية، النشبتر كامل + +281 +00:17:14,650 --> 00:17:18,930 +هيكون بإذن الله تعالى عن ال blood ومكوناته وأنواعه + +282 +00:17:19,330 --> 00:17:23,110 +هحكي على جهاز لينفاوي اللي هو التوأم تبع الـ + +283 +00:17:23,110 --> 00:17:26,270 +cardiovascular system يحتوي على الـ lymphatic + +284 +00:17:26,270 --> 00:17:30,490 +organs الأعضاء اللينفاوية زي الطحال العقد + +285 +00:17:30,490 --> 00:17:33,970 +اللينفاوية والغدة الذاترية الـ lymphatic vessels + +286 +00:17:33,970 --> 00:17:37,620 +اللي هي الأوعية اللينفاويةوظيفتها تعمل على الـ + +287 +00:17:37,620 --> 00:17:40,540 +transportation للـ lymph الـ lymph that dries from + +288 +00:17:40,540 --> 00:17:43,580 +the tissue fluid بتم إشتقاق اللي هو السائل + +289 +00:17:43,580 --> 00:17:47,500 +الليمفاوي تجميعه لأيضا يستضيف لي اللي هو ال white + +290 +00:17:47,500 --> 00:17:50,560 +blood cell الجهاز الليمفاوي موظفته أنه بيحسن + +291 +00:17:50,560 --> 00:17:53,640 +المناعة أنه بيطرد الأجسام الغريبة داخل الجسم + +292 +00:17:53,640 --> 00:17:57,640 +بيطردها إلى الخارج تمام؟ إذا يستضيف اللي هو ال + +293 +00:17:57,640 --> 00:18:03,660 +white blood cellأجينا للجهاز اللى هو حامي الجسم + +294 +00:18:03,660 --> 00:18:07,680 +اللى هو اسمه الـ Defense طبعا أو جهاز الدفاع عن + +295 +00:18:07,680 --> 00:18:10,480 +الجسم الـ Immunity System اللى احنا حاليا عشان + +296 +00:18:10,480 --> 00:18:15,200 +COVID-19 لازم نهتم فيه ونحافظ على مناعة أجسامنا + +297 +00:18:15,200 --> 00:18:18,960 +يحتوي الـ Immunity System أو جهاز المناعة على الـ + +298 +00:18:18,960 --> 00:18:22,220 +Immune organs اللى فيه البولمارون خلع العضل في الـ + +299 +00:18:22,220 --> 00:18:25,200 +Thymus الغضب الذعترية أيضا الـ White Blood Cells + +300 +00:18:25,200 --> 00:18:29,500 +اللى أنا بكرا هختصرها بالـ WBC الانفسايتز اللى هي + +301 +00:18:32,500 --> 00:18:37,460 +الخلايا اللينفوية الـ Macrophages اللي هي عبارة عن + +302 +00:18:37,460 --> 00:18:41,220 +الخلايا + +303 +00:18:41,220 --> 00:18:45,400 +الأكلة خليني أحكي أو الخلايا البالعة macro لحالها + +304 +00:18:45,400 --> 00:18:49,120 +تختلف عن micro micro اللي بالـ I بتكون صغير أما + +305 +00:18:49,120 --> 00:18:52,520 +هنا macro كبيرة فمعناته هي عبارة عن الخلايا + +306 +00:18:52,520 --> 00:18:57,510 +البالعة وظيفتها Defense and Immunity Responseالـ + +307 +00:18:57,510 --> 00:19:00,870 +Immune Response يعني جهاز المناعة تمام؟ هذا اللي + +308 +00:19:00,870 --> 00:19:05,370 +هو جهاز المناعة خليني أشوف الـ Nervous System هذا + +309 +00:19:05,370 --> 00:19:10,110 +الجهاز اللي هو الأعظم والأهم في جسم الإنسان باجي + +310 +00:19:10,110 --> 00:19:13,070 +أنا بحكي الـ Nervous System يحتوي على قسمين + +311 +00:19:13,070 --> 00:19:17,730 +أساسيين Central Nervous System وباقتصرها الـ CNS و + +312 +00:19:17,730 --> 00:19:21,250 +ال Peripheral Nervous System وباقتصرها الـ BNSالـ + +313 +00:19:21,250 --> 00:19:24,230 +CNS يحتوي على الـ brain و الـ spinal cord طبعاً + +314 +00:19:24,230 --> 00:19:28,850 +بورقة جانبية و نفس الأشي بعمل التقسيمة التبعتي ال + +315 +00:19:28,850 --> 00:19:31,350 +peripheral nervous system أو الأعصاب الترافية + +316 +00:19:31,350 --> 00:19:34,850 +تحتوي على ال nerve و ال sense receptors تمام؟ شو + +317 +00:19:34,850 --> 00:19:38,290 +وظيفته؟ اليوم بشتغل ال nervous system هذا معايا مع + +318 +00:19:38,290 --> 00:19:41,880 +ال endocrine system اللي هو جهازأو الغُدَد الصمام + +319 +00:19:41,880 --> 00:19:46,340 +ما بيصير أنه أنا أشتغل و أنا ماعندي دماغ أو أشتغل + +320 +00:19:46,340 --> 00:19:48,840 +مين بده يعطي السيالات العصبية؟ مين بده يرسلني + +321 +00:19:48,840 --> 00:19:53,040 +الإيد؟ ارفعي انه في خطر هنا؟ لأ لازم يكون في عندي + +322 +00:19:53,040 --> 00:19:56,660 +سلامة اللي هو جسم الإنسان بسلامة الـ Nervous + +323 +00:19:56,660 --> 00:20:00,390 +System أو ضائفه بيعمل Control Systemfast and hard + +324 +00:20:00,390 --> 00:20:03,910 +warrior طبعا على طول مستجيب سريع response لل + +325 +00:20:03,910 --> 00:20:06,710 +external and internal environment لو اشتكل جسم من + +326 +00:20:06,710 --> 00:20:10,090 +حرارة خارجية بتبقى فمان انت مبرد على حالك لو اشتكل + +327 +00:20:10,090 --> 00:20:13,710 +جسم من مشاكل داخلية على سبيل المثال في عنده اتهاب + +328 +00:20:13,710 --> 00:20:17,070 +في الزائدة الدودية على طول بتبين الأعراض انه شيلوا + +329 +00:20:17,070 --> 00:20:20,290 +هذا ال organs فيه مشكلة اذا ال nervous system هو + +330 +00:20:20,290 --> 00:20:24,330 +عبارة عن جهاز عظيم جهاز كبير مهم جدا في جسم + +331 +00:20:24,330 --> 00:20:28,780 +الإنسانTau Ammon Endocrine System يحتوي على + +332 +00:20:28,780 --> 00:20:32,360 +الجلاند هذه الغدد إيش وظيفتها تخلص الهرمونات على + +333 +00:20:32,360 --> 00:20:36,520 +سبيل المثال سلامة الهرمونات أو سلامة الغدد بسلامة + +334 +00:20:36,520 --> 00:20:40,200 +إفرازها للهرمون الببتريجلاندة الغدد المخانية وكذلك + +335 +00:20:40,200 --> 00:20:43,840 +البنكرياس والسيرويد اللي هي الغدد الدرقيةيعمل على + +336 +00:20:43,840 --> 00:20:46,660 +الـ control system of know and chemical تمام + +337 +00:20:46,660 --> 00:20:50,980 +بيبطئلي على سبيل المثال الهرمونات لازم يكون افرازة + +338 +00:20:50,980 --> 00:20:55,240 +بشكل سليم ليست عالية جدا وليست منخفضة فبالتالي + +339 +00:20:55,240 --> 00:20:59,580 +تنظيمها بيؤدي لالي هو سلام الجسم للإنسان بيعني ال + +340 +00:20:59,580 --> 00:21:01,640 +regulation ال process زي ال growth و reproduction + +341 +00:21:01,640 --> 00:21:06,210 +and nutrition useزي ما حكيتلكم، هرمون النمو لو كان + +342 +00:21:06,210 --> 00:21:10,510 +عالي جدا بيأدي للعملقة، ولو كان مش موجود أو منخفض + +343 +00:21:10,510 --> 00:21:14,550 +بيأدي للقذامة فبالتالي، سلامة الهرمونات تشتغل مع + +344 +00:21:14,550 --> 00:21:19,090 +اللي هو الـ Nervous System اللي موجود عندناعند + +345 +00:21:19,090 --> 00:21:22,130 +الجهاز المهم اللي هو ال respiratory system أو ما + +346 +00:21:22,130 --> 00:21:26,550 +يسمى بالجهاز التنفسي يحتوي زي ما انتوا شايفين على + +347 +00:21:26,550 --> 00:21:31,290 +الرقتين الرقة اليمنى والرقة اليسرى ال right lung + +348 +00:21:31,290 --> 00:21:34,530 +اللي هي تحتوي على three parts، ثلاث أجزاء رئيسية + +349 +00:21:34,820 --> 00:21:38,760 +والـ left lung تحتوي على two parts نظرا لوجود اللي + +350 +00:21:38,760 --> 00:21:42,500 +هو ال heart تحتوي أيضا على ال tubing بعض القنابيب + +351 +00:21:42,500 --> 00:21:46,120 +زي التراكيا القصب الهوائية البرونكس الشعب الهوائية + +352 +00:21:46,120 --> 00:21:49,720 +اللي موجودة عنده ال larynx الحنجرة لها علاقة بال + +353 +00:21:49,720 --> 00:21:53,420 +vocal cords اللي هو الأحبال الصوتية الآن ال + +354 +00:21:53,420 --> 00:21:57,430 +function تبعتنا شو مظيفة الجهاز التنفسي؟عملية + +355 +00:21:57,430 --> 00:22:02,010 +التبادل للغازات هنا بيتم أخذ الأكسجين واضطرب ثاني + +356 +00:22:02,010 --> 00:22:06,650 +أكسيد الكربون اللي هو ما بين الدم والغلاف الجوية + +357 +00:22:06,650 --> 00:22:09,930 +إذا اتس اتشانج للاسميراتوريجاز الأكسجين and + +358 +00:22:09,930 --> 00:22:14,130 +الديكسيد كربون ما بين ال blood and الاطمسفير أيضا + +359 +00:22:14,130 --> 00:22:18,030 +اللي هو ال voice production إنتاج الصوت اللي موجود + +360 +00:22:18,030 --> 00:22:22,290 +الجهاز الأخر اللي هو عبارة عن ال digestive system + +361 +00:22:22,290 --> 00:22:27,200 +يحتوي على قناتين رئيسيتينحاجة Elementary مستحيل + +362 +00:22:27,200 --> 00:22:31,600 +أستغنى عنها وحاجة وجودها أو عدمها ما بيأثر عليها + +363 +00:22:31,600 --> 00:22:34,280 +أول إيش الـ Elementary Canals أو القناة الخضمية + +364 +00:22:34,280 --> 00:22:39,760 +الأساسية تبدأ بالفم ومرورا بالـ Pharynx بالعوم و + +365 +00:22:39,760 --> 00:22:43,380 +الـ Esophagus المريء اللي أنتوا شايفينه و الـ + +366 +00:22:43,380 --> 00:22:46,700 +Stomach المعدة و Small Intestine و Large Intestine + +367 +00:22:46,700 --> 00:22:50,180 +أمعاء دقيقة و أمعاء غليظةأما الـ Accessories اللي + +368 +00:22:50,180 --> 00:22:52,920 +هي على سبيل المثال بعض الأحيان بتلقى استئصار جزء + +369 +00:22:52,920 --> 00:22:55,840 +من الـ Liver، الكبد أو الـ Salivary gland الغدد + +370 +00:22:55,840 --> 00:22:59,160 +اللعابية أو البنكرياز فيها مشكلة بروحه أنا شاية + +371 +00:22:59,160 --> 00:23:02,880 +جزء منها كثير بتشوفه ناس طبعا أيضا من غير مرارة + +372 +00:23:02,880 --> 00:23:06,260 +اللي هو الـ Gall Bladder معناه الكلام أنا فيه + +373 +00:23:06,260 --> 00:23:10,340 +أستغني عن جزء بسيط منها اللي موجود عندي هنا شو + +374 +00:23:10,340 --> 00:23:15,080 +وظيفة الجهاز الحضر؟ يعمل على تكسير الطعامو تقطيعه + +375 +00:23:15,080 --> 00:23:20,120 +حتى يسهل انتصاره نمتص الأشياء المفيدة لنا الحديد + +376 +00:23:20,120 --> 00:23:23,960 +والزنك والفسفور والكالسيوم ونطرد اللي هو eliminate + +377 +00:23:23,960 --> 00:23:28,060 +ال waste product عن طريق اللي هو ال rectum أو عن + +378 +00:23:28,060 --> 00:23:31,820 +طريق اللي هي المفتقم اللي موجود عندنا هذا ال + +379 +00:23:31,820 --> 00:23:34,740 +digestive system خليني أحكي عن ال urinary + +380 +00:23:40,790 --> 00:23:44,890 +اليورناري يحتوي على الـ kidneys اللي هم الكليتين + +381 +00:23:44,890 --> 00:23:48,810 +زي ما حكيت بيشبه حبة الفاصولة، أيضًا يحتوي على + +382 +00:23:48,810 --> 00:23:53,810 +الحالبين، حالب في اليمين وحالب في اليسارو يجتمعان + +383 +00:23:53,810 --> 00:23:58,550 +ليفرغا ما بيهما داخل اليهو الـ Urinary Bladder + +384 +00:23:58,550 --> 00:24:02,790 +اللي هي المثانة المولية و أيضا يخرج اليهو عن طريق + +385 +00:24:02,790 --> 00:24:07,050 +الـ urethra المجرى البولى شو وظيفة الجهاز البولى؟ + +386 +00:24:07,050 --> 00:24:10,630 +وظيفته انه بيعمل elimination للواسط بيطلع اليهو + +387 +00:24:10,630 --> 00:24:14,970 +الـ Mitrogen من الدم يعني بيزيل الفضلات خارج الجسم + +388 +00:24:15,160 --> 00:24:19,080 +بيعمل معادلة للقاعدية الحمضية الموجودة داخل جسم + +389 +00:24:19,080 --> 00:24:23,540 +الإنسان، أي مشكلة بتأدي لتورم وانتفاخ القدمين + +390 +00:24:23,540 --> 00:24:27,920 +واليدي، إذا بيعمل عملية Environment ما بين ال + +391 +00:24:27,920 --> 00:24:30,500 +blood و ال external environment، بيعمل regulation + +392 +00:24:30,500 --> 00:24:34,040 +لل water و الأملاح ال electrolyte base and acid + +393 +00:24:34,040 --> 00:24:39,620 +balance تمام؟ هذا اللي بيعمله الجهاز ال urinary + +394 +00:24:39,620 --> 00:24:42,960 +systemالآخر جهاز معانا اللي هو الـ Reproductive + +395 +00:24:42,960 --> 00:24:47,580 +System بيختلف من الـ Female لالمال طبعا الـ + +396 +00:24:47,580 --> 00:24:51,280 +Reproductive System في كل حد هيختلف عن الآخر و + +397 +00:24:51,280 --> 00:24:54,460 +اللي هو وظيفته بيعمل Preperation الـ Spaces + +398 +00:24:54,460 --> 00:24:58,660 +المحافظة على النوع وأيضا الهرمونات طبعا مهمة جدا + +399 +00:24:58,660 --> 00:25:01,540 +في ال Sexual and Function Sexual Demographic + +400 +00:25:01,540 --> 00:25:06,390 +Spaces طبعا المحافظة على الجنس مناللي هو الانقراض + +401 +00:25:06,390 --> 00:25:09,890 +عن طريق الـ Reproductive System وبهيك بيكون أنا + +402 +00:25:09,890 --> 00:25:13,710 +أنهيت بإذن الله تعالى ال part الأول من ال + +403 +00:25:13,710 --> 00:25:17,190 +introduction عمل سماريز للمحاضرة عرفنا ال anatomy + +404 +00:25:17,190 --> 00:25:21,710 +أخدنا ال kinds of anatomy أخدنا اللي هو ال systems + +405 +00:25:21,710 --> 00:25:25,390 +اللي موجودة عندنا داخل جسم الإنسان وشو الوظيفة + +406 +00:25:25,390 --> 00:25:29,710 +تبعت كل واحد فيها على حده في رعاية الله ألقاكم + +407 +00:25:29,710 --> 00:25:32,390 +بإذن الله تعالى في محاضرة أخرى + diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/E5ZN2COQhJM_raw.json b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/E5ZN2COQhJM_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..793dee910f679161885a19d217edaf1684dbdcbe --- /dev/null +++ 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{"start": 1353.6, "end": 1353.9, "word": " القناة", "probability": 0.7360026041666666}, {"start": 1353.9, "end": 1354.28, "word": " الخضمية", "probability": 0.8240966796875}, {"start": 1354.28, "end": 1354.82, "word": " الأساسية", "probability": 0.9912109375}, {"start": 1354.82, "end": 1355.26, "word": " تبدأ", "probability": 0.9554036458333334}, {"start": 1355.26, "end": 1355.76, "word": " بالفم", "probability": 0.9542643229166666}, {"start": 1355.76, "end": 1357.62, "word": " ومرورا", "probability": 0.8802490234375}, {"start": 1357.62, "end": 1358.28, "word": " بالـ", "probability": 0.564453125}, {"start": 1358.28, "end": 1358.62, "word": " Pharynx", "probability": 0.7705891927083334}, {"start": 1358.62, "end": 1359.18, "word": " بالعوم", "probability": 0.5782877604166666}, {"start": 1359.18, "end": 1359.76, "word": " و", "probability": 0.77197265625}, {"start": 1359.76, "end": 1360.02, "word": " الـ", "probability": 0.612060546875}, {"start": 1360.02, "end": 1360.44, "word": " Esophagus", "probability": 0.83251953125}, {"start": 1360.44, "end": 1361.14, "word": " المريء", "probability": 0.8600260416666666}, {"start": 1361.14, "end": 1361.48, "word": " اللي", "probability": 0.851318359375}, {"start": 1361.48, "end": 1361.72, "word": " أنتوا", "probability": 0.7099609375}, {"start": 1361.72, "end": 1362.32, "word": " شايفينه", "probability": 0.9845703125}, {"start": 1362.32, "end": 1362.88, "word": " و", "probability": 0.56982421875}, {"start": 1362.88, "end": 1363.38, "word": " الـ", "probability": 0.4775390625}, {"start": 1363.38, "end": 1363.62, "word": " Stomach", "probability": 0.8863932291666666}, {"start": 1363.62, "end": 1364.42, "word": " المعدة", "probability": 0.7903645833333334}, {"start": 1364.42, "end": 1364.76, "word": " و", "probability": 0.9375}, {"start": 1364.76, "end": 1365.14, "word": " Small", "probability": 0.72314453125}, {"start": 1365.14, "end": 1365.68, "word": " Intestine", "probability": 0.8644205729166666}, {"start": 1365.68, "end": 1365.9, "word": " و", "probability": 0.81298828125}, {"start": 1365.9, "end": 1366.18, "word": " Large", "probability": 0.9482421875}, {"start": 1366.18, "end": 1366.7, "word": " Intestine", "probability": 0.94970703125}, {"start": 1366.7, "end": 1367.0, "word": " أمعاء", "probability": 0.7911376953125}, {"start": 1367.0, "end": 1367.38, "word": " دقيقة", "probability": 0.9837239583333334}, {"start": 1367.38, "end": 1367.48, "word": " و", "probability": 0.80517578125}, {"start": 1367.48, "end": 1367.86, "word": " أمعاء", "probability": 0.89794921875}, {"start": 1367.86, "end": 1368.38, "word": " غليظة", "probability": 0.79412841796875}], "temperature": 1.0}, {"id": 62, "seek": 139372, "start": 1368.68, "end": 1393.72, "text": "أما الـ Accessories اللي هي على سبيل المثال بعض الأحيان بتلقى استئصار جزء من الـ Liver، الكبد أو الـ Salivary gland الغدد اللعابية أو البنكرياز فيها مشكلة بروحه أنا شاية جزء منها كثير بتشوفه ناس طبعا أيضا من غير مرارة اللي هو الـ Gall Bladder معناه الكلام أنا فيه أستغني عن جزء بسيط منها اللي موجود عندي هنا شو وظيفة الجهاز الحضر؟ يعمل على تكسير الطعام", "tokens": [10721, 15042, 2423, 39184, 17166, 2083, 13672, 1829, 39896, 15844, 8608, 21292, 1211, 9673, 12984, 6027, 45030, 11242, 16247, 5016, 1829, 7649, 39894, 1211, 4587, 7578, 44713, 19986, 9381, 9640, 10874, 11622, 38207, 9154, 2423, 39184, 28010, 12399, 33251, 44510, 34051, 2423, 39184, 5996, 592, 822, 43284, 6024, 118, 3215, 3215, 13672, 3615, 16758, 10632, 34051, 29739, 1863, 4117, 16572, 31377, 8978, 11296, 37893, 28820, 3660, 4724, 32887, 5016, 3224, 41850, 13412, 995, 10632, 10874, 11622, 38207, 9154, 11296, 9122, 12984, 13546, 39894, 8592, 38688, 3224, 8717, 32277, 23032, 3555, 3615, 995, 36632, 11242, 995, 9154, 32771, 13546, 3714, 2288, 9640, 3660, 13672, 1829, 31439, 2423, 39184, 14588, 2177, 29901, 20449, 8315, 3224, 2423, 28820, 10943, 41850, 8978, 3224, 5551, 14851, 17082, 22653, 18871, 10874, 11622, 38207, 4724, 3794, 1829, 9566, 9154, 11296, 13672, 1829, 3714, 29245, 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المفيدة لنا الحديد والزنك والفسفور والكالسيوم ونطرد اللي هو eliminate ال waste product عن طريق اللي هو ال rectum أو عن طريق اللي هي المفتقم اللي موجود عندنا هذا ال digestive system خليني أحكي عن ال urinary", "tokens": [2407, 6055, 47432, 40228, 3224, 11331, 49975, 7251, 3794, 3224, 1211, 16472, 2655, 9381, 9640, 3224, 8717, 2304, 2655, 9381, 16247, 8592, 1829, 16606, 9673, 5172, 25708, 3660, 5296, 8315, 21542, 16254, 3215, 16070, 11622, 1863, 4117, 16070, 36178, 5172, 13063, 16070, 4117, 6027, 3794, 1829, 20498, 4032, 1863, 9566, 2288, 3215, 13672, 1829, 31439, 13819, 2423, 5964, 1674, 18871, 23032, 16572, 4587, 13672, 1829, 31439, 2423, 11048, 449, 34051, 18871, 23032, 16572, 4587, 13672, 1829, 39896, 9673, 5172, 2655, 4587, 2304, 13672, 1829, 3714, 29245, 23328, 43242, 8315, 23758, 2423, 32696, 1185, 16490, 1211, 9957, 1829, 5551, 5016, 4117, 1829, 18871, 2423, 4038, 4066], "avg_logprob": -0.24204008913827393, "compression_ratio": 1.6995708154506437, "no_speech_prob": 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"word": " والفسفور", "probability": 0.6288604736328125}, {"start": 1401.08, "end": 1401.72, "word": " والكالسيوم", "probability": 0.7792154947916666}, {"start": 1401.72, "end": 1402.96, "word": " ونطرد", "probability": 0.57099609375}, {"start": 1402.96, "end": 1403.2, "word": " اللي", "probability": 0.6558837890625}, {"start": 1403.2, "end": 1403.52, "word": " هو", "probability": 0.958984375}, {"start": 1403.52, "end": 1403.96, "word": " eliminate", "probability": 0.7783203125}, {"start": 1403.96, "end": 1404.24, "word": " ال", "probability": 0.55322265625}, {"start": 1404.24, "end": 1404.5, "word": " waste", "probability": 0.283447265625}, {"start": 1404.5, "end": 1404.98, "word": " product", "probability": 0.9453125}, {"start": 1404.98, "end": 1405.16, "word": " عن", "probability": 0.8779296875}, {"start": 1405.16, "end": 1405.56, "word": " طريق", "probability": 0.9856770833333334}, {"start": 1405.56, "end": 1405.74, "word": " اللي", "probability": 0.912109375}, {"start": 1405.74, 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+00:00:27,710 --> 00:00:31,330 +في هذه المحاضرة عن ما هو ال Anatomy وما تعريفه وما + +7 +00:00:31,330 --> 00:00:36,840 +هي أنواعه سأقوم بإذن الله تعالى الآنبالبداية في + +8 +00:00:36,840 --> 00:00:41,340 +chapter اللي هو الأول شو يعني ال Anatomy؟ ال + +9 +00:00:41,340 --> 00:00:46,280 +Anatomy هي عبارة عن كلمة يونانية تعني Greek تُكتَب + +10 +00:00:46,280 --> 00:00:49,520 +أو dissect يعني معناة الكلام إشي أنا بدي أفصله + +11 +00:00:49,520 --> 00:00:53,580 +معناته تعريفها اللي هو عبارة عن العلم اللي بيدرس + +12 +00:00:53,580 --> 00:00:58,140 +التركيبة تبع ال body ال kinds شو أنواعها؟اللي هي + +13 +00:00:58,140 --> 00:01:01,360 +Gross Anatomy, Microscopic Anatomy و Developmental + +14 +00:01:01,360 --> 00:01:06,680 +Anatomy و Comparative Anatomy إذا عندي تعريف ال + +15 +00:01:06,680 --> 00:01:10,760 +Anatomy هو عبارة عن كلمة يونانية ال science that + +16 +00:01:10,760 --> 00:01:13,180 +deals with the structure of the body هو العلم اللي + +17 +00:01:13,180 --> 00:01:17,690 +بتدرسالتركيبة اللى موجودة فى جسم الإنسان أنواعه فى + +18 +00:01:17,690 --> 00:01:20,130 +عناع Gross Anatomy و Microscopic Anatomy و + +19 +00:01:20,130 --> 00:01:23,830 +Developmental Anatomy و Comparative Anatomy خلينى + +20 +00:01:23,830 --> 00:01:27,050 +أشوف شو يعني ل Gross Anatomy كلمة Gross Anatomy + +21 +00:01:27,050 --> 00:01:31,350 +تعني study of structural with naked eye كل إشي أنا + +22 +00:01:31,350 --> 00:01:34,650 +بدي أدرسه بشوفه بالعين المجردة يعني على سبيل + +23 +00:01:34,650 --> 00:01:37,950 +المثال أنا بقدر أشوف الإيد بقدر أشوف البطن بقدر + +24 +00:01:37,950 --> 00:01:41,420 +أشوفه لكن اللى تحتهم مابقدر أشوفهفبالتالي أنا هنا + +25 +00:01:41,420 --> 00:01:45,380 +ال gross anatomy راح أقسمه إلى subtitle أو أقسام + +26 +00:01:45,380 --> 00:01:50,240 +ما تحت تندرج ما تحت اللي هي ال gross anatomy + +27 +00:01:50,240 --> 00:01:53,740 +regional and systemic ال regional إقليمي أو منطقي + +28 +00:01:53,740 --> 00:01:57,240 +أو جغرافي ال body studied with by region إذا هو + +29 +00:01:57,240 --> 00:02:01,820 +عبارة عن دراسة الجسم في مناطق محددة و معينة أما ال + +30 +00:02:01,820 --> 00:02:04,960 +systematic ال body studied by systemاللي هو system + +31 +00:02:04,960 --> 00:02:06,800 +by system يعني بدي أدرس اليوم ال respiratory + +32 +00:02:06,800 --> 00:02:09,900 +system أو ال digestive system الجهاز التنفسي + +33 +00:02:09,900 --> 00:02:13,560 +والجهاز الهضمي إذا تعريفنا لكلمة gross anatomy + +34 +00:02:13,560 --> 00:02:17,240 +معناته هو العلم اللي بدرس .. علم تشرح الإنسان اللي + +35 +00:02:17,240 --> 00:02:20,060 +بدرسه بالعين المجرد يعني حاجة كبيرة حاجة بتكون أنا + +36 +00:02:20,060 --> 00:02:23,690 +شايفاها بعينيخلّيني أشوف العكس تماما الـ + +37 +00:02:23,690 --> 00:02:27,090 +Microscopic Anatomy الـ Microscopic Anatomy الـ + +38 +00:02:27,090 --> 00:02:29,910 +definition تبعته اللي هو عبارة عن ال study + +39 +00:02:29,910 --> 00:02:32,570 +structures under microscope الحاجات اللي أنا + +40 +00:02:32,570 --> 00:02:36,750 +ماقدرت أشوفها بالعين المجردة هشوفها باللي هو ال + +41 +00:02:36,750 --> 00:02:39,950 +microscope أنواعها في عندنا ال cytology في عندنا + +42 +00:02:39,950 --> 00:02:43,510 +ال histology في عندنا ال organology الأن الأنواع + +43 +00:02:43,510 --> 00:02:47,210 +هذه اللي أنا هشرحها واحدة واحدة ال site دي الخلية + +44 +00:02:47,210 --> 00:02:51,590 +site تعني هنا لما نشوف كلمة siteتعني باللاتيني + +45 +00:02:51,590 --> 00:02:55,090 +cell لوجي هو عبارة عن العلم معناه الكلام ان انا + +46 +00:02:55,090 --> 00:02:58,550 +بدي احكي علم الخلية اذا the study of cells هي + +47 +00:02:58,550 --> 00:03:01,730 +عبارة عن العلم اللي بدرس الخلايا اذا cytology + +48 +00:03:01,730 --> 00:03:06,290 +باللاتيني تعني خلية وlogy العلم اذا هو العلم اللي + +49 +00:03:06,290 --> 00:03:10,850 +بدرس الخلية histology هستو لحالها تعني تشوف اي + +50 +00:03:10,850 --> 00:03:15,170 +انسجة باللاتيني logy هو العلم اذا the study of + +51 +00:03:15,170 --> 00:03:19,870 +تشوفإذا دراسة علم الأنسجة organology هي عبارة عن + +52 +00:03:19,870 --> 00:03:23,770 +العلم اللي بتمن دراسة اللي هو ال organs و الأعضاء + +53 +00:03:23,770 --> 00:03:26,530 +اللي موجودة فيه الآن أنا بال second type of + +54 +00:03:26,530 --> 00:03:29,450 +anatomy أخدنا ال gross anatomy أخدنا ال + +55 +00:03:29,450 --> 00:03:32,110 +microscopic anatomy خليني أحكي على ال + +56 +00:03:32,110 --> 00:03:35,310 +developmental anatomy هو النوع التالت ال + +57 +00:03:35,310 --> 00:03:37,870 +developmental anatomy معناته study of anatomical + +58 +00:03:37,870 --> 00:03:41,890 +change in life cycleإذا هو عبارة عن التغيرات اللى + +59 +00:03:41,890 --> 00:03:45,610 +بتصير خلال دورة الحياة كان من لحظة الإخصاب إلى + +60 +00:03:45,610 --> 00:03:49,230 +لحظة الممات، إذا معناته الحكي أنا بدرس كل التغيرات + +61 +00:03:49,230 --> 00:03:52,490 +في النموم و التطور اللى صارت لهذا الطفل من البداية + +62 +00:03:52,490 --> 00:03:56,960 +وحتى الممات، بنقسم تحته subtitlesاللي هم ال + +63 +00:03:56,960 --> 00:04:00,300 +embryology و ال postnatal هنا بدي اخد بالي ان انا + +64 +00:04:00,300 --> 00:04:03,380 +هذه الكلمة كبيرة معناته انا راح اقسمها قسمين يعني + +65 +00:04:03,380 --> 00:04:06,620 +على سبيل المثال embryo لحالها fetus معناته + +66 +00:04:06,620 --> 00:04:11,240 +جنين،logy علم، اذا هنا هي معناتها علم الأجنة the + +67 +00:04:11,240 --> 00:04:14,480 +study of prenatal development معناته هنا انا بحكي + +68 +00:04:14,480 --> 00:04:18,320 +على prenatal حاجة ما قبل الميلاد لساته جنين انا + +69 +00:04:18,320 --> 00:04:22,200 +بحكي على ال study العلم اللي بدرس before birthأما + +70 +00:04:22,200 --> 00:04:25,500 +ال post-natal development اللي هو عبارة عن ما بعد + +71 +00:04:25,500 --> 00:04:29,580 +الولادة تختلف عن هاي تماما هنا في عندنا pre-natal + +72 +00:04:29,580 --> 00:04:32,820 +و هنا عندنا post-natal ال post-natal هنا في حرف ال + +73 +00:04:32,820 --> 00:04:36,840 +T و هنا ال after birth معناته ال T معناته أنا بحكي + +74 +00:04:36,840 --> 00:04:41,560 +post مع after بتيجي pre مع before اذا في عندي + +75 +00:04:41,560 --> 00:04:44,040 +نوعين من ال developmental anatomy اللي هم ال + +76 +00:04:44,040 --> 00:04:47,780 +embryology و ال post-natal اجي للنوع الرابع + +77 +00:04:47,780 --> 00:04:51,790 +والاخير اللي هو ما يسمى بال comparative anatomyال + +78 +00:04:51,790 --> 00:04:54,670 +comparative anatomy هو عبارة عن التشريح المقارن + +79 +00:04:54,670 --> 00:04:58,470 +معناة الكلام التشريح المقارن هو ال comparison ل ال + +80 +00:04:58,470 --> 00:05:00,770 +structural ما بين ال organism انه انا بدي اقارن + +81 +00:05:00,770 --> 00:05:03,210 +هاي ال organism مع بعضها البعض انواع هال + +82 +00:05:03,210 --> 00:05:06,030 +vertebrate ال comparison of structural among + +83 +00:05:06,030 --> 00:05:08,910 +vertebrate classes يعني على سبيل المثال هاي + +84 +00:05:08,910 --> 00:05:12,210 +الفقاريات و هاد اللي لا فقاريات هاد إلها مميزاتها + +85 +00:05:12,210 --> 00:05:15,790 +و هاد إلها خصائصها إذا خليني أعمل summary لكل اللي + +86 +00:05:15,790 --> 00:05:20,180 +أنا شرحتهحكيت على اللى هو تعريف الاناتومي حكيت على + +87 +00:05:20,180 --> 00:05:23,120 +الاربعة kinds اللى موجودة عندنا او الاربعة types + +88 +00:05:23,120 --> 00:05:25,960 +اللى موجودة عندنا في الاناتومي وتحتهم في ال + +89 +00:05:25,960 --> 00:05:31,420 +subtitles باجى انا كطالب بحط ورقة وقلم وبعمل اللى + +90 +00:05:31,420 --> 00:05:36,700 +هو graphs طبعا رسومات حتى انا اسهل على حالى لدراسة + +91 +00:05:36,700 --> 00:05:41,940 +هذا افضل طريقة لشرح او لحفظ الاناتومي اجى احكى + +92 +00:05:41,940 --> 00:05:46,110 +شوية عن physiologyالان حكيت انا في بداية المحاضرة + +93 +00:05:46,110 --> 00:05:48,830 +انه انا ممكن ادرس ال physiology و ال anatomy مع + +94 +00:05:48,830 --> 00:05:52,650 +بعض ولكن بعض الكتب الحديثة فصلت هذا علم و هذا علم + +95 +00:05:52,650 --> 00:05:56,550 +ولكن كلا هما نفس الاشي بيكونوا بعض الأحيان في بعض + +96 +00:05:56,550 --> 00:06:00,330 +كتب بنحكي هذا كتاب anatomy and physiology مافي + +97 +00:06:00,330 --> 00:06:04,410 +مجال انه انا افصلهم عن بعضالان الكلمة اللى أخدنا + +98 +00:06:04,410 --> 00:06:07,470 +ال Anatomy هي عبارة عن ال structural of the body + +99 +00:06:07,470 --> 00:06:12,410 +تركيبة الجسم ولكن ال physiology هي عبارة عن دراسة + +100 +00:06:12,410 --> 00:06:15,950 +ال function أخدنا أن الجهاز التنفسي يتكون من + +101 +00:06:15,950 --> 00:06:19,870 +الرئتين والقصابة الهوائية لكن كيف بدها تشتغل + +102 +00:06:19,870 --> 00:06:25,200 +الرئتين هذا اللى بدرسها علم ال physiologyThe + +103 +00:06:25,200 --> 00:06:28,240 +function of body structural اللي هو دراسة المظيفة + +104 +00:06:28,240 --> 00:06:31,340 +تبع التركيب الجسم لكن ال structural و ال function + +105 +00:06:31,340 --> 00:06:34,300 +cannot be completely separated أنا مستحيل أفصلهم + +106 +00:06:34,300 --> 00:06:38,160 +عن بعض يعني ال Anatomy و الفيسيولوجي لا يمكن فصلهم + +107 +00:06:38,160 --> 00:06:41,880 +كذلك ال structural and functional لا يمكن فصلهما + +108 +00:06:42,150 --> 00:06:45,450 +الان ال form له علاقة مباشرة بال function على سبيل + +109 +00:06:45,450 --> 00:06:49,430 +المثال شكل الرئتين مناسب جدا لوظيفتهم في عملية + +110 +00:06:49,430 --> 00:06:53,450 +تبادل الغازات تمام؟ أيضا وظيفة الكلا مباشرة تماما + +111 +00:06:53,450 --> 00:06:56,590 +شكلها لإنها تعمل على تصفية الدم وتنقية الجسم من + +112 +00:06:56,590 --> 00:07:01,170 +السموم هذا بالنسبة لل physiologyهحكي على حاجة مهمة + +113 +00:07:01,170 --> 00:07:04,610 +جدا اللي هو الـ Structural Level Organization شو + +114 +00:07:04,610 --> 00:07:06,670 +يعني الـ Structural Level Organization؟ من وين بده + +115 +00:07:06,670 --> 00:07:09,010 +يبدأ الإنسان؟ زي ما انده شايفين هذا ال slide كتير + +116 +00:07:09,010 --> 00:07:13,590 +كتير ولكن خليني أنا أبسطها باجي برسم عندي لو أنه + +117 +00:07:13,590 --> 00:07:17,450 +أنا موجود عندي اليوم في الصبورة في عندي حاجة اللي + +118 +00:07:17,450 --> 00:07:21,650 +هو الهرم برسمها أسفل إشي هحطه أو اللي هو بيكون على + +119 +00:07:21,650 --> 00:07:24,410 +القاعدة ال atom اللي هي الذررة بتعرفوا أن أصل + +120 +00:07:24,410 --> 00:07:28,290 +الدنيا كلها ذراتمعناته بيتكون الذرع من الكربون + +121 +00:07:28,290 --> 00:07:32,630 +والهيدروجين والأكسوجين اتحاد ذرتين أو أكتر بيعطينا + +122 +00:07:32,630 --> 00:07:36,550 +حاجة اسمها ال molecules الجزيء تعرف الجزيء على انه + +123 +00:07:36,550 --> 00:07:39,890 +ايش particle composed of two or more giant atoms + +124 +00:07:39,890 --> 00:07:43,110 +هو عبارة عن ارتباط ذرتين او أكتر اتنين هيدروجين مع + +125 +00:07:43,110 --> 00:07:47,130 +واحدة أكسوجين بتعطينا ماء واتحاد molecules او + +126 +00:07:47,130 --> 00:07:51,410 +اتنين اتحاد + +127 +00:07:51,920 --> 00:07:57,120 +الاتحاد two molecules او اكثر هذا بيعطيني ال macro + +128 +00:07:57,120 --> 00:07:59,540 +molecules زي الكربوهيدرات و ال lipid و ال protein + +129 +00:07:59,540 --> 00:08:03,440 +إذا ال macro molecules is defined as large + +130 +00:08:03,440 --> 00:08:08,360 +molecules طبعا اتحاد macro كلمة macro لحالها يطلع + +131 +00:08:08,360 --> 00:08:11,640 +بالأعزاء معناتها large حاجة كبيرة إذا أنا جمشت بال + +132 +00:08:11,640 --> 00:08:16,040 +O هنا combined together بيصير macro molecules ال + +133 +00:08:16,040 --> 00:08:18,000 +macro لحالها كبيرة و ال molecules هي أبدا عن + +134 +00:08:18,000 --> 00:08:21,470 +الجزية ال organالـ Organelles هي عبارة عن الـ cell + +135 +00:08:21,470 --> 00:08:24,650 +membrane و الـ nucleus و الـ ribosome تمام؟ اللي + +136 +00:08:24,650 --> 00:08:27,430 +إيش هم العضيات؟ الـ Organelles هي عبارة عن الـ + +137 +00:08:27,430 --> 00:08:31,610 +small organs اللي بتشكل الخليةمجموعة من الميك و من + +138 +00:08:31,610 --> 00:08:34,850 +الماكرو مولوكيولز كوّنتني الـ cell membrane غشاء + +139 +00:08:34,850 --> 00:08:37,550 +الخلية كوّنتني الـ ribosomes الميتوكندرية و كل هذه + +140 +00:08:37,550 --> 00:08:41,750 +الشغلات بتؤدي وظيفة معينة إذن خليني أعمل summarize + +141 +00:08:41,750 --> 00:08:46,270 +لهذه الشريحة بحكي في البداية بحط ال atom مجموعة من + +142 +00:08:46,270 --> 00:08:49,350 +ال atom شكلتلي المولوكيولز مجموعة من المولوكيولز + +143 +00:08:49,350 --> 00:08:52,690 +عملتلي الماكرو مولوكيولز مجموعة من الماكرو + +144 +00:08:52,690 --> 00:08:56,450 +مولوكيولز عملتلي ال organelles اللي موجودة عندي + +145 +00:08:56,540 --> 00:09:00,080 +مجموعة من الـ Organelles شكلت الخلية في النهاية + +146 +00:09:00,080 --> 00:09:02,880 +أنا عندي الـ nucleus وعندي الـ ribosomes وعندي + +147 +00:09:02,880 --> 00:09:06,880 +الميتوكندرية وعندي مكونات الخلية أعطتني بالآخر + +148 +00:09:06,880 --> 00:09:10,000 +خلية وكلنا بنعرف تعريف الخلية هي عبارة عن الـ + +149 +00:09:10,000 --> 00:09:13,140 +Basic Unit of Structural and Function هي وحدة بناء + +150 +00:09:13,140 --> 00:09:17,820 +الكائن الحي وظيفيا وتركيبيا لـ Level Organism طبعا + +151 +00:09:17,820 --> 00:09:21,760 +كل خلية من الخلايا إلها صفاتها الخاصة فيها هنا + +152 +00:09:21,760 --> 00:09:25,620 +جايبني مثال على سبيل المثال أن هو الـ Red Blood + +153 +00:09:25,620 --> 00:09:30,080 +CellA-nucleated لما بنقول كلمة الـ A بتسبق اللي هي + +154 +00:09:30,080 --> 00:09:33,940 +الكلمة معناته بتنفيها، إذا هي عبارة عن عزيمة + +155 +00:09:33,940 --> 00:09:38,520 +النواء لإن هذا التركيب أو هذا الشكل بيعطيها قابلية + +156 +00:09:38,520 --> 00:09:42,080 +أكبر وأسرع لنقل الـ Oxygen في الدم، و أنا هذا + +157 +00:09:42,080 --> 00:09:46,760 +الاشي بديها، مجموعة من الخلايا أعطتني حاجة اسمها + +158 +00:09:46,760 --> 00:09:50,210 +الـ Tissueهات شو هي عبارة عن الأنسجة، بتعرف في + +159 +00:09:50,210 --> 00:09:52,830 +عندنا أربع نوع من الأنسجة، في عندنا النسيج الطلائي + +160 +00:09:52,830 --> 00:09:56,610 +أو النسيج الحرشفي، ال connective اللي هو الضامب و + +161 +00:09:56,610 --> 00:09:59,730 +ال muscles العضلات و ال nervous systemالـ Tissue + +162 +00:09:59,730 --> 00:10:02,750 +is defined as a group of similar cells that + +163 +00:10:02,750 --> 00:10:07,190 +performs a specialized function مجموعة من الخلايا + +164 +00:10:07,190 --> 00:10:10,510 +كوّنات للـ Tissue، هذه الـ Tissue قدّت وظيفة معينة + +165 +00:10:10,510 --> 00:10:14,070 +Two or more tissue بتحدوا مع بعض، نسيج أو اتنين، + +166 +00:10:14,070 --> 00:10:17,810 +بيعطونها حاجة اسمها ال organs ال organs هي عبارة + +167 +00:10:17,810 --> 00:10:20,870 +عن الأعضاء على سبيل المثال ال skin وال heart وال + +168 +00:10:20,870 --> 00:10:25,960 +brainالقلب والجلد اللي هو الدماغ مجموعة من ال + +169 +00:10:25,960 --> 00:10:29,100 +organs defined as a structural connect consist of + +170 +00:10:29,100 --> 00:10:31,340 +a group to show that performance specialized + +171 +00:10:31,340 --> 00:10:35,920 +function رجوع من الأنسجة كوّنتلي اللي هو عضو القلب + +172 +00:10:35,920 --> 00:10:40,870 +على سبيل المثالأدى وظيفة اللي هي ضخ دم للجسم تمام؟ + +173 +00:10:40,870 --> 00:10:45,170 +مجموعة من ال organs أو اتحاد ال organs هذه الجهاز + +174 +00:10:45,170 --> 00:10:49,450 +اللي هو القلب و الرئتين والاشياء هذه كلها عملتلي + +175 +00:10:49,450 --> 00:10:53,030 +system عملتلي نظام موجود عندي في جسم الإنسان على + +176 +00:10:53,030 --> 00:10:56,410 +خبير المثال زي اللي هو الـ Integumentary هنشوفكم + +177 +00:10:56,410 --> 00:10:58,510 +كمان شوية الأجهزة اللي موجودة معانا وشو ال + +178 +00:10:58,510 --> 00:11:01,550 +function تبعتهمالان اللي هو system defined as a + +179 +00:11:01,550 --> 00:11:04,170 +group of organs that act together كاسم في light + +180 +00:11:04,170 --> 00:11:08,410 +function مجموعة من ال system هذه هتعطينا ل human + +181 +00:11:08,410 --> 00:11:12,070 +organism هتعطينا لإنسان بشكل كامل متكامل تبارك + +182 +00:11:12,070 --> 00:11:16,430 +الخالق عز وجل في خلقه إذا ال organism is composed + +183 +00:11:16,430 --> 00:11:19,610 +of أو complex level لل organization defined + +184 +00:11:19,610 --> 00:11:23,450 +individual living things عطتنا حاجة اسمها ل human + +185 +00:11:23,450 --> 00:11:27,450 +organism طبعا هذا اللي هركزنيأو هذا الـ Haram اللي + +186 +00:11:27,450 --> 00:11:31,330 +أنا حكيت عليه طبعاً بيختلف حسب ال population ال + +187 +00:11:31,330 --> 00:11:35,450 +communities الأعراق والأجناس وكل هذه الحاجات خليني + +188 +00:11:35,450 --> 00:11:38,810 +أعمل summary لتلت ال slides اللي فاتوا حكينا بيبدأ + +189 +00:11:38,810 --> 00:11:42,190 +الإنسان أول إشي بالأتم مجموعة من الأتم بتطلعلي على + +190 +00:11:42,190 --> 00:11:45,150 +ال molecules مجموعة من ال molecules بتعطلني ال + +191 +00:11:45,150 --> 00:11:49,430 +macromoleculesوبعد الـ macromolecules، مجموعة من + +192 +00:11:49,430 --> 00:11:52,250 +الـ macromolecules بتعطيني الـ organelles اللي هي + +193 +00:11:52,250 --> 00:11:56,350 +العضيات ومجموعة من العضيات باطلع أنا كل مالي من + +194 +00:11:56,350 --> 00:11:59,510 +الـ Zero واطلع على فوق، على اللي هو التواضق + +195 +00:11:59,510 --> 00:12:03,450 +العليا، مجموعة من ال organelles بتعطيني الخلية + +196 +00:12:03,450 --> 00:12:07,230 +الخليةأو السلم ومجموعة من الخلايا بتعطيني الـ + +197 +00:12:07,230 --> 00:12:11,010 +tissue المعينة أو الأنسجة المعينة مجموعة من + +198 +00:12:11,010 --> 00:12:15,630 +الأنسجة بتعطيني ال organs و ال organs باتحادها مع + +199 +00:12:15,630 --> 00:12:18,770 +بعضها لبعض بتعطيني ال systemواتحاد ال systems + +200 +00:12:18,770 --> 00:12:23,670 +بيشكلك الآخر اللي هو الإنسان البشري تمام؟ هاي تلك + +201 +00:12:23,670 --> 00:12:26,190 +ال slides اللي انتوا شايفينهم مليانين هيك احنا + +202 +00:12:26,190 --> 00:12:30,650 +شرحناهم و بيكون لخصناهم ابدأ الآن بإذن الله تعالى + +203 +00:12:30,650 --> 00:12:34,110 +في حاجة تانية اللي هي ال system اللي موجودة داخل + +204 +00:12:34,110 --> 00:12:37,190 +الجسم ال body system في عندي حوالي 11 body system + +205 +00:12:37,190 --> 00:12:40,630 +أنا موجودين عندى هشرح عليهم و هحكي على ال function + +206 +00:12:40,630 --> 00:12:45,940 +تبعت كل واحد فيهمنبدأ أول حاجة بجهاز الـ + +207 +00:12:45,940 --> 00:12:48,680 +Intergumentary System، يحتوي على الـ Skin والـ + +208 +00:12:48,680 --> 00:12:52,580 +Hair والـ Nail، إذا الجهاز الذي يغطي جسم الإنسان، + +209 +00:12:52,580 --> 00:12:55,680 +تمام؟ وظيفته External Covering، حماية خارجية و + +210 +00:12:55,680 --> 00:12:58,780 +Protection، بيكوّن Vitamin D، أيضًا بيعمل لـ + +211 +00:12:58,780 --> 00:13:01,860 +Location اللي هو الـ Sense Receptors، لما أجي أسلم + +212 +00:13:01,860 --> 00:13:05,320 +على حدا، بحس بيه، لأنه ليش الاحتصاف موجود أو + +213 +00:13:05,320 --> 00:13:08,980 +المستقبلات الحسية موجودة عندي في الجلد، تمام؟ + +214 +00:13:09,730 --> 00:13:12,210 +الجهاز التاني اللي هو الـ skeletal system هذا + +215 +00:13:12,210 --> 00:13:15,890 +الجهاز اللي هو الجهاز العضمي أو الهيكلي موجود + +216 +00:13:15,890 --> 00:13:19,930 +عندنا على الأغلب دائما بيكون مشابه أو مشابك يشتبك + +217 +00:13:19,930 --> 00:13:23,530 +تماما مع اللي هو ال muscle أي العضلات يحتوي على + +218 +00:13:23,530 --> 00:13:27,650 +البول وال joint adjacent cartilage وظيفته بيعمل + +219 +00:13:27,650 --> 00:13:31,990 +support، protection، movement، blood production و + +220 +00:13:31,990 --> 00:13:35,340 +ال mineral storage supportلو ما الجهاز العطبي هذا + +221 +00:13:35,340 --> 00:13:37,800 +كان أنا ما لجيت حالي واقف بهذه الدعامة أو بهذا + +222 +00:13:37,800 --> 00:13:42,960 +الشكل، لو ما الجهاز العطبي ما لجيت حالي أنا حامية + +223 +00:13:42,960 --> 00:13:45,600 +الـ Vital Organs اللي موجودة عندي، زي القلب + +224 +00:13:45,600 --> 00:13:50,340 +والدماغ وهذه الأمور، أيضًا بيأديلي الحركةتكوين + +225 +00:13:50,340 --> 00:13:53,480 +كوريات الدم أيضًا خلال اللي هو الـ Red Bone Marrow + +226 +00:13:53,480 --> 00:13:57,240 +المخاع الأحمر بتم إنتاج خلايا الدم أيضًا هو عبارة + +227 +00:13:57,240 --> 00:14:01,300 +عن مصنع لاللي هو الـ Calcium و الـ S4 اللي موجود + +228 +00:14:01,300 --> 00:14:05,220 +داخل الـ Bone هذه كبحكي عليها كلية من هنا الحزام + +229 +00:14:05,220 --> 00:14:09,520 +الصدري و مكونات الـ Upper Arm و تحت هنا عندي اللي + +230 +00:14:09,520 --> 00:14:13,820 +هي الحزام الحوبي اللي موجود هنا و اللي هي الـ + +231 +00:14:13,820 --> 00:14:18,350 +Lower Limb طبعًاأحكي على أخوه تماما أو توأمه خليني + +232 +00:14:18,350 --> 00:14:21,710 +أحكي اللي هو الـ muscular system يحتوي على سكلة ال + +233 +00:14:21,710 --> 00:14:24,830 +muscles في عند عضلات موجودة في الجسم العضلة لها + +234 +00:14:24,830 --> 00:14:30,010 +نقطة بداية و لها نقطة نهاية إذا العضلة عشان يصير + +235 +00:14:30,010 --> 00:14:33,430 +لها عملية الإنقباض والانبساط لازم يكون لها نقطة + +236 +00:14:33,430 --> 00:14:37,410 +بداية و نقطة نهاية أيضا بتكون مصاحبة ب connective + +237 +00:14:37,410 --> 00:14:40,670 +tissue أنسجة دامة مابيصير العضلة تكون موجودة هيك و + +238 +00:14:40,670 --> 00:14:43,480 +خلاصلازم يكون لها فيه نقاط ارتباط ونقاط قوة + +239 +00:14:43,480 --> 00:14:47,240 +فبالتالي ترتبط عن طريقة تندن الأوثار اللي موجودة + +240 +00:14:47,240 --> 00:14:51,280 +من ال connective tissue النسيج الدعم شو وظيفة ال + +241 +00:14:51,280 --> 00:14:53,900 +muscular system؟ وظيفته ال locomotion، + +242 +00:14:53,900 --> 00:14:57,480 +manipulation، environment و facial expression أيضا + +243 +00:14:57,480 --> 00:15:01,000 +و ال maintain البشرال وبنتج للطاقة الحرارية خليني + +244 +00:15:01,000 --> 00:15:04,180 +أشوف ال locomotion في الحركة ال manipulation خلال + +245 +00:15:04,180 --> 00:15:06,900 +أو اللي هو الحركة خلال البيئة و ال environment + +246 +00:15:06,900 --> 00:15:09,970 +اللي موجودة عندكاليوم إذا أنا كنت happy أو كنت sad + +247 +00:15:09,970 --> 00:15:13,330 +بيبين على وجهي ليش من ال facial expression من + +248 +00:15:13,330 --> 00:15:17,010 +العضلات اللي موجودة، إذا هي عملية سهلة للتواصل مع + +249 +00:15:17,010 --> 00:15:21,030 +الناس التانية، بيحافظني على ال postural اللي هو + +250 +00:15:21,030 --> 00:15:24,330 +القوان، بيحافظ على القوان، بتعرفه مثلا لما بتكون + +251 +00:15:24,330 --> 00:15:28,110 +العضلات سليمة وكويسة وانتي بخير؟أو انت بخير بتلاقي + +252 +00:15:28,110 --> 00:15:32,830 +ان انت بقوام جيد وسليم Producing للهيت بينتج هذا + +253 +00:15:32,830 --> 00:15:36,330 +اللي هو ال muscular system اللي بينتج للطاقة + +254 +00:15:36,330 --> 00:15:40,290 +الحرارية اللي بتنبني و بتدفق اللي هو أنا محتاجة + +255 +00:15:40,290 --> 00:15:43,890 +لجسمي احكي على ال system اللي هو ال circulatory + +256 +00:15:43,890 --> 00:15:46,350 +system يحتوي ال circulatory system على جهازين + +257 +00:15:46,350 --> 00:15:50,990 +أدنيةCardiovascular لاحظوا أنا كيف قسمتها Cardio + +258 +00:15:50,990 --> 00:15:54,210 +لحال و Vascular لحال هنا بحكي على ال heart و هنا + +259 +00:15:54,210 --> 00:15:57,610 +بحكي على الشرايين و الأورده إذا ال cardiovascular + +260 +00:15:57,610 --> 00:16:00,770 +system و الجهاد الآخر اللي هو ال lymphatic system + +261 +00:16:00,770 --> 00:16:04,210 +شو موظيفة ال circulatory أو الجهاد الدوراني؟ + +262 +00:16:04,210 --> 00:16:07,990 +وظيفته بيعمل transportation عملية نقل للمaterial + +263 +00:16:07,990 --> 00:16:13,290 +خلال الجسم من و إلى البيئة الداخلية و الخارجية كيف + +264 +00:16:13,290 --> 00:16:16,670 +يعني؟ ممكن أنا بدي أعطي للبيئة الداخل جسم الإنسان + +265 +00:16:16,670 --> 00:16:19,900 +أعطيه علاجعن طريق الـ cannula أو عن طريق اللي هي + +266 +00:16:19,900 --> 00:16:22,980 +الإبرة اللي بتتم إدخالها وعن طريقها بتتم العلاج + +267 +00:16:22,980 --> 00:16:27,520 +داخل الجسم اللي هو المريد التبعي، إذا عملية نقل + +268 +00:16:27,520 --> 00:16:31,040 +الأغذية والـ material سواء كانت العلاج أو الأغذية + +269 +00:16:31,040 --> 00:16:34,180 +أو كل اللي بيتم اللي هو عن طريق اللي هو ال + +270 +00:16:34,180 --> 00:16:37,740 +cardiovascular system عن طريق الوريد اللي موجود + +271 +00:16:37,740 --> 00:16:42,280 +عندى داخل الجسم، إذا هحكي عن cardiovascular system + +272 +00:16:42,280 --> 00:16:45,080 +بيحتوي على زي ما قسمنا الكلمة cardio لحال + +273 +00:16:45,080 --> 00:16:49,530 +وvascular لحالالـ Heart والـ Gazelle تمامًاوظيفته + +274 +00:16:49,530 --> 00:16:53,210 +بيعمل transportation للـ blood، أيضًا نقل عملية + +275 +00:16:53,210 --> 00:16:56,570 +نقل اللي هو مكوّن الدم، والدم بيحتوي زي ما انتوا + +276 +00:16:56,570 --> 00:16:59,670 +عارفين على أكسجين وثاني أكسيد الكربون، أيضًا blood + +277 +00:16:59,670 --> 00:17:03,670 +composed of plasma and zinc، يحتوي على الدم على + +278 +00:17:03,670 --> 00:17:07,070 +اللي هو البلازمة، اللي هو السائل القش اللوني، + +279 +00:17:07,070 --> 00:17:10,870 +وكذلك الخلايا اللي هي زي كوريات الدم الحمراء + +280 +00:17:10,870 --> 00:17:14,650 +وكوريات الدم البيضاء وصفائح الدموية، النشبتر كامل + +281 +00:17:14,650 --> 00:17:18,930 +هيكون بإذن الله تعالى عن ال blood ومكوناته وأنواعه + +282 +00:17:19,330 --> 00:17:23,110 +هحكي على جهاز لينفاوي اللي هو التوأم تبع الـ + +283 +00:17:23,110 --> 00:17:26,270 +cardiovascular system يحتوي على الـ lymphatic + +284 +00:17:26,270 --> 00:17:30,490 +organs الأعضاء اللينفاوية زي الطحال العقد + +285 +00:17:30,490 --> 00:17:33,970 +اللينفاوية والغدة الذاترية الـ lymphatic vessels + +286 +00:17:33,970 --> 00:17:37,620 +اللي هي الأوعية اللينفاويةوظيفتها تعمل على الـ + +287 +00:17:37,620 --> 00:17:40,540 +transportation للـ lymph الـ lymph that dries from + +288 +00:17:40,540 --> 00:17:43,580 +the tissue fluid بتم إشتقاق اللي هو السائل + +289 +00:17:43,580 --> 00:17:47,500 +الليمفاوي تجميعه لأيضا يستضيف لي اللي هو ال white + +290 +00:17:47,500 --> 00:17:50,560 +blood cell الجهاز الليمفاوي موظفته أنه بيحسن + +291 +00:17:50,560 --> 00:17:53,640 +المناعة أنه بيطرد الأجسام الغريبة داخل الجسم + +292 +00:17:53,640 --> 00:17:57,640 +بيطردها إلى الخارج تمام؟ إذا يستضيف اللي هو ال + +293 +00:17:57,640 --> 00:18:03,660 +white blood cellأجينا للجهاز اللى هو حامي الجسم + +294 +00:18:03,660 --> 00:18:07,680 +اللى هو اسمه الـ Defense طبعا أو جهاز الدفاع عن + +295 +00:18:07,680 --> 00:18:10,480 +الجسم الـ Immunity System اللى احنا حاليا عشان + +296 +00:18:10,480 --> 00:18:15,200 +COVID-19 لازم نهتم فيه ونحافظ على مناعة أجسامنا + +297 +00:18:15,200 --> 00:18:18,960 +يحتوي الـ Immunity System أو جهاز المناعة على الـ + +298 +00:18:18,960 --> 00:18:22,220 +Immune organs اللى فيه البولمارون خلع العضل في الـ + +299 +00:18:22,220 --> 00:18:25,200 +Thymus الغضب الذعترية أيضا الـ White Blood Cells + +300 +00:18:25,200 --> 00:18:29,500 +اللى أنا بكرا هختصرها بالـ WBC الانفسايتز اللى هي + +301 +00:18:32,500 --> 00:18:37,460 +الخلايا اللينفوية الـ Macrophages اللي هي عبارة عن + +302 +00:18:37,460 --> 00:18:41,220 +الخلايا + +303 +00:18:41,220 --> 00:18:45,400 +الأكلة خليني أحكي أو الخلايا البالعة macro لحالها + +304 +00:18:45,400 --> 00:18:49,120 +تختلف عن micro micro اللي بالـ I بتكون صغير أما + +305 +00:18:49,120 --> 00:18:52,520 +هنا macro كبيرة فمعناته هي عبارة عن الخلايا + +306 +00:18:52,520 --> 00:18:57,510 +البالعة وظيفتها Defense and Immunity Responseالـ + +307 +00:18:57,510 --> 00:19:00,870 +Immune Response يعني جهاز المناعة تمام؟ هذا اللي + +308 +00:19:00,870 --> 00:19:05,370 +هو جهاز المناعة خليني أشوف الـ Nervous System هذا + +309 +00:19:05,370 --> 00:19:10,110 +الجهاز اللي هو الأعظم والأهم في جسم الإنسان باجي + +310 +00:19:10,110 --> 00:19:13,070 +أنا بحكي الـ Nervous System يحتوي على قسمين + +311 +00:19:13,070 --> 00:19:17,730 +أساسيين Central Nervous System وباقتصرها الـ CNS و + +312 +00:19:17,730 --> 00:19:21,250 +ال Peripheral Nervous System وباقتصرها الـ BNSالـ + +313 +00:19:21,250 --> 00:19:24,230 +CNS يحتوي على الـ brain و الـ spinal cord طبعاً + +314 +00:19:24,230 --> 00:19:28,850 +بورقة جانبية و نفس الأشي بعمل التقسيمة التبعتي ال + +315 +00:19:28,850 --> 00:19:31,350 +peripheral nervous system أو الأعصاب الترافية + +316 +00:19:31,350 --> 00:19:34,850 +تحتوي على ال nerve و ال sense receptors تمام؟ شو + +317 +00:19:34,850 --> 00:19:38,290 +وظيفته؟ اليوم بشتغل ال nervous system هذا معايا مع + +318 +00:19:38,290 --> 00:19:41,880 +ال endocrine system اللي هو جهازأو الغُدَد الصمام + +319 +00:19:41,880 --> 00:19:46,340 +ما بيصير أنه أنا أشتغل و أنا ماعندي دماغ أو أشتغل + +320 +00:19:46,340 --> 00:19:48,840 +مين بده يعطي السيالات العصبية؟ مين بده يرسلني + +321 +00:19:48,840 --> 00:19:53,040 +الإيد؟ ارفعي انه في خطر هنا؟ لأ لازم يكون في عندي + +322 +00:19:53,040 --> 00:19:56,660 +سلامة اللي هو جسم الإنسان بسلامة الـ Nervous + +323 +00:19:56,660 --> 00:20:00,390 +System أو ضائفه بيعمل Control Systemfast and hard + +324 +00:20:00,390 --> 00:20:03,910 +warrior طبعا على طول مستجيب سريع response لل + +325 +00:20:03,910 --> 00:20:06,710 +external and internal environment لو اشتكل جسم من + +326 +00:20:06,710 --> 00:20:10,090 +حرارة خارجية بتبقى فمان انت مبرد على حالك لو اشتكل + +327 +00:20:10,090 --> 00:20:13,710 +جسم من مشاكل داخلية على سبيل المثال في عنده اتهاب + +328 +00:20:13,710 --> 00:20:17,070 +في الزائدة الدودية على طول بتبين الأعراض انه شيلوا + +329 +00:20:17,070 --> 00:20:20,290 +هذا ال organs فيه مشكلة اذا ال nervous system هو + +330 +00:20:20,290 --> 00:20:24,330 +عبارة عن جهاز عظيم جهاز كبير مهم جدا في جسم + +331 +00:20:24,330 --> 00:20:28,780 +الإنسانTau Ammon Endocrine System يحتوي على + +332 +00:20:28,780 --> 00:20:32,360 +الجلاند هذه الغدد إيش وظيفتها تخلص الهرمونات على + +333 +00:20:32,360 --> 00:20:36,520 +سبيل المثال سلامة الهرمونات أو سلامة الغدد بسلامة + +334 +00:20:36,520 --> 00:20:40,200 +إفرازها للهرمون الببتريجلاندة الغدد المخانية وكذلك + +335 +00:20:40,200 --> 00:20:43,840 +البنكرياس والسيرويد اللي هي الغدد الدرقيةيعمل على + +336 +00:20:43,840 --> 00:20:46,660 +الـ control system of know and chemical تمام + +337 +00:20:46,660 --> 00:20:50,980 +بيبطئلي على سبيل المثال الهرمونات لازم يكون افرازة + +338 +00:20:50,980 --> 00:20:55,240 +بشكل سليم ليست عالية جدا وليست منخفضة فبالتالي + +339 +00:20:55,240 --> 00:20:59,580 +تنظيمها بيؤدي لالي هو سلام الجسم للإنسان بيعني ال + +340 +00:20:59,580 --> 00:21:01,640 +regulation ال process زي ال growth و reproduction + +341 +00:21:01,640 --> 00:21:06,210 +and nutrition useزي ما حكيتلكم، هرمون النمو لو كان + +342 +00:21:06,210 --> 00:21:10,510 +عالي جدا بيأدي للعملقة، ولو كان مش موجود أو منخفض + +343 +00:21:10,510 --> 00:21:14,550 +بيأدي للقذامة فبالتالي، سلامة الهرمونات تشتغل مع + +344 +00:21:14,550 --> 00:21:19,090 +اللي هو الـ Nervous System اللي موجود عندناعند + +345 +00:21:19,090 --> 00:21:22,130 +الجهاز المهم اللي هو ال respiratory system أو ما + +346 +00:21:22,130 --> 00:21:26,550 +يسمى بالجهاز التنفسي يحتوي زي ما انتوا شايفين على + +347 +00:21:26,550 --> 00:21:31,290 +الرقتين الرقة اليمنى والرقة اليسرى ال right lung + +348 +00:21:31,290 --> 00:21:34,530 +اللي هي تحتوي على three parts، ثلاث أجزاء رئيسية + +349 +00:21:34,820 --> 00:21:38,760 +والـ left lung تحتوي على two parts نظرا لوجود اللي + +350 +00:21:38,760 --> 00:21:42,500 +هو ال heart تحتوي أيضا على ال tubing بعض القنابيب + +351 +00:21:42,500 --> 00:21:46,120 +زي التراكيا القصب الهوائية البرونكس الشعب الهوائية + +352 +00:21:46,120 --> 00:21:49,720 +اللي موجودة عنده ال larynx الحنجرة لها علاقة بال + +353 +00:21:49,720 --> 00:21:53,420 +vocal cords اللي هو الأحبال الصوتية الآن ال + +354 +00:21:53,420 --> 00:21:57,430 +function تبعتنا شو مظيفة الجهاز التنفسي؟عملية + +355 +00:21:57,430 --> 00:22:02,010 +التبادل للغازات هنا بيتم أخذ الأكسجين واضطرب ثاني + +356 +00:22:02,010 --> 00:22:06,650 +أكسيد الكربون اللي هو ما بين الدم والغلاف الجوية + +357 +00:22:06,650 --> 00:22:09,930 +إذا اتس اتشانج للاسميراتوريجاز الأكسجين and + +358 +00:22:09,930 --> 00:22:14,130 +الديكسيد كربون ما بين ال blood and الاطمسفير أيضا + +359 +00:22:14,130 --> 00:22:18,030 +اللي هو ال voice production إنتاج الصوت اللي موجود + +360 +00:22:18,030 --> 00:22:22,290 +الجهاز الأخر اللي هو عبارة عن ال digestive system + +361 +00:22:22,290 --> 00:22:27,200 +يحتوي على قناتين رئيسيتينحاجة Elementary مستحيل + +362 +00:22:27,200 --> 00:22:31,600 +أستغنى عنها وحاجة وجودها أو عدمها ما بيأثر عليها + +363 +00:22:31,600 --> 00:22:34,280 +أول إيش الـ Elementary Canals أو القناة الخضمية + +364 +00:22:34,280 --> 00:22:39,760 +الأساسية تبدأ بالفم ومرورا بالـ Pharynx بالعوم و + +365 +00:22:39,760 --> 00:22:43,380 +الـ Esophagus المريء اللي أنتوا شايفينه و الـ + +366 +00:22:43,380 --> 00:22:46,700 +Stomach المعدة و Small Intestine و Large Intestine + +367 +00:22:46,700 --> 00:22:50,180 +أمعاء دقيقة و أمعاء غليظةأما الـ Accessories اللي + +368 +00:22:50,180 --> 00:22:52,920 +هي على سبيل المثال بعض الأحيان بتلقى استئصار جزء + +369 +00:22:52,920 --> 00:22:55,840 +من الـ Liver، الكبد أو الـ Salivary gland الغدد + +370 +00:22:55,840 --> 00:22:59,160 +اللعابية أو البنكرياز فيها مشكلة بروحه أنا شاية + +371 +00:22:59,160 --> 00:23:02,880 +جزء منها كثير بتشوفه ناس طبعا أيضا من غير مرارة + +372 +00:23:02,880 --> 00:23:06,260 +اللي هو الـ Gall Bladder معناه الكلام أنا فيه + +373 +00:23:06,260 --> 00:23:10,340 +أستغني عن جزء بسيط منها اللي موجود عندي هنا شو + +374 +00:23:10,340 --> 00:23:15,080 +وظيفة الجهاز الحضر؟ يعمل على تكسير الطعامو تقطيعه + +375 +00:23:15,080 --> 00:23:20,120 +حتى يسهل انتصاره نمتص الأشياء المفيدة لنا الحديد + +376 +00:23:20,120 --> 00:23:23,960 +والزنك والفسفور والكالسيوم ونطرد اللي هو eliminate + +377 +00:23:23,960 --> 00:23:28,060 +ال waste product عن طريق اللي هو ال rectum أو عن + +378 +00:23:28,060 --> 00:23:31,820 +طريق اللي هي المفتقم اللي موجود عندنا هذا ال + +379 +00:23:31,820 --> 00:23:34,740 +digestive system خليني أحكي عن ال urinary + +380 +00:23:40,790 --> 00:23:44,890 +اليورناري يحتوي على الـ kidneys اللي هم الكليتين + +381 +00:23:44,890 --> 00:23:48,810 +زي ما حكيت بيشبه حبة الفاصولة، أيضًا يحتوي على + +382 +00:23:48,810 --> 00:23:53,810 +الحالبين، حالب في اليمين وحالب في اليسارو يجتمعان + +383 +00:23:53,810 --> 00:23:58,550 +ليفرغا ما بيهما داخل اليهو الـ Urinary Bladder + +384 +00:23:58,550 --> 00:24:02,790 +اللي هي المثانة المولية و أيضا يخرج اليهو عن طريق + +385 +00:24:02,790 --> 00:24:07,050 +الـ urethra المجرى البولى شو وظيفة الجهاز البولى؟ + +386 +00:24:07,050 --> 00:24:10,630 +وظيفته انه بيعمل elimination للواسط بيطلع اليهو + +387 +00:24:10,630 --> 00:24:14,970 +الـ Mitrogen من الدم يعني بيزيل الفضلات خارج الجسم + +388 +00:24:15,160 --> 00:24:19,080 +بيعمل معادلة للقاعدية الحمضية الموجودة داخل جسم + +389 +00:24:19,080 --> 00:24:23,540 +الإنسان، أي مشكلة بتأدي لتورم وانتفاخ القدمين + +390 +00:24:23,540 --> 00:24:27,920 +واليدي، إذا بيعمل عملية Environment ما بين ال + +391 +00:24:27,920 --> 00:24:30,500 +blood و ال external environment، بيعمل regulation + +392 +00:24:30,500 --> 00:24:34,040 +لل water و الأملاح ال electrolyte base and acid + +393 +00:24:34,040 --> 00:24:39,620 +balance تمام؟ هذا اللي بيعمله الجهاز ال urinary + +394 +00:24:39,620 --> 00:24:42,960 +systemالآخر جهاز معانا اللي هو الـ Reproductive + +395 +00:24:42,960 --> 00:24:47,580 +System بيختلف من الـ Female لالمال طبعا الـ + +396 +00:24:47,580 --> 00:24:51,280 +Reproductive System في كل حد هيختلف عن الآخر و + +397 +00:24:51,280 --> 00:24:54,460 +اللي هو وظيفته بيعمل Preperation الـ Spaces + +398 +00:24:54,460 --> 00:24:58,660 +المحافظة على النوع وأيضا الهرمونات طبعا مهمة جدا + +399 +00:24:58,660 --> 00:25:01,540 +في ال Sexual and Function Sexual Demographic + +400 +00:25:01,540 --> 00:25:06,390 +Spaces طبعا المحافظة على الجنس مناللي هو الانقراض + +401 +00:25:06,390 --> 00:25:09,890 +عن طريق الـ Reproductive System وبهيك بيكون أنا + +402 +00:25:09,890 --> 00:25:13,710 +أنهيت بإذن الله تعالى ال part الأول من ال + +403 +00:25:13,710 --> 00:25:17,190 +introduction عمل سماريز للمحاضرة عرفنا ال anatomy + +404 +00:25:17,190 --> 00:25:21,710 +أخدنا ال kinds of anatomy أخدنا اللي هو ال systems + +405 +00:25:21,710 --> 00:25:25,390 +اللي موجودة عندنا داخل جسم الإنسان وشو الوظيفة + +406 +00:25:25,390 --> 00:25:29,710 +تبعت كل واحد فيها على حده في رعاية الله ألقاكم + +407 +00:25:29,710 --> 00:25:32,390 +بإذن الله تعالى في محاضرة أخرى + diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/FGcKv7WBKno.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/FGcKv7WBKno.srt new file mode 100644 index 0000000000000000000000000000000000000000..bcd0665887fcb7db74853f324617a519ca046268 --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/FGcKv7WBKno.srt @@ -0,0 +1,1427 @@ +1 +00:00:04,890 --> 00:00:07,830 +بسم الله الرحمن الرحيم والصلاة والسلام على أشرف + +2 +00:00:07,830 --> 00:00:12,350 +الأنبياء والمرسلين، اليوم بإذن الله تعالى، بدنا نشرح + +3 +00:00:12,350 --> 00:00:17,290 +آخر chapter فيما يتعلق بالعظام، أخذنا في البداية + +4 +00:00:17,290 --> 00:00:21,870 +مقدمة عن العظام وأنواعها، وشو مكوناتها، ومن أيش + +5 +00:00:21,870 --> 00:00:25,050 +بتنشأ، الـ chapter الثاني أخذنا فيه skeletal two + +6 +00:00:25,050 --> 00:00:30,010 +أخذنا عن الـ upper and lower limb، اللي هو bones الـ + +7 +00:00:30,010 --> 00:00:32,150 +chapter الثالث كمان أخذنا فيه عن + +8 +00:00:35,620 --> 00:00:38,900 +سنأخذ في هذا الـ chapter إن شاء الله رب العالمين عن + +9 +00:00:38,900 --> 00:00:44,920 +المفاصل وأنواعها، و نشوف كيف بدنا نسمي المفصل الأول + +10 +00:00:44,920 --> 00:00:48,160 +شيء هنحكي اللي هو الـ joint of the skeletal system + +11 +00:00:48,160 --> 00:00:51,460 +الذي كنت شرحت في المحاضرة السابقة أو في + +12 +00:00:51,460 --> 00:00:55,380 +الفيديو السابق، لما أنا بدي أشترك أو بدي أسمي هذا + +13 +00:00:55,380 --> 00:00:59,200 +المفصل، بسميه عبارة عن التقاء العضمتين مع بعضهما + +14 +00:00:59,200 --> 00:01:02,440 +البعض، يعني هنا حكينا الـ sternum مع الـ clavicle + +15 +00:01:02,440 --> 00:01:07,520 +سميناه sternoclavicular joint، فبالتالي اسم المفصل + +16 +00:01:07,520 --> 00:01:12,320 +بينشأ عن اتحاد أو تقابل أو التقاء العضمتين مع + +17 +00:01:12,320 --> 00:01:16,320 +بعضهما البعض، الـ joint هي عبارة عن ما يسمى بالـ + +18 +00:01:16,320 --> 00:01:19,480 +articulation، الـ functional junction ما بين الـ two + +19 +00:01:19,480 --> 00:01:23,480 +bones، هي عبارة عن الوحدة الوظيفية ما بين العضمتين + +20 +00:01:23,480 --> 00:01:27,800 +عند تقائهما مع بعضهما البعض، الـ joint أيضا تعمل + +21 +00:01:27,800 --> 00:01:30,760 +على الـ bind للـ parts of skeletal system together + +22 +00:01:31,510 --> 00:01:34,790 +أيضا make bone growth as much as possible، كيف بدها + +23 +00:01:34,790 --> 00:01:39,250 +يكون عندنا اللي هو نمو لهذه العظام، اليوم التقاء + +24 +00:01:39,250 --> 00:01:44,830 +العضمتين، هنا الـ humerus مع الـ radius، هيكون عبارة + +25 +00:01:44,830 --> 00:01:48,430 +عن ايش؟ في اتصال المفصل اللي هو اسمه الـ elbow joint + +26 +00:01:48,430 --> 00:01:52,710 +هذا الـ elbow joint هو عبارة عن أن أنا إذا أنا عملت + +27 +00:01:52,710 --> 00:01:56,900 +اللي هو pressure على العضمة تبعي، معناته أنه أنا + +28 +00:01:56,900 --> 00:02:01,880 +بحفظ الـ epiphyseal growth، أنه ينمو ويطول، أيضا الـ + +29 +00:02:01,880 --> 00:02:05,560 +joint permits للـ part of a skeleton to change لـ + +30 +00:02:05,560 --> 00:02:10,200 +child birth، خلال مرحلة الطفولة، الشباب يعني على سبيل + +31 +00:02:10,200 --> 00:02:15,430 +المثال، أنا بحكي للأم دائما أنه اتركي الطفل يحمل على + +32 +00:02:15,430 --> 00:02:19,850 +أربعة أطرافه، اللي هي وضع الـ cat position، ليه؟ عشان أعمل + +33 +00:02:19,850 --> 00:02:23,570 +stimulation للـ long bone، أنه يصير في عندي growth + +34 +00:02:23,570 --> 00:02:28,740 +and development للـ long bone، أيضا الـ joint enable + +35 +00:02:28,740 --> 00:02:32,360 +the body to movement in reciprocal skeletal of + +36 +00:02:32,360 --> 00:02:36,760 +muscles contractions، وظيفة الهيكل العظمي زي ما + +37 +00:02:36,760 --> 00:02:40,620 +أخذناها سابقا، اللي هي الحركة، يا إما الحركة بدها + +38 +00:02:40,620 --> 00:02:43,680 +تكون للـ upper limb أو الحركة للـ trunk as much as + +39 +00:02:43,680 --> 00:02:48,720 +possible، كلها، أو الحركة للـ lower limb، كل هذه + +40 +00:02:48,720 --> 00:02:53,220 +الأمور فيما يخص الـ joint و الـ articulation، اللي هو + +41 +00:02:53,220 --> 00:02:59,390 +التمفصل، خلّيني أشوف إيش أن هو بدي يكون عندي بعد هيك + +42 +00:02:59,390 --> 00:03:04,870 +تسمية المفاصل، زي أي شيء ممكن إحنا نسميه، بتم اشتقاق + +43 +00:03:04,870 --> 00:03:08,650 +الاسم من تقابل أو الـ articulating between two + +44 +00:03:08,650 --> 00:03:12,490 +bones، زي ما سميناه، حكينا في عندنا الاستيرنو + +45 +00:03:12,490 --> 00:03:17,880 +clavicular joint، في عندي الـ Acromion في الـ scapula + +46 +00:03:17,880 --> 00:03:22,740 +مع الـ clavicle، سميتها Acromioclavicular joint، هنا + +47 +00:03:22,740 --> 00:03:27,220 +Sternoclavicular، Acromioclavicular، كمان أخذنا في + +48 +00:03:27,220 --> 00:03:31,680 +الفيديو السابق، اللي هو الـ sacrum مع الـ ilium + +49 +00:03:31,680 --> 00:03:37,440 +Sacroiliac joint، Sacroiliac joint، إذا بتم اشتقاق + +50 +00:03:37,440 --> 00:03:42,810 +الأسماء من اتحاد العظام مع بعضها البعض، الآن أنواع + +51 +00:03:42,810 --> 00:03:47,570 +المفاصل، بدي أقسمها إلى أقسام مختلفة according to + +52 +00:03:47,570 --> 00:03:51,430 +the shape and according to the mobility، حسب الشكل + +53 +00:03:51,430 --> 00:03:58,150 +وحسب اللي هو الحركة، بدي أسمي المفاصل حسب التركيبة + +54 +00:03:58,150 --> 00:04:02,990 +تبعها، الـ structural، إلى: fibrous، cartilaginous، + +55 +00:04:02,990 --> 00:04:05,130 +synovial، تمام؟ + +56 +00:04:13,340 --> 00:04:18,920 +هسمي المفاصل إلى: fibrous joint، الأول، اثنين + +57 +00:04:18,920 --> 00:04:24,600 +cartilaginous، ثلاثة، synovial، الآن اللي هو مفصل + +58 +00:04:24,600 --> 00:04:30,080 +الـ fibrous joint، من اسمه fibrous يعني من الفيبر، + +59 +00:04:30,080 --> 00:04:35,140 +dense connective tissue connect للبون، هو عبارة عن + +60 +00:04:35,140 --> 00:04:37,840 +نوع من أنواع الـ fibers اللي موجودة في الـ + +61 +00:04:37,840 --> 00:04:43,730 +connective tissue، dense كثيف، ما بين العظام in close + +62 +00:04:43,730 --> 00:04:48,830 +contact، تمام، العظام اللي هي أكثر اتصالا وأكثر + +63 +00:04:48,830 --> 00:04:52,810 +التصاقا مع بعضها البعض، النوع الثاني اللي هو + +64 +00:04:52,810 --> 00:04:57,070 +cartilaginous، طالما فيها cartilaginous معناته في + +65 +00:04:57,070 --> 00:05:01,890 +عندنا cartilage، إذا هو الـ hyaline cartilage أو الـ + +66 +00:05:01,890 --> 00:05:03,630 +fibrocartilaginous + +67 +00:05:05,000 --> 00:05:09,620 +اللي هو بيكون الـ disc أو الحاجة الشيط البيضاء زي + +68 +00:05:09,620 --> 00:05:13,680 +لما حكينا اتصال الـ radius، لأن هذا الـ anatomical + +69 +00:05:13,680 --> 00:05:16,600 +position اللي أنا واقفة فيه، اللي هو الوضع التشريحي + +70 +00:05:16,600 --> 00:05:20,040 +اللي أنا بدي أصنف عليه، اتصال نهاية الـ radius مع + +71 +00:05:20,040 --> 00:05:24,970 +بداية الـ carpal bone، فيعطينا اللي هو الـ wrist + +72 +00:05:24,970 --> 00:05:29,370 +joint، ولكن قلنا نهاية هالـ styloid process هذه + +73 +00:05:29,370 --> 00:05:32,610 +العظمة البارزة اللي في إيدي هنا، هاي الـ styloid + +74 +00:05:32,610 --> 00:05:37,630 +process مع الـ fibrocartilaginous fibers اللي هو الـ + +75 +00:05:37,630 --> 00:05:43,670 +disc، بسميه في مع الكربل بون بيتصل، تمام؟ إذا في + +76 +00:05:43,670 --> 00:05:46,990 +عندنا hyaline cartilage اللي هو الغضروف الزجاجي + +77 +00:05:46,990 --> 00:05:51,160 +fibrocartilaginous connected with bone، النوع الثالث + +78 +00:05:51,160 --> 00:05:54,340 +من أنواع الـ joint اللي هو عبارة عن الـ synovial + +79 +00:05:54,340 --> 00:05:59,980 +joint، وهو الأكثرها شيوعا وأكثرها وجودا في جسم + +80 +00:05:59,980 --> 00:06:04,300 +الإنسان، اللي هو عبارة عن إيش؟ most complex، أكثرها + +81 +00:06:04,300 --> 00:06:08,520 +تعقيدا، allowed to free movement، على سبيل المثال + +82 +00:06:08,520 --> 00:06:15,600 +اللي هو مفصل الكتف، flexion، extension، abduction و + +83 +00:06:15,600 --> 00:06:20,280 +adduction، كل المحاور أنا ممكن أشتغل عليها في الـ + +84 +00:06:20,280 --> 00:06:23,420 +shoulder joint، يقابلها تماما، حكي أن الـ shoulder + +85 +00:06:23,420 --> 00:06:27,560 +مقابلها الـ hip joint، الـ elbow مقابلها الـ knee، الـ + +86 +00:06:27,560 --> 00:06:31,500 +wrist مقابلها الـ ankle، إذا according to structural + +87 +00:06:31,500 --> 00:06:36,520 +حسب التركيبة أنا بـ.. أو حسب التكوين أنا بقسمها + +88 +00:06:36,520 --> 00:06:42,320 +إلى fibrous، أو fibrous structural، حسب التركيبة + +89 +00:06:43,970 --> 00:06:48,130 +fibrous، cartilaginous، وثلاثة synovial، أما + +90 +00:06:48,130 --> 00:06:53,290 +according to the mobility، حسب الحركة، جدا هي حرية + +91 +00:06:53,290 --> 00:06:59,070 +الحركة، هل هو حر الحركة أو متوسط الحركة أو قليل + +92 +00:06:59,070 --> 00:07:02,450 +الحركة، في عندي مفاصل أنا بحاجة لإن المفصل يتحرك + +93 +00:07:02,450 --> 00:07:06,530 +على طول في كل الاتجاهات وكل النواحي، في مفاصل بدنا + +94 +00:07:06,530 --> 00:07:11,530 +نكون حركتها قليلة نوعا ما، ومفاصل لا أحتاج إلى + +95 +00:07:11,530 --> 00:07:16,520 +الحركة فيها تماما، أول حاجة بسمي المفاصل حسب الحركة + +96 +00:07:16,520 --> 00:07:23,000 +إلى: مفصل synarthrosis، كلمة synarthrosis، syn + +97 +00:07:23,000 --> 00:07:28,670 +تعني عدم الحركة، تمام، باللاتيني، arthro اللي هي + +98 +00:07:28,670 --> 00:07:34,670 +عبارة عن joint أو مفصل، فبالتالي هنا بنحكي على مفصل + +99 +00:07:34,670 --> 00:07:39,150 +immovable، هو عبارة عن مفصل عديم الحركة تماما + +100 +00:07:39,150 --> 00:07:46,230 +immovable، غير متحرك، هنا غير متحرك، amphiarthrosis + +101 +00:07:46,230 --> 00:07:51,970 +اللي هو مفصل قليل الحركة، إذا هنا slightly أو ما + +102 +00:07:51,970 --> 00:07:58,050 +يسمى قليل، قليل الحركة، تمام؟ هنا المفصل هذا قليل + +103 +00:07:58,050 --> 00:08:04,590 +الحركة، diarthrosis تعني حر، arthro اللي هو joint، مفصل + +104 +00:08:04,590 --> 00:08:09,590 +متحرك أو واسع المجال في الحركة، إذا خلّيني أجمّل هاي + +105 +00:08:09,590 --> 00:08:17,330 +الـ slide، قسمت المفاصل حسب التركيبة وحسب اللي هو الـ + +106 +00:08:17,330 --> 00:08:23,530 +mobility، حسب الـ structural، قسمتها إلى synovial و + +107 +00:08:24,510 --> 00:08:30,410 +fibrous joint و cartilaginous joint، هذه ثلاث أنواع + +108 +00:08:30,410 --> 00:08:33,710 +قسمت according to the mobility، حسب الحركة إلى + +109 +00:08:33,710 --> 00:08:39,990 +synarthrosis، amphiarthrosis، diarthrosis، مفصل + +110 +00:08:39,990 --> 00:08:45,910 +واسع الحركة، مفصل محدود الحركة، مفصل لا يتحرك، بتاعتها + +111 +00:08:45,910 --> 00:08:55,190 +إذا قسمت المفاصل حسب التركيبة وحسب وظيفتها، نيجي نشوف + +112 +00:08:55,190 --> 00:08:58,530 +الـ fibrous joint، الآن لما بدي أحكي fibrous joint + +113 +00:08:58,530 --> 00:09:02,370 +معناته الكلام أن أنا في عندي fibers، يعني في عندي + +114 +00:09:02,370 --> 00:09:09,390 +ألياف، الـ fibrous joint هو عبارة عن المفصل اللي + +115 +00:09:09,390 --> 00:09:14,050 +موجود بين مين؟ اللي موجود بين الـ suture زي ما أنتم + +116 +00:09:14,050 --> 00:09:19,230 +شايفينها، هي عبارة عن three examples، في عندي ما بين + +117 +00:09:19,230 --> 00:09:25,100 +التيبيا والفيبولا اللي موجودة عندي هنا، هنا عبارة عن + +118 +00:09:25,100 --> 00:09:29,460 +اللي هي الـ lower limb، موجود في عندي ما بين التيبيا + +119 +00:09:29,460 --> 00:09:33,460 +والفيبولا، شيء أبيض، لو شفتوا أنتم بالصور بتلاقوه + +120 +00:09:33,460 --> 00:09:38,340 +أنه أبيض، هو عبارة عن fibrous، حكينا مصنوع من + +121 +00:09:38,340 --> 00:09:42,900 +الـ dense connective tissue، ما بين الـ sutures + +122 +00:09:42,900 --> 00:09:47,260 +اللي في الـ flat bones اللي في الـ skull، ما بين + +123 +00:09:47,260 --> 00:09:52,240 +أيضا الأسنان اللي موجودة في الفك، إذا عندي ثلاثة + +124 +00:09:52,240 --> 00:09:57,480 +examples موجودة فيهم fibrous joint، الآن الـ fibrous + +125 +00:09:57,480 --> 00:10:01,340 +joint اللي موجود ما بين التيبيا والفيبولا + +126 +00:10:01,340 --> 00:10:06,120 +والـ sutures والـ tooth، هنشوف شنو نوع الحركة فيه + +127 +00:10:08,380 --> 00:10:12,660 +الآن الـ cartilaginous، النوع الثاني، موجود أيضا في + +128 +00:10:12,660 --> 00:10:17,960 +الـ epiphyseal plate، وهنا كتبنا عليها temporary + +129 +00:10:17,960 --> 00:10:23,960 +يعني الشيء مؤقت، لأنه حكينا بعد عمر الخمسة وعشرين + +130 +00:10:23,960 --> 00:10:30,220 +سنة، إحنا عطينا range من 18 ل 25، أنه خلاص بيصير في + +131 +00:10:30,220 --> 00:10:33,400 +عندي fused، بيصير في عندي الحاجة completely + +132 +00:10:33,400 --> 00:10:38,340 +ossified، يعني خلاص بتصير عملية التعظم، فبالتالي لا + +133 +00:10:38,340 --> 00:10:42,510 +يصبح لدينا cartilage، أيضا موجودة ما بين الـ bodies + +134 +00:10:42,510 --> 00:10:47,170 +of adjacent vertebrae، لاحظوا الجسم اللي هو حكينا + +135 +00:10:47,170 --> 00:10:51,870 +كل vertebra بتستند على حاجة هنا اسمها الوسادة + +136 +00:10:51,870 --> 00:10:56,360 +الغضروفية، هذه الوسادة الغضروفية اللي موجودة هنا ما + +137 +00:10:56,360 --> 00:11:01,580 +بين كل فقرة والثانية، في عندنا وسادة غضروفية تتكئ + +138 +00:11:01,580 --> 00:11:06,280 +عليها، هاي هي عبارة عن cartilaginous joint، من الـ + +139 +00:11:06,280 --> 00:11:09,080 +cartilage، هذه الوسادة الغضروفية هي اللي بنحكي + +140 +00:11:09,080 --> 00:11:14,040 +عليها، ما بين موجود أيضا في الارتفاق العاني، اللي + +141 +00:11:14,040 --> 00:11:20,600 +هو الـ pubic symphysis، اللي هو هنا موجود، وهذا اللي + +142 +00:11:20,600 --> 00:11:24,600 +ما بين، حكينا في الـ lower limb، بيكون اتصال العضمتين + +143 +00:11:24,600 --> 00:11:28,800 +اللي هم الـ pubic الـ right مع الـ pubic الـ left، إذا + +144 +00:11:28,800 --> 00:11:33,660 +في عندنا اتصال ما بين two pubic، هيعطينا حاجة اسمها + +145 +00:11:33,660 --> 00:11:37,960 +الـ pubic symphysis، اللي هي هاي الرسمة هنا، في عندنا + +146 +00:11:37,960 --> 00:11:43,400 +fibrocartilaginous joint، مفصل غضروفي ليفي، في + +147 +00:11:43,400 --> 00:11:48,080 +الارتفاق العاني، ثلاثة examples على كل نوع من أنواع + +148 +00:11:48,080 --> 00:11:53,510 +الـ joint، الـ General Anatomy للـ synovial joint، وهو + +149 +00:11:53,510 --> 00:11:58,170 +الأكثرها شيوعا وأكثرها تعقيدا، هو عبارة عن المفصل + +150 +00:11:58,170 --> 00:12:01,650 +اللي زي ما موجود عندكم في الرسمة، اللي هو عبارة عن + +151 +00:12:01,650 --> 00:12:05,430 +مفصل الركبة على سبيل المثال، هاي عبارة عن عضمة + +152 +00:12:05,430 --> 00:12:11,430 +الفخذ أو ما يسمى بالـ femur، تمام؟ وهنا الـ tibia + +153 +00:12:11,430 --> 00:12:15,770 +لأن حكينا الفيبولا doesn't weight bearing، لا تحمل + +154 +00:12:15,770 --> 00:12:21,290 +وزن على أي شيء إطلاقا، على البتات، basic features + +155 +00:12:21,290 --> 00:12:26,690 +بتاعتنا، في عندنا مكونات، خليني أحكي مكونات اللي هو + +156 +00:12:26,690 --> 00:12:31,450 +مفصل الـ hyaline synovia، اللي يعني هلامي أو رخوي، بين + +157 +00:12:31,450 --> 00:12:36,670 +قوسين، تمام، يحتوي على الـ articular capsule، هاي الـ + +158 +00:12:36,670 --> 00:12:39,930 +capsule اللي هنا عبارة عن articulation أو + +159 +00:12:39,930 --> 00:12:44,850 +articular capsule، خليني أشوفها، تحتوي أيضا على الـ + +160 +00:12:44,850 --> 00:12:50,460 +joint cavity، تجويف مفصلي، هي هنا في عندي joint and + +161 +00:12:50,460 --> 00:12:56,270 +cavity، تمام؟ تحتوي أيضا على الـ synovial fluid + +162 +00:12:56,270 --> 00:13:02,510 +السائل الهلامي، هذا السائل الهلامي إذا قل في المفصل + +163 +00:13:02,510 --> 00:13:06,670 +وما بين المفصلين، المفصل والمفصل الآخر، يعمل على + +164 +00:13:06,670 --> 00:13:10,590 +احتكاك العظم ببعضه البعض، تسمعوا على سبيل المثال + +165 +00:13:10,590 --> 00:13:14,630 +بعض الأحيان في عندنا إيبر تُؤخذ لزيادة السائل + +166 +00:13:14,630 --> 00:13:19,550 +الهلامي، وذلك لتحسين حركة المفصل، الـ articular + +167 +00:13:19,550 --> 00:13:25,590 +cartilage هو عبارة عن الغضروف اللي بيكون بين نهاية + +168 +00:13:25,590 --> 00:13:30,730 +العضمتين، مع الزمان والـ obesity اللي هي الـ + +169 +00:13:30,730 --> 00:13:34,370 +overweight أو الوزن الزائد، بيصير في عندي تآكل + +170 +00:13:34,370 --> 00:13:37,990 +لهذا الغضروف، فبالتالي بيصير في عندنا احتكاك للعظم + +171 +00:13:37,990 --> 00:13:42,910 +ببعضه البعض، مما ينتج آلام أثناء المشي أو أداء أي + +172 +00:13:42,910 --> 00:13:48,750 +حركة، الـ ligaments، الأربطة، طبعا أي شيء أو أي عظام أو + +173 +00:13:48,750 --> 00:13:52,870 +أي مفصل، بحاجة إلى أربطة عشان تربطهم، العظمتين مع + +174 +00:13:52,870 --> 00:14:00,130 +بعض، بحاجة لتغذية عصبية، تمام؟ أيضا بحاجة لتروية + +175 +00:14:00,130 --> 00:14:04,510 +دموية، لأنه عبارة عن كائن حي، فبالتالي هو بحاجة + + +223 +00:18:08,120 --> 00:18:12,360 +اللي موجودة وراء الـElectronic Fossa بسميها Gliding + +224 +00:18:12,360 --> 00:18:18,080 +عملية الانزلاق هذا الـPlanar الـHinge Joint اللي هو + +225 +00:18:18,080 --> 00:18:24,860 +عبارة عن المفصل المعلق اللي بتعلق تمام، حاجة بتتعلق + +226 +00:18:24,860 --> 00:18:29,000 +في بعضها البعض، يعني بتشتبك فيها بالملقطة، كنا حكينا + +227 +00:18:29,000 --> 00:18:33,360 +في عندنا الـ radial notch اللي هو عبارة عن الملقطة + +228 +00:18:33,360 --> 00:18:37,280 +اللي موجود في الـ radius، هذا بيتصل أو بيشبك مع + +229 +00:18:37,280 --> 00:18:41,140 +العلنة عشان يكوّن لي مفصل اسمه الـ radio ulnar + +230 +00:18:41,140 --> 00:18:46,720 +joint، أيضاً الـ hinge joint موجود في الـ ankle joint + +231 +00:18:48,510 --> 00:18:54,450 +الآن، المفصل الثالث، الـ bivote المحوري، حكينا عن الـ + +232 +00:18:54,450 --> 00:18:58,210 +axis و الـ Atlas اللي هم الـ cervical bone اللي + +233 +00:18:58,210 --> 00:19:02,650 +موجودة في الـ vertebrae، في عندنا bivote movement + +234 +00:19:02,650 --> 00:19:05,210 +حركة مركزية دورانية + +235 +00:19:07,380 --> 00:19:11,540 +النوع الرابع اللي هو عبارة عن الـ Condyloid أو ما + +236 +00:19:11,540 --> 00:19:15,960 +يسمى بالـellipsoid joint، الـellipsoid joint هو عبارة + +237 +00:19:15,960 --> 00:19:21,440 +عن المفصل الـ Condyloid المتحرك، الصدل عبارة عن + +238 +00:19:21,440 --> 00:19:27,680 +المفصل اللي بيسمى بسرج الحصان، سرج الحصان، السرج + +239 +00:19:27,680 --> 00:19:32,980 +اللي بنحطه على الحصان، فيه منه اللي هو أنواع، هنشوف + +240 +00:19:32,980 --> 00:19:37,500 +كل واحد ونوعه، طول and سكت اللي هو عبارة عن مفصل + +241 +00:19:37,500 --> 00:19:44,640 +الكرة والمضرب، يعني الكرة لما بتكون لعب الكرة + +242 +00:19:44,640 --> 00:19:48,180 +سواء الـ golf أو أي كورة موجودة بيلعبوها بتتحرك في + +243 +00:19:48,180 --> 00:19:52,320 +الحفرة بشكل دائري، اللي هو زي مفصل الـ hip و الـ + +244 +00:19:52,320 --> 00:19:55,680 +shoulder joint، يعني على سبيل المثال هو عبارة عن + +245 +00:19:55,680 --> 00:20:01,800 +مفصل حر الحركة، ball and socket، الكرة والمضرب، هاي + +246 +00:20:01,800 --> 00:20:07,700 +according to اللي هو الـ movable، بدي أخدها من الأقل + +247 +00:20:08,280 --> 00:20:15,720 +movable، أقل حركة إلى الأكثر، أو freely أو اللي هو + +248 +00:20:15,720 --> 00:20:22,580 +الأكثر حركة، خليني أشوف المفصل + +249 +00:20:22,580 --> 00:20:27,360 +الأكثر حركة، يعني أنا جاي بالسهم بهذا الشيء هنا من + +250 +00:20:27,360 --> 00:20:35,780 +least، الأقل لـ free اللي هو الـ freely movement، تمام؟ + +251 +00:20:35,780 --> 00:20:40,340 +الـ planar أقل من الـ hinge، و الـ hinge أقل من الـ + +252 +00:20:40,340 --> 00:20:43,140 +pivot، و الـ pivot أقل من الـ condyloid، و الـ + +253 +00:20:43,140 --> 00:20:47,360 +condyloid أقل من الصدل، و الصدل أقل حركة من الـ ball + +254 +00:20:47,360 --> 00:20:52,020 +and socket، إذا أنا صنفتها من أقلها حركة إلى + +255 +00:20:52,020 --> 00:20:59,360 +الأكثرها حركة، الآن، هاي بعض اللي هي الأمثلة عليهم زي + +256 +00:20:59,360 --> 00:21:04,400 +ما حكينا، أول شيء الـ ball and socket اللي هو المفصل + +257 +00:21:04,400 --> 00:21:09,540 +حر الحركة، عبارة عن مفصل موجود، أو الأمثلة عليه + +258 +00:21:09,540 --> 00:21:15,540 +موجودة في الـ hip joint، الكرة والمضرب بنسميها + +259 +00:21:16,710 --> 00:21:21,490 +تمام؟ اللي هو أهم الأمثلة عليه الـ hip، الـ shoulder، حرّة + +260 +00:21:21,490 --> 00:21:28,230 +الحركة، حر الحركة، تمام؟ الـ Condyloid موجود ما بين + +261 +00:21:28,230 --> 00:21:32,930 +الـ Metacarpal و الـ Phalanges، هايو هاد الـ + +262 +00:21:32,930 --> 00:21:37,150 +Metacarpal اللي هي العظام، أو الثمان أو الصفّين + +263 +00:21:37,150 --> 00:21:41,450 +اللي موجودين، و الـ phalanges هنا، الـ Metacarpal هنا + +264 +00:21:41,450 --> 00:21:47,150 +الـ phalanges هو عبارة عن Condyloid، Okay؟ هيها موجودة + +265 +00:21:47,150 --> 00:21:50,610 +هنا، ما بين الـ Metacarpal و هنا الـ Carpal bone + +266 +00:21:50,610 --> 00:21:56,990 +ثمانية Carpal، و هنا الـ Metacarpal، و هنا الـ phalanges + +267 +00:21:56,990 --> 00:22:01,230 +هذا النوع اسمه Condyloid، أما هذا مفصل الـ hip joint + +268 +00:22:01,230 --> 00:22:07,830 +و هذا مفصل الـ shoulder، فهو عبارة عن إيش؟ مفصل حر + +269 +00:22:07,830 --> 00:22:14,720 +الحركة، نشوف أيضاً الـ gliding أو ما يسمى بالمفصل + +270 +00:22:14,720 --> 00:22:20,940 +اللي يتحرك بالانزلاق، زي اللي هو ما بين الـ carpal bone + +271 +00:22:20,940 --> 00:22:25,500 +ويقابله في الـ lower limb حاجة اسمها tarsal bone + +272 +00:22:25,500 --> 00:22:30,800 +الـ carpal الموجودة في الـ upper limb، و الـ tarsal موجودة + +273 +00:22:30,800 --> 00:22:34,960 +في الـ lower limb، تمام؟ هي عبارة عن حركة اسمها + +274 +00:22:34,960 --> 00:22:39,360 +gliding joint، أو مفصل اسمه gliding joint، الـ hinge + +275 +00:22:39,360 --> 00:22:45,400 +joint هو عبارة عن المفصل المعلق، تمام؟ المعلق يعني + +276 +00:22:45,400 --> 00:22:49,620 +حاجة بتشبك بحاجة، معلقة، لاحظوا معايا هنا الـ humerus + +277 +00:22:49,620 --> 00:22:54,180 +مع الـ radius، hinge joint، أيضاً ما بين الـ phalanges، ما + +278 +00:22:54,180 --> 00:23:00,910 +بين الأصابع، هو عبارة عن مفاصل معلقة، شفناها + +279 +00:23:00,910 --> 00:23:05,230 +هنا على الـ skeleton، هي عبارة عن hinge joint، مفاصل + +280 +00:23:05,230 --> 00:23:09,850 +معلقة، يعني الـ radius شابكة معاها الـ humerus + +281 +00:23:09,850 --> 00:23:14,750 +شابكة معاها الـ radius لفوق، تمام + +282 +00:23:16,460 --> 00:23:21,760 +الـ pivot أو ما يسمى بالمحوري أو المركزي، موجود ما + +283 +00:23:21,760 --> 00:23:27,320 +بين الـ radius و العلنة، حكينا اللي هو دوراني، بدي + +284 +00:23:27,320 --> 00:23:32,120 +يصير في عندنا radio ulnar joint، اللي هو اتصال الـ + +285 +00:23:32,120 --> 00:23:35,500 +radius مع العلنة، فيه عندي حاجة اسمها الـ radius + +286 +00:23:35,500 --> 00:23:40,040 +ulnar joint، إذا الـ pivot أو ما يسمى المحوري أو + +287 +00:23:40,040 --> 00:23:44,240 +المركزي، هذا اللي هو موجود ما بين الـ radius و + +288 +00:23:44,240 --> 00:23:50,900 +العلنة، هيو هنا كمان جايبنا هنا مثال، و هنا كمان مثال + +289 +00:23:50,900 --> 00:23:54,340 +ما بين الـ axis زي ما شرحنا في البداية، و الـ Atlas + +290 +00:23:54,340 --> 00:23:59,380 +الـ First و الـ Second Cervical Vertebrae، الصدل أو + +291 +00:23:59,380 --> 00:24:04,480 +ما يسمى بسرج الحصان، اللي هو ما بين الـ carpal و الـ + +292 +00:24:04,480 --> 00:24:08,460 +Metacarpal للـ Thumb، هنا بأخذ بالي من كلمة الـ + +293 +00:24:08,460 --> 00:24:12,120 +Thumb، الـ Thumb اللي هو عبارة عن الإبهام، اللي هو + +294 +00:24:12,120 --> 00:24:16,690 +هنا نوع المفصل اللي هو الصدل joint، موجود ما بين الـ + +295 +00:24:16,690 --> 00:24:20,570 +carpal و الـ metacarpal، طبعاً اللي هو الـ first + +296 +00:24:20,570 --> 00:24:25,870 +metacarpal تبعنا، الـ planar joint ما بين الـ + +297 +00:24:25,870 --> 00:24:31,310 +navicular من الـ tarsal bone، هذه عبارة عن الـ tarsal bone + +298 +00:24:31,310 --> 00:24:35,210 +و حكينا بيقابله في الـ upper limb الـ carpal bone + +299 +00:24:35,210 --> 00:24:41,720 +اللي هو planar، يعني شغال على اللي هو الأفقي أو + +300 +00:24:41,720 --> 00:24:44,940 +أي شيء سطحي، بيكون ما بين الـ navicular للـ second + +301 +00:24:44,940 --> 00:24:48,440 +and third cuneiform في الـ tarsal bone، و بالرسمة + +302 +00:24:48,440 --> 00:24:53,500 +هنا واضحة، navicular هي أحد عظام السبعة من الـ + +303 +00:24:53,500 --> 00:24:58,760 +tarsal bone، تمام؟ ما بين الـ second و الـ third + +304 +00:24:58,760 --> 00:25:02,800 +cuneiform، الـ + +305 +00:25:02,800 --> 00:25:06,840 +mobility and stability، هنا الموضوع موضوع اللي هو + +306 +00:25:06,840 --> 00:25:14,110 +بدنا نشوف، الآن، الطفل، بنحكي الأكثر حركة هو الطفل + +307 +00:25:14,110 --> 00:25:19,650 +الأكثر تعرضا للمخاطر والإصابة والوقوع، نفس الكلام + +308 +00:25:19,650 --> 00:25:26,830 +بنحكي المفصل الأكثر حركة هو الأقل ثباتاً، أو الأقل + +309 +00:25:26,830 --> 00:25:32,660 +ثباتية في حركة المفاصل، يعني، اليوم عندي shoulder + +310 +00:25:32,660 --> 00:25:37,740 +joint حر الحركة، بتحرك في كل الاتجاهات، ولكنه في الـ + +311 +00:25:37,740 --> 00:25:44,060 +stability أقلها، يعني العلاقة عكسية ما بين الـ + +312 +00:25:44,060 --> 00:25:48,440 +stability و الـ mobility، ما بين الثباتية والحركة + +313 +00:25:49,340 --> 00:25:52,440 +range of motion is not very extensive + +314 +00:25:52,440 --> 00:25:57,860 +motion، يعني الـ structural هو اللي بيحدد لي الـ + +315 +00:25:57,860 --> 00:26:04,860 +mobility and stability، المفصل الأكثر حركة زي ما + +316 +00:26:04,860 --> 00:26:10,350 +حكينا في الـ shoulder، هو أكثر حركة، بتحرك أعلى وأسفل + +317 +00:26:10,350 --> 00:26:16,350 +وإلى الجانب وإلى الأمام، هو أقلها ثباتاً، يعني هنا + +318 +00:26:16,350 --> 00:26:20,610 +ممكن يصير في عندي خلع في مفصل الكتف، وممكن يتضرر + +319 +00:26:20,610 --> 00:26:25,650 +هذه القاعدة اللي أنا ماشية عليها، اللي هو العلاقة + +320 +00:26:25,650 --> 00:26:33,660 +ما بينهم علاقة عكسية، تمام؟ أكثرها حركة، أقلها ثباتاً + +321 +00:26:33,660 --> 00:26:38,940 +لو إجيت أنا على الرسمة هادي، وبالسهم شفت، هلاقي أكثر + +322 +00:26:38,940 --> 00:26:42,780 +المفاصل حركة، اللي هو الـ shoulder joint، وأيضاً الـ + +323 +00:26:42,780 --> 00:26:47,420 +hip joint، فمعناته الكلام، لاحظ معايا في الـ stability + +324 +00:26:47,420 --> 00:26:52,520 +ماشي السهم بالعكس، الـ mobility هنا، الـ stability هنا + +325 +00:26:52,520 --> 00:26:58,000 +الـ glenohumeral joint هو نفس الـ shoulder joint + +326 +00:27:00,330 --> 00:27:06,070 +Okay، هو نفس الـ shoulder joint، بعدين الـ hip، لاحظ الـ + +327 +00:27:06,070 --> 00:27:11,110 +shoulder أكثر حركة من الـ hip، فمعناته الـ hip أكثر + +328 +00:27:11,110 --> 00:27:15,530 +stability من الـ shoulder، إذا أنا حكيت يعني على + +329 +00:27:15,530 --> 00:27:18,970 +سبيل المثال، لما أنا أجي وأرفع على سبيل المثال + +330 +00:27:18,970 --> 00:27:23,190 +ابني من إيدي مثلاً، من shoulder واحد، أو من كتف واحد + +331 +00:27:23,190 --> 00:27:27,130 +ممكن أنا أعمل على تمزق الأربطة، ليه؟ لأن الـ + +332 +00:27:27,130 --> 00:27:32,240 +shoulder joint، الأربطة تبعته أضعف، ولأنه أكثر حركة + +333 +00:27:32,240 --> 00:27:35,780 +من الـ hip joint، الـ hip joint ربنا سبحانه وتعالى + +334 +00:27:35,780 --> 00:27:40,400 +أعطانا إياها لأنها بتحمل وزن الإنسان كله، فزادها + +335 +00:27:40,400 --> 00:27:46,540 +بأربطة متينة شديدة، ما بيصير فيها تمزق زي ما بيصير + +336 +00:27:46,540 --> 00:27:51,380 +فيه تمزق عندنا بالكتف، فبالتالي هي أقل تضرراً في + +337 +00:27:51,380 --> 00:27:56,540 +الحركة، إذا الـ shoulder، بعدين الـ hip، بعدين الـ elbow + +338 +00:27:56,540 --> 00:28:00,640 +لأنه بيشتغل على one plane، الـ Intervertebral discs + +339 +00:28:00,640 --> 00:28:04,980 +كمان حركته قليلة، المعدوم الحركة اللي هي الـ + +340 +00:28:04,980 --> 00:28:09,020 +sutures اللي إحنا حكينا بتسكر في مرحلة الـ + +341 +00:28:09,020 --> 00:28:13,120 +adulthood، مرحلة الطفولة، مرحلة البلوغ، + +342 +00:28:13,120 --> 00:28:18,000 +فبالتالي مافي حركة ما بين كل عظمتين، هنا + +343 +00:28:18,000 --> 00:28:21,500 +عندنا الـ cranial bones بيصير فيها fused، خلاص + +344 +00:28:21,500 --> 00:28:27,080 +بتلتحم، فبالتالي هي أكثرها stability وأقلها في + +345 +00:28:27,080 --> 00:28:31,540 +الـ mobility، العلاقة هنا عكسية ما بين الحركة + +346 +00:28:31,540 --> 00:28:32,420 +والثبات + +347 +00:28:35,750 --> 00:28:39,690 +أنواع الـ joint حسب اللي هي الحركة، هنا بس بدي + +348 +00:28:39,690 --> 00:28:44,450 +تعرفوا إيش هم الحركات، لما كنت بحكي على مفصل الكتف + +349 +00:28:44,450 --> 00:28:48,770 +نفس الحركات اللي موجودة في مفصل الكتف هي موجودة في + +350 +00:28:48,770 --> 00:28:54,110 +كل المفاصل، flexion، extension، يعني كل كلمة وعكسها + +351 +00:28:54,110 --> 00:28:59,510 +abduction، بعيد، هنا abduction، قريب، وطبعاً لما أحكي + +352 +00:28:59,510 --> 00:29:03,930 +بعيد وقريب بناءً على الـ midline اللي أنا قسمت + +353 +00:29:03,930 --> 00:29:06,510 +فيه، أو الـ sagittal plane اللي أنا قسمت فيه جسم + +354 +00:29:06,510 --> 00:29:11,590 +الإنسان، هي abduction أنا ببعد إيدي، هي abduction + +355 +00:29:11,590 --> 00:29:18,120 +أنا قربتها، flexion لفوق، extension لتحت، تمام، هاي + +356 +00:29:18,120 --> 00:29:20,960 +عبارة عن الحركات زي ما أنا شرحت على مفصل الـ + +357 +00:29:20,960 --> 00:29:24,100 +shoulder joint، ممكن أشتغل على الـ hip joint، ممكن + +358 +00:29:24,100 --> 00:29:27,480 +أشتغل على الـ ankle، ممكن أشتغل على الـ elbow، على أي + +359 +00:29:27,480 --> 00:29:33,330 +مفصل في نفس الحركات اللي موجودة، الـ rotation بالنسبة + +360 +00:29:33,330 --> 00:29:38,110 +له، اللي هي الرقبة، في عندي upward لما أرفع إيدي + +361 +00:29:38,110 --> 00:29:42,270 +لفوق، أو أرفع كتفي لفوق، downward لما أنزل الـ + +362 +00:29:42,270 --> 00:29:44,470 +scapula، كمان لها حركتها + +363 +00:29:46,720 --> 00:29:50,280 +الـ clinical applications زي ما حكينا في كل chapter + +364 +00:29:50,280 --> 00:29:54,640 +فيه عندي صورة طبية لأحد الأمراض، فيه عندي الـ sprain + +365 +00:29:54,640 --> 00:30:01,140 +التمزق اللي بيصير، فيه عندي الـ periostitis، tendinitis، لما + +366 +00:30:01,140 --> 00:30:07,060 +بدي أحكي الأمراض أو الحالات الطبية اللي بدها تصير + +367 +00:30:07,060 --> 00:30:13,440 +في الـ joints and muscles، sprain، تمزق في الأربطة + +368 +00:30:14,750 --> 00:30:17,910 +طبعاً، وهذا بيخص الرياضيين، وكذلك بيخصنا إحنا الناس + +369 +00:30:17,910 --> 00:30:23,010 +العادية، sprain معناته تمزق في الـ cartilage أو + +370 +00:30:23,010 --> 00:30:29,390 +الـ ligament أو الـ tendon، مسحوبة مع المفصل، طبعاً بيصير + +371 +00:30:29,390 --> 00:30:36,770 +ناتج أو بسبب forceful twisting of the joint، يعني الآن لاعب + +372 +00:30:36,770 --> 00:30:41,490 +كرة القدم هذا، في أثناء حركة سريعة، صار التواء + +373 +00:30:41,490 --> 00:30:46,710 +للـ ankle joint، فبالتالي هي قوة مضاعفة من الالتواء + +374 +00:30:46,710 --> 00:30:51,110 +أدت إلى تمزق الـ ligament، الـ tendon، أو ممكن + +375 +00:30:51,110 --> 00:30:55,570 +الـ cartilage نفسه، فبالتالي اتضررت القدم وأصبحت + +376 +00:30:55,570 --> 00:30:57,370 +فيها تمزق + +377 +00:30:59,400 --> 00:31:02,520 +الحالة الثانية، أو الحاجة الثانية اللي بيصير فيها + +378 +00:31:02,520 --> 00:31:08,580 +التهاب الغضروف، أو بنسميها باللغة العربية، الـ bursitis + +379 +00:31:08,580 --> 00:31:13,380 +اللي هو البرسا، أو ما يسمى بالوسادة، موجود في كل + +380 +00:31:13,380 --> 00:31:19,100 +joint، حاجة اسمها البرسا، ولما بدي أضيف للبرسا -itis + +381 +00:31:19,100 --> 00:31:25,880 +معناته التهاب، تمام؟ أي كلمة موجودة عندنا في + +382 +00:31:25,880 --> 00:31:30,120 +المصطلحات، إذا أنا بدي أضيف لها -itis، معناته + +383 +00:31:30,120 --> 00:31:33,200 +inflammation، يعني التهاب، bursitis يعني التهاب في + +384 +00:31:33,200 --> 00:31:38,380 +البرسا نفسها، نتيجة لإيش بدو يصير؟ بسبب إيش؟ الـ + +385 +00:31:38,380 --> 00:31:42,020 +overuse للـ shoulder، يعني إذا صار في عندي bursitis + +386 +00:31:42,020 --> 00:31:46,700 +في الـ shoulder، ليه؟ لأنه أنا ست بشتغل كتير مثلاً + +387 +00:31:46,700 --> 00:31:50,460 +على سبيل المثال، بكتب كتير، أو شغلي في البيت اللي هو + +388 +00:31:50,460 --> 00:31:53,720 +الأعمال اليدوية كتيرة، فبالتالي بيصير التهاب في هاي + +389 +00:31:53,720 --> 00:31:58,640 +البرسا، الـ tendinitis، التهاب اللي هو الـ tendon + +390 +00:31:58,640 --> 00:32:05,060 +نفسه، حكيت أنا إذا بدي أضيف -itis للـ tendon، + +391 +00:32:05,060 --> 00:32:08,960 +معناته الـ inflammation، صار في الـ tendon لأنه + +392 +00:32:08,960 --> 00:32:11,600 +ضفت له -itis + +393 +00:32:13,110 --> 00:32:17,070 +فبالتالي صارت tendinitis، نتيجة الـ overuse، نفس + +394 +0 + +445 +00:36:19,830 --> 00:36:25,130 +الـ normal joint المفصل الطبيعي، وعشان أقدر أنا + +446 +00:36:25,130 --> 00:36:28,030 +أفرّق إذا كان هذا المفصل عندي زي ما إحنا متعودين في + +447 +00:36:28,030 --> 00:36:33,510 +الـ anatomy، بناخد الصورة الطبية السليمة عشان أشوف + +448 +00:36:33,510 --> 00:36:38,640 +الصورة الطبية الغير سليمة، تمام؟ إذن لاحظوا هناك في + +449 +00:36:38,640 --> 00:36:43,860 +المفصل كيف التأكل صار عندي، اللي هو تفتيت بعض العظم + +450 +00:36:43,860 --> 00:36:48,140 +الـ cartilage اللي موجود و thickened طبعاً، وبيكون + +451 +00:36:48,140 --> 00:36:52,360 +في عندنا whitening اللي هو بيكون ناتج عن الـ + +452 +00:36:52,360 --> 00:36:57,980 +arthritis، وبهيك يعطيكوا العافية، بيكون خلصنا شُبط + +453 +00:36:57,980 --> 00:37:03,340 +الرقم 4 من العظام، يعني هذا الفيديو رقم 13، يعطيكوا + +454 +00:37:03,340 --> 00:37:04,020 +الف عافية diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/FGcKv7WBKno_raw.json b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/FGcKv7WBKno_raw.json new file mode 100644 index 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0.9322916666666666}], "temperature": 1.0}, {"id": 24, "seek": 56261, "start": 533.35, "end": 562.61, "text": "وظيفة نيجي نشوف ال fibers joint الان لما بدي احكي fibers joint معناة الكلام ان انا في عندي fibers يعني في عندي الياف ال fibers joint هو عبارة عن المفصل اللي موجود بين مين اللي موجود بين ال suture زي ما انتوا شايفينها هي عبارة عن three examples في عندي ما بين التبية و الفيبولا اللي موجودة عندي هنا", "tokens": [2407, 19913, 33911, 3660, 8717, 1829, 7435, 1829, 8717, 8592, 38688, 2423, 25252, 7225, 2423, 7649, 5296, 15042, 4724, 16254, 1975, 5016, 4117, 1829, 25252, 7225, 20449, 8315, 3660, 2423, 28820, 10943, 16472, 1975, 8315, 8978, 18871, 16254, 25252, 37495, 22653, 8978, 18871, 16254, 45595, 31845, 2423, 25252, 7225, 31439, 6225, 3555, 9640, 3660, 18871, 9673, 5172, 36520, 13672, 1829, 3714, 29245, 23328, 49374, 3714, 9957, 13672, 1829, 3714, 29245, 23328, 49374, 2423, 43489, 540, 30767, 1829, 19446, 16472, 2655, 14407, 13412, 995, 33911, 9957, 11296, 39896, 6225, 3555, 9640, 3660, 18871, 1045, 5110, 8978, 18871, 16254, 19446, 49374, 16712, 3555, 10632, 4032, 27188, 1829, 3555, 12610, 995, 13672, 1829, 3714, 29245, 23328, 3660, 18871, 16254, 34105], "avg_logprob": -0.18021716227975942, "compression_ratio": 2.0254237288135593, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 533.35, "end": 534.07, "word": "وظيفة", "probability": 0.9326171875}, {"start": 534.07, "end": 534.95, "word": " نيجي", "probability": 0.71783447265625}, {"start": 534.95, "end": 535.19, "word": " نشوف", "probability": 0.9928385416666666}, {"start": 535.19, "end": 535.35, "word": " ال", "probability": 0.95849609375}, {"start": 535.35, "end": 535.59, "word": " fibers", "probability": 0.264892578125}, {"start": 535.59, "end": 536.19, "word": " joint", "probability": 0.79248046875}, {"start": 536.19, "end": 537.09, "word": " الان", "probability": 0.58416748046875}, {"start": 537.09, "end": 537.27, "word": " لما", "probability": 0.927978515625}, {"start": 537.27, "end": 537.47, "word": " بدي", "probability": 0.7364501953125}, {"start": 537.47, "end": 537.75, "word": " احكي", "probability": 0.8914794921875}, {"start": 537.75, "end": 538.11, "word": " fibers", "probability": 0.490234375}, {"start": 538.11, "end": 538.53, "word": " joint", "probability": 0.9306640625}, {"start": 538.53, "end": 539.23, "word": " معناة", "probability": 0.6937662760416666}, {"start": 539.23, "end": 539.61, "word": " الكلام", "probability": 0.9111328125}, {"start": 539.61, "end": 539.71, "word": " ان", "probability": 0.7099609375}, {"start": 539.71, "end": 539.91, "word": " انا", "probability": 0.7105712890625}, {"start": 539.91, "end": 540.03, "word": " في", "probability": 0.8779296875}, {"start": 540.03, "end": 540.31, "word": " عندي", "probability": 0.79052734375}, {"start": 540.31, "end": 540.93, "word": " fibers", "probability": 0.95458984375}, {"start": 540.93, "end": 541.69, "word": " يعني", "probability": 0.919677734375}, {"start": 541.69, "end": 542.09, "word": " في", "probability": 0.94921875}, {"start": 542.09, "end": 542.37, "word": " عندي", "probability": 0.953125}, {"start": 542.37, "end": 542.93, "word": " الياف", "probability": 0.71533203125}, {"start": 542.93, "end": 543.59, "word": " ال", "probability": 0.83349609375}, {"start": 543.59, "end": 543.99, "word": " fibers", "probability": 0.818359375}, {"start": 543.99, "end": 544.61, "word": " joint", "probability": 0.9208984375}, {"start": 544.61, "end": 546.01, "word": " هو", "probability": 0.93505859375}, {"start": 546.01, "end": 546.51, "word": " عبارة", "probability": 0.995849609375}, {"start": 546.51, "end": 546.81, "word": " عن", "probability": 0.99609375}, {"start": 546.81, "end": 547.73, "word": " المفصل", "probability": 0.9705403645833334}, {"start": 547.73, "end": 549.39, "word": " اللي", "probability": 0.80322265625}, {"start": 549.39, "end": 549.87, "word": " موجود", "probability": 0.98779296875}, {"start": 549.87, "end": 550.13, "word": " بين", "probability": 0.982421875}, {"start": 550.13, "end": 550.47, "word": " مين", "probability": 0.920166015625}, {"start": 550.47, "end": 551.39, "word": " اللي", "probability": 0.89599609375}, {"start": 551.39, "end": 551.89, "word": " موجود", "probability": 0.9913736979166666}, {"start": 551.89, "end": 552.29, "word": " بين", "probability": 0.9912109375}, {"start": 552.29, "end": 552.95, "word": " ال", "probability": 0.8837890625}, {"start": 552.95, "end": 553.47, "word": " suture", "probability": 0.592041015625}, {"start": 553.47, "end": 553.69, "word": " زي", "probability": 0.934326171875}, {"start": 553.69, "end": 553.77, "word": " ما", "probability": 0.96630859375}, {"start": 553.77, "end": 554.05, "word": " انتوا", "probability": 0.8631184895833334}, {"start": 554.05, "end": 554.79, "word": " شايفينها", "probability": 0.9908203125}, {"start": 554.79, "end": 555.45, "word": " هي", "probability": 0.8662109375}, {"start": 555.45, "end": 556.07, "word": " عبارة", "probability": 0.9970703125}, {"start": 556.07, "end": 556.39, "word": " عن", "probability": 0.99365234375}, {"start": 556.39, "end": 556.91, "word": " three", "probability": 0.8515625}, {"start": 556.91, "end": 557.81, "word": " examples", "probability": 0.8046875}, {"start": 557.81, "end": 558.47, "word": " في", "probability": 0.72412109375}, {"start": 558.47, "end": 558.85, "word": " عندي", "probability": 0.89990234375}, {"start": 558.85, "end": 559.03, "word": " ما", "probability": 0.95849609375}, {"start": 559.03, "end": 559.23, "word": " بين", "probability": 0.98681640625}, {"start": 559.23, "end": 559.91, "word": " التبية", "probability": 0.6451822916666666}, {"start": 559.91, "end": 560.13, "word": " و", "probability": 0.58935546875}, {"start": 560.13, "end": 560.81, "word": " الفيبولا", "probability": 0.711181640625}, {"start": 560.81, "end": 561.53, "word": " اللي", "probability": 0.9375}, {"start": 561.53, "end": 562.03, "word": " موجودة", "probability": 0.986328125}, {"start": 562.03, "end": 562.29, "word": " عندي", "probability": 0.73291015625}, {"start": 562.29, "end": 562.61, "word": " هنا", "probability": 0.99462890625}], "temperature": 1.0}, {"id": 25, "seek": 57590, "start": 563.88, "end": 575.9, "text": "هنا عبارة عن اللي هي ال lower limb موجود في عندي ما بين التيبيا والفيبيولا شيط أبيض لو شوفوا أنتوا بالصور بتلاقوله أنه أبيض هو عبارة عن fibrous", "tokens": [3224, 8315, 6225, 3555, 9640, 3660, 18871, 13672, 1829, 39896, 2423, 3126, 30390, 3714, 29245, 23328, 8978, 18871, 16254, 19446, 49374, 16712, 1829, 3555, 25528, 16070, 5172, 1829, 21292, 12610, 995, 13412, 1829, 9566, 5551, 21292, 11242, 45164, 13412, 38688, 14407, 14739, 2655, 14407, 20666, 9381, 13063, 39894, 15040, 4587, 12610, 3224, 14739, 3224, 5551, 21292, 11242, 31439, 6225, 3555, 9640, 3660, 18871, 283, 6414, 563], "avg_logprob": -0.2551306032422763, "compression_ratio": 1.5677419354838709, "no_speech_prob": 0.0, "words": [{"start": 563.88, "end": 564.22, "word": "هنا", "probability": 0.5718994140625}, {"start": 564.22, "end": 564.84, "word": " عبارة", "probability": 0.973388671875}, {"start": 564.84, "end": 565.1, "word": " عن", "probability": 0.9921875}, {"start": 565.1, "end": 565.3, "word": " اللي", "probability": 0.79052734375}, {"start": 565.3, "end": 565.52, "word": " هي", "probability": 0.82568359375}, {"start": 565.52, "end": 565.64, "word": " ال", "probability": 0.61865234375}, {"start": 565.64, "end": 565.84, "word": " lower", "probability": 0.693359375}, {"start": 565.84, "end": 566.26, "word": " limb", "probability": 0.9208984375}, {"start": 566.26, "end": 567.2, "word": " موجود", "probability": 0.9361979166666666}, {"start": 567.2, "end": 567.4, "word": " في", "probability": 0.9150390625}, {"start": 567.4, "end": 567.84, "word": " عندي", "probability": 0.6712646484375}, {"start": 567.84, "end": 568.04, "word": " ما", "probability": 0.90966796875}, {"start": 568.04, "end": 568.36, "word": " بين", "probability": 0.98388671875}, {"start": 568.36, "end": 569.46, "word": " التيبيا", "probability": 0.63885498046875}, {"start": 569.46, "end": 570.2, "word": " والفيبيولا", "probability": 0.7787272135416666}, {"start": 570.2, "end": 570.98, "word": " شيط", "probability": 0.7679036458333334}, {"start": 570.98, "end": 571.54, "word": " أبيض", "probability": 0.95849609375}, {"start": 571.54, "end": 571.72, "word": " لو", "probability": 0.87841796875}, {"start": 571.72, "end": 572.18, "word": " شوفوا", "probability": 0.710205078125}, {"start": 572.18, "end": 572.42, "word": " أنتوا", "probability": 0.6912434895833334}, {"start": 572.42, "end": 572.86, "word": " بالصور", "probability": 0.8312174479166666}, {"start": 572.86, "end": 573.46, "word": " بتلاقوله", "probability": 0.763671875}, {"start": 573.46, "end": 573.64, "word": " أنه", "probability": 0.6102294921875}, {"start": 573.64, "end": 574.14, "word": " أبيض", "probability": 0.98388671875}, {"start": 574.14, "end": 574.68, "word": " هو", "probability": 0.90087890625}, {"start": 574.68, "end": 575.04, "word": " عبارة", "probability": 0.9954833984375}, {"start": 575.04, "end": 575.2, "word": " عن", "probability": 0.990234375}, {"start": 575.2, "end": 575.9, "word": " fibrous", "probability": 0.68896484375}], "temperature": 1.0}, {"id": 26, "seek": 60612, "start": 576.84, "end": 606.12, "text": "حكينا مصنوع من الـDennis connective tissue ما بين الـsearchers اللي في الـflat bones اللي في الـskull ما بين أيضًا الأسنان اللي موجودة في الفك إذا عندي تلاتة example موجودة فيهم fibrous joint الآن الـfibrous joint اللي موجود ما بين التيبية و الفيبولا والـsearcher والـtooth هنشوف شنوع الحركة فيه", "tokens": [5016, 4117, 1829, 8315, 3714, 9381, 1863, 45367, 9154, 2423, 39184, 35, 11307, 1745, 488, 12404, 19446, 49374, 2423, 39184, 405, 1178, 433, 13672, 1829, 8978, 2423, 39184, 3423, 267, 10491, 13672, 1829, 8978, 2423, 39184, 5161, 858, 19446, 49374, 36632, 11242, 14111, 995, 16247, 3794, 1863, 7649, 13672, 1829, 3714, 29245, 23328, 3660, 8978, 27188, 4117, 11933, 15730, 18871, 16254, 6055, 1211, 9307, 3660, 1365, 3714, 29245, 23328, 3660, 8978, 16095, 283, 6414, 563, 7225, 6024, 48506, 2423, 39184, 69, 6414, 563, 7225, 13672, 1829, 3714, 29245, 23328, 19446, 49374, 16712, 1829, 3555, 10632, 4032, 27188, 1829, 3555, 12610, 995, 16070, 39184, 405, 1178, 260, 16070, 39184, 1353, 900, 8032, 1863, 8592, 38688, 13412, 1863, 45367, 21542, 31747, 3660, 8978, 3224], "avg_logprob": -0.24301320435555002, "compression_ratio": 1.883817427385892, "no_speech_prob": 0.0, "words": [{"start": 576.84, "end": 577.3, "word": "حكينا", "probability": 0.8404541015625}, {"start": 577.3, "end": 577.82, "word": " مصنوع", "probability": 0.9697265625}, {"start": 577.82, "end": 578.34, "word": " من", "probability": 0.962890625}, {"start": 578.34, "end": 579.0, "word": " الـDennis", "probability": 0.738037109375}, {"start": 579.0, "end": 580.02, "word": " connective", "probability": 0.6741943359375}, {"start": 580.02, "end": 580.38, "word": " tissue", "probability": 0.9296875}, {"start": 580.38, "end": 581.34, "word": " ما", "probability": 0.515625}, {"start": 581.34, "end": 581.58, "word": " بين", "probability": 0.9921875}, {"start": 581.58, "end": 582.9, "word": " الـsearchers", "probability": 0.547802734375}, {"start": 582.9, "end": 583.28, "word": " اللي", "probability": 0.880859375}, {"start": 583.28, "end": 583.52, "word": " في", "probability": 0.89453125}, {"start": 583.52, "end": 584.02, "word": " الـflat", "probability": 0.87060546875}, {"start": 584.02, "end": 584.6, "word": " bones", "probability": 0.83251953125}, {"start": 584.6, "end": 585.16, "word": " اللي", "probability": 0.927001953125}, {"start": 585.16, "end": 585.3, "word": " في", "probability": 0.97021484375}, {"start": 585.3, "end": 585.96, "word": " الـskull", "probability": 0.82373046875}, {"start": 585.96, "end": 586.94, "word": " ما", "probability": 0.66650390625}, {"start": 586.94, "end": 587.26, "word": " بين", "probability": 0.994140625}, {"start": 587.26, "end": 587.9, "word": " أيضًا", "probability": 0.88427734375}, {"start": 587.9, "end": 588.72, "word": " الأسنان", "probability": 0.9755859375}, {"start": 588.72, "end": 588.9, "word": " اللي", "probability": 0.91943359375}, {"start": 588.9, "end": 589.42, "word": " موجودة", "probability": 0.9892578125}, {"start": 589.42, "end": 589.58, "word": " في", "probability": 0.978515625}, {"start": 589.58, "end": 590.06, "word": " الفك", "probability": 0.903564453125}, {"start": 590.06, "end": 590.76, "word": " إذا", "probability": 0.56298828125}, {"start": 590.76, "end": 591.76, "word": " عندي", "probability": 0.799072265625}, {"start": 591.76, "end": 592.24, "word": " تلاتة", "probability": 0.9482421875}, {"start": 592.24, "end": 592.94, "word": " example", "probability": 0.59326171875}, {"start": 592.94, "end": 593.88, "word": " موجودة", "probability": 0.979248046875}, {"start": 593.88, "end": 594.4, "word": " فيهم", "probability": 0.982177734375}, {"start": 594.4, "end": 595.42, "word": " fibrous", "probability": 0.7041219075520834}, {"start": 595.42, "end": 596.02, "word": " joint", "probability": 0.77294921875}, {"start": 596.02, "end": 596.84, "word": " الآن", "probability": 0.7236328125}, {"start": 596.84, "end": 597.48, "word": " الـfibrous", "probability": 0.87099609375}, {"start": 597.48, "end": 597.96, "word": " joint", "probability": 0.892578125}, {"start": 597.96, "end": 598.2, "word": " اللي", "probability": 0.961669921875}, {"start": 598.2, "end": 598.8, "word": " موجود", "probability": 0.9853515625}, {"start": 598.8, "end": 599.82, "word": " ما", "probability": 0.2578125}, {"start": 599.82, "end": 600.02, "word": " بين", "probability": 0.9931640625}, {"start": 600.02, "end": 600.48, "word": " التيبية", "probability": 0.56494140625}, {"start": 600.48, "end": 600.64, "word": " و", "probability": 0.52978515625}, {"start": 600.64, "end": 601.34, "word": " الفيبولا", "probability": 0.74599609375}, {"start": 601.34, "end": 602.62, "word": " والـsearcher", "probability": 0.646337890625}, {"start": 602.62, "end": 603.38, "word": " والـtooth", "probability": 0.757080078125}, {"start": 603.38, "end": 604.2, "word": " هنشوف", "probability": 0.87548828125}, {"start": 604.2, "end": 604.62, "word": " شنوع", "probability": 0.9305013020833334}, {"start": 604.62, "end": 605.34, "word": " الحركة", "probability": 0.9913736979166666}, {"start": 605.34, "end": 606.12, "word": " فيه", "probability": 0.992431640625}], "temperature": 1.0}, {"id": 27, "seek": 62450, "start": 608.38, "end": 624.5, "text": "الان الـ Cartol Genius النوع التاني موجود أيضًا في الـ Epiphysis Plate وهنا كتبنا عليها temporary يعني الاشي مؤقت لإنه حكينا بعد عمر الخمس وعشرين سنة", "tokens": [6027, 7649, 2423, 39184, 22478, 401, 45818, 28239, 45367, 16712, 7649, 1829, 3714, 29245, 23328, 36632, 11242, 14111, 995, 8978, 2423, 39184, 9970, 24595, 4642, 46043, 37037, 8315, 9122, 2655, 3555, 8315, 25894, 11296, 13413, 37495, 22653, 2423, 33599, 1829, 3714, 33604, 38149, 5296, 28814, 1863, 3224, 11331, 4117, 1829, 8315, 39182, 6225, 29973, 33962, 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{"start": 613.56, "end": 614.52, "word": " Epiphysis", "probability": 0.4608561197916667}, {"start": 614.52, "end": 615.16, "word": " Plate", "probability": 0.279052734375}, {"start": 615.16, "end": 616.0, "word": " وهنا", "probability": 0.85498046875}, {"start": 616.0, "end": 616.6, "word": " كتبنا", "probability": 0.9862060546875}, {"start": 616.6, "end": 617.2, "word": " عليها", "probability": 0.9775390625}, {"start": 617.2, "end": 617.96, "word": " temporary", "probability": 0.65869140625}, {"start": 617.96, "end": 618.82, "word": " يعني", "probability": 0.9267578125}, {"start": 618.82, "end": 619.4, "word": " الاشي", "probability": 0.7416178385416666}, {"start": 619.4, "end": 620.58, "word": " مؤقت", "probability": 0.97900390625}, {"start": 620.58, "end": 621.04, "word": " لإنه", "probability": 0.80419921875}, {"start": 621.04, "end": 621.58, "word": " حكينا", "probability": 0.9923095703125}, {"start": 621.58, "end": 622.28, "word": " بعد", "probability": 0.974609375}, {"start": 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{"start": 822.21, "end": 822.59, "word": " أداء", "probability": 0.9231770833333334}, {"start": 822.59, "end": 822.91, "word": " أي", "probability": 0.8017578125}, {"start": 822.91, "end": 823.59, "word": " حركة", "probability": 0.99658203125}, {"start": 823.59, "end": 824.37, "word": " ال", "probability": 0.67578125}, {"start": 824.37, "end": 825.01, "word": " ligaments", "probability": 0.710205078125}, {"start": 825.01, "end": 826.13, "word": " الاربطة", "probability": 0.743359375}], "temperature": 1.0}, {"id": 37, "seek": 84073, "start": 826.69, "end": 840.73, "text": "طبعا أي إشي أو أي عظام أو أي مفصل بحاجة إلى أربطها عشان تربطهم العظمتين مع بعض بحاجة لتغذية عصبية، تمام؟ أيضا بحاجة لتروية دموية", "tokens": [9566, 3555, 3615, 995, 36632, 11933, 8592, 1829, 34051, 36632, 6225, 19913, 10943, 34051, 36632, 3714, 5172, 36520, 4724, 5016, 26108, 3660, 30731, 5551, 25513, 9566, 11296, 6225, 8592, 7649, 6055, 25513, 9566, 16095, 18863, 19913, 2304, 2655, 9957, 20449, 45030, 11242, 4724, 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{"start": 952.91, "end": 953.23, "word": " هي", "probability": 0.94140625}, {"start": 953.23, "end": 953.45, "word": " على", "probability": 0.955078125}, {"start": 953.45, "end": 953.79, "word": " سبيل", "probability": 0.984375}, {"start": 953.79, "end": 954.41, "word": " المثال", "probability": 0.9959309895833334}, {"start": 954.41, "end": 955.09, "word": " مفصل", "probability": 0.93115234375}, {"start": 955.09, "end": 955.61, "word": " الكوع", "probability": 0.923095703125}, {"start": 955.61, "end": 956.83, "word": " يقابلوا", "probability": 0.96181640625}, {"start": 956.83, "end": 957.37, "word": " تماما", "probability": 0.9890950520833334}, {"start": 957.37, "end": 957.57, "word": " بال", "probability": 0.98046875}, {"start": 957.57, "end": 957.79, "word": " lower", "probability": 0.5126953125}, {"start": 957.79, "end": 958.17, "word": " limb", "probability": 0.9345703125}, {"start": 958.17, "end": 958.43, "word": " اللي", "probability": 0.961669921875}, {"start": 958.43, "end": 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على سبيل المثال زي ال hip joint هنا حر الحركة", "tokens": [40228, 22653, 498, 264, 9026, 6067, 294, 732, 14952, 39894, 5016, 31747, 8978, 3714, 5016, 13063, 9957, 38637, 1863, 16373, 1829, 37495, 22653, 7251, 2655, 5016, 31747, 8978, 3714, 5016, 13063, 9957, 5551, 15042, 2423, 4825, 46851, 34051, 2423, 853, 20666, 1211, 9307, 9957, 1829, 37279, 22653, 6055, 1211, 9307, 3660, 6156, 15042, 6156, 30543, 498, 264, 9026, 6067, 294, 3866, 14952, 39894, 2655, 5016, 31747, 29538, 13672, 1829, 31439, 15844, 8608, 21292, 1211, 9673, 12984, 6027, 30767, 1829, 2423, 8103, 7225, 34105, 11331, 2288, 21542, 31747, 3660], "avg_logprob": -0.1392205109756984, "compression_ratio": 1.7524752475247525, "no_speech_prob": 0.0, "words": [{"start": 979.36, "end": 979.86, "word": "يعني", "probability": 0.888916015625}, {"start": 979.86, "end": 980.08, "word": " if", "probability": 0.7548828125}, {"start": 980.08, "end": 980.26, "word": " the", "probability": 0.88427734375}, {"start": 980.26, "end": 980.48, 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multiple اللي هو بتحرك زي ال shoulder joint بتحرك على كل", "tokens": [11622, 1829, 3714, 5172, 36520, 2423, 39184, 8103, 4032, 2423, 7948, 7225, 370, 286, 362, 1045, 20627, 1975, 2407, 38637, 1211, 5718, 104, 3660, 21538, 5296, 6027, 20292, 39896, 2423, 7225, 4650, 281, 264, 16199, 517, 654, 87, 831, 39894, 5016, 31747, 15844, 3714, 5016, 13063, 36764, 24401, 272, 654, 87, 831, 1975, 2407, 11778, 25528, 39894, 5016, 31747, 15844, 3714, 5016, 13063, 9957, 4032, 2423, 3866, 13672, 1829, 31439, 39894, 5016, 31747, 30767, 1829, 2423, 7948, 7225, 39894, 5016, 31747, 15844, 28242], "avg_logprob": -0.2271205312794163, "compression_ratio": 1.6699029126213591, "no_speech_prob": 0.0, "words": [{"start": 1004.96, "end": 1005.26, "word": "زي", "probability": 0.765380859375}, {"start": 1005.26, "end": 1005.82, "word": " مفصل", "probability": 0.94873046875}, {"start": 1005.82, "end": 1006.62, "word": " الـ", "probability": 0.749755859375}, {"start": 1006.62, "end": 1006.94, "word": " hip", 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+7 +00:00:34,240 --> 00:00:39,020 +صغيرة عن العظام وأنواعها. الآن سأتحدث عن الغطاء + +8 +00:00:39,020 --> 00:00:43,640 +اللي بيغطي اللي هو العظام، الآن، الـ bone membrane، زي + +9 +00:00:43,640 --> 00:00:47,960 +ما بتعرفه، هو عبارة عن كلمة bone، العظم، و الـ + +10 +00:00:47,960 --> 00:00:52,480 +membrane، هو عبارة عن الغشاء. هلأ هذا الغشاء فيه منه + +11 +00:00:52,480 --> 00:00:58,000 +غشاء داخلي، وفي منه غشاء خارجي، برا العظم. الآن، + +12 +00:00:58,000 --> 00:01:04,230 +الغشاء الأولاني اللي هو periosteum، يعني حوله + +13 +00:01:04,230 --> 00:01:09,250 +يعني برا العظم. فبالتالي، periosteum باللاتينية، word is + +14 +00:01:09,250 --> 00:01:12,410 +عبارة عن الـ bone، و periosteum هي عبارة عن double + +15 +00:01:12,410 --> 00:01:18,450 +layer، عبارة عن طبقتين، تعمل protective membrane. إذاً + +16 +00:01:18,450 --> 00:01:24,370 +بما أنها غشاء عظمي خارجي، فهو وظيفته يقوم + +17 +00:01:24,370 --> 00:01:28,750 +بحماية العظم. حماية العظم معناته اللي حاكي أنه + +18 +00:01:28,750 --> 00:01:33,430 +هيكون من برا. معناته إذا أنا حاكيت و بدي أدعم شيء أو + +19 +00:01:33,430 --> 00:01:38,010 +أقوي شيء، بدي أضيف له fibrous، أضيف له ألياف، عشان أنا + +20 +00:01:38,010 --> 00:01:42,670 +أخليه more strong. فبالتالي، هذا الـ periosteum اللي أنا + +21 +00:01:42,670 --> 00:01:46,830 +بتحدث عنه، هيحتوي على طبقتين، حكينا double layer. + +22 +00:01:47,210 --> 00:01:51,670 +الأولى، أو الطبقة الأولى منها، حاجة اسمها outer + +23 +00:01:51,670 --> 00:01:56,330 +surface، وحاجة هنا inner surface. الـ outer أو + +24 +00:01:56,330 --> 00:02:02,530 +الطبقة الخارجية، مكونة من ايش؟ من dense regular + +25 +00:02:02,530 --> 00:02:11,040 +connective tissue، نسيج ضام كثيف منتظم. الـ outer برا + +26 +00:02:11,040 --> 00:02:15,200 +عشان أنا بدي أحميه من أي microorganism، أو أحميه من + +27 +00:02:15,200 --> 00:02:20,740 +أي إصابة، أو أحميه من أي هجوم، بدعمه بـ fibrous. إذاً + +28 +00:02:20,740 --> 00:02:24,720 +الـ periosteum يحتوي على double layer، الـ outer منها + +29 +00:02:24,720 --> 00:02:29,940 +fibrous، أما الـ inner فهي عبارة عن osteogenic layer. + +30 +00:02:30,350 --> 00:02:35,250 +كلمة Osteo تعني عظم، Genic formation، تكوين العظم. + +31 +00:02:35,250 --> 00:02:39,310 +فبالتالي، هنا لما بدي أجي أتكلم عن الـ osteogenic + +32 +00:02:39,310 --> 00:02:45,150 +layer، composed of osteoblast، حكينا كلمة blast + +33 +00:02:45,150 --> 00:02:52,210 +building، تعني خلايا عظمية بانية، and osteoclast. أول + +34 +00:02:52,210 --> 00:02:56,570 +مرة تمر علينا كلمة clast، تحتوي على خلايا عظمية + +35 +00:02:56,570 --> 00:03:01,960 +بانية، وعكسها تماماً osteoclast، plus بتعني خلايا + +36 +00:03:01,960 --> 00:03:07,400 +هادمة، destroyed، محطمة، خلاص، ما في خلايا بعد هيك. + +37 +00:03:07,400 --> 00:03:11,980 +Richly blood supply and nerve fibers and lymphatic + +38 +00:03:11,980 --> 00:03:16,880 +vessels، which enter the bone via nutrient foramina. + +39 +00:03:17,440 --> 00:03:21,840 +هذه الطبقة الداخلية، أو الـ inner osteogenic layer، + +40 +00:03:21,840 --> 00:03:25,960 +من اسمها، حاجة داخلية. الجنين دائماً أما بتقوم + +41 +00:03:25,960 --> 00:03:30,660 +بتغذيته. فبالتالي، هنا الـ inner layer، بدي يكون غني + +42 +00:03:30,660 --> 00:03:37,640 +جداً بالألياف والأعصاب والقنوات اللمفاوية، والـ + +43 +00:03:37,640 --> 00:03:42,760 +blood supply، التروية الدموية. كل هذا بيدخل عن طريق + +44 +00:03:42,760 --> 00:03:47,590 +فتحة اسمها الـ nutrient foramen، اللي هي عبارة عن + +45 +00:03:47,590 --> 00:03:52,870 +فتحة التغذية، تمام؟ هذه inner osteogenic layer، أو + +46 +00:03:52,870 --> 00:03:59,350 +الطبقة الداخلية، تحتوي على اللي هي Sharpey's fibers. + +47 +00:03:59,350 --> 00:04:04,410 +كلمة Sharpey's fibers هي عبارة عن ايش؟ هي عبارة عن + +48 +00:04:04,410 --> 00:04:09,070 +مفتاح الأمان، يعني secured by underlying اللي هو + +49 +00:04:09,070 --> 00:04:14,880 +bone، عن طريق ألياف شاربي، تمام؟ هذه الألياف شاربي هي + +50 +00:04:14,880 --> 00:04:19,120 +عبارة عن المفاتيح اللي بتتم إغلاق اللي هي الـ inner + +51 +00:04:19,120 --> 00:04:23,480 +osteogenic layers، الطبقة الداخلية. إذاً اللي أنا لو + +52 +00:04:23,480 --> 00:04:27,560 +أنا بدي أُلخّص اللي هو الـ bone membrane، أو غشاء + +53 +00:04:27,560 --> 00:04:32,160 +العظم الخارجي، بدي أحكي أنه بدي يتكون من double + +54 +00:04:32,160 --> 00:04:36,940 +layer، طبقتين، طبقة خارجية لبرا، وطبقة داخلية لجوا. + +55 +00:04:37,390 --> 00:04:42,870 +الطبقة الخارجية اللي هي بتحتوي على fibers، تحتوي + +56 +00:04:42,870 --> 00:04:47,110 +على ألياف، شو نوع الألياف اللي فيها؟ هو عبارة عن + +57 +00:04:47,110 --> 00:04:51,990 +dense regular connective tissue، تحتوي على نسيج ضام + +58 +00:04:51,990 --> 00:04:58,010 +كثيف منتظم، من اللي هو الكولاجين، تمام؟ هذا ايش؟ الطبقة اللي + +59 +00:04:58,010 --> 00:05:04,800 +برا، خارجية. الـ inner، الطبقة الداخلية، تحتوي على مكوّن + +60 +00:05:04,800 --> 00:05:09,700 +من الخلايا العظمية، أو مُنتج للخلايا العظمية، composed + +61 +00:05:09,700 --> 00:05:14,760 +of، ايش؟ تحتوي على osteoblast، اللي هي + +62 +00:05:14,760 --> 00:05:20,420 +خلايا بانية، وكذلك osteoclast، خلايا هادمة. هي + +63 +00:05:20,420 --> 00:05:25,460 +غنية جداً بالتروية الدموية، والألياف العصبية، وكذلك + +64 +00:05:25,460 --> 00:05:31,200 +الأوعية اللمفاوية. تدخل للعظم عن طريق فتحة اسمها + +65 +00:05:31,200 --> 00:05:37,260 +الـ nutrient foramen، فتحة التغذية. الآن، secured to + +66 +00:05:37,260 --> 00:05:43,940 +underlying bone، بتم تثبيتها، و بتم محافظتها عليها عن + +67 +00:05:43,940 --> 00:05:48,320 +طريق ألياف شاربي، هذه اللي هي عبارة عن مفتاح + +68 +00:05:48,320 --> 00:05:52,960 +الأمان لها. لأن هذا كل اللي أنا كنت بتكلم عليه هو + +69 +00:05:52,960 --> 00:05:57,460 +عبارة عن الـ periosteum، الطبقة الخارجية. الآن، + +70 +00:05:57,460 --> 00:06:02,720 +الـ endosteum، أو ما يسمى بالغشاء الداخلي، هو عبارة عن + +71 +00:06:02,720 --> 00:06:08,330 +delicate membrane، covering internal surface of bone. هو + +72 +00:06:08,330 --> 00:06:13,870 +عبارة عن الغشاء الداخلي الرقيق. كلمة delicate تعني + +73 +00:06:13,870 --> 00:06:20,390 +رقيق. غشاء رقيق يغطي السطح الداخلي للعظام. فبالتالي، + +74 +00:06:20,390 --> 00:06:23,390 +بدي يكون عندنا الترتيب كالاتي، لو أنا اجيت بالمشرحة + +75 +00:06:23,390 --> 00:06:28,650 +من الـ out to inner، معناته بدي أدخل أول شيء على الـ + +76 +00:06:28,650 --> 00:06:32,950 +outer fibrous layer تبع الـ periosteum، بعدين الـ inner + +77 +00:06:32,950 --> 00:06:37,090 +osteogenic layer، بعدين بدخل على الـ endosteum، اللي + +78 +00:06:37,090 --> 00:06:42,750 +هو الغشاء الداخلي، تمام؟ هذا الحكي هو عبارة عن ايش؟ + +79 +00:06:42,750 --> 00:06:48,890 +الغشاء الداخلي، أو الطبقة الداخلية، للي هي العظم + +80 +00:06:48,890 --> 00:06:54,030 +من الداخل. إن شاء الله رب العالمين، هنشوف ترتيبهم + +81 +00:06:54,030 --> 00:06:58,590 +الآن في الصورة. إذاً، الـ bone membrane يحتوي على قسمين. + +82 +00:06:58,590 --> 00:07:02,830 +خلّيني ألخّص هذه لأنها مهمة، هذه الـ slide، تمام؟ ممكن + +83 +00:07:02,830 --> 00:07:06,970 +يجينا أسئلة على طريق مصطلح، تجينا عن طريق الـ MCQ. + +84 +00:07:06,970 --> 00:07:12,450 +يحتوي على طبقتين، إثنتين من الـ membranes، الـ periosteum، + +85 +00:07:12,450 --> 00:07:15,830 +والـ endosteum. من اسمها periosteum معناته لبرا، و الـ + +86 +00:07:15,830 --> 00:07:19,210 +endosteum معناته لجوا. الـ periosteum تم تقسيمه إلى + +87 +00:07:19,210 --> 00:07:24,960 +طبقتين، الـ outer، أو الـ outer layer، الطبقة الخارجية، و + +88 +00:07:24,960 --> 00:07:30,360 +الـ inner osteogenic layer، تمام؟ هاي عبارة عن الصورة + +89 +00:07:30,360 --> 00:07:34,660 +اللي احنا حكينا عليها. هنشوفها ونتأكد شو الـ blood + +90 +00:07:34,660 --> 00:07:38,200 +and nerve supply للـ bone. طبعاً بما أنه الـ bone كائن + +91 +00:07:38,200 --> 00:07:42,360 +حي، أو أنه نسيج حي، معناته الكلام أنه لازمه تغذية + +92 +00:07:42,360 --> 00:07:46,880 +عصبية، تروية دموية. أيضاً اللي احنا لازم نعرف الأجزاء + +93 +00:07:46,880 --> 00:07:51,540 +اللي حكينا عليها. في عندنا بالنسبة للي هو التروية + +94 +00:07:51,540 --> 00:07:55,990 +الدموية، هيكون حاجة اسمها، من اسمها، periosteal arteries، + +95 +00:07:55,990 --> 00:08:00,270 +شرايين خاصة في الـ periosteum، زي ما أنتم شايفينها هنا. + +96 +00:08:00,270 --> 00:08:04,030 +هذه هي الشرايين الحمراء اللي بتغذّي العظم. + +97 +00:08:04,030 --> 00:08:07,950 +nutrient arteries، أو اللي هي الشرايين المغذية. + +98 +00:08:07,950 --> 00:08:11,530 +تدخل خلال اللي هو الـ nutrient foramen. هذا الـ + +99 +00:08:11,530 --> 00:08:15,090 +nutrient foramen وين موجودة؟ حكينا في الـ inner + +100 +00:08:15,090 --> 00:08:20,820 +osteogenic layer، الطبقة الداخلية من مين؟ من + +101 +00:08:20,820 --> 00:08:24,840 +periosteum، في اللي هي الـ slide السابقة، حكينا عليها. + +102 +00:08:24,840 --> 00:08:29,740 +تمام، supplies للـ compact bone of diaphysis and red + +103 +00:08:29,740 --> 00:08:34,800 +marrow. بتغذي الـ compact bone، العظم الحقيقي اللي هو + +104 +00:08:34,800 --> 00:08:40,260 +موجود في diaphysis، وكذلك الـ red marrow، اللي هو + +105 +00:08:40,260 --> 00:08:44,900 +نخاع العظم الأحمر. هنا كمان حكيت أنا على حاجة اسمها + +106 +00:08:44,900 --> 00:08:49,540 +الـ medullary cavity، في الـ compact bone، okay؟ هذه عبارة + +107 +00:08:49,540 --> 00:08:53,660 +عن الفتحة اللي هي الـ nutrient foramen، والـ + +108 +00:08:53,660 --> 00:08:57,840 +nutrient arteries، اللي هو شريان التغذية. الآن، الـ + +109 +00:08:57,840 --> 00:09:04,020 +metaphyseal and epiphyseal arteries. AA تعني artery، الـ + +110 +00:09:04,020 --> 00:09:08,460 +metaphyseal artery، و الـ epiphyseal artery، تمام؟ + +111 +00:09:08,460 --> 00:09:13,460 +supply للـ red marrow and bone tissue of epiphysis. بتغذّي + +112 +00:09:13,460 --> 00:09:18,980 +نخاع العظم، وكذلك أنسجة العظم. الآن، كلمة meta تعني + +113 +00:09:18,980 --> 00:09:22,660 +بينها، between. هذه الـ metaphysis، ما بينها، احنا حكينا + +114 +00:09:22,660 --> 00:09:27,240 +فوق هيكون في عندنا هنا الـ epiphysis، وايضاً في الـ + +115 +00:09:27,240 --> 00:09:31,070 +distal، وايضاً في عندنا distal epiphysis. ما بينهم في + +116 +00:09:31,070 --> 00:09:35,590 +المنتصف، هنا في حاجة اسمها الـ diaphysis، وبين قوسين + +117 +00:09:35,590 --> 00:09:38,810 +وحكينا كمان الـ metaphysis، تحتوي على الـ medullary + +118 +00:09:38,810 --> 00:09:43,190 +cavity، تحتوي على ايش؟ على اللي هي الـ medullary + +119 +00:09:43,190 --> 00:09:47,150 +cavity، اللي فيها الـ yellow bone marrow. هي غشاء + +120 +00:09:47,150 --> 00:09:52,090 +رقيق من الـ periosteum، اللي موجود، تمام؟ هذا + +121 +00:09:52,090 --> 00:09:57,270 +بالنسبة للتغذية العصبية والتروية الدموية للعظام. + +122 +00:09:58,490 --> 00:10:03,250 +بالنسبة للعظام تحت المجهر، احنا حكينا الهستولوجي، هي + +123 +00:10:03,250 --> 00:10:06,810 +عبارة عن الأشياء أو الأنسجة اللي بتتدرس تحت الـ + +124 +00:10:06,810 --> 00:10:11,310 +microscope. لَجينا أنه بتحتوي العظام على عدة شغلات. + +125 +00:10:11,310 --> 00:10:16,770 +في عندي عظام compact، أو بسميها cortical compact، + +126 +00:10:16,770 --> 00:10:25,040 +معناته عظم حقيقي. هناك في عظم إسفنجي، يحتوي على غرف + +127 +00:10:25,040 --> 00:10:29,780 +وفجوات، اسمه الـ trabeculae، اللي هو عبارة عن الـ spongy + +128 +00:10:29,780 --> 00:10:37,280 +bone. الـ lamellar bone، هو عبارة عن اللي هو العظام + +129 +00:10:37,280 --> 00:10:41,300 +المخلخلة، أو العظام اللي هي بتكون فيها فراغات. + +130 +00:10:41,300 --> 00:10:48,960 +regular and mature، منتظمة وناضجة. كلمة regular + +131 +00:10:48,960 --> 00:10:55,030 +منتظمة، و mature ناضجة. الـ woven bone، هي عبارة عن العظام + +132 +00:10:55,030 --> 00:11:00,830 +اللي غير منتظمة وغير ناضجة، زي عظام اللي هي الجنين. + +133 +00:11:00,830 --> 00:11:04,990 +أيضاً اللي + +134 +00:11:04,990 --> 00:11:09,490 +بتكون اللي صارت بعد الكسر، في الـ fractures، اللي هي + +135 +00:11:09,490 --> 00:11:14,870 +عبارة عن كسر. إذاً، الـ osteon، اللي هي وحدة بناء العظم، + +136 +00:11:14,870 --> 00:11:19,960 +أو العظم المكون الأساسي. الـ callus، هو عبارة عن الـ + +137 +00:11:19,960 --> 00:11:24,140 +fracture healing، لأن بعد ما يصير فيه كسر، الجاب أو + +138 +00:11:24,140 --> 00:11:26,900 +الفجوة اللي ما بين نهاية العظمتين اللي صار فيهم + +139 +00:11:26,900 --> 00:11:31,880 +كسر، بيصير في امتلاء لهذه الفجوة بالـ callus. هذا بيسمى + +140 +00:11:31,880 --> 00:11:36,140 +callus formation، أو تكون الـ callus، اللي هو بدي يكون في + +141 +00:11:36,140 --> 00:11:40,220 +الـ fractures. إذاً، الـ histological type: compact bone، + +142 +00:11:40,220 --> 00:11:44,880 +spongy bone، lamellar bone، woven bone، والـ osteoid، + +143 +00:11:44,880 --> 00:11:49,320 +والـ callus، طبعاً هذا كله أنا بأشوفه تحت الـ microscope + +144 +00:11:49,320 --> 00:11:53,700 +في الـ histological type، تمام؟ هذه أنواع العظام. + +145 +00:11:53,700 --> 00:11:57,600 +هآخذهم بالتفصيل. أول شيء الـ compact bone، العظام + +146 +00:11:57,600 --> 00:12:01,820 +الحقيقية. طبعاً العظام الحقيقية تحتوي على نظام + +147 +00:12:01,820 --> 00:12:06,680 +Haversian، وأكيد هذا طبعاً أخذتو أنتم في الأحياء، نظام + +148 +00:12:06,680 --> 00:12:11,260 +Haversian، أو ما يسمى Haversian system، أو osteon، وحدة + +149 +00:12:11,260 --> 00:12:15,180 +بناء العظم، هو عبارة عن الـ structural unit للـ + +150 +00:12:15,180 --> 00:12:19,280 +compact bone، هي عبارة عن وحدة بناء العظم الحقيقي. + +151 +00:12:19,280 --> 00:12:24,420 +الـ lamella، الـ lamella هي عبارة عن الـ weight bearing، هي + +152 +00:12:24,420 --> 00:12:28,740 +عبارة عن الساق اللي بتكون موجودة داخل العظم، تمام؟ + +153 +00:12:28,740 --> 00:12:34,200 +column-like matrix tubes، composed mainly of + +154 +00:12:34,200 --> 00:12:39,540 +collagen. هي عبارة عن أساق أنبوبية استوانية، الشكل + +155 +00:12:39,540 --> 00:12:46,400 +موجودة في منتصف العظم، لسّاها lamella، تمام؟ لسا + +156 +00:12:46,400 --> 00:12:50,460 +مكونة، أو الـ matrix بتاعتها، المادة الخلوية، من الـ + +157 +00:12:50,460 --> 00:12:55,920 +collagen. تمام؟ ننتقل للنوع الثالث، اللي هو، أو المكون + +158 +00:12:55,920 --> 00:12:59,760 +الـ compact Haversian، أو الـ central canal، من الـ + +159 +00:12:59,760 --> 00:13:04,140 +Haversian، أو الـ central canal، القناة الرئيسية، هي عبارة + +160 +00:13:04,140 --> 00:13:08,900 +عن ايش؟ central canal containing blood vessels and + +161 +00:13:08,900 --> 00:13:15,620 +nerves، تحتوي على أوعية دموية، وكذلك أعصاب، تمام؟ إذاً + +162 +00:13:15,620 --> 00:13:20,840 +أخذنا عن نظام هارڤر، أخذنا عن الـ lamella، أخذنا أيضاً عن + +163 +00:13:20,840 --> 00:13:24,780 +الـ central canal، في حاجة اسمها الـ Volkmann's canal. + +164 +00:13:24,780 --> 00:13:30,520 +قناة فولكمان، هي عبارة عن القناة اللي بتتعامد، lying + +165 +00:13:30,520 --> 00:13:36,700 +at right angles، بتتعامد بشكل، أو بزاوية قائمة، مع + +166 +00:13:36,700 --> 00:13:42,420 +القناة الأساسية، الـ central canal، تمام؟ تحتوي على + +167 +00:13:42,420 --> 00:13:47,040 +blood supply، و الـ nerve للـ periosteum، to the Haversian + +168 +00:13:47,040 --> 00:13:53,640 +canal، okay؟ Volkmann's هي عبارة عن قناة تتعامد بشكل + +169 +00:13:53,640 --> 00:13:58,860 +حقيقي، أو بشكل بزاوية قائمة، مع القناة الرئيسية، الـ + +170 +00:13:58,860 --> 00:14:02,740 + +223 +00:18:21,670 --> 00:18:27,610 +العظمية Osteobrogenator أستيو تعني عظم + +224 +00:18:27,610 --> 00:18:33,990 +البروجيناتور مخلق أو منتج العظم تماما، خلايا عظمية + +225 +00:18:33,990 --> 00:18:39,190 +مخلقة أو منتجة هي عبارة عن undifferentiated cells + +226 +00:18:39,810 --> 00:18:45,830 +خلايا غير متخصصة، un تعني نفي الكلمة differentiated + +227 +00:18:45,830 --> 00:18:49,350 +مخصصة، فهي بالتالي تصبح الترجمة هنا + +228 +00:18:49,350 --> 00:18:53,970 +undifferentiated cells مميزاتها هذه مهمة جدا + +229 +00:18:53,970 --> 00:18:58,870 +undifferentiated يعني خلايا غير مخصصة، can divide + +230 +00:18:58,870 --> 00:19:04,870 +become osteoblast تستطيع الانقسام ومن ثم تتحول إلى + +231 +00:19:04,870 --> 00:19:10,220 +خلايا بانية لأنها progenitors تماما، خلايا منتجة + +232 +00:19:10,220 --> 00:19:15,580 +فبالتالي موجودة في الـ inner layer من البرستيوم، and + +233 +00:19:15,580 --> 00:19:21,760 +اندستيوم، تماما. هنا المعلومات هذه مهمة جدا وممكن + +234 +00:19:21,760 --> 00:19:27,380 +تكون محط أسئلة، فبالتالي أنا ألخص أول نوع من أنواع + +235 +00:19:27,380 --> 00:19:32,160 +الخلايا العظمية osteogenated أو osteoprogenator هي + +236 +00:19:32,160 --> 00:19:36,040 +عبارة عن undifferentiated cells، خلايا غير مخصصة + +237 +00:19:36,390 --> 00:19:41,230 +تستطيع الانقسام والتحول إلى osteoblast خلايا + +238 +00:19:41,230 --> 00:19:46,630 +بانية، أيضا موجودة مكانها في اللي هي الـ inner layer + +239 +00:19:46,630 --> 00:19:50,690 +مع الـ endosteum، يعني لجوا في الـ inner layer، احنا + +240 +00:19:50,690 --> 00:19:54,250 +حكينا فيه عنه، البرستيوم والاندستيوم في الـ + +241 +00:19:54,250 --> 00:19:58,270 +periosteum outer layer لبرا وفي inner layer لجوا + +242 +00:19:58,270 --> 00:20:04,130 +خلايا البانية، خلايا عظمية بانية، osteoblast form + +243 +00:20:04,130 --> 00:20:08,620 +matrix من الـ Collagen fiber، but cannot divide + +244 +00:20:08,620 --> 00:20:13,620 +تحتوي أو بتشكل الـ matrix تبع العظم اللي هو من + +245 +00:20:13,620 --> 00:20:17,100 +ألياف الـ collagen، ولكن لا تستطيع الانقسام + +246 +00:20:17,100 --> 00:20:22,300 +Osteoblast، تماما. فهي تبني العظم ولكن لا تستطيع + +247 +00:20:22,300 --> 00:20:28,300 +الانقسام. النوع الثالث، حاجة اسمها Osteocyte، أستيو + +248 +00:20:28,300 --> 00:20:33,250 +لحالها، عظم سايت، خلايا، هي عبارة عن mature cells that + +249 +00:20:33,250 --> 00:20:38,330 +no longer secrete matrix، ما بتقدر اللي هي تفرز + +250 +00:20:38,330 --> 00:20:41,950 +المادة الخلوية، أو المادة البينية، إذن هي عبارة + +251 +00:20:41,950 --> 00:20:46,310 +عن خلية عظمية ناضجة، that no longer secreted + +252 +00:20:46,310 --> 00:20:50,570 +matrix، فهذه خلية العظم أو الـ osteocyte، الخلية + +253 +00:20:50,570 --> 00:20:55,250 +العظمية نفسها. كلمة osteoclast، أو النوع الرابع من + +254 +00:20:55,250 --> 00:20:59,750 +أنواع الخلية العظمية، هي عبارة عن الخلية الهادمة + +255 +00:21:00,170 --> 00:21:05,050 +هي عبارة عن إيش؟ huge cells، خلايا ضخمة، form أو + +256 +00:21:05,050 --> 00:21:08,770 +from fused monocytes، اللي هي نوع من أنواع الـ white + +257 +00:21:08,770 --> 00:21:13,430 +blood cells، الخلايا أو كريات الدم البيضاء. الـ + +258 +00:21:13,430 --> 00:21:17,850 +function تبعتها، bone reabsorption in a surface + +259 +00:21:17,850 --> 00:21:22,430 +such as in the stem، تماما. الـ osteoclast هي عبارة عن + +260 +00:21:22,430 --> 00:21:28,480 +خلايا هادمة، وهي نوع ومكونة من اللي هي الـ fused + +261 +00:21:28,480 --> 00:21:32,900 +طبعا، الدمج الـ monocytes اللي هي تبعت الـ white + +262 +00:21:32,900 --> 00:21:36,580 +blood cells، الخلايا البيضاء. ليش؟ لأنه هادمة + +263 +00:21:36,580 --> 00:21:39,920 +فمعناته لازم تحافظ على الجسم من أي micro organism + +264 +00:21:39,920 --> 00:21:44,460 +وظيفتها في حالة، على سبيل المثال، صار في عندي كسر + +265 +00:21:44,460 --> 00:21:49,300 +طبعا، فيه حيصير الكسر، مش هيكون خلاص أنا قسمت قطعتها + +266 +00:21:49,300 --> 00:21:52,760 +الـ cake إلى نصفين وخلاص، لأ، هيكون فيه فتافيت صغيرة + +267 +00:21:52,760 --> 00:21:58,520 +من العظمة، هنا لازم هذه الـ Osteoclast تعمل على إعادة + +268 +00:21:58,520 --> 00:22:03,440 +إمتصاصها، Reabsorption at surface such as endosteum + +269 +00:22:03,440 --> 00:22:09,060 +طبعا، اللي هو في سطح الاندستيوم الداخلي، فبالتالي + +270 +00:22:09,060 --> 00:22:13,780 +بيصير إعادة إمتصاص، عشان هيك سميناها خلايا هادمة، لإنه + +271 +00:22:13,780 --> 00:22:18,380 +إلها شغلها اللي علاقة في الخلايا اللي هي المهدومة + +272 +00:22:18,380 --> 00:22:23,500 +والخلايا اللي مش مظبوطة. أنواع الخلايا العظمية، هرجع + +273 +00:22:23,500 --> 00:22:27,520 +وأعيد وأكرر، هي عبارة عن أربعة أنواع من الخلايا + +274 +00:22:27,520 --> 00:22:34,080 +أول نوع اسمه الـ Osteopregenators أو خلايا منشئة + +275 +00:22:34,080 --> 00:22:38,540 +أو خلايا منتجة للخلايا العظمية، الـ Osteoblast + +276 +00:22:38,540 --> 00:22:43,480 +الخلايا البانية، الـ Osteoclast عكسها تماما، الخلايا + +277 +00:22:43,480 --> 00:22:48,180 +الهادمة، والـ Osteocyte هي نفسها الخلية العظمية + +278 +00:22:48,180 --> 00:22:54,090 +الـ slide هنا مهمة، وتدرس بشكل جيد. الآن لـ bone + +279 +00:22:54,090 --> 00:22:58,490 +development، أو ما يسمى بتطور العظام. في عندنا + +280 +00:22:58,490 --> 00:23:04,370 +osteogenesis and ossification، كلمة osteo تعني bone، + +281 +00:23:04,370 --> 00:23:08,230 +genesis، formation، تكوين العظم. وهنا الـ + +282 +00:23:08,230 --> 00:23:13,780 +ossification اللي هو التكلس أو التعظم. هي عبارة عن + +283 +00:23:13,780 --> 00:23:17,800 +إيش؟ الـ Process of bone tissue formation، عبارة عن + +284 +00:23:17,800 --> 00:23:22,200 +تكوين النسيج العظمي، يؤدي إلى إيش؟ إن الـ Formation + +285 +00:23:22,200 --> 00:23:26,840 +للـ bone skeletal in embryos، في الأجنة، اللي هو + +286 +00:23:26,840 --> 00:23:31,950 +بتحول، احنا حكينا أو تكلمنا في المحاضرة السابقة، إنه + +287 +00:23:31,950 --> 00:23:37,670 +بداية الجنين في أول ثمان أسابيع، بلاحظ إن الجنين + +288 +00:23:37,670 --> 00:23:43,090 +كان hyaline cartilage، عبارة عن نسيج ضام غضروفي زجاجي + +289 +00:23:43,090 --> 00:23:48,910 +بيصير له عملية ossification، عملية تعظم، لحد ما يصير + +290 +00:23:48,910 --> 00:23:52,970 +بالهيئة والمنظر هذا اللي احنا فيه. الـ bone growth + +291 +00:23:52,970 --> 00:23:58,750 +until early adulthood، تبدأ العظام بالنمو لحد بداية + +292 +00:23:58,750 --> 00:24:04,270 +المرحلة المراهقة، بيصير في الـ bone thickens، اللي + +293 +00:24:04,270 --> 00:24:10,350 +هو سماكة العظام، remolding، إعادة تشكيلها، تماما. وبعد + +294 +00:24:10,350 --> 00:24:14,190 +هيك، لو صار في عندي كسر أو أي trauma صارت في الجسم + +295 +00:24:14,190 --> 00:24:19,250 +بيصير في عندي fractures. إذا عرفت عملية الـ + +296 +00:24:19,250 --> 00:24:22,570 +osteogenesis وعملية الـ ossification، هي عبارة عن + +297 +00:24:22,570 --> 00:24:28,990 +العملية اللي بتتم فيها تحول الـ hyaline cartilage + +298 +00:24:28,990 --> 00:24:34,810 +إلى bone، وعرفنا أنه بتوقف نمو العظم في بداية مراحل + +299 +00:24:34,810 --> 00:24:39,590 +الـ early adulthood، اللي هي بداية مراحل المراهقة + +300 +00:24:39,590 --> 00:24:45,120 +تمام؟ الآن الـ bone growth، ossification، الـ + +301 +00:24:45,120 --> 00:24:48,860 +cartilage، هنا في رسمة، هنشوفها، ذكرتنا بيه الرسومات + +302 +00:24:48,860 --> 00:24:52,860 +التابعة الـ epiphyseal line والـ diaphysis، الـ + +303 +00:24:52,860 --> 00:24:57,760 +cartilage completely + +304 +00:24:57,760 --> 00:25:01,890 +laid down. الآن كل الـ cartilage في عملية الـ + +305 +00:25:01,890 --> 00:25:06,650 +ossification، الـ cartilage كله بيروح وبيتم أو بيحل + +306 +00:25:06,650 --> 00:25:10,950 +محله الـ bone، ossification أو الـ bone اللي هو العظم + +307 +00:25:10,950 --> 00:25:16,160 +الصلب. الـ osteoblast أو الخلايا البانية هي عبارة عن + +308 +00:25:16,160 --> 00:25:20,300 +الـ bone building، located اللي هي in ossification + +309 +00:25:20,300 --> 00:25:25,420 +center، بتكون موجودة في مراكز التعظم. هنشوف + +310 +00:25:25,420 --> 00:25:28,880 +حكينا إنه أنا بشوف أو بلاقي اللي هو الجنين + +311 +00:25:28,880 --> 00:25:33,100 +hyaline cartilage، ولكن بعد فترة من الزمن بيصير + +312 +00:25:33,100 --> 00:25:36,520 +اللي هي إن الـ osteoblast بتشتغل شغلها، فبالتالي + +313 +00:25:36,520 --> 00:25:41,460 +بتحل وبتشتغل في مواقع الـ ossification center + +314 +00:25:41,460 --> 00:25:46,220 +خليني أشوف bone growth أو اللي هي مراكز الـ + +315 +00:25:46,220 --> 00:25:49,280 +ossification center، عند الـ ossification center + +316 +00:25:49,280 --> 00:25:54,660 +موقعين أساسيين، في عندها primary وفي secondary. الـ + +317 +00:25:54,660 --> 00:25:58,580 +primary بيكون موجود في الـ diaphysis والـ secondary + +318 +00:25:58,580 --> 00:26:04,980 +بيكون موجود في الـ epiphysis. إذا عندنا نوعين من + +319 +00:26:04,980 --> 00:26:09,260 +اللي هو للـ centers تبع الـ ossification، مراكز + +320 +00:26:09,260 --> 00:26:13,380 +التعظم. في عندنا المركز الأول، الـ primary أو البدائي + +321 +00:26:13,660 --> 00:26:17,720 +بدي يكون أو أول شيء بدي يصير فيه ossification + +322 +00:26:17,720 --> 00:26:21,740 +اللي هي الـ diaphysis، وبعدين بيصير عندي الـ secondary + +323 +00:26:21,740 --> 00:26:25,920 +ossification، بدي يكون في الـ epiphysis، اللي هي + +324 +00:26:25,920 --> 00:26:29,540 +منطقة الـ epiphysis اللي موجودة هنا في الـ epiphysis + +325 +00:26:29,540 --> 00:26:33,320 +الـ growth اللي موجودة، تماما. الـ bone growth + +326 +00:26:33,320 --> 00:26:36,900 +ossification، الـ growth toward أو الـ growth toward + +327 +00:26:36,900 --> 00:26:41,800 +another cartilage remains between them، طبعا تبدأ إن + +328 +00:26:41,800 --> 00:26:47,060 +هي عملية التعظم من المنتصف وبعدين تنزل أو تتحقق + +329 +00:26:47,060 --> 00:26:52,320 +لحد ما توصل لنهايات أطراف العظمة، to grow toward and + +330 +00:26:52,320 --> 00:26:55,960 +to another، الـ cartilage remains between them، بتبقى + +331 +00:26:55,960 --> 00:26:59,480 +إن شوية cartilage، بعد شوية يصير لها عملية + +332 +00:26:59,480 --> 00:27:04,030 +ossification، as long as cartilage remains undamaged، + +333 +00:27:04,030 --> 00:27:08,450 +growth can occur، طالما الـ cartilage ده سليم و + +334 +00:27:08,450 --> 00:27:13,870 +بحالة جيدة، بتبلش أو بتبقى عمليات اللي هي إنمو + +335 +00:27:13,870 --> 00:27:20,530 +مستمرة على طول. لأن الـ slide هذه مش حتكون غريبة + +336 +00:27:20,530 --> 00:27:24,530 +علينا، لأنه اتكلمنا فيها، عبارة عن الـ formation للـ + +337 +00:27:24,530 --> 00:27:30,130 +skeletal أو للـ bone skeleton، begins at week 8 of + +338 +00:27:30,130 --> 00:27:34,050 +membrane development، في الأسبوع الثامن أو في الشهر + +339 +00:27:34,050 --> 00:27:39,310 +الثاني من الحمل، يبدأ تبدأ عملية التحول أو تبدأ + +340 +00:27:39,310 --> 00:27:44,530 +عملية التعظم، يعني الـ hyaline cartilage هيتحول إلى + +341 +00:27:44,530 --> 00:27:51,670 +bone، begins at week 8، تماما. الـ intramembranous + +342 +00:27:51,670 --> 00:27:57,030 +ossification، تعظم الغشاء، الـ bone develops from + +343 +00:27:57,030 --> 00:28:01,050 +fibrous membrane، اللي حكينا عليه، اللي هو من الـ + +344 +00:28:01,050 --> 00:28:06,670 +fibrous membrane، الـ outer surface في البرستيوم. طلاب + +345 +00:28:06,670 --> 00:28:11,010 +الأعزاء، الـ endochondral ossification اللي هو + +346 +00:28:11,010 --> 00:28:14,850 +عبارة عن الـ cartilage، تعظم الـ cartilage نفسه، الـ + +347 +00:28:14,850 --> 00:28:18,890 +bone form by replacing hyaline cartilage، تتشكل + +348 +00:28:18,890 --> 00:28:24,870 +العظام، طبعا هنا من الـ hyaline cartilage بتم تحويل + +349 +00:28:24,870 --> 00:28:29,410 +اللي هو الـ cartilage إلى bone في الـ endochondral + +350 +00:28:29,410 --> 00:28:33,710 +ossification، عملية التعظم للـ cartilage اللي موجود + +351 +00:28:35,970 --> 00:28:39,290 +الآن الـ long bone growth and remolding، طبعا + +352 +00:28:39,290 --> 00:28:42,890 +العظام الطويلة، زي عظام الفخد على سبيل المثال، لـ + +353 +00:28:42,890 --> 00:28:46,170 +growth in length، الـ cartilage continuously grows + +354 +00:28:46,170 --> 00:28:51,070 +and replaced by bone، تبدأ عملية التحول والـ + +355 +00:28:51,070 --> 00:28:55,130 +remolding، على نفس هيئة الـ hyaline cartilage، بدون + +356 +00:28:55,130 --> 00:29:00,200 +معنى. العظم الطويل، الـ bone is reabsorbed and added + +357 +00:29:00,200 --> 00:29:05,820 +by appositional growth، تماما. العظام نفسها تتشكل + +358 +00:29:05,820 --> 00:29:09,900 +بعد عملية الامتصاص وإضافة بعض الـ appositional + +359 +00:29:09,900 --> 00:29:14,280 +growth، اللي هو النمو الموضعي أو النمو الطبقي، زي + +360 +00:29:14,280 --> 00:29:19,520 +ما بنسميه، للعظمة عشان تتشكل وتأخذ شكلها النهائي + +361 +00:29:19,520 --> 00:29:22,910 +الـ bone grows in length، هنا زي ما أنتم شايفين + +362 +00:29:22,910 --> 00:29:28,630 +داخل اللي هي صورة الأشعة، Radiograph، صورة أشعة لطفل + +363 +00:29:28,630 --> 00:29:31,770 +عمره عشر سنين. لاحظوا هنا فيه الـ epiphyseal + +364 +00:29:31,770 --> 00:29:35,990 +plate، اللي هو عبارة عن قرص النمو. حكيت أنا مهم جدا + +365 +00:29:35,990 --> 00:29:40,770 +أنه أنا أبعد عنه وما أأذيه، لأنه لازم يكون موجود + +366 +00:29:40,770 --> 00:29:45,790 +عندي وينمو بشكل صحيح، حتى إنه ما يصير في قصر لعظمة + +367 +00:29:45,790 --> 00:29:51,370 +دون الأخرى. الـ epiphyseal plate أو ما يسمى قرص + +368 +00:29:51,370 --> 00:29:56,030 +النمو أو الـ cartilage growth plate، هما نفس الاسم + +369 +00:29:56,030 --> 00:30:00,370 +ونفس الكلمة، عبارة عن إيش؟ عبارة عن الـ cartilage + +370 +00:30:00,370 --> 00:30:04,970 +cells are producing by mitosis، هي عبارة عن الخلايا + +371 +00:30:04,970 --> 00:30:09,830 +الغضروفية، تماما؟ are produced by، بتم إنتاجها عن + +372 +00:30:09,830 --> 00:30:14,510 +طريق الانقسام الميتوزي، للـ epiphyseal side of plate + +373 +00:30:14,510 --> 00:30:20,740 +تمام؟ لسطح أو المستوى اللي هو الـ epiphyseal plate + +374 +00:30:20,740 --> 00:30:25,200 +الـ cartilage cells are destroyed and replaced by + +375 +00:30:25,200 --> 00:30:31,800 +bone on their diaphysis، بتم استبدال الـ cartilage في + +376 +00:30:31,800 --> 00:30:35,580 +bone في منطقة الـ diaphysis، واحنا حكينا إن منطقة + +377 +00:30:35,580 --> 00:30:42,680 +الـ diaphysis هي منطقة متوسطة. تبدأ أو تستمر عملية + +378 +00:30:42,680 --> 00:30:49,420 +النمو لحد عمر 25. إذا ما بين عمر 18 ل 25، أعطاها + +379 +00:30:49,420 --> 00:30:53,760 +range، هنا في بعض الشباب على سبيل المثال، بضلّ يطول + +380 +00:30:53,760 --> 00:31:00,490 +لحد عمر 18، وأيضا بعض الشباب بيضلوا يطولوا بعد + +381 +00:31:00,490 --> 00:31:04,650 +عمر 18 لحد عمر 25، يعني هو اعتباره من + +382 +00:31:04,650 --> 00:31:07,550 +18 ل 25، يعني ممكن تتسكر عظمة عمرها 18 وممكن تتسكر على 25، طبعا + +383 +00:31:07,550 --> 00:31:11,770 +الـ epiphyseal plate close، الـ cartilage had stopped + +384 +00:31:11,770 --> 00:31:16,910 +dividing and the bone replaces the cartilage، في + +385 +00:31:16,910 --> 00:31:20,530 +الـ epiphyseal line للـ growth، خلاص. آخر الـ range حكينا + +386 +00:31:20,530 --> 00:31:25,420 +عليه، لحد 25. بعد 25 ما بيصير إنه يصير فيه عملية طول + +387 +00:31:25,420 --> 00:31:30,500 +يعني ما بيصير يجيني شاب عمره 30 سنة ويقول، لسه أنا + +388 +00:31:30,500 --> 00:31:33,660 +قدامي كمان سنتين تلاتة أطول، لأ، هيك مش صحيح الكلام + +389 +00:31:33,660 --> 00:31:38,220 +العظام الطويلة تستمر بالنمو لحد عمر 25 years old + +390 +00:31:38,220 --> 00:31:43,880 +فقط، لغير، تمام؟ هذا عبارة عن الـ growth and + +391 +00:31:43,880 --> 00:31:48,780 +development للعظام الطويلة. لأن كلمة remoulding هي + +392 +00:31:48,780 --> 00:31:55,520 +عبارة عن إعادة تشكيل، إعادة تشكيل لمن؟ للعظام، بتصير + +393 +00:31:55,520 --> 00:32:00,160 +على مدار الوقت، تماما؟ العظم بتاخد شكل معين، بيصير + +394 +00:32:00,160 --> 00:32:05,200 +فيه تآكل من منطقة أو من جزئية معينة، فبالتالي + +395 +00:32:05,200 --> 00:32:09,060 +بيصير + +445 +00:35:58,460 --> 00:36:02,520 +طولت العظمة فبالتالي من الصحيح أن أترك الطفل الصغير + +446 +00:36:02,520 --> 00:36:06,820 +أنه يلعب، من الصحيح أن الجاذبية تشتغل وتلعب دورها من + +447 +00:36:06,820 --> 00:36:12,520 +الصحيح أنه أنا أحمل وزنًا على ما هي عظام الجسم، I + +448 +00:36:12,520 --> 00:36:16,640 +have two factors for control remoulding الـ... the + +449 +00:36:16,640 --> 00:36:20,980 +first one is hormonal mechanism، واللي هو الثاني + +450 +00:36:20,980 --> 00:36:24,220 +هيكون الـ graphical forces أو الـ mechanical factors + +451 +00:36:24,530 --> 00:36:29,590 +مهم جدًا أن أكون محافظة على التوازن ما بين + +452 +00:36:29,590 --> 00:36:37,170 +الاثنين، عشان أقدر أطول بشكل طبيعي، وثانيًا في عندنا + +453 +00:36:37,170 --> 00:36:41,770 +جوانب الـ developmental أو جوانب التطور للعظام، at + +454 +00:36:41,770 --> 00:36:46,250 +birth, most long bones are well ossified except for + +455 +00:36:46,250 --> 00:36:50,110 +their epiphyses. في لحظة الميلاد، بتعرفوا الجنين ما + +456 +00:36:50,110 --> 00:36:56,090 +بنولد high-line cartilage، لأ، بينولد عظامٌ مُتعظمة، أو ossified + +457 +00:36:56,090 --> 00:37:02,610 +اللي هي متعظمة، ما عدا أقراص النمو. قلنا ليش؟ لأن هي + +458 +00:37:02,610 --> 00:37:07,850 +اللي هتطول العظام. فبالتالي، من الصعب أني أسكرها، و + +459 +00:37:07,850 --> 00:37:11,370 +أخليها مغلقة، لأ، أنا مش هأُغلقها وأخليها + +460 +00:37:11,370 --> 00:37:14,990 +ossification أو أُعظمها، لأ، هأُبقِيها مفتوحة، ومازالة + +461 +00:37:14,990 --> 00:37:20,630 +high-line cartilage. حد عمر خمسة وعشرين، nearly all + +462 +00:37:20,630 --> 00:37:24,630 +bones are completely ossified. True or false؟ في حد + +463 +00:37:24,630 --> 00:37:29,960 +عمر خمسة وعشرين بالظبط، يَغلق اللي هو، تغلق عملية + +464 +00:37:29,960 --> 00:37:34,140 +التعظم. خلاص بعد هيك ما بيصير أقول أنا بدي لسه أطول + +465 +00:37:34,140 --> 00:37:38,640 +كمان شوية. In old age، الـ bone reabsorption + +466 +00:37:38,640 --> 00:37:43,460 +predominates. طبعًا في المسنين زي ما حكيت لكم، ممكن + +467 +00:37:43,460 --> 00:37:47,340 +يكون صار في عندي تأكل في العظم، ممكن يصير عندي اللي + +468 +00:37:47,340 --> 00:37:51,520 +هو بعض اللي هو نهاية العظمية، صار فيها شوية قصر + +469 +00:37:51,520 --> 00:37:57,000 +فبالتالي بيصير في إعادة امتصاص لهذه الجزيئات + +470 +00:37:57,000 --> 00:38:00,400 +الصغيرة اللي موجودة. تمام؟ هذا بالنسبة للـ + +471 +00:38:00,400 --> 00:38:06,840 +developmental aspect أو اللي هم التطور للعظام. طبعًا + +472 +00:38:06,840 --> 00:38:11,080 +العظام، ايش الأمراض اللي ممكن تصيبها؟ الكسور اللي هي + +473 +00:38:11,080 --> 00:38:15,920 +عبارة عن ايش؟ الكسور هي عبارة عن distribution للـ + +474 +00:38:15,920 --> 00:38:21,140 +integrity of living bone involving injury. هي عبارة + +475 +00:38:21,140 --> 00:38:26,800 +عن قطع التواصل للعظمة كاملة، فبالتالي حيصير فيه gap + +476 +00:38:26,800 --> 00:38:32,780 +مسافة بين النهايتين العضميتين، تمام؟ ممكن يشمل + +477 +00:38:32,780 --> 00:38:37,060 +لها الكسر، يوصل للعظمة نفسها، للبون. ممكن الكسر + +478 +00:38:37,060 --> 00:38:41,020 +أشوف أنا منه، البون مره مخايا العظم من جوا، ممكن + +479 +00:38:41,020 --> 00:38:45,140 +يُوصل للـ periosteum، وممكن يكون في عندي كسر في الـ + +480 +00:38:45,140 --> 00:38:49,640 +adjacent soft tissue، اللي هي، أو يكون فيه إصابات في + +481 +00:38:49,640 --> 00:38:54,880 +الأنسجة المحيطة، زي العضلات، زي التاندون، زي الـ + +482 +00:38:54,880 --> 00:38:59,500 +ligament. هذه هي عبارة عن الأعضاء القريبة، أو الأنسجة + +483 +00:38:59,500 --> 00:39:03,940 +القريبة اللي موجودة في العظم. إذًا، هنا في المصطلح + +484 +00:39:03,940 --> 00:39:07,360 +بيجينا عبارة عن ايش؟ distribution of integrity of + +485 +00:39:07,360 --> 00:39:11,900 +living bone involving injury، تمام؟ اللي هي عبارة + +486 +00:39:11,900 --> 00:39:17,130 +عن ايش؟ هو عبارة عن تعريف للـ fractures. الآن، أنواع + +487 +00:39:17,130 --> 00:39:22,510 +الكسور، وهي مهمة جدًا. كويس أن أنا خريج كلية علوم + +488 +00:39:22,510 --> 00:39:28,210 +صحية، أكون عارف شو أنواع الكسور. أول حاجة، كسور خاصة + +489 +00:39:28,210 --> 00:39:33,070 +بالأطفال، حاجة اسمها green stick، كسر الغصن الأخضر. + +490 +00:39:33,070 --> 00:39:38,490 +تمام؟ هذا الكسر هو عبارة عن incomplete، كسر غير + +491 +00:39:38,490 --> 00:39:45,540 +كامل، and break occurs on convex surface of the bent + +492 +00:39:45,540 --> 00:39:51,040 +bone. لاحظوا كيف هو جاي كسر مش كامل، يادوب حاجة زي + +493 +00:39:51,040 --> 00:39:57,040 +كأنه بدي أعمل على التواء العظمة، تمام؟ فبالتالي هي + +494 +00:39:57,040 --> 00:40:02,360 +عبارة عن كسر incomplete، كسر غير معقد. الـ fissure، أو + +495 +00:40:02,360 --> 00:40:06,620 +ما يسمى شرخ. تسمعوا فلان وجع على رجله، وصار في عنده + +496 +00:40:06,620 --> 00:40:11,050 +شرخ. هذا هو الشرخ، شايفين معايا كيف شكله؟ عبارة عن + +497 +00:40:11,050 --> 00:40:16,470 +ايش؟ involved in incomplete longitudinal، أو اللي + +498 +00:40:16,470 --> 00:40:23,070 +هو عبارة عن كسر جاي بشكل طولي، مع طول العظمة، تمام؟ + +499 +00:40:23,070 --> 00:40:29,510 +وعلى فكرة، الشرخ أسوأ جدًا من الكسر العادي. ليه؟ لأنه + +500 +00:40:29,510 --> 00:40:34,330 +بكون مؤلم جدًا، وحتى الـ healing تبعته، الـ LTM، بتطول + +501 +00:40:34,330 --> 00:40:39,410 +معايا شوية. الـ comminuted، هو الكسر المعقد. شوفوا + +502 +00:40:39,410 --> 00:40:45,730 +أكم قطعة هنا فيه، وأكم جزء، وأكم يعني اللي لازم + +503 +00:40:45,730 --> 00:40:50,910 +يدخل العمليات عشان أنا أقدر أثبت اللي هو العظام مع + +504 +00:40:50,910 --> 00:40:56,340 +بعضها البعض. هو عبارة عن كسور معقدة، complicated، اللي + +505 +00:40:56,340 --> 00:40:59,840 +هو الـ fractures completely، and fragments of bone + +506 +00:40:59,840 --> 00:41:04,280 +في عندنا جزيئات موجودة من العظام، يعني هنا بتشتغل + +507 +00:41:04,280 --> 00:41:07,260 +الـ osteoclast، شغلها عبارة عن ايش؟ تعمل + +508 +00:41:07,260 --> 00:41:11,580 +reabsorption، إعادة امتصاص لهذه النتفات الصغيرة، أو + +509 +00:41:11,580 --> 00:41:16,000 +الجزيئات الصغيرة. هلأ الكسر الرابع هو عبارة عن الـ + +510 +00:41:16,000 --> 00:41:20,080 +transverse fractures، الكسر العرضي، هو عبارة عن + +511 +00:41:20,080 --> 00:41:32,170 +completed fractures، كسر معقد. الكسر بيصير بشكل عرضي + +512 +00:41:32,170 --> 00:41:37,510 +ومتعامد مع + +513 +00:41:37,510 --> 00:41:38,810 +ساق العظمة. + +514 +00:41:41,460 --> 00:41:44,800 +أما الكسر المائل، اللي هو زي ما أنتم شايفينه + +515 +00:41:44,800 --> 00:41:48,460 +بالصورة، هو عبارة عن الـ oblique fractures، okay، at + +516 +00:41:48,460 --> 00:41:53,080 +angles، rather than right angle to long axis of + +517 +00:41:53,080 --> 00:41:59,360 +bone، اللي هو بيكون طبعًا جاي بشكل مائل مع اللي هو + +518 +00:41:59,360 --> 00:42:05,300 +الخط العمودي، أو الـ long axis تبع العظمة، تمام؟ الـ + +519 +00:42:05,300 --> 00:42:10,280 +spiral fractures، هي عبارة عن الكسر الحلزوني، أو ما + +520 +00:42:10,280 --> 00:42:16,960 +يسمى، بأن العظمة، ناتج عن التواء شديد للعظمة. + +521 +00:42:16,960 --> 00:42:21,400 +فبالتالي زي الزنبرك، بتكون العظمة spiral، حلزوني، is + +522 +00:42:21,400 --> 00:42:26,120 +caused by twisting bone excessively، اللي هو التواء + +523 +00:42:26,120 --> 00:42:33,620 +شديد وقوي للعظمة. هذا كله معانا ومهم التعريفات، لإنه + +524 +00:42:33,620 --> 00:42:39,600 +ممكن أجيبه في المصطلح. الآن، في عندي كسر آخر اسمه الـ + +525 +00:42:39,600 --> 00:42:44,180 +pathological، اللي هو الكسر المرضي، يعني على سبيل + +526 +00:42:44,180 --> 00:42:49,020 +المثال، الناس اللي عندها هشاشة عظام، تمام؟ الـ stress + +527 +00:42:49,020 --> 00:42:55,690 +اللي هو ناتج عن ضغط، على سبيل المثال، ضغط العظم، أو + +528 +00:42:55,690 --> 00:43:00,570 +أنه أنا جاية حملت وزن كتير، وكان وزني أصلاً بالأصل + +529 +00:43:00,570 --> 00:43:05,690 +كبير، فبالتالي نتيجة الكسر صار في عندي، نتيجة الضغط + +530 +00:43:05,690 --> 00:43:09,130 +أو نتيجة الوزن الزائد، صار في عندي stress fractures، + +531 +00:43:09,130 --> 00:43:15,250 +كسر ناتج عن الضغط، طبعًا اللي موجود. كسر غامض السبب، + +532 +00:43:15,250 --> 00:43:19,130 +بيكون اللي هو كسر مش معروف السبب، ما بنلاقي إلا + +533 +00:43:19,130 --> 00:43:23,250 +هذا الطفل اللي كسر، طبعًا بيكون هو، إحنا مش عارفين ايش + +534 +00:43:23,250 --> 00:43:26,930 +هو السبب. اللي إحنا عارفينه، هل هو مرض هشاشة عظام + +535 +00:43:26,930 --> 00:43:30,470 +ولا إحنا عارفينه، أن الولد اتعرض للـ trauma، أو اتعرض + +536 +00:43:30,470 --> 00:43:36,050 +لقوة أدت إلى كسر هذه العظمة، تمام؟ هذه الأنواع مهمة + +537 +00:43:36,050 --> 00:43:41,010 +جداً من أنواع الكسور. هذه بعض الصور. في حاجة مهمة + +538 +00:43:41,010 --> 00:43:44,410 +هنا لازم أنا كمان أحكيلكم عليها، اللي هي الـ signs والـ + +539 +00:43:44,410 --> 00:43:47,810 +symptoms، علامات الكسر. لاحظوا هنا الإجر عندي + +540 +00:43:47,810 --> 00:43:53,770 +فيها انتفاخ، فيه ورم، تمام؟ فيها أيضًا ازرقاق، وحمّرارة للعضو. + +541 +00:43:53,770 --> 00:43:58,150 +طبعًا ما بيقدر المريض، يقدر الـ function + +542 +00:43:58,150 --> 00:44:02,310 +تبعها. على سبيل المثال، هذه الإجر كان بيمشي عليها + +543 +00:44:02,310 --> 00:44:05,990 +للأسف الشديد، ما راح يقدر يمشي عليها. hotness، بلاقي + +544 +00:44:05,990 --> 00:44:11,430 +فيها حرارة عالية، redness، احمرار، حكيناها. تمام؟ إذًا + +545 +00:44:11,430 --> 00:44:15,690 +عندي علامات الكسور، في عندي اللي هو الـ color، طبعًا + +546 +00:44:15,690 --> 00:44:20,010 +الـ multi-color، بيكون طبعًا لون الإجر كذا لون. أيضًا + +547 +00:44:20,010 --> 00:44:25,690 +بيكون فيها hotness، سخونة، redness، احمرار. أيضًا بيكون + +548 +00:44:25,690 --> 00:44:30,830 +فيها swelling، اللي هو الورم. هذه كلها علامات مهمة + +549 +00:44:30,830 --> 00:44:37,110 +للـكسور. في عندي حاجة اسمها racket، أو ما يسمى + +550 +00:44:37,110 --> 00:44:43,010 +بطبعا، احنا كل chapter هناخذه، هناخد حالة طبية فيه. + +551 +00:44:43,010 --> 00:44:46,210 +الآن، هذه أول حالة طبية هتمر علينا، حاجة اسمها + +552 +00:44:46,210 --> 00:44:50,770 +الكساح. مرض الكساح هو عبارة عن مرض بيكون بيصيب + +553 +00:44:50,770 --> 00:44:54,770 +الهيكل العظمي، الـ system، طبعًا، وبالذات الـ lower limb، اللي + +554 +00:44:54,770 --> 00:44:58,710 +هو الجزء الأسفل من الجسم. عبارة عن ايش؟ generalized + +555 +00:44:58,710 --> 00:45:04,690 +metabolic bone disorders. هو عبارة عن مرض بيكون خاص + +556 +00:45:04,690 --> 00:45:09,490 +بالعظام، في الـ metabolic، في عمليات الأيض تبع الجسم. + +557 +00:45:09,490 --> 00:45:14,830 +characterized by failure or delayed calcification + +558 +00:45:14,830 --> 00:45:20,710 +of cartilaginous growth plate. بيصير فيه فشل أو تأخر + +559 +00:45:20,710 --> 00:45:24,890 +في تعظم هذا الـ cartilage، تمام؟ في منطقة الـ + +560 +00:45:24,890 --> 00:45:30,230 +epiphyses، اللي هي أصلًا مش ملتحمة، not fused، ليست + +561 +00:45:30,230 --> 00:45:36,250 +ملتحمة، و مندمجة، تمام؟ إذًا، يوصف الكساح، أو يميز + +562 +00:45:36,250 --> 00:45:42,430 +الكساح، أن هو تأخر أو فشل في نمو العظام، أو تعظم + +563 +00:45:42,430 --> 00:45:47,070 +العظام في منطقة الـ epiphyses. It's primarily + +564 +00:45:47,070 --> 00:45:50,930 +a disease affecting the endocondrial ossification + +565 +00:45:50,930 --> 00:45:57,590 +or calcification. بيصير اللي هو عبارة عن ايش؟ فشل + +566 +00:45:57,590 --> 00:46:00,830 +في مرحلة إحنا حكيناها، الـ ossification، اللي هو في + +567 +00:46:00,830 --> 00:46:04,210 +مرحلة الـ endocondrial، ومرحلة الـ primary، والـ + +568 +00:46:04,210 --> 00:46:07,170 +secondary ossification. فبالتالي، هنا الفشل بيصير في + +569 +00:46:07,170 --> 00:46:12,490 +مرحلة الـ endocondrial calcification. manifested by + +570 +00:46:12,490 --> 00:46:17,710 +بيميزه clinically and radiographically، اللي هو + +571 +00:46:17,710 --> 00:46:24,910 +بيميزه طبيًا، و بالأشعة التشخيصية. with widening and + +572 +00:46:24,910 --> 00:46:30,770 +deformation of the metaphyseal lesion. اتساع وانحراف في + +573 +00:46:30,770 --> 00:46:34,830 +منطقة الـ metaphyses، اللي هي المنطقة المتوسطة تبع + +574 +00:46:34,830 --> 00:46:39,550 +العظام. فبالتالي، ليش ما صار فيه calcification؟ + +575 +00:46:39,550 --> 00:46:44,290 +هنا عندي ضلت المنطقة زي ما هي cartilage. + +576 +00:46:44,290 --> 00:46:49,590 +cartilage، ضلت ايش؟ غضروفًا. فبالتالي، أدى إلى + +577 +00:46:49,590 --> 00:46:55,020 +الكساح، اللي هو مرض يصيب الأطفال. طبعًا بيأثر على + +578 +00:46:55,020 --> 00:47:00,720 +مشيتهم، بيأثر عليهم، وبيحتاج المريض فيه، طبعًا هو نقص + +579 +00:47:00,720 --> 00:47:05,560 +في vitamin D، ريكيتس، أو نقص في... اللي هو بعض العناصر + +580 +00:47:05,560 --> 00:47:11,200 +الغذائية اللي لها علاقة بالكالسيوم، والفسفور، تمام؟ + +581 +00:47:11,200 --> 00:47:15,240 +وبهيك، بيقول أنا خلصت chapter واحد من skeletal + +582 +00:47:15,240 --> 00:47:20,120 +system، اللي هو أول chapter أدخل فيه على العظام. بإذن + +583 +00:47:20,120 --> 00:47:25,180 +الله تعالى، ألقاكم على خير إن شاء الله رب العالمين. + +584 +00:47:25,180 --> 00:47:27,900 +وبالتوفيق للجميع. diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/JEHxr3O2I4k_postprocess.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/JEHxr3O2I4k_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..2522c40d327ae7f4abbd99a0de8f679e0e4080ca --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/JEHxr3O2I4k_postprocess.srt @@ -0,0 +1,2336 @@ +1 +00:00:01,690 --> 00:00:05,690 +السلام عليكم ورحمة الله وبركاته بإذن الله اليوم + +2 +00:00:05,690 --> 00:00:11,070 +سأتحدث في الفيديو رقم 7 في chapter skeletal system + +3 +00:00:11,070 --> 00:00:15,950 +1 اللي أنا حكيت أنه أنا هقسمه إلى جزئين طبعا اللي + +4 +00:00:15,950 --> 00:00:21,190 +هو الفيديو رقم 6 وفيديو رقم 7 بيتكلم عن مقدمة عن + +5 +00:00:21,190 --> 00:00:27,130 +العظام الآن بإذن الله سأبدأ في شرح الجزئية التانية + +6 +00:00:27,130 --> 00:00:34,240 +نبدأ على بركة اللهخلّينا نشوف كنت اتحدثت على مقدمة + +7 +00:00:34,240 --> 00:00:39,020 +صغيرة عن العظام و أنواعها الآن سأتحدث عن الغطاء + +8 +00:00:39,020 --> 00:00:43,640 +اللي بيغطي اللي هو العظام الآن ال bone membrane زي + +9 +00:00:43,640 --> 00:00:47,960 +ما بتعرفه هو عبارة عن كلمة bone العظم و ال + +10 +00:00:47,960 --> 00:00:52,480 +membrane هو عبارة عن الغشاء هلأ هذا الغشاء في منه + +11 +00:00:52,480 --> 00:00:58,000 +غشاء داخلي و في منه غشاء خارجي برا العظم الآن + +12 +00:00:58,000 --> 00:01:04,230 +الغشاء الأولاني اللي هو periProstium يعني حوله + +13 +00:01:04,230 --> 00:01:09,250 +يعني برا العظم فبالتالي Prostium باللاتين واردز هي + +14 +00:01:09,250 --> 00:01:12,410 +عبارة عن ال bone و Prostium هي عبارة عن double + +15 +00:01:12,410 --> 00:01:18,450 +layer عبارة عن طبقتين تعمل protective membraneإذا + +16 +00:01:18,450 --> 00:01:24,370 +بما أنها جاية غشاء عظمي خارجي فهو وظيفته يقوم + +17 +00:01:24,370 --> 00:01:28,750 +بحماية العظم حماية العظم معناته اللي حاكي أنه + +18 +00:01:28,750 --> 00:01:33,430 +هيكون من برا معناته إذا أنا حاكيت ودي أدعم إشي أو + +19 +00:01:33,430 --> 00:01:38,010 +أقوي إشي بدي أضيفله fibrous أضيفله الياف عشان أنا + +20 +00:01:38,010 --> 00:01:42,670 +أخليه more strong فبالتالي هذا البرستيام اللي أنا + +21 +00:01:42,670 --> 00:01:46,830 +بتحدث عنه هيحتوي على طبقتين حكينا double layer + +22 +00:01:47,210 --> 00:01:51,670 +الأول أو الطبقة الأولى منها حاجة اسمها outer + +23 +00:01:51,670 --> 00:01:56,330 +surface و حاجة هنا inner surface ال outer أو + +24 +00:01:56,330 --> 00:02:02,530 +الطبقة الخارجية مكونة من ايش؟ من DNS Regular + +25 +00:02:02,530 --> 00:02:11,040 +Connective Tissue نسيج منتظم دام كثيفالاوتر برا + +26 +00:02:11,040 --> 00:02:15,200 +عشان انا بدي احميه من اي microorganism او احميه من + +27 +00:02:15,200 --> 00:02:20,740 +اي اصابة او احميه من اي هجوم هدعمه بـfibrous اذا + +28 +00:02:20,740 --> 00:02:24,720 +البرستيام يحتوي على double layer الاوتر منها + +29 +00:02:24,720 --> 00:02:29,940 +fibrous اما ال inner فهي عبارة عن osteogenic layer + +30 +00:02:30,350 --> 00:02:35,250 +كلمة Osteo تعني عضم Genic formation تكوين العضم + +31 +00:02:35,250 --> 00:02:39,310 +فبالتالي هنا لما بدي أجي أتكلم عن ال osteogenic + +32 +00:02:39,310 --> 00:02:45,150 +layer composed of osteoblast حكينا كلمة blast + +33 +00:02:45,150 --> 00:02:52,210 +building تعني خلايا عضمية بانية and osteoclast أول + +34 +00:02:52,210 --> 00:02:56,570 +مرة تمر علينا كلمة clast تحتوي على خلايا عضمية + +35 +00:02:56,570 --> 00:03:01,960 +بانية وعكسها تماما osteoclastPlus بتعني خلايا + +36 +00:03:01,960 --> 00:03:07,400 +هادمة، destroyed، محطمة، خلاص، مافي خلايا بعد هيك + +37 +00:03:07,400 --> 00:03:11,980 +Richly blood supply and mere fiber and lymphatic + +38 +00:03:11,980 --> 00:03:16,880 +vessels which enter the bone via nitrogen formina + +39 +00:03:17,440 --> 00:03:21,840 +هذه الطبقة الداخلية أو الـ Inner Osteogenic Layer + +40 +00:03:21,840 --> 00:03:25,960 +من اسمها حاجة داخلية الجنين دائما أما بتقوم + +41 +00:03:25,960 --> 00:03:30,660 +بتغذيته فبالتالي هنا الـ Inner Layer بدي يكون غني + +42 +00:03:30,660 --> 00:03:37,640 +جدا بالألياف والأعصاب والقنوات اللينفاوية والـ + +43 +00:03:37,640 --> 00:03:42,760 +blood supply التروية الدموية كل هذا بيدخل عن طريق + +44 +00:03:42,760 --> 00:03:47,590 +فتحةاسمها الـ Nutrition Promenade اللي هي عبارة عن + +45 +00:03:47,590 --> 00:03:52,870 +فتحة التغذية تمام؟ هذه Inner Osteogenic Layer أو + +46 +00:03:52,870 --> 00:03:59,350 +الطبقة الداخلية تحتوي على اللي هي Charbis Fiber + +47 +00:03:59,350 --> 00:04:04,410 +كلمة Charbis Fiber هي عبارة عن إيش؟ هي عبارة عن + +48 +00:04:04,410 --> 00:04:09,070 +مفتاح الأمان يعني secured by underlying اللي هو + +49 +00:04:09,070 --> 00:04:14,880 +Boon عن طريقالياف تشاربي تمام هذه الياف تشاربي هي + +50 +00:04:14,880 --> 00:04:19,120 +عبارة عن المفاتيح اللي بتتم اغلاق اللي هي ال inner + +51 +00:04:19,120 --> 00:04:23,480 +oxygenic layers الطبقة الداخلية اذا اللي انا لو + +52 +00:04:23,480 --> 00:04:27,560 +انا بدي الخص اللي هو ال ball membrane او غشاء + +53 +00:04:27,560 --> 00:04:32,160 +العضم الخارجي بدي احكي ان هو بدي يتكون من double + +54 +00:04:32,160 --> 00:04:36,940 +layer طبقتين طبقة خارجية لبرا وطبقة داخلية لجوا + +55 +00:04:37,390 --> 00:04:42,870 +الطبقة الخارجية اللي هي بتحتوي على fibers تحتوي + +56 +00:04:42,870 --> 00:04:47,110 +على ألياف شو نوع اللي في اللي فيها؟ هو عبارة عن + +57 +00:04:47,110 --> 00:04:51,990 +DNS Regular Connective Tissue تحتوي على نسيج ضعم + +58 +00:04:51,990 --> 00:04:58,010 +منتظم من اللي هو الكتيف تمام؟ هذا إيش الطبقة اللي + +59 +00:04:58,010 --> 00:05:04,800 +برا خارجية ال innerطبقة الداخلية تحتوي على مكوّن + +60 +00:05:04,800 --> 00:05:09,700 +للخلايا العضمية أو المنتج للخلايا العضمية Composed + +61 +00:05:09,700 --> 00:05:14,760 +of إيش تحتوي على أستيو تحتوي على osteoplast اللي + +62 +00:05:14,760 --> 00:05:20,420 +هي خلايا بانية و كذلك osteoclast خلايا هادمةهي + +63 +00:05:20,420 --> 00:05:25,460 +غنية جدا بالتروية الدموية والألياف العصبية وكذلك + +64 +00:05:25,460 --> 00:05:31,200 +الأوعية اللينفاوية تدخل للإضام عن طريق فتحة اسمها + +65 +00:05:31,200 --> 00:05:37,260 +الـNitrogen Promenade فتحة التغذية الآن Secured to + +66 +00:05:37,260 --> 00:05:43,940 +underlying bone بتم تثبيتها و بتم محافظة عليها عن + +67 +00:05:43,940 --> 00:05:48,320 +طريق ألياف Charbis هذه اللي هي عبارة عن مفتاح + +68 +00:05:48,320 --> 00:05:52,960 +الأمان لألهملأن هذا كل انا اللى كنت بتكلم عليه هو + +69 +00:05:52,960 --> 00:05:57,460 +عبارة عن البريستيام الطبقة الخارجية الان + +70 +00:05:57,460 --> 00:06:02,720 +الاندستيام او ما يسمى بالغشاء الداخلي هو عبارة عن + +71 +00:06:02,720 --> 00:06:08,330 +بلي كيتد مبرين covering internal surface of boneهو + +72 +00:06:08,330 --> 00:06:13,870 +عبارة عن الغشاء الداخلي الرقيق كلمة dedicated تعني + +73 +00:06:13,870 --> 00:06:20,390 +رقيق غشاء رقيق يغطي السطح الداخلي للعظام فبالتالي، + +74 +00:06:20,390 --> 00:06:23,390 +بدي يكون عندنا الترتيب كالاتي لو أنا اجيت بالمشرة + +75 +00:06:23,390 --> 00:06:28,650 +من ال out to inner معناتهبدي ادخل اول اشي على ال + +76 +00:06:28,650 --> 00:06:32,950 +outer fibrous layer تبعت البرستيام بعدين ال inner + +77 +00:06:32,950 --> 00:06:37,090 +osteogenic layer بعدين هدخل على ال endostium اللى + +78 +00:06:37,090 --> 00:06:42,750 +هو الغشاء الداخلي تمام هذا الحكي هو عبارة عن ايش + +79 +00:06:42,750 --> 00:06:48,890 +الغشاء الداخلي او الطبقة الداخلية لاللي هي العضم + +80 +00:06:48,890 --> 00:06:54,030 +من الداخل ان شاء الله رب العالمين هنشوف ترتيبهم + +81 +00:06:54,030 --> 00:06:58,590 +الآن في الصورةإذا ال boom membrane يحتوي على قسمين + +82 +00:06:58,590 --> 00:07:02,830 +خليني ألخص هذه لإنه مهمة هذه ال slide تمام ممكن + +83 +00:07:02,830 --> 00:07:06,970 +يجينا الأسئلة على طريق مصطلح تجينا عن طريق ال mcu + +84 +00:07:06,970 --> 00:07:12,450 +يحتوي على طبقتين تنتين من ال membranes ال bristium + +85 +00:07:12,450 --> 00:07:15,830 +و ال indestium من اسمها bristium معناته لبرا و ال + +86 +00:07:15,830 --> 00:07:19,210 +indestium معناته لجوا ال bristium تم قسم إلى + +87 +00:07:19,210 --> 00:07:24,960 +طبقتين ال outer أو ال out layersالطبقة الخارجية و + +88 +00:07:24,960 --> 00:07:30,360 +ال inner esugenic layers تمام هاي عبارة عن الصورة + +89 +00:07:30,360 --> 00:07:34,660 +اللي احنا حكينا عليها هنشوفها و نتنام شو ال blood + +90 +00:07:34,660 --> 00:07:38,200 +and nerve supply لل bone طبعا بما انه ال bone كائن + +91 +00:07:38,200 --> 00:07:42,360 +حي او انه نسيج حي معناة الكلام انه لازمه تغذية + +92 +00:07:42,360 --> 00:07:46,880 +عصبية تروية دموية ايضا اللي احنا لازم نعرف الأجزاء + +93 +00:07:46,880 --> 00:07:51,540 +اللي حكينا عليها في عندنا بالنسبة لاللي هو التروية + +94 +00:07:51,540 --> 00:07:55,990 +الدمويةهيكون حاجة اسمها من اسمها bristial arteries + +95 +00:07:55,990 --> 00:08:00,270 +شرايين خاصة في البرستيال زى ما انتوا شايفينها هنا + +96 +00:08:00,270 --> 00:08:04,030 +هذه هي الشرايين الحمراء اللى بتغذى العضم + +97 +00:08:04,030 --> 00:08:07,950 +nutritional arteries او اللى هى الشرايين المغذية + +98 +00:08:07,950 --> 00:08:11,530 +انتر خلال اللى هوا ال nutrition phromina هذا ال + +99 +00:08:11,530 --> 00:08:15,090 +nutrition phromina وين موجودة حكينا فى ال inner + +100 +00:08:15,090 --> 00:08:20,820 +osteogenic layersالطبقة الداخلية من مين؟ من + +101 +00:08:20,820 --> 00:08:24,840 +Libristium في اللي هي ال slide السابقة حكينا عليها + +102 +00:08:24,840 --> 00:08:29,740 +تمام supplies لل compact bone of diaphases and red + +103 +00:08:29,740 --> 00:08:34,800 +marrow بتغذي ال compact bone العضم الحقيقي اللي هو + +104 +00:08:34,800 --> 00:08:40,260 +موجود في diaphases و كذلك ال red marrow اللي هو + +105 +00:08:40,260 --> 00:08:44,900 +نخاع العضم الأحمر هنا كمان حكيت أنا على حاجة اسمها + +106 +00:08:44,900 --> 00:08:49,540 +ال modular cavity في ال compact bone okayهذه عبارة + +107 +00:08:49,540 --> 00:08:53,660 +عن الفتحة اللى هى ال nutritional thromina و ال + +108 +00:08:53,660 --> 00:08:57,840 +nutritional arteries اللى هو شريان التخضيه الان ال + +109 +00:08:57,840 --> 00:09:04,020 +metaphases و ال epiphases AA artery تعنى artery ال + +110 +00:09:04,020 --> 00:09:08,460 +metaphases artery و ال epiphases artery تمام + +111 +00:09:08,460 --> 00:09:13,460 +سبلايلا ريدمارو and بونتيشو of epiphases بتغذى + +112 +00:09:13,460 --> 00:09:18,980 +نخاع العضل و كذلك أنسجة العضلالان كلمة meta تعني + +113 +00:09:18,980 --> 00:09:22,660 +بينها between هذه ال metafaces ما بينها احنا حكينا + +114 +00:09:22,660 --> 00:09:27,240 +فوق هيكون في عندنا هنا ال epifaces و ايضا في ال + +115 +00:09:27,240 --> 00:09:31,070 +digital ايضا في عندنا digital epifacesما بينهم في + +116 +00:09:31,070 --> 00:09:35,590 +المنتصف هنا في حاجة اسمها الـ Diaphases وبين قوسين + +117 +00:09:35,590 --> 00:09:38,810 +وحكينا كمان الـ Metaphases تحتوي على الـ Modular + +118 +00:09:38,810 --> 00:09:43,190 +Cavity تحتوي على إيش؟ على اللي هي الـ Modular + +119 +00:09:43,190 --> 00:09:47,150 +Cavity اللي فيها الـ Yellow Bone Marrow هي غشاء + +120 +00:09:47,150 --> 00:09:52,090 +رقيق من الـ Breast Yump اللي موجود تمام؟ هذا + +121 +00:09:52,090 --> 00:09:57,270 +بالنسبة للتغذية العصبية والتروية الدموية للعظام + +122 +00:09:58,490 --> 00:10:03,250 +بالنسبة للعظام تحت المجهر احنا حكينا الهستولوجي هي + +123 +00:10:03,250 --> 00:10:06,810 +عبارة عن الاشي او الأنسجة اللى بتتدرس تحت ال + +124 +00:10:06,810 --> 00:10:11,310 +microscope لجينا انه بتحتوي العظام على عدة شغلات + +125 +00:10:11,310 --> 00:10:16,770 +فى عندي عظام compact او بسميها cocktail compact + +126 +00:10:16,770 --> 00:10:25,040 +معناته عظم حقيقي هناك فى عظم اسفنجي يحتوي علىغرف + +127 +00:10:25,040 --> 00:10:29,780 +وفجوات اسمه ال consolas اللي هو عبارة عن ال sponge + +128 +00:10:29,780 --> 00:10:37,280 +bone ال lamellar bone هو عبارة عن اللي هو العظام + +129 +00:10:37,280 --> 00:10:41,300 +المخلخلة أو العظام اللي هي بتكون فيها فراغات + +130 +00:10:41,300 --> 00:10:48,960 +regular and mature منتظمة و نادجة كلمة regular + +131 +00:10:48,960 --> 00:10:55,030 +منتظم و mature نادجالواذنبون هي عبارة عن العظام + +132 +00:10:55,030 --> 00:11:00,830 +اللى غير منتظمة وغير ناضجة زى عظام اللى هى الجنين + +133 +00:11:00,830 --> 00:11:04,990 +ايضا اللى + +134 +00:11:04,990 --> 00:11:09,490 +بتكون اللى صارت بعد الكسر فى ال fractures اللى هى + +135 +00:11:09,490 --> 00:11:14,870 +عبارة عن كسر اذا الافتعيد اللى هى وحدة بناء العظم + +136 +00:11:14,870 --> 00:11:19,960 +او العظم المكون الادارسىالقلص هو عبارة عن ال + +137 +00:11:19,960 --> 00:11:24,140 +fractures healing لأن بعد ما يصير فيه كسر الجاب أو + +138 +00:11:24,140 --> 00:11:26,900 +الفجوة اللى ما بين نهاية العضمتين اللى صار فيهم + +139 +00:11:26,900 --> 00:11:31,880 +كسر بيصير فى امتلأ لهذه الفجوة بال kills هذا بيسمى + +140 +00:11:31,880 --> 00:11:36,140 +قلص formation أو تكون ال kills اللى هو بدى يكون فى + +141 +00:11:36,140 --> 00:11:40,220 +ال fractures إذا ال historical type compact bone، + +142 +00:11:40,220 --> 00:11:44,880 +spongy bone، لميلار boneالواذين بون والاستويد + +143 +00:11:44,880 --> 00:11:49,320 +والكلس طبعا هذا كله انا بلاجيه تحت ال microscope + +144 +00:11:49,320 --> 00:11:53,700 +في ال histological type تمام هذه أنواع العظام + +145 +00:11:53,700 --> 00:11:57,600 +هاخدهم بالتفصيل اول اشي ال compact bone العظام + +146 +00:11:57,600 --> 00:12:01,820 +الحقيقية طبعا العظام الحقيقية تحتوي على نظام + +147 +00:12:01,820 --> 00:12:06,680 +Harvin وأكيد هذا طبعا أخدتوا انتوا بالاحياء نظام + +148 +00:12:06,680 --> 00:12:11,260 +Harvin او ما يسمى Harvin systemأور أستيون وحدة + +149 +00:12:11,260 --> 00:12:15,180 +بناء العظم هو عبارة عن الـ structural unit للـ + +150 +00:12:15,180 --> 00:12:19,280 +compact bone هي عبارة عن وحدة بناء العظم الحقيقي + +151 +00:12:19,280 --> 00:12:24,420 +اللاملة اللاملة هي عبارة عن ال weight bearing هي + +152 +00:12:24,420 --> 00:12:28,740 +عبارة عن الساق اللي بتكون موجودة داخل العظم تمام + +153 +00:12:28,740 --> 00:12:34,200 +كلومان like matrix tubescomposed mainly of + +154 +00:12:34,200 --> 00:12:39,540 +collagen هي عبارة عن هساق الأنبوبية الاستغانية + +155 +00:12:39,540 --> 00:12:46,400 +الشكل موجودة في منتصف العظم لساتها لملة تمام لسه + +156 +00:12:46,400 --> 00:12:50,460 +مكونة او ال matrix بتاعتها المادة الخلوية من ال + +157 +00:12:50,460 --> 00:12:55,920 +collagen تمام انتقل للنوع التالت اللي هو او المكون + +158 +00:12:55,920 --> 00:12:59,760 +ل ال compact Harvin او ال central canal من ال + +159 +00:12:59,760 --> 00:13:04,140 +Harvin او ال central canalالقناة الرئيسية هي عبارة + +160 +00:13:04,140 --> 00:13:08,900 +عن إيش؟ central canal containing blood vessels and + +161 +00:13:08,900 --> 00:13:15,620 +nerve تحتوي على أوعية دموية و كذلك أعصاب تمام؟ إذا + +162 +00:13:15,620 --> 00:13:20,840 +أخدنا عن نظام هارفن أخدنا عن اللاملة أخدنا أيضا عن + +163 +00:13:20,840 --> 00:13:24,780 +ال central canal في حاجة اسمها ال vakman canal + +164 +00:13:24,780 --> 00:13:30,520 +قناة vakman هي عبارة عن القناةاللي بتتعامد lying + +165 +00:13:30,520 --> 00:13:36,700 +at right angle بتتعامد بشكل أو بزاوية قائمة مع + +166 +00:13:36,700 --> 00:13:42,420 +القناع الأساسي الـ central canal تمام؟ تحتوي على + +167 +00:13:42,420 --> 00:13:47,040 +blood supply وال nerve للبرستين to the Harvin + +168 +00:13:47,040 --> 00:13:53,640 +canal okay؟VocMan هي عبارة عن قناة تتعامد بشكل + +169 +00:13:53,640 --> 00:13:58,860 +حقيقي أو بشكل بزاوية قائمة مع القناة الرئيسية الـ + +170 +00:13:58,860 --> 00:14:02,740 +Central Canal اللي هي بالاصل هنا تحتوي على blood + +171 +00:14:02,740 --> 00:14:07,800 +supply و كذلك nerve supply تمام؟containing blood + +172 +00:14:07,800 --> 00:14:11,600 +and nerve supply للبريستيام البريستيام وين صرنا + +173 +00:14:11,600 --> 00:14:15,760 +فيه في الغشاء الخارجي to the Harvin canal عشان + +174 +00:14:15,760 --> 00:14:20,600 +يدخل على قناة Harvin خليني أشوف صورة لهذا الحكي + +175 +00:14:20,600 --> 00:14:25,400 +نرجع شوية هاي اللي هي القنوات اللي احنا حكينا + +176 +00:14:25,400 --> 00:14:29,040 +عليها Harvin او اللاملة هي عبارة عن الساق أو + +177 +00:14:29,040 --> 00:14:32,980 +الأنبوبة الاستوانية اللي موجودة هنا في المنتصف + +178 +00:14:32,980 --> 00:14:38,310 +المحتوية على الكولاجين فقطتمام؟ و بعدين بيصير في + +179 +00:14:38,310 --> 00:14:44,130 +إليها ossification أو عملية تعظم لأن أيضا في ال + +180 +00:14:44,130 --> 00:14:49,510 +compact bone في حاجة اسمها osteocyte انا هاقسم + +181 +00:14:49,510 --> 00:14:56,230 +الكلمة قسمين رئيسيين oste تعني عظم، cyt خلية، خلية + +182 +00:14:56,230 --> 00:15:03,350 +العظم هي عبارة عن mature bone cellخلايا عظمية + +183 +00:15:03,350 --> 00:15:10,570 +ناضجة osteocyte osteo تعني عظم وcyte خلية ال + +184 +00:15:10,570 --> 00:15:14,390 +lacuna أو ما يسمى الحاضنة مرت علينا قبل هيك بكذا + +185 +00:15:14,390 --> 00:15:18,450 +شبتر هي عبارة عن إيش؟ ال lacuna هي عبارة عن small + +186 +00:15:18,450 --> 00:15:25,330 +cavities in bone that contain osteocyte تمام؟ هي + +187 +00:15:25,330 --> 00:15:31,730 +عبارة عن تجاويف صغيرة في العظام تحتوي علىالخلايا + +188 +00:15:31,730 --> 00:15:35,470 +العظمية طبعا الخلايا العظمية مش هتكون موجودة هيك + +189 +00:15:35,470 --> 00:15:39,650 +عندنا برا لأ لازم يكون لها غرف صغيرة عشان هي تكون + +190 +00:15:39,650 --> 00:15:43,770 +موجودة فيها فبالتالي ال oocyte موجودة في حضورات + +191 +00:15:43,770 --> 00:15:50,130 +صغيرة بسميها ال lacuna الحاضنة بين قطين هي الحاضنة + +192 +00:15:50,130 --> 00:15:56,990 +ال cancoli cancoli هي عبارة عن ال hair like canal + +193 +00:15:56,990 --> 00:16:03,080 +قنوات أو أنابيب شعريةيعني كام هي رقيقة جدا او + +194 +00:16:03,080 --> 00:16:09,480 +رفعها جدا رفيعة that connect lacuna to each other + +195 +00:16:09,480 --> 00:16:14,840 +and central canal تعمل ال canculi تعمل على ربط ال + +196 +00:16:14,840 --> 00:16:21,160 +lacuna اللي هي الحجر العضمية قول ان مثلا خمسة + +197 +00:16:21,160 --> 00:16:27,620 +lacuna هتربطهم مع بعض وتوصلهم بال central canal + +198 +00:16:27,620 --> 00:16:31,150 +لأن لازم يكون في blood supplyلازم يكون في nerve + +199 +00:16:31,150 --> 00:16:36,890 +تمام؟ اذا ال cancoli هي عبارة عن انابيب شعرية او + +200 +00:16:36,890 --> 00:16:41,990 +انابيب رقيقة جدا او رفيعة جدا تربط كل اللاكيونا مع + +201 +00:16:41,990 --> 00:16:47,390 +بعضها البعض بال central canal تمام؟ وهذا ايضا اشي + +202 +00:16:47,390 --> 00:16:51,130 +مكون للبون او تحت ال microscope انا بشوفه في ال + +203 +00:16:51,130 --> 00:16:55,890 +hysterical type هنا هاي الرسمةكمان ممكن انا احكي + +204 +00:16:55,890 --> 00:17:00,070 +عنها الostium هذا هو هو عبارة عن harven system + +205 +00:17:00,070 --> 00:17:04,190 +كتمام هاي اللاملة اللى احنا حكينا عليها تحتوي على + +206 +00:17:04,190 --> 00:17:09,370 +ال collagen طبعا هذا مقطع عرضى من العظام ال lacuna + +207 +00:17:09,370 --> 00:17:13,250 +زى ما انتوا شايفينها وين المؤشر عليها هنا هي عبارة + +208 +00:17:13,250 --> 00:17:17,450 +عن الحجرة اللى بيكون فيها ال osteocyte او ما يسمى + +209 +00:17:17,450 --> 00:17:22,170 +هي ال osteocyte الخلايا العظمية المكونة للعظمتمام؟ + +210 +00:17:22,170 --> 00:17:26,290 +وشايفين هذه القنابيب الشعرية هي عبارة عن الكنكولاي + +211 +00:17:26,290 --> 00:17:31,190 +بتربطهم كلهم مع بعض عشان في الآخر تربطهم مع ال + +212 +00:17:31,190 --> 00:17:34,370 +central canal اللي احنا شايفينها او ما يسمى harven + +213 +00:17:34,370 --> 00:17:39,010 +canal تمام؟ عشان موضوع وقصة ال blood supply و ال + +214 +00:17:39,010 --> 00:17:45,380 +nerve supply okay الرسمة هنا مش معناةهنا الـ + +215 +00:17:45,380 --> 00:17:48,880 +spongy bone أو الـ cancerous bone لا تحتوي على + +216 +00:17:48,880 --> 00:17:54,120 +أسجن لا تحتوي على وحدة بناء عظمي تمام؟ ليه؟ لأنها + +217 +00:17:54,120 --> 00:17:57,720 +spongy bone لاحظوا أزيش الفراغات هنا مليانة طبعا + +218 +00:17:57,720 --> 00:18:01,000 +لأنها ممتلقة بال red bone marrow فبالتالي تحتوي + +219 +00:18:01,000 --> 00:18:04,760 +على trabecula اللي هي النتوءات اللي موجودة هنا + +220 +00:18:04,760 --> 00:18:09,420 +okay الأسسايت هي عبارة عن الخلايا العظمية اللي + +221 +00:18:09,420 --> 00:18:16,030 +موجودة شو أنواع cell type of bone؟أنواع العظام أو + +222 +00:18:16,030 --> 00:18:21,670 +أنواع الخلايا العظمية في عندي أربع أنواع للخلايا + +223 +00:18:21,670 --> 00:18:27,610 +العظمية Osteobrogenator أستيو تعني عظم + +224 +00:18:27,610 --> 00:18:33,990 +البروجيناتور مخلق أو منتج العظم تمام خلايا عظمية + +225 +00:18:33,990 --> 00:18:39,190 +مخلقة أو منتجة هي عبارة عن undifferentiated cells + +226 +00:18:39,810 --> 00:18:45,830 +خلايا غير متخصصة un تعني نفي الكلمة differentiated + +227 +00:18:45,830 --> 00:18:49,350 +مخصصة فهي بالتالي تصبح الترجمة هنا + +228 +00:18:49,350 --> 00:18:53,970 +undifferentiated cells مميزاتها هاي مهمة جدا + +229 +00:18:53,970 --> 00:18:58,870 +undifferentiated يعني خلايا غير مخصصة can divide + +230 +00:18:58,870 --> 00:19:04,870 +become osteoblast تستطيع الإنقسام ومن ثم تتحول إلى + +231 +00:19:04,870 --> 00:19:10,220 +خلايا بانية لإنها progenitors تمامخلايا منتجة + +232 +00:19:10,220 --> 00:19:15,580 +فبالتالي موجودة في ال inner layer من البرستيوم and + +233 +00:19:15,580 --> 00:19:21,760 +اندستيوم تمام هنا المعلومات هذه مهمة جدا وممكن + +234 +00:19:21,760 --> 00:19:27,380 +تكون محط أسئلة فبالتالي أنا هلخص أول نوع من أنواع + +235 +00:19:27,380 --> 00:19:32,160 +الخلايا العضمية osteogenated أو osteoprogenator هي + +236 +00:19:32,160 --> 00:19:36,040 +عبارة عن undifferentiated cells خلايا غير مخصصة + +237 +00:19:36,390 --> 00:19:41,230 +تستطيع الانقسام و التحول الى osteoblast خلايا + +238 +00:19:41,230 --> 00:19:46,630 +بانية ايضا موجود مكانها في اللى هى ال inner layer + +239 +00:19:46,630 --> 00:19:50,690 +مع ال indestium يعني لجوا في ال inner layer احنا + +240 +00:19:50,690 --> 00:19:54,250 +حكينا فيه عنه ال bristium و ال indestium في ال + +241 +00:19:54,250 --> 00:19:58,270 +bristium outer layer لبرا و في inner layer لجوا + +242 +00:19:58,270 --> 00:20:04,130 +خلايا البانية خلايا عضمية بانية osteoblast form + +243 +00:20:04,130 --> 00:20:08,620 +matrixمن الـ Collagen fiber but cannot divided + +244 +00:20:08,620 --> 00:20:13,620 +تحتوي أو بتشكل ال matrix تبع العظم اللي هو من + +245 +00:20:13,620 --> 00:20:17,100 +ألياف ال collagen ولكن لا تستطيع الانقسام + +246 +00:20:17,100 --> 00:20:22,300 +Osteoblast تمام فهي تبني العظم ولكن لا تستطيع + +247 +00:20:22,300 --> 00:20:28,300 +الانقسام النوع التالت حاجة اسمها Osteocyte أستيو + +248 +00:20:28,300 --> 00:20:33,250 +لحالها عظم سايت خلايا هي عبارة عن mature cellsthat + +249 +00:20:33,250 --> 00:20:38,330 +no longer secrete matrix ما بتقدر اللي هي تفرز + +250 +00:20:38,330 --> 00:20:41,950 +المادة الخلوية على المادة البعيد لأ إذن هي عبارة + +251 +00:20:41,950 --> 00:20:46,310 +عن خلاية عضمية ناضجة that no longer secreted + +252 +00:20:46,310 --> 00:20:50,570 +matrix فهذه خلاية العضم أو الـ osteocyte الخلاية + +253 +00:20:50,570 --> 00:20:55,250 +العضمية نفسها كلمة osteoclast أو النوع الرابع من + +254 +00:20:55,250 --> 00:20:59,750 +أنواع الخلاية العضمية هي عبارة عن الخلاية الهادمة + +255 +00:21:00,170 --> 00:21:05,050 +هي عبارة عن ايش؟ huge cells خلايا ضخمة form او + +256 +00:21:05,050 --> 00:21:08,770 +from fused monocytes اللي هي نوع من انواع ال white + +257 +00:21:08,770 --> 00:21:13,430 +blood cells الخلايا او كوريات الدم البيضاء ال + +258 +00:21:13,430 --> 00:21:17,850 +function تبعتها bone reabsorption in a surface + +259 +00:21:17,850 --> 00:21:22,430 +such as in the stem تمام ال osteoclast هي عبارة عن + +260 +00:21:22,430 --> 00:21:28,480 +خلايا هادمة وهي نوع ومكوّنة من اللي هي الـ fused + +261 +00:21:28,480 --> 00:21:32,900 +طبعا الدمج الـ monocytes اللي هي تبعت ال white + +262 +00:21:32,900 --> 00:21:36,580 +blood cells الخلايا البيضاء ليش؟ لأنه هادمة + +263 +00:21:36,580 --> 00:21:39,920 +فمعناته لازم تحافظ على الجسم من أي micro organism + +264 +00:21:39,920 --> 00:21:44,460 +وظيفتها في حالة على سبيل المثال صار في عندي كسر + +265 +00:21:44,460 --> 00:21:49,300 +طبعا فيه هيصير الكسر مش هيكون خلاص أنا قسمت قطعتها + +266 +00:21:49,300 --> 00:21:52,760 +ال cake إلى نصفين وخلاص لأ هيكون فيه فتفيتة صغيرة + +267 +00:21:52,760 --> 00:21:58,520 +من العضمهنا لازم هذه الـ Osteoclast تعمل على إعادة + +268 +00:21:58,520 --> 00:22:03,440 +إمتصاصها Reabsorption at surface such as اندستيام + +269 +00:22:03,440 --> 00:22:09,060 +طبعا اللي هو في سطح الاندستيام الداخلي فبالتالي + +270 +00:22:09,060 --> 00:22:13,780 +بيصير إعادة إمتصاص عشان هيك سمنها خلايا هادمة لإنه + +271 +00:22:13,780 --> 00:22:18,380 +إلها شغلها اللي علاقة في الخلايا اللي هي المهدومة + +272 +00:22:18,380 --> 00:22:23,500 +و الخلايا اللي مش مظبوطةأنواع الخلايا العظمية هرجع + +273 +00:22:23,500 --> 00:22:27,520 +و أعيد و أكرر هي عبارة عن أربع أنواع من الخلايا + +274 +00:22:27,520 --> 00:22:34,080 +أول نوع اسمه الـ Osteopregenators أو خلايا منشئة + +275 +00:22:34,080 --> 00:22:38,540 +أو خلايا منتجة للخلايا العظمية الـ Osteoplast + +276 +00:22:38,540 --> 00:22:43,480 +الخلايا البانية الـ Osteoclast عكسها تماما الخلايا + +277 +00:22:43,480 --> 00:22:48,180 +الهادمة و الـ Osteocyte هي نفسها الخلية العظمية + +278 +00:22:48,180 --> 00:22:54,090 +الـ slide هنا مهمة وتدرس بشكل جيد الآن لـ bone + +279 +00:22:54,090 --> 00:22:58,490 +development أو ما يسمى بتطور العظام في عندنا + +280 +00:22:58,490 --> 00:23:04,370 +osteogenesis and ossification كلمة oste تعني bone، + +281 +00:23:04,370 --> 00:23:08,230 +genesis، formation، تكوين العظم وهنا ال + +282 +00:23:08,230 --> 00:23:13,780 +ossification اللي هو التكلس أو تعظمهي عبارة عن + +283 +00:23:13,780 --> 00:23:17,800 +إيش؟ الـ Process of bone tissue formation عبارة عن + +284 +00:23:17,800 --> 00:23:22,200 +تكوين النسيج العضمي يؤدي إلى إيش؟ إن الـ Formation + +285 +00:23:22,200 --> 00:23:26,840 +للـ bone skeletal in embryos في الأجنة اللي هو + +286 +00:23:26,840 --> 00:23:31,950 +بتحول احنا حكينا أو تكلمنا في المحاضرة السابقةإنه + +287 +00:23:31,950 --> 00:23:37,670 +بداية الجنين في أول ثمان أسابيع بلاحظ إن الجنين + +288 +00:23:37,670 --> 00:23:43,090 +كان highline cartilage عبارة عن نسيج ضام زجاجي + +289 +00:23:43,090 --> 00:23:48,910 +بيصيرله عملية ossification عملية تعظم لحد ما يصير + +290 +00:23:48,910 --> 00:23:52,970 +بالهيئة والمنظر هاي اللي احنا فيها ال bone growth + +291 +00:23:52,970 --> 00:23:58,750 +until early adulthood تبدأ العظام بالنمو لحدبداية + +292 +00:23:58,750 --> 00:24:04,270 +المرحلة المراهقة بيصير في الـ bone thickens اللي + +293 +00:24:04,270 --> 00:24:10,350 +هو سماكة العظام remolding إعادة تشكيلها تمام وبعد + +294 +00:24:10,350 --> 00:24:14,190 +هيك لو صار في عندي كسر أو أي trauma صارت في الجسم + +295 +00:24:14,190 --> 00:24:19,250 +بيصير في عندي fracturesإذا عرفت عملية الـ + +296 +00:24:19,250 --> 00:24:22,570 +osteogenesis وعملية الـ osteification هي عبارة عن + +297 +00:24:22,570 --> 00:24:28,990 +العملية اللي بتتم فيها تحول ال highline cartilage + +298 +00:24:28,990 --> 00:24:34,810 +إلى bone وعرفنا أنه بتوقف نمو العضم في بداية مراحل + +299 +00:24:34,810 --> 00:24:39,590 +الـ early adulthood اللي هي بداية مراحل المراهقة + +300 +00:24:39,590 --> 00:24:45,120 +تمام؟الان الـ bone growth ossification الـ + +301 +00:24:45,120 --> 00:24:48,860 +cartilage هنا في رسمة هنشوفها ذكرتنا بيه الرسومة + +302 +00:24:48,860 --> 00:24:52,860 +التابعة الـ ab faces line و الـ dia faces الـ + +303 +00:24:52,860 --> 00:24:57,760 +cartilage completely + +304 +00:24:57,760 --> 00:25:01,890 +laid downالان كل ال cartridge في عملية ال + +305 +00:25:01,890 --> 00:25:06,650 +ossification ال cartridge كله بيروح و بيتم او بيحل + +306 +00:25:06,650 --> 00:25:10,950 +محله ال bone ossification او ال bone اللي هو العضم + +307 +00:25:10,950 --> 00:25:16,160 +الصلبة ال osteoblastأو الخلايا البانية هي عبارة عن + +308 +00:25:16,160 --> 00:25:20,300 +الـ bone building located اللي هي in ossification + +309 +00:25:20,300 --> 00:25:25,420 +center بتكون موجودة في ملاكز اقتعظم قعدوا هنشوف + +310 +00:25:25,420 --> 00:25:28,880 +حكينا أنه أنا بشوف أو بلاقي اللي هو الجنين + +311 +00:25:28,880 --> 00:25:33,100 +highline cartilage ولكن بعدفترة من الزمن بيصير + +312 +00:25:33,100 --> 00:25:36,520 +اللي هي أن ال osteoplast بتشتغل شغلها فبالتالي + +313 +00:25:36,520 --> 00:25:41,460 +بتحل و بتشتغل في مواقع ال ossification center + +314 +00:25:41,460 --> 00:25:46,220 +خليني أشوف lebron growth أو اللي هي ملاكز ال + +315 +00:25:46,220 --> 00:25:49,280 +ossification center عند ال ossification center + +316 +00:25:49,280 --> 00:25:54,660 +موقعين أساسيين في عندها primary و في secondaryال + +317 +00:25:54,660 --> 00:25:58,580 +primary بيكون موجود في ال diaphases وال secondary + +318 +00:25:58,580 --> 00:26:04,980 +بيكون موجود في ال epiphases إذا عندنا نوعين من + +319 +00:26:04,980 --> 00:26:09,260 +اللي هو لل centers تبع ال authentication مراكز + +320 +00:26:09,260 --> 00:26:13,380 +التعظم في عندنا المركز الأول ال primary أو البدائي + +321 +00:26:13,660 --> 00:26:17,720 +بدي يكون أو الاول اشي بدي يصير في ossification + +322 +00:26:17,720 --> 00:26:21,740 +اللى هى the faces و بعدين بيصير عندى ال secondary + +323 +00:26:21,740 --> 00:26:25,920 +ossification بدي يكون فى ال a b faces اللى هى + +324 +00:26:25,920 --> 00:26:29,540 +منطقة ال a b faces اللى موجودة هنا فى ال a b faces + +325 +00:26:29,540 --> 00:26:33,320 +ال growth اللى موجودة تمام ال bone growth + +326 +00:26:33,320 --> 00:26:36,900 +ossification ال growth toward او ال growth toward + +327 +00:26:36,900 --> 00:26:41,800 +anothercartridge remains between them طبعا تبدأ ان + +328 +00:26:41,800 --> 00:26:47,060 +هي عملية التعظم من المنتصف و بعدين تنزل او تتحقق + +329 +00:26:47,060 --> 00:26:52,320 +لحد ما توصل لنهايات أطراف العضمة ل grow toward and + +330 +00:26:52,320 --> 00:26:55,960 +to another ال cartilage remains between them تبقى + +331 +00:26:55,960 --> 00:26:59,480 +ان شوية cartilage بعد شوية يصير لها عملية + +332 +00:26:59,480 --> 00:27:04,030 +ossification as long asCartilage remain undamaged + +333 +00:27:04,030 --> 00:27:08,450 +Growth can occur واجتاش الـ cartilage داله سليم و + +334 +00:27:08,450 --> 00:27:13,870 +بحالة جيدة بتبلش أو بتبقى عمليات اللي هي انمو + +335 +00:27:13,870 --> 00:27:20,530 +مستمرة على طول لأن ال slide هذه مش هتكون غريبة + +336 +00:27:20,530 --> 00:27:24,530 +علينا لأنه اتكلمنا فيها عبارة عن ال formation لل + +337 +00:27:24,530 --> 00:27:30,130 +skeletal أو لل bonus skeletonbegins at week 8 of + +338 +00:27:30,130 --> 00:27:34,050 +membrane development في الأسبوع الثامن أو في الشهر + +339 +00:27:34,050 --> 00:27:39,310 +الثاني من الحمل يبدأ تبدأ عملية التحول أو تبدأ + +340 +00:27:39,310 --> 00:27:44,530 +عملية التعظم يعني ال highline cartilage هيتحول إلى + +341 +00:27:44,530 --> 00:27:51,670 +bone begins at week 8 تمام ال intermembrane + +342 +00:27:51,670 --> 00:27:57,030 +ossificationبتعظم للغشاء الـ Boon develops from + +343 +00:27:57,030 --> 00:28:01,050 +fibrous membrane اللي حكينا عليه اللي هو من الـ + +344 +00:28:01,050 --> 00:28:06,670 +fibrous membrane ال outer surface في البرستيومطلاب + +345 +00:28:06,670 --> 00:28:11,010 +الأعزاء الـ endocondrial ossification اللي هو + +346 +00:28:11,010 --> 00:28:14,850 +عبارة عن ال cartilage تعظم ال cartilage نفسه الـ + +347 +00:28:14,850 --> 00:28:18,890 +bone form by replacing highline cartilage تتشكل + +348 +00:28:18,890 --> 00:28:24,870 +العظام طبعا هنا من ال highline cartilage بتم تحويل + +349 +00:28:24,870 --> 00:28:29,410 +اللي هو ال cartilage إلى bone في ال endocondrial + +350 +00:28:29,410 --> 00:28:33,710 +ossification عملية التعظم لل cartilage اللي موجود + +351 +00:28:35,970 --> 00:28:39,290 +الان الـ long bone growth and remolding طبعاً + +352 +00:28:39,290 --> 00:28:42,890 +العظام الطويلة زي عظام الفخد على سبيل المثال لـ + +353 +00:28:42,890 --> 00:28:46,170 +growth in length الـ cartilage continuously growth + +354 +00:28:46,170 --> 00:28:51,070 +and replaced by bone تبدأ عملية التحول و الـ + +355 +00:28:51,070 --> 00:28:55,130 +remolding على نفس هيئة الـ highline cartilage بدون + +356 +00:28:55,130 --> 00:29:00,200 +معنى العظم الطويلالـ bone is reabsorbed and added + +357 +00:29:00,200 --> 00:29:05,820 +by appositional growth تمام، العظام نفسها تتشكل + +358 +00:29:05,820 --> 00:29:09,900 +بعد عملية الامتصاص وإضافة بعض الـ appositional + +359 +00:29:09,900 --> 00:29:14,280 +growth اللي هو النمو الموضعي أو النمو الجغرافي زي + +360 +00:29:14,280 --> 00:29:19,520 +ما بنسميه للعظمة عشان تتشكل وتأخذ شكلها النهائي + +361 +00:29:19,520 --> 00:29:22,910 +الـ bone grows in lengthهنا زي ما انتوا شايفين + +362 +00:29:22,910 --> 00:29:28,630 +داخل اللي هي صورة الأشعة Radiograph صورة أشعة لطفل + +363 +00:29:28,630 --> 00:29:31,770 +عمره عشر سنين لاحظوا هنا هيفيه عن الـ Epifacial + +364 +00:29:31,770 --> 00:29:35,990 +Plate اللي هو عبارة عن قُرص النمو حكيت أنا مهم جدا + +365 +00:29:35,990 --> 00:29:40,770 +أنه أنا أبعد عنه وما أأذي لأن هو لازم يكون موجود + +366 +00:29:40,770 --> 00:29:45,790 +عندى وينمو بشكل صحيح حتى أنه مايصير في قصر العضمة + +367 +00:29:45,790 --> 00:29:51,370 +دون الأخرىالـ Epifacial plate أو ما يسمى قُرص + +368 +00:29:51,370 --> 00:29:56,030 +النمو or الـ cartilage growth plate هما نفس الاسم + +369 +00:29:56,030 --> 00:30:00,370 +و نفس الكلمة عبارة عن ايش؟ عبارة عن الـ cartilage + +370 +00:30:00,370 --> 00:30:04,970 +cells are producing by meiosis هي عبارة عن الخلايا + +371 +00:30:04,970 --> 00:30:09,830 +الغضروفية تمام؟ are produced by بتم إنتاجها عن + +372 +00:30:09,830 --> 00:30:14,510 +طريق الإنقسام الميتوزي لل Epifacial side of plate + +373 +00:30:14,510 --> 00:30:20,740 +تمام؟لسطح أو المستوى اللي هو الـ Epiphyseal Plate + +374 +00:30:20,740 --> 00:30:25,200 +الـ Cartilage cells are destroyed and replaced by + +375 +00:30:25,200 --> 00:30:31,800 +bone on their faces بتم استبدال الـ Cartilage في + +376 +00:30:31,800 --> 00:30:35,580 +bone في منطقة الـ Diaphysis واحنا حكينا أن منطقة + +377 +00:30:35,580 --> 00:30:42,680 +الـ Diaphysis هي منطقة متوسطةتبدأ أو تستمر عملية + +378 +00:30:42,680 --> 00:30:49,420 +النمو لحد عمر 25 إذا مابين عمر 18 ل 25 أعطاها + +379 +00:30:49,420 --> 00:30:53,760 +range هنا في بعض الشباب على سبيل المثال دلها تطول + +380 +00:30:53,760 --> 00:31:00,490 +لحد عمر 18 وأيضا بعض ال ..الشباب بيضلوا يتولى بعد + +381 +00:31:00,490 --> 00:31:04,650 +عمر خمسة لحد عمر خمسة وعشرين يعني هو اعتراش من + +382 +00:31:04,650 --> 00:31:07,550 +تمانتاش لخمسة وعشرين يعني ممكن تتسكر مولة عضمها + +383 +00:31:07,550 --> 00:31:11,770 +تمانتاش وممكن تتسكر على خمسة وعشرين طبعا + +384 +00:31:11,770 --> 00:31:16,910 +الـepifacial plate close الـcartilage had stopped + +385 +00:31:16,910 --> 00:31:20,530 +dividing and the bone replaces the cartilage في + +386 +00:31:20,530 --> 00:31:25,420 +الـepifacial line للgrowth خلاصأخر ال range حكينا + +387 +00:31:25,420 --> 00:31:30,500 +عليه لحد 25 بعد 25 ما بيصير أنه يصير فيه عملية طول + +388 +00:31:30,500 --> 00:31:33,660 +يعني ما بيصير يجيني شاب عمره 30 سنة ويقول لسه أنا + +389 +00:31:33,660 --> 00:31:38,220 +قدامي كمان سنتين تلاتة أطول لأ هيك مش صحيح الكلام + +390 +00:31:38,220 --> 00:31:43,880 +العظام الطويلة تستمر بالنمو لحد عمر 25 years old + +391 +00:31:43,880 --> 00:31:48,780 +فقط لغير تمام؟ هاي عبارة عن ال growth and + +392 +00:31:48,780 --> 00:31:55,520 +development للعظام الطويلة لأن كلمة remouldingهي + +393 +00:31:55,520 --> 00:32:00,160 +عبارة عن إعادة تشكيل إعادة تشكيل لمن؟ للعظام بتصير + +394 +00:32:00,160 --> 00:32:05,200 +على ندار الوقت تمام؟ العظم بتاخد شكل معين بيصير + +395 +00:32:05,200 --> 00:32:09,060 +فيها تآكل من مرحلة أو من جزئية معينة فبالتالي + +396 +00:32:09,060 --> 00:32:13,840 +بيصير في أغلب وقت اللي هو حياة الإنسان طبعا ال + +397 +00:32:13,840 --> 00:32:17,420 +stress is changed ال bones adapt بعض الأحيان بيصير + +398 +00:32:17,420 --> 00:32:22,010 +مثلا على سبيل المثال كسروما بيكون طبعا واضح ممكن + +399 +00:32:22,010 --> 00:32:26,990 +يكون اللي هو فيه صار تآكل على سبيل المثال بعض + +400 +00:32:26,990 --> 00:32:30,610 +نهايات العضم فبالتالي بتظلها عملية ال remolding + +401 +00:32:30,610 --> 00:32:34,910 +وعملية ال absorption من قبل اللي هي ال osteoclast + +402 +00:32:34,910 --> 00:32:38,010 +اللي احنا حكينا أو اللي هي ما يسمى بالخلايا + +403 +00:32:38,010 --> 00:32:42,230 +الحادمة الآن ال osteoclast remove لل bone بتشيل + +404 +00:32:42,230 --> 00:32:47,550 +العضم وال osteoblast بتبنيه blast building حكينا + +405 +00:32:47,550 --> 00:32:53,310 +بيه مع بينطبعا الـ Osteocyte بتحافظ على هذه العظام + +406 +00:32:53,310 --> 00:32:57,610 +لإن هي الخلايا العضمية نفسها mineral deposited in + +407 +00:32:57,610 --> 00:33:03,250 +spongy bone from holes the stress base طبعا العظام + +408 +00:33:03,250 --> 00:33:08,870 +أو العضم الاسفنجي بيصير فيه عملية استحلال أو + +409 +00:33:08,870 --> 00:33:14,630 +استبدال لبعض اللي هيالعناصر زي الـ Phosphor زي + +410 +00:33:14,630 --> 00:33:20,990 +الكالسيوم طبعا من 5 ل 10% من وزن العضمة كل سنة + +411 +00:33:20,990 --> 00:33:25,150 +بيصير فيه عملية استبدال واستحلال لعناصر جديدة + +412 +00:33:25,150 --> 00:33:29,930 +وتكوين إشي جديد هاي هي عبارة عن عملية الـ + +413 +00:33:29,930 --> 00:33:35,610 +Remolding أو عملية إعادة التشكيل للعظام هنا صورة + +414 +00:33:35,610 --> 00:33:40,010 +صغيرة بينناياها اللي هي الـ Osteoclast الخلايا + +415 +00:33:40,010 --> 00:33:45,670 +الهادمةاللي موجودة داخل الابيونات بتدور على أي إشي + +416 +00:33:45,670 --> 00:33:49,930 +غريب بتدور على أي فتافيت من العضل عشان تقوم بإعادة + +417 +00:33:49,930 --> 00:33:55,290 +امتصاصها وإعادة تدويرها وإنتاجها زبط معاها زبط ما + +418 +00:33:55,290 --> 00:33:59,510 +زبط على سبيل المثال ماحتاجته على طول بتاخده as a + +419 +00:33:59,510 --> 00:34:02,530 +waste product اللي هو عبارة عن ال waste product + +420 +00:34:02,530 --> 00:34:08,910 +عبارة عن الفضلات وبتم إخراجها خارج الجسمالان في + +421 +00:34:08,910 --> 00:34:13,850 +عندي عاملين مهمين لإيه هو التحكم بال remolding + +422 +00:34:13,850 --> 00:34:19,770 +إعادة التشكيل أول عامل لل control تبعنا عشان أنا + +423 +00:34:19,770 --> 00:34:23,850 +هاي العملية ما تكونش عشوائية أو بشكل مش مظبوط لأ + +424 +00:34:23,850 --> 00:34:28,270 +بيأثر فيها two factors أول factors اللي هو عبارة + +425 +00:34:28,270 --> 00:34:32,630 +عن ال hormonal factors والتاني ال gravitational او + +426 +00:34:32,630 --> 00:34:37,200 +ال mechanical factorsتأثير الهرموني لعملية تشكيل + +427 +00:34:37,200 --> 00:34:41,680 +العظام مهم جدا خصوصا إلنا إحنا السيدات الان ال + +428 +00:34:41,680 --> 00:34:46,080 +hormonal mechanism maintains للكالسيوم hemostasis + +429 +00:34:46,080 --> 00:34:52,560 +in blood طبعا المحافظة نسبة الكالسيوم في مستوى .. + +430 +00:34:52,560 --> 00:34:57,720 +بمستوى ثابت داخل الدمالان بالنسبة للسيدات تعرفوا + +431 +00:34:57,720 --> 00:35:02,280 +في عنا اللي هو الـ monopoies أو ما يسمى بسن الأمل + +432 +00:35:02,280 --> 00:35:07,660 +هذا بيغير الحرمونات داخل جسم المرأةفبالتالي حيصير + +433 +00:35:07,660 --> 00:35:12,080 +.. لاحظوا أغلب الستات تجيهم هشاشة العظام أو بيجيهم + +434 +00:35:12,080 --> 00:35:16,380 +مشاكل العظام بعد انقطاع اللي هو الدورة الشعرية + +435 +00:35:16,380 --> 00:35:19,860 +فبالتالي ليش؟ لأنه صار في عندنا hormonal change + +436 +00:35:19,860 --> 00:35:23,700 +صار في عندنا تغيرات في الهرمونات فبالتالي أثرت على + +437 +00:35:23,700 --> 00:35:28,440 +كمية الكالسيوم وثباتيته داخل الدم تمام؟ إذن أول + +438 +00:35:28,440 --> 00:35:32,120 +factors اللي هو ال hormone وال factors التاني اللي + +439 +00:35:32,120 --> 00:35:35,160 +هو عبارة عن ال mechanical أو ال gravational forces + +440 +00:35:35,610 --> 00:35:41,070 +القوة اللي هي ال mechanical أو بسميها الميكانيكا + +441 +00:35:41,070 --> 00:35:44,210 +الحيوية اللي احنا بناخدها اللي هي عبارة عن إيش + +442 +00:35:44,210 --> 00:35:48,630 +القوة اللي هي القوة الجاذبية الآن احنا بنتكلم على + +443 +00:35:48,630 --> 00:35:52,830 +ال skeleton و بنتكلم على الأعظام بنحكي كل ما كان + +444 +00:35:52,830 --> 00:35:58,460 +في عندي ضغط على الosteoأو الـ Epifacial line كل ما + +445 +00:35:58,460 --> 00:36:02,520 +طولت العضمة فبالتالي من الصح أنا أترك الطفل الصغير + +446 +00:36:02,520 --> 00:36:06,820 +أنه يلعب من الصح أن الجاذبية تشتغل و تلعب تورها من + +447 +00:36:06,820 --> 00:36:12,520 +الصح أنه أنا أحمل وزن على اللي هي عظام الجسم I + +448 +00:36:12,520 --> 00:36:16,640 +have two factors for control remoulding ال .. the + +449 +00:36:16,640 --> 00:36:20,980 +first one hormonal mechanism و اللي هو التاني + +450 +00:36:20,980 --> 00:36:24,220 +هيكون ال graphical forces أو ال mechanical factors + +451 +00:36:24,530 --> 00:36:29,590 +مهم جدا ان انا اكون محافظة على التوازن ما بين + +452 +00:36:29,590 --> 00:36:37,170 +الاتنين عشان اقدر اطول بشكل فحي و ثاني في عندنا + +453 +00:36:37,170 --> 00:36:41,770 +جوانب الـ developmental او جوانب التطور للعظام at + +454 +00:36:41,770 --> 00:36:46,250 +birth most long bone are well ossified except for + +455 +00:36:46,250 --> 00:36:50,110 +their epiphases في لحظة الميلاد بتعرفوا الجنين ما + +456 +00:36:50,110 --> 00:36:56,090 +بنولد highline cartilage لأ بينولد عظامأو ossified + +457 +00:36:56,090 --> 00:37:02,610 +اللي هي متعظمة ما عدا أقراص النمو قلنا ليش؟ لأن هي + +458 +00:37:02,610 --> 00:37:07,850 +اللي هتطول العظام فبالتالي من الصعب أني أسكرها و + +459 +00:37:07,850 --> 00:37:11,370 +أخليها مغلقة، لأ أنا مش هجفلها و أخليها + +460 +00:37:11,370 --> 00:37:14,990 +ossification أو أعظمها، لأ هظلها مفتوحة ومازالة + +461 +00:37:14,990 --> 00:37:20,630 +highline cartilageحد عمر خمسة وعشرين nearly all + +462 +00:37:20,630 --> 00:37:24,630 +wounds are completely ossified true or false في حد + +463 +00:37:24,630 --> 00:37:29,960 +عمر خمسة وعشرين بالظبط يغلقاللي هو هو تغلق عملية + +464 +00:37:29,960 --> 00:37:34,140 +التعظم خلاص بعد هيك ما بيصير أقول أنا بدي لسه أطول + +465 +00:37:34,140 --> 00:37:38,640 +كمان شوية in old age الـ bone reabsorption + +466 +00:37:38,640 --> 00:37:43,460 +predominance طبعا في المسنين زي ما حكيتلكم ممكن + +467 +00:37:43,460 --> 00:37:47,340 +يكون صار في عندي تأكل في العظم ممكن يصير عندي اللي + +468 +00:37:47,340 --> 00:37:51,520 +هو بعض اللي هو نهاية العظمية صار فيها شوية قصر + +469 +00:37:51,520 --> 00:37:57,000 +فبالتالي بيصير في إعادة انتصاصلهذه الجزيئات + +470 +00:37:57,000 --> 00:38:00,400 +الصغيرة اللى موجودة تمام هذا بالنسبة لل + +471 +00:38:00,400 --> 00:38:06,840 +developmental aspect أو اللى هم التطور للعظام طبعا + +472 +00:38:06,840 --> 00:38:11,080 +العظام ايش الأمراض اللى ممكن تصيبها الكثور اللى هي + +473 +00:38:11,080 --> 00:38:15,920 +عبارة عن ايش الكثور هي عبارة عن distribution لل + +474 +00:38:15,920 --> 00:38:21,140 +integrity of living bone involving injury هي عبارة + +475 +00:38:21,140 --> 00:38:26,800 +عن قطع التواصل للعظمة كاملةفبالتالي هيصير فيه gap + +476 +00:38:26,800 --> 00:38:32,780 +مسافة بين النهايتين العضميتين تمام؟ ممكن يشمل + +477 +00:38:32,780 --> 00:38:37,060 +ليهاش الكسر يوصل للعضمة نفسها للبون ممكن الكسر + +478 +00:38:37,060 --> 00:38:41,020 +أشوف أنا منه البون مره مخايا العضم من جوا ممكن + +479 +00:38:41,020 --> 00:38:45,140 +توصل للبرستيان وممكن يكون في عندي كسر في الـ + +480 +00:38:45,140 --> 00:38:49,640 +adjacent soft tissueاللي هي أو يكون فيه إصابات في + +481 +00:38:49,640 --> 00:38:54,880 +الأنسج المحيطة زي العضلات زي التندن زي الـ + +482 +00:38:54,880 --> 00:38:59,500 +ligament هذه هي عبارة عن الأعضاء القريبة أو الأنسج + +483 +00:38:59,500 --> 00:39:03,940 +القريبة اللي موجودة في العضل إذا هنا في المصطلح + +484 +00:39:03,940 --> 00:39:07,360 +بيجينا عبارة عن إيش distribution of integrity of + +485 +00:39:07,360 --> 00:39:11,900 +living bone involving injury تمام؟ اللي هي عبارة + +486 +00:39:11,900 --> 00:39:17,130 +عن إيش؟ هو عبارة عن تعريف للـ fracturesالان انواع + +487 +00:39:17,130 --> 00:39:22,510 +الكثور وهي مهمة جدا كويس ان انا خريج كلية علوم + +488 +00:39:22,510 --> 00:39:28,210 +صحية اكون عارف شو انواع الكثور اول حاجة كثر بخص + +489 +00:39:28,210 --> 00:39:33,070 +الأطفال حاجة اسمه green stick كثر الغصن الأخضر + +490 +00:39:33,070 --> 00:39:38,490 +تمام؟ هذا الكثر هو عبارة عن incomplete كثر غير + +491 +00:39:38,490 --> 00:39:45,540 +كامل and break occurson convex surface of the bent + +492 +00:39:45,540 --> 00:39:51,040 +bone لاحظوا كيف هو جاي كسر مش كامل يادوم حاجة زي + +493 +00:39:51,040 --> 00:39:57,040 +كأنه بدي أعمل على التواء العضمة تمام فبالتالي هي + +494 +00:39:57,040 --> 00:40:02,360 +عبارة عن كسر incomplete كسر غير معقد ال fishard أو + +495 +00:40:02,360 --> 00:40:06,620 +ما يسمى شرخ تسمعه فلان وجع على رجله وصار في عنده + +496 +00:40:06,620 --> 00:40:11,050 +شرخ هذا هو الشرخ شايفين معايا كيف شكلهعبارة عن + +497 +00:40:11,050 --> 00:40:16,470 +إيش؟ Involved in incomplete longitudinal أو اللي + +498 +00:40:16,470 --> 00:40:23,070 +هو عبارة عن كسر جاي بشكل طولي مع طول العضمة تمام؟ + +499 +00:40:23,070 --> 00:40:29,510 +وعلى فكرة الشرخ أسوأ جدا من الكسر العادى ليه؟ لأنه + +500 +00:40:29,510 --> 00:40:34,330 +بكون مؤلم جدا وحتى ال healing تبعته ال LTM بتطول + +501 +00:40:34,330 --> 00:40:39,410 +معايا شوية ال communicated هو الكسر المعقدشوفوا + +502 +00:40:39,410 --> 00:40:45,730 +أكم فتفوتة هنا فيه و أكم جزء و أكم يعني اللي لازم + +503 +00:40:45,730 --> 00:40:50,910 +يدخل العمليات عشان أنا أقدر أثبت اللي هو العضام مع + +504 +00:40:50,910 --> 00:40:56,340 +بعضها البعض هو عبارة عن كثرة معقد complicatedاللي + +505 +00:40:56,340 --> 00:40:59,840 +هو الـ fractures completely and fragments of bone + +506 +00:40:59,840 --> 00:41:04,280 +في عندنا جزيئات موجودة من العظام يعني هنا بتشتغل + +507 +00:41:04,280 --> 00:41:07,260 +الـ osteoclast شغلها عبارة عن إيش تعمل + +508 +00:41:07,260 --> 00:41:11,580 +reabsorption إعادة امتصاص لهذه النتفات الصغيرة أو + +509 +00:41:11,580 --> 00:41:16,000 +الجزيئات الصغيرة هلأ الكسر الرابع هو عبارة عن ال + +510 +00:41:16,000 --> 00:41:20,080 +transfer fractures الكسر العرضي هو عبارة عن + +511 +00:41:20,080 --> 00:41:32,170 +completed fractures كسر معاقدالكسر بيصير بشكل عرضي + +512 +00:41:32,170 --> 00:41:37,510 +ومتعامد مع + +513 +00:41:37,510 --> 00:41:38,810 +ساق العضمة + +514 +00:41:41,460 --> 00:41:44,800 +أما الكسر المائل اللى هو زى ما انتوا شايفينه + +515 +00:41:44,800 --> 00:41:48,460 +بالصورة هو عبارة عن الـ oblique fractures okay at + +516 +00:41:48,460 --> 00:41:53,080 +angles rather than right angle to long axis of + +517 +00:41:53,080 --> 00:41:59,360 +bone اللى هو بيكون طبعا جاي بشكل مائل مع اللى هو + +518 +00:41:59,360 --> 00:42:05,300 +الخط العمودي أو ال long axis تبع العضمة تمام؟الـ + +519 +00:42:05,300 --> 00:42:10,280 +Spiral fractures هي عبارة عن الكسر الحلزوني أو ما + +520 +00:42:10,280 --> 00:42:16,960 +يسمى بإن العظمة ناتج عن إلتواء شديد للعظمة + +521 +00:42:16,960 --> 00:42:21,400 +فبالتالي زي الزنبرك بتكون العظمة Spiral حلزوني is + +522 +00:42:21,400 --> 00:42:26,120 +caused by twisting bone excessively اللي هو إلتواء + +523 +00:42:26,120 --> 00:42:33,620 +شديد وقوي للعظامهذا كله معانا ومهم التعريفات لإنه + +524 +00:42:33,620 --> 00:42:39,600 +ممكن أجيبه في المصطلح الآن في عندي كثر آخر اسمه ال + +525 +00:42:39,600 --> 00:42:44,180 +pathological اللي هو الكثر المرضى يعني على سبيل + +526 +00:42:44,180 --> 00:42:49,020 +المثال الناس اللي عندها شاشة عظام تمام ال stress + +527 +00:42:49,020 --> 00:42:55,690 +اللي هو ناتج عن ضغطعلى سبيل المثال، ضغط العضم أو + +528 +00:42:55,690 --> 00:43:00,570 +أنه أنا جاية حملت وزن كتير وكان وزني أصلا بالأصل + +529 +00:43:00,570 --> 00:43:05,690 +كبير فبالتالي نتيجة الكسر صار في عند نتيجة الضغط + +530 +00:43:05,690 --> 00:43:09,130 +أو نتيجة الوزن الزايد صار في عند stress fractures + +531 +00:43:09,130 --> 00:43:15,250 +كسر ناتج عن الضغط طبعا اللي موجودكسر غامض السبب + +532 +00:43:15,250 --> 00:43:19,130 +بيكون اللي هو كسر مش معروف السبب ما بنلاقي إلا + +533 +00:43:19,130 --> 00:43:23,250 +هالطفل اللي كسر طبعا بيكون هو إحنا مش عارفين إيش + +534 +00:43:23,250 --> 00:43:26,930 +هو السبب اللي أحنا عارفينه هل هو مرض يهششة عظام + +535 +00:43:26,930 --> 00:43:30,470 +ولا أحنا عارفينه أن الولد اتعرض لل trauma أو اتعرض + +536 +00:43:30,470 --> 00:43:36,050 +للقوة أدت إلى كسر هاي العضمةتمام؟ هذه الأنواع مهمة + +537 +00:43:36,050 --> 00:43:41,010 +جدا من أنواع الكثور فهذه بعض الصور في حاجة مهمة + +538 +00:43:41,010 --> 00:43:44,410 +هنا لازم انا كمان احكيلكم عليها اللي هي ال signs و + +539 +00:43:44,410 --> 00:43:47,810 +ال symptoms علامات الكسر لاحظوا هنا الإجر عندي + +540 +00:43:47,810 --> 00:43:53,770 +فيها انتفاخ فيه ورم تمام؟ فيها ايضا اذرقاق و + +541 +00:43:53,770 --> 00:43:58,150 +حميمرار للعضوطبعا ما بيقدر المريض يقدر ال function + +542 +00:43:58,150 --> 00:44:02,310 +تبعتها على سبيل المثال هذه الإجر كان بيمشي عليها + +543 +00:44:02,310 --> 00:44:05,990 +للأسف الشليد ما راح يقدر يمشي عليها hotness بلاقي + +544 +00:44:05,990 --> 00:44:11,430 +فيها حرارة عالية redness إحمرار حكيناها تمام إذا + +545 +00:44:11,430 --> 00:44:15,690 +عندي علامات الكثير في عندي اللي هو ال color طبعا + +546 +00:44:15,690 --> 00:44:20,010 +ال multicolor بيكون طبعا لون الإجر كذا لون أيضا + +547 +00:44:20,010 --> 00:44:25,690 +بيكون فيها hotness سخونة redness إحمرارأيضا بيكون + +548 +00:44:25,690 --> 00:44:30,830 +فيها swelling اللي هو الورم هذه كلها علامات مهمة + +549 +00:44:30,830 --> 00:44:37,110 +لا الكسور في عندي حاجة اسمها racket او ما يسمى + +550 +00:44:37,110 --> 00:44:43,010 +بطبعا احنا كل chapter هناخده هناخد حالة طبية فيه + +551 +00:44:43,010 --> 00:44:46,210 +الآن هذه اول حالة طبية هتمرة علينا حاجة اسمها + +552 +00:44:46,210 --> 00:44:50,770 +الكساح مرض الكساح هو عبارة عن مرض بيكون بيصيب + +553 +00:44:50,770 --> 00:44:54,770 +لسكلة ال systemطبعا و بالذات الـ lower limb اللي + +554 +00:44:54,770 --> 00:44:58,710 +هو الجزء الأسفل من الجسم عبارة عن إيش؟ generalized + +555 +00:44:58,710 --> 00:45:04,690 +metabolic bone disorders هو عبارة عن مرض بيكون حاص + +556 +00:45:04,690 --> 00:45:09,490 +بالعظام في الـ metabolic في عمليات الآيض تبع الجسم + +557 +00:45:09,490 --> 00:45:14,830 +characterized by failure or delayed calcification + +558 +00:45:14,830 --> 00:45:20,710 +of cartilaginous growth plateبيصير فيه فشل أو تأخر + +559 +00:45:20,710 --> 00:45:24,890 +في تعظم هذا الـ Cartilage تمام؟ في منطقة الـ + +560 +00:45:24,890 --> 00:45:30,230 +Epiphasis اللي هي بالاصل مش ملتحمة not fused ليست + +561 +00:45:30,230 --> 00:45:36,250 +ملتحمة ومندمجة تمام؟ إذا يوصف الكساح أو يميز + +562 +00:45:36,250 --> 00:45:42,430 +الكساح إن هو تأخر أو فشل في نمو العظام أو تعظم + +563 +00:45:42,430 --> 00:45:47,070 +العظام في منطقة الـ Epiphasis it's primarily + +564 +00:45:47,070 --> 00:45:50,930 +diseaseaffected في الـ endocondrial ossification + +565 +00:45:50,930 --> 00:45:57,590 +أو calcification بيصير اللي هو عبارة عن ايش؟ فشل + +566 +00:45:57,590 --> 00:46:00,830 +في مرحلة احنا حاكينا الـ ossification اللي هو في + +567 +00:46:00,830 --> 00:46:04,210 +مرحلة الـ endocondrial ومرحلة ال primary و ال + +568 +00:46:04,210 --> 00:46:07,170 +secondary ossification فبالتالي هنا الفشل بيصير في + +569 +00:46:07,170 --> 00:46:12,490 +مرحلة الـ endocondrial calcification manifested by + +570 +00:46:12,490 --> 00:46:17,710 +بيميزه clinically and radiographicallyاللي هو + +571 +00:46:17,710 --> 00:46:24,910 +بميزه طبيا وبالأشعار تشخيصية with widening and + +572 +00:46:24,910 --> 00:46:30,770 +deformation للـmetafacial lesion اتساع وانحراف في + +573 +00:46:30,770 --> 00:46:34,830 +منطقة الـmetafaces اللي هي المنطقة المتوسطة تبعت + +574 +00:46:34,830 --> 00:46:39,550 +العظامفبالتالي لأنه ليش ما صار فيه classification + +575 +00:46:39,550 --> 00:46:44,290 +هنا عندى ضلت المنطقة زى ما هى Cartel Genius + +576 +00:46:44,290 --> 00:46:49,590 +Cartelage ضلت ايش غدروا فيا فبالتالي أدى الى + +577 +00:46:49,590 --> 00:46:55,020 +الكساحاللي هو مرض يصيب الأطفال طبعا بيأثر على + +578 +00:46:55,020 --> 00:47:00,720 +مشيتهم بيأثر عليهم وبيحتاج المريض فيه طبعا هو نقص + +579 +00:47:00,720 --> 00:47:05,560 +ل vitamin D ريكيت أو نقص ل .. اللي هو بعض العناصر + +580 +00:47:05,560 --> 00:47:11,200 +الغذائية اللي لها علاقة بالكالسيوم و الفسفور تمام؟ + +581 +00:47:11,200 --> 00:47:15,240 +و بهيك بيقول أنا خلصت chapter واحد من skeletal + +582 +00:47:15,240 --> 00:47:20,120 +system اللي هو أول chapter أدخل فيه على العظامبإذن + +583 +00:47:20,120 --> 00:47:25,180 +الله تعالى ألقاكم على خير ان شاء الله رب العالمين + +584 +00:47:25,180 --> 00:47:27,900 +و بالتوفيق للجميع + diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/JEHxr3O2I4k_raw.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/JEHxr3O2I4k_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..2522c40d327ae7f4abbd99a0de8f679e0e4080ca --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/JEHxr3O2I4k_raw.srt @@ -0,0 +1,2336 @@ +1 +00:00:01,690 --> 00:00:05,690 +السلام عليكم ورحمة الله وبركاته بإذن الله اليوم + +2 +00:00:05,690 --> 00:00:11,070 +سأتحدث في الفيديو رقم 7 في chapter skeletal system + +3 +00:00:11,070 --> 00:00:15,950 +1 اللي أنا حكيت أنه أنا هقسمه إلى جزئين طبعا اللي + +4 +00:00:15,950 --> 00:00:21,190 +هو الفيديو رقم 6 وفيديو رقم 7 بيتكلم عن مقدمة عن + +5 +00:00:21,190 --> 00:00:27,130 +العظام الآن بإذن الله سأبدأ في شرح الجزئية التانية + +6 +00:00:27,130 --> 00:00:34,240 +نبدأ على بركة اللهخلّينا نشوف كنت اتحدثت على مقدمة + +7 +00:00:34,240 --> 00:00:39,020 +صغيرة عن العظام و أنواعها الآن سأتحدث عن الغطاء + +8 +00:00:39,020 --> 00:00:43,640 +اللي بيغطي اللي هو العظام الآن ال bone membrane زي + +9 +00:00:43,640 --> 00:00:47,960 +ما بتعرفه هو عبارة عن كلمة bone العظم و ال + +10 +00:00:47,960 --> 00:00:52,480 +membrane هو عبارة عن الغشاء هلأ هذا الغشاء في منه + +11 +00:00:52,480 --> 00:00:58,000 +غشاء داخلي و في منه غشاء خارجي برا العظم الآن + +12 +00:00:58,000 --> 00:01:04,230 +الغشاء الأولاني اللي هو periProstium يعني حوله + +13 +00:01:04,230 --> 00:01:09,250 +يعني برا العظم فبالتالي Prostium باللاتين واردز هي + +14 +00:01:09,250 --> 00:01:12,410 +عبارة عن ال bone و Prostium هي عبارة عن double + +15 +00:01:12,410 --> 00:01:18,450 +layer عبارة عن طبقتين تعمل protective membraneإذا + +16 +00:01:18,450 --> 00:01:24,370 +بما أنها جاية غشاء عظمي خارجي فهو وظيفته يقوم + +17 +00:01:24,370 --> 00:01:28,750 +بحماية العظم حماية العظم معناته اللي حاكي أنه + +18 +00:01:28,750 --> 00:01:33,430 +هيكون من برا معناته إذا أنا حاكيت ودي أدعم إشي أو + +19 +00:01:33,430 --> 00:01:38,010 +أقوي إشي بدي أضيفله fibrous أضيفله الياف عشان أنا + +20 +00:01:38,010 --> 00:01:42,670 +أخليه more strong فبالتالي هذا البرستيام اللي أنا + +21 +00:01:42,670 --> 00:01:46,830 +بتحدث عنه هيحتوي على طبقتين حكينا double layer + +22 +00:01:47,210 --> 00:01:51,670 +الأول أو الطبقة الأولى منها حاجة اسمها outer + +23 +00:01:51,670 --> 00:01:56,330 +surface و حاجة هنا inner surface ال outer أو + +24 +00:01:56,330 --> 00:02:02,530 +الطبقة الخارجية مكونة من ايش؟ من DNS Regular + +25 +00:02:02,530 --> 00:02:11,040 +Connective Tissue نسيج منتظم دام كثيفالاوتر برا + +26 +00:02:11,040 --> 00:02:15,200 +عشان انا بدي احميه من اي microorganism او احميه من + +27 +00:02:15,200 --> 00:02:20,740 +اي اصابة او احميه من اي هجوم هدعمه بـfibrous اذا + +28 +00:02:20,740 --> 00:02:24,720 +البرستيام يحتوي على double layer الاوتر منها + +29 +00:02:24,720 --> 00:02:29,940 +fibrous اما ال inner فهي عبارة عن osteogenic layer + +30 +00:02:30,350 --> 00:02:35,250 +كلمة Osteo تعني عضم Genic formation تكوين العضم + +31 +00:02:35,250 --> 00:02:39,310 +فبالتالي هنا لما بدي أجي أتكلم عن ال osteogenic + +32 +00:02:39,310 --> 00:02:45,150 +layer composed of osteoblast حكينا كلمة blast + +33 +00:02:45,150 --> 00:02:52,210 +building تعني خلايا عضمية بانية and osteoclast أول + +34 +00:02:52,210 --> 00:02:56,570 +مرة تمر علينا كلمة clast تحتوي على خلايا عضمية + +35 +00:02:56,570 --> 00:03:01,960 +بانية وعكسها تماما osteoclastPlus بتعني خلايا + +36 +00:03:01,960 --> 00:03:07,400 +هادمة، destroyed، محطمة، خلاص، مافي خلايا بعد هيك + +37 +00:03:07,400 --> 00:03:11,980 +Richly blood supply and mere fiber and lymphatic + +38 +00:03:11,980 --> 00:03:16,880 +vessels which enter the bone via nitrogen formina + +39 +00:03:17,440 --> 00:03:21,840 +هذه الطبقة الداخلية أو الـ Inner Osteogenic Layer + +40 +00:03:21,840 --> 00:03:25,960 +من اسمها حاجة داخلية الجنين دائما أما بتقوم + +41 +00:03:25,960 --> 00:03:30,660 +بتغذيته فبالتالي هنا الـ Inner Layer بدي يكون غني + +42 +00:03:30,660 --> 00:03:37,640 +جدا بالألياف والأعصاب والقنوات اللينفاوية والـ + +43 +00:03:37,640 --> 00:03:42,760 +blood supply التروية الدموية كل هذا بيدخل عن طريق + +44 +00:03:42,760 --> 00:03:47,590 +فتحةاسمها الـ Nutrition Promenade اللي هي عبارة عن + +45 +00:03:47,590 --> 00:03:52,870 +فتحة التغذية تمام؟ هذه Inner Osteogenic Layer أو + +46 +00:03:52,870 --> 00:03:59,350 +الطبقة الداخلية تحتوي على اللي هي Charbis Fiber + +47 +00:03:59,350 --> 00:04:04,410 +كلمة Charbis Fiber هي عبارة عن إيش؟ هي عبارة عن + +48 +00:04:04,410 --> 00:04:09,070 +مفتاح الأمان يعني secured by underlying اللي هو + +49 +00:04:09,070 --> 00:04:14,880 +Boon عن طريقالياف تشاربي تمام هذه الياف تشاربي هي + +50 +00:04:14,880 --> 00:04:19,120 +عبارة عن المفاتيح اللي بتتم اغلاق اللي هي ال inner + +51 +00:04:19,120 --> 00:04:23,480 +oxygenic layers الطبقة الداخلية اذا اللي انا لو + +52 +00:04:23,480 --> 00:04:27,560 +انا بدي الخص اللي هو ال ball membrane او غشاء + +53 +00:04:27,560 --> 00:04:32,160 +العضم الخارجي بدي احكي ان هو بدي يتكون من double + +54 +00:04:32,160 --> 00:04:36,940 +layer طبقتين طبقة خارجية لبرا وطبقة داخلية لجوا + +55 +00:04:37,390 --> 00:04:42,870 +الطبقة الخارجية اللي هي بتحتوي على fibers تحتوي + +56 +00:04:42,870 --> 00:04:47,110 +على ألياف شو نوع اللي في اللي فيها؟ هو عبارة عن + +57 +00:04:47,110 --> 00:04:51,990 +DNS Regular Connective Tissue تحتوي على نسيج ضعم + +58 +00:04:51,990 --> 00:04:58,010 +منتظم من اللي هو الكتيف تمام؟ هذا إيش الطبقة اللي + +59 +00:04:58,010 --> 00:05:04,800 +برا خارجية ال innerطبقة الداخلية تحتوي على مكوّن + +60 +00:05:04,800 --> 00:05:09,700 +للخلايا العضمية أو المنتج للخلايا العضمية Composed + +61 +00:05:09,700 --> 00:05:14,760 +of إيش تحتوي على أستيو تحتوي على osteoplast اللي + +62 +00:05:14,760 --> 00:05:20,420 +هي خلايا بانية و كذلك osteoclast خلايا هادمةهي + +63 +00:05:20,420 --> 00:05:25,460 +غنية جدا بالتروية الدموية والألياف العصبية وكذلك + +64 +00:05:25,460 --> 00:05:31,200 +الأوعية اللينفاوية تدخل للإضام عن طريق فتحة اسمها + +65 +00:05:31,200 --> 00:05:37,260 +الـNitrogen Promenade فتحة التغذية الآن Secured to + +66 +00:05:37,260 --> 00:05:43,940 +underlying bone بتم تثبيتها و بتم محافظة عليها عن + +67 +00:05:43,940 --> 00:05:48,320 +طريق ألياف Charbis هذه اللي هي عبارة عن مفتاح + +68 +00:05:48,320 --> 00:05:52,960 +الأمان لألهملأن هذا كل انا اللى كنت بتكلم عليه هو + +69 +00:05:52,960 --> 00:05:57,460 +عبارة عن البريستيام الطبقة الخارجية الان + +70 +00:05:57,460 --> 00:06:02,720 +الاندستيام او ما يسمى بالغشاء الداخلي هو عبارة عن + +71 +00:06:02,720 --> 00:06:08,330 +بلي كيتد مبرين covering internal surface of boneهو + +72 +00:06:08,330 --> 00:06:13,870 +عبارة عن الغشاء الداخلي الرقيق كلمة dedicated تعني + +73 +00:06:13,870 --> 00:06:20,390 +رقيق غشاء رقيق يغطي السطح الداخلي للعظام فبالتالي، + +74 +00:06:20,390 --> 00:06:23,390 +بدي يكون عندنا الترتيب كالاتي لو أنا اجيت بالمشرة + +75 +00:06:23,390 --> 00:06:28,650 +من ال out to inner معناتهبدي ادخل اول اشي على ال + +76 +00:06:28,650 --> 00:06:32,950 +outer fibrous layer تبعت البرستيام بعدين ال inner + +77 +00:06:32,950 --> 00:06:37,090 +osteogenic layer بعدين هدخل على ال endostium اللى + +78 +00:06:37,090 --> 00:06:42,750 +هو الغشاء الداخلي تمام هذا الحكي هو عبارة عن ايش + +79 +00:06:42,750 --> 00:06:48,890 +الغشاء الداخلي او الطبقة الداخلية لاللي هي العضم + +80 +00:06:48,890 --> 00:06:54,030 +من الداخل ان شاء الله رب العالمين هنشوف ترتيبهم + +81 +00:06:54,030 --> 00:06:58,590 +الآن في الصورةإذا ال boom membrane يحتوي على قسمين + +82 +00:06:58,590 --> 00:07:02,830 +خليني ألخص هذه لإنه مهمة هذه ال slide تمام ممكن + +83 +00:07:02,830 --> 00:07:06,970 +يجينا الأسئلة على طريق مصطلح تجينا عن طريق ال mcu + +84 +00:07:06,970 --> 00:07:12,450 +يحتوي على طبقتين تنتين من ال membranes ال bristium + +85 +00:07:12,450 --> 00:07:15,830 +و ال indestium من اسمها bristium معناته لبرا و ال + +86 +00:07:15,830 --> 00:07:19,210 +indestium معناته لجوا ال bristium تم قسم إلى + +87 +00:07:19,210 --> 00:07:24,960 +طبقتين ال outer أو ال out layersالطبقة الخارجية و + +88 +00:07:24,960 --> 00:07:30,360 +ال inner esugenic layers تمام هاي عبارة عن الصورة + +89 +00:07:30,360 --> 00:07:34,660 +اللي احنا حكينا عليها هنشوفها و نتنام شو ال blood + +90 +00:07:34,660 --> 00:07:38,200 +and nerve supply لل bone طبعا بما انه ال bone كائن + +91 +00:07:38,200 --> 00:07:42,360 +حي او انه نسيج حي معناة الكلام انه لازمه تغذية + +92 +00:07:42,360 --> 00:07:46,880 +عصبية تروية دموية ايضا اللي احنا لازم نعرف الأجزاء + +93 +00:07:46,880 --> 00:07:51,540 +اللي حكينا عليها في عندنا بالنسبة لاللي هو التروية + +94 +00:07:51,540 --> 00:07:55,990 +الدمويةهيكون حاجة اسمها من اسمها bristial arteries + +95 +00:07:55,990 --> 00:08:00,270 +شرايين خاصة في البرستيال زى ما انتوا شايفينها هنا + +96 +00:08:00,270 --> 00:08:04,030 +هذه هي الشرايين الحمراء اللى بتغذى العضم + +97 +00:08:04,030 --> 00:08:07,950 +nutritional arteries او اللى هى الشرايين المغذية + +98 +00:08:07,950 --> 00:08:11,530 +انتر خلال اللى هوا ال nutrition phromina هذا ال + +99 +00:08:11,530 --> 00:08:15,090 +nutrition phromina وين موجودة حكينا فى ال inner + +100 +00:08:15,090 --> 00:08:20,820 +osteogenic layersالطبقة الداخلية من مين؟ من + +101 +00:08:20,820 --> 00:08:24,840 +Libristium في اللي هي ال slide السابقة حكينا عليها + +102 +00:08:24,840 --> 00:08:29,740 +تمام supplies لل compact bone of diaphases and red + +103 +00:08:29,740 --> 00:08:34,800 +marrow بتغذي ال compact bone العضم الحقيقي اللي هو + +104 +00:08:34,800 --> 00:08:40,260 +موجود في diaphases و كذلك ال red marrow اللي هو + +105 +00:08:40,260 --> 00:08:44,900 +نخاع العضم الأحمر هنا كمان حكيت أنا على حاجة اسمها + +106 +00:08:44,900 --> 00:08:49,540 +ال modular cavity في ال compact bone okayهذه عبارة + +107 +00:08:49,540 --> 00:08:53,660 +عن الفتحة اللى هى ال nutritional thromina و ال + +108 +00:08:53,660 --> 00:08:57,840 +nutritional arteries اللى هو شريان التخضيه الان ال + +109 +00:08:57,840 --> 00:09:04,020 +metaphases و ال epiphases AA artery تعنى artery ال + +110 +00:09:04,020 --> 00:09:08,460 +metaphases artery و ال epiphases artery تمام + +111 +00:09:08,460 --> 00:09:13,460 +سبلايلا ريدمارو and بونتيشو of epiphases بتغذى + +112 +00:09:13,460 --> 00:09:18,980 +نخاع العضل و كذلك أنسجة العضلالان كلمة meta تعني + +113 +00:09:18,980 --> 00:09:22,660 +بينها between هذه ال metafaces ما بينها احنا حكينا + +114 +00:09:22,660 --> 00:09:27,240 +فوق هيكون في عندنا هنا ال epifaces و ايضا في ال + +115 +00:09:27,240 --> 00:09:31,070 +digital ايضا في عندنا digital epifacesما بينهم في + +116 +00:09:31,070 --> 00:09:35,590 +المنتصف هنا في حاجة اسمها الـ Diaphases وبين قوسين + +117 +00:09:35,590 --> 00:09:38,810 +وحكينا كمان الـ Metaphases تحتوي على الـ Modular + +118 +00:09:38,810 --> 00:09:43,190 +Cavity تحتوي على إيش؟ على اللي هي الـ Modular + +119 +00:09:43,190 --> 00:09:47,150 +Cavity اللي فيها الـ Yellow Bone Marrow هي غشاء + +120 +00:09:47,150 --> 00:09:52,090 +رقيق من الـ Breast Yump اللي موجود تمام؟ هذا + +121 +00:09:52,090 --> 00:09:57,270 +بالنسبة للتغذية العصبية والتروية الدموية للعظام + +122 +00:09:58,490 --> 00:10:03,250 +بالنسبة للعظام تحت المجهر احنا حكينا الهستولوجي هي + +123 +00:10:03,250 --> 00:10:06,810 +عبارة عن الاشي او الأنسجة اللى بتتدرس تحت ال + +124 +00:10:06,810 --> 00:10:11,310 +microscope لجينا انه بتحتوي العظام على عدة شغلات + +125 +00:10:11,310 --> 00:10:16,770 +فى عندي عظام compact او بسميها cocktail compact + +126 +00:10:16,770 --> 00:10:25,040 +معناته عظم حقيقي هناك فى عظم اسفنجي يحتوي علىغرف + +127 +00:10:25,040 --> 00:10:29,780 +وفجوات اسمه ال consolas اللي هو عبارة عن ال sponge + +128 +00:10:29,780 --> 00:10:37,280 +bone ال lamellar bone هو عبارة عن اللي هو العظام + +129 +00:10:37,280 --> 00:10:41,300 +المخلخلة أو العظام اللي هي بتكون فيها فراغات + +130 +00:10:41,300 --> 00:10:48,960 +regular and mature منتظمة و نادجة كلمة regular + +131 +00:10:48,960 --> 00:10:55,030 +منتظم و mature نادجالواذنبون هي عبارة عن العظام + +132 +00:10:55,030 --> 00:11:00,830 +اللى غير منتظمة وغير ناضجة زى عظام اللى هى الجنين + +133 +00:11:00,830 --> 00:11:04,990 +ايضا اللى + +134 +00:11:04,990 --> 00:11:09,490 +بتكون اللى صارت بعد الكسر فى ال fractures اللى هى + +135 +00:11:09,490 --> 00:11:14,870 +عبارة عن كسر اذا الافتعيد اللى هى وحدة بناء العظم + +136 +00:11:14,870 --> 00:11:19,960 +او العظم المكون الادارسىالقلص هو عبارة عن ال + +137 +00:11:19,960 --> 00:11:24,140 +fractures healing لأن بعد ما يصير فيه كسر الجاب أو + +138 +00:11:24,140 --> 00:11:26,900 +الفجوة اللى ما بين نهاية العضمتين اللى صار فيهم + +139 +00:11:26,900 --> 00:11:31,880 +كسر بيصير فى امتلأ لهذه الفجوة بال kills هذا بيسمى + +140 +00:11:31,880 --> 00:11:36,140 +قلص formation أو تكون ال kills اللى هو بدى يكون فى + +141 +00:11:36,140 --> 00:11:40,220 +ال fractures إذا ال historical type compact bone، + +142 +00:11:40,220 --> 00:11:44,880 +spongy bone، لميلار boneالواذين بون والاستويد + +143 +00:11:44,880 --> 00:11:49,320 +والكلس طبعا هذا كله انا بلاجيه تحت ال microscope + +144 +00:11:49,320 --> 00:11:53,700 +في ال histological type تمام هذه أنواع العظام + +145 +00:11:53,700 --> 00:11:57,600 +هاخدهم بالتفصيل اول اشي ال compact bone العظام + +146 +00:11:57,600 --> 00:12:01,820 +الحقيقية طبعا العظام الحقيقية تحتوي على نظام + +147 +00:12:01,820 --> 00:12:06,680 +Harvin وأكيد هذا طبعا أخدتوا انتوا بالاحياء نظام + +148 +00:12:06,680 --> 00:12:11,260 +Harvin او ما يسمى Harvin systemأور أستيون وحدة + +149 +00:12:11,260 --> 00:12:15,180 +بناء العظم هو عبارة عن الـ structural unit للـ + +150 +00:12:15,180 --> 00:12:19,280 +compact bone هي عبارة عن وحدة بناء العظم الحقيقي + +151 +00:12:19,280 --> 00:12:24,420 +اللاملة اللاملة هي عبارة عن ال weight bearing هي + +152 +00:12:24,420 --> 00:12:28,740 +عبارة عن الساق اللي بتكون موجودة داخل العظم تمام + +153 +00:12:28,740 --> 00:12:34,200 +كلومان like matrix tubescomposed mainly of + +154 +00:12:34,200 --> 00:12:39,540 +collagen هي عبارة عن هساق الأنبوبية الاستغانية + +155 +00:12:39,540 --> 00:12:46,400 +الشكل موجودة في منتصف العظم لساتها لملة تمام لسه + +156 +00:12:46,400 --> 00:12:50,460 +مكونة او ال matrix بتاعتها المادة الخلوية من ال + +157 +00:12:50,460 --> 00:12:55,920 +collagen تمام انتقل للنوع التالت اللي هو او المكون + +158 +00:12:55,920 --> 00:12:59,760 +ل ال compact Harvin او ال central canal من ال + +159 +00:12:59,760 --> 00:13:04,140 +Harvin او ال central canalالقناة الرئيسية هي عبارة + +160 +00:13:04,140 --> 00:13:08,900 +عن إيش؟ central canal containing blood vessels and + +161 +00:13:08,900 --> 00:13:15,620 +nerve تحتوي على أوعية دموية و كذلك أعصاب تمام؟ إذا + +162 +00:13:15,620 --> 00:13:20,840 +أخدنا عن نظام هارفن أخدنا عن اللاملة أخدنا أيضا عن + +163 +00:13:20,840 --> 00:13:24,780 +ال central canal في حاجة اسمها ال vakman canal + +164 +00:13:24,780 --> 00:13:30,520 +قناة vakman هي عبارة عن القناةاللي بتتعامد lying + +165 +00:13:30,520 --> 00:13:36,700 +at right angle بتتعامد بشكل أو بزاوية قائمة مع + +166 +00:13:36,700 --> 00:13:42,420 +القناع الأساسي الـ central canal تمام؟ تحتوي على + +167 +00:13:42,420 --> 00:13:47,040 +blood supply وال nerve للبرستين to the Harvin + +168 +00:13:47,040 --> 00:13:53,640 +canal okay؟VocMan هي عبارة عن قناة تتعامد بشكل + +169 +00:13:53,640 --> 00:13:58,860 +حقيقي أو بشكل بزاوية قائمة مع القناة الرئيسية الـ + +170 +00:13:58,860 --> 00:14:02,740 +Central Canal اللي هي بالاصل هنا تحتوي على blood + +171 +00:14:02,740 --> 00:14:07,800 +supply و كذلك nerve supply تمام؟containing blood + +172 +00:14:07,800 --> 00:14:11,600 +and nerve supply للبريستيام البريستيام وين صرنا + +173 +00:14:11,600 --> 00:14:15,760 +فيه في الغشاء الخارجي to the Harvin canal عشان + +174 +00:14:15,760 --> 00:14:20,600 +يدخل على قناة Harvin خليني أشوف صورة لهذا الحكي + +175 +00:14:20,600 --> 00:14:25,400 +نرجع شوية هاي اللي هي القنوات اللي احنا حكينا + +176 +00:14:25,400 --> 00:14:29,040 +عليها Harvin او اللاملة هي عبارة عن الساق أو + +177 +00:14:29,040 --> 00:14:32,980 +الأنبوبة الاستوانية اللي موجودة هنا في المنتصف + +178 +00:14:32,980 --> 00:14:38,310 +المحتوية على الكولاجين فقطتمام؟ و بعدين بيصير في + +179 +00:14:38,310 --> 00:14:44,130 +إليها ossification أو عملية تعظم لأن أيضا في ال + +180 +00:14:44,130 --> 00:14:49,510 +compact bone في حاجة اسمها osteocyte انا هاقسم + +181 +00:14:49,510 --> 00:14:56,230 +الكلمة قسمين رئيسيين oste تعني عظم، cyt خلية، خلية + +182 +00:14:56,230 --> 00:15:03,350 +العظم هي عبارة عن mature bone cellخلايا عظمية + +183 +00:15:03,350 --> 00:15:10,570 +ناضجة osteocyte osteo تعني عظم وcyte خلية ال + +184 +00:15:10,570 --> 00:15:14,390 +lacuna أو ما يسمى الحاضنة مرت علينا قبل هيك بكذا + +185 +00:15:14,390 --> 00:15:18,450 +شبتر هي عبارة عن إيش؟ ال lacuna هي عبارة عن small + +186 +00:15:18,450 --> 00:15:25,330 +cavities in bone that contain osteocyte تمام؟ هي + +187 +00:15:25,330 --> 00:15:31,730 +عبارة عن تجاويف صغيرة في العظام تحتوي علىالخلايا + +188 +00:15:31,730 --> 00:15:35,470 +العظمية طبعا الخلايا العظمية مش هتكون موجودة هيك + +189 +00:15:35,470 --> 00:15:39,650 +عندنا برا لأ لازم يكون لها غرف صغيرة عشان هي تكون + +190 +00:15:39,650 --> 00:15:43,770 +موجودة فيها فبالتالي ال oocyte موجودة في حضورات + +191 +00:15:43,770 --> 00:15:50,130 +صغيرة بسميها ال lacuna الحاضنة بين قطين هي الحاضنة + +192 +00:15:50,130 --> 00:15:56,990 +ال cancoli cancoli هي عبارة عن ال hair like canal + +193 +00:15:56,990 --> 00:16:03,080 +قنوات أو أنابيب شعريةيعني كام هي رقيقة جدا او + +194 +00:16:03,080 --> 00:16:09,480 +رفعها جدا رفيعة that connect lacuna to each other + +195 +00:16:09,480 --> 00:16:14,840 +and central canal تعمل ال canculi تعمل على ربط ال + +196 +00:16:14,840 --> 00:16:21,160 +lacuna اللي هي الحجر العضمية قول ان مثلا خمسة + +197 +00:16:21,160 --> 00:16:27,620 +lacuna هتربطهم مع بعض وتوصلهم بال central canal + +198 +00:16:27,620 --> 00:16:31,150 +لأن لازم يكون في blood supplyلازم يكون في nerve + +199 +00:16:31,150 --> 00:16:36,890 +تمام؟ اذا ال cancoli هي عبارة عن انابيب شعرية او + +200 +00:16:36,890 --> 00:16:41,990 +انابيب رقيقة جدا او رفيعة جدا تربط كل اللاكيونا مع + +201 +00:16:41,990 --> 00:16:47,390 +بعضها البعض بال central canal تمام؟ وهذا ايضا اشي + +202 +00:16:47,390 --> 00:16:51,130 +مكون للبون او تحت ال microscope انا بشوفه في ال + +203 +00:16:51,130 --> 00:16:55,890 +hysterical type هنا هاي الرسمةكمان ممكن انا احكي + +204 +00:16:55,890 --> 00:17:00,070 +عنها الostium هذا هو هو عبارة عن harven system + +205 +00:17:00,070 --> 00:17:04,190 +كتمام هاي اللاملة اللى احنا حكينا عليها تحتوي على + +206 +00:17:04,190 --> 00:17:09,370 +ال collagen طبعا هذا مقطع عرضى من العظام ال lacuna + +207 +00:17:09,370 --> 00:17:13,250 +زى ما انتوا شايفينها وين المؤشر عليها هنا هي عبارة + +208 +00:17:13,250 --> 00:17:17,450 +عن الحجرة اللى بيكون فيها ال osteocyte او ما يسمى + +209 +00:17:17,450 --> 00:17:22,170 +هي ال osteocyte الخلايا العظمية المكونة للعظمتمام؟ + +210 +00:17:22,170 --> 00:17:26,290 +وشايفين هذه القنابيب الشعرية هي عبارة عن الكنكولاي + +211 +00:17:26,290 --> 00:17:31,190 +بتربطهم كلهم مع بعض عشان في الآخر تربطهم مع ال + +212 +00:17:31,190 --> 00:17:34,370 +central canal اللي احنا شايفينها او ما يسمى harven + +213 +00:17:34,370 --> 00:17:39,010 +canal تمام؟ عشان موضوع وقصة ال blood supply و ال + +214 +00:17:39,010 --> 00:17:45,380 +nerve supply okay الرسمة هنا مش معناةهنا الـ + +215 +00:17:45,380 --> 00:17:48,880 +spongy bone أو الـ cancerous bone لا تحتوي على + +216 +00:17:48,880 --> 00:17:54,120 +أسجن لا تحتوي على وحدة بناء عظمي تمام؟ ليه؟ لأنها + +217 +00:17:54,120 --> 00:17:57,720 +spongy bone لاحظوا أزيش الفراغات هنا مليانة طبعا + +218 +00:17:57,720 --> 00:18:01,000 +لأنها ممتلقة بال red bone marrow فبالتالي تحتوي + +219 +00:18:01,000 --> 00:18:04,760 +على trabecula اللي هي النتوءات اللي موجودة هنا + +220 +00:18:04,760 --> 00:18:09,420 +okay الأسسايت هي عبارة عن الخلايا العظمية اللي + +221 +00:18:09,420 --> 00:18:16,030 +موجودة شو أنواع cell type of bone؟أنواع العظام أو + +222 +00:18:16,030 --> 00:18:21,670 +أنواع الخلايا العظمية في عندي أربع أنواع للخلايا + +223 +00:18:21,670 --> 00:18:27,610 +العظمية Osteobrogenator أستيو تعني عظم + +224 +00:18:27,610 --> 00:18:33,990 +البروجيناتور مخلق أو منتج العظم تمام خلايا عظمية + +225 +00:18:33,990 --> 00:18:39,190 +مخلقة أو منتجة هي عبارة عن undifferentiated cells + +226 +00:18:39,810 --> 00:18:45,830 +خلايا غير متخصصة un تعني نفي الكلمة differentiated + +227 +00:18:45,830 --> 00:18:49,350 +مخصصة فهي بالتالي تصبح الترجمة هنا + +228 +00:18:49,350 --> 00:18:53,970 +undifferentiated cells مميزاتها هاي مهمة جدا + +229 +00:18:53,970 --> 00:18:58,870 +undifferentiated يعني خلايا غير مخصصة can divide + +230 +00:18:58,870 --> 00:19:04,870 +become osteoblast تستطيع الإنقسام ومن ثم تتحول إلى + +231 +00:19:04,870 --> 00:19:10,220 +خلايا بانية لإنها progenitors تمامخلايا منتجة + +232 +00:19:10,220 --> 00:19:15,580 +فبالتالي موجودة في ال inner layer من البرستيوم and + +233 +00:19:15,580 --> 00:19:21,760 +اندستيوم تمام هنا المعلومات هذه مهمة جدا وممكن + +234 +00:19:21,760 --> 00:19:27,380 +تكون محط أسئلة فبالتالي أنا هلخص أول نوع من أنواع + +235 +00:19:27,380 --> 00:19:32,160 +الخلايا العضمية osteogenated أو osteoprogenator هي + +236 +00:19:32,160 --> 00:19:36,040 +عبارة عن undifferentiated cells خلايا غير مخصصة + +237 +00:19:36,390 --> 00:19:41,230 +تستطيع الانقسام و التحول الى osteoblast خلايا + +238 +00:19:41,230 --> 00:19:46,630 +بانية ايضا موجود مكانها في اللى هى ال inner layer + +239 +00:19:46,630 --> 00:19:50,690 +مع ال indestium يعني لجوا في ال inner layer احنا + +240 +00:19:50,690 --> 00:19:54,250 +حكينا فيه عنه ال bristium و ال indestium في ال + +241 +00:19:54,250 --> 00:19:58,270 +bristium outer layer لبرا و في inner layer لجوا + +242 +00:19:58,270 --> 00:20:04,130 +خلايا البانية خلايا عضمية بانية osteoblast form + +243 +00:20:04,130 --> 00:20:08,620 +matrixمن الـ Collagen fiber but cannot divided + +244 +00:20:08,620 --> 00:20:13,620 +تحتوي أو بتشكل ال matrix تبع العظم اللي هو من + +245 +00:20:13,620 --> 00:20:17,100 +ألياف ال collagen ولكن لا تستطيع الانقسام + +246 +00:20:17,100 --> 00:20:22,300 +Osteoblast تمام فهي تبني العظم ولكن لا تستطيع + +247 +00:20:22,300 --> 00:20:28,300 +الانقسام النوع التالت حاجة اسمها Osteocyte أستيو + +248 +00:20:28,300 --> 00:20:33,250 +لحالها عظم سايت خلايا هي عبارة عن mature cellsthat + +249 +00:20:33,250 --> 00:20:38,330 +no longer secrete matrix ما بتقدر اللي هي تفرز + +250 +00:20:38,330 --> 00:20:41,950 +المادة الخلوية على المادة البعيد لأ إذن هي عبارة + +251 +00:20:41,950 --> 00:20:46,310 +عن خلاية عضمية ناضجة that no longer secreted + +252 +00:20:46,310 --> 00:20:50,570 +matrix فهذه خلاية العضم أو الـ osteocyte الخلاية + +253 +00:20:50,570 --> 00:20:55,250 +العضمية نفسها كلمة osteoclast أو النوع الرابع من + +254 +00:20:55,250 --> 00:20:59,750 +أنواع الخلاية العضمية هي عبارة عن الخلاية الهادمة + +255 +00:21:00,170 --> 00:21:05,050 +هي عبارة عن ايش؟ huge cells خلايا ضخمة form او + +256 +00:21:05,050 --> 00:21:08,770 +from fused monocytes اللي هي نوع من انواع ال white + +257 +00:21:08,770 --> 00:21:13,430 +blood cells الخلايا او كوريات الدم البيضاء ال + +258 +00:21:13,430 --> 00:21:17,850 +function تبعتها bone reabsorption in a surface + +259 +00:21:17,850 --> 00:21:22,430 +such as in the stem تمام ال osteoclast هي عبارة عن + +260 +00:21:22,430 --> 00:21:28,480 +خلايا هادمة وهي نوع ومكوّنة من اللي هي الـ fused + +261 +00:21:28,480 --> 00:21:32,900 +طبعا الدمج الـ monocytes اللي هي تبعت ال white + +262 +00:21:32,900 --> 00:21:36,580 +blood cells الخلايا البيضاء ليش؟ لأنه هادمة + +263 +00:21:36,580 --> 00:21:39,920 +فمعناته لازم تحافظ على الجسم من أي micro organism + +264 +00:21:39,920 --> 00:21:44,460 +وظيفتها في حالة على سبيل المثال صار في عندي كسر + +265 +00:21:44,460 --> 00:21:49,300 +طبعا فيه هيصير الكسر مش هيكون خلاص أنا قسمت قطعتها + +266 +00:21:49,300 --> 00:21:52,760 +ال cake إلى نصفين وخلاص لأ هيكون فيه فتفيتة صغيرة + +267 +00:21:52,760 --> 00:21:58,520 +من العضمهنا لازم هذه الـ Osteoclast تعمل على إعادة + +268 +00:21:58,520 --> 00:22:03,440 +إمتصاصها Reabsorption at surface such as اندستيام + +269 +00:22:03,440 --> 00:22:09,060 +طبعا اللي هو في سطح الاندستيام الداخلي فبالتالي + +270 +00:22:09,060 --> 00:22:13,780 +بيصير إعادة إمتصاص عشان هيك سمنها خلايا هادمة لإنه + +271 +00:22:13,780 --> 00:22:18,380 +إلها شغلها اللي علاقة في الخلايا اللي هي المهدومة + +272 +00:22:18,380 --> 00:22:23,500 +و الخلايا اللي مش مظبوطةأنواع الخلايا العظمية هرجع + +273 +00:22:23,500 --> 00:22:27,520 +و أعيد و أكرر هي عبارة عن أربع أنواع من الخلايا + +274 +00:22:27,520 --> 00:22:34,080 +أول نوع اسمه الـ Osteopregenators أو خلايا منشئة + +275 +00:22:34,080 --> 00:22:38,540 +أو خلايا منتجة للخلايا العظمية الـ Osteoplast + +276 +00:22:38,540 --> 00:22:43,480 +الخلايا البانية الـ Osteoclast عكسها تماما الخلايا + +277 +00:22:43,480 --> 00:22:48,180 +الهادمة و الـ Osteocyte هي نفسها الخلية العظمية + +278 +00:22:48,180 --> 00:22:54,090 +الـ slide هنا مهمة وتدرس بشكل جيد الآن لـ bone + +279 +00:22:54,090 --> 00:22:58,490 +development أو ما يسمى بتطور العظام في عندنا + +280 +00:22:58,490 --> 00:23:04,370 +osteogenesis and ossification كلمة oste تعني bone، + +281 +00:23:04,370 --> 00:23:08,230 +genesis، formation، تكوين العظم وهنا ال + +282 +00:23:08,230 --> 00:23:13,780 +ossification اللي هو التكلس أو تعظمهي عبارة عن + +283 +00:23:13,780 --> 00:23:17,800 +إيش؟ الـ Process of bone tissue formation عبارة عن + +284 +00:23:17,800 --> 00:23:22,200 +تكوين النسيج العضمي يؤدي إلى إيش؟ إن الـ Formation + +285 +00:23:22,200 --> 00:23:26,840 +للـ bone skeletal in embryos في الأجنة اللي هو + +286 +00:23:26,840 --> 00:23:31,950 +بتحول احنا حكينا أو تكلمنا في المحاضرة السابقةإنه + +287 +00:23:31,950 --> 00:23:37,670 +بداية الجنين في أول ثمان أسابيع بلاحظ إن الجنين + +288 +00:23:37,670 --> 00:23:43,090 +كان highline cartilage عبارة عن نسيج ضام زجاجي + +289 +00:23:43,090 --> 00:23:48,910 +بيصيرله عملية ossification عملية تعظم لحد ما يصير + +290 +00:23:48,910 --> 00:23:52,970 +بالهيئة والمنظر هاي اللي احنا فيها ال bone growth + +291 +00:23:52,970 --> 00:23:58,750 +until early adulthood تبدأ العظام بالنمو لحدبداية + +292 +00:23:58,750 --> 00:24:04,270 +المرحلة المراهقة بيصير في الـ bone thickens اللي + +293 +00:24:04,270 --> 00:24:10,350 +هو سماكة العظام remolding إعادة تشكيلها تمام وبعد + +294 +00:24:10,350 --> 00:24:14,190 +هيك لو صار في عندي كسر أو أي trauma صارت في الجسم + +295 +00:24:14,190 --> 00:24:19,250 +بيصير في عندي fracturesإذا عرفت عملية الـ + +296 +00:24:19,250 --> 00:24:22,570 +osteogenesis وعملية الـ osteification هي عبارة عن + +297 +00:24:22,570 --> 00:24:28,990 +العملية اللي بتتم فيها تحول ال highline cartilage + +298 +00:24:28,990 --> 00:24:34,810 +إلى bone وعرفنا أنه بتوقف نمو العضم في بداية مراحل + +299 +00:24:34,810 --> 00:24:39,590 +الـ early adulthood اللي هي بداية مراحل المراهقة + +300 +00:24:39,590 --> 00:24:45,120 +تمام؟الان الـ bone growth ossification الـ + +301 +00:24:45,120 --> 00:24:48,860 +cartilage هنا في رسمة هنشوفها ذكرتنا بيه الرسومة + +302 +00:24:48,860 --> 00:24:52,860 +التابعة الـ ab faces line و الـ dia faces الـ + +303 +00:24:52,860 --> 00:24:57,760 +cartilage completely + +304 +00:24:57,760 --> 00:25:01,890 +laid downالان كل ال cartridge في عملية ال + +305 +00:25:01,890 --> 00:25:06,650 +ossification ال cartridge كله بيروح و بيتم او بيحل + +306 +00:25:06,650 --> 00:25:10,950 +محله ال bone ossification او ال bone اللي هو العضم + +307 +00:25:10,950 --> 00:25:16,160 +الصلبة ال osteoblastأو الخلايا البانية هي عبارة عن + +308 +00:25:16,160 --> 00:25:20,300 +الـ bone building located اللي هي in ossification + +309 +00:25:20,300 --> 00:25:25,420 +center بتكون موجودة في ملاكز اقتعظم قعدوا هنشوف + +310 +00:25:25,420 --> 00:25:28,880 +حكينا أنه أنا بشوف أو بلاقي اللي هو الجنين + +311 +00:25:28,880 --> 00:25:33,100 +highline cartilage ولكن بعدفترة من الزمن بيصير + +312 +00:25:33,100 --> 00:25:36,520 +اللي هي أن ال osteoplast بتشتغل شغلها فبالتالي + +313 +00:25:36,520 --> 00:25:41,460 +بتحل و بتشتغل في مواقع ال ossification center + +314 +00:25:41,460 --> 00:25:46,220 +خليني أشوف lebron growth أو اللي هي ملاكز ال + +315 +00:25:46,220 --> 00:25:49,280 +ossification center عند ال ossification center + +316 +00:25:49,280 --> 00:25:54,660 +موقعين أساسيين في عندها primary و في secondaryال + +317 +00:25:54,660 --> 00:25:58,580 +primary بيكون موجود في ال diaphases وال secondary + +318 +00:25:58,580 --> 00:26:04,980 +بيكون موجود في ال epiphases إذا عندنا نوعين من + +319 +00:26:04,980 --> 00:26:09,260 +اللي هو لل centers تبع ال authentication مراكز + +320 +00:26:09,260 --> 00:26:13,380 +التعظم في عندنا المركز الأول ال primary أو البدائي + +321 +00:26:13,660 --> 00:26:17,720 +بدي يكون أو الاول اشي بدي يصير في ossification + +322 +00:26:17,720 --> 00:26:21,740 +اللى هى the faces و بعدين بيصير عندى ال secondary + +323 +00:26:21,740 --> 00:26:25,920 +ossification بدي يكون فى ال a b faces اللى هى + +324 +00:26:25,920 --> 00:26:29,540 +منطقة ال a b faces اللى موجودة هنا فى ال a b faces + +325 +00:26:29,540 --> 00:26:33,320 +ال growth اللى موجودة تمام ال bone growth + +326 +00:26:33,320 --> 00:26:36,900 +ossification ال growth toward او ال growth toward + +327 +00:26:36,900 --> 00:26:41,800 +anothercartridge remains between them طبعا تبدأ ان + +328 +00:26:41,800 --> 00:26:47,060 +هي عملية التعظم من المنتصف و بعدين تنزل او تتحقق + +329 +00:26:47,060 --> 00:26:52,320 +لحد ما توصل لنهايات أطراف العضمة ل grow toward and + +330 +00:26:52,320 --> 00:26:55,960 +to another ال cartilage remains between them تبقى + +331 +00:26:55,960 --> 00:26:59,480 +ان شوية cartilage بعد شوية يصير لها عملية + +332 +00:26:59,480 --> 00:27:04,030 +ossification as long asCartilage remain undamaged + +333 +00:27:04,030 --> 00:27:08,450 +Growth can occur واجتاش الـ cartilage داله سليم و + +334 +00:27:08,450 --> 00:27:13,870 +بحالة جيدة بتبلش أو بتبقى عمليات اللي هي انمو + +335 +00:27:13,870 --> 00:27:20,530 +مستمرة على طول لأن ال slide هذه مش هتكون غريبة + +336 +00:27:20,530 --> 00:27:24,530 +علينا لأنه اتكلمنا فيها عبارة عن ال formation لل + +337 +00:27:24,530 --> 00:27:30,130 +skeletal أو لل bonus skeletonbegins at week 8 of + +338 +00:27:30,130 --> 00:27:34,050 +membrane development في الأسبوع الثامن أو في الشهر + +339 +00:27:34,050 --> 00:27:39,310 +الثاني من الحمل يبدأ تبدأ عملية التحول أو تبدأ + +340 +00:27:39,310 --> 00:27:44,530 +عملية التعظم يعني ال highline cartilage هيتحول إلى + +341 +00:27:44,530 --> 00:27:51,670 +bone begins at week 8 تمام ال intermembrane + +342 +00:27:51,670 --> 00:27:57,030 +ossificationبتعظم للغشاء الـ Boon develops from + +343 +00:27:57,030 --> 00:28:01,050 +fibrous membrane اللي حكينا عليه اللي هو من الـ + +344 +00:28:01,050 --> 00:28:06,670 +fibrous membrane ال outer surface في البرستيومطلاب + +345 +00:28:06,670 --> 00:28:11,010 +الأعزاء الـ endocondrial ossification اللي هو + +346 +00:28:11,010 --> 00:28:14,850 +عبارة عن ال cartilage تعظم ال cartilage نفسه الـ + +347 +00:28:14,850 --> 00:28:18,890 +bone form by replacing highline cartilage تتشكل + +348 +00:28:18,890 --> 00:28:24,870 +العظام طبعا هنا من ال highline cartilage بتم تحويل + +349 +00:28:24,870 --> 00:28:29,410 +اللي هو ال cartilage إلى bone في ال endocondrial + +350 +00:28:29,410 --> 00:28:33,710 +ossification عملية التعظم لل cartilage اللي موجود + +351 +00:28:35,970 --> 00:28:39,290 +الان الـ long bone growth and remolding طبعاً + +352 +00:28:39,290 --> 00:28:42,890 +العظام الطويلة زي عظام الفخد على سبيل المثال لـ + +353 +00:28:42,890 --> 00:28:46,170 +growth in length الـ cartilage continuously growth + +354 +00:28:46,170 --> 00:28:51,070 +and replaced by bone تبدأ عملية التحول و الـ + +355 +00:28:51,070 --> 00:28:55,130 +remolding على نفس هيئة الـ highline cartilage بدون + +356 +00:28:55,130 --> 00:29:00,200 +معنى العظم الطويلالـ bone is reabsorbed and added + +357 +00:29:00,200 --> 00:29:05,820 +by appositional growth تمام، العظام نفسها تتشكل + +358 +00:29:05,820 --> 00:29:09,900 +بعد عملية الامتصاص وإضافة بعض الـ appositional + +359 +00:29:09,900 --> 00:29:14,280 +growth اللي هو النمو الموضعي أو النمو الجغرافي زي + +360 +00:29:14,280 --> 00:29:19,520 +ما بنسميه للعظمة عشان تتشكل وتأخذ شكلها النهائي + +361 +00:29:19,520 --> 00:29:22,910 +الـ bone grows in lengthهنا زي ما انتوا شايفين + +362 +00:29:22,910 --> 00:29:28,630 +داخل اللي هي صورة الأشعة Radiograph صورة أشعة لطفل + +363 +00:29:28,630 --> 00:29:31,770 +عمره عشر سنين لاحظوا هنا هيفيه عن الـ Epifacial + +364 +00:29:31,770 --> 00:29:35,990 +Plate اللي هو عبارة عن قُرص النمو حكيت أنا مهم جدا + +365 +00:29:35,990 --> 00:29:40,770 +أنه أنا أبعد عنه وما أأذي لأن هو لازم يكون موجود + +366 +00:29:40,770 --> 00:29:45,790 +عندى وينمو بشكل صحيح حتى أنه مايصير في قصر العضمة + +367 +00:29:45,790 --> 00:29:51,370 +دون الأخرىالـ Epifacial plate أو ما يسمى قُرص + +368 +00:29:51,370 --> 00:29:56,030 +النمو or الـ cartilage growth plate هما نفس الاسم + +369 +00:29:56,030 --> 00:30:00,370 +و نفس الكلمة عبارة عن ايش؟ عبارة عن الـ cartilage + +370 +00:30:00,370 --> 00:30:04,970 +cells are producing by meiosis هي عبارة عن الخلايا + +371 +00:30:04,970 --> 00:30:09,830 +الغضروفية تمام؟ are produced by بتم إنتاجها عن + +372 +00:30:09,830 --> 00:30:14,510 +طريق الإنقسام الميتوزي لل Epifacial side of plate + +373 +00:30:14,510 --> 00:30:20,740 +تمام؟لسطح أو المستوى اللي هو الـ Epiphyseal Plate + +374 +00:30:20,740 --> 00:30:25,200 +الـ Cartilage cells are destroyed and replaced by + +375 +00:30:25,200 --> 00:30:31,800 +bone on their faces بتم استبدال الـ Cartilage في + +376 +00:30:31,800 --> 00:30:35,580 +bone في منطقة الـ Diaphysis واحنا حكينا أن منطقة + +377 +00:30:35,580 --> 00:30:42,680 +الـ Diaphysis هي منطقة متوسطةتبدأ أو تستمر عملية + +378 +00:30:42,680 --> 00:30:49,420 +النمو لحد عمر 25 إذا مابين عمر 18 ل 25 أعطاها + +379 +00:30:49,420 --> 00:30:53,760 +range هنا في بعض الشباب على سبيل المثال دلها تطول + +380 +00:30:53,760 --> 00:31:00,490 +لحد عمر 18 وأيضا بعض ال ..الشباب بيضلوا يتولى بعد + +381 +00:31:00,490 --> 00:31:04,650 +عمر خمسة لحد عمر خمسة وعشرين يعني هو اعتراش من + +382 +00:31:04,650 --> 00:31:07,550 +تمانتاش لخمسة وعشرين يعني ممكن تتسكر مولة عضمها + +383 +00:31:07,550 --> 00:31:11,770 +تمانتاش وممكن تتسكر على خمسة وعشرين طبعا + +384 +00:31:11,770 --> 00:31:16,910 +الـepifacial plate close الـcartilage had stopped + +385 +00:31:16,910 --> 00:31:20,530 +dividing and the bone replaces the cartilage في + +386 +00:31:20,530 --> 00:31:25,420 +الـepifacial line للgrowth خلاصأخر ال range حكينا + +387 +00:31:25,420 --> 00:31:30,500 +عليه لحد 25 بعد 25 ما بيصير أنه يصير فيه عملية طول + +388 +00:31:30,500 --> 00:31:33,660 +يعني ما بيصير يجيني شاب عمره 30 سنة ويقول لسه أنا + +389 +00:31:33,660 --> 00:31:38,220 +قدامي كمان سنتين تلاتة أطول لأ هيك مش صحيح الكلام + +390 +00:31:38,220 --> 00:31:43,880 +العظام الطويلة تستمر بالنمو لحد عمر 25 years old + +391 +00:31:43,880 --> 00:31:48,780 +فقط لغير تمام؟ هاي عبارة عن ال growth and + +392 +00:31:48,780 --> 00:31:55,520 +development للعظام الطويلة لأن كلمة remouldingهي + +393 +00:31:55,520 --> 00:32:00,160 +عبارة عن إعادة تشكيل إعادة تشكيل لمن؟ للعظام بتصير + +394 +00:32:00,160 --> 00:32:05,200 +على ندار الوقت تمام؟ العظم بتاخد شكل معين بيصير + +395 +00:32:05,200 --> 00:32:09,060 +فيها تآكل من مرحلة أو من جزئية معينة فبالتالي + +396 +00:32:09,060 --> 00:32:13,840 +بيصير في أغلب وقت اللي هو حياة الإنسان طبعا ال + +397 +00:32:13,840 --> 00:32:17,420 +stress is changed ال bones adapt بعض الأحيان بيصير + +398 +00:32:17,420 --> 00:32:22,010 +مثلا على سبيل المثال كسروما بيكون طبعا واضح ممكن + +399 +00:32:22,010 --> 00:32:26,990 +يكون اللي هو فيه صار تآكل على سبيل المثال بعض + +400 +00:32:26,990 --> 00:32:30,610 +نهايات العضم فبالتالي بتظلها عملية ال remolding + +401 +00:32:30,610 --> 00:32:34,910 +وعملية ال absorption من قبل اللي هي ال osteoclast + +402 +00:32:34,910 --> 00:32:38,010 +اللي احنا حكينا أو اللي هي ما يسمى بالخلايا + +403 +00:32:38,010 --> 00:32:42,230 +الحادمة الآن ال osteoclast remove لل bone بتشيل + +404 +00:32:42,230 --> 00:32:47,550 +العضم وال osteoblast بتبنيه blast building حكينا + +405 +00:32:47,550 --> 00:32:53,310 +بيه مع بينطبعا الـ Osteocyte بتحافظ على هذه العظام + +406 +00:32:53,310 --> 00:32:57,610 +لإن هي الخلايا العضمية نفسها mineral deposited in + +407 +00:32:57,610 --> 00:33:03,250 +spongy bone from holes the stress base طبعا العظام + +408 +00:33:03,250 --> 00:33:08,870 +أو العضم الاسفنجي بيصير فيه عملية استحلال أو + +409 +00:33:08,870 --> 00:33:14,630 +استبدال لبعض اللي هيالعناصر زي الـ Phosphor زي + +410 +00:33:14,630 --> 00:33:20,990 +الكالسيوم طبعا من 5 ل 10% من وزن العضمة كل سنة + +411 +00:33:20,990 --> 00:33:25,150 +بيصير فيه عملية استبدال واستحلال لعناصر جديدة + +412 +00:33:25,150 --> 00:33:29,930 +وتكوين إشي جديد هاي هي عبارة عن عملية الـ + +413 +00:33:29,930 --> 00:33:35,610 +Remolding أو عملية إعادة التشكيل للعظام هنا صورة + +414 +00:33:35,610 --> 00:33:40,010 +صغيرة بينناياها اللي هي الـ Osteoclast الخلايا + +415 +00:33:40,010 --> 00:33:45,670 +الهادمةاللي موجودة داخل الابيونات بتدور على أي إشي + +416 +00:33:45,670 --> 00:33:49,930 +غريب بتدور على أي فتافيت من العضل عشان تقوم بإعادة + +417 +00:33:49,930 --> 00:33:55,290 +امتصاصها وإعادة تدويرها وإنتاجها زبط معاها زبط ما + +418 +00:33:55,290 --> 00:33:59,510 +زبط على سبيل المثال ماحتاجته على طول بتاخده as a + +419 +00:33:59,510 --> 00:34:02,530 +waste product اللي هو عبارة عن ال waste product + +420 +00:34:02,530 --> 00:34:08,910 +عبارة عن الفضلات وبتم إخراجها خارج الجسمالان في + +421 +00:34:08,910 --> 00:34:13,850 +عندي عاملين مهمين لإيه هو التحكم بال remolding + +422 +00:34:13,850 --> 00:34:19,770 +إعادة التشكيل أول عامل لل control تبعنا عشان أنا + +423 +00:34:19,770 --> 00:34:23,850 +هاي العملية ما تكونش عشوائية أو بشكل مش مظبوط لأ + +424 +00:34:23,850 --> 00:34:28,270 +بيأثر فيها two factors أول factors اللي هو عبارة + +425 +00:34:28,270 --> 00:34:32,630 +عن ال hormonal factors والتاني ال gravitational او + +426 +00:34:32,630 --> 00:34:37,200 +ال mechanical factorsتأثير الهرموني لعملية تشكيل + +427 +00:34:37,200 --> 00:34:41,680 +العظام مهم جدا خصوصا إلنا إحنا السيدات الان ال + +428 +00:34:41,680 --> 00:34:46,080 +hormonal mechanism maintains للكالسيوم hemostasis + +429 +00:34:46,080 --> 00:34:52,560 +in blood طبعا المحافظة نسبة الكالسيوم في مستوى .. + +430 +00:34:52,560 --> 00:34:57,720 +بمستوى ثابت داخل الدمالان بالنسبة للسيدات تعرفوا + +431 +00:34:57,720 --> 00:35:02,280 +في عنا اللي هو الـ monopoies أو ما يسمى بسن الأمل + +432 +00:35:02,280 --> 00:35:07,660 +هذا بيغير الحرمونات داخل جسم المرأةفبالتالي حيصير + +433 +00:35:07,660 --> 00:35:12,080 +.. لاحظوا أغلب الستات تجيهم هشاشة العظام أو بيجيهم + +434 +00:35:12,080 --> 00:35:16,380 +مشاكل العظام بعد انقطاع اللي هو الدورة الشعرية + +435 +00:35:16,380 --> 00:35:19,860 +فبالتالي ليش؟ لأنه صار في عندنا hormonal change + +436 +00:35:19,860 --> 00:35:23,700 +صار في عندنا تغيرات في الهرمونات فبالتالي أثرت على + +437 +00:35:23,700 --> 00:35:28,440 +كمية الكالسيوم وثباتيته داخل الدم تمام؟ إذن أول + +438 +00:35:28,440 --> 00:35:32,120 +factors اللي هو ال hormone وال factors التاني اللي + +439 +00:35:32,120 --> 00:35:35,160 +هو عبارة عن ال mechanical أو ال gravational forces + +440 +00:35:35,610 --> 00:35:41,070 +القوة اللي هي ال mechanical أو بسميها الميكانيكا + +441 +00:35:41,070 --> 00:35:44,210 +الحيوية اللي احنا بناخدها اللي هي عبارة عن إيش + +442 +00:35:44,210 --> 00:35:48,630 +القوة اللي هي القوة الجاذبية الآن احنا بنتكلم على + +443 +00:35:48,630 --> 00:35:52,830 +ال skeleton و بنتكلم على الأعظام بنحكي كل ما كان + +444 +00:35:52,830 --> 00:35:58,460 +في عندي ضغط على الosteoأو الـ Epifacial line كل ما + +445 +00:35:58,460 --> 00:36:02,520 +طولت العضمة فبالتالي من الصح أنا أترك الطفل الصغير + +446 +00:36:02,520 --> 00:36:06,820 +أنه يلعب من الصح أن الجاذبية تشتغل و تلعب تورها من + +447 +00:36:06,820 --> 00:36:12,520 +الصح أنه أنا أحمل وزن على اللي هي عظام الجسم I + +448 +00:36:12,520 --> 00:36:16,640 +have two factors for control remoulding ال .. the + +449 +00:36:16,640 --> 00:36:20,980 +first one hormonal mechanism و اللي هو التاني + +450 +00:36:20,980 --> 00:36:24,220 +هيكون ال graphical forces أو ال mechanical factors + +451 +00:36:24,530 --> 00:36:29,590 +مهم جدا ان انا اكون محافظة على التوازن ما بين + +452 +00:36:29,590 --> 00:36:37,170 +الاتنين عشان اقدر اطول بشكل فحي و ثاني في عندنا + +453 +00:36:37,170 --> 00:36:41,770 +جوانب الـ developmental او جوانب التطور للعظام at + +454 +00:36:41,770 --> 00:36:46,250 +birth most long bone are well ossified except for + +455 +00:36:46,250 --> 00:36:50,110 +their epiphases في لحظة الميلاد بتعرفوا الجنين ما + +456 +00:36:50,110 --> 00:36:56,090 +بنولد highline cartilage لأ بينولد عظامأو ossified + +457 +00:36:56,090 --> 00:37:02,610 +اللي هي متعظمة ما عدا أقراص النمو قلنا ليش؟ لأن هي + +458 +00:37:02,610 --> 00:37:07,850 +اللي هتطول العظام فبالتالي من الصعب أني أسكرها و + +459 +00:37:07,850 --> 00:37:11,370 +أخليها مغلقة، لأ أنا مش هجفلها و أخليها + +460 +00:37:11,370 --> 00:37:14,990 +ossification أو أعظمها، لأ هظلها مفتوحة ومازالة + +461 +00:37:14,990 --> 00:37:20,630 +highline cartilageحد عمر خمسة وعشرين nearly all + +462 +00:37:20,630 --> 00:37:24,630 +wounds are completely ossified true or false في حد + +463 +00:37:24,630 --> 00:37:29,960 +عمر خمسة وعشرين بالظبط يغلقاللي هو هو تغلق عملية + +464 +00:37:29,960 --> 00:37:34,140 +التعظم خلاص بعد هيك ما بيصير أقول أنا بدي لسه أطول + +465 +00:37:34,140 --> 00:37:38,640 +كمان شوية in old age الـ bone reabsorption + +466 +00:37:38,640 --> 00:37:43,460 +predominance طبعا في المسنين زي ما حكيتلكم ممكن + +467 +00:37:43,460 --> 00:37:47,340 +يكون صار في عندي تأكل في العظم ممكن يصير عندي اللي + +468 +00:37:47,340 --> 00:37:51,520 +هو بعض اللي هو نهاية العظمية صار فيها شوية قصر + +469 +00:37:51,520 --> 00:37:57,000 +فبالتالي بيصير في إعادة انتصاصلهذه الجزيئات + +470 +00:37:57,000 --> 00:38:00,400 +الصغيرة اللى موجودة تمام هذا بالنسبة لل + +471 +00:38:00,400 --> 00:38:06,840 +developmental aspect أو اللى هم التطور للعظام طبعا + +472 +00:38:06,840 --> 00:38:11,080 +العظام ايش الأمراض اللى ممكن تصيبها الكثور اللى هي + +473 +00:38:11,080 --> 00:38:15,920 +عبارة عن ايش الكثور هي عبارة عن distribution لل + +474 +00:38:15,920 --> 00:38:21,140 +integrity of living bone involving injury هي عبارة + +475 +00:38:21,140 --> 00:38:26,800 +عن قطع التواصل للعظمة كاملةفبالتالي هيصير فيه gap + +476 +00:38:26,800 --> 00:38:32,780 +مسافة بين النهايتين العضميتين تمام؟ ممكن يشمل + +477 +00:38:32,780 --> 00:38:37,060 +ليهاش الكسر يوصل للعضمة نفسها للبون ممكن الكسر + +478 +00:38:37,060 --> 00:38:41,020 +أشوف أنا منه البون مره مخايا العضم من جوا ممكن + +479 +00:38:41,020 --> 00:38:45,140 +توصل للبرستيان وممكن يكون في عندي كسر في الـ + +480 +00:38:45,140 --> 00:38:49,640 +adjacent soft tissueاللي هي أو يكون فيه إصابات في + +481 +00:38:49,640 --> 00:38:54,880 +الأنسج المحيطة زي العضلات زي التندن زي الـ + +482 +00:38:54,880 --> 00:38:59,500 +ligament هذه هي عبارة عن الأعضاء القريبة أو الأنسج + +483 +00:38:59,500 --> 00:39:03,940 +القريبة اللي موجودة في العضل إذا هنا في المصطلح + +484 +00:39:03,940 --> 00:39:07,360 +بيجينا عبارة عن إيش distribution of integrity of + +485 +00:39:07,360 --> 00:39:11,900 +living bone involving injury تمام؟ اللي هي عبارة + +486 +00:39:11,900 --> 00:39:17,130 +عن إيش؟ هو عبارة عن تعريف للـ fracturesالان انواع + +487 +00:39:17,130 --> 00:39:22,510 +الكثور وهي مهمة جدا كويس ان انا خريج كلية علوم + +488 +00:39:22,510 --> 00:39:28,210 +صحية اكون عارف شو انواع الكثور اول حاجة كثر بخص + +489 +00:39:28,210 --> 00:39:33,070 +الأطفال حاجة اسمه green stick كثر الغصن الأخضر + +490 +00:39:33,070 --> 00:39:38,490 +تمام؟ هذا الكثر هو عبارة عن incomplete كثر غير + +491 +00:39:38,490 --> 00:39:45,540 +كامل and break occurson convex surface of the bent + +492 +00:39:45,540 --> 00:39:51,040 +bone لاحظوا كيف هو جاي كسر مش كامل يادوم حاجة زي + +493 +00:39:51,040 --> 00:39:57,040 +كأنه بدي أعمل على التواء العضمة تمام فبالتالي هي + +494 +00:39:57,040 --> 00:40:02,360 +عبارة عن كسر incomplete كسر غير معقد ال fishard أو + +495 +00:40:02,360 --> 00:40:06,620 +ما يسمى شرخ تسمعه فلان وجع على رجله وصار في عنده + +496 +00:40:06,620 --> 00:40:11,050 +شرخ هذا هو الشرخ شايفين معايا كيف شكلهعبارة عن + +497 +00:40:11,050 --> 00:40:16,470 +إيش؟ Involved in incomplete longitudinal أو اللي + +498 +00:40:16,470 --> 00:40:23,070 +هو عبارة عن كسر جاي بشكل طولي مع طول العضمة تمام؟ + +499 +00:40:23,070 --> 00:40:29,510 +وعلى فكرة الشرخ أسوأ جدا من الكسر العادى ليه؟ لأنه + +500 +00:40:29,510 --> 00:40:34,330 +بكون مؤلم جدا وحتى ال healing تبعته ال LTM بتطول + +501 +00:40:34,330 --> 00:40:39,410 +معايا شوية ال communicated هو الكسر المعقدشوفوا + +502 +00:40:39,410 --> 00:40:45,730 +أكم فتفوتة هنا فيه و أكم جزء و أكم يعني اللي لازم + +503 +00:40:45,730 --> 00:40:50,910 +يدخل العمليات عشان أنا أقدر أثبت اللي هو العضام مع + +504 +00:40:50,910 --> 00:40:56,340 +بعضها البعض هو عبارة عن كثرة معقد complicatedاللي + +505 +00:40:56,340 --> 00:40:59,840 +هو الـ fractures completely and fragments of bone + +506 +00:40:59,840 --> 00:41:04,280 +في عندنا جزيئات موجودة من العظام يعني هنا بتشتغل + +507 +00:41:04,280 --> 00:41:07,260 +الـ osteoclast شغلها عبارة عن إيش تعمل + +508 +00:41:07,260 --> 00:41:11,580 +reabsorption إعادة امتصاص لهذه النتفات الصغيرة أو + +509 +00:41:11,580 --> 00:41:16,000 +الجزيئات الصغيرة هلأ الكسر الرابع هو عبارة عن ال + +510 +00:41:16,000 --> 00:41:20,080 +transfer fractures الكسر العرضي هو عبارة عن + +511 +00:41:20,080 --> 00:41:32,170 +completed fractures كسر معاقدالكسر بيصير بشكل عرضي + +512 +00:41:32,170 --> 00:41:37,510 +ومتعامد مع + +513 +00:41:37,510 --> 00:41:38,810 +ساق العضمة + +514 +00:41:41,460 --> 00:41:44,800 +أما الكسر المائل اللى هو زى ما انتوا شايفينه + +515 +00:41:44,800 --> 00:41:48,460 +بالصورة هو عبارة عن الـ oblique fractures okay at + +516 +00:41:48,460 --> 00:41:53,080 +angles rather than right angle to long axis of + +517 +00:41:53,080 --> 00:41:59,360 +bone اللى هو بيكون طبعا جاي بشكل مائل مع اللى هو + +518 +00:41:59,360 --> 00:42:05,300 +الخط العمودي أو ال long axis تبع العضمة تمام؟الـ + +519 +00:42:05,300 --> 00:42:10,280 +Spiral fractures هي عبارة عن الكسر الحلزوني أو ما + +520 +00:42:10,280 --> 00:42:16,960 +يسمى بإن العظمة ناتج عن إلتواء شديد للعظمة + +521 +00:42:16,960 --> 00:42:21,400 +فبالتالي زي الزنبرك بتكون العظمة Spiral حلزوني is + +522 +00:42:21,400 --> 00:42:26,120 +caused by twisting bone excessively اللي هو إلتواء + +523 +00:42:26,120 --> 00:42:33,620 +شديد وقوي للعظامهذا كله معانا ومهم التعريفات لإنه + +524 +00:42:33,620 --> 00:42:39,600 +ممكن أجيبه في المصطلح الآن في عندي كثر آخر اسمه ال + +525 +00:42:39,600 --> 00:42:44,180 +pathological اللي هو الكثر المرضى يعني على سبيل + +526 +00:42:44,180 --> 00:42:49,020 +المثال الناس اللي عندها شاشة عظام تمام ال stress + +527 +00:42:49,020 --> 00:42:55,690 +اللي هو ناتج عن ضغطعلى سبيل المثال، ضغط العضم أو + +528 +00:42:55,690 --> 00:43:00,570 +أنه أنا جاية حملت وزن كتير وكان وزني أصلا بالأصل + +529 +00:43:00,570 --> 00:43:05,690 +كبير فبالتالي نتيجة الكسر صار في عند نتيجة الضغط + +530 +00:43:05,690 --> 00:43:09,130 +أو نتيجة الوزن الزايد صار في عند stress fractures + +531 +00:43:09,130 --> 00:43:15,250 +كسر ناتج عن الضغط طبعا اللي موجودكسر غامض السبب + +532 +00:43:15,250 --> 00:43:19,130 +بيكون اللي هو كسر مش معروف السبب ما بنلاقي إلا + +533 +00:43:19,130 --> 00:43:23,250 +هالطفل اللي كسر طبعا بيكون هو إحنا مش عارفين إيش + +534 +00:43:23,250 --> 00:43:26,930 +هو السبب اللي أحنا عارفينه هل هو مرض يهششة عظام + +535 +00:43:26,930 --> 00:43:30,470 +ولا أحنا عارفينه أن الولد اتعرض لل trauma أو اتعرض + +536 +00:43:30,470 --> 00:43:36,050 +للقوة أدت إلى كسر هاي العضمةتمام؟ هذه الأنواع مهمة + +537 +00:43:36,050 --> 00:43:41,010 +جدا من أنواع الكثور فهذه بعض الصور في حاجة مهمة + +538 +00:43:41,010 --> 00:43:44,410 +هنا لازم انا كمان احكيلكم عليها اللي هي ال signs و + +539 +00:43:44,410 --> 00:43:47,810 +ال symptoms علامات الكسر لاحظوا هنا الإجر عندي + +540 +00:43:47,810 --> 00:43:53,770 +فيها انتفاخ فيه ورم تمام؟ فيها ايضا اذرقاق و + +541 +00:43:53,770 --> 00:43:58,150 +حميمرار للعضوطبعا ما بيقدر المريض يقدر ال function + +542 +00:43:58,150 --> 00:44:02,310 +تبعتها على سبيل المثال هذه الإجر كان بيمشي عليها + +543 +00:44:02,310 --> 00:44:05,990 +للأسف الشليد ما راح يقدر يمشي عليها hotness بلاقي + +544 +00:44:05,990 --> 00:44:11,430 +فيها حرارة عالية redness إحمرار حكيناها تمام إذا + +545 +00:44:11,430 --> 00:44:15,690 +عندي علامات الكثير في عندي اللي هو ال color طبعا + +546 +00:44:15,690 --> 00:44:20,010 +ال multicolor بيكون طبعا لون الإجر كذا لون أيضا + +547 +00:44:20,010 --> 00:44:25,690 +بيكون فيها hotness سخونة redness إحمرارأيضا بيكون + +548 +00:44:25,690 --> 00:44:30,830 +فيها swelling اللي هو الورم هذه كلها علامات مهمة + +549 +00:44:30,830 --> 00:44:37,110 +لا الكسور في عندي حاجة اسمها racket او ما يسمى + +550 +00:44:37,110 --> 00:44:43,010 +بطبعا احنا كل chapter هناخده هناخد حالة طبية فيه + +551 +00:44:43,010 --> 00:44:46,210 +الآن هذه اول حالة طبية هتمرة علينا حاجة اسمها + +552 +00:44:46,210 --> 00:44:50,770 +الكساح مرض الكساح هو عبارة عن مرض بيكون بيصيب + +553 +00:44:50,770 --> 00:44:54,770 +لسكلة ال systemطبعا و بالذات الـ lower limb اللي + +554 +00:44:54,770 --> 00:44:58,710 +هو الجزء الأسفل من الجسم عبارة عن إيش؟ generalized + +555 +00:44:58,710 --> 00:45:04,690 +metabolic bone disorders هو عبارة عن مرض بيكون حاص + +556 +00:45:04,690 --> 00:45:09,490 +بالعظام في الـ metabolic في عمليات الآيض تبع الجسم + +557 +00:45:09,490 --> 00:45:14,830 +characterized by failure or delayed calcification + +558 +00:45:14,830 --> 00:45:20,710 +of cartilaginous growth plateبيصير فيه فشل أو تأخر + +559 +00:45:20,710 --> 00:45:24,890 +في تعظم هذا الـ Cartilage تمام؟ في منطقة الـ + +560 +00:45:24,890 --> 00:45:30,230 +Epiphasis اللي هي بالاصل مش ملتحمة not fused ليست + +561 +00:45:30,230 --> 00:45:36,250 +ملتحمة ومندمجة تمام؟ إذا يوصف الكساح أو يميز + +562 +00:45:36,250 --> 00:45:42,430 +الكساح إن هو تأخر أو فشل في نمو العظام أو تعظم + +563 +00:45:42,430 --> 00:45:47,070 +العظام في منطقة الـ Epiphasis it's primarily + +564 +00:45:47,070 --> 00:45:50,930 +diseaseaffected في الـ endocondrial ossification + +565 +00:45:50,930 --> 00:45:57,590 +أو calcification بيصير اللي هو عبارة عن ايش؟ فشل + +566 +00:45:57,590 --> 00:46:00,830 +في مرحلة احنا حاكينا الـ ossification اللي هو في + +567 +00:46:00,830 --> 00:46:04,210 +مرحلة الـ endocondrial ومرحلة ال primary و ال + +568 +00:46:04,210 --> 00:46:07,170 +secondary ossification فبالتالي هنا الفشل بيصير في + +569 +00:46:07,170 --> 00:46:12,490 +مرحلة الـ endocondrial calcification manifested by + +570 +00:46:12,490 --> 00:46:17,710 +بيميزه clinically and radiographicallyاللي هو + +571 +00:46:17,710 --> 00:46:24,910 +بميزه طبيا وبالأشعار تشخيصية with widening and + +572 +00:46:24,910 --> 00:46:30,770 +deformation للـmetafacial lesion اتساع وانحراف في + +573 +00:46:30,770 --> 00:46:34,830 +منطقة الـmetafaces اللي هي المنطقة المتوسطة تبعت + +574 +00:46:34,830 --> 00:46:39,550 +العظامفبالتالي لأنه ليش ما صار فيه classification + +575 +00:46:39,550 --> 00:46:44,290 +هنا عندى ضلت المنطقة زى ما هى Cartel Genius + +576 +00:46:44,290 --> 00:46:49,590 +Cartelage ضلت ايش غدروا فيا فبالتالي أدى الى + +577 +00:46:49,590 --> 00:46:55,020 +الكساحاللي هو مرض يصيب الأطفال طبعا بيأثر على + +578 +00:46:55,020 --> 00:47:00,720 +مشيتهم بيأثر عليهم وبيحتاج المريض فيه طبعا هو نقص + +579 +00:47:00,720 --> 00:47:05,560 +ل vitamin D ريكيت أو نقص ل .. اللي هو بعض العناصر + +580 +00:47:05,560 --> 00:47:11,200 +الغذائية اللي لها علاقة بالكالسيوم و الفسفور تمام؟ + +581 +00:47:11,200 --> 00:47:15,240 +و بهيك بيقول أنا خلصت chapter واحد من skeletal + +582 +00:47:15,240 --> 00:47:20,120 +system اللي هو أول chapter أدخل فيه على العظامبإذن + +583 +00:47:20,120 --> 00:47:25,180 +الله تعالى ألقاكم على خير ان شاء الله رب العالمين + +584 +00:47:25,180 --> 00:47:27,900 +و بالتوفيق للجميع + diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/JgUDj-GM1wI.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/JgUDj-GM1wI.srt new file mode 100644 index 0000000000000000000000000000000000000000..b85934e9234733a5ae18160bcbd00d6e1bf088ea --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/JgUDj-GM1wI.srt @@ -0,0 +1,2058 @@ +1 +00:00:00,880 --> 00:00:04,580 +السلام علي أشرف الأنبياء والمرسلين، نكمل معاكم إن + +2 +00:00:04,580 --> 00:00:07,800 +شاء الله، بإذن الله تعالى، chapter واحد في مسرح علم + +3 +00:00:07,800 --> 00:00:12,800 +التشريح لطلبة السنة الأولى في كلية العلوم المصرحية + +4 +00:00:12,800 --> 00:00:16,340 +معكم الدكتور أماني مظهر، رئيس قسم العلاج الطبيعي + +5 +00:00:16,340 --> 00:00:20,160 +تحدثنا في بداية الـ chapter عن ما هو تعريف الـ + +6 +00:00:20,160 --> 00:00:24,900 +anatomy وأنواعه، و الـ systems، وكل اللي هي الحاجات + +7 +00:00:24,900 --> 00:00:29,250 +اللي بتتعلق كمقدمة عن الـ introduction. الآن، بإذن + +8 +00:00:29,250 --> 00:00:32,630 +الله تعالى، سأتحدث في هذه الجزئية عن الـ anatomical + +9 +00:00:32,630 --> 00:00:35,650 +terminology. لما أنا بدي أحتاج كلمة anatomical + +10 +00:00:35,650 --> 00:00:39,290 +terminology، معناتها المصطلحات الطبية أو المصطلحات + +11 +00:00:39,290 --> 00:00:43,890 +التشريحية. خليني أبدأ فيها. حكيت مهم جداً أن أنا أكون + +12 +00:00:43,890 --> 00:00:48,510 +ماشية parallel، أي موازية مع اللي هي مساق المصطلحات + +13 +00:00:48,510 --> 00:00:53,390 +الطبية، أو مادة اللي هو التشريح، مع المصطلحات. هذا + +14 +00:00:53,390 --> 00:00:56,870 +الشيء مهم جداً أن أنا أكون حاطة عندي في عين + +15 +00:00:56,870 --> 00:01:00,520 +الاعتبار أن أنا لازم أربط المساقين مع بعضهم البعض + +16 +00:01:00,520 --> 00:01:06,660 +حتى أتمكن من الوصول إلى شاطئ الأمان. سأشرح في هذا + +17 +00:01:06,660 --> 00:01:10,060 +الـ chapter، بإذن الله تعالى، شو هي بعض الـ anatomical + +18 +00:01:10,060 --> 00:01:16,780 +terminology. سأشرح على تقسيم جسم الإنسان، وكيف أنا + +19 +00:01:16,780 --> 00:01:20,820 +ممكن أحدد المناطق، يعني أقسم الجسم إلى أرباع، أو + +20 +00:01:20,820 --> 00:01:25,300 +أقسمه إلى أجزاء، وشو الحدود الفاصلة ما بينها. نبدأ + +21 +00:01:25,300 --> 00:01:30,540 +بسم الله الرحمن الرحيم، في الـ Medical Terminology. + +22 +00:01:35,190 --> 00:01:40,750 +تمام. بسم الله الرحمن الرحيم. بداية، سأحكي على الـ + +23 +00:01:40,750 --> 00:01:44,850 +anatomical position. عشان أنا لازم لما آجي على سبيل + +24 +00:01:44,850 --> 00:01:48,510 +المثال، بدي أكتب الملف الطبي، بدي أقول أن هذا المريض + +25 +00:01:48,510 --> 00:01:52,410 +اللي موجود، أنا عندي، هيكون واقف، أو أنه صار في عنده + +26 +00:01:52,410 --> 00:01:55,750 +كسر في المكان الفلاني، في الثلث الأول من الربع اللي + +27 +00:01:55,750 --> 00:02:00,090 +كذا. فلازم أكون عارفة بعض المصطلحات الطبية. خليني + +28 +00:02:00,090 --> 00:02:03,630 +نحكي عن الـ anatomical position، شو هو؟ هو عبارة + +29 +00:02:03,630 --> 00:02:07,130 +عن specific position which individual stands + +30 +00:02:07,130 --> 00:02:13,750 +upright. الشخص يقف بشكل سليم، upright، مافي ميلان، + +31 +00:02:13,750 --> 00:02:18,830 +مافي اعوجاج، with feet parallel and flat. القدمين + +32 +00:02:18,830 --> 00:02:25,020 +موازيتين لبعضهم البعض، و الـ feet، اللي هو القدم، اللي + +33 +00:02:25,020 --> 00:02:31,080 +على الأرض مسطحة تماماً. الـ head، هنشوفها، العينين + +34 +00:02:31,080 --> 00:02:36,440 +على مستوى الناظرين إليه، and eyes look forward. العينين + +35 +00:02:36,440 --> 00:02:40,240 +بتطلعوا لقدام. زي ما حكينا، هذا كل اللي أنا بحكيه + +36 +00:02:40,240 --> 00:02:43,960 +سأختصر وأعيده بنقاط، وأحكي عليه من الـ head، من الـ + +37 +00:02:43,960 --> 00:02:49,360 +forehead لحد ما وصل الـ feet. الـ arms are either at + +38 +00:02:49,360 --> 00:02:53,380 +either side of the body with palms. هنا لما بحكي على + +39 +00:02:53,380 --> 00:02:58,320 +palms، معناته أنا بحكي على باطن اليد، تمام، facing + +40 +00:02:58,320 --> 00:03:02,940 +forward. As thumbs positioning، تمام، والـ thumb بدي + +41 +00:03:02,940 --> 00:03:05,860 +يكون pointing، يعني زي ما أنتم شايفين، هذه الوضعية + +42 +00:03:05,860 --> 00:03:09,040 +لوضعية الـ thumb، هي عبارة عن الـ thumb pointing، يعني + +43 +00:03:09,040 --> 00:03:15,410 +أنه بعيد عن راحة اليد. Some pointing away from the + +44 +00:03:15,410 --> 00:03:18,910 +palm، بعيد عن راحة اليد. زي ما حكينا، خليني أبدأهم + +45 +00:03:18,910 --> 00:03:22,490 +واحدة واحدة على الصورة. زي ما إحنا شايفين، الـ + +46 +00:03:22,490 --> 00:03:26,270 +anatomical position، أو الوضع التشريحي للشخص، هو + +47 +00:03:26,270 --> 00:03:30,310 +عبارة عن وضع سليم، بتبنى التقارير عليه. أول شيء، الـ + +48 +00:03:30,310 --> 00:03:34,950 +head، دي تكون at the level، الرأس على نفس مستوى الـ + +49 +00:03:34,950 --> 00:03:40,770 +eyes، look forward، تنظر إلى الأمام. الجسم كله upright + +50 +00:03:40,770 --> 00:03:45,050 +position، يعني بوضع القوام السليم، للاستقامة الصحيحة. + +51 +00:03:45,050 --> 00:03:49,750 +الـ hands بتكون، الـ palms facing، يعني أنا مش جايبة جفا + +52 +00:03:49,750 --> 00:03:53,770 +إيدي، لأ، جايبة بطن أو راحة اليد. الـ thumb، اللي هو + +53 +00:03:53,770 --> 00:03:59,080 +عبارة عن الإصبع الكبير، away from، تمام؟ الساقين، + +54 +00:03:59,080 --> 00:04:02,860 +اللي هم، أو الساقين، parallel together، بدهم يكونوا + +55 +00:04:02,860 --> 00:04:08,180 +متوازيتين لبعضهم البعض، والـ feet بشكل flat على الـ + +56 +00:04:08,180 --> 00:04:11,680 +floor، يعني مش واقف على أطراف أصابع، ولا واقف على + +57 +00:04:11,680 --> 00:04:16,280 +جنب رجله، لأ، هو واقف، إن الـ feet completely flat، مسطحة + +58 +00:04:16,280 --> 00:04:21,960 +بشكل كامل على الأرض. إذا هذا هو الـ anatomical + +59 +00:04:21,960 --> 00:04:25,660 +terminology، تمام، أو الـ anatomical position للـ + +60 +00:04:25,660 --> 00:04:28,340 +individual. أعيد من أول وجديد، الـ anatomical + +61 +00:04:28,340 --> 00:04:32,120 +position هو عبارة عن specific body position. حكينا + +62 +00:04:32,120 --> 00:04:36,160 +فيه، الـ standing upright، بيكون الـ head at level، الـ + +63 +00:04:36,160 --> 00:04:43,140 +eyes، look forward، الـ legs parallel with together، as a + +64 +00:04:43,140 --> 00:04:47,740 +flat، تمام، الـ palms facing، اللي هي forward، بتطلعوا + +65 +00:04:47,740 --> 00:04:52,320 +إلى الأمام، و الـ thumbs away from the body، تمام. هذا + +66 +00:04:52,320 --> 00:04:55,860 +هو الـ anatomical position. بناء عليه، سأحدد + +67 +00:04:55,860 --> 00:05:00,960 +باقي المصطلحات. شو هو الـ planes؟ اليوم، أنا لما بدي أحكي + +68 +00:05:00,960 --> 00:05:04,920 +أن فلان، على سبيل المثال، صار في عنده كسر في الثلث + +69 +00:05:04,920 --> 00:05:09,840 +الأعلى من اللي هو الـ arm، يعني معنى الكلام، إنه أنا + +70 +00:05:09,840 --> 00:05:14,160 +بدي أحكي على مواقع جغرافية، لازم أنا أكون محددها + +71 +00:05:14,160 --> 00:05:18,300 +باللي هو خطوط عريضة تكون موجودة عندي، الـ planes دي + +72 +00:05:18,300 --> 00:05:21,680 +هو عبارة عن خط وهمي، هو مش موجود هنا في أجسامنا، + +73 +00:05:21,680 --> 00:05:25,880 +ولكن إحنا نتصوره. إذن هو عبارة عن imaginary + +74 +00:05:25,880 --> 00:05:26,640 +surface. + +75 +00:05:32,470 --> 00:05:36,430 +الخط هو عبارة عن خط وهمي. اللي شايفينهم أنتم، هذه + +76 +00:05:36,430 --> 00:05:40,070 +الألواح الزجاجية اللي إحنا بنصورها ثلاثية الأبعاد + +77 +00:05:40,070 --> 00:05:44,540 +هي عبارة عن خطوط وهمية. إحنا بنرسمها في خيالنا، عشان + +78 +00:05:44,540 --> 00:05:47,900 +أنا أحدد، على سبيل المثال، إذا أنا صار في عندي كسر + +79 +00:05:47,900 --> 00:05:50,700 +في هذه الناحية، إذا صار في عندي عملية جراحية في + +80 +00:05:50,700 --> 00:05:53,700 +هذه الناحية، معنى الكلام، هذه الـ planes، أو الـ body + +81 +00:05:53,700 --> 00:05:57,860 +planes، مهمة جداً لجسم الإنسان، وقلنا إحنا كناس + +82 +00:05:57,860 --> 00:06:02,060 +بنشتغل في اللي هو الـ medical teams، أو الفريق + +83 +00:06:02,060 --> 00:06:06,710 +الطبي، لازم أنا أكون عارفة هذه المفردات. إذن الـ + +84 +00:06:06,710 --> 00:06:10,510 +planes، حكينا هو عبارة عن imaginary surfaces that + +85 +00:06:10,510 --> 00:06:15,490 +divide، أو يقسم، الـ body into specific، بشكل مناطق + +86 +00:06:15,490 --> 00:06:18,650 +جغرافية مخصصة. There are three planes. كم plane + +87 +00:06:18,650 --> 00:06:21,650 +أنا عندي؟ زي ما أنتم شايفين، في عندي ثلاثة planes + +88 +00:06:21,650 --> 00:06:26,910 +وهمية، أو ثلاثة خطوط عريضة وهمية. أول حاجة، حنسميه + +89 +00:06:26,910 --> 00:06:31,410 +Sagittal plane، والتاني اسمه Coronal plane، والتالت + +90 +00:06:31,410 --> 00:06:36,710 +اسمه Transverse plane. سأحكي على كل واحد على حدة، وشو + +91 +00:06:36,710 --> 00:06:39,870 +وظيفته، ومن إيش بدّه يتكون، أو إيش بدّه يقسم له + +92 +00:06:39,870 --> 00:06:43,770 +الجسم. إذا I have three major anatomical planes + +93 +00:06:43,770 --> 00:06:47,050 +referenced in the sagittal, coronal, transverse and + +94 +00:06:47,050 --> 00:06:52,170 +sagittal planes. لأن الـ coronal plane، طبعاً في إله + +95 +00:06:52,170 --> 00:06:56,990 +اسم، وفي كمان إله اسم آخر. يعني إنه الخط مش بس إله + +96 +00:06:56,990 --> 00:07:00,570 +اسم واحد، في كمان إله اسم اللي هو الـ English، في إله + +97 +00:07:00,570 --> 00:07:04,050 +اسم Latin. الـ frontal plane، أيضاً ما يسمى بالـ + +98 +00:07:04,050 --> 00:07:08,890 +frontal plane. هذا مطلوب، وهذا مطلوب طبعاً. الـ coronal اللي + +99 +00:07:08,890 --> 00:07:13,530 +بنيه هو عبارة عن vertical plane، خط بيجيني بشكل + +100 +00:07:13,530 --> 00:07:19,550 +عمودي، بيقسم الجسم that divides the body + +101 +00:07:19,550 --> 00:07:25,090 +إلى anterior، أمامي. بنقسمها اسمها front، الـ posterior اللي + +102 +00:07:25,090 --> 00:07:28,710 +هي الـ back، اللي هي الجزء الـ posterior للـ back. + +103 +00:07:28,710 --> 00:07:31,510 +إذن هذا اللوح الزجاجي زي ما أنتم شايفينه، اللي إحنا + +104 +00:07:31,510 --> 00:07:35,550 +اتصورناه، هو عبارة عن خط اسمه الـ coronal plane، أو + +105 +00:07:35,550 --> 00:07:38,570 +بمُصطلح آخر، هو الـ frontal plane. اللي أنا عشان أنا + +106 +00:07:38,570 --> 00:07:41,390 +مقتوحش بقول الـ frontal plane، معناته أنا بدي أحطه + +107 +00:07:41,390 --> 00:07:44,830 +في مخيلتي، أنه هيقسم الجسم لـ front و back. معناته + +108 +00:07:44,830 --> 00:07:49,450 +الكلام أمامي وخلفي. Okay. من اسمه coronal, frontal + +109 +00:07:49,450 --> 00:07:53,090 +معناته هيقسم لـ front و back. إذا هو هيقسم بـ + +110 +00:07:53,090 --> 00:07:57,250 +anterior and posterior. الأمور واضحة هيك، إنه إحنا + +111 +00:07:57,250 --> 00:08:00,110 +بنحكي على اللي هي الـ planes اللي موجودة داخل جسم + +112 +00:08:00,110 --> 00:08:03,870 +الإنسان، هي عبارة عن خطوط وهمية بتقسم جسم الإنسان + +113 +00:08:03,870 --> 00:08:07,850 +إلى anterior و posterior. إذا أنا بحكي على خط الـ + +114 +00:08:07,850 --> 00:08:11,810 +coronal plane. آجي أشوف النوع الثاني من اللي هو الـ + +115 +00:08:11,810 --> 00:08:17,180 +plane، حاجة اسمها الـ Transverse plane، اللي هو اللوح + +116 +00:08:17,180 --> 00:08:20,720 +الزجاجي هذا، اللي هيقسم جسم الإنسان إلى الـ part + +117 +00:08:20,720 --> 00:08:28,120 +هذا، آسفة، و الـ part الثاني اللي هو الأسفل. إذا الـ + +118 +00:08:28,120 --> 00:08:34,580 +coronal plane، هيقسم، آسفة، الـ Transverse plane، مقطع + +119 +00:08:34,580 --> 00:08:39,460 +عرضي، يعني هو عبارة عن خط عرضي، معنى الكلام، أو أفقي + +120 +00:08:39,460 --> 00:08:46,510 +هيقسم الجسم إلى الجزئين أساسياً. حكينا في عندنا اللي + +121 +00:08:46,510 --> 00:08:50,930 +هو الـ upper part، أو الجزء الأعلى، والـ lower part. + +122 +00:08:50,930 --> 00:08:54,850 +إذا من اسمه transverse، معناته شيء عرضي، معناته هيقسم + +123 +00:08:54,850 --> 00:09:00,470 +الجسم إلى قسمين أساسيين، بالتزامن مع اللي هو قائمة + +124 +00:09:00,470 --> 00:09:04,730 +أو زاوية قائمة مع اللي هو الخط المتوسط لجسم + +125 +00:09:04,730 --> 00:09:05,690 +الإنسان. + +126 +00:09:12,600 --> 00:09:24,120 +تعامل مع خط الأساسي، الـ + +127 +00:09:24,120 --> 00:09:24,940 +cross sectional plane، أو الخط الأساسي الـ horizontal. + +128 +00:09:24,970 --> 00:09:29,190 +Superior، أو بسميها upper، superior، بالـ Latin words، + +129 +00:09:29,190 --> 00:09:33,530 +upper، بالـ English words. إذا بيقسم الجسم لـ superior، + +130 +00:09:33,530 --> 00:09:38,490 +وعكسها تماماً كلمة inferior. superior أعلى، inferior + +131 +00:09:38,490 --> 00:09:44,030 +معناتها أسفل. إذا الـ transverse plane بيقسم الجسم إلى + +132 +00:09:44,030 --> 00:09:49,090 +superior and inferior، upper and lower. هذا اللي هو + +133 +00:09:49,090 --> 00:09:53,890 +second type of plane. آجي النوع الثالث اللي هو اسمه + +134 +00:09:53,890 --> 00:09:57,290 +الـ Sagittal plane. هذا عبارة عن إيش؟ عبارة عن + +135 +00:09:57,290 --> 00:10:01,750 +plane بيقسم الجسم إلى قسمين أساسيين زي ما أنتم + +136 +00:10:01,750 --> 00:10:05,970 +شايفينه، هو عبارة عن لوح الزجاج هذا اللي هو بيقسم + +137 +00:10:05,970 --> 00:10:11,070 +الجسم لـ Right side و Left side. إذن هو عبارة عن + +138 +00:10:11,070 --> 00:10:12,050 +plane. + +139 +00:10:26,180 --> 00:10:31,320 +أعمل سُمّري لثلاثة خطوط الموجودة عندي. بداية حكينا + +140 +00:10:31,320 --> 00:10:34,980 +الـ planes هي عبارة عن خط وهمي موجود على جسم الإنسان + +141 +00:10:34,980 --> 00:10:38,520 +إحنا بنتخيله، مهم جداً لإن إحنا بنشتغل في الـ + +142 +00:10:38,520 --> 00:10:41,480 +rehabilitation، أو في الـ medical team اللي موجود + +143 +00:10:41,480 --> 00:10:46,260 +اللي إحنا المريض هو الهدف تبعنا. عندي ثلاثة خطوط + +144 +00:10:46,260 --> 00:10:50,120 +أساسية. الخط الأول اللي هو Coronal plane، وبين + +145 +00:10:50,120 --> 00:10:53,840 +قوسين بسميه الـ frontal. الخط الثاني اسمه الـ + +146 +00:10:53,840 --> 00:10:56,910 +Transverse plane، وبين القوسين اللي بسميه cross + +147 +00:10:56,910 --> 00:11:01,110 +sectional، أو الخط العرضي. الـ Sagittal plane هو الخط + +148 +00:11:01,110 --> 00:11:05,950 +الثالث والأخير، اللي أنا بسميه الـ midsagittal plane، أو + +149 +00:11:05,950 --> 00:11:10,270 +الخط الوسطي. اللي أعرف، الـ coronal plane، حكينا هو + +150 +00:11:10,270 --> 00:11:15,110 +عبارة عن الـ plane اللي بيقسم الجسم إلى anterior و + +151 +00:11:15,110 --> 00:11:19,290 +posterior، front and back، تمام؟ من اسمه frontal + +152 +00:11:19,290 --> 00:11:23,390 +معناته هيقسم لـ front and back. السجيتال plane بيقسم + +153 +00:11:23,390 --> 00:11:28,330 +الجسم إلى قسمين أساسيين، Right and left parts، جزء + +154 +00:11:28,330 --> 00:11:32,490 +أيمن وجزء أيسر. بنحكي إن هذا المريض، إجى عنده جلطة + +155 +00:11:32,490 --> 00:11:38,470 +دماغية، قامت بعمل شلل لجزء الأيمن من جسمه، Right + +156 +00:11:38,470 --> 00:11:43,210 +hemiplegia. معناته أنا بدي الـ plane هنا استخدمته ليه؟ + +157 +00:11:43,210 --> 00:11:46,230 +إنه حددت، إذا كانت الإصابة عندي في الـ right أو في + +158 +00:11:46,230 --> 00:11:50,910 +الـ left من جسم المريض. الـ transverse plane هو عبارة + +159 +00:11:50,910 --> 00:11:55,390 +عن plane وهمي أيضاً، يقسم الجسم إلى upper، أو كلمة + +160 +00:11:55,390 --> 00:12:00,090 +superior، بين قوسين superior. الـ lower limb هو عبارة + +161 +00:12:00,090 --> 00:12:03,050 +عن، أو الجزء الثاني اللي هو lower limb، اللي هو + +162 +00:12:03,050 --> 00:12:07,550 +inferior. superior عكسها inferior، و upper عكسها + +163 +00:12:07,550 --> 00:12:11,310 +lower. هيك بيكون أنا عملت summary لثلاثة خطوط أساسية + +164 +00:12:11,310 --> 00:12:14,810 +الموجودة عندي. آجي أشوف الـ slide اللي بعدها، إيش + +165 +00:12:14,810 --> 00:12:18,230 +بتحكي لي؟ بتحكي لي إنه هذه الـ sections، و الـ plane في + +166 +00:12:18,230 --> 00:12:22,190 +حاجة اسمها سجيتال plane، بيمر خلال الـ midline، الـ + +167 +00:12:22,190 --> 00:12:26,810 +midline هيقسم الجسم لقسمين، حكينا اللي هو right و + +168 +00:12:26,810 --> 00:12:30,930 +left. معناته هيبدأ من الـ head من فوق، هيقسم العينين + +169 +00:12:30,930 --> 00:12:34,670 +لاثنين، هيقسم الأنف للاثنين، هيقسم الـ mouth إلى + +170 +00:12:34,670 --> 00:12:39,090 +نصفين، وبينزل حتى لعند اللي هو الـ umbilicus، الـ umbilicus + +171 +00:12:39,090 --> 00:12:41,950 +الصغيرة، الصغيرة. هو بينزل، بيقسم لـ two parts من الـ + +172 +00:12:41,950 --> 00:12:46,830 +upper limb، و two parts من الـ lower limb. هذا الـ plane + +173 +00:12:46,830 --> 00:12:51,370 +بسميه midsagittal plane. إذا هو عبارة عن الخط + +174 +00: + +223 +00:16:30,920 --> 00:16:36,700 +posterior معناتها خلفي، اللي هي الـ posterior ال + +224 +00:16:36,700 --> 00:16:41,150 +posterior معناتها back and dorsal، والـ dorsal والـ ventral + +225 +00:16:41,150 --> 00:16:45,190 +لها علاقة بالـ backside of the human body، تمام؟ + +226 +00:16:45,190 --> 00:16:50,440 +منطقة ظهرية، منطقة الظهر، dorsal، back معناتها ventral + +227 +00:16:50,440 --> 00:16:54,980 +معناته الـ belly أو اللي هو البطن of the human body + +228 +00:16:54,980 --> 00:16:58,820 +إذن معناته الكلام قسمته حسب الـ belly والـ back + +229 +00:16:58,820 --> 00:17:03,680 +لأربع مصطلحات طبية: anterior و posterior و dorsal و + +230 +00:17:03,680 --> 00:17:09,180 +ventral؛ أمامي و خلفي و ظهري و بطني، تمام؟ إنتَ أنا + +231 +00:17:09,180 --> 00:17:12,320 +بستخدم هذه المصطلحات، بستخدمها إذا أنا بدي أقول شيء + +232 +00:17:12,320 --> 00:17:18,870 +يتعلق بالأمام والخلف، وحكينا اللي هو الخط اللي + +233 +00:17:18,870 --> 00:17:22,010 +بيقسّم جسم الإنسان لـ Anterior و Posterior، هو + +234 +00:17:22,010 --> 00:17:25,870 +عبارة عن الـ Coronal Plane، شايفين وين أنا استخدمته؟ + +235 +00:17:25,870 --> 00:17:31,390 +استخدمته في هذه المهمة، إذا أنا بدي أقسّم الجسم أو + +236 +00:17:31,390 --> 00:17:36,470 +بدي آخذ مصطلحات طبية according to الـ superior + +237 +00:17:36,470 --> 00:17:41,930 +و inferior؛ يعني من الـ head من فوق واللي هو الـ foot + +238 +00:17:41,930 --> 00:17:46,550 +من تحت، بحكي على superior و inferior، إذا أنا حكيت + +239 +00:17:46,550 --> 00:17:51,430 +superior معناته toward الـ head، inferior معناته + +240 +00:17:51,430 --> 00:17:56,290 +toward الـ foot، not head؛ يعني قريبة من الـ foot، إذا + +241 +00:17:56,290 --> 00:18:03,680 +هنا superior أعلى، inferior أسفل، تمام؟ هذه حسب اللي + +242 +00:18:03,680 --> 00:18:07,740 +هو أعلى وأسفل، إحنا في الـ slide اللي قبلها حكينا + +243 +00:18:07,740 --> 00:18:11,440 +على شيء اسمه اللي هو أمامي وخلفي، هنا بدي أحكي + +244 +00:18:11,440 --> 00:18:16,460 +على أعلى وأسفل، الآن الـ caudal معناتها شيء رأسي + +245 +00:18:16,460 --> 00:18:20,660 +قريب من أسفل، الـ caudal شيء اللي له علاقة بالنهايات + +246 +00:18:20,660 --> 00:18:25,240 +بالـ tail، tail end، اللي هو posterior or tail end + +247 +00:18:25,240 --> 00:18:28,280 +بتعرفوا بداية تكوين الجنين، لسه ما بيكون فيه عنده + +248 +00:18:28,280 --> 00:18:31,240 +أرجل ولا بيكون عنده foot ولا شيء، فبيكون على شكل + +249 +00:18:31,240 --> 00:18:36,100 +الـ C type، هذا الـ C type أو الـ C shape، هو عبارة + +250 +00:18:36,100 --> 00:18:40,050 +عن اللي هو الـ tail، الـ cranial at the head end + +251 +00:18:40,050 --> 00:18:46,210 +كلمة cranium لحالها أو cranial تعني رأسي أو head + +252 +00:18:46,640 --> 00:18:50,140 +إذا السهم طالع لفوق معناته أنا هحكي على superior + +253 +00:18:50,140 --> 00:18:54,500 +و cranial، أما إذا السهم نازل لتحت معناته هحكي على + +254 +00:18:54,500 --> 00:18:59,700 +inferior مع tail أو caudal، تمام؟ إذا أخذنا + +255 +00:18:59,700 --> 00:19:02,080 +المصطلحات اللي بتتعلق بالـ anterior والـ exterior + +256 +00:19:02,080 --> 00:19:06,260 +أخذنا المصطلحات اللي بتتعلق بالأعلى، above and + +257 +00:19:06,260 --> 00:19:10,340 +below؛ above معناتها superior، below معناتها + +258 +00:19:10,340 --> 00:19:11,100 +inferior + +259 +00:19:14,030 --> 00:19:16,670 +(Repeated "اللى" – likely a verbal filler, cannot be corrected meaningfully) + +260 +00:19:16,670 --> 00:19:19,930 +(Repeated "اللى" – likely a verbal filler, cannot be corrected meaningfully) + +261 +00:19:19,930 --> 00:19:20,450 +(Repeated "اللى" – likely a verbal filler, cannot be corrected meaningfully) + +262 +00:19:20,450 --> 00:19:21,050 +(Repeated "اللى" – likely a verbal filler, cannot be corrected meaningfully) + +263 +00:19:21,050 --> 00:19:24,150 +(Repeated "اللى" – likely a verbal filler, cannot be corrected meaningfully) + +264 +00:19:24,150 --> 00:19:25,950 +(Repeated "اللى" – likely a verbal filler, cannot be corrected meaningfully) + +265 +00:19:25,950 --> 00:19:31,330 +(Repeated "اللى" – likely a verbal filler, cannot be corrected meaningfully) + +266 +00:19:31,330 --> 00:19:40,850 +(Repeated "اللى" – likely a verbal filler, cannot be corrected meaningfully) + +267 +00:19:40,850 --> 00:19:44,070 +إذا أنا حكيت إن أنا medially، معناته + +268 +00:19:44,070 --> 00:19:47,950 +towards the midline of the body، بخط وهمي اللي + +269 +00:19:47,950 --> 00:19:52,550 +هو Sagittal Plane، وبين قوسين حكيت لكم إحنا دلعناها + +270 +00:19:52,550 --> 00:19:58,450 +باسم الـ median plane أو خط المنتصف، هذا الخط إذا أنا + +271 +00:19:58,450 --> 00:20:03,150 +كنت قريبة منه، فمعناته بقول أنا في اللي هي الـ + +272 +00:20:03,150 --> 00:20:07,470 +medial side، أما إذا كانت الإصابة مثلاً على سبيل + +273 +00:20:07,470 --> 00:20:10,550 +المثال هنا في الإيد، معناته أنا بكون في الـ lateral + +274 +00:20:10,550 --> 00:20:15,930 +side، إذا عرفتهم وبعد هيك أحكي لكم مثال، الـ medial + +275 +00:20:15,930 --> 00:20:19,270 +towards the midline، هي أنا قريبة من الـ midline، أما + +276 +00:20:19,270 --> 00:20:23,890 +الـ lateral معناته أنا away from، بعيدة كلياً عن الـ + +277 +00:20:23,890 --> 00:20:29,670 +midline، عن الخط، أجيب مثال على سبيل المثال الـ eye + +278 +00:20:29,670 --> 00:20:35,990 +close to the midline، قريبة من الـ midline، تمام؟ أما + +279 +00:20:35,990 --> 00:20:40,270 +الـ hand هي عبارة عن شيء laterally، away from the + +280 +00:20:40,270 --> 00:20:44,150 +midline، إذا معناته الكلام الـ medial أو الـ median + +281 +00:20:44,150 --> 00:20:48,700 +هو قريب من الـ midline، الـ lateral away from، بعيدة + +282 +00:20:48,700 --> 00:20:52,300 +عن الـ midline، عكسها تماماً، حاجة اسمها الـ deep + +283 +00:20:52,300 --> 00:20:57,220 +والـ superficial؛ عميق وهنا superficial، سطحي، العميق + +284 +00:20:57,220 --> 00:21:00,380 +اللي هي on the inside، under neck، under skin + +285 +00:21:00,380 --> 00:21:04,460 +deep، على سبيل المثال طبقات الجلد، زي ما بنعرف إن + +286 +00:21:04,460 --> 00:21:07,480 +الطبقات الجلدية اللي هي أو البشرة، هذه الطبقة بتكون + +287 +00:21:07,480 --> 00:21:10,640 +superficial، اللي بتتجدد أحياناً وممكن إن هي + +288 +00:21:10,640 --> 00:21:14,420 +تتلف، ويتجدد الجلد عندنا، لكن في عندنا الـ muscles، الـ + +289 +00:21:14,420 --> 00:21:19,320 +muscles اللي موجودة تحت الجلد، الـ muscle اللي + +290 +00:21:19,320 --> 00:21:23,760 +موجودة تحت الجلد هي عبارة عن الحاجات الـ deep، تمام؟ + +291 +00:21:23,760 --> 00:21:28,640 +يعني حاجات inside، وفوقها في تركيبات أخرى، إذا في + +292 +00:21:28,640 --> 00:21:29,960 +عندنا deep و superficial + +293 +00:21:34,950 --> 00:21:39,450 +هكذا بيكون أنا جسمتُ اللي هي المصطلحات الطبية إلى + +294 +00:21:39,450 --> 00:21:44,990 +medial و lateral، deep و superficial؛ medial قريبة + +295 +00:21:44,990 --> 00:21:50,090 +من خط الوسط، lateral بعيدة عن خط الوسط، deep في + +296 +00:21:50,090 --> 00:21:55,330 +الداخل والعمق، أما superficial at the outside، برا، سطحيّة + +297 +00:21:55,330 --> 00:22:02,430 +حاجة طالعة لبرا، تمام؟ كيف بدنا ندرس هذا الـ chapter؟ + +298 +00:22:02,430 --> 00:22:06,290 +سؤال حلو وواضح، أنه أنا بدي… ممكن هنا تيجي عندنا + +299 +00:22:06,290 --> 00:22:09,490 +الأشياء، مصطلحات، ممكن تيجي examples زي ما أنا + +300 +00:22:09,490 --> 00:22:13,070 +شرحت لكم إياها، ممكن كمان أجيبها في الـ true and + +301 +00:22:13,070 --> 00:22:17,700 +false، معناته الكلام: ورقة وقلم يا طلاب الأعزاء، ونبدأ + +302 +00:22:17,700 --> 00:22:22,900 +نحفظ المصطلحات اللي موجودة عندنا، طبعاً حفظ مع فهم + +303 +00:22:22,900 --> 00:22:26,760 +مباشرة، أو فهم في الأول وبعدين حفظ، حتى إنك تقدري + +304 +00:22:26,760 --> 00:22:34,020 +تركّزي باللي هو المصطلح اللي موجود عندك، تمام؟ الآن + +305 +00:22:34,020 --> 00:22:38,560 +هحكي على قريب وبعيد، اللي إلها علاقة بالـ + +306 +00:22:38,560 --> 00:22:43,220 +attachment، إلها علاقة باللي هو الإرتباطات، الآن + +307 +00:22:43,220 --> 00:22:46,140 +خليني أحكي حاجة مهمة، جسم الإنسان هذا زي ما أنتم + +308 +00:22:46,140 --> 00:22:50,300 +شايفينه، هذا المربع أو هذا الشيء هو عبارة عن الـ + +309 +00:22:50,300 --> 00:22:54,880 +axial، حاجة اسمها axial، يعني الجذع تبع الإنسان، لكن + +310 +00:22:54,880 --> 00:22:58,480 +الإيدين والأرجل اللي موجودين أو الأطراف الأربعة + +311 +00:22:58,480 --> 00:23:03,140 +هي حاجة اسمها appendicular أو حاجة اسمها أطراف أو + +312 +00:23:03,140 --> 00:23:07,660 +جسم طرفي، إذا هحكي عليه الموضوع هذا، إذا أنا جيت هنا + +313 +00:23:07,660 --> 00:23:11,160 +في عندي، إذا فاكرين في بداية المحاضرة السابقة حكيت + +314 +00:23:11,160 --> 00:23:14,960 +هنا في عندي حزام صدري وهنا في عندي حزام حوضي + +315 +00:23:14,960 --> 00:23:19,120 +معناته الكلام، الإيدين بيرتبطوا بمفاصل الحزام الصدري + +316 +00:23:19,120 --> 00:23:23,700 +والأرجل هنا بيرتبطوا في الحزام الحوضي، إذا حكيت الـ + +317 +00:23:23,700 --> 00:23:27,520 +proximal معناته closest to the point of attachment للـ + +318 +00:23:27,520 --> 00:23:34,770 +trunk، تمام؟ أقرب نقطة اتصال من الـ trunk، هذا الجذع + +319 +00:23:34,770 --> 00:23:38,930 +اللي أنا حكيت عليه، معناته الكلام، هذا المفصل اللي + +320 +00:23:38,930 --> 00:23:45,770 +هو مفصل الكتف، proximal than elbow، إذا مفصل الكتف + +321 +00:23:45,770 --> 00:23:52,590 +هو أقرب من مفصل الكوع، تمام؟ مفصل الكوع أقرب من + +322 +00:23:52,590 --> 00:23:57,290 +مفصل الرسغ أو مفصل اليد، إذا الـ proximal هو أقرب + +323 +00:23:57,290 --> 00:24:01,310 +نقطة في اتصال لجذع الإنسان، على سبيل المثال نجيب للـ + +324 +00:24:01,310 --> 00:24:06,910 +lower limb، الـ foot، digital، يعني إيش كلمة digital؟ + +325 +00:24:07,790 --> 00:24:11,610 +farthest from the point of attachment للـ trunk، هي أبعد + +326 +00:24:11,610 --> 00:24:17,130 +نقطة اتصال في جذع الإنسان، إذا هنا digital، هنا + +327 +00:24:17,130 --> 00:24:22,350 +بتيجي، ما هي اللي هي مفصل الفخذ، أقرب، proximal، الـ knee + +328 +00:24:22,350 --> 00:24:27,600 +more proximal than foot، اللي هي أقرب اتصال من + +329 +00:24:27,600 --> 00:24:32,840 +الرجَل، تمام؟ إذن، هاي المصطلحين الأساسيين أخذناهم + +330 +00:24:32,840 --> 00:24:36,160 +proximal and distal، الـ proximal اللي هي + +331 +00:24:36,160 --> 00:24:40,680 +الـ closest point أو أقرب نقطة، واللي هو distal + +332 +00:24:40,680 --> 00:24:48,620 +away from the attachment تبع الـ point of the trunk، + +333 +00:24:48,620 --> 00:24:53,650 +أخذناه، أخذنا anterior and posterior، أخذنا proximal + +334 +00:24:53,650 --> 00:24:58,390 +and distal، أخذنا المصطلحات السابقة كانت اللي هي + +335 +00:24:58,390 --> 00:25:01,270 +medial و lateral، أخذنا deep and superficial + +336 +00:25:01,270 --> 00:25:05,710 +لاحظوا كل كلمة هنا بدنا نحكيها، في لها opposite زي + +337 +00:25:05,710 --> 00:25:10,160 +ما أنا وضحت في البداية، تمام؟ هنا الشيء مهم جداً إنه + +338 +00:25:10,160 --> 00:25:14,620 +ينحفظ، الشيء المهم جداً إنه يُفهم، إنه أنا كيف بدي + +339 +00:25:14,620 --> 00:25:18,400 +أحكي من النقطة الأقرب ومن النقطة الأبعد، من النقطة + +340 +00:25:18,400 --> 00:25:20,980 +اللي قريبة من الـ midline ومن النقطة اللي هي بعيدة + +341 +00:25:20,980 --> 00:25:25,280 +عن الـ midline، تمام؟ معناته الكلام، الشيء هنا مهم + +342 +00:25:25,280 --> 00:25:34,920 +جداً إنه إحنا بدنا نحفظ ونفهم في هذا الشكل، تمام؟ + +343 +00:25:34,920 --> 00:25:40,140 +إيش الـ slide هذه الكبيرة؟ اللي مليانة، أخذناها + +344 +00:25:40,140 --> 00:25:44,180 +تقريباً أغلبها، خليني أبدأ فيها واحدة واحدة، هي عبارة + +345 +00:25:44,180 --> 00:25:48,560 +عن ورقة مصطلحات، لا أكثر ولا أقل، هتاخدوها، وبكرة + +346 +00:25:48,560 --> 00:25:52,520 +لما تخلصوا هذا الـ chapter هتقولوا يا الله إيش هذه + +347 +00:25:52,520 --> 00:25:57,300 +slide، كائنة سهلة وحلوة، وإحنا بس نتأذّى منها؟ لأ هي + +348 +00:25:57,300 --> 00:26:01,600 +حاجة سهلة جداً، هتشوفوها بإذن الله تعالى، بس لإنه + +349 +00:26:01,600 --> 00:26:05,240 +الشيء جديد عليكم، كيف لكِ، أخذناها ومرت علينا جيداً + +350 +00:26:05,240 --> 00:26:11,670 +كده، معناته head رأسي، frontal أمامي، forehead الـ + +351 +00:26:11,670 --> 00:26:16,730 +nasal معناتها nose، الـ orbital معناتها eye، عين + +352 +00:26:16,730 --> 00:26:22,770 +buccal اللي هي الـ cheek، الخدود، oral mouth، الفم + +353 +00:26:22,770 --> 00:26:28,730 +cervical للـ neck، mental للـ chin، acromial للـ + +354 +00:26:28,730 --> 00:26:34,470 +shoulder، mammary معناتها الـ breast، تمام؟ acromial + +355 +00:26:34,470 --> 00:26:37,670 +للـ shoulders اللي هي حكينا عليها، الكتف، الـ sternal + +356 +00:26:37,670 --> 00:26:43,530 +عظمة القَصْر، الـ axillary الإبط، thoracic معناته صدري + +357 +00:26:43,530 --> 00:26:49,350 +mammary اللي هي الثديين أو الـ breast، brachial + +358 +00:26:49,350 --> 00:26:53,450 +معناته الـ arm، تمام؟ وين الـ brachial؟ اللي هي الـ + +359 +00:26:53,450 --> 00:26:57,410 +arm اللي موجودة من مفصل الـ shoulder لمفصل الـ elbow + +360 +00:26:57,410 --> 00:27:02,690 +أو مفصل الكوع، هي عبارة عن الساعد، الـ antebrachial + +361 +00:27:02,690 --> 00:27:07,790 +front of the elbow، اللي هي الجهة الأمامية اللي بتكون + +362 +00:27:07,790 --> 00:27:12,370 +من الـ abdomen أو الـ belly aspects، اللي هي من + +363 +00:27:12,370 --> 00:27:17,250 +الجهة الأمامية لمفصل الكوع، الـ olecranal الجهة + +364 +00:27:17,250 --> 00:27:23,210 +الخلفية من مفصل الكوع، antebrachial forearm اللي هي + +365 +00:27:23,210 --> 00:27:27,490 +الـ forearm اللي هي بتكون عبارة عن العظمتين اللي + +366 +00:27:27,490 --> 00:27:32,150 +هما اللي بيكونوا موجودين ما بين مفصل الكوع ومفصل + +367 +00:27:32,150 --> 00:27:37,230 +اليد أو الرسغ، بين قوسين، الـ popliteal حاجة موجودة + +368 +00:27:37,230 --> 00:27:42,430 +خلف الركبة، sural معناتها البطة أو بطة الساق + +369 +00:27:42,430 --> 00:27:47,030 +carpal العظام اللي موجودة في الـ wrist أو في الـ + +370 +00:27:47,030 --> 00:27:51,690 +hand، palmar زي ما مرّ علينا قبل كده، هي عبارة عن + +371 +00:27:51,690 --> 00:27:56,070 +اللي هو باطن اليد، pollex معناتها الإصبع الكبير + +372 +00:27:56,990 --> 00:28:00,810 +digits الأصابع الصغيرة، pubic معناتها الـ genital + +373 +00:28:00,810 --> 00:28:06,230 +area أو بنسميها المناطق الحساسة، patellar معناتها + +374 +00:28:06,230 --> 00:28:10,410 +الصابونة أو الـ anterior knee، patellar معناتها اللي + +375 +00:28:10,410 --> 00:28:14,470 +هي الصابونة تبع الساق أو اللي هي الصابونة اللي + +376 +00:28:14,470 --> 00:28:18,170 +موجودة عند الركبة، crural معناتها الـ leg اللي هي + +377 +00:28:18,170 --> 00:28:24,310 +عبارة عن القدم أو الساق اللي موجودة، tarsal ankle + +378 +00:28:24,310 --> 00:28:30,370 +مفصل الكاحل أو مفصل اللي هو القدم، hallux حاجة + +379 +00:28:30,370 --> 00:28:34,890 +اسمها الإصبع الكبير من الساق، occipital معناتها الـ + +380 +00:28:34,890 --> 00:28:40,050 +base of skull، قاعدة الجمجمة، تمام؟ occipital قاعدة + +381 +00:28:40,050 --> 00:28:45,150 +الجمجمة، vertebral معناته شيء ظهري أو موجود في + +382 +00:28:45,150 --> 00:28:50,710 +العمود الفقري، scapular لوحة الكتف، shoulder blade، الـ + +383 +00:28:50,710 --> 00:28:55,130 +dorsum معناتها الـ back أو الخلفي، الـ lumbar اللي + +384 +00:28:55,130 --> 00:28:59,870 +هي الخصر، sacral ما بين اللي هو الـ two hips، ما بين + +385 +00:28:59,870 --> 00:29:04,110 +الفخذين اللي هما عبارة عن الـ sacrum أو اللي هي + +386 +00:29:04,110 --> 00:29:08,830 +الفقرات العجزية، perineal ما بين الـ anus و genital + +387 +00:29:08,830 --> 00:29:13,330 +area اللي هو المنطقة الحساسة اللي بتكون ما بين + +388 +00:29:13,330 --> 00:29:18,910 +فتحة الشرج واللي هي الـ genital area، gluteal + +389 +00:29:18,910 --> 00:29:25,330 +معناتها أرداف، calcaneal معناتها نهاية أو كعب القدم + +390 +00:29:25,330 --> 00:29:30,050 +plantar اللي هي باطن القدم، هنا بنلاحظ في كلمة + +391 +00:29:30,050 --> 00:29:37,190 +plantar وفي كلمة اللي هي palmar، palmar للـ palm، M مع M + +392 +00:29:37,190 --> 00:29:41,590 +معناته الكلام باطن اليد، وهنا plantar معناتها sole + +393 +00:29:41,590 --> 00:29:46,700 +اللي هي باطن القدم، الشيء مش صعب جداً، + +445 +00:33:38,810 --> 00:33:43,750 +وتعالى أن هو تم الـ protection تبعها أو حمايتها عن + +446 +00:33:43,750 --> 00:33:47,830 +طريق الـ thoracic cavity. في عندنا الـ abdomen و + +447 +00:33:47,830 --> 00:33:52,990 +pelvic cavity. لاحظوا الكلمة كبيرة، بدنا نبدأ نقسمها. + +448 +00:33:52,990 --> 00:33:58,110 +الـ abdomen وبطني، الـ هنا عشان أنا أشبك الكلمتين في + +449 +00:33:58,110 --> 00:34:05,930 +بعض، الـ pelvic حوضي، التجويف البطني الحوضي، تمام، الـ abdomen + +450 +00:34:05,930 --> 00:34:11,390 +pelvic cavity. الـ abdomen مين هيخبلي؟ الـ stomach، الـ + +451 +00:34:11,390 --> 00:34:15,610 +liver، الـ spleen، الـ gall bladder، و الـ small و الـ + +452 +00:34:15,610 --> 00:34:19,270 +large intestine. نعيد تاني ترجمتهم: الـ stomach + +453 +00:34:19,270 --> 00:34:25,810 +المعدة، الـ liver الكبد، و الـ spleen هي عبارة عن الطحال، + +454 +00:34:25,810 --> 00:34:29,870 +الـ gall bladder المرارة، و الأمعاء الدقيقة و + +455 +00:34:29,870 --> 00:34:34,410 +الأمعاء الغليظة، تمام؟ هذا موجود في وين؟ في الحوض، + +456 +00:34:34,410 --> 00:34:38,170 +في اللي هو التجويف الحوضي البطني، آسفة، موجود في + +457 +00:34:38,170 --> 00:34:43,060 +التجويف... في التجويف البطني، الـ pelvic cavity أو + +458 +00:34:43,060 --> 00:34:48,160 +التجويف الحوضي. urinary bladder موجود في المثانة + +459 +00:34:48,160 --> 00:34:52,940 +البولية، الـ internal reproductive organs الأعضاء + +460 +00:34:52,940 --> 00:34:56,340 +التناسلية الداخلية، هذول موجودين في الـ pelvic + +461 +00:34:56,340 --> 00:34:59,720 +cavity. إذا هذه الكلمة الكبيرة أنا جسمتها لجسمين: + +462 +00:34:59,720 --> 00:35:05,770 +abdomino-pelvic، abdomeno pelvic cavity، هيك بتنطقها، في + +463 +00:35:05,770 --> 00:35:09,610 +معناته أنا جسمتها لجزئين أساسيين: تجويف بطني وتجويف + +464 +00:35:09,610 --> 00:35:14,790 +حوضي، تمام؟ وعرفنا إيش بتكونه كل تجويف فيهم بيكون. + +465 +00:35:14,790 --> 00:35:18,550 +أنا أخذت أربع تجاويف: اللي هو الـ dorsal cavity، + +466 +00:35:18,550 --> 00:35:22,850 +الـ ventral cavity، الـ abdomen، والـ pelvic، وممكن التانين + +467 +00:35:22,850 --> 00:35:27,630 +هذول أشبكهم مع بعض وأحكي عليهم abdomino-pelvic + +468 +00:35:27,630 --> 00:35:28,450 +cavity. + +469 +00:35:30,800 --> 00:35:34,460 +هنا كاتب لي ملاحظة صغيرة، أن هو بيحكي أن الـ + +470 +00:35:34,460 --> 00:35:40,140 +diaphragm، كلمة diaphragm تعني الحجاب الحاجز، الـ + +471 +00:35:40,140 --> 00:35:43,920 +diaphragm muscles هو عبارة عن عضلة تعمل على فصل + +472 +00:35:43,920 --> 00:35:51,240 +thoracic and abdomino-pelvic cavity، ما يفصل الصدر عن + +473 +00:35:51,240 --> 00:35:56,990 +التجويف الحوضي البطني، هي عضلة الحجاب الحاجز، تمام؟ و + +474 +00:35:56,990 --> 00:36:01,390 +أيضا بدنا نلاحظ أن الـ kidney الكليتين، والغدة + +475 +00:36:01,390 --> 00:36:05,240 +الكظرية، أو الـ adrenal gland، والبنكرياس، والـ + +476 +00:36:05,240 --> 00:36:09,920 +urethra are behind the abdomino-pelvic cavity، تقع + +477 +00:36:09,920 --> 00:36:15,900 +في خلف التجويف الحوضي البطني، فبالتالي بسميها Retro- + +478 +00:36:15,900 --> 00:36:22,240 +كلمة Retro هنا رجعي أو خلفي، Retro-peritoneal، تمام؟ + +479 +00:36:22,240 --> 00:36:27,260 +Retro يعني خلفي، الكلية، والـ adrenal glands، والبنكرياس، + +480 +00:36:27,260 --> 00:36:33,830 +والـ urethra، هذه تقع خلف الجهاز أو خلف التجويف + +481 +00:36:33,830 --> 00:36:40,610 +الحوضي البطني، تمام؟ هذا اللي هو عبارة عن ملخص اللي + +482 +00:36:40,610 --> 00:36:44,530 +احنا حكيناه بالـ slides. الـ dorsal يحتوي على الـ + +483 +00:36:44,530 --> 00:36:48,830 +cranial cavity و الـ vertebral cavity، هنا بيحمل + +484 +00:36:48,830 --> 00:36:52,570 +brain، هنا بيحمل spinal cord، هذا الـ spinal cord + +485 +00:36:52,570 --> 00:36:58,550 +موجود داخل الـ vertebrae، يعني داخل العمود الفقري، الـ + +486 +00:36:58,550 --> 00:37:00,890 +thoracic اللي بيحتوي على الـ lungs و الـ esophagus + +487 +00:37:00,890 --> 00:37:05,630 +و كل الأمور العليا و الـ heart. هو عبارة عن شيء thoracic، + +488 +00:37:05,630 --> 00:37:10,990 +شيء ventral، شيء أمامي، الـ diaphragm حكينا عنه، هي + +489 +00:37:10,990 --> 00:37:16,010 +عبارة عن عضلة الحجاب الحاجز والتي تفصل الـ thoracic + +490 +00:37:16,010 --> 00:37:20,140 +عن الـ abdomino-pelvic cavity، تمام؟ الـ abdomen + +491 +00:37:20,140 --> 00:37:23,880 +بيحتوي على الـ stomach، المعدة، الـ large و الـ small + +492 +00:37:23,880 --> 00:37:27,680 +intestine، و الـ gall bladder، كل هذه الأمور موجودة في + +493 +00:37:27,680 --> 00:37:31,900 +التجويف البطني، و الـ pelvic تحت موجود، لاحظوا إيش + +494 +00:37:31,900 --> 00:37:36,420 +موجود فيه: الـ urinary bladder، المثانة البولية، و الـ + +495 +00:37:36,420 --> 00:37:40,160 +reproductive system، تمام، الجهاز التناسلي، هذول + +496 +00:37:40,160 --> 00:37:46,410 +مع بعض، أنا بسميهم abdomino-pelvic، abdomen و الـ pelvic، اجتمعوا + +497 +00:37:46,410 --> 00:37:51,670 +لأشَبِكهم بالـ ventral cavity، التانين، أو هذا كله أنا بخليه + +498 +00:37:51,670 --> 00:37:56,150 +في الـ anterior aspect، أو الـ ventral cavity. Ventral، + +499 +00:37:56,150 --> 00:38:00,190 +anterior، و frontal، كلهم تؤدي إلى نفس المعنى اللي + +500 +00:38:00,190 --> 00:38:02,970 +هو anterior aspect، تمام؟ + +501 +00:38:05,260 --> 00:38:10,400 +هنا طبعا اللي هو بيقسم ليه؟ لـ cavities حسب اللي هو + +502 +00:38:10,400 --> 00:38:14,880 +اللي احنا أخدناه: anterior و posterior، right و left. + +503 +00:38:14,880 --> 00:38:18,540 +زي ما حكينا، هذا الـ mid-sagittal بيقسم الـ anterior + +504 +00:38:18,540 --> 00:38:23,820 +بيقسم لـ right side و الـ left side. هنا هتكلم على + +505 +00:38:23,820 --> 00:38:29,080 +الـ membranes أو اللي هي الأغشية اللي موجودة داخل + +506 +00:38:29,080 --> 00:38:32,720 +جسم الإنسان. شو يعني كلمة membrane؟ هي عبارة عن + +507 +00:38:32,720 --> 00:38:37,850 +حاجة soft، thin، pliable layers of tissue that + +508 +00:38:37,850 --> 00:38:43,650 +either... عبارة عن حاجة طرية، ناعمة، تنزلق على بعضها + +509 +00:38:43,650 --> 00:38:48,330 +البعض، تمام. الله سبحانه وتعالى خلقنا إياها حتى تسهل + +510 +00:38:48,330 --> 00:38:53,030 +حركة العضو اللي موجود داخلها، cover لمين؟ للـ vital + +511 +00:38:53,030 --> 00:38:58,010 +organs، للأعضاء الحيوية الحساسة، على سبيل المثال الـ + +512 +00:38:58,010 --> 00:39:03,650 +lungs، الـ heart، الـ abdomen، كلها هذه الحاجات لازم + +513 +00:39:03,650 --> 00:39:09,510 +يصير فيها عمليات حركة، ولكن بتصير الحركة بسهولة جدا، + +514 +00:39:09,510 --> 00:39:14,990 +ليش؟ لوجود هذا الـ membrane، soft حكينا، thin، بلاقي + +515 +00:39:14,990 --> 00:39:20,020 +الـ layers، that either... تمام؟ لمين؟ في عندنا + +516 +00:39:20,020 --> 00:39:23,520 +أنواع متعددة، أول شيء أبدأها بالـ visceral membrane. + +517 +00:39:23,520 --> 00:39:28,220 +كلمة visceral معناته بدها تغطي الـ body cavity أو + +518 +00:39:28,220 --> 00:39:33,240 +الأحشاء. بنسميه parietal membrane، اللي هو إله علاقة + +519 +00:39:33,240 --> 00:39:37,020 +بالـ digestive system أو إله علاقة بالبطن. هو عبارة + +520 +00:39:37,020 --> 00:39:41,860 +عن الـ space أو الفراغ اللي موجود ما بين visceral + +521 +00:39:41,860 --> 00:39:46,610 +الأحشاء أو الأعضاء الحشوية اللي بتكون موجودة داخل + +522 +00:39:46,610 --> 00:39:51,050 +البطن and parietal membrane into which serous + +523 +00:39:51,050 --> 00:39:57,650 +fluid، أيضا فيها سائل اللي هو لتسهيل الحركة، is + +524 +00:39:57,650 --> 00:40:02,430 +created for lubrication، اللي هو التزييت أو + +525 +00:40:02,430 --> 00:40:08,530 +للترطيب أو لسهولة الحركة. إذا الـ space اللي واقع ما + +526 +00:40:08,530 --> 00:40:11,970 +بين الـ visceral زي ما أنتو شايفين هنا، مشبهها، حاطط + +527 +00:40:11,970 --> 00:40:16,880 +اليد في بلونة، هذه الـ visceral مشبهها، وإنه حاططها + +528 +00:40:16,880 --> 00:40:20,100 +بيه اللي هو الحوض أو اللي موجود هنا، وهذا السائل + +529 +00:40:20,100 --> 00:40:24,980 +اللي جوا هو للـ lubrication، اللي هو الترطيب أو + +530 +00:40:24,980 --> 00:40:30,280 +لسهولة حركة العضو اللي موجود عندنا، تمام؟ هذا أول + +531 +00:40:30,280 --> 00:40:34,100 +membrane أنا هاخده. في عندنا الـ thoracic and + +532 +00:40:34,100 --> 00:40:40,140 +abdomino-pelvic، صدر والحوض البطني، membrane that + +533 +00:40:40,140 --> 00:40:44,970 +are specifically named، للـ membranes around heart, lungs, + +534 +00:40:44,970 --> 00:40:48,870 +and abdomen organs. إذا الـ thoracic بيخبي مين؟ الـ heart و الـ lungs، الـ abdomen بيخبي الـ + +535 +00:40:48,870 --> 00:40:52,090 +abdomen organs زي اللي هو الـ stomach، الـ intestine، + +536 +00:40:52,090 --> 00:40:54,570 +الـ serous membrane تبعتهم، أو الـ serous + +537 +00:40:57,470 --> 00:41:02,450 +membrane للـ lung بسميه الغشاء البلوري، اللي هو + +538 +00:41:02,450 --> 00:41:06,570 +الغشاء البلوري، أكيد مر عليكم قبل كده، ولكن هنا + +539 +00:41:06,570 --> 00:41:10,530 +المسألة مسألة English فقط، الـ membrane on surface + +540 +00:41:10,530 --> 00:41:15,710 +of lung بنسميه الغشاء البلوري، الغشاء البلوري، إذن + +541 +00:41:15,710 --> 00:41:21,370 +الغشاء البلوري طبعا بسهل حركة الرئتين أثناء الشهيق + +542 +00:41:21,370 --> 00:41:25,970 +والزفير، فتتحرك بسهولة عالية جدا. أما الـ membrane + +543 +00:41:25,970 --> 00:41:30,230 +اللي بيغطي الـ cavity in which lungs are located + +544 +00:41:30,230 --> 00:41:36,630 +is parietal pleura، هنا الغشاء البلوري تبعنا، تمام؟ + +545 +00:41:36,630 --> 00:41:40,510 +وهنا الغشاء اللي هو الحشوي، الـ membrane lines + +546 +00:41:40,510 --> 00:41:45,110 +cavity in which lung is located، مكان اللي هو موقع + +547 +00:41:45,110 --> 00:41:49,270 +الرئتين. الـ space ما بين two membranes is called + +548 +00:41:49,270 --> 00:41:53,510 +pleural cavity. في عندي الغشاء البلوري، وفي برايتل + +549 +00:41:53,510 --> 00:41:57,650 +البلورة، ما بين الغشائين، حاجة اسمها البلورة cavity، + +550 +00:41:57,650 --> 00:42:09,210 +أو التجويف البلوري، موجود، أو مغطى، أو ممتلئ بالسائل + +551 +00:42:09,210 --> 00:42:13,910 +اللزج اللي بيكون للـ lubrication، اللي هو الـ easy + +552 +00:42:13,910 --> 00:42:18,430 +movement، تسهيل الـ movement للـ organs اللي موجود + +553 +00:42:18,430 --> 00:42:23,070 +داخل فيهم. إذا أخذنا هنا thoracic و abdomino-pelvic cavity، + +554 +00:42:23,070 --> 00:42:28,410 +pelvic cavity أو membranes، أخذنا الـ... هناخد thoracic + +555 +00:42:28,410 --> 00:42:30,870 +و abdomino-pelvic cavity أيضا حاجة ل... اللي هي للـ + +556 +00:42:30,870 --> 00:42:34,490 +lungs، هنا هناخد للـ heart، الـ membrane surface للـ + +557 +00:42:34,490 --> 00:42:39,370 +heart، بنسميه طبعا الغشاء اللي بيكون خارجي للـ heart، + +558 +00:42:39,370 --> 00:42:45,850 +بنسميه الـ visceral pericardium. لاحظوا هنا، حكيت حول + +559 +00:42:45,850 --> 00:42:50,710 +وليس قبل، عشان أنا لازم أفرق في المصطلحات الطبية، + +560 +00:42:50,710 --> 00:42:58,250 +حكيت في pre بيعني before، post بيعني after، لكن per + +561 +00:42:58,250 --> 00:43:05,970 +حول، حول يعني خارجي، بيغطيه، الـ visceral pericardium، + +562 +00:43:05,970 --> 00:43:09,230 +pericardium لحالها قلبي، the membrane that lines + +563 +00:43:09,230 --> 00:43:14,450 +cavity in which heart is located، بنسميه الـ parietal + +564 +00:43:14,450 --> 00:43:20,910 +pericardium، الغشاء اللي هو اللي بيغطي القلب. أما + +565 +00:43:20,910 --> 00:43:24,710 +الفراغ اللي موجود ما بين الـ two membranes، ما بين + +566 +00:43:24,710 --> 00:43:28,990 +الـ visceral والـ parietal، اسمه الـ pericardial cavity، + +567 +00:43:28,990 --> 00:43:37,210 +مملوء أيضا بالسائل اللزج حتى يسمح باللي هو حركة + +568 +00:43:37,210 --> 00:43:41,230 +القلب. اللي هو هنا عندنا غشاء التيمور زي ما أنتو + +569 +00:43:41,230 --> 00:43:46,490 +عارفينه طبعا هو الغشاء اللي موجود ليسهل حركة القلب + +570 +00:43:46,490 --> 00:43:50,530 +اللي موجودة عندنا. أخذنا الأغشية المحيطة في الـ + +571 +00:43:50,530 --> 00:43:56,190 +thoracic، في الـ abdomino-pelvic cavity، والآن سنحكي + +572 +00:43:56,190 --> 00:44:01,100 +على الـ abdominal organs، اللي هو اللي موجودة داخل + +573 +00:44:01,100 --> 00:44:04,600 +الـ abdomen أو موجودة داخل البطن. The membrane that + +574 +00:44:04,600 --> 00:44:07,960 +surfaces، لمين؟ بتغطي الـ liver و الـ stomach، بسميها + +575 +00:44:07,960 --> 00:44:11,720 +الـ visceral peritoneum، الغشاء البريتوني، أو + +576 +00:44:11,720 --> 00:44:16,120 +البريتوني، تعني بطني. الـ membrane اللي بيمتد داخل الـ + +577 +00:44:16,120 --> 00:44:20,980 +cavity نفسه، بسميه الـ parietal peritoneum. طبعا ما بين + +578 +00:44:20,980 --> 00:44:24,860 +الـ visceral و الـ parietal، في عندنا، this membrane is + +579 +00:44:24,860 --> 00:44:29,030 +called peritoneal cavity، موجود اللي هو البريتوني + +580 +00:44:29,030 --> 00:44:32,810 +الكافيتي، and that's filled with serous fluid، معبّق + +581 +00:44:32,810 --> 00:44:37,490 +بالسائل اللزج، to facilitate movement، حتى تسهل حركة + +582 +00:44:37,490 --> 00:44:42,560 +الأعضاء، تسهل حركة الكبد وتكون الأمور ماشية + +583 +00:44:42,560 --> 00:44:46,160 +بسهولة طبيعية، طبعا هذا من فضل الله سبحانه وتعالى + +584 +00:44:46,160 --> 00:44:50,460 +علينا. إذا أخذنا شو الـ membranes اللي موجودة سواء + +585 +00:44:50,460 --> 00:44:53,680 +بالـ thoracic، بالـ abdomino-pelvic، بالـ cavity، و كل + +586 +00:44:53,680 --> 00:44:56,580 +الأمور هذه، وحكينا دائما بيكون ما بين الـ visceral + +587 +00:44:56,580 --> 00:45:01,800 +و الـ parietal، في عندي اللي هو الـ cavity اللي موجود + +588 +00:45:01,800 --> 00:45:08,140 +ممتلئ بالسائل اللي هو serous fluid. هذا بالنسبة لـ + +589 +00:45:08,140 --> 00:45:12,200 +اللي هي الـ visceral pericardium اللي موجودة عندنا. + +590 +00:45:12,200 --> 00:45:16,980 +وهنا هذا مقطع عرضي، هم ماخدينه طبعا مش مطالبين + +591 +00:45:16,980 --> 00:45:21,520 +أنتم بهذه الصورة، ولكن أنا بس للتوضيح بحكي عليها. + +592 +00:45:21,520 --> 00:45:30,640 +طبعا الـ membranes اللي موجودة عندنا، بدي أقسم جسم + +593 +00:45:30,640 --> 00:45:35,720 +الإنسان، أو الـ abdomen، إلى أربعة، تمام؟ لاحظوا معايا، + +594 +00:45:36,250 --> 00:45:40,870 +هي الجسم، هي الجذع اللي أنا موجودة عندي من عند عظمة + +595 +00:45:40,870 --> 00:45:46,650 +القص اللي موجودة لحد ما أوصل للي هي منطقة الـ + +596 +00:45:46,650 --> 00:45:51,990 +genital area. هقسم جسم الإنسان لنصين: right و left، + +597 +00:45:51,990 --> 00:45:58,070 +upper، فده كله هيك بسميه upper، واللي تحت lower. ربع، + +598 +00:45:58,070 --> 00:46:03,670 +اثنين، ثلاثة، أربعة، هيك أعطوني جسم الإنسان: right + +599 +00:46:03,670 --> 00:46:08,890 +upper quadrant. إذا الربع الأول أو الربع الأيمن + +600 +00:46:08,890 --> 00:46:15,730 +الأعلى. Right Upper Quadrant، نفسه Left Upper + +601 +00:46:15,730 --> 00:46:20,690 +Quadrant. معناته المشترك أنه هنا كلهم Upper لكن في + +602 +00:46:20,690 --> 00:46:25,430 +منه Right وفي منه Left. نفس الشيء تحت، ثانية Lower، + +603 +00:46:25,430 --> 00:46:30,350 +ولكن في عندنا Right Lower و Left Lower. هيك أنا + +604 +00:46:30,350 --> 00:46:37,120 +جسمتها لأربعة أرباع أساسية موجودة. لأن نحكي ليش احنا + +605 +00:46:37,120 --> 00:46:42,960 +بندرس هذا. أجيت أنا على قسم الباطنية وحكيت عندي ألم + +606 +00:46:42,960 --> 00:46:48,800 +في بطني، البطن كبيرة، الدكتور الباطنة ما هي سألك والله + +607 +00:46:48,800 --> 00:46:54,260 +بأي ربع، لأ، بتيجي أنت بتأشر على المنطقة اللي فيها + +608 +00:46:54,260 --> 00:47:00,260 +الألم. على سبيل المثال عندك الـ right upper quadrant، + +609 +00:47:00,260 --> 00:47:05,780 +ألم في اللي هو الربع الأيمن من منطقة البطن. هنا + +610 +00:47:05,780 --> 00:47:08,960 +الدكتور طبعا لإنه دكتور باطن بيكون بيعرف إن + +611 +00:47:08,960 --> 00:47:12,100 +المشكلة على سبيل المثال عندك في الـ gall bladder، في + +612 +00:47:12,100 --> 00:47:18,550 +المرارة، تمام؟ يختلف تماما إذا أنتَ حكيت في الـ left + +613 +00:47:18,550 --> 00:47:23,090 +lower أو الـ right lower، بيدّوا يكون المشكلة في اللي + +614 +00:47:23,090 --> 00:47:27,850 +هو تحت، فيه، على سبيل المثال في ال \ No newline at end of file diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/JgUDj-GM1wI_postprocess.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/JgUDj-GM1wI_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..fad9284bf3863ab017b38a15e858e7953703e82d --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/JgUDj-GM1wI_postprocess.srt @@ -0,0 +1,2628 @@ +1 +00:00:00,880 --> 00:00:04,580 +السلام علي أشرف الأنبياء والمرسلين نكمل معاكم إن + +2 +00:00:04,580 --> 00:00:07,800 +شاء الله بإذن الله تعالى chapter واحد في مسرح علم + +3 +00:00:07,800 --> 00:00:12,800 +التشريح لطلبات السنة الأولى في كلية العلم المصرحية + +4 +00:00:12,800 --> 00:00:16,340 +معكم الدكتور أماني مظهر الرئيس قسم العلاج الطبيعي + +5 +00:00:16,340 --> 00:00:20,160 +اتحدثنا في بداية ال chapter عن ما هو تعريف ال + +6 +00:00:20,160 --> 00:00:24,900 +anatomy وأنواعه و ال systems و كل اللي هي الحاجات + +7 +00:00:24,900 --> 00:00:29,250 +اللي بتتعلق كمقدمة عن ال introductionالان بإذن + +8 +00:00:29,250 --> 00:00:32,630 +الله تعالى سأتحدث في هذه الجزئية عن ال anatomical + +9 +00:00:32,630 --> 00:00:35,650 +terminology لما انا بدي احتي كلمة anatomical + +10 +00:00:35,650 --> 00:00:39,290 +terminology معناتها المصطلحات الطبية او المصطلحات + +11 +00:00:39,290 --> 00:00:43,890 +التشريحية خليني ابدأ فيها حكيت مهم جدا ان انا اكون + +12 +00:00:43,890 --> 00:00:48,510 +ماشية parallel اي موازة مع اللي هي ماساق المصطلحات + +13 +00:00:48,510 --> 00:00:53,390 +الطبية او مادة اللي هو التشريح مع المصطلحات هذا + +14 +00:00:53,390 --> 00:00:56,870 +الاشي مهم جدا ان انا اكون حاطط عندي في عين + +15 +00:00:56,870 --> 00:01:00,520 +الاعتبار ان انا لازمأربط المساقين مع بعضهم البعض + +16 +00:01:00,520 --> 00:01:06,660 +حتى أتمكن من الوصول إلى شاطئ الأمان هشرح في هذا + +17 +00:01:06,660 --> 00:01:10,060 +الشبتر بإذن الله تعالى شو هي بعض ال anatomical + +18 +00:01:10,060 --> 00:01:16,780 +terminology هشرح على تقسيم جسم الإنسان وكيف أنا + +19 +00:01:16,780 --> 00:01:20,820 +ممكن أحدد المناطق يعني أقسم الجسم إلى أرباع أو + +20 +00:01:20,820 --> 00:01:25,300 +أقسمه إلى أجزام وشو الخوضات الفاصلة ما بينها نبدأ + +21 +00:01:25,300 --> 00:01:30,540 +بسم الله الرحمن الرحيم فيالـ Medical Terminology + +22 +00:01:35,190 --> 00:01:40,750 +تمام بسم الله الرحمن الرحيم بداية هحكي على ال + +23 +00:01:40,750 --> 00:01:44,850 +anatomical position عشان انا لازم لما اجي على سبيل + +24 +00:01:44,850 --> 00:01:48,510 +المثال بدي اكتب الملف الطبي بدي اقول ان هذا المريض + +25 +00:01:48,510 --> 00:01:52,410 +اللي موجود انا عندي هيكون واقف او انه صار في عنده + +26 +00:01:52,410 --> 00:01:55,750 +كسر في المكان الفلاني في التلت الأول من الربع اللي + +27 +00:01:55,750 --> 00:02:00,090 +كذا فلازم اكون عارفة بعض المصطلحات الطبيةخلّيني + +28 +00:02:00,090 --> 00:02:03,630 +نحكي عن الـ anatomical position، شو هو؟ هو عبارة + +29 +00:02:03,630 --> 00:02:07,130 +عن specific position which individual stand + +30 +00:02:07,130 --> 00:02:13,750 +upright الشخص يقف بشكل سليم، upright، مافي ميلان، + +31 +00:02:13,750 --> 00:02:18,830 +مافي اعوجاج، with feet parallel and flat القدمين + +32 +00:02:18,830 --> 00:02:25,020 +موازيتين لبعضهم البعضو ال foot اللى هو القدم اللى + +33 +00:02:25,020 --> 00:02:31,080 +على الأرض مسطحة تماما ال head هنشوفها على العينين + +34 +00:02:31,080 --> 00:02:36,440 +على مستوى الناظرين إليه and I look forward العينين + +35 +00:02:36,440 --> 00:02:40,240 +بتطلعوا لجدام زى ما حكينا هذا كل اللى أنا بحكيه + +36 +00:02:40,240 --> 00:02:43,960 +هختصر و أعده بنقات و أحكي عليه من ال head من ال + +37 +00:02:43,960 --> 00:02:49,360 +fork لحد ما وصل ال foot ال arms are either at + +38 +00:02:49,360 --> 00:02:53,380 +either sideof the body with palms هنا لما بحكي على + +39 +00:02:53,380 --> 00:02:58,320 +palms معناته انا بحكي على باطل الياس تمام facing + +40 +00:02:58,320 --> 00:03:02,940 +forward as thumbs positioning تمام والthumb بدي + +41 +00:03:02,940 --> 00:03:05,860 +يكون pointing يعني زي ما انتوا شايفين هذه الوضعية + +42 +00:03:05,860 --> 00:03:09,040 +لوضعية ال thumb هي عبارة عن ال thumb pointing يعني + +43 +00:03:09,040 --> 00:03:15,410 +انه بعيد عن راحة الياسSome pointing away from the + +44 +00:03:15,410 --> 00:03:18,910 +body بعيد عن راحة اليد زي ما حكينا خليني أبدأهم + +45 +00:03:18,910 --> 00:03:22,490 +واحدة واحدة على الصورة زي ما إحنا شايفين ال + +46 +00:03:22,490 --> 00:03:26,270 +anatomical position أو الوضع التشريحي للشخص هو + +47 +00:03:26,270 --> 00:03:30,310 +عبارة عن وضع سليم بتبني التقريم عليه أول إشي ال + +48 +00:03:30,310 --> 00:03:34,950 +head ده تكون at the level الرأس على نفس المستوى ال + +49 +00:03:34,950 --> 00:03:40,770 +eye look forward تنظر إلى الأمانالجسم كله upright + +50 +00:03:40,770 --> 00:03:45,050 +position يعني بوضع القوام السليم للاستقامة الصحيحة + +51 +00:03:45,050 --> 00:03:49,750 +ال hand بتكون ال palm facing يعني أنا مش جايبة جفا + +52 +00:03:49,750 --> 00:03:53,770 +إيدي لأ جايبة بطن أو راحة اليد ال thumb اللي هو + +53 +00:03:53,770 --> 00:03:59,080 +عبارة عن الإصبع الكبير away from تمام؟الاجريان + +54 +00:03:59,080 --> 00:04:02,860 +اللي هم او الساقين parallel together بدهم يكونوا + +55 +00:04:02,860 --> 00:04:08,180 +متوازيتان لبعضهم البعض والفوت بشكل flat على ال + +56 +00:04:08,180 --> 00:04:11,680 +floor يعني مش واقف على أطراف أصابع ولا واقف على + +57 +00:04:11,680 --> 00:04:16,280 +جنب أجره لأ هو واقف ان الفوت completely flat مسطحة + +58 +00:04:16,280 --> 00:04:21,960 +بشكل كامل علىفاطح الأرض إذا هذا هو ال anatomical + +59 +00:04:21,960 --> 00:04:25,660 +terminology تمام أو ال anatomical position لل + +60 +00:04:25,660 --> 00:04:28,340 +individual أعيد من أول و جديد ال anatomical + +61 +00:04:28,340 --> 00:04:32,120 +position هو عبارة عن specific body position حكينا + +62 +00:04:32,120 --> 00:04:36,160 +فيه ال standing upright بيكون ال head at level ال + +63 +00:04:36,160 --> 00:04:43,140 +eye look forward ال leg parallel with togetheras a + +64 +00:04:43,140 --> 00:04:47,740 +flat تمام ال palm facing اللى هى forward بتطلعوا + +65 +00:04:47,740 --> 00:04:52,320 +الى الأمام و ال thumb away from the body تمام هذا + +66 +00:04:52,320 --> 00:04:55,860 +هو ال anatomical position بناء ان انا اليه هحدد + +67 +00:04:55,860 --> 00:05:00,960 +باقي المصطلحات شهو ال plan اليوم انا لما بدي احكي + +68 +00:05:00,960 --> 00:05:04,920 +ان فلان على سبيل المثال صار في عنده كثر فى التلت + +69 +00:05:04,920 --> 00:05:09,840 +الاعلى من اللى هو الايديعني معناة الكلام إنه أنا + +70 +00:05:09,840 --> 00:05:14,160 +بدي أحكي على مواقع جغرافية لازم أنا أبقى محددها + +71 +00:05:14,160 --> 00:05:18,300 +باللي هو خطوط عريضة تكون موجودة عندي، لبلانها ده + +72 +00:05:18,300 --> 00:05:21,680 +هو عبارة عن خط وهمي، هو مش موجود هنا في أجسامنا، + +73 +00:05:21,680 --> 00:05:25,880 +ولكن إحنا نتصوره، إذن هو عبارة عن unimaginable + +74 +00:05:25,880 --> 00:05:26,640 +surface + +75 +00:05:32,470 --> 00:05:36,430 +الخط هو عبارة عن خط وهمي اللي شايفينهم انتوا هذه + +76 +00:05:36,430 --> 00:05:40,070 +الألواح الزجاجية اللي احنا بنصورها ثلاثية الأبعاد + +77 +00:05:40,070 --> 00:05:44,540 +هي عبارة عن خطوط وهميةاحنا بنرسمها في خيالنا عشان + +78 +00:05:44,540 --> 00:05:47,900 +أنا أحدد على سبيل المثال إذا أنا صار في عندي كسر + +79 +00:05:47,900 --> 00:05:50,700 +في هذه الناحية، إذا صار في عندي عملية جراحية في + +80 +00:05:50,700 --> 00:05:53,700 +هذه الناحية، معناة الكلام هذه الـblends أو الـbody + +81 +00:05:53,700 --> 00:05:57,860 +blends مهمة جدا لجسم الإنسان، وقلنا إحنا كناس + +82 +00:05:57,860 --> 00:06:02,060 +بنشتغل في اللي هو ال medical teams أو الفريق + +83 +00:06:02,060 --> 00:06:06,710 +الطبي، لازم أنا أكون عارفة هذه المفطلحاتإذن الـ + +84 +00:06:06,710 --> 00:06:10,510 +Plan حكينا هو عبارة عن N imaginary surfaces that + +85 +00:06:10,510 --> 00:06:15,490 +splits أو سلقس للbody into specific بشكل مناطق + +86 +00:06:15,490 --> 00:06:18,650 +جغرافية مخصصة There are three measures كام Plan + +87 +00:06:18,650 --> 00:06:21,650 +أنا عندي زي ما انتوا شايفين في عندي تلاتة Plan + +88 +00:06:21,650 --> 00:06:26,910 +وهمية أو تلات خطوط عريضة وهمية أول حاجة حاببنسميه + +89 +00:06:26,910 --> 00:06:31,410 +Digital Plan والتاني اسمه Coronal Plan والتالت + +90 +00:06:31,410 --> 00:06:36,710 +اسمه Transfer Planهحكي على كل واحد على حده وشو + +91 +00:06:36,710 --> 00:06:39,870 +وظيفته ومن إيش بديه يتكون أو إيش بديه يقسم ليه + +92 +00:06:39,870 --> 00:06:43,770 +الجسم إذا I have three major anatomical blends + +93 +00:06:43,770 --> 00:06:47,050 +referenced in the earth coronal, transfer and + +94 +00:06:47,050 --> 00:06:52,170 +sagittal blends لأن ال coronal blendطبعا فى إنا + +95 +00:06:52,170 --> 00:06:56,990 +اسم وفى كمان إله اسم آخر يعنى إنه الخط مش بس إله + +96 +00:06:56,990 --> 00:07:00,570 +اسم واحد فى كمان إله اسم اللى هو ال English فى إله + +97 +00:07:00,570 --> 00:07:04,050 +اسم Latin ال frontal plane أيضا ما يسمى بالـ + +98 +00:07:04,050 --> 00:07:08,890 +frontal plane هذا مطلوب وهذا مطلوب طبعاالقرن اللي + +99 +00:07:08,890 --> 00:07:13,530 +بنياه هو عبارة عن vertical plane خط بيجيني بشكل + +100 +00:07:13,530 --> 00:07:19,550 +عمودي بيقسم الجسم that divided into the body + +101 +00:07:19,550 --> 00:07:25,090 +أنتريور أمامي بنقسم اسمها frontالـ posterior اللي + +102 +00:07:25,090 --> 00:07:28,710 +هي الـ back اللي هي الجزء الـ posterior للـ back + +103 +00:07:28,710 --> 00:07:31,510 +لذن هذا لوحي الزجاج زي ما انتوا شايفينه اللي احنا + +104 +00:07:31,510 --> 00:07:35,550 +اتصورناه هو عبارة عن خط اسمه الـ coronal plane أو + +105 +00:07:35,550 --> 00:07:38,570 +بمقصين هو الـ frontal plane اللي انا عشان انا + +106 +00:07:38,570 --> 00:07:41,390 +مقتوحش بقول الـ frontal plane معناته انا بدي احطه + +107 +00:07:41,390 --> 00:07:44,830 +في مخيلتي انه هيقسم الجسم ل front و back معناته + +108 +00:07:44,830 --> 00:07:49,450 +الكلام أمامي و خلفيOkay من اسمه coronal frontal + +109 +00:07:49,450 --> 00:07:53,090 +معناته هيقسم ل front و back إذا هو هيقسم ب + +110 +00:07:53,090 --> 00:07:57,250 +anterior and posterior الأمور واضحة هيك إنه إحنا + +111 +00:07:57,250 --> 00:08:00,110 +بنحكي على اللي هي ال blends اللي موجودة داخل جسم + +112 +00:08:00,110 --> 00:08:03,870 +الإنسان هي عبارة عن خطوط وهمية بتقسم جسم الإنسان + +113 +00:08:03,870 --> 00:08:07,850 +إلى anterior و posterior إذا أنا بحكي على خط ال + +114 +00:08:07,850 --> 00:08:11,810 +coronal blend أجى أشوف النوع التاني من اللي هو ال + +115 +00:08:11,810 --> 00:08:17,180 +blendحاجة اسمها الـ Transverse Plane اللي هو اللوح + +116 +00:08:17,180 --> 00:08:20,720 +السجاج هذا اللي هيقسم لجسم الإنسان إلى الـ part + +117 +00:08:20,720 --> 00:08:28,120 +هذا أسفة و ال part التاني اللي هو الأسفة إذا الـ + +118 +00:08:28,120 --> 00:08:34,580 +Corneal Plane هيقسم أسفة لـ Transverse Plane مقطع + +119 +00:08:34,580 --> 00:08:39,460 +عرضي يعني هو عبارة عن خط عرضي معناة الكلام أو أفقي + +120 +00:08:39,460 --> 00:08:46,510 +هيقسم الجسم إلىالجزئين أساسيا حكينا في عندنا اللي + +121 +00:08:46,510 --> 00:08:50,930 +هو ال upper part أو الجزء الأعلى وال lower part + +122 +00:08:50,930 --> 00:08:54,850 +إذا من اسمه transfer معناته اشي عرضي معناته هيجسم + +123 +00:08:54,850 --> 00:09:00,470 +الجسم إلى قسمين أساسيا بالتزامن مع اللي هو قائمة + +124 +00:09:00,470 --> 00:09:04,730 +أو زاوية قائمة مع اللي هو الخط المتوسط لجسم + +125 +00:09:04,730 --> 00:09:05,690 +الإنسان + +126 +00:09:12,600 --> 00:09:24,120 +تعامل مع خط الأساسي الـ + +127 +00:09:24,120 --> 00:09:24,940 +cross sectional plane أو الخط الأساسي الهورزينتال + +128 +00:09:24,970 --> 00:09:29,190 +Superior أو بسميها Upper Superior باللاتين words + +129 +00:09:29,190 --> 00:09:33,530 +Upper بال English words إذا بيقسم الجسم ل Superior + +130 +00:09:33,530 --> 00:09:38,490 +عكسها تماما كلمة inferior superior أعلى inferior + +131 +00:09:38,490 --> 00:09:44,030 +معناتها أسفل إذا ال transfer plane بيقسم الجسم إلى + +132 +00:09:44,030 --> 00:09:49,090 +superior and inferior upper and lower هذا اللي هو + +133 +00:09:49,090 --> 00:09:53,890 +second type of planeأجل النوع التالت اللى هو اسمه + +134 +00:09:53,890 --> 00:09:57,290 +الـ Sagittal Plane هذا عبارة عن إيش؟ عبارة عن + +135 +00:09:57,290 --> 00:10:01,750 +Plane بيقسم الجسم إلى قسمين أساسيين زى ما انتوا + +136 +00:10:01,750 --> 00:10:05,970 +شايفينه هو عبارة عن لوح الذجاج هذا اللى هو بيقسم + +137 +00:10:05,970 --> 00:10:11,070 +للجسم لRight Side و Left Side إذن هو عبارة عن + +138 +00:10:11,070 --> 00:10:12,050 +Plane + +139 +00:10:26,180 --> 00:10:31,320 +أعمل سماري لثلاث خطوط الموجودة عندكبداية حكينا + +140 +00:10:31,320 --> 00:10:34,980 +لبلانز هي عبارة عن خط وهمي موجود على جسم الإنسان + +141 +00:10:34,980 --> 00:10:38,520 +احنا بنتخيله مهم جدا لإن احنا بنشتغل في ال + +142 +00:10:38,520 --> 00:10:41,480 +rehabilitation أو في ال medical team اللي موجود + +143 +00:10:41,480 --> 00:10:46,260 +اللي احنا المريض هو الهدف تبعنا عندي ثلاث خطوط + +144 +00:10:46,260 --> 00:10:50,120 +أساسية الخط الأول اللي هو Corona LeBlanc وبين + +145 +00:10:50,120 --> 00:10:53,840 +قوسين بسميه ال frontal الخط التاني اسمه ال + +146 +00:10:53,840 --> 00:10:56,910 +transfer Blancو بين القوسين اللي بسميه cross + +147 +00:10:56,910 --> 00:11:01,110 +sectional أو الخط العرضي الـ digital plane هو الخط + +148 +00:11:01,110 --> 00:11:05,950 +التالت والأخير اللي أنا بسميه ال middle plane أو + +149 +00:11:05,950 --> 00:11:10,270 +الخط الوسطي اللي أنا أعرف لchronal plane حكينا هو + +150 +00:11:10,270 --> 00:11:15,110 +عبارة عن الـ plane اللي بيقسم الجسم إلى anterior و + +151 +00:11:15,110 --> 00:11:19,290 +posterior front and back تمام؟ من اسمه frontal + +152 +00:11:19,290 --> 00:11:23,390 +معناته هيقسم لي front and backالسجنة لبليان بيقسم + +153 +00:11:23,390 --> 00:11:28,330 +الجسم إلى قسمين أساسيين Right and left parts جزء + +154 +00:11:28,330 --> 00:11:32,490 +أيمن وجزء أيسر بنحكي إن هذا المريض إجته جلطة + +155 +00:11:32,490 --> 00:11:38,470 +دماغية قامت بعمل شلل لجزء الأيمن من جسمه Right + +156 +00:11:38,470 --> 00:11:43,210 +Hemibaglia معناته أنا بدي لبليان هنا استخدمته ليه؟ + +157 +00:11:43,210 --> 00:11:46,230 +إنه حددت إذا كانت الإصابة عندي في ال right أو في + +158 +00:11:46,230 --> 00:11:50,910 +ال left من جسم المريضالـ transfer plane هو عبارة + +159 +00:11:50,910 --> 00:11:55,390 +عن plane وهمي أيضا يقسم الجسم إلى upper أو كلمة + +160 +00:11:55,390 --> 00:12:00,090 +superior بين قصين superior ال lower limb هو عبارة + +161 +00:12:00,090 --> 00:12:03,050 +عن أو الجزء التاني اللي هو lower limb اللي هو + +162 +00:12:03,050 --> 00:12:07,550 +inferior superior عكسها inferior و upper عكسها + +163 +00:12:07,550 --> 00:12:11,310 +lower هيك بيكون أنا عملت summary لثلاث خطوط أساسية + +164 +00:12:11,310 --> 00:12:14,810 +الموجودة عندىأجى أشوف ال slide اللي بعدها إيش + +165 +00:12:14,810 --> 00:12:18,230 +بتحكيلي؟ بتحكيلي إنه هذه ال sections و ال blend في + +166 +00:12:18,230 --> 00:12:22,190 +حاجة اسمها سجدة ال blend بيمر خلال ال midline ال + +167 +00:12:22,190 --> 00:12:26,810 +midline هيقسم للجسم لقسمين حكينا اللي هو right و + +168 +00:12:26,810 --> 00:12:30,930 +left معناته هيبدأ من ال head من فوق هيقسم العينتين + +169 +00:12:30,930 --> 00:12:34,670 +لاتنين، هيقسم الأنف لاتنين، هيقسم ال mouth إلى + +170 +00:12:34,670 --> 00:12:39,090 +نصفينوبينزل حتى لعند اللي هو الامبليكا الامبليكا + +171 +00:12:39,090 --> 00:12:41,950 +الصغيرة الصغيرة هو بينزل بقسم ليه two parts من ال + +172 +00:12:41,950 --> 00:12:46,830 +upper limb و two parts من ال lower limb هذا البلين + +173 +00:12:46,830 --> 00:12:51,370 +بسميه mid-sagittal plane إذا هو عبارة عن الخط + +174 +00:12:51,370 --> 00:12:55,870 +النصفي اللي موجود داخل الجسم البلين that's + +175 +00:12:55,870 --> 00:12:59,750 +parallel للميد ساجتال البلين هنا في عندي حاجة مهمة + +176 +00:12:59,750 --> 00:13:03,490 +اللي هو خط اللي بيكون موجود اليوم أنا قسمت بساجتال + +177 +00:13:03,490 --> 00:13:08,170 +البلين ل right و leftتمام؟ خليكم معايا قسمت لRight + +178 +00:13:08,170 --> 00:13:11,890 +و Left في الجسم لكن انا إذا بدي أقسم نصف للنصف + +179 +00:13:11,890 --> 00:13:16,370 +يعني نصف ال Right بدي أقسمه لجسمينمنه right ومنه + +180 +00:13:16,370 --> 00:13:20,210 +left معناته هذا بسميه اللي هو ال mid-sagittal plan + +181 +00:13:20,210 --> 00:13:25,130 +but either to the left or the right of it يعني + +182 +00:13:25,130 --> 00:13:30,110 +هقسمه اللي هو الربع اللي بدي أطلع عندي هنا تمام is + +183 +00:13:30,110 --> 00:13:34,050 +termed parasagittal هاي بسميه parasagittal أو + +184 +00:13:34,050 --> 00:13:38,510 +sagittal plan ال minor plan بسميه أو خط صغيراللي + +185 +00:13:38,510 --> 00:13:42,970 +هو الـ oblique معناته مائل في لبليان بس مش خلال + +186 +00:13:42,970 --> 00:13:47,370 +specimen angle اللي هو خلال زاوية محددة بتكون عندى + +187 +00:13:47,370 --> 00:13:51,970 +بشكل مائل خلينى ارجع لكلمة اللى هو البرا سجتل + +188 +00:13:51,970 --> 00:13:55,610 +البرا سجتل شايفين هذا هيك زى ما انتوا شايفينه هذا + +189 +00:13:55,610 --> 00:13:58,930 +لوح للزجاج قسم اللى هو جسم الإنسان إلى قسمين + +190 +00:13:58,930 --> 00:14:04,430 +أساسيا right و left الآن هذه المنطقة اللى هي عبارة + +191 +00:14:04,430 --> 00:14:10,950 +عنالـ right side بدي أجسمها لجسمين أساسيا بالبارا + +192 +00:14:10,950 --> 00:14:15,390 +سجتال بلين هذا هاجسمه لجسمين افقت يعني نفس الاشي + +193 +00:14:15,390 --> 00:14:20,010 +الجزئية هذه هاجسمها ل right و ل left بالبارا سجتال + +194 +00:14:20,010 --> 00:14:25,190 +بلين تمام؟ إذا البارا سجتال هيعطيني ربع النص اللي + +195 +00:14:25,190 --> 00:14:29,950 +أنا أخدته الربع منه right و واحد منه اللي هو left + +196 +00:14:29,950 --> 00:14:34,160 +تمام؟ واضحة هذه المعلومة؟ نعيد كمان مرةالـ Plane + +197 +00:14:34,160 --> 00:14:38,640 +اللى بيقسملى و بكون موازى للـ Mid-Sagittal Plane + +198 +00:14:38,640 --> 00:14:45,360 +بيقسملى الجسم إلى Left و Right of it تمام؟ إذا ربع + +199 +00:14:45,360 --> 00:14:48,500 +و ربع هنا هيعطولنا النص اللى أنا جسمته أصلا بالـ + +200 +00:14:48,500 --> 00:14:52,800 +Mid-Sagittal Plane تمام؟ هذا بسميه Parasagittal + +201 +00:14:52,800 --> 00:14:57,620 +Plane تمام؟الان بدي احكي على مصطلحات او medical + +202 +00:14:57,620 --> 00:15:01,360 +terminology اللي هي علاقة بالجسم ال direction term + +203 +00:15:01,360 --> 00:15:05,820 +او ال price and period are most of them there is + +204 +00:15:05,820 --> 00:15:11,030 +correlative term means just and opposite يعنيكل + +205 +00:15:11,030 --> 00:15:14,810 +كلمة وإلها ال object تبعها على سبيل المثال كنت + +206 +00:15:14,810 --> 00:15:19,050 +حكيت أنا قبل شوي في superior و inferior upper + +207 +00:15:19,050 --> 00:15:22,850 +وlower معناة الكلام كل إشي بتعلق انا اليوم إذا بدي + +208 +00:15:22,850 --> 00:15:25,410 +أحكي على medical terminology أو مصطلحات طبيعية + +209 +00:15:25,410 --> 00:15:29,270 +إلها علاقة بقسم الجسم إلى يمين ويسار معناته أنا + +210 +00:15:29,270 --> 00:15:35,400 +بحكي على سجن كلبنان إذا أنا بدي أحكي على ال ..اللي + +211 +00:15:35,400 --> 00:15:38,560 +هو الـ frontal plane بدي أحكي على anterior و + +212 +00:15:38,560 --> 00:15:42,840 +posterior معناته الكلمتين عكس بعض نيجي نشوفهم مع + +213 +00:15:42,840 --> 00:15:46,420 +بعض ال relative and directional terms of the body + +214 +00:15:46,420 --> 00:15:52,250 +اللي لهم علاقة بالجسم من منطقات ال frontalأو كلمة + +215 +00:15:52,250 --> 00:15:57,230 +بيلي هنا تعني البطن ال frontal بين قصين بحطها بيلي + +216 +00:15:57,230 --> 00:16:02,110 +و بحطها anterior إذا front بيلي و بجيب جنبها كلمة + +217 +00:16:02,110 --> 00:16:06,350 +anterior أما ال back بقول back posterior dorsal + +218 +00:16:06,350 --> 00:16:13,350 +تمام بيلي anterior abdomen back posterior dorsal + +219 +00:16:13,350 --> 00:16:18,180 +بقسم فيها المصلاحات إلى التالي anteriorاللي هو in + +220 +00:16:18,180 --> 00:16:22,020 +front towards the front surface معناته أمامي + +221 +00:16:22,020 --> 00:16:26,160 +posterior معناتها back towards ال back surface + +222 +00:16:26,160 --> 00:16:30,920 +كلمتين هنا عكس بعض anterior أمامي posterior + +223 +00:16:30,920 --> 00:16:36,700 +posterior معناتها خلفين اللي هي ال posterior ال + +224 +00:16:36,700 --> 00:16:41,150 +posterior معناتها back and dorsalالدورزل والفنترال + +225 +00:16:41,150 --> 00:16:45,190 +لها علاقة بالـ backside of the human body تمام؟ + +226 +00:16:45,190 --> 00:16:50,440 +منطقة دهرية منطقة الدهر دورزل back معناتهاventral + +227 +00:16:50,440 --> 00:16:54,980 +معناته الـ belly أو اللي هو البطن of human side + +228 +00:16:54,980 --> 00:16:58,820 +إذن معناته الكلام قسمته حسب الـ belly و ال back + +229 +00:16:58,820 --> 00:17:03,680 +لأربع مصطلحات طبية anterior و posterior و dorsal و + +230 +00:17:03,680 --> 00:17:09,180 +ventral أمامي و خلفي و ضهري و بطني تمام؟ إنت أنا + +231 +00:17:09,180 --> 00:17:12,320 +بستخدم هذه المصطلحات بستخدمها إذا أنا بدي أقول إشي + +232 +00:17:12,320 --> 00:17:18,870 +يتعلق بالأمام و الخلف و حكينااللي هو الخط اللي + +233 +00:17:18,870 --> 00:17:22,010 +بيقسمني جسم الإنسان لـAnterior and Posterior هو + +234 +00:17:22,010 --> 00:17:25,870 +عبارة عن الـCoronal Plane شايفين وين أنا استخدمته؟ + +235 +00:17:25,870 --> 00:17:31,390 +استخدمته في هاي المهمة إذا أنا بدي أقسم الجسم أو + +236 +00:17:31,390 --> 00:17:36,470 +بدي أخد مصطلحات طبية according toهsuperior + +237 +00:17:36,470 --> 00:17:41,930 +inferior يعني من ال head من فوق و اللي هو ال foot + +238 +00:17:41,930 --> 00:17:46,550 +من تحت بحكي على superior inferior إذا أنا حكيت + +239 +00:17:46,550 --> 00:17:51,430 +superior معناته toward لل head inferior معناته + +240 +00:17:51,430 --> 00:17:56,290 +toward لل foot not head يعني قريبة من ال foot إذا + +241 +00:17:56,290 --> 00:18:03,680 +هنا superior أعلى inferior أسفل تمام؟هذه حسب اللي + +242 +00:18:03,680 --> 00:18:07,740 +هو أعلى وأسفل، احنا في ال slide اللي جابلها حكينا + +243 +00:18:07,740 --> 00:18:11,440 +على إشي اسمه اللي هو أماني وخالفي، هنا بدي أحكي + +244 +00:18:11,440 --> 00:18:16,460 +على أعلى وأسفلالان الـ caudal معناتها إشي رأسي + +245 +00:18:16,460 --> 00:18:20,660 +قريب أسفل الـ caudal إشي اللي له علاقة بالنهايات + +246 +00:18:20,660 --> 00:18:25,240 +بالـ tail tail end اللي هو أثرير or tail end + +247 +00:18:25,240 --> 00:18:28,280 +بتعرفوا بداية تكوين الجليل لسه ما بيكون فيه عنده + +248 +00:18:28,280 --> 00:18:31,240 +إجرين ولا بيكون عنده foot ولا إشي فبيكون على شكل + +249 +00:18:31,240 --> 00:18:36,100 +الـ C type هذا الـ C type أو الـ C shape هو عبارة + +250 +00:18:36,100 --> 00:18:40,050 +عن اللي هو الـ tailالـ cranial at the head end + +251 +00:18:40,050 --> 00:18:46,210 +كلمة cranium لحالها أو cranial تعني رأسي او head + +252 +00:18:46,640 --> 00:18:50,140 +إذا السهم طالع لفوق معناته انا هحاكي على superior + +253 +00:18:50,140 --> 00:18:54,500 +و cranial أما إذا السهم نازل لتحت معناته هحاكي على + +254 +00:18:54,500 --> 00:18:59,700 +inferior مع tail or caudal تمام؟ إذا أخدنا + +255 +00:18:59,700 --> 00:19:02,080 +المصطلحات اللي بتتعلق بال anterior و الexterior + +256 +00:19:02,080 --> 00:19:06,260 +أخدنا المصطلحات اللي بتتعلق بالأعلى above and + +257 +00:19:06,260 --> 00:19:10,340 +below above معناتها superior below معناتها + +258 +00:19:10,340 --> 00:19:11,100 +inferior + +259 +00:19:14,030 --> 00:19:16,670 +ميجي لا اللى اللى اللى اللى اللى اللى اللى اللى + +260 +00:19:16,670 --> 00:19:19,930 +اللى اللى اللى اللى اللى اللى اللى اللى اللى اللى + +261 +00:19:19,930 --> 00:19:20,450 +اللى اللى اللى اللى اللى اللى اللى اللى اللى اللى + +262 +00:19:20,450 --> 00:19:21,050 +اللى اللى اللى اللى اللى اللى اللى اللى اللى اللى + +263 +00:19:21,050 --> 00:19:24,150 +اللى اللى اللى اللى اللى اللى اللى اللى اللى اللى + +264 +00:19:24,150 --> 00:19:25,950 +اللى اللى اللى اللى اللى اللى اللى اللى اللى اللى + +265 +00:19:25,950 --> 00:19:31,330 +اللى اللى اللى اللى اللى اللى اللى اللى اللى + +266 +00:19:31,330 --> 00:19:40,850 +اللى + +267 +00:19:40,850 --> 00:19:44,070 +اللى اللإذا أنا حكيت إن أنا Medially، معناته + +268 +00:19:44,070 --> 00:19:47,950 +towards the midline of the body، بخط الوهمي اللي + +269 +00:19:47,950 --> 00:19:52,550 +هو Sagittal Plan، وبين قوسين حكيتلكم إحنا دلعناها + +270 +00:19:52,550 --> 00:19:58,450 +باسم الـMediansplan أو خط المنتصف هذا الخط إذا أنا + +271 +00:19:58,450 --> 00:20:03,150 +كنت جريبة منه فمعناته بقول أنا في اللي هي ال + +272 +00:20:03,150 --> 00:20:07,470 +medial side أما إذا كانت الإصابة مثلا على سبيل + +273 +00:20:07,470 --> 00:20:10,550 +المثال هنا في الإيد معناته أنا بكون في ال lateral + +274 +00:20:10,550 --> 00:20:15,930 +side إذا أعرفهم وبعد هيك أحجبلكم مثال ال medial + +275 +00:20:15,930 --> 00:20:19,270 +towards the midline هي أنا قريبة من ال midlineأما + +276 +00:20:19,270 --> 00:20:23,890 +الـ lateral معناته أنا away from بعيدة كليا عن ال + +277 +00:20:23,890 --> 00:20:29,670 +midline عن الخط أجيب مثال على سبيل المثال ال eye + +278 +00:20:29,670 --> 00:20:35,990 +close to the midline قريبة من ال midline تمام؟ أما + +279 +00:20:35,990 --> 00:20:40,270 +ال hand هي عبارة عن إشي laterally away from the + +280 +00:20:40,270 --> 00:20:44,150 +midline إذا معناته الكلام ال medium أو ال medium + +281 +00:20:44,150 --> 00:20:48,700 +هو قريب من ال midlineالـ lateral away from بعيدة + +282 +00:20:48,700 --> 00:20:52,300 +عن الـ midlineعكسها تمامًا حاجة اسمها الـ Deep + +283 +00:20:52,300 --> 00:20:57,220 +والـ Superficial عميق وهنا Superficial صفحي العميق + +284 +00:20:57,220 --> 00:21:00,380 +اللي هي on the inside، under neck، under sexual + +285 +00:21:00,380 --> 00:21:04,460 +Deep على سبيل المثال طبقات الجلد زي ما بنعرف في إن + +286 +00:21:04,460 --> 00:21:07,480 +الطبقات الأدمى اللي هي أو البشرة هذه الطبقة بتكون + +287 +00:21:07,480 --> 00:21:10,640 +Superficial اللي بتتجشر بعض الأحيان وممكن إن هي + +288 +00:21:10,640 --> 00:21:14,420 +تتلف ويتجدد الجلد عندنا لكن في عندنا ال muscles ال + +289 +00:21:14,420 --> 00:21:19,320 +muscles اللي موجودة تحت الجسمالـ muscle اللى + +290 +00:21:19,320 --> 00:21:23,760 +موجودة تحت الجسم هي عبارة عن الحاجات ال deep تمام؟ + +291 +00:21:23,760 --> 00:21:28,640 +يعني حاجات inside و فوقها فى تركيب أخرى، إذا فى + +292 +00:21:28,640 --> 00:21:29,960 +عندنا deep و superficial + +293 +00:21:34,950 --> 00:21:39,450 +هك بيكون أنا جسمت اللي هي المصطلحات الطبية إلى + +294 +00:21:39,450 --> 00:21:44,990 +Medial و Lateral Deep و Superficial Medial قريبة + +295 +00:21:44,990 --> 00:21:50,090 +من خط الوسط Lateral بعيدة عن خط الوسط Deep في + +296 +00:21:50,090 --> 00:21:55,330 +الداخل والعمق أما Superficial at outside برا سطحية + +297 +00:21:55,330 --> 00:22:02,430 +حاجة طالعة لبرا تمام؟كيف بدنا ندرس هذا ال chapter؟ + +298 +00:22:02,430 --> 00:22:06,290 +سؤال حلو وواضح أنه أنا بدي .. ممكن هنا تيجي عنا + +299 +00:22:06,290 --> 00:22:09,490 +الأشياء مصطلحات، ممكن تيجي example زي ما أنا + +300 +00:22:09,490 --> 00:22:13,070 +شرحتلكم إياها، ممكن كمان أجيبها في ال true and + +301 +00:22:13,070 --> 00:22:17,700 +falseفمعناة الكلام ورقة وقلم يا طلاب الأعزاء ونبدأ + +302 +00:22:17,700 --> 00:22:22,900 +نحفظ المصطلحات اللي موجودة عندنا طبعا حفظ مقابله + +303 +00:22:22,900 --> 00:22:26,760 +فهم مباشرة او فهم بالأول و بعدين حفظ حتى انك تقدري + +304 +00:22:26,760 --> 00:22:34,020 +تركز باللي هو المصطلح اللي موجود عندك تمام؟ الآن + +305 +00:22:34,020 --> 00:22:38,560 +هحكي على قريب و بعيداللي إلها علاقة بالـ + +306 +00:22:38,560 --> 00:22:43,220 +Attachment إلها علاقة باللي هو الإرتباطات الآن + +307 +00:22:43,220 --> 00:22:46,140 +خليني أحكي حاجة مهمة جسم الإنسان هذا زي ما انتوا + +308 +00:22:46,140 --> 00:22:50,300 +شايفينه هذا المربع أو هذا الاشي هو عبارة عن الـ + +309 +00:22:50,300 --> 00:22:54,880 +axial حاجة اسمها axial يعني الجذع تبع الإنسان لكن + +310 +00:22:54,880 --> 00:22:58,480 +الإيدين والإجرين اللي موجودين أو الأطراف الأربعة + +311 +00:22:58,480 --> 00:23:03,140 +هي حاجة اسمها perpendicular أو حاجة اسمها أطراف أو + +312 +00:23:03,140 --> 00:23:07,660 +جسم طرفيأذا هحكي عليه الموضوع هذا إذا أنا لجيت هنا + +313 +00:23:07,660 --> 00:23:11,160 +في عندي إذا فاكرين في بداية المحاضرة السابقة حكيت + +314 +00:23:11,160 --> 00:23:14,960 +هنا في عندي حزام صدري و هنا في عندي حزام حوضي + +315 +00:23:14,960 --> 00:23:19,120 +معناه الكلام الإيدين برتبطوا بمفاصل الحزام الصدري + +316 +00:23:19,120 --> 00:23:23,700 +والإجرين هنا برتبطوا في الحزام الحوضي إذا حكيت ال + +317 +00:23:23,700 --> 00:23:27,520 +proximal معناته closest لل point of attachment لل + +318 +00:23:27,520 --> 00:23:34,770 +trunk تمام؟أقرب نقطة اتصال من الـ trunk، هذا الجذع + +319 +00:23:34,770 --> 00:23:38,930 +اللي أنا حكيت عليه، معناة الكلام، هذا المفصل اللي + +320 +00:23:38,930 --> 00:23:45,770 +هو مفصل الكتف، proximal than elbowإذا مفصل الكتف + +321 +00:23:45,770 --> 00:23:52,590 +هو أقرب من مفصل الكوع، تمام؟ مفصل الكوع أقرب من + +322 +00:23:52,590 --> 00:23:57,290 +مفصل الرصغ أو مفصل اليد، إذا الـ Proximal هو أقرب + +323 +00:23:57,290 --> 00:24:01,310 +نقطة في اتصال لجذع الإنسان على سبيل المثال نجيب لل + +324 +00:24:01,310 --> 00:24:06,910 +lower limb ال foot digital يعني إيش كلمة digital؟ + +325 +00:24:07,790 --> 00:24:11,610 +farthest from point attachments للـ trunk هي أبعض + +326 +00:24:11,610 --> 00:24:17,130 +نقطة اتصال في جذع الإنسان إذا هنا digital هنا + +327 +00:24:17,130 --> 00:24:22,350 +بتيجي ما اللي هي مفصل الفخد أقرب proximal ال knee + +328 +00:24:22,350 --> 00:24:27,600 +more proximal than footاللي هي أقرب اتصال من + +329 +00:24:27,600 --> 00:24:32,840 +الإجر، تمام؟ إذن، هاي المصطلحين الأساسيين أخدناهم + +330 +00:24:32,840 --> 00:24:36,160 +Proximal and Digital الـProximal اللي هي + +331 +00:24:36,160 --> 00:24:40,680 +الـclosest point أو أقرب نقطة و اللي هو Digital + +332 +00:24:40,680 --> 00:24:48,620 +away from الـattachment تبع الـpoint of the trend، + +333 +00:24:48,620 --> 00:24:53,650 +أخدناهأخدنا anterior and posterior أخدنا proximal + +334 +00:24:53,650 --> 00:24:58,390 +and digital أخدنا المصطلحات السابقة كانت اللي هي + +335 +00:24:58,390 --> 00:25:01,270 +media الأولى أطرل أخدنا deep and superficial + +336 +00:25:01,270 --> 00:25:05,710 +لاحظوا كل كلمة هنا بدنا نحكيها في إلها opposite زي + +337 +00:25:05,710 --> 00:25:10,160 +ما أنا وضحت في البداية تمام؟هنا الاشي مهم جدا انه + +338 +00:25:10,160 --> 00:25:14,620 +ينحفظ، الاشي مهم جدا انه ينفهم انه انا كيف بدي + +339 +00:25:14,620 --> 00:25:18,400 +احكي من النقطة الأقرب ومن النقطة الأبعد، من النقطة + +340 +00:25:18,400 --> 00:25:20,980 +اللي قريبة من ال midline ومن النقطة اللي هي بعيدة + +341 +00:25:20,980 --> 00:25:25,280 +عن ال midline، تمام؟ معناة الكلام، الاشي هنا مهم + +342 +00:25:25,280 --> 00:25:34,920 +جدا انه احنا بدنا نحفظ ونفهم في هذا الشكل، تمام؟ + +343 +00:25:34,920 --> 00:25:40,140 +إيش ال slide هذه الكبيرة؟اللي مليانة أخدناها + +344 +00:25:40,140 --> 00:25:44,180 +تقريبا أغلبها خليني أبدأ فيها واحدة واحدة هي عبارة + +345 +00:25:44,180 --> 00:25:48,560 +عن ورقة مصطلحات لا أكتر ولا أقل هتاخدوها و بكرا + +346 +00:25:48,560 --> 00:25:52,520 +لما تخلصوا هذا ال chapter هتقولوا يا الله إيش هاي + +347 +00:25:52,520 --> 00:25:57,300 +slide كائنة سهلة و حلوة و إحنا بس نتأذب منها لأ هي + +348 +00:25:57,300 --> 00:26:01,600 +حاجة سهلة جدا هتشوفوها بإبن الله تعالى بس لإنه + +349 +00:26:01,600 --> 00:26:05,240 +الاشي جديد عليكم كيف لك أخدناها و مردت علينا جد + +350 +00:26:05,240 --> 00:26:11,670 +كده معناتها head رأسيfrontal أمامي forehead ال + +351 +00:26:11,670 --> 00:26:16,730 +nasal معناتها nose ال orbital معناتها eye عين + +352 +00:26:16,730 --> 00:26:22,770 +بوكسل اللي هي ال cheek الخدود oral mouth الفم + +353 +00:26:22,770 --> 00:26:28,730 +cervical لل neck mental لل chin acromiel لل + +354 +00:26:28,730 --> 00:26:34,470 +shoulder terminal معناتها ال breast تمام؟ Acromiel + +355 +00:26:34,470 --> 00:26:37,670 +لل shoulders اللي هي حاكينا عليها الكتفالـ sternal + +356 +00:26:37,670 --> 00:26:43,530 +عضمة القصر الـ axillary القبط thoracic معناته صدري + +357 +00:26:43,530 --> 00:26:49,350 +memory اللي هي السديات او ال breast brachial + +358 +00:26:49,350 --> 00:26:53,450 +معناته ال arm تمام؟ وين ال brachial؟ اللي هي ال + +359 +00:26:53,450 --> 00:26:57,410 +arm اللي موجودة من مفصل ال shoulder لمفصل ال elbow + +360 +00:26:57,410 --> 00:27:02,690 +او مفصل الكوع هي عبارة عن الساعدالـ Antiseptical + +361 +00:27:02,690 --> 00:27:07,790 +front the elbow اللي هي الجهة الطريقة اللي بتكون + +362 +00:27:07,790 --> 00:27:12,370 +من الـ abdomen أو الـ belly aspects اللي هي من + +363 +00:27:12,370 --> 00:27:17,250 +الجهة الأمامية لمفصل الكوع الـ Ocleion الجهة + +364 +00:27:17,250 --> 00:27:23,210 +الخلفية من مفصل الكوع Antibracial forearm اللي هي + +365 +00:27:23,210 --> 00:27:27,490 +الـ forearm اللي هي بتكون عبارة عن العضمتين اللي + +366 +00:27:27,490 --> 00:27:32,150 +هياللي بيكونوا موجودين ما بين مفصل الكون و مفصل + +367 +00:27:32,150 --> 00:27:37,230 +اليد أو الرُسُغ بين قُصين البوبليتيال حاجة موجودة + +368 +00:27:37,230 --> 00:27:42,430 +خلف الرُكبة thoral معناتها البطة أو بطة الإجر + +369 +00:27:42,430 --> 00:27:47,030 +carpal العظام اللي موجودة في ال wrist أو في ال + +370 +00:27:47,030 --> 00:27:51,690 +hand palmar زي ما مريت علينا قبل كده هي عبارة عن + +371 +00:27:51,690 --> 00:27:56,070 +اللي هو باطن اليد poleax معناتها الإصبع الكبير + +372 +00:27:56,990 --> 00:28:00,810 +digit الأصابع الصغيرة pubic معناتها الـgentile + +373 +00:28:00,810 --> 00:28:06,230 +area أو بنسميها المناطق الحساسة patellar معناتها + +374 +00:28:06,230 --> 00:28:10,410 +الصابونة أو الـanterior knee patellar معناتها اللي + +375 +00:28:10,410 --> 00:28:14,470 +هي الصابونة تبع الإجر أو اللي هي الصابونة اللي + +376 +00:28:14,470 --> 00:28:18,170 +موجودة عند الرقبة coral معناتها الـleg اللي هي + +377 +00:28:18,170 --> 00:28:24,310 +عبارة عن القدم أو الرجل اللي موجودة tarsal ankle + +378 +00:28:24,310 --> 00:28:30,370 +مفصل الكاحلأو مفصل اللي هو القدم Holocus حاجة + +379 +00:28:30,370 --> 00:28:34,890 +اسمها الإصبع الكبير من الإجر Oxibit معناته الـ + +380 +00:28:34,890 --> 00:28:40,050 +base of skull قاعدة الجمجمة تمام؟ Oxibit قاعدة + +381 +00:28:40,050 --> 00:28:45,150 +الجمجمات Vertebral معناته إشي دهري أو موجود في + +382 +00:28:45,150 --> 00:28:50,710 +العمود الفقري Cabular لوحة الكتف shoulder bladeالـ + +383 +00:28:50,710 --> 00:28:55,130 +Dorsum معناتها الـ Back أو الخلفي، الـ Lumbar اللي + +384 +00:28:55,130 --> 00:28:59,870 +هي الخصر Sacral ما بين اللي هو الـ Two Hips ما بين + +385 +00:28:59,870 --> 00:29:04,110 +الفخدين اللي هم عبارة عن الـ Sacrum أو اللي هي + +386 +00:29:04,110 --> 00:29:08,830 +الفقرات العجزية البرينيال ما بين الانس and جنتاليا + +387 +00:29:08,830 --> 00:29:13,330 +area اللي هو المنطقة الحساسة اللي بتكون ما بين + +388 +00:29:13,330 --> 00:29:18,910 +فتحة الشرجوة اللي هيالـ Genital area في مُرال + +389 +00:29:18,910 --> 00:29:25,330 +معناتها ثخدي كالكينيال معناتها نهاية أو كعب القدم + +390 +00:29:25,330 --> 00:29:30,050 +بلانتر اللي هي باطن القدم هنا بنلاحظ في كلمة + +391 +00:29:30,050 --> 00:29:37,190 +بلانتر وفي كلمة اللي هي بالمر بالمر للبالم M مع M + +392 +00:29:37,190 --> 00:29:41,590 +معنات الكلام باطن اليد و هنا بلانتر معناتها سول + +393 +00:29:41,590 --> 00:29:46,700 +اللي هي باطن القدمالاشي مش صعب جدا، حبة حبة احنا + +394 +00:29:46,700 --> 00:29:52,300 +فيه ابنحفظه وابندرسه، نعم هاي للحفظ، نعم هاي ل .. + +395 +00:29:52,300 --> 00:29:56,840 +اللي هو الأسئلة لأن بالنسبة لهذه الصور في هذا ال + +396 +00:29:56,840 --> 00:30:01,140 +chapter مش مطلوب منكم أي صورتمام؟ هنا بس بدي + +397 +00:30:01,140 --> 00:30:05,220 +واريكم كيف التصوير بيكون anterior view معناته + +398 +00:30:05,220 --> 00:30:10,120 +المنظر أمامي الكاميرا جاية من الأمام هنا posterior + +399 +00:30:10,120 --> 00:30:15,920 +view الكاميرا جاية من الـ posterior من الخلف تمام؟ + +400 +00:30:15,920 --> 00:30:18,860 +خليني أحكي على موضوع ال organization of a human + +401 +00:30:18,860 --> 00:30:23,500 +bodyأحنا حكينا ان انا ممكن ادرس تشريح بال region + +402 +00:30:23,500 --> 00:30:26,940 +او ال organization تمام؟ ان اقسم الجسم لحاجتين + +403 +00:30:26,940 --> 00:30:31,840 +أساسيتين و كنت انا جسمتلكم ياها قبل كام slides فى + +404 +00:30:31,840 --> 00:30:34,700 +عندنا ال axial portion و فى عندنا ال perpendicular + +405 +00:30:34,700 --> 00:30:39,800 +portion الأجزية بيشمل الرأس و ال neck و ال trunk + +406 +00:30:39,800 --> 00:30:48,340 +رأس عنق جذعتمام؟ هذا اشي محوري بنسميه أو جزء أساسي + +407 +00:30:48,340 --> 00:30:52,520 +محوري ولكن الـ Abendicular له علاقة بالـ Arm و ال + +408 +00:30:52,520 --> 00:30:56,940 +Leg يعني ال four اللي هم الأطراف الأربعة + +409 +00:30:56,940 --> 00:31:01,560 +Abendicular بنقسم جسم الإنسان إلى جزئين أساسيين + +410 +00:31:01,560 --> 00:31:05,420 +Axial portion و Abendicular portion ال Axial اللي + +411 +00:31:05,420 --> 00:31:09,940 +بيندرج تحته ال head و ال neck و ال trunk رأس و عنق + +412 +00:31:09,940 --> 00:31:15,450 +و جذعأما الأبندكيولار Arms and Leg بيندرج تحته + +413 +00:31:15,450 --> 00:31:22,110 +اللي هي اليدين والقدمين تمام؟ هشوف الآن ال + +414 +00:31:22,110 --> 00:31:26,850 +cavities أو التجويف اللي موجودة داخل جسم الإذن في + +415 +00:31:26,850 --> 00:31:32,350 +عندي تجويف أمانية وأنا حكيت كلمة Ventral Anterior + +416 +00:31:32,350 --> 00:31:39,860 +Front كلها تعني أمانيولكن dorsal posterior back + +417 +00:31:39,860 --> 00:31:43,720 +تعني خلفي شوفت وين استخدمنا المصطلحات؟ هيا بعدين + +418 +00:31:43,720 --> 00:31:49,600 +هنستخدمهم واحدة واحدة الـdorsal cavity اللي هي على + +419 +00:31:49,600 --> 00:31:53,140 +سبيل المثال زي ال cranial cavity كلمة cranial أنا + +420 +00:31:53,140 --> 00:31:58,100 +كنت قبل شهي حاكيها في المصطلحات تعني الـheadوبما + +421 +00:31:58,100 --> 00:32:01,960 +انه تجويف الرأس معناته هيخبي جواته حاجة اسمها ال + +422 +00:32:01,960 --> 00:32:06,740 +brain حاجة اسمها الدماغ اذا من نعم الله سبحانه + +423 +00:32:06,740 --> 00:32:10,360 +وتعالى علينا انه حمى ال vital organs او الاعضاء + +424 +00:32:10,360 --> 00:32:15,100 +الحساسة اللى موجودة عندى بالعظام ال vertebral + +425 +00:32:15,100 --> 00:32:20,240 +canal ايضا حماها اللى هو حمت او خبت من الظروف + +426 +00:32:20,240 --> 00:32:24,580 +الخارجية ال spinal cordلاحظوا هنا بحكي brain و هنا + +427 +00:32:24,580 --> 00:32:28,000 +spinal cord، معناة الكلام لو أنا رجعت لل part + +428 +00:32:28,000 --> 00:32:32,680 +الأول بعرف إن هم التانين مكوّنين لل CNS، مكوّنين + +429 +00:32:32,680 --> 00:32:36,500 +لل central nervous system، okay؟ معناة الاشي هنا + +430 +00:32:36,500 --> 00:32:40,300 +أنا عندي مهم، إذا اتخبّوا والله سبحانه وتعالى + +431 +00:32:40,300 --> 00:32:44,380 +حماهم بال bone اللي موجودة عندي، الأنها ده اللي هو + +432 +00:32:44,380 --> 00:32:47,680 +عبارة عن ال dorsal cavity أو ما يسمى بالتجويف + +433 +00:32:47,680 --> 00:32:52,860 +الخلفيبينما الـ Dorsal أو أسفل الـ Ventral Cavity + +434 +00:32:52,860 --> 00:32:57,600 +اللي هو عبارة عن التجويف البطني أو التجويف الأمامي + +435 +00:32:57,600 --> 00:33:01,440 +يحتوي على الـ thoracic cavity اليوم عنا القفص + +436 +00:33:01,440 --> 00:33:06,800 +الصدري بتكون من 12 زوج من اللي هي ال ribs أو + +437 +00:33:06,800 --> 00:33:11,900 +الأضلع تمام؟ هتخبي مين جواتها؟ ال lungs، الرئتين، + +438 +00:33:11,900 --> 00:33:15,940 +هتخبي ال mid-sternum اللي هي عضمة القص، هتخبي + +439 +00:33:15,940 --> 00:33:21,470 +الغضب الزعترية، thymusالعمض تبعنا الـ heart الـ + +440 +00:33:21,470 --> 00:33:26,590 +esophagus المريء للتراكيا القصبة الهوائية كل هذه + +441 +00:33:26,590 --> 00:33:30,130 +الأمور أو كل هذه ال organs اللي موجودة عندى هي + +442 +00:33:30,130 --> 00:33:33,290 +عبارة عن vital organs مافي انا استغني عن ال lungs + +443 +00:33:33,290 --> 00:33:35,870 +مافي استغني عن ال heart مافي استغني عن ال + +444 +00:33:35,870 --> 00:33:38,810 +esophagus معناة الكلام هذه نعمة من الله سبحانه + +445 +00:33:38,810 --> 00:33:43,750 +وتعالى ان هو تم ال protection تبعها او حمايتها عن + +446 +00:33:43,750 --> 00:33:47,830 +طريق ال thoracic cavityفي عندنا الـ abdomen و + +447 +00:33:47,830 --> 00:33:52,990 +pelvic cavity لاحظوا الكلمة كبيرة بدنا نبدأ نقسمها + +448 +00:33:52,990 --> 00:33:58,110 +abdomen و بطني ال ا هنا عشان انا اشبك الكلمتين في + +449 +00:33:58,110 --> 00:34:05,930 +بعض pelvic حوضي التجويف البطني الحوضي تمام abdomen + +450 +00:34:05,930 --> 00:34:11,390 +pelvic cavity ال abdomen مين هيخبلي ال stomach ال + +451 +00:34:11,390 --> 00:34:15,610 +liverالسبلين الـ gull bladder و ال small و ال + +452 +00:34:15,610 --> 00:34:19,270 +large intestine نعيد تاني ترجمتهم ال stomach + +453 +00:34:19,270 --> 00:34:25,810 +المعدة ال liver الكبد و السبلين هي عبارة عن التحال + +454 +00:34:25,810 --> 00:34:29,870 +ال gull bladder المرارة و الأمعاء الدقيقة و + +455 +00:34:29,870 --> 00:34:34,410 +الأمعاء الغليظة تمام؟ هذا موجود في وين؟ في الحذاء + +456 +00:34:34,410 --> 00:34:38,170 +في اللي هو التجويف الحوضي البطني أسفة موجود في + +457 +00:34:38,170 --> 00:34:43,060 +التوجيه .. في التجويف البطنيالـ pelvic cavity او + +458 +00:34:43,060 --> 00:34:48,160 +التجويف الحوضي urinary bladder موجود في المثانة + +459 +00:34:48,160 --> 00:34:52,940 +البولية ال internal reproductive organs الأعضاء + +460 +00:34:52,940 --> 00:34:56,340 +التناثولية الداخلية هدوين موجود في الـ pelvic + +461 +00:34:56,340 --> 00:34:59,720 +cavity اذا هذه الكلمة الكبيرة انا جسمتها لجسمين + +462 +00:34:59,720 --> 00:35:05,770 +abdomenبيلفك ابدومينو بيلفك كافيتى هيك بتنطقها في + +463 +00:35:05,770 --> 00:35:09,610 +معناته انا جسمتها لجزئين أساسيا تجويف بطني وتجويف + +464 +00:35:09,610 --> 00:35:14,790 +حوضي تمام؟ وعرفنا إيش بتكونه كل تجويف فيهم بيكون + +465 +00:35:14,790 --> 00:35:18,550 +انا أخدت أربع تجويف اللي هو الدرزال كافيتى + +466 +00:35:18,550 --> 00:35:22,850 +الفنترال كافيتى الابدومين والبيلفك وممكن التانين + +467 +00:35:22,850 --> 00:35:27,630 +هدول أشبكهم مع بعض وأحكي عليهم ابدومينو بيلفك + +468 +00:35:27,630 --> 00:35:28,450 +كافيتى + +469 +00:35:30,800 --> 00:35:34,460 +هنا كاتبلي ملاحظة صغيرة ان هو بيحكي ان ال + +470 +00:35:34,460 --> 00:35:40,140 +diaphragm كلمة diaphragm تعني الحجاب الحاجز ال + +471 +00:35:40,140 --> 00:35:43,920 +diaphrag muscles هو عبارة عن عضلة تعمل على فصل + +472 +00:35:43,920 --> 00:35:51,240 +thoracic and abdomen pelvic cavity مايفصل الصدر عن + +473 +00:35:51,240 --> 00:35:56,990 +التجويف الحوضي البطني هي عضلة الحجاب الحاجز تمام؟و + +474 +00:35:56,990 --> 00:36:01,390 +ايضا بدنا نلاحظ ان ال kidney الكليتين والغدة + +475 +00:36:01,390 --> 00:36:05,240 +القضرية او ال adrenaline gland والبنكرياسوالـ + +476 +00:36:05,240 --> 00:36:09,920 +Urethra are behind the abdominal pelvic cavity تقع + +477 +00:36:09,920 --> 00:36:15,900 +في خلف التجويف الحوضي البطني فبالتالي بسميها Retro + +478 +00:36:15,900 --> 00:36:22,240 +كلمة Retro هنا رجعي أو خلفي Retro-parsinals تمام؟ + +479 +00:36:22,240 --> 00:36:27,260 +Retro يعني خلفي الكيليا والادرناليجلانز والبنكرياس + +480 +00:36:27,260 --> 00:36:33,830 +والوريتراحاجات التقع خلف الجهاز أو خلف التجويف + +481 +00:36:33,830 --> 00:36:40,610 +الحوضي البطء تمام؟ هذا اللي هو عبارة عن ملخص اللي + +482 +00:36:40,610 --> 00:36:44,530 +احنا حكيناه بالـ slide الدورزل يحتوي على ال + +483 +00:36:44,530 --> 00:36:48,830 +cranial cavity و ال vertebral cavity هنا بيحمل + +484 +00:36:48,830 --> 00:36:52,570 +brain هنا بيحمل spinal cord هذا ال spinal cord + +485 +00:36:52,570 --> 00:36:58,550 +موجود داخل ال vertebra يعني داخل العمود الفقريالـ + +486 +00:36:58,550 --> 00:37:00,890 +thoracic اللى بيحتوي على ال lungs و ال oesophagus + +487 +00:37:00,890 --> 00:37:05,630 +و كل الأمور العليا و ال heart هو عبارة عن thoracic + +488 +00:37:05,630 --> 00:37:10,990 +إشي ventral إشي أمامي ال diaphragm حكينا عنه هي + +489 +00:37:10,990 --> 00:37:16,010 +عبارة عن عضلة الحجاب الحاجز والتي تفصل ال thoracic + +490 +00:37:16,010 --> 00:37:20,140 +عن ال abdominal pelvic cavity تمام؟الـ abdomen + +491 +00:37:20,140 --> 00:37:23,880 +بيحتوي على ال stomach المعيدا ال large و ال small + +492 +00:37:23,880 --> 00:37:27,680 +intestine و ال gallbladder كل هذه الأمور موجودة في + +493 +00:37:27,680 --> 00:37:31,900 +التجويف البطني و ال pelvic تحت موجود لاحظ ايش + +494 +00:37:31,900 --> 00:37:36,420 +موجود فيه ال urinary bladder المثالة البولية و ال + +495 +00:37:36,420 --> 00:37:40,160 +reproductive system تمام الجهاز التناثري التانين + +496 +00:37:40,160 --> 00:37:46,410 +مع بعض انا بسميهم abdomen pelvic abdomenوالـ O إجت + +497 +00:37:46,410 --> 00:37:51,670 +لشبكهم بال V-cavity التانين او هذا كله انا بخليه + +498 +00:37:51,670 --> 00:37:56,150 +في ال anterior aspect او ال ventral cavity Ventral + +499 +00:37:56,150 --> 00:38:00,190 +anterior و frontal كلهم تؤدي إلى نفس المعنى اللي + +500 +00:38:00,190 --> 00:38:02,970 +هو anterior aspect تمام؟ + +501 +00:38:05,260 --> 00:38:10,400 +هنا طبعا اللي هو بيقسم ليه ل ال cavity حسب اللي هو + +502 +00:38:10,400 --> 00:38:14,880 +اللي احنا أخدناه anterior و posterior right و left + +503 +00:38:14,880 --> 00:38:18,540 +زي ما حكينا هذا ال mid-sagittal بيقسم ال anterior + +504 +00:38:18,540 --> 00:38:23,820 +بيقسم لل right side و ال left side هنا هتكلم على + +505 +00:38:23,820 --> 00:38:29,080 +ال membranes أو اللي هي الأغشة اللي موجودة داخل + +506 +00:38:29,080 --> 00:38:32,720 +جسم الإنسان شو يعني كلمة membrane؟ هي عبارة عن + +507 +00:38:32,720 --> 00:38:37,850 +حاجة soft، thinbileable layers of tissue that + +508 +00:38:37,850 --> 00:38:43,650 +either عبارة عن حاجة طرية نعمة تنزنق على بعضها + +509 +00:38:43,650 --> 00:38:48,330 +البعض تمام الله سبحانه وتعالى خلقنا إياها حتى تسهل + +510 +00:38:48,330 --> 00:38:53,030 +حركة العضو اللي موجود داخلها cover لمين لل vital + +511 +00:38:53,030 --> 00:38:58,010 +organs للأعضاء الحيوية الحساسة على سبيل المثال ال + +512 +00:38:58,010 --> 00:39:03,650 +lungs ال heartالـ Abdomen كلها هذه الحاجات لازم + +513 +00:39:03,650 --> 00:39:09,510 +يصير فيها عمليات حركة ولكن بتصير الحركة بسهولة جدا + +514 +00:39:09,510 --> 00:39:14,990 +ليش لوجود هذا الـ membrane soft حكينا thin بلاقي + +515 +00:39:14,990 --> 00:39:20,020 +ال layers افتشو that either تمام؟لمين؟ فى عندنا + +516 +00:39:20,020 --> 00:39:23,520 +أنواع متعددة أول إشي أبدأها بالvisceral membrane + +517 +00:39:23,520 --> 00:39:28,220 +كلمة visceral معناته بدها تغطي لل body cavity أو + +518 +00:39:28,220 --> 00:39:33,240 +بينقصين بسميه parietal membrane اللى هو إله علاقة + +519 +00:39:33,240 --> 00:39:37,020 +بال digestive system أو إله علاقة بالبطن هو عبارة + +520 +00:39:37,020 --> 00:39:41,860 +عن ال space أو الفراغ اللى موجود ما بين visceral + +521 +00:39:41,860 --> 00:39:46,610 +الأحشاقأو الأعضاء الحشوية اللى بتكون موجودة داخل + +522 +00:39:46,610 --> 00:39:51,050 +البطل and parietal membrane into which serious + +523 +00:39:51,050 --> 00:39:57,650 +fluid ايضا فيها سائل اللى هو لتسهيل الحركة is + +524 +00:39:57,650 --> 00:40:02,430 +created for lubrication اللى اللى هو التزييد او + +525 +00:40:02,430 --> 00:40:08,530 +للترطيب او لسهولة الحركة اذا ال space اللى واقع ما + +526 +00:40:08,530 --> 00:40:11,970 +بين ال visceral زى ما انتوا شايفين هنا مشبهها حط + +527 +00:40:11,970 --> 00:40:16,880 +اليد فى بلونةهذه الـ Visceral مشبهها وإنه حاططها + +528 +00:40:16,880 --> 00:40:20,100 +بيه اللي هو الحوض أو اللي موجود هنا وهذا السائل + +529 +00:40:20,100 --> 00:40:24,980 +اللي جوا هو لل lubrication لا اللي هو الترطيب أو + +530 +00:40:24,980 --> 00:40:30,280 +لسهولة حركة العضو اللي موجود عندنا تمام؟ هذا أول + +531 +00:40:30,280 --> 00:40:34,100 +membrane أنا هاخده في عندنا ال thoracic and + +532 +00:40:34,100 --> 00:40:40,140 +abdominal pelvic صدر والحوض البطني membrane that + +533 +00:40:40,140 --> 00:40:44,970 +are specific name لل membranes aroundHeart, Lungs + +534 +00:40:44,970 --> 00:40:48,870 +and Abdomen organs، إذا الثورة السجحاكيينة بيخبي + +535 +00:40:48,870 --> 00:40:52,090 +مين؟ ال heart و ال lungs، ال abdomen بيخبي ال + +536 +00:40:52,090 --> 00:40:54,570 +abdomen organs زي اللي هو ال stomach، ال intestine + +537 +00:40:55,310 --> 00:40:57,470 +الـ Serious Membrane تبعتهم أو الـ Serious + +538 +00:40:57,470 --> 00:41:02,450 +Membrane لـ Lung بسميه الفذرة البلورة اللي هو + +539 +00:41:02,450 --> 00:41:06,570 +الغشاء البلوري أكيد مر عليكم قبل كده ولكن هنا + +540 +00:41:06,570 --> 00:41:10,530 +المسألة مثلة English فقط الـ membrane on surface + +541 +00:41:10,530 --> 00:41:15,710 +of lung بنسميه الفذرة البلورة الغشاء البلوري إذن + +542 +00:41:15,710 --> 00:41:21,370 +الغشاء البلوري طبعا بسهل حركة الرئتين أثناء الشهيق + +543 +00:41:21,370 --> 00:41:25,970 +والزفير فتتحرك بسهولة عالية جداأما الـ membrane + +544 +00:41:25,970 --> 00:41:30,230 +اللي بيغطي الـ cavity in which lungs are located + +545 +00:41:30,230 --> 00:41:36,630 +is parietal pleura هنا الغشاء البلوري تبعنا تمام؟ + +546 +00:41:36,630 --> 00:41:40,510 +وهنا الغشاء اللي هو الحشوي ال membrane lines + +547 +00:41:40,510 --> 00:41:45,110 +cavity in which lung is located مكان اللي هو موقع + +548 +00:41:45,110 --> 00:41:49,270 +الرئتين ال space ما بين two membranes is called + +549 +00:41:49,270 --> 00:41:53,510 +pleura cavityفي عندي فزرة البلورة و في برايتها + +550 +00:41:53,510 --> 00:41:57,650 +البلورة ما بين الغشائين حاجة اسمها البلورة cavity + +551 +00:41:57,650 --> 00:42:09,210 +او التجويف البلوري موجود او مغطق او ممتلق بالسائل + +552 +00:42:09,210 --> 00:42:13,910 +اللذج اللي بيكون للبريكاشن اللي هو ال easy + +553 +00:42:13,910 --> 00:42:18,430 +movementتفسيلتت الـ movement للـ organs اللي موجود + +554 +00:42:18,430 --> 00:42:23,070 +داخل فيهم، اذا أخدنا هنا ثرق و أبدوميل و cavity، + +555 +00:42:23,070 --> 00:42:28,410 +pelvic cavity أو membranes، أخدنا ال .. هناخد ثرص + +556 +00:42:28,410 --> 00:42:30,870 +و أبدوميل و cavity أيضا حاجة ل .. اللي هي لل + +557 +00:42:30,870 --> 00:42:34,490 +lungs، هنا هناخد لال heart، ال membrane surface لل + +558 +00:42:34,490 --> 00:42:39,370 +heart بنسميه طبعا الغشاء اللي بيكون خارجي لل heart + +559 +00:42:39,370 --> 00:42:45,850 +بنسميه ال visceral pericardiumلاحظوا هنا حكيت حول + +560 +00:42:45,850 --> 00:42:50,710 +و ليس قبل عشان انا لازم افرق في المصطلحات الطبية + +561 +00:42:50,710 --> 00:42:58,250 +حكيت في pre بيعني before بسط بيعني after لكن per + +562 +00:42:58,250 --> 00:43:05,970 +حول حولة يعني خارجي بيغطيهالفزرال بريكارديوم، + +563 +00:43:05,970 --> 00:43:09,230 +بريكارديوم لحالها قلبي، the membrane that lines + +564 +00:43:09,230 --> 00:43:14,450 +cavity in which heart is located، بنسميه البرايتل + +565 +00:43:14,450 --> 00:43:20,910 +بريكارديوم، الغشاء اللي هو اللي بيغطي القلبأما + +566 +00:43:20,910 --> 00:43:24,710 +الفراغ اللى موجود ما بين ال two membranes ما بين + +567 +00:43:24,710 --> 00:43:28,990 +ال visceral والبرايتل اسمه ال pericardial cavity + +568 +00:43:28,990 --> 00:43:37,210 +مملوق أيضا بالثائل و لذج حتى يسمح باللي هو حركة + +569 +00:43:37,210 --> 00:43:41,230 +القلب اللي هو هنا عندنا غشاء التيمور زي ما انتوا + +570 +00:43:41,230 --> 00:43:46,490 +عارفينه طبعا هو الغشاء اللي موجود ليسهل حركة القلب + +571 +00:43:46,490 --> 00:43:50,530 +اللي موجودة عندنا أخدنا الأغشية المحيطة في ال + +572 +00:43:50,530 --> 00:43:56,190 +thoracic في ال abdomen pelvic cavity والأن سنحكي + +573 +00:43:56,190 --> 00:44:01,100 +على ال abdominal organs اللي هواللي موجودة داخل + +574 +00:44:01,100 --> 00:44:04,600 +الـ abdomen أو موجودة داخل البطن The membrane that + +575 +00:44:04,600 --> 00:44:07,960 +surface لمين بتغطي ال liver و ال stomach بسميها + +576 +00:44:07,960 --> 00:44:11,720 +الvisceral bretonium الغشاء البروتوني أو + +577 +00:44:11,720 --> 00:44:16,120 +البروتونيم تعني بطني الممبرين اللي بيمتد داخل ال + +578 +00:44:16,120 --> 00:44:20,980 +cavity نفسه بسميه الbarietal bretonium طبعا ما بين + +579 +00:44:20,980 --> 00:44:24,860 +الvisceral و الbarietal فى عندنا this membrane is + +580 +00:44:24,860 --> 00:44:29,030 +called bretonial cavityموجود اللي هو البروتونيا + +581 +00:44:29,030 --> 00:44:32,810 +الكفدي and that's filled with serious fluid معبّق + +582 +00:44:32,810 --> 00:44:37,490 +بالسائل اللذج to facilitate movement حتى تسهل حركة + +583 +00:44:37,490 --> 00:44:42,560 +الاستمتاعتسهل حركة الكبض و تكون الأمور ماشية + +584 +00:44:42,560 --> 00:44:46,160 +بثلاثة طبيعية طبعا هذا من فضل الله سبحانه وتعالى + +585 +00:44:46,160 --> 00:44:50,460 +علينا إذا أخدنا شو ال membranes اللي موجودة سواء + +586 +00:44:50,460 --> 00:44:53,680 +بال thoracic بالأبدوميل و بال ال cavity و كل + +587 +00:44:53,680 --> 00:44:56,580 +الأمور هذه و حكينا دائما بيكون ما بين ال visceral + +588 +00:44:56,580 --> 00:45:01,800 +و الparietal في عندي اللي هو ال cavity اللي موجود + +589 +00:45:01,800 --> 00:45:08,140 +ممتلق بالسائل اللي هو serious fluidهذا بالنسبة لأ + +590 +00:45:08,140 --> 00:45:12,200 +اللى هى الvisceral pericardium اللى موجودة عندنا + +591 +00:45:12,200 --> 00:45:16,980 +وهنا هذا مقطع عرضي هم ماخدينه طبعا مش مطالبين + +592 +00:45:16,980 --> 00:45:21,520 +انتوا بهذه الصورة ولكن أنا بس للتوضيح بحكي عليها + +593 +00:45:21,520 --> 00:45:30,640 +طبعا ال membranes اللى موجودة عندنا بدي أقسم جسم + +594 +00:45:30,640 --> 00:45:35,720 +الإنسان او ال abdomen إلى أربع تمام؟ لاحظوا معايا + +595 +00:45:36,250 --> 00:45:40,870 +هي الجسم هى الجذع اللى أنا موجودة عندى من عند عضمة + +596 +00:45:40,870 --> 00:45:46,650 +القص اللى موجودة لحد ما اوصل لاللي هى منطقة الـ + +597 +00:45:46,650 --> 00:45:51,990 +genital area هجسم جسم الإنسان لنصين right و left + +598 +00:45:51,990 --> 00:45:58,070 +upper فده كله هيك بسميه upper و اللى تحت lower ربع + +599 +00:45:58,070 --> 00:46:03,670 +اتنين تلاتة اربعة هيك اعطونى جسم الإنسان right + +600 +00:46:03,670 --> 00:46:08,890 +upper quadrateإذا الرُبع الأول أو الرُبع الأيمن + +601 +00:46:08,890 --> 00:46:15,730 +الأعلى Right Upper Quadrate نفسه Left Upper + +602 +00:46:15,730 --> 00:46:20,690 +Quadrate معناته المشترك أنه هنا كلهم Upper لكن في + +603 +00:46:20,690 --> 00:46:25,430 +منه Right و في منه Left نفس الأشي تحت تانية Lower + +604 +00:46:25,430 --> 00:46:30,350 +ولكن في عندنا Right Lower و Left Lower هيك أنا + +605 +00:46:30,350 --> 00:46:37,120 +جسمتها لأربع أرباع أساسية موجودةلأن نحكي ليش احنا + +606 +00:46:37,120 --> 00:46:42,960 +بندرس هذا اجيت انا على قسم التوارق و حكيت عندي ألم + +607 +00:46:42,960 --> 00:46:48,800 +في بطنى البطن كبيرة الدكتور الباطنة ماهيسألك والله + +608 +00:46:48,800 --> 00:46:54,260 +بأي ربع لأ بتيجي انت بتأشر على المنطقة اللي فيها + +609 +00:46:54,260 --> 00:47:00,260 +الألم على سبيل المثال عندك ال right upper quadrata + +610 +00:47:00,260 --> 00:47:05,780 +span ألم في اللي هو الربع الأيمن من منطقة البطنهنا + +611 +00:47:05,780 --> 00:47:08,960 +الدكتور طبعا لإنه دكتور باطن بيكون بيعرف إن + +612 +00:47:08,960 --> 00:47:12,100 +المشكلة على سبيل المثال عندك في ال gall bladder في + +613 +00:47:12,100 --> 00:47:18,550 +المرارة، تمام؟يختلف تماما إذا انت حكيت في الـ left + +614 +00:47:18,550 --> 00:47:23,090 +lower أو ال right lower بديوا يكون المشكلة في اللي + +615 +00:47:23,090 --> 00:47:27,850 +هو تحت فيه على سبيل المثال في ال kidneys إذا عرفنا + +616 +00:47:27,850 --> 00:47:32,350 +شو أهمية التقسيمة هذه مهمة جدا لنا لإن احنا هنكون + +617 +00:47:32,350 --> 00:47:36,230 +أحد فريق الطبي اللي موجود داخل المستشفى اللي + +618 +00:47:36,230 --> 00:47:40,610 +هيتعامل مع المرضى تمام؟ أحد اللي هو ال medical + +619 +00:47:40,610 --> 00:47:46,690 +team اللي موجودهي كمان تقسيمة اخرى نفس الاشي right + +620 +00:47:46,690 --> 00:47:50,050 +upper quadrant left upper quadrant و ال right + +621 +00:47:50,050 --> 00:47:56,750 +lower و ال left lower تمام؟ هحكي على تقسيمة لاللي + +622 +00:47:56,750 --> 00:48:01,810 +هي نفس الاشي بجسمها لاربع اربع ولكن هجسمها لمناطق + +623 +00:48:01,810 --> 00:48:06,020 +جغرافية معينةلاحظوا في عندنا right و في عندنا left + +624 +00:48:06,020 --> 00:48:10,860 +لكن في في المنتصف حاجة نصفية هحكي عليها خليني أبدأ + +625 +00:48:10,860 --> 00:48:14,420 +بالمنتصف و بعدين هفرع منها مين ال left و مين ال + +626 +00:48:14,420 --> 00:48:19,560 +right ipigastric region ip باللاتيني تعني above + +627 +00:48:19,560 --> 00:48:25,600 +أعلى superior تمام؟ ip بحطها في دفتر المصطلحات + +628 +00:48:25,600 --> 00:48:32,720 +بحكي عليها ip above gastric تعني stomach أعلىمنطقة + +629 +00:48:32,720 --> 00:48:38,600 +المعدة يعني زى ما بيحكوا في العامية تم المعدة او + +630 +00:48:38,600 --> 00:48:44,000 +اعلى اللى هى فم المعدة منطقة الانبلايكال region او + +631 +00:48:44,000 --> 00:48:48,220 +منطقة السرّة اللى موجودة هنا هي المنطقة النصفية + +632 +00:48:48,220 --> 00:48:55,740 +hypo hypogastric region hypo تعني اسفل او اقل تمام + +633 +00:48:55,740 --> 00:49:03,530 +فوق حكينا eb تحت حكينا hypo تمامEB أعلى أسفل + +634 +00:49:03,530 --> 00:49:07,550 +المعيدة أو أعلى الجزئية الموجودة في المعيدة الـ + +635 +00:49:07,550 --> 00:49:10,790 +embolical regions اللي هي عبارة عن منطقة الصرة + +636 +00:49:10,790 --> 00:49:16,930 +والـ hypo أسفل المعيدة على يسارها في حاجة اسمها + +637 +00:49:16,930 --> 00:49:23,130 +lift hypochondric regionLeft Hypochondric Region + +638 +00:49:23,130 --> 00:49:29,310 +Left Lumbar Region منطقة الخسر الجانبية اليسرى + +639 +00:49:29,310 --> 00:49:37,450 +Left Iliac Region المنطقة اللي هي حوضية اليسرى نفس + +640 +00:49:37,450 --> 00:49:42,850 +الكلام Right Hypochondric Region Right Lumbar + +641 +00:49:42,850 --> 00:49:43,310 +Region + +642 +00:49:48,290 --> 00:49:52,990 +الأساس هو المحور الأساسي وانا قسمت منه ال left و + +643 +00:49:52,990 --> 00:49:57,910 +ال right نين ريجون لل abdominal divisions في عندي + +644 +00:49:57,910 --> 00:50:02,870 +التقسيمات البطنية right hypochondric region right + +645 +00:50:02,870 --> 00:50:08,860 +lumbar regionالليك أو angular regions الابيجاسترك + +646 +00:50:08,860 --> 00:50:13,420 +هذا المنتصف تبعنا والامبليكال region المنتصف ايضا + +647 +00:50:13,420 --> 00:50:19,620 +وhypogastric اللي هي منطقة لبيوبيك regions تمام ال + +648 +00:50:19,620 --> 00:50:23,440 +left lumbar region و ال left iliac angular region + +649 +00:50:24,440 --> 00:50:28,080 +هذه الأشياء أو هذه التقسيمات عبارة عن تسعة تقسيمات + +650 +00:50:28,080 --> 00:50:31,780 +للـ Abdomen Divisions اللي أنا اللي بتسألني عن + +651 +00:50:31,780 --> 00:50:36,080 +الترجمة هنا مش كل الكلمات بتترجم لأ هنا Hypo + +652 +00:50:36,080 --> 00:50:40,780 +معناتها بديك تعرفي أنه الأشي أسفل أو موجود أسفل + +653 +00:50:40,780 --> 00:50:45,200 +المكان Chondric اللي هي عبارة عن المنطقة اللي لها + +654 +00:50:45,200 --> 00:50:51,880 +علاقة بالصدر ولكن ليست ترجمة حرفية تمام؟هذا + +655 +00:50:51,880 --> 00:50:57,180 +بالنسبة للـ Abdominal Division بهيك بكون أنا أنهيت + +656 +00:50:57,180 --> 00:51:03,180 +طبعا المحاضرة تبعت اليوم ألقاكم في رعاية الله في + +657 +00:51:03,180 --> 00:51:07,080 +فيديو آخر ويعطيكوا ألف أعافية + diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/JgUDj-GM1wI_raw.json b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/JgUDj-GM1wI_raw.json new file mode 100644 index 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{"start": 86.22, "end": 86.72, "word": " الرحيم", "probability": 0.9933268229166666}, {"start": 86.72, "end": 87.58, "word": " في", "probability": 0.95263671875}], "temperature": 1.0}, {"id": 4, "seek": 9054, "start": 89.28, "end": 90.54, "text": "الـ Medical Terminology", "tokens": [6027, 39184, 15896, 19835, 259, 1793], "avg_logprob": -0.28655134780066355, "compression_ratio": 0.7647058823529411, "no_speech_prob": 0.0, "words": [{"start": 89.28, "end": 89.6, "word": "الـ", "probability": 0.839111328125}, {"start": 89.6, "end": 89.8, "word": " Medical", "probability": 0.6611328125}, {"start": 89.8, "end": 90.54, "word": " Terminology", "probability": 0.7115071614583334}], "temperature": 1.0}, {"id": 5, "seek": 11927, "start": 95.19, "end": 119.27, "text": "تمام بسم الله الرحمن الرحيم بداية هحكي على ال anatomical position عشان انا لازم لما اجي على سبيل المثال بدي اكتب الملف الطبي بدي اقول ان هذا المريض اللي موجود انا عندي هيكون واقف او انه صار في عنده كسر في المكان الفلاني في التلت 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"end": 443.19, "text": "القرن اللي بنياه هو عبارة عن vertical plane خط بيجيني بشكل عمودي بيقسم الجسم that divided into the body أنتريور أمامي بنقسم اسمها front", "tokens": [6027, 4587, 2288, 1863, 13672, 1829, 44945, 25528, 3224, 31439, 6225, 3555, 9640, 3660, 18871, 9429, 5720, 16490, 9566, 4724, 1829, 7435, 1829, 22653, 4724, 8592, 28820, 6225, 2304, 2407, 16254, 4724, 1829, 4587, 38251, 25724, 38251, 300, 6666, 666, 264, 1772, 14739, 2655, 16572, 13063, 5551, 2304, 10943, 1829, 44945, 4587, 38251, 24525, 2304, 11296, 1868], "avg_logprob": -0.2537715501826385, "compression_ratio": 1.3529411764705883, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 428.25, "end": 428.77, "word": "القرن", "probability": 0.75775146484375}, {"start": 428.77, "end": 428.89, "word": " اللي", "probability": 0.79345703125}, {"start": 428.89, "end": 429.47, "word": " بنياه", "probability": 0.6236979166666666}, {"start": 429.47, "end": 429.71, "word": " هو", "probability": 0.7998046875}, {"start": 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than", "probability": 0.90283203125}, {"start": 1422.99, "end": 1423.43, "word": " elbow", "probability": 0.95458984375}], "temperature": 1.0}, {"id": 66, "seek": 144691, "start": 1423.93, "end": 1446.91, "text": "إذا مفصل الكتف هو أقرب من مفصل الكوع، تمام؟ مفصل الكوع أقرب من مفصل الرصغ أو مفصل اليد، إذا الـ Proximal هو أقرب نقطة في اتصال لجذع الإنسان على سبيل المثال نجيب لل lower limb ال foot digital يعني إيش كلمة digital؟", "tokens": [28814, 15730, 3714, 5172, 36520, 33251, 2655, 5172, 31439, 5551, 4587, 25513, 9154, 3714, 5172, 36520, 33251, 45367, 12399, 46811, 10943, 22807, 3714, 5172, 36520, 33251, 45367, 5551, 4587, 25513, 9154, 3714, 5172, 36520, 34892, 9381, 17082, 34051, 3714, 5172, 36520, 2423, 25708, 12399, 11933, 15730, 2423, 39184, 1705, 3081, 304, 31439, 5551, 4587, 25513, 8717, 47432, 3660, 8978, 1975, 2655, 9381, 6027, 5296, 7435, 8848, 3615, 33688, 1863, 3794, 7649, 15844, 8608, 21292, 1211, 9673, 12984, 6027, 8717, 7435, 1829, 3555, 24976, 3126, 30390, 2423, 2671, 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" هو", "probability": 0.9814453125}, {"start": 1436.83, "end": 1437.29, "word": " أقرب", "probability": 0.9806315104166666}, {"start": 1437.29, "end": 1437.65, "word": " نقطة", "probability": 0.7618001302083334}, {"start": 1437.65, "end": 1437.75, "word": " في", "probability": 0.49072265625}, {"start": 1437.75, "end": 1438.29, "word": " اتصال", "probability": 0.949462890625}, {"start": 1438.29, "end": 1439.11, "word": " لجذع", "probability": 0.9417724609375}, {"start": 1439.11, "end": 1439.75, "word": " الإنسان", "probability": 0.9560546875}, {"start": 1439.75, "end": 1440.15, "word": " على", "probability": 0.54736328125}, {"start": 1440.15, "end": 1440.45, "word": " سبيل", "probability": 0.986328125}, {"start": 1440.45, "end": 1440.87, "word": " المثال", "probability": 0.9928385416666666}, {"start": 1440.87, "end": 1441.19, "word": " نجيب", "probability": 0.86334228515625}, {"start": 1441.19, "end": 1441.31, "word": " لل", "probability": 0.880859375}, {"start": 1441.31, "end": 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2407.63, "end": 2408.29, "word": " واقع", "probability": 0.9558919270833334}, {"start": 2408.29, "end": 2408.53, "word": " ما", "probability": 0.92724609375}, {"start": 2408.53, "end": 2408.85, "word": " بين", "probability": 0.9619140625}, {"start": 2408.85, "end": 2409.07, "word": " ال", "probability": 0.8271484375}, {"start": 2409.07, "end": 2409.61, "word": " visceral", "probability": 0.78515625}, {"start": 2409.61, "end": 2410.07, "word": " زى", "probability": 0.833251953125}, {"start": 2410.07, "end": 2410.13, "word": " ما", "probability": 0.93310546875}, {"start": 2410.13, "end": 2410.31, "word": " انتوا", "probability": 0.8650716145833334}, {"start": 2410.31, "end": 2410.59, "word": " شايفين", "probability": 0.986572265625}, {"start": 2410.59, "end": 2410.73, "word": " هنا", "probability": 0.62939453125}, {"start": 2410.73, "end": 2411.41, "word": " مشبهها", "probability": 0.9600830078125}, {"start": 2411.41, "end": 2411.97, "word": " حط", "probability": 0.667724609375}, 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"word": " حاططها", "probability": 0.9644775390625}, {"start": 2416.88, "end": 2417.2, "word": " بيه", "probability": 0.7913411458333334}, {"start": 2417.2, "end": 2417.42, "word": " اللي", "probability": 0.873779296875}, {"start": 2417.42, "end": 2417.7, "word": " هو", "probability": 0.966796875}, {"start": 2417.7, "end": 2418.22, "word": " الحوض", "probability": 0.9715169270833334}, {"start": 2418.22, "end": 2418.4, "word": " أو", "probability": 0.81591796875}, {"start": 2418.4, "end": 2418.52, "word": " اللي", "probability": 0.8779296875}, {"start": 2418.52, "end": 2418.78, "word": " موجود", "probability": 0.9798177083333334}, {"start": 2418.78, "end": 2419.04, "word": " هنا", "probability": 0.99560546875}, {"start": 2419.04, "end": 2419.72, "word": " وهذا", "probability": 0.8564453125}, {"start": 2419.72, "end": 2420.1, "word": " السائل", "probability": 0.9554036458333334}, {"start": 2420.1, "end": 2420.26, "word": " اللي", "probability": 0.959716796875}, {"start": 2420.26, "end": 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"end": 2427.2, "word": " اللي", "probability": 0.96435546875}, {"start": 2427.2, "end": 2427.76, "word": " موجود", "probability": 0.98876953125}, {"start": 2427.76, "end": 2428.6, "word": " عندنا", "probability": 0.9306640625}, {"start": 2428.6, "end": 2429.52, "word": " تمام؟", "probability": 0.7508138020833334}, {"start": 2429.52, "end": 2429.8, "word": " هذا", "probability": 0.84326171875}, {"start": 2429.8, "end": 2430.28, "word": " أول", "probability": 0.913818359375}, {"start": 2430.28, "end": 2431.02, "word": " membrane", "probability": 0.45751953125}, {"start": 2431.02, "end": 2431.44, "word": " أنا", "probability": 0.60888671875}, {"start": 2431.44, "end": 2432.38, "word": " هاخده", "probability": 0.885009765625}, {"start": 2432.38, "end": 2432.76, "word": " في", "probability": 0.6748046875}, {"start": 2432.76, "end": 2433.12, "word": " عندنا", "probability": 0.44189453125}, {"start": 2433.12, "end": 2433.18, "word": " ال", "probability": 0.68212890625}, {"start": 2433.18, "end": 2433.78, "word": " thoracic", "probability": 0.8831380208333334}, {"start": 2433.78, "end": 2434.1, "word": " and", "probability": 0.87451171875}, {"start": 2434.1, "end": 2434.64, "word": " abdominal", "probability": 0.6328125}, {"start": 2434.64, "end": 2435.48, "word": " pelvic", "probability": 0.6962890625}, {"start": 2435.48, "end": 2436.88, "word": " صدر", "probability": 0.8313802083333334}, {"start": 2436.88, "end": 2437.9, "word": " والحوض", "probability": 0.9027099609375}, {"start": 2437.9, "end": 2438.82, "word": " البطني", "probability": 0.85595703125}, {"start": 2438.82, "end": 2439.44, "word": " membrane", "probability": 0.57470703125}, {"start": 2439.44, "end": 2440.14, "word": " that", "probability": 0.71337890625}, {"start": 2440.14, "end": 2440.5, "word": " are", "probability": 0.9453125}, {"start": 2440.5, "end": 2441.02, "word": " specific", "probability": 0.88818359375}, {"start": 2441.02, "end": 2441.52, "word": " name", "probability": 0.810546875}, 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{"start": 2664.6, "end": 2664.86, "word": " is", "probability": 0.84228515625}, {"start": 2664.86, "end": 2665.22, "word": " called", "probability": 0.88818359375}, {"start": 2665.22, "end": 2665.98, "word": " bretonial", "probability": 0.81494140625}, {"start": 2665.98, "end": 2666.54, "word": " cavity", "probability": 0.95068359375}], "temperature": 1.0}, {"id": 117, "seek": 267815, "start": 2666.85, "end": 2678.15, "text": "موجود اللي هو البروتونيا الكفدي and that's filled with serious fluid معبّق بالسائل اللذج to facilitate movement حتى تسهل حركة الاستمتاع", "tokens": [2304, 29245, 23328, 13672, 1829, 31439, 2423, 26890, 35473, 11536, 25528, 33251, 5172, 16254, 293, 300, 311, 6412, 365, 3156, 9113, 20449, 3555, 11703, 4587, 20666, 3794, 16373, 1211, 13672, 8848, 7435, 281, 20207, 3963, 11331, 49975, 6055, 3794, 3224, 1211, 11331, 31747, 3660, 42963, 14851, 2304, 2655, 45761], "avg_logprob": -0.35156248569488524, "compression_ratio": 1.236024844720497, "no_speech_prob": 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chapter واحد في مسرح علم + +3 +00:00:07,800 --> 00:00:12,800 +التشريح لطلبات السنة الأولى في كلية العلم المصرحية + +4 +00:00:12,800 --> 00:00:16,340 +معكم الدكتور أماني مظهر الرئيس قسم العلاج الطبيعي + +5 +00:00:16,340 --> 00:00:20,160 +اتحدثنا في بداية ال chapter عن ما هو تعريف ال + +6 +00:00:20,160 --> 00:00:24,900 +anatomy وأنواعه و ال systems و كل اللي هي الحاجات + +7 +00:00:24,900 --> 00:00:29,250 +اللي بتتعلق كمقدمة عن ال introductionالان بإذن + +8 +00:00:29,250 --> 00:00:32,630 +الله تعالى سأتحدث في هذه الجزئية عن ال anatomical + +9 +00:00:32,630 --> 00:00:35,650 +terminology لما انا بدي احتي كلمة anatomical + +10 +00:00:35,650 --> 00:00:39,290 +terminology معناتها المصطلحات الطبية او المصطلحات + +11 +00:00:39,290 --> 00:00:43,890 +التشريحية خليني ابدأ فيها حكيت مهم جدا ان انا اكون + +12 +00:00:43,890 --> 00:00:48,510 +ماشية parallel اي موازة مع اللي هي ماساق المصطلحات + +13 +00:00:48,510 --> 00:00:53,390 +الطبية او مادة اللي هو التشريح مع المصطلحات هذا + +14 +00:00:53,390 --> 00:00:56,870 +الاشي مهم جدا ان انا اكون حاطط عندي في عين + +15 +00:00:56,870 --> 00:01:00,520 +الاعتبار ان انا لازمأربط المساقين مع بعضهم البعض + +16 +00:01:00,520 --> 00:01:06,660 +حتى أتمكن من الوصول إلى شاطئ الأمان هشرح في هذا + +17 +00:01:06,660 --> 00:01:10,060 +الشبتر بإذن الله تعالى شو هي بعض ال anatomical + +18 +00:01:10,060 --> 00:01:16,780 +terminology هشرح على تقسيم جسم الإنسان وكيف أنا + +19 +00:01:16,780 --> 00:01:20,820 +ممكن أحدد المناطق يعني أقسم الجسم إلى أرباع أو + +20 +00:01:20,820 --> 00:01:25,300 +أقسمه إلى أجزام وشو الخوضات الفاصلة ما بينها نبدأ + +21 +00:01:25,300 --> 00:01:30,540 +بسم الله الرحمن الرحيم فيالـ Medical Terminology + +22 +00:01:35,190 --> 00:01:40,750 +تمام بسم الله الرحمن الرحيم بداية هحكي على ال + +23 +00:01:40,750 --> 00:01:44,850 +anatomical position عشان انا لازم لما اجي على سبيل + +24 +00:01:44,850 --> 00:01:48,510 +المثال بدي اكتب الملف الطبي بدي اقول ان هذا المريض + +25 +00:01:48,510 --> 00:01:52,410 +اللي موجود انا عندي هيكون واقف او انه صار في عنده + +26 +00:01:52,410 --> 00:01:55,750 +كسر في المكان الفلاني في التلت الأول من الربع اللي + +27 +00:01:55,750 --> 00:02:00,090 +كذا فلازم اكون عارفة بعض المصطلحات الطبيةخلّيني + +28 +00:02:00,090 --> 00:02:03,630 +نحكي عن الـ anatomical position، شو هو؟ هو عبارة + +29 +00:02:03,630 --> 00:02:07,130 +عن specific position which individual stand + +30 +00:02:07,130 --> 00:02:13,750 +upright الشخص يقف بشكل سليم، upright، مافي ميلان، + +31 +00:02:13,750 --> 00:02:18,830 +مافي اعوجاج، with feet parallel and flat القدمين + +32 +00:02:18,830 --> 00:02:25,020 +موازيتين لبعضهم البعضو ال foot اللى هو القدم اللى + +33 +00:02:25,020 --> 00:02:31,080 +على الأرض مسطحة تماما ال head هنشوفها على العينين + +34 +00:02:31,080 --> 00:02:36,440 +على مستوى الناظرين إليه and I look forward العينين + +35 +00:02:36,440 --> 00:02:40,240 +بتطلعوا لجدام زى ما حكينا هذا كل اللى أنا بحكيه + +36 +00:02:40,240 --> 00:02:43,960 +هختصر و أعده بنقات و أحكي عليه من ال head من ال + +37 +00:02:43,960 --> 00:02:49,360 +fork لحد ما وصل ال foot ال arms are either at + +38 +00:02:49,360 --> 00:02:53,380 +either sideof the body with palms هنا لما بحكي على + +39 +00:02:53,380 --> 00:02:58,320 +palms معناته انا بحكي على باطل الياس تمام facing + +40 +00:02:58,320 --> 00:03:02,940 +forward as thumbs positioning تمام والthumb بدي + +41 +00:03:02,940 --> 00:03:05,860 +يكون pointing يعني زي ما انتوا شايفين هذه الوضعية + +42 +00:03:05,860 --> 00:03:09,040 +لوضعية ال thumb هي عبارة عن ال thumb pointing يعني + +43 +00:03:09,040 --> 00:03:15,410 +انه بعيد عن راحة الياسSome pointing away from the + +44 +00:03:15,410 --> 00:03:18,910 +body بعيد عن راحة اليد زي ما حكينا خليني أبدأهم + +45 +00:03:18,910 --> 00:03:22,490 +واحدة واحدة على الصورة زي ما إحنا شايفين ال + +46 +00:03:22,490 --> 00:03:26,270 +anatomical position أو الوضع التشريحي للشخص هو + +47 +00:03:26,270 --> 00:03:30,310 +عبارة عن وضع سليم بتبني التقريم عليه أول إشي ال + +48 +00:03:30,310 --> 00:03:34,950 +head ده تكون at the level الرأس على نفس المستوى ال + +49 +00:03:34,950 --> 00:03:40,770 +eye look forward تنظر إلى الأمانالجسم كله upright + +50 +00:03:40,770 --> 00:03:45,050 +position يعني بوضع القوام السليم للاستقامة الصحيحة + +51 +00:03:45,050 --> 00:03:49,750 +ال hand بتكون ال palm facing يعني أنا مش جايبة جفا + +52 +00:03:49,750 --> 00:03:53,770 +إيدي لأ جايبة بطن أو راحة اليد ال thumb اللي هو + +53 +00:03:53,770 --> 00:03:59,080 +عبارة عن الإصبع الكبير away from تمام؟الاجريان + +54 +00:03:59,080 --> 00:04:02,860 +اللي هم او الساقين parallel together بدهم يكونوا + +55 +00:04:02,860 --> 00:04:08,180 +متوازيتان لبعضهم البعض والفوت بشكل flat على ال + +56 +00:04:08,180 --> 00:04:11,680 +floor يعني مش واقف على أطراف أصابع ولا واقف على + +57 +00:04:11,680 --> 00:04:16,280 +جنب أجره لأ هو واقف ان الفوت completely flat مسطحة + +58 +00:04:16,280 --> 00:04:21,960 +بشكل كامل علىفاطح الأرض إذا هذا هو ال anatomical + +59 +00:04:21,960 --> 00:04:25,660 +terminology تمام أو ال anatomical position لل + +60 +00:04:25,660 --> 00:04:28,340 +individual أعيد من أول و جديد ال anatomical + +61 +00:04:28,340 --> 00:04:32,120 +position هو عبارة عن specific body position حكينا + +62 +00:04:32,120 --> 00:04:36,160 +فيه ال standing upright بيكون ال head at level ال + +63 +00:04:36,160 --> 00:04:43,140 +eye look forward ال leg parallel with togetheras a + +64 +00:04:43,140 --> 00:04:47,740 +flat تمام ال palm facing اللى هى forward بتطلعوا + +65 +00:04:47,740 --> 00:04:52,320 +الى الأمام و ال thumb away from the body تمام هذا + +66 +00:04:52,320 --> 00:04:55,860 +هو ال anatomical position بناء ان انا اليه هحدد + +67 +00:04:55,860 --> 00:05:00,960 +باقي المصطلحات شهو ال plan اليوم انا لما بدي احكي + +68 +00:05:00,960 --> 00:05:04,920 +ان فلان على سبيل المثال صار في عنده كثر فى التلت + +69 +00:05:04,920 --> 00:05:09,840 +الاعلى من اللى هو الايديعني معناة الكلام إنه أنا + +70 +00:05:09,840 --> 00:05:14,160 +بدي أحكي على مواقع جغرافية لازم أنا أبقى محددها + +71 +00:05:14,160 --> 00:05:18,300 +باللي هو خطوط عريضة تكون موجودة عندي، لبلانها ده + +72 +00:05:18,300 --> 00:05:21,680 +هو عبارة عن خط وهمي، هو مش موجود هنا في أجسامنا، + +73 +00:05:21,680 --> 00:05:25,880 +ولكن إحنا نتصوره، إذن هو عبارة عن unimaginable + +74 +00:05:25,880 --> 00:05:26,640 +surface + +75 +00:05:32,470 --> 00:05:36,430 +الخط هو عبارة عن خط وهمي اللي شايفينهم انتوا هذه + +76 +00:05:36,430 --> 00:05:40,070 +الألواح الزجاجية اللي احنا بنصورها ثلاثية الأبعاد + +77 +00:05:40,070 --> 00:05:44,540 +هي عبارة عن خطوط وهميةاحنا بنرسمها في خيالنا عشان + +78 +00:05:44,540 --> 00:05:47,900 +أنا أحدد على سبيل المثال إذا أنا صار في عندي كسر + +79 +00:05:47,900 --> 00:05:50,700 +في هذه الناحية، إذا صار في عندي عملية جراحية في + +80 +00:05:50,700 --> 00:05:53,700 +هذه الناحية، معناة الكلام هذه الـblends أو الـbody + +81 +00:05:53,700 --> 00:05:57,860 +blends مهمة جدا لجسم الإنسان، وقلنا إحنا كناس + +82 +00:05:57,860 --> 00:06:02,060 +بنشتغل في اللي هو ال medical teams أو الفريق + +83 +00:06:02,060 --> 00:06:06,710 +الطبي، لازم أنا أكون عارفة هذه المفطلحاتإذن الـ + +84 +00:06:06,710 --> 00:06:10,510 +Plan حكينا هو عبارة عن N imaginary surfaces that + +85 +00:06:10,510 --> 00:06:15,490 +splits أو سلقس للbody into specific بشكل مناطق + +86 +00:06:15,490 --> 00:06:18,650 +جغرافية مخصصة There are three measures كام Plan + +87 +00:06:18,650 --> 00:06:21,650 +أنا عندي زي ما انتوا شايفين في عندي تلاتة Plan + +88 +00:06:21,650 --> 00:06:26,910 +وهمية أو تلات خطوط عريضة وهمية أول حاجة حاببنسميه + +89 +00:06:26,910 --> 00:06:31,410 +Digital Plan والتاني اسمه Coronal Plan والتالت + +90 +00:06:31,410 --> 00:06:36,710 +اسمه Transfer Planهحكي على كل واحد على حده وشو + +91 +00:06:36,710 --> 00:06:39,870 +وظيفته ومن إيش بديه يتكون أو إيش بديه يقسم ليه + +92 +00:06:39,870 --> 00:06:43,770 +الجسم إذا I have three major anatomical blends + +93 +00:06:43,770 --> 00:06:47,050 +referenced in the earth coronal, transfer and + +94 +00:06:47,050 --> 00:06:52,170 +sagittal blends لأن ال coronal blendطبعا فى إنا + +95 +00:06:52,170 --> 00:06:56,990 +اسم وفى كمان إله اسم آخر يعنى إنه الخط مش بس إله + +96 +00:06:56,990 --> 00:07:00,570 +اسم واحد فى كمان إله اسم اللى هو ال English فى إله + +97 +00:07:00,570 --> 00:07:04,050 +اسم Latin ال frontal plane أيضا ما يسمى بالـ + +98 +00:07:04,050 --> 00:07:08,890 +frontal plane هذا مطلوب وهذا مطلوب طبعاالقرن اللي + +99 +00:07:08,890 --> 00:07:13,530 +بنياه هو عبارة عن vertical plane خط بيجيني بشكل + +100 +00:07:13,530 --> 00:07:19,550 +عمودي بيقسم الجسم that divided into the body + +101 +00:07:19,550 --> 00:07:25,090 +أنتريور أمامي بنقسم اسمها frontالـ posterior اللي + +102 +00:07:25,090 --> 00:07:28,710 +هي الـ back اللي هي الجزء الـ posterior للـ back + +103 +00:07:28,710 --> 00:07:31,510 +لذن هذا لوحي الزجاج زي ما انتوا شايفينه اللي احنا + +104 +00:07:31,510 --> 00:07:35,550 +اتصورناه هو عبارة عن خط اسمه الـ coronal plane أو + +105 +00:07:35,550 --> 00:07:38,570 +بمقصين هو الـ frontal plane اللي انا عشان انا + +106 +00:07:38,570 --> 00:07:41,390 +مقتوحش بقول الـ frontal plane معناته انا بدي احطه + +107 +00:07:41,390 --> 00:07:44,830 +في مخيلتي انه هيقسم الجسم ل front و back معناته + +108 +00:07:44,830 --> 00:07:49,450 +الكلام أمامي و خلفيOkay من اسمه coronal frontal + +109 +00:07:49,450 --> 00:07:53,090 +معناته هيقسم ل front و back إذا هو هيقسم ب + +110 +00:07:53,090 --> 00:07:57,250 +anterior and posterior الأمور واضحة هيك إنه إحنا + +111 +00:07:57,250 --> 00:08:00,110 +بنحكي على اللي هي ال blends اللي موجودة داخل جسم + +112 +00:08:00,110 --> 00:08:03,870 +الإنسان هي عبارة عن خطوط وهمية بتقسم جسم الإنسان + +113 +00:08:03,870 --> 00:08:07,850 +إلى anterior و posterior إذا أنا بحكي على خط ال + +114 +00:08:07,850 --> 00:08:11,810 +coronal blend أجى أشوف النوع التاني من اللي هو ال + +115 +00:08:11,810 --> 00:08:17,180 +blendحاجة اسمها الـ Transverse Plane اللي هو اللوح + +116 +00:08:17,180 --> 00:08:20,720 +السجاج هذا اللي هيقسم لجسم الإنسان إلى الـ part + +117 +00:08:20,720 --> 00:08:28,120 +هذا أسفة و ال part التاني اللي هو الأسفة إذا الـ + +118 +00:08:28,120 --> 00:08:34,580 +Corneal Plane هيقسم أسفة لـ Transverse Plane مقطع + +119 +00:08:34,580 --> 00:08:39,460 +عرضي يعني هو عبارة عن خط عرضي معناة الكلام أو أفقي + +120 +00:08:39,460 --> 00:08:46,510 +هيقسم الجسم إلىالجزئين أساسيا حكينا في عندنا اللي + +121 +00:08:46,510 --> 00:08:50,930 +هو ال upper part أو الجزء الأعلى وال lower part + +122 +00:08:50,930 --> 00:08:54,850 +إذا من اسمه transfer معناته اشي عرضي معناته هيجسم + +123 +00:08:54,850 --> 00:09:00,470 +الجسم إلى قسمين أساسيا بالتزامن مع اللي هو قائمة + +124 +00:09:00,470 --> 00:09:04,730 +أو زاوية قائمة مع اللي هو الخط المتوسط لجسم + +125 +00:09:04,730 --> 00:09:05,690 +الإنسان + +126 +00:09:12,600 --> 00:09:24,120 +تعامل مع خط الأساسي الـ + +127 +00:09:24,120 --> 00:09:24,940 +cross sectional plane أو الخط الأساسي الهورزينتال + +128 +00:09:24,970 --> 00:09:29,190 +Superior أو بسميها Upper Superior باللاتين words + +129 +00:09:29,190 --> 00:09:33,530 +Upper بال English words إذا بيقسم الجسم ل Superior + +130 +00:09:33,530 --> 00:09:38,490 +عكسها تماما كلمة inferior superior أعلى inferior + +131 +00:09:38,490 --> 00:09:44,030 +معناتها أسفل إذا ال transfer plane بيقسم الجسم إلى + +132 +00:09:44,030 --> 00:09:49,090 +superior and inferior upper and lower هذا اللي هو + +133 +00:09:49,090 --> 00:09:53,890 +second type of planeأجل النوع التالت اللى هو اسمه + +134 +00:09:53,890 --> 00:09:57,290 +الـ Sagittal Plane هذا عبارة عن إيش؟ عبارة عن + +135 +00:09:57,290 --> 00:10:01,750 +Plane بيقسم الجسم إلى قسمين أساسيين زى ما انتوا + +136 +00:10:01,750 --> 00:10:05,970 +شايفينه هو عبارة عن لوح الذجاج هذا اللى هو بيقسم + +137 +00:10:05,970 --> 00:10:11,070 +للجسم لRight Side و Left Side إذن هو عبارة عن + +138 +00:10:11,070 --> 00:10:12,050 +Plane + +139 +00:10:26,180 --> 00:10:31,320 +أعمل سماري لثلاث خطوط الموجودة عندكبداية حكينا + +140 +00:10:31,320 --> 00:10:34,980 +لبلانز هي عبارة عن خط وهمي موجود على جسم الإنسان + +141 +00:10:34,980 --> 00:10:38,520 +احنا بنتخيله مهم جدا لإن احنا بنشتغل في ال + +142 +00:10:38,520 --> 00:10:41,480 +rehabilitation أو في ال medical team اللي موجود + +143 +00:10:41,480 --> 00:10:46,260 +اللي احنا المريض هو الهدف تبعنا عندي ثلاث خطوط + +144 +00:10:46,260 --> 00:10:50,120 +أساسية الخط الأول اللي هو Corona LeBlanc وبين + +145 +00:10:50,120 --> 00:10:53,840 +قوسين بسميه ال frontal الخط التاني اسمه ال + +146 +00:10:53,840 --> 00:10:56,910 +transfer Blancو بين القوسين اللي بسميه cross + +147 +00:10:56,910 --> 00:11:01,110 +sectional أو الخط العرضي الـ digital plane هو الخط + +148 +00:11:01,110 --> 00:11:05,950 +التالت والأخير اللي أنا بسميه ال middle plane أو + +149 +00:11:05,950 --> 00:11:10,270 +الخط الوسطي اللي أنا أعرف لchronal plane حكينا هو + +150 +00:11:10,270 --> 00:11:15,110 +عبارة عن الـ plane اللي بيقسم الجسم إلى anterior و + +151 +00:11:15,110 --> 00:11:19,290 +posterior front and back تمام؟ من اسمه frontal + +152 +00:11:19,290 --> 00:11:23,390 +معناته هيقسم لي front and backالسجنة لبليان بيقسم + +153 +00:11:23,390 --> 00:11:28,330 +الجسم إلى قسمين أساسيين Right and left parts جزء + +154 +00:11:28,330 --> 00:11:32,490 +أيمن وجزء أيسر بنحكي إن هذا المريض إجته جلطة + +155 +00:11:32,490 --> 00:11:38,470 +دماغية قامت بعمل شلل لجزء الأيمن من جسمه Right + +156 +00:11:38,470 --> 00:11:43,210 +Hemibaglia معناته أنا بدي لبليان هنا استخدمته ليه؟ + +157 +00:11:43,210 --> 00:11:46,230 +إنه حددت إذا كانت الإصابة عندي في ال right أو في + +158 +00:11:46,230 --> 00:11:50,910 +ال left من جسم المريضالـ transfer plane هو عبارة + +159 +00:11:50,910 --> 00:11:55,390 +عن plane وهمي أيضا يقسم الجسم إلى upper أو كلمة + +160 +00:11:55,390 --> 00:12:00,090 +superior بين قصين superior ال lower limb هو عبارة + +161 +00:12:00,090 --> 00:12:03,050 +عن أو الجزء التاني اللي هو lower limb اللي هو + +162 +00:12:03,050 --> 00:12:07,550 +inferior superior عكسها inferior و upper عكسها + +163 +00:12:07,550 --> 00:12:11,310 +lower هيك بيكون أنا عملت summary لثلاث خطوط أساسية + +164 +00:12:11,310 --> 00:12:14,810 +الموجودة عندىأجى أشوف ال slide اللي بعدها إيش + +165 +00:12:14,810 --> 00:12:18,230 +بتحكيلي؟ بتحكيلي إنه هذه ال sections و ال blend في + +166 +00:12:18,230 --> 00:12:22,190 +حاجة اسمها سجدة ال blend بيمر خلال ال midline ال + +167 +00:12:22,190 --> 00:12:26,810 +midline هيقسم للجسم لقسمين حكينا اللي هو right و + +168 +00:12:26,810 --> 00:12:30,930 +left معناته هيبدأ من ال head من فوق هيقسم العينتين + +169 +00:12:30,930 --> 00:12:34,670 +لاتنين، هيقسم الأنف لاتنين، هيقسم ال mouth إلى + +170 +00:12:34,670 --> 00:12:39,090 +نصفينوبينزل حتى لعند اللي هو الامبليكا الامبليكا + +171 +00:12:39,090 --> 00:12:41,950 +الصغيرة الصغيرة هو بينزل بقسم ليه two parts من ال + +172 +00:12:41,950 --> 00:12:46,830 +upper limb و two parts من ال lower limb هذا البلين + +173 +00:12:46,830 --> 00:12:51,370 +بسميه mid-sagittal plane إذا هو عبارة عن الخط + +174 +00:12:51,370 --> 00:12:55,870 +النصفي اللي موجود داخل الجسم البلين that's + +175 +00:12:55,870 --> 00:12:59,750 +parallel للميد ساجتال البلين هنا في عندي حاجة مهمة + +176 +00:12:59,750 --> 00:13:03,490 +اللي هو خط اللي بيكون موجود اليوم أنا قسمت بساجتال + +177 +00:13:03,490 --> 00:13:08,170 +البلين ل right و leftتمام؟ خليكم معايا قسمت لRight + +178 +00:13:08,170 --> 00:13:11,890 +و Left في الجسم لكن انا إذا بدي أقسم نصف للنصف + +179 +00:13:11,890 --> 00:13:16,370 +يعني نصف ال Right بدي أقسمه لجسمينمنه right ومنه + +180 +00:13:16,370 --> 00:13:20,210 +left معناته هذا بسميه اللي هو ال mid-sagittal plan + +181 +00:13:20,210 --> 00:13:25,130 +but either to the left or the right of it يعني + +182 +00:13:25,130 --> 00:13:30,110 +هقسمه اللي هو الربع اللي بدي أطلع عندي هنا تمام is + +183 +00:13:30,110 --> 00:13:34,050 +termed parasagittal هاي بسميه parasagittal أو + +184 +00:13:34,050 --> 00:13:38,510 +sagittal plan ال minor plan بسميه أو خط صغيراللي + +185 +00:13:38,510 --> 00:13:42,970 +هو الـ oblique معناته مائل في لبليان بس مش خلال + +186 +00:13:42,970 --> 00:13:47,370 +specimen angle اللي هو خلال زاوية محددة بتكون عندى + +187 +00:13:47,370 --> 00:13:51,970 +بشكل مائل خلينى ارجع لكلمة اللى هو البرا سجتل + +188 +00:13:51,970 --> 00:13:55,610 +البرا سجتل شايفين هذا هيك زى ما انتوا شايفينه هذا + +189 +00:13:55,610 --> 00:13:58,930 +لوح للزجاج قسم اللى هو جسم الإنسان إلى قسمين + +190 +00:13:58,930 --> 00:14:04,430 +أساسيا right و left الآن هذه المنطقة اللى هي عبارة + +191 +00:14:04,430 --> 00:14:10,950 +عنالـ right side بدي أجسمها لجسمين أساسيا بالبارا + +192 +00:14:10,950 --> 00:14:15,390 +سجتال بلين هذا هاجسمه لجسمين افقت يعني نفس الاشي + +193 +00:14:15,390 --> 00:14:20,010 +الجزئية هذه هاجسمها ل right و ل left بالبارا سجتال + +194 +00:14:20,010 --> 00:14:25,190 +بلين تمام؟ إذا البارا سجتال هيعطيني ربع النص اللي + +195 +00:14:25,190 --> 00:14:29,950 +أنا أخدته الربع منه right و واحد منه اللي هو left + +196 +00:14:29,950 --> 00:14:34,160 +تمام؟ واضحة هذه المعلومة؟ نعيد كمان مرةالـ Plane + +197 +00:14:34,160 --> 00:14:38,640 +اللى بيقسملى و بكون موازى للـ Mid-Sagittal Plane + +198 +00:14:38,640 --> 00:14:45,360 +بيقسملى الجسم إلى Left و Right of it تمام؟ إذا ربع + +199 +00:14:45,360 --> 00:14:48,500 +و ربع هنا هيعطولنا النص اللى أنا جسمته أصلا بالـ + +200 +00:14:48,500 --> 00:14:52,800 +Mid-Sagittal Plane تمام؟ هذا بسميه Parasagittal + +201 +00:14:52,800 --> 00:14:57,620 +Plane تمام؟الان بدي احكي على مصطلحات او medical + +202 +00:14:57,620 --> 00:15:01,360 +terminology اللي هي علاقة بالجسم ال direction term + +203 +00:15:01,360 --> 00:15:05,820 +او ال price and period are most of them there is + +204 +00:15:05,820 --> 00:15:11,030 +correlative term means just and opposite يعنيكل + +205 +00:15:11,030 --> 00:15:14,810 +كلمة وإلها ال object تبعها على سبيل المثال كنت + +206 +00:15:14,810 --> 00:15:19,050 +حكيت أنا قبل شوي في superior و inferior upper + +207 +00:15:19,050 --> 00:15:22,850 +وlower معناة الكلام كل إشي بتعلق انا اليوم إذا بدي + +208 +00:15:22,850 --> 00:15:25,410 +أحكي على medical terminology أو مصطلحات طبيعية + +209 +00:15:25,410 --> 00:15:29,270 +إلها علاقة بقسم الجسم إلى يمين ويسار معناته أنا + +210 +00:15:29,270 --> 00:15:35,400 +بحكي على سجن كلبنان إذا أنا بدي أحكي على ال ..اللي + +211 +00:15:35,400 --> 00:15:38,560 +هو الـ frontal plane بدي أحكي على anterior و + +212 +00:15:38,560 --> 00:15:42,840 +posterior معناته الكلمتين عكس بعض نيجي نشوفهم مع + +213 +00:15:42,840 --> 00:15:46,420 +بعض ال relative and directional terms of the body + +214 +00:15:46,420 --> 00:15:52,250 +اللي لهم علاقة بالجسم من منطقات ال frontalأو كلمة + +215 +00:15:52,250 --> 00:15:57,230 +بيلي هنا تعني البطن ال frontal بين قصين بحطها بيلي + +216 +00:15:57,230 --> 00:16:02,110 +و بحطها anterior إذا front بيلي و بجيب جنبها كلمة + +217 +00:16:02,110 --> 00:16:06,350 +anterior أما ال back بقول back posterior dorsal + +218 +00:16:06,350 --> 00:16:13,350 +تمام بيلي anterior abdomen back posterior dorsal + +219 +00:16:13,350 --> 00:16:18,180 +بقسم فيها المصلاحات إلى التالي anteriorاللي هو in + +220 +00:16:18,180 --> 00:16:22,020 +front towards the front surface معناته أمامي + +221 +00:16:22,020 --> 00:16:26,160 +posterior معناتها back towards ال back surface + +222 +00:16:26,160 --> 00:16:30,920 +كلمتين هنا عكس بعض anterior أمامي posterior + +223 +00:16:30,920 --> 00:16:36,700 +posterior معناتها خلفين اللي هي ال posterior ال + +224 +00:16:36,700 --> 00:16:41,150 +posterior معناتها back and dorsalالدورزل والفنترال + +225 +00:16:41,150 --> 00:16:45,190 +لها علاقة بالـ backside of the human body تمام؟ + +226 +00:16:45,190 --> 00:16:50,440 +منطقة دهرية منطقة الدهر دورزل back معناتهاventral + +227 +00:16:50,440 --> 00:16:54,980 +معناته الـ belly أو اللي هو البطن of human side + +228 +00:16:54,980 --> 00:16:58,820 +إذن معناته الكلام قسمته حسب الـ belly و ال back + +229 +00:16:58,820 --> 00:17:03,680 +لأربع مصطلحات طبية anterior و posterior و dorsal و + +230 +00:17:03,680 --> 00:17:09,180 +ventral أمامي و خلفي و ضهري و بطني تمام؟ إنت أنا + +231 +00:17:09,180 --> 00:17:12,320 +بستخدم هذه المصطلحات بستخدمها إذا أنا بدي أقول إشي + +232 +00:17:12,320 --> 00:17:18,870 +يتعلق بالأمام و الخلف و حكينااللي هو الخط اللي + +233 +00:17:18,870 --> 00:17:22,010 +بيقسمني جسم الإنسان لـAnterior and Posterior هو + +234 +00:17:22,010 --> 00:17:25,870 +عبارة عن الـCoronal Plane شايفين وين أنا استخدمته؟ + +235 +00:17:25,870 --> 00:17:31,390 +استخدمته في هاي المهمة إذا أنا بدي أقسم الجسم أو + +236 +00:17:31,390 --> 00:17:36,470 +بدي أخد مصطلحات طبية according toهsuperior + +237 +00:17:36,470 --> 00:17:41,930 +inferior يعني من ال head من فوق و اللي هو ال foot + +238 +00:17:41,930 --> 00:17:46,550 +من تحت بحكي على superior inferior إذا أنا حكيت + +239 +00:17:46,550 --> 00:17:51,430 +superior معناته toward لل head inferior معناته + +240 +00:17:51,430 --> 00:17:56,290 +toward لل foot not head يعني قريبة من ال foot إذا + +241 +00:17:56,290 --> 00:18:03,680 +هنا superior أعلى inferior أسفل تمام؟هذه حسب اللي + +242 +00:18:03,680 --> 00:18:07,740 +هو أعلى وأسفل، احنا في ال slide اللي جابلها حكينا + +243 +00:18:07,740 --> 00:18:11,440 +على إشي اسمه اللي هو أماني وخالفي، هنا بدي أحكي + +244 +00:18:11,440 --> 00:18:16,460 +على أعلى وأسفلالان الـ caudal معناتها إشي رأسي + +245 +00:18:16,460 --> 00:18:20,660 +قريب أسفل الـ caudal إشي اللي له علاقة بالنهايات + +246 +00:18:20,660 --> 00:18:25,240 +بالـ tail tail end اللي هو أثرير or tail end + +247 +00:18:25,240 --> 00:18:28,280 +بتعرفوا بداية تكوين الجليل لسه ما بيكون فيه عنده + +248 +00:18:28,280 --> 00:18:31,240 +إجرين ولا بيكون عنده foot ولا إشي فبيكون على شكل + +249 +00:18:31,240 --> 00:18:36,100 +الـ C type هذا الـ C type أو الـ C shape هو عبارة + +250 +00:18:36,100 --> 00:18:40,050 +عن اللي هو الـ tailالـ cranial at the head end + +251 +00:18:40,050 --> 00:18:46,210 +كلمة cranium لحالها أو cranial تعني رأسي او head + +252 +00:18:46,640 --> 00:18:50,140 +إذا السهم طالع لفوق معناته انا هحاكي على superior + +253 +00:18:50,140 --> 00:18:54,500 +و cranial أما إذا السهم نازل لتحت معناته هحاكي على + +254 +00:18:54,500 --> 00:18:59,700 +inferior مع tail or caudal تمام؟ إذا أخدنا + +255 +00:18:59,700 --> 00:19:02,080 +المصطلحات اللي بتتعلق بال anterior و الexterior + +256 +00:19:02,080 --> 00:19:06,260 +أخدنا المصطلحات اللي بتتعلق بالأعلى above and + +257 +00:19:06,260 --> 00:19:10,340 +below above معناتها superior below معناتها + +258 +00:19:10,340 --> 00:19:11,100 +inferior + +259 +00:19:14,030 --> 00:19:16,670 +ميجي لا اللى اللى اللى اللى اللى اللى اللى اللى + +260 +00:19:16,670 --> 00:19:19,930 +اللى اللى اللى اللى اللى اللى اللى اللى اللى اللى + +261 +00:19:19,930 --> 00:19:19,930 +اللى اللى اللى اللى اللى اللى اللى اللى اللى اللى + +262 +00:19:19,930 --> 00:19:20,450 +اللى اللى اللى اللى اللى اللى اللى اللى اللى اللى + +263 +00:19:20,450 --> 00:19:21,050 +اللى اللى اللى اللى اللى اللى اللى اللى اللى اللى + +264 +00:19:21,050 --> 00:19:21,050 +اللى اللى اللى اللى اللى اللى اللى اللى اللى اللى + +265 +00:19:21,050 --> 00:19:24,150 +اللى اللى اللى اللى اللى اللى اللى اللى اللى اللى + +266 +00:19:24,150 --> 00:19:24,150 +اللى اللى اللى اللى اللى اللى اللى اللى اللى اللى + +267 +00:19:24,150 --> 00:19:24,150 +اللى اللى اللى اللى اللى اللى اللى اللى اللى اللى + +268 +00:19:24,150 --> 00:19:25,950 +اللى اللى اللى اللى اللى اللى اللى اللى اللى اللى + +269 +00:19:25,950 --> 00:19:31,330 +اللى اللى اللى اللى اللى اللى اللى اللى اللى + +270 +00:19:31,330 --> 00:19:40,850 +اللى + +271 +00:19:40,850 --> 00:19:44,070 +اللى اللإذا أنا حكيت إن أنا Medially، معناته + +272 +00:19:44,070 --> 00:19:47,950 +towards the midline of the body، بخط الوهمي اللي + +273 +00:19:47,950 --> 00:19:52,550 +هو Sagittal Plan، وبين قوسين حكيتلكم إحنا دلعناها + +274 +00:19:52,550 --> 00:19:58,450 +باسم الـMediansplan أو خط المنتصف هذا الخط إذا أنا + +275 +00:19:58,450 --> 00:20:03,150 +كنت جريبة منه فمعناته بقول أنا في اللي هي ال + +276 +00:20:03,150 --> 00:20:07,470 +medial side أما إذا كانت الإصابة مثلا على سبيل + +277 +00:20:07,470 --> 00:20:10,550 +المثال هنا في الإيد معناته أنا بكون في ال lateral + +278 +00:20:10,550 --> 00:20:15,930 +side إذا أعرفهم وبعد هيك أحجبلكم مثال ال medial + +279 +00:20:15,930 --> 00:20:19,270 +towards the midline هي أنا قريبة من ال midlineأما + +280 +00:20:19,270 --> 00:20:23,890 +الـ lateral معناته أنا away from بعيدة كليا عن ال + +281 +00:20:23,890 --> 00:20:29,670 +midline عن الخط أجيب مثال على سبيل المثال ال eye + +282 +00:20:29,670 --> 00:20:35,990 +close to the midline قريبة من ال midline تمام؟ أما + +283 +00:20:35,990 --> 00:20:40,270 +ال hand هي عبارة عن إشي laterally away from the + +284 +00:20:40,270 --> 00:20:44,150 +midline إذا معناته الكلام ال medium أو ال medium + +285 +00:20:44,150 --> 00:20:48,700 +هو قريب من ال midlineالـ lateral away from بعيدة + +286 +00:20:48,700 --> 00:20:52,300 +عن الـ midlineعكسها تمامًا حاجة اسمها الـ Deep + +287 +00:20:52,300 --> 00:20:57,220 +والـ Superficial عميق وهنا Superficial صفحي العميق + +288 +00:20:57,220 --> 00:21:00,380 +اللي هي on the inside، under neck، under sexual + +289 +00:21:00,380 --> 00:21:04,460 +Deep على سبيل المثال طبقات الجلد زي ما بنعرف في إن + +290 +00:21:04,460 --> 00:21:07,480 +الطبقات الأدمى اللي هي أو البشرة هذه الطبقة بتكون + +291 +00:21:07,480 --> 00:21:10,640 +Superficial اللي بتتجشر بعض الأحيان وممكن إن هي + +292 +00:21:10,640 --> 00:21:14,420 +تتلف ويتجدد الجلد عندنا لكن في عندنا ال muscles ال + +293 +00:21:14,420 --> 00:21:19,320 +muscles اللي موجودة تحت الجسمالـ muscle اللى + +294 +00:21:19,320 --> 00:21:23,760 +موجودة تحت الجسم هي عبارة عن الحاجات ال deep تمام؟ + +295 +00:21:23,760 --> 00:21:28,640 +يعني حاجات inside و فوقها فى تركيب أخرى، إذا فى + +296 +00:21:28,640 --> 00:21:29,960 +عندنا deep و superficial + +297 +00:21:34,950 --> 00:21:39,450 +هك بيكون أنا جسمت اللي هي المصطلحات الطبية إلى + +298 +00:21:39,450 --> 00:21:44,990 +Medial و Lateral Deep و Superficial Medial قريبة + +299 +00:21:44,990 --> 00:21:50,090 +من خط الوسط Lateral بعيدة عن خط الوسط Deep في + +300 +00:21:50,090 --> 00:21:55,330 +الداخل والعمق أما Superficial at outside برا سطحية + +301 +00:21:55,330 --> 00:22:02,430 +حاجة طالعة لبرا تمام؟كيف بدنا ندرس هذا ال chapter؟ + +302 +00:22:02,430 --> 00:22:06,290 +سؤال حلو وواضح أنه أنا بدي .. ممكن هنا تيجي عنا + +303 +00:22:06,290 --> 00:22:09,490 +الأشياء مصطلحات، ممكن تيجي example زي ما أنا + +304 +00:22:09,490 --> 00:22:13,070 +شرحتلكم إياها، ممكن كمان أجيبها في ال true and + +305 +00:22:13,070 --> 00:22:17,700 +falseفمعناة الكلام ورقة وقلم يا طلاب الأعزاء ونبدأ + +306 +00:22:17,700 --> 00:22:22,900 +نحفظ المصطلحات اللي موجودة عندنا طبعا حفظ مقابله + +307 +00:22:22,900 --> 00:22:26,760 +فهم مباشرة او فهم بالأول و بعدين حفظ حتى انك تقدري + +308 +00:22:26,760 --> 00:22:34,020 +تركز باللي هو المصطلح اللي موجود عندك تمام؟ الآن + +309 +00:22:34,020 --> 00:22:38,560 +هحكي على قريب و بعيداللي إلها علاقة بالـ + +310 +00:22:38,560 --> 00:22:43,220 +Attachment إلها علاقة باللي هو الإرتباطات الآن + +311 +00:22:43,220 --> 00:22:46,140 +خليني أحكي حاجة مهمة جسم الإنسان هذا زي ما انتوا + +312 +00:22:46,140 --> 00:22:50,300 +شايفينه هذا المربع أو هذا الاشي هو عبارة عن الـ + +313 +00:22:50,300 --> 00:22:54,880 +axial حاجة اسمها axial يعني الجذع تبع الإنسان لكن + +314 +00:22:54,880 --> 00:22:58,480 +الإيدين والإجرين اللي موجودين أو الأطراف الأربعة + +315 +00:22:58,480 --> 00:23:03,140 +هي حاجة اسمها perpendicular أو حاجة اسمها أطراف أو + +316 +00:23:03,140 --> 00:23:07,660 +جسم طرفيأذا هحكي عليه الموضوع هذا إذا أنا لجيت هنا + +317 +00:23:07,660 --> 00:23:11,160 +في عندي إذا فاكرين في بداية المحاضرة السابقة حكيت + +318 +00:23:11,160 --> 00:23:14,960 +هنا في عندي حزام صدري و هنا في عندي حزام حوضي + +319 +00:23:14,960 --> 00:23:19,120 +معناه الكلام الإيدين برتبطوا بمفاصل الحزام الصدري + +320 +00:23:19,120 --> 00:23:23,700 +والإجرين هنا برتبطوا في الحزام الحوضي إذا حكيت ال + +321 +00:23:23,700 --> 00:23:27,520 +proximal معناته closest لل point of attachment لل + +322 +00:23:27,520 --> 00:23:34,770 +trunk تمام؟أقرب نقطة اتصال من الـ trunk، هذا الجذع + +323 +00:23:34,770 --> 00:23:38,930 +اللي أنا حكيت عليه، معناة الكلام، هذا المفصل اللي + +324 +00:23:38,930 --> 00:23:45,770 +هو مفصل الكتف، proximal than elbowإذا مفصل الكتف + +325 +00:23:45,770 --> 00:23:52,590 +هو أقرب من مفصل الكوع، تمام؟ مفصل الكوع أقرب من + +326 +00:23:52,590 --> 00:23:57,290 +مفصل الرصغ أو مفصل اليد، إذا الـ Proximal هو أقرب + +327 +00:23:57,290 --> 00:24:01,310 +نقطة في اتصال لجذع الإنسان على سبيل المثال نجيب لل + +328 +00:24:01,310 --> 00:24:06,910 +lower limb ال foot digital يعني إيش كلمة digital؟ + +329 +00:24:07,790 --> 00:24:11,610 +farthest from point attachments للـ trunk هي أبعض + +330 +00:24:11,610 --> 00:24:17,130 +نقطة اتصال في جذع الإنسان إذا هنا digital هنا + +331 +00:24:17,130 --> 00:24:22,350 +بتيجي ما اللي هي مفصل الفخد أقرب proximal ال knee + +332 +00:24:22,350 --> 00:24:27,600 +more proximal than footاللي هي أقرب اتصال من + +333 +00:24:27,600 --> 00:24:32,840 +الإجر، تمام؟ إذن، هاي المصطلحين الأساسيين أخدناهم + +334 +00:24:32,840 --> 00:24:36,160 +Proximal and Digital الـProximal اللي هي + +335 +00:24:36,160 --> 00:24:40,680 +الـclosest point أو أقرب نقطة و اللي هو Digital + +336 +00:24:40,680 --> 00:24:48,620 +away from الـattachment تبع الـpoint of the trend، + +337 +00:24:48,620 --> 00:24:53,650 +أخدناهأخدنا anterior and posterior أخدنا proximal + +338 +00:24:53,650 --> 00:24:58,390 +and digital أخدنا المصطلحات السابقة كانت اللي هي + +339 +00:24:58,390 --> 00:25:01,270 +media الأولى أطرل أخدنا deep and superficial + +340 +00:25:01,270 --> 00:25:05,710 +لاحظوا كل كلمة هنا بدنا نحكيها في إلها opposite زي + +341 +00:25:05,710 --> 00:25:10,160 +ما أنا وضحت في البداية تمام؟هنا الاشي مهم جدا انه + +342 +00:25:10,160 --> 00:25:14,620 +ينحفظ، الاشي مهم جدا انه ينفهم انه انا كيف بدي + +343 +00:25:14,620 --> 00:25:18,400 +احكي من النقطة الأقرب ومن النقطة الأبعد، من النقطة + +344 +00:25:18,400 --> 00:25:20,980 +اللي قريبة من ال midline ومن النقطة اللي هي بعيدة + +345 +00:25:20,980 --> 00:25:25,280 +عن ال midline، تمام؟ معناة الكلام، الاشي هنا مهم + +346 +00:25:25,280 --> 00:25:34,920 +جدا انه احنا بدنا نحفظ ونفهم في هذا الشكل، تمام؟ + +347 +00:25:34,920 --> 00:25:40,140 +إيش ال slide هذه الكبيرة؟اللي مليانة أخدناها + +348 +00:25:40,140 --> 00:25:44,180 +تقريبا أغلبها خليني أبدأ فيها واحدة واحدة هي عبارة + +349 +00:25:44,180 --> 00:25:48,560 +عن ورقة مصطلحات لا أكتر ولا أقل هتاخدوها و بكرا + +350 +00:25:48,560 --> 00:25:52,520 +لما تخلصوا هذا ال chapter هتقولوا يا الله إيش هاي + +351 +00:25:52,520 --> 00:25:57,300 +slide كائنة سهلة و حلوة و إحنا بس نتأذب منها لأ هي + +352 +00:25:57,300 --> 00:26:01,600 +حاجة سهلة جدا هتشوفوها بإبن الله تعالى بس لإنه + +353 +00:26:01,600 --> 00:26:05,240 +الاشي جديد عليكم كيف لك أخدناها و مردت علينا جد + +354 +00:26:05,240 --> 00:26:11,670 +كده معناتها head رأسيfrontal أمامي forehead ال + +355 +00:26:11,670 --> 00:26:16,730 +nasal معناتها nose ال orbital معناتها eye عين + +356 +00:26:16,730 --> 00:26:22,770 +بوكسل اللي هي ال cheek الخدود oral mouth الفم + +357 +00:26:22,770 --> 00:26:28,730 +cervical لل neck mental لل chin acromiel لل + +358 +00:26:28,730 --> 00:26:34,470 +shoulder terminal معناتها ال breast تمام؟ Acromiel + +359 +00:26:34,470 --> 00:26:37,670 +لل shoulders اللي هي حاكينا عليها الكتفالـ sternal + +360 +00:26:37,670 --> 00:26:43,530 +عضمة القصر الـ axillary القبط thoracic معناته صدري + +361 +00:26:43,530 --> 00:26:49,350 +memory اللي هي السديات او ال breast brachial + +362 +00:26:49,350 --> 00:26:53,450 +معناته ال arm تمام؟ وين ال brachial؟ اللي هي ال + +363 +00:26:53,450 --> 00:26:57,410 +arm اللي موجودة من مفصل ال shoulder لمفصل ال elbow + +364 +00:26:57,410 --> 00:27:02,690 +او مفصل الكوع هي عبارة عن الساعدالـ Antiseptical + +365 +00:27:02,690 --> 00:27:07,790 +front the elbow اللي هي الجهة الطريقة اللي بتكون + +366 +00:27:07,790 --> 00:27:12,370 +من الـ abdomen أو الـ belly aspects اللي هي من + +367 +00:27:12,370 --> 00:27:17,250 +الجهة الأمامية لمفصل الكوع الـ Ocleion الجهة + +368 +00:27:17,250 --> 00:27:23,210 +الخلفية من مفصل الكوع Antibracial forearm اللي هي + +369 +00:27:23,210 --> 00:27:27,490 +الـ forearm اللي هي بتكون عبارة عن العضمتين اللي + +370 +00:27:27,490 --> 00:27:32,150 +هياللي بيكونوا موجودين ما بين مفصل الكون و مفصل + +371 +00:27:32,150 --> 00:27:37,230 +اليد أو الرُسُغ بين قُصين البوبليتيال حاجة موجودة + +372 +00:27:37,230 --> 00:27:42,430 +خلف الرُكبة thoral معناتها البطة أو بطة الإجر + +373 +00:27:42,430 --> 00:27:47,030 +carpal العظام اللي موجودة في ال wrist أو في ال + +374 +00:27:47,030 --> 00:27:51,690 +hand palmar زي ما مريت علينا قبل كده هي عبارة عن + +375 +00:27:51,690 --> 00:27:56,070 +اللي هو باطن اليد poleax معناتها الإصبع الكبير + +376 +00:27:56,990 --> 00:28:00,810 +digit الأصابع الصغيرة pubic معناتها الـgentile + +377 +00:28:00,810 --> 00:28:06,230 +area أو بنسميها المناطق الحساسة patellar معناتها + +378 +00:28:06,230 --> 00:28:10,410 +الصابونة أو الـanterior knee patellar معناتها اللي + +379 +00:28:10,410 --> 00:28:14,470 +هي الصابونة تبع الإجر أو اللي هي الصابونة اللي + +380 +00:28:14,470 --> 00:28:18,170 +موجودة عند الرقبة coral معناتها الـleg اللي هي + +381 +00:28:18,170 --> 00:28:24,310 +عبارة عن القدم أو الرجل اللي موجودة tarsal ankle + +382 +00:28:24,310 --> 00:28:30,370 +مفصل الكاحلأو مفصل اللي هو القدم Holocus حاجة + +383 +00:28:30,370 --> 00:28:34,890 +اسمها الإصبع الكبير من الإجر Oxibit معناته الـ + +384 +00:28:34,890 --> 00:28:40,050 +base of skull قاعدة الجمجمة تمام؟ Oxibit قاعدة + +385 +00:28:40,050 --> 00:28:45,150 +الجمجمات Vertebral معناته إشي دهري أو موجود في + +386 +00:28:45,150 --> 00:28:50,710 +العمود الفقري Cabular لوحة الكتف shoulder bladeالـ + +387 +00:28:50,710 --> 00:28:55,130 +Dorsum معناتها الـ Back أو الخلفي، الـ Lumbar اللي + +388 +00:28:55,130 --> 00:28:59,870 +هي الخصر Sacral ما بين اللي هو الـ Two Hips ما بين + +389 +00:28:59,870 --> 00:29:04,110 +الفخدين اللي هم عبارة عن الـ Sacrum أو اللي هي + +390 +00:29:04,110 --> 00:29:08,830 +الفقرات العجزية البرينيال ما بين الانس and جنتاليا + +391 +00:29:08,830 --> 00:29:13,330 +area اللي هو المنطقة الحساسة اللي بتكون ما بين + +392 +00:29:13,330 --> 00:29:18,910 +فتحة الشرجوة اللي هيالـ Genital area في مُرال + +393 +00:29:18,910 --> 00:29:25,330 +معناتها ثخدي كالكينيال معناتها نهاية أو كعب القدم + +394 +00:29:25,330 --> 00:29:30,050 +بلانتر اللي هي باطن القدم هنا بنلاحظ في كلمة + +395 +00:29:30,050 --> 00:29:37,190 +بلانتر وفي كلمة اللي هي بالمر بالمر للبالم M مع M + +396 +00:29:37,190 --> 00:29:41,590 +معنات الكلام باطن اليد و هنا بلانتر معناتها سول + +397 +00:29:41,590 --> 00:29:46,700 +اللي هي باطن القدمالاشي مش صعب جدا، حبة حبة احنا + +398 +00:29:46,700 --> 00:29:52,300 +فيه ابنحفظه وابندرسه، نعم هاي للحفظ، نعم هاي ل .. + +399 +00:29:52,300 --> 00:29:56,840 +اللي هو الأسئلة لأن بالنسبة لهذه الصور في هذا ال + +400 +00:29:56,840 --> 00:30:01,140 +chapter مش مطلوب منكم أي صورتمام؟ هنا بس بدي + +401 +00:30:01,140 --> 00:30:05,220 +واريكم كيف التصوير بيكون anterior view معناته + +402 +00:30:05,220 --> 00:30:10,120 +المنظر أمامي الكاميرا جاية من الأمام هنا posterior + +403 +00:30:10,120 --> 00:30:15,920 +view الكاميرا جاية من الـ posterior من الخلف تمام؟ + +404 +00:30:15,920 --> 00:30:18,860 +خليني أحكي على موضوع ال organization of a human + +405 +00:30:18,860 --> 00:30:23,500 +bodyأحنا حكينا ان انا ممكن ادرس تشريح بال region + +406 +00:30:23,500 --> 00:30:26,940 +او ال organization تمام؟ ان اقسم الجسم لحاجتين + +407 +00:30:26,940 --> 00:30:31,840 +أساسيتين و كنت انا جسمتلكم ياها قبل كام slides فى + +408 +00:30:31,840 --> 00:30:34,700 +عندنا ال axial portion و فى عندنا ال perpendicular + +409 +00:30:34,700 --> 00:30:39,800 +portion الأجزية بيشمل الرأس و ال neck و ال trunk + +410 +00:30:39,800 --> 00:30:48,340 +رأس عنق جذعتمام؟ هذا اشي محوري بنسميه أو جزء أساسي + +411 +00:30:48,340 --> 00:30:52,520 +محوري ولكن الـ Abendicular له علاقة بالـ Arm و ال + +412 +00:30:52,520 --> 00:30:56,940 +Leg يعني ال four اللي هم الأطراف الأربعة + +413 +00:30:56,940 --> 00:31:01,560 +Abendicular بنقسم جسم الإنسان إلى جزئين أساسيين + +414 +00:31:01,560 --> 00:31:05,420 +Axial portion و Abendicular portion ال Axial اللي + +415 +00:31:05,420 --> 00:31:09,940 +بيندرج تحته ال head و ال neck و ال trunk رأس و عنق + +416 +00:31:09,940 --> 00:31:15,450 +و جذعأما الأبندكيولار Arms and Leg بيندرج تحته + +417 +00:31:15,450 --> 00:31:22,110 +اللي هي اليدين والقدمين تمام؟ هشوف الآن ال + +418 +00:31:22,110 --> 00:31:26,850 +cavities أو التجويف اللي موجودة داخل جسم الإذن في + +419 +00:31:26,850 --> 00:31:32,350 +عندي تجويف أمانية وأنا حكيت كلمة Ventral Anterior + +420 +00:31:32,350 --> 00:31:39,860 +Front كلها تعني أمانيولكن dorsal posterior back + +421 +00:31:39,860 --> 00:31:43,720 +تعني خلفي شوفت وين استخدمنا المصطلحات؟ هيا بعدين + +422 +00:31:43,720 --> 00:31:49,600 +هنستخدمهم واحدة واحدة الـdorsal cavity اللي هي على + +423 +00:31:49,600 --> 00:31:53,140 +سبيل المثال زي ال cranial cavity كلمة cranial أنا + +424 +00:31:53,140 --> 00:31:58,100 +كنت قبل شهي حاكيها في المصطلحات تعني الـheadوبما + +425 +00:31:58,100 --> 00:32:01,960 +انه تجويف الرأس معناته هيخبي جواته حاجة اسمها ال + +426 +00:32:01,960 --> 00:32:06,740 +brain حاجة اسمها الدماغ اذا من نعم الله سبحانه + +427 +00:32:06,740 --> 00:32:10,360 +وتعالى علينا انه حمى ال vital organs او الاعضاء + +428 +00:32:10,360 --> 00:32:15,100 +الحساسة اللى موجودة عندى بالعظام ال vertebral + +429 +00:32:15,100 --> 00:32:20,240 +canal ايضا حماها اللى هو حمت او خبت من الظروف + +430 +00:32:20,240 --> 00:32:24,580 +الخارجية ال spinal cordلاحظوا هنا بحكي brain و هنا + +431 +00:32:24,580 --> 00:32:28,000 +spinal cord، معناة الكلام لو أنا رجعت لل part + +432 +00:32:28,000 --> 00:32:32,680 +الأول بعرف إن هم التانين مكوّنين لل CNS، مكوّنين + +433 +00:32:32,680 --> 00:32:36,500 +لل central nervous system، okay؟ معناة الاشي هنا + +434 +00:32:36,500 --> 00:32:40,300 +أنا عندي مهم، إذا اتخبّوا والله سبحانه وتعالى + +435 +00:32:40,300 --> 00:32:44,380 +حماهم بال bone اللي موجودة عندي، الأنها ده اللي هو + +436 +00:32:44,380 --> 00:32:47,680 +عبارة عن ال dorsal cavity أو ما يسمى بالتجويف + +437 +00:32:47,680 --> 00:32:52,860 +الخلفيبينما الـ Dorsal أو أسفل الـ Ventral Cavity + +438 +00:32:52,860 --> 00:32:57,600 +اللي هو عبارة عن التجويف البطني أو التجويف الأمامي + +439 +00:32:57,600 --> 00:33:01,440 +يحتوي على الـ thoracic cavity اليوم عنا القفص + +440 +00:33:01,440 --> 00:33:06,800 +الصدري بتكون من 12 زوج من اللي هي ال ribs أو + +441 +00:33:06,800 --> 00:33:11,900 +الأضلع تمام؟ هتخبي مين جواتها؟ ال lungs، الرئتين، + +442 +00:33:11,900 --> 00:33:15,940 +هتخبي ال mid-sternum اللي هي عضمة القص، هتخبي + +443 +00:33:15,940 --> 00:33:21,470 +الغضب الزعترية، thymusالعمض تبعنا الـ heart الـ + +444 +00:33:21,470 --> 00:33:26,590 +esophagus المريء للتراكيا القصبة الهوائية كل هذه + +445 +00:33:26,590 --> 00:33:30,130 +الأمور أو كل هذه ال organs اللي موجودة عندى هي + +446 +00:33:30,130 --> 00:33:33,290 +عبارة عن vital organs مافي انا استغني عن ال lungs + +447 +00:33:33,290 --> 00:33:35,870 +مافي استغني عن ال heart مافي استغني عن ال + +448 +00:33:35,870 --> 00:33:38,810 +esophagus معناة الكلام هذه نعمة من الله سبحانه + +449 +00:33:38,810 --> 00:33:43,750 +وتعالى ان هو تم ال protection تبعها او حمايتها عن + +450 +00:33:43,750 --> 00:33:47,830 +طريق ال thoracic cavityفي عندنا الـ abdomen و + +451 +00:33:47,830 --> 00:33:52,990 +pelvic cavity لاحظوا الكلمة كبيرة بدنا نبدأ نقسمها + +452 +00:33:52,990 --> 00:33:58,110 +abdomen و بطني ال ا هنا عشان انا اشبك الكلمتين في + +453 +00:33:58,110 --> 00:34:05,930 +بعض pelvic حوضي التجويف البطني الحوضي تمام abdomen + +454 +00:34:05,930 --> 00:34:11,390 +pelvic cavity ال abdomen مين هيخبلي ال stomach ال + +455 +00:34:11,390 --> 00:34:15,610 +liverالسبلين الـ gull bladder و ال small و ال + +456 +00:34:15,610 --> 00:34:19,270 +large intestine نعيد تاني ترجمتهم ال stomach + +457 +00:34:19,270 --> 00:34:25,810 +المعدة ال liver الكبد و السبلين هي عبارة عن التحال + +458 +00:34:25,810 --> 00:34:29,870 +ال gull bladder المرارة و الأمعاء الدقيقة و + +459 +00:34:29,870 --> 00:34:34,410 +الأمعاء الغليظة تمام؟ هذا موجود في وين؟ في الحذاء + +460 +00:34:34,410 --> 00:34:38,170 +في اللي هو التجويف الحوضي البطني أسفة موجود في + +461 +00:34:38,170 --> 00:34:43,060 +التوجيه .. في التجويف البطنيالـ pelvic cavity او + +462 +00:34:43,060 --> 00:34:48,160 +التجويف الحوضي urinary bladder موجود في المثانة + +463 +00:34:48,160 --> 00:34:52,940 +البولية ال internal reproductive organs الأعضاء + +464 +00:34:52,940 --> 00:34:56,340 +التناثولية الداخلية هدوين موجود في الـ pelvic + +465 +00:34:56,340 --> 00:34:59,720 +cavity اذا هذه الكلمة الكبيرة انا جسمتها لجسمين + +466 +00:34:59,720 --> 00:35:05,770 +abdomenبيلفك ابدومينو بيلفك كافيتى هيك بتنطقها في + +467 +00:35:05,770 --> 00:35:09,610 +معناته انا جسمتها لجزئين أساسيا تجويف بطني وتجويف + +468 +00:35:09,610 --> 00:35:14,790 +حوضي تمام؟ وعرفنا إيش بتكونه كل تجويف فيهم بيكون + +469 +00:35:14,790 --> 00:35:18,550 +انا أخدت أربع تجويف اللي هو الدرزال كافيتى + +470 +00:35:18,550 --> 00:35:22,850 +الفنترال كافيتى الابدومين والبيلفك وممكن التانين + +471 +00:35:22,850 --> 00:35:27,630 +هدول أشبكهم مع بعض وأحكي عليهم ابدومينو بيلفك + +472 +00:35:27,630 --> 00:35:28,450 +كافيتى + +473 +00:35:30,800 --> 00:35:34,460 +هنا كاتبلي ملاحظة صغيرة ان هو بيحكي ان ال + +474 +00:35:34,460 --> 00:35:40,140 +diaphragm كلمة diaphragm تعني الحجاب الحاجز ال + +475 +00:35:40,140 --> 00:35:43,920 +diaphrag muscles هو عبارة عن عضلة تعمل على فصل + +476 +00:35:43,920 --> 00:35:51,240 +thoracic and abdomen pelvic cavity مايفصل الصدر عن + +477 +00:35:51,240 --> 00:35:56,990 +التجويف الحوضي البطني هي عضلة الحجاب الحاجز تمام؟و + +478 +00:35:56,990 --> 00:36:01,390 +ايضا بدنا نلاحظ ان ال kidney الكليتين والغدة + +479 +00:36:01,390 --> 00:36:05,240 +القضرية او ال adrenaline gland والبنكرياسوالـ + +480 +00:36:05,240 --> 00:36:09,920 +Urethra are behind the abdominal pelvic cavity تقع + +481 +00:36:09,920 --> 00:36:15,900 +في خلف التجويف الحوضي البطني فبالتالي بسميها Retro + +482 +00:36:15,900 --> 00:36:22,240 +كلمة Retro هنا رجعي أو خلفي Retro-parsinals تمام؟ + +483 +00:36:22,240 --> 00:36:27,260 +Retro يعني خلفي الكيليا والادرناليجلانز والبنكرياس + +484 +00:36:27,260 --> 00:36:33,830 +والوريتراحاجات التقع خلف الجهاز أو خلف التجويف + +485 +00:36:33,830 --> 00:36:40,610 +الحوضي البطء تمام؟ هذا اللي هو عبارة عن ملخص اللي + +486 +00:36:40,610 --> 00:36:44,530 +احنا حكيناه بالـ slide الدورزل يحتوي على ال + +487 +00:36:44,530 --> 00:36:48,830 +cranial cavity و ال vertebral cavity هنا بيحمل + +488 +00:36:48,830 --> 00:36:52,570 +brain هنا بيحمل spinal cord هذا ال spinal cord + +489 +00:36:52,570 --> 00:36:58,550 +موجود داخل ال vertebra يعني داخل العمود الفقريالـ + +490 +00:36:58,550 --> 00:37:00,890 +thoracic اللى بيحتوي على ال lungs و ال oesophagus + +491 +00:37:00,890 --> 00:37:05,630 +و كل الأمور العليا و ال heart هو عبارة عن thoracic + +492 +00:37:05,630 --> 00:37:10,990 +إشي ventral إشي أمامي ال diaphragm حكينا عنه هي + +493 +00:37:10,990 --> 00:37:16,010 +عبارة عن عضلة الحجاب الحاجز والتي تفصل ال thoracic + +494 +00:37:16,010 --> 00:37:20,140 +عن ال abdominal pelvic cavity تمام؟الـ abdomen + +495 +00:37:20,140 --> 00:37:23,880 +بيحتوي على ال stomach المعيدا ال large و ال small + +496 +00:37:23,880 --> 00:37:27,680 +intestine و ال gallbladder كل هذه الأمور موجودة في + +497 +00:37:27,680 --> 00:37:31,900 +التجويف البطني و ال pelvic تحت موجود لاحظ ايش + +498 +00:37:31,900 --> 00:37:36,420 +موجود فيه ال urinary bladder المثالة البولية و ال + +499 +00:37:36,420 --> 00:37:40,160 +reproductive system تمام الجهاز التناثري التانين + +500 +00:37:40,160 --> 00:37:46,410 +مع بعض انا بسميهم abdomen pelvic abdomenوالـ O إجت + +501 +00:37:46,410 --> 00:37:51,670 +لشبكهم بال V-cavity التانين او هذا كله انا بخليه + +502 +00:37:51,670 --> 00:37:56,150 +في ال anterior aspect او ال ventral cavity Ventral + +503 +00:37:56,150 --> 00:38:00,190 +anterior و frontal كلهم تؤدي إلى نفس المعنى اللي + +504 +00:38:00,190 --> 00:38:02,970 +هو anterior aspect تمام؟ + +505 +00:38:05,260 --> 00:38:10,400 +هنا طبعا اللي هو بيقسم ليه ل ال cavity حسب اللي هو + +506 +00:38:10,400 --> 00:38:14,880 +اللي احنا أخدناه anterior و posterior right و left + +507 +00:38:14,880 --> 00:38:18,540 +زي ما حكينا هذا ال mid-sagittal بيقسم ال anterior + +508 +00:38:18,540 --> 00:38:23,820 +بيقسم لل right side و ال left side هنا هتكلم على + +509 +00:38:23,820 --> 00:38:29,080 +ال membranes أو اللي هي الأغشة اللي موجودة داخل + +510 +00:38:29,080 --> 00:38:32,720 +جسم الإنسان شو يعني كلمة membrane؟ هي عبارة عن + +511 +00:38:32,720 --> 00:38:37,850 +حاجة soft، thinbileable layers of tissue that + +512 +00:38:37,850 --> 00:38:43,650 +either عبارة عن حاجة طرية نعمة تنزنق على بعضها + +513 +00:38:43,650 --> 00:38:48,330 +البعض تمام الله سبحانه وتعالى خلقنا إياها حتى تسهل + +514 +00:38:48,330 --> 00:38:53,030 +حركة العضو اللي موجود داخلها cover لمين لل vital + +515 +00:38:53,030 --> 00:38:58,010 +organs للأعضاء الحيوية الحساسة على سبيل المثال ال + +516 +00:38:58,010 --> 00:39:03,650 +lungs ال heartالـ Abdomen كلها هذه الحاجات لازم + +517 +00:39:03,650 --> 00:39:09,510 +يصير فيها عمليات حركة ولكن بتصير الحركة بسهولة جدا + +518 +00:39:09,510 --> 00:39:14,990 +ليش لوجود هذا الـ membrane soft حكينا thin بلاقي + +519 +00:39:14,990 --> 00:39:20,020 +ال layers افتشو that either تمام؟لمين؟ فى عندنا + +520 +00:39:20,020 --> 00:39:23,520 +أنواع متعددة أول إشي أبدأها بالvisceral membrane + +521 +00:39:23,520 --> 00:39:28,220 +كلمة visceral معناته بدها تغطي لل body cavity أو + +522 +00:39:28,220 --> 00:39:33,240 +بينقصين بسميه parietal membrane اللى هو إله علاقة + +523 +00:39:33,240 --> 00:39:37,020 +بال digestive system أو إله علاقة بالبطن هو عبارة + +524 +00:39:37,020 --> 00:39:41,860 +عن ال space أو الفراغ اللى موجود ما بين visceral + +525 +00:39:41,860 --> 00:39:46,610 +الأحشاقأو الأعضاء الحشوية اللى بتكون موجودة داخل + +526 +00:39:46,610 --> 00:39:51,050 +البطل and parietal membrane into which serious + +527 +00:39:51,050 --> 00:39:57,650 +fluid ايضا فيها سائل اللى هو لتسهيل الحركة is + +528 +00:39:57,650 --> 00:40:02,430 +created for lubrication اللى اللى هو التزييد او + +529 +00:40:02,430 --> 00:40:08,530 +للترطيب او لسهولة الحركة اذا ال space اللى واقع ما + +530 +00:40:08,530 --> 00:40:11,970 +بين ال visceral زى ما انتوا شايفين هنا مشبهها حط + +531 +00:40:11,970 --> 00:40:16,880 +اليد فى بلونةهذه الـ Visceral مشبهها وإنه حاططها + +532 +00:40:16,880 --> 00:40:20,100 +بيه اللي هو الحوض أو اللي موجود هنا وهذا السائل + +533 +00:40:20,100 --> 00:40:24,980 +اللي جوا هو لل lubrication لا اللي هو الترطيب أو + +534 +00:40:24,980 --> 00:40:30,280 +لسهولة حركة العضو اللي موجود عندنا تمام؟ هذا أول + +535 +00:40:30,280 --> 00:40:34,100 +membrane أنا هاخده في عندنا ال thoracic and + +536 +00:40:34,100 --> 00:40:40,140 +abdominal pelvic صدر والحوض البطني membrane that + +537 +00:40:40,140 --> 00:40:44,970 +are specific name لل membranes aroundHeart, Lungs + +538 +00:40:44,970 --> 00:40:48,870 +and Abdomen organs، إذا الثورة السجحاكيينة بيخبي + +539 +00:40:48,870 --> 00:40:52,090 +مين؟ ال heart و ال lungs، ال abdomen بيخبي ال + +540 +00:40:52,090 --> 00:40:54,570 +abdomen organs زي اللي هو ال stomach، ال intestine + +541 +00:40:55,310 --> 00:40:57,470 +الـ Serious Membrane تبعتهم أو الـ Serious + +542 +00:40:57,470 --> 00:41:02,450 +Membrane لـ Lung بسميه الفذرة البلورة اللي هو + +543 +00:41:02,450 --> 00:41:06,570 +الغشاء البلوري أكيد مر عليكم قبل كده ولكن هنا + +544 +00:41:06,570 --> 00:41:10,530 +المسألة مثلة English فقط الـ membrane on surface + +545 +00:41:10,530 --> 00:41:15,710 +of lung بنسميه الفذرة البلورة الغشاء البلوري إذن + +546 +00:41:15,710 --> 00:41:21,370 +الغشاء البلوري طبعا بسهل حركة الرئتين أثناء الشهيق + +547 +00:41:21,370 --> 00:41:25,970 +والزفير فتتحرك بسهولة عالية جداأما الـ membrane + +548 +00:41:25,970 --> 00:41:30,230 +اللي بيغطي الـ cavity in which lungs are located + +549 +00:41:30,230 --> 00:41:36,630 +is parietal pleura هنا الغشاء البلوري تبعنا تمام؟ + +550 +00:41:36,630 --> 00:41:40,510 +وهنا الغشاء اللي هو الحشوي ال membrane lines + +551 +00:41:40,510 --> 00:41:45,110 +cavity in which lung is located مكان اللي هو موقع + +552 +00:41:45,110 --> 00:41:49,270 +الرئتين ال space ما بين two membranes is called + +553 +00:41:49,270 --> 00:41:53,510 +pleura cavityفي عندي فزرة البلورة و في برايتها + +554 +00:41:53,510 --> 00:41:57,650 +البلورة ما بين الغشائين حاجة اسمها البلورة cavity + +555 +00:41:57,650 --> 00:42:09,210 +او التجويف البلوري موجود او مغطق او ممتلق بالسائل + +556 +00:42:09,210 --> 00:42:13,910 +اللذج اللي بيكون للبريكاشن اللي هو ال easy + +557 +00:42:13,910 --> 00:42:18,430 +movementتفسيلتت الـ movement للـ organs اللي موجود + +558 +00:42:18,430 --> 00:42:23,070 +داخل فيهم، اذا أخدنا هنا ثرق و أبدوميل و cavity، + +559 +00:42:23,070 --> 00:42:28,410 +pelvic cavity أو membranes، أخدنا ال .. هناخد ثرص + +560 +00:42:28,410 --> 00:42:30,870 +و أبدوميل و cavity أيضا حاجة ل .. اللي هي لل + +561 +00:42:30,870 --> 00:42:34,490 +lungs، هنا هناخد لال heart، ال membrane surface لل + +562 +00:42:34,490 --> 00:42:39,370 +heart بنسميه طبعا الغشاء اللي بيكون خارجي لل heart + +563 +00:42:39,370 --> 00:42:45,850 +بنسميه ال visceral pericardiumلاحظوا هنا حكيت حول + +564 +00:42:45,850 --> 00:42:50,710 +و ليس قبل عشان انا لازم افرق في المصطلحات الطبية + +565 +00:42:50,710 --> 00:42:58,250 +حكيت في pre بيعني before بسط بيعني after لكن per + +566 +00:42:58,250 --> 00:43:05,970 +حول حولة يعني خارجي بيغطيهالفزرال بريكارديوم، + +567 +00:43:05,970 --> 00:43:09,230 +بريكارديوم لحالها قلبي، the membrane that lines + +568 +00:43:09,230 --> 00:43:14,450 +cavity in which heart is located، بنسميه البرايتل + +569 +00:43:14,450 --> 00:43:20,910 +بريكارديوم، الغشاء اللي هو اللي بيغطي القلبأما + +570 +00:43:20,910 --> 00:43:24,710 +الفراغ اللى موجود ما بين ال two membranes ما بين + +571 +00:43:24,710 --> 00:43:28,990 +ال visceral والبرايتل اسمه ال pericardial cavity + +572 +00:43:28,990 --> 00:43:37,210 +مملوق أيضا بالثائل و لذج حتى يسمح باللي هو حركة + +573 +00:43:37,210 --> 00:43:41,230 +القلب اللي هو هنا عندنا غشاء التيمور زي ما انتوا + +574 +00:43:41,230 --> 00:43:46,490 +عارفينه طبعا هو الغشاء اللي موجود ليسهل حركة القلب + +575 +00:43:46,490 --> 00:43:50,530 +اللي موجودة عندنا أخدنا الأغشية المحيطة في ال + +576 +00:43:50,530 --> 00:43:56,190 +thoracic في ال abdomen pelvic cavity والأن سنحكي + +577 +00:43:56,190 --> 00:44:01,100 +على ال abdominal organs اللي هواللي موجودة داخل + +578 +00:44:01,100 --> 00:44:04,600 +الـ abdomen أو موجودة داخل البطن The membrane that + +579 +00:44:04,600 --> 00:44:07,960 +surface لمين بتغطي ال liver و ال stomach بسميها + +580 +00:44:07,960 --> 00:44:11,720 +الvisceral bretonium الغشاء البروتوني أو + +581 +00:44:11,720 --> 00:44:16,120 +البروتونيم تعني بطني الممبرين اللي بيمتد داخل ال + +582 +00:44:16,120 --> 00:44:20,980 +cavity نفسه بسميه الbarietal bretonium طبعا ما بين + +583 +00:44:20,980 --> 00:44:24,860 +الvisceral و الbarietal فى عندنا this membrane is + +584 +00:44:24,860 --> 00:44:29,030 +called bretonial cavityموجود اللي هو البروتونيا + +585 +00:44:29,030 --> 00:44:32,810 +الكفدي and that's filled with serious fluid معبّق + +586 +00:44:32,810 --> 00:44:37,490 +بالسائل اللذج to facilitate movement حتى تسهل حركة + +587 +00:44:37,490 --> 00:44:42,560 +الاستمتاعتسهل حركة الكبض و تكون الأمور ماشية + +588 +00:44:42,560 --> 00:44:46,160 +بثلاثة طبيعية طبعا هذا من فضل الله سبحانه وتعالى + +589 +00:44:46,160 --> 00:44:50,460 +علينا إذا أخدنا شو ال membranes اللي موجودة سواء + +590 +00:44:50,460 --> 00:44:53,680 +بال thoracic بالأبدوميل و بال ال cavity و كل + +591 +00:44:53,680 --> 00:44:56,580 +الأمور هذه و حكينا دائما بيكون ما بين ال visceral + +592 +00:44:56,580 --> 00:45:01,800 +و الparietal في عندي اللي هو ال cavity اللي موجود + +593 +00:45:01,800 --> 00:45:08,140 +ممتلق بالسائل اللي هو serious fluidهذا بالنسبة لأ + +594 +00:45:08,140 --> 00:45:12,200 +اللى هى الvisceral pericardium اللى موجودة عندنا + +595 +00:45:12,200 --> 00:45:16,980 +وهنا هذا مقطع عرضي هم ماخدينه طبعا مش مطالبين + +596 +00:45:16,980 --> 00:45:21,520 +انتوا بهذه الصورة ولكن أنا بس للتوضيح بحكي عليها + +597 +00:45:21,520 --> 00:45:30,640 +طبعا ال membranes اللى موجودة عندنا بدي أقسم جسم + +598 +00:45:30,640 --> 00:45:35,720 +الإنسان او ال abdomen إلى أربع تمام؟ لاحظوا معايا + +599 +00:45:36,250 --> 00:45:40,870 +هي الجسم هى الجذع اللى أنا موجودة عندى من عند عضمة + +600 +00:45:40,870 --> 00:45:46,650 +القص اللى موجودة لحد ما اوصل لاللي هى منطقة الـ + +601 +00:45:46,650 --> 00:45:51,990 +genital area هجسم جسم الإنسان لنصين right و left + +602 +00:45:51,990 --> 00:45:58,070 +upper فده كله هيك بسميه upper و اللى تحت lower ربع + +603 +00:45:58,070 --> 00:46:03,670 +اتنين تلاتة اربعة هيك اعطونى جسم الإنسان right + +604 +00:46:03,670 --> 00:46:08,890 +upper quadrateإذا الرُبع الأول أو الرُبع الأيمن + +605 +00:46:08,890 --> 00:46:15,730 +الأعلى Right Upper Quadrate نفسه Left Upper + +606 +00:46:15,730 --> 00:46:20,690 +Quadrate معناته المشترك أنه هنا كلهم Upper لكن في + +607 +00:46:20,690 --> 00:46:25,430 +منه Right و في منه Left نفس الأشي تحت تانية Lower + +608 +00:46:25,430 --> 00:46:30,350 +ولكن في عندنا Right Lower و Left Lower هيك أنا + +609 +00:46:30,350 --> 00:46:37,120 +جسمتها لأربع أرباع أساسية موجودةلأن نحكي ليش احنا + +610 +00:46:37,120 --> 00:46:42,960 +بندرس هذا اجيت انا على قسم التوارق و حكيت عندي ألم + +611 +00:46:42,960 --> 00:46:48,800 +في بطنى البطن كبيرة الدكتور الباطنة ماهيسألك والله + +612 +00:46:48,800 --> 00:46:54,260 +بأي ربع لأ بتيجي انت بتأشر على المنطقة اللي فيها + +613 +00:46:54,260 --> 00:47:00,260 +الألم على سبيل المثال عندك ال right upper quadrata + +614 +00:47:00,260 --> 00:47:05,780 +span ألم في اللي هو الربع الأيمن من منطقة البطنهنا + +615 +00:47:05,780 --> 00:47:08,960 +الدكتور طبعا لإنه دكتور باطن بيكون بيعرف إن + +616 +00:47:08,960 --> 00:47:12,100 +المشكلة على سبيل المثال عندك في ال gall bladder في + +617 +00:47:12,100 --> 00:47:18,550 +المرارة، تمام؟يختلف تماما إذا انت حكيت في الـ left + +618 +00:47:18,550 --> 00:47:23,090 +lower أو ال right lower بديوا يكون المشكلة في اللي + +619 +00:47:23,090 --> 00:47:27,850 +هو تحت فيه على سبيل المثال في ال kidneys إذا عرفنا + +620 +00:47:27,850 --> 00:47:32,350 +شو أهمية التقسيمة هذه مهمة جدا لنا لإن احنا هنكون + +621 +00:47:32,350 --> 00:47:36,230 +أحد فريق الطبي اللي موجود داخل المستشفى اللي + +622 +00:47:36,230 --> 00:47:40,610 +هيتعامل مع المرضى تمام؟ أحد اللي هو ال medical + +623 +00:47:40,610 --> 00:47:46,690 +team اللي موجودهي كمان تقسيمة اخرى نفس الاشي right + +624 +00:47:46,690 --> 00:47:50,050 +upper quadrant left upper quadrant و ال right + +625 +00:47:50,050 --> 00:47:56,750 +lower و ال left lower تمام؟ هحكي على تقسيمة لاللي + +626 +00:47:56,750 --> 00:48:01,810 +هي نفس الاشي بجسمها لاربع اربع ولكن هجسمها لمناطق + +627 +00:48:01,810 --> 00:48:06,020 +جغرافية معينةلاحظوا في عندنا right و في عندنا left + +628 +00:48:06,020 --> 00:48:10,860 +لكن في في المنتصف حاجة نصفية هحكي عليها خليني أبدأ + +629 +00:48:10,860 --> 00:48:14,420 +بالمنتصف و بعدين هفرع منها مين ال left و مين ال + +630 +00:48:14,420 --> 00:48:19,560 +right ipigastric region ip باللاتيني تعني above + +631 +00:48:19,560 --> 00:48:25,600 +أعلى superior تمام؟ ip بحطها في دفتر المصطلحات + +632 +00:48:25,600 --> 00:48:32,720 +بحكي عليها ip above gastric تعني stomach أعلىمنطقة + +633 +00:48:32,720 --> 00:48:38,600 +المعدة يعني زى ما بيحكوا في العامية تم المعدة او + +634 +00:48:38,600 --> 00:48:44,000 +اعلى اللى هى فم المعدة منطقة الانبلايكال region او + +635 +00:48:44,000 --> 00:48:48,220 +منطقة السرّة اللى موجودة هنا هي المنطقة النصفية + +636 +00:48:48,220 --> 00:48:55,740 +hypo hypogastric region hypo تعني اسفل او اقل تمام + +637 +00:48:55,740 --> 00:49:03,530 +فوق حكينا eb تحت حكينا hypo تمامEB أعلى أسفل + +638 +00:49:03,530 --> 00:49:07,550 +المعيدة أو أعلى الجزئية الموجودة في المعيدة الـ + +639 +00:49:07,550 --> 00:49:10,790 +embolical regions اللي هي عبارة عن منطقة الصرة + +640 +00:49:10,790 --> 00:49:16,930 +والـ hypo أسفل المعيدة على يسارها في حاجة اسمها + +641 +00:49:16,930 --> 00:49:23,130 +lift hypochondric regionLeft Hypochondric Region + +642 +00:49:23,130 --> 00:49:29,310 +Left Lumbar Region منطقة الخسر الجانبية اليسرى + +643 +00:49:29,310 --> 00:49:37,450 +Left Iliac Region المنطقة اللي هي حوضية اليسرى نفس + +644 +00:49:37,450 --> 00:49:42,850 +الكلام Right Hypochondric Region Right Lumbar + +645 +00:49:42,850 --> 00:49:43,310 +Region + +646 +00:49:48,290 --> 00:49:52,990 +الأساس هو المحور الأساسي وانا قسمت منه ال left و + +647 +00:49:52,990 --> 00:49:57,910 +ال right نين ريجون لل abdominal divisions في عندي + +648 +00:49:57,910 --> 00:50:02,870 +التقسيمات البطنية right hypochondric region right + +649 +00:50:02,870 --> 00:50:08,860 +lumbar regionالليك أو angular regions الابيجاسترك + +650 +00:50:08,860 --> 00:50:13,420 +هذا المنتصف تبعنا والامبليكال region المنتصف ايضا + +651 +00:50:13,420 --> 00:50:19,620 +وhypogastric اللي هي منطقة لبيوبيك regions تمام ال + +652 +00:50:19,620 --> 00:50:23,440 +left lumbar region و ال left iliac angular region + +653 +00:50:24,440 --> 00:50:28,080 +هذه الأشياء أو هذه التقسيمات عبارة عن تسعة تقسيمات + +654 +00:50:28,080 --> 00:50:31,780 +للـ Abdomen Divisions اللي أنا اللي بتسألني عن + +655 +00:50:31,780 --> 00:50:36,080 +الترجمة هنا مش كل الكلمات بتترجم لأ هنا Hypo + +656 +00:50:36,080 --> 00:50:40,780 +معناتها بديك تعرفي أنه الأشي أسفل أو موجود أسفل + +657 +00:50:40,780 --> 00:50:45,200 +المكان Chondric اللي هي عبارة عن المنطقة اللي لها + +658 +00:50:45,200 --> 00:50:51,880 +علاقة بالصدر ولكن ليست ترجمة حرفية تمام؟هذا + +659 +00:50:51,880 --> 00:50:57,180 +بالنسبة للـ Abdominal Division بهيك بكون أنا أنهيت + +660 +00:50:57,180 --> 00:51:03,180 +طبعا المحاضرة تبعت اليوم ألقاكم في رعاية الله في + +661 +00:51:03,180 --> 00:51:07,080 +فيديو آخر ويعطيكوا ألف أعافية + diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/MC0yUXzUsqE.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/MC0yUXzUsqE.srt new file mode 100644 index 0000000000000000000000000000000000000000..1600fafebcb149b4f3b9bd13f84119f1268bf39d --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/MC0yUXzUsqE.srt @@ -0,0 +1,575 @@ +1 +00:00:00,890 --> 00:00:05,630 +الرحمن الرحيم، أعزاء الطلاب، عزيزات الطالبات، بإذن + +2 +00:00:05,630 --> 00:00:11,690 +الله، سأتحدث اليوم في فيديو رقم 17 عن حاسة الإبصار + +3 +00:00:11,690 --> 00:00:17,010 +وهي نعمة من الله سبحانه وتعالى أعطانا إياها. الآن + +4 +00:00:17,010 --> 00:00:21,570 +في هذا الفيديو، بدي أتحدث عن اللي هو الوضع التشريحي + +5 +00:00:21,570 --> 00:00:26,510 +للعين، وشو هي، وشو أقسامه، سواء كان التركيبة الأساسية + +6 +00:00:26,510 --> 00:00:31,300 +أو الـ accessory، أيضاً سأتحدث عن النظام اللي هو + +7 +00:00:31,300 --> 00:00:36,940 +النظام الدمعي للعين. نبدأ على بركة الله في الفيديو + +8 +00:00:36,940 --> 00:00:43,500 +القصير. بداية العين فيها عدة تراكيب، أول شيء الـ + +9 +00:00:43,500 --> 00:00:47,440 +visual receptors أو ما يسمى بالمستقبلات الحسية + +10 +00:00:47,440 --> 00:00:53,700 +الضوئية. لي تتكتل الـ lights والـ color والـ + +11 +00:00:53,700 --> 00:00:57,560 +movement. في عندنا طبعاً بعض الـ accessories + +12 +00:00:57,560 --> 00:01:02,760 +structural للـ eye. أول شيء أبدأه من الخارج اللي هي + +13 +00:01:02,760 --> 00:01:09,180 +عبارة عن حاجة تعمل على اللي هو غطاء خارجي سطحي + +14 +00:01:09,180 --> 00:01:14,620 +للتركيبة أو للجزء الأمامي المعرض من العين، هاي + +15 +00:01:14,620 --> 00:01:19,750 +بنسميها الملتحمة conjunctiva، هي الملتحمة. إذا + +16 +00:01:19,750 --> 00:01:23,990 +تعريفنا للملتحمة هي عبارة عن العضو اللي بيكون + +17 +00:01:23,990 --> 00:01:28,710 +superficial covering over the interior exposed surface. + +18 +00:01:28,710 --> 00:01:33,050 +تمام؟ في عندنا شيء يعمل على منع دخول الأجسام + +19 +00:01:33,050 --> 00:01:38,450 +الغريبة زي الغبار، زي أي شيء ضار بالجسم، زي اللي هو + +20 +00:01:38,450 --> 00:01:43,630 +الـ eyebrow، الـ eyelash، والـ eyelids. هذه الشغلات + +21 +00:01:43,630 --> 00:01:47,310 +هنأخذها: الـ eyebrow (الحواجب)، الـ eyelashes (اللي هي + +22 +00:01:47,310 --> 00:01:50,970 +عبارة عن الرموش)، والـ eyelids (اللي هي عبارة عن + +23 +00:01:50,970 --> 00:01:56,210 +الجفون). إذا وظيفة هذه الثلاث حاجات تعمل على prevent + +24 +00:01:56,210 --> 00:02:01,430 +foreign bodies from coming into contact with the eye. في + +25 +00:02:01,430 --> 00:02:06,110 +عندي شيء ثاني اللي هو اسمه lacrimal glands أو ما + +26 +00:02:06,110 --> 00:02:17,070 +يسمى بالغدة الدمعية. الآن هذه الغدة الدمعية تعمل + +27 +00:02:17,070 --> 00:02:22,610 +على حماية العين، أيضاً ترطيبها ونظافتها. طبعاً شيء + +28 +00:02:22,610 --> 00:02:28,150 +طبيعي أننا مباشرة يكون بمجرد دخول أي شيء غريب + +29 +00:02:28,150 --> 00:02:32,530 +للعين، على طول العين بيبدا النظام الدمعي بتنظيفها + +30 +00:02:32,530 --> 00:02:37,320 +بشكل مباشر. الـ L هذه الصورة هي اللي إحنا حكينا + +31 +00:02:37,320 --> 00:02:43,720 +عليها، هي من جوا. هي عبارة عن الحدقة. هنا بنحكي عن الـ + +32 +00:02:43,720 --> 00:02:46,900 +eyebrows، هنا بنحكي عن الـ eyelids، هنا بنحكي عن الـ + +33 +00:02:46,900 --> 00:02:49,540 +eyelids، اللي هي عبارة، في عندنا eyelids علوي وفي + +34 +00:02:49,540 --> 00:02:53,950 +عندنا سفلي. الـ lacrimal gland أو lacrimal canaliculi + +35 +00:02:53,950 --> 00:03:00,310 +هي عبارة عن النفق أو الحويصلة. تمام؟ نيجي نشوف اللي + +36 +00:03:00,310 --> 00:03:04,790 +هو الجهاز الدمعي lacrimal apparatus. طبعاً حاجة هنا + +37 +00:03:04,790 --> 00:03:08,990 +على الرسم هذه، وأوضح عليها بعض الشغلات. lacrimal + +38 +00:03:08,990 --> 00:03:13,270 +gland أو الغدة الدمعية بحد ذاتها موجودة laterally + +39 +00:03:13,270 --> 00:03:17,160 +to the eye. كلنا بنعرف إن الـ medial أو الـ median + +40 +00:03:17,160 --> 00:03:21,420 +planes أو الـ sagittal planes هي اللي بتقسم الجسم إلى + +41 +00:03:21,420 --> 00:03:24,920 +الآن في قسم الجسم إلى right and left. إذا هاي الـ + +42 +00:03:24,920 --> 00:03:30,150 +lacrimal gland جاية laterally to the eye. تمام؟ وهذا + +43 +00:03:30,150 --> 00:03:34,850 +عبارة عن اللي هو الـ canaliculi أو ما يسمى بالنفق تبعنا + +44 +00:03:34,850 --> 00:03:39,410 +اللي أنا هعرفه كمان شوية، وأعرف شو وظيفته. في بعض + +45 +00:03:39,410 --> 00:03:44,190 +النفق، كيس دمعي. هذا الكيس الدمعي، طبعاً في بعض + +46 +00:03:44,190 --> 00:03:46,850 +الأحيان في عندنا، بيكون بعض الأطفال بينولدوا في + +47 +00:03:46,850 --> 00:03:52,310 +مشاكل في هذا الكيس الدمعي. بيعمل على تجميع الدموع. في + +48 +00:03:52,310 --> 00:03:56,770 +بعدها حاجة اسمها الـ ducts اللي هي ما يسمى بالقنوات + +49 +00:03:56,770 --> 00:04:02,030 +الأنفية الدمعية. بمجرد إحنا ما بنبكي، تنزل الدموع + +50 +00:04:02,030 --> 00:04:06,430 +بصاحبها أيضاً سيال من الأنف، فبالتالي تنزل الدموع + +51 +00:04:06,430 --> 00:04:10,770 +على مجرى الـ naso، وحكينا naso هي عبارة عن الأنف. + +52 +00:04:10,770 --> 00:04:14,430 +نيجي نشوف الـ lacrimal gland laterally to the eye. + +53 +00:04:14,430 --> 00:04:18,190 +زي ما إحنا شايفين في الصورة، تعمل على إفراز الدموع. + +54 +00:04:18,190 --> 00:04:22,140 +فبالتالي هي secrete tears. الكناليكولي هي عبارة عن + +55 +00:04:22,140 --> 00:04:26,800 +النفق، هيّاته اللي إحنا شايفينه، بيعمل to collect the + +56 +00:04:26,800 --> 00:04:31,180 +tears. أما الساق فهو الحاجة اللي أنا بدي أجمع فيها + +57 +00:04:31,180 --> 00:04:37,360 +اللي نتج عندي من النفق. nasal lacrimal duct اللي + +58 +00:04:37,360 --> 00:04:43,220 +هي أو duct، هي عبارة عن القنوات الأنفية الدمعية، تعمل + +59 +00:04:43,220 --> 00:04:46,860 +على تجميع الـ lacrimal sac اللي هو اللي صار في + +60 +00:04:46,860 --> 00:04:51,400 +الـ lacrimal sac، وبتفرغه في داخل الـ nasal cavity + +61 +00:04:51,400 --> 00:04:57,580 +حتى يتم تصريفه. هاي كلها اللي هو ما يتعلق بالجهاز + +62 +00:04:57,580 --> 00:05:02,640 +الدمعي أو ما يسمى بالـ lacrimal apparatus. نيجي + +63 +00:05:02,640 --> 00:05:08,200 +نشوف تركيبة العين. إذا أنا حاولت أشوفها من برا لجوا + +64 +00:05:08,200 --> 00:05:13,940 +from out to inner، فمعناته هدخل على الطبقة الخارجية اللي + +65 +00:05:13,940 --> 00:05:18,070 +هي اسمها الـ outer fibrous tunic. أي شيء في الجسم + +66 +00:05:18,070 --> 00:05:22,850 +بدنا نحميه من ظروف البيئة الخارجية، على طول أنا + +67 +00:05:22,850 --> 00:05:29,330 +بدعمه بـ fibrous. تمام، فإذن هو بيحتوي، التركيبة العين + +68 +00:05:29,330 --> 00:05:34,770 +بما إنها هالـ sphere مجوفة spherical، مدورة، تحتوي على ثلاث + +69 +00:05:34,770 --> 00:05:39,730 +طبقات. طبقة الأولى اللي هي الطبقة الخارجية fibrous + +70 +00:05:39,730 --> 00:05:44,290 +tunic، بتحتوي على sclera and cornea اللي هي بتحتوي على + +71 +00:05:44,290 --> 00:05:45,190 +الـ + +72 +00:05:48,750 --> 00:05:52,930 +القرنية والقزحية. تمام؟ الـ sclera ليست قزحية، هي + +73 +00:05:52,930 --> 00:05:57,750 +الصلبة. تمام؟ الـ middle vascular tunic المتوسطة + +74 +00:05:57,750 --> 00:06:03,950 +أو اللي هي الطبقة الوسطى، بتحتوي على الـ iris، + +75 +00:06:03,950 --> 00:06:07,130 +ciliary body، والـ choroid اللي هي عبارة عن + +76 +00:06:07,130 --> 00:06:14,140 +المشيمية. قزحية، أجسام مهدبة، والمشيمية. تمام، المشيمية + +77 +00:06:14,140 --> 00:06:17,920 +طبعاً زي أي مشيمة موجودة عندنا في الجسم، بتمدها بالـ + +78 +00:06:17,920 --> 00:06:22,860 +vascular اللي هو أو الـ blood supply اللي بيغذي + +79 +00:06:22,860 --> 00:06:27,620 +العين. لكن في الـ inner، أنا جاية من outer to inner + +80 +00:06:28,520 --> 00:06:32,280 +للـ inner، ففي حاجة اسمها الـ neural أو الـ nervous + +81 +00:06:32,280 --> 00:06:35,660 +tunic. هذه الـ nervous tunic هي عبارة عن الـ retina + +82 +00:06:35,660 --> 00:06:39,720 +وهي ما يسمى بالشبكية. فلما أنا في مرض السكري، لما + +83 +00:06:39,720 --> 00:06:43,300 +يكون في عندنا انفصال في الشبكية، بيكون ناتج عن هذا + +84 +00:06:43,300 --> 00:06:46,580 +الشيء. ليه؟ لأنه بنسميه اعتلال، المرض اللي هو الشبكية + +85 +00:06:46,580 --> 00:06:50,160 +السكري. فبالتالي بيكون الشيء، أو السكري، ارتفاع، وطبعاً + +86 +00:06:50,160 --> 00:06:53,580 +وعدم انتظامة، no control، بيصير في عندنا انفصال في + +87 +00:06:53,580 --> 00:07:01,460 +هذه القطعة من الـ eye. ترتيب الـ layers of the eye from + +88 +00:07:01,460 --> 00:07:05,420 +outer to inner: fibrous tunic، وvascular tunic، + +89 +00:07:05,420 --> 00:07:11,440 +و nervous أو neural tunic. مهمين جداً هدول الطبقات. + +90 +00:07:11,440 --> 00:07:16,340 +نيجي نشوف الـ cavities والـ chambers اللي موجودين داخل + +91 +00:07:16,340 --> 00:07:21,020 +الـ eye. هلأ الـ internal space، في عندي اللي هو + +92 +00:07:21,020 --> 00:07:28,320 +عبارة عن فراغ أمامي للعين، بتم قسمه أو بتم تجزئته عن + +93 +00:07:28,320 --> 00:07:32,640 +طريق الـ lens. تمام؟ هذه الـ lens بتقسم لي اللي + +94 +00:07:32,640 --> 00:07:38,860 +هو الفراغ الأمامي إلى قسمين: تجويف أو حجرة أمامية، + +95 +00:07:38,860 --> 00:07:43,680 +وحجرة خلفية. الآن شوية شوية هناخد إن الحجرة + +96 +00:07:43,680 --> 00:07:51,210 +الأمامية بتتم تجزئتها إلى قسمين أساسيين. القسمين + +97 +00:07:51,210 --> 00:07:55,390 +الأساسيين في الـ anterior cavity اللي هو عن طريق + +98 +00:07:55,390 --> 00:07:58,490 +الـ lens and posterior to the cornea. الـ anterior + +99 +00:07:58,490 --> 00:08:02,170 +cavity. طبعاً أنا هنا رسمت لكم مخطط تفصيلي إن شاء + +100 +00:08:02,170 --> 00:08:05,190 +الله، هينزل مع هذا الفيديو. هلأ هذا الـ anterior + +101 +00:08:05,190 --> 00:08:10,750 +cavity هو عبارة عن الفراغ اللي واقع أمام العدسة + +102 +00:08:10,750 --> 00:08:15,670 +وخلف القرنية، هيك بدنا نعرفه. إن الـ anterior cavity + +103 +00:08:15,670 --> 00:08:20,610 +هو عبارة عن الفراغ اللي واقع أمام العدسة وخلف + +104 +00:08:20,610 --> 00:08:25,790 +القرنية. الآن هنحكي على الـ posterior بس كمان شوية. + +105 +00:08:25,790 --> 00:08:31,870 +الـ iris أو ما يسمى بالقزحية للعين بتقسم الـ + +106 +00:08:31,870 --> 00:08:36,470 +anterior cavity هذا إلى two chambers، إلى غرفتين + +107 +00:08:36,470 --> 00:08:41,650 +صغيرتين جداً، اللي هم anterior chamber و posterior + +108 +00:08:41,650 --> 00:08:47,400 +chamber. هي الـ anterior chamber بتكون ما بين الـ + +109 +00:08:47,400 --> 00:08:51,020 +iris، لأنه عن طريق الـ iris إحنا حكينا الجدار الفاصل + +110 +00:08:51,020 --> 00:08:56,280 +لهما هو اسم الـ iris. فهي تكون ما بين الـ iris و + +111 +00:08:56,280 --> 00:09:02,060 +القرنية. أما الـ posterior فبكون ما بين الـ lens و + +112 +00:09:02,060 --> 00:09:06,140 +الـ iris. بت الرسمة التوضيحية هتبين لكم أكثر وأفضل + +113 +00:09:06,140 --> 00:09:11,330 +تمام. نيجي نشوف الـ posterior cavity. هلأ الـ + +114 +00:09:11,330 --> 00:09:16,990 +posterior cavity بيمتلك، أو هو خلف الـ lens وأمام + +115 +00:09:16,990 --> 00:09:20,510 +الـ retina. أخر شيء إحنا حكينا الـ retina لورا بتيجي + +116 +00:09:20,510 --> 00:09:27,890 +هو عبارة عن شيء هيعبي سائل جلاتيني أو مادة هلامية + +117 +00:09:27,890 --> 00:09:33,250 +شفافة transparent، ومادة جلاتينية which is + +118 +00:09:33,250 --> 00:09:38,850 +completely fill، لإيه؟ هو الـ posterior cavity اللي هو + +119 +00:09:38,850 --> 00:09:43,510 +واقع ما بين الـ lens حكينا، والـ retina، ما بين الـ + +120 +00:09:43,510 --> 00:09:48,090 +lens والشبكية، اللي هي آخر شيء بتكون في العين. + +121 +00:09:48,090 --> 00:09:52,570 +هذا الـ posterior cavity. تمام. نيجي نشوف الـ optic + +122 +00:09:52,570 --> 00:09:57,510 +disc. الـ optic disc هو عبارة عن قرص الرؤية. الآن هذا + +123 +00:09:57,510 --> 00:10:02,070 +الـ optic disc لا يحتوي على أي مستقبل ضوئي. تمام. + +124 +00:10:02,070 --> 00:10:06,790 +بالأغلب، أو إحنا بنسميها الـ blind spot، because no + +125 +00:10:06,790 --> 00:10:12,190 +image forms. ما في أي صورة بتتكون بهذه المنطقة. just + +126 +00:10:12,190 --> 00:10:18,210 +lateral to the optic disc. ولكن في المنطقة الجانبية + +127 +00:10:18,210 --> 00:10:23,810 +اللي هي هنا، في بقعة صفراء اسمها الـ macula lutea. هذه + +128 +00:10:23,810 --> 00:10:29,830 +الـ macula هي عبارة عن البقعة الصفراء المحتوية على + +129 +00:10:29,830 --> 00:10:35,030 +الـ fovea centralis، الحفرة المركزية. هذه الحفرة + +130 +00:10:35,030 --> 00:10:41,300 +المركزية هي أقوى وأحد نقاط الرؤية، sharpest vision. + +131 +00:10:41,300 --> 00:10:45,360 +الـ disc هذا كله بيفقد الـ receptors، الـ photo + +132 +00:10:45,360 --> 00:10:51,860 +receptors. ولكن في الـ lateral منه، حاجة اسمها + +133 +00:10:51,860 --> 00:10:56,020 +اللي هي الـ yellowish أو بتكون مادة صفراء أو لونها + +134 +00:10:56,020 --> 00:10:59,820 +صفر. الماكولا لوتيا هي عبارة عن البقعة الصفراء هذه + +135 +00:10:59,820 --> 00:11:03,880 +اللي المؤشر ماشي عليها. أما هنا الـ fovea centralis + +136 +00:11:03,880 --> 00:11:08,500 +اللي هي عبارة عن أقوى أو أحد نقاط مركزية للرؤية. + +137 +00:11:08,500 --> 00:11:17,240 +تمام، بتحتوي على كمية كبيرة من الأقماع، ولا تحتوي على + +138 +00:11:17,240 --> 00:11:22,540 +الأغلب من الـ rods. الـ rods هي عبارة عن العصيات. إذا + +139 +00:11:22,540 --> 00:11:27,900 +بتحتوي على عدد كبير من الـ cones and almost no rods. + +140 +00:11:27,900 --> 00:11:33,000 +هي اللي هي الـ optic disc in general. تمام، اللي هو + +141 +00:11:33,000 --> 00:11:37,650 +عبارة عن القرص، أو قرص الرؤية، اللي موجود في العين. + +142 +00:11:37,650 --> 00:11:44,490 +وبهيك بيكون ختمنا إحنا إن شاء الله المنهج. طبعاً + +143 +00:11:44,490 --> 00:11:49,870 +بالفيديو رقم 17. ألقاكم بإذن الله تعالى وأنتم في + +144 +00:11:49,870 --> 00:11:53,770 +أحسن حالة. والسلام عليكم ورحمة الله وبركاته. diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/MC0yUXzUsqE_raw.json b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/MC0yUXzUsqE_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..a48c92a1f5dd8cacb0def09f86215ab5b4a1fd35 --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/MC0yUXzUsqE_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 2763, "start": 0.89, "end": 27.63, "text": "الرحمن الرحيم أعزاء الطلاب عزيزات الطالبات بإذن 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posterior cavity تمام نيجي نشوف ال optic disc ال optic disc هو عبارة عن قرص الرؤية الآن هذا ال optic disc لا يحتوي على اي مستقبلة ضوئية تمام بالأغلب او احنا بنسميها ال blind spots because no image form", "tokens": [6027, 20292, 31439, 36764, 4587, 3615, 19446, 49374, 2423, 18059, 11331, 4117, 1829, 8315, 4032, 2423, 1533, 1426, 19446, 49374, 2423, 18059, 4032, 25124, 3555, 4117, 10632, 13672, 1829, 39896, 1975, 34740, 1975, 8592, 1829, 39894, 30544, 8978, 18863, 9957, 23758, 2423, 33529, 32425, 46811, 10943, 8717, 1829, 7435, 1829, 8717, 8592, 38688, 2423, 48269, 2983, 2423, 48269, 2983, 31439, 6225, 3555, 9640, 3660, 18871, 12174, 2288, 9381, 34892, 33604, 10632, 6024, 48506, 23758, 2423, 48269, 2983, 20193, 7251, 33753, 45865, 15844, 1975, 1829, 3714, 14851, 4587, 36150, 3660, 48812, 2407, 19986, 10632, 46811, 10943, 20666, 10721, 17082, 46152, 1975, 2407, 1975, 5016, 8315, 44945, 38251, 1829, 11296, 2423, 6865, 10681, 570, 572, 3256, 1254], "avg_logprob": -0.1453394352875907, 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707.5856250000008} \ No newline at end of file diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/MC0yUXzUsqE_raw.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/MC0yUXzUsqE_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..2993baf276957d7ac44e53dfcad23c8c7c439f8d --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/MC0yUXzUsqE_raw.srt @@ -0,0 +1,576 @@ +1 +00:00:00,890 --> 00:00:05,630 +الرحمن الرحيم أعزاء الطلاب عزيزات الطالبات بإذن + +2 +00:00:05,630 --> 00:00:11,690 +الله سأتحدث اليوم في فيديو رقم 17 عن حاسة الإبصار + +3 +00:00:11,690 --> 00:00:17,010 +وهي نعمة من الله سبحانه وتعالى أعطانا إياها الآن + +4 +00:00:17,010 --> 00:00:21,570 +في هذا الفيديو بدي أتحدث عن اللي هو الوضع التشريحي + +5 +00:00:21,570 --> 00:00:26,510 +للعين شوهي وشو أقسامه سواء كان التركيبة الأساسية + +6 +00:00:26,510 --> 00:00:31,300 +أو ال accessoryأيضًا سأتحدث على النظام اللي هو + +7 +00:00:31,300 --> 00:00:36,940 +النظام الدمعي للعين نبدأ على بركة الله في الفيديو + +8 +00:00:36,940 --> 00:00:43,500 +القصير بداية العين فيها عدة تراكيب أول أشيه الـ + +9 +00:00:43,500 --> 00:00:47,440 +visual receptors أو ما يسمى بالمستقبلات الحسية + +10 +00:00:47,440 --> 00:00:53,700 +الضوئية Ni تتكتلى ال lights و ال color and + +11 +00:00:53,700 --> 00:00:57,560 +movementفي عندنا طبعا بعض الـ Accessories + +12 +00:00:57,560 --> 00:01:02,760 +Structural للـ I أول إشي أبدأها من الخارج اللي هي + +13 +00:01:02,760 --> 00:01:09,180 +عبارة عن حاجة تعمل على اللي هو غطاء خارجي سطحي + +14 +00:01:09,180 --> 00:01:14,620 +للتركيبة أو للجزء الأمامي المعرض من العين، هاي + +15 +00:01:14,620 --> 00:01:19,750 +بنسميهاالملتحمة conjunctiva هي الملتحمة إذا + +16 +00:01:19,750 --> 00:01:23,990 +تعريفنا للملتحمة هي عبارة عن العضو اللي بيكون + +17 +00:01:23,990 --> 00:01:28,710 +superficial covering over interior exposed surface + +18 +00:01:28,710 --> 00:01:33,050 +تمام؟ في عندنا إشي بيعمل على منع دخول الأجسام + +19 +00:01:33,050 --> 00:01:38,450 +الغريبة زي الغبار زي أي إشي ضارب الجسم زي اللي هو + +20 +00:01:38,450 --> 00:01:43,630 +ال eyebrowالـ eyelash و ال eyelids هذه الشغلات + +21 +00:01:43,630 --> 00:01:47,310 +هناخدها ال eyebrow الحواجب ال eyelashes اللي هي + +22 +00:01:47,310 --> 00:01:50,970 +عبارة عن الرموش و ال eyelids اللي هي عبارة عن + +23 +00:01:50,970 --> 00:01:56,210 +الجفون إذا وظيفة هذه الثلاث حاجات تعمل على prevent + +24 +00:01:56,210 --> 00:02:01,430 +from body from coming into contact with eye في + +25 +00:02:01,430 --> 00:02:06,110 +عندي إشي تاني اللي هو اسمه lacrimal glandsأو ما + +26 +00:02:06,110 --> 00:02:17,070 +يسمى بالغدة الدمعية الآن هذه الغدة الدمعية تعمل + +27 +00:02:17,070 --> 00:02:22,610 +على حماية العين ايضا ترطيبها ونظافتها طبعا اشي + +28 +00:02:22,610 --> 00:02:28,150 +طبيعي ان احنا مباشرة يكون بمجرد دخول اي شسم غريب + +29 +00:02:28,150 --> 00:02:32,530 +للعين على طول العين ببدأ النظام الدمعي بتنظيفها + +30 +00:02:32,530 --> 00:02:37,320 +بشكل مباشرالـ L هذه الصورة هي اللي احنا حكينا + +31 +00:02:37,320 --> 00:02:43,720 +عليها هي من جوا هي عبارة عن الحدثة هنا بنحكي عن ال + +32 +00:02:43,720 --> 00:02:46,900 +eyebrows هنا بنحكي عن ال eyelids هنا بنحكي عن ال + +33 +00:02:46,900 --> 00:02:49,540 +eyelids اللي هي عبارة في عندنا eyelids أبعر وفي + +34 +00:02:49,540 --> 00:02:53,950 +عندنا لوارالـ lacrimal gland أو lacrimal cancolide + +35 +00:02:53,950 --> 00:03:00,310 +هي عبارة عن النفق أو الحويصلة تمام؟ميجي نشوف اللي + +36 +00:03:00,310 --> 00:03:04,790 +هو الجهاز الدمعي lacrimal apparatus طبعا حاجة هنا + +37 +00:03:04,790 --> 00:03:08,990 +على الرسم هذه و أوضح عليها بعض الشغلات lacrimal + +38 +00:03:08,990 --> 00:03:13,270 +gland أو الغدة الدمعية بحد ذاتها موجودة laterally + +39 +00:03:13,270 --> 00:03:17,160 +to the eyeكلنا بنعرف إن الـ medial أو الـ median + +40 +00:03:17,160 --> 00:03:21,420 +planes أو الـ digital planes هيهم ده جاي من عنده + +41 +00:03:21,420 --> 00:03:24,920 +الآن في قسم الجسم إلى right and left إذا هاي الـ + +42 +00:03:24,920 --> 00:03:30,150 +lacrimal gland جالي laterally to the eye تمام؟وهذا + +43 +00:03:30,150 --> 00:03:34,850 +عبارة عن اللي هو الكنكولاي او ما يسمى بالنفق تبعنا + +44 +00:03:34,850 --> 00:03:39,410 +اللي انا هعرفه كمان شوية و اعرف شو وزيرته في بعض + +45 +00:03:39,410 --> 00:03:44,190 +النفق كيس دمعي هذا الكيس الدمعي طبعا في بعض + +46 +00:03:44,190 --> 00:03:46,850 +الأحيان في عندنا بيكون بعض الأطفال بينولدوا في + +47 +00:03:46,850 --> 00:03:52,310 +مشاكل هذا الكيس الدمعي بيعمل على تجميع الدموعفي + +48 +00:03:52,310 --> 00:03:56,770 +بعدها حاجة اسمها الـ ducts اللي هي ما يسمى بالقناع + +49 +00:03:56,770 --> 00:04:02,030 +الأنفية الدمعية بمجرد إحنا ما بنبكي تنزل الدموع + +50 +00:04:02,030 --> 00:04:06,430 +بصاحبها أيضا سيالان من الأنف فبالتالي تنزل الدموع + +51 +00:04:06,430 --> 00:04:10,770 +على مجرى الـ naso وحكينا naso هي عبارة عن الأنف + +52 +00:04:10,770 --> 00:04:14,430 +نيجي نشوف الـ lacrimal gland laterally to the eye + +53 +00:04:14,430 --> 00:04:18,190 +زي ما إحنا شايفين في الصورة تعمل على إفراز الدموع + +54 +00:04:18,190 --> 00:04:22,140 +فبالتالي هي secured to tearsالكنكولاي هي عبارة عن + +55 +00:04:22,140 --> 00:04:26,800 +النفق هياته اللي احنا شايفينه يعمل to collect the + +56 +00:04:26,800 --> 00:04:31,180 +tears أما الساق فهو الحاجة اللي أنا بدي أجمع فيها + +57 +00:04:31,180 --> 00:04:37,360 +اللي نتج عندي من النفق nasal lacrimal gland اللي + +58 +00:04:37,360 --> 00:04:43,220 +هي أو duct هي عبارة عن القناع الأنفية الدمعية تعمل + +59 +00:04:43,220 --> 00:04:46,860 +على تجميع الـlacrimal sac اللي هو اللي صار في + +60 +00:04:46,860 --> 00:04:51,400 +الـlacrimal sacوبتفرغه في داخل الـ nasal cavity + +61 +00:04:51,400 --> 00:04:57,580 +حتى يتم تصريفه هاي كلها اللي هو ما يتعلق بي الجهاز + +62 +00:04:57,580 --> 00:05:02,640 +الدمعي أو ما يسمى بي الـ lacrimal apparatus ديجي + +63 +00:05:02,640 --> 00:05:08,200 +نشوف تركيبة العين إذا أنا حاولت أشوفها من برا لجوا + +64 +00:05:08,200 --> 00:05:13,940 +out to inner فمعناته هدخل على الطبقة الخارجية اللي + +65 +00:05:13,940 --> 00:05:18,070 +هي اسمها الـ outer fibrous tunnelأي إشي في الجسم + +66 +00:05:18,070 --> 00:05:22,850 +بدنا نحفظه من ظروف البيئة الخارجية على الطول أنا + +67 +00:05:22,850 --> 00:05:29,330 +بدعمه ب fibrous تمام فإذن هو بيحتوي التركيبة العين + +68 +00:05:29,330 --> 00:05:34,770 +بما إنها هالو مجوفة spherical مدورة تحتوي على ثلاث + +69 +00:05:34,770 --> 00:05:39,730 +طبقات طبقة الأولى اللي هي الطبقة الخارجية fibrous + +70 +00:05:39,730 --> 00:05:44,290 +تنفس تحتوي على sclera and corona اللي هي تحتوي على + +71 +00:05:44,290 --> 00:05:45,190 +ال + +72 +00:05:48,750 --> 00:05:52,930 +القرنية والقزحية، تمام؟ الـ sclera ليست قزحية، هي + +73 +00:05:52,930 --> 00:05:57,750 +الصلبة، تمام؟ الـ middle vascular tannic المتوسطة + +74 +00:05:57,750 --> 00:06:03,950 +أو اللي هي الطبقة الوسطى تحتوي على الـ iris، + +75 +00:06:03,950 --> 00:06:07,130 +celery body، و ال- carotid اللي هي عبارة عن + +76 +00:06:07,130 --> 00:06:14,140 +المشيمةقزحية أجسام مهدبة والمشيمة تمام المشيمة + +77 +00:06:14,140 --> 00:06:17,920 +طبعا زي أي مشيمة موجودة عندنا في الجسم تمدها ب ال + +78 +00:06:17,920 --> 00:06:22,860 +vascular اللي هو أو ال blood supply اللي بيغذي + +79 +00:06:22,860 --> 00:06:27,620 +العين لكن في ال inner أنا جاية outer to inner + +80 +00:06:28,520 --> 00:06:32,280 +للإينار فإن حاجة اسمها الـ Neural أو الـ Nervous + +81 +00:06:32,280 --> 00:06:35,660 +Tonic هذه الـ Nervous Tonic هي عبارة عن الـ Retina + +82 +00:06:35,660 --> 00:06:39,720 +وهي ما يسمى بالشبكية فلأ أنا في مرض السكري لما + +83 +00:06:39,720 --> 00:06:43,300 +يكون في عندنا انفصال في الشبكية بيكون ناتج عن هذا + +84 +00:06:43,300 --> 00:06:46,580 +الاشي ليه؟ لأنه بنسمي اعتلال المرض اللي هو الشبكية + +85 +00:06:46,580 --> 00:06:50,160 +السكري فبالتالي بيكون الاشي أو السكري ارتفاع وطبعا + +86 +00:06:50,160 --> 00:06:53,580 +وعدم انتظامه، no control بيصير في عندنا انفصال في + +87 +00:06:53,580 --> 00:07:01,460 +هذه القطعة من الـeyeترتيب الـLayers of Eye from + +88 +00:07:01,460 --> 00:07:05,420 +Outer to Inner Fibrous Tenet وVascular Tenet + +89 +00:07:05,420 --> 00:07:11,440 +وNervous أو Neural Tenet مهمين جداً هدول الطبقات + +90 +00:07:11,440 --> 00:07:16,340 +نيجي نشوف الـCavities وChambers اللي موجودين داخل + +91 +00:07:16,340 --> 00:07:21,020 +الـEyes هلأ الـInternal Space في عندي اللي هو + +92 +00:07:21,020 --> 00:07:28,320 +عبارة عن فراغ أمامي للعين بتم قسمه أو بتم تجزئتهعن + +93 +00:07:28,320 --> 00:07:32,640 +طريق الـ Lenses تمام؟ هذه الـ Lenses تقسم لي اللي + +94 +00:07:32,640 --> 00:07:38,860 +هو الفراغ الأمامي إلى قسمين تجويف أو حجرة أمامية + +95 +00:07:38,860 --> 00:07:43,680 +وحجرة خلفية الآن شوية شوية هناخد إن الحجرة + +96 +00:07:43,680 --> 00:07:51,210 +الأمامية بتتم تجزئتها إلى قسمين أساسيينالقسمين + +97 +00:07:51,210 --> 00:07:55,390 +الأساسيين في الـAnterior Cavity اللي هو عن طريق + +98 +00:07:55,390 --> 00:07:58,490 +الـLenses and posterior to the cornea الـAnterior + +99 +00:07:58,490 --> 00:08:02,170 +Cavity طبعا أنا هنا رسمتلكم مخطط تفصيلي ان شاء + +100 +00:08:02,170 --> 00:08:05,190 +الله هينزل مع هذا الفيديو هلأ هذا الـAnterior + +101 +00:08:05,190 --> 00:08:10,750 +Cavity هو عبارة عن الفراغ اللي واقع أمام العدسة + +102 +00:08:10,750 --> 00:08:15,670 +وخلف القرنية، هيك بدنا نعرفهإن الـ anterior cavity + +103 +00:08:15,670 --> 00:08:20,610 +هو عبارة عن الفراغ اللي واقع أمام العدسة وخلف + +104 +00:08:20,610 --> 00:08:25,790 +القرنية الآن هنحكي على الـ posterior بس كمان شوية + +105 +00:08:25,790 --> 00:08:31,870 +الـ iris أو ما يسمى بالقزحية للعين تقسم للـ + +106 +00:08:31,870 --> 00:08:36,470 +anterior cavity هذا إلى two chambers إلى غرفتين + +107 +00:08:36,470 --> 00:08:41,650 +صغار جدا اللي هم anterior chambers و posterior + +108 +00:08:41,650 --> 00:08:47,400 +chambersهي ال anterior chambers بتكون ما بين ال + +109 +00:08:47,400 --> 00:08:51,020 +iris لإنه عن طريق ال iris احنا حكينا الجدار الفاصل + +110 +00:08:51,020 --> 00:08:56,280 +لإلهم هو اسم ال iris فهي تكون ما بين ال iris و + +111 +00:08:56,280 --> 00:09:02,060 +القرنية أما ال posterior فهيكون ما بين ال lenses و + +112 +00:09:02,060 --> 00:09:06,140 +ال iris بت الرسمة التوضيحية هتبين لكم أكتر و أفضل + +113 +00:09:06,140 --> 00:09:11,330 +تمامنجي نشوف الـ posterior cavity هلأ الـ + +114 +00:09:11,330 --> 00:09:16,990 +posterior cavity بيمتلق أو هو خلف ال lenses و أمام + +115 +00:09:16,990 --> 00:09:20,510 +ال retina أخر شي إحنا حكينا ال retina لورا بتيجي + +116 +00:09:20,510 --> 00:09:27,890 +هو عبارة عن إشي هيعبي سائل جلاتيني أو مادة غلامية + +117 +00:09:27,890 --> 00:09:33,250 +شثافة transparent ومادة جلاتينية which is + +118 +00:09:33,250 --> 00:09:38,850 +completely fill لإيه هو ال posterior cavityاللي هو + +119 +00:09:38,850 --> 00:09:43,510 +واقع ما بين ال lenses حكينا و ال retina ما بين ال + +120 +00:09:43,510 --> 00:09:48,090 +lenses و الشبكية اللي هي اخر اشي بتكون في العين + +121 +00:09:48,090 --> 00:09:52,570 +هذا ال posterior cavity تمام نيجي نشوف ال optic + +122 +00:09:52,570 --> 00:09:57,510 +disc ال optic disc هو عبارة عن قرص الرؤية الآن هذا + +123 +00:09:57,510 --> 00:10:02,070 +ال optic disc لا يحتوي على اي مستقبلة ضوئية تمام + +124 +00:10:02,070 --> 00:10:06,790 +بالأغلب او احنا بنسميها ال blind spots because no + +125 +00:10:06,790 --> 00:10:12,190 +image formمافي اي صورة بتتكون بهذه الطريقة just + +126 +00:10:12,190 --> 00:10:18,210 +lateral to optic disk ولكن في المنطقة الجانبية + +127 +00:10:18,210 --> 00:10:23,810 +اللي هي في هنا بقعة صفراء اسمها الـ maculalota هذه + +128 +00:10:23,810 --> 00:10:29,830 +الـ macula هي عبارة عن البقعة الصفراء المحتوية على + +129 +00:10:29,830 --> 00:10:35,030 +الـ fovea centralis النقرة المركزية هذه النقرة + +130 +00:10:35,030 --> 00:10:41,300 +المركزية هي اقوى و احدنقطة للرؤية charbest vision + +131 +00:10:41,300 --> 00:10:45,360 +ال disk هذا كله يفتقد لل receptors ال photo + +132 +00:10:45,360 --> 00:10:51,860 +receptors ولكن في ال lateral من منه حاجة اسمها + +133 +00:10:51,860 --> 00:10:56,020 +اللي هي ال yellowish أو بتكون مادة صفراء أو لونها + +134 +00:10:56,020 --> 00:10:59,820 +صفراء الماكلة لوتا هي عبارة عن البقعة الصفراء هذه + +135 +00:10:59,820 --> 00:11:03,880 +اللي المؤشر ماشي عليها أما هنا ال vovia centralis + +136 +00:11:03,880 --> 00:11:08,500 +اللي هي عبارة عن أقوىأو أحد نقطة مركزية للرؤية + +137 +00:11:08,500 --> 00:11:17,240 +تمام تحتوي على كمية كبيرة من الأقماع ولا تحتوي على + +138 +00:11:17,240 --> 00:11:22,540 +الأغلب من ال rods ال rods هي عبارة عن العصيات إذا + +139 +00:11:22,540 --> 00:11:27,900 +تحتوي على عدد كبير من ال cones and almost no rods + +140 +00:11:27,900 --> 00:11:33,000 +هي اللي هي ال optic disk in general تمام اللي هو + +141 +00:11:33,000 --> 00:11:37,650 +عبارة عن القرص أو قرص الرؤيةاللي موجود في العين + +142 +00:11:37,650 --> 00:11:44,490 +وبهك بيكون ختمنا احنا ان شاء الله المنهج طبعا + +143 +00:11:44,490 --> 00:11:49,870 +بالفيديو رقم 17 ألقاكم بإذن الله تعالى وانتم في + +144 +00:11:49,870 --> 00:11:53,770 +احسن حالة والسلام عليكم ورحمة الله وبركاته + diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/TyGa94Cqd2o.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/TyGa94Cqd2o.srt new file mode 100644 index 0000000000000000000000000000000000000000..862d26c5569216c33c7d3377b934ea324026e695 --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/TyGa94Cqd2o.srt @@ -0,0 +1,1369 @@ +1 +00:00:04,890 --> 00:00:07,830 +بسم الله الرحمن الرحيم والصلاة والسلام على أشرف + +2 +00:00:07,830 --> 00:00:11,510 +الأنبياء والمرسلين، أعزائي الطلاب، عزيزتي + +3 +00:00:11,510 --> 00:00:15,330 +الطالبات، هذا أول لقاء يكون مباشر بيننا، التصوير + +4 +00:00:15,330 --> 00:00:19,810 +سيكون صوت وصورة في الجامعة، طبعاً في قاعة التصوير، + +5 +00:00:19,810 --> 00:00:24,900 +انتهينا من ثلاثة شباتر في مساق علم التشريح،اللي هو + +6 +00:00:24,900 --> 00:00:30,120 +طبعاً الـ basic anatomy هو الذي أخذنا فيه ثلاثة شباتر + +7 +00:00:30,120 --> 00:00:33,880 +اليوم إن شاء الله رب العالمين، سأدخل في chapter صغير + +8 +00:00:33,880 --> 00:00:37,360 +الذي هو عبارة عن، زي ما أنتم شايفين، هذا هو عبارة + +9 +00:00:37,360 --> 00:00:41,140 +عن الهيكل العظمي، هذا كله سنأخذه بالتفصيل إن شاء + +10 +00:00:41,140 --> 00:00:44,140 +الله رب العالمين، اليوم فقط سأتحدث عن الـ Bone + +11 +00:00:44,140 --> 00:00:48,560 +Markings، وهي ما يسمى بالنواتئ العظمية سواء كانت + +12 +00:00:48,560 --> 00:00:52,300 +النواتئ العظمية البارزة أو النواتئ العظمية + +13 +00:00:52,300 --> 00:00:57,500 +الغائرة أي الداخلة إلى داخل العظم، أهلاً وسهلاً بكم + +14 +00:00:57,500 --> 00:01:01,120 +مرة أخرى، أنا الدكتور أناني مزهر، مدرس المساق الآن. + +15 +00:01:01,120 --> 00:01:04,540 +أخذنا في الـ skeletal system من البداية، في عندنا الـ + +16 +00:01:04,540 --> 00:01:10,000 +axial الذي يشمل الـ head، الـ Thoracic، والـ Pelvic، هذا هو + +17 +00:01:10,000 --> 00:01:14,040 +عبارة عن ماذا؟ الـ axial skeleton، في عندنا أيضاً + +18 +00:01:14,040 --> 00:01:17,540 +group، ما يسمى بـ الـ appendicular skeleton، الذي هو + +19 +00:01:17,540 --> 00:01:21,640 +يشمل الـ peripheral limbs، وهي الأطراف الأربعة. + +20 +00:01:21,640 --> 00:01:26,640 +في عندي أطراف عليا، right and left، وأطراف سفلى + +21 +00:01:26,640 --> 00:01:29,950 +التي هي أيضاً right and left. الآن، حكينا أن هذه + +22 +00:01:29,950 --> 00:01:34,650 +الأطراف ليست مرتبطة ارتباطاً مباشراً، إما + +23 +00:01:34,650 --> 00:01:38,990 +بالـ Thoracic عن طريق ما يسمى بـ الـ girdle، أو ما يسمى + +24 +00:01:38,990 --> 00:01:43,010 +بالحزام، يسمى الـ pectoral girdles، ارتباط الـ limbs + +25 +00:01:43,930 --> 00:01:47,670 +بالـ Thoracic هو عبارة عن الـ pectoral girdles. + +26 +00:01:47,670 --> 00:01:52,930 +أيضاً، ارتباط الأطراف السفلية بالـ Pelvic يسمى الـ Pelvic + +27 +00:01:52,930 --> 00:01:58,390 +girdle. هذه مقدمة سريعة، دعوني أبدأ في الـ bone markings. + +28 +00:01:58,390 --> 00:01:59,430 +الـ bone markings + +29 +00:02:04,450 --> 00:02:09,750 +There are two types of bone markings. في عندي نوعين + +30 +00:02:09,750 --> 00:02:13,110 +من أنواع الـ bone markings، الـ projections هي عبارة + +31 +00:02:13,110 --> 00:02:17,050 +عن apophysis باللاتينية، that grow out from bones. + +32 +00:02:17,050 --> 00:02:22,450 +إذاً، هي عبارة عن نتوء عظمي يقع خارج العظمة، يعني على + +33 +00:02:22,450 --> 00:02:27,190 + سبيل المثال، إذا أنا جئت بهذه العظمة، طبعاً هذه كلها + +34 +00:02:27,190 --> 00:02:31,350 +على بعضها اسمها الـ humerus، تمام؟ هذه عظمة + +35 +00:02:31,350 --> 00:02:35,110 +الـ humerus، في نتوء عظمي زيادة هنا عندي، طالع، هذا + +36 +00:02:35,110 --> 00:02:39,710 +النتوء طبعاً هو عبارة عن بروز خارج استقامة + +37 +00:02:39,710 --> 00:02:42,430 +العظمة، يعني إحنا لما نأتي لرسم هذه العظمة، لازم + +38 +00:02:42,430 --> 00:02:47,350 +أرسم هنا زوائد وحاجات طالعة للخارج، هذه الزوائد هي + +39 +00:02:47,350 --> 00:02:51,950 +عبارة عن الـ projections، تمام؟ الآن، في عندي زي ما في + +40 +00:02:51,950 --> 00:02:56,270 +عندنا projections، في عندي أيضاً هنا، في + +41 +00:02:56,270 --> 00:02:59,310 +الصورة، نفس الكلام موضح لنا. دعوني أُجيب + +42 +00:02:59,310 --> 00:03:03,710 +الاسكتلتون إلى هذا الجانب ونرى الصورة، هنا في عندنا + +43 +00:03:03,710 --> 00:03:08,330 +الذي هو زي ما هو موضح لي، الـ head، أو ما نسميه + +44 +00:03:08,330 --> 00:03:13,340 +بـ رأس العظمة، زي ما أنتم شايفينها هنا، تمام، الـ + +45 +00:03:13,340 --> 00:03:16,340 +depressions، أو ما يسمى بـ الـ cavities، التي نحن + +46 +00:03:16,340 --> 00:03:19,680 +أخذناها، أخذنا في عندنا cavities في الشابتر الأول في + +47 +00:03:19,680 --> 00:03:25,200 +الـ cranial cavity، التي هي ما يسمى بالتجويف العظمي + +48 +00:03:25,200 --> 00:03:28,800 +الموجود في الرأس، في عندنا الـ thoracic cavity، في + +49 +00:03:28,800 --> 00:03:32,600 +عندنا الـ pelvic cavity، تمام؟ هذه الـ cavities التي + +50 +00:03:32,600 --> 00:03:39,910 +هي تجاويف that are طبعاً، التي هي indentations in bone، هي + +51 +00:03:39,910 --> 00:03:44,770 +تكون غائرة داخل العظم، يعني زي ما في عندي + +52 +00:03:44,770 --> 00:03:47,310 +بروزات طالعة للخارج، زي ما إحنا شايفين هنا في الـ + +53 +00:03:47,310 --> 00:03:51,030 +clavicle، زي ما إحنا شايفين في، اللي هي الـ spine في + +54 +00:03:51,030 --> 00:03:56,290 +الـ vertebra، في عندي تجاويف داخلة إلى الداخل، إذاً في عندي + +55 +00:03:56,290 --> 00:04:01,550 +تجاويـف داخلية وفي عندي بروزات خارجية، تمام؟ هذا + +56 +00:04:01,550 --> 00:04:09,960 +بالنسبة لتقسيمنا للـ bone markings، الآن + +57 +00:04:09,960 --> 00:04:14,120 +دعوني أذكرها، حتى نعرف تعريف كل واحدة ونرى + +58 +00:04:14,120 --> 00:04:17,800 +صورها على الرسمة، لأتمكن من تحديدها، الـ + +59 +00:04:17,800 --> 00:04:22,700 +projections، في عندي شيء اسمه condyle، head، + +60 +00:04:23,500 --> 00:04:28,280 +facet، ramus، crest، epicondyle + +61 +00:04:30,960 --> 00:04:37,360 +لنرى: tubercle، tuberosity، trochanter، spine. الآن + +62 +00:04:37,360 --> 00:04:41,340 +هذه العشرة، سأشرح كل واحدة بالتفصيل، وسنعرف + +63 +00:04:41,340 --> 00:04:47,020 +تعريفها، تمام؟ هي كلها تندرج تحت فئة الـ + +64 +00:04:47,020 --> 00:04:51,180 +projections، وهي البروزات العظمية البارزة + +65 +00:04:51,180 --> 00:04:56,520 +للخارج من الهيكل العظمي، أجل الجروب الثاني، group B، الذي + +66 +00:04:56,520 --> 00:05:03,180 +هو عبارة عن الـ depressions: meatus، fossa، fissure، + +67 +00:05:03,180 --> 00:05:10,400 +foramen، و sulcus، أو الـ groove طبعاً، وهو عبارة + +68 +00:05:10,400 --> 00:05:16,730 +عن خمس bone markings، وهي علامات عظمية. هنا + +69 +00:05:16,730 --> 00:05:20,430 +دعوني أتحدث عن شيء، ما هو الهدف من دراسة، أو ما هو + +70 +00:05:20,430 --> 00:05:24,390 +الهدف من أخذ bone markings اليوم؟ نحن على + +71 +00:05:24,390 --> 00:05:28,370 +سبيل المثال، لو جاءني طفل صغير، وحكينا بدنا نقيس + +72 +00:05:28,370 --> 00:05:33,110 +طول القدمين، هل في قصر في إحداهما عن الأخرى؟ يجب + +73 +00:05:33,110 --> 00:05:37,630 +أن أحط المقياس عندي على هذه الحافة التي نسميها + +74 +00:05:37,630 --> 00:05:42,670 +ASIS، هذه الحافة، إلى الحدبة الداخلية الموجودة + +75 +00:05:42,670 --> 00:05:47,550 +تحت. بالتالي، هذا القياس يعطيني قياساً دقيقاً صحيحاً، + +76 +00:05:47,550 --> 00:05:51,270 +بعكس لما آتي لأقيس، على سبيل المثال، من السرة وأنزل + +77 +00:05:51,270 --> 00:05:55,510 +منها إلى الساق، إلى الأسفل، إذاً، تفيدني هذه الـ bone markings في + +78 +00:05:55,510 --> 00:05:59,550 +القياسات الصحيحة، ولها استخدامات أخرى مهمة، أنا + +79 +00:05:59,550 --> 00:06:05,130 +كفريق طبي، أو كطبيب في المستقبل، في المجال العملي، لازم + +80 +00:06:05,130 --> 00:06:09,780 +أكون على علم بما تعنيه الـ bone markings. لنبدأ في البداية، + +81 +00:06:09,780 --> 00:06:13,880 +بسم الله الرحمن الرحيم، لنبدأ، ما تعريف الـ + +82 +00:06:13,880 --> 00:06:18,400 +tuberosity؟ tuberosity هي عبارة عن rounded + +83 +00:06:18,400 --> 00:06:23,500 +projections، هي عبارة عن بروز دائري موجود داخل + +84 +00:06:23,500 --> 00:06:27,860 +العظمة، المحاضرة القادمة بإذن الله تعالى، سأجيب الحكم + +85 +00:06:27,860 --> 00:06:32,850 +العظمي الذي نفككه واحداً واحداً، إذن الـ tuberosity + +86 +00:06:32,850 --> 00:06:37,330 +هي عبارة عن round projections، هنا طبعاً مهم جداً، زي + +87 +00:06:37,330 --> 00:06:40,990 +ما تسألون أنتم دائماً، كيف نصوغ السؤال في الامتحان؟ + +88 +00:06:40,990 --> 00:06:44,370 +أو كيف يمكنني دراسة هذا الشيء؟ هذا الشيء + +89 +00:06:44,370 --> 00:06:47,530 +مهم لفهمه في البداية، بعد الحفظ، آتي إلى الـ + +90 +00:06:47,530 --> 00:06:50,610 +skeleton، أو أي رسمة موجودة لديكم، طبعاً الـ + +91 +00:06:50,610 --> 00:06:53,910 +YouTube مليء، خصوصاً الأفلام، الـ videos، الـ + +92 +00:06:53,910 --> 00:06:59,430 +3D هذه، والمقاطع، في عندنا برامج خاصة للتشريح، أنتم + +93 +00:06:59,430 --> 00:07:04,290 +تمسكون، هو كل هواتفكم الحديثة، تمسكون وتشوفون كل + +94 +00:07:04,290 --> 00:07:08,170 +عظمة، يجيب لكم العظمة، أين أساسها، أين أصلها، وما هو + +95 +00:07:08,170 --> 00:07:11,950 +الـ projections الموجودة فيها. tuberosity، نرجع ثانيةً، + +96 +00:07:11,950 --> 00:07:15,670 +هي عبارة عن rounded projections، يعني بروز + +97 +00:07:15,670 --> 00:07:20,550 +دائري طالع للخارج. كلمة crest، الـ crest تعني حافة + +98 +00:07:20,550 --> 00:07:26,510 +تمام؟ هذه الحافة هي عبارة عن narrow, prominent ridge + +99 +00:07:26,510 --> 00:07:32,010 +of bone، هي عبارة عن ممر ضيق، أقول عليه ridge، حافة، شايفين هنا منطقة الحوض، هذه المنطقة، أو + +100 +00:07:32,010 --> 00:07:37,230 +الذي هو، سأحضر التصوير من هنا، هذه الحافة اسمها + +101 +00:07:37,230 --> 00:07:41,470 +iliac crest، إلياك كريست، هذه عظمة الـ إلياك، هنا في عندي + +102 +00:07:41,470 --> 00:07:45,610 +حاجة اسمها iliac crest، تمام؟ إذاً الـ crest هي عبارة + +103 +00:07:51,130 --> 00:07:55,010 +عن prominent ridge of bone. الـ trochanter، + +104 +00:07:55,010 --> 00:07:58,690 +كلمة الـ trochanter، لاحظوا كيف أنطقها، حتى + +105 +00:07:58,690 --> 00:08:02,750 +نحن لازلنا في السنة الأولى، يجب أن نتعلم النطق الصحيح، trochanter. + +106 +00:08:02,750 --> 00:08:06,910 +أقسمها إلى اسمين، إذاً الـ trochanter هي عبارة عن + +107 +00:08:06,910 --> 00:08:13,980 +large, blunt, irregular surface، large، كبيرة، blunt، غير حادة، irregular، غير منتظمة. الـ trochanter موجودة فقط في + +108 +00:08:13,980 --> 00:08:17,920 +الـ lower limb، أضع علامة أنها موجودة فقط + +109 +00:08:17,920 --> 00:08:21,660 +في الـ lower limb، يعني ما في عندي trochanter في الـ + +110 +00:08:21,660 --> 00:08:25,630 +upper limb، لا، هي فقط موجودة في الـ lower limb، إذاً + +111 +00:08:25,630 --> 00:08:29,550 +الـ trochanter موجودة هنا عندي في الفيمر، هذه التي + +112 +00:08:29,550 --> 00:08:33,550 +هي عظمة الفخذ، هذه العظمة، في عندي حاجة اسمها + +113 +00:08:33,550 --> 00:08:38,730 +الـ trochanter، منها قسمين، منها صغيرة، lesser، + +114 +00:08:38,730 --> 00:08:44,430 +ومنها كبيرة، greater، طبعاً، إذا في عندي lesser trochanter، + +115 +00:08:44,430 --> 00:08:51,700 +وفي greater trochanter، طبعاً، إذاً الـ trochanter هي عبارة عن + +116 +00:08:51,700 --> 00:08:56,020 +large, blunt, irregular surface، لها نوعان، lesser و greater. الـ + +117 +00:08:56,020 --> 00:08:58,540 +trochanter حكينا موجودة فقط في الـ lower limb. الـ line + +118 +00:08:58,540 --> 00:09:03,440 +هو عبارة عن narrow ridge of bone، هو عبارة عن خط + +119 +00:09:03,440 --> 00:09:08,110 +صغير موجود في العظام، لو أجي إلى لوحة الكتف هنا، أجد + +120 +00:09:08,110 --> 00:09:12,770 +أن في عندي line، هذا الـ line طبعاً يختلف عن + +121 +00:09:12,770 --> 00:09:18,470 +هذا البروز الذي فوق هنا، هو line، هذا موجود above + +122 +00:09:18,470 --> 00:09:22,890 +and below لهذا البروز، إذن line هو عبارة عن خط صغير + +123 +00:09:22,890 --> 00:09:25,590 +أو خط ضيق في حافة العظمة، تمام؟ أيضاً على الصور + +124 +00:09:25,590 --> 00:09:31,310 +سأريكهم، نأتي لنرى الـ tubercle، small + +125 +00:09:31,310 --> 00:09:37,310 +rounded projections، هاي tubercle، أخذنا + +126 +00:09:37,310 --> 00:09:41,750 +tubercle، في العظام، هي عبارة عن تجاويف، هاي + +127 +00:09:41,750 --> 00:09:45,530 +التجاويف، أجي أنا هنا للساعد، هذه التي هنا موجودة + +128 +00:09:45,530 --> 00:09:48,650 +هذا هو tubercle، واضح معي على الصورة كده؟ + +129 +00:09:48,650 --> 00:09:52,790 +tubercle هو عبارة عن small rounded projections + +130 +00:09:52,790 --> 00:09:56,610 +موجود، بروز دائري صغير في العظام الطويلة، إذن + +131 +00:09:56,850 --> 00:10:00,710 +tubercle هو عبارة عن بروز صغير خارج العظمة + +132 +00:10:00,710 --> 00:10:06,850 +دائري، يكون شكله صغير، تمام؟ نأتي لنرى الذي هو + +133 +00:10:06,850 --> 00:10:12,030 +الحاجة التي بعدها، tuberosity، كلمة tuberosity هي + +134 +00:10:12,030 --> 00:10:17,350 +عبارة عن large rounded أو roughened projections، + +135 +00:10:17,350 --> 00:10:23,140 +عكس الـ tubercle، الـ tubercle small، أما الـ tuberosity هي + +136 +00:10:23,140 --> 00:10:27,260 +عبارة عن large، وتكون طبعاً خشنة، يعني ليست + +137 +00:10:27,260 --> 00:10:32,380 +ناعمة، بروز عظمي خشن دائري، سأراها على الرسمة، و + +138 +00:10:32,380 --> 00:10:38,720 +سأراها على الـ skeleton أيضاً، هذا الـ tubercle، okay. + +139 +00:10:38,720 --> 00:10:44,260 +هَيْوَا، في عندنا الـ greater tubercle، أو دعوني أُريكم إياه، + +140 +00:10:44,260 --> 00:10:48,300 +هنا، يكون موجوداً هنا، هذا هو عبارة عن الـ + +141 +00:10:48,300 --> 00:10:52,240 +greater tubercle، شيئاً فشيئاً، بمبدأ حفظهم، و + +142 +00:10:52,240 --> 00:10:55,980 +ستكون الأمور سهلة، تمام؟ إذن، في عندي هنا، حاكي + +143 +00:10:55,980 --> 00:11:01,220 +لكم الـ proximal tibia، يعني في العظام السفلية، زي ما + +144 +00:11:01,220 --> 00:11:06,310 +في tubercle أو tuberosity في العظام، وهي الـ + +145 +00:11:06,310 --> 00:11:10,970 +upper limb، في أيضاً الـ tubercle هنا، هذا البروز + +146 +00:11:10,970 --> 00:11:15,430 +العظمي هنا، هذا البروز الذي يكون أمامي في + +147 +00:11:15,430 --> 00:11:19,550 +الـ tibia، في القصبة، trochanter أيضاً هي very large + +148 +00:11:19,550 --> 00:11:24,050 +blunt projections، ومررنا عليها، موجودة زي ما + +149 +00:11:24,050 --> 00:11:29,590 +حكيت لكم، في الفيمر فقط، في الـ lower limb، يعني هنا يأتيني + +150 +00:11:29,590 --> 00:11:33,230 +سؤال true and false أو MCQ، في هذه النقطة، true + +151 +00:11:33,230 --> 00:11:38,830 +trochanter is a very large bunch of projections only + +152 +00:11:38,830 --> 00:11:44,730 +in the humerus، لو حكيت هنا في الـ humerus، معناته + +153 +00:11:44,730 --> 00:11:48,570 +هذا خطأ، هي موجودة فقط في الفيمر، والفيمر أحد عظام + +154 +00:11:48,570 --> 00:11:52,110 +الـ lower limb. + +155 +00:11:52,110 --> 00:11:57,810 +الـ epicondyle، زي ما رأيتم إياها هنا على الـ + +156 +00:11:57,810 --> 00:11:59,950 +skeleton، موجودة معكم على الصورة في الـ slides. + +157 +00:12:02,520 --> 00:12:05,260 +هذه الـ epicondyle، منها greater ومنها + +158 +00:12:05,260 --> 00:12:08,740 +lesser، يعني صغيرة، نأتي لنرى أيضاً الـ projections، في + +159 +00:12:08,740 --> 00:12:13,480 +عندنا، التي هي tuberosity، طبعاً نفس الشيء، مرّت + +160 +00:12:13,480 --> 00:12:19,420 +علينا قبل ذلك، round projections، بروز خارجي + +161 +00:12:19,420 --> 00:12:23,580 +للخارج، طالع للخارج، دائري، هنا التعريف كان يُعيد و + +162 +00:12:23,580 --> 00:12:28,720 +يُكرّر نفسه، لأنني كنت أضع التعريف بجانب الصورة. + +163 +00:12:28,720 --> 00:12:35,000 +crest، طبعاً، الذي هو عبارة عن narrow ridge، أو + +164 +00:12:35,000 --> 00:12:38,360 +prominent ridge، الموجودة، والـ trochanter، زي + +165 +00:12:38,800 --> 00:12:43,800 +ما رأيناها، irregular، وموجودة في الـ lower limb. الـ + +166 +00:12:43,800 --> 00:12:46,820 +tubercle هي عبارة عن small, round projections. + +167 +00:12:46,820 --> 00:12:52,640 +tubercle، شيء اسمه tubercle. الـ condyle هي عبارة + +168 +00:12:52,640 --> 00:12:56,880 +عن الشيء الموجود في نهاية العظمة، نحن حكينا هذه + +169 +00:12:56,880 --> 00:13:04,610 +النقطة هي proximal، هذه النقطة هنا، distal، الـ + +170 +00:13:04,610 --> 00:13:08,690 +condyle هو عبارة عن broad articular projections. + +171 +00:13:08,690 --> 00:13:12,510 +شايفين؟ في تمفصل للـ condyle، هنا في تمفصل له، الذي + +172 +00:13:12,510 --> 00:13:16,890 +هو عظمة الهيومروس + +223 +00:17:14,730 --> 00:17:18,850 +الصورة تبعتها الـ Condyle نفس الكلام هنعيده و نشرحه + +224 +00:17:18,850 --> 00:17:23,150 +كمان مرة مهمة كتير هذه المحاضرة أني أحفظها في + +225 +00:17:23,150 --> 00:17:27,030 +مصطلحاتها و أُحددها على الرسمة، الـ Round Articular + +226 +00:17:27,030 --> 00:17:30,910 +Projections زي ما أنتم شايفين، وضحتها أنا كمان على + +227 +00:17:30,910 --> 00:17:37,430 +الـ skeleton، هي في عندي right و بنحكي الـ medial condyle + +228 +00:17:38,550 --> 00:17:44,130 +والـ lateral، تمام؟ medial لأنه قريبة من الـ midline يعني + +229 +00:17:44,130 --> 00:17:47,870 +أنا اليوم لما أجيب هذا الـ skeleton كده بجانبي، وهو + +230 +00:17:47,870 --> 00:17:51,230 +واقف في الـ anatomical position، تمام؟ يعني أنا واقفة + +231 +00:17:51,230 --> 00:17:54,430 +في هذا الـ anatomical position، الـ eye forward، الـ + +232 +00:17:54,430 --> 00:17:59,210 +palms forward، بأحكي هذه النقطة اللي قريبة من الـ + +233 +00:17:59,210 --> 00:18:04,830 +midline هي عبارة عن الـ Medial Condyle، واللي بعيدة + +234 +00:18:04,830 --> 00:18:10,430 +هي عبارة عن الـ Lateral Condyle، تمام؟ هنا Medial وهنا + +235 +00:18:10,430 --> 00:18:14,410 +بتيجي الـ Lateral Condyle زي ما إحنا شايفينها + +236 +00:18:14,410 --> 00:18:18,470 +في الصورة، هنا جايلي هذا الـ Distal End من الفيمر + +237 +00:18:18,470 --> 00:18:24,510 +Distal End يعني قريبة من الـ knee joint، أخدنا شو + +238 +00:18:24,510 --> 00:18:28,450 +يعني distal، وأخذنا شو يعني proximal، إذا وين فيه + +239 +00:18:28,450 --> 00:18:32,490 +articulation أو وين بدي يصير فيه عندي مفصل، هعمل + +240 +00:18:32,490 --> 00:18:37,410 +فيه.. هيجي فيه condyle، وإيه بيكون condyle، okay؟ + +241 +00:18:37,410 --> 00:18:41,210 +هاي أيضا موجود في عندنا condyle بالفك زي ما إحنا + +242 +00:18:41,210 --> 00:18:45,810 +شايفين، هاي فيه بروز هنا، هذا اسمه condyle، الـ + +243 +00:18:45,810 --> 00:18:48,810 +mandibular joint أو هنا الـ temporomandibular joint + +244 +00:18:48,810 --> 00:18:55,690 +هذا عبارة عن الفك السفلي، فيه أيضا condyle، أيضا في + +245 +00:18:55,690 --> 00:19:00,310 +عندنا الـ crest، واضح شكلها في القُرَابَة والـ radius + +246 +00:19:00,310 --> 00:19:04,490 +اللي هي العظام اللي هنا موجودين في الـ forearm + +247 +00:19:04,490 --> 00:19:08,150 +العظمة الصغيرة اسمها الـ radius، والعظمة الكبيرة + +248 +00:19:08,150 --> 00:19:13,790 +اسمها القُرَابَة، تمام؟ الآن في عندي في الـ radius في + +249 +00:19:13,790 --> 00:19:17,690 +عندي حاجة اسمها اللي هو الـ crest، هاي زي ما إحنا + +250 +00:19:17,690 --> 00:19:21,710 +شايفينه، البروز العظمي أو الخط اللي طالع لبرا، هذا + +251 +00:19:21,710 --> 00:19:27,290 +اسمه crest، طبعا اللي موجودة الـ line بيكون أصغر من + +252 +00:19:27,290 --> 00:19:31,780 +الـ crest، smaller than a crest، هاي كمان معلومة + +253 +00:19:31,780 --> 00:19:39,300 +ضفناها، على الـ line، الـ Epicondyle، a raised area and + +254 +00:19:39,300 --> 00:19:44,280 +above condyle، موجودة فوق اللي هي الـ condyle، يعني + +255 +00:19:44,280 --> 00:19:48,700 +هذه اللي هنا بالإشارة هي Epicondyle، واللي موجودة + +256 +00:19:48,700 --> 00:19:54,600 +هنا هي عبارة عن condyle، تمام؟ هاي بالنسبة للعظام + +257 +00:19:58,190 --> 00:20:03,430 +هنا في هاي الـ slide، وضح لي أنه فيه أخذ عينة أو أخذ + +258 +00:20:03,430 --> 00:20:08,250 +فقرة من اللي هو thoracic vertebra، يعني فقرات القفص + +259 +00:20:08,250 --> 00:20:12,910 +الصدري، الفقرات الصدرية، إحنا بنسميهم بالمناسبة، كنا + +260 +00:20:12,910 --> 00:20:17,330 +بنحكي على عظام اللي هو الفقرات، في عندي سبعة + +261 +00:20:17,330 --> 00:20:21,270 +cervical، واحد، اتنين، تلاتة، أربعة، خمسة، ستة، سبعة، لحد + +262 +00:20:21,270 --> 00:20:25,570 +هنا، هذه السابعة، بتكمل spinous process، هناخدها إن + +263 +00:20:25,570 --> 00:20:29,750 +شاء الله، أعلى منهم كلهم، بعدين في عندي اثنا عشر + +264 +00:20:29,750 --> 00:20:36,170 +thoracic، خمسة lumbar، خمسة coccygeal أو بنسميهم اللي + +265 +00:20:36,170 --> 00:20:41,330 +هو الـ coccyx، وعنده الـ sacrum، تمام؟ هذا بالنسبة + +266 +00:20:41,330 --> 00:20:48,200 +لعظام العمود الفقري، هنا نفس الكلام بنحكي على الـ + +267 +00:20:48,200 --> 00:20:51,640 +bone projections، اللي هو البروز العظمي اللي هو + +268 +00:20:51,640 --> 00:20:56,920 +طالع لبرا، حكينا أي عظمة لازم يكون لها head، لو أجيت + +269 +00:20:56,920 --> 00:21:01,040 +أنا فككت هذه العظمة زي ما أنتم شايفينها، هذا الرأس + +270 +00:21:01,040 --> 00:21:05,420 +تبعها اللي بتمفصل مع الـ pectoral girdles أو ما + +271 +00:21:05,420 --> 00:21:10,430 +يسمى بالحزام الصدري، هذا الـ head لازم يكون فيه neck + +272 +00:21:10,430 --> 00:21:15,410 +كل رأس لازم يكون لها رقبة بتحملها، صحيح الكلام، أنه + +273 +00:21:15,410 --> 00:21:20,230 +أنا عندي head فيه neck، هنا فيه أيضا head بتتمفصل + +274 +00:21:20,230 --> 00:21:25,940 +مع الـ acetabulum، وفيه لها neck، موجودة في الفيمر، الـ + +275 +00:21:25,940 --> 00:21:30,020 +head تعريفها إيش؟ هي عبارة عن bone expansions + +276 +00:21:30,020 --> 00:21:34,140 +carried on a narrow neck، عبارة عن امتداد للرأس + +277 +00:21:34,140 --> 00:21:41,000 +بتتم حمله أو بتتم اللي هو تحميله + +278 +00:21:41,230 --> 00:21:45,410 +على رقبة ضيقة، طبعا ولا مرة شفنا أن الرقبة ممكن + +279 +00:21:45,410 --> 00:21:51,170 +تكون قطرها أوسع من الرأس، هذا بالنسبة للـ head، كل + +280 +00:21:51,170 --> 00:21:54,330 +العظام الطويلة، طبعا زي ما أخدنا في أول chapter + +281 +00:21:54,330 --> 00:21:58,770 +تلاتة العظام الطويلة أو long bone لها head، يعني + +282 +00:21:58,770 --> 00:22:02,190 +سواء هنا عندي في الـ humerus، سواء عندي في الفيمر + +283 +00:22:02,190 --> 00:22:07,840 +سواء بالـ radius والـ القُرَابَة، أو الـ tibia والـ fibula،facet + +284 +00:22:07,840 --> 00:22:13,340 +هي عبارة عن إيش؟ projection، smooth، ناعم، قريب من الـ + +285 +00:22:13,340 --> 00:22:17,500 +flat articular surface، المفاصل المسطحة، مين عندي + +286 +00:22:17,500 --> 00:22:21,700 +مفاصل مسطحة؟ لو أجيت أنا هنا بين الفقرات في عندي + +287 +00:22:21,700 --> 00:22:25,640 +facet joint، هذا الـ facet joint مش زي هذا المفصل + +288 +00:22:25,640 --> 00:22:31,100 +الدائري وواسع الحركة، ممكن أنا أعمل flexion، extension، + +289 +00:22:32,260 --> 00:22:35,480 +abduction أو abduction، يعني هذه الحركات اللي + +290 +00:22:35,480 --> 00:22:40,440 +موجودة، معنى الكلام أنه أنا ممكن أتحرك في كل + +291 +00:22:40,440 --> 00:22:46,670 +الاتجاهات، سواء إلى الأمام، إلى الأعلى، أو أبعد أو + +292 +00:22:46,670 --> 00:22:50,270 +قريب، لو قلنا قريب من الـ midline، معناته هي أبعد + +293 +00:22:50,270 --> 00:22:54,570 +من الـ midline، تمام؟ الآن هذا المفصل اللي هو بنحكي + +294 +00:22:54,570 --> 00:22:59,350 +عليه، smooth and flat، مسطح، الحركة فيه هنا بسيطة + +295 +00:22:59,350 --> 00:23:02,890 +جدا، يعني يا إما إيش ممكن أنت تعمل فيه، إنه + +296 +00:23:02,890 --> 00:23:06,590 +أنا ممكن يا أنحني إلى الأمام أو أرجع ثاني لوضعي + +297 +00:23:06,590 --> 00:23:10,550 +الطبيعي، معنى الكلام هنا عبارة عن flat articular + +298 +00:23:10,550 --> 00:23:15,990 +surface، يختلف تماما عن الإيد، أو اللي هي مفصل + +299 +00:23:15,990 --> 00:23:22,690 +الـ shoulder أو مفصل الـ hip، الرمس، الرمس هي عبارة عن + +300 +00:23:23,560 --> 00:23:29,480 +ذراع، الـ arm-like bar of bone، عبارة عن ممر موجود + +301 +00:23:29,480 --> 00:23:34,120 +في العظام، لو أجينا هنا على سبيل المثال في الإيد في + +302 +00:23:34,120 --> 00:23:39,840 +عندي رمس، ممر لمرور الـ vein، الـ artery، الـ nerve، كل + +303 +00:23:39,840 --> 00:23:44,440 +هذه الشغلات بتكون موجودة للمرور عن طريق هذا الـ + +304 +00:23:44,440 --> 00:23:48,800 +bone marking، تمام؟ إذا الرمس هو عبارة عن الـ arm + +305 +00:23:48,800 --> 00:23:53,640 +-like bar of bone، عبارة عن الذراع بنسميها أو طول + +306 +00:23:53,640 --> 00:23:56,460 +الذراع اللي موجود، اتفقنا؟ + +307 +00:24:00,310 --> 00:24:05,090 +هنا كمان مرة ورانياهم على الصورة، الـ head هي عبارة + +308 +00:24:05,090 --> 00:24:12,890 +عن expansions، امتداد البونز على رقبة ضيقة، الـ facet + +309 +00:24:12,890 --> 00:24:16,870 +زي ما ورانا إياها، هي عبارة عن الـ smooth، nearly في + +310 +00:24:16,870 --> 00:24:22,030 +flat articular surface، وشوفنا الـ articular surface + +311 +00:24:22,030 --> 00:24:28,110 +اللي هو موجود داخل الفقرات أو ما بين الفقرات في + +312 +00:24:28,110 --> 00:24:29,410 +العمود الفقري + +313 +00:24:33,480 --> 00:24:38,760 +تمام، الرمس، arm-like، هي هنا في عندي رمس أيضا أنا + +314 +00:24:38,760 --> 00:24:42,680 +جبت لكم يا مثال في الـ upper limb، هنا أيضا في الـ + +315 +00:24:42,680 --> 00:24:47,440 +lower limb، هذه العظمة هي اللي موجودة هنا، تمام؟ اللي + +316 +00:24:47,440 --> 00:24:51,940 +هي عظمة من عظام الـ hip point أو عظام الحوض، okay؟ + +317 +00:24:51,940 --> 00:24:56,200 +اللي هي الـ ischial tuberosity، طبعا هنا الـ + +318 +00:24:56,200 --> 00:25:00,700 +ischial رمس أو اللي هو ذراع اللي موجود، هي كمان + +319 +00:25:00,700 --> 00:25:04,500 +موجودة في الـ upper limb، موجودة في داخل الفك زي ما + +320 +00:25:04,500 --> 00:25:08,240 +أنتم شايفين، السهم وين جاي هنا، طبعا every bone + +321 +00:25:08,240 --> 00:25:13,100 +marking and hole has name، كل شيء له اسمه، وكل شيء + +322 +00:25:13,100 --> 00:25:16,000 +هناخده إن شاء الله رب العالمين في chapter العظام + +323 +00:25:16,000 --> 00:25:22,960 +بالنسبة للتجاويف، الآن أنا انتهيت من اللي هو الـ Bone + +324 +00:25:22,960 --> 00:25:27,600 +Projections أو النتوءات العظمية اللي بارزة خارج + +325 +00:25:27,600 --> 00:25:32,700 +الجسم، في القسم الثاني اللي هو فيه النتوءات العظمية + +326 +00:25:32,700 --> 00:25:38,100 +الغائرة أو الداخلة، في التجاويف، زي مين؟ حاجة اسمها + +327 +00:25:38,100 --> 00:25:43,630 +الـ Meatus، هي عبارة عن كان الـ canal بس جوا،القناة + +328 +00:25:43,630 --> 00:25:47,490 +اللي هي بتكون موجودة داخل العظام، طبعا عاملة زي + +329 +00:25:47,490 --> 00:25:51,570 +تجويف داخلي، هنشوفها، الـ Sinus اللي هي عبارة عن + +330 +00:25:51,570 --> 00:25:57,470 +الجيوب الأنفية، الـ Cavity اللي موجودة، الجيوب + +331 +00:25:57,470 --> 00:26:02,900 +الأنفية، أو الـ cavities اللي موجودة داخل الـ head زي + +332 +00:26:02,900 --> 00:26:07,080 +ما إحنا شايفينها هنا، هذه الـ cavities بالمناسبة هم + +333 +00:26:07,080 --> 00:26:13,540 +أربعة أزواج موجودين داخل اللي هو الـ head، fossa هي + +334 +00:26:13,540 --> 00:26:18,680 +عبارة عن shallow، basin-like depression، shallow، + +335 +00:26:18,680 --> 00:26:24,800 +سطحي، انخفاض سطحي يعني مش لجوه غميق لأ أو عميق لأ، هي + +336 +00:26:24,800 --> 00:26:29,180 +عبارة عن shallow، سطحي، basin-like depression، groove + +337 +00:26:29,180 --> 00:26:35,000 +هي عبارة عن الـ furrow يعني عبارة عن نتوء عظمي طويل + +338 +00:26:35,000 --> 00:26:38,080 +بيكون موجود، هوريكم إياه على اللي هو الـ skeleton + +339 +00:26:38,080 --> 00:26:43,320 +fissure، slit-like أو slit-like، عبارة عن fissure، + +340 +00:26:43,320 --> 00:26:47,580 +زي الشرخ اللي إحنا أخدناه بأنواع الكسور، foramen هي + +341 +00:26:47,580 --> 00:26:53,150 +عبارة عن rounded أو تجويف، يا إما دائري أو بيضاوي + +342 +00:26:53,150 --> 00:26:58,690 +موجود داخل العظم، على سبيل المثال أبدأها بآخرها + +343 +00:26:58,690 --> 00:27:02,890 +واحدة اللي هي الـ foramen، الآن لو أجيت أنا لـ الـ + +344 +00:27:02,890 --> 00:27:07,520 +head، في عندي هنا foramen، magnum foramen، هذا الـ + +345 +00:27:07,520 --> 00:27:11,340 +magnum foramen اللي موجود تحت الـ head، بيكون اللي + +346 +00:27:11,340 --> 00:27:16,200 +هو عبارة عن فتحة دائرية، ينطلق أو يندرج تحتها اللي + +347 +00:27:16,200 --> 00:27:21,040 +هو العمود الفقري، بيطلع منها الـ spinal cord وإحنا + +348 +00:27:21,040 --> 00:27:24,880 +حكينا الـ spinal cord هو أحد أساسيات الـ nerve + +349 +00:27:24,880 --> 00:27:29,740 +system، تمام؟ إذا أخذنا مثال على الفتحة الدائرية + +350 +00:27:29,740 --> 00:27:33,890 +اللي موجودة عندنا، خليني أشوفهم واحدة واحدة، الـ + +351 +00:27:33,890 --> 00:27:39,590 +meatus هي عبارة عن meatus، canal أو tube، عبارة عن + +352 +00:27:39,590 --> 00:27:43,110 +قناة موجودة هنا بالصورة، واضحة عندي أكثر من الـ + +353 +00:27:43,110 --> 00:27:44,530 +skeleton طبعا + +354 +00:27:46,930 --> 00:27:52,630 +هذه الفتحة الصغيرة اللي موجودة داخل العظم، طبعا هذا + +355 +00:27:52,630 --> 00:27:57,010 +عبارة عن الـ Acoustic meatus هنا اسمها، أو هوائي، إحنا + +356 +00:27:57,010 --> 00:28:02,550 +بنسميه، يعني موجودة هنا في منطقة الأذن تقريبا، lateral + +357 +00:28:02,550 --> 00:28:06,610 +view لـ الـ temporal bone and skull، موجودة الـ + +358 +00:28:06,610 --> 00:28:09,610 +temporal bone اللي هي العظم الجانبية اللي موجودة + +359 +00:28:09,610 --> 00:28:13,890 +في الجمجمة، لإيش هذه الـ meatus أو لإيش هذه القناة + +360 +00:28:13,890 --> 00:28:19,610 +أو الـ tube أو اللي هي موجودة، لإنه ممكن يمر خلالها + +361 +00:28:19,610 --> 00:28:25,290 +nerve، ممكن يمر خلالها artery، ممكن يمر خلالها lymph + +362 +00:28:25,290 --> 00:28:28,590 +vessels، أي شيء من اللي إحنا أخدناه، لإنه زي ما + +363 +00:28:28,590 --> 00:28:32,810 +حكينا، الـ bone لازم اللي هي تتغذى، يكون في عندها + +364 +00:28:32,810 --> 00:28:37,970 +nutritional supply، blood supply، كل الأمور هذه + +365 +00:28:37,970 --> 00:28:42,750 +فبالتالي ممكن يمر عن طريق هذه الـ meatus، أي شيء من + +366 +00:28:42,750 --> 00:28:47,700 +اللي هو مكونات أو أجزاء العظام، نشوف اللي بعدها + +367 +00:28:47,700 --> 00:28:54,020 +الفُصّة، كلمة فُصّة تعني shallow، basin-like، فُصّة يعني + +368 +00:28:54,020 --> 00:28:59,950 +عبارة عن اللي هو، فيه هنا الـ glenoid fossa، اللي موجود + +369 +00:28:59,950 --> 00:29:04,070 +عبارة عن تجويف، لاحظوا معايا هنا، دي بس طالعة لفوق + +370 +00:29:04,070 --> 00:29:08,450 +شوية، هذه الصح، أنها تكون هنا بالـ glenoid fossa، هذه الـ + +371 +00:29:08,450 --> 00:29:13,350 +scapula عشان تربط معاها الـ humerus، لازم هنا يكون + +372 +00:29:13,350 --> 00:29:18,150 +في عندي حاجة غائرة لجوه، اللي هي shallow depression + +373 +00:29:18,150 --> 00:29:24,110 +يعني مش زي ها على سبيل المثال زي الـ acetabulum هنا، + +374 +00:29:24,110 --> 00:29:27,690 +هنا هذه لأنها عظمة كبيرة و هتحمل وزن الإنسان كله + +375 +00:29:27,690 --> 00:29:32,330 +فبالتالي بتكون غائرة لجوه أكثر، هنا لأ، shallow، + +376 +00:29:32,330 --> 00:29:36,970 +التسطح تبعها أو المساحة تبعتها سطحية، مش جاية بشكل + +377 +00:29:36,970 --> 00:29:41,570 +غائر إلى الداخل، تمام؟ fissure هي عبارة عن narrow، + +378 +00:29:42,050 --> 00:29:47,830 +slit-like opening، عبارة عن اللي هو فتحة بتكون + +379 +00:29:47,830 --> 00:29:51,870 +موجودة في الـ.. أيضا في الـ head، هنا لو أخدت أنا + +380 +00:29:51,870 --> 00:29:56,470 +هذه الـ head وجلبتها، بلاقي تحت منها اللي هو narrow + +381 +00:29:56,470 --> 00:30:00,330 +أو fissure موجودة على شكل الـ slit-like اللي هي + +382 +00:30:00,330 --> 00:30:05,090 +الـ شقوق النحيفة أو اللي هو، خليني أحكي الشقوق الصغيرة + +383 +00:30:05,090 --> 00:30:11,330 +من الفتحات، شرخ يعني، fissure، حاجة بسيطة جدا، أيضا من + +384 +00:30:11,330 --> 00:30:14,630 +الـ depression، في عندي حاجة اسمها الـ sinuses اللي + +385 +00:30:14,630 --> 00:30:19,310 +إحنا حكينا عليها، اللي هي عبارة عن التجاويف اللي + +386 +00:30:19,310 --> 00:30:24,830 +موجودة هنا، بنسميها الجيوب الأنفية، I have four + +387 +00:30:24,830 --> 00:30:29,830 +pairs، أربعة أزواج من الجيوب الأنفية، cavity within + +388 +00:30:29,830 --> 00:30:35,380 +bone، التجاويف موجودة داخل العظام، ممتلئة بالهواء + +389 +00:30:35,380 --> 00:30:40,180 +linked with mucous membrane، هذه التجاويف هناخدها إن + +390 +00:30:40,180 --> 00:30:44,000 +شاء الله في skeletal system، تلاتة، التجاويف هذه + +391 +00:30:44,000 --> 00:30:49,580 +وظيفتها أن هي عبارة عن أربعة أزواج، ممتلئة بالهواء + +392 + +445 +00:34:51,170 --> 00:34:53,390 +الـBullmarking ويعطي كل شيء. diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/TyGa94Cqd2o_postprocess.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/TyGa94Cqd2o_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..bba9b0d54708b590f3e2658b331362944030dcb0 --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/TyGa94Cqd2o_postprocess.srt @@ -0,0 +1,1780 @@ +1 +00:00:04,890 --> 00:00:07,830 +بسم الله الرحمن الرحيم و الصلاة و السلام على أشرف + +2 +00:00:07,830 --> 00:00:11,510 +الأنبياء و المرسلين، أعزائي الطلاب، عزيزي + +3 +00:00:11,510 --> 00:00:15,330 +الطالبات، هذا أول لقاء يكون مباشر بيننا، التصوير + +4 +00:00:15,330 --> 00:00:19,810 +هيكون صوت و صورة في الجامعة، طبعا في قاعة التصوير، + +5 +00:00:19,810 --> 00:00:24,900 +انتهينا من تلت شباتر في مساقع علم التشريحاللي هو + +6 +00:00:24,900 --> 00:00:30,120 +طبعا ال basic anatomy هو اللي أخدنا فيه ثلاث شبات + +7 +00:00:30,120 --> 00:00:33,880 +اليوم ان شاء الله رب العالمين هدخل في chapter صغير + +8 +00:00:33,880 --> 00:00:37,360 +اللي هو عبارة عن زي ما انتوا شايفين هذا هو عبارة + +9 +00:00:37,360 --> 00:00:41,140 +عن الهيكل العضمى هذا كله هناخده بالتفصيل ان شاء + +10 +00:00:41,140 --> 00:00:44,140 +الله رب العالميناليوم فقط هحكي على الـ Bull + +11 +00:00:44,140 --> 00:00:48,560 +Marking وهي ما يسمى بالناتوئات العضمية سواء كانت + +12 +00:00:48,560 --> 00:00:52,300 +الناتوئات العضمية البارزة أو الناتوئات العضمية + +13 +00:00:52,300 --> 00:00:57,500 +الغائرة أي الداخلة إلى داخل العظم أهلا وسهلا فيكم + +14 +00:00:57,500 --> 00:01:01,120 +كمان مرة أنا الدكتور أناني مزهر مدرسة المساق الآن + +15 +00:01:01,120 --> 00:01:04,540 +أخدنا في ال skeletal system من البداية في عند ال + +16 +00:01:04,540 --> 00:01:10,000 +axial اللي هو يشتمل ال headThoracic والبلفق هذا هو + +17 +00:01:10,000 --> 00:01:14,040 +عبارة عن إيش ال axial skeleton في عندنا بي أو + +18 +00:01:14,040 --> 00:01:17,540 +group بي ما يسمى بي ال abdicular skeleton اللي هو + +19 +00:01:17,540 --> 00:01:21,640 +بيشمل ال peripheral limb اللي هي الأطراف الأربعة + +20 +00:01:21,640 --> 00:01:26,640 +في عندي أطراف عليا right and left و أطراف سفلة + +21 +00:01:26,640 --> 00:01:29,950 +اللي هي أيضا right and leftالان حكينا ان هذه + +22 +00:01:29,950 --> 00:01:34,650 +الأطراف هي ليست عائلة ترتبط ارتباط مباشر يا اما + +23 +00:01:34,650 --> 00:01:38,990 +بال ثورسك عن طريق اللي هو الجيردل او ما يسمى + +24 +00:01:38,990 --> 00:01:43,010 +بالحزام يسمى ال pictorial girders ارتباط اللمس + +25 +00:01:43,930 --> 00:01:47,670 +الثرسيك هو عبارة عن اللي هو الـ pectoral girdles + +26 +00:01:47,670 --> 00:01:52,930 +أيضا ارتباط الأطراف السفلية بالبلفك يسمى البلفك + +27 +00:01:52,930 --> 00:01:58,390 +garden هذه مقدمة سريعة خليني أبدأ في اللي هو طبعا + +28 +00:01:58,390 --> 00:01:59,430 +ال bone marking + +29 +00:02:04,450 --> 00:02:09,750 +There are two types of bone marking في عندى نوعين + +30 +00:02:09,750 --> 00:02:13,110 +من أنواع ال bone marking ال projections هي عبارة + +31 +00:02:13,110 --> 00:02:17,050 +عن أكابروسيز في اللاتيني that grow out from bones + +32 +00:02:17,050 --> 00:02:22,450 +إذا هي عبارة عن نتوء عضمى يقع خارج العضمةيعني على + +33 +00:02:22,450 --> 00:02:27,190 +سبيل المثال إذا أنا جبت هذه العضمة، طبعا هذه كلها + +34 +00:02:27,190 --> 00:02:31,350 +على بعضها اسمها الـHumerus، تمام؟ هذه عضمة + +35 +00:02:31,350 --> 00:02:35,110 +الـHumerus، في نتوء عضمي زيادة هنا عندي طالع، هذا + +36 +00:02:35,110 --> 00:02:39,710 +النتوء طبعا هو عبارة عن طالع عن براة استقامة + +37 +00:02:39,710 --> 00:02:42,430 +العضمة، يعني إحنا لما بنيجي نرسم هذه العضمة، لازم + +38 +00:02:42,430 --> 00:02:47,350 +أرسم هنا زوائد وحاجات طالعة لبرا، هذه الزوائد هي + +39 +00:02:47,350 --> 00:02:51,950 +عبارة عن الـprojectionsتمام؟ الآن في عندى زى ما في + +40 +00:02:51,950 --> 00:02:56,270 +عندنا projections في عندى اللى هو طبعا هنا كمان في + +41 +00:02:56,270 --> 00:02:59,310 +الصورة نفس الكلام موضح لنا خلينى شوية أجيب + +42 +00:02:59,310 --> 00:03:03,710 +الاسكتاتول هدى للجانب ونشوف الصورة هنا في عندنا + +43 +00:03:03,710 --> 00:03:08,330 +اللى هو زى ما هو موضحلى في ال head أو بنسميها اللى + +44 +00:03:08,330 --> 00:03:13,340 +هى رأس العضمة زى ما انتوا شايفينها هناتمام الـ + +45 +00:03:13,340 --> 00:03:16,340 +depressions أو ما يسمى بالـ cavities اللي احنا + +46 +00:03:16,340 --> 00:03:19,680 +أخدناها أخدنا في عندنا cavities في الشبتر الأول في + +47 +00:03:19,680 --> 00:03:25,200 +ال cranial cavity اللي هي ما يسمى بالتجويف العضمي + +48 +00:03:25,200 --> 00:03:28,800 +اللي موجود في الرأس في عندنا ال thoracic cavity في + +49 +00:03:28,800 --> 00:03:32,600 +عندنا ال pelvic cavity تمام هذه ال cavities اللي + +50 +00:03:32,600 --> 00:03:39,910 +هي تجويفthat are طبعا اللي هي indetta bone هي + +51 +00:03:39,910 --> 00:03:44,770 +بتكون غائرة داخل العضم يعني زي ما في أنا عندي + +52 +00:03:44,770 --> 00:03:47,310 +بروزات طالعة برا زي ما إحنا شايفين هنا في ال + +53 +00:03:47,310 --> 00:03:51,030 +clavicle زي ما إحنا شايفين في اللي هي ال spine في + +54 +00:03:51,030 --> 00:03:56,290 +ال vertebra في عندي تجاويف جاية للداخل إذا في عندي + +55 +00:03:56,290 --> 00:04:01,550 +تجاويف داخلية وفي عندي بروزات خارجية تمام هذا + +56 +00:04:01,550 --> 00:04:09,960 +بالنسبة لتقسيمنا لل bonemarking الان + +57 +00:04:09,960 --> 00:04:14,120 +خليني اذكرهم عشان كل واحدة نعرف ايش تعريفها و + +58 +00:04:14,120 --> 00:04:17,800 +نشوفها على الرسمة حتى اقدر انا احددها ال + +59 +00:04:17,800 --> 00:04:22,700 +projections فى عندي حاجة اسمها condyle head, + +60 +00:04:23,500 --> 00:04:28,280 +faced, رمس, crest ايه بيه condyle + +61 +00:04:30,960 --> 00:04:37,360 +نشوفها tubercle tubericity trochanter spine الأن + +62 +00:04:37,360 --> 00:04:41,340 +هذه العشرة كل واحدة بالتفصيل هشرح عنها و نعرف + +63 +00:04:41,340 --> 00:04:47,020 +تعريفها تمام؟ هي هي هي كلها بتندرج تحت فئة ال + +64 +00:04:47,020 --> 00:04:51,180 +projections اللي هي البروزات العضمية اللي بارزة + +65 +00:04:51,180 --> 00:04:56,520 +برات الهيكل العضمى أجل الجروب التاني group B اللي + +66 +00:04:56,520 --> 00:05:03,180 +هو عبارة عن ال depressionmeatus، فسة، fischer، + +67 +00:05:03,180 --> 00:05:10,400 +sens and sulcus أو ال groove طبعا و اللي هو عبارة + +68 +00:05:10,400 --> 00:05:16,730 +عن خمس bull marking اللي هي علامات العظامهنا + +69 +00:05:16,730 --> 00:05:20,430 +خلّيني أحكي عن حاجة شو الهدف أنه أنا أدرس أو شو + +70 +00:05:20,430 --> 00:05:24,390 +الهدف أنه أنا أاخد ال bull marking اليوم إحنا على + +71 +00:05:24,390 --> 00:05:28,370 +سبيل المثال لو إجاني طفل صغير و حكينا بدنا نقيس + +72 +00:05:28,370 --> 00:05:33,110 +طول القدمين هل في قصر في إحداهما عن الأخرى باجب + +73 +00:05:33,110 --> 00:05:37,630 +أحط ال meter عندي على هذه الحافة اللي هي بنسميها + +74 +00:05:37,630 --> 00:05:42,670 +Asis هذه الحافة لحد الرمانة الداخلية اللي موجودة + +75 +00:05:42,670 --> 00:05:47,550 +تحتفبالتالي هذا القياس بيعطيني قياس دقيق صحيح، + +76 +00:05:47,550 --> 00:05:51,270 +بعكس لما أجي أجيس على سبيل المثال من السرة و أنزل + +77 +00:05:51,270 --> 00:05:55,510 +فيه للإجر لتحت، إذا بتفيدني هاي ال bone marking في + +78 +00:05:55,510 --> 00:05:59,550 +القياسات الصحيحة، اللي هي استخدامات أخرى مهمة أنا + +79 +00:05:59,550 --> 00:06:05,130 +كفريق طبي أو كطبي بكرا أصبح في المجال العملي لازم + +80 +00:06:05,130 --> 00:06:09,780 +أكون عارف شو يعني ال bone markingنبدأ في البداية + +81 +00:06:09,780 --> 00:06:13,880 +بسم الله الرحمن الرحيم نبدأ شو تعريف اللي هي + +82 +00:06:13,880 --> 00:06:18,400 +lithiubricity lithiubricity هي عبارة عن rounded + +83 +00:06:18,400 --> 00:06:23,500 +projections هي عبارة عن بروز دائري موجود داخل + +84 +00:06:23,500 --> 00:06:27,860 +العضمة المحاضرة القادمة بإذن الله تعالى هجيب الحكم + +85 +00:06:27,860 --> 00:06:32,850 +العضمي اللي احنا بنفككه واحد واحدإذن ال tuberosity + +86 +00:06:32,850 --> 00:06:37,330 +هي عبارة عن round projections هنا طبعا مهم جدا زي + +87 +00:06:37,330 --> 00:06:40,990 +ما بتسألوا انتوا دائما كيف صيغت السؤال في الامتحان + +88 +00:06:40,990 --> 00:06:44,370 +أو كيف ممكن انا اعرف ادرس هذا الاشي هذا الاشي + +89 +00:06:44,370 --> 00:06:47,530 +لازمه فهم في البداية بعد انحفظ انا باجي على ال + +90 +00:06:47,530 --> 00:06:50,610 +skeleton او على اي رسمة موجودة عندكم طبعا ال + +91 +00:06:50,610 --> 00:06:53,910 +YouTube مليانة خصوصا اللي هي الأفلام ال video ال + +92 +00:06:53,910 --> 00:06:59,430 +3D هاي والمقاطعفي عندنا برامج خاصة للاناتومي انت + +93 +00:06:59,430 --> 00:07:04,290 +بتمسك اللي هو كل جوالاتكم حديثة بتمسك و بتشوف كل + +94 +00:07:04,290 --> 00:07:08,170 +عضمة بيجيبلك العضمة وين أساسها وين أصلها وشو ال + +95 +00:07:08,170 --> 00:07:11,950 +projections اللي موجودة فيها Lithopicity نرجع تاني + +96 +00:07:11,950 --> 00:07:15,670 +هي عبارة عن rounded projections يعني اللي هو بروز + +97 +00:07:15,670 --> 00:07:20,550 +دائري طالع لبره كلمة crest ال crest تعني حافة + +98 +00:07:20,550 --> 00:07:26,510 +تمام؟ هذه الحافة هي عبارة عن ناروprominent ridge + +99 +00:07:26,510 --> 00:07:32,010 +of bone هي عبارة عن ممر ضيق بحكي عليه اللي هو + +100 +00:07:32,010 --> 00:07:37,230 +ridge حافة شايفين هنا منطقة الحوض هذه المنطقة او + +101 +00:07:37,230 --> 00:07:41,470 +اللي هو اجيب التصوير من هنا هذه الحافة هي اسمها + +102 +00:07:41,470 --> 00:07:45,610 +crest إلياك ككريست هذه عضمة الإلياك هنا في عندي + +103 +00:07:45,610 --> 00:07:51,130 +حاجة اسمهاIliac crest تمام؟ اذا الـ crest هي عبارة + +104 +00:07:51,130 --> 00:07:55,010 +عن الـ prominent ridge of bone ال true counter + +105 +00:07:55,010 --> 00:07:58,690 +كلمة ال true counter لاحظوا كيف أنا بانطقها عشان + +106 +00:07:58,690 --> 00:08:02,750 +احنا لساتنا سنة أولى لازم نتعلم الصح true counter + +107 +00:08:02,750 --> 00:08:06,910 +بقسمها باسمين اذا ال true counter هي عبارة عن + +108 +00:08:06,910 --> 00:08:13,980 +large بلندirregular surface large كبيرة بلا انتحدة + +109 +00:08:13,980 --> 00:08:17,920 +irregular غير منتظمة ال true counter موجودة فقط في + +110 +00:08:17,920 --> 00:08:21,660 +ال lower limb باجي بحط على المؤشر أنها موجودة فقط + +111 +00:08:21,660 --> 00:08:25,630 +في ال lower limb يعني مافي عندي true counterفى ال + +112 +00:08:25,630 --> 00:08:29,550 +upper limb لأ هي فقط موجودة فى ال lower limb اذا + +113 +00:08:29,550 --> 00:08:33,550 +الـ trochanter موجودة هنا عندى فى الفيمر هذه اللى + +114 +00:08:33,550 --> 00:08:38,730 +هى عضمة الفخد هذه العضمة فى عندى حاجة اسمها اللى + +115 +00:08:38,730 --> 00:08:44,430 +هى trochanter فى منها قسمين فى منها صغيرة lesser + +116 +00:08:44,430 --> 00:08:51,700 +وفى greaterطبعا إذا في عندي lesser true counter + +117 +00:08:51,700 --> 00:08:56,020 +وفي عندنا greater true counter طبعا إذا ال true + +118 +00:08:56,020 --> 00:08:58,540 +counter هي عبارة عن balanced large irregular + +119 +00:08:58,540 --> 00:09:03,440 +surface فيها ال two types lesser and greater ال + +120 +00:09:03,440 --> 00:09:08,110 +true counter حكينا موجودة فقط في ال lower limbline + +121 +00:09:08,110 --> 00:09:12,770 +هو عبارة عن narrow ridge of bone هو عبارة عن خط + +122 +00:09:12,770 --> 00:09:18,470 +صغير موجود في العظام لو أجي للوحة الكتف هنا بلاقي + +123 +00:09:18,470 --> 00:09:22,890 +أنا في عندي line line هذا ال line طبعا يختلف عن + +124 +00:09:22,890 --> 00:09:25,590 +هذا البروز اللي فوق هنا هو ال line هذا موجود above + +125 +00:09:25,590 --> 00:09:31,310 +and below لهذا البروز إذن line هو عبارة عن خط صغير + +126 +00:09:31,310 --> 00:09:37,310 +أو خط ضيق في حافة العضمةتمام؟ كمان أيضا على الصور + +127 +00:09:37,310 --> 00:09:41,750 +راح أوريكم إياهم نيجي نشوف lithiopercle small + +128 +00:09:41,750 --> 00:09:45,530 +rounded projections هاي lithiopercle أخدنا + +129 +00:09:45,530 --> 00:09:48,650 +lithiopercle في العظام هي عبارة عن تجاويف هاي + +130 +00:09:48,650 --> 00:09:52,790 +التجاويف أجي أنا هنا للساعد هذه اللي هي هنا موجودة + +131 +00:09:52,790 --> 00:09:56,610 +هذا هو lithiopercle واضح معايا على الصورة كده؟ + +132 +00:09:56,850 --> 00:10:00,710 +Lithiopercle هو عبارة عن small rounded projections + +133 +00:10:00,710 --> 00:10:06,850 +موجود بروز دائري صغير في العضام الطويلة إذاً + +134 +00:10:06,850 --> 00:10:12,030 +Lithiopercle هو عبارة عن بروز صغير خارج العضمة + +135 +00:10:12,030 --> 00:10:17,350 +دائري بيكون شكله وصغير تمام نيجي نشوف اللي هو + +136 +00:10:17,350 --> 00:10:23,140 +الحاجة اللي بعديهاTuberosity كلمة tuberosity هي + +137 +00:10:23,140 --> 00:10:27,260 +عبارة عن large rounded أو roughened projections + +138 +00:10:27,260 --> 00:10:32,380 +عكس لtubercle لtubercle small أما لtubercity هي + +139 +00:10:32,380 --> 00:10:38,720 +عبارة عن large و بتكون طبعا خشنة اللي هو يعني ليست + +140 +00:10:38,720 --> 00:10:44,260 +ناعمة بروز عضمي خشن دائري هشوفها على الرسمة و + +141 +00:10:44,260 --> 00:10:48,300 +انشوفها على ال skeleton كمان هذا لtubercleOkay + +142 +00:10:48,300 --> 00:10:52,240 +هايوا فى عنا ال greater الbercle او خلينى اشهركميا + +143 +00:10:52,240 --> 00:10:55,980 +هنا بيكون موجود اللى هنا هذا هو عبارة عن ال + +144 +00:10:55,980 --> 00:11:01,220 +greater الbercle شوية شوية بمبدأ اللى هو نحفظهم و + +145 +00:11:01,220 --> 00:11:06,310 +بتكون الأمور سهلة معاناتمام؟ إذا في عندي هنا حاكي + +146 +00:11:06,310 --> 00:11:10,970 +لك ال proximal tibia يعني في العظام السفلية زي ما + +147 +00:11:10,970 --> 00:11:15,430 +في tubercle أو tuberosity في العظام اللي هي ال + +148 +00:11:15,430 --> 00:11:19,550 +upper limb في أيضا ال tubercle هيها هذه البروز + +149 +00:11:19,550 --> 00:11:24,050 +العضمي اللي هنا هذا البروز اللي هو بيكون أمامي في + +150 +00:11:24,050 --> 00:11:29,590 +ال tibia في القصبةtrue counter أيضا هي very large + +151 +00:11:29,590 --> 00:11:33,230 +balanced projections ومرنا عليها موجودة زي ما + +152 +00:11:33,230 --> 00:11:38,830 +حكيتلكم بالفيمر فقط بال lower limb يعني هنا بيجيني + +153 +00:11:38,830 --> 00:11:44,730 +سؤال true and false or mcqفي هاي النقطة true + +154 +00:11:44,730 --> 00:11:48,570 +counter is a very large bunch of projections only + +155 +00:11:48,570 --> 00:11:52,110 +in the humerus لو حكيت هنا في ال humerus معناته + +156 +00:11:52,110 --> 00:11:57,810 +هذا خطأ هي موجودة فقط بالفيمر والفيمر أحد عظام + +157 +00:11:57,810 --> 00:11:59,950 +اللي هي our limb + +158 +00:12:02,520 --> 00:12:05,260 +الـ Electrocanter زي ما وردكم إياها هنا على الـ + +159 +00:12:05,260 --> 00:12:08,740 +skeleton موجودة كمان معاكم على الصورة في ال slides + +160 +00:12:08,740 --> 00:12:13,480 +هاي ال Electrocanter في منها greater و في منها + +161 +00:12:13,480 --> 00:12:19,420 +lesser يعني صغيرة نيجي نشوف أيضا ال projections في + +162 +00:12:19,420 --> 00:12:23,580 +عندى اللي هي lithiopricity طبعا نفس الاشي مرت + +163 +00:12:23,580 --> 00:12:28,720 +علينا قبل هيك round projections اللي هو بروز خارجي + +164 +00:12:28,720 --> 00:12:35,000 +لبرا طالع برات للدائرةهنا التعريف كانت بتعيد و + +165 +00:12:35,000 --> 00:12:38,360 +بتكرر حالها عشان أنا كنت أحط التعريف بجانب الصورة. + +166 +00:12:38,800 --> 00:12:43,800 +Crest طبعا اللي هو عبارة عن الـ narrow ridge أو ال + +167 +00:12:43,800 --> 00:12:46,820 +prominent ridge اللي موجودة و ال true counter زي + +168 +00:12:46,820 --> 00:12:52,640 +ما شوفناها irregular وموجودة داخل ال lower limb ال + +169 +00:12:52,640 --> 00:12:56,880 +tubercle هي عبارة عن small round projections + +170 +00:12:56,880 --> 00:13:04,610 +tubercle حاجة اسمها tubercleالـ Condyle هي عبارة + +171 +00:13:04,610 --> 00:13:08,690 +عن الاشي اللي موجود في نهاية العضمة احنا حكينا هذه + +172 +00:13:08,690 --> 00:13:12,510 +النقطة هي proximal هذه النقطة هنا digital الـ + +173 +00:13:12,510 --> 00:13:16,890 +Condyle هو عبارة عن proud articular projections + +174 +00:13:16,890 --> 00:13:22,270 +شايفين؟ في تمفصل للـ Condyle هنا في تمفصل له اللي + +175 +00:13:22,270 --> 00:13:26,230 +هو عضمة الهيوميرس مع العضمتين اللي موجودين تحت + +176 +00:13:26,230 --> 00:13:31,430 +حاجة اسمها الـ Condyleإذن هي عبارة عن round + +177 +00:13:31,430 --> 00:13:35,030 +articular projections طالما حكيت articular معناته + +178 +00:13:35,030 --> 00:13:38,670 +الحكي انه انا هنا بحكي على joints هذا ال joints او + +179 +00:13:38,670 --> 00:13:43,990 +هذا المفصل طبعا لازم يكون في articulation في مفصل + +180 +00:13:43,990 --> 00:13:49,790 +في عندى في المنطقة ال ibicondyle حاجة اسمها فوق + +181 +00:13:49,790 --> 00:13:53,370 +الcondyle انا هنا عندى الcondyle في حاجة + +182 +00:13:53,370 --> 00:13:58,500 +ibicondyleraised area above condyle وهنا هذه + +183 +00:13:58,500 --> 00:14:03,280 +المحاضرة كلها تقريبا بتيجي عندى في المصطلحات اذا + +184 +00:14:03,280 --> 00:14:07,680 +اي بي condyle هي المنطقة raised above condyle + +185 +00:14:07,680 --> 00:14:13,380 +المنطقة اللى موجودة فوق ال condyle الآن هي ال + +186 +00:14:13,380 --> 00:14:20,270 +condyleأجي لعضمة الهيوميرا هاي ال conile هاي اللي + +187 +00:14:20,270 --> 00:14:23,610 +هنا ال ابي conile خلينا نشوف في الكاميرا هنا + +188 +00:14:23,610 --> 00:14:30,270 +conile هنا ابي conile ابي لإنه إجت فوق، aboveهاي + +189 +00:14:30,270 --> 00:14:34,710 +Condyle، هاي بيه Condyle الـ Spine أو ما يسمى + +190 +00:14:34,710 --> 00:14:38,690 +بالشوكة باللغة العربية هي عبارة عن حاجة Sharp، + +191 +00:14:38,690 --> 00:14:44,030 +حادة، slender projections إذا حاد أو بنسميها + +192 +00:14:44,030 --> 00:14:49,330 +الشوكة طبعا Sharp slender projections وين في عندي + +193 +00:14:49,330 --> 00:14:53,290 +Spine؟ ال Spine زي على سبيل المثال هنا اللي موجود + +194 +00:14:53,290 --> 00:14:59,410 +في لوحة الكتف هذه اللوحة هذا الاشي بسميه Spineيعني + +195 +00:14:59,410 --> 00:15:04,530 +عبارة عن اللي هو شوكة حادة موجودة في لوحة الكتف + +196 +00:15:04,530 --> 00:15:08,790 +الأعلى منها بسميه subra والأقل أو الأسفل منها + +197 +00:15:08,790 --> 00:15:14,090 +بسميه infra subra حكينا عليها above أو أعلى sub + +198 +00:15:14,090 --> 00:15:19,310 +inferior اللي هو below أو أعلىأيضا هذه البروزات + +199 +00:15:19,310 --> 00:15:23,070 +اللي موجودة في العمود الفقري زي ما انتوا شايفينها + +200 +00:15:23,070 --> 00:15:27,230 +هي عبارة عن spine ال vertebra spine يعني الشوكة + +201 +00:15:27,230 --> 00:15:34,310 +اللي موجودة في العمود الفقريprocess هي عبارة عن أي + +202 +00:15:34,310 --> 00:15:39,190 +بني prominance أي نتوء عظمي موجود عندى أي نتوء + +203 +00:15:39,190 --> 00:15:44,310 +عظمى هو عبارة عن ال process تمام كلمة ال process + +204 +00:15:44,310 --> 00:15:49,550 +هي عبارة عن أي نتوء عظمى موجود عندى في الاسكتاتون + +205 +00:15:49,550 --> 00:15:56,570 +نعيد + +206 +00:15:56,570 --> 00:16:02,810 +كمان مرة ال tubercleالكندال والابيكندال أخدنا و ال + +207 +00:16:02,810 --> 00:16:06,890 +spine و ال process ال tubercle هي عبارة عن small + +208 +00:16:06,890 --> 00:16:13,070 +rounded projections موجود في عندي أيضا اللي هي + +209 +00:16:13,070 --> 00:16:16,870 +الكندال حكينا عبارة عن round articular projections + +210 +00:16:16,870 --> 00:16:20,290 +طالما حكيت articular معناة الحكي أنه هيكون في عندي + +211 +00:16:20,290 --> 00:16:24,340 +jointالاشي اللى فوق منها اسمه Epicondyle زى ما + +212 +00:16:24,340 --> 00:16:28,540 +حددنا بال marker تمام عندنا مختبر كامل احنا موجود + +213 +00:16:28,540 --> 00:16:33,580 +في الجامعة في اللى هو للتشريح موجود اجهزة مفككة + +214 +00:16:33,580 --> 00:16:37,740 +ففي طالب يمسك كل عضمة بعضمتها ان شاء الله بننتقل + +215 +00:16:37,740 --> 00:16:41,620 +للتعليم الوجاهي و بنشوفه ال spine هي عبارة عن + +216 +00:16:41,620 --> 00:16:46,480 +sharp slender projections sharp يعني حاد او يعني + +217 +00:16:46,480 --> 00:16:51,620 +حافته بتكون زى السكينةslender projections استوانية + +218 +00:16:51,620 --> 00:16:56,540 +اللي هو الشكل زي ما شوفناها هنا في عندى اللي هو ال + +219 +00:16:56,540 --> 00:17:00,420 +spine هذه اللي في لوحة الكتف أو ال spine اللي + +220 +00:17:00,420 --> 00:17:04,380 +موجودة في الفرتب أيضا في عندنا ال process حكيناها + +221 +00:17:04,380 --> 00:17:08,860 +عبارة عن أي نتوء عظمى موجود داخل الجسم + +222 +00:17:11,350 --> 00:17:14,730 +الـ Joint Projections هنا كل واحدة هيحكيها مع + +223 +00:17:14,730 --> 00:17:18,850 +الصورة تبعتها Condyle نفس الكلام هنعيده و نشرحه + +224 +00:17:18,850 --> 00:17:23,150 +كمان مرة مهمة كتير هذه المحاضرة انه انا احفظها في + +225 +00:17:23,150 --> 00:17:27,030 +مصطلحاتها و احددها على الرسمة الـ Round Articular + +226 +00:17:27,030 --> 00:17:30,910 +Projections زي ما انتوا شايفين وضحتها انا كمان على + +227 +00:17:30,910 --> 00:17:37,430 +ال skeleton هي في عندي right و بنحكي media condyle + +228 +00:17:38,550 --> 00:17:44,130 +ولاترال تمام median لأنه قريبة من ال midline يعني + +229 +00:17:44,130 --> 00:17:47,870 +انا اليوم لما اجيب هذا ال skeleton كده بجانبي و هو + +230 +00:17:47,870 --> 00:17:51,230 +واقف في ال anatomical position تمام يعني انا واقفة + +231 +00:17:51,230 --> 00:17:54,430 +في هذا ال anatomical position ال eye forward ال + +232 +00:17:54,430 --> 00:17:59,210 +palms forward بحكي هذه النطفة اللي قريبة من ال + +233 +00:17:59,210 --> 00:18:04,830 +midline هي عبارة عنالـ Medial Condyle و اللي بعيدة + +234 +00:18:04,830 --> 00:18:10,430 +هي عبارة عن الـ Lateral Condyle تمام هنا Medial و + +235 +00:18:10,430 --> 00:18:14,410 +هنا بتيجي ال Lateral Condyle زي ما احنا شايفينها + +236 +00:18:14,410 --> 00:18:18,470 +في الصورة هنا جايلي هذا الـ Digital End من الفيمر + +237 +00:18:18,470 --> 00:18:24,510 +Digital End يعني قريبة من ال knee jointأخدنا شو + +238 +00:18:24,510 --> 00:18:28,450 +يعني digital و أخدنا شو يعني proximal إذا وين فيه + +239 +00:18:28,450 --> 00:18:32,490 +articulation أو وين بدي يصير فيه عندي مفصل هعمل + +240 +00:18:32,490 --> 00:18:37,410 +فيه .. هلاجي فيه condyle و إيه بيكون condyle okay؟ + +241 +00:18:37,410 --> 00:18:41,210 +هاي أيضا موجود في عندنا condyle بالفك زي ما إحنا + +242 +00:18:41,210 --> 00:18:45,810 +شايفين هاي فيه بروز هنا هذا اسمه condyle ال + +243 +00:18:45,810 --> 00:18:48,810 +mandibular joint أو هنا ال tendomandibular joint + +244 +00:18:48,810 --> 00:18:55,690 +هذا عبارة عن الفك السفلي فيه أيضا condyleأيضاً في + +245 +00:18:55,690 --> 00:19:00,310 +عندنا الـ crest واضح لشكلهافي القلنة و ال radius + +246 +00:19:00,310 --> 00:19:04,490 +اللي هي العضمات اللي هنا موجودين في ال forearm + +247 +00:19:04,490 --> 00:19:08,150 +العضمة الصغيرة اسمها ال radius والعضمة الكبيرة + +248 +00:19:08,150 --> 00:19:13,790 +اسمها القلنة تمام؟ الان في عندي في ال radius في + +249 +00:19:13,790 --> 00:19:17,690 +عندي حاجة اسمها اللي هو ال crest هاي زي ما احنا + +250 +00:19:17,690 --> 00:19:21,710 +شايفينه البروز العضمي أو الخط اللي طالع لبرا هذا + +251 +00:19:21,710 --> 00:19:27,290 +اسمه crest طبعا اللي موجودة ال line بيكون أصغر من + +252 +00:19:27,290 --> 00:19:31,780 +ال crestsmaller than a crest هاي كمان معلومة + +253 +00:19:31,780 --> 00:19:39,300 +ضفناها على ال line ال Epicondyle a raised area and + +254 +00:19:39,300 --> 00:19:44,280 +above condyle موجودة فوق اللي هي ال condyle يعني + +255 +00:19:44,280 --> 00:19:48,700 +هذه اللي هنا بالإشارة هي Epicondyle و اللي موجودة + +256 +00:19:48,700 --> 00:19:54,600 +هنا هي عبارة عن condyle تمام؟ هاي بالنسبة للعظام + +257 +00:19:58,190 --> 00:20:03,430 +هنا في هاي ال slide وضح لي أنه فيه أخد عينة أو أخد + +258 +00:20:03,430 --> 00:20:08,250 +فقرة من اللي هو thoracic vertebra يعني فقرات القفص + +259 +00:20:08,250 --> 00:20:12,910 +الصدري الفقرات الصدرية احنا بنسميهم بالمناسبة كنا + +260 +00:20:12,910 --> 00:20:17,330 +بنحكي على عظام اللي هو الفقرات في عندي سبعة + +261 +00:20:17,330 --> 00:20:21,270 +cervical واحد اتنين تلاتة اربعة خمسة ستة سبعة لحد + +262 +00:20:21,270 --> 00:20:25,570 +هنا هذه السابعة بتكل سبينس ال process هناخدها ان + +263 +00:20:25,570 --> 00:20:29,750 +شاء اللهأعلى منهم كلهم، بعدين في عندي اتناش + +264 +00:20:29,750 --> 00:20:36,170 +ثوراسيك، خمسة لمبر، خمسة كوكسيال أو بنسميهم اللي + +265 +00:20:36,170 --> 00:20:41,330 +هو الكوكسيالبون وتحت الساكرام، تمام؟ هذا بالنسبة + +266 +00:20:41,330 --> 00:20:48,200 +لعظام العمود الفقريهنا نفس الكلام بنحكي على الـ + +267 +00:20:48,200 --> 00:20:51,640 +bone projections اللي هو البروز العضمي اللي هو + +268 +00:20:51,640 --> 00:20:56,920 +طالع لبرا حكينا أي عضمة لازم يكون لها head لو اجيت + +269 +00:20:56,920 --> 00:21:01,040 +انا فككت هذه العضمة زي ما انتوا شايفينها هذا الرأس + +270 +00:21:01,040 --> 00:21:05,420 +تبعها اللي بتمفصل مع ال pictorial girdles أو ما + +271 +00:21:05,420 --> 00:21:10,430 +يسمى بالحزام الصدريهذا الـ head لازم يكون فيه neck + +272 +00:21:10,430 --> 00:21:15,410 +كل رأس لازم يكون لها رقبة بتحملها صحيح الكلام أنه + +273 +00:21:15,410 --> 00:21:20,230 +أنا عنده head فيه neck هنا فيه أيضا head بتتمفصل + +274 +00:21:20,230 --> 00:21:25,940 +مع ال acetabulum وفيه لها neck موجودة في الفيمرالـ + +275 +00:21:25,940 --> 00:21:30,020 +head تعريفها إيش؟ هي عبارة عن boom expansions + +276 +00:21:30,020 --> 00:21:34,140 +carried on a narrow neck عبارة عن امتداد للرأس + +277 +00:21:34,140 --> 00:21:41,000 +بتتم حمله أو بتتم اللي هو تحميله + +278 +00:21:41,230 --> 00:21:45,410 +على رقبة ضيقة طبعا ولا مرة شفنا أن الرقبة ممكن + +279 +00:21:45,410 --> 00:21:51,170 +تكون قطرها أوسع من الرأس هذا بالنسبة للـ head كل + +280 +00:21:51,170 --> 00:21:54,330 +العظام الطويلة طبعا زي ما أخدنا في أول chapter + +281 +00:21:54,330 --> 00:21:58,770 +تلاتة العظام الطويلة أو long bone لها head يعني + +282 +00:21:58,770 --> 00:22:02,190 +سواء هنا عندي في الهيوميرس سواء عندي في الفيمر + +283 +00:22:02,190 --> 00:22:07,840 +سواء بال radius والقلنة أو ال tibia والfibulafacet + +284 +00:22:07,840 --> 00:22:13,340 +هي عبارة عن ايش projection smooth ناعم قريب من ال + +285 +00:22:13,340 --> 00:22:17,500 +flat articular surface المفاصل المسطحة مين عندي + +286 +00:22:17,500 --> 00:22:21,700 +مفاصل مسطحة لو اجيت انا هنا بين الفقرات في عندي + +287 +00:22:21,700 --> 00:22:25,640 +facet joint هذا ال facet joint مش زي هذا المفصل + +288 +00:22:25,640 --> 00:22:31,100 +دائري وواسع الحركة ممكن انا اعمل flexion extension + +289 +00:22:32,260 --> 00:22:35,480 +abduction أو abduction يعني هذه الحركات اللي + +290 +00:22:35,480 --> 00:22:40,440 +موجودة انه معناة الكلام انه انا ممكن اتحرك في كل + +291 +00:22:40,440 --> 00:22:46,670 +الاتجاهات سواء إلى الأمام إلى الأعلىأو أبعد أو + +292 +00:22:46,670 --> 00:22:50,270 +قريب، لو قولنا قريب من ال midline، معناته هي أبعد + +293 +00:22:50,270 --> 00:22:54,570 +من ال midline، تمام؟ الآن هذا المفصل اللي هو بنحكي + +294 +00:22:54,570 --> 00:22:59,350 +عليه smooth and flat، مسطح، الحركة فيه هنا بسيطة + +295 +00:22:59,350 --> 00:23:02,890 +جدا، يعني يا إما إيش ممكن أنت تعمل في دهرك، إنه + +296 +00:23:02,890 --> 00:23:06,590 +أنا ممكن يا أنحني إلى الأمام أو أرجع تاني لوضعي + +297 +00:23:06,590 --> 00:23:10,550 +الطبيعيمعناة الكلام هنا عبارة عن flat articular + +298 +00:23:10,550 --> 00:23:15,990 +surface غير يختلف تماما عن الإيد أو اللي هي مفصل + +299 +00:23:15,990 --> 00:23:22,690 +ال shoulder أو مفصل ال hip الرمس الرمس هي عبارة عن + +300 +00:23:23,560 --> 00:23:29,480 +ذراع الـ Arm-like bar of bone عبارة عن ممر موجود + +301 +00:23:29,480 --> 00:23:34,120 +في العظام لو أجينا هنا على سبيل المثال في الإيد في + +302 +00:23:34,120 --> 00:23:39,840 +عندي رمس ممر لمرور ال vein ال artery ال nerve كل + +303 +00:23:39,840 --> 00:23:44,440 +هذه الشغلات بتكون موجودة للمرور عن طريق هذا ال + +304 +00:23:44,440 --> 00:23:48,800 +bone marking تمام؟ إذا الرمس هو عبارة عن الarm + +305 +00:23:48,800 --> 00:23:53,640 +-like bar of boneعبارة عن الذراع بنسميها أو طول + +306 +00:23:53,640 --> 00:23:56,460 +الذراع اللي موجود اتفقنا؟ + +307 +00:24:00,310 --> 00:24:05,090 +هنا كمان مرة ورانياهم على الصورة الـ head هي عبارة + +308 +00:24:05,090 --> 00:24:12,890 +عن expansions امتداد البونز على رقبة ضيقة ال facet + +309 +00:24:12,890 --> 00:24:16,870 +زي ما وراناياها هي عبارة عن ال smooth nearly في + +310 +00:24:16,870 --> 00:24:22,030 +flat articular surface وشوفنا ال articular surface + +311 +00:24:22,030 --> 00:24:28,110 +اللي هو موجود داخل الفقرات أو ما بين الفقرات في + +312 +00:24:28,110 --> 00:24:29,410 +العمود الفقري + +313 +00:24:33,480 --> 00:24:38,760 +تمام الرمس arm-like هي هنا في عندي رمس أيضا أنا + +314 +00:24:38,760 --> 00:24:42,680 +جبتلكم يا مثال في ال upper limb هنا أيضا في ال + +315 +00:24:42,680 --> 00:24:47,440 +lower limb هذه العضمة هي اللي موجودة هنا تمام اللي + +316 +00:24:47,440 --> 00:24:51,940 +هي عضاء من عظام ال hip point أو عظام الحوب okay + +317 +00:24:51,940 --> 00:24:56,200 +اللي هي ال essential tuberosity طبعا هنا ال + +318 +00:24:56,200 --> 00:25:00,700 +essential رمس أو اللي هو ذراع اللي موجودهي كمان + +319 +00:25:00,700 --> 00:25:04,500 +موجود في ال upper limb موجود في داخل الفك زي ما + +320 +00:25:04,500 --> 00:25:08,240 +انتوا شايفين السهم وين جاي هنا طبعا every palm + +321 +00:25:08,240 --> 00:25:13,100 +grow and hall has name كل إشي إله اسمه وكل إشي + +322 +00:25:13,100 --> 00:25:16,000 +هناخده ان شاء الله رب العالمين في chapter العظام + +323 +00:25:16,000 --> 00:25:22,960 +بالنسبة للتجاوفالآن أنا انتهيت من اللي هو الـ Bone + +324 +00:25:22,960 --> 00:25:27,600 +Projections أو النتوءات العضمية اللي بارزة خارج + +325 +00:25:27,600 --> 00:25:32,700 +الجسم في القسم الثاني اللي هو بيه النتوءات العضمية + +326 +00:25:32,700 --> 00:25:38,100 +الغائرة أو الداخلة في التجاويف زي مين؟ حاجة اسمها + +327 +00:25:38,100 --> 00:25:43,630 +الـ Maetus هي عبارة عن كان الـlike بس جوايالقناء + +328 +00:25:43,630 --> 00:25:47,490 +اللي هي بتكون موجودة داخل العظام طبعا عاملة زي + +329 +00:25:47,490 --> 00:25:51,570 +تجويف داخلي هنشوفها الـSense اللي هي عبارة عن + +330 +00:25:51,570 --> 00:25:57,470 +الجيوب الأنفية الـCavity اللي موجودة الجيوب + +331 +00:25:57,470 --> 00:26:02,900 +الأنفيةأو ال cavities اللي موجودة داخل ال head زي + +332 +00:26:02,900 --> 00:26:07,080 +ما احنا شايفينها هنا، هذه ال cavities بالمناسبة هم + +333 +00:26:07,080 --> 00:26:13,540 +أربع أزواج موجودين داخل اللي هو ال head فسة هي + +334 +00:26:13,540 --> 00:26:18,680 +عبارة عن shallow baseline depression، shallow، + +335 +00:26:18,680 --> 00:26:24,800 +سطحيمخفاض سطحي يعني مش لجوا غميق لأ أو عميق لأ هي + +336 +00:26:24,800 --> 00:26:29,180 +عبارة عن shallow سطحي baseline depression groove + +337 +00:26:29,180 --> 00:26:35,000 +هي عبارة عن ال throw يعني عبارة عن نتوء عضمي طويل + +338 +00:26:35,000 --> 00:26:38,080 +بيكون موجود هوريكم إياه على اللي هو ال skeleton + +339 +00:26:38,080 --> 00:26:43,320 +fishers still-like أو slit-like عبارة عن fishers + +340 +00:26:43,320 --> 00:26:47,580 +زي الشرخ اللي احنا أخدناه بأنواع الكسور foramen هي + +341 +00:26:47,580 --> 00:26:53,150 +عبارة عن roundedأو تجويف يا إما دائري أو بيضاوي + +342 +00:26:53,150 --> 00:26:58,690 +موجود داخل العضم على سبيل المثال أبدأها بآخرها + +343 +00:26:58,690 --> 00:27:02,890 +واحدة اللي هي ال foramen الآن لو أجيت أنا ل ال + +344 +00:27:02,890 --> 00:27:07,520 +head في عندي هناForamen، Magnum Foramen هذا الـ + +345 +00:27:07,520 --> 00:27:11,340 +Magnum Foramen اللي موجود تحت الـ head بيكون اللي + +346 +00:27:11,340 --> 00:27:16,200 +هو عبارة عن فتحة دائرية ينطلق أو يندرج تحتها اللي + +347 +00:27:16,200 --> 00:27:21,040 +هو العمود الفقري بيطلع منها الـ spinal cord واحنا + +348 +00:27:21,040 --> 00:27:24,880 +حكينا ال spinal cord هو أحد أساسيات ال nerve + +349 +00:27:24,880 --> 00:27:29,740 +system تمام؟ إذا أخدنا مثال على الفتحة الدائرية + +350 +00:27:29,740 --> 00:27:33,890 +اللي موجودة عندنا خليني أشوفهم واحدة واحدةالـ + +351 +00:27:33,890 --> 00:27:39,590 +meatus هي عبارة عن meatus canal أو tube عبارة عن + +352 +00:27:39,590 --> 00:27:43,110 +قناة موجودة هنا بالصورة واضحة عندي أكثر من ال + +353 +00:27:43,110 --> 00:27:44,530 +skeleton طبعا + +354 +00:27:46,930 --> 00:27:52,630 +هذه الفتحة الصغيرة اللي موجودة داخل العضم طبعا هذا + +355 +00:27:52,630 --> 00:27:57,010 +عبارة عن الفك Acoustic هنا اسمها أو هوائي احنا + +356 +00:27:57,010 --> 00:28:02,550 +بنسميه يعني موجودة هنا في منطقة الأذن تقريبا لاطر + +357 +00:28:02,550 --> 00:28:06,610 +ال view ل ال temporal bone and skull موجودة ال + +358 +00:28:06,610 --> 00:28:09,610 +temporal bone اللي هي العضم الجانبية اللي موجودة + +359 +00:28:09,610 --> 00:28:13,890 +في الجمجمة لإيش هذه ال myetas أو لإيش هذه القناة + +360 +00:28:13,890 --> 00:28:19,610 +أو ال tube أو اللي هيموجودة لإنه ممكن يمر خلالها + +361 +00:28:19,610 --> 00:28:25,290 +nerve ممكن يمر خلالها artery ممكن يمر خلالها lymph + +362 +00:28:25,290 --> 00:28:28,590 +vessels أي إشي من اللي احنا أخدناه لإنه زي ما + +363 +00:28:28,590 --> 00:28:32,810 +حكينا البون لازم اللي هي تتغذى يكون في عندها + +364 +00:28:32,810 --> 00:28:37,970 +nutritional supply blood supply كل الأمور هذه + +365 +00:28:37,970 --> 00:28:42,750 +فبالتالي ممكن يمر عن طريق هذه ال mayatas أي إشي من + +366 +00:28:42,750 --> 00:28:47,700 +اللي هو مكونات أو أجزاء الإظامنشوف اللي بعدها + +367 +00:28:47,700 --> 00:28:54,020 +الفصة كلمة فصة تعني shallow basin-like فصة يعني + +368 +00:28:54,020 --> 00:28:59,950 +عبارة عن اللي هوفيه هنا الـ glenoid فسة اللى موجود + +369 +00:28:59,950 --> 00:29:04,070 +عبارة عن تجويف لاحظوا معايا هنا دى بس طالع لفوق + +370 +00:29:04,070 --> 00:29:08,450 +شوية هذه الصح انه تكون هنا بال glenoid فسة هذه ال + +371 +00:29:08,450 --> 00:29:13,350 +scapula عشان تربط معاها ال humerus لازم هنا يكون + +372 +00:29:13,350 --> 00:29:18,150 +في عندي حاجة غائرة لجوا اللى هى shallow depression + +373 +00:29:18,150 --> 00:29:24,110 +يعنيمش زي ها على سبيل المثال زي ال acetabulum هنا، + +374 +00:29:24,110 --> 00:29:27,690 +هنا هذه لأنها عضمة كبيرة و هتحمل وزن الإنسان كله + +375 +00:29:27,690 --> 00:29:32,330 +فبالتالي بتكون غائرة لجوه أكثر، هنا لأ shallow، + +376 +00:29:32,330 --> 00:29:36,970 +التسطح تبعها أو المساحة تبعتها سطحية، مش جاية بشكل + +377 +00:29:36,970 --> 00:29:41,570 +غائر إلى الداخل، تمام؟Fischer هي عبارة عن narrow, + +378 +00:29:42,050 --> 00:29:47,830 +silt-like opening عبارة عن اللي هو فتحة بتكون + +379 +00:29:47,830 --> 00:29:51,870 +موجودة في ال .. أيضا في ال head هنا لو أخدت أنا + +380 +00:29:51,870 --> 00:29:56,470 +هذه ال head و جلبتها بلاقي تحت منها اللي هو narrow + +381 +00:29:56,470 --> 00:30:00,330 +أو Fischer موجودة على شكل ال silt-like اللي هي + +382 +00:30:00,330 --> 00:30:05,090 +الشوكر النانا أو اللي هو خليني أحكي الحفل الصغيرة + +383 +00:30:05,090 --> 00:30:11,330 +من الفتحات شرخ يعني Fischer حاجة بسيطة جداأيضا من + +384 +00:30:11,330 --> 00:30:14,630 +ال depression في عندي حاجة اسمها ال sciences اللي + +385 +00:30:14,630 --> 00:30:19,310 +احنا حكينا عليها اللي هي عبارة عن التجاويف اللي + +386 +00:30:19,310 --> 00:30:24,830 +موجودة هنا بنسميها الجيوب الأنفية I have four + +387 +00:30:24,830 --> 00:30:29,830 +pairs أربع أزواج من الجيوب الأنفية cavity within + +388 +00:30:29,830 --> 00:30:35,380 +boneالتجاوف موجودة داخل العظام تمتلق بالهواء + +389 +00:30:35,380 --> 00:30:40,180 +linked with mucous membrane هذه التجاوف هناخدها ان + +390 +00:30:40,180 --> 00:30:44,000 +شاء الله في skeletal system تلاتة التجاوف هذه + +391 +00:30:44,000 --> 00:30:49,580 +وظيفتها ان هي عبارة عن أربع أزواج تمتلق بالهواء + +392 +00:30:49,580 --> 00:30:54,500 +ليه؟ عشان تخفف ثقل حجم ال skull هذه كلها الرأس + +393 +00:30:54,500 --> 00:30:59,260 +حجمها كبير جدا فبالتاليعشان سبحان الله ربنا أعطانا + +394 +00:30:59,260 --> 00:31:03,460 +نعمة من عنده أنه خلّى هذه التجاويف تمتلئ بالهواء، + +395 +00:31:03,460 --> 00:31:06,620 +إشي طبيعي إنه هي جيوب أنفية، وإحنا حكينا أي إشي + +396 +00:31:06,620 --> 00:31:10,820 +بدي يكون داخلي لازم يبطن، linid with mucous + +397 +00:31:10,820 --> 00:31:16,860 +membrane، تبطن بالأغشية المخاطية، إذا وظيفة الجيوب + +398 +00:31:16,860 --> 00:31:24,760 +الأنفيةهي عبارة عن تخفيف حجم وثقل الهد لمتلائها + +399 +00:31:24,760 --> 00:31:28,820 +بالهواء الآن الكورة لما تكون مملوقة بالهواء بتبقى + +400 +00:31:28,820 --> 00:31:32,520 +عائمة على سطح الماء ولكن لو كانت بس plastic لحاله + +401 +00:31:32,520 --> 00:31:38,020 +بتنزل و بتغوص في الميه الفورامن هي عبارة عن round + +402 +00:31:38,020 --> 00:31:43,640 +أو oval opening تمام؟ هي عبارة عن فتحة دائرية أو + +403 +00:31:43,640 --> 00:31:46,020 +بيضاوية oval يعني بيضاوي + +404 +00:31:49,700 --> 00:31:55,820 +تمام، في عندنا فتحات في الجسم دائرية أو بيداوية + +405 +00:31:55,820 --> 00:31:59,660 +أخدنا مثال على الفتحة الدائرية اللي هي الـ Magnum + +406 +00:31:59,660 --> 00:32:04,260 +أو بنسميها الـ Magnum Foramen هنشرح عنها كمان اللي + +407 +00:32:04,260 --> 00:32:08,920 +طالع منها الـ spinal cord عشان يدخل داخل العمود + +408 +00:32:08,920 --> 00:32:14,760 +الفقري الـ Foramen اللي موجودة عندناهنا برضه هى هم + +409 +00:32:14,760 --> 00:32:19,100 +اعطيناياها الـ Magnum فرمن او الفرمن ماجنم نفس + +410 +00:32:19,100 --> 00:32:23,420 +الاشي هي عبارة عن فتحة round دائرية زى ما انتوا + +411 +00:32:23,420 --> 00:32:29,880 +شايفينها ال sulcus او ما يسمى بال groove او الفراه + +412 +00:32:29,880 --> 00:32:35,680 +هي عبارة عن انخفاض ولكنه مسطح يعني لو اجيت انا هنا + +413 +00:32:35,680 --> 00:32:41,550 +على هذه الرسمة تماموبيننا شوية معانا هنا بنلاقي + +414 +00:32:41,550 --> 00:32:45,510 +هذا ال groove هو عبارة عن .. خليني أوريكم إياها + +415 +00:32:45,510 --> 00:32:49,070 +عبارة عن ال sulcus أو ال deltoid tuberosity أو ال + +416 +00:32:49,070 --> 00:32:54,630 +deltoid groove يعني shallow depression انخفاض بسيط + +417 +00:32:54,630 --> 00:32:59,260 +يعني shallow مسطحهيها موجودة هنا في الـbiceps + +418 +00:32:59,260 --> 00:33:03,440 +أيضًا هيها لو اجيت لفيتها هادي بهذا الشكل لناخد + +419 +00:33:03,440 --> 00:33:07,620 +اللي هنا بتكون أقرب لنا هذا اللي هو الاشي هذا + +420 +00:33:07,620 --> 00:33:11,420 +التجويف اللي هنا هو عبارة عن الـbicipital groove + +421 +00:33:11,420 --> 00:33:14,880 +ليه؟ لأن العضلة اللي هنا اسمها الـbiceps أنا اليوم + +422 +00:33:14,880 --> 00:33:19,320 +هذه العضلة اللي موجودة هنا اسمها الـbiceps، تمام؟ + +423 +00:33:19,320 --> 00:33:24,960 +فعشان هيك سمناها الـbicipital grooveأو بنسميها الـ + +424 +00:33:24,960 --> 00:33:29,820 +Sulcus أو الـ Bicepital Depression. بهيك بيكون أنا + +425 +00:33:29,820 --> 00:33:34,100 +أنهيت معاكم اللي هو الـ Bullmarking يعني محاضرة + +426 +00:33:34,100 --> 00:33:38,900 +خفيفة لطيفة بناء على طلب حضراتكم للإسبوع هذا. + +427 +00:33:38,980 --> 00:33:41,880 +الإسبوع اللي جاي ان شاء الله هنشرح Chapter لسكيلة + +428 +00:33:41,880 --> 00:33:47,200 +التلاتة كامل بإذن الله تعالى.نعمل شوية review أو + +429 +00:33:47,200 --> 00:33:51,120 +مراجعة سريعة حكينا في عندي بالنسبة لل bull marking + +430 +00:33:51,120 --> 00:33:54,300 +في عندي projections في عندي depression ال + +431 +00:33:54,300 --> 00:33:59,060 +projections عدناهم عشرة في عندي ال condyle و بيجي + +432 +00:33:59,060 --> 00:34:03,480 +فوقها ال epicondyle ال head في الهنك ال facet جاية + +433 +00:34:03,480 --> 00:34:09,120 +بال flat articular surface الرمص لكرست حافة العضمة + +434 +00:34:09,120 --> 00:34:13,380 +و أخدنا وين في أنا عندي كرستالـ tubercle و + +435 +00:34:13,380 --> 00:34:16,240 +tubricity الـ trochanter موجودة بس في ال lower + +436 +00:34:16,240 --> 00:34:21,300 +limb ال spine هي عبارة عن حاجة sharp حادة موجودة + +437 +00:34:21,300 --> 00:34:25,260 +بال vertebra كل واحدة مرّينا عليها وشوفناها بالصور + +438 +00:34:25,260 --> 00:34:29,200 +أيضا على ال skeleton ال depression في عندي أو + +439 +00:34:29,200 --> 00:34:33,600 +النتوئات العضمية الغائرة في عندي ال meatus اللي هي + +440 +00:34:33,600 --> 00:34:37,480 +عبارة عن القناة اللي هيمر فيها أي عصب اي nerve اي + +441 +00:34:37,480 --> 00:34:41,410 +blood vesselsالـFossa، الـFisher، الـSciences + +442 +00:34:41,410 --> 00:34:44,930 +الجيوبية الأنفية والـSulcus اللي أخدنا عنها زي + +443 +00:34:44,930 --> 00:34:48,050 +الـBicipital Groove أو بنسميها الـBicipital + +444 +00:34:48,050 --> 00:34:51,170 +Sulcus. بهيك بيكون أنا أنهيت chapter + +445 +00:34:51,170 --> 00:34:53,390 +الـBullmarking ويعطي كل حاجة. + diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/TyGa94Cqd2o_raw.json b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/TyGa94Cqd2o_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..f2bef778df83a5af6ad8ca2cefd63dfdfe992567 --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/TyGa94Cqd2o_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 2373, "start": 4.89, "end": 23.73, "text": "بسم 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lithiopercle في العظام هي عبارة عن تجاويف هاي التجاويف أجي أنا هنا للساعد هذه اللي هي هنا موجودة هذا هو lithiopercle واضح معايا على الصورة كده؟", "tokens": [39237, 10943, 22807, 9122, 2304, 7649, 36632, 11242, 995, 15844, 31767, 13063, 12602, 39319, 5551, 13063, 1829, 24793, 11933, 25528, 16095, 8717, 1829, 7435, 1829, 8717, 8592, 38688, 26324, 72, 7192, 2160, 1359, 23382, 32371, 8032, 47302, 26324, 72, 7192, 2160, 5551, 9778, 3215, 8315, 26324, 72, 7192, 2160, 8978, 18863, 19913, 10943, 39896, 6225, 3555, 9640, 3660, 18871, 6055, 7435, 995, 2407, 33911, 8032, 47302, 16712, 7435, 995, 2407, 33911, 5551, 7435, 1829, 41850, 34105, 24976, 3794, 995, 22488, 29538, 13672, 1829, 39896, 34105, 3714, 29245, 23328, 3660, 23758, 31439, 26324, 72, 7192, 2160, 4032, 46958, 5016, 20449, 995, 25528, 15844, 31767, 13063, 3660, 9122, 3215, 3224, 22807], "avg_logprob": -0.17869318425655364, "compression_ratio": 1.7148936170212765, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 575.23, 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{"start": 608.07, "end": 608.45, "word": " عبارة", "probability": 0.9959716796875}, {"start": 608.45, "end": 608.61, "word": " عن", "probability": 0.9931640625}, {"start": 608.61, "end": 609.03, "word": " بروز", "probability": 0.9954427083333334}, {"start": 609.03, "end": 610.61, "word": " صغير", "probability": 0.998046875}, {"start": 610.61, "end": 611.41, "word": " خارج", "probability": 0.9890950520833334}, {"start": 611.41, "end": 612.03, "word": " العضمة", "probability": 0.9602864583333334}, {"start": 612.03, "end": 612.71, "word": " دائري", "probability": 0.7626139322916666}, {"start": 612.71, "end": 613.07, "word": " بيكون", "probability": 0.9072265625}, {"start": 613.07, "end": 613.63, "word": " شكله", "probability": 0.96875}, {"start": 613.63, "end": 614.59, "word": " وصغير", "probability": 0.76800537109375}, {"start": 614.59, "end": 615.35, "word": " تمام", "probability": 0.921142578125}, {"start": 615.35, "end": 616.15, "word": " نيجي", "probability": 0.72314453125}, {"start": 616.15, "end": 616.69, "word": " نشوف", "probability": 0.9970703125}, {"start": 616.69, "end": 616.97, "word": " اللي", "probability": 0.953857421875}, {"start": 616.97, "end": 617.35, "word": " هو", "probability": 0.9853515625}, {"start": 617.35, "end": 618.19, "word": " الحاجة", "probability": 0.9920247395833334}, {"start": 618.19, "end": 618.31, "word": " اللي", "probability": 0.97265625}, {"start": 618.31, "end": 618.91, "word": " بعديها", "probability": 0.8125813802083334}], "temperature": 1.0}, {"id": 28, "seek": 64764, "start": 620.14, "end": 647.64, "text": "Tuberosity كلمة tuberosity هي عبارة عن large rounded أو roughened projections عكس لtubercle لtubercle small أما لtubercity هي عبارة عن large و بتكون طبعا خشنة اللي هو يعني ليست ناعمة بروز عضمي خشن دائري هشوفها على الرسمة و انشوفها على ال skeleton كمان هذا لtubercle", "tokens": [51, 10261, 20373, 9122, 19528, 3660, 39847, 20373, 39896, 6225, 3555, 9640, 3660, 18871, 2416, 23382, 34051, 5903, 5320, 32371, 6225, 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لtubercity", "probability": 0.6896158854166666}, {"start": 632.1, "end": 632.38, "word": " هي", "probability": 0.9208984375}, {"start": 632.38, "end": 632.74, "word": " عبارة", "probability": 0.9947509765625}, {"start": 632.74, "end": 632.94, "word": " عن", "probability": 0.974609375}, {"start": 632.94, "end": 633.38, "word": " large", "probability": 0.8212890625}, {"start": 633.38, "end": 634.06, "word": " و", "probability": 0.72216796875}, {"start": 634.06, "end": 634.96, "word": " بتكون", "probability": 0.87255859375}, {"start": 634.96, "end": 635.46, "word": " طبعا", "probability": 0.84228515625}, {"start": 635.46, "end": 636.38, "word": " خشنة", "probability": 0.9437255859375}, {"start": 636.38, "end": 636.86, "word": " اللي", "probability": 0.912109375}, {"start": 636.86, "end": 637.22, "word": " هو", "probability": 0.97265625}, {"start": 637.22, "end": 638.02, "word": " يعني", "probability": 0.934814453125}, {"start": 638.02, "end": 638.72, "word": " ليست", "probability": 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71995, "start": 702.01, "end": 719.95, "text": "في هاي النقطة true counter is a very large bunch of projections only in the humerus لو حكيت هنا في ال humerus معناته هذا خطأ هي موجودة فقط بالفيمر والفيمر أحد عظام اللي هي our limb", "tokens": [41185, 8032, 47302, 28239, 47432, 3660, 2074, 5682, 307, 257, 588, 2416, 3840, 295, 32371, 787, 294, 264, 1484, 37287, 45164, 11331, 4117, 36081, 34105, 8978, 2423, 1484, 37287, 20449, 8315, 47395, 23758, 16490, 9566, 10721, 39896, 3714, 29245, 23328, 3660, 6156, 47432, 20666, 5172, 32640, 2288, 16070, 5172, 32640, 2288, 5551, 24401, 6225, 19913, 10943, 13672, 1829, 39896, 527, 30390], "avg_logprob": -0.28755040130307596, "compression_ratio": 1.372972972972973, "no_speech_prob": 5.364418029785156e-07, "words": [{"start": 702.01, "end": 702.39, "word": "في", "probability": 0.1925048828125}, {"start": 702.39, "end": 703.03, "word": " هاي", "probability": 0.7373046875}, {"start": 703.03, "end": 704.45, "word": " النقطة", "probability": 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شايفين السهم وين جاي هنا طبعا every palm grow and hall has name كل إشي إله اسمه وكل إشي هناخده ان شاء الله رب العالمين في chapter العظام بالنسبة للتجاوف", "tokens": [3224, 1829, 9122, 2304, 7649, 3714, 29245, 23328, 8978, 2423, 6597, 30390, 3714, 29245, 23328, 8978, 11778, 47283, 1211, 27188, 4117, 30767, 1829, 19446, 16472, 2655, 14407, 13412, 995, 33911, 9957, 21136, 16095, 4032, 9957, 10874, 47302, 34105, 23032, 3555, 3615, 995, 633, 17018, 1852, 293, 6500, 575, 1315, 28242, 11933, 8592, 1829, 11933, 43761, 24525, 2304, 3224, 4032, 28820, 11933, 8592, 1829, 8032, 1863, 47283, 3215, 3224, 16472, 13412, 16606, 21984, 12602, 3555, 18863, 45340, 9957, 8978, 7187, 18863, 19913, 10943, 20666, 1863, 35457, 3660, 24976, 2655, 7435, 995, 38688], "avg_logprob": -0.16567594719969708, "compression_ratio": 1.5981308411214954, "no_speech_prob": 0.0, "words": [{"start": 1499.88, "end": 1500.32, "word": "هي", "probability": 0.55364990234375}, {"start": 1500.32, "end": 1500.7, "word": " كمان", 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"duration": 2093.5575625, "duration_after_vad": 2054.0418749999963} \ No newline at end of file diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/TyGa94Cqd2o_raw.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/TyGa94Cqd2o_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..bba9b0d54708b590f3e2658b331362944030dcb0 --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/TyGa94Cqd2o_raw.srt @@ -0,0 +1,1780 @@ +1 +00:00:04,890 --> 00:00:07,830 +بسم الله الرحمن الرحيم و الصلاة و السلام على أشرف + +2 +00:00:07,830 --> 00:00:11,510 +الأنبياء و المرسلين، أعزائي الطلاب، عزيزي + +3 +00:00:11,510 --> 00:00:15,330 +الطالبات، هذا أول لقاء يكون مباشر بيننا، التصوير + +4 +00:00:15,330 --> 00:00:19,810 +هيكون صوت و صورة في الجامعة، طبعا في قاعة التصوير، + +5 +00:00:19,810 --> 00:00:24,900 +انتهينا من تلت شباتر في مساقع علم التشريحاللي هو + +6 +00:00:24,900 --> 00:00:30,120 +طبعا ال basic anatomy هو اللي أخدنا فيه ثلاث شبات + +7 +00:00:30,120 --> 00:00:33,880 +اليوم ان شاء الله رب العالمين هدخل في chapter صغير + +8 +00:00:33,880 --> 00:00:37,360 +اللي هو عبارة عن زي ما انتوا شايفين هذا هو عبارة + +9 +00:00:37,360 --> 00:00:41,140 +عن الهيكل العضمى هذا كله هناخده بالتفصيل ان شاء + +10 +00:00:41,140 --> 00:00:44,140 +الله رب العالميناليوم فقط هحكي على الـ Bull + +11 +00:00:44,140 --> 00:00:48,560 +Marking وهي ما يسمى بالناتوئات العضمية سواء كانت + +12 +00:00:48,560 --> 00:00:52,300 +الناتوئات العضمية البارزة أو الناتوئات العضمية + +13 +00:00:52,300 --> 00:00:57,500 +الغائرة أي الداخلة إلى داخل العظم أهلا وسهلا فيكم + +14 +00:00:57,500 --> 00:01:01,120 +كمان مرة أنا الدكتور أناني مزهر مدرسة المساق الآن + +15 +00:01:01,120 --> 00:01:04,540 +أخدنا في ال skeletal system من البداية في عند ال + +16 +00:01:04,540 --> 00:01:10,000 +axial اللي هو يشتمل ال headThoracic والبلفق هذا هو + +17 +00:01:10,000 --> 00:01:14,040 +عبارة عن إيش ال axial skeleton في عندنا بي أو + +18 +00:01:14,040 --> 00:01:17,540 +group بي ما يسمى بي ال abdicular skeleton اللي هو + +19 +00:01:17,540 --> 00:01:21,640 +بيشمل ال peripheral limb اللي هي الأطراف الأربعة + +20 +00:01:21,640 --> 00:01:26,640 +في عندي أطراف عليا right and left و أطراف سفلة + +21 +00:01:26,640 --> 00:01:29,950 +اللي هي أيضا right and leftالان حكينا ان هذه + +22 +00:01:29,950 --> 00:01:34,650 +الأطراف هي ليست عائلة ترتبط ارتباط مباشر يا اما + +23 +00:01:34,650 --> 00:01:38,990 +بال ثورسك عن طريق اللي هو الجيردل او ما يسمى + +24 +00:01:38,990 --> 00:01:43,010 +بالحزام يسمى ال pictorial girders ارتباط اللمس + +25 +00:01:43,930 --> 00:01:47,670 +الثرسيك هو عبارة عن اللي هو الـ pectoral girdles + +26 +00:01:47,670 --> 00:01:52,930 +أيضا ارتباط الأطراف السفلية بالبلفك يسمى البلفك + +27 +00:01:52,930 --> 00:01:58,390 +garden هذه مقدمة سريعة خليني أبدأ في اللي هو طبعا + +28 +00:01:58,390 --> 00:01:59,430 +ال bone marking + +29 +00:02:04,450 --> 00:02:09,750 +There are two types of bone marking في عندى نوعين + +30 +00:02:09,750 --> 00:02:13,110 +من أنواع ال bone marking ال projections هي عبارة + +31 +00:02:13,110 --> 00:02:17,050 +عن أكابروسيز في اللاتيني that grow out from bones + +32 +00:02:17,050 --> 00:02:22,450 +إذا هي عبارة عن نتوء عضمى يقع خارج العضمةيعني على + +33 +00:02:22,450 --> 00:02:27,190 +سبيل المثال إذا أنا جبت هذه العضمة، طبعا هذه كلها + +34 +00:02:27,190 --> 00:02:31,350 +على بعضها اسمها الـHumerus، تمام؟ هذه عضمة + +35 +00:02:31,350 --> 00:02:35,110 +الـHumerus، في نتوء عضمي زيادة هنا عندي طالع، هذا + +36 +00:02:35,110 --> 00:02:39,710 +النتوء طبعا هو عبارة عن طالع عن براة استقامة + +37 +00:02:39,710 --> 00:02:42,430 +العضمة، يعني إحنا لما بنيجي نرسم هذه العضمة، لازم + +38 +00:02:42,430 --> 00:02:47,350 +أرسم هنا زوائد وحاجات طالعة لبرا، هذه الزوائد هي + +39 +00:02:47,350 --> 00:02:51,950 +عبارة عن الـprojectionsتمام؟ الآن في عندى زى ما في + +40 +00:02:51,950 --> 00:02:56,270 +عندنا projections في عندى اللى هو طبعا هنا كمان في + +41 +00:02:56,270 --> 00:02:59,310 +الصورة نفس الكلام موضح لنا خلينى شوية أجيب + +42 +00:02:59,310 --> 00:03:03,710 +الاسكتاتول هدى للجانب ونشوف الصورة هنا في عندنا + +43 +00:03:03,710 --> 00:03:08,330 +اللى هو زى ما هو موضحلى في ال head أو بنسميها اللى + +44 +00:03:08,330 --> 00:03:13,340 +هى رأس العضمة زى ما انتوا شايفينها هناتمام الـ + +45 +00:03:13,340 --> 00:03:16,340 +depressions أو ما يسمى بالـ cavities اللي احنا + +46 +00:03:16,340 --> 00:03:19,680 +أخدناها أخدنا في عندنا cavities في الشبتر الأول في + +47 +00:03:19,680 --> 00:03:25,200 +ال cranial cavity اللي هي ما يسمى بالتجويف العضمي + +48 +00:03:25,200 --> 00:03:28,800 +اللي موجود في الرأس في عندنا ال thoracic cavity في + +49 +00:03:28,800 --> 00:03:32,600 +عندنا ال pelvic cavity تمام هذه ال cavities اللي + +50 +00:03:32,600 --> 00:03:39,910 +هي تجويفthat are طبعا اللي هي indetta bone هي + +51 +00:03:39,910 --> 00:03:44,770 +بتكون غائرة داخل العضم يعني زي ما في أنا عندي + +52 +00:03:44,770 --> 00:03:47,310 +بروزات طالعة برا زي ما إحنا شايفين هنا في ال + +53 +00:03:47,310 --> 00:03:51,030 +clavicle زي ما إحنا شايفين في اللي هي ال spine في + +54 +00:03:51,030 --> 00:03:56,290 +ال vertebra في عندي تجاويف جاية للداخل إذا في عندي + +55 +00:03:56,290 --> 00:04:01,550 +تجاويف داخلية وفي عندي بروزات خارجية تمام هذا + +56 +00:04:01,550 --> 00:04:09,960 +بالنسبة لتقسيمنا لل bonemarking الان + +57 +00:04:09,960 --> 00:04:14,120 +خليني اذكرهم عشان كل واحدة نعرف ايش تعريفها و + +58 +00:04:14,120 --> 00:04:17,800 +نشوفها على الرسمة حتى اقدر انا احددها ال + +59 +00:04:17,800 --> 00:04:22,700 +projections فى عندي حاجة اسمها condyle head, + +60 +00:04:23,500 --> 00:04:28,280 +faced, رمس, crest ايه بيه condyle + +61 +00:04:30,960 --> 00:04:37,360 +نشوفها tubercle tubericity trochanter spine الأن + +62 +00:04:37,360 --> 00:04:41,340 +هذه العشرة كل واحدة بالتفصيل هشرح عنها و نعرف + +63 +00:04:41,340 --> 00:04:47,020 +تعريفها تمام؟ هي هي هي كلها بتندرج تحت فئة ال + +64 +00:04:47,020 --> 00:04:51,180 +projections اللي هي البروزات العضمية اللي بارزة + +65 +00:04:51,180 --> 00:04:56,520 +برات الهيكل العضمى أجل الجروب التاني group B اللي + +66 +00:04:56,520 --> 00:05:03,180 +هو عبارة عن ال depressionmeatus، فسة، fischer، + +67 +00:05:03,180 --> 00:05:10,400 +sens and sulcus أو ال groove طبعا و اللي هو عبارة + +68 +00:05:10,400 --> 00:05:16,730 +عن خمس bull marking اللي هي علامات العظامهنا + +69 +00:05:16,730 --> 00:05:20,430 +خلّيني أحكي عن حاجة شو الهدف أنه أنا أدرس أو شو + +70 +00:05:20,430 --> 00:05:24,390 +الهدف أنه أنا أاخد ال bull marking اليوم إحنا على + +71 +00:05:24,390 --> 00:05:28,370 +سبيل المثال لو إجاني طفل صغير و حكينا بدنا نقيس + +72 +00:05:28,370 --> 00:05:33,110 +طول القدمين هل في قصر في إحداهما عن الأخرى باجب + +73 +00:05:33,110 --> 00:05:37,630 +أحط ال meter عندي على هذه الحافة اللي هي بنسميها + +74 +00:05:37,630 --> 00:05:42,670 +Asis هذه الحافة لحد الرمانة الداخلية اللي موجودة + +75 +00:05:42,670 --> 00:05:47,550 +تحتفبالتالي هذا القياس بيعطيني قياس دقيق صحيح، + +76 +00:05:47,550 --> 00:05:51,270 +بعكس لما أجي أجيس على سبيل المثال من السرة و أنزل + +77 +00:05:51,270 --> 00:05:55,510 +فيه للإجر لتحت، إذا بتفيدني هاي ال bone marking في + +78 +00:05:55,510 --> 00:05:59,550 +القياسات الصحيحة، اللي هي استخدامات أخرى مهمة أنا + +79 +00:05:59,550 --> 00:06:05,130 +كفريق طبي أو كطبي بكرا أصبح في المجال العملي لازم + +80 +00:06:05,130 --> 00:06:09,780 +أكون عارف شو يعني ال bone markingنبدأ في البداية + +81 +00:06:09,780 --> 00:06:13,880 +بسم الله الرحمن الرحيم نبدأ شو تعريف اللي هي + +82 +00:06:13,880 --> 00:06:18,400 +lithiubricity lithiubricity هي عبارة عن rounded + +83 +00:06:18,400 --> 00:06:23,500 +projections هي عبارة عن بروز دائري موجود داخل + +84 +00:06:23,500 --> 00:06:27,860 +العضمة المحاضرة القادمة بإذن الله تعالى هجيب الحكم + +85 +00:06:27,860 --> 00:06:32,850 +العضمي اللي احنا بنفككه واحد واحدإذن ال tuberosity + +86 +00:06:32,850 --> 00:06:37,330 +هي عبارة عن round projections هنا طبعا مهم جدا زي + +87 +00:06:37,330 --> 00:06:40,990 +ما بتسألوا انتوا دائما كيف صيغت السؤال في الامتحان + +88 +00:06:40,990 --> 00:06:44,370 +أو كيف ممكن انا اعرف ادرس هذا الاشي هذا الاشي + +89 +00:06:44,370 --> 00:06:47,530 +لازمه فهم في البداية بعد انحفظ انا باجي على ال + +90 +00:06:47,530 --> 00:06:50,610 +skeleton او على اي رسمة موجودة عندكم طبعا ال + +91 +00:06:50,610 --> 00:06:53,910 +YouTube مليانة خصوصا اللي هي الأفلام ال video ال + +92 +00:06:53,910 --> 00:06:59,430 +3D هاي والمقاطعفي عندنا برامج خاصة للاناتومي انت + +93 +00:06:59,430 --> 00:07:04,290 +بتمسك اللي هو كل جوالاتكم حديثة بتمسك و بتشوف كل + +94 +00:07:04,290 --> 00:07:08,170 +عضمة بيجيبلك العضمة وين أساسها وين أصلها وشو ال + +95 +00:07:08,170 --> 00:07:11,950 +projections اللي موجودة فيها Lithopicity نرجع تاني + +96 +00:07:11,950 --> 00:07:15,670 +هي عبارة عن rounded projections يعني اللي هو بروز + +97 +00:07:15,670 --> 00:07:20,550 +دائري طالع لبره كلمة crest ال crest تعني حافة + +98 +00:07:20,550 --> 00:07:26,510 +تمام؟ هذه الحافة هي عبارة عن ناروprominent ridge + +99 +00:07:26,510 --> 00:07:32,010 +of bone هي عبارة عن ممر ضيق بحكي عليه اللي هو + +100 +00:07:32,010 --> 00:07:37,230 +ridge حافة شايفين هنا منطقة الحوض هذه المنطقة او + +101 +00:07:37,230 --> 00:07:41,470 +اللي هو اجيب التصوير من هنا هذه الحافة هي اسمها + +102 +00:07:41,470 --> 00:07:45,610 +crest إلياك ككريست هذه عضمة الإلياك هنا في عندي + +103 +00:07:45,610 --> 00:07:51,130 +حاجة اسمهاIliac crest تمام؟ اذا الـ crest هي عبارة + +104 +00:07:51,130 --> 00:07:55,010 +عن الـ prominent ridge of bone ال true counter + +105 +00:07:55,010 --> 00:07:58,690 +كلمة ال true counter لاحظوا كيف أنا بانطقها عشان + +106 +00:07:58,690 --> 00:08:02,750 +احنا لساتنا سنة أولى لازم نتعلم الصح true counter + +107 +00:08:02,750 --> 00:08:06,910 +بقسمها باسمين اذا ال true counter هي عبارة عن + +108 +00:08:06,910 --> 00:08:13,980 +large بلندirregular surface large كبيرة بلا انتحدة + +109 +00:08:13,980 --> 00:08:17,920 +irregular غير منتظمة ال true counter موجودة فقط في + +110 +00:08:17,920 --> 00:08:21,660 +ال lower limb باجي بحط على المؤشر أنها موجودة فقط + +111 +00:08:21,660 --> 00:08:25,630 +في ال lower limb يعني مافي عندي true counterفى ال + +112 +00:08:25,630 --> 00:08:29,550 +upper limb لأ هي فقط موجودة فى ال lower limb اذا + +113 +00:08:29,550 --> 00:08:33,550 +الـ trochanter موجودة هنا عندى فى الفيمر هذه اللى + +114 +00:08:33,550 --> 00:08:38,730 +هى عضمة الفخد هذه العضمة فى عندى حاجة اسمها اللى + +115 +00:08:38,730 --> 00:08:44,430 +هى trochanter فى منها قسمين فى منها صغيرة lesser + +116 +00:08:44,430 --> 00:08:51,700 +وفى greaterطبعا إذا في عندي lesser true counter + +117 +00:08:51,700 --> 00:08:56,020 +وفي عندنا greater true counter طبعا إذا ال true + +118 +00:08:56,020 --> 00:08:58,540 +counter هي عبارة عن balanced large irregular + +119 +00:08:58,540 --> 00:09:03,440 +surface فيها ال two types lesser and greater ال + +120 +00:09:03,440 --> 00:09:08,110 +true counter حكينا موجودة فقط في ال lower limbline + +121 +00:09:08,110 --> 00:09:12,770 +هو عبارة عن narrow ridge of bone هو عبارة عن خط + +122 +00:09:12,770 --> 00:09:18,470 +صغير موجود في العظام لو أجي للوحة الكتف هنا بلاقي + +123 +00:09:18,470 --> 00:09:22,890 +أنا في عندي line line هذا ال line طبعا يختلف عن + +124 +00:09:22,890 --> 00:09:25,590 +هذا البروز اللي فوق هنا هو ال line هذا موجود above + +125 +00:09:25,590 --> 00:09:31,310 +and below لهذا البروز إذن line هو عبارة عن خط صغير + +126 +00:09:31,310 --> 00:09:37,310 +أو خط ضيق في حافة العضمةتمام؟ كمان أيضا على الصور + +127 +00:09:37,310 --> 00:09:41,750 +راح أوريكم إياهم نيجي نشوف lithiopercle small + +128 +00:09:41,750 --> 00:09:45,530 +rounded projections هاي lithiopercle أخدنا + +129 +00:09:45,530 --> 00:09:48,650 +lithiopercle في العظام هي عبارة عن تجاويف هاي + +130 +00:09:48,650 --> 00:09:52,790 +التجاويف أجي أنا هنا للساعد هذه اللي هي هنا موجودة + +131 +00:09:52,790 --> 00:09:56,610 +هذا هو lithiopercle واضح معايا على الصورة كده؟ + +132 +00:09:56,850 --> 00:10:00,710 +Lithiopercle هو عبارة عن small rounded projections + +133 +00:10:00,710 --> 00:10:06,850 +موجود بروز دائري صغير في العضام الطويلة إذاً + +134 +00:10:06,850 --> 00:10:12,030 +Lithiopercle هو عبارة عن بروز صغير خارج العضمة + +135 +00:10:12,030 --> 00:10:17,350 +دائري بيكون شكله وصغير تمام نيجي نشوف اللي هو + +136 +00:10:17,350 --> 00:10:23,140 +الحاجة اللي بعديهاTuberosity كلمة tuberosity هي + +137 +00:10:23,140 --> 00:10:27,260 +عبارة عن large rounded أو roughened projections + +138 +00:10:27,260 --> 00:10:32,380 +عكس لtubercle لtubercle small أما لtubercity هي + +139 +00:10:32,380 --> 00:10:38,720 +عبارة عن large و بتكون طبعا خشنة اللي هو يعني ليست + +140 +00:10:38,720 --> 00:10:44,260 +ناعمة بروز عضمي خشن دائري هشوفها على الرسمة و + +141 +00:10:44,260 --> 00:10:48,300 +انشوفها على ال skeleton كمان هذا لtubercleOkay + +142 +00:10:48,300 --> 00:10:52,240 +هايوا فى عنا ال greater الbercle او خلينى اشهركميا + +143 +00:10:52,240 --> 00:10:55,980 +هنا بيكون موجود اللى هنا هذا هو عبارة عن ال + +144 +00:10:55,980 --> 00:11:01,220 +greater الbercle شوية شوية بمبدأ اللى هو نحفظهم و + +145 +00:11:01,220 --> 00:11:06,310 +بتكون الأمور سهلة معاناتمام؟ إذا في عندي هنا حاكي + +146 +00:11:06,310 --> 00:11:10,970 +لك ال proximal tibia يعني في العظام السفلية زي ما + +147 +00:11:10,970 --> 00:11:15,430 +في tubercle أو tuberosity في العظام اللي هي ال + +148 +00:11:15,430 --> 00:11:19,550 +upper limb في أيضا ال tubercle هيها هذه البروز + +149 +00:11:19,550 --> 00:11:24,050 +العضمي اللي هنا هذا البروز اللي هو بيكون أمامي في + +150 +00:11:24,050 --> 00:11:29,590 +ال tibia في القصبةtrue counter أيضا هي very large + +151 +00:11:29,590 --> 00:11:33,230 +balanced projections ومرنا عليها موجودة زي ما + +152 +00:11:33,230 --> 00:11:38,830 +حكيتلكم بالفيمر فقط بال lower limb يعني هنا بيجيني + +153 +00:11:38,830 --> 00:11:44,730 +سؤال true and false or mcqفي هاي النقطة true + +154 +00:11:44,730 --> 00:11:48,570 +counter is a very large bunch of projections only + +155 +00:11:48,570 --> 00:11:52,110 +in the humerus لو حكيت هنا في ال humerus معناته + +156 +00:11:52,110 --> 00:11:57,810 +هذا خطأ هي موجودة فقط بالفيمر والفيمر أحد عظام + +157 +00:11:57,810 --> 00:11:59,950 +اللي هي our limb + +158 +00:12:02,520 --> 00:12:05,260 +الـ Electrocanter زي ما وردكم إياها هنا على الـ + +159 +00:12:05,260 --> 00:12:08,740 +skeleton موجودة كمان معاكم على الصورة في ال slides + +160 +00:12:08,740 --> 00:12:13,480 +هاي ال Electrocanter في منها greater و في منها + +161 +00:12:13,480 --> 00:12:19,420 +lesser يعني صغيرة نيجي نشوف أيضا ال projections في + +162 +00:12:19,420 --> 00:12:23,580 +عندى اللي هي lithiopricity طبعا نفس الاشي مرت + +163 +00:12:23,580 --> 00:12:28,720 +علينا قبل هيك round projections اللي هو بروز خارجي + +164 +00:12:28,720 --> 00:12:35,000 +لبرا طالع برات للدائرةهنا التعريف كانت بتعيد و + +165 +00:12:35,000 --> 00:12:38,360 +بتكرر حالها عشان أنا كنت أحط التعريف بجانب الصورة. + +166 +00:12:38,800 --> 00:12:43,800 +Crest طبعا اللي هو عبارة عن الـ narrow ridge أو ال + +167 +00:12:43,800 --> 00:12:46,820 +prominent ridge اللي موجودة و ال true counter زي + +168 +00:12:46,820 --> 00:12:52,640 +ما شوفناها irregular وموجودة داخل ال lower limb ال + +169 +00:12:52,640 --> 00:12:56,880 +tubercle هي عبارة عن small round projections + +170 +00:12:56,880 --> 00:13:04,610 +tubercle حاجة اسمها tubercleالـ Condyle هي عبارة + +171 +00:13:04,610 --> 00:13:08,690 +عن الاشي اللي موجود في نهاية العضمة احنا حكينا هذه + +172 +00:13:08,690 --> 00:13:12,510 +النقطة هي proximal هذه النقطة هنا digital الـ + +173 +00:13:12,510 --> 00:13:16,890 +Condyle هو عبارة عن proud articular projections + +174 +00:13:16,890 --> 00:13:22,270 +شايفين؟ في تمفصل للـ Condyle هنا في تمفصل له اللي + +175 +00:13:22,270 --> 00:13:26,230 +هو عضمة الهيوميرس مع العضمتين اللي موجودين تحت + +176 +00:13:26,230 --> 00:13:31,430 +حاجة اسمها الـ Condyleإذن هي عبارة عن round + +177 +00:13:31,430 --> 00:13:35,030 +articular projections طالما حكيت articular معناته + +178 +00:13:35,030 --> 00:13:38,670 +الحكي انه انا هنا بحكي على joints هذا ال joints او + +179 +00:13:38,670 --> 00:13:43,990 +هذا المفصل طبعا لازم يكون في articulation في مفصل + +180 +00:13:43,990 --> 00:13:49,790 +في عندى في المنطقة ال ibicondyle حاجة اسمها فوق + +181 +00:13:49,790 --> 00:13:53,370 +الcondyle انا هنا عندى الcondyle في حاجة + +182 +00:13:53,370 --> 00:13:58,500 +ibicondyleraised area above condyle وهنا هذه + +183 +00:13:58,500 --> 00:14:03,280 +المحاضرة كلها تقريبا بتيجي عندى في المصطلحات اذا + +184 +00:14:03,280 --> 00:14:07,680 +اي بي condyle هي المنطقة raised above condyle + +185 +00:14:07,680 --> 00:14:13,380 +المنطقة اللى موجودة فوق ال condyle الآن هي ال + +186 +00:14:13,380 --> 00:14:20,270 +condyleأجي لعضمة الهيوميرا هاي ال conile هاي اللي + +187 +00:14:20,270 --> 00:14:23,610 +هنا ال ابي conile خلينا نشوف في الكاميرا هنا + +188 +00:14:23,610 --> 00:14:30,270 +conile هنا ابي conile ابي لإنه إجت فوق، aboveهاي + +189 +00:14:30,270 --> 00:14:34,710 +Condyle، هاي بيه Condyle الـ Spine أو ما يسمى + +190 +00:14:34,710 --> 00:14:38,690 +بالشوكة باللغة العربية هي عبارة عن حاجة Sharp، + +191 +00:14:38,690 --> 00:14:44,030 +حادة، slender projections إذا حاد أو بنسميها + +192 +00:14:44,030 --> 00:14:49,330 +الشوكة طبعا Sharp slender projections وين في عندي + +193 +00:14:49,330 --> 00:14:53,290 +Spine؟ ال Spine زي على سبيل المثال هنا اللي موجود + +194 +00:14:53,290 --> 00:14:59,410 +في لوحة الكتف هذه اللوحة هذا الاشي بسميه Spineيعني + +195 +00:14:59,410 --> 00:15:04,530 +عبارة عن اللي هو شوكة حادة موجودة في لوحة الكتف + +196 +00:15:04,530 --> 00:15:08,790 +الأعلى منها بسميه subra والأقل أو الأسفل منها + +197 +00:15:08,790 --> 00:15:14,090 +بسميه infra subra حكينا عليها above أو أعلى sub + +198 +00:15:14,090 --> 00:15:19,310 +inferior اللي هو below أو أعلىأيضا هذه البروزات + +199 +00:15:19,310 --> 00:15:23,070 +اللي موجودة في العمود الفقري زي ما انتوا شايفينها + +200 +00:15:23,070 --> 00:15:27,230 +هي عبارة عن spine ال vertebra spine يعني الشوكة + +201 +00:15:27,230 --> 00:15:34,310 +اللي موجودة في العمود الفقريprocess هي عبارة عن أي + +202 +00:15:34,310 --> 00:15:39,190 +بني prominance أي نتوء عظمي موجود عندى أي نتوء + +203 +00:15:39,190 --> 00:15:44,310 +عظمى هو عبارة عن ال process تمام كلمة ال process + +204 +00:15:44,310 --> 00:15:49,550 +هي عبارة عن أي نتوء عظمى موجود عندى في الاسكتاتون + +205 +00:15:49,550 --> 00:15:56,570 +نعيد + +206 +00:15:56,570 --> 00:16:02,810 +كمان مرة ال tubercleالكندال والابيكندال أخدنا و ال + +207 +00:16:02,810 --> 00:16:06,890 +spine و ال process ال tubercle هي عبارة عن small + +208 +00:16:06,890 --> 00:16:13,070 +rounded projections موجود في عندي أيضا اللي هي + +209 +00:16:13,070 --> 00:16:16,870 +الكندال حكينا عبارة عن round articular projections + +210 +00:16:16,870 --> 00:16:20,290 +طالما حكيت articular معناة الحكي أنه هيكون في عندي + +211 +00:16:20,290 --> 00:16:24,340 +jointالاشي اللى فوق منها اسمه Epicondyle زى ما + +212 +00:16:24,340 --> 00:16:28,540 +حددنا بال marker تمام عندنا مختبر كامل احنا موجود + +213 +00:16:28,540 --> 00:16:33,580 +في الجامعة في اللى هو للتشريح موجود اجهزة مفككة + +214 +00:16:33,580 --> 00:16:37,740 +ففي طالب يمسك كل عضمة بعضمتها ان شاء الله بننتقل + +215 +00:16:37,740 --> 00:16:41,620 +للتعليم الوجاهي و بنشوفه ال spine هي عبارة عن + +216 +00:16:41,620 --> 00:16:46,480 +sharp slender projections sharp يعني حاد او يعني + +217 +00:16:46,480 --> 00:16:51,620 +حافته بتكون زى السكينةslender projections استوانية + +218 +00:16:51,620 --> 00:16:56,540 +اللي هو الشكل زي ما شوفناها هنا في عندى اللي هو ال + +219 +00:16:56,540 --> 00:17:00,420 +spine هذه اللي في لوحة الكتف أو ال spine اللي + +220 +00:17:00,420 --> 00:17:04,380 +موجودة في الفرتب أيضا في عندنا ال process حكيناها + +221 +00:17:04,380 --> 00:17:08,860 +عبارة عن أي نتوء عظمى موجود داخل الجسم + +222 +00:17:11,350 --> 00:17:14,730 +الـ Joint Projections هنا كل واحدة هيحكيها مع + +223 +00:17:14,730 --> 00:17:18,850 +الصورة تبعتها Condyle نفس الكلام هنعيده و نشرحه + +224 +00:17:18,850 --> 00:17:23,150 +كمان مرة مهمة كتير هذه المحاضرة انه انا احفظها في + +225 +00:17:23,150 --> 00:17:27,030 +مصطلحاتها و احددها على الرسمة الـ Round Articular + +226 +00:17:27,030 --> 00:17:30,910 +Projections زي ما انتوا شايفين وضحتها انا كمان على + +227 +00:17:30,910 --> 00:17:37,430 +ال skeleton هي في عندي right و بنحكي media condyle + +228 +00:17:38,550 --> 00:17:44,130 +ولاترال تمام median لأنه قريبة من ال midline يعني + +229 +00:17:44,130 --> 00:17:47,870 +انا اليوم لما اجيب هذا ال skeleton كده بجانبي و هو + +230 +00:17:47,870 --> 00:17:51,230 +واقف في ال anatomical position تمام يعني انا واقفة + +231 +00:17:51,230 --> 00:17:54,430 +في هذا ال anatomical position ال eye forward ال + +232 +00:17:54,430 --> 00:17:59,210 +palms forward بحكي هذه النطفة اللي قريبة من ال + +233 +00:17:59,210 --> 00:18:04,830 +midline هي عبارة عنالـ Medial Condyle و اللي بعيدة + +234 +00:18:04,830 --> 00:18:10,430 +هي عبارة عن الـ Lateral Condyle تمام هنا Medial و + +235 +00:18:10,430 --> 00:18:14,410 +هنا بتيجي ال Lateral Condyle زي ما احنا شايفينها + +236 +00:18:14,410 --> 00:18:18,470 +في الصورة هنا جايلي هذا الـ Digital End من الفيمر + +237 +00:18:18,470 --> 00:18:24,510 +Digital End يعني قريبة من ال knee jointأخدنا شو + +238 +00:18:24,510 --> 00:18:28,450 +يعني digital و أخدنا شو يعني proximal إذا وين فيه + +239 +00:18:28,450 --> 00:18:32,490 +articulation أو وين بدي يصير فيه عندي مفصل هعمل + +240 +00:18:32,490 --> 00:18:37,410 +فيه .. هلاجي فيه condyle و إيه بيكون condyle okay؟ + +241 +00:18:37,410 --> 00:18:41,210 +هاي أيضا موجود في عندنا condyle بالفك زي ما إحنا + +242 +00:18:41,210 --> 00:18:45,810 +شايفين هاي فيه بروز هنا هذا اسمه condyle ال + +243 +00:18:45,810 --> 00:18:48,810 +mandibular joint أو هنا ال tendomandibular joint + +244 +00:18:48,810 --> 00:18:55,690 +هذا عبارة عن الفك السفلي فيه أيضا condyleأيضاً في + +245 +00:18:55,690 --> 00:19:00,310 +عندنا الـ crest واضح لشكلهافي القلنة و ال radius + +246 +00:19:00,310 --> 00:19:04,490 +اللي هي العضمات اللي هنا موجودين في ال forearm + +247 +00:19:04,490 --> 00:19:08,150 +العضمة الصغيرة اسمها ال radius والعضمة الكبيرة + +248 +00:19:08,150 --> 00:19:13,790 +اسمها القلنة تمام؟ الان في عندي في ال radius في + +249 +00:19:13,790 --> 00:19:17,690 +عندي حاجة اسمها اللي هو ال crest هاي زي ما احنا + +250 +00:19:17,690 --> 00:19:21,710 +شايفينه البروز العضمي أو الخط اللي طالع لبرا هذا + +251 +00:19:21,710 --> 00:19:27,290 +اسمه crest طبعا اللي موجودة ال line بيكون أصغر من + +252 +00:19:27,290 --> 00:19:31,780 +ال crestsmaller than a crest هاي كمان معلومة + +253 +00:19:31,780 --> 00:19:39,300 +ضفناها على ال line ال Epicondyle a raised area and + +254 +00:19:39,300 --> 00:19:44,280 +above condyle موجودة فوق اللي هي ال condyle يعني + +255 +00:19:44,280 --> 00:19:48,700 +هذه اللي هنا بالإشارة هي Epicondyle و اللي موجودة + +256 +00:19:48,700 --> 00:19:54,600 +هنا هي عبارة عن condyle تمام؟ هاي بالنسبة للعظام + +257 +00:19:58,190 --> 00:20:03,430 +هنا في هاي ال slide وضح لي أنه فيه أخد عينة أو أخد + +258 +00:20:03,430 --> 00:20:08,250 +فقرة من اللي هو thoracic vertebra يعني فقرات القفص + +259 +00:20:08,250 --> 00:20:12,910 +الصدري الفقرات الصدرية احنا بنسميهم بالمناسبة كنا + +260 +00:20:12,910 --> 00:20:17,330 +بنحكي على عظام اللي هو الفقرات في عندي سبعة + +261 +00:20:17,330 --> 00:20:21,270 +cervical واحد اتنين تلاتة اربعة خمسة ستة سبعة لحد + +262 +00:20:21,270 --> 00:20:25,570 +هنا هذه السابعة بتكل سبينس ال process هناخدها ان + +263 +00:20:25,570 --> 00:20:29,750 +شاء اللهأعلى منهم كلهم، بعدين في عندي اتناش + +264 +00:20:29,750 --> 00:20:36,170 +ثوراسيك، خمسة لمبر، خمسة كوكسيال أو بنسميهم اللي + +265 +00:20:36,170 --> 00:20:41,330 +هو الكوكسيالبون وتحت الساكرام، تمام؟ هذا بالنسبة + +266 +00:20:41,330 --> 00:20:48,200 +لعظام العمود الفقريهنا نفس الكلام بنحكي على الـ + +267 +00:20:48,200 --> 00:20:51,640 +bone projections اللي هو البروز العضمي اللي هو + +268 +00:20:51,640 --> 00:20:56,920 +طالع لبرا حكينا أي عضمة لازم يكون لها head لو اجيت + +269 +00:20:56,920 --> 00:21:01,040 +انا فككت هذه العضمة زي ما انتوا شايفينها هذا الرأس + +270 +00:21:01,040 --> 00:21:05,420 +تبعها اللي بتمفصل مع ال pictorial girdles أو ما + +271 +00:21:05,420 --> 00:21:10,430 +يسمى بالحزام الصدريهذا الـ head لازم يكون فيه neck + +272 +00:21:10,430 --> 00:21:15,410 +كل رأس لازم يكون لها رقبة بتحملها صحيح الكلام أنه + +273 +00:21:15,410 --> 00:21:20,230 +أنا عنده head فيه neck هنا فيه أيضا head بتتمفصل + +274 +00:21:20,230 --> 00:21:25,940 +مع ال acetabulum وفيه لها neck موجودة في الفيمرالـ + +275 +00:21:25,940 --> 00:21:30,020 +head تعريفها إيش؟ هي عبارة عن boom expansions + +276 +00:21:30,020 --> 00:21:34,140 +carried on a narrow neck عبارة عن امتداد للرأس + +277 +00:21:34,140 --> 00:21:41,000 +بتتم حمله أو بتتم اللي هو تحميله + +278 +00:21:41,230 --> 00:21:45,410 +على رقبة ضيقة طبعا ولا مرة شفنا أن الرقبة ممكن + +279 +00:21:45,410 --> 00:21:51,170 +تكون قطرها أوسع من الرأس هذا بالنسبة للـ head كل + +280 +00:21:51,170 --> 00:21:54,330 +العظام الطويلة طبعا زي ما أخدنا في أول chapter + +281 +00:21:54,330 --> 00:21:58,770 +تلاتة العظام الطويلة أو long bone لها head يعني + +282 +00:21:58,770 --> 00:22:02,190 +سواء هنا عندي في الهيوميرس سواء عندي في الفيمر + +283 +00:22:02,190 --> 00:22:07,840 +سواء بال radius والقلنة أو ال tibia والfibulafacet + +284 +00:22:07,840 --> 00:22:13,340 +هي عبارة عن ايش projection smooth ناعم قريب من ال + +285 +00:22:13,340 --> 00:22:17,500 +flat articular surface المفاصل المسطحة مين عندي + +286 +00:22:17,500 --> 00:22:21,700 +مفاصل مسطحة لو اجيت انا هنا بين الفقرات في عندي + +287 +00:22:21,700 --> 00:22:25,640 +facet joint هذا ال facet joint مش زي هذا المفصل + +288 +00:22:25,640 --> 00:22:31,100 +دائري وواسع الحركة ممكن انا اعمل flexion extension + +289 +00:22:32,260 --> 00:22:35,480 +abduction أو abduction يعني هذه الحركات اللي + +290 +00:22:35,480 --> 00:22:40,440 +موجودة انه معناة الكلام انه انا ممكن اتحرك في كل + +291 +00:22:40,440 --> 00:22:46,670 +الاتجاهات سواء إلى الأمام إلى الأعلىأو أبعد أو + +292 +00:22:46,670 --> 00:22:50,270 +قريب، لو قولنا قريب من ال midline، معناته هي أبعد + +293 +00:22:50,270 --> 00:22:54,570 +من ال midline، تمام؟ الآن هذا المفصل اللي هو بنحكي + +294 +00:22:54,570 --> 00:22:59,350 +عليه smooth and flat، مسطح، الحركة فيه هنا بسيطة + +295 +00:22:59,350 --> 00:23:02,890 +جدا، يعني يا إما إيش ممكن أنت تعمل في دهرك، إنه + +296 +00:23:02,890 --> 00:23:06,590 +أنا ممكن يا أنحني إلى الأمام أو أرجع تاني لوضعي + +297 +00:23:06,590 --> 00:23:10,550 +الطبيعيمعناة الكلام هنا عبارة عن flat articular + +298 +00:23:10,550 --> 00:23:15,990 +surface غير يختلف تماما عن الإيد أو اللي هي مفصل + +299 +00:23:15,990 --> 00:23:22,690 +ال shoulder أو مفصل ال hip الرمس الرمس هي عبارة عن + +300 +00:23:23,560 --> 00:23:29,480 +ذراع الـ Arm-like bar of bone عبارة عن ممر موجود + +301 +00:23:29,480 --> 00:23:34,120 +في العظام لو أجينا هنا على سبيل المثال في الإيد في + +302 +00:23:34,120 --> 00:23:39,840 +عندي رمس ممر لمرور ال vein ال artery ال nerve كل + +303 +00:23:39,840 --> 00:23:44,440 +هذه الشغلات بتكون موجودة للمرور عن طريق هذا ال + +304 +00:23:44,440 --> 00:23:48,800 +bone marking تمام؟ إذا الرمس هو عبارة عن الarm + +305 +00:23:48,800 --> 00:23:53,640 +-like bar of boneعبارة عن الذراع بنسميها أو طول + +306 +00:23:53,640 --> 00:23:56,460 +الذراع اللي موجود اتفقنا؟ + +307 +00:24:00,310 --> 00:24:05,090 +هنا كمان مرة ورانياهم على الصورة الـ head هي عبارة + +308 +00:24:05,090 --> 00:24:12,890 +عن expansions امتداد البونز على رقبة ضيقة ال facet + +309 +00:24:12,890 --> 00:24:16,870 +زي ما وراناياها هي عبارة عن ال smooth nearly في + +310 +00:24:16,870 --> 00:24:22,030 +flat articular surface وشوفنا ال articular surface + +311 +00:24:22,030 --> 00:24:28,110 +اللي هو موجود داخل الفقرات أو ما بين الفقرات في + +312 +00:24:28,110 --> 00:24:29,410 +العمود الفقري + +313 +00:24:33,480 --> 00:24:38,760 +تمام الرمس arm-like هي هنا في عندي رمس أيضا أنا + +314 +00:24:38,760 --> 00:24:42,680 +جبتلكم يا مثال في ال upper limb هنا أيضا في ال + +315 +00:24:42,680 --> 00:24:47,440 +lower limb هذه العضمة هي اللي موجودة هنا تمام اللي + +316 +00:24:47,440 --> 00:24:51,940 +هي عضاء من عظام ال hip point أو عظام الحوب okay + +317 +00:24:51,940 --> 00:24:56,200 +اللي هي ال essential tuberosity طبعا هنا ال + +318 +00:24:56,200 --> 00:25:00,700 +essential رمس أو اللي هو ذراع اللي موجودهي كمان + +319 +00:25:00,700 --> 00:25:04,500 +موجود في ال upper limb موجود في داخل الفك زي ما + +320 +00:25:04,500 --> 00:25:08,240 +انتوا شايفين السهم وين جاي هنا طبعا every palm + +321 +00:25:08,240 --> 00:25:13,100 +grow and hall has name كل إشي إله اسمه وكل إشي + +322 +00:25:13,100 --> 00:25:16,000 +هناخده ان شاء الله رب العالمين في chapter العظام + +323 +00:25:16,000 --> 00:25:22,960 +بالنسبة للتجاوفالآن أنا انتهيت من اللي هو الـ Bone + +324 +00:25:22,960 --> 00:25:27,600 +Projections أو النتوءات العضمية اللي بارزة خارج + +325 +00:25:27,600 --> 00:25:32,700 +الجسم في القسم الثاني اللي هو بيه النتوءات العضمية + +326 +00:25:32,700 --> 00:25:38,100 +الغائرة أو الداخلة في التجاويف زي مين؟ حاجة اسمها + +327 +00:25:38,100 --> 00:25:43,630 +الـ Maetus هي عبارة عن كان الـlike بس جوايالقناء + +328 +00:25:43,630 --> 00:25:47,490 +اللي هي بتكون موجودة داخل العظام طبعا عاملة زي + +329 +00:25:47,490 --> 00:25:51,570 +تجويف داخلي هنشوفها الـSense اللي هي عبارة عن + +330 +00:25:51,570 --> 00:25:57,470 +الجيوب الأنفية الـCavity اللي موجودة الجيوب + +331 +00:25:57,470 --> 00:26:02,900 +الأنفيةأو ال cavities اللي موجودة داخل ال head زي + +332 +00:26:02,900 --> 00:26:07,080 +ما احنا شايفينها هنا، هذه ال cavities بالمناسبة هم + +333 +00:26:07,080 --> 00:26:13,540 +أربع أزواج موجودين داخل اللي هو ال head فسة هي + +334 +00:26:13,540 --> 00:26:18,680 +عبارة عن shallow baseline depression، shallow، + +335 +00:26:18,680 --> 00:26:24,800 +سطحيمخفاض سطحي يعني مش لجوا غميق لأ أو عميق لأ هي + +336 +00:26:24,800 --> 00:26:29,180 +عبارة عن shallow سطحي baseline depression groove + +337 +00:26:29,180 --> 00:26:35,000 +هي عبارة عن ال throw يعني عبارة عن نتوء عضمي طويل + +338 +00:26:35,000 --> 00:26:38,080 +بيكون موجود هوريكم إياه على اللي هو ال skeleton + +339 +00:26:38,080 --> 00:26:43,320 +fishers still-like أو slit-like عبارة عن fishers + +340 +00:26:43,320 --> 00:26:47,580 +زي الشرخ اللي احنا أخدناه بأنواع الكسور foramen هي + +341 +00:26:47,580 --> 00:26:53,150 +عبارة عن roundedأو تجويف يا إما دائري أو بيضاوي + +342 +00:26:53,150 --> 00:26:58,690 +موجود داخل العضم على سبيل المثال أبدأها بآخرها + +343 +00:26:58,690 --> 00:27:02,890 +واحدة اللي هي ال foramen الآن لو أجيت أنا ل ال + +344 +00:27:02,890 --> 00:27:07,520 +head في عندي هناForamen، Magnum Foramen هذا الـ + +345 +00:27:07,520 --> 00:27:11,340 +Magnum Foramen اللي موجود تحت الـ head بيكون اللي + +346 +00:27:11,340 --> 00:27:16,200 +هو عبارة عن فتحة دائرية ينطلق أو يندرج تحتها اللي + +347 +00:27:16,200 --> 00:27:21,040 +هو العمود الفقري بيطلع منها الـ spinal cord واحنا + +348 +00:27:21,040 --> 00:27:24,880 +حكينا ال spinal cord هو أحد أساسيات ال nerve + +349 +00:27:24,880 --> 00:27:29,740 +system تمام؟ إذا أخدنا مثال على الفتحة الدائرية + +350 +00:27:29,740 --> 00:27:33,890 +اللي موجودة عندنا خليني أشوفهم واحدة واحدةالـ + +351 +00:27:33,890 --> 00:27:39,590 +meatus هي عبارة عن meatus canal أو tube عبارة عن + +352 +00:27:39,590 --> 00:27:43,110 +قناة موجودة هنا بالصورة واضحة عندي أكثر من ال + +353 +00:27:43,110 --> 00:27:44,530 +skeleton طبعا + +354 +00:27:46,930 --> 00:27:52,630 +هذه الفتحة الصغيرة اللي موجودة داخل العضم طبعا هذا + +355 +00:27:52,630 --> 00:27:57,010 +عبارة عن الفك Acoustic هنا اسمها أو هوائي احنا + +356 +00:27:57,010 --> 00:28:02,550 +بنسميه يعني موجودة هنا في منطقة الأذن تقريبا لاطر + +357 +00:28:02,550 --> 00:28:06,610 +ال view ل ال temporal bone and skull موجودة ال + +358 +00:28:06,610 --> 00:28:09,610 +temporal bone اللي هي العضم الجانبية اللي موجودة + +359 +00:28:09,610 --> 00:28:13,890 +في الجمجمة لإيش هذه ال myetas أو لإيش هذه القناة + +360 +00:28:13,890 --> 00:28:19,610 +أو ال tube أو اللي هيموجودة لإنه ممكن يمر خلالها + +361 +00:28:19,610 --> 00:28:25,290 +nerve ممكن يمر خلالها artery ممكن يمر خلالها lymph + +362 +00:28:25,290 --> 00:28:28,590 +vessels أي إشي من اللي احنا أخدناه لإنه زي ما + +363 +00:28:28,590 --> 00:28:32,810 +حكينا البون لازم اللي هي تتغذى يكون في عندها + +364 +00:28:32,810 --> 00:28:37,970 +nutritional supply blood supply كل الأمور هذه + +365 +00:28:37,970 --> 00:28:42,750 +فبالتالي ممكن يمر عن طريق هذه ال mayatas أي إشي من + +366 +00:28:42,750 --> 00:28:47,700 +اللي هو مكونات أو أجزاء الإظامنشوف اللي بعدها + +367 +00:28:47,700 --> 00:28:54,020 +الفصة كلمة فصة تعني shallow basin-like فصة يعني + +368 +00:28:54,020 --> 00:28:59,950 +عبارة عن اللي هوفيه هنا الـ glenoid فسة اللى موجود + +369 +00:28:59,950 --> 00:29:04,070 +عبارة عن تجويف لاحظوا معايا هنا دى بس طالع لفوق + +370 +00:29:04,070 --> 00:29:08,450 +شوية هذه الصح انه تكون هنا بال glenoid فسة هذه ال + +371 +00:29:08,450 --> 00:29:13,350 +scapula عشان تربط معاها ال humerus لازم هنا يكون + +372 +00:29:13,350 --> 00:29:18,150 +في عندي حاجة غائرة لجوا اللى هى shallow depression + +373 +00:29:18,150 --> 00:29:24,110 +يعنيمش زي ها على سبيل المثال زي ال acetabulum هنا، + +374 +00:29:24,110 --> 00:29:27,690 +هنا هذه لأنها عضمة كبيرة و هتحمل وزن الإنسان كله + +375 +00:29:27,690 --> 00:29:32,330 +فبالتالي بتكون غائرة لجوه أكثر، هنا لأ shallow، + +376 +00:29:32,330 --> 00:29:36,970 +التسطح تبعها أو المساحة تبعتها سطحية، مش جاية بشكل + +377 +00:29:36,970 --> 00:29:41,570 +غائر إلى الداخل، تمام؟Fischer هي عبارة عن narrow, + +378 +00:29:42,050 --> 00:29:47,830 +silt-like opening عبارة عن اللي هو فتحة بتكون + +379 +00:29:47,830 --> 00:29:51,870 +موجودة في ال .. أيضا في ال head هنا لو أخدت أنا + +380 +00:29:51,870 --> 00:29:56,470 +هذه ال head و جلبتها بلاقي تحت منها اللي هو narrow + +381 +00:29:56,470 --> 00:30:00,330 +أو Fischer موجودة على شكل ال silt-like اللي هي + +382 +00:30:00,330 --> 00:30:05,090 +الشوكر النانا أو اللي هو خليني أحكي الحفل الصغيرة + +383 +00:30:05,090 --> 00:30:11,330 +من الفتحات شرخ يعني Fischer حاجة بسيطة جداأيضا من + +384 +00:30:11,330 --> 00:30:14,630 +ال depression في عندي حاجة اسمها ال sciences اللي + +385 +00:30:14,630 --> 00:30:19,310 +احنا حكينا عليها اللي هي عبارة عن التجاويف اللي + +386 +00:30:19,310 --> 00:30:24,830 +موجودة هنا بنسميها الجيوب الأنفية I have four + +387 +00:30:24,830 --> 00:30:29,830 +pairs أربع أزواج من الجيوب الأنفية cavity within + +388 +00:30:29,830 --> 00:30:35,380 +boneالتجاوف موجودة داخل العظام تمتلق بالهواء + +389 +00:30:35,380 --> 00:30:40,180 +linked with mucous membrane هذه التجاوف هناخدها ان + +390 +00:30:40,180 --> 00:30:44,000 +شاء الله في skeletal system تلاتة التجاوف هذه + +391 +00:30:44,000 --> 00:30:49,580 +وظيفتها ان هي عبارة عن أربع أزواج تمتلق بالهواء + +392 +00:30:49,580 --> 00:30:54,500 +ليه؟ عشان تخفف ثقل حجم ال skull هذه كلها الرأس + +393 +00:30:54,500 --> 00:30:59,260 +حجمها كبير جدا فبالتاليعشان سبحان الله ربنا أعطانا + +394 +00:30:59,260 --> 00:31:03,460 +نعمة من عنده أنه خلّى هذه التجاويف تمتلئ بالهواء، + +395 +00:31:03,460 --> 00:31:06,620 +إشي طبيعي إنه هي جيوب أنفية، وإحنا حكينا أي إشي + +396 +00:31:06,620 --> 00:31:10,820 +بدي يكون داخلي لازم يبطن، linid with mucous + +397 +00:31:10,820 --> 00:31:16,860 +membrane، تبطن بالأغشية المخاطية، إذا وظيفة الجيوب + +398 +00:31:16,860 --> 00:31:24,760 +الأنفيةهي عبارة عن تخفيف حجم وثقل الهد لمتلائها + +399 +00:31:24,760 --> 00:31:28,820 +بالهواء الآن الكورة لما تكون مملوقة بالهواء بتبقى + +400 +00:31:28,820 --> 00:31:32,520 +عائمة على سطح الماء ولكن لو كانت بس plastic لحاله + +401 +00:31:32,520 --> 00:31:38,020 +بتنزل و بتغوص في الميه الفورامن هي عبارة عن round + +402 +00:31:38,020 --> 00:31:43,640 +أو oval opening تمام؟ هي عبارة عن فتحة دائرية أو + +403 +00:31:43,640 --> 00:31:46,020 +بيضاوية oval يعني بيضاوي + +404 +00:31:49,700 --> 00:31:55,820 +تمام، في عندنا فتحات في الجسم دائرية أو بيداوية + +405 +00:31:55,820 --> 00:31:59,660 +أخدنا مثال على الفتحة الدائرية اللي هي الـ Magnum + +406 +00:31:59,660 --> 00:32:04,260 +أو بنسميها الـ Magnum Foramen هنشرح عنها كمان اللي + +407 +00:32:04,260 --> 00:32:08,920 +طالع منها الـ spinal cord عشان يدخل داخل العمود + +408 +00:32:08,920 --> 00:32:14,760 +الفقري الـ Foramen اللي موجودة عندناهنا برضه هى هم + +409 +00:32:14,760 --> 00:32:19,100 +اعطيناياها الـ Magnum فرمن او الفرمن ماجنم نفس + +410 +00:32:19,100 --> 00:32:23,420 +الاشي هي عبارة عن فتحة round دائرية زى ما انتوا + +411 +00:32:23,420 --> 00:32:29,880 +شايفينها ال sulcus او ما يسمى بال groove او الفراه + +412 +00:32:29,880 --> 00:32:35,680 +هي عبارة عن انخفاض ولكنه مسطح يعني لو اجيت انا هنا + +413 +00:32:35,680 --> 00:32:41,550 +على هذه الرسمة تماموبيننا شوية معانا هنا بنلاقي + +414 +00:32:41,550 --> 00:32:45,510 +هذا ال groove هو عبارة عن .. خليني أوريكم إياها + +415 +00:32:45,510 --> 00:32:49,070 +عبارة عن ال sulcus أو ال deltoid tuberosity أو ال + +416 +00:32:49,070 --> 00:32:54,630 +deltoid groove يعني shallow depression انخفاض بسيط + +417 +00:32:54,630 --> 00:32:59,260 +يعني shallow مسطحهيها موجودة هنا في الـbiceps + +418 +00:32:59,260 --> 00:33:03,440 +أيضًا هيها لو اجيت لفيتها هادي بهذا الشكل لناخد + +419 +00:33:03,440 --> 00:33:07,620 +اللي هنا بتكون أقرب لنا هذا اللي هو الاشي هذا + +420 +00:33:07,620 --> 00:33:11,420 +التجويف اللي هنا هو عبارة عن الـbicipital groove + +421 +00:33:11,420 --> 00:33:14,880 +ليه؟ لأن العضلة اللي هنا اسمها الـbiceps أنا اليوم + +422 +00:33:14,880 --> 00:33:19,320 +هذه العضلة اللي موجودة هنا اسمها الـbiceps، تمام؟ + +423 +00:33:19,320 --> 00:33:24,960 +فعشان هيك سمناها الـbicipital grooveأو بنسميها الـ + +424 +00:33:24,960 --> 00:33:29,820 +Sulcus أو الـ Bicepital Depression. بهيك بيكون أنا + +425 +00:33:29,820 --> 00:33:34,100 +أنهيت معاكم اللي هو الـ Bullmarking يعني محاضرة + +426 +00:33:34,100 --> 00:33:38,900 +خفيفة لطيفة بناء على طلب حضراتكم للإسبوع هذا. + +427 +00:33:38,980 --> 00:33:41,880 +الإسبوع اللي جاي ان شاء الله هنشرح Chapter لسكيلة + +428 +00:33:41,880 --> 00:33:47,200 +التلاتة كامل بإذن الله تعالى.نعمل شوية review أو + +429 +00:33:47,200 --> 00:33:51,120 +مراجعة سريعة حكينا في عندي بالنسبة لل bull marking + +430 +00:33:51,120 --> 00:33:54,300 +في عندي projections في عندي depression ال + +431 +00:33:54,300 --> 00:33:59,060 +projections عدناهم عشرة في عندي ال condyle و بيجي + +432 +00:33:59,060 --> 00:34:03,480 +فوقها ال epicondyle ال head في الهنك ال facet جاية + +433 +00:34:03,480 --> 00:34:09,120 +بال flat articular surface الرمص لكرست حافة العضمة + +434 +00:34:09,120 --> 00:34:13,380 +و أخدنا وين في أنا عندي كرستالـ tubercle و + +435 +00:34:13,380 --> 00:34:16,240 +tubricity الـ trochanter موجودة بس في ال lower + +436 +00:34:16,240 --> 00:34:21,300 +limb ال spine هي عبارة عن حاجة sharp حادة موجودة + +437 +00:34:21,300 --> 00:34:25,260 +بال vertebra كل واحدة مرّينا عليها وشوفناها بالصور + +438 +00:34:25,260 --> 00:34:29,200 +أيضا على ال skeleton ال depression في عندي أو + +439 +00:34:29,200 --> 00:34:33,600 +النتوئات العضمية الغائرة في عندي ال meatus اللي هي + +440 +00:34:33,600 --> 00:34:37,480 +عبارة عن القناة اللي هيمر فيها أي عصب اي nerve اي + +441 +00:34:37,480 --> 00:34:41,410 +blood vesselsالـFossa، الـFisher، الـSciences + +442 +00:34:41,410 --> 00:34:44,930 +الجيوبية الأنفية والـSulcus اللي أخدنا عنها زي + +443 +00:34:44,930 --> 00:34:48,050 +الـBicipital Groove أو بنسميها الـBicipital + +444 +00:34:48,050 --> 00:34:51,170 +Sulcus. بهيك بيكون أنا أنهيت chapter + +445 +00:34:51,170 --> 00:34:53,390 +الـBullmarking ويعطي كل حاجة. + diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/UZkKKJ0o6bg_postprocess.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/UZkKKJ0o6bg_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..5a8bbb95a08b2cdc5d1db3eb47414f399a149893 --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/UZkKKJ0o6bg_postprocess.srt @@ -0,0 +1,1588 @@ +1 +00:00:01,190 --> 00:00:04,560 +السلام عليكم ورحمة الله وبركاتهاليوم بإذن الله + +2 +00:00:04,560 --> 00:00:08,640 +تعالى بدي أبدأ في ال chapter رقم 3 اللى هو بخص + +3 +00:00:08,640 --> 00:00:11,980 +العظام يعني skeletal system في عندى منه skeletal + +4 +00:00:11,980 --> 00:00:15,600 +system 1 و skeletal system 2 اللى هو ال chapter + +5 +00:00:15,600 --> 00:00:20,160 +الرابع الان هذا ال chapter اللى هو chapter 3 ان + +6 +00:00:20,160 --> 00:00:24,600 +شاء الله رب العالمين هقسمه إلى جزئين part 1 و part + +7 +00:00:24,600 --> 00:00:29,760 +2 هو نفس الاشي skeletal system ولكن احنا هنقسم + +8 +00:00:29,760 --> 00:00:34,980 +الفيديوهات نظرا ككبر المحاضرةنبدأ على بركة إبلار + +9 +00:00:34,980 --> 00:00:42,040 +طبعا + +10 +00:00:42,040 --> 00:00:45,680 +أول إشي طالما أنا حكيت عن skeletal system لازم + +11 +00:00:45,680 --> 00:00:50,360 +أعرف شو هي ال bones شو أنواعها شو مكوناتها شو + +12 +00:00:50,360 --> 00:00:56,740 +تفاصيلها كل هذا الإشي بدي أعرفه أنا في هاي الجزئية + +13 +00:00:56,740 --> 00:01:02,440 +ال bone هي عبارة عن organs عظام عبارة عن أعضاءهذه + +14 +00:01:02,440 --> 00:01:07,740 +الأعضاء مكوّنة من أنسجة مختلفة تتكوّن من كل أنواع + +15 +00:01:07,740 --> 00:01:12,420 +الأنسجة اللي احنا أخدناها فيها blood تربط ال + +16 +00:01:12,420 --> 00:01:16,860 +muscle أيضا فيها nerve فيها ال telial tissue كل + +17 +00:01:16,860 --> 00:01:22,660 +أنواع الأنسجة موجودة في العقم تمام؟Their primary + +18 +00:01:22,660 --> 00:01:27,340 +component is osseous connective tissue بالأساس + +19 +00:01:27,340 --> 00:01:31,520 +وإذا بتتذكروا لما أخدنا كلمة اللي هي osseous + +20 +00:01:31,520 --> 00:01:36,280 +tissue بين القصين هي البون معناه تلحقي ان هو عبارة + +21 +00:01:36,280 --> 00:01:39,300 +عن ال osseous أو البون هي نوع من أنواع ال + +22 +00:01:39,300 --> 00:01:42,540 +connective tissue اللي احنا أخدناها اللي هي في ال + +23 +00:01:42,540 --> 00:01:45,980 +second group اللي احنا أخدنا first group اسمها + +24 +00:01:45,980 --> 00:01:50,140 +proper والتانية specialized specialized تحتوي على + +25 +00:01:50,140 --> 00:01:55,980 +البونو ال blood و ال cartilage فبالتالي ال + +26 +00:01:55,980 --> 00:02:01,880 +connective tissue داخل هنا في تركيبة العضام ال + +27 +00:02:01,880 --> 00:02:06,640 +matrix is 3D and rigid due to classification and + +28 +00:02:06,640 --> 00:02:11,860 +mineralization المادة الخلوية أخذناها بتختلف في + +29 +00:02:11,860 --> 00:02:15,840 +حالتها الثلاثةممكن تكون ال fluid زي ال blood ممكن + +30 +00:02:15,840 --> 00:02:21,340 +تكون liquid gel أو gel like بنسميها شبه اللي هو ال + +31 +00:02:21,340 --> 00:02:25,440 +gel زي ال cartilage و هنا في البون هتكون عبارة عن + +32 +00:02:25,440 --> 00:02:31,360 +إشي strong و صعب قاسي أو صلب أسفة مش صعب هو عبارة + +33 +00:02:31,360 --> 00:02:35,060 +عن إش صلب فبالتالي ناتج هذا الإش أو هذه الصلابة + +34 +00:02:35,060 --> 00:02:38,900 +مأخوذة من ال classification أو بسميها ال + +35 +00:02:38,900 --> 00:02:43,760 +mineralizationتمام التمعدن أو وجود المعادن داخل + +36 +00:02:43,760 --> 00:02:48,640 +العظام شو وظائف العظام أخدنا في بداية chapter + +37 +00:02:48,640 --> 00:02:52,960 +introduction نبدأ قصيرة عن العظام كنا حكينا أن + +38 +00:02:52,960 --> 00:02:57,580 +العظام من أهم وظائفها support تعمل كدعانة + +39 +00:02:57,580 --> 00:03:02,740 +protection حماية لمين لل vital organs movement + +40 +00:03:02,740 --> 00:03:07,600 +وظيفتها الحركة mineral storage بتخزن المعادنأيضًا + +41 +00:03:07,600 --> 00:03:11,840 +تعمل على الـBlood Cell Formation والـEnergy Torch + +42 +00:03:11,840 --> 00:03:17,200 +Support لمين؟ هي بتعمل support للـFramework اللي + +43 +00:03:17,200 --> 00:03:21,080 +بيعمل support للـBody and Cardus of Soft Organs + +44 +00:03:21,080 --> 00:03:26,300 +إذًا بتدعم الجسم وبتعطينا الهيكلية الأخيرة تبع شكل + +45 +00:03:26,300 --> 00:03:30,360 +الإنسان فبالتالي هي بتحمي الـSoft Organs اللي + +46 +00:03:30,360 --> 00:03:35,780 +موجودة داخلهبننتقل لنقطة مباشرة تليها ويلها علاقة + +47 +00:03:35,780 --> 00:03:39,000 +فيها طالما في support معناته في protection حماية + +48 +00:03:39,000 --> 00:03:43,340 +provide to protective cases in the brain طبعا و + +49 +00:03:43,340 --> 00:03:47,160 +spinal cord و ال vital organs ال heart و ال lungs + +50 +00:03:47,160 --> 00:03:51,420 +كل هاي اللي هي ال organs هي عبارة عن vital organs + +51 +00:03:51,420 --> 00:03:57,470 +أعضاء حيوية يجب الحفاظ عليها ال movementتعرف نظام + +52 +00:03:57,470 --> 00:04:01,390 +الروافع أخدناه طبعا في الفيزيا العظام تشتغل أو + +53 +00:04:01,390 --> 00:04:06,730 +تعمل كنظام روافع عشان طبعا بارتباطها مع العضلات + +54 +00:04:06,730 --> 00:04:10,890 +عشان تؤدي الحركة لو احنا مافي عندنا عظام مافي + +55 +00:04:10,890 --> 00:04:15,010 +عندنا حركة صار بالتزامن أو بالتصاحب مع العضلات الـ + +56 +00:04:15,010 --> 00:04:19,890 +Mineral Storage العظام بتخزن عندناكمية كبيرة من + +57 +00:04:19,890 --> 00:04:24,350 +المعادن أهم هذه المعادن الكالسيون الفوسفان أيضًا + +58 +00:04:24,350 --> 00:04:28,650 +الأملاح المعدنية المهمة لجسم الإنسان كل هذه اللي + +59 +00:04:28,650 --> 00:04:32,910 +هي المعادن بتتخزن داخل العظام ال blood cell + +60 +00:04:32,910 --> 00:04:35,850 +formation طبعًا احنا حكينا أن ال red bone marrow + +61 +00:04:35,850 --> 00:04:40,750 +بيتم اللي هو عبارة عن نخاع العضم الأحمر بيعمل على + +62 +00:04:40,750 --> 00:04:45,170 +تكوين خلايا الدم اللي بتكون دم الإنسان هنا two + +63 +00:04:45,170 --> 00:04:49,160 +basesHemato لحالها أنا بقسمها و بقول hemato تعني + +64 +00:04:49,160 --> 00:04:52,520 +باللاتيني اللي هي blood of bases formation أو + +65 +00:04:52,520 --> 00:04:56,100 +تكوين إذا ال hematobases أو تكوين الدم occurs + +66 +00:04:56,100 --> 00:05:01,260 +within the marrow cavity of bones يتكون في ان اللي + +67 +00:05:01,260 --> 00:05:05,360 +هي التجاوف النخاعية للعضم يعني على سبيل المثال في + +68 +00:05:05,360 --> 00:05:07,480 +عندنا نخاع العضم الأحمر و في عندنا نخاع العضم + +69 +00:05:07,480 --> 00:05:11,320 +الأصفر اللي بيكوّن خلايا الدم هو عبارة عن نخاع + +70 +00:05:11,320 --> 00:05:16,200 +العضم الأحمرالـ Energy Storage تخزين الطاقة بدي + +71 +00:05:16,200 --> 00:05:21,180 +يكون عن طريق الفات اللى هو موجود في نخاع العضم + +72 +00:05:21,180 --> 00:05:24,940 +الأصفر إذا أنا هنا بفرق بين النخاعين فى عندى نخاع + +73 +00:05:24,940 --> 00:05:29,500 +عضم أحمر و فى نخاع عضم أصفر نخاع العضم الأحمر + +74 +00:05:29,500 --> 00:05:33,300 +بيكونى اللى هو الـ blood cell formation أما الفات + +75 +00:05:33,300 --> 00:05:36,880 +اللى موجود داخل الـ yellow boomerang هذا بيكونى أو + +76 +00:05:36,880 --> 00:05:42,390 +وظيفته يعمل Energy Storage تمام؟ هايعنا تقريباً + +77 +00:05:42,390 --> 00:05:46,070 +خمس + +78 +00:05:46,070 --> 00:05:51,510 +وظائف أو ست وظائف للـ Boons بشكل عام هشرحها لكل + +79 +00:05:51,510 --> 00:05:54,870 +واحدة على أحدها support and protection الـ Boons + +80 +00:05:54,870 --> 00:05:57,210 +provide structural and support تسير في الـ + +81 +00:05:57,210 --> 00:06:02,010 +framework لكل الجسم Interbody يعني كل الجسم هو + +82 +00:06:02,010 --> 00:06:06,890 +بيعطيني الهيكلية النهائية لكل الجسم تمام؟ الـ and + +83 +00:06:06,890 --> 00:06:10,480 +لمين ال support الـ Boons protectmini delicate + +84 +00:06:10,480 --> 00:06:15,840 +tissue تعمل على حماية الأنسجة الرقيقة delicate + +85 +00:06:15,840 --> 00:06:21,800 +يعني رقيقة تعمل على حماية الأنسجة الرقيقة organs + +86 +00:06:21,800 --> 00:06:27,500 +from injury and trauma إذا تعمل على حماية تعمل على + +87 +00:06:27,500 --> 00:06:33,680 +حماية الأنسجة الرقيقة من أي إصابة أو أي ضربة تمام + +88 +00:06:33,680 --> 00:06:41,800 +هذا بالنسبة للعظام ال movementالحركة الآن العضلات + +89 +00:06:41,800 --> 00:06:47,340 +بارتباطها بالإضام بتأدي وظيفة انقباض وانبساط + +90 +00:06:47,340 --> 00:06:55,720 +انقباض وانبساط تمام العضلة حاكينا contract then + +91 +00:06:55,720 --> 00:07:01,860 +relax contract then relax يعني انقباض وانبساط هذا + +92 +00:07:01,860 --> 00:07:07,000 +يؤدي إلى pull of bone ال function as serious of + +93 +00:07:07,000 --> 00:07:13,050 +liverأذن muscles attach the bones of skeletons + +94 +00:07:13,050 --> 00:07:19,350 +ترتبط العضلات بالعظام عشان تعمل الحركة هذا بالنسبة + +95 +00:07:19,350 --> 00:07:23,010 +وحكينا إلنا شباتر خاصة بالعضلات نعرف كيف قليت + +96 +00:07:23,010 --> 00:07:28,910 +انقباضها وانبسطها، تمام؟ الان storage of mineral + +97 +00:07:28,910 --> 00:07:34,570 +and energy receivers اللي هي تخزين المعادن وكذلك + +98 +00:07:34,570 --> 00:07:46,620 +تخزين الطاقةحوالي 90% من جسم الإنسان بيتم + +99 +00:07:46,620 --> 00:07:51,660 +تخزين اللي هو المعادن زي الكالسيوم والفسفور داخل + +100 +00:07:51,660 --> 00:07:55,900 +جسم الإنسان وبيتم إطلاقها عن طريق اللي هو العظام + +101 +00:07:57,320 --> 00:08:00,720 +الـ hematobases اللي هي عبارة عن blood cell + +102 +00:08:00,720 --> 00:08:04,300 +formation اليوم أنا أجيت حكيت hemato باللاتيني + +103 +00:08:04,300 --> 00:08:08,080 +تعني blood تمام؟ basis اللي هي عبارة عن cell + +104 +00:08:08,080 --> 00:08:12,320 +formation hematobases اللي هي عبارة عن تكوين خلايا + +105 +00:08:12,320 --> 00:08:16,100 +الدم ال blood cell production in a red bone marrow + +106 +00:08:16,460 --> 00:08:21,380 +تمام بيتم إنتاج خلايا الدم الحمراء خلايا الدم أسفة + +107 +00:08:21,380 --> 00:08:26,420 +في اللي هو نخاع العظم الأحمر located in spongy + +108 +00:08:26,420 --> 00:08:31,180 +bone اها هنا أنا أجيت لمعلومة بالتفصيل وين موجود + +109 +00:08:31,180 --> 00:08:37,160 +بالظبط في اللي هو العظم الاسفنجي الذي يحتوي على ال + +110 +00:08:37,160 --> 00:08:41,320 +red bone marrow تمام؟أيضا الـ red bone marrow + +111 +00:08:41,320 --> 00:08:45,760 +contains stem cells اللي هو يحتوي على اللي هي + +112 +00:08:45,760 --> 00:08:50,380 +الخلايا الجذعية تمام اللي موجودة داخل الـ red bone + +113 +00:08:50,380 --> 00:08:54,720 +marrow forms all blood cells type تحتوي على كل + +114 +00:08:54,720 --> 00:09:00,540 +خلايا الدم اللي هي موجودة سواء كانت ال RBC أو ال + +115 +00:09:00,540 --> 00:09:03,880 +white blood cells أو ال blatless اللي هي الصفائح + +116 +00:09:03,880 --> 00:09:12,080 +الدموية شو أنواع العظام؟عنا عظام طويلة على شكل + +117 +00:09:12,080 --> 00:09:17,480 +اللى هو عظمة الفخد على سبيل المثال اللى هى بدى + +118 +00:09:17,480 --> 00:09:24,480 +يكون طولها أوسع من عرضها بكتير طويلة طول عندى عظام + +119 +00:09:24,480 --> 00:09:31,820 +قصيرة زى هاى العظمة الصغيرة عندى عظام مسطحة زى + +120 +00:09:31,820 --> 00:09:37,080 +اللى هو ال skull boneتمام؟ اللي هي عظام الجمجمة + +121 +00:09:37,080 --> 00:09:42,880 +عندى عظام irregular عظام غير منتظم تماما من هنا + +122 +00:09:42,880 --> 00:09:47,320 +جاية شوية بحفة و من هناك جاية مسطحة و من هنا جاية + +123 +00:09:47,320 --> 00:09:51,060 +بشكل عمودي لأنا عارف أصنفها معلة طويلة ولا معلة + +124 +00:09:51,060 --> 00:09:56,760 +قصيرة فبسميها irregular IR إذا إجت قبل الكلمة أو + +125 +00:09:56,760 --> 00:10:02,220 +سبقت الكلمة فهي تعني غير أو تنفي الكلمة ما قبلها + +126 +00:10:02,220 --> 00:10:08,320 +regular منتظمIrregular تعني عظام غير منتظمة اللي + +127 +00:10:08,320 --> 00:10:12,680 +هي عبارة عن هذا الشكل عظام أشمالها غير منتظمة + +128 +00:10:12,680 --> 00:10:16,120 +Sesamoid bones أو ما يسمى بالعضم اللي هو + +129 +00:10:16,120 --> 00:10:20,480 +الـSymptomy أو العضم اللي هو الرقيق جدا اللي هي + +130 +00:10:20,480 --> 00:10:24,820 +على شكل صابونة الرقبة هذه العضمة اللي موجودة هنا + +131 +00:10:25,890 --> 00:10:31,450 +إذا أنا بقسم العظام لعظام طويلة عظام قصيرة عظام + +132 +00:10:31,450 --> 00:10:36,870 +مسطحة عظام غير منتظمة عظام اللي هي سمسمية أو ما + +133 +00:10:36,870 --> 00:10:41,270 +يسمى بالعظام الدقيقة أو الرقيقة تمام؟ هذا بالنسبة + +134 +00:10:41,270 --> 00:10:46,580 +لأنواع العظامالـ classification by shape أنا هنا + +135 +00:10:46,580 --> 00:10:50,780 +بدي أشكلها طبعا حسب طولها و أشوف وين موجودة الآن + +136 +00:10:50,780 --> 00:10:55,420 +الـ long bones أو ما يسمى بالعظام الطويلة تحتوي + +137 +00:10:55,420 --> 00:11:00,520 +هذه العظام الطويلة على إن طولها أوسع من عرضها + +138 +00:11:00,520 --> 00:11:05,580 +تمام؟ اللي هو بدي يكون طويلة طول زي الـ humerus + +139 +00:11:05,580 --> 00:11:09,500 +لاحظوا هنا المؤشر وين جاي على كلمة humerus عضمة + +140 +00:11:09,500 --> 00:11:14,900 +اللي هي Fالعدد اللى هو بدى يكون عبارة عن عظام + +141 +00:11:14,900 --> 00:11:18,280 +طويلة ايضا هنا فى عظام طويلة اللى هى عظمة الفيمر + +142 +00:11:18,280 --> 00:11:23,320 +تمام؟ هي عظمة الفيمر اللى هى عبارة عن عظمة الفخب + +143 +00:11:49,290 --> 00:11:53,350 +أتكلمنا على ألواء العظام بالنسبة للعظام الطويلة + +144 +00:11:53,350 --> 00:11:58,090 +حكيناها دي اسمها humerus هي موجودة هنا اللي هي + +145 +00:11:58,090 --> 00:12:02,430 +العظمة في ال upper limb هنا عنا عظمة اسمها femur + +146 +00:12:02,430 --> 00:12:09,230 +اللي هي بالlower limb أيضا من العظام الأخرى أو + +147 +00:12:09,230 --> 00:12:12,650 +النوعية التانية اللي هي short القصيرة cup shape + +148 +00:12:12,650 --> 00:12:17,000 +على شكل الكبايةطبعا موجودة في ال rest و ال uncle + +149 +00:12:17,000 --> 00:12:22,140 +اللي هي موجودة في الرسوغ هنا معصم اليد و هنا اللي + +150 +00:12:22,140 --> 00:12:27,380 +هو عبارة عن الكاحل أو ما يسمى بيه اللي هو القدم من + +151 +00:12:27,380 --> 00:12:32,150 +تحت يعني مفصل القدمالبون هنا within tendo البون + +152 +00:12:32,150 --> 00:12:36,210 +ذات اللي هي form within tendo بتكون مرتبطة تماما + +153 +00:12:36,210 --> 00:12:40,650 +مع الأربطة زي على سبيل المثال for example البتلة + +154 +00:12:40,650 --> 00:12:45,330 +اللي هي هاي العضمة اللي موجودة هنا عبارة عن + +155 +00:12:45,330 --> 00:12:50,270 +الصبونة اللي موجودة في الرقبة الآن ل flat foot + +156 +00:12:50,270 --> 00:12:55,210 +اللي هي النوعية التالتة thin و flattened and a bit + +157 +00:12:55,210 --> 00:13:03,190 +curvedطبعا هي عبارة عن عظام مسطحة رقيقة جدا بتجينا + +158 +00:13:03,190 --> 00:13:06,530 +على شكل الصحن تقريبا خليني احكي او على شكل ال bit + +159 +00:13:06,530 --> 00:13:11,730 +curve تمام زي ال sternum زي ما انتوا شايفينها اللي + +160 +00:13:11,730 --> 00:13:16,750 +هي عظمة القص ومرت علينا قبل كده اللي هي ال sternum + +161 +00:13:16,750 --> 00:13:22,680 +بترتبط فيها الأضلاع الصدريةو معظم عظام اللي هي الـ + +162 +00:13:22,680 --> 00:13:27,860 +Skull معظم عظام الجمجمة هي عبارة عن Flat bones أي + +163 +00:13:27,860 --> 00:13:32,800 +عظام مسطحة تمام؟ بهيك بكون دخلت أنا بالنوع التالت + +164 +00:13:32,800 --> 00:13:37,380 +النوع الرابع ال irregular هو عبارة عن عظام غير + +165 +00:13:37,380 --> 00:13:42,380 +منتظمة تمام؟ ال bones with complicated shapes طبعا + +166 +00:13:42,380 --> 00:13:47,390 +بتكون معقدة في التركيب يعنيعلى سبيل المثال هنا + +167 +00:13:47,390 --> 00:13:51,370 +طلعوا كيف جاية دائرية وبعدين إلها spine أي إلها + +168 +00:13:51,370 --> 00:13:57,950 +شوكة وإلها من هنا بروزات طالعة فوق واشي نازل لتحت + +169 +00:13:57,950 --> 00:14:01,210 +فبالتالي صعب إنه أنا أصنفها فهي تركيبتها بتكون + +170 +00:14:01,210 --> 00:14:05,670 +معقدة جدا زي الفقرات الدهرية على سبيل المثال أو + +171 +00:14:05,670 --> 00:14:10,450 +فقرات العمود الفقري بأكملها تمام؟ and hips bone + +172 +00:14:10,450 --> 00:14:15,610 +اللي هي عظام الحوض اللي موجودة هناirregular غير + +173 +00:14:15,610 --> 00:14:19,990 +منتظمة هذه صورة توضيحية لكل العظام اللي موجودة + +174 +00:14:19,990 --> 00:14:25,190 +عندى هنا long bone عظام طويلة هنا irregular او + +175 +00:14:25,190 --> 00:14:29,470 +flat اس او flat bone اللي هي للـ sternum و + +176 +00:14:29,470 --> 00:14:35,130 +irregular لل vertebra طبعا و short bone للثلث اللي + +177 +00:14:35,130 --> 00:14:39,950 +هي العضمة اللي موجودة في القدم طبعا هذه العظام + +178 +00:14:39,950 --> 00:14:45,240 +بأنواعهاالـ Classification طبعا للـ bones في عندي + +179 +00:14:45,240 --> 00:14:50,200 +أنا بقسم الجسم إلى قسمين كنا حكينا فيه axial محوري + +180 +00:14:50,200 --> 00:14:54,680 +و perpendicular طرفي ال axial اللي هو عبارة عن + +181 +00:14:54,680 --> 00:14:58,720 +المحوري بيشمل ال head و ال neck و ال trunk هذا كله + +182 +00:14:58,720 --> 00:15:03,840 +تمام ال bones تبعت ال skull ال vertebra و ال ribs + +183 +00:15:03,840 --> 00:15:08,620 +هذا axial و هذا هنشرح عنه واحدة واحدة بالتفصيل هذا + +184 +00:15:08,620 --> 00:15:13,210 +ايش اسمه اللي هو محوريأما الطرفي اللى هو ال + +185 +00:15:13,210 --> 00:15:17,630 +abdicular هو عبارة عن عظام ال upper and lower + +186 +00:15:17,630 --> 00:15:24,230 +limbs عظام اليدين والجزء الأعلى من الجسم وعظام + +187 +00:15:24,230 --> 00:15:27,290 +القدمين اللى هو الجزء الأسفل من الجسم بالاضافة + +188 +00:15:27,290 --> 00:15:32,190 +للروابط التابعينهم طبعا ال upper limb هترتبط عن + +189 +00:15:32,190 --> 00:15:34,890 +طريق ال shoulder girdle اللى هو عبارة عن shoulder + +190 +00:15:34,890 --> 00:15:39,850 +الحزان الصدري او ما يسمى الحزان الحزان الكتفيأيضا + +191 +00:15:39,850 --> 00:15:43,030 +بالنسبة لأ ال lower limb هترتبط في حاجة اسمها ال + +192 +00:15:43,030 --> 00:15:46,810 +pelvic girdle أو ما يسمى ال hip girdle يعني هي + +193 +00:15:46,810 --> 00:15:51,590 +عبارة عن الحزام الحوضي تمام؟ هي بالنسبة لأنواع + +194 +00:15:51,590 --> 00:15:56,370 +العظام في جسم الإنسان عظام محورية وعظام طرفية + +195 +00:15:56,370 --> 00:16:02,510 +تركيبة العظام من الخارج الآن بهذه العظمة زي ما + +196 +00:16:02,510 --> 00:16:05,790 +انتوا شايفينها هي عبارة عن عظمة long bone كلنا + +197 +00:16:05,790 --> 00:16:10,550 +متفقين على هذا أي شيءفي إلها من فوق نتوقعات بيضاء + +198 +00:16:10,550 --> 00:16:14,870 +لو جبنا أي عضمة موجودة عندنا ك تمام هلاجي فوق في + +199 +00:16:14,870 --> 00:16:20,070 +عندنا اللي هو قطعة صغيرة بيضاء طبعا مغلفة لرأس + +200 +00:16:20,070 --> 00:16:25,070 +العضمة وكذلك بالنسبة لنهايتها إذا لها بداية ولها + +201 +00:16:25,070 --> 00:16:28,830 +نهاية هذا ال long bone تبعنا هذا اللي أنا بالمؤشر + +202 +00:16:28,830 --> 00:16:32,750 +ماشي عليه حاجة اسمه ال shaft اللي هو ساق العضمة + +203 +00:16:32,750 --> 00:16:37,250 +تمام هذا هحكي عليه ال cartridge protection for + +204 +00:16:37,250 --> 00:16:43,780 +jointsتمام؟ العظام أو الغضاريف تحمي المفاصل فاكرين + +205 +00:16:43,780 --> 00:16:47,200 +لما احنا حكينا بالنسبة لل cartilage في أنا عندى + +206 +00:16:47,200 --> 00:16:51,080 +cartilage موجود فى نهاية كل عضمة وتانية ومع اللى + +207 +00:16:51,080 --> 00:16:56,480 +هو تقدم العمر بتصير فى تآكل هذا هو ال cartilage + +208 +00:16:56,480 --> 00:17:00,280 +اللى أنا بتكلمه عنه الأهم تمام؟ هيه ال cartilage + +209 +00:17:00,280 --> 00:17:07,760 +اللى فى بداية ونهاية العضمةحاجة اسمها ال eb faces + +210 +00:17:07,760 --> 00:17:14,160 +eb لحالها كلمة eb انا بقسمها الكلمة لجزئين اساسيا + +211 +00:17:14,160 --> 00:17:19,820 +eb تعني فوقها faces اللي هو الغلاف فوق الغلاف eb + +212 +00:17:19,820 --> 00:17:23,200 +faces هو عبارة عن ايش؟ عبارة عن هذا القرص اللي + +213 +00:17:23,200 --> 00:17:28,400 +موجود هنا الأبيض expanded expanded لل end of long + +214 +00:17:28,400 --> 00:17:34,160 +bones بيمتد لنهايات العضم اللي هي طويلة يعني هنا + +215 +00:17:34,160 --> 00:17:39,080 +موجودفي قرص وهنا موجود في قرص في بداية العضمة وفي + +216 +00:17:39,080 --> 00:17:43,500 +نهايتها موجود exterior is compact bone and the + +217 +00:17:43,500 --> 00:17:47,860 +interior is spongy bone موجود في خارج العضم + +218 +00:17:47,860 --> 00:17:53,380 +الحقيقي compact يعنيcompact يعني عظم حقيقي sponge + +219 +00:17:53,380 --> 00:17:57,860 +هو العظم الاسفنجي اللي هو فيه فراغات يكون ال joint + +220 +00:17:57,860 --> 00:18:02,320 +surface is covered with articulating او highline + +221 +00:18:02,320 --> 00:18:06,000 +cartilage بالتحديد احنا حكينا ال cartilage في عندى + +222 +00:18:06,000 --> 00:18:09,540 +منها أنواع مختلفة وحكيت ال highline هو عبارة عن + +223 +00:18:09,540 --> 00:18:13,520 +العظم الزجاجى اسفل ال cartilage الزجاجى او الغضروف + +224 +00:18:13,520 --> 00:18:19,120 +الزجاجى هو عبارة عن الغضروف اللى موجود فى نهاية + +225 +00:18:20,230 --> 00:18:24,850 +العدمتين location of red bone marrow ايضا اللى هى + +226 +00:18:24,850 --> 00:18:29,510 +ال ابى faces موجود فيها red bone marrow لأنه زى ما + +227 +00:18:29,510 --> 00:18:33,450 +حكينا موجودة فى ال sponge bone واحنا حكينا فيها ال + +228 +00:18:33,450 --> 00:18:36,510 +red bone marrow فى حاجة هنا اسمها ال ابى facial + +229 +00:18:36,510 --> 00:18:41,250 +line هو عبارة عن ايش؟ عبارة عن الخط الفاصل بين ال + +230 +00:18:41,250 --> 00:18:45,730 +dia faces و ال ابى faces الانب اللاتينى كلمة dia + +231 +00:18:45,730 --> 00:18:52,880 +تعني بينهأو منتصف في الـ middle تمام؟ لأن هذه + +232 +00:18:52,880 --> 00:18:57,120 +النطفة اللي في المنتصف اسمها diaphases واللي فوق + +233 +00:18:57,120 --> 00:19:03,160 +هنا وهنا وإن أنا بأشهر بال mark هنا epiphases وهنا + +234 +00:19:03,160 --> 00:19:08,300 +كمان epiphases أما في المنتصف اسمها diaphases لأن + +235 +00:19:08,300 --> 00:19:12,640 +الخط اللي موجود هنا هو عبارة عن الـepiphacial line + +236 +00:19:12,640 --> 00:19:16,920 +that are separated the diaphases from epiphases + +237 +00:19:18,110 --> 00:19:24,470 +طلاب الأعزاب هنشوف هذا المؤشر هاي السهم لاحظوا + +238 +00:19:24,470 --> 00:19:29,530 +معايا جاي هيك ومتفرع هنا Epiphasis و هنا Epiphasis + +239 +00:19:29,530 --> 00:19:34,570 +تمام في رسمة تانية Epiphasis و ان السهم جاي على + +240 +00:19:34,570 --> 00:19:38,650 +هذه النطفة الموجودة في المنتصف شهي اللي هي + +241 +00:19:38,650 --> 00:19:43,270 +Epiphasis Epiphasis هي عبارة عن tubular shaft that + +242 +00:19:43,270 --> 00:19:48,680 +forms in axis of long bones هي عبارة عنطاق + +243 +00:19:48,680 --> 00:19:54,600 +الاستوانية اللى بتشكل طول العضمة إذا هو موجود وين؟ + +244 +00:19:54,600 --> 00:19:58,160 +في العظام الطويلة، هاي حاجة أنا لايمكن أنساها، هاي + +245 +00:19:58,160 --> 00:20:02,840 +عضمة طويلة، المنتصف تبعها هذا هو ال shaft هو عبارة + +246 +00:20:02,840 --> 00:20:08,220 +عن ال diaphysis هو عبارة عن إيش؟ ال tabular shaft + +247 +00:20:08,220 --> 00:20:11,780 +يعني اللى هو الساق الإنبوبية أو الساق الاستوانية + +248 +00:20:13,460 --> 00:20:17,320 +«compact bone that surrounds the medullary cavity» + +249 +00:20:17,320 --> 00:20:22,340 +في الـ «their faces» هي بتحيط في الـ «compact + +250 +00:20:22,340 --> 00:20:27,100 +bone» هذا اللي هنا بلدية عضم حقيقي عضم متراس على + +251 +00:20:27,100 --> 00:20:30,040 +بعض و لبعض فبالتالي بتحيط في حاجة اسمها الـ + +252 +00:20:30,040 --> 00:20:33,260 +«medullary cavity» و هتكلم عليها اللي هي الـ + +253 +00:20:33,260 --> 00:20:37,080 +«medullary cavity» هي عبارة عن إيش؟التجويف مضالي + +254 +00:20:37,080 --> 00:20:40,160 +للعظم، سأتكلم عليه في الـ slide القادم بإذن الله + +255 +00:20:40,160 --> 00:20:43,800 +يحتوي على إيش؟ الـ diaphysis تحتوي على الـ yellow + +256 +00:20:43,800 --> 00:20:48,380 +bone marrow تحتوي على نخاع العظم الأصفر اللي أحنا + +257 +00:20:48,380 --> 00:20:51,340 +بالأساس قلنا بيحتوي على الفاتع عشان يعمل storage + +258 +00:20:51,340 --> 00:20:55,180 +لل energyis contained in medullary cavity اذا + +259 +00:20:55,180 --> 00:20:59,440 +موجودة هنا في المنتصف ال medullary cavity موجودة + +260 +00:20:59,440 --> 00:21:02,960 +بالمنطقة الجغرافية اللي أنا بسميها ال diaphysis + +261 +00:21:02,960 --> 00:21:08,620 +المنطقة النصفية التي تحتوي على ال yellow bone + +262 +00:21:08,620 --> 00:21:13,000 +marrow تمام هنا باللون الأصفر أنا بأشر عليها و + +263 +00:21:13,000 --> 00:21:16,660 +بقول هي عبارة عن yellow bone marrow يعني بنقصين + +264 +00:21:16,660 --> 00:21:23,340 +fat يعني بنقصين storage لل energy تمامهذه هي داعي + +265 +00:21:23,340 --> 00:21:26,920 +faces الـ bone structure هذا بالنسبة للخارجي كنت + +266 +00:21:26,920 --> 00:21:30,200 +في ال slides خليني بس أرجع شوية لقدامالـ external + +267 +00:21:30,200 --> 00:21:35,300 +كله external انا بحكي على شكل العضم من برا حكيت + +268 +00:21:35,300 --> 00:21:38,100 +على ال ابي faces حكيت على ال diafaces حكيت انه + +269 +00:21:38,100 --> 00:21:42,940 +موجود في ال bone اللي هي الطويلة ال long bone الآن + +270 +00:21:42,940 --> 00:21:47,480 +بدي اشوف شو تركيبة العظام من ال internal الان + +271 +00:21:47,480 --> 00:21:51,460 +تركيبة العظام internally او داخليا sponge bone + +272 +00:21:51,460 --> 00:21:55,100 +معناته فيها red boneزي ما انتوا شايفين المنطقة ال + +273 +00:21:55,100 --> 00:21:58,260 +ابى faces هذه اللى انا قبل شوية صنفتها علي انها + +274 +00:21:58,260 --> 00:22:02,080 +ابى faces لاحظوا الفراغات او المسامات اللى موجودة + +275 +00:22:02,080 --> 00:22:05,820 +هنا و اللى موجودة هنا اذا ان هي sponge bone زى + +276 +00:22:05,820 --> 00:22:11,180 +الاسفنجة تبع المطبخ مثلا تتخللها بعض الفراغات تمام + +277 +00:22:11,180 --> 00:22:14,760 +فهي هنا تحتوي على ال red bone marrow في العظام + +278 +00:22:14,760 --> 00:22:20,680 +الطويلة تمام هذا بسميه sponge bone تختلف تماما + +279 +00:22:21,720 --> 00:22:25,040 +القطع الوسطانية هنا أو القطع اللي في المنتصف اللي + +280 +00:22:25,040 --> 00:22:28,600 +أنا سميتها الـ Diaphases اللي هي تحتوي على الـ + +281 +00:22:28,600 --> 00:22:34,080 +Compact Bone تحتوي على العظم الحقيقي اللي هو عبارة + +282 +00:22:34,080 --> 00:22:37,800 +عن هذا الشكل اللي انتوا شايفينه هيه بيكون عظم + +283 +00:22:37,800 --> 00:22:41,940 +حقيقي يعني مافي ولا فراغ لكن اللي جوا بيكون في + +284 +00:22:41,940 --> 00:22:45,240 +حاجة اسمها الـ Modular Cavity اللي هو Yellow Bone + +285 +00:22:45,240 --> 00:22:50,300 +Marrow يحتوي على نخاء العظم الأصفر تمام؟هي صورة + +286 +00:22:50,300 --> 00:22:54,860 +توضيحية لإلكم أيضا من الـ Internal في حاجة اسمها + +287 +00:22:54,860 --> 00:22:58,780 +الـ Modular Cavity اللي هي عبارة عن التجاويف + +288 +00:22:58,780 --> 00:23:02,920 +العضمية المتوسطة اللي موجودة في البقعة المتوسطة + +289 +00:23:02,920 --> 00:23:09,680 +هاي تحتوي على ال yellow bone marrow ال Epiphasis + +290 +00:23:09,680 --> 00:23:14,420 +Plate أو ما يسمى بال Growth Plate قُرص النمو هو + +291 +00:23:14,420 --> 00:23:19,500 +عبارة عنالاطراف اللى احنا حكينا عليها لأن هذا قرص + +292 +00:23:19,500 --> 00:23:24,320 +النمو هو المسؤول عن طول العضلة بيضلوا الإنسان ينمو + +293 +00:23:24,320 --> 00:23:31,680 +و يطول لحد عمر 25 سنة طبعا الكتب اختلفت ممكن نعطيه + +294 +00:23:31,680 --> 00:23:38,700 +range من 18 إلى 25 سنة لكن المنطقة هنا هي منطقة + +295 +00:23:38,700 --> 00:23:43,210 +حساسة يعني لو لا سمح الله صار في عندي كثرعلى سبيل + +296 +00:23:43,210 --> 00:23:47,210 +المثال في مفصل الكوع الإصابة هنا لو كانت في هذا + +297 +00:23:47,210 --> 00:23:52,350 +القرص تؤدي إلى عدم نمو هذه العضمة فبالتالي أنا + +298 +00:23:52,350 --> 00:23:56,930 +لازم هاي أحافظ عليها في الأطفال مهم جدا خصوصا أنه + +299 +00:23:56,930 --> 00:24:03,070 +لما بت .. بتتنصب بيبطل في عندي growth لأو نمو لهذه + +300 +00:24:03,070 --> 00:24:08,160 +العضمة الطويلةتمام إذا الـ Epifacial plate أو اللي + +301 +00:24:08,160 --> 00:24:12,140 +هو Epifacial Plate قُرص النمو أو ما يسمى بالـ + +302 +00:24:12,140 --> 00:24:16,520 +Epifacial زي اللي أخدنا اللي هو عبارة عن الفوق + +303 +00:24:16,520 --> 00:24:22,020 +عضمية أو الفوق اللي هي أعلى قمة البداية وأعلى قمة + +304 +00:24:22,020 --> 00:24:27,700 +النهاية اللي موجودة عندنا في العضم الطويل الآن ال + +305 +00:24:27,700 --> 00:24:32,420 +parts of long bone خليني أبدأ أفصلها بالواحدة تمام + +306 +00:24:32,420 --> 00:24:37,770 +ال Epifacialفي منه digital وفي منه proximal هذا + +307 +00:24:37,770 --> 00:24:41,630 +بيرجعنا للي هو بداية الشبطة من أول لأن أنا كنت + +308 +00:24:41,630 --> 00:24:46,890 +أقول فوق بداية العظمة ونهاية العظمة لأ أنا بالنسبة + +309 +00:24:46,890 --> 00:24:51,170 +لي هيصير أحكي هنا ال proximal لاحظوا معايا هذه + +310 +00:24:51,170 --> 00:24:55,970 +العظمة عظمة إيش الفيمر الفيمر تعني عظمة الفخد + +311 +00:24:55,970 --> 00:25:01,010 +فبالتالي التصاقها هنا هيكون في الacetabulum اللي + +312 +00:25:01,010 --> 00:25:04,760 +هو التجويف اللي بتسمونه الحققي أو الحققيهذا + +313 +00:25:04,760 --> 00:25:09,060 +التجويه في الاستابيولا قريب لل trunk فبالتالي انا + +314 +00:25:09,060 --> 00:25:15,480 +بحكي proximal epiphases تمام كلمة proximal + +315 +00:25:15,480 --> 00:25:20,000 +epiphases تحت لإنه بعيدة هنا بيصير ارتباطها بال + +316 +00:25:20,000 --> 00:25:24,600 +knee joint بمفصل الركبة هسميها digital digital + +317 +00:25:24,600 --> 00:25:28,720 +epiphases يعني في عندى proximal لإنها قريبة من ال + +318 +00:25:28,720 --> 00:25:33,520 +trunk و digital بعيدة عن ال trunkالان اللى فى + +319 +00:25:33,520 --> 00:25:37,120 +المنتصف هذا اللى احنا شايفينه هو عبارة عن حاجة + +320 +00:25:37,120 --> 00:25:40,460 +اسمها الـ diaphases و باللاتن واردس dia تعني + +321 +00:25:40,460 --> 00:25:45,480 +between أو middle أو اشى فى المنتصف تمام تحتوي على + +322 +00:25:45,480 --> 00:25:48,140 +ايش ال diaphases؟ تحتوي على حاجتين تنتين ال + +323 +00:25:48,140 --> 00:25:52,160 +compact bone و ال sponge bone compact bone معناته + +324 +00:25:52,160 --> 00:25:58,360 +red bone marrow sponge bone اسفل compact bone ال + +325 +00:25:58,360 --> 00:26:01,100 +yellow bone marrow و ال sponge هي عبارة عن ال red + +326 +00:26:01,100 --> 00:26:04,990 +bone marrowتمام؟ وتحتوي أيضًا على الـ Medullary + +327 +00:26:04,990 --> 00:26:09,110 +Cavity اللي هي عبارة عن هذا التجويف الصغير اللي + +328 +00:26:09,110 --> 00:26:12,610 +بيكون يحتوي على زي ما انتوا شايفين في عنا Artery + +329 +00:26:12,610 --> 00:26:18,230 +في عنا Vans شرايين وأوردة كذلك تحتوي على الـYellow + +330 +00:26:18,230 --> 00:26:22,950 +Boomerang و الـBristian اللي هو عبارة عن غشاء + +331 +00:26:22,950 --> 00:26:28,730 +السمحاقاللي هو بيغلف العضمة ككل الـindustrial من + +332 +00:26:28,730 --> 00:26:32,310 +الغشاء الداخلي وهنا في عندي حاجة اسمها + +333 +00:26:32,310 --> 00:26:35,370 +الـarticulation cartilage اللي هو الـhighline + +334 +00:26:35,370 --> 00:26:40,370 +cartilage اللي موجود عندي، تمام؟ هاي بالنسبة + +335 +00:26:40,370 --> 00:26:44,690 +لأجزاء العظام الطويلة اللي موجودة عنديفي عندي حاجة + +336 +00:26:44,690 --> 00:26:48,370 +اسمها Trabecula اللي هي عبارة عن النتوئات اللي + +337 +00:26:48,370 --> 00:26:51,910 +بتكون موجودة داخل العضمة هنحكي عليها موسع في + +338 +00:26:51,910 --> 00:26:56,690 +الشباتر القادمة المرة بينقسم عندي نخاء العضم إلى + +339 +00:26:56,690 --> 00:27:02,560 +نخاء عضم أحمر ونخاء عضم أسفرالان بالنسبة للرسمة + +340 +00:27:02,560 --> 00:27:07,620 +هذه مش مطلوبة هذا كله أو هاي ال slide أجملت لنا ال + +341 +00:27:07,620 --> 00:27:11,220 +slides السابقة كلها كويس أنه احنا ندرسها على + +342 +00:27:11,220 --> 00:27:16,140 +الرسمة عشان نقدر نذكرها و كتشريح كويس أنه أنت + +343 +00:27:16,140 --> 00:27:20,960 +ترسمها أو ترسميها و تحفظي اللي هي الأجزاء عليها + +344 +00:27:20,960 --> 00:27:25,180 +أما كرسمة فهي مش مطلوبة منهاالـ Structural قاعدة + +345 +00:27:25,180 --> 00:27:30,040 +الأن كله كان يتعلق بالـ long bone الآن أنا بدي أجي + +346 +00:27:30,040 --> 00:27:34,880 +لحاجة اسمها short irregular flat ممكن نفس العضمة + +347 +00:27:34,880 --> 00:27:40,330 +نفسها تكون short و تكون small boneتمام؟ يعني ممكن + +348 +00:27:40,330 --> 00:27:43,550 +تكون قصيرة و ممكن تكون سمسمية على سبيل المثال + +349 +00:27:43,550 --> 00:27:48,190 +جيبنا عظمة اللي هي ال .. سابونة الرقبة حكينا عنها + +350 +00:27:48,190 --> 00:27:51,930 +هي عبارة عن عظمة سمسمية بنفس الوجهات ممكن انا اقدر + +351 +00:27:51,930 --> 00:27:56,030 +اصمفها انها short صحيح الإجابة هنا بتكون صحيحة ال + +352 +00:27:56,030 --> 00:28:00,190 +structural هنا تبع ال short نرجع تاني لموضوعنا و + +353 +00:28:00,190 --> 00:28:03,450 +ال flat هنا ماخد قطعة او عينة صغيرة من ال flat + +354 +00:28:03,450 --> 00:28:06,990 +bone اللي هي موجودة في ال skull موجودة في الجمجمة + +355 +00:28:06,990 --> 00:28:15,610 +thin bladeمسطحة و رقيقة جدا بالنسبة لعدمة الفخدة + +356 +00:28:15,610 --> 00:28:19,310 +او عدمة الايد هي عبارة عن اشي مسطح وخفيف جدا + +357 +00:28:19,310 --> 00:28:24,670 +البريستيام cover compact bone غشاء السمحاق بيغطي + +358 +00:28:24,670 --> 00:28:31,640 +العضم الحقيقي on outsideشي طبيعي، شق السمحق بيغطي + +359 +00:28:31,640 --> 00:28:36,460 +العظام الخارجية ولكن الـ Endostium اللي هو اندو + +360 +00:28:36,460 --> 00:28:40,980 +داخلي بيغطي الـ spongy bone on side خليني أرجع + +361 +00:28:40,980 --> 00:28:45,200 +شوية ل slideين لقدام عشان نكون احنا في الصورة، + +362 +00:28:45,200 --> 00:28:49,480 +الآن هذا او هذه الصورة، حكية اللي برا هو compact + +363 +00:28:49,480 --> 00:28:53,710 +bone واللي جوا هو عبارة عن spongy boneمعناة الكلام + +364 +00:28:53,710 --> 00:28:57,930 +انه compact bone هو عبارة عن العظم الحقيقي اللى + +365 +00:28:57,930 --> 00:29:01,930 +بيتم تغطيته من برا عن طريق اللى هو ال بريستيام + +366 +00:29:01,930 --> 00:29:07,170 +بريستيام حوله او فوقه او اللى هو الغلاف الخارجى + +367 +00:29:07,170 --> 00:29:12,370 +اما ال indium او الindo فهو بيغطي من ال sponge + +368 +00:29:12,370 --> 00:29:16,410 +bone اللى موجود هنا هذا اللى هو في الداخل هو عبارة + +369 +00:29:16,410 --> 00:29:21,270 +عن ال sponge bone يعني بيغطي ال indium اللى هو + +370 +00:29:21,270 --> 00:29:29,600 +عبارة عنالعظم السفنجي الداخلي تمام؟ نرجع لشريحتنا + +371 +00:29:29,600 --> 00:29:34,360 +اللي كنا شغالين عليها اللي هي إيش بتحكي؟ بتحكي إنه + +372 +00:29:34,360 --> 00:29:37,300 +في عندي الـPrestium وفي عندي الـIndestium + +373 +00:29:37,300 --> 00:29:41,040 +الـPrestium بيغطي الـoutside للـcompact bone + +374 +00:29:41,040 --> 00:29:44,920 +والـIndestium بيغطي الـspongy bone طبعاً في + +375 +00:29:44,920 --> 00:29:49,710 +الـinternal اللي هو الداخلي have no diaphasesلا + +376 +00:29:49,710 --> 00:29:54,630 +تحتوي العظام القصيرة ولا الغير مرتبة ولا المسطحة + +377 +00:29:54,630 --> 00:29:57,830 +على diaphases وين بدي أحط ال diaphases لاحظوا + +378 +00:29:57,830 --> 00:30:02,670 +معايا هي دوبها قطعة صغيرة ما إلها طول لأ هي عبارة + +379 +00:30:02,670 --> 00:30:08,050 +عن قطعة مسطحة رقيقة جدا مافي إلها طول سمكتها جدًا + +380 +00:30:08,050 --> 00:30:13,550 +بدها تكون أقل من ملي مترات فبالتالي معناة الكلام + +381 +00:30:13,550 --> 00:30:17,580 +أنه لا تحتوي على diaphasesولا تحتوي على إي بي + +382 +00:30:17,580 --> 00:30:20,980 +faces هنا مهمة جدا عندي هذه المعلومة نضلنا + +383 +00:30:20,980 --> 00:30:25,310 +حافظينها ومخبينهاcontain للبون مارو مابين لل + +384 +00:30:25,310 --> 00:30:30,030 +tabicula بتكون البون مارو موجودة داخل فيها بون + +385 +00:30:30,030 --> 00:30:34,190 +مارو ولكن موجود في هذه الفجوات الصغيرة لما أنا + +386 +00:30:34,190 --> 00:30:38,730 +حكيت هستخدم هذه الكلمة لاحقا هي عبارة عن هذه اللي + +387 +00:30:38,730 --> 00:30:42,710 +هي الفجوات اللي بتكون موجود في ال flat and + +388 +00:30:42,710 --> 00:30:47,380 +irregular bone و كذلك الشارد بورأقدر ألخص هذه + +389 +00:30:47,380 --> 00:30:50,440 +الشريحة على أساس أن الـflat و ال short و ال + +390 +00:30:50,440 --> 00:30:54,780 +irregular bone هي عبارة عن عظام ليس لها eb-faces + +391 +00:30:54,780 --> 00:30:58,620 +ولا diafaces تحتوي على البريستيام و الاندستيام + +392 +00:30:58,620 --> 00:31:02,700 +البريستيام بيغطي ال compact bone و كذلك الاندستيام + +393 +00:31:02,700 --> 00:31:08,140 +بيغطي ال sponge boneأيضا تحتوي على مارو موجود في + +394 +00:31:08,140 --> 00:31:12,160 +الترابيكيولا هذه اللي هي عبارة عن الفجوات الصغيرة + +395 +00:31:12,160 --> 00:31:16,880 +اللي بتكون عبارة عن حجر لو أضع البون مارو داخلها + +396 +00:31:16,880 --> 00:31:22,200 +وبهيك بيكون أنا خلصت ال part الأول من skeletal + +397 +00:31:22,200 --> 00:31:27,400 +system 1 وألقاكم بإذن الله في part 2 على بركة الله + diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/VhDnxOanphg.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/VhDnxOanphg.srt new file mode 100644 index 0000000000000000000000000000000000000000..fbe00d6756bf2ef84534e7a04367fca119ca7ccc --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/VhDnxOanphg.srt @@ -0,0 +1,1350 @@ +1 +00:00:04,930 --> 00:00:07,750 +بسم الله الرحمن الرحيم والصلاة والسلام على أشرف + +2 +00:00:07,750 --> 00:00:11,310 +الأنبياء والمرسلين ألقاكم إن شاء الله رب العالمين + +3 +00:00:11,310 --> 00:00:16,310 +في chapter the skeletal system number two كنا تحدثنا + +4 +00:00:16,310 --> 00:00:18,890 +على the skeletal system number one في المحاضرات + +5 +00:00:18,890 --> 00:00:23,290 +السابقة اليوم بإذن الله سأبدأ chapter جديد يخص + +6 +00:00:23,290 --> 00:00:28,050 +الجهاز العضمي أو الهيكل العضمي بشكل كامل معاكم من + +7 +00:00:28,050 --> 00:00:31,530 +جديد الدكتور أماني مظهر نبدأ إن شاء الله في مساقنا + +8 +00:00:31,530 --> 00:00:35,270 +ونبدأ في ال chapter الجديد لأن هذا الشابتر أنا أشرح + +9 +00:00:35,270 --> 00:00:41,570 +فيه موضوع اللي هو ال axial skeleton حكينا يبدأ بال + +10 +00:00:41,570 --> 00:00:46,820 +skull وما هي ما تسمى بالجمجمة the thoracic الـ + +11 +00:00:46,820 --> 00:00:51,640 +Vertebral Column اللي هي عبارة عن العمود الفقري زي + +12 +00:00:51,640 --> 00:00:56,360 +ما أنتم شايفينه و the pelvic تمام؟ هذه كلها + +13 +00:00:56,360 --> 00:01:00,120 +أعتبرها the skeletal أو the axial skeletal system ال + +14 +00:01:00,120 --> 00:01:03,400 +appendicular هتكلم عنه في ال chapter القادم بإذن + +15 +00:01:03,400 --> 00:01:08,680 +الله تعالى اللي هو يحتوي على the peripheral limbs + +16 +00:01:08,680 --> 00:01:13,720 +اللي هي عبارة عن the arm و the forearm الفيمر عظمة + +17 +00:01:13,720 --> 00:01:19,400 +الفخد و اللي تحتها اللي هي the tibia و the fibula + +18 +00:01:19,400 --> 00:01:24,560 +حكيت أنه أنا ما موجود عندي اللي هي the peripheral + +19 +00:01:24,560 --> 00:01:30,560 +bones عائمة هي مرتبطة بحزام صدري و تحت مرتبطة + +20 +00:01:30,560 --> 00:01:35,140 +بحزام حوضي الحزام الصدري اسمه the pectoral girdle + +21 +00:01:35,140 --> 00:01:40,630 +و الحزام الحوضي اسمه the pelvic girdle هذا ملخص أو ال + +22 +00:01:40,630 --> 00:01:43,570 +content تبعنا اللي أنا اليوم أشرح عنه بإذن الله + +23 +00:01:43,570 --> 00:01:48,830 +تعالى نبدأ على بركة الله the axial skeleton هو + +24 +00:01:48,830 --> 00:01:54,670 +عبارة عن the head the neck و the trunk هبدأ اليوم في + +25 +00:01:54,670 --> 00:01:59,570 +the head عظام the skull هاخدها عظمة عظمة بعدين ال + +26 +00:01:59,570 --> 00:02:05,920 +neck و بعدين اللي هو ال trunk the appendicular skeleton + +27 +00:02:05,920 --> 00:02:10,900 +فئة B اللي هو عبارة عن the upper limbs the lower + +28 +00:02:10,900 --> 00:02:15,820 +limbs و the pectoral girdle الحزام الصدري and + +29 +00:02:15,820 --> 00:02:21,980 +the pelvic girdle الحزام الحوضي تمام هذا اللي + +30 +00:02:21,980 --> 00:02:28,600 +هو ملخص محاضرتنا لليوم هذه الصورة توضيحية معاكم زي + +31 +00:02:28,600 --> 00:02:33,000 +ما أنتم شايفين معانا هذا ال skeleton هو عبارة عن + +32 +00:02:33,000 --> 00:02:39,900 +the axial skeleton اللي هو المحوري أو الهيكلي نحكي + +33 +00:02:39,900 --> 00:02:45,480 +عليه الهيكل العضمي المحوري و الهيكل العضمي الطرفي + +34 +00:02:45,480 --> 00:02:52,960 +صورة توضيحية فقط معانا the skull شو هي the skull؟ الـ + +35 +00:02:52,960 --> 00:02:56,440 +Skull هي عبارة عن هذه الجمجمة اللي موجودة أنا بين + +36 +00:02:56,440 --> 00:02:59,500 +يديها إن شاء الله رب العالمين لما أشوفكم وجاهياً + +37 +00:02:59,500 --> 00:03:04,820 +هعطيكم إياها بيدكم تفكوا كل عظمة هي عبارة عن إيش + +38 +00:03:04,820 --> 00:03:08,760 +أكبر تجويف موجود في الجسم اللي بيعمل enclosure + +39 +00:03:08,760 --> 00:03:14,740 +أو بيسكره وبيغلف the brain جواته هي the skull فيها + +40 +00:03:14,740 --> 00:03:22,580 +تجاويف أيضاً في العينين مثلاً و the nose و the mouth أيضاً من + +41 +00:03:22,580 --> 00:03:26,680 +مميزات the skull أو مميزات الجمجمة إنها عبارة عن + +42 +00:03:26,680 --> 00:03:30,320 +المدخل الأساسي لل respiratory system أنا من هنا + +43 +00:03:30,320 --> 00:03:35,180 +بفوت عندي الهواء للجسم من هنا بفوت عندي الغذاء + +44 +00:03:35,180 --> 00:03:40,000 +للجسم إذا هي عبارة عن the entrance لل respiratory + +45 +00:03:40,000 --> 00:03:44,020 +system and the entrance لل digestive system هي عبارة + +46 +00:03:44,020 --> 00:03:50,060 +عن المدخل الأساسي للتنفس والمدخل الأساسي للجهاز + +47 +00:03:50,060 --> 00:03:55,190 +الهضمي إذا الـ cranial bones from the rounded + +48 +00:03:55,190 --> 00:04:00,510 +cranium كلمة cranium معايا هنا هي عبارة عن الجمجمة + +49 +00:04:00,510 --> 00:04:04,650 +تمام؟ زي ما أنتم شايفين كلمة cranium هي عبارة عن + +50 +00:04:04,650 --> 00:04:08,910 +ال cranial نفس الشيء لما أقول cranial هي نفسها لما + +51 +00:04:08,910 --> 00:04:13,790 +أحكي cranium بس تختلف في ال noun و الشيء which is + +52 +00:04:13,790 --> 00:04:17,370 +completely surrounds and encloses the brain احنا + +53 +00:04:17,370 --> 00:04:20,390 +حكينا إن من وظائف العظام إنها بتعمل a protection + +54 +00:04:20,990 --> 00:04:24,410 +protection لمن؟ لل vital organs من ال vital + +55 +00:04:24,410 --> 00:04:29,230 +organs؟ the brain the heart the lungs كل هذه الأعضاء + +56 +00:04:29,230 --> 00:04:35,030 +الحساسة يتم المحافظة عليها عن طريق هذه الجمجمة لو + +57 +00:04:35,030 --> 00:04:39,050 +أجيت أنا فكت هذه الجمجمة طبعاً لو الإنسان طبيعي أو + +58 +00:04:39,050 --> 00:04:45,350 +إنسان normal بعمليات جراحية بين فوق الجمجمة بيكون + +59 +00:04:45,350 --> 00:04:49,410 +داخلها هنا أو جواتها اللي هو the brain the brain هو + +60 +00:04:49,410 --> 00:04:53,750 +the central nervous system vital organs لازم أنا أحافظ + +61 +00:04:53,750 --> 00:05:00,240 +عليه تمام هذا ال vital organs أحافظ عليه بالـ bones + +62 +00:05:00,240 --> 00:05:05,540 +على أساس ما يتعرض لأي شيء من البيئة الخارجية الـ + +63 +00:05:05,540 --> 00:05:12,070 +facial bones أو عظام الوجه هي عبارة عن العظام اللي + +64 +00:05:12,070 --> 00:05:17,490 +موجودة داخل الجمجمة هي مواقع اتصال العضلات حكيت + +65 +00:05:17,490 --> 00:05:22,710 +أنا إن العضلة نفسها العضلة ال muscles بترتبط في + +66 +00:05:22,710 --> 00:05:26,630 +العظم في عندنا حاجة اسمها origin و حاجة اسمها + +67 +00:05:26,630 --> 00:05:33,770 +insertion هذه العظمة مع العضلة تمام هذه ال + +68 +00:05:33,770 --> 00:05:40,050 +muscles في عندنا حاجة اسمها origin و حاجة اسمها + +69 +00:05:40,050 --> 00:05:44,640 +insertion هذه الـ insertion وهذه الـ origin هي نقطة + +70 +00:05:44,640 --> 00:05:51,600 +الأصل، أصل العضلة، هذه نهاية العضلة، + +71 +00:05:51,600 --> 00:05:57,200 +تمام؟ ال origin لما يقترب من ال insertion يعطينا + +72 +00:05:57,200 --> 00:06:01,540 +قصر للعضلة، أنا حكيت وظيفة العضلة لما أخذنا chapter + +73 +00:06:01,540 --> 00:06:02,520 +العضلات contract + +74 +00:06:05,110 --> 00:06:09,830 +relax، تمام؟ عشان تؤدي وظيفتها العضلة، في عندنا + +75 +00:06:09,830 --> 00:06:14,910 +contract relax، انقباض، انبساط، يعني القصر اللي + +76 +00:06:14,910 --> 00:06:19,870 +بيكون بيؤدي وظيفة العضلة the origin و the insertion، + +77 +00:06:19,870 --> 00:06:22,290 +الآن شو المناسبة أن أنا أحكي عن the origin و ال + +78 +00:06:22,290 --> 00:06:26,390 +insertion، أنه أنا بحكي عندي في هذه the skull، هذه + +79 +00:06:26,390 --> 00:06:30,210 +العظام اللي موجودة في وجهنا، هي عبارة عن ارتباطات + +80 +00:06:30,690 --> 00:06:36,290 +للمفاصل على عظام الوجه عشان العضلة تؤدي وظيفتها + +81 +00:06:36,290 --> 00:06:44,240 +لازم ترتبط في مواقع موجودة داخل عظام الوجه أيضاً في + +82 +00:06:44,240 --> 00:06:48,840 +the skull حكينا فيه the entrance لل digestive system + +83 +00:06:48,840 --> 00:06:52,680 +اللي هو هذا شايفينه معايا على الكاميرا اللي هو + +84 +00:06:52,680 --> 00:06:56,640 +الفم هذا هو المدخل للطعام أيضاً في عندنا المدخل + +85 +00:06:56,640 --> 00:07:00,940 +للهواء اللي هو the entrance لل respiratory system + +86 +00:07:01,670 --> 00:07:05,030 +provide attachment لل site of facial muscles هذا + +87 +00:07:05,030 --> 00:07:09,370 +اللي أنا حكيت عليه أنه أنا عندي هذا الشيء اللي + +88 +00:07:09,370 --> 00:07:14,430 +موجود طبعاً العضلة لازم يكون لها origin and + +89 +00:07:14,430 --> 00:07:18,270 +insertion هي origin and insertion في عندي عضلات + +90 +00:07:18,270 --> 00:07:25,370 +لخدود هنا عضلات لـ the maxilla عضلات لـ the mandible + +91 +00:07:25,370 --> 00:07:31,840 +العضلات هي لها موقع بداية وموقع نهاية عشان يصير في + +92 +00:07:31,840 --> 00:07:37,800 +عندنا انقباض وانبساط إذا هذا كل ما حكيناه كمقدمة + +93 +00:07:37,800 --> 00:07:44,660 +أساسية عن الـSkull هذه اللي أنا هتكلم عنها الآن + +94 +00:07:44,660 --> 00:07:49,340 +في عندي في هذه ال slide هي بالمناسبة slide إضافية + +95 +00:07:49,340 --> 00:07:54,800 +لحضراتكم بتلخص إيش أنا بدي أحكي عنهم في عندي ال + +96 +00:07:54,800 --> 00:07:59,330 +facial bones وفي عندي ال cranial bones الـ cranial + +97 +00:07:59,330 --> 00:08:06,050 +bones اللي هي عبارة عن عظام الجمجمة عظام + +98 +00:08:06,050 --> 00:08:10,770 +الجمجمة هي عبارة عن ثمان عظمات أساسية هنشوفها في + +99 +00:08:10,770 --> 00:08:16,930 +هذا المجسم ثمان عظام أساسية للجمجمة فقط لوحدها أما + +100 +00:08:16,930 --> 00:08:21,370 +ال facial bones اللي هي عظام الوجه هذه هي عبارة عن + +101 +00:08:21,370 --> 00:08:26,790 +أربع عشرة عضمة كل واحدة باسمها هناخدها نبدأ مع بعض + +102 +00:08:26,790 --> 00:08:31,730 +الآن لما أقول أنا ال facial أو اللي هو ال cranial + +103 +00:08:31,730 --> 00:08:37,410 +bones تحتوي على the frontal bone كلمة frontal اللي + +104 +00:08:37,410 --> 00:08:40,930 +هي عبارة عن هذه اللي احنا بنحكي عليها باللغة + +105 +00:08:40,930 --> 00:08:47,670 +العربية ناصية تمام مقدمة الجمجمة أو اللي هي الناصية + +106 +00:08:47,670 --> 00:08:53,690 +أمام الرأس أو المقدمة في الرأس frontal كلمة + +107 +00:08:53,690 --> 00:08:58,830 +frontal خليني أشوفها هنا مكتوبة الآن جنب كل كلمة + +108 +00:08:58,830 --> 00:09:03,110 +مكتوب عندنا رقم هذا الرقم عبارة عن إيش أنه أنا + +109 +00:09:03,110 --> 00:09:09,440 +اليوم عندي في الجمجمة عظمة واحدة من عظمة واحدة فقط + +110 +00:09:09,440 --> 00:09:13,420 +من the frontal مش أكثر من هيك مافي إنسان عنده ناصية + +111 +00:09:13,420 --> 00:09:18,300 +ثانية لأ هي ناصية واحدة إذا the frontal هي عبارة عن + +112 +00:09:18,300 --> 00:09:26,240 +الناصية ناصية واحدة فقط تمام نشوف اللي بعدها هذه + +113 +00:09:26,240 --> 00:09:31,680 +طبعاً صورة توضيحية أيضاً لل frontal هنا + +114 +00:09:33,460 --> 00:09:37,460 +هذه الـ frontal هي مكتوب عليها the frontal bone رقم + +115 +00:09:37,460 --> 00:09:42,860 +واحد في عندي حاجة اسمها the parietal bone العظمة + +116 +00:09:42,860 --> 00:09:47,100 +الجانبية في عندي إثنتين من the parietal bones و هنشوفها + +117 +00:09:47,100 --> 00:09:52,000 +حاليا أو the temporal خذنا نأخذ ال temporal ال + +118 +00:09:52,000 --> 00:09:55,800 +temporal bones اللي هي عبارة عن العضمة الصدغية + +119 +00:09:55,800 --> 00:10:00,860 +العضمة الصدغية في منها إثنتين واحدة على the right و + +120 +00:10:00,860 --> 00:10:07,510 +واحدة على the left تمام يعني I have two parietal two + +121 +00:10:07,510 --> 00:10:16,810 +temporal bones هنا + +122 +00:10:16,810 --> 00:10:21,590 +مش جايبهم كلهم خليني أشوف الرسمة اللي موجودة في + +123 +00:10:21,590 --> 00:10:25,410 +عندي the occipital bone الإنسان عنده قاع واحد + +124 +00:10:25,410 --> 00:10:29,730 +للجمجمة the occipital bone اللي هو عبارة عن قاع + +125 +00:10:29,730 --> 00:10:36,270 +الجمجمة رقمها واحد the parietal إثنين وال temporal + +126 +00:10:36,270 --> 00:10:41,670 +إثنين يعني عندي إثنتين واحدة على the right واحدة على + +127 +00:10:41,670 --> 00:10:45,790 +the left the sphenoid bone اللي هي العظمة اللي بتكون + +128 +00:10:45,790 --> 00:10:46,510 +داخل + +129 +00:10:48,830 --> 00:10:54,170 +الشيء من هنا the ethmoid تمام فيه أيضاً عندنا the ethmoid + +130 +00:10:54,170 --> 00:10:59,770 +اللي هي تحت العين واحد واحد واحد إثنين خليني آجي + +131 +00:10:59,770 --> 00:11:03,610 +أعدهم مع بعض ألاقي أن ال cranial bones ال total + +132 +00:11:03,610 --> 00:11:09,020 +تبعهم ثمانية واحدة occipital و إثنين parietal و إثنين + +133 +00:11:09,020 --> 00:11:16,080 +temporal خمسة وستة سبعة وthe ethmoid ثمانية إذا I have + +134 +00:11:16,080 --> 00:11:19,680 +eight cranial bones في عندي ثمانية the frontal + +135 +00:11:19,680 --> 00:11:24,270 +أولهم the occipital ثاني، بعدين في عندنا الـ + +136 +00:11:24,270 --> 00:11:27,790 +temporal اللي هنا الصدغية the parietal اللي موجودة هنا + +137 +00:11:27,790 --> 00:11:33,030 +على الجانب وال ethmoid هنا عند العين وال sphenoid + +138 +00:11:33,030 --> 00:11:38,450 +تحتها، إذا عظام الجمجمة هم ثمان عظمات أساسية + +139 +00:11:38,450 --> 00:11:42,270 +موجودين عندي في ال slides موجودين أيضاً في الرسمة + +140 +00:11:42,270 --> 00:11:46,490 +خليني أقشر عليهم زي ما أنتم شايفين المؤشر خليني + +141 +00:11:46,490 --> 00:11:48,690 +أنسح كمان مرة ونشوف + +142 +00:11:50,930 --> 00:11:54,890 +أول حاجة هبدأها في زي ما شرحت على المجسم أشرح كمان + +143 +00:11:54,890 --> 00:12:00,270 +على الشكل اللي أمامنا هذه اللي هي the frontal أو + +144 +00:12:00,270 --> 00:12:04,930 +الناصية زي ما حكيت لكم عددها طبعاً واحد حكي هنا مافي + +145 +00:12:04,930 --> 00:12:09,390 +إنسان له two frontal أو two occipital لأ هذه ال + +146 +00:12:09,390 --> 00:12:12,830 +occipital bone هي عبارة عن عظمة واحدة هذه ال + +147 +00:12:12,830 --> 00:12:16,830 +frontal bone هي عبارة عن عظمة واحدة أما ال parietal + +148 +00:12:16,830 --> 00:12:20,590 +اللي هي بهذا اللون هي عبارة عن عظمتين إثنتين واحدة + +149 +00:12:20,590 --> 00:12:23,490 +على the right واحدة على اليسرى الثانية لو كانت تصوير + +150 +00:12:23,490 --> 00:12:29,610 +من الجانب الثاني واحدة right واحدة left واحد وإثنين + +151 +00:12:29,610 --> 00:12:33,150 +صاروا ثلاثة و ال occipital هي أربعة ال temporal + +152 +00:12:33,150 --> 00:12:37,610 +أيضاً هي عظمتين اللي هو واحدة right و واحدة left + +153 +00:12:37,610 --> 00:12:43,190 +حكينا واحد إثنين ثلاثة و أربعة occipital و إثنتين + +154 +00:12:43,190 --> 00:12:46,750 +temporal هي صاروا ستة ال sphenoid زي ما حكيت لكم + +155 +00:12:46,750 --> 00:12:51,130 +بعد الأنف اللي هي عبارة عن واحد هي العدد سبعة ال + +156 +00:12:51,130 --> 00:12:55,210 +ethmoid تحت العين اللي هي عبارة عن العدد رقم + +157 +00:12:55,210 --> 00:13:00,460 +ثمانية هي اسمها ال cranial bones أو عظام الجمجمة + +158 +00:13:00,460 --> 00:13:06,200 +اتفقنا؟ هي ما يسمى بعظام الجمجمة أشرح إن شاء الله + +159 +00:13:06,200 --> 00:13:12,140 +رب العالمين عن ال face أو اللي هو عظام ال face أو + +160 +00:13:12,140 --> 00:13:17,510 +عظام الوجه عرفنا ليش الأرقام هذه موجودة كل رقم + +161 +00:13:17,510 --> 00:13:22,250 +ب يعن لي كم موجود عندي فيه في الجمجمة خليني أشوف + +162 +00:13:22,250 --> 00:13:26,250 +ال cavities أو التجاوف اللي موجودة داخل the skull + +163 +00:13:26,250 --> 00:13:31,430 +ما زلنا متفقين على إن the skull هي عبارة عن الجمجمة + +164 +00:13:31,430 --> 00:13:36,090 +للترجمة هي the largest cavity زي ما حكيت في بداية + +165 +00:13:36,090 --> 00:13:42,210 +المحاضرة أكبر تجويف موجود في جسم الإنسان هو عبارة + +166 +00:13:42,210 --> 00:13:46,870 +عن the head the cranial cavity which encloses and + +167 +00:13:46,870 --> 00:13:53,170 +cushions the brain يعمل على إغلاق و + +168 +00:13:53,170 --> 00:13:58,590 +حماية الدماغ كنت حكيت أنا لأهمية الدماغ هو عبارة + +169 +00:13:58,590 --> 00:14:04,890 +عن neural tissue أنسجة عصبية إذا صار فيه ضرر أو أي + +170 +00:14:04,890 --> 00:14:09,170 +damage لأي nerve cells لن تعود للحياة مرة أخرى + +171 +00:14:09,170 --> 00:14:13,790 +فعشان كده ربنا حماها بال cranial bones حتى ما يصير + +172 +00:14:13,790 --> 00:14:17,970 +فيه ضرر عندنا لل central nervous system the skull + +173 +00:14:17,970 --> 00:14:22,030 +also has smaller cavities زي ما أنا حكيت في عندنا + +174 +00:14:22,030 --> 00:14:27,370 +تجاويف داخلية أو تجاويف صغيرة هذه التجاوف الصغيرة + +175 +00:14:27,370 --> 00:14:35,690 +the orbits the nasal cavity the mouth أو the oral cavity إذا the orbit تعني باللاتيني + +176 +00:14:35,690 --> 00:14:40,630 +ال eyes تمام؟ في عندي two cavities لكن small small + +177 +00:14:40,630 --> 00:14:45,790 +cavities اللي هي ال orbits ال nasal و اللي هي ال + +178 +00:14:45,790 --> 00:14:50,630 +oral cavity طبعاً و في عندنا ال paranasal اللي هي + +179 +00:14:50,630 --> 00:14:54,450 +ما يسمى بالجيوب الأنفية اللي أنا أشرح عليها إن شاء + +180 +00:14:54,450 --> 00:14:59,150 +الله رب العالمين في هذا ال chapter إذن هذا بالنسبة + +181 +00:14:59,15 + +223 +00:18:38,300 --> 00:18:44,180 +حكيت أنّ الـ facial bones هم أربعة عشر عضمة متّصلة مع بعض + +224 +00:18:44,180 --> 00:18:51,380 +الـ maxilla اتنين اللي هي موجودة هنا، هذه الـ maxilla + +225 +00:18:51,380 --> 00:18:58,760 +واحدة right، واحدة left، تمام. الـ mandible واحدة، ثلاثة + +226 +00:18:58,760 --> 00:19:04,460 +سرنا على الـ، في الـ، في عندي الـ nasal اتنين + +227 +00:19:04,460 --> 00:19:11,040 +الـ palatine اتنين، كل اتنين هحطّهم وراء بعض، الـ inferior + +228 +00:19:11,040 --> 00:19:14,620 +nasal concha اللي هي عبارة عن اتنين، لاحظوا صاروا + +229 +00:19:14,620 --> 00:19:18,040 +نعيد: اتنين، و اتنين، و اتنين، و اتنين، أربعة في اتنين + +230 +00:19:18,040 --> 00:19:22,280 +ثمانية. الـ zygomatic أيضا كمان اتنين، هي عشرة + +231 +00:19:22,280 --> 00:19:27,980 +الـ lacrimal الدمعية كمان اتنين، صاروا إثنا عشر فقط + +232 +00:19:27,980 --> 00:19:35,040 +الـ vomer و الـ mandible اللي هم واحد واحد، الـ vomer + +233 +00:19:35,040 --> 00:19:39,340 +اللي موجودة هنا تحت القنفذ، الـ mandible هاي اللي + +234 +00:19:39,340 --> 00:19:43,680 +موجودة زي ما أنتم شايفينها هيك، أنا بكون عدّيت 14 + +235 +00:19:43,680 --> 00:19:51,940 +عضمة لـ الـ facial bones، حفظ هنا مهم جدا، حفظ هنا مهم + +236 +00:19:51,940 --> 00:19:58,730 +جدا، الـ facial bones، there are fourteen bones عندنا + +237 +00:19:58,730 --> 00:20:03,550 +أربعَ عشر عضمة، العظمة الأولى حكينا الـ maxilla اتنين + +238 +00:20:03,550 --> 00:20:08,610 +في عندي ستّة عظام، هأضربهم في اتنين، ستّة في اتنين + +239 +00:20:08,610 --> 00:20:13,370 +طبعا أربعة عشر، هيكون منهم double، واحدة right + +240 +00:20:13,370 --> 00:20:18,230 +واحدة left فقط، الـ vomer and mandible هم عبارة عن + +241 +00:20:18,230 --> 00:20:24,610 +one bone، one bone، تمام؟ هأحفظ حوالي ما يقارب عندنا 14 + +242 +00:20:24,610 --> 00:20:32,710 +و 8، هأحفظهم أسماء العظام، تمام؟ هذه العظام مهمة جدا + +243 +00:20:32,710 --> 00:20:36,930 +أنّني أخرج من هذا chapter و أنا حافظهم و عارفهم + +244 +00:20:36,930 --> 00:20:41,750 +أعينهم على الرسمة، بدنا نتأكد من أنّ في عندنا + +245 +00:20:41,750 --> 00:20:46,590 +العظمة إذا كانت واحدة أو اتنين، اللي هو واحدة right + +246 +00:20:46,590 --> 00:20:48,230 +و واحدة على الـ left + +247 +00:20:53,560 --> 00:20:58,400 +وأخذنا الـ cavities، طبعا هأبدأ الآن باللي هو الـ + +248 +00:20:58,400 --> 00:21:01,960 +sinuses اللي هي عبارة عن الـ paranasal اللي أنا + +249 +00:21:01,960 --> 00:21:07,340 +حكيت عنها، شو هي الجيوب الأنفية؟ الجيوب الأنفية هي + +250 +00:21:07,340 --> 00:21:13,910 +عبارة عن الـ paranasal sinuses، جيوب بجانب فتحة الأنف، have + +251 +00:21:13,910 --> 00:21:17,770 +mucous lining membrane، هي عبارة عن شيء مبطّن + +252 +00:21:17,770 --> 00:21:22,550 +بالمخاط، هذا الشيء المبطّن بالمخاط يعمل على ترطيب + +253 +00:21:22,550 --> 00:21:28,390 +الهواء الداخل إلى الرئتين، لأنّ ما بيصير اليوم أنا + +254 +00:21:28,390 --> 00:21:32,890 +في شهر واحد و عندي الجوّ ثقيع، أنّ هذا الهواء اللي + +255 +00:21:32,890 --> 00:21:38,330 +خارج البيئة يدخل على الرئتين، لأ، هو هيدخل عن طريق + +256 +00:21:38,330 --> 00:21:44,330 +الأنف، بيتم ترطيبه، و تدفئته، و تنقيته، و من ثمّ الدخول إلى + +257 +00:21:44,330 --> 00:21:49,430 +الرئتين، إذا الـ mucous lining أو التبطين الداخلي + +258 +00:21:49,430 --> 00:21:55,650 +هذا بيساعد على اللي هو الترطيب و التدفئة للهواء + +259 +00:21:55,650 --> 00:21:59,110 +الداخل، أيضا وظيفة أخرى + +260 +00:22:02,270 --> 00:22:04,910 +الـ Paranasal sinuses أو الـ sinuses اللي هي الجيوب الأنفية + +261 +00:22:04,910 --> 00:22:10,090 +أنّها بتخلّي الـ skull نفسها، حجم الرأس، more lighter + +262 +00:22:10,090 --> 00:22:16,050 +أكثر خفّة، ليه؟ عشان أنا اليوم عندي الرأس، حجمه + +263 +00:22:16,050 --> 00:22:21,070 +تبعها كذا bones، حكينا 14 facial و 8 cranial و + +264 +00:22:21,070 --> 00:22:25,810 +الـ brain جواتها، بيصير heavy، is more heavy، فأنا لما + +265 +00:22:25,810 --> 00:22:29,750 +الـ skull الآن، أجي أعمل فيها ثقوب، معناته الكلام أنّ أنا + +266 +00:22:29,750 --> 00:22:35,600 +بخفّف من وزنها، أيضا وجود الـ sinuses، أنّه بيعمل + +267 +00:22:35,600 --> 00:22:40,340 +provide resonance للـ voice، بيعطينا نغمة الصوت هذه + +268 +00:22:40,340 --> 00:22:44,820 +اللي أنتم سامعينها، إذا في عندي ثلاث وظائف للجيوب + +269 +00:22:44,820 --> 00:22:51,220 +الأنفية، أوّل شيء بتعمل على ترطيب الهواء الداخل إلى + +270 +00:22:51,220 --> 00:22:58,540 +جسم الإنسان، ثاني شيء بتخلّي وزن الـ head more lighter + +271 +00:22:58,540 --> 00:23:03,460 +أيضا تعمل على الـ resonance to the voice، اللي هو + +272 +00:23:03,460 --> 00:23:09,640 +نغمات الصوت، بتخلّق نغمات الصوت، موجودة عندنا، بنسمع + +273 +00:23:09,640 --> 00:23:14,380 +بعض الناس في عندهم التهاب في الجيوب الأنفية، هذا + +274 +00:23:14,380 --> 00:23:18,780 +بيعمل صداع، لأنّ هاي الوظائف ممكن أن تتأثّر + +275 +00:23:18,780 --> 00:23:22,720 +معيّاً في خلال التهاب الجيوب الأنفية + +276 +00:23:25,800 --> 00:23:29,500 +شو هما الجيوب الأنفية اللي موجودة؟ الجيوب الأنفية + +277 +00:23:29,500 --> 00:23:33,580 +اللي موجودة، في عندي منهم أربعة أزواج، لأنّه زي ما + +278 +00:23:33,580 --> 00:23:37,200 +حكيت، زي ما في في الـ right، في في الـ left، في عندنا + +279 +00:23:37,200 --> 00:23:40,860 +في الجانب اليمين، و في عندنا في الجانب اليسار، في الـ + +280 +00:23:40,860 --> 00:23:45,360 +frontal sinuses، الجيوب الـ frontal من عظمة الـ + +281 +00:23:45,360 --> 00:23:52,100 +frontal، من عظمة الـ nasal، ethmoid sinuses موجودة في + +282 +00:23:52,100 --> 00:23:56,180 +الـ ethmoid، يعني جريبة من النازل، في عندنا الـ sphenoid + +283 +00:23:56,180 --> 00:24:02,800 +تمام، هاي الـ sphenoid، في عندنا الـ maxillary sinuses و + +284 +00:24:02,800 --> 00:24:08,200 +اتنين في أربعة، بيعطيني ثمانية، في فرق اليوم، أنا لما + +285 +00:24:08,200 --> 00:24:15,700 +بدّي أحكي I have four pairs، أنّ أنا عندي أربعة أزواج + +286 +00:24:15,700 --> 00:24:22,620 +و لما أحكي I have eight، تمام، أربعة لازم يتبعها على + +287 +00:24:22,620 --> 00:24:28,580 +طول paired، أزواج، ولكن ثمانية فقط sinuses، هذه لازم + +288 +00:24:28,580 --> 00:24:33,720 +المعلومة نكون عارفينها، عندي أربعة أزواج من الجيوب + +289 +00:24:33,720 --> 00:24:39,490 +الأنفية، في هنا الـ frontal، أعينهم على نفسهم، في الأمام + +290 +00:24:39,490 --> 00:24:44,250 +الـ frontal، تحت هنا عند العين الـ ethmoid، و عند + +291 +00:24:44,250 --> 00:24:48,650 +الأنف، حاجة اسمها اللي هي الـ sphenoid، و الـ maxilla اللي + +292 +00:24:48,650 --> 00:24:57,950 +موجودين هنا عند الـ maxilla، for bird، الـ hyoid bone، شو هي + +293 +00:24:57,950 --> 00:25:06,420 +الـ hyoid bone؟ بتعرفوا تفاحة آدم، موجودة عند الميل، هي + +294 +00:25:06,420 --> 00:25:12,480 +عبارة عن عضمة لا ترتبط بأيّ عضمة أخرى، فقط هي موجودة + +295 +00:25:12,480 --> 00:25:16,380 +في الـ frontal، on the neck، يعني تحت الـ head مباشرة + +296 +00:25:16,380 --> 00:25:21,460 +موجودة في الرجال، ما بترتبط بأيّ عضمة أخرى، هذا الـ + +297 +00:25:21,460 --> 00:25:26,880 +body تبعها، هي عبارة عن الـ hyoid bone، الـ hyoid bone + +298 +00:25:26,880 --> 00:25:31,480 +هي عبارة عن عضمة، أو تفاحة آدم اللي إحنا بنحكي + +299 +00:25:31,480 --> 00:25:33,420 +عليها باللغة العربية + +300 +00:25:35,610 --> 00:25:41,180 +شو هو الـ fontanelles، أو ما يسمّى باليافوخ، الآن إذا في + +301 +00:25:41,180 --> 00:25:44,520 +عندنا مولود صغير في البيت، كلّ حياتنا بنجي بنمسك + +302 +00:25:44,520 --> 00:25:48,000 +الصغير، وعلى طول بنضغط على المنطقة اللي موجودة هنا + +303 +00:25:48,000 --> 00:25:53,480 +في أعلى الرأس، هذه المنطقة هي منطقة طرية، ليش؟ لأنّ + +304 +00:25:53,480 --> 00:25:57,200 +هذا الطفل لما وُلِد، لسه ما في عندي completely + +305 +00:25:57,200 --> 00:26:01,500 +ossified، و أنا حكيت كلمة ossified تعني تعظّم كامل + +306 +00:26:01,500 --> 00:26:06,360 +إذا أنا ضغطت عليها، هي عبارة عن منطقة soft، منطقة + +307 +00:26:06,360 --> 00:26:10,750 +طرية جدا، هذا الشيء مضرّ للصغير، ما أحد يعمله، لأنّه + +308 +00:26:10,750 --> 00:26:14,950 +ممكن أنْ يُؤذي الـ brain tissue اللي موجودة، هو عبارة عن + +309 +00:26:14,950 --> 00:26:20,550 +النافورة، هذا الشيء بيكون موجود في هذه المنطقة، هو + +310 +00:26:20,550 --> 00:26:24,390 +عبارة عن حاجة اسمها الـ fibrous membrane، هذا الـ + +311 +00:26:24,390 --> 00:26:28,250 +fibrous membrane هو عبارة عن الـ fontanelles، أو ما يسمّى + +312 +00:26:28,250 --> 00:26:34,710 +باليافوخ، خلّيني أشوف شو هوّ، هو عبارة عن المنطقة اللي + +313 +00:26:34,710 --> 00:26:38,090 +جاية ما بين الـ cranial bones، thickened من الـ + +314 +00:26:38,090 --> 00:26:44,310 +fibrous membrane، من اللي هو الغشاء الليفي اللي لحدّ + +315 +00:26:44,310 --> 00:26:49,810 +الآن ما صار له عملية تعظّم، عملية ossification أو + +316 +00:26:49,810 --> 00:26:53,170 +عملية ossified، فبالتالي هو ما زال fibrous membrane + +317 +00:26:55,540 --> 00:27:00,000 +بعض الأحيان بسمّيها الـ soft spots، العقدة أو البقعة + +318 +00:27:00,000 --> 00:27:04,720 +الطرية، هذه البقعة الطرية موجودة في الـ head of + +319 +00:27:04,720 --> 00:27:09,970 +babies، موجودة في رأس الجنين، في رأس المولود، لما + +320 +00:27:09,970 --> 00:27:16,890 +بيصير عمره خمسة عشر شهر، يعني حوالي سنة و ثلاث شهور + +321 +00:27:16,890 --> 00:27:20,730 +أو سنة و أربعة شهور، بيصير عملية الـ ossification أو + +322 +00:27:20,730 --> 00:27:25,810 +عملية التعظّم، بتغلق، ما بلاقي الطفل بيجري عمره سنتين + +323 +00:27:25,810 --> 00:27:30,830 +و لسه ما زال عندنا اللي هنا، المنطقة هي منطقة طرية، + +324 +00:27:30,830 --> 00:27:38,300 +لأ، بيكون خلاص سكر اليافوخ تبع الطفل، شو هدفها أو شو + +325 +00:27:38,300 --> 00:27:41,640 +الهدف من ذلك؟ الهدف من ذلك أنّ ربنا سبحانه و تعالى + +326 +00:27:41,640 --> 00:27:46,480 +خلق الإنسان في أحسن تقويم، اليوم هذه البقعة الطرية + +327 +00:27:46,480 --> 00:27:50,360 +في أثناء المرور من الـ birth canal، أثناء الولادة و هي + +328 +00:27:50,360 --> 00:27:56,500 +بتولد، لازم يكون overlapping، عملية تداخل للعظام + +329 +00:27:56,500 --> 00:28:01,180 +الثمانية اللي أنا حكيت عليهم، حتى تصغّر حجم الرأس + +330 +00:28:01,180 --> 00:28:05,980 +و يمرّ الجنين بسلام، ما يصير في عندي اختناق لحظة + +331 +00:28:05,980 --> 00:28:09,980 +الولادة، إذن هي نعمة من الله سبحانه و تعالى، إحنا + +332 +00:28:09,980 --> 00:28:14,440 +بنحكي أنّ when baby travelled خلال الـ birth canal + +333 +00:28:14,440 --> 00:28:19,760 +the cranial bones، عظام الجمجمة تتداخل مع بعضها + +334 +00:28:19,760 --> 00:28:24,780 +البعض، في منطقة الـ fontanelles، أو الـ fontanelles، in order to + +335 +00:28:24,780 --> 00:28:31,320 +easy the baby passage، لسهولة مرور الجنين، لاحظتها + +336 +00:28:31,320 --> 00:28:35,580 +الست و هي بتولد، ممكن يكون حجم الـ head أكبر من حجم + +337 +00:28:35,580 --> 00:28:39,520 +الـ birth canal، مش هِيضلّ الجنين عالق جوا، لأ، بيصير + +338 +00:28:39,520 --> 00:28:45,510 +overlapping، عملية تداخل، حتى يمرّ الجنين بسهولة، الـ + +339 +00:28:45,510 --> 00:28:50,210 +newborns frequently have cone shapes، بعض اللي هو + +340 +00:28:50,210 --> 00:28:56,210 +المواليد، بتلاقي هنا طالعة deformities، هنا طالعة + +341 +00:28:56,210 --> 00:29:02,470 +شكل مش طبيعي، فبالتالي هذا الشيء ناتج عن اللي هو + +342 +00:29:02,470 --> 00:29:06,250 +this is temporary deformation، بعض الأحيان في عندي + +343 +00:29:06,250 --> 00:29:13,080 +الـ deformation هذه، أو المشاكل هذه، بنحكي للأم أنّ هو + +344 +00:29:13,080 --> 00:29:18,200 +يتغيّر من نوم الطفل، يعني مش كلّه دائما نايم على + +345 +00:29:18,200 --> 00:29:21,680 +رأسه من وراء، لأ، بعض الأحيان إتّجهه على اليمين + +346 +00:29:21,680 --> 00:29:25,880 +و البعض الآخر إتّجهه على اليسار، فيما بعد بتحسن وضع + +347 +00:29:25,880 --> 00:29:29,520 +المولود أو الشكل العام للرأس، بتصير بتأخذ هذا + +348 +00:29:29,520 --> 00:29:35,170 +الشكل، ولكن الأم اللي بتبقى بكرية مثلا و مش مفهومة + +349 +00:29:35,170 --> 00:29:39,410 +الوضع، بتضلّ دايماً نايمة ابنها على الـ occipital + +350 +00:29:39,410 --> 00:29:44,090 +bone، فبلاقي هذه المنطقة كانت flat، جاية بشكل مسطّح + +351 +00:29:44,090 --> 00:29:49,590 +كذا، فبكون هذا الشيء، هي استمرت على وضعية معيّنة في + +352 +00:29:49,590 --> 00:29:53,950 +نوم ابنها الصغير، قدّت لوجود مشاكل، طبعا هذا مش صح + +353 +00:29:53,950 --> 00:29:57,950 +بنحكي للأمّ دايماً غيّر من وضعية النوم، خصوصاً للـ + +354 +00:29:57,950 --> 00:30:02,230 +newborn، لازم نومهم يكون على الـ right و على + +355 +00:30:02,230 --> 00:30:06,370 +الـ left، يعني على الجهة اليمين و على الجهة اليسار + +356 +00:30:06,370 --> 00:30:10,210 +طبعاً هذا بالنسبة لـ الـ fontanelles، أو ما يسمّى + +357 +00:30:10,210 --> 00:30:13,700 +باليافوخ، زي ما أنتم شايفينه هنا في الصورة عندي، + +358 +00:30:13,700 --> 00:30:19,280 +أنا بحدّد عليه، هذا الشيء الأبيض هو عبارة عن + +359 +00:30:19,280 --> 00:30:24,580 +الـ fibrous membrane، غشاء ليفي، بتصير له عملية + +360 +00:30:24,580 --> 00:30:29,440 +الـ ossification، أو عملية التعظّم في خلال الشهر 15، + +361 +00:30:29,440 --> 00:30:33,080 +يعني لو قلت سنة و ثلاث شهور، أو سنة و أربعة شهور، + +362 +00:30:33,080 --> 00:30:39,380 +الأمر كمان ماشي حاله، إذا هي عبارة عن بقعة طرية + +363 +00:30:39,380 --> 00:30:43,100 +الله سبحانه و تعالى أعطانا إياها علشان يصير في + +364 +00:30:43,100 --> 00:30:47,220 +overlapping، لمرور اللي هو المولود أثناء لحظة + +365 +00:30:47,220 --> 00:30:54,070 +الولادة، تمام؟ هي موجودة هنا كمان عندنا هي الـ + +366 +00:30:54,070 --> 00:30:58,130 +anterior fontanelle، اللي هي الـ fibrous tissue أو + +367 +00:30:58,130 --> 00:31:03,290 +الـ fibrous membrane، غشاء ليفي قوي جداً في الـ frontal + +368 +00:31:03,290 --> 00:31:06,470 +ما بين الـ frontal bones اللي هي أخذناها في الـ + +369 +00:31:06,470 --> 00:31:10,710 +cranial bones، و الـ parietal bones اللي هي العظمة اللي + +370 +00:31:10,710 --> 00:31:16,070 +جاية هنا، تمام؟ هذا بالنسبة للـ fontanelles، و بهيك بيكون + +371 +00:31:16,070 --> 00:31:20,630 +خلصت الـ part أوّل للـ skeletal system 2، عمل + +372 +00:31:20,630 --> 00:31:25,830 +summarize، أخذنا فيه عن الـ skull، أخذنا فيه عن اللي + +373 +00:31:25,830 --> 00:31:29,750 +هو شو هي الـ skull، شو التجاويف اللي موجودة فيها + +374 +00:31:29,750 --> 00:31:35,530 +أخذنا فيه ثمانية skull bones، أربعة عشر facial bones + +375 +00:31:35,530 --> 00:31:39,630 +أخذنا عن اللي هو الـ paranasal sinuses أو اللي هي بسمّيها + +376 +00:31:39,630 --> 00:31:44,230 +الجيوب الأنفية، أخذنا أيضاً عن الـ fontanelles أو ما + +377 +00:31:44,230 --> 00:31:50,220 +يسمّى باللي هو اليافوخ، بهيك يعطيكم العافية، ننتقل إن + +378 +00:31:50,220 --> 00:31:53,320 +شاء الله رب العالمين و ألقاكم في فيديو الـ part + +379 +00:31:53,320 --> 00:31:55,380 +الثاني من skeletal system رقم diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/VhDnxOanphg_raw.json b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/VhDnxOanphg_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..4f3579169aa8753e80f8e7638f75c34b3d128ee3 --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/VhDnxOanphg_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 3329, "start": 4.93, "end": 33.29, "text": "بسم الله الرحمن الرحيم والصلاة والسلام على أشرف الأنبياء والمرسلين ألقاكم إن شاء الله رب العالمين في chapter skeletal system number two كنا تحدثنا على skeletal system number one في المحاضرات السابقة اليوم بإذن الله سأبدأ chapter جديد يخص الجهاز العضمي أو الهيكل العضمي بشكل كامل معاكم من جديد الدكتور أماني مظهر نبدأ إن شاء الله في مساقنا ونبدأ في ال chapter الجديد", "tokens": [3555, 38251, 21984, 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"start": 154.66, "end": 171.9, "text": "axial skeleton اللي هو المحوري أو الهيكلي نحكي عليه الهيكل العضمي المحوري و الهيكل العضمي الطرفي صورة توضيحية فقط معانا الاسكل شو هي الاسكل؟", "tokens": [2797, 831, 25204, 13672, 1829, 31439, 9673, 5016, 13063, 1829, 34051, 2423, 3224, 1829, 28820, 1829, 8717, 5016, 4117, 1829, 47356, 2423, 3224, 1829, 28820, 18863, 11242, 2304, 1829, 9673, 5016, 13063, 1829, 4032, 2423, 3224, 1829, 28820, 18863, 11242, 2304, 1829, 41950, 28480, 1829, 20328, 13063, 3660, 33427, 11242, 1829, 5016, 10632, 6156, 47432, 20449, 7649, 995, 2423, 32277, 28820, 13412, 2407, 39896, 2423, 32277, 28820, 22807], "avg_logprob": -0.1882925776467807, "compression_ratio": 1.7428571428571429, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 154.66, "end": 155.28, "word": "axial", "probability": 0.616943359375}, {"start": 155.28, "end": 155.86, "word": " skeleton", "probability": 0.775390625}, {"start": 155.86, "end": 156.68, "word": " اللي", "probability": 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164.7, "end": 165.48, "word": " الطرفي", "probability": 0.85107421875}, {"start": 165.48, "end": 166.4, "word": " صورة", "probability": 0.94091796875}, {"start": 166.4, "end": 167.22, "word": " توضيحية", "probability": 0.921875}, {"start": 167.22, "end": 168.04, "word": " فقط", "probability": 0.98388671875}, {"start": 168.04, "end": 168.92, "word": " معانا", "probability": 0.781005859375}, {"start": 168.92, "end": 170.28, "word": " الاسكل", "probability": 0.52581787109375}, {"start": 170.28, "end": 171.02, "word": " شو", "probability": 0.759033203125}, {"start": 171.02, "end": 171.18, "word": " هي", "probability": 0.79150390625}, {"start": 171.18, "end": 171.9, "word": " الاسكل؟", "probability": 0.9405517578125}], "temperature": 1.0}, {"id": 8, "seek": 20094, "start": 172.68, "end": 200.94, "text": "الـ Skull هي عبارة عن هاي الجمجمة اللي موجودة أنا بين إيديها ان شاء الله رب العالمين لما أشوفكم وجاهي هعطيكمياها بإيدكم تفكه كل عضمة هي عبارة عن إيشة أكبر تجويف موجود في الجسم اللي بيعمل enclosement أو بيسكره وبيغلف ال brain جواته هي ال skull فيها تجاويف أيضا في العينين مثلا و القنف و الفم", "tokens": [6027, 39184, 7324, 858, 39896, 6225, 3555, 9640, 3660, 18871, 8032, 47302, 25724, 2304, 7435, 46007, 13672, 1829, 3714, 29245, 23328, 3660, 41850, 49374, 11933, 1829, 16254, 11296, 16472, 13412, 16606, 21984, 12602, 3555, 18863, 45340, 9957, 5296, 15042, 5551, 8592, 38688, 24793, 49610, 40294, 1829, 8032, 3615, 9566, 1829, 24793, 25528, 11296, 4724, 28814, 25708, 24793, 6055, 5172, 4117, 3224, 28242, 6225, 11242, 46007, 39896, 6225, 3555, 9640, 3660, 18871, 11933, 1829, 8592, 3660, 5551, 4117, 26890, 6055, 7435, 2407, 33911, 3714, 29245, 23328, 8978, 25724, 38251, 13672, 1829, 4724, 1829, 25957, 1211, 20987, 329, 1712, 34051, 4724, 1829, 3794, 37983, 3224, 4032, 21292, 17082, 46538, 2423, 3567, 10874, 2407, 9307, 3224, 39896, 2423, 1110, 425, 75, 8978, 11296, 6055, 7435, 995, 2407, 33911, 36632, 11242, 995, 8978, 18863, 9957, 9957, 50113, 15040, 4032, 25062, 1863, 5172, 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70869, "start": 681.33, "end": 708.69, "text": "الـ occipital تاني، بعدين فى عندنا الـ temporal اللى هنا الصدرية البرايتل اللى موجودة هنا على الجانب والاثمويد هنا عند العين والاسفنايد تحته، اذا عظام الجمجمة هم تمان عضمات أساسية موجودين عندى فى ال slides موجودين ايضا فى الرسمة خلينى اقشر عليهم زى ما انتوا شايفين المؤشر خلينى أنسحه كمان مرة وانشوف", "tokens": [6027, 39184, 10409, 11371, 1686, 6055, 7649, 1829, 12399, 39182, 9957, 6156, 7578, 43242, 8315, 2423, 39184, 30881, 13672, 7578, 34105, 31767, 3215, 2288, 10632, 2423, 26890, 995, 36081, 1211, 13672, 7578, 3714, 29245, 23328, 3660, 34105, 15844, 25724, 7649, 3555, 16070, 5718, 104, 2304, 2407, 25708, 34105, 43242, 18863, 9957, 16070, 32277, 5172, 8315, 25708, 6055, 33753, 3224, 12399, 1975, 15730, 6225, 19913, 10943, 25724, 2304, 7435, 46007, 8032, 2304, 46811, 7649, 6225, 11242, 2304, 9307, 5551, 3794, 32277, 10632, 3714, 29245, 23328, 9957, 43242, 7578, 6156, 7578, 2423, 9788, 3714, 29245, 23328, 9957, 1975, 1829, 11242, 995, 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frontal أو two occipital لأ هاي ال occipital bones هي عبارة عن عضمة واحدة هاي ال frontal bone هي عبارة عن عضمة واحدة", "tokens": [10721, 12610, 11331, 26108, 3660, 8032, 44510, 10721, 11296, 8978, 30767, 1829, 19446, 13412, 2288, 33753, 15844, 9673, 7435, 38251, 8032, 46309, 5016, 9122, 2304, 7649, 15844, 25124, 28820, 13672, 1829, 5551, 2304, 10943, 8315, 8032, 47302, 13672, 1829, 39896, 2423, 34647, 34051, 28239, 33546, 10632, 30767, 1829, 19446, 11331, 4117, 36081, 23275, 2304, 6225, 3215, 3215, 11296, 23032, 3555, 3615, 995, 36764, 24401, 11331, 4117, 1829, 34105, 19446, 41185, 36145, 3794, 7649, 46740, 732, 34647, 34051, 732, 10409, 11371, 1686, 5296, 10721, 8032, 47302, 2423, 10409, 11371, 1686, 10491, 39896, 6225, 3555, 9640, 3660, 18871, 6225, 11242, 46007, 36764, 24401, 3660, 8032, 47302, 2423, 34647, 9026, 39896, 6225, 3555, 9640, 3660, 18871, 6225, 11242, 46007, 36764, 24401, 3660], "avg_logprob": -0.1445312506208817, "compression_ratio": 2.0271493212669682, 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"probability": 0.98388671875}, {"start": 993.0, "end": 993.22, "word": " من", "probability": 0.98583984375}, {"start": 993.22, "end": 993.82, "word": " اللبلاتين", "probability": 0.8740234375}, {"start": 993.82, "end": 994.6, "word": " الخفيف", "probability": 0.9586588541666666}, {"start": 994.6, "end": 995.68, "word": " موجودة", "probability": 0.9722900390625}, {"start": 995.68, "end": 996.1, "word": " في", "probability": 0.95751953125}, {"start": 996.1, "end": 996.3, "word": " ما", "probability": 0.78369140625}, {"start": 996.3, "end": 996.54, "word": " بين", "probability": 0.99267578125}, {"start": 996.54, "end": 997.18, "word": " اللي", "probability": 0.89892578125}, {"start": 997.18, "end": 998.0, "word": " هو", "probability": 0.99072265625}, {"start": 998.0, "end": 999.98, "word": " الفتحتين", "probability": 0.9078369140625}, {"start": 999.98, "end": 1000.56, "word": " الأنف", "probability": 0.9601236979166666}, {"start": 1000.56, "end": 1001.18, "word": " اسمها", "probability": 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left ال lacrimal اللي هي الدمعية أيضا منها تنتين ال nasal الأنفي", "tokens": [6027, 39184, 1176, 18103, 13143, 13672, 1829, 39896, 13672, 1829, 3714, 29245, 23328, 3660, 6055, 33753, 18863, 9957, 3714, 3555, 33599, 25720, 34105, 1176, 18103, 13143, 36632, 11242, 995, 6055, 29399, 9957, 558, 4032, 1411, 3714, 29245, 23328, 3660, 18871, 16254, 6055, 29399, 9957, 9154, 16095, 8978, 2423, 558, 4032, 2423, 1411, 2423, 28027, 5565, 304, 13672, 1829, 39896, 32748, 2304, 3615, 10632, 36632, 11242, 995, 9154, 11296, 6055, 29399, 9957, 2423, 41575, 16247, 1863, 41185], "avg_logprob": -0.18547077767260664, "compression_ratio": 1.7810650887573964, "no_speech_prob": 0.0, "words": [{"start": 1011.89, "end": 1012.19, "word": "الـ", "probability": 0.77197265625}, {"start": 1012.19, "end": 1012.69, "word": " Zygomatic", "probability": 0.7820638020833334}, {"start": 1012.69, "end": 1013.11, "word": " اللي", "probability": 0.449462890625}, {"start": 1013.11, "end": 1013.51, "word": " هي", "probability": 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"word": " left", "probability": 0.951171875}, {"start": 1416.48, "end": 1416.9, "word": " في", "probability": 0.783203125}, {"start": 1416.9, "end": 1417.2, "word": " عندنا", "probability": 0.7435302734375}, {"start": 1417.2, "end": 1417.3, "word": " في", "probability": 0.958984375}, {"start": 1417.3, "end": 1417.68, "word": " الجانب", "probability": 0.9845377604166666}, {"start": 1417.68, "end": 1418.14, "word": " اليمين", "probability": 0.8294270833333334}, {"start": 1418.14, "end": 1418.32, "word": " و", "probability": 0.9599609375}, {"start": 1418.32, "end": 1418.46, "word": " في", "probability": 0.61572265625}, {"start": 1418.46, "end": 1418.74, "word": " عندنا", "probability": 0.9248046875}, {"start": 1418.74, "end": 1418.82, "word": " في", "probability": 0.93212890625}, {"start": 1418.82, "end": 1419.36, "word": " الجانب", "probability": 0.9873046875}, {"start": 1419.36, "end": 1420.14, "word": " اليسار", "probability": 0.96240234375}, {"start": 1420.14, "end": 1420.74, "word": " في", "probability": 0.76220703125}, {"start": 1420.74, "end": 1420.86, "word": " ال", "probability": 0.90380859375}, {"start": 1420.86, "end": 1421.32, "word": " frontal", "probability": 0.982421875}, {"start": 1421.32, "end": 1421.92, "word": " senses", "probability": 0.89501953125}], "temperature": 1.0}, {"id": 59, "seek": 145234, "start": 1422.86, "end": 1452.34, "text": "الجيوب الـ frontal من عظمة الـ frontal من عظمة الناسية ethmoid senses موجودة في الاثمويد يعني جريبة من النازل في عندنا الاصفنايد تمام هاي الاصفنايد في عندنا ال maxillary senses و اتنين في اربعة بيعطيني تمانية في فرق اليوم انا لما بدي احكي I have four beard", "tokens": [6027, 7435, 1829, 37746, 2423, 39184, 34647, 9154, 6225, 19913, 46007, 2423, 39184, 34647, 9154, 6225, 19913, 46007, 2423, 8315, 3794, 10632, 6468, 3280, 327, 17057, 3714, 29245, 23328, 3660, 8978, 2423, 5718, 104, 2304, 2407, 25708, 37495, 22653, 10874, 16572, 49401, 9154, 2423, 8315, 11622, 1211, 8978, 43242, 8315, 2423, 33546, 5172, 8315, 25708, 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1441.84, "end": 1442.8, "word": " و", "probability": 0.76416015625}, {"start": 1442.8, "end": 1443.8, "word": " اتنين", "probability": 0.785247802734375}, {"start": 1443.8, "end": 1444.0, "word": " في", "probability": 0.943359375}, {"start": 1444.0, "end": 1444.66, "word": " اربعة", "probability": 0.8084309895833334}, {"start": 1444.66, "end": 1445.7, "word": " بيعطيني", "probability": 0.76162109375}, {"start": 1445.7, "end": 1446.24, "word": " تمانية", "probability": 0.8238932291666666}, {"start": 1446.24, "end": 1446.98, "word": " في", "probability": 0.92578125}, {"start": 1446.98, "end": 1447.34, "word": " فرق", "probability": 0.6570638020833334}, {"start": 1447.34, "end": 1447.76, "word": " اليوم", "probability": 0.935791015625}, {"start": 1447.76, "end": 1448.0, "word": " انا", "probability": 0.766845703125}, {"start": 1448.0, "end": 1448.2, "word": " لما", "probability": 0.937744140625}, {"start": 1448.2, "end": 1448.46, "word": " بدي", "probability": 0.769775390625}, {"start": 1448.46, "end": 1449.02, "word": " احكي", "probability": 0.9549560546875}, {"start": 1449.02, "end": 1449.42, "word": " I", "probability": 0.8203125}, {"start": 1449.42, "end": 1450.02, "word": " have", "probability": 0.9560546875}, {"start": 1450.02, "end": 1451.0, "word": " four", "probability": 0.8623046875}, {"start": 1451.0, "end": 1452.34, "word": " beard", "probability": 0.291259765625}], "temperature": 1.0}, {"id": 60, "seek": 147782, "start": 1453.56, "end": 1477.82, "text": "إنه أنا عندي أربع أزواج و لما أحكي I have eight تمام أربعة لازم يتبعها على طول paired أزواج ولكن تمانية فقط sciences هذه لازم المعلومة نكون عارفينها عندي أربع أزواج من الجيوب الأنفية في هنا ال frontal أعينهم على نفسي", "tokens": [28814, 1863, 3224, 41850, 18871, 16254, 5551, 25513, 3615, 5551, 11622, 2407, 26108, 4032, 5296, 15042, 5551, 5016, 4117, 1829, 286, 362, 3180, 46811, 10943, 5551, 25513, 27884, 5296, 31377, 2304, 7251, 2655, 3555, 3615, 11296, 15844, 23032, 12610, 25699, 5551, 11622, 2407, 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1464.4, "word": " أزواج", "probability": 0.961669921875}, {"start": 1464.4, "end": 1465.4, "word": " ولكن", "probability": 0.865234375}, {"start": 1465.4, "end": 1465.98, "word": " تمانية", "probability": 0.9334309895833334}, {"start": 1465.98, "end": 1466.92, "word": " فقط", "probability": 0.981201171875}, {"start": 1466.92, "end": 1467.48, "word": " sciences", "probability": 0.697265625}, {"start": 1467.48, "end": 1468.22, "word": " هذه", "probability": 0.5390625}, {"start": 1468.22, "end": 1468.58, "word": " لازم", "probability": 0.9423828125}, {"start": 1468.58, "end": 1469.46, "word": " المعلومة", "probability": 0.9903564453125}, {"start": 1469.46, "end": 1470.06, "word": " نكون", "probability": 0.87353515625}, {"start": 1470.06, "end": 1470.86, "word": " عارفينها", "probability": 0.984765625}, {"start": 1470.86, "end": 1471.56, "word": " عندي", "probability": 0.88671875}, {"start": 1471.56, "end": 1472.04, "word": " أربع", "probability": 0.9739583333333334}, {"start": 1472.04, "end": 1472.66, "word": " أزواج", "probability": 0.984619140625}, {"start": 1472.66, "end": 1473.3, "word": " من", "probability": 0.9951171875}, {"start": 1473.3, "end": 1473.72, "word": " الجيوب", "probability": 0.9715169270833334}, {"start": 1473.72, "end": 1474.34, "word": " الأنفية", "probability": 0.947998046875}, {"start": 1474.34, "end": 1474.9, "word": " في", "probability": 0.80517578125}, {"start": 1474.9, "end": 1475.2, "word": " هنا", "probability": 0.9208984375}, {"start": 1475.2, "end": 1475.5, "word": " ال", "probability": 0.9208984375}, {"start": 1475.5, "end": 1475.98, "word": " frontal", "probability": 0.9560546875}, {"start": 1475.98, "end": 1477.08, "word": " أعينهم", "probability": 0.9281005859375}, {"start": 1477.08, "end": 1477.28, "word": " على", "probability": 0.921875}, {"start": 1477.28, "end": 1477.82, "word": " نفسي", "probability": 0.99267578125}], "temperature": 1.0}, {"id": 61, "seek": 150421, "start": 1478.79, "end": 1504.21, "text": "فى الأمام الـ frontal تحت هنا عند العين الـ ethmoid و عند الأنف حاجة اسمها اللى هى sphenoid و المجزلة اللى موجودين هنا عند المجزلة for bird الهيدبون شو هى الهيدبون؟ بتعرفوا تفاحة آدم موجودة عند الميل", "tokens": [5172, 7578, 16247, 2304, 10943, 2423, 39184, 34647, 6055, 33753, 34105, 43242, 18863, 9957, 2423, 39184, 6468, 3280, 327, 4032, 43242, 16247, 1863, 5172, 11331, 26108, 3660, 24525, 2304, 11296, 13672, 7578, 8032, 7578, 637, 2932, 17079, 4032, 9673, 7435, 11622, 37977, 13672, 7578, 3714, 29245, 23328, 9957, 34105, 43242, 9673, 7435, 11622, 37977, 337, 5255, 2423, 3224, 25708, 3555, 11536, 13412, 2407, 8032, 7578, 2423, 3224, 25708, 3555, 11536, 22807, 39894, 3615, 28480, 14407, 6055, 5172, 39319, 3660, 19753, 40448, 3714, 29245, 23328, 3660, 43242, 9673, 26895], "avg_logprob": -0.2449087118834592, "compression_ratio": 1.743455497382199, "no_speech_prob": 0.0, "words": [{"start": 1478.79, "end": 1479.01, "word": "فى", "probability": 0.59478759765625}, {"start": 1479.01, "end": 1479.49, 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الاشي بيكون موجود في هذه المنطقة هو عبارة عن حاجة اسمها ال fibers membrane هذا ال fibers membrane هو عبارة عن ال fontanes أو ما يسمى بي اليفوخ خليني أشوف شو هو", "tokens": [15042, 24401, 3660, 7251, 25957, 43761, 5296, 33456, 3224, 3714, 43020, 14739, 10721, 11622, 1829, 2423, 3567, 12404, 13672, 1829, 3714, 29245, 23328, 3660, 31439, 6225, 3555, 9640, 3660, 18871, 28239, 5172, 2407, 9778, 23758, 2423, 33599, 1829, 4724, 1829, 30544, 3714, 29245, 23328, 8978, 29538, 9673, 1863, 9566, 28671, 31439, 6225, 3555, 9640, 3660, 18871, 11331, 26108, 3660, 24525, 2304, 11296, 2423, 25252, 19651, 23758, 2423, 25252, 19651, 31439, 6225, 3555, 9640, 3660, 18871, 2423, 10703, 12779, 34051, 19446, 7251, 38251, 7578, 4724, 1829, 45595, 5172, 2407, 9778, 16490, 1211, 9957, 1829, 5551, 8592, 38688, 13412, 2407, 31439], "avg_logprob": -0.19015625551342963, "compression_ratio": 1.8592233009708738, "no_speech_prob": 0.0, "words": [{"start": 1569.49, "end": 1569.93, "word": "ماحدة", "probability": 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cranial bones thickened من الـ fibrous membrane من اللي هو الغشاء الليفي اللي لحد الآن ما صارله عملية تعظم عملية ossification أو عملية ossified فبالتالي هو ما زال fibrous membrane", "tokens": [3224, 2407, 6225, 3555, 9640, 3660, 18871, 9673, 1863, 9566, 28671, 13672, 1829, 10874, 995, 10632, 19446, 49374, 2423, 39184, 39685, 831, 10491, 33821, 292, 9154, 2423, 39184, 283, 6414, 563, 19651, 9154, 13672, 1829, 31439, 6024, 118, 8592, 16606, 13672, 33911, 1829, 13672, 1829, 5296, 24401, 6024, 48506, 19446, 20328, 9640, 43761, 6225, 42213, 10632, 37279, 19913, 2304, 6225, 42213, 10632, 19508, 3774, 34051, 6225, 42213, 10632, 19508, 2587, 6156, 3555, 6027, 2655, 6027, 1829, 31439, 19446, 30767, 6027, 283, 6414, 563, 19651], "avg_logprob": -0.11130514951313243, "compression_ratio": 1.7150259067357514, "no_speech_prob": 0.0, "words": [{"start": 1592.15, "end": 1592.49, "word": "هو", "probability": 0.951904296875}, {"start": 1592.49, "end": 1592.87, "word": " عبارة", "probability": 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deformities هنا طالعة شكل مش طبيعي فبالتالي هذا الاشي ناتج عن اللي هو this is temporary deformation بعض الأحيان في عندي ال deformation هذه أو المشاكل هذه بنحكي", "tokens": [6027, 39184, 32928, 82, 10374, 362, 19749, 10854, 45030, 11242, 13672, 1829, 31439, 9673, 2407, 6027, 25708, 39894, 15040, 38436, 34105, 23032, 6027, 27884, 36094, 1088, 34105, 23032, 6027, 27884, 13412, 28820, 37893, 23032, 21292, 3615, 1829, 6156, 3555, 6027, 2655, 6027, 1829, 23758, 2423, 33599, 1829, 8717, 9307, 7435, 18871, 13672, 1829, 31439, 341, 307, 13413, 34364, 45030, 11242, 16247, 5016, 1829, 7649, 8978, 18871, 16254, 2423, 34364, 29538, 34051, 9673, 8592, 995, 28820, 29538, 44945, 5016, 4117, 1829], "avg_logprob": -0.1559606452047089, "compression_ratio": 1.6481481481481481, "no_speech_prob": 0.0, "words": [{"start": 1725.25, "end": 1725.51, "word": "الـ", "probability": 0.30804443359375}, {"start": 1725.51, "end": 1726.31, "word": " newborns", "probability": 0.672607421875}, {"start": 1726.31, "end": 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0000000000000000000000000000000000000000..6f107e13ee3eff2bd0788c99809649d7bcf26eea --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/VhDnxOanphg_raw.srt @@ -0,0 +1,1516 @@ +1 +00:00:04,930 --> 00:00:07,750 +بسم الله الرحمن الرحيم والصلاة والسلام على أشرف + +2 +00:00:07,750 --> 00:00:11,310 +الأنبياء والمرسلين ألقاكم إن شاء الله رب العالمين + +3 +00:00:11,310 --> 00:00:16,310 +في chapter skeletal system number two كنا تحدثنا + +4 +00:00:16,310 --> 00:00:18,890 +على skeletal system number one في المحاضرات + +5 +00:00:18,890 --> 00:00:23,290 +السابقة اليوم بإذن الله سأبدأ chapter جديد يخص + +6 +00:00:23,290 --> 00:00:28,050 +الجهاز العضمي أو الهيكل العضمي بشكل كامل معاكم من + +7 +00:00:28,050 --> 00:00:31,530 +جديد الدكتور أماني مظهر نبدأ إن شاء الله في مساقنا + +8 +00:00:31,530 --> 00:00:35,270 +ونبدأ في ال chapter الجديدلأن هذا الشبتر أنا هشرح + +9 +00:00:35,270 --> 00:00:41,570 +فيه موضوع اللي هو ال axial skeleton حكينا يبدأ بال + +10 +00:00:41,570 --> 00:00:46,820 +skull وما هي ما تسمى بالجمجمة ال thoracicالـ + +11 +00:00:46,820 --> 00:00:51,640 +Vertebral Column اللي هي عبارة عن العمود الفقري زي + +12 +00:00:51,640 --> 00:00:56,360 +ما انتوا شايفينه و ال pelvic تمام؟ هاي كلها + +13 +00:00:56,360 --> 00:01:00,120 +باعتبرها skeletal او axial skeletal system ال + +14 +00:01:00,120 --> 00:01:03,400 +abendicular هتكلم عنه في ال chapter القادم بإذن + +15 +00:01:03,400 --> 00:01:08,680 +الله تعالى اللي هو يحتوي على ال peripheral limbs + +16 +00:01:08,680 --> 00:01:13,720 +اللي هي عبارة عن ال arm و ال forearmالفيمر عضمة + +17 +00:01:13,720 --> 00:01:19,400 +الفخد و اللي تحتها اللي هي التيبيا و الفيبيولا + +18 +00:01:19,400 --> 00:01:24,560 +حكيت انه انا ما موجود عندي اللي هي ال peripheral + +19 +00:01:24,560 --> 00:01:30,560 +bones عائمة هي مرتبطة بحزام صدري و تحت مرتبطة + +20 +00:01:30,560 --> 00:01:35,140 +بحزام حوضي الحزام الصدري اسمه ال pictorial girdle + +21 +00:01:35,140 --> 00:01:40,630 +و الحزام الحوضي اسمه pelvic girdleهذا ملخص أو ال + +22 +00:01:40,630 --> 00:01:43,570 +content تبعنا اللي انا اليوم هشرح عنه بإذن الله + +23 +00:01:43,570 --> 00:01:48,830 +تعالى نبدأ على بركة الله ال axial skeleton هو + +24 +00:01:48,830 --> 00:01:54,670 +عبارة عن ال head ال neck و ال trunk هبدأ اليوم في + +25 +00:01:54,670 --> 00:01:59,570 +ال head عظام ال skull هاخدها عضمة عضمة بعدين ال + +26 +00:01:59,570 --> 00:02:05,920 +neck و بعدين اللي هو ال trunkالابندكيولر سكيلوتون + +27 +00:02:05,920 --> 00:02:10,900 +فئة B اللي هو عبارة عن ال upper limbs ال lower + +28 +00:02:10,900 --> 00:02:15,820 +limbs و ال pectoral girdle الحزام الصدري and + +29 +00:02:15,820 --> 00:02:21,980 +pectoral pelvic girdle الحزام الحوضي تمام هذا اللي + +30 +00:02:21,980 --> 00:02:28,600 +هو ملخص محاضرتنا لليوم هذه الصورة توضحية معاكم زي + +31 +00:02:28,600 --> 00:02:33,000 +ما انتوا شايفين معانا هذا ال skeleton هو عبارة عن + +32 +00:02:33,000 --> 00:02:39,900 +الaxial skeleton اللي هو المحوري أو الهيكلي نحكي + +33 +00:02:39,900 --> 00:02:45,480 +عليه الهيكل العضمي المحوري و الهيكل العضمي الطرفي + +34 +00:02:45,480 --> 00:02:52,960 +صورة توضيحية فقط معانا الاسكل شو هي الاسكل؟الـ + +35 +00:02:52,960 --> 00:02:56,440 +Skull هي عبارة عن هاي الجمجمة اللي موجودة أنا بين + +36 +00:02:56,440 --> 00:02:59,500 +إيديها ان شاء الله رب العالمين لما أشوفكم وجاهي + +37 +00:02:59,500 --> 00:03:04,820 +هعطيكمياها بإيدكم تفكه كل عضمة هي عبارة عن إيشة + +38 +00:03:04,820 --> 00:03:08,760 +أكبر تجويف موجود في الجسم اللي بيعمل enclosement + +39 +00:03:08,760 --> 00:03:14,740 +أو بيسكره وبيغلف ال brain جواته هي ال skull فيها + +40 +00:03:14,740 --> 00:03:22,580 +تجاويف أيضا في العينين مثلا و القنف و الفمأيضا من + +41 +00:03:22,580 --> 00:03:26,680 +مميزات ال skull أو مميزات الجمجمة إنها عبارة عن + +42 +00:03:26,680 --> 00:03:30,320 +المدخل الأساسي لل respiratory system أنا من هنا + +43 +00:03:30,320 --> 00:03:35,180 +بفوت عندي الهواء للجسم من هنا بفوت عندي الغذاء + +44 +00:03:35,180 --> 00:03:40,000 +للجسم إذا هي عبارة عن ال entrance ل respiratory + +45 +00:03:40,000 --> 00:03:44,020 +system and entrance لل digestive system هي عبارة + +46 +00:03:44,020 --> 00:03:50,060 +عن المدخل الأساسي للتنفس والمدخل الأساسي للجهاز + +47 +00:03:50,060 --> 00:03:55,190 +الهضميإذا الـ cranial bone from the rounded + +48 +00:03:55,190 --> 00:04:00,510 +cranium كلمة cranium معايا هنا هي عبارة عن الجمجمة + +49 +00:04:00,510 --> 00:04:04,650 +تمام؟ زي ما أنتوا شايفين كلمة cranium هي عبارة عن + +50 +00:04:04,650 --> 00:04:08,910 +ال cranial نفس الأشي لما أقول cranial هي نفسها لما + +51 +00:04:08,910 --> 00:04:13,790 +أحكي cranium بس تختلف في ال noun و الأشي which is + +52 +00:04:13,790 --> 00:04:17,370 +completely surrounds and enclosed of a brain احنا + +53 +00:04:17,370 --> 00:04:20,390 +حكينا إن من وظائف العظام إنها بتعمل a protection + +54 +00:04:20,990 --> 00:04:24,410 +protection لمن؟ لل vital organs من ال vital + +55 +00:04:24,410 --> 00:04:29,230 +organs؟ ال brain ال heart ال lungs كل هذه العضاء + +56 +00:04:29,230 --> 00:04:35,030 +الحساسة بتم المحافظة عليها عن طريق هاي الجمجمة لو + +57 +00:04:35,030 --> 00:04:39,050 +اجت انا فكت هاد الجمجمة طبعا لو الانسان طبيعي او + +58 +00:04:39,050 --> 00:04:45,350 +انسانnormal بعمليات جراحية بين فوق الجمجمة بيكون + +59 +00:04:45,350 --> 00:04:49,410 +داخلها هنا أو جواتها اللي هو ال brain ال brain هو + +60 +00:04:49,410 --> 00:04:53,750 +central nervous system vital organs لازم انا احافظ + +61 +00:04:53,750 --> 00:05:00,240 +عليه تمام هذا ال vital organsبحافظ عليه بالـ bones + +62 +00:05:00,240 --> 00:05:05,540 +على أساس ما يتعرض لأي شيء من البيئة الخارجية الـ + +63 +00:05:05,540 --> 00:05:12,070 +facial bones أو عظام الوجه هي عبارة عن العظاماللي + +64 +00:05:12,070 --> 00:05:17,490 +موجودة داخل الجمجمة هي مواقع لاتصال العضلات حكيت + +65 +00:05:17,490 --> 00:05:22,710 +أنا إن العضلة نفسها العضلة ال muscles بترتبط في + +66 +00:05:22,710 --> 00:05:26,630 +البول في عنا حاجة اسمها origin و حاجة اسمها + +67 +00:05:26,630 --> 00:05:33,770 +insertion هذه العضمة معايا العضلة تمام هذه ال + +68 +00:05:33,770 --> 00:05:40,050 +muscles في عنا حاجة اسمها origin و حاجة اسمها + +69 +00:05:40,050 --> 00:05:44,640 +insertionهذه الـ insertion وهذه الـ origin هي نقطة + +70 +00:05:44,640 --> 00:05:51,600 +الأصل، أصل العضلة، هذا نهاية العضلة، + +71 +00:05:51,600 --> 00:05:57,200 +تمام؟ ال origin لما يقترب من ال insertion بيعطينا + +72 +00:05:57,200 --> 00:06:01,540 +قصر للعضلة، أنا حكيت وظيفة العضلة لما أخدنا شبتر + +73 +00:06:01,540 --> 00:06:02,520 +العضلات contract + +74 +00:06:05,110 --> 00:06:09,830 +Relax، تمام؟ عشان تؤدي وظيفتها العضلة، في عندنا + +75 +00:06:09,830 --> 00:06:14,910 +Contract Relax، انقباض، انبساط، يعني القصر اللي + +76 +00:06:14,910 --> 00:06:19,870 +بيكون بيؤدي وظيفة العضلة ال origin و ال insertion، + +77 +00:06:19,870 --> 00:06:22,290 +الآن شو المناسبة ان انا احكي عن ال origin و ال + +78 +00:06:22,290 --> 00:06:26,390 +insertion، انه انا بحكي عندي في هذه ال skull، هذه + +79 +00:06:26,390 --> 00:06:30,210 +العظام اللي موجودة في وجهنا، هي عبارة عن ارتباطات + +80 +00:06:30,690 --> 00:06:36,290 +للمفاصل على عظام الوجه عشان العضلة تؤدي وظيفتها + +81 +00:06:36,290 --> 00:06:44,240 +لازم ترتبط في مواقع موجودة داخل عظام الوجهأيضا في + +82 +00:06:44,240 --> 00:06:48,840 +ال skull حكينا فيه ال entrance لل digestive system + +83 +00:06:48,840 --> 00:06:52,680 +اللي هو هذا شايفينه معايا على الكاميرا اللي هو + +84 +00:06:52,680 --> 00:06:56,640 +الفم هذا هو المدخل للطعام أيضا في عندنا المدخل + +85 +00:06:56,640 --> 00:07:00,940 +للهواء اللي هو ال entrance لل respiratory system + +86 +00:07:01,670 --> 00:07:05,030 +provide attachment لل site of facial muscles هذا + +87 +00:07:05,030 --> 00:07:09,370 +اللي انا حكيت عليه انه انا عندى هذا الاشي اللى + +88 +00:07:09,370 --> 00:07:14,430 +موجود طبعا العضلة لازم يكون لها origin and + +89 +00:07:14,430 --> 00:07:18,270 +insertion هى origin and insertion فى عندي عضلات + +90 +00:07:18,270 --> 00:07:25,370 +لخدود هنا عضلات ل ال maxilla عضلات ل ال mandible + +91 +00:07:25,370 --> 00:07:31,840 +العضلات هى لها موقع بدايةو موقع نهاية عشان يصير في + +92 +00:07:31,840 --> 00:07:37,800 +عندنا انقباض وانبساط إذا هذا كل ما حكيناه كمقدمة + +93 +00:07:37,800 --> 00:07:44,660 +أساسية عن الـSkull هاي اللي أنا هتكلم عليهم الآن + +94 +00:07:44,660 --> 00:07:49,340 +في عندي في هذه ال slide هي بالمناسبة slide إضافية + +95 +00:07:49,340 --> 00:07:54,800 +لحضراتكم بتلخص إيش أنا بدي أحكي عنهم في عندي ال + +96 +00:07:54,800 --> 00:07:59,330 +facial bone وفي عندي ال cranial boneالـ cranial + +97 +00:07:59,330 --> 00:08:06,050 +bones اللي هي عبارة عن عظام الجمجمة عظام + +98 +00:08:06,050 --> 00:08:10,770 +الجمجمة هي عبارة عن ثمان عضمات أساسية هنشوفها في + +99 +00:08:10,770 --> 00:08:16,930 +هذه المجسم ثمان عظام أساسية للجمجمة فقط لوحدها أما + +100 +00:08:16,930 --> 00:08:21,370 +ال facial bone اللي هي عظام الوجه هذا هي عبارة عن + +101 +00:08:21,370 --> 00:08:26,790 +أربعة عشر عضمةكل واحدة باسمها هناخدها نبدأ مع بعض + +102 +00:08:26,790 --> 00:08:31,730 +الان لما اقول انا ال facial او اللي هو ال cranial + +103 +00:08:31,730 --> 00:08:37,410 +bone تحتوي على ال frontal bone كلمة frontal اللي + +104 +00:08:37,410 --> 00:08:40,930 +هي عبارة عن هاي اللي احنا بنحكي عليها باللغة + +105 +00:08:40,930 --> 00:08:47,670 +العربية ناصيةتمام مقدمة الجمجمة أو اللي هي الناس + +106 +00:08:47,670 --> 00:08:53,690 +يا أمام الرأس أو المقدمة في الرأس frontal كلمة + +107 +00:08:53,690 --> 00:08:58,830 +frontal خليني أشوفها هنا مكتوبة الآن جنب كل كلمة + +108 +00:08:58,830 --> 00:09:03,110 +مكتوب عندنا رقم هذا الرقم عبارة عن إيش أنه أنا + +109 +00:09:03,110 --> 00:09:09,440 +اليوم عندي في الجمجمة عظمة واحدةمن عضمة واحدة فقط + +110 +00:09:09,440 --> 00:09:13,420 +من ال frontal مش أكتر من هيك مافي إنسان عنده ناصية + +111 +00:09:13,420 --> 00:09:18,300 +تاني لأ هي ناصية واحدة إذا ال frontal هي عبارة عن + +112 +00:09:18,300 --> 00:09:26,240 +الناصية ناصية واحدة فقط تمام نشوف اللي بعدها هذه + +113 +00:09:26,240 --> 00:09:31,680 +طبعا صورة توضيحية أيضا لل frontal هنا + +114 +00:09:33,460 --> 00:09:37,460 +هذه الـ frontal هي مكتوب عليها frontal bone رقم + +115 +00:09:37,460 --> 00:09:42,860 +واحد في عندي حاجة اسمها البرايتل بون العضمة + +116 +00:09:42,860 --> 00:09:47,100 +الجانبية في عندي اتنين من البرايتل بون و هنشوفها + +117 +00:09:47,100 --> 00:09:52,000 +حاليا أو ال temporal خدنا ناخد ال temporal ال + +118 +00:09:52,000 --> 00:09:55,800 +temporal bones اللي هي عبارة عن العضمة الصدغية + +119 +00:09:55,800 --> 00:10:00,860 +العضمة الصدغية في منها تمتين واحدة على ال right و + +120 +00:10:00,860 --> 00:10:07,510 +واحدةعال lift تمام يعني I have two parietal two + +121 +00:10:07,510 --> 00:10:16,810 +temporal bones هنا + +122 +00:10:16,810 --> 00:10:21,590 +مش جايبهم كلهم خليني أشوف الرسمة اللي موجودةفي + +123 +00:10:21,590 --> 00:10:25,410 +عندي الـ occipital bone الإنسان عنده قاع واحد + +124 +00:10:25,410 --> 00:10:29,730 +للجمجمة occipital bone اللي هو عبارة عن قاع + +125 +00:10:29,730 --> 00:10:36,270 +الجمجمة رقمها واحد الbrital اتنين وال temporal + +126 +00:10:36,270 --> 00:10:41,670 +اتنين يعني عندي تنتين واحدة على ال right واحدة على + +127 +00:10:41,670 --> 00:10:45,790 +ال left sphenoid bone اللي هي العضمة اللي بتكون + +128 +00:10:45,790 --> 00:10:46,510 +داخل + +129 +00:10:48,830 --> 00:10:54,170 +الشيء من هنا اثمويد تمام فيه ايضا عندنا الاثمويد + +130 +00:10:54,170 --> 00:10:59,770 +اللي هي تحت العين واحد واحد واحد اتنين خليني اجي + +131 +00:10:59,770 --> 00:11:03,610 +اعدهم مع بعض بلاقي ان ال cranial bone ال total + +132 +00:11:03,610 --> 00:11:09,020 +تبعهم تمانيةواحدة oxbital واتنين parietal واتنين + +133 +00:11:09,020 --> 00:11:16,080 +temporal خمسة وستة سبعة واثمائية تمانية اذا I have + +134 +00:11:16,080 --> 00:11:19,680 +eight cranial bones في عندي تمانية ال frontal + +135 +00:11:19,680 --> 00:11:24,270 +أولهمالـ occipital تاني، بعدين فى عندنا الـ + +136 +00:11:24,270 --> 00:11:27,790 +temporal اللى هنا الصدرية البرايتل اللى موجودة هنا + +137 +00:11:27,790 --> 00:11:33,030 +على الجانب والاثمويد هنا عند العين والاسفنايد + +138 +00:11:33,030 --> 00:11:38,450 +تحته، اذا عظام الجمجمة هم تمان عضمات أساسية + +139 +00:11:38,450 --> 00:11:42,270 +موجودين عندى فى ال slides موجودين ايضا فى الرسمة + +140 +00:11:42,270 --> 00:11:46,490 +خلينى اقشر عليهم زى ما انتوا شايفين المؤشر خلينى + +141 +00:11:46,490 --> 00:11:48,690 +أنسحه كمان مرة وانشوف + +142 +00:11:50,930 --> 00:11:54,890 +أول حاجة هبدأها في زي ما شرحت على المجسم هشرح كمان + +143 +00:11:54,890 --> 00:12:00,270 +على الشكل اللي أمامنا هاي اللي هي ال frontal أو + +144 +00:12:00,270 --> 00:12:04,930 +الناصية زي ما حكيتلكم عددها طبعا واحد حكي هنا مافي + +145 +00:12:04,930 --> 00:12:09,390 +إنسان له two frontal أو two occipital لأ هاي ال + +146 +00:12:09,390 --> 00:12:12,830 +occipital bones هي عبارة عن عضمة واحدة هاي ال + +147 +00:12:12,830 --> 00:12:16,830 +frontal bone هي عبارة عن عضمة واحدةأما البرايتل + +148 +00:12:16,830 --> 00:12:20,590 +اللي هي بهذا اللون هي عبارة عن عضمتين تنتين واحدة + +149 +00:12:20,590 --> 00:12:23,490 +على ال right واحدة على الشجة التانية لو كانت تصوير + +150 +00:12:23,490 --> 00:12:29,610 +من الجانب التاني واحدة right واحدة leftواحد واتنين + +151 +00:12:29,610 --> 00:12:33,150 +صاروا تلاتة و ال occipital هي أربعة ال temporal + +152 +00:12:33,150 --> 00:12:37,610 +أيضا هي عضمتين اللي هو واحدة right و واحدة left + +153 +00:12:37,610 --> 00:12:43,190 +حكينا واحد اتنين تلاتة و أربعة occipital و تنتين + +154 +00:12:43,190 --> 00:12:46,750 +temporal هي صاروا ستة ال asphenoid زي ما حكيتلكم + +155 +00:12:46,750 --> 00:12:51,130 +بعد الأنف اللي هي عبارة عن واحد هي العدد سبعة ال + +156 +00:12:51,130 --> 00:12:55,210 +ethmoid تحت العين اللي هي عبارة عن العدد رقم + +157 +00:12:55,210 --> 00:13:00,460 +تمانيةهي اسمها الـ cranial bones أو عظام الجمجمة + +158 +00:13:00,460 --> 00:13:06,200 +اتفقنا؟ هي ما يسمى بعظام الجمجمة هشرح ان شاء الله + +159 +00:13:06,200 --> 00:13:12,140 +رب العالمين عن ال face أو اللي هو عظام ال face أو + +160 +00:13:12,140 --> 00:13:17,510 +عظام الوجه اعرفنا ليش الأرقام هذه موجودةكل رقم + +161 +00:13:17,510 --> 00:13:22,250 +بيعني لي كام موجود عندي فيه في الجمجمة خليني أشوف + +162 +00:13:22,250 --> 00:13:26,250 +ال cavities أو التجاوف اللي موجودة داخل ال skull + +163 +00:13:26,250 --> 00:13:31,430 +ما زلنا متفقين على إن ال skull هي عبارة عن الجمجمة + +164 +00:13:31,430 --> 00:13:36,090 +للترجمة هي ال largest cavity زي ما حكيت في بداية + +165 +00:13:36,090 --> 00:13:42,210 +المحاضرةأكبر تجويف موجود في جسم الإنسان هو عبارة + +166 +00:13:42,210 --> 00:13:46,870 +عن الـhead the cranial cavity which encloses and + +167 +00:13:46,870 --> 00:13:53,170 +cushions support لمين؟ للبران يعمل على إغلاق و + +168 +00:13:53,170 --> 00:13:58,590 +حماية الدماغ كنت حكيت أنا لأهمية الدماغ هو عبارة + +169 +00:13:58,590 --> 00:14:04,890 +عن neural tissue أنسجة عصبيةإذا صار فيه ضرر أو أي + +170 +00:14:04,890 --> 00:14:09,170 +damage لأي nerve cells لن تعود للحياة مرة أخرى + +171 +00:14:09,170 --> 00:14:13,790 +فعشان كده ربنا حماها بال cranial bone حتى مايصير + +172 +00:14:13,790 --> 00:14:17,970 +فيه ضرر عندنا لل central nervous system ال skull + +173 +00:14:17,970 --> 00:14:22,030 +also have smaller cavities زي ما أنا حكيت في عندنا + +174 +00:14:22,030 --> 00:14:27,370 +تجاوف داخلية أو تجاوف صغيرة هاي التجاوف الصغيرة + +175 +00:14:27,370 --> 00:14:35,690 +orbits nasalmouth أو oral اذا orbit تعني باللاتيني + +176 +00:14:35,690 --> 00:14:40,630 +ال eyes تمام؟ في عندى two cavities لكن small small + +177 +00:14:40,630 --> 00:14:45,790 +cavities اللى هى ال orbits ال nasal و اللى هى ال + +178 +00:14:45,790 --> 00:14:50,630 +oral cavity طبعا و في عندنا ال paranasal اللى هى + +179 +00:14:50,630 --> 00:14:54,450 +ما يسمى بالجيوب الأنفية اللى انا هشرح عليها ان شاء + +180 +00:14:54,450 --> 00:14:59,150 +الله رب العالمين في هى ال chapterإذن هذا بالنسبة + +181 +00:14:59,150 --> 00:15:05,450 +للـ cavities والتجاوف اللي موجودة داخل الـ skulls + +182 +00:15:05,450 --> 00:15:08,850 +رجع أكملي هنا باجي ل cranial bone و حكيت أنا عنها + +183 +00:15:08,850 --> 00:15:12,750 +الـ sphenoid عندي عضمة واحدة ما بحكي في عندي two + +184 +00:15:12,750 --> 00:15:17,470 +numbers أو two bones من الـ sphenoid لأ هي واحدة و + +185 +00:15:17,470 --> 00:15:23,470 +هيمأشرلي عليها هنا في الرسمة الـ sphenoid bone هي + +186 +00:15:23,470 --> 00:15:29,920 +عبارة عن عظمة واحدةالاثمويت كمان نفس الكلام عضمة + +187 +00:15:29,920 --> 00:15:35,720 +واحدة ال maxillary من ال facial bone بدأنا هنا بال + +188 +00:15:35,720 --> 00:15:39,100 +facial bone يعني لو لاحظنا سابقا كان فوق العنوان + +189 +00:15:39,100 --> 00:15:43,560 +ال cranial bone او ال cranium الآن هشرح على اللي + +190 +00:15:43,560 --> 00:15:47,680 +هو ال facial bone ال facial bone في عندي حكينا + +191 +00:15:47,680 --> 00:15:53,260 +اربعتاشر عضمة موجودين بالعظام الوجهةكلمة المجزلة + +192 +00:15:53,260 --> 00:15:58,820 +ري تعني أن هي العضمة اللي هنا فوق الفك الأعلى يعني + +193 +00:15:58,820 --> 00:16:04,580 +العضمة اللي بتكون تحت الأنف مباشرة أو مكان الشوارب + +194 +00:16:04,580 --> 00:16:09,060 +هذه اسمها المجزلة تمام؟ هذه المجزلة هي عبارة عن + +195 +00:16:09,060 --> 00:16:12,720 +two مجسمة لجسمين لو لاحظنا باللاجئ أن في منها + +196 +00:16:12,720 --> 00:16:18,120 +right و في منها left إذا المجزلة في منها right و + +197 +00:16:18,120 --> 00:16:24,080 +في منها leftأشوف العضمة اللي بعدها لبلاتين كلمة + +198 +00:16:24,080 --> 00:16:27,300 +لبلاتين هي عبارة عن العضمة اللي موجودة في المنتصف + +199 +00:16:27,300 --> 00:16:33,000 +ما بين ال two openings أو الفتحة تبع الأنف في عضمة + +200 +00:16:33,000 --> 00:16:38,000 +من اللبلاتين الخفيف موجودة في ما بين اللي هو + +201 +00:16:38,000 --> 00:16:45,740 +الفتحتين الأنف اسمها لبلاتين bones عضمتين طبعا + +202 +00:16:45,740 --> 00:16:49,480 +موجودين عندنا تحت قاعدة الأنف + +203 +00:16:51,890 --> 00:16:55,730 +الـ Zygomatic اللي هي اللي موجودة تحت العين مباشرة + +204 +00:16:55,730 --> 00:17:01,930 +هنا Zygomatic أيضا تنتين right و left موجودة عندي + +205 +00:17:01,930 --> 00:17:07,630 +تنتين منهم في ال right و ال left ال lacrimal اللي + +206 +00:17:07,630 --> 00:17:15,100 +هي الدمعية أيضا منها تنتين ال nasal الأنفيلو اجينا + +207 +00:17:15,100 --> 00:17:19,540 +ترجمنا، قولنا الـ nasal الأنفي الـ lacrimal الدمعي + +208 +00:17:19,540 --> 00:17:23,400 +موجود منها تنتين على الأغلب ال facial bone هما + +209 +00:17:23,400 --> 00:17:27,880 +عبارة عن two يعني دابل دائما بيكونوا double ال + +210 +00:17:27,880 --> 00:17:33,460 +vemos هي واحدة موجودة عند الأنف عضمة واحدة لحد + +211 +00:17:33,460 --> 00:17:38,100 +الآن صرنا عادين كام عضمة هنعدهم مشتركين في آخر + +212 +00:17:38,100 --> 00:17:45,630 +واحدة inferior nasalconcha اللي هي العضمة السفلية + +213 +00:17:45,630 --> 00:17:51,430 +للأنف inferior تعني سفلي نازل تجويف أنفي في منها + +214 +00:17:51,430 --> 00:17:57,830 +عضمتين الأن كل عضمة أنا جبت مقابل إلها صور لإنه + +215 +00:17:57,830 --> 00:18:03,850 +توضحلك بالسهم وين أنت موجود inferior nasal concha + +216 +00:18:03,850 --> 00:18:05,950 +هي تمام؟ + +217 +00:18:08,100 --> 00:18:12,580 +حكيت منها تنتين ال mandible اللي هي العضمة اللي + +218 +00:18:12,580 --> 00:18:17,920 +موجودة هنا تحت الدقن mandible لحالها تعني دقن فهي + +219 +00:18:17,920 --> 00:18:22,160 +عبارة عن واحدة ما بتنجسم لنصين right و left لأ ال + +220 +00:18:22,160 --> 00:18:28,500 +mandible هي عبارة عن عضمة واحدة الآن خليني أرجع بس + +221 +00:18:28,500 --> 00:18:32,020 +كام slide لقدام عشان أعمل summarize لل facial + +222 +00:18:32,020 --> 00:18:32,820 +bones + +223 +00:18:38,300 --> 00:18:44,180 +حكيت ال facial bones هم اربعتاشر عضمة اناد مع بعض + +224 +00:18:44,180 --> 00:18:51,380 +الماجزلة اتنين اللي هي موجودة هنا هذه الماجزلة + +225 +00:18:51,380 --> 00:18:58,760 +واحدة right واحدة left تمام ال mandible واحد تلاتة + +226 +00:18:58,760 --> 00:19:04,460 +سرنا ع الدين في الان في عندي ال nasal اتنين + +227 +00:19:04,460 --> 00:19:11,040 +البلاتين اتنينكل اتنينة هحطهم ورا بعض ال inferior + +228 +00:19:11,040 --> 00:19:14,620 +nasal concha اللي هي عبارة عن اتنين لاحظوا صاروا + +229 +00:19:14,620 --> 00:19:18,040 +نعدين اتنين و اتنين و اتنين و اتنين اربعة في اتنين + +230 +00:19:18,040 --> 00:19:22,280 +تمانية ال zygomatic ايضا كمان اتنين هي عشرة + +231 +00:19:22,280 --> 00:19:27,980 +اللاجمة الدمعية كمان اتنين صاروا اتناشر فقط + +232 +00:19:27,980 --> 00:19:35,040 +الvemors و الmandibles اللي هم واحد واحد ال vemos + +233 +00:19:35,040 --> 00:19:39,340 +اللي موجودة هنا تحت القنفو ال mandible هاي اللي + +234 +00:19:39,340 --> 00:19:43,680 +موجودة زي ما انتوا شايفينها هيك انا بكون عديت 14 + +235 +00:19:43,680 --> 00:19:51,940 +عضمة ل ال facial bone حفظ هون مهم جدا حفظ هون مهم + +236 +00:19:51,940 --> 00:19:58,730 +جداالـ facial bones there are fourteen bones عندنا + +237 +00:19:58,730 --> 00:20:03,550 +أربع تاشر عضمة العضمة الأولى حكينا الماجزلة اتنين + +238 +00:20:03,550 --> 00:20:08,610 +فى عندي ستة عضمات هضربهم فى اتنين ستة فى اتنين + +239 +00:20:08,610 --> 00:20:13,370 +طبعا اربعة اتناش هيكون منهم double واحدة right + +240 +00:20:13,370 --> 00:20:18,230 +واحدة left فقط الفامور and mandible هم عبارة عن + +241 +00:20:18,230 --> 00:20:24,610 +one bone one bone تمام؟هحفظ حوالي ما يقارب عنا 14 + +242 +00:20:24,610 --> 00:20:32,710 +و 8 هحفظهم أسامي العظام تمام؟ هذه العظام مهم جدا + +243 +00:20:32,710 --> 00:20:36,930 +أنه أنا أطلع من هذا chapter و أنا حافظاهم و عارفة + +244 +00:20:36,930 --> 00:20:41,750 +أعينهم على الرسمة بدنا نتأكد من أنه في عندنا + +245 +00:20:41,750 --> 00:20:46,590 +العضمة إذا كانت أحدية أو تنتين اللي هو واحدة right + +246 +00:20:46,590 --> 00:20:48,230 +و واحدة على ال left + +247 +00:20:53,560 --> 00:20:58,400 +وأخدنا ال cavities طبعا هبدأ الآن باللي هو ال + +248 +00:20:58,400 --> 00:21:01,960 +sciences اللي هي عبارة عن ال paranasal اللي أنا + +249 +00:21:01,960 --> 00:21:07,340 +حكيت عنها شو هي الجيوب الأنفية؟ الجيوب الأنفية هي + +250 +00:21:07,340 --> 00:21:13,910 +عبارة عن ال paranasal جيوب بجانب فتحة الأنفhave + +251 +00:21:13,910 --> 00:21:17,770 +mucous lining membrane هي عبارة عن إشي مبطن + +252 +00:21:17,770 --> 00:21:22,550 +بالمخات هذا الإشي المبطن بالمخات يعمل على ترطيب + +253 +00:21:22,550 --> 00:21:28,390 +الهواء الداخل إلى الرئتين لأن ما بيصير اليوم أنا + +254 +00:21:28,390 --> 00:21:32,890 +في شهر واحد وعندي الجو ثقيع إن هذا الهواء اللي + +255 +00:21:32,890 --> 00:21:38,330 +خارج البيئة يدخل على الرئتين لأ هو هيدخل عن طريق + +256 +00:21:38,330 --> 00:21:44,330 +الأنفبيتم ترطيبه وتدفئته وتنقيته ومن ثم الدخول الى + +257 +00:21:44,330 --> 00:21:49,430 +الرئتين اذا الـ mucous lining او التبطين الداخلي + +258 +00:21:49,430 --> 00:21:55,650 +هذا بيساعد على اللي هو الترطيب والتدفئة للهواء + +259 +00:21:55,650 --> 00:21:59,110 +الداخل ايضا وظيفة اخرى + +260 +00:22:02,270 --> 00:22:04,910 +الـ Paranasal أو الـ senses اللي هي الجوب الأنفية + +261 +00:22:04,910 --> 00:22:10,090 +إنها بتخلي الـ skull نفسها حجم الرأس more lighter + +262 +00:22:10,090 --> 00:22:16,050 +أكثر خفة ليه؟ عشان أنا اليوم عند الراس تجيل الحجم + +263 +00:22:16,050 --> 00:22:21,070 +تبعها كذا bones حكينا 14 facial و 8 cranial و + +264 +00:22:21,070 --> 00:22:25,810 +البرين جواتها بصير heavy is more heavy فأنا لما + +265 +00:22:25,810 --> 00:22:29,750 +الكرة الآن أجي أعمل فيها ثقوب معنات الكلام أنه أنا + +266 +00:22:29,750 --> 00:22:35,600 +بخفف من وزنهاأيضا وجود ال sciences انه بيعمل + +267 +00:22:35,600 --> 00:22:40,340 +provide resonance لل voice بيعطينا نغمة الصوت هذه + +268 +00:22:40,340 --> 00:22:44,820 +اللي انتوا سامعينها اذا في عندي ثلاث وظائف للجيوب + +269 +00:22:44,820 --> 00:22:51,220 +الأنفية اول اشي بتعمل على ترطيب الهواء الداخل إلى + +270 +00:22:51,220 --> 00:22:58,540 +جسم الإنسانتاني شي بتخلي وزن ال head more lighter + +271 +00:22:58,540 --> 00:23:03,460 +أيضا تعمل على ال resonance to the voice اللي هو + +272 +00:23:03,460 --> 00:23:09,640 +نغمات الصوت بتخلق نغمات الصوت موجودة عندنا بنسمع + +273 +00:23:09,640 --> 00:23:14,380 +بعض الناس في عندهم التهاب في الجيوب الأنفية هذا + +274 +00:23:14,380 --> 00:23:18,780 +فعلا بسبب الصداع لإن هاي الوظائف ممكن انه تتأثر + +275 +00:23:18,780 --> 00:23:22,720 +معايا في خلال التهاب الجيوب الأنفية + +276 +00:23:25,800 --> 00:23:29,500 +شو هما الجيوب الأنفية اللي موجودة؟ الجيوب الأنفية + +277 +00:23:29,500 --> 00:23:33,580 +اللي موجودة في عندي منهم أربع أزواج لإنه زي ما + +278 +00:23:33,580 --> 00:23:37,200 +حكيت زي ما في في ال right في في ال left في عندنا + +279 +00:23:37,200 --> 00:23:40,860 +في الجانب اليمين و في عندنا في الجانب اليسار في ال + +280 +00:23:40,860 --> 00:23:45,360 +frontal sensesالجيوب الـ frontal من عظمة الـ + +281 +00:23:45,360 --> 00:23:52,100 +frontal من عظمة الناسية ethmoid senses موجودة في + +282 +00:23:52,100 --> 00:23:56,180 +الاثمويد يعني جريبة من النازل في عندنا الاصفنايد + +283 +00:23:56,180 --> 00:24:02,800 +تمام هاي الاصفنايد في عندنا ال maxillary senses و + +284 +00:24:02,800 --> 00:24:08,200 +اتنين في اربعة بيعطيني تمانية في فرق اليوم انا لما + +285 +00:24:08,200 --> 00:24:15,700 +بدي احكي I have four beardإنه أنا عندي أربع أزواج + +286 +00:24:15,700 --> 00:24:22,620 +و لما أحكي I have eight تمام أربعة لازم يتبعها على + +287 +00:24:22,620 --> 00:24:28,580 +طول paired أزواج ولكن تمانية فقط sciences هذه لازم + +288 +00:24:28,580 --> 00:24:33,720 +المعلومة نكون عارفينها عندي أربع أزواج من الجيوب + +289 +00:24:33,720 --> 00:24:39,490 +الأنفية في هنا ال frontal أعينهم على نفسيفى الأمام + +290 +00:24:39,490 --> 00:24:44,250 +الـ frontal تحت هنا عند العين الـ ethmoid و عند + +291 +00:24:44,250 --> 00:24:48,650 +الأنف حاجة اسمها اللى هى sphenoid و المجزلة اللى + +292 +00:24:48,650 --> 00:24:57,950 +موجودين هنا عند المجزلة for bird الهيدبون شو هى + +293 +00:24:57,950 --> 00:25:06,420 +الهيدبون؟ بتعرفوا تفاحة آدم موجودة عند الميلهي + +294 +00:25:06,420 --> 00:25:12,480 +عبارة عن عضمة لا ترتبط بأي عضمة أخرى فقط هي موجودة + +295 +00:25:12,480 --> 00:25:16,380 +في ال frontal on the neck يعني تحت ال head مباشرة + +296 +00:25:16,380 --> 00:25:21,460 +موجودة في الرجال ما بترتبط بأي عضمة أخرى هذا ال + +297 +00:25:21,460 --> 00:25:26,880 +body تبعها هي عبارة عن الhyoid bone الhyoid bones + +298 +00:25:26,880 --> 00:25:31,480 +هي عبارة عن عضمة أو تفاحة آدم اللي احنا بنحكي + +299 +00:25:31,480 --> 00:25:33,420 +عليها باللغة العربية + +300 +00:25:35,610 --> 00:25:41,180 +شو هو ال fontales أو ما يسمى باليافوخالآن إذا في + +301 +00:25:41,180 --> 00:25:44,520 +عندنا مولود صغير في البيت كل حياتنا بنجي بنمسك + +302 +00:25:44,520 --> 00:25:48,000 +الصغير وعلى طول بنضغط على المنطقة اللي موجودة هنا + +303 +00:25:48,000 --> 00:25:53,480 +في أعلى الرأس هذه المنطقة هي منطقة طرية، ليش؟ لأن + +304 +00:25:53,480 --> 00:25:57,200 +هذا الطفل لما انولد لسه مافي عندي completely + +305 +00:25:57,200 --> 00:26:01,500 +oesophage وانا حكيت كلمة oesophage تعني تعظم كامل + +306 +00:26:01,500 --> 00:26:06,360 +إذا أنا ضغطت عليها هي عبارة عن منطقة soft منطقة + +307 +00:26:06,360 --> 00:26:10,750 +طرية جدا، هذا الاشي مضر للصغيرماحدة يعمله لأنه + +308 +00:26:10,750 --> 00:26:14,950 +ممكن أنأزي ال brain tissue اللي موجودة هو عبارة عن + +309 +00:26:14,950 --> 00:26:20,550 +النفوخ هذا الاشي بيكون موجود في هذه المنطقة هو + +310 +00:26:20,550 --> 00:26:24,390 +عبارة عن حاجة اسمها ال fibers membrane هذا ال + +311 +00:26:24,390 --> 00:26:28,250 +fibers membrane هو عبارة عن ال fontanes أو ما يسمى + +312 +00:26:28,250 --> 00:26:34,710 +بي اليفوخ خليني أشوف شو هوهو عبارة عن المنطقة اللي + +313 +00:26:34,710 --> 00:26:38,090 +جاية ما بين الـ cranial bones thickened من الـ + +314 +00:26:38,090 --> 00:26:44,310 +fibrous membrane من اللي هو الغشاء الليفي اللي لحد + +315 +00:26:44,310 --> 00:26:49,810 +الآن ما صارله عملية تعظم عملية ossification أو + +316 +00:26:49,810 --> 00:26:53,170 +عملية ossified فبالتالي هو ما زال fibrous membrane + +317 +00:26:55,540 --> 00:27:00,000 +بعض الأحيان بسميها ال soft spots العقدة أو البقعة + +318 +00:27:00,000 --> 00:27:04,720 +الطرية هذه البقعة الطرية موجودة في ال head of + +319 +00:27:04,720 --> 00:27:09,970 +babies موجودة في رأس الجنين في رأس المولودلما + +320 +00:27:09,970 --> 00:27:16,890 +بيصير عمره خمستاشر شهر يعني حوالي سنة و تلت شهور + +321 +00:27:16,890 --> 00:27:20,730 +أو سنة و أربع شهور بيصير عملية ال ossification أو + +322 +00:27:20,730 --> 00:27:25,810 +عملية التعظم بتغلق ما بلاقي الطفل بيجري عمره سنتين + +323 +00:27:25,810 --> 00:27:30,830 +و لسه ما زال عندنا اللي هنا المنطقة هي منطقة طرية + +324 +00:27:30,830 --> 00:27:38,300 +لأ بيكون خلاص سكر اليافوخ تبع الطفلشو هدفها أو شو + +325 +00:27:38,300 --> 00:27:41,640 +الهدف من ذلك؟ الهدف من ذلك إن ربنا سبحانه وتعالى + +326 +00:27:41,640 --> 00:27:46,480 +خلق الإنسان في أحسن تقويم اليوم هذه البقعة الطريقة + +327 +00:27:46,480 --> 00:27:50,360 +في أثناء المرور من ال birth canal أثناء الست و هي + +328 +00:27:50,360 --> 00:27:56,500 +بتولد لازم يكون overlapping عملية تداخل للعظام + +329 +00:27:56,500 --> 00:28:01,180 +التمانية اللي أنا حكيت عليهمحتى تصغر حجم الرؤس + +330 +00:28:01,180 --> 00:28:05,980 +ويمر الجنين بسلام ما يصير في عندي اختناق لحظة + +331 +00:28:05,980 --> 00:28:09,980 +الولادة إذن هي نعمة من الله سبحانه وتعالى احنا + +332 +00:28:09,980 --> 00:28:14,440 +بنحكي انه when baby travelled خلال ال birth canal + +333 +00:28:14,440 --> 00:28:19,760 +the cranial bones عظام الجمجمة تتداخل مع بعضها + +334 +00:28:19,760 --> 00:28:24,780 +البعض في منطقة الفونتالز أو الفونتالزin order to + +335 +00:28:24,780 --> 00:28:31,320 +easy the baby passage لسهولة مرور الجنين لاحظتها + +336 +00:28:31,320 --> 00:28:35,580 +الستة و هي بتولد ممكن يكون حجم ال head أكبر من حجم + +337 +00:28:35,580 --> 00:28:39,520 +ال birth canal مش هيضلوا الجنين عالق جوا لأ بيصير + +338 +00:28:39,520 --> 00:28:45,510 +overlapping عملية تداخل حتى يمر الجنين بسهولةالـ + +339 +00:28:45,510 --> 00:28:50,210 +newborns frequently have cone shapes بعض اللي هو + +340 +00:28:50,210 --> 00:28:56,210 +المواليد بتلاقي هنا طالعة deformities هنا طالعة + +341 +00:28:56,210 --> 00:29:02,470 +شكل مش طبيعي فبالتالي هذا الاشي ناتج عن اللي هو + +342 +00:29:02,470 --> 00:29:06,250 +this is temporary deformation بعض الأحيان في عندي + +343 +00:29:06,250 --> 00:29:13,080 +ال deformation هذه أو المشاكل هذه بنحكيللست إن هو + +344 +00:29:13,080 --> 00:29:18,200 +اتغير من نومة الطفل، يعني مش كله دائما نايم على + +345 +00:29:18,200 --> 00:29:21,680 +رأسه من ورا، لأ بعض الأحيان اتجلبه على اليمين + +346 +00:29:21,680 --> 00:29:25,880 +والبعض الأخر اتجلبه على اليسار، فيما بعد بتحسن وضع + +347 +00:29:25,880 --> 00:29:29,520 +المولود أو الشكل العام للرأس، بتصير بتاخد هذا + +348 +00:29:29,520 --> 00:29:35,170 +الشكل، ولكن الام اللي بتبقى بكرية مثلا ومشمخضع + +349 +00:29:35,170 --> 00:29:39,410 +الوضع بتضلها دايما منايمة ابنها على الـ occipital + +350 +00:29:39,410 --> 00:29:44,090 +bone فبلاجي هذه المنطقة كانت flat جاية بشكل مسطح + +351 +00:29:44,090 --> 00:29:49,590 +كده فبكون هذا الاشي هي استمرت على وضعية معينة في + +352 +00:29:49,590 --> 00:29:53,950 +نومة ابنها الصغير قدت لوجود مشاكلطبعا هذا مش صح + +353 +00:29:53,950 --> 00:29:57,950 +بنحكي للام دايما غير من وضعية النوم خصوصا لل + +354 +00:29:57,950 --> 00:30:02,230 +newborn لازم النوم تبعتهم تكون على ال right و على + +355 +00:30:02,230 --> 00:30:06,370 +ال left يعني على الجهة اليمين و على الجهة اليسار + +356 +00:30:06,370 --> 00:30:10,210 +طبعا هذا بالنسبة له ال fontales أو ما يسمى + +357 +00:30:10,210 --> 00:30:13,700 +باليافوخةزي ما انتوا شايفينه هنا في الصورة عندي، + +358 +00:30:13,700 --> 00:30:19,280 +أنا بحدد عليه، هذا الشيط الأبيض هو عبارة عن + +359 +00:30:19,280 --> 00:30:24,580 +الـfibrous membrane، غشاء ليفي، بتصيرله عملية + +360 +00:30:24,580 --> 00:30:29,440 +الـosification أو عملية التعظم في خلال الشهر 15، + +361 +00:30:29,440 --> 00:30:33,080 +يعني لو قلت سنة و تلت شهور أو سنة و أربع شهور، + +362 +00:30:33,080 --> 00:30:39,380 +الأمر كمان ماشي حاله، إذا هي عبارة عنبقعة طرية + +363 +00:30:39,380 --> 00:30:43,100 +الله سبحانه وتعالى أعطانا إياها علشان يصير في + +364 +00:30:43,100 --> 00:30:47,220 +overlapping لمرور اللي هو المولود أثناء لحظة + +365 +00:30:47,220 --> 00:30:54,070 +الولادة تمام؟هي موجودة هنا كمان عندنا هي الـ + +366 +00:30:54,070 --> 00:30:58,130 +anterior fontalis اللي هي الـfibrous tissue أو + +367 +00:30:58,130 --> 00:31:03,290 +الـfibrous membrane غشأ ليفي قوي جدا في الـfrontal + +368 +00:31:03,290 --> 00:31:06,470 +مابين الـfrontal bones اللي هي أخدناها في الـ + +369 +00:31:06,470 --> 00:31:10,710 +cranial bone و البرايتال bones اللي هي العضمة اللي + +370 +00:31:10,710 --> 00:31:16,070 +جاية هنا تمام؟ هذا بالنسبة للـfontalis وبهيك بيكون + +371 +00:31:16,070 --> 00:31:20,630 +خلصت ال part الأول لل skeletal system 2عمل + +372 +00:31:20,630 --> 00:31:25,830 +summarize أخدنا فيه عن الـ skull أخدنا فيه عن اللي + +373 +00:31:25,830 --> 00:31:29,750 +هو شوهي الـ skull شو التجوفي اللي موجودة فيها + +374 +00:31:29,750 --> 00:31:35,530 +أخدنا فيه تمانية skull bones أربعتعش facial bones + +375 +00:31:35,530 --> 00:31:39,630 +أخدنا عن اللي هو البرانيزل أو اللي هي بسميها + +376 +00:31:39,630 --> 00:31:44,230 +الجيوب الأنفية أخدنا أيضا عن ال fontales أو ما + +377 +00:31:44,230 --> 00:31:50,220 +يسمى باللي هو اليفوخ بهك يعطيكوا العافيةننتقل ان + +378 +00:31:50,220 --> 00:31:53,320 +شاء الله رب العالمين و ألقاكم في فيديو ال part + +379 +00:31:53,320 --> 00:31:55,380 +التاني من skeletal system رقم + diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/YBvhDbFvyEo.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/YBvhDbFvyEo.srt new file mode 100644 index 0000000000000000000000000000000000000000..06a49977f514f9393d4165af627ab9ef1186ad06 --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/YBvhDbFvyEo.srt @@ -0,0 +1,1374 @@ +1 +00:00:00,720 --> 00:00:04,600 +على أشرف الأنبياء والمرسلين نكمل معاكم بإذن الله + +2 +00:00:04,600 --> 00:00:11,720 +تعالوا للـ part الثالث من chapter tissue اللي هو + +3 +00:00:11,720 --> 00:00:15,320 +chapter الأنسجة أخذنا الفيديو الأول وأخذنا + +4 +00:00:15,320 --> 00:00:21,580 +الفيديو الثاني، قسمت أنا اللي هو الأنسجة إلى + +5 +00:00:21,580 --> 00:00:27,900 +أربعة أنواع أساسية، أخذنا اللي هي الـ epithelial + +6 +00:00:27,900 --> 00:00:31,960 +tissue، بعدين الـ connective tissue، بعدين رقم ثلاثة + +7 +00:00:31,960 --> 00:00:35,540 +الـ muscular tissue أو الـ muscle tissue، ورقم أربعة + +8 +00:00:35,540 --> 00:00:39,680 +هيكون عن الـ nervous tissue الآن بإذن الله تعالى + +9 +00:00:39,680 --> 00:00:44,180 +هأكمل ما توقفت عنده، كنت حكيت أن الـ connective + +10 +00:00:44,180 --> 00:00:50,760 +tissue هيكون بإذن الله تعالى عبارة عن نوعين منه: + +11 +00:00:50,760 --> 00:00:56,460 +الـ loose اللي هو بشكل عام، و الـ specialized اللي هو + +12 +00:00:56,460 --> 00:01:01,490 +بشكل خاص. الآن بجسم الـ connective tissue + +13 +00:01:01,490 --> 00:01:05,830 +اللي أنا هقسمه إلى قسمين، الـ group هذه اللي هي + +14 +00:01:05,830 --> 00:01:11,070 +connective tissue proper، معناته شيء عام أو مجموعة + +15 +00:01:11,070 --> 00:01:15,250 +عامة، هذه المجموعة هي عبارة عن مجموعة عامة، و الـ + +16 +00:01:15,250 --> 00:01:20,930 +specialized، هنا مجموعة خاصة. شو أنواع الـ connective + +17 +00:01:20,930 --> 00:01:25,590 +tissue proper؟ أول نوع، حاجة اسمها loose connective + +18 +00:01:25,590 --> 00:01:30,810 +tissue، loose تعني رخو، يعني نسيج ضام، بس إيش صفاته؟ + +19 +00:01:30,810 --> 00:01:36,130 +أنه رخو، الـ adipose، adipose tissue، كلمة adipose + +20 +00:01:36,130 --> 00:01:39,510 +لحالها تعني دهني، واحنا حكينا اصلا من الـ + +21 +00:01:39,510 --> 00:01:41,530 +connective tissue لما أخذنا الـ general + +22 +00:01:41,530 --> 00:01:45,350 +characteristics تبعته، الصفات العامة، أن هو storage + +23 +00:01:45,350 --> 00:01:50,850 +for fats، يعني بيخزن الدهون. النوع الثاني اللي هو + +24 +00:01:50,850 --> 00:01:54,820 +reticular connective tissue، كلمة reticular تعني + +25 +00:01:54,820 --> 00:02:01,400 +شبكة. النوع الرابع dense connective tissue، يعني إذا + +26 +00:02:01,400 --> 00:02:05,660 +في فراغ بيعبيه. احنا أخذنا اصلا من خصائص اللي كنت + +27 +00:02:05,660 --> 00:02:10,260 +بتحكيه اللي هو في الـ space، أن هو لازم يعبي أي فراغ + +28 +00:02:10,260 --> 00:02:14,300 +بيكون متواجد فيه. النوع الخامس والأخير اللي هو الـ + +29 +00:02:14,300 --> 00:02:18,120 +elastic، من اسمه elastic، معناه الكلام أنه فيه خاصية + +30 +00:02:18,120 --> 00:02:23,080 +المرونة. هدول هناخدهم بالتفصيل، وناخد شو مميزاتهم. + +31 +00:02:23,080 --> 00:02:28,460 +أيضا هأتطرق إلى الـ specialized، اللي هو الـ cartilage، + +32 +00:02:28,460 --> 00:02:32,230 +الغضاريف، زي الغضاريف اللي موجودة في الأنف، الغضاريف + +33 +00:02:32,230 --> 00:02:37,950 +اللي موجودة في الفم، في الأذن، و الـ bone اللي هي + +34 +00:02:37,950 --> 00:02:42,330 +الهيكل العظمي الكامل، وكذلِك الـ blood. إذا أنا بعرف + +35 +00:02:42,330 --> 00:02:47,650 +أن الـ blood هو شيء أساسي ومن أنواع الـ connective + +36 +00:02:47,650 --> 00:02:53,590 +tissue. نيجي نشوف الـ loose. أول نوع، معناه mainly + +37 +00:02:53,590 --> 00:03:00,630 +fibroblast. أول خاصية له أنه بالأساس بشكل fibroblast، + +38 +00:03:00,630 --> 00:03:07,570 +خلية بانية من الألياف، fibro leaf، و blast حكينا بـ + +39 +00:03:07,570 --> 00:03:12,690 +بانية، إذا building، معناته الكلام mainly fibroblast. + +40 +00:03:12,690 --> 00:03:18,510 +إذا هو عبارة عن أساس الخلية البانية. fluid to gel- + +41 +00:03:18,510 --> 00:03:24,330 +like matrix، المادة الخلوية اللي بتكون في اللوز هي + +42 +00:03:25,280 --> 00:03:30,500 +بتتراوح من سائل إلى جل، يعني يا بتكون سائلة، يا + +43 +00:03:30,500 --> 00:03:34,100 +بتكون أسمك شوية، معناته وصلت، بس مش لسماكة البون. + +44 +00:03:34,100 --> 00:03:38,980 +على سبيل المثال، لأ جل قريبة من الجل. collagenous + +45 +00:03:38,980 --> 00:03:44,400 +fiber، يحتوي على ألياف الكولاجين. أيضا يحتوي على + +46 +00:03:44,400 --> 00:03:49,290 +ألياف الإيلاستين، اللي هي الـ elastic fibers، bind للـ + +47 +00:03:49,290 --> 00:03:53,430 +skin to structural، بيربط الجلد في التراكيب اللي + +48 +00:03:53,430 --> 00:03:58,490 +تحتها. بنفس most epithelium تحتها بتكون الـ + +49 +00:03:58,490 --> 00:04:01,670 +epithelium، واحنا أخذنا الـ epithelium بيكون طبعا + +50 +00:04:01,670 --> 00:04:06,090 +هو الـ... مين اللي تحت مين؟ أن الـ connective tissue + +51 +00:04:06,090 --> 00:04:10,910 +هذا بيكون تحت الـ epithelium، تمام؟ يعني ليه؟ لأنه + +52 +00:04:10,910 --> 00:04:14,720 +حكينا الـ epithelium free، apicial تبعته free، + +53 +00:04:14,720 --> 00:04:19,100 +تمام، سطوحه والخلايا تبعته دائما حرة، فبيجي + +54 +00:04:19,100 --> 00:04:23,740 +epithelium، بعدين تحته الـ connective tissue، الـ blood + +55 +00:04:23,740 --> 00:04:27,820 +vessels nourish، شيء طبيعي لو أنت أو أنت، صار في + +56 +00:04:27,820 --> 00:04:31,900 +عندك جروح بإيدك، هنلاقي الدم بدأ ينزف، ليه؟ لأن + +57 +00:04:31,900 --> 00:04:37,000 +المنطقة هنا غنية بالدم، معناته هو vascular. لو هذا + +58 +00:04:37,000 --> 00:04:40,580 +السطر أنا كله استغنيت عنه، كتبت بين قوسين أنه + +59 +00:04:40,580 --> 00:04:44,600 +vascular، معناه تلحق بيمشي معايا أنه مش زي الـ + +60 +00:04:44,600 --> 00:04:48,760 +epithelial avascular، لأ هنا بنحكي أنه vascular، + +61 +00:04:48,760 --> 00:04:54,060 +يحتوي على اللي هي أوعية دموية قريبة من خلايا الـ + +62 +00:04:54,060 --> 00:04:57,400 +epithelial tissue. موجود أيضا connective tissue + +63 +00:04:57,400 --> 00:05:03,590 +loose، ما بين الـ muscles، ما بين العضلات. أعمل + +64 +00:05:03,590 --> 00:05:07,010 +summarize، وأعيد لموضوع الـ loose connective + +65 +00:05:07,010 --> 00:05:10,710 +tissue. mainly، بالأساس يحتوي على خلايا وألياف + +66 +00:05:10,710 --> 00:05:14,930 +بانية، المادة الخلوية تبعته بتترجح أو بتتأرجح ما + +67 +00:05:14,930 --> 00:05:18,730 +بين السائل إلى الجل. يحتوي على collagenous fiber، + +68 +00:05:18,730 --> 00:05:22,770 +أيضا يحتوي على ألياف الإيلاستين اللي بيربط الجلد + +69 +00:05:22,770 --> 00:05:28,050 +بالأنسجة أو بالتركيب اللي تحته. بيكون هو تحت الـ + +70 +00:05:28,050 --> 00:05:33,430 +epithelial tissue. يحتوي أيضا على أوعية دموية، فمعناته + +71 +00:05:33,430 --> 00:05:38,370 +الكلام هو vascular، بيكون موجود ما بين الخلايا. هذا + +72 +00:05:38,370 --> 00:05:42,610 +أول نوع من الـ group اللي هو الـ proper connective + +73 +00:05:42,610 --> 00:05:48,350 +tissue. نيجي نشوف الـ adipose، يعني معناته دهني، يحتوي + +74 +00:05:48,350 --> 00:05:50,670 +على adipocyte. + +75 +00:05:51,940 --> 00:05:55,740 +نقسم الكلمة هذه قسمين: adip و ocyte. لها fat و site، + +76 +00:05:55,740 --> 00:05:59,740 +تعني باللاتينية اللي هي cell. إذا يحتوي على خلايا + +77 +00:05:59,740 --> 00:06:04,820 +دهنية. cushions، عبارة عن وسادة لأي ضربة، لأي صدمة + +78 +00:06:04,820 --> 00:06:09,780 +بتيجي للجسم. الـ adipose tissue هذا بيعمل على امتصاصها، + +79 +00:06:09,780 --> 00:06:15,430 +insulates، اللي هو عازل، عازل من أي ضربات، من أي صدمات، + +80 +00:06:15,430 --> 00:06:20,310 +أيضا من أي شيء مش صحيح أنه يوصل لجسم الإنسان. + +81 +00:06:20,310 --> 00:06:24,310 +stores fat، من حديثنا، اسمه adipose، معناته هو + +82 +00:06:24,310 --> 00:06:29,150 +بيخزن الدهون. beneath the skin، بيكون موجود تحت الجلد، + +83 +00:06:29,150 --> 00:06:35,570 +behind eyeballs، خلف كرة العين، عشان يحميها من أي + +84 +00:06:35,570 --> 00:06:41,220 +ضربة، من أي إصابة. أيضا موجود حوالي الكلية والقلب. + +85 +00:06:41,220 --> 00:06:45,160 +إذا تشوفوا الأماكن الحساسة اللي هو فيها الـ eyeball، + +86 +00:06:45,160 --> 00:06:50,920 +و الـ kidneys، و الـ heart، موجودين حولهم حاجة اسمها + +87 +00:06:50,920 --> 00:06:55,560 +adipose tissue. إذا موجود نتيجة connective tissue و + +88 +00:06:55,560 --> 00:06:59,780 +نوعه adipose، يعني نوعه دهني. الـ adipocyte هي أهم + +89 +00:06:59,780 --> 00:07:04,040 +صفاته، cushions، وظيفته، و insulates، اللي هي عبارة عن + +90 +00:07:04,040 --> 00:07:09,220 +أنه عازل. وظيفة أخرى أيضا أنه store للـ fats، و بيكون + +91 +00:07:09,220 --> 00:07:13,900 +موجود تحت الـ skin. هذا الرقم الثاني أو النوع الثاني + +92 +00:07:13,900 --> 00:07:19,460 +من الـ connective tissue. نيجي للنوع الثالث، النوع + +93 +00:07:19,460 --> 00:07:22,680 +الثالث اسمه reticular، كلمة reticular لو أجينا + +94 +00:07:22,680 --> 00:07:28,250 +ترجمناها بنلاقي معناها اللي هي شبكي. الـ connective + +95 +00:07:28,250 --> 00:07:32,410 +tissue الشبكي هو عبارة عن النسيج الضام اللي بيكون + +96 +00:07:32,410 --> 00:07:37,210 +موجود على شكل reticular fibers، من اسمه reticular، + +97 +00:07:37,210 --> 00:07:41,070 +معناته موجود فيه reticular fibers، ألياف شبكية، + +98 +00:07:41,070 --> 00:07:46,230 +تعمل على تدعيم الـ internal organs wall، اللي هي + +99 +00:07:46,230 --> 00:07:51,190 +تدعيم الجدار الداخلي اللي بيكون موجود للأعضاء، على + +100 +00:07:51,190 --> 00:07:54,810 +سبيل المثال الجدار البطني اللي موجود حوالي الـ + +101 +00:07:54,810 --> 00:08:00,570 +liver، spleen، و الـ lymphatic organs، كبد، طحال، و + +102 +00:08:00,570 --> 00:08:05,610 +أعضاء لمفاوية. من اسمه reticular، reticular، شبكي، + +103 +00:08:05,610 --> 00:08:09,950 +يحتوي على ألياف شبكية، بيعمل على تدعيم وحماية الـ + +104 +00:08:09,950 --> 00:08:14,910 +internal organs، موجود في الجهاز الهضمي. هذا النوع + +105 +00:08:14,910 --> 00:08:19,470 +الثالث. النوع الرابع dense، كلمة dense تعني كثيف. + +106 +00:08:19,470 --> 00:08:24,630 +النوع اللي هو موجود بكثرة. هنا هو عبارة عن نوع + +107 +00:08:24,630 --> 00:08:29,370 +كثيف، يعني متماسك مع بعضه البعض، يحتوي على حزمة من + +108 +00:08:29,370 --> 00:08:33,890 +ألياف الكولاجين، packet collagenous fiber، حزمة + +109 +00:08:33,890 --> 00:08:40,030 +كاملة، متكاملة من ألياف الكولاجين. أيضا يحتوي، مع حزمة + +110 +00:08:40,030 --> 00:08:44,050 +ألياف الكولاجين، هناك حزم أخرى من الـ elastin أو + +111 +00:08:44,050 --> 00:08:49,150 +الـ elastic fiber، عشان تعطيها خاصية المرونة. يحتوي + +112 +00:08:49,150 --> 00:08:53,210 +على القليل من الخلايا أو الألياف البانية. ما بدنا + +113 +00:08:53,210 --> 00:08:58,910 +هنا ألياف بانية، bind للـ body parts together، بيربط + +114 +00:08:58,910 --> 00:09:04,250 +الجسم بأجزاءه، كل جزء مع الآخر. إذا وظيفته هنا ربط، + +115 +00:09:04,250 --> 00:09:07,630 +لأنه dense، قوي. طالما أنا بحكي على dense، معناته + +116 +00:09:07,630 --> 00:09:11,630 +هو مدعم بنوعين من الألياف، النوع الأول اللي هو الـ + +117 +00:09:11,630 --> 00:09:16,270 +collagenous، والنوع الثاني اللي هو الـ elastin. وين + +118 +00:09:16,270 --> 00:09:19,190 +بلاقيهم؟ بلاقيهم موجودين في الـ tendon، في الـ ligaments، + +119 +00:09:19,190 --> 00:09:25,950 +في الـ nerves، الأربطة، الأوتار، dermis، البشرة، poor + +120 +00:09:25,950 --> 00:09:31,890 +of blood supply، قليل التروية الدموية. إذا فيه + +121 +00:09:31,890 --> 00:09:37,190 +vascular، فيه vessels، فيه blood، ولكن بشكل شحيح جدا، + +122 +00:09:37,190 --> 00:09:42,630 +قليل جدا. أعيد ثاني، أحكي شو مميزات الـ dense connective + +123 +00:09:42,630 --> 00:09:47,730 +tissue؟ يحتوي على حزمة كاملة، متكاملة من ألياف + +124 +00:09:47,730 --> 00:09:53,610 +الكولاجين، يحتوي على الـ elastin fiber، يحتوي أيضا على + +125 +00:09:53,610 --> 00:09:57,010 +القليل من الـ fibroblast، والقليل من الـ blood + +126 +00:09:57,010 --> 00:10:01,210 +supply. اثنين قليلات، واثنين أكثر، الأكثر اللي هم الـ + +127 +00:10:01,210 --> 00:10:04,730 +collagenous fiber و الـ elastin fiber، والقليلة + +128 +00:10:04,730 --> 00:10:08,530 +اللي هي الـ fibroblast و الـ blood supply، تمام؟ + +129 +00:10:08,530 --> 00:10:11,310 +وظيفته أنه بيعمل على ربط الأجزاء والتراكيب في + +130 +00:10:11,310 --> 00:10:15,630 +الجسم. موجود في الـ tendon، في الأوتار، و الـ ligament، و + +131 +00:10:15,630 --> 00:10:21,090 +الـ dermis اللي هي البشرة، تمام؟ هيك هذا النوع الرابع + +132 +00:10:21,090 --> 00:10:24,870 +من الـ connective tissue. النوع الخامس، من اسمه + +133 +00:10:24,870 --> 00:10:29,630 +elastic، elastic معناته مطاطي. abundant in elastic + +134 +00:10:29,630 --> 00:10:33,930 +fibers، غني جدا بألياف الإيلاستين أو ألياف الـ + +135 +00:10:33,930 --> 00:10:39,330 +elastic fiber. بعض الأحيان بنعطي شوية تدعيم بالـ + +136 +00:10:39,330 --> 00:10:45,330 +collagenous fiber، تمام؟ fibroblast، ألياف بانية + +137 +00:10:45,330 --> 00:10:51,400 +موجودة فيه. attachment، ما بين العظام، walls of large + +138 +00:10:51,400 --> 00:10:55,780 +artery، airways، أيضا و الـ heart. موجود عندنا في + +139 +00:10:55,780 --> 00:11:00,940 +العظام، أيضا موجود في جدران الشرايين اللي هي + +140 +00:11:00,940 --> 00:11:06,600 +الكبيرة، الـ large، في الممرات الهوائية، والقلب، تمام. + +141 +00:11:06,600 --> 00:11:11,080 +نعيد ثاني، النوع الخامس والأخير هو عبارة عن الـ + +142 +00:11:11,080 --> 00:11:13,600 +elastic connective tissue. الآن الـ elastic + +143 +00:11:13,600 --> 00:11:17,910 +connective tissue هو عبارة عن إيش؟ إيش غني جدا + +144 +00:11:17,910 --> 00:11:22,050 +بمادة الإيلاستين، ألياف غنية من الـ elastic fibers، + +145 +00:11:22,050 --> 00:11:26,730 +موجود بعض الأحيان، بندعم بـ collagenous fibers، + +146 +00:11:26,730 --> 00:11:31,990 +يحتوي على الـ fibroblast، الـ attachment، أو بيربط + +147 +00:11:31,990 --> 00:11:36,890 +ما بين العظام، كل عظمة وثانية. بيكون موجود في جدران + +148 +00:11:36,890 --> 00:11:42,710 +الشرايين الكبيرة، أيضا في الممرات الهوائية، والقلب، + +149 +00:11:42,710 --> 00:11:46,250 +بهيك بيكون أنا أخذت خمس أنواع من الـ proper + +150 +00:11:46,250 --> 00:11:50,630 +ناخدهم من البداية، الـ loose connective + +151 +00:11:50,630 --> 00:11:56,390 +tissue، الـ elastic، الـ adipose، و reticular، و + +152 +00:11:56,390 --> 00:12:02,610 +dense connective tissue. نيجي نشوف الـ bone، الـ bone، + +153 +00:12:02,610 --> 00:12:08,390 +بالإنجليزي معناته، باللاتينية معناته oss، oss تعني عظم + +154 +00:12:08,390 --> 00:12:13,170 +باللاتينية، أما بالإنجليزية فمعناته bone، عظم. المادة + +155 +00:12:13,170 --> 00:12:17,730 +الخلوية المكوّنة للعظام. وحناخد فيها طبعا شرائح + +156 +00:12:17,730 --> 00:12:22,190 +كبيرة، وطويلة، وأعراض. حناخد حاجة اسمها أن المادة + +157 +00:12:22,190 --> 00:12:27,110 +الخلوية في العظام هي مادة صلبة جدا وصلبة. عمركم + +158 +00:12:27,110 --> 00:12:31,350 +شوفتوا عظم جل؟ لأ، العظم دائما بيكون solid، صلب. + +159 +00:12:31,350 --> 00:12:35,930 +وظيفة العظام support، دعامة عامة للجسم، بتعمل + +160 +00:12:35,930 --> 00:12:39,010 +protection، للـ vital organs. وأخذناها في فصل الـ + +161 +00:12:39,010 --> 00:12:44,260 +introduction. بتشكل الـ blood cells، سواء كانت الـ RBCs + +162 +00:12:44,260 --> 00:12:47,680 +أو الـ white blood cells، الـ white blood cells طبعا + +163 +00:12:47,680 --> 00:12:53,280 +بتترتبط مباشرة فيها العضلات، وبتشكل في النهاية الـ + +164 +00:12:53,280 --> 00:12:58,720 +skeleton. إذن هنا، شارح لي عن العظام، هي عبارة عن oss، + +165 +00:12:58,720 --> 00:13:04,180 +تشو، نسيج عظمي، يحتوي على مادة خلوية صلبة. وظيفة + +166 +00:13:04,180 --> 00:13:10,720 +العظام تعمل كدعامة، كحماية، بتشكل وتنتج اللي هي + +167 +00:13:10,720 --> 00:13:15,640 +خلايا الدم، ترتبط فيها مباشرة العضلات، وبتشكل في + +168 +00:13:15,640 --> 00:13:21,790 +النهاية اللي هو الهيكل العظمي، skeleton. لأن حكينا على + +169 +00:13:21,790 --> 00:13:25,790 +البون، وله شرح واسع، يعني هذه بس مدخل صغير له. + +170 +00:13:25,790 --> 00:13:31,230 +الـ cartilage connective tissue، الغضاريف هي عبارة + +171 +00:13:31,230 --> 00:13:35,750 +عن إيش الغضاريف؟ هي عبارة عن اللي هو الـ... الشيء + +172 +00:13:35,750 --> 00:13:40,830 +الطري اللي بيكون في الأذن، في الأنف، ما بين المفاصل. + +173 +00:13:40,830 --> 00:13:45,230 +المادة اللي هي، أو الحاجة البيضاء اللي بتكون ما بين + +174 +00:13:45 + +223 +00:17:47,150 --> 00:17:52,370 +لموضوع اللي هو الـhighline cartilage إذا تشكيلة + +224 +00:17:52,370 --> 00:17:57,350 +العظم اللي احنا فيه الآن أصلها cartilage ثلاثة + +225 +00:17:57,350 --> 00:18:01,980 +وظائف أساسية: أول شيء، العظم بمدّني بالدعامة. ثاني شيء، + +226 +00:18:01,980 --> 00:18:05,820 +بيسهّل عملية الـgliding surface في الـjoint. ثالث شيء، + +227 +00:18:05,820 --> 00:18:12,360 +بيعمل شكل البون في بداية مراحل الجنين. هاي ثلاث وظائف. + +228 +00:18:12,360 --> 00:18:15,240 +خلّيني أشوف شو هي أنواع الـcartilage عندنا. + +229 +00:18:15,240 --> 00:18:21,700 +أنواع كثيرة ومتعددة من الغضاريف، three types of + +230 +00:18:21,700 --> 00:18:26,300 +cartilage، ثلاثة أنواع. باجي أنا بالـhighlighted pins + +231 +00:18:26,300 --> 00:18:30,670 +تبعي أو الجلم تبعي، بحط على الـhighline: أول نوع، الـ + +232 +00:18:30,670 --> 00:18:35,870 +Fibro cartilage. ثاني نوع، الـElastic. النوع الأخير، + +233 +00:18:35,870 --> 00:18:43,590 +غضروف زجاجي، غضروف ليفي، غضروف مرن. الـ Highline + +234 +00:18:43,590 --> 00:18:48,050 +cartilage هو عبارة عن الغضروف الزجاجي اللي أنا + +235 +00:18:48,050 --> 00:18:51,810 +اتكلمت عنه في الشريحة السابقة. الـMost abundant + +236 +00:18:51,810 --> 00:18:57,890 +kind، هو أكثر الأنواع وفرة. موجود، يحتوي على membrane + +237 +00:18:57,890 --> 00:19:03,490 +يحتوي على غشاء associated with synovial joint، مصاحب + +238 +00:19:03,490 --> 00:19:08,630 +دائماً للمفاصل الهلامية، الـsynovial، زي الرقبة، زي + +239 +00:19:08,630 --> 00:19:12,430 +الحوض. Most bones first molded in highline + +240 +00:19:12,430 --> 00:19:19,010 +cartilage. أغلب العظام تم تشكيلها زي ما حكيت لكم من + +241 +00:19:19,010 --> 00:19:22,910 +الـhighline cartilage. يعني أصل الإنسان في بداية + +242 +00:19:22,910 --> 00:19:27,410 +تكوين الجنين وهو برحم أمه كان عبارة عن highline + +243 +00:19:27,410 --> 00:19:32,460 +cartilage. هذا الـHighline Cartilage بتحول فيما بعد + +244 +00:19:32,460 --> 00:19:36,180 +إلى عظام. أربع خصائص أساسية للـHighline Cartilage: + +245 +00:19:36,180 --> 00:19:42,080 +أعيدهم: أنه هو أكثرها وفرة، يحتوي على غشاء، بيكون + +246 +00:19:42,080 --> 00:19:44,820 +بالعادة موجود في الـsynovial joint، أو اللي هي + +247 +00:19:44,820 --> 00:19:50,280 +بنسميها المفاصل الهلامية. يحتوي، أو هو الأساس اللي + +248 +00:19:50,280 --> 00:19:54,940 +بيشكل العظام. هذا النوع الأول اللي هو الغضروف + +249 +00:19:54,940 --> 00:19:55,680 +الزجاجي. + +250 +00:19:58,270 --> 00:20:02,090 +Fibrocartilaginous أو الـFibrocartilage. Fibro، + +251 +00:20:02,090 --> 00:20:05,650 +لاحظوا كل كلمة أنا بجسمها جسمين، Fibro، من حد ما + +252 +00:20:05,650 --> 00:20:08,850 +بشوف Fibro، معناها اللي حاكي إنه أنا بدي أعرف إنه + +253 +00:20:08,850 --> 00:20:12,250 +هنا يحتوي على Fiber. شو أنواع الـFiber؟ من + +254 +00:20:12,250 --> 00:20:17,530 +الكولاجين، this collagenous Fiber. يحتوي على ألياف + +255 +00:20:17,530 --> 00:20:24,150 +الكولاجين، موجود في الـIntervertebral Disc، ما بين + +256 +00:20:24,150 --> 00:20:30,270 +الفقرات الظهرية، الـIntervertebral discs، و الـ + +257 +00:20:30,270 --> 00:20:35,390 +pubic symphases. موجود في الارتفاق العاني. هذا اللي + +258 +00:20:35,390 --> 00:20:40,290 +هناخده في الهيكل العظمي بإذن الله تعالى. إذا من + +259 +00:20:40,290 --> 00:20:45,790 +اسمه fibrocartilage، يعني معناه الكلام أنا هنا صرت + +260 +00:20:45,790 --> 00:20:52,090 +أكثر صلابة من النوع الأول. ليه؟ لاحتوائه على ألياف + +261 +00:20:52,090 --> 00:20:55,660 +الكولاجين. موجود وين؟ في الـIntervertebral discs + +262 +00:20:55,660 --> 00:21:02,580 +اللي هي الفقرات الظهرية، أو ما بين الفقرات، والـ + +263 +00:21:02,580 --> 00:21:06,940 +pubic symphysis، اللي هي الارتفاق العاني. النوع + +264 +00:21:06,940 --> 00:21:12,800 +الثالث والأخير من أنواع الـcartilage، تمام، اللي هو + +265 +00:21:12,800 --> 00:21:16,300 +الـcartilage، نوع من أنواع الـconnective tissue. + +266 +00:21:16,300 --> 00:21:22,640 +حاجة اسمها الـelastic cartilage، غضروف مرن، غضروف + +267 +00:21:22,640 --> 00:21:28,960 +مطاطي، من اسمه. يحتوي على الـelastic fiber، يحتوي + +268 +00:21:28,960 --> 00:21:35,180 +على ألياف مرنة، مطاطة، موجود في الأذن، air respiratory + +269 +00:21:35,180 --> 00:21:39,620 +tubing، قصبة الهوائية، على سبيل المثال. أعمل + +270 +00:21:39,620 --> 00:21:45,260 +summarize، وألخص الثلاث أجزاء اللي أخذتهم. بدايةً في + +271 +00:21:45,260 --> 00:21:49,180 +عندي three types of cartilage: highline cartilage، + +272 +00:21:49,180 --> 00:21:53,760 +هذا أول نوع. الثاني نوع، الـfibrocartilage. وثالث + +273 +00:21:53,760 --> 00:21:57,020 +نوع، الـelastic cartilage. highline هو عبارة عن + +274 +00:21:57,020 --> 00:22:01,820 +الغضروف الزجاجي، و الـfibrocartilage هو عبارة عن + +275 +00:22:01,820 --> 00:22:06,880 +الغضروف الليفي، والنوع الثالث هو عبارة عن الغضروف + +276 +00:22:06,880 --> 00:22:12,940 +المرن. طبعاً كل واحد له مميزاته، من اسمه مميزاته + +277 +00:22:12,940 --> 00:22:17,800 +بتنحفظ. هنا الأسئلة مهمة. الناس اللي بتسأل كيف بيجي + +278 +00:22:17,800 --> 00:22:23,230 +هذا. دكتورة، أسئلته متعددة، true and false، واختياري من + +279 +00:22:23,230 --> 00:22:29,350 +متعدد. طبعاً هذه الصورة للتوضيح، ما في صور الآن + +280 +00:22:29,350 --> 00:22:35,290 +للدراسة. في عندي اللي هي الـepithelial membrane، + +281 +00:22:35,290 --> 00:22:43,010 +أغشية نسيج الطلائي. في عندي حوالي ثلاثة أنواع أساسية: + +282 +00:22:43,010 --> 00:22:51,100 +serous، mucous، مخاطية، synovial، هلامية، الـ + +283 +00:22:51,100 --> 00:22:56,320 +serous membrane، بيبطن الـbody، بيبطن الـbody + +284 +00:22:56,320 --> 00:23:04,500 +cavity that don't open outside، تمام؟ بيبطن + +285 +00:23:04,500 --> 00:23:11,060 +التجاويف اللي ما بتفتح برا الجسم. لازم أعرف هذه + +286 +00:23:11,060 --> 00:23:17,340 +الشغلة منيح. أن الـserous بيبطن التجاويف اللي ما + +287 +00:23:17,340 --> 00:23:22,460 +بتفتح برا الجسم. هنا هذا ممكن يجي مفتلح، شو وظيفته؟ + +288 +00:23:22,460 --> 00:23:27,780 +هذا الغشاء، وظيفته أنه بيقلل الاحتكاك، reduce + +289 +00:23:27,780 --> 00:23:33,560 +friction، بيقلل عملية الاحتكاك. inner lining of + +290 +00:23:33,560 --> 00:23:41,240 +thoracic and abdomen، بيبطن التجويف الصدري والتجويف + +291 +00:23:41,240 --> 00:23:49,310 +البطني. cover organs، cover organs، بيغطي الـthoracic + +292 +00:23:49,310 --> 00:23:55,110 +and abdomen، بيغطي الـthoracic and abdomen، و + +293 +00:23:55,110 --> 00:24:00,990 +secretion، بيعمل secretion للـserous fluid اللي + +294 +00:24:00,990 --> 00:24:07,550 +هو المصل أو السائل المصلي، تمام؟ إذا أرجع وأعيد، شو + +295 +00:24:07,550 --> 00:24:11,030 +مميزات الـserous membrane؟ هذه نوع من أنواع الـ + +296 +00:24:11,030 --> 00:24:15,830 +epithelial membrane، بيبطن الـcavities اللي ما + +297 +00:24:15,830 --> 00:24:20,870 +بتفتح برا الجسم. وظيفته reduce friction، بيقلل + +298 +00:24:20,870 --> 00:24:25,570 +عملية الاحتكاك، inner lining للثوراكسيك و الـabdomen، + +299 +00:24:25,570 --> 00:24:32,070 +بيغطي كمان، فوق ما هو line، بيبطن، بيغطي الـthoracic أو + +300 +00:24:32,070 --> 00:24:36,510 +بيغطي الـorgans اللي موجودة داخل الـthoracic and + +301 +00:24:36,510 --> 00:24:41,530 +abdomen، وبيفرز اللي هو السائل اللي موجود. هذا أول + +302 +00:24:41,530 --> 00:24:47,960 +نوع. معناها النوع الثاني، mucous membrane، line tubes + +303 +00:24:47,960 --> 00:24:56,200 +and organs، بيبطن الأنابيب والأعضاء اللي بتفتح خارج + +304 +00:24:56,200 --> 00:25:02,180 +الجسم، زي مين؟ عندنا الأنف، عندنا الفم، عندنا الحلق، + +305 +00:25:02,180 --> 00:25:08,520 +عندنا الأذن، كل هذه الشغلات بتفتح برا الجسم، تمام؟ + +306 +00:25:08,860 --> 00:25:13,940 +إذن بيغطي الأنابيب اللي بتفتح برا الجسم، زي الـ + +307 +00:25:13,940 --> 00:25:19,580 +mouth، والـnose، والـthroat، اللي هو الحلق، تمام؟ و + +308 +00:25:19,580 --> 00:25:25,860 +طبعاً بيبطنها الـmucus، أو تفرز اللي هو المخاطي، سائل + +309 +00:25:25,860 --> 00:25:30,600 +المخاطي اللي بيكون موجود في الأنف، وكذلك اللي هي + +310 +00:25:30,600 --> 00:25:35,760 +الغشاء المخاطي موجود في الأنف. النوع الثالث اللي هو + +311 +00:25:35,760 --> 00:25:38,560 +عبارة عن الـsynovial membrane. هذا الـsynovial + +312 +00:25:38,560 --> 00:25:42,860 +membrane، عالغالِب بيكون في الـsynovial joint، تمام، + +313 +00:25:42,860 --> 00:25:47,580 +المفاصل الكبيرة. composed entirely of connective + +314 +00:25:47,580 --> 00:25:53,860 +tissue، lines joint، يحتوي على اللي هي كل أنواع الـ + +315 +00:25:53,860 --> 00:25:58,240 +connective tissue، وبيبطن، وبيكون موجود ما بين الـ + +316 +00:25:58,240 --> 00:26:04,670 +joints، على سبيل المثال مفصل الرقبة، اتفقنا؟ I have + +317 +00:26:04,670 --> 00:26:09,010 +three types of membranes: epithelial membrane, + +318 +00:26:09,150 --> 00:26:16,450 +serous, mucous, synovial، تمام؟ في حاجة رابعة اسمها + +319 +00:26:16,450 --> 00:26:20,590 +cutaneous، ومرت علينا في الشابتر الأول. cutaneous + +320 +00:26:20,590 --> 00:26:25,310 +covering للـbody، من اسمها حاجة cutaneous، يعني + +321 +00:26:25,310 --> 00:26:29,040 +عبارة عن الجلد، على طول. أول ما بشوف كلمة continuous + +322 +00:26:29,040 --> 00:26:34,560 +بعرف إنها الجلد، بتغطي كل الجسم. غشاء بيبغطي كل + +323 +00:26:34,560 --> 00:26:40,640 +الجسم، اللي هو عبارة عن الجلد. بهيك بيكون أنا أنهيت + +324 +00:26:40,640 --> 00:26:43,660 +الـconnective tissue، وهبلش إن شاء الله رب + +325 +00:26:43,660 --> 00:26:48,380 +العالمين في الـmuscle tissue، النوع الثالث من أنواع + +326 +00:26:48,380 --> 00:26:53,600 +الأنسجة اللي بتكون الجسم في الأساس، العضلات. + +327 +00:26:54,700 --> 00:26:57,960 +الوظيفة الأساسية تبع أي عضلة، لو إجينا in general، + +328 +00:26:57,960 --> 00:27:05,400 +انقباض، انبساط، contract، relax، contract and then + +329 +00:27:05,400 --> 00:27:09,720 +relax. إذا الـgeneral characterized، اللي هي الـ + +330 +00:27:09,720 --> 00:27:14,340 +muscle cell، code muscle fibers، اسم الخلية العضلية + +331 +00:27:14,340 --> 00:27:21,120 +اللي هي الـmuscle fiber، contractile، تمام، انقباض. في + +332 +00:27:21,120 --> 00:27:26,690 +عندي ثلاثة أنواع من الخلايا من العضلات: الـskeletal + +333 +00:27:26,690 --> 00:27:32,670 +muscles، عضلات هيكلية، الـsmooth muscles، عضلات ملساء، + +334 +00:27:32,670 --> 00:27:38,630 +و الـcardiac muscles، اللي هي عضلة القلب، تمام. نيجي + +335 +00:27:38,630 --> 00:27:42,110 +نشوف شو الـskeletal muscles. الـskeletal muscles هي + +336 +00:27:42,110 --> 00:27:47,270 +عبارة عن العضلات الهيكلية اللي بتربط العظام مع + +337 +00:27:47,270 --> 00:27:52,730 +بعضها البعض. striated، مخططة. لو إجيت أخدت عينة منها + +338 +00:27:52,730 --> 00:27:57,050 +وحطيتها تحت الميكروسكوب، بلاقيها عبارة عن خطوط. + +339 +00:27:57,050 --> 00:28:03,130 +عضلات مخططة، voluntary، إنها بتتحرك إرادياً. أما + +340 +00:28:03,130 --> 00:28:08,410 +الـsmooth muscles، فهي عبارة عن الـwalls، موجودة في + +341 +00:28:08,410 --> 00:28:14,990 +العضلات الملساء، موجودة في جدران الأعضاء، زي جدران + +342 +00:28:14,990 --> 00:28:18,450 +اللي هي الـintestine، على سبيل المثال، الأمعاء. + +343 +00:28:18,450 --> 00:28:22,430 +موجودة في الـskin، موجودة في جدران الأوعية الدموية. + +344 +00:28:22,430 --> 00:28:28,630 +involuntary، غير إرادية. ما بقدر أنا أتحكم في + +345 +00:28:28,630 --> 00:28:32,250 +الأمعاء تبعتي، ما بقدر أتحكم في الشرايين تبعتي. + +346 +00:28:32,250 --> 00:28:37,070 +ولما أجي آخذ لها مقطع تحت الميكروسكوب، بلاقيها + +347 +00:28:37,070 --> 00:28:43,850 +not striated، غير مخططة، يعني سادة، ما فيها أي شيء. + +348 +00:28:43,850 --> 00:28:50,370 +cardiac muscles، اللي هي عضلة القلب. Heart wall، بتكون + +349 +00:28:50,370 --> 00:28:54,870 +موجودة في جدران القلب. involuntary، طبعاً الحركة + +350 +00:28:54,870 --> 00:29:00,410 +تبعها لا إرادية، بتكون striated، مخططة، موجودة في + +351 +00:29:00,410 --> 00:29:04,790 +الـintercalated disc أيضاً، اللي هو قرص القلب اللي + +352 +00:29:04,790 --> 00:29:10,170 +بيحمي القلب. فبلاحظ أنا من هذه الشريحة أنه أنا بحكي + +353 +00:29:10,170 --> 00:29:15,450 +الـcardiac muscle ما بيأخذ صفات الـskeletal، وما بيأخذ + +354 +00:29:15,450 --> 00:29:20,460 +صفات من الـsmooth، يعني ما بيأخذ إنها striated، مخططة + +355 +00:29:20,460 --> 00:29:24,360 +من الـskeletal، وما بيأخذ involuntary من الـsmooth + +356 +00:29:24,360 --> 00:29:29,380 +muscles. هيك بيكون أخذنا ثلاثة أنواع أساسية من أنواع + +357 +00:29:29,380 --> 00:29:34,940 +العضلات، وهذا شكلها تحت الميكروسكوب. مش مطالبين في + +358 +00:29:34,940 --> 00:29:40,660 +هذا الشيء. النوع الرابع والأخير من أنواع اللي هي + +359 +00:29:40,660 --> 00:29:44,540 +الأنسجة، اللي هو الـnervous system، وقلنا فيه ثلاثة + +360 +00:29:44,540 --> 00:29:51,800 +شباتر، آخر الفصل، وهو مهم جداً. sometimes neural + +361 +00:29:51,800 --> 00:29:55,340 +tissue، بعض الأحيان أنا ممكن أسميه neural tissue، و + +362 +00:29:55,340 --> 00:29:58,820 +أنا كنت قسمته في بداية الـchapter الأول إلى قسمين + +363 +00:29:58,820 --> 00:30:02,420 +أساسيين: central nervous system، و peripheral + +364 +00:30:02,420 --> 00:30:07,440 +nervous system. و أجي أشوف هنا: found in the brain، + +365 +00:30:07,440 --> 00:30:11,040 +هذه الأنسجة موجودة في الـbrain و الـspinal cord، + +366 +00:30:11,040 --> 00:30:14,740 +اللي هم المكون الأساسي للـcentral nervous system. + +367 +00:30:15,360 --> 00:30:19,680 +and peripheral nervous، اللي هو الـPNS، الـ + +368 +00:30:19,680 --> 00:30:23,780 +Peripheral Nervous System، consists of neurons، + +369 +00:30:23,780 --> 00:30:29,300 +تحتوي هذه الأنسجة على العصبون، اللي هو عبارة عن الـ + +370 +00:30:29,300 --> 00:30:33,740 +neurons، الوحدة أو الـnerve cells، الخلايا العصبية، + +371 +00:30:33,740 --> 00:30:38,080 +and glial cells، اللي هي الخلايا الغروية، اللي + +372 +00:30:38,080 --> 00:30:43,380 +وظيفتها بتعمل support، protect، and provide the + +373 +00:30:43,380 --> 00:30:47,840 +framework of neurons. الخلايا الدبقية، أو الخلايا + +374 +00:30:47,840 --> 00:30:54,820 +اللي هي بتسموها الغروية، وظيفتها كالتالي: دعم، حماية، + +375 +00:30:54,820 --> 00:31:00,820 +و provide framework بتاعة الشكل النهائي للعصبون. + +376 +00:31:00,820 --> 00:31:07,900 +إذا تحتوي على الخلية العصبية، وأيضاً تعمل على دعم و + +377 +00:31:07,900 --> 00:31:15,560 +حماية، وتشكيل شكل اللي هو لـneurons، العصبون. شو هو الـ + +378 +00:31:15,560 --> 00:31:22,460 +Neurons؟ أخذنا وظيفة الجهاز العصبي: اكتشاف لأي مؤثر + +379 +00:31:22,460 --> 00:31:28,660 +خارجي، ومن ثم عملية معالجة مركزية بتتم داخل الدماغ، + +380 +00:31:28,660 --> 00:31:36,660 +وإرسال بعد ذلك اللي هي رد الفعل لهذا الشيء. خليني + +381 +00:31:36,660 --> 00:31:40,620 +أشوفها بالـEnglish. الـNeurons تعمل على إيش؟ + +382 +00:31:40,620 --> 00:31:45,740 +Detect للـstimuli، اكتشاف للمثير أو الحدث اللي صار، + +383 +00:31:45,740 --> 00:31:50,600 +process information quickly، أسرع من أي جهاز تم + +384 +00:31:50,600 --> 00:31:55,320 +تصنيعه، طبعاً بقدرة الله سبحانه وتعالى، and rapidly + +385 +00:31:55,320 --> 00:31:59,980 +transmitted electrical impulses، فوراً بتتم إرسال + +386 +00:31:59,980 --> 00:32:06,160 +ومضة عصبية من منطقة إلى أخرى، body to another، من جسم + +387 +00:32:06,160 --> 00:32:12,500 +إلى آخر. وأخذنا مثال كباية الشاي، كيف تم الانتقال من + +388 +00:32:13,890 --> 00:32:18,590 +اللي هي الـhand لحد ما وصلت إلى الـbrain، وأعطى + +389 +00:32:18,590 --> 00:32:23,490 +الـbrain رد الفعل تبعه: إنه شيل يدك، لإنه هنا + +390 +00:32:23,490 --> 00:32:28,770 +الوضع خطر. prominent cell body، function in control، + +391 +00:32:28,770 --> 00:32:33,350 +على الأغلب بيكون وظيفتها الـcell body، لجسم الخلية + +392 +00:32:33,350 --> 00:32:37,530 +العصبية. بشرح على الرسمة ونشوف عليها. \ No newline at end of file diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/YBvhDbFvyEo_postprocess.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/YBvhDbFvyEo_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..692b6c33c0db80c42894ec9fa753fc54c92ee4e6 --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/YBvhDbFvyEo_postprocess.srt @@ -0,0 +1,1728 @@ +1 +00:00:00,720 --> 00:00:04,600 +على أشرف الأنبياء و الملحقين نكمل معاكم بإذن الله + +2 +00:00:04,600 --> 00:00:11,720 +تعالى ال part التالت من chapter tissue اللي هو + +3 +00:00:11,720 --> 00:00:15,320 +chapter الأنسجة أخدنا الفيديو الأول و أخدنا + +4 +00:00:15,320 --> 00:00:21,580 +الفيديو التاني كنت قسمت أنا اللي هو الأنسجة إلى + +5 +00:00:21,580 --> 00:00:27,900 +أربع أنواع أساسية أخدنا اللي هي ال epithelial + +6 +00:00:27,900 --> 00:00:31,960 +tissueبعدين ال connective tissue بعدين رقم تلاتة + +7 +00:00:31,960 --> 00:00:35,540 +ال muscular tissue او ال muscle tissue و رقم اربع + +8 +00:00:35,540 --> 00:00:39,680 +هيكون عن ال nervous tissue الآن بإذن الله تعالى + +9 +00:00:39,680 --> 00:00:44,180 +هأكمل ما توقفت عنده كنت حكيت انه ال connective + +10 +00:00:44,180 --> 00:00:50,760 +tissue هيكون بإذن الله تعالى عبارة عن نوعين منه + +11 +00:00:50,760 --> 00:00:56,460 +rubber اللي هو بشكل عام و loose او اللي هو + +12 +00:00:56,460 --> 00:01:01,490 +specialized بشكل خاصالان بجسم ال connective tissue + +13 +00:01:01,490 --> 00:01:05,830 +اللى انا هجسمه إلى قسمين ال group هذه اللى هى + +14 +00:01:05,830 --> 00:01:11,070 +connective tissue proper معناتها اشى عام او مجموعة + +15 +00:01:11,070 --> 00:01:15,250 +عامة هذه المجموعة هى عبارة عن مجموعة عامة و ال + +16 +00:01:15,250 --> 00:01:20,930 +specialized هنا مجموعة خاصة شو انواع ال connective + +17 +00:01:20,930 --> 00:01:25,590 +tissue proper اول نوع حاجة اسمه looseConnective + +18 +00:01:25,590 --> 00:01:30,810 +tissue loose تعني رخم يعني نسيش ضام بس ايش صفته + +19 +00:01:30,810 --> 00:01:36,130 +انه رخم ال adipose adipose tissue كلمة adipose + +20 +00:01:36,130 --> 00:01:39,510 +لحالها تعني دهني و احنا حكينا اصلا من ال + +21 +00:01:39,510 --> 00:01:41,530 +connective tissue لما اخدنا ال general + +22 +00:01:41,530 --> 00:01:45,350 +characteristic تبعته الصفات العامة ان هو storage + +23 +00:01:45,350 --> 00:01:50,850 +لال fats يعني بيخزن الدهون النوع التالت اللي هو + +24 +00:01:50,850 --> 00:01:54,820 +reticular connective tissueكلمة reticular تعني + +25 +00:01:54,820 --> 00:02:01,400 +شبكة النوع الرابع Dennis connective tissueيعني اذا + +26 +00:02:01,400 --> 00:02:05,660 +لجى فراغ بيعبيه احنا أخدنا اصلا من خصائص اللى كنتى + +27 +00:02:05,660 --> 00:02:10,260 +بتفتشه اللى هو في ال space ان هو لازم يعبي اى فراغ + +28 +00:02:10,260 --> 00:02:14,300 +بيكون متواجد فيه النوع الخامس والاخير اللى هو ال + +29 +00:02:14,300 --> 00:02:18,120 +elastic من اسمه elastic معناه الكلام انه فيه خاصية + +30 +00:02:18,120 --> 00:02:23,080 +المرونة هدولة هناخدهم بالتفصيل وناخد شو مميزاتهم + +31 +00:02:23,080 --> 00:02:28,460 +ايضا هتطرق الى ال specialized اللى هو ال cartilage + +32 +00:02:28,460 --> 00:02:32,230 +الغضاريفزى الغضاريف اللى موجودة فى الأنف، الغضاريف + +33 +00:02:32,230 --> 00:02:37,950 +اللى موجودة فى الفم، فى الأذن و البون اللى هى + +34 +00:02:37,950 --> 00:02:42,330 +الهيكل العظمى الكامل و كذلك ال blood إذا أنا بعرف + +35 +00:02:42,330 --> 00:02:47,650 +أن ال blood هو إشي أساسى و من أنواع ال connective + +36 +00:02:47,650 --> 00:02:53,590 +تشهر نيجى نشوف اللوز أول نوع معناه mainly + +37 +00:02:53,590 --> 00:03:00,630 +fibroblastأول خاصية له أنه بالأساس بشكل fibroblast + +38 +00:03:00,630 --> 00:03:07,570 +خلاية بانية من الألياف fibro leaf وblast حكينا بيه + +39 +00:03:07,570 --> 00:03:12,690 +بانية إذا building معناة الكلام mainly fibroblast + +40 +00:03:12,690 --> 00:03:18,510 +إذا هو عبارة عن أساس الخلاية البانية fluid to gel + +41 +00:03:18,510 --> 00:03:24,330 +-like matrix المادة الخلوية اللي بتكون في اللوز هي + +42 +00:03:25,280 --> 00:03:30,500 +بتتراوح من سائل إلى جل يعني يا بتكون سائلة يا + +43 +00:03:30,500 --> 00:03:34,100 +بتكون أسمك شوية معناته واصلة بس مش لسماكة البون + +44 +00:03:34,100 --> 00:03:38,980 +على سبيل المثال لأ جل قريبة من الجل collagenous + +45 +00:03:38,980 --> 00:03:44,400 +fiber يحتوي على ألياف الكلاجين أيضا يحتوي على + +46 +00:03:44,400 --> 00:03:49,290 +ألياف ال elastin اللي هي ال elastic fibersbind للـ + +47 +00:03:49,290 --> 00:03:53,430 +skin to structural بيربط الجلد في التراكيب اللي + +48 +00:03:53,430 --> 00:03:58,490 +تحته بنفس most epithelium تحتها بتكون ال + +49 +00:03:58,490 --> 00:04:01,670 +epithelium و احنا أخدنا ال epithelium بيكون طبعا + +50 +00:04:01,670 --> 00:04:06,090 +هو ال .. مين اللي تحت مين ان ال connective تشهده + +51 +00:04:06,090 --> 00:04:10,910 +هذا بيكون تحت ال epithelium تمام؟ يعني ليه؟ لأنه + +52 +00:04:10,910 --> 00:04:14,720 +حكينا ال epithelium free أبكالأبيكال تبعته free + +53 +00:04:14,720 --> 00:04:19,100 +تمام سطوحه و الخلايا تبعته دايما حرة فبيجي + +54 +00:04:19,100 --> 00:04:23,740 +ابيتليام بعدين تحته ال connective تشوم ال blood + +55 +00:04:23,740 --> 00:04:27,820 +vessels nourish اشي طبيعي لو انت او انت صار في + +56 +00:04:27,820 --> 00:04:31,900 +عندك جروح بيدك هنلاقي الدم بدأ ينزف ليه؟ لأن + +57 +00:04:31,900 --> 00:04:37,000 +المنطقة هنا غنية بالدمفمعناته هو vascular لو هذا + +58 +00:04:37,000 --> 00:04:40,580 +السطر انا كله استغنت عنه كتبت بينكوثين انه + +59 +00:04:40,580 --> 00:04:44,600 +vascular معناه تلحقي بيمشي معايا انه مش زي ال + +60 +00:04:44,600 --> 00:04:48,760 +epithelial a vascular لأ هنا بنحكي انه vascular + +61 +00:04:48,760 --> 00:04:54,060 +يحتوي على اللي هي أوعية دموية قريبة من خلايا ال + +62 +00:04:54,060 --> 00:04:57,400 +epithelial tissue موجود ايضا connective tissue + +63 +00:04:57,400 --> 00:05:03,590 +loose ما بين ال muscles ما بين العضلاتأعمل + +64 +00:05:03,590 --> 00:05:07,010 +summarize و أعيد لموضوع الـ loose connective + +65 +00:05:07,010 --> 00:05:10,710 +tissue mainly بالأساس يحتوي على خلايا و ألياف + +66 +00:05:10,710 --> 00:05:14,930 +بانية المادة الخلوية تبعته بتترجح أو بتتأرجح ما + +67 +00:05:14,930 --> 00:05:18,730 +بين السائل إلى الجل يحتوي على collagenous fiber + +68 +00:05:18,730 --> 00:05:22,770 +أيضا يحتوي على ألياف الالاستين اللي بيربط الجل + +69 +00:05:22,770 --> 00:05:28,050 +بالأنسجة أو بالتركيب اللي تحته بيكون هو تحت ال + +70 +00:05:28,050 --> 00:05:33,430 +epithelial tissue يحتوي أيضا علىأو هي دموية فمعناة + +71 +00:05:33,430 --> 00:05:38,370 +الكلام هو vascular بيكون موجود ما بين الخلايا هذا + +72 +00:05:38,370 --> 00:05:42,610 +أول نوع من ال group اللي هو ال proper connective + +73 +00:05:42,610 --> 00:05:48,350 +tissue نيجي نشوف ال adipose يعني معناته دهني يحتوي + +74 +00:05:48,350 --> 00:05:50,670 +على adipocyte + +75 +00:05:51,940 --> 00:05:55,740 +نقسم الكلمة هذه قسمين أديب و لحة لها فات و site + +76 +00:05:55,740 --> 00:05:59,740 +تعني باللاتين اللي هي cell إذا يحتوي على خلايا + +77 +00:05:59,740 --> 00:06:04,820 +دهنية cushions عبارة عن وسادة لأي ضربة لأي صدمة + +78 +00:06:04,820 --> 00:06:09,780 +بتيجي للجسم ال adipose تشهادة بيعمل على امتصاصها + +79 +00:06:09,780 --> 00:06:15,430 +insults اللي هو عازلعازل من أي ضربات، من أي صدمات + +80 +00:06:15,430 --> 00:06:20,310 +أيضا، من أي إشي مش صحيح أنه يوصل لجسم الإنسان + +81 +00:06:20,310 --> 00:06:24,310 +Sterlil fat من حد ما حكينا اسمه adipose معناته هو + +82 +00:06:24,310 --> 00:06:29,150 +بيخزن الدهون beneath ال skin بيكون موجود تحت الجلد + +83 +00:06:29,150 --> 00:06:35,570 +behind eyeballs خلف كرة العين عشان يحميها من أي + +84 +00:06:35,570 --> 00:06:41,220 +ضربة، من أي إصابة أيضا موجودحوالين الكلية و القلب + +85 +00:06:41,220 --> 00:06:45,160 +اذا تشوفوا الأماكن الحساسة اللي هو فيها ال eyeball + +86 +00:06:45,160 --> 00:06:50,920 +و ال kidneys و ال heart موجودين حولهم حاجة اسمها + +87 +00:06:50,920 --> 00:06:55,560 +adipose tissue اذا موجود نتيج connective tissue و + +88 +00:06:55,560 --> 00:06:59,780 +نوعه adipose يعني نوعه دهني ال adipocyte هي اهم + +89 +00:06:59,780 --> 00:07:04,040 +صفاته cushions وظيفته و insulates اللي هي عبارة عن + +90 +00:07:04,040 --> 00:07:09,220 +انه عازلووظيفة أخرى أيضا إن هو store للفات وبيكون + +91 +00:07:09,220 --> 00:07:13,900 +موجود تحت ال skin هذا الرقم التاني أو النوع التاني + +92 +00:07:13,900 --> 00:07:19,460 +من ال connective tissue نيجي للنوع التالت النوع + +93 +00:07:19,460 --> 00:07:22,680 +التالت اسمه reticular كلمة reticular لو أجينا + +94 +00:07:22,680 --> 00:07:28,250 +ترجمناها بنلاقي اسمها اللي هي شبكيالـ connective + +95 +00:07:28,250 --> 00:07:32,410 +tissue الشبكي هو عبارة عن النسيج الضام اللي بيكون + +96 +00:07:32,410 --> 00:07:37,210 +موجود على شكل reticular fibers من اسمه reticular + +97 +00:07:37,210 --> 00:07:41,070 +معناته موجود فيها reticular fibers الياف شبكية + +98 +00:07:41,070 --> 00:07:46,230 +تعمل على تدعيم ال internal organs wall اللي هي + +99 +00:07:46,230 --> 00:07:51,190 +تدعيم الجدار الداخلي اللي بيكون موجود للأعضاء على + +100 +00:07:51,190 --> 00:07:54,810 +سبيل المثال الجدار البطني اللي موجود حوالين ال + +101 +00:07:54,810 --> 00:08:00,570 +liverCephalin و ال lymphatic organs كبد و تحال و + +102 +00:08:00,570 --> 00:08:05,610 +أعضاء لمثاوية من اسمه reticular reticular شبكي + +103 +00:08:05,610 --> 00:08:09,950 +يحتوي على ألياف شبكية بيعمل على تدعيم و حماية ال + +104 +00:08:09,950 --> 00:08:14,910 +internal organs موجود في الجهاز الهضمي هذا النوع + +105 +00:08:14,910 --> 00:08:19,470 +التالت النوع الرابع denes كلمة denes تعني كثيف + +106 +00:08:19,470 --> 00:08:24,630 +النوع اللي هوالموجود بكثرة هنا هو عبارة عن نوع + +107 +00:08:24,630 --> 00:08:29,370 +كثيف يعني متماسك مع بعض البعض يحتوي على حزمة من + +108 +00:08:29,370 --> 00:08:33,890 +ألياف الكولاجين Packet Collagenous Fiber حزمة + +109 +00:08:33,890 --> 00:08:40,030 +كاملة متكاملة من ألياف الكولاجينأيضا يحتوي مع حزمة + +110 +00:08:40,030 --> 00:08:44,050 +ألياف الكولاجين هناك حزم أخرى من الـ Elastin أو + +111 +00:08:44,050 --> 00:08:49,150 +الـ Elastic Fibre عشان تعطيها خاصية المرونة يحتوي + +112 +00:08:49,150 --> 00:08:53,210 +على القليل من الخلايا أو الألياف البانية مابدنا + +113 +00:08:53,210 --> 00:08:58,910 +هنا ألياف بانيةbind لل body parts together بيربط + +114 +00:08:58,910 --> 00:09:04,250 +الجسم بأجزاء كل جزء مع الآخر إذا وظيفته هنا ربط + +115 +00:09:04,250 --> 00:09:07,630 +لأنه Dennis قوي طالما أنا بحكي على Dennis معناته + +116 +00:09:07,630 --> 00:09:11,630 +هو مدعم بنوعين من الألياف النوع الأول اللي هو ال + +117 +00:09:11,630 --> 00:09:16,270 +collagenias والنوع التاني اللي هو ال elastin وين + +118 +00:09:16,270 --> 00:09:19,190 +بلاجيه؟ بلاجيه موجود في ال tendon في ال ligaments + +119 +00:09:19,190 --> 00:09:25,950 +في ال nerves أربطاه أوتار أربطاهDerms البشرة poor + +120 +00:09:25,950 --> 00:09:31,890 +of blood supply قليل التروية الدموية اذا فيه + +121 +00:09:31,890 --> 00:09:37,190 +vascular فيه vessels فيه blood ولكن بشكل شحيح جدا + +122 +00:09:37,190 --> 00:09:42,630 +قليل جدا اعيد تاني احكي شو ميزات ال DNS connective + +123 +00:09:42,630 --> 00:09:47,730 +تشو يحتوي على حزمة كاملة متكاملة من الياف + +124 +00:09:47,730 --> 00:09:53,610 +الكولاجين يحتوي على ال elastin fiber يحتوي ايضاعلى + +125 +00:09:53,610 --> 00:09:57,010 +القليل من الـ fibroblast و القليل من ال blood + +126 +00:09:57,010 --> 00:10:01,210 +supply تنتين قليلات وتنتين اكتر الاكتر اللي هم ال + +127 +00:10:01,210 --> 00:10:04,730 +collagenous fiber و ال elastin fiber و القليلة + +128 +00:10:04,730 --> 00:10:08,530 +اللي هي ال fibroblast و ال blood supply تمام؟ + +129 +00:10:08,530 --> 00:10:11,310 +وضيفته انه بيعمل على ربط الأجزاء و التراكيب في + +130 +00:10:11,310 --> 00:10:15,630 +الجسم موجود في التندن في الأوتار و ال ligament و + +131 +00:10:15,630 --> 00:10:21,090 +ال derm اللي هي البشرةتمام؟ هيك هذا النوع الرابع + +132 +00:10:21,090 --> 00:10:24,870 +من ال connective tissue النوع الخامس من اسمه + +133 +00:10:24,870 --> 00:10:29,630 +elastic elastic معناته مطاطي abundant in elastic + +134 +00:10:29,630 --> 00:10:33,930 +fibers غني جدا بألياف ال الستين أو ألياف ال + +135 +00:10:33,930 --> 00:10:39,330 +elastic fiber بعض الأحيان بنعطي شوية تدعيم بال + +136 +00:10:39,330 --> 00:10:45,330 +collagenous fiber تمام؟ fibroblast ألياف بانية + +137 +00:10:45,330 --> 00:10:51,400 +موجودة فيهattachment ما بين العظام walls of large + +138 +00:10:51,400 --> 00:10:55,780 +artery airways ايضا و ال heart موجود عندنا في + +139 +00:10:55,780 --> 00:11:00,940 +العظام ايضا موجود في الجدران للاشراين اللي هي + +140 +00:11:00,940 --> 00:11:06,600 +الكبيرة ال large في الممرات الهوائية و القلب تمام + +141 +00:11:06,600 --> 00:11:11,080 +نعيد تاني النوع الخامس و الأخير هو عبارة عن ال + +142 +00:11:11,080 --> 00:11:13,600 +elastic connective tissue الان ال elastic + +143 +00:11:13,600 --> 00:11:17,910 +connective tissueهو عبارة عن إيش؟ إيش غني جدا + +144 +00:11:17,910 --> 00:11:22,050 +بمادة الـ Elastin ألياف غنية من الـ Elastic Fibers + +145 +00:11:22,050 --> 00:11:26,730 +موجود بعض الأحيان بندعن بـ Collagenous Fibers + +146 +00:11:26,730 --> 00:11:31,990 +يحتوي على الـ Fibroblast الـ Attachment أو بيربط + +147 +00:11:31,990 --> 00:11:36,890 +ما بين العظام كل عظمة و تانية بيكون موجود في جدران + +148 +00:11:36,890 --> 00:11:42,710 +الشرايين الكبيرة أيضا في الممرات الهوائية و القلب، + +149 +00:11:42,710 --> 00:11:46,250 +بهيك بيكون أنا Engelbertخمس أنواع من البرابر + +150 +00:11:46,250 --> 00:11:50,630 +ناخدهم من البداية الـ Collagenous Connective + +151 +00:11:50,630 --> 00:11:56,390 +Tissue الـ Elastic الـ Adipose و Irreticular و + +152 +00:11:56,390 --> 00:12:02,610 +Adenosine Connective Tissue نيجي نشوف البون البون + +153 +00:12:02,610 --> 00:12:08,390 +بالإنجليش معناته باللاتيني معناته أسس أسس تعني عظم + +154 +00:12:08,390 --> 00:12:13,170 +باللاتيني أما بالإنجليش فمعناته بون عظمالمادة + +155 +00:12:13,170 --> 00:12:17,730 +الخلوية المكوّنة للعظام وحناخد فيها طبعا شبسرين + +156 +00:12:17,730 --> 00:12:22,190 +كبار وطوال وإعراض حناخد حاجة اسمها إن المادة + +157 +00:12:22,190 --> 00:12:27,110 +الخلوية في العظام هي مادة ثميكة جدا وصلبة عمركم + +158 +00:12:27,110 --> 00:12:31,350 +شوفتوا عضم جل؟ لأ العضم دائما بيكون solid، صلب + +159 +00:12:31,350 --> 00:12:35,930 +وظيفة العظام support ده عامة للجسم بتعمل + +160 +00:12:35,930 --> 00:12:39,010 +protection لل vital organs وأخدناها في فصل ال + +161 +00:12:39,010 --> 00:12:44,260 +introductionبتشكل ال blood cells سواء كانت ال RBCs + +162 +00:12:44,260 --> 00:12:47,680 +أو ال white blood cells ال white cellucel طبعا + +163 +00:12:47,680 --> 00:12:53,280 +بترتبط مباشرة فيها العضلات وبتشكل في النهاية ال + +164 +00:12:53,280 --> 00:12:58,720 +skeletonإذن هنا شارحلي عن العظام هي عبارة عن أسس + +165 +00:12:58,720 --> 00:13:04,180 +تشو نتيج عضمي يحتوي على مادة خلوية طلبة وظيفة + +166 +00:13:04,180 --> 00:13:10,720 +العظام تعمل كدعامة كحماية بتشكل و تنتج اللي هي + +167 +00:13:10,720 --> 00:13:15,640 +خلايا الدم ترتبط فيها مباشرة العضلات و بتشكل في + +168 +00:13:15,640 --> 00:13:21,790 +النهاية اللي هو الهيكل العظمي بسكلتونلأن حكينا على + +169 +00:13:21,790 --> 00:13:25,790 +البوم ويله الشبات الواسع يعني هذه بس مدخل صغير إله + +170 +00:13:25,790 --> 00:13:31,230 +ال cartilage connective tissue الغضاريف هي عبارة + +171 +00:13:31,230 --> 00:13:35,750 +عن إيش الغضاريف؟ هي عبارة عن اللي هو ال .. الاشي + +172 +00:13:35,750 --> 00:13:40,830 +الطري اللي بيكون في الأذن، في الأن، ما بين المفاصل + +173 +00:13:40,830 --> 00:13:45,230 +المادة اللي هي أو الحاجة البيضاء اللي بتكون ما بين + +174 +00:13:45,230 --> 00:13:51,200 +المفاصل وظيفتها أو شو مميزاتهاإنها على سبيل المثال + +175 +00:13:51,200 --> 00:13:56,300 +weaker than bone طبعا مين أقصى عندك إنك تمسك اللي + +176 +00:13:56,300 --> 00:14:00,880 +هو أو تمسك الإيد تبعتك العضم نفسه أو تمسكي الأنف + +177 +00:14:00,880 --> 00:14:06,720 +لأ الأنف بيكون weaker than bone أضعف من العظام + +178 +00:14:06,720 --> 00:14:10,480 +more flexible إشي طبيعي ممكن أقدر أشد أنا داني + +179 +00:14:10,480 --> 00:14:14,940 +وممكن أقدر أشد أنفي أكتر من أنه أعمل إشي تاني + +180 +00:14:14,940 --> 00:14:19,890 +تعنيته هي more flexible than boneأكثر مرونة من + +181 +00:14:19,890 --> 00:14:25,370 +الإضافة still in abundant matrix الخلايا بتكون + +182 +00:14:25,370 --> 00:14:30,990 +موجودة ومغموسة في المادة الخلوية نقف الخلايا هنا + +183 +00:14:30,990 --> 00:14:36,430 +حاجة اسمها chondroblasts خلايا بانية وchondrocytes + +184 +00:14:36,430 --> 00:14:41,730 +in lacuna أنواع الخلايا هذه اللي هي أصلا موجودة في + +185 +00:14:41,730 --> 00:14:45,190 +المادة الخلوية هي عبارة عن اسمين اتنين + +186 +00:14:45,190 --> 00:14:48,610 +chondroblastsوينما أشوف كلمة plus بعرف إنها + +187 +00:14:48,610 --> 00:14:52,970 +building معناته خلايا بانية، خلايا مشيمية بانية + +188 +00:14:52,970 --> 00:14:58,150 +وchondrocyte خلية أصل الخلية اللي موجود في الحاضنة + +189 +00:14:58,150 --> 00:15:03,010 +وهذا هنشرحه بالتفصيل في chapter العظام إذن أصل + +190 +00:15:03,010 --> 00:15:05,950 +الخلية أو الخلية المتأصلة اللي موجودة لاكينا + +191 +00:15:05,950 --> 00:15:10,550 +الحاضنة وchondroplus اللي هي الخلاية البانية من + +192 +00:15:10,550 --> 00:15:15,100 +مميزات ال cartilage إنه avascularبصير انا هيك لازم + +193 +00:15:15,100 --> 00:15:18,320 +اربط كل ال chapter في بعضه ال epithelial tissue + +194 +00:15:18,320 --> 00:15:23,600 +avascular و ال cartilage avascular في واحد حكينا + +195 +00:15:23,600 --> 00:15:29,520 +عنه بور بور blood supply اللي هو كمله انتوا لوحدكم + +196 +00:15:29,520 --> 00:15:33,960 +عشان انا اعطيكم كيف السؤال ممكن ييجي يعني ممكن + +197 +00:15:33,960 --> 00:15:37,060 +ييجي على هيئة true and false ممكن ييجي على هيئة + +198 +00:15:37,060 --> 00:15:46,460 +mcq's ثلاث وظائف أساسية لالغضاريف أول إشي بيعملي + +199 +00:15:46,460 --> 00:15:52,060 +support لمين لصفة show للأنسجة الطبيعية هو بيدعمها + +200 +00:15:52,060 --> 00:16:00,060 +و بيحافظ عليها تاني شي بيعملي providing بيدعم أو + +201 +00:16:00,060 --> 00:16:04,260 +بيمدل gliding surface تبع ال articulation أول ما + +202 +00:16:04,260 --> 00:16:08,540 +بدأت أشرح عن الغضاريف قلتلكم الحاجة البيضة أو اللي + +203 +00:16:08,540 --> 00:16:12,680 +هي العضو اللي موجود بيكون ما بين اللي هي المفاصل + +204 +00:16:13,030 --> 00:16:18,650 +الان وجود هذه الغضروف أو وجود هذا الاشي بيسهل + +205 +00:16:18,650 --> 00:16:23,430 +عملية الانزلاق كلمة gliding تعني انزلاق لل + +206 +00:16:23,430 --> 00:16:26,990 +articulation اللى هو التمفصل اللى أعطانى في الآخر + +207 +00:16:26,990 --> 00:16:32,590 +حاجة اسمها joint مفصل اذا لو ما وجود هذا الغضروف + +208 +00:16:32,590 --> 00:16:37,130 +لما حدث الانزلاق ما بين نهاية العظم الأولى وبداية + +209 +00:16:37,130 --> 00:16:41,150 +العظم التانىتسمعوا في حاجة اسمها خشونة المفاصل + +210 +00:16:41,150 --> 00:16:46,370 +خشونة المفاصل إذا سمعت إن ستك بتحكي في عندها خشونة + +211 +00:16:46,370 --> 00:16:50,990 +بركبها معناته هذا ال cartilage اللي موجود في مفصل + +212 +00:16:50,990 --> 00:16:56,810 +الرقبة تقاكل مع الزمن صار فيه العظم بيحق في بعضه + +213 +00:16:56,810 --> 00:17:01,910 +معناته هذا بنفل مؤلم عشان هيك مافي عملية gliding و + +214 +00:17:01,910 --> 00:17:07,730 +ذحلقة للمادة البيضاء اللي بتسهل المشي للإنسان + +215 +00:17:08,190 --> 00:17:11,050 +الوظيفة الأولى قلنا supporting والوظيفة التانية + +216 +00:17:11,050 --> 00:17:15,890 +providing الوظيفة الثالثة providing a model for + +217 +00:17:15,890 --> 00:17:19,970 +the formation of most bone in the body الآن هنا + +218 +00:17:19,970 --> 00:17:25,530 +هنقف عندها دي المعلومة شوية في خلال الحمل أول ما + +219 +00:17:25,530 --> 00:17:31,990 +بتكون جسم الجنين بتكون من cartilage حاجة اسمها + +220 +00:17:31,990 --> 00:17:36,950 +highline cartilageفبالتالي اللي بيشكل هذا العظم + +221 +00:17:36,950 --> 00:17:43,190 +اللي انتوا فيه بدايته ودروس زجاجي اسمه highline + +222 +00:17:43,190 --> 00:17:47,150 +cartilage هنتكلم في هذا الموضوع كتير chapter كامل + +223 +00:17:47,150 --> 00:17:52,370 +لموضوع اللي هو الhighline cartilage اذا تشكيلة + +224 +00:17:52,370 --> 00:17:57,350 +العظم اللي احنا فيها الآن أصلها cartilage تلات + +225 +00:17:57,350 --> 00:18:01,980 +وظائف أساسية اول اشي العظم بمدنى بالدعانةتاني اشي + +226 +00:18:01,980 --> 00:18:05,820 +بيسهّل عملية ال gliding surface في ال joint تالت + +227 +00:18:05,820 --> 00:18:12,360 +اشي بيعمل شكل البون في بداية مراحل الجنون هاي ثلاث + +228 +00:18:12,360 --> 00:18:15,240 +وظائف خلّيني اشوف شو هي انواع ال cartilage عنا + +229 +00:18:15,240 --> 00:18:21,700 +انواع كثيرة و متعددة من الغضاري three types of + +230 +00:18:21,700 --> 00:18:26,300 +cartilage تلت انواع باجي انا بال highlighted pins + +231 +00:18:26,300 --> 00:18:30,670 +تبعي او الجلم تبعي بحط على ال highline اول نوعالـ + +232 +00:18:30,670 --> 00:18:35,870 +Fibre cartilage تاني نوع والـ Elastic النوع الأخير + +233 +00:18:35,870 --> 00:18:43,590 +غضروف زجاجي غضروف ليفي غضروف مرن الـ Highline + +234 +00:18:43,590 --> 00:18:48,050 +cartilage هو عبارة عن الغضروف الزجاجي اللي أنا + +235 +00:18:48,050 --> 00:18:51,810 +اتكلمت عنه في الشريحة السابقة الـ Most abundant + +236 +00:18:51,810 --> 00:18:57,890 +kind هو أكثر الأنواع وفرة موجود يحتوي على membrane + +237 +00:18:57,890 --> 00:19:03,490 +يحتوي على غشاءassociated with synovial joint مصاحب + +238 +00:19:03,490 --> 00:19:08,630 +دائما للمفاصل الهولانية الـ synovial زي الرقبة زي + +239 +00:19:08,630 --> 00:19:12,430 +الحوض most bones first molded in highline + +240 +00:19:12,430 --> 00:19:19,010 +cartilage أغلب العظام تم تشكيلها زي ما حكيتلكم من + +241 +00:19:19,010 --> 00:19:22,910 +الـhighline cartilage يعني أصل الإنسان في بداية + +242 +00:19:22,910 --> 00:19:27,410 +تكوين الجنين و هو برحم أمه كان عبارة عن highline + +243 +00:19:27,410 --> 00:19:32,460 +cartilageهذا الـ Highline Cartilage بتحول فيما بعد + +244 +00:19:32,460 --> 00:19:36,180 +إلى عظام أربع خصائص أساسية للـ Highline Cartilage + +245 +00:19:36,180 --> 00:19:42,080 +أعيدهم أن هو أكثرها وفرة يحتوي على غشاء بيكون + +246 +00:19:42,080 --> 00:19:44,820 +بالعادة موجود في الـ synovial joint أو اللي هي + +247 +00:19:44,820 --> 00:19:50,280 +بنسميها المفاصل الهلامية يحتوي أو هو الأساس اللي + +248 +00:19:50,280 --> 00:19:54,940 +بيشكل العظام هذا النوع الأول اللي هو الغضروف + +249 +00:19:54,940 --> 00:19:55,680 +الزجاجي + +250 +00:19:58,270 --> 00:20:02,090 +Fibrocartilaginous أو الـ Fibrocartilage Fibro، + +251 +00:20:02,090 --> 00:20:05,650 +لاحظوا كل كلمة أنا بجسمها جسمين، Fibro من حد ما + +252 +00:20:05,650 --> 00:20:08,850 +بشوف Fibro، معناه اللي حاكي إنه أنا بدي أعرف إنه + +253 +00:20:08,850 --> 00:20:12,250 +هنا يحتوي على Fiber شو أنواع الـ Fiber؟ من + +254 +00:20:12,250 --> 00:20:17,530 +الكلاجين، this collagenous Fiber يحتوي على ألياف + +255 +00:20:17,530 --> 00:20:24,150 +الكلاجين، موجود في الـ Intervertebral Discما بين + +256 +00:20:24,150 --> 00:20:30,270 +الفقرات الظهرية الـ Intervertebral discs و الـ + +257 +00:20:30,270 --> 00:20:35,390 +pupic symphases موجود في الارتفاق العانى هذا اللى + +258 +00:20:35,390 --> 00:20:40,290 +هناخده في الهيكل العظمى بإذن الله تعالى اذا من + +259 +00:20:40,290 --> 00:20:45,790 +اسمه fibrocartilage يعني معناة الكلام انا هنا صرت + +260 +00:20:45,790 --> 00:20:52,090 +اكثر صلابة من النوع الاول ليه؟ لاحتوائه على الياف + +261 +00:20:52,090 --> 00:20:55,660 +الكولاجينموجود وين؟ فى الـ Intervertebral discs + +262 +00:20:55,660 --> 00:21:02,580 +اللى هى الفقرات الضهرية أو ما بين الفقرات والـ + +263 +00:21:02,580 --> 00:21:06,940 +pubic symphysis اللى هى الارتفاق العينى النوع + +264 +00:21:06,940 --> 00:21:12,800 +التالت و الأخير من أنواع ال cartilage تمام اللى هو + +265 +00:21:12,800 --> 00:21:16,300 +ال cartilage نوع من أنواع ال connective tissue + +266 +00:21:16,300 --> 00:21:22,640 +حاجة اسمها ال elastic cartilageوضروف مرن وضروف + +267 +00:21:22,640 --> 00:21:28,960 +مطاطي من اسمه يحتوي على الـ elastic fiber يحتوي + +268 +00:21:28,960 --> 00:21:35,180 +على ألياف مرن مطاطة موجود في الأذن air respiratory + +269 +00:21:35,180 --> 00:21:39,620 +tubing قصبة الهوائية على سبيل المثال أعمل + +270 +00:21:39,620 --> 00:21:45,260 +summarize و ألخص التلات أجزاء اللي أخدتهم بداية في + +271 +00:21:45,260 --> 00:21:49,180 +عندي three types of cartilage highline cartilage + +272 +00:21:49,180 --> 00:21:53,760 +هذا أول نوعالتاني نوع الـ fibrocartilage و تالت + +273 +00:21:53,760 --> 00:21:57,020 +نوع الـ elastic cartilage highline هو عبارة عن + +274 +00:21:57,020 --> 00:22:01,820 +الغضروف الزجاجي و ال fibrocartilage هو عبارة عن + +275 +00:22:01,820 --> 00:22:06,880 +الغضروف الليفي و النوع التالت هو عبارة عن الغضروف + +276 +00:22:06,880 --> 00:22:12,940 +المرن طبعا كل واحد له مميزاته من اسم مميزاته + +277 +00:22:12,940 --> 00:22:17,800 +بتنحفظ هنا الأسئلة مهمة الناس اللي بتسأل كيف بيجي + +278 +00:22:17,800 --> 00:22:23,230 +هذا دكتورةأسئلته متعددة true and false واختياري من + +279 +00:22:23,230 --> 00:22:29,350 +متعدد طبعا هذه الصورة للتوضيح مافي صور الآن + +280 +00:22:29,350 --> 00:22:35,290 +للدراسة في عندي اللي هي الـ epithelial membrane + +281 +00:22:35,290 --> 00:22:43,010 +أغشية نسيج الطلائي في عندي حوالي تلت أنواع أساسية + +282 +00:22:43,010 --> 00:22:51,100 +Sirius المصل ميوكاس مخاطيسينوفيال هولاند الـ + +283 +00:22:51,100 --> 00:22:56,320 +Serious membrane بيبطن الـ body بيبطن الـ body + +284 +00:22:56,320 --> 00:23:04,500 +cavity that don't open outside تمام؟ بيبطن + +285 +00:23:04,500 --> 00:23:11,060 +التجاويف اللي ما بتفتح برا الجسم لان اعرف هذه + +286 +00:23:11,060 --> 00:23:17,340 +الشغل منيح ان الـ Serious بيبطنالتجويف اللي ما + +287 +00:23:17,340 --> 00:23:22,460 +بتفتح برات الجسم هنا هذا ممكن يجي مفتلح شو وظيفته + +288 +00:23:22,460 --> 00:23:27,780 +هذا الغشاء وظيفته انه بيقلل الاحتكاك reduce + +289 +00:23:27,780 --> 00:23:33,560 +friction بيقلل عملية الاحتكاك inner lining of + +290 +00:23:33,560 --> 00:23:41,240 +thoracic and abdomen بيبطن التجويف الفضري والتجويف + +291 +00:23:41,240 --> 00:23:49,310 +البطني cover organscover organs بيغطي ال thoracic + +292 +00:23:49,310 --> 00:23:55,110 +and abdomen بيغطي ال thoracic and abdomen و + +293 +00:23:55,110 --> 00:24:00,990 +secretion بيعمل secretion ل ال serious fluid اللي + +294 +00:24:00,990 --> 00:24:07,550 +هو المصل أو السائل المصلي تمام؟ اذا ارجع و اعيد شو + +295 +00:24:07,550 --> 00:24:11,030 +مميزات ال serious membrane؟ هذه نوع من انواع ال + +296 +00:24:11,030 --> 00:24:15,830 +epithelial membrane بيبطنالـ cavities اللي ما + +297 +00:24:15,830 --> 00:24:20,870 +بتفتح برا الجسم وضيفته reduce ال friction بيقلل + +298 +00:24:20,870 --> 00:24:25,570 +عملية الاحتكاس inner lining للثوراسك و ال abdomen + +299 +00:24:25,570 --> 00:24:32,070 +بيغطي كمان فوق ما هو line بيبطن بيغطي الثوراسك أو + +300 +00:24:32,070 --> 00:24:36,510 +بيغطي ال organs اللي موجودة داخل الثوراسك and + +301 +00:24:36,510 --> 00:24:41,530 +abdomen و بيفرز اللي هو السائل اللي موجود هذا أول + +302 +00:24:41,530 --> 00:24:47,960 +نوع معناهالنوع التاني لميوكاست ميمبراين line tubes + +303 +00:24:47,960 --> 00:24:56,200 +and organs بيبطن الأنابيب والأعضاء اللي بتفتح خارج + +304 +00:24:56,200 --> 00:25:02,180 +الجسم زي مين؟ عندنا الأنف عندنا الفم عندنا الحلق + +305 +00:25:02,180 --> 00:25:08,520 +عندنا الأذن كل هذه الشغلات بتفتح برات الجسم تمام؟ + +306 +00:25:08,860 --> 00:25:13,940 +إذن بيغطي الأنابيب اللي بتفتح براة الجسم زي ال + +307 +00:25:13,940 --> 00:25:19,580 +mouse و ال nose و ال throat اللي هو الحلق تمام؟ و + +308 +00:25:19,580 --> 00:25:25,860 +طبعا بيبطنها ال mucus أو تفرز اللي هو المخاطي سائل + +309 +00:25:25,860 --> 00:25:30,600 +المخاطي اللي بيكون موجود في الأنف و كذلك اللي هي + +310 +00:25:30,600 --> 00:25:35,760 +الغشاء المخاطي موجود في الأنفالنوع التالت اللى هو + +311 +00:25:35,760 --> 00:25:38,560 +عبارة عن الـ synovial membrane هذا الـ synovial + +312 +00:25:38,560 --> 00:25:42,860 +membrane عال أغلب حلجيث الـ synovial joint تمام + +313 +00:25:42,860 --> 00:25:47,580 +المفاصل الكبيرة composed entirely of connective + +314 +00:25:47,580 --> 00:25:53,860 +tissue lines joint يحتوي على اللى هى كل أنواع ال + +315 +00:25:53,860 --> 00:25:58,240 +connective tissue وبيبطن وبيكون موجود ما بين ال + +316 +00:25:58,240 --> 00:26:04,670 +joints على سبيل المثال مفصل الرقبة اتفقنا؟I have + +317 +00:26:04,670 --> 00:26:09,010 +three types of membranes epithelial membrane, + +318 +00:26:09,150 --> 00:26:16,450 +ceria, mucus, synovial تمام؟ في حاجة رابعة اسمها + +319 +00:26:16,450 --> 00:26:20,590 +cotinuous ومرت علينا في الشبتر الأول cotinuous + +320 +00:26:20,590 --> 00:26:25,310 +covering لل body من اسمها حاجة cotinuous يعني + +321 +00:26:25,310 --> 00:26:29,040 +عبارة عن الجلبعلى طول أول ما بشوف كلمة continuous + +322 +00:26:29,040 --> 00:26:34,560 +بعرف إنها الجلد بتغطي كل الجسم غشاء بيبغطي كل + +323 +00:26:34,560 --> 00:26:40,640 +الجسم اللي هو عبارة عن الجلد بهيك بيكون أنا أنهيت + +324 +00:26:40,640 --> 00:26:43,660 +ال connective tissue و هبلش ان شاء الله رب + +325 +00:26:43,660 --> 00:26:48,380 +العالمين في ال muscle tissue النوع التالت من أنواع + +326 +00:26:48,380 --> 00:26:53,600 +الأنسجة اللي بتكون الجسم في الأساس العضلات + +327 +00:26:54,700 --> 00:26:57,960 +الوظيفة الأساسية تبع أي عضلة لو اجينا in general + +328 +00:26:57,960 --> 00:27:05,400 +انقباض انبساط contract relax contract and then + +329 +00:27:05,400 --> 00:27:09,720 +relax اذا ال general characterized اللي هي ال + +330 +00:27:09,720 --> 00:27:14,340 +muscle cell code muscle fibers اسم الخلية العضلية + +331 +00:27:14,340 --> 00:27:21,120 +اللي هي ال muscle fiber contractile تمام انقباض في + +332 +00:27:21,120 --> 00:27:26,690 +عندي ثلاث أنواع من الخلايامن العضلات الـ skeletal + +333 +00:27:26,690 --> 00:27:32,670 +muscles عضلات هيكلية ال smooth muscles عضلات ملتاق + +334 +00:27:32,670 --> 00:27:38,630 +و ال cardiac muscles اللي هي عضلة القلب تمام نيجي + +335 +00:27:38,630 --> 00:27:42,110 +نشوف شو ال skeletal muscles ال skeletal muscles هي + +336 +00:27:42,110 --> 00:27:47,270 +عبارة عن العضلات الهيكلية اللي بتربط العظام مع + +337 +00:27:47,270 --> 00:27:52,730 +بعضها البعض created مخططةلو إجيت أخدت عينة منها + +338 +00:27:52,730 --> 00:27:57,050 +وحطيتها تحت الميكروسكوب بلاجيها عبارة عن خطوط + +339 +00:27:57,050 --> 00:28:03,130 +عضلات مخططة ال voluntary إنها بتتحرك إيرادياً أما + +340 +00:28:03,130 --> 00:28:08,410 +ال smooth muscles فهي عبارة عن ال walls موجودة في + +341 +00:28:08,410 --> 00:28:14,990 +العضلات الملساق موجودة في جدران الأعضاء زي جدران + +342 +00:28:14,990 --> 00:28:18,450 +اللي هي ال intestine على سبيل المثال الأمعاق + +343 +00:28:18,450 --> 00:28:22,430 +موجودة في ال skinموجودة في جدران الأوعية الدموية + +344 +00:28:22,430 --> 00:28:28,630 +involuntary غير إرادية ما بقدر أنا أتحكم في + +345 +00:28:28,630 --> 00:28:32,250 +الأمعاق تبعتي ما بقدر أتحكم في الشرايين تبعتي + +346 +00:28:32,250 --> 00:28:37,070 +ولمّا أجي أاخدلها مقطع تحت ال microscope بلاقيها + +347 +00:28:37,070 --> 00:28:43,850 +not straighted غير مخططة يعني سادة مافيها أي إشي + +348 +00:28:43,850 --> 00:28:50,370 +cardiac muscles اللي هي عضلة القلبHeart wall بتكون + +349 +00:28:50,370 --> 00:28:54,870 +موجودة في اجدار القلب involuntary طبعا الحركة + +350 +00:28:54,870 --> 00:29:00,410 +تبعتها لا إرادية بتكون مخططة straighted موجودة في + +351 +00:29:00,410 --> 00:29:04,790 +ال interlocated disc أيضا اللي هو قرص القلب اللي + +352 +00:29:04,790 --> 00:29:10,170 +بيحمي القلب فبلاحظ أنا من هذه الشريحة أنه أنا بحكي + +353 +00:29:10,170 --> 00:29:15,450 +ال cardiac muscle مايخد صفات ال skeletal ومايخد + +354 +00:29:15,450 --> 00:29:20,460 +صفات من الsmallيعني مياخده انها straighted مخططة + +355 +00:29:20,460 --> 00:29:24,360 +من ال skeletal ومياخده involuntary من ال smart + +356 +00:29:24,360 --> 00:29:29,380 +muscles هيك بيكون أخذ تلت أنواع أساسية من أنواع + +357 +00:29:29,380 --> 00:29:34,940 +العضلات وهذا شكلها تحت الميكروسكوب مش مطالبين في + +358 +00:29:34,940 --> 00:29:40,660 +هذا الاشي النوع الرابع والأخير من أنواع اللي هي + +359 +00:29:40,660 --> 00:29:44,540 +الانسجن اللي هو ال nervous system وقلنا فيه تلت + +360 +00:29:44,540 --> 00:29:51,800 +شباترأخر الفصل و هو مهم جدا sometimes neural + +361 +00:29:51,800 --> 00:29:55,340 +tissue بعض الأحيان أنا ممكن أسميه neural tissue و + +362 +00:29:55,340 --> 00:29:58,820 +أنا كنت قسمته في بداية ال chapter الأول إلى قسمين + +363 +00:29:58,820 --> 00:30:02,420 +أساسيين central nervous system و peripheral + +364 +00:30:02,420 --> 00:30:07,440 +nervous system و أجي أشوف هنا found in the brain + +365 +00:30:07,440 --> 00:30:11,040 +هذه الأنسجة موجودة في ال brain و ال spinal cord + +366 +00:30:11,040 --> 00:30:14,740 +اللي هم المكون الأساسي لل central nervous system + +367 +00:30:15,360 --> 00:30:19,680 +and peripheral nervous اللي هو الـ BNS الـ + +368 +00:30:19,680 --> 00:30:23,780 +Peripheral Nervous System consists of neurons + +369 +00:30:23,780 --> 00:30:29,300 +تحتوي هذه الأنسجة على العصبون اللي هو عبارة عن الـ + +370 +00:30:29,300 --> 00:30:33,740 +neurons الوحدة أو ال nerve cells الخلايا العصبية + +371 +00:30:33,740 --> 00:30:38,080 +and glial cells اللي هي الخلايا الغروية اللي + +372 +00:30:38,080 --> 00:30:43,380 +وظيفتها بتعمل support protect and provide the + +373 +00:30:43,380 --> 00:30:47,840 +framework of neuronsالخلايا الدبقية أو الخلايا + +374 +00:30:47,840 --> 00:30:54,820 +اللي هي بتسموها الغروية وظيفتها كالتالي دعم حماية + +375 +00:30:54,820 --> 00:31:00,820 +و provide framework بتاعة الشكل النهائي للعصبون + +376 +00:31:00,820 --> 00:31:07,900 +إذا تحتوي على الخلية العصبية وأيضا تعمل على دعم و + +377 +00:31:07,900 --> 00:31:15,560 +حماية وتشكيل شكل اللي هو لـ neurons العصبشوهو الـ + +378 +00:31:15,560 --> 00:31:22,460 +Neurons؟ أخدنا وظيفة الجهاز العطبي اكتشاف لأي مؤثر + +379 +00:31:22,460 --> 00:31:28,660 +خارجي ومن ثم عملية معالجة مركزية بالتم داخل الدماغ + +380 +00:31:28,660 --> 00:31:36,660 +وإرسال بعد ذلك اللي هي إرد الفعل لهذا الاشيخ خليني + +381 +00:31:36,660 --> 00:31:40,620 +أشوفها بال English الـ Neurons تعمل على إيش؟ + +382 +00:31:40,620 --> 00:31:45,740 +Detect للـ Stimuli اكتشاف للمثير أوالحدث اللي صار + +383 +00:31:45,740 --> 00:31:50,600 +process information quickly أسرع من أي جهاز تم + +384 +00:31:50,600 --> 00:31:55,320 +تصنيعه طبعا بقدرة الله سبحانه وتعالى and rapidly + +385 +00:31:55,320 --> 00:31:59,980 +transmitted electrical impulses فورا بتم إرسال + +386 +00:31:59,980 --> 00:32:06,160 +ومضة عصبية من منطقة إلى أخر body to another من جسم + +387 +00:32:06,160 --> 00:32:12,500 +إلى آخر وأخدنا مثال كباية الشاي كيف تم الانتقال من + +388 +00:32:13,890 --> 00:32:18,590 +اللي هي الـ hand لحد ما وصلت إلى ال brain و أعطى + +389 +00:32:18,590 --> 00:32:23,490 +ال brain رد الفعل تبعته إنه شيل إيدك لإنه هنا + +390 +00:32:23,490 --> 00:32:28,770 +الوضع خطر prominent cell body function in control + +391 +00:32:28,770 --> 00:32:33,350 +على الأغلب بيكون وظيفتها ال cell body لجسم الخلية + +392 +00:32:33,350 --> 00:32:37,530 +العصبية هشرح على الرسمة ونشوف عليها ال information + +393 +00:32:37,530 --> 00:32:42,230 +processing عملية المعالجة المركزية تمت في الدماغ + +394 +00:32:42,920 --> 00:32:48,700 +وتخزنة torch and retrieval internal communication + +395 +00:32:48,700 --> 00:32:53,880 +عشان بعد هيك انا اقدر استفيد منها ما بيصير ان انا + +396 +00:32:53,880 --> 00:32:59,440 +اتعرض لنفس الحدث ويرجع الدماغ يعمل نفس المعالجة + +397 +00:32:59,440 --> 00:33:04,040 +المركزية لأ بصير انا استعيد في ذاكرتي كيف تم حل + +398 +00:33:04,040 --> 00:33:10,540 +هذه المشكلة ارجع عيد تاني انه بيصير اكتشاف ل + +399 +00:33:10,540 --> 00:33:16,260 +stimuliللمؤثر الخارجي بتتم عملية المعالجة المركزية + +400 +00:33:16,260 --> 00:33:22,380 +ومن ثم إرسال اللي هو رد الفعل فبالتالي هنا بيصير + +401 +00:33:22,380 --> 00:33:26,740 +في عنا اللي هو storage لهذا الحل تخزين لإله + +402 +00:33:26,740 --> 00:33:32,280 +Android Revalve قادر على استعادته واسترجاعه في + +403 +00:33:32,280 --> 00:33:37,240 +داخل المحادثات أو ما بين اللي هو الدماغ والأعضاء + +404 +00:33:37,240 --> 00:33:41,340 +اللي موجودة داخل الجسم سبحانك يا ربهنا بتكون عملية + +405 +00:33:41,340 --> 00:33:47,660 +حيوية دقيقة جدا لنيورون او هنا خليني اشرح الخلية + +406 +00:33:47,660 --> 00:33:51,000 +العصبية هذا اللي انا بحوت عليه هو عبارة عن ال cell + +407 +00:33:51,000 --> 00:33:54,260 +body تمام زي ما انتوا شايفينه ال cell body ال + +408 +00:33:54,260 --> 00:33:58,880 +nucleus او النوافذ المتوسط هي عندي حاجة هنا اسمها + +409 +00:33:58,880 --> 00:34:04,240 +الذوائد الشجرية Dendrites هذا ال axon هو عبارة عن + +410 +00:34:04,240 --> 00:34:09,740 +المحور لنيورالجيا هذه اللي انتوا شايفينهاهي عبارة + +411 +00:34:09,740 --> 00:34:15,560 +عن الخلايا الدبقية أو الخلايا الأساسية process + +412 +00:34:15,560 --> 00:34:21,740 +extend from nerve cells of body cell body تحتوي + +413 +00:34:21,740 --> 00:34:26,060 +from من ال cell body دنترائت أكسون هذا المفروض تجي + +414 +00:34:26,060 --> 00:34:30,860 +تحت اللي هي ال cell body هاي أول إشي مكون للعصبون + +415 +00:34:30,860 --> 00:34:36,500 +اللي هو ال cell body دنترائت رقم 2 والأكسون رقم 3 + +416 +00:34:38,490 --> 00:34:41,410 +الان لما بيصير في عندنا wound healing أو الـ + +417 +00:34:41,410 --> 00:34:44,650 +Mechanism تبع الـ wound healing، ميكانيكية الهذه، + +418 +00:34:44,650 --> 00:34:48,230 +بيصير في contraction، في حالات ال amputation، + +419 +00:34:48,230 --> 00:34:51,270 +حالات البطر، بيصير اللي سمح الله لو صار في عندنا + +420 +00:34:51,270 --> 00:34:56,250 +بطر بالإجر، تنضم و بتنكمش هذا الجروح، فبالتالي + +421 +00:34:56,250 --> 00:35:00,760 +بيصير في عندنا amputationأما في حالة الـ Ulcer + +422 +00:35:00,760 --> 00:35:04,380 +بيصير أو اللي هو تقرّح الفراش بيصير في عندنا حاجة + +423 +00:35:04,380 --> 00:35:10,140 +اسمها Epithelization عملية تحرشف أو النسيج الطلائي + +424 +00:35:10,140 --> 00:35:14,340 +نفسه بيصير فيه إعادة بناء للأنسجة ال connective + +425 +00:35:14,340 --> 00:35:18,060 +tissue بتصير فيها عملية deposition عملية إزالة من + +426 +00:35:18,060 --> 00:35:22,080 +مكانها فبالتالي بيصير laceration مش كتير ال slide + +427 +00:35:22,080 --> 00:35:26,500 +هذه مهمة بالنسبة ليه؟بس لإلكم عشان تعرفوا كيف ال + +428 +00:35:26,500 --> 00:35:32,200 +mechanism بتصير لكل نسيج و الآخر تمام؟ وبهيك + +429 +00:35:32,200 --> 00:35:36,660 +يعطيكوا العافية بقول أنا خلصت chapter التشهير اللي + +430 +00:35:36,660 --> 00:35:41,980 +هو chapter اتنين في ثلاث فيديوهات video part واحد + +431 +00:35:41,980 --> 00:35:46,620 +و video part اتنين و video part تلاتة يعطيكوا الف + +432 +00:35:46,620 --> 00:35:47,080 +عافية + diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/YBvhDbFvyEo_raw.json 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"probability": 0.9580078125}, {"start": 2144.76, "end": 2145.7, "word": " تلاتة", "probability": 0.883056640625}, {"start": 2145.7, "end": 2146.42, "word": " يعطيكوا", "probability": 0.97001953125}, {"start": 2146.42, "end": 2146.62, "word": " الف", "probability": 0.7236328125}, {"start": 2146.62, "end": 2147.08, "word": " عافية", "probability": 0.96044921875}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 2160.732875, "duration_after_vad": 2117.4031249999953} \ No newline at end of file diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/ZrL1kH3DFYw.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/ZrL1kH3DFYw.srt new file mode 100644 index 0000000000000000000000000000000000000000..b5e57e1f87c93c650ecb8832ee7847d5b0c02e77 --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/ZrL1kH3DFYw.srt @@ -0,0 +1,1373 @@ + +1 +00:00:04,930 --> 00:00:08,950 +بسم الله الرحمن الرحيم نكمل معكم الـ skeletal system + +2 +00:00:08,950 --> 00:00:14,380 +رقم ثلاثة، الـ part الثاني ما شرحنا عن الـ upper + +3 +00:00:14,380 --> 00:00:19,180 +limb، وعرفنا شو الحزام الصدري، عرفنا عن الترقوة، + +4 +00:00:19,180 --> 00:00:23,400 +عرفنا عن الـ scapula، الـ humerus، والـ radius، و + +5 +00:00:23,400 --> 00:00:28,900 +الزند، وكمان الـ rest، كل هذه الأمور أخذناها بالـ + +6 +00:00:28,900 --> 00:00:33,160 +upper limb وخلصنا منها، هنبدأ نشرح اليوم إن شاء + +7 +00:00:33,160 --> 00:00:38,060 +الله رب العالمين عن الـ lower limb اللي هو عبارة عن + +8 +00:00:38,060 --> 00:00:42,510 +الـ pelvic girdle، طبعًا، وما زلنا مستمرين ومتابعين مع + +9 +00:00:42,510 --> 00:00:46,230 +بعض، الـ abdominal skeleton، الـ lower extremity + +10 +00:00:46,230 --> 00:00:53,810 +بيشمل الـ hip، الـ thigh، الـ lower leg اللي هي عبارة + +11 +00:00:53,810 --> 00:01:02,640 +عن التيبيا والـ fibula، الـ ankle، والقدم. إذن، يشمل + +12 +00:01:02,640 --> 00:01:07,220 +الـ lower limb على زي ما أنتم شايفين في الكاميرا. + +13 +00:01:07,220 --> 00:01:13,740 +الـ hip، منطقة الحوض، اللي هو تمفصل الـ head of + +14 +00:01:13,740 --> 00:01:19,260 +the femur مع الـ acetabulum، التجويف الحقي، الفخذ، + +15 +00:01:19,260 --> 00:01:23,740 +الـ lower leg، اللي هو عبارة عن الـ tibia و + +16 +00:01:23,740 --> 00:01:31,350 +الفيبولا. هذه الـ tibia، وهذه الفيبولا، تمام؟ أيضًا + +17 +00:01:31,350 --> 00:01:36,990 +الـ ankle joint، والـ foot، هاي القدم، وتتمفصل مع + +18 +00:01:36,990 --> 00:01:43,510 +اللي هو الـ tibia مع الـ calcaneus، تتمفصل اللي هي + +19 +00:01:43,510 --> 00:01:47,400 +مع الـ tarsal bones عشان يكونوا لي الـ ankle joint. إذن، + +20 +00:01:47,400 --> 00:01:51,460 +الـ lower extremity تلتصق مع بعضها البعض بالـ + +21 +00:01:51,460 --> 00:01:56,840 +pelvic girdle، الحزام الحوضي، طبعًا هو أكبر وأسمك + +22 +00:01:56,840 --> 00:02:02,120 +لأنه بيحمل جسم الإنسان، بيمشي الإنسان فيه علشان + +23 +00:02:02,120 --> 00:02:08,470 +ينتقل من مكان إلى آخر. نشوف كمان اللي هو الـ pelvis، + +24 +00:02:08,470 --> 00:02:12,890 +من ايه بتكون الـ pelvis؟ بتكون الـ pelvis من أربع + +25 +00:02:12,890 --> 00:02:19,270 +عظام، اللي هي منطقة الـ sacrum، واحنا أخذنا الـ + +26 +00:02:19,270 --> 00:02:25,470 +sacrum من أحد اللي هي أجزاء العمود الفقري في الـ + +27 +00:02:25,470 --> 00:02:31,430 +axial skeleton، الـ sacrum، الـ coxal right and + +28 +00:02:31,430 --> 00:02:40,250 +left. إذن، ساكروم واحد، اثنين، كوكسيا ثلاثة وأربعة. + +29 +00:02:40,250 --> 00:02:47,570 +هاي هم الأربع عظام للـ pelvic bones. شو + +30 +00:02:47,570 --> 00:02:52,570 +وظيفتهم أو شو الـ function تبعتهم؟ يعملوا على حماية + +31 +00:02:52,570 --> 00:03:00,030 +ودعم اللي هو الـ viscera. الـ function تبعهم: support + +32 +00:03:00,030 --> 00:03:05,090 +and protect the viscera in inferior part of ventral body + +33 +00:03:05,090 --> 00:03:11,110 +cavity. يعملوا على حماية ودعامة الأجزاء الحشوية + +34 +00:03:11,110 --> 00:03:16,590 +اللي موجودة داخل الحوض، على سبيل المثال، الكلى، + +35 +00:03:16,590 --> 00:03:21,850 +الرحم، الجنين أثناء الحمل، كل هذه الأمور بتتم + +36 +00:03:21,850 --> 00:03:26,730 +حمايتها عن طريق الـ pelvic girdle أو ما + +37 +00:03:26,730 --> 00:03:29,010 +يسمى بالحزام الحوضي. + +38 +00:03:31,770 --> 00:03:37,190 +Referred left and right of the coccyx only. فقط ما + +39 +00:03:37,190 --> 00:03:42,130 +له علاقة بالعظام الأخرى. إذن هذا الحزام الحوضي أو + +40 +00:03:42,130 --> 00:03:48,370 +هذا الحوض هو عبارة عن الـ coxal right والـ coxal + +41 +00:03:48,370 --> 00:03:52,630 +left، ارتباطهم مع منطقة الساكروم. + +42 +00:03:52,630 --> 00:03:57,550 +أنا هنا بحكي على منطقة الساكروم، الساكروم، وتحت + +43 +00:03:57,550 --> 00:04:02,850 +منها الكوكسيج. إذن، الـ pelvic girdle يعود على left and + +44 +00:04:02,850 --> 00:04:08,550 +right of coccyx only، تمام؟ هذا بالنسبة للحزام + +45 +00:04:08,550 --> 00:04:15,060 +الحوضي. خلينا نشوف شو هم الـ coxal العظام + +46 +00:04:15,060 --> 00:04:16,720 +عديمة الاسم. + +47 +00:04:19,990 --> 00:04:25,410 +هي عبارة عن ايش؟ عبارة عن الـ hip bone أو ما يسمى + +48 +00:04:25,410 --> 00:04:31,910 +بالـ innominate، أو العظام عديمة الاسم، هي عبارة عن ثلاث + +49 +00:04:31,910 --> 00:04:37,370 +عظام منفصلة، كل واحدة فيهم each part composed of + +50 +00:04:37,370 --> 00:04:43,810 +three bones، ثلاث عظمات منفصلة، اللي هي منطقة الـ + +51 +00:04:43,810 --> 00:04:51,400 +ilium، تمام؟ ومنطقة الـ ischium، ومنطقة الـ pubis. تمام؟ هاي + +52 +00:04:51,400 --> 00:04:57,760 +الـ pubic، بيس. إذن عندنا الـ ilium هذه المنطقة، هاي، و + +53 +00:04:57,760 --> 00:05:02,860 +بالمناسبة، أنا سميت هاي الـ iliac crest، هي عبارة عن + +54 +00:05:02,860 --> 00:05:07,380 +شايفينها معي بالكاميرا؟ هي عبارة عن حافة الحوض، + +55 +00:05:07,380 --> 00:05:12,020 +هذه المنطقة اسمها الـ ilium، هنا اسمها الـ ischium، + +56 +00:05:12,020 --> 00:05:15,940 +اللي احنا بنجلس عليها، العظام اللي بنجلس عليها، الـ + +57 +00:05:15,940 --> 00:05:21,360 +ischium، تحت الارتفاق العاني، اللي هو ما يسمى بالـ + +58 +00:05:21,360 --> 00:05:26,640 +pubis، أو اللي هي ما يسمى بالـ pubic، أو الـ pubis + +59 +00:05:26,640 --> 00:05:32,900 +اتصال الـ right مع الـ left. في عندي two innominate bones، + +60 +00:05:32,900 --> 00:05:36,540 +اللي هم الـ innominate bones، العظام عديمة الاسم، + +61 +00:05:36,540 --> 00:05:41,000 +مكونة من الـ three parts، أو ثلاث عظمات منفصلة. أول + +62 +00:05:41,000 --> 00:05:45,100 +واحدة اسمها الـ ilium، اثنين اسمها الـ ischium، ثلاثة + +63 +00:05:45,100 --> 00:05:52,880 +اسمها الـ pubis. هاي عظام الحوض بشكل عام. each + +64 +00:05:52,880 --> 00:05:58,020 +articulated posteriorly with sacrum and in + +65 +00:05:58,020 --> 00:06:04,610 +sacroiliac joint. اتصال... اتصال أي عظمتين + +66 +00:06:10,860 --> 00:06:16,640 +Each articulated posteriorly with sacrum and coccyx + +67 +00:06:16,640 --> 00:06:22,440 +in joint sacroiliac joint. الآن هذه الـ ilium متصلة + +68 +00:06:22,440 --> 00:06:27,180 +تمامًا مع منطقة الـ sacrum، اتصال عظمتين مع بعضهما + +69 +00:06:27,180 --> 00:06:32,400 +البعض، سنسمي الـ joint باسم العظمتين: sacroiliac + +70 +00:06:32,400 --> 00:06:37,680 +joint. Sacrum مع الـ ilium فهي عبارة عن sacroiliac + +71 +00:06:37,680 --> 00:06:42,640 +joint. اتفقنا؟ إذن في عندي sacroiliac joint في الـ + +72 +00:06:42,640 --> 00:06:47,380 +right، وsacroiliac joint بالـ left. إذن، في الثلاث + +73 +00:06:47,380 --> 00:06:51,420 +bones أو الـ ilium bones مكونين من ثلاث عظمات، هذه + +74 +00:06:51,420 --> 00:06:56,000 +بتصل posteriorly من الخلف مع منطقة الـ sacrum. + +75 +00:06:57,170 --> 00:07:03,610 +cervical, thoracic, lumbar, sacrum, coccyx. اتفقنا؟ + +76 +00:07:03,610 --> 00:07:09,570 +هاي الـ parts of vertebral column. هذه الرسمة + +77 +00:07:09,570 --> 00:07:13,250 +بالمناسبة، جبناها مرة في امتحان الـ final. هي عبارة + +78 +00:07:13,250 --> 00:07:19,450 +عن عظمتي الحوض. هشرحها الآن عشان افرق بين عظام + +79 +00:07:19,450 --> 00:07:25,230 +الحوض للـ female والـ male. الآن من فوق، هذا زي ما + +80 +00:07:25,230 --> 00:07:29,810 +حكينا عنه، اللي هو عبارة عن الـ iliac crest، الحافة + +81 +00:07:29,810 --> 00:07:35,950 +اللي هي بتكون في منطقة الـ ilium هنا. هذا اللي أنا + +82 +00:07:35,950 --> 00:07:40,950 +بتكلم عليه، الـ sacroiliac joint، التقاء الساكروم مع + +83 +00:07:40,950 --> 00:07:46,900 +عظمة الـ ilium، بسميها الـ sacroiliac joint، تمام؟ هذه + +84 +00:07:46,900 --> 00:07:50,380 +الـ iliac bone، أو الـ iliac tuberosity، هذا + +85 +00:07:50,380 --> 00:07:54,600 +من وراء، هو عبارة عن الكوكسيج، هذه هنا موجودة عندي + +86 +00:07:54,600 --> 00:07:58,140 +في الـ skeleton، وموجودة هنا طبعًا. هذا باقي الـ + +87 +00:07:58,140 --> 00:08:02,260 +vertebral column، وهذه اللي هي الـ sacrum اللي + +88 +00:08:02,260 --> 00:08:07,840 +موجودة هنا. في عندي اللي هم هنا الـ pubis، أو ما يسمى + +89 +00:08:07,840 --> 00:08:12,780 +بالارتفاق العاني. هو عبارة عن ارتباط الـ right + +90 +00:08:12,780 --> 00:08:16,480 +ilium مع الـ left، مع بعضهم البعض بـ + +91 +00:08:16,480 --> 00:08:22,300 +fibrocartilaginous disc، تمام؟ هاي هنا الـ + +92 +00:08:22,300 --> 00:08:28,660 +acetabulum، اللي هتدخل فيها الـ head of femur. هذه + +93 +00:08:28,660 --> 00:08:32,440 +الـ head of femur هتفوت في داخل التجويف الحقي، وهو + +94 +00:08:32,440 --> 00:08:36,750 +ما يسمى بالـ acetabulum، اتفقنا؟ في عندنا الـ + +95 +00:08:36,750 --> 00:08:40,090 +foramen، واحنا حكينا كلمة الـ foramen في الـ bone + +96 +00:08:40,090 --> 00:08:44,730 +marking، هي عبارة عن ايش؟ oval أو rounded opening، + +97 +00:08:44,730 --> 00:08:50,470 +فتحة دائرية أو بيضاوية لدخول الـ lymph nodes، أسفل + +98 +00:08:50,470 --> 00:08:54,670 +الـ lymph vessels، الـ arteries، الـ blood vessels، أي + +99 +00:08:54,670 --> 00:08:58,650 +شيء بيفوت من خلالها، هذه اسمها الـ foramen أو + +100 +00:08:58,650 --> 00:09:04,080 +بسميها الـ obturator foramen. الـ pubis هي عبارة عن + +101 +00:09:04,080 --> 00:09:07,680 +اللي هي الـ right و الـ pubis الـ left، بيلتقوا مع + +102 +00:09:07,680 --> 00:09:12,720 +بعضهم البعض مع اللي هو symphysis pubis. هم الـ + +103 +00:09:12,720 --> 00:09:16,520 +ischium. هذه العظمة اللي هي الـ part الثاني هي عبارة + +104 +00:09:16,520 --> 00:09:20,500 +عن الـ ischium. Okay؟ إذن، العظمة الكوكسيا انقسمت إلى + +105 +00:09:20,500 --> 00:09:23,980 +ثلاث عظام أساسية، هذه أول واحدة الـ ilium، + +106 +00:09:23,980 --> 00:09:27,760 +الثانية هي عبارة عن الـ pubis، الثالثة هي عبارة عن + +107 +00:09:27,760 --> 00:09:33,540 +الـ ischium. هيك بكون أنا بينت شكل الحوض، لأنه + +108 +00:09:33,540 --> 00:09:38,400 +يختلف تمامًا الحوض عند الـ male عن الـ female، يعني + +109 +00:09:38,400 --> 00:09:42,000 +على سبيل المثال، فيه وظائف خاصة في الـ female، الحمل، + +110 +00:09:42,000 --> 00:09:46,620 +وعدم الحمل، يختلف وضع الاحتواء للجنين عن الـ male، + +111 +00:09:47,550 --> 00:09:50,850 +أيضًا في الطب الشرعي كمان، لما يكون في عندنا جثة، + +112 +00:09:50,850 --> 00:09:56,090 +واحنا مش عارفين إن هذا المتوفى هل هو أنثى أم ذكر، + +113 +00:09:56,090 --> 00:10:00,150 +فبنروح للحوض، بنعرف من شكل الحوض، طبعًا هذا ايش + +114 +00:10:00,150 --> 00:10:02,890 +ايه؟ علاقة بالطب الشرعي مش عندنا، بس إنه احنا + +115 +00:10:02,890 --> 00:10:06,970 +بناخذه للمعلومات تبعنا، إن هل هذه الجثة اللي + +116 +00:10:06,970 --> 00:10:13,650 +موجودة لـ female أو لـ male. هنشوف كيف. الآن، هاي صورة + +117 +00:10:13,650 --> 00:10:16,970 +أخرى للحوض. بتعرفوا مشاكل الحوض عند الأطفال كثيرة + +118 +00:10:16,970 --> 00:10:21,490 +جداً. بعض الأحيان بضطر أصور في جراحة الأطفال، إذا + +119 +00:10:21,490 --> 00:10:25,330 +كانت على سبيل المثال عند الطفل خلع ولادي أو لا، + +120 +00:10:25,330 --> 00:10:30,330 +إذن هاي الـ head of femur طلعت برا الـ acetabulum، في + +121 +00:10:30,330 --> 00:10:34,690 +عندي حاجة اسمها، بنسميها خلع اللي هو الحوض الولادي. + +122 +00:10:34,690 --> 00:10:38,390 +هذا بيكون طبعًا ناتج عن أن العظمة هي بتكون طالعة برا + +123 +00:10:38,390 --> 00:10:42,950 +من الحوض، بتؤدي لتأخر في مشي الطفل، بتؤدي لقصر + +124 +00:10:42,950 --> 00:10:49,810 +الرجلين، الموجودين فيها حسب يعني الحالة، الـ Belvedere. + +125 +00:10:52,150 --> 00:10:55,290 +أو ما يسمى بالحزام الحوضي. حكينا الـ coxal هي + +126 +00:10:55,290 --> 00:10:59,950 +عبارة عن اثنتين، واحدة right، واحدة left، تعمل support + +127 +00:10:59,950 --> 00:11:05,550 +للـ trunk، كمان protect للأحشاء. Support للـ trunk، + +128 +00:11:05,550 --> 00:11:10,110 +بتدعم اللي هو الـ trunk. هذا اللي أنتم شايفينه، + +129 +00:11:10,110 --> 00:11:15,570 +الجذع، وبتحمي الأحشاء الداخلية اللي موجودة داخل + +130 +00:11:15,570 --> 00:11:20,610 +الحوض. هذا بالنسبة للحزام الحوضي، من ايش بده يتكون؟ + +131 +00:11:20,610 --> 00:11:26,610 +الـ innominate bones، الـ hip bone، والـ acetabulum، الـ + +132 +00:11:26,610 --> 00:11:32,020 +acetabulum اللي هي هادي اللي بتدخل فيها الـ head of + +133 +00:11:32,020 --> 00:11:36,260 +the femur. لاحظوا، أنا بحركها يمين، يسار، + +134 +00:11:36,260 --> 00:11:40,980 +laterally and medially. إذن هو مفصل حر الحركة، + +135 +00:11:40,980 --> 00:11:43,280 +حكينا، يتشابه مع الـ upper limb في الـ shoulder + +136 +00:11:43,280 --> 00:11:48,400 +joint. ممكن أعمل flexion، extension، abduction، + +137 +00:11:48,400 --> 00:11:53,460 +adduction، أدخلها لجوة. إذن هو مفصل حر الحركة، + +138 +00:11:53,460 --> 00:11:58,190 +الـ ilium، الـ ischium، الـ pubis. أول واحدة الـ + +139 +00:11:58,190 --> 00:12:04,070 +ilium، هتتكون من الـ iliac crest، حافة اللي هو + +140 +00:12:04,070 --> 00:12:07,930 +الحوض، هذه اللي موجودة عندنا كلنا، اللي هي الـ + +141 +00:12:07,930 --> 00:12:12,030 +iliac crest. في عندي حاجة اسمها الـ iliac spine، + +142 +00:12:12,030 --> 00:12:17,140 +الشوكة، spine. هي عبارة عن الشوكة الحرقفية، greater + +143 +00:12:17,140 --> 00:12:22,120 +sciatic notch. من جوا، في عندي حاجة اسمها greater + +144 +00:12:22,120 --> 00:12:26,340 +sciatic notch. وكلمة notch هو عبارة عن ملقط، أو + +145 +00:12:26,340 --> 00:12:34,080 +حاجة مقعرة. الـ ischium هي الـ part الثاني من عظمة الحوض. + +146 +00:12:34,080 --> 00:12:38,310 +هي عبارة عن الحاجة اللي احنا بنجلس عليها. في عندنا + +147 +00:12:38,310 --> 00:12:43,190 +الـ ischial spine. هذه الـ spine اللي هو عبارة عن + +148 +00:12:43,190 --> 00:12:48,190 +النتوء العظمي الحرقفي. أيضًا في منها الـ lesser، وفي + +149 +00:12:48,190 --> 00:12:52,330 +الـ ischial tuberosity. هاي موجودة هنا بالصورة + +150 +00:12:52,330 --> 00:12:55,930 +كمان واضحة عندكم هنا، اللي هو الـ greater ischial + +151 +00:12:55,930 --> 00:13:01,070 +tuberosity. وفي عندنا اللي هي الـ pubis، الـ part + +152 +00:13:01,070 --> 00:13:06,740 +الثالث والأخير لعظام الحوض، الـ obturator foramen. + +153 +00:13:06,740 --> 00:13:11,620 +واحنا حكينا عنه، هو عبارة عن rounded foramen، فتحة + +154 +00:13:11,620 --> 00:13:15,960 +دائرية، بيطلع منها الـ artery، والـ vein، والـ blood + +155 +00:13:15,960 --> 00:13:21,660 +vessels، والـ lymph vessels. ترتبط الـ pubis الـ right + +156 +00:13:21,660 --> 00:13:25,660 +مع الـ pubis الـ left في حاجة اسمها الـ symphysis + +157 +00:13:25,660 --> 00:13:33,360 +pubis، الارتفاق العاني، اللي هو joint غير متحرك. معها + +158 +00:13:33,360 --> 00:13:38,300 +الـ pubic arch، اللي هو عبارة عن المفصل اللي هو، أو + +159 +00:13:38,300 --> 00:13:43,560 +عبارة عن القوس اللي بيكون في منطقة الارتفاق العاني. + +160 +00:13:43,560 --> 00:13:49,040 +هذه الثلاث عظمات هي العظمات المكونة للـ coxal اللي + +161 +00:13:49,040 --> 00:13:50,680 +هي الـ innominate bones. + +162 +00:13:53,940 --> 00:13:58,620 +في عندي اللي هو الحوض الكبير والحوض الصغير، greater + +163 +00:13:58,620 --> 00:14:03,280 +and lesser pelvis. من اسمه، اللي هو الـ greater + +164 +00:14:03,280 --> 00:14:12,940 +الكبير. بدايته هيجتمل، هيجتمل مع بداية + +165 +00:14:12,940 --> 00:14:20,060 +الحوض الكبير، هيبدأ من الـ lumbar وينتهي من اللي هو + +166 +00:14:20,060 --> 00:14:24,240 +من الـ lumbar posteriorly. يعني أنا أخذت الـ lumbar + +167 +00:14:24,240 --> 00:14:31,500 +من الواحد للخمسة، من الخلف، حدوده الـ iliac bones + +168 +00:14:31,500 --> 00:14:37,640 +على الجانبين، الـ abdominal walls، أو اللي هو الجدار + +169 +00:14:37,640 --> 00:14:43,820 +البطني من الأمام. إذن، للـ greater pelvis، أو ما يسمى + +170 +00:14:43,820 --> 00:14:49,500 +بالحوض الأكبر، حدوده من الـ lumbar من فوق، وأنت + +171 +00:14:49,500 --> 00:14:55,960 +نازلة تحت تشمل هذا الحدود posteriorly. أما من على + +172 +00:14:55,960 --> 00:15: + +223 +00:19:48,470 --> 00:19:53,870 +الكوكسي البون في النساء more movable أكثر حركة + +224 +00:19:53,870 --> 00:19:59,640 +مستقيمة زي ما أنتم شايفينه، اهتمام؟ عشان لو صار في + +225 +00:19:59,640 --> 00:20:03,800 +عندي أي تغيرات، خصوصا في الـ last trimester، الأشهر + +226 +00:20:03,800 --> 00:20:08,480 +الأخيرة للحمل، بحتاج أن الجنين يدفع اللي هو العمود + +227 +00:20:08,480 --> 00:20:12,340 +الفقري للـ الأمام، أما زي ما أنتم شايفينه في + +228 +00:20:12,340 --> 00:20:17,040 +الرجال اللي هو less movable، وماخد الـ curvatures + +229 +00:20:17,040 --> 00:20:22,300 +الانحناء للأمام anteriorly، ما عنده موضوع حمل ولا + +230 +00:20:22,300 --> 00:20:26,870 +عنده أي تغيرات هتصير. الـ greater sciatic notch أو ما + +231 +00:20:26,870 --> 00:20:31,490 +يسمى به، اللي هو الملقطة تبع الـ sciatic notch عند + +232 +00:20:31,490 --> 00:20:38,970 +النساء واسع ومسطح shallow and wider، لكن عند الرجال + +233 +00:20:38,970 --> 00:20:43,130 +narrow and deep، والله إحنا مش محتاجين أن يكون في + +234 +00:20:43,130 --> 00:20:48,110 +عندي sciatic notch واسع ولا shallow سطحي، لأن مافي + +235 +00:20:48,110 --> 00:20:54,680 +عندهم أي موضوع للحمل. بالنسبة للـ pelvic inlet اللي + +236 +00:20:54,680 --> 00:21:01,600 +هو انحراف الحوض أو ميلان الحوض للداخل أثناء الحركة + +237 +00:21:01,600 --> 00:21:10,000 +عند النساء بيكون wider وعلى شكل بيضاوي، لاحظي؟ شكل + +238 +00:21:10,000 --> 00:21:16,820 +بيضاوي، أما بالنسبة عند الرجال فهو narrow ضيق على شكل + +239 +00:21:16,820 --> 00:21:20,220 +heart shaped تمام؟ + +240 +00:21:22,410 --> 00:21:27,250 +الـ pelvic outlet، الانحناء أو الدوران الخلفي يكون + +241 +00:21:27,250 --> 00:21:33,030 +أكثر أيضًا عند النساء. الإسكيال تيوبريسيتي قصيرة + +242 +00:21:33,030 --> 00:21:36,610 +قادرة + +243 +00:21:36,610 --> 00:21:41,010 +على الدوران أو الانحناء. بينما الـ ischial + +244 +00:21:41,010 --> 00:21:47,050 +tuberosity longer عند الرجال، sharp، و point more + +245 +00:21:47,050 --> 00:21:51,370 +medially أكثر، يعني دائما بتحاول أن هو يضيق الحوض + +246 +00:21:51,370 --> 00:21:56,030 +عند الرجال، عكسه تماما الحوض عند النساء، هنا + +247 +00:21:56,030 --> 00:22:00,470 +ماعطيني صورة posterior view، هيك أنا فرقت ما بين + +248 +00:22:00,470 --> 00:22:04,660 +الـ pelvic in female and male، هذا الشيء حكيت + +249 +00:22:04,660 --> 00:22:10,040 +بساعدنا كتير، مهم أن أنا أعرف أفرق أو أميز بين + +250 +00:22:10,040 --> 00:22:14,240 +الحوض عند النساء والحوض عند الرجال من ناحية + +251 +00:22:14,240 --> 00:22:20,740 +تشريحية. نرجع لموضوعنا الأساسي اللي هو على ماذا + +252 +00:22:20,740 --> 00:22:24,580 +يحتوي الـ lower limb، حكينا الـ upper limb 30 عضمة + +253 +00:22:24,580 --> 00:22:32,890 +اتفقنا؟ 60 كلية؟ الجهدين 30 right 30 left، خليني + +254 +00:22:32,890 --> 00:22:36,790 +أشوف الـ lower limb كم عضمة موجود عندي عشان أيضًا + +255 +00:22:36,790 --> 00:22:44,210 +أقسمهم. الفيمر، عضمة الساق وهي من العظام الطويلة هذه + +256 +00:22:44,210 --> 00:22:52,050 +أول عضمة، تمام؟ بعدها البتلة، الرضفة أو ما يسمى بـ + +257 +00:22:52,050 --> 00:22:56,090 +sesamoid bone، العضمة السمسمية اللي هي الصابونة + +258 +00:22:57,020 --> 00:23:03,760 +التيبيا والفيبيولا، اللي هم عظام الساق، هيهم tibia and + +259 +00:23:03,760 --> 00:23:08,460 +فيبيولا بهذا الشكل، أنا بثبتهم، هي التيبيا وهذه + +260 +00:23:08,460 --> 00:23:13,560 +الفيبيولا. التارس + +261 +00:23:13,560 --> 00:23:17,920 +البون وعددهم سبعة، تمام؟ + +262 +00:23:19,660 --> 00:23:24,460 +هي هنا واحد واحد واحد واحد، والـ tarsal bones سبعة + +263 +00:23:24,460 --> 00:23:33,880 +الميتاتارسال عددهم أربعة عشر، الفلانجيز عددهم طبعًا + +264 +00:23:33,880 --> 00:23:37,720 +بدي أحكي للـ right و الـ left، معناته ثمانية وعشرون + +265 +00:23:37,720 --> 00:23:44,360 +خليني أشوف اللي هي الفلانجيز اللي هي نفس الكلام ما + +266 +00:23:44,360 --> 00:23:46,880 +أخذناه في الـ upper limb، تمام؟ + +267 +00:23:48,820 --> 00:23:54,480 +الفلانجيز عندنا في كل الأصابع ثلاث عقلات، ما عدا + +268 +00:23:54,480 --> 00:24:00,620 +الإصبع الكبير، two عقلتين فقط، تمام؟ إذا في عندي + +269 +00:24:00,620 --> 00:24:06,280 +إجمالي العظام في اللي هو الـ lower limb، هنشوفهم + +270 +00:24:06,280 --> 00:24:13,100 +الآن، نبدأ نشرح عن الفيمر، الفيمر هي عبارة عن الـ + +271 +00:24:13,100 --> 00:24:21,390 +long bone، عضمة طويلة. لها head ولها neck، حكينا كل + +272 +00:24:21,390 --> 00:24:28,610 +رأس بيجلس على قاعدة أو رقبة رقيقة، فيها الـ fovea + +273 +00:24:28,610 --> 00:24:33,310 +capitis اللي هي هذه، هذا اللي أنتم شايفينه معايا + +274 +00:24:33,310 --> 00:24:38,170 +النقرة الداخلية اللي في رأس الـ head عشان يطلع + +275 +00:24:38,170 --> 00:24:42,330 +منها الـ blood supply و الـ nerve، لما بتتمفصل مع + +276 +00:24:42,330 --> 00:24:47,920 +الـ acetabulum. الـ neck، الرقبة، حكينا في الـ bone + +277 +00:24:47,920 --> 00:24:52,840 +marking إنه أنا في عندي trochanter خاصة بالفيمر + +278 +00:24:52,840 --> 00:24:58,560 +greater trochanter وفي lesser trochanter، تمام؟ في + +279 +00:24:58,560 --> 00:25:02,320 +عندي الـ linea aspera، هذه البروز العظمي اللي طالع + +280 +00:25:02,320 --> 00:25:09,160 +لبرا. linea aspera في الـ condyle وفي الـ epicondyle + +281 +00:25:09,160 --> 00:25:14,500 +في عندنا medially وفي عندنا laterally، لو أنا ركبت + +282 +00:25:14,500 --> 00:25:20,160 +هذه على الدكتورة بتكون الـ right femur، هي الـ head + +283 +00:25:20,160 --> 00:25:24,940 +of femur، جاني هنا على الـ right، إذن هي الميديا الـ + +284 +00:25:24,940 --> 00:25:29,320 +condyle، وهي الميديا الابيكونديل condyle، ابي + +285 +00:25:29,320 --> 00:25:34,640 +condyle، تمام؟ هي عبارة عن long bone، عظام طويلة + +286 +00:25:34,640 --> 00:25:39,420 +تحتوي على الـ shaft أو ما يسمى بالساق، في حاجة أو خط + +287 +00:25:39,420 --> 00:25:42,020 +بارز عندنا اسمه الـ linea aspera + +288 +00:25:44,310 --> 00:25:47,950 +البتلة هي عبارة عن هذه العظمة الصغيرة اللي أنتم + +289 +00:25:47,950 --> 00:25:52,870 +شايفينها، هذه البتلة هي عبارة عن الـ kneecap أو ما + +290 +00:25:52,870 --> 00:25:59,870 +يسمى بـ، طقية أو قبعة مفصل الركبة، هذه الـ kneecap هي + +291 +00:25:59,870 --> 00:26:04,770 +عبارة عن sesamoid bone زي ما أخذنا، ولو حكيت أنا + +292 +00:26:04,770 --> 00:26:12,470 +إنها irregular bone كمان صحيح، هي عظام غير منتظمة، هي + +293 +00:26:12,470 --> 00:26:15,990 +عبارة عن الـ anterior surface للـ knee، السطح + +294 +00:26:15,990 --> 00:26:22,830 +الأمامي للركبة، flat, small bone located in tendon، + +295 +00:26:22,830 --> 00:26:27,750 +التندن لمين؟ في عضلة، بما أنها العظمة هذه أكبر عضمة + +296 +00:26:27,750 --> 00:26:31,690 +موجودة في جسم الإنسان أو أطول العظمة، فيها عضلة + +297 +00:26:31,690 --> 00:26:36,850 +رباعية الرأس اسمها الـ quadriceps وشرحت عنها قبل + +298 +00:26:36,850 --> 00:26:43,930 +كده، الـ quadriceps بيدخل التندن اللي هو الوتر داخل + +299 +00:26:43,930 --> 00:26:49,250 +البتلة، تمام؟ يعني داخل الرضفة أو ما يسمى + +300 +00:26:49,250 --> 00:26:53,430 +بالصابونة، هذا بالنسبة لإيش؟ للبتلة + +301 +00:26:55,270 --> 00:27:00,390 +خليني أشوف العظام الـ lower limb الأخرى، الـ tibia + +302 +00:27:00,390 --> 00:27:07,180 +الـ tibia هي عبارة عن shin bone، عضمة الساق، عضمة + +303 +00:27:07,180 --> 00:27:12,340 +medially، يعني زي ما حكينا عن القلعة والـ radius + +304 +00:27:12,340 --> 00:27:17,300 +حكينا الـ radius laterally والقلعة medially، هنا + +305 +00:27:17,300 --> 00:27:22,000 +عندنا الـ tibia medially والقلعة laterally، العظمة + +306 +00:27:22,000 --> 00:27:25,420 +السمينة والمليانة هي جاية على الـ medial aspect + +307 +00:27:26,270 --> 00:27:31,050 +فيها الـ condyle وفيها الـ tibial tuberosity اللي + +308 +00:27:31,050 --> 00:27:35,250 +موجودة هنا، هي هذه النتوءة العظمية الكبيرة، فيها + +309 +00:27:35,250 --> 00:27:41,450 +أيضًا الـ anterior crest، الجسر الأمامي، فيها تحت + +310 +00:27:41,450 --> 00:27:46,990 +الرمانة الداخلية. مشغولنا بالفوت، رمانتين، واحدة جاية + +311 +00:27:46,990 --> 00:27:51,650 +لجوا وواحدة طالعة لبرا. الـ medial ليه؟ هي عبارة عن + +312 +00:27:51,650 --> 00:27:58,040 +الـ medial malleolus، الرمانة الداخلية، تمام؟ توأمها + +313 +00:27:58,040 --> 00:28:01,820 +الآخر اسمه الفيبيولا، هذه اللي أنا حاطة ايدي عليها + +314 +00:28:01,820 --> 00:28:06,440 +الصغيرة، والعظمة الرفيعة، هي عبارة عن الفيبيولا + +315 +00:28:06,440 --> 00:28:13,840 +الفيبيولا بتيجي laterally، long، وسلين درجاية مسمسمة + +316 +00:28:13,840 --> 00:28:21,280 +لها head متصلة أو متكئة على الفيبيولا، lateral malleolus + +317 +00:28:21,280 --> 00:28:25,100 +لازم بتعطينا الرمانة الخارجية اللي لبرا، doesn't + +318 +00:28:25,100 --> 00:28:29,480 +bear any weight bearing، ما بتحمل أي وزن، تقول لهم أنا + +319 +00:28:29,480 --> 00:28:34,000 +رفيعة، ما أستطيع تحمل أي وزن، اتفضلي أنت يا تيبيا + +320 +00:28:34,000 --> 00:28:41,380 +اشتغلي كل الشغل، إذا الـ fibula تقع laterally، slender + +321 +00:28:41,380 --> 00:28:48,980 +هي عبارة عن عضمة رفيعة، مسطحة، مستوانية الشكل، تحتوي + +322 +00:28:48,980 --> 00:28:55,040 +على الرمانة laterally، الخارجية، أحد عظام الـ leg + +323 +00:28:55,040 --> 00:29:01,240 +أو ما يسمى بالـ lower part of leg، هذا الفيبيولا + +324 +00:29:01,240 --> 00:29:07,860 +وصلنا للـ ankle والـ foot، tarsal bones عندي سبع عظام + +325 +00:29:07,860 --> 00:29:15,860 +للتارس البون، سبعة right وسبعة left، تمام؟ سبعة على + +326 +00:29:15,860 --> 00:29:22,790 +اليمين وسبعة على اليسار. calcaneus، talus، navicular، + +327 +00:29:22,790 --> 00:29:26,930 +cuboid، lateral و intermediate و medial، + +328 +00:29:26,930 --> 00:29:32,190 +cuneiform، okay؟ هنا الـ calcaneus هي كعب القدم أو + +329 +00:29:32,190 --> 00:29:35,530 +كعب الرجل اللي إحنا بنوقف عليه، هذا الشيء، + +330 +00:29:35,530 --> 00:29:40,830 +calcaneus، ما بدنا نحفظ هذه الأسماء، فقط بدي أعرف + +331 +00:29:40,830 --> 00:29:44,730 +شيء إنه أنا بس الحاجات اللي بدي أوقف عليها، شايفين + +332 +00:29:44,730 --> 00:29:49,220 +الرجل من هنا كيف إلها قوس، إلها قوس، عكس تمامًا لما + +333 +00:29:49,220 --> 00:29:54,480 +يقولوا فلان عنده flat foot، ما بيكون فيه تقوس هنا، + +334 +00:29:54,480 --> 00:29:58,080 +لأ، تبقى الرجل كلها أو القدم كلها مستوية على سطح + +335 +00:29:58,080 --> 00:30:02,860 +الأرض، إذا هذا القوس ربنا سبحانه وتعالى منحنا إياه + +336 +00:30:02,860 --> 00:30:07,560 +لحكمة، بيوقف الإنسان على الـ calcaneus، وهي ما يسمى + +337 +00:30:07,560 --> 00:30:13,860 +بكعب الرجل، اتفقنا؟ tarsal bones هم عبارة عن 14 عضمة، + +338 +00:30:13,860 --> 00:30:19,220 +7 في الـ right و 7 في الـ left، الـ metatarsal عشرة + +339 +00:30:19,220 --> 00:30:23,540 +عشرة + +340 +00:30:23,540 --> 00:30:32,080 +خمسة right وخمسة left، تمام؟ ايه الفلانجيز؟ ثمانية + +341 +00:30:32,080 --> 00:30:41,040 +وعشرون، أربعة عشر right وأربعة عشر left، في منها + +342 +00:30:41,040 --> 00:30:47,600 +proximal قريبة من الـ midline، intermediate متوسطة و + +343 +00:30:47,600 --> 00:30:53,860 +distal اللي هي بعيدة، ثمانية وعشرون وعشرة، ثمانية + +344 +00:30:53,860 --> 00:31:00,680 +وثلاثين وعشرة، ثمانية وأربعين وأربعة، اثنين وخمسين + +345 +00:31:00,680 --> 00:31:06,220 +وعنا الفيمر والتيبيا والفيبيولا والبتلة + +346 +00:31:06,220 --> 00:31:14,520 +كده صار العدد؟ أربعة وخمسين وأربعة صار في عنا + +347 +00:31:14,520 --> 00:31:20,920 +ثمانية وخمسين، فهي أقل من الـ upper limb، نعيد ثاني + +348 +00:31:20,920 --> 00:31:29,020 +femur, patella, tibia, fibula، هاي أربعة، أربعة في + +349 +00:31:29,020 --> 00:31:33,220 +الـ right وأربعة في الـ left، هي ثمانية، ثمانية و + +350 +00:31:33,220 --> 00:31:39,930 +عندنا اللي هو، ثمانية، هاي من غير اللي هي tarsal bones + +351 +00:31:39,930 --> 00:31:48,190 +ثمانية وأربعة عشر tarsal وعشرة metatarsal وثمانية + +352 +00:31:48,190 --> 00:31:54,730 +وعشرون phalanges، بدي يصير أن ثمانية وأربعة، ثمانية و + +353 +00:31:54,730 --> 00:32:01,030 +ثمانية عشر وأربعة هي عشرون، ثلاثة، أربعة، خمسة، + +354 +00:32:01,030 --> 00:32:04,090 +ستة، إذا ستون، أنا ما كنت حاسب الـ right والـ left + +355 +00:32:04,090 --> 00:32:09,350 +هنا في الثمانية، إذا نفس الكلام في اللي هو الـ + +356 +00:32:09,350 --> 00:32:14,770 +lower limb، ستون عضمة أساسية مكونة للي هي الـ lower + +357 +00:32:14,770 --> 00:32:20,150 +limb. زي كل chapter، في عندنا حالة طبية، هاي الحالة + +358 +00:32:20,150 --> 00:32:24,830 +الطبية، هنشوفها في الـ ankle foot. في عندنا القوس اللي + +359 +00:32:24,830 --> 00:32:30,830 +هو عبارة عن القوس اللي بيكون موجود داخل الفوت هذا + +360 +00:32:30,830 --> 00:32:39,050 +القوس هو عبارة عن إيش؟ إن الـ sole نفسها أو ما يسمى + +361 +00:32:39,050 --> 00:32:43,250 +بباطن القدم لا يمكن أن يكون مستوي تماما على سطح + +362 +00:32:43,250 --> 00:32:49,170 +الأرض، لازم يكون في عندي قوس، الـ sole of foot + +363 +00:32:49,170 --> 00:32:53,650 +doesn't rest flat on the ground، ما بتمس الأرض + +364 +00:32:53,650 --> 00:32:59,690 +مباشرة. بيساعد في support of the weight of the + +365 +00:32:59,690 --> 00:33:03,370 +body، بيساعد اللي هو في تحميل الوزن، أنا اليوم حاملة + +366 +00:33:03,370 --> 00:33:07,650 +كل وزني على قدمي، فبالتالي لازم يكون في عندنا قوس + +367 +00:33:07,650 --> 00:33:13,190 +لازم يكون في عندنا اللي هو ما يسمى القوس اللي موجود + +368 +00:33:13,190 --> 00:33:14,750 +في باطن الرجل + +369 +00:33:17,440 --> 00:33:22,300 +to ensure حتى أنا أتأكد أن هو لازم يكون مرتفع زي ما + +370 +00:33:22,300 --> 00:33:27,360 +أنتم شايفينه هنا، مرتفع تماما عن سطح الأرض، ليش؟ + +371 +00:33:27,360 --> 00:33:31,540 +حتى ما يتم الضغط على blood supply والأعصاب، يعني لو + +372 +00:33:31,540 --> 00:33:35,900 +إجينا سألنا تبعين اللي هو اللي عندهم flat foot + +373 +00:33:37,760 --> 00:33:42,700 +بيقول لك آه مؤلم جدًا إذا وقفت فترة طويلة، لأنه بعمل أو + +374 +00:33:42,700 --> 00:33:48,840 +بيدوس على الـ nerves اللي هو الأعصاب، وبكون فيه مشكلة + +375 +00:33:48,840 --> 00:33:52,840 +عندي، إذا to ensure that blood supply and vessels والـ + +376 +00:33:52,840 --> 00:33:56,620 +nerves خلال الفوت not pinched، اللي هي not pinched + +377 +00:33:56,620 --> 00:34:02,360 +with standing، ما بتكون مع الـ standing، تمام؟ خليني + +378 +00:34:02,360 --> 00:34:08,110 +أشوف شو الـ medical أو أنواع الأقواس اللي موجودة عندي + +379 +00:34:08,110 --> 00:34:14,090 +في عندي ثلاثة أقواس موجودة داخل اللي هو الـ foot، في + +380 +00:34:14,090 --> 00:34:18,830 +عندي الـ medial longitudinal والـ transverse، أول + +381 +00:34:18,830 --> 00:34:23,390 +واحد، الـ medial longitudinal، القوس بيمتد من الـ heel + +382 +00:34:23,390 --> 00:34:28,390 +اللي هي هاي الـ calcaneus لحد الـ big toe، هذا كده + +383 +00:34:28,390 --> 00:34:33,710 +بيكون اسمه الـ inter أو الـ medial longitudinal، medial + +384 +00:34:33,710 --> 00:34:39,570 +longitudinal، من الـ heel هنا للـ big toe. الـ lateral not + +385 +00:34:39,570 --> 00:34:41,870 +high، مش كتير مرتفع + +386 +00:34:44,250 --> 00:34:49,930 +موجود عندي في الـ medial longitudinal arch. الـ transverse + +387 +00:34:49,930 --> 00:34:56,410 +running perpendicular، هي transverse جاي عمودي على الـ + +388 +00:34:56,410 --> 00:35:02,170 +longitudinal arch، إذا واحد جاي من اللي هو الـ heel + +389 +00:35:02,170 --> 00:35:07,870 +للـ big toe والثاني جاي من الـ heel للـ little toe + +390 +00:35:07,870 --> 00:35:15,330 +والـ transverse جاي perpendicular عليهم، هيك أنا عندي + +391 +00:35:15,330 --> 00:35:24,690 +ثلاثة أقواس للـ foot، صورة توضيحية هنا للـ foot و + +392 +00:35:24,690 --> 00:35:29,310 +نيجي نشوف شو الـ medical أو الـ clinical medical + +393 +00:35:30,640 --> 00:35:36,120 +بتعرفوا، أعجل الله لكم، في عندنا بنشوف بعض الناس عندهم + +394 diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/ZrL1kH3DFYw_raw.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/ZrL1kH3DFYw_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..0002e8f052cb6d889e5e5585766be7d67d7ff357 --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/ZrL1kH3DFYw_raw.srt @@ -0,0 +1,1768 @@ +1 +00:00:04,930 --> 00:00:08,950 +بسم الله الرحمن الرحيم نكمل معاكم skeletal system + +2 +00:00:08,950 --> 00:00:14,380 +رقم تلاتة ال part التانيزي ما شرحنا عن ال upper + +3 +00:00:14,380 --> 00:00:19,180 +limb و اعرفنا شو الحزم الصدري اعرفنا عن الترقوة + +4 +00:00:19,180 --> 00:00:23,400 +اعرفنا عن ال scapula الhymeras و ال radius و + +5 +00:00:23,400 --> 00:00:28,900 +القلنة و كمان ال rest كل هذه الأمور أخدناها بال + +6 +00:00:28,900 --> 00:00:33,160 +upper limb و خلصنا منها هنبدأ نشرح اليوم ان شاء + +7 +00:00:33,160 --> 00:00:38,060 +الله رب العالمين عن ال lower limb اللي هو عبارة عن + +8 +00:00:38,060 --> 00:00:42,510 +ال pelvic girdleطبعا وما زلنا مستمرين ومتابعين مع + +9 +00:00:42,510 --> 00:00:46,230 +بعض الـ Abdominal skeleton ال lower extremity + +10 +00:00:46,230 --> 00:00:53,810 +بيشمل ال hip ال thigh ال lower leg اللي هي عبارة + +11 +00:00:53,810 --> 00:01:02,640 +عن التيبياوالـ fibula الـ ankle والفوت إذن يجتمل + +12 +00:01:02,640 --> 00:01:07,220 +ال lower limb على زي ما أنتوا شايفين في الكاميرا + +13 +00:01:07,220 --> 00:01:13,740 +ال hip منطقة الحعوض البلوكاللي هو تمفصل الـhead of + +14 +00:01:13,740 --> 00:01:19,260 +the femur مع الـacetabulum، التجويف الحقي، الفيمر، + +15 +00:01:19,260 --> 00:01:23,740 +ال lower leg، اللي هو عبارة عن الـtibia و + +16 +00:01:23,740 --> 00:01:31,350 +الفيبولا، هذه الـtibia، وهذه الفيبولا، تمام؟أيضا + +17 +00:01:31,350 --> 00:01:36,990 +ال ankle joint و ال foot هاي القدم و تتمفصل مع + +18 +00:01:36,990 --> 00:01:43,510 +اللي هو ال ال tibia مع ال calcaneus تتمفصل اللي هي + +19 +00:01:43,510 --> 00:01:47,400 +مع ال tarsal bone عشان يكونولي ال ankle jointأذا + +20 +00:01:47,400 --> 00:01:51,460 +ال lower extremity تلتصق مع بعضها البعض بالـ + +21 +00:01:51,460 --> 00:01:56,840 +pelvic girdle الحزام الحوضي طبعا هو أكبر و أسمك + +22 +00:01:56,840 --> 00:02:02,120 +لأنه بيحمل جسم الإنسان بيمشي الإنسان فيه علشان + +23 +00:02:02,120 --> 00:02:08,470 +ينتقل من مكان إلى آخرهشوف كمان اللي هو الـ pelvis + +24 +00:02:08,470 --> 00:02:12,890 +من إيه بتكون الـ pelvis بتكون الـ pelvis من أربع + +25 +00:02:12,890 --> 00:02:19,270 +عضان اللي هي منطقة الـ sacrum و احنا أخدنا الـ + +26 +00:02:19,270 --> 00:02:25,470 +sacral من أحد اللي هي أجزاء العمود الفقري في الـ + +27 +00:02:25,470 --> 00:02:31,430 +axial skeleton الـ sacrum الـ coaxial right and + +28 +00:02:31,430 --> 00:02:40,250 +leftقصة ككسة اذا ساكرم واحد اتنين ككسيا تلاتة و + +29 +00:02:40,250 --> 00:02:47,570 +أربعة هايهم الأربع عظام ل ال بالفيك bones شو + +30 +00:02:47,570 --> 00:02:52,570 +وظيفتهم او شو ال function تبعتهم يعملوا على حماية + +31 +00:02:52,570 --> 00:03:00,030 +ودعم اللي هو الviscera ال function تبعتناsupport + +32 +00:03:00,030 --> 00:03:05,090 +and protect فذرع in inferior part of ventral body + +33 +00:03:05,090 --> 00:03:11,110 +cavity يعملوا على حماية ودعامة الأجزاء الحشوية + +34 +00:03:11,110 --> 00:03:16,590 +اللي موجودة داخل الحوض على سبيل المثال الكيليا، + +35 +00:03:16,590 --> 00:03:21,850 +الرحم، الفيتس أثناء الحمل كل هذه الأمور بتتم + +36 +00:03:21,850 --> 00:03:26,730 +حمايتها عن طريق الـpelvic الـpelvic girdle أو ما + +37 +00:03:26,730 --> 00:03:29,010 +يسمى بالحزام الحوضي + +38 +00:03:31,770 --> 00:03:37,190 +referred left and right of the coccyx only فقط ما + +39 +00:03:37,190 --> 00:03:42,130 +له علاقة بالعظام الأخرى إذا هذا الحزام الحوضي أو + +40 +00:03:42,130 --> 00:03:48,370 +هذا الحوض هو عبارة عنالقصة ككسة ال right والقصة + +41 +00:03:48,370 --> 00:03:52,630 +ككسة اللي هنا ال left ارتباطهم مع منطقة الساكرام + +42 +00:03:52,630 --> 00:03:57,550 +انا هنا بحكي على منطقة الساكرام الساكرام و تحت + +43 +00:03:57,550 --> 00:04:02,850 +منها الككسيا اذا ال بالف الجيردل يعود على left and + +44 +00:04:02,850 --> 00:04:08,550 +right of قصة ككسيا only تمام هذا بالنسبة للحزام + +45 +00:04:08,550 --> 00:04:15,060 +الحوضيو خلّينا نشوف شو هم القُسّا كُكسا العظام + +46 +00:04:15,060 --> 00:04:16,720 +عديمة الاسم + +47 +00:04:19,990 --> 00:04:25,410 +هي عبارة عن إيش؟ عبارة عن الـ hip bone أو ما يسمى + +48 +00:04:25,410 --> 00:04:31,910 +بالإنونوميت أو العظام عديمة الإسم هي عبارة عن ثلاث + +49 +00:04:31,910 --> 00:04:37,370 +عظام منفصلة كل واحدة فيهم each part composed of + +50 +00:04:37,370 --> 00:04:43,810 +three bones ثلاث عضمات منفصلين اللي هي منطقة الـ + +51 +00:04:43,810 --> 00:04:51,400 +helium تمام؟ ومنطقة الاسكيام ومنطقة الـتمام هاي + +52 +00:04:51,400 --> 00:04:57,760 +لبيو بيس إذا عندنا ال helium هذه المنطقة هاي و + +53 +00:04:57,760 --> 00:05:02,860 +بالمناسبة أنا سميت هاي ال الياك كريست هي عبارة عن + +54 +00:05:02,860 --> 00:05:07,380 +شايفينها معايا بالكاميرا هي عبارة عن حافة الحوض + +55 +00:05:07,380 --> 00:05:12,020 +هذه المنطقة اسمها ال heliumهنا اسمها الـ ischium + +56 +00:05:12,020 --> 00:05:15,940 +اللي احنا بنجلس عليها، العظام اللي بنجلس عليها الـ + +57 +00:05:15,940 --> 00:05:21,360 +ischium تحت الارتفاق العيني اللي هو ما يسمى بالـ + +58 +00:05:21,360 --> 00:05:26,640 +pupis أو اللي هي ما يسمى بالـ pubic او الـ pupis + +59 +00:05:26,640 --> 00:05:32,900 +اتصال ال right مع ال leftفي عندي two Osteococcia + +60 +00:05:32,900 --> 00:05:36,540 +اللي هم الـ inulamate bones العظام عديمة الإسم + +61 +00:05:36,540 --> 00:05:41,000 +مكوّنة من الـ three parts أو تلت عضمات منفصلين أول + +62 +00:05:41,000 --> 00:05:45,100 +واحدة اسمها الـ Ileum اتنين اسمها الاسكيوم تلاتة + +63 +00:05:45,100 --> 00:05:52,880 +اسمها البيوبيس هاي عظام الحوض بشكل عام each + +64 +00:05:52,880 --> 00:05:58,020 +articulated posteriorly with sacrum and in + +65 +00:05:58,020 --> 00:06:04,610 +sacroiliac jointاتصال .. اتصال اي عضلتين + +66 +00:06:10,860 --> 00:06:16,640 +Each articulated posteriorly with Sacrum and code + +67 +00:06:16,640 --> 00:06:22,440 +in joint Sacroiliac joint الآن هذه الـ Iliac متصلة + +68 +00:06:22,440 --> 00:06:27,180 +تماما مع منطقة الـ Sacrum اتصال عظمتين مع بعضهما + +69 +00:06:27,180 --> 00:06:32,400 +البعض سنسمي الـ joint باسم العظمتين Sacroiliac + +70 +00:06:32,400 --> 00:06:37,680 +jointSacrum مع الـ Ilium فهي عبارة عن Sacroiliac + +71 +00:06:37,680 --> 00:06:42,640 +Joint اتفقنا؟ إذا في عندي Sacroiliac Joint في ال + +72 +00:06:42,640 --> 00:06:47,380 +right و Sacroiliac Joint بال left إذا في التلاتة + +73 +00:06:47,380 --> 00:06:51,420 +bones أو الـ Ilium bones مكونين من ثلاث عضمات هذه + +74 +00:06:51,420 --> 00:06:56,000 +بتصل posteriorly من الخلف مع منطقة الـ Sacrum + +75 +00:06:57,170 --> 00:07:03,610 +cervical, thoracic, lumbar, sacrum, coccyl اتفقنا؟ + +76 +00:07:03,610 --> 00:07:09,570 +هاي ال parts of vertebral column هذه الرسمة + +77 +00:07:09,570 --> 00:07:13,250 +بالمناسبة جيبناها مرة في امتحان ال final هي عبارة + +78 +00:07:13,250 --> 00:07:19,450 +عن عضمة الحوض هشرحها الآن عشان اعدي حفرق بين عظام + +79 +00:07:19,450 --> 00:07:25,230 +الحوض لل female وال maleالان من فوق هذا زي ما + +80 +00:07:25,230 --> 00:07:29,810 +حكينا عنه اللي هو عبارة عن الـ Iliac crest الحافة + +81 +00:07:29,810 --> 00:07:35,950 +اللي هي بتكون في منطقة الاليام هنا هذا اللي أنا + +82 +00:07:35,950 --> 00:07:40,950 +بتكلم عليه الـ Sacroiliac joint التقاء الساكرم مع + +83 +00:07:40,950 --> 00:07:46,900 +عضمة الاليام بسميها الـ Sacroiliac jointتمام؟ هذه + +84 +00:07:46,900 --> 00:07:50,380 +الـ Essential Bone أو الـ Essential Tubricity هذا + +85 +00:07:50,380 --> 00:07:54,600 +من ورا هو عبارة عن الكوكسيال، هذه هنا موجود عندى + +86 +00:07:54,600 --> 00:07:58,140 +في الـ skeleton وموجود هنا طبعا هذا باقي الـ + +87 +00:07:58,140 --> 00:08:02,260 +vertebral column وهذه اللى هي الـ sacrum اللى + +88 +00:08:02,260 --> 00:08:07,840 +موجودة هنا في عندى اللى هم هنا الـbupix أو ما يسمى + +89 +00:08:07,840 --> 00:08:12,780 +بالارتفاق العانى هو عبارة عن ارتباطالـ Right + +90 +00:08:12,780 --> 00:08:16,480 +Helium مع الـ Left مع بعضهم البعض بـ + +91 +00:08:16,480 --> 00:08:22,300 +Fibrocartilaginous Disc تمام؟ هاي هنا الـ + +92 +00:08:22,300 --> 00:08:28,660 +Acetabulum اللي هتدخل فيها الـ Head of Femur هذه + +93 +00:08:28,660 --> 00:08:32,440 +الـ Head of Femur هتفوت في داخل التجويف الحقي وهو + +94 +00:08:32,440 --> 00:08:36,750 +ما يسمى بالـ Acetabulum اتفقنا؟في عندنا الـ + +95 +00:08:36,750 --> 00:08:40,090 +Foramen واحنا حكينا كلمة الـ Foramen في الـ Bone + +96 +00:08:40,090 --> 00:08:44,730 +Marking هي عبارة عن إيش؟ oval أو rounded opening + +97 +00:08:44,730 --> 00:08:50,470 +فتحة دائرية أو بوضاوية لدخول الـ lymph nodes، أسفل + +98 +00:08:50,470 --> 00:08:54,670 +الـ lymph vessels، الارتري، ال blood vessels، أي + +99 +00:08:54,670 --> 00:08:58,650 +إشي بيفوت من خلالها، هذه اسمها الـ Foramen أو + +100 +00:08:58,650 --> 00:09:04,080 +بسميها الـ Optral Foramenالـ pubic هي عبارة عن + +101 +00:09:04,080 --> 00:09:07,680 +اللي هي ال right و ال pubic ال left بيلتقوا مع + +102 +00:09:07,680 --> 00:09:12,720 +بعضهم البعض مع اللي هو symphases ال pubic هم ال + +103 +00:09:12,720 --> 00:09:16,520 +ischium هذه النطفة اللي هي ال part التاني هي عبارة + +104 +00:09:16,520 --> 00:09:20,500 +عن ال ischiumOkay؟ إذاً الأثة كوكسيا انقسمت إلى + +105 +00:09:20,500 --> 00:09:23,980 +ثلاث عضام أساسية، هذه أول واحدة الـ Helium، + +106 +00:09:23,980 --> 00:09:27,760 +التانية هي عبارة عن الـ Pupis، التالتة هي عبارة عن + +107 +00:09:27,760 --> 00:09:33,540 +الـ Ischium، هيك بيكون أنا بيّنت شكل الحاض، لأنه + +108 +00:09:33,540 --> 00:09:38,400 +يختلف تماما الحاض عند ال male من ال female، يعني + +109 +00:09:38,400 --> 00:09:42,000 +على سبيل المثال، فيه وظائف خاصة في ال female، حمل + +110 +00:09:42,000 --> 00:09:46,620 +و ما حمل، فيختلف وضع الاحتواء للجنين عن ال male، + +111 +00:09:47,550 --> 00:09:50,850 +أيضًا في الطب الشرعي كمان، لما يكون في عندنا جثة + +112 +00:09:50,850 --> 00:09:56,090 +وإحنا مش عارفين إن هذا المتوفع هل هو أنثى أم ذكر، + +113 +00:09:56,090 --> 00:10:00,150 +فبنروح للحواد، بنعرف من شكل الحواد، طبعًا هذا إيش + +114 +00:10:00,150 --> 00:10:02,890 +إيه علاقة بالطب الشرعي مش عندنا، بس إنه إحنا + +115 +00:10:02,890 --> 00:10:06,970 +بناخده للمعلومات تبعتنا، إن هل هذا الجثة اللي + +116 +00:10:06,970 --> 00:10:13,650 +موجودة ل female أو ل male، هنشوف كيفالان هاي سورة + +117 +00:10:13,650 --> 00:10:16,970 +أشعل الحوض، بتعرفوا مشاكل الحوض عند الأطفال كتير + +118 +00:10:16,970 --> 00:10:21,490 +جدا، بعض الأحيان بضطر أصور في جراحة الأطفال، إذا + +119 +00:10:21,490 --> 00:10:25,330 +كانت على سبيل المثال عند الطفل خلع ولادة أو لأ، + +120 +00:10:25,330 --> 00:10:30,330 +إذا هاي ال head of فيمرطلعت برا الاسيتابيولام في + +121 +00:10:30,330 --> 00:10:34,690 +عندى حاجة اسمها بنسميها خلع اللى هو الحوض الولادي + +122 +00:10:34,690 --> 00:10:38,390 +هذا بيكون طبعا ناتجة ان العضمة هى بتكون طالعة برا + +123 +00:10:38,390 --> 00:10:42,950 +من الحوض بتأدي لتأخر في ماشي الطفل بتأدي لقصر + +124 +00:10:42,950 --> 00:10:49,810 +الرجل اللى موجود فيها حسب يعنى الحالة ال belvedere + +125 +00:10:52,150 --> 00:10:55,290 +أو ما يسمى بالحزم الحوضي حكينا القصة كوكسيا هي + +126 +00:10:55,290 --> 00:10:59,950 +عبارة عن تنتين واحدة right واحدة left تعمل support + +127 +00:10:59,950 --> 00:11:05,550 +لل trunk كمان protect للذذرةSupport للـ Trunk + +128 +00:11:05,550 --> 00:11:10,110 +بتدعم اللي هو الـ Trunk هذا اللي انتوا شايفينه + +129 +00:11:10,110 --> 00:11:15,570 +الجذع و بتحمي الأحشاء الداخلية اللي موجودة داخل + +130 +00:11:15,570 --> 00:11:20,610 +الحوض هذا بالنسبة للحزام الحوضي من إيش بدها تتكون + +131 +00:11:20,610 --> 00:11:26,610 +الـ Osteococcus الـ Hip Bone و الـ Acetabulum الـ + +132 +00:11:26,610 --> 00:11:32,020 +Acetabulum اللي هي هاد اللي بتدخل فيهاالـ Head of + +133 +00:11:32,020 --> 00:11:36,260 +the Humerus، لاحظوا أنا بحركها يمين، يسار، + +134 +00:11:36,260 --> 00:11:40,980 +laterally and medially، إذا هو مفصل، حر الحركة، + +135 +00:11:40,980 --> 00:11:43,280 +حكينا يتشابه مع الـ Upper Limb في الـ Shoulders + +136 +00:11:43,280 --> 00:11:48,400 +Joint، ممكن أعمل Fliction، Extension، Abduction، + +137 +00:11:48,400 --> 00:11:53,460 +Adduction، أفوتها لجوا، إذا هو مفصل، حر الحركة، + +138 +00:11:53,460 --> 00:11:58,190 +الـ Ilium، الـ Ischium، البيوبيس،أول واحدة الـ + +139 +00:11:58,190 --> 00:12:04,070 +Helium هتتكون من الـ Heliac crest حافة اللي هو + +140 +00:12:04,070 --> 00:12:07,930 +الحوض هذه اللي موجودة عندنا كلنا اللي هي الـ + +141 +00:12:07,930 --> 00:12:12,030 +Heliac crest في عندي حاجة اسمها الـ Heliac spine + +142 +00:12:12,030 --> 00:12:17,140 +الشوكة spine هي عبارة عن الشوكة الشاربGreater + +143 +00:12:17,140 --> 00:12:22,120 +Sciatica Notch من جوا في عندي حاجة اسمها Greater + +144 +00:12:22,120 --> 00:12:26,340 +Sciatica Notch وكلمة Notch هو عبارة عن ملقط أو + +145 +00:12:26,340 --> 00:12:34,080 +حاجة معلقة الاسكين هي ال part التاني من عضم الأسة + +146 +00:12:34,080 --> 00:12:38,310 +هي عبارة عن الحاجة اللي احنا بنجلس عليهافي عندنا + +147 +00:12:38,310 --> 00:12:43,190 +الـ Essential Spine هذه الـ Spine اللي هو عبارة عن + +148 +00:12:43,190 --> 00:12:48,190 +النتوء العضمي الشارب أيضًا في منها الـ Lesser وفي + +149 +00:12:48,190 --> 00:12:52,330 +الـ Essential Tuberosity هاي موجودة هنا بالصورة + +150 +00:12:52,330 --> 00:12:55,930 +كمان واضحة عندكم هنا اللي هو الـ Greater Essential + +151 +00:12:55,930 --> 00:13:01,070 +Tuberosity وفي عندنا اللي هي الـ Scum الbart + +152 +00:13:01,070 --> 00:13:06,740 +التالتوالأخير لعظام الحوض الـ Operated Foramen + +153 +00:13:06,740 --> 00:13:11,620 +واحنا حكينا عنه هو عبارة عن Rounded Foramen فتحة + +154 +00:13:11,620 --> 00:13:15,960 +دائرية بيطلع منها الـ artery و الـ vein و ال blood + +155 +00:13:15,960 --> 00:13:21,660 +vessels و ال lymph vessels ترتبط لـ pubis ال right + +156 +00:13:21,660 --> 00:13:25,660 +مع ال pubis ال left في حاجة اسمها الـ Sympathes + +157 +00:13:25,660 --> 00:13:33,360 +Pubis الارتفاق العاني اللي هو joint غير متحركمعها + +158 +00:13:33,360 --> 00:13:38,300 +الـ pubic arch اللى هو عبارة عن المفصل اللى هو أو + +159 +00:13:38,300 --> 00:13:43,560 +عبارة عن القوس اللى بكون في منطقة الارتفاق العانى + +160 +00:13:43,560 --> 00:13:49,040 +هذه التلاتة عضمات هي العضمات المكوناة للككتاب اللى + +161 +00:13:49,040 --> 00:13:50,680 +هى الانونمات bones + +162 +00:13:53,940 --> 00:13:58,620 +في عندي اللي هو الحوض الكبير والحوض الصغير greater + +163 +00:13:58,620 --> 00:14:03,280 +and lesser pelvis من اسمه اللي هو ال greater + +164 +00:14:03,280 --> 00:14:12,940 +الكبير بداية هيجتمل هيجتمل مع بداية + +165 +00:14:12,940 --> 00:14:20,060 +الحوض الكبير هيبدأ من ال lumber وينتهي مناللي هو + +166 +00:14:20,060 --> 00:14:24,240 +من الـ Lumber posteriorly يعني أنا أخدت الـ Lumber + +167 +00:14:24,240 --> 00:14:31,500 +من الواحد لالخمسة من الخلف حدوده الـ Iliac bones + +168 +00:14:31,500 --> 00:14:37,640 +على الجنبين ال abdominal walls أو اللي هو الجدار + +169 +00:14:37,640 --> 00:14:43,820 +البطني من الأمام إذن لـ Greater pelvis أو ما يسمى + +170 +00:14:43,820 --> 00:14:49,500 +بـالحوض الأكبر حدوده من الـ lumber من فوق و أنت + +171 +00:14:49,500 --> 00:14:55,960 +نازلة تحت تشمل هذا الحدود posteriorly أما من على + +172 +00:14:55,960 --> 00:15:00,080 +الجانبين فهي منطقة الـ helium من الأمام زي ما أحنا + +173 +00:15:00,080 --> 00:15:03,940 +شايفين في الـ skeleton الـ abdominal wall اللي هو + +174 +00:15:03,940 --> 00:15:10,000 +الجدار البطنيالـ Lumbar عظامها أكبر أو فقراتها + +175 +00:15:10,000 --> 00:15:15,940 +أوسع أما لو إجيت لل lesser pelvic هيبدألي من الـ + +176 +00:15:15,940 --> 00:15:21,140 +sacrum و الكوكسيال اللي هم أصغر بيكونوا تحت ساكرم + +177 +00:15:21,140 --> 00:15:28,200 +و كوكسيال من ال posterior lower تبع ال helium و + +178 +00:15:28,200 --> 00:15:32,080 +الاسكيام and the pupis bone laterally and + +179 +00:15:32,080 --> 00:15:38,600 +anteriorly نشوف مع بعضالإليام من فوق ال upper part + +180 +00:15:38,600 --> 00:15:43,280 +كانت مع ال greater pelvis ولكن جزئيتها اللي تحت ال + +181 +00:15:43,280 --> 00:15:49,860 +lower part مع ال ischium و اللي هو ال pubis + +182 +00:15:49,860 --> 00:15:54,420 +بيكونوا جايين من .. لحظوا معايا laterally و + +183 +00:15:54,420 --> 00:15:59,020 +anteriorly من تحت جاية من على الجنبين و جاية لتحت + +184 +00:15:59,020 --> 00:16:07,860 +إذن laterallyand anteriorly إذا الـ lesser بيشمل + +185 +00:16:07,860 --> 00:16:10,380 +لمنطقة الـ sacrum و الكوكسيال زي ما شفنا على + +186 +00:16:10,380 --> 00:16:15,000 +الرسمة أو شفنا على الجهاز من الجزئية السفلة من الـ + +187 +00:16:15,000 --> 00:16:20,320 +helium مع الـ ischium و الـ pupus جانبي أمامي إذا + +188 +00:16:20,320 --> 00:16:25,800 +الحدود تبعتها جانبي زائد أمامي اتفقنا؟ هذا ال + +189 +00:16:25,800 --> 00:16:30,960 +greater pelvis هنا لدينا ال lesser pelvis okay؟ + +190 +00:16:35,520 --> 00:16:42,700 +نجي نشوف ال male and female بالذك ال female تعني + +191 +00:16:42,700 --> 00:16:49,420 +الأنثى ولها خاصية منحها الله سبحانه وتعالى لبالذك + +192 +00:16:49,420 --> 00:16:55,260 +خاصية مميزة ال female بالذك ال اليكبون more flared + +193 +00:16:55,260 --> 00:17:01,230 +أكثر تسطحاليه؟ لأنه بكرا في عندي جنين، وغير الجنين + +194 +00:17:01,230 --> 00:17:05,950 +هيكون في كل ما تحتويه أمور الحمل، فبالتالي هي + +195 +00:17:05,950 --> 00:17:12,690 +بحاجة لمكان أوسع، إذا العظام أكثر تسطحا من الرجل، + +196 +00:17:12,690 --> 00:17:19,690 +هاي أول معلومة، التسطح أكثرالـ borders تبع الـ hip + +197 +00:17:19,690 --> 00:17:25,950 +طبعاً ماخد حواف اللي هو الحوض الـ pubic arch اللي + +198 +00:17:25,950 --> 00:17:33,630 +أنا شفتها أو ما يسمى بقوس الـ pubic arch أكثر أو + +199 +00:17:33,630 --> 00:17:40,590 +أكبر عند النساء أكبر عند النساء more distance ما + +200 +00:17:40,590 --> 00:17:44,430 +بين الـ essential spine والـ essential tuberosity + +201 +00:17:45,590 --> 00:17:49,830 +أكثر مسافة ما بين الـ Essential Spine اللي موجودة + +202 +00:17:49,830 --> 00:17:55,290 +هنا مع الـ Essential Tubricity كل هذا الاشي عشان + +203 +00:17:55,290 --> 00:18:01,790 +نوسع لموضوع الحمل الـ Sacral Curvatures Shorter + +204 +00:18:01,790 --> 00:18:09,500 +and Flaredتمام؟ Lighter bones عظامها الأنثى أخف من + +205 +00:18:09,500 --> 00:18:15,740 +عظام الذكر الآن بنحكي هنا على هذه المنطقة الحمل + +206 +00:18:15,740 --> 00:18:20,400 +هيتم في المنطقة اللي هي موجودة هنا واخدنا مميزاتها + +207 +00:18:20,400 --> 00:18:25,620 +عظام رقيقة كثافتها أقل أكثر تسطحا المسافة ما بين + +208 +00:18:25,620 --> 00:18:29,660 +الـesacial spine و الesacial tuberosity واسعة حتى + +209 +00:18:29,660 --> 00:18:35,920 +تحتملأكبر كمية من اللي هو موضوع كيس الحمل تمام؟ كل + +210 +00:18:35,920 --> 00:18:40,080 +هذه الأمور موجودة بال female إذا هذه الخصائص اللي + +211 +00:18:40,080 --> 00:18:45,080 +أنا اتحدثت عليها في حوض الأنثى خلينا نشوف حوض اللي + +212 +00:18:45,080 --> 00:18:48,940 +هو ال male هيختلف تماما و هنشوف + +213 +00:18:55,370 --> 00:19:00,490 +هنا عملنا comparison اللي هي عبارة عن مقارنة ما + +214 +00:19:00,490 --> 00:19:08,050 +بين الحوضين بالنسبة لل ساكرام هي عبارة عن wider + +215 +00:19:08,050 --> 00:19:12,330 +and short curvature في ال female زي ما وضحناها في + +216 +00:19:12,330 --> 00:19:17,810 +ال slide السابقة ولكن نارو ما بدنا هنا مكان واسع + +217 +00:19:17,810 --> 00:19:23,020 +زي ما هو خليه مثل ما هوand longer الساكرال الـ + +218 +00:19:23,020 --> 00:19:26,740 +prominently are more ventral لقدام في الرجال مافي + +219 +00:19:26,740 --> 00:19:32,040 +موضوع حمله مابده يترس و مابده الرحم لأ هيكون عندهم + +220 +00:19:32,040 --> 00:19:36,920 +نرق ضيق طويل prominent للventral less movable + +221 +00:19:36,920 --> 00:19:41,700 +بيكون للأمام جاي مش زي اللي هو ال female flared + +222 +00:19:41,700 --> 00:19:47,320 +أكثر تسطحا لأ ال coaxial أو ما يسمى بيه اللي هو + +223 +00:19:48,470 --> 00:19:53,870 +الكوكسي البون في النساء more movable أكثر حركة + +224 +00:19:53,870 --> 00:19:59,640 +مستقيمة زي ما انتوا شايفينهتمام؟ عشان لو صار في + +225 +00:19:59,640 --> 00:20:03,800 +عندي أي تغيرات خصوصا في الـLast Trimester الأشهر + +226 +00:20:03,800 --> 00:20:08,480 +الأخيرة للحمل بحتاج أن الجنين يدفع اللي هو العمود + +227 +00:20:08,480 --> 00:20:12,340 +الفقري للـM لوراه أما زي ما انتوا شايفينه في + +228 +00:20:12,340 --> 00:20:17,040 +الرجال اللي هو Less Moveable وماخد الـCurvatures + +229 +00:20:17,040 --> 00:20:22,300 +الإنحناء للأمام Anteriorly ما عنده موضوع حمل ولا + +230 +00:20:22,300 --> 00:20:26,870 +عنده أي تغيرات هتصيرالـ Greater Satica Notch أو ما + +231 +00:20:26,870 --> 00:20:31,490 +يسمى بي اللي هو الملقطة تبع الـ Satica Notch عند + +232 +00:20:31,490 --> 00:20:38,970 +النساء واسع ومسطح shallow and wider لكن عند الرجال + +233 +00:20:38,970 --> 00:20:43,130 +narrow and deep والله أحنا مش محتاجين أن يكون في + +234 +00:20:43,130 --> 00:20:48,110 +عندي Satica Notch واسع ولا shallow سطحي لأن مافي + +235 +00:20:48,110 --> 00:20:54,680 +عندهم أي موضوع للحملبالنسبة للـ pelvic inlet اللي + +236 +00:20:54,680 --> 00:21:01,600 +هو انحراف الحوض أو ميلان الحوض للداخل أثناء الحركة + +237 +00:21:01,600 --> 00:21:10,000 +عند النساء بيكون wider وعلى شكل بيضاوي، لاحظي؟ شكل + +238 +00:21:10,000 --> 00:21:16,820 +بيضاوي أما بالنسبة عند الرجال فهو نرو ضيق على شكل + +239 +00:21:16,820 --> 00:21:20,220 +ال heart chip تمام؟ + +240 +00:21:22,410 --> 00:21:27,250 +الـ pelvic outlet الإنحناء أو الدوران الخلفي يكون + +241 +00:21:27,250 --> 00:21:33,030 +أكثر أيضًا عند النساء الإسكيال تيوبريسيتي قصيرة + +242 +00:21:33,030 --> 00:21:36,610 +قادرة + +243 +00:21:36,610 --> 00:21:41,010 +على الدوران أو الإنحناءبينما الـ Essential + +244 +00:21:41,010 --> 00:21:47,050 +Tubricity Longer عند الرجال، Sharp، و Point More + +245 +00:21:47,050 --> 00:21:51,370 +Medially أكثر، يعني دائما بتحاول أن هو يضيق الحوض + +246 +00:21:51,370 --> 00:21:56,030 +عند الرجال، عكسه تماما الحوض عند النساء، هنا + +247 +00:21:56,030 --> 00:22:00,470 +ماعطيني صورة posterior view، هيك أنا فرقت ما بين + +248 +00:22:00,470 --> 00:22:04,660 +الـpelvic in female and male،هذا الاشي حكيت + +249 +00:22:04,660 --> 00:22:10,040 +بساعدنا كتير مهم انه انا اعرف افرق او اميز بين + +250 +00:22:10,040 --> 00:22:14,240 +الحوض عند النساء والحوض عند الرجال من ناحية + +251 +00:22:14,240 --> 00:22:20,740 +تشريحية نرجع لموضوعنا الأساسي اللي هو على ماذا + +252 +00:22:20,740 --> 00:22:24,580 +يحتوي ال lower limb حكينا ال upper limb 30 عضمة + +253 +00:22:24,580 --> 00:22:32,890 +اتفقنا؟ 60 لكيلة؟الجهدين 30 right 30 left خليني + +254 +00:22:32,890 --> 00:22:36,790 +أشوف ال lower limb كم عضمة موجود عندى عشان أيضا + +255 +00:22:36,790 --> 00:22:44,210 +أقسمهم الفيمر عضمة الساق وهي من العظام الطويلة هذه + +256 +00:22:44,210 --> 00:22:52,050 +أول عضمة تمام بعدها البتلة الرضفة أو ما يسمى بـ + +257 +00:22:52,050 --> 00:22:56,090 +sesamide bone العضمة السمسمية اللى هى الصابونة + +258 +00:22:57,020 --> 00:23:03,760 +تيبيا والفيبيولا اللي هم عظام الساق هيهم تيبيا and + +259 +00:23:03,760 --> 00:23:08,460 +فيبيولا بهذا الشكل أنا بثبتهم هي التيبيا وهذه + +260 +00:23:08,460 --> 00:23:13,560 +الفيبيولا التارس + +261 +00:23:13,560 --> 00:23:17,920 +البون وعددهم سبعة تمام؟ + +262 +00:23:19,660 --> 00:23:24,460 +هي هنا واحد واحد واحد واحد وال تارسل بون سبعة + +263 +00:23:24,460 --> 00:23:33,880 +الميتا تارسل عددهم اربعتاش الفلانجيز عددهم طبعا + +264 +00:23:33,880 --> 00:23:37,720 +بدي احكي لل right وال left معناته تمانية وعشرين + +265 +00:23:37,720 --> 00:23:44,360 +خليني اشوف اللي هي الفلانجيز اللي هي نفس الكلام ما + +266 +00:23:44,360 --> 00:23:46,880 +أخدناه في ال upper limb تمام؟ + +267 +00:23:48,820 --> 00:23:54,480 +الفلانجيز عندنا في كل الأصابع ثلاث عقلات ما عدا + +268 +00:23:54,480 --> 00:24:00,620 +الإصبع ال big two عقلتين فقط تمام؟ إذا في عندي + +269 +00:24:00,620 --> 00:24:06,280 +إجمالي العظام في اللي هو ال lower limb هنشوفهم + +270 +00:24:06,280 --> 00:24:13,100 +الآن نبدأ نشرح عن الفيمر الفيمر هي عبارة عن ال + +271 +00:24:13,100 --> 00:24:21,390 +long bone عضمة طويلةالها Head والها Neck حكينا كل + +272 +00:24:21,390 --> 00:24:28,610 +رأس بيجلس على قاعدة أو رقبة رقيقة فيها الـ Vuvia + +273 +00:24:28,610 --> 00:24:33,310 +Capitis اللي هي هادي هذا اللي أنتوا شايفينه معايا + +274 +00:24:33,310 --> 00:24:38,170 +النقرة الداخلية اللي في رأس الـ Head عشان يطلع + +275 +00:24:38,170 --> 00:24:42,330 +منها الـ Blood Supply و الـ Nerve لما بتتمفصل مع + +276 +00:24:42,330 --> 00:24:47,920 +الـ Acetabulum الـ Neck الرقبةحكينا في الـ Bone + +277 +00:24:47,920 --> 00:24:52,840 +Marking إنه أنا في عندي Trochanter خاصة بالفيمر + +278 +00:24:52,840 --> 00:24:58,560 +Greater Trochanter وفي Lesser Trochanter تمام؟ في + +279 +00:24:58,560 --> 00:25:02,320 +عندي الـ Lina Aspera هذه البروز العضمي اللي طالع + +280 +00:25:02,320 --> 00:25:09,160 +لبرا Lina Aspera في ال Condyle وفي ال Ibicondyle + +281 +00:25:09,160 --> 00:25:14,500 +في عندنا Medially وفي عندنا Laterally لو أنا ركّبت + +282 +00:25:14,500 --> 00:25:20,160 +هذه علىالدكتورة بتكون الـ Right Femur هي الـ Head + +283 +00:25:20,160 --> 00:25:24,940 +of Femur جاني هنا على ال Right إذن هي الميديا الـ + +284 +00:25:24,940 --> 00:25:29,320 +Condyle وهي الميديا الابي Condyle Condyle، ابي + +285 +00:25:29,320 --> 00:25:34,640 +Condyle تمام؟ هي عبارة عن Long Bone، عظام طويلة + +286 +00:25:34,640 --> 00:25:39,420 +تحتوي على ال shaft أو ما يسمى بالساق في حاجة أو خط + +287 +00:25:39,420 --> 00:25:42,020 +بارز عندنا اسمه الـ Lina أسبرا + +288 +00:25:44,310 --> 00:25:47,950 +البتلة هي عبارة عن هذه العضمة الصغيرة اللي أنتوا + +289 +00:25:47,950 --> 00:25:52,870 +شايفينها هذه البتلة هي عبارة عن الـ kneecap أو ما + +290 +00:25:52,870 --> 00:25:59,870 +يسمى بـطقية أو قبعة مفصل الركبة هذه الـ kneecap هي + +291 +00:25:59,870 --> 00:26:04,770 +عبارة عن sesame bone زي ما أخدنا و لو حكيت أنا + +292 +00:26:04,770 --> 00:26:12,470 +إنها irregular bone كمان صحيح هي عظام غير منتظمةهي + +293 +00:26:12,470 --> 00:26:15,990 +عبارة عن الـ Anterior Surface للـ knee، السطح + +294 +00:26:15,990 --> 00:26:22,830 +الأمامي للركبة، Flat Smite Bone Located in Tendon، + +295 +00:26:22,830 --> 00:26:27,750 +التندن لمين؟في عضلة، بما أنها العضمة هذه أكبر عضمة + +296 +00:26:27,750 --> 00:26:31,690 +موجودة في جسم الإنسان أو أطوى العضمة، فيها عضلة + +297 +00:26:31,690 --> 00:26:36,850 +رباعية الرأس اسمها الـQuadriceps وشرحت عنها قبل + +298 +00:26:36,850 --> 00:26:43,930 +كده الـQuadriceps بيدخل التندن اللي هو الوطر داخل + +299 +00:26:43,930 --> 00:26:49,250 +البتلة، تمام؟ يعني داخل الرضفة أو ما يسمى + +300 +00:26:49,250 --> 00:26:53,430 +بالصابونة هذا بالنسبة لإيش؟ للبتلة + +301 +00:26:55,270 --> 00:27:00,390 +خلّيني أشوف العظام الـ lower limb الأخرى الـ tibia + +302 +00:27:00,390 --> 00:27:07,180 +الـ tibia هي عبارة عن shin bone عضمة الساقعضمة + +303 +00:27:07,180 --> 00:27:12,340 +medially يعني زي ما حكينا عن القلنة و ال radius + +304 +00:27:12,340 --> 00:27:17,300 +حكينا ال radius laterally و القلنة medially هنا + +305 +00:27:17,300 --> 00:27:22,000 +عندنا ال tibia medially و القلنة laterally العضمة + +306 +00:27:22,000 --> 00:27:25,420 +السمينة و المليانة هي جاية على ال media ال aspect + +307 +00:27:26,270 --> 00:27:31,050 +فيها الـ Condyle و فيها الـ Tibial Tuberosity اللي + +308 +00:27:31,050 --> 00:27:35,250 +موجودة هنا هي هذه النتوءة العضمية الكبيرة فيها + +309 +00:27:35,250 --> 00:27:41,450 +أيضا الـ Anterior Crestالجسر الأمامي فيها تحت + +310 +00:27:41,450 --> 00:27:46,990 +الرمانة الداخلية مشعولنا بالفوت رمانتين واحدة جاية + +311 +00:27:46,990 --> 00:27:51,650 +لجوا و واحدة طالعة لبرا ال media ليه؟ هي عبارة عن + +312 +00:27:51,650 --> 00:27:58,040 +ال media المالولاس الرمانة الداخلية تمام؟توأمها + +313 +00:27:58,040 --> 00:28:01,820 +الآخر اسمه الفيبيولا هذه اللي انا حاطة ايدي عليها + +314 +00:28:01,820 --> 00:28:06,440 +لصغيرة و العضمة الرفيعة هي عبارة عن الفيبيولا + +315 +00:28:06,440 --> 00:28:13,840 +الفيبيولا بتيجي لاتراني long وسلين درجاية مسمسمة + +316 +00:28:13,840 --> 00:28:21,280 +الها head متصلة او متكئة على الفيبيولا لاتر المالي + +317 +00:28:21,280 --> 00:28:25,100 +لازم بتعطينا الرمانة الخارجية اللي لبرهdoesn't + +318 +00:28:25,100 --> 00:28:29,480 +bear any weight bearing ما بتحمل أي وزن تقولهم أنا + +319 +00:28:29,480 --> 00:28:34,000 +رفيعة لأ استطيع تحمل أي وزن اتفضلي انت يا تيبيا + +320 +00:28:34,000 --> 00:28:41,380 +اشتغلي كل الشغل اذا ال fibula تقع laterally سلندر + +321 +00:28:41,380 --> 00:28:48,980 +هي عبارة عن عضمة رفعة مسطحة مستوانية الشكل تحتوي + +322 +00:28:48,980 --> 00:28:55,040 +على الرمانة ال laterally الخارجيةأحد عظام الـ leg + +323 +00:28:55,040 --> 00:29:01,240 +أو ما يسمى بالـ lower part of leg هذا الفيبيولا + +324 +00:29:01,240 --> 00:29:07,860 +وصلنا لل ankle و ال foot تارس البون عندي سبع عظام + +325 +00:29:07,860 --> 00:29:15,860 +للتارس البون سبعة right و سبعة left تمام؟ سبعة على + +326 +00:29:15,860 --> 00:29:22,790 +اليمين و سبعة على اليسارCalcaneus، طلس، navicular، + +327 +00:29:22,790 --> 00:29:26,930 +cuboid، lateral و intermediate و medial، + +328 +00:29:26,930 --> 00:29:32,190 +cuneiform، okay؟ هنا الـ Calcaneus هي كعب القدم أو + +329 +00:29:32,190 --> 00:29:35,530 +كعب الإجر اللي إحنا بنوجف عليه، هذا الإشي، + +330 +00:29:35,530 --> 00:29:40,830 +Calcaneus، ما بدنا نحفظ لهذه الأسماء فقط بدي أعرف + +331 +00:29:40,830 --> 00:29:44,730 +إشي إنه أنا بس الحاجات اللي بدي أوقف عليها، شايفين + +332 +00:29:44,730 --> 00:29:49,220 +الرجل من هنا كيف إلها أرش، إلها قاص،عكس تمامًا لما + +333 +00:29:49,220 --> 00:29:54,480 +يقولوا فلان عنده Flat Foot، ما بيكون فيه تقوس هنا، + +334 +00:29:54,480 --> 00:29:58,080 +لأ، تبقى الرجل كلها أو القدم كلها مستوية على سطح + +335 +00:29:58,080 --> 00:30:02,860 +الأرض، إذا هذا القرش ربنا سبحانه وتعالى منحنا إياه + +336 +00:30:02,860 --> 00:30:07,560 +لحكمة، بيوجف الإنسان على ال Calcaneus، وهي ما يسمى + +337 +00:30:07,560 --> 00:30:13,860 +بكعب الرجل، اتفقنا؟ ترس البون هم عبارة عن 14 عضمة، + +338 +00:30:13,860 --> 00:30:19,220 +7 في ال right و7 في ال left،الـ Metatarsal عشرة + +339 +00:30:19,220 --> 00:30:23,540 +عشرة + +340 +00:30:23,540 --> 00:30:32,080 +خمسة right و خمسة left تمام؟ ايه الفلانجيز؟ تمانية + +341 +00:30:32,080 --> 00:30:41,040 +و عشرين اربعة عاشر right و اربعة عاشر left في منها + +342 +00:30:41,040 --> 00:30:47,600 +proximal قريبة من ال midlineintermediate متوسطة و + +343 +00:30:47,600 --> 00:30:53,860 +digital اللي هي بعيدة تمانية و عشرين و عشرة تمانية + +344 +00:30:53,860 --> 00:31:00,680 +و تلاتين و عشرة تمانية و أربعين و أربعة اتنين و + +345 +00:31:00,680 --> 00:31:06,220 +خمسين وعنا الفيمر و التيبيا و الفيبيولا و البتلة + +346 +00:31:06,220 --> 00:31:14,520 +كده صار العدد؟اربعة و خمسين و أربعة صار في عنا + +347 +00:31:14,520 --> 00:31:20,920 +تمانية و خمسين فهي أقل من ال upper limb نعيد تاني + +348 +00:31:20,920 --> 00:31:29,020 +femur, patella, tibia, fibula هاي أربعة أربعة في + +349 +00:31:29,020 --> 00:31:33,220 +ال right و أربعة في ال left هي تمانية تمانية و + +350 +00:31:33,220 --> 00:31:39,930 +عندنا اللي هوتمانية هاي من غير اللي هي تارسل بون + +351 +00:31:39,930 --> 00:31:48,190 +تمانية وأربعة عشر تارسل وعشرة مية تارسل و تمانية + +352 +00:31:48,190 --> 00:31:54,730 +وعشرين فلانجيز بدي يصير أن تمانية واربعة تمانية و + +353 +00:31:54,730 --> 00:32:01,030 +تمانية ستاشر وأربعة هي عشرينتلاتة، أربعة، خمسة، + +354 +00:32:01,030 --> 00:32:04,090 +ستة، إذا ستين، أنا ماكنت حاسب ال right و ال left + +355 +00:32:04,090 --> 00:32:09,350 +هنا في التمانية، إذا نفس الكلام في اللي هو ال + +356 +00:32:09,350 --> 00:32:14,770 +lower limb، ستين عضمة أساسية مكونة للي هي ال lower + +357 +00:32:14,770 --> 00:32:20,150 +limb زي كل chapter، في عندنا حالة طبية، هاي الحالة + +358 +00:32:20,150 --> 00:32:24,830 +الطبية، هنشوها في ال ankle footفي عندنا الارش اللي + +359 +00:32:24,830 --> 00:32:30,830 +هو عبارة عن القوس اللي بيكون موجود داخل الفوت هذا + +360 +00:32:30,830 --> 00:32:39,050 +الارش هو عبارة عن إيش؟إن الـ sole نفسها أو ما يسمى + +361 +00:32:39,050 --> 00:32:43,250 +بباطن القدم لا يمكن أن يكون مستوي تماما على سطح + +362 +00:32:43,250 --> 00:32:49,170 +الأرض، لازم يكون في عندي قوس، ال sole of foot + +363 +00:32:49,170 --> 00:32:53,650 +doesn't rest flat in the ground، ما بتم تصريحه على + +364 +00:32:53,650 --> 00:32:59,690 +الأرض مباشرةبيساعد في support of the weight of the + +365 +00:32:59,690 --> 00:33:03,370 +body بيساعد اللي هو في تحميل الوزن أنا اليوم حاملة + +366 +00:33:03,370 --> 00:33:07,650 +كل وزني على قدماي فبالتالي لازم يكون في عنا أرش + +367 +00:33:07,650 --> 00:33:13,190 +لازم يكون في عنا اللي هو ما يسمى القوس اللي موجود + +368 +00:33:13,190 --> 00:33:14,750 +في باطن الرجل + +369 +00:33:17,440 --> 00:33:22,300 +ensure حتى انا اتأكد ان هو لازم يكون مرتفع زي ما + +370 +00:33:22,300 --> 00:33:27,360 +انتوا شايفينه هنا مرتفع تماما عن سطح الأرض ليش؟ + +371 +00:33:27,360 --> 00:33:31,540 +حتى مايتم الضغط على blood supply و النار يعني لو + +372 +00:33:31,540 --> 00:33:35,900 +اجينا سألنا تبعين اللي هو اللي عندهم flat foot + +373 +00:33:37,760 --> 00:33:42,700 +بقولك أه مؤلم جدا إذا وقفت فترة طويلة لأنه بعمل أو + +374 +00:33:42,700 --> 00:33:48,840 +بدعس على ال nerve اللي هو العصب و بكون فيه مشكلة + +375 +00:33:48,840 --> 00:33:52,840 +عندى إذا ensure that blood supply and vessels و ال + +376 +00:33:52,840 --> 00:33:56,620 +nerve خلال الفوت not pinched اللي هي not pinched + +377 +00:33:56,620 --> 00:34:02,360 +with standing ما بتكون مع ال standing تمام؟ خليني + +378 +00:34:02,360 --> 00:34:08,110 +أشوف شو ال medicalأو أنواع القرش اللي موجودة عندي + +379 +00:34:08,110 --> 00:34:14,090 +في عندي تلاتة قرش موجودة داخل اللي هو ال foot في + +380 +00:34:14,090 --> 00:34:18,830 +عندي ال medial ال longitudinal وال transfer أول + +381 +00:34:18,830 --> 00:34:23,390 +واحد ال medial longitudinal القرش بيمتد من ال heel + +382 +00:34:23,390 --> 00:34:28,390 +اللي هي هاي ال calcaneus لحد ال big toe هذا كده + +383 +00:34:28,390 --> 00:34:33,710 +بيكون اسمه ال inter أو ال medial longitudinalmedia + +384 +00:34:33,710 --> 00:34:39,570 +longitudinal من الهيل هنا لل big two اللوترال not + +385 +00:34:39,570 --> 00:34:41,870 +high مش كتير مرتفع + +386 +00:34:44,250 --> 00:34:49,930 +موجود عندى في ال media longitudinal arch لترانسفير + +387 +00:34:49,930 --> 00:34:56,410 +running perpendicular هى ترانسفير جاى عمودي على ال + +388 +00:34:56,410 --> 00:35:02,170 +longitudinal arch اذا واحد جاينى من اللى هو الهيل + +389 +00:35:02,170 --> 00:35:07,870 +لل big two والتانى جاينى من الهيل لل little two + +390 +00:35:07,870 --> 00:35:15,330 +والترانسفير جاى perpendicular عليهمهيك انا عندي + +391 +00:35:15,330 --> 00:35:24,690 +تلاتة ارش ل ال food صورة توضيحية هنا لل foods و + +392 +00:35:24,690 --> 00:35:29,310 +نيجي نشوف شو ال medical او ال clinical medical + +393 +00:35:30,640 --> 00:35:36,120 +بتعرفوا أجلكم الله في عندنا بنشوف بعض الناس عندهم + +394 +00:35:36,120 --> 00:35:40,880 +الإصبع الكبير جاى على حافة أو إنه جاى مع وجه شوية + +395 +00:35:40,880 --> 00:35:46,100 +هذا بسميه Holocus Vulgus Holocus باللاتيني تعني ال + +396 +00:35:46,100 --> 00:35:46,560 +big two + +397 +00:35:50,300 --> 00:35:55,360 +Vulgus تعني إبعاد أو اللي هي abduction هو عبارة عن + +398 +00:35:55,360 --> 00:35:58,960 +lateral deviation لل grade 2 والـ + +399 +00:35:58,960 --> 00:36:04,560 +metatarsophalangeal joint بيصير في عندي هذا بدل ما + +400 +00:36:04,560 --> 00:36:08,980 +هو بالوضعية ال anatomical الصحيحة بيطلع لبرا ال + +401 +00:36:08,980 --> 00:36:15,640 +big two وبيعمل مشاكلالـ Incidence أكتر في الـ + +402 +00:36:15,640 --> 00:36:18,360 +greater في ال women than men هو أكتر شيوعا في + +403 +00:36:18,360 --> 00:36:23,220 +النساء associated with badly fitting shoes الأحذية + +404 +00:36:23,220 --> 00:36:28,240 +السيئة لها دور فعال كمان ال obesity السمنة لها دور + +405 +00:36:28,920 --> 00:36:35,380 +أيضا ال weakness اللى هو على الأغلب الضعف العام + +406 +00:36:35,380 --> 00:36:38,280 +اللى بيكون في العضلات في ال first metatarsal bone + +407 +00:36:38,280 --> 00:36:44,940 +كمان له دور بيكون أسوأ اشي أو بيزيد في خلال طبعا + +408 +00:36:44,940 --> 00:36:48,500 +الشد العضلي في العضلات القاتية ال flexor + +409 +00:36:48,500 --> 00:36:52,710 +helicolungus و ال extensorهذه العضلات لما تكون + +410 +00:36:52,710 --> 00:36:57,930 +weeks تتعب مع الشخص فبالتالي أسوأها يكون في آخر + +411 +00:36:57,930 --> 00:37:03,490 +النهار بعد قضاء يوم اللي هو شاقوة، متعبة، إذا هذه + +412 +00:37:03,490 --> 00:37:07,390 +بسميه ال lateral deviation لل big two طبعا و ال + +413 +00:37:07,390 --> 00:37:11,230 +metatarsal فلانجيا ال joint بسميها helicus valgus + +414 +00:37:11,230 --> 00:37:16,110 +كلمة helicus باللاتيني تعني ال big two هذه أول + +415 +00:37:16,110 --> 00:37:21,320 +picturesالـ Pictures التانية Halicus Rigidus هي + +416 +00:37:21,320 --> 00:37:27,500 +عبارة عن إيش؟ التهاب في الـ Big Toe طبعا جوينت أو + +417 +00:37:27,500 --> 00:37:30,120 +ما يسمى بمفصل الـ Big Toe في الـ + +418 +00:37:30,120 --> 00:37:34,120 +metatarsophalangeal joint ما بين اللي هو زي ما + +419 +00:37:34,120 --> 00:37:37,760 +أنتوا شايفين هنا التارسل والـ metatarsal joint + +420 +00:37:37,760 --> 00:37:42,670 +بيكون التهاب في إصبع الإجر الكبيرbecome stiff and + +421 +00:37:42,670 --> 00:37:47,610 +painful مؤلم جدا يعني يختلف طبعا تماما عن حاجة + +422 +00:37:47,610 --> 00:37:50,890 +اسمها النقرص او احنا بنسميه اللي هو زيادة في حمض + +423 +00:37:50,890 --> 00:37:57,030 +ال yoric acid يختلف عنهالـ base balance أو ما يسمى + +424 +00:37:57,030 --> 00:38:02,550 +بالـ flat foot هو غياب القرش تماما، هذا القرش أو + +425 +00:38:02,550 --> 00:38:06,210 +هذا اللي انتوا شايفينه معايا القوس بيكون غايب + +426 +00:38:06,210 --> 00:38:09,830 +تماما تمام؟ هي عبارة عن condition which + +427 +00:38:09,830 --> 00:38:13,810 +longitudinal arch is absent or depressed يعني مش + +428 +00:38:13,810 --> 00:38:18,300 +موجود أو منخفض تحت على الأرضكثير من أطفالنا من + +429 +00:38:18,300 --> 00:38:22,500 +ولده بيلاجيه ماشي بس flat-foot ما عنده هذا القرش + +430 +00:38:22,500 --> 00:38:26,640 +طبعا بتتم معالجته عن طريق طبيب العظام يا إما + +431 +00:38:26,640 --> 00:38:32,160 +بيلبسوا حذاء طبي و آخر احتمالاتنا بندخل الجراحة ال + +432 +00:38:32,160 --> 00:38:35,380 +hit تبع التلص is not longer than to support + +433 +00:38:35,380 --> 00:38:39,960 +وأسبابه طبعا يا إما congenital أو acquiredكل + +434 +00:38:39,960 --> 00:38:43,820 +الإعاقات زي ما حكيتها في الوجاه يأما من الولادة + +435 +00:38:43,820 --> 00:38:48,520 +بدها تكون سبحان الله خلقتها كذا أو acquired نتيجة + +436 +00:38:48,520 --> 00:38:52,640 +لعادة مقتسبة زي لما حكينا على ال lordosis زي لما + +437 +00:38:52,640 --> 00:38:57,620 +حكينا على ال kyphosis وكذلك اللي هو ال scoliosis + +438 +00:38:57,620 --> 00:39:01,180 +هذه الإعاقات يأما بدها تكون من الولادة أو بدها + +439 +00:39:01,180 --> 00:39:08,270 +تكون مقتسبة نتيجة لعادة خاطئة موجودة عندناهيك بكون + +440 +00:39:08,270 --> 00:39:12,990 +انا انهيت skeletal system تلاتة في two parts اللي + +441 +00:39:12,990 --> 00:39:15,830 +هو ال part الأول و ال part التاني و يعطيكوا + +442 +00:39:15,830 --> 00:39:16,090 +العافية + diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/bdVk5-nxG2Y.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/bdVk5-nxG2Y.srt new file mode 100644 index 0000000000000000000000000000000000000000..a3c540925ecb6cda18538c843e567897f2586af6 --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/bdVk5-nxG2Y.srt @@ -0,0 +1,1658 @@ + +1 +00:00:04,930 --> 00:00:07,590 +بسم الله الرحمن الرحيم والصلاة والسلام على أشرف + +2 +00:00:07,590 --> 00:00:11,410 +الأنبياء والمرسلين معاكم مكملة كمان مرة أنا أماني + +3 +00:00:11,410 --> 00:00:15,650 +مظهر في the skeletal system number two, the second part + +4 +00:00:15,650 --> 00:00:18,970 +من ال chapter زي ما اتفقنا طلابي الأعزاء أنه + +5 +00:00:18,970 --> 00:00:25,130 +chapter فيه عشرين slide، عشرين slide تمام؟ إن شاء + +6 +00:00:25,130 --> 00:00:28,590 +الله رب العالمين، هكمل باقي ال axial skeleton + +7 +00:00:28,590 --> 00:00:33,270 +اللي أنا شرحته في ال part الأول، شرحت فقط عن ال + +8 +00:00:33,270 --> 00:00:37,670 +skull وحكيت عن ال facial bones و ال skull bones و + +9 +00:00:37,670 --> 00:00:41,970 +حكينا على التجاويف وحكينا على ال fontanels الآن + +10 +00:00:41,970 --> 00:00:47,020 +في هذا ال chapter هشرح عن الـ Vertebral Column + +11 +00:00:47,020 --> 00:00:52,980 +العمود الفقري، هذا اللي موجود عندنا، هشرح عن القفص + +12 +00:00:52,980 --> 00:00:58,060 +الصدري بشكل عام بإذن الله تعالى، هشوف زي ما حكينا + +13 +00:00:58,060 --> 00:01:03,440 +في كل chapter في عندي صورة طبية أو حالة مرضية، هشرح + +14 +00:01:03,440 --> 00:01:09,360 +عنها بإذن الله، نبدأ على بركة الله، الآن في عندي + +15 +00:01:09,360 --> 00:01:12,800 +الدرازات أو ما يسمى بالـ sutures اللي أنتم + +16 +00:01:12,800 --> 00:01:17,220 +شايفينها، إذا جربنا الكاميرا شوية هنشوف اللي هي + +17 +00:01:17,220 --> 00:01:21,320 +عبارة عن هذه الخطوط وهذه التعروجات اللي موجودة + +18 +00:01:21,320 --> 00:01:26,740 +عندي، عندي حاجة اسمها ال sutures أو ما يسمى + +19 +00:01:26,740 --> 00:01:31,720 +بالدرازات المسننة، تمام؟ هي عبارة عن إيش؟ ارتباط + +20 +00:01:31,720 --> 00:01:35,820 +العظمتين مع بعضهم البعض، ال frontals مع ال temporals + +21 +00:01:35,820 --> 00:01:42,730 +تمام؟ أو ال frontals اللي هي ال parietal، ال sutures هي + +22 +00:01:42,730 --> 00:01:49,330 +عبارة عن إيش؟ immovable, fibrous joint، لما ال "I am" + +23 +00:01:49,330 --> 00:01:57,070 +تسبق الكلمة، معناها بتنفيها، "I am immovable" هو عبارة + +24 +00:01:57,070 --> 00:02:02,790 +عن إيش؟ عن joints إيش ماله؟ غير متحرك، عمركم شفتوا + +25 +00:02:02,790 --> 00:02:07,490 +واحدة من 8 عضمات بتتحرك عن الثانية؟ لأ، هي عظام + +26 +00:02:07,490 --> 00:02:12,930 +مُشتركة، تمام؟ هي العظام المشتبكة مع بعضها البعض + +27 +00:02:12,930 --> 00:02:20,300 +بـ joint غير متحرك تماماً، محكم الإغلاق، Fibrous، حكيت + +28 +00:02:20,300 --> 00:02:24,020 +أنا لما بدي إشي يكون بِرَأْتِي الجسم، بضيفله كلمة + +29 +00:02:24,020 --> 00:02:28,500 +Fibrous أو إشي بدي أعمله protection، Fibrous أو + +30 +00:02:28,500 --> 00:02:33,300 +Fibrocartilaginous على سبيل المثال، إذا Fibrous + +31 +00:02:33,300 --> 00:02:37,880 +immovable joint، هذا ال Fibrous بيكون bounded + +32 +00:02:37,880 --> 00:02:43,720 +between cranial bones، بيغلق الحدود ما بين 8 عضمات + +33 +00:02:43,720 --> 00:02:49,720 +اللي أنا أخدتهم، Denis شو نوعه من المفاصل؟ Denis + +34 +00:02:49,720 --> 00:02:55,220 +Regular Connective Tissue، إذن هذه الدرازات نوع + +35 +00:02:55,220 --> 00:02:59,740 +الأنسجة اللي موجودة فيها، أو المفصل هذا هو عبارة عن + +36 +00:02:59,740 --> 00:03:04,820 +Dense Regular Connective Tissue، إحنا أخدنا هذا + +37 +00:03:04,820 --> 00:03:08,380 +النوع من المفاصل، أو هذا النوع من الأنسجة هو عبارة + +38 +00:03:08,380 --> 00:03:15,590 +عن نسيج قوي جداً بيعمل على إغلاق أو seals للـ cranial + +39 +00:03:15,590 --> 00:03:23,970 +bones firmly together، بيغلقها بشكل محكم بحيث تحافظ + +40 +00:03:23,970 --> 00:03:30,230 +على ال brain داخلها، تمام؟ أيضاً تسمح ال cranium to + +41 +00:03:30,230 --> 00:03:36,590 +grow خلال ال childhood، هل هو هيكون عندي إشي مغلق + +42 +00:03:36,590 --> 00:03:41,790 +ومحكم تماماً من لحظة الولادة؟ لأ، الآن كيف هالزرعة + +43 +00:03:41,790 --> 00:03:46,110 +هذه بدها تكبر، بدها نمو، بدها وسع، فمعنى الكلام + +44 +00:03:46,110 --> 00:03:52,710 +في بداية مراحل الطفولة بيكون في مجال أن هو تتوسع + +45 +00:03:52,710 --> 00:03:56,530 +وتكبر لـ cranial bones زي ما أنتم شايفينها، حجم + +46 +00:03:56,530 --> 00:04:01,180 +رأسك وأنت طفل صغير مش زي حجمها وأنت شاب، ليه؟ لأنه + +47 +00:04:01,180 --> 00:04:06,380 +نمت وكبرت، فبالتالي ال brain جواتها كمان كبر عن + +48 +00:04:06,380 --> 00:04:11,220 +حجمه، فبتتم إغلاقها في مرحلة ال adulthood، مرحلة + +49 +00:04:11,220 --> 00:04:16,380 +المراهقة، إذا هذه ال fibers، أو هذه ال dense + +50 +00:04:16,380 --> 00:04:21,160 +regular connective tissue، بتتم إغلاقها ولكن في مرحلة + +51 +00:04:21,410 --> 00:04:24,890 +اللي هو ال adulthood وليس في مرحلة ال childhood + +52 +00:04:24,890 --> 00:04:28,710 +لأنه لسه ما زال عندي الطفل بينمو، تكبر حجم الرأس + +53 +00:04:28,710 --> 00:04:32,690 +بده يكبر، ال brain مش هيبقى ال brain موجود بحجمه + +54 +00:04:32,690 --> 00:04:37,630 +الصغير، لأ، هو هيكبر حبة حبة لحد ما يكتمل نموه + +55 +00:04:40,680 --> 00:04:44,820 +In adulthood, when cranial growth has stopped, + +56 +00:04:44,820 --> 00:04:49,540 +لاحظوا في مرحلة ال adulthood أو مرحلة ما يُسمى + +57 +00:04:49,540 --> 00:04:54,420 +بفترة المراهقة، ال cranial growth stopped، خلصنا، + +58 +00:04:54,420 --> 00:04:58,940 +جونا العظام الطويلة، بيكتمل نموها من عمر 18 ل 25 + +59 +00:05:00,000 --> 00:05:05,240 +أيضاً هنا في مرحلة ال adulthood بتقف نموها في عمر + +60 +00:05:05,240 --> 00:05:09,960 +اللي هو ال adulthood، ال sutures are fused، خلاص + +61 +00:05:09,960 --> 00:05:15,040 +بتلتحم وبتحكم الإغلاق، بيصير إن الإشي immovable + +62 +00:05:15,040 --> 00:05:19,360 +joint، مافي قطعة هتتحرك عن الثانية، خلاص هي كلها + +63 +00:05:19,360 --> 00:05:23,400 +الدرازات اشتبكت مع بعضها البعض وسكرت على ال brain + +64 +00:05:23,400 --> 00:05:29,090 +بعد هيك، يعني بعد عمر 18 خليني أحكي، وبعد عمر 16 سنة + +65 +00:05:29,090 --> 00:05:36,630 +اللي هي فترة المراهقة، ما بده يكبر الرأس أكتر من + +66 +00:05:36,630 --> 00:05:41,810 +هيك، لأ، ما بيكبر، إذا بيبقوا وبتتم الإغلاق وبتحكم + +67 +00:05:41,810 --> 00:05:48,710 +اللي هي ال sutures وبتكون immovable، اللي هي محكمات + +68 +00:05:48,710 --> 00:05:54,810 +الإغلاق، هذا بالنسبة للدرازات اللي موجودة داخل ال + +69 +00:05:54,810 --> 00:05:58,880 +skull، زي ما أنتم شايفينها، هنا في عندي صورة عادية + +70 +00:05:58,880 --> 00:06:04,380 +ملونة، وهذه صورة CT، موجودة بالمناسبة الصور هنا ما + +71 +00:06:04,380 --> 00:06:09,060 +بدنا إياها، الصور هنا فقط للتوضيح، parietal ال left و ال + +72 +00:06:09,060 --> 00:06:13,300 +right، وهذه ال temporal، في بينهم ال cranial sutures + +73 +00:06:13,300 --> 00:06:20,860 +أو ما يسمى بالدرازات اللي موجودة، الآن + +74 +00:06:20,860 --> 00:06:25,430 +هبدأ أشرح على حاجة اسمها ال vertebral column، شو هو + +75 +00:06:25,430 --> 00:06:29,390 +ال vertebral column؟ العمود الفقري، يحتوي العمود + +76 +00:06:29,390 --> 00:06:38,490 +الفقري على 33 عضمة أو 33 فقرة، خليني أجيبه شوية لإن + +77 +00:06:38,490 --> 00:06:45,750 +إحنا بنشرح عنه كتير هنا، هحكي هو عبارة عن هذا الإشي + +78 +00:06:45,750 --> 00:06:50,790 +أو هذه السلسلة من الفقرات، سبعة cervical + +79 +00:06:50,790 --> 00:06:52,190 +تمام؟ + +80 +00:06:54,930 --> 00:07:01,850 +12 thoracic، 5 lumbar، 5 sacral، 4 coccygeal، اللي هي + +81 +00:07:01,850 --> 00:07:07,890 +العجزية، تمام؟ شو وظيفته؟ أول وظيفة، قال لنا اللي هو + +82 +00:07:07,890 --> 00:07:11,950 +بدي يعملي support لل weight، اليوم أنا لو ما عندي + +83 +00:07:11,950 --> 00:07:17,410 +هذا العمود الفقري، ما أحوز أو ما أحمل جسمي على أي شيء + +84 +00:07:18,120 --> 00:07:21,840 +على سبيل المثال، في حالات مرضية اللي هي اللي بيصير + +85 +00:07:21,840 --> 00:07:26,580 +مثلاً صار في عنده cutting في ال spinal cord، وكل ما + +86 +00:07:26,580 --> 00:07:29,960 +بنعرف ال spinal cord جوا هذه السلسلة العظمية + +87 +00:07:29,960 --> 00:07:35,460 +المنطقة اللي صار عندها قطع للحبل الشوكي، بعدها + +88 +00:07:35,460 --> 00:07:38,840 +بيصير paralysis، وأعني بكلمة paralysis + +89 +00:07:41,650 --> 00:07:46,670 +تمام؟ شلل، يعني مافي حركة، معنى الكلام هو هنا + +90 +00:07:46,670 --> 00:07:51,670 +وظيفته أنه هو بيعمل support لل weight، transmit ال + +91 +00:07:51,670 --> 00:07:57,090 +weight to pelvis and lower limbs، بيحمل وزن الجزء + +92 +00:07:57,090 --> 00:08:01,910 +الأعلى من القفص الصدري، والإيدين، والبطن، وكل هذا + +93 +00:08:01,910 --> 00:08:06,620 +الإشي على ال pelvis هنا وال lower limbs، لأنه أنا لما + +94 +00:08:06,620 --> 00:08:09,520 +بدي أنتقل من مكان إلى مكان زي ما أنتم شايفين و + +95 +00:08:09,520 --> 00:08:13,820 +أرجع للنقطة الأساسية، معنى الكلام أنه أنا بدي أحمل + +96 +00:08:13,820 --> 00:08:19,760 +وزن على ال lower limbs، الوظيفة الثانية أنه هذا + +97 +00:08:19,760 --> 00:08:24,720 +العمود الفقري بيستضيف لي ال spinal cord، و ما بديش + +98 +00:08:24,720 --> 00:08:27,080 +أحكي كتير عن ال spinal cord، عشان هو فيه + +99 +00:08:27,080 --> 00:08:30,960 +الوف شابترين كاملين، ال spinal cord، بس أنا + +100 +00:08:30,960 --> 00:08:34,480 +حابة أذكركم بالرسمة هذه، أن ال central nervous + +101 +00:08:34,480 --> 00:08:44,600 +system تمام، يحتوي على ال brain و ال spinal cord، إذا + +102 +00:08:44,600 --> 00:08:49,320 +هو جزء أساسي من ال central nervous system، okay + +103 +00:08:49,320 --> 00:08:52,260 +فمعنى الكلام، أنا زي ما حافظت على ال brain بال + +104 +00:08:52,260 --> 00:08:55,240 +cranial bones، هحافظ على ال spinal cord بال + +105 +00:08:55,240 --> 00:09:00,860 +vertebral column، العمود الفقري، الوظيفة الثالثة أنه + +106 +00:09:00,860 --> 00:09:06,250 +بيسمح بالحركة، اليوم أنا بتحرك، في عندي flexion + +107 +00:09:06,250 --> 00:09:11,310 +extension، ثانياً هو امتداد للحركة بيقوم فيها العمود + +108 +00:09:11,310 --> 00:09:15,810 +الفقري، بدي أطلع درج، بدي أنزل درج، معنى الكلام اللي + +109 +00:09:15,810 --> 00:09:19,830 +بدي أعمله على السماح بالحركة، اللي هو ال vertebral + +110 +00:09:19,830 --> 00:09:26,270 +column، أيضاً هو محط نقاط اتصال للعضلات، وشرحتها هذه + +111 +00:09:26,270 --> 00:09:32,410 +سابقاً، في قصة إن هذا أو هذه العضلة اللي جاية هنا + +112 +00:09:32,410 --> 00:09:37,720 +وجاية هنا، إلها origin وإلها insertion، إلها نقطة + +113 +00:09:37,720 --> 00:09:42,480 +بداية وإلها نقطة نهاية، معنى الكلام عشان تعمل ال + +114 +00:09:42,480 --> 00:09:48,000 +contract relax، لازم تنقبض يعني تقترب ال origin على + +115 +00:09:48,000 --> 00:09:53,320 +ال insertion، فبالتالي بتنشأ عندي الحركة، إذا ال + +116 +00:09:53,320 --> 00:09:57,800 +vertebral column هو عبارة عن نقاط اتصال للعضلات + +117 +00:09:57,800 --> 00:10:03,420 +عضلات مين؟ عضلات ال back، الظهر كله، عضلات ال head + +118 +00:10:03,420 --> 00:10:08,990 +اللي جاياني من هنا، عضلات ال neck، ال cervical، عضلات + +119 +00:10:08,990 --> 00:10:11,430 +ال upper extremity، زي ما أنتم شايفين لما بدي + +120 +00:10:11,430 --> 00:10:15,750 +أحرك إيدي، معناته لوحة الكتف اتحركت، وعضلات ال + +121 +00:10:15,750 --> 00:10:20,210 +thoracic اللي موجودة هنا، تمام؟ I have four + +122 +00:10:20,210 --> 00:10:25,950 +functions، في عندي أربع وظائف أساسية ورئيسية للعمود + +123 +00:10:25,950 --> 00:10:31,160 +الفقري، الوظيفة الأولى support لل weight، houses and + +124 +00:10:31,160 --> 00:10:36,220 +protect لل spinal cord، permits movement، provides لل + +125 +00:10:36,220 --> 00:10:41,580 +muscles attachment، تعمل على نقاط اتصال للعضلات حتى + +126 +00:10:41,580 --> 00:10:45,880 +تؤدي وظيفتها، هذه ال functions لل vertebral column + +127 +00:10:45,880 --> 00:10:50,800 +عشان أرجع وأذكركم بإيش إحنا بنشرح، خلصنا ال head + +128 +00:10:50,800 --> 00:10:55,500 +في ال axial skeleton، بشرح عن ال vertebral column + +129 +00:10:55,500 --> 00:11:01,300 +في ال axial skeleton، أيضاً أشوف ال regions أو + +130 +00:11:01,300 --> 00:11:06,100 +التقسيمات اللي أنا قسمتها، حكيت في عندي five + +131 +00:11:06,100 --> 00:11:12,440 +regions، ال cervical سبعة، ال thoracic إثني عشر، ال + +132 +00:11:12,440 --> 00:11:17,750 +lumbar خمسة، وال sacrum تيجي تحت ال lumbar + +133 +00:11:17,750 --> 00:11:22,790 +vertebrae، articulated with coccyx، تتمفصل مع ال + +134 +00:11:22,790 --> 00:11:28,270 +coccyx bone، اللي هي آخر جزء، most inferior region + +135 +00:11:28,270 --> 00:11:36,360 +هي أكثرها سفلية تحت ال vertebral column، حكينا سبعة، + +136 +00:11:36,360 --> 00:11:42,440 +إثني عشر، خمسة، خمسة، وأربعة ملتحمين، يعني بيصير العدد + +137 +00:11:42,440 --> 00:11:47,380 +النهائي ثلاثة وثلاثين vertebrae، أو vertebra اللي + +138 +00:11:47,380 --> 00:11:56,380 +هي عضمة، نعيد تاني، هاخد كل واحدة وخصائصها من C1 ل + +139 +00:11:56,380 --> 00:12:04,080 +C7، هي ال cervical bones، عظام الرقبة، من thoracic 1 + +140 +00:12:04,080 --> 00:12:12,940 +ونعد 1، 2، 3، 4، 5، 6، 7، 8، 9، 10، 11، 12، لحد هنا هي عبارة + +141 +00:12:12,940 --> 00:12:18,770 +عن ال thoracic vertebrae، سبعة وإثني عشر، ال lumbar + +142 +00:12:18,770 --> 00:12:24,010 +خمسة، واحد، إثنين، ثلاثة، أربعة، خمسة، لحد هنا عندي ال + +143 +00:12:24,010 --> 00:12:29,650 +lumbar، خمس عضمات، ال sacral خمسة، و ال coccygeal + +144 +00:12:29,650 --> 00:12:35,570 +أربعة، هيك بيصير العدد عندنا ثلاثة وثلاثين، هنبدأ + +145 +00:12:35,570 --> 00:12:40,910 +نشرح عن كل واحدة، إلها مميزاتها الخاصة، اللي هي عبارة + +146 +00:12:40,910 --> 00:12:45,630 +عن إيش؟ ال regions لل normal curvatures، الآن أنا + +147 +00:12:45,630 --> 00:12:51,590 +لما بدي أخد العمود الفقري، ما برسمه بشكل مستقيم، وكل + +148 +00:12:51,590 --> 00:12:55,430 +هيتنا عندنا في أجسامنا سبحان الله، الإشي مش مستقيم + +149 +00:12:55,430 --> 00:12:58,930 +هو ليس زاوية قائمة، إذا أنا عملته، أو ليست خط + +150 +00:12:58,930 --> 00:13:06,730 +مستقيم، لأ، هو عبارة عن حرف ال S بهذا الشكل، تمام؟ + +151 +00:13:08,010 --> 00:13:13,890 +حاجة أعين وأقول هذه منطقة رقم واحد، هذه منطقة رقم + +152 +00:13:13,890 --> 00:13:19,550 +إثنين، هذه منطقة رقم ثلاثة، وهنا تحت منطقة رقم أربعة + +153 +00:13:19,550 --> 00:13:23,530 +كلنا الله سبحانه وتعالى أعطانا العمود الفقري ال + +154 +00:13:23,530 --> 00:13:28,670 +normal أو الشكل الطبيعي لنا، ال curvature، سبحان الله، على + +155 +00:13:28,670 --> 00:13:38,190 +حرف ال S shape، convex و concave، مقعر ومحدب، ال + +156 +00:13:38,190 --> 00:13:43,090 +vertebral column as an S-shape، ال cervical وال lumbar + +157 +00:13:43,090 --> 00:13:52,030 +بحكي واحد وثلاثة، cervical و lumbar هي عبارة عن ash + +158 +00:13:52,030 --> 00:13:59,810 +curvature، concave posteriorly، مقعرة من الخلف، واحد + +159 +00:13:59,810 --> 00:14:04,980 +اللي هو ال cervical، ثلاثة اللي هي ال lumbar، لحظة + +160 +00:14:04,980 --> 00:14:11,900 +معايا، واحد وثلاثة concave، مقعرة posteriorly، هذه + +161 +00:14:11,900 --> 00:14:17,280 +الميزة تبعتها، أما ال thoracic وال sacral اللي هو + +162 +00:14:17,280 --> 00:14:21,180 +إثنين وأربعة convex + +163 +00:14:23,170 --> 00:14:28,490 +convex يعني محدبة posteriorly، هذه ال thoracic يا + +164 +00:14:28,490 --> 00:14:34,610 +إما بتقول TH أو بين قوسين ثورسيك، دي تمام، وأربعة + +165 +00:14:34,610 --> 00:14:41,210 +اللي هي ال sacral، إثنين وأربعة convex posteriorly + +166 +00:14:41,210 --> 00:14:45,970 +عشان أنا ما أتلخبطش فيهم، بدي أعطيكم هذه المعادلة + +167 +00:14:45,970 --> 00:14:57,070 +واحد وثلاثة concave تمام posteriorly، واحد وثلاثة + +168 +00:14:57,070 --> 00:15:01,210 +الأعداد شو وضعهم؟ واحد وثلاثة، الأعداد فردية، صح؟ + +169 +00:15:01,210 --> 00:15:06,270 +فبالتالي هي concave posteriorly، أما إثنين وأربعة + +170 +00:15:06,270 --> 00:15:09,890 +convex + +171 +00:15:09,890 --> 00:15:16,770 +posteriorly، محدبة للخلف، إثنين وأربعة، الأعداد + +172 +00:15:16,770 --> 00:15:22,490 +زوجية، إذن واحد وثلاثة concave posteriorly، إثنين و + +173 +00:15:22,490 --> 00:15:26,970 +أربعة convex posteriorly، الآن هذا الإشي ربنا + +174 +00:15:26,97 + +223 +00:19:40,980 --> 00:19:48,980 +تمام؟ Facet Joint أيضا في اللي هو القوس الـarch اللي + +224 +00:19:48,980 --> 00:19:55,370 +هو تبع الـVertebra. إذن خلّيني أشرحه، هذا الشيء مهم + +225 +00:19:55,370 --> 00:20:01,490 +ليش؟ لأنه، أو ليش أنا بشرح عن تشريح الفقرة؟ لأنه + +226 +00:20:01,490 --> 00:20:05,630 +كمان شوية في الـslides القادمة، عندنا، هحكيلك أنّه + +227 +00:20:05,630 --> 00:20:09,730 +الـthoracic vertebra فيها short spinous processes + +228 +00:20:10,560 --> 00:20:14,220 +لو أنا ما شرحتش هذه الرسمة، أنتِ مش هتكوني عارفة، أو + +229 +00:20:14,220 --> 00:20:17,880 +أنتَ مش هتكون عارف شو يعني spinous process، عشان هيك + +230 +00:20:17,880 --> 00:20:22,120 +أنا لازم أشرح الـnormal عشان بعد شوية أوريك وين + +231 +00:20:22,120 --> 00:20:27,440 +بتكون في الـthoracic، في الـlumbar، في الـsacral، هاي + +232 +00:20:27,440 --> 00:20:30,400 +الـspinous process. نراجع مع بعض، هي عبارة عن + +233 +00:20:30,400 --> 00:20:35,330 +الشوكة الطولية اللي طالعة لبرا. head و head هما الـ + +234 +00:20:35,330 --> 00:20:39,890 +transverse هي عبارة عن الفتحة اللي هي الـforamen، و + +235 +00:20:39,890 --> 00:20:44,730 +هذا القوس اللي موجود عنده، تمام؟ في كل شيء اللي الـ + +236 +00:20:44,730 --> 00:20:48,210 +body أو الـsyndrome. في هنا عندنا الـbody تبع الـ + +237 +00:20:48,210 --> 00:20:52,690 +vertebra. في هنا عندي الـfacet joint اللي هو عشان + +238 +00:20:52,690 --> 00:20:57,290 +تركّز عليه كمان. vertebra تانية. أيضا في عندنا حاجة + +239 +00:20:57,290 --> 00:21:00,670 +اسمها الـpedicle، اللي هي العلاقة تقريبا عشرة من + +240 +00:21:00,670 --> 00:21:06,130 +الأجزاء. في أيضا حاجة في الـarch وفوق اسمها الـ + +241 +00:21:06,130 --> 00:21:10,250 +lamina. هذه الـlamina اللي ممكن الجرّاح يعمل فيها + +242 +00:21:10,250 --> 00:21:15,750 +cutting ويعمل توسيع للفقرة أثناء الضغط على الـ + +243 +00:21:15,750 --> 00:21:23,320 +spinal cord. هيك أنا شرحت تركيبة الفقرة الطبيعية، أبدأ + +244 +00:21:23,320 --> 00:21:29,340 +أشوف خصائص اللي هي الفقرات. أول شيء هنا بدّه يشرح لي + +245 +00:21:29,340 --> 00:21:34,360 +عن الشيء الموجود عندنا، الـvertebral disc أو الـ + +246 +00:21:34,360 --> 00:21:39,620 +intervertebral. موجود عشان إيش؟ الآن وأنا ماشية + +247 +00:21:39,620 --> 00:21:46,650 +صار في حادث سير، أي ضربة مباشرة للعمود الفقري، بتلقى + +248 +00:21:46,650 --> 00:21:52,070 +الإصابة مباشرة من الجزء الخارجي اللي هو العظام قبل + +249 +00:21:52,070 --> 00:21:56,390 +ما تدخلي على الـspinal cord، مش مشكلة يصير أي ضرر + +250 +00:21:56,390 --> 00:22:00,170 +في العظام، ولا تدخل على الـspinal cord، لأنّ الـ + +251 +00:22:00,170 --> 00:22:03,830 +spinal cord central nervous system وأنا بحافظ عليه. + +252 +00:22:03,830 --> 00:22:07,630 +ممكن أدخل في حالة من الشلل إذا لا سمح الله صار في + +253 +00:22:07,630 --> 00:22:11,790 +cutting. معناة الكلام إنّه أنا حيصير في عندي shock + +254 +00:22:11,790 --> 00:22:16,930 +absorbers in young quite strong trauma. تمام؟ إذا + +255 +00:22:16,930 --> 00:22:21,030 +صار في عندي إصابة مباشرة للعمود الفقري، بتم + +256 +00:22:21,030 --> 00:22:24,290 +إمتصاصها من الـintervertebral disc، على طول + +257 +00:22:24,290 --> 00:22:31,140 +بتمتصها. الآن في تركيبة الفقرة نفسها، في عندي مادة في + +258 +00:22:31,140 --> 00:22:35,660 +اللبّة الداخلية، مادة جلاتينية لسرعة الامتصاص، + +259 +00:22:35,660 --> 00:22:41,480 +nucleus pulposus. تمام؟ هي عبارة عن inner gelatinous + +260 +00:22:41,480 --> 00:22:47,020 +core. مادة جلاتينية داخلية في داخل الفقرة نفسها حتى + +261 +00:22:47,020 --> 00:22:52,110 +تستطيع امتصاص الضربة أو الصدمة. أيضا في عندي حاجة + +262 +00:22:52,110 --> 00:22:57,030 +اسمها annulus fibrosus. حكيت، وإنّي بدّي ألاقي fibers. + +263 +00:22:57,030 --> 00:23:01,810 +معناته الشيء الخارجي. annulus fibrosus هي عبارة عن + +264 +00:23:01,810 --> 00:23:05,490 +كولاجين fibers من الـfibrocartilaginous أو الـ + +265 +00:23:05,490 --> 00:23:09,610 +fibers اللي موجود برا. هيكون في الخارج، External. + +266 +00:23:09,610 --> 00:23:14,430 +هي في الرسمة موجود لي External، لكن الـgelatinous + +267 +00:23:14,430 --> 00:23:17,550 +المادة الجلاتينية موجودة في الـcore، في اللب، في + +268 +00:23:17,550 --> 00:23:25,350 +الداخل، Inner. هنا داخلي وهنا خارجي، تمام؟ الـcervical + +269 +00:23:25,350 --> 00:23:32,670 +في عندي سبعة. أيضا من الـcervical، واحد، اثنين، ثلاثة، + +270 +00:23:32,670 --> 00:23:41,770 +أربعة، خمسة، ستة، سبعة. الأولى اسمها Atlas، هي ما تتمحور + +271 +00:23:41,770 --> 00:23:46,990 +أو تتمركز عليها الـhead مباشرة، هذه الـfirst، على + +272 +00:23:46,990 --> 00:23:52,930 +طول هنا Atlas. بعدها حاجة اسمها اللي هي Axis، الـ + +273 +00:23:52,930 --> 00:23:58,990 +Axis عبارة عن عضمة أو vertebra دورانية أو محورية + +274 +00:23:58,990 --> 00:24:04,410 +المركز. هذه العضمة اللي هي من الـ. Dennis Bivott to + +275 +00:24:04,410 --> 00:24:10,270 +turn الـhead، تعمل على دوران اللي هو الرأس فيها. + +276 +00:24:10,270 --> 00:24:19,400 +transverse foramen. هنا فتحة عرضية. by the way، spine apophysis + +277 +00:24:19,400 --> 00:24:23,100 +الـspine apophysis اللي أنا شرحتها سابقا، هذه + +278 +00:24:23,100 --> 00:24:30,420 +النتوء العظمي القصير. vertebral prominence. used + +279 +00:24:30,420 --> 00:24:36,530 +في الـlandmark. هي عبارة عن. بالنسبة لي أنا كعلاج + +280 +00:24:36,530 --> 00:24:40,790 +طبيعي، في الـmassage، بقول اللي هو الـSpinous process vertebra. + +281 +00:24:40,790 --> 00:24:45,610 +أو ما يسمى بعظام الـCervical. شيء مميز، used في + +282 +00:24:45,610 --> 00:24:49,770 +الـlandmark، يعني علامات عظمية مميزة ومفيدة. إذا أنا + +283 +00:24:49,770 --> 00:24:54,570 +بدي أجي أعمل Mobilization أو تحريك للفقرات، باخد C7 + +284 +00:24:55,440 --> 00:24:59,500 +C7. ليش؟ لأنّ الـspinous process تبعتها طالعة لبرا، + +285 +00:24:59,500 --> 00:25:04,300 +بخلاف اللي فوق، القصيرة. نسيبنا من القصيرة وناخد C7. + +286 +00:25:04,300 --> 00:25:08,040 +فعلا هي بارزة لبرا، لو أنتَ على نفسك شرحتها، أو + +287 +00:25:08,040 --> 00:25:13,820 +شفتها، بتلاقي C7 على طول طالعة لبرا، تمام؟ إذا الـ + +288 +00:25:13,820 --> 00:25:19,900 +prominence من C7، تمام؟ هذه خصائص ومميزات الـ + +289 +00:25:19,900 --> 00:25:21,000 +cervical vertebrae. + +290 +00:25:23,680 --> 00:25:28,320 +هشوف الـthoracic، اللي هي القفص الصدري. long + +291 +00:25:28,320 --> 00:25:33,580 +spinous process. النتوء العظمي أو الشوكة طويلة جدا، + +292 +00:25:33,580 --> 00:25:41,130 +فعلا هي طويلة. spinous process long. تتمفصل مع الـ + +293 +00:25:41,130 --> 00:25:47,530 +ribs. كل الـtransverse process بتمفصلوا مع اللي هو + +294 +00:25:47,530 --> 00:25:54,670 +عظام القفص الصدري، أو أضلع القفص الصدري. عند 12 زوج، + +295 +00:25:54,670 --> 00:26:01,490 +أو 12 ribs، بتمفصلوا مع 12 فقرة، كل واحدة مع اللي + +296 +00:26:01,490 --> 00:26:02,230 +طالع منها. + +297 +00:26:05,530 --> 00:26:11,270 +الـlumbar. وصلنا للجزء التحتاني. Large Bodies. هذا + +298 +00:26:11,270 --> 00:26:15,910 +الـbody تبعها كبير، ليه؟ لأنّه خلاص أنا وصلت، جربت + +299 +00:26:15,910 --> 00:26:20,550 +أوْصل للحوض، وحكيت إنّه أنا هحمل وزني كلّه على هذه + +300 +00:26:20,550 --> 00:26:25,630 +النتفة، إذا الـlumbar Large، كبير عشان يقدر يتحمل + +301 +00:26:25,630 --> 00:26:29,610 +الأوزان. لو كانت مثلًا على سبيل المثال وزنها زي وزن + +302 +00:26:29,610 --> 00:26:33,250 +الـcervical، معناة الكلام إنّه مش هتحمل لي الوزن + +303 +00:26:33,250 --> 00:26:36,410 +اليوم أنا وزني ٩٠ أو ١٠٠ كيلو، إيش بدّه يحمل لما + +304 +00:26:36,410 --> 00:26:40,050 +يحمل الـlumbar؟ لأ، فبتلاقي إنّ الـbody تبع + +305 +00:26:40,050 --> 00:26:44,330 +الـvertebra اللي موجودة في الـlumbar Large، كبيرة، + +306 +00:26:44,330 --> 00:26:50,550 +thick، سميكة، and short spinous process، شيء + +307 +00:26:50,550 --> 00:26:55,140 +طبيعي، الـbody كبيرة، الـspinous process اللي طالع + +308 +00:26:55,140 --> 00:27:02,160 +برا قصيرة وسميكة، فبالتالي منطقة الـlumbar من بعد + +309 +00:27:02,160 --> 00:27:06,580 +T12، في عندي خمسة، واحد، اثنين، ثلاثة، أربعة، خمسة، الـ + +310 +00:27:06,580 --> 00:27:12,940 +large body، وحتى الـspinous صغيرة وطبعا قصيرة، فهذا + +311 +00:27:12,940 --> 00:27:19,220 +بالنسبة للـlumbar. الـsacral أو الـsacrum هي عبارة + +312 +00:27:19,220 --> 00:27:23,280 +عن خمس فقرات ملتحمين، زي ما أنتم شايفين هنا + +313 +00:27:23,280 --> 00:27:29,420 +ملتحمين، fused together. تمام؟ زي ما أنتم + +314 +00:27:29,420 --> 00:27:34,900 +شايفينهم جايين زي قطعة واحدة. الـmedial sacral + +315 +00:27:34,900 --> 00:27:39,700 +crest. فيهم زي ما احنا شايفين، في فتحة للـright و + +316 +00:27:39,700 --> 00:27:42,480 +فتحة للـleft. فتحة للـright وفتحة للـleft هنا وهنا، و + +317 +00:27:42,480 --> 00:27:49,240 +هنا وهنا، okay؟ Posterior Sacral Foramen اللي + +318 +00:27:49,240 --> 00:27:54,680 +هي الفتحات هذه، موجودة في الخلف، طالع منها الـperipheral + +319 +00:27:54,680 --> 00:28:00,180 +nerves. هي هذه الأعصاب، هذا الـperipheral nerve اللي طالع + +320 +00:28:00,180 --> 00:28:03,100 +فيها، فتحات خلفية. + +321 +00:28:07,870 --> 00:28:13,690 +فيها الـposterior wall of pelvic cavity، بتحيط + +322 +00:28:13,690 --> 00:28:18,030 +بالـpelvic cavity، يعني من الخلف هنا هي الـsacrum، + +323 +00:28:18,030 --> 00:28:23,710 +لكن لو جبت الأمام، هذا هنا التجويف الحوضي، تمام؟ + +324 +00:28:23,710 --> 00:28:26,830 +اللي على سبيل المثال في الـuterus، اللي بيحافظ على + +325 +00:28:26,830 --> 00:28:32,360 +الجنين أثناء فترة الحمل، في المنطقة الأمامية. الـ + +326 +00:28:32,360 --> 00:28:35,780 +sacral prominence، فيها النتوئات العظمية الـ + +327 +00:28:35,780 --> 00:28:40,620 +sacral. نرجع ثاني نشوفها هنا، هيها، نتوئات عظمية في + +328 +00:28:40,620 --> 00:28:44,000 +الـsacral، هذه اللي هي البروزات، اللي هي، أو + +329 +00:28:44,000 --> 00:28:48,680 +الفتحات، هي الـprominent أو النتوئات العظمية اللي + +330 +00:28:48,680 --> 00:28:54,900 +طالعة من الـsacrum. five fused، حكينا خمس عظام أو + +331 +00:28:54,900 --> 00:29:00,600 +خمس فقرات ملتحمين في الـsacrum. فيهم خمس فتحات، + +332 +00:29:00,600 --> 00:29:06,120 +فيهم prominence أو prominence، ما يسمى بـ نتوءات + +333 +00:29:06,120 --> 00:29:10,480 +عظمية طالعة على برا، بتحيط بالـpelvic بس posteriorly، + +334 +00:29:10,480 --> 00:29:14,840 +لأنّه من الخلف مافيش شيء، تمام؟ فيها الـmedian + +335 +00:29:14,840 --> 00:29:19,320 +sacral crest، اللي هو عبارة عن الحافة تبع + +336 +00:29:19,320 --> 00:29:25,740 +الـsacral crest. هذا بالنسبة لمميزات الـsacrum. أشوف + +337 +00:29:25,740 --> 00:29:33,340 +مميزات الـcoccyx اللي هي العصعص، أو العضمة اللي + +338 +00:29:33,340 --> 00:29:37,840 +هي بنسمّيها آخر عضمة بتتمّ تحليلها في جسم الإنسان + +339 +00:29:37,840 --> 00:29:44,640 +بعد الوفاة، تمام؟ يعني الذيل، هذه اللي موجودة هنا. + +340 +00:29:44,640 --> 00:29:49,180 +آخر واحدة موجودة في الـvertebral column. هذه + +341 +00:29:49,180 --> 00:29:54,610 +العصعص هي عبارة عن tail bone، عضمة الذيل. عبارة عن + +342 +00:29:54,610 --> 00:30:00,390 +أربع عظام ملتحمة. الكوكسيال هي عبارة عن أربع + +343 +00:30:00,390 --> 00:30:06,290 +ملتحمين، وهنا خمسة ملتحمين، تمام؟ sacral هي الـ + +344 +00:30:06,290 --> 00:30:10,230 +tailbone، أنا بسمّيها هيك. بيكون أخذنا كلّ الـ + +345 +00:30:10,230 --> 00:30:15,310 +vertebral column، الـcervical، وصفاتها ومميزاتها، الـ + +346 +00:30:15,310 --> 00:30:18,530 +thoracic، صفاتها ومميزاتها، وبعدين الـlumbar، + +347 +00:30:18,530 --> 00:30:24,400 +الـsacral، و الكوكسيال. أشوف الـribs اللي هي عبارة عن + +348 +00:30:24,400 --> 00:30:29,020 +أو قبل الـribs، خليني أشرح عن تطور الجنين في + +349 +00:30:29,020 --> 00:30:34,480 +المرحلة الجنينية وما بعد ذلك. اليوم الجنين موضوع في + +350 +00:30:34,480 --> 00:30:39,880 +الرحم، كيف بدّه يكون؟ موضوع في الرحم، قلنا حتى إحنا طبيعي + +351 +00:30:39,880 --> 00:30:45,060 +الإنسان الطبيعي، أول ما بتكون في حالة خوف، بتكون في + +352 +00:30:45,060 --> 00:30:50,240 +حالة ألم، على طول بتتمحور حوالين نفسك وبتيجي بشكل + +353 +00:30:50,240 --> 00:30:56,080 +الـC shape، تمام؟ شكل الـC هذا هو الوضع الجنيني. + +354 +00:30:59,640 --> 00:31:04,900 +الآن هذا الـcurve، أو هذا التحدّب، أو هذا الـcurve، + +355 +00:31:04,900 --> 00:31:09,800 +اللي هو بيتطوّر، هذا الآن لسّه ما زال جنين في رحم + +356 +00:31:09,800 --> 00:31:15,060 +أُمّه. بعد شوية حيصير تطور لحد ما يمشي، هيتغيّر الـ + +357 +00:31:15,060 --> 00:31:19,360 +curve أو اللي هو الانحناء. كلمة curve تعني انحناء، + +358 +00:31:19,360 --> 00:31:25,260 +تمام؟ هيتغيّر لحد ما يوصل الـS shape. في عندي + +359 +00:31:25,260 --> 00:31:32,410 +primary curvatures، انحناقات أو curvatures أولية. + +360 +00:31:32,410 --> 00:31:38,770 +Primary تعني أولية، وفي عندي ثانوية. الـprimary + +361 +00:31:38,770 --> 00:31:45,290 +curvatures اللي هو الـthoracic والـsacral، اثنين، و + +362 +00:31:45,290 --> 00:31:49,850 +أربعة. مش أنا حكيت في الـvertebra واحد وثلاثة مع + +363 +00:31:49,850 --> 00:31:55,210 +بعض، واثنين وأربعة مع بعض؟ إذا الـthoracic والـ + +364 +00:31:55,210 --> 00:31:59,820 +sacral curvatures. هي الـcervical، thoracic، + +365 +00:31:59,820 --> 00:32:04,220 +lumbar، sacral، thoracic اثنين وcervical أربعة، + +366 +00:32:04,220 --> 00:32:08,800 +اثنين وأربعة، تمام؟ مع بعض، بسمّيهم الـprimary + +367 +00:32:08,800 --> 00:32:14,180 +curvature. هم الـprimary في الـinfant، بدّهم يكونوا + +368 +00:32:14,180 --> 00:32:18,640 +على شكل، أو الرضيع أو الطفل الوليد، الـnewborn بدّهم + +369 +00:32:18,640 --> 00:32:23,380 +يكونوا على شكل الـC shape، على شكل اللي هو حرف الـC + +370 +00:32:23,380 --> 00:32:29,810 +الجنيني. أما في الـsecondary، فبيكون الوضع الـ + +371 +00:32:29,810 --> 00:32:35,470 +cervical والـlumbar. التطور تبعهم في الـbaby، لحد ما + +372 +00:32:35,470 --> 00:32:39,750 +يبدأ يمشي. طول ما الـbaby هو على حرف الـC shape، لكن + +373 +00:32:39,750 --> 00:32:45,690 +بداية ما يمشي الطفل، خلاص، بتطوّر الوضع اللي هو واحد وثلاثة، + +374 +00:32:45,690 --> 00:32:52,000 +cervical و lumbar، اللي هم عبارة عن secondary + +375 +00:32:52,000 --> 00:32:58,140 +curvatures. هذا اللي هو أخذناه أيضا، بيعمل + +376 +00:32:58,140 --> 00:33:04,200 +redistribution، إعادة توزيع لحمل الوزن الأعلى من الـ + +377 +00:33:04,200 --> 00:33:08,880 +thoracic والـabdomen، وكلّ هذا الشيء على الـlower + +378 +00:33:08,880 --> 00:33:14,940 +limb، عشان أقدر أنا أمشي. معناته أنا بدّي أحمل الرأس، والـ + +379 +00:33:14,940 --> 00:33:19,980 +الصدر والبطن، وأبدأ أمشي. إذا إعادة التوزيع، الفائدة + +380 +00:33:19,980 --> 00:33:24,460 +من هذا الشيء إنّه أنا بدّي أعمل إعادة توزيع على الـ + +381 +00:33:24,460 --> 00:33:30,780 +lower limb اللي موجودة عندي هنا تحت، okay. I have two + +382 +00:33:30,780 --> 00:33:34,420 +types of curvatures. في عندي نوعين من الانحناقات، + +383 +00:33:34,420 --> 00:33:39,840 +primary و secondary. الـprimary، بأخذ اثنين وأربعة، ثورا + +384 +00:33:39,840 --> 00:33:44,320 +سيكوساكرال، والـsecondary، بأخذ الـcervical والـ + +385 +00:33:44,320 --> 00:33:49,580 +lumbar. + +386 +00:33:49,580 --> 00:33:54,520 +الآن بعض اللي هي الصورة الطبية اللي موجودة عندي، + +387 +00:33:58,030 --> 00:34:05,950 +بعض الحالات المرضية. لما بدّه يصير في عندي زيادة في + +388 +00:34:05,950 --> 00:34:12,210 +الانحناء للأمام، يعني اليوم أنا هعمل بهذا الشكل، هذا + +389 +00:34:12,210 --> 00:34:17,170 +بسمّيه kyphosis. شو يعني كلمة kyphosis؟ أو بنسمّيه + +390 +00:34:17,1 + +445 +00:38:31,360 --> 00:38:38,810 +curvatures، هذه أشكالها، نشوف مع بعض هذه الـ set + +446 +00:38:38,810 --> 00:38:45,210 +الانحناء هذا اللي هو هنا، شايفين كيف وضع الـ + +447 +00:38:45,210 --> 00:38:50,950 +thoracic posteriorly increasing لل curvature زيادة + +448 +00:38:50,950 --> 00:38:58,900 +في التقوس خلفي، تمام؟ usually and orderly تلاقيها على + +449 +00:38:58,900 --> 00:39:03,080 + سبيل المثال المسنين، لو كان جدك أو جدتك عايشة + +450 +00:39:03,080 --> 00:39:06,440 +بتشوفهم، مش عند الكل، هو مش قاعدة أساسية لكن هو + +451 +00:39:06,440 --> 00:39:12,100 +abnormal pictures صورة غير طبيعية، تمام؟ هذا اللي + +452 +00:39:12,100 --> 00:39:18,540 +هو الـ kyphosis، أشوف الـ lordosis والـ scoliosis + +453 +00:39:18,540 --> 00:39:21,840 +هي الـ scoliosis، شايفين معايا في الصورة أو في + +454 +00:39:21,840 --> 00:39:25,920 +الأشعة كيف بتطلع، بدل ما هو هذا الـ vertebral column + +455 +00:39:25,920 --> 00:39:30,780 +جاي بالطريقة هذه، بيجيني مائل بطريقة أو بأخرى، هو + +456 +00:39:30,780 --> 00:39:36,900 +عبارة عن abnormal lateral curvatures نمو غير طبيعي + +457 +00:39:36,900 --> 00:39:41,420 +للـ vertebral column، انحناء جانبي + +458 +00:39:46,140 --> 00:39:52,440 +الآن بدي أشرح آخر جزئية من الـ Axial Skeleton، شرحت + +459 +00:39:52,440 --> 00:39:57,740 +على الـ Head، شرحت على الـ Vertebral Column، هشرح + +460 +00:39:57,740 --> 00:40:02,560 +على هذا القفص الصدري، زي ما أنتم شايفين، بعيدا عن + +461 +00:40:02,560 --> 00:40:06,720 +الـ Slides، خليني أشوف القفص الصدري، يحتوي القفص + +462 +00:40:06,720 --> 00:40:13,260 +الصدري على الأضلاع اللي موجودة هنا، عندي 12 زوج من + +463 +00:40:13,260 --> 00:40:20,010 +الأضلاع، تمام؟ بيرتبطوا من الأمام بحاجة اسمها عضمة + +464 +00:40:20,010 --> 00:40:26,910 +القص أو ما يسمى بالـ sternum، من الخلف بيرتبطوا بالـ + +465 +00:40:26,910 --> 00:40:32,850 +thoracic vertebra اللي هو فقرات العمود الفقري + +466 +00:40:32,850 --> 00:40:39,390 +الصدرية، الآن هذه الفقرات أو هذه الـ ribs، هقسمها إلى + +467 +00:40:39,390 --> 00:40:46,100 +ثلاث مجموعات أساسية: 1 و 2 و 3 و 4 و 5 و 6 و 7 + +468 +00:40:46,100 --> 00:40:52,500 +بسميها أضلع حقيقية، طب ليش يا دكتورة أضلع حقيقية؟ + +469 +00:40:52,500 --> 00:40:59,540 +لارتباطها بشكل مباشر مع الـ sternum، مع عضمة القص، 8 + +470 +00:40:59,540 --> 00:41:12,400 +و 9 و 10 false ribs يعني أضلع كاذبة، ليه؟ لأنه لن + +471 +00:41:12,400 --> 00:41:18,740 +تتصل بشكل مباشر مع الـ sternum، هي اتصلت في الرقم + +472 +00:41:18,740 --> 00:41:23,300 +سبعة، وجالت لرقم سبعة، أنا جاية معاكم، الشركة معناته + +473 +00:41:23,300 --> 00:41:29,840 +في اتصال بالـ sternum، ولكن غير مباشر، من واحد لسبعة + +474 +00:41:29,840 --> 00:41:37,520 +اتصال مباشر، ثمانية وتسعة وعشرة اتصال غير مباشر، بس + +475 +00:41:37,520 --> 00:41:43,320 +11 و 12 بسميهم الـ floating ribs اللي هي عبارة عن + +476 +00:41:43,320 --> 00:41:48,040 +الأضلع العائمة، هذه الأضلع العائمة اللي هي بتتم + +477 +00:41:48,040 --> 00:41:55,000 +استئصالها خارج الـ .. اللي هم النساء .. الـ cosmetic + +478 +00:41:55,000 --> 00:42:00,290 +الشيء الـ cosmetic، خليني أشوف الـ thoracic cage، هي + +479 +00:42:00,290 --> 00:42:04,010 +عبارة عن ايش؟ Consist of vertebral posteriorly زي ما + +480 +00:42:04,010 --> 00:42:09,250 +حكينا اللي هو thoracic vertebra بتكون posteriorly + +481 +00:42:09,250 --> 00:42:17,240 +الـ ribs laterally والـ sternum anteriorly، تمام؟ سبحان + +482 +00:42:17,240 --> 00:42:20,360 +الله، ربنا أعطانا هذا اللي هو الـ thoracic cage أو + +483 +00:42:20,360 --> 00:42:25,460 +القفص الصدري، لحماية الـ vital organs زي الـ heart، الـ + +484 +00:42:25,460 --> 00:42:31,420 +lungs، والقصبة الهوائية، والمريء، تحمي القلب والرئتين + +485 +00:42:31,420 --> 00:42:37,520 +و القصبة الهوائية و المريء، أخذنا حدوده، من الأمام + +486 +00:42:37,520 --> 00:42:42,260 +هنا هي موجودة عندي حاجة اسمها الـ sternum، على + +487 +00:42:42,260 --> 00:42:46,180 +الجانبين في الـ ribs، من ورا في الـ thoracic vertebra + +488 +00:42:46,180 --> 00:42:52,330 +اللي أنا عديتهم، 12 thoracic vertebra، provide + +489 +00:42:52,330 --> 00:42:57,630 +attachment، أيضا هنا في عندي نقاط اتصال مع العضلات + +490 +00:42:57,630 --> 00:43:03,390 +حكيت العضلة فيها origin و insertion، تمام، هنا أيضا + +491 +00:43:03,390 --> 00:43:07,110 +هو عبارة عن نقاط اتصال للـ muscles اللي هي بتشمل + +492 +00:43:07,110 --> 00:43:11,910 +العضلات المسؤولة عن الـ inspiration، عن عملية التنفس + +493 +00:43:11,910 --> 00:43:17,590 +هذه العظام، الأضلاع اللي أنا قسمتُها زي ما أنتم + +494 +00:43:17,590 --> 00:43:23,930 +شايفين معايا، من الـ 1 لـ 7 سميتها الـ True Ribs + +495 +00:43:23,930 --> 00:43:34,210 +أضلع حقيقية، من 8 لـ 12 الـ False، و 11 و 12 floating + +496 +00:43:34,210 --> 00:43:38,450 +أو ما يسمى بالعائمة، الطافية اللي هي ما بتتصل بحدا + +497 +00:43:38,450 --> 00:43:41,490 +خليني + +498 +00:43:41,490 --> 00:43:46,170 +أشوف الـ Ribs في الـ female و الـ male، نفس العدد 12 + +499 +00:43:46,170 --> 00:43:52,970 +زوج من الأضلاع، تمام؟ الـ 12 pairs لاحظوا + +500 +00:43:52,970 --> 00:43:56,750 +معايا pairs، اثنا عشر زوج، لما بقول أربعة وعشرين + +501 +00:43:56,750 --> 00:44:01,130 +ما بحط وراها pairs، لكن لما بحكي اثنا عشر هي اثنا عشر + +502 +00:44:01,130 --> 00:44:07,020 +زوج، لأن في عندي ribs، right ribs، left ribs، الـ ribs من + +503 +00:44:07,020 --> 00:44:13,420 +1 لـ 7 سميتها true، وذلك لارتباطها مباشرة بعظمة + +504 +00:44:13,420 --> 00:44:18,000 +الـ sternum، وشوفناها على skeleton هنا، من 1 لـ 7 + +505 +00:44:18,000 --> 00:44:24,260 +تصلت بشكل مباشر في الـ sternum، أما 8 و 12 فهي false + +506 +00:44:24,260 --> 00:44:29,640 +نظرا لعدم اتصالها بالـ coastal cartilage، ارتصلت + +507 +00:44:29,640 --> 00:44:34,300 +برقم 7، وضلت متصلة معها، إذا معناته اتصالها + +508 +00:44:34,300 --> 00:44:40,620 +indirectly، بشكل غير مباشر، The last two ribs اللي + +509 +00:44:40,620 --> 00:44:48,200 +هم 11 و 12، سميتهم الـ floating، العائمات أو الطافيات + +510 +00:44:48,200 --> 00:44:53,440 +لأنه ما في لهم أي connection مع الـ sternum، ما اتصلوا + +511 +00:44:53,440 --> 00:44:57,220 +تماماً بالـ sternum، فقط طلعوا لي من ورا من الـ vertebra + +512 +00:44:57,220 --> 00:45:02,960 +11 و 12، وضلهم عائمين أو طائفين لحالهم، تمام؟ هذا + +513 +00:45:02,960 --> 00:45:06,920 +الشيء خلى أو خلّاني اسميهم false، لأنه ما في لهم + +514 +00:45:06,920 --> 00:45:13,110 +اتصال مباشر مع الـ sternum، بهيك بكون أنا خلصت + +515 +00:45:13,110 --> 00:45:17,330 +chapter skeleton، الاثنين الـ part، الثاني زي ما + +516 +00:45:17,330 --> 00:45:22,130 +اتفقنا، بيعطيكم ألف عافية، للقاء آخر بإذن الله + +517 +00:45:22,130 --> 00:45:22,570 +تعالى diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/bdVk5-nxG2Y_postprocess.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/bdVk5-nxG2Y_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..a894efe2c750ae2fdc7c7df624a73d088dfb325c --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/bdVk5-nxG2Y_postprocess.srt @@ -0,0 +1,2068 @@ +1 +00:00:04,930 --> 00:00:07,590 +بسم الله الرحمن الرحيم والصلاة والسلام على أشرف + +2 +00:00:07,590 --> 00:00:11,410 +الأنبياء والمرسلين معاكم مكملة كمان مرة أنا أماني + +3 +00:00:11,410 --> 00:00:15,650 +مظهر في skeletal system number two ال part التاني + +4 +00:00:15,650 --> 00:00:18,970 +من ال chapter زي ما اتفقنا طلابي الأعزاء أنه + +5 +00:00:18,970 --> 00:00:25,130 +chapter نجسمه عشرين slide عشرين slide تمام؟ان شاء + +6 +00:00:25,130 --> 00:00:28,590 +الله رب العالمين هكمل باقي ال axial ال skeleton + +7 +00:00:28,590 --> 00:00:33,270 +اللي أنا شرحته في ال part الأول شرحت فقط عن ال + +8 +00:00:33,270 --> 00:00:37,670 +skull و حكيت عن ال facial bones و ال skull bones و + +9 +00:00:37,670 --> 00:00:41,970 +حكينا على التجاويف و حكينا على ال phantalis الان + +10 +00:00:41,970 --> 00:00:47,020 +في هذا ال chapter هشرح عنالـ Vertebral Column + +11 +00:00:47,020 --> 00:00:52,980 +العمود الفقري هذا اللي موجود عندنا هشرح عن القفص + +12 +00:00:52,980 --> 00:00:58,060 +الصدري بشكل عام بإذن الله تعالى هشوف زي ما حكينا + +13 +00:00:58,060 --> 00:01:03,440 +في كل chapter في عندي صورة طبية أو حالة مرضية هشرح + +14 +00:01:03,440 --> 00:01:09,360 +عنها بإذن الله نبدأ على بركة اللهالآن في عندي + +15 +00:01:09,360 --> 00:01:12,800 +الدرازات أو ما يسمى بالـ sutures اللي أنتوا + +16 +00:01:12,800 --> 00:01:17,220 +شايفينها إذا جربنا الكاميرا شوية هنشوف اللي هي + +17 +00:01:17,220 --> 00:01:21,320 +عبارة عن هذه الخطوط و هذه التعروجات اللي موجودة + +18 +00:01:21,320 --> 00:01:26,740 +عندي في عندي حاجة اسمها ال sutures أو ما يسمى + +19 +00:01:26,740 --> 00:01:31,720 +بالدرازات المسننة تمام؟ هي عبارة عن إيش؟ ارتباط + +20 +00:01:31,720 --> 00:01:35,820 +العظمتين مع بعضهم البعض ال frontals مع ال temporal + +21 +00:01:35,820 --> 00:01:42,730 +تمام؟أو ال frontals اللي هي البرايتل ال sutures هي + +22 +00:01:42,730 --> 00:01:49,330 +عبارة عن إيش؟ immovable, fibrous joint لما ال I am + +23 +00:01:49,330 --> 00:01:57,070 +تسبق الكلمة، معناه تبتنفيهاI, immovable هو عبارة + +24 +00:01:57,070 --> 00:02:02,790 +عن إيش؟ عن joints إيش ماله؟ غير متحرك عمركم شفتوا + +25 +00:02:02,790 --> 00:02:07,490 +واحدة من 8 عضمات بتتحرك عن التانية؟ لأ، هي عظام + +26 +00:02:07,490 --> 00:02:12,930 +مشتركة، تمام؟ هي العظام المشتبكة مع بعضها البعض + +27 +00:02:12,930 --> 00:02:20,300 +بـjoint غير متحرك تماماًمحكم الإغلاق Fibrous حكيت + +28 +00:02:20,300 --> 00:02:24,020 +أنا لما بدي إشي يكون براتي الجسم بضيفله كلمة + +29 +00:02:24,020 --> 00:02:28,500 +Fibrous أو إشي بدي أعمله protection Fibrous أو + +30 +00:02:28,500 --> 00:02:33,300 +Fibrocartilaginous على سبيل المثال إذا Fibrous + +31 +00:02:33,300 --> 00:02:37,880 +immovable joint هذا ال Fibrous بيكون bounded + +32 +00:02:37,880 --> 00:02:43,720 +between cranial bone بيغلق الحدود ما بين 8 عضمات + +33 +00:02:43,720 --> 00:02:49,720 +اللي أنا أخدتهمDenis شو نوعه من المفاصل Denis + +34 +00:02:49,720 --> 00:02:55,220 +Regular Connective Tissue إذن هذه الدرازات نوع + +35 +00:02:55,220 --> 00:02:59,740 +التشو اللي موجودة فيها أو المفصل هذا هو عبارة عن + +36 +00:02:59,740 --> 00:03:04,820 +Denis Regular Connective Tissue إحنا أخدنا هذا + +37 +00:03:04,820 --> 00:03:08,380 +النوع من المفاصل أو هذا النوع من الأنسجة هو عبارة + +38 +00:03:08,380 --> 00:03:15,590 +عن نسيج قوي جدا بيعمل على إغلاقأو seals لل cranial + +39 +00:03:15,590 --> 00:03:23,970 +bones firmly together بيغلقها بشكل محكم بحيث تحافظ + +40 +00:03:23,970 --> 00:03:30,230 +على ال brain داخلها تمام؟ أيضا تسمح ال cranium to + +41 +00:03:30,230 --> 00:03:36,590 +grow خلال ال childhood هل هو هيكون عند الإشي مغلق + +42 +00:03:36,590 --> 00:03:41,790 +ومحكم تماما من لحظة الولادة؟ لأالان كيف هالزرعة + +43 +00:03:41,790 --> 00:03:46,110 +هذه بدها تكبر، بدها مزال، بدها وسع، فمعناة الكلام + +44 +00:03:46,110 --> 00:03:52,710 +في بداية مراحل الطفولة بيكون في مجال ان هو تتوسع + +45 +00:03:52,710 --> 00:03:56,530 +وتكبر ل cranial bone زي ما انتوا شايفينها، حجم + +46 +00:03:56,530 --> 00:04:01,180 +راسك وانت طفل صغير مش زي حجمها وانت شابليه؟ لأنه + +47 +00:04:01,180 --> 00:04:06,380 +نمت وكبرت فبالتالي ال brain جواتها كمان كبر عن + +48 +00:04:06,380 --> 00:04:11,220 +حجمه فبتم إغلاقها في مرحلة ال adulthood مرحلة + +49 +00:04:11,220 --> 00:04:16,380 +المراهقة إذا هاي ال fibers تشو أو هاي الدنس + +50 +00:04:16,380 --> 00:04:21,160 +regular connective تشو بتم إغلاقها ولكن في مرحلة + +51 +00:04:21,410 --> 00:04:24,890 +اللي هو ال adulthood و ليس في مرحلة ال childhood + +52 +00:04:24,890 --> 00:04:28,710 +لإنه لسه ما زال عندى الطفل بينمو تكبر حجم الرأس + +53 +00:04:28,710 --> 00:04:32,690 +بده يكبر ال brain مش هيضلوا ال brain موجود و بحجمه + +54 +00:04:32,690 --> 00:04:37,630 +الصغير لأ هو هيكبر حبة حبة لحد ما يكتمل نموه + +55 +00:04:40,680 --> 00:04:44,820 +in adult hood when cranial growth has stopped، + +56 +00:04:44,820 --> 00:04:49,540 +لاحظة في مرحلة الـ adult hood أو مرحلة ما يتسمى + +57 +00:04:49,540 --> 00:04:54,420 +بفترة المراهقة ال cranial growth stopped، خلصنا، + +58 +00:04:54,420 --> 00:04:58,940 +جونا العظام الطويلة، بيكتمل نموها من عمر 18 ل 25 + +59 +00:05:00,000 --> 00:05:05,240 +أيضا هنا في مرحلة الـ adulthood بتقف نموها في عمر + +60 +00:05:05,240 --> 00:05:09,960 +اللي هو الـ adulthood ال future is fused خلاص + +61 +00:05:09,960 --> 00:05:15,040 +بتلتحم وبتحكم الإغلاق بيصير إن الإشي immovable + +62 +00:05:15,040 --> 00:05:19,360 +joint مافي قدمة هتتحرك عن التانية خلاص هي كلها + +63 +00:05:19,360 --> 00:05:23,400 +الدرازات اشتبكت مع بعضها البعض وسكرت على ال brain + +64 +00:05:23,400 --> 00:05:29,090 +بعد هيك يعني بعد عمر18 خليني أحكي و بعد عمر 16 سنة + +65 +00:05:29,090 --> 00:05:36,630 +اللي هي فترة المراهقة ما بده يكبر الرأس أكتر من + +66 +00:05:36,630 --> 00:05:41,810 +هيك لأ ما بيكبر إذا بيضلوا و بتم الإغلاق و بتحكم + +67 +00:05:41,810 --> 00:05:48,710 +اللي هي ال future و بتكون liberated اللي هي محكمات + +68 +00:05:48,710 --> 00:05:54,810 +الإغلاق هذا بالنسبة للدرازات اللي موجودة داخل ال + +69 +00:05:54,810 --> 00:05:58,880 +skillsزي ما انتوا شايفينها هنا في عندي صورة عادية + +70 +00:05:58,880 --> 00:06:04,380 +ملونة وهذه صورة CT موجودة بالمناسبة الصور هنا ما + +71 +00:06:04,380 --> 00:06:09,060 +بدناياها الصور هنا فقط للتوضيح برايت ال left و ال + +72 +00:06:09,060 --> 00:06:13,300 +right وهذه ال temporal في بينهم ال cranial sutures + +73 +00:06:13,300 --> 00:06:20,860 +أو ما يسمى بالدرازات اللي موجودة الآن + +74 +00:06:20,860 --> 00:06:25,430 +هبدأ أشرح على حاجة اسمها ال vertebral columnشو هو + +75 +00:06:25,430 --> 00:06:29,390 +الـ vertebral column؟ العمود الفقري يحتوي العمود + +76 +00:06:29,390 --> 00:06:38,490 +الفقري على 33 عضمة أو 33 فقرا خليني أجيبه شوي لإن + +77 +00:06:38,490 --> 00:06:45,750 +احنا نشرح عنه كتير هنا هحكي هو عبارة عن هذا الاشي + +78 +00:06:45,750 --> 00:06:50,790 +أو هذه السلسلة من الفقرات الدهرية سبعة cervical + +79 +00:06:50,790 --> 00:06:52,190 +تمام؟ + +80 +00:06:54,930 --> 00:07:01,850 +12 Thoracic، 5 Lumbar، 5 Sacral، 4 Coxial، اللي هي + +81 +00:07:01,850 --> 00:07:07,890 +العجزية، تمام؟ شو وظيفته؟ أول وظيفة قالنا اللي هو + +82 +00:07:07,890 --> 00:07:11,950 +بدي يعملي support لل weight اليوم أنا لو ماعندي + +83 +00:07:11,950 --> 00:07:17,410 +هذا العمود الفقري ماحوزن أو ماححمل جسمي على أي شيء + +84 +00:07:18,120 --> 00:07:21,840 +على سبيل المثال أن حالات مرضية اللي هي اللي بيصير + +85 +00:07:21,840 --> 00:07:26,580 +مثلا صار في عنده cutting في ال spinal cord وكل ما + +86 +00:07:26,580 --> 00:07:29,960 +بنعرف ال spinal cord جواد هذه السلسلة الدهرية + +87 +00:07:29,960 --> 00:07:35,460 +المنطقة اللي صار عندها قطع للحبل الشوكي بعدها + +88 +00:07:35,460 --> 00:07:38,840 +بيصير paralysis وأعني بكلمة paralysis + +89 +00:07:41,650 --> 00:07:46,670 +تمام؟ شلل يعني مافي حركة معناة الكلام هو هنا + +90 +00:07:46,670 --> 00:07:51,670 +وظيفته أنه هو بيعمل support لل weight transmit ال + +91 +00:07:51,670 --> 00:07:57,090 +weight to pelvis and lower limb بيحمل وزن الجزء + +92 +00:07:57,090 --> 00:08:01,910 +الأعلى من القفص الصدري والإيدين والبطن وكل هذا + +93 +00:08:01,910 --> 00:08:06,620 +الاشي على ال pelvic هنا وال lower limbلأنه أنا لما + +94 +00:08:06,620 --> 00:08:09,520 +بدي أنتقل من مكان إلى مكان زي ما أنتوا شايفين و + +95 +00:08:09,520 --> 00:08:13,820 +أرجع للنقطة الأساسية معناة الكلام أنه أنا بدي أحمل + +96 +00:08:13,820 --> 00:08:19,760 +وزن على ال lower limb الوظيفة التانية أنه هذا + +97 +00:08:19,760 --> 00:08:24,720 +العمود الفقري بيستضيف لي ال spinal cord و بديش + +98 +00:08:24,720 --> 00:08:27,080 +أحكي كتير عن ال spinal cord عشان هو فيه + +99 +00:08:27,080 --> 00:08:30,960 +إلوفلينيورو شبترين كاملين ال spinal cord بس أنا + +100 +00:08:30,960 --> 00:08:34,480 +حابة أذكركم بالرسمة هذه أن ال central nervous + +101 +00:08:34,480 --> 00:08:44,600 +systemتمام يحتوي على ال brain و ال spinal cord إذا + +102 +00:08:44,600 --> 00:08:49,320 +هو جزء أساسي من ال central nervous system okay + +103 +00:08:49,320 --> 00:08:52,260 +فمعناة الكلام أنا زي ما حافظت على ال brain بال + +104 +00:08:52,260 --> 00:08:55,240 +cranial bone هحافظ على ال spinal cord بال + +105 +00:08:55,240 --> 00:09:00,860 +vertebral column العمود الفقري الوظيفة التالتة أنه + +106 +00:09:00,860 --> 00:09:06,250 +بيسمح بالحركة اليوم أنا بتحرك في عنديflexion + +107 +00:09:06,250 --> 00:09:11,310 +extension ثاني هو امتداد للحركة بيقوم فيها العمود + +108 +00:09:11,310 --> 00:09:15,810 +الفقري بدي اطلع درج بدي انزل درج معناه الكلام اللي + +109 +00:09:15,810 --> 00:09:19,830 +بدي اعمل على السماح بالحركة اللي هو ال vertebral + +110 +00:09:19,830 --> 00:09:26,270 +columnأيضًا هو محط نقاط اتصال للعضلات وشرحتها هذه + +111 +00:09:26,270 --> 00:09:32,410 +سابقًا في قصة إن هذا أو هذه العضلة اللي جاية هنا + +112 +00:09:32,410 --> 00:09:37,720 +وجاية هنا إلها origin وإلها insertionيلها نقطة + +113 +00:09:37,720 --> 00:09:42,480 +بداية ويلها نقطة نهاية معناة الكلام عشان تعمل ال + +114 +00:09:42,480 --> 00:09:48,000 +contract relax لازم تنقبض يعني تقترب ال origin على + +115 +00:09:48,000 --> 00:09:53,320 +ال insertion فبالتالي بتنشأ عندي الحركة إذا ال + +116 +00:09:53,320 --> 00:09:57,800 +vertebral column هو عبارة عن نقاط اتصال للعضلات + +117 +00:09:57,800 --> 00:10:03,420 +عضلات مين عضلات ال back الدهر كله عضلات ال head + +118 +00:10:03,420 --> 00:10:08,990 +اللي جاياني من هناعضلات الـ neck، cervical عضلات + +119 +00:10:08,990 --> 00:10:11,430 +الـ upper extremity زي ما أنتوا شايفين لما بدي + +120 +00:10:11,430 --> 00:10:15,750 +أحرك إيدي معناته لوحة الكتف اتحركت وعضلات الـ + +121 +00:10:15,750 --> 00:10:20,210 +thoracic اللي موجودة هنا تمام؟ I have four + +122 +00:10:20,210 --> 00:10:25,950 +functions في عندي أربع وظائف أساسية ورئيسية للعمود + +123 +00:10:25,950 --> 00:10:31,160 +الفقري الوظيف الأولى support لل weighthouses and + +124 +00:10:31,160 --> 00:10:36,220 +protect للـspinal cord برمتز للموفمنت provide لل + +125 +00:10:36,220 --> 00:10:41,580 +muscles attachment تعمل على نقاط اتصال للعضلات حتى + +126 +00:10:41,580 --> 00:10:45,880 +تؤدي وظيفتها هاي ال function لل vertebral colon + +127 +00:10:45,880 --> 00:10:50,800 +عشان أرجع و أذكركم بإيش احنا بنشرح خلصنا ال head + +128 +00:10:50,800 --> 00:10:55,500 +في ال axial skeleton بشرح عن ال vertebral colon + +129 +00:10:55,500 --> 00:11:01,300 +لال axial skeleton أيضاأشوف ال regions أو + +130 +00:11:01,300 --> 00:11:06,100 +التقسيمات اللي أنا قسمتها حكيت في عندي five + +131 +00:11:06,100 --> 00:11:12,440 +regions ال cervical سبعة ال thoracic اتناش ال + +132 +00:11:12,440 --> 00:11:17,750 +lumber خمسةوالـ Sacrum تيجي تحت الـ lumbar + +133 +00:11:17,750 --> 00:11:22,790 +vertebra Articulated with coaxial تتمفصل مع الـ + +134 +00:11:22,790 --> 00:11:28,270 +coaxial bone اللي هي آخر جزء Most inferior region + +135 +00:11:28,270 --> 00:11:36,360 +هي أكثرها سفلية تحت لل vertebral columnحكينا سبعة، + +136 +00:11:36,360 --> 00:11:42,440 +ناشر، خمسة، خمسة و أربعة ملتحمين يعني بيصير العدد + +137 +00:11:42,440 --> 00:11:47,380 +النهائي تلاتة و تلاتين vertebra أو vertebra اللي + +138 +00:11:47,380 --> 00:11:56,380 +هي عضمة نعيد تاني هاخد كل واحدة و خصائصها من C1 ل + +139 +00:11:56,380 --> 00:12:04,080 +C7 هي ال cervical bone عظام الرقبةمن thoracic 1 + +140 +00:12:04,080 --> 00:12:12,940 +ونعد 1 2 3 4 5 6 7 8 9 10 11 12 لحد هنا هي عبارة + +141 +00:12:12,940 --> 00:12:18,770 +عن ال thoracicVertebrae سبعة و اتناش ال lumber + +142 +00:12:18,770 --> 00:12:24,010 +خمسة واحد اتنين تلاتة اربعة خمسة لحد هنا عندي ال + +143 +00:12:24,010 --> 00:12:29,650 +lumber خمس عضمات ال sacral اربعة خمسة و الكوكسيال + +144 +00:12:29,650 --> 00:12:35,570 +اربعة هيك بيصير العدد عندنا تلاتة و تلاتين هنبدأ + +145 +00:12:35,570 --> 00:12:40,910 +نشرح عن كل واحدة لها مميزاتها الخاصةاللي هي عبارة + +146 +00:12:40,910 --> 00:12:45,630 +عن إيش ال regions لل normal curvatures الآن أنا + +147 +00:12:45,630 --> 00:12:51,590 +لما بدي أخد العمود الفقري ما برسمه بشكل مسترة وكل + +148 +00:12:51,590 --> 00:12:55,430 +هيتنا عندنا في أجسامنا سبحان الله الاشي مش مسترة + +149 +00:12:55,430 --> 00:12:58,930 +هو ليس زاوية قائمة إذا أنا عملته أو ليست خط + +150 +00:12:58,930 --> 00:13:06,730 +مستقيم، لأ هو عبارة عن حرف ال S بهذا الشكل تمام؟ + +151 +00:13:08,010 --> 00:13:13,890 +حاجة أعين و أقول هذه منطقة رقم واحد هذه منطقة رقم + +152 +00:13:13,890 --> 00:13:19,550 +اتنين هذه منطقة رقم تلاتة وهنا تحت منطقة رقم أربعة + +153 +00:13:19,550 --> 00:13:23,530 +كلنا الله سبحانه وتعالى أعطانا العمود الفقري ال + +154 +00:13:23,530 --> 00:13:28,670 +normal أو الشكل الطبيعي لنا ال curvature سبعنا على + +155 +00:13:28,670 --> 00:13:38,190 +حرف ال S shape convex و concave مقعر و محددالـ + +156 +00:13:38,190 --> 00:13:43,090 +Vertebral Colon as an S-Shape الـ cervical واللمبر + +157 +00:13:43,090 --> 00:13:52,030 +بحكي واحد و تلاتة cervical ولمبر هي عبارة عن ash + +158 +00:13:52,030 --> 00:13:59,810 +curvature concave posteriorly مقعرة من الخلف واحد + +159 +00:13:59,810 --> 00:14:04,980 +اللي هو ال cervical تلاتة اللي هي اللمبرلحظة + +160 +00:14:04,980 --> 00:14:11,900 +معايا، واحد و تلاتة concave مقعرة posteriorly هذه + +161 +00:14:11,900 --> 00:14:17,280 +الميزة تبعتها أما ال ثورسك وال ساكرال اللي هو + +162 +00:14:17,280 --> 00:14:21,180 +اتنين و أربعة convex + +163 +00:14:23,170 --> 00:14:28,490 +convex يعني محددة posteriorly هاي ال thoracic يا + +164 +00:14:28,490 --> 00:14:34,610 +إما بتقول TH أو بين قوسين الدرزل دي تمام و أربعة + +165 +00:14:34,610 --> 00:14:41,210 +اللي هي ال sacral اتنين و أربعة convex posteriorly + +166 +00:14:41,210 --> 00:14:45,970 +عشان أنا ماتلخبطش فيهم بدي أعطيكم هذه المعادلة + +167 +00:14:45,970 --> 00:14:57,070 +واحد و تلاتةconcave تمام posterior واحد و تلاتة + +168 +00:14:57,070 --> 00:15:01,210 +الأعداد شو وضعهم واحد و تلاتة الأعداد فردية صح + +169 +00:15:01,210 --> 00:15:06,270 +فبالتالي هي concave posteriorly أما اتنين و أربعة + +170 +00:15:06,270 --> 00:15:09,890 +convex + +171 +00:15:09,890 --> 00:15:16,770 +posteriorly محددة للخلف اتنين و أربعة الأعداد + +172 +00:15:16,770 --> 00:15:22,490 +زوجيةإذاً واحد و تلاتة concave posterior اتنين و + +173 +00:15:22,490 --> 00:15:26,970 +أربعة convex posterior الآن هذا الاشي ربنا + +174 +00:15:26,970 --> 00:15:31,390 +أعطانيها لحكمة لإيش؟ ما أعطانيها العمود الفقري + +175 +00:15:31,390 --> 00:15:36,470 +بشكل مستقيم أو على شكل مسترعة، لأ، في إشي convex و + +176 +00:15:36,470 --> 00:15:42,230 +في إشي concave أعطانيها عشان إيش؟ increase لل + +177 +00:15:42,230 --> 00:15:47,440 +resonance of spineزيادة المرونة في حركة + +178 +00:15:47,440 --> 00:15:50,500 +الـvertebral column اليوم أنا بدي أصلي، معناته في + +179 +00:15:50,500 --> 00:15:55,800 +ركوع، في استقامة، في سجود، في حركات كتيرة، بدي + +180 +00:15:55,800 --> 00:15:59,960 +أطلع درج، بدي أعمل flexion للأمام، وبعدين أرجع + +181 +00:15:59,960 --> 00:16:04,740 +أستقيم، هذا حرف الـS shape أو على شكل الـS shape + +182 +00:16:04,740 --> 00:16:09,920 +هو اللي هيزيدلي مرونة العمود الفقري، خليني أعمل + +183 +00:16:09,920 --> 00:16:14,750 +summarize لهذا الـslide،كلنا عندنا الـ S shape الـ + +184 +00:16:14,750 --> 00:16:20,470 +S shape اللي هو عبارة عن شكل العمود الفقري واحد و + +185 +00:16:20,470 --> 00:16:25,030 +تلاتة مع بعض، اتنين و اربع مع بعض من هم واحد و + +186 +00:16:25,030 --> 00:16:32,510 +تلاتة؟ هم الـ cervical و الـ lumbar صح، هاي واحد، + +187 +00:16:32,510 --> 00:16:38,590 +S، C، cervical، تلاتة lumber، concave posteriorly + +188 +00:16:39,200 --> 00:16:43,460 +أما اتنين اللي هو الـ thoracic والسقرال convex + +189 +00:16:43,460 --> 00:16:48,700 +posteriorly أعتقد كده تمام واحد و تلاتة مع بعض و + +190 +00:16:48,700 --> 00:16:54,720 +اتنين و أربعة مع بعض هذا بالنسبة لشكل اللي هو ال + +191 +00:16:54,720 --> 00:16:59,860 +vertebral column هنا بدي أجي أشوف شكل أو الوضع + +192 +00:16:59,860 --> 00:17:06,630 +التشريحي للفقرة نفسها ال vertebraeوبالمناسبة في + +193 +00:17:06,630 --> 00:17:10,890 +أحد الامتحانات جيبناها في ال final مش هجيب هالمرة + +194 +00:17:10,890 --> 00:17:17,110 +هادى يعنى تمام أنا باعترف نصا هذه شكل ال vertebra + +195 +00:17:17,110 --> 00:17:22,750 +تمام أو لو جيت أنا و طلعت فقرة من هذا العمود و + +196 +00:17:22,750 --> 00:17:26,350 +حطيتها قدامي بشرح عليها في ال advanced anatomy + +197 +00:17:26,350 --> 00:17:30,510 +بناخدها هذه العظام و بتطلعها و بشرح عليها واحدة + +198 +00:17:30,510 --> 00:17:35,400 +واحدةزي ما انتوا شايفين هذا الشكل في عندى هنا حاجة + +199 +00:17:35,400 --> 00:17:42,000 +اسمها الـ Foramen أخدنا في شبتر الـ bone marking + +200 +00:17:42,000 --> 00:17:47,640 +أو النتوئات العضمية الـ Foramen تعريفها circular + +201 +00:17:47,640 --> 00:17:54,380 +أو oval opening فتحة دائرية أو بيضاوية لخروج الـ + +202 +00:17:54,380 --> 00:17:57,460 +artery لخروج ال vein لخروج ال lymph vessels لأي + +203 +00:17:57,460 --> 00:18:03,380 +إشي موجود عندناالان هذه الفتحة هيمر من خلالها + +204 +00:18:03,380 --> 00:18:08,600 +الـspinal cord تمام؟ إذا هي الـvertebral foramen + +205 +00:18:08,600 --> 00:18:13,280 +كل إشي عندنا موجود في الحياة له جسم السيارة بنقول + +206 +00:18:13,280 --> 00:18:17,060 +الـbody، لا الـcar برضه هنا الـvertebral إلها حاجة + +207 +00:18:17,060 --> 00:18:24,660 +اسمها الـbody، هادي اسمه الـbody تمام؟ + +208 +00:18:25,900 --> 00:18:30,800 +في عندي Spina Sebrosis وحكيت Spina Sebrosis هي + +209 +00:18:30,800 --> 00:18:37,790 +عبارة عن حاجة في الـ bull marking أيضا sharpحادة، + +210 +00:18:37,790 --> 00:18:42,330 +هيها البروز هذا اللي موجود عندى اللي برا هذه هي + +211 +00:18:42,330 --> 00:18:47,230 +Spinous process حاجة طالعة لقدام هي النتوء العضمى + +212 +00:18:47,230 --> 00:18:51,970 +اللى طالع لبرا فى عندى حاجتين كمان واحدة على ال + +213 +00:18:51,970 --> 00:18:57,310 +right واحدة على ال left Transfer Process موجودين + +214 +00:18:57,310 --> 00:19:00,950 +عندى هنا فى ال vertebra اللى طالع لبرا Spinous + +215 +00:19:00,950 --> 00:19:03,430 +process لكن اللى رايحة على ال right و اللى رايحة + +216 +00:19:03,430 --> 00:19:08,160 +على ال left هي عبارة عن ال transferشوكة عرضية + +217 +00:19:08,160 --> 00:19:15,220 +رايحة على الجنبين لكل شي علاجة وهنا أيضا ل ال + +218 +00:19:15,220 --> 00:19:22,780 +vertebral pedicle اللي هي اسمها علاقة تمام؟في عنا + +219 +00:19:22,780 --> 00:19:28,280 +حاجة اسمها الـ Facet Joint ارتباط الفقرة بالفقرة + +220 +00:19:28,280 --> 00:19:32,280 +الأخرى التي تليها حاجة اسمها الـ Facet Superior + +221 +00:19:32,280 --> 00:19:36,920 +Facet Joint وحكيت هي عبارة عن Soft أو إشي طري + +222 +00:19:36,920 --> 00:19:40,980 +موجودة في الـ Vertebra لما أخدنا الـ Bone Marking + +223 +00:19:40,980 --> 00:19:48,980 +تمام؟ Facet Joint أيضا في اللي هو الأرش القوس اللي + +224 +00:19:48,980 --> 00:19:55,370 +هو تبع ال Vertebraأذن خلّيني أشرحه، هذا الاشي مهم + +225 +00:19:55,370 --> 00:20:01,490 +ليش؟ لأنه أو ليش المثل بتشرح عن تشريح الفقرة؟ لأنه + +226 +00:20:01,490 --> 00:20:05,630 +كمان شوية في ال slides القادمة عندنا هحكيلك أن هو + +227 +00:20:05,630 --> 00:20:09,730 +ال thoracic vertebra فيها short spinous processes + +228 +00:20:10,560 --> 00:20:14,220 +لو أنا ماشرحتش هذه الرسمة انت مش هتكوني عارفة او + +229 +00:20:14,220 --> 00:20:17,880 +انت مش هتكون عارف شو يعني spinous process عشان هيك + +230 +00:20:17,880 --> 00:20:22,120 +انا لازم اشرح ال normal عشان بعد شوية اوريك وين + +231 +00:20:22,120 --> 00:20:27,440 +تكون في ال thoracic في ال lumber في ال sacral هاي + +232 +00:20:27,440 --> 00:20:30,400 +ال spinous process انراجع مع بعض هي عبارة عن + +233 +00:20:30,400 --> 00:20:35,330 +الشوكة الطولية اللي طالعة لبراhead وhead هما ال + +234 +00:20:35,330 --> 00:20:39,890 +transfer هى عبارة عن الفتحة اللى هى ال foramen و + +235 +00:20:39,890 --> 00:20:44,730 +هذا القرش اللى موجود عندىه تمام فى كل إشي اللى ال + +236 +00:20:44,730 --> 00:20:48,210 +body او ال syndrome فى هنا عندنا ال body تبع ال + +237 +00:20:48,210 --> 00:20:52,690 +vertebra فى هنا عندي ال facet joint اللى هو عشان + +238 +00:20:52,690 --> 00:20:57,290 +تركز عليه كمان vertebra تانيةأيضا في عندنا حاجة + +239 +00:20:57,290 --> 00:21:00,670 +اسمها ال pedicle اللي هي العلاقة تقريبا عشرة من + +240 +00:21:00,670 --> 00:21:06,130 +الأجزاء في أيضا حاجة في ال arch و فوق اسمها ال + +241 +00:21:06,130 --> 00:21:10,250 +lamina هذه ال lamina اللي ممكن الجراح يعمل فيها + +242 +00:21:10,250 --> 00:21:15,750 +cutting و يعمل توسيع للفقرة أثناء الضغط على ال + +243 +00:21:15,750 --> 00:21:23,320 +spinal cordهك أنا شرحت تركيبة الفقرة الطبيعية أبدأ + +244 +00:21:23,320 --> 00:21:29,340 +أشوف خصائص اللي هي الفقرات أول إيش هنا بدو يشرحلي + +245 +00:21:29,340 --> 00:21:34,360 +عن الاش موجودة عندنا ال vertebral disc أو ال + +246 +00:21:34,360 --> 00:21:39,620 +intervertebral موجود عشان إيش؟ الآن و أنا ماشية + +247 +00:21:39,620 --> 00:21:46,650 +صار في حادث سيرأي ضربة مباشرة للعمود الفقري بتلقى + +248 +00:21:46,650 --> 00:21:52,070 +الإصابة مباشرة من الجزء البراني اللي هو العظام قبل + +249 +00:21:52,070 --> 00:21:56,390 +ما تدخلي على ال spinal cord مش مشكلة يصير أي ضرر + +250 +00:21:56,390 --> 00:22:00,170 +في العظام ولا تدخل على ال spinal cord لأن ال + +251 +00:22:00,170 --> 00:22:03,830 +spinal cord central nervous system وأنا بحافظ عليه + +252 +00:22:03,830 --> 00:22:07,630 +ممكن أدخل في حالة من الشلل إذا لا سمح الله صار في + +253 +00:22:07,630 --> 00:22:11,790 +cuttingمعناة الكلام إنه أنا حيصير في عندي shock + +254 +00:22:11,790 --> 00:22:16,930 +absorbers in young quite strong trauma تمام؟ إذا + +255 +00:22:16,930 --> 00:22:21,030 +صار في عندي إصابة مباشرة للعمض الفقري، بتم + +256 +00:22:21,030 --> 00:22:24,290 +إمتصاصها من الـintervertebral disc، على طول + +257 +00:22:24,290 --> 00:22:31,140 +بتمتصهاالان في تركيبة الفقرة نفسها في عندي مادة في + +258 +00:22:31,140 --> 00:22:35,660 +اللُبّة الداخلية مادة جلاتينية لسرعة الامتصاص + +259 +00:22:35,660 --> 00:22:41,480 +nucleus bulbus تمام؟ هي عبارة عن inner gelatinous + +260 +00:22:41,480 --> 00:22:47,020 +core مادة جلاتينية داخلية في داخل الفقرة نفسها حتى + +261 +00:22:47,020 --> 00:22:52,110 +تستطيع امتصاص الدربة أو الصدمةأيضا في عندي حاجة + +262 +00:22:52,110 --> 00:22:57,030 +اسمها الانلس فيبروسز حكيت وان بدي ألاقي fibers + +263 +00:22:57,030 --> 00:23:01,810 +معناته الاشي خارجي الانلس فيبروسز هي عبارة عن + +264 +00:23:01,810 --> 00:23:05,490 +كولاجين fibers من ال fiber cartilaginous أو ال + +265 +00:23:05,490 --> 00:23:09,610 +fibers اللي موجود براهنا بيكون في الخارج External + +266 +00:23:09,610 --> 00:23:14,430 +هي في الرسمة موجودلي External لكن ال gelatinous + +267 +00:23:14,430 --> 00:23:17,550 +المادة الجلاتينية موجودة في ال core في اللب في + +268 +00:23:17,550 --> 00:23:25,350 +الداخل Inner هنا داخلي وهنا خارجي تمام ال cervical + +269 +00:23:25,350 --> 00:23:32,670 +في عندي سبعة أيضا من ال cervical واحد اتنين تلاتة + +270 +00:23:32,670 --> 00:23:41,770 +اربعة خمسة ستة سبعة الأولى اسمهاAtlas هي ما تتمحور + +271 +00:23:41,770 --> 00:23:46,990 +أو تتمركز عليها الـhead مباشرة، هذه الـfirstعلى + +272 +00:23:46,990 --> 00:23:52,930 +طول هنا Atlas بعدها حاجة اسمها اللي هي Axis الـ + +273 +00:23:52,930 --> 00:23:58,990 +Axis عبارة عن عضمة أو vertebra دورانية أو محورية + +274 +00:23:58,990 --> 00:24:04,410 +المركز هذه العضمة اللي هي من الـ Dennis Bivott to + +275 +00:24:04,410 --> 00:24:10,270 +turn ال head تعمل على دوران اللي هو الرأس فيها + +276 +00:24:10,270 --> 00:24:19,400 +transfer from هنا فتحة عرضيةبايفد spine aceprosis + +277 +00:24:19,400 --> 00:24:23,100 +الـ spine aceprosis اللي أنا شرحتها سابقاً هذه + +278 +00:24:23,100 --> 00:24:30,420 +النتوء العضمية قصيرة ال vertebral prominence used + +279 +00:24:30,420 --> 00:24:36,530 +في ال landmark هي عبارة عنبالنسبالي أنا كعلاج + +280 +00:24:36,530 --> 00:24:40,790 +طبيعي في المساج بقول اللي هو الـSpinous Vertebra + +281 +00:24:40,790 --> 00:24:45,610 +أو ما يسمى بعظام الـCervical إشي مميز used في + +282 +00:24:45,610 --> 00:24:49,770 +الـLandmark يعني علامات عضمية مميزة ومفيدة إذا أنا + +283 +00:24:49,770 --> 00:24:54,570 +بدي أجي أعمل Mobilization أو تحريك للفقرات باخد C7 + +284 +00:24:55,440 --> 00:24:59,500 +C7 ليش؟ لأن الـ Spinous process تبعتها طالعة لبرا، + +285 +00:24:59,500 --> 00:25:04,300 +بخلاف لفوق القصيرات، نسيبنا من القصيرات و ناخد C7 + +286 +00:25:04,300 --> 00:25:08,040 +فعلا هي بارزة لبرا، لو أنت على نفسك شرحتها أو + +287 +00:25:08,040 --> 00:25:13,820 +شفتها، بتلاقي C7 على طول طالعة لبرا، تمام؟ إذا الـ + +288 +00:25:13,820 --> 00:25:19,900 +Ponebrominance من C7، تمام؟ هذه خصائص ومميزات الـ + +289 +00:25:19,900 --> 00:25:21,000 +cervical vertebrae + +290 +00:25:23,680 --> 00:25:28,320 +هشوف الـ thoracic اللي هي القفص الصدري long + +291 +00:25:28,320 --> 00:25:33,580 +spinous process النتوء العضمية أو الشوكة طويلة جدا + +292 +00:25:33,580 --> 00:25:41,130 +فعلا هي طويلة spinous process longتتمفصل مع الـ + +293 +00:25:41,130 --> 00:25:47,530 +Rep كل ال transfer process بتمفصلوا مع اللي هو + +294 +00:25:47,530 --> 00:25:54,670 +عظام القفص الصدري أو أبلع القفص الصدري عند 12 زوج + +295 +00:25:54,670 --> 00:26:01,490 +أو 12 reps بتمفصلوا مع 12 فقرة كل واحدة مع اللي + +296 +00:26:01,490 --> 00:26:02,230 +طلع منها + +297 +00:26:05,530 --> 00:26:11,270 +الـ Lumber وصلنا للجزء التحتاني Large Bodies هذا + +298 +00:26:11,270 --> 00:26:15,910 +ال body تبعها كبير، ليه؟ لأنه خلاص أنا وصلت جربت + +299 +00:26:15,910 --> 00:26:20,550 +أوصل للحوض و حكيت إنه أنا هحمل وزني كله على هذه + +300 +00:26:20,550 --> 00:26:25,630 +النتفة، إذا الـ Lumber Large كبيرعشان يقدر يتحمل + +301 +00:26:25,630 --> 00:26:29,610 +الأوزان لو كانت مثلًا على سبيل المثال وزنها زي وزن + +302 +00:26:29,610 --> 00:26:33,250 +الـ cervical معناة الكلام إنه مش هتحمللي الوزن + +303 +00:26:33,250 --> 00:26:36,410 +اليوم أنا وزني 90 أو 100 كيلو إيش بده يحمل لما + +304 +00:26:36,410 --> 00:26:40,050 +يحمل الـlumbar؟ لأ فبتلاقي إن الـbody تبع + +305 +00:26:40,050 --> 00:26:44,330 +الـvertebra اللي موجودة في الـlumbar Large كبيرة، + +306 +00:26:44,330 --> 00:26:50,550 +thick، سميكة، and short spinous، الـprocess، إشي + +307 +00:26:50,550 --> 00:26:55,140 +طبيعي، الـbodyكبيرة الـ spinous process اللي طالع + +308 +00:26:55,140 --> 00:27:02,160 +برا قصيرة وسميكة فبالتالي منطقة ال lumber من بعد + +309 +00:27:02,160 --> 00:27:06,580 +T12 في عندي خمسة واحد اتنين تلتة اربعة خمسة ال + +310 +00:27:06,580 --> 00:27:12,940 +large body وحتى ال spinous صغيرة وطبعا قصيرة فهذا + +311 +00:27:12,940 --> 00:27:19,220 +بالنسبة لل lumber ال sacralأو الـ Sacra هي عبارة + +312 +00:27:19,220 --> 00:27:23,280 +عن خمس فقرات أشمع لهم زي ما انتوا شايفين هنا + +313 +00:27:23,280 --> 00:27:29,420 +ملتحمين Fused with together تمام؟ زي ما انتوا + +314 +00:27:29,420 --> 00:27:34,900 +شايفينهم جايين زي قطعة واحدة ال medium sacral + +315 +00:27:34,900 --> 00:27:39,700 +crest فيهم زي ما احنا شايفين في فتحة لل right و + +316 +00:27:39,700 --> 00:27:42,480 +فتحة لل left فتحة لل right و فتحة لل left هنا و + +317 +00:27:42,480 --> 00:27:49,240 +هنا و هنا و هنا okay؟Posterior Sacral Foramen اللي + +318 +00:27:49,240 --> 00:27:54,680 +هي الفتحات هذه موجودة في الخلف طالع منها البريفرال + +319 +00:27:54,680 --> 00:28:00,180 +نيرف هي هذه النطفة هذا البريفرال نيرف اللي طالع + +320 +00:28:00,180 --> 00:28:03,100 +فيها فتحات خلفية + +321 +00:28:07,870 --> 00:28:13,690 +فيها الـ posterior wall of pelvic cavity بتحيط + +322 +00:28:13,690 --> 00:28:18,030 +بالـ pelvic cavity يعني من الخلف هنا هي الـ sacrum + +323 +00:28:18,030 --> 00:28:23,710 +لكن لو جبت الأمام هذا هنا التجويف الحوضي تمام؟ + +324 +00:28:23,710 --> 00:28:26,830 +اللي على سبيل المثال في الـ uterus اللي بيحافظ على + +325 +00:28:26,830 --> 00:28:32,360 +الجنين أثناء فترة الحمل في المنطقة الأماميةالـ + +326 +00:28:32,360 --> 00:28:35,780 +sacral prominently فيها النتوئات العضمية الـ + +327 +00:28:35,780 --> 00:28:40,620 +sacral نرجع تاني نشوفها هنا هيها نتوئات عضمية في + +328 +00:28:40,620 --> 00:28:44,000 +الـ sacral هذه اللي هي البروزات اللي هي أو + +329 +00:28:44,000 --> 00:28:48,680 +الفتوحات هي ال prominent أو النتوئات العضمية اللي + +330 +00:28:48,680 --> 00:28:54,900 +طالعة من الـ sacrum five fused حكينا خمس عضمات أو + +331 +00:28:54,900 --> 00:29:00,600 +خمس فقرات ملتحيمين في الـ sacrumفيهم خمس فتحات + +332 +00:29:00,600 --> 00:29:06,120 +فيهم prominentry أو prominance ما يسمى بين توقعات + +333 +00:29:06,120 --> 00:29:10,480 +عضمية طالة على برا بتحيط بالـpelvic بس posteriorly + +334 +00:29:10,480 --> 00:29:14,840 +لأنه من جدّان مافيش إشي تمام؟ فيها ال median + +335 +00:29:14,840 --> 00:29:19,320 +sacral crest اللي هو عبارة عن الحافة تبعت + +336 +00:29:19,320 --> 00:29:25,740 +الـsacral crest هذا بالنسبة لمميزات الـsacrumأشوف + +337 +00:29:25,740 --> 00:29:33,340 +مميزات الـ coaxial اللي هي العصعوسة أو عضمة اللي + +338 +00:29:33,340 --> 00:29:37,840 +هي بنسميها آخر عضمة بتتم تحليلها في جسم الإنسان + +339 +00:29:37,840 --> 00:29:44,640 +بعد الوفاة، تمام؟ يعني الذيل، هذه اللي موجودة هنا + +340 +00:29:44,640 --> 00:29:49,180 +آخر واحدة موجودة في الـvertebral column هذه + +341 +00:29:49,180 --> 00:29:54,610 +العصعوسة هي عبارة عن tail bone عضمة الذيلعبارة عن + +342 +00:29:54,610 --> 00:30:00,390 +أربع عضمات ملتحمة الكوكسيال هي عبارة عن أربع + +343 +00:30:00,390 --> 00:30:06,290 +ملتحمين وهنا خمسة ملتحمين تمام؟ ساكرال هي الـ + +344 +00:30:06,290 --> 00:30:10,230 +tailbone أنا بسميها هيك بيكون أخدنا كل ال + +345 +00:30:10,230 --> 00:30:15,310 +vertebral كلومون ال cervical وصفاتها ومميزاتها ال + +346 +00:30:15,310 --> 00:30:18,530 +thoracic صفاتها ومميزاتها و بعدين ال lumber + +347 +00:30:18,530 --> 00:30:24,400 +الساكرال و الكوكسيالهشوف الـ Reps اللي هي عبارة عن + +348 +00:30:24,400 --> 00:30:29,020 +أو قبل الـ Reps خليني أشرح على تطور الجنين في + +349 +00:30:29,020 --> 00:30:34,480 +المرحلة الجنينية وما بعد ذلك اليوم الجنين وضع في + +350 +00:30:34,480 --> 00:30:39,880 +الرحم كيف بدي يكونوضع في الرحم قلنا حتى إحنا طبيعي + +351 +00:30:39,880 --> 00:30:45,060 +الإنسان الطبيعي أول ما بتكون في حالة خوف بتكون في + +352 +00:30:45,060 --> 00:30:50,240 +حالة ألم على طول بتتمحور حوالين نفسك و بتيجي بشكل + +353 +00:30:50,240 --> 00:30:56,080 +الـC shape تمام؟ شكل الـC هذا هو الوضع الجنيني + +354 +00:30:59,640 --> 00:31:04,900 +الان هذا ال curve او هذا التحدب او هذا ال curve + +355 +00:31:04,900 --> 00:31:09,800 +اللي هو بيتطور هذا الان لساته ما زال جنين في رحم + +356 +00:31:09,800 --> 00:31:15,060 +أمه بعد شوية هيصير تطور لحد ما يمشي هيتغير ال + +357 +00:31:15,060 --> 00:31:19,360 +curve او اللي هو الانحناء كلمة curve تعني انحناء + +358 +00:31:19,360 --> 00:31:25,260 +تمام؟ هيتغير لحد ما يوصل ال S shape في عندي + +359 +00:31:25,260 --> 00:31:32,410 +primary curvatures انحناقاتأو Carvatures أولية + +360 +00:31:32,410 --> 00:31:38,770 +Primary تعني أولي وفي عندي ثانوي ال primary + +361 +00:31:38,770 --> 00:31:45,290 +Carvatures اللي هو ال thoracic و ال sacral اتنين و + +362 +00:31:45,290 --> 00:31:49,850 +أربعة مش انا حكيت في ال vertebra واحد و تلاتة مع + +363 +00:31:49,850 --> 00:31:55,210 +بعض و اتنين و أربعة مع بعض اذا ال thoracic و ال + +364 +00:31:55,210 --> 00:31:59,820 +sacral Carvaturesهي الـ cervical، thoracic، + +365 +00:31:59,820 --> 00:32:04,220 +lumbar، sacral، thoracic اتنين وcervical اربعة، + +366 +00:32:04,220 --> 00:32:08,800 +اتنين واربعة تمام مع بعض بسميهم ال primary + +367 +00:32:08,800 --> 00:32:14,180 +curvature هم ال primary في ال infant بدهم يكونوا + +368 +00:32:14,180 --> 00:32:18,640 +على شكل أو الرضيع أو الطفل الوليد ال newborn بدهم + +369 +00:32:18,640 --> 00:32:23,380 +يكونوا على شكل الـC shape على شكل اللي هو حرف الـC + +370 +00:32:23,380 --> 00:32:29,810 +الجنينيأما في ال secondary فهيكون الوضع الـ + +371 +00:32:29,810 --> 00:32:35,470 +cervical واللمبر التطور تبعهم في ال baby وجد ما + +372 +00:32:35,470 --> 00:32:39,750 +يبدأ يمشي طول ما ال baby هو على حرف الـC shape لكن + +373 +00:32:39,750 --> 00:32:45,690 +بداية ما يمشي الطفل خلاص بتطور الوضع اللي هو 1 و 3 + +374 +00:32:45,690 --> 00:32:52,000 +cervical و lumberاللي هم عبارة عن secondary + +375 +00:32:52,000 --> 00:32:58,140 +curvatures هذا اللي هو أخدناه أيضاً بيعمل + +376 +00:32:58,140 --> 00:33:04,200 +redistributed إعادة توزيع لحمل الوزن الأعلى من ال + +377 +00:33:04,200 --> 00:33:08,880 +thoracic وال abdomen وكل هذا الأشي على ال lower + +378 +00:33:08,880 --> 00:33:14,940 +limb عشان أقدر أنا أمشي معناته أنا بدي أحمل الرعسو + +379 +00:33:14,940 --> 00:33:19,980 +الصدر و البطن و أبدأ أمشي إذا إعادة توزيع الفايدة + +380 +00:33:19,980 --> 00:33:24,460 +من هذا الاشي أنه أنا بدي أعمل إعادة توزيع على ال + +381 +00:33:24,460 --> 00:33:30,780 +lower limb اللي موجودة عندى هنا تحت okayI have two + +382 +00:33:30,780 --> 00:33:34,420 +types of curvatures في عندي نوعين من الإنحناقات + +383 +00:33:34,420 --> 00:33:39,840 +primary و secondary ال primary ماخد 2.4 ثورا + +384 +00:33:39,840 --> 00:33:44,320 +سيكوساكرال و ال secondary ماخد ال cervical و ال + +385 +00:33:44,320 --> 00:33:49,580 +lumbar + +386 +00:33:49,580 --> 00:33:54,520 +الآن بعض اللي هي الصورة الطبية اللي موجودة عندى + +387 +00:33:58,030 --> 00:34:05,950 +بعض الحالات المرضية لما بدى يصير في عندي زيادة في + +388 +00:34:05,950 --> 00:34:12,210 +الانحناء للأمام يعني اليوم انا هعمل بهذا الشكل هذا + +389 +00:34:12,210 --> 00:34:17,170 +بسميه K forces شو يعني كلمة K forces؟ او بنسميه + +390 +00:34:17,170 --> 00:34:22,200 +الحدب باللغة العربيةexecurated او exerges + +391 +00:34:22,200 --> 00:34:26,760 +للـthoracic curvature that is directed posteriorly + +392 +00:34:26,760 --> 00:34:32,620 +زيادة الانحناء الخلفية بيعطيني حالة مرضية اسمها + +393 +00:34:32,620 --> 00:34:38,110 +الـ hung back lockيعني على سبيل المثال في فترة + +394 +00:34:38,110 --> 00:34:43,050 +المراهقة أنا بحكي الكلام بالنسبة لل female في فترة + +395 +00:34:43,050 --> 00:34:47,370 +المراهقة تبدأ بعض اللي هو الأعضاء بالبروز فبالتالي + +396 +00:34:47,370 --> 00:34:51,290 +إنها دي مشكلة إذا الأم ما انتبهت إلها بتروح اللي + +397 +00:34:51,290 --> 00:34:56,870 +هي الطفلة أو البنت داخلة بحالة من اللي هي مشكلة أو + +398 +00:34:56,870 --> 00:35:02,810 +إعاقة حركية ليش؟ لأنها عملت كي فوسز البنت فبالتالي + +399 +00:35:02,810 --> 00:35:08,450 +هيصير في عنازيادة في الإنحناء اللي هو posteriorly + +400 +00:35:08,450 --> 00:35:15,570 +عكسها تماما حالة اسمها الاردوزز زمان كان في ال + +401 +00:35:15,570 --> 00:35:19,150 +lordات عندنا لما بيمشوا بيمشوا بهذه الطريقة ال + +402 +00:35:19,150 --> 00:35:24,390 +chest و ال abdomen بيصير لهم بروز للأمام و بيمشوا + +403 +00:35:24,390 --> 00:35:28,750 +بإعاقةهذه طبعاً لها مشاكل و بتأثر على الجسم أنه + +404 +00:35:28,750 --> 00:35:31,670 +انا ممكن يصير في عندي زيادة في تحميل الوزن على ال + +405 +00:35:31,670 --> 00:35:34,890 +vertebra فبالتالي بتتأكل ال vertebra من جزء و + +406 +00:35:34,890 --> 00:35:38,510 +بتبقى عايشة في جزء تاني كويس هذا الاشي مش صحيح هي + +407 +00:35:38,510 --> 00:35:41,750 +abnormal حالات مرضية + +408 +00:35:43,380 --> 00:35:47,220 +هو عبارة عن إيش؟ Exaggerated للـlumbar، هنا لاحظوا + +409 +00:35:47,220 --> 00:35:50,400 +زيادة في الـcurvature في الـthoracic أما تحت في + +410 +00:35:50,400 --> 00:35:53,620 +الاردوزز زيادة في الـlumbar أو زيادة التحمير أو + +411 +00:35:53,620 --> 00:35:57,940 +زيادة الميلان في الـlumbar على الأغلب بسميها sweep + +412 +00:35:57,940 --> 00:36:01,920 +back، that is observed in protrusion للـabdomen + +413 +00:36:01,920 --> 00:36:06,350 +and buttocksتمام؟ في عندي بروز ل .. اللي هو ال + +414 +00:36:06,350 --> 00:36:09,070 +abdomen زي ما حكينا ماشية .. زي اللي هي ستات + +415 +00:36:09,070 --> 00:36:13,030 +الحوام اللي بمشوا بآخر الأشهر بتبقى ماشية .. ماشية + +416 +00:36:13,030 --> 00:36:17,050 +ال lordosis أو بتعمل زي عاقة ال lordosis هي عبارة + +417 +00:36:17,050 --> 00:36:21,030 +عن abnormal postural حالات deformity حالات مرضية + +418 +00:36:21,030 --> 00:36:28,340 +مش صحيحةالحالة التالتة اللي هي Litholiosis احنا + +419 +00:36:28,340 --> 00:36:31,780 +أخدنا ال normal shape تبع ال vertebral column اللي + +420 +00:36:31,780 --> 00:36:36,560 +هو S shape تمام؟ اليوم في عندنا مثلا على سبيل + +421 +00:36:36,560 --> 00:36:40,720 +المثال الطلاب تبعينا في المدارس تيجي و هي حاملة + +422 +00:36:40,720 --> 00:36:46,200 +الشنطة على ال right sideكل الوزن بيروح على ال + +423 +00:36:46,200 --> 00:36:52,000 +right side فبالتالي يوم ورا يوم وبعدين سنة بنلاقي + +424 +00:36:52,000 --> 00:36:57,300 +أن إجتني الطفل أو إجاني الطفل بهذا الوضع بنسميها + +425 +00:36:57,300 --> 00:37:02,380 +هذه الحالة المرضية الجنف باللغة العربية اسمها + +426 +00:37:02,380 --> 00:37:06,100 +الجنف اللي هو lateral curvature + +427 +00:37:08,520 --> 00:37:14,380 +الجنف lateral curvature أخدت posterior أخدت في ال + +428 +00:37:14,380 --> 00:37:19,380 +thoracic أخدت في ال lumbar الآن بدي أخد الجنف أو + +429 +00:37:19,380 --> 00:37:23,040 +ما يسمى بال scoliosis هو عبارة عن lateral + +430 +00:37:23,040 --> 00:37:27,600 +curvatureSometimes result during development when + +431 +00:37:27,600 --> 00:37:32,660 +both vertebral arch and body fail to form or form + +432 +00:37:32,660 --> 00:37:37,060 +incompletely يائمة بدي تكون سبحان الله ما صار فيه + +433 +00:37:37,060 --> 00:37:44,500 +نمو كامل للفقرة وصار في عندي نمو في اكتراف و الطرف + +434 +00:37:44,500 --> 00:37:48,400 +التاني ما صار فيه نمو صار فيه انحناء يعني صار + +435 +00:37:48,400 --> 00:37:52,240 +الطفل عندي جايني بهذه الوضعية lateral curvatures + +436 +00:37:52,240 --> 00:37:57,160 +تمام؟in one side and other side طبعا بيصير النمو + +437 +00:37:57,160 --> 00:38:01,140 +لجزء من الفقرة في ناحية وناحية التانية بيفشل ال + +438 +00:38:01,140 --> 00:38:04,300 +scoliosis is the most common spinal nerve او + +439 +00:38:04,300 --> 00:38:08,900 +common spinal curvature deformity هي أكثرها شيوعا + +440 +00:38:08,900 --> 00:38:11,560 +يعني + +441 +00:38:12,860 --> 00:38:17,540 +اللي أنا بوريكم إيها بالصور، الست اللي إيجتني بوضع + +442 +00:38:17,540 --> 00:38:22,420 +الـspinal أو الـthoracic أو الـvertebral colon جاي + +443 +00:38:22,420 --> 00:38:26,380 +في شكل منحني، معناته الكلام هي abnormal، معناته + +444 +00:38:26,380 --> 00:38:31,360 +بتم تشخيصه بـscoliosis، هي عبارة عن الـlateral + +445 +00:38:31,360 --> 00:38:38,810 +curvatures، هذه أشكالهمنشوف مع بعض هذه الـ set + +446 +00:38:38,810 --> 00:38:45,210 +الإنحناء هذا اللي هو هنا شايفين كيف وضع ال + +447 +00:38:45,210 --> 00:38:50,950 +thoracic posteriorly increasing لل curvature زيادة + +448 +00:38:50,950 --> 00:38:58,900 +في التقوس خلفه، تمام؟ usually and orderlyتلاقي على + +449 +00:38:58,900 --> 00:39:03,080 +سبيل المثال المسنين لو كان جدك أو جدك عايشة + +450 +00:39:03,080 --> 00:39:06,440 +بتشوفهم مش عند الكل هو مش قاعدة أساسية لكن هو + +451 +00:39:06,440 --> 00:39:12,100 +abnormal pictures صورة غير طبيعية تمام؟ هذا اللي + +452 +00:39:12,100 --> 00:39:18,540 +هو الـ caiphoses أشوف ال lordosis والـ scoliosis + +453 +00:39:18,540 --> 00:39:21,840 +هي الـ scoliosis شايفين معايا في الصورة أو في + +454 +00:39:21,840 --> 00:39:25,920 +الأشعة كيف بتطلع بدل ما هو هذا ال vertebral column + +455 +00:39:25,920 --> 00:39:30,780 +جاي بالطريقة هاي بيجيني مائل بطريقة أو باخره هو + +456 +00:39:30,780 --> 00:39:36,900 +عبارة عن abnormal lateral curvatures نمو غير طبيعي + +457 +00:39:36,900 --> 00:39:41,420 +لل vertebral column جانبي انحناء جانبي + +458 +00:39:46,140 --> 00:39:52,440 +الآن بدي أشرح آخر جزئية من الـ Axial Skeleton شرحت + +459 +00:39:52,440 --> 00:39:57,740 +على الـ Head شرحت على الـ Vertebral Column هشرح + +460 +00:39:57,740 --> 00:40:02,560 +على هذا القفص الصدري زي ما أنتوا شايفين بعيدا عن + +461 +00:40:02,560 --> 00:40:06,720 +الـ Slides خليني أشوف القفص الصدري يحتوي القفص + +462 +00:40:06,720 --> 00:40:13,260 +الصدري على الأضلع اللي موجودة هنا عندى 12 زوج من + +463 +00:40:13,260 --> 00:40:20,010 +الأضلعتمام؟ بيرتبطوا من الأمام بحاجة اسمها عضمة + +464 +00:40:20,010 --> 00:40:26,910 +القص أو ما يسمى بالـ sternum من الخلف بيرتبطوا بال + +465 +00:40:26,910 --> 00:40:32,850 +thoracic vertebra اللي هو فقرات العمود الفقري + +466 +00:40:32,850 --> 00:40:39,390 +الصدرية الآن هذه الفقرات أو هذه ال ribs هجسمها إلى + +467 +00:40:39,390 --> 00:40:46,100 +ثلاث مجموعات أساسية1 و 2 و 3 و 4 و 5 و 6 و 7 + +468 +00:40:46,100 --> 00:40:52,500 +بسميها أضلع حقيقية طب ليش يا دكتورة أضلع حقيقية؟ + +469 +00:40:52,500 --> 00:40:59,540 +لارتباطها بشكل مباشر مع الـ sternum مع عضمة القص 8 + +470 +00:40:59,540 --> 00:41:12,400 +و 9 و 10false ribs يعني أضلع كاذبة ليه؟ لأنه لن + +471 +00:41:12,400 --> 00:41:18,740 +تتصل بشكل مباشر مع الاستيرنام هي اتصلت في الرقم + +472 +00:41:18,740 --> 00:41:23,300 +سبعة و جالت لرقم سبعة أنا جاية معاكم الشركة معناته + +473 +00:41:23,300 --> 00:41:29,840 +في اتصال بالاستيرنام ولكن غير مباشرمن واحد لسبعة + +474 +00:41:29,840 --> 00:41:37,520 +اتصال مباشر تمانية وتسعة وعشرة اتصال غير مباشربس + +475 +00:41:37,520 --> 00:41:43,320 +11 و 12 بسميهم ال floating ribs اللي هي عبارة عن + +476 +00:41:43,320 --> 00:41:48,040 +الأضلع العائمة هذه الأضلع العائمة اللي هي بتم + +477 +00:41:48,040 --> 00:41:55,000 +استئصالها خارج ال .. اللي هم النساء .. ال cosmetic + +478 +00:41:55,000 --> 00:42:00,290 +الاشي ال cosmetic خليني أشوف ال thoracic cageهي + +479 +00:42:00,290 --> 00:42:04,010 +عبارة عن ايش؟ Consist vertebral posteriorly زي ما + +480 +00:42:04,010 --> 00:42:09,250 +حكينا اللي هو ثرسك ال vertebra بتكون posteriorly + +481 +00:42:09,250 --> 00:42:17,240 +ال ribs laterally والsternum anteriorly تمام؟سبحان + +482 +00:42:17,240 --> 00:42:20,360 +الله ربنا أعطانا هذا اللي هو الـ thoracic cage أو + +483 +00:42:20,360 --> 00:42:25,460 +القفص الصدري لحماية ال vital organs زي ال heart ال + +484 +00:42:25,460 --> 00:42:31,420 +lungs التراكيا و ال esophagus تحمي للقلب والرئتين + +485 +00:42:31,420 --> 00:42:37,520 +و القصبة الهوائية و المريةأخدنا حدوده، من الأمام + +486 +00:42:37,520 --> 00:42:42,260 +هنا هي موجودة عندي حاجة اسمها الاستيرنام، على + +487 +00:42:42,260 --> 00:42:46,180 +الجانبين في ال ribs، من ورا في thoracic vertebra + +488 +00:42:46,180 --> 00:42:52,330 +اللي أنا عديتهم 12 thoracic vertebraprovide + +489 +00:42:52,330 --> 00:42:57,630 +attachment أيضا هنا في عندي نقاط اتصال مع العضلات + +490 +00:42:57,630 --> 00:43:03,390 +حكيت العضلة فيها origin و insertion تمام هنا أيضا + +491 +00:43:03,390 --> 00:43:07,110 +هو عبارة عن نقاط اتصال لل muscles اللي هي بتشمل + +492 +00:43:07,110 --> 00:43:11,910 +العضلات المسؤولة عن ال inspiration عن عملية التنفس + +493 +00:43:11,910 --> 00:43:17,590 +هذه العظام الأضلع اللي أنا قسمتها زي ما انتوا + +494 +00:43:17,590 --> 00:43:23,930 +شايفين معايامن الـ 1 لـ 7 سميتها للـ True Rebs + +495 +00:43:23,930 --> 00:43:34,210 +أضلع حقيقية من 8 ل 12 الـ False و 11 و 12 floating + +496 +00:43:34,210 --> 00:43:38,450 +أو ما يسمى بالعائمة الطافية اللي هي ما بتتصل بحدها + +497 +00:43:38,450 --> 00:43:41,490 +خليني + +498 +00:43:41,490 --> 00:43:46,170 +أشوف ال Rebs في ال female و ال male نفس العدد 12 + +499 +00:43:46,170 --> 00:43:52,970 +زوج من الأعصاب من الأضلعتمام؟ الـ 12 bears لاحظوا + +500 +00:43:52,970 --> 00:43:56,750 +معايا bears اتناشر زوج لما بقول اربعة و عشرين + +501 +00:43:56,750 --> 00:44:01,130 +مابحط وراها bears لكن لما بحكي اتناشر هي اتناشر + +502 +00:44:01,130 --> 00:44:07,020 +زوجلأن في عندي ribs، right, ribs, left ال ribs من + +503 +00:44:07,020 --> 00:44:13,420 +1 ل 7 سميتها true و ذلك لارتباطها مباشرة بعضمة + +504 +00:44:13,420 --> 00:44:18,000 +الاستيرنام وشوفناها على skeleton هنا، من 1 ل 7 + +505 +00:44:18,000 --> 00:44:24,260 +تصلت بشكل مباشر في الاستيرنامأما 8 و12 فهي false + +506 +00:44:24,260 --> 00:44:29,640 +نظرا لعدم اتصالها بال coastal cartilage ارتصلت + +507 +00:44:29,640 --> 00:44:34,300 +برقم 7 وضلت متصلة معاها، اذا معناته اتصالها + +508 +00:44:34,300 --> 00:44:40,620 +indirectly، بشكل غير مباشر The last two reps اللي + +509 +00:44:40,620 --> 00:44:48,200 +هم 11 و12 سميتهم ل floatingالعائمات أو الطافيات + +510 +00:44:48,200 --> 00:44:53,440 +لأنه مافيقلهم اي connection مع الاستيرنام مااتصلوا + +511 +00:44:53,440 --> 00:44:57,220 +تماما بالاستيرنام فقط طلعولي من ورا من ال vertebra + +512 +00:44:57,220 --> 00:45:02,960 +11 و 12 وضلهم مائعين او طافين لحالهم تمام؟ هذا + +513 +00:45:02,960 --> 00:45:06,920 +الاشي خلهم او خلاني اسمهم false لأنه مافيقلهم + +514 +00:45:06,920 --> 00:45:13,110 +اتصال مباشر مع الاستيرنامبهيك بيكون أنا خلصت + +515 +00:45:13,110 --> 00:45:17,330 +chapter skillet الأتنين ال part التاني زي ما + +516 +00:45:17,330 --> 00:45:22,130 +اتفقنا بيعطيكوا ألف عافية للقاء آخر بإذن الله + +517 +00:45:22,130 --> 00:45:22,570 +تعالى + diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/bdVk5-nxG2Y_raw.json b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/bdVk5-nxG2Y_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..321b499616b54b0d30b1c277ffa3fb775de93ca7 --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/bdVk5-nxG2Y_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 2351, "start": 4.93, "end": 23.51, "text": "بسم الله الرحمن الرحيم والصلاة والسلام على أشرف الأنبياء والمرسلين معاكم مكملة كمان مرة أنا أماني مظهر في skeletal system number two ال part التاني من ال chapter زي ما اتفقنا طلابي الأعزاء أنه chapter نجسمه عشرين slide عشرين slide تمام؟", "tokens": [3555, 38251, 21984, 34892, 5016, 27842, 34892, 5016, 32640, 16070, 9381, 15040, 3660, 16070, 3794, 37440, 15844, 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"end": 113.83, "text": "أو ال frontals اللي هي البرايتل ال sutures هي عبارة عن إيش؟ immovable, fibrous joint لما ال I am تسبق الكلمة، معناه تبتنفيها", "tokens": [10721, 2407, 2423, 1868, 1124, 13672, 1829, 39896, 2423, 26890, 995, 36081, 1211, 2423, 43489, 1303, 39896, 6225, 3555, 9640, 3660, 18871, 11933, 1829, 8592, 22807, 566, 3280, 17915, 11, 283, 6414, 563, 7225, 5296, 15042, 2423, 286, 669, 6055, 35457, 4587, 33251, 19528, 3660, 12399, 20449, 8315, 3224, 6055, 3555, 2655, 1863, 41185, 11296], "avg_logprob": -0.37220981770328115, "compression_ratio": 1.24, "no_speech_prob": 0.0, "words": [{"start": 97.43, "end": 97.89, "word": "أو", "probability": 0.5811767578125}, {"start": 97.89, "end": 98.31, "word": " ال", "probability": 0.430419921875}, {"start": 98.31, "end": 99.07, "word": " frontals", "probability": 0.4359130859375}, {"start": 99.07, "end": 99.81, "word": " اللي", "probability": 0.51483154296875}, {"start": 99.81, "end": 100.21, "word": " هي", "probability": 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أيضا sharp", "tokens": [41185, 18871, 16254, 1738, 1426, 1100, 1443, 8211, 4032, 5016, 4117, 36081, 1738, 1426, 1100, 1443, 8211, 39896, 6225, 3555, 9640, 3660, 18871, 11331, 26108, 3660, 8978, 2423, 39184, 4693, 25482, 36632, 11242, 995, 8199], "avg_logprob": -0.3333333424395985, "compression_ratio": 1.1481481481481481, "no_speech_prob": 0.0, "words": [{"start": 1105.9, "end": 1106.16, "word": "في", "probability": 0.5341796875}, {"start": 1106.16, "end": 1106.8, "word": " عندي", "probability": 0.823486328125}, {"start": 1106.8, "end": 1107.54, "word": " Spina", "probability": 0.5174560546875}, {"start": 1107.54, "end": 1108.5, "word": " Sebrosis", "probability": 0.48345947265625}, {"start": 1108.5, "end": 1109.64, "word": " وحكيت", "probability": 0.7447509765625}, {"start": 1109.64, "end": 1110.06, "word": " Spina", "probability": 0.937255859375}, {"start": 1110.06, "end": 1110.58, "word": " Sebrosis", "probability": 0.951171875}, {"start": 1110.58, "end": 1110.8, "word": " هي", 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او ال syndrome فى هنا عندنا ال body تبع ال vertebra فى هنا عندي ال facet joint اللى هو عشان تركز عليه كمان vertebra تانية", "tokens": [1934, 4032, 1934, 8032, 15042, 2423, 5003, 8032, 7578, 6225, 3555, 9640, 3660, 18871, 27188, 2655, 5016, 3660, 13672, 7578, 8032, 7578, 2423, 337, 22403, 4032, 23758, 25062, 2288, 8592, 13672, 7578, 3714, 29245, 23328, 43242, 7578, 3224, 46811, 10943, 6156, 7578, 28242, 11933, 8592, 1829, 13672, 7578, 2423, 1772, 1975, 2407, 2423, 19371, 6156, 7578, 34105, 43242, 8315, 2423, 1772, 6055, 3555, 3615, 2423, 16167, 6198, 6156, 7578, 34105, 18871, 16254, 2423, 1915, 302, 7225, 13672, 7578, 31439, 6225, 8592, 7649, 6055, 31747, 11622, 47356, 9122, 2304, 7649, 16167, 6198, 6055, 7649, 10632], "avg_logprob": -0.2506579054029364, "compression_ratio": 1.7417840375586855, "no_speech_prob": 0.0, "words": [{"start": 1233.29, "end": 1233.85, "word": "head", "probability": 0.377197265625}, {"start": 1233.85, "end": 1234.55, "word": " وhead", "probability": 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"probability": 0.7003173828125}, {"start": 1254.89, "end": 1255.33, "word": " تانية", "probability": 0.9435221354166666}], "temperature": 1.0}, {"id": 53, "seek": 127663, "start": 1255.97, "end": 1276.63, "text": "أيضا في عندنا حاجة اسمها ال pedicle اللي هي العلاقة تقريبا عشرة من الأجزاء في أيضا حاجة في ال arch و فوق اسمها ال lamina هذه ال lamina اللي ممكن الجراح يعمل فيها cutting و يعمل توسيع للفقرة أثناء الضغط على ال spinal cord", "tokens": [10721, 1829, 11242, 995, 8978, 43242, 8315, 11331, 26108, 3660, 24525, 2304, 11296, 2423, 5670, 3520, 13672, 1829, 39896, 18863, 15040, 28671, 6055, 4587, 16572, 3555, 995, 6225, 8592, 25720, 9154, 16247, 7435, 11622, 16606, 8978, 36632, 11242, 995, 11331, 26108, 3660, 8978, 2423, 3912, 4032, 6156, 30543, 24525, 2304, 11296, 2423, 24688, 1426, 29538, 2423, 24688, 1426, 13672, 1829, 3714, 43020, 25724, 23557, 5016, 7251, 25957, 1211, 8978, 11296, 6492, 4032, 7251, 25957, 1211, 33427, 3794, 40228, 24976, 5172, 4587, 25720, 5551, 12984, 1863, 16606, 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{"start": 1270.67, "end": 1271.43, "word": " و", "probability": 0.9775390625}, {"start": 1271.43, "end": 1271.91, "word": " يعمل", "probability": 0.8616536458333334}, {"start": 1271.91, "end": 1272.61, "word": " توسيع", "probability": 0.96630859375}, {"start": 1272.61, "end": 1273.95, "word": " للفقرة", "probability": 0.8720703125}, {"start": 1273.95, "end": 1274.49, "word": " أثناء", "probability": 0.9727783203125}, {"start": 1274.49, "end": 1275.15, "word": " الضغط", "probability": 0.9501953125}, {"start": 1275.15, "end": 1275.57, "word": " على", "probability": 0.87744140625}, {"start": 1275.57, "end": 1275.75, "word": " ال", "probability": 0.8447265625}, {"start": 1275.75, "end": 1276.11, "word": " spinal", "probability": 0.95849609375}, {"start": 1276.11, "end": 1276.63, "word": " cord", "probability": 0.916015625}], "temperature": 1.0}, {"id": 54, "seek": 130122, "start": 1278.48, "end": 1301.22, "text": "هك أنا شرحت تركيبة الفقرة الطبيعية أبدأ أشوف خصائص اللي هي الفقرات أول إيش هنا بدو يشرحلي عن الاش موجودة عندنا ال vertebral disc أو ال intervertebral موجود عشان إيش؟ الآن و أنا ماشية صار في حادث سير", "tokens": [3224, 4117, 41850, 13412, 2288, 33753, 6055, 31747, 1829, 49401, 27188, 4587, 25720, 41950, 21292, 3615, 10632, 5551, 44510, 10721, 5551, 8592, 38688, 16490, 9381, 16373, 9381, 13672, 1829, 39896, 27188, 4587, 2288, 9307, 5551, 12610, 11933, 1829, 8592, 34105, 47525, 2407, 7251, 46309, 5016, 20292, 18871, 2423, 33599, 3714, 29245, 23328, 3660, 43242, 8315, 2423, 16167, 32728, 2983, 34051, 2423, 728, 331, 975, 32728, 3714, 29245, 23328, 6225, 8592, 7649, 11933, 1829, 8592, 22807, 6024, 48506, 4032, 41850, 3714, 33599, 10632, 20328, 9640, 8978, 11331, 18513, 12984, 8608, 13546], "avg_logprob": -0.18715658685663245, "compression_ratio": 1.66, "no_speech_prob": 0.0, "words": [{"start": 1278.48, "end": 1278.9, "word": "هك", "probability": 0.91552734375}, {"start": 1278.9, "end": 1279.16, "word": " أنا", "probability": 0.7001953125}, {"start": 1279.16, 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1520.26, "end": 1521.0, "word": " vertebrae", "probability": 0.85009765625}], "temperature": 1.0}, {"id": 65, "seek": 153812, "start": 1523.68, "end": 1538.12, "text": "هشوف الـ thoracic اللي هي القفص الصدري long spinous process النتوء العضمية أو الشوكة طويلة جدا فعلا هي طويلة spinous process long", "tokens": [3224, 8592, 38688, 2423, 39184, 11588, 326, 299, 13672, 1829, 39896, 25062, 5172, 9381, 31767, 3215, 16572, 938, 6060, 563, 1399, 28239, 2655, 2407, 38207, 18863, 11242, 2304, 10632, 34051, 25124, 2407, 4117, 3660, 23032, 2407, 26895, 3660, 10874, 28259, 6156, 3615, 15040, 39896, 23032, 2407, 26895, 3660, 6060, 563, 1399, 938], "avg_logprob": -0.20828419586397567, "compression_ratio": 1.4191176470588236, "no_speech_prob": 0.0, "words": [{"start": 1523.68, "end": 1524.24, "word": "هشوف", "probability": 0.7613932291666666}, {"start": 1524.24, "end": 1524.46, "word": " الـ", "probability": 0.6583251953125}, {"start": 1524.46, "end": 1525.06, "word": " thoracic", "probability": 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"probability": 0.974365234375}, {"start": 1533.32, "end": 1533.58, "word": " جدا", "probability": 0.987548828125}, {"start": 1533.58, "end": 1534.06, "word": " فعلا", "probability": 0.8824869791666666}, {"start": 1534.06, "end": 1535.32, "word": " هي", "probability": 0.53076171875}, {"start": 1535.32, "end": 1536.1, "word": " طويلة", "probability": 0.960205078125}, {"start": 1536.1, "end": 1537.08, "word": " spinous", "probability": 0.612548828125}, {"start": 1537.08, "end": 1537.56, "word": " process", "probability": 0.9599609375}, {"start": 1537.56, "end": 1538.12, "word": " long", "probability": 0.476806640625}], "temperature": 1.0}, {"id": 66, "seek": 156223, "start": 1539.45, "end": 1562.23, "text": "تتمفصل مع الـ Rep كل ال transfer process بتمفصلوا مع اللي هو عظام القفص الصدري أو أبلع القفص الصدري عند 12 زوج أو 12 reps بتمفصلوا مع 12 فقرة كل واحدة مع اللي طلع منها", "tokens": [2655, 39237, 5172, 36520, 20449, 2423, 39184, 3696, 28242, 2423, 5003, 1399, 39894, 2304, 5172, 36520, 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transfer", "probability": 0.7099609375}, {"start": 1544.55, "end": 1545.21, "word": " process", "probability": 0.470703125}, {"start": 1545.21, "end": 1546.43, "word": " بتمفصلوا", "probability": 0.69306640625}, {"start": 1546.43, "end": 1546.69, "word": " مع", "probability": 0.97998046875}, {"start": 1546.69, "end": 1547.25, "word": " اللي", "probability": 0.768310546875}, {"start": 1547.25, "end": 1547.53, "word": " هو", "probability": 0.97998046875}, {"start": 1547.53, "end": 1548.07, "word": " عظام", "probability": 0.9534505208333334}, {"start": 1548.07, "end": 1548.83, "word": " القفص", "probability": 0.9501953125}, {"start": 1548.83, "end": 1549.29, "word": " الصدري", "probability": 0.9705403645833334}, {"start": 1549.29, "end": 1549.55, "word": " أو", "probability": 0.7900390625}, {"start": 1549.55, "end": 1550.17, "word": " أبلع", "probability": 0.7350260416666666}, {"start": 1550.17, "end": 1550.75, "word": " القفص", "probability": 0.97412109375}, {"start": 1550.75, "end": 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"word": " واحدة", "probability": 0.9873046875}, {"start": 1560.95, "end": 1561.31, "word": " مع", "probability": 0.9794921875}, {"start": 1561.31, "end": 1561.49, "word": " اللي", "probability": 0.95947265625}, {"start": 1561.49, "end": 1561.79, "word": " طلع", "probability": 0.794189453125}, {"start": 1561.79, "end": 1562.23, "word": " منها", "probability": 0.995361328125}], "temperature": 1.0}, {"id": 67, "seek": 158399, "start": 1565.53, "end": 1583.99, "text": "الـ Lumber وصلنا للجزء التحتاني Large Bodies هذا ال body تبعها كبير، ليه؟ لأنه خلاص أنا وصلت جربت أوصل للحوض و حكيت إنه أنا هحمل وزني كله على هذه النتفة، إذا الـ Lumber Large كبير", "tokens": [6027, 39184, 441, 4182, 4032, 36520, 8315, 24976, 7435, 11622, 38207, 16712, 33753, 7649, 1829, 33092, 363, 6087, 23758, 2423, 1772, 6055, 3555, 3615, 11296, 9122, 3555, 13546, 12399, 32239, 3224, 22807, 5296, 33456, 3224, 16490, 1211, 33546, 41850, 4032, 36520, 2655, 10874, 25513, 2655, 34051, 36520, 24976, 5016, 2407, 11242, 4032, 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1600.05, "word": " تبع", "probability": 0.935546875}, {"start": 1600.05, "end": 1600.59, "word": " الـvertebra", "probability": 0.84560546875}, {"start": 1600.59, "end": 1600.73, "word": " اللي", "probability": 0.966796875}, {"start": 1600.73, "end": 1601.21, "word": " موجودة", "probability": 0.9853515625}, {"start": 1601.21, "end": 1601.31, "word": " في", "probability": 0.96728515625}, {"start": 1601.31, "end": 1601.77, "word": " الـlumbar", "probability": 0.96162109375}, {"start": 1601.77, "end": 1602.57, "word": " Large", "probability": 0.54541015625}, {"start": 1602.57, "end": 1604.33, "word": " كبيرة،", "probability": 0.76483154296875}, {"start": 1604.33, "end": 1605.41, "word": " thick،", "probability": 0.509033203125}, {"start": 1605.41, "end": 1607.11, "word": " سميكة،", "probability": 0.8924967447916666}, {"start": 1607.11, "end": 1607.23, "word": " and", "probability": 0.8857421875}, {"start": 1607.23, "end": 1607.57, "word": " short", "probability": 0.93603515625}, {"start": 1607.57, "end": 1608.81, "word": " spinous،", "probability": 0.5987141927083334}, {"start": 1608.81, "end": 1610.31, "word": " الـprocess،", "probability": 0.4591064453125}, {"start": 1610.31, "end": 1610.55, "word": " إشي", "probability": 0.8341471354166666}, {"start": 1610.55, "end": 1611.21, "word": " طبيعي،", "probability": 0.92255859375}, {"start": 1611.21, "end": 1611.65, "word": " الـbody", "probability": 0.9168294270833334}], "temperature": 1.0}, {"id": 69, "seek": 163550, "start": 1612.42, "end": 1635.5, "text": "كبيرة الـ spinous process اللي طالع برا قصيرة وسميكة فبالتالي منطقة ال lumber من بعد T12 في عندي خمسة واحد اتنين تلتة اربعة خمسة ال large body وحتى ال spinous صغيرة وطبعا قصيرة فهذا بالنسبة لل lumber ال sacral", "tokens": [4117, 3555, 48923, 2423, 39184, 6060, 563, 1399, 13672, 1829, 23032, 6027, 3615, 4724, 23557, 12174, 9381, 48923, 46952, 2304, 1829, 4117, 3660, 6156, 3555, 6027, 2655, 6027, 1829, 9154, 9566, 28671, 2423, 41686, 9154, 39182, 314, 4762, 8978, 18871, 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90, "seek": 214175, "start": 2125.17, "end": 2141.75, "text": "هذه طبعاً لها مشاكل و بتأثر على الجسم أنه انا ممكن يصير في عندي زيادة في تحميل الوزن على ال vertebra فبالتالي بتتأكل ال vertebra من جزء و بتبقى عايشة في جزء تاني كويس هذا الاشي مش صحيح هي abnormal حالات مرضية", "tokens": [3224, 24192, 23032, 3555, 3615, 995, 14111, 5296, 11296, 37893, 995, 28820, 4032, 39894, 10721, 49115, 15844, 25724, 38251, 14739, 3224, 1975, 8315, 3714, 43020, 7251, 9381, 13546, 8978, 18871, 16254, 30767, 1829, 18513, 3660, 8978, 6055, 35571, 26895, 2423, 2407, 11622, 1863, 15844, 2423, 16167, 6198, 6156, 3555, 6027, 2655, 6027, 1829, 39894, 2655, 10721, 28820, 2423, 16167, 6198, 9154, 10874, 11622, 38207, 4032, 39894, 3555, 4587, 7578, 6225, 47302, 8592, 3660, 8978, 10874, 11622, 38207, 6055, 7649, 1829, 9122, 45865, 3794, 23758, 2423, 33599, 1829, 37893, 20328, 5016, 1829, 5016, 39896, 32847, 11331, 6027, 9307, 3714, 43042, 10632], "avg_logprob": -0.13575185053419359, "compression_ratio": 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2519.08, "text": "بس 11 و 12 بسميهم ال floating ribs اللي هي عبارة عن الأضلع العائمة هذه الأضلع العائمة اللي هي بتم استئصالها خارج ال .. اللي هم النساء .. ال cosmetic الاشي ال cosmetic خليني أشوف ال thoracic cage", "tokens": [3555, 3794, 2975, 4032, 2272, 4724, 38251, 1829, 16095, 2423, 12607, 21400, 13672, 1829, 39896, 6225, 3555, 9640, 3660, 18871, 16247, 11242, 1211, 3615, 18863, 16373, 46007, 29538, 16247, 11242, 1211, 3615, 18863, 16373, 46007, 13672, 1829, 39896, 4724, 39237, 44713, 19986, 9381, 6027, 11296, 16490, 9640, 7435, 2423, 4386, 13672, 1829, 8032, 2304, 28239, 3794, 16606, 4386, 2423, 35828, 2423, 33599, 1829, 2423, 35828, 16490, 1211, 9957, 1829, 5551, 8592, 38688, 2423, 11588, 326, 299, 17302], "avg_logprob": -0.21254006104591566, "compression_ratio": 1.6927374301675977, "no_speech_prob": 0.0, "words": [{"start": 2497.28, "end": 2497.52, "word": "بس", "probability": 0.355712890625}, {"start": 2497.52, "end": 2498.36, "word": " 11", "probability": 0.5}, {"start": 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epithelium + +4 +00:00:15,400 --> 00:00:19,640 +tissue، وهندخل على الـ connective tissue بإذن الله + +5 +00:00:19,640 --> 00:00:22,000 +تعالى نبدأ على بركة الله + +6 +00:00:27,770 --> 00:00:31,930 +أخذنا في الفيديو السابق عن الـ epithelium tissue + +7 +00:00:31,930 --> 00:00:37,270 +الـ simple اللي هو يحتوي على طبقة واحدة، الآن + +8 +00:00:37,270 --> 00:00:42,250 +سأتحدث عن الـ stratified epithelium tissue، كلمة + +9 +00:00:42,250 --> 00:00:48,510 +stratified تعني أنه يحتوي على طبقتين أو أكثر، وليس + +10 +00:00:48,510 --> 00:00:52,770 +طبقة واحدة، نفس الكلام اللي حكيناه، كنا نقول simple + +11 +00:00:52,770 --> 00:00:58,190 +squamous simple columnar، هنا هحكي نفس الكلام، Simple + +12 +00:00:58,190 --> 00:01:03,590 +Squamous، أسس Stratified Squamous، طبقي رباعي + +13 +00:01:03,590 --> 00:01:09,010 +Stratified Cuboidal، طبقي مكعب، Stratified Columnar + +14 +00:01:09,010 --> 00:01:14,290 +هتكلم عليهم وأشوف وين هدول موجودين، Stratified + +15 +00:01:14,290 --> 00:01:21,470 +Squamous، طبقي الرباعي موجود في كذا film layers، زي + +16 +00:01:21,470 --> 00:01:25,030 +ما حكينا، بمجرد ما أشوف كلمة Stratified، فمعناها + +17 +00:01:25,030 --> 00:01:29,960 +الحكي أنه أنا عندي كذا طبقة من الخلايا، الـ top + +18 +00:01:29,960 --> 00:01:35,000 +تبعتهم أو الـ apical اللي هم أعلى القمم، are flat + +19 +00:01:35,000 --> 00:01:40,420 +لاحظوا هنا معايا هذه القطعة الكاملة اللي فوق السطح + +20 +00:01:40,420 --> 00:01:45,900 +هي عبارة عن خلايا مسطحة، can accumulate + +21 +00:01:45,900 --> 00:01:51,610 +keratin، تحتوي على أو بتجمع الكرياتين، هي عبارة عن + +22 +00:01:51,610 --> 00:01:55,750 +مادة مسؤولة عن الأظافر والشعر والجلد زي ما حكينا + +23 +00:01:55,750 --> 00:02:00,650 +في slides بـ Skin Integumentary System، الـ Outer + +24 +00:02:00,650 --> 00:02:05,870 +Layer، بتكون موجودة في الـ Outer Layer of Skin، Line + +25 +00:02:05,870 --> 00:02:14,830 +Oral Cavity، بتبطن التجويف الفمي، الـ vagina and anal + +26 +00:02:14,830 --> 00:02:21,750 +canal، بتبطن التجويف الفمي، بتبطن المهبل، و«أنا + +27 +00:02:21,750 --> 00:02:26,790 +الـ canal» اللي هي فتحة الشرج، إذن Stratified Squamous + +28 +00:02:26,790 --> 00:02:32,270 +هو عبارة عن نسيج طلائي يحتوي على العديد من الطبقات، + +29 +00:02:32,270 --> 00:02:38,090 +أعلاها أو الطبقة السطحية منها تكون تحتوي على خلايا + +30 +00:02:38,090 --> 00:02:41,910 +مسطحة، يحتوي على العديد من الأنوية زي ما أنتم + +31 +00:02:41,910 --> 00:02:48,290 +شايفين، على العديد من الطبقات، تمام، موجود في الجلد + +32 +00:02:48,290 --> 00:02:54,230 +الخارجي لجسم الإنسان، بيبطن أيضًا الـ oral cavity، و + +33 +00:02:54,230 --> 00:02:58,830 +الـ vagina and anal canal، أيضًا فيه ميزة له اللي + +34 +00:02:58,830 --> 00:03:05,450 +هي إنه بيحتوي على اللي هو الكرياتين، والكرياتين + +35 +00:03:05,450 --> 00:03:09,670 +أيضًا موجود في داخل الجلد، هذا أول نوع من الـ + +36 +00:03:09,670 --> 00:03:13,890 +Stratified، هاخد اللي هو هنا، هيبين أن هي الـ vagina + +37 +00:03:13,890 --> 00:03:19,150 +من المهبل، وموجود أيضًا في اللي هي الـ anal canal، أو + +38 +00:03:19,150 --> 00:03:25,910 +ما يسمى بفتحة الشرج، النوع الثاني Stratified Cuboidal + +39 +00:03:25,910 --> 00:03:34,230 +طبقي مكعب، يحتوي على طبقتين أو أكثر من الخلايا، على + +40 +00:03:34,230 --> 00:03:38,610 +شكل الـ cube shape، زي ما أنتم شايفينه، كإنهم بلوكات + +41 +00:03:38,610 --> 00:03:44,690 +من المكعب، مرسومين جنب بعض، بيبطن الـ mammary gland + +42 +00:03:44,690 --> 00:03:51,250 +الغدد الثديية، الـ sweat gland، الغدد العرقية، الـ + +43 +00:03:51,250 --> 00:03:56,430 +salivary gland، الغدد اللعابية، and the pancreas، و + +44 +00:03:56,430 --> 00:04:03,730 +اللي هي غدد البنكرياس، إذن Stratified Cuboidal بيبطن + +45 +00:04:03,730 --> 00:04:08,530 +الغدد، لاحظوا كل اللي موجود معايا هنا غدد، ليه؟ + +46 +00:04:08,530 --> 00:04:13,870 +لأنه يحتوي على طبقتين أو أكثر من الخلايا مكعبة + +47 +00:04:13,870 --> 00:04:19,450 +الشكل، تمام، فبالتالي يحتوي على mammary gland، خلايا + +48 +00:04:19,450 --> 00:04:23,490 +الثدييات، وغدد الثدي، الـ sweat gland، الغدد + +49 +00:04:23,490 --> 00:04:27,610 +العرقية، salivary gland، الغدد اللعابية، وأيضًا + +50 +00:04:27,610 --> 00:04:33,500 +البنكرياس، هيك أنا أخدت النوع الثاني، تمام، الـ + +51 +00:04:33,500 --> 00:04:37,040 +Stratified Columnar، هنا بعض الأحيان بيجيبلنا بعض + +52 +00:04:37,040 --> 00:04:41,740 +المقاطع تحت المايكروسكوب، بيكون موجود عندنا اللي هو + +53 +00:04:41,740 --> 00:04:45,040 +تقريبًا في الـ Esophagus، وكلمة Esophagus تعني مريء + +54 +00:04:45,040 --> 00:04:49,940 +يعني هنا أخد عينة ومقطع عرضي وحطه تحت المايكروسكوب + +55 +00:04:49,940 --> 00:04:56,200 +لرؤية المريء، النوع الثالث من الـ epithelium tissue + +56 +00:04:56,200 --> 00:05:00,700 +بين قوسين لـ Stratified، هو عبارة عن Stratified + +57 +00:05:00,700 --> 00:05:06,540 +Columnar، تمام؟ Columnar تعني عمودي، إذن الـ top + +58 +00:05:06,540 --> 00:05:10,860 +Layer، الخلايا السطحية أو العلوية أو في الـ apical + +59 +00:05:10,860 --> 00:05:15,960 +في القمم، هي عبارة عن خلايا كأسية طويلة، elongated + +60 +00:05:15,960 --> 00:05:19,780 +كلمة elongated، طويلة، cup-shaped cells in deeper + +61 +00:05:19,780 --> 00:05:26,090 +layers، وفي الطبقات العميقة، الـ deep بيكون عندي على + +62 +00:05:26,090 --> 00:05:32,550 +شكل مكعب، line للـ parts of female and male urethra + +63 +00:05:32,550 --> 00:05:37,730 +and part of pharynx، بيبطن مجرى البول لدى الذكور + +64 +00:05:37,730 --> 00:05:42,970 +وأيضًا جزء من الـ pharynx، البلعوم، باجي في الامتحان + +65 +00:05:42,970 --> 00:05:45,870 +بحكي true or false، Stratified + +66 +00:05:49,140 --> 00:05:53,320 +female urethra، طالما حكيت female معناها الإجابة + +67 +00:05:53,320 --> 00:05:59,060 +خاطئة، فهو يبطن الـ male urethra، اللي هي المجاري + +68 +00:05:59,060 --> 00:06:03,480 +البولية الذكرية، and the part of pharynx، وجزء من + +69 +00:06:03,480 --> 00:06:07,740 +البلعوم، أعيد أحكي اسمعوا عايزين الـ epithelium tissue + +70 +00:06:07,740 --> 00:06:12,280 +اللي الآن أخذتهم، حكينا stratified squamous، + +71 +00:06:12,880 --> 00:06:17,860 +stratified cuboidal، stratified columnar، ثلاث أجزاء + +72 +00:06:17,860 --> 00:06:23,520 +أو ثلاث أنواع من متعددة الطبقات، ولكن تختلف الخلايا + +73 +00:06:23,520 --> 00:06:27,360 +وأشكالها، أخذنا اللي هي على شكل الرباعي، squamous + +74 +00:06:27,360 --> 00:06:32,540 +اللي على شكل المكعب، الـ cuboidal، وعلى شكل + +75 +00:06:32,540 --> 00:06:37,400 +العمودي، الـ columnar، تمام؟ هيك بيكون أنا خلصت الـ + +76 +00:06:37,400 --> 00:06:41,600 +stratified، وخلصنا الـ simple، الـ stratified columnar + +77 +00:06:41,980 --> 00:06:47,000 +أيضًا ماخد عينة وحكيلي على الـ Stratified Columnar + +78 +00:06:47,000 --> 00:06:52,120 +طبعًا طبقي عمودي، في عندي حاجة أو نوع، أخذنا أربعة + +79 +00:06:52,120 --> 00:06:57,280 +أنواع وتلاتة في الـ Stratified، النوع الرابع اللي هو + +80 +00:06:57,280 --> 00:07:00,820 +حاجة اسمها Transitional، أيضًا هذا الشيء + +81 +00:07:00,820 --> 00:07:05,280 +Transitional، معناته انتقالي، يحتوي على العديد من + +82 +00:07:05,280 --> 00:07:09,580 +الطبقات الخلوية، زي ما أنتم شايفين، طبقة واثنين، و + +83 +00:07:09,580 --> 00:07:13,960 +تلاتة، وممكن يكونوا ستة أو سبعة، على شكل الـ cup and + +84 +00:07:13,960 --> 00:07:18,200 +elongated cells، يعني مزيج، هو عبارة عن مزيج من + +85 +00:07:18,200 --> 00:07:23,800 +الصفات، أو مزيج من المميزات للأصناف السابقة، أول شيء + +86 +00:07:23,800 --> 00:07:27,800 +هو متعدد الطبقات، يحتوي على خلايا مكعبة وخلايا + +87 +00:07:27,800 --> 00:07:33,580 +عمودية، يبطن المثانة البولية «urinary bladder»، + +88 +00:07:33,580 --> 00:07:37,400 +«uterus»، أو الـ «urethra»، مجرى البول، و«the part + +89 +00:07:37,400 --> 00:07:43,280 +of urethra»، والحالبين، إذن الـ Transitional ببساطة + +90 +00:07:43,280 --> 00:07:47,720 +هو عبارة عن حاجة اسمها النسيج الانتقالي، هو أحد + +91 +00:07:47,720 --> 00:07:51,670 +أنواع الـ epithelium، يحتوي على العديد من + +92 +00:07:51,670 --> 00:07:56,130 +الطبقات، اثنين، على شكل الكأس أو على شكل مقعر، + +93 +00:07:56,130 --> 00:07:59,570 +elongated، الخلايا الطويلة، أو الخلايا الـ columnar، + +94 +00:07:59,570 --> 00:08:05,290 +بيبطن الشيء أو بيبطن، خليني أحكي بالإجمال اللي هو + +95 +00:08:05,290 --> 00:08:09,590 +الجهاز البولي، سواء كان المثانة البولية، سواء كان + +96 +00:08:09,590 --> 00:08:15,230 +الحالب، وكذلك مجرى البول، هذا النوع الرابع اللي أنا + +97 +00:08:15,230 --> 00:08:19,390 +شرحته، transitional، هي زي ما أنتم شايفين، هذه + +98 +00:08:19,390 --> 00:08:22,570 +المثانة البولية، الـ urinary bladder، تحت المجهر، زي + +99 +00:08:22,570 --> 00:08:26,210 +ما إحنا شايفين، فيه خلايا مكعبة، وكذلك فيه خلايا + +100 +00:08:26,210 --> 00:08:32,630 +عمودية، موجودة عندنا، الآن عشان أنا أعمل summarize + +101 +00:08:32,630 --> 00:08:35,670 +للـ epithelium tissue، الـ epithelium tissue، حكينا + +102 +00:08:35,670 --> 00:08:42,310 +عنه، بقسمه حسب الـ shape، حسب الشكل، وبقسمه حسب اللي + +103 +00:08:42,310 --> 00:08:45,750 +هو number of layers، تمام؟ أنا هيك بدي أعمل + +104 +00:08:45,750 --> 00:08:49,850 +summarize، وأرسم في مخي خريطة للي أنا درسته في + +105 +00:08:49,850 --> 00:08:54,750 +الفيديو رقم واحد، وهي الـ slide، لحد هي الـ slide، بدي + +106 +00:08:54,750 --> 00:09:01,330 +أجيب ورقة وقلم وأرسم اللي هو الـ tissue، وأعمل + +107 +00:09:01,330 --> 00:09:06,790 +عليهم ملخص، أو summary، حتى أقدر أحدد هذا تابع لمين + +108 +00:09:06,790 --> 00:09:12,350 +وهذا تابع لمين، الأمثلة، حفظ العناوين، والصفات، و + +109 +00:09:12,350 --> 00:09:17,270 +المميزات مهمة جدًا، الأسئلة هنا بتكون true and false، + +110 +00:09:17,270 --> 00:09:23,740 +هنتقل لحاجة ثانية، اللي هي إيش؟ حكينا + +111 +00:09:23,740 --> 00:09:27,640 +إحنا الـ functions، أو الـ common characteristics + +112 +00:09:27,640 --> 00:09:30,340 +اللي هي الصفات العامة لل epithelium، اللي هو + +113 +00:09:30,340 --> 00:09:35,520 +covering، lining، and glandular، كلمة + +114 +00:09:35,520 --> 00:09:39,660 +glandular تعني غدي، أو شيء له علاقة بالغدد، خلينا + +115 +00:09:39,660 --> 00:09:44,740 +نشوف، composed of cells specialized to produce and + +116 +00:09:44,740 --> 00:09:51,360 +secrete substances، إذن هي عبارة عن نوع من أنواع الـ + +117 +00:09:51,360 --> 00:09:56,940 +epithelium tissue، يحتوي على مجموعة من الخلايا لها + +118 +00:09:56,940 --> 00:10:04,480 +وظيفة إنتاج متخصصة، وكذلك إفراز المادة اللي موجودة + +119 +00:10:04,480 --> 00:10:11,320 +فيها، تمام؟ هنحكي على بعض اللي هو الأنواع تبع الـ + +120 +00:10:11,320 --> 00:10:16,120 +glands، أو بعض أنواع الغدد، هي عندي كلمة هنا اسمها + +121 +00:10:16,120 --> 00:10:22,920 +Endocrine، الـ opposite تبعها حاجة اسمها Exocrine، هنشوفها + +122 +00:10:22,920 --> 00:10:27,700 +في الـ slide القادمة بإذن الله تعالى، شوفوا Endocrine + +123 +00:10:27,700 --> 00:10:35,820 +وExocrine، الـ Endocrine معناته إيش؟ هي + +124 +00:10:35,820 --> 00:10:41,880 +عبارة عن الغدة التي تفتقر للقنوات، ما إلها قناة + +125 +00:10:41,880 --> 00:10:45,700 +مباشرة تصب فيها، Secreting their product directly + +126 +00:10:45,700 --> 00:10:51,750 +into interstitial fluid and bloodstream، إذن الـ + +127 +00:10:51,750 --> 00:10:55,790 +Endocrine هي عبارة عن الغدد الصماء التي لا تحتوي + +128 +00:10:55,790 --> 00:11:00,510 +على قنوات، مباشرة، إيش هي حاملة معاها من هرمونات، + +129 +00:11:00,510 --> 00:11:05,550 +أنزيمات، أي شيء بتصبه مباشرة في النسيج اللي ما بين + +130 +00:11:05,550 --> 00:11:10,450 +الخلوي، الـ interstitial fluid، وكذلك في مجرى الدم، هذه + +131 +00:11:10,450 --> 00:11:14,630 +مين؟ الـ Endocrine، هنا ممكن أجيب مصطلح وأحكي إن + +132 +00:11:14,630 --> 00:11:17,480 +الـ lack of ducts to secrete their products + +133 +00:11:17,480 --> 00:11:19,620 +directly into the interstitial fluid and + +134 +00:11:19,620 --> 00:11:25,560 +bloodstream، وأسيبلك الفراغ أو أسيبلك المصطلح، شو هو؟ + +135 +00:11:25,560 --> 00:11:28,620 +الـ Hormones؟ هو عبارة عن حاجة بتعمل chemical + +136 +00:11:28,620 --> 00:11:32,980 +messenger، رسول كيميائي، بيأثر على الـ activity + +137 +00:11:32,980 --> 00:11:37,160 +elsewhere in the body، في أي نشاط لجسم عندنا، + +138 +00:11:37,160 --> 00:11:41,220 +هرمونات خاصة بالنمو، عندنا هرمونات خاصة ب اللي هو + +139 +00:11:42,270 --> 00:11:46,210 +تنظيم السكر في الدم، إن هرمونات متعددة في جسم + +140 +00:11:46,210 --> 00:11:50,390 +الإنسان، هذه الهرمونات بتم إفرازها من الـ glands، + +141 +00:11:50,390 --> 00:11:56,180 +من اللي هي الغدد، تمام؟ أشوف النوع الثاني اللي هو + +142 +00:11:56,180 --> 00:12:01,720 +اسمه exocrine، كلمة exo هنا تعني out، خارجي، زي مين؟ + +143 +00:12:01,720 --> 00:12:05,480 +الـ exocrine usually maintain their contact with + +144 +00:12:05,480 --> 00:12:09,380 +epithelial surface that by means of ducts، بيتصل + +145 +00:12:09,380 --> 0:12:14,100 +مباشرة بالبره، العالم الخارجي للجسم، بالـ epithelium + +146 +00:12:14,100 --> 00:12:17,880 +surface، اللي إحنا حكينا الـ epithelium أصلا هو بده + +147 +00:12:17,880 --> 00:12:20,280 +يكون فوق الـ surface، الـ simple squamous بدّه يكون + +148 +00:12:20,280 --> 00:12:25,040 +على السطح، Ducts create material into the surface of + +149 +00:12:25,040 --> 00:12:28,720 +skin and or into epithelium-lined and + +150 +00:12:28,720 --> 00:12:33,760 +internal passageways، إذن بتم إفراز المادة الكيميائية + +151 +00:12:33,760 --> 00:12:39,100 +اللي تم إطلاقها عن طريق السطح مباشرة للجلد، أو إذا + +152 +00:12:39,100 --> 00:12:43,780 +كان مبطن للـ internal passageway، اللي هي الممرات + +153 +00:12:43,780 --> 00:12:48,540 +الهوائية الداخلية، هذا الـ exocrine، الـ endocrine + +154 +00:12:48,540 --> 00:12:52,560 +حكينا ما إلها ducts، تصب فيها على طول بتفرز، ما فيها + +155 +00:12:52,560 --> 00:12:58,360 +أو ما في جعبتها، لـ bloodstream and اللي هي الـ + +156 +00:12:58,360 --> 00:13:01,460 +interstitial، ده وده، هنا الـ exocrine لأ، على طول + +157 +00:13:01,460 --> 00:13:05,860 +بتتصل مباشرة بالجلد، وبتم إفراز اللي هو ما تحتويه + +158 +00:13:05,860 --> 00:13:13,210 +على الجلد عبر قنوات صغيرة، هيك بيكون أنا ختمت + +159 +00:13:13,210 --> 00:13:16,970 +الـ epithelial tissue، أخذنا إنه covering، أخذنا إنه + +160 +00:13:16,970 --> 00:13:20,950 +lining، أخذنا إنه glandular، وعرفنا كيف ممكن أنا + +161 +00:13:20,950 --> 00:13:26,050 +أقسم اللي هو أنواعه حسب الـ shape، حسب الـ + +162 +00:13:26,050 --> 00:13:28,730 +arrangement، أو الـ type of layers، أو الـ number of + +163 +00:13:28,730 --> 00:13:33,800 +layers الموجودة عندي، الرسومات مش محفوظة، عرفنا كيف + +164 +00:13:33,800 --> 00:13:38,020 +ممكن تيجي الأسئلة، إذا كده بيكون أنا أنهيت أول + +165 +00:13:38,020 --> 00:13:41,540 +tissue موجود معايا، اللي هو الـ epithelial tissue، + +166 +00:13:41,540 --> 00:13:48,040 +هنتقل للـ second one، اللي هو connective tissue، + +167 +00:13:48,040 --> 00:13:52,560 +كلمة connective tissue هي عبارة عن النسيج الضام، + +168 +00:13:52,560 --> 00:13:57,400 +شو مميز ذاته؟ Most Abundant Tissue Type، هو أكثر + +169 +00:13:57,400 --> 00:14:02,720 +أنواع الأنسجة شيوعًا، منتشر في كل مكان، تمام؟ + +170 +00:14:02,720 --> 00:14:07,980 +أيضًا، له وظائف متعددة، كنا أخذنا في بداية الشبكة + +171 +00:14:07,980 --> 00:14:12,660 +كمقدمة صغيرة عن الـ Connective Tissue، Mini Functions + +172 +00:14:12,660 --> 00:14:17,160 +زي إيش؟ إنه بيعمل Bind للـ structures، بيربط الأجزاء + +173 +00:14:17,160 --> 00:14:21,660 +أو التراكيب داخل الجسم مع بعضها البعض، provide + +174 +00:14:21,660 --> 00:14:26,880 +support and protection، بيدعم وبيحمي، أيضًا بيشتغل + +175 +00:14:26,880 --> 00:14 + +223 +00:18:05,530 --> 00:18:08,470 +للخلية الأخرى لأن هذه الخلية بتكون مسؤولة عن + +224 +00:18:08,470 --> 00:18:11,150 +system معين، والخلية الثانية بتكون مسؤولة عن + +225 +00:18:11,150 --> 00:18:14,690 +system آخر. فبالتالي، في ما بينهم لازم يكون فيه + +226 +00:18:14,690 --> 00:18:19,250 +Matrix، مادة خلوية هي عبارة عن إيش؟ عن الـ Fibers + +227 +00:18:19,250 --> 00:18:24,590 +اللي هي Ground Substance، مادة أساسية تُفرز، تُفرز + +228 +00:18:24,590 --> 00:18:28,840 +تُفرزها Created by cells، بتفرزها عن طريق هذه الخلايا، الـ + +229 +00:18:28,840 --> 00:18:33,440 +Consistency تبعتها تختلف، مدى اللي هو اللي هو لزوجتها + +230 +00:18:33,440 --> 00:18:39,100 +تختلف من سائل إلى جل إلى صلب. إذًا تختلف اللي هي المادة + +231 +00:18:39,100 --> 00:18:44,180 +الخلوية ولزوجتها من السائل، والجل، والصلب. هذه + +232 +00:18:44,180 --> 00:18:48,000 +المادة الخلوية وظيفتها أنها تبعد كل خلية عن أخرى + +233 +00:18:48,000 --> 00:18:52,880 +ولا يصير في touch ما بينهم لأداء كل وظيفة بحد ذاتها. + +234 +00:18:52,880 --> 00:18:56,660 +في الخلية. إذًا، الـ Extracellular Matrix هي عبارة عن + +235 +00:18:56,660 --> 00:19:01,020 +المادة التي تُعبئ الفراغ ما بين اللي هو + +236 +00:19:01,020 --> 00:19:06,440 +الخلايا. هي شيء موجود أو حاجة بتكون موجودة في الـ + +237 +00:19:06,440 --> 00:19:12,380 +connective tissue. الآن بدي أتكلم على موضوع في الـ + +238 +00:19:12,380 --> 00:19:15,260 +connective tissue. يحتوي الـ connective tissue على + +239 +00:19:15,260 --> 00:19:21,480 +أنواع خلايا كثيرة جداً. خليني أبدأ أقسمها. أول شيء + +240 +00:19:21,480 --> 00:19:28,050 +Fibroblast. كلمة Fibro، فايبر لحالها. أنا بجسمها، سيبونا + +241 +00:19:28,050 --> 00:19:32,090 +من الـ Blast، وناخد الـ Fibers، ألياف أو شيء ليفي. + +242 +00:19:32,090 --> 00:19:38,550 +Blast، بانية. كلمة بي مع بانية، يعني بتبني خلايا، + +243 +00:19:38,550 --> 00:19:43,110 +بانية. إذًا، هنا أنا بحكي إنه هو نوع من الـ Connective + +244 +00:19:43,110 --> 00:19:47,370 +tissue، الخلية الموجودة فيه هنا Fibroblast، يعني + +245 +00:19:47,370 --> 00:19:53,350 +خلايا بانية للـ Fibers، اللي هي الألياف. هي Fixed cells، + +246 +00:19:53,350 --> 00:19:58,450 +خلايا ثابتة، و Most Common، دائماً بتكون موجودة + +247 +00:19:58,450 --> 00:20:04,230 +وأكثرها شيوعاً، Large، كبيرة، وعلى شكل نجمة، Star- + +248 +00:20:04,230 --> 00:20:08,750 +shaped. Produce لمين؟ للـ Fibers، من اسمها هاي هنا + +249 +00:20:08,750 --> 00:20:13,690 +Fibers، وهي هنا Fibers. إذن، أول نوع أخذناه من + +250 +00:20:13,690 --> 00:20:18,810 +الـ Fiber أو الـ Fibroblast، هي عبارة عن إيه؟ إنه + +251 +00:20:18,810 --> 00:20:25,410 +Fixed Cell، إنها بتحتوي على الخلايا الثابتة، من + +252 +00:20:25,410 --> 00:20:30,610 +مميزاتها أنها common cells، large، star-shaped، and + +253 +00:20:30,610 --> 00:20:36,930 +produce fiber. هذه مميزات الـ Fibroblast. حكينا، أيش + +254 +00:20:36,930 --> 00:20:41,290 +إيش أنا باخذه من الاسم Fibro لحالها و Blast لحالها؟ + +255 +00:20:41,290 --> 00:20:45,770 +Fibro من الـ Fiber، اللي هي، و Blast، بانية بحرف الـ B هنا. + +256 +00:20:45,770 --> 00:20:50,030 +بيه، بانية. هناك، بالـ Blast، باللغة العربية، بانية. + +257 +00:20:50,500 --> 00:20:54,960 +تمام، هي أول نوع. النوع الثاني، Macrophage. حكيت، إذا كان + +258 +00:20:54,960 --> 00:20:58,440 +فيه A بعد الـ M، فمعناتها Large، كبيرة. + +259 +00:20:58,440 --> 00:21:02,900 +Macrophage، الخلايا البالعة، wandering cells، + +260 +00:21:02,900 --> 00:21:07,240 +خلايا طوافة. تحتوي على خلايا طوافة، زي على سبيل + +261 +00:21:07,240 --> 00:21:11,120 +المثال، الأزمة التي إحنا فيها، COVID-19، بيكون هذه + +262 +00:21:11,120 --> 00:21:15,440 +الخلايا، الـ Macrophage، خلايا طوافة، بتحاول إنه + +263 +00:21:15,440 --> 00:21:20,120 +يتحطم الفايروس قبل ما إنه يفوت داخل الجسم. + +264 +00:21:20,120 --> 00:21:24,980 +تمام؟ إذًا، تحتوي على خلايا طوافة. في Connective tissue اللي + +265 +00:21:24,980 --> 00:21:29,400 +هي تحتوي على الخلايا البالعة. important in + +266 +00:21:29,400 --> 00:21:32,920 +injury or infections. ما حكيت المثال على COVID-19 + +267 +00:21:32,920 --> 00:21:38,140 +إذًا هي بتكون لها دور أو بتلعب دور مهم في الإصابات + +268 +00:21:38,140 --> 00:21:42,610 +وكذلك الـ infection. أول نوع أخذنا الـ Fibroblast، + +269 +00:21:42,610 --> 00:21:47,810 +ثاني نوع الـ Macrophage، والنوع الثالث Mast. الـ + +270 +00:21:47,810 --> 00:21:52,270 +Mast هو عبارة عن حاجة كبيرة، very very large، حاجة + +271 +00:21:52,270 --> 00:21:57,130 +كبيرة، خلايا كبيرة، Fixed cells، خلايا ثابتة، + +272 +00:21:57,130 --> 00:22:02,910 +بتحفز الهيبارين. سمعتوا عن حاجة اسمها الهيبارين؟ فلانة + +273 +00:22:02,910 --> 00:22:08,430 +ما بتمحملها إلا إذا أخدت حقنة هيبارين. ليش؟ + +274 +00:22:08,430 --> 00:22:13,390 +عشان تعمل سيولة في الدم. الـ Heparin هو عبارة عن + +275 +00:22:13,390 --> 00:22:20,230 +إفراز من الـ Mast cells، يُفرز عن طريق الـ Mast cells أيضاً، + +276 +00:22:20,230 --> 00:22:25,130 +تعمل على إطلاق الهيستامين. الهيستامين هو عبارة عن إنزيم + +277 +00:22:25,130 --> 00:22:30,250 +أيضاً يُطلق من الـ Mast cells. الأنواع اللي هو الـ + +278 +00:22:30,250 --> 00:22:34,970 +cell types. خليني أجمّعهم: fibroblasts، mast cells، + +279 +00:22:34,970 --> 00:22:39,150 +macrophages. هذه الثلاث أنواع هي المكون الأساسي + +280 +00:22:39,150 --> 00:22:44,410 +لخلايا أو لنسيج اللي هو الـ connective tissue، + +281 +00:22:44,410 --> 00:22:50,650 +النسيج الضام. شو أنواع الـ fibers الموجودة عندي + +282 +00:22:50,650 --> 00:22:55,250 +في الـ connective tissue؟ أنواع الـ fibers. أول شيء + +283 +00:22:55,250 --> 00:22:59,040 +الـ collagenous fibers. تسمعوا عن الكولاجين؟ ألياف + +284 +00:22:59,040 --> 00:23:04,840 +كولاجينية. الألياف الكولاجينية سميكة، تحتوي على + +285 +00:23:04,840 --> 00:23:08,720 +مادة الكولاجين، من اسمها. أيضاً، الـ Great Tensile + +286 +00:23:08,720 --> 00:23:15,280 +Strength، لها قوة شد عالية جداً. أيضاً بتكون موجودة + +287 +00:23:15,280 --> 00:23:20,700 +بوفرة في الـ Dense Connective Tissue، النسيج الضام الكثيف، + +288 +00:23:20,700 --> 00:23:24,080 +وهذا الـ Structural Web Together، تربط الأجزاء مع + +289 +00:23:24,080 --> 00:23:29,040 +بعضها البعض، زي الموجودة في الأوتار، والأربطة، + +290 +00:23:29,040 --> 00:23:34,780 +والأوتار. إذًا، الأول نوع من أنواع الـ fibers، الألياف + +291 +00:23:34,780 --> 00:23:38,740 +المكونة للـ connective tissue، هي حاجة اسمها + +292 +00:23:38,740 --> 00:23:43,120 +collagenous fibers. من الاسم أنا باخذه، collagenous، + +293 +00:23:43,120 --> 00:23:48,380 +معناه تحتوي على ألياف الكولاجين، thick، سميكة، تحتوي + +294 +00:23:48,380 --> 00:23:54,180 +على قوة شد عالية جداً، موجودة بوفرة في النسيج الضام، + +295 +00:23:54,180 --> 00:23:58,490 +الكثيف، الـ dense connective tissue، تربط الأجزاء أو + +296 +00:23:58,490 --> 00:24:02,230 +التراكيب مع بعضها البعض، زي الـ tendon، و الـ + +297 +00:24:02,230 --> 00:24:06,350 +ligament. tendon، و ligament. هذا أول + +298 +00:24:06,350 --> 00:24:11,470 +نوع، collagenous fiber. زي ما فيه شيء عندي صعب أو + +299 +00:24:11,470 --> 00:24:16,510 +بيكون قوي فيه، شيء elastic membrane. الـ elastic + +300 +00:24:16,510 --> 00:24:20,970 +بيعطيني خاصية المرونة. bundles of microfibrils + +301 +00:24:20,970 --> 00:24:26,200 +embedded into elastin. حزمة من الألياف الصغيرة + +302 +00:24:26,200 --> 00:24:30,980 +مغموسة أو مغروسة في مادة الـ Elastin، اللي هو الشيء + +303 +00:24:30,980 --> 00:24:35,180 +المطاطي، يعني بعطيها خاصية المرونة. الـ Fibers + +304 +00:24:35,180 --> 00:24:39,700 +Branched، في إنها متفرعة. هذه الألياف تحتوي، من اسمها، + +305 +00:24:39,700 --> 00:24:43,720 +على مادة الـ Elastin أو الـ Elastic Material. Vocal + +306 +00:24:43,720 --> 00:24:48,880 +Cords، Air Passageway، تحتوي على اللي هي بتكون + +307 +00:24:48,880 --> 00:24:54,420 +موجودة في الأحبال الصوتية، أيضاً في الممرات الهوائية. + +308 +00:24:54,420 --> 00:24:59,640 +إذن، النوع الثاني من الـ Connective Tissue Fibers، + +309 +00:24:59,640 --> 00:25:05,160 +Elastic، اللي هو مجموعة أو حزمة معينة من الألياف + +310 +00:25:05,160 --> 00:25:11,080 +مغموسة داخل الإيلاستين. الـ Fibers Branched، متفرعة. + +311 +00:25:11,080 --> 00:25:14,500 +الألياف تحتوي على مادة الإيلاستين أو الـ Elastic + +312 +00:25:14,500 --> 00:25:18,780 +موجودة في الأحبال الصوتية، لأنه بتعرفوا وإحنا + +313 +00:25:18,780 --> 00:25:23,410 +بنتكلم، الحبل الصوتي ممكن يطول وممكن يقصر. أيضاً خلال + +314 +00:25:23,410 --> 00:25:28,570 +الـ Air Passage، أو الـ، طبعاً الممرات الهوائية. إذًا، + +315 +00:25:28,570 --> 00:25:31,530 +أخذنا أنواع الخلايا المكونة للـ Connective Tissue، + +316 +00:25:31,530 --> 00:25:36,170 +أخذنا أنواع الـ Fibers، وكمان شوية إن شاء الله ربّ + +317 +00:25:36,170 --> 00:25:41,530 +العالمين، لـ slides الجاية، هنكمل باقي اللي هو أنواع + +318 +00:25:41,530 --> 00:25:44,730 +الـ Connective Tissue Fibers. Reticular Fibers. + +319 +00:25:44,730 --> 00:25:52,480 +Reticular، شبكية. ألياف شبكية، تمام؟ الألياف الشبكية + +320 +00:25:52,480 --> 00:25:56,680 +من كلمة reticular fibers. very thin collagenous + +321 +00:25:56,680 --> 00:26:02,780 +fibers، ألياف دقيقة ورقيقة جداً، ليه؟ لأنها موجودة + +322 +00:26:02,780 --> 00:26:07,540 +في شبكية العين. هذا الشيء بده حاجة simple، highly + +323 +00:26:07,540 --> 00:26:12,720 +branched، متفرعة بشكل كبير جداً، بتشكل supportive + +324 +00:26:12,720 --> 00:26:18,680 +network، شبكة دعم، عشان تحمي العين. إذًا، الـ + +325 +00:26:18,680 --> 00:26:22,280 +reticular fibers هو النوع الثالث من أنواع الـ + +326 +00:26:22,280 --> 00:26:27,340 +tissue fibers، عبارة عن نوع من الـ collagen fibers، + +327 +00:26:27,340 --> 00:26:32,880 +highly branched، وظيفته تشكيل supportive network، + +328 +00:26:32,880 --> 00:26:39,490 +تمام؟ النوع الرابع، اللي هو بقسم الـ + +329 +00:26:39,490 --> 00:26:42,450 +connective tissue إلى قسمين أساسيين، اللي هو + +330 +00:26:42,450 --> 00:26:45,170 +connective tissue proper، و specialized + +331 +00:26:45,170 --> 00:26:49,470 +connective tissue، تمام؟ خليني أرجع ثانية لأنواع + +332 +00:26:49,470 --> 00:26:54,210 +الـ fibers، عندي ثلاث أنواع من أنواع الـ fibers، في + +333 +00:26:54,210 --> 00:26:57,370 +عندي الـ collagenous fiber، الـ elastic fibers، + +334 +00:26:57,370 --> 00:27:02,560 +و reticular fibers. الآن، هأتكلم على الـ connective + +335 +00:27:02,560 --> 00:27:06,380 +tissue، كيف أنا ممكن أقسمها لمجموعتين أساسيتين؟ أول + +336 +00:27:06,380 --> 00:27:12,840 +شيء proper بشكل عام، شو أنواعه؟ و specialized بشكل + +337 +00:27:12,840 --> 00:27:19,120 +خاص. تمام؟ يعني، في عندي نوع اسمه loose connective + +338 +00:27:19,120 --> 00:27:25,700 +tissue، loose يعني اللي هي رخوي. نوع النسيج الضام + +339 +00:27:25,700 --> 00:27:31,280 +الرخوي، Adipose، دهني. Reticular connective + +340 +00:27:31,280 --> 00:27:37,260 +tissue، شبكي. Dense، اللي هي عبارة عن كثيف. Elastic، + +341 +00:27:37,260 --> 00:27:42,280 +مرن. نعيد من أول وجديد. الـ connective tissue يحتوي + +342 +00:27:42,280 --> 00:27:46,520 +على العديد من الأنسجة. أنا هنا قسمته لفئتين، فئة + +343 +00:27:46,520 --> 00:27:51,480 +عامة، وفئة خاصة. الفئة العامة، Loose connective + +344 +00:27:51,480 --> 00:27:57,400 +tissue، نسيج ضام رخوي. Adipose، دهني. Reticular، + +345 +00:27:59,110 --> 00:28:07,150 +شبكي. Dense، كثيف. Elastic، مرن. الآن، + +346 +00:28:07,150 --> 00:28:12,610 +اللي هو الـ specialized، أو ما يُسمّى بالفئة الخاصة، يحتوي + +347 +00:28:12,610 --> 00:28:16,710 +على حاجة اسمها الـ cartilage، أو الغضاريف بالعربي، + +348 +00:28:16,710 --> 00:28:22,250 +bone، العظام، blood، الدم. يعني، إذا أنا بدي أجيب + +349 +00:28:22,250 --> 00:28:26,630 +سؤال هنا على سبيل المثال، بدي أحكي، blood is a + +350 +00:28:26,630 --> 00:28:31,320 +type of connective tissue. true or false. true. الدم + +351 +00:28:31,320 --> 00:28:34,460 +هو أحد أنواع الـ specialized connective tissue. + +352 +00:28:34,460 --> 00:28:39,160 +تمام. إذًا، الدم هو أحد مكونات الـ connective tissue. + +353 +00:28:39,160 --> 00:28:42,180 +أخذنا شو هو الـ connective tissue، شو الـ common + +354 +00:28:42,180 --> 00:28:45,920 +characteristics تبعته، شو الـ function أيضاً، أخذنا + +355 +00:28:45,920 --> 00:28:50,200 +أنواع الـ fibers، أخذنا الخلايا المكوّنة، وبعدين آخر + +356 +00:28:50,200 --> 00:28:55,440 +slide هنا حكيت عنها، اللي هي بقسمه لفئتين، فئة عامة، + +357 +00:28:55,610 --> 00:29:01,210 +وفي فئة خاصة، من الأنواع تبعتهم. وبهيك بيكون انتهى + +358 +00:29:01,210 --> 00:29:05,270 +الجزئية الثانية من الـ T-Show. إن شاء الله ربّ + +359 +00:29:05,270 --> 00:29:09,790 +العالمين، ألقاكم في الجزئية رقم ثلاثة، وبالتوفيق + +360 +00:29:09,790 --> 00:29:11,610 +للجميع بإذن الله تعالى. diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/c7HHn5bwKcc_raw.json b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/c7HHn5bwKcc_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..d45753f9c160cfe47a18b149d65ed3885dd84be1 --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/c7HHn5bwKcc_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 2200, "start": 0.88, "end": 22.0, "text": "الرحمن الرحيم بإذن الله تعالى سأكمل ما تبقى من chapter ال body tissue تمام اليوم هتكلم على جزئية التانية اللى هى بتكمل فيها باقي ال epithelium tissue و هندخل على ال connected tissue بإذن الله تعالى نبدأ على بركة الله", "tokens": [6027, 2288, 5016, 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1744.89, "word": " شاء", "probability": 0.97900390625}, {"start": 1744.89, "end": 1745.05, "word": " الله", "probability": 0.9384765625}, {"start": 1745.05, "end": 1745.27, "word": " رب", "probability": 0.892822265625}, {"start": 1745.27, "end": 1745.75, "word": " العالمين", "probability": 0.9973958333333334}, {"start": 1745.75, "end": 1746.35, "word": " ألقاكم", "probability": 0.94990234375}, {"start": 1746.35, "end": 1746.51, "word": " في", "probability": 0.9404296875}, {"start": 1746.51, "end": 1747.03, "word": " الجزئية", "probability": 0.9893798828125}, {"start": 1747.03, "end": 1747.39, "word": " رقم", "probability": 0.9796549479166666}, {"start": 1747.39, "end": 1748.05, "word": " تلاتة", "probability": 0.9150390625}, {"start": 1748.05, "end": 1749.79, "word": " وبالتوفيق", "probability": 0.8420003255208334}, {"start": 1749.79, "end": 1750.43, "word": " للجميع", "probability": 0.951416015625}, {"start": 1750.43, "end": 1750.81, "word": " بإذن", "probability": 0.9871826171875}, {"start": 1750.81, "end": 1751.03, "word": " الله", "probability": 0.96240234375}, {"start": 1751.03, "end": 1751.61, "word": " تعالى", "probability": 0.9772135416666666}], "temperature": 1.0}], "language": "ar", "language_probability": 1.0, "duration": 1760.328, "duration_after_vad": 1721.5781249999977} \ No newline at end of file diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/c7HHn5bwKcc_raw.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/c7HHn5bwKcc_raw.srt new file mode 100644 index 0000000000000000000000000000000000000000..c5f02a9979096854280347a909f52f1a5c43e2e0 --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/c7HHn5bwKcc_raw.srt @@ -0,0 +1,1440 @@ +1 +00:00:00,880 --> 00:00:05,600 +الرحمن الرحيم بإذن الله تعالى سأكمل ما تبقى من + +2 +00:00:05,600 --> 00:00:10,700 +chapter ال body tissue تمام اليوم هتكلم على جزئية + +3 +00:00:10,700 --> 00:00:15,400 +التانية اللى هى بتكمل فيها باقي ال epithelium + +4 +00:00:15,400 --> 00:00:19,640 +tissue و هندخل على ال connected tissue بإذن الله + +5 +00:00:19,640 --> 00:00:22,000 +تعالى نبدأ على بركة الله + +6 +00:00:27,770 --> 00:00:31,930 +أخدنا في الفيديو السابق عن الـ epithelium tissue + +7 +00:00:31,930 --> 00:00:37,270 +الـ simple اللي هو يحتوي على طبقة واحدة الآن + +8 +00:00:37,270 --> 00:00:42,250 +سأتحدث عن ال stratified epithelium tissue كلمة + +9 +00:00:42,250 --> 00:00:48,510 +stratified تعني أنه يحتوي على طبقتين أو أكثر وليس + +10 +00:00:48,510 --> 00:00:52,770 +طبقة واحدة نفس الكلام اللي حكيناه كنا نقول simple + +11 +00:00:52,770 --> 00:00:58,190 +squamous simple glominar هنا هحكي نفس الكلامSimple + +12 +00:00:58,190 --> 00:01:03,590 +Squamous أسس Stratified Squamous طبقي رباعي + +13 +00:01:03,590 --> 00:01:09,010 +Stratified Carbidal طبقي مكعل Stratified Eclomial + +14 +00:01:09,010 --> 00:01:14,290 +هتكلم عليهم وأشوف وين هدول موجودين Stratified + +15 +00:01:14,290 --> 00:01:21,470 +Squamous طبقي الرباعي موجود في كذا film layers زي + +16 +00:01:21,470 --> 00:01:25,030 +ما حكينا بمجرد ما أشوف كلمة Stratified فمعناة + +17 +00:01:25,030 --> 00:01:29,960 +الحكي أنه أنا عندي كذاطبقة من الخلايا الـ top + +18 +00:01:29,960 --> 00:01:35,000 +تبعتهم أو الـ apical اللي هم أعلى القِمن are flat + +19 +00:01:35,000 --> 00:01:40,420 +لاحظوا هنا معايا هذه القطعة الكاملة اللي فوق السطح + +20 +00:01:40,420 --> 00:01:45,900 +هي عبارة عن خلاية مسطحة can accumulated of + +21 +00:01:45,900 --> 00:01:51,610 +creatine تحتوي على أو بتجمع الكرياتينهي عبارة عن + +22 +00:01:51,610 --> 00:01:55,750 +مادة مسؤولة عن الأضافر والشعر والجلد زي ما حكينا + +23 +00:01:55,750 --> 00:02:00,650 +في slides بـ Skin Integumentary System الـ Outer + +24 +00:02:00,650 --> 00:02:05,870 +Layer بتكون موجودة في الـ Outer Layer of Skin Line + +25 +00:02:05,870 --> 00:02:14,830 +Oral Cavity بتبطل التجويف الفمي ال vagina and anal + +26 +00:02:14,830 --> 00:02:21,750 +canal بتبطل التجويف الفمي بتبطل المهبلو«أنا + +27 +00:02:21,750 --> 00:02:26,790 +الكنال» اللي هي فتحة الشرش إذن Certified Squamous + +28 +00:02:26,790 --> 00:02:32,270 +هو عبارة عن نسيج طلائي يحتوي على العديد من الطبقات + +29 +00:02:32,270 --> 00:02:38,090 +أعلاها أو الطبقة السطحية منها تكون تحتوي على خلايا + +30 +00:02:38,090 --> 00:02:41,910 +مسطحة يحتوي على العديد من الأنوية زي ما انتوا + +31 +00:02:41,910 --> 00:02:48,290 +شايفين على العديد من الطبقات تمام موجود في الجلد + +32 +00:02:48,290 --> 00:02:54,230 +الخارجي لجسم الإنسانبيبطن أيضًا الـ oral cavity و + +33 +00:02:54,230 --> 00:02:58,830 +ال vagina and anal canal أيضًا فيه ميزاق له اللي + +34 +00:02:58,830 --> 00:03:05,450 +هي إنه بيحتوي على اللي هو الكرياتين و الكرياتين + +35 +00:03:05,450 --> 00:03:09,670 +أيضًا موجود في داخل الجلدهذا أول نوع من الـ + +36 +00:03:09,670 --> 00:03:13,890 +Certified هاخد اللي هو هنا هيبين أن هي ال vagina + +37 +00:03:13,890 --> 00:03:19,150 +من المهبل وموجود أيضا في اللي هي الanal canal أو + +38 +00:03:19,150 --> 00:03:25,910 +ما يسمى بفتحة الشجر النوع التاني Certified Caudal + +39 +00:03:25,910 --> 00:03:34,230 +طبقي مكعب يحتوي على طبقتين أو أكثر من الخلاياعلى + +40 +00:03:34,230 --> 00:03:38,610 +شكل ال cup shape زي ما انتوا شايفينه كإنهم بلوكات + +41 +00:03:38,610 --> 00:03:44,690 +من المكعب مرسوسين جنبان بيبطن ال memory gland + +42 +00:03:44,690 --> 00:03:51,250 +الغدد السادية ال sweet gland الغدد العراقية ال + +43 +00:03:51,250 --> 00:03:56,430 +leathery gland الغدد اللعابية and the pancreas و + +44 +00:03:56,430 --> 00:04:03,730 +اللي هي غدد البنكرياس اذا ب certified capitalبيبطل + +45 +00:04:03,730 --> 00:04:08,530 +الغُدَد لاحظوا كل اللي موجود معايا هنا غُدَد ليه؟ + +46 +00:04:08,530 --> 00:04:13,870 +لأنه يحتوي على طبقتين أو أكثر من الخلايا مكعبة + +47 +00:04:13,870 --> 00:04:19,450 +الشكل تمام فبالتالي يحتوي على memory gland خلايا + +48 +00:04:19,450 --> 00:04:23,490 +التدييات وغُدَد التدييه الـ sweat gland الغُدَد + +49 +00:04:23,490 --> 00:04:27,610 +العلقية liver gland الغُدَد اللعالية وأيضا + +50 +00:04:27,610 --> 00:04:33,500 +البنكليات هيك أنا أخدت النوع التانيتمام الـ + +51 +00:04:33,500 --> 00:04:37,040 +Certified Copiedal هنا بعض الأحيان بيجيبلنا بعض + +52 +00:04:37,040 --> 00:04:41,740 +المقاطع تحت المايكروسكوب بيكون موجود عنا اللي هو + +53 +00:04:41,740 --> 00:04:45,040 +تقريبا في الـ Esophagus وكلمة Esophagus تعني مريء + +54 +00:04:45,040 --> 00:04:49,940 +يعني هنا أخد عينة ومقطع عرضي وحطه تحت المايكروسكوب + +55 +00:04:49,940 --> 00:04:56,200 +لرؤية المريء النوع التالتمن الـ Epithelium tissue + +56 +00:04:56,200 --> 00:05:00,700 +بين قوسين لـ Stratified هو عبارة عن Stratified + +57 +00:05:00,700 --> 00:05:06,540 +Cluminar تمام؟ Cluminar تعني عمودي إذا الـ Top + +58 +00:05:06,540 --> 00:05:10,860 +Layer الخلايا السطحية أو العلوية أو في الـ Apical + +59 +00:05:10,860 --> 00:05:15,960 +في القمم هي عبارة عن خلايا كأسية طويلة elongated + +60 +00:05:15,960 --> 00:05:19,780 +كلمة elongated طويلة cup-shaped in cell in deeper + +61 +00:05:19,780 --> 00:05:26,090 +layersوفى الطبقات العميقة الـ deep بيكون عندى على + +62 +00:05:26,090 --> 00:05:32,550 +شكل مكعب line لل parts of female of male urethra + +63 +00:05:32,550 --> 00:05:37,730 +and part of pharynx بيبطن مجرى البول لدى الذكور + +64 +00:05:37,730 --> 00:05:42,970 +وايضا جزء من ال pharynx البلعوم باجى فى الامتحان + +65 +00:05:42,970 --> 00:05:45,870 +بحكى true or false certified + +66 +00:05:49,140 --> 00:05:53,320 +female urethra طالما حكيت female معناته الإجابة + +67 +00:05:53,320 --> 00:05:59,060 +خاطئة فهو يبطن ال male urethra اللي هي المجلة + +68 +00:05:59,060 --> 00:06:03,480 +البولي الذكري and the part of pharynx وجزء من + +69 +00:06:03,480 --> 00:06:07,740 +البلعوب أعيد أحكي أسمر عايز ل ال epithelium tissue + +70 +00:06:07,740 --> 00:06:12,280 +اللي الأن أخدتهم حكينا stratified squamous, + +71 +00:06:12,880 --> 00:06:17,860 +stratified capoidal, stratified clominarثلاث أجزاء + +72 +00:06:17,860 --> 00:06:23,520 +أو ثلاث أنواع من متعددية طبقات ولكن تختلف الخلايا + +73 +00:06:23,520 --> 00:06:27,360 +وأشكالها أخدنا اللي هي على شكل الرباعي squamous + +74 +00:06:27,360 --> 00:06:32,540 +اللي على شكل المقعب الclominar الcapidal وعلى شكل + +75 +00:06:32,540 --> 00:06:37,400 +العمودي الclominar تمام؟ هيك بيكون أنا خلصت ال + +76 +00:06:37,400 --> 00:06:41,600 +stratified وخلصنا ال symbol ال stratified clominar + +77 +00:06:41,980 --> 00:06:47,000 +أيضًا ماخد عينة وحكيلي على الـ Certified Columnar + +78 +00:06:47,000 --> 00:06:52,120 +طبعًا طبق عمودي في عندي حاجة أو نوع أخدنا أربعة + +79 +00:06:52,120 --> 00:06:57,280 +هناك وتلاتة في ال Certified النوع التامن اللي هو + +80 +00:06:57,280 --> 00:07:00,820 +حاجة اسمها Transitionalأيضًا هذا الاشي + +81 +00:07:00,820 --> 00:07:05,280 +Transitional معناته انتقالي يحتوي على العديد من + +82 +00:07:05,280 --> 00:07:09,580 +الطبقات الخلوية زي ما أنتوا شايفين طبقة و تنتين و + +83 +00:07:09,580 --> 00:07:13,960 +تلاتة و ممكن يكونوا ستة أو سبعة على شكل ال cup and + +84 +00:07:13,960 --> 00:07:18,200 +elongated cells يعني مزيج هو عبارة عن مزيج من + +85 +00:07:18,200 --> 00:07:23,800 +الصفات أو مزيج من المميزات للأصناف السابقةأول إشي + +86 +00:07:23,800 --> 00:07:27,800 +هو متعدد الطبقات يحتوي على خلايا مكعبة وخلايا + +87 +00:07:27,800 --> 00:07:33,580 +عمودية يبطن المثانة البولية «urinary bladder» + +88 +00:07:33,580 --> 00:07:37,400 +«uterus» أو الـ «Urethra» مجرى البول و «the part + +89 +00:07:37,400 --> 00:07:43,280 +of urethra» والحالبين إذا الـ Transitional بينقصين + +90 +00:07:43,280 --> 00:07:47,720 +هو عبارة عن حاجة اسمها المسيج الانتقالي هو أحد + +91 +00:07:47,720 --> 00:07:51,670 +أنواع الـ Epithelium تشوفيحتوي على العديد من + +92 +00:07:51,670 --> 00:07:56,130 +الطبقات اتنين على شكل القب أو على شكل مقعد + +93 +00:07:56,130 --> 00:07:59,570 +elongated الخلايا الطويلة أو الخلايا الـclaminar + +94 +00:07:59,570 --> 00:08:05,290 +بيبطن الاشي أو بيبطن خليني أحكي بالإجمال اللي هو + +95 +00:08:05,290 --> 00:08:09,590 +الجهاز البولي سواء كان المثال البولية سواء كان + +96 +00:08:09,590 --> 00:08:15,230 +الحالب وكذلك مجرة البول هذا النوع التام اللي أنا + +97 +00:08:15,230 --> 00:08:19,390 +شرحتهtransitional هي زي ما انتوا شايفين هذه + +98 +00:08:19,390 --> 00:08:22,570 +المثالة البولية الـ urinal bladder تحت المجهر زي + +99 +00:08:22,570 --> 00:08:26,210 +ما احنا شايفين فيه خلايا مقعبة وكذلك فيه خلايا + +100 +00:08:26,210 --> 00:08:32,630 +عمودية موجودة عندنا الآن عشان انا اعمل summarize + +101 +00:08:32,630 --> 00:08:35,670 +للـepithelium tissue الـepithelium tissue حكينا + +102 +00:08:35,670 --> 00:08:42,310 +عنه بقسمه حسبالـ shape حسب الشكل و بقسمه حسب اللي + +103 +00:08:42,310 --> 00:08:45,750 +هو number of layers تمام؟ أنا هيك بدي أعمل + +104 +00:08:45,750 --> 00:08:49,850 +summarize و أرسم في مخي خريطة لاللي أنا درسته في + +105 +00:08:49,850 --> 00:08:54,750 +الفيديو رقم واحد وهي ال slide لحد هي ال slide بدي + +106 +00:08:54,750 --> 00:09:01,330 +أجيبورقة و جلم و أرسم اللي هو ال tissue و أعمل + +107 +00:09:01,330 --> 00:09:06,790 +عليهم ملخص أو summary حتى أقدر أحدد هذا تابع لمين + +108 +00:09:06,790 --> 00:09:12,350 +و هذا تابع لمين الأمثلة حفظ العنوين و الصفات و + +109 +00:09:12,350 --> 00:09:17,270 +المميزات مهمة جدا الأسئلة هنا بتكون insecure and + +110 +00:09:17,270 --> 00:09:23,740 +true and falseهنتقل لحاجة تانية اللي هي إيش حكينا + +111 +00:09:23,740 --> 00:09:27,640 +إحنا الـ functions أو الـ common characteristic + +112 +00:09:27,640 --> 00:09:30,340 +اللي هي الصفات العامة للإنسين يامتيشور اللي هو + +113 +00:09:30,340 --> 00:09:35,520 +cover، lining، and اللي هي glandular كلمة + +114 +00:09:35,520 --> 00:09:39,660 +glandular تعني غضي أو إشي إله علاقة بالغداد خلينا + +115 +00:09:39,660 --> 00:09:44,740 +نشوف composed of cells specialized to produce and + +116 +00:09:44,740 --> 00:09:51,360 +secrete substances إذنهي عبارة عن نوع من أنواع الـ + +117 +00:09:51,360 --> 00:09:56,940 +Epithelium tissue يحتوي على مجموعة من الخلايا لها + +118 +00:09:56,940 --> 00:10:04,480 +وظيفة إنتاج متخصصة وكذلك إفراز المادة اللي موجودة + +119 +00:10:04,480 --> 00:10:11,320 +فيها تمام؟ هنحكي على بعض اللي هو الأنواع تبع الـ + +120 +00:10:11,320 --> 00:10:16,120 +glands أو بعض أنواع الغدد هي عندي كلمة هنا اسمها + +121 +00:10:16,120 --> 00:10:22,920 +IndoIndo الـ opposite تبعها حاجة اسمها Exo هنشوفها + +122 +00:10:22,920 --> 00:10:27,700 +في الـ slide القادمة بإذن الله تعالى شوفوا Exo + +123 +00:10:27,700 --> 00:10:35,820 +Indo وفي عندنا Exo الـ Indocrine معناتها إيش؟ هي + +124 +00:10:35,820 --> 00:10:41,880 +عبارة عن الغودة ده اللتي تفقد القنوات ما إلها قناة + +125 +00:10:41,880 --> 00:10:45,700 +مباشرة تصب فيها Secreting their product directly + +126 +00:10:45,700 --> 00:10:51,750 +into interstitial fluidand blood stream إذا الـ + +127 +00:10:51,750 --> 00:10:55,790 +Endocrine هي عبارة عن الغدد الصماء التي لا تحتوي + +128 +00:10:55,790 --> 00:11:00,510 +على قنوات مباشرة إيش هي حاملة معاها من هرمونات، + +129 +00:11:00,510 --> 00:11:05,550 +أنزيمات، أي إشي بتصبه مباشرة في النسيج اللي ما بين + +130 +00:11:05,550 --> 00:11:10,450 +خلوي الـ interstitial fluid وكذلك في مجرة الدم هذي + +131 +00:11:10,450 --> 00:11:14,630 +مين؟ الـ Endocrine هنا ممكن أجيب مصطلح وأحكي إن + +132 +00:11:14,630 --> 00:11:17,480 +الـ lack of ductsto secrete their products + +133 +00:11:17,480 --> 00:11:19,620 +directly into the interstitial fluid and + +134 +00:11:19,620 --> 00:11:25,560 +bloodstream وأسيبلك الفراغ أو أسيبلك المصطلح شو هو + +135 +00:11:25,560 --> 00:11:28,620 +الـHormones؟ هو عبارة عن حاجة بتعمل chemical + +136 +00:11:28,620 --> 00:11:32,980 +messenger رسول كيميائي بيأثر على ال activity + +137 +00:11:32,980 --> 00:11:37,160 +elsewhere in the body في أي نشاط لجسم عندنا + +138 +00:11:37,160 --> 00:11:41,220 +هرمونات خاصة بالنمو عندنا هرمونات خاصة بيه اللي هو + +139 +00:11:42,270 --> 00:11:46,210 +تنظيم السكر في الدم، إن هرمونات متعددة في جسم + +140 +00:11:46,210 --> 00:11:50,390 +الإنسان، هذه الهرمونات بتم إفرازها من الـ glands + +141 +00:11:50,390 --> 00:11:56,180 +من اللي هي الغداد، تمام؟أشوف النوع التاني اللي هو + +142 +00:11:56,180 --> 00:12:01,720 +اسمه exocrine كلمة ex هنا تعني out خارجي زي مين + +143 +00:12:01,720 --> 00:12:05,480 +الـ exocrine usually maintain their contact with + +144 +00:12:05,480 --> 00:12:09,380 +epithelial surface that by means of duct بيتصل + +145 +00:12:09,380 --> 00:12:14,100 +مباشرة بالبره العالم الخارجي للجسم بالـ epithelium + +146 +00:12:14,100 --> 00:12:17,880 +surface اللي احنا حكينا الـ epithelium أصلا هو بدي + +147 +00:12:17,880 --> 00:12:20,280 +يكون فوق ال surface الـ simple squamous بدي يكون + +148 +00:12:20,280 --> 00:12:25,040 +حر السطحDucts create material into the surface of + +149 +00:12:25,040 --> 00:12:28,720 +skin and or into epithelium gliding and + +150 +00:12:28,720 --> 00:12:33,760 +interpassage away إذا بتم إفراز المادة الكيميائية + +151 +00:12:33,760 --> 00:12:39,100 +اللي تم إطلاقها عن طريق السطح مباشرة للجلد أو إذا + +152 +00:12:39,100 --> 00:12:43,780 +كان مبطن للـinternal passageway اللي هي الممرات + +153 +00:12:43,780 --> 00:12:48,540 +الهوائية الداخليةهذا الـ Exocrine، الـ Endocrine + +154 +00:12:48,540 --> 00:12:52,560 +حكينا ما إلها دكت الصوب فيها على طول بتفرز ما فيها + +155 +00:12:52,560 --> 00:12:58,360 +أو ما في جعبتها لـ bloodstream and اللي هي الـ + +156 +00:12:58,360 --> 00:13:01,460 +interstitial ده و ده هنا ال Exocrine لأ على طول + +157 +00:13:01,460 --> 00:13:05,860 +بتتصل مباشرة بالجلد وبتم إفراز اللي هو ما تحتويه + +158 +00:13:05,860 --> 00:13:13,210 +على الجلد عبر قنوات صغيرةالقالب هيك بيكون أنا ختمت + +159 +00:13:13,210 --> 00:13:16,970 +ال epithelial tissue أخدنا إنه covering أخدنا إنه + +160 +00:13:16,970 --> 00:13:20,950 +lining أخدنا إنه glandular وعرفنا كيف ممكن أنا + +161 +00:13:20,950 --> 00:13:26,050 +أقسم اللي هو أنواعه حسب ال shape حسب ال + +162 +00:13:26,050 --> 00:13:28,730 +arrangement أو ال type of layers أو ال number of + +163 +00:13:28,730 --> 00:13:33,800 +layersالموجودة عندي الرسومات مش محفوظة عرفنا كيف + +164 +00:13:33,800 --> 00:13:38,020 +ممكن تيجي الأسئلة إذا كذلك بيكون أنا أنهيت أول + +165 +00:13:38,020 --> 00:13:41,540 +tissue موجود معايا اللي هو ال الethereal tissue + +166 +00:13:41,540 --> 00:13:48,040 +هنتقل ل ال second one اللي هو connective tissue + +167 +00:13:48,040 --> 00:13:52,560 +كلمة connective tissue هي عبارة عن النسيج الضامن + +168 +00:13:52,560 --> 00:13:57,400 +شو مميز ذاته؟Moft Abandoned Tissue Type هو أكثر + +169 +00:13:57,400 --> 00:14:02,720 +أنواع الأنسجة الشيوعان منتشر في كل مكان تمام؟ + +170 +00:14:02,720 --> 00:14:07,980 +أيضا، يقل وظائف متعددة كنا أخدنا في بداية الشبكة + +171 +00:14:07,980 --> 00:14:12,660 +كمقجمة صغيرة عن الـConnected Tissue Mini Functions + +172 +00:14:12,660 --> 00:14:17,160 +زي إيش؟ إنه بيعمل Bind للـStructural بيربط الأجزاء + +173 +00:14:17,160 --> 00:14:21,660 +أو التراكيب داخل الجسم مع بعضها البعضprovide + +174 +00:14:21,660 --> 00:14:26,880 +support and protection بيدعم وبيحمي أيضًا بيشتغل + +175 +00:14:26,880 --> 00:14:32,960 +على إنه framework يعني كهيكل متكامل بيعدي بعض + +176 +00:14:32,960 --> 00:14:37,920 +الأماكن وعدوا هتشوفوا كيف إنه ما بين الخلايا ما + +177 +00:14:37,920 --> 00:14:41,240 +لازم يكون فيه فراغة لازم يكون فيه حاجة اسمها الـ + +178 +00:14:41,240 --> 00:14:45,460 +Interstitial Fluid يكون ممزوج بـConnective Fission + +179 +00:14:46,020 --> 00:14:50,360 +الـ Stornal Fat أخدنا إنه بيخزن دهون حتى يعطينا + +180 +00:14:50,360 --> 00:14:53,860 +الـ energy الطاقة produce للـ blood cells لأنه + +181 +00:14:53,860 --> 00:14:58,620 +موجود أيضًا في داخل العظام فبالتالي بينتج أنواع + +182 +00:14:58,620 --> 00:15:02,380 +الدم أو خلايا الدم اللي هي كرايا الدم حمراء كرايا + +183 +00:15:02,380 --> 00:15:06,480 +الدم بيضاء و الـ platelets الصفائح الدموية الـ + +184 +00:15:06,480 --> 00:15:10,360 +Protect للـ Agnes Infection حكينا إنه بيشتغل كـ + +185 +00:15:10,360 --> 00:15:14,380 +defence mechanism كعملية دفاعية عن جسم الإنسان + +186 +00:15:15,450 --> 00:15:19,490 +بساعد الـ tissue damage النسيج اللي اتضرر هو + +187 +00:15:19,490 --> 00:15:23,790 +بيساعد في إصلاحه يا طلاب الأعزاء help prepare + +188 +00:15:23,790 --> 00:15:27,950 +tissue damage بيساعد في النسيج المتضرر ان هاي ال + +189 +00:15:27,950 --> 00:15:32,790 +functions هي عبارة عن وظائف متعددة ل ال connective + +190 +00:15:32,790 --> 00:15:36,630 +tissue bind structural بربط التراكيب مع بعضها + +191 +00:15:36,630 --> 00:15:41,630 +البعض provide and support provide support and + +192 +00:15:41,630 --> 00:15:48,060 +protection بيدعم يحميالـ Thermal Framework بيعمل + +193 +00:15:48,060 --> 00:15:53,080 +على إنه Framework إطار أو هيكل عام بيعب الأماكن + +194 +00:15:53,080 --> 00:15:56,220 +الفاضية مش لازم أشي يكون فاضي عنده ما بين الخلايا + +195 +00:15:56,220 --> 00:16:00,470 +على سبيل المثالالـ Torrel Fat بيخزّن الدهون + +196 +00:16:00,470 --> 00:16:04,890 +بـReduce للـ blood cells بينتج كوريات الدم الحمراء + +197 +00:16:04,890 --> 00:16:08,970 +أو الخلايا الدموية بشكل عام بروتيكس للـ Agonist + +198 +00:16:08,970 --> 00:16:13,230 +للإنفكشن بيحمي الجسم help repair للـ tissue damage + +199 +00:16:13,230 --> 00:16:18,170 +وبهيك بيكون أنهية الـ functions ممكن هنا يجيني + +200 +00:16:18,170 --> 00:16:21,850 +السؤال في الـ true and false أو ممكن يجيني في الـ + +201 +00:16:21,850 --> 00:16:25,210 +insecure الآن أيضًا من الـ general characteristic + +202 +00:16:25,720 --> 00:16:30,520 +إنه يحتوي على Extracellular Matrix مادة خلوية + +203 +00:16:30,520 --> 00:16:37,940 +خارجية وأيضا يحتوي على اللي هو درجات متفاوتة من + +204 +00:16:37,940 --> 00:16:43,300 +الـVascularity have a varying مختلف أو متعدد من ال + +205 +00:16:43,300 --> 00:16:49,580 +degrees الدرجات من الـVascularity اللي هي الـدرجات + +206 +00:16:49,580 --> 00:16:55,200 +متفاوتة من الوعائية يعني على سبيل المثال يحتوي على + +207 +00:16:55,200 --> 00:16:59,900 +العديد من الدرجات أحياناً بيكون الـ Blood عنده + +208 +00:16:59,900 --> 00:17:03,320 +موجود في Vascularity بعض الأماكن ما فيها أوعية + +209 +00:17:03,320 --> 00:17:07,800 +دموية هذا الـ Cell that's usually divided كمان + +210 +00:17:07,800 --> 00:17:14,900 +الخلايا هنااللي هي تحتوي أو قابلة للانقسام حتى إنه + +211 +00:17:14,900 --> 00:17:20,040 +تنتج خلايا أخرى إذا حكينا على الـ Common Function + +212 +00:17:20,040 --> 00:17:24,920 +حكينا على إنه نسيج متعدد أو متوفر بشكل كبير جدا + +213 +00:17:24,920 --> 00:17:28,900 +حكينا بيعبي أو بيحتوي على الـ Extracellular Matrix + +214 +00:17:28,900 --> 00:17:33,000 +اللي هي المادة الخلوية الخارجية بيحتوي على درجات + +215 +00:17:33,000 --> 00:17:38,840 +متعددة من الـVascularity اللي هي الوعائيةشو هي الـ + +216 +00:17:38,840 --> 00:17:42,180 +Extra Cellular معناته الـ Extra؟ اللي أنا حكيت ما + +217 +00:17:42,180 --> 00:17:46,760 +بين الخلايا لازم تكون في عندها أشياء موجودة حتى + +218 +00:17:46,760 --> 00:17:50,320 +تتعب الفراغات مش صحيح إنه يظل كل بين خلية وتانية + +219 +00:17:50,320 --> 00:17:54,490 +في عندي فراغ ولا إشي رابطهمcells rarely touch due + +220 +00:17:54,490 --> 00:17:58,070 +to extracellular matrix لأن صعب جدا و بالذات كمان + +221 +00:17:58,070 --> 00:18:01,010 +إذا أنا كنت بحكي على ال neuron cells أو الخلايا + +222 +00:18:01,010 --> 00:18:05,530 +العصبية مش لازم تكون كل خلية عصبية ملاصقة تماما + +223 +00:18:05,530 --> 00:18:08,470 +للخلية الأخرى لأن هذه الخلية بتكون مسئولة عن + +224 +00:18:08,470 --> 00:18:11,150 +system معين و الخلية التانية بتكون مسئولة عن + +225 +00:18:11,150 --> 00:18:14,690 +system آخرفبالتالي في ما بينهم لازم يكون فيه + +226 +00:18:14,690 --> 00:18:19,250 +Matrix مادة خلوية هي عبارة عن إيش؟ عن الـFibers + +227 +00:18:19,250 --> 00:18:24,590 +اللي هي Ground Substance مادة أساسية تفرز تفرز + +228 +00:18:24,590 --> 00:18:28,840 +تـCreated by cells بتفرزها عن طريق هذه الخلاياالـ + +229 +00:18:28,840 --> 00:18:33,440 +Consist تبعتها تختلف مدى اللي هو اللي زوجة تبعتها + +230 +00:18:33,440 --> 00:18:39,100 +تختلف من سائل لجل لصالد إذا تختلف اللي هي المادة + +231 +00:18:39,100 --> 00:18:44,180 +الخلوية ولزوجتها من السائل والجل والصالد هذه + +232 +00:18:44,180 --> 00:18:48,000 +المادة الخلوية وظيفتها إنها تبعد كل خلية عن أخرى + +233 +00:18:48,000 --> 00:18:52,880 +ومايصير في touch ما بينهم لأداء كل وظيفة بحد ذاتها + +234 +00:18:52,880 --> 00:18:56,660 +في الخلية إذا الـ Extracellular Matrix هي عبارة عن + +235 +00:18:56,660 --> 00:19:01,020 +المادة اللي بتعبيالـ ما بين الفراغ ما بين اللي هو + +236 +00:19:01,020 --> 00:19:06,440 +الخلايا هي إشي موجود أو حاجة بتكون موجودة في الـ + +237 +00:19:06,440 --> 00:19:12,380 +connective tissue الآن بدي أتكلم على موضوع في الـ + +238 +00:19:12,380 --> 00:19:15,260 +connective tissue يحتوي الـ connective tissue على + +239 +00:19:15,260 --> 00:19:21,480 +أنواع خلايا كبيرة جدا خليني أبدأ أقسمها أول إشي + +240 +00:19:21,480 --> 00:19:28,050 +Fibro Blast كلمة Fibro فايبر لحال أنا بجسمهاسيبونا + +241 +00:19:28,050 --> 00:19:32,090 +من الـ Blast وناخد الـ Fibers ألياف أو إشي ليفي + +242 +00:19:32,090 --> 00:19:38,550 +Blast بانية كلمة بي مع بانية يعني بتبني خلايا + +243 +00:19:38,550 --> 00:19:43,110 +بانية إذا هنا أنا بحكي إنه هو نوع الـ Connective + +244 +00:19:43,110 --> 00:19:47,370 +tissue الخلية اللي موجودة فيه هنا Fibroblast يعني + +245 +00:19:47,370 --> 00:19:53,350 +خلايا بانية ليش للـ Fibers اللي هي بالألياف هي six + +246 +00:19:53,350 --> 00:19:58,450 +cell خلايا ثابتةوMost Common دائما بتكون موجودة + +247 +00:19:58,450 --> 00:20:04,230 +وأكثرها شيوعا Large كبيرة وعلى شكل النجمة Star + +248 +00:20:04,230 --> 00:20:08,750 +-shaped Produce لمين؟ للـFibers من اسمها هاي هنا + +249 +00:20:08,750 --> 00:20:13,690 +Fibers وهي هنا Fibers إذن أول نوع أخدناه من + +250 +00:20:13,690 --> 00:20:18,810 +الـFiber أو الـFibroblast هي عبارة عن إيه؟ إنه + +251 +00:20:18,810 --> 00:20:25,410 +Fixed Cell إنه بتحتوي علىالخلايا التابعة من + +252 +00:20:25,410 --> 00:20:30,610 +مميزاتها انها common cells large star-shaped and + +253 +00:20:30,610 --> 00:20:36,930 +produced fiber هاي مميزات الـFibroBlast حكينا أي + +254 +00:20:36,930 --> 00:20:41,290 +إيش أنا باخده من الإسم Fibro لحال وBlast لحال + +255 +00:20:41,290 --> 00:20:45,770 +Fibro من الـFiber الليه وBlast بانية بحرف الـB هنا + +256 +00:20:45,770 --> 00:20:50,030 +بيه بانية هناك با بلست با باللغة العربية بانية + +257 +00:20:50,500 --> 00:20:54,960 +تمام، هي أول نوع النوع التاني «Macro» حكيت إذا كان + +258 +00:20:54,960 --> 00:20:58,440 +في «A» بعد ال «M» فمعناتها Large، كبيرة + +259 +00:20:58,440 --> 00:21:02,900 +«Macrophage» الخلايا البالعة «wandering cells» + +260 +00:21:02,900 --> 00:21:07,240 +خلايا طوافة تحتوي على خلايا طوافة زي على سبيل + +261 +00:21:07,240 --> 00:21:11,120 +المثال الأزمة اللي إحنا فيها COVID-19 بيكون هذه + +262 +00:21:11,120 --> 00:21:15,440 +الخلايا الـ «Macrophage» خلايا طوافةبتحاول إنه + +263 +00:21:15,440 --> 00:21:20,120 +يتحطم الـ «فايروس» قبل ما إنه يفوت داخل الجسم + +264 +00:21:20,120 --> 00:21:24,980 +تمام؟ إذا تحتوي على خلايا طوافة في «جوسيتوت» اللي + +265 +00:21:24,980 --> 00:21:29,400 +هي تحتوي على الخلايا البالعة الـ «important in + +266 +00:21:29,400 --> 00:21:32,920 +injury or infections» ما حكيت المثال على COVID-19 + +267 +00:21:32,920 --> 00:21:38,140 +إذا هي بتكون لها دور أو بتلعب دور مهم في الإصابات + +268 +00:21:38,140 --> 00:21:42,610 +وكذلك الـ «infection»أول نوع أخدنا الـ Fibroblast + +269 +00:21:42,610 --> 00:21:47,810 +ثاني نوع الـ Macrophage والنوع التالت Mast الـ + +270 +00:21:47,810 --> 00:21:52,270 +Mast هو عبارة عن حاجة big، very very large، حاجة + +271 +00:21:52,270 --> 00:21:57,130 +كبيرة، الخلايا الكبيرة Fixed cells خلايا ثابتة + +272 +00:21:57,130 --> 00:22:02,910 +بتحفز الهيبرين سمعتوا عن حاجة اسمها الهيبرينفلانة + +273 +00:22:02,910 --> 00:22:08,430 +ما بتمحملها إلا إذا أخدت إيبار الـHeparin ليش؟ + +274 +00:22:08,430 --> 00:22:13,390 +عشان تعمل سيولة في الدم الـHeparin هو عبارة عن + +275 +00:22:13,390 --> 00:22:20,230 +إفراز للـMuscle بتم إفرازه عن طريق الـMuscle أيضًا + +276 +00:22:20,230 --> 00:22:25,130 +تعمل على إطلاق الهستمين الهستمين هو عبارة عن إنزيم + +277 +00:22:25,130 --> 00:22:30,250 +أيضًا بتم إطلاقه من الـMuscleالأنواع اللي هو الـ + +278 +00:22:30,250 --> 00:22:34,970 +cell types خليني أجملهم fibroblasts، muscles، + +279 +00:22:34,970 --> 00:22:39,150 +macrophages هذه التلت أنواع هي المكون الأساسي + +280 +00:22:39,150 --> 00:22:44,410 +لخلايا أو لنسيج اللي هو الـ connective tissue، + +281 +00:22:44,410 --> 00:22:50,650 +النسيج الضامن شو أنواع الـ fibers اللي موجودة عندي + +282 +00:22:50,650 --> 00:22:55,250 +في الـ connective tissue أنواع الـ fibers أول إشي + +283 +00:22:55,250 --> 00:22:59,040 +الـ collagenous fibers تسمع عن الكلاجينالياف + +284 +00:22:59,040 --> 00:23:04,840 +كولاجينية الألياف الكولاجين ثيك ثميكة تحتوي على + +285 +00:23:04,840 --> 00:23:08,720 +مادة الكولاجين من اسمها ايضا الـ Great Latence + +286 +00:23:08,720 --> 00:23:15,280 +Restraints لها قوة شد عالية جدا ايضا بتكون موجودة + +287 +00:23:15,280 --> 00:23:20,700 +بوفرة في الـDennis Connective Tissue النسيج الضامب + +288 +00:23:20,700 --> 00:23:24,080 +وهذا الـStructural Web Together تربط الأجزاء مع + +289 +00:23:24,080 --> 00:23:29,040 +بعضها البعض زي موجودة في الكندون والليجامنتالأربطة + +290 +00:23:29,040 --> 00:23:34,780 +والأوتار إذا الأول نوع من أنواع الـ fibers الألياف + +291 +00:23:34,780 --> 00:23:38,740 +المكوّنة للـ connective tissue إي حاجة اسمها + +292 +00:23:38,740 --> 00:23:43,120 +collagenous fibers من الإسم أنا باخد collagenous + +293 +00:23:43,120 --> 00:23:48,380 +معناه تحتوي على ألياف الكلاجين thick سميكة تحتوي + +294 +00:23:48,380 --> 00:23:54,180 +على قوة شد عالية جدا موجودة بوفرة في نتيجة الضعم + +295 +00:23:54,180 --> 00:23:58,490 +الكثير الـ disconnected tissueتربط الأجزاء أو + +296 +00:23:58,490 --> 00:24:02,230 +التراكيب مع بعضها البعض زي الـ tendon و الـ + +297 +00:24:02,230 --> 00:24:06,350 +ligament tendon water و ligament orbita هذا أول + +298 +00:24:06,350 --> 00:24:11,470 +نوع collagenous fiber زي مافيه إشي عندي صعب أو + +299 +00:24:11,470 --> 00:24:16,510 +بيكون قوي فيه إشي elastic membrane الـ elastic + +300 +00:24:16,510 --> 00:24:20,970 +بيعطيني خاصية المرونة bundles of microfibrils + +301 +00:24:20,970 --> 00:24:26,200 +embedded into elastinحزمة من الألياف الصغيرة + +302 +00:24:26,200 --> 00:24:30,980 +مغموسة أو مغروسة في مادة الـ Elastin اللي هو الاشي + +303 +00:24:30,980 --> 00:24:35,180 +المطاطي يعني بعطيها خاصية المرونة الـ Fibers + +304 +00:24:35,180 --> 00:24:39,700 +Branched في إنها تفرعات هذه الألياف تحتوي من اسمها + +305 +00:24:39,700 --> 00:24:43,720 +على مادة الـ Elastin أو الـ Elastic Material Vocal + +306 +00:24:43,720 --> 00:24:48,880 +Cords Air Passageway تحتوي على اللي هي بتكون + +307 +00:24:48,880 --> 00:24:54,420 +موجودة في الأحبال الصوتيةأيضًا في الممرات الهوائية + +308 +00:24:54,420 --> 00:24:59,640 +إذا النوع التاني من الـ Connective Tissue Fibers + +309 +00:24:59,640 --> 00:25:05,160 +Elastic اللي هو مجموعة أو حزمة معينة من الألياف + +310 +00:25:05,160 --> 00:25:11,080 +مغموسة داخل الإلاستين الـ Fibers Branch متفرعة + +311 +00:25:11,080 --> 00:25:14,500 +الألياف تحتوي على مادة الإلاستين أو الـ Elastic + +312 +00:25:14,500 --> 00:25:18,780 +موجودة في الأحبال الصوتية لأنه بتعرفوا وإحنا + +313 +00:25:18,780 --> 00:25:23,410 +بنتكلم الحبل الصوتي ممكن يطول وممكن يقصرأيضًا خلال + +314 +00:25:23,410 --> 00:25:28,570 +الـ Air Passage أو الـ طبعًا الممرات الحوارية إذًا + +315 +00:25:28,570 --> 00:25:31,530 +أخدنا أنواع السلز المقومة للـ Connective Tissue + +316 +00:25:31,530 --> 00:25:36,170 +أخدنا أنواع الـ Fibers وكمان شوية إن شاء الله رب + +317 +00:25:36,170 --> 00:25:41,530 +العالمين لـ Slides الجاية هنكمل باقي اللي هو أنواع + +318 +00:25:41,530 --> 00:25:44,730 +الـ Connective Tissue Fibers Reticular Fibers + +319 +00:25:44,730 --> 00:25:52,480 +Reticular شبكيالياف شبكية، تمام؟ الألياف الشبكية + +320 +00:25:52,480 --> 00:25:56,680 +من كلمة reticular fibersvery thin collagenous + +321 +00:25:56,680 --> 00:26:02,780 +fibers ألياف دقيقة و رقيقة جدا، ليه؟ لأنها موجودة + +322 +00:26:02,780 --> 00:26:07,540 +في شبكية العين هاي الإشي بدها حاجة simple، highly + +323 +00:26:07,540 --> 00:26:12,720 +branched، متفرعة بشكل كبير جدابتشكل لـ supportive + +324 +00:26:12,720 --> 00:26:18,680 +network شبكة من الدعانة عشان تحمي العين إذا الـ + +325 +00:26:18,680 --> 00:26:22,280 +reticular fibers هو النوع التالف من أنواع الـ + +326 +00:26:22,280 --> 00:26:27,340 +tissue fibers عبارة عن سن من الـ collagen fibers، + +327 +00:26:27,340 --> 00:26:32,880 +highly branches وظيفته بشكل supportive network، + +328 +00:26:32,880 --> 00:26:39,490 +تمام؟النوع الخامة الرابع اللي هو بقسم الـ + +329 +00:26:39,490 --> 00:26:42,450 +connective tissue إلى قسمين أساسيا اللي هو + +330 +00:26:42,450 --> 00:26:45,170 +connective tissue proper and specialized + +331 +00:26:45,170 --> 00:26:49,470 +connective tissue، تمام؟ خليني أرجع تاني لأنواع + +332 +00:26:49,470 --> 00:26:54,210 +الـ fibers، عندي تلت أنواع من أنواع الـ fibers، في + +333 +00:26:54,210 --> 00:26:57,370 +عندي الـcollagenous fiber، الـelastic fibers + +334 +00:26:57,370 --> 00:27:02,560 +وreticular fibersالان هتكلم على ال connective + +335 +00:27:02,560 --> 00:27:06,380 +tissue كيف انا ممكن اقسمها لمجموعتين أساسيتين اول + +336 +00:27:06,380 --> 00:27:12,840 +اشي proper بشكل عام شو انواعه و specialize بشكل + +337 +00:27:12,840 --> 00:27:19,120 +خاص تمام يعني في عندي نوع اسمه loose connective + +338 +00:27:19,120 --> 00:27:25,700 +tissue loose يعني اللي هي رخوي نوع النسيج الضعم + +339 +00:27:25,700 --> 00:27:31,280 +الرخوي a deviceSat دهني Reticular connective + +340 +00:27:31,280 --> 00:27:37,260 +tissue شبكي Denisc اللي هي عبارة عن كثيف Elastic + +341 +00:27:37,260 --> 00:27:42,280 +مرن نعيد من أول وجديد ال connective tissue يحتوي + +342 +00:27:42,280 --> 00:27:46,520 +على العديد من الأنسجة أنا هنا جسمته لفئتين فئة + +343 +00:27:46,520 --> 00:27:51,480 +عامة وفئة خاصة الفئة العامة Loose connective + +344 +00:27:51,480 --> 00:27:57,400 +tissue نسيج ضعم رخوي Adipose دهني Reticular + +345 +00:27:59,110 --> 00:28:07,150 +دهني Reticular شبكي Dens كثيف Elastic مرن الان + +346 +00:28:07,150 --> 00:28:12,610 +اللي هو ال specialized او ما يسمى بيئة الخاص يحتوي + +347 +00:28:12,610 --> 00:28:16,710 +على حاجة اسمها ال cartilage او الغضاريف بالعربي + +348 +00:28:16,710 --> 00:28:22,250 +بون العظام ال blood الدم يعني اذا انا بدي اجيب + +349 +00:28:22,250 --> 00:28:26,630 +سؤال هنا على سبيل المثال بدي احكي ال blood is a + +350 +00:28:26,630 --> 00:28:31,320 +type ofconnective tissue true or false true الدم + +351 +00:28:31,320 --> 00:28:34,460 +هو أحد أنواع الـ specialized connective tissue + +352 +00:28:34,460 --> 00:28:39,160 +تمام إذن الدم هو أحد مكونات الـ connective tissue + +353 +00:28:39,160 --> 00:28:42,180 +أخدنا شو هو الـ connective tissue شو ال common + +354 +00:28:42,180 --> 00:28:45,920 +characteristic تبعته شو ال function أيضا أخدنا + +355 +00:28:45,920 --> 00:28:50,200 +أنواع ال fibers أخدنا الخلايا المكونة و بعدين آخر + +356 +00:28:50,200 --> 00:28:55,440 +slide هنا حكيت عنها اللي هي بقسمه لفئتين فئة عامة + +357 +00:28:55,610 --> 00:29:01,210 +وفي أخاصة من الأنواع تبعتهم وبهيك بيكون أنهية + +358 +00:29:01,210 --> 00:29:05,270 +الجزئية التانية من الـ T-Show ان شاء الله رب + +359 +00:29:05,270 --> 00:29:09,790 +العالمين ألقاكم في الجزئية رقم تلاتة وبالتوفيق + +360 +00:29:09,790 --> 00:29:11,610 +للجميع بإذن الله تعالى + diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/k7UijMjwP-c.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/k7UijMjwP-c.srt new file mode 100644 index 0000000000000000000000000000000000000000..d3d134567c86b187cc2ba21651fc631d4931384b --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/k7UijMjwP-c.srt @@ -0,0 +1,2082 @@ + +1 +00:00:05,030 --> 00:00:07,890 +بسم الله الرحمن الرحيم والصلاة والسلام على أشرف + +2 +00:00:07,890 --> 00:00:11,610 +الأنبياء والمرسلين محمدا عليه أفضل صلاة وأتم + +3 +00:00:11,610 --> 00:00:15,730 +التسليم، اليوم بإذن الله تعالى، بدنا نبدأ في شرح + +4 +00:00:15,730 --> 00:00:19,910 +chapter جديد عن الـ nervous system. عندنا chapterين + +5 +00:00:19,910 --> 00:00:22,750 +للـ nervous system. اليوم إن شاء الله، هشرح chapter، و + +6 +00:00:22,750 --> 00:00:25,870 +المرة القادمة بإذن الله تعالى، بدنا نشرح nervous + +7 +00:00:25,870 --> 00:00:30,420 +system. اتنين. اليوم هنحكي على معلومات تقريبا احنا + +8 +00:00:30,420 --> 00:00:35,060 +شبه أخدناها، يعني ما في شيء جديد. اللي هو هبدأ إن شاء + +9 +00:00:35,060 --> 00:00:38,460 +الله رب العالمين، بتقسيمة الـ nervous system إلى + +10 +00:00:38,460 --> 00:00:43,980 +قسمين رئيسيين. رئيسيين. أول شيء، هشرح عن central + +11 +00:00:43,980 --> 00:00:47,400 +nervous system، و الـ peripheral nervous system. + +12 +00:00:47,400 --> 00:00:52,170 +خلينا نبدأ نشوف، على بركة الله، الـ nervous system. + +13 +00:00:52,170 --> 00:00:56,810 +الآن، أنا دائما كنت أتكلم على أنه الـ nervous system + +14 +00:00:56,810 --> 00:01:02,890 +بيشتغل مع الـ endocrine system، تمام؟ يعني ما في + +15 +00:01:02,890 --> 00:01:06,330 +شغل للـ nervous system لوحده، و للـ endocrine لوحده. + +16 +00:01:06,330 --> 00:01:10,150 +لأ، كلاهما بيشتغلوا مع بعضهم البعض. الـ function of + +17 +00:01:10,150 --> 00:01:14,450 +nervous system along with endocrine system is to + +18 +00:01:14,450 --> 00:01:19,010 +communicate. الاثنان عملهم متداخل مع بعضهم البعض. + +19 +00:01:19,500 --> 00:01:23,160 +أيضا، الـ nervous system is made up of الـ brain، و الـ + +20 +00:01:23,160 --> 00:01:29,000 +spinal cord، و الـ nerves. هنا هقسمهم إلى إيش؟ أن الـ + +21 +00:01:29,000 --> 00:01:33,520 +brain، و الـ spinal cord، الـ central nervous system، و + +22 +00:01:33,520 --> 00:01:39,000 +الـ peripheral، اللي هو عبارة عن الـ nerves، تمام؟ إذا + +23 +00:01:39,000 --> 00:01:45,020 +بينقسم عندي الـ nervous system إلى قسمين رئيسيين، + +24 +00:01:45,020 --> 00:01:54,460 +هما عبارة عن: بريفرال، تمام. الـ nervous system. هاجي و + +25 +00:01:54,460 --> 00:01:58,880 +أنا عاملة الشجرة تبعتي بهذا الشكل. هنقسمه إلى A: + +26 +00:01:58,880 --> 00:02:02,840 +central nervous system، و B: الـ peripheral nervous + +27 +00:02:02,840 --> 00:02:08,260 +system. الـ central هقسمه إلى قسمين، اللي هي الـ brain، + +28 +00:02:08,260 --> 00:02:15,640 +و الـ spinal cord، اللي هو الحبل الشوكي، تمام؟ كذلك + +29 +00:02:15,640 --> 00:02:20,580 +الـ peripheral. هنشرح عنه. هذا بالنسبة للمقدمة. هعرف + +30 +00:02:20,580 --> 00:02:24,140 +شو يعني nervous system. الآن، شو وظيفة الـ nervous + +31 +00:02:24,140 --> 00:02:28,440 +system؟ هشتغل على الـ nervous system على أساس أنه + +32 +00:02:28,440 --> 00:02:33,700 +الوظيفة sensory، كذلك motor، حسي، حركي، وأيضا + +33 +00:02:33,700 --> 00:02:37,740 +integrative motions، أو integrative function. الـ + +34 +00:02:37,740 --> 00:02:41,840 +Sensory عبارة عن إيش؟ Sensory Receptors، في + +35 +00:02:41,840 --> 00:02:47,560 +مستقبلات حسية، بتستقبل كل المعلومات، و بترسلها لـ + +36 +00:02:47,560 --> 00:02:51,480 +brain، اللي هو central nervous system، حتى تتم عملية + +37 +00:02:51,480 --> 00:02:56,300 +المعالجة. إذا، في عندنا Sensory Receptors، بتعمل + +38 +00:02:56,300 --> 00:02:59,640 +gathering للinformation. هذه الـ information is + +39 +00:02:59,640 --> 00:03:04,670 +carried to. بتم استقبالها كمستقبل من كل البيئة، سواء + +40 +00:03:04,670 --> 00:03:07,890 +كانت بيئة داخلية جوا الجسم، أو بيئة خارجية خارج + +41 +00:03:07,890 --> 00:03:13,050 +الجسم. وبعدين بتذهب إلى، اللي هو الـ brain. هذا الشيء + +42 +00:03:13,050 --> 00:03:17,010 +sensory. الآن، وظيفة الـ nervous system كـ motor، + +43 +00:03:17,740 --> 00:03:21,440 +decisions are، أو decision are، القرار اللي تم أخذه، + +44 +00:03:21,440 --> 00:03:25,980 +act upon، و الـ impulses بتروح على الـ effector، يعني + +45 +00:03:25,980 --> 00:03:30,480 +خليني أجيب مثال على هذا الكلام. اليوم أنا أمامي، في + +46 +00:03:30,480 --> 00:03:37,490 +على هذه الطاولة، كباية شاي ساخنة. بإيدي، همسكها، هلا، أجي + +47 +00:03:37,490 --> 00:03:43,290 +أنه هي حرارة عالية، لم أستطع أمساكها. تبعت اللي هو + +48 +00:03:43,290 --> 00:03:47,030 +الـ sensory receptors اللي موجودة في الـ hand، عن + +49 +00:03:47,030 --> 00:03:50,350 +طريق الـ nerve peripherally، اللي هي الأعصاب + +50 +00:03:50,350 --> 00:03:53,430 +الطرفية، إلى الـ central nervous system، في الـ brain، + +51 +00:03:53,430 --> 00:03:58,150 +أنه أنا في حاجة هنا ساخنة، طبعا، مش قادرة أمسكها، + +52 +00:03:58,150 --> 00:04:02,390 +بيروح، وهو عامل معالجة مركزية، أنه ابتعد عن هذا + +53 +00:04:02,390 --> 00:04:06,500 +الخطر، تمام؟ بيني الـ motor function. دور الـ motor + +54 +00:04:06,500 --> 00:04:11,460 +function، أنه ترسل، بيرسل impulses للـ hand، أن + +55 +00:04:11,460 --> 00:04:16,320 +هو يبتعد عن هذا الخطر. فبالتالي، الـ hand، بعتبرها الـ + +56 +00:04:16,320 --> 00:04:21,160 +effectors، منطقة الحدث، اللي هي تبتعد عن الخطر. هاي + +57 +00:04:21,160 --> 00:04:24,720 +الوظيفة الثانية. الوظيفة الثالثة، أن الـ issue، أو + +58 +00:04:24,720 --> 00:04:27,040 +وظيفة الـ central nervous system، أو الـ nervous + +59 +00:04:27,040 --> 00:04:30,660 +system in general، integrative function، يعني + +60 +00:04:30,660 --> 00:04:34,500 +sensory information، بستخدمها في الإحساس، في الـ + +61 +00:04:34,500 --> 00:04:38,980 +memory، في الذاكرة، في الحدث، thoughts، يعني الـ... أخذ + +62 +00:04:38,980 --> 00:04:44,080 +القرار، decision. عشان كده، حكيت لكم أنه، وأنا في اللي + +63 +00:04:44,080 --> 00:04:47,180 +هو الـ emergency room، في غرفة الطوارئ. أي إصابة + +64 +00:04:47,180 --> 00:04:51,280 +بتجيني بعيدة عن الـ head، أنا بالـ safe side، حتى لو + +65 +00:04:51,280 --> 00:04:55,180 +كان في عندي a batter. تخيلوا قد إيش بيكون فقدان العضو + +66 +00:04:55,180 --> 00:05:01,950 +صعب جدا. ولكن، مقارنة في nervous system، ولا شيء. إذا + +67 +00:05:01,950 --> 00:05:06,550 +سلامة جسم الإنسان كـ emergency room. أنا بحكي كغرفة + +68 +00:05:06,550 --> 00:05:10,690 +طوارئ، إن هو بسلامة الـ head، و الـ nervous system. + +69 +00:05:10,690 --> 00:05:15,530 +اليوم، العقل سليم، الـ head اللي هو يشتمل على الـ + +70 +00:05:15,530 --> 00:05:20,010 +brain، وأيضا عندي الـ spinal cord سليم، معناته أنا + +71 +00:05:20,010 --> 00:05:22,740 +بالـ safe side، حتى لو كان في عندي amputation في الـ + +72 +00:05:22,740 --> 00:05:26,360 +... الـ above elbow، أو الـ below elbow، نفس الأشياء. + +73 +00:05:26,360 --> 00:05:30,840 +المهم، أنا عندي الدماغ سليم، ليه؟ عشان تكون عندي الـ + +74 +00:05:30,840 --> 00:05:34,260 +sensation، الـ sensory function، الـ motor function، كل + +75 +00:05:34,260 --> 00:05:39,860 +هذه الأمور تكون سليمة، تمام؟ جد، سبحان الله، هو مهم. + +76 +00:05:41,230 --> 00:05:44,910 +هنا، قسمتها، التقسيمة زي ما أنا عملتها، اللي هو + +77 +00:05:44,910 --> 00:05:48,970 +central nervous system، وكذلك الـ peripheral. هنا + +78 +00:05:48,970 --> 00:05:52,710 +الـ peripheral، هقسمها إلى قسمين أيضا رئيسيين، اللي هما + +79 +00:05:52,710 --> 00:05:57,030 +spinal nerve، و cranial nerve. الـ spinal nerve اللي + +80 +00:05:57,030 --> 00:06:05,930 +هم عبارة عن spinal nerve، وكذلك cranial nerve. نعرف + +81 +00:06:05,930 --> 00:06:12,650 +هنا واحد وثلاثين pairs، تمام؟ وهنا اثني عشر pairs. + +82 +00:06:12,650 --> 00:06:18,430 +اتفقنا؟ Central، اللي هو، قطعني، الـ brain موجود هنا، و + +83 +00:06:18,430 --> 00:06:23,090 +ربنا حماه في الـ skull، و الـ spinal cord محمي أيضا + +84 +00:06:23,090 --> 00:06:26,060 +في الـ vertebral column. هذه اللي أنتم شايفينها في + +85 +00:06:26,060 --> 00:06:29,500 +الصورة، هي عبارة عن الـ Peripheral Nervous System، + +86 +00:06:29,500 --> 00:06:34,260 +اللي هي بتنقسم إما لـ cranial nerve، أو spinal + +87 +00:06:34,260 --> 00:06:40,620 +nerve. أعصاب طرفية مخية، أو أعصاب طرفية جسدية، تمام؟ + +88 +00:06:41,710 --> 00:06:45,410 +الآن، تقسيم الـ peripheral. هقسم الـ peripheral أيضا إلى + +89 +00:06:45,410 --> 00:06:50,170 +أقسام متعددة. في عندي من الـ peripheral، اللي هو sensory + +90 +00:06:50,170 --> 00:06:54,310 +division، وفي عندنا الـ motor division. sensory + +91 +00:06:54,310 --> 00:06:59,940 +معناته هو خاص بالـ sensation pick ups، للـ sensory + +92 +00:06:59,940 --> 00:07:04,420 +information and delivers it to central nervous + +93 +00:07:04,420 --> 00:07:09,680 +system. sensory. تم عندي اللي هو بتحمل المستقبلات + +94 +00:07:09,680 --> 00:07:14,120 +الحسية، بتحمل هذه الأحاسيس والمعلومات الحسية، و + +95 +00:07:14,120 --> 00:07:18,120 +delivers، بتوصلها للـ central nervous system. يعني + +96 +00:07:18,120 --> 00:07:22,260 +بتاخد من المستقبلات الحسية، للـ central nervous + +97 +00:07:22,260 --> 00:07:27,770 +system. أما الـ motor، carries information من وين؟ من + +98 +00:07:27,770 --> 00:07:31,810 +الـ central nervous system، إلى الـ muscles، و للـ glands، و + +99 +00:07:31,810 --> 00:07:35,770 +هنا أنا أخد بالي من المصطلحين اللي موجودين. الآن، + +100 +00:07:35,770 --> 00:07:40,370 +أنا هنا بقسم الـ peripheral nervous system. هاي أقسام + +101 +00:07:40,370 --> 00:07:44,510 +الـ peripheral. في عندي الـ sensory، من اللي هو خارج + +102 +00:07:44,510 --> 00:07:48,710 +البيئة، أو من أي sensory information، بنقله إلى + +103 +00:07:48,710 --> 00:07:54,090 +central nervous system. أن الـ motor division، بقسمه، + +104 +00:07:54,090 --> 00:07:58,110 +أو أحكي عنه، اللي هو المعلومات بتجيني طالعة من الـ + +105 +00:07:58,110 --> 00:08:01,130 +central nervous system، إلى الـ muscle and gland. + +106 +00:08:01,130 --> 00:08:04,350 +طبعا هاي الـ effectors. أنا لو هنا غيرتها، وحكيت عنها + +107 +00:08:04,350 --> 00:08:08,180 +الـ effectors، كمان نفس الكلام. الـ effectors اللي هو + +108 +00:08:08,180 --> 00:08:13,240 +الحدث. مين هيقوم بالحدث؟ طبعا العضلات، و الـ glands، + +109 +00:08:13,240 --> 00:08:19,320 +اللي هي الغدد. أيضا، أنا هاجي وأجسم الـ motor + +110 +00:08:19,320 --> 00:08:22,760 +division. شو الـ motor division؟ الـ motor division + +111 +00:08:22,760 --> 00:08:28,040 +هذا نفسه هقسمه إلى قسمين أساسيا. أول شيء، هقسمه إلى + +112 +00:08:28,040 --> 00:08:35,020 +حاجة اسمها somatic، جسدي، رقم واحد. أمور خاصة بالجسد. + +113 +00:08:35,020 --> 00:08:39,740 +اثنين: Autonomic، اللي هو ذاتي، أو بسميه اللي هو + +114 +00:08:39,740 --> 00:08:46,020 +Autonomic. إذا، الـ motor هذا هقسمه لقسمين أساسيا، + +115 +00:08:46,020 --> 00:08:50,600 +Somatic، و Autonomic. الـ Somatic carries للـ + +116 +00:08:50,600 --> 00:08:53,840 +information. أنا اليوم شغالة على الـ motor، معناته بدي + +117 +00:08:53,840 --> 00:08:56,760 +المعلومات تطلع من الـ central، على الـ muscle، و الـ + +118 +00:08:56,760 --> 00:09:02,590 +gland. طيب، الـ motor هقسمه لإيش؟ جسدي، وإيش؟ Autonomic. + +119 +00:09:02,590 --> 00:09:06,610 +الـ somatic بيحمل المعلومات للـ skeletal muscle. + +120 +00:09:06,610 --> 00:09:11,210 +طالما في عندنا S somatic، و skeletal S، معناته الإيش؟ + +121 +00:09:11,210 --> 00:09:13,530 +جسدي، تمام؟ + +122 +00:09:14,830 --> 00:09:18,990 +الـ Autonomic بيحمل المعلومات أيضا من الـ central + +123 +00:09:18,990 --> 00:09:24,050 +nervous system، إلى العضلات اللاإرادية، زي الـ + +124 +00:09:24,050 --> 00:09:28,430 +smooth muscles، و الـ cardiac muscles، and the glands. + +125 +00:09:28,430 --> 00:09:34,540 +إذا، هنا الحركة لا إرادية، تمام؟ فبالتالي، أنا هنا + +126 +00:09:34,540 --> 00:09:39,220 +تسهل علي المعلومة. إذا أنا بدي أنقل الحدث من الـ + +127 +00:09:39,220 --> 00:09:44,300 +central nervous system، إلى الـ effectors، سواء كان + +128 +00:09:44,300 --> 00:09:48,260 +عندي الـ effectors muscle، أو glands، معناته في عندي + +129 +00:09:48,260 --> 00:09:52,120 +حاجات إرادية، وحاجات لا إرادية. معناته عندي + +130 +00:09:52,120 --> 00:09:56,380 +somatic، و autonomic. الـ somatic اللي هو عبارة عن + +131 +00:09:56,380 --> 00:10:00,020 +الجسدي، اللي هو عبارة عن charismatic formation للـ + +132 +00:10:00,020 --> 00:10:03,930 +skeletal muscles. والـ Autonomic، الذاتي، أو لا إرادي، + +133 +00:10:03,930 --> 00:10:06,990 +اللي هو بيحمل المعلومات من الـ central nervous + +134 +00:10:06,990 --> 00:10:11,530 +system، إلى الـ smooth muscles and cardiac muscles، و + +135 +00:10:11,530 --> 00:10:15,670 +الـ glands اللي موجودة. هذا تقسيم الـ motor، اللي هو + +136 +00:10:15,670 --> 00:10:20,170 +أحد أقسام الـ peripheral nervous system، تمام؟ أجي + +137 +00:10:20,170 --> 00:10:21,870 +كمان لتقسيمة أخرى. + +138 +00:10:37,890 --> 00:10:42,510 +الآن، هذا الـ division للـ nervous system. central، هنا + +139 +00:10:42,510 --> 00:10:47,850 +أعطاني الـ peripheral، و الـ brain and spinal cord. + +140 +00:10:47,850 --> 00:10:52,870 +تمام. هاي الـ central. هذا اللي شايفينه، brain and + +141 +00:10:52,870 --> 00:10:57,410 +spinal cord. الـ peripheral nervous، اللي هو cranial + +142 +00:10:57,410 --> 00:11:04,050 +و spinal nerve. هقسمه إلى sensory receptors. أجابلي + +143 +00:11:04,050 --> 00:11:09,280 +المعلومات من برة، والسهم رايح لي على brain، تمام؟ + +144 +00:11:09,280 --> 00:11:14,780 +وعالج المشكلة هنا، وبعدين أخدها، وطلع لي بالسهم هنا. + +145 +00:11:14,780 --> 00:11:18,500 +معناته أن أنا جيت هنا للـ motor. الـ motor هينقسم لقسمين، + +146 +00:11:18,500 --> 00:11:22,900 +يا إما somatic، يا إما autonomic. somatic، هتروح على + +147 +00:11:22,900 --> 00:11:26,000 +الـ skeletal، و autonomic، هتروح على smooth muscles + +148 +00:11:26,000 --> 00:11:30,380 +and cardiac، و الـ gland. يعني هذه الصورة هي ملخص للـ + +149 +00:11:30,380 --> 00:11:35,450 +slide اللي أنا كنت ماشية عليها قبل قليل. الآن، الـ + +150 +00:11:35,450 --> 00:11:40,190 +organization للـ nervous system. الـ system + +151 +00:11:40,190 --> 00:11:45,010 +according to the type of organs innervated. كل شيء + +152 +00:11:45,010 --> 00:11:50,090 +في جسمنا، فيه عندنا map، خريطة، لتغذيّة الجسم العصبية. + +153 +00:11:51,010 --> 00:11:54,130 +يعني، على سبيل المثال، العضلة الفلانية، مثلا، نحكي عن + +154 +00:11:54,130 --> 00:11:59,290 +الـ biceps، بيغذيها عصب معين. كل شيء بيطلع من الـ + +155 +00:11:59,290 --> 00:12:01,650 +peripheral nervous. هذه اللي أنتم شايفينها، هذه + +156 +00:12:01,650 --> 00:12:07,590 +الأعصاب، هي بتطلع من بين اللي هو الـ vertebra، مابين + +157 +00:12:07,590 --> 00:12:12,170 +الفقرات، بتغذي منطقة معينة، تمام؟ + +158 +00:12:18,130 --> 00:12:23,150 +الـ NS، اللي هي Somatic Nervous System، تنقسم أيضا + +159 +00:12:23,150 --> 00:12:27,830 +لـ Somatic Motor، و Somatic Sensory. العضلة، بحاجة + +160 +00:12:27,830 --> 00:12:33,750 +لحركة، وبحاجة لإحساس. هلأ، اللي Somatic Motor، طالما + +161 +00:12:33,750 --> 00:12:38,630 +فيه Motor، معناته حركة، gives للـ information to + +162 +00:12:38,630 --> 00:12:44,470 +somatic effectors. بتنقل الحدث، إلى اللي هو الإشارة، + +163 +00:12:44,470 --> 00:12:47,650 +إلى مكان الحدث، اللي هو وين؟ في الـ skeletal muscles. + +164 +00:12:49,190 --> 00:12:52,830 +الآن، الـ Somatic Sensory، بينقل الـ feedback + +165 +00:12:52,830 --> 00:12:58,650 +information، لمين؟ لـ Somatic integration in center + +166 +00:12:58,650 --> 00:13:02,290 +of central nervous system، تمام؟ Somatic Sensory + +167 +00:13:02,290 --> 00:13:06,210 +Divisions. الـ Sensory، أو الـ Somatic Nervous + +168 +00:13:06,210 --> 00:13:08,690 +System، احنا حكينا فيه. أنا Autonomic، وفيه Somatic. + +169 +00:13:08,690 --> 00:13:13,010 +Somatic، خاص بالـ gland، وخاص بالـ skeletal muscles. + +170 +00:13:13,010 --> 00:13:21,650 +منه نوعين، اللي هو motor، و sensory. الآن، الـ sensory + +171 +00:13:21,650 --> 00:13:26,810 +بيحمل المعلومات من. تقسيم. التقسيم المركزي للنظام. + +172 +00:13:26,810 --> 00:13:31,310 +المركزي، نفس الكلام، بنعيده. يعني، الـ motor له تقسيمات، + +173 +00:13:31,310 --> 00:13:37,290 +و الـ sensory له تقسيمات. الـ Autonomic، نفس الكلام، في + +174 +00:13:37,290 --> 00:13:41,010 +عندنا حاجة Autonomic Nervous System، اللي هي عبارة + +175 +00:13:41,010 --> 0 + +223 +00:18:02,200 --> 00:18:06,740 +receptors touch اللي هو زي ما إحنا عارفينه اللمس + +224 +00:18:06,740 --> 00:18:12,610 +تمام، الأنامو، ال pressure الضغط طبعًا، و ال vibration + +225 +00:18:12,610 --> 00:18:17,990 +الاهتزاز، والحرارة، وهنا ال proprioception ووضع + +226 +00:18:17,990 --> 00:18:22,090 +المفصل، هذا إحنا فحصًا بنعمله، special test الحواس + +227 +00:18:22,090 --> 00:18:28,120 +الخامسة، اللي هي التذوق، والرؤية، والسمع، و ال balance + +228 +00:18:28,120 --> 00:18:32,940 +والشم، الرؤية تمام؟ إيش اللي هو الإتزان هنا ال + +229 +00:18:32,940 --> 00:18:36,960 +balance؟ هاي قسمت ال somatic sensory component إلى + +230 +00:18:36,960 --> 00:18:42,180 +general و special، ال general اللي هي بتشمل ال + +231 +00:18:42,180 --> 00:18:47,680 +touch، و ال pain، و ال temperature، و ال vibration، ال + +232 +00:18:47,680 --> 00:18:51,920 +small، اللي هي ال special، بتقسم إلى ال taste، و ال + +233 +00:18:51,920 --> 00:18:55,680 +vision، و ال hearing، و ال balance، و ال smell، تمام + +234 +00:18:55,680 --> 00:19:01,800 +هذا بالنسبة لل sensory division in general، نحكي على + +235 +00:19:01,800 --> 00:19:05,540 +ال visual sensory component، visual يعني حاجة في + +236 +00:19:05,540 --> 00:19:10,100 +الأحشاء، حاجة داخلية، بتعمل على نقل ال، مثل + +237 +00:19:10,100 --> 00:19:15,300 +nerve impulses from blood vessels، من اللي هو + +238 +00:19:15,300 --> 00:19:19,630 +جدران الأوعية الدموية، من الوعاء الدموي نفسه، and + +239 +00:19:19,630 --> 00:19:23,310 +visceral to central nervous system، أنا بحاجة + +240 +00:19:23,310 --> 00:19:26,330 +لإرسال message إنه يعمل على إنقباض الأوعية الدموية + +241 +00:19:26,330 --> 00:19:29,170 +لأنه في عندي bleeding في المكان، نظيف، فبالتالي + +242 +00:19:29,170 --> 00:19:32,410 +بترسل message إنه إلحقني يا central nervous system + +243 +00:19:32,410 --> 00:19:36,330 +أرسل message، ال visceral sense اللي هو، أو الإحساس + +244 +00:19:36,330 --> 00:19:40,570 +بالأحشاء، primarily include في ال temperature، وكذلك + +245 +00:19:40,570 --> 00:19:43,470 +ال stretching، زي ما حكينا، ال example في ال organ + +246 +00:19:43,470 --> 00:19:49,780 +walls، اللي هو في الجدران الوعائية، هذا ال sensory لا + +247 +00:19:49,780 --> 00:19:54,080 +ال visual، أما ال motor يختلف تمامًا، somatic motor + +248 +00:19:54,080 --> 00:19:58,560 +component، اللي هي somatic، طالما إنه motor فمعناته + +249 +00:19:58,560 --> 00:20:02,180 +الكلام إنه أنا بحكي على الجسدي، conductive nerve + +250 +00:20:02,180 --> 00:20:06,920 +impulses to central nervous system، طبعًا من ال + +251 +00:20:06,920 --> 00:20:10,600 +central، somatic، أنا بحكي، و motor معناته هتيجي + +252 +00:20:10,600 --> 00:20:13,520 +المعلومات من ال central nervous system، و تروح على + +253 +00:20:13,520 --> 00:20:16,740 +ال skeletal muscles، بسميها voluntary nervous + +254 +00:20:16,740 --> 00:20:19,960 +system، ليه؟ لأن ال skeletal muscles هي عبارة عن + +255 +00:20:19,960 --> 00:20:24,420 +العضلات الإرادية، أنا بإرادتي برفع إيدي، بإرادتي + +256 +00:20:24,420 --> 00:20:28,650 +بكتب، بإرادتي بمسح اللوح، من الـ central أخدت + +257 +00:20:28,650 --> 00:20:32,150 +المعلومة، أو أخدت ال message، ال impulses، طلعت من ال + +258 +00:20:32,150 --> 00:20:35,430 +central nervous system، و إجت على ال hand muscles + +259 +00:20:35,430 --> 00:20:39,730 +أنه انقبضي، و أكتبي على سبيل المثال، هذا ال motor + +260 +00:20:39,730 --> 00:20:45,080 +division، الـ Autonomic، فمعناته الكلام، إذا أنا حكيت + +261 +00:20:45,080 --> 00:20:48,000 +Autonomic، معناته اللي هو عبارة عن إشي ذاتي + +262 +00:20:48,000 --> 00:20:51,260 +Internal organs، Regulating لمن؟ لـ ال smooth + +263 +00:20:51,260 --> 00:20:54,460 +muscles، تنظيم لحركة الأمعاء الداخلية داخل الجسم، + +264 +00:20:54,460 --> 00:20:59,140 +تنظيم لعضلة القلب، تنظيم لأي مكان فيه ال smooth + +265 +00:20:59,140 --> 00:21:02,820 +muscles، و ال cardiac muscles، و ال gland، internal + +266 +00:21:02,820 --> 00:21:05,880 +organs، هذا بيغذي مين؟ ال internal organs، الأعضاء + +267 +00:21:05,880 --> 00:21:09,600 +الداخلية، أيضًا ال smooth muscles، و ال cardiac، و + +268 +00:21:09,600 --> 00:21:14,100 +كذلك ال gland، also known as involuntary، لاحظوا + +269 +00:21:14,100 --> 00:21:17,680 +الصناتك سميتها voluntary، أما ال autonomic فإنا + +270 +00:21:17,680 --> 00:21:22,880 +سميتها involuntary، هناك إرادي لإنه ممكن أنا أحرك + +271 +00:21:22,880 --> 00:21:26,200 +ال hand تبعتي، ولكن لا أستطيع التحكم في حركة + +272 +00:21:26,200 --> 00:21:30,020 +المعدة، لا أستطيع التحكم في حركة القلب، فهو لا + +273 +00:21:30,020 --> 00:21:36,930 +إرادي، غير متحكم فيه، تمام، هذا ال motor division، هذه + +274 +00:21:36,930 --> 00:21:41,510 +slide هي عبارة عن summary لكل اللي أنا حكيته قبل + +275 +00:21:41,510 --> 00:21:47,130 +قليل، يعني ممكن إحنا في اللي هو الملخصات تبعتنا + +276 +00:21:47,130 --> 00:21:52,610 +ال يدوية، تيجي حضرتك و تكتبي، هذا اللي هو ال sheet، ال + +277 +00:21:52,610 --> 00:21:56,850 +nervous system، قسمه إلى sensory، قسمه إلى motor، + +278 +00:21:56,850 --> 00:22:02,150 +sensory معناته afferent، و motor معناته efferent، + +279 +00:22:02,150 --> 00:22:06,670 +هنا بيعمل transmission لل information to central + +280 +00:22:06,670 --> 00:22:10,490 +nervous system، أما هنا transmit لل information من + +281 +00:22:10,490 --> 00:22:14,950 +ال central nervous system لباقي الجسم، قسمني ال + +282 +00:22:14,950 --> 00:22:19,510 +sensory إلى somatic و visceral، نفس الكلام، قسمته + +283 +00:22:19,510 --> 00:22:23,930 +هنا لـ somatic و autonomic، فمعناته الكلام، هي ملخص + +284 +00:22:23,930 --> 00:22:31,530 +جميل و رائع للدراسة، يعني ممكن إحنا نعتمد عليها، الآن + +285 +00:22:31,530 --> 00:22:36,030 +بدي أجي للخلية العصبية، تركيب وتشريح الخلية العصبية، + +286 +00:22:36,030 --> 00:22:41,590 +تحتوي الخلية العصبية على أجزاء متعددة، كنا اتكلمنا + +287 +00:22:41,590 --> 00:22:46,390 +عليها في فصل ال introduction، الآن هذا شكل الخلية + +288 +00:22:46,390 --> 00:22:52,990 +العصبية، وهذا عبارة عن المحور، هنا ال cell body، وهنا + +289 +00:22:52,990 --> 00:22:58,130 +ال dendrites، اللي هي الزوائد الشجرية، تمام؟ + +290 +00:23:05,710 --> 00:23:09,970 +الآن، nervous tissue يحتوي على مقطعين، أول شيء حاجة + +291 +00:23:09,970 --> 00:23:14,250 +اسمها ال neurons، اللي هي العصبون، إنتوا بتسموه + +292 +00:23:14,250 --> 00:23:19,090 +باللغة العربية العصبون، تمام، و glial cells، الآن ال + +293 +00:23:19,090 --> 00:23:23,950 +neurons هي عبارة عن خلايا قابلة للاستثارة، الحسية، + +294 +00:23:23,950 --> 00:23:28,150 +يعني لو أجيت أنا بدبوس، ممكن استثير أي خلية عصبية، + +295 +00:23:28,890 --> 00:23:33,470 +initiated and transmitted nerve impulses، تعمل + +296 +00:23:33,470 --> 00:23:41,070 +على إرسال وابتداء اللي هو نقل الومضة العصبية، ولكن + +297 +00:23:41,070 --> 00:23:43,830 +دي ال cells اللي هي ال part الثاني من الخلايا + +298 +00:23:43,830 --> 00:23:48,110 +العصبية، أو الأنسجة العصبية، not excitable cells، خلايا + +299 +00:23:48,110 --> 00:23:52,390 +غير قابلة للاستثارة بتاتًا، جد ما أنا أعملها ردابوس، + +300 +00:23:52,390 --> 00:23:59,240 +غير مستثارة، ما هي وظيفتها، glial cells؟ support and + +301 +00:23:59,240 --> 00:24:04,100 +protect للنيرونات، وعنده هنشوف هل glial cells هي + +302 +00:24:04,100 --> 00:24:10,200 +عبارة عن الخلايا الدبقية، وظيفتها دعيمة وحماية + +303 +00:24:10,200 --> 00:24:14,880 +للنيورونات بأكملها، هنشوف كيف، للنيورونات، + +304 +00:24:15,920 --> 00:24:18,180 +ال structural and functional unit لل nervous + +305 +00:24:18,180 --> 00:24:23,680 +system، هو عبارة عن الوحدة البنائية والوظيفية + +306 +00:24:23,680 --> 00:24:29,710 +للجهاز العصبي، تحتوي على ال nerve cells، البروسيس + +307 +00:24:29,710 --> 00:24:34,610 +اللي هي عن طريق ال dendrites، زوائد الشجرية، وكذلك + +308 +00:24:34,610 --> 00:24:39,850 +ال axon، اللي هو عبارة عن هذا المحور، الآن كنا + +309 +00:24:39,850 --> 00:24:43,630 +تحدثنا في chapter 1، في المقدمة، على أنه ال nervous + +310 +00:24:43,630 --> 00:24:49,410 +system irreversible، يعني أي خلية ممكن تموت عندي، لا + +311 +00:24:49,410 --> 00:24:53,540 +يمكن إنتاج خلية جديدة، تمام؟ كل ال nervous system + +312 +00:24:53,540 --> 00:24:57,920 +سواء ال brain أو ال spinal cord، فبالتالي أي خلية + +313 +00:24:57,920 --> 00:25:01,600 +بتموت، لا يمكن إنشاء خلية جديدة غيرها، اليوم إذا صار + +314 +00:25:01,600 --> 00:25:04,880 +في عنده أي wound في ال hand، ممكن يلم الجلد، و يصير + +315 +00:25:04,880 --> 00:25:09,080 +في عندي خلية جديدة، أما ال nervous system بعيد، و + +316 +00:25:09,080 --> 00:25:12,540 +بكرر، هو عبارة عن irreversible، لا يمكن إنتاج خلية + +317 +00:25:12,540 --> 00:25:17,950 +جديدة، خليني أشوف إمتى...ممكن أصير، شو مميزات اللي + +318 +00:25:17,950 --> 00:25:21,430 +هو للـ neurons؟ مميزات للـ neurons، أول شيء إنه + +319 +00:25:21,430 --> 00:25:28,390 +high metabolic rate، عمليات كبيرة وواسعة جدًا، ما + +320 +00:25:28,390 --> 00:25:35,090 +اللي هو mitotic، لا انقسام، أيضًا have extreme + +321 +00:25:35,090 --> 00:25:39,510 +longevity، أكيد طبعًا هتعيش معانا العمر كله، لأن مافي + +322 +00:25:39,510 --> 00:25:43,050 +خلايا هتتجدد، يعني أنا ما بحكي على سبيل المثال على + +323 +00:25:43,050 --> 00:25:47,310 +RBC، خلايا الدم الحمراء، أنه كل 120 يوم بيتم إنتاج + +324 +00:25:47,310 --> 00:25:49,850 +خلايا جديدة، عندي أنا بتكلم على central nervous + +325 +00:25:49,850 --> 00:25:55,430 +system، هو ال neurons، ال neurons هاي ما بتموت، أو إذا + +326 +00:25:55,430 --> 00:25:58,930 +اتدمر شيء منها، ما بتمشي جديدة، أو إنتاج خلق شيء جديد + +327 +00:25:58,930 --> 00:26:04,440 +فبالتالي هي معمرة، long activity، حياتها طويلة ومعمرة، + +328 +00:26:04,440 --> 00:26:09,660 +ال Neon، Structural، تركيبتها، تيجي عندنا بمختلف + +329 +00:26:09,660 --> 00:26:12,840 +الأحجام والأشكال، All the neurons share in + +330 +00:26:12,840 --> 00:26:16,240 +certain basic structure، ولكن تشترك في تركيبة واحدة، + +331 +00:26:16,240 --> 00:26:19,720 +خليني أشوف التركيبة اللي إحنا أخدنا عنها قبل قليل، + +332 +00:26:19,720 --> 00:26:24,720 +في عندي cell body، وكلمة soma أنا أخدتها قبل قليل، + +333 +00:26:24,720 --> 00:26:28,360 +اللي هي جسد، dendrites، اللي هي عبارة عن الزوائد + +334 +00:26:28,360 --> 00:26:32,490 +الشجرية، و ال axon، زي ما إنتوا شايفينها هنا، في عندي + +335 +00:26:32,490 --> 00:26:37,510 +اللي هو هذا، اللي هو عبارة عن ال cell body، وهي + +336 +00:26:37,510 --> 00:26:43,110 +عبارة عن ال dendrites اللي موجودة، وهذا بداية اللي + +337 +00:26:43,110 --> 00:26:48,090 +هو ال axon، تمام؟ أيضًا في ال cell body تحتوي على ال + +338 +00:26:48,090 --> 00:26:51,270 +nucleus، و ال nucleus، و ال Nissl body، اللي هي + +339 +00:26:51,270 --> 00:26:55,010 +الحبيبات، وكذلك في عندنا ال ribosomes، و ال + +340 +00:26:55,010 --> 00:27:00,370 +cytoplasm، وكل الأمور هذه من المكونات اللي هي ال + +341 +00:27:00,370 --> 00:27:05,240 +nervous cells، ال Neuromuscular في الـ cell body + +342 +00:27:05,240 --> 00:27:10,520 +يحتوي الـ cell body على إيش؟ أو عنهو مسئول؟ + +343 +00:27:10,520 --> 00:27:14,860 +الآن جسم الخلية هو، خليني أحكي الـ head تبع الخلية، + +344 +00:27:14,860 --> 00:27:18,220 +مسؤول عن إيش؟ عن استقبال، + +345 +00:27:20,170 --> 00:27:27,110 +ومعالجة، وإرسال المعلومة للبرين، على سبيل المثال، إذا + +346 +00:27:27,110 --> 00:27:31,450 +ال neuron control center، بسميه، هو عبارة عن وحدة + +347 +00:27:31,450 --> 00:27:37,070 +التحكم تبعتنا، مسئول receiving، بعدين integrating، + +348 +00:27:37,070 --> 00:27:42,970 +بعدين sending، اللي هو المعالجة اللي صارت، هذا كله وين + +349 +00:27:42,970 --> 00:27:46,910 +بيصير؟ في ال cell body، فبالتالي مهم جدًا، يعني + +350 +00:27:46,910 --> 00:27:51,330 +الدمار في ال cell body معناته ماتت الخلية، بخلاف ما + +351 +00:27:51,330 --> 00:27:56,010 +سأقوله بعد قليل، إذا ال cell body بعتبره هو ال head + +352 +00:27:56,010 --> 00:28:02,110 +تبع ال nervous cells، يحتوي أرض جسم الخلية على ال + +353 +00:28:02,110 --> 00:28:08,570 +plasma membrane، cytoplasm، للنيوكلياس، and النوية، و + +354 +00:28:08,570 --> 00:28:12,830 +النوية، chromophilic substance، اللي هي ال Nissl + +355 +00:28:12,830 --> 00:28:17,990 +body، تمام، المواد الصبغية، واللي في ribosomes هي + +356 +00:28:17,990 --> 00:28:23,550 +كلها مكونات ال cell body تبع ال nervous cells، تمام، + +357 +00:28:23,550 --> 00:28:30,760 +أجي أشوف ال axon، ال axon هو المحور، رقم اثنين، هاي + +358 +00:28:30,760 --> 00:28:35,700 +هذا المحور تبعنا، هو عبارة عن إيش؟ single process + +359 +00:28:35,700 --> 00:28:43,080 +extending من ال axon hillock، طبعًا، عبارة عن خط + +360 +00:28:43,080 --> 00:28:47,820 +حلزوني، sometimes covered by fatty layers، هذه ال + +361 +00:28:47,820 --> 00:28:53,070 +fatty layers اسمها غشاء أو غطاء المايلين، تمام، عشان + +362 +00:28:53,070 --> 00:28:57,250 +سبحان الله، ربنا يحميها، للخلية العصبية، راح يغطي ال + +363 +00:28:57,250 --> 00:29:01,470 +axon تبعها بال myelin sheath، اللي هو غطاء ال myelin، + +364 +00:29:01,470 --> 00:29:06,950 +conducts nerve impulses، يعمل على نقل الومضة + +365 +00:29:06,950 --> 00:29:11,210 +العصبية من ال cell body لل neurons اللي بعدها، هنا + +366 +00:29:11,210 --> 00:29:15,150 +ممكن تكون كمان ال neurons، فبالتالي هو بينقل المعلومات + +367 +00:29:15,150 --> 00:29:20,230 +من هنا، صارت الأمر هنا، وبتتمشي، و بروح على + +368 +00:29:20,230 --> 00:29:26,920 +الخلية الأخرى، الآن، هل أي ضرر في ال axon ممكن يصير + +369 +00:29:26,920 --> 00:29:31,940 +له إعادة إعمار أو إعادة بناء، طبعًا، ولكن بشروط، يعني + +370 +00:29:31,940 --> 00:29:35,900 +على سبيل المثال، إنه أنا لو صار في عندي مشكلة في + +371 +00:29:35,900 --> 00:29:42,220 +هذا المكان، في عندي شروط لإعادة إعماره، هأتحدث عليها + +372 +00:29:42,220 --> 00:29:46,860 +كمان قليل، كمان شوية، في عندنا اللي هو ال dendrites، + +373 +00:29:46,860 --> 00:29:50,440 +أكمل باقي اللي هو ال components، الزوائد الشجرية، + +374 +00:29:51,360 --> 00:29:57,520 +الآن هذه الزوائد الشجرية، ياما + +375 +00:29:57,520 --> 00:30:02,140 +بتكون متعددة، الزوائد الشجرية، ياما بتحتوي على واحدة، + +376 +00:30:02,140 --> 00:30:08,810 +تعمل على إيش؟ conduct، توصيل الومضة العصبية، toward + +377 +00:30:08,810 --> 00:30:13,410 +the cell body، the neurons، أما ال Digital، بتاعت + +378 +00:30:13,410 --> 00:30:18,370 +ال dendrites، من ال sensory receptors، بتستقبل، هنا + +379 +00:30:18,370 --> 00:30:22,430 +في عندي زوائد شجرية في الآخر، بتكون تستقبل ال + +380 +00:30:22,430 --> 00:30:25,770 +sensory، تمام؟ sensory receptors، + +381 +00:30:28,540 --> 00:30:33,680 +أما هنا بترسل الومضة العصبية، إذا ال dendrites في + +382 +00:30:33,680 --> 00:30:40,940 +أن ال conduct لا تستقبل اللي هو ال stimulus، + +383 +00:30:40,940 --> 00:30:44,740 +الإشارة، towards ال body of the neurons، أما + +384 +00:30:44,740 --> 00:30:47,760 +ال digital N، dendrites، sensory neurons are + +385 +00:30:47,760 --> 00:30:51,240 +receptors، هي عبارة عن مستقبلات حسية، في + +386 +00:30:51,240 --> 00:30:56,510 +ال dendrites، تمام؟ ال classification تبعت لل + +387 +00:30:56,510 --> 00:31:00,970 +neurons، كيف أنا ممكن أقسمها؟ هقسمها حسب التركيبة، + +388 +00:31:00,970 --> 00:31:06,410 +وحسب ال function، الآن ال structural classification، بدي + +389 +00:31:06,410 --> 00:31:11,370 +أقسمها حسب التركيبة، إلى إيش؟ إلى عدد العمليات اللي + +390 +00:31:11,370 --> 00:31:15,630 +بتقوم فيها ال cell body، تمام؟ إذا ال structural + +391 +00:31:15,630 --> 00:31:18,950 +classification، حسب العمليات اللي بيقوم فيها ال + +392 +00:31:18,950 --> 00:31:27,480 +cell body، في عندي unipolar، وحادية القطب، وفي عندي + +393 +00:31:27,480 --> 00:31:35,480 +ثنائية القطب، ومتعددة الأقطاب، وحادية القطب، اللي هي + +394 +00:31:35,480 --> 00:31:41,520 +ال neuron has single process، تحتوي على عملية واحدة، + +395 +00:31:41,520 --> 00:31:47,220 +فقط، أما الباي بولر، فهي ال neurons، أو العصبون بيشتغل + +396 +00:31:47,220 --> 00:31:53,980 +عمليتين، لأنه ثنائي القطب + +445 +00:36:16,920 --> 00:36:23,300 +Neurons تحولت إلى الـvectors هذا بالنسبة لـتقسيم + +446 +00:36:23,300 --> 00:36:27,640 +النيورون حسب الـstructural وحسب الـfunction حسب الـ + +447 +00:36:27,640 --> 00:36:31,260 +structural: unipolar, bipolar, multipolar حسب الـ + +448 +00:36:31,260 --> 00:36:35,520 +function: sensory, motor، و interneurons. تمام؟ + +449 +00:36:37,920 --> 00:36:43,520 +لأن هنا بعض اللي هي الصور لتوضيح المعلومات زي ما + +450 +00:36:43,520 --> 00:36:48,060 +احنا حكينا sensory، بعدين بيصير عن طريق الـsensory + +451 +00:36:48,060 --> 00:36:51,840 +neurons راحت على الـcentral nervous system زي ما + +452 +00:36:51,840 --> 00:36:57,910 +انتم شايفين،صار في عندنا اللي هو integrations أو صار + +453 +00:36:57,910 --> 00:37:00,810 +في عندنا عملية اللي هي الـprocess اللي صارت بالـ + +454 +00:37:00,810 --> 00:37:05,170 +central nervous system، وبعدين تم نقلها إلى الـ + +455 +00:37:05,170 --> 00:37:09,890 +effectors عن طريق الـmotor neurons اللي هو الحدث + +456 +00:37:09,890 --> 00:37:14,530 +أيضا نفس الكلام موجود عندي هنا اللي هو في حالة أنّه + +457 +00:37:14,530 --> 00:37:19,970 +صار في عندي، لاسمح الله، مثلا إذا غرز دبوس بالإصبع + +458 +00:37:19,970 --> 00:37:22,810 +شوفوا كيف بتتم العملية + +459 +00:37:25,030 --> 00:37:29,710 +نجي نشوف الـslide اللي بعدها، الـnerves أو الأعصاب + +460 +00:37:29,710 --> 00:37:34,730 +الآن، الـnervous system أو الأعصاب هي عبارة عن الـorgans + +461 +00:37:34,730 --> 00:37:38,250 +من الـperipheral nervous system. في عندي الـsensory + +462 +00:37:38,250 --> 00:37:42,890 +معناته بيحمل كل الـsensory information إلى الـ + +463 +00:37:42,890 --> 00:37:50,110 +central nervous system. أيضا الـmotor أو اللي هو + +464 +00:37:50,110 --> 00:37:56,510 +بيحمل اللي حدث من الـcentral nervous system إلى الـeffectors + +465 +00:37:56,510 --> 00:38:01,090 +اللي هو الـmuscle و الـgland. و الـmixed nerve اللي + +466 +00:38:01,090 --> 00:38:06,010 +هي عبارة عن الأعصاب اللي بتحمل خاصية الـsensory و + +467 +00:38:06,010 --> 00:38:11,630 +كذلك خاصية الـmotor. يعني أنا ممكن أقسم الأعصاب إلى + +468 +00:38:11,630 --> 00:38:18,050 +ثلاث أقسام أساسية: sensory (S)، motor (M)، + +469 +00:38:19,820 --> 00:38:24,680 +mixed اللي هي عبارة عن المشتركة أو ذات الصفات + +470 +00:38:24,680 --> 00:38:30,000 +المشتركة. sensory حملت المعلومات من برا وطلعت فيهم + +471 +00:38:30,000 --> 00:38:34,360 +على الـcentral nervous system. أما الـmotor فهو حمل + +472 +00:38:34,360 --> 00:38:38,080 +المعلومات من الـbrain وطلع فيهم على الـeffectors + +473 +00:38:38,080 --> 00:38:42,700 +سواء كان skeletal muscles أو gland. الـmixed + +474 +00:38:42,700 --> 00:38:47,440 +بيكون شايل الصفات المشتركة ما بين الـsensory و الـ + +475 +00:38:47,440 --> 00:38:53,800 +motor. الآن، نهاية الـaxon contact the other neurons. + +476 +00:38:53,800 --> 00:38:58,900 +تمام؟ الآن في عندي حاجة اسمها الأزرار التشابكية أو + +477 +00:38:58,900 --> 00:39:04,630 +ما يسمى بـsynapse. هي عبارة عن إيش؟ الـaxon + +478 +00:39:04,630 --> 00:39:07,570 +transmits nerve impulses. احنا اليوم ما عندناش + +479 +00:39:07,570 --> 00:39:11,050 +خلية عصبية واحدة. عندنا مئات البلايين، بل ملايين من + +480 +00:39:11,050 --> 00:39:15,150 +اللي هي الخلايا العصبية. فبالتالي لازم يكون في + +481 +00:39:15,150 --> 00:39:19,770 +عندنا أزرار تشابكية بين خلية وأخرى، بسميها الـ + +482 +00:39:19,770 --> 00:39:23,930 +synapse. هذا الـjunction أو هذه الوصلة هي عبارة عن + +483 +00:39:23,930 --> 00:39:28,950 +الـsynapse اللي هي الأزرار التشابكية. الآن في + +484 +00:39:28,950 --> 00:39:34,300 +تركيبة الـperipheral nervous system، في عندي اللي هو + +485 +00:39:34,300 --> 00:39:40,580 +ثلاثة أغلفة. لو أجيت أنا تحت المجهر وشوفت هذا الشكل + +486 +00:39:40,580 --> 00:39:45,200 +بعرف عبارة عن عصب peripheral nerve، سواء طالع لي من + +487 +00:39:45,200 --> 00:39:49,980 +هنا أو طالع من هنا. فيه له ثلاث أغلفة. الغطاء الأول + +488 +00:39:49,980 --> 00:39:54,880 +طول ما أنا بحكي كلمة epi، معناته above، فوقه. + +489 +00:39:54,880 --> 00:40:00,220 +neurons، يعني معناته فوقها. إذا هو الغطاء الخارجي + +490 +00:40:00,220 --> 00:40:05,960 +للعصب، epi لحالها بجسمها، و neuron هي عبارة عن + +491 +00:40:05,960 --> 00:40:12,380 +العصب. و epineurium بيغطي كل العصب، لأنه + +492 +00:40:12,380 --> 00:40:19,310 +بغلفه كله غلاف خارجي. تمام؟ أما الـperi اللي هو + +493 +00:40:19,310 --> 00:40:24,350 +الـperineurium فمعناته wraps the fascicle of the tract + +494 +00:40:24,350 --> 00:40:29,760 +بيغلف هذه الحزمة، الحزمة العصبية اللي هنا. تمام؟ + +495 +00:40:29,760 --> 00:40:35,280 +fascicle هي عبارة عن الحزمة العصبية. okay. بيغلف + +496 +00:40:35,280 --> 00:40:40,160 +الحزمة العصبية لحالها. endo، من الداخل. endoneurium + +497 +00:40:40,160 --> 00:40:45,700 +معناته wraps the individual axon. بيغطي فقط المحور + +498 +00:40:45,700 --> 00:40:50,980 +الداخلي. إذا في التركيبة التشريحية للـperipheral + +499 +00:40:50,980 --> 00:40:54,400 +nervous system أو للـnerve نفسه الـperipheral، في عندي + +500 +00:40:55,730 --> 00:41:00,210 +epineurium و endoneurium. ايه بي من نفسها وربسلان + +501 +00:41:00,210 --> 00:41:03,330 +اللي هو outer of nerves. بيغطي كل العصب لإنه غلاف + +502 +00:41:03,330 --> 00:41:07,830 +خارجي. أما الـepineurium فمعناته بس بيغطي الـfascicle + +503 +00:41:07,830 --> 00:41:11,630 +اللي هي عبارة عن الحزمة العصبية نفسها. و الـ + +504 +00:41:11,630 --> 00:41:18,200 +endoneurium بيغطي الـaxon لحاله. تمام؟ نجي نشوف هي + +505 +00:41:18,200 --> 00:41:21,680 +كمان اللي هي صورة توضيحية أخرى. هي الـaxon هنا، + +506 +00:41:21,680 --> 00:41:27,340 +endoneurium هنا، الـfascicle هذه اللي هي perineurium، و + +507 +00:41:27,340 --> 00:41:31,240 +فوق كل الغلاف أو كل هذا الـcourse اللي هو بسميه + +508 +00:41:31,240 --> 00:41:36,880 +غلاف خشن، بيغطي كل العصب. هذه تركيبة تبعت + +509 +00:41:36,880 --> 00:41:41,260 +الأغلفة. لأن كنت حكيت أنا في بداية المحاضرة: هل يتم + +510 +00:41:41,260 --> 00:41:49,580 +إصلاح أي عصب؟ تم، على سبيل المثال، قطعه أو تم إصابته. + +511 +00:41:49,580 --> 00:41:56,400 +طبعا بتم، ولكن بشروط معينة. الآن، الـmature neurons + +512 +00:41:56,400 --> 00:42:02,420 +are incapable of cell division. الخلية العصبية + +513 +00:42:02,420 --> 00:42:08,210 +الناضجة غير قابلة بتاتا على الانقسام. احنا حكينا من + +514 +00:42:08,210 --> 00:42:13,130 +خواصها: لا انقسام ميوزي ولا ميتوزي. there are the + +515 +00:42:13,130 --> 00:42:17,050 +damage of nervous tissue can be permanent. فبالتالي + +516 +00:42:17,050 --> 00:42:20,290 +أثبت المعلومة اللي أنا بحكيها: أن الـnervous system + +517 +00:42:20,290 --> 00:42:25,370 +irreversible. أي ضرر بيبقى، سواء إذا كان الضرر كبير + +518 +00:42:25,370 --> 00:42:30,850 +بيبقى permanent، دائم. للـneurons اللي تحتوي على + +519 +00:42:30,850 --> 00:42:34,350 +limited capacity to repair themselves. الـneurons + +520 +00:42:34,350 --> 00:42:39,220 +ستستطيع إصلاح نفسها، ولكن بشروط. شو الشروط هذه اللي + +521 +00:42:39,220 --> 00:42:45,240 +عندنا؟ أنّه إذا كان الـdamage مش مبالغ فيه. يعني الـ + +522 +00:42:45,240 --> 00:42:49,220 +axon انقطع منه شوية، هذا الـaxon اللي ماشي، صار في + +523 +00:42:49,220 --> 00:42:55,180 +cutting، ممكن يصلح نفسه من نفسه. إذا كانت الإصابة مش + +524 +00:42:55,180 --> 00:43:00,240 +في الـcell body ولا للـneurolemma. إذا جسم الخلية + +525 +00:43:00,240 --> 00:43:04,440 +نفسه سليم ومتعافى. وأنا شرحت لما بدأنا في الـcell + +526 +00:43:04,440 --> 00:43:11,340 +body أنّه هي مهمة. ما صار في عندي scarring، as not + +527 +00:43:11,340 --> 00:43:15,880 +occurred. طبعا، اليوم إيش هذا الـscar؟ الـscar هذا + +528 +00:43:15,880 --> 00:43:20,080 +على سبيل المثال، هاي الـaxon اللي موجود عندي، صار + +529 +00:43:20,080 --> 00:43:23,900 +هنا cutting للـaxon. + +530 +00:43:24,810 --> 00:43:28,650 +الآن، إذا تم إصلاحه بهذا الشكل، باللون الأزرق اللي + +531 +00:43:28,650 --> 00:43:32,410 +أنا عامله، معناته صارت توصل للخلية العصبية، صارت + +532 +00:43:32,410 --> 00:43:36,770 +توصل الومضة العصبية. ولكن إذا صار في scar، اللي هو الـ + +533 +00:43:36,770 --> 00:43:42,180 +axon، اللي هو scar أو scarring اللي هي عبارة عن + +534 +00:43:42,180 --> 00:43:47,840 +ندبة أو fibrosclerosis، معناته الكلام صار فيه مشكلة في + +535 +00:43:47,840 --> 00:43:52,820 +الـconduction، في التوصيل. إذا عندي ثلاث شروط أساسية + +536 +00:43:52,820 --> 00:43:58,940 +لأنّه يرجع اللي هو الخط العصبي للعمل. أول شيء، إنّ الـ + +537 +00:43:58,940 --> 00:44:03,980 +damage is not extensive. الضرر مش عالي جدا. ثاني شيء، + +538 +00:44:03,980 --> 00:44:08,980 +اللي هو الـneurolemma تمام، تمام وبخير + +539 +00:44:08,980 --> 00:44:14,790 +وما صار لهم أي مشكلة. ثالث شيء، إنّه مافي scarring + +540 +00:44:14,790 --> 00:44:19,630 +صار، مافي أي ندبات أو ندب للـ اللي هو العضو اللي + +541 +00:44:19,630 --> 00:44:23,430 +اتضرر. لأن هذا بيُعيق حركة اللي هو الـnerve impulses، + +542 +00:44:23,430 --> 00:44:27,430 +الـregeneration للـaxons. طبعا الـperipheral + +543 +00:44:27,430 --> 00:44:31,510 +nervous system vulnerable، قابلة لأن يصير فيها + +544 +00:44:31,510 --> 00:44:36,390 +cutting. قابلة لإنه تتعرض لأي trauma. الضرر هذا ممكن + +545 +00:44:36,390 --> 00:44:40,760 +يصير له regeneration، إعادة إعمار، إعادة بناء. إذا + +546 +00:44:40,760 --> 00:44:44,300 +كانت نفس الكلام اللي حكينا عليه قبل شوية من الـ + +547 +00:44:44,300 --> 00:44:47,560 +neuron، للـneurolemma موجودة داخل الـcell body. تمام؟ + +548 +00:44:47,560 --> 00:44:53,460 +Remains، مازالت موجودة. جسم الخلية مازال موجود. أيضا + +549 +00:44:53,460 --> 00:44:57,520 +الـperipheral axon بـcerebral regeneration + +550 +00:44:57,520 --> 00:45:02,900 +بيعتمد على ثلاثة عوامل أساسية: إن كمية الضرر ما + +551 +00:45:02,900 --> 00:45:06,940 +تكونش عالية. يعني طرف صغير بس انقطع من الـaxon. + +552 +00:45:07,960 --> 00:45:12,320 +الحاجة التالية، أنّه الـneurolemmocytes، خلايا الجسم + +553 +00:45:12,320 --> 00:45:18,180 +الخلية، ما زالت تفرز الـgrowth factors حتى ترجع تنمو + +554 +00:45:18,180 --> 00:45:23,080 +من أول وجديد. طبعا الـstimulation are autographs of + +555 +00:45:23,080 --> 00:45:28,260 +several axons حتى تقدر تطلع axon جديد، زي البرعم + +556 +00:45:28,260 --> 00:45:32,720 +لما يطلع من الشجرة، فيه براعم صغيرة بتبدا تطلع على + +557 +00:45:32,720 --> 00:45:38,930 +جانبه. الـdistance ما بين اللي هو مكان الإصابة في الـ + +558 +00:45:38,930 --> 00:45:43,490 +axon والـeffector organs ما تكونش بعيدة. يعني على + +559 +00:45:43,490 --> 00:45:50,230 +سبيل المثال، أن المسافة ما بين موقع الإصابة، الـaxon + +560 +00:45:50,230 --> 00:45:53,710 +اللي رايح يوصل الحدث، ما تكونش بعيدة، عشان أنا + +561 +00:45:53,710 --> 00:45:58,270 +يعني شغالة بـ50% من العصب، فبالتالي ما بدي أضيع + +562 +00:45:58,270 --> 00:46:02,310 +جهد اللي هو الـnerve في توصيل هذه الـimpulses. + +563 +00:46:02,310 --> 00:46:07,510 +تمام؟ هل أهم العوامل للـdegeneration، إعادة إعمار + +564 +00:46:07,510 --> 00:46:13,020 +الـaxon إذا صار فيه damage؟ الآن، الـregeneration + +565 +00:46:13,020 --> 00:46:18,780 +للـneurons، للعصبون، ممكن يصير في عندي إعادة إعمار + +566 +00:46:18,780 --> 00:46:23,660 +إذا كان no infection، مافي التهاب. العصب بيصلح حاله + +567 +00:46:23,660 --> 00:46:27,920 +من حاله. partially cutting، وأنا هنا بحط مية خط + +568 +00:46:27,920 --> 00:46:32,400 +أحمر عليها، ما قلت completely، قلت partially. + +569 +00:46:32,400 --> 00:46:36,860 +partially، يعني قطع جزء. ايه، الـneurolemma is + +570 +00:46:36,860 --> 00:46:43,490 +contact أو intact، سليمة. إذا عندي ثلاث عوامل أساسية + +571 +00:46:43,490 --> 00:46:48,590 +في الـregeneration للـneurons، اللي هي أنّه الـ + +572 +00:46:48,590 --> 00:46:56,150 +no infection، مافي عندي. اللي هو partially cut of + +573 +00:46:56,150 --> 00:47:01,810 +axons. طبعا قطع جزئي. الـneuron is intact، سليما. الـ + +574 +00:47:01,810 --> 00:47:08,910 +regeneration بتبدأ من الـcell body. طبعا إذا كانت + +575 +00:47:09,610 --> 00:47:15,350 +محافظة على شكلها ومكانها. الـnew fibrils أو اللي + +576 +00:47:15,350 --> 00:47:19,590 +هو الـaxon sprouts أو بنسميه البُرعم الصغير أو + +577 +00:47:19,590 --> 00:47:22,130 +المقطع الصغير من الـaxon اللي أنا حكيتلكم ممكن + +578 +00:47:22,130 --> 00:47:27,270 +ينمو. حاجة صغيرة of the central stump. stump اللي + +579 +00:47:27,270 --> 00:47:32,190 +هو عبارة عن الـaxon المقطوع، المحوراللي صار فيه + +580 +00:47:32,190 --> 00:47:36,710 +ضرر، المقطع، خليني أحكي عنه. تمام، من تحت منه بيطلع + +581 +00:47:36,710 --> 00:47:41,890 +axon صغير زي البرعم اللي بيطلع من الساق. they enter + +582 +00:47:41,890 --> 00:47:45,690 +the neural lymph tube، extend to the distal cut + +583 +00:47:45,690 --> 00:47:49,530 +end of nerves. اللي بيطلع منه هذا، مثلا الـaxon اللي + +584 +00:47:49,530 --> 00:47:54,570 +انقطع. تمام، من هنا ممكن يطلع منه اللي هو الـaxon + +585 +00:47:54,570 --> 00:48:02,020 +sprouts اللي هو عبارة عن نقطة صغيرة جدا، مقطع صغير، + +586 +00:48:02,020 --> 00:48:06,580 +تمام؟ عشان يواصل النمو فيما بعد. لأن هنا في دراسة + +587 +00:48:06,580 --> 00:48:10,820 +عملت على الـhuman is a slow process. الـregeneration + +588 +00:48:10,820 --> 00:48:14,700 +بتكون بطيئة جدا. أو إعادة البناء والإعمار في + +589 +00:48:14,700 --> 00:48:20,200 +الإنسان بتكون بطيئة جدا. طبعا دراسة عملت مع مقارنة + +590 +00:48:20,200 --> 00:48:24,600 +باللي هو الـrabbits اللي موجودة أو الأرانب. مش كتير + +591 +00:48:24,600 --> 00:48:28,420 +بتهمنا احنا. خلينا بس نعرف إن شو العوامل المهمة + +592 +00:48:28,420 --> 00:48:34,310 +عندنا لإعادة بناء للـneurons. تمام؟ أخدنا كيف + +593 +00:48:34,310 --> 00:48:39,890 +إعادة بناء اللي هي الـaxon. أخدنا كيف بناء اللي هو + +594 +00:48:39,890 --> 00:48:44,650 +الـnerve fibers. وعرفنا شو هي الظروف أو الـfactors + +595 +00:48:44,650 --> 00:48:52,030 +اللي لازم تكون مهمة جدا لإعادة البناء في كل + +596 +00:48:52,030 --> 00:48:56,630 +الأحوال. لازم للـneurolemma تكون موجودة وبشكلها + +597 +00:48:56,630 --> 00:49:03,190 +وجسم الخلية السليم. أنّه ما يكونش الضرر كبير جدا، + +598 +00:49:03,190 --> 00:49:08,850 +المسافة بين موقع الحدث، اللي هو موقع الإصابة، و الـ + +599 +00:49:08,850 --> 00:49:12,370 +nerve supply اللي رايحة لها ما تكونش بعيدة. على الأغلب + +600 +00:49:12,370 --> 00:49:15,670 +دائما ما يكونش فيه infection، وما يكونش فيه + +601 +00:49:15,670 --> 00:49:21,530 +scar tissue. هنا، هاي الـslides بتوضح لكم كيف أنّه لو + +602 +00:49:21,530 --> 00:49:25,390 +كان في عندي أي إصابات، كيف أنّه بتصير اللي احنا + +603 +00:49:25,390 --> 00:49:30,070 +العوامل اللي حكينا عليها. شو الـneuroglia؟ الـ + +604 +00:49:30,070 --> 00:49:35,870 +neuroglia هي عبارة عن العقد العصبية. تمام؟ there is + +605 +00:49:35,870 --> 00:49:41,510 +no connective tissue. اختصار CT اللي هو عبارة عن الـ + +606 +00:49:41,510 --> 00:49:47,570 +connective tissue. لا تحتوي الـnervous system على + +607 +00:49:47,570 --> 00:49:53,470 +أي نسيج ضام، سبحان الله، ربنا استبدله بالنيرالجليا، + +608 +00:49:53,470 --> 00:49:59,090 +إذا لا أنسجة ضامة في الـcentral nervous system, + +609 +00:49:59,850 --> 00:50:04,230 +in fact there are neuroglia. تم استبدالها + +610 +00:50:04,230 --> 00:50:08,370 +بالنيرالجليا. شو وظيفة الـneuroglia؟ Supporting + +611 +00:50:08,370 --> 00:50:11,830 +tissue ما بين الـneurons في الـcentral nervous + +612 +00:50:11,830 --> 00:50:17,570 +system. كيف بدي أفوت connective tissue داخل الـ + +613 +00:50:17,570 --> 00:50:20,530 +brain على سبيل المثال؟ لأ. ربنا سبحانه وتعالى + +614 +00:50:20,530 --> 00:50:25,010 +استبدلهم أو استبدلها بحاجة اسمها الـneuroglia تعمل + +615 +00:50:25,010 --> 00:50:28,230 +على تدعيم للـneurons مع بعضها البعض في الـcentral + +616 +00:50:28,230 --> 0 \ No newline at end of file diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/k7UijMjwP-c_postprocess.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/k7UijMjwP-c_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..f3700777295cf40977f9f6b3f82df6cb9e9061ab --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/k7UijMjwP-c_postprocess.srt @@ -0,0 +1,2568 @@ +1 +00:00:05,030 --> 00:00:07,890 +بسم الله الرحمن الرحيم والصلاة والسلام على أشرف + +2 +00:00:07,890 --> 00:00:11,610 +الأنبياء والمرسلين محمدا عليها أفضل صلاة و أتم + +3 +00:00:11,610 --> 00:00:15,730 +التسلين اليوم بإذن الله تعالى بدنا نبدأ في شرح + +4 +00:00:15,730 --> 00:00:19,910 +chapter جديد عن ال nervous system عندنا chapterين + +5 +00:00:19,910 --> 00:00:22,750 +لل nervous system اليوم ان شاء الله هشرح chapter و + +6 +00:00:22,750 --> 00:00:25,870 +المرة القادمة بإذن الله تعالى بدنا نشرح nervous + +7 +00:00:25,870 --> 00:00:30,420 +system اتنيناليوم هنحكي على معلومات تقريبا احنا + +8 +00:00:30,420 --> 00:00:35,060 +شبه أخدناها يعني مافي اشي جديد اللي هو هبدأ ان شاء + +9 +00:00:35,060 --> 00:00:38,460 +الله رب العالمين بتقسيمة ال nervous system إلى + +10 +00:00:38,460 --> 00:00:43,980 +قسمين رئيسيين رئيسيين اول اشي هشرح عن central + +11 +00:00:43,980 --> 00:00:47,400 +nervous system و ال peripheral nervous system + +12 +00:00:47,400 --> 00:00:52,170 +خلينا نبدأ نشوفعلى بركة الله ال nervous system + +13 +00:00:52,170 --> 00:00:56,810 +الان انا دائما كنت اتكلم على انه ال nervous system + +14 +00:00:56,810 --> 00:01:02,890 +بيشتغل بره مع ال endocrine system تمام؟ يعني مافي + +15 +00:01:02,890 --> 00:01:06,330 +شغل لل nervous system لوحده و لل endocrine لوحده + +16 +00:01:06,330 --> 00:01:10,150 +لأ كلا هما بيشتغلوا مع بعضهم البعض ال function of + +17 +00:01:10,150 --> 00:01:14,450 +nervous system along with endocrine system is to + +18 +00:01:14,450 --> 00:01:19,010 +communicate التانين عملهم متداخل مع بعضهم البعض + +19 +00:01:19,500 --> 00:01:23,160 +أيضا ال nervous system is made up of ال brain و ال + +20 +00:01:23,160 --> 00:01:29,000 +spinal cord و ال nerves هنا هقسمهم إلى إيش؟ ان ال + +21 +00:01:29,000 --> 00:01:33,520 +brain و ال spinal cord ال central nervous system و + +22 +00:01:33,520 --> 00:01:39,000 +ال peripheral اللي هو عبارة عن ال nerves تمام؟ إذا + +23 +00:01:39,000 --> 00:01:45,020 +بينقسم عندي ال nervous system إلى قسمين رئيسيين + +24 +00:01:45,020 --> 00:01:54,460 +هما عبارة عنبريفرال تمام ال nervous system هاجي و + +25 +00:01:54,460 --> 00:01:58,880 +أنا عاملة الشجرة تبعتي بهذا الشكل هنقسمه إلى A + +26 +00:01:58,880 --> 00:02:02,840 +central nervous system و B ال peripheral nervous + +27 +00:02:02,840 --> 00:02:08,260 +system ال central هقسمه إلى قسمين اللي هي ال brain + +28 +00:02:08,260 --> 00:02:15,640 +و ال spinalchord اللي هو الحبل الشوكي تمام؟ كذلك + +29 +00:02:15,640 --> 00:02:20,580 +ال peripheral هنشرح عنه هذا بالنسبة للمقدمة هعرف + +30 +00:02:20,580 --> 00:02:24,140 +شو يعني nervous system الآن شو موظيفة ال nervous + +31 +00:02:24,140 --> 00:02:28,440 +system هشتغل على ال nervous system على أساس أنه + +32 +00:02:28,440 --> 00:02:33,700 +الوظيفة sensory كذلك motor حسي حركي و أيضا + +33 +00:02:33,700 --> 00:02:37,740 +integrative motions أو integrative functionالـ + +34 +00:02:37,740 --> 00:02:41,840 +Sensory عبارة عن إيش؟ Sensory Receptors في + +35 +00:02:41,840 --> 00:02:47,560 +مستقبلات حسية بتستقبل كل المعلومات و بترسلها لـ + +36 +00:02:47,560 --> 00:02:51,480 +brain اللي هو central nervous system حتى تم عملية + +37 +00:02:51,480 --> 00:02:56,300 +المعالجة إذا في عندنا Sensory Receptors بتعمل + +38 +00:02:56,300 --> 00:02:59,640 +gathering للinformation هذه الinformation is + +39 +00:02:59,640 --> 00:03:04,670 +carried toبتم استقبالها كمستقبل من كل البيئة سواء + +40 +00:03:04,670 --> 00:03:07,890 +كانت بيئة داخلية جوا الجسم أو بيئة خارجية خارج + +41 +00:03:07,890 --> 00:03:13,050 +الجسم وبعدين بتذهب إلى اللي هو ال brain هذا الاشي + +42 +00:03:13,050 --> 00:03:17,010 +سنسوري، الآن وظيفة ال nervous system ك motor + +43 +00:03:17,740 --> 00:03:21,440 +decision are أو decision are القرار اللي تم أخذه + +44 +00:03:21,440 --> 00:03:25,980 +act open و ال impulses بتروح على ال effector يعني + +45 +00:03:25,980 --> 00:03:30,480 +خليني أجيب مثال على هذا الكلام اليوم أنا أمامي في + +46 +00:03:30,480 --> 00:03:37,490 +على هذه الطاولة كباية شاي سخنةبإيدي همسكها هلاجي + +47 +00:03:37,490 --> 00:03:43,290 +أنه هي حرارة عالية لم أستطيع أمساكها تبعت اللي هو + +48 +00:03:43,290 --> 00:03:47,030 +ال sensory receptors اللي موجودة في ال hand عن + +49 +00:03:47,030 --> 00:03:50,350 +طريق ال nerve peripherally اللي هي الأعصاب + +50 +00:03:50,350 --> 00:03:53,430 +الترافية إلى ال central nervous system في ال brain + +51 +00:03:53,430 --> 00:03:58,150 +أنه أنا في حاجة هنا سخنة طبعا مش قادرة أمسكها + +52 +00:03:58,150 --> 00:04:02,390 +بيروح و هو عامل معالجة مركزية أنه ابتعد عن هذا + +53 +00:04:02,390 --> 00:04:06,500 +الخطر تمام؟بينى ال motor function دور ال motor + +54 +00:04:06,500 --> 00:04:11,460 +function انه ترسل البعين بيرسل impulses لل hand ان + +55 +00:04:11,460 --> 00:04:16,320 +هو يبتعد عن هذا الخطر فبالتالي ال hand بعتبرها ال + +56 +00:04:16,320 --> 00:04:21,160 +effectors منطقة الحدث اللى هى تبتعد عن الخطر هاى + +57 +00:04:21,160 --> 00:04:24,720 +الوظيفة التانية الوظيفة التالتة ان ال issue او + +58 +00:04:24,720 --> 00:04:27,040 +وظيفة ال central nervous system او ال nervous + +59 +00:04:27,040 --> 00:04:30,660 +system in general integrative function يعنى + +60 +00:04:30,660 --> 00:04:34,500 +sensory information بستخدمها في الإحساسفي ال + +61 +00:04:34,500 --> 00:04:38,980 +memory في الذاكرة في الحدث thoughts يعني ال .. أخذ + +62 +00:04:38,980 --> 00:04:44,080 +القرار decision عشان كده حكيتلكم أنه و أنا في اللي + +63 +00:04:44,080 --> 00:04:47,180 +هو ال emergency room في غرفة التوارق أي إصابة + +64 +00:04:47,180 --> 00:04:51,280 +بتجيني بعيدة عن ال head أنا بال safe side حتى لو + +65 +00:04:51,280 --> 00:04:55,180 +كان في عندي a batter تخيلوا قدش بيكون فقدان العضو + +66 +00:04:55,180 --> 00:05:01,950 +صعب جدا ولكن مقارنةفي nervous system ولا إشي، إذا + +67 +00:05:01,950 --> 00:05:06,550 +سلامة جسم الإنسان ك emergency room أنا بحكي كغرفة + +68 +00:05:06,550 --> 00:05:10,690 +طوارق إن هو بسلامة ال head و ال nervous system، + +69 +00:05:10,690 --> 00:05:15,530 +اليوم العقل سليم ال head اللي هو يشتمل على ال + +70 +00:05:15,530 --> 00:05:20,010 +brain و أيضا عندي ال spinal cord سليم، معناته أنا + +71 +00:05:20,010 --> 00:05:22,740 +بال safe sideحتى لو كان في عندي amputation في ال + +72 +00:05:22,740 --> 00:05:26,360 +.. ال above elbow أو ال below elbow نفس الأشياء + +73 +00:05:26,360 --> 00:05:30,840 +المهم أنا عندي الدماغ سليم ليه؟ عشان تكون عندي ال + +74 +00:05:30,840 --> 00:05:34,260 +sensation ال sensory function ال motor function كل + +75 +00:05:34,260 --> 00:05:39,860 +هذه الأمور تكون سليمة تمام؟ جدي سبحان الله هو مهم + +76 +00:05:41,230 --> 00:05:44,910 +هنا قسمليها التقسيمة زي ما أنا عملتها اللي هو + +77 +00:05:44,910 --> 00:05:48,970 +central nervous system و كذلك البرفرالي هنا + +78 +00:05:48,970 --> 00:05:52,710 +البرفرالي هقسمها إلى قسمين ايضا رئيسيين اللي هم + +79 +00:05:52,710 --> 00:05:57,030 +spinal nerve و cranial nerve ال spinal nerve اللي + +80 +00:05:57,030 --> 00:06:05,930 +هم عبارة عن spinal nerve و كذلك cranial nerveنعرف + +81 +00:06:05,930 --> 00:06:12,650 +هنا واحد و تلاتين pairs تمام و هنا اتناشر pairs + +82 +00:06:12,650 --> 00:06:18,430 +اتفقنا؟ Central اللي هو قطعني ال brain موجود هنا و + +83 +00:06:18,430 --> 00:06:23,090 +ربنا حماه في ال skull و ال spinal cord محمي أيضا + +84 +00:06:23,090 --> 00:06:26,060 +في ال vertebral colonهذه اللي أنتوا شايفينها في + +85 +00:06:26,060 --> 00:06:29,500 +الصورة هي عبارة عن الـ Peripheral Nervous System + +86 +00:06:29,500 --> 00:06:34,260 +اللي هي بتنقسم إما لـ cranial nerve أو spinal + +87 +00:06:34,260 --> 00:06:40,620 +nerve، عصاب طرفية مخية أو عصاب طرفية جسدية، تمام؟ + +88 +00:06:41,710 --> 00:06:45,410 +الان تقسيم البريفيرال هقسم البريفيرال أيضا إلى + +89 +00:06:45,410 --> 00:06:50,170 +أقسام متعددة في عندي من البريفيرال اللي هو sensory + +90 +00:06:50,170 --> 00:06:54,310 +division وفي عندنا ال motor division sensory + +91 +00:06:54,310 --> 00:06:59,940 +معناته هو خاص بال sensationpick ups لل sensory + +92 +00:06:59,940 --> 00:07:04,420 +information and delivers it to central nervous + +93 +00:07:04,420 --> 00:07:09,680 +system sensory تم عندي اللي هو بتحمل المستقبلات + +94 +00:07:09,680 --> 00:07:14,120 +الحسية بتحمل هذه الأحاسيس والمعلومات الحسية و + +95 +00:07:14,120 --> 00:07:18,120 +delivers بتوصلها لل central nervous system يعني + +96 +00:07:18,120 --> 00:07:22,260 +بتاخد من المستقبلات الحسية لل central nervous + +97 +00:07:22,260 --> 00:07:27,770 +systemأما ال motor carries information من وين؟ من + +98 +00:07:27,770 --> 00:07:31,810 +ال central nervous system إلى ال muscles و لجلان و + +99 +00:07:31,810 --> 00:07:35,770 +هنا أنا أخد بالي من المصطلحين اللي موجودين، الآن + +100 +00:07:35,770 --> 00:07:40,370 +أنا هنا بقسم ال peripheralnervous system هاي أقسام + +101 +00:07:40,370 --> 00:07:44,510 +البريفيرال في عند ال sensory من اللي هو خارج + +102 +00:07:44,510 --> 00:07:48,710 +البيئة أو من أي sensory information بنقله إلى + +103 +00:07:48,710 --> 00:07:54,090 +central nervous system أن ال motor division بقسمه + +104 +00:07:54,090 --> 00:07:58,110 +أو أحكي عنه اللي هو المعلومات بتجيني طالعة من ال + +105 +00:07:58,110 --> 00:08:01,130 +central nervous system إلى ال muscle and gland + +106 +00:08:01,130 --> 00:08:04,350 +طبعا هاي ال effectors أنا لو هنا غيرتها وحكيت عنها + +107 +00:08:04,350 --> 00:08:08,180 +ال effectors كمان نفس الكلامال effectors اللي هو + +108 +00:08:08,180 --> 00:08:13,240 +الحدث، مين هيقوم بالحدث؟ طبعا العضلات و ال glands + +109 +00:08:13,240 --> 00:08:19,320 +اللي هي الغدد أيضا انا هاجي و اجسم ال motor + +110 +00:08:19,320 --> 00:08:22,760 +division شو ال motor division؟ ال motor division + +111 +00:08:22,760 --> 00:08:28,040 +هذا نفسه هقسمه إلى قسمين أساسيا أول اشي هقسمه إلى + +112 +00:08:28,040 --> 00:08:35,020 +حاجة اسمها somatic جسدي رقم واحدأمور خاصة بالجسد + +113 +00:08:35,020 --> 00:08:39,740 +اتنين Autonomic اللي هو ذاتي أو بسميه اللي هو + +114 +00:08:39,740 --> 00:08:46,020 +Autonomic إذا الموتور هذا هقسمه لقسمين أساسيا + +115 +00:08:46,020 --> 00:08:50,600 +Somatic و Autonomic ال Somatic carries لل + +116 +00:08:50,600 --> 00:08:53,840 +information أنا اليوم شغالة على الموتور معناته بدي + +117 +00:08:53,840 --> 00:08:56,760 +المعلومات تطلع من ال central على ال muscle و ال + +118 +00:08:56,760 --> 00:09:02,590 +glandطيب ال motor هقسمه لإيش جسدي و إيش اوتانوميك + +119 +00:09:02,590 --> 00:09:06,610 +ال somatic بيحمل المعلومات لل skeletal muscle + +120 +00:09:06,610 --> 00:09:11,210 +طالما في عندنا S somatic و skeletal S معناته الإيش + +121 +00:09:11,210 --> 00:09:13,530 +جسدي تمام؟ + +122 +00:09:14,830 --> 00:09:18,990 +الـ Autonomic بيحمل المعلومات أيضًا من الـ central + +123 +00:09:18,990 --> 00:09:24,050 +nervous system إلى العضلات اللا إرادية زي ال + +124 +00:09:24,050 --> 00:09:28,430 +smooth muscles وال cardiac muscles and the glands + +125 +00:09:28,430 --> 00:09:34,540 +إذا هنا الحركة لا إراديةتمام؟ فبالتالي أنا هنا + +126 +00:09:34,540 --> 00:09:39,220 +تسهل علي المعلومة إذا أنا بدي أنقل الحدث من ال + +127 +00:09:39,220 --> 00:09:44,300 +central nervous system إلى ال effectors سواء كان + +128 +00:09:44,300 --> 00:09:48,260 +عندي ال effectors muscle أو glands معناته في عندي + +129 +00:09:48,260 --> 00:09:52,120 +حاجات إيرادية و حاجات لا إيرادية معناته عندي + +130 +00:09:52,120 --> 00:09:56,380 +somatic و autonomic ال somatic اللي هو عبارة عن + +131 +00:09:56,380 --> 00:10:00,020 +الجسدي اللي هو عبارة عن charismatic formation لل + +132 +00:10:00,020 --> 00:10:03,930 +skeletal musclesوالـ Autonomic الذاتي أو لا إيرادي + +133 +00:10:03,930 --> 00:10:06,990 +اللي هو بيحمل المعلومات من ال central nervous + +134 +00:10:06,990 --> 00:10:11,530 +system إلى ال smooth muscles and cardiac muscles و + +135 +00:10:11,530 --> 00:10:15,670 +ال glands اللي موجودة هذا تقسيم ال motor اللي هو + +136 +00:10:15,670 --> 00:10:20,170 +أحد أقسام ال peripheral nervous system تمام؟ أجي + +137 +00:10:20,170 --> 00:10:21,870 +كمان لتقسيمة أخرى + +138 +00:10:37,890 --> 00:10:42,510 +الان هذا ال division لل nervous system central هنا + +139 +00:10:42,510 --> 00:10:47,850 +أعطانيا ال peripheral و ال brain and spinal cord + +140 +00:10:47,850 --> 00:10:52,870 +تمام هاي ال central هذا اللي شايفينه brain and + +141 +00:10:52,870 --> 00:10:57,410 +spinal cord ال peripheral nervous اللي هو cranial + +142 +00:10:57,410 --> 00:11:04,050 +و spinal nerve هقسمه إلى sensory receptors أجابلي + +143 +00:11:04,050 --> 00:11:09,280 +المعلومات من برا والسهم رايحلي علىLibrian تمام + +144 +00:11:09,280 --> 00:11:14,780 +وعالج المشكلة هنا و بعدين أخدها و طلعلي بالسهم هنا + +145 +00:11:14,780 --> 00:11:18,500 +معناته أن أنا جيت هنا للموتر الموتر هينقسم لقسمين + +146 +00:11:18,500 --> 00:11:22,900 +يا إما somatic يا إما autonomic somatic هتروح على + +147 +00:11:22,900 --> 00:11:26,000 +ال skeletal و autonomic هتروح على smooth muscles + +148 +00:11:26,000 --> 00:11:30,380 +and cardiac و ال gland يعني هذه الصورة هي ملخص لل + +149 +00:11:30,380 --> 00:11:35,450 +slide اللي أنا كنت ماشية عليها قبل قليلالان ال + +150 +00:11:35,450 --> 00:11:40,190 +organizations ل ال nervous system ال system + +151 +00:11:40,190 --> 00:11:45,010 +according to the type of organs innervated كل إشي + +152 +00:11:45,010 --> 00:11:50,090 +في جسمنا فيه عندنا map خريطة لتغييت الجسم العصبية + +153 +00:11:51,010 --> 00:11:54,130 +يعني على سبيل المثال العضلة الفلانية مثلا نحكي عن + +154 +00:11:54,130 --> 00:11:59,290 +ال biceps بيغذيها عصب معين كل إشي بيطلع من ال + +155 +00:11:59,290 --> 00:12:01,650 +peripheral nervous هذه اللي أنتوا شايفينها هذه + +156 +00:12:01,650 --> 00:12:07,590 +العصاب هي بتطلع من بين اللي هو ال vertebra مابين + +157 +00:12:07,590 --> 00:12:12,170 +الفقرات بتغذي منطقة معينة تمام? + +158 +00:12:18,130 --> 00:12:23,150 +الـ NS اللي هي Somatic Nervous System تنقسم أيضًا + +159 +00:12:23,150 --> 00:12:27,830 +لـ Somatic Motor و Somatic Sensory العضلة بحاجة + +160 +00:12:27,830 --> 00:12:33,750 +لحركة و بحاجة لإحساس هلأ اللي Somatic Motor طالما + +161 +00:12:33,750 --> 00:12:38,630 +فيه Motor معناته حركة gives لل information to + +162 +00:12:38,630 --> 00:12:44,470 +somatic effectors بتنقل الحدث إلى اللي هو الإشارة + +163 +00:12:44,470 --> 00:12:47,650 +إلى مكان الحدث اللي هو وين في الـ skeletal muscles + +164 +00:12:49,190 --> 00:12:52,830 +الآن الـ Somatic Sensory بينقل الـ feedback + +165 +00:12:52,830 --> 00:12:58,650 +information لمين؟ لـ Somatic integration in center + +166 +00:12:58,650 --> 00:13:02,290 +of central nervous system تمام؟ Somatic Sensory + +167 +00:13:02,290 --> 00:13:06,210 +Divisions الـ Sensory أو الـ Somatic Nervous + +168 +00:13:06,210 --> 00:13:08,690 +System احنا حكينا فيه انا Autonomic و فيه Somatic + +169 +00:13:08,690 --> 00:13:13,010 +Somatic خاص بالـ gland و خاص بال skeletal muscles + +170 +00:13:13,010 --> 00:13:21,650 +منه نوعين اللي هو motorو sensory، الآن ال sensory + +171 +00:13:21,650 --> 00:13:26,810 +بيحمل المعلومات من تقسيم التقسيم الركزي للنظام + +172 +00:13:26,810 --> 00:13:31,310 +الركزي نفس الكلام بنعيده، يعني ال motor له تقسيمات + +173 +00:13:31,310 --> 00:13:37,290 +و ال sensory له تقسيماتالـ Autonomic نفس الكلام في + +174 +00:13:37,290 --> 00:13:41,010 +عندنا حاجة Autonomic Nervous System اللي هي عبارة + +175 +00:13:41,010 --> 00:13:46,970 +عن الـ ANS الـ Efferent Division هي عبارة عن إيش؟ + +176 +00:13:46,970 --> 00:13:51,210 +Efferent معناته رايحة لعال إشي لبعيد Efferent + +177 +00:13:51,210 --> 00:13:56,790 +للبعيد هذه الـ Efferent بتحمل المعلومات كرز لل + +178 +00:13:56,790 --> 00:14:01,070 +information من الـ Autonomic أو الأحشاء الvisceral + +179 +00:14:01,070 --> 00:14:05,990 +effector زي السماثو ال cardiac muscle و ال gland + +180 +00:14:05,990 --> 00:14:11,810 +منها السنبثاوي و البارا سنبثاوي حالة اللى هو + +181 +00:14:11,810 --> 00:14:17,050 +الهدوء و السلام و حالة الحرب و القتال الآن احنا + +182 +00:14:17,050 --> 00:14:21,050 +بتتصرف في حالة الخوف في حالة الحرب نتصرف غير ان + +183 +00:14:21,050 --> 00:14:26,250 +احنا نتصرف في حالة الهدوءالسمب الثاوي هو prepares + +184 +00:14:26,250 --> 00:14:31,750 +منن للجسم to deal with يتعامل مع الاندياطيات + +185 +00:14:31,750 --> 00:14:35,770 +الريتز to internal violence هذه حالة الحرب طبعا + +186 +00:14:35,770 --> 00:14:41,930 +واللي هو حالة اللي هي عدم الراحة بنسميهاالسمبثاوي + +187 +00:14:41,930 --> 00:14:46,630 +هو تحضير الجسم لإنه يتعامل مع أي تهديد هيجي من ال + +188 +00:14:46,630 --> 00:14:51,670 +internal environment البارا سمبثاوي coordinate لل + +189 +00:14:51,670 --> 00:14:55,470 +body في ال normal resting activities اللي هي حالة + +190 +00:14:55,470 --> 00:15:01,270 +الهدوء بنسميها والسلامإذا بقسم ال autonomic ال + +191 +00:15:01,270 --> 00:15:06,630 +etherant اللي هو اللي رايح من أو رايح على ال gland + +192 +00:15:06,630 --> 00:15:10,490 +و اللي هي ال smooth muscles بقسمها إلى اتنين + +193 +00:15:10,490 --> 00:15:15,570 +سمبثاوي و بارا سمبثاوي السمبثاوي اللي هي حالة + +194 +00:15:15,570 --> 00:15:19,910 +الحرب و البارا سمبثاوي اللي هو حالة الهدوء و + +195 +00:15:19,910 --> 00:15:24,430 +الراحة أيضا بقسم ال autonomic إلى ال visceral + +196 +00:15:25,080 --> 00:15:30,280 +الأحشاء اللي هو عبارة عن إيش visual sensory can + +197 +00:15:30,280 --> 00:15:33,980 +feedback information to autonomic integrating + +198 +00:15:33,980 --> 00:15:36,540 +center في ال central nervous system بيحمل + +199 +00:15:36,540 --> 00:15:40,580 +المعلومات أو بيحمل ال feedback التغذية تبعتنا إلى + +200 +00:15:40,580 --> 00:15:46,000 +مكان المعالجة في ال central nervous system تمام؟ + +201 +00:15:46,000 --> 00:15:51,040 +هذا بالنسبة لتقسيم ال organization أيضا بقسم ال + +202 +00:15:51,040 --> 00:15:56,990 +nervous systemالان الـ Afferent + +203 +00:15:56,990 --> 00:16:01,270 +هو عبارة عن إيش؟ بما أنه في ترتيب الالفاتيكا أو + +204 +00:16:01,270 --> 00:16:06,970 +ترتيب اللي هو الحوف الـA المكان القريب بحكي عنه + +205 +00:16:06,970 --> 00:16:14,290 +إيش؟ هو عبارة عن consist of all incoming بيشمل كل + +206 +00:16:14,290 --> 00:16:19,600 +المعلومات اللي واردة من ال sensory بثوانEfferent + +207 +00:16:19,600 --> 00:16:24,540 +أما الـ efferent بما أنه ترتيبه مش الأول في ترتيب + +208 +00:16:24,540 --> 00:16:27,260 +الحروف فمعناته بعيد كل البعد + +209 +00:16:49,470 --> 00:16:56,730 +afferent نفس الاشي لما انا احكي incoming نفس الاشي + +210 +00:16:56,730 --> 00:17:06,450 +لما احكي sensory تمام؟ efferent مع auto going مع + +211 +00:17:06,450 --> 00:17:12,020 +اللي هي motorتمام؟ هاي كل التعريف يعني لما بدي + +212 +00:17:12,020 --> 00:17:15,380 +أعرف الـ afferent بدي أحكي consist of all incoming + +213 +00:17:15,380 --> 00:17:21,180 +sensory pathway أما ال efferent فهي عبارة عن in + +214 +00:17:21,180 --> 00:17:26,600 +consist of all auto going pathway في الموتر اللي + +215 +00:17:26,600 --> 00:17:31,700 +هو لأنه ترتيبه بعيد هنا نحكي عليه بعيد و هنا قريب + +216 +00:17:31,700 --> 00:17:37,000 +لإرسال اللي هو ال impulses هذا بالنسبة له اللي هي + +217 +00:17:37,000 --> 00:17:43,020 +ال afferentالـ Efferent ال sensory division أيضا + +218 +00:17:43,020 --> 00:17:46,880 +زي ما قسمنا اللي هو efferent و efferent هقسم + +219 +00:17:46,880 --> 00:17:50,840 +الإحساس أو اللي هي الحواس الخامسة إلى إيش في عنا + +220 +00:17:50,840 --> 00:17:54,420 +ال somatic system sensory general و في عنا special + +221 +00:17:54,420 --> 00:17:58,520 +sense في عنا ال general زي ال touch البين ال + +222 +00:17:58,520 --> 00:18:02,200 +pressure ال vibration و ال temperature و ال blue + +223 +00:18:02,200 --> 00:18:06,740 +receptors touch اللي هو زي ما احنا عارفينه اللمس + +224 +00:18:06,740 --> 00:18:12,610 +تمام الأنامو ال pressure الضغط طبعا و ال vibration + +225 +00:18:12,610 --> 00:18:17,990 +الاهتزاز و الحرارة و هنا ال pro reception و وضع + +226 +00:18:17,990 --> 00:18:22,090 +المفصل هذا احنا فحصا بنعمله special test الحواس + +227 +00:18:22,090 --> 00:18:28,120 +الخامسةاللي هي التذوق والرؤية والسمع وال balance + +228 +00:18:28,120 --> 00:18:32,940 +والشم الرؤية تمام؟ إيش اللي هو الإتزان هنا ال + +229 +00:18:32,940 --> 00:18:36,960 +balance؟ هاي قسمت ال somatic sensory component إلى + +230 +00:18:36,960 --> 00:18:42,180 +general و special ال general اللي هي بتشمللي ال + +231 +00:18:42,180 --> 00:18:47,680 +touch و ال pain و ال temperatures و ال vibrationال + +232 +00:18:47,680 --> 00:18:51,920 +small اللي هي ال special تقسم إلى ال task و ال + +233 +00:18:51,920 --> 00:18:55,680 +vision و ال hearing و ال balance و ال small تمام + +234 +00:18:55,680 --> 00:19:01,800 +هذا بالنسبة لل sensory division in generalنحكي على + +235 +00:19:01,800 --> 00:19:05,540 +ال visual sensory component، visual يعني حاجة في + +236 +00:19:05,540 --> 00:19:10,100 +الأحشاء، حاجة داخلية، بتعمل على نقل ال Trans مثل + +237 +00:19:10,100 --> 00:19:15,300 +nerve impulses from blood vessels، من اللي هو + +238 +00:19:15,300 --> 00:19:19,630 +جدران الأوعية الدموية، من الوعاء الدموي نفسهand + +239 +00:19:19,630 --> 00:19:23,310 +visceral to central nervous system أنا بحاجة + +240 +00:19:23,310 --> 00:19:26,330 +لإرسال message إنه يعمل على إنقباض الأوعية الدموية + +241 +00:19:26,330 --> 00:19:29,170 +لإنه في عندي bleeding في المكان، نظيف فبالتالي + +242 +00:19:29,170 --> 00:19:32,410 +بترسل message إنه إلحقني يا central nervous system + +243 +00:19:32,410 --> 00:19:36,330 +إرسل message الvisceral sense اللي هو أو الإحساس + +244 +00:19:36,330 --> 00:19:40,570 +بالأحشاق primarily include في ال temperature وكذلك + +245 +00:19:40,570 --> 00:19:43,470 +ال stretching زي ما حكينا ال example في ال organ + +246 +00:19:43,470 --> 00:19:49,780 +walls اللي هو في الجدران الوعائيةهذا ال sensory لا + +247 +00:19:49,780 --> 00:19:54,080 +ال visual أما ال motor يختلف تماما somatic motor + +248 +00:19:54,080 --> 00:19:58,560 +component اللي هي somatic طالما أنه motor فمعناته + +249 +00:19:58,560 --> 00:20:02,180 +الكلام أنه أنا بحكي على الجسدي conductive nerve + +250 +00:20:02,180 --> 00:20:06,920 +impulses to central nervous systemطبعا من ال + +251 +00:20:06,920 --> 00:20:10,600 +central somatic أنا بحكي و motor معناته هتيجي + +252 +00:20:10,600 --> 00:20:13,520 +المعلومات من ال central nervous system و تروح على + +253 +00:20:13,520 --> 00:20:16,740 +ال skeletal muscles بسميها voluntary nervous + +254 +00:20:16,740 --> 00:20:19,960 +system ليه؟ لأن ال skeletal muscles هي عبارة عن + +255 +00:20:19,960 --> 00:20:24,420 +العضلات الإيرادية أنا بإيرادتي برفع إيدي، بإيرادتي + +256 +00:20:24,420 --> 00:20:28,650 +بكتب، بإيرادتي بمسح اللوحمن الـ central أخدت + +257 +00:20:28,650 --> 00:20:32,150 +المعلومة أو أخدت ال message ال impulses طلعت من ال + +258 +00:20:32,150 --> 00:20:35,430 +central nervous system و إجت على ال hand muscles + +259 +00:20:35,430 --> 00:20:39,730 +أنه انقبضي و أكتبي على سبيل المثال هذا ال motor + +260 +00:20:39,730 --> 00:20:45,080 +divisionالـ Autonomic فمعناته الكلام إذا أنا حكيت + +261 +00:20:45,080 --> 00:20:48,000 +Autonomic معناته اللي هو عبارة عن إشي ذاتي + +262 +00:20:48,000 --> 00:20:51,260 +Internal organs Regulating لمن؟ ل ال smooth + +263 +00:20:51,260 --> 00:20:54,460 +muscles تنظيم لحركة الأمعاء الداخلية داخل الجسم + +264 +00:20:54,460 --> 00:20:59,140 +تنظيم لعضلة القلب تنظيم لأي مكان فيه ال smooth + +265 +00:20:59,140 --> 00:21:02,820 +muscles و ال cardiac muscles و ال glandinternal + +266 +00:21:02,820 --> 00:21:05,880 +organs هذا بيغذي مين ال internal organs الأعضاء + +267 +00:21:05,880 --> 00:21:09,600 +الداخلية ايضا ال smooth muscles و ال cardiac و + +268 +00:21:09,600 --> 00:21:14,100 +كذلك ال gland also known involuntary لاحظوا + +269 +00:21:14,100 --> 00:21:17,680 +الصناتك سميتها voluntary اما ال autonomic فانا + +270 +00:21:17,680 --> 00:21:22,880 +سميتها involuntaryهناك إيرادي لإنه ممكن أنا أحرك + +271 +00:21:22,880 --> 00:21:26,200 +ال hand تبعتي ولكن لا أستطيع التحكم في حركة + +272 +00:21:26,200 --> 00:21:30,020 +المعيدة لا أستطيع التحكم في حركة القلب فهو لا + +273 +00:21:30,020 --> 00:21:36,930 +إيرادي غير متحكم فيه تمام هذا ال motor divisionهذه + +274 +00:21:36,930 --> 00:21:41,510 +slide هي عبارة عن summary لكل اللي أنا حكيته قبل + +275 +00:21:41,510 --> 00:21:47,130 +قليل يعني ممكن احنا في اللي هو الملخصات تبعتنا + +276 +00:21:47,130 --> 00:21:52,610 +اليدوية تيجي حضرتك و تكتبي هذا اللي هو ال sheet ال + +277 +00:21:52,610 --> 00:21:56,850 +nervous system قسمه إلى sensory قسمه إلى motor + +278 +00:21:56,850 --> 00:22:02,150 +sensory معناته afferentو motor معناتها efferent + +279 +00:22:02,150 --> 00:22:06,670 +هنا بيعمل transmission للinformation to central + +280 +00:22:06,670 --> 00:22:10,490 +nervous system أما هنا transmit للinformation من + +281 +00:22:10,490 --> 00:22:14,950 +ال central nervous system لباقي الجسم قسمني ال + +282 +00:22:14,950 --> 00:22:19,510 +sensory إلى somatic و visceral نفس الكلام قسمليه + +283 +00:22:19,510 --> 00:22:23,930 +هنا ل somatic و autonomic فمعناته الكلام هي ملخص + +284 +00:22:23,930 --> 00:22:31,530 +جميل و رائع للدراسة يعني ممكن احنا نعتمد عليهاالان + +285 +00:22:31,530 --> 00:22:36,030 +بدي اجي للخلية العصبية تركيب وتشريح الخلية العصبية + +286 +00:22:36,030 --> 00:22:41,590 +تحتوي الخلية العصبية على أجزاء متعددة كنا اتكلمنا + +287 +00:22:41,590 --> 00:22:46,390 +عليها في فصل ال introduction الان هذا شكل الخلية + +288 +00:22:46,390 --> 00:22:52,990 +العصبية وهذا عبارة عن المحور هنا ال cell body وهنا + +289 +00:22:52,990 --> 00:22:58,130 +ال dendrites اللي هي الزوائد الشجرية تمام؟ + +290 +00:23:05,710 --> 00:23:09,970 +الانالنيرفستيشو يحتوي على مقطعين أول اشي حاجة + +291 +00:23:09,970 --> 00:23:14,250 +اسمها ال neurons اللي هي العصبون انتوا بتسموه + +292 +00:23:14,250 --> 00:23:19,090 +باللغة العربية العصبون تمام و glial cells الان ال + +293 +00:23:19,090 --> 00:23:23,950 +neurons هي عبارة عن خلايا قابلة للاستثارة الحسية + +294 +00:23:23,950 --> 00:23:28,150 +يعني لو اجيت انا بدبوس ممكن استثير اي خلية عصبية + +295 +00:23:28,890 --> 00:23:33,470 +initiated and transmitted لل nerve impulses تعمل + +296 +00:23:33,470 --> 00:23:41,070 +على إرسال و إبتداء اللي هو نقل الونضة العصبية ولكن + +297 +00:23:41,070 --> 00:23:43,830 +دي ال cells اللي هي ال part التاني من الخلايا + +298 +00:23:43,830 --> 00:23:48,110 +العصبية أو الأنسج العصبية not exitable cells خلايا + +299 +00:23:48,110 --> 00:23:52,390 +غير قابلة للاستثارة بتاتا جد ما أنا أعملها ردابوس + +300 +00:23:52,390 --> 00:23:59,240 +غير مستثارةما هي وظيفتها غليا سيلز؟ support and + +301 +00:23:59,240 --> 00:24:04,100 +protect للنيرونات وعنده هنشوف هل غليا سيلز هي + +302 +00:24:04,100 --> 00:24:10,200 +عبارة عن الخلايا الدبقية وظيفتها دعانة وحماية + +303 +00:24:10,200 --> 00:24:14,880 +للنيرونات بأكملها هنشوف كيف للنيرونات + +304 +00:24:15,920 --> 00:24:18,180 +ال structural and functional unit لل nervous + +305 +00:24:18,180 --> 00:24:23,680 +system هو عبارة عن الوحدة البنائية والتركيبية + +306 +00:24:23,680 --> 00:24:29,710 +للجهاز العصبيتحتوي على ال nerve cells البروسيز + +307 +00:24:29,710 --> 00:24:34,610 +اللي هي عن طريق ال dendrites زوائد الشجرية و كذلك + +308 +00:24:34,610 --> 00:24:39,850 +ال axon اللي هو عبارة عن هذا المحور الآن كنا + +309 +00:24:39,850 --> 00:24:43,630 +تحدثنا في chapter 1 في المقدمة على انه ال nervous + +310 +00:24:43,630 --> 00:24:49,410 +system irreversible يعني اي خلية ممكن تموت عندى لا + +311 +00:24:49,410 --> 00:24:53,540 +يمكن انتاج خلاية جديدةتمام؟ كل ال nervous system + +312 +00:24:53,540 --> 00:24:57,920 +سواء ال brain أو ال spinal cord فبالتالي أي خلية + +313 +00:24:57,920 --> 00:25:01,600 +بتموت لا يمكن إنشاء خلية جديدة غيرها اليوم إذا صار + +314 +00:25:01,600 --> 00:25:04,880 +في عنده أي wound في ال hand ممكن يلم الجلد و يصير + +315 +00:25:04,880 --> 00:25:09,080 +في عندي خلاية جديدة أما ال nervous system بعيد و + +316 +00:25:09,080 --> 00:25:12,540 +بكرر هو عبارة عن irreversible لا يمكن إنتاج خلاية + +317 +00:25:12,540 --> 00:25:17,950 +جديدةخليني أشوف إمتى .. ممكن أصير، شو مميزات اللي + +318 +00:25:17,950 --> 00:25:21,430 +هو للـ neurons؟ مميزات للـ neurons أول إشي إنه + +319 +00:25:21,430 --> 00:25:28,390 +high metabolic rate عمليات كبيرة وواسعة جدا، ما + +320 +00:25:28,390 --> 00:25:35,090 +اللي هو myotic لا انقسامأيضا have extreme + +321 +00:25:35,090 --> 00:25:39,510 +longevity أكيد طبعا هتعيش معانا العمر كله لإن مافي + +322 +00:25:39,510 --> 00:25:43,050 +خلايا هتتجدد يعني أنا مابحكي على سبيل المثال على + +323 +00:25:43,050 --> 00:25:47,310 +RBC خلايا الدم الحمراء أنه كل 120 يوم بيتم إنتاج + +324 +00:25:47,310 --> 00:25:49,850 +خلايا جديدة عندي أنا بتكلم على central nervous + +325 +00:25:49,850 --> 00:25:55,430 +system هو ال neurons ال neurons هاي مابتموت أو إذا + +326 +00:25:55,430 --> 00:25:58,930 +اتدمر إشي منها مابتمشي جديد أو إنتاج خلق شيء جديد + +327 +00:25:58,930 --> 00:26:04,440 +فبالتالي هي معمرة long activity حياتها طويلةومعمرة + +328 +00:26:04,440 --> 00:26:09,660 +الـ Neon Structural تركيبتها تيجي عندنا بمختلف + +329 +00:26:09,660 --> 00:26:12,840 +الأحجام و الأشكال All the neurons shared in + +330 +00:26:12,840 --> 00:26:16,240 +certain basic structure ولكن تشترك في تركيبة واحدة + +331 +00:26:16,240 --> 00:26:19,720 +خليني أشوف التركيبة اللي احنا أخدنا عنها قبل قليل + +332 +00:26:19,720 --> 00:26:24,720 +في عندي cell body و كلمة soma انا أخدتها قبل قليل + +333 +00:26:24,720 --> 00:26:28,360 +اللي هي جسد Dendrites اللي هي عبارة عن الزوائد + +334 +00:26:28,360 --> 00:26:32,490 +الشجرية و الaxon زي ما انتوا شايفينها هنافي عندي + +335 +00:26:32,490 --> 00:26:37,510 +اللي هو هذا اللي هو عبارة عن ال cell body وهي + +336 +00:26:37,510 --> 00:26:43,110 +عبارة عن ال dendrites اللي موجودة وهذا بداية اللي + +337 +00:26:43,110 --> 00:26:48,090 +هو ال axon تمام؟ أيضا في ال cell body تحتوي على ال + +338 +00:26:48,090 --> 00:26:51,270 +nucleus و ال nucleus و ال nasal body اللي هي + +339 +00:26:51,270 --> 00:26:55,010 +الحبيبات و كذلك في عندنا ال ribosomes و ال + +340 +00:26:55,010 --> 00:27:00,370 +cytoplasm و كل الأمور هذه من المكونات اللي هي ال + +341 +00:27:00,370 --> 00:27:05,240 +nervous cellsالـ Neuromussexual في الـ cell body + +342 +00:27:05,240 --> 00:27:10,520 +يحتوي الـ cell body على إيش؟ أو عناذا هو مسئول؟ + +343 +00:27:10,520 --> 00:27:14,860 +الآن جسم الخلية هو خليني أحكي الـ head تبع الخلية + +344 +00:27:14,860 --> 00:27:18,220 +مسئول عن إيش؟ عن استقبال + +345 +00:27:20,170 --> 00:27:27,110 +ومعالجة وإرسال المعلومة للبرين على سبيل المثال إذا + +346 +00:27:27,110 --> 00:27:31,450 +ال neuron control center بسميه هو عبارة عن وحدة + +347 +00:27:31,450 --> 00:27:37,070 +التحكم تبعتنا مسئول receiving بعدين integrating + +348 +00:27:37,070 --> 00:27:42,970 +بعدين sending للي هو المعالجة اللي صارتهذا كله وين + +349 +00:27:42,970 --> 00:27:46,910 +بيصير؟ في ال cell body فبالتالي مهم جدا يعني + +350 +00:27:46,910 --> 00:27:51,330 +الدمار في ال cell body معناته متت الخلية بخلاف ما + +351 +00:27:51,330 --> 00:27:56,010 +سأقوله بعد قليل إذا ال cell body بعتبره هو ال head + +352 +00:27:56,010 --> 00:28:02,110 +تبع ال nervous cells يحتوي أرض جسم الخلية على ال + +353 +00:28:02,110 --> 00:28:08,570 +plasma membranecytoplasm للنيوكلياس and النوية و + +354 +00:28:08,570 --> 00:28:12,830 +النوية chromophilic substance اللى هى ال nasal + +355 +00:28:12,830 --> 00:28:17,990 +body تمام المواد الصبغية و اللى فى ribosomes هى + +356 +00:28:17,990 --> 00:28:23,550 +كلها مكونات ال semibody تبع ال nervous cells تمام + +357 +00:28:23,550 --> 00:28:30,760 +اجى اشوف ال axon ال axon هو المحوررقم اتنين هاي + +358 +00:28:30,760 --> 00:28:35,700 +هذا المحور تبعنا هو عبارة عن ايش single process + +359 +00:28:35,700 --> 00:28:43,080 +extending من ال Axon hillock طبعا عبارة عن خط + +360 +00:28:43,080 --> 00:28:47,820 +حلزوني sometimes covered by fatty layers هذه ال + +361 +00:28:47,820 --> 00:28:53,070 +fatty layers اسمها غشاء او غطاء الميلينتمام عشان + +362 +00:28:53,070 --> 00:28:57,250 +سبحان الله ربنا يحميها للخلية العصبية راح يغطى ال + +363 +00:28:57,250 --> 00:29:01,470 +axon تبعها بال myelin sheet اللي هو غطاء ال myelin + +364 +00:29:01,470 --> 00:29:06,950 +conducts لل nerve impulses يعمل على نقل الومضة + +365 +00:29:06,950 --> 00:29:11,210 +العصبية من ال cell body لل neurons اللي بعدها هنا + +366 +00:29:11,210 --> 00:29:15,150 +ممكن تكون كمان ال neurons فبالتالي هو بينقلنا + +367 +00:29:15,150 --> 00:29:20,230 +علومة من هنا صارت الأمر هنا وبتم ماشي وبروح على + +368 +00:29:20,230 --> 00:29:26,920 +الخلية الأخرىالان هل أي ضرر في ال axon ممكن يصير + +369 +00:29:26,920 --> 00:29:31,940 +له إعادة إعمار أو إعادة بناء طبعا ولكن بشروط يعني + +370 +00:29:31,940 --> 00:29:35,900 +على سبيل المثال إنه أنا لو صار في عندي مشكلة في + +371 +00:29:35,900 --> 00:29:42,220 +هذا المكان في عندي شروط لإعادة إعماره هتحدث عليها + +372 +00:29:42,220 --> 00:29:46,860 +كمان قليل كمان شوية في عندنا اللي هو ال dentites + +373 +00:29:46,860 --> 00:29:50,440 +أكمل باقي اللي هو ال components الزلاقد الشجرية + +374 +00:29:51,360 --> 00:29:57,520 +الآن هذه الزوائد الشجرية ياما + +375 +00:29:57,520 --> 00:30:02,140 +بتكون متعددة الزوائد الشجرية ياما بتحتوي على واحدة + +376 +00:30:02,140 --> 00:30:08,810 +تعمل على إيش conduct توصينالومضة العصبية toward + +377 +00:30:08,810 --> 00:30:13,410 +the cell body، the neurons أما الـ Digital Intبعت + +378 +00:30:13,410 --> 00:30:18,370 +ال Dendrites من ال sensory receptors، بتستقبل هنا + +379 +00:30:18,370 --> 00:30:22,430 +في عندي زواق شجرية في الآخر بتكون تستقبل ال + +380 +00:30:22,430 --> 00:30:25,770 +sensory تمام؟ sensory receptors + +381 +00:30:28,540 --> 00:30:33,680 +أما هنا بترسل الومضة العصبية، إذا الـDendrites في + +382 +00:30:33,680 --> 00:30:40,940 +أن الـconduct لا تستقبل اللي هو الـsinus + +383 +00:30:40,940 --> 00:30:44,740 +الإشارة towards الـbody of the neurons أما + +384 +00:30:44,740 --> 00:30:47,760 +الـdigital N، Dendrites، sensory neurons are + +385 +00:30:47,760 --> 00:30:51,240 +receptors هي عبارة عن مستقبلات حسية في + +386 +00:30:51,240 --> 00:30:56,510 +الـDendrites، تمام؟ال classification تبعت لل + +387 +00:30:56,510 --> 00:31:00,970 +neurons كيف أنا ممكن أقسمها؟ هقسمها حسب التركيبة + +388 +00:31:00,970 --> 00:31:06,410 +وحسب ال function الأن ال sexual classification بدي + +389 +00:31:06,410 --> 00:31:11,370 +أقسمها حسب التركيبة إلى إيش؟ إلى عدد العمليات اللي + +390 +00:31:11,370 --> 00:31:15,630 +بتقوم فيها ال cell body تمام؟ إذا ال sexual + +391 +00:31:15,630 --> 00:31:18,950 +classification حسب العمليات اللي بيقوم فيها ال + +392 +00:31:18,950 --> 00:31:27,480 +cell body في عندي unipolar وحاديتالقطب وفي عندي + +393 +00:31:27,480 --> 00:31:35,480 +ثنائية القطب ومتعددة الأقطاب وحادية القطب اللي هي + +394 +00:31:35,480 --> 00:31:41,520 +ال neuron has single process تحتوي على عملية واحدة + +395 +00:31:41,520 --> 00:31:47,220 +فقط أما البالبولر فهي ال neurons أو العصبون بيشتغل + +396 +00:31:47,220 --> 00:31:53,980 +عمليتين لأنه ثنائي القطب أما متعددة الأقطابmulti + +397 +00:31:53,980 --> 00:32:00,440 +فمعناته ان هي تشتغل تلاتة ثم أعلى من ال process + +398 +00:32:00,440 --> 00:32:06,460 +إذا قسمتهم إلى unipolar, bipolar و multipolar + +399 +00:32:06,460 --> 00:32:11,420 +خليني أشوف أين موجودين الآن ال unipolar تشتغل one + +400 +00:32:11,420 --> 00:32:15,450 +process زي ما انتوا شايفينها في الصورةيعني هيها + +401 +00:32:15,450 --> 00:32:21,630 +هذه الـ unipolar فقط بتشتغل على process واحدة اللي + +402 +00:32:21,630 --> 00:32:27,110 +هي موجودة في الجنجيلية تمام أما ال bipolar فهي + +403 +00:32:27,110 --> 00:32:32,550 +عبارة عن عمليتين بتشتغل هنا و هنا موجودة في العين + +404 +00:32:32,550 --> 00:32:39,540 +ال Iو ال ears و ال nose أيضًا bipolar أما ال + +405 +00:32:39,540 --> 00:32:43,840 +multipolar فهي من ال process بمعظم عمليات ال + +406 +00:32:43,840 --> 00:32:49,280 +central nervous system بتكون multipolars موجودة + +407 +00:32:49,280 --> 00:32:54,340 +عندنا تمام؟ هاي اللي هي تقسيمتها حسب ال structural + +408 +00:32:54,340 --> 00:33:01,280 +حكينا unipolar, bipolar و multipolarتمام هاي + +409 +00:33:01,280 --> 00:33:06,060 +تصويرها تحت ال microscope اللي هو الإلكتروني okay + +410 +00:33:06,060 --> 00:33:13,440 +الآن تقسيمتها حسب ال function أنا قسمت حسب اللي هو + +411 +00:33:13,440 --> 00:33:20,160 +ال structural هقسم حسب ال function احنا + +412 +00:33:20,160 --> 00:33:26,340 +ما زلنا في تقسيمة اللي هي ال + +413 +00:33:26,340 --> 00:33:32,890 +neuronsفي عندنا central وفي عندنا peripheral الآن + +414 +00:33:32,890 --> 00:33:38,890 +هقسمها إلى sensory neuron و motor و interneuron + +415 +00:33:38,890 --> 00:33:43,860 +تمام؟sensory على طول انا حكيت طالما في s وراها + +416 +00:33:43,860 --> 00:33:47,360 +مباشرة بيجي ال afferent واحنا حكينا ال afferent هي + +417 +00:33:47,360 --> 00:33:51,440 +عبارة عن مستقبل لكل الإحساس اللي هو جاني من برا + +418 +00:33:51,440 --> 00:33:59,840 +incoming تمام must are unipolar أكثرها أحدية القطب + +419 +00:34:00,710 --> 00:34:06,710 +carry impulses لأنها مستقبلات حسية تمام؟ وين بدها + +420 +00:34:06,710 --> 00:34:10,490 +تروح فيها؟ بدها تروح فيها لل central nervous + +421 +00:34:10,490 --> 00:34:17,290 +system some bipolars احنا حكينا most are أغلبها + +422 +00:34:17,290 --> 00:34:23,950 +أحادية القطب ولكن ممكن تكون عندى bipolarهلأ + +423 +00:34:23,950 --> 00:34:27,650 +تقسيمتها احنا حكينا حسب الـ function واحد اللي هو + +424 +00:34:27,650 --> 00:34:33,570 +Sensory، اتنين Inter-neurons الـ Inter-neurons + +425 +00:34:33,570 --> 00:34:38,250 +Inter معناته هتربط او هتكون حلقة وصل ما بين الـ + +426 +00:34:38,250 --> 00:34:44,190 +neurons، link neuron multiple او multipolar موجودة + +427 +00:34:44,190 --> 00:34:48,610 +داخل الـ central nervous system، هذه مميزتهارقم 3 + +428 +00:34:48,610 --> 00:34:53,530 +حسب تقسيمة لـ neuron في الـ function، هقسمها إلى + +429 +00:34:53,530 --> 00:34:58,650 +motor، إذا قسمت sensory، انت الـ neuron و motor + +430 +00:35:00,730 --> 00:35:05,770 +الموتور موتيبولر متعدد الأقطاب لإن الحركة بيحاجة + +431 +00:35:05,770 --> 00:35:12,590 +إلى كذا حاجة كرز إمبالس من الcentral لل effectors + +432 +00:35:12,590 --> 00:35:17,650 +إذا أنتوا فاكرين إذا الموتور بيشتغل عكس ال sensory + +433 +00:35:17,650 --> 00:35:22,470 +هنا هيكون العمل من ال central خلاص إحنا وصلتنا من + +434 +00:35:22,470 --> 00:35:27,830 +المستقبلات الحسية لل central و بعدين هتطلع على ال + +435 +00:35:27,830 --> 00:35:32,980 +effectorتمام؟ يعني خليني ألخصها هنا في كلمتين + +436 +00:35:32,980 --> 00:35:38,640 +sensory طلعلي عن طريق اللي هو ال sensory neurons + +437 +00:35:38,640 --> 00:35:45,620 +على ال central nervous system بعدين اللي هو راح + +438 +00:35:45,620 --> 00:35:52,220 +على ال effector في ال motor تمام؟Sensory عن طريق + +439 +00:35:52,220 --> 00:35:55,700 +الـ Sensory Neurons تمت المعالجة في الـ Central + +440 +00:35:55,700 --> 00:35:59,620 +Nervous System راح على ال motor أو راح على ال + +441 +00:35:59,620 --> 00:36:02,360 +effector عن طريق ال motor هنا عن طريق ال motor و + +442 +00:36:02,360 --> 00:36:09,660 +هنا effector اللي هو الحدث اللي صار تمام؟ Sensory + +443 +00:36:09,660 --> 00:36:13,840 +Receptors عن طريق ال Sensory Neurons تعالجت في ال + +444 +00:36:13,840 --> 00:36:16,920 +Central Nervous System بعدين عن طريق ال Motor + +445 +00:36:16,920 --> 00:36:23,300 +Neurons اتحولت إلى الالفكتورز هذا بالنسبة لتقسيم + +446 +00:36:23,300 --> 00:36:27,640 +النيورون حسب ال structural وحسب ال function حسب ال + +447 +00:36:27,640 --> 00:36:31,260 +structural unipolar, bipolar, multipolar حسب ال + +448 +00:36:31,260 --> 00:36:35,520 +function sensory, motor و inter neurons تمام؟ + +449 +00:36:37,920 --> 00:36:43,520 +لأن هنا بعض اللي هي الصور لتوضيح المعلومات زي ما + +450 +00:36:43,520 --> 00:36:48,060 +احنا حكينا sensory بعدين بيصير عن طريق ال sensory + +451 +00:36:48,060 --> 00:36:51,840 +neurons راحت على ال central nervous system زي ما + +452 +00:36:51,840 --> 00:36:57,910 +انتوا شايفينصار في عنا اللي هو integrations أو صار + +453 +00:36:57,910 --> 00:37:00,810 +في عنا عملية اللي هي ال process اللي صارت بال + +454 +00:37:00,810 --> 00:37:05,170 +central nervous system و بعدين تم نقلها إلى ال + +455 +00:37:05,170 --> 00:37:09,890 +effectors عن طريق ال motor neurons اللي هو الحدث + +456 +00:37:09,890 --> 00:37:14,530 +أيضا نفس الكلام موجود عندي هنا اللي هو في حالة انه + +457 +00:37:14,530 --> 00:37:19,970 +صار في عندي لسمح الله مثلا إذا الإصبع عن طريق دبوس + +458 +00:37:19,970 --> 00:37:22,810 +شوفوا كيف بتتم العملية + +459 +00:37:25,030 --> 00:37:29,710 +نجي نشوف ال slide اللي بعدها ال nerves أو الأعصاب + +460 +00:37:29,710 --> 00:37:34,730 +الآن ال nervous أو الأعصاب هي عبارة عن ال organs + +461 +00:37:34,730 --> 00:37:38,250 +من ال peripheral nervous system في عندي ال sensory + +462 +00:37:38,250 --> 00:37:42,890 +معناته بيحمل كل ال sensory information ل ال + +463 +00:37:42,890 --> 00:37:50,110 +central nervous system أيضا ال motor او اللي هو + +464 +00:37:50,110 --> 00:37:56,510 +بيحمل الاللي حدث من الـ central إلى ال effectors + +465 +00:37:56,510 --> 00:38:01,090 +اللي هو ال muscle و ال gland و ال mixed nerve اللي + +466 +00:38:01,090 --> 00:38:06,010 +هي عبارة عن الأعصاب اللي بتحمل خاصية ال sensory و + +467 +00:38:06,010 --> 00:38:11,630 +كذلك خاصية ال motor يعني أنا ممكن أقسم الأعصاب إلى + +468 +00:38:11,630 --> 00:38:18,050 +ثلاث أقسام أساسية sensory و برمزلها بالرمز S motor + +469 +00:38:19,820 --> 00:38:24,680 +mixed اللي هي عبارة عن المشتركة أو ذات الصفات + +470 +00:38:24,680 --> 00:38:30,000 +المشتركة sensory حملت المعلومات من برا وطلعت فيهم + +471 +00:38:30,000 --> 00:38:34,360 +على ال central nervous system أما ال motor فهو حمل + +472 +00:38:34,360 --> 00:38:38,080 +المعلومات من ال brain وطلع فيهم على ال effectors + +473 +00:38:38,080 --> 00:38:42,700 +سواء كان skeletal أو muscles أو gland ال mixed + +474 +00:38:42,700 --> 00:38:47,440 +بيكون شايل الصفات المشتركة ما بين ال sensory و ال + +475 +00:38:47,440 --> 00:38:53,800 +motorالآن نهاية ال axon contact the other neurons + +476 +00:38:53,800 --> 00:38:58,900 +تمام؟ الآن في عندي حاجة اسمها الأزرار التشابكية أو + +477 +00:38:58,900 --> 00:39:04,630 +ما يسمى بـ synapse هي عبارة عن إيش؟الـ axon + +478 +00:39:04,630 --> 00:39:07,570 +transmitted لـ nerve impulses احنا اليوم ماعناش + +479 +00:39:07,570 --> 00:39:11,050 +خلية عصبية واحدة عندنا مئات البلايين بل ملايين من + +480 +00:39:11,050 --> 00:39:15,150 +اللي هي الخلايا العصبية فبالتالي لازم يكون في + +481 +00:39:15,150 --> 00:39:19,770 +عندنا أزرار تشابقية بين خلية وأخرى بسميها الـ + +482 +00:39:19,770 --> 00:39:23,930 +synapse هذا ال junction أو هذه الوصلة هي عبارة عن + +483 +00:39:23,930 --> 00:39:28,950 +الـ synapse اللي هي الأزرار التشابقية الآن في + +484 +00:39:28,950 --> 00:39:34,300 +تركيبةال peripheral nervous system في عندي اللي هو + +485 +00:39:34,300 --> 00:39:40,580 +ثلاثة أغضية لو أجيت أنا تحت المجهر وشوفت هذا الشكل + +486 +00:39:40,580 --> 00:39:45,200 +بعرف عبارة عن عصب peripheral nerve سواء طالع لي من + +487 +00:39:45,200 --> 00:39:49,980 +هنا أو طالع من هنا فيه له ثلاث أغضية الغطاء الأول + +488 +00:39:49,980 --> 00:39:54,880 +طول ما أنا بحكي كلمة إبي معناته above فوقهAb + +489 +00:39:54,880 --> 00:40:00,220 +neurons يعني معناتها فوقها، إذا هو الغطاء الخارجي + +490 +00:40:00,220 --> 00:40:05,960 +للعصب، اب لحالها بجسمها، و neuron هي عبارة عن + +491 +00:40:05,960 --> 00:40:12,380 +العصب و وابس للإنتر نيرف بيغطي كل العصب، لأنه + +492 +00:40:12,380 --> 00:40:19,310 +بغلفه كله غلافخالجي تمام؟ أما الـperi اللي هو + +493 +00:40:19,310 --> 00:40:24,350 +الـperineuron فمعناته warps للفسكولة of the tract + +494 +00:40:24,350 --> 00:40:29,760 +بيغلف هذه النطفة الحزمة العصبية اللي هناتمام + +495 +00:40:29,760 --> 00:40:35,280 +fiscula هي عبارة عن الحزمة العصبية okay بيغلف + +496 +00:40:35,280 --> 00:40:40,160 +الحزمة العصبية لحالها endo من الداخل endoneuron + +497 +00:40:40,160 --> 00:40:45,700 +معناته واربس لل individual axon بيغطي فقط المحور + +498 +00:40:45,700 --> 00:40:50,980 +الداخلي إذا في التركيبة التشريحية لل peripheral + +499 +00:40:50,980 --> 00:40:54,400 +nervous system أو لل nerve نفسه البريفرالي في عندي + +500 +00:40:55,730 --> 00:41:00,210 +pre-neuron و endoneuron ايه بي من نفسها وربسلان + +501 +00:41:00,210 --> 00:41:03,330 +اللي هو intern of nerves بيغطي كل العصر لإنه غلاف + +502 +00:41:03,330 --> 00:41:07,830 +خارجي أما ال pre-neuron فمعناته بس بيغطي الفسكولاة + +503 +00:41:07,830 --> 00:41:11,630 +اللي هي عبارة عن الحزمة العصبية نفسها و ال + +504 +00:41:11,630 --> 00:41:18,200 +endoneuron بيغطي ال axon لحاله تمام؟نيجي نشوف هي + +505 +00:41:18,200 --> 00:41:21,680 +كمان اللي هي صورة توضيحية أخرى هي الـ axon هنا + +506 +00:41:21,680 --> 00:41:27,340 +endoneuron هنا الفاسكولة هذه اللي هي perineuron و + +507 +00:41:27,340 --> 00:41:31,240 +فوق كل الغلاف أو كل هذا ال course اللي هو بسميه + +508 +00:41:31,240 --> 00:41:36,880 +خشن غلاف خشن بيغطي كل العصب هذه تركيبة تبعت + +509 +00:41:36,880 --> 00:41:41,260 +الأغطية لأن كنت حكيت أنا في بداية المحاضرة هل يتم + +510 +00:41:41,260 --> 00:41:49,580 +إصلاح أي عصبتم على سبيل المثال قطعه أو تم إذاقه + +511 +00:41:49,580 --> 00:41:56,400 +طبعا بتم ولكن بشروط معينة الان ال mature neurons + +512 +00:41:56,400 --> 00:42:02,420 +are in cable of cells division الخلية العصبية + +513 +00:42:02,420 --> 00:42:08,210 +الناضجة غير قابلة بتاتا على الإنقساماحنا حاكينا من + +514 +00:42:08,210 --> 00:42:13,130 +خواصة لا انقسام ميوزي ولا ميتوزي there are the + +515 +00:42:13,130 --> 00:42:17,050 +damage of nervous tissue can be permanent فبالتالي + +516 +00:42:17,050 --> 00:42:20,290 +أثبت المعلومة اللي أنا بحكي أن ال nervous system + +517 +00:42:20,290 --> 00:42:25,370 +reversible أي ضرر بيبقى سواء إذا كان الضرر كبير + +518 +00:42:25,370 --> 00:42:30,850 +بيبقى permanent دائم لل neurons اللي تحتوي على + +519 +00:42:30,850 --> 00:42:34,350 +limit capacity to repair themselves ال neurons + +520 +00:42:34,350 --> 00:42:39,220 +ستستطيع إصلاح نفسها ولكن بشروطشو الشروط هذه اللي + +521 +00:42:39,220 --> 00:42:45,240 +عنديه؟ انه إذا كان ال damage مش مبالغ فيه يعني ال + +522 +00:42:45,240 --> 00:42:49,220 +axel انقطع منه شوية هذا ال axel اللي ماشي صار في + +523 +00:42:49,220 --> 00:42:55,180 +cutting ممكن يصلح نفسه من نفسه إذا كانت الإصابة مش + +524 +00:42:55,180 --> 00:43:00,240 +في ال cell body ولا لل neuro limb اذا جسم الخلية + +525 +00:43:00,240 --> 00:43:04,440 +نفسه سليم ومتعافى وانا شرحت لما بدأنا في ال cell + +526 +00:43:04,440 --> 00:43:11,340 +body ان جد هي مهمةما صار في عندي scarring as not + +527 +00:43:11,340 --> 00:43:15,880 +occurred طبعا اليوم إيش هذا ال scar؟ ال scar هذا + +528 +00:43:15,880 --> 00:43:20,080 +على سبيل المثال هاي ال axon اللي موجود عندى صار + +529 +00:43:20,080 --> 00:43:23,900 +هنا cutting لل axon + +530 +00:43:24,810 --> 00:43:28,650 +الأن إذا تم إصلاحه بهذا الشكل، باللون الأزرق اللي + +531 +00:43:28,650 --> 00:43:32,410 +أنا عامله، معناته صارت توصل للخلية العصبية، صارت + +532 +00:43:32,410 --> 00:43:36,770 +توصل الومضة العصبية، ولكن إذا صار فيوج، اللي هو ال + +533 +00:43:36,770 --> 00:43:42,180 +axon، اللي هو scarأو scarring اللي هي عبارة عن + +534 +00:43:42,180 --> 00:43:47,840 +نضبة أو fibrostichio معناة الكلام صار فيه مشكلة في + +535 +00:43:47,840 --> 00:43:52,820 +ال conduction في التوصيل إذا عندي ثلاث شروط أساسية + +536 +00:43:52,820 --> 00:43:58,940 +لإنه يرجع اللي هو الخط العصبي للعمل أول إشي إن ال + +537 +00:43:58,940 --> 00:44:03,980 +damage is not extensive الدرر مش عالي جدا تاني إشي + +538 +00:44:03,980 --> 00:44:08,980 +اللي هو السمدة دي و اللي نيور لنا تمام تمام و بخير + +539 +00:44:08,980 --> 00:44:14,790 +و ماصار لهم أي مشكلةتالت اشي انه مافي scarring + +540 +00:44:14,790 --> 00:44:19,630 +صار، مافي اي ندبات او ندب لاللي هو العضو اللي + +541 +00:44:19,630 --> 00:44:23,430 +اتضرر لأنه هذا بعيق حركة اللي هو ال nerve impulses + +542 +00:44:23,430 --> 00:44:27,430 +ال regeneration لل axons طبعا ال peripheral + +543 +00:44:27,430 --> 00:44:31,510 +nervous system vulnerable قابلة لإن يصير فيها + +544 +00:44:31,510 --> 00:44:36,390 +cutting قابلة لإنه تتعرض لأي trauma الدمج هذا ممكن + +545 +00:44:36,390 --> 00:44:40,760 +يصير له regeneration إعادة إعمار إعادة بناءإذا + +546 +00:44:40,760 --> 00:44:44,300 +كانت نفس الكلام اللي حكينا عليه قبل شويه من الـ + +547 +00:44:44,300 --> 00:44:47,560 +Neuron للماء موجودة داخل الـ Cell Body تمام؟ + +548 +00:44:47,560 --> 00:44:53,460 +Remains مازالت موجودة جسم الخلية مازال موجود أيضا + +549 +00:44:53,460 --> 00:44:57,520 +الـ Peripheral Axon بـ Cerebral Regeneration + +550 +00:44:57,520 --> 00:45:02,900 +بيعتمد على ثلاثة عوامل أساسية إن كمية الدمج ما + +551 +00:45:02,900 --> 00:45:06,940 +تكونش عالية يعني الطرف الصغير بس انقطع من الـ Axon + +552 +00:45:07,960 --> 00:45:12,320 +الحاجة التالية أن الـ Neurohemocytes خلايا الجسم + +553 +00:45:12,320 --> 00:45:18,180 +الخلية ما زالت تفرز ل growth factors حتى ترجع تنمو + +554 +00:45:18,180 --> 00:45:23,080 +من أول و جديد طبعا ال simulation are autographs of + +555 +00:45:23,080 --> 00:45:28,260 +several axons حتى تقدر تطلع axon جديد زي البرعم + +556 +00:45:28,260 --> 00:45:32,720 +لما يطلع من الشجرة فيه برائم صغيرة بتبجي تطلع على + +557 +00:45:32,720 --> 00:45:38,930 +جانبهال distance ما بين اللي هو مكان الإصابة في ال + +558 +00:45:38,930 --> 00:45:43,490 +axon وال effector organs ما تكونش بعيدة يعني على + +559 +00:45:43,490 --> 00:45:50,230 +سبيل المثال أن المسافة ما بين موقع الإصابةالـ Axon + +560 +00:45:50,230 --> 00:45:53,710 +اللي رايح يوصّل الحدث ما تكونش بعيدة، عشان أنا + +561 +00:45:53,710 --> 00:45:58,270 +يعني شغالة بـ 50% من العصب، فبالتالي ما بدي أضيع + +562 +00:45:58,270 --> 00:46:02,310 +جهد اللي هو الـ nerve في توصيل هذه الـ impulses + +563 +00:46:02,310 --> 00:46:07,510 +تمام؟ هل أهم العوامل للـ degeneration إعادة إعمار + +564 +00:46:07,510 --> 00:46:13,020 +الـ axon إذا صار فيه damage؟الآن الـ Regeneration + +565 +00:46:13,020 --> 00:46:18,780 +للـ Neurons للعصبون ممكن يصير في عندي إعادة إعمار + +566 +00:46:18,780 --> 00:46:23,660 +إذا كان لا infection مافي التهاب العصب بيصلح حاله + +567 +00:46:23,660 --> 00:46:27,920 +من حاله partially cutting و أنا هنا بحط مية خط + +568 +00:46:27,920 --> 00:46:32,400 +أحمر عليها ماقلت completely قلت partially + +569 +00:46:32,400 --> 00:46:36,860 +partially يعني قطع جزء ايه الـ Neuro هما is + +570 +00:46:36,860 --> 00:46:43,490 +contact أو intact سليمةإذا عندي تلاتة عوامل أساسية + +571 +00:46:43,490 --> 00:46:48,590 +في ال regeneration للي ال neurons اللي هي انه ال + +572 +00:46:48,590 --> 00:46:56,150 +no infection مافي عندي اللي هو partially لل cut of + +573 +00:46:56,150 --> 00:47:01,810 +axons طبعا قطأ جزئي ال neuron is intact سليما ال + +574 +00:47:01,810 --> 00:47:08,910 +regeneration بتبدأ من ال cell body طبعا إذا كانت + +575 +00:47:09,610 --> 00:47:15,350 +محافظة على شكلها ومكانها الـ New Fibrial أو اللي + +576 +00:47:15,350 --> 00:47:19,590 +هو الـ Axon Spots أو بنسمي البُلؤم الصغير أو + +577 +00:47:19,590 --> 00:47:22,130 +المقطع الصغير من الـ Axon اللي أنا حكيتلكم ممكن + +578 +00:47:22,130 --> 00:47:27,270 +ينمو حاجة صغيرة of the central stump، stump اللي + +579 +00:47:27,270 --> 00:47:32,190 +هو عبارة عن الـ Axon المقطوع، المحوراللي صار فيه + +580 +00:47:32,190 --> 00:47:36,710 +ضرر المقتولة خليني أحكي عنه تمام من تحت منه بيطلع + +581 +00:47:36,710 --> 00:47:41,890 +axon صغير زي البرعن اللي بيطلع من الساق they enter + +582 +00:47:41,890 --> 00:47:45,690 +the neural lymph tube extend to the digital cut + +583 +00:47:45,690 --> 00:47:49,530 +end of nerves اللي بيطلع منه هذا مثلا ال axon اللي + +584 +00:47:49,530 --> 00:47:54,570 +انقطع تمام من هنا ممكن يطلع منه اللي هو ال axon + +585 +00:47:54,570 --> 00:48:02,020 +spots اللي هو عبارة عن نقطة صغير جدامقطع صغير، + +586 +00:48:02,020 --> 00:48:06,580 +تمام؟ عشان يواصل النمو فيما بعد لأن هنا في دراسة + +587 +00:48:06,580 --> 00:48:10,820 +عملت على ال human is slow process ال regeneration + +588 +00:48:10,820 --> 00:48:14,700 +بتكون بطيئة جدا أو إعادة البناء والإعمار في + +589 +00:48:14,700 --> 00:48:20,200 +الإنسان بتكون بطيئة جدا طبعا دراسة عملت مع مقارنة + +590 +00:48:20,200 --> 00:48:24,600 +بالي هو ال rabbits اللي موجودة أو الأرانب مش كتير + +591 +00:48:24,600 --> 00:48:28,420 +بتهمنا احنا خلينا بس نعرف ان شو العوامل المهمة + +592 +00:48:28,420 --> 00:48:34,310 +عندنا لإعادة بناء للـ neurons تمام؟ أخدنا كيف + +593 +00:48:34,310 --> 00:48:39,890 +إعادة بناء اللي هي ال axon أخدنا كيف بناء اللي هو + +594 +00:48:39,890 --> 00:48:44,650 +ال nerve fibers وعرفنا شو هي الظروف أو ال factors + +595 +00:48:44,650 --> 00:48:52,030 +اللي لازم تكون مهمة جدا لـعادة البناءة في كل + +596 +00:48:52,030 --> 00:48:56,630 +الأحوال لازم للـ Neurolima تكون موجودة و بشكلها + +597 +00:48:56,630 --> 00:49:03,190 +وجسم الخلية السليم أنه مايكونش الدرر كبير جدا + +598 +00:49:03,190 --> 00:49:08,850 +المسافة بين موقع الحدث اللي هو موقع الإصابة و ال + +599 +00:49:08,850 --> 00:49:12,370 +nerve supply اللي رايحلها ماتكونش بعيدة على الأغلب + +600 +00:49:12,370 --> 00:49:15,670 +دائما مايكونش في infection و مايكونش صرفي عنها + +601 +00:49:15,670 --> 00:49:21,530 +scar تشرونهنا هاي ال slides بتوضحلكم كيف أنه لو + +602 +00:49:21,530 --> 00:49:25,390 +كان في عندي أي إصابات كيف أنه بتصير اللي احنا + +603 +00:49:25,390 --> 00:49:30,070 +العوامل اللي حكينا عليها شو ال neuralgia؟ ال + +604 +00:49:30,070 --> 00:49:35,870 +neuralgia هي عبارة عن العقد العصبي تمام؟ there is + +605 +00:49:35,870 --> 00:49:41,510 +no connective tissue اختصار CT اللي هو عبارة عن ال + +606 +00:49:41,510 --> 00:49:47,570 +connective tissue لا تحتويالـ nervous system على + +607 +00:49:47,570 --> 00:49:53,470 +أي نسيج ضام، سبحان الله، ربنا استبدله بالنيرالجيا، + +608 +00:49:53,470 --> 00:49:59,090 +إذا لا أنسجة ضامة في الـ central nervous system, + +609 +00:49:59,850 --> 00:50:04,230 +in fact there are bineuralgia تم استبدالها + +610 +00:50:04,230 --> 00:50:08,370 +بالنيرالجياشو وظيفة الـ Neuralgia؟ Supporting + +611 +00:50:08,370 --> 00:50:11,830 +للتشو مابين ال neurons في ال central nervous + +612 +00:50:11,830 --> 00:50:17,570 +system كيف بدي أفوت connective tissue داخل ال + +613 +00:50:17,570 --> 00:50:20,530 +brain على سبيل المثال؟ لأ ربنا سبحانه وتعالى + +614 +00:50:20,530 --> 00:50:25,010 +استعودهم أو استبدلهم بحاجة اسمها ال neuralgia تعمل + +615 +00:50:25,010 --> 00:50:28,230 +على تدعيم لل neurons مع بعض هالبعض في ال central + +616 +00:50:28,230 --> 00:50:32,490 +nervous system و اللي هو في ال brain و ال spinal + +617 +00:50:32,490 --> 00:50:37,190 +cord تمام؟الأن، شو وظائف لـ Neuralgia؟ خايلة + +618 +00:50:37,190 --> 00:50:41,110 +Neuralgia تحت اللي هو تصوير المجهر الإلكتروني، + +619 +00:50:41,110 --> 00:50:45,810 +طبعا، بيانلنا إياها، شو الـ function؟ وظائف لـ + +620 +00:50:45,810 --> 00:50:50,850 +Neuralgia، أول حاجة support للـ neurons، تعمل على + +621 +00:50:50,850 --> 00:50:55,330 +تدعيم اللي هي العصبون، similar function في ال + +622 +00:50:55,330 --> 00:51:01,430 +connective tissue اللي أحنا أخدناها في الخلاياform + +623 +00:51:01,430 --> 00:51:06,850 +mining sheet حكينا بغطي عصبان بغطي أكسون في الخلية + +624 +00:51:06,850 --> 00:51:13,010 +العصبية 30 layers اسمها ال mining sheet act + +625 +00:51:13,010 --> 00:51:19,030 +insulters اللي هي تعمل كعازللألينيورونز، مابين + +626 +00:51:19,030 --> 00:51:23,550 +الالينيورونز Light Retief، وظيفتها غذائية وتغذية + +627 +00:51:23,550 --> 00:51:29,990 +للعصبان Defense Mechanism، تعمل على خط دفاع من أي + +628 +00:51:29,990 --> 00:51:34,370 +هجوم، هذه اللي هي عياش للنيورالجيا، أيضا بتساعد في + +629 +00:51:34,370 --> 00:51:37,710 +ال regeneration اللي احنا كنا حاكينا عليه قبل قليل + +630 +00:51:37,710 --> 00:51:44,730 +ابتفز ال CSF اللي هو سائل النخاع الشوكي، هناخد عنه + +631 +00:51:44,730 --> 00:51:49,600 +ان شاء الله في ال spinal cordاللي هو cerebro + +632 +00:51:49,600 --> 00:51:51,980 +spinal + +633 +00:51:54,380 --> 00:52:01,640 +fluid تمام CSF هذا السائل اللي بيجري داخل ال brain + +634 +00:52:01,640 --> 00:52:08,320 +و ال spinal cord بتم أخذ عينة منه لفحص إذا كان هذا + +635 +00:52:08,320 --> 00:52:13,460 +الطفل على سبيل المثال أو هذا المريض مصاب بحمى + +636 +00:52:13,460 --> 00:52:17,440 +شوكية أو لأ هنشرح عنه ان شاء الله باسهاب أكثر في + +637 +00:52:17,440 --> 00:52:23,750 +اللي هو ال spinal cordالستة functions أو السبع + +638 +00:52:23,750 --> 00:52:27,850 +functions لها ال neuralgia مهمين ما تحتوي ال + +639 +00:52:27,850 --> 00:52:30,990 +neurons على أي connective tissue اللي استبدلها + +640 +00:52:30,990 --> 00:52:36,550 +ربنا سبحانه وتعالى بال neuralgia أيضا بتشتغل هذه + +641 +00:52:36,550 --> 00:52:42,330 +السبع وظائف أساسية وبهيك يعطيكم العافية بكون أنا + +642 +00:52:42,330 --> 00:52:45,410 +خلصت جزئية ال nervous system part واحد + diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/k7UijMjwP-c_raw.json b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/k7UijMjwP-c_raw.json new file mode 100644 index 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المعلومات من تقسيم التقسيم الركزي للنظام الركزي نفس الكلام بنعيده، يعني ال motor له تقسيمات و ال sensory له تقسيمات", "tokens": [2407, 27233, 12399, 6024, 48506, 2423, 27233, 4724, 1829, 35571, 1211, 9673, 30241, 20498, 9307, 9154, 6055, 4587, 3794, 32640, 16712, 4587, 3794, 32640, 2423, 31747, 11622, 1829, 24976, 1863, 19913, 10943, 2423, 31747, 11622, 1829, 8717, 36178, 2423, 28820, 10943, 44945, 3615, 25708, 3224, 12399, 37495, 22653, 2423, 5932, 46740, 6055, 4587, 3794, 32640, 9307, 4032, 2423, 27233, 46740, 6055, 4587, 3794, 32640, 9307], "avg_logprob": -0.365056831276778, "compression_ratio": 1.75, "no_speech_prob": 2.6226043701171875e-06, "words": [{"start": 799.01, "end": 799.37, "word": "و", "probability": 0.9443359375}, {"start": 799.37, "end": 800.61, "word": " sensory،", "probability": 0.3892822265625}, {"start": 800.61, "end": 801.03, "word": " الآن", "probability": 0.686279296875}, {"start": 801.03, "end": 801.19, "word": " ال", "probability": 0.9423828125}, {"start": 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عبارة عن إيش؟ Efferent معناته رايحة لعال إشي لبعيد Efferent للبعيد هذه الـ Efferent بتحمل المعلومات كرز لل information من الـ Autonomic أو الأحشاء الvisceral effector زي السماث", "tokens": [6027, 39184, 6049, 12481, 299, 8717, 36178, 2423, 28820, 10943, 8978, 43242, 8315, 11331, 26108, 3660, 6049, 12481, 299, 426, 1978, 563, 8910, 13672, 1829, 39896, 6225, 3555, 9640, 3660, 18871, 2423, 39184, 5252, 50, 2423, 39184, 34192, 260, 317, 17183, 39896, 6225, 3555, 9640, 3660, 18871, 11933, 1829, 8592, 22807, 34192, 260, 317, 20449, 8315, 47395, 12602, 47302, 5016, 3660, 5296, 3615, 6027, 11933, 8592, 1829, 5296, 3555, 3615, 25708, 34192, 260, 317, 24976, 3555, 3615, 25708, 29538, 2423, 39184, 34192, 260, 317, 39894, 35571, 1211, 9673, 30241, 20498, 9307, 9122, 2288, 11622, 24976, 1589, 9154, 2423, 39184, 6049, 12481, 299, 34051, 16247, 5016, 8592, 16606, 2423, 4938, 47879, 1802, 284, 30767, 1829, 21136, 2304, 5718, 104], "avg_logprob": -0.28072479993355376, "compression_ratio": 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"text": "القطب وفي عندي ثنائية القطب ومتعددة الأقطاب وحادية القطب اللي هي ال neuron has single process تحتوي على عملية واحدة فقط أما البالبولر فهي ال neurons أو العصبون بيشتغل عمليتين لأنه ثنائي القطب أما متعددة الأقطاب", "tokens": [6027, 47432, 3555, 4032, 41185, 18871, 16254, 38637, 1863, 16373, 10632, 25062, 9566, 3555, 4032, 2304, 2655, 22488, 41891, 16247, 47432, 16758, 4032, 5016, 18513, 10632, 25062, 9566, 3555, 13672, 1829, 39896, 2423, 34090, 575, 2167, 1399, 6055, 33753, 45865, 15844, 6225, 42213, 10632, 36764, 24401, 3660, 6156, 47432, 5551, 15042, 29739, 6027, 3555, 12610, 2288, 6156, 3224, 1829, 2423, 22027, 34051, 18863, 9381, 3555, 11536, 4724, 1829, 8592, 2655, 17082, 1211, 6225, 42213, 36081, 9957, 5296, 33456, 3224, 38637, 1863, 16373, 1829, 25062, 9566, 3555, 5551, 15042, 44650, 22488, 41891, 16247, 47432, 16758], "avg_logprob": -0.1639802684909419, "compression_ratio": 1.8936170212765957, "no_speech_prob": 1.0728836059570312e-06, "words": [{"start": 1884.62, "end": 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واحدة اللي هي موجودة في الجنجيلية تمام أما ال bipolar فهي عبارة عن عمليتين بتشتغل هنا و هنا موجودة في العين ال I", "tokens": [40228, 22653, 39896, 11296, 29538, 2423, 39184, 517, 647, 15276, 6156, 47432, 39894, 8592, 2655, 17082, 1211, 15844, 1399, 36764, 24401, 3660, 13672, 1829, 39896, 3714, 29245, 23328, 3660, 8978, 25724, 1863, 7435, 26895, 10632, 46811, 10943, 5551, 15042, 2423, 42469, 6156, 3224, 1829, 6225, 3555, 9640, 3660, 18871, 6225, 42213, 36081, 9957, 39894, 8592, 2655, 17082, 1211, 34105, 4032, 34105, 3714, 29245, 23328, 3660, 8978, 18863, 9957, 2423, 286], "avg_logprob": -0.18012763538830717, "compression_ratio": 1.6265060240963856, "no_speech_prob": 3.159046173095703e-06, "words": [{"start": 1934.07, "end": 1934.63, "word": "يعني", "probability": 0.935546875}, {"start": 1934.63, "end": 1935.45, "word": " هيها", "probability": 0.524658203125}, {"start": 1935.45, "end": 1936.17, "word": " هذه", "probability": 0.166259765625}, {"start": 1936.17, "end": 1936.35, "word": " 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"language_probability": 1.0, "duration": 3165.831875, "duration_after_vad": 3083.7887499999892} \ No newline at end of file diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/vunAn31OhCQ_postprocess.srt b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/vunAn31OhCQ_postprocess.srt new file mode 100644 index 0000000000000000000000000000000000000000..dc839baf4821355ac68522c87a6a4b4956735b24 --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/vunAn31OhCQ_postprocess.srt @@ -0,0 +1,1900 @@ +1 +00:00:05,550 --> 00:00:08,310 +بسم الله الرحمن الرحيم والصلاة والسلام على أشرف + +2 +00:00:08,310 --> 00:00:11,930 +الأنبياء والمرسلين أهلا وسهلا فيكم طلابي الأعزاء + +3 +00:00:11,930 --> 00:00:17,870 +طالباتي العزيزات هتكلم اليوم في فيديو رقم 15 عن + +4 +00:00:17,870 --> 00:00:23,030 +system جديد اللي هو عبارة عن ال muscular system أو + +5 +00:00:23,030 --> 00:00:28,170 +ما يسمى بالجهاز العضليالان هذا الجهاز العضلي هو + +6 +00:00:28,170 --> 00:00:31,710 +تابع لل skeletal muscles اللي احنا اتكلمنا عن ال + +7 +00:00:31,710 --> 00:00:35,870 +bones اللي اتكلمنا بعده عن ال nerve اليوم هنتكلم + +8 +00:00:35,870 --> 00:00:40,830 +عن العضلات شو أنواعها و شو حركتها و كيف ممكن انا + +9 +00:00:40,830 --> 00:00:47,670 +اسميها و اهم ما في العضلات هنتحدث عليهم نبدأ على + +10 +00:00:47,670 --> 00:00:51,590 +بركة الله يحتوي جسم الإنسان على أكثر من ستمائة + +11 +00:00:51,590 --> 00:00:57,690 +عضلة في داخل جسمه40 ل 50% من ال body weight is + +12 +00:00:57,690 --> 00:01:01,570 +skeletal muscles طبعا الكتلة العضلية أو ال body + +13 +00:01:01,570 --> 00:01:05,710 +index مثلا اللي هو muscles أو كتلة العضلات بتشكل + +14 +00:01:05,710 --> 00:01:11,870 +وزن كبير جدا داخل جسم الإنسان ال muscles along + +15 +00:01:11,870 --> 00:01:15,910 +with the skeletal determine the form and contour + +16 +00:01:15,910 --> 00:01:24,040 +of the body شكل العضلاتتركيبتها بتحدد هيئة جسم + +17 +00:01:24,040 --> 00:01:29,440 +الإنسان، بنقول فلان مثلا مليئ ليه بتكون العضلات أو + +18 +00:01:29,440 --> 00:01:34,920 +اللي هو ال mass تبع العضلة أو كتلة العضلة عالية + +19 +00:01:34,920 --> 00:01:41,120 +جدا، تمام؟هي عبارة عن بعض الكتب ممكن تقولنا أنه ال + +20 +00:01:41,120 --> 00:01:44,940 +chapter العضلات لوحدهم و بعض كتب ال anatomy + +21 +00:01:44,940 --> 00:01:48,780 +بتسبقها أو بتلحقها مع ال skeletal فبالتالي ممكن + +22 +00:01:48,780 --> 00:01:51,820 +يسموها ال skeletal muscles أو ال muscle skeletal + +23 +00:01:51,820 --> 00:01:56,580 +system و بعضها لأ بفصلها في شباتر منفصلة عن بعضها + +24 +00:01:57,600 --> 00:02:02,200 +شو وظائف العضلات؟ ال skeletal muscles تعمل على ال + +25 +00:02:02,200 --> 00:02:06,740 +body movement من تين للبسترال بتحافظ على القوام + +26 +00:02:06,740 --> 00:02:10,240 +اللي احنا فيه على سبب ان اذا لو انا لصمح الله عندي + +27 +00:02:10,240 --> 00:02:16,500 +شلل او paralysis في جانبي الأيمن بلاقي انهالمنطقة + +28 +00:02:16,500 --> 00:02:20,500 +هي ليست في هذا القوام لأ ممكن تكون جيالي على + +29 +00:02:20,500 --> 00:02:24,920 +المنطقة الأضعف Stabilization لل joint تعمل هذه + +30 +00:02:24,920 --> 00:02:29,760 +العضلات على تثبيت المفاصل وكنا أخدنا احنا سابقا في + +31 +00:02:29,760 --> 00:02:35,140 +ان المفاصل الأكثر ثابتا او الاكثر stability هي اقل + +32 +00:02:36,190 --> 00:02:39,830 +حركة فبالتالي وين فيه عندي stabilization لل joint + +33 +00:02:39,830 --> 00:02:43,970 +بتتم تثبيته بال ligament، بال tendon و كذلك + +34 +00:02:43,970 --> 00:02:48,950 +بالعدلات ال body positions حركة الجسم أو وضعية + +35 +00:02:48,950 --> 00:02:54,010 +الجسم بيحددها الحركات اليوم أنا في حالة الصلاة + +36 +00:02:54,010 --> 00:02:58,750 +ممكن أركع ممكن أسجد ليه؟ اللي بيعطي هذا الاشي اللي + +37 +00:02:58,750 --> 00:03:03,570 +هو العضلاتGenerating للـ heat من وظيفة العضلات + +38 +00:03:03,570 --> 00:03:07,990 +أيضًا بتساعد على إنتاج الطاقة كيف بتساعد على إنتاج + +39 +00:03:07,990 --> 00:03:12,790 +الحرارة؟ اللي هي الطاقة الحركية اللي بتكون ناتجة + +40 +00:03:12,790 --> 00:03:16,930 +عن حركة الجسم والعضلات المسؤولة عن الحركة بتتم + +41 +00:03:16,930 --> 00:03:20,550 +تحويلها إلى طاقة حرارية هذه الطاقة الحرارية مهمة + +42 +00:03:20,550 --> 00:03:27,700 +لنا جدًا خصوصًا بفصل الشتاء5 functions لـ body + +43 +00:03:27,700 --> 00:03:33,680 +movement, body position, body position, body + +44 +00:03:33,680 --> 00:03:35,240 +position, body position, body position, body + +45 +00:03:35,240 --> 00:03:39,860 +position, body position, body positionفي عندي أربع + +46 +00:03:39,860 --> 00:03:46,440 +خصائص أساسية لحركة العضلات خليني أشوف إيش هي أول + +47 +00:03:46,440 --> 00:03:51,900 +خاصية عندنا اللي هي ال accessibility خاصية القدرة + +48 +00:03:51,900 --> 00:03:57,100 +على التحفيز والاستثارة تمام قدرة الأعضلة على + +49 +00:03:57,100 --> 00:04:03,230 +الاستثارة على سبيل المثالهي عبارة عن with + +50 +00:04:03,230 --> 00:04:10,190 +responsiveness قدرتها و قابلتها على الاستثارة لو + +51 +00:04:10,190 --> 00:04:14,810 +اجيت انا وصلت العضلة لازمها عصب لانه كنا اخدنا في + +52 +00:04:14,810 --> 00:04:18,850 +شدتر العصب انه في عندي neuromuscular coordination + +53 +00:04:19,650 --> 00:04:23,630 +فبالتالي هنا هيكون في عندي حاجة أو قابلية + +54 +00:04:23,630 --> 00:04:28,010 +للاستثارة العصبية و nerve way العضلة هما أكثر + +55 +00:04:28,010 --> 00:04:33,510 +حاجتين ممكن يؤدوا اللي هو الاستثارة العصبية هيصير + +56 +00:04:33,510 --> 00:04:39,410 +في عندي contractility الخاصية الثانية قدرتها على + +57 +00:04:39,410 --> 00:04:46,090 +الانقباض وظيفة العضلة contract and then relax + +58 +00:04:46,090 --> 00:04:54,620 +انقباض انبساطcauses the fiber to shorten وبحط تحت + +59 +00:04:54,620 --> 00:05:01,380 +shorten خط resulting in either pull in bones or + +60 +00:05:01,380 --> 00:05:06,460 +movement to specific body parts قدرة العضلة على + +61 +00:05:06,460 --> 00:05:11,560 +الإنقباض هي من أحد المميزات الأساسية اللي بتخصص + +62 +00:05:11,560 --> 00:05:12,300 +فيها العضلات + +63 +00:05:14,890 --> 00:05:19,770 +أنا بدي أعمل الـ bufflection، انثماء لمفصل الكوا، + +64 +00:05:19,770 --> 00:05:23,510 +هيك بيكون أنا وصلت للعصب أو وصلها العصب إنه + +65 +00:05:23,510 --> 00:05:27,690 +انقبضي، صار في عندي قصر في عضلة هنا اسمها + +66 +00:05:27,690 --> 00:05:32,210 +الـbiceps، ثنائية الرأس، هذه العضلة الـbiceps صار + +67 +00:05:32,210 --> 00:05:36,430 +فيها قصر تمام؟ shortening في ال muscles fiber + +68 +00:05:37,460 --> 00:05:42,200 +أعطتني بعد تلاتة اللي هي اسمها ال elasticity + +69 +00:05:42,200 --> 00:05:47,220 +المرونة أو الاستطالة هذه الاستطالة هي عبارة عن + +70 +00:05:47,220 --> 00:05:54,300 +عودة العضلة إلى وضعها الطبيعي بعد تأثير المؤثر + +71 +00:05:54,300 --> 00:05:59,750 +اللي هناأعطت العصب .. أعطى إشارة انقبضية عضلة الـ + +72 +00:05:59,750 --> 00:06:04,090 +biceps اللي هي العضلة الثنائية الرأس صار في عندها + +73 +00:06:04,090 --> 00:06:07,730 +contractility أو ما يسمى بال contractile أو ال + +74 +00:06:07,730 --> 00:06:14,350 +contraction انقباض معناته shortening بعدين ذالك + +75 +00:06:14,350 --> 00:06:18,890 +المؤثر صار في عندها العودة إلى وضعها الأصلي اللي + +76 +00:06:18,890 --> 00:06:24,660 +هو بعد خروج أو ذهاب المؤثربعدين في عندنا حاجة + +77 +00:06:24,660 --> 00:06:30,840 +اسمها ال extensively القدرة على التمدد والاستطالة + +78 +00:06:30,840 --> 00:06:35,420 +تمام؟ هنا عودتها ال elasticity عودتها لوضعها + +79 +00:06:35,420 --> 00:06:39,440 +الطبيعي أما ال extensively هي capability of + +80 +00:06:39,440 --> 00:06:44,220 +extending in length to response contraction of + +81 +00:06:44,220 --> 00:06:49,880 +opposingلحدث معاكس صار في ال muscle fiber خليني + +82 +00:06:49,880 --> 00:06:54,320 +أعطي example عشان نفهم الاستطالة friction في + +83 +00:06:54,320 --> 00:07:00,580 +القلبه أدى إلى shortening او قصر في ال muscles + +84 +00:07:00,580 --> 00:07:06,440 +بتلعت ال biceps ولكن بالمقابل في عندى عضلة خلفية + +85 +00:07:06,440 --> 00:07:10,960 +اسمها ال triceps عضلة ثلاثية الرأسإذا أنا زدت + +86 +00:07:10,960 --> 00:07:16,420 +الإنثمائي شوي، هتقصر ال bicycles بما هو كيس حيصير + +87 +00:07:16,420 --> 00:07:22,340 +فيه عندي استطاعة لهبتولي اللازم للعضلة المعاكسة + +88 +00:07:22,340 --> 00:07:26,440 +اللي هي ال triceps إذا في عندي biceps في عندي + +89 +00:07:26,440 --> 00:07:30,400 +triceps هنا صار shortening هنا صار lengthening + +90 +00:07:30,400 --> 00:07:36,180 +استطالة فبالتالي أنه بيصير حركة معاكسة قدرة الحركة + +91 +00:07:36,180 --> 00:07:41,440 +على التمدد بوضع عكس اللي هو الوضع اللي الحركة + +92 +00:07:41,440 --> 00:07:46,060 +المعاكسة أو العضلة المعاكسة فيهعندي أربع خصائص + +93 +00:07:46,060 --> 00:07:51,840 +للعضلات Extensibility، قدرتها على الاستثارة + +94 +00:07:51,840 --> 00:07:56,080 +Contractility، قدرتها على الإنقباض Elasticity، + +95 +00:07:56,080 --> 00:07:59,340 +قدرتها على العودة إلى وضعها الأصلي بعد الإنقباض + +96 +00:07:59,340 --> 00:08:05,460 +Inextensibility، قدرتها على الاستطالةتمام هنا + +97 +00:08:05,460 --> 00:08:10,240 +قدرتها على الاستثارة قدرتها على الإنقباض هنا + +98 +00:08:10,240 --> 00:08:14,960 +المرونة أو ما يسمى بيه اللي هو عودتها لوضعها + +99 +00:08:14,960 --> 00:08:20,460 +الطبيعي وهنا التمدد والاستطالة هذه الأربع مراحل أو + +100 +00:08:20,460 --> 00:08:26,960 +الأربع خصائص اللي بتكون موجودة في العضلة شو تركيبة + +101 +00:08:26,960 --> 00:08:33,100 +العضلة؟ تحتوي العضلة على أشياء مهمةأصلا باعتبرها + +102 +00:08:33,100 --> 00:08:36,920 +ال organs of the muscular system في عندنا ال + +103 +00:08:36,920 --> 00:08:40,620 +skeletal muscle tissue خصائص خاصة بحاجة إلى + +104 +00:08:40,620 --> 00:08:44,580 +nervous tissue أي عضلة هي بحاجة إلى nervous tissue + +105 +00:08:44,580 --> 00:08:49,300 +لإن كائن حي بدها توصيل عصبي عشان يكون في عندنا + +106 +00:08:49,300 --> 00:08:53,320 +neuro muscular coordination بحاجة ل blood فيها + +107 +00:08:53,320 --> 00:08:56,940 +connective tissue هذا ال connective tissue اللي هو + +108 +00:08:56,940 --> 00:09:00,720 +عبارة عن الأنسجة الدامة اللي بتكون موجودة تمام؟ + +109 +00:09:01,300 --> 00:09:04,720 +فيها الـ fascia، فيها الـ tendons، فيها الـ + +110 +00:09:04,720 --> 00:09:09,820 +aponeurosis الآن نهايت كل عضلة موجودة عندي في + +111 +00:09:09,820 --> 00:09:15,880 +الجسم بهذا الشكل نهايتها و بدايتها، يا إما بدي + +112 +00:09:15,880 --> 00:09:24,240 +أكون حبل رفيع وبسميه tendonwater أو بدي يكون هذا + +113 +00:09:24,240 --> 00:09:29,440 +ال sheet الأبيض عبارة عن شبكة أو أسورة بيضاء تمام + +114 +00:09:29,440 --> 00:09:35,240 +بسميه aponeurosisإذا يا إما في العضلات بتنتهيلي + +115 +00:09:35,240 --> 00:09:39,460 +بالغشاء العضلي بتنتهيلي أو العضلة بتنتهيلي بتنضم + +116 +00:09:39,460 --> 00:09:44,080 +water و اللي هو هيرتبط في ال bull marking اللي أنا + +117 +00:09:44,080 --> 00:09:48,400 +أعطيتكم إياها تمام على ال greater trochanter على + +118 +00:09:48,400 --> 00:09:52,560 +ال greater tubercle أو على ال helium أو على ال هنا + +119 +00:09:52,560 --> 00:09:57,340 +على سبيل المثال ال deltoid process كل هذه الأمور + +120 +00:09:57,340 --> 00:10:00,380 +أو ال bull marking اللي أنا حكيت عليهم هتلتصق في + +121 +00:10:00,380 --> 00:10:07,920 +العضلاتأو حينتهي بشيط شبكة أو صفيحة من الـ + +122 +00:10:07,920 --> 00:10:12,680 +Aponeurosis إذا عندي Aponeurosis وعندي تندن، تمام؟ + +123 +00:10:12,680 --> 00:10:18,280 +هاي هي عبارة عن تركيبة العضلةتمام ال skeletal + +124 +00:10:18,280 --> 00:10:21,860 +muscles are organs مختلفة في الأحجام و الأشكال و + +125 +00:10:21,860 --> 00:10:26,500 +الأعداد عندنا الطويلة عندنا القصيرة عندنا الثلاثية + +126 +00:10:26,500 --> 00:10:29,960 +الرأس عندنا الأحادية و عندنا أيضا الربعية الرأس زي + +127 +00:10:29,960 --> 00:10:33,340 +ال quadriceps ال skeletal muscles is composed of + +128 +00:10:33,340 --> 00:10:38,610 +cell تحتوي على خلاياEach cells is as a long as a + +129 +00:10:38,610 --> 00:10:43,110 +muscles تمام على امتداد العضلة، في عندي ال small + +130 +00:10:43,110 --> 00:10:48,270 +وفي عندنا ال large ال small 100 micrometers في ال + +131 +00:10:48,270 --> 00:10:53,310 +long و 10 micrometers in diameters تمام في طولها و + +132 +00:10:53,310 --> 00:10:56,970 +في عرضهاأما ال large فهي خمسة و تلاتين ال large + +133 +00:10:56,970 --> 00:11:00,870 +muscles خمسة و تلاتين في الطول و مية في ال micro + +134 +00:11:00,870 --> 00:11:03,870 +meters، centimeters بنحكي مش micro centimeters + +135 +00:11:03,870 --> 00:11:07,330 +يعني الناس اللي هتحكي relations فوق مية و تحت خمسة + +136 +00:11:07,330 --> 00:11:11,290 +و تلاتين لاحظ الوحدة اللي بعدها، تمام في ال + +137 +00:11:11,290 --> 00:11:16,750 +diameter عضلات صغيرة و عضلات كبيرة، تمام؟ لسكينة + +138 +00:11:16,750 --> 00:11:21,270 +ال muscles structural خليني أتكلم عليها هنا على + +139 +00:11:21,270 --> 00:11:25,990 +الرسمة تبعتنازي ما أخدنا في تركيب العصب إذا + +140 +00:11:25,990 --> 00:11:31,070 +فاكرينه ابنيورام و perineuram و embneuram هنا أيضا + +141 +00:11:31,070 --> 00:11:36,750 +في عندي في تركيبة الخلية العضلية أو في تركيبة ال + +142 +00:11:36,750 --> 00:11:41,270 +muscles fiber لها نفس الكلام الآن هذا ال tendon + +143 +00:11:41,270 --> 00:11:49,320 +اللي أنا حكيت عليه نهاية كل عضلة تمام في نهايةهذا + +144 +00:11:49,320 --> 00:11:53,300 +الـ tendon اللي موجود هذا هو عبارة عن الشيط الأبيض + +145 +00:11:53,300 --> 00:11:57,120 +اللي أنا حكيت عليه شيط أبيض هي موجود هنا في العضلة + +146 +00:11:57,120 --> 00:12:00,580 +و ممكن يكون عبارة عن الإسورة البيضاء هذه اللي هي + +147 +00:12:00,580 --> 00:12:05,060 +عبارة عن الـ aponeurosis الآن الغلاف اللي بيحيط في + +148 +00:12:05,060 --> 00:12:12,790 +كل ال muscles بسميه ال EPEB فوق لإنه بحيث فيها + +149 +00:12:12,790 --> 00:12:18,750 +كلها أما اللي بيغلف الحزمة العصبية أو حزمة الألياف + +150 +00:12:18,750 --> 00:12:25,170 +العصبية هذه الفاسكولة هو عبارة عن Piri تمام أما + +151 +00:12:25,170 --> 00:12:29,690 +اللي بيغلف اللي هو ال muscles fiber لحاله هو عبارة + +152 +00:12:29,690 --> 00:12:38,020 +عن حاجة اسمها Indoo إذا ترتيبهم Eاللي هي عبارة عن + +153 +00:12:38,020 --> 00:12:45,860 +E, B, P و الأخيرة اللي هي Endoendural خليني أشوف + +154 +00:12:45,860 --> 00:12:53,580 +تعريفهم بالظبطبدأني من الاندو اللي هو كان هنا هو + +155 +00:12:53,580 --> 00:12:57,500 +عبارة عن ايش الاندو؟ عبارة عن delicate membrane، + +156 +00:12:57,500 --> 00:13:02,020 +delicate connective tissue membrane غشاء خفيف رقيق + +157 +00:13:02,020 --> 00:13:06,520 +من ال connective tissue that covers لل specialised + +158 +00:13:06,520 --> 00:13:10,700 +skeletal muscles fibers لو جبت muscles لحالها خطأ + +159 +00:13:10,700 --> 00:13:18,490 +هنا لازم fibers للي في الواحدالـ Polyamnesium هي + +160 +00:13:18,490 --> 00:13:23,690 +عبارة عن tough connective tissue بيغل في الفاسكولة + +161 +00:13:23,690 --> 00:13:31,230 +الحزم العصبية تمام؟ أما الإبلي اللي هي ما يسمى فوق + +162 +00:13:31,230 --> 00:13:38,110 +أو حول أو خارجي curves شيط غطاء خشم covers لل + +163 +00:13:38,110 --> 00:13:43,830 +muscles as a whole كلها مع بعضها إذا أنا اختصرتهم + +164 +00:13:45,220 --> 00:13:50,920 +بإندو، بري، إبي إذا أنا أجيت من ال inner لل outer + +165 +00:13:50,920 --> 00:13:57,800 +هنا التركيبة تبعتي من ال inner لما تنزل تحت لل + +166 +00:13:57,800 --> 00:14:02,520 +outer أما لو حكالي ترتيبتهم من ال outer لل inner + +167 +00:14:02,520 --> 00:14:10,030 +فمعناته إبي، بري، إندوتفقنا و زي ما شفناهم على + +168 +00:14:10,030 --> 00:14:17,590 +الصورة وضحتلكم + +169 +00:14:17,590 --> 00:14:20,910 +إياها هذه الحاجة أنه أنا في رسمتي لأي skeletal + +170 +00:14:20,910 --> 00:14:25,990 +muscles بتنتهي هنا تندن وهنا كمان تنتهي تندن في + +171 +00:14:25,990 --> 00:14:32,660 +عنا ال AB اللي هو فوق العضلة كمان بيمتد هناهذا + +172 +00:14:32,660 --> 00:14:36,220 +اللي هو فوقها، فيه عندنا الـPeri اللي هو موجود في + +173 +00:14:36,220 --> 00:14:41,900 +الفاسكولة، وفي التالت اللي هو الاندو إيه بيه؟ + +174 +00:14:41,900 --> 00:14:46,240 +Peri، Indonesian، هذا الاشي كله يا إلا بيجيني في + +175 +00:14:46,240 --> 00:14:53,320 +النهاية بالتندن، يا إلا في Aponeurisis، okay؟ اللي + +176 +00:14:53,320 --> 00:15:00,940 +هو في نهاية الحاجة، نرجع تاني نشوف الصورةمن فوق زي + +177 +00:15:00,940 --> 00:15:05,400 +ما انا اتعمدت لأمسح الكلام من فوق هو EP Medium + +178 +00:15:05,400 --> 00:15:09,040 +طبعا course من ال connective tissue Tough يعني + +179 +00:15:09,040 --> 00:15:14,520 +غشاء سميك بعدين غطالت كل ال muscles as a whole أما + +180 +00:15:14,520 --> 00:15:18,500 +بالنسبة لل P فهي عبارة عن surrounding للمuscles + +181 +00:15:18,500 --> 00:15:25,310 +فاسكولة للحظمة الليفيةأيضًا الـ Endo غطّ عن ال + +182 +00:15:25,310 --> 00:15:28,970 +muscles fiber لحالها وهو عبارة عن delicate + +183 +00:15:28,970 --> 00:15:33,750 +membrane يعني غشاء خفيف هذه تركيبة العضلة تحت ال + +184 +00:15:33,750 --> 00:15:39,550 +microscope هنا بدي أجر أشوف تركيبتها من العضلة إلى + +185 +00:15:39,550 --> 00:15:44,190 +الحزمة العضلية أو ما يسمى الحزمة اللي فيها في + +186 +00:15:44,190 --> 00:15:48,030 +عندنا ال muscles في عندنا الفاسكولة في عندنا ال + +187 +00:15:48,030 --> 00:15:51,370 +muscles fibers اللي هي بين قوسين نفسها ال muscle + +188 +00:15:51,370 --> 00:15:51,870 +cells + +189 +00:15:58,310 --> 00:16:04,130 +tamam muscles, fascula, muscle fibers, myofibrial + +190 +00:16:04,130 --> 00:16:09,450 +ليف عضلي منه ينقسم إلى الليليفات أو اللي هي + +191 +00:16:09,450 --> 00:16:17,640 +بنسميها خيود الأكتين والميوسين تمام؟خيوط الأكتين + +192 +00:16:17,640 --> 00:16:22,700 +والميوسين عضلة فاسكولا muscle fibers و اللي ييف + +193 +00:16:22,700 --> 00:16:27,300 +العضلة بعدين تنزل تحت إلى خيوط الأكتين والميوسين + +194 +00:16:27,300 --> 00:16:30,360 +هاي ال bone هاي ال bone marking اللي أنا كنت بحكي + +195 +00:16:30,360 --> 00:16:34,540 +عليهم التنبون هو الغشاء الأبيض أما الفاسكولا هي + +196 +00:16:34,540 --> 00:16:37,960 +عبارة عن الحزمة اللي فيها طبعا covering ال muscles + +197 +00:16:37,960 --> 00:16:44,270 +منها الابيزيا والابيميزيا كلها الللحويصيلات أو + +198 +00:16:44,270 --> 00:16:48,450 +بنسميهم الحزم اللي فيها اللي انده لل muscles fiber + +199 +00:16:48,450 --> 00:16:52,050 +لحاله لو جينا شوفنا هي fascula بعدين في عندنا ال + +200 +00:16:52,050 --> 00:16:57,290 +muscles fiber لحاله و بعدين بننزل اخر اشي بعد ال + +201 +00:16:57,290 --> 00:17:02,430 +myofibrial بننزل ل ال filament تمام؟ كانت حاجة + +202 +00:17:02,430 --> 00:17:06,130 +كبيرة و بدأت تصغرلي شوحدة واحدة لحد ما وصلنا لتحت + +203 +00:17:06,130 --> 00:17:12,520 +خيوط الاكتين والميوسينهقسم لـ skeletal muscles إلى + +204 +00:17:12,520 --> 00:17:17,100 +أربع أنواع أساسية ممكن التقسيمة التبعتي according + +205 +00:17:17,100 --> 00:17:22,520 +to ترتيبة الحزم العصبية الحزم العضلية مع بعضها + +206 +00:17:22,520 --> 00:17:27,990 +البعضواللي هو الـ long axis تبعها by the way of + +207 +00:17:27,990 --> 00:17:31,710 +fascula organized أو by relation of fascula to the + +208 +00:17:31,710 --> 00:17:36,350 +tendon يعني ممكن أنا أقسمها حسب ترتيب الحزم + +209 +00:17:36,350 --> 00:17:40,950 +العصبية و ترتيبها داخل العضلة نفسها أو بعلاقة هذه + +210 +00:17:40,950 --> 00:17:46,830 +الحزم مع ال tendon اللي هو الموجود فيها في عندي + +211 +00:17:46,830 --> 00:17:52,130 +أربع patternممكن تكون هذه الحذام parallel مع الـ + +212 +00:17:52,130 --> 00:17:58,550 +long axis هذه العضلة ممكن يكونوا parallel معاها + +213 +00:17:58,550 --> 00:18:06,070 +ممكن تكون convergent اللي هي مروحية هنا متوازية + +214 +00:18:06,070 --> 00:18:12,870 +هذه الخطوط وممكن تكون ريشية بنت وممكن تكون دائرية + +215 +00:18:12,870 --> 00:18:19,140 +عندي أربع أنواع خليني أشوفهم واحدة واحدةالparallel + +216 +00:18:19,140 --> 00:18:22,720 +أن ال fibers parallel with two long axes of + +217 +00:18:22,720 --> 00:18:28,600 +muscles، بتكون الليوايفات العضلية متوازية مع بعضها + +218 +00:18:28,600 --> 00:18:32,720 +البعض، على سبيل المثال، معطيني هنا مثال ال biceps، + +219 +00:18:32,720 --> 00:18:38,710 +هذه العضلة ثنائية الرأسthe center of body thickens + +220 +00:18:38,710 --> 00:18:43,370 +بيكون النص زي ما انتوا شايفينه من هنا رفيعة أو من + +221 +00:18:43,370 --> 00:18:46,330 +هنا رفيعة لكن في المنتصف لو اجيت في مقطع عرضي + +222 +00:18:46,330 --> 00:18:54,350 +بلاجي أسمك من الطرفين طبعا هي هذه اسمها ال + +223 +00:18:54,350 --> 00:18:58,230 +parallel muscles ال parallel muscles contract + +224 +00:18:58,230 --> 00:19:03,090 +حوالي 30% بتنقضب في مقطعها أو في مقطعها العرضي زي + +225 +00:19:03,090 --> 00:19:09,410 +ما انتوا شايفينه 30%تمام؟ إذا أنا عطيت النوع + +226 +00:19:09,410 --> 00:19:13,710 +التاني convergent، معناته هو عبارة عن broad area، + +227 +00:19:13,710 --> 00:19:19,490 +منطقة واسعة أو عضلة جيانة على شكل المروحة، في ال + +228 +00:19:19,490 --> 00:19:22,090 +side، طبعا في ال attachment تبعها في ال tendon أو + +229 +00:19:22,090 --> 00:19:26,080 +الaponeuris أو الرفال muscles fiber pull in + +230 +00:19:26,080 --> 00:19:29,960 +different directions زي العضلة اللى موجودة هنا فى + +231 +00:19:29,960 --> 00:19:34,760 +اللى هو فوق القفص الصدري هي مسئولة عن حركة الإيد + +232 +00:19:34,760 --> 00:19:40,140 +مسئولة عن حركة الإيد فى كذا اتجاه اذا depending on + +233 +00:19:40,140 --> 00:19:44,580 +حسب ال simulation بتعتمد على حسب التحفيززي الـ + +234 +00:19:44,580 --> 00:19:46,960 +pectoralis muscles، هذه الـ pectoralis muscles + +235 +00:19:46,960 --> 00:19:51,900 +موجودة فوق ال ribs اللي موجودة عندها، هنا بسميها + +236 +00:19:51,900 --> 00:19:57,560 +convergent اللي هي عضلة مروحية أو عضلة طبعا + +237 +00:19:57,560 --> 00:20:01,520 +convergent، هاي اسمها ال pectoralis أو عضلة، هاي + +238 +00:20:01,520 --> 00:20:04,560 +المثال اللي عليها اللي هو عبارة عن ال pectoralis + +239 +00:20:04,560 --> 00:20:08,830 +muscles، فيها majors وفيها minorهي عبارة عن broad + +240 +00:20:08,830 --> 00:20:13,350 +area و بتختلف حسب اللي هو التحفيز اللي قدّاه + +241 +00:20:13,350 --> 00:20:17,430 +الهيئة زي ما انتوا شايفينها في الصورة البنت أو ما + +242 +00:20:17,430 --> 00:20:23,870 +يسمى الريشي العضله الريشية تختلف حسب الريشه تبعتها + +243 +00:20:23,870 --> 00:20:30,930 +ممكن بتكون uni, bi, multiإذا كانت يُنيب بنات + +244 +00:20:30,930 --> 00:20:35,870 +معناته الـ fibers in one side جاية عند الألياف في + +245 +00:20:35,870 --> 00:20:41,830 +اتجاه واحد تمام؟ زي الـ X-Sensor Digitorum وكلمة + +246 +00:20:41,830 --> 00:20:48,250 +Digitorum معناتها الأصابعهنا هذه اسم عضلة Extensor + +247 +00:20:48,250 --> 00:20:53,390 +Digitorum اسم عضلة إذا كان با البنات النوع التاني + +248 +00:20:53,390 --> 00:20:57,610 +من البنت الريشية اللي هي ال fibers جاني على ال + +249 +00:20:57,610 --> 00:21:03,310 +both sides في ال rectus femoris تمام؟ طلعت ال + +250 +00:21:03,310 --> 00:21:07,750 +multi-banets ال tendon branches within muscles + +251 +00:21:07,750 --> 00:21:11,790 +جاني في كل النواحي زي ال deltoid + +252 +00:21:14,300 --> 00:21:18,780 +هي الـ deltoid اللي بتكون هنا هيها أنا هنا عليها + +253 +00:21:18,780 --> 00:21:24,480 +فهذه اسمها عضلة الـ deltoid هنا biceps تحت triceps + +254 +00:21:24,480 --> 00:21:29,020 +و هنا الـ deltoid إذا النوع العضلة في الـ deltoid + +255 +00:21:29,020 --> 00:21:34,360 +هي عبارة عن multi-panet أما pectoral معناته + +256 +00:21:34,360 --> 00:21:39,520 +convergent إذا قلت ال extensor digitorum unibanet + +257 +00:21:39,520 --> 00:21:46,460 +و نركز في أسماء العضلاتالان أنواع ال contraction + +258 +00:21:46,460 --> 00:21:53,060 +في عندي انقباض للعدلة، بيحدث استطالة، قصر، + +259 +00:21:53,060 --> 00:21:58,860 +فامتداد، في عندي انقباض للعدلة، مابيحدث أي شيء + +260 +00:21:58,860 --> 00:22:05,980 +خلينا نشوف التعريف إذا أنا حكيت concentric، con + +261 +00:22:05,980 --> 00:22:11,160 +لحالها معناته مصاحب و قصر يعني shortening + +262 +00:22:11,160 --> 00:22:18,720 +contraction، قصرconcentric أما إذا حكيت eccentric + +263 +00:22:18,720 --> 00:22:24,100 +إيه معناته lengthening إنه أنا صار في عندي استطالة + +264 +00:22:24,100 --> 00:22:31,440 +و هيك هيك هي وظيفة العضلة contract relax قصر طول + +265 +00:22:31,800 --> 00:22:37,280 +تمام؟ لكن خليني أشوف شو أنواع ال contraction اللي + +266 +00:22:37,280 --> 00:22:42,080 +عندي في عندي نوعين أساسيين النوع الأول isometric + +267 +00:22:42,080 --> 00:22:49,960 +والنوع التاني isotonic لما أنا بحكي isometric ايزو + +268 +00:22:49,960 --> 00:22:57,480 +تعني متماثل تمام؟متماثل metric اللي هو الmeter + +269 +00:22:57,480 --> 00:23:02,500 +تبعنا إذا المعناته من الفهم isometric لا تغير في + +270 +00:23:02,500 --> 00:23:08,080 +الطول إن الطول بقى متماثل مثل ما كان عليه صار في + +271 +00:23:08,080 --> 00:23:13,080 +عندي muscle contraction انطباع للعدلة ولكن لا تغير + +272 +00:23:13,080 --> 00:23:19,540 +للطوللا يوجد تغيير للطول isometric لكن إذا أنا + +273 +00:23:19,540 --> 00:23:23,800 +حكيت النوع التاني اسمه isotonic فمعناته أن ال + +274 +00:23:23,800 --> 00:23:27,500 +muscles بيصير فيها contraction ولكن مع تغيير في + +275 +00:23:27,500 --> 00:23:32,660 +الطول لأن المتر اتغير اذا في عندي نوعين من ال + +276 +00:23:32,660 --> 00:23:39,860 +contraction في عندي isometric عن ال contraction في + +277 +00:23:39,860 --> 00:23:40,580 +منه نوعين + +278 +00:23:44,810 --> 00:23:56,450 +metric هنا isotonic هنا لا يحدث تغير في الطول أما + +279 +00:23:56,450 --> 00:24:05,630 +هنا يحدث تغير في الطول تمام؟ isometric، isotonic + +280 +00:24:06,810 --> 00:24:11,050 +muscles contract with no lengthening it change أما + +281 +00:24:11,050 --> 00:24:15,070 +هنا ال muscle contract with length it change تمام + +282 +00:24:15,070 --> 00:24:21,990 +هل اللي هي types of contraction الآن ال isotonic + +283 +00:24:21,990 --> 00:24:27,370 +بتتم تقسيمها إلى قسمين يحدث تغيير في الطول لإنه + +284 +00:24:27,370 --> 00:24:31,370 +اللي هي concentric اللي حكينا عليه و eccentric + +285 +00:24:31,370 --> 00:24:43,170 +shortening lengthening اتفقنااللي هو قصر و طول بدي + +286 +00:24:43,170 --> 00:24:48,250 +أشوف كيف إحنا ممكن نسمي العضلات زي ما سمينا + +287 +00:24:48,250 --> 00:24:53,310 +المفاصل أنا أيام ما كنت أحكي بدي أسمي مفصل ال + +288 +00:24:53,310 --> 00:24:56,450 +shoulder قلت ممكن أسميه على سبيل المثال + +289 +00:24:56,450 --> 00:24:59,970 +glenohumeral + +290 +00:24:59,970 --> 00:25:04,380 +jointعبارة عن إيش؟ عن الـ glenoid cavity مع الـ + +291 +00:25:04,380 --> 00:25:08,720 +head of الهيومي لصّخ إذا حسب ارتباط العضمتين مع + +292 +00:25:08,720 --> 00:25:13,340 +بعضهم البعض أنا بسمي الـ joint sternoclavicular + +293 +00:25:13,340 --> 00:25:20,780 +sacroiliac تمام؟ كده اللي كالعدلات ممكن أسميها حسب + +294 +00:25:20,780 --> 00:25:26,320 +ال location of body حسب موقعها في الجسم يعني + +295 +00:25:26,320 --> 00:25:29,200 +temporal muscles إذا كانت موجودة في ال temporal + +296 +00:25:29,200 --> 00:25:34,190 +areaحسب ميها، حسب ال origin و ال insertion، يعني + +297 +00:25:34,190 --> 00:25:39,830 +حسب البداية و النهاية للعضلاتمش أنا أخدت أنه لكل + +298 +00:25:39,830 --> 00:25:43,090 +عضلة فيه origin وفيه insertion يعني على سبيل + +299 +00:25:43,090 --> 00:25:48,770 +المثال زي اللي هو Geolossus muscles حسب ال origin + +300 +00:25:48,770 --> 00:25:52,630 +و ال insertion ممكن أسميها حسب الفاسكولا + +301 +00:25:52,630 --> 00:25:58,130 +organization حسب ترتيب الحزم العصبية زي إذا كانت + +302 +00:25:58,130 --> 00:26:02,010 +الحزم العصبية اللي هي straight أو transfer أو + +303 +00:26:02,010 --> 00:26:05,150 +oblique العضلات اللي موجودة في البطن هنا هي + +304 +00:26:05,150 --> 00:26:12,160 +oblique جاية بشكل مائلممكن أسميها حسب الموقع تبعها + +305 +00:26:12,160 --> 00:26:20,260 +إذا كانت externas، internas، eccentric وداخلي + +306 +00:26:20,260 --> 00:26:26,420 +وخارجي حسب داخل اللي هو superficial أو profundas + +307 +00:26:26,420 --> 00:26:31,820 +اللي هي سطحية وعميقة إذا ممكن أسميها حسب ال + +308 +00:26:31,820 --> 00:26:38,090 +positionsuperficiales الـ profundus عميق و ال + +309 +00:26:38,090 --> 00:26:42,370 +eccentric خارج الدسم و ال intense look inside خمسة + +310 +00:26:42,370 --> 00:26:46,910 +ممكن أسميها حسب ال structural of number of tendon + +311 +00:26:46,910 --> 00:26:54,710 +سمعتوني و أنا بحكي هنا في biceps في triceps العضلة + +312 +00:26:54,710 --> 00:26:58,870 +اللي موجودة في anterior of thigh quadriceps عضلة + +313 +00:26:58,870 --> 00:27:04,550 +ربعية الرأسحسب ال shape، يا إما بتكون deltoid، يا + +314 +00:27:04,550 --> 00:27:09,090 +إما رنبال، حسب التركيبة تبعتها All done ممكن أسمي + +315 +00:27:09,090 --> 00:27:14,690 +العضلة حسب ال size، حسب حجمها Large، very large، + +316 +00:27:14,690 --> 00:27:20,090 +huge، small، حسب ال size تبعها ممكن أسمي العضلة + +317 +00:27:20,090 --> 00:27:24,790 +حسب الحركةفي عضلة مره قررت علينا في Exer + +318 +00:27:24,790 --> 00:27:31,210 +Digitorum، Exer Digitorum، إذا حسب ال action تبعها + +319 +00:27:31,210 --> 00:27:36,890 +و وظيفتها، إذا ستة factors أو ست عوامل أنا من + +320 +00:27:36,890 --> 00:27:41,510 +خلالهم بستطيع أنه أنا أسمي العضلةحسب ال origin و + +321 +00:27:41,510 --> 00:27:45,690 +ال insertion، حسب ال action، حسب ال position، حسب + +322 +00:27:45,690 --> 00:27:48,970 +اللي هو ال fascicular organization، حسب ال action + +323 +00:27:48,970 --> 00:27:53,250 +تبعها، و ال general characteristic تبعت العضلة، + +324 +00:27:53,250 --> 00:27:58,890 +تمام؟ بعض المصطلحات اللي هنا ممكن أنا أسمي عليها + +325 +00:27:58,890 --> 00:28:04,340 +العضلةعلى سبيل المثال في عندي longus معناته long + +326 +00:28:04,340 --> 00:28:08,700 +طويلة، longanism longest tears قصيرة long and + +327 +00:28:08,700 --> 00:28:14,320 +round اللي هي طويلة ودائرية breathe short madness + +328 +00:28:14,320 --> 00:28:18,120 +معناتها large ال action ممكن أسميها حسب ال action + +329 +00:28:18,120 --> 00:28:23,200 +flexor extensor digitorum مثلاهنا ال major large، + +330 +00:28:23,200 --> 00:28:28,060 +ال maximum largest، minor small، minimus smallest + +331 +00:28:28,060 --> 00:28:33,140 +تمام؟ هاي بعض المصطلحات اللي أنا ممكن أسمي عليهم + +332 +00:28:33,140 --> 00:28:39,640 +اللي هي العضلة الآن في عندنا حاجة اسمها ال muscle + +333 +00:28:39,640 --> 00:28:46,530 +atrophyطفل صغير صار في عنده fractures حطينا ال + +334 +00:28:46,530 --> 00:28:52,590 +cast أو ال gypsum في الإيد لحد شهرين و هو في عنده + +335 +00:28:52,590 --> 00:28:57,870 +cast يعني immovable يعني هو مافي عنده أي حركة + +336 +00:28:57,870 --> 00:29:01,890 +طالما صار مافي أي حركة معناته أنه أنا بدي أتوقع + +337 +00:29:01,890 --> 00:29:06,670 +أنه صار في عندي weakness ضعف في العضلاتلأنه احنا + +338 +00:29:06,670 --> 00:29:10,050 +حكينا عشان انا حتى اقوي العظام مش العضلات كمان + +339 +00:29:10,050 --> 00:29:14,490 +العظام لازم يكون في عندي weight bearing وزن بنحكي + +340 +00:29:14,490 --> 00:29:19,590 +للام انه حملي وزن على ايدين او اجرين هذا الطفل فما + +341 +00:29:19,590 --> 00:29:22,170 +بالكم بالطفل هذا المكسور اللي قاعدلي في ال gyps + +342 +00:29:22,690 --> 00:29:26,610 +هيصير في عنده حاجة اسمها muscle atrophy هاي ال + +343 +00:29:26,610 --> 00:29:30,570 +muscle atrophy ضعف في العضلات هو عبارة عن ايش + +344 +00:29:30,570 --> 00:29:36,930 +reduction اختزال او نقص في ال muscle size في حجم + +345 +00:29:36,930 --> 00:29:42,390 +العضلة وال tone تبعها النغمة العضمية تبعتها وال + +346 +00:29:42,390 --> 00:29:47,210 +power كذلك في القوة العضليةإذا ال muscle atrophy + +347 +00:29:47,210 --> 00:29:52,010 +هو عبارة عن إيش؟ reduction أو decreasing ل ال + +348 +00:29:52,010 --> 00:29:56,690 +muscle size, tone and power نتيجة لإيش؟ due to + +349 +00:29:56,690 --> 00:30:00,830 +reduced stimulation مافي أي تحفيز، ماوصلها أي سيال + +350 +00:30:00,830 --> 00:30:06,810 +عصبي لانقضي الإيد ولا انبستي ولا ارفع ولا نزل هو + +351 +00:30:06,810 --> 00:30:11,470 +شهر وهو محطوط في ال cast مافي أي responseالـ loss + +352 +00:30:11,470 --> 00:30:16,650 +both mass and tone أيضا بتفقد العضلة كتلتها و + +353 +00:30:16,650 --> 00:30:21,480 +نغماتها العضليةال muscle become flaccid تصبح ضعيفة + +354 +00:30:21,480 --> 00:30:26,440 +جدا و كذلك ال muscles fiber بتصغر في حجمها + +355 +00:30:26,440 --> 00:30:29,960 +هتلاحظوا هذا الاشي بعد ما يفك هذا الطفل ال gyps + +356 +00:30:29,960 --> 00:30:33,660 +أنه لو أنا قارنت ال right بال left اللي صار فيها + +357 +00:30:33,660 --> 00:30:38,680 +الكسر مع السليمة هلاجي أن اللي صار فيها الكسر أضعف + +358 +00:30:38,680 --> 00:30:45,140 +وأقل سماكة تمام؟ هاي ال muscle أعترفيه نيجي نشوف + +359 +00:30:45,140 --> 00:30:50,490 +ال muscles اللي هوreduction of muscles even + +360 +00:30:50,490 --> 00:30:53,670 +temporary reduction in muscles used can lead + +361 +00:30:53,670 --> 00:30:57,650 +muscle atrophy ممكن أنا بعد ال exercise أو بعد + +362 +00:30:57,650 --> 00:31:01,870 +التمرين في ال physiotherapy بخليها ترجع لوضعها + +363 +00:31:01,870 --> 00:31:06,670 +الطبيعي طبعا بدها program كامل ال muscles hyper + +364 +00:31:06,670 --> 00:31:12,250 +atrophy كنت قبل قليل حكيت على hypo و hyper هنا + +365 +00:31:12,250 --> 00:31:16,450 +كلمة hyper تعني increasing زيادة hyper + +366 +00:31:20,970 --> 00:31:25,430 +زيادة السهم لفوق أما إذا كانت high بو فمعناته + +367 +00:31:25,430 --> 00:31:30,750 +السهم لتحت increasing في ال fiber size هو عبارة عن + +368 +00:31:30,750 --> 00:31:38,090 +زيادة في حجم ال fiber زيادة في الحجم وليس في العدد + +369 +00:31:39,130 --> 00:31:43,410 +ال muscle size may improve by exercise ممكن انا + +370 +00:31:43,410 --> 00:31:49,190 +هنا احسن عضلة الحركة العضلة بالحركة repetitive + +371 +00:31:49,190 --> 00:31:52,630 +executive stimulation of muscle fibers resulting + +372 +00:31:52,630 --> 00:31:58,130 +in more mitochondria large glycogen reservoir and + +373 +00:31:58,130 --> 00:32:01,830 +increase the ability to produce ATP اللي هو + +374 +00:32:01,830 --> 00:32:08,150 +الأدلسين ثلاثي الفسفات تمام؟الناس اللي عندها ال + +375 +00:32:08,150 --> 00:32:12,270 +muscle hypertrophy زيادة في حجم العضلة، معناة + +376 +00:32:12,270 --> 00:32:16,510 +الكلام أنه أنا ممكن عن طريق ال muscles exercise، + +377 +00:32:16,510 --> 00:32:21,250 +التمرين العلاجية اللي احنا بنعطيهمياها، بحسن دور + +378 +00:32:21,250 --> 00:32:25,010 +ال mitochondria و ال large، طبعا بتعرف العضلات + +379 +00:32:25,010 --> 00:32:31,250 +بتخزن ل glycogen زيهازي الكبد فبالتالي ممكن أنا + +380 +00:32:31,250 --> 00:32:35,550 +أحسن وضع ال glycogen فبالتالي أزيد القدرة على + +381 +00:32:35,550 --> 00:32:40,790 +إنتاج اللي هو ال ATP لاستخراج الطاقة + +382 +00:32:44,270 --> 00:32:48,510 +البشرال طبعا هنا حكينا أن دور العضلات مهم جدا في + +383 +00:32:48,510 --> 00:32:52,490 +المحافظة على هذا القوام اللي احنا فيه maintaining + +384 +00:32:52,490 --> 00:32:57,230 +البشرال is one major role of muscular system play + +385 +00:32:57,230 --> 00:33:01,430 +تمام ال good بشرال هذا أو الوضع السليم اللي انت + +386 +00:33:01,430 --> 00:33:05,250 +شايفين حالنا فيه هو نعمة من الله سبحانه وتعالى لو + +387 +00:33:05,250 --> 00:33:08,310 +شوفنا اي انسان في عنده paralysis ماكان هيقدر على + +388 +00:33:08,310 --> 00:33:12,930 +سبيل المثال يوقف في هاي الوقفة الصحيحةفبالتالي ال + +389 +00:33:12,930 --> 00:33:17,010 +good postural ناتج عن التوازن ما بين العضلات ال + +390 +00:33:17,010 --> 00:33:20,590 +right و ال left ال anterior و ال posterior تمام هو + +391 +00:33:20,590 --> 00:33:23,690 +حالة من الاتزان اللي احنا فيها keeping ال body + +392 +00:33:23,690 --> 00:33:27,830 +center of gravity over of base يعني بضلني محافظة + +393 +00:33:27,830 --> 00:33:31,890 +على توازني هذا مع الجاذبية الأرضية اللي انا واقف + +394 +00:33:31,890 --> 00:33:36,650 +عليها ال center of gravitycycle life لتتغير + +395 +00:33:36,650 --> 00:33:43,150 +العضلات طبعا مع تقدم العمر بتفقد العضلة اللي هي + +396 +00:33:43,150 --> 00:33:47,590 +قدرتها العضلية او قدرتها على القوة العضلية او اللي + +397 +00:33:47,590 --> 00:33:53,050 +هو ما بتبطل زي لما كان شاب هذا الشخص قبل خمسين سنة + +398 +00:33:53,050 --> 00:33:56,430 +life cycle changes when it's fight by component + +399 +00:33:56,430 --> 00:33:59,880 +and functional unitالـ infancy و ال childhood + +400 +00:33:59,880 --> 00:34:03,380 +coordinated and control ال muscles contraction + +401 +00:34:03,380 --> 00:34:08,920 +طبعا أفضل من اللي هو ال adult .. ال oldest أو اللي + +402 +00:34:08,920 --> 00:34:13,680 +هو ال geriatric المسنين طبعا اللي بيفقدوا قدراتهم + +403 +00:34:13,680 --> 00:34:17,840 +العضليةممكن يصير فيه عند الـ degenerative change، + +404 +00:34:17,840 --> 00:34:24,000 +تغيرات في اللي هو العضلات with non-functional + +405 +00:34:24,000 --> 00:34:26,620 +connective tissue طبعا ممكن يصير فيها الـ + +406 +00:34:26,620 --> 00:34:29,400 +diminished للـ strength، ال muscle power نفسها + +407 +00:34:29,400 --> 00:34:34,700 +ممكن تضعف نتيجة تقدم العمر لكن ممكن أنا بالرياضة + +408 +00:34:34,700 --> 00:34:40,560 +أظن محافظة على القوة العضلية، أهمش الرياضة والمشي + +409 +00:34:41,120 --> 00:34:44,740 +هلأ ال muscle cells كمان ممكن الخلايا العضلية تزيد + +410 +00:34:44,740 --> 00:34:48,340 +او تقل في العدد في الحجم في ال ability في + +411 +00:34:48,340 --> 00:34:51,480 +shortening في different periods في أوقات مختلفة + +412 +00:34:51,480 --> 00:34:55,960 +اليوم انت لاجي حالك منيحتلاقي عندك القوة العضلية + +413 +00:34:55,960 --> 00:34:59,460 +جيدة لكن انت اليوم مثلا بعد جهد في البيت بتلاقي + +414 +00:34:59,460 --> 00:35:04,920 +انه القدرة العضلية عندك أصبحت سيئة نتيجة اللي هو + +415 +00:35:04,920 --> 00:35:08,300 +الإجهاد العام على سبيل المثال pathologically + +416 +00:35:08,300 --> 00:35:11,780 +condition different periods may affect it كمان في + +417 +00:35:11,780 --> 00:35:16,420 +عندنا أمراض pathologically أو أمراض بنسميها مزمنة + +418 +00:35:16,420 --> 00:35:20,840 +بتأثر على ال muscular system في عندنا ال axial + +419 +00:35:20,840 --> 00:35:24,350 +system وفي عندنا الabendicular systemهدا فاكر شو + +420 +00:35:24,350 --> 00:35:29,950 +يعني أكزيال؟ head, chest, pelvic تمام، هدا أكزيال + +421 +00:35:29,950 --> 00:35:34,330 +الأبندكولار اللي هما ال peripheral joints أو ال + +422 +00:35:34,330 --> 00:35:38,210 +peripheral body part الأكزيال have both either + +423 +00:35:38,210 --> 00:35:42,450 +origin and insertion في الأكزيال ال skeleton طبعا + +424 +00:35:42,450 --> 00:35:45,830 +support and move للhead spinal column اللي لها + +425 +00:35:45,830 --> 00:35:49,810 +علاقة بكل الأكزيال بال functional وال assisting لل + +426 +00:35:49,810 --> 00:35:55,360 +food طبعا كل إشي في الأكزيالهو بيكون طبعا في ال + +427 +00:35:55,360 --> 00:35:58,480 +axial muscles support and protect لل abdominal + +428 +00:35:58,480 --> 00:36:02,780 +pelvic organs في عندنا ال appendicular muscles + +429 +00:36:02,780 --> 00:36:08,360 +اللي هي عبارة عن العضلات الطرفية اللي بتكون موجودة + +430 +00:36:08,360 --> 00:36:13,560 +وظيفتها حركة ال upper arm و ال lower limb بتعمل + +431 +00:36:13,560 --> 00:36:18,700 +stabilization للجسم ايضا organization لل group و + +432 +00:36:18,700 --> 00:36:23,460 +work group with together synergist andantagonist, + +433 +00:36:23,700 --> 00:36:27,640 +synergist اللي هي العضلات اللي بتساعد بعضها البعض + +434 +00:36:27,640 --> 00:36:31,480 +على سبيل المثال عندي عضلتين او اكثر بيشتغلوا ب + +435 +00:36:31,480 --> 00:36:36,660 +reflection تمام؟ و ال antagonist بتشتغل المعاكسة + +436 +00:36:36,660 --> 00:36:42,000 +زي العضلة اللي حكيت عليها اللي هي ال triceps بتكون + +437 +00:36:42,000 --> 00:36:48,200 +معاكسةللbiceps تمام هذه بنسميها antagonist اللي هي + +438 +00:36:48,200 --> 00:36:53,440 +العضلة المعاكسة هي ال abdicular هحكي على موضوع مهم + +439 +00:36:53,440 --> 00:36:57,300 +جدا اليوم انا عندي في حاجة اسمها ال IM injection + +440 +00:36:57,300 --> 00:36:59,400 +اللي هي الحقنة + +441 +00:37:01,150 --> 00:37:05,550 +العضلية ال glutus maximus أو العضلة الخلفية + +442 +00:37:05,550 --> 00:37:09,370 +الموجودة في ال batox هنا هي عبارة عن عضلة كبيرة + +443 +00:37:09,370 --> 00:37:13,510 +جدا تمام احنا اليوم لما بنعلم طلبتنا كيف يعطي + +444 +00:37:13,510 --> 00:37:19,110 +الحقنة العضلية بدي اعطيها في مكان خالي من اي nerve + +445 +00:37:19,110 --> 00:37:23,250 +احنا حكينا ان ال nerve طبعا بينتهي ال lumber + +446 +00:37:23,250 --> 00:37:27,710 +بينتهي ال spinal cord في L2 فبالتالي بعد هيك بيصير + +447 +00:37:27,710 --> 00:37:34,360 +في عندي أعصابطرفية جاية مش من الصح آجي أنا أعطي ال + +448 +00:37:34,360 --> 00:37:37,200 +injection الإبرة تابعة الحقنة هنا في النص لأنه + +449 +00:37:37,200 --> 00:37:42,940 +ممكن أؤذي أو أصاوب عصب اسمه sciatic nerve اللي هو + +450 +00:37:42,940 --> 00:37:49,640 +عبارة عن العصب اللي هو بنسميهعرق النسا او ما يسمى + +451 +00:37:49,640 --> 00:37:55,220 +بالعصب اللي هو الحائر العصب النسا عرق النسا ال + +452 +00:37:55,220 --> 00:37:59,020 +gluteus maximus هي اكبر عضلة موجودة في ال back + +453 +00:37:59,020 --> 00:38:03,520 +muscles طبعا في ال batox فيها غشاء ايضا اسمه + +454 +00:38:03,520 --> 00:38:08,600 +course fascula سهل انه انا احط الإبرة فيه و من غير + +455 +00:38:08,600 --> 00:38:12,620 +ما اعمل اي damage اي ضرر للمكان ال great sequence + +456 +00:38:12,620 --> 00:38:16,000 +تبع هذه العضلات بيخلي ان ال intramuscular + +457 +00:38:16,000 --> 00:38:20,140 +injection فيها سليمة 100%ال IM بسميها injections + +458 +00:38:20,140 --> 00:38:25,820 +أو الحقن العضلية to avoid injury عشان انا مااخليش + +459 +00:38:25,820 --> 00:38:30,200 +في عندي إصابة لسياتيكا nerve لازم اللي هو الحق + +460 +00:38:30,200 --> 00:38:35,400 +يكون في ال other outer quadrates of the batox + +461 +00:38:35,400 --> 00:38:42,540 +الربع العلوي اللي هناتمام؟ الرُبع العلوي الخارجي + +462 +00:38:42,540 --> 00:38:48,080 +من العضلة عشان ما أؤذي أي sciatica nerve أو ما + +463 +00:38:48,080 --> 00:38:52,180 +أؤذي أي nerve موجود عندى هنا تسمعوا أن فلان مثلا + +464 +00:38:52,180 --> 00:38:55,680 +على سبيل المثال صار في عنده شلل نتيجة لإبرة غلط + +465 +00:38:55,680 --> 00:38:59,520 +أخدها ليه؟ بيكون هنا الدكتور أو الممرض أو أي حد + +466 +00:38:59,520 --> 00:39:04,830 +أعطاياهاحطها في الرُبع الخالي من الأعصاب لأ احنا + +467 +00:39:04,830 --> 00:39:07,670 +لازم نعطيها في العضلة احنا على سبيل المثال بدنا + +468 +00:39:07,670 --> 00:39:12,090 +نورد هذا الدواء للجسم بحيث انه انا نأذي ان هو + +469 +00:39:12,090 --> 00:39:17,810 +الأعصاب فلازم اعطيها في الرُبع العموي الخالي من + +470 +00:39:17,810 --> 00:39:22,330 +الأعصاب اللي هو ال other outer quadrates of the + +471 +00:39:22,330 --> 00:39:26,610 +batox تمام؟ هي زي ما انتوا شايفين في الصورة اعطى + +472 +00:39:26,610 --> 00:39:32,690 +الإبرة على الجنبين الخارجيين من ال batoxيعطيكوا + +473 +00:39:32,690 --> 00:39:38,110 +ألف عافية بهيك خلصنا ال muscle system اللي هو أخر + +474 +00:39:38,110 --> 00:39:42,390 +إشي معانا فيه باقي عندنا chapter ل blood و chapter + +475 +00:39:42,390 --> 00:39:44,670 +ال eyes يعطيكوا ألف عافية + diff --git a/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/vunAn31OhCQ_raw.json b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/vunAn31OhCQ_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..eaa9ad74b6d13cfadfc5111ae7382e25c2ef9141 --- /dev/null +++ b/PL9fwy3NUQKwa8wrhzUrDWnTwJ7N7lBaQJ/vunAn31OhCQ_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 2535, 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60, "seek": 137394, "start": 1351.8, "end": 1373.94, "text": "تمام؟ لكن خليني أشوف شو أنواع ال contraction اللي عندي في عندي نوعين أساسيين النوع الأول isometric والنوع التاني isotonic لما أنا بحكي isometric ايزو تعني متماثل تمام؟", "tokens": [39237, 10943, 22807, 44381, 16490, 1211, 9957, 1829, 5551, 8592, 38688, 13412, 2407, 14739, 14407, 3615, 2423, 37372, 13672, 1829, 18871, 16254, 8978, 18871, 16254, 8717, 45367, 9957, 5551, 3794, 32277, 1829, 9957, 28239, 45367, 16247, 12610, 307, 29470, 16070, 1863, 45367, 16712, 7649, 1829, 307, 27794, 299, 5296, 15042, 41850, 4724, 5016, 4117, 1829, 307, 29470, 1975, 1829, 11622, 2407, 37279, 22653, 44650, 2304, 5718, 104, 1211, 46811, 10943, 22807], "avg_logprob": -0.17111545035408604, "compression_ratio": 1.6265060240963856, "no_speech_prob": 4.649162292480469e-06, "words": [{"start": 1351.8, "end": 1352.96, "word": "تمام؟", "probability": 0.6356608072916666}, {"start": 1352.96, "end": 1353.28, "word": " لكن", "probability": 0.93505859375}, 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+ما يسمى بالجهاز العضليالان هذا الجهاز العضلي هو + +6 +00:00:28,170 --> 00:00:31,710 +تابع لل skeletal muscles اللي احنا اتكلمنا عن ال + +7 +00:00:31,710 --> 00:00:35,870 +bones اللي اتكلمنا بعده عن ال nerve اليوم هنتكلم + +8 +00:00:35,870 --> 00:00:40,830 +عن العضلات شو أنواعها و شو حركتها و كيف ممكن انا + +9 +00:00:40,830 --> 00:00:47,670 +اسميها و اهم ما في العضلات هنتحدث عليهم نبدأ على + +10 +00:00:47,670 --> 00:00:51,590 +بركة الله يحتوي جسم الإنسان على أكثر من ستمائة + +11 +00:00:51,590 --> 00:00:57,690 +عضلة في داخل جسمه40 ل 50% من ال body weight is + +12 +00:00:57,690 --> 00:01:01,570 +skeletal muscles طبعا الكتلة العضلية أو ال body + +13 +00:01:01,570 --> 00:01:05,710 +index مثلا اللي هو muscles أو كتلة العضلات بتشكل + +14 +00:01:05,710 --> 00:01:11,870 +وزن كبير جدا داخل جسم الإنسان ال muscles along + +15 +00:01:11,870 --> 00:01:15,910 +with the skeletal determine the form and contour + +16 +00:01:15,910 --> 00:01:24,040 +of the body شكل العضلاتتركيبتها بتحدد هيئة جسم + +17 +00:01:24,040 --> 00:01:29,440 +الإنسان، بنقول فلان مثلا مليئ ليه بتكون العضلات أو + +18 +00:01:29,440 --> 00:01:34,920 +اللي هو ال mass تبع العضلة أو كتلة العضلة عالية + +19 +00:01:34,920 --> 00:01:41,120 +جدا، تمام؟هي عبارة عن بعض الكتب ممكن تقولنا أنه ال + +20 +00:01:41,120 --> 00:01:44,940 +chapter العضلات لوحدهم و بعض كتب ال anatomy + +21 +00:01:44,940 --> 00:01:48,780 +بتسبقها أو بتلحقها مع ال skeletal فبالتالي ممكن + +22 +00:01:48,780 --> 00:01:51,820 +يسموها ال skeletal muscles أو ال muscle skeletal + +23 +00:01:51,820 --> 00:01:56,580 +system و بعضها لأ بفصلها في شباتر منفصلة عن بعضها + +24 +00:01:57,600 --> 00:02:02,200 +شو وظائف العضلات؟ ال skeletal muscles تعمل على ال + +25 +00:02:02,200 --> 00:02:06,740 +body movement من تين للبسترال بتحافظ على القوام + +26 +00:02:06,740 --> 00:02:10,240 +اللي احنا فيه على سبب ان اذا لو انا لصمح الله عندي + +27 +00:02:10,240 --> 00:02:16,500 +شلل او paralysis في جانبي الأيمن بلاقي انهالمنطقة + +28 +00:02:16,500 --> 00:02:20,500 +هي ليست في هذا القوام لأ ممكن تكون جيالي على + +29 +00:02:20,500 --> 00:02:24,920 +المنطقة الأضعف Stabilization لل joint تعمل هذه + +30 +00:02:24,920 --> 00:02:29,760 +العضلات على تثبيت المفاصل وكنا أخدنا احنا سابقا في + +31 +00:02:29,760 --> 00:02:35,140 +ان المفاصل الأكثر ثابتا او الاكثر stability هي اقل + +32 +00:02:36,190 --> 00:02:39,830 +حركة فبالتالي وين فيه عندي stabilization لل joint + +33 +00:02:39,830 --> 00:02:43,970 +بتتم تثبيته بال ligament، بال tendon و كذلك + +34 +00:02:43,970 --> 00:02:48,950 +بالعدلات ال body positions حركة الجسم أو وضعية + +35 +00:02:48,950 --> 00:02:54,010 +الجسم بيحددها الحركات اليوم أنا في حالة الصلاة + +36 +00:02:54,010 --> 00:02:58,750 +ممكن أركع ممكن أسجد ليه؟ اللي بيعطي هذا الاشي اللي + +37 +00:02:58,750 --> 00:03:03,570 +هو العضلاتGenerating للـ heat من وظيفة العضلات + +38 +00:03:03,570 --> 00:03:07,990 +أيضًا بتساعد على إنتاج الطاقة كيف بتساعد على إنتاج + +39 +00:03:07,990 --> 00:03:12,790 +الحرارة؟ اللي هي الطاقة الحركية اللي بتكون ناتجة + +40 +00:03:12,790 --> 00:03:16,930 +عن حركة الجسم والعضلات المسؤولة عن الحركة بتتم + +41 +00:03:16,930 --> 00:03:20,550 +تحويلها إلى طاقة حرارية هذه الطاقة الحرارية مهمة + +42 +00:03:20,550 --> 00:03:27,700 +لنا جدًا خصوصًا بفصل الشتاء5 functions لـ body + +43 +00:03:27,700 --> 00:03:33,680 +movement, body position, body position, body + +44 +00:03:33,680 --> 00:03:35,240 +position, body position, body position, body + +45 +00:03:35,240 --> 00:03:39,860 +position, body position, body positionفي عندي أربع + +46 +00:03:39,860 --> 00:03:46,440 +خصائص أساسية لحركة العضلات خليني أشوف إيش هي أول + +47 +00:03:46,440 --> 00:03:51,900 +خاصية عندنا اللي هي ال accessibility خاصية القدرة + +48 +00:03:51,900 --> 00:03:57,100 +على التحفيز والاستثارة تمام قدرة الأعضلة على + +49 +00:03:57,100 --> 00:04:03,230 +الاستثارة على سبيل المثالهي عبارة عن with + +50 +00:04:03,230 --> 00:04:10,190 +responsiveness قدرتها و قابلتها على الاستثارة لو + +51 +00:04:10,190 --> 00:04:14,810 +اجيت انا وصلت العضلة لازمها عصب لانه كنا اخدنا في + +52 +00:04:14,810 --> 00:04:18,850 +شدتر العصب انه في عندي neuromuscular coordination + +53 +00:04:19,650 --> 00:04:23,630 +فبالتالي هنا هيكون في عندي حاجة أو قابلية + +54 +00:04:23,630 --> 00:04:28,010 +للاستثارة العصبية و nerve way العضلة هما أكثر + +55 +00:04:28,010 --> 00:04:33,510 +حاجتين ممكن يؤدوا اللي هو الاستثارة العصبية هيصير + +56 +00:04:33,510 --> 00:04:39,410 +في عندي contractility الخاصية الثانية قدرتها على + +57 +00:04:39,410 --> 00:04:46,090 +الانقباض وظيفة العضلة contract and then relax + +58 +00:04:46,090 --> 00:04:54,620 +انقباض انبساطcauses the fiber to shorten وبحط تحت + +59 +00:04:54,620 --> 00:05:01,380 +shorten خط resulting in either pull in bones or + +60 +00:05:01,380 --> 00:05:06,460 +movement to specific body parts قدرة العضلة على + +61 +00:05:06,460 --> 00:05:11,560 +الإنقباض هي من أحد المميزات الأساسية اللي بتخصص + +62 +00:05:11,560 --> 00:05:12,300 +فيها العضلات + +63 +00:05:14,890 --> 00:05:19,770 +أنا بدي أعمل الـ bufflection، انثماء لمفصل الكوا، + +64 +00:05:19,770 --> 00:05:23,510 +هيك بيكون أنا وصلت للعصب أو وصلها العصب إنه + +65 +00:05:23,510 --> 00:05:27,690 +انقبضي، صار في عندي قصر في عضلة هنا اسمها + +66 +00:05:27,690 --> 00:05:32,210 +الـbiceps، ثنائية الرأس، هذه العضلة الـbiceps صار + +67 +00:05:32,210 --> 00:05:36,430 +فيها قصر تمام؟ shortening في ال muscles fiber + +68 +00:05:37,460 --> 00:05:42,200 +أعطتني بعد تلاتة اللي هي اسمها ال elasticity + +69 +00:05:42,200 --> 00:05:47,220 +المرونة أو الاستطالة هذه الاستطالة هي عبارة عن + +70 +00:05:47,220 --> 00:05:54,300 +عودة العضلة إلى وضعها الطبيعي بعد تأثير المؤثر + +71 +00:05:54,300 --> 00:05:59,750 +اللي هناأعطت العصب .. أعطى إشارة انقبضية عضلة الـ + +72 +00:05:59,750 --> 00:06:04,090 +biceps اللي هي العضلة الثنائية الرأس صار في عندها + +73 +00:06:04,090 --> 00:06:07,730 +contractility أو ما يسمى بال contractile أو ال + +74 +00:06:07,730 --> 00:06:14,350 +contraction انقباض معناته shortening بعدين ذالك + +75 +00:06:14,350 --> 00:06:18,890 +المؤثر صار في عندها العودة إلى وضعها الأصلي اللي + +76 +00:06:18,890 --> 00:06:24,660 +هو بعد خروج أو ذهاب المؤثربعدين في عندنا حاجة + +77 +00:06:24,660 --> 00:06:30,840 +اسمها ال extensively القدرة على التمدد والاستطالة + +78 +00:06:30,840 --> 00:06:35,420 +تمام؟ هنا عودتها ال elasticity عودتها لوضعها + +79 +00:06:35,420 --> 00:06:39,440 +الطبيعي أما ال extensively هي capability of + +80 +00:06:39,440 --> 00:06:44,220 +extending in length to response contraction of + +81 +00:06:44,220 --> 00:06:49,880 +opposingلحدث معاكس صار في ال muscle fiber خليني + +82 +00:06:49,880 --> 00:06:54,320 +أعطي example عشان نفهم الاستطالة friction في + +83 +00:06:54,320 --> 00:07:00,580 +القلبه أدى إلى shortening او قصر في ال muscles + +84 +00:07:00,580 --> 00:07:06,440 +بتلعت ال biceps ولكن بالمقابل في عندى عضلة خلفية + +85 +00:07:06,440 --> 00:07:10,960 +اسمها ال triceps عضلة ثلاثية الرأسإذا أنا زدت + +86 +00:07:10,960 --> 00:07:16,420 +الإنثمائي شوي، هتقصر ال bicycles بما هو كيس حيصير + +87 +00:07:16,420 --> 00:07:22,340 +فيه عندي استطاعة لهبتولي اللازم للعضلة المعاكسة + +88 +00:07:22,340 --> 00:07:26,440 +اللي هي ال triceps إذا في عندي biceps في عندي + +89 +00:07:26,440 --> 00:07:30,400 +triceps هنا صار shortening هنا صار lengthening + +90 +00:07:30,400 --> 00:07:36,180 +استطالة فبالتالي أنه بيصير حركة معاكسة قدرة الحركة + +91 +00:07:36,180 --> 00:07:41,440 +على التمدد بوضع عكس اللي هو الوضع اللي الحركة + +92 +00:07:41,440 --> 00:07:46,060 +المعاكسة أو العضلة المعاكسة فيهعندي أربع خصائص + +93 +00:07:46,060 --> 00:07:51,840 +للعضلات Extensibility، قدرتها على الاستثارة + +94 +00:07:51,840 --> 00:07:56,080 +Contractility، قدرتها على الإنقباض Elasticity، + +95 +00:07:56,080 --> 00:07:59,340 +قدرتها على العودة إلى وضعها الأصلي بعد الإنقباض + +96 +00:07:59,340 --> 00:08:05,460 +Inextensibility، قدرتها على الاستطالةتمام هنا + +97 +00:08:05,460 --> 00:08:10,240 +قدرتها على الاستثارة قدرتها على الإنقباض هنا + +98 +00:08:10,240 --> 00:08:14,960 +المرونة أو ما يسمى بيه اللي هو عودتها لوضعها + +99 +00:08:14,960 --> 00:08:20,460 +الطبيعي وهنا التمدد والاستطالة هذه الأربع مراحل أو + +100 +00:08:20,460 --> 00:08:26,960 +الأربع خصائص اللي بتكون موجودة في العضلة شو تركيبة + +101 +00:08:26,960 --> 00:08:33,100 +العضلة؟ تحتوي العضلة على أشياء مهمةأصلا باعتبرها + +102 +00:08:33,100 --> 00:08:36,920 +ال organs of the muscular system في عندنا ال + +103 +00:08:36,920 --> 00:08:40,620 +skeletal muscle tissue خصائص خاصة بحاجة إلى + +104 +00:08:40,620 --> 00:08:44,580 +nervous tissue أي عضلة هي بحاجة إلى nervous tissue + +105 +00:08:44,580 --> 00:08:49,300 +لإن كائن حي بدها توصيل عصبي عشان يكون في عندنا + +106 +00:08:49,300 --> 00:08:53,320 +neuro muscular coordination بحاجة ل blood فيها + +107 +00:08:53,320 --> 00:08:56,940 +connective tissue هذا ال connective tissue اللي هو + +108 +00:08:56,940 --> 00:09:00,720 +عبارة عن الأنسجة الدامة اللي بتكون موجودة تمام؟ + +109 +00:09:01,300 --> 00:09:04,720 +فيها الـ fascia، فيها الـ tendons، فيها الـ + +110 +00:09:04,720 --> 00:09:09,820 +aponeurosis الآن نهايت كل عضلة موجودة عندي في + +111 +00:09:09,820 --> 00:09:15,880 +الجسم بهذا الشكل نهايتها و بدايتها، يا إما بدي + +112 +00:09:15,880 --> 00:09:24,240 +أكون حبل رفيع وبسميه tendonwater أو بدي يكون هذا + +113 +00:09:24,240 --> 00:09:29,440 +ال sheet الأبيض عبارة عن شبكة أو أسورة بيضاء تمام + +114 +00:09:29,440 --> 00:09:35,240 +بسميه aponeurosisإذا يا إما في العضلات بتنتهيلي + +115 +00:09:35,240 --> 00:09:39,460 +بالغشاء العضلي بتنتهيلي أو العضلة بتنتهيلي بتنضم + +116 +00:09:39,460 --> 00:09:44,080 +water و اللي هو هيرتبط في ال bull marking اللي أنا + +117 +00:09:44,080 --> 00:09:48,400 +أعطيتكم إياها تمام على ال greater trochanter على + +118 +00:09:48,400 --> 00:09:52,560 +ال greater tubercle أو على ال helium أو على ال هنا + +119 +00:09:52,560 --> 00:09:57,340 +على سبيل المثال ال deltoid process كل هذه الأمور + +120 +00:09:57,340 --> 00:10:00,380 +أو ال bull marking اللي أنا حكيت عليهم هتلتصق في + +121 +00:10:00,380 --> 00:10:07,920 +العضلاتأو حينتهي بشيط شبكة أو صفيحة من الـ + +122 +00:10:07,920 --> 00:10:12,680 +Aponeurosis إذا عندي Aponeurosis وعندي تندن، تمام؟ + +123 +00:10:12,680 --> 00:10:18,280 +هاي هي عبارة عن تركيبة العضلةتمام ال skeletal + +124 +00:10:18,280 --> 00:10:21,860 +muscles are organs مختلفة في الأحجام و الأشكال و + +125 +00:10:21,860 --> 00:10:26,500 +الأعداد عندنا الطويلة عندنا القصيرة عندنا الثلاثية + +126 +00:10:26,500 --> 00:10:29,960 +الرأس عندنا الأحادية و عندنا أيضا الربعية الرأس زي + +127 +00:10:29,960 --> 00:10:33,340 +ال quadriceps ال skeletal muscles is composed of + +128 +00:10:33,340 --> 00:10:38,610 +cell تحتوي على خلاياEach cells is as a long as a + +129 +00:10:38,610 --> 00:10:43,110 +muscles تمام على امتداد العضلة، في عندي ال small + +130 +00:10:43,110 --> 00:10:48,270 +وفي عندنا ال large ال small 100 micrometers في ال + +131 +00:10:48,270 --> 00:10:53,310 +long و 10 micrometers in diameters تمام في طولها و + +132 +00:10:53,310 --> 00:10:56,970 +في عرضهاأما ال large فهي خمسة و تلاتين ال large + +133 +00:10:56,970 --> 00:11:00,870 +muscles خمسة و تلاتين في الطول و مية في ال micro + +134 +00:11:00,870 --> 00:11:03,870 +meters، centimeters بنحكي مش micro centimeters + +135 +00:11:03,870 --> 00:11:07,330 +يعني الناس اللي هتحكي relations فوق مية و تحت خمسة + +136 +00:11:07,330 --> 00:11:11,290 +و تلاتين لاحظ الوحدة اللي بعدها، تمام في ال + +137 +00:11:11,290 --> 00:11:16,750 +diameter عضلات صغيرة و عضلات كبيرة، تمام؟ لسكينة + +138 +00:11:16,750 --> 00:11:21,270 +ال muscles structural خليني أتكلم عليها هنا على + +139 +00:11:21,270 --> 00:11:25,990 +الرسمة تبعتنازي ما أخدنا في تركيب العصب إذا + +140 +00:11:25,990 --> 00:11:31,070 +فاكرينه ابنيورام و perineuram و embneuram هنا أيضا + +141 +00:11:31,070 --> 00:11:36,750 +في عندي في تركيبة الخلية العضلية أو في تركيبة ال + +142 +00:11:36,750 --> 00:11:41,270 +muscles fiber لها نفس الكلام الآن هذا ال tendon + +143 +00:11:41,270 --> 00:11:49,320 +اللي أنا حكيت عليه نهاية كل عضلة تمام في نهايةهذا + +144 +00:11:49,320 --> 00:11:53,300 +الـ tendon اللي موجود هذا هو عبارة عن الشيط الأبيض + +145 +00:11:53,300 --> 00:11:57,120 +اللي أنا حكيت عليه شيط أبيض هي موجود هنا في العضلة + +146 +00:11:57,120 --> 00:12:00,580 +و ممكن يكون عبارة عن الإسورة البيضاء هذه اللي هي + +147 +00:12:00,580 --> 00:12:05,060 +عبارة عن الـ aponeurosis الآن الغلاف اللي بيحيط في + +148 +00:12:05,060 --> 00:12:12,790 +كل ال muscles بسميه ال EPEB فوق لإنه بحيث فيها + +149 +00:12:12,790 --> 00:12:18,750 +كلها أما اللي بيغلف الحزمة العصبية أو حزمة الألياف + +150 +00:12:18,750 --> 00:12:25,170 +العصبية هذه الفاسكولة هو عبارة عن Piri تمام أما + +151 +00:12:25,170 --> 00:12:29,690 +اللي بيغلف اللي هو ال muscles fiber لحاله هو عبارة + +152 +00:12:29,690 --> 00:12:38,020 +عن حاجة اسمها Indoo إذا ترتيبهم Eاللي هي عبارة عن + +153 +00:12:38,020 --> 00:12:45,860 +E, B, P و الأخيرة اللي هي Endoendural خليني أشوف + +154 +00:12:45,860 --> 00:12:53,580 +تعريفهم بالظبطبدأني من الاندو اللي هو كان هنا هو + +155 +00:12:53,580 --> 00:12:57,500 +عبارة عن ايش الاندو؟ عبارة عن delicate membrane، + +156 +00:12:57,500 --> 00:13:02,020 +delicate connective tissue membrane غشاء خفيف رقيق + +157 +00:13:02,020 --> 00:13:06,520 +من ال connective tissue that covers لل specialised + +158 +00:13:06,520 --> 00:13:10,700 +skeletal muscles fibers لو جبت muscles لحالها خطأ + +159 +00:13:10,700 --> 00:13:18,490 +هنا لازم fibers للي في الواحدالـ Polyamnesium هي + +160 +00:13:18,490 --> 00:13:23,690 +عبارة عن tough connective tissue بيغل في الفاسكولة + +161 +00:13:23,690 --> 00:13:31,230 +الحزم العصبية تمام؟ أما الإبلي اللي هي ما يسمى فوق + +162 +00:13:31,230 --> 00:13:38,110 +أو حول أو خارجي curves شيط غطاء خشم covers لل + +163 +00:13:38,110 --> 00:13:43,830 +muscles as a whole كلها مع بعضها إذا أنا اختصرتهم + +164 +00:13:45,220 --> 00:13:50,920 +بإندو، بري، إبي إذا أنا أجيت من ال inner لل outer + +165 +00:13:50,920 --> 00:13:57,800 +هنا التركيبة تبعتي من ال inner لما تنزل تحت لل + +166 +00:13:57,800 --> 00:14:02,520 +outer أما لو حكالي ترتيبتهم من ال outer لل inner + +167 +00:14:02,520 --> 00:14:10,030 +فمعناته إبي، بري، إندوتفقنا و زي ما شفناهم على + +168 +00:14:10,030 --> 00:14:17,590 +الصورة وضحتلكم + +169 +00:14:17,590 --> 00:14:20,910 +إياها هذه الحاجة أنه أنا في رسمتي لأي skeletal + +170 +00:14:20,910 --> 00:14:25,990 +muscles بتنتهي هنا تندن وهنا كمان تنتهي تندن في + +171 +00:14:25,990 --> 00:14:32,660 +عنا ال AB اللي هو فوق العضلة كمان بيمتد هناهذا + +172 +00:14:32,660 --> 00:14:36,220 +اللي هو فوقها، فيه عندنا الـPeri اللي هو موجود في + +173 +00:14:36,220 --> 00:14:41,900 +الفاسكولة، وفي التالت اللي هو الاندو إيه بيه؟ + +174 +00:14:41,900 --> 00:14:46,240 +Peri، Indonesian، هذا الاشي كله يا إلا بيجيني في + +175 +00:14:46,240 --> 00:14:53,320 +النهاية بالتندن، يا إلا في Aponeurisis، okay؟ اللي + +176 +00:14:53,320 --> 00:15:00,940 +هو في نهاية الحاجة، نرجع تاني نشوف الصورةمن فوق زي + +177 +00:15:00,940 --> 00:15:05,400 +ما انا اتعمدت لأمسح الكلام من فوق هو EP Medium + +178 +00:15:05,400 --> 00:15:09,040 +طبعا course من ال connective tissue Tough يعني + +179 +00:15:09,040 --> 00:15:14,520 +غشاء سميك بعدين غطالت كل ال muscles as a whole أما + +180 +00:15:14,520 --> 00:15:18,500 +بالنسبة لل P فهي عبارة عن surrounding للمuscles + +181 +00:15:18,500 --> 00:15:25,310 +فاسكولة للحظمة الليفيةأيضًا الـ Endo غطّ عن ال + +182 +00:15:25,310 --> 00:15:28,970 +muscles fiber لحالها وهو عبارة عن delicate + +183 +00:15:28,970 --> 00:15:33,750 +membrane يعني غشاء خفيف هذه تركيبة العضلة تحت ال + +184 +00:15:33,750 --> 00:15:39,550 +microscope هنا بدي أجر أشوف تركيبتها من العضلة إلى + +185 +00:15:39,550 --> 00:15:44,190 +الحزمة العضلية أو ما يسمى الحزمة اللي فيها في + +186 +00:15:44,190 --> 00:15:48,030 +عندنا ال muscles في عندنا الفاسكولة في عندنا ال + +187 +00:15:48,030 --> 00:15:51,370 +muscles fibers اللي هي بين قوسين نفسها ال muscle + +188 +00:15:51,370 --> 00:15:51,870 +cells + +189 +00:15:58,310 --> 00:16:04,130 +tamam muscles, fascula, muscle fibers, myofibrial + +190 +00:16:04,130 --> 00:16:09,450 +ليف عضلي منه ينقسم إلى الليليفات أو اللي هي + +191 +00:16:09,450 --> 00:16:17,640 +بنسميها خيود الأكتين والميوسين تمام؟خيوط الأكتين + +192 +00:16:17,640 --> 00:16:22,700 +والميوسين عضلة فاسكولا muscle fibers و اللي ييف + +193 +00:16:22,700 --> 00:16:27,300 +العضلة بعدين تنزل تحت إلى خيوط الأكتين والميوسين + +194 +00:16:27,300 --> 00:16:30,360 +هاي ال bone هاي ال bone marking اللي أنا كنت بحكي + +195 +00:16:30,360 --> 00:16:34,540 +عليهم التنبون هو الغشاء الأبيض أما الفاسكولا هي + +196 +00:16:34,540 --> 00:16:37,960 +عبارة عن الحزمة اللي فيها طبعا covering ال muscles + +197 +00:16:37,960 --> 00:16:44,270 +منها الابيزيا والابيميزيا كلها الللحويصيلات أو + +198 +00:16:44,270 --> 00:16:48,450 +بنسميهم الحزم اللي فيها اللي انده لل muscles fiber + +199 +00:16:48,450 --> 00:16:52,050 +لحاله لو جينا شوفنا هي fascula بعدين في عندنا ال + +200 +00:16:52,050 --> 00:16:57,290 +muscles fiber لحاله و بعدين بننزل اخر اشي بعد ال + +201 +00:16:57,290 --> 00:17:02,430 +myofibrial بننزل ل ال filament تمام؟ كانت حاجة + +202 +00:17:02,430 --> 00:17:06,130 +كبيرة و بدأت تصغرلي شوحدة واحدة لحد ما وصلنا لتحت + +203 +00:17:06,130 --> 00:17:12,520 +خيوط الاكتين والميوسينهقسم لـ skeletal muscles إلى + +204 +00:17:12,520 --> 00:17:17,100 +أربع أنواع أساسية ممكن التقسيمة التبعتي according + +205 +00:17:17,100 --> 00:17:22,520 +to ترتيبة الحزم العصبية الحزم العضلية مع بعضها + +206 +00:17:22,520 --> 00:17:27,990 +البعضواللي هو الـ long axis تبعها by the way of + +207 +00:17:27,990 --> 00:17:31,710 +fascula organized أو by relation of fascula to the + +208 +00:17:31,710 --> 00:17:36,350 +tendon يعني ممكن أنا أقسمها حسب ترتيب الحزم + +209 +00:17:36,350 --> 00:17:40,950 +العصبية و ترتيبها داخل العضلة نفسها أو بعلاقة هذه + +210 +00:17:40,950 --> 00:17:46,830 +الحزم مع ال tendon اللي هو الموجود فيها في عندي + +211 +00:17:46,830 --> 00:17:52,130 +أربع patternممكن تكون هذه الحذام parallel مع الـ + +212 +00:17:52,130 --> 00:17:58,550 +long axis هذه العضلة ممكن يكونوا parallel معاها + +213 +00:17:58,550 --> 00:18:06,070 +ممكن تكون convergent اللي هي مروحية هنا متوازية + +214 +00:18:06,070 --> 00:18:12,870 +هذه الخطوط وممكن تكون ريشية بنت وممكن تكون دائرية + +215 +00:18:12,870 --> 00:18:19,140 +عندي أربع أنواع خليني أشوفهم واحدة واحدةالparallel + +216 +00:18:19,140 --> 00:18:22,720 +أن ال fibers parallel with two long axes of + +217 +00:18:22,720 --> 00:18:28,600 +muscles، بتكون الليوايفات العضلية متوازية مع بعضها + +218 +00:18:28,600 --> 00:18:32,720 +البعض، على سبيل المثال، معطيني هنا مثال ال biceps، + +219 +00:18:32,720 --> 00:18:38,710 +هذه العضلة ثنائية الرأسthe center of body thickens + +220 +00:18:38,710 --> 00:18:43,370 +بيكون النص زي ما انتوا شايفينه من هنا رفيعة أو من + +221 +00:18:43,370 --> 00:18:46,330 +هنا رفيعة لكن في المنتصف لو اجيت في مقطع عرضي + +222 +00:18:46,330 --> 00:18:54,350 +بلاجي أسمك من الطرفين طبعا هي هذه اسمها ال + +223 +00:18:54,350 --> 00:18:58,230 +parallel muscles ال parallel muscles contract + +224 +00:18:58,230 --> 00:19:03,090 +حوالي 30% بتنقضب في مقطعها أو في مقطعها العرضي زي + +225 +00:19:03,090 --> 00:19:09,410 +ما انتوا شايفينه 30%تمام؟ إذا أنا عطيت النوع + +226 +00:19:09,410 --> 00:19:13,710 +التاني convergent، معناته هو عبارة عن broad area، + +227 +00:19:13,710 --> 00:19:19,490 +منطقة واسعة أو عضلة جيانة على شكل المروحة، في ال + +228 +00:19:19,490 --> 00:19:22,090 +side، طبعا في ال attachment تبعها في ال tendon أو + +229 +00:19:22,090 --> 00:19:26,080 +الaponeuris أو الرفال muscles fiber pull in + +230 +00:19:26,080 --> 00:19:29,960 +different directions زي العضلة اللى موجودة هنا فى + +231 +00:19:29,960 --> 00:19:34,760 +اللى هو فوق القفص الصدري هي مسئولة عن حركة الإيد + +232 +00:19:34,760 --> 00:19:40,140 +مسئولة عن حركة الإيد فى كذا اتجاه اذا depending on + +233 +00:19:40,140 --> 00:19:44,580 +حسب ال simulation بتعتمد على حسب التحفيززي الـ + +234 +00:19:44,580 --> 00:19:46,960 +pectoralis muscles، هذه الـ pectoralis muscles + +235 +00:19:46,960 --> 00:19:51,900 +موجودة فوق ال ribs اللي موجودة عندها، هنا بسميها + +236 +00:19:51,900 --> 00:19:57,560 +convergent اللي هي عضلة مروحية أو عضلة طبعا + +237 +00:19:57,560 --> 00:20:01,520 +convergent، هاي اسمها ال pectoralis أو عضلة، هاي + +238 +00:20:01,520 --> 00:20:04,560 +المثال اللي عليها اللي هو عبارة عن ال pectoralis + +239 +00:20:04,560 --> 00:20:08,830 +muscles، فيها majors وفيها minorهي عبارة عن broad + +240 +00:20:08,830 --> 00:20:13,350 +area و بتختلف حسب اللي هو التحفيز اللي قدّاه + +241 +00:20:13,350 --> 00:20:17,430 +الهيئة زي ما انتوا شايفينها في الصورة البنت أو ما + +242 +00:20:17,430 --> 00:20:23,870 +يسمى الريشي العضله الريشية تختلف حسب الريشه تبعتها + +243 +00:20:23,870 --> 00:20:30,930 +ممكن بتكون uni, bi, multiإذا كانت يُنيب بنات + +244 +00:20:30,930 --> 00:20:35,870 +معناته الـ fibers in one side جاية عند الألياف في + +245 +00:20:35,870 --> 00:20:41,830 +اتجاه واحد تمام؟ زي الـ X-Sensor Digitorum وكلمة + +246 +00:20:41,830 --> 00:20:48,250 +Digitorum معناتها الأصابعهنا هذه اسم عضلة Extensor + +247 +00:20:48,250 --> 00:20:53,390 +Digitorum اسم عضلة إذا كان با البنات النوع التاني + +248 +00:20:53,390 --> 00:20:57,610 +من البنت الريشية اللي هي ال fibers جاني على ال + +249 +00:20:57,610 --> 00:21:03,310 +both sides في ال rectus femoris تمام؟ طلعت ال + +250 +00:21:03,310 --> 00:21:07,750 +multi-banets ال tendon branches within muscles + +251 +00:21:07,750 --> 00:21:11,790 +جاني في كل النواحي زي ال deltoid + +252 +00:21:14,300 --> 00:21:18,780 +هي الـ deltoid اللي بتكون هنا هيها أنا هنا عليها + +253 +00:21:18,780 --> 00:21:24,480 +فهذه اسمها عضلة الـ deltoid هنا biceps تحت triceps + +254 +00:21:24,480 --> 00:21:29,020 +و هنا الـ deltoid إذا النوع العضلة في الـ deltoid + +255 +00:21:29,020 --> 00:21:34,360 +هي عبارة عن multi-panet أما pectoral معناته + +256 +00:21:34,360 --> 00:21:39,520 +convergent إذا قلت ال extensor digitorum unibanet + +257 +00:21:39,520 --> 00:21:46,460 +و نركز في أسماء العضلاتالان أنواع ال contraction + +258 +00:21:46,460 --> 00:21:53,060 +في عندي انقباض للعدلة، بيحدث استطالة، قصر، + +259 +00:21:53,060 --> 00:21:58,860 +فامتداد، في عندي انقباض للعدلة، مابيحدث أي شيء + +260 +00:21:58,860 --> 00:22:05,980 +خلينا نشوف التعريف إذا أنا حكيت concentric، con + +261 +00:22:05,980 --> 00:22:11,160 +لحالها معناته مصاحب و قصر يعني shortening + +262 +00:22:11,160 --> 00:22:18,720 +contraction، قصرconcentric أما إذا حكيت eccentric + +263 +00:22:18,720 --> 00:22:24,100 +إيه معناته lengthening إنه أنا صار في عندي استطالة + +264 +00:22:24,100 --> 00:22:31,440 +و هيك هيك هي وظيفة العضلة contract relax قصر طول + +265 +00:22:31,800 --> 00:22:37,280 +تمام؟ لكن خليني أشوف شو أنواع ال contraction اللي + +266 +00:22:37,280 --> 00:22:42,080 +عندي في عندي نوعين أساسيين النوع الأول isometric + +267 +00:22:42,080 --> 00:22:49,960 +والنوع التاني isotonic لما أنا بحكي isometric ايزو + +268 +00:22:49,960 --> 00:22:57,480 +تعني متماثل تمام؟متماثل metric اللي هو الmeter + +269 +00:22:57,480 --> 00:23:02,500 +تبعنا إذا المعناته من الفهم isometric لا تغير في + +270 +00:23:02,500 --> 00:23:08,080 +الطول إن الطول بقى متماثل مثل ما كان عليه صار في + +271 +00:23:08,080 --> 00:23:13,080 +عندي muscle contraction انطباع للعدلة ولكن لا تغير + +272 +00:23:13,080 --> 00:23:19,540 +للطوللا يوجد تغيير للطول isometric لكن إذا أنا + +273 +00:23:19,540 --> 00:23:23,800 +حكيت النوع التاني اسمه isotonic فمعناته أن ال + +274 +00:23:23,800 --> 00:23:27,500 +muscles بيصير فيها contraction ولكن مع تغيير في + +275 +00:23:27,500 --> 00:23:32,660 +الطول لأن المتر اتغير اذا في عندي نوعين من ال + +276 +00:23:32,660 --> 00:23:39,860 +contraction في عندي isometric عن ال contraction في + +277 +00:23:39,860 --> 00:23:40,580 +منه نوعين + +278 +00:23:44,810 --> 00:23:56,450 +metric هنا isotonic هنا لا يحدث تغير في الطول أما + +279 +00:23:56,450 --> 00:24:05,630 +هنا يحدث تغير في الطول تمام؟ isometric، isotonic + +280 +00:24:06,810 --> 00:24:11,050 +muscles contract with no lengthening it change أما + +281 +00:24:11,050 --> 00:24:15,070 +هنا ال muscle contract with length it change تمام + +282 +00:24:15,070 --> 00:24:21,990 +هل اللي هي types of contraction الآن ال isotonic + +283 +00:24:21,990 --> 00:24:27,370 +بتتم تقسيمها إلى قسمين يحدث تغيير في الطول لإنه + +284 +00:24:27,370 --> 00:24:31,370 +اللي هي concentric اللي حكينا عليه و eccentric + +285 +00:24:31,370 --> 00:24:43,170 +shortening lengthening اتفقنااللي هو قصر و طول بدي + +286 +00:24:43,170 --> 00:24:48,250 +أشوف كيف إحنا ممكن نسمي العضلات زي ما سمينا + +287 +00:24:48,250 --> 00:24:53,310 +المفاصل أنا أيام ما كنت أحكي بدي أسمي مفصل ال + +288 +00:24:53,310 --> 00:24:56,450 +shoulder قلت ممكن أسميه على سبيل المثال + +289 +00:24:56,450 --> 00:24:59,970 +glenohumeral + +290 +00:24:59,970 --> 00:25:04,380 +jointعبارة عن إيش؟ عن الـ glenoid cavity مع الـ + +291 +00:25:04,380 --> 00:25:08,720 +head of الهيومي لصّخ إذا حسب ارتباط العضمتين مع + +292 +00:25:08,720 --> 00:25:13,340 +بعضهم البعض أنا بسمي الـ joint sternoclavicular + +293 +00:25:13,340 --> 00:25:20,780 +sacroiliac تمام؟ كده اللي كالعدلات ممكن أسميها حسب + +294 +00:25:20,780 --> 00:25:26,320 +ال location of body حسب موقعها في الجسم يعني + +295 +00:25:26,320 --> 00:25:29,200 +temporal muscles إذا كانت موجودة في ال temporal + +296 +00:25:29,200 --> 00:25:34,190 +areaحسب ميها، حسب ال origin و ال insertion، يعني + +297 +00:25:34,190 --> 00:25:39,830 +حسب البداية و النهاية للعضلاتمش أنا أخدت أنه لكل + +298 +00:25:39,830 --> 00:25:43,090 +عضلة فيه origin وفيه insertion يعني على سبيل + +299 +00:25:43,090 --> 00:25:48,770 +المثال زي اللي هو Geolossus muscles حسب ال origin + +300 +00:25:48,770 --> 00:25:52,630 +و ال insertion ممكن أسميها حسب الفاسكولا + +301 +00:25:52,630 --> 00:25:58,130 +organization حسب ترتيب الحزم العصبية زي إذا كانت + +302 +00:25:58,130 --> 00:26:02,010 +الحزم العصبية اللي هي straight أو transfer أو + +303 +00:26:02,010 --> 00:26:05,150 +oblique العضلات اللي موجودة في البطن هنا هي + +304 +00:26:05,150 --> 00:26:12,160 +oblique جاية بشكل مائلممكن أسميها حسب الموقع تبعها + +305 +00:26:12,160 --> 00:26:20,260 +إذا كانت externas، internas، eccentric وداخلي + +306 +00:26:20,260 --> 00:26:26,420 +وخارجي حسب داخل اللي هو superficial أو profundas + +307 +00:26:26,420 --> 00:26:31,820 +اللي هي سطحية وعميقة إذا ممكن أسميها حسب ال + +308 +00:26:31,820 --> 00:26:38,090 +positionsuperficiales الـ profundus عميق و ال + +309 +00:26:38,090 --> 00:26:42,370 +eccentric خارج الدسم و ال intense look inside خمسة + +310 +00:26:42,370 --> 00:26:46,910 +ممكن أسميها حسب ال structural of number of tendon + +311 +00:26:46,910 --> 00:26:54,710 +سمعتوني و أنا بحكي هنا في biceps في triceps العضلة + +312 +00:26:54,710 --> 00:26:58,870 +اللي موجودة في anterior of thigh quadriceps عضلة + +313 +00:26:58,870 --> 00:27:04,550 +ربعية الرأسحسب ال shape، يا إما بتكون deltoid، يا + +314 +00:27:04,550 --> 00:27:09,090 +إما رنبال، حسب التركيبة تبعتها All done ممكن أسمي + +315 +00:27:09,090 --> 00:27:14,690 +العضلة حسب ال size، حسب حجمها Large، very large، + +316 +00:27:14,690 --> 00:27:20,090 +huge، small، حسب ال size تبعها ممكن أسمي العضلة + +317 +00:27:20,090 --> 00:27:24,790 +حسب الحركةفي عضلة مره قررت علينا في Exer + +318 +00:27:24,790 --> 00:27:31,210 +Digitorum، Exer Digitorum، إذا حسب ال action تبعها + +319 +00:27:31,210 --> 00:27:36,890 +و وظيفتها، إذا ستة factors أو ست عوامل أنا من + +320 +00:27:36,890 --> 00:27:41,510 +خلالهم بستطيع أنه أنا أسمي العضلةحسب ال origin و + +321 +00:27:41,510 --> 00:27:45,690 +ال insertion، حسب ال action، حسب ال position، حسب + +322 +00:27:45,690 --> 00:27:48,970 +اللي هو ال fascicular organization، حسب ال action + +323 +00:27:48,970 --> 00:27:53,250 +تبعها، و ال general characteristic تبعت العضلة، + +324 +00:27:53,250 --> 00:27:58,890 +تمام؟ بعض المصطلحات اللي هنا ممكن أنا أسمي عليها + +325 +00:27:58,890 --> 00:28:04,340 +العضلةعلى سبيل المثال في عندي longus معناته long + +326 +00:28:04,340 --> 00:28:08,700 +طويلة، longanism longest tears قصيرة long and + +327 +00:28:08,700 --> 00:28:14,320 +round اللي هي طويلة ودائرية breathe short madness + +328 +00:28:14,320 --> 00:28:18,120 +معناتها large ال action ممكن أسميها حسب ال action + +329 +00:28:18,120 --> 00:28:23,200 +flexor extensor digitorum مثلاهنا ال major large، + +330 +00:28:23,200 --> 00:28:28,060 +ال maximum largest، minor small، minimus smallest + +331 +00:28:28,060 --> 00:28:33,140 +تمام؟ هاي بعض المصطلحات اللي أنا ممكن أسمي عليهم + +332 +00:28:33,140 --> 00:28:39,640 +اللي هي العضلة الآن في عندنا حاجة اسمها ال muscle + +333 +00:28:39,640 --> 00:28:46,530 +atrophyطفل صغير صار في عنده fractures حطينا ال + +334 +00:28:46,530 --> 00:28:52,590 +cast أو ال gypsum في الإيد لحد شهرين و هو في عنده + +335 +00:28:52,590 --> 00:28:57,870 +cast يعني immovable يعني هو مافي عنده أي حركة + +336 +00:28:57,870 --> 00:29:01,890 +طالما صار مافي أي حركة معناته أنه أنا بدي أتوقع + +337 +00:29:01,890 --> 00:29:06,670 +أنه صار في عندي weakness ضعف في العضلاتلأنه احنا + +338 +00:29:06,670 --> 00:29:10,050 +حكينا عشان انا حتى اقوي العظام مش العضلات كمان + +339 +00:29:10,050 --> 00:29:14,490 +العظام لازم يكون في عندي weight bearing وزن بنحكي + +340 +00:29:14,490 --> 00:29:19,590 +للام انه حملي وزن على ايدين او اجرين هذا الطفل فما + +341 +00:29:19,590 --> 00:29:22,170 +بالكم بالطفل هذا المكسور اللي قاعدلي في ال gyps + +342 +00:29:22,690 --> 00:29:26,610 +هيصير في عنده حاجة اسمها muscle atrophy هاي ال + +343 +00:29:26,610 --> 00:29:30,570 +muscle atrophy ضعف في العضلات هو عبارة عن ايش + +344 +00:29:30,570 --> 00:29:36,930 +reduction اختزال او نقص في ال muscle size في حجم + +345 +00:29:36,930 --> 00:29:42,390 +العضلة وال tone تبعها النغمة العضمية تبعتها وال + +346 +00:29:42,390 --> 00:29:47,210 +power كذلك في القوة العضليةإذا ال muscle atrophy + +347 +00:29:47,210 --> 00:29:52,010 +هو عبارة عن إيش؟ reduction أو decreasing ل ال + +348 +00:29:52,010 --> 00:29:56,690 +muscle size, tone and power نتيجة لإيش؟ due to + +349 +00:29:56,690 --> 00:30:00,830 +reduced stimulation مافي أي تحفيز، ماوصلها أي سيال + +350 +00:30:00,830 --> 00:30:06,810 +عصبي لانقضي الإيد ولا انبستي ولا ارفع ولا نزل هو + +351 +00:30:06,810 --> 00:30:11,470 +شهر وهو محطوط في ال cast مافي أي responseالـ loss + +352 +00:30:11,470 --> 00:30:16,650 +both mass and tone أيضا بتفقد العضلة كتلتها و + +353 +00:30:16,650 --> 00:30:21,480 +نغماتها العضليةال muscle become flaccid تصبح ضعيفة + +354 +00:30:21,480 --> 00:30:26,440 +جدا و كذلك ال muscles fiber بتصغر في حجمها + +355 +00:30:26,440 --> 00:30:29,960 +هتلاحظوا هذا الاشي بعد ما يفك هذا الطفل ال gyps + +356 +00:30:29,960 --> 00:30:33,660 +أنه لو أنا قارنت ال right بال left اللي صار فيها + +357 +00:30:33,660 --> 00:30:38,680 +الكسر مع السليمة هلاجي أن اللي صار فيها الكسر أضعف + +358 +00:30:38,680 --> 00:30:45,140 +وأقل سماكة تمام؟ هاي ال muscle أعترفيه نيجي نشوف + +359 +00:30:45,140 --> 00:30:50,490 +ال muscles اللي هوreduction of muscles even + +360 +00:30:50,490 --> 00:30:53,670 +temporary reduction in muscles used can lead + +361 +00:30:53,670 --> 00:30:57,650 +muscle atrophy ممكن أنا بعد ال exercise أو بعد + +362 +00:30:57,650 --> 00:31:01,870 +التمرين في ال physiotherapy بخليها ترجع لوضعها + +363 +00:31:01,870 --> 00:31:06,670 +الطبيعي طبعا بدها program كامل ال muscles hyper + +364 +00:31:06,670 --> 00:31:12,250 +atrophy كنت قبل قليل حكيت على hypo و hyper هنا + +365 +00:31:12,250 --> 00:31:16,450 +كلمة hyper تعني increasing زيادة hyper + +366 +00:31:20,970 --> 00:31:25,430 +زيادة السهم لفوق أما إذا كانت high بو فمعناته + +367 +00:31:25,430 --> 00:31:30,750 +السهم لتحت increasing في ال fiber size هو عبارة عن + +368 +00:31:30,750 --> 00:31:38,090 +زيادة في حجم ال fiber زيادة في الحجم وليس في العدد + +369 +00:31:39,130 --> 00:31:43,410 +ال muscle size may improve by exercise ممكن انا + +370 +00:31:43,410 --> 00:31:49,190 +هنا احسن عضلة الحركة العضلة بالحركة repetitive + +371 +00:31:49,190 --> 00:31:52,630 +executive stimulation of muscle fibers resulting + +372 +00:31:52,630 --> 00:31:58,130 +in more mitochondria large glycogen reservoir and + +373 +00:31:58,130 --> 00:32:01,830 +increase the ability to produce ATP اللي هو + +374 +00:32:01,830 --> 00:32:08,150 +الأدلسين ثلاثي الفسفات تمام؟الناس اللي عندها ال + +375 +00:32:08,150 --> 00:32:12,270 +muscle hypertrophy زيادة في حجم العضلة، معناة + +376 +00:32:12,270 --> 00:32:16,510 +الكلام أنه أنا ممكن عن طريق ال muscles exercise، + +377 +00:32:16,510 --> 00:32:21,250 +التمرين العلاجية اللي احنا بنعطيهمياها، بحسن دور + +378 +00:32:21,250 --> 00:32:25,010 +ال mitochondria و ال large، طبعا بتعرف العضلات + +379 +00:32:25,010 --> 00:32:31,250 +بتخزن ل glycogen زيهازي الكبد فبالتالي ممكن أنا + +380 +00:32:31,250 --> 00:32:35,550 +أحسن وضع ال glycogen فبالتالي أزيد القدرة على + +381 +00:32:35,550 --> 00:32:40,790 +إنتاج اللي هو ال ATP لاستخراج الطاقة + +382 +00:32:44,270 --> 00:32:48,510 +البشرال طبعا هنا حكينا أن دور العضلات مهم جدا في + +383 +00:32:48,510 --> 00:32:52,490 +المحافظة على هذا القوام اللي احنا فيه maintaining + +384 +00:32:52,490 --> 00:32:57,230 +البشرال is one major role of muscular system play + +385 +00:32:57,230 --> 00:33:01,430 +تمام ال good بشرال هذا أو الوضع السليم اللي انت + +386 +00:33:01,430 --> 00:33:05,250 +شايفين حالنا فيه هو نعمة من الله سبحانه وتعالى لو + +387 +00:33:05,250 --> 00:33:08,310 +شوفنا اي انسان في عنده paralysis ماكان هيقدر على + +388 +00:33:08,310 --> 00:33:12,930 +سبيل المثال يوقف في هاي الوقفة الصحيحةفبالتالي ال + +389 +00:33:12,930 --> 00:33:17,010 +good postural ناتج عن التوازن ما بين العضلات ال + +390 +00:33:17,010 --> 00:33:20,590 +right و ال left ال anterior و ال posterior تمام هو + +391 +00:33:20,590 --> 00:33:23,690 +حالة من الاتزان اللي احنا فيها keeping ال body + +392 +00:33:23,690 --> 00:33:27,830 +center of gravity over of base يعني بضلني محافظة + +393 +00:33:27,830 --> 00:33:31,890 +على توازني هذا مع الجاذبية الأرضية اللي انا واقف + +394 +00:33:31,890 --> 00:33:36,650 +عليها ال center of gravitycycle life لتتغير + +395 +00:33:36,650 --> 00:33:43,150 +العضلات طبعا مع تقدم العمر بتفقد العضلة اللي هي + +396 +00:33:43,150 --> 00:33:47,590 +قدرتها العضلية او قدرتها على القوة العضلية او اللي + +397 +00:33:47,590 --> 00:33:53,050 +هو ما بتبطل زي لما كان شاب هذا الشخص قبل خمسين سنة + +398 +00:33:53,050 --> 00:33:56,430 +life cycle changes when it's fight by component + +399 +00:33:56,430 --> 00:33:59,880 +and functional unitالـ infancy و ال childhood + +400 +00:33:59,880 --> 00:34:03,380 +coordinated and control ال muscles contraction + +401 +00:34:03,380 --> 00:34:08,920 +طبعا أفضل من اللي هو ال adult .. ال oldest أو اللي + +402 +00:34:08,920 --> 00:34:13,680 +هو ال geriatric المسنين طبعا اللي بيفقدوا قدراتهم + +403 +00:34:13,680 --> 00:34:17,840 +العضليةممكن يصير فيه عند الـ degenerative change، + +404 +00:34:17,840 --> 00:34:24,000 +تغيرات في اللي هو العضلات with non-functional + +405 +00:34:24,000 --> 00:34:26,620 +connective tissue طبعا ممكن يصير فيها الـ + +406 +00:34:26,620 --> 00:34:29,400 +diminished للـ strength، ال muscle power نفسها + +407 +00:34:29,400 --> 00:34:34,700 +ممكن تضعف نتيجة تقدم العمر لكن ممكن أنا بالرياضة + +408 +00:34:34,700 --> 00:34:40,560 +أظن محافظة على القوة العضلية، أهمش الرياضة والمشي + +409 +00:34:41,120 --> 00:34:44,740 +هلأ ال muscle cells كمان ممكن الخلايا العضلية تزيد + +410 +00:34:44,740 --> 00:34:48,340 +او تقل في العدد في الحجم في ال ability في + +411 +00:34:48,340 --> 00:34:51,480 +shortening في different periods في أوقات مختلفة + +412 +00:34:51,480 --> 00:34:55,960 +اليوم انت لاجي حالك منيحتلاقي عندك القوة العضلية + +413 +00:34:55,960 --> 00:34:59,460 +جيدة لكن انت اليوم مثلا بعد جهد في البيت بتلاقي + +414 +00:34:59,460 --> 00:35:04,920 +انه القدرة العضلية عندك أصبحت سيئة نتيجة اللي هو + +415 +00:35:04,920 --> 00:35:08,300 +الإجهاد العام على سبيل المثال pathologically + +416 +00:35:08,300 --> 00:35:11,780 +condition different periods may affect it كمان في + +417 +00:35:11,780 --> 00:35:16,420 +عندنا أمراض pathologically أو أمراض بنسميها مزمنة + +418 +00:35:16,420 --> 00:35:20,840 +بتأثر على ال muscular system في عندنا ال axial + +419 +00:35:20,840 --> 00:35:24,350 +system وفي عندنا الabendicular systemهدا فاكر شو + +420 +00:35:24,350 --> 00:35:29,950 +يعني أكزيال؟ head, chest, pelvic تمام، هدا أكزيال + +421 +00:35:29,950 --> 00:35:34,330 +الأبندكولار اللي هما ال peripheral joints أو ال + +422 +00:35:34,330 --> 00:35:38,210 +peripheral body part الأكزيال have both either + +423 +00:35:38,210 --> 00:35:42,450 +origin and insertion في الأكزيال ال skeleton طبعا + +424 +00:35:42,450 --> 00:35:45,830 +support and move للhead spinal column اللي لها + +425 +00:35:45,830 --> 00:35:49,810 +علاقة بكل الأكزيال بال functional وال assisting لل + +426 +00:35:49,810 --> 00:35:55,360 +food طبعا كل إشي في الأكزيالهو بيكون طبعا في ال + +427 +00:35:55,360 --> 00:35:58,480 +axial muscles support and protect لل abdominal + +428 +00:35:58,480 --> 00:36:02,780 +pelvic organs في عندنا ال appendicular muscles + +429 +00:36:02,780 --> 00:36:08,360 +اللي هي عبارة عن العضلات الطرفية اللي بتكون موجودة + +430 +00:36:08,360 --> 00:36:13,560 +وظيفتها حركة ال upper arm و ال lower limb بتعمل + +431 +00:36:13,560 --> 00:36:18,700 +stabilization للجسم ايضا organization لل group و + +432 +00:36:18,700 --> 00:36:23,460 +work group with together synergist andantagonist, + +433 +00:36:23,700 --> 00:36:27,640 +synergist اللي هي العضلات اللي بتساعد بعضها البعض + +434 +00:36:27,640 --> 00:36:31,480 +على سبيل المثال عندي عضلتين او اكثر بيشتغلوا ب + +435 +00:36:31,480 --> 00:36:36,660 +reflection تمام؟ و ال antagonist بتشتغل المعاكسة + +436 +00:36:36,660 --> 00:36:42,000 +زي العضلة اللي حكيت عليها اللي هي ال triceps بتكون + +437 +00:36:42,000 --> 00:36:48,200 +معاكسةللbiceps تمام هذه بنسميها antagonist اللي هي + +438 +00:36:48,200 --> 00:36:53,440 +العضلة المعاكسة هي ال abdicular هحكي على موضوع مهم + +439 +00:36:53,440 --> 00:36:57,300 +جدا اليوم انا عندي في حاجة اسمها ال IM injection + +440 +00:36:57,300 --> 00:36:59,400 +اللي هي الحقنة + +441 +00:37:01,150 --> 00:37:05,550 +العضلية ال glutus maximus أو العضلة الخلفية + +442 +00:37:05,550 --> 00:37:09,370 +الموجودة في ال batox هنا هي عبارة عن عضلة كبيرة + +443 +00:37:09,370 --> 00:37:13,510 +جدا تمام احنا اليوم لما بنعلم طلبتنا كيف يعطي + +444 +00:37:13,510 --> 00:37:19,110 +الحقنة العضلية بدي اعطيها في مكان خالي من اي nerve + +445 +00:37:19,110 --> 00:37:23,250 +احنا حكينا ان ال nerve طبعا بينتهي ال lumber + +446 +00:37:23,250 --> 00:37:27,710 +بينتهي ال spinal cord في L2 فبالتالي بعد هيك بيصير + +447 +00:37:27,710 --> 00:37:34,360 +في عندي أعصابطرفية جاية مش من الصح آجي أنا أعطي ال + +448 +00:37:34,360 --> 00:37:37,200 +injection الإبرة تابعة الحقنة هنا في النص لأنه + +449 +00:37:37,200 --> 00:37:42,940 +ممكن أؤذي أو أصاوب عصب اسمه sciatic nerve اللي هو + +450 +00:37:42,940 --> 00:37:49,640 +عبارة عن العصب اللي هو بنسميهعرق النسا او ما يسمى + +451 +00:37:49,640 --> 00:37:55,220 +بالعصب اللي هو الحائر العصب النسا عرق النسا ال + +452 +00:37:55,220 --> 00:37:59,020 +gluteus maximus هي اكبر عضلة موجودة في ال back + +453 +00:37:59,020 --> 00:38:03,520 +muscles طبعا في ال batox فيها غشاء ايضا اسمه + +454 +00:38:03,520 --> 00:38:08,600 +course fascula سهل انه انا احط الإبرة فيه و من غير + +455 +00:38:08,600 --> 00:38:12,620 +ما اعمل اي damage اي ضرر للمكان ال great sequence + +456 +00:38:12,620 --> 00:38:16,000 +تبع هذه العضلات بيخلي ان ال intramuscular + +457 +00:38:16,000 --> 00:38:20,140 +injection فيها سليمة 100%ال IM بسميها injections + +458 +00:38:20,140 --> 00:38:25,820 +أو الحقن العضلية to avoid injury عشان انا مااخليش + +459 +00:38:25,820 --> 00:38:30,200 +في عندي إصابة لسياتيكا nerve لازم اللي هو الحق + +460 +00:38:30,200 --> 00:38:35,400 +يكون في ال other outer quadrates of the batox + +461 +00:38:35,400 --> 00:38:42,540 +الربع العلوي اللي هناتمام؟ الرُبع العلوي الخارجي + +462 +00:38:42,540 --> 00:38:48,080 +من العضلة عشان ما أؤذي أي sciatica nerve أو ما + +463 +00:38:48,080 --> 00:38:52,180 +أؤذي أي nerve موجود عندى هنا تسمعوا أن فلان مثلا + +464 +00:38:52,180 --> 00:38:55,680 +على سبيل المثال صار في عنده شلل نتيجة لإبرة غلط + +465 +00:38:55,680 --> 00:38:59,520 +أخدها ليه؟ بيكون هنا الدكتور أو الممرض أو أي حد + +466 +00:38:59,520 --> 00:39:04,830 +أعطاياهاحطها في الرُبع الخالي من الأعصاب لأ احنا + +467 +00:39:04,830 --> 00:39:07,670 +لازم نعطيها في العضلة احنا على سبيل المثال بدنا + +468 +00:39:07,670 --> 00:39:12,090 +نورد هذا الدواء للجسم بحيث انه انا نأذي ان هو + +469 +00:39:12,090 --> 00:39:17,810 +الأعصاب فلازم اعطيها في الرُبع العموي الخالي من + +470 +00:39:17,810 --> 00:39:22,330 +الأعصاب اللي هو ال other outer quadrates of the + +471 +00:39:22,330 --> 00:39:26,610 +batox تمام؟ هي زي ما انتوا شايفين في الصورة اعطى + +472 +00:39:26,610 --> 00:39:32,690 +الإبرة على الجنبين الخارجيين من ال batoxيعطيكوا + +473 +00:39:32,690 --> 00:39:38,110 +ألف عافية بهيك خلصنا ال muscle system اللي هو أخر + +474 +00:39:38,110 --> 00:39:42,390 +إشي معانا فيه باقي عندنا chapter ل blood و chapter + +475 +00:39:42,390 --> 00:39:44,670 +ال eyes يعطيكوا ألف عافية + diff --git a/PL9fwy3NUQKwaUKOT9j2G0l_N1KplW5qW1/EPj3moy4yaw_raw.json b/PL9fwy3NUQKwaUKOT9j2G0l_N1KplW5qW1/EPj3moy4yaw_raw.json new file mode 100644 index 0000000000000000000000000000000000000000..f11fda343179cc748deca132ef1d35000c230551 --- /dev/null +++ b/PL9fwy3NUQKwaUKOT9j2G0l_N1KplW5qW1/EPj3moy4yaw_raw.json @@ -0,0 +1 @@ +{"segments": [{"id": 1, "seek": 4297, "start": 22.07, "end": 42.97, "text": " In the name of God, Most Gracious, Most Merciful. Today, God willing, we will continue the previous lecture. We took an introduction to Android Studio. We got to know its environment. And we got to know how to build the application. 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Now my screen is empty, even this word is gone. Let's look at some of the elements on the left. Now, you can design using drag and drop. For example, I have a text view here. 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Ok? Very simply, the text view is the width of the text. The width of the text. Like the label in java. Do you remember the label in java? This is the width of the text view. Let's see it. For example, make a drag and drop, put it anywhere, it will show you here the text view. Of course, now it's a little small, but it's there.", "tokens": [3477, 11, 264, 700, 4478, 295, 264, 2568, 4959, 307, 264, 2487, 1910, 13, 3477, 30, 4372, 2935, 11, 264, 2487, 1910, 307, 264, 11402, 295, 264, 2487, 13, 440, 11402, 295, 264, 2487, 13, 1743, 264, 7645, 294, 361, 4061, 13, 1144, 291, 1604, 264, 7645, 294, 361, 4061, 30, 639, 307, 264, 11402, 295, 264, 2487, 1910, 13, 961, 311, 536, 309, 13, 1171, 1365, 11, 652, 257, 5286, 293, 3270, 11, 829, 309, 4992, 11, 309, 486, 855, 291, 510, 264, 2487, 1910, 13, 2720, 1164, 11, 586, 309, 311, 257, 707, 1359, 11, 457, 309, 311, 456, 13], "avg_logprob": -0.46723302243982706, "compression_ratio": 1.8450704225352113, "no_speech_prob": 0.0, "words": [{"start": 280.74, "end": 281.18, "word": " Ok,", "probability": 0.272216796875}, {"start": 281.6, "end": 281.88, "word": " the", "probability": 0.61083984375}, {"start": 281.88, "end": 282.02, "word": " first", "probability": 0.87060546875}, {"start": 282.02, "end": 282.3, "word": " 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The text that is written in it. You can write for example username. If you show the word username, it will show it to you. Now, we have a option down here called visibility. What is visibility? Is it a viewer or not? Now, of course, by default, the element is visible. It is present. If you want to hide it, for example, you can put invisible. 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If you put a part in front of it and another part behind it, its place is still empty. It still takes up space, but it is not visible. We have a gun. What is a gun? Invisible and it does not take up space anymore. Okay? 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It is exactly the same thing in Android. The first step you need to do is to define the layout. Where does the layout define itself? 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We will know later. Like in Java, I gave you layouts in the beginning. No, I gave you elements, then I gave you layouts. Ok, there is a layout called Constraint Layout. We will talk about it later. We will get to know the elements later. But it tells you that in order to define a layout, you have to write", "tokens": [3748, 307, 8574, 424, 686, 20084, 346, 30, 492, 486, 458, 1780, 13, 1743, 294, 10745, 11, 286, 2729, 291, 46100, 294, 264, 2863, 13, 883, 11, 286, 2729, 291, 4959, 11, 550, 286, 2729, 291, 46100, 13, 3477, 11, 456, 307, 257, 13333, 1219, 8574, 424, 686, 20084, 346, 13, 492, 486, 751, 466, 309, 1780, 13, 492, 486, 483, 281, 458, 264, 4959, 1780, 13, 583, 309, 5112, 291, 300, 294, 1668, 281, 6964, 257, 13333, 11, 291, 362, 281, 2464], "avg_logprob": -0.4501487978157543, "compression_ratio": 1.8296703296703296, "no_speech_prob": 0.0, "words": [{"start": 644.86, "end": 645.18, "word": "What", "probability": 0.3505859375}, {"start": 645.18, "end": 645.32, "word": " is", "probability": 0.83349609375}, {"start": 645.32, "end": 645.8, "word": " Constraint", "probability": 0.5740559895833334}, {"start": 645.8, "end": 646.24, "word": " Layout?", "probability": 0.871826171875}, {"start": 646.36, "end": 646.6, 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elements should be written inside. Because this is what we call XML file. You still don't know what XML file is. XML file is made up of tags. What are tags? Or we understand at first what XML word means or why we use it. Because if we assume the following example. 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Information about the person Do you know what this information is? Some of them you know, some of them you don't know, right or wrong? For example, Ali Not necessarily, it could be his last name and this could be his first name It could be his name and this could be his son's name, right or wrong?", "tokens": [4022, 37800, 805, 823, 11, 437, 307, 341, 562, 291, 574, 412, 264, 1589, 30, 15357, 466, 264, 954, 1144, 291, 458, 437, 341, 1589, 307, 30, 2188, 295, 552, 291, 458, 11, 512, 295, 552, 291, 500, 380, 458, 11, 558, 420, 2085, 30, 1171, 1365, 11, 12020, 1726, 4725, 11, 309, 727, 312, 702, 1036, 1315, 293, 341, 727, 312, 702, 700, 1315, 467, 727, 312, 702, 1315, 293, 341, 727, 312, 702, 1872, 311, 1315, 11, 558, 420, 2085, 30], "avg_logprob": -0.3796502852014133, "compression_ratio": 1.8802083333333333, "no_speech_prob": 8.344650268554688e-07, "words": [{"start": 700.83, "end": 701.23, "word": " 24", "probability": 0.3974609375}, {"start": 701.23, "end": 701.63, "word": " Gaza", "probability": 0.75830078125}, {"start": 701.63, "end": 703.35, "word": " 3", "probability": 0.83984375}, {"start": 703.35, "end": 706.23, 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"probability": 0.65673828125}, {"start": 710.41, "end": 710.65, "word": " person", "probability": 0.861328125}, {"start": 710.65, "end": 711.11, "word": " Do", "probability": 0.40576171875}, {"start": 711.11, "end": 711.21, "word": " you", "probability": 0.96875}, {"start": 711.21, "end": 711.41, "word": " know", "probability": 0.88525390625}, {"start": 711.41, "end": 711.61, "word": " what", "probability": 0.89453125}, {"start": 711.61, "end": 711.77, "word": " this", "probability": 0.25390625}, {"start": 711.77, "end": 711.99, "word": " information", "probability": 0.81103515625}, {"start": 711.99, "end": 712.13, "word": " is?", "probability": 0.88525390625}, {"start": 713.53, "end": 713.93, "word": " Some", "probability": 0.658203125}, {"start": 713.93, "end": 714.07, "word": " of", "probability": 0.857421875}, {"start": 714.07, "end": 714.17, "word": " them", "probability": 0.72412109375}, {"start": 714.17, "end": 714.31, "word": " you", "probability": 0.857421875}, {"start": 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"word": " his", "probability": 0.71533203125}, {"start": 724.15, "end": 724.41, "word": " son's", "probability": 0.900634765625}, {"start": 724.41, "end": 724.41, "word": " name,", "probability": 0.89697265625}, {"start": 724.73, "end": 725.11, "word": " right", "probability": 0.66552734375}, {"start": 725.11, "end": 725.31, "word": " or", "probability": 0.95068359375}, {"start": 725.31, "end": 725.31, "word": " wrong?", "probability": 0.88525390625}], "temperature": 1.0}, {"id": 28, "seek": 75113, "start": 726.55, "end": 751.13, "text": " Ok, 24 years old. What is this? The place where he lives. The place where he lives. Three. The number of children. The number of children, maybe. No, maybe the number of wives. It varies. Now, when I send data from devices like this, the devices will not understand the meaning of the data. Ok? So, there is a description for the data.", "tokens": [3477, 11, 4022, 924, 1331, 13, 708, 307, 341, 30, 440, 1081, 689, 415, 2909, 13, 440, 1081, 689, 415, 2909, 13, 6244, 13, 440, 1230, 295, 2227, 13, 440, 1230, 295, 2227, 11, 1310, 13, 883, 11, 1310, 264, 1230, 295, 24936, 13, 467, 21716, 13, 823, 11, 562, 286, 2845, 1412, 490, 5759, 411, 341, 11, 264, 5759, 486, 406, 1223, 264, 3620, 295, 264, 1412, 13, 3477, 30, 407, 11, 456, 307, 257, 3855, 337, 264, 1412, 13], "avg_logprob": -0.4843749872794965, "compression_ratio": 1.7142857142857142, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 726.55, "end": 726.83, "word": " Ok,", "probability": 0.2147216796875}, {"start": 726.91, "end": 727.37, "word": " 24", "probability": 0.65234375}, {"start": 727.37, "end": 728.07, "word": " years", "probability": 0.2471923828125}, {"start": 728.07, "end": 728.43, "word": " old.", "probability": 0.64794921875}, {"start": 729.11, "end": 729.57, "word": " What", "probability": 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{"start": 748.81, "end": 749.17, "word": " Ok?", "probability": 0.5126953125}, {"start": 749.55, "end": 749.81, "word": " So,", "probability": 0.8017578125}, {"start": 749.87, "end": 749.97, "word": " there", "probability": 0.283203125}, {"start": 749.97, "end": 749.99, "word": " is", "probability": 0.71337890625}, {"start": 749.99, "end": 750.35, "word": " a", "probability": 0.79833984375}, {"start": 750.35, "end": 750.63, "word": " description", "probability": 0.8818359375}, {"start": 750.63, "end": 750.77, "word": " for", "probability": 0.5390625}, {"start": 750.77, "end": 750.89, "word": " the", "probability": 0.77587890625}, {"start": 750.89, "end": 751.13, "word": " data.", "probability": 0.9326171875}], "temperature": 1.0}, {"id": 29, "seek": 78125, "start": 752.41, "end": 781.25, "text": " What they call tags. What does it mean? I walk around this word and put it like this. I say this is a first name. And down here I write slash first name. Because this is what we call a tag. The tag is placed between triples like this. To distinguish the content from the description. This is a description of the data. Right? And notice that I start with a tag and end with", "tokens": [708, 436, 818, 18632, 13, 708, 775, 309, 914, 30, 286, 1792, 926, 341, 1349, 293, 829, 309, 411, 341, 13, 286, 584, 341, 307, 257, 700, 1315, 13, 400, 760, 510, 286, 2464, 17330, 700, 1315, 13, 1436, 341, 307, 437, 321, 818, 257, 6162, 13, 440, 6162, 307, 7074, 1296, 1376, 2622, 411, 341, 13, 1407, 20206, 264, 2701, 490, 264, 3855, 13, 639, 307, 257, 3855, 295, 264, 1412, 13, 1779, 30, 400, 3449, 300, 286, 722, 365, 257, 6162, 293, 917, 365], "avg_logprob": -0.4479166666666667, "compression_ratio": 1.6923076923076923, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 752.41, "end": 752.89, "word": " What", "probability": 0.181396484375}, {"start": 752.89, "end": 753.01, "word": " they", "probability": 0.197021484375}, {"start": 753.01, "end": 753.25, "word": " call", "probability": 0.8544921875}, {"start": 753.25, "end": 753.73, "word": " tags.", "probability": 0.62353515625}, {"start": 754.21, "end": 754.49, 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The end should be here How do I know that the end should be here? I know that all these tags are a description of this content Which is Ali Ahmed, it should be a numeric name So it is necessary to define the beginning and the end This is first Name And this is for example when I write last", "tokens": [3146, 6162, 1407, 855, 264, 2863, 293, 264, 917, 2305, 393, 286, 829, 264, 6162, 30, 440, 917, 820, 312, 510, 1012, 360, 286, 458, 300, 264, 917, 820, 312, 510, 30, 286, 458, 300, 439, 613, 18632, 366, 257, 3855, 295, 341, 2701, 3013, 307, 12020, 39189, 11, 309, 820, 312, 257, 7866, 299, 1315, 407, 309, 307, 4818, 281, 6964, 264, 2863, 293, 264, 917, 639, 307, 700, 13866, 400, 341, 307, 337, 1365, 562, 286, 2464, 1036], "avg_logprob": -0.5883487654320988, "compression_ratio": 1.7414634146341463, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 782.41, "end": 782.71, "word": " By", "probability": 0.08428955078125}, {"start": 782.71, "end": 782.99, "word": " tag", "probability": 0.5361328125}, {"start": 782.99, "end": 784.05, "word": " To", 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one needs a slash and this one last name this one for example then I write age and here I write slash slash this one age and this one for example home or city slash home here for example number of children", "tokens": [1315, 341, 472, 2203, 257, 17330, 293, 341, 472, 1036, 1315, 341, 472, 337, 1365, 550, 286, 2464, 3205, 293, 510, 286, 2464, 17330, 17330, 341, 472, 3205, 293, 341, 472, 337, 1365, 1280, 420, 2307, 17330, 1280, 510, 337, 1365, 1230, 295, 2227], "avg_logprob": -0.41666667726304796, "compression_ratio": 1.894736842105263, "no_speech_prob": 0.0, "words": [{"start": 812.3800000000001, "end": 813.0400000000001, "word": " name", "probability": 0.351806640625}, {"start": 813.0400000000001, "end": 813.7, "word": " this", "probability": 0.150634765625}, {"start": 813.7, "end": 813.74, "word": " one", "probability": 0.3349609375}, {"start": 813.74, "end": 813.88, "word": " needs", "probability": 0.224853515625}, {"start": 813.88, "end": 814.0, "word": " a", "probability": 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So actually these are XML tags. I use these XML tags to describe the data. For whom do I use them? To describe the data. 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879.72, "text": "This is a description of the data. What is different from HTML tags? HTML tags are tags that have an indication of something on the screen For example, this tag means that this is a button, this is a form, this is an image", "tokens": [5723, 307, 257, 3855, 295, 264, 1412, 13, 708, 307, 819, 490, 17995, 18632, 30, 17995, 18632, 366, 18632, 300, 362, 364, 18877, 295, 746, 322, 264, 2568, 1171, 1365, 11, 341, 6162, 1355, 300, 341, 307, 257, 2960, 11, 341, 307, 257, 1254, 11, 341, 307, 364, 3256], "avg_logprob": -0.5137500178813934, "compression_ratio": 1.5310344827586206, "no_speech_prob": 0.0, "words": [{"start": 865.3399999999999, "end": 865.78, "word": "This", "probability": 0.34765625}, {"start": 865.78, "end": 865.86, "word": " is", "probability": 0.86669921875}, {"start": 865.86, "end": 865.92, "word": " a", "probability": 0.466064453125}, {"start": 865.92, "end": 866.1, "word": " description", "probability": 0.86572265625}, {"start": 866.1, "end": 866.28, "word": " of", "probability": 0.7939453125}, {"start": 866.28, "end": 866.34, "word": " the", "probability": 0.69775390625}, {"start": 866.34, "end": 866.58, "word": " data.", "probability": 0.5908203125}, {"start": 867.02, "end": 867.22, "word": " What", "probability": 0.34228515625}, {"start": 867.22, "end": 867.26, "word": " is", "probability": 0.36328125}, {"start": 867.26, "end": 867.54, "word": " different", "probability": 0.5029296875}, {"start": 867.54, "end": 867.68, "word": " from", "probability": 0.480224609375}, {"start": 867.68, "end": 868.12, "word": " HTML", "probability": 0.493408203125}, {"start": 868.12, "end": 868.58, "word": " tags?", "probability": 0.77001953125}, {"start": 869.16, "end": 869.52, "word": " HTML", "probability": 0.489501953125}, {"start": 869.52, "end": 870.26, "word": " tags", "probability": 0.88037109375}, {"start": 870.26, "end": 870.92, "word": " are", "probability": 0.19384765625}, {"start": 870.92, "end": 871.62, "word": " tags", "probability": 0.43798828125}, {"start": 871.62, "end": 871.94, "word": " that", "probability": 0.47021484375}, {"start": 871.94, "end": 872.14, "word": " have", "probability": 0.51123046875}, {"start": 872.14, "end": 872.28, "word": " an", "probability": 0.2371826171875}, {"start": 872.28, "end": 872.48, "word": " indication", "probability": 0.8720703125}, {"start": 872.48, "end": 872.88, "word": " of", "probability": 0.39697265625}, {"start": 872.88, "end": 873.54, "word": " something", "probability": 0.52978515625}, {"start": 873.54, "end": 873.66, "word": " on", "probability": 0.58544921875}, {"start": 873.66, "end": 873.78, "word": " the", "probability": 0.80419921875}, {"start": 873.78, "end": 874.06, "word": " screen", "probability": 0.841796875}, {"start": 874.06, "end": 875.1, "word": " For", "probability": 0.3115234375}, {"start": 875.1, "end": 875.56, "word": " example,", "probability": 0.9306640625}, {"start": 875.7, "end": 875.84, "word": " this", "probability": 0.70849609375}, {"start": 875.84, "end": 876.08, "word": " tag", "probability": 0.705078125}, {"start": 876.08, "end": 876.38, "word": " means", "probability": 0.62548828125}, {"start": 876.38, "end": 876.46, "word": " that", "probability": 0.31494140625}, {"start": 876.46, "end": 876.64, "word": " this", "probability": 0.56201171875}, {"start": 876.64, "end": 876.64, "word": " is", "probability": 0.80810546875}, {"start": 876.64, "end": 876.76, "word": " a", "probability": 0.51513671875}, {"start": 876.76, "end": 876.96, "word": " button,", "probability": 0.6865234375}, {"start": 877.68, "end": 877.78, "word": " this", "probability": 0.6396484375}, {"start": 877.78, "end": 877.84, "word": " is", "probability": 0.91796875}, {"start": 877.84, "end": 877.94, "word": " a", "probability": 0.77587890625}, {"start": 877.94, "end": 878.26, "word": " form,", "probability": 0.94140625}, {"start": 878.88, "end": 879.24, "word": " this", "probability": 0.66357421875}, {"start": 879.24, "end": 879.34, "word": " is", "probability": 0.93896484375}, {"start": 879.34, "end": 879.44, "word": " an", "probability": 0.890625}, {"start": 879.44, "end": 879.72, "word": " image", "probability": 0.9384765625}], "temperature": 1.0}, {"id": 34, "seek": 90798, "start": 880.86, "end": 907.98, "text": " So the HTML tags define the shape of the screen, how the screen will be displayed or how the page will be displayed. But the XML tags are just a description of the data. Ok? This is the meaning of XML tags. We haven't finished the XML yet. Imagine that I want to add data to more than one person, not just one person. What do we do in this case? We come, not all of them represent one person, we put a tag above it, here it is called person.", "tokens": [407, 264, 17995, 18632, 6964, 264, 3909, 295, 264, 2568, 11, 577, 264, 2568, 486, 312, 16372, 420, 577, 264, 3028, 486, 312, 16372, 13, 583, 264, 43484, 18632, 366, 445, 257, 3855, 295, 264, 1412, 13, 3477, 30, 639, 307, 264, 3620, 295, 43484, 18632, 13, 492, 2378, 380, 4335, 264, 43484, 1939, 13, 11739, 300, 286, 528, 281, 909, 1412, 281, 544, 813, 472, 954, 11, 406, 445, 472, 954, 13, 708, 360, 321, 360, 294, 341, 1389, 30, 492, 808, 11, 406, 439, 295, 552, 2906, 472, 954, 11, 321, 829, 257, 6162, 3673, 309, 11, 510, 309, 307, 1219, 954, 13], "avg_logprob": -0.5085495367365064, "compression_ratio": 1.7751004016064258, "no_speech_prob": 0.0, "words": [{"start": 880.86, "end": 881.06, "word": " So", "probability": 0.427001953125}, {"start": 881.06, "end": 881.12, "word": " the", "probability": 0.240234375}, {"start": 881.12, "end": 881.46, "word": " HTML", "probability": 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His name is person. So there is like half of the tags. These tags every day are followed by whom? By the tag person. Because I add data of a new person, I continue in my file, I make a new tag for what? Person, and I put inside it also first name, okay? And last name, and then I close from what? 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Did you understand or got an idea of what XML means? Now, XML is used to design Android faces. How? Every element in the screen is a tag that represents it. For example, if I come here", "tokens": [286, 528, 281, 1884, 257, 777, 954, 11, 286, 1269, 954, 293, 286, 2464, 294, 309, 661, 721, 13, 2589, 291, 1223, 420, 658, 364, 1558, 295, 437, 43484, 1355, 30, 823, 11, 43484, 307, 1143, 281, 1715, 8853, 8475, 13, 1012, 30, 2048, 4478, 294, 264, 2568, 307, 257, 6162, 300, 8855, 309, 13, 1171, 1365, 11, 498, 286, 808, 510], "avg_logprob": -0.5694444293067569, "compression_ratio": 1.4010695187165776, "no_speech_prob": 0.0, "words": [{"start": 937.74, "end": 937.92, "word": " I", "probability": 0.6591796875}, {"start": 937.92, "end": 938.06, "word": " want", "probability": 0.381103515625}, {"start": 938.06, "end": 938.08, "word": " to", "probability": 0.96044921875}, {"start": 938.08, "end": 938.24, "word": " create", "probability": 0.5810546875}, {"start": 938.24, "end": 938.32, "word": " a", "probability": 0.80078125}, {"start": 938.32, "end": 938.32, "word": " new", "probability": 0.861328125}, {"start": 938.32, "end": 938.58, "word": " 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Meaning that everything on the screen is added as XML and it turns out to be an element displayed on the screen. So every tag is present and describes an element displayed on the screen. Okay, the layout of the XML file is as follows. It is always in the form as follows.", "tokens": [286, 486, 915, 264, 6162, 2435, 13, 19948, 300, 1203, 322, 264, 2568, 307, 3869, 382, 43484, 293, 309, 4523, 484, 281, 312, 364, 4478, 16372, 322, 264, 2568, 13, 407, 633, 6162, 307, 1974, 293, 15626, 364, 4478, 16372, 322, 264, 2568, 13, 1033, 11, 264, 13333, 295, 264, 43484, 3991, 307, 382, 10002, 13, 467, 307, 1009, 294, 264, 1254, 382, 10002, 13], "avg_logprob": -0.6609848457755465, "compression_ratio": 1.7413793103448276, "no_speech_prob": 0.0, "words": [{"start": 984.89, "end": 985.29, "word": " I", "probability": 0.181396484375}, {"start": 985.29, "end": 985.43, "word": " will", "probability": 0.50439453125}, {"start": 985.43, "end": 985.61, "word": " find", "probability": 0.74658203125}, {"start": 985.61, "end": 986.07, "word": " the", "probability": 0.5751953125}, {"start": 986.07, "end": 986.23, "word": " tag", "probability": 0.9208984375}, {"start": 986.23, "end": 986.57, "word": " available.", "probability": 0.136962890625}, 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There is a layout that arranges elements under each other. There is a layout that arranges elements behind each other. There is a layout that arranges elements on each other. There is a layout that arranges elements relative to each other. All of this I will talk about. And every layout has a name. So the first thing that determines it must be the name of the layout. For example, we say linear layout. 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For example, if you want to add a button with a specific feature, or if you want to add a text view, all of them should be between the opening of the layout and its tag.", "tokens": [1396, 309, 5112, 385, 300, 439, 9102, 820, 312, 3869, 1296, 341, 6162, 293, 1080, 6162, 13, 1171, 1365, 11, 498, 291, 528, 281, 909, 257, 2960, 365, 257, 2685, 4111, 11, 420, 498, 291, 528, 281, 909, 257, 2487, 1910, 11, 439, 295, 552, 820, 312, 1296, 264, 5193, 295, 264, 13333, 293, 1080, 6162, 13], "avg_logprob": -0.601831885247395, "compression_ratio": 1.6363636363636365, "no_speech_prob": 0.0, "words": [{"start": 1057.01, "end": 1057.51, "word": " Then", "probability": 0.380126953125}, {"start": 1057.51, "end": 1057.83, "word": " it", "probability": 0.3955078125}, {"start": 1057.83, "end": 1057.95, "word": " tells", "probability": 0.2227783203125}, {"start": 1057.95, "end": 1058.13, "word": " me", "probability": 0.428955078125}, {"start": 1058.13, "end": 1058.25, "word": " that", "probability": 0.47412109375}, {"start": 1058.25, "end": 1058.45, "word": " all", "probability": 0.62255859375}, {"start": 1058.45, "end": 1058.87, "word": " variables", "probability": 0.04486083984375}, {"start": 1058.87, "end": 1059.23, "word": " should", "probability": 0.2489013671875}, {"start": 1059.23, "end": 1059.43, "word": " be", "probability": 0.80810546875}, {"start": 1059.43, "end": 1059.67, "word": " added", "probability": 0.7255859375}, {"start": 1059.67, "end": 1060.09, "word": " between", "probability": 0.78173828125}, {"start": 1060.09, "end": 1060.31, "word": " this", "probability": 0.28369140625}, {"start": 1060.31, "end": 1060.83, "word": " tag", "probability": 0.86962890625}, {"start": 1060.83, "end": 1061.19, "word": " and", "probability": 0.90234375}, {"start": 1061.19, "end": 1061.27, "word": " its", "probability": 0.67138671875}, {"start": 1061.27, "end": 1061.39, "word": " tag.", "probability": 0.2088623046875}, {"start": 1062.97, "end": 1063.47, "word": " For", "probability": 0.30078125}, {"start": 1063.47, "end": 1063.47, "word": " example,", "probability": 0.91064453125}, {"start": 1063.47, "end": 1063.47, "word": " if", "probability": 0.363037109375}, {"start": 1063.47, "end": 1063.47, "word": " you", "probability": 0.8232421875}, {"start": 1063.47, "end": 1063.63, "word": " want", "probability": 0.64794921875}, {"start": 1063.63, "end": 1063.71, "word": " to", "probability": 0.9599609375}, {"start": 1063.71, "end": 1063.91, "word": " add", "probability": 0.880859375}, {"start": 1063.91, "end": 1064.33, "word": " a", "probability": 0.5517578125}, {"start": 1064.33, "end": 1064.67, "word": " button", "probability": 0.34375}, {"start": 1064.67, "end": 1066.17, "word": " with", "probability": 0.49609375}, {"start": 1066.17, "end": 1066.35, "word": " a", "probability": 0.47900390625}, {"start": 1066.35, "end": 1066.35, "word": " specific", "probability": 0.35986328125}, {"start": 1066.35, "end": 1067.11, "word": " feature,", "probability": 0.380859375}, {"start": 1067.57, "end": 1067.83, "word": " or", "probability": 0.34326171875}, {"start": 1067.83, "end": 1067.83, "word": " if", "probability": 0.311279296875}, {"start": 1067.83, "end": 1068.01, "word": " you", "probability": 0.96044921875}, {"start": 1068.01, "end": 1068.01, "word": " want", "probability": 0.80517578125}, {"start": 1068.01, "end": 1068.07, "word": " to", "probability": 0.95654296875}, {"start": 1068.07, "end": 1068.27, "word": " add", "probability": 0.919921875}, {"start": 1068.27, "end": 1068.41, "word": " a", "probability": 0.86279296875}, {"start": 1068.41, "end": 1068.59, "word": " text", "probability": 0.841796875}, {"start": 1068.59, "end": 1069.05, "word": " view,", "probability": 0.66943359375}, {"start": 1070.67, "end": 1070.89, "word": " all", "probability": 0.458251953125}, {"start": 1070.89, "end": 1071.07, "word": " of", "probability": 0.59228515625}, {"start": 1071.07, "end": 1071.11, "word": " them", "probability": 0.78564453125}, {"start": 1071.11, "end": 1071.43, "word": " should", "probability": 0.7734375}, {"start": 1071.43, "end": 1071.87, "word": " be", "probability": 0.90087890625}, {"start": 1071.87, "end": 1072.41, "word": " between", "probability": 0.50732421875}, {"start": 1072.41, "end": 1072.71, "word": " the", "probability": 0.80029296875}, {"start": 1072.71, "end": 1073.01, "word": " opening", "probability": 0.1563720703125}, {"start": 1073.01, "end": 1073.21, "word": " of", "probability": 0.7919921875}, {"start": 1073.21, "end": 1073.25, "word": " the", "probability": 0.77099609375}, {"start": 1073.25, "end": 1073.57, "word": " layout", "probability": 0.88427734375}, {"start": 1073.57, "end": 1074.53, "word": " and", "probability": 0.90087890625}, {"start": 1074.53, "end": 1074.61, "word": " its", "probability": 0.7099609375}, {"start": 1074.61, "end": 1074.81, "word": " tag.", "probability": 0.873046875}], "temperature": 1.0}, {"id": 42, "seek": 110053, "start": 1076.13, "end": 1100.53, "text": " This is what we see. Where did the layout tag open? Here it is. This is it. Then there are many things here that we don't understand yet. And where is the tag? Here it is. This is the tag. Where is the pattern between the layout tag opening and the layout tag closing? Okay. There is something here that confused us a little bit. It says, what are these?", "tokens": [639, 307, 437, 321, 536, 13, 2305, 630, 264, 13333, 6162, 1269, 30, 1692, 309, 307, 13, 639, 307, 309, 13, 1396, 456, 366, 867, 721, 510, 300, 321, 500, 380, 1223, 1939, 13, 400, 689, 307, 264, 6162, 30, 1692, 309, 307, 13, 639, 307, 264, 6162, 13, 2305, 307, 264, 5102, 1296, 264, 13333, 6162, 5193, 293, 264, 13333, 6162, 10377, 30, 1033, 13, 821, 307, 746, 510, 300, 9019, 505, 257, 707, 857, 13, 467, 1619, 11, 437, 366, 613, 30], "avg_logprob": -0.5838235406314626, "compression_ratio": 1.8112244897959184, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1076.13, "end": 1076.63, "word": " This", "probability": 0.27978515625}, {"start": 1076.63, "end": 1076.81, "word": " is", "probability": 0.78466796875}, {"start": 1076.81, "end": 1076.81, "word": " what", "probability": 0.81982421875}, {"start": 1076.81, "end": 1076.97, "word": " we", "probability": 0.8759765625}, {"start": 1076.97, "end": 1077.63, "word": " see.", "probability": 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{"start": 1095.93, "end": 1096.35, "word": " closing?", "probability": 0.8115234375}, {"start": 1097.13, "end": 1097.43, "word": " Okay.", "probability": 0.1866455078125}, {"start": 1097.89, "end": 1098.11, "word": " There", "probability": 0.458984375}, {"start": 1098.11, "end": 1098.15, "word": " is", "probability": 0.85205078125}, {"start": 1098.15, "end": 1098.57, "word": " something", "probability": 0.57080078125}, {"start": 1098.57, "end": 1098.61, "word": " here", "probability": 0.28271484375}, {"start": 1098.61, "end": 1098.71, "word": " that", "probability": 0.81640625}, {"start": 1098.71, "end": 1098.95, "word": " confused", "probability": 0.243408203125}, {"start": 1098.95, "end": 1099.19, "word": " us", "probability": 0.5537109375}, {"start": 1099.19, "end": 1099.39, "word": " a", "probability": 0.611328125}, {"start": 1099.39, "end": 1099.39, "word": " little", "probability": 0.5009765625}, {"start": 1099.39, "end": 1099.53, "word": " bit.", "probability": 0.5712890625}, {"start": 1099.63, "end": 1099.67, "word": " It", "probability": 0.1749267578125}, {"start": 1099.67, "end": 1099.81, "word": " says,", "probability": 0.347900390625}, {"start": 1100.13, "end": 1100.33, "word": " what", "probability": 0.377685546875}, {"start": 1100.33, "end": 1100.35, "word": " are", "probability": 0.61865234375}, {"start": 1100.35, "end": 1100.53, "word": " these?", "probability": 0.80419921875}], "temperature": 1.0}, {"id": 43, "seek": 112473, "start": 1102.27, "end": 1124.73, "text": " As we can see, the one above is like the one below, right? The opening is like the closing. Why is the opening not like the closing? Ok, sometimes they add to the opening tag, what is this opening tag in the beginning? They add some elements here, ok? Before they close it. They call them attributes", "tokens": [1018, 321, 393, 536, 11, 264, 472, 3673, 307, 411, 264, 472, 2507, 11, 558, 30, 440, 5193, 307, 411, 264, 10377, 13, 1545, 307, 264, 5193, 406, 411, 264, 10377, 30, 3477, 11, 2171, 436, 909, 281, 264, 5193, 6162, 11, 437, 307, 341, 5193, 6162, 294, 264, 2863, 30, 814, 909, 512, 4959, 510, 11, 3133, 30, 4546, 436, 1998, 309, 13, 814, 818, 552, 17212], "avg_logprob": -0.44587863355443097, "compression_ratio": 1.744186046511628, "no_speech_prob": 0.0, "words": [{"start": 1102.2700000000002, "end": 1102.8300000000002, "word": " As", "probability": 0.1522216796875}, {"start": 1102.8300000000002, "end": 1103.39, "word": " we", "probability": 0.73291015625}, {"start": 1103.39, "end": 1103.53, "word": " can", "probability": 0.5537109375}, {"start": 1103.53, "end": 1103.77, "word": " see,", "probability": 0.9228515625}, {"start": 1103.85, "end": 1103.97, "word": " the", "probability": 0.58837890625}, {"start": 1103.97, "end": 1103.97, "word": " one", 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Identified Number How can we add a person with an identified number? We can add a tag with the name ID and put it in his ID number Or there is another option, on the same tag of the person, you see? You come here and type ID equals this", "tokens": [400, 550, 6162, 11, 568, 273, 11, 805, 7800, 293, 1017, 392, 1133, 321, 2010, 294, 7348, 11, 437, 307, 7348, 510, 30, 25905, 2587, 5118, 1012, 393, 321, 909, 257, 954, 365, 364, 9234, 1230, 30, 492, 393, 909, 257, 6162, 365, 264, 1315, 7348, 293, 829, 309, 294, 702, 7348, 1230, 1610, 456, 307, 1071, 3614, 11, 322, 264, 912, 6162, 295, 264, 954, 11, 291, 536, 30, 509, 808, 510, 293, 2010, 7348, 6915, 341], "avg_logprob": -0.5957278254665906, "compression_ratio": 1.5968586387434556, "no_speech_prob": 0.0, "words": [{"start": 1152.7, "end": 1152.92, "word": " And", "probability": 0.332275390625}, {"start": 1152.92, "end": 1153.2, "word": " then", "probability": 0.59765625}, {"start": 1153.2, "end": 1153.56, "word": " tag,", "probability": 0.421630859375}, {"start": 1153.72, "end": 1153.98, "word": " 2nd,", "probability": 0.5167236328125}, {"start": 1154.0, "end": 1154.28, "word": " 3rd", "probability": 0.92041015625}, {"start": 1154.28, 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46, "seek": 119699, "start": 1180.25, "end": 1196.99, "text": " You can track data in the same tag. There is no difference. But devices must agree whether the data will be in the tag itself or as a tag inside another tag. But there is no difference.", "tokens": [509, 393, 2837, 1412, 294, 264, 912, 6162, 13, 821, 307, 572, 2649, 13, 583, 5759, 1633, 3986, 1968, 264, 1412, 486, 312, 294, 264, 6162, 2564, 420, 382, 257, 6162, 1854, 1071, 6162, 13, 583, 456, 307, 572, 2649, 13], "avg_logprob": -0.5368303543045407, "compression_ratio": 1.537190082644628, "no_speech_prob": 0.0, "words": [{"start": 1180.25, "end": 1180.67, "word": " You", "probability": 0.28076171875}, {"start": 1180.67, "end": 1181.05, "word": " can", "probability": 0.8642578125}, {"start": 1181.05, "end": 1181.45, "word": " track", "probability": 0.2197265625}, {"start": 1181.45, "end": 1182.09, "word": " data", "probability": 0.5546875}, {"start": 1182.09, "end": 1183.93, "word": " in", "probability": 0.6298828125}, {"start": 1183.93, "end": 1184.23, "word": " the", "probability": 0.8623046875}, {"start": 1184.23, "end": 1184.23, "word": " same", "probability": 0.82763671875}, {"start": 1184.23, "end": 1184.65, "word": " tag.", "probability": 0.92724609375}, {"start": 1186.15, "end": 1186.29, "word": " There", "probability": 0.34521484375}, {"start": 1186.29, "end": 1186.43, "word": " is", "probability": 0.7587890625}, {"start": 1186.43, "end": 1186.53, "word": " no", "probability": 0.9130859375}, {"start": 1186.53, "end": 1186.77, "word": " difference.", "probability": 0.80859375}, {"start": 1188.17, "end": 1188.33, "word": " But", "probability": 0.468505859375}, {"start": 1188.33, "end": 1188.75, "word": " devices", "probability": 0.2041015625}, {"start": 1188.75, "end": 1189.71, "word": " must", "probability": 0.352294921875}, {"start": 1189.71, "end": 1190.09, "word": " agree", "probability": 0.78857421875}, {"start": 1190.09, "end": 1190.93, "word": " whether", "probability": 0.271240234375}, {"start": 1190.93, "end": 1191.11, "word": " the", "probability": 0.63720703125}, {"start": 1191.11, "end": 1191.33, "word": " data", "probability": 0.89111328125}, {"start": 1191.33, "end": 1191.55, "word": " will", "probability": 0.37353515625}, {"start": 1191.55, "end": 1191.75, "word": " be", "probability": 0.89892578125}, {"start": 1191.75, "end": 1191.95, "word": " in", "probability": 0.78466796875}, {"start": 1191.95, "end": 1192.15, "word": " the", "probability": 0.83203125}, {"start": 1192.15, "end": 1192.43, "word": " tag", "probability": 0.583984375}, {"start": 1192.43, "end": 1192.89, "word": " itself", "probability": 0.55615234375}, {"start": 1192.89, "end": 1193.51, "word": " or", "probability": 0.8994140625}, {"start": 1193.51, "end": 1193.67, "word": " as", "probability": 0.431640625}, {"start": 1193.67, "end": 1193.77, "word": " a", "probability": 0.58203125}, {"start": 1193.77, "end": 1193.93, "word": " tag", "probability": 0.9560546875}, {"start": 1193.93, "end": 1194.15, "word": " inside", "probability": 0.62353515625}, {"start": 1194.15, "end": 1194.31, "word": " another", "probability": 0.489501953125}, {"start": 1194.31, "end": 1194.51, "word": " tag.", "probability": 0.97216796875}, {"start": 1195.59, "end": 1196.11, "word": " But", "probability": 0.6943359375}, {"start": 1196.11, "end": 1196.29, "word": " there", "probability": 0.33154296875}, {"start": 1196.29, "end": 1196.67, "word": " is", "probability": 0.86669921875}, {"start": 1196.67, "end": 1196.73, "word": " no", "probability": 0.51220703125}, {"start": 1196.73, "end": 1196.99, "word": " difference.", "probability": 0.826171875}], "temperature": 1.0}, {"id": 47, "seek": 122150, "start": 1198.76, "end": 1221.5, "text": " Meaning that inside the tag you can put your data. Some people consider that it is easier to add attributes inside the tag itself. Because if you have a lot of data, it means that if you want to use tags, every new information needs a tag. And the problem with tags is that if you open the tag and forget to delete it,", "tokens": [19948, 300, 1854, 264, 6162, 291, 393, 829, 428, 1412, 13, 2188, 561, 1949, 300, 309, 307, 3571, 281, 909, 17212, 1854, 264, 6162, 2564, 13, 1436, 498, 291, 362, 257, 688, 295, 1412, 11, 309, 1355, 300, 498, 291, 528, 281, 764, 18632, 11, 633, 777, 1589, 2203, 257, 6162, 13, 400, 264, 1154, 365, 18632, 307, 300, 498, 291, 1269, 264, 6162, 293, 2870, 281, 12097, 309, 11], "avg_logprob": -0.43551937375270144, "compression_ratio": 1.6614583333333333, "no_speech_prob": 0.0, "words": [{"start": 1198.76, "end": 1199.32, "word": " Meaning", "probability": 0.349365234375}, {"start": 1199.32, "end": 1199.6, "word": " that", "probability": 0.65869140625}, {"start": 1199.6, "end": 1199.74, "word": " inside", "probability": 0.231689453125}, {"start": 1199.74, "end": 1200.0, "word": " the", "probability": 0.72119140625}, {"start": 1200.0, "end": 1200.22, "word": " tag", "probability": 0.85400390625}, 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Do you understand how? So in Android, they always try to reduce the use of tags and increase the use of attributes. Why? Because attributes don't need a new tag. You can add it to the tag itself. But if I don't want to use it as an attribute and add it as a tag, it means that you need to open it and close it. Because if you forget to click on it, it will ruin the whole file. 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The opening of the tag is called android.support.constraintlayout. If it is a tag without attributes, it will close here. It will not open here. Yes, it should close here. And here it opened here and closed here.", "tokens": [1692, 309, 575, 257, 13333, 13, 440, 5193, 295, 264, 6162, 307, 1219, 36157, 13, 36622, 477, 13, 1671, 19639, 686, 8376, 346, 13, 759, 309, 307, 257, 6162, 1553, 17212, 11, 309, 486, 1998, 510, 13, 467, 486, 406, 1269, 510, 13, 1079, 11, 309, 820, 1998, 510, 13, 400, 510, 309, 5625, 510, 293, 5395, 510, 13], "avg_logprob": -0.5692708124717076, "compression_ratio": 1.587837837837838, "no_speech_prob": 0.0, "words": [{"start": 1252.51, "end": 1252.77, "word": " Here", "probability": 0.4658203125}, {"start": 1252.77, "end": 1252.95, "word": " it", "probability": 0.1937255859375}, {"start": 1252.95, "end": 1253.09, "word": " has", "probability": 0.736328125}, {"start": 1253.09, "end": 1253.29, "word": " a", "probability": 0.7529296875}, {"start": 1253.29, "end": 1253.71, "word": " layout.", "probability": 0.8994140625}, {"start": 1254.45, "end": 1254.85, "word": " The", "probability": 0.38427734375}, {"start": 1254.85, "end": 1255.03, "word": " opening", "probability": 0.304443359375}, {"start": 1255.03, "end": 1255.19, "word": " of", "probability": 0.441162109375}, {"start": 1255.19, "end": 1255.31, "word": " the", "probability": 0.51123046875}, {"start": 1255.31, "end": 1255.51, "word": " tag", "probability": 0.9296875}, {"start": 1255.51, "end": 1256.05, "word": " is", "probability": 0.82958984375}, {"start": 1256.05, "end": 1257.43, "word": " called", "probability": 0.1470947265625}, {"start": 1257.43, "end": 1258.49, "word": " android", "probability": 0.41650390625}, {"start": 1258.49, "end": 1259.53, "word": ".support", "probability": 0.966796875}, {"start": 1259.53, "end": 1260.85, "word": ".constraintlayout.", "probability": 0.82861328125}, {"start": 1262.01, "end": 1262.61, "word": " If", "probability": 0.29736328125}, {"start": 1262.61, "end": 1263.97, "word": " it", "probability": 0.331298828125}, {"start": 1263.97, "end": 1263.97, "word": " is", "probability": 0.5234375}, {"start": 1263.97, "end": 1263.97, "word": " a", "probability": 0.5546875}, {"start": 1263.97, "end": 1264.23, "word": " tag", "probability": 0.59228515625}, {"start": 1264.23, "end": 1264.91, "word": " without", "probability": 0.4375}, {"start": 1264.91, "end": 1265.63, "word": " attributes,", "probability": 0.447021484375}, {"start": 1265.71, "end": 1265.75, "word": " it", "probability": 0.79443359375}, {"start": 1265.75, "end": 1265.79, "word": " will", "probability": 0.1817626953125}, {"start": 1265.79, "end": 1266.03, "word": " close", "probability": 0.74169921875}, {"start": 1266.03, "end": 1266.35, "word": " here.", "probability": 0.60498046875}, {"start": 1268.17, "end": 1268.71, "word": " It", "probability": 0.312255859375}, {"start": 1268.71, "end": 1268.79, "word": " will", "probability": 0.489990234375}, {"start": 1268.79, "end": 1268.79, "word": " not", "probability": 0.68994140625}, {"start": 1268.79, "end": 1269.19, "word": " open", "probability": 0.86279296875}, {"start": 1269.19, "end": 1269.57, "word": " here.", "probability": 0.78125}, {"start": 1270.35, "end": 1270.53, "word": " Yes,", "probability": 0.254638671875}, {"start": 1270.61, "end": 1270.61, "word": " it", "probability": 0.8837890625}, {"start": 1270.61, "end": 1270.89, "word": " should", "probability": 0.4072265625}, {"start": 1270.89, "end": 1271.23, "word": " close", "probability": 0.8515625}, {"start": 1271.23, "end": 1271.55, "word": " here.", "probability": 0.81103515625}, {"start": 1272.09, "end": 1272.29, "word": " And", "probability": 0.5419921875}, {"start": 1272.29, "end": 1272.57, "word": " here", "probability": 0.66015625}, {"start": 1272.57, "end": 1273.09, "word": " it", "probability": 0.51953125}, {"start": 1273.09, "end": 1273.55, "word": " opened", "probability": 0.33203125}, {"start": 1273.55, "end": 1273.83, "word": " here", "probability": 0.313232421875}, {"start": 1273.83, "end": 1273.97, "word": " and", "probability": 0.86328125}, {"start": 1273.97, "end": 1274.25, "word": " closed", "probability": 0.90087890625}, {"start": 1274.25, "end": 1274.53, "word": " here.", "probability": 0.75830078125}], "temperature": 1.0}, {"id": 50, "seek": 130513, "start": 1275.97, "end": 1305.13, "text": " That's how it's supposed to be. But all the following data, all that is available, up to where? Do you see where it closed? It closed here. These are all attributes or information. Information related to the layout. Okay, from here to here. Okay, what's inside? 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The pattern is now displayed as a new tag. Okay? And it should give TextView and add a new tag. Can you put anything after the closing tag of the layout? Yes? No. Okay. Look at the pattern now.", "tokens": [823, 11, 321, 9166, 300, 1296, 264, 5193, 6162, 295, 264, 13333, 293, 264, 10377, 6162, 11, 291, 829, 264, 4959, 300, 366, 16372, 322, 264, 2568, 13, 440, 5102, 307, 586, 16372, 382, 257, 777, 6162, 13, 1033, 30, 400, 309, 820, 976, 18643, 30203, 293, 909, 257, 777, 6162, 13, 1664, 291, 829, 1340, 934, 264, 10377, 6162, 295, 264, 13333, 30, 1079, 30, 883, 13, 1033, 13, 2053, 412, 264, 5102, 586, 13], "avg_logprob": -0.400365247354879, "compression_ratio": 1.682051282051282, "no_speech_prob": 0.0, "words": [{"start": 1306.51, "end": 1306.83, "word": " Now,", "probability": 0.489990234375}, {"start": 1306.87, "end": 1306.97, "word": " we", "probability": 0.65185546875}, {"start": 1306.97, "end": 1307.37, "word": " agreed", "probability": 0.53271484375}, {"start": 1307.37, "end": 1308.05, "word": " that", "probability": 0.7001953125}, {"start": 1308.05, "end": 1308.29, "word": " between", "probability": 0.72998046875}, {"start": 1308.29, "end": 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did the pattern start? It started here, okay? And then, we don't see it closed and open, right? No, just a line in the end, like this Okay, look with me guys, this is a lecture today, we must understand how to write XML, okay? 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Width from its name? Which is the width of the content We will talk about it in detail And added another attribute named Layout Height Notice that each attribute has a name and a value Notice that this attribute Layout Width has a value of Wrap Content Height has a value of Wrap Content What is Text? 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So if I want to change the content of the button, I change the word hello world. And then we have a clause like this, which is the closing of two, the opening tag. Okay? Okay, okay. I don't want to do it like he did before. Okay? 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" okay.", "probability": 0.7685546875}, {"start": 1436.94, "end": 1437.34, "word": " I", "probability": 0.9140625}, {"start": 1437.34, "end": 1437.42, "word": " don't", "probability": 0.85009765625}, {"start": 1437.42, "end": 1437.56, "word": " want", "probability": 0.87890625}, {"start": 1437.56, "end": 1437.62, "word": " to", "probability": 0.93701171875}, {"start": 1437.62, "end": 1437.74, "word": " do", "probability": 0.7490234375}, {"start": 1437.74, "end": 1437.88, "word": " it", "probability": 0.81689453125}, {"start": 1437.88, "end": 1437.98, "word": " like", "probability": 0.453857421875}, {"start": 1437.98, "end": 1438.18, "word": " he", "probability": 0.599609375}, {"start": 1438.18, "end": 1438.3, "word": " did", "probability": 0.880859375}, {"start": 1438.3, "end": 1438.5, "word": " before.", "probability": 0.6787109375}, {"start": 1438.96, "end": 1439.22, "word": " Okay?", "probability": 0.65673828125}, {"start": 1440.26, "end": 1440.6, "word": " Now,", "probability": 0.89404296875}, {"start": 1440.78, "end": 1440.92, "word": " the", "probability": 0.5830078125}, {"start": 1440.92, "end": 1441.14, "word": " content", "probability": 0.64404296875}, {"start": 1441.14, "end": 1441.38, "word": " of", "probability": 0.64013671875}, {"start": 1441.38, "end": 1441.42, "word": " the", "probability": 0.77197265625}, {"start": 1441.42, "end": 1441.62, "word": " tag,", "probability": 0.94091796875}, {"start": 1441.72, "end": 1441.82, "word": " there", "probability": 0.78759765625}, {"start": 1441.82, "end": 1441.9, "word": " is", "probability": 0.783203125}, {"start": 1441.9, "end": 1442.16, "word": " something", "probability": 0.71337890625}, {"start": 1442.16, "end": 1442.46, "word": " here", "probability": 0.8388671875}], "temperature": 1.0}, {"id": 56, "seek": 147255, "start": 1443.69, "end": 1472.55, "text": " No, it says that if your tag has no content, you can ignore this clause and close it. What is this? If your tag has no content. Again, let's go back to the example of the person. We don't say person", "tokens": [883, 11, 309, 1619, 300, 498, 428, 6162, 575, 572, 2701, 11, 291, 393, 11200, 341, 25925, 293, 1998, 309, 13, 708, 307, 341, 30, 759, 428, 6162, 575, 572, 2701, 13, 3764, 11, 718, 311, 352, 646, 281, 264, 1365, 295, 264, 954, 13, 492, 500, 380, 584, 954], "avg_logprob": -0.6130514776005465, "compression_ratio": 1.4850746268656716, "no_speech_prob": 0.0, "words": [{"start": 1443.69, "end": 1444.27, "word": " No,", "probability": 0.258544921875}, {"start": 1444.63, "end": 1444.85, "word": " it", "probability": 0.31982421875}, {"start": 1444.85, "end": 1445.01, "word": " says", "probability": 0.370849609375}, {"start": 1445.01, "end": 1445.35, "word": " that", "probability": 0.275146484375}, {"start": 1445.35, "end": 1445.79, "word": " if", "probability": 0.91162109375}, {"start": 1445.79, "end": 1446.15, "word": " your", "probability": 0.379150390625}, {"start": 1446.15, "end": 1446.51, "word": " tag", "probability": 0.89599609375}, {"start": 1446.51, 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have children The problem is that we put a tag called number of children", "tokens": [467, 575, 294, 309, 700, 1315, 293, 321, 2729, 309, 411, 341, 400, 1036, 1315, 293, 321, 2729, 309, 1036, 1315, 1436, 472, 954, 337, 1365, 775, 406, 362, 2227, 440, 1154, 307, 300, 321, 829, 257, 6162, 1219, 1230, 295, 2227], "avg_logprob": -0.5588663012482399, "compression_ratio": 1.5703125, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1474.05, "end": 1474.33, "word": " It", "probability": 0.1937255859375}, {"start": 1474.33, "end": 1474.33, "word": " has", "probability": 0.6494140625}, {"start": 1474.33, "end": 1474.73, "word": " in", "probability": 0.1431884765625}, {"start": 1474.73, "end": 1474.87, "word": " it", "probability": 0.62451171875}, {"start": 1474.87, "end": 1475.41, "word": " first", "probability": 0.479248046875}, {"start": 1475.41, "end": 1475.85, "word": " name", "probability": 0.75390625}, {"start": 1475.85, "end": 1476.55, "word": " and", "probability": 0.734375}, 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here what is the number? 1, 2, 3 We can also instead of writing 0, we can write number of children and close it like that What does it mean? It means number of children. We open it and close it", "tokens": [400, 321, 2464, 363, 293, 510, 437, 307, 264, 1230, 30, 502, 11, 568, 11, 805, 492, 393, 611, 2602, 295, 3579, 1958, 11, 321, 393, 2464, 1230, 295, 2227, 293, 1998, 309, 411, 300, 708, 775, 309, 914, 30, 467, 1355, 1230, 295, 2227, 13, 492, 1269, 309, 293, 1998, 309], "avg_logprob": -0.5321344609530467, "compression_ratio": 1.5106382978723405, "no_speech_prob": 0.0, "words": [{"start": 1500.42, "end": 1500.62, "word": " And", "probability": 0.282958984375}, {"start": 1500.62, "end": 1500.78, "word": " we", "probability": 0.58837890625}, {"start": 1500.78, "end": 1500.94, "word": " write", "probability": 0.58984375}, {"start": 1500.94, "end": 1501.2, "word": " B", "probability": 0.20068359375}, {"start": 1501.2, "end": 1501.32, "word": " and", "probability": 0.5263671875}, {"start": 1501.32, "end": 1501.52, "word": " here", "probability": 0.139892578125}, {"start": 1501.52, "end": 1501.78, "word": " what", "probability": 0.342529296875}, {"start": 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" But in order to save it, I put it like this. And like this, every element you take, this is an example of showing pictures. It is called image view. Each element is multiplied, we put a tag on it. 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What we are doing now is not arranging the elements on the screen. We are getting familiar with the XML and arranging it, and then getting familiar with the elements. Anyway, do you understand now what XML means, guys? Okay. Basically, work is XML. Layout is made for facilitation. Okay? You can work with layout, but at some stages, you will need to work with XML. 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Now, we will go and turn on GUI and change the XML a little bit to get used to both. Of course, in the exam, you will not get a drag and drop. In the exam, what do you get? XML. Okay, let's go to the elements of the screen. Let's start element by element. The first element we agreed to use is who? TextView. 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First of all, it wrote text for you. TextView is the word inside. You can write username. Now, notice that when you write the name of the property, to memorize them, you write the first letter in it and it brings them all to you. 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Density based", "tokens": [6458, 82, 507, 2361, 19261, 13, 413, 6859, 2361], "avg_logprob": -0.668359386920929, "compression_ratio": 1.09375, "no_speech_prob": 0.0, "words": [{"start": 1956.7599999999998, "end": 1958.1599999999999, "word": " Density", "probability": 0.67449951171875}, {"start": 1958.1599999999999, "end": 1959.56, "word": " based", "probability": 0.5556640625}, {"start": 1959.56, "end": 1960.72, "word": " pixel.", "probability": 0.5703125}, {"start": 1964.12, "end": 1965.52, "word": " Density", "probability": 0.931884765625}, {"start": 1965.52, "end": 1966.24, "word": " based", "probability": 0.9013671875}], "temperature": 1.0}, {"id": 76, "seek": 198344, "start": 1967.18, "end": 1983.44, "text": " Pixel means pixel based on density. What does density mean? What does it mean? In drawings, what determines the size of the object is the pixel. Right or wrong? This is what we are used to, the pixel. What is Dp?", "tokens": [28323, 1355, 19261, 2361, 322, 10305, 13, 708, 775, 10305, 914, 30, 708, 775, 309, 914, 30, 682, 18618, 11, 437, 24799, 264, 2744, 295, 264, 2657, 307, 264, 19261, 13, 1779, 420, 2085, 30, 639, 307, 437, 321, 366, 1143, 281, 11, 264, 19261, 13, 708, 307, 413, 79, 30], "avg_logprob": -0.5739182806932009, "compression_ratio": 1.5106382978723405, "no_speech_prob": 2.980232238769531e-07, "words": [{"start": 1967.18, "end": 1967.66, "word": " Pixel", "probability": 0.2333984375}, {"start": 1967.66, "end": 1967.92, "word": " means", "probability": 0.4208984375}, {"start": 1967.92, "end": 1968.4, "word": " pixel", "probability": 0.49462890625}, {"start": 1968.4, "end": 1968.82, "word": " based", "probability": 0.1875}, {"start": 1968.82, "end": 1969.48, "word": " on", "probability": 0.9228515625}, {"start": 1969.48, "end": 1970.28, "word": " density.", "probability": 0.71826171875}, {"start": 1970.36, "end": 1970.42, "word": " What", "probability": 0.5283203125}, {"start": 1970.42, "end": 1970.52, "word": " does", "probability": 0.4609375}, {"start": 1970.52, "end": 1970.86, "word": " density", "probability": 0.650390625}, {"start": 1970.86, "end": 1971.3, "word": " mean?", "probability": 0.91796875}, {"start": 1971.92, "end": 1972.48, "word": " What", "probability": 0.2427978515625}, {"start": 1972.48, "end": 1972.72, "word": " does", "probability": 0.398681640625}, {"start": 1972.72, "end": 1972.78, "word": " it", "probability": 0.6005859375}, {"start": 1972.78, "end": 1973.12, "word": " mean?", "probability": 0.9296875}, {"start": 1973.76, "end": 1974.32, "word": " In", "probability": 0.35400390625}, {"start": 1974.32, "end": 1974.68, "word": " drawings,", "probability": 0.447998046875}, {"start": 1975.5, "end": 1975.58, "word": " what", "probability": 0.1263427734375}, {"start": 1975.58, "end": 1976.02, "word": " determines", "probability": 0.40673828125}, {"start": 1976.02, "end": 1976.26, "word": " the", "probability": 0.77880859375}, {"start": 1976.26, "end": 1976.48, "word": " size", "probability": 0.67041015625}, {"start": 1976.48, "end": 1976.66, "word": " of", "probability": 0.91748046875}, {"start": 1976.66, "end": 1976.7, "word": " the", "probability": 0.3173828125}, {"start": 1976.7, "end": 1976.96, "word": " object", "probability": 0.8369140625}, {"start": 1976.96, "end": 1977.78, "word": " is", "probability": 0.64404296875}, {"start": 1977.78, "end": 1978.0, "word": " the", "probability": 0.4404296875}, {"start": 1978.0, "end": 1978.36, "word": " pixel.", "probability": 0.91064453125}, {"start": 1979.52, "end": 1979.74, "word": " Right", "probability": 0.2432861328125}, {"start": 1979.74, "end": 1979.94, "word": " or", "probability": 0.75146484375}, {"start": 1979.94, "end": 1980.02, "word": " wrong?", "probability": 0.73486328125}, {"start": 1980.1, "end": 1980.28, "word": " This", "probability": 0.480224609375}, {"start": 1980.28, "end": 1980.36, "word": " is", "probability": 0.87744140625}, {"start": 1980.36, "end": 1980.38, "word": " what", "probability": 0.869140625}, {"start": 1980.38, "end": 1980.66, "word": " we", "probability": 0.93017578125}, {"start": 1980.66, "end": 1981.26, "word": " are", "probability": 0.456298828125}, {"start": 1981.26, "end": 1981.46, "word": " used", "probability": 0.7646484375}, {"start": 1981.46, "end": 1981.78, "word": " to,", "probability": 0.9697265625}, {"start": 1981.88, "end": 1982.02, "word": " the", "probability": 0.4306640625}, {"start": 1982.02, "end": 1982.38, "word": " pixel.", "probability": 0.9306640625}, {"start": 1982.74, "end": 1982.92, "word": " What", "probability": 0.432373046875}, {"start": 1982.92, "end": 1982.92, "word": " is", "probability": 0.712890625}, {"start": 1982.92, "end": 1983.44, "word": " Dp?", "probability": 0.560546875}], "temperature": 1.0}, {"id": 77, "seek": 201439, "start": 1984.65, "end": 2014.39, "text": " Ok, to differentiate between these two, the pixel is a fixed measurement. When I say that a picture has a size of 50 pixels, if I show it to a small or big device, what is the difference? The resolution of the screens increases. What does this mean? There are screens with the same size, but there are screens with a resolution of 200 pixels per inch.", "tokens": [3477, 11, 281, 23203, 1296, 613, 732, 11, 264, 19261, 307, 257, 6806, 13160, 13, 1133, 286, 584, 300, 257, 3036, 575, 257, 2744, 295, 2625, 18668, 11, 498, 286, 855, 309, 281, 257, 1359, 420, 955, 4302, 11, 437, 307, 264, 2649, 30, 440, 8669, 295, 264, 11171, 8637, 13, 708, 775, 341, 914, 30, 821, 366, 11171, 365, 264, 912, 2744, 11, 457, 456, 366, 11171, 365, 257, 8669, 295, 2331, 18668, 680, 7227, 13], "avg_logprob": -0.5328525854991033, "compression_ratio": 1.6761904761904762, "no_speech_prob": 0.35546875, "words": [{"start": 1984.65, "end": 1984.97, "word": " Ok,", "probability": 0.1710205078125}, {"start": 1985.47, "end": 1985.75, "word": " to", "probability": 0.63330078125}, {"start": 1985.75, "end": 1986.13, "word": " differentiate", "probability": 0.4521484375}, {"start": 1986.13, "end": 1986.33, "word": " between", "probability": 0.60498046875}, {"start": 1986.33, 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"probability": 0.9189453125}, {"start": 2001.21, "end": 2001.21, "word": " the", "probability": 0.626953125}, {"start": 2001.21, "end": 2001.21, "word": " screens", "probability": 0.67236328125}, {"start": 2001.21, "end": 2001.67, "word": " increases.", "probability": 0.3974609375}, {"start": 2002.25, "end": 2002.45, "word": " What", "probability": 0.5810546875}, {"start": 2002.45, "end": 2002.67, "word": " does", "probability": 0.8779296875}, {"start": 2002.67, "end": 2002.71, "word": " this", "probability": 0.41259765625}, {"start": 2002.71, "end": 2002.71, "word": " mean?", "probability": 0.96533203125}, {"start": 2002.93, "end": 2003.29, "word": " There", "probability": 0.282470703125}, {"start": 2003.29, "end": 2003.37, "word": " are", "probability": 0.8876953125}, {"start": 2003.37, "end": 2003.69, "word": " screens", "probability": 0.78955078125}, {"start": 2003.69, "end": 2004.37, "word": " with", "probability": 0.5068359375}, {"start": 2004.37, "end": 2006.39, "word": " the", "probability": 0.492919921875}, {"start": 2006.39, "end": 2006.55, "word": " same", "probability": 0.82177734375}, {"start": 2006.55, "end": 2006.99, "word": " size,", "probability": 0.69140625}, {"start": 2007.07, "end": 2009.35, "word": " but", "probability": 0.544921875}, {"start": 2009.35, "end": 2010.03, "word": " there", "probability": 0.32275390625}, {"start": 2010.03, "end": 2010.13, "word": " are", "probability": 0.72412109375}, {"start": 2010.13, "end": 2010.53, "word": " screens", "probability": 0.76708984375}, {"start": 2010.53, "end": 2010.67, "word": " with", "probability": 0.77197265625}, {"start": 2010.67, "end": 2010.73, "word": " a", "probability": 0.66552734375}, {"start": 2010.73, "end": 2011.17, "word": " resolution", "probability": 0.7666015625}, {"start": 2011.17, "end": 2012.25, "word": " of", "probability": 0.90625}, {"start": 2012.25, "end": 2012.99, "word": " 200", "probability": 0.9013671875}, {"start": 2012.99, "end": 2013.69, "word": " pixels", "probability": 0.87451171875}, {"start": 2013.69, "end": 2014.01, "word": " per", "probability": 0.94677734375}, {"start": 2014.01, "end": 2014.39, "word": " inch.", "probability": 0.958984375}], "temperature": 1.0}, {"id": 78, "seek": 204284, "start": 2014.74, "end": 2042.84, "text": " And there are 1000 pixels per inch. What does 1000 pixels per inch mean? It means that in one inch, there are 1000 pixels. It means that on the same screen size, you can find a big button, and when you put it on another screen with a high density, what does high density mean? It means that the number of pixels, the density of pixels in an inch or more, you can find the size of the button in this way.", "tokens": [400, 456, 366, 9714, 18668, 680, 7227, 13, 708, 775, 9714, 18668, 680, 7227, 914, 30, 467, 1355, 300, 294, 472, 7227, 11, 456, 366, 9714, 18668, 13, 467, 1355, 300, 322, 264, 912, 2568, 2744, 11, 291, 393, 915, 257, 955, 2960, 11, 293, 562, 291, 829, 309, 322, 1071, 2568, 365, 257, 1090, 10305, 11, 437, 775, 1090, 10305, 914, 30, 467, 1355, 300, 264, 1230, 295, 18668, 11, 264, 10305, 295, 18668, 294, 364, 7227, 420, 544, 11, 291, 393, 915, 264, 2744, 295, 264, 2960, 294, 341, 636, 13], "avg_logprob": -0.4773936040223913, "compression_ratio": 1.9901477832512315, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2014.74, "end": 2015.06, "word": " And", "probability": 0.13037109375}, {"start": 2015.06, "end": 2015.22, "word": " there", "probability": 0.5458984375}, {"start": 2015.22, "end": 2015.26, "word": " are", "probability": 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This is 50 pixels and this is 50 pixels. But the screen is 50 pixels wide in a very small area. But the other screen is 50 pixels wide in a very small area.", "tokens": [6767, 362, 257, 2744, 295, 2625, 18668, 13, 639, 307, 2625, 18668, 293, 341, 307, 2625, 18668, 13, 583, 264, 2568, 307, 2625, 18668, 4874, 294, 257, 588, 1359, 1859, 13, 583, 264, 661, 2568, 307, 2625, 18668, 4874, 294, 257, 588, 1359, 1859, 13], "avg_logprob": -0.41338316124418506, "compression_ratio": 1.88, "no_speech_prob": 0.0, "words": [{"start": 2044.78, "end": 2045.26, "word": " Both", "probability": 0.306396484375}, {"start": 2045.26, "end": 2045.46, "word": " have", "probability": 0.23974609375}, {"start": 2045.46, "end": 2045.48, "word": " a", "probability": 0.5166015625}, {"start": 2045.48, "end": 2045.64, "word": " size", "probability": 0.5390625}, {"start": 2045.64, "end": 2045.88, "word": " of", "probability": 0.93798828125}, {"start": 2045.88, "end": 2046.4, "word": " 50", "probability": 0.9375}, {"start": 2046.4, "end": 2048.3, "word": " pixels.", "probability": 0.703125}, {"start": 2048.52, "end": 2048.74, "word": " This", "probability": 0.529296875}, {"start": 2048.74, "end": 2048.78, "word": " is", "probability": 0.350341796875}, {"start": 2048.78, "end": 2049.2, "word": " 50", "probability": 0.91943359375}, {"start": 2049.2, "end": 2049.74, "word": " pixels", "probability": 0.8779296875}, {"start": 2049.74, "end": 2049.94, "word": " and", "probability": 0.74365234375}, {"start": 2049.94, "end": 2050.08, "word": " this", "probability": 0.6767578125}, {"start": 2050.08, "end": 2050.12, "word": " is", "probability": 0.8720703125}, {"start": 2050.12, "end": 2050.42, "word": " 50", "probability": 0.90087890625}, {"start": 2050.42, "end": 2050.9, "word": " pixels.", "probability": 0.97802734375}, {"start": 2052.38, "end": 2052.66, "word": " But", "probability": 0.6689453125}, {"start": 2052.66, "end": 2052.8, "word": " the", "probability": 0.81396484375}, {"start": 2052.8, "end": 2053.08, "word": " screen", "probability": 0.8232421875}, {"start": 2053.08, "end": 2053.22, "word": " is", "probability": 0.50732421875}, {"start": 2053.22, "end": 2053.82, "word": " 50", "probability": 0.59765625}, {"start": 2053.82, "end": 2054.34, "word": " pixels", "probability": 0.8916015625}, {"start": 2054.34, "end": 2054.34, "word": " wide", "probability": 0.42333984375}, {"start": 2054.34, "end": 2054.72, "word": " in", "probability": 0.478759765625}, {"start": 2054.72, "end": 2054.8, "word": " a", "probability": 0.88134765625}, {"start": 2054.8, "end": 2055.1, "word": " very", "probability": 0.68505859375}, {"start": 2055.1, "end": 2055.4, "word": " small", "probability": 0.88720703125}, {"start": 2055.4, "end": 2055.46, "word": " area.", "probability": 0.477783203125}, {"start": 2056.46, "end": 2056.7, "word": " But", "probability": 0.78271484375}, {"start": 2056.7, "end": 2056.88, "word": " the", "probability": 0.857421875}, {"start": 2056.88, "end": 2057.34, "word": " other", "probability": 0.365478515625}, {"start": 2057.34, "end": 2057.34, "word": " screen", "probability": 0.8359375}, {"start": 2057.34, "end": 2057.54, "word": " is", "probability": 0.76416015625}, {"start": 2057.54, "end": 2058.0, "word": " 50", "probability": 0.78759765625}, {"start": 2058.0, "end": 2058.34, "word": " pixels", "probability": 0.96923828125}, {"start": 2058.34, "end": 2058.34, "word": " wide", "probability": 0.80810546875}, {"start": 2058.34, "end": 2058.48, "word": " in", "probability": 0.736328125}, {"start": 2058.48, "end": 2058.6, "word": " a", "probability": 0.77978515625}, {"start": 2058.6, "end": 2058.84, "word": " very", "probability": 0.250732421875}, {"start": 2058.84, "end": 2058.84, "word": " small", "probability": 0.55419921875}, {"start": 2058.84, "end": 2058.96, "word": " area.", "probability": 0.90087890625}], "temperature": 1.0}, {"id": 80, "seek": 208215, "start": 2060.55, "end": 2082.15, "text": " If you use pixels, you can write 102 pixels. If you write px, it will accept it. But using pixels will cause you a problem. Why? You design the button and it is happy with it, but when you display it on a high density screen, the button will look very small.", "tokens": [759, 291, 764, 18668, 11, 291, 393, 2464, 45937, 18668, 13, 759, 291, 2464, 280, 87, 11, 309, 486, 3241, 309, 13, 583, 1228, 18668, 486, 3082, 291, 257, 1154, 13, 1545, 30, 509, 1715, 264, 2960, 293, 309, 307, 2055, 365, 309, 11, 457, 562, 291, 4674, 309, 322, 257, 1090, 10305, 2568, 11, 264, 2960, 486, 574, 588, 1359, 13], "avg_logprob": -0.5436508031118483, "compression_ratio": 1.5146198830409356, "no_speech_prob": 2.384185791015625e-07, "words": [{"start": 2060.55, "end": 2061.15, "word": " If", "probability": 0.1473388671875}, {"start": 2061.15, "end": 2061.75, "word": " you", "probability": 0.82275390625}, {"start": 2061.75, "end": 2062.17, "word": " use", "probability": 0.442138671875}, {"start": 2062.17, "end": 2063.11, "word": " pixels,", "probability": 0.1763916015625}, {"start": 2063.13, "end": 2063.55, "word": " you", "probability": 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because it is always connected to a fixed number of pixels So it means that if the screen has a high density, the number of pixels can be small and the size can be a small element Okay, what is this dp? This dp tells you that the size, for example, is 50 dp", "tokens": [8297, 11, 264, 19261, 307, 257, 1154, 570, 309, 307, 1009, 4582, 281, 257, 6806, 1230, 295, 18668, 407, 309, 1355, 300, 498, 264, 2568, 575, 257, 1090, 10305, 11, 264, 1230, 295, 18668, 393, 312, 1359, 293, 264, 2744, 393, 312, 257, 1359, 4478, 1033, 11, 437, 307, 341, 274, 79, 30, 639, 274, 79, 5112, 291, 300, 264, 2744, 11, 337, 1365, 11, 307, 2625, 274, 79], "avg_logprob": -0.49955359186444964, "compression_ratio": 1.6067415730337078, "no_speech_prob": 0.0, "words": [{"start": 2084.77, "end": 2085.15, "word": "Okay,", "probability": 0.12066650390625}, {"start": 2085.25, "end": 2085.37, "word": " the", "probability": 0.315185546875}, {"start": 2085.37, "end": 2085.73, "word": " pixel", "probability": 0.748046875}, {"start": 2085.73, "end": 2085.91, "word": " is", "probability": 0.72216796875}, {"start": 2085.91, "end": 2086.17, "word": " a", "probability": 0.71875}, {"start": 2086.17, "end": 2086.17, "word": " 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{"start": 2096.13, "end": 2096.13, "word": " element", "probability": 0.56787109375}, {"start": 2096.13, "end": 2097.79, "word": " Okay,", "probability": 0.40380859375}, {"start": 2098.23, "end": 2098.67, "word": " what", "probability": 0.80615234375}, {"start": 2098.67, "end": 2098.77, "word": " is", "probability": 0.80712890625}, {"start": 2098.77, "end": 2099.39, "word": " this", "probability": 0.83544921875}, {"start": 2099.39, "end": 2099.83, "word": " dp?", "probability": 0.658935546875}, {"start": 2101.93, "end": 2102.53, "word": " This", "probability": 0.242431640625}, {"start": 2102.53, "end": 2106.17, "word": " dp", "probability": 0.952392578125}, {"start": 2106.17, "end": 2107.11, "word": " tells", "probability": 0.52685546875}, {"start": 2107.11, "end": 2107.53, "word": " you", "probability": 0.927734375}, {"start": 2107.53, "end": 2107.83, "word": " that", "probability": 0.82861328125}, {"start": 2107.83, "end": 2108.63, "word": " the", "probability": 0.54150390625}, {"start": 2108.63, "end": 2108.99, "word": " size,", "probability": 0.6845703125}, {"start": 2109.27, "end": 2109.57, "word": " for", "probability": 0.76708984375}, {"start": 2109.57, "end": 2109.81, "word": " example,", "probability": 0.94677734375}, {"start": 2109.89, "end": 2110.23, "word": " is", "probability": 0.290771484375}, {"start": 2110.23, "end": 2110.57, "word": " 50", "probability": 0.76416015625}, {"start": 2110.57, "end": 2113.91, "word": " dp", "probability": 0.6534423828125}], "temperature": 1.0}, {"id": 82, "seek": 213873, "start": 2116.04, "end": 2138.74, "text": "It tells me that this 50 dp is not like a pixel with a fixed size of 50 pixels. No, we adjust the element so that the element on high density screens is a little bit bigger. It matches with the screen size. On low density screens, we don't make the element too big.", "tokens": [3522, 5112, 385, 300, 341, 2625, 274, 79, 307, 406, 411, 257, 19261, 365, 257, 6806, 2744, 295, 2625, 18668, 13, 883, 11, 321, 4369, 264, 4478, 370, 300, 264, 4478, 322, 1090, 10305, 11171, 307, 257, 707, 857, 3801, 13, 467, 10676, 365, 264, 2568, 2744, 13, 1282, 2295, 10305, 11171, 11, 321, 500, 380, 652, 264, 4478, 886, 955, 13], "avg_logprob": -0.6458333333333334, "compression_ratio": 1.6158536585365855, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2116.04, "end": 2116.22, "word": "It", "probability": 0.2169189453125}, {"start": 2116.22, "end": 2116.4, "word": " tells", "probability": 0.276123046875}, {"start": 2116.4, "end": 2116.62, "word": " me", "probability": 0.4921875}, {"start": 2116.62, "end": 2116.76, "word": " that", "probability": 0.70263671875}, {"start": 2116.76, "end": 2117.04, "word": " this", "probability": 0.33154296875}, {"start": 2117.04, "end": 2117.46, "word": " 50", 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This is his law. This is his equation. This is how they fixed his equation. But I want to show you now how the value will change depending on the screen size. This is what I want to show you now. Now, suppose that I have a button with a size of 50DP and I want to display it on a screen. The DPI is 160 and I want to display it on a screen. 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Based on the equation, it will be 50x160x160, it will be 50 pixels. This screen has a small resolution, its density is small, it does not have pixels, so its width is 50 pixels. Now, it showed up on the screen with a high resolution.", "tokens": [286, 4114, 2625, 67, 79, 322, 264, 2568, 295, 21243, 79, 87, 11, 309, 630, 406, 855, 493, 322, 264, 2568, 13, 18785, 322, 264, 5367, 11, 309, 486, 312, 2625, 87, 44158, 87, 44158, 11, 309, 486, 312, 2625, 18668, 13, 639, 2568, 575, 257, 1359, 8669, 11, 1080, 10305, 307, 1359, 11, 309, 775, 406, 362, 18668, 11, 370, 1080, 11402, 307, 2625, 18668, 13, 823, 11, 309, 4712, 493, 322, 264, 2568, 365, 257, 1090, 8669, 13], "avg_logprob": -0.5875771722675841, "compression_ratio": 1.7836257309941521, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2246.88, "end": 2247.4, "word": " I", "probability": 0.44140625}, {"start": 2247.4, "end": 2247.72, "word": " wrote", "probability": 0.708984375}, {"start": 2247.72, "end": 2248.48, "word": " 50dp", "probability": 0.61279296875}, {"start": 2248.48, "end": 2249.04, "word": " on", "probability": 0.59716796875}, {"start": 2249.04, "end": 2249.14, "word": " the", 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It is true that I wrote 50dp, but when the width came, it increased. Why did it increase? This screen takes more pixels, so the elements in it will shrink. So they say no, as long as the elements are increased, the user needs to be found. So the width is 100. 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But if you use a pixel for the width, the size remains the same, 50 pixels, 50 pixels. If you put it on a screen with a very high resolution, 50 pixels will remain and it will look like a fat photo. You can't control it. I was able to memorize this introduction, I was able to memorize it with DP. But I didn't understand what DP was. Okay? Density Based Pixel. 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It means according to the content. Rap means wrapping, wrapping on the content. Look, if I put the word rap content, let's see, rap content, the word itself reduced when it became a word. 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Why? Because I got a word that goes up in height. Why didn't they fix it? Because I didn't teach them. I can also say that the height is rap content. 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The father is the tag above him. The tag above him, I work in TextView, and the layout is the parent. So he increases the width of TextView to match with his parent. Who is he? The layout. Let's see here, you will find that the width is more than the width of the whole screen. Sometimes you need to adjust the width of the screen. 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As we said, you can change the features from here. The action is not yet taken by the gate. It is currently in a design similar to TextView. You can either change the features from here, which is its details, or you can change it from where? From the XML. Okay. This is the ID. Forget about it now. 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Do you see this arrow? It means that both of them are together. They have two characteristics together. Bold and Italic. Ok, the button can be... I swear this picture, we will see it later. I mean, the button is almost like a text view, it will not exaggerate. Let's leave the button and go to another element, which is like the image view. Why the image view? 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Ok, image of you, let's see some of it. Let's see, I have pictures here. Yes, how do we show pictures on the screen? 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Inside the resources, there is a layout folder and a drawable folder. We did not talk about the drawable folder yet. You need to display any image and put it inside the drawable folder. For example, I want to display a certain image. Android allows you to display images in specific formats. 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"end": 2713.14, "word": " the", "probability": 0.607421875}, {"start": 2713.14, "end": 2713.5, "word": " resources,", "probability": 0.90771484375}, {"start": 2713.6, "end": 2713.74, "word": " there", "probability": 0.85693359375}, {"start": 2713.74, "end": 2713.74, "word": " is", "probability": 0.64453125}, {"start": 2713.74, "end": 2714.18, "word": " a", "probability": 0.72314453125}, {"start": 2714.18, "end": 2714.34, "word": " layout", "probability": 0.448486328125}, {"start": 2714.34, "end": 2714.74, "word": " folder", "probability": 0.317626953125}, {"start": 2714.74, "end": 2715.56, "word": " and", "probability": 0.78466796875}, {"start": 2715.56, "end": 2715.72, "word": " a", "probability": 0.75830078125}, {"start": 2715.72, "end": 2717.1, "word": " drawable", "probability": 0.78759765625}, {"start": 2717.1, "end": 2717.1, "word": " folder.", "probability": 0.72607421875}, {"start": 2717.22, "end": 2717.76, "word": " We", "probability": 0.482666015625}, {"start": 2717.76, 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And there is a third type, fourth and sixth, which is not very common. JPG, do you know JPG? Yes. PNG, also very common and famous, okay? And GIF. These are the three types of photos. Okay? It is very common. For example, this photo. 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It should not start with special letters or numbers, like dollar, sign, dash. It should not have spaces, as if you are naming a variable. 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Of course, why does he care about this name? Because actually each image will have a different name. Okay? The name of the image will be based on the name of the image. Okay, what do we have to do? Because we put the image in Drupal, we want to show it on the screen. The tool used to show the image on the screen is ImageView. 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It shows me the photo that I want to show. Where does the photo come from? In our project, right or wrong? What does this bring me? It brings me all the photos that are in the project. What are these? Are these the photos that I added? No, these are the photos that are already there, which are the icons of Android. I choose one of the icons and it shows it. We don't want to show it. 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Ok? And this is ok. Yes, and this is put, put the image. Ok guys? Ok, we want to remove this and go and do what? XML. Come here, we agreed that all elements inside the layout, before closing the layout, come here. What is the name of the element?", "tokens": [639, 307, 264, 1716, 293, 341, 307, 264, 3256, 286, 2942, 13, 3477, 30, 400, 341, 307, 3133, 13, 1079, 11, 293, 341, 307, 829, 11, 829, 264, 3256, 13, 3477, 1074, 30, 3477, 11, 321, 528, 281, 4159, 341, 293, 352, 293, 360, 437, 30, 43484, 13, 2492, 510, 11, 321, 9166, 300, 439, 4959, 1854, 264, 13333, 11, 949, 10377, 264, 13333, 11, 808, 510, 13, 708, 307, 264, 1315, 295, 264, 4478, 30], "avg_logprob": -0.5661525850172167, "compression_ratio": 1.6483516483516483, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 2867.89, "end": 2868.15, "word": " This", "probability": 0.432373046875}, {"start": 2868.15, "end": 2868.15, "word": " is", "probability": 0.865234375}, {"start": 2868.15, "end": 2868.25, "word": " the", "probability": 0.50048828125}, {"start": 2868.25, "end": 2868.63, "word": " project", "probability": 0.88134765625}, {"start": 2868.63, "end": 2868.87, "word": " and", "probability": 0.349609375}, {"start": 2868.87, 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The word make it rap content, rap content. Of course, the content of the words is still empty. Okay? 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Wait a minute, where do I get the image from? 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Okay, if you want to control how you shape the width of the image There is a feature called scale type Scale type What is the word scale? The size, the size of the image What is the size that you want?", "tokens": [5858, 293, 760, 2014, 291, 365, 385, 420, 406, 1074, 30, 1033, 11, 498, 291, 528, 281, 1969, 577, 291, 3909, 264, 11402, 295, 264, 3256, 821, 307, 257, 4111, 1219, 4373, 2010, 42999, 2010, 708, 307, 264, 1349, 4373, 30, 440, 2744, 11, 264, 2744, 295, 264, 3256, 708, 307, 264, 2744, 300, 291, 528, 30], "avg_logprob": -0.4803340645699665, "compression_ratio": 1.62, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 3003.46, "end": 3003.68, "word": " Up", "probability": 0.419677734375}, {"start": 3003.68, "end": 3003.86, "word": " and", "probability": 0.8857421875}, {"start": 3003.86, "end": 3004.18, "word": " down", "probability": 0.7880859375}, {"start": 3004.18, "end": 3004.5, "word": " Are", "probability": 0.06884765625}, {"start": 3004.5, "end": 3005.78, "word": " you", "probability": 0.8125}, {"start": 3005.78, "end": 3005.94, "word": " with", "probability": 0.64013671875}, {"start": 3005.94, "end": 3006.06, "word": " me", "probability": 0.95166015625}, {"start": 3006.06, "end": 3006.1, "word": " or", "probability": 0.61865234375}, {"start": 3006.1, "end": 3006.24, "word": " not", "probability": 0.89501953125}, {"start": 3006.24, "end": 3006.48, "word": " guys?", "probability": 0.28369140625}, {"start": 3007.42, "end": 3007.9, "word": " Okay,", "probability": 0.178466796875}, {"start": 3008.06, "end": 3008.44, "word": " if", "probability": 0.8349609375}, {"start": 3008.44, "end": 3008.52, "word": " you", "probability": 0.95361328125}, {"start": 3008.52, "end": 3008.64, "word": " want", "probability": 0.83154296875}, {"start": 3008.64, "end": 3008.76, "word": " to", "probability": 0.96875}, {"start": 3008.76, "end": 3009.14, "word": " control", "probability": 0.6181640625}, {"start": 3009.14, "end": 3009.54, "word": " how", "probability": 0.76611328125}, {"start": 3009.54, "end": 3009.62, "word": " you", "probability": 0.3837890625}, {"start": 3009.62, "end": 3009.9, "word": " shape", "probability": 0.57470703125}, {"start": 3009.9, "end": 3010.02, "word": " the", "probability": 0.630859375}, {"start": 3010.02, "end": 3010.2, "word": " width", "probability": 0.37060546875}, {"start": 3010.2, "end": 3010.32, "word": " of", "probability": 0.95458984375}, {"start": 3010.32, "end": 3010.38, "word": " the", "probability": 0.6953125}, {"start": 3010.38, "end": 3010.62, "word": " image", "probability": 0.406005859375}, {"start": 3010.62, "end": 3013.0, "word": " There", "probability": 0.39599609375}, {"start": 3013.0, "end": 3013.08, "word": " is", "probability": 0.720703125}, {"start": 3013.08, "end": 3013.2, "word": " a", "probability": 0.95947265625}, {"start": 3013.2, "end": 3013.56, "word": " feature", "probability": 0.845703125}, {"start": 3013.56, "end": 3016.28, "word": " called", "probability": 0.6376953125}, {"start": 3016.28, "end": 3016.7, "word": " scale", "probability": 0.323486328125}, {"start": 3016.7, "end": 3017.14, "word": " type", "probability": 0.90087890625}, {"start": 3017.14, "end": 3019.74, "word": " Scale", "probability": 0.73681640625}, {"start": 3019.74, "end": 3020.54, "word": " type", "probability": 0.9013671875}, {"start": 3020.54, "end": 3020.98, "word": " What", "probability": 0.476318359375}, {"start": 3020.98, "end": 3021.12, "word": " is", "probability": 0.609375}, {"start": 3021.12, "end": 3021.16, "word": " the", "probability": 0.681640625}, {"start": 3021.16, "end": 3021.32, "word": " word", "probability": 0.7763671875}, {"start": 3021.32, "end": 3021.82, "word": " scale?", "probability": 0.7646484375}, {"start": 3022.66, "end": 3023.14, "word": " The", "probability": 0.452392578125}, {"start": 3023.14, "end": 3023.42, "word": " size,", "probability": 0.625}, {"start": 3023.62, "end": 3023.7, "word": " the", "probability": 0.7294921875}, {"start": 3023.7, "end": 3023.96, "word": " size", "probability": 0.2431640625}, {"start": 3023.96, "end": 3024.28, "word": " of", "probability": 0.8251953125}, {"start": 3024.28, "end": 3024.84, "word": " the", "probability": 0.91357421875}, {"start": 3024.84, "end": 3025.12, "word": " image", "probability": 0.71435546875}, {"start": 3025.12, "end": 3025.92, "word": " What", "probability": 0.76513671875}, {"start": 3025.92, "end": 3026.04, "word": " is", "probability": 0.498291015625}, {"start": 3026.04, "end": 3026.22, "word": " the", "probability": 0.849609375}, {"start": 3026.22, "end": 3026.48, "word": " size", "probability": 0.30859375}, {"start": 3026.48, "end": 3026.7, "word": " that", "probability": 0.471435546875}, {"start": 3026.7, "end": 3026.88, "word": " you", "probability": 0.96484375}, {"start": 3026.88, "end": 3027.1, "word": " want?", "probability": 0.80908203125}], "temperature": 1.0}, {"id": 116, "seek": 305419, "start": 3028.67, "end": 3054.19, "text": " There are many options. One of the most popular options is by default. It is called Fit Center. This is normal. Fit Center means that you put a suitable picture to maintain the length ratio with the width. Do not distort the picture because if you cover it", "tokens": [821, 366, 867, 3956, 13, 1485, 295, 264, 881, 3743, 3956, 307, 538, 7576, 13, 467, 307, 1219, 29263, 5169, 13, 639, 307, 2710, 13, 29263, 5169, 1355, 300, 291, 829, 257, 12873, 3036, 281, 6909, 264, 4641, 8509, 365, 264, 11402, 13, 1144, 406, 37555, 264, 3036, 570, 498, 291, 2060, 309], "avg_logprob": -0.6180555665934527, "compression_ratio": 1.494186046511628, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 3028.67, "end": 3028.85, "word": " There", "probability": 0.419921875}, {"start": 3028.85, "end": 3028.89, "word": " are", "probability": 0.88525390625}, {"start": 3028.89, "end": 3029.47, "word": " many", "probability": 0.71533203125}, {"start": 3029.47, "end": 3029.47, "word": " options.", "probability": 0.671875}, {"start": 3030.23, "end": 3030.81, "word": " One", "probability": 0.461669921875}, {"start": 3030.81, "end": 3030.85, "word": " of", "probability": 0.9580078125}, {"start": 3030.85, "end": 3030.97, "word": " the", "probability": 0.61962890625}, {"start": 3030.97, "end": 3030.99, "word": " most", "probability": 0.8916015625}, {"start": 3030.99, "end": 3031.15, "word": " popular", "probability": 0.447509765625}, {"start": 3031.15, "end": 3031.43, "word": " options", "probability": 0.2335205078125}, {"start": 3031.43, "end": 3031.71, "word": " is", "probability": 0.810546875}, {"start": 3031.71, "end": 3033.03, "word": " by", "probability": 0.29248046875}, {"start": 3033.03, "end": 3033.53, "word": " default.", "probability": 0.94287109375}, {"start": 3035.49, "end": 3035.69, "word": " It", "probability": 0.302734375}, {"start": 3035.69, "end": 3035.79, "word": " is", "probability": 0.5478515625}, {"start": 3035.79, "end": 3035.97, "word": " called", "probability": 0.68212890625}, {"start": 3035.97, "end": 3036.55, "word": " Fit", "probability": 0.5595703125}, {"start": 3036.55, "end": 3038.41, "word": " Center.", "probability": 0.55029296875}, {"start": 3038.79, "end": 3038.87, "word": " This", "probability": 0.34619140625}, {"start": 3038.87, "end": 3039.01, "word": " is", "probability": 0.9052734375}, {"start": 3039.01, "end": 3039.51, "word": " normal.", "probability": 0.28759765625}, {"start": 3040.31, "end": 3040.69, "word": " Fit", "probability": 0.9560546875}, {"start": 3040.69, "end": 3041.19, "word": " Center", "probability": 0.837890625}, {"start": 3041.19, "end": 3041.95, "word": " means", "probability": 0.69580078125}, {"start": 3041.95, "end": 3042.19, "word": " that", "probability": 0.374267578125}, {"start": 3042.19, "end": 3043.23, "word": " you", "probability": 0.84228515625}, {"start": 3043.23, "end": 3044.05, "word": " put", "probability": 0.367919921875}, {"start": 3044.05, "end": 3044.61, "word": " a", "probability": 0.266845703125}, {"start": 3044.61, "end": 3046.65, "word": " suitable", "probability": 0.6005859375}, {"start": 3046.65, "end": 3046.87, "word": " picture", "probability": 0.306884765625}, {"start": 3046.87, "end": 3047.77, "word": " to", "probability": 0.2288818359375}, {"start": 3047.77, "end": 3048.17, "word": " maintain", "probability": 0.2406005859375}, {"start": 3048.17, "end": 3050.07, "word": " the", "probability": 0.66357421875}, {"start": 3050.07, "end": 3050.45, "word": " length", "probability": 0.3857421875}, {"start": 3050.45, "end": 3050.93, "word": " ratio", "probability": 0.7333984375}, {"start": 3050.93, "end": 3051.39, "word": " with", "probability": 0.74853515625}, {"start": 3051.39, "end": 3051.47, "word": " the", "probability": 0.40771484375}, {"start": 3051.47, "end": 3051.67, "word": " width.", "probability": 0.9248046875}, {"start": 3051.87, "end": 3052.01, "word": " Do", "probability": 0.351806640625}, {"start": 3052.01, "end": 3052.07, "word": " not", "probability": 0.93896484375}, {"start": 3052.07, "end": 3052.33, "word": " distort", "probability": 0.80810546875}, {"start": 3052.33, "end": 3052.63, "word": " the", "probability": 0.896484375}, {"start": 3052.63, "end": 3052.89, "word": " picture", "probability": 0.58740234375}, {"start": 3052.89, "end": 3053.49, "word": " because", "probability": 0.44091796875}, {"start": 3053.49, "end": 3053.67, "word": " if", "probability": 0.912109375}, {"start": 3053.67, "end": 3053.79, "word": " you", "probability": 0.76806640625}, {"start": 3053.79, "end": 3053.97, "word": " cover", "probability": 0.5849609375}, {"start": 3053.97, "end": 3054.19, "word": " it", "probability": 0.90478515625}], "temperature": 1.0}, {"id": 117, "seek": 306437, "start": 3055.17, "end": 3064.37, "text": " It will distort the image. Fit center means that it maintains the length and width, but it puts the image in the middle. The result of the fit center is that it can leave", "tokens": [467, 486, 37555, 264, 3256, 13, 29263, 3056, 1355, 300, 309, 33385, 264, 4641, 293, 11402, 11, 457, 309, 8137, 264, 3256, 294, 264, 2808, 13, 440, 1874, 295, 264, 3318, 3056, 307, 300, 309, 393, 1856], "avg_logprob": -0.6348684053671988, "compression_ratio": 1.4615384615384615, "no_speech_prob": 2.8014183044433594e-06, "words": [{"start": 3055.17, "end": 3055.57, "word": " It", "probability": 0.053070068359375}, {"start": 3055.57, "end": 3055.75, "word": " will", "probability": 0.404296875}, {"start": 3055.75, "end": 3056.07, "word": " distort", "probability": 0.60009765625}, {"start": 3056.07, "end": 3056.37, "word": " the", "probability": 0.8095703125}, {"start": 3056.37, "end": 3056.59, "word": " image.", "probability": 0.443603515625}, {"start": 3057.51, "end": 3057.73, "word": " Fit", "probability": 0.60498046875}, {"start": 3057.73, "end": 3058.19, "word": " center", "probability": 0.286376953125}, {"start": 3058.19, 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What do we use? You are free to build whatever you want. This is fit xy. There is another option called center. I also want you to see it for yourself. What did this center do? 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And this is the image view. If you say center, it means it will bring the image and place it as it is. What will fall in the middle? The image view will come like this. Ok? It will keep the original size of the image only if you place the center in the middle. In Arabic, it means what? 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This is the meaning of center Fit center? No, it makes it a scale, but it preserves the proportion of the length with the width Fit xy? 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What does it do? It takes the picture, makes it smaller, and it comes out like this. It keeps the ratio of the length with the width. Okay? But here I told it center, crop. 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So the image was a little bigger like this. It makes it smaller, so that it becomes like this. No, it made it smaller. 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It became smaller, but there were still parts that came out. 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If you want to preserve the length and width of the image and not distort it, you can use fit center. 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That's it. Ok guys, that's enough for today. Once again, this is a summary of today's lecture. 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In the last lecture, we started with the topic of the database. We worked on the first part, which is adding the employee. Right or wrong? 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Do you know what extends to SQLite? This means that if the database is not available, it will create it. If it is available, it will connect to it. 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If you say writeable, it's not wrong. Writeable reads and writes, okay? And this brings you to the SQLite database. This is the object. We said that this is the one through which the instructions are executed. How did we execute the insert? Through this. Now, what do we want to insert? What do we want to do? Query, okay? You can call it db. 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You say select star from employee. The second field can be put null. Why do we use the second field? 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The array of what? The array of strings. Now, you try when you go deep into SQL, you should try to choose how to get elements and so on. You will take a lot in SQL, how to arrange elements, how to group them, how to choose different things. You will go deep into SQL a lot. 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To the user interface. That is, we want to get the data and display it. To get the data through what? Through the query. The easiest query I will use is what? Select star from employee. We want to specialize. When you get specialized and go deep into SQL, you try these things on your own. Okay? Okay. 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Of course, we have to return something. We are not asking for data. You have to return data. Raw query, let's see what it returns. It returns something called what? Cursor. What does cursor mean in English? Indicator. Yes, indicator. It is really an indicator. 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The four is done if you know how many lines you want to read. But here we say while. 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Don't cross the last line, because the last line has data, but the last distance doesn't have data. This is what we're going to do with the gate, okay? Since we say that each line has employee data, we have to make a class to collect employee data, right or wrong? I'm thinking logically, guys. Notice that everything is based on what? 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I say that as long as it is not after last.", "tokens": [2278, 9952, 510, 307, 300, 309, 307, 934, 1036, 13, 286, 584, 300, 382, 938, 382, 309, 307, 406, 934, 1036, 13], "avg_logprob": -0.7690217183983844, "compression_ratio": 1.2352941176470589, "no_speech_prob": 0.0, "words": [{"start": 645.96, "end": 646.3, "word": "The", "probability": 0.2113037109375}, {"start": 646.3, "end": 646.56, "word": " logic", "probability": 0.8857421875}, {"start": 646.56, "end": 646.78, "word": " here", "probability": 0.319091796875}, {"start": 646.78, "end": 647.06, "word": " is", "probability": 0.5615234375}, {"start": 647.06, "end": 649.36, "word": " that", "probability": 0.1136474609375}, {"start": 649.36, "end": 652.66, "word": " it", "probability": 0.302978515625}, {"start": 652.66, "end": 652.66, "word": " is", "probability": 0.438232421875}, {"start": 652.66, "end": 652.92, "word": " after", "probability": 0.64111328125}, {"start": 652.92, "end": 653.42, "word": " last.", "probability": 0.425537109375}, {"start": 655.12, "end": 655.24, "word": " I", "probability": 0.2037353515625}, {"start": 655.24, "end": 655.52, "word": " say", "probability": 0.3515625}, {"start": 655.52, "end": 655.68, "word": " that", "probability": 0.3154296875}, {"start": 655.68, "end": 655.78, "word": " as", "probability": 0.62158203125}, {"start": 655.78, "end": 655.96, "word": " long", "probability": 0.9296875}, {"start": 655.96, "end": 656.28, "word": " as", "probability": 0.96240234375}, {"start": 656.28, "end": 656.3, "word": " it", "probability": 0.8125}, {"start": 656.3, "end": 656.42, "word": " is", "probability": 0.28369140625}, {"start": 656.42, "end": 656.42, "word": " not", "probability": 0.8740234375}, {"start": 656.42, "end": 656.62, "word": " after", "probability": 0.31982421875}, {"start": 656.62, "end": 656.76, "word": " last.", "probability": 0.849609375}], "temperature": 1.0}, {"id": 28, "seek": 68841, "start": 663.81, "end": 688.41, "text": " Also, there is a good point that I would like to share with you. Yesterday, a Google company contacted us, which is represented in Israel, looking for programmers from Gaza to work for Google. Okay? So, when I discussed with them what you are saying, I asked them what are the specifications that you want them to understand. 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He does not say what is the waterfall or what is software engineering. He says no, we give him a programming question, a specific algorithm. He wants to use the programming language that he knows to solve it. How do they make him solve it? 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They tell you, they don't even tell us what programming language is. As long as he has the correct logic, he writes for any programming language. He comes to us and then we teach him programming language. Just to give you an idea of how it works. 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786.09, "text": " No, actually they asked us in two weeks to nominate people. They say we want them to have achievements and win competitions, programs like hash code and others. They have special projects or programs. Ok, let's go back to our topic. As long as the cursor is not after last, ok? Until now, where is the cursor? On the first line. 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For example, we know that the first column is underscore ID. Ok? This gives you the column number. Get column index. Ok? And then I say get long and I give him what? Yes, the index. This will give me the long ID of the employee.", "tokens": [5289, 415, 2709, 291, 702, 1230, 13, 1171, 1365, 11, 321, 458, 300, 264, 700, 7738, 307, 37556, 7348, 13, 3477, 30, 639, 2709, 291, 264, 7738, 1230, 13, 3240, 7738, 8186, 13, 3477, 30, 400, 550, 286, 584, 483, 938, 293, 286, 976, 796, 437, 30, 1079, 11, 264, 8186, 13, 639, 486, 976, 385, 264, 938, 7348, 295, 264, 10738, 13], "avg_logprob": -0.4497070172801614, "compression_ratio": 1.5207100591715976, "no_speech_prob": 3.5762786865234375e-07, "words": [{"start": 883.81, "end": 883.99, "word": "And", "probability": 0.38916015625}, {"start": 883.99, "end": 884.05, "word": " he", "probability": 0.2064208984375}, {"start": 884.05, "end": 884.15, "word": " gives", "probability": 0.265380859375}, {"start": 884.15, "end": 884.31, "word": " you", "probability": 0.76806640625}, {"start": 884.31, "end": 884.63, "word": " his", "probability": 0.8896484375}, {"start": 884.63, "end": 884.63, "word": " number.", "probability": 0.8251953125}, {"start": 884.99, "end": 885.33, "word": " For", "probability": 0.470458984375}, {"start": 885.33, "end": 885.49, "word": " example,", "probability": 0.91015625}, {"start": 885.57, "end": 885.69, "word": " we", "probability": 0.6591796875}, {"start": 885.69, "end": 885.99, "word": " know", "probability": 0.85205078125}, {"start": 885.99, "end": 886.15, "word": " that", "probability": 0.79833984375}, {"start": 886.15, "end": 886.47, "word": " the", "probability": 0.57421875}, {"start": 886.47, "end": 886.47, "word": " first", "probability": 0.81982421875}, {"start": 886.47, "end": 886.91, "word": " column", "probability": 0.82275390625}, {"start": 886.91, "end": 887.47, "word": " is", "probability": 0.7529296875}, {"start": 887.47, "end": 888.49, "word": " underscore", "probability": 0.207275390625}, {"start": 888.49, "end": 888.91, "word": " ID.", "probability": 0.5439453125}, {"start": 889.83, "end": 889.91, "word": " Ok?", "probability": 0.1783447265625}, {"start": 890.31, "end": 890.71, "word": " This", "probability": 0.497314453125}, {"start": 890.71, "end": 890.89, "word": " gives", "probability": 0.371826171875}, {"start": 890.89, "end": 891.05, "word": " you", "probability": 0.73828125}, {"start": 891.05, "end": 891.09, "word": " the", "probability": 0.8232421875}, {"start": 891.09, "end": 891.49, "word": " column", "probability": 0.67236328125}, {"start": 891.49, "end": 891.67, "word": " number.", "probability": 0.84375}, {"start": 891.85, "end": 891.99, "word": " Get", "probability": 0.8017578125}, {"start": 891.99, "end": 892.29, "word": " column", "probability": 0.495361328125}, {"start": 892.29, "end": 892.71, "word": " index.", "probability": 0.84130859375}, {"start": 894.85, "end": 895.25, "word": " Ok?", "probability": 0.7529296875}, {"start": 895.43, "end": 895.55, "word": " And", "probability": 0.6171875}, {"start": 895.55, "end": 895.81, "word": " then", "probability": 0.68017578125}, {"start": 895.81, "end": 895.95, "word": " I", "probability": 0.8056640625}, {"start": 895.95, "end": 896.09, "word": " say", "probability": 0.4853515625}, {"start": 896.09, "end": 896.37, "word": " get", "probability": 0.3525390625}, {"start": 896.37, "end": 896.73, "word": " long", "probability": 0.8994140625}, {"start": 896.73, "end": 896.91, "word": " and", "probability": 0.57861328125}, {"start": 896.91, "end": 896.97, "word": " I", "probability": 0.367919921875}, {"start": 896.97, "end": 897.15, "word": " give", "probability": 0.60498046875}, {"start": 897.15, "end": 897.27, "word": " him", "probability": 0.7373046875}, {"start": 897.27, "end": 897.43, "word": " what?", "probability": 0.434814453125}, {"start": 898.43, "end": 898.71, "word": " Yes,", "probability": 0.54248046875}, {"start": 898.91, "end": 899.01, "word": " the", "probability": 0.626953125}, {"start": 899.01, "end": 899.31, "word": " index.", "probability": 0.853515625}, {"start": 899.37, "end": 899.57, "word": " This", "probability": 0.73291015625}, {"start": 899.57, "end": 899.69, "word": " will", "probability": 0.607421875}, {"start": 899.69, "end": 899.85, "word": " give", "probability": 0.466796875}, {"start": 899.85, "end": 900.27, "word": " me", "probability": 0.8779296875}, {"start": 900.27, "end": 900.95, "word": " the", "probability": 0.6787109375}, {"start": 900.95, "end": 901.35, "word": " long", "probability": 0.845703125}, {"start": 901.35, "end": 902.33, "word": " ID", "probability": 0.8759765625}, {"start": 902.33, "end": 903.15, "word": " of", "probability": 0.7099609375}, {"start": 903.15, "end": 903.29, "word": " the", "probability": 0.87841796875}, {"start": 903.29, "end": 903.53, "word": " employee.", "probability": 0.7705078125}], "temperature": 1.0}, {"id": 38, "seek": 93367, "start": 904.99, "end": 933.67, "text": "In the beginning, you have to get the number of columns by whose name, and then say get her. We can summarize it in one step. Get long inside it, and say cursor.get column index and give it underscore ID. In the beginning, it will execute this to get the number of columns, and from it, it will get the value stored in it. Now, I am reading, guys, this one.", "tokens": [4575, 264, 2863, 11, 291, 362, 281, 483, 264, 1230, 295, 13766, 538, 6104, 1315, 11, 293, 550, 584, 483, 720, 13, 492, 393, 20858, 309, 294, 472, 1823, 13, 3240, 938, 1854, 309, 11, 293, 584, 28169, 13, 847, 7738, 8186, 293, 976, 309, 37556, 7348, 13, 682, 264, 2863, 11, 309, 486, 14483, 341, 281, 483, 264, 1230, 295, 13766, 11, 293, 490, 309, 11, 309, 486, 483, 264, 2158, 12187, 294, 309, 13, 823, 11, 286, 669, 3760, 11, 1074, 11, 341, 472, 13], "avg_logprob": -0.5887783799659122, "compression_ratio": 1.7246376811594204, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 904.99, "end": 905.41, "word": "In", "probability": 0.07244873046875}, {"start": 905.41, "end": 905.65, "word": " the", "probability": 0.6865234375}, {"start": 905.65, "end": 905.85, "word": " beginning,", "probability": 0.65966796875}, {"start": 905.97, "end": 906.01, "word": " you", "probability": 0.87060546875}, {"start": 906.01, "end": 906.13, "word": " 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916.65, "word": " it,", "probability": 0.260498046875}, {"start": 916.91, "end": 917.03, "word": " and", "probability": 0.370849609375}, {"start": 917.03, "end": 917.15, "word": " say", "probability": 0.44091796875}, {"start": 917.15, "end": 917.73, "word": " cursor", "probability": 0.8603515625}, {"start": 917.73, "end": 919.21, "word": ".get", "probability": 0.750244140625}, {"start": 919.21, "end": 919.67, "word": " column", "probability": 0.385986328125}, {"start": 919.67, "end": 920.41, "word": " index", "probability": 0.759765625}, {"start": 920.41, "end": 920.57, "word": " and", "probability": 0.2406005859375}, {"start": 920.57, "end": 920.77, "word": " give", "probability": 0.5693359375}, {"start": 920.77, "end": 921.07, "word": " it", "probability": 0.6005859375}, {"start": 921.07, "end": 921.99, "word": " underscore", "probability": 0.406494140625}, {"start": 921.99, "end": 922.43, "word": " ID.", "probability": 0.6337890625}, {"start": 923.99, "end": 924.47, "word": " In", "probability": 0.32470703125}, {"start": 924.47, "end": 924.55, "word": " the", "probability": 0.9130859375}, {"start": 924.55, "end": 924.73, "word": " beginning,", "probability": 0.8837890625}, {"start": 924.79, "end": 924.87, "word": " it", "probability": 0.57373046875}, {"start": 924.87, "end": 924.89, "word": " will", "probability": 0.6201171875}, {"start": 924.89, "end": 925.17, "word": " execute", "probability": 0.5361328125}, {"start": 925.17, "end": 925.49, "word": " this", "probability": 0.7177734375}, {"start": 925.49, "end": 926.09, "word": " to", "probability": 0.63330078125}, {"start": 926.09, "end": 926.37, "word": " get", "probability": 0.8515625}, {"start": 926.37, "end": 926.51, "word": " the", "probability": 0.892578125}, {"start": 926.51, "end": 926.65, "word": " number", "probability": 0.64599609375}, {"start": 926.65, "end": 926.75, "word": " of", "probability": 0.96337890625}, {"start": 926.75, "end": 927.07, "word": " columns,", "probability": 0.9169921875}, {"start": 927.65, "end": 927.79, "word": " and", "probability": 0.82080078125}, {"start": 927.79, "end": 927.85, "word": " from", "probability": 0.241943359375}, {"start": 927.85, "end": 927.99, "word": " it,", "probability": 0.476318359375}, {"start": 928.05, "end": 928.09, "word": " it", "probability": 0.7275390625}, {"start": 928.09, "end": 928.09, "word": " will", "probability": 0.53857421875}, {"start": 928.09, "end": 928.23, "word": " get", "probability": 0.74560546875}, {"start": 928.23, "end": 928.49, "word": " the", "probability": 0.798828125}, {"start": 928.49, "end": 928.85, "word": " value", "probability": 0.86767578125}, {"start": 928.85, "end": 929.55, "word": " stored", "probability": 0.59521484375}, {"start": 929.55, "end": 929.81, "word": " in", "probability": 0.73193359375}, {"start": 929.81, "end": 929.95, "word": " it.", "probability": 0.8955078125}, {"start": 930.37, "end": 930.85, "word": " Now,", "probability": 0.59765625}, {"start": 930.99, "end": 931.11, "word": " I", "probability": 0.8330078125}, {"start": 931.11, "end": 931.29, "word": " am", "probability": 0.60302734375}, {"start": 931.29, "end": 931.51, "word": " reading,", "probability": 0.93505859375}, {"start": 931.75, "end": 932.15, "word": " guys,", "probability": 0.51513671875}, {"start": 932.45, "end": 933.27, "word": " this", "probability": 0.6376953125}, {"start": 933.27, "end": 933.67, "word": " one.", "probability": 0.334716796875}], "temperature": 1.0}, {"id": 39, "seek": 96130, "start": 934.86, "end": 961.3, "text": " I have to go and read who? The name. The name is about who? String. This is the cursor. We don't present the cursor yet. Because I have to read what? The whole line. I got string. They want the number of the column. They don't know it, but they know its name. Cursor got colon index. And give it what? Name. What's next?", "tokens": [286, 362, 281, 352, 293, 1401, 567, 30, 440, 1315, 13, 440, 1315, 307, 466, 567, 30, 745, 2937, 13, 639, 307, 264, 28169, 13, 492, 500, 380, 1974, 264, 28169, 1939, 13, 1436, 286, 362, 281, 1401, 437, 30, 440, 1379, 1622, 13, 286, 658, 6798, 13, 814, 528, 264, 1230, 295, 264, 7738, 13, 814, 500, 380, 458, 309, 11, 457, 436, 458, 1080, 1315, 13, 383, 2156, 284, 658, 8255, 8186, 13, 400, 976, 309, 437, 30, 13866, 13, 708, 311, 958, 30], "avg_logprob": -0.41882184730179006, "compression_ratio": 1.6806282722513088, "no_speech_prob": 1.1920928955078125e-07, "words": [{"start": 934.86, "end": 935.06, "word": " I", "probability": 0.55322265625}, {"start": 935.06, "end": 935.16, "word": " have", "probability": 0.26611328125}, {"start": 935.16, "end": 935.26, "word": " to", "probability": 0.9560546875}, {"start": 935.26, "end": 935.34, "word": " go", "probability": 0.63916015625}, {"start": 935.34, "end": 935.58, "word": " and", "probability": 0.234619140625}, {"start": 935.58, "end": 935.88, "word": " read", "probability": 0.8388671875}, {"start": 935.88, "end": 936.16, "word": " who?", "probability": 0.162353515625}, {"start": 936.74, "end": 937.0, "word": " The", "probability": 0.40380859375}, {"start": 937.0, "end": 937.18, "word": " name.", "probability": 0.7490234375}, {"start": 937.68, "end": 938.12, "word": " The", "probability": 0.65966796875}, {"start": 938.12, "end": 938.28, "word": " name", "probability": 0.88330078125}, {"start": 938.28, "end": 938.4, "word": " is", "probability": 0.5576171875}, {"start": 938.4, "end": 938.6, "word": " about", "probability": 0.32958984375}, {"start": 938.6, "end": 938.86, "word": " who?", "probability": 0.72216796875}, {"start": 939.76, "end": 940.2, "word": " String.", "probability": 0.859619140625}, {"start": 941.24, "end": 941.64, "word": " This", "probability": 0.607421875}, {"start": 941.64, "end": 941.7, "word": " is", "probability": 0.9326171875}, {"start": 941.7, "end": 941.76, "word": " the", "probability": 0.84228515625}, {"start": 941.76, "end": 941.98, "word": " cursor.", "probability": 0.9521484375}, {"start": 942.08, "end": 942.26, "word": " We", "probability": 0.53955078125}, {"start": 942.26, "end": 942.38, "word": " don't", "probability": 0.6483154296875}, {"start": 942.38, "end": 942.62, "word": " present", "probability": 0.2171630859375}, {"start": 942.62, "end": 942.86, "word": " the", "probability": 0.74462890625}, {"start": 942.86, "end": 943.14, "word": " cursor", "probability": 0.9462890625}, {"start": 943.14, "end": 943.14, "word": " yet.", "probability": 0.8173828125}, {"start": 943.28, "end": 943.4, "word": " Because", "probability": 0.73291015625}, {"start": 943.4, "end": 943.52, "word": " I", "probability": 0.83544921875}, {"start": 943.52, "end": 943.62, "word": " have", "probability": 0.7919921875}, {"start": 943.62, "end": 943.7, "word": " to", "probability": 0.96484375}, {"start": 943.7, "end": 943.9, "word": " read", "probability": 0.97314453125}, {"start": 943.9, "end": 944.26, "word": " what?", "probability": 0.794921875}, {"start": 944.84, "end": 945.02, "word": " The", "probability": 0.7607421875}, {"start": 945.02, "end": 945.02, "word": " whole", "probability": 0.736328125}, {"start": 945.02, "end": 945.24, "word": " line.", "probability": 0.75927734375}, {"start": 947.02, "end": 947.26, "word": " I", "probability": 0.80712890625}, {"start": 947.26, "end": 947.26, "word": " got", "probability": 0.470458984375}, {"start": 947.26, "end": 947.62, "word": " string.", "probability": 0.343994140625}, {"start": 948.5, "end": 948.94, "word": " They", "probability": 0.45361328125}, {"start": 948.94, "end": 949.06, "word": " want", "probability": 0.47314453125}, {"start": 949.06, "end": 949.28, "word": " the", "probability": 0.80810546875}, {"start": 949.28, "end": 949.28, "word": " number", "probability": 0.27392578125}, {"start": 949.28, "end": 949.42, "word": " of", "probability": 0.80810546875}, {"start": 949.42, "end": 949.42, "word": " the", "probability": 0.46435546875}, {"start": 949.42, "end": 949.62, "word": " column.", "probability": 0.91552734375}, {"start": 949.76, "end": 949.8, "word": " They", "probability": 0.446533203125}, {"start": 949.8, "end": 949.88, "word": " don't", "probability": 0.93798828125}, {"start": 949.88, "end": 950.16, "word": " know", "probability": 0.89404296875}, {"start": 950.16, "end": 950.3, "word": " it,", "probability": 0.53955078125}, {"start": 950.32, "end": 950.44, "word": " but", "probability": 0.919921875}, {"start": 950.44, "end": 950.56, "word": " they", "probability": 0.865234375}, {"start": 950.56, "end": 950.72, "word": " know", "probability": 0.87841796875}, {"start": 950.72, "end": 950.84, "word": " its", "probability": 0.463134765625}, {"start": 950.84, "end": 951.08, "word": " name.", "probability": 0.8994140625}, {"start": 951.68, "end": 952.12, "word": " Cursor", "probability": 0.8645833333333334}, {"start": 952.12, "end": 952.28, "word": " got", "probability": 0.455810546875}, {"start": 952.28, "end": 952.58, "word": " colon", "probability": 0.73291015625}, {"start": 952.58, "end": 953.12, "word": " index.", "probability": 0.7119140625}, {"start": 953.86, "end": 954.3, "word": " And", "probability": 0.75048828125}, {"start": 954.3, "end": 954.5, "word": " give", "probability": 0.27392578125}, {"start": 954.5, "end": 954.64, "word": " it", "probability": 0.634765625}, {"start": 954.64, "end": 954.88, "word": " what?", "probability": 0.912109375}, {"start": 957.16, "end": 957.6, "word": " Name.", "probability": 0.89013671875}, {"start": 960.68, "end": 961.12, "word": " What's", "probability": 0.74609375}, {"start": 961.12, "end": 961.3, "word": " next?", "probability": 0.86865234375}], "temperature": 1.0}, {"id": 40, "seek": 99218, "start": 971.78, "end": 992.18, "text": "The fruit that we stored as real, when you say get double, it turns into what? Into double, because the real is consistent with the double. Right or wrong? Cursor, get column, index. What else is there?", "tokens": [2278, 6773, 300, 321, 12187, 382, 957, 11, 562, 291, 584, 483, 3834, 11, 309, 4523, 666, 437, 30, 23373, 3834, 11, 570, 264, 957, 307, 8398, 365, 264, 3834, 13, 1779, 420, 2085, 30, 383, 2156, 284, 11, 483, 7738, 11, 8186, 13, 708, 1646, 307, 456, 30], "avg_logprob": -0.5556249833106994, "compression_ratio": 1.3835616438356164, "no_speech_prob": 0.0, "words": [{"start": 971.78, "end": 972.04, "word": "The", "probability": 0.443603515625}, {"start": 972.04, "end": 972.26, "word": " fruit", "probability": 0.08978271484375}, {"start": 972.26, "end": 972.38, "word": " that", "probability": 0.334228515625}, {"start": 972.38, "end": 972.58, "word": " we", "probability": 0.87841796875}, {"start": 972.58, "end": 972.86, "word": " stored", "probability": 0.14892578125}, {"start": 972.86, "end": 973.14, "word": " as", "probability": 0.52880859375}, {"start": 973.14, "end": 973.36, "word": " real,", "probability": 0.403076171875}, {"start": 973.82, "end": 974.14, "word": " when", "probability": 0.7333984375}, {"start": 974.14, "end": 974.6, "word": " you", "probability": 0.6494140625}, {"start": 974.6, "end": 974.74, "word": " say", "probability": 0.55859375}, {"start": 974.74, "end": 974.96, "word": " get", "probability": 0.7431640625}, {"start": 974.96, "end": 975.26, "word": " double,", "probability": 0.72119140625}, {"start": 976.18, "end": 976.36, "word": " it", "probability": 0.515625}, {"start": 976.36, "end": 976.76, "word": " turns", "probability": 0.43701171875}, {"start": 976.76, "end": 976.94, "word": " into", "probability": 0.394287109375}, {"start": 976.94, "end": 977.18, "word": " what?", "probability": 0.2490234375}, {"start": 977.64, "end": 977.78, "word": " Into", "probability": 0.346923828125}, {"start": 977.78, "end": 978.02, "word": " double,", "probability": 0.82177734375}, {"start": 978.3, "end": 978.54, "word": " because", "probability": 0.89013671875}, {"start": 978.54, "end": 978.66, "word": " the", "probability": 0.54248046875}, {"start": 978.66, "end": 978.82, "word": " real", "probability": 0.8974609375}, {"start": 978.82, "end": 978.94, "word": " is", "probability": 0.4091796875}, {"start": 978.94, "end": 979.28, "word": " consistent", "probability": 0.42236328125}, {"start": 979.28, "end": 979.44, "word": " with", "probability": 0.89697265625}, {"start": 979.44, "end": 979.56, "word": " the", "probability": 0.630859375}, {"start": 979.56, "end": 979.78, "word": " double.", "probability": 0.9462890625}, {"start": 980.18, "end": 980.28, "word": " Right", "probability": 0.470703125}, {"start": 980.28, "end": 980.48, "word": " or", "probability": 0.91064453125}, {"start": 980.48, "end": 980.54, "word": " wrong?", "probability": 0.7138671875}, {"start": 982.28, "end": 982.76, "word": " Cursor,", "probability": 0.788330078125}, {"start": 983.1, "end": 983.3, "word": " get", "probability": 0.9150390625}, {"start": 983.3, "end": 983.68, "word": " column,", "probability": 0.7890625}, {"start": 984.56, "end": 985.02, "word": " index.", "probability": 0.90771484375}, {"start": 991.54, "end": 992.02, "word": " What", "probability": 0.8154296875}, {"start": 992.02, "end": 992.12, "word": " else", "probability": 0.78759765625}, {"start": 992.12, "end": 992.12, "word": " is", "probability": 0.64599609375}, {"start": 992.12, "end": 992.18, "word": " there?", "probability": 0.85009765625}], "temperature": 1.0}, {"id": 41, "seek": 101065, "start": 1007.85, "end": 1010.65, "text": "Cursor.getColumnIndex", "tokens": [34, 2156, 284, 13, 847, 34, 401, 16449, 21790, 3121], "avg_logprob": -0.5042613636363636, "compression_ratio": 0.7241379310344828, "no_speech_prob": 0.0, "words": [{"start": 1007.85, "end": 1009.25, "word": "Cursor", "probability": 0.633026123046875}, {"start": 1009.25, "end": 1010.65, "word": ".getColumnIndex", "probability": 0.8122907366071429}], "temperature": 1.0}, {"id": 42, "seek": 104098, "start": 1028.6, "end": 1040.98, "text": "I read it as an integer. You can put the integer in the Boolean, but you can't. That's why at the end I told him to check who read all this, whether the value is 1 or not.", "tokens": [40, 1401, 309, 382, 364, 24922, 13, 509, 393, 829, 264, 24922, 294, 264, 23351, 28499, 11, 457, 291, 393, 380, 13, 663, 311, 983, 412, 264, 917, 286, 1907, 796, 281, 1520, 567, 1401, 439, 341, 11, 1968, 264, 2158, 307, 502, 420, 406, 13], "avg_logprob": -0.4740691489361702, "compression_ratio": 1.3464566929133859, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 1028.6, "end": 1029.04, "word": "I", "probability": 0.83544921875}, {"start": 1029.04, "end": 1029.26, "word": " read", "probability": 0.90673828125}, {"start": 1029.26, "end": 1029.42, "word": " it", "probability": 0.81396484375}, {"start": 1029.42, "end": 1029.52, "word": " as", "probability": 0.81201171875}, {"start": 1029.52, "end": 1031.18, "word": " an", "probability": 0.388427734375}, {"start": 1031.18, "end": 1031.46, "word": " integer.", "probability": 0.8681640625}, {"start": 1031.58, "end": 1031.66, "word": " You", "probability": 0.359619140625}, {"start": 1031.66, "end": 1031.78, "word": " can", "probability": 0.90869140625}, {"start": 1031.78, "end": 1032.02, "word": " put", "probability": 0.689453125}, {"start": 1032.02, "end": 1032.14, "word": " the", "probability": 0.3369140625}, {"start": 1032.14, "end": 1032.4, "word": " integer", "probability": 0.904296875}, {"start": 1032.4, "end": 1032.58, "word": " in", "probability": 0.8701171875}, {"start": 1032.58, "end": 1032.68, "word": " the", "probability": 0.5166015625}, {"start": 1032.68, "end": 1032.98, "word": " Boolean,", "probability": 0.80908203125}, {"start": 1033.22, "end": 1033.36, "word": " but", "probability": 0.55126953125}, {"start": 1033.36, "end": 1033.44, "word": " you", "probability": 0.697265625}, {"start": 1033.44, "end": 1033.7, "word": " can't.", "probability": 0.787353515625}, {"start": 1034.08, "end": 1034.4, "word": " That's", "probability": 0.714111328125}, {"start": 1034.4, "end": 1034.62, "word": " why", "probability": 0.9189453125}, {"start": 1034.62, "end": 1034.88, "word": " at", "probability": 0.311279296875}, {"start": 1034.88, "end": 1034.98, "word": " the", "probability": 0.92822265625}, {"start": 1034.98, "end": 1035.2, "word": " end", "probability": 0.892578125}, {"start": 1035.2, "end": 1035.62, "word": " I", "probability": 0.418701171875}, {"start": 1035.62, "end": 1036.46, "word": " told", "probability": 0.32373046875}, {"start": 1036.46, "end": 1036.62, "word": " him", "probability": 0.8095703125}, {"start": 1036.62, "end": 1036.72, "word": " to", "probability": 0.6728515625}, {"start": 1036.72, "end": 1036.88, "word": " check", "probability": 0.79638671875}, {"start": 1036.88, "end": 1037.26, "word": " who", "probability": 0.384033203125}, {"start": 1037.26, "end": 1038.48, "word": " read", "probability": 0.403564453125}, {"start": 1038.48, "end": 1038.92, "word": " all", "probability": 0.486328125}, {"start": 1038.92, "end": 1039.28, "word": " this,", "probability": 0.47509765625}, {"start": 1039.56, "end": 1039.98, "word": " whether", "probability": 0.3603515625}, {"start": 1039.98, "end": 1040.08, "word": " the", "probability": 0.4619140625}, {"start": 1040.08, "end": 1040.16, "word": " value", "probability": 0.857421875}, {"start": 1040.16, "end": 1040.3, "word": " is", "probability": 0.68359375}, {"start": 1040.3, "end": 1040.56, "word": " 1", "probability": 0.5888671875}, {"start": 1040.56, "end": 1040.78, "word": " or", "probability": 0.91943359375}, {"start": 1040.78, "end": 1040.98, "word": " not.", "probability": 0.88720703125}], "temperature": 1.0}, {"id": 43, "seek": 106779, "start": 1042.03, "end": 1067.79, "text": " If the value is 1, it will put in the Boolean what? True If it is not 1, it will put what? False See how I shorten a line, instead of reading it like an integer, I will say F Hadi equals 1 or something like that Okay, I will announce the date of birth Long date of birth Cursor", "tokens": [759, 264, 2158, 307, 502, 11, 309, 486, 829, 294, 264, 23351, 28499, 437, 30, 13587, 759, 309, 307, 406, 502, 11, 309, 486, 829, 437, 30, 50040, 3008, 577, 286, 39632, 257, 1622, 11, 2602, 295, 3760, 309, 411, 364, 24922, 11, 286, 486, 584, 479, 18908, 6915, 502, 420, 746, 411, 300, 1033, 11, 286, 486, 7478, 264, 4002, 295, 3965, 8282, 4002, 295, 3965, 383, 2156, 284], "avg_logprob": -0.6034331002705534, "compression_ratio": 1.5617977528089888, "no_speech_prob": 0.0, "words": [{"start": 1042.03, "end": 1042.25, "word": " If", "probability": 0.468505859375}, {"start": 1042.25, "end": 1042.51, "word": " the", "probability": 0.19677734375}, {"start": 1042.51, "end": 1042.51, "word": " value", "probability": 0.9169921875}, {"start": 1042.51, "end": 1042.57, "word": " is", "probability": 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111530, "start": 1091.22, "end": 1115.3, "text": "And all of this, I need to make it casting, no it's already existing as real in the database, right? If you remember the date of birth, it's in MyHelper, it's the date of birth, we made it as what? As real, so I can't tell it to read it as long, I need to tell it to read it as double, okay? And then make it casting for what? For long, it's already without errors", "tokens": [5289, 439, 295, 341, 11, 286, 643, 281, 652, 309, 17301, 11, 572, 309, 311, 1217, 6741, 382, 957, 294, 264, 8149, 11, 558, 30, 759, 291, 1604, 264, 4002, 295, 3965, 11, 309, 311, 294, 1222, 39, 338, 610, 11, 309, 311, 264, 4002, 295, 3965, 11, 321, 1027, 309, 382, 437, 30, 1018, 957, 11, 370, 286, 393, 380, 980, 309, 281, 1401, 309, 382, 938, 11, 286, 643, 281, 980, 309, 281, 1401, 309, 382, 3834, 11, 1392, 30, 400, 550, 652, 309, 17301, 337, 437, 30, 1171, 938, 11, 309, 311, 1217, 1553, 13603], "avg_logprob": -0.5517676791759453, "compression_ratio": 1.793103448275862, "no_speech_prob": 5.960464477539063e-08, "words": [{"start": 1091.2200000000003, "end": 1091.5800000000002, "word": "And", "probability": 0.185546875}, {"start": 1091.5800000000002, "end": 1091.94, "word": " all", "probability": 0.379638671875}, {"start": 1091.94, "end": 1092.06, "word": " of", "probability": 0.375244140625}, {"start": 1092.06, "end": 1092.06, "word": " 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"start": 1118.68, "end": 1145.5, "text": " All right? These are the five data points for each employee. All right? This is how we read the first line. Now, where do you want me to continue? Up. Up. But there is a very important step that you have to do. If you don't do it, it will get stuck. To move forward from whom? Move to next. Yes. In the first one, we put it on the first line. And then we say, as long as the indicator does not pass,", "tokens": [1057, 558, 30, 1981, 366, 264, 1732, 1412, 2793, 337, 1184, 10738, 13, 1057, 558, 30, 639, 307, 577, 321, 1401, 264, 700, 1622, 13, 823, 11, 689, 360, 291, 528, 385, 281, 2354, 30, 5858, 13, 5858, 13, 583, 456, 307, 257, 588, 1021, 1823, 300, 291, 362, 281, 360, 13, 759, 291, 500, 380, 360, 309, 11, 309, 486, 483, 5541, 13, 1407, 1286, 2128, 490, 7101, 30, 10475, 281, 958, 13, 1079, 13, 682, 264, 700, 472, 11, 321, 829, 309, 322, 264, 700, 1622, 13, 400, 550, 321, 584, 11, 382, 938, 382, 264, 16961, 775, 406, 1320, 11], "avg_logprob": -0.49429086681741935, "compression_ratio": 1.6129032258064515, "no_speech_prob": 1.0132789611816406e-06, "words": [{"start": 1118.68, "end": 1118.92, "word": " All", "probability": 0.08599853515625}, {"start": 1118.92, "end": 1119.08, "word": " right?", "probability": 0.77001953125}, {"start": 1119.42, "end": 1119.86, "word": " These", "probability": 0.7138671875}, {"start": 1119.86, 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{"start": 1140.84, "end": 1140.92, "word": " one,", "probability": 0.2152099609375}, {"start": 1141.12, "end": 1141.3, "word": " we", "probability": 0.8935546875}, {"start": 1141.3, "end": 1141.54, "word": " put", "probability": 0.416259765625}, {"start": 1141.54, "end": 1141.76, "word": " it", "probability": 0.71728515625}, {"start": 1141.76, "end": 1141.86, "word": " on", "probability": 0.6357421875}, {"start": 1141.86, "end": 1141.96, "word": " the", "probability": 0.90576171875}, {"start": 1141.96, "end": 1142.08, "word": " first", "probability": 0.873046875}, {"start": 1142.08, "end": 1142.36, "word": " line.", "probability": 0.888671875}, {"start": 1142.88, "end": 1143.14, "word": " And", "probability": 0.74072265625}, {"start": 1143.14, "end": 1143.38, "word": " then", "probability": 0.7578125}, {"start": 1143.38, "end": 1143.54, "word": " we", "probability": 0.78076171875}, {"start": 1143.54, "end": 1143.68, "word": " say,", "probability": 0.40966796875}, {"start": 1143.9, 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Of course, we are still in the fact that these data were not stored in the object. So you have to go and do employee E equals new employee and say E dot sit name name E dot sit id id", "tokens": [440, 1036, 1622, 11, 406, 934, 264, 1036, 1622, 11, 1401, 264, 6741, 1412, 300, 307, 16176, 538, 264, 28169, 293, 550, 1286, 309, 281, 958, 13, 2720, 1164, 11, 321, 366, 920, 294, 264, 1186, 300, 613, 1412, 645, 406, 12187, 294, 264, 2657, 13, 407, 291, 362, 281, 352, 293, 360, 10738, 462, 6915, 777, 10738, 293, 584, 462, 5893, 1394, 1315, 1315, 462, 5893, 1394, 4496, 4496], "avg_logprob": -0.493838048317063, "compression_ratio": 1.6612021857923498, "no_speech_prob": 1.6689300537109375e-06, "words": [{"start": 1146.77, "end": 1146.99, "word": " The", "probability": 0.133056640625}, {"start": 1146.99, "end": 1147.47, "word": " last", "probability": 0.78857421875}, {"start": 1147.47, "end": 1147.55, "word": " line,", "probability": 0.83984375}, {"start": 1148.13, "end": 1148.49, "word": " not", "probability": 0.650390625}, {"start": 1148.49, "end": 1148.81, "word": " after", 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"temperature": 1.0}, {"id": 48, "seek": 122872, "start": 1199.3, "end": 1228.72, "text": "Okay, and then we take all this E and put it in the array employees.addE And this is how all the data happens where? 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But the log is better so that you can filter the messages. 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Let's run it and see if it works or not. Now, as long as you can read the data and put it in a playlist as an employee,", "tokens": [639, 307, 264, 5002, 13, 961, 311, 1190, 309, 293, 536, 498, 309, 1985, 420, 406, 13, 823, 11, 382, 938, 382, 291, 393, 1401, 264, 1412, 293, 829, 309, 294, 257, 16788, 382, 364, 10738, 11], "avg_logprob": -0.5308388095153006, "compression_ratio": 1.2543859649122806, "no_speech_prob": 0.0, "words": [{"start": 1258.94, "end": 1259.22, "word": " This", "probability": 0.372802734375}, {"start": 1259.22, "end": 1259.24, "word": " is", "probability": 0.8759765625}, {"start": 1259.24, "end": 1259.32, "word": " the", "probability": 0.60302734375}, {"start": 1259.32, "end": 1259.52, "word": " advantage.", "probability": 0.5068359375}, {"start": 1261.06, "end": 1261.66, "word": " Let's", "probability": 0.54998779296875}, {"start": 1261.66, "end": 1262.02, "word": " run", "probability": 0.1531982421875}, {"start": 1262.02, "end": 1262.74, "word": " it", "probability": 0.63232421875}, {"start": 1262.74, "end": 1263.66, "word": " and", "probability": 0.367919921875}, {"start": 1263.66, "end": 1263.88, "word": " see", "probability": 0.67138671875}, {"start": 1263.88, "end": 1264.02, "word": " if", "probability": 0.77099609375}, {"start": 1264.02, "end": 1264.16, "word": " it", "probability": 0.892578125}, {"start": 1264.16, "end": 1264.58, "word": " works", "probability": 0.33251953125}, {"start": 1264.58, "end": 1265.42, "word": " or", "probability": 0.7431640625}, {"start": 1265.42, "end": 1265.58, "word": " not.", "probability": 0.876953125}, {"start": 1278.88, "end": 1279.48, "word": " Now,", "probability": 0.55322265625}, {"start": 1279.86, "end": 1280.28, "word": " as", "probability": 0.77978515625}, {"start": 1280.28, "end": 1280.6, "word": " long", "probability": 0.9140625}, {"start": 1280.6, "end": 1280.6, "word": " as", "probability": 0.9736328125}, {"start": 1280.6, "end": 1280.94, "word": " you", "probability": 0.9453125}, {"start": 1280.94, "end": 1281.24, "word": " can", "probability": 0.65576171875}, {"start": 1281.24, "end": 1281.52, "word": " read", "probability": 0.97265625}, {"start": 1281.52, "end": 1281.68, "word": " the", "probability": 0.55224609375}, {"start": 1281.68, "end": 1282.1, "word": " data", "probability": 0.822265625}, {"start": 1282.1, "end": 1282.68, "word": " and", "probability": 0.8544921875}, {"start": 1282.68, "end": 1282.88, "word": " put", "probability": 0.429443359375}, {"start": 1282.88, "end": 1282.98, "word": " it", "probability": 0.62353515625}, {"start": 1282.98, "end": 1283.08, "word": " in", "probability": 0.73681640625}, {"start": 1283.08, "end": 1283.22, "word": " a", "probability": 0.49951171875}, {"start": 1283.22, "end": 1283.56, "word": " playlist", "probability": 0.375}, {"start": 1283.56, "end": 1283.8, "word": " as", "probability": 0.1376953125}, {"start": 1283.8, "end": 1283.98, "word": " an", "probability": 0.771484375}, {"start": 1283.98, "end": 1284.34, "word": " employee,", "probability": 0.83056640625}], "temperature": 1.0}, {"id": 51, "seek": 131166, "start": 1285.76, "end": 1311.66, "text": " It's done. Can you do a list view? Can you show data in it? Yes, you can. We took it and detailed it and instead of a lecture, we explained it in two lectures. The list view and the adapter, we explained it in two lectures. In a lecture, and after that, we said we will repeat it because repetition teaches the clever. Do you remember? And then after we finished, we continued with the view holder. Okay? And he passed the exam. I left him blank too. Yes. Did I pass? I will not do it of course. Why? 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Instead of creating a loop on the cursor and collecting the data in an array list, they made a ready adapter, not 100% ready. Instead of sending the array, you can send him the cursor itself. You send him what? The cursor. And I scroll through the guys and present them in the list. 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You take the ListView, you make an adapter, you send it to the network, and you upload it to the network. This is how we deal with the array of objects. But now I'm going to modify the code a little bit. Because all the code in this loop is not necessary. Why? 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How do we do this? First, you need to design the shape of the element in the ListView, as we used to do in the normal ListView. 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It looks like I made it. Yes, this is what I made quickly. It's something like this. I put how many text views on the element? Three. Let's see their names. This is for the name, this is for the salary, and the last one is the date of birth. 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But I specifically put the digit at birth, why? Because we want to return the number to the date displayed on the screen. Ok? This is the shape of the item. Each line will show these data points. Of course, we will see that if you click on each one, it will give you more data points. Where? In a new activity. Ok guys. 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It has more than one constructor. I'm going to use the third one. Because this requires context, cursor, and flag. We want to remove this flag. I don't know why. And we put it here with a value of 1. Don't ask me why. I'm looking for it on the internet. Anyway, we want to draw context, mean, and cursor. Now, there are two methods that I brought with me. 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It takes its size, but it does not connect to it. You need to put a force on it. Anyway, what does all this bring back to you? 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That's it. This is the new view, so that when it starts working, it creates new views. Behind the view, there was a moment when the view got full. We also know that this list view, which is the element that appears, what it wants to bring and fill. Okay? Or what was displayed for the first time, it also wants to fill it. 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For example, the list of views is 19. It executes the new view 10 times and for each one it executes what? Bind view to fill it up. Okay? So for the first 10 that it shows, if it is 19, for each one it executes the new view and what? And bind view to fill it up. Okay? When you start doing the scroll, that's it. What comes out, who do you call? Bind view. Okay? 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From the cursor and you put it where? In the view And it also recommends that it brings you the cursor and makes it point to whom? To the element directly that wants to fill it in the view So you don't have to move the cursor Actually, when it comes to the list view for example", "tokens": [467, 3038, 291, 264, 1910, 293, 3038, 291, 264, 28169, 440, 1558, 307, 300, 291, 1565, 264, 1412, 490, 689, 30, 3358, 264, 28169, 293, 291, 829, 309, 689, 30, 682, 264, 1910, 400, 309, 611, 34556, 300, 309, 5607, 291, 264, 28169, 293, 1669, 309, 935, 281, 7101, 30, 1407, 264, 4478, 3838, 300, 2738, 281, 2836, 309, 294, 264, 1910, 407, 291, 500, 380, 362, 281, 1286, 264, 28169, 5135, 11, 562, 309, 1487, 281, 264, 1329, 1910, 337, 1365], "avg_logprob": -0.5169427639030548, "compression_ratio": 1.8173076923076923, "no_speech_prob": 2.980232238769531e-07, "words": [{"start": 1788.31, "end": 1788.49, "word": " It", "probability": 0.281005859375}, {"start": 1788.49, "end": 1788.61, "word": " brought", "probability": 0.275390625}, {"start": 1788.61, "end": 1788.77, "word": " you", "probability": 0.52783203125}, {"start": 1788.77, 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"end": 1985.68, "text": " No, this is how I store them in my RA. Ok? This is not. I got the data. Now what do we do? Where do we fill these? Up. Name TV is filled as it is. House. Sit. Text. Name. Salary TV. Sit. Text. Salary. 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This date of birth comes as what? As long. From around to what? I want to put it in the form of month, slash day, month, year. Okay? Who are we going to use? Our friend the calendar. Calendar c equals calendar dot date instance. 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I don't want the date of the day. Go to this calendar and say set time in milliseconds. Give me this big number. Give me this long number. As soon as you give it to me, it will try for a month or a year", "tokens": [2012, 286, 558, 420, 406, 30, 286, 500, 380, 528, 264, 4002, 295, 264, 786, 13, 1037, 281, 341, 12183, 293, 584, 992, 565, 294, 34184, 13, 5303, 385, 341, 955, 1230, 13, 5303, 385, 341, 938, 1230, 13, 1018, 2321, 382, 291, 976, 309, 281, 385, 11, 309, 486, 853, 337, 257, 1618, 420, 257, 1064], "avg_logprob": -0.45070043976964624, "compression_ratio": 1.5, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 2015.48, "end": 2015.72, "word": " Am", "probability": 0.0771484375}, {"start": 2015.72, "end": 2015.78, "word": " I", "probability": 0.96630859375}, {"start": 2015.78, "end": 2015.78, "word": " right", "probability": 0.75830078125}, {"start": 2015.78, "end": 2016.04, "word": " or", "probability": 0.7158203125}, {"start": 2016.04, "end": 2016.04, "word": " not?", "probability": 0.81396484375}, {"start": 2016.64, "end": 2016.9, "word": " I", "probability": 0.88671875}, {"start": 2016.9, "end": 2017.1, "word": " don't", "probability": 0.844482421875}, {"start": 2017.1, "end": 2017.3, "word": " want", "probability": 0.62255859375}, {"start": 2017.3, "end": 2018.34, "word": " the", "probability": 0.11932373046875}, {"start": 2018.34, "end": 2018.52, "word": " date", "probability": 0.70263671875}, {"start": 2018.52, "end": 2018.68, "word": " of", "probability": 0.501953125}, {"start": 2018.68, "end": 2018.68, "word": " the", "probability": 0.623046875}, {"start": 2018.68, "end": 2018.82, "word": " day.", "probability": 0.93359375}, {"start": 2019.22, "end": 2019.6, "word": " Go", "probability": 0.8544921875}, {"start": 2019.6, "end": 2019.76, "word": " to", "probability": 0.9453125}, {"start": 2019.76, "end": 2020.68, "word": " this", "probability": 0.72900390625}, {"start": 2020.68, "end": 2021.04, "word": " calendar", "probability": 0.91943359375}, {"start": 2021.04, "end": 2021.44, "word": " and", "probability": 0.83740234375}, {"start": 2021.44, "end": 2021.66, "word": " say", "probability": 0.33740234375}, {"start": 2021.66, "end": 2022.04, "word": " set", "probability": 0.441650390625}, {"start": 2022.04, "end": 2022.52, "word": " time", "probability": 0.58251953125}, {"start": 2022.52, "end": 2023.96, "word": " in", "probability": 0.92724609375}, {"start": 2023.96, "end": 2024.42, "word": " milliseconds.", "probability": 0.845703125}, {"start": 2025.34, "end": 2025.6, "word": " Give", "probability": 0.40966796875}, {"start": 2025.6, "end": 2025.78, "word": " me", "probability": 0.84619140625}, {"start": 2025.78, "end": 2025.86, "word": " this", "probability": 0.7001953125}, {"start": 2025.86, "end": 2026.42, "word": " big", "probability": 0.65869140625}, {"start": 2026.42, "end": 2026.54, "word": " number.", "probability": 0.94384765625}, {"start": 2028.38, "end": 2028.86, "word": " Give", "probability": 0.732421875}, {"start": 2028.86, "end": 2029.0, "word": " me", "probability": 0.94921875}, {"start": 2029.0, "end": 2030.04, "word": " this", "probability": 0.380615234375}, {"start": 2030.04, "end": 2030.64, "word": " long", "probability": 0.6630859375}, {"start": 2030.64, "end": 2030.68, "word": " number.", "probability": 0.94091796875}, {"start": 2031.28, "end": 2031.76, "word": " As", "probability": 0.2880859375}, {"start": 2031.76, "end": 2031.78, "word": " soon", "probability": 0.93505859375}, {"start": 2031.78, "end": 2031.82, "word": " as", "probability": 0.970703125}, {"start": 2031.82, "end": 2031.98, "word": " you", "probability": 0.85693359375}, {"start": 2031.98, "end": 2032.12, "word": " give", "probability": 0.662109375}, {"start": 2032.12, "end": 2032.26, "word": " it", "probability": 0.3173828125}, {"start": 2032.26, "end": 2032.36, "word": " to", "probability": 0.8857421875}, {"start": 2032.36, "end": 2033.1, "word": " me,", "probability": 0.62744140625}, {"start": 2033.1, "end": 2033.22, "word": " it", "probability": 0.73876953125}, {"start": 2033.22, "end": 2033.56, "word": " will", "probability": 0.77001953125}, {"start": 2033.56, "end": 2034.48, "word": " try", "probability": 0.271240234375}, {"start": 2034.48, "end": 2034.66, "word": " for", "probability": 0.399169921875}, {"start": 2034.66, "end": 2034.74, "word": " a", "probability": 0.578125}, {"start": 2034.74, "end": 2034.98, "word": " month", "probability": 0.89208984375}, {"start": 2034.98, "end": 2035.14, "word": " or", "probability": 0.5830078125}, {"start": 2035.14, "end": 2035.26, "word": " a", "probability": 0.568359375}, {"start": 2035.26, "end": 2035.38, "word": " year", "probability": 0.93310546875}], "temperature": 1.0}, {"id": 79, "seek": 206367, "start": 2037.22, "end": 2063.68, "text": "So after you give him the exact time, like the reverse process, when we had the day, month and year, and we got a number, we went to the calendar, we gave it the day, month and year, and we got the get time. This get gives him the time in milliseconds, and brings us the year, and the day and month. Reverse process. C dot get calendar dot year.", "tokens": [6455, 934, 291, 976, 796, 264, 1900, 565, 11, 411, 264, 9943, 1399, 11, 562, 321, 632, 264, 786, 11, 1618, 293, 1064, 11, 293, 321, 658, 257, 1230, 11, 321, 1437, 281, 264, 12183, 11, 321, 2729, 309, 264, 786, 11, 1618, 293, 1064, 11, 293, 321, 658, 264, 483, 565, 13, 639, 483, 2709, 796, 264, 565, 294, 34184, 11, 293, 5607, 505, 264, 1064, 11, 293, 264, 786, 293, 1618, 13, 26314, 405, 1399, 13, 383, 5893, 483, 12183, 5893, 1064, 13], "avg_logprob": -0.49345931341481764, "compression_ratio": 1.864864864864865, "no_speech_prob": 1.5497207641601562e-06, "words": [{"start": 2037.22, "end": 2037.64, "word": "So", "probability": 0.1219482421875}, {"start": 2037.64, "end": 2038.04, "word": " after", "probability": 0.55078125}, {"start": 2038.04, "end": 2038.22, "word": " you", "probability": 0.32177734375}, {"start": 2038.22, "end": 2038.48, "word": " give", "probability": 0.5380859375}, {"start": 2038.48, "end": 2038.7, "word": " him", 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Come to this TextView And tell it, set text, we put the D And then we put what? Slash And then the M And then again slash And then who? The Y What does this method return? 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I brought the view, I brought the things inside the view. Then I went to the cursor and read the data it wanted from it. I took the data and filled it inside the elements. That's it. The cursor adapter is easier than the base adapter. This is it. The method inflates and the other method fills up. And that's how it became ready. Just a very small point. 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There is no problem in the year and day, only in the month. Why don't you ask me? That's how they did it. Okay, let's go back to where we left off. Back to the activity. Didn't we bring the list view? We brought it to make an adapter for it. Let's call it employee adapter equals new employee adapter. 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The cursor. And then set adapter. Adapter and so on. What did we do? We finished it. I think it is easier than making a base adapter. Right or not? And we collected them in Array. 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Okay.", "tokens": [1033, 13, 1033, 13], "avg_logprob": -1.34375, "compression_ratio": 0.75, "no_speech_prob": 0.0017271041870117188, "words": [{"start": 2256.4700000000003, "end": 2257.67, "word": " Okay.", "probability": 0.044952392578125}, {"start": 2257.67, "end": 2258.27, "word": " Okay.", "probability": 0.1968994140625}], "temperature": 1.0}, {"id": 87, "seek": 231240, "start": 2290.74, "end": 2312.4, "text": " Look guys, look with me, when I did a show, what did it bring? Data. Notice that there are correct dates, like this one, 2008. But there are dates 1-1-1970. 1-1-1970. Why did they make this one like this?", "tokens": [2053, 1074, 11, 574, 365, 385, 11, 562, 286, 630, 257, 855, 11, 437, 630, 309, 1565, 30, 11888, 13, 13428, 300, 456, 366, 3006, 11691, 11, 411, 341, 472, 11, 10389, 13, 583, 456, 366, 11691, 502, 12, 16, 12, 3405, 5867, 13, 502, 12, 16, 12, 3405, 5867, 13, 1545, 630, 436, 652, 341, 472, 411, 341, 30], "avg_logprob": -0.5348360538482666, "compression_ratio": 1.4539007092198581, "no_speech_prob": 0.0, "words": [{"start": 2290.7400000000002, "end": 2291.26, "word": " Look", "probability": 0.259521484375}, {"start": 2291.26, "end": 2291.54, "word": " guys,", "probability": 0.456787109375}, {"start": 2291.6, "end": 2291.78, "word": " look", "probability": 0.6298828125}, {"start": 2291.78, "end": 2291.96, "word": " with", "probability": 0.322998046875}, {"start": 2291.96, "end": 2292.16, "word": " me,", "probability": 0.9677734375}, {"start": 2292.54, "end": 2293.38, "word": " when", "probability": 0.84912109375}, {"start": 2293.38, "end": 2293.48, "word": " I", "probability": 0.83837890625}, {"start": 2293.48, "end": 2293.66, "word": " did", "probability": 0.5771484375}, {"start": 2293.66, "end": 2293.84, "word": " a", "probability": 0.31787109375}, {"start": 2293.84, "end": 2294.04, "word": " show,", "probability": 0.7998046875}, {"start": 2296.32, "end": 2296.56, "word": " what", "probability": 0.308349609375}, {"start": 2296.56, "end": 2296.6, "word": " did", "probability": 0.3564453125}, {"start": 2296.6, "end": 2296.6, "word": " it", "probability": 0.4638671875}, {"start": 2296.6, "end": 2296.76, "word": " bring?", "probability": 0.5498046875}, {"start": 2298.84, "end": 2299.36, "word": " Data.", "probability": 0.8388671875}, {"start": 2301.84, "end": 2302.36, "word": " Notice", "probability": 0.58056640625}, {"start": 2302.36, "end": 2303.04, "word": " that", "probability": 0.45263671875}, {"start": 2303.04, "end": 2303.24, "word": " there", "probability": 0.85791015625}, {"start": 2303.24, "end": 2303.32, "word": " are", "probability": 0.72412109375}, {"start": 2303.32, "end": 2303.88, "word": " correct", "probability": 0.367431640625}, {"start": 2303.88, "end": 2303.88, "word": " dates,", "probability": 0.89794921875}, {"start": 2304.04, "end": 2304.14, "word": " like", "probability": 0.7607421875}, {"start": 2304.14, "end": 2304.44, "word": " this", "probability": 0.53759765625}, {"start": 2304.44, "end": 2304.52, "word": " one,", "probability": 0.42431640625}, {"start": 2304.58, "end": 2304.92, "word": " 2008.", "probability": 0.603515625}, {"start": 2306.6, "end": 2307.12, "word": " But", "probability": 0.8369140625}, {"start": 2307.12, "end": 2307.34, "word": " there", "probability": 0.84912109375}, {"start": 2307.34, "end": 2307.34, "word": " are", "probability": 0.7138671875}, {"start": 2307.34, "end": 2307.74, "word": " dates", "probability": 0.81298828125}, {"start": 2307.74, "end": 2308.06, "word": " 1", "probability": 0.32470703125}, {"start": 2308.06, "end": 2308.34, "word": "-1", "probability": 0.5699462890625}, {"start": 2308.34, "end": 2309.24, "word": "-1970.", "probability": 0.9108072916666666}, {"start": 2309.38, "end": 2309.46, "word": " 1", "probability": 0.51123046875}, {"start": 2309.46, "end": 2309.76, "word": "-1", "probability": 0.985595703125}, {"start": 2309.76, "end": 2310.62, "word": "-1970.", "probability": 0.9747721354166666}, {"start": 2311.28, "end": 2311.66, "word": " Why", "probability": 0.759765625}, {"start": 2311.66, "end": 2311.66, "word": " did", "probability": 0.8515625}, {"start": 2311.66, "end": 2311.7, "word": " they", "probability": 0.80810546875}, {"start": 2311.7, "end": 2311.96, "word": " make", "probability": 0.293212890625}, {"start": 2311.96, "end": 2312.02, "word": " this", "probability": 0.49560546875}, {"start": 2312.02, "end": 2312.02, "word": " one", "probability": 0.447021484375}, {"start": 2312.02, "end": 2312.12, "word": " like", "probability": 0.78515625}, {"start": 2312.12, "end": 2312.4, "word": " this?", "probability": 0.654296875}], "temperature": 1.0}, {"id": 88, "seek": 234062, "start": 2314.54, "end": 2340.62, "text": "The date of birth, if it is zero, is actually when we read from the database in the cursor, this is the adapter, we read the date of birth, if it is not in the database, it goes back to zero. Do you understand? It goes back to zero. 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Yes, you need to do the validation. This is your job. But it is clear why it came out. When we used to try these at first, we did not enter the date. I told you let's try without date. So this is an explanation of why it came out 1-1-1970. But the second date that we entered correctly came out correctly, like this one, for example. Okay? 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Okay, one second, let me check the parent. Yes, now let's get the element that we clicked on. The element that we clicked on. Now, to get the element that we clicked on, you go to the list view. And you say get item at position.", "tokens": [1873, 322, 3174, 2052, 13, 1033, 11, 472, 1150, 11, 718, 385, 1520, 264, 2596, 13, 1079, 11, 586, 718, 311, 483, 264, 4478, 300, 321, 23370, 322, 13, 440, 4478, 300, 321, 23370, 322, 13, 823, 11, 281, 483, 264, 4478, 300, 321, 23370, 322, 11, 291, 352, 281, 264, 1329, 1910, 13, 400, 291, 584, 483, 3174, 412, 2535, 13], "avg_logprob": -0.592261897193061, "compression_ratio": 1.7464788732394365, "no_speech_prob": 0.0, "words": [{"start": 2422.62, "end": 2422.98, "word": " New", "probability": 0.272216796875}, {"start": 2422.98, "end": 2423.24, "word": " on", "probability": 0.77685546875}, {"start": 2423.24, "end": 2423.56, "word": " item", "probability": 0.7119140625}, {"start": 2423.56, "end": 2424.02, "word": " click.", "probability": 0.71826171875}, {"start": 2431.52, "end": 2431.74, "word": " Okay,", "probability": 0.1495361328125}, {"start": 2431.84, "end": 2431.96, "word": " one", "probability": 0.334228515625}, {"start": 2431.96, "end": 2432.14, "word": " second,", "probability": 0.40869140625}, {"start": 2432.46, "end": 2432.58, "word": " let", "probability": 0.72216796875}, {"start": 2432.58, "end": 2432.58, "word": " me", "probability": 0.88037109375}, {"start": 2432.58, "end": 2432.82, "word": " check", "probability": 0.40478515625}, {"start": 2432.82, "end": 2433.02, "word": " the", "probability": 0.2042236328125}, {"start": 2433.02, "end": 2433.4, "word": " parent.", "probability": 0.79541015625}, {"start": 2434.24, "end": 2434.58, "word": " Yes,", "probability": 0.24609375}, {"start": 2435.2, "end": 2435.8, "word": " now", "probability": 0.54248046875}, {"start": 2435.8, "end": 2436.2, "word": " let's", "probability": 0.47833251953125}, {"start": 2436.2, "end": 2436.34, "word": " get", "probability": 0.27392578125}, {"start": 2436.34, "end": 2436.5, "word": " the", "probability": 0.77783203125}, {"start": 2436.5, "end": 2436.74, "word": " element", "probability": 0.438232421875}, {"start": 2436.74, "end": 2436.96, "word": " that", "probability": 0.58203125}, {"start": 2436.96, "end": 2437.24, "word": " we", "probability": 0.86572265625}, {"start": 2437.24, "end": 2437.24, "word": " clicked", "probability": 0.2115478515625}, {"start": 2437.24, "end": 2438.92, "word": " on.", "probability": 0.3984375}, {"start": 2439.66, "end": 2440.18, "word": " The", "probability": 0.1805419921875}, {"start": 2440.18, "end": 2440.24, "word": " element", "probability": 0.51171875}, {"start": 2440.24, "end": 2440.24, "word": " that", "probability": 0.7197265625}, {"start": 2440.24, "end": 2440.5, "word": " we", "probability": 0.78076171875}, {"start": 2440.5, "end": 2440.5, "word": " clicked", "probability": 0.83056640625}, {"start": 2440.5, "end": 2440.66, "word": " on.", "probability": 0.86083984375}, {"start": 2442.94, "end": 2443.46, "word": " Now,", "probability": 0.7314453125}, {"start": 2443.56, "end": 2443.7, "word": " to", "probability": 0.75439453125}, {"start": 2443.7, "end": 2443.92, "word": " get", "probability": 0.8935546875}, {"start": 2443.92, "end": 2444.08, "word": " the", "probability": 0.87939453125}, {"start": 2444.08, "end": 2444.26, "word": " element", "probability": 0.947265625}, {"start": 2444.26, "end": 2444.48, "word": " that", "probability": 0.12939453125}, {"start": 2444.48, "end": 2444.48, "word": " we", "probability": 0.92919921875}, {"start": 2444.48, "end": 2444.68, "word": " clicked", "probability": 0.73779296875}, {"start": 2444.68, "end": 2444.86, "word": " on,", "probability": 0.9091796875}, {"start": 2445.32, "end": 2446.12, "word": " you", "probability": 0.341796875}, {"start": 2446.12, "end": 2446.5, "word": " go", "probability": 0.72998046875}, {"start": 2446.5, "end": 2446.64, "word": " to", "probability": 0.95263671875}, {"start": 2446.64, "end": 2446.72, "word": " the", "probability": 0.6669921875}, {"start": 2446.72, "end": 2446.92, "word": " list", "probability": 0.65771484375}, {"start": 2446.92, "end": 2447.22, "word": " view.", "probability": 0.79833984375}, {"start": 2448.28, "end": 2448.72, "word": " And", "probability": 0.77197265625}, {"start": 2448.72, "end": 2448.84, "word": " you", "probability": 0.66357421875}, {"start": 2448.84, "end": 2449.04, "word": " say", "probability": 0.47998046875}, {"start": 2449.04, "end": 2449.44, "word": " get", "probability": 0.41845703125}, {"start": 2449.44, "end": 2450.08, "word": " item", "probability": 0.9033203125}, {"start": 2450.08, "end": 2451.3, "word": " at", "probability": 0.86669921875}, {"start": 2451.3, "end": 2451.72, "word": " position.", "probability": 0.94091796875}], "temperature": 1.0}, {"id": 93, "seek": 247917, "start": 2452.44, "end": 2479.18, "text": "Did this come to you in the exam or not? Or you didn't feel pressure on it? It was a zero, not a one. Ok, it was a zero, yes. Anyway, this is to get the element that pressured us on it. So you say, get item at position. Who is the position that brought you here? Him. So he himself gets the position. Ok. One day, we used to make an adapter using the Raylist. 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Correct or not? Because I used to smoke them as an employee. Now I can't cast him as an employee because I used a cursor. I simply tell him to cast him as a cursor.", "tokens": [8429, 630, 286, 4193, 796, 382, 364, 10738, 30, 12753, 420, 406, 30, 1436, 286, 1143, 281, 8439, 552, 382, 364, 10738, 13, 823, 286, 393, 380, 4193, 796, 382, 364, 10738, 570, 286, 1143, 257, 28169, 13, 286, 2935, 980, 796, 281, 4193, 796, 382, 257, 28169, 13], "avg_logprob": -0.5731249749660492, "compression_ratio": 1.6446280991735538, "no_speech_prob": 8.344650268554688e-07, "words": [{"start": 2480.15, "end": 2480.45, "word": "Why", "probability": 0.35546875}, {"start": 2480.45, "end": 2480.67, "word": " did", "probability": 0.2325439453125}, {"start": 2480.67, "end": 2480.79, "word": " I", "probability": 0.61083984375}, {"start": 2480.79, "end": 2481.27, "word": " cast", "probability": 0.369140625}, {"start": 2481.27, "end": 2481.51, "word": " him", "probability": 0.6162109375}, {"start": 2481.51, "end": 2482.25, "word": " as", "probability": 0.2427978515625}, {"start": 2482.25, "end": 2482.31, "word": " an", "probability": 0.66015625}, {"start": 2482.31, "end": 2482.75, "word": " employee?", "probability": 0.83984375}, {"start": 2483.31, "end": 2483.73, "word": " Correct", "probability": 0.150146484375}, {"start": 2483.73, "end": 2483.93, "word": " or", "probability": 0.64306640625}, {"start": 2483.93, "end": 2483.97, "word": " not?", "probability": 0.5703125}, {"start": 2484.45, "end": 2484.89, "word": " Because", "probability": 0.8017578125}, {"start": 2484.89, "end": 2485.31, "word": " I", "probability": 0.86865234375}, {"start": 2485.31, "end": 2485.31, "word": " used", "probability": 0.234130859375}, {"start": 2485.31, "end": 2485.35, "word": " to", "probability": 0.95361328125}, {"start": 2485.35, "end": 2485.69, "word": " smoke", "probability": 0.4599609375}, {"start": 2485.69, "end": 2485.91, "word": " them", "probability": 0.375732421875}, {"start": 2485.91, "end": 2486.07, "word": " as", "probability": 0.2578125}, {"start": 2486.07, "end": 2486.15, "word": " an", "probability": 0.47900390625}, {"start": 2486.15, "end": 2486.53, "word": " employee.", "probability": 0.84716796875}, {"start": 2487.21, "end": 2487.85, "word": " Now", "probability": 0.6767578125}, {"start": 2487.85, "end": 2488.11, "word": " I", "probability": 0.63720703125}, {"start": 2488.11, "end": 2488.43, "word": " can't", "probability": 0.71533203125}, {"start": 2488.43, "end": 2488.85, "word": " cast", "probability": 0.84326171875}, {"start": 2488.85, "end": 2488.97, "word": " him", "probability": 0.841796875}, {"start": 2488.97, "end": 2489.07, "word": " as", "probability": 0.931640625}, {"start": 2489.07, "end": 2489.11, "word": " an", "probability": 0.9306640625}, {"start": 2489.11, "end": 2489.47, "word": " employee", "probability": 0.85205078125}, {"start": 2489.47, "end": 2490.27, "word": " because", "probability": 0.348876953125}, {"start": 2490.27, "end": 2490.55, "word": " I", "probability": 0.90283203125}, {"start": 2490.55, "end": 2490.97, "word": " used", "probability": 0.80126953125}, {"start": 2490.97, "end": 2491.77, "word": " a", "probability": 0.2078857421875}, {"start": 2491.77, "end": 2492.11, "word": " cursor.", "probability": 0.78662109375}, {"start": 2492.75, "end": 2492.87, "word": " I", "probability": 0.6396484375}, {"start": 2492.87, "end": 2493.03, "word": " simply", "probability": 0.4873046875}, {"start": 2493.03, "end": 2493.03, "word": " tell", "probability": 0.242431640625}, {"start": 2493.03, "end": 2493.61, "word": " him", "probability": 0.84521484375}, {"start": 2493.61, "end": 2493.97, "word": " to", "probability": 0.79638671875}, {"start": 2493.97, "end": 2494.27, "word": " cast", "probability": 0.775390625}, {"start": 2494.27, "end": 2494.53, "word": " him", "probability": 0.681640625}, {"start": 2494.53, "end": 2494.69, "word": " as", "probability": 0.84716796875}, {"start": 2494.69, "end": 2495.07, "word": " a", "probability": 0.83447265625}, {"start": 2495.07, "end": 2496.25, "word": " cursor.", "probability": 0.90234375}], "temperature": 1.0}, {"id": 95, "seek": 252737, "start": 2501.69, "end": 2527.37, "text": "Actually, JabLockCursor is pointing to whom? To this element in the database. It's telling you to read the data from it. What does it mean to read the data from it? So, these are the third lines. So, the element that you clicked on, just cast it to whom? JabLockCursor will read the data it has. And say here, for example, toast. We print them to know that we are", "tokens": [30338, 671, 11, 40319, 43, 1560, 34, 2156, 284, 307, 12166, 281, 7101, 30, 1407, 341, 4478, 294, 264, 8149, 13, 467, 311, 3585, 291, 281, 1401, 264, 1412, 490, 309, 13, 708, 775, 309, 914, 281, 1401, 264, 1412, 490, 309, 30, 407, 11, 613, 366, 264, 2636, 3876, 13, 407, 11, 264, 4478, 300, 291, 23370, 322, 11, 445, 4193, 309, 281, 7101, 30, 40319, 43, 1560, 34, 2156, 284, 486, 1401, 264, 1412, 309, 575, 13, 400, 584, 510, 11, 337, 1365, 11, 15354, 13, 492, 4482, 552, 281, 458, 300, 321, 366], "avg_logprob": -0.5931056897664807, "compression_ratio": 1.6962616822429906, "no_speech_prob": 0.0, "words": [{"start": 2501.69, "end": 2502.11, "word": "Actually,", "probability": 0.48681640625}, {"start": 2502.11, "end": 2502.53, "word": " JabLockCursor", "probability": 0.63616943359375}, {"start": 2502.53, "end": 2502.63, "word": " is", "probability": 0.10205078125}, {"start": 2502.63, "end": 2502.99, "word": " pointing", "probability": 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Next, we'll look at how to click on elements that open an activity for you. This is supposed to be easy. We'll look at Delete.", "tokens": [407, 586, 321, 600, 5343, 577, 281, 2105, 264, 8149, 293, 577, 281, 1401, 309, 13, 3087, 11, 321, 603, 574, 412, 577, 281, 2052, 322, 4959, 300, 1269, 364, 5191, 337, 291, 13, 639, 307, 3442, 281, 312, 1858, 13, 492, 603, 574, 412, 49452, 13], "avg_logprob": -0.6038411632180214, "compression_ratio": 1.3928571428571428, "no_speech_prob": 0.0, "words": [{"start": 2580.54, "end": 2580.98, "word": " So", "probability": 0.3271484375}, {"start": 2580.98, "end": 2581.2, "word": " now", "probability": 0.2900390625}, {"start": 2581.2, "end": 2581.66, "word": " we've", "probability": 0.591796875}, {"start": 2581.66, "end": 2581.66, "word": " covered", "probability": 0.7119140625}, {"start": 2581.66, "end": 2582.34, "word": " how", "probability": 0.10345458984375}, {"start": 2582.34, "end": 2582.68, "word": " to", "probability": 0.94482421875}, {"start": 2582.68, "end": 2583.0, "word": " access", "probability": 0.314697265625}, {"start": 2583.0, "end": 2583.18, "word": " the", "probability": 0.583984375}, {"start": 2583.18, "end": 2583.64, "word": " database", "probability": 0.89599609375}, {"start": 2583.64, "end": 2585.42, "word": " and", "probability": 0.344482421875}, {"start": 2585.42, "end": 2585.62, "word": " how", "probability": 0.330078125}, {"start": 2585.62, "end": 2585.78, "word": " to", "probability": 0.9599609375}, {"start": 2585.78, "end": 2585.98, "word": " read", "probability": 0.8681640625}, {"start": 2585.98, "end": 2586.62, "word": " it.", "probability": 0.58203125}, {"start": 2586.62, "end": 2587.0, "word": " Next,", "probability": 0.7763671875}, {"start": 2587.24, "end": 2587.34, "word": " we'll", "probability": 0.6669921875}, {"start": 2587.34, "end": 2587.46, "word": " look", "probability": 0.27978515625}, {"start": 2587.46, "end": 2588.52, "word": " at", "probability": 0.89111328125}, {"start": 2588.52, "end": 2588.74, "word": " how", "probability": 0.2230224609375}, {"start": 2588.74, "end": 2590.34, "word": " to", "probability": 0.84716796875}, {"start": 2590.34, "end": 2590.6, "word": " click", "probability": 0.32568359375}, {"start": 2590.6, "end": 2590.78, "word": " on", "probability": 0.873046875}, {"start": 2590.78, "end": 2591.1, "word": " elements", "probability": 0.324951171875}, {"start": 2591.1, "end": 2591.24, "word": " that", "probability": 0.317626953125}, {"start": 2591.24, "end": 2591.44, "word": " open", "probability": 0.60888671875}, {"start": 2591.44, "end": 2591.66, "word": " an", "probability": 0.2049560546875}, {"start": 2591.66, "end": 2591.84, "word": " activity", "probability": 0.84619140625}, {"start": 2591.84, "end": 2591.84, "word": " for", "probability": 0.315673828125}, {"start": 2591.84, "end": 2591.84, "word": " you.", "probability": 0.783203125}, {"start": 2592.0, "end": 2592.44, "word": " This", "probability": 0.529296875}, {"start": 2592.44, "end": 2592.56, "word": " is", "probability": 0.45654296875}, {"start": 2592.56, "end": 2592.66, "word": " supposed", "probability": 0.7041015625}, {"start": 2592.66, "end": 2592.66, "word": " to", "probability": 0.96875}, {"start": 2592.66, "end": 2592.76, "word": " be", "probability": 0.9521484375}, {"start": 2592.76, "end": 2592.98, "word": " easy.", "probability": 0.83642578125}, {"start": 2593.62, "end": 2593.96, "word": " We'll", "probability": 0.538330078125}, {"start": 2593.96, "end": 2594.12, "word": " look", "probability": 0.67138671875}, {"start": 2594.12, "end": 2594.18, "word": " at", "probability": 0.95458984375}, {"start": 2594.18, "end": 2594.58, "word": " Delete.", "probability": 0.248046875}], "temperature": 1.0}, {"id": 98, "seek": 261950, "start": 2595.54, "end": 2619.5, "text": "We want to see the filter. What is the filter? Sometimes when you search, you type the first letter of the word and it filters the written words for you. Ahmed, for example, if you type A, it will only show you what is in the letter A. Because it is used a lot in applications. Can you tell us more about this topic? God willing.", "tokens": [4360, 528, 281, 536, 264, 6608, 13, 708, 307, 264, 6608, 30, 4803, 562, 291, 3164, 11, 291, 2010, 264, 700, 5063, 295, 264, 1349, 293, 309, 15995, 264, 3720, 2283, 337, 291, 13, 39189, 11, 337, 1365, 11, 498, 291, 2010, 316, 11, 309, 486, 787, 855, 291, 437, 307, 294, 264, 5063, 316, 13, 1436, 309, 307, 1143, 257, 688, 294, 5821, 13, 1664, 291, 980, 505, 544, 466, 341, 4829, 30, 1265, 4950, 13], "avg_logprob": -0.5228365231782962, "compression_ratio": 1.604878048780488, "no_speech_prob": 0.0, "words": [{"start": 2595.54, "end": 2595.68, "word": "We", "probability": 0.5947265625}, {"start": 2595.68, "end": 2595.82, "word": " want", "probability": 0.45361328125}, {"start": 2595.82, "end": 2595.88, "word": " to", "probability": 0.97021484375}, {"start": 2595.88, "end": 2596.04, "word": " see", "probability": 0.72802734375}, {"start": 2596.04, "end": 2596.18, "word": " the", "probability": 0.73046875}, {"start": 2596.18, "end": 2596.52, "word": " filter.", 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99, "seek": 265964, "start": 2630.9, "end": 2659.64, "text": " Of course, this is a small start. For example, I worked with how many schedules in the database? One schedule. One second, my device is lagging. Okay, let him work with us, guys.", "tokens": [2720, 1164, 11, 341, 307, 257, 1359, 722, 13, 1171, 1365, 11, 286, 2732, 365, 577, 867, 28078, 294, 264, 8149, 30, 1485, 7567, 13, 1485, 1150, 11, 452, 4302, 307, 8953, 3249, 13, 1033, 11, 718, 796, 589, 365, 505, 11, 1074, 13], "avg_logprob": -0.49374997350904676, "compression_ratio": 1.325925925925926, "no_speech_prob": 0.0, "words": [{"start": 2630.9, "end": 2631.12, "word": " Of", "probability": 0.256591796875}, {"start": 2631.12, "end": 2631.2, "word": " course,", "probability": 0.9404296875}, {"start": 2631.26, "end": 2631.42, "word": " this", "probability": 0.73583984375}, {"start": 2631.42, "end": 2631.46, "word": " is", "probability": 0.8837890625}, {"start": 2631.46, "end": 2632.06, "word": " a", "probability": 0.625}, {"start": 2632.06, "end": 2633.2, "word": " small", "probability": 0.68701171875}, {"start": 2633.2, "end": 2633.2, "word": " start.", "probability": 0.281494140625}, {"start": 2633.44, "end": 2633.66, "word": " For", "probability": 0.56103515625}, {"start": 2633.66, "end": 2633.94, "word": " example,", "probability": 0.869140625}, {"start": 2634.06, "end": 2634.9, "word": " I", "probability": 0.396484375}, {"start": 2634.9, "end": 2635.2, "word": " worked", "probability": 0.254638671875}, {"start": 2635.2, "end": 2635.32, "word": " with", "probability": 0.65234375}, {"start": 2635.32, "end": 2635.48, "word": " how", "probability": 0.6435546875}, {"start": 2635.48, "end": 2635.54, "word": " many", "probability": 0.90576171875}, {"start": 2635.54, "end": 2635.78, "word": " schedules", "probability": 0.28564453125}, {"start": 2635.78, "end": 2635.78, "word": " in", "probability": 0.35546875}, {"start": 2635.78, "end": 2635.78, "word": " the", "probability": 0.54638671875}, {"start": 2635.78, "end": 2635.78, "word": " database?", "probability": 0.92138671875}, {"start": 2636.56, "end": 2637.0, "word": " One", "probability": 0.5693359375}, {"start": 2637.0, "end": 2637.32, "word": " schedule.", "probability": 0.82568359375}, {"start": 2648.48, "end": 2648.92, "word": " One", "probability": 0.305908203125}, {"start": 2648.92, "end": 2648.98, "word": " second,", "probability": 0.480712890625}, {"start": 2649.06, "end": 2649.34, "word": " my", "probability": 0.9306640625}, {"start": 2649.34, "end": 2649.34, "word": " device", "probability": 0.48828125}, {"start": 2649.34, "end": 2649.44, "word": " is", "probability": 0.72265625}, {"start": 2649.44, "end": 2649.7, "word": " lagging.", "probability": 0.5653076171875}, {"start": 2657.88, "end": 2658.32, "word": " Okay,", "probability": 0.385498046875}, {"start": 2658.56, "end": 2658.74, "word": " let", "probability": 0.7509765625}, {"start": 2658.74, "end": 2658.82, "word": " him", "probability": 0.43115234375}, {"start": 2658.82, "end": 2659.04, "word": " work", "probability": 0.927734375}, {"start": 2659.04, "end": 2659.22, "word": " with", "probability": 0.87548828125}, {"start": 2659.22, "end": 2659.38, "word": " us,", "probability": 0.82763671875}, {"start": 2659.44, "end": 2659.64, "word": " guys.", "probability": 0.7412109375}], "temperature": 1.0}, {"id": 100, "seek": 268624, "start": 2660.7, "end": 2686.24, "text": "When you press on any element, for example this is anise, it will print anise for you, camel, it will print camel for you, okay? It means that it was able to read the element that was pressed on it. This writing is simple, you can open another screen, read from the cursor, open another screen and send the data to another screen. 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269658, "start": 2687.38, "end": 2696.58, "text": "and you send it to another screen and in the other screen you make a query and you tell it to bring the data of the employee to its ID like this. Ok, we will see this in the next lecture. Thank you.", "tokens": [474, 291, 2845, 309, 281, 1071, 2568, 293, 294, 264, 661, 2568, 291, 652, 257, 14581, 293, 291, 980, 309, 281, 1565, 264, 1412, 295, 264, 10738, 281, 1080, 7348, 411, 341, 13, 3477, 11, 321, 486, 536, 341, 294, 264, 958, 7991, 13, 1044, 291, 13], "avg_logprob": -0.6448567869762579, "compression_ratio": 1.4666666666666666, "no_speech_prob": 1.7881393432617188e-07, "words": [{"start": 2687.38, "end": 2687.5, "word": "and", "probability": 0.166748046875}, {"start": 2687.5, "end": 2687.6, "word": " you", "probability": 0.38134765625}, {"start": 2687.6, "end": 2687.74, "word": " send", "probability": 0.354248046875}, {"start": 2687.74, "end": 2687.82, "word": " it", "probability": 0.67578125}, {"start": 2687.82, "end": 2687.92, "word": " to", "probability": 0.83642578125}, {"start": 2687.92, "end": 2688.48, "word": " another", "probability": 0.580078125}, {"start": 2688.48, "end": 2688.48, "word": " screen", "probability": 0.65673828125}, {"start": 2688.48, "end": 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"duration": 2696.99775, "duration_after_vad": 2435.610624999993} \ No newline at end of file diff --git a/PL9fwy3NUQKwaUKOT9j2G0l_N1KplW5qW1/YDNNaxKELJY.srt b/PL9fwy3NUQKwaUKOT9j2G0l_N1KplW5qW1/YDNNaxKELJY.srt new file mode 100644 index 0000000000000000000000000000000000000000..83187c6ae14715fd09beb99ee81eb61cc8848691 --- /dev/null +++ b/PL9fwy3NUQKwaUKOT9j2G0l_N1KplW5qW1/YDNNaxKELJY.srt @@ -0,0 +1,746 @@ +1 +00:00:21,380 --> 00:00:25,520 +طب يا جماعة، السلام عليكم. سلام سلام. هنكمل اليوم + +2 +00:00:25,520 --> 00:00:28,720 +الموضوع اللي لسه مخلصناهوش المحاضرة الماضية اللي هو + +3 +00:00:28,720 --> 00:00:32,540 +كيف تصمم أنت نافيجيشن دراور. طبعا أنا قاعد بشرح في + +4 +00:00:32,540 --> 00:00:36,540 +موضوع الـ fragments، لسه ماشيين فيه في خطة معدّة محكمة + +5 +00:00:36,540 --> 00:00:41,260 +اللي هي إيش؟ مثال واحد، أنا قاعد بتدرج فيه. بدأت معاك + +6 +00:00:41,260 --> 00:00:44,200 +في two fragments، جمعتهم في activity، صح ولا لأ؟ + +7 +00:00:44,200 --> 00:00:46,940 +وبعدين شوفنا من الـ fragment كيف ببعث بيانات عشان يغيّر + +8 +00:00:46,940 --> 00:00:51,870 +محتوى fragment تاني، وبعدين اتدرجنا أكتر، إن لما من + +9 +00:00:51,870 --> 00:00:55,530 +الـ fragment نبعث بيانات عشان نغيّر الـ fragments + +10 +00:00:55,530 --> 00:00:59,530 +نفسها، نبدّل الـ fragment ونجيب fragment تاني، و + +11 +00:00:59,530 --> 00:01:02,570 +بعدين بنفس الطريقة اتقدّمنا فيه أكتر، إن نخلي إحنا + +12 +00:01:02,570 --> 00:01:06,110 +واحد من الـ fragments يختفي، اللي هو بتطبيق + +13 +00:01:06,110 --> 00:01:09,730 +الـ navigation drawer اللي بدأنا فيه المحاضرة الماضية + +14 +00:01:09,730 --> 00:01:13,550 +ولسه ما خلّصناهوش. آخر حاجة وصلنا فيها، اللي هو هل الـ + +15 +00:01:13,550 --> 00:01:19,040 +navigation drawer بيطلع عندي لما أعمل slide من جهة + +16 +00:01:19,040 --> 00:01:24,080 +الشمال، ولما أختار أي عنصر، إيش بيعمل؟ بيغيّر محتوى + +17 +00:01:24,080 --> 00:01:27,780 +الـ activity، مش اللون، بيغيّرش اللون، بيغيّر الـ + +18 +00:01:27,780 --> 00:01:31,040 +fragment كله، هذا التغيير عبارة عن fragment + +19 +00:01:31,040 --> 00:01:36,940 +كامل، شاشة مختلفة عن شاشة تانية، تمام؟ طيب، + +20 +00:01:36,940 --> 00:01:42,850 +نستذكر بس كيف إحنا صممنا الواجهة في البداية قبل ما + +21 +00:01:42,850 --> 00:01:45,010 +نشتغل في الـ navigation drawer، كان عندي فعليا two + +22 +00:01:45,010 --> 00:01:49,090 +fragments أو fragment و frame layout، صح؟ هذا ليش + +23 +00:01:49,090 --> 00:01:51,910 +بستخدم الـ frame layout عشان أبدّل فيه الـ fragment + +24 +00:01:51,910 --> 00:01:55,650 +وبعدين غيّرنا عشان إحنا نشتغل على الـ navigation drawer + +25 +00:01:55,650 --> 00:01:58,830 +شكل الـ layout، بده يكون كالتالي: بقول إن أنت عشان + +26 +00:01:58,830 --> 00:02:01,830 +تعمل navigation drawer، بدّك تروح جوة الـ layout + +27 +00:02:01,830 --> 00:02:08,750 +بتاعتك تعمل حاجة اسمها drawer layout جوة + +28 +00:02:08,750 --> 00:02:13,410 +الـ drawer layout، بدّك تحط حاجتين، حاجتين بالظبط، تمام؟ + +29 +00:02:13,410 --> 00:02:19,350 +الحاجة الأولى اللي هي الـ content، المحتوى، + +30 +00:02:19,350 --> 00:02:25,650 +تمام، اللي مثلا هنا، الـ content هذا حطيته + +31 +00:02:25,650 --> 00:02:28,270 +أنا frame layout. + +32 +00:02:30,640 --> 00:02:35,720 +تمام؟ ممكن تحطه أنت fragment، تمام؟ يعني إذا كان + +33 +00:02:35,720 --> 00:02:39,080 +محتوى ثابت بتخليه fragment، وإذا كان متغيّر بتحطه + +34 +00:02:39,080 --> 00:02:42,320 +FrameLayout عشان تبدّل fragments مع بعض، المهم إن هذا + +35 +00:02:42,320 --> 00:02:46,420 +المحتوى هذا بياخد حجم الشاشة كلها، لأن هو بده يكون + +36 +00:02:46,420 --> 00:02:50,280 +ظاهر، الجزء التاني ممكن تضيف component اسمه + +37 +00:02:50,280 --> 00:02:53,380 +navigation view. + +38 +00:02:56,260 --> 00:02:59,220 +وهنا عشان تستخدمه، بدّك تضيف مكتبة اللي هي support + +39 +00:02:59,220 --> 00:03:02,340 +design، بتكونش موجودة by default في الاندرويد. شوف + +40 +00:03:02,340 --> 00:03:05,260 +لك كيف تضيفها، المرة الماضية، لأن هذا الـ navigation + +41 +00:03:05,260 --> 00:03:10,080 +view، طبعا ارتفاعه هو ارتفاع الشاشة، عرضه بدّك تعطيه + +42 +00:03:10,080 --> 00:03:13,060 +عرض أقل من الشاشة، لأن هو هذا اللي بدخل على الشاشة + +43 +00:03:13,060 --> 00:03:16,140 +بيكشف جزء من الشاشة، صح ولا لأ؟ طب ما نستخدمش الـ guideline + +44 +00:03:16,140 --> 00:03:21,590 +في هذه الحالة؟ مش عشان نفصل الـ.. نفصل هذا عن هذا + +45 +00:03:21,590 --> 00:03:24,330 +هما أصلا مش موجودين.. مش لازم ينحطوا جنب بعض، الـ + +46 +00:03:24,330 --> 00:03:27,990 +guideline بتستخدمه لما تكون أنت بتحط اتنين جنب + +47 +00:03:27,990 --> 00:03:32,470 +بعض، بس فعليا هذا بياخد الشاشة كلها، وهذا من هذا، وهذا + +48 +00:03:32,470 --> 00:03:36,290 +برا، بده يكون، لأن كيف نخليه برا؟ أهم attribute + +49 +00:03:36,290 --> 00:03:43,550 +بتحطّها فيه اللي هي layout_gravity + +50 +00:03:43,550 --> 00:03:45,010 +بتحطها start أو end + +51 +00:03:48,490 --> 00:03:56,070 +لأن لما تحط start هيخفيه جهة الـ left مثلا، طيب، لأن + +52 +00:03:56,070 --> 00:03:58,590 +الـ navigation view بدنا يكون فيه جوة محتوى برضه، + +53 +00:03:58,590 --> 00:04:03,870 +list مثلا، صح ولا لأ؟ أو أي حاجة أنت بدّك إياها، ففعليا + +54 +00:04:03,870 --> 00:04:06,430 +أنا إيش عملت؟ عندي هنا جبت جوة الـ navigation view + +55 +00:04:06,430 --> 00:04:11,890 +حطّيت إيش؟ fragment فعليا. + +56 +00:04:11,890 --> 00:04:14,530 +أنا استخدمت نفس الـ fragment اللي كنا مستخدمينها + +57 +00:04:14,530 --> 00:04:20,100 +قبل، بس عملت إعادة ترتيب. قبل كنا حاطّين fragment جنب + +58 +00:04:20,100 --> 00:04:23,540 +و frame layout، الآن أنا بس عشان شوفنا المحاضرة، و + +59 +00:04:23,540 --> 00:04:26,460 +ما بيغيّر، غيرنا بس وين؟ في التصميم بتاع الـ main activity + +60 +00:04:26,460 --> 00:04:30,140 +تمام؟ هذا التصميم اللي إحنا عملناه، طبعا الـ + +61 +00:04:30,140 --> 00:04:35,540 +fragment، بعد حجم main، الـ navigation view هذا + +62 +00:04:35,540 --> 00:04:37,700 +التصميم اللي عملناه المحاضرة الماضية، هيّ تعالوا + +63 +00:04:37,700 --> 00:04:42,580 +نشوفه، عندنا ConstraintLayout جوة drawer layout، + +64 +00:04:42,580 --> 00:04:46,230 +بعبي الشاشة، داخل الـ ConstraintLayout، في عندي Frame + +65 +00:04:46,230 --> 00:04:50,390 +Layout عشان أعبي فيه الـ fragments، وبعدين في عندي + +66 +00:04:50,390 --> 00:04:54,190 +Navigation View، الـ Navigation View فيه داخله أيضاً + +67 +00:04:54,190 --> 00:04:58,270 +fragment، بس الآن أهم حاجة الـ Navigation View، هي + +68 +00:04:58,270 --> 00:05:01,490 +الـ width مثلا، حطيته 300 أو 250 عشان ما ياخدش حجم + +69 +00:05:01,490 --> 00:05:04,730 +الشاشة كلها، وبعدين الـ height match_parent، والـ + +70 +00:05:04,730 --> 00:05:10,630 +gravity start، وداخل فيه عندي إيش؟ fragment اللي هو + +71 +00:05:10,630 --> 00:05:14,910 +مين؟ أي fragment؟ الـ list fragment، أنا سميته هنا + +72 +00:05:14,910 --> 00:05:20,750 +drawer fragment، هو هو تصميمه اللي عبارة عن فعليا فيه + +73 +00:05:20,750 --> 00:05:26,010 +list view، تمام؟ هذا الـ drawer fragment شايفينه؟ فيه + +74 +00:05:26,010 --> 00:05:27,670 +فقط list view. + +75 +00:05:31,660 --> 00:05:36,740 +طيب لو أنا بس زيك وشغّلت، هيشتغل، ولاحظ إن أنا اشتغلت + +76 +00:05:36,740 --> 00:05:39,880 +بدون ما أغيّر أي حاجة على الـ code، يعني أنت لما + +77 +00:05:39,880 --> 00:05:43,720 +تختار عنصر في الـ.. في الـ navigation drawer، بيغيّر + +78 +00:05:43,720 --> 00:05:48,360 +فين؟ بيغيّر في الـ.. في الـ frame layout، ليش؟ لأن + +79 +00:05:48,360 --> 00:05:54,100 +الـ code أنا مش محتاج أغيّره، أنا بس استخدمت نفس الـ + +80 +00:05:54,100 --> 00:05:57,920 +..المحتويات السابقة، بس غيرت ترتيبها. + +81 +00:06:01,680 --> 00:06:06,660 +هنا في الـ drawer layout مثلا، لما آجي أضغط على عنصر معيّن، + +82 +00:06:06,660 --> 00:06:10,380 +باختار للعنصر string مثلا، وبيجيب الـ main activity + +83 +00:06:10,380 --> 00:06:13,700 +طبعا هنا ما عملتش طريقة الـ listener، وعملت set + +84 +00:06:13,700 --> 00:06:17,360 +choice، هيروح يبعث البيانات لمن؟ للـ activity، الـ + +85 +00:06:17,360 --> 00:06:20,040 +activity الآن وصلت لها البيانات في الـ method set + +86 +00:06:20,040 --> 00:06:23,960 +choice، هتروح إيش تعمل؟ بناء على القيمة الموجودة، + +87 +00:06:25,760 --> 00:06:28,080 +بتعمل الـ Transaction وتضيف الـ Fragment هذا، + +88 +00:06:28,080 --> 00:06:31,980 +الطريقة المختصرة اللي هي: إذا كان الـ choice واحد، + +89 +00:06:31,980 --> 00:06:35,560 +جيب الـ supportFragmentManager، جيب الـ Transaction، + +90 +00:06:35,560 --> 00:06:41,100 +replace، حطّ جوا الـ fragment، و add to back + +91 +00:06:41,100 --> 00:06:46,660 +stack، وبعدين اعمل commit، هذا الـ code شغال، ما غيّرتش + +92 +00:06:46,660 --> 00:06:54,320 +فيه ولا حاجة. طيب، الآن الـ navigation drawer اللي + +93 +00:06:54,320 --> 00:07:01,760 +عملناه فيه لسه بعض المشاكل، أول + +94 +00:07:01,760 --> 00:07:06,000 +حاجة، لما أظهره، المفروض إنه أنا لما أختار أي عنصر، + +95 +00:07:06,000 --> 00:07:12,300 +إيش يعمل؟ يخفي الـ navigation view، والحاجة التانية، + +96 +00:07:12,300 --> 00:07:18,100 +إن إحنا بدنا نعمل toolbar، و ليش؟ عشان نضبط الـ + +97 +00:07:18,100 --> 00:07:20,950 +navigation view في الـ toolbar، يعني الـ toolbar + +98 +00:07:20,950 --> 00:07:24,450 +لازم يكون فيه زر نضغط عليه مثلا، يظهر يخفي الـ + +99 +00:07:24,450 --> 00:07:29,130 +navigation view زي الـ menu، زي الـ menu، أو زر، زر + +100 +00:07:29,130 --> 00:07:36,470 +بضغط عليه، اه طيب، عشان لإن متى إحنا المفروض نخفي الـ + +101 +00:07:36,470 --> 00:07:43,050 +drawer؟ لما أختار عنصر، مفروض يخفي الـ drawer، طيب لإن + +102 +00:07:43,050 --> 00:07:45,890 +عشان نخفي الـ drawer برجع للـ main activity، + +103 +00:07:48,790 --> 00:07:52,590 +الـ layout تبعها، وبروح بعطي لها الـ drawer layout + +104 +00:07:52,590 --> 00:07:58,550 +مش هدفي، الـ drawer layout، بعطي لها ID، تمام؟ هاي الـ + +105 +00:07:58,550 --> 00:08:02,610 +ID تبعها اللي هو الـ drawer layout، وبعدين بروح في + +106 +00:08:02,610 --> 00:08:07,630 +الـ main activity، هيّ عملت الـ drawer هنا، وفي الـ on + +107 +00:08:07,630 --> 00:08:14,590 +create بقول له drawer.findViewById + +108 +00:08:17,570 --> 00:08:22,090 +يعني وجبنا الـ.. الـ.. الدرور، أو.. الآن جبناه، + +109 +00:08:22,090 --> 00:08:30,110 +إن بعد ما يتم عملية الاختيار، بدأنا نروح للـ drawer، و + +110 +00:08:30,110 --> 00:08:35,910 +نفذّ method اسمها closeDrawers، شايفها؟ close + +111 +00:08:35,910 --> 00:08:40,090 +Drawers، يعني يسكر، يعني + +112 +00:08:40,090 --> 00:08:44,890 +ببساطة، لما يعمل أي اختيار، طبعا في آخر شيء بدي + +113 +00:08:44,890 --> 00:08:46,590 +أعمل إيش؟ اه، إغلاق. + +114 +00:08:54,130 --> 00:08:59,210 +الآن، هو أنا بعمل أي choice، بسكر الـ drawer، طيب، + +115 +00:08:59,210 --> 00:09:05,770 +الآن بنعمل الـ toolbar، الـ toolbar عشان نرجع لتصميم + +116 +00:09:05,770 --> 00:09:10,590 +الـ drawer، الآن، هيّ نقاط، وين بنحط الـ toolbar؟ + +117 +00:09:10,590 --> 00:09:17,230 +فوق، فيه طبعا أكتر من خيار، في ناس إيش بتعمل؟ بتروح في + +118 +00:09:17,230 --> 00:09:24,090 +تطبيقها، وهذا مهم تنتبهوا له، ممكن تحطّ toolbar هيّ + +119 +00:09:24,090 --> 00:09:29,670 +مكانها، وبعدين بتصير لما تسحب، بيطلع الـ drawer، يقعد تحت + +120 +00:09:29,670 --> 00:09:34,330 +مين؟ تحت الـ toolbar، زي هيك، بحيث إن هنا فيه زر تضغط + +121 +00:09:34,330 --> 00:09:40,090 +عليه تخفي وتظهر الـ toolbar، في تطبيقات أخرى، ممكن + +122 +00:09:40,090 --> 00:09:44,450 +هذا + +123 +00:09:44,450 --> 00:09:49,370 +يغطي الـ toolbar، زي هيك، طبعا في الحالة دي ما بنقدر + +124 +00:09:49,370 --> 00:09:54,950 +نتحكّم، يكون في الـ toolbar، طبعا أنت حاول تعمله هيك، أو + +125 +00:09:54,950 --> 00:09:59,610 +تعملّه تحت الـ toolbar، هذا بس لك ينتمي لتصميم، يعني + +126 +00:09:59,610 --> 00:10:03,790 +مثلا لو أنا بدي الـ toolbar يظهر فوق، ويطلع الـ drawer + +127 +00:10:03,790 --> 00:10:06,930 +تحته، بتروح في أنت في الـ ConstraintLayout، وبتعمل + +128 +00:10:06,930 --> 00:10:10,650 +الـ toolbar فوق هنا، وتحتّه الـ drawer layout، لو + +129 +00:10:10,650 --> 00:10:14,280 +أنت بدّك الـ navigation view يخش على الـ toolbar، + +130 +00:10:14,280 --> 00:10:18,640 +يكون ضمن مين؟ الـ drawer layout، بتيجي الـ drawer + +131 +00:10:18,640 --> 00:10:22,960 +layout هنا، بتعمل layout جواها، بتحط الـ toolbar، و + +132 +00:10:22,960 --> 00:10:26,460 +الـ frame layout، لما إحنا قلنا الـ drawer layout بدّي + +133 +00:10:26,460 --> 00:10:30,500 +يكون فيه حاجتين بالظبط، ما نروح نحطّ فيه تلاتة، لو أنت + +134 +00:10:30,500 --> 00:10:34,840 +حطّيت الـ toolbar جوة، وصارت تلاتة، فعشان تعملوا صح، بدّك + +135 +00:10:34,840 --> 00:10:38,320 +تحطّ layout زي ConstraintLayout أو LinearLayout، تحط فيها الـ + +136 +00:10:38,320 --> 00:10:42,560 +toolbar وتحتّه الـ frame layout، هدول بعبّوا الشاشة، + +137 +00:10:42,560 --> 00:10:47,340 +والـ navigation view، الجزء التاني، بكون وضحت هذه + +138 +00:10:47,340 --> 00:10:51,260 +الفكرة يا جماعة، لأن أنا.. وضحت ولا ما وضحتش؟ أنا هنا + +139 +00:10:51,260 --> 00:10:54,640 +بدّي أحطّ الـ toolbar إيش؟ برا، فبدّي أحطّه فوق + +140 +00:10:54,640 --> 00:11:01,670 +مين؟ فوق الـ drawer layout، هون بكتب إيش؟ هذه الـ + +141 +00:11:01,670 --> 00:11:09,170 +toolbar، طبعا أنا في جانب constraint، بدي أحطّ 0dp عشان + +142 +00:11:09,170 --> 00:11:14,290 +أقول له app:layout_constraintTop_toTopOf + +143 +00:11:14,290 --> 00:11:18,930 +parent، start + +144 +00:11:33,160 --> 00:11:40,780 +عطيه ID، نقل + +145 +00:11:40,780 --> 00:11:46,100 +الـ height، نجيب + +146 +00:11:46,100 --> 00:11:52,420 +الـ default Android attribute + +147 +00:12:04,540 --> 00:12:13,360 +`android:background="?attr/colorPrimary"` مثلا، تمام؟ + +148 +00:12:13,360 --> 00:12:17,760 +هذا الـ toolbar، بس بتغيّر، لأن الـ drawer layout هتجي + +149 +00:12:17,760 --> 00:12:23,940 +تحت الـ toolbar، فالآن الـ top تبعها `app:layout_constraintTop_toBottomOf` + +150 +00:12:23,940 --> 00:12:30,560 +toolbar، تمام؟ + +151 +00:12:30,560 --> 00:12:32,960 +بس هي التغييرات اللي عملناها. + +152 +00:12:38,330 --> 00:12:43,430 +الآن قبل ما نشتغل، بدنا الـ toolbar بالفعل، كيف بالفعل؟ + +153 +00:12:43,430 --> 00:12:48,710 +في الـ main activity، الآن بدي + +154 +00:12:48,710 --> 00:12:56,750 +أجيب toolbar، you + +155 +00:12:56,750 --> 00:13:04,530 +say `findViewById(R.id.toolbar)`، وبعدين `setSupportActionBar` + +156 +00:13:04,530 --> 00:13:17,800 +اللي هو الـ toolbar، الآن + +157 +00:13:17,800 --> 00:13:27,320 +هاي الـ toolbar ظهر عندي، المفروض + +158 +00:13:27,320 --> 00:13:34,320 +يطلع اسم التطبيق، كيف؟ + +159 +00:13:35,530 --> 00:13:39,970 +لأ، ما هو المفروض يبقى، أنا قلت له ياخد الاسم الموجود في + +160 +00:13:39,970 --> 00:13:44,290 +الـ manifest، طيب. + +161 +00:13:44,290 --> 00:13:51,890 +هرجع ثانية نشوف ليش لأ. + +162 +00:13:51,890 --> 00:13:59,850 +هي ظهرت، ظهرت على الحجم يعني كمساحة، ظهرت، هي تفهم؟ الآن + +163 +00:13:59,850 --> 00:14:05,230 +خلينا إيش؟ نربط الـ toolbar في الـ.. في الـ navigation + +164 +00:14:05,230 --> 00:14:11,150 +view، فروحت للـ main activity للـ code، الآن، action + +165 +00:14:11,150 --> 00:14:16,410 +bar اللي أنا أعمل زي هيك، + +166 +00:14:16,410 --> 00:14:25,450 +ما + +167 +00:14:25,450 --> 00:14:29,020 +هو، الآن، مش أنا حطيت الـ toolbar، action bar؟ لأ، لما + +168 +00:14:29,020 --> 00:14:32,280 +جبته، يعني جاب الـ toolbar، بس بدّي أجيب نوع + +169 +00:14:32,280 --> 00:14:35,940 +إيش؟ action bar، عشان في methods هنا، إحنا بنستخدمها، + +170 +00:14:35,940 --> 00:14:40,580 +يعني هو هو نفسه، بس الآن الـ toolbar هو جابه من + +171 +00:14:40,580 --> 00:14:44,140 +النوع action bar، عشان هدول set، هدول الـ methods + +172 +00:14:44,140 --> 00:14:47,940 +لازمين عشان أظهر الزر، تمام؟ في زر home، هذا اللي + +173 +00:14:47,940 --> 00:14:50,200 +بيكون موجود على الشمال، اللي بيكون مخفي by default، + +174 +00:14:50,200 --> 00:14:54,920 +عشان أظهره فيه two methods لازم انفّذهم، اللي هو set + +175 +00:14:54,92 + +223 +00:19:07,680 --> 00:19:12,280 +هل الدراور اللي موجود عندما الـ start مفتوح فعشان + +224 +00:19:12,280 --> 00:19:14,940 +يبقى بتقول is the drawer open هنا كنت بتمرجنه إيش + +225 +00:19:14,940 --> 00:19:19,700 +الجهة اللي هي .. طبعا هذه معرفة ثابتة اسمها + +226 +00:19:19,700 --> 00:19:22,840 +gravity compact. start يعني كأني بقول هل + +227 +00:19:22,840 --> 00:19:26,380 +الدراور مفتوح من جهة الـ start إذا مفتوحة إيش مين + +228 +00:19:26,380 --> 00:19:32,950 +يعمل ساكره الدراور. start close the drawer أو + +229 +00:19:32,950 --> 00:19:36,230 +إذا كتبت close the drawers فبسكرهم كلهم أو إذا كتبت + +230 +00:19:36,230 --> 00:19:39,470 +close the drawer gravity compared. start يعني + +231 +00:19:39,470 --> 00:19:45,650 +ساكره من جهة إيش الـ start else إيش يعني إذا كان + +232 +00:19:45,650 --> 00:19:54,610 +مفتوح ساكره إذا كان مسكر الـ x يعني خد هذه و + +233 +00:19:54,610 --> 00:19:57,670 +كتب open the drawer + +234 +00:20:01,130 --> 00:20:02,910 +ماشي يا جماعة وهيخلصني